Skilled nursing facility · CMS certification number 245623
INTERLUDE RESTORATIVE SUITES
FRIDLEY, Minnesota
This certification number is not in CMS’s current Care Compare Provider Information file, processed on 1 August 2026. Its Medicare enrollment, PHS INTERLUDE FRIDLEY LLC (enrollment ID O20140828000991), is not listed in the CMS enrollment file dated 1 August 2026.
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 October 2022 to 9 November 2022 — a reporting period of 39 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 16 May 2023.
None of these figures is carried on this report.
CMS report record 1347354, read from the public cost report file SNF10FY2023.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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,256,211 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $163,812 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,092,399 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,360,225 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,267,826 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,283,528 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $15,702 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $13,103 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,809 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 762 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 15.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 12.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 14.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313535, 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 April 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,959,731 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $713,779 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,245,952 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,779,066 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,533,114 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,518,077 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$15,037 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$15,037 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,924 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 771 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 8.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 14.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282826, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 30 September 2019
Cost report for 1 July 2019 to 30 September 2019 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 30 April 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,926,963 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $490,922 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,436,041 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,378,568 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $57,473 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $43,327 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $100,800 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $100,800 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 4,048 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 267 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 15.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 32.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 15.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1254780, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 30 June 2018
Cost report for 1 July 2017 to 30 June 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,444,093 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,319,995 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,124,098 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,888,518 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$764,420 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $55,326 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$709,094 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$709,094 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,187 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 947 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 15.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 13.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 14.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217742, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 30 June 2017
Cost report for 1 July 2016 to 30 June 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 January 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,732,281 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,886,156 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,846,125 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,416,456 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,570,331 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $263,805 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,306,526 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,350,835 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,544 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 969 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 15.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 24.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 15.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182785, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 30 June 2016
Cost report for 1 July 2015 to 30 June 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 26 January 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,584,748 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,981,681 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,603,067 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,219,720 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,616,653 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $319,277 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,297,376 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,299,042 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,029 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 674 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 13.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 19.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 13.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151901, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 18 March 2015 to 30 June 2015 — a reporting period of 104 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 21 January 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $866,515 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $298,056 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $568,459 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,856,429 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,287,970 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $102,633 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,185,337 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,185,344 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 1,025 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 10.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 10.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117800, read from the public cost report file SNF10FY2015.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
Not yet extracted for this facility.
Medicare enrollment
Not yet extracted for this facility.
Changes in ownership
- 15 May 2023: PRESBYTERIAN HOME CARE CENTERS INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: US BANK NATIONAL ASSOCIATION no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: US BANK NATIONAL ASSOCIATION no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: EMILY RC DOWNING no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: DUANE W LARSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: PHS MANAGEMENT, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: ALLINA HEALTH SYSTEM no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: DANIEL ALLEN LINDH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: DANIEL ALLEN LINDH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: AMY K FLOY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: MARK THOMAS MEYER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: MARK THOMAS MEYER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: WILLIAM V HAGSTROM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
Recent changes on this record
- 16 May 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2023.zip
- 15 May 2023: PRESBYTERIAN HOME CARE CENTERS INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: US BANK NATIONAL ASSOCIATION no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: US BANK NATIONAL ASSOCIATION no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: EMILY RC DOWNING no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: DUANE W LARSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: PHS MANAGEMENT, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: ALLINA HEALTH SYSTEM no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: DANIEL ALLEN LINDH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: DANIEL ALLEN LINDH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: AMY K FLOY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: MARK THOMAS MEYER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: MARK THOMAS MEYER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 15 May 2023: WILLIAM V HAGSTROM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- 18 April 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 April 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 30 April 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 19 December 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 24 January 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 26 January 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 26 January 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 21 January 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
Inspections
Not yet extracted for this facility.
Deficiencies cited
Not yet extracted for this facility.
Penalties
Not yet extracted for this facility.
Care Compare provider information
Not yet extracted for this facility.
Get an email when this record changes
One email a day naming what moved on INTERLUDE RESTORATIVE SUITES: 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 16 May 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
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The citable document for INTERLUDE RESTORATIVE SUITES
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 Minnesota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 245623.