Skilled nursing facility · CMS certification number 525305
CAPITOL LAKES HEALTH CENTER
MADISON, Wisconsin · Medicare and Medicaid
Certified beds, as filed in Care Compare: 49
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: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. 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 October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,014,855 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,017,098 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,997,757 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,726,536 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$15,728,779 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,776,268 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,952,511 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,952,511 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 123 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 45,018 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,290 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 3,081 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 18,261 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 24,632 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 117 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 123 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 250 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 308.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1421047, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,601,960 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,037,295 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,564,665 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,729,186 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$15,164,521 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,532,897 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,631,624 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,631,624 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,585 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 285 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 366.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375231, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 31, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,516,562 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,252,716 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,263,846 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,016,763 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,752,917 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,919,518 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $8,166,601 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $8,166,601 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,009 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 373 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 278.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 77.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345309, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,249,633 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,586,827 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,662,806 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,113,455 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,450,649 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,759,773 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$690,876 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$690,876 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 127 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,336 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 476 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.78 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 331.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1313697, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 18, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,638,347 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,623,260 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,015,087 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,523,097 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,508,010 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,802,919 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$705,091 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$631,848 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 267 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 100,922 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 539 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 222.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 187.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1284082, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 15, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,376,018 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,497,366 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,878,652 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,445,237 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$14,566,585 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,027,833 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,538,752 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,454,496 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 125,094 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 594 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 225.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 210.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1253829, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 28, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,119,963 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,440,142 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,679,821 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,577,908 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,898,087 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,679,401 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,218,686 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,088,933 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 105,224 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 631 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 350.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
CMS report record 1234479, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 6, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,418,424 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,285,019 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,133,405 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,296,794 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,163,389 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,159,862 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,003,527 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,901,773 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 108,302 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 507 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 268.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 213.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1183439, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 15, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,580,608 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,021,662 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,558,946 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,076,524 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$16,517,578 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,645,546 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$5,872,032 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$5,750,317 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 110,694 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 548 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 203.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 202 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1178429, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 4, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,731,489 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,956,958 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,774,531 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,761,106 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$15,986,575 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,729,639 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$5,256,936 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,950,094 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,625 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 601 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 674.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 47.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119919, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 12, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,277,492 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,344,115 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,933,377 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,503,039 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$13,569,662 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $788,167 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$12,781,495 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$12,495,256 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,043 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 538 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 658.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085795, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 1, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,427,771 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,052,546 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $18,375,225 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $21,669,022 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,293,797 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $790,213 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,503,584 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,318,730 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,710 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 611 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 199.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 46.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089587, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 25, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,997,655 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,699,725 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,297,930 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,061,873 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$14,763,943 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,929,686 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$5,834,257 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$5,611,529 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,261 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 524 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 297.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 55.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1025175, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,274,603 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,336,060 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$14,061,457 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,625,054 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$62,752 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$4,373,651 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,609 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 483 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 404.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 59.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428254, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 3, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,967,006 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,755,275 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,788,269 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$1,521,783 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$7,310,052 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,999 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 493 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 60.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 398560, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for January 1, 2009 to September 30, 2009 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 12, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,410,934 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,483,933 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$5,072,999 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,681,422 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$391,577 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,442 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 372 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 60.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 367313, 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 21, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,199,969 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,145,896 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$4,945,927 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$6,183,086 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$11,129,013 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,542 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 420 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 72.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355177, 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 December 5, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,760,649 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,081,037 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,320,388 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $102,126 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,218,262 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,006 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 348 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 91.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 329541, 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 January 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,872,705 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,484,157 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$611,452 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $130,215 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$481,237 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,754 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 425 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 88.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 299883, 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 August 27, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,937,847 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,666,545 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$728,698 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $145,518 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$583,180 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,666 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 422 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 292736, 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 September 14, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,723,253 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,987,618 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$264,365 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $150,299 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$114,066 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,940 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 423 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 96.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 232993, 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 16, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,300,092 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,826,225 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$526,133 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $154,643 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$371,490 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,756 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 428 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 95.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 202709, 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 June 17, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,093,482 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,143,529 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,050,047 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $150,250 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$899,797 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,591 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 341 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 121.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 182801, 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 July 8, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,176,268 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,395,534 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$219,266 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $145,100 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$74,166 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,988 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 259 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 162.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 152635, 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 March 25, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,988,917 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,497,595 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$508,678 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $159,396 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$349,282 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,048 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 247 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 170.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 71253, 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 May 7, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,497,969 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,963,962 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$465,993 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $155,662 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$310,331 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,634 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 284 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 146.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 71251, 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 September 19, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,419,890 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,492,084 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$72,194 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $132,563 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $60,369 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,298 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 250 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.49 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 165.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 71250, 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 November 26, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,965,723 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,186,020 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$220,297 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $121,192 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$99,105 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,696 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 275.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 71248, read from the public cost report file SNFFY1997.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| KBC BANK NV | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 01/01/2022 |
| LAPIS MUNICIPAL OPPORTUNITIES FUND III LP | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 01/01/2022 |
| DREW, SALLY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/10/2016 |
| BISHOP, RICHARD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2021 |
| CENTER, SUE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/21/2017 |
| JOHANNSEN, STEPHEN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/16/2019 |
| NORRBOM, CLAY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/17/2017 |
| PETERSON, HARRY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/21/2017 |
| SHOLTY, ERIC | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/27/2018 |
| PACIFIC RETIREMENT SERVICES INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2008 |
| CONROY, TIMOTHY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 03/23/2009 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CAPITOL LAKES INC. (enrollment ID O20080129000167).
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 |
|---|---|---|---|---|---|
| KBC BANK NV | Organization | 5% OR GREATER SECURITY INTEREST | 55 | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| LAPIS MUNICIPAL OPPORTUNITIES FUND III LP | Organization | 5% OR GREATER SECURITY INTEREST | 45 | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLAY NORRBOM | Individual | CORPORATE OFFICER | 0 | 11/17/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIC SHOLTY | Individual | CORPORATE OFFICER | 0 | 5/27/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HARRY PETERSON | Individual | CORPORATE OFFICER | 0 | 6/21/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD BISHOP | Individual | CORPORATE OFFICER | 0 | 10/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN JOHANNSEN | Individual | CORPORATE OFFICER | 0 | 1/16/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUE CENTER | Individual | CORPORATE OFFICER | 0 | 6/21/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SALLY J DREW | Individual | DIRECTOR | Not stated in the filing | 10/10/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PACIFIC RETIREMENT SERVICES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 4/1/2008 | Private equity company: No Real estate investment trust: No Holding company: No |
| TIMOTHY J CONROY | Individual | W-2 MANAGING EMPLOYEE | 0 | 3/23/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- April 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 19, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- March 31, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- April 21, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- May 18, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 15, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- June 28, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- February 6, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- November 15, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- March 4, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- May 1, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- February 12, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- February 25, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- April 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- May 3, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- April 12, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 21, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- December 5, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- January 24, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- August 27, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- September 14, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- December 16, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- June 17, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- July 8, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- March 25, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- May 7, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- September 19, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- November 26, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 10, 2026 | March 10, 2026 | 1 | 10 |
| 2 | November 6, 2024 | November 6, 2024 | 8 | 9 |
| 3 | October 5, 2023 | October 5, 2023 | 4 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
13 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 10, 2026 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | No | Deficient, Provider has date of correction | March 31, 2026 |
| November 6, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | December 6, 2024 |
| November 6, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | December 6, 2024 |
| November 6, 2024 | Health | F 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | E | No | Deficient, Provider has date of correction | December 6, 2024 |
| November 6, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | December 6, 2024 |
| November 6, 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | December 6, 2024 |
| November 6, 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | No | Deficient, Provider has date of correction | December 6, 2024 |
| November 6, 2024 | 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. | F | No | Deficient, Provider has date of correction | December 6, 2024 |
| November 6, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | December 6, 2024 |
| October 5, 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | November 3, 2023 |
| October 5, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | November 3, 2023 |
| October 5, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | November 3, 2023 |
| October 5, 2023 | Health | F 0809 | Nutrition and Dietary Deficiencies | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | No | Deficient, Provider has date of correction | November 3, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | CAPITOL LAKES INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 1979-09-04 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Dane |
| Telephone Number | 6082832000 |
| Chain Name | PACIFIC RETIREMENT SERVICES |
| Chain ID | 391 |
| 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 | 49 |
| Average Number of Residents per Day | 26.1 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| 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.
Get an email when this record changes
One email a day naming what moved on CAPITOL LAKES HEALTH CENTER: 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 April 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for CAPITOL LAKES HEALTH CENTER
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 Wisconsin at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 525305.