Skilled nursing facility · CMS certification number 125005
ISLAND NURSING HOME INC.
MILILANI, Hawaii
This certification number is not in CMS’s current Care Compare Provider Information file, processed on 1 August 2026.
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 July 2017 to 30 August 2017 — a reporting period of 60 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 22 May 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $653,712 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $96,372 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $557,340 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $774,838 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$217,498 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $84,853 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$132,645 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$132,645 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 2,562 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 37 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 1,518 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 197 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 1,752 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 3 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 33 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 12.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 43.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1189914, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 February 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,480,070 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $766,713 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,713,357 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,978,736 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$265,379 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $282,599 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $17,220 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $17,220 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,845 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 14 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 1,060.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1153437, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 July 2014 to 30 June 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 January 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,414,179 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $694,192 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,719,987 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,947,117 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$227,130 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $229,417 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,287 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,287 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,750 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 28 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 770.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 526.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117187, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 January 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,759,131 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $745,677 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,013,454 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,945,905 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $67,549 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,894 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $77,443 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $77,443 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,672 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 35 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 419.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084933, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 July 2012 to 30 June 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 March 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,817,266 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $778,876 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,038,390 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,761,736 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $276,654 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,737 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $287,391 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $286,641 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,798 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 32 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 462.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1056642, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 30 June 2012
Cost report for 1 July 2011 to 30 June 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,374,209 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $619,894 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,754,315 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,280,115 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $474,200 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,520 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $483,720 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $483,461 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,960 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 356.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023609, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,632,015 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,434,108 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $197,907 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,039 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,120 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $206,826 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,980 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 41 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 579.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 365.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 422889, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 December 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,292,799 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,154,228 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $138,571 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,543 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $152,114 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,678 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 33 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 943.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 444.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 391932, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 December 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,343,711 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,176,878 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $166,833 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,225 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $825 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $185,233 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,054 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 26 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,705.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 579 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 361645, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 12 December 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,292,012 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,095,583 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $196,429 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,684 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $165 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $232,948 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,946 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 27 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 110 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,169 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 553.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 330181, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 30 June 2007
Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 January 2008.
None of these figures is carried on this report.
CMS report record 299848, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 May 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,920,719 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,912,826 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $7,893 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,943 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $37,836 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,967 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 55 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 312.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 272.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 277259, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 March 2006.
None of these figures is carried on this report.
CMS report record 244935, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 30 June 2004
Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 17 June 2005.
None of these figures is carried on this report.
CMS report record 223949, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 30 June 2003
Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 May 2004.
None of these figures is carried on this report.
CMS report record 174870, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 30 June 2002
Cost report for 1 July 2001 to 30 June 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 22 September 2003.
Net income, stated at moderate confidence: $107,130 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
CMS report record 160383, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 30 June 2001
Cost report for 1 July 2000 to 30 June 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 July 2003.
Net income, stated at moderate confidence: $4,460 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
CMS report record 152552, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 30 June 2000
Cost report for 1 July 1999 to 30 June 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 24 January 2002.
Net income, stated at moderate confidence: −$54,027 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
CMS report record 74316, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 30 June 1999
Cost report for 1 July 1998 to 30 June 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 July 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,318,127 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,359,421 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$41,294 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,172 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,878 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,735 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 41 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 80 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 562.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 335 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 74315, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended 30 June 1998
Cost report for 1 July 1997 to 30 June 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 February 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,385,069 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,519,243 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$134,174 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $59,874 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$74,300 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,685 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 71 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 569.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 206.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 74314, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended 30 June 1997
Cost report for 1 July 1996 to 30 June 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 May 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,477,648 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,650,910 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$173,262 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $61,841 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$611 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$110,810 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,072 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 26 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,052.7 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 579.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 75200, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended 30 June 1996
Cost report for 1 July 1995 to 30 June 1996 — a reporting period of 365 days, on form CMS-2540-96, settled with audit, processed by CMS on 24 September 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,467,850 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,535,945 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$68,095 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $71,375 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $3,280 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,096 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 18 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 103.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,438.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 838.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 75198, read from the public cost report file SNFFY1995.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
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Changes in ownership
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Recent changes on this record
- 22 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 1 February 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 24 February 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 20 January 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 23 January 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 10 March 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 24 January 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 18 January 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 29 December 2010: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 23 December 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- 12 December 2008: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- 24 January 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- 1 May 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- 13 March 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- 17 June 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- 3 May 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- 22 September 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- 8 July 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- 13 February 2002: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- 24 January 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- 3 July 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- 3 May 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
- 24 September 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1995.zip
Inspections
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Deficiencies cited
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Penalties
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Care Compare provider information
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The citable document for ISLAND NURSING HOME INC.
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