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Total Days Title V
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Total Discharges Title V
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Snf Discharges Title Xviii
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Nf Discharges Title Xix
Nf Discharges Title Other
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Nf Admissions Title Xix
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1351809 555180 GOLD COUNTRY CARE CENTER 4301 GOLDEN CENTER DRIVE PLACERVILLE CA 95667 EL DORADO 40900 U 2021-10-01 2022-09-30 1 11887 17171 104 37960 23 77 45.92 2850.00 90.13 61 14 75 2434 2850 1566 6850 68 24820 53 1 22 76 2958101.00 10117923.00 1790498.00 1034245.00 533052.00 2958101.00 744014.00 303383.00 549152.00 54155.00 20213.00 400708.00 3045.00 1222346.00 731837.00 5175.00 23395832.00 3542650.00 11368990.00 5853700.00 5853700.00 18445036.00 591310.00 313032.00 1005435.00 1909777.00 9658886.00 9658886.00 11568663.00 6876373.00 6876373.00 18445036.00 9073789.00 10859172.00 10859172.00 93565.00 10765607.00 13076024.00 -2310417.00 2683469.00 373052.00 373052.00 2173712.00 89.56 2850 2434 11887 $10,859,172.00 $2,958,101.00 $10,117,923.00
1365534 55497 THE PINES AT PLACERVILLE HEALTHCARE 1040 MARSHALL WAY PLACERVILLE CA 95667 EL DORADO 40900 U 2022-01-01 2022-12-31 5 4395 31783 99 36135 209 497 33.77 622.53 63.95 243 67 201 511 8712 18676 4395 31783 99 36135 258 30 209 497 7974068.00 8071409.00 3045591.00 2199384.00 1432003.00 7974068.00 1125601.00 5238061.00 494963.00 7979.00 38033.00 4789110.00 35270.00 129477.00 183494.00 136172.00 136172.00 5108776.00 384057.00 341413.00 44554.00 3561536.00 4331560.00 4331560.00 777216.00 777216.00 5108776.00 10526461.00 13572052.00 13572052.00 -2185934.00 15757986.00 16045477.00 -287491.00 315246.00 27755.00 28590.00 6993798.00 HOLLINGSWORTH, COLBY 86.77 18676 8712 4395 $13,572,052.00 $7,974,068.00 $8,071,409.00
1366076 56243 WESTERN SLOPE HEALTH CENTER 3280 WASHINGTON STREET PLACERVILLE CA 95667 EL DORADO 40900 U 2022-01-01 2022-12-31 5 3498 32404 99 36135 122 555 31.05 346.61 58.39 370 64 121 555 11922 16984 3498 32404 99 36135 384 49 122 555 7883026.00 8527328.00 3474708.00 2629400.00 1382929.00 7883026.00 736609.00 3175703.00 260317.00 12839.00 38033.00 3681182.00 31989.00 102569.00 143278.00 143278.00 3927029.00 402485.00 340930.00 37590.00 288431.00 1069436.00 1069436.00 2857593.00 2857593.00 3927029.00 10859178.00 14333886.00 14333886.00 -4106628.00 18440514.00 16410354.00 2030160.00 365580.00 2395740.00 2396685.00 11606640.00 6613.00 HAMPTON, DEVIN 92.53 16984 11922 3498 $14,333,886.00 $7,883,026.00 $8,527,328.00