Velarion Records

Skilled nursing facility · CMS certification number 165213

Good Samaritan - Forest City

Forest City, Iowa · Medicare and Medicaid

Certified beds, as filed in Care Compare: 43

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.

In Care Compare’s provider information: Penalties: 3 · Fines: 2 · Fines, total amount: $25,945.00 · Payment denials: 1. The most recent penalty on file: September 5, 2024, Fine, $8,824. Every penalty on file ↓

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 January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 11, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$5,110,933CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,291,892CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,819,041CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,967,631CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$148,590CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$20,803CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$127,787CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$140,605 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components56CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components20,496CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days676CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days6,651CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days5,888CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components13,215CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges9CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges32CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges100CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components141CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days75.11CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days207.84CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days93.72CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1427547, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 9, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$4,708,510CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$950,544CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,757,966CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,730,365CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$27,601CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$114,498CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$142,099CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $58,342 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components56CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,232CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components111CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days207.6CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days119.21CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1391706, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$4,323,803CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$705,919CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,617,884CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,490,696CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$127,188CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,265CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$136,453CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $164,882 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components56CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,646CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components42CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.07CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days226.23CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days324.9CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361901, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$3,756,615CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$768,882CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,987,733CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,289,635CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$301,902CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$19,284CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$282,618CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$299,778 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components56CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,790CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components49CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.08CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days243.7CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days240.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328203, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 9, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$3,458,442CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$435,806CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,022,636CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,854,994CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$832,358CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$35,909CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$796,449CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$833,560 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components56CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,887CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components87CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.73CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days99.18CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days136.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1292309, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$4,185,859CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$545,588CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,640,271CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,175,856CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$535,585CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$151,028CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$384,557CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$399,770 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components56CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,928CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components51CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52.16CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days294.67CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days312.31CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1290714, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended December 31, 2018

Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$4,889,864CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$583,453CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,306,411CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,150,441CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$155,970CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$31,650CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$187,620CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $70,696 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components56CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,401CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components97CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days107CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days785.7CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days200.01CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241968, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$4,315,300CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$399,710CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,915,590CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,018,120CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$102,530CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$253,083CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$150,553CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $99,625 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components56CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,115CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components95CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.05CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days316.28CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days201.21CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1198254, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 13, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$3,909,830CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$319,277CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,590,553CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,657,310CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$66,757CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$191,255CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$124,498CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $113,202 (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%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components56CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,334CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components131CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days198.3CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days132.32CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1161457, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended December 31, 2015

Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 12, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$3,839,387CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$317,406CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,521,981CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,477,240CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$44,741CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$92,083CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$136,824CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $113,876 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components56CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,451CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components90CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days576.54CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days193.9CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1140965, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended December 31, 2014

Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 12, 2016.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$3,993,613CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$364,873CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,628,740CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,449,738CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$179,002CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$231,361CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$410,363CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $406,104 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components56CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,943CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components143CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.37CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days461.61CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days132.47CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1118954, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 16, 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$4,074,920CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$432,717CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,642,203CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,383,882CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$258,321CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$247,007CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$505,328CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $497,739 (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 components56CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,517CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components49CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.76CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,322.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days398.31CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1090683, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended December 31, 2012

Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 17, 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$3,916,397CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$424,124CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,492,273CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,255,942CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$236,331CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$137,012CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$373,343CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $382,419 (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 components56CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,675CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components70CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.65CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days479.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days281.07CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1055661, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended December 31, 2011

Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 2, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$3,926,500CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$327,436CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,599,064CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,194,491CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$404,573CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$39,724CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$444,297CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $445,208 (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 2011
FigureAs filedWhere it comes from
Total facility beds, all components56CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,238CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components65CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days68.71CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days654.08CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days295.97CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1018391, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended December 31, 2010

Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 5, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$3,319,112CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,764,738CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$554,374CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$53,270CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$17,323CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $624,967 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components56CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,016CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components104CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.21CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days282.59CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days182.85CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 420993, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended December 31, 2009

Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 3, 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$3,092,200CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,729,060CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$363,140CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$34,758CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $397,898 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components56CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,011CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components106CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days75CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days392.04CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days188.78CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 393574, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended December 31, 2008

Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 26, 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$2,754,693CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,662,511CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$92,182CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$71,711CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$70,759CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $93,134 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components56CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components9,612CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components87CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days47.43CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days340.44CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days110.48CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 370813, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended December 31, 2007

Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 11, 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$2,481,589CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,601,724CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$120,135CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$452,392CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$2,400CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $329,857 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components64CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components17,312CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components110CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days57.69CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days307.45CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days157.38CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 338819, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended December 31, 2006

Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 23, 2008.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$2,506,132CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,542,907CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$36,775CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$202,115CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $165,340 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components64CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,806CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components112CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.75CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days324.46CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days167.91CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 306973, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended December 31, 2005

Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 26, 2007.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$2,533,708CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,651,240CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$117,532CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$110,225CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$11,571CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$18,878 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components64CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,264CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components87CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days69.29CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days326.03CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days232.92CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 271144, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended December 31, 2004

Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 26, 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$2,552,584CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,542,446CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$10,138CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$97,089CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$6,059CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $101,168 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components64CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,959CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components67CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days57.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,051.92CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days312.82CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 241271, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended December 31, 2003

Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 13, 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$2,333,313CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,384,371CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$51,058CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$256,056CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$11,647CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $193,351 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components64CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,785CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components83CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days989.92CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days250.42CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 202028, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended December 31, 2002

Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 18, 2003.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$2,221,341CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,265,845CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$44,504CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$11,866CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$15,083CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$47,721 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components64CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,402CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components82CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.33CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days958.5CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days248.8CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 165589, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended December 31, 2001

Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 18, 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$2,160,799CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,133,015CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$27,784CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$69,115CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $96,899 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components64CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,172CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components40CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25.87CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,658.17CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days529.3CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 132654, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended December 31, 2000

Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled with audit, processed by CMS on February 12, 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$1,985,380CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,025,890CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$40,510CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$37,985CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$2,525 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components64CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,587CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components58CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.31CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,007.44CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days337.71CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 116246, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended December 31, 1999

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

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$1,799,453CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,904,161CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$104,708CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$65,225CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$39,483 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components64CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,270CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components84CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days16.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days399.63CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days229.4CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 694, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended December 31, 1998

Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 16, 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$1,897,261CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,937,632CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$40,371CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$55,052CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $14,681 (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 components64CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,432CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components59CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days56.71CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days909.23CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days363.25CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 693, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended December 31, 1997

Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 30, 2001.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$1,849,509CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,762,914CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$86,595CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$91,037CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $177,632 (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 components64CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,292CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components60CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days64.43CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days866.36CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days371.53CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 692, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended December 31, 1996

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

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$1,643,337CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,691,189CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$47,852CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$45,834CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$2,018 (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 components64CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,613CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components69CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days97.25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days536.41CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days327.72CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 17889, read from the public cost report file SNFFY1996.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
CARLSON, BYRONCONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 05/01/2023
CAIN, JAMESCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
DYKHOUSE, DANACORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
ENGBRECHT, WESLEYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
GASSEN, WILLIAMCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
GULSVIG, NEILCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
HERSETH SANDLIN, STEPHANIECORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
LUNDEEN, MARKCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
MOLBERT, LAURISCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
NORTH, ANDREWCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
SHULKIN, DAVIDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
TEIKEN, BRENTCORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
VENTLING-HERRMANN, MARNIECORPORATE DIRECTORIndividualNOT APPLICABLEsince 05/30/2024
FLUIT, JOELCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/01/2022
GASSEN, WILLIAMCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/30/2024
MIDDLETON, AIMEECORPORATE OFFICERIndividualNOT APPLICABLEsince 01/27/2022
OLSON, NICHOLASCORPORATE OFFICERIndividualNOT APPLICABLEsince 04/08/2024
ROGERS, MICHAELCORPORATE OFFICERIndividualNOT APPLICABLEsince 06/13/2022
SCHEMA, NATHANCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2022
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 01/01/2019
BRINK, HOLLYW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 11/20/2022
MIDDLETON, AIMEEW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 01/27/2022
MORRISON, TONYW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 01/01/2019

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (enrollment ID O20070823000568).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
BYRON H CARLSONIndividualCONTRACTED MANAGING EMPLOYEE05/1/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANDREW STEWART NORTHIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
BRENT GERARD TEIKENIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DANA JAMES DYKHOUSEIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DAVID JONATHAN SHULKINIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JAMES EDWARD CAINIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LAURIS NELSON MOLBERTIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARK ALLEN LUNDEENIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARNIE LYNN VENTLING-HERRMANNIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NEIL LESLIE GULSVIGIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEPHANIE MARIE HERSETH SANDLINIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WESLEY OWEN ENGBRECHTIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WILLIAM JOSEPH GASSENIndividualCORPORATE DIRECTOR05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
AIMEE NICOLE MIDDLETONIndividualCORPORATE OFFICER01/27/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOEL ADAM FLUITIndividualCORPORATE OFFICER010/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MICHAEL ROGERSIndividualCORPORATE OFFICER06/13/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NATHAN THOMAS SCHEMAIndividualCORPORATE OFFICER01/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NICHOLAS WAYNE OLSONIndividualCORPORATE OFFICER04/8/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WILLIAM JOSEPH GASSENIndividualCORPORATE OFFICER05/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYOrganizationOPERATIONAL/MANAGERIAL CONTROL1001/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
SANFORDOrganizationOTHER1001/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
AIMEE NICOLE MIDDLETONIndividualW-2 MANAGING EMPLOYEENot stated in the filing1/27/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
HOLLY M BRINKIndividualW-2 MANAGING EMPLOYEE011/20/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TONY LEE MORRISONIndividualW-2 MANAGING EMPLOYEE01/1/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1August 7, 2025August 7, 202524
2September 5, 2024September 5, 202443
3October 19, 2023October 19, 202336

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

9 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
August 7, 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesPast Non-ComplianceJuly 15, 2025
August 7, 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correctionAugust 22, 2025
September 5, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionSeptember 19, 2024
September 5, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionSeptember 19, 2024
September 5, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesPast Non-ComplianceApril 22, 2024
September 5, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correctionSeptember 19, 2024
October 19, 2023HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correctionNovember 8, 2023
October 19, 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionNovember 8, 2023
October 19, 2023HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.KNoDeficient, Provider has date of correctionNovember 2, 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
September 5, 2024Fine$8,82479519
October 19, 2023Fine$17,12179203
October 19, 2023Payment DenialNovember 17, 20234

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Church related
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Date First Approved to Provide Medicare and Medicaid Services1994-04-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishWinnebago
Telephone Number6415852232
Chain NameGOOD SAMARITAN SOCIETY
Chain ID726
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds43
Average Number of Residents per Day31.1
Overall Rating4
Health Inspection Rating4
QM Rating2
Long-Stay QM Rating3
Short-Stay QM Rating2
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

Get an email when this record changes

One email a day naming what moved on Good Samaritan - Forest City: 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 June 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

Follow this record for $99/month

See a sample

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 Good Samaritan - Forest City

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 Iowa 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.

The citable document with full history — $295

Other public records in Iowa

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 165213.

The Pay Desk is the free weekly executive pay briefing — one company at a time, every number traceable to a public filing.
You’ll confirm on The Pay Desk’s sign-up page.