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Facility record report · CMS certification number 245430

NORTHOME HEALTHCARE CENTER

NORTHOME, Minnesota

This certification number is not in CMS’s current Care Compare Provider Information file, processed on 1 August 2026.

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2013 to 15 March 2013 — a reporting period of 73 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 23 September 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$180,629CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$10,823CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$169,806CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$403,731CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$233,925CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,385CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$232,540CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$232,540 (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
FigureAs filedWhere it comes from
Total facility beds, all components34CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components3,060CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days25CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days508CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days86CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components619CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges2CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges2CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges2CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components6CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days12.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days254CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days103.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1078305, read from the public cost report file SNF10FY2013.zip.

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 9 June 2015.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$1,474,726CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$69,090CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,405,636CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,026,252CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$620,616CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$246,916CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$373,700CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$373,700 (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
FigureAs filedWhere it comes from
Total facility beds, all components32CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components7,824CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components25CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days226.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days312.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1094200, read from the public cost report file SNF10FY2012.zip.

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 September 2012.

None of these figures is carried on this report.

CMS report record 1012495, read from the public cost report file SNF10FY2011.zip.

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 February 2012.

None of these figures is carried on this report.

CMS report record 424430, read from the public cost report file SNFFY2010.zip.

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 July 2010.

None of these figures is carried on this report.

CMS report record 382709, read from the public cost report file SNFFY2009.zip.

Cost report for 1 January 2008 to 30 December 2008 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 12 April 2010.

None of these figures is carried on this report.

CMS report record 367270, read from the public cost report file SNFFY2008.zip.

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 August 2008.

None of these figures is carried on this report.

CMS report record 323693, read from the public cost report file SNFFY2007.zip.

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 June 2008.

None of these figures is carried on this report.

CMS report record 315740, read from the public cost report file SNFFY2006.zip.

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 May 2007.

None of these figures is carried on this report.

CMS report record 279700, read from the public cost report file SNFFY2005.zip.

Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 27 June 2007.

None of these figures is carried on this report.

CMS report record 286804, read from the public cost report file SNFFY2004.zip.

Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 December 2004.

None of these figures is carried on this report.

CMS report record 203300, read from the public cost report file SNFFY2003.zip.

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 June 2004.

None of these figures is carried on this report.

CMS report record 182624, read from the public cost report file SNFFY2002.zip.

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 26 March 2002.

Net income, stated at moderate confidence: −$24,069 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

CMS report record 42422, read from the public cost report file SNFFY2000.zip.

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 6 June 2001.

Net income, stated at moderate confidence: −$115,070 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

CMS report record 42420, read from the public cost report file SNFFY1999.zip.

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 16 October 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$2,217,123CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,007,756CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$209,367CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$8,596CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $217,963 (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
FigureAs filedWhere it comes from
Total facility beds, all components62CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components16,088CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components18CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days2,302.17CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days893.78CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 42419, read from the public cost report file SNFFY1998.zip.

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 8 July 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$2,306,537CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,206,959CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$99,578CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,926CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $102,504 (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
FigureAs filedWhere it comes from
Total facility beds, all components62CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,500CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components48CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days118CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days696.96CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days406.25CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 28964, read from the public cost report file SNFFY1997.zip.

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 28 August 1998.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$2,334,266CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,341,400CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$7,134CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$71,122CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $63,988 (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
FigureAs filedWhere it comes from
Total facility beds, all components62CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,918CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components34CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.43CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days9,098.5CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days585.82CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 28963, read from the public cost report file SNFFY1996.zip.

Five facilities of a similar size in Minnesota, fiscal year 2013

Chosen for having certified bed counts closest to this facility’s, listed by name. Every one filed for the same fiscal year; the day each year ends differs and is shown. Each figure is that facility’s own filing.

FacilityTotal facility bedsTotal patient daysNet patient revenueTotal operating expensesNet income from service to patientsPeriod ended
GOOD SAMARITAN SOCIETY GRANDVIEW3310,035$2,319,697$2,749,649−$429,95231 December 2013
GOOD SAMARITAN SOCIETY HOFFMAN337,969$1,579,474$2,271,148−$691,67422 November 2013
GOOD SAMARITAN SOCIETY WATERVILLE3310,919$2,032,055$2,238,993−$206,93831 December 2013
NORTHOME HEALTHCARE CENTER34619$169,806$403,731−$233,92515 March 2013
PARKVIEW MANOR 24-55533711,268$1,567,729$1,778,098−$210,36930 September 2013
TRIMONT HEALTH CARE CENTER3611,383$2,143,419$2,214,568−$71,14930 September 2013

Where each column comes from, on every filing in this table: Total facility beds: CMS-2540-10 worksheet S300001 line 800 column 100 · Total patient days: CMS-2540-10 worksheet S300001 line 800 column 700 · Net patient revenue: CMS-2540-10 worksheet G300000 line 300 column 100 · Total operating expenses: CMS-2540-10 worksheet G300000 line 400 column 100 · Net income from service to patients: CMS-2540-10 worksheet G300000 line 500 column 100.

Ownership, as filed with CMS

Care Compare

Not yet extracted for this facility.

Medicare enrollment

Not yet extracted for this facility.

Changes in ownership

Not yet extracted for this facility.

Inspections

Not yet extracted for this facility.

Deficiencies cited

Not yet extracted for this facility.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Not yet extracted for this facility.

Every change on this record

  • 9 June 2015: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
  • 23 September 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • 27 September 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
  • 6 February 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
  • 20 July 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
  • 12 April 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
  • 13 August 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
  • 19 June 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
  • 27 June 2007: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
  • 29 May 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
  • 23 December 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
  • 17 June 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
  • 26 March 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
  • 6 June 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
  • 16 October 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
  • 8 July 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
  • 28 August 1998: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip

How to read this report

Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.

A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.

This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.

How to cite this report

Velarion Records, NORTHOME HEALTHCARE CENTER — facility record report, CMS certification number 245430. https://velarionrecords.com/facility/245430/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 245430. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

Hours this facility reported to CMS’s Payroll-Based Journal, one row per quarter, oldest first, each with how its figures are derived and the file it came from.

Not yet extracted for this facility.

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