Skilled nursing facility · CMS certification number 245623
INTERLUDE RESTORATIVE SUITES
FRIDLEY, Minnesota
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026. Its Medicare enrollment, PHS INTERLUDE FRIDLEY LLC (enrollment ID O20140828000991), is not listed in the CMS enrollment file dated August 1, 2026.
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
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 October 1, 2022 to November 9, 2022 — a reporting period of 39 days, not a full year, on form CMS-2540-10, settled, processed by CMS on May 16, 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 September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 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 204,151 of the 204,151 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 September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 23, 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 204,151 of the 204,151 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 September 30, 2019
Cost report for July 1, 2019 to September 30, 2019 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on April 30, 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 204,151 of the 204,151 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 June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 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 204,151 of the 204,151 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 June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 26, 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 204,151 of the 204,151 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 June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 26, 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 204,151 of the 204,151 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 June 30, 2015
Cost report for March 18, 2015 to June 30, 2015 — a reporting period of 104 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 21, 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 204,151 of the 204,151 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 listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
- May 15, 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
- May 15, 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
- May 15, 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
- May 15, 2023: EMILY RC DOWNING no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: DUANE W LARSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 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
- May 15, 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
- May 15, 2023: DANIEL ALLEN LINDH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: DANIEL ALLEN LINDH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 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
- May 15, 2023: MARK THOMAS MEYER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: MARK THOMAS MEYER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 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
- May 16, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2023.zip
- May 15, 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
- May 15, 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
- May 15, 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
- May 15, 2023: EMILY RC DOWNING no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: DUANE W LARSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 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
- May 15, 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
- May 15, 2023: DANIEL ALLEN LINDH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: DANIEL ALLEN LINDH no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 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
- May 15, 2023: MARK THOMAS MEYER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: MARK THOMAS MEYER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: WILLIAM V HAGSTROM no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- April 18, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- April 21, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- April 23, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 30, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- December 19, 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- January 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- January 26, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- January 26, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- January 21, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
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 May 16, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
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.
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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.