total nhqp non medicare cash payment (quality) non ...295030230 a holly patterson extended care...

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Organization Name Date 71900/1500 N 71900/1030 N 71902/1030 N 71900/1130 N 71900/1010 N 71900/1410 N 71900/1320 N 71900/1330 N 71900/1340 N 71900/1342 N 71900/1343 N 71900/1344 N 71000/32 N Non- Medicare Eligible Non Medicare Direct Component Medicare Eligible Direct Component Indirect Component Non-Comp Component Capital TBI, BMI, Dementia Add On Transition Adjustment Quality Adustment Misc Per Diem Adjustment Bed Hold Per Diem Adjustment Case Mix Percent Adjustment Bed Count Cash Receipts (CRA) Per Diem Total Payment for NH Rate + CRA NHQP (Quality) Adjustment - Not Yet Approved Transportation In Direct Price 295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589 18.48 265.13 2.28 0.24 272530110 Aaron Manor Rehabilitation and Nursing Center 01/01/2014 209.75 99.83 98.44 50.94 12.93 38.38 2.94 5.26 0 0 -0.53 0 140 13.51 223.26 -1.54 0.14 042030210 Absolut Center for Nursing and Rehabilitation at Allega 01/01/2014 166.06 112.17 110.61 47.99 7.15 8.31 5.23 0 0 0 -0.57 -14.22 37 11.11 177.17 0.13 0.16 142230310 Absolut Center for Nursing and Rehabilitation at Auro 01/01/2014 187.26 110.72 109.24 56.87 5.84 10.4 2.25 1.65 0 0 -0.47 0 320 11.82 199.08 0.15 0.21 060130310 Absolut Center for Nursing and Rehabilitation at Dunk 01/01/2014 171.89 101.08 99.67 49.95 5.95 11.74 3.65 0 0 0 -0.48 0 40 10.23 182.12 0.86 0.14 146130210 Absolut Center for Nursing and Rehabilitation at Eden 01/01/2014 168.16 101.85 100.44 50.19 5.94 8.26 4.7 -2.34 0 0 -0.44 0 40 9.98 178.14 0.88 0.14 030230310 Absolut Center for Nursing and Rehabilitation at Endic 01/01/2014 175.18 101.21 99.8 50.61 6.63 15.17 3.54 -1.5 0 0 -0.48 0 160 12.52 187.7 -1.33 0.14 315830210 Absolut Center for Nursing and Rehabilitation at Gaspo 01/01/2014 169.18 102.64 101.21 49.46 5.64 9 2.94 0 0 0 -0.5 0 83 9.67 178.85 -1.43 0.14 022630210 Absolut Center for Nursing and Rehabilitation at Hough 01/01/2014 167.08 88.84 87.61 46.76 6.34 10.06 2.99 12.58 0 0 -0.49 0 100 9.92 177 -1.35 0.12 143530310 Absolut Center for Nursing and Rehabilitation at Orcha 01/01/2014 176.94 110.35 108.82 50.45 6.96 12.57 1.92 -3.9 0 0 -0.45 -0.96 202 11.19 188.13 -1.28 0.15 043330310 Absolut Center for Nursing and Rehabilitation at Salam 01/01/2014 169.31 101.65 100.24 49.04 3.27 10.18 3.27 2.3 0 0 -0.4 0 120 8.9 178.21 -1.35 0.14 502630110 Absolut Center for Nursing and Rehabilitation at Three 01/01/2014 171.22 101.9 100.49 48.74 8.55 9.77 2.74 0 0 0 -0.48 0 120 9.26 180.48 -1.36 0.14 067530210 Absolut Center for Nursing and Rehabilitation at Westf 01/01/2014 181.7 99.7 98.32 48.9 6.24 27.25 2.86 0 0 0 -0.52 -2.73 120 10.17 191.87 -1.31 0.14 522030310 Achieve Rehab and Nursing Facility 01/01/2014 267.01 159.29 157.08 54.54 14.81 32.05 2.51 4.6 0 0 -0.79 0 140 15.25 282.26 -2.18 0.22 565530210 Adirondack Tri-County Nursing and Rehabilitation 01/01/2014 150.08 75.46 74.41 48.03 12.7 11.06 3.28 0 0 0 -0.45 0 82 13.63 163.71 -1.23 0.11 515432310 Affinity Skilled Living and Rehabilitation Cente 01/01/2014 291.76 189.32 186.69 59.78 14.58 44.42 0.74 1.59 0 0 -0.8 -17.87 280 12.79 304.55 -2.08 0.27 015330210 Albany County Nursing Home 01/01/2014 184.64 104.6 103.14 59.12 12.66 3.78 5.07 0 0 0 -0.59 0 250 10.08 194.72 1.02 0.15 162400030 Alice Hyde Medical Center 01/01/2014 183.63 90.97 89.75 55.99 10.31 7.82 5.64 13.44 0 0 -0.54 0 75 11.41 195.04 -1.54 0.13 212930310 Alpine Rehabilitation and Nursing Center 01/01/2014 187.77 106.08 104.61 48.59 8.43 22.71 2.42 0 0 0 -0.46 0 80 10.84 198.61 -1.47 0.15 700235610 Amsterdam Nursing Home Corp (amsterdam House) 01/01/2014 287.43 155.83 153.74 66.36 20.14 31.58 1.12 13.19 0 0 -0.79 0 409 19.64 307.07 2.69 0.3 592630010 Andrus On Hudson 01/01/2014 204.68 117.83 116.19 57.24 14.99 13.81 1.35 0 0 0 -0.54 0 197 11.73 216.41 1.92 0.16 515331110 Apex Rehabilitation & Care Center 01/01/2014 271.35 170.29 167.93 59.38 16.48 23.46 2.49 0 0 0 -0.75 0 195 17.33 288.68 -2.08 0.24 070100030 Arnot Ogden Medical Center Residential Health Care Facility 01/01/2014 235.49 136.23 134.4 58.8 15.84 22.77 5.77 0 0 0 -0.45 -3.47 40 14 249.49 0.17 0.19 700138910 Atlantis Rehabilitation and Residential Health Care Fa 01/01/2014 260.67 157.08 154.97 65.97 10.68 21.73 2.04 3.91 0 0 -0.74 0 400 16.07 276.74 1.34 0.3 050130910 Auburn Nursing Home 01/01/2014 151.16 91 89.73 46.86 5.29 6.45 1.08 0.87 0 0 -0.39 0 92 9.92 161.08 0.13 0.13 380100030 Aurelia Osborn Fox Memorial Hospita 01/01/2014 180.57 87.81 86.63 55.2 11.96 21.76 4.44 0 0 0 -0.6 0 131 11.93 192.5 -1.34 0.12 143030110 Autumn View Health Care Facility LLC 01/01/2014 200.25 133.38 131.53 49.58 9.53 14.39 1.93 -8.02 0 0 -0.54 0 230 12.67 212.92 1.91 0.19 515731310 Avalon Gardens Rehabilitation and Health Care Center 01/01/2014 271.51 174.61 172.27 66.64 4.75 17.66 3.54 9.32 0 0 -0.71 -4.3 353 17.36 288.87 -2.17 0.33 252030110 Avon Nursing Home LLC 01/01/2014 182.34 114.71 113.12 50.13 7.22 10.1 0.66 0 0 0 -0.48 0 40 11.06 193.4 -1.41 0.16 700031910 Bainbridge Nursing And Rehabilitation Cente 01/01/2014 240.13 163.2 160.93 56.32 8.87 10.76 1.58 0 0 0 -0.6 0 200 17.79 257.92 1.24 0.23 270135710 Baird Nursing Home 01/01/2014 154.29 80 78.89 49.81 6.35 8.92 4.6 5.01 0 0 -0.4 0 28 11.95 166.24 -1.25 0.11 462030010 Baptist Health Nursing And Rehabilitation Center Inc 01/01/2014 176.73 100.75 99.35 52.3 10.69 15.51 2.85 -4.94 0 0 -0.43 0 262 11.01 187.74 -1.34 0.14 102330110 Barnwell Nursing and Rehabilitation Center 01/01/2014 200.78 126.35 124.59 52.71 13.73 11.07 2.58 -5.16 0 0 -0.5 0 236 10.99 211.77 -1.67 0.18 180130610 Batavia Nursing Home LLC 01/01/2014 162.32 109.81 108.29 49.7 9.46 10.36 2.7 0 0 0 -0.39 -19.32 62 0 162.32 -1.22 0.15 700038910 Bay Park Center for Nursing and Rehabilitation LLC 01/01/2014 262.2 154.7 152.62 66.4 8.62 18.77 2.77 11.64 0 0 -0.7 0 482 17.9 280.1 -2.19 0.29 590431710 Bayberry Nursing Home 01/01/2014 200.58 123.1 121.39 55.71 10.18 11.86 0.28 0 0 0 -0.55 0 60 15.36 215.94 1.86 0.17 296130210 Bayview Nursing and Rehabilitation Center 01/01/2014 240.38 137.93 136.01 57.92 5.52 17.65 2.2 19.84 0 0 -0.68 0 185 14.95 255.33 0.2 0.19 290230310 Beach Terrace Care Center 01/01/2014 234.65 126.13 124.38 58.49 6.88 12.43 11.76 19.63 0 0 -0.67 0 182 12.38 247.03 1.29 0.18 540130910 Beechtree Care Center 01/01/2014 155.56 76.44 75.37 47.01 11.27 18.21 3.05 0 0 0 -0.42 0 120 9.99 165.55 -1.15 0.11 145130610 Beechwood Homes 01/01/2014 181.32 95.6 94.27 49.76 9.36 23.49 2.28 6.21 0 0 -0.51 -4.87 272 13.31 194.63 -1.36 0.13 295030110 Belair Care Center Inc 01/01/2014 292.12 154.07 151.93 57.71 5.29 54.76 0.56 20.69 0 0 -0.96 0 102 16.94 309.06 -2.08 0.22 515132110 Bellhaven Center For Rehabilitation and Nursing Care 01/01/2014 228.86 172.8 170.39 59.65 3.74 18.02 2.48 -27.25 0 0 -0.58 0 240 15.19 244.05 2.19 0.24 700139610 Bensonhurst Center for Rehabilitation and Healthcare 01/01/2014 255.64 163.87 161.59 60.7 12.31 20.74 1.34 0 0 0 -0.57 -2.75 200 0 255.64 -1.89 0.23 510130110 Berkshire Nursing & Rehabilitation Center 01/01/2014 211.16 120.36 118.69 59.25 6.11 14.36 2.6 9.05 0 0 -0.57 0 177 13.37 224.53 -1.75 0.17 700030810 Beth Abraham Health Services 01/01/2014 310.29 168.4 166.14 68.28 18.9 19.86 3.01 32.66 0 0 -0.82 0 448 21.38 331.67 0.26 0.32 320130810 Bethany Gardens Skilled Living Center 01/01/2014 185.68 112.67 111.11 49.86 11.39 11.1 1.16 0 0 0 -0.5 0 100 8.01 193.69 -1.47 0.16 072230110 Bethany Nursing Home & Health Related Facility Inc 01/01/2014 155.76 86.13 84.94 45.41 6.25 15.71 2.68 0 0 0 -0.42 0 122 8.74 164.5 -1.2 0.12 590530310 Bethel Nursing Home Company Inc 01/01/2014 243.88 136.99 135.08 58.48 9.61 7.84 0.62 31.06 0 0 -0.72 0 43 12.74 256.62 2.47 0.19 592130110 Bethel Nursing and Rehabilitation Center 01/01/2014 246.57 137.74 135.82 57.2 9 27.11 2.14 21.56 0 0 -0.7 -7.48 181 16.15 262.72 -1.87 0.19 015130010 Bethlehem Commons Care Center 01/01/2014 177.42 97.65 96.3 54.6 8.64 15.6 1.42 0 0 0 -0.49 0 120 12.23 189.65 1.67 0.14 320130710 Betsy Ross Rehabilitation Center Inc 01/01/2014 149.05 86.6 85.39 48.18 9.87 6.28 4.77 -6.27 0 0 -0.38 0 120 9.01 158.06 -1.17 0.12 700335210 Bezalel Rehabilitation and Nursing Center 01/01/2014 230.93 148.04 145.99 55.87 10.76 9.14 7.74 0 0 0 -0.62 0 120 13.8 244.73 2.13 0.21 700335610 Bishop Charles Waldo Maclean Episcopal Nursing Home 01/01/2014 220.05 130.77 128.95 60.12 9.9 6.91 3.47 9.6 0 0 -0.72 0 163 13.7 233.75 -1.93 0.18 700137910 Bishop Henry B Hucles Episcopal Nursing Home 01/01/2014 257.29 150.3 148.21 58.33 9.75 38.11 2.25 -0.8 0 0 -0.65 0 240 18.75 276.04 -1.81 0.21 270135410 Blossom Health Care Center 01/01/2014 167.55 102.5 101.08 50.56 8.01 8.54 2.81 -3.45 0 0 -0.43 -0.99 80 7.95 175.5 -1.3 0.14 270136010 Blossom North Nursing and Rehabilitation Center 01/01/2014 156.5 101.03 99.63 50.05 9.45 7.87 3.7 0.18 0 0 -0.43 -15.35 120 9.63 166.13 -1.27 0.14 270136110 Blossom South Nursing and Rehabilitation Center 01/01/2014 178.06 108.82 107.31 51.4 7.71 16.89 4.1 -10.45 0 0 -0.41 0 161 9.43 187.49 0 0.15 582830110 Blossom View Nursing Home 01/01/2014 171.9 94.22 92.91 50.52 8.15 13.59 4.92 0 0 0 -0.49 0.99 130 15.53 187.43 0.87 0.13 700139410 Boro Park Center for Rehabilitation and Healthcare 01/01/2014 342.79 210.98 208.15 66.99 38.07 25.86 1.63 0 0 0 -0.74 0 504 0 342.79 -2.62 0.4 700330910 Bridge View Nursing Home 01/01/2014 199.83 129.87 128.06 57.36 4.41 8.43 2.9 -2.65 0 0 -0.49 0 200 10.18 210.01 -1.6 0.18 030130810 Bridgewater Center for Rehabilitation & Nursing LLC 01/01/2014 187.89 114.39 112.86 59.97 7.37 9.97 3.2 -6.56 0 0 -0.45 0 336 10.11 198 -1.5 0.22 310130010 Briody Health Care Facility 01/01/2014 155.94 83.69 82.53 48.15 6.95 16.48 1.05 0 0 0 -0.38 0 82 12.81 168.75 1.52 0.12 512030130 Broadlawn Manor Nursing and Rehabilitation Cente 01/01/2014 262.21 149.06 147.06 68.35 22.43 22.15 0.9 0 0 0 -0.68 0 320 19.9 282.11 0.21 0.28 700038110 Bronx Center For Rehabilitation and Health 01/01/2014 268.8 166.25 163.94 58.97 8.67 26.85 1.44 7.38 0 0 -0.76 0 200 15.07 283.87 -2.23 0.23 700038010 Bronx Park Rehabilitation & Nursing Center 01/01/2014 202.64 136.34 134.45 56.91 6.73 8.44 2.44 -7.68 0 0 -0.54 0 240 10.79 213.43 1.04 0.19 700036410 Bronx-Lebanon Special Care Center 01/01/2014 250.59 128.19 126.41 58.95 27.58 13.61 3.46 19.51 0 0 -0.71 0 240 24.96 275.55 1.39 0.18 512330410 Brookhaven Health Care Facility LLC 01/01/2014 281.41 186.24 183.65 59.55 13.86 10.73 0.97 10.89 0 0 -0.83 0 160 17.5 298.91 2.92 0.26 700339910 Brookhaven Rehabilitation & Health Care Center 01/01/2014 236.84 137.76 135.84 58.56 13.12 20.81 7.23 0 0 0 -0.64 0 298 14.38 251.22 2.25 0.19 700138810 Brooklyn Center for Rehabilitation and Residential Hea 01/01/2014 240.8 164.54 162.25 58.39 5.82 10.43 2.34 0 0 0 -0.72 0 215 12.44 253.24 -2.05 0.23 700130810 Brooklyn United Methodist Church Home 01/01/2014 252.5 141.06 139.1 58.33 11.9 12.19 3.2 31.62 0 0 -0.7 -5.1 120 11.67 264.17 -2.06 0.2 700138210 Brooklyn-Queens Nursing Home 01/01/2014 200.75 146.17 144.14 57.17 7.06 6.84 2.98 -18.91 0 0 -0.56 0 140 13.51 214.26 0.16 0.2 145630010 Brothers Of Mercy Nursing & Rehabilitation Center 01/01/2014 151.46 80.89 79.77 47.68 9.89 7.84 2.9 2.69 0 0 -0.43 0 240 12.62 164.08 1.54 0.11 700138310 Buena Vida Continuing Care & Rehab Ctr 01/01/2014 241.02 113.71 112.13 57.88 19.4 37.96 3.27 9.53 0 0 -0.73 0 240 17.38 258.4 -1.86 0.16 700136410 Bushwick Center for Rehabilitation and Health Care 01/01/2014 276.69 165.72 163.42 58.82 8 27.33 2.67 14.89 0 0 -0.74 0 225 22.18 298.87 -2.27 0.23 700235010 Cabrini Center For Nursing And Rehabilitation 01/01/2014 204.69 100.51 99.11 60.05 9.32 0 0 0 0 0 0 34.81 240 15.7 220.39 0 0.14 700130710 Cabs Nursing Home Company Inc 01/01/2014 181.27 103.02 101.58 57.33 10.54 8.38 2.5 0 0 0 -0.5 0 157 12.55 193.82 0.99 0.14 355730210 Campbell Hall Rehabilitation Center Inc 01/01/2014 184.8 122.25 120.55 54.69 6.07 13.78 1.55 -13.09 0 0 -0.45 0 134 11.46 196.26 -1.51 0.17 142130510 Canterbury Woods 01/01/2014 225.35 95.65 94.32 50.11 6.74 25.35 2.69 45.74 0 0 -0.93 0 48 8.3 233.65 0 0.13 285030010 Capstone Center for Rehabilitation and Nursing 01/01/2014 181.31 109.95 108.42 54.07 14.9 11.89 4.95 -13.8 0 0 -0.65 0 120 12.26 193.57 -1.37 0.15 515330610 Carillon Nursing and Rehabilitation Center 01/01/2014 265.57 174.67 172.33 64.86 9.4 16.2 1.14 0 0 0 -0.7 0 315 14.8 280.37 -2.08 0.33 700431010 Carmel Richmond Healthcare and Rehabilitation Center 01/01/2014 270.45 158.7 156.57 66.2 15.26 25.85 2.42 2.82 0 0 -0.8 0 300 17.72 288.17 0.23 0.3 223800130 Carthage Area Hospital 01/01/2014 170.78 90.67 89.45 53.19 13.83 15.27 2.56 1.66 0 0 -0.53 -5.87 30 12.01 182.79 -1.34 0.13 700136610 Caton Park Nursing Home 01/01/2014 233.79 154.95 152.8 58.76 8.54 9.97 2.09 0 0 0 -0.52 0 119 12.98 246.77 -1.84 0.22 526300030 Catskill Regional Medical Center 01/01/2014 225.51 117.35 115.77 62.7 15.62 29.6 0.88 0 0 0 -0.64 0 64 16.54 242.05 0.17 0.16

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Page 1: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

Organization Name Date 71900/1500 N 71900/1030 N 71902/1030 N 71900/1130 N 71900/1010 N 71900/1410 N 71900/1320 N 71900/1330 N 71900/1340 N 71900/1342 N 71900/1343 N 71900/1344 N 71000/32 N

Non-Medicare Eligible

Non Medicare

Direct Component

Medicare Eligible Direct

Component Indirect

Component Non-Comp Component Capital

TBI, BMI, Dementia Add On

Transition Adjustment

Quality Adustment

Misc Per Diem

Adjustment

Bed Hold Per Diem

Adjustment

Case Mix Percent

Adjustment Bed Count

Cash Receipts (CRA) Per

Diem

Total Payment for NH Rate + CRA

NHQP (Quality)

Adjustment - Not Yet

ApprovedTransportation In Direct Price

295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589 18.48 265.13 2.28 0.24272530110 Aaron Manor Rehabilitation and Nursing Center 01/01/2014 209.75 99.83 98.44 50.94 12.93 38.38 2.94 5.26 0 0 -0.53 0 140 13.51 223.26 -1.54 0.14042030210 Absolut Center for Nursing and Rehabilitation at Allega 01/01/2014 166.06 112.17 110.61 47.99 7.15 8.31 5.23 0 0 0 -0.57 -14.22 37 11.11 177.17 0.13 0.16142230310 Absolut Center for Nursing and Rehabilitation at Auro 01/01/2014 187.26 110.72 109.24 56.87 5.84 10.4 2.25 1.65 0 0 -0.47 0 320 11.82 199.08 0.15 0.21060130310 Absolut Center for Nursing and Rehabilitation at Dunk 01/01/2014 171.89 101.08 99.67 49.95 5.95 11.74 3.65 0 0 0 -0.48 0 40 10.23 182.12 0.86 0.14146130210 Absolut Center for Nursing and Rehabilitation at Eden 01/01/2014 168.16 101.85 100.44 50.19 5.94 8.26 4.7 -2.34 0 0 -0.44 0 40 9.98 178.14 0.88 0.14030230310 Absolut Center for Nursing and Rehabilitation at Endic 01/01/2014 175.18 101.21 99.8 50.61 6.63 15.17 3.54 -1.5 0 0 -0.48 0 160 12.52 187.7 -1.33 0.14315830210 Absolut Center for Nursing and Rehabilitation at Gaspo 01/01/2014 169.18 102.64 101.21 49.46 5.64 9 2.94 0 0 0 -0.5 0 83 9.67 178.85 -1.43 0.14022630210 Absolut Center for Nursing and Rehabilitation at Hough 01/01/2014 167.08 88.84 87.61 46.76 6.34 10.06 2.99 12.58 0 0 -0.49 0 100 9.92 177 -1.35 0.12143530310 Absolut Center for Nursing and Rehabilitation at Orcha 01/01/2014 176.94 110.35 108.82 50.45 6.96 12.57 1.92 -3.9 0 0 -0.45 -0.96 202 11.19 188.13 -1.28 0.15043330310 Absolut Center for Nursing and Rehabilitation at Salam 01/01/2014 169.31 101.65 100.24 49.04 3.27 10.18 3.27 2.3 0 0 -0.4 0 120 8.9 178.21 -1.35 0.14502630110 Absolut Center for Nursing and Rehabilitation at Three 01/01/2014 171.22 101.9 100.49 48.74 8.55 9.77 2.74 0 0 0 -0.48 0 120 9.26 180.48 -1.36 0.14067530210 Absolut Center for Nursing and Rehabilitation at Westf 01/01/2014 181.7 99.7 98.32 48.9 6.24 27.25 2.86 0 0 0 -0.52 -2.73 120 10.17 191.87 -1.31 0.14522030310 Achieve Rehab and Nursing Facility 01/01/2014 267.01 159.29 157.08 54.54 14.81 32.05 2.51 4.6 0 0 -0.79 0 140 15.25 282.26 -2.18 0.22565530210 Adirondack Tri-County Nursing and Rehabilitation 01/01/2014 150.08 75.46 74.41 48.03 12.7 11.06 3.28 0 0 0 -0.45 0 82 13.63 163.71 -1.23 0.11515432310 Affinity Skilled Living and Rehabilitation Cente 01/01/2014 291.76 189.32 186.69 59.78 14.58 44.42 0.74 1.59 0 0 -0.8 -17.87 280 12.79 304.55 -2.08 0.27015330210 Albany County Nursing Home 01/01/2014 184.64 104.6 103.14 59.12 12.66 3.78 5.07 0 0 0 -0.59 0 250 10.08 194.72 1.02 0.15162400030 Alice Hyde Medical Center 01/01/2014 183.63 90.97 89.75 55.99 10.31 7.82 5.64 13.44 0 0 -0.54 0 75 11.41 195.04 -1.54 0.13212930310 Alpine Rehabilitation and Nursing Center 01/01/2014 187.77 106.08 104.61 48.59 8.43 22.71 2.42 0 0 0 -0.46 0 80 10.84 198.61 -1.47 0.15700235610 Amsterdam Nursing Home Corp (amsterdam House) 01/01/2014 287.43 155.83 153.74 66.36 20.14 31.58 1.12 13.19 0 0 -0.79 0 409 19.64 307.07 2.69 0.3592630010 Andrus On Hudson 01/01/2014 204.68 117.83 116.19 57.24 14.99 13.81 1.35 0 0 0 -0.54 0 197 11.73 216.41 1.92 0.16515331110 Apex Rehabilitation & Care Center 01/01/2014 271.35 170.29 167.93 59.38 16.48 23.46 2.49 0 0 0 -0.75 0 195 17.33 288.68 -2.08 0.24070100030 Arnot Ogden Medical Center Residential Health Care Facility 01/01/2014 235.49 136.23 134.4 58.8 15.84 22.77 5.77 0 0 0 -0.45 -3.47 40 14 249.49 0.17 0.19700138910 Atlantis Rehabilitation and Residential Health Care Fa 01/01/2014 260.67 157.08 154.97 65.97 10.68 21.73 2.04 3.91 0 0 -0.74 0 400 16.07 276.74 1.34 0.3050130910 Auburn Nursing Home 01/01/2014 151.16 91 89.73 46.86 5.29 6.45 1.08 0.87 0 0 -0.39 0 92 9.92 161.08 0.13 0.13380100030 Aurelia Osborn Fox Memorial Hospita 01/01/2014 180.57 87.81 86.63 55.2 11.96 21.76 4.44 0 0 0 -0.6 0 131 11.93 192.5 -1.34 0.12143030110 Autumn View Health Care Facility LLC 01/01/2014 200.25 133.38 131.53 49.58 9.53 14.39 1.93 -8.02 0 0 -0.54 0 230 12.67 212.92 1.91 0.19515731310 Avalon Gardens Rehabilitation and Health Care Center 01/01/2014 271.51 174.61 172.27 66.64 4.75 17.66 3.54 9.32 0 0 -0.71 -4.3 353 17.36 288.87 -2.17 0.33252030110 Avon Nursing Home LLC 01/01/2014 182.34 114.71 113.12 50.13 7.22 10.1 0.66 0 0 0 -0.48 0 40 11.06 193.4 -1.41 0.16700031910 Bainbridge Nursing And Rehabilitation Cente 01/01/2014 240.13 163.2 160.93 56.32 8.87 10.76 1.58 0 0 0 -0.6 0 200 17.79 257.92 1.24 0.23270135710 Baird Nursing Home 01/01/2014 154.29 80 78.89 49.81 6.35 8.92 4.6 5.01 0 0 -0.4 0 28 11.95 166.24 -1.25 0.11462030010 Baptist Health Nursing And Rehabilitation Center Inc 01/01/2014 176.73 100.75 99.35 52.3 10.69 15.51 2.85 -4.94 0 0 -0.43 0 262 11.01 187.74 -1.34 0.14102330110 Barnwell Nursing and Rehabilitation Center 01/01/2014 200.78 126.35 124.59 52.71 13.73 11.07 2.58 -5.16 0 0 -0.5 0 236 10.99 211.77 -1.67 0.18180130610 Batavia Nursing Home LLC 01/01/2014 162.32 109.81 108.29 49.7 9.46 10.36 2.7 0 0 0 -0.39 -19.32 62 0 162.32 -1.22 0.15700038910 Bay Park Center for Nursing and Rehabilitation LLC 01/01/2014 262.2 154.7 152.62 66.4 8.62 18.77 2.77 11.64 0 0 -0.7 0 482 17.9 280.1 -2.19 0.29590431710 Bayberry Nursing Home 01/01/2014 200.58 123.1 121.39 55.71 10.18 11.86 0.28 0 0 0 -0.55 0 60 15.36 215.94 1.86 0.17296130210 Bayview Nursing and Rehabilitation Center 01/01/2014 240.38 137.93 136.01 57.92 5.52 17.65 2.2 19.84 0 0 -0.68 0 185 14.95 255.33 0.2 0.19290230310 Beach Terrace Care Center 01/01/2014 234.65 126.13 124.38 58.49 6.88 12.43 11.76 19.63 0 0 -0.67 0 182 12.38 247.03 1.29 0.18540130910 Beechtree Care Center 01/01/2014 155.56 76.44 75.37 47.01 11.27 18.21 3.05 0 0 0 -0.42 0 120 9.99 165.55 -1.15 0.11145130610 Beechwood Homes 01/01/2014 181.32 95.6 94.27 49.76 9.36 23.49 2.28 6.21 0 0 -0.51 -4.87 272 13.31 194.63 -1.36 0.13295030110 Belair Care Center Inc 01/01/2014 292.12 154.07 151.93 57.71 5.29 54.76 0.56 20.69 0 0 -0.96 0 102 16.94 309.06 -2.08 0.22515132110 Bellhaven Center For Rehabilitation and Nursing Care 01/01/2014 228.86 172.8 170.39 59.65 3.74 18.02 2.48 -27.25 0 0 -0.58 0 240 15.19 244.05 2.19 0.24700139610 Bensonhurst Center for Rehabilitation and Healthcare 01/01/2014 255.64 163.87 161.59 60.7 12.31 20.74 1.34 0 0 0 -0.57 -2.75 200 0 255.64 -1.89 0.23510130110 Berkshire Nursing & Rehabilitation Center 01/01/2014 211.16 120.36 118.69 59.25 6.11 14.36 2.6 9.05 0 0 -0.57 0 177 13.37 224.53 -1.75 0.17700030810 Beth Abraham Health Services 01/01/2014 310.29 168.4 166.14 68.28 18.9 19.86 3.01 32.66 0 0 -0.82 0 448 21.38 331.67 0.26 0.32320130810 Bethany Gardens Skilled Living Center 01/01/2014 185.68 112.67 111.11 49.86 11.39 11.1 1.16 0 0 0 -0.5 0 100 8.01 193.69 -1.47 0.16072230110 Bethany Nursing Home & Health Related Facility Inc 01/01/2014 155.76 86.13 84.94 45.41 6.25 15.71 2.68 0 0 0 -0.42 0 122 8.74 164.5 -1.2 0.12590530310 Bethel Nursing Home Company Inc 01/01/2014 243.88 136.99 135.08 58.48 9.61 7.84 0.62 31.06 0 0 -0.72 0 43 12.74 256.62 2.47 0.19592130110 Bethel Nursing and Rehabilitation Center 01/01/2014 246.57 137.74 135.82 57.2 9 27.11 2.14 21.56 0 0 -0.7 -7.48 181 16.15 262.72 -1.87 0.19015130010 Bethlehem Commons Care Center 01/01/2014 177.42 97.65 96.3 54.6 8.64 15.6 1.42 0 0 0 -0.49 0 120 12.23 189.65 1.67 0.14320130710 Betsy Ross Rehabilitation Center Inc 01/01/2014 149.05 86.6 85.39 48.18 9.87 6.28 4.77 -6.27 0 0 -0.38 0 120 9.01 158.06 -1.17 0.12700335210 Bezalel Rehabilitation and Nursing Center 01/01/2014 230.93 148.04 145.99 55.87 10.76 9.14 7.74 0 0 0 -0.62 0 120 13.8 244.73 2.13 0.21700335610 Bishop Charles Waldo Maclean Episcopal Nursing Home 01/01/2014 220.05 130.77 128.95 60.12 9.9 6.91 3.47 9.6 0 0 -0.72 0 163 13.7 233.75 -1.93 0.18700137910 Bishop Henry B Hucles Episcopal Nursing Home 01/01/2014 257.29 150.3 148.21 58.33 9.75 38.11 2.25 -0.8 0 0 -0.65 0 240 18.75 276.04 -1.81 0.21270135410 Blossom Health Care Center 01/01/2014 167.55 102.5 101.08 50.56 8.01 8.54 2.81 -3.45 0 0 -0.43 -0.99 80 7.95 175.5 -1.3 0.14270136010 Blossom North Nursing and Rehabilitation Center 01/01/2014 156.5 101.03 99.63 50.05 9.45 7.87 3.7 0.18 0 0 -0.43 -15.35 120 9.63 166.13 -1.27 0.14270136110 Blossom South Nursing and Rehabilitation Center 01/01/2014 178.06 108.82 107.31 51.4 7.71 16.89 4.1 -10.45 0 0 -0.41 0 161 9.43 187.49 0 0.15582830110 Blossom View Nursing Home 01/01/2014 171.9 94.22 92.91 50.52 8.15 13.59 4.92 0 0 0 -0.49 0.99 130 15.53 187.43 0.87 0.13700139410 Boro Park Center for Rehabilitation and Healthcare 01/01/2014 342.79 210.98 208.15 66.99 38.07 25.86 1.63 0 0 0 -0.74 0 504 0 342.79 -2.62 0.4700330910 Bridge View Nursing Home 01/01/2014 199.83 129.87 128.06 57.36 4.41 8.43 2.9 -2.65 0 0 -0.49 0 200 10.18 210.01 -1.6 0.18030130810 Bridgewater Center for Rehabilitation & Nursing LLC 01/01/2014 187.89 114.39 112.86 59.97 7.37 9.97 3.2 -6.56 0 0 -0.45 0 336 10.11 198 -1.5 0.22310130010 Briody Health Care Facility 01/01/2014 155.94 83.69 82.53 48.15 6.95 16.48 1.05 0 0 0 -0.38 0 82 12.81 168.75 1.52 0.12512030130 Broadlawn Manor Nursing and Rehabilitation Cente 01/01/2014 262.21 149.06 147.06 68.35 22.43 22.15 0.9 0 0 0 -0.68 0 320 19.9 282.11 0.21 0.28700038110 Bronx Center For Rehabilitation and Health 01/01/2014 268.8 166.25 163.94 58.97 8.67 26.85 1.44 7.38 0 0 -0.76 0 200 15.07 283.87 -2.23 0.23700038010 Bronx Park Rehabilitation & Nursing Center 01/01/2014 202.64 136.34 134.45 56.91 6.73 8.44 2.44 -7.68 0 0 -0.54 0 240 10.79 213.43 1.04 0.19700036410 Bronx-Lebanon Special Care Center 01/01/2014 250.59 128.19 126.41 58.95 27.58 13.61 3.46 19.51 0 0 -0.71 0 240 24.96 275.55 1.39 0.18512330410 Brookhaven Health Care Facility LLC 01/01/2014 281.41 186.24 183.65 59.55 13.86 10.73 0.97 10.89 0 0 -0.83 0 160 17.5 298.91 2.92 0.26700339910 Brookhaven Rehabilitation & Health Care Center 01/01/2014 236.84 137.76 135.84 58.56 13.12 20.81 7.23 0 0 0 -0.64 0 298 14.38 251.22 2.25 0.19700138810 Brooklyn Center for Rehabilitation and Residential Hea 01/01/2014 240.8 164.54 162.25 58.39 5.82 10.43 2.34 0 0 0 -0.72 0 215 12.44 253.24 -2.05 0.23700130810 Brooklyn United Methodist Church Home 01/01/2014 252.5 141.06 139.1 58.33 11.9 12.19 3.2 31.62 0 0 -0.7 -5.1 120 11.67 264.17 -2.06 0.2700138210 Brooklyn-Queens Nursing Home 01/01/2014 200.75 146.17 144.14 57.17 7.06 6.84 2.98 -18.91 0 0 -0.56 0 140 13.51 214.26 0.16 0.2145630010 Brothers Of Mercy Nursing & Rehabilitation Center 01/01/2014 151.46 80.89 79.77 47.68 9.89 7.84 2.9 2.69 0 0 -0.43 0 240 12.62 164.08 1.54 0.11700138310 Buena Vida Continuing Care & Rehab Ctr 01/01/2014 241.02 113.71 112.13 57.88 19.4 37.96 3.27 9.53 0 0 -0.73 0 240 17.38 258.4 -1.86 0.16700136410 Bushwick Center for Rehabilitation and Health Care 01/01/2014 276.69 165.72 163.42 58.82 8 27.33 2.67 14.89 0 0 -0.74 0 225 22.18 298.87 -2.27 0.23700235010 Cabrini Center For Nursing And Rehabilitation 01/01/2014 204.69 100.51 99.11 60.05 9.32 0 0 0 0 0 0 34.81 240 15.7 220.39 0 0.14700130710 Cabs Nursing Home Company Inc 01/01/2014 181.27 103.02 101.58 57.33 10.54 8.38 2.5 0 0 0 -0.5 0 157 12.55 193.82 0.99 0.14355730210 Campbell Hall Rehabilitation Center Inc 01/01/2014 184.8 122.25 120.55 54.69 6.07 13.78 1.55 -13.09 0 0 -0.45 0 134 11.46 196.26 -1.51 0.17142130510 Canterbury Woods 01/01/2014 225.35 95.65 94.32 50.11 6.74 25.35 2.69 45.74 0 0 -0.93 0 48 8.3 233.65 0 0.13285030010 Capstone Center for Rehabilitation and Nursing 01/01/2014 181.31 109.95 108.42 54.07 14.9 11.89 4.95 -13.8 0 0 -0.65 0 120 12.26 193.57 -1.37 0.15515330610 Carillon Nursing and Rehabilitation Center 01/01/2014 265.57 174.67 172.33 64.86 9.4 16.2 1.14 0 0 0 -0.7 0 315 14.8 280.37 -2.08 0.33700431010 Carmel Richmond Healthcare and Rehabilitation Center 01/01/2014 270.45 158.7 156.57 66.2 15.26 25.85 2.42 2.82 0 0 -0.8 0 300 17.72 288.17 0.23 0.3223800130 Carthage Area Hospital 01/01/2014 170.78 90.67 89.45 53.19 13.83 15.27 2.56 1.66 0 0 -0.53 -5.87 30 12.01 182.79 -1.34 0.13700136610 Caton Park Nursing Home 01/01/2014 233.79 154.95 152.8 58.76 8.54 9.97 2.09 0 0 0 -0.52 0 119 12.98 246.77 -1.84 0.22526300030 Catskill Regional Medical Center 01/01/2014 225.51 117.35 115.77 62.7 15.62 29.6 0.88 0 0 0 -0.64 0 64 16.54 242.05 0.17 0.16

Page 2: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

056630110 Cayuga County Nursing Home 01/01/2014 152.22 85.25 84.06 52.19 7.02 5.51 2.68 0 0 0 -0.43 0 80 10.53 162.75 0.13 0.12540131110 Cayuga Ridge Extended Care 01/01/2014 163.22 104.66 103.2 49.14 10.49 4.29 4.55 7.11 0 0 -0.45 -16.57 187 0 163.22 0.88 0.15515132010 Cedar Lodge Nursing Home 01/01/2014 215.06 128.67 126.88 57.3 9.77 16.22 1.79 1.96 0 0 -0.65 0 100 17.21 232.27 0.18 0.18590530810 Cedar Manor Nursing & Rehabilitation Center 01/01/2014 211.4 135.29 133.41 58.09 7.11 10.27 1.19 0 0 0 -0.55 0 153 12.67 224.07 1.14 0.19700135410 Center For Nursing & Rehabilitation Inc 01/01/2014 271.93 167.92 165.66 66.51 14.87 24.47 1.73 0 0 0 -0.72 -2.85 320 21 292.93 0.2 0.32295230810 Central Island Healthcare 01/01/2014 262.45 166.43 164.12 58.2 11.28 15.91 2.46 19.06 0 0 -0.68 -10.21 202 17.02 279.47 -2.08 0.23090100130 Champlain Valley Physicians Hospital Medical Center Sn 01/01/2014 246.55 102.51 101.13 59 20.76 42.92 2.46 19.57 0 0 -0.67 0 90 10.74 257.29 -1.83 0.14700335110 Chapin Home For The Aging 01/01/2014 199.09 120.83 119.15 56.92 7.59 8.64 2.2 3.48 0 0 -0.57 0 220 15.65 214.74 -1.71 0.17322730410 Charles T Sitrin Health Care Center Inc 01/01/2014 222.21 91.48 90.21 48.59 18.37 56.63 3.28 4.58 0 0 -0.72 0 156 15.85 238.06 -1.62 0.13082330010 Chase Memorial Nursing Home Co Inc 01/01/2014 147.91 82.17 81.03 49.39 5.85 6.68 4.2 0 0 0 -0.38 0 80 10.44 158.35 -1.19 0.12060130010 Chautauqua County Home 01/01/2014 180.83 90.85 89.59 53.47 11.34 23.08 2.63 0 0 0 -0.54 0 218 12.13 192.96 -1.34 0.13070130110 Chemung County Health Center-nursing Facility 01/01/2014 175.49 87.07 85.87 50.22 11.64 4.7 2.92 19.44 0 0 -0.5 0 200 12.7 188.19 -1.55 0.12082400030 Chenango Memorial Hospital Inc Snf 01/01/2014 187.18 73.19 72.21 51.44 9.24 17.37 5.32 30.29 0 0 -0.56 0.89 78 10.7 197.88 1.88 0.1380130310 Chestnut Park Rehabilitation and Nursing Cente 01/01/2014 166.5 98.24 96.87 51.06 5.67 9.59 2.35 0 0 0 -0.41 0 80 10.9 177.4 -1.33 0.14262930310 Chittenango Center for Rehabilitation and Health Care 01/01/2014 183.4 110.73 109.19 48.02 9.43 20.77 1.83 -7.05 0 0 -0.33 0 80 10.78 194.18 -1.44 0.16270133910 Church Home Of The Protestant Episcopal Church 01/01/2014 176.76 93.7 92.4 51.88 11.67 18.12 1.9 0 0 0 -0.51 0 182 10.5 187.26 -1.34 0.13700338010 Cliffside Rehabilitation and Residential Health Care Center 01/01/2014 220.2 142.17 140.2 57.44 7.51 15.82 1.51 -3.66 0 0 -0.59 0 256 17.48 237.68 -1.74 0.2342100030 Clifton Springs Hospital And Clinic Extended Care 01/01/2014 200.61 100.9 99.55 54.31 25.67 19.06 2.2 0 0 0 -0.47 -1.06 108 15.86 216.47 0.15 0.14095230010 Clinton County Nursing Home 01/01/2014 168.88 103.48 102.04 55.08 4.96 7.52 4.1 -5.82 0 0 -0.44 0 80 10.01 178.89 0.88 0.14700432110 Clove Lakes Health Care and Rehabilitation Center 01/01/2014 254.65 161.18 159.02 66.07 13.3 11.86 2.95 0 0 0 -0.71 0 576 15.55 270.2 2.35 0.31700132310 Cobble Hill Health Center Inc 01/01/2014 279.42 159.91 157.76 66.05 13.9 19.94 1.65 18.71 0 0 -0.74 0 364 15.94 295.36 0.23 0.3295230710 Cold Spring Hills Center for Nursing and Rehabilitation 01/01/2014 288.78 168.97 166.71 68.75 13.65 35.86 2.3 0 0 0 -0.75 0 606 16.78 305.56 -2.2 0.32700233630 Coler Memorial Hospital Snf 01/01/2014 283.16 146.06 144.1 76.98 35.99 18.3 1.86 4.77 0 0 -0.8 0 815 14.47 297.63 2.92 0.28700233730 Coler-Goldwater Specialty Hospital & Nursing Facility 01/01/2014 293.33 143.15 141.23 76.81 50.64 18.49 5.08 0 0 0 -0.84 0 574 15.05 308.38 -2.44 0.27320130510 Colonial Park Rehabilitation and Nursing Cente 01/01/2014 176.86 94.24 92.93 47.38 8.28 9.39 4.75 13.34 0 0 -0.52 0 80 9 185.86 -1.41 0.13262500030 Community Memorial Hospital Inc Nh Uni 01/01/2014 183.43 87.34 86.16 58.06 15.56 13.19 6.56 0 0 0 -0.62 3.34 40 12.4 195.83 -1.56 0.12700134810 Concord Nursing Home Inc 01/01/2014 248.65 135.39 133.51 56.82 12.51 42.85 0.69 4.72 0 0 -0.66 -3.67 140 16.44 265.09 -1.75 0.19700037510 Concourse Rehabilitation and Nursing Center 01/01/2014 275.37 170.46 168.09 59.21 8.09 13.3 2.48 39.72 0 0 -0.75 -17.14 240 15.87 291.24 2.69 0.24252530110 Conesus Lake Nursing Home LLC 01/01/2014 196.81 115.54 113.93 50.46 6.34 13.24 1.71 10.04 0 0 -0.52 0 48 11.18 207.99 0.17 0.16110130710 Cortland Park Rehabilitation and Nursing Center 01/01/2014 167.57 107.33 105.84 48.12 7.96 9.07 3.48 0 0 0 -0.41 -7.98 120 9.22 176.79 -1.29 0.15110130630 Cortland Regional Nursing and Rehabilitation Cente 01/01/2014 199.55 82.43 81.32 57.12 22.23 26 2.78 8.48 0 0 -0.57 1.08 82 14.76 214.31 -1.58 0.12590130410 Cortlandt Healthcare LLC 01/01/2014 224.95 130.34 128.52 57.86 9.57 25.44 2.32 0 0 0 -0.58 0 120 15.01 239.96 0.17 0.18276230110 Crest Manor Living and Rehabilitation Center 01/01/2014 186.72 114.22 112.63 51.14 2.85 13.96 3.36 5.78 0 0 -0.46 -4.13 80 12.6 199.32 0.15 0.16262330010 Crouse Community Center Inc 01/01/2014 156.66 84.73 83.55 49.75 10.71 9.53 2.41 0 0 0 -0.47 0 120 12.31 168.97 0.13 0.12110130910 Crown Center for Nursing and Rehabilitation 01/01/2014 179.1 104.47 103.02 49.07 9.34 13.18 3.19 0 0 0 -0.15 0 200 0 179.1 -1.51 0.15700136710 Crown Nursing and Rehabilitation Center 01/01/2014 217.37 138.2 136.28 58.6 8.73 10.99 1.46 0 0 0 -0.61 0 189 14.71 232.08 2.18 0.19022600030 Cuba Memorial Hospital Inc Snf 01/01/2014 169.63 72.33 71.36 49.98 11.77 23.5 5.62 7 0 0 -0.57 0 61 10.38 180.01 0.13 0.1515030210 Daleview Care Center 01/01/2014 242.11 160.7 158.47 57.71 14.08 18.05 0.87 -8.72 0 0 -0.58 0 142 14.28 256.39 0.18 0.22700034210 Daughters Of Jacob Nursing Home Company Inc 01/01/2014 230.98 139.89 138.01 68.19 14.96 5.83 2.77 0 0 0 -0.66 0 405 14.08 245.06 1.29 0.27010131210 Daughters Of Sarah Nursing Center - NF 01/01/2014 185.06 96.26 94.92 51.2 10.53 24.18 3.44 0 0 0 -0.55 0 211 13.63 198.69 -1.3 0.13310300030 Degraff Memorial Hospital-skilled Nursing Facility 01/01/2014 246.57 136.66 134.83 60.41 15.92 48.69 1.74 -1.78 0 0 -0.64 -14.43 80 16.56 263.13 1.92 0.19140132810 Delaware Nursing & Rehabilitation Center 01/01/2014 143.41 99.7 98.31 49.36 7.22 6.91 3.34 -13.19 0 0 -0.37 -9.56 200 9.49 152.9 0.72 0.14700234710 Dewitt Rehabilitation and Nursing Center Inc 01/01/2014 275.14 147.69 145.71 67.15 12.89 15.58 1.62 30.93 0 0 -0.72 0 499 16.09 291.23 0.24 0.28416130410 Diamond Hill Nursing and Rehabilitation Center 01/01/2014 195.34 117.29 115.66 53.03 13.63 8.67 2.9 0 0 0 -0.18 0 120 0 195.34 -1.58 0.16700139310 Ditmas Park Care Center 01/01/2014 277.33 185.58 183 59.21 13.03 18.91 1.29 0 0 0 -0.69 0 200 15.3 292.63 0.23 0.26700138010 Dr Susan Smith Mckinney Nursing and Rehabilitation Cente 01/01/2014 275.4 136.76 134.93 70.77 26.86 31.05 1.91 8.85 0 0 -0.8 0 320 21.91 297.31 -2.2 0.26700339510 Dr William O Benenson Rehabilitation Pavilion 01/01/2014 270.56 148.22 146.24 66.75 19.72 34.96 1.61 0 0 0 -0.7 0 302 18.77 289.33 -1.93 0.28700335910 Dry Harbor Nursing Home 01/01/2014 289.81 198.21 195.55 69.43 7.84 13.75 1.3 0 0 0 -0.72 0 360 18.3 308.11 -2.19 0.38590432110 Dumont Center for Rehabilitation and Nursing Care 01/01/2014 257.31 170.26 167.89 58.16 8.98 18.17 2.37 0 0 0 -0.63 0 196 14.77 272.08 0.2 0.24132230210 Dutchess Center for Rehabilitation and Healthcare 01/01/2014 232.91 148.13 146.07 55.51 8.03 27.51 3.71 -9.38 0 0 -0.6 0 122 11.73 244.64 -1.79 0.21700036010 East Haven Nursing And Rehabilitation Center 01/01/2014 229.71 161.5 159.26 56.53 8.16 12.13 2.01 -10.03 0 0 -0.59 0 200 11.64 241.35 2.19 0.23515030310 East Neck Nursing and Rehabilitation Center 01/01/2014 281.03 181.5 179.07 65.26 14.77 18.41 1.82 0 0 0 -0.73 0 300 16.23 297.26 0.22 0.34602730310 East Side Nursing Home 01/01/2014 151.49 83.35 82.19 47.15 7.26 8.28 2.9 3 0 0 -0.45 0 80 9.7 161.19 -1.29 0.12700038310 Eastchester Rehabilitation and Health Care Center 01/01/2014 257.26 178.08 175.61 59.72 7.28 10.95 1.93 0 0 0 -0.7 0 200 17.42 274.68 0.22 0.25323930010 Eastern Star Home & Infirmary 01/01/2014 157.25 73.79 72.77 47.3 12.46 14.33 3.7 6.17 0 0 -0.5 0 84 9.56 166.81 0.85 0.1010200110 Eddy Cohoes Rehabilitation Center 01/01/2014 179.66 89.79 88.54 53.57 18.71 31.16 1.13 -14.35 0 0 -0.35 0 192 16.56 196.22 0.84 0.13410231110 Eddy Heritage House Nursing Center 01/01/2014 183.43 108.03 106.53 53.28 9.63 14.78 2.51 0 0 0 -0.44 -4.36 122 14.44 197.87 0.86 0.15015130110 Eddy Village Green at Beverwyck 01/01/2014 159.83 67.91 66.97 53.57 11.03 32.6 0 0 0 0 -5.28 0 24 0 159.83 -0.89 0.1275430410 Edna Tina Wilson Living Center 01/01/2014 174.33 96.1 94.77 51.04 8.97 16.11 2.57 0 0 0 -0.46 0 120 14.22 188.55 1.63 0.13700430310 Eger Health Care and Rehabilitation Center 01/01/2014 257.79 161.59 159.43 68.86 15.23 11.28 1.66 0 0 0 -0.83 0 378 14.93 272.72 0.21 0.31593130110 Elant at Brandywine Inc 01/01/2014 215.85 115.37 113.77 54.91 10.95 14.92 2.21 17.96 0 0 -0.47 0 131 12.89 228.74 0.19 0.16135530110 Elant at Fishkill Inc 01/01/2014 185.77 112.06 110.51 51.19 8.4 12.44 2.17 0 0 0 -0.49 0 160 11.68 197.45 -1.44 0.16352330210 Elant at Goshen Inc 01/01/2014 222.17 133.38 131.52 55.45 15.8 16.93 1.25 0 0 0 -0.64 0 120 16.03 238.2 0.18 0.19350230410 Elant at Newburgh Inc 01/01/2014 199.29 123.94 122.22 54.62 5.47 7.94 2.13 5.74 0 0 -0.55 0 190 12.15 211.44 0.17 0.17132430210 Elant at Wappinger Falls 01/01/2014 181.26 103.86 102.42 52 7.3 7.35 2.98 8.25 0 0 -0.48 0 62 12.37 193.63 1.03 0.15072230410 Elcor Nursing and Rehabilitation Center 01/01/2014 175.37 101.41 100.05 52.44 10.61 8.49 3.83 0 0 0 -0.44 -0.97 305 0 175.37 -1.35 0.19333130010 Elderwood Health Care Birchwood 01/01/2014 198.26 102.06 100.64 51.82 9.16 24.75 2.21 8.88 0 0 -0.62 0 160 14.2 212.46 1.87 0.14312130110 Elderwood Health Care Crestwood 01/01/2014 215.68 117.15 115.53 50.85 9.94 35 3.39 0 0 0 -0.65 0 123 12.11 227.79 -1.5 0.16143030210 Elderwood Health Care Lakewood 01/01/2014 203.79 122.45 120.75 51.78 8.39 18.84 2.86 0 0 0 -0.53 0 166 12.19 215.98 1.83 0.17140630210 Elderwood Health Care Linwood 01/01/2014 184.11 110.24 108.7 51.62 7.58 12.44 3.33 -0.62 0 0 -0.48 0 96 11.66 195.77 0.97 0.15145530110 Elderwood Health Care Maplewood 01/01/2014 210.97 121.84 120.15 50.9 8.49 29.43 2.52 -0.61 0 0 -0.59 -1.01 172 11.91 222.88 1.77 0.17142130410 Elderwood Health Care Oakwood 01/01/2014 199.67 129.53 127.73 52.74 10.58 11.24 2.89 -6.77 0 0 -0.54 0 200 13.05 212.72 1.92 0.18146430110 Elderwood Health Care Riverwood 01/01/2014 183.73 105.03 103.57 50.69 7.55 21.17 1.76 -2.06 0 0 -0.41 0 90 11.93 195.66 0.92 0.15532030110 Elderwood Health Care Tioga 01/01/2014 177.8 102.29 100.87 51.49 9.47 11.33 3.7 0 0 0 -0.48 0 211 10.67 188.47 0.87 0.14145130510 Elderwood Health Care Wedgewood 01/01/2014 183.61 105.6 104.13 50.87 9.38 18.24 0 0 0 0 -0.48 0 92 13.69 197.3 1.78 0.15030130710 Elizabeth Church Manor Nursing Home 01/01/2014 161.63 93.18 91.89 51.95 10.59 10.07 2 -5.68 0 0 -0.48 0 121 11.87 173.5 0.13 0.13460100130 Ellis Residential & Rehabilitation Center 01/01/2014 243.63 126.16 124.47 80.85 23.13 43.61 2.72 -32.21 0 0 -0.63 0 82 15.18 258.81 2.05 0.18342930310 Elm Manor Nursing Home 01/01/2014 190.71 119.19 117.53 51.56 10.16 8.66 1.85 0 0 0 -0.71 0 46 8.45 199.16 -1.42 0.17700339610 Elmhurst Care Center Inc 01/01/2014 264.89 150.19 148.11 56.48 7.8 47.79 2.54 2 0 0 -0.67 -1.24 240 21.74 286.63 0.19 0.21415230310 Evergreen Commons 01/01/2014 237.7 133.95 132.09 53.97 15.11 32.48 2.78 0 0 0 -0.59 0 242 12.33 250.03 -1.7 0.19090130110 Evergreen Valley Nursing Home 01/01/2014 126.06 72.27 71.26 45.56 5.3 0 3.27 0 0 0 -0.34 0 89 0 126.06 -1.06 0.1295230910 Excel at Woodbury for Rehabilitation and Nursing LLC 01/01/2014 249.84 150.7 148.61 59.76 8.54 10.8 1.16 19.57 0 0 -0.69 0 123 0 249.84 0 0.21272530010 Fairport Baptist Homes 01/01/2014 222.61 91.98 90.7 51.81 12.13 65.53 1.86 0 0 0 -0.7 0 142 14.62 237.23 0.87 0.13700337510 Fairview Nursing Care Center Inc 01/01/2014 235.72 153.47 151.34 59.25 7.62 19.8 3.69 -7.49 0 0 -0.62 0 200 25.88 261.6 -1.86 0.21700331510 Far Rockaway Nursing Home 01/01/2014 177.98 95.35 94.03 57.48 5.1 7.85 4.7 8 0 0 -0.5 0 100 10.25 188.23 1.82 0.13143530210 Father Baker Manor 01/01/2014 191.59 111.18 109.63 52.15 9.83 20.2 9.26 -10.5 0 0 -0.53 0 160 13.86 205.45 1.76 0.16132730010 Ferncliff Nursing Home Co Inc 01/01/2014 227.15 137.85 136 61.62 9.37 16.05 2.84 0 0 0 -0.58 0 328 10.01 237.16 -1.74 0.26142730210 Fiddlers Green Manor Nursing Home 01/01/2014 156.14 96.45 95.11 47.05 6 6.35 4.59 -3.03 0 0 -0.38 -0.89 82 7.39 163.53 0.76 0.14590130210 Field Home-holy Comforter 01/01/2014 239.24 142.56 140.58 58.98 6.56 17.81 1.19 12.83 0 0 -0.69 0 200 14.11 253.35 1.27 0.2700038510 Fieldston Lodge Care Center 01/01/2014 235.95 169.09 166.74 59.12 7.91 11.6 2.12 0 0 0 -0.61 -13.28 200 13.9 249.85 0.19 0.24050100030 Finger Lakes Center for Living 01/01/2014 214.07 89.91 88.7 56.53 8.58 45.42 1 13.18 0 0 -0.55 0 80 6.82 220.89 -1.52 0.13

Page 3: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

700336610 Flushing Manor Care Center 01/01/2014 208.79 126.4 124.65 57.78 6.62 13.6 2.11 2.9 0 0 -0.62 0 278 11.95 220.74 2.04 0.18700340710 Flushing Manor Nursing & Rehabilitation 01/01/2014 228.8 129.29 127.5 59.33 7.44 20.99 2.4 9.98 0 0 -0.63 0 227 13.92 242.72 2.22 0.18320231310 Focus Rehabilitation and Nursing Center at Utica 01/01/2014 175.16 105.69 104.22 49.89 10.36 18.94 3.86 -11.28 0 0 -0.37 -1.93 120 9.07 184.23 -1.26 0.15212430010 Folts Home 01/01/2014 148.81 77 75.93 45.94 12.35 10.51 3.4 0 0 0 -0.39 0 163 9.55 158.36 0.12 0.11700339410 Forest Hills Care Center 01/01/2014 222.07 127.86 126.08 58.84 7.79 19.01 0.84 -6.05 0 0 -0.57 14.35 100 15.26 237.33 0.18 0.18700338710 Forest View Center for Rehabilitation & Nursing 01/01/2014 222.02 140.65 138.7 57.47 6.14 14.93 1.23 2.29 0 0 -0.69 0 160 23.38 245.4 0.18 0.2572430210 Fort Hudson Nursing Center Inc 01/01/2014 160.15 89.56 88.31 49.83 6.66 10.91 3.62 0 0 0 -0.43 0 196 12.68 172.83 0.13 0.13700235910 Fort Tryon Center for Rehabilitation and Nursing 01/01/2014 254.78 171.13 168.75 57.83 7.8 16.81 1.9 0 0 0 -0.69 0 205 14.98 269.76 0.22 0.24500100110 Founders Pavilion 01/01/2014 174.59 126.63 124.87 49.61 5.64 4.13 4.04 11.25 0 0 -0.47 -26.24 120 13.47 188.06 -1.43 0.18700138510 Four Seasons Nursing and Rehabilitation Center 01/01/2014 249.84 158.89 156.69 59.48 14.79 17.61 1.73 -2.03 0 0 -0.63 0 270 42.28 292.12 -2 0.22143530410 Fox Run at Orchard Park 01/01/2014 179.45 80.36 79.24 51.99 12.9 52.65 1.04 -19.07 0 0 -0.42 0 50 12.74 192.19 0 0.11700340210 Franklin Center for Rehabilitation and Nursing 01/01/2014 281.07 183.02 180.57 66.07 6.29 24.85 1.59 0 0 0 -0.75 0 320 18.85 299.92 -2.26 0.35166430010 Franklin County Nursing Home 01/01/2014 148.98 80.46 79.34 47.2 13.14 5.58 3.06 0 0 0 -0.46 0 80 9.56 158.54 -0.95 0.11435030510 Friedwald Center for Rehabilitation & Nursing LLC 01/01/2014 233.48 131.73 129.9 53.55 10.76 24.71 1.99 11.38 0 0 -0.64 0 180 16.65 250.13 -1.8 0.18175430110 Fulton Center for Rehabilitation and Healthcare 01/01/2014 192.72 139.24 137.3 53.5 9.42 5.65 3.97 0 0 0 -0.46 -18.6 176 0 192.72 -1.55 0.19295031710 Fulton Commons Care Center Inc 01/01/2014 232.62 121 119.32 56.47 4.19 49.19 2.46 0 0 0 -0.69 0 280 13.79 246.41 0.16 0.17295031610 Garden Care Center 01/01/2014 239.03 153.24 151.11 57.55 6.92 26.48 1.25 -5.81 0 0 -0.6 0 150 19.01 258.04 -1.78 0.21145530010 Garden Gate Health Care Facility 01/01/2014 189.83 124.03 122.3 49.78 11.02 12.3 1.3 -8.06 0 0 -0.54 0 184 13.1 202.93 1.86 0.17180130410 Genesee County Nursing Home 01/01/2014 173.25 103.22 101.79 51.73 11.76 13.78 3.42 0 0 0 -0.46 -10.2 160 10.28 183.53 -1.35 0.14352330310 Glen Arden Inc 01/01/2014 220.61 123.77 122.05 56.07 10.03 27.01 4.5 0 0 0 -0.77 0 40 5.47 226.08 0 0.17290130510 Glen Cove Center for Nursing and Rehabilitation 01/01/2014 224.6 136.25 134.36 59.29 7.97 18.02 0.93 2.8 0 0 -0.66 0 154 14.66 239.26 1.12 0.19590431810 Glen Island Center for Nursing and Rehabilitation 01/01/2014 220.24 119.61 117.95 53.59 8.6 10.17 2.31 26.55 0 0 -0.59 0 182 13.64 233.88 -1.87 0.17465130010 Glendale Home-schdy Cnty Dept Social Services 01/01/2014 194.67 107.22 105.73 58.77 10.04 15.52 3.63 0 0 0 -0.51 0 200 9.33 204 -1.53 0.15290130010 Glengariff Health Care Center 01/01/2014 257.18 151.03 148.94 58.92 10.15 26.67 1.73 9.45 0 0 -0.77 0 262 14.71 271.89 -2.08 0.21700037610 Gold Crest Care Center 01/01/2014 225.75 145.09 143.07 58.11 7.98 16.5 2.03 -3.38 0 0 -0.58 0 175 11.16 236.91 0.18 0.2700432210 Golden Gate Rehabilitation and Health Care Center 01/01/2014 263.58 152.8 150.67 59.07 8.26 16.67 2.09 25.45 0 0 -0.76 0 238 15.06 278.64 -2.2 0.21550130910 Golden Hill Health Care Center 01/01/2014 184.52 101 99.6 56.79 8.95 8.43 2.77 7.08 0 0 -0.5 0 280 11.66 196.18 -1.58 0.14515431010 Good Samaritan Nursing Home 01/01/2014 232.31 139.08 137.14 60.28 21.13 10.72 1.8 0 0 0 -0.7 0 100 14.31 246.62 -1.93 0.19036330110 Good Shepherd Village at Endwel 01/01/2014 180.35 79.06 77.96 51.54 7.43 34 6.81 3.19 0 0 -1.68 0 32 0 180.35 0 0.11030130510 Good Shepherd-fairview Home Inc 01/01/2014 171.89 91.69 90.42 50.28 8.64 11.07 0.87 9.77 0 0 -0.43 0 56 12.33 184.22 0.92 0.13042730210 Gowanda Rehabilitation and Nursing Center 01/01/2014 242.24 154.67 152.52 52.91 11.27 24.94 3.11 -4.03 0 0 -0.63 0 160 15.59 257.83 1.26 0.22291330110 Grace Plaza Nursing and Rehabilitation Center 01/01/2014 245.39 150.96 148.86 59.84 6.8 16.93 0.97 10.58 0 0 -0.69 0 214 17.69 263.08 0.21 0.21700036110 Grand Manor Nursing & Rehabilitation Center 01/01/2014 197.08 116.47 114.85 54.76 6.45 17.15 2.76 0 0 0 -0.51 0 240 10.96 208.04 1.84 0.16290230410 Grandell Rehabilitation and Nursing Center 01/01/2014 217.31 141.21 139.24 57.48 6.52 13.04 2.98 -3.39 0 0 -0.53 0 278 12.94 230.25 -1.76 0.2700234110 Greater Harlem Nursing Home Company Inc 01/01/2014 226.05 153.3 151.17 59.35 12.12 0 1.94 0 0 0 -0.66 0 200 13.37 239.42 -1.89 0.21146730110 Greenfield Health and Rehabilitation Center 01/01/2014 175.05 88.64 87.41 50.64 10.57 26.99 2.06 -3.41 0 0 -0.44 0 160 14.81 189.86 0.84 0.12540130510 Groton Community Health Care Center Residential Care Facility 01/01/2014 148.12 79.17 78.07 47.1 6.46 12.55 3.2 0 0 0 -0.36 0 80 8.09 156.21 0.11 0.11015530310 Guilderland Center Rehabilitation and Extended Care Facility 01/01/2014 140.52 80.62 79.5 52.33 5.37 6.19 2.9 -6.5 0 0 -0.39 0 127 0 140.52 -1.17 0.11515330710 Gurwin Jewish Nursing and Rehabilitation Cente 01/01/2014 277.15 156.28 154.18 67.32 27.69 25.46 1.15 0 0 0 -0.75 0 460 23.82 300.97 2.68 0.3275430010 Hamilton Manor Nursing Home 01/01/2014 159.89 86.49 85.29 51.73 4.47 5.31 1.68 10.61 0 0 -0.4 0 40 11.62 171.51 0.15 0.12700103410 Hamilton Park Nursing and Rehabilitation Cente 01/01/2014 322.12 159.46 157.24 59.21 26.19 45.2 1.41 31.54 0 0 -0.89 0 150 16.36 338.48 -2.35 0.22140132910 Harbour Health Multicare Center for Living 01/01/2014 153.65 91.87 90.59 49.06 6.83 5.69 2.59 -1.99 0 0 -0.4 0 95 8.76 162.41 -1.21 0.13322630110 Harding Nursing Home 01/01/2014 144.31 76.18 75.12 45.77 8.1 11.63 3.68 -0.67 0 0 -0.38 0 92 8.94 153.25 1.34 0.11140630110 Harris Hill Nursing Facility LLC 01/01/2014 201.67 127.67 125.89 49.03 10.52 14.25 0.78 0 0 0 -0.58 0 192 11.62 213.29 1.91 0.18700337810 Haven Manor Health Care Center LLC 01/01/2014 211.66 130.79 128.98 60.16 10.14 10.98 3.97 -3.82 0 0 -0.56 0 240 12.93 224.59 1.99 0.18140132310 Hawthorn Health Multicare Center for Living 01/01/2014 149.38 84.76 83.58 50.15 6.86 4.08 3.91 0 0 0 -0.38 0 122 8.68 158.06 -1.21 0.12700136910 Haym Solomon Home For The Aged 01/01/2014 307.16 176.86 174.4 59.96 9.73 43.71 1.76 16.04 0 0 -0.9 0 240 20.48 327.64 -2.27 0.25700030210 Hebrew Home For The Aged At Riverdale 01/01/2014 306.46 151.68 149.64 68.31 23.32 47.81 0.75 15.54 0 0 -0.95 0 542 19.06 325.52 2.74 0.29595730210 Hebrew Hospital Home of Westchester Inc 01/01/2014 224.07 125.43 123.69 57.24 11 27.51 1.37 2.13 0 0 -0.61 0 160 17.15 241.22 0.18 0.18432230030 Helen Hayes Hospital RHCF 01/01/2014 237.12 119.86 118.25 73.34 75.84 64.43 0 -96.35 0 0 0 0 25 48.88 286 0 0.17590431410 Helen and Michael Schaffer Extended Care Center 01/01/2014 260.81 162.6 160.42 68.19 16.45 0 3.06 11.32 0 0 -0.81 0 0 19.3 280.11 0 0.23290630410 Hempstead Park Nursing Home 01/01/2014 220.14 133.15 131.3 59.07 6.8 8.45 6.01 7.25 0 0 -0.59 0 251 14.52 234.66 -1.83 0.19152730010 Heritage Commons Residential Health Care 01/01/2014 166.55 82.71 81.56 49.59 13.75 22.13 1.38 -2.51 0 0 -0.5 0 82 11.36 177.91 0.8 0.12065830110 Heritage Green Nursing Home 01/01/2014 173.61 91.98 90.7 50.3 13.09 16.82 1.9 0 0 0 -0.48 0 134 10.21 183.82 0.14 0.13320231410 Heritage Health Care Center 01/01/2014 168.74 96.68 95.34 48.88 13.92 5.24 4.48 0 0 0 -0.46 0 220 10.99 179.73 -1.36 0.14060231010 Heritage Park Health Care Center 01/01/2014 161.18 88.47 87.24 49.75 10.1 10.46 2.84 0 0 0 -0.44 0 146 12.32 173.5 0.13 0.12066230110 Heritage Village Rehab and Skilled Nursing Inc 01/01/2014 160.65 88.65 87.42 49.53 17.68 7.13 2.27 -4.15 0 0 -0.46 0 120 13.69 174.34 1.53 0.12295130610 Highfield Gardens Care Center of Great Neck 01/01/2014 249.62 156.25 154.08 58.15 8.34 17.17 1.41 9.03 0 0 -0.73 0 200 16.32 265.94 -2.04 0.22700336310 Highland Care Center 01/01/2014 229.04 172.1 169.79 65.26 7.34 9.53 1.62 4.05 0 0 -0.6 -30.26 320 12.88 241.92 2.21 0.33440230010 Highland Nursing Home Inc 01/01/2014 138.8 70.77 69.79 44.39 5.9 17.08 3.68 -2.62 0 0 -0.4 0 140 8.1 146.9 -1.04 0.1022830310 Highland Park Rehabilitation and Nursing Cente 01/01/2014 163.48 97.93 96.57 47.73 6.9 10.1 4.84 -3.63 0 0 -0.39 0 80 10.29 173.77 -1.23 0.14350130510 Highland Rehabilitation and Nursing Cente 01/01/2014 213.22 128.08 126.3 54.25 13.09 16.63 1.65 0 0 0 -0.48 0 98 0 213.22 -1.6 0.18140100130 Highpointe on Michigan Health Care Facility 01/01/2014 276.96 123.92 122.26 59.56 15 82.55 2.82 -1.72 0 0 -0.47 -4.7 270 13.7 290.66 1.03 0.17515331010 Hilaire Rehab & Nursing 01/01/2014 234.27 125.46 123.72 59.59 14.86 14.62 3.96 16.54 0 0 -0.76 0 76 18.41 252.68 -1.94 0.18276130210 Hill Haven Nursing Home 01/01/2014 196.83 117.55 115.98 59.03 9.28 6.65 3.52 2.5 0 0 -0.56 -1.14 341 11.79 208.62 1.07 0.22700335010 Hillside Manor Rehabilitation and Extended Care Center 01/01/2014 247.28 152.95 150.9 66.54 8.24 18.82 1.37 0 0 0 -0.64 0 400 14.65 261.93 -1.94 0.29700338110 Hollis Park Manor Nursing 01/01/2014 221.59 146.45 144.41 58.5 7.77 8.55 0.89 0 0 0 -0.57 0 80 12.58 234.17 -1.71 0.21700340910 Holliswood Center for Rehabilitation and Healthcare 01/01/2014 257.51 184.95 182.47 66.63 6.02 11.66 2.3 -13.55 0 0 -0.5 0 314 0 257.51 -2.13 0.35700139510 Hopkins Center for Rehabilitation and Healthcare 01/01/2014 255.53 157.34 155.15 59.28 13.78 23.86 1.89 0 0 0 -0.62 0 288 16.53 272.06 -2.03 0.22152130010 Horace Nye Home 01/01/2014 169.98 105.91 104.44 58.32 13.26 6.53 3.21 0 0 0 -0.54 -16.71 100 8.47 178.45 1.65 0.15700338910 Horizon Care Center 01/01/2014 177.75 98.61 97.24 57.72 5.12 13.04 3.73 0 0 0 -0.47 0 280 9.91 187.66 1.7 0.14500230210 Hornell Gardens LLC 01/01/2014 165.13 93.31 92.01 45.72 7.36 12.98 4.4 1.76 0 0 -0.4 0 114 9.16 174.29 -1.34 0.13010131410 Hudson Park Rehabilitation and Nursing Center 01/01/2014 176.43 103.54 102.1 52.28 7.96 9.34 3.73 0 0 0 -0.42 0 200 10.95 187.38 -1.45 0.14700038810 Hudson Pointe at Riverdale Center for Nrsg and Reha 01/01/2014 260.39 143.26 141.27 57.7 13.65 18.66 1.52 26.36 0 0 -0.76 0 167 14.7 275.09 0.22 0.2555630210 Hudson Valley Rehabilitation and Extended Care Center 01/01/2014 178.54 105.22 103.76 55.81 6.41 10.68 4.53 -3.59 0 0 -0.52 0 203 10.71 189.25 0.15 0.15515330910 Huntington Hills Center for Health and Rehabilitation 01/01/2014 272.94 160.7 158.54 65.21 11.46 34.36 1.94 0 0 0 -0.73 0 320 18.19 291.13 1.31 0.31492130210 Huntington Living Center 01/01/2014 153.19 75.75 74.69 50.2 6.9 17.6 3.17 0 0 0 -0.43 0 160 11.32 164.51 0.11 0.11030230210 Ideal Senior Living Center 01/01/2014 169.43 93.99 92.68 49.41 4.88 15.97 2.19 3.46 0 0 -0.47 0 150 12.02 181.45 0.14 0.13572530410 Indian River Rehabilitation and Nursing Cente 01/01/2014 203.08 125.11 123.38 51.38 12.25 21.71 3.57 -10.41 0 0 -0.53 0 122 9.68 212.76 -1.62 0.18502230130 Ira Davenport Memorial Hospital Snf hrfa 01/01/2014 144.02 78.63 77.58 52.39 7.81 10.51 3.5 -8.43 0 0 -0.39 0 120 9.88 153.9 -1.12 0.11335330010 Iroquois Nursing Home Inc 01/01/2014 168.4 91.99 90.71 48.35 9.95 7.28 0.5 10.81 0 0 -0.48 0 160 11.58 179.98 1.69 0.13700235210 Isabella Geriatric Center Inc 01/01/2014 283.81 159.87 157.73 68.46 25.6 29.06 1.59 0 0 0 -0.77 0 705 18.55 302.36 1.38 0.3515131810 Island Nursing and Rehab Center 01/01/2014 281.64 136.72 134.82 58.23 21.51 38.61 1.54 25.87 0 0 -0.84 0 120 18.22 299.86 -2.17 0.19700334610 Jamaica Hospital Nursing Home Co Inc 01/01/2014 321.05 137.54 135.69 66.81 24.56 77.05 2.71 13.29 0 0 -0.91 0 224 19.34 340.39 1.45 0.19410230910 James A Eddy Memorial Geriatric Center 01/01/2014 163.4 83.95 82.78 50.97 7.39 14.26 2 5.3 0 0 -0.47 0 80 15.92 179.32 1.64 0.12030330610 James G Johnston Memorial Nursing Home 01/01/2014 177.74 107.08 105.59 51.06 10.38 8.39 1.3 0 0 0 -0.47 0 122 12.58 190.32 0.15 0.15330132210 James Square Health And Rehabilitation Centre 01/01/2014 193.38 111.54 110.04 57.88 6.56 11.25 2.38 4.31 0 0 -0.54 0 455 11.24 204.62 -1.6 0.21700031310 Jeanne Jugan Residence 01/01/2014 293.82 131.49 129.67 56.63 21.47 35.46 3.26 60.84 0 0 -0.78 -14.55 30 14.78 308.6 2.67 0.18515131710 Jeffersons Ferry 01/01/2014 246.74 117.78 116.14 57.51 10.97 59.61 0.85 4.52 0 0 -0.74 -3.76 60 16.2 262.94 0 0.16142700010 Jennie B Richmond Chaffee Nursing Home Company Inc 01/01/2014 160.89 97.1 95.79 59.13 5.5 9.1 2.43 -11.89 0 0 -0.48 0 80 12.71 173.6 1.54 0.14275030410 Jewish Home & Infirmary Of Rochester Ny Inc 01/01/2014 228.88 125.21 123.53 58.96 15.57 26.91 2.85 0 0 0 -0.62 0 362 17.42 246.3 1.09 0.24

Page 4: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

700031710 Jewish Home Lifecare Henry and Jeanette Weinberg Campus Bronx 01/01/2014 261.91 148.26 146.27 67.61 23.4 21.16 2.28 0 0 0 -0.8 0 816 18.25 280.16 2.65 0.28700234010 Jewish Home Lifecare Manhattan 01/01/2014 307.7 163.32 161.13 67.46 29.58 15.12 1.26 31.86 0 0 -0.9 0 514 21 328.7 1.75 0.31590930210 Jewish Home Lifecare Sarah Neuman Center 01/01/2014 287.69 147.03 145.06 67.34 15.24 20.54 1.35 37.04 0 0 -0.85 0 301 19.16 306.85 1.56 0.28330130910 Jewish Home Of Central New York 01/01/2014 229.35 118.75 117.1 52.21 10.1 35.39 0.76 16.8 0 0 -0.56 -4.1 132 15.36 244.71 1.99 0.17100100030 Kaaterskill Care Skilled Nursing and Rehab 01/01/2014 193.85 102.79 101.41 59.24 6.82 23.42 2.13 0 0 0 -0.55 0 120 12.02 205.87 -1.42 0.14700234410 Kateri Residence 01/01/2014 270.07 175.14 172.79 67.35 11.24 10.45 1.46 11.14 0 0 -0.72 -5.99 520 15.06 285.13 0.23 0.33322530310 Katherine Luther Residential Health Care and Rehab C 01/01/2014 176.11 95.38 94.05 48.59 15.95 14.2 2.46 0 0 0 -0.47 0 280 0 176.11 -1.25 0.13540130810 Kendal at Ithaca Inc 01/01/2014 110.39 50.1 49.41 52.24 8.05 0 0 0 0 0 0 0 35 6.3 116.69 0 0.07593230010 Kendal on Hudson 01/01/2014 143.07 93.01 91.71 57.99 11.29 0 0 -18.76 0 0 -0.46 0 0 13.56 156.63 0 0.13700138710 Keser Nursing and Rehabilitation Center Inc 01/01/2014 250.44 168.49 166.15 60.45 12.25 13.4 2.78 0 0 0 -0.57 -6.36 200 14.84 265.28 -1.97 0.24590630010 King Street Home Inc 01/01/2014 190.08 116.67 115.05 53.27 9.91 14.78 0 1.73 0 0 -0.57 -5.71 120 22.11 212.19 1.83 0.16700037210 Kings Harbor Multicare Center 01/01/2014 249.44 151.77 149.73 66.34 10.12 16.17 3.39 2.33 0 0 -0.68 0 720 15.48 264.92 2.36 0.29700037410 Kingsbridge Heights Rehabilitation and Care 01/01/2014 246.49 134.96 133.15 64.22 6.65 7.46 3.65 30.13 0 0 -0.58 0 400 18.94 265.43 1.46 0.26460130510 Kingsway Arms Nursing Center Inc 01/01/2014 191.18 101.27 99.86 52.05 9.31 15.62 1.73 11.76 0 0 -0.56 0 160 14.44 205.62 -1.61 0.14442300010 Kinney Nursing Home 01/01/2014 183.32 65.35 64.47 50.29 26.35 34.69 3.49 0 0 0 -0.43 3.58 40 11.03 194.35 -1.39 0.09270134510 Kirkhaven 01/01/2014 181.93 101.69 100.28 51.1 9.24 16.91 3.47 0 0 0 -0.48 0 147 12.03 193.96 -1.42 0.14700037010 Laconia Nursing Home Inc 01/01/2014 241.45 167.27 164.95 57.78 7.14 12.36 2.27 -4.77 0 0 -0.6 0 240 11.45 252.9 2.33 0.23275230110 Lakeside - Beikirch Care Center Inc 01/01/2014 199.9 110.79 109.25 53.75 10.83 23.37 1.68 0 0 0 -0.52 0 120 12.39 212.29 -1.53 0.16515131410 Lakeview Rehabilitation and Care Center 01/01/2014 203.68 121.61 119.92 57.22 8.78 14.57 2.02 0 0 0 -0.52 0 120 12.35 216.03 1.06 0.17275430110 Latta Road Nursing Home 01/01/2014 173.94 89.33 88.08 50.84 5.26 8.61 5.91 14.45 0 0 -0.46 0 1 10.37 184.31 0.14 0.13275430310 Latta Road Nursing Home A 01/01/2014 163.01 87.79 86.57 51.57 5.29 8.34 2.68 7.82 0 0 -0.48 0 40 10.94 173.95 -1.35 0.12700338510 Lawrence Nursing Care Center Inc 01/01/2014 219.94 127.63 125.85 59.06 5.74 17.07 2.89 8.19 0 0 -0.64 0 200 17.59 237.53 2.32 0.18182330010 Leroy Village Green Residential Health Care Facility Inc 01/01/2014 155.5 90.13 88.87 47.44 6.46 9.51 2.42 0 0 0 -0.46 0 140 9.43 164.93 -1.23 0.13242400030 Lewis County General Hospital-nursing Home Uni 01/01/2014 208.02 113.97 112.44 61 7.02 23.43 5.56 0 0 0 -0.52 -2.44 160 11.31 219.33 0.95 0.16700139710 Linden Gardens Rehabilitation and Nursing Cente 01/01/2014 235.34 138.86 136.93 53.89 8.36 39.24 3.46 0 0 0 -0.5 -7.97 280 0 235.34 -1.66 0.19700340810 Little Neck Nursing Home 01/01/2014 241.74 159.46 157.24 59.21 11.67 11.12 0.89 0 0 0 -0.61 0 120 12.87 254.61 0.2 0.22340230310 Living Center At Geneva North 01/01/2014 155.97 71.3 70.31 52.9 9.05 24.96 2.62 -8.44 0 0 -0.44 4.02 82 11.02 166.99 -1.15 0.1340230210 Living Center At Geneva South 01/01/2014 178.99 91.55 90.32 59.69 12.94 12.88 2.43 0 0 0 -0.5 0 103 15.9 194.89 -1.42 0.13252230010 Livingston County Center for Nursing and Rehabilitatio 01/01/2014 217.65 101.26 99.85 53.97 7.83 40.8 4.1 10.32 0 0 -0.63 0 266 14.52 232.17 -1.56 0.14106330110 Livingston Hills Nursing & Rehabilitation Center LLC 01/01/2014 203.16 121.03 119.34 53.27 10.39 20.21 2.04 -3.29 0 0 -0.49 0 120 10.05 213.21 -1.65 0.17700337710 Long Island Care Center Inc 01/01/2014 224.51 136.33 134.44 58.3 9.32 11.21 1.69 8.27 0 0 -0.61 0 200 14.54 239.05 -1.91 0.19515131010 Long Island State Veterans Home 01/01/2014 268.55 139.47 137.6 66.54 24.2 21.66 1.67 15.8 0 0 -0.79 0 350 15.55 284.1 1.42 0.26330132710 Loretto Health and Rehabilitation Center 01/01/2014 205.45 120.97 119.35 60.45 11.38 19.61 2.19 -8.63 0 0 -0.52 0 583 14.74 220.19 -1.53 0.23700131310 Lutheran Augustana Center for Extended Care &Rehab 01/01/2014 245.69 146.83 144.79 60.53 10.28 27.45 1.37 0 0 0 -0.77 0 240 18.28 263.97 1.27 0.21130230610 Lutheran Center at Poughkeepsie Inc 01/01/2014 194.51 105.27 103.81 56.84 10.3 20.68 1.95 0 0 0 -0.53 0 160 14.38 208.89 1.76 0.15060230810 Lutheran Retirement Home 01/01/2014 198.99 114.74 113.15 51.32 10.01 26.63 2.9 -6.13 0 0 -0.48 0 174 11.73 210.72 0.14 0.16291130310 Lynbrook Restorative Therapy and Nursing 01/01/2014 235.34 114.08 112.5 58.02 7.32 21.54 2.79 32.76 0 0 -1.17 0 100 17.34 252.68 2.28 0.16342930030 MM Ewing Continuing Care Center 01/01/2014 200.94 116.01 114.45 58.51 7 17.38 2.56 0 0 0 -0.52 0 188 14.88 215.82 -1.43 0.16700038710 Manhattanville Health Care Center 01/01/2014 262.26 159.33 157.11 57.98 6.86 20.02 1.34 17.39 0 0 -0.66 0 200 13.55 275.81 1.34 0.22442030110 Maplewood Health Care and Rehabilitation Center 01/01/2014 194.09 88.13 86.91 46.39 6.98 46.37 3.06 3.6 0 0 -0.44 0 96 9.66 203.75 0.13 0.12272930010 Maplewood Nursing Home Inc 01/01/2014 219.78 85.54 84.35 50.02 10.92 28.91 3.07 39.87 0 0 -0.51 1.96 72 20.52 240.3 1.12 0.12700135310 Marcus Garvey Nursing Home Company Inc 01/01/2014 205.55 141.13 139.17 57.16 6.48 0 2.48 0 0 0 -0.46 -1.24 295 0 205.55 0 0.2700330510 Margaret Tietz Center For Nursing Care Inc 01/01/2014 303.33 159.49 157.28 60.87 17.78 40.71 2.51 22.77 0 0 -0.8 0 200 18.32 321.65 -2.31 0.22515432110 Maria Regina Residence Inc 01/01/2014 205.31 108.88 107.37 57.58 11.24 0 1.82 26.41 0 0 -0.62 0 188 14.06 219.37 2.21 0.15290130410 Marquis Care Center 01/01/2014 243.06 125.48 123.73 59.63 7.23 25.77 2.66 22.93 0 0 -0.64 0 102 16.13 259.19 -1.95 0.18700230510 Mary Manning Walsh Nursing Home Co Inc 01/01/2014 274.16 151.05 149.03 66.42 21.65 20.87 1.12 13.81 0 0 -0.76 0 362 18.93 293.09 -2.25 0.29320230810 Masonic Care Community of New York 01/01/2014 234.65 100.49 99.14 56.25 25.61 40.51 3.12 11.52 0 0 -0.7 -2.15 320 15.21 249.86 1.12 0.19290630210 Mayfair Care Center 01/01/2014 189.01 112.53 110.96 57.18 3.46 13.49 2.87 0 0 0 -0.52 0 200 11.88 200.89 -1.53 0.16500200130 Mcauley Manor at Mercycare 01/01/2014 181.61 85.02 83.88 53.26 18.59 21.64 3.24 0.44 0 0 -0.58 0 122 14.43 196.04 -1.42 0.12140400010 Mcauley Residence 01/01/2014 212.92 122.85 121.14 53.04 7.79 29.21 1.65 -0.98 0 0 -0.64 0 160 13.2 226.12 0.98 0.17700339810 Meadow Park Rehabilitation and Health Care Center 01/01/2014 217.17 160.47 158.24 58.89 5.57 12.68 2.51 -17.15 0 0 -0.58 -5.22 143 14.89 232.06 -1.65 0.22290430110 Meadowbrook Care Center Inc 01/01/2014 221.35 122.99 121.28 58.16 5.51 33.98 1.36 0 0 0 -0.65 0 280 16.01 237.36 1.04 0.17090130310 Meadowbrook Healthcare 01/01/2014 173.24 98.17 96.81 48.52 7.19 17.77 2.1 0 0 0 -0.51 0 207 11.45 184.69 0.82 0.14515131910 Medford Multicare Center for Living 01/01/2014 323.48 170.48 168.19 65.45 7.04 56.52 1.64 23.21 0 0 -0.86 0 320 19 342.48 -2.41 0.32362200030 Medina Memorial Hospital Snf 01/01/2014 188.6 90.15 88.95 52.07 19.09 11.49 1.99 14.36 0 0 -0.55 0 30 11.72 200.32 1.02 0.13700137210 Menorah Home And Hospital For 01/01/2014 294.83 151.89 149.86 66.15 24.74 51.51 1.4 0 0 0 -0.86 0 320 18.89 313.72 1.32 0.29050130810 Mercy Health & Rehab Center Nh Inc 01/01/2014 143.59 90.37 89.11 50.65 7.25 3.08 2.84 -10.2 0 0 -0.4 0 237 10.01 153.6 0.12 0.13140100830 Mercy Hospital Skilled Nursing Facility 01/01/2014 256.09 109.02 107.56 59.56 18.51 39.82 7.72 22.32 0 0 -0.86 0 84 12.53 268.62 2.35 0.15162030030 Mercy Living Center 01/01/2014 216.81 110.06 108.59 54.94 18.98 39.74 2.27 4.62 0 0 -0.48 -13.32 60 14.12 230.93 0 0.15700031110 Methodist Home For Nursing and Rehabilitation 01/01/2014 227.64 137.53 135.62 59 8.79 21.65 1.22 0.12 0 0 -0.67 0 121 14.72 242.36 1.17 0.19590731610 Michael Malotz Skilled Nursing Pavilion 01/01/2014 264.19 146.58 144.55 58.3 17.52 38.22 2.6 1.67 0 0 -0.7 0 120 18.24 282.43 2.4 0.21370130110 Michaud Residential Health Services Inc 01/01/2014 163.83 92.96 91.67 48.29 8.4 5.56 2.25 6.82 0 0 -0.45 0 89 10.2 174.03 0.91 0.13350130410 Middletown Park Rehabilitation and Health Ca 01/01/2014 188.21 144.18 142.18 54.48 8.24 19.48 2.86 -28.28 0 0 -0.48 -12.27 230 10.04 198.25 -1.38 0.2700334010 Midway Nursing Home 01/01/2014 204.29 132.14 130.31 57.27 3.76 13.49 3.47 -5.26 0 0 -0.58 0 200 12.1 216.39 0.17 0.18515731610 Mills Pond Nursing and Rehabilitation Center 01/01/2014 244.07 187.64 185.03 58.52 6.59 16.89 1.04 -13.08 0 0 -0.58 -12.95 252 10.46 254.53 -1.83 0.26210130110 Mohawk Valley Health Care Center 01/01/2014 176.07 103.16 101.73 48.59 14.86 9.84 5.37 -5.29 0 0 -0.46 0 120 13.21 189.28 -1.41 0.14515432410 Momentum at South Bay for Rehabilitation and Nursin 01/01/2014 239.12 154.23 152.09 59.51 7 21.42 0.53 -2.88 0 0 -0.69 0 160 0 239.12 -1.8 0.22270100630 Monroe Community Hospital 01/01/2014 253.76 126.28 124.58 61.93 34.38 26.41 5.5 0 0 0 -0.74 0 566 18.42 272.18 -2.03 0.24356130210 Montgomery Nursing and Rehabilitation Cente 01/01/2014 199.65 141.2 139.24 54.81 6.93 9.49 0.25 -12.47 0 0 -0.56 0 100 9.95 209.6 -1.63 0.2700034510 Morningside House Nursing Home Company Inc 01/01/2014 256.23 147.27 145.29 67.23 17.57 10.24 2.27 12.42 0 0 -0.77 0 362 16.49 272.72 1.46 0.28370231510 Morningstar Residential Care Center 01/01/2014 153.99 89.54 88.3 47.61 6.67 9.64 1.83 0 0 0 -0.43 -0.87 120 0 153.99 1.48 0.13700032810 Morris Park Nursing Home 01/01/2014 229.72 148.55 146.49 59.37 6.29 15.33 2.25 -1.53 0 0 -0.54 0 191 12.72 242.44 0.19 0.21700032910 Mosholu Parkway Nursing And Rehabilitation Cente 01/01/2014 222.26 137.84 135.93 56.55 7.45 18.37 2.63 0 0 0 -0.58 0 122 13.85 236.11 1.07 0.19122630030 Mountainside Residential Care Center 01/01/2014 177.86 88.29 87.1 57.18 9.46 14.86 1.88 6.68 0 0 -0.49 0 82 11.08 188.94 1.77 0.12082530110 NYS Veterans Home 01/01/2014 255.46 108.75 107.24 55.85 20.81 41.2 3.24 26.33 0 0 -0.72 0 242 10.86 266.32 1.24 0.15595130010 NYS Veterans Home at Montrose 01/01/2014 258.82 114.28 112.69 57.99 20.06 0 2.62 64.64 0 0 -0.77 0 252 0 258.82 -2.34 0.16290630510 Nassau Extended Care Facility 01/01/2014 254.48 143.38 141.39 56.99 8.49 43.93 2.38 0 0 0 -0.69 0 280 16.79 271.27 -1.87 0.2170100030 Nathan Littauer Hospital Nursing Home 01/01/2014 190.04 102.24 100.87 58.49 8.39 8.52 8.98 3.98 0 0 -0.56 0 84 12.43 202.47 -1.64 0.14515731510 Nesconset Center for Nursing and Rehabilitation 01/01/2014 254.82 145.43 143.41 59.7 13.68 16.49 1.74 19.88 0 0 -0.76 -1.34 240 24.54 279.36 -1.97 0.2700138610 New Carlton Rehab and Nursing Center LLC 01/01/2014 207.58 136.67 134.77 57.69 5.16 6.37 2.27 0 0 0 -0.58 0 148 12.99 220.57 -1.75 0.19700235810 New East Side Nursing Home 01/01/2014 224.79 121.33 119.64 57.82 7.87 19.21 2.34 16.87 0 0 -0.65 0 58 16.63 241.42 0.19 0.17700339110 New Glen Oaks Nursing Home 01/01/2014 254.01 146.91 144.87 57.29 5.96 19.08 1.3 24.2 0 0 -0.73 0 60 15.61 269.62 1.37 0.21700234310 New Gouverneur Hospital Snf 01/01/2014 290.94 159.87 157.65 63.69 29.64 22.32 0.46 15.95 0 0 -0.99 0 157 28.3 319.24 2.83 0.22700337310 New Surfside Nursing Home 01/01/2014 204.77 136.5 134.6 58.2 5.34 14.27 2.55 0 0 0 -0.53 -11.56 183 14.79 219.56 1.88 0.19700431610 New Vanderbilt Rehabilitation and Care Center Inc 01/01/2014 240.45 152.14 150.1 65.54 7.95 12.5 3.02 0 0 0 -0.7 0 320 15.48 255.93 -2.07 0.29700340510 New York Center for Rehabilitation 01/01/2014 308.48 151.36 149.26 57.99 8.59 62.93 1 27.47 0 0 -0.86 0 280 18.4 326.88 -2.14 0.21700130910 New York Congregational Nursing Center Inc 01/01/2014 243.03 146.46 144.43 59.42 8.96 27.36 1.51 0 0 0 -0.68 0 200 15.9 258.93 2.23 0.21700338310 New York State Veterans Home In New York City 01/01/2014 212 115.47 113.87 59.21 14.42 0 1.47 22.17 0 0 -0.74 0 250 0 212 -1.91 0.16582030210 Newark Manor Nursing Home 01/01/2014 187.07 112.37 110.8 50.89 8.99 13.02 5.24 0 0 0 -0.47 -2.97 60 9.95 197.02 -1.44 0.16315430210 Newfane Rehabilitation And Health Care Center Corp 01/01/2014 153.61 94.38 93.07 51.35 5.84 4.57 3.85 -3.93 0 0 -0.4 -2.05 175 8.09 161.7 -1.2 0.13140131610 Niagara Lutheran Home And Rehabilitation Center Inc 01/01/2014 150.4 88.01 86.79 49.23 5.92 4.95 2.66 0 0 0 -0.37 0 173 9.06 159.46 0.12 0.12

Page 5: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

310231110 Niagara Rehabilitation and Nursing Center 01/01/2014 166.47 106.74 105.25 50.76 7.42 11.44 2.67 -12.15 0 0 -0.41 0 160 0 166.47 -1.3 0.15316030110 North Gate Health Care Facility 01/01/2014 196.59 135.81 133.92 50.1 8.75 9.65 1.63 -8.83 0 0 -0.52 0 200 11.87 208.46 1.02 0.19295130510 North Shore University Hospital Stern Family Ctr for E 01/01/2014 233.93 125.65 123.9 62.4 22.6 20.68 2.22 1.26 0 0 -0.88 0 256 23.69 257.62 2.29 0.18596830210 North Westchester Restorative Therapy and Nursing 01/01/2014 219.7 112.04 110.48 57.01 15.56 22.44 0.68 12.75 0 0 -0.78 0 120 13.87 233.57 0.19 0.16550131010 Northeast Center for Special Care 01/01/2014 289.13 141.77 139.8 54.4 26.64 41.88 8.17 17.33 0 0 -1.06 0 280 16.39 305.52 2.58 0.2132730210 Northern Dutchess Residential Health Care Facility Inc 01/01/2014 176 96.75 95.4 50.31 15.67 8.63 3.68 1.48 0 0 -0.52 0 100 14.13 190.13 -1.45 0.14700235510 Northern Manhattan Rehabilitation and Nursing Cente 01/01/2014 270.05 160.56 158.41 65.35 6.13 33.76 5 0 0 0 -0.75 0 320 16.61 286.66 0.21 0.31435030410 Northern Manor Geriatric Center Inc 01/01/2014 238.9 148.85 146.78 57.3 5.95 22.04 1.31 4.14 0 0 -0.69 0 231 23.54 262.44 -1.92 0.21435330110 Northern Metropolitan Residential Health Care Facility Inc 01/01/2014 240.92 154.59 152.44 56.15 9.92 21.55 2.33 -3.07 0 0 -0.55 0 120 22.06 262.98 1.18 0.22432130210 Northern Riverview Health Care Center Inc 01/01/2014 238.68 144.25 142.24 54.91 11.32 26.51 2.3 0 0 0 -0.61 0 180 12.82 251.5 -1.88 0.2052630310 Northwoods Rehab and Extended Care Fac at Moravia 01/01/2014 143.12 72.72 71.71 48.18 6.47 9.25 0.63 0 0 0 -0.39 6.26 40 7.94 151.06 -1.19 0.1700131610 Norwegian Christian Home And Health Center 01/01/2014 245.68 125.54 123.8 58.01 17.64 35.94 1.21 8.08 0 0 -0.74 0 137 22.37 268.05 -1.85 0.18082430410 Norwich Rehabilitation & Nursing Center 01/01/2014 186.89 120.04 118.37 52.18 11.12 13.42 2.67 -12.14 0 0 -0.4 0 82 11.08 197.97 -1.44 0.17335330110 Nottingham Residential Health Care Facility 01/01/2014 188.82 88.42 87.19 53.26 13.18 34.61 0 0 0 0 -0.65 0 40 18.34 207.16 1.67 0.12435030210 Nyack Manor Nursing Home 01/01/2014 185.22 107.07 105.58 55.98 5.67 14.52 2.44 0 0 0 -0.46 0 160 13.49 198.71 -1.44 0.15540131010 Oak Hill Manor Nursing Home 01/01/2014 151.62 73.34 72.32 46.94 6.61 12.04 4.06 9.16 0 0 -0.53 0 60 11.95 163.57 1.48 0.1515131510 Oak Hollow Nursing Center 01/01/2014 199.8 116.22 114.61 58.08 7.33 15.13 3.62 0 0 0 -0.58 0 164 12.19 211.99 1.95 0.16700340110 Ocean Promenade Nursing Center Inc 01/01/2014 294.31 174.15 171.73 58.76 7.33 26.46 3.02 25.53 0 0 -0.94 0 120 15.28 309.59 1.56 0.24295031410 Oceanside Care Center Inc 01/01/2014 226.39 146.6 144.56 58.17 6.05 12.9 1.87 1.43 0 0 -0.63 0 100 13.73 240.12 -1.94 0.21700335410 Oceanview Nursing & Rehabilitation Center LLC 01/01/2014 231.31 146.92 144.88 57.98 6.09 18.61 2.3 0 0 0 -0.59 0 102 11.7 243.01 -1.86 0.21310130510 Odd Fellow & Rebekah Rehabilitation & Health Care Center Inc 01/01/2014 205.04 133.08 131.23 51.07 10.85 22.99 1.74 -1.84 0 0 -0.6 -12.25 126 10.55 215.59 -1.46 0.19260100110 Oneida Healthcare 01/01/2014 202.9 102.22 100.8 53.13 17.57 29.51 2.06 0 0 0 -0.57 -1.02 160 18.66 221.56 0.15 0.14342930210 Ontario County Health Facility 01/01/2014 167.53 91.35 90.08 55.15 9.06 8.68 3.81 0 0 0 -0.52 0 98 10.24 177.77 -1.4 0.13362230310 Orchard Manor Rehabilitation and Nursing Cente 01/01/2014 160.09 101.57 100.16 50.14 8.78 7.06 4.81 -17.78 0 0 -0.34 5.85 160 0 160.09 0.85 0.14291000010 Orzac Center for Extended Care & Rehabilitation 01/01/2014 215.09 125.13 123.4 62.04 15.92 10.97 1.77 0 0 0 -0.74 0 120 29.01 244.1 2.14 0.18385930010 Otsego Manor 01/01/2014 194.64 94.92 93.6 54.94 17.02 23.17 5.08 0 0 0 -0.49 0 174 13.41 208.05 -1.48 0.13015330010 Our Lady Of Hope Residence-little Sisters Of The Poor 01/01/2014 148.39 76.56 75.5 46.64 12.78 18.3 3.1 -8.56 0 0 -0.43 0 36 7.81 156.2 -1.22 0.11015530110 Our Lady Of Mercy Life Center 01/01/2014 193.09 110.16 108.63 53.75 8.88 17.82 1.38 1.71 0 0 -0.61 0 160 13.99 207.08 1.95 0.15515431910 Our Lady of Consolation Nursing and Rehabilitation Care Cente 01/01/2014 262.05 154.37 152.3 68.66 11.63 10.46 2.02 15.72 0 0 -0.81 0 485 17.31 279.36 0.22 0.29312130310 Our Lady of Peace Nursing Care Residence 01/01/2014 178.67 89.09 87.85 51.41 10.26 26.41 2.03 0 0 0 -0.53 0 250 13.24 191.91 1.61 0.12700137310 Oxford Nursing Home 01/01/2014 210.55 142.05 140.08 57.06 5.47 4.68 1.79 0 0 0 -0.5 0 235 10.51 221.06 0.18 0.2700330610 Ozanam Hall Of Queens Nursing Home Inc 01/01/2014 259.5 142.05 140.14 69.67 16.24 30.7 1.52 0 0 0 -0.68 0 432 16.29 275.79 1.29 0.27285130110 Palatine Nursing Home 01/01/2014 156.8 92.95 91.66 49.89 11.21 10.69 3.59 -8.22 0 0 -0.4 -2.91 70 8.24 165.04 -1.18 0.13700034710 Palisade Nursing Home Company Inc 01/01/2014 253.96 150.57 148.48 60.27 23.66 12.62 0.65 6.84 0 0 -0.65 0 328 16.84 270.8 2.59 0.29700139110 Palm Gardens Care Center LLC 01/01/2014 259.76 148 145.94 57.6 12.24 16.23 1.43 25.05 0 0 -0.79 0 240 23.6 283.36 1.51 0.21290230610 Park Avenue Extended Care Facility 01/01/2014 255.1 145.01 143 57.52 8.43 40.77 2.22 1.86 0 0 -0.71 0 240 15.83 270.93 -1.89 0.2700038210 Park Gardens Rehabilitation & Nursing Center LLC 01/01/2014 228.85 146.47 144.44 58.28 8.2 19.62 2.02 0 0 0 -0.63 -5.11 200 15.48 244.33 2.04 0.21700336410 Park Nursing Home 01/01/2014 195.9 121.04 119.36 61.22 6.68 12.61 3.33 -16.92 0 0 -0.45 8.39 196 10.87 206.77 1.02 0.17275430230 Park Ridge Nursing Home 01/01/2014 244.89 116.62 115.05 62.27 21.68 47.75 3.77 -6.6 0 0 -0.6 0 120 17.65 262.54 1.97 0.16700337410 Park Terrace Care Center 01/01/2014 280.88 163.24 160.98 58.96 9.07 15.66 35.74 2.81 0 0 -0.72 -3.88 200 17.81 298.69 2.61 0.23700330710 Parker Jewish Institute for Health Care and Rehabilitation 01/01/2014 329.13 161.1 158.94 68.16 33.2 23.05 1.55 42.99 0 0 -0.92 0 527 22.63 351.76 1.79 0.31295230110 Parkview Care and Rehabilitation Center Inc 01/01/2014 212.48 135.74 133.85 57.08 5.41 11.46 3.36 0 0 0 -0.57 0 169 11.78 224.26 -1.61 0.19465230210 Pathways Nursing and Rehabilitation Center 01/01/2014 237.01 127.03 125.27 54.34 28.92 20.28 0 0 0 0 -0.32 6.76 112 0 237.01 -1.96 0.18515500030 Peconic Bay Skilled Nursing Facility 01/01/2014 321.22 135.04 133.23 68.14 29.17 65.81 2.03 24.93 0 0 -0.92 -2.98 60 26.57 347.79 2.62 0.19512730110 Peconic Landing at Southold 01/01/2014 298.18 81.78 80.65 59.59 12.16 63.64 0.95 76.98 0 0 -0.91 3.99 44 11.47 309.65 0 0.11700033810 Pelham Parkway Nursing and Rehabilitation Facility 01/01/2014 221.06 140.65 138.69 57.74 5.44 14.86 2.9 0 0 0 -0.53 0 200 11.5 232.56 2 0.2276130310 Penfield Place LLC 01/01/2014 193.95 121.22 119.54 52.23 7.02 13.19 0.79 0 0 0 -0.5 0 48 10.12 204.07 0.96 0.17700330810 Peninsula Center For Extended Care and Rehabilitation 01/01/2014 225.89 137.31 135.47 66.37 17.94 2.2 2.73 0 0 0 -0.66 0 200 0 225.89 2.21 0.19612030010 Penn Yan Manor Nursing Home Inc 01/01/2014 135.07 67.64 66.7 48.28 4.42 4.04 4.69 6.44 0 0 -0.44 0 46 9.47 144.54 -1.19 0.09515432510 Petite Fleur Nursing Home 01/01/2014 240.67 157.43 155.24 60.89 7.57 36.86 1.61 -23.07 0 0 -0.62 0 180 0 240.67 1.09 0.22102130010 Pine Haven Home 01/01/2014 183.15 107.39 105.9 57.48 9.79 4.95 4.01 0 0 0 -0.47 0 120 10.6 193.75 -1.53 0.15435330310 Pine Valley Center for Rehabilitation and Nursing 01/01/2014 232.73 153.03 150.9 59.65 6.46 11.69 2.5 0 0 0 -0.6 0 200 13.8 246.53 -1.9 0.21575030010 Pleasant Valley 01/01/2014 172.86 105.64 104.17 51.58 8.27 13.37 3.8 0 0 0 -0.49 -9.31 122 11.61 184.47 0 0.15370231310 Pontiac Nursing Home 01/01/2014 140.04 78.19 77.1 45.91 5.71 7.49 3.09 0 0 0 -0.35 0 80 9.42 149.46 -1.14 0.11590630310 Port Chester Nursing and Rehabilitation Centre 01/01/2014 211.82 129.59 127.79 53.93 6.36 12.9 2.2 7.41 0 0 -0.57 0 160 11.96 223.78 2.15 0.18322730310 Presbyterian Home For Central New York Inc 01/01/2014 166.01 93.66 92.36 48.1 8.7 13.63 2.37 0 0 0 -0.45 0 236 11.58 177.59 0.8 0.13700338610 Promenade Rehabilitation and Health Care Center 01/01/2014 208.04 137.64 135.72 56.88 1.21 14.18 1.52 -2.85 0 0 -0.54 0 240 15.02 223.06 1.12 0.19700030610 Providence Rest 01/01/2014 333.61 162.41 160.16 58.45 9.53 59.08 0.57 44.47 0 0 -0.9 0 200 17.92 351.53 1.6 0.23395130110 Putnam Nursing and Rehabilitation Center 01/01/2014 190.3 130.7 128.89 49.96 4.88 5.14 2.1 0 0 0 -0.45 -2.03 160 10.03 200.33 -1.47 0.18395030210 Putnam Ridge 01/01/2014 248.58 133.96 132.1 54.22 11.55 48.9 0.57 0 0 0 -0.62 0 160 15.14 263.72 -1.74 0.19135630310 Quaker Hill Manor 01/01/2014 171.83 92.79 91.5 51.27 9.46 11.68 2.74 4.33 0 0 -0.44 0 120 10.14 181.97 0.96 0.13700330310 Queen Of Peace Residence 01/01/2014 213.44 106.26 104.79 54.96 15.29 4.55 2.49 34 0 0 -0.59 -3.52 53 11.95 225.39 -1.79 0.15700339010 Queens Boulevard Extended Care Facility Inc 01/01/2014 274.43 149.62 147.54 55.94 10.36 38.08 0.41 20.77 0 0 -0.75 0 280 16.39 290.82 -2.06 0.21700340410 Queens Center for Rehabilitation&Residential Hlth Car 01/01/2014 273.3 176.16 173.71 60.26 8.56 25.36 1.71 1.95 0 0 -0.7 0 179 14.79 288.09 -2.21 0.25700336110 Queens Nassau Rehabilitation and Nursing Center 01/01/2014 266.81 138.22 136.3 58.68 5.2 8.97 34.55 21.88 0 0 -0.69 0 200 17.4 284.21 2.75 0.19432930110 Ramapo Manor Center for Rehabilitation & Nursing 01/01/2014 244.66 156.68 154.5 60.47 8.24 11 3.17 5.7 0 0 -0.6 0 203 15.04 259.7 -2.09 0.22700031410 Rebekah Rehab and Extended Care Center 01/01/2014 297.79 150.75 148.65 60.01 16.69 60.99 1.81 8.34 0 0 -0.8 0 213 16.65 314.44 0.21 0.21700339710 Regal Heights Rehabilitation and Health Care Center 01/01/2014 258.11 152.15 150.04 57.64 9.62 34.01 0.77 4.66 0 0 -0.74 0 280 17.15 275.26 0.21 0.21700035610 Regeis Care Center 01/01/2014 318.9 212.85 209.9 59.53 9.86 35.53 2.04 0 0 0 -0.91 0 238 20.13 339.03 2.9 0.3590731510 Regency Extended Care Center 01/01/2014 233.09 167.62 165.38 65.44 7.82 9.26 3.22 -19.66 0 0 -0.61 0 315 15.55 248.64 0.19 0.32700339210 Rego Park Nursing Home 01/01/2014 227.68 147.91 145.86 57.59 7.06 13.98 1.74 0 0 0 -0.6 0 200 18.21 245.89 -1.74 0.21135630210 Renaissance Rehabilitation and Nursing Care Center 01/01/2014 159.74 98.32 96.95 51.69 6.87 14.86 2.03 -13.6 0 0 -0.43 0 120 11.13 170.87 -1.28 0.14700333010 Resort Nursing Home 01/01/2014 230.62 150.24 148.15 57.51 6.63 11.8 1.24 3.81 0 0 -0.61 0 280 13.01 243.63 2.31 0.21700432410 Richmond Center for Rehabilitation and Specialty Healthcare 01/01/2014 295.91 197.35 194.7 66.62 22.43 6.82 3.43 0 0 0 -0.74 0 300 0 295.91 -2.48 0.37140133610 Ridge View Manor LLC 01/01/2014 160.8 107.66 106.17 51.26 8.48 8.67 2.6 -9.35 0 0 -0.35 -8.17 120 0 160.8 -1.24 0.15700137810 River Manor Care Center 01/01/2014 264.3 170.55 168.26 66.17 6.84 18.72 2.71 0 0 0 -0.69 0 380 11.98 276.28 1.33 0.32280130410 River Ridge Living Center LLC 01/01/2014 185.47 113.37 111.8 51.47 8.92 11.17 0.77 0.25 0 0 -0.48 0 120 10.25 195.72 0.16 0.16130230710 River Valley Care Center Inc 01/01/2014 208.59 107.38 105.89 53.71 3.06 40.85 4.06 0 0 0 -0.47 0 160 11.25 219.84 -1.43 0.15700035710 Riverdale Nursing Home 01/01/2014 192.64 130.68 128.87 58.97 8.94 14.53 2.29 -22.25 0 0 -0.52 0 146 11.83 204.47 0.15 0.18515530110 Riverhead Care Center LLC 01/01/2014 238.51 160.5 158.27 58 5.52 12.96 2.12 0 0 0 -0.59 0 181 13.04 251.55 -1.85 0.22440130210 Riverledge Health Care and Rehabilitation Center 01/01/2014 185.95 85.84 84.65 46.6 11.06 38.48 4.47 0 0 0 -0.5 0 180 11.57 197.52 1.58 0.12412430010 Riverside Center for Rehabilitation and Nursing 01/01/2014 192.05 124.42 122.69 53.79 11.76 16.05 2.34 -9.09 0 0 -0.52 -6.7 80 10.9 202.95 -1.4 0.17532430210 Riverview Manor Health Care Center 01/01/2014 173.54 110.76 109.22 48.04 4.67 7.53 3.19 0 0 0 -0.65 0 77 8.19 181.73 -1.34 0.16700235310 Rivington House-The Nicholas A Rango Health Care Facility 01/01/2014 198.57 124.75 123.02 59.21 14.61 0 0 0 0 0 0 0 219 37.3 235.87 0 0.17122500010 Robinson Terrace 01/01/2014 157.77 79.8 78.69 47.54 8.34 19.71 2.75 0 0 0 -0.37 0 120 11.98 169.75 -1.16 0.11700336210 Rockaway Care Center 01/01/2014 217.02 134.72 132.85 59.21 2.36 18.66 2.61 0 0 0 -0.54 0 228 13.98 231 2.13 0.19290930410 Rockville Skilled Nursing & Rehabilitation Center LLC 01/01/2014 255.33 161.54 159.3 60.59 6.91 25.51 1.58 0 0 0 -0.8 0 66 17.17 272.5 2.34 0.23320131010 Rome Center for Rehabilitation and Health Care 01/01/2014 180.02 127.34 125.57 50.04 8.3 19.14 1.78 -26.29 0 0 -0.29 0 160 9.19 189.21 0.15 0.18320100230 Rome Memorial Hospital Inc - RHCF 01/01/2014 210.83 103.93 102.54 54.83 15.78 22.05 4.44 10.47 0 0 -0.67 0 82 11.96 222.79 1.08 0.15145130410 Rosa Coplon Jewish Home 01/01/2014 162.47 99.43 98.05 50.37 10.69 0 2.48 0 0 0 -0.5 0 180 15.89 178.36 -1.54 0.14526230010 Roscoe Community Nursing Home Co Inc 01/01/2014 193.68 113.61 112.03 50.24 12.31 15.89 3.15 0 0 0 -0.52 -1 85 13.96 207.64 -1.6 0.16

Page 6: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

330132310 Rosewood Heights Health Center 01/01/2014 158.85 93.29 91.99 52.53 9.28 2.21 3.91 1.18 0 0 -0.46 -3.09 242 10.66 169.51 0 0.13415230410 Rosewood Rehabilitation and Nursing Center 01/01/2014 189.43 117.21 115.58 52.53 12.33 11.89 2.17 -6.51 0 0 -0.19 0 80 0 189.43 -1.54 0.16515432010 Ross Health Care Center 01/01/2014 235.87 147.24 145.2 59.52 6.29 13.4 2.12 7.98 0 0 -0.68 0 135 14.33 250.2 -2.02 0.21700103310 Rutland Nursing Home Co Inc 01/01/2014 334.45 147.05 145.08 67.99 25.19 21.37 2.38 39.85 0 31.68 -1.06 0 466 21.21 355.66 3.49 0.289999999 STATEWIDE 01/01/2014 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0700137110 Saints Joachim & Anne Nursing and Rehabilitation Ce 01/01/2014 263.56 138.66 136.74 57.89 10.64 41.47 1.22 14.46 0 0 -0.78 0 200 13.98 277.54 0.2 0.19596030410 Salem Hills Rehabilitation and Nursing Center 01/01/2014 229.15 149.9 147.81 57.35 10.02 15.81 0.98 5.69 0 0 -0.6 -10 126 13.07 242.22 -1.8 0.21220100010 Samaritan Keep Nursing Home Inc 01/01/2014 160.47 93.4 92.1 49.62 10.38 6.48 3.83 0 0 0 -0.45 -2.79 272 12.18 172.65 0.13 0.13226930010 Samaritan Senior Village Inc 01/01/2014 180.83 88.32 87.09 48.59 12.45 31.47 0 0 0 0 0 0 0 0 180.83 0 0.12512730210 San Simeon by the Sound Center for Nrsg and Reha 01/01/2014 216.05 114.69 113.1 57.34 10.99 20.75 3.37 9.48 0 0 -0.57 0 120 14.27 230.32 2.04 0.16295130410 Sands Point Center For Health And Rehabilitation 01/01/2014 248.94 147 144.96 59.29 5.91 35.48 2 0 0 0 -0.74 0 180 17.22 266.16 0.19 0.21590731710 Sans Souci Rehabilitation and Nursing Center 01/01/2014 242.14 158.12 155.92 57.99 8.7 15.7 2.26 0 0 0 -0.63 0 120 11.58 253.72 0.19 0.22450100030 Saratoga Care Nursing Home 01/01/2014 211.86 95.91 94.62 61.57 19.52 28.63 4.38 0 0 0 -0.65 2.5 36 13.93 225.79 -1.59 0.13452030110 Saratoga County Maplewood Manor 01/01/2014 187.34 116.56 114.94 58.56 4.55 5.95 3.15 -0.96 0 0 -0.47 0 277 9.3 196.64 0.99 0.16700031510 Schervier Nursing Care Center 01/01/2014 272.43 148.65 146.66 66.91 15.47 40.61 1.54 0 0 0 -0.75 0 366 19.6 292.03 2.43 0.28352930110 Schervier Pavilion 01/01/2014 216.17 139.35 137.42 54.41 16.3 22.87 7.65 -8.07 0 0 -0.48 -15.86 120 15.88 232.05 1.89 0.2590231410 Schnurmacher Center for Rehabilitation and Nursing 01/01/2014 241.9 142.13 140.15 59.86 8.88 17.79 2.43 11.51 0 0 -0.7 0 200 13.01 254.91 0.2 0.2310230710 Schoellkopf Health Center 01/01/2014 188.62 109.95 108.48 59.7 6.24 10.13 3.08 0 0 0 -0.48 0 120 12.33 200.95 1.06 0.15140430010 Schofield Residence 01/01/2014 158.54 105.42 103.95 48.51 8.55 6.08 1.99 0 0 0 -0.45 -11.56 120 0 158.54 0.13 0.15700131810 Schulman and Schachne Institute for Nursing and Rehabilita 01/01/2014 281.46 136.83 134.99 67.2 44.23 32.06 3.24 -1.37 0 0 -0.73 0 448 27.55 309.01 1.42 0.26482300030 Schuyler Hospital Inc And Long Term Care Uni 01/01/2014 169.77 84.03 82.9 49 6.43 8.15 3.82 18.85 0 0 -0.51 0 120 13.39 183.16 0.14 0.12700430410 Sea View Hospital Rehabilitation Center And Home 01/01/2014 273.75 152.03 149.99 71.32 14.48 20.23 4.52 12.05 0 0 -0.88 0 304 20.47 294.22 2.77 0.29700139010 Sea-Crest Health Care Center 01/01/2014 247.1 152.97 150.92 66.24 9.42 17.38 1.76 0 0 0 -0.67 0 320 15.58 262.68 -2.03 0.29147430110 Seneca Health Care Center 01/01/2014 200.29 131.36 129.53 49.43 8.75 11.06 2.45 -2.21 0 0 -0.55 0 160 0 200.29 1.93 0.18370231210 Seneca Hill Manor Inc 01/01/2014 191.49 99.73 98.34 49.62 12.92 25.86 3.95 0 0 0 -0.59 0 120 13.3 204.79 0.89 0.14492130310 Seneca Nursing and Rehabilitation Center 01/01/2014 175.75 104.73 103.27 48.71 9.64 10.36 2.73 0 0 0 -0.42 0 120 9.54 185.29 -1.37 0.15700130310 Sephardic Skilled Nursing and Rehabilitation Cente 01/01/2014 276.26 162.28 160.03 61.08 24.99 16.21 0.87 11.59 0 0 -0.76 0 271 16.76 293.02 -2.29 0.23455230010 Seton Health at Schuyler Ridge Residential Healthcare 01/01/2014 170.46 96.87 95.53 53.27 8.88 10.23 1.7 0 0 0 -0.49 0 120 15.48 185.94 1.61 0.14700136210 Sheepshead Nursing and Rehabilitation Center 01/01/2014 236.79 157.56 155.37 58.04 8.1 15.41 1.25 -2.93 0 0 -0.64 0 200 19.82 256.61 2.26 0.22140330310 Sheridan Manor LLC 01/01/2014 162.44 107.66 106.17 51.26 7.72 5.5 5.03 0 0 0 -0.42 -14.31 100 0 162.44 -1.26 0.15700134210 Shore View Nursing Home 01/01/2014 245.99 145.14 143.2 64.57 6.96 11.14 2 16.87 0 0 -0.69 0 320 14.64 260.63 1.37 0.28700137610 Shorefront Jewish Geriatric Center 01/01/2014 290.88 157.49 155.38 67.27 38.13 26.66 2.14 0 0 0 -0.81 0 360 20.35 311.23 0.24 0.3700432310 Silver Lake Specialized Rehabilitation and Care Cente 01/01/2014 222.15 142.97 140.98 59.21 6.24 11.82 2.51 0 0 0 -0.6 0 278 14.59 236.74 -1.84 0.2700337210 Silvercrest 01/01/2014 291.52 169.77 167.49 66.32 17.82 23.18 1.2 14.08 0 0 -0.85 0 320 22.87 314.39 -2.54 0.32592130210 Sky View Rehabilitation and Health Care Center LLC 01/01/2014 239.2 155.85 153.69 57.79 9.82 18.76 1.96 7.06 0 0 -0.64 -11.4 192 17.38 256.58 0.19 0.22515731410 Smithtown Center for Rehabilitation & Nursing Care 01/01/2014 278.82 163.22 160.95 60.18 13.84 35.23 1.83 5.24 0 0 -0.72 0 162 19.65 298.47 2.58 0.23612000030 Soldiers And Sailors Memorial Hospital Extended Care Unit 01/01/2014 163.49 78.2 77.16 51.71 7.47 19.7 6.82 0 0 0 -0.41 0 151 13.04 176.53 -1.17 0.11596630010 Somers Manor Nursing Home Inc 01/01/2014 246.95 132.65 130.87 64.98 14.02 33.62 2.35 0 0 0 -0.67 0 300 15.34 262.29 0.19 0.25290430010 South Shore Healthcare 01/01/2014 235.89 138.98 137.05 58.48 17.38 15.47 1.45 4.84 0 0 -0.71 0 100 21.22 257.11 2.12 0.19700038410 Split Rock Rehabilitation and Health Care Center 01/01/2014 265.52 149.72 147.64 57.28 7.64 19.47 4.13 28.05 0 0 -0.77 0 240 16.99 282.51 0.22 0.21591030110 Sprain Brook Manor Rehab LLC 01/01/2014 265.69 181.98 179.45 57.52 7.73 24.6 3.18 -8.58 0 0 -0.74 0 121 0 265.69 1.26 0.25700138410 Spring Creek Rehabilitation & Nursing Care Cente 01/01/2014 305.2 154.98 152.83 58.46 9.21 73.35 1.6 8.42 0 0 -0.82 0 188 13.96 319.16 1.28 0.22275730010 St Anns Community (Aged) 01/01/2014 223.78 107.38 105.94 59.17 14.62 21.58 3.14 18.48 0 0 -0.59 0 470 14.94 238.72 2.21 0.2275730110 St Anns Community (NH) 01/01/2014 224.87 102.21 100.79 54.11 13.22 60.88 2.12 -6.71 0 0 -0.96 0 72 9.33 234.2 1.59 0.14700037110 St Barnabas Rehabilitation & Continuing Care Cente 01/01/2014 281.56 150.45 148.36 58.45 21.18 50.18 2.09 0 0 0 -0.79 0 199 23.63 305.19 1.24 0.21592530010 St Cabrini Nursing Home 01/01/2014 307.37 161.62 159.46 67.68 11.09 59.72 2 6.13 0 0 -0.87 0 304 19.34 326.71 1.37 0.31330132110 St Camillus Residential Health Care Facility 01/01/2014 187.28 107.27 105.78 51.62 16.69 11.23 3.01 0 0 0 -0.49 -2.05 284 13.85 201.13 -1.46 0.15140132430 St Catherine Laboure Health Care Center 01/01/2014 216.64 114.29 112.75 58.03 23.41 17.77 3.82 0 0 0 -0.68 0 80 12.83 229.47 0.18 0.16515731210 St Catherine of Siena Nursing Home 01/01/2014 243.01 154.29 152.15 63.5 29.04 18.17 0.75 -22.05 0 0 -0.69 0 240 17.05 260.06 1.22 0.22142130010 St Francis Home Of Williamsville 01/01/2014 181.14 111.54 109.99 52.3 8.58 7.92 4.78 -3.49 0 0 -0.49 0 142 10.04 191.18 -1.47 0.16515731710 St James Rehabilitation & Healthcare Center 01/01/2014 262.04 173.62 171.21 57.93 7.11 18.35 1.69 4.01 0 0 -0.67 0 230 0 262.04 -2.09 0.24515731110 St Johnland Nursing Center Inc 01/01/2014 248.81 136.03 134.14 61.06 17.7 22.33 8.78 3.64 0 0 -0.73 0 250 17.36 266.17 1.36 0.19270135310 St Johns Health Care Corporation 01/01/2014 205.48 101.35 100 58.56 15.92 26.29 2.2 1.76 0 0 -0.6 0 475 14.75 220.23 -1.59 0.19272530210 St Johns Penfield Homes Corporation 01/01/2014 229.63 99.52 98.14 52.18 13.69 64.24 0 0 0 0 0 0 0 0 229.63 0 0.14282830010 St Johnsville Rehabilitation and Nursing Center 01/01/2014 178.31 108.27 106.77 49.77 5.4 15.13 2.16 -1.97 0 0 -0.45 0 120 10.3 188.61 -1.28 0.15320231010 St Joseph Nursing Home Co Of Utica 01/01/2014 144.76 82.05 80.91 46.76 8.55 2.21 1.78 3.84 0 0 -0.43 0 120 8.58 153.34 -1.27 0.11440130010 St Josephs Home 01/01/2014 170.52 80.98 79.85 46.4 9.55 30.73 5.44 -2.07 0 0 -0.51 0 84 10.46 180.98 1.39 0.11590731410 St Josephs Hosp Nursing Home Of Yonkers N Y Inc 01/01/2014 232.99 149.44 147.43 65.27 12.99 4.18 1.72 0 0 0 -0.61 0 200 18.79 251.78 0.2 0.21070100130 St Josephs Hospital - Skilled Nursing Facility 01/01/2014 183.71 88.3 87.11 54.19 16.79 10.86 2.97 9.03 0 0 -0.49 2.06 71 13.2 196.91 -1.56 0.12353500130 St Josephs Place 01/01/2014 246.26 127.45 125.74 63.33 18.26 28.78 9.43 0 0 0 -0.99 0 46 7.44 253.7 -1.76 0.18370230910 St Luke Residential Health Care Facility Inc 01/01/2014 169.6 88.43 87.2 48.17 13.03 18.83 2.46 -0.86 0 0 -0.46 0 200 12.04 181.64 0.82 0.12322730510 St Lukes Home 01/01/2014 168.1 102.6 101.18 49.39 13.82 13.79 3.76 -14.68 0 0 -0.58 0 202 0 168.1 0.13 0.14700030710 St Patricks Home 01/01/2014 218.94 125.69 123.95 60.53 10.92 18.35 1.74 2.34 0 0 -0.63 0 264 16.39 235.33 1.14 0.18010130510 St Peters Nursing and Rehabilitation Center 01/01/2014 195.64 110.34 108.81 53.68 10.36 13.71 3.37 2.63 0 0 -0.66 2.21 160 13.36 209 2.01 0.15440230310 St Regis Nursing Home Inc 01/01/2014 153.1 81.6 80.47 45.77 5.92 21.53 3.05 -4.36 0 0 -0.41 0 162 8.56 161.66 -1.14 0.11700036610 St Vincent Depaul Residence 01/01/2014 241.35 143.23 141.24 58.28 12.16 11.5 2.19 21.47 0 0 -1 -6.48 120 16.03 257.38 2.31 0.2700431410 Staten Island Care Center 01/01/2014 253.46 163.43 161.24 66.25 7.77 14.93 3.2 0 0 0 -0.7 -1.42 300 13.29 266.75 -1.92 0.31502230010 Steuben County Infirmary 01/01/2014 227.99 105.1 103.64 52.89 13.81 39.49 1.78 15.54 0 0 -0.62 0 105 14.06 242.05 0.18 0.15512330510 Suffolk Center for Rehabilitation and Nursing 01/01/2014 263.4 170.76 168.39 59.53 9.45 21.01 3.33 0 0 0 -0.68 0 120 12.25 275.65 -1.98 0.24522030110 Sullivan County Adult Care Center 01/01/2014 175.26 104.57 103.12 56.94 1.47 6.46 3.3 3.06 0 0 -0.54 0 160 10.55 185.81 -1.56 0.15435300030 Summit Park Nursing Care Center 01/01/2014 262.29 135.35 133.54 70.61 28.78 16.98 2.08 9.22 0 0 -0.73 0 321 15.22 277.51 0.22 0.26295130710 Sunharbor Manor 01/01/2014 241.7 149.33 147.26 57.86 12.93 18.42 0.56 3.31 0 0 -0.71 0 266 15.2 256.9 -1.97 0.21332130110 Sunnyside Care Center 01/01/2014 164.69 101.27 99.86 46.62 7.05 9.14 1.03 0 0 0 -0.42 0 80 9.25 173.94 -1.24 0.14515431210 Sunrise Manor Center for Nursing and Rehabilitation 01/01/2014 253.75 173.44 171.03 59.16 9.48 14.33 1.8 2.74 0 0 -0.65 -6.55 84 13.51 267.26 -1.99 0.24322130110 Sunset Nursing and Rehabilitation Center Inc 01/01/2014 146.87 83.41 82.25 45.02 7.25 14.37 2.88 -5.69 0 0 -0.37 0 120 9.75 156.62 -1.15 0.12030330710 Susquehanna Nursing & Rehabilitation Center LLC 01/01/2014 182.21 105.74 104.27 51.23 8.79 24.19 1.99 -10.27 0 0 -0.48 1.02 160 11.26 193.47 -1.45 0.15590432010 Sutton Park Center for Nursing and Rehabilitation 01/01/2014 201.78 102.31 100.89 57.99 7.03 14.29 2.52 0.39 0 0 -0.6 17.85 160 11.83 213.61 -1.69 0.14332730110 Syracuse Home Association 01/01/2014 211.27 107.9 106.4 50.56 16.03 34.26 0.59 3.61 0 0 -0.68 -1 120 13.5 224.77 -1.49 0.15066330230 TLC Health Network-Lake Shore Hospital Nursing Faci 01/01/2014 191.19 106.06 104.63 57.6 6.63 26.74 2.56 -7.92 0 0 -0.48 0 120 9.26 200.45 0.15 0.15591130210 Tarrytown Hall Care Center 01/01/2014 248.54 145.09 143.07 56.11 12.28 17.32 2.55 15.87 0 0 -0.68 0 120 11.58 260.12 1.39 0.2556730110 Ten Broeck Commons 01/01/2014 210.44 128.95 127.16 53.93 7.98 21.98 1.14 -3.01 0 0 -0.53 0 258 13.85 224.29 -1.57 0.18700234510 Terence Cardinal Cooke Health Care Ctr 01/01/2014 291.66 162.74 160.56 66.31 31.62 13.26 1.67 0 0 16.84 -0.78 0 679 22.42 314.08 1.53 0.31010131310 Teresian House Nursing Home Co Inc 01/01/2014 197.08 97.19 95.89 59.31 10.86 26.94 3.23 0 0 0 -0.45 0 300 12.44 209.52 0.91 0.18700037810 Terrace Health Care Center 01/01/2014 194.16 113.07 111.5 58.16 9.3 10.81 3.35 0 0 0 -0.53 0 240 11.88 206.04 -1.66 0.16140100530 Terrace View Long Term Care Facility 01/01/2014 248.76 112.69 111.18 63.1 27.11 41.19 1.43 3.95 0 0 -0.71 0 354 16.5 265.26 1.22 0.21295130810 The Amsterdam at Harborside 01/01/2014 212.19 126.95 125.19 59.2 7.43 28.09 4.29 0 0 0 -13.77 0 56 0 212.19 0 0.18460130610 The Avenue Nursing and Rehabilitation Centre 01/01/2014 209.98 115.85 114.24 50.92 12.54 35.92 2.35 0 0 0 -0.46 -7.14 240 11.17 221.15 0.15 0.16132730110 The Baptist Home at Brookmeade 01/01/2014 170.4 94.34 93.02 52.01 13.13 9.57 1.84 0 0 0 -0.49 0 120 12.3 182.7 1.69 0.13275030710 The Brightonian Inc 01/01/2014 226.59 131.94 130.11 50.98 7.63 22.55 0.67 13.27 0 0 -0.45 0 54 11.72 238.31 -1.7 0.18412030010 The Center for Nursing and Rehabilitation at Hoosick Falls 01/01/2014 172.56 93.74 92.44 49.34 8.18 17.41 4.39 0 0 0 -0.5 0 82 11.37 183.93 0.87 0.13223830310 The Country Manor Nursing and Rehabilitation Centre 01/01/2014 152.64 88.34 87.11 46.84 8.98 8.16 4.3 0 0 0 -0.41 -3.57 90 9.67 162.31 -1.15 0.12

Page 7: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

333430310 The Crossings Nursing and Rehabilitation Centre 01/01/2014 181.41 103.44 102 50.52 14.52 11.98 1.44 0 0 0 -0.49 0 82 12.16 193.57 0.96 0.14275030110 The Friendly Home 01/01/2014 214.1 108.79 107.27 53 12.19 38.56 1.87 0 0 0 -0.31 0 200 14.96 229.06 1.86 0.15290930510 The Grand Pavilion for Rehab & Nursing at Rockville Centre 01/01/2014 254.56 155.49 153.33 58.47 7.42 12.87 1.18 19.74 0 0 -0.61 0 158 0 254.56 -2.11 0.22512630310 The Hamptons Center for Rehabilitation and Nursing 01/01/2014 298.18 143.94 141.94 60.17 14.5 47.83 2.74 29.81 0 0 -0.81 0 280 16.18 314.36 -2.21 0.2700139210 The Heritage Rehabilitation and Health Care Center 01/01/2014 247.44 160.91 158.67 57.56 8.9 14.88 1.54 4.42 0 0 -0.77 0 79 14.31 261.75 2.45 0.23276330010 The Highlands Living Center 01/01/2014 174.12 83.98 82.81 52.1 16.14 16.23 4.32 1.88 0 0 -0.53 0 122 14.56 188.68 0.93 0.12275030610 The Highlands at Brighton 01/01/2014 184.03 99.35 97.97 51.48 11.05 26.44 4.14 -7.92 0 0 -0.51 0 145 16.35 200.38 -1.29 0.14275030810 The Hurlbut 01/01/2014 184.29 110.76 109.22 50.88 7.06 12.79 3.3 0 0 0 -0.5 0 160 10.54 194.83 -1.48 0.16290230210 The Komanoff Center for Geriatric and Rehabilitative Medicine 01/01/2014 259.71 145.28 143.33 64.95 20.04 16.08 2.1 12.02 0 0 -0.76 0 200 15.1 274.81 -2.18 0.2552230210 The Mountain View Nursing and Rehabilitation Centre 01/01/2014 204.52 119.44 117.79 54.47 10.22 13.24 6.07 6.2 0 0 -0.59 -4.53 79 14.1 218.62 -1.61 0.17572530310 The Orchard Nursing and Rehabilitation Centre 01/01/2014 175.1 107.26 105.77 49.42 10.79 9.26 2.68 0 0 0 -0.43 -3.88 88 9.44 184.54 0.14 0.15046930010 The Pines Healthcare & Rehabilitation Centers Machias Ca 01/01/2014 207.44 103.1 101.66 53.7 14.56 33.5 3.19 0 0 0 -0.61 0 115 12.71 220.15 0.97 0.14040130310 The Pines Healthcare & Rehabilitation Centers Olean Camp 01/01/2014 184.42 108.09 106.59 53.53 10.95 13.15 3.41 -4.22 0 0 -0.49 0 120 9.96 194.38 0.14 0.15192130310 The Pines at Catskill Center for Nursing & Rehabilitat 01/01/2014 214.69 138.99 137.06 53.89 5.03 16.14 1.37 -0.26 0 0 -0.47 0 136 10.92 225.61 -1.65 0.19560130710 The Pines at Glens Falls Center for Nursing & Rehabil 01/01/2014 190.02 108.35 106.85 51.13 8.32 20.84 1.88 0 0 0 -0.5 0 120 9.95 199.97 0.14 0.15130230810 The Pines at Poughkeepsie Center for Nursing & Reh 01/01/2014 211.45 128.47 126.69 54.73 7.24 20.15 1 0.43 0 0 -0.57 0 200 11.35 222.8 0.16 0.18320231510 The Pines at Utica Center for Nursing & Rehabilitation 01/01/2014 194.31 110.13 108.6 50.31 8.75 23.86 1.8 0 0 0 -0.54 0 117 8.89 203.2 -1.51 0.15270135910 The Shore Winds LLC 01/01/2014 177.64 110.87 109.33 50.45 8.17 5.74 2.84 0 0 0 -0.43 0 229 9.37 187.01 -1.47 0.16410231210 The Springs Nursing and Rehabilitation Centre 01/01/2014 205.32 125.14 123.4 51.6 14.53 10.11 3.23 2.23 0 0 -0.47 -1.05 80 12.56 217.88 -1.65 0.18560130610 The Stanton Nursing and Rehabilitation Centre 01/01/2014 160.56 105.03 103.57 50.22 9.76 7.42 1.79 -8.32 0 0 -0.4 -4.94 120 10.28 170.84 -1.25 0.15352330110 The Valley View Center for Nursing Care and Rehab 01/01/2014 260.35 162.02 159.84 71.71 9.65 18.79 2.03 0 0 0 -0.68 -3.17 360 14.2 274.55 1.25 0.31362030010 The Villages of Orleans Health & Rehabilitation Cente 01/01/2014 183.12 94.91 93.6 52.22 7.75 25.96 2.79 0 0 0 -0.51 0 120 14 197.12 -1.37 0.13590330910 The Wartburg Home 01/01/2014 239.99 135.67 133.78 60.17 11.41 19.7 1.49 12.23 0 0 -0.68 0 242 18.97 258.96 2.41 0.19700038610 Throgs Neck Extended Care Facility 01/01/2014 254.08 148.33 146.27 58.04 10.11 29.18 1.23 7.89 0 0 -0.7 0 205 16.01 270.09 1.29 0.21435030110 Tolstoy Foundation Nursing Home Co Inc 01/01/2014 172.07 93.61 92.31 53.18 9.3 0.79 1.71 14 0 0 -0.52 0 96 11.52 183.59 0.99 0.13295031810 Townhouse Center for Rehabilitation & Nursing 01/01/2014 252.82 141.82 139.85 57.61 8.4 40.05 2.05 3.61 0 0 -0.72 0 280 17.11 269.93 -1.95 0.2156030110 Uihlein Living Center 01/01/2014 166.55 100.45 99.06 50.11 9.84 8.37 3.14 0 0 0 -0.44 -4.92 157 9.03 175.58 0.14 0.14700339310 Union Plaza Care Center 01/01/2014 274.65 144.62 142.61 58.54 8.62 67.99 0.26 -4.66 0 0 -0.72 0 280 16.08 290.73 1.12 0.2590430910 United Hebrew Geriatric Center 01/01/2014 254.15 128.14 126.36 60.78 8.99 55.04 1.94 0 0 0 -0.74 0 296 14.36 268.51 2.06 0.18270135830 Unity Living Center 01/01/2014 210.61 106.83 105.4 58.56 13.63 26.36 5.85 0 0 0 -0.62 0 120 13.02 223.63 -1.56 0.15700033710 University Nursing Home 01/01/2014 238.15 155.78 153.62 58.51 7.82 14.96 1.71 0 0 0 -0.63 0 46 12.76 250.91 2.3 0.22212430110 Valley Health Services Inc 01/01/2014 166.38 90.92 89.66 45.95 10.12 17.58 3.82 1.06 0 0 -0.48 -2.59 160 9.54 175.92 0.13 0.13082430310 Valley View Manor Nursing Home 01/01/2014 178.96 105.33 103.86 46.27 7.3 9.38 2.51 8.72 0 0 -0.55 0 82 7.3 186.26 -1.51 0.15330131210 Van Duyn Home And Hospital 01/01/2014 207.46 108.54 107.08 59.8 13.91 10.61 2.13 13.08 0 0 -0.61 0 513 10.59 218.05 0 0.21410230710 Van Rensselaer Manor 01/01/2014 219.05 115.31 113.76 61.2 14.91 24.78 3.45 0 0 0 -0.6 0 362 12.18 231.23 0.16 0.22700432010 Verrazano Nursing Home 01/01/2014 210.77 133.57 131.71 58.24 5.18 11.8 2.52 0 0 0 -0.54 0 120 11.47 222.24 1.1 0.19033630110 Vestal Park Rehabilitation and Nursing Center 01/01/2014 162.59 97.53 96.18 49.52 8.02 15.52 1.71 -9.23 0 0 -0.48 0 180 10.46 173.05 -1.21 0.14590530510 Victoria Home 01/01/2014 250.15 132.04 130.2 55.61 9.97 17.38 0 35.88 0 0 -0.73 0 49 14.03 264.18 2.46 0.18700233510 Villagecare Rehabilitation and Nursing Center 01/01/2014 234.11 135.59 133.71 59.12 21.44 56.4 1.59 -36.39 0 0 -3.64 0 105 34.21 268.32 1.63 0.19330132610 Vivian Teal Howard Residential Health Care Facility 01/01/2014 198.2 112.13 110.57 51.06 7.1 19.85 8.58 0 0 0 -0.52 0 160 11.36 209.56 0.97 0.16140133710 Waterfront Center for Rehabilitation and Healthcare 01/01/2014 193.67 127.2 125.43 51.14 10.09 13.12 4.65 -12.03 0 0 -0.5 0 160 0 193.67 0.15 0.18514930310 Waters Edge at Port Jefferson for Rehabilitation and Nursing 01/01/2014 271.95 175.3 172.86 60.47 10.68 24.16 2.17 0 0 0 -0.83 0 120 16.56 288.51 -2.14 0.25596030310 Waterview Hills Rehabilitation and Nursing Center 01/01/2014 234.29 151.22 149.12 58.02 9.78 24.81 1.17 -3.64 0 0 -0.65 -6.42 130 15.05 249.34 1.07 0.21700336710 Waterview Nursing Care Center 01/01/2014 224.97 154.43 152.28 59.09 11.38 11.88 1.84 0 0 0 -0.54 -13.11 180 13.26 238.23 0.17 0.22700035010 Wayne Center For Nursing And Rehabilitation 01/01/2014 212.71 126.08 124.33 56.48 11.11 12.73 3.09 5.03 0 0 -0.59 -1.22 243 13.9 226.61 2.04 0.18582330210 Wayne County Nursing Home 01/01/2014 226.43 113.35 111.77 54.03 9.53 33.46 4.55 12.16 0 0 -0.65 0 192 13.95 240.38 1.08 0.16582000030 Wayne Health Care 01/01/2014 220.95 101.47 100.11 56.95 20.99 24.87 4.28 13.04 0 0 -0.65 0 180 14.61 235.56 -1.81 0.14272230110 Wedgewood Nursing Home 01/01/2014 176.11 108.03 106.53 49.35 6.41 11.24 2.64 -1.11 0 0 -0.45 0 29 7.73 183.84 0.14 0.15170230010 Wells Nursing Home Inc 01/01/2014 155.43 86.96 85.75 50.51 8.47 10.82 2.29 -3.19 0 0 -0.43 0 100 10.85 166.28 -1.24 0.12022830510 Wellsville Manor Care Center 01/01/2014 167.54 103.34 101.9 48.22 7.72 11.28 4.42 -6.94 0 0 -0.5 0 120 8.12 175.66 -1.33 0.14270135210 Wesley Gardens Corporation 01/01/2014 188.18 99.03 97.66 50.48 13.86 21.92 3.37 0 0 0 -0.48 0 200 10.29 198.47 -1.42 0.14450130110 Wesley Health Care Center Inc 01/01/2014 206.81 120.5 118.89 59.65 8.94 14.04 4.21 0 0 0 -0.53 0 356 13.25 220.06 1.93 0.23700340310 West Lawrence Care Center LLC 01/01/2014 215 133.91 132.05 59.54 7.63 11.7 2.85 0 0 0 -0.63 0 215 14.52 229.52 1.97 0.19590130610 West Ledge Rehabilitation and Nursing Center 01/01/2014 245.89 149.46 147.39 59.44 12.9 11.74 1.94 9.78 0 0 -0.7 1.33 100 18.42 264.31 1.4 0.21590331110 Westchester Center for Rehabilitation and Nursing 01/01/2014 221.37 143.49 141.5 57.86 6.26 15.86 2.39 -3.93 0 0 -0.56 0 240 10.26 231.63 0.17 0.2595730310 Westchester Meadows 01/01/2014 227.04 157.4 155.21 59.81 7.96 1.87 0 0 0 0 0 0 20 0.22 227.26 0 0.22180130510 Western New York State Veterans Home 01/01/2014 212.75 87.26 86.04 53.98 24.11 24.83 2.74 20.39 0 0 -0.56 0 126 11.65 224.4 0.17 0.12275330110 Westgate Nursing Home Inc 01/01/2014 155.42 81.91 80.78 48.58 7.46 5.69 3.22 9.02 0 0 -0.46 0 124 8.8 164.22 -1.35 0.11515830110 Westhampton Care Center 01/01/2014 235.06 140.6 138.64 58.54 10.6 22.49 1.52 1.95 0 0 -0.64 0 180 16.23 251.29 1.24 0.2560130210 Westmount Health Facility 01/01/2014 156.14 84.73 83.55 49.21 7.5 9.72 2.77 2.71 0 0 -0.5 0 80 9.2 165.34 0.13 0.12295230610 White Oaks Rehabilitation and Nursing Center 01/01/2014 214.63 156.16 153.99 59.12 5.94 5.62 1.42 0 0 0 -0.49 -13.14 200 12.29 226.92 -1.7 0.22590231510 White Plains Center For Nursing Care LLC 01/01/2014 247.25 143.8 141.8 56.9 8.66 25.31 2.64 10.71 0 0 -0.77 0 88 14.78 262.03 2.29 0.2105930110 Whittier Rehabilitation & Skilled Nursing Center 01/01/2014 213.5 118.73 117.08 52.98 33.16 9.52 3.84 0 0 0 -0.44 -4.29 120 11.93 225.43 -1.66 0.17280100130 Wilkinson Residential Health Care Facility 01/01/2014 173.97 95.94 94.65 57.42 12.22 7 1.86 0 0 0 -0.47 0 160 17.31 191.28 0.9 0.13700037910 Williamsbridge Manor Nursing Home 01/01/2014 255.25 175.94 173.49 58.43 7.97 16.29 1.85 -4.59 0 0 -0.64 0 77 13.75 269 1.29 0.25142130610 Williamsville Suburban LLC 01/01/2014 149.63 105.53 104.07 51.26 8.72 5.61 2.72 -11.62 0 0 -0.32 -12.27 220 0 149.63 -1.19 0.15036430110 Willow Point Nursing Home 01/01/2014 179.3 104.77 103.37 60.25 5.64 6.52 2.64 0 0 0 -0.52 0 300 9.68 188.98 -1.46 0.2700335710 Windsor Park Nursing Home 01/01/2014 238.52 151.44 149.34 58.28 7.08 9.45 0.3 13.91 0 0 -0.64 -1.3 70 13.42 251.94 1.28 0.21130130110 Wingate at Beacon 01/01/2014 218.23 120.16 118.49 53.96 12.5 39.36 1.6 0 0 0 -0.58 -8.77 160 13.26 231.49 0 0.17132030110 Wingate of Dutchess 01/01/2014 216.26 123.86 122.14 55.26 20.82 35.08 1.14 -15.82 0 0 -0.56 -3.52 160 14.78 231.04 0.15 0.17555630110 Wingate of Ulster 01/01/2014 219.87 104.26 102.81 54.38 24.33 36.62 5.08 -4.22 0 0 -0.58 0 120 17.05 236.92 1.86 0.15700333610 Woodcrest Rehabilitation & Residential Health Care Ctr LLC 01/01/2014 218.35 132.46 130.62 58.01 8.68 16.23 3.55 0 0 0 -0.58 0 200 13.2 231.55 -1.69 0.19515131610 Woodhaven Nursing Home 01/01/2014 219.9 142.13 140.16 59.2 6.67 10.93 1.63 0 0 0 -0.66 0 143 16.59 236.49 -1.72 0.2552230310 Woodland Pond at New Paltz 01/01/2014 235.4 119.83 118.17 54.6 10.7 40.29 0.87 9.66 0 0 -0.55 0 40 0 235.4 0 0.17295031510 Woodmere Rehabilitation And Health Care Center 01/01/2014 259.77 161.38 159.21 65.96 15.05 15.41 2.63 0 0 0 -0.66 0 336 15.73 275.5 -2.01 0.31275030310 Woodside Manor Nursing Home Inc 01/01/2014 199.8 136.81 134.91 51.97 10.52 20.37 2.3 -21.72 0 0 -0.45 0 44 12.66 212.46 -1.61 0.19700030910 Workmens Circle Multicare Center 01/01/2014 300.49 145.05 143.1 64.92 9.81 37.52 2.6 41.55 0 0 -0.96 0 524 12.91 313.4 2.86 0.28602700030 Wyoming County Community Hospital Snf 01/01/2014 180.83 114.46 112.92 57.53 9.15 10.68 2.84 0 0 0 -0.52 -13.31 160 10.08 190.91 0.15 0.16

Page 8: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

Organization Name Date

295030230 A Holly Patterson Extended Care Facility 01/01/2014 272530110 Aaron Manor Rehabilitation and Nursing Center 01/01/2014 042030210 Absolut Center for Nursing and Rehabilitation at Allega 01/01/2014 142230310 Absolut Center for Nursing and Rehabilitation at Auror 01/01/2014 060130310 Absolut Center for Nursing and Rehabilitation at Dunki 01/01/2014 146130210 Absolut Center for Nursing and Rehabilitation at Eden 01/01/2014 030230310 Absolut Center for Nursing and Rehabilitation at Endic 01/01/2014 315830210 Absolut Center for Nursing and Rehabilitation at Gaspo 01/01/2014 022630210 Absolut Center for Nursing and Rehabilitation at Hough 01/01/2014 143530310 Absolut Center for Nursing and Rehabilitation at Orcha 01/01/2014 043330310 Absolut Center for Nursing and Rehabilitation at Salam 01/01/2014 502630110 Absolut Center for Nursing and Rehabilitation at Three 01/01/2014 067530210 Absolut Center for Nursing and Rehabilitation at Westfi 01/01/2014 522030310 Achieve Rehab and Nursing Facility 01/01/2014 565530210 Adirondack Tri-County Nursing and Rehabilitation 01/01/2014 515432310 Affinity Skilled Living and Rehabilitation Center 01/01/2014 015330210 Albany County Nursing Home 01/01/2014 162400030 Alice Hyde Medical Center 01/01/2014 212930310 Alpine Rehabilitation and Nursing Center 01/01/2014 700235610 Amsterdam Nursing Home Corp (amsterdam House) 01/01/2014 592630010 Andrus On Hudson 01/01/2014 515331110 Apex Rehabilitation & Care Center 01/01/2014 070100030 Arnot Ogden Medical Center Residential Health Care Facility 01/01/2014 700138910 Atlantis Rehabilitation and Residential Health Care Fa 01/01/2014 050130910 Auburn Nursing Home 01/01/2014 380100030 Aurelia Osborn Fox Memorial Hospital 01/01/2014 143030110 Autumn View Health Care Facility LLC 01/01/2014 515731310 Avalon Gardens Rehabilitation and Health Care Center 01/01/2014 252030110 Avon Nursing Home LLC 01/01/2014 700031910 Bainbridge Nursing And Rehabilitation Center 01/01/2014 270135710 Baird Nursing Home 01/01/2014 462030010 Baptist Health Nursing And Rehabilitation Center Inc 01/01/2014 102330110 Barnwell Nursing and Rehabilitation Center 01/01/2014 180130610 Batavia Nursing Home LLC 01/01/2014 700038910 Bay Park Center for Nursing and Rehabilitation LLC 01/01/2014 590431710 Bayberry Nursing Home 01/01/2014 296130210 Bayview Nursing and Rehabilitation Center 01/01/2014 290230310 Beach Terrace Care Center 01/01/2014 540130910 Beechtree Care Center 01/01/2014 145130610 Beechwood Homes 01/01/2014 295030110 Belair Care Center Inc 01/01/2014 515132110 Bellhaven Center For Rehabilitation and Nursing Care 01/01/2014 700139610 Bensonhurst Center for Rehabilitation and Healthcare 01/01/2014 510130110 Berkshire Nursing & Rehabilitation Center 01/01/2014 700030810 Beth Abraham Health Services 01/01/2014 320130810 Bethany Gardens Skilled Living Center 01/01/2014 072230110 Bethany Nursing Home & Health Related Facility Inc 01/01/2014 590530310 Bethel Nursing Home Company Inc 01/01/2014 592130110 Bethel Nursing and Rehabilitation Center 01/01/2014

Page 9: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

015130010 Bethlehem Commons Care Center 01/01/2014 320130710 Betsy Ross Rehabilitation Center Inc 01/01/2014 700335210 Bezalel Rehabilitation and Nursing Center 01/01/2014 700335610 Bishop Charles Waldo Maclean Episcopal Nursing Home 01/01/2014 700137910 Bishop Henry B Hucles Episcopal Nursing Home 01/01/2014 270135410 Blossom Health Care Center 01/01/2014 270136010 Blossom North Nursing and Rehabilitation Center 01/01/2014 270136110 Blossom South Nursing and Rehabilitation Center 01/01/2014 582830110 Blossom View Nursing Home 01/01/2014 700139410 Boro Park Center for Rehabilitation and Healthcare 01/01/2014 700330910 Bridge View Nursing Home 01/01/2014 030130810 Bridgewater Center for Rehabilitation & Nursing LLC 01/01/2014 310130010 Briody Health Care Facility 01/01/2014 512030130 Broadlawn Manor Nursing and Rehabilitation Center 01/01/2014 700038110 Bronx Center For Rehabilitation and Health 01/01/2014 700038010 Bronx Park Rehabilitation & Nursing Center 01/01/2014 700036410 Bronx-Lebanon Special Care Center 01/01/2014 512330410 Brookhaven Health Care Facility LLC 01/01/2014 700339910 Brookhaven Rehabilitation & Health Care Center 01/01/2014 700138810 Brooklyn Center for Rehabilitation and Residential Hea 01/01/2014 700130810 Brooklyn United Methodist Church Home 01/01/2014 700138210 Brooklyn-Queens Nursing Home 01/01/2014 145630010 Brothers Of Mercy Nursing & Rehabilitation Center 01/01/2014 700138310 Buena Vida Continuing Care & Rehab Ctr 01/01/2014 700136410 Bushwick Center for Rehabilitation and Health Care 01/01/2014 700235010 Cabrini Center For Nursing And Rehabilitation 01/01/2014 700130710 Cabs Nursing Home Company Inc 01/01/2014 355730210 Campbell Hall Rehabilitation Center Inc 01/01/2014 142130510 Canterbury Woods 01/01/2014 285030010 Capstone Center for Rehabilitation and Nursing 01/01/2014 515330610 Carillon Nursing and Rehabilitation Center 01/01/2014 700431010 Carmel Richmond Healthcare and Rehabilitation Center 01/01/2014 223800130 Carthage Area Hospital 01/01/2014 700136610 Caton Park Nursing Home 01/01/2014 526300030 Catskill Regional Medical Center 01/01/2014 056630110 Cayuga County Nursing Home 01/01/2014 540131110 Cayuga Ridge Extended Care 01/01/2014 515132010 Cedar Lodge Nursing Home 01/01/2014 590530810 Cedar Manor Nursing & Rehabilitation Center 01/01/2014 700135410 Center For Nursing & Rehabilitation Inc 01/01/2014 295230810 Central Island Healthcare 01/01/2014 090100130 Champlain Valley Physicians Hospital Medical Center Snf 01/01/2014 700335110 Chapin Home For The Aging 01/01/2014 322730410 Charles T Sitrin Health Care Center Inc 01/01/2014 082330010 Chase Memorial Nursing Home Co Inc 01/01/2014 060130010 Chautauqua County Home 01/01/2014 070130110 Chemung County Health Center-nursing Facility 01/01/2014 082400030 Chenango Memorial Hospital Inc Snf 01/01/2014 380130310 Chestnut Park Rehabilitation and Nursing Center 01/01/2014 262930310 Chittenango Center for Rehabilitation and Health Care 01/01/2014 270133910 Church Home Of The Protestant Episcopal Church 01/01/2014 700338010 Cliffside Rehabilitation and Residential Health Care Center 01/01/2014 342100030 Clifton Springs Hospital And Clinic Extended Care 01/01/2014 095230010 Clinton County Nursing Home 01/01/2014 700432110 Clove Lakes Health Care and Rehabilitation Center 01/01/2014

Page 10: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

700132310 Cobble Hill Health Center Inc 01/01/2014 295230710 Cold Spring Hills Center for Nursing and Rehabilitation 01/01/2014 700233630 Coler Memorial Hospital Snf 01/01/2014 700233730 Coler-Goldwater Specialty Hospital & Nursing Facility 01/01/2014 320130510 Colonial Park Rehabilitation and Nursing Center 01/01/2014 262500030 Community Memorial Hospital Inc Nh Unit 01/01/2014 700134810 Concord Nursing Home Inc 01/01/2014 700037510 Concourse Rehabilitation and Nursing Center 01/01/2014 252530110 Conesus Lake Nursing Home LLC 01/01/2014 110130710 Cortland Park Rehabilitation and Nursing Center 01/01/2014 110130630 Cortland Regional Nursing and Rehabilitation Center 01/01/2014 590130410 Cortlandt Healthcare LLC 01/01/2014 276230110 Crest Manor Living and Rehabilitation Center 01/01/2014 262330010 Crouse Community Center Inc 01/01/2014 110130910 Crown Center for Nursing and Rehabilitation 01/01/2014 700136710 Crown Nursing and Rehabilitation Center 01/01/2014 022600030 Cuba Memorial Hospital Inc Snf 01/01/2014 515030210 Daleview Care Center 01/01/2014 700034210 Daughters Of Jacob Nursing Home Company Inc 01/01/2014 010131210 Daughters Of Sarah Nursing Center - NF 01/01/2014 310300030 Degraff Memorial Hospital-skilled Nursing Facility 01/01/2014 140132810 Delaware Nursing & Rehabilitation Center 01/01/2014 700234710 Dewitt Rehabilitation and Nursing Center Inc 01/01/2014 416130410 Diamond Hill Nursing and Rehabilitation Center 01/01/2014 700139310 Ditmas Park Care Center 01/01/2014 700138010 Dr Susan Smith Mckinney Nursing and Rehabilitation Center 01/01/2014 700339510 Dr William O Benenson Rehabilitation Pavilion 01/01/2014 700335910 Dry Harbor Nursing Home 01/01/2014 590432110 Dumont Center for Rehabilitation and Nursing Care 01/01/2014 132230210 Dutchess Center for Rehabilitation and Healthcare 01/01/2014 700036010 East Haven Nursing And Rehabilitation Center 01/01/2014 515030310 East Neck Nursing and Rehabilitation Center 01/01/2014 602730310 East Side Nursing Home 01/01/2014 700038310 Eastchester Rehabilitation and Health Care Center 01/01/2014 323930010 Eastern Star Home & Infirmary 01/01/2014 010200110 Eddy Cohoes Rehabilitation Center 01/01/2014 410231110 Eddy Heritage House Nursing Center 01/01/2014 015130110 Eddy Village Green at Beverwyck 01/01/2014 275430410 Edna Tina Wilson Living Center 01/01/2014 700430310 Eger Health Care and Rehabilitation Center 01/01/2014 593130110 Elant at Brandywine Inc 01/01/2014 135530110 Elant at Fishkill Inc 01/01/2014 352330210 Elant at Goshen Inc 01/01/2014 350230410 Elant at Newburgh Inc 01/01/2014 132430210 Elant at Wappinger Falls 01/01/2014 072230410 Elcor Nursing and Rehabilitation Center 01/01/2014 333130010 Elderwood Health Care Birchwood 01/01/2014 312130110 Elderwood Health Care Crestwood 01/01/2014 143030210 Elderwood Health Care Lakewood 01/01/2014 140630210 Elderwood Health Care Linwood 01/01/2014 145530110 Elderwood Health Care Maplewood 01/01/2014 142130410 Elderwood Health Care Oakwood 01/01/2014 146430110 Elderwood Health Care Riverwood 01/01/2014 532030110 Elderwood Health Care Tioga 01/01/2014 145130510 Elderwood Health Care Wedgewood 01/01/2014

Page 11: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

030130710 Elizabeth Church Manor Nursing Home 01/01/2014 460100130 Ellis Residential & Rehabilitation Center 01/01/2014 342930310 Elm Manor Nursing Home 01/01/2014 700339610 Elmhurst Care Center Inc 01/01/2014 415230310 Evergreen Commons 01/01/2014 090130110 Evergreen Valley Nursing Home 01/01/2014 295230910 Excel at Woodbury for Rehabilitation and Nursing LLC 01/01/2014 272530010 Fairport Baptist Homes 01/01/2014 700337510 Fairview Nursing Care Center Inc 01/01/2014 700331510 Far Rockaway Nursing Home 01/01/2014 143530210 Father Baker Manor 01/01/2014 132730010 Ferncliff Nursing Home Co Inc 01/01/2014 142730210 Fiddlers Green Manor Nursing Home 01/01/2014 590130210 Field Home-holy Comforter 01/01/2014 700038510 Fieldston Lodge Care Center 01/01/2014 050100030 Finger Lakes Center for Living 01/01/2014 700336610 Flushing Manor Care Center 01/01/2014 700340710 Flushing Manor Nursing & Rehabilitation 01/01/2014 320231310 Focus Rehabilitation and Nursing Center at Utica 01/01/2014 212430010 Folts Home 01/01/2014 700339410 Forest Hills Care Center 01/01/2014 700338710 Forest View Center for Rehabilitation & Nursing 01/01/2014 572430210 Fort Hudson Nursing Center Inc 01/01/2014 700235910 Fort Tryon Center for Rehabilitation and Nursing 01/01/2014 500100110 Founders Pavilion 01/01/2014 700138510 Four Seasons Nursing and Rehabilitation Center 01/01/2014 143530410 Fox Run at Orchard Park 01/01/2014 700340210 Franklin Center for Rehabilitation and Nursing 01/01/2014 166430010 Franklin County Nursing Home 01/01/2014 435030510 Friedwald Center for Rehabilitation & Nursing LLC 01/01/2014 175430110 Fulton Center for Rehabilitation and Healthcare 01/01/2014 295031710 Fulton Commons Care Center Inc 01/01/2014 295031610 Garden Care Center 01/01/2014 145530010 Garden Gate Health Care Facility 01/01/2014 180130410 Genesee County Nursing Home 01/01/2014 352330310 Glen Arden Inc 01/01/2014 290130510 Glen Cove Center for Nursing and Rehabilitation 01/01/2014 590431810 Glen Island Center for Nursing and Rehabilitation 01/01/2014 465130010 Glendale Home-schdy Cnty Dept Social Services 01/01/2014 290130010 Glengariff Health Care Center 01/01/2014 700037610 Gold Crest Care Center 01/01/2014 700432210 Golden Gate Rehabilitation and Health Care Center 01/01/2014 550130910 Golden Hill Health Care Center 01/01/2014 515431010 Good Samaritan Nursing Home 01/01/2014 036330110 Good Shepherd Village at Endwell 01/01/2014 030130510 Good Shepherd-fairview Home Inc 01/01/2014 042730210 Gowanda Rehabilitation and Nursing Center 01/01/2014 291330110 Grace Plaza Nursing and Rehabilitation Center 01/01/2014 700036110 Grand Manor Nursing & Rehabilitation Center 01/01/2014 290230410 Grandell Rehabilitation and Nursing Center 01/01/2014 700234110 Greater Harlem Nursing Home Company Inc 01/01/2014 146730110 Greenfield Health and Rehabilitation Center 01/01/2014 540130510 Groton Community Health Care Center Residential Care Facility 01/01/2014 015530310 Guilderland Center Rehabilitation and Extended Care Facility 01/01/2014 515330710 Gurwin Jewish Nursing and Rehabilitation Center 01/01/2014

Page 12: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

275430010 Hamilton Manor Nursing Home 01/01/2014 700103410 Hamilton Park Nursing and Rehabilitation Center 01/01/2014 140132910 Harbour Health Multicare Center for Living 01/01/2014 322630110 Harding Nursing Home 01/01/2014 140630110 Harris Hill Nursing Facility LLC 01/01/2014 700337810 Haven Manor Health Care Center LLC 01/01/2014 140132310 Hawthorn Health Multicare Center for Living 01/01/2014 700136910 Haym Solomon Home For The Aged 01/01/2014 700030210 Hebrew Home For The Aged At Riverdale 01/01/2014 595730210 Hebrew Hospital Home of Westchester Inc 01/01/2014 432230030 Helen Hayes Hospital RHCF 01/01/2014 590431410 Helen and Michael Schaffer Extended Care Center 01/01/2014 290630410 Hempstead Park Nursing Home 01/01/2014 152730010 Heritage Commons Residential Health Care 01/01/2014 065830110 Heritage Green Nursing Home 01/01/2014 320231410 Heritage Health Care Center 01/01/2014 060231010 Heritage Park Health Care Center 01/01/2014 066230110 Heritage Village Rehab and Skilled Nursing Inc 01/01/2014 295130610 Highfield Gardens Care Center of Great Neck 01/01/2014 700336310 Highland Care Center 01/01/2014 440230010 Highland Nursing Home Inc 01/01/2014 022830310 Highland Park Rehabilitation and Nursing Center 01/01/2014 350130510 Highland Rehabilitation and Nursing Center 01/01/2014 140100130 Highpointe on Michigan Health Care Facility 01/01/2014 515331010 Hilaire Rehab & Nursing 01/01/2014 276130210 Hill Haven Nursing Home 01/01/2014 700335010 Hillside Manor Rehabilitation and Extended Care Center 01/01/2014 700338110 Hollis Park Manor Nursing 01/01/2014 700340910 Holliswood Center for Rehabilitation and Healthcare 01/01/2014 700139510 Hopkins Center for Rehabilitation and Healthcare 01/01/2014 152130010 Horace Nye Home 01/01/2014 700338910 Horizon Care Center 01/01/2014 500230210 Hornell Gardens LLC 01/01/2014 010131410 Hudson Park Rehabilitation and Nursing Center 01/01/2014 700038810 Hudson Pointe at Riverdale Center for Nrsg and Reha 01/01/2014 555630210 Hudson Valley Rehabilitation and Extended Care Center 01/01/2014 515330910 Huntington Hills Center for Health and Rehabilitation 01/01/2014 492130210 Huntington Living Center 01/01/2014 030230210 Ideal Senior Living Center 01/01/2014 572530410 Indian River Rehabilitation and Nursing Center 01/01/2014 502230130 Ira Davenport Memorial Hospital Snf hrfa 01/01/2014 335330010 Iroquois Nursing Home Inc 01/01/2014 700235210 Isabella Geriatric Center Inc 01/01/2014 515131810 Island Nursing and Rehab Center 01/01/2014 700334610 Jamaica Hospital Nursing Home Co Inc 01/01/2014 410230910 James A Eddy Memorial Geriatric Center 01/01/2014 030330610 James G Johnston Memorial Nursing Home 01/01/2014 330132210 James Square Health And Rehabilitation Centre 01/01/2014 700031310 Jeanne Jugan Residence 01/01/2014 515131710 Jeffersons Ferry 01/01/2014 142700010 Jennie B Richmond Chaffee Nursing Home Company Inc 01/01/2014 275030410 Jewish Home & Infirmary Of Rochester Ny Inc 01/01/2014 700031710 Jewish Home Lifecare Henry and Jeanette Weinberg Campus Bronx 01/01/2014 700234010 Jewish Home Lifecare Manhattan 01/01/2014 590930210 Jewish Home Lifecare Sarah Neuman Center 01/01/2014

Page 13: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

330130910 Jewish Home Of Central New York 01/01/2014 100100030 Kaaterskill Care Skilled Nursing and Rehab 01/01/2014 700234410 Kateri Residence 01/01/2014 322530310 Katherine Luther Residential Health Care and Rehab C 01/01/2014 540130810 Kendal at Ithaca Inc 01/01/2014 593230010 Kendal on Hudson 01/01/2014 700138710 Keser Nursing and Rehabilitation Center Inc 01/01/2014 590630010 King Street Home Inc 01/01/2014 700037210 Kings Harbor Multicare Center 01/01/2014 700037410 Kingsbridge Heights Rehabilitation and Care 01/01/2014 460130510 Kingsway Arms Nursing Center Inc 01/01/2014 442300010 Kinney Nursing Home 01/01/2014 270134510 Kirkhaven 01/01/2014 700037010 Laconia Nursing Home Inc 01/01/2014 275230110 Lakeside - Beikirch Care Center Inc 01/01/2014 515131410 Lakeview Rehabilitation and Care Center 01/01/2014 275430110 Latta Road Nursing Home 01/01/2014 275430310 Latta Road Nursing Home A 01/01/2014 700338510 Lawrence Nursing Care Center Inc 01/01/2014 182330010 Leroy Village Green Residential Health Care Facility Inc 01/01/2014 242400030 Lewis County General Hospital-nursing Home Unit 01/01/2014 700139710 Linden Gardens Rehabilitation and Nursing Center 01/01/2014 700340810 Little Neck Nursing Home 01/01/2014 340230310 Living Center At Geneva North 01/01/2014 340230210 Living Center At Geneva South 01/01/2014 252230010 Livingston County Center for Nursing and Rehabilitatio 01/01/2014 106330110 Livingston Hills Nursing & Rehabilitation Center LLC 01/01/2014 700337710 Long Island Care Center Inc 01/01/2014 515131010 Long Island State Veterans Home 01/01/2014 330132710 Loretto Health and Rehabilitation Center 01/01/2014 700131310 Lutheran Augustana Center for Extended Care &Rehab 01/01/2014 130230610 Lutheran Center at Poughkeepsie Inc 01/01/2014 060230810 Lutheran Retirement Home 01/01/2014 291130310 Lynbrook Restorative Therapy and Nursing 01/01/2014 342930030 MM Ewing Continuing Care Center 01/01/2014 700038710 Manhattanville Health Care Center 01/01/2014 442030110 Maplewood Health Care and Rehabilitation Center 01/01/2014 272930010 Maplewood Nursing Home Inc 01/01/2014 700135310 Marcus Garvey Nursing Home Company Inc 01/01/2014 700330510 Margaret Tietz Center For Nursing Care Inc 01/01/2014 515432110 Maria Regina Residence Inc 01/01/2014 290130410 Marquis Care Center 01/01/2014 700230510 Mary Manning Walsh Nursing Home Co Inc 01/01/2014 320230810 Masonic Care Community of New York 01/01/2014 290630210 Mayfair Care Center 01/01/2014 500200130 Mcauley Manor at Mercycare 01/01/2014 140400010 Mcauley Residence 01/01/2014 700339810 Meadow Park Rehabilitation and Health Care Center 01/01/2014 290430110 Meadowbrook Care Center Inc 01/01/2014 090130310 Meadowbrook Healthcare 01/01/2014 515131910 Medford Multicare Center for Living 01/01/2014 362200030 Medina Memorial Hospital Snf 01/01/2014 700137210 Menorah Home And Hospital For 01/01/2014 050130810 Mercy Health & Rehab Center Nh Inc 01/01/2014 140100830 Mercy Hospital Skilled Nursing Facility 01/01/2014

Page 14: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

162030030 Mercy Living Center 01/01/2014 700031110 Methodist Home For Nursing and Rehabilitation 01/01/2014 590731610 Michael Malotz Skilled Nursing Pavilion 01/01/2014 370130110 Michaud Residential Health Services Inc 01/01/2014 350130410 Middletown Park Rehabilitation and Health Ca 01/01/2014 700334010 Midway Nursing Home 01/01/2014 515731610 Mills Pond Nursing and Rehabilitation Center 01/01/2014 210130110 Mohawk Valley Health Care Center 01/01/2014 515432410 Momentum at South Bay for Rehabilitation and Nursin 01/01/2014 270100630 Monroe Community Hospital 01/01/2014 356130210 Montgomery Nursing and Rehabilitation Center 01/01/2014 700034510 Morningside House Nursing Home Company Inc 01/01/2014 370231510 Morningstar Residential Care Center 01/01/2014 700032810 Morris Park Nursing Home 01/01/2014 700032910 Mosholu Parkway Nursing And Rehabilitation Center 01/01/2014 122630030 Mountainside Residential Care Center 01/01/2014 082530110 NYS Veterans Home 01/01/2014 595130010 NYS Veterans Home at Montrose 01/01/2014 290630510 Nassau Extended Care Facility 01/01/2014 170100030 Nathan Littauer Hospital Nursing Home 01/01/2014 515731510 Nesconset Center for Nursing and Rehabilitation 01/01/2014 700138610 New Carlton Rehab and Nursing Center LLC 01/01/2014 700235810 New East Side Nursing Home 01/01/2014 700339110 New Glen Oaks Nursing Home 01/01/2014 700234310 New Gouverneur Hospital Snf 01/01/2014 700337310 New Surfside Nursing Home 01/01/2014 700431610 New Vanderbilt Rehabilitation and Care Center Inc 01/01/2014 700340510 New York Center for Rehabilitation 01/01/2014 700130910 New York Congregational Nursing Center Inc 01/01/2014 700338310 New York State Veterans Home In New York City 01/01/2014 582030210 Newark Manor Nursing Home 01/01/2014 315430210 Newfane Rehabilitation And Health Care Center Corp 01/01/2014 140131610 Niagara Lutheran Home And Rehabilitation Center Inc 01/01/2014 310231110 Niagara Rehabilitation and Nursing Center 01/01/2014 316030110 North Gate Health Care Facility 01/01/2014 295130510 North Shore University Hospital Stern Family Ctr for E 01/01/2014 596830210 North Westchester Restorative Therapy and Nursing 01/01/2014 550131010 Northeast Center for Special Care 01/01/2014 132730210 Northern Dutchess Residential Health Care Facility Inc 01/01/2014 700235510 Northern Manhattan Rehabilitation and Nursing Center 01/01/2014 435030410 Northern Manor Geriatric Center Inc 01/01/2014 435330110 Northern Metropolitan Residential Health Care Facility Inc 01/01/2014 432130210 Northern Riverview Health Care Center Inc 01/01/2014 052630310 Northwoods Rehab and Extended Care Fac at Moravia 01/01/2014 700131610 Norwegian Christian Home And Health Center 01/01/2014 082430410 Norwich Rehabilitation & Nursing Center 01/01/2014 335330110 Nottingham Residential Health Care Facility 01/01/2014 435030210 Nyack Manor Nursing Home 01/01/2014 540131010 Oak Hill Manor Nursing Home 01/01/2014 515131510 Oak Hollow Nursing Center 01/01/2014 700340110 Ocean Promenade Nursing Center Inc 01/01/2014 295031410 Oceanside Care Center Inc 01/01/2014 700335410 Oceanview Nursing & Rehabilitation Center LLC 01/01/2014 310130510 Odd Fellow & Rebekah Rehabilitation & Health Care Center Inc 01/01/2014 260100110 Oneida Healthcare 01/01/2014

Page 15: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

342930210 Ontario County Health Facility 01/01/2014 362230310 Orchard Manor Rehabilitation and Nursing Center 01/01/2014 291000010 Orzac Center for Extended Care & Rehabilitation 01/01/2014 385930010 Otsego Manor 01/01/2014 015330010 Our Lady Of Hope Residence-little Sisters Of The Poor 01/01/2014 015530110 Our Lady Of Mercy Life Center 01/01/2014 515431910 Our Lady of Consolation Nursing and Rehabilitation Care Center 01/01/2014 312130310 Our Lady of Peace Nursing Care Residence 01/01/2014 700137310 Oxford Nursing Home 01/01/2014 700330610 Ozanam Hall Of Queens Nursing Home Inc 01/01/2014 285130110 Palatine Nursing Home 01/01/2014 700034710 Palisade Nursing Home Company Inc 01/01/2014 700139110 Palm Gardens Care Center LLC 01/01/2014 290230610 Park Avenue Extended Care Facility 01/01/2014 700038210 Park Gardens Rehabilitation & Nursing Center LLC 01/01/2014 700336410 Park Nursing Home 01/01/2014 275430230 Park Ridge Nursing Home 01/01/2014 700337410 Park Terrace Care Center 01/01/2014 700330710 Parker Jewish Institute for Health Care and Rehabilitation 01/01/2014 295230110 Parkview Care and Rehabilitation Center Inc 01/01/2014 465230210 Pathways Nursing and Rehabilitation Center 01/01/2014 515500030 Peconic Bay Skilled Nursing Facility 01/01/2014 512730110 Peconic Landing at Southold 01/01/2014 700033810 Pelham Parkway Nursing and Rehabilitation Facility 01/01/2014 276130310 Penfield Place LLC 01/01/2014 700330810 Peninsula Center For Extended Care and Rehabilitation 01/01/2014 612030010 Penn Yan Manor Nursing Home Inc 01/01/2014 515432510 Petite Fleur Nursing Home 01/01/2014 102130010 Pine Haven Home 01/01/2014 435330310 Pine Valley Center for Rehabilitation and Nursing 01/01/2014 575030010 Pleasant Valley 01/01/2014 370231310 Pontiac Nursing Home 01/01/2014 590630310 Port Chester Nursing and Rehabilitation Centre 01/01/2014 322730310 Presbyterian Home For Central New York Inc 01/01/2014 700338610 Promenade Rehabilitation and Health Care Center 01/01/2014 700030610 Providence Rest 01/01/2014 395130110 Putnam Nursing and Rehabilitation Center 01/01/2014 395030210 Putnam Ridge 01/01/2014 135630310 Quaker Hill Manor 01/01/2014 700330310 Queen Of Peace Residence 01/01/2014 700339010 Queens Boulevard Extended Care Facility Inc 01/01/2014 700340410 Queens Center for Rehabilitation&Residential Hlth Car 01/01/2014 700336110 Queens Nassau Rehabilitation and Nursing Center 01/01/2014 432930110 Ramapo Manor Center for Rehabilitation & Nursing 01/01/2014 700031410 Rebekah Rehab and Extended Care Center 01/01/2014 700339710 Regal Heights Rehabilitation and Health Care Center 01/01/2014 700035610 Regeis Care Center 01/01/2014 590731510 Regency Extended Care Center 01/01/2014 700339210 Rego Park Nursing Home 01/01/2014 135630210 Renaissance Rehabilitation and Nursing Care Center 01/01/2014 700333010 Resort Nursing Home 01/01/2014 700432410 Richmond Center for Rehabilitation and Specialty Healthcare 01/01/2014 140133610 Ridge View Manor LLC 01/01/2014 700137810 River Manor Care Center 01/01/2014 280130410 River Ridge Living Center LLC 01/01/2014

Page 16: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

130230710 River Valley Care Center Inc 01/01/2014 700035710 Riverdale Nursing Home 01/01/2014 515530110 Riverhead Care Center LLC 01/01/2014 440130210 Riverledge Health Care and Rehabilitation Center 01/01/2014 412430010 Riverside Center for Rehabilitation and Nursing 01/01/2014 532430210 Riverview Manor Health Care Center 01/01/2014 700235310 Rivington House-The Nicholas A Rango Health Care Facility 01/01/2014 122500010 Robinson Terrace 01/01/2014 700336210 Rockaway Care Center 01/01/2014 290930410 Rockville Skilled Nursing & Rehabilitation Center LLC 01/01/2014 320131010 Rome Center for Rehabilitation and Health Care 01/01/2014 320100230 Rome Memorial Hospital Inc - RHCF 01/01/2014 145130410 Rosa Coplon Jewish Home 01/01/2014 526230010 Roscoe Community Nursing Home Co Inc 01/01/2014 330132310 Rosewood Heights Health Center 01/01/2014 415230410 Rosewood Rehabilitation and Nursing Center 01/01/2014 515432010 Ross Health Care Center 01/01/2014 700103310 Rutland Nursing Home Co Inc 01/01/2014 9999999 STATEWIDE 01/01/2014 700137110 Saints Joachim & Anne Nursing and Rehabilitation Ce 01/01/2014 596030410 Salem Hills Rehabilitation and Nursing Center 01/01/2014 220100010 Samaritan Keep Nursing Home Inc 01/01/2014 226930010 Samaritan Senior Village Inc 01/01/2014 512730210 San Simeon by the Sound Center for Nrsg and Reha 01/01/2014 295130410 Sands Point Center For Health And Rehabilitation 01/01/2014 590731710 Sans Souci Rehabilitation and Nursing Center 01/01/2014 450100030 Saratoga Care Nursing Home 01/01/2014 452030110 Saratoga County Maplewood Manor 01/01/2014 700031510 Schervier Nursing Care Center 01/01/2014 352930110 Schervier Pavilion 01/01/2014 590231410 Schnurmacher Center for Rehabilitation and Nursing 01/01/2014 310230710 Schoellkopf Health Center 01/01/2014 140430010 Schofield Residence 01/01/2014 700131810 Schulman and Schachne Institute for Nursing and Rehabilitat 01/01/2014 482300030 Schuyler Hospital Inc And Long Term Care Unit 01/01/2014 700430410 Sea View Hospital Rehabilitation Center And Home 01/01/2014 700139010 Sea-Crest Health Care Center 01/01/2014 147430110 Seneca Health Care Center 01/01/2014 370231210 Seneca Hill Manor Inc 01/01/2014 492130310 Seneca Nursing and Rehabilitation Center 01/01/2014 700130310 Sephardic Skilled Nursing and Rehabilitation Center 01/01/2014 455230010 Seton Health at Schuyler Ridge Residential Healthcare 01/01/2014 700136210 Sheepshead Nursing and Rehabilitation Center 01/01/2014 140330310 Sheridan Manor LLC 01/01/2014 700134210 Shore View Nursing Home 01/01/2014 700137610 Shorefront Jewish Geriatric Center 01/01/2014 700432310 Silver Lake Specialized Rehabilitation and Care Cente 01/01/2014 700337210 Silvercrest 01/01/2014 592130210 Sky View Rehabilitation and Health Care Center LLC 01/01/2014 515731410 Smithtown Center for Rehabilitation & Nursing Care 01/01/2014 612000030 Soldiers And Sailors Memorial Hospital Extended Care Unit 01/01/2014 596630010 Somers Manor Nursing Home Inc 01/01/2014 290430010 South Shore Healthcare 01/01/2014 700038410 Split Rock Rehabilitation and Health Care Center 01/01/2014 591030110 Sprain Brook Manor Rehab LLC 01/01/2014

Page 17: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

700138410 Spring Creek Rehabilitation & Nursing Care Center 01/01/2014 275730010 St Anns Community (Aged) 01/01/2014 275730110 St Anns Community (NH) 01/01/2014 700037110 St Barnabas Rehabilitation & Continuing Care Center 01/01/2014 592530010 St Cabrini Nursing Home 01/01/2014 330132110 St Camillus Residential Health Care Facility 01/01/2014 140132430 St Catherine Laboure Health Care Center 01/01/2014 515731210 St Catherine of Siena Nursing Home 01/01/2014 142130010 St Francis Home Of Williamsville 01/01/2014 515731710 St James Rehabilitation & Healthcare Center 01/01/2014 515731110 St Johnland Nursing Center Inc 01/01/2014 270135310 St Johns Health Care Corporation 01/01/2014 272530210 St Johns Penfield Homes Corporation 01/01/2014 282830010 St Johnsville Rehabilitation and Nursing Center 01/01/2014 320231010 St Joseph Nursing Home Co Of Utica 01/01/2014 440130010 St Josephs Home 01/01/2014 590731410 St Josephs Hosp Nursing Home Of Yonkers N Y Inc 01/01/2014 070100130 St Josephs Hospital - Skilled Nursing Facility 01/01/2014 353500130 St Josephs Place 01/01/2014 370230910 St Luke Residential Health Care Facility Inc 01/01/2014 322730510 St Lukes Home 01/01/2014 700030710 St Patricks Home 01/01/2014 010130510 St Peters Nursing and Rehabilitation Center 01/01/2014 440230310 St Regis Nursing Home Inc 01/01/2014 700036610 St Vincent Depaul Residence 01/01/2014 700431410 Staten Island Care Center 01/01/2014 502230010 Steuben County Infirmary 01/01/2014 512330510 Suffolk Center for Rehabilitation and Nursing 01/01/2014 522030110 Sullivan County Adult Care Center 01/01/2014 435300030 Summit Park Nursing Care Center 01/01/2014 295130710 Sunharbor Manor 01/01/2014 332130110 Sunnyside Care Center 01/01/2014 515431210 Sunrise Manor Center for Nursing and Rehabilitation 01/01/2014 322130110 Sunset Nursing and Rehabilitation Center Inc 01/01/2014 030330710 Susquehanna Nursing & Rehabilitation Center LLC 01/01/2014 590432010 Sutton Park Center for Nursing and Rehabilitation 01/01/2014 332730110 Syracuse Home Association 01/01/2014 066330230 TLC Health Network-Lake Shore Hospital Nursing Facil 01/01/2014 591130210 Tarrytown Hall Care Center 01/01/2014 556730110 Ten Broeck Commons 01/01/2014 700234510 Terence Cardinal Cooke Health Care Ctr 01/01/2014 010131310 Teresian House Nursing Home Co Inc 01/01/2014 700037810 Terrace Health Care Center 01/01/2014 140100530 Terrace View Long Term Care Facility 01/01/2014 295130810 The Amsterdam at Harborside 01/01/2014 460130610 The Avenue Nursing and Rehabilitation Centre 01/01/2014 132730110 The Baptist Home at Brookmeade 01/01/2014 275030710 The Brightonian Inc 01/01/2014 412030010 The Center for Nursing and Rehabilitation at Hoosick Falls 01/01/2014 223830310 The Country Manor Nursing and Rehabilitation Centre 01/01/2014 333430310 The Crossings Nursing and Rehabilitation Centre 01/01/2014 275030110 The Friendly Home 01/01/2014 290930510 The Grand Pavilion for Rehab & Nursing at Rockville Centre 01/01/2014 512630310 The Hamptons Center for Rehabilitation and Nursing 01/01/2014 700139210 The Heritage Rehabilitation and Health Care Center 01/01/2014

Page 18: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

276330010 The Highlands Living Center 01/01/2014 275030610 The Highlands at Brighton 01/01/2014 275030810 The Hurlbut 01/01/2014 290230210 The Komanoff Center for Geriatric and Rehabilitative Medicine 01/01/2014 552230210 The Mountain View Nursing and Rehabilitation Centre 01/01/2014 572530310 The Orchard Nursing and Rehabilitation Centre 01/01/2014 046930010 The Pines Healthcare & Rehabilitation Centers Machias Ca 01/01/2014 040130310 The Pines Healthcare & Rehabilitation Centers Olean Camp 01/01/2014 192130310 The Pines at Catskill Center for Nursing & Rehabilitati 01/01/2014 560130710 The Pines at Glens Falls Center for Nursing & Rehabili 01/01/2014 130230810 The Pines at Poughkeepsie Center for Nursing & Reh 01/01/2014 320231510 The Pines at Utica Center for Nursing & Rehabilitation 01/01/2014 270135910 The Shore Winds LLC 01/01/2014 410231210 The Springs Nursing and Rehabilitation Centre 01/01/2014 560130610 The Stanton Nursing and Rehabilitation Centre 01/01/2014 352330110 The Valley View Center for Nursing Care and Rehab 01/01/2014 362030010 The Villages of Orleans Health & Rehabilitation Center 01/01/2014 590330910 The Wartburg Home 01/01/2014 700038610 Throgs Neck Extended Care Facility 01/01/2014 435030110 Tolstoy Foundation Nursing Home Co Inc 01/01/2014 295031810 Townhouse Center for Rehabilitation & Nursing 01/01/2014 156030110 Uihlein Living Center 01/01/2014 700339310 Union Plaza Care Center 01/01/2014 590430910 United Hebrew Geriatric Center 01/01/2014 270135830 Unity Living Center 01/01/2014 700033710 University Nursing Home 01/01/2014 212430110 Valley Health Services Inc 01/01/2014 082430310 Valley View Manor Nursing Home 01/01/2014 330131210 Van Duyn Home And Hospital 01/01/2014 410230710 Van Rensselaer Manor 01/01/2014 700432010 Verrazano Nursing Home 01/01/2014 033630110 Vestal Park Rehabilitation and Nursing Center 01/01/2014 590530510 Victoria Home 01/01/2014 700233510 Villagecare Rehabilitation and Nursing Center 01/01/2014 330132610 Vivian Teal Howard Residential Health Care Facility 01/01/2014 140133710 Waterfront Center for Rehabilitation and Healthcare 01/01/2014 514930310 Waters Edge at Port Jefferson for Rehabilitation and Nursing 01/01/2014 596030310 Waterview Hills Rehabilitation and Nursing Center 01/01/2014 700336710 Waterview Nursing Care Center 01/01/2014 700035010 Wayne Center For Nursing And Rehabilitation 01/01/2014 582330210 Wayne County Nursing Home 01/01/2014 582000030 Wayne Health Care 01/01/2014 272230110 Wedgewood Nursing Home 01/01/2014 170230010 Wells Nursing Home Inc 01/01/2014 022830510 Wellsville Manor Care Center 01/01/2014 270135210 Wesley Gardens Corporation 01/01/2014 450130110 Wesley Health Care Center Inc 01/01/2014 700340310 West Lawrence Care Center LLC 01/01/2014 590130610 West Ledge Rehabilitation and Nursing Center 01/01/2014 590331110 Westchester Center for Rehabilitation and Nursing 01/01/2014 595730310 Westchester Meadows 01/01/2014 180130510 Western New York State Veterans Home 01/01/2014 275330110 Westgate Nursing Home Inc 01/01/2014 515830110 Westhampton Care Center 01/01/2014 560130210 Westmount Health Facility 01/01/2014

Page 19: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

295230610 White Oaks Rehabilitation and Nursing Center 01/01/2014 590231510 White Plains Center For Nursing Care LLC 01/01/2014 105930110 Whittier Rehabilitation & Skilled Nursing Center 01/01/2014 280100130 Wilkinson Residential Health Care Facility 01/01/2014 700037910 Williamsbridge Manor Nursing Home 01/01/2014 142130610 Williamsville Suburban LLC 01/01/2014 036430110 Willow Point Nursing Home 01/01/2014 700335710 Windsor Park Nursing Home 01/01/2014 130130110 Wingate at Beacon 01/01/2014 132030110 Wingate of Dutchess 01/01/2014 555630110 Wingate of Ulster 01/01/2014 700333610 Woodcrest Rehabilitation & Residential Health Care Ctr LLC 01/01/2014 515131610 Woodhaven Nursing Home 01/01/2014 552230310 Woodland Pond at New Paltz 01/01/2014 295031510 Woodmere Rehabilitation And Health Care Center 01/01/2014 275030310 Woodside Manor Nursing Home Inc 01/01/2014 700030910 Workmens Circle Multicare Center 01/01/2014 602700030 Wyoming County Community Hospital Snf 01/01/2014

Page 20: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

28652/17 N 28652/20 N 28652/31 N 28652/32 N 28652/33 N 28652/34 N

Non Comparable

RateMedical

Directors Utilization

Review Lab Services

$ per Day

Electro Cardialoogy

$ Per Day

Electro Encephalogy

$ Per Day Radiology

29.8 0.93 1.57 0.42 0.01 0 0.0112.93 0.62 1.33 0 0 0 07.15 0 0 0 0 0 05.84 0.81 0 0 0 0 05.95 0 0 0 0 0 05.94 1.18 0 0 0 0 06.63 0.49 0 0 0 0 05.64 0.64 0 0 0 0 06.34 0.58 0 0 0 0 06.96 0.68 0 0 0 0 03.27 0 0 0 0 0 08.55 1.46 0 0 0 0 06.24 1.33 0 0 0 0 0

14.81 3.12 2.38 0 0 0 012.7 0.69 1.96 0.32 0 0 0.12

14.58 0.95 0 0.9 0 0 1.112.66 2.02 0 0.18 0 0 0.1210.31 0.14 3.14 0 0 0 08.43 0.65 0 0.38 0 0 0.17

20.14 1.95 0 0.64 0.03 0 0.7514.99 0.97 0 0.28 0 0 0.2316.48 1.45 7.22 0 -0.29 0 0.2915.84 0 0 1.26 0.01 0.03 0.4910.68 3.01 1.36 0 0 0 05.29 0.71 0 0 0 0 0

11.96 0 1.89 0.85 0.01 0 0.019.53 1.19 0 0.67 0.04 0 0.324.75 1.03 0 0.4 0 0 07.22 0.14 0 0 0 0 08.87 0.54 0 0.26 0 0 06.35 0.55 0 0 0 0 0

10.69 0.31 1.02 0.17 0 0 0.1213.73 0.29 3.41 0 0 0 09.46 1.3 0 0.47 0 0 0.498.62 1.34 0 0.44 0 0 0.22

10.18 2.01 0 0 0 0 05.52 0.49 0 0 0 0 06.88 0.45 0 0 0 0 0

11.27 0.95 1.33 0 0 0 0.049.36 0.59 0 0.42 0 0 0.35.29 0.51 0 0 0 0 03.74 0.48 0 0 -0.06 0 0.06

12.31 0 0 0 0 0 06.11 0.53 0 0 0 0 018.9 2.55 0 3.14 0.09 0 0.53

11.39 2.39 0 0.49 0 0 0.216.25 1.5 0 0 0 0 09.61 2.5 0 0 0 0 0

9 0.85 0 0 0 0 0

Page 21: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

8.64 0.67 0 0.28 0 0 0.269.87 0.76 0 0 0 0 0.19

10.76 0.73 0 0 0 0 09.9 0.87 1.8 0.57 0.02 0 1.79

9.75 1.14 0 0.18 0 0 0.468.01 0.42 0 0.14 0 0 0.169.45 0 0 0 0 0 07.71 0 0 0 0 0 08.15 0.68 0 0 0 0 0

38.07 5.32 5.02 1.28 0.07 0 1.054.41 0.88 2.62 0 0 0 07.37 1.06 0 0 0 0 06.95 1.87 0 0 0 0 0

22.43 0 3.45 3.86 0.16 0 0.648.67 1.73 0 0 0 0 06.73 0.3 0 0 0 0 0

27.58 3.74 0 2.39 0 0 0.9713.86 1.67 0 1.35 0.22 0 0.913.12 0.46 0 0 0 0 05.82 0 0 0 0 0 011.9 1.24 0 0.2 0 0 0.057.06 0.29 0 0.15 0 0 0.19.89 0.57 0 1.1 0 0 1.0219.4 3.91 0 0.18 0 0 0.22

8 0 0 0 0 0 09.32 4.06 0 0 0 0 0

10.54 1.58 0 0 0 0 06.07 0.66 0 0.4 0 0 0.36.74 0 0 0.27 0 0 0.1914.9 1.81 2.51 0.26 0 0 0.219.4 0.3 0.76 0 0 0 0

15.26 0.37 1.93 -0.28 0 0 0.0613.83 0 0.02 2.07 0.03 0 0.58.54 1.13 0 0 0 0 0

15.62 0 2.21 0.39 0.02 0 0.557.02 0.54 0 0 0 0 0

10.49 0 0 0 0 0 09.77 0 0 0 0 0 07.11 0.48 0 0 0 0 0

14.87 4 0 0 0 0 011.28 2 1.96 0 0 0 020.76 0 5.38 2.75 0.11 0 0.837.59 1.83 0 0.15 0 0 0.17

18.37 0.71 0 0 0 0 05.85 0.51 0 0 0 0 0

11.34 0.12 0 0.22 0 0 0.1311.64 0 0 0.94 0 0 09.24 0 0 0.21 0 0 0.095.67 0.94 0 0 0 0 09.43 1.49 0.74 0 0 0 0

11.67 0.27 0 0 0 0 07.51 0.33 0 0 0 0 0

25.67 0 0 2.02 0.07 0.01 0.334.96 0.79 0 0 0 0 013.3 1.83 0 1.01 0 0 1.24

Page 22: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

13.9 1.52 3.39 0.38 0 0 0.7613.65 2.65 0 0.7 0 0 0.5935.99 0 1.49 2.17 0.25 0.05 1.7650.64 0 0.52 1.37 0.06 0.06 1.278.28 1.14 0 0 0 0 0

15.56 0.4 0 2.29 0 0 0.5512.51 1.32 0 0.06 0 0 0.248.09 0.57 0 0 0 0 06.34 0.12 0 0 0 0 07.96 1.52 0 0 0 0 0

22.23 0.21 1.73 1.41 0.13 0 0.519.57 1.78 3.15 0 0 0 02.85 0.32 0 0.48 0 0 0

10.71 0 0 0 0 0 09.34 0.5 0.64 0.6 0 0 0.118.73 2.05 0 0.7 0 0 0.48

11.77 0.69 0 1.05 0 0 0.3714.08 0.46 4.86 0 0 0 014.96 0.38 1.99 0.17 0 0 0.2110.53 0.29 0.73 0.38 0 0 0.2615.92 0 1.66 1.44 0.02 0 0.297.22 0.45 0 0 0 0 0

12.89 4.14 0 0.89 0 0 0.813.63 0.76 1.62 0.49 0 0 0.1413.03 0.74 0 0 0 0 026.86 0 3.13 3.87 0 0 019.72 0.35 0 0 0 0 07.84 1.01 0 0 0 0 08.98 1.05 0 0.29 0.46 0 0.528.03 2.74 0 0 0 0 08.16 0.64 0 0.43 0 0 0

14.77 0.38 6.33 0 0 0 07.26 0.36 0 0 0 0 07.28 0.88 0 0 0 0 0

12.46 2.39 0 0 0 0 018.71 4.1 0 2.57 0 0 0.489.63 1 0 0.56 0 0 0.27

11.03 0 0 0 0 0 08.97 0.95 0 0.42 0 0 0

15.23 1.6 4.08 0.64 0.03 0 0.4510.95 1.27 0 0.32 0 0 0

8.4 0.54 0 0.36 0 0 0.4515.8 2.99 0 0 0 0 05.47 0.78 0 0 0 0 07.3 0.65 0 0 0 0 0

10.61 0.5 0 0 0 0 09.16 1.11 0 1.35 0 0 0.629.94 1.06 0 0.41 0 0 0.38.39 0.8 0 0.84 0 0 0.357.58 0.37 0 0.36 0 0 0.488.49 0.85 0 0.55 0 0 0.57

10.58 2.27 0 0.78 0 0 0.647.55 0.68 0 0.34 0 0 0.189.47 1.36 0 1.04 0 0 0.619.38 0.41 0 0.48 0 0 0.69

Page 23: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

10.59 0.39 2.72 0.4 0 0 0.2923.13 0 0 0.7 0.04 0.01 0.8910.16 2.86 0 0 0 0 0

7.8 0.56 0 0 0 0 015.11 4.86 0 0.57 0 0 0.38

5.3 0.83 0 0 0 0 08.54 0.85 0 0 0 0 0

12.13 1.42 0 0 0 0 07.62 0.39 0 0.47 0 0 0.335.1 0.42 0 0 0 0 0

9.83 1.14 0 0 0 0 09.37 0 0 0.18 0 0 0.17

6 0.55 0 0.64 0 0 0.136.56 1.06 0 0 0 0 07.91 0.88 0 0.56 0 0 0.318.58 0 0 0.14 0 0 0.096.62 0.16 0.28 0 0 0 07.44 0.19 2.32 0 0 0 0

10.36 0 0 0 0 0 012.35 1.68 2.14 0 0 0 0.777.79 0.54 0 0 0 0 06.14 0.32 0 0 0 0 06.66 0.65 0.14 0 0 0 07.8 0.88 0 0 0 0 0

5.64 0.56 0 0 0 0 014.79 0.79 2.78 0 0 0 012.9 0 0 0 0 0 06.29 0.34 0 0 0 0 0

13.14 0.63 0 0 0 0 010.76 1.53 0 0.77 0 0 0.839.42 0 0 0 0 0 04.19 0.77 2.81 0 0 0 06.92 0.53 0 0 0 0 0

11.02 1.51 0 0.73 0.05 0 0.2211.76 0.65 0 0.63 0 0 0.2810.03 3 0 0 0 0 07.97 1.49 0 0 0 0 08.6 2.11 0 0 0 0 0

10.04 1.88 0 -0.04 0 0 0.1710.15 0.61 0.29 0 0 0 07.98 0.73 0 0.24 0 0 0.238.26 0.97 0 0 0 0 08.95 0.24 0 0 0 0 0

21.13 1.96 0 0 0 0 07.43 0 0 0 0 0 08.64 0.3 0 0.45 0 0 0.48

11.27 1.53 3.2 0 0 0 06.8 1.53 0 0 0 0 0

6.45 0.48 0 0 0 0 06.52 0.53 0 0 0 0 0

12.12 2.12 0 1.58 0 0 0.2410.57 1.23 0 1.18 0 0 0.336.46 1.37 0 0.4 0 0 0.165.37 0.54 0 0 0 0 0.01

27.69 1.71 2.23 0.95 0.02 0 0.84

Page 24: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

4.47 0.39 0 0 0 0 026.19 0 0 0 0 0 06.83 1.1 0 0 0 0 08.1 0.93 0 0.11 0 0 0.08

10.52 2.01 0 0.47 0.02 0 0.1810.14 0.61 0 0 0 0 06.86 0.86 0 0 0 0 09.73 0.44 0 0 0 0 0

23.32 2.26 0 1.03 0 0 0.1411 0.89 0 0.52 0 0 0.55

75.84 6.33 1.38 10.69 0 0 1.8616.45 0 0 0 0 0 0

6.8 0.32 0 0.46 0 0 0.2213.75 0.56 0 0.71 0 0 0.3113.09 0.15 2.19 0 0 0 013.92 2.81 0 0 0 0 0.2210.1 0.15 1.28 0 0 0 1.25

17.68 0.14 1.59 0.48 0 0 0.268.34 1.76 0 0 0 0 07.34 1.05 0 0 0 0 05.9 1.09 0 0 0 0 06.9 0.61 0 0 0 0 0

13.09 1.06 1.34 0.58 0 0 0.3415 0 11.3 1.11 0 0 0

14.86 2.44 5.33 0 0 0 09.28 1.9 0 0 0 0 08.24 0.94 0 0 0 0 07.77 0.32 0 0 0 0 06.02 0.53 0 0 0 0 0.01

13.78 1.34 3.77 0 0 0 0.4413.26 4.15 0 0 0 0 05.12 0.25 0 0 0 0 07.36 0 0 0 0 0 07.96 0.06 0 0 0 0 0

13.65 1.9 0 0 0 0 06.41 0.67 1.01 0 0 0 0

11.46 0.56 0 1.6 0 0 0.886.9 0.9 0.43 0.17 0.01 0 0.04

4.88 0.49 0.81 0.66 0 0 0.1312.25 1.79 1.44 0 0 0 07.81 0 0 2.73 0 0 0.329.95 0.53 0 0.25 0 0 0.2625.6 1.57 3.44 0.57 0 0 3.14

21.51 2.35 0 2.09 0 0 1.524.56 1.67 2.95 1.34 0.01 0.01 1.237.39 1 0 0.08 0 0 0.07

10.38 0.63 1.43 0.4 0 0 0.246.56 0.42 0 0 0 0 0

21.47 0.05 0 0.14 0 0 0.2310.97 2.76 0 0.62 0 0 0.7

5.5 0 0.07 0.57 0.01 0 0.1115.57 8.52 0 0 0 0 023.4 1.65 0 0.71 0.11 0 0.39

29.58 2.26 0 3.04 0.05 0 0.6215.24 3.6 0 0.4 0.08 0 0.4

Page 25: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

10.1 0 0 0 0 0 06.82 0 0.48 0 0 0 0

11.24 2.94 1.2 0 0 0 015.95 0.55 1.09 0 0 0 08.05 1.18 0 0 0 0 0

11.29 0 0 0 0 0 012.25 2.6 0 0 0 0 09.91 0.61 0 0 0 0 0

10.12 1.03 2.15 0 0 0 06.65 0.31 0 0 0 0 09.31 0.86 0 0 0 0 0

26.35 0 4.39 4.75 0 0 0.379.24 0.04 0 0 0 0 07.14 0.26 0 0 0 0 0

10.83 0.08 0 0 0 0 0.228.78 0.36 0 1.69 0 0 0.345.26 0.41 0 0 0 0 05.29 0.41 0 0 0 0 05.74 0.35 0 0 0 0 06.46 0.9 0 0 0 0 07.02 0 1.15 0.96 0 0 0.138.36 0.65 0 0 0 0 0

11.67 1.47 2.78 0 0 0 09.05 2 0.44 0.17 0.04 0.03 0.08

12.94 1.69 0.45 1.11 0.27 0.07 1.287.83 0.63 0 0 0 0 0

10.39 0.89 0 0.55 0 0 0.089.32 0.38 0 0 0 0 024.2 4.5 0 0 0 0 0

11.38 0.29 0.09 0.55 0 0 0.1210.28 1.53 0 1.93 0 0 010.3 2.95 0 0.79 0 0 0.5

10.01 0.78 0 0.7 0 0 1.227.32 1 0 0 0 0 0

7 0 1.64 0.71 0.02 0 0.236.86 0.7 0 0 0 0 06.98 0.53 0 0 0 0 0

10.92 0.47 0 0 0 0 06.48 0.74 0 0 0 0 0

17.78 2.46 0 0.36 0 0 0.511.24 2.51 0 0 0 0 07.23 1.95 0 0 0 0 0

21.65 1.8 0.65 0.69 0 0 0.425.61 3.46 0 0 0 0 0.473.46 0.78 2.02 0 0 0 0

18.59 0 0.72 2.48 0.01 0 0.077.79 1.08 0 0 0 0 05.57 1.47 0 0 0 0 05.51 0.75 0 0 0 0 07.19 2.64 0 0 0 0 07.04 0.37 0 0 0 0 0

19.09 0 0 0.71 0 0 0.3424.74 2.84 0 0.88 0.64 0 07.25 0.38 0 0.51 0 0 0.5

18.51 0 0 2.22 0.03 0 0.48

Page 26: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

18.98 0 2.32 0.12 0 0 0.058.79 1.34 0 0 0 0 0

17.52 4.85 0 0.33 0.02 0 0.668.4 1.01 0.38 0.22 0 0 0.08

8.24 0.77 0 0.45 0 0 0.33.76 0.88 2.23 0 0 0 06.59 0 0 0 0 0 0

14.86 0.72 4.3 1.07 0.16 0 0.477 0.22 0 0 0 0 0

34.38 4.92 1.83 1.53 0.18 0 0.656.93 0.98 0 0 0 0 0

17.57 1.81 0 0.47 0.44 0 0.176.67 0.79 0 0 0 0 06.29 0.36 0 0.42 0 0 0.057.45 0.74 0 0.48 0 0 09.46 0.67 0.25 0.1 0.04 0 0.05

20.81 2.59 0 0 0 0 020.06 0 0 0 0 0 08.49 0.92 0 0.82 0 0 0.658.39 0.64 0.94 0.38 0.01 0 0.13

13.68 1.41 2.95 0 0 0 05.16 0.51 0 0 0 0 07.87 0.41 0 0 0 0 05.96 0.4 0 0 0 0 0

29.64 5.66 0 0.01 0.16 0 0.85.34 0.47 0 0 0 0 07.95 0.38 0 0 0 0 08.59 2.06 0 0 0 0 08.96 1.64 0 0.22 0 0 0.33

14.42 0 0 0 0 0 08.99 2.19 0 0 0 0 05.84 1.16 0 0 0 0 05.92 0.44 0 0.21 0 0 0.157.42 1.55 0 0 0 0 08.75 1.13 0 0.4 0.04 0 0.1822.6 2.96 3.75 1.48 0.04 0 0.85

15.56 1.94 0 0 0 0 026.64 1.86 0 0 0 0 015.67 0.73 0 0.4 0.2 0 06.13 0.52 0 0 0 0 05.95 0.59 0 0 0 0 09.92 0 0 0.9 0 0 0.9

11.32 0 0 0.76 0 0 0.446.47 1.82 0 0 0 0 0

17.64 1.41 0 0.59 0 0 0.511.12 0.64 0.48 0.8 0 0 0.1713.18 0.18 0 0.78 0 0 0.265.67 0.5 0 0 0 0 06.61 1.63 0 0 0 0 07.33 1.08 0 0.31 0 0 0.277.33 0.79 0 0 0 0 06.05 0.47 0 0.36 0 0 0.396.09 0.78 0 0.19 0.01 0 0.26

10.85 1.58 0.51 0.26 0 0 0.1617.57 0 0 1.16 0.02 0.01 0.19

Page 27: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

9.06 0.8 0 0 0 0 08.78 0.32 0 0 0 0 0

15.92 4.19 0 0 1.48 0 1.2517.02 0 1.91 0.26 0 0 0.0812.78 0.2 0 0.3 0 0 08.88 0.51 0 0 0 0 0

11.63 2.28 0.85 0 0 0 010.26 1.31 0 1.04 0 0 05.47 0.5 0 0 0 0 0

16.24 3.35 0 0.75 0 0 0.5611.21 0.38 0 0.61 0 0 023.66 1.47 0 2.95 0 0 1.0812.24 -0.2 0 0 0 0 08.43 1.3 0 0.65 0 0 0.348.2 0.75 1.15 0.2 0 0 0

6.68 0.36 0 0 0 0 021.68 1.57 0 9.01 0 0 09.07 0.38 0 0.1 0 0 0.233.2 0.73 0 2.7 0 0 0.75.41 0.57 0 0 0 0 0

28.92 1.45 6.78 0.16 0 0 0.5929.17 0 6.54 5.51 0.05 0 3.5312.16 1.59 0 0 0 0 05.44 0.35 0 0 0 0 07.02 1.7 0 0 0 0 0

17.94 4.08 0 1.8 0.02 0 1.674.42 0.39 0 0.49 0 0 0.017.57 0.43 0 0 0 0 09.79 2.47 0 0.12 0 0 0.236.46 1.22 0 0 0 0 08.27 0.76 0 0 0 0 05.71 0.71 0 0 0 0 06.36 0.82 0 0 0 0 08.7 0.85 0 0 0 0 0

1.21 0.59 0 0 0 0 09.53 1.92 0 0 0 0 04.88 0.46 0 0 0 0 0

11.55 0.8 0 0.43 0 0 0.269.46 0.94 0 0.21 0 0 0.1

15.29 0.27 0 0.16 0 0 0.0410.36 1.26 0 0.86 0 0 18.56 2.4 0 0 0 0 05.2 0.59 0 0 0 0 0

8.24 0.43 0 1.11 0 0 0.8316.69 4.48 0 0 0 0 09.62 0.63 0 0.8 0 0 0.839.86 0.38 0 0 0 0 07.82 0.72 0 0 0 0 0.167.06 0.57 0 0.22 0 0 0.276.87 0.37 0 0.38 0 0 06.63 0.67 0 0 0 0 0

22.43 0 0 2.8 0 0 1.138.48 0.52 0 1.98 0 0 0.646.84 0.09 0 0 0 0 08.92 1.26 0.36 0 0 0 0

Page 28: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

3.06 0.74 1.7 0 0 0 08.94 0.34 0 0 0 0 05.52 0.44 0 0 0 0 0

11.06 0.64 0 0 0 0 011.76 1.04 2.36 0.16 0 0 0.084.67 0.37 0 0 0 0 0

14.61 0 0 0 0 0 08.34 -0.12 0.19 0 0 0 02.36 0.41 0 0 0 0 06.91 0.4 0 0 0 0 08.3 1.16 1.31 0.28 0 0 0

15.78 0 2.53 1.22 0.04 0 0.9210.69 1.52 0 0.62 0 0 0.3112.31 2.1 0 0 0 0 09.28 0.45 0 0 0 0 0

12.33 0.71 0.91 0.16 0 0 0.236.29 0.53 0 0 0 0 0

25.19 1.09 0.08 0.01 0.01 0 0.810 0 0 0 0 0 0

10.64 1.29 0 0.29 0 0 0.4610.02 0.29 3.15 0 0 0 010.38 1.94 0 0.4 0.01 0 0.512.45 0 0 0 0 0 010.99 0.59 3 0 0 -0.07 05.91 0.48 0 0 0 0 08.7 0.97 0 0 0 0 0

19.52 0 0.89 2.2 0.06 0.03 0.524.55 0.77 0 0 0 0 0

15.47 2.14 2.19 0 0 0 016.3 3.03 0 0.86 0 0 1.758.88 0.45 0 0.47 0 0 0.586.24 0 0 0 0 0 08.55 1.6 0 0 0 0 0

44.23 2.22 1.22 1.73 0 0 1.626.43 0 0 1.68 0 0 0.43

14.48 1.09 0 0.97 0.44 0 0.799.42 1.47 0 0 0 0 08.75 0.53 0 0.41 0.03 0 0.1

12.92 0 0 1.47 0 0 0.059.64 2.36 0 0 0 0 0

24.99 2.1 0 0.68 0.51 0 2.848.88 0.22 2.14 -0.08 0 0 0.28.1 0.56 0 0 0 0 0

7.72 0.5 0 1.04 0 0 0.496.96 1.17 0 0 0 0 0

38.13 7.38 4.73 1.11 0.01 0 0.776.24 0.09 0 0 0 0 0

17.82 1.76 0 0 0 0 09.82 0.5 0 0 0 0 0

13.84 3.41 2.97 0 0 0 07.47 0 0.37 1 0 0 0.29

14.02 1.6 4.23 0 0 0 017.38 2.33 0 0 0 0 07.64 0.54 0 0 0 0 07.73 0.79 0 0 0 0 0

Page 29: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

9.21 2.65 0 0 0 0 014.62 0 0 0 0 0 013.22 0 0 0 0 0 021.18 3.11 0 1.3 0.03 0.01 3.3611.09 3.54 0 0 0.01 0 016.69 1.26 4.31 1.3 0 0 0.3123.41 0 0 4.66 0.06 0.01 0.9229.04 0.96 2.81 0 0 0 08.58 0.86 0 0 0 0 07.11 0.63 0 0.51 0 0 017.7 4.21 1.87 0 0 0 0

15.92 1.8 0 0 0 0 013.69 0 0 0 0 0 0

5.4 0.47 0 0 0 0 08.55 0 0 0.29 0 0 0.319.55 0.61 1.75 0 0 0 0

12.99 0 0.54 2.04 0.09 0 1.0516.79 0.18 0 2.52 0 0.01 0.7718.26 0 2.9 2.54 0.12 0.04 1.0113.03 1.62 1.19 0.32 0 0 0.2513.82 0.66 3.56 0 0 0 010.92 1.53 0 0 0.28 0 0.3310.36 0 0 0 0 0 05.92 0.43 0 0.56 0 0 0

12.16 0 1.76 0 0 0 07.77 1.28 0 0 0 0 0

13.81 4.34 0 1.19 0 0 0.199.45 2.16 0 0 0 0 01.47 0.43 0 0.09 0 0 0.23

28.78 0 2.86 1.69 0.07 0 0.5212.93 1.21 2.49 0 0 0 07.05 0.64 0 0 0 0 0.089.48 1.49 0 1.04 0 0 0.387.25 1.42 0 0 0 0 08.79 1.09 0.32 0.85 0 0 0.397.03 0.52 0 0 0 0 0

16.03 0.53 1.64 0 0 0 06.63 0 0.74 0.68 0 0 0.28

12.28 0.67 0 0 0 0 07.98 1.08 0 0.43 0 0 0.19

31.62 6.16 6.81 0.04 0 0 0.2310.86 0.32 0.57 0 0 0 0

9.3 2.24 0 0 0 0 027.11 0 2.16 3.93 0.12 0 1.837.43 0 0 0 0 0 0

12.54 1.13 0.43 0 0 0 013.13 0.14 0 0.22 0.01 0 0.077.63 1.64 0 0 0 0 08.18 0.33 0 0.2 0 0 0.138.98 0.5 1 0 0 0 0

14.52 0.82 4.14 0 0 0 012.19 1.51 0 0 0 0 07.42 0.93 1.19 0 0 0 014.5 1.71 0 1.12 0 0 0.918.9 0.5 0 0 0 0 0

Page 30: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

16.14 0.12 0 0 0 0 011.05 2.03 0 0 0 0 07.06 1.46 0 0 0 0 0

20.04 2.35 1.12 5.74 0.02 0.01 0.7610.22 1.1 1.21 0 0 0 010.79 1.16 0.96 0 0 0 014.56 0.9 0 0.19 0 0 0.1910.95 1.21 0 0.2 0 0 0.125.03 0.53 0 0 0 0 08.32 0.59 0 0 0 0 07.24 0.75 0 0 0 0 08.75 0.43 0 0 0 0 08.17 1.82 0 0 0 0 0

14.53 1.97 2.84 0 0 0 09.76 0.51 1.78 0 0 0 09.65 2.62 0 0 0 0 07.75 0.51 0 0 0 0 0

11.41 1.19 1.12 0.44 0 0 010.11 1.25 1.31 0 0 0 0

9.3 0.95 0 0.53 0 0 08.4 0.36 0 1.15 0.56 0 0

9.84 3.07 0 0 0 0 08.62 0.66 0 0.32 0 0 0.248.99 1.38 0 0.04 0 0 0.25

13.63 0.65 0.5 1.08 0 0 07.82 2.41 0 0 0 0 0

10.12 0.41 0.69 0.81 0 0 0.627.3 0.59 0 0.51 0 0 0.28

13.91 0.98 0.01 0.15 0 0 0.1114.91 0.69 0.71 0.13 0 0 0.125.18 0.42 0 0 0 0 08.02 0.75 0 0 0 0 09.97 1.04 0 0 0 0 0

21.44 3.98 0 0.56 0 0 0.487.1 2.15 0 0 0 0 0

10.09 0.21 0 0.64 0 0 0.4310.68 1.22 0.55 0.92 0 0 0.619.78 0.3 2.35 0 0 0 0

11.38 0.52 0 0 0 0 011.11 0.85 0 0.39 0 0 09.53 0.47 0 0.93 0 0 0.31

20.99 0 1.07 1.77 0.01 0 0.146.41 1.62 0 0 0 0 08.47 0.5 0 0.09 0 0 0.237.72 0.46 0 0.54 0 0 0.22

13.86 0.95 0 0.53 0 0 0.318.94 0.86 0.56 0.26 0 0 07.63 0.68 0 0 0 0 012.9 1.81 2.68 0 0 0 06.26 0.32 0 0 0 0 07.96 3.6 0 2.79 0 0 0.93

24.11 5.98 0 0 0 0 07.46 0.41 0 0 0 0 010.6 0.9 0 0 0 0 07.5 1.38 0 0 0 0 0

Page 31: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

5.94 0.33 0 0 0 0 08.66 2.99 0 0 0 0 0

33.16 2.9 2.5 0 0 0 012.22 0 1.5 0.48 0 0 0.187.97 1.81 0 0 0 0 08.72 0.37 0 0.99 0 0 0.385.64 0.67 0.16 0.28 0.01 0 0.167.08 0.95 0 0.58 0 0 0.0512.5 0.57 0 0 0 0 0

20.82 0.61 0 0 0 0 024.33 0.85 0 0 0 0 08.68 0.38 0 0 0 0 06.67 0.51 0 0 0 0 010.7 0 0 0 0 0 0

15.05 0.87 0 0 0 0 010.52 2.94 0 0 0 0 09.81 0.61 0 0 0 0 09.15 0.5 0 2.4 0.11 0 0.52

Page 32: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

28652/35 N 28652/36 N 28652/37 N 28652/38 N 28652/41 N 28652/44 N 28652/45 N

Inhalation Therapy Podiatry Dental Psychiatric Hearing

Medcial Staff Services

Other Ancilary

1.27 0 0.79 1.48 0 4.58 00 0 0.46 0.25 0 3.69 00 0 0 0 0 0 00 0 0.4 0 0 0.41 00 0 0 0 0 0 00 0 0.64 0 0 0.03 00 0 0.59 0 0.01 0.98 00 0 0.6 0 0 0.01 00 0 0.56 0 0 0.07 00 0 0.42 0 0 1.27 00 0 0 0 0 0 00 0 0.58 0 0 0.01 00 0 0.58 0 0.01 0 00 -0.02 0.91 -0.22 0.45 0 00 0 0.31 0.56 0.08 0 00 0 0.5 0 0 0 0

0.78 0 0.9 0 0.31 0.57 00 0 0 0 0 0 00 0 0.23 0.76 0 0 00 0.02 0.54 0.65 0 7.83 00 0 0.57 0 0 0 00 0 0.56 0 0 0 0

1.24 0 0 0 0 1.09 0.050.45 0 0.41 0 0 0 0

0 0 0.55 0 -0.03 0 00 0 0 0 0 0 0

0.34 0 0.35 0.08 0 0 00.12 0 0.56 0.01 0.21 0 0

0 0 0.05 0.21 0.02 0 00.05 0 0.31 0.02 0 0 0

0 0 0.11 0.42 0 0 00 0 0.44 0.08 0 3.08 00 0 0.43 0 0 0.47 00 0 0.38 0 0 0 00 0 0.43 0 0 0 00 0 0.7 0 0 0 00 0 0.6 0 0 0.04 00 0 0.53 1.12 0 0 00 0 0.78 0.01 0 1.87 0

0.14 0 0.49 0 -0.18 0 00 0 0.81 0 0 -0.1 00 0 0.45 0 0 2.13 00 0 0 0 0 0 00 0 0.57 0 0 0 00 0 0.85 0 0.12 0 00 0 0.73 0 0 0 00 0 0.72 0 0 0 00 0 1.04 0 0 0 00 0 0.63 0 0 0 0

Page 33: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0.17 0.17 0 0 00 0 0.46 0 0 0 00 0 0.66 0 0 0 0

0.07 0 0.62 0 0 0 00.08 0 0 0 0 0 0

0 0 0.36 0.24 0.07 0 00 0 0 0 0 0 00 0 0 0 0 0 00 0 0.5 0.29 0 0 0

1.84 0.16 0.51 0 0.16 12.07 0.290 0 0.39 0 0 0 0

0.2 0 0.45 0 0 0 00 0 0.29 0 0 0 -0.010 0 0.62 0 0 3.01 00 0 0.38 0 0 0 00 0 0.62 0 0 0 0

1.84 0 1.53 0 0.45 3.18 3.730.07 0 0.54 0 0 0 06.15 0 0.54 0 0 0 0

0 0 0 0 0 0 00 0 0.48 0 0 0 00 0 0.53 0 0 0 00 0 0.47 0 -0.28 0.61 0.840 0 0.51 0 0.27 6.43 00 0 0.62 0 0.05 0 00 0 0.45 0 0 0 00 0 0.5 0 0 0 00 0 0.49 0 0.02 0 00 0 0.32 0 0 1.52 00 0 0.45 0.99 0 0 00 0 0.37 0 0 0.06 0

0.17 0 0.2 0 0 0.15 03.69 0 0 0 0 0 0

0 0 0.45 0 0 0 00.75 0 0 0 0 0 0

0 0 0.22 0 0 0.4 00 0 0 0 0 0 00 0 0 0 0 0 00 0 0.7 0 0 0 00 0 0.36 0 0 0 00 0 0.3 0 0 0 0

3.17 0 0 0 0 2.33 00 0 0.54 0 0 0 00 0 -0.16 0.21 0.94 7.28 00 0 0.74 0.21 0 0 0

0.01 0 0.41 0 0.11 1.83 00 0 0 0 0 0 00 0 0 0 0 0 00 0 0.64 0 0 0 00 0 0.1 0 0 0 00 0 0.47 0 0 4.78 00 0 0.49 0 0.02 0 0

7.08 0 0 0 0 0 00 0 0.4 0 0 0 00 0 0.51 0 0 0 0

Page 34: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0.89 0 0 0 0.270.84 0 0.57 0 1.06 0 01.95 0 1.24 2.06 0 12.16 04.04 0 3.16 1.95 0 14.95 0

0 0 0.67 0 0 0 0.010 0 0 0 0 0 00 0 0.58 0 0 2.4 00 0 -1.05 0 0.01 1.93 00 0 0.21 0.2 0.04 0 00 0 0.59 0 0 0.15 0

1.86 0 0.46 0 0 0 00 0 0.78 0 0 0.03 00 0 0.04 0.17 -2.49 0 0

0.4 0 0.56 0 0.03 2.37 00.28 0 0.55 0.21 0.12 0 1.35

0 0 0.75 0 0 0 00.5 0 0.03 0 0 0 0

0 0 0.55 0 0 0 00 0 0.75 0 0 0 00 0 0.31 0 0 0.29 00 0 1.2 0 0 0.27 0

0.01 0 0.44 0 0 0.03 0.070 0 0.52 0 0.01 0 0

0.43 0 0.65 0.36 1.81 1.65 03.59 0 0.46 0 0 0 0

0 0 0.06 0.01 -0.47 8.91 0.6510.54 0 0.51 0 0.01 0.05 0

0 0 0.33 0 0.03 0.75 00.01 0 0.57 0 0.07 0 0

0 0 0.22 0 0 -0.11 00.05 0 0.2 0.02 0 0 0

0 0 0.42 0 0 0 00 0 0.34 0.07 0 0 0

0.68 0 0.6 0.01 0 0 00 0 1.02 0.24 0 0 00 0 1.24 0 0 0 00 0 0.62 0 0 0.68 00 0 0 0 0 0 00 0 0.27 0 0 2.05 0

0.37 0 0.48 0 0 0 00 0 0.68 0 0.84 0 00 0 0.52 0 0 0 00 0 0.66 0 0 0 00 0 0.5 0 0 0 00 0 0.72 0 0 0 0

0.41 0 0.12 0.26 0 4.4 00.1 0 -0.01 0 0 0 00.3 0 0.12 0.03 0 0 0

0.06 0 0.23 0.08 0 0 00.13 0 0.08 0.13 0 0 00.45 0 0.09 0.07 0 0 00.14 0 0.28 0.08 0 0 00.06 0 0.14 0.14 0 0 00.22 0 0.29 0.05 0.07 0.46 00.33 0 -0.08 0.45 0 0 0

Page 35: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0.76 0 0 0 00.01 0 0.06 0 0 5.21 0

0 0 0.48 0.24 0 0 00 0 0.67 0 0 0 00 0 0.48 0 0.01 0 0.040 0 0.79 0.01 0.1 0 00 0 0.77 0 0 0 00 0.07 0.43 0.19 0 4.39 00 0 0.43 0 0 0 00 0 0.67 0.17 0 0 00 0 0.39 0 0 0 00 0 0.26 0 0 0.54 00 0 0.39 0 0 0 00 0 0.59 0 0 0 00 0 0.57 0 0.2 0 00 0 0 0 0 0 00 0 0.56 0 0 0 00 0 0.52 0 0 0 00 0 0 0 0 0 0

0.35 0 0.47 0.12 0 0 00 0 0.52 0 0.01 0 00 0 0 0 0 0 -0.050 0 0.57 0 0 0 00 0 0.37 0 0 0 00 0 0.8 0 0 0 0

4.55 0.05 0.06 0 0 0 00 0 0 0 0 0 00 0.01 0.44 0 0.02 0.01 00 0 0.11 0 0 2.55 00 0 0.72 0 0.01 0 0

0.36 0 0.27 0 0 3.52 00 0 0.37 0 0 0 00 0 0.5 0 0 0 0

0.46 0 0.28 0.1 0 0 00 0 0.24 0.09 0 1.99 00 0 0.66 0 -0.97 0 00 0 0.41 0 0.06 0.01 00 0 0.58 0 0 0 00 0 0.14 0.18 0.09 0 00 0 0.53 0 0.01 0 00 0 0.61 0 0 0 00 0 0.55 0 0 0 00 0 0.61 0 0 0.64 00 0 0.41 0 0.89 0 00 0 0 0 0 0 00 0 0.72 0 -0.65 0.3 00 0 1.14 0 0 0 00 0 0.56 0 0 0.15 00 0 0.64 0 0 0 00 0 0.47 0 0 0.09 00 0 0.42 0 0.03 0 00 0 0.3 0 0.01 0 00 0 0.32 0 0 0 0

0.15 0 0.62 0 0.01 0 00 0 0.43 0.1 0.28 11.93 0.24

Page 36: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0.02 0.27 0 0.74 00 0 0 0 0 0 00 0 0.38 0 0 0 00 0 0.62 0 0 0.07 0

0.4 0 0.34 0.08 0 0 00 0 0.6 1.57 0 0 00 0 0.38 0 0 0 -0.41

0.28 0 0.37 0 0 0 00.46 0 0.46 0.02 0.36 8.67 0.75

0 0 0.52 0 0.02 0 00.06 0 0.03 0.39 0 0 0

0 0 0 0 0 0 00 0 0.42 0 0 0 00 0 0.28 0.13 0 0 00 0 0.42 0.16 0 3.68 00 0 0.51 0 0 0 00 0 0.45 0.16 0 2.61 00 0 0.43 0.47 0 2.69 00 0 0.65 0 0 0.06 00 0 0.38 0 0.47 0 00 0 0.49 0 0 0 00 0 0.41 0 0 0.53 00 0 0.71 0 0 0 0

0.35 0 0.44 0 0 0.26 00 0 0.59 0 0 0 0

0.57 0 0.22 0.31 0.14 2.49 00 0 0.55 0 0 0 00 0 0.44 0 0 0 00 0 0.3 0 0 0 00 0 0.53 0 0.35 0 00 0.18 0.91 0 0.05 0 00 0 -0.27 0.11 0 0 00 0 0 0 0 0 00 0 0.4 0.2 0 0.98 00 0 0.54 0 -0.07 0 00 0 0.58 0 -0.17 0 00 0 0.65 0 0 0 0

0.05 0 0.6 0 0 0 00.33 0 0.51 0 0 0 0

0 0 1.1 0 0 1.05 00.01 0 0.67 0 0 0 0.01

0 0 0.42 0 0 1.55 0.490 1.04 1.02 0.63 0 4.27 0.53

1.23 0 0.76 0 0.33 3.76 0.561.03 0 0.3 0 -0.03 3.39 0

0 0 0.52 0 0 0 00 0 0.62 0.02 0 0 0

0.74 0 0.54 0 0 1.05 00 0 0.12 0 0 0 00 0 1.13 0 0 0 00 0 0.23 0 0 0 0.010 0.01 0.41 1.06 0.07 0 0.620 0.12 0.42 1.01 0.09 10.98 00 0.05 0.48 1.29 0.31 10.99 00 0.08 0.56 0.04 0.21 2.33 0

Page 37: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0.58 0.29 0.49 -3.17 0.770 0 0 0 0 0 00 0 0.4 0 0 0.01 00 0 0.97 0.31 0.04 1.42 00 0 0 0 0 0.53 00 0 0 0 0 0 00 0 0.45 0 0.01 0 00 0 0 0 0 0 00 0 0.11 0.08 0.04 0.99 00 0 0.4 0 0 0 00 0 0.55 0 0 2.49 00 0 1.57 0 0.04 0 6.960 0.15 0.33 0.29 0 2.21 0.070 0 0.73 0 0 0 00 0 0.39 0.25 0.02 0 00 0 0.48 0 0 0 00 0 0.22 0.25 0 0.78 00 0 0.21 0.27 0 0.72 00 0 0.16 0 0 0.01 00 0 0.25 0 0 0.22 0

0.01 0 0 0 0 0 00 0 0.38 0 0 0 00 0 0.85 0 0 0 0

0.06 0 0.84 0 0 0 0.080.1 0 0.85 0 0 0 0

0 0 0.39 0 0.03 0 00 0 0.53 0 0 0 00 0 0.44 0 0.01 2.03 0

0.19 0 0.82 0 0.03 8.89 0-0.34 0 0.76 0.08 0 4.36 0

0 0 0.51 0 0.01 0 00 0 0.52 0 0.45 0 0

0.14 0 0.04 0.22 0 0 00 0 0.38 0 0 0 00 0 0 0 0 2.73 -0.010 0 0.51 0 0 0 00 0 0.38 0 0 0 00 0 0.47 0.31 0 3.25 00 0 0.59 0 0 0 00 0.03 0.21 0.78 0.22 2.68 00 0 0.45 0 0 0 00 0 0.44 0 0 0 00 0 0.48 0 -0.04 0.86 00 0.19 0.81 0 0.02 4.77 00 0 0.4 0 0 0 0

0.02 0 0 0 0 1.37 00 0 0.29 0 0.01 0 00 0 0.09 0 0 0 00 0.02 0.28 0 0 0 00 0 0.41 0.1 0 0.04 00 0 0.47 0 0 0 0

0.03 0 0 0 0 0.47 00 0 0.43 0 0 6.85 00 0 0.31 0 0 1.36 0

2.57 0 0 0 0 3.65 0

Page 38: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0 0 0 3.89 00 0 0.66 0 0 0 0

3.31 0 0.93 0 0.36 0 0.070 0 0.74 0 0 0.18 00 0 0.6 0 0 0.07 00 0 0.4 0 0 0 00 0 0.62 0 0 0.04 0

0.92 0 0.36 0 0 2.05 00 0 0.27 0 0 0 0

4.08 0 0 0 0.05 0 00 0 0.74 0 0 0.01 00 0 1.03 0 0 1.7 00 0 0.63 0 0 0.45 00 0 0.39 0 0 0 0

0.03 0 0.19 0 0 0 00 0 0.87 0 0 0 0

1.3 0 0.39 0 0.07 10.88 00 0 0 0 0 0 00 0 0.65 0 0 0 0

1.16 0 0 0 0 3 00.02 0 0.61 0 0 0 0

0 0 0.93 0 0 0 00 0 0.54 0 0 0 00 0 0.61 0 0 0 0

0.71 0 0 0 0 0 00 0 0.08 0.18 0 0 00 0 0.32 0 0 0.02 00 0 0.58 0 0 0.03 00 0 0.61 0 0 0 00 0 0 0 0 0 00 0 0.49 0.12 0 0 00 0 0.16 0 0 0 00 0 0.35 0 0 0 00 0 0.56 0 0 0 0

0.22 0 0.39 0.13 0 0.23 01.45 0 0.68 0 -6.92 7.86 0

0 0 0.67 0 0 0 07.97 0.21 0.49 1.72 0 6.34 00.65 0 0.66 0 0.28 0 0

0 0 0.51 0 0 0.12 00 0 0.56 0 0.01 0 00 0 0.68 0 0 0 00 0 0.54 0 0.01 0 00 0 0.2 0 0.13 0 00 0 0.6 0 0.01 0 00 0 0.82 0 0 0 0

0.52 0 0 0 0 2.99 00 0 0.53 0 0 0 00 0 0.97 0.03 0 0 00 0 0.32 0 0.18 0 00 0 0.85 0 0 0 00 0 0.57 0 0 0 00 0 0.59 0 0 0 0

0.05 0 0.65 0 0 0.59 04.26 0 0.53 0.49 0 5.27 0.04

Page 39: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0.45 0 0 0.34 00 0 0.62 0 0 0 0

1.07 0 0.45 0 0.04 0 00 0 0.6 0 0 4.35 00 0 0.2 0.5 0.46 0 00 0 0.44 0 0 1.84 0

1.53 0 0.42 0 0 0 00.47 0 0.29 0.32 0.02 0 0

0 0 0.36 0 0 0 00 0 0.33 0 0 0 1.030 0 0.77 0 0 0 0

0.45 0 0.56 0.01 1.64 5.46 0.675.39 0 0.26 0 0 0 00.1 0 0.54 0 0 0 0

0 0 0.55 0 0 0 00 0 0.48 0 0 0 00 0 0.23 0 0 5.97 0

1.42 0 0.38 0.32 0.03 1.32 00.06 0.42 1.11 0.08 0.04 13.25 0.31

0 0 0.49 0 0 0 00 0 1.07 2.01 0.02 7.81 0

0.01 0 0 0 0 0 00 0 1.01 0 0 0 0

0.01 0 0.51 0 0 0 00 0.01 0.44 0.44 0 0 00 0 0 0 0.95 0 0.010 0 0.3 0 0 0 00 0 0.35 0 0 0 00 0.04 0.69 0.09 0 0 0

0.01 0 0.99 0 0 0 00 0 0.54 0 0.44 0 00 0 0.71 0 0 0 0

0.02 0 0.43 0.05 0 0 00 0 0.65 0 0 0 00 0 0.43 0 0 0.01 0

0.14 0 0.44 0 0.05 0 0.030 0 0.5 0 0 0 00 0 0.67 0 0 0 0.20 0 0.56 0 0 0 00 0 0.53 0 0.02 0 00 0 0.36 0 0.06 0 00 0 0.47 0 0.03 0 00 0 0.34 0 0.1 0 00 0 0.42 0 0 0 00 0 0.46 0 0 0 00 0 0.49 0 0 0 00 0 0.31 0 0.03 2.72 00 0 0.5 0 0.57 0 00 0 0.18 0 0 0 00 0 0.63 0 0 0 00 0 0.4 0 0 0 0

0.01 0 0.64 0 0.02 10.76 00 0 0.37 0 0.11 0 0

0.99 0 0.55 0 0 0 00 0 0.58 0 0 0 0

Page 40: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0.46 0 0 0 00 0 0.57 0 0 0 00 0 0.5 0 0 0 00 0 0.46 0.06 0 0 00 0 0.76 0.75 0 0 00 0.03 1.09 0 0 0 00 0 0 0 0 0 00 0 0.5 0 0 0 00 0 0.47 0 0 0 00 0 0.46 0 0 0.15 00 0 0.34 0 0.01 0 0

0.03 0 0 0 0 0.44 00 0 0.54 0 0 0 00 0 0.91 0 0 0 00 0 0.51 0 0 2.2 0

0.59 0 0.6 0.47 0.75 0 00.04 0 0.65 0 0 0 04.27 0 0.82 0 0 4.88 0.01

0 0 0 0 0 0 00 0 0.59 0 0.03 0 0

0.71 0 0.68 0 0 0 00 0 0.28 0 0 0 00 0 0 0 0 0 00 0 0.56 0 0 0 0

0.64 0 0.51 0.08 0 0.04 00 0 0 0 -0.01 0 0

5.68 0 0 0 0 0 00 0 0.48 0 0 0 0

0.31 0 0.4 0 0.17 0.43 00.98 0 0.38 0 0 0 0

0 0 0.6 0 0 1.02 00 0 1.03 0 0 0 00 0 0.63 0 0.06 0 0

3.25 0 0.14 0 0 7.4 02.14 0 0 0 0 0 0

0 0 1.39 0 0 0 00.4 0 0.38 0 0.01 0.09 0

0.38 0 0.41 0.07 0 0 00 0 0.62 0.05 0 1.96 00 0 0.17 0.05 0.01 1.92 00 0 0.36 0 0 10.65 00 0 0.32 0.6 0 0 00 0 0.53 0 0.02 0 00 0 0.54 0 0.25 0 0

0.55 0 0.41 0.01 0 0 00.46 0.1 0.52 0 0.08 12.75 0.27

0 0 0.29 0 0.01 0.02 00 0 0.99 0 0.15 4.38 2.52

0.75 0 0.56 0 0 0 00 0 0.67 0 0 0 00 0 0 0 0 1.82 00 0 0.62 0 0 0 0

8.99 0 0.77 0 0 0.35 00 0 0.57 0 0 0 00 0 0.61 0 0.02 0 0

Page 41: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0.09 0.55 0 0 0.75 00 0 0.4 0 0 8.28 00 0 0.57 0 0.22 6.18 0

1.15 0 1.83 0 -0.01 0 00 0 0.48 0 0 0 0

0.76 0 0.59 0.02 0.39 2.96 05.41 0 0 0 0 0 06.9 0 0 0 0.01 0 0

0 0 0.34 0 0.02 0 00 0 0.62 0 0 0 00 0 0.57 0 0 2.62 00 0 0.55 0 0 7.01 00 0 0 0 0 0 00 0 0.12 0 0 0 00 0 0.09 0 0 0.44 00 0 0.61 0 0 0 00 0 0 0 0 3 0.06

3.07 0 0 0 0 0 0.191.46 0 0 0 0 1.75 0

0 0 0.62 0 0 2.14 00 0 0.1 0 0 2.9 00 0 0.3 0 0.03 0 00 0 0.45 0 0 1.25 00 0 0.73 0 0 0 00 0 0.38 0 0 0.94 00 0 0.49 0 0 0 00 0 0.49 0 0 0 00 0 0.3 0 0 0.05 00 0 0.41 0 0 0 00 0 0.54 0 0.17 4.04 00 0 0.47 0 0 0 00 0 0.73 0 0 0 00 0 0.76 0 0 0 00 0 0.14 0 0 0 00 0 0.87 0 0 0 00 0 0.53 0 0 0.03 00 0 0.56 0 0 3.99 0.010 0 0.18 0 0 0 00 0 1.15 0 0 0 00 0 0.46 0 0 0 0.64

0.18 0 1.6 0 0 3.45 2.320 0 0.47 0 0 1.37 00 0.14 0 0.58 0 0 0

2.3 0 0 0 0 0.23 00 0 0 0 0 0 00 0 0.47 0 0.02 3.79 00 0.19 0.59 0.56 0 3.58 00 0 0.95 0 0 0 00 0.01 0.37 0 0 0 00 0 0.55 0 0 0.8 00 0 1.1 0 0 0.65 00 0 0.37 0.33 0 4.12 0.090 0 0.55 0 0 0 00 0 0.81 0 0 0 00 0 0.6 0 0 0 0

Page 42: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0.51 0.44 0.13 10 00 0 0.39 0.34 0.04 2.29 00 0 0.34 0.26 0 0 0.01

0.03 0 0.41 0 2.08 0 0.010 0.01 1.14 0 0 0.65 00 0 1.04 0 -0.07 1.15 0

0.33 0.09 0.54 0 0 0 00.53 0.09 0.52 0 0 0 0

0 0 0.61 0 0 0 00 0 -0.02 0.01 0.23 0 00 0 0.55 0 0.25 0 00 0 0.59 0.15 0 0.55 00 0 0.35 0.12 0.04 0 0.020 0 1.11 0 0 3.31 00 0 0.84 0 0 0.78 00 0 0.45 0 0 0 00 0 0.7 0 0 0.07 0

0.25 0 0.61 0 0 0 00 0 0.69 0 0.15 0 00 0 0.51 0 0 0 00 0 0.62 0 0 0 00 0 0 0 0.05 0 00 0 0.5 0 0.02 0.01 0.010 0 0.21 0 0.02 0 00 0 0.94 0 0 2.8 00 0 0.34 0 0 0 0

0.41 0 0.3 0 0 0.57 00 0 0.78 0.32 0.06 0 0

0.01 0.05 0.35 0 0 1.96 2.390.24 0.12 0.32 0.02 0 3.77 0

0 0 0.58 0 0 0 00 0 0.63 0 0 0 00 0 1.21 0 0 0 00 0 0.6 0.51 -0.08 6.18 00 0 0 0 0 0 00 0 0.72 0 0 0 00 0 0.58 0 0 0 0

0.71 0 0.69 0 0 0 00 0 0.6 0 0.01 3.5 0

2.03 0 0.23 0.01 0 0 00 0.07 0.43 0.06 0.19 0 0

0.67 0 0 0 0 0.01 00 0.01 0.15 0.18 0 0 00 0.03 0.58 0.19 0 0 00 0 0.41 0 0.16 0 00 0 0.43 0 0.56 5.47 00 0 0.39 0.15 0 0 00 0 0.64 0.21 0 0 00 0 1.25 0 0.02 0 00 0 0.3 0 0 0 00 0 0.22 0 0 0 0

1.68 0 0.4 0 0 8.11 00 0 0.14 0.19 0 0 00 0 0.57 0 0 0 00 0 0 0 -0.22 0 0

Page 43: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0.5 0 0 0 00 0 0.63 0 0 0 0

16.34 0 0.76 0 0 0 00.42 0 0 0 0 0 0

0 0 0.35 0 0 0 00 0 0.22 0 0.34 0 00 0 0.47 0 0 0 0.010 0 0.91 0 0 0 0

3.95 0 0.66 0 1.67 0 011.26 0 0.63 0 1.06 0 014.64 0 0.83 0 1.1 0 0

0 0 0.61 0 0 0 00 0 0.6 0 0 0 00 0 0 0 0 0 0

8.75 0 0.45 0 0.02 0 00.02 0.01 0.04 0.71 0 0 0

0 0 0.34 0 0 0 00 0 0 0 0 0 0.01

Page 44: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

28652/46 N 28652/48 N 28652/49 N 28652/105 N 28652/106 N 28652/242 N 28660/3 N

Other Ancilary

Other Ancilary

Other Ancilary

Admin Non Comp

Allocation

Utilities Non Comp

AllocationRX Admin Allocation

Total Non Comp Cost

0 0 6.46 0.01 11.45 0.82 58530000 0 0 0 6 0.58 6189490 0 0 0 0 0 00 0 0 0 4.03 0.18 6184800 0 0 0 0 0 00 0 0 0 3.92 0.17 805720 0 0 0 4.39 0.16 3546640 0 0 0 4.09 0.3 1561030 0 0 0 5.02 0.1 2176360 0 0 0 4.42 0.17 4887950 0 0 0 0 0 00 0 0 0 6.21 0.29 3501820 0 0 0 4.17 0.14 2570890 0 0 0 7.82 0.38 7425980 0 0 0 7.57 1.09 3690340 0 0 0 10.92 0.2 14053450 0 0 0 6.9 0.6 1247902

6.92 0 0 0.16 -0.3 0.25 2767150 0 0 0 5.99 0.25 2322450 0 0 0 7.31 0.43 29639380 0 0 0 11.97 0.97 9973380 0 0 0 6.89 0.36 1117022

0.84 0.1 0.06 0.28 8.84 0.51 2299430 0 0 0 5.2 0.26 14599790 0 0 0 3.66 0.4 171151

0.39 0.01 0 0.12 8.66 0 5585850 0 0 0 4.59 1.95 6330990 0 0 0 2.08 0.35 5034910 0 0 0 5.6 1.2 965420 0 0 0 7.53 0.16 5887650 0 0 0 5.24 0.03 626660 0 0 0 5.27 0.19 9885320 0 0 0 8.9 0.24 11044810 0 0 0 5.62 1.2 2027300 0 0 0 6.12 0.06 14252100 0 0 0 6.94 0.53 2006780 0 0 0 4.29 0.09 3404670 0 0 0 4.68 0.1 4415980 0 0 0 5.77 0.53 4735710 0 0 0 7.4 0.2 8990400 0 0 0 3.31 0.75 1864210 0 0 0 0 0.69 3115010 0 0 0 0 0 00 0 0 0 4.92 0.08 3775040 0 0 0 11.1 0.52 30142500 0 0 0 7.28 0.28 4016700 0 0 0 3.76 0.27 2639530 0 0 0 5.78 0.28 2489920 0 0 0 6.46 1.07 621689

Page 45: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0 0 6.09 1 3731730 0 0 0 5.01 3.45 3892080 0 0 0 9.18 0.18 4423280 0 0 0 3.81 0.35 5587110 0 0 0 7.7 0.19 8222400 0 0 0 4.07 2.54 2269810 0 0 0 0 0 00 0 0 0 0 0 00 0 0 0 5.51 1.17 370871

0.1 0 0 0 9.6 0.52 62600820 0 0 0 0 0.52 2964830 0 0 0 5.44 0.22 8365900 0 0 0 4.46 0.33 1973630 0 0.03 0 7.75 2.9 25671800 0 0 0 6.44 0.11 6250770 0 0 0 5.74 0.06 5308420 0 0 0 7.33 2.43 11936500 0 0 0 6.14 2.97 8068130 0 0 0 5.9 0.08 13831050 0 0 0 0 0 00 0 0 0 8.7 1.23 4943830 0 0 0 5.8 0.19 3400380 0 0 0 4.95 0.61 8389870 0 0 0 6.52 1.37 16638130 0 0 0 6.92 0.41 2814700 0 0 0 4.54 0.27 8036960 0 0 0 7.78 0.68 5839860 0 0 0 3.93 0.27 2747410 0 0 0 3.19 1.25 1164300 0 0 0 8.05 0.61 6245120 0 0 0 7.58 0.33 10341130 0 0 0 11.43 1.23 16312480 0 0 0 7.33 0.15 1469260 0 0 0 6.73 0.24 3631920 0.08 0.09 0 11.52 0.01 3552830 0 0 0 5.85 0 2010930 0 0 0 0 0 00 0 0 0 0 0 00 0 0 0 5.4 0.52 3823180 0 0 0 9.93 0.58 16856110 0 0 0 6.68 0.33 7485540 0.24 0.44 0 3.11 1.58 5450900 0 0 0 4.81 0.09 592348

1.9 0 0 0 7.48 0.02 10439380 0 0 0 4.38 0 1696900 0 0 0 7.75 0.77 8785690 0 0 0 4.79 5.9 8306210 0 0 0.23 8.61 0.09 2549320 0 0 0 3.53 0.56 1560870 0 0 0 6.67 0.43 2571730 0 0 0 5.54 0.62 714114

0.2 0 0 0 6.4 0.07 4755950.24 0.31 0 0 12.08 3.51 933780

0 0 0 0 2.9 0.87 1435170 0 0 0 8.56 0.14 2702974

Page 46: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0 0 5.69 1.01 23738720 0 0 0 5.73 1.51 3142020

0.79 0.29 6.17 0.22 4.35 1.04 103226391.09 0.47 7.46 0.19 12.5 1.54 10487776

0 0 0 0 4.49 1.97 2175450 0.08 6.01 0 6 0.21 2203470 0 0 0 6.03 1.89 5538110 0 0 0 6.24 0.38 6342260 0 0 0 4.54 1.23 1005180 0 0 0 4.63 1.07 3379570 0 0 0.49 13.37 2.04 6265320 0 0 0 2.5 1.33 4030040 0 0 0 4.07 0.26 769860 0 0 0 7.08 0.26 4628240 0 0 0 4.59 0.39 6138650 0 0 0 4.38 0.37 5677400 0 0 0 7.65 1.48 2452760 0 0 0 6.48 1.73 6658380 0 0 0 11.03 0.44 22239140 0 0 0 8.05 0.22 8016420 0 0 0 9.6 1.74 4531000 0 0 0 4.54 1.69 4826340 0 0 0 5.4 1.13 21956190 0 0 0 5.31 0.42 5374850 0 0 0 7.3 0.93 877553

0.06 0 0 0 10.54 0.09 29052420 0 0 0 7.94 0.33 19545700 0 0 0 5.19 0.54 9890390 0 0 0 5.25 0.76 5338110 0 0 0 4.67 0.52 3471770 0 0 0 6.62 0.2 5747800 0 0 0 5.78 1.86 15482980 0 0 0 5.68 0.82 1907140 0 0 0 4.18 0.94 4659910 0 0 0 7.62 1.19 3766580 0 0 0 8.98 1.33 3502730 0 0 0 5.73 0.78 4151290 0 0 0 0 0 00 0 0 0 5.03 0.25 3909850 0 0 0 7.17 0.41 20875940 0 0 0 6.78 1.07 4721520 0 0 0 6.17 0.36 4787580 0 0 0 11.4 0.76 6740510 0 0 0 3.39 0.79 3678020 0 0 0 5.09 0.84 1529230 0 0 0 4.11 0.81 11561610 0 0 0 4.15 1.83 5189910 0 0 0 6.27 1.46 5617200 0 0 0 4.39 1.64 4924640 0 0 0 4.67 1.35 2536710 0 0 0 4.51 1.41 4808930 0 0 0 4.9 1.49 7457380 0 0 0 5.3 0.72 2405570 0 0 0 4.34 1.03 6694160 0 0 0 5.76 1.35 299620

Page 47: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0 0 5.05 0.98 4450820.09 0.77 0 0.17 11.4 3.74 669052

0 0 0 0 4.77 1.81 1583450 0 0 0 6.09 0.48 6626910 0 0 0 8.29 0.49 13101480 0 0 0 3.17 0.41 1649040 0 0 0 5.24 1.69 3696110 0 0 0 5.54 0.09 8377850 0 0 0 5.91 0.09 5419360 0 0 0 3.74 0.1 1762950 0 0 0 6.07 2.24 5236270 0 0 0 7.85 0.38 10997160 0 0 0 3.91 0.38 1616430 0 0 0 3.91 1.01 4548900 0 0 0 5.22 0.18 5208180 0 0 0 8.35 0 2437010 0 0 0 5.54 0.06 6049210 0 0 0 4.32 0.09 5832470 0 0 0 0 0 00 0 0 0 6.65 0.18 6980760 0 0 0 6.44 0.28 2609220 0 0 0 6.07 -0.2 3466400 0 0 0 4.07 1.22 4656690 0 0 0 6.24 0.31 5566990 0 0 0 3.89 0.39 240243

1.16 0 0 0 5 0.4 14318480 0 0 0 0 0 00 0 0 0 5.25 0.23 6968010 0 0 0 9.11 0.75 3746520 0 0 0 5.92 0.98 5938950 0 0 0 5.15 0.11 5667710 0 0 0 0 0.24 4110180 0 0 0 5.66 0.23 3501460 0 0 0 5.43 2.24 7316180 0 0 0 5.57 2.3 6574370 0 0 0 5.85 1.5 1415400 0 0 0 5.49 0.51 4032280 0 0 0 5.61 0.3 5422620 0 0 0 6.01 1.6 9636510 0 0 0 7.29 1.43 8739750 0 0 0 5.9 0.26 4750920 0 0 0 6.54 0.19 6834180 0 0 0 6.2 1.26 8985910 0 0 0 5.68 12.19 6944530 0 0 0 0 0 00 0 0 0 6.26 0.77 2498580 0 0 0 5.18 0.21 6151390 0 0 0 4.45 0.11 4949250 0 0 0 4.91 0.41 5367080 0 0 0 5.3 0.13 6439440 0 0 0 7.55 0.17 8574680 0 0 0 6.84 0.69 5788080 0 0 0 3.19 1.02 1763410 0 0 0 3.75 0.29 240638

0.12 0 0 0 6.95 1.88 4357889

Page 48: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0 0 2.48 0.57 6186026.19 0 0 0 0 0 533033-0.06 0 0 0 4.76 0.64 221104

0 0 0 0 5.94 0.35 2679350 0 0 0 4.98 2.03 7173160 0 0 0 6.65 0.71 866989

0.4 0 0 0 4.8 0.83 2868010 0 0 0 8.31 0.33 7988630 0 0 0 8.97 0.21 48742330 0 0 0 7.65 0.85 695620

23.02 0 5.3 0.27 19.94 5.23 6245320 0 0 0 0 0 00 0 0 0 5.07 0.3 5758310 0 0 0 11.49 0.28 4114730 0 0 0 5.57 0.92 6863460 0 0 0 9.83 0.54 10061810 0 0 0 3.43 0.78 5299220 0 0 0 5.82 5.79 7265440 0 0 0 5.37 0.5 5582030 0 0 0 5.12 0.33 8263160 0 0 0 4.12 0.2 2715330 0 0 0 3.7 1.65 1925970 0 0 0 8.5 0.57 4541910 0.02 0 0 0.47 1.05 11771180 0 0 0 5.74 0.76 3913190 0 0 0 3.35 0.29 11393130 0 0 0 6.22 0.53 11536130 0 0 0 6.7 0.3 2167040 0 0 0 5.03 0.15 6205380 0 0 0 6.85 0.49 14205360 0 0 0 6.65 1.32 4764580 0 0 0 4.92 0.11 5074240 0 0 0 0 0 00 0 0 0 5.36 0.96 5587760 0 0 0 10.29 0.98 7510510 0 0 0 4.06 0.25 4604410 0 0 0 7.08 0.68 12964270 0 0 0 4.35 0.33 3961060 0 0 0 1.72 0.23 2547750 0 0 0 6.75 0.11 508445

0.02 0 0 0 2.25 1.81 3134240 0 0 0 6.28 0.18 5728670 0 0 0 7.82 1.57 62680140 0 0 0 7.84 1.09 9004170 0 0 0 7.46 5.18 17853510 0 0 0 5.17 0.55 2142490 0 0 0 6.2 0.84 4439320 0 0 0 2.49 1.31 10188810 0 0 0 19.41 1.51 2310940 0 0 0 5.42 0.34 2329270 0 0 0 4.28 0.2 155282

0.09 0 0 0 4.06 0.75 19642350 0 0 0 7.28 0.64 68276440 0 0 0 9.6 0.89 55054090 0 0 0 6.65 0.88 1651882

Page 49: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0 0 10.65 0.48 4597900 0 0 0 5.73 0.6 2850250 0 0 0 5.9 0.79 20945800 0 0 0 11.57 0 6285830 0 0 0 6.34 0 981380 0 0 0 0 0 00 0 0 0 8.95 0.24 8199650 0 0 0 8.91 0.39 390645

0.44 0 0 0 5.13 0.16 25755360 0 0 0 5.49 0.46 8750520 0 0 0 5.4 0.02 5279210 0 0 0 8.01 0.26 3628730 0 0 0 5.65 0.5 4654920 0 0 0 5.11 1.04 5908800 0 0 0 8.25 1.62 4523210 0 0 0 5.42 0.5 3462800 0 0 0 2.87 0.72 737610 0 0 0 3.32 0.37 736740 0 0 0 5.13 0.09 3963230 0 0 0 4.16 0.94 3037050 0 0 0 4.48 0.27 3859540 0 0 0 7.12 0.21 7689010 0 0 0 5.36 1.21 4942490 0 0 0 4.95 0.36 255922

0.08 0 0 0 5.87 1.16 4378890 0 0 0 6.32 0.46 7500900 0 0 0 8.07 0.28 4096230 0 0 0 6.08 0.38 5814270 0 0 0 5.76 4.01 30757530 0 0 0 5.32 0.13 22925470 0 0 0 5.67 0.64 8695680 0 0 0 4.08 1.01 5822170 0 0 0 5.86 1.06 8276280 0 0 0 5.42 0.51 2436930 0 0 0.14 0.89 0.65 4621560 0 0 0 5.45 0.2 4720750 0 0 0 5.95 0.12 3984580 0 0 0 5.33 1.1 2859230 0 0 0 4.95 0.2 6278520 0 0 0 8.11 2.43 12522360 0 0 0 7.33 0.94 7611260 0 0 0 4.26 0.57 2424180 0 0 0 15.59 1.23 27987410 0 0 0 15.43 0.46 29112400 0 0 0 0 0.26 2288040 0 0 0 11.01 2.91 7645600 0 0 0 3.31 3.11 4377840 0 0 0 3.62 0.38 2791200 0 0 0 4.23 0.23 5174300 0 0 0 3.3 0.7 5324060 0 0 0 5.99 0.2 7447720 0 5.23 0 11.96 0.35 2038240 0 0 0 12.21 0.9 28164790 0 0 0 4.05 0.14 7077100 0.1 0.01 0.1 7.6 0.59 497073

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0 0 0 0.19 12.05 0.36 4077030 0 0 0 6.6 0.19 3653260 0 0 0 5.81 1.17 6728910 0 0 0 5.32 0.46 2529170 0 0 0 5.76 0.29 6770650 0 0 0 0 0.25 2472120 0 0 0 5.09 0.85 5760310 0 0 0 4.8 0.02 6184570 0 0 0 5.63 0.89 3823990 0 0 0.45 15.13 1.25 68727040 0 0 0 4.65 0.55 2290490 0 0 0 10.36 1.58 23801120 0 0 0 4.04 0.76 2638740 0 0 0 4.88 0.19 4084260 0 0 0 5.74 0.27 3059270 0 0 0 7.27 0.21 2723910 0 0 0 5.27 0.3 18239240 0 0 0 0 0 00 0 0 0 5.19 0.25 8287590 0.01 0 0.12 1.25 0.76 2553230 0 0 0 6.61 2.08 11347660 0 0 0 3.57 0.15 2560930 0 0 0 6.8 0.12 1605200 0 0 0 4.81 0.15 1278750 0 0 0 11.9 10.39 22061670 0 0 0 4.43 0.18 3486160 0 0 0 7.03 0.21 8329600 0 0 0 5.55 0.37 8529880 0 0 0 5.89 0.27 6446810 0 0 0 0 0 00 0 0 0 4.96 1.23 1891130 0 0 0 4.39 0.13 3354730 0 0 0 4.5 0.27 3598450 0 0 0 4.99 0.32 3935220 0 0 0 4.26 1.79 6333930 0 0 0 9.21 1.25 15344110 0 0 0 8.75 4.2 6264030 0 0 0 6.92 1.14 15272280 0 0 0 9.73 3.01 5558470 0 0 0 4.86 0.11 7020980 0 0 0 4.8 0 4122690 0 0 0 6 1.44 3909270 0 0 0 8.18 1.38 6856470 0 0 0 4.2 0.13 849520 0 0 0 14.24 0.29 8411330 0 0 0 7.18 1.03 3140540 0 0 0 8.26 0.19 1895380 0 0 0 4.62 0.01 2979860 0 0 0 3.91 0.07 1390530 0 0 0 4.93 0.23 3973570 0 0 0 5.48 0.21 3117690 0 0 0 4.11 0.14 2157310 0 0 0 4.05 0.21 2161340 0 0 0 6.76 0.28 4571080 0 0 0 4.57 1.03 923364

Page 51: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0 0 6.73 0.74 3143920 0 0 0 7.01 0.83 4617380 0 0 0 6.93 0.51 6763760 0 0 0 9.74 0.09 10673120 0 0 0 11.04 0.09 1673350 0 0 0 5.63 0.46 5045230 0 0 0 5.76 0.79 18664710 0 0 0 6.41 0.4 9243240 0 0 0 3.62 0.98 4252670 0 0 0 9.12 1.09 24641260 0 0 0 4.5 4.94 2625630 0 0 0 8.81 0.55 24372510 0 0 0 6.37 0.43 9550160 0 0 0 5.66 -0.15 7230100 0 0 0 5.49 0.07 5928190 0 0 0 5.73 0.1 4434760 0 0 0 4.15 0.76 9184980 0 0 0 4.76 0.16 589452

0.17 0 0 0 10.88 2.61 62737810 0 0 0 3.93 0.41 3206380 0 0 0 7.96 1.07 3800160 0 0 0 12.37 1.04 5749540 0 0 0 8.62 0.93 1861080 0 0 0 4.34 0.22 3834480 0 0 0 3.16 1.26 1159710 0 0 0 8.88 0.54 11785390 0 0 0 2.64 0.58 726860 0 0 0 5.46 1.34 4716920 0 0 0 5.6 0.56 3860500 0 0 0 4.15 0.09 4241340 0 0 0 6.47 0.06 3585620 0 0 0 4.1 0.19 1613160 0 0 0 4.67 0.36 3446170 0 0 0 6.48 0.73 7448330 0 0 0 0 0.18 974670 0 0 0 6.38 0.57 6796170 0 0 0 3.64 0.28 2565430 0 0 0 8.76 0.42 6534090 0 0 0 4.06 3.59 3729980 0 0 0 13.75 0.53 2911580 0 0 0 6.3 0.51 10241120 0 0 0 5.27 0.4 5360000 0 0 0 4.25 -0.09 3324390 0 0 0 4.86 0.59 5493550 0 0 0 11.01 0.74 12559390 0 0 0 6.62 0.25 8960390 0 0 0 6.26 0.16 7944680 0 0 0 5.62 0.25 8771130 0 0 0 5.51 0.31 4947710 0 0 0 5.32 0.18 2707040 0 0 0 4.81 0.76 6034810 0 0 0 6.24 0.84 9478280 0 0 0 3.52 1.33 3504760 0 0 0 5.09 0.12 8541180 0 0 0 6.52 0.21 354993

Page 52: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0 0 0 0.16 1608980 0 0 0 7.84 0.19 4285740 0 0 0 3.83 0.75 3279610 0 0 0 9.7 0.21 3831400 0 0 0 5.55 1.06 3315350 0 0 0 2.82 0.36 1245230 0 0 0 0 0 00 0 0 0 7.73 0.04 3549370 0 0 0 1.38 0.09 1614780 0 0 0 5.56 0.34 1565080 0 0 0 4.71 0.49 4593570 0.04 0 0 9.08 1.48 4249860 0 0 0 6.95 0.75 6703620 0 0 0 9.04 0.25 3795220 0 0 0 5.7 0.42 7966780 0 0 0 7.18 0.73 3528010 0 0 0 4.76 0.31 2789220 0 0 0 10.96 1.93 39016370 0 0 0 0 0 00 0 0 0 7.8 0.18 7275150 0 0 0 4.25 0.95 4435570 0 0 0 7.11 0.15 10187370 0 0 0 0 0 00 0 0 0 6.53 0.38 4690920 0 0 0 3.41 0.76 3717760 0 0 0 5.11 2.63 3487710 0.09 0.08 0.4 6.5 3.01 4705930 0 0 0 3.19 0.1 4518930 0 0 0 9.14 0.69 19965730 0 0 0 8.86 0.44 6900250 0 0 0 5.27 0.49 6928430 0 0 0 4.55 0.66 2685150 0 0 0 5.63 0.62 3704230 0 0 0 18.07 8.59 46971790 0 0 0 1.79 0.38 2725590 0 0 0 9.37 0.44 15186300 0 0 0 6.22 0.85 10270240 0 0 0 4.65 2.16 5013110 0 0 0 8.56 0.21 5442490 0 0 0 4.05 1.09 4019450 0 0 0 7.64 0.21 24166920 0 0 0 4.89 0.6 3812750 0 0 0 6.78 0.22 5778980 0 0 0 3.44 1.44 2752030 0 0 0 4.64 0.19 737732

0.09 0 0 0 9.47 0.26 49150200 0 0 0 5.71 0.12 4879460 0 0 0 6.52 1.5 16882980 0 0 0 7.07 0.94 6667290 0 0 0 6.4 0.39 7902030 0.03 0 0.05 3.64 0.27 3458280 0 0 0 6.26 1.32 13953100 0 0 0 3.67 1.28 5469270 0 0 0 6 0.53 5796560 0 0 0 6.07 0.24 307272

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0 0 0 0 4.92 0.25 5204750 0 0 0 5.2 0.74 19848660 0 0 0 5.17 1.09 9305700 0 0 0 10.58 -0.17 11063630 0 0 0 6.82 0.24 11871870 0 0 0 4.41 0.38 15978070 0.36 0 0.14 8.99 2.73 6151700 0 0 0 8.15 10.21 23305260 0 0 0 5.62 1.75 4003640 0 0 0 4.87 0.48 5782430 0 0 0 7.05 1.38 14753710 0 0 0 5.89 0.68 27166660 0 0 0 0 0 00 0 0 0 4.08 0.73 2305220 0 0 0 7.27 0.14 3693360 0 0 0 6.46 0.13 283466

0.16 0 0 0 5.55 0.28 9051210 0.54 0.03 0 8.67 0.57 4198550 0 0 0.44 7.96 0.02 2922780 0 0 0 5.87 1.01 8730910 0 0 0 6.29 0.31 11856480 0 0 0 7.8 0.64 10451880 0 0 0 8.03 0.62 5675960 0 0 0 3.74 0.45 3364080 0 0 0 8.39 0.68 8432160 0 0 0 5.81 0.19 7988560 0 0 0 6.68 0.91 5050380 0 0 0 6.82 0.12 4062360 0 0 0 0 0.31 82692

15.9 0 0 1.11 0 1.9 33542550 0 0 0 6.22 2.53 11295750 0 0 0 5.39 0.21 1998770 0 0 0 4.78 1.03 2782150 0 0 0 4.09 1.61 2902850 0 0 0 3.52 1.75 4866960 0 0 0 5.64 0.31 3695080 0 0 0 8.53 0.78 6671650 0 0.02 0 4.23 0.51 2614020 0 0 0 10.22 0.25 3214100 0 0 0 4.68 0.49 7422360 0 0 0 9.8 1.02 53518120 0 0 0 7.46 0.66 11903470 0 0 0 5.37 0.98 8046210 0.41 0.16 0 14.87 0.74 11869420 0 0 0 0 0 00 0 0 0 6.03 0.68 6685030 0 0 0 7.5 0.27 5697710 0 0 0 3.9 1.13 1474380 0 0 0 6.67 0.47 2420180 0 0 0 5.36 0.77 2793970 0 0 0 6.91 0.9 3912500 0 0 0 5.26 0.5 8521510 0 0 0 3.8 0.94 4103690 0 0 0 9.89 0.06 13603910 0 0 0 7.46 0.34 245368

Page 54: Total NHQP Non Medicare Cash Payment (Quality) Non ...295030230 A Holly Patterson Extended Care Facility 01/01/2014 246.65 128.11 126.39 71.47 29.8 23.19 3.59 -8.81 0 0 -0.7 0 589

0 0 0 0 4.43 0.51 6890770 0 0 0 5.56 0.4 4308450 0 0 0 3.62 1.37 3882450 0 0 0 6.73 0.79 13489520 0 0 0 5.61 0.5 2682780 0 0 0 6.04 0.51 3118550 0 0 0 11.35 0.96 6023830 0 0 0 7.52 0.76 4781420 0 0 0 3.17 0.72 2278960 0 0 0 6.72 0.79 3389020 0 0 0 4.94 0.75 5005200 0 0 0 6.26 0.77 3421390 0 0 0 3.56 2.26 6173790 0 0 0 4.75 0.55 3914000 0 0 0 5.49 0.35 4004350 0 0 0 6.07 0.5 16486530 0 0 0 5.97 0.51 3305720 0 0 0 7.07 0.74 9561110 0 0 0 6.49 0.22 7142180 0 0 0 7.05 0.26 3048980 0 0 0 5.53 0.18 7694410 0 0 0 6.72 0 5074320 0 0 0 6.7 0.14 8448580 0 0 0 6.78 0.3 8520710 0 0 0.11 6.48 1.08 5421590 0 0 0 4.93 0.15 129949

0.03 0 0 0 5.26 1.01 5331070 0 0 0 4.53 0.23 2031280 0 0 0 7.17 0.74 25141760 0 0 0 8.07 0.73 19300700 0 0 0 4.03 0.15 2200260 0 0 0 5.73 0.9 4768060 0 0 0 6.82 0.9 1715900 0 0 0 8.08 1.14 15050300 0 0 0 4.95 0 3790530 0 0 0 6.7 1.39 5743910 0 0 0 5.8 1 4510260 0 0 0 4.36 1.38 4251420 0 0 0 6.72 0.03 6975960 0 0 0 7.48 0.12 8231450 0 0 0 6.45 0.62 645153

2.14 0 0 0 13.88 1.28 11342280 0 0 0 3.12 1.33 660200 0 0 0 6.78 0.07 3053970 0 0 0 5.45 0.48 3043380 0 0 0 5.3 0.3 9524050 0 0 0 6 0.71 11306360 0 0 0 5.96 0.13 5865100 0 0 0 6.91 0.23 4530630 0 0 0 5.45 0.18 4938720 0 0 0 0 0.42 568910 0 0 0 7.5 0.44 10469930 0 0 0 5.88 0.84 3038120 0 0 0 8.65 0.48 6760690 0 0 0 5.87 0.47 217198

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0 0 0 0 4.52 0.6 4315150 0 0 0 4.53 0.51 2605620 0 0 0 10.21 0.46 11811690 0 0.09 0.32 8.91 0.32 7091260 0 0 0 5.53 0.29 2206740 0 0 0 4.87 1.55 630210

0.02 0 0 0 3.72 0.12 7527170 0 0 0 4.16 0.44 1692820 0 0 0 4.59 1.06 6749610 0 0 0 6.54 0.73 10527500 0 0 0 5.84 1.08 8512050 0 0 0 5.89 1.8 6197640 0 0 0 5.36 0.21 3133180 0 0 0 0 0 00 0 0 0 4.8 0.14 15822080 0 0 0 5.51 1.3 1533930 0 0 0 8.82 0.04 16111050 0.09 0.05 0.46 4.89 0.09 482050

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141