Skilled nursing facility · CMS certification number 165533
QHC HUMBOLDT NORTH LLC
HUMBOLDT, Iowa
This certification number is not in CMS’s current Care Compare Provider Information file, processed on 1 August 2026. Its Medicare enrollment, QHC HUMBOLDT NORTH LLC (enrollment ID O20080815000457), is not listed in the CMS enrollment file dated 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 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,087,286 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $535,193 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,552,093 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,353,775 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,801,682 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $85,391 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,716,291 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,716,291 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 32,850 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 652 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 5,250 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,356 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 14,258 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 9 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 11 | 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 | 24 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 477.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 594.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331046, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 2 December 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,414,098 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $538,623 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,875,475 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,423,253 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$547,778 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $605,173 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $57,395 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $57,395 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,355 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 13.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 705.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 263.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305935, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,878,124 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $594,408 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,283,716 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,500,216 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$216,500 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,137 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$209,363 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$209,363 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,013 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 746.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 277.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275001, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,180,857 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $845,567 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,335,290 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,415,236 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$79,946 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $256 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$79,690 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$83,395 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,763 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 595.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 310.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238395, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,733,308 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $576,227 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,157,081 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,158,611 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,530 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $121 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,409 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$18,954 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,616 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 549.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 361.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200217, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 9 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,355,525 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $321,915 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,033,610 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,080,287 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$46,677 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,124 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$45,553 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$53,237 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,453 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 41 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,247.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 474.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1172582, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,291,613 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $325,978 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,965,635 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,236,317 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$270,682 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$270,682 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$343,343 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,902 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 795 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 270.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1134607, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 June 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,739,156 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $248,364 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,490,792 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,386,430 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $104,362 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,049 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $108,411 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $108,411 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,773 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 56 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 553.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 406.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1092972, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,951,759 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $338,384 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,613,375 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,351,419 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $261,956 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$22,380 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $239,576 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $239,576 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,679 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 930.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 398.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1071472, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 4 June 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,922,574 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $227,471 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,695,103 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,586,861 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $108,242 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$4,154 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $104,088 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $104,088 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,852 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 58 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,649.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 445.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1031933, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 May 2011 to 31 December 2011 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 September 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,584,055 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $201,626 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,382,429 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,355,151 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $27,278 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,377 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $29,655 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $29,655 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,211 | 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 | 41.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 566.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 409.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1011794, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 July 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,588,108 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,297,020 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $291,088 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other expenses | $890 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $290,198 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,415 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,368.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 440.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 411702, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 July 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,556,457 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,291,380 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $265,077 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,205 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $268,282 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,531 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 843.71 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 348.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 380103, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 25 June 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,221,938 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,975,512 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $246,426 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,493 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $247,919 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,212 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 82 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 615.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 307.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 347478, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 July 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,151,212 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,787,174 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $364,038 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,407 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $365,439 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,273 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 581.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 345.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 319865, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 December 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,124,518 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,852,269 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $272,249 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,189 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,892 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $268,546 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,448 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 84 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 534.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 326.76 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 297417, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 June 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,115,168 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,882,411 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $232,757 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,230 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6,642 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $227,345 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,113 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 795.09 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 462.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 255075, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 March 2004 to 31 December 2004 — a reporting period of 305 days, on form CMS-2540-96, settled, processed by CMS on 19 July 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,470,456 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,456,725 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $13,731 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $970 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $14,701 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,378 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 42 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,083.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 580.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 228167, read from the public cost report file SNFFY2004.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
Care Compare
Not yet extracted for this facility.
Medicare enrollment
Not yet extracted for this facility.
Changes in ownership
- 15 June 2023: QHC MANAGEMENT LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: DIANE K PANZI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: JERRY W VOYNA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: CAROL C CAPESIUS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: NANCY A VOYNA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: QHC FACILITIES LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
Recent changes on this record
- 15 June 2023: QHC MANAGEMENT LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: DIANE K PANZI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: JERRY W VOYNA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: CAROL C CAPESIUS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: NANCY A VOYNA no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 15 June 2023: QHC FACILITIES LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-06-15.csv
- 16 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 2 December 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 4 December 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 26 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 19 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 9 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 25 July 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 3 June 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 23 July 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 4 June 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 25 September 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 1 November 2011: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- 20 July 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 14 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 25 June 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 23 July 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 3 December 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 21 June 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 19 July 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
Inspections
Not yet extracted for this facility.
Deficiencies cited
Not yet extracted for this facility.
Penalties
Not yet extracted for this facility.
Care Compare provider information
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Get an email when this record changes
One email a day naming what moved on QHC HUMBOLDT NORTH LLC: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 15 June 2023: QHC MANAGEMENT LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for QHC HUMBOLDT NORTH LLC
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Iowa at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 165533.