Skilled nursing facility · CMS certification number 235003

Manistee County Medical Care Facility

Manistee, Michigan · Medicare and Medicaid

Certified beds, as filed in Care Compare: 78

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 October 2023 to 30 September 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 6 March 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$7,582,419	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,161,111	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,421,308	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,754,716	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$3,333,408	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,586,555	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$746,853	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$746,853 (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%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	96	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	35,136	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,034	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	13,537	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	3,012	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	17,583	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	33	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	44	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	64	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	141	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	307.66	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	124.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1404761, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 30 September 2023

Cost report for 1 October 2022 to 30 September 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 March 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,234,510	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$394,778	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,839,732	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,108,883	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,269,151	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,164,953	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,104,198	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,104,198 (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%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	96	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,514	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	110	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	464.76	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	141.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1375571, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 30 September 2022

Cost report for 1 October 2021 to 30 September 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 March 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$5,272,660	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$147,293	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,125,367	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,399,126	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,273,759	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,102,352	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,828,593	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,828,593 (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%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	96	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,810	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	54	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	20.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	686	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	292.78	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1344654, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 30 September 2021

Cost report for 1 October 2020 to 30 September 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 April 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$6,601,867	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$372,616	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,229,251	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,752,107	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,522,856	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,980,449	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$542,407	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$542,407 (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%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	96	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,318	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	79	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	776.41	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	244.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1314493, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 30 September 2020

Cost report for 1 October 2019 to 30 September 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 March 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$8,353,981	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$618,146	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,972,127	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,285,497	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,313,370	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,417,043	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$103,673	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $5,816 (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%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	96	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,780	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	173	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	409.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	149.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1281519, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 30 September 2019

Cost report for 1 October 2018 to 30 September 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 April 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$9,432,005	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$200,662	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,632,667	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,840,973	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,208,306	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$941,526	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$266,780	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$404,191 (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%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,294	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	288	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.48	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	351.12	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	105.19	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1253719, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 30 September 2018

Cost report for 1 October 2017 to 30 September 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 April 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$9,226,431	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$281,849	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,508,280	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,586,753	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,078,473	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$704,470	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$374,003	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$427,352 (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%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,314	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	297	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	356	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	102.07	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1222717, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 30 September 2017

Cost report for 1 October 2016 to 30 September 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 May 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$9,014,410	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$168,406	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,182,816	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,666,752	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$483,936	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$667,658	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$183,722	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $107,178 (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%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,086	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	346	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	378.31	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	89.84	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1188445, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 30 September 2016

Cost report for 1 October 2015 to 30 September 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 April 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$9,208,605	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$118,854	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,327,459	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,609,603	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,282,144	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,021,817	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$260,327	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$348,872 (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%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,629	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	319	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	416.74	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	99.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1156335, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 30 September 2015

Cost report for 1 October 2014 to 30 September 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 April 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$9,607,985	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$37,597	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,645,582	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,126,984	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$481,402	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$789,948	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$308,546	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $133,231 (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%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	107	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,176	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	369	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.11	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	361.98	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	89.91	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1122879, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 30 September 2014

Cost report for 1 October 2013 to 30 September 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 April 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$9,875,760	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$138,645	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,737,115	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,219,939	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$482,824	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$801,174	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$318,350	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $190,708 (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%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	107	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,342	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	292	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	30.52	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	370.37	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	121.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1088104, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 30 September 2013

Cost report for 1 October 2012 to 30 September 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 March 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$9,519,877	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$58,443	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,578,320	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,277,344	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$699,024	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$698,705	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$319	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$199,044 (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%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	107	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	34,500	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	243	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,470.29	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	141.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1087751, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 30 September 2012

Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 March 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$10,285,792	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$755,466	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,041,258	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,155,024	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$113,766	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$754,690	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$640,924	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $341,280 (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%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	39,971	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	259	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	556.89	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	154.33	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1026567, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 30 September 2011

Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 April 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$10,445,907	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$11,179,052	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$733,145	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$848,031	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$304,421	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$189,535 (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.

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	40,920	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	255	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.31	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	663.47	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	160.47	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 428250, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended 30 September 2010

Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 April 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$10,640,878	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,589,614	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$51,264	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$700,229	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$150,083	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $601,410 (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.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	42,876	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	190	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.96	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	944.03	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	225.66	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 397822, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 30 September 2009

Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 January 2011.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$10,090,255	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,109,241	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$18,986	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$806,050	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$63,867	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $723,197 (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.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	42,515	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	210	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	31.19	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	973.13	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	202.45	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 392436, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 30 September 2008

Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 17 September 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$9,880,037	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$10,553,969	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$673,932	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$924,463	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$6,503	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $244,028 (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.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,721	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	162	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.4	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	841.34	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	269.88	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 356741, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 30 September 2007

Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 2 March 2009.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$9,654,851	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$9,777,143	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$122,292	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$705,369	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$57,627	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $525,450 (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.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,667	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	143	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	66.68	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	798.8	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	305.36	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 334455, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 30 September 2006

Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 25 February 2008.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$7,752,715	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,849,221	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$1,096,506	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$655,714	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$21,807	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$462,599 (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.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	42,702	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	186	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.16	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	795.1	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	229.58	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 302856, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 30 September 2005

Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 April 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$7,506,849	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$8,055,858	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$549,009	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$725,931	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$15,293	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $161,629 (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.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	122	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	42,004	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	249	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.51	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	405.99	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	168.69	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 247279, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 30 September 2004

Cost report for 1 October 2003 to 30 September 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 30 September 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$6,599,363	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,953,780	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$354,417	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$880,513	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $526,096 (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.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	102	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,602	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	182	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.76	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	430.14	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	201.11	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 234001, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 30 September 2003

Cost report for 1 October 2002 to 30 September 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 September 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$5,881,207	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,613,383	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$732,176	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$894,994	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $162,818 (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.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	102	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,341	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	143	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.48	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,130.57	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	247.14	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 232946, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 30 September 2002

Cost report for 1 January 2002 to 30 September 2002 — a reporting period of 272 days, not a full year, on form CMS-2540-96, as submitted, processed by CMS on 7 April 2003.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$4,457,185	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,955,731	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$498,546	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$792,437	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $293,891 (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.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	102	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,658	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	147	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.13	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	494.03	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	181.35	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 141244, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 31 December 2001

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 July 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$5,815,906	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,166,188	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$350,282	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$991,716	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $641,434 (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.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	102	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,362	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	187	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	41.28	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	602.98	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	189.1	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 152611, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 13 February 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$5,054,514	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,742,313	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$687,799	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$908,819	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $221,020 (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.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	102	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,160	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	158	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	38.41	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	780.16	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	228.86	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 125952, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 31 December 1999

Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 October 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$4,447,349	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,237,200	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$789,851	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$673,706	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$116,145 (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.

Beds, days and discharges, fiscal year 1999
Figure	As filed	Where it comes from
Total facility beds, all components	102	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,960	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	214	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.74	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	482.8	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	168.04	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 73160, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended 31 December 1998

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 April 2001.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$4,844,070	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,018,915	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$174,845	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$609,700	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $434,855 (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.

Beds, days and discharges, fiscal year 1998
Figure	As filed	Where it comes from
Total facility beds, all components	102	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,663	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	177	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.96	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	509.13	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	207.14	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 68466, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 December 1997

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 March 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$4,554,141	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,300,434	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$253,707	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$597,812	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $851,519 (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.

Beds, days and discharges, fiscal year 1997
Figure	As filed	Where it comes from
Total facility beds, all components	102	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,518	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	148	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	49.36	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	666.98	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	246.74	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 76160, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 31 December 1996

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 31 August 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$4,222,958	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,891,644	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$668,686	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$655,907	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$125,095	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$137,874 (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.

Beds, days and discharges, fiscal year 1996
Figure	As filed	Where it comes from
Total facility beds, all components	102	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	36,235	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	145	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	63.92	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	685.85	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	249.9	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 76159, read from the public cost report file SNFFY1996.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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
COLEMAN, JOE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/21/2014
FALK, CRYSTAL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/26/2024
SULLIVAN, RYAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 02/18/2025
BIELSKI, LARRY	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/10/2014
MCELRATH, HATTIE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2017
PARKES, DOUGLAS	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 11/01/2012
CABOT, CASSANDRA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/05/2023
COLE, SHANNON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/27/2021
COLEMAN, JOE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/21/2014
FALK, CRYSTAL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/26/2024
HILLIARD-JOHNSON, MELLISSA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/28/2022
MANISTEE COUNTY	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/1960
MCCANN, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/31/2023
MCELRATH, HATTIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2017
NEAL, TRACY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/21/2024
PARKES, DOUGLAS	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2012
SCHLAFLEY, JILLIAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/19/2024
SEKURIS, DAWN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/24/2023
SULLIVAN, RYAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/16/2018
TAYLOR, BETH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/13/2008
WISSNER, JACKIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/10/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MANISTEE COUNTY MEDICAL CARE (enrollment ID O20080318000664).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
CRYSTAL FALK	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/26/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOE COLEMAN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/21/2014	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RYAN A SULLIVAN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/18/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DOUGLAS PARKES	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
HATTIE MCELRATH	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LARRY BIELSKI	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/10/2014	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BETH TAYLOR	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/13/2008	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CASSANDRA CABOT	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/5/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CRYSTAL FALK	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/26/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAWN SEKURIS	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/24/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DOUGLAS PARKES	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	11/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
HATTIE MCELRATH	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	10/1/2017	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JACKIE WISSNER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/10/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JILLIAN SCHLAFLEY	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/19/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOE COLEMAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/21/2014	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MANISTEE COUNTY	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/1960	Private equity company: No Real estate investment trust: No Holding company: No
MELLISSA HILLIARD-JOHNSON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	2/28/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL MCCANN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/31/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RYAN A SULLIVAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/16/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SHANNON COLE	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/27/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
TRACY NEAL	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/21/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: RYAN A SULLIVAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RYAN A SULLIVAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MELLISSA HILLIARD-JOHNSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LARRY BIELSKI no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RYAN A SULLIVAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RYAN A SULLIVAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LARRY BIELSKI appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MELLISSA HILLIARD-JOHNSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2026: BETH TAYLOR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOE COLEMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MICHAEL MCCANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DAWN SEKURIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BETH TAYLOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CASSANDRA CABOT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CRYSTAL FALK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CRYSTAL FALK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DOUGLAS PARKES appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DOUGLAS PARKES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JILLIAN SCHLAFLEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JACKIE WISSNER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: SHANNON COLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOE COLEMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOE COLEMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: HATTIE MCELRATH appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: HATTIE MCELRATH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TRACY NEAL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RYAN A SULLIVAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RYAN A SULLIVAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MELLISSA HILLIARD-JOHNSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LARRY BIELSKI appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv

Recent changes on this record

1 July 2026: RYAN A SULLIVAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RYAN A SULLIVAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MELLISSA HILLIARD-JOHNSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LARRY BIELSKI no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RYAN A SULLIVAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RYAN A SULLIVAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: LARRY BIELSKI appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: MELLISSA HILLIARD-JOHNSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 April 2026: BETH TAYLOR no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOE COLEMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MICHAEL MCCANN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DAWN SEKURIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: BETH TAYLOR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CASSANDRA CABOT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CRYSTAL FALK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: CRYSTAL FALK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DOUGLAS PARKES appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: DOUGLAS PARKES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JILLIAN SCHLAFLEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JACKIE WISSNER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: SHANNON COLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOE COLEMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: JOE COLEMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: HATTIE MCELRATH appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: HATTIE MCELRATH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: TRACY NEAL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RYAN A SULLIVAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: RYAN A SULLIVAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: MELLISSA HILLIARD-JOHNSON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
1 April 2026: LARRY BIELSKI appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
6 March 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
26 March 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
21 March 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
21 April 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
23 March 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
15 April 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
17 April 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
2 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
25 April 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
28 April 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	4 December 2025	4 December 2025	1	10
2	9 October 2024	9 October 2024	9	7
3	15 November 2023	15 November 2023	3	3

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

13 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
4 December 2025	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	No	Deficient, Provider has date of correction	29 December 2025
9 October 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	No	Deficient, Provider has date of correction	4 November 2024
9 October 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	4 November 2024
9 October 2024	Health	F 0659	Resident Assessment and Care Planning Deficiencies	Provide care by qualified persons according to each resident's written plan of care.	D	No	Deficient, Provider has date of correction	4 November 2024
9 October 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	4 November 2024
9 October 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	4 November 2024
9 October 2024	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	No	Deficient, Provider has date of correction	4 November 2024
9 October 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	4 November 2024
9 October 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	4 November 2024
9 October 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	4 November 2024
15 November 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E	No	Deficient, Provider has date of correction	12 December 2023
15 November 2023	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	12 December 2023
15 November 2023	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E	No	Deficient, Provider has date of correction	12 December 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Government - County
Legal Business Name	MANISTEE COUNTY MEDICAL CARE
Date First Approved to Provide Medicare and Medicaid Services	1967-01-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Manistee
Telephone Number	2317232543
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	78
Average Number of Residents per Day	34.5
Overall Rating	5
Health Inspection Rating	5
QM Rating	2
Long-Stay QM Rating	2
Short-Stay QM Rating	1
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on Manistee County Medical Care Facility: 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 1 July 2026: RYAN A SULLIVAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Manistee County Medical Care Facility

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 Michigan 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.

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