Skilled nursing facility · CMS certification number 225619

ALLIANCE HEALTH AT MARIE ESTHER

MARLBOROUGH, Massachusetts · Medicare and Medicaid

Certified beds, as filed in Care Compare: 78

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: 1 · Fines: 1 · Fines, total amount: $7,901.00 · Payment denials: 0. The most recent penalty on file: September 28, 2023, Fine, $7,901. 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 August 29, 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$10,174,236	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,751,571	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,422,665	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,161,869	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$739,204	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$369,101	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$370,103	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$370,103 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	28,548	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	65	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	1,649	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	25,271	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	26,985	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	21	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	1	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	29	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	51	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	3.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,649	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	529.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1437070, 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 September 25, 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$8,881,860	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,208,627	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,673,233	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,252,839	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$579,606	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$531,533	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$48,073	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$48,073 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,327	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	53	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	27.36	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	459	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395864, 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 September 15, 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$9,337,910	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,521,010	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,816,900	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,039,573	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$222,673	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$208,443	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$14,230	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$14,230 (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
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	26,695	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	74	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.8	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	16.7	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	360.74	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1364815, 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 October 17, 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$8,379,555	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,196,239	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,183,316	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,376,307	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$192,991	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,136,285	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$943,294	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $943,294 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,082	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	25	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43.43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	8,124	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	1,043.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334742, 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 November 22, 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$7,288,919	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,775,956	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,512,963	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,628,274	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,115,311	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$560,152	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$555,159	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$555,159 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,039	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	24	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	47.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	1,043.29	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305110, 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 December 9, 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$5,831,975	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,927,405	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,904,570	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,200,831	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,296,261	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,497,677	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,201,416	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,201,416 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,896	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	19	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	65	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	155	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	1,152.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1275492, 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 May 9, 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$4,268,914	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$35,839	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,233,075	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,867,181	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$634,106	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,985	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$621,121	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$621,121 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,413	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	21	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	132	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	507.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	1,162.52	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1224020, 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 June 5, 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$4,297,610	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$33,329	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,264,281	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,680,647	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$416,366	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$38,072	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$378,294	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$378,294 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,419	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	37	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	22.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	60.35	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	687	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1191513, 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 July 17, 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$4,321,706	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$39,376	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,282,330	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,556,253	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$273,923	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$53,000	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$220,923	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$220,923 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,640	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	23	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	146.33	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	1,158.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1168623, 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 May 10, 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$4,365,345	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$10,838	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,354,507	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,560,068	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$205,561	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$56,887	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$148,674	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$148,674 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,265	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	25	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	200.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	1,090.6	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1123539, 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 June 5, 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$4,886,105	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$746,314	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,139,791	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,352,748	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$212,957	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$64,297	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$148,660	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$148,660 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,851	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	27	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days	15.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	994.48	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1093698, 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 27, 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$4,835,543	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$729,366	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,106,177	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,392,742	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$286,565	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$37,525	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$249,040	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$249,040 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,655	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	18	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days	63	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	1,480.83	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1060856, 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 July 23, 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$4,699,075	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$596,575	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,102,500	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,407,326	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$304,826	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$73,655	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$231,171	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$231,171 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,425	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	22	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days	78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	1,155.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1042604, 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 October 30, 2012.

None of these figures is carried on this report.

CMS report record 1017590, 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 May 19, 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$3,545,078	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,051,221	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$506,143	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$118,997	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$387,146 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,919	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	40	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	2.83	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	28.8	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	597.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 399811, 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 May 24, 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$3,523,538	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,973,942	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$450,404	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$84,373	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$366,031 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,590	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	79	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	21.08	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	298.61	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 370332, 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 August 24, 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,472,321	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,741,170	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$268,849	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,397,458	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,128,609 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,999	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	92	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	5.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	18.08	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	260.86	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 355218, 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 July 31, 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$3,423,297	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,474,681	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$51,384	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$59,449	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $8,065 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,858	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	17	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	18.17	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,041	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,403.41	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 322365, 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 September 17, 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,234,717	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,409,348	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$174,631	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$48,339	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$126,292 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	24,066	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	33	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.6	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,379.14	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	729.27	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 293945, 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 October 16, 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,976,997	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,395,053	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$418,056	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$210,964	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$207,092 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,306	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	34	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	30.6	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	880	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	744.29	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 264354, 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 August 25, 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$2,872,192	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,293,289	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$421,097	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$290,982	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$130,115 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,741	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	39	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	18.33	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	808.17	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	660.03	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 231705, 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 March 2, 2005.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$2,600,824	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,117,895	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$517,071	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$415,107	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$101,964 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,056	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	26	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,050.22	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	963.69	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 209399, 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 September 1, 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$2,247,207	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,846,596	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$599,389	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$475,264	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$124,125 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	23,748	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	36	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	85.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,125.38	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	659.67	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 193768, 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 June 3, 2004.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$2,058,189	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,590,510	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$532,321	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$355,508	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$176,813 (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
Figure	As filed	Where it comes from
Total facility beds, all components	78	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,030	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	43	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	267	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	385.56	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	465.81	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 179744, 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, processed by CMS on February 26, 2002.

Net income: −$107,440 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

CMS report record 89873, 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 April 3, 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$1,565,014	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,046,361	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$481,347	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$349,659	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$131,688 (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
Figure	As filed	Where it comes from
Total facility beds, all components	56	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,022	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	9	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	56.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	2,039.8	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	2,224.67	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 89871, 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, as submitted, processed by CMS on November 12, 1999.

Revenue and expenses, fiscal year 1998
Figure	As filed	Where it comes from
Net patient revenue	$1,638,123	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,014,009	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$375,886	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$263,446	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1,040	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$113,480 (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
Figure	As filed	Where it comes from
Total facility beds, all components	56	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,415	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	17	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	103.2	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,004.11	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,142.06	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 89870, 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 January 11, 1999.

Revenue and expenses, fiscal year 1997
Figure	As filed	Where it comes from
Net patient revenue	$1,443,561	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,763,608	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$320,047	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$375,791	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $55,744 (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
Figure	As filed	Where it comes from
Total facility beds, all components	56	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,520	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	46	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	138.75	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,136.88	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	359.13	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 89868, 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 March 9, 1998.

Revenue and expenses, fiscal year 1996
Figure	As filed	Where it comes from
Net patient revenue	$1,103,577	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,473,847	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$370,270	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$289,569	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$80,701 (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
Figure	As filed	Where it comes from
Total facility beds, all components	29	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,321	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	14	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	126.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	970.9	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	737.21	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 89867, 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 manager	Role	Type	Ownership percentage	Association
ALLIANCE HEALTH INC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 07/15/2013
DEDHAM INSTITUTION FOR SAVINGS	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 12/31/2024
ALLIANCE HEALTH MANAGEMENT SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/24/2019
BARKOUDAH, WAEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/23/2025
COOPER, STEPHEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/03/2025
BRUNETTI, TAMMY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 03/06/2019
CALKINS, ANDREW	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/24/2019
CORRIDAN, LINDA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/24/2019
GRADY, FRANCIS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 07/15/2013
GRAY, ALFRED	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 03/06/2019
JANISKO, JEROME	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/24/2019
JENNINGS, MICHAEL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/25/2024
JONES, ERIK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/24/2019
MOURTZINOS, ARTHUR	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/24/2019
RILEY, JAMES	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/24/2019
ROBBINS, CHRISTOPHER	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/24/2019
ZAMPINE, PETER	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 02/24/2019
GRADY, FRANCIS	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 06/22/2016
KEMP, PAUL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 06/22/2016
LAVALLEE, THOMAS	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 06/22/2016
ALLIANCE HEALTH MANAGEMENT SERVICES LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 02/24/2019
BARKOUDAH, WAEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/23/2025
COOPER, STEPHEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/09/2021

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of MARIE ESTHER HEALTH CENTER INC (enrollment ID O20031118000256).

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”.

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
ALLIANCE HEALTH INC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	7/15/2013	Private equity company: No Real estate investment trust: No Holding company: No
DEDHAM INSTITUTION FOR SAVINGS	Organization	5% OR GREATER MORTGAGE INTEREST	54	12/31/2024	Private equity company: No Real estate investment trust: No Holding company: No
ALLIANCE HEALTH MANAGEMENT SERVICES LLC	Organization	ADP OF THE SNF	Not stated in the filing	2/24/2019	Private equity company: No Real estate investment trust: No Holding company: No
STEPHEN COOPER	Individual	ADP OF THE SNF	Not stated in the filing	4/3/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
WAEL BARKOUDAH	Individual	ADP OF THE SNF	Not stated in the filing	8/23/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
No owner named in the filing	Organization	ADP OF THE SNF	Not stated in the filing	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
ALFRED A. GRAY	Individual	CORPORATE DIRECTOR	0	3/6/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ANDREW R CALKINS	Individual	CORPORATE DIRECTOR	0	2/24/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ARTHUR P MOURTZINOS	Individual	CORPORATE DIRECTOR	0	2/24/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
CHRISTOPHER ROBBINS	Individual	CORPORATE DIRECTOR	0	2/24/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ERIK J. JONES	Individual	CORPORATE DIRECTOR	0	2/24/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
FRANCIS J GRADY	Individual	CORPORATE DIRECTOR	0	7/15/2013	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JAMES BRUCE RILEY	Individual	CORPORATE DIRECTOR	0	2/24/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JEROME J JANISKO	Individual	CORPORATE DIRECTOR	0	2/24/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LINDA B CORRIDAN	Individual	CORPORATE DIRECTOR	0	2/24/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MICHAEL O JENNINGS	Individual	CORPORATE DIRECTOR	0	9/25/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PETER B ZAMPINE	Individual	CORPORATE DIRECTOR	0	2/24/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
TAMMY BRUNETTI	Individual	CORPORATE DIRECTOR	0	3/6/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
FRANCIS J GRADY	Individual	CORPORATE OFFICER	0	6/22/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PAUL B KEMP	Individual	CORPORATE OFFICER	0	6/22/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
THOMAS C LAVALLEE	Individual	CORPORATE OFFICER	0	6/22/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ALLIANCE HEALTH MANAGEMENT SERVICES LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	0	2/24/2019	Private equity company: No Real estate investment trust: No Holding company: No
STEPHEN COOPER	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/9/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
WAEL BARKOUDAH	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/23/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

April 1, 2026: JOHN C NADOLNY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: JOHN C NADOLNY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: WAEL BARKOUDAH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: WAEL BARKOUDAH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
August 1, 2025: JOHN C NADOLNY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: KATIE M LOZOYA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: STEPHEN COOPER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: MICHAEL O JENNINGS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: DEDHAM INSTITUTION FOR SAVINGS (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 31, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: ALLIANCE HEALTH MANAGEMENT SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 24, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: JOHN C NADOLNY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: JOHN C NADOLNY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 24, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: STEPHEN COOPER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: STEPHEN COOPER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
May 1, 2024: JOHN C NADOLNY (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since February 24, 2019. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
November 1, 2023: JANICE M HOCKENSMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv

Recent changes on this record

April 1, 2026: JOHN C NADOLNY no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: JOHN C NADOLNY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: WAEL BARKOUDAH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
April 1, 2026: WAEL BARKOUDAH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 23, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
August 1, 2025: JOHN C NADOLNY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: KATIE M LOZOYA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: STEPHEN COOPER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: MICHAEL O JENNINGS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: DEDHAM INSTITUTION FOR SAVINGS (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 31, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: ALLIANCE HEALTH MANAGEMENT SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 24, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: JOHN C NADOLNY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: JOHN C NADOLNY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 24, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: STEPHEN COOPER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: STEPHEN COOPER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 9, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
September 25, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
May 1, 2024: JOHN C NADOLNY (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since February 24, 2019. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
November 1, 2023: JANICE M HOCKENSMITH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
September 15, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
October 17, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
November 22, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
December 9, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
May 9, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
June 5, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
July 17, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
May 10, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
June 5, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
May 27, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
July 23, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
October 30, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
May 19, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
May 24, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
August 24, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
July 31, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
September 17, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
October 16, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
August 25, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
March 2, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
September 1, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	September 5, 2025	September 5, 2025	5	1
2	July 9, 2024	July 9, 2024	0	2
3	April 14, 2023	April 14, 2023	2	3

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

Deficiencies cited

7 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
September 5, 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	October 16, 2025
September 5, 2025	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F	No	Deficient, Provider has date of correction	October 16, 2025
September 5, 2025	Health	F 0761	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	No	Deficient, Provider has date of correction	October 16, 2025
September 5, 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	No	Deficient, Provider has date of correction	October 16, 2025
September 5, 2025	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	No	Deficient, Provider has date of correction	October 16, 2025
September 28, 2023	Health	F 0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G	Yes	Deficient, Provider has date of correction	October 25, 2023
April 14, 2023	Health	F 0676	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D	No	Deficient, Provider has date of correction	May 22, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
September 28, 2023	Fine	$7,901			3596

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

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	MARIE ESTHER HEALTH CENTER INC
Date First Approved to Provide Medicare and Medicaid Services	1994-02-18
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Middlesex
Telephone Number	5084853791
Chain Name	ALLIANCE HEALTH & HUMAN SERVICES
Chain ID	23
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	78
Average Number of Residents per Day	32.7
Overall Rating	4
Health Inspection Rating	4
QM Rating	2
Long-Stay QM Rating	2
Short-Stay QM Rating	3
Processing Date	2026-09-01

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

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On August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

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The citable document for ALLIANCE HEALTH AT MARIE ESTHER

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