Skilled nursing facility · CMS certification number 445441
HUMBOLDT NURSING HOME
HUMBOLDT, Tennessee
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 April 2020 to 31 March 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 November 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,340,642 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $503,217 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,837,425 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,588,523 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$751,098 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,255,491 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $504,393 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $504,393 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,800 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,755 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 14,937 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,491 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 20,183 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 41 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 25 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 58 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 597.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1336131, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended 31 March 2020
Cost report for 1 April 2019 to 31 March 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 November 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,249,017 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $939,127 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,309,890 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,082,241 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$772,351 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,149 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$759,202 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$759,202 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,295 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 715.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 164.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304952, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended 31 March 2019
Cost report for 1 April 2018 to 31 March 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,175,564 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $836,254 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,339,310 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,714,973 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$375,663 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $143,654 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$232,009 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$232,009 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,082 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 191 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 755.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 126.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1276476, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended 31 March 2018
Cost report for 1 April 2017 to 31 March 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 May 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,171,685 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $471,295 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,700,390 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,793,912 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,093,522 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $395,753 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$697,769 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$697,769 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,365 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.02 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 171.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1256443, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended 31 March 2017
Cost report for 1 April 2016 to 31 March 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 March 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,083,113 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $525,799 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,557,314 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,621,247 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,063,933 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,098,655 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,034,722 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,034,722 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,602 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 174.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221380, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended 31 March 2016
Cost report for 1 April 2015 to 31 March 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 18 January 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,202,435 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $709,561 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,492,874 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,397,894 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$905,020 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $351,347 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$553,673 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$553,673 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,721 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 181 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 12.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182247, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended 31 March 2015
Cost report for 1 April 2014 to 31 March 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,877,257 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $809,932 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,067,325 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,736,627 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$669,302 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $192,086 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$477,216 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$477,216 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,911 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 180 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 19.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1143308, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended 31 March 2014
Cost report for 1 April 2013 to 31 March 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 August 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,835,855 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $723,620 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,112,235 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,682,132 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$569,897 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,783 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$567,114 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$567,114 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,429 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 28.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 257.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108189, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 31 March 2013
Cost report for 1 April 2012 to 31 March 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,409,093 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,057,740 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,351,353 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,672,251 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$320,898 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $383 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$320,515 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$320,515 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,852 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 107 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 16.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 307.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1076475, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended 31 March 2012
Cost report for 1 April 2011 to 31 March 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,156,809 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $961,294 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,195,515 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,918,281 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$722,766 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $463 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$722,303 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$722,303 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,369 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 10.79 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 264.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046346, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended 31 March 2011
Cost report for 1 April 2010 to 31 March 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 August 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,438,210 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,482,920 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$44,710 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,745 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$41,965 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,168 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 9.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 384 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431480, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 31 March 2010
Cost report for 1 April 2009 to 31 March 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 September 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,939,964 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,795,777 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $144,187 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,814 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $151,001 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,796 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 72 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 89.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 45.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 566.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417114, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 31 March 2009
Cost report for 1 April 2008 to 31 March 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 August 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,613,349 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,599,043 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $14,306 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $378 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $14,684 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,831 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 114 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 25.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 358.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 416383, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 31 March 2008
Cost report for 1 April 2007 to 31 March 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 4 November 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,161,556 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,320,227 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$158,671 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $316 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$158,355 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,929 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 106 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 39.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 357.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 327947, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 31 March 2007
Cost report for 1 April 2006 to 31 March 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 November 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,154,826 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,198,540 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$43,714 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$43,686 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,033 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 83 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 76.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 77.56 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 458.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 296653, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 31 March 2006
Cost report for 1 April 2005 to 31 March 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 August 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,716,625 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,725,058 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$8,433 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$8,405 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,947 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 103 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 91.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 588.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 368.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 292990, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 31 March 2005
Cost report for 1 April 2004 to 31 March 2005 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 20 January 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,899,257 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,780,328 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $118,929 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$2,254 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $116,675 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,534 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 159 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 142.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 261.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 240986, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 31 March 2004
Cost report for 1 April 2003 to 31 March 2004 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 23 August 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,325,325 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,299,441 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $25,884 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,534 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $29,418 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,190 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 80.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 473.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 261692, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 31 March 2003
Cost report for 1 April 2002 to 31 March 2003 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on 21 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,651,377 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,541,894 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $109,483 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,684 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $116,167 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,843 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 590.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 386.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 194345, read from the public cost report file SNFFY2002.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
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Medicare enrollment
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Changes in ownership
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Recent changes on this record
- 7 November 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- 13 January 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 18 November 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- 16 December 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- 29 May 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- 18 March 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- 18 January 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- 30 September 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- 19 August 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- 19 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- 15 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- 13 August 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- 8 September 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- 26 August 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- 4 November 2008: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- 19 November 2007: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- 29 August 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- 23 August 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- 20 January 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- 21 September 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
Inspections
Not yet extracted for this facility.
Deficiencies cited
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Penalties
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Care Compare provider information
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The citable document for HUMBOLDT NURSING HOME
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