State of Washington Review of Nursing Facility Medicaid ...

State of Washington

Review of Nursing Facility Medicaid Payment Rates and Costs

Summary

Payment-to-Cost

Ratios

Payment-to-Cost

Ratios

SFY 2020 SFY 2021

STANDARD NURSING FACILITIES

TOTAL - Median 89.2% 98.9%

TOTAL - Weighted Average 87.4% 96.0%

HOSPITAL-BASED NURSING FACILITIES



VETERANS & TRIBAL NURSING FACILITIES



ALL NURSING FACILITIES



Prepared at the Request of Counsel

APPENDIX C State of Washington


Summary - Grouped by Type of Facility and

Payment-to-Cost Quartile

Estimated FYE 2020 Rates

For Profit

Non

Profit MSA

Non

MSA Adjusted Days Adjusted Beds

Adjusted

Available Bed

Days

Occupancy

(Median)

Occupancy

(Wtd Avg) Adjusted Days

Percentage

(Median)

Percentage

(Wtd Avg)


Quartile 1

(Lowest Cost)47 99.0% 99.3% 43 4 42 5 1,477,003 4,874 1,779,010 84.3% 83.0% 948,729 63.7% 64.2% 221.66 134.87 212,699,588 2.7060

Quartile 2 47 92.0% 92.1% 38 9 39 8 1,489,741 5,136 1,874,640 82.7% 79.5% 963,321 63.0% 64.7% 220.98 148.78 217,166,215 2.6170

Quartile 3 47 85.5% 84.8% 44 3 41 6 1,276,274 4,784 1,733,684 77.0% 73.6% 843,409 66.2% 66.1% 215.27 158.59 183,381,422 2.5370

Quartile 4

(Highest Cost)47 70.2% 68.9% 20 27 40 7 1,093,460 4,013 1,464,745 80.0% 74.7% 552,136 45.4% 50.5% 204.80 179.46 114,616,206 2.7030

TOTAL 188 89.2% 87.4% 145 43 162 26 5,336,478 6,852,079 81.1% 77.9% 3,307,595 63.0% 62.0% 215.30 152.74 727,863,431 2.6430


TOTAL 7 62.4% 77.5% - 7 1 6 70,985 222 81,030 87.6% 87.6% 56,123 75.5% 79.1% 176.62 227.74 17,484,291 2.2220


TOTAL 4 54.6% 50.6% - 4 3 1 151,903 481 175,565 81.8% 86.5% 87,457 53.8% 57.6% 170.32 184.19 14,752,555 2.1670


TOTAL 199 88.3% 86.0% 145 54 166 33 5,559,366 19,510 7,108,674 81.7% 78.2% 3,451,175 63.1% 62.1% 214.59 153.26 760,100,277 2.6200

Note: All Costs, Days, and Beds are based on 2017 Adjusted Amounts. Case Mix Indices used were 2017 Average Facility CMIs and Semi-Annual 2017 Average Medicaid CMIs. Estimated payments based on estimated FYE 2020 rate x 2017 adjusted Medicaid days.

Number

of

Nursing

Facilities Median

Weighted

Average

For Profit / Non

Profit

MSA / Non

MSA Total Nursing Facility Medicaid Total Rate

for SFY

2020

(Median)

Total Cost Per

Day Adj. for

Facility CMI=1.0

(Median) Estimated Payments

Avg CY

2017 Total

Facility CMI

Payment-to-Cost Ratios Nursing Facility Characteristics

Number of Nursing Facilities Number of Days and Beds Estimated Payments and Costs FYE 2018

Median Case Mix

Indices

2 of 13 Prepared at the Request of Counsel






2.5190

2.4210

2.3460

2.3630

2.3970

2.0980

2.0540

2.3830

April 2017 -

September

2017

Medicaid

CMI

Nursing Facility Characteristics

Median Case Mix

Indices







Medicaid

%

Location Vendor FACILITY NAME

Ownership

Type County Peer

Total

Rate SFY

2020

Total

Cost Per

Day Adj.

for

Facility

CMI=1.0

Total Cost

Per Day

Adj. for

Medicaid

CMI

Rate in

Excess of

Cost

Payment-

to-Cost

Ratio

2017

Adjusted

Medicaid

Days

Estimated

Payments

Estimated

Costs

Payments In

Excess of Cost

Payment-

to-Cost

Ratio

2017

Adjusted

Total Days

2017

Adjusted

Total

Beds

Days in

Cost

Report

Time

Period

2017

Adjusted

Available

Days Occupancy

Medicaid

Percentag

e

Avg CY

2017 Total

Facility

CMI

April 2017 -

September

2017

Medicaid

CMI

A B C D E F G H I J=G-I K=G/I L M=G*L N=I*L O=M-N P=M/N Q R S T=R*S U=Q/T V=L/Q W X

STANDARD NURSING FACILITIES (Quartile 1)

40990 4114468 MANORCARE HEALTH SERVICES - SALMON CREEK Profit Clark MSA 247.42 133.13 222.69 24.73 111.1% 13,940 3,449,035 3,104,299 344,736 111.1% 41,166 120 365 43,800 94.0% 33.9% 3.0910 2.7090

40490 4115051 EVERETT CENTER Profit Snohomish MSA 289.51 133.08 268.01 21.50 108.0% 20,328 5,885,159 5,448,107 437,052 108.0% 30,359 100 365 36,500 83.2% 67.0% 3.5700 3.4910

13100 4114377 GARDEN VILLAGE Non-Profit Yakima MSA 184.72 95.73 174.19 10.53 106.1% 32,832 6,064,727 5,719,006 345,721 106.1% 35,807 101 365 36,865 97.1% 91.7% 2.3570 2.3140

5600 4114770 PACIFIC CARE AND REHABILITATION Profit Grays Harbor NON MSA 244.09 139.97 231.28 12.81 105.5% 13,090 3,195,138 3,027,455 167,683 105.5% 23,559 109 365 39,785 59.2% 55.6% 2.8210 2.5420

10800 4115061 LAKE RIDGE CENTER Profit Grant NON MSA 201.67 117.11 192.82 8.85 104.6% 21,511 4,338,123 4,147,751 190,372 104.6% 24,729 74 365 27,010 91.6% 87.0% 2.3560 2.3120

35030 4113080 HEARTWOOD EXTENDED HEALTH CARE Profit Pierce MSA 232.18 125.66 222.74 9.44 104.2% 20,377 4,731,132 4,538,773 192,359 104.2% 34,171 120 365 43,800 78.0% 59.6% 2.6750 2.5800

19400 4115251 Tekoa Care Center Profit Whitman NON MSA 205.03 129.69 197.36 7.67 103.9% 18,485 3,789,980 3,648,200 141,780 103.9% 19,793 65 365 23,725 83.4% 93.4% 2.3620 2.3860

35040 4110946 CAREAGE OF WHIDBEY Profit Island MSA 232.55 132.35 224.88 7.67 103.4% 14,553 3,384,300 3,272,679 111,621 103.4% 25,234 112 365 40,880 61.7% 57.7% 3.0170 2.8810

25300 4113668 EMERALD CARE Non-Profit Yakima MSA 213.08 121.12 206.16 6.92 103.4% 21,451 4,570,779 4,422,338 148,441 103.4% 25,162 82 365 29,930 84.1% 85.3% 2.3670 2.2980

24300 4113536 DISCOVERY NURSING & REHAB OF VANCOUVER Profit Clark MSA 220.66 142.36 213.51 7.15 103.4% 18,718 4,130,314 3,996,480 133,834 103.4% 25,740 89 365 32,485 79.2% 72.7% 2.3060 2.0500

39950 4115041 COLUMBIA CREST CENTER Profit Grant NON MSA 200.23 121.57 194.85 5.38 102.8% 17,654 3,534,860 3,439,882 94,978 102.8% 26,266 111 365 40,515 64.8% 67.2% 2.5180 2.3510

40350 4113973 ALASKA GARDENS HEALTH AND REHABILITATION CENTER Profit Pierce MSA 233.18 142.40 227.29 5.89 102.6% 24,455 5,702,417 5,558,377 144,040 102.6% 39,156 123 365 44,895 87.2% 62.5% 2.6440 2.3590

10200 4113916 CRESCENT HEALTH CARE, INC. Profit Yakima MSA 211.39 126.92 207.22 4.17 102.0% 18,308 3,870,128 3,793,784 76,344 102.0% 25,033 85 365 31,025 80.7% 73.1% 2.7060 2.5500

21500 4112256 FRONTIER REHABILITATION AND EXTENDED CARE FACILITY Profit Cowlitz MSA 205.12 124.56 202.32 2.80 101.4% 19,978 4,097,887 4,041,949 55,938 101.4% 35,710 140 365 51,100 69.9% 55.9% 2.8330 2.4350

6600 4111662 SUNRISE VIEW CONVALESCENT CENTER Profit Snohomish MSA 236.50 115.82 233.35 3.15 101.4% 11,056 2,614,744 2,579,918 34,826 101.4% 16,339 59 365 21,535 75.9% 67.7% 2.8640 2.9650

40470 4115081 Avamere Rehabilitation of Cascade Park Profit Clark MSA 247.38 142.84 244.51 2.87 101.2% 12,816 3,170,422 3,133,640 36,782 101.2% 28,269 88 365 32,120 88.0% 45.3% 3.0250 2.7160

40640 4114328 REGENCY AT NORTHPOINTE Profit Spokane MSA 245.60 138.75 243.46 2.14 100.9% 24,294 5,966,606 5,914,617 51,989 100.9% 36,829 120 365 43,800 84.1% 66.0% 3.0680 2.9450

40540 4112215 KIN ON HEALTH CARE CENTER Non-Profit King MSA 262.80 149.15 262.22 0.58 100.2% 29,703 7,805,948 7,788,721 17,227 100.2% 34,552 100 365 36,500 94.7% 86.0% 2.8750 2.8500

40790 4113551 AVALON CARE CENTER - FEDERAL WAY, LLC Profit King MSA 241.09 146.88 240.81 0.28 100.1% 24,866 5,994,944 5,987,981 6,963 100.1% 37,933 120 365 43,800 86.6% 65.6% 2.7270 2.6410

17600 4114500 PRESTIGE CARE & REHABILITATION - CAMAS Profit Clark MSA 212.63 142.06 213.96 (1.33) 99.4% 12,122 2,577,501 2,593,623 (16,122) 99.4% 25,386 83 365 30,295 83.8% 47.8% 2.6620 2.1580

40160 4113452 SULLIVAN PARK CARE CENTER Profit Spokane MSA 190.30 117.26 191.88 (1.58) 99.2% 23,170 4,409,251 4,445,860 (36,609) 99.2% 43,156 125 365 45,625 94.6% 53.7% 2.6470 2.1680

40910 4114527 RICHLAND REHABILITATION CENTER Profit Benton MSA 242.15 130.94 244.26 (2.11) 99.1% 2,073 501,977 506,351 (4,374) 99.1% 24,516 71 365 25,915 94.6% 8.5% 3.3440 3.1100

12400 4114637 MOUNTAIN VIEW REHABILITATION AND CARE CENTER Profit Snohomish MSA 226.01 146.10 228.00 (1.99) 99.1% 15,711 3,550,843 3,582,108 (31,265) 99.1% 26,240 82 365 29,930 87.7% 59.9% 2.7040 2.3430

11700 4112660 ENUMCLAW HEALTH AND REHABILITATION CENTER Profit King MSA 219.43 146.93 221.71 (2.28) 99.0% 15,277 3,352,232 3,387,064 (34,832) 99.0% 25,659 92 365 33,580 76.4% 59.5% 2.6200 2.2040

40410 4113460 RICHMOND BEACH REHAB Profit King MSA 238.39 152.17 242.27 (3.88) 98.4% 31,904 7,605,595 7,729,382 (123,787) 98.4% 43,171 140 365 51,100 84.5% 73.9% 2.4740 2.3600

29010 4114112 MANOR CARE HEALTH SERVICES (SPOKANE) Profit Spokane MSA 226.92 142.86 230.72 (3.80) 98.4% 17,969 4,077,525 4,145,808 (68,283) 98.4% 34,314 125 365 45,625 75.2% 52.4% 2.8180 2.4550

15900 4154506 DELTA REHABILITATION CENTER, INC Profit Snohomish MSA 185.35 111.11 188.54 (3.19) 98.3% 38,218 7,083,706 7,205,622 (121,916) 98.3% 39,372 125 365 45,625 86.3% 97.1% 2.0370 2.0350

15100 4114629 REDMOND CARE AND REHABILITATION CENTER Profit King MSA 203.12 118.46 207.78 (4.66) 97.8% 19,753 4,012,229 4,104,278 (92,049) 97.8% 31,372 139 365 50,735 61.8% 63.0% 2.6020 2.3780

21400 4174900 WOODLAND CONVALESCENT CENTER Profit Clark MSA 215.01 134.32 220.29 (5.28) 97.6% 14,494 3,116,355 3,192,883 (76,528) 97.6% 18,735 62 365 22,630 82.8% 77.4% 2.6140 2.5950

25000 4167706 Cashmere Care Center Profit Chelan MSA 185.03 132.24 189.87 (4.84) 97.5% 16,531 3,058,731 3,138,741 (80,010) 97.5% 20,010 65 365 23,725 84.3% 82.6% 1.9900 1.9210

40590 4115301 MONTESANO HEALTH & REHABILITATION Profit Grays Harbor NON MSA 239.84 152.00 246.13 (6.29) 97.4% 14,481 3,473,123 3,564,209 (91,086) 97.4% 26,954 94 365 34,310 78.6% 53.7% 2.9090 2.7520

20000 4114543 PRESTIGE CARE & REHABILITATION - SUNNYSIDE Profit Yakima MSA 221.66 132.02 228.08 (6.42) 97.2% 15,823 3,507,326 3,608,910 (101,584) 97.2% 26,001 80 365 29,200 89.0% 60.9% 2.8480 2.6850

23900 4114594 QUEEN ANNE HEALTHCARE Profit King MSA 224.14 151.72 230.90 (6.76) 97.1% 28,791 6,453,215 6,647,842 (194,627) 97.1% 39,346 120 365 43,800 89.8% 73.2% 2.3310 2.1720

40020 4110490 BETHANY AT SILVER LAKE Non-Profit Snohomish MSA 252.38 150.99 260.81 (8.43) 96.8% 27,327 6,896,788 7,127,155 (230,367) 96.8% 37,953 120 365 43,800 86.7% 72.0% 2.8140 2.6720

40760 4113486 NORTH CASCADES HEALTH AND REHABILITATION CENTER Profit Whatcom MSA 214.39 146.69 222.70 (8.31) 96.3% 20,964 4,494,472 4,668,683 (174,211) 96.3% 32,544 122 365 44,530 73.1% 64.4% 2.5040 2.2410

12900 4114737 ALDERWOOD PARK HEALTH AND REHABILITATION Profit Whatcom MSA 209.34 134.87 217.62 (8.28) 96.2% 23,341 4,886,205 5,079,468 (193,263) 96.2% 30,290 102 365 37,230 81.4% 77.1% 2.4180 2.3830

18500 4172904 ROO-LAN HEALTHCARE CENTER Profit Thurston MSA 179.36 106.37 186.47 (7.11) 96.2% 20,153 3,614,642 3,757,930 (143,288) 96.2% 27,899 96 365 35,040 79.6% 72.2% 2.3350 2.2840

17900 4157509 STAFFORD HEALTHCARE AT BELMONT Profit Kitsap MSA 247.06 143.12 257.11 (10.05) 96.1% 21,599 5,336,249 5,553,319 (217,070) 96.1% 33,889 102 365 37,230 91.0% 63.7% 2.9800 2.8510

40960 4114344 PUYALLUP NURSING AND REHABILITATION CENTER Profit Pierce MSA 239.14 149.59 249.68 (10.54) 95.8% 16,866 4,033,335 4,211,103 (177,768) 95.8% 31,686 96 365 35,040 90.4% 53.2% 2.8960 2.5610

40170 4114712 ROYAL PARK HEALTH AND REHABILITATION Profit Spokane MSA 201.24 119.10 210.26 (9.02) 95.7% 34,831 7,009,390 7,323,566 (314,176) 95.7% 57,789 164 365 59,860 96.5% 60.3% 2.6650 2.4980

35010 4114670 RAINIER REHABILITATION Profit Pierce MSA 265.33 146.83 277.22 (11.89) 95.7% 23,861 6,331,039 6,614,746 (283,707) 95.7% 35,753 117 365 42,705 83.7% 66.7% 3.3610 3.3540

3500 4114229 GOOD SAMARITAN HEALTH CARE CENTER Profit Yakima MSA 213.75 131.85 223.43 (9.68) 95.7% 17,736 3,791,070 3,962,754 (171,684) 95.7% 34,202 105 365 38,325 89.2% 51.9% 2.8310 2.6010

26010 4113684 COTTESMORE OF LIFE CARE Profit Pierce MSA 219.23 133.74 230.12 (10.89) 95.3% 13,789 3,022,962 3,173,125 (150,163) 95.3% 31,738 108 365 39,420 80.5% 43.4% 2.9200 2.5480

40510 4113585 AVALON CARE CENTER AT NORTHPOINTE Profit Spokane MSA 221.12 144.34 232.19 (11.07) 95.2% 23,836 5,270,616 5,534,481 (263,865) 95.2% 38,271 119 365 43,435 88.1% 62.3% 2.7170 2.5190

12100 4114393 BOTHELL HEALTH CARE Profit Snohomish MSA 249.51 146.14 262.03 (12.52) 95.2% 16,401 4,092,214 4,297,554 (205,340) 95.2% 30,940 99 365 36,135 85.6% 53.0% 2.8880 2.6860

35900 4112280 SEATTLE MEDICAL POST ACUTE CARE Profit King MSA 280.61 149.15 295.33 (14.72) 95.0% 25,013 7,018,898 7,387,089 (368,191) 95.0% 31,953 103 365 37,595 85.0% 78.3% 3.6340 3.6100

4500 4112694 CANTERBURY HOUSE Profit King MSA 209.27 138.56 220.32 (11.05) 95.0% 18,280 3,825,456 4,027,450 (201,994) 95.0% 32,057 100 365 36,500 87.8% 57.0% 2.5110 2.3150


29900 4173209 CHENEY CARE CENTER Non-Profit Spokane MSA 232.87 118.54 245.48 (12.61) 94.9% 12,452 2,899,697 3,056,717 (157,020) 94.9% 17,922 54 365 19,710 90.9% 69.5% 3.0930 3.0990

40740 4112900 BETHANY AT PACIFIC Non-Profit Snohomish MSA 242.69 130.74 255.93 (13.24) 94.8% 24,878 6,037,642 6,367,027 (329,385) 94.8% 36,669 111 365 40,515 90.5% 67.8% 3.0050 2.9030

16100 4114039 AVAMERE HERITAGE REHABILITATION OF TACOMA Profit Pierce MSA 223.94 146.26 237.59 (13.65) 94.3% 14,263 3,194,056 3,388,746 (194,690) 94.3% 23,757 89 365 32,485 73.1% 60.0% 2.4680 2.3930

41030 4114796 REGENCY OMAK Profit Okanogan NON MSA 220.27 153.26 233.81 (13.54) 94.2% 11,361 2,502,487 2,656,315 (153,828) 94.2% 17,025 56 365 20,440 83.3% 66.7% 2.4460 2.2290

10100 4114761 PARK MANOR REHABILITATION CENTER Profit Walla Walla NON MSA 211.36 143.03 224.35 (12.99) 94.2% 13,365 2,824,826 2,998,438 (173,612) 94.2% 25,576 99 365 36,135 70.8% 52.3% 2.7800 2.4210

13300 4115261 SHORELINE HEALTH AND REHABILITATION Profit King MSA 229.64 158.85 243.99 (14.35) 94.1% 19,277 4,426,770 4,703,395 (276,625) 94.1% 31,768 114 365 41,610 76.3% 60.7% 2.6820 2.4570

22200 4113544 TOPPENISH NURSING & REHAB CENTER Profit Yakima MSA 202.22 138.43 214.91 (12.69) 94.1% 19,051 3,852,493 4,094,250 (241,757) 94.1% 23,252 75 365 27,375 84.9% 81.9% 2.3250 2.2220

17800 4115111 Olympia Transitional Care and Rehabilitation Profit Thurston MSA 221.13 145.88 235.44 (14.31) 93.9% 24,837 5,492,206 5,847,623 (355,417) 93.9% 33,332 135 365 49,275 67.6% 74.5% 2.6850 2.5430

8900 4113940 WASHINGTON CENTER FOR COMPREHENSIVE REHABILITATIONNon-Profit King MSA 200.71 125.27 214.02 (13.31) 93.8% 36,844 7,394,959 7,885,353 (490,394) 93.8% 53,759 165 365 60,225 89.3% 68.5% 2.3800 2.2680

25060 4115031 BALLARD CENTER Profit King MSA 206.45 123.33 220.34 (13.89) 93.7% 34,164 7,053,158 7,527,696 (474,538) 93.7% 42,782 142 365 51,830 82.5% 79.9% 2.4320 2.4310

40780 4113221 CHRISTIAN HEALTH CARE CENTER Non-Profit Whatcom MSA 243.83 146.91 260.62 (16.79) 93.6% 29,666 7,233,461 7,731,553 (498,092) 93.6% 48,072 142 365 51,830 92.7% 61.7% 2.8490 2.8270

12700 4115541 Renton Nursing and Rehabilitation Center Profit King MSA 240.74 152.65 257.58 (16.84) 93.5% 22,160 5,334,798 5,707,973 (373,175) 93.5% 31,106 99 365 36,135 86.1% 71.2% 2.5420 2.4200

39930 4114096 MANOR CARE HEALTH SERVICES (LYNNWOOD) Profit Snohomish MSA 238.87 159.84 255.64 (16.77) 93.4% 20,675 4,938,637 5,285,357 (346,720) 93.4% 36,453 113 365 41,245 88.4% 56.7% 2.6880 2.3820

1200 4104808 COLUMBIA LUTHERAN HOME Non-Profit King MSA 267.75 149.67 287.60 (19.85) 93.1% 19,965 5,345,629 5,741,934 (396,305) 93.1% 36,890 116 365 42,340 87.1% 54.1% 2.9800 2.8950

6400 4112405 WHITMAN HEALTH AND REHABILITATION CENTER Profit Whitman NON MSA 223.33 154.04 240.27 (16.94) 93.0% 8,004 1,787,533 1,923,121 (135,588) 93.0% 13,791 55 365 20,075 68.7% 58.0% 2.7470 2.4880

21800 4115621 Crestwood Health & Rehabilitation Center Profit Clallam NON MSA 208.78 142.93 224.66 (15.88) 92.9% 19,086 3,984,775 4,287,861 (303,086) 92.9% 31,721 101 365 36,865 86.0% 60.2% 2.6420 2.3930

35090 4110763 HALLMARK MANOR Profit King MSA 229.19 159.63 247.06 (17.87) 92.8% 30,083 6,894,723 7,432,306 (537,583) 92.8% 37,528 147 365 53,655 69.9% 80.2% 2.4100 2.2690

18400 4113882 LIFE CARE CENTER OF SKAGIT VALLEY Profit Skagit MSA 214.59 148.78 231.61 (17.02) 92.7% 24,216 5,196,511 5,608,668 (412,157) 92.7% 33,353 150 365 54,750 60.9% 72.6% 2.5490 2.2840

5000 4113981 ST FRANCIS OF BELLINGHAM Profit Whatcom MSA 218.52 144.91 236.08 (17.56) 92.6% 23,047 5,036,230 5,440,936 (404,706) 92.6% 36,099 120 365 43,800 82.4% 63.8% 2.5870 2.4520

19100 4114195 LIFE CARE CENTER OF KIRKLAND Profit King MSA 215.18 150.59 232.92 (17.74) 92.4% 22,969 4,942,469 5,349,939 (407,470) 92.4% 41,711 190 365 69,350 60.1% 55.1% 2.6780 2.1830

14100 4112231 AMERICANA HEALTH AND REHABILITATION CENTER Profit Cowlitz MSA 191.46 129.25 207.35 (15.89) 92.3% 15,975 3,058,574 3,312,416 (253,842) 92.3% 21,062 74 365 27,010 78.0% 75.8% 2.4110 2.3630

19300 4114602 AVAMERE BELLINGHAM HEALTH CARE & REHABILITATION Profit Whatcom MSA 221.00 148.46 239.41 (18.41) 92.3% 17,421 3,850,041 4,170,762 (320,721) 92.3% 22,073 84 365 30,660 72.0% 78.9% 2.5460 2.4430

35400 4113635 BENSON HEIGHTS REHABILITATION CENTER Profit King MSA 219.77 152.12 238.80 (19.03) 92.0% 28,938 6,359,704 6,910,394 (550,690) 92.0% 31,428 91 365 33,215 94.6% 92.1% 2.2400 2.2520

24600 4114245 PARK ROSE CARE CENTER Profit Pierce MSA 261.55 151.87 284.36 (22.81) 92.0% 23,533 6,155,056 6,691,844 (536,788) 92.0% 35,238 139 365 50,735 69.5% 66.8% 3.6870 3.5580

23200 4111449 North Central Care Center Profit Spokane MSA 219.13 140.60 238.31 (19.18) 92.0% 22,652 4,963,733 5,398,198 (434,465) 92.0% 32,936 99 365 36,135 91.1% 68.8% 2.5690 2.5330

14600 4113874 LIFE CARE CENTER OF PUYALLUP Profit Pierce MSA 217.25 153.21 236.42 (19.17) 91.9% 24,294 5,277,872 5,743,587 (465,715) 91.9% 33,861 102 365 37,230 91.0% 71.7% 2.5560 2.2320

8700 4113643 STAFFORD HEALTHCARE Profit King MSA 265.61 155.27 289.39 (23.78) 91.8% 20,912 5,554,436 6,051,724 (497,288) 91.8% 37,896 165 365 60,225 62.9% 55.2% 3.0710 2.8380

41020 4114484 MANORCARE HEALTH SERVICES - LACEY Profit Thurston MSA 212.86 147.40 232.58 (19.72) 91.5% 20,467 4,356,606 4,760,215 (403,609) 91.5% 38,915 120 365 43,800 88.8% 52.6% 2.7710 2.4170

40700 4113247 SHELTON HEALTH AND REHABILITATION CENTER Profit Mason MSA 211.94 151.17 232.27 (20.33) 91.3% 15,174 3,215,978 3,524,465 (308,487) 91.3% 23,438 76 365 27,740 84.5% 64.7% 2.3840 2.1560

Estimated FYE 2020 Rates and Costs Per Day Estimated FYE 2020 Total Payments and Costs Occupancy Case Mix Indices

Page 4 of 13 Prepared at the Request of Counsel






Medicaid

%


Ownership

Type County Peer

Total

Rate SFY

2020

Total

Cost Per

Day Adj.

for

Facility

CMI=1.0

Total Cost

Per Day

Adj. for

Medicaid

CMI

Rate in

Excess of

Cost

Payment-

to-Cost

Ratio

2017

Adjusted

Medicaid

Days

Estimated

Payments

Estimated

Costs

Payments In

Excess of Cost

Payment-

to-Cost

Ratio

2017

Adjusted

Total Days

2017

Adjusted

Total

Beds

Days in

Cost

Report

Time

Period

2017

Adjusted

Available

Days Occupancy

Medicaid

Percentag

e

Avg CY

2017 Total

Facility

CMI

April 2017 -

September

2017

Medicaid

CMI



9900 4114153 Burien Nursing and Rehabilitation Center Profit King MSA 253.86 163.22 278.42 (24.56) 91.2% 23,096 5,863,151 6,430,388 (567,237) 91.2% 38,194 140 365 51,100 74.7% 60.5% 2.9360 2.7710

8500 4115341 Marysville Care Center Profit Snohomish MSA 223.92 156.04 245.83 (21.91) 91.1% 20,078 4,495,866 4,935,775 (439,909) 91.1% 31,342 97 365 35,405 88.5% 64.1% 2.6460 2.3050

15700 4115391 Regency Wenatchee Rehabilitation and Nursing Center Profit Chelan MSA 205.14 151.20 225.31 (20.17) 91.1% 10,249 2,102,480 2,309,202 (206,722) 91.1% 17,835 55 365 20,075 88.8% 57.5% 2.5660 2.2180

10300 4113924 WILLOW SPRINGS CARE AND REHABILITATION Profit Yakima MSA 207.37 141.15 227.79 (20.42) 91.0% 14,028 2,908,986 3,195,438 (286,452) 91.0% 24,309 75 365 27,375 88.8% 57.7% 2.5980 2.3830

34100 4114661 BEACON HILL REHABILITATION Profit Cowlitz MSA 199.77 141.41 219.87 (20.10) 90.9% 12,164 2,430,002 2,674,499 (244,497) 90.9% 19,900 67 365 24,455 81.4% 61.1% 2.7230 2.4400

19900 4113627 AVALON HEALTH & REHABILITATION CENTER - PASCO Profit Franklin MSA 211.13 144.53 232.51 (21.38) 90.8% 16,314 3,444,375 3,793,168 (348,793) 90.8% 28,261 108 365 39,420 71.7% 57.7% 2.6970 2.4290

2300 4114302 Josephine Caring Community Non-Profit Snohomish MSA 244.96 129.61 269.88 (24.92) 90.8% 35,143 8,608,629 9,484,393 (875,764) 90.8% 51,537 160 365 58,400 88.2% 68.2% 3.2380 3.1790

17000 4114578 PRESTIGE CARE & REHABILITATION - PINEWOOD TERRACE Profit Stevens NON MSA 209.99 144.95 231.52 (21.53) 90.7% 15,519 3,258,835 3,592,959 (334,124) 90.7% 24,649 92 365 33,580 73.4% 63.0% 2.4030 2.2700

1600 4114696 Prestige Post-Acute and Rehab Center - Centralia Profit Lewis NON MSA 212.00 143.29 233.89 (21.89) 90.6% 21,478 4,553,336 5,023,489 (470,153) 90.6% 35,846 128 365 46,720 76.7% 59.9% 2.5910 2.3450

18700 4158804 STAFFORD HEALTHCARE AT RIDGEMONT Profit Kitsap MSA 251.33 150.08 277.38 (26.05) 90.6% 18,368 4,616,429 5,094,916 (478,487) 90.6% 30,675 96 365 35,040 87.5% 59.9% 3.0420 2.9550

100 4113239 SAINT ANNE NURSING AND REHABILITATION CENTER Profit King MSA 257.25 160.36 283.98 (26.73) 90.6% 10,827 2,785,246 3,074,651 (289,405) 90.6% 13,762 47 365 17,155 80.2% 78.7% 2.9750 2.9630

11300 4115401 Paramount Rehabilitation and Nursing Non-Profit King MSA 234.71 163.27 259.08 (24.37) 90.6% 29,839 7,003,512 7,730,688 (727,176) 90.6% 35,908 165 365 60,225 59.6% 83.1% 2.5580 2.5620

40920 4114252 REGENCY CARE CENTER AT MONROE Profit Snohomish MSA 220.98 156.83 244.03 (23.05) 90.6% 16,284 3,598,438 3,973,785 (375,347) 90.6% 28,472 92 365 33,580 84.8% 57.2% 2.5090 2.2450

5700 4135109 WASHINGTON ODD FELLOWS HOME Non-Profit Walla Walla NON MSA 187.20 117.00 206.75 (19.55) 90.5% 19,834 3,712,925 4,100,680 (387,755) 90.5% 35,299 117 365 42,705 82.7% 56.2% 2.6090 2.4950

17200 4115311 Orchard Park Health Care & Rehabilitation Center Profit Pierce MSA 225.55 160.23 249.73 (24.18) 90.3% 25,184 5,680,251 6,289,200 (608,949) 90.3% 44,040 147 365 53,655 82.1% 57.2% 2.6170 2.3650

40930 4115631 Sequim Health & Rehabilitation Center Profit Clallam NON MSA 239.90 160.10 266.13 (26.23) 90.1% 13,615 3,266,239 3,623,360 (357,121) 90.1% 33,857 100 365 36,500 92.8% 40.2% 3.1690 2.7810

24400 4115601 Forest Ridge Health & Rehabilitation Center Profit Kitsap MSA 204.06 145.81 228.20 (24.14) 89.4% 25,662 5,236,588 5,856,068 (619,480) 89.4% 32,477 98 365 35,770 90.8% 79.0% 2.3280 2.3010

40580 4113650 MISSION HEALTHCARE AT BELLEVUE Non-Profit King MSA 278.81 166.42 312.34 (33.53) 89.3% 15,910 4,435,867 4,969,329 (533,462) 89.3% 33,965 129 365 47,085 72.1% 46.8% 3.2690 3.2250


17400 4113775 TACOMA NURSING AND REHABILITATION CENTER Profit Pierce MSA 203.39 155.72 228.01 (24.62) 89.2% 27,834 5,661,157 6,346,430 (685,273) 89.2% 36,027 150 365 54,750 65.8% 77.3% 2.1640 2.0140

40660 4115371 Regency Canyon Lakes Rehabilitation and Nursing Center Profit Benton MSA 229.95 143.35 258.32 (28.37) 89.0% 6,832 1,571,018 1,764,842 (193,824) 89.0% 17,736 53 365 19,345 91.7% 38.5% 3.0850 2.9730

18900 4113825 WESLEY HOMES HEALTH CENTER Profit King MSA 249.12 146.21 280.70 (31.58) 88.8% 26,056 6,491,071 7,313,919 (822,848) 88.8% 47,550 148 365 54,020 88.0% 54.8% 2.9470 2.8580

40670 4115021 Buena Vista Healthcare Profit Stevens NON MSA 206.26 141.81 233.33 (27.07) 88.4% 5,330 1,099,366 1,243,649 (144,283) 88.4% 13,871 40 365 14,600 95.0% 38.4% 2.6280 2.4090

18800 4113346 ARLINGTON HEALTH AND REHABILITATION Profit Snohomish MSA 242.71 166.95 274.76 (32.05) 88.3% 10,581 2,568,115 2,907,236 (339,121) 88.3% 17,252 76 365 27,740 62.2% 61.3% 2.5370 2.4430

5500 4113528 Park West Care Center Profit King MSA 237.94 164.84 269.44 (31.50) 88.3% 23,691 5,637,037 6,383,303 (746,266) 88.3% 38,921 137 365 50,005 77.8% 60.9% 2.6550 2.4790

40370 4115291 LINDEN GROVE HEALTH CARE CENTER Profit Pierce MSA 218.21 157.40 247.28 (29.07) 88.2% 22,496 4,908,852 5,562,811 (653,959) 88.2% 35,653 130 365 47,450 75.1% 63.1% 2.4920 2.3600

15500 4115411 Colonial Vista Post Acute & Rehabilitation Center Profit Chelan MSA 183.29 125.76 208.03 (24.74) 88.1% 17,918 3,284,190 3,727,482 (443,292) 88.1% 28,107 100 365 36,500 77.0% 63.7% 2.4380 2.1960

33200 4111027 ALDERWOOD MANOR Profit Spokane MSA 226.17 159.49 257.75 (31.58) 87.8% 16,415 3,712,581 4,230,966 (518,385) 87.8% 24,917 85 365 31,025 80.3% 65.9% 2.7100 2.5150

40040 4114088 MANOR CARE HEALTH SERVICES (GIG HARBOR) Profit Pierce MSA 209.11 151.22 238.29 (29.18) 87.8% 23,684 4,952,561 5,643,660 (691,099) 87.8% 32,461 120 365 43,800 74.1% 73.0% 2.5900 2.4010

35050 4114745 SNOHOMISH HEALTH AND REHABILITATION Profit Snohomish MSA 207.28 156.94 236.49 (29.21) 87.7% 18,593 3,853,957 4,397,059 (543,102) 87.7% 25,186 91 365 33,215 75.8% 73.8% 2.2360 2.1060

35330 4115241 MIRA VISTA CARE CENTER Profit Skagit MSA 208.89 157.18 238.47 (29.58) 87.6% 13,138 2,744,397 3,133,019 (388,622) 87.6% 28,950 94 365 34,310 84.4% 45.4% 2.8390 2.4100

6100 4112165 MARTHA & MARY HEALTH SERVICES Non-Profit Kitsap MSA 217.99 137.92 249.57 (31.58) 87.4% 40,644 8,859,986 10,143,523 (1,283,537) 87.4% 59,282 190 365 69,350 85.5% 68.6% 2.7830 2.6740

20900 4114187 LIFE CARE CENTER OF PORT ORCHARD Profit Kitsap MSA 208.93 153.71 239.54 (30.61) 87.2% 24,680 5,156,392 5,911,847 (755,455) 87.2% 35,632 125 365 45,625 78.1% 69.3% 2.4210 2.2200

16500 4111076 LIFE CARE CENTER OF FEDERAL WAY Profit King MSA 220.16 162.89 253.16 (33.00) 87.0% 22,750 5,008,640 5,759,390 (750,750) 87.0% 30,685 157 365 57,305 53.5% 74.1% 2.4570 2.2690

31570 4114104 MANOR CARE HEALTH SERVICES (TACOMA) Profit Pierce MSA 238.17 159.73 274.80 (36.63) 86.7% 15,913 3,789,999 4,372,892 (582,893) 86.7% 35,195 124 365 45,260 77.8% 45.2% 2.9700 2.7740

4400 4114551 PRESTIGE CARE & REHABILITATION - CLARKSTON Profit Asotin MSA 203.22 152.96 234.54 (31.32) 86.7% 15,702 3,190,960 3,682,747 (491,787) 86.7% 25,221 90 365 32,850 76.8% 62.3% 2.4790 2.1800

18300 4114688 PRESTIGE POST-ACUTE AND REHAB CENTER - KITTITAS Profit Kittitas NON MSA 208.51 152.82 240.69 (32.18) 86.6% 13,516 2,818,221 3,253,166 (434,945) 86.6% 21,520 74 365 27,010 79.7% 62.8% 2.4780 2.2470

28000 4114054 Avamere at Pacific Ridge Profit Pierce MSA 211.30 152.35 244.90 (33.60) 86.3% 28,766 6,078,256 7,044,793 (966,537) 86.3% 34,753 102 365 37,230 93.3% 82.8% 2.2660 2.2410

5100 4113361 PARK ROYAL HEALTH AND REHABILITATION CENTER Profit Cowlitz MSA 185.98 143.79 215.86 (29.88) 86.2% 12,707 2,363,248 2,742,933 (379,685) 86.2% 14,128 50 365 18,250 77.4% 89.9% 2.0850 2.0750

3300 4114586 PRESTIGE CARE & REHABILITATION - PARKSIDE Profit Yakima MSA 194.26 146.75 226.25 (31.99) 85.9% 16,700 3,244,142 3,778,375 (534,233) 85.9% 21,173 88 365 32,120 65.9% 78.9% 2.2430 2.1190

40270 4113338 MT BAKER CARE CENTER Profit Whatcom MSA 220.49 132.82 256.82 (36.33) 85.9% 7,538 1,662,054 1,935,909 (273,855) 85.9% 19,768 70 365 25,550 77.4% 38.1% 2.8710 2.6980

32400 4115441 Advanced Post Acute Profit King MSA 230.28 179.24 269.25 (38.97) 85.5% 11,923 2,745,628 3,210,268 (464,640) 85.5% 16,043 96 306 29,376 54.6% 74.3% 2.5720 2.3350

40750 4113726 LANDMARK CARE AND REHABILITATION Profit Yakima MSA 213.41 149.12 249.53 (36.12) 85.5% 14,035 2,995,209 3,502,154 (506,945) 85.5% 28,842 93 365 33,945 85.0% 48.7% 2.9480 2.6140

23300 4115101 Bainbridge Island Health and Rehabilitation Center Profit Kitsap MSA 209.23 153.16 245.99 (36.76) 85.1% 14,333 2,998,894 3,525,775 (526,881) 85.1% 18,875 69 365 25,185 74.9% 75.9% 2.5570 2.4130

39980 4115681 The Oaks at Lakewood Profit Pierce MSA 217.25 168.31 255.64 (38.39) 85.0% 15,020 3,263,095 3,839,713 (576,618) 85.0% 22,695 80 365 29,200 77.7% 66.2% 2.5190 2.3120

17500 4113114 Talbot Center for Rehabilitation and Healthcare Profit King MSA 214.80 162.80 252.90 (38.10) 84.9% 21,147 4,542,376 5,348,076 (805,700) 84.9% 32,020 136 365 49,640 64.5% 66.0% 2.4640 2.2370

26060 4113510 Park Ridge Care Center Profit King MSA 240.83 160.67 284.14 (43.31) 84.8% 23,701 5,707,912 6,734,402 (1,026,490) 84.8% 37,927 115 365 41,975 90.4% 62.5% 2.7860 2.7210

10500 4114070 Issaquah Nursing and Rehabilitation Center Profit King MSA 232.79 169.29 275.56 (42.77) 84.5% 20,100 4,679,079 5,538,756 (859,677) 84.5% 38,214 140 365 51,100 74.8% 52.6% 2.8680 2.5050

2400 4115501 View Ridge Care Center Profit Snohomish MSA 244.47 168.46 292.59 (48.12) 83.6% 14,538 3,554,105 4,253,673 (699,568) 83.6% 20,400 70 365 25,550 79.8% 71.3% 2.7950 2.7640

9100 4113569 GRAYS HARBOR HEALTH & REHABILITATION CENTER Profit Grays Harbor NON MSA 230.33 178.10 277.96 (47.63) 82.9% 14,995 3,453,798 4,168,010 (714,212) 82.9% 20,812 105 365 38,325 54.3% 72.0% 2.5050 2.3180

16800 4115361 Regency Harmony House Rehab and Nursing Center Profit Okanogan NON MSA 202.09 160.53 243.97 (41.88) 82.8% 14,861 3,003,259 3,625,638 (622,379) 82.8% 18,136 54 365 19,710 92.0% 81.9% 2.1610 2.1300

40250 4115531 University Place Rehabilitation Center Profit Pierce MSA 229.56 171.02 277.43 (47.87) 82.8% 15,479 3,553,359 4,294,339 (740,980) 82.8% 24,693 120 365 43,800 56.4% 62.7% 2.6670 2.3730

18200 4115591 Riverside Nursing & Rehabilitation Center Profit Lewis NON MSA 199.96 158.59 243.48 (43.52) 82.1% 23,504 4,699,860 5,722,754 (1,022,894) 82.1% 29,028 91 365 33,215 87.4% 81.0% 2.2240 2.1650

33000 4114519 PRESTIGE CARE & REHABILITATION - BURLINGTON Profit Skagit MSA 200.69 157.44 244.52 (43.83) 82.1% 7,178 1,440,553 1,755,165 (314,612) 82.1% 10,884 49 365 17,885 60.9% 66.0% 2.5350 2.3460

21300 4115571 Aldercrest Health & Rehabilitation Center Profit Snohomish MSA 229.46 168.63 280.06 (50.60) 81.9% 24,530 5,628,654 6,869,872 (1,241,218) 81.9% 33,704 128 365 46,720 72.1% 72.8% 2.6360 2.4990

20500 4113833 LIFE CARE CENTER OF RICHLAND Profit Benton MSA 220.60 155.74 269.44 (48.84) 81.9% 9,286 2,048,492 2,502,020 (453,528) 81.9% 19,554 104 365 37,960 51.5% 47.5% 2.8330 2.6510

13900 4115651 Franklin Hills Health & Rehabilitation Center Profit Spokane MSA 219.98 169.24 269.29 (49.31) 81.7% 22,874 5,031,823 6,159,739 (1,127,916) 81.7% 28,279 100 365 36,500 77.5% 80.9% 2.4640 2.3370

7700 4141701 FOSS HOME AND VILLAGE Non-Profit King MSA 232.24 147.40 284.40 (52.16) 81.7% 34,026 7,902,198 9,676,994 (1,774,796) 81.7% 53,251 211 365 77,015 69.1% 63.9% 2.9130 2.8410

13800 4114729 HIGHLAND HEALTH AND REHABILITATION Profit Whatcom MSA 210.49 172.97 257.93 (47.44) 81.6% 9,284 1,954,189 2,394,622 (440,433) 81.6% 13,447 44 365 16,060 83.7% 69.0% 2.1990 2.1270

24900 4115521 Brookfield Health and Rehabilitation of Cascadia Profit Clark MSA 202.99 162.35 249.16 (46.17) 81.5% 17,230 3,497,518 4,293,027 (795,509) 81.5% 20,686 83 365 30,295 68.3% 83.3% 2.1870 2.1060

40710 4114336 REGENCY AT THE PARK Profit Walla Walla NON MSA 197.87 155.86 245.25 (47.38) 80.7% 15,897 3,145,539 3,898,739 (753,200) 80.7% 26,450 106 365 38,690 68.4% 60.1% 2.5880 2.3650

9000 4115451 Shuksan Healthcare Center Profit Whatcom MSA 212.60 188.63 263.50 (50.90) 80.7% 7,264 1,544,326 1,914,064 (369,738) 80.7% 9,994 52 234 12,168 82.1% 72.7% 2.6650 2.0760

16006 4115561 North Auburn Rehabilitation & Health Center Profit King MSA 215.27 177.75 269.62 (54.35) 79.8% 17,462 3,759,045 4,708,104 (949,059) 79.8% 25,654 125 365 45,625 56.2% 68.1% 2.3540 2.1890

13700 4115581 Bremerton Convalescent & Rehabilitation Center Profit Kitsap MSA 217.83 171.07 273.52 (55.69) 79.6% 25,709 5,600,191 7,031,926 (1,431,735) 79.6% 34,274 125 365 45,625 75.1% 75.0% 2.4100 2.3060

16400 4115641 Fir Lane Health & Rehabilitation Center Profit Mason MSA 205.83 172.87 258.97 (53.14) 79.5% 27,317 5,622,658 7,074,283 (1,451,625) 79.5% 31,731 135 365 49,275 64.4% 86.1% 2.2140 2.0930

22600 4164505 WARM BEACH HEALTH CARE CENTER Non-Profit Snohomish MSA 230.01 173.87 289.46 (59.45) 79.5% 10,232 2,353,462 2,961,755 (608,293) 79.5% 16,693 59 365 21,535 77.5% 61.3% 2.6850 2.4950


6000 4135901 SUMMITVIEW HEALTHCARE CENTER Non-Profit Yakima MSA 188.39 121.90 238.81 (50.42) 78.9% 13,620 2,565,872 3,252,592 (686,720) 78.9% 23,833 78 365 28,470 83.7% 57.1% 2.7050 2.6940

31510 4115611 Puget Sound Healthcare Center Profit Thurston MSA 208.11 165.58 264.00 (55.89) 78.8% 23,243 4,837,101 6,136,152 (1,299,051) 78.8% 33,031 108 365 39,420 83.8% 70.4% 2.5210 2.3740

15200 4115661 The Gardens on University Profit Spokane MSA 210.77 165.07 267.75 (56.98) 78.7% 27,335 5,761,398 7,318,946 (1,557,548) 78.7% 35,888 124 365 45,260 79.3% 76.2% 2.4160 2.3110

20600 4114310 Regency North Bend Rehabilitation and Nursing Center Profit King MSA 216.15 173.89 274.89 (58.74) 78.6% 14,190 3,067,169 3,900,689 (833,520) 78.6% 18,491 64 365 23,360 79.2% 76.7% 2.2520 2.2040

25200 4167904 KEIRO NORTHWEST Non-Profit King MSA 214.43 155.91 276.20 (61.77) 77.6% 35,981 7,715,406 9,937,952 (2,222,546) 77.6% 48,967 150 365 54,750 89.4% 73.5% 2.4890 2.4290

8300 4143301 GOOD SAMARITAN SOCIETY - SPOKANE VALLEY Non-Profit Spokane MSA 181.50 133.99 235.83 (54.33) 77.0% 20,451 3,711,857 4,822,959 (1,111,102) 77.0% 30,483 97 365 35,405 86.1% 67.1% 2.4200 2.2720

25100 4113577 WILLAPA HARBOR HEALTH & REHAB Profit Pacific NON MSA 243.84 178.29 317.74 (73.90) 76.7% 5,491 1,338,925 1,744,710 (405,785) 76.7% 11,952 60 365 21,900 54.6% 45.9% 3.0670 3.1150

31300 4186706 MCKAY HEALTHCARE & REHAB CENTER Non-Profit Grant NON MSA 177.26 146.33 231.14 (53.88) 76.7% 10,643 1,886,578 2,460,023 (573,445) 76.7% 13,313 42 365 15,330 86.8% 79.9% 2.3210 2.1230

11400 4113932 LIFE CARE CENTER OF MOUNT VERNON Profit Skagit MSA 194.61 161.69 254.76 (60.15) 76.4% 16,399 3,191,409 4,177,809 (986,400) 76.4% 23,558 121 365 44,165 53.3% 69.6% 2.5360 2.3610

19800 4113593 AVALON CARE CENTER - OTHELLO, LLC Profit Adams NON MSA 217.89 176.97 285.78 (67.89) 76.2% 5,196 1,132,156 1,484,913 (352,757) 76.2% 8,062 39 365 14,235 56.6% 64.5% 2.7120 2.6950

33600 4115471 Selah Care and Rehabilitation Profit Yakima MSA 198.36 171.50 261.23 (62.87) 75.9% 7,671 1,521,620 2,003,895 (482,275) 75.9% 11,380 39 365 14,235 79.9% 67.4% 2.3620 2.1870 Page 5 of 13 Prepared at the Request of Counsel






Medicaid

%


Ownership

Type County Peer

Total

Rate SFY

2020

Total

Cost Per

Day Adj.

for

Facility

CMI=1.0

Total Cost

Per Day

Adj. for

Medicaid

CMI

Rate in

Excess of

Cost

Payment-

to-Cost

Ratio

2017

Adjusted

Medicaid

Days

Estimated

Payments

Estimated

Costs

Payments In

Excess of Cost

Payment-

to-Cost

Ratio

2017

Adjusted

Total Days

2017

Adjusted

Total

Beds

Days in

Cost

Report

Time

Period

2017

Adjusted

Available

Days Occupancy

Medicaid

Percentag

e

Avg CY

2017 Total

Facility

CMI

April 2017 -

September

2017

Medicaid

CMI



12600 4150702 PANORAMA CITY CONVALESCENT & REHAB CENTER Non-Profit Thurston MSA 218.00 153.42 289.25 (71.25) 75.4% 14,018 3,055,924 4,054,707 (998,783) 75.4% 46,201 155 365 56,575 81.7% 30.3% 2.8190 2.6780

14900 4113718 FIDALGO CARE CENTER Profit Skagit MSA 218.39 175.45 289.74 (71.35) 75.4% 2,109 460,585 611,062 (150,477) 75.4% 11,608 44 365 16,060 72.3% 18.2% 3.2230 2.6810

12500 4115191 Vancouver Specialty and Rehabilitative Care Profit Clark MSA 251.68 192.21 336.56 (84.88) 74.8% 18,065 4,546,599 6,079,956 (1,533,357) 74.8% 22,253 104 365 37,960 58.6% 81.2% 2.8840 2.8510

21200 4113619 AVALON CARE CENTER - PULLMAN Profit Whitman NON MSA 215.33 191.17 289.90 (74.57) 74.3% 2,925 629,840 847,958 (218,118) 74.3% 7,938 48 365 17,520 45.3% 36.8% 2.7740 2.4500

26500 4113742 AVAMERE OLYMPIC REHABILITATION OF SEQUIM Profit Clallam NON MSA 185.17 169.76 250.82 (65.65) 73.8% 19,419 3,595,816 4,870,674 (1,274,858) 73.8% 24,415 125 365 45,625 53.5% 79.5% 2.1780 2.0720

40130 4110664 STAFHOLT GOOD SAMARITAN CENTER Non-Profit Whatcom MSA 203.30 182.98 275.73 (72.43) 73.7% 11,681 2,374,747 3,220,802 (846,055) 73.7% 18,090 57 365 20,805 87.0% 64.6% 2.3120 2.1470

23500 4165809 CAROLINE KLINE GALLAND HOME, THE Non-Profit King MSA 246.07 165.87 335.37 (89.30) 73.4% 31,192 7,675,415 10,460,861 (2,785,446) 73.4% 71,487 205 365 74,825 95.5% 43.6% 2.9870 2.9570

41111 4115281 Prestige Post-Acute and Rehab Center - Edmonds Profit Snohomish MSA 239.20 180.58 329.24 (90.04) 72.7% 2,927 700,138 963,685 (263,547) 72.7% 15,921 80 365 29,200 54.5% 18.4% 3.1780 2.9480

19700 4160107 TACOMA LUTHERAN RETIREMENT COMMUNITY Non-Profit Pierce MSA 201.27 155.99 277.45 (76.18) 72.5% 23,857 4,801,698 6,619,125 (1,817,427) 72.5% 52,520 187 365 68,255 76.9% 45.4% 2.6340 2.4600

40620 4112454 EVERETT TRANSITIONAL CARE SERVICES Non-Profit Snohomish MSA 282.96 161.43 390.74 (107.78) 72.4% 56 15,846 21,881 (6,035) 72.4% 10,458 31 365 11,315 92.4% 0.5% 3.6260 3.6470

5900 4111969 LIFE CARE CENTER OF PORT TOWNSEND Profit Jefferson NON MSA 197.37 179.46 278.41 (81.04) 70.9% 11,977 2,363,900 3,334,517 (970,617) 70.9% 21,340 94 365 34,310 62.2% 56.1% 2.5410 2.3320

33700 4114237 Regency Olympia Rehabilitation And Nursing Center Profit Thurston MSA 204.80 174.83 290.99 (86.19) 70.4% 3,584 734,003 1,042,908 (308,905) 70.4% 8,742 28 365 10,220 85.5% 41.0% 2.7880 2.5300

2600 4110508 SUNSHINE GARDENS Profit Spokane MSA 194.25 161.28 276.83 (82.58) 70.2% 11,733 2,279,135 3,248,046 (968,911) 70.2% 27,235 84 365 30,660 88.8% 43.1% 2.8440 2.5090

40450 4111613 SEA MAR COMMUNITY CARE CENTER Non-Profit King MSA 198.61 191.04 288.79 (90.18) 68.8% 15,395 3,057,601 4,445,922 (1,388,321) 68.8% 15,743 48 365 17,520 89.9% 97.8% 2.0590 2.0350

20400 4113817 LIFE CARE CENTER OF KENNEWICK Profit Benton MSA 205.28 189.34 298.55 (93.27) 68.8% 13,729 2,818,289 4,098,793 (1,280,504) 68.8% 20,164 136 365 49,640 40.6% 68.1% 2.5730 2.3630

18100 4115691 The Oaks at Timberline Profit Clark MSA 204.71 217.55 298.93 (94.22) 68.5% 18,256 3,737,186 5,457,266 (1,720,080) 68.5% 20,893 98 365 35,770 58.4% 87.4% 2.0800 1.9800

15800 4154407 Riverview Lutheran Retirement Community of Spokane Non-Profit Spokane MSA 223.83 167.19 327.59 (103.76) 68.3% 7,851 1,757,289 2,571,909 (814,620) 68.3% 25,356 75 365 27,375 92.6% 31.0% 2.9760 2.9250

36600 4113049 SHARON CARE CENTER Profit Lewis NON MSA 206.25 156.78 307.28 (101.03) 67.1% 2,979 614,419 915,387 (300,968) 67.1% 12,707 42 365 15,330 82.9% 23.4% 3.1630 3.0290

9400 4146106 BAYVIEW MANOR Non-Profit King MSA 225.87 188.48 336.76 (110.89) 67.1% 3,789 855,821 1,275,984 (420,163) 67.1% 11,044 50 365 18,250 60.5% 34.3% 2.9560 2.6680

41112 4115511 Lea Hill Rehabilitation and Care Center Non-Profit King MSA 207.43 171.36 309.37 (101.94) 67.1% 1,531 317,575 473,645 (156,070) 67.1% 10,110 36 365 13,140 76.9% 15.1% 3.0580 2.6690

4100 4127403 CRISTWOOD NURSING AND REHABILITATION Non-Profit King MSA 208.09 196.74 322.09 (114.00) 64.6% 25,944 5,398,687 8,356,303 (2,957,616) 64.6% 45,895 168 365 61,320 74.8% 56.5% 2.5480 2.2210

14200 4152708 HEARTHSTONE, THE Non-Profit King MSA 221.08 197.06 348.86 (127.78) 63.4% 3,368 744,597 1,174,960 (430,363) 63.4% 11,505 40 365 14,600 78.8% 29.3% 2.9670 2.5330

40150 4110672 PROVIDENCE MOTHER JOSEPH CARE CENTER Non-Profit Thurston MSA 187.33 177.13 299.13 (111.80) 62.6% 26,587 4,980,543 7,952,969 (2,972,426) 62.6% 50,085 152 365 55,480 90.3% 53.1% 2.7030 2.3210

29080 4111779 PROVIDENCE MARIANWOOD Non-Profit King MSA 213.39 230.59 356.88 (143.49) 59.8% 16,561 3,533,952 5,910,290 (2,376,338) 59.8% 31,677 117 365 42,705 74.2% 52.3% 2.6250 2.1350

5830 4115671 The Oaks at Forest Bay Profit King MSA 205.17 226.92 344.61 (139.44) 59.5% 15,637 3,208,243 5,388,667 (2,180,424) 59.5% 18,371 90 365 32,850 55.9% 85.1% 2.2780 2.2120

19200 4179701 JUDSON PARK HEALTH CENTER Non-Profit King MSA 199.02 206.71 334.53 (135.51) 59.5% 11,337 2,256,290 3,792,567 (1,536,277) 59.5% 28,024 96 365 35,040 80.0% 40.5% 2.8340 2.3900

40120 4110656 IDA CULVER HOUSE BROADVIEW NURSING CARE CENTER Profit King MSA 192.78 208.57 337.31 (144.53) 57.2% 5,480 1,056,434 1,848,459 (792,025) 57.2% 23,960 74 365 27,010 88.7% 22.9% 2.7200 2.3570

1400 4107702 PROVIDENCE MOUNT ST VINCENT Non-Profit King MSA 221.69 212.41 393.25 (171.56) 56.4% 30,642 6,793,025 12,049,967 (5,256,942) 56.4% 69,736 215 365 78,475 88.9% 43.9% 2.7130 2.7110

40600 4112314 COVENANT SHORES HEALTH CENTER Non-Profit King MSA 184.49 210.49 349.59 (165.10) 52.8% 1,425 262,898 498,166 (235,268) 52.8% 13,995 43 365 15,695 89.2% 10.2% 2.5080 2.2410

40280 4111134 CORWIN CENTER AT EMERALD HEIGHTS Non-Profit King MSA 139.44 243.71 268.50 (129.06) 51.9% 365 50,896 98,003 (47,107) 51.9% 20,851 61 365 22,265 93.6% 1.8% 2.3750 1.2540

23400 4114179 PROVIDENCE ST JOSEPH CARE CENTER Non-Profit Spokane MSA 199.74 259.29 429.98 (230.24) 46.5% 9,163 1,830,218 3,939,907 (2,109,689) 46.5% 22,351 162 365 59,130 37.8% 41.0% 2.8820 2.5270

40800 4113312 VASHON COMMUNITY CARE CENTER Non-Profit King MSA 158.61 204.59 348.64 (190.03) 45.5% 5,126 813,035 1,787,129 (974,094) 45.5% 9,578 30 365 10,950 87.5% 53.5% 2.2870 2.2420

40950 4115011 MIRABELLA Non-Profit King MSA 161.95 296.43 364.48 (202.53) 44.4% 199 32,228 72,532 (40,304) 44.4% 13,452 46 365 16,790 80.1% 1.5% 2.8130 1.5620

10030 4112835 ROCKWOOD AT HAWTHORNE Non-Profit Spokane MSA 154.88 277.10 400.69 (245.81) 38.7% 1,458 225,815 584,206 (358,391) 38.7% 6,344 20 365 7,300 86.9% 23.0% 2.2560 1.9460

25040 4111670 PARK SHORE Non-Profit King MSA 200.63 441.63 610.07 (409.44) 32.9% 1,101 220,894 671,687 (450,793) 32.9% 8,594 28 365 10,220 84.1% 12.8% 2.6930 2.1220

41010 4220109 CENTRAL WASHINGTON HOSPITAL TRANSITIONAL CARE UNITNon-Profit Chelan MSA 193.63 360.23 700.54 (506.91) 27.6% 450 87,134 315,243 (228,109) 27.6% 5,859 22 365 8,030 73.0% 7.7% 2.7230 2.3620

188

Profit Count MSA Count

47 COUNT OF FACILITIES 43 42 948,729 212,699,588 214,135,061 (1,435,473) 1,477,003 4,874 1,779,010

Non Profit Count NON MSA Count 221.66 134.87 224.88 (2.28) 99.0% 19,753 4,092,214 4,145,808 (36,609.00) 99.0% 31,686 102 365 37,230 84.3% 63.7% 2.7060 2.5190

4 5 99.3% 83.0% 64.2%

47 47

SUMMARY- STANDARD NURSING FACILITIES (Quartile 2) Profit Count MSA Count



9 8 92.1% 79.5% 64.7%

47 47

SUMMARY - STANDARD NURSING FACILITIES (Quartile 3) Profit Count MSA Count



3 6 84.8% 73.6% 66.1%

47 47




27 7 68.9% 74.7% 50.5%

47 47

SUMMARY - ALL STANDARD NURSING FACILITIES Profit Count MSA Count

188 COUNT OF FACILITIES 145 162 3,307,595 727,863,431 832,466,464 (104,603,033) 5,336,478 18,807 6,852,079

Non Profit Count NON MSA Count 215.30 152.74 249.55 (26.48) 89.2% 17,442 3,712,753 4,157,881 (404,158) 89.2% 28,184 100 365 36,318 81.1% 63.0% 2.6430 2.3970

43 26 87.4% 77.9% 62.0%

188 188

SUMMARY- STANDARD NURSING FACILITIES (Quartile 1)







Medicaid

%


Ownership

Type County Peer

Total

Rate SFY

2020

Total

Cost Per

Day Adj.

for

Facility

CMI=1.0

Total Cost

Per Day

Adj. for

Medicaid

CMI

Rate in

Excess of

Cost

Payment-

to-Cost

Ratio

2017

Adjusted

Medicaid

Days

Estimated

Payments

Estimated

Costs

Payments In

Excess of Cost

Payment-

to-Cost

Ratio

2017

Adjusted

Total Days

2017

Adjusted

Total

Beds

Days in

Cost

Report

Time

Period

2017

Adjusted

Available

Days Occupancy

Medicaid

Percentag

e

Avg CY

2017 Total

Facility

CMI

April 2017 -

September

2017

Medicaid

CMI



TRIBAL/VETERAN'S FACILITIES

31560 4176400 COLVILLE TRIBAL CONVALESCENT CENTER Non-Profit Okanogan NON MSA 168.26 162.40 255.79 (87.53) 65.8% 10,463 1,760,504 2,676,331 (915,827) 65.8% 11,301 44 365 16,060 70.4% 92.6% 1.9730 1.9930

40330 4000006 WASHINGTON VETERANS HOME-RETSIL Non-Profit Kitsap MSA 164.77 181.68 296.22 (131.45) 55.6% 49,994 8,237,511 14,809,223 (6,571,712) 55.6% 83,129 240 365 87,600 94.9% 60.1% 2.1390 1.9230

35060 4000121 SPOKANE VETERAN'S HOME Non-Profit Spokane MSA 178.70 186.70 333.06 (154.36) 53.7% 15,867 2,835,433 5,284,663 (2,449,230) 53.7% 33,973 100 365 36,500 93.1% 46.7% 2.1950 2.1300

40340 4000014 WASHINGTON SOLDIERS HOME Non-Profit Pierce MSA 172.38 347.88 575.86 (403.48) 29.9% 11,133 1,919,107 6,411,049 (4,491,942) 29.9% 23,500 97 365 35,405 66.4% 47.4% 2.2600 2.1150

SUMMARY - VETERANS & TRIBAL NURSING FACILITIES

4 COUNT OF FACILITIES Profit Count MSA Count

0 3 87,457 14,752,555 29,181,266 (14,428,711) 151,903 481 175,565

Non Profit Count NON MSA Count 170.32 184.19 314.64 (142.91) 54.6% 13,500 2,377,270 5,847,856 ########### 54.6% 28,737 99 365 35,953 81.8% 53.8% 2.1670 2.0540

4 1 50.6% 86.5% 57.6%

4 4


40260 4111068 BAILEY-BOUSHAY HOUSE Non-Profit King MSA 803.45 432.83 768.87 34.58 104.5% 11,904 9,564,269 9,152,628 411,641 104.5% 12,389 35 365 12,775 97.0% 96.1% 2.0890 2.0490

25900 4202115 NEWPORT COMMUNITY HOSPITAL - LTC UNIT Non-Profit Pend Oreille NON MSA 187.77 155.87 280.90 (93.13) 66.9% 12,792 2,401,954 3,593,273 (1,191,319) 66.9% 15,993 50 365 18,250 87.6% 80.0% 2.2720 2.2690

31500 4210704 NORTH VALLEY HOSPITAL Non-Profit Okanogan NON MSA 176.62 146.55 276.83 (100.21) 63.8% 10,054 1,775,737 2,783,249 (1,007,512) 63.8% 12,617 42 365 15,330 82.3% 79.7% 2.0580 2.0980

39990 4219408 PROVIDENCE ST JOSEPH HOSPITAL Non-Profit Stevens NON MSA 172.09 186.32 275.60 (103.51) 62.4% 10,654 1,833,447 2,936,242 (1,102,795) 62.4% 14,214 40 365 14,600 97.4% 75.0% 2.0800 1.9970

40010 4210001 BOOKER REST HOME ANNEX Non-Profit Columbia NON MSA 171.82 227.74 352.41 (180.59) 48.8% 5,058 869,066 1,782,490 (913,424) 48.8% 7,127 23 365 8,395 84.9% 71.0% 2.2220 2.1320

30800 4204509 COLUMBIA BASIN HOSPITAL Non-Profit Grant NON MSA 191.03 246.11 412.45 (221.42) 46.3% 3,285 627,534 1,354,898 (727,364) 46.3% 4,353 12 365 4,380 99.4% 75.5% 2.3070 2.2600

31590 4205407 FORKS COMMUNITY HOSPITAL LTC UNIT Non-Profit Clallam NON MSA 173.52 283.38 403.42 (229.90) 43.0% 2,376 412,284 958,526 (546,242) 43.0% 4,292 20 365 7,300 58.8% 55.4% 2.3000 1.8620

SUMMARY - HOSPITAL-BASED NURSING FACILITIES


0 1 56,123 17,484,291 22,561,306 (5,077,015) 70,985 222 81,030


7 6 77.5% 87.6% 79.1%

7 7

SUMMARY - ALL FACILITIES Profit Count MSA Count

145 166 3,451,175 760,100,277 884,209,036 (124,108,759) 5,559,366 19,510 7,108,674

Non Profit Count NON MSA Count 214.59 153.26 253.16 (29.18) 0.88 16,561.00 3,598,438.00 4,145,808.00 (420,163.00) 88.3% 27235.00 99 365 36135.00 81.70% 63.10% 2.6200 2.3830

54 33 86.0% 78.2% 62.1%

199 199


APPENDIX D State of Washington





For Profit

Non

Profit MSA

Non

MSA Adjusted Days Adjusted Beds

Adjusted

Available Bed

Days

Occupancy

(Median)

Occupancy

(Wtd Avg) Adjusted Days

Percentage

(Median)

Percentage

(Wtd Avg)


Quartile 1

(Lowest Cost)47 108.2% 108.7% 42 5 43 4 1,424,772 4,718 1,722,070 84.3% 82.7% 913,172 63.7% 64.1% 251.24 136.99 226,102,914 2.6650

Quartile 2 47 100.6% 101.1% 41 6 39 8 1,529,610 5,231 1,909,315 83.3% 80.1% 984,812 62.3% 64.4% 251.57 154.44 252,674,526 2.6780

Quartile 3 47 93.7% 93.9% 40 7 38 9 1,263,922 4,702 1,710,566 77.4% 73.9% 836,499 66.0% 66.2% 246.97 163.19 207,397,275 2.5580

Quartile 4

(Highest Cost)47 77.4% 76.6% 22 25 42 5 1,118,174 4,156 1,510,128 79.9% 74.0% 573,112 45.4% 51.3% 235.83 185.82 136,117,014 2.6650

TOTAL 188 98.9% 96.0% 145 43 162 26 5,336,478 6,852,079 81.1% 77.9% 3,307,595 63.0% 62.0% 244.64 157.16 822,291,729 2.6430


TOTAL 7 68.5% 81.8% - 7 1 6 70,985 222 81,030 87.6% 87.6% 56,123 75.5% 79.1% 200.72 234.34 18,988,180 2.2220


TOTAL 4 60.7% 56.3% - 4 3 1 151,903 481 175,565 81.8% 86.5% 87,457 53.8% 57.6% 196.11 189.54 16,896,216 2.1670


TOTAL 199 98.0% 94.3% 145 54 166 33 5,559,366 19,510 7,108,674 81.7% 78.2% 3,451,175 63.1% 62.1% 243.06 157.71 858,176,125 2.6200

Note: All Costs, Days, and Beds are based on 2017 Adjusted Amounts. Case Mix Indices used were 2017 Average Facility CMIs and Semi-Annual 2018 Average Medicaid CMIs. Estimated payments based on estimated FYE 2021 rate x 2017 adjusted Medicaid days.

Payment-to-Cost Ratios Nursing Facility Characteristics

Number of Nursing Facilities Number of Days and Beds Estimated Payments and Costs FYE 2018

Median Case Mix

Indices

Number

of

Nursing

Facilities Median

Weighted

Average

For Profit / Non

Profit

MSA / Non

MSA Total Nursing Facility Medicaid Total Rate

for SFY

2021

(Median)

Total Cost Per

Day Adj. for

Facility CMI=1.0

(Median) Estimated Payments

Avg CY

2017 Total

Facility CMI







2.4350

2.4310

2.3730

2.3610

2.3970

2.0980

2.0540

2.3830

Nursing Facility Characteristics

Median Case Mix

Indices

April 2017 -

September

2017

Medicaid

CMI







Medicaid

%


Ownership

Type County Peer

Total

Rate SFY

2021

Total

Cost Per

Day Adj.

for

Facility

CMI=1.0

Total Cost

Per Day

Adj. for

Medicaid

CMI

Rate in

Excess

of Cost

Payment-

to-Cost

Ratio

2017

Adjusted

Medicaid

Days

Estimated

Payments

Estimated

Costs

Payments In

Excess of Cost

Payment-

to-Cost

Ratio

2017

Adjusted

Total Days

2017

Adjusted

Total

Beds

Days in

Cost

Report

Time

Period

2017

Adjusted

Available

Days Occupancy

Medicaid

Percentag

e

Avg CY

2017 Total

Facility

CMI

April 2017 -

September

2017

Medicaid

CMI



13100 4114377 GARDEN VILLAGE Non-Profit Yakima MSA 215.74 98.52 179.24 36.50 120.4% 32,832 7,083,176 5,884,808 1,198,368 120.4% 35,807 101 365 36,865 97.1% 91.7% 2.3570 2.3140

19400 4115251 Tekoa Care Center Profit Whitman NON MSA 242.71 133.45 203.08 39.63 119.5% 18,485 4,486,494 3,753,934 732,560 119.5% 19,793 65 365 23,725 83.4% 93.4% 2.3620 2.3860

25300 4113668 EMERALD CARE Non-Profit Yakima MSA 250.34 124.63 212.13 38.21 118.0% 21,451 5,370,043 4,550,401 819,642 118.0% 25,162 82 365 29,930 84.1% 85.3% 2.3670 2.2980

39950 4115041 COLUMBIA CREST CENTER Profit Grant NON MSA 233.18 125.09 200.50 32.68 116.3% 17,654 4,116,560 3,539,627 576,933 116.3% 26,266 111 365 40,515 64.8% 67.2% 2.5180 2.3510

10800 4115061 LAKE RIDGE CENTER Profit Grant NON MSA 230.30 120.50 198.41 31.89 116.1% 21,511 4,953,983 4,267,998 685,985 116.1% 24,729 74 365 27,010 91.6% 87.0% 2.3560 2.3120

21500 4112256 FRONTIER REHABILITATION AND EXTENDED CARE FACILITY Profit Cowlitz MSA 239.17 128.17 208.18 30.99 114.9% 19,978 4,778,138 4,159,020 619,118 114.9% 35,710 140 365 51,100 69.9% 55.9% 2.8330 2.4350

24300 4113536 DISCOVERY NURSING & REHAB OF VANCOUVER Profit Clark MSA 251.24 146.50 219.70 31.54 114.4% 18,718 4,702,710 4,112,345 590,365 114.4% 25,740 89 365 32,485 79.2% 72.7% 2.3060 2.0500

35030 4113080 HEARTWOOD EXTENDED HEALTH CARE Profit Pierce MSA 261.64 129.31 229.21 32.43 114.2% 20,377 5,331,438 4,670,612 660,826 114.2% 34,171 120 365 43,800 78.0% 59.6% 2.6750 2.5800

40990 4114468 MANORCARE HEALTH SERVICES - SALMON CREEK Profit Clark MSA 260.09 136.99 229.15 30.94 113.5% 13,940 3,625,655 3,194,351 431,304 113.5% 41,166 120 365 43,800 94.0% 33.9% 3.0910 2.7090

40350 4113973 ALASKA GARDENS HEALTH AND REHABILITATION CENTER Profit Pierce MSA 263.61 146.52 233.87 29.74 112.7% 24,455 6,446,583 5,719,291 727,292 112.7% 39,156 123 365 44,895 87.2% 62.5% 2.6440 2.3590

6600 4111662 SUNRISE VIEW CONVALESCENT CENTER Profit Snohomish MSA 268.83 119.19 240.12 28.71 112.0% 11,056 2,972,184 2,654,767 317,417 112.0% 16,339 59 365 21,535 75.9% 67.7% 2.8640 2.9650

5600 4114770 PACIFIC CARE AND REHABILITATION Profit Grays Harbor NON MSA 265.70 144.03 237.98 27.72 111.7% 13,090 3,478,013 3,115,158 362,855 111.7% 23,559 109 365 39,785 59.2% 55.6% 2.8210 2.5420

40470 4115081 Avamere Rehabilitation of Cascade Park Profit Clark MSA 280.26 146.98 251.59 28.67 111.4% 12,816 3,591,812 3,224,377 367,435 111.4% 28,269 88 365 32,120 88.0% 45.3% 3.0250 2.7160

20000 4114543 PRESTIGE CARE & REHABILITATION - SUNNYSIDE Profit Yakima MSA 260.81 135.84 234.69 26.12 111.1% 15,823 4,126,797 3,713,500 413,297 111.1% 26,001 80 365 29,200 89.0% 60.9% 2.8480 2.6850

40910 4114527 RICHLAND REHABILITATION CENTER Profit Benton MSA 277.34 134.73 251.35 25.99 110.3% 2,073 574,926 521,049 53,877 110.3% 24,516 71 365 25,915 94.6% 8.5% 3.3440 3.1100

10200 4113916 CRESCENT HEALTH CARE, INC. Profit Yakima MSA 234.92 130.61 213.23 21.69 110.2% 18,308 4,300,915 3,903,815 397,100 110.2% 25,033 85 365 31,025 80.7% 73.1% 2.7060 2.5500

17600 4114500 PRESTIGE CARE & REHABILITATION - CAMAS Profit Clark MSA 241.85 146.18 220.16 21.69 109.9% 12,122 2,931,706 2,668,780 262,926 109.9% 25,386 83 365 30,295 83.8% 47.8% 2.6620 2.1580

40160 4113452 SULLIVAN PARK CARE CENTER Profit Spokane MSA 216.32 120.67 197.45 18.87 109.6% 23,170 5,012,134 4,574,917 437,217 109.6% 43,156 125 365 45,625 94.6% 53.7% 2.6470 2.1680

3500 4114229 GOOD SAMARITAN HEALTH CARE CENTER Profit Yakima MSA 251.38 135.67 229.91 21.47 109.3% 17,736 4,458,476 4,077,684 380,792 109.3% 34,202 105 365 38,325 89.2% 51.9% 2.8310 2.6010

26010 4113684 COTTESMORE OF LIFE CARE Profit Pierce MSA 258.07 137.61 236.79 21.28 109.0% 13,789 3,558,527 3,265,097 293,430 109.0% 31,738 108 365 39,420 80.5% 43.4% 2.9200 2.5480

25000 4167706 Cashmere Care Center Profit Chelan MSA 212.11 136.07 195.37 16.74 108.6% 16,531 3,506,390 3,229,661 276,729 108.6% 20,010 65 365 23,725 84.3% 82.6% 1.9900 1.9210

15900 4154506 DELTA REHABILITATION CENTER, INC Profit Snohomish MSA 210.52 114.34 194.01 16.51 108.5% 38,218 8,045,653 7,414,674 630,979 108.5% 39,372 125 365 45,625 86.3% 97.1% 2.0370 2.0350

12400 4114637 MOUNTAIN VIEW REHABILITATION AND CARE CENTER Profit Snohomish MSA 254.14 150.34 234.62 19.52 108.3% 15,711 3,992,794 3,686,115 306,679 108.3% 26,240 82 365 29,930 87.7% 59.9% 2.7040 2.3430

15100 4114629 REDMOND CARE AND REHABILITATION CENTER Profit King MSA 231.41 121.89 213.80 17.61 108.2% 19,753 4,571,042 4,223,191 347,851 108.2% 31,372 139 365 50,735 61.8% 63.0% 2.6020 2.3780

11700 4112660 ENUMCLAW HEALTH AND REHABILITATION CENTER Profit King MSA 246.81 151.19 228.14 18.67 108.2% 15,277 3,770,516 3,485,295 285,221 108.2% 25,659 92 365 33,580 76.4% 59.5% 2.6200 2.2040

40960 4114344 PUYALLUP NURSING AND REHABILITATION CENTER Profit Pierce MSA 277.90 153.93 256.92 20.98 108.2% 16,866 4,687,061 4,333,213 353,848 108.2% 31,686 96 365 35,040 90.4% 53.2% 2.8960 2.5610

29010 4114112 MANOR CARE HEALTH SERVICES (SPOKANE) Profit Spokane MSA 254.98 147.00 237.41 17.57 107.4% 17,969 4,581,736 4,266,020 315,716 107.4% 34,314 125 365 45,625 75.2% 52.4% 2.8180 2.4550

22200 4113544 TOPPENISH NURSING & REHAB CENTER Profit Yakima MSA 236.82 142.44 221.14 15.68 107.1% 19,051 4,511,658 4,212,938 298,720 107.1% 23,252 75 365 27,375 84.9% 81.9% 2.3250 2.2220

40490 4115051 EVERETT CENTER Profit Snohomish MSA 292.55 136.93 275.77 16.78 106.1% 20,328 5,946,956 5,605,853 341,103 106.1% 30,359 100 365 36,500 83.2% 67.0% 3.5700 3.4910

17900 4157509 STAFFORD HEALTHCARE AT BELMONT Profit Kitsap MSA 280.13 147.27 264.58 15.55 105.9% 21,599 6,050,528 5,714,663 335,865 105.9% 33,889 102 365 37,230 91.0% 63.7% 2.9800 2.8510

23900 4114594 QUEEN ANNE HEALTHCARE Profit King MSA 251.55 156.12 237.60 13.95 105.9% 28,791 7,242,376 6,840,742 401,634 105.9% 39,346 120 365 43,800 89.8% 73.2% 2.3310 2.1720

18500 4172904 ROO-LAN HEALTHCARE CENTER Profit Thurston MSA 203.10 109.46 191.88 11.22 105.9% 20,153 4,093,074 3,866,958 226,116 105.9% 27,899 96 365 35,040 79.6% 72.2% 2.3350 2.2840

16100 4114039 AVAMERE HERITAGE REHABILITATION OF TACOMA Profit Pierce MSA 258.78 150.50 244.48 14.30 105.9% 14,263 3,690,979 3,487,018 203,961 105.9% 23,757 89 365 32,485 73.1% 60.0% 2.4680 2.3930

40020 4110490 BETHANY AT SILVER LAKE Non-Profit Snohomish MSA 283.61 155.37 268.38 15.23 105.7% 27,327 7,750,210 7,334,020 416,190 105.7% 37,953 120 365 43,800 86.7% 72.0% 2.8140 2.6720

40170 4114712 ROYAL PARK HEALTH AND REHABILITATION Profit Spokane MSA 228.63 122.55 216.36 12.27 105.7% 34,831 7,963,412 7,536,035 427,377 105.7% 57,789 164 365 59,860 96.5% 60.3% 2.6650 2.4980

40410 4113460 RICHMOND BEACH REHAB Profit King MSA 262.26 156.58 249.30 12.96 105.2% 31,904 8,367,143 7,953,667 413,476 105.2% 43,171 140 365 51,100 84.5% 73.9% 2.4740 2.3600

35040 4110946 CAREAGE OF WHIDBEY Profit Island MSA 242.92 136.18 231.40 11.52 105.0% 14,553 3,535,215 3,367,564 167,651 105.0% 25,234 112 365 40,880 61.7% 57.7% 3.0170 2.8810

40740 4112900 BETHANY AT PACIFIC Non-Profit Snohomish MSA 275.73 134.53 263.36 12.37 104.7% 24,878 6,859,611 6,551,870 307,741 104.7% 36,669 111 365 40,515 90.5% 67.8% 3.0050 2.9030

14100 4112231 AMERICANA HEALTH AND REHABILITATION CENTER Profit Cowlitz MSA 223.37 133.00 213.37 10.00 104.7% 15,975 3,568,336 3,408,586 159,750 104.7% 21,062 74 365 27,010 78.0% 75.8% 2.4110 2.3630

12900 4114737 ALDERWOOD PARK HEALTH AND REHABILITATION Profit Whatcom MSA 234.05 138.79 223.94 10.11 104.5% 23,341 5,462,961 5,226,984 235,977 104.5% 30,290 102 365 37,230 81.4% 77.1% 2.4180 2.3830

21400 4174900 WOODLAND CONVALESCENT CENTER Profit Clark MSA 236.82 138.21 226.67 10.15 104.5% 14,494 3,432,469 3,285,355 147,114 104.5% 18,735 62 365 22,630 82.8% 77.4% 2.6140 2.5950

40760 4113486 NORTH CASCADES HEALTH AND REHABILITATION CENTER Profit Whatcom MSA 239.24 150.95 229.16 10.08 104.4% 20,964 5,015,427 4,804,110 211,317 104.4% 32,544 122 365 44,530 73.1% 64.4% 2.5040 2.2410

40640 4114328 REGENCY AT NORTHPOINTE Profit Spokane MSA 261.39 142.79 250.53 10.86 104.3% 24,294 6,350,209 6,086,376 263,833 104.3% 36,829 120 365 43,800 84.1% 66.0% 3.0680 2.9450

12100 4114393 BOTHELL HEALTH CARE Profit Snohomish MSA 280.66 150.37 269.62 11.04 104.1% 16,401 4,603,105 4,422,038 181,067 104.1% 30,940 99 365 36,135 85.6% 53.0% 2.8880 2.6860

40510 4113585 AVALON CARE CENTER AT NORTHPOINTE Profit Spokane MSA 248.39 148.52 238.92 9.47 104.0% 23,836 5,920,624 5,694,897 225,727 104.0% 38,271 119 365 43,435 88.1% 62.3% 2.7170 2.5190

29900 4173209 CHENEY CARE CENTER Non-Profit Spokane MSA 262.53 121.99 252.60 9.93 103.9% 12,452 3,269,024 3,145,375 123,649 103.9% 17,922 54 365 19,710 90.9% 69.5% 3.0930 3.0990

10300 4113924 WILLOW SPRINGS CARE AND REHABILITATION Profit Yakima MSA 243.38 145.25 234.39 8.99 103.8% 14,028 3,414,135 3,288,023 126,112 103.8% 24,309 75 365 27,375 88.8% 57.7% 2.5980 2.3830


4500 4112694 CANTERBURY HOUSE Profit King MSA 235.23 142.59 226.71 8.52 103.8% 18,280 4,300,004 4,144,259 155,745 103.8% 32,057 100 365 36,500 87.8% 57.0% 2.5110 2.3150

8900 4113940 WASHINGTON CENTER FOR COMPREHENSIVE REHABILITATION Non-Profit King MSA 228.08 128.91 220.23 7.85 103.6% 36,844 8,403,380 8,114,154 289,226 103.6% 53,759 165 365 60,225 89.3% 68.5% 2.3800 2.2680

25060 4115031 BALLARD CENTER Profit King MSA 234.47 126.90 226.73 7.74 103.4% 34,164 8,010,433 7,746,004 264,429 103.4% 42,782 142 365 51,830 82.5% 79.9% 2.4320 2.4310

14600 4113874 LIFE CARE CENTER OF PUYALLUP Profit Pierce MSA 251.57 157.66 243.28 8.29 103.4% 24,294 6,111,642 5,910,244 201,398 103.4% 33,861 102 365 37,230 91.0% 71.7% 2.5560 2.2320

34100 4114661 BEACON HILL REHABILITATION Profit Cowlitz MSA 233.37 145.51 226.25 7.12 103.2% 12,164 2,838,713 2,752,105 86,608 103.2% 19,900 67 365 24,455 81.4% 61.1% 2.7230 2.4400

6400 4112405 WHITMAN HEALTH AND REHABILITATION CENTER Profit Whitman NON MSA 254.79 158.51 247.24 7.55 103.1% 8,004 2,039,339 1,978,909 60,430 103.1% 13,791 55 365 20,075 68.7% 58.0% 2.7470 2.4880

40540 4112215 KIN ON HEALTH CARE CENTER Non-Profit King MSA 277.52 153.48 269.84 7.68 102.9% 29,703 8,243,177 8,015,058 228,119 102.9% 34,552 100 365 36,500 94.7% 86.0% 2.8750 2.8500

21800 4115621 Crestwood Health & Rehabilitation Center Profit Clallam NON MSA 237.21 147.07 231.18 6.03 102.6% 19,086 4,527,390 4,412,301 115,089 102.6% 31,721 101 365 36,865 86.0% 60.2% 2.6420 2.3930

10100 4114761 PARK MANOR REHABILITATION CENTER Profit Walla Walla NON MSA 236.34 147.18 230.86 5.48 102.4% 13,365 3,158,684 3,085,444 73,240 102.4% 25,576 99 365 36,135 70.8% 52.3% 2.7800 2.4210

40790 4113551 AVALON CARE CENTER - FEDERAL WAY, LLC Profit King MSA 253.58 151.14 247.79 5.79 102.3% 24,866 6,305,520 6,161,546 143,974 102.3% 37,933 120 365 43,800 86.6% 65.6% 2.7270 2.6410

17800 4115111 Olympia Transitional Care and Rehabilitation Profit Thurston MSA 247.37 150.11 242.27 5.10 102.1% 24,837 6,143,929 6,017,260 126,669 102.1% 33,332 135 365 49,275 67.6% 74.5% 2.6850 2.5430

12700 4115541 Renton Nursing and Rehabilitation Center Profit King MSA 270.44 157.07 265.05 5.39 102.0% 22,160 5,992,950 5,873,508 119,442 102.0% 31,106 99 365 36,135 86.1% 71.2% 2.5420 2.4200

18400 4113882 LIFE CARE CENTER OF SKAGIT VALLEY Profit Skagit MSA 243.06 153.09 238.32 4.74 102.0% 24,216 5,885,941 5,771,157 114,784 102.0% 33,353 150 365 54,750 60.9% 72.6% 2.5490 2.2840

39930 4114096 MANOR CARE HEALTH SERVICES (LYNNWOOD) Profit Snohomish MSA 268.27 164.47 263.05 5.22 102.0% 20,675 5,546,482 5,438,559 107,923 102.0% 36,453 113 365 41,245 88.4% 56.7% 2.6880 2.3820

19900 4113627 AVALON HEALTH & REHABILITATION CENTER - PASCO Profit Franklin MSA 243.56 148.73 239.26 4.30 101.8% 16,314 3,973,438 3,903,288 70,150 101.8% 28,261 108 365 39,420 71.7% 57.7% 2.6970 2.4290

17200 4115311 Orchard Park Health Care & Rehabilitation Center Profit Pierce MSA 261.49 164.88 256.98 4.51 101.8% 25,184 6,585,364 6,471,784 113,580 101.8% 44,040 147 365 53,655 82.1% 57.2% 2.6170 2.3650

1200 4104808 COLUMBIA LUTHERAN HOME Non-Profit King MSA 301.12 154.01 295.94 5.18 101.8% 19,965 6,011,861 5,908,442 103,419 101.8% 36,890 116 365 42,340 87.1% 54.1% 2.9800 2.8950

40780 4113221 CHRISTIAN HEALTH CARE CENTER Non-Profit Whatcom MSA 272.57 151.17 268.18 4.39 101.6% 29,666 8,086,062 7,955,828 130,234 101.6% 48,072 142 365 51,830 92.7% 61.7% 2.8490 2.8270

35090 4110763 HALLMARK MANOR Profit King MSA 257.58 164.26 254.22 3.36 101.3% 30,083 7,748,779 7,647,700 101,079 101.3% 37,528 147 365 53,655 69.9% 80.2% 2.4100 2.2690

13300 4115261 SHORELINE HEALTH AND REHABILITATION Profit King MSA 254.29 163.46 251.06 3.23 101.3% 19,277 4,901,948 4,839,684 62,264 101.3% 31,768 114 365 41,610 76.3% 60.7% 2.6820 2.4570

35900 4112280 SEATTLE MEDICAL POST ACUTE CARE Profit King MSA 307.07 153.48 303.89 3.18 101.1% 25,013 7,680,742 7,601,201 79,541 101.1% 31,953 103 365 37,595 85.0% 78.3% 3.6340 3.6100

40700 4113247 SHELTON HEALTH AND REHABILITATION CENTER Profit Mason MSA 240.88 155.55 239.01 1.87 100.8% 15,174 3,655,113 3,626,738 28,375 100.8% 23,438 76 365 27,740 84.5% 64.7% 2.3840 2.1560

19100 4114195 LIFE CARE CENTER OF KIRKLAND Profit King MSA 241.54 154.96 239.67 1.87 100.8% 22,969 5,547,932 5,504,980 42,952 100.8% 41,711 190 365 69,350 60.1% 55.1% 2.6780 2.1830

5000 4113981 ST FRANCIS OF BELLINGHAM Profit Whatcom MSA 244.31 149.11 242.92 1.39 100.6% 23,047 5,630,613 5,598,577 32,036 100.6% 36,099 120 365 43,800 82.4% 63.8% 2.5870 2.4520

23200 4111449 North Central Care Center Profit Spokane MSA 246.43 144.68 245.22 1.21 100.5% 22,652 5,582,132 5,554,723 27,409 100.5% 32,936 99 365 36,135 91.1% 68.8% 2.5690 2.5330

15700 4115391 Regency Wenatchee Rehabilitation and Nursing Center Profit Chelan MSA 232.80 155.58 231.85 0.95 100.4% 10,249 2,385,967 2,376,231 9,736 100.4% 17,835 55 365 20,075 88.8% 57.5% 2.5660 2.2180

8700 4113643 STAFFORD HEALTHCARE Profit King MSA 298.85 159.78 297.78 1.07 100.4% 20,912 6,249,551 6,227,175 22,376 100.4% 37,896 165 365 60,225 62.9% 55.2% 3.0710 2.8380

35400 4113635 BENSON HEIGHTS REHABILITATION CENTER Profit King MSA 246.63 156.54 245.74 0.89 100.4% 28,938 7,136,979 7,111,224 25,755 100.4% 31,428 91 365 33,215 94.6% 92.1% 2.2400 2.2520

2300 4114302 Josephine Caring Community Non-Profit Snohomish MSA 278.37 133.36 277.70 0.67 100.2% 35,143 9,782,757 9,759,211 23,546 100.2% 51,537 160 365 58,400 88.2% 68.2% 3.2380 3.1790








Medicaid

%


Ownership

Type County Peer

Total

Rate SFY

2021

Total

Cost Per

Day Adj.

for

Facility

CMI=1.0

Total Cost

Per Day

Adj. for

Medicaid

CMI

Rate in

Excess

of Cost

Payment-

to-Cost

Ratio

2017

Adjusted

Medicaid

Days

Estimated

Payments

Estimated

Costs

Payments In

Excess of Cost

Payment-

to-Cost

Ratio

2017

Adjusted

Total Days

2017

Adjusted

Total

Beds

Days in

Cost

Report

Time

Period

2017

Adjusted

Available

Days Occupancy

Medicaid

Percentag

e

Avg CY

2017 Total

Facility

CMI

April 2017 -

September

2017

Medicaid

CMI



17400 4113775 TACOMA NURSING AND REHABILITATION CENTER Profit Pierce MSA 235.18 160.24 234.62 0.56 100.2% 27,834 6,546,000 6,530,413 15,587 100.2% 36,027 150 365 54,750 65.8% 77.3% 2.1640 2.0140

40590 4115301 MONTESANO HEALTH & REHABILITATION Profit Grays Harbor NON MSA 253.84 156.41 253.27 0.57 100.2% 14,481 3,675,857 3,667,603 8,254 100.2% 26,954 94 365 34,310 78.6% 53.7% 2.9090 2.7520

40660 4115371 Regency Canyon Lakes Rehabilitation and Nursing Center Profit Benton MSA 266.33 147.50 265.81 0.52 100.2% 6,832 1,819,567 1,816,014 3,553 100.2% 17,736 53 365 19,345 91.7% 38.5% 3.0850 2.9730

19300 4114602 AVAMERE BELLINGHAM HEALTH CARE & REHABILITATION Profit Whatcom MSA 246.81 152.76 246.34 0.47 100.2% 17,421 4,299,677 4,291,489 8,188 100.2% 22,073 84 365 30,660 72.0% 78.9% 2.5460 2.4430

1600 4114696 Prestige Post-Acute and Rehab Center - Centralia Profit Lewis NON MSA 240.94 147.44 240.67 0.27 100.1% 21,478 5,174,909 5,169,110 5,799 100.1% 35,846 128 365 46,720 76.7% 59.9% 2.5910 2.3450

41030 4114796 REGENCY OMAK Profit Okanogan NON MSA 240.71 157.71 240.60 0.11 100.1% 11,361 2,734,706 2,733,457 1,249 100.1% 17,025 56 365 20,440 83.3% 66.7% 2.4460 2.2290

4400 4114551 PRESTIGE CARE & REHABILITATION - CLARKSTON Profit Asotin MSA 241.23 157.40 241.34 (0.11) 100.0% 15,702 3,787,793 3,789,521 (1,728) 100.0% 25,221 90 365 32,850 76.8% 62.3% 2.4790 2.1800

18700 4158804 STAFFORD HEALTHCARE AT RIDGEMONT Profit Kitsap MSA 285.22 154.44 285.43 (0.21) 99.9% 18,368 5,238,921 5,242,778 (3,857) 99.9% 30,675 96 365 35,040 87.5% 59.9% 3.0420 2.9550

40930 4115631 Sequim Health & Rehabilitation Center Profit Clallam NON MSA 273.61 164.74 273.84 (0.23) 99.9% 13,615 3,725,200 3,728,332 (3,132) 99.9% 33,857 100 365 36,500 92.8% 40.2% 3.1690 2.7810

35010 4114670 RAINIER REHABILITATION Profit Pierce MSA 284.61 151.08 285.26 (0.65) 99.8% 23,861 6,791,079 6,806,589 (15,510) 99.8% 35,753 117 365 42,705 83.7% 66.7% 3.3610 3.3540

5700 4135109 WASHINGTON ODD FELLOWS HOME Non-Profit Walla Walla NON MSA 212.17 120.39 212.74 (0.57) 99.7% 19,834 4,208,180 4,219,485 (11,305) 99.7% 35,299 117 365 42,705 82.7% 56.2% 2.6090 2.4950

9900 4114153 Burien Nursing and Rehabilitation Center Profit King MSA 285.34 167.96 286.50 (1.16) 99.6% 23,096 6,590,213 6,617,004 (26,791) 99.6% 38,194 140 365 51,100 74.7% 60.5% 2.9360 2.7710

41020 4114484 MANORCARE HEALTH SERVICES - LACEY Profit Thurston MSA 238.07 151.68 239.33 (1.26) 99.5% 20,467 4,872,579 4,898,367 (25,788) 99.5% 38,915 120 365 43,800 88.8% 52.6% 2.7710 2.4170

8500 4115341 Marysville Care Center Profit Snohomish MSA 251.57 160.57 252.96 (1.39) 99.5% 20,078 5,051,022 5,078,931 (27,909) 99.5% 31,342 97 365 35,405 88.5% 64.1% 2.6460 2.3050

40370 4115291 LINDEN GROVE HEALTH CARE CENTER Profit Pierce MSA 252.97 161.95 254.44 (1.47) 99.4% 22,496 5,690,813 5,723,882 (33,069) 99.4% 35,653 130 365 47,450 75.1% 63.1% 2.4920 2.3600

24600 4114245 PARK ROSE CARE CENTER Profit Pierce MSA 289.86 156.28 292.61 (2.75) 99.1% 23,533 6,821,275 6,885,991 (64,716) 99.1% 35,238 139 365 50,735 69.5% 66.8% 3.6870 3.5580

40920 4114252 REGENCY CARE CENTER AT MONROE Profit Snohomish MSA 248.62 161.38 251.11 (2.49) 99.0% 16,284 4,048,528 4,089,075 (40,547) 99.0% 28,472 92 365 33,580 84.8% 57.2% 2.5090 2.2450

100 4113239 SAINT ANNE NURSING AND REHABILITATION CENTER Profit King MSA 289.22 165.01 292.22 (3.00) 99.0% 10,827 3,131,385 3,163,866 (32,481) 99.0% 13,762 47 365 17,155 80.2% 78.7% 2.9750 2.9630


17000 4114578 PRESTIGE CARE & REHABILITATION - PINEWOOD TERRACE Profit Stevens NON MSA 235.60 149.15 238.22 (2.62) 98.9% 15,519 3,656,276 3,696,936 (40,660) 98.9% 24,649 92 365 33,580 73.4% 63.0% 2.4030 2.2700

15500 4115411 Colonial Vista Post Acute & Rehabilitation Center Profit Chelan MSA 211.58 129.42 214.07 (2.49) 98.8% 17,918 3,791,090 3,835,706 (44,616) 98.8% 28,107 100 365 36,500 77.0% 63.7% 2.4380 2.1960

40040 4114088 MANOR CARE HEALTH SERVICES (GIG HARBOR) Profit Pierce MSA 242.18 155.60 245.20 (3.02) 98.8% 23,684 5,735,791 5,807,317 (71,526) 98.8% 32,461 120 365 43,800 74.1% 73.0% 2.5900 2.4010

24400 4115601 Forest Ridge Health & Rehabilitation Center Profit Kitsap MSA 230.47 150.03 234.81 (4.34) 98.2% 25,662 5,914,321 6,025,694 (111,373) 98.2% 32,477 98 365 35,770 90.8% 79.0% 2.3280 2.3010

18900 4113825 WESLEY HOMES HEALTH CENTER Profit King MSA 283.11 150.45 288.84 (5.73) 98.0% 26,056 7,376,714 7,526,015 (149,301) 98.0% 47,550 148 365 54,020 88.0% 54.8% 2.9470 2.8580

31570 4114104 MANOR CARE HEALTH SERVICES (TACOMA) Profit Pierce MSA 276.68 164.36 282.77 (6.09) 97.9% 15,913 4,402,809 4,499,719 (96,910) 97.9% 35,195 124 365 45,260 77.8% 45.2% 2.9700 2.7740

3300 4114586 PRESTIGE CARE & REHABILITATION - PARKSIDE Profit Yakima MSA 227.39 151.00 232.80 (5.41) 97.7% 16,700 3,797,413 3,887,760 (90,347) 97.7% 21,173 88 365 32,120 65.9% 78.9% 2.2430 2.1190

40750 4113726 LANDMARK CARE AND REHABILITATION Profit Yakima MSA 250.73 153.44 256.76 (6.03) 97.7% 14,035 3,518,996 3,603,627 (84,631) 97.7% 28,842 93 365 33,945 85.0% 48.7% 2.9480 2.6140

40670 4115021 Buena Vista Healthcare Profit Stevens NON MSA 234.33 145.93 240.10 (5.77) 97.6% 5,330 1,248,979 1,279,733 (30,754) 97.6% 13,871 40 365 14,600 95.0% 38.4% 2.6280 2.4090

40580 4113650 MISSION HEALTHCARE AT BELLEVUE Non-Profit King MSA 313.63 171.26 321.41 (7.78) 97.6% 15,910 4,989,853 5,113,633 (123,780) 97.6% 33,965 129 365 47,085 72.1% 46.8% 3.2690 3.2250

6100 4112165 MARTHA & MARY HEALTH SERVICES Non-Profit Kitsap MSA 250.32 141.92 256.80 (6.48) 97.5% 40,644 10,174,006 10,437,379 (263,373) 97.5% 59,282 190 365 69,350 85.5% 68.6% 2.7830 2.6740

5100 4113361 PARK ROYAL HEALTH AND REHABILITATION CENTER Profit Cowlitz MSA 216.53 147.96 222.12 (5.59) 97.5% 12,707 2,751,447 2,822,479 (71,032) 97.5% 14,128 50 365 18,250 77.4% 89.9% 2.0850 2.0750

28000 4114054 Avamere at Pacific Ridge Profit Pierce MSA 244.96 156.78 252.00 (7.04) 97.2% 28,766 7,046,519 7,249,032 (202,513) 97.2% 34,753 102 365 37,230 93.3% 82.8% 2.2660 2.2410

18800 4113346 ARLINGTON HEALTH AND REHABILITATION Profit Snohomish MSA 272.80 171.79 282.72 (9.92) 96.5% 10,581 2,886,497 2,991,460 (104,963) 96.5% 17,252 76 365 27,740 62.2% 61.3% 2.5370 2.4430

5500 4113528 Park West Care Center Profit King MSA 267.49 169.63 277.25 (9.76) 96.5% 23,691 6,337,106 6,568,330 (231,224) 96.5% 38,921 137 365 50,005 77.8% 60.9% 2.6550 2.4790

35330 4115241 MIRA VISTA CARE CENTER Profit Skagit MSA 236.51 161.73 245.38 (8.87) 96.4% 13,138 3,107,268 3,223,802 (116,534) 96.4% 28,950 94 365 34,310 84.4% 45.4% 2.8390 2.4100

20900 4114187 LIFE CARE CENTER OF PORT ORCHARD Profit Kitsap MSA 236.78 158.16 246.48 (9.70) 96.1% 24,680 5,843,730 6,083,126 (239,396) 96.1% 35,632 125 365 45,625 78.1% 69.3% 2.4210 2.2200

33200 4111027 ALDERWOOD MANOR Profit Spokane MSA 254.41 164.12 265.23 (10.82) 95.9% 16,415 4,176,140 4,353,750 (177,610) 95.9% 24,917 85 365 31,025 80.3% 65.9% 2.7100 2.5150

11300 4115401 Paramount Rehabilitation and Nursing Non-Profit King MSA 255.62 168.01 266.60 (10.98) 95.9% 29,839 7,627,445 7,955,077 (327,632) 95.9% 35,908 165 365 60,225 59.6% 83.1% 2.5580 2.5620

35050 4114745 SNOHOMISH HEALTH AND REHABILITATION Profit Snohomish MSA 232.99 161.49 243.34 (10.35) 95.8% 18,593 4,331,983 4,524,421 (192,438) 95.8% 25,186 91 365 33,215 75.8% 73.8% 2.2360 2.1060

39980 4115681 The Oaks at Lakewood Profit Pierce MSA 251.57 173.20 263.07 (11.50) 95.6% 15,020 3,778,581 3,951,311 (172,730) 95.6% 22,695 80 365 29,200 77.7% 66.2% 2.5190 2.3120

16500 4111076 LIFE CARE CENTER OF FEDERAL WAY Profit King MSA 247.49 167.61 260.50 (13.01) 95.0% 22,750 5,630,398 5,926,375 (295,977) 95.0% 30,685 157 365 57,305 53.5% 74.1% 2.4570 2.2690

40270 4113338 MT BAKER CARE CENTER Profit Whatcom MSA 248.99 136.68 264.27 (15.28) 94.2% 7,538 1,876,887 1,992,067 (115,180) 94.2% 19,768 70 365 25,550 77.4% 38.1% 2.8710 2.6980

23300 4115101 Bainbridge Island Health and Rehabilitation Center Profit Kitsap MSA 237.12 157.60 253.12 (16.00) 93.7% 14,333 3,398,641 3,627,969 (229,328) 93.7% 18,875 69 365 25,185 74.9% 75.9% 2.5570 2.4130

32400 4115441 Advanced Post Acute Profit King MSA 258.81 184.44 277.06 (18.25) 93.4% 11,923 3,085,792 3,303,386 (217,594) 93.4% 16,043 96 306 29,376 54.6% 74.3% 2.5720 2.3350

40250 4115531 University Place Rehabilitation Center Profit Pierce MSA 266.48 175.98 285.47 (18.99) 93.4% 15,479 4,124,844 4,418,790 (293,946) 93.4% 24,693 120 365 43,800 56.4% 62.7% 2.6670 2.3730

17500 4113114 Talbot Center for Rehabilitation and Healthcare Profit King MSA 241.53 167.52 260.23 (18.70) 92.8% 21,147 5,107,635 5,503,084 (395,449) 92.8% 32,020 136 365 49,640 64.5% 66.0% 2.4640 2.2370

26060 4113510 Park Ridge Care Center Profit King MSA 270.75 165.33 292.38 (21.63) 92.6% 23,701 6,417,046 6,929,698 (512,652) 92.6% 37,927 115 365 41,975 90.4% 62.5% 2.7860 2.7210

10500 4114070 Issaquah Nursing and Rehabilitation Center Profit King MSA 261.63 174.20 283.55 (21.92) 92.3% 20,100 5,258,763 5,699,355 (440,592) 92.3% 38,214 140 365 51,100 74.8% 52.6% 2.8680 2.5050

18300 4114688 PRESTIGE POST-ACUTE AND REHAB CENTER - KITTITAS Profit Kittitas NON MSA 228.05 157.25 247.67 (19.62) 92.1% 13,516 3,082,324 3,347,508 (265,184) 92.1% 21,520 74 365 27,010 79.7% 62.8% 2.4780 2.2470

20500 4113833 LIFE CARE CENTER OF RICHLAND Profit Benton MSA 254.79 160.26 277.26 (22.47) 91.9% 9,286 2,365,980 2,574,636 (208,656) 91.9% 19,554 104 365 37,960 51.5% 47.5% 2.8330 2.6510

6000 4135901 SUMMITVIEW HEALTHCARE CENTER Non-Profit Yakima MSA 225.01 125.44 245.73 (20.72) 91.6% 13,620 3,064,636 3,346,843 (282,207) 91.6% 23,833 78 365 28,470 83.7% 57.1% 2.7050 2.6940

9100 4113569 GRAYS HARBOR HEALTH & REHABILITATION CENTER Profit Grays Harbor NON MSA 261.63 183.27 286.02 (24.39) 91.5% 14,995 3,923,142 4,288,870 (365,728) 91.5% 20,812 105 365 38,325 54.3% 72.0% 2.5050 2.3180

2400 4115501 View Ridge Care Center Profit Snohomish MSA 274.63 173.34 301.08 (26.45) 91.2% 14,538 3,992,571 4,377,101 (384,530) 91.2% 20,400 70 365 25,550 79.8% 71.3% 2.7950 2.7640

18200 4115591 Riverside Nursing & Rehabilitation Center Profit Lewis NON MSA 227.04 163.19 250.54 (23.50) 90.6% 23,504 5,336,348 5,888,692 (552,344) 90.6% 29,028 91 365 33,215 87.4% 81.0% 2.2240 2.1650

24900 4115521 Brookfield Health and Rehabilitation of Cascadia Profit Clark MSA 231.20 167.06 256.39 (25.19) 90.2% 17,230 3,983,576 4,417,600 (434,024) 90.2% 20,686 83 365 30,295 68.3% 83.3% 2.1870 2.1060

33000 4114519 PRESTIGE CARE & REHABILITATION - BURLINGTON Profit Skagit MSA 226.91 162.00 251.61 (24.70) 90.2% 7,178 1,628,760 1,806,057 (177,297) 90.2% 10,884 49 365 17,885 60.9% 66.0% 2.5350 2.3460

7700 4141701 FOSS HOME AND VILLAGE Non-Profit King MSA 263.78 151.67 292.64 (28.86) 90.1% 34,026 8,975,378 9,957,369 (981,991) 90.1% 53,251 211 365 77,015 69.1% 63.9% 2.9130 2.8410

31300 4186706 MCKAY HEALTHCARE & REHAB CENTER Non-Profit Grant NON MSA 214.37 150.57 237.84 (23.47) 90.1% 10,643 2,281,540 2,531,331 (249,791) 90.1% 13,313 42 365 15,330 86.8% 79.9% 2.3210 2.1230

21300 4115571 Aldercrest Health & Rehabilitation Center Profit Snohomish MSA 257.75 173.51 288.18 (30.43) 89.4% 24,530 6,322,608 7,069,055 (746,447) 89.4% 33,704 128 365 46,720 72.1% 72.8% 2.6360 2.4990

13900 4115651 Franklin Hills Health & Rehabilitation Center Profit Spokane MSA 246.97 174.15 277.10 (30.13) 89.1% 22,874 5,649,192 6,338,385 (689,193) 89.1% 28,279 100 365 36,500 77.5% 80.9% 2.4640 2.3370

13800 4114729 HIGHLAND HEALTH AND REHABILITATION Profit Whatcom MSA 235.40 177.98 265.41 (30.01) 88.7% 9,284 2,185,454 2,464,066 (278,612) 88.7% 13,447 44 365 16,060 83.7% 69.0% 2.1990 2.1270

16800 4115361 Regency Harmony House Rehab and Nursing Center Profit Okanogan NON MSA 221.13 165.18 251.04 (29.91) 88.1% 14,861 3,286,213 3,730,705 (444,492) 88.1% 18,136 54 365 19,710 92.0% 81.9% 2.1610 2.1300

22600 4164505 WARM BEACH HEALTH CARE CENTER Non-Profit Snohomish MSA 261.94 178.91 297.86 (35.92) 87.9% 10,232 2,680,170 3,047,704 (367,534) 87.9% 16,693 59 365 21,535 77.5% 61.3% 2.6850 2.4950

19800 4113593 AVALON CARE CENTER - OTHELLO, LLC Profit Adams NON MSA 258.31 182.12 294.07 (35.76) 87.8% 5,196 1,342,179 1,527,988 (185,809) 87.8% 8,062 39 365 14,235 56.6% 64.5% 2.7120 2.6950

40710 4114336 REGENCY AT THE PARK Profit Walla Walla NON MSA 221.51 160.39 252.37 (30.86) 87.8% 15,897 3,521,344 4,011,926 (490,582) 87.8% 26,450 106 365 38,690 68.4% 60.1% 2.5880 2.3650

16400 4115641 Fir Lane Health & Rehabilitation Center Profit Mason MSA 233.66 177.88 266.49 (32.83) 87.7% 27,317 6,382,890 7,279,707 (896,817) 87.7% 31,731 135 365 49,275 64.4% 86.1% 2.2140 2.0930


9000 4115451 Shuksan Healthcare Center Profit Whatcom MSA 237.50 194.10 271.14 (33.64) 87.6% 7,264 1,725,200 1,969,561 (244,361) 87.6% 9,994 52 234 12,168 82.1% 72.7% 2.6650 2.0760

13700 4115581 Bremerton Convalescent & Rehabilitation Center Profit Kitsap MSA 246.51 176.03 281.44 (34.93) 87.6% 25,709 6,337,526 7,235,541 (898,015) 87.6% 34,274 125 365 45,625 75.1% 75.0% 2.4100 2.3060

16006 4115561 North Auburn Rehabilitation & Health Center Profit King MSA 241.49 182.90 277.43 (35.94) 87.1% 17,462 4,216,898 4,844,483 (627,585) 87.1% 25,654 125 365 45,625 56.2% 68.1% 2.3540 2.1890

33600 4115471 Selah Care and Rehabilitation Profit Yakima MSA 233.09 176.47 268.81 (35.72) 86.7% 7,671 1,788,033 2,062,042 (274,009) 86.7% 11,380 39 365 14,235 79.9% 67.4% 2.3620 2.1870

15200 4115661 The Gardens on University Profit Spokane MSA 236.61 169.86 275.52 (38.91) 85.9% 27,335 6,467,734 7,531,339 (1,063,605) 85.9% 35,888 124 365 45,260 79.3% 76.2% 2.4160 2.3110

20600 4114310 Regency North Bend Rehabilitation and Nursing Center Profit King MSA 242.63 178.93 282.87 (40.24) 85.8% 14,190 3,442,920 4,013,925 (571,005) 85.8% 18,491 64 365 23,360 79.2% 76.7% 2.2520 2.2040

21200 4113619 AVALON CARE CENTER - PULLMAN Profit Whitman NON MSA 255.68 196.72 298.30 (42.62) 85.7% 2,925 747,864 872,528 (124,664) 85.7% 7,938 48 365 17,520 45.3% 36.8% 2.7740 2.4500

25200 4167904 KEIRO NORTHWEST Non-Profit King MSA 243.52 160.43 284.21 (40.69) 85.7% 35,981 8,762,093 10,226,160 (1,464,067) 85.7% 48,967 150 365 54,750 89.4% 73.5% 2.4890 2.4290

31510 4115611 Puget Sound Healthcare Center Profit Thurston MSA 232.58 170.38 271.65 (39.07) 85.6% 23,243 5,405,857 6,313,961 (908,104) 85.6% 33,031 108 365 39,420 83.8% 70.4% 2.5210 2.3740

8300 4143301 GOOD SAMARITAN SOCIETY - SPOKANE VALLEY Non-Profit Spokane MSA 206.49 137.87 242.67 (36.18) 85.1% 20,451 4,222,927 4,962,844 (739,917) 85.1% 30,483 97 365 35,405 86.1% 67.1% 2.4200 2.2720

25100 4113577 WILLAPA HARBOR HEALTH & REHAB Profit Pacific NON MSA 277.05 183.46 326.95 (49.90) 84.7% 5,491 1,521,282 1,795,282 (274,000) 84.7% 11,952 60 365 21,900 54.6% 45.9% 3.0670 3.1150







Medicaid

%


Ownership

Type County Peer

Total

Rate SFY

2021

Total

Cost Per

Day Adj.

for

Facility

CMI=1.0

Total Cost

Per Day

Adj. for

Medicaid

CMI

Rate in

Excess

of Cost

Payment-

to-Cost

Ratio

2017

Adjusted

Medicaid

Days

Estimated

Payments

Estimated

Costs

Payments In

Excess of Cost

Payment-

to-Cost

Ratio

2017

Adjusted

Total Days

2017

Adjusted

Total

Beds

Days in

Cost

Report

Time

Period

2017

Adjusted

Available

Days Occupancy

Medicaid

Percentag

e

Avg CY

2017 Total

Facility

CMI

April 2017 -

September

2017

Medicaid

CMI



14900 4113718 FIDALGO CARE CENTER Profit Skagit MSA 250.87 180.54 298.14 (47.27) 84.2% 2,109 529,085 628,777 (99,692) 84.2% 11,608 44 365 16,060 72.3% 18.2% 3.2230 2.6810

11400 4113932 LIFE CARE CENTER OF MOUNT VERNON Profit Skagit MSA 220.15 166.39 262.15 (42.00) 84.0% 16,399 3,610,240 4,298,998 (688,758) 84.0% 23,558 121 365 44,165 53.3% 69.6% 2.5360 2.3610

12500 4115191 Vancouver Specialty and Rehabilitative Care Profit Clark MSA 287.94 197.79 346.32 (58.38) 83.1% 18,065 5,201,636 6,256,271 (1,054,635) 83.1% 22,253 104 365 37,960 58.6% 81.2% 2.8840 2.8510

19700 4160107 TACOMA LUTHERAN RETIREMENT COMMUNITY Non-Profit Pierce MSA 236.91 160.51 285.49 (48.58) 83.0% 23,857 5,651,962 6,810,935 (1,158,973) 83.0% 52,520 187 365 68,255 76.9% 45.4% 2.6340 2.4600

12600 4150702 PANORAMA CITY CONVALESCENT & REHAB CENTER Non-Profit Thurston MSA 246.35 157.87 297.64 (51.29) 82.8% 14,018 3,453,334 4,172,318 (718,984) 82.8% 46,201 155 365 56,575 81.7% 30.3% 2.8190 2.6780

26500 4113742 AVAMERE OLYMPIC REHABILITATION OF SEQUIM Profit Clallam NON MSA 210.56 174.67 258.09 (47.53) 81.6% 19,419 4,088,865 5,011,850 (922,985) 81.6% 24,415 125 365 45,625 53.5% 79.5% 2.1780 2.0720

23500 4165809 CAROLINE KLINE GALLAND HOME, THE Non-Profit King MSA 279.48 170.68 345.10 (65.62) 81.0% 31,192 8,717,540 10,764,359 (2,046,819) 81.0% 71,487 205 365 74,825 95.5% 43.6% 2.9870 2.9570

40130 4110664 STAFHOLT GOOD SAMARITAN CENTER Non-Profit Whatcom MSA 226.99 188.28 283.72 (56.73) 80.0% 11,681 2,651,470 3,314,133 (662,663) 80.0% 18,090 57 365 20,805 87.0% 64.6% 2.3120 2.1470

40620 4112454 EVERETT TRANSITIONAL CARE SERVICES Non-Profit Snohomish MSA 321.53 166.11 402.08 (80.55) 80.0% 56 18,006 22,516 (4,510) 80.0% 10,458 31 365 11,315 92.4% 0.5% 3.6260 3.6470

41111 4115281 Prestige Post-Acute and Rehab Center - Edmonds Profit Snohomish MSA 269.12 185.82 338.80 (69.68) 79.4% 2,927 787,714 991,668 (203,954) 79.4% 15,921 80 365 29,200 54.5% 18.4% 3.1780 2.9480

5900 4111969 LIFE CARE CENTER OF PORT TOWNSEND Profit Jefferson NON MSA 224.20 184.67 286.49 (62.29) 78.3% 11,977 2,685,243 3,431,291 (746,048) 78.3% 21,340 94 365 34,310 62.2% 56.1% 2.5410 2.3320

2600 4110508 SUNSHINE GARDENS Profit Spokane MSA 220.69 165.95 284.85 (64.16) 77.5% 11,733 2,589,356 3,342,145 (752,789) 77.5% 27,235 84 365 30,660 88.8% 43.1% 2.8440 2.5090

33700 4114237 Regency Olympia Rehabilitation And Nursing Center Profit Thurston MSA 231.82 179.90 299.43 (67.61) 77.4% 3,584 830,843 1,073,157 (242,314) 77.4% 8,742 28 365 10,220 85.5% 41.0% 2.7880 2.5300

20400 4113817 LIFE CARE CENTER OF KENNEWICK Profit Benton MSA 237.08 194.83 307.20 (70.12) 77.2% 13,729 3,254,871 4,217,549 (962,678) 77.2% 20,164 136 365 49,640 40.6% 68.1% 2.5730 2.3630

18100 4115691 The Oaks at Timberline Profit Clark MSA 232.84 223.86 307.60 (74.76) 75.7% 18,256 4,250,727 5,615,546 (1,364,819) 75.7% 20,893 98 365 35,770 58.4% 87.4% 2.0800 1.9800

15800 4154407 Riverview Lutheran Retirement Community of Spokane Non-Profit Spokane MSA 254.29 172.05 337.10 (82.81) 75.4% 7,851 1,996,431 2,646,572 (650,141) 75.4% 25,356 75 365 27,375 92.6% 31.0% 2.9760 2.9250

36600 4113049 SHARON CARE CENTER Profit Lewis NON MSA 237.39 161.32 316.19 (78.80) 75.1% 2,979 707,185 941,930 (234,745) 75.1% 12,707 42 365 15,330 82.9% 23.4% 3.1630 3.0290

40450 4111613 SEA MAR COMMUNITY CARE CENTER Non-Profit King MSA 222.53 196.58 297.16 (74.63) 74.9% 15,395 3,425,849 4,574,778 (1,148,929) 74.9% 15,743 48 365 17,520 89.9% 97.8% 2.0590 2.0350

9400 4146106 BAYVIEW MANOR Non-Profit King MSA 257.01 193.95 346.53 (89.52) 74.2% 3,789 973,811 1,313,002 (339,191) 74.2% 11,044 50 365 18,250 60.5% 34.3% 2.9560 2.6680

41112 4115511 Lea Hill Rehabilitation and Care Center Non-Profit King MSA 235.83 176.33 318.34 (82.51) 74.1% 1,531 361,056 487,379 (126,323) 74.1% 10,110 36 365 13,140 76.9% 15.1% 3.0580 2.6690

4100 4127403 CRISTWOOD NURSING AND REHABILITATION Non-Profit King MSA 236.44 202.44 331.43 (94.99) 71.3% 25,944 6,134,199 8,598,620 (2,464,421) 71.3% 45,895 168 365 61,320 74.8% 56.5% 2.5480 2.2210

14200 4152708 HEARTHSTONE, THE Non-Profit King MSA 251.20 202.77 358.97 (107.77) 70.0% 3,368 846,042 1,209,011 (362,969) 70.0% 11,505 40 365 14,600 78.8% 29.3% 2.9670 2.5330

40150 4110672 PROVIDENCE MOTHER JOSEPH CARE CENTER Non-Profit Thurston MSA 211.67 182.27 307.80 (96.13) 68.8% 26,587 5,627,670 8,183,479 (2,555,809) 68.8% 50,085 152 365 55,480 90.3% 53.1% 2.7030 2.3210

19200 4179701 JUDSON PARK HEALTH CENTER Non-Profit King MSA 226.09 212.70 344.23 (118.14) 65.7% 11,337 2,563,182 3,902,536 (1,339,354) 65.7% 28,024 96 365 35,040 80.0% 40.5% 2.8340 2.3900

29080 4111779 PROVIDENCE MARIANWOOD Non-Profit King MSA 239.94 237.28 367.23 (127.29) 65.3% 16,561 3,973,646 6,081,696 (2,108,050) 65.3% 31,677 117 365 42,705 74.2% 52.3% 2.6250 2.1350

5830 4115671 The Oaks at Forest Bay Profit King MSA 230.41 233.49 354.60 (124.19) 65.0% 15,637 3,602,921 5,544,880 (1,941,959) 65.0% 18,371 90 365 32,850 55.9% 85.1% 2.2780 2.2120

40120 4110656 IDA CULVER HOUSE BROADVIEW NURSING CARE CENTER Profit King MSA 219.49 214.63 347.10 (127.61) 63.2% 5,480 1,202,805 1,902,108 (699,303) 63.2% 23,960 74 365 27,010 88.7% 22.9% 2.7200 2.3570

1400 4107702 PROVIDENCE MOUNT ST VINCENT Non-Profit King MSA 252.23 218.58 404.66 (152.43) 62.3% 30,642 7,728,832 12,399,592 (4,670,760) 62.3% 69,736 215 365 78,475 88.9% 43.9% 2.7130 2.7110

40600 4112314 COVENANT SHORES HEALTH CENTER Non-Profit King MSA 210.09 216.59 359.73 (149.64) 58.4% 1,425 299,378 512,615 (213,237) 58.4% 13,995 43 365 15,695 89.2% 10.2% 2.5080 2.2410

40280 4111134 CORWIN CENTER AT EMERALD HEIGHTS Non-Profit King MSA 158.63 250.77 276.28 (117.65) 57.4% 365 57,900 100,842 (42,942) 57.4% 20,851 61 365 22,265 93.6% 1.8% 2.3750 1.2540

23400 4114179 PROVIDENCE ST JOSEPH CARE CENTER Non-Profit Spokane MSA 227.49 266.81 442.46 (214.97) 51.4% 9,163 2,084,491 4,054,261 (1,969,770) 51.4% 22,351 162 365 59,130 37.8% 41.0% 2.8820 2.5270

40800 4113312 VASHON COMMUNITY CARE CENTER Non-Profit King MSA 180.83 210.52 358.76 (177.93) 50.4% 5,126 926,935 1,839,004 (912,069) 50.4% 9,578 30 365 10,950 87.5% 53.5% 2.2870 2.2420

40950 4115011 MIRABELLA Non-Profit King MSA 184.17 305.03 375.05 (190.88) 49.1% 199 36,650 74,635 (37,985) 49.1% 13,452 46 365 16,790 80.1% 1.5% 2.8130 1.5620

10030 4112835 ROCKWOOD AT HAWTHORNE Non-Profit Spokane MSA 176.43 285.14 412.31 (235.88) 42.8% 1,458 257,235 601,148 (343,913) 42.8% 6,344 20 365 7,300 86.9% 23.0% 2.2560 1.9460

25040 4111670 PARK SHORE Non-Profit King MSA 227.97 454.43 627.76 (399.79) 36.3% 1,101 250,995 691,164 (440,169) 36.3% 8,594 28 365 10,220 84.1% 12.8% 2.6930 2.1220

41010 4220109 CENTRAL WASHINGTON HOSPITAL TRANSITIONAL CARE UNIT Non-Profit Chelan MSA 223.50 370.67 720.86 (497.36) 31.0% 450 100,575 324,387 (223,812) 31.0% 5,859 22 365 8,030 73.0% 7.7% 2.7230 2.3620

188

Profit Count MSA Count

47 COUNT OF FACILITIES 42 43 913,172 226,102,914 208,042,772 18,060,142 1,424,772 4,718 1,722,070

Non Profit Count NON MSA Count 251.24 136.99 229.91 17.61 108.2% 18,485 4,571,042 4,159,020 341,103 108.2% 30,290 101 365 36,865 84.3% 63.7% 2.6650 2.4350

5 4 108.7% 82.7% 64.1%

47 47

SUMMARY- STANDARD NURSING FACILITIES (Quartile 2) Profit Count MSA Count

47 COUNT OF FACILITIES 41 39 984,812 252,674,526 249,959,201 2,715,325 1,529,610 5,231 1,909,315

Non Profit Count NON MSA Count 251.57 154.44 247.24 1.21 100.6% 20,912 5,547,932 5,504,980 28,375 100.6% 33,353 108 365 39,420 83.3% 62.3% 2.6780 2.4310

6 8 101.1% 80.1% 64.4%

47 47




7 9 93.9% 73.9% 66.2%

47 47




25 5 76.6% 74.0% 51.3%

47 47

SUMMARY - ALL STANDARD NURSING FACILITIES Profit Count MSA Count

188 COUNT OF FACILITIES 145 162 3,307,595 822,291,729 856,607,365 (34,315,636) 5,336,478 18,807 6,852,079

Non Profit Count NON MSA Count 244.64 157.16 256.78 (2.69) 98.9% 17,442 4,212,539 4,278,434 (35,527) 98.9% 28,184.00 100 365 36,317.50 81.1% 63.0% 2.6430 2.3970

43 26 96.0% 77.9% 62.0%

188 188

SUMMARY- STANDARD NURSING FACILITIES (Quartile 1)







Medicaid

%


Ownership

Type County Peer

Total

Rate SFY

2021

Total

Cost Per

Day Adj.

for

Facility

CMI=1.0

Total Cost

Per Day

Adj. for

Medicaid

CMI

Rate in

Excess

of Cost

Payment-

to-Cost

Ratio

2017

Adjusted

Medicaid

Days

Estimated

Payments

Estimated

Costs

Payments In

Excess of Cost

Payment-

to-Cost

Ratio

2017

Adjusted

Total Days

2017

Adjusted

Total

Beds

Days in

Cost

Report

Time

Period

2017

Adjusted

Available

Days Occupancy

Medicaid

Percentag

e

Avg CY

2017 Total

Facility

CMI

April 2017 -

September

2017

Medicaid

CMI



TRIBAL/VETERAN'S FACILITIES

31560 4176400 COLVILLE TRIBAL CONVALESCENT CENTER Non-Profit Okanogan NON MSA 185.96 167.11 263.20 (77.24) 70.7% 10,463 1,945,699 2,753,862 (808,163) 70.7% 11,301 44 365 16,060 70.4% 92.6% 1.9730 1.9930

40330 4000006 WASHINGTON VETERANS HOME-RETSIL Non-Profit Kitsap MSA 189.41 186.95 304.81 (115.40) 62.1% 49,994 9,469,364 15,238,671 (5,769,307) 62.1% 83,129 240 365 87,600 94.9% 60.1% 2.1390 1.9230

35060 4000121 SPOKANE VETERAN'S HOME Non-Profit Spokane MSA 203.15 192.12 342.72 (139.57) 59.3% 15,867 3,223,381 5,437,938 (2,214,557) 59.3% 33,973 100 365 36,500 93.1% 46.7% 2.1950 2.1300

40340 4000014 WASHINGTON SOLDIERS HOME Non-Profit Pierce MSA 202.80 357.97 592.56 (389.76) 34.2% 11,133 2,257,772 6,596,970 (4,339,198) 34.2% 23,500 97 365 35,405 66.4% 47.4% 2.2600 2.1150

SUMMARY - VETERANS & TRIBAL NURSING FACILITIES


0 3 87,457 16,896,216 30,027,441 (13,131,225) 151,903 481 175,565

Non Profit Count NON MSA Count 196.11 189.54 323.77 (127.49) 60.7% 13,500 2,740,577 6,017,454 ########### 60.7% 28,737 99 365 35,953 81.8% 53.8% 2.1670 2.0540

4 1 56.3% 86.5% 57.6%

4 4


40260 4111068 BAILEY-BOUSHAY HOUSE Non-Profit King MSA 838.68 445.38 791.16 47.52 106.0% 11,904 9,983,647 9,417,969 565,678 106.0% 12,389 35 365 12,775 97.0% 96.1% 2.0890 2.0490

25900 4202115 NEWPORT COMMUNITY HOSPITAL - LTC UNIT Non-Profit Pend Oreille NON MSA 213.61 160.39 289.04 (75.43) 73.9% 12,792 2,732,499 3,697,400 (964,901) 73.9% 15,993 50 365 18,250 87.6% 80.0% 2.2720 2.2690

31500 4210704 NORTH VALLEY HOSPITAL Non-Profit Okanogan NON MSA 195.21 150.80 284.86 (89.65) 68.5% 10,054 1,962,641 2,863,982 (901,341) 68.5% 12,617 42 365 15,330 82.3% 79.7% 2.0580 2.0980

39990 4219408 PROVIDENCE ST JOSEPH HOSPITAL Non-Profit Stevens NON MSA 195.85 191.73 283.60 (87.75) 69.1% 10,654 2,086,586 3,021,474 (934,888) 69.1% 14,214 40 365 14,600 97.4% 75.0% 2.0800 1.9970

40010 4210001 BOOKER REST HOME ANNEX Non-Profit Columbia NON MSA 195.09 234.34 362.62 (167.53) 53.8% 5,058 986,765 1,834,132 (847,367) 53.8% 7,127 23 365 8,395 84.9% 71.0% 2.2220 2.1320

30800 4204509 COLUMBIA BASIN HOSPITAL Non-Profit Grant NON MSA 231.09 253.25 424.41 (193.32) 54.5% 3,285 759,131 1,394,187 (635,056) 54.5% 4,353 12 365 4,380 99.4% 75.5% 2.3070 2.2600

31590 4205407 FORKS COMMUNITY HOSPITAL LTC UNIT Non-Profit Clallam NON MSA 200.72 291.59 415.11 (214.39) 48.4% 2,376 476,911 986,301 (509,390) 48.4% 4,292 20 365 7,300 58.8% 55.4% 2.3000 1.8620

SUMMARY - HOSPITAL-BASED NURSING FACILITIES


0 1 56,123 18,988,180 23,215,445 (4,227,265) 70,985 222 81,030


7 6 81.8% 87.6% 79.1%

7 7

SUMMARY - ALL FACILITIES Profit Count MSA Count

145 166 3,451,175 858,176,125 909,850,251 (51,674,126) 5,559,366 19,510 7,108,674


54 33 94.3% 78.2% 62.1%

199 199


State of Washington Review of Nursing Facility Medicaid ...

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