ust-10 cover sheet monthly financial report for … · total post-petition liabilities 6,617,596...

Case No. 19-43754 (Jointly Administered) Report Month/Year December 2019Debtor PNW Healthcare Holdings, LLC, et al.

YES NO

UST-12 Comparative Balance Sheet or debtor’s balance sheet. The debtor’s balance sheet, if used, shall include a breakdown of pre- and post-petition liabilities. The breakdown may be provided as a separate attachment to the debtor's balance sheet.

UST-13 Comparative Income Statement or debtor’s income statement. SEE ATTACHED

UST-14 Summary of Deposits and Disbursements

UST-14 Statement(s) of Cash Receipts and Disbursements Continuation Sheets A Continuation Sheet shall be completed for each bank account or other source of

debtor funds and shall include a monthly bank statement and all supporting documents described in the instructions. SEE ATTACHED

UST-15 Statement of Aged Receivables A detailed accounting of aged receivables shall be provided on, or in an attachment to, UST-15. SEE ATTACHED

UST-16 Statement of Aged Post-Petition Payables A detailed accounting of aged post-petition payables shall be provided on, or in an attachment to, UST-16. SEE ATTACHED

UST-17 Other Information When applicable, attach supporting documents such as an escrow statement for the sale of real property or an auctioneer’s report for property sold at auction. When changes or renewals of insurance occur, attach a copy of the new certificate of insurance or a copy of the bond.

Name William MastersonTelephone 917-376-2983Email [email protected]

Who is the best person to contact if the UST has questions about this report?

The debtor has provided the following with this monthly financial report:

UST-10 COVER SHEETMONTHLY FINANCIAL REPORT FOR CORPORATE OR PARTNERSHIP DEBTOR

INSTRUCTIONS: The debtor’s monthly financial report shall include a cover sheet signed by the debtor and all UST forms and supporting documents. Exceptions, if allowed, are noted in the checklist below. Failure to comply with the reporting requirements of Local Bankruptcy Rule, or the United States

Trustee’s reporting requirements, is cause for conversion or dismissal of the case.

CONTACT INFORMATION

`

Monthly Financial Report - Corporate or Partnership DebtorUnited States Trustee – Western District of Washington of 60

Case 19-43754-MJH Doc 285 Filed 01/29/20 Ent. 01/29/20 00:53:23 Pg. 1 of 62

Case Number 19-43754 (Jointly Administered)

Debtor PNW Healthcare Holdings, LLC, et al. Month Ending December-2019

Question 1 At month end, was the debtor delinquent on any post-petition tax obligation?

Question 2

$ 9,588,929.54

Debtor’s signature Date

For purposes of calculating the debtor's obligation under 28 U.S.C. 1930(a)(6) to pay a quarterly fee to the United States Trustee, TOTAL DISBURSEMENTS this month

from all sources were:

I certify under penalty of perjury that other information contained in this monthly financial report is complete, true, and accurate to the best of my knowledge, information, and belief.

DEBTOR’S CERTIFICATIONINSTRUCTIONS: The debtor, or trustee, if appointed, must answer questions 1 and 2 and sign this financial report

where indicated below. Only an officer or director has authority to sign a financial report for a corporate debtor and only a general partner has authority to sign a financial report for a partnership debtor.

Debtor's counsel may not sign a financial report for the debtor.

If yes, list each delinquent post-petition tax obligation on page 9.

Complete page 6 to calculate TOTAL DISBURSEMENTS and enter the total here.

YES NO


January 28, 2020




As of month ending Pre-Petition Post-Petition Total

Current Assets

Cash

4,212,694

Cash - Held by Others(Escrow & Attorney Trust Accounts)

1,325,769

Accounts Receivable (net) 18,252,263

Notes Receivable 65,334

Inventory -

Prepaid Expenses 1,697,127

Other (attach list) -

Total Current Assets 25,553,187

Fixed Assets

Real Property/Buildings -

Equipment 2,045,163

Accumulated Depreciation (384,264)

Total Fixed Assets 1,660,899

Other Assets (attach list) 1,301,460

TOTAL ASSETS 28,515,547

LIABILITIESPost-Petition Liabilities

Taxes Payable 123,159 123,159

Other Accounts Payables 1,087,797 1,087,797

Notes Payable - -

Rents, Leases & Mortgages Payable 282,646 282,646

Accrued Interest - -

Other Liabilities 5,123,993 5,089,009

Total Post-Petition Liabilities 6,617,596 6,582,611

UST-12, COMPARATIVE BALANCE SHEET

ASSETS

(cont’d. on next page)





As of month ending Pre-Petition Post-Petition TotalPre-Petition Liabilities

Unsecured Debt 22,357,729 22,357,729

Priority Debt: -

Taxes 117,142 117,142

Wages - -

Deposits - -

Other (specify) - -

Notes Payable (Secured Debt) 8,361,902 8,361,902

Total Pre-Petition Liabilities 30,836,773 30,836,773

TOTAL LIABILITIES 37,419,384

EQUITYStockholders' Equity (Or Deficit) -

Capital Stock -

Paid-In Capital -

Retained Earnings (7,496,790)

Total Stockholder’s Equity (Or Deficit) (7,496,790)

Partner’s Investment (Or Deficit) (1,407,047)

TOTAL LIABILITIES AND STOCKHOLDERS EQUITY OR PARTNERS INVESTMENT 28,515,547 Footnotes to balance sheet: Cash Balance includes 180K funds held for residents. Secured Debt amount was reconciled to the statement provided by Midcap Financial as of 11/30/19.

UST-12, COMPARATIVE BALANCE SHEET (contd.)



UST-12, COMPARATIVE BALANCE SHEET

Balance NoteOther Assets:Deferred Financing Costs 166,673 Deposits 1,134,788 Includes Lease Security Deposits, Utility Deposits, Vendor Deposits

1,301,460

Other (specify):Other Current Payables>Resident Funds 181,221 Balance due to residents - held in TrustAccrued Wages & Related>Wages 2,113,928 Accrued Wages & Related>Misc. PR Deduction 141,513 Accrued Wages & Related>Worker's Comp Payable (29,889) Quarterly bill overaccruedAccrued Wages & Related>Benefit Time 588,051 Other Accrued 769,279 Novemeber Post-Petition Opetating Expenses AccruedCIA Costs Reimbursable (34,985) Other Accrued>Accounting Fees 105,000 Annual BillsDeferred Provider Assesment Revenue 508,540 Idaho only - UPL RevenueOther Accrued>Provider Tax 33,225 Meadow Park only

Financed Insurance Clearing 640,543 Full amount of policy plus finance costs are posted here as a liabilty and payments are posted against the policy.

Other Accrued>Personal Prop Taxes 4,432 Annual BillLong Term Debt>Capital Lease-Equip 68,151

5,089,009



UST - 13 Income Statement

Forest Ridge Puget Sound Crestwood Fir Lane Franklin Hills The Gardens on University Ivy Court Cornerstone Region 1 North Auburn Dec 2019 Dec 2019 Dec 2019 Dec 2019 Dec 2019 Dec 2019 Dec 2019 Dec 2019 Dec 2019

Actual Actual Actual Actual Actual Actual Actual Actual Actual

Description $ ADC / PPD $ ADC / PPD $ ADC / PPD $ ADC / PPD $ ADC / PPD $ ADC / PPD $ ADC / PPD $ ADC / PPD $ ADC / PPDMedicare A 211 7 207 7 314 10 238 8 324 10 183 6 341 11 1,818 59 164 5 Private (61) (2) 141 5 151 5 18 1 13 0 23 1 101 3 386 12 185 6 Medicaid 2,071 67 2,416 78 1,684 54 2,517 81 1,737 56 2,493 80 1,262 41 14,180 457 1,837 59 VA 53 2 - - 47 2 - - - - - - 182 6 282 9 - - Hospice 133 4 118 4 62 2 62 2 - - 83 3 - - 458 15 152 5 Insurance 17 1 1 0 - - - - - - - - 11 0 29 1 - - Medicare HMO 90 3 109 4 - - 14 0 126 4 111 4 157 5 607 20 163 5 Medicaid HMO 58 2 69 2 - - - - 8 0 120 4 124 4 379 12 39 1

Total Days 2,572 83 3,061 99 2,258 73 2,849 92 2,208 71 3,013 97 2,178 70 18,139 585 2,540 82

R&B>Medicare A 137,457 651.45 140,973 681.03 205,567 654.67 138,389 581.47 206,606 637.67 123,508 674.91 274,550 805.13 1,227,051 674.95 112,100 683.54

R&B>Private (8,523) 139.73 43,414 307.90 42,955 284.47 2,976 165.32 3,757 289.00 10,428 453.40 27,706 274.32 122,713 317.91 54,575 295.00

R&B>Medicaid 450,698 217.62 564,534 233.66 365,664 217.14 539,267 214.25 391,149 225.19 546,191 219.09 294,145 233.08 3,151,648 222.26 423,334 230.45

R&B>VA 14,304 269.89 - - 15,863 337.52 - - - - - - 61,470 337.75 91,637 324.95 - -

R&B>Hospice 28,979 217.89 27,585 233.77 13,463 217.14 13,284 214.25 - - 18,184 219.09 - - 101,495 221.60 35,030 230.46

R&B>Insurance 5,672 333.65 (641) (641.00) - - - - - - (2,693) - 2,243 203.89 4,581 157.96 - -

R&B>Medicare HMO 31,233 347.04 46,773 429.11 - - 20,090 1,435.04 47,726 378.78 39,111 352.35 19,166 122.08 204,100 336.24 76,296 468.07

R&B>Medicaid HMO 15,168 261.52 21,782 315.68 - - 210 - (2,877) (359.62) 35,455 295.45 28,902 233.08 98,639 260.26 11,041 283.11

R&B 674,989 262.44 844,420 275.86 643,512 284.99 714,216 250.69 646,361 292.74 770,184 255.62 708,182 325.15 5,001,864 275.75 712,376 280.46

Total Ancillary Revenue 12,476 4.85 5,292 1.73 17,359 7.69 15,984 5.61 19,838 8.98 34,209 11.35 13,709 6.29 118,867 6.55 5,573 2.19

Other Rev (2,280) (0.89) 3,408 1.11 (3,718) (1.65) (2,446) (0.86) (3,263) (1.48) (1,895) (0.63) 43,825 20.12 33,632 1.85 (1,523) (0.60)

Total Revenue 685,185 266.40 853,119 278.71 657,154 291.03 727,754 255.44 662,936 300.24 802,499 266.35 765,716 351.57 5,154,363 284.16 716,427 282.06

Gen Nsg Exp 26,729 10.39 33,480 10.94 21,649 9.59 35,066 12.31 25,554 11.57 31,230 10.37 30,890 14.18 204,599 11.28 20,223 7.96

Nursing Admin 20,777 8.08 47,071 15.38 27,606 12.23 31,517 11.06 25,847 11.71 22,626 7.51 31,357 14.40 206,801 11.40 46,485 18.30

Cert Nsg Exp 249,008 96.81 333,000 108.79 217,337 96.25 254,518 89.34 241,307 109.29 343,498 114.01 248,080 113.90 1,886,749 104.02 258,193 101.65

Total Nursing Expenses 296,514 115.29 413,551 135.10 266,593 118.07 321,101 112.71 292,709 132.57 397,354 131.88 310,327 142.48 2,298,150 126.70 324,901 127.91

Total Pharmacy Expenses 15,810 6.15 9,257 3.02 13,829 6.12 11,723 4.11 16,401 7.43 10,586 3.51 18,200 8.36 95,806 5.28 10,643 4.19

Total Therapy Expenses 32,250 12.54 37,578 12.28 46,903 20.77 31,339 11.00 52,328 23.70 55,759 18.51 52,098 23.92 308,255 16.99 25,825 10.17

Total PEN Expenses 1,217 0.47 3,334 1.09 2,010 0.89 1,873 0.66 201 0.09 2,978 0.99 2,080 0.95 13,693 0.75 1,541 0.61

Total Med Supply & Other Ancillary Expenses 3,222 1.25 9,376 3.06 3,509 1.55 1,206 0.42 5,191 2.35 3,201 1.06 940 0.43 26,644 1.47 3,008 1.18

Total Ancillary Expenses 52,499 20.41 59,545 19.45 66,251 29.34 46,140 16.20 74,121 33.57 72,524 24.07 73,318 33.66 444,398 24.50 41,017 16.15

Activity Exp 9,112 3.54 9,916 3.24 6,506 2.88 11,526 4.05 7,789 3.53 12,411 4.12 12,742 5.85 70,002 3.86 6,372 2.51

Social Services Exp 13,739 5.34 8,849 2.89 11,230 4.97 15,634 5.49 5,995 2.71 5,999 1.99 10,525 4.83 71,971 3.97 9,273 3.65

Medical Records Exp 4,421 1.72 4,245 1.39 3,113 1.38 2,653 0.93 3,666 1.66 3,654 1.21 3,634 1.67 25,386 1.40 25 0.01

Dietary Exp 47,889 18.62 49,666 16.23 39,853 17.65 43,759 15.36 39,873 18.06 51,695 17.16 41,140 18.89 313,877 17.30 42,449 16.71

Admin Exp 41,625 16.18 42,263 13.81 47,295 20.95 47,878 16.81 62,080 28.12 44,087 14.63 43,118 19.80 328,345 18.10 42,478 16.72

Maintenance Exp 2,972 1.16 11,268 3.68 11,848 5.25 12,911 4.53 8,350 3.78 9,144 3.03 9,986 4.59 66,479 3.66 7,052 2.78

Housekeeping Exp 13,818 5.37 17,082 5.58 13,149 5.82 19,034 6.68 16,360 7.41 18,001 5.97 8,134 3.73 105,578 5.82 13,687 5.39

Laundry Exp 9,195 3.58 11,306 3.69 8,844 3.92 15,011 5.27 10,766 4.88 11,889 3.95 5,765 2.65 72,775 4.01 9,758 3.84

Bad Debt Exp 6,852 2.66 8,472 2.77 6,571 2.91 7,272 2.55 6,629 3.00 8,025 2.66 7,183 3.30 51,004 2.81 7,055 2.78

Telephone & Utility Exp 17,181 6.68 17,955 5.87 19,468 8.62 18,463 6.48 24,032 10.88 11,821 3.92 8,886 4.08 117,805 6.49 17,427 6.86

Employee Benefits Exp 24,517 9.53 27,454 8.97 22,303 9.88 32,846 11.53 25,504 11.55 29,197 9.69 27,800 12.76 189,622 10.45 28,368 11.17

Business Insurance Exp 5,729 2.23 6,738 2.20 6,068 2.69 7,995 2.81 6,267 2.84 7,620 2.53 5,531 2.54 45,950 2.53 7,816 3.08

Taxes Exp 58,164 22.61 68,088 22.24 46,848 20.75 65,472 22.98 44,942 20.35 65,681 21.80 19,023 8.73 368,218 20.30 53,758 21.16

Total Other Operating Expenses 255,216 99.23 283,302 92.55 243,095 107.66 300,454 105.46 262,254 118.77 279,224 92.67 203,467 93.42 1,827,013 100.72 245,520 96.66

Total Operating Expenses 604,228 234.93 756,399 247.11 575,939 255.07 667,696 234.36 629,084 284.91 749,102 248.62 587,111 269.56 4,569,560 251.92 611,437 240.72

EBITDARM 80,956 31.48 96,721 31.60 81,214 35.97 60,057 21.08 33,852 15.33 53,397 17.72 178,605 82.00 584,803 32.24 104,989 41.33

Consulting Serv 34,259 13.32 42,362 13.84 32,856 14.55 36,358 12.76 33,147 15.01 34,373 11.41 38,271 17.57 251,625 13.87 35,277 13.89

EBITDAR 46,697 18.16 54,359 17.76 48,359 21.42 23,700 8.32 705 0.32 19,024 6.31 140,334 64.43 333,178 18.37 69,712 27.45

Rent Exp 51,818 20.15 54,626 17.85 54,357 24.07 68,283 23.97 51,980 23.54 61,201 20.31 40,464 18.58 382,728 21.10 27,000 10.63

EBITDA (5,121) (1.99) (267) (0.09) (5,998) (2.66) (44,583) (15.65) (51,275) (23.22) (42,177) (14.00) 99,870 45.85 (49,550) (2.73) 42,712 16.82

Corporate Taxes 9,775 3.80 12,777 4.17 9,857 4.37 10,498 3.68 9,821 4.45 12,011 3.99 - - 64,739 3.57 10,650 4.19

Operating Interest (Inc)/Exp 8,309 3.23 8,309 2.71 8,309 3.68 8,309 2.92 8,309 3.76 8,309 2.76 8,309 3.81 58,162 3.21 6,480 2.55

Amortization & Depreciation Expense 3,466 1.35 3,004 0.98 3,197 1.42 2,297 0.81 3,102 1.41 3,234 1.07 3,211 1.47 21,511 1.19 2,967 1.17

Interest(Inc)/Exp 49 0.02 41 0.01 37 0.02 392 0.14 46 0.02 39 0.01 36 0.02 641 0.04 40 0.02

Total Other (Income)/Expense 21,599 8.40 24,132 7.88 21,400 9.48 21,496 7.55 21,278 9.64 23,593 7.83 11,555 5.31 145,053 8.00 20,137 7.93

Net Income (26,719) (10.39) (24,398) (7.97) (27,398) (12.13) (66,078) (23.19) (72,553) (32.86) (65,770) (21.83) 88,315 40.55 (194,603) (10.73) 22,576 8.89



UST - 13 Income Statement

Description

Medicare APrivateMedicaidVAHospiceInsuranceMedicare HMOMedicaid HMO

Total Days

R&B>Medicare AR&B>PrivateR&B>MedicaidR&B>VAR&B>HospiceR&B>InsuranceR&B>Medicare HMOR&B>Medicaid HMO

R&B

Total Ancillary RevenueOther Rev

Total Revenue

Gen Nsg ExpNursing AdminCert Nsg Exp

Total Nursing Expenses

Total Pharmacy ExpensesTotal Therapy ExpensesTotal PEN ExpensesTotal Med Supply & Other Ancillary Expenses

Total Ancillary Expenses

Activity ExpSocial Services ExpMedical Records ExpDietary ExpAdmin ExpMaintenance ExpHousekeeping ExpLaundry ExpBad Debt ExpTelephone & Utility ExpEmployee Benefits ExpBusiness Insurance ExpTaxes Exp

Total Other Operating Expenses

Total Operating Expenses

EBITDARM

Consulting ServEBITDAR

Rent ExpEBITDA

Corporate TaxesOperating Interest (Inc)/ExpAmortization & Depreciation ExpenseInterest(Inc)/Exp

Total Other (Income)/Expense

Net Income

Bremerton Health Riverside WA Aldercrest Sequim Cherrywood Place ALF Meadow Park LaCrosse Care Center East Cornerstone Region 2 TotalDec 2019 Dec 2019 Dec 2019 Dec 2019 Dec 2019 Dec 2019 Dec 2019 Dec 2019 Dec 2019 Dec 2019

Actual Actual Actual Actual Actual Actual Actual Actual Actual Actual

$ ADC / PPD $ ADC / PPD $ ADC / PPD $ ADC / PPD $ ADC / PPD $ ADC / PPD $ ADC / PPD $ ADC / PPD $ ADC / PPD $ ADC / PPD124 4 139 4 225 7 1,173 38 - - 202 7 290 9 - - 2,317 75 4,135 133 94 3 64 2 (113) (4) 191 6 328 11 53 2 116 4 - - 918 30 1,304 42

2,617 84 1,660 54 2,079 67 1,389 45 1,021 33 550 18 2,034 66 - - 13,187 425 27,367 883 - - - - - - - - - - 65 2 - - - - 65 2 347 11 27 1 174 6 49 2 44 1 - - 62 2 - - - - 508 16 966 31

- - 2 0 2 0 8 0 - - - - - - - - 12 0 41 1 47 2 114 4 84 3 82 3 - - 73 2 176 6 - - 739 24 1,346 43 50 2 108 3 72 2 - - - - 42 1 93 3 - - 404 13 783 25

2,959 95 2,261 73 2,398 77 2,887 93 1,349 44 1,047 34 2,709 87 - - 18,150 585 36,289 1,171

86,302 695.98 102,784 739.45 146,312 650.27 731,226 623.38 - - 144,677 716.22 259,717 895.57 - - 1,583,118 683.26 2,810,168 679.61

24,910 265.00 18,048 282.00 (39,550) 350.00 68,915 360.81 27,731 84.54 17,590 331.89 32,216 277.72 - - 204,434 222.70 327,147 250.88

586,915 224.27 358,211 215.79 505,397 243.10 341,583 245.92 77,487 75.89 181,033 329.15 626,964 308.24 - - 3,100,923 235.15 6,252,571 228.47

- - - - - - - - - - 28,952 445.42 - - - - 28,952 445.42 120,590 347.52

6,055 224.27 37,547 215.79 11,916 243.18 10,820 245.92 - - 20,243 326.50 - - - - 121,612 239.39 223,107 230.96

- - 800 400.00 500 250.00 2,260 282.50 - - - - 2,332 - - - 5,892 490.97 10,472 255.42

13,865 295.00 38,664 339.16 32,058 381.64 36,223 441.75 - - 15,920 218.09 20,946 119.01 - - 233,973 316.61 438,073 325.46

17,228 344.56 23,305 215.79 20,243 281.15 - - - - 13,713 326.50 25,092 269.81 - - 110,623 273.82 209,262 267.26

735,275 248.49 579,360 256.24 676,875 282.27 1,191,028 412.55 105,217 78.00 422,128 403.18 967,266 357.06 - - 5,389,527 296.94 10,391,391 286.35

18,652 6.30 3,847 1.70 24,515 10.22 39,986 13.85 4,059 3.01 4,650 4.44 17,648 6.51 - - 118,930 6.55 237,798 6.55

6,526 2.21 (1,449) (0.64) (2,289) (0.95) (12,374) (4.29) - - (1,801) (1.72) 77,762 28.71 - - 64,852 3.57 98,484 2.71

760,453 257.00 581,758 257.30 699,102 291.54 1,218,640 422.11 109,277 81.01 424,977 405.90 1,062,676 392.28 - - 5,573,310 307.07 10,727,673 295.62

26,760 9.04 42,508 18.80 19,024 7.93 28,684 9.94 1,382 1.02 15,968 15.25 29,737 10.98 - - 184,286 10.15 388,885 10.72

39,689 13.41 25,858 11.44 32,329 13.48 53,490 18.53 186 0.14 26,440 25.25 33,030 12.19 - - 257,506 14.19 464,307 12.79

317,625 107.34 196,542 86.93 295,979 123.43 245,995 85.21 32,880 24.37 125,525 119.89 308,694 113.95 - - 1,781,433 98.15 3,668,182 101.08

384,073 129.80 264,908 117.16 347,332 144.84 328,169 113.67 34,448 25.54 167,933 160.39 371,461 137.12 - - 2,223,225 122.49 4,521,374 124.59

6,757 2.28 7,717 3.41 11,402 4.75 28,662 9.93 305 0.23 9,317 8.90 12,060 4.45 - - 86,864 4.79 182,670 5.03

32,289 10.91 25,760 11.39 45,040 18.78 119,117 41.26 1,549 1.15 24,787 23.67 141,791 52.34 - - 416,158 22.93 724,413 19.96

1,780 0.60 4,436 1.96 1,080 0.45 1,424 0.49 - - 408 0.39 1,947 0.72 - - 12,616 0.70 26,308 0.72

744 0.25 997 0.44 4,957 2.07 2,387 0.83 - - 1,780 1.70 2,203 0.81 - - 16,075 0.89 42,719 1.18

41,570 14.05 38,910 17.21 62,480 26.06 151,590 52.51 1,854 1.37 36,292 34.66 158,000 58.32 - - 531,713 29.30 976,111 26.90

5,907 2.00 6,824 3.02 6,402 2.67 13,234 4.58 3,782 2.80 3,358 3.21 9,465 3.49 - - 55,345 3.05 125,347 3.45

15,023 5.08 1,691 0.75 6,503 2.71 15,180 5.26 - - 6,470 6.18 9,497 3.51 - - 63,637 3.51 135,607 3.74

3,339 1.13 2,196 0.97 9,571 3.99 3,296 1.14 - - 4,195 4.01 5,923 2.19 - - 28,545 1.57 53,931 1.49

48,685 16.45 42,849 18.95 46,352 19.33 46,047 15.95 21,469 15.92 24,938 23.82 45,811 16.91 - - 318,601 17.55 632,478 17.43

39,038 13.19 43,617 19.29 35,207 14.68 79,137 27.41 16,146 11.97 27,807 26.56 40,413 14.92 681 - 324,523 17.88 652,869 17.99

16,929 5.72 4,554 2.01 12,023 5.01 15,998 5.54 3,085 2.29 7,068 6.75 11,783 4.35 - - 78,492 4.32 144,972 3.99

14,779 4.99 12,862 5.69 16,761 6.99 14,811 5.13 1,838 1.36 11,693 11.17 10,648 3.93 - - 97,078 5.35 202,657 5.58

10,598 3.58 8,997 3.98 11,625 4.85 9,912 3.43 1,161 0.86 7,508 7.17 7,859 2.90 - - 67,419 3.71 140,194 3.86

7,524 2.54 5,818 2.57 6,991 2.92 12,182 4.22 1,093 0.81 4,247 4.06 9,820 3.62 - - 54,729 3.02 105,733 2.91

14,302 4.83 7,593 3.36 18,373 7.66 15,797 5.47 2,398 1.78 5,460 5.21 9,935 3.67 1,106 - 92,391 5.09 210,196 5.79

14,839 5.01 18,642 8.24 (10,492) (4.38) 41,224 14.28 5,034 3.73 14,174 13.54 33,026 12.19 - - 144,815 7.98 334,437 9.22

8,632 2.92 8,053 3.56 7,559 3.15 6,582 2.28 3,527 2.61 6,625 6.33 6,739 2.49 1,727 - 57,260 3.15 103,210 2.84

69,943 23.64 47,647 21.07 53,466 22.30 45,770 15.85 3,207 2.38 28,609 27.32 25,654 9.47 - - 328,054 18.07 696,272 19.19

269,538 91.09 211,343 93.47 220,341 91.89 319,170 110.55 62,740 46.51 152,152 145.32 226,573 83.64 3,513 - 1,710,890 94.26 3,537,902 97.49

695,181 234.94 515,161 227.85 630,153 262.78 798,929 276.73 99,041 73.42 356,377 340.38 756,035 279.08 3,513 - 4,465,827 246.05 9,035,388 248.98

65,271 22.06 66,598 29.46 68,949 28.75 419,711 145.38 10,235 7.59 68,601 65.52 306,642 113.19 (3,513) - 1,107,482 61.02 1,692,285 46.63

37,618 12.71 42,509 18.80 34,953 14.58 60,910 21.10 5,464 4.05 21,236 20.28 53,008 19.57 - - 290,974 16.03 542,599 14.95

27,654 9.35 24,089 10.65 33,996 14.18 358,801 124.28 4,772 3.54 47,364 45.24 253,634 93.63 (3,513) - 816,508 44.99 1,149,686 31.68

66,019 22.31 48,062 21.26 67,603 28.19 52,815 18.29 27,464 20.36 43,836 41.87 52,287 19.30 26,531 - 411,616 22.68 794,344 21.89

(38,365) (12.97) (23,973) (10.60) (33,607) (14.01) 305,986 105.99 (22,692) (16.82) 3,528 3.37 201,347 74.33 (30,045) - 404,892 22.31 355,342 9.79

11,019 3.72 8,435 3.73 10,423 4.35 17,587 6.09 301 0.22 - - - - - - 58,416 3.22 123,155 3.39

6,480 2.19 6,480 2.87 6,480 2.70 6,480 2.24 6,480 4.80 6,480 6.19 6,480 2.39 - - 51,838 2.86 110,000 3.03

3,033 1.03 2,579 1.14 2,841 1.18 3,320 1.15 2,276 1.69 1,995 1.91 3,688 1.36 1,500 - 24,199 1.33 45,710 1.26

- - 40 0.02 - - 42 0.01 44 0.03 33 0.03 (70) (0.03) - - 129 0.01 770 0.02

20,532 6.94 17,535 7.76 19,744 8.23 27,430 9.50 9,099 6.75 8,508 8.13 10,097 3.73 1,500 - 134,582 7.41 279,634 7.71

(58,897) (19.90) (41,507) (18.36) (53,351) (22.25) 278,556 96.49 (31,792) (23.57) (4,980) (4.76) 191,250 70.60 (31,545) - 270,310 14.89 75,707 2.09





Cash receipts not included above (if any)

TOTAL RECEIPTS

At the end of this reporting month, did the debtor have any delinquent statutory fees owing to the United States Trustee?

If Yes, list each quarter that is delinquent and the amount due.

UST-14, SUMMARY OF DEPOSITS & DISBURSEMENTS

INSTRUCTIONS: BEFORE COMPLETING THIS PAGE, prepare a UST-14 CONTINUATION SHEET (see next page) for each bank account or other source of the debtor's funds. The deposit and disbursement total from each CONTINUATION SHEET will be used to complete this SUMMARY.

The debtor is responsible for providing an accurate monthly disbursement total for the purpose of calculating its obligation pursuant to 28 U.S.C. Sec. 1930 (a)(6) to pay statutory fees to the United States Trustee. The disbursement total encompasses all payments made by the bankruptcy estate during the reporting month, whether made directly by the debtor or by another party for the debtor. It includes checks written and cash payments for inventory and equipment purchases, payroll and related taxes and expenses, other operating costs, and debt reduction. It also includes payments made pursuant to joint check arrangements and those resulting from a sale or liquidation of the debtor’s assets. The only transactions normally excluded from the disbursement total are transfers within the same reporting month between multiple debtor accounts.

A fee payment is due within 30 days after the end of each calendar quarter, or on April 30, July 31, October 31, and January 31, respectively. Since the amount billed is an estimate, the debtor is responsible for paying the correct statutory fee based on its actual disbursements for the calendar quarter, or portion thereof the debtor was in Chapter 11. Failure to pay statutory fees to the United States Trustee is cause for conversion or dismissal of the case. If you have questions computing the disbursement total, contact the Bankruptcy Analyst assigned to your case at (206) 553-2000.

Summary of Deposits This Month

Disbursements from UST-14 Continuation Sheet(s)

Disbursements resulting from asset sales out of the ordinary course (see Page 13, Question 1)

(UST-14 CONTINUATION SHEETS, with attachments, should follow this page.)

9,905,141.63

-

9,905,141.63

Summary of Disbursements This Month

-

Note: Enter the amount for TOTAL DISBURSEMENTS here and on Page 2.

9,588,929.54

316,212.09

9,588,929.54

NET CASH FLOW (TOTAL RECEIPTS MINUS TOTAL DISBURSEMENTS)

TOTAL DISBURSEMENTS

Disbursements made by other parties for the debtor (if any, explain)

Deposits from UST-14 Continuation Sheet(s)

YES NO





Adjustments, if any (explain)

YES NO

UST-14 CONTINUATION SHEET, Number of

UST-14, CONTINUATION SHEET STATEMENT OF CASH RECEIPTS AND DISBURSEMENTS

INSTRUCTIONS: Prepare a CONTINUATION SHEET for each bank account or other source of the debtor's funds and attach supporting documents as indicated on the checklist below. SEE ATTACHED

Depository (bank) name Account number

Beginning cash balance

Purpose of this account (select one):

Cash disbursements from this account(total checks written plus cash withdrawals, if any)

Ending cash balance

$ -

$ -

Add: Transfers in from other estate bank accountsCash receipts deposited to this account

Financing or other loaned funds (identify source)Total cash available this month

Subtract: Transfers out to other estate bank accounts

Does this CONTINUATION SHEET include the following supporting documents, as required:

A monthly bank statement (or trust account statement);

A detailed list of receipts for that account (deposit log or receipts journal);

A detailed list of disbursements for that account (check register or disbursement journal); and,If applicable, a detailed list of funds received and/or disbursed by another party for the debtor.

General operating account

General payroll account

Tax deposit account (payroll, sales, gambling, or other taxes)

Other (explain)



UST-14, CONTINUATION SHEETSTATEMENT OF CASH RECEIPTS AND DISBURSEMENTS

Account Name #

Beginning Cash Balance 12/01/2019

Cash ReceiptsTransfers in from other estate bank

accounts Finance Cash Disbursements

Transfers out to other estate bank

accounts

Ending Cash Balance 12/31/2019

820 NORTH AUBURN Care Cost 4962 362.15 7,017.54 - - 137.85 6,879.69 362.15 820 NORTH AUBURN DEP 5596 - 231,516.64 445,211.12 - - 676,727.76 - 820 NORTH AUBURN HEALTH LLC GOVT ACCT 6351 - 438,331.43 - - - 438,331.43 - 820 NORTH AUBURN HEALTH OPE 0350 46,258.86 (600.00) 794,912.64 - 753,875.47 - 86,696.03 820 NORTH AUBURN Resident Trust 0424 9,421.45 - 877.81 8,543.64 North Auburn Total 56,042.46 676,265.61 1,240,123.76 - 754,891.13 1,121,938.88 95,601.82 821 BREMERTON HEALTH GOVT ACCT 6450 - 494,530.59 - - - 494,530.59 - 821 BREMERTON HEALTH LLC Care Cost 5020 500.00 25,472.31 - - 162.40 19,113.31 6,696.60 821 BREMERTON HEALTH LLC Dep 8444 - 119,102.32 19,504.25 - - 138,606.57 - 821 BREMERTON HEALTH LLC OPE 7457 202,758.76 - 821,246.98 - 837,646.57 - 186,359.17 821 BREMERTON HEALTH LLC Resident Trust 0301 15,409.25 - 711.01 14,698.24 Bremerton Health Total 218,668.01 639,105.22 840,751.23 - 838,519.98 652,250.47 207,754.01 822 FOREST RIDGE HEALTH BREMERTON Care Cost 5098 347.75 7,958.00 - - 152.25 7,805.75 347.75 822 FOREST RIDGE HEALTH BREMERTON DEP 1129 - 113,835.37 454,323.13 - - 568,158.50 - 822 FOREST RIDGE HEALTH BREMERTON GOVT 2379 - 446,517.38 - - - 446,517.38 - 822 FOREST RIDGE HEALTH BREMERTON OPE 4881 125,510.01 - 647,936.09 - 617,369.81 - 156,076.29 822 FOREST RIDGE HEALTH BREMERTON Resident Trust 0629 12,391.37 - 776.30 11,615.07 Forest Ridge Total 138,249.13 568,310.75 1,102,259.22 - 618,298.36 1,022,481.63 168,039.11 823 RIVERSIDE NURSING CENTRALIA Care Cost 5128 (2,288.68) 6,144.93 - - 136.30 5,221.95 (1,502.00) 823 RIVERSIDE NURSING CENTRALIA Dep 3783 (1,127.24) 101,382.25 382,189.08 - - 483,571.33 (1,127.24) 823 RIVERSIDE NURSING CENTRALIA LA GOVT 1535 - 376,967.13 - - - 376,967.13 - 823 RIVERSIDE NURSING CENTRALIA LLC OPE 6048 123,853.46 - 601,977.65 - 491,919.35 - 233,911.76 823 RIVERSIDE NURSING CENTRALIA Resident Trust 0661 8,292.37 - 1,489.00 6,803.37 Riverside Nursing Total 128,729.91 484,494.31 984,166.73 - 493,544.65 865,760.41 238,085.89 824 ALDERCREST HEALTH EDMONDS GOVT ACCT 4594 - 575,922.08 - - - 575,922.08 - 824 ALDERCREST HEALTH EDMONDS LLC Care Cost 4989 390.60 7,827.38 - - 116.20 7,522.04 579.74 824 ALDERCREST HEALTH EDMONDS LLC DEP 6848 - 66,922.81 583,444.12 - - 650,366.93 - 824 ALDERCREST HEALTH EDMONDS LLC Resident Trust 0386 23,439.33 - 420.00 23,019.33 824 ALDERCREST HEALTH EDMONDS OPE 5341 186,526.29 - 773,336.06 - 628,350.50 - 331,511.85 Aldercrest Total 210,356.22 650,672.27 1,356,780.18 - 628,886.70 1,233,811.05 355,110.92 825 PUGET SOUND HEALTHCAR OLYMPIA Care Cost 5047 1,736.36 13,983.94 - - 151.00 13,779.06 1,790.24 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 9689 - 186,850.62 741,200.88 - - 928,051.50 - 825 PUGET SOUND HEALTHCAR OLYMPIA Resident Trust 0262 5,405.23 - 925.00 4,480.23 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 8968 52,787.07 - 1,137,167.59 - 758,125.26 102,000.00 329,829.40 825 PUGET SOUND HEALTHCAREOLYMPIA GOVT 8450 - 727,421.82 - - - 727,421.82 - Puget Sound Total 59,928.66 928,256.38 1,878,368.47 - 759,201.26 1,771,252.38 336,099.87 826 CRESTWOOD CONVALESCENT PRT ANG GOVT 3409 - 656,032.63 - - - 656,032.63 - 826 CRESTWOOD CONVALESCENT PRT ANG OPE 4928 75,967.80 - 962,570.24 - 508,426.36 20,000.00 510,111.68 826 CRSTWOOD CONVALESCENT PRT ANG Care Cost 4946 595.54 22,049.60 - - 143.55 21,945.93 555.66 826 CRSTWOOD CONVALESCENT PRT ANG DEP 9163 - 109,507.43 677,978.56 - - 787,485.99 - 826 CRSTWOOD CONVALESCENT PRT ANG Resident Trust 0467 33,696.17 - 3,011.08 30,685.09 Crestwood Total 110,259.51 787,589.66 1,640,548.80 - 511,580.99 1,485,464.55 541,352.43 827 SEQUIM HEALTH DEP 7619 (960.00) 205,250.26 904,511.49 - - 1,109,761.75 (960.00) 827 SEQUIM HEALTH DEP Care Cost 5063 720.43 12,555.95 - - 143.75 12,482.20 650.43 827 SEQUIM HEALTH DEP Resident Trust 0220 7,302.39 13,351.33 - 20,653.72 827 SEQUIM HEALTH LLC GOVT ACCT 6353 - 892,029.29 - - - 892,029.29 - 827 SEQUIM HEALTH Ope 6603 266,052.65 - 1,514,989.06 - 954,021.27 72,000.00 755,020.44 Sequim Health Total 273,115.47 1,123,186.83 2,419,500.55 - 954,165.02 2,086,273.24 775,364.59 828 FIR LANE HEALTH SHELTON Care Cost 5004 304.44 20,598.78 - - 184.35 20,369.90 348.97




Account Name #

Beginning Cash Balance 12/01/2019

Cash ReceiptsTransfers in from other estate bank

accounts Finance Cash Disbursements

Transfers out to other estate bank

accounts

Ending Cash Balance 12/31/2019

828 FIR LANE HEALTH SHELTON DEP 8431 - 117,726.44 580,821.80 - - 698,548.24 - 828 FIR LANE HEALTH SHELTON GOVT ACCT 4195 - 560,451.90 - - - 560,451.90 - 828 FIR LANE HEALTH SHELTON Ope 4708 118,044.61 - 853,079.60 - 701,016.59 - 270,107.62 828 FIR LANE HEALTH SHELTON Resident Trust 0343 11,662.65 - 1,879.00 9,783.65 Fir Lane Total 130,011.70 698,777.12 1,433,901.40 - 703,079.94 1,279,370.04 280,240.24 829 CHERRY WOOD PLACE SPOKANE LLC GOVT 5605 - - - - - - - 829 CHERRYWOOD PLACE SPOKANE DEP 4858 - 100,944.37 - - - 100,944.37 - 829 CHERRYWOOD PLACE SPOKANE OPE 6094 34,197.79 (1,609.95) 173,750.82 - 156,433.04 - 49,905.62 Cherrywood Place Total 34,197.79 99,334.42 173,750.82 - 156,433.04 100,944.37 49,905.62 830 FRANKLIN HILLS HEALTH SPOKANE Care Cost 5241 362.05 8,054.91 - - 136.40 8,258.40 22.16 830 FRANKLIN HILLS HEALTH SPOKANE DEP 4844 - 87,483.30 591,832.08 - - 679,315.38 - 830 FRANKLIN HILLS HEALTH SPOKANE GOVT 5339 - 583,573.68 - - - 583,573.68 - 830 FRANKLIN HILLS HEALTH SPOKANE OPE 5838 107,200.03 (3,734.67) 741,635.78 - 531,076.32 - 314,024.82 830 FRANKLIN HILLS HEALTH SPOKANE Resident Trust 0866 8,561.44 - 735.00 7,826.44 Franklin Hills Total 116,123.52 675,377.22 1,333,467.86 - 531,947.72 1,271,147.46 321,873.42 831 GARDENS ON UNIV SPOKANE VALLEY GOVT 5839 - 493,677.05 - - - 493,677.05 - 831 GARDENS ON UNIV SPOKANE VALLEY OPE 6358 59,379.59 (475.57) 752,331.98 - 663,691.32 - 147,544.68 831 GARDENS ON UNIVERSITY Care Cost 4881 6,876.44 4,478.00 - - 155.15 4,316.95 6,882.34 831 GARDENS ON UNIVERSITY DEP 5348 (875.00) 170,267.42 497,994.00 - - 667,386.42 - 831 GARDENS ON UNIVERSITY Resident Trust 0548 13,327.21 1,270.36 - 14,597.57 Gardens on University Total 78,708.24 669,217.26 1,250,325.98 - 663,846.47 1,165,380.42 169,024.59 832 CARE CENTER EAST HEALTH PORTLAND DEP 6808 - - - - - - - 832 CARE CENTER EAST HEALTH PORTLAND GOV 4079 - - - - - - - 832 CARE CENTER EAST HEALTH PORTLAND OPE 1065 27,822.83 - - - 30,949.62 - (3,126.79) Care Center East Total 27,822.83 - - - 30,949.62 - (3,126.79) 833 MEADOW PARK HEALTH ST HELENS Care Cost 5144 500.00 3,616.07 - - 97.15 3,518.92 500.00 833 MEADOW PARK HEALTH ST HELENS DEP 9677 - 144,464.60 270,097.04 - - 414,561.64 - 833 MEADOW PARK HEALTH ST HELENS GOVT 6698 - 266,578.12 - - - 266,578.12 - 833 MEADOW PARK HEALTH ST HELENS OPE 0170 139,006.24 - 449,492.23 - 400,066.75 - 188,431.72 833 MEADOW PARK HEALTH ST HELENS Resident Trust 0700 5,409.71 - 184.14 5,225.57 Meadow Park Total 144,915.95 414,658.79 719,589.27 - 400,348.04 684,658.68 194,157.29 834 IVY COURT Care Cost 4911 356.45 20,523.45 - - 149.45 20,358.80 371.65 834 IVY COURT COEUR d ALENE LLC GOVT 3849 - 438,890.83 - - - 438,890.83 - 834 IVY COURT COEUR D ALENE OPE 8102 124,772.02 - 710,836.33 - 689,858.70 - 145,749.65 834 IVY COURT DEP 2856 - 174,471.33 459,249.63 - - 633,720.96 - 834 IVY COURT Resident Trust 0505 21,187.29 - 688.55 20,498.74 Ivy Court Total 146,315.76 633,885.61 1,170,085.96 - 690,696.70 1,092,970.59 166,620.04 835 LACROSSE HEALTH COEUR D ALENE GOVT 1708 - 705,017.52 - - - 705,017.52 - 835 LACROSSE HEALTH COUER D ALENE Care Cost 5187 316.90 24,539.47 - - 165.20 24,356.37 334.80 835 LACROSSE HEALTH COUER D ALENE DEP 4711 - 126,453.19 729,373.89 - - 855,827.08 - 835 LACROSSE HEALTH COUER D ALENE OPE 2468 185,661.93 - 944,674.63 - 851,544.92 - 278,791.64 835 LACROSSE HEALTH COUER D ALENE Resident Trust 0785 16,511.77 - 829.80 15,681.97 Lacrosse Total 202,490.60 856,010.18 1,674,048.52 - 852,539.92 1,585,200.97 294,808.41 PNW MASTER TENANT I LLC 0136 - - - - - - - PNW MASTER TENANT I LLC MAIN CON HUD 0899 - - - - - - - PNW MASTER TENANT I LLC MAIN DISB- HUD 5897 - - - - - - - PNW MASTER TENANT II LLC MAIN CONC ACCT 1837 - - - - - - - PNW MASTER TENANT II LLC MAIN DISB- Non 7728 - - - - - - - Grand Totals 2,075,935.76 9,905,141.63 19,217,668.75 - 9,588,929.54 17,418,905.14 4,190,911.46 Note: The transfers include the return of funds sent to Midcap erroneously.




Debtor Bank Account Date Amount Type DescriptionAldercrest 824 ALDERCREST HEALTH EDMONDS GOVT ACCT 12/12/2019 25,840.27 AR Deposits NATIONAL GOVERNM HCCLAIMPMTAldercrest 824 ALDERCREST HEALTH EDMONDS GOVT ACCT 12/6/2019 300,502.22 AR Deposits WA ST DSHS HCCLAIMPMTAldercrest 824 ALDERCREST HEALTH EDMONDS GOVT ACCT 12/4/2019 588.58 AR Deposits NATIONAL GOVERNM HCCLAIMPMTAldercrest 824 ALDERCREST HEALTH EDMONDS GOVT ACCT 12/5/2019 18,188.36 AR Deposits NATIONAL GOVERNM HCCLAIMPMTAldercrest 824 ALDERCREST HEALTH EDMONDS LLC Care Cost 12/31/2019 345.94 AR Deposits NDC Care Cost TransactionsAldercrest 824 ALDERCREST HEALTH EDMONDS LLC Care Cost 12/9/2019 (150.00) AR Return NDC Care Cost TransactionsAldercrest 824 ALDERCREST HEALTH EDMONDS LLC Care Cost 12/3/2019 6,522.00 AR Deposits NDC Care Cost TransactionsAldercrest 824 ALDERCREST HEALTH EDMONDS LLC Care Cost 12/2/2019 778.61 AR Deposits NDC Care Cost TransactionsAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/31/2019 79.89 AR Deposits Aldercrest Healt SettlementAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/23/2019 50.00 AR Deposits EmptyAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/20/2019 6,993.24 AR Deposits EmptyAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/20/2019 4,341.55 AR Deposits Aldercrest Healt SettlementAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/19/2019 1,018.10 AR Deposits Molina HC of WA HCCLAIMPMTAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/17/2019 818.90 AR Deposits BANKCARD MTOT DEPAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/13/2019 21,647.95 AR Deposits EmptyAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/13/2019 297.79 AR Deposits 824 Aldercrest * SettlementAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/12/2019 4,042.80 AR Deposits Molina HC of WA HCCLAIMPMTAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/12/2019 2,918.16 AR Deposits Molina HC of WA HCCLAIMPMTAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/9/2019 1,117.23 AR Deposits BANKCARD MTOT DEPAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/10/2019 343.00 AR Deposits Aldercrest Healt SettlementAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/11/2019 100.00 AR Deposits BANKCARD MTOT DEPAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/6/2019 4,935.24 AR Deposits EmptyAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/6/2019 922.00 AR Deposits BANKCARD MTOT DEPAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/6/2019 2,804.61 AR Deposits EmptyAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/5/2019 13,147.59 AR Deposits EmptyAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/4/2019 981.00 AR Deposits BANKCARD MTOT DEPAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/3/2019 267.26 AR Deposits Molina HC of WA HCCLAIMPMTAldercrest 824 ALDERCREST HEALTH EDMONDS LLC DEP 12/5/2019 96.50 AR Deposits Aldercrest Healt SettlementAldercrest 824 ALDERCREST HEALTH EDMONDS LLC Care Cost 12/1/2019 330.83 AR Deposits 5/19 Missing TransactionAldercrest 824 ALDERCREST HEALTH EDMONDS GOVT ACCT 12/31/2019 8,729.05 AR Deposits NATIONAL GOVERNM HCCLAIMPMTAldercrest 824 ALDERCREST HEALTH EDMONDS GOVT ACCT 12/30/2019 84,824.98 AR Deposits NATIONAL GOVERNM HCCLAIMPMTAldercrest 824 ALDERCREST HEALTH EDMONDS GOVT ACCT 12/27/2019 11,429.46 AR Deposits WA ST DSHS HCCLAIMPMTAldercrest 824 ALDERCREST HEALTH EDMONDS GOVT ACCT 12/24/2019 20,135.34 AR Deposits NATIONAL GOVERNM HCCLAIMPMTAldercrest 824 ALDERCREST HEALTH EDMONDS GOVT ACCT 12/23/2019 9,357.79 AR Deposits NATIONAL GOVERNM HCCLAIMPMTAldercrest 824 ALDERCREST HEALTH EDMONDS GOVT ACCT 12/20/2019 38,221.07 AR Deposits WA ST DSHS HCCLAIMPMTAldercrest 824 ALDERCREST HEALTH EDMONDS GOVT ACCT 12/18/2019 1,616.58 AR Deposits NATIONAL GOVERNM HCCLAIMPMTAldercrest 824 ALDERCREST HEALTH EDMONDS GOVT ACCT 12/13/2019 50,373.38 AR Deposits WA ST DSHS HCCLAIMPMTAldercrest 824 ALDERCREST HEALTH EDMONDS GOVT ACCT 12/13/2019 6,115.00 AR Deposits NATIONAL GOVERNM HCCLAIMPMTAldercrest Total 650,672.27 Bremerton Health 821 BREMERTON HEALTH GOVT ACCT 12/6/2019 290,304.70 AR Deposits WA ST DSHS HCCLAIMPMTBremerton Health 821 BREMERTON HEALTH GOVT ACCT 12/6/2019 30,555.48 AR Deposits NATIONAL GOVERNM HCCLAIMPMTBremerton Health 821 BREMERTON HEALTH GOVT ACCT 12/4/2019 390.94 AR Deposits NATIONAL GOVERNM HCCLAIMPMTBremerton Health 821 BREMERTON HEALTH LLC Dep 12/16/2019 1,121.35 AR Deposits Molina HC of WA HCCLAIMPMTBremerton Health 821 BREMERTON HEALTH LLC Dep 12/16/2019 3,364.05 AR Deposits Molina HC of WA HCCLAIMPMTBremerton Health 821 BREMERTON HEALTH LLC Dep 12/30/2019 5,898.00 AR Deposits EmptyBremerton Health 821 BREMERTON HEALTH LLC Dep 12/27/2019 4,635.71 AR Deposits EmptyBremerton Health 821 BREMERTON HEALTH LLC Dep 12/27/2019 804.00 AR Deposits UHC COMMUNITY PL HCCLAIMPMTBremerton Health 821 BREMERTON HEALTH LLC Dep 12/26/2019 51.00 AR Deposits BANKCARD MTOT DEPBremerton Health 821 BREMERTON HEALTH LLC Dep 12/23/2019 4,434.15 AR Deposits Molina HC of WA HCCLAIMPMTBremerton Health 821 BREMERTON HEALTH LLC Dep 12/20/2019 1,000.00 AR Deposits BANKCARD MTOT DEPBremerton Health 821 BREMERTON HEALTH LLC Dep 12/19/2019 1,125.00 AR Deposits BANKCARD MTOT DEPBremerton Health 821 BREMERTON HEALTH LLC Dep 12/17/2019 6,880.00 AR Deposits EmptyBremerton Health 821 BREMERTON HEALTH LLC Dep 12/12/2019 30,085.15 AR Deposits EmptyBremerton Health 821 BREMERTON HEALTH LLC Dep 12/10/2019 20,057.00 AR Deposits UHC COMMUNITY PL HCCLAIMPMTBremerton Health 821 BREMERTON HEALTH LLC Dep 12/9/2019 9,935.79 AR Deposits EmptyBremerton Health 821 BREMERTON HEALTH LLC Dep 12/12/2019 4,742.89 AR Deposits EmptyBremerton Health 821 BREMERTON HEALTH LLC Dep 12/9/2019 2,000.00 AR Deposits BANKCARD MTOT DEPBremerton Health 821 BREMERTON HEALTH LLC Dep 12/9/2019 1,700.00 AR Deposits BANKCARD MTOT DEPBremerton Health 821 BREMERTON HEALTH LLC Dep 12/9/2019 149.67 AR Deposits Molina HC of WA HCCLAIMPMTBremerton Health 821 BREMERTON HEALTH LLC Dep 12/6/2019 591.73 AR Deposits BANKCARD MTOT DEPBremerton Health 821 BREMERTON HEALTH LLC Dep 12/5/2019 9,684.78 AR Deposits EmptyBremerton Health 821 BREMERTON HEALTH LLC Dep 12/5/2019 3,281.68 AR Deposits Bremerton Health SettlementBremerton Health 821 BREMERTON HEALTH LLC Dep 12/2/2019 6,355.37 AR Deposits EmptyBremerton Health 821 BREMERTON HEALTH LLC Dep 12/4/2019 1,105.00 AR Deposits BANKCARD MTOT DEPBremerton Health 821 BREMERTON HEALTH LLC Dep 12/16/2019 100.00 AR Deposits Bank Transaction EntryBremerton Health 821 BREMERTON HEALTH LLC Care Cost 12/31/2019 6,358.00 AR Deposits NDC Care Cost TransactionsBremerton Health 821 BREMERTON HEALTH LLC Care Cost 12/31/2019 1.00 AR Deposits NDC Care Cost TransactionsBremerton Health 821 BREMERTON HEALTH LLC Care Cost 12/6/2019 5,598.50 AR Deposits NDC Care Cost TransactionsBremerton Health 821 BREMERTON HEALTH LLC Care Cost 12/12/2019 1,120.00 AR Deposits NDC Care Cost TransactionsBremerton Health 821 BREMERTON HEALTH LLC Care Cost 12/3/2019 11,678.50 AR Deposits NDC Care Cost TransactionsBremerton Health 821 BREMERTON HEALTH LLC Care Cost 12/3/2019 515.31 AR Deposits NDC Care Cost TransactionsBremerton Health 821 BREMERTON HEALTH LLC Care Cost 12/2/2019 201.00 AR Deposits NDC Care Cost TransactionsBremerton Health 821 BREMERTON HEALTH GOVT ACCT 12/31/2019 4,008.00 AR Deposits NATIONAL GOVERNM HCCLAIMPMTBremerton Health 821 BREMERTON HEALTH GOVT ACCT 12/27/2019 59,902.40 AR Deposits WA ST DSHS HCCLAIMPMTBremerton Health 821 BREMERTON HEALTH GOVT ACCT 12/20/2019 40,565.71 AR Deposits WA ST DSHS HCCLAIMPMTBremerton Health 821 BREMERTON HEALTH GOVT ACCT 12/19/2019 156.08 AR Deposits NATIONAL GOVERNM HCCLAIMPMTBremerton Health 821 BREMERTON HEALTH GOVT ACCT 12/18/2019 117.06 AR Deposits NATIONAL GOVERNM HCCLAIMPMTBremerton Health 821 BREMERTON HEALTH GOVT ACCT 12/13/2019 55,912.72 AR Deposits WA ST DSHS HCCLAIMPMTBremerton Health 821 BREMERTON HEALTH GOVT ACCT 12/13/2019 12,617.50 AR Deposits NATIONAL GOVERNM HCCLAIMPMTBremerton Health Total 639,105.22 Cherrywood Place 829 CHERRYWOOD PLACE SPOKANE DEP 12/26/2019 8,252.46 AR Deposits EmptyCherrywood Place 829 CHERRYWOOD PLACE SPOKANE DEP 12/16/2019 56,954.11 AR Deposits EmptyCherrywood Place 829 CHERRYWOOD PLACE SPOKANE DEP 12/9/2019 3,828.00 AR Deposits BANKCARD MTOT DEPCherrywood Place 829 CHERRYWOOD PLACE SPOKANE DEP 12/9/2019 2,870.76 AR Deposits Cherrywood Place SettlementCherrywood Place 829 CHERRYWOOD PLACE SPOKANE DEP 12/6/2019 5,302.20 AR Deposits BANKCARD MTOT DEPCherrywood Place 829 CHERRYWOOD PLACE SPOKANE DEP 12/6/2019 16,485.36 AR Deposits EmptyCherrywood Place 829 CHERRYWOOD PLACE SPOKANE DEP 12/4/2019 4,114.00 AR Deposits BANKCARD MTOT DEPCherrywood Place 829 CHERRYWOOD PLACE SPOKANE DEP 12/5/2019 3,137.48 AR Deposits BANKCARD MTOT DEPCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/6/2019 (1,609.95) AR Return Bank Transaction EntryCherrywood Place Total 99,334.42 Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG GOVT 12/13/2019 1,567.81 AR Deposits NATIONAL GOVERNM HCCLAIMPMTCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG GOVT 12/12/2019 1,284.44 AR Deposits NATIONAL GOVERNM HCCLAIMPMTCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG GOVT 12/9/2019 327.62 AR Deposits 36 TREAS 310 MISC PAY

Cash Receipts Log




Debtor Bank Account Date Amount Type DescriptionCash Receipts Log

Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG GOVT 12/9/2019 461.85 AR Deposits NATIONAL GOVERNM HCCLAIMPMTCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG GOVT 12/11/2019 1,172.29 AR Deposits NATIONAL GOVERNM HCCLAIMPMTCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG GOVT 12/6/2019 257,979.12 AR Deposits WA ST DSHS HCCLAIMPMTCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG GOVT 12/5/2019 89,968.07 AR Deposits NATIONAL GOVERNM HCCLAIMPMTCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG Care Cost 12/31/2019 278.21 AR Deposits NDC Care Cost TransactionsCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG Care Cost 12/31/2019 194.00 AR Deposits NDC Care Cost TransactionsCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG Care Cost 12/13/2019 1,584.28 AR Deposits NDC Care Cost TransactionsCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG Care Cost 12/4/2019 392.34 AR Deposits NDC Care Cost TransactionsCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG Care Cost 12/3/2019 18,974.77 AR Deposits NDC Care Cost TransactionsCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG Care Cost 12/2/2019 626.00 AR Deposits NDC Care Cost TransactionsCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/31/2019 7,187.56 AR Deposits EmptyCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/26/2019 3,370.39 AR Deposits BANKCARD MTOT DEPCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/26/2019 1,109.29 AR Deposits EmptyCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/26/2019 30.00 AR Deposits Crestwood Conval SettlementCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/23/2019 5,409.36 AR Deposits EmptyCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/20/2019 19,627.50 AR Deposits EmptyCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/19/2019 4,457.09 AR Deposits EmptyCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/17/2019 32.00 AR Deposits 826 Crestwood *9 SettlementCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/16/2019 5,285.50 AR Deposits BANKCARD MTOT DEPCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/16/2019 4,375.24 AR Deposits EmptyCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/12/2019 8,719.04 AR Deposits EmptyCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/12/2019 8,525.00 AR Deposits EmptyCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/10/2019 8,487.94 AR Deposits EmptyCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/6/2019 250.00 AR Deposits BANKCARD MTOT DEPCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/6/2019 4,673.90 AR Deposits EmptyCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/5/2019 6,453.11 AR Deposits EmptyCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/4/2019 9,145.00 AR Deposits Crestwood Conval SettlementCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/5/2019 4,660.66 AR Deposits EmptyCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/3/2019 4,865.58 AR Deposits EmptyCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/4/2019 1,060.89 AR Deposits BANKCARD MTOT DEPCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/2/2019 1,162.38 AR Deposits EmptyCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG DEP 12/5/2019 620.00 AR Deposits BANKCARD MTOT DEPCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG GOVT 12/30/2019 206,015.21 AR Deposits NATIONAL GOVERNM HCCLAIMPMTCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG GOVT 12/27/2019 5,211.36 AR Deposits WA ST DSHS HCCLAIMPMTCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG GOVT 12/24/2019 131.43 AR Deposits NATIONAL GOVERNM HCCLAIMPMTCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG GOVT 12/20/2019 37,836.70 AR Deposits WA ST DSHS HCCLAIMPMTCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG GOVT 12/20/2019 11,559.60 AR Deposits NATIONAL GOVERNM HCCLAIMPMTCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG GOVT 12/16/2019 2,264.94 AR Deposits NATIONAL GOVERNM HCCLAIMPMTCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG GOVT 12/13/2019 40,252.19 AR Deposits WA ST DSHS HCCLAIMPMTCrestwood Total 787,589.66 Fir Lane 828 FIR LANE HEALTH SHELTON GOVT ACCT 12/13/2019 1,481.95 AR Deposits NATIONAL GOVERNM HCCLAIMPMTFir Lane 828 FIR LANE HEALTH SHELTON GOVT ACCT 12/12/2019 4,869.40 AR Deposits NATIONAL GOVERNM HCCLAIMPMTFir Lane 828 FIR LANE HEALTH SHELTON GOVT ACCT 12/11/2019 1,221.22 AR Deposits NATIONAL GOVERNM HCCLAIMPMTFir Lane 828 FIR LANE HEALTH SHELTON GOVT ACCT 12/6/2019 5,567.72 AR Deposits NATIONAL GOVERNM HCCLAIMPMTFir Lane 828 FIR LANE HEALTH SHELTON GOVT ACCT 12/6/2019 335,938.73 AR Deposits WA ST DSHS HCCLAIMPMTFir Lane 828 FIR LANE HEALTH SHELTON Care Cost 12/20/2019 50.43 AR Deposits NDC Care Cost TransactionsFir Lane 828 FIR LANE HEALTH SHELTON Care Cost 12/3/2019 20,548.35 AR Deposits NDC Care Cost TransactionsFir Lane 828 FIR LANE HEALTH SHELTON DEP 12/30/2019 696.00 AR Deposits BANKCARD MTOT DEPFir Lane 828 FIR LANE HEALTH SHELTON DEP 12/27/2019 21,686.97 AR Deposits EmptyFir Lane 828 FIR LANE HEALTH SHELTON DEP 12/24/2019 4,856.94 AR Deposits EmptyFir Lane 828 FIR LANE HEALTH SHELTON DEP 12/18/2019 28,949.94 AR Deposits EmptyFir Lane 828 FIR LANE HEALTH SHELTON DEP 12/18/2019 701.00 AR Deposits BANKCARD MTOT DEPFir Lane 828 FIR LANE HEALTH SHELTON DEP 12/10/2019 21,793.16 AR Deposits EmptyFir Lane 828 FIR LANE HEALTH SHELTON DEP 12/10/2019 3,723.71 AR Deposits Fir Lane Health- SettlementFir Lane 828 FIR LANE HEALTH SHELTON DEP 12/12/2019 1,717.83 AR Deposits BANKCARD MTOT DEPFir Lane 828 FIR LANE HEALTH SHELTON DEP 12/11/2019 134.69 AR Deposits BANKCARD MTOT DEPFir Lane 828 FIR LANE HEALTH SHELTON DEP 12/6/2019 1,369.14 AR Deposits BANKCARD MTOT DEPFir Lane 828 FIR LANE HEALTH SHELTON DEP 12/6/2019 6,932.00 AR Deposits EmptyFir Lane 828 FIR LANE HEALTH SHELTON DEP 12/6/2019 18,912.87 AR Deposits EmptyFir Lane 828 FIR LANE HEALTH SHELTON DEP 12/5/2019 5,803.65 AR Deposits Fir Lane Health- SettlementFir Lane 828 FIR LANE HEALTH SHELTON DEP 12/3/2019 448.54 AR Deposits BANKCARD MTOT DEPFir Lane 828 FIR LANE HEALTH SHELTON GOVT ACCT 12/30/2019 50,701.36 AR Deposits NATIONAL GOVERNM HCCLAIMPMTFir Lane 828 FIR LANE HEALTH SHELTON GOVT ACCT 12/27/2019 79,863.75 AR Deposits WA ST DSHS HCCLAIMPMTFir Lane 828 FIR LANE HEALTH SHELTON GOVT ACCT 12/20/2019 38,401.68 AR Deposits WA ST DSHS HCCLAIMPMTFir Lane 828 FIR LANE HEALTH SHELTON GOVT ACCT 12/19/2019 39.73 AR Deposits NATIONAL GOVERNM HCCLAIMPMTFir Lane 828 FIR LANE HEALTH SHELTON GOVT ACCT 12/18/2019 10,596.06 AR Deposits NATIONAL GOVERNM HCCLAIMPMTFir Lane 828 FIR LANE HEALTH SHELTON GOVT ACCT 12/17/2019 1,118.53 AR Deposits NATIONAL GOVERNM HCCLAIMPMTFir Lane 828 FIR LANE HEALTH SHELTON GOVT ACCT 12/13/2019 30,651.77 AR Deposits WA ST DSHS HCCLAIMPMTFir Lane Total 698,777.12 Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON GOVT 12/11/2019 16,224.91 AR Deposits NATIONAL GOVERNM HCCLAIMPMTForest Ridge 822 FOREST RIDGE HEALTH BREMERTON GOVT 12/9/2019 9,862.07 AR Deposits 36 TREAS 310 MISC PAYForest Ridge 822 FOREST RIDGE HEALTH BREMERTON GOVT 12/10/2019 11,116.38 AR Deposits NATIONAL GOVERNM HCCLAIMPMTForest Ridge 822 FOREST RIDGE HEALTH BREMERTON GOVT 12/6/2019 5,148.12 AR Deposits NATIONAL GOVERNM HCCLAIMPMTForest Ridge 822 FOREST RIDGE HEALTH BREMERTON GOVT 12/6/2019 169,658.25 AR Deposits WA ST DSHS HCCLAIMPMTForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/26/2019 5,460.50 AR Deposits EmptyForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/26/2019 930.00 AR Deposits BANKCARD MTOT DEPForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/18/2019 31,243.60 AR Deposits EmptyForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/16/2019 2,396.79 AR Deposits Molina HC of WA HCCLAIMPMTForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/16/2019 268.96 AR Deposits Forest Ridge Hea SettlementForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/9/2019 31,262.56 AR Deposits EmptyForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/11/2019 26,503.49 AR Deposits EmptyForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/11/2019 1,673.57 AR Deposits BANKCARD MTOT DEPForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/9/2019 1,698.00 AR Deposits BANKCARD MTOT DEPForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/10/2019 1,300.00 AR Deposits BANKCARD MTOT DEPForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/6/2019 616.00 AR Deposits Forest Ridge Hea SettlementForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/6/2019 1,191.90 AR Deposits BANKCARD MTOT DEPForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/5/2019 5,790.00 AR Deposits BANKCARD MTOT DEPForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/3/2019 3,500.00 AR Deposits BANKCARD MTOT DEPForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/2/2019 (1,000.00) AR Return Bank Transaction EntryForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/2/2019 1,000.00 AR Deposits Bank Transaction EntryForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/2/2019 1,000.00 AR Deposits Bank Transaction EntryForest Ridge 822 FOREST RIDGE HEALTH BREMERTON DEP 12/2/2019 (1,000.00) AR Return Bank Transaction EntryForest Ridge 822 FOREST RIDGE HEALTH BREMERTON Care Cost 12/2/2019 660.00 AR Deposits NDC Care Cost Transactions





Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON Care Cost 12/3/2019 7,298.00 AR Deposits NDC Care Cost TransactionsForest Ridge 822 FOREST RIDGE HEALTH BREMERTON GOVT 12/31/2019 920.25 AR Deposits NATIONAL GOVERNM HCCLAIMPMTForest Ridge 822 FOREST RIDGE HEALTH BREMERTON GOVT 12/30/2019 31,332.65 AR Deposits NATIONAL GOVERNM HCCLAIMPMTForest Ridge 822 FOREST RIDGE HEALTH BREMERTON GOVT 12/27/2019 31,606.38 AR Deposits WA ST DSHS HCCLAIMPMTForest Ridge 822 FOREST RIDGE HEALTH BREMERTON GOVT 12/26/2019 39.49 AR Deposits NATIONAL GOVERNM HCCLAIMPMTForest Ridge 822 FOREST RIDGE HEALTH BREMERTON GOVT 12/20/2019 63,704.44 AR Deposits WA ST DSHS HCCLAIMPMTForest Ridge 822 FOREST RIDGE HEALTH BREMERTON GOVT 12/19/2019 157.96 AR Deposits NATIONAL GOVERNM HCCLAIMPMTForest Ridge 822 FOREST RIDGE HEALTH BREMERTON GOVT 12/18/2019 9,580.33 AR Deposits NATIONAL GOVERNM HCCLAIMPMTForest Ridge 822 FOREST RIDGE HEALTH BREMERTON GOVT 12/13/2019 82,362.26 AR Deposits WA ST DSHS HCCLAIMPMTForest Ridge 822 FOREST RIDGE HEALTH BREMERTON GOVT 12/13/2019 14,803.89 AR Deposits NATIONAL GOVERNM HCCLAIMPMTForest Ridge Total 568,310.75 Franklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE GOVT 12/10/2019 31,720.05 AR Deposits NATIONAL GOVERNM HCCLAIMPMTFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE GOVT 12/11/2019 9,577.00 AR Deposits NATIONAL GOVERNM HCCLAIMPMTFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE GOVT 12/12/2019 2,101.22 AR Deposits NATIONAL GOVERNM HCCLAIMPMTFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE GOVT 12/6/2019 35,176.63 AR Deposits NATIONAL GOVERNM HCCLAIMPMTFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE GOVT 12/6/2019 223,770.01 AR Deposits WA ST DSHS HCCLAIMPMTFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE GOVT 12/4/2019 23,178.38 AR Deposits NATIONAL GOVERNM HCCLAIMPMTFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE Care Cost 12/27/2019 547.84 AR Deposits NDC Care Cost TransactionsFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE Care Cost 12/3/2019 6,899.57 AR Deposits NDC Care Cost TransactionsFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE Care Cost 12/2/2019 607.50 AR Deposits NDC Care Cost TransactionsFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/30/2019 15,167.35 AR Deposits EmptyFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/30/2019 755.01 AR Deposits 830 Franklin Hil SettlementFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/24/2019 2,343.68 AR Deposits EmptyFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/19/2019 430.39 AR Deposits EmptyFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/19/2019 252.27 AR Deposits Molina HC of WA HCCLAIMPMTFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/16/2019 23,606.73 AR Deposits EmptyFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/16/2019 2,025.45 AR Deposits Molina HC of WA HCCLAIMPMTFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/13/2019 640.00 AR Deposits BANKCARD MTOT DEPFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/9/2019 5,850.03 AR Deposits EmptyFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/11/2019 2,720.00 AR Deposits EmptyFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/11/2019 1,518.00 AR Deposits BANKCARD MTOT DEPFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/12/2019 1,294.00 AR Deposits EmptyFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/10/2019 378.00 AR Deposits BANKCARD MTOT DEPFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/6/2019 9,072.00 AR Deposits EmptyFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/4/2019 7,074.91 AR Deposits EmptyFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/2/2019 4,968.07 AR Deposits EmptyFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/2/2019 5,115.00 AR Deposits EmptyFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/2/2019 1,000.00 AR Deposits BANKCARD MTOT DEPFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/5/2019 1,050.41 AR Deposits EmptyFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/3/2019 1,131.00 AR Deposits Franklin Hills H SettlementFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/5/2019 826.00 AR Deposits Franklin Hills H SettlementFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/5/2019 265.00 AR Deposits BANKCARD MTOT DEPFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/19/2019 (469.67) AR Return Bank Transaction EntryFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/18/2019 (3,265.00) AR Return Bank Transaction EntryFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/24/2019 704.88 AR Deposits Bank Transaction EntryFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE DEP 12/24/2019 (704.88) AR Return Bank Transaction EntryFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE GOVT 12/30/2019 129,527.19 AR Deposits NATIONAL GOVERNM HCCLAIMPMTFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE GOVT 12/27/2019 22,590.40 AR Deposits WA ST DSHS HCCLAIMPMTFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE GOVT 12/24/2019 10,452.64 AR Deposits NATIONAL GOVERNM HCCLAIMPMTFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE GOVT 12/20/2019 63,142.17 AR Deposits WA ST DSHS HCCLAIMPMTFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE GOVT 12/19/2019 297.12 AR Deposits NATIONAL GOVERNM HCCLAIMPMTFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE GOVT 12/13/2019 32,040.87 AR Deposits WA ST DSHS HCCLAIMPMTFranklin Hills Total 675,377.22 Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY GOVT 12/12/2019 12,059.64 AR Deposits NATIONAL GOVERNM HCCLAIMPMTGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY GOVT 12/6/2019 11,679.86 AR Deposits NATIONAL GOVERNM HCCLAIMPMTGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY GOVT 12/6/2019 277,852.36 AR Deposits WA ST DSHS HCCLAIMPMTGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY GOVT 12/4/2019 1,501.86 AR Deposits NATIONAL GOVERNM HCCLAIMPMTGardens on University 831 GARDENS ON UNIVERSITY Care Cost 12/4/2019 270.00 AR Deposits NDC Care Cost TransactionsGardens on University 831 GARDENS ON UNIVERSITY Care Cost 12/3/2019 4,208.00 AR Deposits NDC Care Cost TransactionsGardens on University 831 GARDENS ON UNIVERSITY DEP 12/26/2019 15,226.89 AR Deposits EmptyGardens on University 831 GARDENS ON UNIVERSITY DEP 12/19/2019 1,852.49 AR Deposits Molina HC of WA HCCLAIMPMTGardens on University 831 GARDENS ON UNIVERSITY DEP 12/19/2019 2,074.27 AR Deposits Molina HC of WA HCCLAIMPMTGardens on University 831 GARDENS ON UNIVERSITY DEP 12/19/2019 230.54 AR Deposits Molina HC of WA HCCLAIMPMTGardens on University 831 GARDENS ON UNIVERSITY DEP 12/18/2019 38,897.47 AR Deposits EmptyGardens on University 831 GARDENS ON UNIVERSITY DEP 12/16/2019 16,505.69 AR Deposits Molina HC of WA HCCLAIMPMTGardens on University 831 GARDENS ON UNIVERSITY DEP 12/16/2019 11,500.70 AR Deposits Molina HC of WA HCCLAIMPMTGardens on University 831 GARDENS ON UNIVERSITY DEP 12/16/2019 3,748.80 AR Deposits EmptyGardens on University 831 GARDENS ON UNIVERSITY DEP 12/16/2019 2,256.00 AR Deposits BANKCARD MTOT DEPGardens on University 831 GARDENS ON UNIVERSITY DEP 12/16/2019 386.18 AR Deposits Molina HC of WA HCCLAIMPMTGardens on University 831 GARDENS ON UNIVERSITY DEP 12/13/2019 875.00 AR Deposits 795,121319347,145,,SEQ# 970000Gardens on University 831 GARDENS ON UNIVERSITY DEP 12/11/2019 26,981.02 AR Deposits EmptyGardens on University 831 GARDENS ON UNIVERSITY DEP 12/11/2019 2,000.00 AR Deposits Gardens on Unive SettlementGardens on University 831 GARDENS ON UNIVERSITY DEP 12/9/2019 1,194.00 AR Deposits BANKCARD MTOT DEPGardens on University 831 GARDENS ON UNIVERSITY DEP 12/11/2019 453.00 AR Deposits BANKCARD MTOT DEPGardens on University 831 GARDENS ON UNIVERSITY DEP 12/6/2019 1,361.00 AR Deposits BANKCARD MTOT DEPGardens on University 831 GARDENS ON UNIVERSITY DEP 12/6/2019 22,227.50 AR Deposits EmptyGardens on University 831 GARDENS ON UNIVERSITY DEP 12/3/2019 9,670.84 AR Deposits EmptyGardens on University 831 GARDENS ON UNIVERSITY DEP 12/3/2019 3,888.00 AR Deposits EmptyGardens on University 831 GARDENS ON UNIVERSITY DEP 12/3/2019 1,325.00 AR Deposits Gardens on Unive SettlementGardens on University 831 GARDENS ON UNIVERSITY DEP 12/4/2019 2,323.00 AR Deposits BANKCARD MTOT DEPGardens on University 831 GARDENS ON UNIVERSITY DEP 12/5/2019 2,653.20 AR Deposits Gardens on Unive SettlementGardens on University 831 GARDENS ON UNIVERSITY DEP 12/5/2019 1,032.00 AR Deposits BANKCARD MTOT DEPGardens on University 831 GARDENS ON UNIVERSITY DEP 12/3/2019 1,129.26 AR Deposits Molina HC of WA HCCLAIMPMTGardens on University 831 GARDENS ON UNIVERSITY DEP 12/2/2019 475.57 AR Deposits Gardens on Unive SettlementGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/6/2019 (230.00) AR Return Bank Transaction EntryGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/5/2019 (245.57) AR Return Bank Transaction EntryGardens on University 831 GARDENS ON UNIVERSITY DEP 12/13/2019 (875.00) AR Return Bank Transaction EntryGardens on University 831 GARDENS ON UNIVERSITY DEP 12/1/2019 875.00 AR Deposits augustGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY GOVT 12/31/2019 4,699.00 AR Deposits NATIONAL GOVERNM HCCLAIMPMTGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY GOVT 12/30/2019 51,942.49 AR Deposits NATIONAL GOVERNM HCCLAIMPMTGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY GOVT 12/27/2019 71,165.34 AR Deposits WA ST DSHS HCCLAIMPMTGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY GOVT 12/20/2019 15,892.76 AR Deposits WA ST DSHS HCCLAIMPMTGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY GOVT 12/20/2019 411.18 AR Deposits NATIONAL GOVERNM HCCLAIMPMT





Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY GOVT 12/13/2019 41,773.56 AR Deposits WA ST DSHS HCCLAIMPMTGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY GOVT 12/13/2019 4,699.00 AR Deposits NATIONAL GOVERNM HCCLAIMPMTGardens on University Total 667,946.90 Ivy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/13/2019 2,812.70 AR Deposits 36 TREAS 310 MISC PAYIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/11/2019 49,329.96 AR Deposits ST OF ID STARS HCCLAIMPMTIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/12/2019 17,977.54 AR Deposits NATIONAL GOVERNM HCCLAIMPMTIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/9/2019 24,170.36 AR Deposits 36 TREAS 310 MISC PAYIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/11/2019 10,713.80 AR Deposits BLUE CROSS OF ID AP PAYMENTIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/11/2019 4,769.52 AR Deposits BLUE CROSS OF ID AP PAYMENTIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/6/2019 277.76 AR Deposits NATIONAL GOVERNM HCCLAIMPMTIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/4/2019 307.20 AR Deposits NATIONAL GOVERNM HCCLAIMPMTIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/2/2019 39,677.73 AR Deposits 36 TREAS 310 MISC PAYIvy Court 834 IVY COURT Care Cost 12/31/2019 1,300.14 AR Deposits NDC Care Cost TransactionsIvy Court 834 IVY COURT Care Cost 12/17/2019 967.00 AR Deposits NDC Care Cost TransactionsIvy Court 834 IVY COURT Care Cost 12/3/2019 428.83 AR Deposits NDC Care Cost TransactionsIvy Court 834 IVY COURT Care Cost 12/3/2019 17,268.45 AR Deposits NDC Care Cost TransactionsIvy Court 834 IVY COURT Care Cost 12/2/2019 559.03 AR Deposits NDC Care Cost TransactionsIvy Court 834 IVY COURT DEP 12/30/2019 5,337.27 AR Deposits EmptyIvy Court 834 IVY COURT DEP 12/27/2019 42,157.43 AR Deposits EmptyIvy Court 834 IVY COURT DEP 12/24/2019 6,955.00 AR Deposits EmptyIvy Court 834 IVY COURT DEP 12/23/2019 6,560.76 AR Deposits EmptyIvy Court 834 IVY COURT DEP 12/23/2019 657.77 AR Deposits BANKCARD MTOT DEPIvy Court 834 IVY COURT DEP 12/19/2019 2,137.40 AR Deposits EmptyIvy Court 834 IVY COURT DEP 12/19/2019 100.00 AR Deposits BANKCARD MTOT DEPIvy Court 834 IVY COURT DEP 12/17/2019 1,200.00 AR Deposits EmptyIvy Court 834 IVY COURT DEP 12/16/2019 1,367.00 AR Deposits EmptyIvy Court 834 IVY COURT DEP 12/13/2019 2,085.25 AR Deposits EmptyIvy Court 834 IVY COURT DEP 12/12/2019 48,035.41 AR Deposits Molina HC of ID HCCLAIMPMTIvy Court 834 IVY COURT DEP 12/10/2019 25,453.95 AR Deposits EmptyIvy Court 834 IVY COURT DEP 12/11/2019 3,085.87 AR Deposits EmptyIvy Court 834 IVY COURT DEP 12/11/2019 2,179.00 AR Deposits BANKCARD MTOT DEPIvy Court 834 IVY COURT DEP 12/12/2019 295.00 AR Deposits EmptyIvy Court 834 IVY COURT DEP 12/6/2019 5,479.09 AR Deposits EmptyIvy Court 834 IVY COURT DEP 12/6/2019 6,902.46 AR Deposits EmptyIvy Court 834 IVY COURT DEP 12/6/2019 150.00 AR Deposits BANKCARD MTOT DEPIvy Court 834 IVY COURT DEP 12/3/2019 5,638.26 AR Deposits EmptyIvy Court 834 IVY COURT DEP 12/2/2019 2,148.15 AR Deposits EmptyIvy Court 834 IVY COURT DEP 12/3/2019 2,285.88 AR Deposits EmptyIvy Court 834 IVY COURT DEP 12/4/2019 4,260.38 AR Deposits BANKCARD MTOT DEPIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/31/2019 415.40 AR Deposits NATIONAL GOVERNM HCCLAIMPMTIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/30/2019 63,287.95 AR Deposits NATIONAL GOVERNM HCCLAIMPMTIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/26/2019 49,365.84 AR Deposits 36 TREAS 310 MISC PAYIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/26/2019 2,898.50 AR Deposits BLUE CROSS OF ID AP PAYMENTIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/26/2019 17,216.23 AR Deposits BLUE CROSS OF ID AP PAYMENTIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/23/2019 15,866.41 AR Deposits 36 TREAS 310 MISC PAYIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/18/2019 27,016.53 AR Deposits BLUE CROSS OF ID AP PAYMENTIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/18/2019 112,687.37 AR Deposits BLUE CROSS OF ID AP PAYMENTIvy Court 834 IVY COURT COEUR d ALENE LLC GOVT 12/18/2019 100.03 AR Deposits BLUE CROSS OF ID AP PAYMENTIvy Court Total 633,885.61 Lacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/31/2019 135,029.98 AR Deposits NATIONAL GOVERNM HCCLAIMPMTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/26/2019 2,805.93 AR Deposits BLUE CROSS OF ID AP PAYMENTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/26/2019 6,998.25 AR Deposits ST OF ID STARS HCCLAIMPMTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/26/2019 7,783.68 AR Deposits BLUE CROSS OF ID AP PAYMENTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/24/2019 18,151.96 AR Deposits NATIONAL GOVERNM HCCLAIMPMTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/23/2019 812.42 AR Deposits Molina HC of ID HCCLAIMPMTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/18/2019 2,047.44 AR Deposits BLUE CROSS OF ID AP PAYMENTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/17/2019 14,850.88 AR Deposits NATIONAL GOVERNM HCCLAIMPMTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/16/2019 10,391.89 AR Deposits Molina HC of ID HCCLAIMPMTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/13/2019 16,450.40 AR Deposits Molina HC of ID HCCLAIMPMTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/12/2019 76,550.16 AR Deposits Molina HC of ID HCCLAIMPMTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/11/2019 113,763.40 AR Deposits ST OF ID STARS HCCLAIMPMTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/11/2019 241,036.49 AR Deposits BLUE CROSS OF ID AP PAYMENTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/11/2019 33,109.79 AR Deposits BLUE CROSS OF ID AP PAYMENTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/9/2019 4,983.31 AR Deposits Molina HC of ID HCCLAIMPMTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/12/2019 6,309.90 AR Deposits Molina HC of ID HCCLAIMPMTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/4/2019 195.33 AR Deposits BLUE CROSS OF ID AP PAYMENTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/5/2019 1,109.36 AR Deposits NATIONAL GOVERNM HCCLAIMPMTLacrosse 835 LACROSSE HEALTH COEUR D ALENE GOVT 12/4/2019 12,636.95 AR Deposits NATIONAL GOVERNM HCCLAIMPMTLacrosse 835 LACROSSE HEALTH COUER D ALENE Care Cost 12/31/2019 58.27 AR Deposits NDC Care Cost TransactionsLacrosse 835 LACROSSE HEALTH COUER D ALENE Care Cost 12/18/2019 1,228.00 AR Deposits NDC Care Cost TransactionsLacrosse 835 LACROSSE HEALTH COUER D ALENE Care Cost 12/3/2019 23,253.20 AR Deposits NDC Care Cost TransactionsLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/30/2019 2,557.50 AR Deposits EmptyLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/30/2019 2,363.30 AR Deposits EmptyLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/27/2019 1,500.00 AR Deposits EmptyLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/27/2019 957.00 AR Deposits EmptyLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/26/2019 1,000.00 AR Deposits BANKCARD MTOT DEPLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/24/2019 11,130.90 AR Deposits EmptyLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/19/2019 2,798.13 AR Deposits EmptyLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/19/2019 1,705.00 AR Deposits EmptyLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/17/2019 18,610.00 AR Deposits BANKCARD MTOT DEPLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/16/2019 8,345.62 AR Deposits EmptyLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/10/2019 8,949.53 AR Deposits EmptyLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/12/2019 860.00 AR Deposits BANKCARD MTOT DEPLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/9/2019 225.00 AR Deposits BANKCARD MTOT DEPLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/6/2019 18,829.07 AR Deposits EmptyLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/4/2019 42,905.14 AR Deposits EmptyLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/5/2019 1,754.00 AR Deposits EmptyLacrosse 835 LACROSSE HEALTH COUER D ALENE DEP 12/5/2019 1,963.00 AR Deposits EmptyLacrosse Total 856,010.18 Meadow Park 833 MEADOW PARK HEALTH ST HELENS GOVT 12/31/2019 5,114.69 AR Deposits OR DHS HP MMIS HCCLAIMPMTMeadow Park 833 MEADOW PARK HEALTH ST HELENS GOVT 12/30/2019 53,583.26 AR Deposits NATIONAL GOVERNM HCCLAIMPMTMeadow Park 833 MEADOW PARK HEALTH ST HELENS GOVT 12/24/2019 2,728.00 AR Deposits OR DHS HP MMIS HCCLAIMPMTMeadow Park 833 MEADOW PARK HEALTH ST HELENS GOVT 12/23/2019 9,602.91 AR Deposits 36 TREAS 310 MISC PAY





Meadow Park 833 MEADOW PARK HEALTH ST HELENS GOVT 12/18/2019 13,303.14 AR Deposits NATIONAL GOVERNM HCCLAIMPMTMeadow Park 833 MEADOW PARK HEALTH ST HELENS GOVT 12/17/2019 23,629.69 AR Deposits OR DHS HP MMIS HCCLAIMPMTMeadow Park 833 MEADOW PARK HEALTH ST HELENS GOVT 12/10/2019 139,614.40 AR Deposits OR DHS HP MMIS HCCLAIMPMTMeadow Park 833 MEADOW PARK HEALTH ST HELENS GOVT 12/9/2019 10,009.62 AR Deposits 36 TREAS 310 MISC PAYMeadow Park 833 MEADOW PARK HEALTH ST HELENS GOVT 12/9/2019 907.89 AR Deposits NATIONAL GOVERNM HCCLAIMPMTMeadow Park 833 MEADOW PARK HEALTH ST HELENS GOVT 12/6/2019 7,402.53 AR Deposits NATIONAL GOVERNM HCCLAIMPMTMeadow Park 833 MEADOW PARK HEALTH ST HELENS GOVT 12/5/2019 681.99 AR Deposits NATIONAL GOVERNM HCCLAIMPMTMeadow Park 833 MEADOW PARK HEALTH ST HELENS Care Cost 12/27/2019 223.21 AR Deposits NDC Care Cost TransactionsMeadow Park 833 MEADOW PARK HEALTH ST HELENS Care Cost 12/3/2019 3,392.86 AR Deposits NDC Care Cost TransactionsMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/31/2019 35.00 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/30/2019 28,258.32 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/27/2019 75.68 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/23/2019 18,373.15 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/23/2019 1,085.29 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/20/2019 531.00 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/19/2019 4,550.00 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/18/2019 20.00 AR Deposits BANKCARD MTOT DEPMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/17/2019 5,345.00 AR Deposits BANKCARD MTOT DEPMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/17/2019 1,364.00 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/16/2019 991.90 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/13/2019 32.18 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/10/2019 9,920.00 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/12/2019 6,205.00 AR Deposits BANKCARD MTOT DEPMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/10/2019 753.85 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/12/2019 707.90 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/10/2019 185.85 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/12/2019 261.00 AR Deposits 833 Meadow Park SettlementMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/12/2019 20.00 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/5/2019 18,625.58 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/2/2019 19,185.73 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/5/2019 2,076.84 AR Deposits Meadow Park Heal SettlementMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/2/2019 18,617.67 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/5/2019 1,247.11 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/3/2019 1,755.90 AR Deposits BANKCARD MTOT DEPMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/5/2019 899.99 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/5/2019 926.14 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/5/2019 972.00 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/3/2019 145.00 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/2/2019 637.52 AR Deposits EmptyMeadow Park 833 MEADOW PARK HEALTH ST HELENS DEP 12/5/2019 660.00 AR Deposits BANKCARD MTOT DEPMeadow Park Total 414,658.79 North Auburn 820 NORTH AUBURN HEALTH OPE 12/6/2019 (600.00) AR Return Bank Transaction EntryNorth Auburn 820 NORTH AUBURN Care Cost 12/3/2019 6,255.00 AR Deposits NDC Care Cost TransactionsNorth Auburn 820 NORTH AUBURN Care Cost 12/5/2019 276.84 AR Deposits NDC Care Cost TransactionsNorth Auburn 820 NORTH AUBURN Care Cost 12/2/2019 485.70 AR Deposits NDC Care Cost TransactionsNorth Auburn 820 NORTH AUBURN HEALTH LLC GOVT ACCT 12/31/2019 1,176.30 AR Deposits NATIONAL GOVERNM HCCLAIMPMTNorth Auburn 820 NORTH AUBURN HEALTH LLC GOVT ACCT 12/30/2019 71,086.57 AR Deposits NATIONAL GOVERNM HCCLAIMPMTNorth Auburn 820 NORTH AUBURN HEALTH LLC GOVT ACCT 12/27/2019 57,934.36 AR Deposits WA ST DSHS HCCLAIMPMTNorth Auburn 820 NORTH AUBURN HEALTH LLC GOVT ACCT 12/23/2019 9,737.50 AR Deposits NATIONAL GOVERNM HCCLAIMPMTNorth Auburn 820 NORTH AUBURN HEALTH LLC GOVT ACCT 12/20/2019 1,478.60 AR Deposits WA ST DSHS HCCLAIMPMTNorth Auburn 820 NORTH AUBURN HEALTH LLC GOVT ACCT 12/13/2019 16,983.15 AR Deposits WA ST DSHS HCCLAIMPMTNorth Auburn 820 NORTH AUBURN HEALTH LLC GOVT ACCT 12/12/2019 11,120.20 AR Deposits NATIONAL GOVERNM HCCLAIMPMTNorth Auburn 820 NORTH AUBURN HEALTH LLC GOVT ACCT 12/6/2019 6,990.59 AR Deposits NATIONAL GOVERNM HCCLAIMPMTNorth Auburn 820 NORTH AUBURN HEALTH LLC GOVT ACCT 12/6/2019 261,824.16 AR Deposits WA ST DSHS HCCLAIMPMTNorth Auburn 820 NORTH AUBURN DEP 12/31/2019 9,145.00 AR Deposits EmptyNorth Auburn 820 NORTH AUBURN DEP 12/31/2019 3,120.00 AR Deposits EmptyNorth Auburn 820 NORTH AUBURN DEP 12/31/2019 201.00 AR Deposits EmptyNorth Auburn 820 NORTH AUBURN DEP 12/30/2019 12,338.50 AR Deposits EmptyNorth Auburn 820 NORTH AUBURN DEP 12/27/2019 10,000.00 AR Deposits EmptyNorth Auburn 820 NORTH AUBURN DEP 12/27/2019 3,960.57 AR Deposits Molina HC of WA HCCLAIMPMTNorth Auburn 820 NORTH AUBURN DEP 12/26/2019 2,604.85 AR Deposits EmptyNorth Auburn 820 NORTH AUBURN DEP 12/26/2019 2,000.00 AR Deposits BANKCARD MTOT DEPNorth Auburn 820 NORTH AUBURN DEP 12/26/2019 500.00 AR Deposits BANKCARD MTOT DEPNorth Auburn 820 NORTH AUBURN DEP 12/24/2019 16,504.56 AR Deposits EmptyNorth Auburn 820 NORTH AUBURN DEP 12/24/2019 40.00 AR Deposits EmptyNorth Auburn 820 NORTH AUBURN DEP 12/23/2019 2,000.00 AR Deposits BANKCARD MTOT DEPNorth Auburn 820 NORTH AUBURN DEP 12/23/2019 45.00 AR Deposits EmptyNorth Auburn 820 NORTH AUBURN DEP 12/20/2019 26,151.93 AR Deposits EmptyNorth Auburn 820 NORTH AUBURN DEP 12/20/2019 2,000.00 AR Deposits BANKCARD MTOT DEPNorth Auburn 820 NORTH AUBURN DEP 12/19/2019 6,425.00 AR Deposits BANKCARD MTOT DEPNorth Auburn 820 NORTH AUBURN DEP 12/17/2019 227.28 AR Deposits 820 North Auburn SettlementNorth Auburn 820 NORTH AUBURN DEP 12/16/2019 19,673.65 AR Deposits EmptyNorth Auburn 820 NORTH AUBURN DEP 12/16/2019 5,300.58 AR Deposits Molina HC of WA HCCLAIMPMTNorth Auburn 820 NORTH AUBURN DEP 12/16/2019 1,918.00 AR Deposits North Auburn Hea SettlementNorth Auburn 820 NORTH AUBURN DEP 12/16/2019 1,130.47 AR Deposits BANKCARD MTOT DEPNorth Auburn 820 NORTH AUBURN DEP 12/10/2019 24,912.58 AR Deposits EmptyNorth Auburn 820 NORTH AUBURN DEP 12/10/2019 19,047.63 AR Deposits EmptyNorth Auburn 820 NORTH AUBURN DEP 12/9/2019 10,808.63 AR Deposits Molina HC of WA HCCLAIMPMTNorth Auburn 820 NORTH AUBURN DEP 12/12/2019 337.71 AR Deposits Molina HC of WA HCCLAIMPMTNorth Auburn 820 NORTH AUBURN DEP 12/6/2019 1,360.00 AR Deposits North Auburn Hea SettlementNorth Auburn 820 NORTH AUBURN DEP 12/6/2019 2,834.06 AR Deposits BANKCARD MTOT DEPNorth Auburn 820 NORTH AUBURN DEP 12/4/2019 25,701.46 AR Deposits EmptyNorth Auburn 820 NORTH AUBURN DEP 12/4/2019 13,221.00 AR Deposits EmptyNorth Auburn 820 NORTH AUBURN DEP 12/4/2019 2,161.27 AR Deposits North Auburn Hea SettlementNorth Auburn 820 NORTH AUBURN DEP 12/5/2019 4,847.13 AR Deposits North Auburn Hea SettlementNorth Auburn 820 NORTH AUBURN DEP 12/5/2019 398.78 AR Deposits Molina HC of WA HCCLAIMPMTNorth Auburn 820 NORTH AUBURN DEP 12/3/2019 600.00 AR Deposits North Auburn Hea SettlementNorth Auburn Total 676,265.61 Puget Sound 825 PUGET SOUND HEALTHCAREOLYMPIA GOVT 12/31/2019 2,859.59 AR Deposits NATIONAL GOVERNM HCCLAIMPMTPuget Sound 825 PUGET SOUND HEALTHCAREOLYMPIA GOVT 12/30/2019 100,496.88 AR Deposits NATIONAL GOVERNM HCCLAIMPMTPuget Sound 825 PUGET SOUND HEALTHCAREOLYMPIA GOVT 12/27/2019 109,318.14 AR Deposits WA ST DSHS HCCLAIMPMTPuget Sound 825 PUGET SOUND HEALTHCAREOLYMPIA GOVT 12/26/2019 77.58 AR Deposits NATIONAL GOVERNM HCCLAIMPMTPuget Sound 825 PUGET SOUND HEALTHCAREOLYMPIA GOVT 12/20/2019 15,989.15 AR Deposits WA ST DSHS HCCLAIMPMT





Puget Sound 825 PUGET SOUND HEALTHCAREOLYMPIA GOVT 12/17/2019 26,151.36 AR Deposits NATIONAL GOVERNM HCCLAIMPMTPuget Sound 825 PUGET SOUND HEALTHCAREOLYMPIA GOVT 12/13/2019 359,350.92 AR Deposits WA ST DSHS HCCLAIMPMTPuget Sound 825 PUGET SOUND HEALTHCAREOLYMPIA GOVT 12/6/2019 37,688.01 AR Deposits WA ST DSHS HCCLAIMPMTPuget Sound 825 PUGET SOUND HEALTHCAREOLYMPIA GOVT 12/6/2019 71,251.83 AR Deposits NATIONAL GOVERNM HCCLAIMPMTPuget Sound 825 PUGET SOUND HEALTHCAREOLYMPIA GOVT 12/4/2019 4,238.36 AR Deposits NATIONAL GOVERNM HCCLAIMPMTPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA Care Cost 12/31/2019 1,290.24 AR Deposits NDC Care Cost TransactionsPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA Care Cost 12/24/2019 859.00 AR Deposits NDC Care Cost TransactionsPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA Care Cost 12/3/2019 8,850.92 AR Deposits NDC Care Cost TransactionsPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA Care Cost 12/3/2019 1,301.90 AR Deposits NDC Care Cost TransactionsPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA Care Cost 12/2/2019 1,681.88 AR Deposits NDC Care Cost TransactionsPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/31/2019 7,361.32 AR Deposits EmptyPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/31/2019 7,355.07 AR Deposits EmptyPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/26/2019 16,381.82 AR Deposits EmptyPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/26/2019 1,980.00 AR Deposits EmptyPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/24/2019 68.03 AR Deposits Molina HC of WA HCCLAIMPMTPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/23/2019 200.00 AR Deposits BANKCARD MTOT DEPPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/20/2019 757.67 AR Deposits EmptyPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/19/2019 13,192.82 AR Deposits EmptyPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/19/2019 2,178.61 AR Deposits BANKCARD MTOT DEPPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/18/2019 3,500.00 AR Deposits BANKCARD MTOT DEPPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/17/2019 23,817.10 AR Deposits EmptyPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/9/2019 47,246.79 AR Deposits EmptyPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/10/2019 12,962.19 AR Deposits EmptyPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/12/2019 20.00 AR Deposits BANKCARD MTOT DEPPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/3/2019 33,645.02 AR Deposits EmptyPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/5/2019 3,939.63 AR Deposits EmptyPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/5/2019 4,262.97 AR Deposits EmptyPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/5/2019 5,859.39 AR Deposits Puget Sound Heal SettlementPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/4/2019 2,042.30 AR Deposits BANKCARD MTOT DEPPuget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA DEP 12/2/2019 79.89 AR Deposits Puget Sound Heal SettlementPuget Sound Total 928,256.38 Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LA GOVT 12/31/2019 2,729.00 AR Deposits NATIONAL GOVERNM HCCLAIMPMTRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LA GOVT 12/30/2019 19,087.89 AR Deposits NATIONAL GOVERNM HCCLAIMPMTRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LA GOVT 12/27/2019 39,921.15 AR Deposits WA ST DSHS HCCLAIMPMTRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LA GOVT 12/26/2019 635.68 AR Deposits NATIONAL GOVERNM HCCLAIMPMTRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LA GOVT 12/24/2019 397.30 AR Deposits NATIONAL GOVERNM HCCLAIMPMTRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LA GOVT 12/20/2019 63,834.96 AR Deposits WA ST DSHS HCCLAIMPMTRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LA GOVT 12/23/2019 119.19 AR Deposits NATIONAL GOVERNM HCCLAIMPMTRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LA GOVT 12/20/2019 39.73 AR Deposits NATIONAL GOVERNM HCCLAIMPMTRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LA GOVT 12/18/2019 11,925.49 AR Deposits NATIONAL GOVERNM HCCLAIMPMTRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LA GOVT 12/13/2019 52,440.47 AR Deposits WA ST DSHS HCCLAIMPMTRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LA GOVT 12/13/2019 2,729.00 AR Deposits NATIONAL GOVERNM HCCLAIMPMTRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LA GOVT 12/6/2019 171,348.85 AR Deposits WA ST DSHS HCCLAIMPMTRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LA GOVT 12/6/2019 11,758.42 AR Deposits NATIONAL GOVERNM HCCLAIMPMTRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Care Cost 12/31/2019 345.00 AR Deposits NDC Care Cost TransactionsRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Care Cost 12/12/2019 776.43 AR Deposits NDC Care Cost TransactionsRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Care Cost 12/3/2019 4,752.50 AR Deposits NDC Care Cost TransactionsRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Care Cost 12/2/2019 271.00 AR Deposits NDC Care Cost TransactionsRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/19/2019 1,625.00 AR Deposits EmptyRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/19/2019 585.57 AR Deposits BANKCARD MTOT DEPRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/18/2019 12,599.28 AR Deposits EmptyRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/18/2019 646.00 AR Deposits BANKCARD MTOT DEPRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/17/2019 2,352.86 AR Deposits EmptyRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/13/2019 2,637.50 AR Deposits BANKCARD MTOT DEPRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/13/2019 742.00 AR Deposits Riverside Nursin SettlementRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/9/2019 15,178.00 AR Deposits EmptyRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/10/2019 8,653.79 AR Deposits EmptyRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/10/2019 8,787.00 AR Deposits EmptyRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/9/2019 5,064.50 AR Deposits EmptyRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/11/2019 1,760.00 AR Deposits EmptyRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/12/2019 1,633.00 AR Deposits EmptyRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/10/2019 6.00 AR Deposits EmptyRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/6/2019 335.00 AR Deposits Riverside Nursin SettlementRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/6/2019 1,584.00 AR Deposits BANKCARD MTOT DEPRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/6/2019 3,670.60 AR Deposits EmptyRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/5/2019 26,238.05 AR Deposits EmptyRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/4/2019 3,722.53 AR Deposits EmptyRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/5/2019 1,483.00 AR Deposits BANKCARD MTOT DEPRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/2/2019 400.00 AR Deposits EmptyRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/2/2019 820.40 AR Deposits EmptyRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Dep 12/3/2019 858.17 AR Deposits BANKCARD MTOT DEPRiverside Nursing Total 484,494.31 Sequim 827 SEQUIM HEALTH LLC GOVT ACCT 12/31/2019 14,159.40 AR Deposits NATIONAL GOVERNM HCCLAIMPMTSequim 827 SEQUIM HEALTH LLC GOVT ACCT 12/30/2019 405,928.29 AR Deposits NATIONAL GOVERNM HCCLAIMPMTSequim 827 SEQUIM HEALTH LLC GOVT ACCT 12/27/2019 12,019.60 AR Deposits WA ST DSHS HCCLAIMPMTSequim 827 SEQUIM HEALTH LLC GOVT ACCT 12/23/2019 29,530.23 AR Deposits NATIONAL GOVERNM HCCLAIMPMTSequim 827 SEQUIM HEALTH LLC GOVT ACCT 12/20/2019 18,295.35 AR Deposits WA ST DSHS HCCLAIMPMTSequim 827 SEQUIM HEALTH LLC GOVT ACCT 12/20/2019 5,079.53 AR Deposits NATIONAL GOVERNM HCCLAIMPMTSequim 827 SEQUIM HEALTH LLC GOVT ACCT 12/18/2019 2,731.12 AR Deposits NATIONAL GOVERNM HCCLAIMPMTSequim 827 SEQUIM HEALTH LLC GOVT ACCT 12/13/2019 56,270.39 AR Deposits WA ST DSHS HCCLAIMPMTSequim 827 SEQUIM HEALTH LLC GOVT ACCT 12/11/2019 1,590.07 AR Deposits NATIONAL GOVERNM HCCLAIMPMTSequim 827 SEQUIM HEALTH LLC GOVT ACCT 12/6/2019 153,579.95 AR Deposits NATIONAL GOVERNM HCCLAIMPMTSequim 827 SEQUIM HEALTH LLC GOVT ACCT 12/6/2019 166,659.93 AR Deposits WA ST DSHS HCCLAIMPMTSequim 827 SEQUIM HEALTH LLC GOVT ACCT 12/4/2019 24,412.18 AR Deposits NATIONAL GOVERNM HCCLAIMPMTSequim 827 SEQUIM HEALTH LLC GOVT ACCT 12/5/2019 1,773.25 AR Deposits NATIONAL GOVERNM HCCLAIMPMTSequim 827 SEQUIM HEALTH DEP Care Cost 12/31/2019 383.33 AR Deposits NDC Care Cost TransactionsSequim 827 SEQUIM HEALTH DEP Care Cost 12/24/2019 336.78 AR Deposits NDC Care Cost TransactionsSequim 827 SEQUIM HEALTH DEP Care Cost 12/13/2019 14.65 AR Deposits NDC Care Cost TransactionsSequim 827 SEQUIM HEALTH DEP Care Cost 12/10/2019 10.00 AR Deposits NDC Care Cost TransactionsSequim 827 SEQUIM HEALTH DEP Care Cost 12/3/2019 10,851.00 AR Deposits NDC Care Cost TransactionsSequim 827 SEQUIM HEALTH DEP Care Cost 12/2/2019 960.19 AR Deposits NDC Care Cost TransactionsSequim 827 SEQUIM HEALTH DEP 12/31/2019 3,499.50 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/31/2019 2,126.50 AR Deposits Empty





Sequim 827 SEQUIM HEALTH DEP 12/30/2019 16,872.20 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/30/2019 900.00 AR Deposits BANKCARD MTOT DEPSequim 827 SEQUIM HEALTH DEP 12/27/2019 4,709.92 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/24/2019 2,738.34 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/24/2019 1,000.00 AR Deposits BANKCARD MTOT DEPSequim 827 SEQUIM HEALTH DEP 12/23/2019 6,751.59 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/23/2019 1,760.76 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/20/2019 2,335.84 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/19/2019 1,705.00 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/19/2019 59.31 AR Deposits BANKCARD MTOT DEPSequim 827 SEQUIM HEALTH DEP 12/18/2019 1,534.14 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/17/2019 20,908.72 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/17/2019 152.50 AR Deposits BANKCARD MTOT DEPSequim 827 SEQUIM HEALTH DEP 12/16/2019 13,643.26 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/16/2019 7,779.67 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/16/2019 1,000.00 AR Deposits BANKCARD MTOT DEPSequim 827 SEQUIM HEALTH DEP 12/16/2019 1,090.10 AR Deposits Sequim Health SettlementSequim 827 SEQUIM HEALTH DEP 12/10/2019 9,822.27 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/9/2019 9,026.75 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/9/2019 8,525.00 AR Deposits BANKCARD MTOT DEPSequim 827 SEQUIM HEALTH DEP 12/11/2019 3,190.00 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/9/2019 2,137.19 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/11/2019 1,449.25 AR Deposits BANKCARD MTOT DEPSequim 827 SEQUIM HEALTH DEP 12/12/2019 1,490.15 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/11/2019 401.26 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/6/2019 1,051.50 AR Deposits Sequim Health SettlementSequim 827 SEQUIM HEALTH DEP 12/5/2019 12,588.50 AR Deposits BANKCARD MTOT DEPSequim 827 SEQUIM HEALTH DEP 12/2/2019 40,825.48 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/5/2019 8,874.13 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/5/2019 3,224.00 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/5/2019 3,637.22 AR Deposits Sequim Health SettlementSequim 827 SEQUIM HEALTH DEP 12/3/2019 4,497.94 AR Deposits EmptySequim 827 SEQUIM HEALTH DEP 12/4/2019 1,507.68 AR Deposits BANKCARD MTOT DEPSequim 827 SEQUIM HEALTH DEP 12/4/2019 2,434.59 AR Deposits EmptySequim Total 1,109,835.50 Grand Total 9,890,519.94




Debtor Bank Account Date Amount Check # VendorAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/30/2019 20,779.71 EFT123019-824 Canyon NH LLcAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/31/2019 (8,950.00) 002165 Nursing Assistant Training InstituteAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/13/2019 1,728.00 002400 Hocs ConsultingAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/13/2019 2,723.17 002401 Twin MedAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/11/2019 345.60 002395 Hocs ConsultingAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/6/2019 10.00 002394 Hannah JonesAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/12/2019 3,000.00 002396 Petty Cash - AldercrestAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/13/2019 1,211.54 002398 Schryver Medical Sales and Marketing, LLCAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/19/2019 1,333.33 002402 Catherine YooAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/19/2019 232.25 002403 Wright ExpressAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/19/2019 1,147.47 002404 Maxsip Corporation 671Aldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/19/2019 118.61 002405 Comcast (9230)Aldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/19/2019 3,015.36 002406 Republic ServicesAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/19/2019 350.90 002407 TIAA Commercial Finance (3692) 824 (Everbank)Aldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/19/2019 140.00 002408 HD Supply DSSIAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/19/2019 532.77 002409 Relias Learning, LLCAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/19/2019 712.79 002410 Right Care (NaviHealth)Aldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/19/2019 400.00 002411 Scott T Andrews, DentistAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/19/2019 466.72 002412 TonerQuestAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/26/2019 9,669.72 EFT010220-824 Phyt Rehab of Washington, Inc.Aldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/26/2019 2,004.00 002417 Philadelphia Insurance CompaniesAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/26/2019 33.33 002418 Shomer Insurance Agency, Inc.Aldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/26/2019 297.92 002419 Comcast Business 3637Aldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/26/2019 29.99 002420 Pitney Bowes Purchase PowerAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/26/2019 1,080.00 002421 Northcare Training (Mary's Nursing Delegation PS Inc.)Aldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/26/2019 2,374.90 002422 PointClickCare (Wescom Solutions)Aldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/19/2019 4,176.27 EFT121919-824 Omnicare, Inc.Aldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/19/2019 5,530.03 002413 IPFS Corporation (Charlotte)Aldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/19/2019 899.84 002414 Washington Health Care AssociationAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/19/2019 282.00 002415 Washington State Department of HealthAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/11/2019 115,000.00 EFT121219-824 SNF Payroll, LLCAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/13/2019 34,258.01 EFT121319-824 SNF Payroll, LLCAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/20/2019 1,000.00 002416 Wright ExpressAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/5/2019 67,603.03 EFT120519.-824 Canyon NH LLcAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/24/2019 1,353.02 EFT122419-824 Ed EblingAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/26/2019 2,740.80 EFT122619-824 Department of Revenue Washington StateAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/13/2019 175.32 002399 Schryver Medical Sales and Marketing, LLCAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/9/2019 8,997.89 EFT121219-824 Phyt Rehab of Washington, Inc.Aldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/13/2019 10,592.29 EFT121619-824 Phyt Rehab of Washington, Inc.Aldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/18/2019 10,355.04 EFT121819-824 Phyt Rehab of Washington, Inc.Aldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/6/2019 12,385.52 EFT12619 ,-824 Healthcare Services Group IncAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/30/2019 16,321.99 EFT123019-824 Apex Global Solutions, LLCAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/24/2019 115,000.00 EFT122419-824 SNF Payroll, LLCAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/26/2019 27,741.16 EFT122619-824 SNF Payroll, LLCAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/20/2019 18,661.82 EFT122019-824 Healthcare Services Group IncAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/20/2019 12,650.20 EFT122019-824 CRN Pool LLCAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/20/2019 7,935.00 EFT122019-824 Cornerstone Healthcare ServicesAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/18/2019 1,548.80 EFT121819-824 Cornerstone Healthcare ServicesAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/24/2019 6,568.00 EFT122419-824 Cornerstone Healthcare ServicesAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/6/2019 20,000.00 EFT12619 .-824 Cornerstone Healthcare ServicesAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/31/2019 8,046.70 EFT123119-824 Cornerstone Self InsuredAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/31/2019 995.97 EFT123119-824 Interactive Medical Systems, Inc.Aldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/26/2019 18,661.82 EFT122619-824 Healthcare Services Group IncAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/26/2019 1,359.91 EFT122619-824 Cornerstone Healthcare ServicesAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/12/2019 2,706.91 002397 Twin MedAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/16/2019 24,938.12 EFT121619-824 Healthcare Services Group IncAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/6/2019 20,000.00 EFT12619-824 CRN Pool LLCAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/20/2019 4,896.60 EFT122019-824 Apex Global Solutions, LLCAldercrest 824 ALDERCREST HEALTH EDMONDS LLC Care Cost 12/23/2019 116.20 Bank FeeAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/16/2019 30.08 Bank FeeAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/10/2019 16.40 Bank FeeAldercrest 824 ALDERCREST HEALTH EDMONDS OPE 12/2/2019 133.88 Bank FeeAldercrest Total 628,466.70 Bremerton Health 821 BREMERTON HEALTH LLC OPE 12/13/2019 1,687.50 002323 Hocs ConsultingBremerton Health 821 BREMERTON HEALTH LLC OPE 12/11/2019 337.50 002319 Hocs ConsultingBremerton Health 821 BREMERTON HEALTH LLC OPE 12/6/2019 87.35 002314 Georgia ZiminiskyBremerton Health 821 BREMERTON HEALTH LLC OPE 12/6/2019 14.16 002315 Glenn CruzBremerton Health 821 BREMERTON HEALTH LLC OPE 12/12/2019 3,000.00 002320 Petty Cashier - Bremerton HealthBremerton Health 821 BREMERTON HEALTH LLC OPE 12/19/2019 833.68 002324 Cathy VerlindaBremerton Health 821 BREMERTON HEALTH LLC OPE 12/19/2019 1,466.67 002325 Donald Sharman, MDBremerton Health 821 BREMERTON HEALTH LLC OPE 12/19/2019 275.00 002326 Wright ExpressBremerton Health 821 BREMERTON HEALTH LLC OPE 12/12/2019 5,077.76 002321 Twin MedBremerton Health 821 BREMERTON HEALTH LLC OPE 12/26/2019 7,421.81 EFT010220-821 Phyt Rehab of Washington, Inc.Bremerton Health 821 BREMERTON HEALTH LLC OPE 12/13/2019 163.29 002322 Schryver Medical Sales and Marketing, LLCBremerton Health 821 BREMERTON HEALTH LLC OPE 12/13/2019 163.29 002322 Schryver Medical Sales and Marketing, LLCBremerton Health 821 BREMERTON HEALTH LLC OPE 12/26/2019 726.00 002336 National Government ServicesBremerton Health 821 BREMERTON HEALTH LLC OPE 12/19/2019 11,091.14 EFT121919-821 Cornerstone Self InsuredBremerton Health 821 BREMERTON HEALTH LLC OPE 12/26/2019 11,091.14 002337 Cornerstone Self InsuredBremerton Health 821 BREMERTON HEALTH LLC OPE 12/26/2019 241.40 002338 TIAA Commercial Finance (3672) 821(Everbank)Bremerton Health 821 BREMERTON HEALTH LLC OPE 12/26/2019 394.55 002339 Hewlett Packard Financial Services CompanyBremerton Health 821 BREMERTON HEALTH LLC OPE 12/26/2019 2,290.01 002340 PointClickCare (Wescom Solutions)Bremerton Health 821 BREMERTON HEALTH LLC OPE 12/26/2019 3,017.16 002342 Philadelphia Insurance CompaniesBremerton Health 821 BREMERTON HEALTH LLC OPE 12/19/2019 2,515.70 EFT121919-821 Omnicare, Inc.Bremerton Health 821 BREMERTON HEALTH LLC OPE 12/6/2019 374.23 002316 Jessica CarlsonBremerton Health 821 BREMERTON HEALTH LLC OPE 12/6/2019 859.06 002317 Resiah Mae NelsenBremerton Health 821 BREMERTON HEALTH LLC OPE 12/6/2019 102.49 002318 Sabrina EastmanBremerton Health 821 BREMERTON HEALTH LLC OPE 12/19/2019 5,591.23 002327 IPFS Corporation (Charlotte)Bremerton Health 821 BREMERTON HEALTH LLC OPE 12/19/2019 878.75 002328 Washington Health Care AssociationBremerton Health 821 BREMERTON HEALTH LLC OPE 12/19/2019 1,361.26 002329 Maxsip Corporation 671Bremerton Health 821 BREMERTON HEALTH LLC OPE 12/19/2019 148.37 002330 Comcast (0953)

Disbursements Log




Debtor Bank Account Date Amount Check # VendorDisbursements Log

Bremerton Health 821 BREMERTON HEALTH LLC OPE 12/19/2019 286.81 002331 Comcast (4899)Bremerton Health 821 BREMERTON HEALTH LLC OPE 12/19/2019 19.05 002332 Comcast (4480)Bremerton Health 821 BREMERTON HEALTH LLC OPE 12/19/2019 692.81 002333 Waste Management (3008)Bremerton Health 821 BREMERTON HEALTH LLC OPE 12/19/2019 34.26 002334 StericycleBremerton Health 821 BREMERTON HEALTH LLC OPE 12/20/2019 1,000.00 002335 Wright ExpressBremerton Health 821 BREMERTON HEALTH LLC OPE 12/9/2019 4,303.87 EFT121219-821 Phyt Rehab of Washington, Inc.Bremerton Health 821 BREMERTON HEALTH LLC OPE 12/5/2019 66,018.58 EFT120519.-821 Canyon NH LLcBremerton Health 821 BREMERTON HEALTH LLC OPE 12/26/2019 2,787.20 EFT122619-821 Department of Revenue Washington StateBremerton Health 821 BREMERTON HEALTH LLC OPE 12/30/2019 20,292.68 EFT123019-821 Canyon NH LLcBremerton Health 821 BREMERTON HEALTH LLC OPE 12/13/2019 3,857.27 EFT121619-821 Phyt Rehab of Washington, Inc.Bremerton Health 821 BREMERTON HEALTH LLC OPE 12/18/2019 6,353.18 EFT121819-821 Phyt Rehab of Washington, Inc.Bremerton Health 821 BREMERTON HEALTH LLC OPE 12/4/2019 155,000.00 EFT120419-821 SNF Payroll, LLCBremerton Health 821 BREMERTON HEALTH LLC OPE 12/19/2019 1,055.64 EFT121919,-821 SNF Payroll, LLCBremerton Health 821 BREMERTON HEALTH LLC OPE 12/5/2019 178.04 EFT120519-821 SNF Payroll, LLCBremerton Health 821 BREMERTON HEALTH LLC OPE 12/24/2019 6,568.00 EFT122419-821 Cornerstone Healthcare ServicesBremerton Health 821 BREMERTON HEALTH LLC OPE 12/6/2019 20,000.00 EFT12619-821 CRN Pool LLCBremerton Health 821 BREMERTON HEALTH LLC OPE 12/6/2019 20,000.00 EFT12619 .-821 Cornerstone Healthcare ServicesBremerton Health 821 BREMERTON HEALTH LLC OPE 12/17/2019 155,000.00 EFT121719-821 SNF Payroll, LLCBremerton Health 821 BREMERTON HEALTH LLC OPE 12/16/2019 24,289.06 EFT121619-821 Healthcare Services Group IncBremerton Health 821 BREMERTON HEALTH LLC OPE 12/31/2019 1,953.83 EFT123119-821 Interactive Medical Systems, Inc.Bremerton Health 821 BREMERTON HEALTH LLC OPE 12/31/2019 8,046.70 EFT123119-821 Cornerstone Self InsuredBremerton Health 821 BREMERTON HEALTH LLC OPE 12/31/2019 155,000.00 EFT123119-821 SNF Payroll, LLCBremerton Health 821 BREMERTON HEALTH LLC OPE 12/30/2019 11,091.14 EFT123019-821 Cornerstone Self InsuredBremerton Health 821 BREMERTON HEALTH LLC OPE 12/30/2019 16,101.56 EFT123019-821 Apex Global Solutions, LLCBremerton Health 821 BREMERTON HEALTH LLC OPE 12/26/2019 18,749.98 EFT122619-821 Healthcare Services Group IncBremerton Health 821 BREMERTON HEALTH LLC OPE 12/26/2019 1,359.91 EFT122619-821 Cornerstone Healthcare ServicesBremerton Health 821 BREMERTON HEALTH LLC OPE 12/17/2019 14,426.71 EFT121719-821 Cornerstone Healthcare ServicesBremerton Health 821 BREMERTON HEALTH LLC OPE 12/18/2019 1,548.80 EFT121819-821 Cornerstone Healthcare ServicesBremerton Health 821 BREMERTON HEALTH LLC OPE 12/6/2019 15,837.62 EFT12619 ,-821 Healthcare Services Group IncBremerton Health 821 BREMERTON HEALTH LLC OPE 12/20/2019 12,650.20 EFT122019-821 CRN Pool LLCBremerton Health 821 BREMERTON HEALTH LLC OPE 12/20/2019 7,935.00 EFT122019-821 Cornerstone Healthcare ServicesBremerton Health 821 BREMERTON HEALTH LLC OPE 12/20/2019 18,749.98 EFT122019-821 Healthcare Services Group IncBremerton Health 821 BREMERTON HEALTH LLC OPE 12/20/2019 4,830.47 EFT122019-821 Apex Global Solutions, LLCBremerton Health 821 BREMERTON HEALTH LLC Care Cost 12/23/2019 162.40 Bank FeeBremerton Health 821 BREMERTON HEALTH LLC OPE 12/16/2019 30.00 Bank FeeBremerton Health 821 BREMERTON HEALTH LLC OPE 12/10/2019 16.40 Bank FeeBremerton Health 821 BREMERTON HEALTH LLC OPE 12/2/2019 371.32 Bank FeeBremerton Health Total 837,808.97 Care Center East 832 CARE CENTER EAST HEALTH PORTLAND OPE 12/19/2019 1,105.57 001911 Maxsip Corporation 671Care Center East 832 CARE CENTER EAST HEALTH PORTLAND OPE 12/19/2019 1,120.26 001912 Comcast 5917Care Center East 832 CARE CENTER EAST HEALTH PORTLAND OPE 12/5/2019 26,531.49 EFT120519.-832 Canyon NH LLcCare Center East 832 CARE CENTER EAST HEALTH PORTLAND OPE 12/1/2019 2,123.30 001875. Schryver Medical Sales and Marketing, LLCCare Center East 832 CARE CENTER EAST HEALTH PORTLAND OPE 12/16/2019 30.00 Bank FeeCare Center East 832 CARE CENTER EAST HEALTH PORTLAND OPE 12/10/2019 15.00 Bank FeeCare Center East 832 CARE CENTER EAST HEALTH PORTLAND OPE 12/2/2019 24.00 Bank FeeCare Center East Total 30,949.62 Cherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/11/2019 140.40 001712 Hocs ConsultingCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/11/2019 150.00 001713 Department of HealthCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/12/2019 1,500.00 001714 Petty cashier- CherrywoodCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/19/2019 18.99 001717 Petty cashier- CherrywoodCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/19/2019 289.83 001718 Wright ExpressCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/4/2019 15,000.00 EFT120419-829 SNF Payroll, LLCCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/5/2019 3,550.52 EFT120519,-829 SNF Payroll, LLCCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/26/2019 1,199.25 001727 Philadelphia Insurance CompaniesCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/26/2019 118.36 001728 Comcast (7505)Cherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/26/2019 58.77 001730 Pitney Bowes 829 (2229)Cherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/26/2019 587.80 001731 PointClickCare (Wescom Solutions)Cherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/19/2019 2,325.95 001719 IPFS Corporation (Charlotte)Cherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/19/2019 274.56 001720 Washington Health Care AssociationCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/19/2019 24.23 EFT121919-829 Omnicare, Inc.Cherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/17/2019 15,000.00 EFT121719-829 SNF Payroll, LLCCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/19/2019 3,538.97 EFT121919,-829 SNF Payroll, LLCCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/19/2019 379.40 001721 Maxsip Corporation 671Cherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/19/2019 259.48 001722 Comcast (9659)Cherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/19/2019 588.02 001723 HD Supply DSSICherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/19/2019 13.23 001724 Comcast (4744)Cherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/19/2019 5.05 001725 TIAA Commercial Finance, Inc. (7855) (Everbank)Cherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/12/2019 168.06 001715 Twin MedCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/20/2019 1,000.00 001726 Wright ExpressCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/5/2019 27,463.71 EFT120519.-829 Canyon NH LLcCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/30/2019 8,441.78 EFT123019-829 Canyon NH LLcCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/13/2019 702.00 001716 Hocs ConsultingCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/19/2019 2,911.62 EFT121919-829 Cornerstone Self InsuredCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/6/2019 5,054.40 EFT12619 ,-829 Healthcare Services Group IncCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/30/2019 10,783.58 EFT123019-829 Apex Global Solutions, LLCCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/31/2019 15,000.00 EFT123119-829 SNF Payroll, LLCCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/20/2019 5,709.53 EFT122019-829 Healthcare Services Group IncCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/20/2019 12,650.20 EFT122019-829 CRN Pool LLCCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/18/2019 1,548.80 EFT121819-829 Cornerstone Healthcare ServicesCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/20/2019 49.60 EFT122019-829 Cornerstone Healthcare ServicesCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/30/2019 2,911.62 EFT123019-829 Cornerstone Self InsuredCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/26/2019 5,709.53 EFT122619-829 Healthcare Services Group IncCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/26/2019 1,359.91 EFT122619-829 Cornerstone Healthcare ServicesCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/16/2019 6,364.66 EFT121619-829 Healthcare Services Group IncCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/20/2019 3,235.07 EFT122019-829 Apex Global Solutions, LLCCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/16/2019 30.00 Bank FeeCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/10/2019 16.05 Bank FeeCherrywood Place 829 CHERRYWOOD PLACE SPOKANE OPE 12/2/2019 300.11 Bank FeeCherrywood Place Total 156,433.04 Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/26/2019 2,530.34 EFT122619-826 Department of Revenue Washington State





Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/13/2019 1,363.50 002237 Hocs ConsultingCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/13/2019 24.48 002238 Twin MedCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/13/2019 284.45 002239 DAIYA Healthcare, PLLCCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/11/2019 272.70 002233 Hocs ConsultingCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/12/2019 3,000.00 002234 Petty Cash-CrestwoodCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/13/2019 14.75 002236 Olympic Medical CenterCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/26/2019 6,879.90 EFT010220-826 Phyt Rehab of Washington, Inc.Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/19/2019 265.22 002241 Wright ExpressCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/19/2019 4,517.71 002242 IPFS Corporation (Charlotte)Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/19/2019 710.03 002243 Washington Health Care AssociationCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/11/2019 90,000.00 EFT121219-826 SNF Payroll, LLCCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/26/2019 1,515.55 002251 Philadelphia Insurance CompaniesCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/26/2019 189.74 002252 Shomer Insurance Agency, Inc.Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/26/2019 1,241.32 002254 Wave (3701)Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/26/2019 161.42 002255 Commercial RepairCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/26/2019 110.00 002256 FAO PrintingCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/26/2019 38.35 002257 Olympic Springs NCCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/26/2019 1,500.00 002258 DSHS Office of Financial RecoveryCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/26/2019 2,204.99 002259 PointClickCare (Wescom Solutions)Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/19/2019 4,507.11 EFT121919-826 Omnicare, Inc.Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/6/2019 17.41 002232 Sai CalderoneCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/13/2019 24,982.42 EFT121319-826 SNF Payroll, LLCCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/24/2019 90,000.00 EFT122419-826 SNF Payroll, LLCCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/12/2019 4,347.53 002235 Twin MedCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/10/2019 301.62 EFT112119-2-826 Amy McDonaldCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/19/2019 1,408.15 002244 Maxsip Corporation 671Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/19/2019 1,290.44 002245 Wave Business (4061)Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/19/2019 41.08 002246 DM Disposal Co., Inc.Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/19/2019 346.53 002247 Grainger DSSICrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/19/2019 1,045.77 002248 Propane Northwest-KingstonCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/19/2019 154.43 002249 Sai CalderoneCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/20/2019 1,000.00 002250 Wright ExpressCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/16/2019 782.22 002240 DAIYA Healthcare, PLLCCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/9/2019 8,282.09 EFT121219-826 Phyt Rehab of Washington, Inc.Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/13/2019 6,268.10 EFT121619-826 Phyt Rehab of Washington, Inc.Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/18/2019 5,676.03 EFT121819-826 Phyt Rehab of Washington, Inc.Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/30/2019 14,452.92 EFT123019-826 Cornerstone Self InsuredCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/6/2019 10,542.07 EFT12619 ,-826 Healthcare Services Group IncCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/5/2019 54,356.81 EFT120519.-826 Canyon Z LLCCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/30/2019 5,488.85 EFT123019-826 Canyon Z LLCCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/26/2019 25,120.08 EFT122619-826 SNF Payroll, LLCCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/20/2019 12,650.20 EFT122019-826 CRN Pool LLCCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/20/2019 7,935.00 EFT122019-826 Cornerstone Healthcare ServicesCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/20/2019 15,442.98 EFT122019-826 Healthcare Services Group IncCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/18/2019 1,548.80 EFT121819-826 Cornerstone Healthcare ServicesCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/31/2019 8,046.70 EFT123119-826 Cornerstone Self InsuredCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/6/2019 12,000.00 EFT12619-826 CRN Pool LLCCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/6/2019 10,000.00 EFT12619 .-826 Cornerstone Healthcare ServicesCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/20/2019 4,301.42 EFT122019-826 Apex Global Solutions, LLCCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/30/2019 14,338.06 EFT123019-826 Apex Global Solutions, LLCCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/24/2019 6,568.00 EFT122419-826 Cornerstone Healthcare ServicesCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/26/2019 15,442.98 EFT122619-826 Healthcare Services Group IncCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/26/2019 1,359.91 EFT122619-826 Cornerstone Healthcare ServicesCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/16/2019 20,343.89 EFT121619-826 Healthcare Services Group IncCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/31/2019 759.26 EFT123119-826 Interactive Medical Systems, Inc.Crestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/11/2019 15.00 DAJ000047523 Service chargeCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/11/2019 15.70 DAJ000047524 Service chargeCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/11/2019 16.75 DAJ000047525 Service chargeCrestwood 826 CRSTWOOD CONVALESCENT PRT ANG Care Cost 12/23/2019 143.55 Bank FeeCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/16/2019 30.00 Bank FeeCrestwood 826 CRESTWOOD CONVALESCENT PRT ANG OPE 12/2/2019 375.60 Bank FeeCrestwood Total 508,569.91 Fir Lane 828 FIR LANE HEALTH SHELTON Ope 12/23/2019 10,000.00 002263 Washington State Dept of Labor & IndustriesFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/26/2019 2,691.23 EFT122619-828 Department of Revenue Washington StateFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/13/2019 526.66 002250 Schryver Medical Sales and Marketing, LLCFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/13/2019 1,822.50 002251 Hocs ConsultingFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/13/2019 1,417.46 002252 Twin MedFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/13/2019 284.45 002253 DAIYA Healthcare, PLLCFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/11/2019 364.50 002246 Hocs ConsultingFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/11/2019 4,661.33 002247 Northwest Refuse Service, LLCFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/12/2019 3,000.00 002248 Petty Cash-Fir LaneFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/26/2019 430.00 002264 National Government ServicesFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/19/2019 287.39 002255 Wright ExpressFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/26/2019 6,355.96 EFT010220-828 Phyt Rehab of Washington, Inc.Fir Lane 828 FIR LANE HEALTH SHELTON Ope 12/19/2019 6,038.52 002256 IPFS Corporation (Charlotte)Fir Lane 828 FIR LANE HEALTH SHELTON Ope 12/19/2019 949.05 002257 Washington Health Care AssociationFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/26/2019 1,934.87 002265 Philadelphia Insurance CompaniesFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/26/2019 853.14 002267 Maxsip Corporation 671Fir Lane 828 FIR LANE HEALTH SHELTON Ope 12/26/2019 28.16 002268 Cascade Natural Gas8872Fir Lane 828 FIR LANE HEALTH SHELTON Ope 12/26/2019 120.08 002269 Relias Learning, LLCFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/26/2019 131.70 002270 StericycleFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/26/2019 1,944.69 002271 PointClickCare (Wescom Solutions)Fir Lane 828 FIR LANE HEALTH SHELTON Ope 12/19/2019 3,171.23 EFT121919-828 Omnicare, Inc.Fir Lane 828 FIR LANE HEALTH SHELTON Ope 12/19/2019 258.81 002258 Comcast 8943Fir Lane 828 FIR LANE HEALTH SHELTON Ope 12/19/2019 250.09 002259 TIAA Commercial Finance 3706 (828) EverbankFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/19/2019 1,670.92 002260 HD Supply DSSIFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/19/2019 121.50 002261 Hocs ConsultingFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/20/2019 1,000.00 002262 Wright ExpressFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/16/2019 782.22 002254 DAIYA Healthcare, PLLCFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/9/2019 6,276.06 EFT121219-828 Phyt Rehab of Washington, Inc.





Fir Lane 828 FIR LANE HEALTH SHELTON Ope 12/13/2019 7,060.03 EFT121619-828 Phyt Rehab of Washington, Inc.Fir Lane 828 FIR LANE HEALTH SHELTON Ope 12/18/2019 6,997.89 EFT121819-828 Phyt Rehab of Washington, Inc.Fir Lane 828 FIR LANE HEALTH SHELTON Ope 12/30/2019 22,853.84 EFT123019-828 Cornerstone Self InsuredFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/30/2019 11,023.35 EFT123019-828 Canyon Z LLCFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/5/2019 68,282.50 EFT120519.-828 Canyon Z LLCFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/4/2019 115,000.00 EFT120419-828 SNF Payroll, LLCFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/17/2019 115,000.00 EFT121719-828 SNF Payroll, LLCFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/30/2019 16,836.35 EFT123019-828 Apex Global Solutions, LLCFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/6/2019 11,535.62 EFT12619 ,-828 Healthcare Services Group IncFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/20/2019 12,650.20 EFT122019-828 CRN Pool LLCFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/20/2019 7,935.00 EFT122019-828 Cornerstone Healthcare ServicesFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/20/2019 18,667.63 EFT122019-828 Healthcare Services Group IncFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/18/2019 1,548.80 EFT121819-828 Cornerstone Healthcare ServicesFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/5/2019 25,601.61 EFT120519-828 SNF Payroll, LLCFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/31/2019 8,046.70 EFT123119-828 Cornerstone Self InsuredFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/31/2019 115,000.00 EFT123119-828 SNF Payroll, LLCFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/26/2019 18,667.63 EFT122619-828 Healthcare Services Group IncFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/19/2019 27,235.09 EFT121919,-828 SNF Payroll, LLCFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/26/2019 1,359.91 EFT122619-828 Cornerstone Healthcare ServicesFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/20/2019 5,050.91 EFT122019-828 Apex Global Solutions, LLCFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/16/2019 25,799.64 EFT121619-828 Healthcare Services Group IncFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/31/2019 1,060.21 EFT123119-828 Interactive Medical Systems, Inc.Fir Lane 828 FIR LANE HEALTH SHELTON Ope 12/16/2019 30.00 Bank FeeFir Lane 828 FIR LANE HEALTH SHELTON Ope 12/2/2019 401.16 Bank FeeFir Lane 828 FIR LANE HEALTH SHELTON Care Cost 12/23/2019 184.35 Bank FeeFir Lane Total 701,200.94 Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/13/2019 250.29 002103 Schryver Medical Sales and Marketing, LLCForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/13/2019 1,323.00 002104 Hocs ConsultingForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/11/2019 2,406.90 002096 ELS Property Investors, LLC (snyder)Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/11/2019 7,250.00 002097 Panda WoodWorksForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/11/2019 264.60 002098 Hocs ConsultingForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/12/2019 3,000.00 002099 Petty Cash-Forest RidgeForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/19/2019 940.67 002105 Orkin Pest ControlForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/12/2019 2,548.69 002100 Twin MedForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/26/2019 5,689.27 EFT010220-822 Phyt Rehab of Washington, Inc.Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/19/2019 4,383.52 002106 IPFS Corporation (Charlotte)Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/19/2019 688.94 002107 Washington Health Care AssociationForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/26/2019 570.76 002114 Air Management SolutionsForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/26/2019 1,466.67 002115 Donald Sharman, MDForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/26/2019 2,751.49 002116 ELS Property Investors, LLC (snyder)Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/26/2019 1,330.70 002117 Philadelphia Insurance CompaniesForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/26/2019 33.33 002118 Shomer Insurance Agency, Inc.Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/26/2019 117.15 002120 Comcast 0573Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/26/2019 31.35 002121 Waste Management 3008Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/26/2019 716.13 002122 Collins Plumbing CorporationForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/26/2019 334.50 002123 Hewlett Packard Financial Services CompanyForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/26/2019 1,796.45 002124 PointClickCare (Wescom Solutions)Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/19/2019 2,955.54 EFT121919-822 Omnicare, Inc.Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/6/2019 16.50 002089 Cindy BloomForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/6/2019 49.16 002090 Edith ColeForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/6/2019 9.80 002091 Elenita CerdanForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/6/2019 46.65 002092 Gershom DitchingForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/6/2019 336.00 002093 Melissa GibsonForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/6/2019 58.86 002094 Michelle AlferaForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/6/2019 23.11 002095 Tammy SohnForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/19/2019 827.61 002108 Maxsip Corporation 671Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/19/2019 97.96 002109 Comcast (4808)Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/19/2019 283.32 002110 Comcast (9065)Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/19/2019 429.26 002111 Waste Management 3004Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/19/2019 539.29 002112 Right Care (NaviHealth)Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/20/2019 1,000.00 002113 Wright ExpressForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/9/2019 6,691.75 EFT121219-822 Phyt Rehab of Washington, Inc.Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/15/2019 2,086.98 EFT15DEC2019 Mathew MacklinForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/26/2019 2,678.24 EFT122619-822 Department of Revenue Washington StateForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/13/2019 616.00 002101 Catthy EideForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/13/2019 10.00 002102 Schryver Medical Sales and Marketing, LLCForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/13/2019 7,510.57 EFT121619-822 Phyt Rehab of Washington, Inc.Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/18/2019 6,036.86 EFT121819-822 Phyt Rehab of Washington, Inc.Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/19/2019 16,274.22 EFT121919-822 Cornerstone Self InsuredForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/6/2019 12,081.87 EFT12619 ,-822 Healthcare Services Group IncForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/5/2019 49,568.04 EFT120519.-822 Canyon Z LLCForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/30/2019 8,916.55 EFT123019-822 Canyon Z LLCForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/30/2019 14,117.62 EFT123019-822 Apex Global Solutions, LLCForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/31/2019 100,000.00 EFT123119-822 SNF Payroll, LLCForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/31/2019 8,046.70 EFT123119-822 Cornerstone Self InsuredForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/6/2019 10,000.00 EFT12619-822 CRN Pool LLCForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/17/2019 100,000.00 EFT121719-822 SNF Payroll, LLCForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/31/2019 873.38 EFT31DEC2019-822 Interactive Medical Systems, Inc.Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/5/2019 4,705.39 EFT120519-822 SNF Payroll, LLCForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/4/2019 100,000.00 EFT120419-822 SNF Payroll, LLCForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/30/2019 16,274.22 EFT123019-822 Cornerstone Self InsuredForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/24/2019 6,568.00 EFT122419-822 Cornerstone Healthcare ServicesForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/26/2019 17,272.62 EFT122619-822 Healthcare Services Group IncForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/26/2019 1,359.91 EFT122619-822 Cornerstone Healthcare ServicesForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/16/2019 22,463.37 EFT121619-822 Healthcare Services Group IncForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/20/2019 4,235.29 EFT122019-822 Apex Global Solutions, LLCForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/18/2019 1,548.80 EFT121819-822 Cornerstone Healthcare ServicesForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/19/2019 14,824.65 EFT121919,-822 SNF Payroll, LLCForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/20/2019 12,650.20 EFT122019-822 CRN Pool LLCForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/20/2019 7,935.00 EFT122019-822 Cornerstone Healthcare Services





Forest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/20/2019 17,272.62 EFT122019-822 Healthcare Services Group IncForest Ridge 822 FOREST RIDGE HEALTH BREMERTON Care Cost 12/23/2019 152.25 0 Bank FeeForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/16/2019 30.00 Bank FeeForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/10/2019 15.70 Bank FeeForest Ridge 822 FOREST RIDGE HEALTH BREMERTON OPE 12/2/2019 137.79 Bank FeeForest Ridge Total 617,522.06 Franklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/10/2019 108.07 EFT112119-3-830 Rita NewmanFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/26/2019 1,078.83 EFT122619-830 Department of Revenue Washington StateFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/13/2019 3,766.68 002117 Twin MedFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/11/2019 270.00 002112 Hocs ConsultingFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/12/2019 3,000.00 002114 Petty cashier- Franklin HillsFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/26/2019 9,949.87 EFT010220-830 Phyt Rehab of Washington, Inc.Franklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/26/2019 1,066.67 002129 Jason Heffernan, MDFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/26/2019 1,781.26 002130 Philadelphia Insurance CompaniesFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/26/2019 1,649.74 002132 Comcast (0395)Franklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/26/2019 1,441.84 002133 PointClickCare (Wescom Solutions)Franklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/19/2019 4,472.98 002119 IPFS Corporation (Charlotte)Franklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/19/2019 703.00 002120 Washington Health Care AssociationFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/6/2019 285.00 002109 Bobbie GunkelFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/6/2019 19.58 002110 Gisell AleFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/6/2019 172.72 002111 Nikki PagelFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/19/2019 4,711.06 EFT121919-830 Omnicare, Inc.Franklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/11/2019 105,000.00 EFT121219-830 SNF Payroll, LLCFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/13/2019 4,624.60 EFT121319-830 SNF Payroll, LLCFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/19/2019 260.11 002121 Comcast (9626)Franklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/19/2019 28.66 002122 Comcast (1517)Franklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/19/2019 140.81 002123 Comcast (9974)Franklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/19/2019 241.19 002124 TIAA Commercial Finance, Inc. (3722) (Everbank)Franklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/19/2019 108.95 002125 Grainger DSSIFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/19/2019 15.16 002126 Nikki PagelFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/19/2019 31.63 002118 Wright ExpressFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/20/2019 2,000.00 002127 Wright ExpressFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/13/2019 1,350.00 002116 Hocs ConsultingFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/9/2019 12,687.44 EFT121219-830 Phyt Rehab of Washington, Inc.Franklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/13/2019 12,188.55 EFT121619-830 Phyt Rehab of Washington, Inc.Franklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/18/2019 11,429.92 EFT121819-830 Phyt Rehab of Washington, Inc.Franklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/19/2019 17,630.27 EFT121919-830 Cornerstone Self InsuredFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/6/2019 10,319.73 EFT12619 ,-830 Healthcare Services Group IncFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/5/2019 50,579.63 EFT120519.-830 Canyon Z LLCFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/30/2019 8,521.15 EFT123019-830 Canyon Z LLCFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/26/2019 9,171.14 EFT122619-830 SNF Payroll, LLCFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/24/2019 105,000.00 EFT122419-830. SNF Payroll, LLCFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/6/2019 10,000.00 EFT12619-830 CRN Pool LLCFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/6/2019 10,000.00 EFT12619 .-830 Cornerstone Healthcare ServicesFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/31/2019 8,046.70 EFT123119-830 Cornerstone Self InsuredFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/30/2019 14,264.58 EFT123019-830 Apex Global Solutions, LLCFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/30/2019 17,630.27 EFT123019-830 Cornerstone Self InsuredFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/20/2019 12,650.20 EFT122019-830 CRN Pool LLCFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/20/2019 7,935.00 EFT122019-830 Cornerstone Healthcare ServicesFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/20/2019 16,397.29 EFT122019-830 Healthcare Services Group IncFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/26/2019 16,397.29 EFT122619-830 Healthcare Services Group IncFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/26/2019 1,359.91 EFT122619-830 Cornerstone Healthcare ServicesFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/20/2019 4,279.37 EFT122019-830 Apex Global Solutions, LLCFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/18/2019 1,548.80 EFT121819-830 Cornerstone Healthcare ServicesFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/31/2019 1,811.19 EFT123119-830 Interactive Medical Systems, Inc.Franklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/16/2019 22,474.85 EFT121619-830 Healthcare Services Group IncFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/16/2019 30.00 Bank FeeFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/10/2019 15.70 Bank FeeFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE OPE 12/2/2019 428.93 Bank FeeFranklin Hills 830 FRANKLIN HILLS HEALTH SPOKANE Care Cost 12/23/2019 136.40 Bank FeeFranklin Hills Total 531,212.72 Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/10/2019 290.00 EFT112119-6-831 Jeff ChamberlainGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/26/2019 715.75 EFT122619-831 Department of Revenue Washington StateGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/11/2019 236.70 002120 Hocs ConsultingGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/12/2019 3,000.00 002121 Petty Cash-The GardensGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/13/2019 1,633.50 002123 Hocs ConsultingGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/19/2019 1,124.87 002125 Wright ExpressGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/26/2019 12,426.11 EFT010220-831 Phyt Rehab of Washington, Inc.Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/13/2019 11,047.63 EFT121319-831 SNF Payroll, LLCGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/26/2019 1,706.01 002134 Philadelphia Insurance CompaniesGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/26/2019 29.96 002135 Shomer Insurance Agency, Inc.Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/26/2019 158.36 002137 Comcast 2865Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/26/2019 318.90 002138 Waste Management of Spokane 3008Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/26/2019 175.00 002139 Janet ArmstrongGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/26/2019 95.79 002140 Jacob M GutierrezGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/26/2019 2,089.59 002141 PointClickCare (Wescom Solutions)Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/26/2019 1,449.98 002142 Spokane County Environmental Services 1898Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/19/2019 5,357.22 002126 IPFS Corporation (Charlotte)Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/19/2019 871.72 002127 Washington Health Care AssociationGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/6/2019 470.11 002119 Janet ArmstrongGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/19/2019 2,026.97 EFT121919-831 Omnicare, Inc.Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/24/2019 145,000.00 EFT122419-831 SNF Payroll, LLCGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/19/2019 1,744.23 002128 Maxsip Corporation 671Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/19/2019 220.20 002129 Comcast 8322Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/19/2019 113.36 002130 Comcast 1813Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/19/2019 195.38 002131 Modern Electric Water CompanyGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/19/2019 378.25 002132 Spokane County Environmental Services 1885Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/11/2019 145,000.00 EFT121219-831 SNF Payroll, LLCGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/20/2019 2,000.00 002133 Wright ExpressGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/13/2019 127.78 002124 Schryver Medical Sales and Marketing, LLC





Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/9/2019 9,577.65 EFT121219-831 Phyt Rehab of Washington, Inc.Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/13/2019 400.05 EFT121619-831 Phyt Rehab of Washington, Inc.Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/16/2019 8,766.73 EFT16DEC2019-831 Phyt Rehab of Washington, Inc.Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/18/2019 10,842.30 EFT121819-831 Phyt Rehab of Washington, Inc.Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/19/2019 21,531.89 EFT121919-831 Cornerstone Self InsuredGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/5/2019 61,201.36 EFT120519.-831 Canyon Z LLCGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/30/2019 8,143.72 EFT123019-831 Canyon Z LLCGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/30/2019 16,028.08 EFT123019-831 Apex Global Solutions, LLCGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/26/2019 9,436.48 EFT122619-831 SNF Payroll, LLCGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/6/2019 23,976.82 EFT12619 ,-831 Healthcare Services Group IncGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/20/2019 7,935.00 EFT122019-831 Cornerstone Healthcare ServicesGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/20/2019 20,313.63 EFT122019-831 Healthcare Services Group IncGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/12/2019 6,599.33 002122 Twin MedGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/6/2019 10,000.00 EFT12619-831 CRN Pool LLCGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/31/2019 8,046.70 EFT123119-831 Cornerstone Self InsuredGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/30/2019 21,531.89 EFT123019-831 Cornerstone Self InsuredGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/20/2019 12,650.20 EFT122019-831 CRN Pool LLCGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/26/2019 20,313.63 EFT122619-831 Healthcare Services Group IncGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/26/2019 1,359.91 EFT122619-831 Cornerstone Healthcare ServicesGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/20/2019 4,808.42 EFT122019-831 Apex Global Solutions, LLCGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/18/2019 1,548.80 EFT121819-831 Cornerstone Healthcare ServicesGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/31/2019 1,797.54 EFT123119-831 Interactive Medical Systems, Inc.Gardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/16/2019 36,600.40 EFT121619-831 Healthcare Services Group IncGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/16/2019 30.00 Bank FeeGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/10/2019 62.80 Bank FeeGardens on University 831 GARDENS ON UNIV SPOKANE VALLEY OPE 12/2/2019 184.62 Bank FeeGardens on University 831 GARDENS ON UNIVERSITY Care Cost 12/23/2019 155.15 Bank FeeGardens on University Total 663,846.47 Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/10/2019 163.00 EFT112119-13-834 Joan MartellucciIvy Court 834 IVY COURT COEUR D ALENE OPE 12/10/2019 87.95 EFT112119-14-834 Joan MartellucciIvy Court 834 IVY COURT COEUR D ALENE OPE 12/10/2019 109.91 EFT112119-15-834 Joan MartellucciIvy Court 834 IVY COURT COEUR D ALENE OPE 12/10/2019 142.39 EFT112119-16-834 Joan MartellucciIvy Court 834 IVY COURT COEUR D ALENE OPE 12/10/2019 89.88 EFT112119-17-834 Joan MartellucciIvy Court 834 IVY COURT COEUR D ALENE OPE 12/10/2019 400.52 EFT112119-18-834 Joan MartellucciIvy Court 834 IVY COURT COEUR D ALENE OPE 12/10/2019 158.94 EFT112119-19-834 Joan MartellucciIvy Court 834 IVY COURT COEUR D ALENE OPE 12/10/2019 12.71 EFT112119-20-834 Joan MartellucciIvy Court 834 IVY COURT COEUR D ALENE OPE 12/10/2019 150.60 EFT112119-21-834 Joan MartellucciIvy Court 834 IVY COURT COEUR D ALENE OPE 12/10/2019 161.97 EFT112119-22-834 Joan MartellucciIvy Court 834 IVY COURT COEUR D ALENE OPE 12/10/2019 57.81 EFT112119-23-834 Joan MartellucciIvy Court 834 IVY COURT COEUR D ALENE OPE 12/10/2019 385.04 EFT112119-24-834 Joan MartellucciIvy Court 834 IVY COURT COEUR D ALENE OPE 12/10/2019 693.78 EFT112119-25-834 Joan MartellucciIvy Court 834 IVY COURT COEUR D ALENE OPE 12/13/2019 1,175.85 002149 Hocs ConsultingIvy Court 834 IVY COURT COEUR D ALENE OPE 12/13/2019 3,817.21 002150 Twin MedIvy Court 834 IVY COURT COEUR D ALENE OPE 12/13/2019 10,000.00 002148 Comack's Flooring AmericaIvy Court 834 IVY COURT COEUR D ALENE OPE 12/11/2019 235.17 002144 Hocs ConsultingIvy Court 834 IVY COURT COEUR D ALENE OPE 12/12/2019 3,000.00 002145 Petty Cashier- Ivy CourtIvy Court 834 IVY COURT COEUR D ALENE OPE 12/1/2019 (149.95) EFT110619-834 Spectrum Business/ Time Warner Cable (7332)Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/26/2019 10,091.35 EFT010220-834 Phyt Rehab of Washington, Inc.Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/26/2019 476.72 002160 Idaho Health Care Association, Inc.Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/26/2019 1,190.70 002161 Philadelphia Insurance CompaniesIvy Court 834 IVY COURT COEUR D ALENE OPE 12/26/2019 798.49 002162 Maxsip Corporation 671Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/26/2019 625.84 002163 Accelerated Care Plus Leasing Inc.Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/26/2019 2,837.26 002164 Avista 834 (9245)Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/26/2019 136.00 002165 Lake City Transportation, LLCIvy Court 834 IVY COURT COEUR D ALENE OPE 12/26/2019 1,284.35 002166 PointClickCare (Wescom Solutions)Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/26/2019 1,282.75 002167 PCS of Michigan, Inc.Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/26/2019 422.75 002168 Relias Learning, LLCIvy Court 834 IVY COURT COEUR D ALENE OPE 12/26/2019 1,240.00 002169 Short Green LLCIvy Court 834 IVY COURT COEUR D ALENE OPE 12/26/2019 678.12 002170 StericycleIvy Court 834 IVY COURT COEUR D ALENE OPE 12/26/2019 375.00 002171 TRACKNOW, Inc. (COVR)Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/19/2019 44.48 002158 Shannon WinlandIvy Court 834 IVY COURT COEUR D ALENE OPE 12/19/2019 8,162.92 002152 First Insurance FundingIvy Court 834 IVY COURT COEUR D ALENE OPE 12/19/2019 4,274.11 002153 IPFS Corporation (Charlotte)Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/6/2019 65.50 002142 Kurt RoutzahnIvy Court 834 IVY COURT COEUR D ALENE OPE 12/6/2019 37.50 002143 Pam AderIvy Court 834 IVY COURT COEUR D ALENE OPE 12/16/2019 750.00 002151 Shomer Insurance Agency, Inc.Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/19/2019 5,951.26 EFT121919-834 Omnicare, Inc.Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/19/2019 385.29 002156 City of Coeur D'Alene (3845)Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/19/2019 21,373.33 002155 Cornerstone Self InsuredIvy Court 834 IVY COURT COEUR D ALENE OPE 12/19/2019 65.15 002157 Grainger DSSIIvy Court 834 IVY COURT COEUR D ALENE OPE 12/20/2019 1,000.00 002159 Wright ExpressIvy Court 834 IVY COURT COEUR D ALENE OPE 12/13/2019 510.48 002147 Schryver Medical Sales and Marketing, LLCIvy Court 834 IVY COURT COEUR D ALENE OPE 12/9/2019 10,804.84 EFT121219-834 Phyt Rehab of Washington, Inc.Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/13/2019 11,203.28 EFT121619-834 Phyt Rehab of Washington, Inc.Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/18/2019 10,305.20 EFT121819-834 Phyt Rehab of Washington, Inc.Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/30/2019 (10,000.00) DEC2019 Cornerstone Self InsuredIvy Court 834 IVY COURT COEUR D ALENE OPE 12/6/2019 10,270.64 EFT12619 ,-834 Healthcare Services Group IncIvy Court 834 IVY COURT COEUR D ALENE OPE 12/5/2019 40,463.71 EFT120519.-834 Canyon Z LLCIvy Court 834 IVY COURT COEUR D ALENE OPE 12/30/2019 6,911.64 EFT123019-834 Canyon Z LLCIvy Court 834 IVY COURT COEUR D ALENE OPE 12/31/2019 110,000.00 EFT123119-834 SNF Payroll, LLCIvy Court 834 IVY COURT COEUR D ALENE OPE 12/19/2019 21,703.36 EFT121919,-834 SNF Payroll, LLCIvy Court 834 IVY COURT COEUR D ALENE OPE 12/17/2019 110,000.00 EFT121719-834 SNF Payroll, LLCIvy Court 834 IVY COURT COEUR D ALENE OPE 12/5/2019 20,876.89 EFT120519,-834 SNF Payroll, LLCIvy Court 834 IVY COURT COEUR D ALENE OPE 12/19/2019 21,373.33 EFT121919-834 Cornerstone Self InsuredIvy Court 834 IVY COURT COEUR D ALENE OPE 12/6/2019 10,000.00 EFT12619-834 CRN Pool LLCIvy Court 834 IVY COURT COEUR D ALENE OPE 12/31/2019 8,046.70 EFT123119-834 Cornerstone Self InsuredIvy Court 834 IVY COURT COEUR D ALENE OPE 12/20/2019 12,650.20 EFT122019-834 CRN Pool LLCIvy Court 834 IVY COURT COEUR D ALENE OPE 12/20/2019 7,935.00 EFT122019-834 Cornerstone Healthcare ServicesIvy Court 834 IVY COURT COEUR D ALENE OPE 12/20/2019 13,309.54 EFT122019-834 Healthcare Services Group IncIvy Court 834 IVY COURT COEUR D ALENE OPE 12/12/2019 6,787.57 002146 Twin Med





Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/20/2019 3,838.50 EFT122019-834 Apex Global Solutions, LLCIvy Court 834 IVY COURT COEUR D ALENE OPE 12/30/2019 31,373.33 EFT123019-834 Cornerstone Self InsuredIvy Court 834 IVY COURT COEUR D ALENE OPE 12/30/2019 12,794.99 EFT123019-834 Apex Global Solutions, LLCIvy Court 834 IVY COURT COEUR D ALENE OPE 12/4/2019 100,000.00 EFT120419-834, SNF Payroll, LLCIvy Court 834 IVY COURT COEUR D ALENE OPE 12/26/2019 13,309.54 EFT122619-834 Healthcare Services Group IncIvy Court 834 IVY COURT COEUR D ALENE OPE 12/26/2019 1,359.91 EFT122619-834 Cornerstone Healthcare ServicesIvy Court 834 IVY COURT COEUR D ALENE OPE 12/18/2019 1,548.80 EFT121819-834 Cornerstone Healthcare ServicesIvy Court 834 IVY COURT COEUR D ALENE OPE 12/31/2019 1,737.52 EFT123119-834 Interactive Medical Systems, Inc.Ivy Court 834 IVY COURT COEUR D ALENE OPE 12/16/2019 16,348.44 EFT121619-834 Healthcare Services Group IncIvy Court 834 IVY COURT COEUR D ALENE OPE 12/16/2019 30.00 Bank FeeIvy Court 834 IVY COURT COEUR D ALENE OPE 12/10/2019 15.00 Bank FeeIvy Court 834 IVY COURT COEUR D ALENE OPE 12/2/2019 108.64 Bank FeeIvy Court 834 IVY COURT Care Cost 12/23/2019 149.45 Bank FeeIvy Court Total 690,008.15 Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/10/2019 95.00 EFT112119-12-835 Michael LittmanLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/10/2019 23.24 EFT112119-13-835 Michael LittmanLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/10/2019 66.95 EFT112119-14-835 Michael LittmanLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/13/2019 1,336.50 002305 Hocs ConsultingLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/13/2019 533.33 002306 David P York MDLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/11/2019 267.30 002300 Hocs ConsultingLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/12/2019 3,000.00 002301 Petty Cashier- LaCrosseLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/19/2019 12.69 002308 Wright ExpressLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/26/2019 10,667.66 EFT010220-835 Phyt Rehab of Washington, Inc.Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/26/2019 595.90 002318 Idaho Health Care Association, Inc.Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/26/2019 1,394.21 002319 Philadelphia Insurance CompaniesLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/26/2019 97.98 002320 Shomer Insurance Agency, Inc.Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/26/2019 5.34 002322 City of Coeur D'Alene (3836)Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/26/2019 2,143.23 002323 Avista 835 (835)Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/26/2019 1,681.54 002324 Johnson Controls Fire ProtectionLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/26/2019 389.00 002326 Mobilex USALacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/26/2019 825.18 002327 Short Green LLCLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/26/2019 174.97 002328 Spectrum Enterprise/Time Warner Cable (8201)Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/26/2019 678.12 002329 StericycleLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/26/2019 1,566.18 002330 PointClickCare (Wescom Solutions)Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/19/2019 10,101.51 002309 First Insurance FundingLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/19/2019 5,289.21 002311 IPFS Corporation (Charlotte)Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/6/2019 397.93 002291 Ammy WeydahlLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/6/2019 34.68 002292 Brandy DockeryLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/6/2019 87.37 002293 Jennifer JacksonLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/6/2019 29.64 002294 Mark CherogattiLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/6/2019 158.59 002295 Melissa ReedLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/6/2019 27.54 002296 Question HarringtonLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/6/2019 18.01 002297 Ryan LunsfordLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/6/2019 231.36 002298 Susan GoodrickLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/6/2019 56.46 002299 Tara RichterLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/31/2019 7,960.00 002331 North Idaho CollegeLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/4/2019 155,000.00 EFT120419-835 SNF Payroll, LLCLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/5/2019 6,881.46 EFT120519,-835 SNF Payroll, LLCLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/19/2019 1,963.95 EFT121919-835 Omnicare, Inc.Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/19/2019 936.02 002312 City of Coeur D'Alene (3835)Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/19/2019 76.11 002313 City of Coeur D'Alene (3837)Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/19/2019 18.37 002314 Bert's Mfg & Sales, Inc. (Bert's Portable Storage)Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/19/2019 222.43 002315 TIAA Commercial Finance, Inc./Everbank (3695) 835Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/19/2019 89.10 002316 Hocs ConsultingLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/12/2019 3,379.75 002302 Twin MedLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/20/2019 1,000.00 002317 Wright ExpressLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/13/2019 19,668.00 002303 Arris Health Services LLCLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/13/2019 389.00 002304 Schryver Medical Sales and Marketing, LLCLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/9/2019 6,447.19 EFT121219-835 Phyt Rehab of Washington, Inc.Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/13/2019 10,237.10 EFT121619-835 Phyt Rehab of Washington, Inc.Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/18/2019 10,367.43 EFT121819-835 Phyt Rehab of Washington, Inc.Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/19/2019 25,714.69 EFT121919-835 Cornerstone Self InsuredLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/6/2019 12,061.86 EFT12619 ,-835 Healthcare Services Group IncLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/30/2019 16,113.48 EFT123019-835 Canyon NH LLcLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/5/2019 52,286.72 EFT120519.-835 Canyon NH LLcLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/31/2019 155,000.00 EFT123119-835 SNF Payroll, LLCLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/19/2019 5,585.62 EFT121919,-835 SNF Payroll, LLCLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/20/2019 12,650.20 EFT122019-835 CRN Pool LLCLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/17/2019 155,000.00 EFT121719-835 SNF Payroll, LLCLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/6/2019 20,000.00 EFT12619 .-835 Cornerstone Healthcare ServicesLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/6/2019 20,000.00 EFT12619-835 CRN Pool LLCLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/20/2019 16,043.19 EFT122019-835 Healthcare Services Group IncLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/20/2019 7,935.00 EFT122019-835 Cornerstone Healthcare ServicesLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/30/2019 14,264.58 EFT123019-835 Apex Global Solutions, LLCLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/30/2019 25,714.69 EFT123019-835 Cornerstone Self InsuredLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/26/2019 16,043.19 EFT122619-835 Healthcare Services Group IncLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/26/2019 1,359.91 EFT122619-835 Cornerstone Healthcare ServicesLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/18/2019 1,548.80 EFT121819-835 Cornerstone Healthcare ServicesLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/31/2019 2,669.38 EFT123119-835 Interactive Medical Systems, Inc.Lacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/16/2019 20,024.52 EFT121619-835 Healthcare Services Group IncLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/20/2019 4,279.37 EFT122019-835 Apex Global Solutions, LLCLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/16/2019 15.00 Bank FeeLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/10/2019 15.00 Bank FeeLacrosse 835 LACROSSE HEALTH COUER D ALENE OPE 12/2/2019 597.19 Bank FeeLacrosse 835 LACROSSE HEALTH COUER D ALENE Care Cost 12/23/2019 165.20 Bank FeeLacrosse Total 851,710.12 Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/10/2019 107.38 EFT112119-1-833 Jonathan StarkMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/13/2019 766.31 002235 Hocs ConsultingMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/11/2019 9,670.00 002230 Caregiver Training Institute, LLCMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/11/2019 224.10 002231 Hocs Consulting





Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/11/2019 1,836.67 002232 Northwest Refuse Service, LLCMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/12/2019 2,000.00 002233 Petty Cash-Meadow ParkMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 3.48 002237 Jessica LongMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 33.64 002238 Nancy BurnsMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 625.07 002239 Wright ExpressMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/30/2019 171.76 002261 Legacy Laboratory ServiceMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/26/2019 4,604.14 EFT010220-833 Phyt Rehab of Washington, Inc.Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/13/2019 77,462.30 EFT121319-833 SNF Payroll, LLCMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/26/2019 2,700.00 002254 Dorian GraffMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/26/2019 1,541.88 002255 Philadelphia Insurance CompaniesMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/26/2019 1,333.33 002258 Christopher Morris, MDMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/26/2019 42.45 002259 OnHold Company (Spectrio)Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/26/2019 1,098.92 002260 PointClickCare (Wescom Solutions)Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/6/2019 84.70 002227 Bethany AngleMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/6/2019 243.48 002228 Landon RussellMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/6/2019 154.86 002229 Linda WinesMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 9,387.35 002241 First Insurance FundingMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 5,070.30 002242 IPFS Corporation (Charlotte)Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 248.28 002243 Oregon Health Care AssociationMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 3,046.21 EFT121919-833 Omnicare, Inc.Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 179.32 002244 Comcast (2317)Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 154.73 002245 Comcast (5673)Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 1,109.28 002246 Comcast 2690Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 53.97 002247 Pitney Bowes (1651)Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 5,000.00 002248 CRM Physicians LLCMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 77.14 002249 EverBank Commercial Finance, Inc. (3738) 833Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 66.67 002250 Prime Care Technologies, INC.Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 41.84 002251 StericycleMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 225.00 002252 Radio Cab Co.Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/12/2019 1,773.50 002234 Twin MedMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/16/2019 1,333.33 002236 CRM Physicians LLCMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/20/2019 1,000.00 002253 Wright ExpressMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/5/2019 43,836.34 EFT120519.-833 Canyon NH LLcMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/30/2019 13,849.34 EFT123019-833 Canyon NH LLcMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/9/2019 4,846.61 EFT121219-833 Phyt Rehab of Washington, Inc.Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/13/2019 4,575.94 EFT121619-833 Phyt Rehab of Washington, Inc.Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/18/2019 4,183.70 EFT121819-833 Phyt Rehab of Washington, Inc.Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/26/2019 72,234.58 EFT122619-833 SNF Payroll, LLCMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/6/2019 6,583.53 EFT12619 ,-833 Healthcare Services Group IncMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/20/2019 12,650.20 EFT122019-833 CRN Pool LLCMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/20/2019 7,935.00 EFT122019-833 Cornerstone Healthcare ServicesMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/19/2019 8,976.70 EFT121919-833 Cornerstone Self InsuredMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/20/2019 10,500.08 EFT122019-833 Healthcare Services Group IncMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/6/2019 20,000.00 EFT12619-833 CRN Pool LLCMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/6/2019 10,000.00 EFT12619 .-833 Cornerstone Healthcare ServicesMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/30/2019 13,676.74 EFT123019-833 Apex Global Solutions, LLCMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/26/2019 10,500.08 EFT122619-833 Healthcare Services Group IncMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/26/2019 1,359.91 EFT122619-833 Cornerstone Healthcare ServicesMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/20/2019 4,103.02 EFT122019-833 Apex Global Solutions, LLCMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/18/2019 1,548.80 EFT121819-833 Cornerstone Healthcare ServicesMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/31/2019 455.08 EFT123119-833 Interactive Medical Systems, Inc.Meadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/16/2019 14,634.06 EFT121619-833 Healthcare Services Group IncMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/16/2019 30.00 Bank FeeMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/10/2019 31.05 Bank FeeMeadow Park 833 MEADOW PARK HEALTH ST HELENS OPE 12/2/2019 84.60 Bank FeeMeadow Park 833 MEADOW PARK HEALTH ST HELENS Care Cost 12/23/2019 97.15 Bank FeeMeadow Park Total 400,163.90 North Auburn 820 NORTH AUBURN HEALTH OPE 12/19/2019 19,075.82 EFT121919-820 Cornerstone Self InsuredNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/13/2019 897.92 002249 Schryver Medical Sales and Marketing, LLCNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/13/2019 1,174.50 002250 Hocs ConsultingNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/13/2019 5,481.37 002251 Twin MedNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/11/2019 100,000.00 EFT121219-820 SNF Payroll, LLCNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/11/2019 234.90 002246 Hocs ConsultingNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/12/2019 3,000.00 002247 Petty Cash-North AuburnNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/13/2019 51,054.93 EFT121319-820 SNF Payroll, LLCNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/12/2019 6,099.45 002248 Twin MedNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/30/2019 408.72 002275 Schryver Medical Sales and Marketing, LLCNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/26/2019 6,257.30 EFT010220-820 Phyt Rehab of Washington, Inc.North Auburn 820 NORTH AUBURN HEALTH OPE 12/24/2019 100,000.00 EFT122419-820 SNF Payroll, LLCNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/26/2019 1,449.73 002264 Maxsip Corporation 671North Auburn 820 NORTH AUBURN HEALTH OPE 12/26/2019 29.99 002265 Purchase Power 9447North Auburn 820 NORTH AUBURN HEALTH OPE 12/26/2019 544.50 002266 Barry Landscape & MaintenanceNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/26/2019 178,382.55 002263 DSHS Office of Financial RecoveryNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/26/2019 243.43 002267 TIAA Commercial Finance 4004 (Everbank)North Auburn 820 NORTH AUBURN HEALTH OPE 12/26/2019 314.16 002268 Hewlett Packard Financial Services CompanyNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/26/2019 1,435.82 002269 PointClickCare (Wescom Solutions)North Auburn 820 NORTH AUBURN HEALTH OPE 12/26/2019 438.71 002270 Relias Learning, LLCNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/26/2019 350.00 002272 Scott T Andrews, DentistNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/26/2019 375.00 002273 TRACKNOW, Inc. (COVR)North Auburn 820 NORTH AUBURN HEALTH OPE 12/26/2019 1,627.89 002274 Philadelphia Insurance CompaniesNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/19/2019 3,416.72 EFT121919-820 Omnicare, Inc.North Auburn 820 NORTH AUBURN HEALTH OPE 12/19/2019 5,680.69 002252 IPFS Corporation (Charlotte)North Auburn 820 NORTH AUBURN HEALTH OPE 12/19/2019 878.75 002253 Washington Health Care AssociationNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/26/2019 1,359.91 EFT122619-820 Cornerstone Healthcare ServicesNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/19/2019 281.58 002254 TIAA Commercial Finance 6804 (Everbank)North Auburn 820 NORTH AUBURN HEALTH OPE 12/19/2019 915.42 002255 Grainger DSSINorth Auburn 820 NORTH AUBURN HEALTH OPE 12/19/2019 135.28 002256 HD Supply DSSINorth Auburn 820 NORTH AUBURN HEALTH OPE 12/19/2019 78.30 002257 Hocs ConsultingNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/19/2019 42.45 002258 OnHold Company (Spectrio)North Auburn 820 NORTH AUBURN HEALTH OPE 12/19/2019 500.50 002259 Unity Electric





North Auburn 820 NORTH AUBURN HEALTH OPE 12/19/2019 334.20 002260 Comcast 8202North Auburn 820 NORTH AUBURN HEALTH OPE 12/20/2019 1,000.00 002261 Wright ExpressNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/9/2019 6,256.06 EFT121219-820 Phyt Rehab of Washington, Inc.North Auburn 820 NORTH AUBURN HEALTH OPE 12/18/2019 (16,666.66) EFT112219-820 SNF Payroll, LLCNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/13/2019 7,021.58 EFT121619-820 Phyt Rehab of Washington, Inc.North Auburn 820 NORTH AUBURN HEALTH OPE 12/18/2019 7,282.17 EFT121819-820 Phyt Rehab of Washington, Inc.North Auburn 820 NORTH AUBURN HEALTH OPE 12/6/2019 11,046.16 EFT12619 ,-820 Healthcare Services Group IncNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/26/2019 50,856.44 EFT122619-820 SNF Payroll, LLCNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/1/2019 40,000.00 EFT - 3/11/19. Schryver Medical Sales and Marketing, LLCNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/6/2019 20,000.00 EFT12619 .-820 Cornerstone Healthcare ServicesNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/20/2019 16,181.69 EFT122019,-820 Healthcare Services Group IncNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/20/2019 4,830.47 EFT122019-820 Apex Global Solutions, LLCNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/31/2019 440.39 EFT123119-820 Interactive Medical Systems, Inc.North Auburn 820 NORTH AUBURN HEALTH OPE 12/11/2019 90.00 EFT11DEC2019-820 Tiffany Smith-LawtonNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/11/2019 42.30 EFT11DEC2019-820A Tiffany Smith-LawtonNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/11/2019 20.00 EFT11DEC2019-820B Tiffany Smith-LawtonNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/6/2019 20,000.00 EFT12619-820 CRN Pool LLCNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/16/2019 21,317.22 EFT121619-820 Healthcare Services Group IncNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/30/2019 16,101.56 EFT123019-820 Apex Global Solutions, LLCNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/20/2019 12,650.20 EFT122019-820. CRN Pool LLCNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/30/2019 14,075.82 EFT123019-820 Cornerstone Self InsuredNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/26/2019 16,181.69 EFT122619-820 Healthcare Services Group IncNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/26/2019 2,652.09 EFT122619-820 Department of Revenue Washington StateNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/18/2019 1,548.80 EFT121819-820 Cornerstone Healthcare ServicesNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/11/2019 6.00 EFT11DEC2019-820C Tiffany Smith-LawtonNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/20/2019 7,935.00 EFT122019-820 Cornerstone Healthcare ServicesNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/1/2019 227.28 DAJ000047746 Stopped checkNorth Auburn 820 NORTH AUBURN Care Cost 12/23/2019 137.85 Bank FeeNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/16/2019 30.00 Bank FeeNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/10/2019 32.80 Bank FeeNorth Auburn 820 NORTH AUBURN HEALTH OPE 12/2/2019 215.92 Bank FeeNorth Auburn Total 754,013.32 Puget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/23/2019 20,000.00 002279 Washington State Dept of Labor & IndustriesPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/10/2019 217.51 EFT112119-2-825 Kristina PhillipsPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/10/2019 298.65 EFT112119-8-825 Jason McFaddenPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/10/2019 278.30 EFT112119-9-825 Jason McFaddenPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/10/2019 149.50 EFT121019-823-825 Ashley WinklePuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/10/2019 801.14 EFT121019-823-1-825 Ashley WinklePuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/10/2019 280.36 EFT121019-823-2-825 Ashley WinklePuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/13/2019 1,458.00 002253 Hocs ConsultingPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/13/2019 6,755.63 002254 Twin MedPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/11/2019 291.60 002249 Hocs ConsultingPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/12/2019 3,000.00 002250 Petty CashierPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 6,740.43 EFT010220-825 Phyt Rehab of Washington, Inc.Puget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/19/2019 4,830.82 002258 IPFS Corporation (Charlotte)Puget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/19/2019 759.24 002259 Washington Health Care AssociationPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/11/2019 160,000.00 EFT121219-825 SNF Payroll, LLCPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 4,735.24 002280 Air HandlersPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 987.00 002281 National Government ServicesPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 1,890.53 002282 Philadelphia Insurance CompaniesPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 49.93 002283 Shomer Insurance Agency, Inc.Puget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 336.83 002285 Comcast (3128)Puget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 1,418.97 002286 Capital Medical Center Labaratory Att GregPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 325.32 002287 Hewlett Packard Financial Services CompanyPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 36.61 002288 Lemay Inc-Pacific DisposalPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 2,317.16 002289 Patriot Fire ProtectionPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 40.40 002290 Ron WilkesPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 185.82 002291 StericyclePuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 1,562.90 002292 PointClickCare (Wescom Solutions)Puget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/19/2019 4,264.84 EFT121919-825 Omnicare, Inc.Puget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/6/2019 387.67 002240 Ashley HoguePuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/6/2019 368.07 002241 Cathryne JensenPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/6/2019 557.49 002242 Jason McFaddenPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/6/2019 2,310.66 002243 Josephine AntonioPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/6/2019 375.00 002244 Kara FabianiPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/6/2019 211.50 002245 Karafa DoDou JammehPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/6/2019 332.80 002246 Kasaundra NavarroPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/6/2019 124.00 002247 Melinda GribnerPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/6/2019 502.53 002248 Ron WilkesPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/13/2019 28,218.98 EFT121319-825 SNF Payroll, LLCPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/19/2019 108.42 002269 Comcast (0669))Puget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/19/2019 2,099.86 002270 Comcast (8026)Puget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/19/2019 1,463.36 002271 D Square Energy LLCPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/19/2019 251.14 002272 TIAA Commercial Finance 3702) 825 (Everbank)Puget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/19/2019 152.05 002273 Nisqually Indian TribePuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/19/2019 41.11 002274 Rex HoytPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/19/2019 50.91 002275 Shred-It USAPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/19/2019 300.00 002276 TonerQuestPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/19/2019 271.06 002277 Waterlogic Americas LLCPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/16/2019 284.45 002256 DAIYA Healthcare, PLLCPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/16/2019 782.22 002257 DAIYA Healthcare, PLLCPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/20/2019 1,000.00 002278 Wright ExpressPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/12/2019 12,214.56 002251 Twin MedPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 3,306.56 EFT122619-825 Department of Revenue Washington StatePuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/13/2019 434.13 002252 Schryver Medical Sales and Marketing, LLCPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/9/2019 8,556.55 EFT121219-825 Phyt Rehab of Washington, Inc.Puget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/18/2019 7,184.82 EFT121819-825 Phyt Rehab of Washington, Inc.Puget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/19/2019 20,384.82 EFT121919-825 Cornerstone Self InsuredPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/6/2019 12,774.14 EFT12619 ,-825 Healthcare Services Group IncPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/5/2019 54,626.00 EFT120519.-825 Canyon Z LLC





Puget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/30/2019 11,608.80 EFT123019-825 Canyon Z LLCPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/24/2019 160,000.00 EFT122419-825 SNF Payroll, LLCPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/20/2019 12,650.20 EFT122019-825 CRN Pool LLCPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/20/2019 7,935.00 EFT122019-825 Cornerstone Healthcare ServicesPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/20/2019 19,156.78 EFT122019-825 Healthcare Services Group IncPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/6/2019 20,000.00 EFT12619-825 CRN Pool LLCPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/18/2019 1,548.80 EFT121819-825 Cornerstone Healthcare ServicesPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/31/2019 8,046.70 EFT123119-825 Cornerstone Self InsuredPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/6/2019 10,000.00 EFT12619 .-825 Cornerstone Healthcare ServicesPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/13/2019 9,166.78 EFT121619-825 Phyt Rehab of Washington, Inc.Puget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/30/2019 20,384.82 EFT123019-825 Cornerstone Self InsuredPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/30/2019 14,852.41 EFT123019-825 Apex Global Solutions, LLCPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/13/2019 1,914.75 002255 Grainger DSSIPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 23,584.08 EFT122619-825 SNF Payroll, LLCPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 19,156.78 EFT122619-825 Healthcare Services Group IncPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/26/2019 1,359.91 EFT122619-825 Cornerstone Healthcare ServicesPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/16/2019 25,539.42 EFT121619-825 Healthcare Services Group IncPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/20/2019 4,455.72 EFT122019-825 Apex Global Solutions, LLCPuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/31/2019 2,657.22 EFT123119-825 Interactive Medical Systems, Inc.Puget Sound 825 PUGET SOUND HEALTHCAR OLYMPIA Care Cost 12/23/2019 151.00 Bank FeePuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/16/2019 30.00 Bank FeePuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/10/2019 17.10 Bank FeePuget Sound 825 PUGET SOUND HEALTHCARE OLYMPIA OPE 12/2/2019 372.40 Bank FeePuget Sound Total 758,276.26 Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/23/2019 10,000.00 002295 Washington State Dept of Labor & IndustriesRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/18/2019 4,983.98 EFT121819-823 Phyt Rehab of Washington, Inc.Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/13/2019 1,228.50 002282 Hocs ConsultingRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/13/2019 1,349.59 002283 Twin MedRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/13/2019 284.45 002284 DAIYA Healthcare, PLLCRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/11/2019 245.70 002279 Hocs ConsultingRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/17/2019 1,925.50 002288 Juanita SinclairRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/26/2019 5,326.84 EFT010220-823 Phyt Rehab of Washington, Inc.Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/11/2019 85,000.00 EFT121219-823 SNF Payroll, LLCRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/26/2019 2,129.00 002296 National Government ServicesRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/26/2019 148.23 002298 Comcast 1040Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/26/2019 299.52 002299 Comcast (8882)Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/26/2019 162.12 002300 Comcast (7956)Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/26/2019 934.11 002301 TIAA Commercial Finance (7510) 823 (Everbank)Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/26/2019 34.46 002302 Recycle Services 9695 (823)Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/26/2019 460.99 002303 Waste Connections 6338Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/26/2019 1,656.28 002304 PointClickCare (Wescom Solutions)Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/26/2019 1,404.71 002305 Philadelphia Insurance CompaniesRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/19/2019 1,830.92 EFT121919-823 Omnicare, Inc.Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/19/2019 5,292.00 002289 IPFS Corporation (Charlotte)Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/19/2019 639.73 002290 Washington Health Care AssociationRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/6/2019 373.81 002277 Pauline McdanielRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/6/2019 138.71 002278 Courtney ThompsonRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/19/2019 982.16 002291 Maxsip Corporation 671Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/19/2019 40.42 002292 StericycleRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/13/2019 21,405.03 EFT121319-823 SNF Payroll, LLCRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/12/2019 6,243.61 002281 Twin MedRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/20/2019 3,000.00 002294 Petty Cashier-RiversideRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/20/2019 1,000.00 002293 Wright ExpressRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/5/2019 48,061.53 EFT120519.-823 Canyon NH LLcRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/30/2019 14,773.08 EFT123019-823 Canyon NH LLcRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/9/2019 4,571.40 EFT121219-823 Phyt Rehab of Washington, Inc.Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/16/2019 782.22 002285 DAIYA Healthcare, PLLCRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/26/2019 558.26 EFT122619-823 Department of Revenue Washington StateRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/13/2019 4,465.17 EFT121619-823 Phyt Rehab of Washington, Inc.Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/19/2019 11,937.02 EFT121919-823 Cornerstone Self InsuredRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/6/2019 10,894.31 EFT12619 ,-823 Healthcare Services Group IncRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/30/2019 13,603.26 EFT123019-823 Apex Global Solutions, LLCRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/26/2019 23,332.87 EFT122619-823 SNF Payroll, LLCRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/24/2019 85,000.00 EFT122419-823 SNF Payroll, LLCRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/20/2019 12,650.20 EFT122019-823 CRN Pool LLCRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/20/2019 7,935.00 EFT122019-823 Cornerstone Healthcare ServicesRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/20/2019 15,649.28 EFT122019-823 Healthcare Services Group IncRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/31/2019 3,600.35 EFT123119-823 Interactive Medical Systems, Inc.Riverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/6/2019 20,000.00 EFT12619-823 CRN Pool LLCRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/30/2019 11,937.02 EFT123019-823 Cornerstone Self InsuredRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/26/2019 15,649.28 EFT122619-823 Healthcare Services Group IncRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/26/2019 1,359.91 EFT122619-823 Cornerstone Healthcare ServicesRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/20/2019 4,080.98 EFT122019-823 Apex Global Solutions, LLCRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/18/2019 1,548.80 EFT121819-823 Cornerstone Healthcare ServicesRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/16/2019 20,404.25 EFT121619-823 Healthcare Services Group IncRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA Care Cost 12/23/2019 136.30 Bank FeeRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/16/2019 30.00 Bank FeeRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/10/2019 15.35 Bank FeeRiverside Nursing 823 RIVERSIDE NURSING CENTRALIA LLC OPE 12/2/2019 559.44 Bank FeeRiverside Nursing Total 492,055.65 Sequim 827 SEQUIM HEALTH Ope 12/19/2019 457.15 002694 TIAA Commercial Finance (3714) 827 (Everbank)Sequim 827 SEQUIM HEALTH Ope 12/10/2019 12,806.00 002676 Dependable Nursing AgecnySequim 827 SEQUIM HEALTH Ope 12/10/2019 125.00 EFT112119-1-827 Kristopher YoungSequim 827 SEQUIM HEALTH Ope 12/10/2019 444.25 EFT112119-2-827 Cindy KazlauskasSequim 827 SEQUIM HEALTH Ope 12/10/2019 36.96 EFT112119-2-827 Kristopher YoungSequim 827 SEQUIM HEALTH Ope 12/10/2019 10,422.89 EFT112119-4-827 Ed EblingSequim 827 SEQUIM HEALTH Ope 12/10/2019 1,880.52 EFT112119-5-827 Ed EblingSequim 827 SEQUIM HEALTH Ope 12/26/2019 4,369.38 EFT122619-827 Department of Revenue Washington StateSequim 827 SEQUIM HEALTH Ope 12/13/2019 1,350.00 002680 Hocs ConsultingSequim 827 SEQUIM HEALTH Ope 12/13/2019 284.45 002681 DAIYA Healthcare, PLLC





Sequim 827 SEQUIM HEALTH Ope 12/8/2019 (30,000.00) EFT110819-827 Healthcare Services Group IncSequim 827 SEQUIM HEALTH Ope 12/11/2019 270.00 002677 Hocs ConsultingSequim 827 SEQUIM HEALTH Ope 12/12/2019 3,000.00 002678 Petty Cashier - SequimSequim 827 SEQUIM HEALTH Ope 12/26/2019 26,665.72 EFT010220-827 Phyt Rehab of Washington, Inc.Sequim 827 SEQUIM HEALTH Ope 12/19/2019 93.19 002684 Becca BlouinSequim 827 SEQUIM HEALTH Ope 12/19/2019 28.77 002685 Karen WheelerSequim 827 SEQUIM HEALTH Ope 12/19/2019 266.67 002686 Wright ExpressSequim 827 SEQUIM HEALTH Ope 12/6/2019 196.99 002674 Melissa MeyerSequim 827 SEQUIM HEALTH Ope 12/6/2019 63.55 002675 Rick GonzalesSequim 827 SEQUIM HEALTH Ope 12/6/2019 197.86 002672 Becca BlouinSequim 827 SEQUIM HEALTH Ope 12/6/2019 85.60 002673 Ben FreemanSequim 827 SEQUIM HEALTH Ope 12/26/2019 629.00 002708 All Safe Mini Storage-Grant RoadSequim 827 SEQUIM HEALTH Ope 12/26/2019 35,900.00 002711 DSHS Office of Financial RecoverySequim 827 SEQUIM HEALTH Ope 12/26/2019 361.73 002712 Hewlett Packard Financial Services CompanySequim 827 SEQUIM HEALTH Ope 12/26/2019 26.16 002713 Vicki AndersonSequim 827 SEQUIM HEALTH Ope 12/26/2019 1,721.22 002714 PointClickCare (Wescom Solutions)Sequim 827 SEQUIM HEALTH Ope 12/26/2019 1,530.00 002705 National Government ServicesSequim 827 SEQUIM HEALTH Ope 12/26/2019 2,087.55 002706 Philadelphia Insurance CompaniesSequim 827 SEQUIM HEALTH Ope 12/26/2019 89.88 002707 Shomer Insurance Agency, Inc.Sequim 827 SEQUIM HEALTH Ope 12/19/2019 16,180.41 EFT121919-827 Omnicare, Inc.Sequim 827 SEQUIM HEALTH Ope 12/19/2019 4,472.98 002687 IPFS Corporation (Charlotte)Sequim 827 SEQUIM HEALTH Ope 12/19/2019 703.00 002688 Washington Health Care AssociationSequim 827 SEQUIM HEALTH Ope 12/4/2019 150,000.00 EFT120419-827 SNF Payroll, LLCSequim 827 SEQUIM HEALTH Ope 12/5/2019 2,648.66 EFT120519-827 SNF Payroll, LLCSequim 827 SEQUIM HEALTH Ope 12/19/2019 312.88 002689 Wave Business (0549)Sequim 827 SEQUIM HEALTH Ope 12/19/2019 810.00 002690 All Safe Mini Storage-Grant RoadSequim 827 SEQUIM HEALTH Ope 12/19/2019 1,477.53 002691 City of Sequim (4407) 827Sequim 827 SEQUIM HEALTH Ope 12/19/2019 300.00 002692 Clallam Transit SystemsSequim 827 SEQUIM HEALTH Ope 12/19/2019 960.71 002693 DM Disposal Co., Inc.Sequim 827 SEQUIM HEALTH Ope 12/19/2019 700.80 002695 EverBank Commercial Finance (7291) 827Sequim 827 SEQUIM HEALTH Ope 12/19/2019 419.86 002696 Grainger DSSISequim 827 SEQUIM HEALTH Ope 12/19/2019 480.38 002697 HD Supply DSSISequim 827 SEQUIM HEALTH Ope 12/19/2019 90.00 002698 Hocs ConsultingSequim 827 SEQUIM HEALTH Ope 12/19/2019 3,500.00 002699 Dr.Main AtifSequim 827 SEQUIM HEALTH Ope 12/19/2019 66.67 002700 Prime Care Technologies, INC.Sequim 827 SEQUIM HEALTH Ope 12/19/2019 6,600.00 002701 K Penney SandersSequim 827 SEQUIM HEALTH Ope 12/19/2019 75.00 002702 Sherry OjedaSequim 827 SEQUIM HEALTH Ope 12/19/2019 44.94 002703 UniFirst CorporationSequim 827 SEQUIM HEALTH Ope 12/12/2019 4,404.93 002679 Twin MedSequim 827 SEQUIM HEALTH Ope 12/16/2019 782.22 002682 DAIYA Healthcare, PLLCSequim 827 SEQUIM HEALTH Ope 12/20/2019 1,000.00 002704 Wright ExpressSequim 827 SEQUIM HEALTH Ope 12/5/2019 52,814.86 EFT120519.-827 Canyon NH LLcSequim 827 SEQUIM HEALTH Ope 12/30/2019 16,234.15 EFT123019-827 Canyon NH LLcSequim 827 SEQUIM HEALTH Ope 12/17/2019 3,246.12 002683 Department of licensingSequim 827 SEQUIM HEALTH Ope 12/9/2019 26,550.71 EFT121219-827 Phyt Rehab of Washington, Inc.Sequim 827 SEQUIM HEALTH Ope 12/13/2019 26,746.59 EFT121619-827 Phyt Rehab of Washington, Inc.Sequim 827 SEQUIM HEALTH Ope 12/18/2019 27,018.78 EFT121819-827 Phyt Rehab of Washington, Inc.Sequim 827 SEQUIM HEALTH Ope 12/19/2019 27,690.53 EFT121919-827 Cornerstone Self InsuredSequim 827 SEQUIM HEALTH Ope 12/6/2019 11,510.51 EFT12619 ,-827 Healthcare Services Group IncSequim 827 SEQUIM HEALTH Ope 12/20/2019 12,650.20 EFT122019-827 CRN Pool LLCSequim 827 SEQUIM HEALTH Ope 12/20/2019 7,935.00 EFT122019-827 Cornerstone Healthcare ServicesSequim 827 SEQUIM HEALTH Ope 12/20/2019 17,013.94 EFT122019-827 Healthcare Services Group IncSequim 827 SEQUIM HEALTH Ope 12/20/2019 4,279.37 EFT122019-827 Apex Global Solutions, LLCSequim 827 SEQUIM HEALTH Ope 12/18/2019 1,548.80 EFT121819-827 Cornerstone Healthcare ServicesSequim 827 SEQUIM HEALTH Ope 12/19/2019 807.77 EFT121919,-827 SNF Payroll, LLCSequim 827 SEQUIM HEALTH Ope 12/6/2019 20,000.00 EFT12619 .-827 Cornerstone Healthcare ServicesSequim 827 SEQUIM HEALTH Ope 12/31/2019 8,046.70 EFT123119-827 Cornerstone Self InsuredSequim 827 SEQUIM HEALTH Ope 12/31/2019 150,000.00 EFT123119-827 SNF Payroll, LLCSequim 827 SEQUIM HEALTH Ope 12/6/2019 20,000.00 EFT12619-827 CRN Pool LLCSequim 827 SEQUIM HEALTH Ope 12/30/2019 14,264.58 EFT123019-827 Apex Global Solutions, LLCSequim 827 SEQUIM HEALTH Ope 12/30/2019 27,690.53 EFT123019-827 Cornerstone Self InsuredSequim 827 SEQUIM HEALTH Ope 12/31/2019 1,466.66 EFT123119-827 Interactive Medical Systems, Inc.Sequim 827 SEQUIM HEALTH Ope 12/26/2019 17,013.94 EFT122619-827 Healthcare Services Group IncSequim 827 SEQUIM HEALTH Ope 12/26/2019 1,359.91 EFT122619-827 Cornerstone Healthcare ServicesSequim 827 SEQUIM HEALTH Ope 12/16/2019 22,517.37 EFT121619-827 Healthcare Services Group IncSequim 827 SEQUIM HEALTH Ope 12/17/2019 14,426.71 EFT121719-827 Cornerstone Healthcare ServicesSequim 827 SEQUIM HEALTH Ope 12/17/2019 150,000.00 EFT121719-827 SNF Payroll, LLCSequim 827 SEQUIM HEALTH Ope 12/24/2019 (1,353.02) 15OCT2019-20 Ed EblingSequim 827 SEQUIM HEALTH DEP Care Cost 12/23/2019 143.75 Bank FeeSequim 827 SEQUIM HEALTH Ope 12/16/2019 30.00 Bank FeeSequim 827 SEQUIM HEALTH Ope 12/10/2019 16.75 Bank FeeSequim 827 SEQUIM HEALTH Ope 12/2/2019 1,072.35 Bank FeeSequim Total 954,165.02 Grand Total 9,576,402.85



Case NumberDebtor PNW Healthcare Holdings, LLC, et al. Month Ending

Payee name Nature of payment Payment date Date of court approvalSNF Payroll, LLC Payroll (Cherrywood Place) 12/4/2019 11/27/2019

SNF Payroll, LLC Payroll (Cherrywood Place) 12/5/2019 11/27/2019

SNF Payroll, LLC Payroll (Sequim) 12/4/2019 11/27/2019

SNF Payroll, LLC Payroll (Sequim) 12/5/2019 11/27/2019

SNF Payroll, LLC Payroll (Lacrosse) 12/4/2019 11/27/2019

SNF Payroll, LLC Payroll (Lacrosse) 12/5/2019 11/27/2019

SNF Payroll, LLC Payroll (Bremerton Health) 12/4/2019 11/27/2019

SNF Payroll, LLC Payroll (Fir Lane) 12/4/2019 11/27/2019

SNF Payroll, LLC Payroll (Bremerton Health) 12/5/2019 11/27/2019

SNF Payroll, LLC Payroll (Ivy Court) 12/5/2019 11/27/2019

Cornerstone Healthcare Services Payroll (North Auburn) 12/6/2019 11/27/2019

CRN Pool LLC Payroll (Bremerton Health) 12/6/2019 11/27/2019

CRN Pool LLC Payroll (Forest Ridge) 12/6/2019 11/27/2019

Cornerstone Healthcare Services Payroll (Bremerton Health) 12/6/2019 11/27/2019

CRN Pool LLC Payroll (Puget Sound) 12/6/2019 11/27/2019

Cornerstone Healthcare Services Payroll (Aldercrest) 12/6/2019 11/27/2019

CRN Pool LLC Payroll (Crestwood) 12/6/2019 11/27/2019

Cornerstone Healthcare Services Payroll (Puget Sound) 12/6/2019 11/27/2019

Cornerstone Healthcare Services Payroll (Crestwood) 12/6/2019 11/27/2019

CRN Pool LLC Payroll (Franklin Hills) 12/6/2019 11/27/2019

Cornerstone Healthcare Services Payroll (Sequim) 12/6/2019 11/27/2019

CRN Pool LLC Payroll (Gardens on University) 12/6/2019 11/27/2019

CRN Pool LLC Payroll (Meadow Park) 12/6/2019 11/27/2019

Cornerstone Healthcare Services Payroll (Franklin Hills) 12/6/2019 11/27/2019

Cornerstone Healthcare Services Payroll (Meadow Park) 12/6/2019 11/27/2019

SNF Payroll, LLC Payroll (Forest Ridge) 12/5/2019 11/27/2019

CRN Pool LLC Payroll (North Auburn) 12/6/2019 11/27/2019

CRN Pool LLC Payroll (Riverside Nursing) 12/6/2019 11/27/2019

CRN Pool LLC Payroll (Sequim) 12/6/2019 11/27/2019

CRN Pool LLC Payroll (Ivy Court) 12/6/2019 11/27/2019

CRN Pool LLC Payroll (Lacrosse) 12/6/2019 11/27/2019

SNF Payroll, LLC Payroll (Forest Ridge) 12/4/2019 11/27/2019

SNF Payroll, LLC Payroll (Fir Lane) 12/5/2019 11/27/2019

CRN Pool LLC Payroll (Aldercrest) 12/6/2019 11/27/2019

SNF Payroll, LLC Payroll (Ivy Court) 12/4/2019 11/27/2019

Cornerstone Healthcare Services Payroll (Lacrosse) 12/6/2019 11/27/2019

Jessica Carlson Employee Reimbursement (Bremerton Health) 12/6/2019 11/27/2019


Resiah Mae Nelsen Employee Reimbursement (Bremerton Health) 12/6/2019 11/27/2019

Georgia Ziminisky Employee Reimbursement (Bremerton Health) 12/6/2019 11/27/2019




Glenn Cruz Employee Reimbursement (Bremerton Health) 12/6/2019 11/27/2019



Sabrina Eastman Employee Reimbursement (Bremerton Health) 12/6/2019 11/27/2019

Gershom Ditching Employee Reimbursement (Forest Ridge) 12/6/2019 11/27/2019

Melissa Gibson Employee Reimbursement (Forest Ridge) 12/6/2019 11/27/2019

Cindy Bloom Employee Reimbursement (Forest Ridge) 12/6/2019 11/27/2019

Melissa Gibson Employee Reimbursement (Forest Ridge) 12/6/2019 11/27/2019

Tammy Sohn Employee Reimbursement (Forest Ridge) 12/6/2019 11/27/2019

Elenita Cerdan Employee Reimbursement (Forest Ridge) 12/6/2019 11/27/2019

Edith Cole Employee Reimbursement (Forest Ridge) 12/6/2019 11/27/2019

Michelle Alfera Employee Reimbursement (Forest Ridge) 12/6/2019 11/27/2019

Courtney Thompson Employee Reimbursement (Riverside Nursing) 12/6/2019 11/27/2019

Pauline Mcdaniel Employee Reimbursement (Riverside Nursing) 12/6/2019 11/27/2019

Pauline Mcdaniel Employee Reimbursement (Riverside Nursing) 12/6/2019 11/27/2019

Ed Ebling Employee Reimbursement (Aldercrest) 12/24/2019 11/27/2019


Hannah Jones Employee Reimbursement (Aldercrest) 12/6/2019 11/27/2019


Kara Fabiani Employee Reimbursement (Puget Sound) 12/6/2019 11/27/2019

Josephine Antonio Employee Reimbursement (Puget Sound) 12/6/2019 11/27/2019

Ashley Hogue Employee Reimbursement (Puget Sound) 12/6/2019 11/27/2019

Ashley Hogue Employee Reimbursement (Puget Sound) 12/6/2019 11/27/2019

Kasaundra Navarro Employee Reimbursement (Puget Sound) 12/6/2019 11/27/2019

Ron Wilkes Employee Reimbursement (Puget Sound) 12/6/2019 11/27/2019

UST-14, SUMMARY OF DISBURSEMENTS (cont’d.)

Payments on Pre-Petition Unsecured Debt (requires court approval)

Payment amount

76.30

8,947.24

6,428.57

1,521.65

1,135.14

66,428.57

2,949.20

66,428.57

4,285.71

49,285.71

64,285.71

8,571.43

8,571.43

4,285.71

8,571.43

8,571.43

8,571.43

5,142.86

4,285.71

4,285.71

8,571.43

4,285.71

8,571.43

4,285.71

4,285.71

19-43754 (Jointly Administered)

December-2019

Did the debtor, or another party on behalf of the debtor, make any payments during this reporting month on pre-petition unsecured debt? If Yes, list each payment.

2,016.60

8,571.43

8,571.43

8,571.43

4,285.71

8,571.43

8,571.43

42,857.14

10,972.12

8,571.43

42,857.14

159.86

158.80

14.16

265.89

55.57

102.49

46.65

200.00

87.35

20.71

152.11

220.35

49.16

58.86

138.71

262.98

110.83

274.76

16.50

61.24

23.11

9.80

1,868.75

128.79

258.88

332.80

273.73

132.00

570.84

10.00

650.18

375.00

YES NO

Monthly Financial Report - Corporate or Partnership DebtorUnited States Trustee – Western District of Washington


Melinda Gribner Employee Reimbursement (Puget Sound) 12/6/2019 11/27/2019


Jason McFadden Employee Reimbursement (Puget Sound) 12/6/2019 11/27/2019

Ron Wilkes Employee Reimbursement (Puget Sound) 12/6/2019 11/27/2019

Cathryne Jensen Employee Reimbursement (Puget Sound) 12/6/2019 11/27/2019

Cathryne Jensen Employee Reimbursement (Puget Sound) 12/6/2019 11/27/2019


Karafa DoDou Jammeh Employee Reimbursement (Puget Sound) 12/6/2019 11/27/2019

Jason McFadden Employee Reimbursement (Puget Sound) 12/6/2019 11/27/2019

Sai Calderone Employee Reimbursement (Crestwood) 12/6/2019 11/27/2019

Becca Blouin Employee Reimbursement (Sequim) 12/6/2019 11/27/2019

Melissa Meyer Employee Reimbursement (Sequim) 12/6/2019 11/27/2019

Rick Gonzales Employee Reimbursement (Sequim) 12/6/2019 11/27/2019

Ben Freeman Employee Reimbursement (Sequim) 12/6/2019 11/27/2019

Melissa Meyer Employee Reimbursement (Sequim) 12/6/2019 11/27/2019

Gisell Ale Employee Reimbursement (Franklin Hills) 12/6/2019 11/27/2019

Nikki Pagel Employee Reimbursement (Franklin Hills) 12/6/2019 11/27/2019

Bobbie Gunkel Employee Reimbursement (Franklin Hills) 12/6/2019 11/27/2019

Janet Armstrong Employee Reimbursement (Gardens on i i )

12/6/2019 11/27/2019

Linda Wines Employee Reimbursement (Meadow Park) 12/6/2019 11/27/2019

Landon Russell Employee Reimbursement (Meadow Park) 12/6/2019 11/27/2019

Bethany Angle Employee Reimbursement (Meadow Park) 12/6/2019 11/27/2019

Landon Russell Employee Reimbursement (Meadow Park) 12/6/2019 11/27/2019

Kurt Routzahn Employee Reimbursement (Ivy Court) 12/6/2019 11/27/2019

Pam Ader Employee Reimbursement (Ivy Court) 12/6/2019 11/27/2019

Ammy Weydahl Employee Reimbursement (Lacrosse) 12/6/2019 11/27/2019

Brandy Dockery Employee Reimbursement (Lacrosse) 12/6/2019 11/27/2019

Jennifer Jackson Employee Reimbursement (Lacrosse) 12/6/2019 11/27/2019

Melissa Reed Employee Reimbursement (Lacrosse) 12/6/2019 11/27/2019



Jennifer Jackson Employee Reimbursement (Lacrosse) 12/6/2019 11/27/2019

Susan Goodrick Employee Reimbursement (Lacrosse) 12/6/2019 11/27/2019


Ryan Lunsford Employee Reimbursement (Lacrosse) 12/6/2019 11/27/2019

Ammy Weydahl Employee Reimbursement (Lacrosse) 12/6/2019 11/27/2019

Question Harrington Employee Reimbursement (Lacrosse) 12/6/2019 11/27/2019

Mark Cherogatti Employee Reimbursement (Lacrosse) 12/6/2019 11/27/2019


Tara Richter Employee Reimbursement (Lacrosse) 12/6/2019 11/27/2019

Washington State Dept of Labor & Industries L&I Settlement (Riverside Nursing) 12/23/2019 11/27/2019

Washington State Dept of Labor & Industries L&I Settlement (Fir Lane) 12/23/2019 11/27/2019

Washington State Dept of Labor & Industries L&I Settlement (Puget Sound) 12/23/2019 11/27/2019

Professional name Type of work performed Payment date Date of court approval

Payee name Relationship to debtor Payment date Purpose of paymentCRN Pool LLC Internal Staffing 12/6/2019 payroll

CRN Pool LLC Internal Staffing 12/20/2019 payroll

Cornerstone Self Insured Management Company 12/19/2019 expense pass through - insurance



Cornerstone Healthcare Services Management Company 12/6/2019 payroll

Cornerstone Healthcare Services Management Company 12/17/2019 expense pass through





INSTRUCTIONS: Use the last column to describe the purpose of each payment, such as gross wages or salary, reimbursement for business expenses, loan repayment, advance, draw, bonus, dividend, stock distribution, or other reason for the payment (explain).

Did the debtor, or another party on behalf of the debtor, make any payments during this reporting month to an officer, director, partner, or other insider of the debtor? If Yes, list each payment.

20,398.65

212,000.00

26,272.00

Payment amount

189,753.00

225,965.38

227,922.11

80,467.00

140,000.00

28,853.42

23,232.00

111,139.60

Payments to an Officer, Director, Partner, or Other Insider of The Debtor

Payment amount

Did the debtor, or another party on behalf of the debtor, make any payments during this reporting month to a professional such as an attorney, accountant, realtor, appraiser, auctioneer, business consultant, or other professional person? If Yes, list each payment.

Payments to Attorneys and Other Professionals (requires court approval)

10,000.00

10,000.00

20,000.00

171.60

240.75

211.50

109.20

17.41

124.00

201.16

448.29

228.80

196.47

19.58

172.72

285.00

470.11

154.86

197.86

150.48

63.55

85.60

46.51

204.15

34.68

55.81

81.58

33.07

234.90

84.70

8.58

65.50

37.50

193.78

27.54

29.64

34.95

56.46

43.94

31.56

52.93

143.48

18.01

YES NO

YES NO




Debtor lthcare Holdings, LLC, et al. Month Ending December-2019

Accounts Receivable Aging

Balance at month end Current portion Past due 31-60 days Past due 61-90 days Past due over 90 days Uncollectible receivables

Pre-petition receivables 8,367,872 - 2,041,495 1,396,179 4,930,198

Post-petition receivables 10,009,321 9,462,247 640,217 - -

TOTALS 18,377,193 9,462,247 2,681,712 1,396,179 4,930,198 -

Accounts Receivable Reconciliation

Explain what efforts the debtor made during this reporting month to collect receivables over 60 days past due.

Does the debtor have any accounts receivable due from an officer, director, partner, or other insider of the debtor?If yes, explain.

UST-15, STATEMENT OF AGED RECEIVABLES

INSTRUCTIONS: Complete all portions of UST-15, STATEMENT OF AGED RECEIVABLES, unless the debtor asserts the following two statements are true for this reporting month:

1) At the beginning of the reporting month, the debtor did not have any uncollected receivables from prior months which includes both pre-petition and post-petition accounts receivable; and,

2) During the reporting month, the debtor did not have any receivables activity, including the accrual of new accounts receivable, or the collection or writeoff of accounts receivable from prior months.

Check here if the debtor asserts that both statements are correct and skip to UST-16, STATEMENT OF POST-PETITION PAYABLES, on the next page.

Closing balance from prior month

New accounts receivable added this month

Subtotal

Less accounts receivable collected

Closing balance for current month

18,140,046

10,223,033

28,363,079

9,985,886

18,377,194



UST - 15 Statement of Aged Receivables

Facility PayerName PayerCode Total FutureCash Current 30 days 60 days 90 days 120 days 150 days 180 days 210 days +ALDERCREST HEALTH AND REHABILITATION CTR First Choice Health Network- PI HMO-FCH 6,648.60 - - - - - - - 6,173.70 474.90 ALDERCREST HEALTH AND REHABILITATION CTR HMO A Coins - Private HXA-PP 6,312.17 - - - - - 320.00 2,827.00 - 3,165.17 ALDERCREST HEALTH AND REHABILITATION CTR HMO B HMO-B 6,992.17 - 268.78 880.92 979.34 1,213.83 - - 84.31 3,564.99 ALDERCREST HEALTH AND REHABILITATION CTR HMO B Coins - Medicaid HXB-MA 150.00 - - 81.84 68.16 - - - - - ALDERCREST HEALTH AND REHABILITATION CTR Hospice Medicaid HSP-HSP 8,640.20 - 6,451.58 2,188.62 - - - - - - ALDERCREST HEALTH AND REHABILITATION CTR Hospice Medicaid Pending WA HSP-HMPN 2,188.62 - 1,945.44 243.18 - - - - - - ALDERCREST HEALTH AND REHABILITATION CTR Humana Rugs- MCRADV Hmb-RUGS 32,477.28 - 7,609.89 569.64 - - - - 6,853.06 17,444.69 ALDERCREST HEALTH AND REHABILITATION CTR Managed Care with Levels-WA MMR-Levls 97,266.98 - 27,210.00 34,353.00 16,782.00 2,504.00 - 8,492.43 7,001.11 924.44 ALDERCREST HEALTH AND REHABILITATION CTR Managed Care with RUGs/PDPM MMR-RUGS 30,283.90 - - - - - 5,656.80 - - 24,627.10 ALDERCREST HEALTH AND REHABILITATION CTR Managed Medicaid HMO-ANC 68,533.62 - 21,271.76 9,484.02 5,848.64 - - 17,407.66 5,800.00 8,721.54 ALDERCREST HEALTH AND REHABILITATION CTR Managed Medicaid Part B MMB-B 13,887.12 - 4,384.30 5,911.20 241.62 1,107.77 (504.55) 2,699.82 254.10 (207.14) ALDERCREST HEALTH AND REHABILITATION CTR Med A Coins - Insurance MXA-INS 13,877.07 - 4,774.00 5,967.50 6,138.00 - - (971.85) - (2,030.58) ALDERCREST HEALTH AND REHABILITATION CTR Med A Coins - Medicaid MXA-MA 49,136.50 - 18,414.00 16,027.00 2,898.50 - 1,705.00 - - 10,092.00 ALDERCREST HEALTH AND REHABILITATION CTR Med A Coins - Private MXA-PP 40,618.10 - 2,557.50 1,705.00 7,502.00 5,115.00 4,774.00 5,285.50 9,207.00 4,472.10 ALDERCREST HEALTH AND REHABILITATION CTR Med B Coins - Insurance MXB-INS 559.58 - - 17.35 - 117.10 374.78 10.31 - 40.04 ALDERCREST HEALTH AND REHABILITATION CTR Med B Coins - Private MXB-PP 1,146.83 - 464.35 60.54 - - 590.67 - - 31.27 ALDERCREST HEALTH AND REHABILITATION CTR Medicaid Pending WA MAP-WA 51,641.72 - 15,199.50 16,465.30 6,958.66 6,452.40 3,404.52 3,161.34 - - ALDERCREST HEALTH AND REHABILITATION CTR Medicaid WA MA-WA 483,299.96 - 396,680.12 33,216.02 24,531.54 11,287.09 7,813.37 7,500.39 1,987.52 283.91 ALDERCREST HEALTH AND REHABILITATION CTR Medicare A MCR-A 144,600.95 - 111,231.85 19,173.67 6,366.72 - - 1,740.63 - 6,088.08 ALDERCREST HEALTH AND REHABILITATION CTR Medicare B MCR-B 11,116.02 - 6,947.73 1,413.11 - 415.05 - - - 2,340.13 ALDERCREST HEALTH AND REHABILITATION CTR Premera- MCRADV MMR 36,695.34 - 489.94 15,115.83 620.24 2,136.63 - - - 18,332.70 ALDERCREST HEALTH AND REHABILITATION CTR Private Insurance PI 10,922.37 - 500.00 - - - - - - 10,422.37 ALDERCREST HEALTH AND REHABILITATION CTR Private Insurance - Levels PIW 22,844.14 - - 7,200.00 - - - - - 15,644.14 ALDERCREST HEALTH AND REHABILITATION CTR Private Pay PP-PP 200,743.90 - 11,850.00 10,092.00 15,600.00 27,000.00 32,850.00 11,767.00 10,500.00 81,084.90 ALDERCREST HEALTH AND REHABILITATION CTR Regence BCBS- MCRADV MMR-MCAd 6,978.87 - 2,366.75 - - 4,612.12 - - - - ALDERCREST HEALTH AND REHABILITATION CTR Resident Liability RL-RL 91,255.94 (830.41) 13,627.45 11,927.25 7,283.18 8,139.44 5,190.88 3,658.60 3,346.90 38,912.65 ALDERCREST HEALTH AND REHABILITATION CTR UHC Managed Medicaid Ancillaries UMA-B 4,350.00 - - - - 4,350.00 - - - - ALDERCREST HEALTH AND REHABILITATION CTR United Healthcare Ancillaries Dual-WA UHB-B 11,867.00 - 7,102.00 3,070.00 1,191.00 (67.00) - - - 571.00 ALDERCREST HEALTH AND REHABILITATION CTR United Healthcare Ancillaries Inst-WA UaB-B 24,672.60 - 3,770.00 4,940.00 250.00 - - 1,230.00 - 14,482.60 ALDERCREST HEALTH AND REHABILITATION CTR Allowance for Doubtful Accounts/Adjustment 15,745.23 ALDERCREST HEALTH AND REHABILITATION CTR Total 1,495,452.78 (830.41) 665,116.94 200,102.99 103,259.60 74,383.43 62,175.47 64,808.83 51,207.70 259,483.00 BREMERTON CONVALESCENT CENTER HMO A Coins - Private HXA-PP 12,351.04 - - - - - 2,879.90 - - 9,471.14 BREMERTON CONVALESCENT CENTER HMO B HMO-B 9,391.29 - 1,312.08 577.86 (26.19) - 81.84 596.47 - 6,849.23 BREMERTON CONVALESCENT CENTER Hospice Medicaid HSP-HSP (4,554.82) - 6,055.29 - - - - (5,607.55) - (5,002.56) BREMERTON CONVALESCENT CENTER Hospice Medicaid Pending WA HSP-HMPN 37,993.78 - 10,704.74 10,256.20 5,752.37 5,528.10 5,752.37 - - - BREMERTON CONVALESCENT CENTER Humana PartB Hrb-B 6,222.34 - - 607.01 78.09 - - - - 5,537.24 BREMERTON CONVALESCENT CENTER Humana Rugs- MCRADV Hmb-RUGS 24,232.21 - 7,023.54 9,385.06 (219.38) - - 2,373.95 - 5,669.04 BREMERTON CONVALESCENT CENTER Managed Care with Levels-WA MMR-Levls 53,309.60 - 12,420.00 31,350.00 2,113.22 10,385.00 1,038.50 (4,609.00) (4,900.70) 5,512.58 BREMERTON CONVALESCENT CENTER Managed Care with RUGs/PDPM MMR-RUGS 11,910.70 - - 11,780.71 - - - - - 129.99 BREMERTON CONVALESCENT CENTER Managed Medicaid HMO-ANC 109,451.12 - 17,228.08 11,008.61 7,042.38 6,757.54 11,322.89 25,335.03 7,225.20 23,531.39 BREMERTON CONVALESCENT CENTER Managed Medicaid Part B MMB-B 3,387.87 - 1,862.09 324.91 454.88 2,691.43 270.24 (1,374.71) (4,300.18) 3,459.21 BREMERTON CONVALESCENT CENTER Med A Coins - Insurance MXA-INS 12,246.00 - 5,456.00 1,023.00 3,921.50 - - (1,705.00) - 3,550.50 BREMERTON CONVALESCENT CENTER Med A Coins - Medicaid MXA-MA 21,994.50 - 3,410.00 8,184.00 4,262.50 - - - - 6,138.00 BREMERTON CONVALESCENT CENTER Med A Coins - Pending MXp-MP 3,751.00 - - - 1,705.00 2,046.00 - - - - BREMERTON CONVALESCENT CENTER Med A Coins - Private MXA-PP 32,361.00 - 2,898.50 7,502.00 5,967.50 5,115.00 341.00 2,557.50 682.00 7,297.50 BREMERTON CONVALESCENT CENTER Med B Coins - Insurance MXB-INS 1,993.30 - 957.38 1,118.52 108.37 - - - - (190.97) BREMERTON CONVALESCENT CENTER Med B Coins - Private MXB-PP 2,294.72 - 496.35 13.92 - - - 659.12 181.34 943.99 BREMERTON CONVALESCENT CENTER Medicaid Pending WA MAP-WA 90,504.84 - 49,598.09 28,712.77 12,193.98 - - - - - BREMERTON CONVALESCENT CENTER Medicaid WA MA-WA 484,966.75 - 436,487.26 33,951.80 8,965.96 1,726.72 1,259.99 625.29 (0.61) 1,950.34 BREMERTON CONVALESCENT CENTER Medicare A MCR-A 144,293.82 - 66,986.88 60,757.29 3,098.09 - - - - 13,451.56 BREMERTON CONVALESCENT CENTER Medicare A - MSP MCR-AMSP (669.25) - - - - - - - - (669.25) BREMERTON CONVALESCENT CENTER Medicare B MCR-B 19,040.72 - 9,277.36 4,853.79 424.92 - 676.04 306.19 184.41 3,318.01 BREMERTON CONVALESCENT CENTER Premera- MCRADV MMR 11,276.37 - - - - 11,276.37 - - - - BREMERTON CONVALESCENT CENTER Private - Medicaid Denied PP-MDPP 16,873.72 - - 4,158.21 224.27 - - 6,745.33 5,745.91 - BREMERTON CONVALESCENT CENTER Private Insurance - Levels PIW (18,464.69) - - - 900.00 - - 6,000.00 - (25,364.69) BREMERTON CONVALESCENT CENTER Private Insurance RUGS - WA PI-RUGS 28,271.19 - - - - 9,192.32 2,494.62 13,327.88 1,723.40 1,532.97 BREMERTON CONVALESCENT CENTER Private Pay PP-PP 83,546.71 (450.00) 11,305.00 22,689.57 9,836.00 530.00 - - 1,855.00 37,781.14 BREMERTON CONVALESCENT CENTER Regence BCBS- MCRADV MMR-MCAd 319.56 - - - - - - - - 319.56 BREMERTON CONVALESCENT CENTER Resident Liability RL-RL 204,460.71 (10,178.99) 31,623.69 26,262.32 17,908.53 18,231.71 19,783.54 8,442.07 5,486.84 86,901.00 BREMERTON CONVALESCENT CENTER UHC Managed Medicaid Ancillaries UMA-B 50.00 - 50.00 - - - - - - - BREMERTON CONVALESCENT CENTER United Healthcare Ancillaries Dual-WA UHB-B 3,893.33 - - 2,278.00 1,273.00 - 67.00 - 350.00 (74.67) BREMERTON CONVALESCENT CENTER United Healthcare Ancillaries Inst-WA UaB-B 4,440.00 - 4,380.00 990.00 260.00 90.00 - - - (1,280.00) BREMERTON CONVALESCENT CENTER Allowance for Doubtful Accounts/Adjustment 32,614.52 BREMERTON CONVALESCENT CENTER Total 1,443,753.95 (10,628.99) 679,532.33 277,785.55 86,244.99 73,570.19 45,967.93 53,672.57 14,232.61 190,762.25 CARE CENTER EAST HEALTH & SPECIALTY HMO A - Humana-Mcare Rugs HMO-947T18 (147.18) - - - - - - - - (147.18) CARE CENTER EAST HEALTH & SPECIALTY HMO A Coins - Medicaid HXA-MA 6,532.64 - - - - - - - - 6,532.64 CARE CENTER EAST HEALTH & SPECIALTY HMO A Coins - Private HXA-PP 17,091.34 - - - - - - - - 17,091.34 CARE CENTER EAST HEALTH & SPECIALTY HMO B HMO-B 13,986.31 - - - - - - - - 13,986.31 CARE CENTER EAST HEALTH & SPECIALTY HMO B Coins - Private HXB-PP (100.55) - - - - - - - - (100.55) CARE CENTER EAST HEALTH & SPECIALTY Hospice Medicaid HSP-HSP (1,824.59) - - - - - - - - (1,824.59) CARE CENTER EAST HEALTH & SPECIALTY Humana Rugs- MCRADV Hmb-RUGS (371.08) - - - - - - - - (371.08) CARE CENTER EAST HEALTH & SPECIALTY Kaiser Hospice HSP-Kai (1,018.45) - - - - - - - - (1,018.45) CARE CENTER EAST HEALTH & SPECIALTY Managed Care Levels-OR MMR-LVL 9,159.01 - - - - - - - - 9,159.01 CARE CENTER EAST HEALTH & SPECIALTY Managed Care with RUGs/PDPM MMR-RUGS 16,735.66 - - - - - - - - 16,735.66 CARE CENTER EAST HEALTH & SPECIALTY Med A Coins - Insurance MXA-INS (1,149.16) - - - - - - - - (1,149.16) CARE CENTER EAST HEALTH & SPECIALTY Med A Coins - Medicaid MXA-MA 5,695.00 - - - - - - - - 5,695.00 CARE CENTER EAST HEALTH & SPECIALTY Med B Coins - Insurance MXB-INS 182.47 - - - - - - - - 182.47 CARE CENTER EAST HEALTH & SPECIALTY Medicaid OR MA-OR 2,747.00 - - - - - - - - 2,747.00 CARE CENTER EAST HEALTH & SPECIALTY Medicaid OR - Complex MA-ORCC (266.10) - - - - - - - - (266.10) CARE CENTER EAST HEALTH & SPECIALTY Medicaid OR -Ancillaries MAA 0.26 - - - - - - - - 0.26 CARE CENTER EAST HEALTH & SPECIALTY Medicaid Pending OR - Complex MAP-ORCC 8,654.40 - - - - - - - - 8,654.40 CARE CENTER EAST HEALTH & SPECIALTY Medicare A MCR-A 4,886.68 - - - - - - - - 4,886.68 CARE CENTER EAST HEALTH & SPECIALTY Medicare B MCR-B 2,860.47 - - - - - - - - 2,860.47 CARE CENTER EAST HEALTH & SPECIALTY Private Pay PP-PP (7,961.00) - - - - - - - - (7,961.00) CARE CENTER EAST HEALTH & SPECIALTY Resident Liability RL-RL (10,131.10) - - - - - - - - (10,131.10) CARE CENTER EAST HEALTH & SPECIALTY United Healthcare Ancillaries-Care center UBC-B 250.04 - - - - - - - - 250.04 CARE CENTER EAST HEALTH & SPECIALTY Allowance for Doubtful Accounts/Adjustment 30,683.69

Cornerstone Detailed AR Aging - 12/31/2019




Facility PayerName PayerCode Total FutureCash Current 30 days 60 days 90 days 120 days 150 days 180 days 210 days +Cornerstone Detailed AR Aging - 12/31/2019

CARE CENTER EAST HEALTH & SPECIALTY Total 96,495.76 - - - - - - - - 65,812.07 Cherrywood Place Medicaid ALF MAL-ALF 41,262.57 - 44,444.59 930.23 1,791.82 (1,488.96) (2,462.72) (2,213.79) - 261.40 Cherrywood Place Private Pay PP-PP 34,559.61 (4,334.35) 11,864.89 3,805.25 2,555.86 3,177.09 5,171.86 5,171.86 1,177.92 5,969.23 Cherrywood Place Resident Liability RL-RL 18,156.62 (360.84) 2,712.65 (761.51) (999.67) (446.71) 2,407.12 5,432.93 3,799.04 6,373.61 Cherrywood Place Allowance for Doubtful Accounts/Adjustment (9,885.73) Cherrywood Place Total 84,093.07 (4,695.19) 59,022.13 3,973.97 3,348.01 1,241.42 5,116.26 8,391.00 4,976.96 12,604.24 CRESTWOOD CONVALESCENT CENTER First Choice Health Network- PI HMO-FCH 3,603.60 - - - - - - - - 3,603.60 CRESTWOOD CONVALESCENT CENTER HMO A Coins - Private HXA-PP 11,172.11 - - - - - - - - 11,172.11 CRESTWOOD CONVALESCENT CENTER HMO B HMO-B 9,704.38 - - - - - 3,362.63 5,485.53 856.22 - CRESTWOOD CONVALESCENT CENTER Hospice Medicaid HSP-HSP 26,172.38 - 6,837.38 12,007.10 - - 1,617.86 5,710.04 - - CRESTWOOD CONVALESCENT CENTER Humana PartB Hrb-B 692.32 - - - - - - - - 692.32 CRESTWOOD CONVALESCENT CENTER Managed Care with Levels-WA MMR-Levls 11,718.00 - - - 3,906.00 7,812.00 - - - - CRESTWOOD CONVALESCENT CENTER Managed Care with RUGs/PDPM MMR-RUGS 281.60 - - - - - 281.60 - - - CRESTWOOD CONVALESCENT CENTER Managed Medicaid HMO-ANC (1,407.77) - - - 57.00 - - - - (1,464.77) CRESTWOOD CONVALESCENT CENTER Managed Medicaid Part B MMB-B 7,521.27 - - - - 1,811.02 2,779.68 2,236.48 656.75 37.34 CRESTWOOD CONVALESCENT CENTER Med A Coins - Insurance MXA-INS 54,965.19 - 11,594.00 19,948.50 - - - 1,875.50 (341.00) 21,888.19 CRESTWOOD CONVALESCENT CENTER Med A Coins - Medicaid MXA-MA 31,473.50 - 11,082.50 14,151.50 2,046.00 341.00 - - - 3,852.50 CRESTWOOD CONVALESCENT CENTER Med A Coins - Pending MXp-MP 5,285.50 - 4,774.00 511.50 - - - - - - CRESTWOOD CONVALESCENT CENTER Med A Coins - Private MXA-PP 16,594.50 - 170.50 2,216.50 - 852.50 341.00 682.00 3,912.50 8,419.50 CRESTWOOD CONVALESCENT CENTER Med B Coins - Insurance MXB-INS 4,488.72 - 990.53 619.89 (148.13) 1,273.31 (514.23) 330.00 540.88 1,396.47 CRESTWOOD CONVALESCENT CENTER Med B Coins - Private MXB-PP 511.04 - - - - - - 28.00 - 483.04 CRESTWOOD CONVALESCENT CENTER Medicaid Pending WA MAP-WA 2,737.08 - 2,737.08 - - - - - - - CRESTWOOD CONVALESCENT CENTER Medicaid WA MA-WA 306,461.26 - 300,923.18 3,257.10 1,519.98 761.00 - - - - CRESTWOOD CONVALESCENT CENTER Medicare A MCR-A 215,177.32 - 174,387.37 40,789.95 - - - - - - CRESTWOOD CONVALESCENT CENTER Medicare B MCR-B 17,502.82 - 13,738.08 963.00 - 147.38 308.11 - 319.48 2,026.77 CRESTWOOD CONVALESCENT CENTER Outpatient Med B Coins - Insurance OPX-INS 2,077.73 - 234.09 181.31 - - - - - 1,662.33 CRESTWOOD CONVALESCENT CENTER Outpatient Medicare B OP-MCR 1,422.76 - 1,242.19 180.57 - - - - - - CRESTWOOD CONVALESCENT CENTER Private Insurance PI 250.00 - - - - - - - - 250.00 CRESTWOOD CONVALESCENT CENTER Private Insurance - Levels PIW 15,200.00 - - - 12,400.00 2,800.00 - - - - CRESTWOOD CONVALESCENT CENTER Private Insurance RUGS - WA PI-RUGS 3,365.95 - - - - - - - - 3,365.95 CRESTWOOD CONVALESCENT CENTER Private Pay PP-PP 31,615.18 (13,100.00) (408.41) - (295.00) 825.00 7,975.00 - 8,250.00 28,368.59 CRESTWOOD CONVALESCENT CENTER Regence BCBS- MCRADV MMR-MCAd 12,684.80 - - - 12,684.80 - - - - - CRESTWOOD CONVALESCENT CENTER Resident Liability RL-RL 50,059.98 (2,000.04) 4,064.31 4,628.02 (800.07) 6,618.89 5,016.58 8,844.54 2,926.62 20,761.13 CRESTWOOD CONVALESCENT CENTER United Healthcare Ancillaries Dual-WA UHB-B 20.00 - - - 20.00 - - - - - CRESTWOOD CONVALESCENT CENTER VA 7LVL(UB) VA-7LVLUB 19,679.66 - 15,863.26 3,816.40 - - - - - - CRESTWOOD CONVALESCENT CENTER Allowance for Doubtful Accounts/Adjustment 36,605.32 CRESTWOOD CONVALESCENT CENTER Total 897,636.20 (15,100.04) 548,230.06 103,271.34 31,390.58 23,242.10 21,168.23 25,192.09 17,121.45 106,515.07 FIR LANE HEALTH AND REHABILITATION CENTER HMO A Coins - Insurance HXA-INS 160.00 - - - - - - - - 160.00 FIR LANE HEALTH AND REHABILITATION CENTER HMO A Coins - Private HXA-PP 150.00 - - - - 150.00 - - - - FIR LANE HEALTH AND REHABILITATION CENTER HMO B HMO-B 37,994.66 - 965.52 1,969.17 3,287.22 - 3,725.55 4,368.49 3,004.26 20,674.45 FIR LANE HEALTH AND REHABILITATION CENTER Hospice Medicaid HSP-HSP 12,826.45 - 11,940.07 - - - - 886.38 - - FIR LANE HEALTH AND REHABILITATION CENTER Managed Care with Levels-WA MMR-Levls 9,531.00 - 4,200.00 5,208.00 - - - - - 123.00 FIR LANE HEALTH AND REHABILITATION CENTER Managed Care with RUGs/PDPM MMR-RUGS 7,749.05 - - - - - - - - 7,749.05 FIR LANE HEALTH AND REHABILITATION CENTER Managed Medicaid HMO-ANC 24,517.85 - - 3,856.50 4,015.25 - - - - 16,646.10 FIR LANE HEALTH AND REHABILITATION CENTER Managed Medicaid Part B MMB-B 42,675.57 - 5,015.52 3,496.49 1,683.34 1,486.42 6,379.16 2,164.98 1,433.92 21,015.74 FIR LANE HEALTH AND REHABILITATION CENTER Med A Coins - Insurance MXA-INS 24,311.25 - 9,377.50 9,207.00 5,456.00 852.50 (567.62) - (0.01) (14.12) FIR LANE HEALTH AND REHABILITATION CENTER Med A Coins - Medicaid MXA-MA 29,744.00 - 9,889.00 1,193.50 341.00 - 2,728.00 - - 15,592.50 FIR LANE HEALTH AND REHABILITATION CENTER Med A Coins - Private MXA-PP 13,480.00 - 341.00 - - - 2,387.00 2,728.00 - 8,024.00 FIR LANE HEALTH AND REHABILITATION CENTER Med B Coins - Insurance MXB-INS 3,814.55 - 214.20 506.89 214.53 980.98 820.84 42.59 621.36 413.16 FIR LANE HEALTH AND REHABILITATION CENTER Med B Coins - Medicaid Non Billable MXB-MANB 1,946.73 - - - - - - - - 1,946.73 FIR LANE HEALTH AND REHABILITATION CENTER Med B Coins - Private MXB-PP 146.27 - - 211.36 299.37 (420.54) (13.92) - - 70.00 FIR LANE HEALTH AND REHABILITATION CENTER Medicaid Pending WA MAP-WA 37,207.75 - 14,997.25 8,712.75 6,641.75 6,856.00 - - - - FIR LANE HEALTH AND REHABILITATION CENTER Medicaid WA MA-WA 508,273.10 - 433,401.73 38,740.06 11,793.20 4,488.87 6,155.00 8,992.71 4,701.53 - FIR LANE HEALTH AND REHABILITATION CENTER Medicare A MCR-A 173,464.85 - 163,158.42 6,476.33 - (330.27) 4,160.37 - - - FIR LANE HEALTH AND REHABILITATION CENTER Medicare B MCR-B 17,935.87 - 6,672.50 5,023.25 1,519.42 520.40 - 167.25 2,435.82 1,597.23 FIR LANE HEALTH AND REHABILITATION CENTER Outpatient HMO B OP-HMO 8,457.86 - - - 1,986.45 281.53 - - 57.14 6,132.74 FIR LANE HEALTH AND REHABILITATION CENTER Outpatient Med B Coins - Insurance OPX-INS 755.16 - - - - - - - - 755.16 FIR LANE HEALTH AND REHABILITATION CENTER Outpatient Med B Coins - Mcaid Non Billable OPX-MANB 111.89 - - - - - - - - 111.89 FIR LANE HEALTH AND REHABILITATION CENTER Outpatient Med B Coins - Private OPX-PP 18.67 - - - - - - - - 18.67 FIR LANE HEALTH AND REHABILITATION CENTER Outpatient Medicare B OP-MCR (127.67) - - - - - - - - (127.67) FIR LANE HEALTH AND REHABILITATION CENTER Private - Medicaid Denied PP-MDPP 54,563.51 - 6,641.75 6,427.50 6,641.75 6,427.50 6,519.89 6,641.75 6,632.10 8,631.27 FIR LANE HEALTH AND REHABILITATION CENTER Private Insurance - Levels PIW 5,695.00 - - - - - - - - 5,695.00 FIR LANE HEALTH AND REHABILITATION CENTER Private Insurance RUGS - WA PI-RUGS 5,188.68 - - - - - - - - 5,188.68 FIR LANE HEALTH AND REHABILITATION CENTER Private Pay PP-PP 42,796.90 - (1,761.00) (1,197.00) 1,087.63 - 9,322.00 223.00 5,640.00 29,482.27 FIR LANE HEALTH AND REHABILITATION CENTER Regence BCBS- MCRADV MMR-MCAd 21,299.35 - - 3,788.91 17,510.44 - - - - - FIR LANE HEALTH AND REHABILITATION CENTER Resident Liability RL-RL 38,636.58 (4,978.93) 3,187.36 (1,771.35) 2,544.92 1,975.58 3,935.04 1,220.55 2,989.77 29,533.64 FIR LANE HEALTH AND REHABILITATION CENTER UHC Managed Medicaid Ancillaries UMA-B 7,900.00 - 100.00 50.00 1,350.00 - 1,300.00 850.00 500.00 3,750.00 FIR LANE HEALTH AND REHABILITATION CENTER United Healthcare Ancillaries Dual-WA UHB-B 5,293.00 - 2,412.00 2,881.00 - - - - - - FIR LANE HEALTH AND REHABILITATION CENTER Allowance for Doubtful Accounts/Adjustment 45,665.86 FIR LANE HEALTH AND REHABILITATION CENTER Total 1,182,183.74 (4,978.93) 670,752.82 94,780.36 66,372.27 23,268.97 46,851.31 28,285.70 28,015.89 183,169.49 FOREST RIDGE HEALTH AND REHABILITATION Extended Care EXT (4,216.28) - - - - - - - - (4,216.28) FOREST RIDGE HEALTH AND REHABILITATION HMO A Coins - Private HXA-PP 10,205.47 - 1,511.10 1,208.88 2,671.00 2,289.49 837.50 - - 1,687.50 FOREST RIDGE HEALTH AND REHABILITATION HMO B HMO-B 9,850.84 - - - - - 467.72 374.05 - 9,009.07 FOREST RIDGE HEALTH AND REHABILITATION HMO B Coins - Medicaid HXB-MA 28.83 - - - - - - - 28.83 - FOREST RIDGE HEALTH AND REHABILITATION Hospice Medicaid HSP-HSP 44,575.92 - 22,922.57 17,124.43 5,836.26 (1,307.34) - - - - FOREST RIDGE HEALTH AND REHABILITATION Humana PartB Hrb-B (1,295.41) - - - - - - 242.14 827.79 (2,365.34) FOREST RIDGE HEALTH AND REHABILITATION Humana Rugs- MCRADV Hmb-RUGS 15,711.69 - 8,291.60 - - 3,558.98 (4.33) - (3.26) 3,868.70 FOREST RIDGE HEALTH AND REHABILITATION Managed Care with Levels-WA MMR-Levls 65,044.04 - 27,218.90 33,526.12 993.93 11,229.00 - - - (7,923.91) FOREST RIDGE HEALTH AND REHABILITATION Managed Care with RUGs/PDPM MMR-RUGS 19,554.64 - 2,608.81 6,211.77 - - - - - 10,734.06 FOREST RIDGE HEALTH AND REHABILITATION Managed Medicaid HMO-ANC 133,780.47 - 17,408.03 19,018.00 11,085.00 9,665.46 14,251.52 22,392.22 5,970.56 33,989.68 FOREST RIDGE HEALTH AND REHABILITATION Managed Medicaid Part B MMB-B 23,329.24 - - - 952.42 164.65 80.54 1,867.92 1,269.23 18,994.48 FOREST RIDGE HEALTH AND REHABILITATION Med A Coins - Insurance MXA-INS 23,558.60 - 1,705.00 5,456.00 9,207.00 5,115.00 1,023.00 - - 1,052.60 FOREST RIDGE HEALTH AND REHABILITATION Med A Coins - Medicaid MXA-MA 32,224.50 - 17,732.00 8,354.50 1,534.50 3,410.00 - - - 1,193.50 FOREST RIDGE HEALTH AND REHABILITATION Med A Coins - Private MXA-PP 14,097.50 - 1,875.50 - - 1,364.00 - 2,898.50 341.00 7,618.50 FOREST RIDGE HEALTH AND REHABILITATION Med B Coins - Insurance MXB-INS 1,080.93 - 808.92 - - - - - - 272.01 FOREST RIDGE HEALTH AND REHABILITATION Med B Coins - Private MXB-PP (557.47) - - - - (557.47) - - - - FOREST RIDGE HEALTH AND REHABILITATION Medicaid Pending WA MAP-WA 130,803.84 - 23,633.37 23,543.92 19,647.13 12,657.40 6,754.59 6,622.59 6,289.20 31,655.64





FOREST RIDGE HEALTH AND REHABILITATION Medicaid WA MA-WA 491,401.86 - 332,634.46 65,903.92 46,231.91 18,267.27 2,581.68 6,176.84 5,967.20 13,638.58 FOREST RIDGE HEALTH AND REHABILITATION Medicare A MCR-A 177,284.06 - 102,979.58 66,245.10 12,942.90 288.16 - - - (5,171.68) FOREST RIDGE HEALTH AND REHABILITATION Medicare B MCR-B 19,526.45 - 5,799.00 8,421.46 2,945.79 866.52 1,316.02 - - 177.66 FOREST RIDGE HEALTH AND REHABILITATION Outpatient Med B Coins - Insurance OPX-INS 46.53 - - - - - - - - 46.53 FOREST RIDGE HEALTH AND REHABILITATION Premera- MCRADV MMR 8,034.77 - - - - 8,111.43 104.46 - - (181.12) FOREST RIDGE HEALTH AND REHABILITATION Private - Medicaid Denied PP-MDPP 36,185.41 - 6,754.59 (2,305.88) 5,200.23 7,408.26 9,369.27 3,050.46 209.64 6,498.84 FOREST RIDGE HEALTH AND REHABILITATION Private Insurance - Levels PIW 7,800.00 - - - - - 4,200.00 3,600.00 - - FOREST RIDGE HEALTH AND REHABILITATION Private Insurance RUGS - WA PI-RUGS 85,916.10 - 4,743.60 - 1,180.80 8,727.68 - - 3,557.70 67,706.32 FOREST RIDGE HEALTH AND REHABILITATION Private Pay PP-PP 84,577.62 - (1,535.46) 3,301.00 8,767.38 656.57 - - 7,645.00 65,743.13 FOREST RIDGE HEALTH AND REHABILITATION Regence BCBS- MCRADV MMR-MCAd 17,687.32 - - 9,491.15 8,196.17 - - - - - FOREST RIDGE HEALTH AND REHABILITATION Resident Liability RL-RL 140,777.21 - 13,817.12 16,964.98 15,686.44 9,655.94 11,168.96 14,852.92 12,040.94 46,589.91 FOREST RIDGE HEALTH AND REHABILITATION Respite RES-RES 919.14 - 928.40 - - - - 86.58 - (95.84) FOREST RIDGE HEALTH AND REHABILITATION UHC Managed Medicaid Ancillaries UMA-B (31.84) - - - - - - - - (31.84) FOREST RIDGE HEALTH AND REHABILITATION United Healthcare Ancillaries Dual-WA UHB-B (247.00) - - 67.00 (144.00) - (104.00) (27.00) (39.00) - FOREST RIDGE HEALTH AND REHABILITATION United Healthcare Ancillaries Inst-WA UaB-B 2,180.00 - 3,710.00 410.00 - - - - - (1,940.00) FOREST RIDGE HEALTH AND REHABILITATION VA 5LVL(UB) VA-5LVLUB 45,355.39 - 13,318.91 18,354.00 7,574.23 6,108.25 - - - - FOREST RIDGE HEALTH AND REHABILITATION Allowance for Doubtful Accounts/Adjustment 42,811.27 FOREST RIDGE HEALTH AND REHABILITATION Total 1,678,001.64 - 608,866.00 301,296.35 160,509.09 107,679.25 52,046.93 62,137.22 44,104.83 298,550.70 FRANKLIN HILLS NURSING CENTER HMO A Coins - Private HXA-PP 6,812.50 - - - - - - - - 6,812.50 FRANKLIN HILLS NURSING CENTER HMO B HMO-B 26,447.59 - 1,762.59 6,682.17 3,303.91 5,275.68 2,679.71 (194.53) 2,294.28 4,643.78 FRANKLIN HILLS NURSING CENTER Hospice Medicaid HSP-HSP 4,326.44 - - - - - - 2,250.50 2,075.94 - FRANKLIN HILLS NURSING CENTER Humana PartB Hrb-B 1,705.03 - - - - - - 409.61 - 1,295.42 FRANKLIN HILLS NURSING CENTER Humana Rugs- MCRADV Hmb-RUGS 11,997.73 - - 2,247.53 8,866.31 - - - - 883.89 FRANKLIN HILLS NURSING CENTER Managed Care with Levels-WA MMR-Levls 44,263.64 - 47,726.00 14,846.00 - 1,162.00 1,280.00 - (11,098.00) (9,652.36) FRANKLIN HILLS NURSING CENTER Managed Care with RUGs/PDPM MMR-RUGS (9,857.17) - - - 2,356.94 (7,188.93) 198.09 - - (5,223.27) FRANKLIN HILLS NURSING CENTER Managed Medicaid HMO-ANC 56,134.88 - 13,503.00 10,644.93 17,171.58 (213.57) (215.81) (138.20) 598.24 14,784.71 FRANKLIN HILLS NURSING CENTER Managed Medicaid Part B MMB-B 56,738.58 - 4,379.98 4,543.09 1,175.50 2,248.23 2,281.77 1,515.27 5,401.23 35,193.51 FRANKLIN HILLS NURSING CENTER Med A Coins - Insurance MXA-INS 2,299.97 - 341.00 - 2,216.50 - - - - (257.53) FRANKLIN HILLS NURSING CENTER Med A Coins - Medicaid MXA-MA 101,959.00 - 41,090.50 40,238.00 14,151.50 6,138.00 170.50 - - 170.50 FRANKLIN HILLS NURSING CENTER Med A Coins - Pending MXp-MP 7,502.00 - - - - 852.50 5,285.50 1,364.00 - - FRANKLIN HILLS NURSING CENTER Med A Coins - Private MXA-PP 25,575.00 - 2,216.50 - 4,944.50 5,115.00 3,069.00 - - 10,230.00 FRANKLIN HILLS NURSING CENTER Med B Coins - Private MXB-PP 324.79 - 149.18 175.61 - - - - - - FRANKLIN HILLS NURSING CENTER Medicaid Pending WA MAP-WA 7,876.75 - 7,876.75 - - - - - - - FRANKLIN HILLS NURSING CENTER Medicaid WA MA-WA 386,738.56 - 332,905.83 15,753.50 9,002.00 6,526.45 6,976.55 225.05 - 15,349.18 FRANKLIN HILLS NURSING CENTER Medicare A MCR-A 182,523.34 - 164,163.60 35,456.45 17,111.58 - (19,486.80) (14,250.51) - (470.98) FRANKLIN HILLS NURSING CENTER Medicare B MCR-B 10,686.61 - 5,386.78 1,921.19 114.82 - - - 723.49 2,540.33 FRANKLIN HILLS NURSING CENTER Private Insurance - Levels PIW 1,860.70 - - - - - - - - 1,860.70 FRANKLIN HILLS NURSING CENTER Private Insurance RUGS - WA PI-RUGS 54.48 - - - - - - - - 54.48 FRANKLIN HILLS NURSING CENTER Private Pay PP-PP 55,101.78 - 2,765.48 - 7,254.29 5,995.00 - 289.00 2,312.00 36,486.01 FRANKLIN HILLS NURSING CENTER Resident Liability RL-RL 72,700.87 (2,180.00) 8,691.17 2,192.66 (898.59) 2,603.38 2,821.50 3,728.00 1,497.44 54,245.31 FRANKLIN HILLS NURSING CENTER United Healthcare Ancillaries Dual-WA UHB-B 16,475.15 - 2,546.00 - - 467.00 1,522.00 1,920.00 2,327.00 7,693.15 FRANKLIN HILLS NURSING CENTER United Healthcare Ancillaries Inst-WA UaB-B 8,790.00 - 5,260.00 1,520.00 2,800.00 2,880.00 (480.00) 400.00 - (3,590.00) FRANKLIN HILLS NURSING CENTER Allowance for Doubtful Accounts/Adjustment 56,408.20 FRANKLIN HILLS NURSING CENTER Total 1,135,446.42 (2,180.00) 640,764.36 136,221.13 89,570.84 31,860.74 6,102.01 (2,481.81) 6,131.62 173,049.33 IVY COURT BC of ID MCO BCM 125,864.68 - 124,730.96 466.16 1,631.56 (964.00) - - - - IVY COURT First Choice Health Network- PI HMO-FCH 2,101.13 - - - - - - - - 2,101.13 IVY COURT HMO A Coins - Private HXA-PP 14,904.54 - - 1,204.00 1,376.00 172.00 2,010.00 - (511.50) 10,654.04 IVY COURT HMO B HMO-B 39,252.06 - 2,503.10 3,603.95 2,446.15 6,156.95 826.77 1,127.60 1,665.18 20,922.36 IVY COURT HMO B Coins - Medicaid HXB-MA (299.87) - - - 67.34 105.00 - 26.23 (498.44) - IVY COURT HMO B Coins - Private HXB-PP 382.89 - - - - - - - - 382.89 IVY COURT Hospice Medicaid HSP-HSP (1,141.44) - - - - - - - - (1,141.44) IVY COURT Humana Rugs-Idaho Hum-RUGS 71,885.58 - 44,281.35 12,301.20 460.01 - - - - 14,843.02 IVY COURT Humana-Part B-Idaho HM-B 11,198.02 - 3,638.85 866.07 - - 270.36 1,123.43 - 5,299.31 IVY COURT Managed Care with Levels -ID MMR-Levels (5,719.03) - 3,606.79 - - - - - - (9,325.82) IVY COURT Managed Care with RUGs/PDPM MMR-RUGS 65,058.24 - 39,318.08 17,542.89 12,080.64 - - - - (3,883.37) IVY COURT Managed Medicaid HMO-ANC 28,094.75 - 23,043.32 - (1,620.00) - - - - 6,671.43 IVY COURT Med A Coins - Insurance MXA-INS 17,606.54 - 6,138.00 852.50 - 2,728.00 5,285.50 2,387.00 - 215.54 IVY COURT Med A Coins - Medicaid MXA-MA 46,299.94 - 5,967.50 11,423.50 8,184.00 8,866.00 4,433.00 (63.06) - 7,489.00 IVY COURT Med A Coins - Private MXA-PP 32,722.92 (6,283.58) 11,594.00 2,046.00 3,921.50 3,239.50 5,226.50 - - 12,979.00 IVY COURT Med B Coins - Insurance MXB-INS (162.49) - 685.80 110.95 - - - (58.18) - (901.06) IVY COURT Med B Coins - Medicaid Non Billable MXB-MANB (408.51) - - - - - - - - (408.51) IVY COURT Med B Coins - Private MXB-PP (40.57) - 97.86 - - - - - - (138.43) IVY COURT Medicaid ID MA-ID 39,952.74 - 40,418.90 (466.16) - - - - - - IVY COURT Medicaid Pending ID MAP-ID 15,369.84 - - 3,894.68 8,323.20 3,151.96 - - - - IVY COURT Medicare A MCR-A 240,348.24 - 174,608.64 39,952.72 17,833.75 10,646.12 - (2,692.99) - - IVY COURT Medicare B MCR-B 10,310.46 - 7,232.06 2,320.11 159.44 707.58 391.37 (228.04) - (272.06) IVY COURT Molina MCO MOL 102,688.85 - 82,310.65 20,378.20 - - - - - - IVY COURT Outpatient Med B Coins - Insurance OPX-INS 56.98 - - - - - - - - 56.98 IVY COURT Outpatient Med B Coins - Private OPX-PP (897.87) - - - - - - - - (897.87) IVY COURT Private Insurance -ID PIa 17,585.60 - 3,606.79 5,574.13 3,934.68 - - - 4,470.00 - IVY COURT Private Insurance RUGS - ID PId-RUGS 42,950.06 - - 4,178.37 20,173.15 5,359.99 13,132.02 - 106.53 - IVY COURT Private Pay PP-PP 88,525.19 - 7,549.00 9,105.00 5,754.00 - (10.00) - 2,243.46 63,883.73 IVY COURT Resident Liability RL-RL 16,459.53 (2,793.10) (1,154.22) (3,378.86) 3,551.83 1,513.86 1,347.89 1,637.14 471.60 15,263.39 IVY COURT Respite RES-RES 831.90 - - - - - 332.76 499.14 - - IVY COURT VA Spokane(UB) VA-spokaUB 70,540.06 - 63,255.44 12,934.22 5.50 - - - (953.40) (4,701.70) IVY COURT Allowance for Doubtful Accounts/Adjustment (71,343.04) IVY COURT Total 1,020,977.92 (9,076.68) 643,432.87 144,909.63 88,282.75 41,682.96 33,246.17 3,758.27 6,993.43 139,091.56 LACROSSE HEALTH AND REHABILITATION CENTER BC of ID MCO BCM 207,131.59 - 206,812.59 64.36 - - 254.64 - - - LACROSSE HEALTH AND REHABILITATION CENTER BC of ID MCO- Trach BCT 11,911.28 - 13,006.28 (1,095.00) - - - - - - LACROSSE HEALTH AND REHABILITATION CENTER BC of ID MCO- Vent BCV 34,811.42 - 35,341.52 - - - - (530.10) - - LACROSSE HEALTH AND REHABILITATION CENTER HMO A Coins - Private HXA-PP 28,182.14 - - - 2,236.00 618.00 (1,550.47) (1,221.62) (688.00) 28,788.23 LACROSSE HEALTH AND REHABILITATION CENTER HMO B HMO-B 31,268.70 - 11,580.82 7,182.85 8,862.60 1,035.03 372.74 533.84 (911.72) 2,612.54 LACROSSE HEALTH AND REHABILITATION CENTER HMO B Coins - Private HXB-PP 175.00 - - - - - - - - 175.00 LACROSSE HEALTH AND REHABILITATION CENTER Hospice Medicaid HSP-HSP 44,498.58 - 10,991.73 6,213.61 13,806.96 (1,685.84) (1,431.20) (1,685.84) (247.27) 18,536.43 LACROSSE HEALTH AND REHABILITATION CENTER Humana Rugs-Idaho Hum-RUGS 73,604.02 - 47,612.29 9,105.10 477.09 3,530.92 (161.26) (198.24) (230.97) 13,469.09 LACROSSE HEALTH AND REHABILITATION CENTER Humana-Part B-Idaho HM-B 10,474.21 - 1,390.73 469.83 1,131.59 618.63 1,675.23 - - 5,188.20 LACROSSE HEALTH AND REHABILITATION CENTER Managed Care with Levels -ID MMR-Levels (17,925.89) - 327.89 - 2,623.12 (66.00) - - - (20,810.90)





LACROSSE HEALTH AND REHABILITATION CENTER Managed Care with RUGs/PDPM MMR-RUGS 57,439.62 - 47,577.50 3,742.47 (160.85) 6,251.03 3,412.24 - (4,855.21) 1,472.44 LACROSSE HEALTH AND REHABILITATION CENTER Managed Medicaid HMO-ANC 4,482.33 - 21,097.49 - - - - - - (16,615.16) LACROSSE HEALTH AND REHABILITATION CENTER Med A Coins - Insurance MXA-INS 33,308.20 - 3,410.00 6,479.00 6,649.50 2,557.50 - - - 14,212.20 LACROSSE HEALTH AND REHABILITATION CENTER Med A Coins - Medicaid MXA-MA 78,783.06 - 22,420.50 13,382.56 9,036.50 7,161.00 9,087.00 1,023.00 6,245.00 10,427.50 LACROSSE HEALTH AND REHABILITATION CENTER Med A Coins - Private MXA-PP 14,358.50 - 6,479.00 1,364.00 5,115.00 207.00 - 1,193.50 - - LACROSSE HEALTH AND REHABILITATION CENTER Med B Coins - Insurance MXB-INS 1,140.09 - 349.24 831.52 288.26 193.17 - (246.83) 3.55 (278.82) LACROSSE HEALTH AND REHABILITATION CENTER Medicaid ID MA-ID 90,502.68 - 83,975.78 6,526.90 - - - - - - LACROSSE HEALTH AND REHABILITATION CENTER Medicaid ID - Trach MA-IDTrach 88,888.10 - 64,731.72 17,675.40 6,480.98 - - - - - LACROSSE HEALTH AND REHABILITATION CENTER Medicaid ID - Vent MA-IDVent 994.62 - 4,713.44 - - - - - - (3,718.82) LACROSSE HEALTH AND REHABILITATION CENTER Medicaid Pending ID MAP-ID 24,199.74 - 18,009.98 6,189.76 - - - - - - LACROSSE HEALTH AND REHABILITATION CENTER Medicaid Pending ID - Trach MAP-IDTrach 15,867.66 - 7,933.83 7,677.90 255.93 - - - - - LACROSSE HEALTH AND REHABILITATION CENTER Medicare A MCR-A 174,274.42 - 141,108.82 9,166.59 1,647.47 14,387.58 3,903.20 270.74 3,790.02 - LACROSSE HEALTH AND REHABILITATION CENTER Medicare B MCR-B 16,163.03 - 5,820.00 4,177.87 303.69 461.66 2,424.75 601.94 - 2,373.12 LACROSSE HEALTH AND REHABILITATION CENTER Molina MCO MOL 68,805.66 - 61,559.53 6,743.90 - (1,554.00) - 2,056.23 - - LACROSSE HEALTH AND REHABILITATION CENTER Molina MCO Trach MOL-MOLT 31,620.33 - 31,391.86 - - - - 228.47 - - LACROSSE HEALTH AND REHABILITATION CENTER Molina MCO Vent MOL-MOLV 9,993.60 - 17,039.58 - - - (7,186.01) 140.03 - - LACROSSE HEALTH AND REHABILITATION CENTER Private - Medicaid Denied PP-MDPP 1,273.20 - - - - - 1,273.20 - - - LACROSSE HEALTH AND REHABILITATION CENTER Private Insurance RUGS - ID PId-RUGS (565.72) - - - - - - - - (565.72) LACROSSE HEALTH AND REHABILITATION CENTER Private Pay PP-PP 55,891.68 (1,228.00) 4,957.00 6,546.10 (668.60) 272.12 180.04 553.16 8,380.74 36,899.12 LACROSSE HEALTH AND REHABILITATION CENTER Resident Liability RL-RL 51,567.78 (658.27) 6,889.95 (3,270.88) 1,311.20 1,691.36 985.59 2,799.00 2,037.82 39,782.01 LACROSSE HEALTH AND REHABILITATION CENTER Respite RES-RES 831.90 - - - - 166.38 665.52 - - - LACROSSE HEALTH AND REHABILITATION CENTER VA 8LVL VA-8LVL (9,806.40) - - - - - - - - (9,806.40) LACROSSE HEALTH AND REHABILITATION CENTER VA 8LVL(UB) VA-8LVLUB (1,451.23) - - - - - - - - (1,451.23) LACROSSE HEALTH AND REHABILITATION CENTER WA State Department of Labor and Industries WLI-RUGS 33,287.67 - 6,015.38 2,578.02 12,030.76 12,890.10 859.34 - - (1,085.93) LACROSSE HEALTH AND REHABILITATION CENTER Allowance for Doubtful Accounts/Adjustment (8,489.53) LACROSSE HEALTH AND REHABILITATION CENTER Total 1,257,492.04 (1,886.27) 882,544.45 111,751.86 71,427.20 48,735.64 14,764.55 5,517.28 13,523.96 119,602.90 MEADOW PARK HEALTH AND SPECIALTY Aetna - MCRADV MMR-HMOR (1,074.47) - - (1,072.55) - (1.92) - - - - MEADOW PARK HEALTH AND SPECIALTY Cigna HMO-cigl 7,760.00 - - - - - 485.00 7,275.00 - - MEADOW PARK HEALTH AND SPECIALTY HMO A Coins - Insurance HXA-INS 172.00 - - - - - - 172.00 - - MEADOW PARK HEALTH AND SPECIALTY HMO A Coins - Medicaid HXA-MA 170.50 - - - - 170.50 - - - - MEADOW PARK HEALTH AND SPECIALTY HMO A Coins - Private HXA-PP 5,003.37 - - - - - - - - 5,003.37 MEADOW PARK HEALTH AND SPECIALTY HMO B HMO-B 18,646.15 - 5,625.19 1,776.64 1,033.92 3,040.16 - - (29.79) 7,200.03 MEADOW PARK HEALTH AND SPECIALTY HMO B Coins - Medicaid HXB-MA (233.70) - - - - - - - - (233.70) MEADOW PARK HEALTH AND SPECIALTY HMO B Coins - Private HXB-PP 413.81 - - - - - - - - 413.81 MEADOW PARK HEALTH AND SPECIALTY Hospice Medicaid HSP-HSP 29,903.67 - 18,610.59 (7.31) 4,905.41 7.68 7.91 653.00 1,071.24 4,655.15 MEADOW PARK HEALTH AND SPECIALTY Humana PartB Hrb-B 740.91 - - - - - 740.91 - - - MEADOW PARK HEALTH AND SPECIALTY Managed Care Levels-OR MMR-LVL 6,328.00 - 5,460.00 868.00 - - - - - - MEADOW PARK HEALTH AND SPECIALTY Managed Care with RUGs/PDPM MMR-RUGS 40,657.35 - 6,523.68 21,223.34 11,323.15 5,794.90 547.47 - 23.87 (4,779.06) MEADOW PARK HEALTH AND SPECIALTY Managed Medicaid HMO-ANC 61,739.28 - 13,060.00 1,959.00 13,713.00 8,943.84 979.50 - 438.12 22,645.82 MEADOW PARK HEALTH AND SPECIALTY Med A Coins - Insurance MXA-INS 10,769.28 - 7,672.50 2,387.00 - - - 884.06 - (174.28) MEADOW PARK HEALTH AND SPECIALTY Med A Coins - Medicaid MXA-MA 16,882.81 - 11,594.00 5,115.31 341.00 - - - - (167.50) MEADOW PARK HEALTH AND SPECIALTY Med A Coins - Private MXA-PP 15,004.00 - 682.00 - 682.00 - - - - 13,640.00 MEADOW PARK HEALTH AND SPECIALTY Med B Coins - Insurance MXB-INS (449.14) - - - - - - - - (449.14) MEADOW PARK HEALTH AND SPECIALTY Med B Coins - Private MXB-PP 1,295.59 - - - - - - - 51.31 1,244.28 MEADOW PARK HEALTH AND SPECIALTY Medicaid OR MA-OR 155,552.04 - 146,446.19 15,772.83 3,783.10 337.36 (1,291.81) (420.37) - (9,075.26) MEADOW PARK HEALTH AND SPECIALTY Medicaid OR - Complex MA-ORCC 13,515.56 - 8,227.80 1,862.90 5,062.60 4,186.40 (1,755.91) (0.01) - (4,068.22) MEADOW PARK HEALTH AND SPECIALTY Medicaid Pending OR MAP-OR 3,318.68 - 1,508.49 1,810.19 - - - - - - MEADOW PARK HEALTH AND SPECIALTY Medicaid Pending OR - Complex MAP-ORCC 9,956.09 - 9,956.09 - - - - - - - MEADOW PARK HEALTH AND SPECIALTY Medicare A MCR-A 127,880.39 - 102,820.87 25,587.97 - - - - - (528.45) MEADOW PARK HEALTH AND SPECIALTY Medicare B MCR-B 1,486.42 - - - - - - - - 1,486.42 MEADOW PARK HEALTH AND SPECIALTY Moda PPS Mr-Moda 2,783.03 - 3,528.00 - - - 0.04 (745.01) - - MEADOW PARK HEALTH AND SPECIALTY Outpatient HMO B OP-HMO (270.00) - - - - - - - - (270.00) MEADOW PARK HEALTH AND SPECIALTY Outpatient Med B Coins - Insurance OPX-INS 230.79 - - - - - - - 102.41 128.38 MEADOW PARK HEALTH AND SPECIALTY Outpatient Medicare B OP-MCR 203.45 - - - - - - - - 203.45 MEADOW PARK HEALTH AND SPECIALTY Private Pay PP-PP 73,903.48 - (3,500.00) 640.00 9,746.12 11,984.00 2,240.00 (30.00) 2,130.00 50,693.36 MEADOW PARK HEALTH AND SPECIALTY Providence pro-LVL 6,370.00 - 3,430.00 2,940.00 - - - - - - MEADOW PARK HEALTH AND SPECIALTY Regence BCBS- MCRADV MMR-MCAd 74,994.10 - 16,233.77 29,224.04 29,656.47 - - (34.33) (85.85) - MEADOW PARK HEALTH AND SPECIALTY Resident Liability RL-RL (3,366.13) (233.71) 537.30 3,485.00 750.34 (376.08) 869.73 (829.54) (1,044.63) (6,524.54) MEADOW PARK HEALTH AND SPECIALTY VA portland(UB) VAP 86,157.38 - 33,135.85 27,234.55 17,238.79 8,486.52 - 105.64 - (43.97) MEADOW PARK HEALTH AND SPECIALTY Allowance for Doubtful Accounts/Adjustment (2,331.74) MEADOW PARK HEALTH AND SPECIALTY Total 764,112.95 (233.71) 391,552.32 140,806.91 98,235.90 42,573.36 2,822.84 7,030.44 2,656.68 80,999.95 NORTH AUBURN REHABILITATION AND HEALTH Aetna - MCRADV MMR-HMOR 24.85 - - - - 24.85 - - - - NORTH AUBURN REHABILITATION AND HEALTH HMO A Coins - Private HXA-PP 15,227.92 - - - - - 831.48 1,779.87 1,732.02 10,884.55 NORTH AUBURN REHABILITATION AND HEALTH HMO B HMO-B 702.26 - 166.81 - 152.85 392.64 - - - (10.04) NORTH AUBURN REHABILITATION AND HEALTH HMO B Coins - Medicaid HXB-MA 346.36 - - - 50.20 20.20 - 200.00 - 75.96 NORTH AUBURN REHABILITATION AND HEALTH Hospice Medicaid HSP-HSP 56,178.55 - 32,229.54 24,179.47 (230.46) - - - - - NORTH AUBURN REHABILITATION AND HEALTH Humana PartB Hrb-B 255.99 - - - - - - - - 255.99 NORTH AUBURN REHABILITATION AND HEALTH Humana Rugs- MCRADV Hmb-RUGS 51,738.48 - - 10,095.55 12,890.67 0.01 0.04 1,230.25 - 27,521.96 NORTH AUBURN REHABILITATION AND HEALTH Managed Care with Levels-WA MMR-Levls 114,416.60 - 68,714.00 25,172.00 9,982.00 - - 3,928.56 (0.02) 6,620.06 NORTH AUBURN REHABILITATION AND HEALTH Managed Care with RUGs/PDPM MMR-RUGS 9,273.87 - 5,995.67 5,864.63 (161.70) (796.89) 1,855.34 - - (3,483.18) NORTH AUBURN REHABILITATION AND HEALTH Managed Medicaid HMO-ANC 51,550.76 - 11,941.96 11,325.18 8,990.00 1,307.73 1,382.76 (4,652.73) 2,330.84 18,925.02 NORTH AUBURN REHABILITATION AND HEALTH Managed Medicaid Part B MMB-B 3,796.45 - - - - - - - 1,465.57 2,330.88 NORTH AUBURN REHABILITATION AND HEALTH Med A Coins - Insurance MXA-INS 9,904.10 - - 2,932.60 - - 170.50 4,944.50 1,856.50 - NORTH AUBURN REHABILITATION AND HEALTH Med A Coins - Medicaid MXA-MA 24,333.55 - 7,843.00 7,843.00 (1,364.00) 1,145.55 - - 5,797.00 3,069.00 NORTH AUBURN REHABILITATION AND HEALTH Med A Coins - Private MXA-PP 14,321.64 - 511.50 306.90 3,691.90 511.50 - - - 9,299.84 NORTH AUBURN REHABILITATION AND HEALTH Med B Coins - Insurance MXB-INS 621.20 - - - (4.80) - - - - 626.00 NORTH AUBURN REHABILITATION AND HEALTH Medicaid Pending WA MAP-WA 29,102.29 - 17,510.94 7,296.56 - 3,609.20 - - - 685.59 NORTH AUBURN REHABILITATION AND HEALTH Medicaid WA MA-WA 499,625.16 - 354,350.02 42,661.74 26,004.08 15,315.12 13,010.52 13,010.52 12,433.80 22,839.36 NORTH AUBURN REHABILITATION AND HEALTH Medicare A MCR-A 124,740.39 - 87,417.49 14,280.07 19,524.94 3,517.89 - - - - NORTH AUBURN REHABILITATION AND HEALTH Medicare B MCR-B 513.21 - 735.37 - (73.37) - - (148.79) - - NORTH AUBURN REHABILITATION AND HEALTH Outpatient Med B Coins - Private OPX-PP 243.17 - - - - - - - - 243.17 NORTH AUBURN REHABILITATION AND HEALTH Premera- MCRADV MMR 396.11 - - - - - - - - 396.11 NORTH AUBURN REHABILITATION AND HEALTH Private - Medicaid Denied PP-MDPP 32,219.13 - - - - - - - - 32,219.13 NORTH AUBURN REHABILITATION AND HEALTH Private Insurance - Levels PIW 20,030.46 - - - 3,000.00 230.46 - 3,500.00 2,500.00 10,800.00 NORTH AUBURN REHABILITATION AND HEALTH Private Pay PP-PP 116,084.13 (19,145.00) 6,051.50 8,197.26 7,911.25 14,160.00 9,440.00 17,173.00 10,360.00 61,936.12 NORTH AUBURN REHABILITATION AND HEALTH Regence BCBS- MCRADV MMR-MCAd 24,809.95 - - 14,789.37 12,682.92 - - - - (2,662.34) NORTH AUBURN REHABILITATION AND HEALTH Resident Liability RL-RL 124,064.14 (2,709.23) 11,111.92 6,129.83 10,179.59 8,302.44 7,932.37 6,707.04 9,924.44 66,485.74





NORTH AUBURN REHABILITATION AND HEALTH UHC Managed Medicaid Ancillaries UMA-B 6,232.00 - 2,500.00 3,740.00 (108.00) - - - - 100.00 NORTH AUBURN REHABILITATION AND HEALTH United Healthcare Ancillaries Dual-WA UHB-B 961.00 - 334.00 - - - - 560.00 - 67.00 NORTH AUBURN REHABILITATION AND HEALTH United Healthcare Ancillaries Inst-WA UaB-B 1,610.00 - 720.00 - 1,050.00 - - - (160.00) - NORTH AUBURN REHABILITATION AND HEALTH Allowance for Doubtful Accounts/Adjustment (23,535.50) NORTH AUBURN REHABILITATION AND HEALTH Total 1,309,788.22 (21,854.23) 608,133.72 184,814.16 114,168.07 47,740.70 34,623.01 48,232.22 48,240.15 269,225.92 PUGET SOUND HEALTHCARE CENTER First Choice Health Network- PI HMO-FCH 17,021.50 - - - 883.07 7,909.49 - - - 8,228.94 PUGET SOUND HEALTHCARE CENTER HMO A - Balance Forward HMO-HMOBF (9.79) - - - - - - - (9.79) - PUGET SOUND HEALTHCARE CENTER HMO A Coins - Private HXA-PP 3,840.00 - - - - - - - - 3,840.00 PUGET SOUND HEALTHCARE CENTER HMO B HMO-B 21,957.27 - 1,450.71 206.92 1,334.19 143.33 1,423.36 1,147.58 235.55 16,015.63 PUGET SOUND HEALTHCARE CENTER Hospice Medicaid HSP-HSP 32,867.55 - 24,730.52 7,432.18 - - 673.00 - - 31.85 PUGET SOUND HEALTHCARE CENTER Humana Rugs- MCRADV Hmb-RUGS (6,456.27) - - - - - - - - (6,456.27) PUGET SOUND HEALTHCARE CENTER Managed Care with Levels-WA MMR-Levls 117,754.23 - 46,345.00 81,459.00 (1,068.00) (4,539.00) (1,261.00) (3,080.00) (1,502.63) 1,400.86 PUGET SOUND HEALTHCARE CENTER Managed Care with RUGs/PDPM MMR-RUGS 39,999.70 - 3,370.85 12,812.13 22,777.05 - - - - 1,039.67 PUGET SOUND HEALTHCARE CENTER Managed Medicaid HMO-ANC 32,461.87 - 21,781.87 7,948.18 - - - 701.31 - 2,030.51 PUGET SOUND HEALTHCARE CENTER Managed Medicaid Part B MMB-B 7,521.25 - 1,298.19 423.70 393.28 - - - 93.33 5,312.75 PUGET SOUND HEALTHCARE CENTER Med A Coins - Insurance MXA-INS 28,825.34 - 1,875.50 13,469.50 11,082.50 - (1,534.50) 170.50 - 3,761.84 PUGET SOUND HEALTHCARE CENTER Med A Coins - Medicaid MXA-MA 36,487.00 - 12,617.00 9,548.00 8,184.00 2,387.00 3,751.00 - - - PUGET SOUND HEALTHCARE CENTER Med A Coins - Private MXA-PP 23,489.91 - - 4,092.00 4,262.50 (197.59) 341.00 2,458.50 - 12,533.50 PUGET SOUND HEALTHCARE CENTER Med B Coins - Insurance MXB-INS 2,361.66 - 213.29 555.80 498.64 5.12 5.12 933.66 (0.07) 150.10 PUGET SOUND HEALTHCARE CENTER Medicaid Pending WA MAP-WA 22,896.17 - 12,363.74 8,389.65 2,142.78 - - - - - PUGET SOUND HEALTHCARE CENTER Medicaid WA MA-WA 525,547.79 - 441,566.68 19,693.51 15,523.88 24,949.45 11,187.26 3,799.38 - 8,827.63 PUGET SOUND HEALTHCARE CENTER Medicare A MCR-A 234,734.21 - 120,999.82 72,645.62 52,593.00 (2,620.68) (6,346.27) (952.10) (1,246.99) (338.19) PUGET SOUND HEALTHCARE CENTER Medicare B MCR-B 5,263.57 - 2,893.61 371.73 472.85 1,825.00 (0.07) (313.01) - 13.46 PUGET SOUND HEALTHCARE CENTER Outpatient HMO B OP-HMO 266.00 - - 266.00 - - - - - - PUGET SOUND HEALTHCARE CENTER Outpatient Med B Coins - Insurance OPX-INS 277.54 - - 228.56 71.77 (0.04) (0.02) - - (22.73) PUGET SOUND HEALTHCARE CENTER Outpatient Medicare B OP-MCR 225.40 - - (0.09) 225.49 - - - - - PUGET SOUND HEALTHCARE CENTER Private - Medicaid Denied PP-MDPP 15,896.36 - 7,246.87 7,013.10 1,636.39 - - - - - PUGET SOUND HEALTHCARE CENTER Private Insurance PI 2,361.25 - 300.00 - - - - - - 2,061.25 PUGET SOUND HEALTHCARE CENTER Private Insurance - Levels PIW 2,790.00 - - - - - - - - 2,790.00 PUGET SOUND HEALTHCARE CENTER Private Pay PP-PP 184,571.50 - (320.00) 7,020.00 (769.80) 7,720.00 11,660.68 14,620.10 - 144,640.52 PUGET SOUND HEALTHCARE CENTER Resident Liability RL-RL 73,267.27 (9,920.11) 6,484.89 (7,244.72) 6,506.56 7,033.50 3,947.86 6,452.56 6,383.97 53,622.76 PUGET SOUND HEALTHCARE CENTER Respite RES-RES 773.07 - - 769.20 - - - - 0.02 3.85 PUGET SOUND HEALTHCARE CENTER UHC Managed Medicaid Ancillaries UMA-B - - - - - 335.00 - - - (335.00) PUGET SOUND HEALTHCARE CENTER United Healthcare Ancillaries Dual-WA UHB-B 1,218.00 - 1,206.00 - - - - - 242.00 (230.00) PUGET SOUND HEALTHCARE CENTER United Healthcare Ancillaries Inst-WA UaB-B 1,502.00 - - - - 346.00 1,156.00 - - - PUGET SOUND HEALTHCARE CENTER Allowance for Doubtful Accounts/Adjustment (98,467.31) PUGET SOUND HEALTHCARE CENTER Total 1,331,244.04 (9,920.11) 706,424.54 247,099.97 126,750.15 45,296.58 25,003.42 25,938.48 4,195.39 258,922.93 RIVERSIDE NURSING AND REHAB CENTER HMO A Coins - Insurance HXA-INS 2,880.02 - - - - - - - - 2,880.02 RIVERSIDE NURSING AND REHAB CENTER HMO A Coins - Private HXA-PP 9,525.19 - - - - - 1,280.07 320.00 1,600.02 6,325.10 RIVERSIDE NURSING AND REHAB CENTER HMO B HMO-B 5,207.28 - - 98.02 1,345.76 - 870.62 2,101.18 - 791.70 RIVERSIDE NURSING AND REHAB CENTER HMO B Coins - Medicaid HXB-MA 840.00 - - 280.00 280.00 280.00 - - - - RIVERSIDE NURSING AND REHAB CENTER Hospice Medicaid HSP-HSP 50,235.16 - 30,573.96 11,743.96 - - 4,044.99 3,236.85 635.40 - RIVERSIDE NURSING AND REHAB CENTER Hospice Medicaid Pending WA HSP-HMPN 13,615.83 - 4,178.96 5,473.70 3,963.17 - - - - - RIVERSIDE NURSING AND REHAB CENTER Managed Care with Levels-WA MMR-Levls 74,854.27 - 35,588.00 28,644.00 2,974.50 - - 7,050.00 - 597.77 RIVERSIDE NURSING AND REHAB CENTER Managed Care with RUGs/PDPM MMR-RUGS 41,146.58 - 24,118.89 5,165.79 9,540.33 1,588.01 2,711.66 (8,424.34) - 6,446.24 RIVERSIDE NURSING AND REHAB CENTER Managed Medicaid HMO-ANC 93,485.33 - 18,342.15 24,526.35 3,207.37 4,897.76 4,284.33 1,280.00 3,046.00 33,901.37 RIVERSIDE NURSING AND REHAB CENTER Managed Medicaid Part B MMB-B 11,998.89 - 1,254.23 2,149.74 1,772.56 587.74 - 2,510.02 - 3,724.60 RIVERSIDE NURSING AND REHAB CENTER Med A Coins - Insurance MXA-INS 14,598.50 - 4,584.00 3,069.00 4,433.00 - - - - 2,512.50 RIVERSIDE NURSING AND REHAB CENTER Med A Coins - Medicaid MXA-MA 6,649.50 - 170.50 682.00 5,115.00 (1,023.00) - - - 1,705.00 RIVERSIDE NURSING AND REHAB CENTER Med A Coins - Pending MXp-MP 13,640.00 - 4,603.50 5,115.00 3,921.50 - - - - - RIVERSIDE NURSING AND REHAB CENTER Med A Coins - Private MXA-PP 10,168.50 - 19.50 - - - - - - 10,149.00 RIVERSIDE NURSING AND REHAB CENTER Med B Coins - Insurance MXB-INS (187.11) - 116.25 101.60 - - (0.01) - - (404.95) RIVERSIDE NURSING AND REHAB CENTER Med B Coins - Private MXB-PP 1,302.76 - - - - - - - - 1,302.76 RIVERSIDE NURSING AND REHAB CENTER Medicaid Pending WA MAP-WA 12,594.77 - 12,594.77 - - - - - - - RIVERSIDE NURSING AND REHAB CENTER Medicaid WA MA-WA 397,820.16 - 303,857.98 31,997.50 24,921.17 3,884.22 215.79 526.00 - 32,417.50 RIVERSIDE NURSING AND REHAB CENTER Medicare A MCR-A 111,513.22 - 68,650.39 29,098.97 7,301.74 - - 5,749.57 - 712.55 RIVERSIDE NURSING AND REHAB CENTER Medicare B MCR-B 11,520.96 - 2,819.76 204.44 47.44 - 20.02 3,085.14 - 5,344.16 RIVERSIDE NURSING AND REHAB CENTER Outpatient HMO B OP-HMO 282.13 - - - - - - - - 282.13 RIVERSIDE NURSING AND REHAB CENTER Outpatient Med B Coins - Insurance OPX-INS 713.09 - - - - - - - - 713.09 RIVERSIDE NURSING AND REHAB CENTER Premera- MCRADV MMR 5,002.42 - - - 5,002.42 - - - - - RIVERSIDE NURSING AND REHAB CENTER Private Insurance - Levels PIW (3,288.15) - 800.00 7,600.00 - - - - - (11,688.15) RIVERSIDE NURSING AND REHAB CENTER Private Insurance RUGS - WA PI-RUGS 5,934.10 - - - - - - - - 5,934.10 RIVERSIDE NURSING AND REHAB CENTER Private Pay PP-PP 195,084.88 - 9,306.00 (282.00) - - - - 1,692.00 184,368.88 RIVERSIDE NURSING AND REHAB CENTER Regence BCBS- MCRADV MMR-MCAd (75.25) - - - - - (27.51) (30.02) (17.72) - RIVERSIDE NURSING AND REHAB CENTER Resident Liability RL-RL 62,774.27 (1,216.17) 3,731.41 (14.44) (1,757.36) 2,121.63 1,486.63 5,290.39 5,320.60 47,811.58 RIVERSIDE NURSING AND REHAB CENTER UHC Managed Medicaid Ancillaries UMA-B 3,100.00 - 1,100.00 150.00 - - - - 650.00 1,200.00 RIVERSIDE NURSING AND REHAB CENTER United Healthcare Ancillaries Dual-WA UHB-B 1,688.00 - 201.00 1,407.00 - - - - - 80.00 RIVERSIDE NURSING AND REHAB CENTER United Healthcare Ancillaries Inst-WA UaB-B 1,911.00 - - - 355.00 - 212.00 514.00 830.00 - RIVERSIDE NURSING AND REHAB CENTER Allowance for Doubtful Accounts/Adjustment (110,770.52) RIVERSIDE NURSING AND REHAB CENTER Total 1,045,765.78 (1,216.17) 526,611.25 157,210.63 72,423.60 12,336.36 15,098.59 23,208.79 13,756.30 337,106.95 SEQUIM HEALTH AND REHAB Extended Care EXT (3,725.50) - - - - - - - - (3,725.50) SEQUIM HEALTH AND REHAB First Choice Health Network- PI HMO-FCH (4,900.78) - - - - - - - - (4,900.78) SEQUIM HEALTH AND REHAB HMO A Coins - Private HXA-PP 1,168.45 - - - - - - - - 1,168.45 SEQUIM HEALTH AND REHAB HMO B HMO-B 10,541.55 - - - - - - - - 10,541.55 SEQUIM HEALTH AND REHAB Hospice Medicaid HSP-HSP 12,068.47 - 5,539.31 7,468.43 (313.09) (313.09) (313.09) - - - SEQUIM HEALTH AND REHAB Humana Rugs- MCRADV Hmb-RUGS 1,651.32 - - - - - - - - 1,651.32 SEQUIM HEALTH AND REHAB Managed Care with Levels-WA MMR-Levls 46,953.68 - 27,254.00 13,576.00 5,000.00 (190.00) 60.00 - 2,604.00 (1,350.32) SEQUIM HEALTH AND REHAB Managed Care with RUGs/PDPM MMR-RUGS 9,131.14 - 9,964.01 6,167.13 (7,000.00) - - - - - SEQUIM HEALTH AND REHAB Managed Medicaid HMO-ANC 2,459.20 - - - - 2,459.20 - - - - SEQUIM HEALTH AND REHAB Med A Coins - Insurance MXA-INS 105,719.68 - 71,697.00 74,441.79 26,282.58 11,157.17 16,501.75 346.00 1,023.00 (95,729.61) SEQUIM HEALTH AND REHAB Med A Coins - Medicaid MXA-MA 24,503.50 - 8,866.00 5,115.00 5,456.00 - (560.00) - - 5,626.50 SEQUIM HEALTH AND REHAB Med A Coins - Private MXA-PP 114,024.06 - 28,985.00 15,686.00 10,568.56 2,898.50 5,115.00 3,410.00 5,115.00 42,246.00 SEQUIM HEALTH AND REHAB Med B Coins - Insurance MXB-INS 23,808.05 - 3,244.89 3,598.59 1,925.85 1,754.27 2,000.80 1,121.92 175.21 9,986.52 SEQUIM HEALTH AND REHAB Med B Coins - Private MXB-PP 435.84 - - - - - - - - 435.84 SEQUIM HEALTH AND REHAB Medicaid Pending WA MAP-WA 5,888.00 - 5,888.00 - - - - - - - SEQUIM HEALTH AND REHAB Medicaid WA MA-WA 286,005.87 - 267,456.20 13,956.12 (737.76) 4,833.32 246.00 - - 251.99 SEQUIM HEALTH AND REHAB Medicare A MCR-A 847,327.75 - 590,672.25 188,129.45 65,952.49 (2,595.57) - - - 5,169.13





SEQUIM HEALTH AND REHAB Medicare B MCR-B 51,418.28 - 24,804.37 4,261.74 2,406.76 7,288.61 7,049.02 2,527.55 77.95 3,002.28 SEQUIM HEALTH AND REHAB Outpatient HMO B OP-HMO 3,843.66 - - - - 1,397.72 1,030.35 - - 1,415.59 SEQUIM HEALTH AND REHAB Outpatient Med B Coins - Insurance OPX-INS 7,831.62 - 827.13 800.30 9.61 106.93 128.35 534.62 262.41 5,162.27 SEQUIM HEALTH AND REHAB Outpatient Med B Coins - Private OPX-PP 3,575.02 - 222.19 226.92 69.42 (158.33) 33.09 23.17 11.87 3,146.69 SEQUIM HEALTH AND REHAB Outpatient Medicare B OP-MCR 21,124.72 - 5,115.31 266.09 463.38 976.30 1,328.16 1,017.15 1,757.52 10,200.81 SEQUIM HEALTH AND REHAB Private Insurance - Levels PIW 7,014.51 - 5,400.00 - 300.00 3,600.00 3,000.00 - - (5,285.49) SEQUIM HEALTH AND REHAB Private Insurance RUGS - WA PI-RUGS 22,957.47 - - - - - - - - 22,957.47 SEQUIM HEALTH AND REHAB Private Pay PP-PP 40,552.15 (6,597.84) 19,827.96 2,772.71 330.00 597.02 - 1,555.12 9,812.99 12,254.19 SEQUIM HEALTH AND REHAB Resident Liability RL-RL 34,685.90 (3,936.71) 8,807.56 28.19 4,559.49 1,428.25 1,785.41 0.25 71.90 21,941.56 SEQUIM HEALTH AND REHAB United Healthcare Ancillaries Dual-WA UHB-B 67.00 - 67.00 - - - - - - - SEQUIM HEALTH AND REHAB Allowance for Doubtful Accounts/Adjustment (160,208.73) SEQUIM HEALTH AND REHAB Total 1,515,921.88 (10,534.55) 1,084,638.18 336,494.46 115,273.29 35,240.30 37,404.84 10,535.78 20,911.85 46,166.46 THE GARDENS ON UNIVERSITY HMO A Coins - Medicaid HXA-MA 0.01 - - - - - - - - 0.01 THE GARDENS ON UNIVERSITY HMO A Coins - Private HXA-PP 18,887.15 - - - - - 109.12 800.00 2,051.13 15,926.90 THE GARDENS ON UNIVERSITY HMO B HMO-B 54,717.69 - 4,931.21 2,671.39 3,430.79 3,622.76 6,115.97 3,189.18 6,598.75 24,157.64 THE GARDENS ON UNIVERSITY Hospice Medicaid HSP-HSP 24,244.80 - 16,431.75 3,724.53 1,021.26 219.09 - 2,848.17 - - THE GARDENS ON UNIVERSITY Humana Rugs- MCRADV Hmb-RUGS 13,147.01 - - - (49.58) - - - - 13,196.59 THE GARDENS ON UNIVERSITY Managed Care with Levels-WA MMR-Levls 84,350.05 - 37,905.00 17,060.00 10,647.01 6,054.60 (1,157.00) 504.00 1,875.50 11,460.94 THE GARDENS ON UNIVERSITY Managed Care with RUGs/PDPM MMR-RUGS 36,423.03 - 8,237.06 11,805.10 (447.44) 18,344.12 881.67 2,001.11 (231.51) (4,167.08) THE GARDENS ON UNIVERSITY Managed Medicaid HMO-ANC 135,693.31 - 35,454.50 22,598.12 13,848.12 9,845.53 8,589.49 7,229.97 7,803.36 30,324.22 THE GARDENS ON UNIVERSITY Managed Medicaid Part B MMB-B 44,764.20 - 10,012.76 10,121.75 7,053.34 5,986.40 4,632.91 1,194.70 2,265.56 3,496.78 THE GARDENS ON UNIVERSITY Med A Coins - Medicaid MXA-MA 38,533.00 - 12,105.50 11,935.00 1,705.00 - - - - 12,787.50 THE GARDENS ON UNIVERSITY Med A Coins - Pending MXp-MP 4,944.50 - - - - - 3,069.00 - 1,875.50 - THE GARDENS ON UNIVERSITY Med A Coins - Private MXA-PP 45,798.56 - 5,285.50 4,774.00 6,990.50 3,921.50 - - - 24,827.06 THE GARDENS ON UNIVERSITY Med B Coins - Private MXB-PP 78.88 - - - - - 78.88 - - - THE GARDENS ON UNIVERSITY Medicaid Pending WA MAP-WA 97,413.12 - 20,435.17 20,244.27 19,053.37 11,393.13 13,241.30 12,106.24 939.64 - THE GARDENS ON UNIVERSITY Medicaid WA MA-WA 600,662.64 - 453,287.70 81,650.39 38,886.88 15,447.16 3,505.44 5,717.47 - 2,167.60 THE GARDENS ON UNIVERSITY Medicare A MCR-A 120,187.39 - 95,936.87 2,808.95 14,618.08 - - - - 6,823.49 THE GARDENS ON UNIVERSITY Medicare B MCR-B 2,373.30 - 981.55 - - 241.72 - 435.26 664.86 49.91 THE GARDENS ON UNIVERSITY Outpatient Medicare B OP-MCR 398.26 - 398.36 (0.06) (0.04) - - - - - THE GARDENS ON UNIVERSITY Premera- MCRADV MMR 2,824.68 - - - - - - - 2,824.68 - THE GARDENS ON UNIVERSITY Private - Medicaid Denied PP-MDPP 54,345.57 - 4,305.79 6,237.99 7,441.15 10,887.88 6,791.79 3,724.53 - 14,956.44 THE GARDENS ON UNIVERSITY Private Insurance - Levels PIW 3,568.01 - - - - - - 3,114.00 - 454.01 THE GARDENS ON UNIVERSITY Private Insurance RUGS - WA PI-RUGS 35,522.50 - - - - - - - 13,882.80 21,639.70 THE GARDENS ON UNIVERSITY Private Pay PP-PP 294,644.90 - 17,699.00 19,606.00 34,808.00 10,984.00 20,946.00 26,724.00 9,420.00 154,457.90 THE GARDENS ON UNIVERSITY Resident Liability RL-RL 121,977.31 (7.00) 6,230.09 2,347.74 (4,244.39) 5,222.69 11,763.00 12,766.52 16,161.90 71,736.76 THE GARDENS ON UNIVERSITY UHC Managed Medicaid Ancillaries UMA-B 1,715.96 - - - - - - - - 1,715.96 THE GARDENS ON UNIVERSITY United Healthcare Ancillaries Dual-WA UHB-B 7,902.14 - 2,077.00 1,273.00 (1,356.00) 160.00 - 640.00 1,122.00 3,986.14 THE GARDENS ON UNIVERSITY United Healthcare Ancillaries Inst-WA UaB-B 25,540.00 - 14,910.00 14,180.00 - 240.00 159.00 (320.00) 560.00 (4,189.00) THE GARDENS ON UNIVERSITY WA State Department of Labor and Industries WLI-RUGS 23,671.19 - - 8,154.68 15,516.51 - - - - - THE GARDENS ON UNIVERSITY Allowance for Doubtful Accounts/Adjustment 100,844.55 THE GARDENS ON UNIVERSITY Total 1,995,173.71 (7.00) 746,624.81 241,192.85 168,922.56 102,570.58 78,726.57 82,675.15 67,814.17 405,809.47 Grand Total 18,253,540.10 (93,142.28) 9,462,246.78 2,681,712.16 1,396,178.90 711,422.58 481,118.13 446,902.01 343,882.99 2,946,872.29



Case Number 19-43754 (Jointly Administered)Debtor PNW Healthcare Holdings, LLC, et al. Month Ending December-2019

Type of tax

(1)Unpaid post-petition

taxes from prior reporting month

(3)Post-petition tax

payments made this reporting month

(4)Unpaid post-petition taxes at end of reporting month (Column 1+2-3 = 4)

Employee withholding taxes $ - $ - FICA/Medicare--Employee $ - $ - FICA/Medicare--Employer $ - $ - Unemployment $ - $ -

Dept. of Revenue $ 26,113.10 $ 26,108.68 $ 123,159.02 Dept. of Labor & Industries $ 2,250.38 $ - $ 146,269.15

Empl. Security Dept. $ - $ -

Local city/county $ - $ - Gambling $ - $ -

Personal property $ 1,305.32 $ - $ 4,431.87 Real property $ - $ - Other $ - $ -

$ 273,860.04

Note: Payroll taxes were paid in the ordinary course of business pursuant to court order.

(2)Post-petition taxes accrued this month

(new obligations)Federal Taxes

Reconciliation of Unpaid Post-Petition Taxes

INSTRUCTIONS: Complete both pages of PART A - TAXES unless the debtor asserts the following statement is true for this reporting month:

At the end of this reporting month, the debtor did not have any unpaid post-petition taxes which includes both current and delinquent tax obligations.

Check here if the debtor asserts the statement is correct, and skip to PART B - OTHER PAYABLES on Page 10.

UST-16, STATEMENT OF POST-PETITION PAYABLES PART A - TAXES

State Taxes $ 123,154.60

$ 144,018.77

Other Taxes

$ 3,126.55

Total Unpaid Post-Petition Taxes





Taxing agency Tax reporting period Report due date Payment due date Amount due

Explain the reason for any delinquent tax reports or tax payments:

UST-16, STATEMENT OF POST-PETITION PAYABLES PART A - TAXES (cont’d.)

Delinquent Tax Reports and Tax Payments (post-petition only)



Case Number19-43754 (Jointly Administered)


Breakdown of Closing Balance by Age

(182,600)$

1,676,203$

-$

-$

-$

1,493,603$

Closing balance from prior month

New payables added this month

SubtotalLess payments made this month

INSTRUCTIONS: Complete both pages of PART B - OTHER PAYABLES unless the debtor asserts that this statement is true for this reporting month:

Except for taxes and professional fees disclosed in PART A and PART C of this report, respectively, the debtor has no other unpaid post-petition payables from the current reporting month, or from any prior reporting months.

Check here if the debtor asserts the statement is correct, and skip to PART C - ESTIMATED PROFESSIONAL FEES on Page 12.

UST-16, STATEMENT OF POST-PETITION PAYABLES PART B - OTHER PAYABLES

For accounts payable more than 30 days past due, explain why payment has not been made:

Past due over 90 days

Total

Reconciliation of Post-Petition Payables (excluding taxes and professional fees)

$ 1,163,484

$ 9,160,073

$ 10,323,557

$ 8,829,954

$ 1,493,603 Closing balance for this reporting month

Current portion

Past due 1-30 days

Past due 31-60 days

Past due 61-90 days



Facility Name Vendor Name Total Due 0-30 Days 31-60 Days 61-90 Days 91-120 Days 121-150 Days 150+ DaysNorth Auburn City of Auburn 2000 110.26 - 110.26 - - - - North Auburn Comcast 8202 344.20 344.20 - - - - - North Auburn TIAA Commercial Finance 6804 (Everbank) 337.89 337.89 - - - - - North Auburn Accelerated Care Plus Leasing Inc. 1,473.83 650.22 823.61 - - - - North Auburn Apex Healthcare Partners LLC 4,889.38 4,889.38 - - - - - North Auburn Apex Healthcare Systems 26.67 - 26.67 - - - - North Auburn Century Archives Northwest, LLC 50.00 25.00 25.00 - - - - North Auburn CRN Pool LLC (28,577.12) (28,598.50) 21.38 - - - - North Auburn Cornerstone Healthcare Services 8,672.25 8,672.25 - - - - - North Auburn Cornerstone Self Insured (13,912.67) (13,912.67) - - - - - North Auburn DAIYA Healthcare, PLLC 213.33 - 213.33 - - - - North Auburn Department of Revenue Washington State 10,649.52 10,649.52 - - - - - North Auburn Douglas Wornell, MD 266.67 - 266.67 - - - - North Auburn TIAA Commercial Finance 4004 (Everbank) 521.64 521.64 - - - - - North Auburn E Copier Solutions INC 1,534.55 1,534.55 - - - - - North Auburn Eco Elite Pest Control LLC 137.50 137.50 - - - - - North Auburn EHC Elm Properties LLC 27,000.00 27,000.00 - - - - - North Auburn Hewlett Packard Financial Services Company 314.16 314.16 - - - - - North Auburn Hocs Consulting 1,174.50 1,174.50 - - - - - North Auburn Healthcare Services Group Inc 16,736.08 16,736.08 - - - - - North Auburn Interactive Medical Systems, Inc. 46.20 11.96 34.24 - - - - North Auburn Omnicare, Inc. 11,065.71 11,065.71 - - - - - North Auburn Phyt Rehab of Washington, Inc. 3,544.89 (3,969.70) 7,514.59 - - - - North Auburn Tera White 4,800.00 4,800.00 - - - - - North Auburn Schryver Medical Sales and Marketing, LLC 3,008.19 3,008.19 - - - - - North Auburn Shred-It USA 45.50 - 45.50 - - - - North Auburn SNF Payroll, LLC 129,795.96 129,795.96 - - - - - North Auburn Scott T Andrews, Dentist 93.33 - 93.33 - - - - North Auburn Stericycle 137.01 137.01 - - - - - North Auburn State of Washington (28,348.95) (41,682.82) 13,333.87 - - - - North Auburn TonerQuest 787.10 787.10 - - - - - North Auburn Twin Med 5,777.55 5,777.55 - - - - - North Auburn Washington Automated, Inc. 440.00 440.00 - - - - - North Auburn Washington State Dept of Labor & Industries 24,442.60 24,442.60 - - - - - North Auburn White Knight Safe & Lock 154.00 154.00 - - - - - North Auburn Wright Express 1,022.34 1,022.34 - - - - - North Auburn Total 188,774.07 161,435.15 27,338.92 - - - - Bremerton Health City of Bremerton (5361) 27.97 - 27.97 - - - - Bremerton Health City of Bremerton (5151) 27.97 - 27.97 - - - - Bremerton Health Comcast (4899) 306.71 306.71 - - - - - Bremerton Health Accelerated Care Plus Leasing Inc. 2,557.86 2,019.46 538.40 - - - - Bremerton Health Apex Healthcare Systems 26.67 - 26.67 - - - - Bremerton Health Century Archives Northwest, LLC 47.25 - 47.25 - - - - Bremerton Health Cutting Edge Lawn and Grounds Care, Inc. 2,214.64 2,214.64 - - - - - Bremerton Health Cintas Fire Protection 3,481.46 2,202.89 1,278.57 - - - - Bremerton Health City of Bremerton (5101) 1,126.03 - 1,126.03 - - - -

UST-16 Cornerstone Detailed AP Aging - 12/31/2019



Facility Name Vendor Name Total Due 0-30 Days 31-60 Days 61-90 Days 91-120 Days 121-150 Days 150+ DaysUST-16 Cornerstone Detailed AP Aging - 12/31/2019

Bremerton Health Cascade Natural Gas Corporation 821 329.62 329.62 - - - - - Bremerton Health Canyon NH LLc 23,016.33 (0.00) 23,016.33 - - - - Bremerton Health CRN Pool LLC 36,488.91 36,488.91 - - - - - Bremerton Health Cornerstone Healthcare Services (13,868.02) (13,868.02) - - - - - Bremerton Health Cornerstone Self Insured (23,614.53) (23,614.53) - - - - - Bremerton Health Department of Revenue Washington State 11,019.26 11,019.26 - - - - - Bremerton Health DSHS Office of Financial Recovery 3,000.00 3,000.00 - - - - - Bremerton Health TIAA Commercial Finance (3672) 821(Everbank) 517.28 517.28 - - - - - Bremerton Health E Copier Solutions INC 1,439.51 1,439.51 - - - - - Bremerton Health FAO Printing 570.00 - 570.00 - - - - Bremerton Health Guardian Security Systems, Inc. 1,324.03 212.56 1,111.47 - - - - Bremerton Health HD Supply DSSI 560.48 198.16 362.32 - - - - Bremerton Health Hocs Consulting 112.50 - 112.50 - - - - Bremerton Health Healthcare Services Group Inc 14,540.66 1,329.76 13,210.90 - - - - Bremerton Health Interactive Medical Systems, Inc. 814.44 989.79 (175.35) - - - - Bremerton Health Omnicare, Inc. 11,638.31 11,638.31 - - - - - Bremerton Health OnHold Company (Spectrio) 42.45 42.45 - - - - - Bremerton Health Patterson Medical 124.17 124.17 - - - - - Bremerton Health PCS of Michigan, Inc. 1,836.28 1,836.28 - - - - - Bremerton Health Prime Care Technologies, INC. 316.67 250.00 66.67 - - - - Bremerton Health Phyt Rehab of Washington, Inc. 9,651.95 5,161.04 4,490.91 - - - - Bremerton Health Puget Sound Energy (0513) 821 436.81 436.81 - - - - - Bremerton Health Relias Learning, LLC 680.10 543.39 136.71 - - - - Bremerton Health Schryver Medical Sales and Marketing, LLC 743.62 743.62 - - - - - Bremerton Health Shred-It USA 277.30 277.30 - - - - - Bremerton Health Silver Streak Logistics 44.32 44.32 - - - - - Bremerton Health SNF Payroll, LLC (153,077.93) (310,178.12) 157,100.19 - - - - Bremerton Health Scott T Andrews, Dentist 443.33 350.00 93.33 - - - - Bremerton Health TonerQuest 350.11 350.11 - - - - - Bremerton Health Twin Med 6,800.36 6,800.36 - - - - - Bremerton Health Washington Automated, Inc. 490.50 490.50 - - - - - Bremerton Health Washington State Dept of Labor & Industries 23,256.52 23,256.52 - - - - - Bremerton Health Wright Express 911.53 911.53 - - - - - Bremerton Health Total (28,966.57) (248,861.01) 219,894.44 - - - - Forest Ridge Comcast (4808) 118.37 118.37 - - - - - Forest Ridge Comcast 0573 152.40 138.42 13.98 - - - - Forest Ridge Puget Sound Energy 0547 768.70 - 768.70 - - - - Forest Ridge Waste Management (3002) 35.97 - 35.97 - - - - Forest Ridge Accelerated Care Plus Leasing Inc. 1,460.44 1,288.62 171.82 - - - - Forest Ridge Apex Global Solutions, LLC 2,075.00 (4,235.29) 6,310.29 - - - - Forest Ridge Apex Healthcare Systems 26.67 - 26.67 - - - - Forest Ridge Ashley Smith-Brown 124.00 124.00 - - - - - Forest Ridge Around The Sound 95.98 95.98 - - - - - Forest Ridge Century Archives Northwest, LLC 12.93 - 12.93 - - - - Forest Ridge Canyon Z LLC 15,595.88 - 15,595.88 - - - - Forest Ridge CRN Pool LLC 44,646.03 44,646.03 - - - - -




Forest Ridge Cornerstone Healthcare Services 21,379.62 21,379.62 - - - - - Forest Ridge Cornerstone Self Insured (19,981.13) (19,981.13) - - - - - Forest Ridge Department of Revenue Washington State 9,774.62 9,774.62 - - - - - Forest Ridge E Copier Solutions INC 379.60 379.60 - - - - - Forest Ridge ELS Property Investors, LLC (snyder) (2,151.49) (2,751.49) 600.00 - - - - Forest Ridge Gershom Ditching 87.50 87.50 - - - - - Forest Ridge Guardian Security Systems, Inc. 590.95 359.70 231.25 - - - - Forest Ridge HD Supply DSSI 1,553.49 1,553.49 - - - - - Forest Ridge Hewlett Packard Financial Services Company 437.71 394.55 43.16 - - - - Forest Ridge Hocs Consulting 88.20 - 88.20 - - - - Forest Ridge Healthcare Services Group Inc 16,245.83 16,245.83 - - - - - Forest Ridge Interactive Medical Systems, Inc. 130.43 456.48 (326.05) - - - - Forest Ridge Kitsap Transit 60.00 - 60.00 - - - - Forest Ridge Omnicare, Inc. 16,337.01 16,337.01 - - - - - Forest Ridge OnHold Company (Spectrio) 54.06 42.45 11.61 - - - - Forest Ridge Orkin Pest Control (940.67) (940.67) - - - - - Forest Ridge PCS of Michigan, Inc. 1,801.35 1,422.12 379.23 - - - - Forest Ridge Puget Sound Energy (6752) 5,143.34 5,143.34 - - - - - Forest Ridge Prime Care Technologies, INC. 316.67 250.00 66.67 - - - - Forest Ridge Phyt Rehab of Washington, Inc. 9,545.25 1,892.73 7,652.52 - - - - Forest Ridge Rebecca Clark 11.98 - 11.98 - - - - Forest Ridge Relias Learning, LLC 544.09 434.72 109.37 - - - - Forest Ridge Social Security Administration 1,457.00 1,457.00 - - - - - Forest Ridge Schryver Medical Sales and Marketing, LLC 3,207.63 3,207.63 - - - - - Forest Ridge Shred-It USA 113.50 113.50 - - - - - Forest Ridge Silver Streak Logistics 119.97 119.97 - - - - - Forest Ridge SNF Payroll, LLC (224,410.88) (309,410.88) 85,000.00 - - - - Forest Ridge Scott T Andrews, Dentist 443.33 350.00 93.33 - - - - Forest Ridge Stericycle 129.91 129.91 - - - - - Forest Ridge TonerQuest 644.92 644.92 - - - - - Forest Ridge TRACKNOW, Inc. (COVR) 375.00 375.00 - - - - - Forest Ridge Twin Med 8,810.22 8,359.92 450.30 - - - - Forest Ridge Washington State Dept of Labor & Industries 16,111.73 16,111.73 - - - - - Forest Ridge Wright Express 1,034.80 1,034.80 - - - - - Forest Ridge Total (65,442.09) (197,183.50) 131,741.41 - - - - Riverside WA Maxsip Corporation 671 261.91 - 261.91 - - - - Riverside WA City of Centralia (17220) 146.16 146.16 - - - - - Riverside WA City of Centralia (87230) 97.33 97.33 - - - - - Riverside WA City of Centralia (87220) 3,809.00 3,809.00 - - - - - Riverside WA Comcast 1040 63.29 - 63.29 - - - - Riverside WA Comcast (8882) 219.94 - 219.94 - - - - Riverside WA Comcast (7956) 103.27 - 103.27 - - - - Riverside WA Accelerated Care Plus Leasing Inc. 1,449.64 1,279.16 170.48 - - - - Riverside WA Allied Plumbing Services 634.16 - 634.16 - - - - Riverside WA Benjamin Medical, PLLC 666.67 - 666.67 - - - - Riverside WA Career in Caregiving, LLC 5,088.00 5,088.00 - - - - -




Riverside WA Century Archives Northwest, LLC 66.64 33.32 33.32 - - - - Riverside WA Canyon NH LLc 16,755.90 - 16,755.90 - - - - Riverside WA CRN Pool LLC (21,409.34) (21,409.34) - - - - - Riverside WA Cornerstone Healthcare Services 865.84 2,628.71 (1,762.87) - - - - Riverside WA Cornerstone Self Insured (9,332.22) (9,332.22) - - - - - Riverside WA DAIYA Healthcare, PLLC 533.33 - 533.33 - - - - Riverside WA Department of Revenue Washington State 8,435.41 8,435.41 - - - - - Riverside WA TIAA Commercial Finance / EverBank(3679) 823 392.30 - 392.30 - - - - Riverside WA TIAA Commercial Finance, INC. (2421) 581.72 494.41 87.31 - - - - Riverside WA Ecolab Institutional CA 313.90 171.22 142.68 - - - - Riverside WA E Copier Solutions INC 1,004.48 1,004.48 - - - - - Riverside WA FAO Printing 110.00 - 110.00 - - - - Riverside WA HD Supply DSSI 45.13 45.13 - - - - - Riverside WA Hewlett Packard Financial Services Company 277.53 277.53 - - - - - Riverside WA Hocs Consulting 81.90 - 81.90 - - - - Riverside WA Healthcare Services Group Inc 15,994.32 15,994.32 - - - - - Riverside WA Interactive Medical Systems, Inc. 2,902.18 3,064.93 (162.75) - - - - Riverside WA LabCorp 395.17 395.17 - - - - - Riverside WA Olympic Hood Cleaners, Inc. 486.90 486.90 - - - - - Riverside WA Omnicare, Inc. 10,089.05 10,089.05 - - - - - Riverside WA Orkin Pest Control 173.12 173.12 - - - - - Riverside WA Patterson Medical 340.53 340.53 - - - - - Riverside WA Prime Care Technologies, INC. 316.67 250.00 66.67 - - - - Riverside WA Phyt Rehab of Washington, Inc. 7,452.42 2,188.18 5,264.24 - - - - Riverside WA Puget Sound Energy (3079) 823 38.48 - 38.48 - - - - Riverside WA Quality Medical Imaging 601.67 601.67 - - - - - Riverside WA Relias Learning, LLC 111.82 - 111.82 - - - - Riverside WA ReMED Services 7,000.05 7,000.05 - - - - - Riverside WA Juanita Sinclair 1,925.50 1,925.50 - - - - - Riverside WA Shred-It USA 52.25 52.25 - - - - - Riverside WA Silver Streak Logistics 54.17 54.17 - - - - - Riverside WA SNF Payroll, LLC (0.55) (0.11) (0.44) - - - - Riverside WA TonerQuest 139.95 139.95 - - - - - Riverside WA Twin Med 7,762.97 7,762.97 - - - - - Riverside WA Washington State Dept of Labor & Industries 20,232.96 20,232.96 - - - - - Riverside WA Wright Express 1,327.36 1,327.36 - - - - - Riverside WA Total 88,658.88 48,432.16 40,226.72 - - - - Aldercrest Comcast (9230) 118.61 118.61 - - - - - Aldercrest Snohomish County PUD (3277) 6,307.22 - 6,307.22 - - - - Aldercrest Accelerated Care Plus Leasing Inc. 1,305.16 1,305.16 - - - - - Aldercrest Apex Healthcare Systems 26.67 - 26.67 - - - - Aldercrest Century Archives Northwest, LLC 28.56 - 28.56 - - - - Aldercrest Canyon NH LLc 23,568.72 0.00 23,568.72 - - - - Aldercrest CRN Pool LLC 23,792.79 23,770.90 21.89 - - - - Aldercrest Cornerstone Healthcare Services (23,155.70) (23,155.70) - - - - - Aldercrest Cornerstone Self Insured (5,598.93) (5,598.93) - - - - -




Aldercrest Cunningham Elite Staffing Inc. 1,728.00 1,728.00 - - - - - Aldercrest Department of Revenue Washington State 10,423.35 10,423.35 - - - - - Aldercrest Ecolab Institutional CA 96.97 77.29 19.68 - - - - Aldercrest E Copier Solutions INC 1,239.07 1,239.07 - - - - - Aldercrest HD Supply DSSI 708.09 708.09 - - - - - Aldercrest Hocs Consulting 115.20 - 115.20 - - - - Aldercrest Healthcare Services Group Inc 17,893.48 17,893.48 - - - - - Aldercrest Interactive Medical Systems, Inc. 426.24 1,308.64 (882.40) - - - - Aldercrest Neighborhood Network Publishing 170.00 - 170.00 - - - - Aldercrest Omnicare, Inc. 13,055.51 13,055.51 - - - - - Aldercrest OnHold Company (Spectrio) 42.45 42.45 - - - - - Aldercrest Patterson Medical 112.60 112.60 - - - - - Aldercrest PCS of Michigan, Inc. 2,168.18 1,852.18 316.00 - - - - Aldercrest Prime Care Technologies, INC. 66.67 - 66.67 - - - - Aldercrest Phyt Rehab of Washington, Inc. 9,353.98 (398.10) 9,752.08 - - - - Aldercrest Puget Sound Energy (7230) 824 229.54 229.54 - - - - - Aldercrest Relias Learning, LLC 134.03 - 134.03 - - - - Aldercrest Schryver Medical Sales and Marketing, LLC 4,956.90 4,956.90 - - - - - Aldercrest Shred-It USA 57.00 - 57.00 - - - - Aldercrest Silver Streak Logistics 44.32 44.32 - - - - - Aldercrest SNF Payroll, LLC 106,707.18 106,707.18 - - - - - Aldercrest Scott T Andrews, Dentist 106.67 - 106.67 - - - - Aldercrest Stericycle 131.23 131.23 - - - - - Aldercrest TonerQuest 175.04 175.04 - - - - - Aldercrest Tri-County Cabulance Inc 490.00 413.00 77.00 - - - - Aldercrest TRACKNOW, Inc. (COVR) 375.00 375.00 - - - - - Aldercrest Twin Med 7,246.86 7,238.03 8.83 - - - - Aldercrest Washington Automated, Inc. 231.84 231.84 - - - - - Aldercrest Washington State Dept of Labor & Industries 21,981.89 21,981.89 - - - - - Aldercrest Wright Express 981.94 981.94 - - - - - Aldercrest Total 227,842.33 170,165.78 57,676.55 - - - - Puget Sound Maxsip Corporation 671 1,045.25 1,045.25 - - - - - Puget Sound City of Olympia 2,571.74 440.00 2,131.74 - - - - Puget Sound Comcast (0669)) 118.42 118.42 - - - - - Puget Sound Comcast (8026) 2,099.86 2,099.86 - - - - - Puget Sound Puget Sound Energy (4145) 825 11,771.27 9,765.64 2,005.63 - - - - Puget Sound Accelerated Care Plus Leasing Inc. 1,464.40 1,292.16 172.24 - - - - Puget Sound Apex Global Solutions, LLC 0.01 (4,455.72) 4,455.73 - - - - Puget Sound AirGas USA, LLC 11.82 - 11.82 - - - - Puget Sound Apex Healthcare Systems 26.67 - 26.67 - - - - Puget Sound Air Handlers 352.00 352.00 - - - - - Puget Sound Briggs Corporation (DSSI) 61.57 61.57 - - - - - Puget Sound Capital Medical Center Labaratory Att Greg 5,853.07 5,853.07 - - - - - Puget Sound Century Archives Northwest, LLC 57.00 28.50 28.50 - - - - Puget Sound Canyon Z LLC 17,662.61 - 17,662.61 - - - - Puget Sound CRN Pool LLC (27,896.74) (27,896.74) - - - - -




Puget Sound Cornerstone Healthcare Services 27,983.27 27,983.27 - - - - - Puget Sound Cornerstone Self Insured (22,995.57) (22,995.57) - - - - - Puget Sound DAIYA Healthcare, PLLC 4,000.00 4,000.00 - - - - - Puget Sound Department of Revenue Washington State 12,777.28 12,777.28 - - - - - Puget Sound TIAA Commercial Finance 3702) 825 (Everbank) 538.13 538.13 - - - - - Puget Sound Ecolab Institutional CA 376.83 376.83 - - - - - Puget Sound E Copier Solutions INC 3,257.71 3,257.71 - - - - - Puget Sound Glenys Brennon 40.00 40.00 - - - - - Puget Sound Grainger DSSI (1,914.75) (1,914.75) - - - - - Puget Sound Hewlett Packard Financial Services Company 325.32 325.32 - - - - - Puget Sound Hocs Consulting 97.20 - 97.20 - - - - Puget Sound Healthcare Services Group Inc 17,932.79 17,932.79 - - - - - Puget Sound Interactive Medical Systems, Inc. 1,431.42 1,592.14 (160.72) - - - - Puget Sound Jennifer Caryk 13,166.00 13,166.00 - - - - - Puget Sound Kimberly Howe 413.00 353.00 60.00 - - - - Puget Sound Koty Glick 29.37 29.37 - - - - - Puget Sound Lew Rents West 28.86 - 28.86 - - - - Puget Sound Diane Craighead / Northwest Dental Consultants 390.00 150.00 240.00 - - - - Puget Sound Olympia 825 (6611) 8,563.71 8,563.71 - - - - - Puget Sound Omnicare, Inc. 10,078.28 10,078.28 - - - - - Puget Sound OnHold Company (Spectrio) 42.45 42.45 - - - - - Puget Sound Orkin Pest Control 142.33 142.33 - - - - - Puget Sound PowerClean 519.18 519.18 - - - - - Puget Sound Phyt Rehab of Washington, Inc. 8,697.70 (803.09) 9,500.79 - - - - Puget Sound Puget Sound Energy (0588) 825 2,387.80 - 2,387.80 - - - - Puget Sound Relias Learning, LLC 619.00 619.00 - - - - - Puget Sound Chester Norris 1,104.00 1,104.00 - - - - - Puget Sound Schryver Medical Sales and Marketing, LLC 974.36 974.36 - - - - - Puget Sound TonerQuest 839.26 839.26 - - - - - Puget Sound TRACKNOW, Inc. (COVR) 375.00 375.00 - - - - - Puget Sound Twin Med 10,156.44 10,353.18 (196.74) - - - - Puget Sound Washington State Dept of Labor & Industries 33,676.35 33,676.35 - - - - - Puget Sound Waterlogic Americas LLC 271.06 271.06 - - - - - Puget Sound Wright Express 1,014.05 1,014.05 - - - - - Puget Sound Total 152,536.78 98,481.45 54,055.33 - - - - Crestwood City of Port Angeles (4788) 757.16 - 757.16 - - - - Crestwood Pitney Bowes (4747) 32.16 32.16 - - - - - Crestwood Accelerated Care Plus Leasing Inc. 1,456.36 1,285.08 171.28 - - - - Crestwood Apex Healthcare Systems 26.67 - 26.67 - - - - Crestwood Above the Best Landscape 760.90 - 760.90 - - - - Crestwood Briggs Corporation (DSSI) 100.21 100.21 - - - - - Crestwood Canyon Z LLC 15,962.42 - 15,962.42 - - - - Crestwood City Of Port Angeles (4690) 542.49 - 542.49 - - - - Crestwood CRN Pool LLC 24,795.41 24,795.41 - - - - - Crestwood Cornerstone Healthcare Services 7,513.09 7,513.09 - - - - - Crestwood Cornerstone Self Insured (4,365.72) (4,365.72) - - - - -




Crestwood Claire Smith Roney PHD INC PC 525.00 525.00 - - - - - Crestwood DAIYA Healthcare, PLLC 320.00 - 320.00 - - - - Crestwood Diana Waller 4,934.40 4,934.40 - - - - - Crestwood Dianna Lynne Waller 4,934.40 4,934.40 - - - - - Crestwood Department of Revenue Washington State 9,857.30 9,857.30 - - - - - Crestwood E Copier Solutions INC 857.29 857.29 - - - - - Crestwood FAO Printing 105.00 105.00 - - - - - Crestwood HD Supply DSSI 147.33 147.33 - - - - - Crestwood Hewlett Packard Financial Services Company 619.88 309.94 309.94 - - - - Crestwood Hocs Consulting 90.90 - 90.90 - - - - Crestwood Healthcare Services Group Inc 15,805.53 15,365.53 440.00 - - - - Crestwood Interactive Medical Systems, Inc. 943.96 1,211.74 (267.78) - - - - Crestwood Dr.Main Atif (Aims) 933.33 - 933.33 - - - - Crestwood Olympic Electric 481.27 481.27 - - - - - Crestwood Olympic Medical Center 619.14 619.14 - - - - - Crestwood Omnicare, Inc. 14,861.80 14,861.80 - - - - - Crestwood OnHold Company (Spectrio) 42.45 42.45 - - - - - Crestwood Patterson Medical 49.36 49.36 - - - - - Crestwood Peninsula Fire Inc. 144.57 144.57 - - - - - Crestwood Prime Care Technologies, INC. 66.77 - 66.77 - - - - Crestwood Propane Northwest-Kingston 5,472.14 5,472.14 - - - - - Crestwood Phyt Rehab of Washington, Inc. 11,929.50 2,904.37 9,025.13 - - - - Crestwood Relias Learning, LLC 907.79 806.36 101.43 - - - - Crestwood Valery Thompson 1,320.58 1,320.58 - - - - - Crestwood Sai Calderone 100.75 100.75 - - - - - Crestwood Schryver Medical Sales and Marketing, LLC 2,194.03 1,892.50 301.53 - - - - Crestwood SNF Payroll, LLC 111,475.47 111,475.47 - - - - - Crestwood TonerQuest 237.06 237.06 - - - - - Crestwood TRACKNOW, Inc. (COVR) 375.00 375.00 - - - - - Crestwood Twin Med 8,584.87 8,584.87 - - - - - Crestwood Washington Automated, Inc. 161.97 161.97 - - - - - Crestwood Washington State Dept of Labor & Industries 19,113.42 19,113.42 - - - - - Crestwood Wright Express 202.89 202.89 - - - - - Crestwood Total 265,996.30 219,892.18 46,104.12 - - - - Sequim Maxsip Corporation 671 1,098.66 1,098.66 - - - - - Sequim Accelerated Care Plus Leasing Inc. 1,457.70 1,286.26 171.44 - - - - Sequim Apex Global Solutions, LLC 0.01 (4,279.37) 4,279.38 - - - - Sequim All Safe Mini Storage-Grant Road (629.00) (629.00) - - - - - Sequim Baica Dworsky 412.65 412.65 - - - - - Sequim Century Archives Northwest, LLC 57.00 28.50 28.50 - - - - Sequim Canyon NH LLc 18,413.06 - 18,413.06 - - - - Sequim CRN Pool LLC 2,908.86 2,891.76 17.10 - - - - Sequim Cornerstone Healthcare Services 41,047.02 41,047.02 - - - - - Sequim Cornerstone Self Insured (28,672.73) (28,672.73) - - - - - Sequim Claire Smith Roney PHD INC PC 1,750.00 1,050.00 700.00 - - - - Sequim Cutting Edge Landscaping, LLC 2,452.98 1,936.56 516.42 - - - -




Sequim Deborah Alcafaras 207.75 207.75 - - - - - Sequim Dependable Staffing Agecny 26,332.03 26,332.03 - - - - - Sequim Department of Revenue Washington State 17,587.47 17,587.47 - - - - - Sequim E Copier Solutions INC 2,395.63 2,395.63 - - - - - Sequim Gerald M. Braude 25.00 25.00 - - - - - Sequim Grainger DSSI 314.06 314.06 - - - - - Sequim HD Supply DSSI 1,603.59 1,603.59 - - - - - Sequim Hewlett Packard Financial Services Company 361.73 361.73 - - - - - Sequim Healthcare Services Group Inc 18,158.09 17,498.09 660.00 - - - - Sequim Interactive Medical Systems, Inc. 1,362.88 948.54 414.34 - - - - Sequim Mobile Pressure Cleaning 489.60 489.60 - - - - - Sequim Olympic Medical Center 1,272.46 1,272.46 - - - - - Sequim Omnicare, Inc. 29,413.54 29,413.54 - - - - - Sequim Patterson Medical 198.45 198.45 - - - - - Sequim PCS of Michigan, Inc. 1,497.34 1,497.34 - - - - - Sequim Peninsula Drain & Septic 1,784.32 1,784.32 - - - - - Sequim Phyt Rehab of Washington, Inc. 35,106.27 5,667.95 29,438.32 - - - - Sequim Ferrellgas, LP 1,776.24 1,776.24 - - - - - Sequim Relias Learning, LLC 551.08 551.08 - - - - - Sequim Schryver Medical Sales and Marketing, LLC 682.52 682.52 - - - - - Sequim SNF Payroll, LLC (148,789.70) (299,684.88) 150,895.18 - - - - Sequim TonerQuest 792.36 792.36 - - - - - Sequim TRACKNOW, Inc. (COVR) 375.00 375.00 - - - - - Sequim Twin Med 9,656.75 9,656.75 - - - - - Sequim Victor Reventlow 40.00 40.00 - - - - - Sequim Washington State Dept of Labor & Industries 23,862.64 23,862.64 - - - - - Sequim Walter Grant 76.76 76.76 - - - - - Sequim Wright Express 1,103.56 1,103.56 - - - - - Sequim Total 68,533.63 (146,819.58) 215,353.21 - - - - Fir Lane Cascade Natural Gas (7832) 915.27 915.27 - - - - - Fir Lane Comcast 8943 268.81 268.81 - - - - - Fir Lane City of Shelton 0001 184.00 - 184.00 - - - - Fir Lane City of Shelton 0101 5,857.19 - 5,857.19 - - - - Fir Lane Mason County PUD No 3 4001 4,857.05 - 4,857.05 - - - - Fir Lane Apex Global Solutions, LLC (2,075.00) (2,075.00) - - - - - Fir Lane Apex Healthcare Partners LLC 1,820.22 1,820.22 - - - - - Fir Lane Apex Healthcare Systems 26.67 - 26.67 - - - - Fir Lane Brian Gulmine 756.60 756.60 - - - - - Fir Lane Cascade Natural Gas (8875) 198.26 198.26 - - - - - Fir Lane Canyon Z LLC 21,148.23 0.00 21,148.23 - - - - Fir Lane CRN Pool LLC 29,602.72 29,602.72 - - - - - Fir Lane Cornerstone Healthcare Services 31,271.98 31,271.98 - - - - - Fir Lane Cornerstone Self Insured (2,814.08) (2,814.08) - - - - - Fir Lane Department of Revenue Washington State 10,498.10 10,498.10 - - - - - Fir Lane Ecolab Institutional CA 183.19 183.19 - - - - - Fir Lane E Copier Solutions INC 1,175.95 1,175.95 - - - - -




Fir Lane Ferrellgas 70.56 - 70.56 - - - - Fir Lane HD Supply DSSI 1,183.82 1,183.82 - - - - - Fir Lane Hewlett Packard Financial Services Company 738.86 392.12 346.74 - - - - Fir Lane Healthcare Services Group Inc 16,682.09 5,146.47 11,535.62 - - - - Fir Lane Interactive Medical Systems, Inc. 743.47 905.31 (161.84) - - - - Fir Lane I.V. Nurse Consultants, Inc. 500.00 500.00 - - - - - Fir Lane Laurel Osborne 128.58 128.58 - - - - - Fir Lane Omnicare, Inc. 10,748.16 10,748.16 - - - - - Fir Lane OnHold Company (Spectrio) 42.45 42.45 - - - - - Fir Lane Patterson Medical 138.96 138.96 - - - - - Fir Lane PCS of Michigan, Inc. 1,891.52 1,891.52 - - - - - Fir Lane Pitney Bowes (2524) 61.13 - 61.13 - - - - Fir Lane PowerClean 600.00 600.00 - - - - - Fir Lane Phyt Rehab of Washington, Inc. 7,946.14 906.14 7,040.00 - - - - Fir Lane Relias Learning, LLC 477.32 477.32 - - - - - Fir Lane Schryver Medical Sales and Marketing, LLC 1,929.67 1,929.67 - - - - - Fir Lane SNF Payroll, LLC (175,848.74) (306,381.95) 130,533.21 - - - - Fir Lane Stericycle 131.70 131.70 - - - - - Fir Lane TonerQuest 727.82 727.82 - - - - - Fir Lane Twin Med 14,013.61 14,013.61 - - - - - Fir Lane Washington State Dept of Labor & Industries 21,523.85 21,523.85 - - - - - Fir Lane Washington Health Care Association 847.80 847.80 - - - - - Fir Lane Wright Mohoric Refrigiration 6.10 - 6.10 - - - - Fir Lane Wright Express 1,106.53 1,106.53 - - - - - Fir Lane Total 10,266.56 (187,331.97) 197,598.53 - - - - Cherrywood Place ALF Apex Global Solutions, LLC 0.01 - 0.01 - - - - Cherrywood Place ALF Avista 829 (5781) 437.10 - 437.10 - - - - Cherrywood Place ALF City of Spokane 0439 (829) 1,145.68 1,145.68 - - - - - Cherrywood Place ALF Canyon NH LLc 9,574.80 - 9,574.80 - - - - Cherrywood Place ALF CRN Pool LLC (11,452.83) (11,452.83) - - - - - Cherrywood Place ALF Cornerstone Healthcare Services (4,779.12) (1,988.36) (2,790.76) - - - - Cherrywood Place ALF Cornerstone Self Insured (2,135.19) (2,135.19) - - - - - Cherrywood Place ALF Department of Revenue Washington State 304.93 300.51 4.42 - - - - Cherrywood Place ALF E Copier Solutions INC 508.76 508.76 - - - - - Cherrywood Place ALF Eden Pest Technologies 1,621.50 1,621.50 - - - - - Cherrywood Place ALF Grainger DSSI 12.41 12.41 - - - - - Cherrywood Place ALF HD Supply DSSI 168.25 168.25 - - - - - Cherrywood Place ALF Hewlett Packard Financial Services Company 277.40 277.40 - - - - - Cherrywood Place ALF Hocs Consulting 46.80 - 46.80 - - - - Cherrywood Place ALF Healthcare Services Group Inc 8,218.21 8,218.21 - - - - - Cherrywood Place ALF Omnicare, Inc. 325.49 325.49 - - - - - Cherrywood Place ALF OnHold Company (Spectrio) 42.45 42.45 - - - - - Cherrywood Place ALF Prime Care Technologies, INC. 40.00 - 40.00 - - - - Cherrywood Place ALF Relias Learning, LLC 87.30 69.82 17.48 - - - - Cherrywood Place ALF Shred-It USA 28.00 - 28.00 - - - - Cherrywood Place ALF SNF Payroll, LLC 20,324.41 1,565.13 18,759.28 - - - -




Cherrywood Place ALF Snappy Plumbing & Heating, LLC 511.83 511.83 - - - - - Cherrywood Place ALF Solomon Hirsch, CPA P.C. 2,000.00 2,000.00 - - - - - Cherrywood Place ALF TonerQuest 130.30 130.30 - - - - - Cherrywood Place ALF Twin Med 104.22 104.22 - - - - - Cherrywood Place ALF UniFirst Corporation 152.20 76.10 76.10 - - - - Cherrywood Place ALF Washington State Dept of Labor & Industries 3,645.74 3,645.74 - - - - - Cherrywood Place ALF Wright Express 782.83 782.83 - - - - - Cherrywood Place ALF Total 32,123.48 5,930.25 26,193.23 - - - - Franklin Hills Maxsip Corporation 671 1,366.18 1,366.18 - - - - - Franklin Hills Comcast (1517) 50.57 50.57 - - - - - Franklin Hills Comcast (9974) 140.81 140.81 - - - - - Franklin Hills Comcast (0395) 1,622.74 1,622.74 - - - - - Franklin Hills Apex Global Solutions, LLC 0.01 (4,279.37) 4,279.38 - - - - Franklin Hills Apex Healthcare Systems 26.67 - 26.67 - - - - Franklin Hills Avista 830 (1629) 15,591.77 - 15,591.77 - - - - Franklin Hills Bert's Mfg & Sales, Inc. (Bert's Portable Storage) 275.00 275.00 - - - - - Franklin Hills Boulder Creek 565.00 565.00 - - - - - Franklin Hills Century Archives Northwest, LLC 30.00 30.00 - - - - - Franklin Hills City of Spokane 830 (0438) 5,668.44 5,668.44 - - - - - Franklin Hills City of Spokane 830 (0437) 10.64 - 10.64 - - - - Franklin Hills Canyon Z LLC 15,760.21 - 15,760.21 - - - - Franklin Hills CRN Pool LLC 63,433.06 63,433.06 - - - - - Franklin Hills Cornerstone Healthcare Services 24,011.36 24,212.71 (201.35) - - - - Franklin Hills Cornerstone Self Insured (21,087.82) (21,087.82) - - - - - Franklin Hills Cunningham Elite Staffing Inc. 3,307.50 2,094.75 1,212.75 - - - - Franklin Hills Department of Revenue Washington State 9,820.74 9,820.74 - - - - - Franklin Hills TIAA Commercial Finance, Inc. (3722) (Everbank) 516.84 516.84 - - - - - Franklin Hills E Copier Solutions INC 864.16 864.16 - - - - - Franklin Hills FAO Printing 110.00 - 110.00 - - - - Franklin Hills Hewlett Packard Financial Services Company 869.56 434.78 434.78 - - - - Franklin Hills Jason Heffernan, MD 4,000.00 4,000.00 - - - - - Franklin Hills Hocs Consulting 90.00 - 90.00 - - - - Franklin Hills Healthcare Services Group Inc 15,066.50 15,066.50 - - - - - Franklin Hills Interactive Medical Systems, Inc. 1,146.36 984.06 162.30 - - - - Franklin Hills Living Water Lawn & Tree Care 1,500.00 - 1,500.00 - - - - Franklin Hills Nikki Pagel 42.27 42.27 - - - - - Franklin Hills Omnicare, Inc. 17,284.41 17,284.41 - - - - - Franklin Hills OnHold Company (Spectrio) 42.45 42.45 - - - - - Franklin Hills Patriot Fire Protection 282.05 282.05 - - - - - Franklin Hills Phyt Rehab of Washington, Inc. 15,137.74 1,276.79 13,860.95 - - - - Franklin Hills Relias Learning, LLC 369.18 369.18 - - - - - Franklin Hills Schryver Medical Sales and Marketing, LLC 5,190.74 5,190.74 - - - - - Franklin Hills Shred-It USA 58.67 - 58.67 - - - - Franklin Hills SNF Payroll, LLC 76,446.00 76,446.00 - - - - - Franklin Hills Solomon Hirsch, CPA P.C. 2,000.00 2,000.00 - - - - - Franklin Hills Sparrow Healthcare Education, LLC 4,710.00 4,710.00 - - - - -




Franklin Hills Stenco Properties, Inc. 2,293.83 - 2,293.83 - - - - Franklin Hills Stericycle 103.15 103.15 - - - - - Franklin Hills TonerQuest 733.79 733.79 - - - - - Franklin Hills TRACKNOW, Inc. (COVR) 375.00 375.00 - - - - - Franklin Hills Twin Med 11,988.53 11,988.53 - - - - - Franklin Hills Washington State Dept of Labor & Industries 16,492.90 16,492.90 - - - - - Franklin Hills Wright Express 746.40 746.40 - - - - - Franklin Hills Total 299,053.41 233,571.08 65,482.33 - - - - The Gardens on University Comcast Business 3637 383.97 383.97 - - - - - The Gardens on University Avista 9113 2,431.18 - 2,431.18 - - - - The Gardens on University Pitney Bowes (1660) 58.77 - 58.77 - - - - The Gardens on University Purchase Power 2691 368.34 368.34 - - - - - The Gardens on University Accelerated Care Plus Leasing Inc. 1,949.44 1,720.08 229.36 - - - - The Gardens on University Apex Global Solutions, LLC 0.01 (4,808.42) 4,808.43 - - - - The Gardens on University Apex Healthcare Partners LLC 188.40 188.40 - - - - - The Gardens on University Apex Healthcare Systems 26.67 - 26.67 - - - - The Gardens on University Arborpro Lawn and Tree Care, LLc 70.79 70.79 - - - - - The Gardens on University A to Z Rental and Sales 97.08 97.08 - - - - - The Gardens on University Bert's Mfg & Sales, Inc. (Bert's Portable Storage) 531.41 531.41 - - - - - The Gardens on University Century Archives Northwest, LLC 33.25 - 33.25 - - - - The Gardens on University Canyon Z LLC 18,492.01 - 18,492.01 - - - - The Gardens on University CRN Pool LLC 50,114.55 50,114.55 - - - - - The Gardens on University Cornerstone Healthcare Services 26,433.54 28,308.31 (1,874.77) - - - - The Gardens on University Cornerstone Self Insured (23,054.83) (23,054.83) - - - - - The Gardens on University Department of Revenue Washington State 12,011.04 12,011.03 0.01 - - - - The Gardens on University E Copier Solutions INC 1,197.13 1,197.13 - - - - - The Gardens on University Fire Protection Specialists, Inc. 231.41 231.41 - - - - - The Gardens on University Gober's 488.96 488.96 - - - - - The Gardens on University HD Supply DSSI 2,628.87 2,462.00 166.87 - - - - The Gardens on University Hewlett Packard Financial Services Company 619.14 309.57 309.57 - - - - The Gardens on University Hocs Consulting 198.90 - 198.90 - - - - The Gardens on University Healthcare Services Group Inc 1,564.02 1,564.02 - - - - - The Gardens on University Interactive Medical Systems, Inc. 548.43 552.21 (3.78) - - - - The Gardens on University Modern Electric Water Company 3,236.33 3,236.33 - - - - - The Gardens on University M&N Party Store 122.66 122.66 - - - - - The Gardens on University Omnicare, Inc. 11,054.24 11,054.24 - - - - - The Gardens on University OnHold Company (Spectrio) 42.45 42.45 - - - - - The Gardens on University Patterson Medical 410.04 410.04 - - - - - The Gardens on University PointClickCare (Wescom Solutions) 555.90 - 555.90 - - - - The Gardens on University PCS of Michigan, Inc. 1,534.97 1,534.97 - - - - - The Gardens on University Prime Care Technologies, INC. 66.67 - 66.67 - - - - The Gardens on University Dexter Preugschat, MD(IPC of Washington) 1,066.67 - 1,066.67 - - - - The Gardens on University Phyt Rehab of Washington, Inc. 17,847.38 7,869.68 9,977.70 - - - - The Gardens on University Relias Learning, LLC 569.48 455.01 114.47 - - - - The Gardens on University Schryver Medical Sales and Marketing, LLC 3,091.93 3,091.93 - - - - - The Gardens on University Shred-It USA 252.50 252.50 - - - - -




The Gardens on University Silver Streak Logistics 21.42 21.42 - - - - - The Gardens on University SNF Payroll, LLC 8,793.02 8,793.02 - - - - - The Gardens on University Spokane County Treasurer 25.00 - 25.00 - - - - The Gardens on University TonerQuest 517.02 517.02 - - - - - The Gardens on University TRACKNOW, Inc. (COVR) 375.00 375.00 - - - - - The Gardens on University Twin Med 11,558.07 11,231.36 326.71 - - - - The Gardens on University Washington State Dept of Labor & Industries 27,847.61 27,847.61 - - - - - The Gardens on University Wright Express 31.76 31.76 - - - - - The Gardens on University Total 186,632.60 133,271.54 53,361.06 - - - - Care Center East Canyon NH LLc 13,439.77 - 13,439.77 - - - - Care Center East E Copier Solutions INC 375.32 375.32 - - - - - Care Center East Total 13,815.09 375.32 13,439.77 - - - - Meadow Park Maxsip Corporation 671 608.34 608.34 - - - - - Meadow Park Comcast (5673) 185.67 185.67 - - - - - Meadow Park City of St. Helens (2000) 3,017.19 1,466.67 1,550.52 - - - - Meadow Park NW Natural (1186) 564.13 564.13 - - - - - Meadow Park Accelerated Care Plus Leasing Inc. 906.30 591.10 315.20 - - - - Meadow Park Apex Healthcare Systems 53.34 - 53.34 - - - - Meadow Park Blue Heron Septic and Drain Service, Inc. 190.00 190.00 - - - - - Meadow Park Canyon NH LLc 15,382.85 0.00 15,382.85 - - - - Meadow Park CRN Pool LLC (16,743.11) (16,758.85) 15.74 - - - - Meadow Park Cornerstone Healthcare Services 134.25 134.25 - - - - - Meadow Park Cornerstone Self Insured (7,718.47) (8,976.70) 1,258.23 - - - - Meadow Park Dons Rental Inc 56.95 56.95 - - - - - Meadow Park EverBank Commercial Finance, Inc. (3738) 833 640.22 640.22 - - - - - Meadow Park Ecolab Institutional IL 139.85 71.11 68.74 - - - - Meadow Park E Copier Solutions INC 664.14 664.14 - - - - - Meadow Park Fresh Aire 632.16 632.16 - - - - - Meadow Park HD Supply DSSI (227.94) (227.94) - - - - - Meadow Park Hewlett Packard Financial Services Company 585.12 292.56 292.56 - - - - Meadow Park Hocs Consulting 74.70 - 74.70 - - - - Meadow Park Healthcare Services Group Inc 9,768.23 9,768.23 - - - - - Meadow Park Indoor Billboard Northwest, Inc 93.17 93.17 - - - - - Meadow Park Interactive Medical Systems, Inc. (100.51) 235.68 (336.19) - - - - Meadow Park Johnson Controls Fire Protection 1,360.00 1,360.00 - - - - - Meadow Park Kenneth West - Musician 50.00 50.00 - - - - - Meadow Park Legacy Laboratory Service 883.02 883.02 - - - - - Meadow Park Omnicare, Inc. 9,831.71 9,831.71 - - - - - Meadow Park Orkin Pest Control 111.50 111.50 - - - - - Meadow Park Prime Care Technologies, INC. 250.00 250.00 - - - - - Meadow Park Phyt Rehab of Washington, Inc. 8,144.12 2,741.10 5,403.02 - - - - Meadow Park Radio Cab Co. 2,046.70 2,046.70 - - - - - Meadow Park Relias Learning, LLC 299.12 299.12 - - - - - Meadow Park Janice Hartman 646.18 646.18 - - - - - Meadow Park Schryver Medical Sales and Marketing, LLC 896.51 896.51 - - - - - Meadow Park Silver Streak Logistics 99.79 99.79 - - - - -




Meadow Park SNF Payroll, LLC 360.54 360.54 - - - - - Meadow Park Stericycle 156.91 156.91 - - - - - Meadow Park TonerQuest 90.00 90.00 - - - - - Meadow Park TRACKNOW, Inc. (COVR) 375.00 375.00 - - - - - Meadow Park Twin Med 4,487.15 4,465.65 21.50 - - - - Meadow Park Wright Express 965.30 965.30 - - - - - Meadow Park Total 39,960.13 15,859.92 24,100.21 - - - - Ivy Court City of Coeur D'Alene (3845) 2,070.84 2,070.84 - - - - - Ivy Court Accelerated Care Plus Leasing Inc. 1,418.77 625.84 792.93 - - - - Ivy Court Apex Healthcare Systems 26.67 - 26.67 - - - - Ivy Court Avista 834 (9245) 1,137.22 - 1,137.22 - - - - Ivy Court BellevueHealthcare 1,227.86 1,227.86 - - - - - Ivy Court Briggs Corporation (DSSI) 35.35 35.35 - - - - - Ivy Court Century Archives Northwest, LLC 26.40 26.40 - - - - - Ivy Court Centers for Medicare And Medicaid Service 5,189.93 5,189.93 - - - - - Ivy Court Canyon Z LLC 12,633.43 - 12,633.43 - - - - Ivy Court Comack's Flooring America (10,000.00) (10,000.00) - - - - - Ivy Court CRN Pool LLC 7,680.75 7,680.75 - - - - - Ivy Court Cornerstone Healthcare Services 37,937.25 37,937.25 - - - - - Ivy Court Cornerstone Self Insured (44,219.07) (44,219.07) - - - - - Ivy Court Culligan Moscow (835) 63.07 63.07 - - - - - Ivy Court TIAA Commercial Finance (3744) 834 (Everbank) 505.30 505.30 - - - - - Ivy Court Ecolab Institutional CA 151.07 151.07 - - - - - Ivy Court Ecolab Pest Elim 144.00 144.00 - - - - - Ivy Court E Copier Solutions INC 981.66 981.66 - - - - - Ivy Court Gretchen Findley 124.00 124.00 - - - - - Ivy Court HD Supply DSSI 585.18 585.18 - - - - - Ivy Court Hewlett Packard Financial Services Company 594.46 297.23 297.23 - - - - Ivy Court Hilde Routzahn 44.48 44.48 - - - - - Ivy Court Hocs Consulting 85.35 - 85.35 - - - - Ivy Court Healthcare Services Group Inc 15,875.21 15,875.21 - - - - - Ivy Court Idaho Department of Health & Welfare 65.00 - 65.00 - - - - Ivy Court Idaho Health Care Association, Inc. (476.72) (476.72) - - - - - Ivy Court Interactive Medical Systems, Inc. 671.56 1,417.60 (746.04) - - - - Ivy Court Kurt Routzahn 269.17 269.17 - - - - - Ivy Court LabCorp 524.89 524.89 - - - - - Ivy Court Laurie Loew 45.39 45.39 - - - - - Ivy Court Lake City Transportation, LLC 423.00 423.00 - - - - - Ivy Court MED-PASS (DSSI) 65.80 65.80 - - - - - Ivy Court Susan Melchiore, MD 4,433.33 3,500.00 933.33 - - - - Ivy Court North Idaho College 4,750.00 - 4,750.00 - - - - Ivy Court Omnicare, Inc. 19,013.05 19,013.05 - - - - - Ivy Court OnHold Company (Spectrio) 42.45 42.45 - - - - - Ivy Court Oxarc Inc. 8.81 - 8.81 - - - - Ivy Court Patterson Medical 174.59 174.59 - - - - - Ivy Court Phyt Rehab of Washington, Inc. 15,682.44 3,688.92 11,993.52 - - - -




Ivy Court Prime Time Healthcare, LLC 250.00 250.00 - - - - - Ivy Court Marjorie Fiori 16.88 16.88 - - - - - Ivy Court Schryver Medical Sales and Marketing, LLC 205.64 205.64 - - - - - Ivy Court SNF Payroll, LLC (88,947.35) (344,944.62) 255,997.27 - - - - Ivy Court Spectrum Business/ Time Warner Cable (7332) 149.95 149.95 - - - - - Ivy Court Stericycle 678.12 678.12 - - - - - Ivy Court TonerQuest 629.49 629.49 - - - - - Ivy Court Twin Med 8,857.71 8,857.71 - - - - - Ivy Court Wright Express 880.05 880.05 - - - - - Ivy Court Total 2,732.43 (289,080.79) 291,813.22 - - - - Lacrosse Maxsip Corporation 671 971.55 971.55 - - - - - Lacrosse City of Coeur D'Alene (3836) 8.78 8.78 - - - - - Lacrosse City of Coeur D'Alene (3837) 298.26 298.26 - - - - - Lacrosse Waste Management (3004) 75.93 - 75.93 - - - - Lacrosse Apex Global Solutions, LLC 0.01 - 0.01 - - - - Lacrosse Apex Healthcare Systems 26.67 - 26.67 - - - - Lacrosse BellevueHealthcare 388.00 - 388.00 - - - - Lacrosse Bert's Mfg & Sales, Inc. (Bert's Portable Storage) 137.80 137.80 - - - - - Lacrosse Century Archives Northwest, LLC 57.00 - 57.00 - - - - Lacrosse Canyon NH LLc 18,240.05 (0.00) 18,240.05 - - - - Lacrosse CRN Pool LLC (16,464.86) (16,464.86) - - - - - Lacrosse Cornerstone Healthcare Services 32,720.94 32,720.94 - - - - - Lacrosse Cornerstone Self Insured (19,730.74) (25,714.69) 5,983.95 - - - - Lacrosse Drains Plus LLC 450.00 450.00 - - - - - Lacrosse TIAA Commercial Finance, Inc./Everbank (3695) 835 476.64 476.64 - - - - - Lacrosse Ecolab Institutional CA 41.91 - 41.91 - - - - Lacrosse E Copier Solutions INC 899.76 899.76 - - - - - Lacrosse FedEx 11.31 11.31 - - - - - Lacrosse Grainger DSSI 269.31 269.31 - - - - - Lacrosse Hewlett Packard Financial Services Company 342.57 - 342.57 - - - - Lacrosse Healthcare Services Group Inc 17,050.07 17,050.07 - - - - - Lacrosse Idaho Health Care Association, Inc. (595.90) (595.90) - - - - - Lacrosse Interactive Medical Systems, Inc. 3,992.57 4,385.50 (392.93) - - - - Lacrosse Judge Advertsing 95.00 - 95.00 - - - - Lacrosse Johnson Controls Fire Protection 737.40 - 737.40 - - - - Lacrosse LabCorp 719.44 719.44 - - - - - Lacrosse Lake City Transportation, LLC 570.00 570.00 - - - - - Lacrosse Michael Meza, MD 5,800.00 5,000.00 800.00 - - - - Lacrosse Norco 10.20 - 10.20 - - - - Lacrosse Omnicare, Inc. 13,537.97 13,537.97 - - - - - Lacrosse OnHold Company (Spectrio) 42.45 42.45 - - - - - Lacrosse Patterson Medical 1,057.15 503.27 553.88 - - - - Lacrosse PCS of Michigan, Inc. 1,211.81 1,211.81 - - - - - Lacrosse Phyt Rehab of Washington, Inc. 11,583.69 4,656.33 6,927.36 - - - - Lacrosse Relias Learning, LLC 466.63 466.63 - - - - - Lacrosse ReMED Services 15,030.00 - 15,030.00 - - - -




Lacrosse AARP 502.50 502.50 - - - - - Lacrosse Wilson Geffe 18,177.00 18,177.00 - - - - - Lacrosse Schryver Medical Sales and Marketing, LLC 727.45 474.36 253.09 - - - - Lacrosse Short Green LLC 1,555.00 1,555.00 - - - - - Lacrosse Shred-It USA 66.50 66.50 - - - - - Lacrosse SNF Payroll, LLC (117,782.44) (280,436.40) 162,653.96 - - - - Lacrosse Spectrum Business/ Time Warner Cable (0617) 239.92 239.92 - - - - - Lacrosse Stericycle 678.12 678.12 - - - - - Lacrosse TonerQuest 694.95 694.95 - - - - - Lacrosse TRACKNOW, Inc. (COVR) 375.00 375.00 - - - - - Lacrosse Twin Med 14,255.87 14,255.87 - - - - - Lacrosse Wright Express 1,066.45 1,066.45 - - - - - Lacrosse Total 11,085.69 (200,738.36) 211,824.05 - - - - Grand Total 1,493,602.72 (182,600.38) 1,676,203.10 - - - -

Note: There are multiple debit balances due to invoices that were not received/processed yet but had to be paid.





Vendor name Invoice date Invoice amount Payment due date

Delinquent Post-Petition Payables (excluding taxes and professional fees)

UST-16, STATEMENT OF POST-PETITION PAYABLES PART B - OTHER PAYABLES (contd.)

INSTRUCTIONS: List each post-petition payable delinquent more than 30 days. Alternatively, attach the debtor’s accounts payable aging report if the report: 1) clearly separates pre-and post-petition accounts payable, and, 2) identifies each delinquent payable by vendor name, invoice date, invoice amount, and payment due date.





Type of professional

Amount of retainer (if applicable) Fees and expenses from prior months

Fees and expenses added this month

Total estimated fees and expenses at month end

Debtor’s counsel - Foley & Lardner LLP

62,040.00 300,000.00 300,000.00$

Debtor’s advisors - Getzler Henrich & Associates LLC

98,039.00 5,000.00 95,000.00 100,000.00$

Debtor’s other professional - attorney; D. Bugbee & Scalia, PLLC dba DBS Law

15,000.00 2,775.38 4,140.61

6,915.99$ Debtor’s other professional: Claims & Noticing Agent - Omni Agent Solutions

TBD

Trustee’s counsel-$

Creditors’ Committee Counsel - Pepper Hamilton LLP

TBD

-$ Creditors’ Committee Counsel - Bush Kornfeld LLP

TBD

-$ Creditors’ Committee other professional: Financial advisor - FTI Consulting

TBD

-$

$ 406,915.99 Total estimated post-petition professional fees and costs

UST-16, STATEMENT OF POST-PETITION PAYABLES PART C - ESTIMATED PROFESSIONAL FEES

INSTRUCTIONS: Report only post-petition professional fees and expenses. To the extent possible, use billing statements to report the actual amounts due. If billing statements are not available, use the best information available to estimate the fees and costs.





Asset Description

Date of Court Approval

Method of Disposition

GrossSales Price

Net ProceedsReceived (&Date)

Escrow Statementor Auctioneer’s

Report Attached?1.

2.

3.

4.

5.

TOTAL $ - $ -

Date of Court Approval Amount funds Received

Source of Date

Total

Date of Court Approval Amount funds Received

Source of Date

Total

UST-17, OTHER INFORMATION

Question 3 - Insider Loans/Capital Contributions. During the reporting month, did the debtor receive any funds from an officer, director, partner, or other insider of the debtor?

Any disbursements made from escrow or trust accounts from the proceeds of the above transactions should also be included on the line of UST-14 entitled "Disbursements from sales out of the ordinary course."Question 2 - Financing. During the reporting month, did the debtor receive any funds from an outside funding source?

INSTRUCTIONS: Answer each question fully and attach additional sheets if necessary to provide a complete response.

Question 1 - Sale or Abandonment of the Debtor’s Assets. Did the debtor, or another party on behalf of the debtor, sell, transfer, or otherwise dispose of any of the debtor’s assets during the reporting month? Include only sales out of the ordinary course. The debtor must attach an escrow statement for each sale of real property and an auctioneer's report for each auction.

YES NO

YES NO

YES NO



19-43754 (Jointly Administered)

Debtor PNW Healthcare Holdings, LLC, et al. December-2019

YES NO

Renewals: Provider

New Premium

Shomer Insurance Agency 1,186,380.52 yes

Changes: Provider

New Premium

Full-time

Number of employees at beginning of month 964 Employees added 49Employees resigned/terminated 51

Number employees at end of month 962

N/A

Question 7 - Case Progress. Explain what progress the debtor made during the reporting month toward confirmation of a plan of reorganization.

The Debtors and their professionals are analyzing various potential structures for a value-maximizing plan of reorganization and are in communications with key parties-in-interests regarding those potential structures.

247

UST-17, OTHER INFORMATION

Question 4 - Insurance and Bond Coverage. Did the debtor renew, modify, or replace any insurance policies during this reporting month?

Were any insurance policies canceled or otherwise terminated for any reason during the reporting month? If yes, explain.

Were any claims made during this reporting month against the debtor’s bond? Answer No if the debtor is not required to have a bond. If yes, explain.

Is a Copy Attached to this Report?

Is a Copy Attached to this Report?

Question 5 - Personnel Changes. Complete the following:Part-Time

2522126

Case Number

Month Ending

Gross Monthly Payroll and Taxes $ 4,564,847 Question 6 - Significant Events. Explain any significant new developments during the reporting month.



4851-8387-8322.1

Notes to Monthly Operating Report

General Notes:

On November 22, 2019 (the “Petition Date”), each of the Debtors filed voluntary petitions for relief under chapter 11 of title 11 of the United States Code (the “Bankruptcy Code”) in the United States Bankruptcy Court for the Western District of Washington (the “Bankruptcy Court”). The Debtors’ chapter 11 cases are jointly administered for procedural purposes only under PNW Healthcare Holdings, LLC, No. 19-43754 (W.D. Wash.) pursuant to an order entered by the Bankruptcy Court on November 27, 2019 [Docket No. 73]. On December 12, 2019, the United States Trustee for Region 18 (the “U.S. Trustee”) appointed an official committee of unsecured creditors pursuant to section 1102(a) of the Bankruptcy Code [Docket No. 145]. The Debtors continue to operate their business and manage their properties as debtors in possession pursuant to sections 1107(a) and 1108 of the Bankruptcy Code.

The Debtors are filing their consolidated Monthly Operating Report solely for the purposes of complying with the monthly operating reporting requirements applicable in the Debtors' chapter 11 cases. The Debtors typical accounting period for finalizing financial statements and closing each monthly accounting period is at least 30 days. Further, the Debtors process for finalizing financial statements for December 31, 2019 is a more intensive process than the Debtors typical monthly financial statement closing procedures. As such, the financial and supplemental information contained herein is presented on a preliminary and unaudited basis, remains subject to future adjustments and may not comply in all material respects with generally accepted accounting principles in the United States of America ("U.S. GAAP"). This Monthly Operating Report should not be relied on by any persons for information relating to current or future financial conditions, events, or performance of any of the Debtors or their affiliates.

The financial information has been derived from the books and records of the Debtors. This information, however, has not been subject to certain procedures that would typically be applied to financial information in accordance with U.S. GAAP, and upon application of such procedures, the Debtors believe that the financial information could be subject to changes, which could be material. The information furnished in this report includes primarily normal recurring adjustments, but does not include all adjustments that would typically be made for financial statements prepared in accordance with U.S. GAAP, including but not limited to, adjustments for income tax provisions and related deferred tax asset and liability accounts and certain other asset and liability accounts.

The results of operations contained herein are not necessarily indicative of results which may be expected for any other period or for the full year and may not necessarily reflect the combined results of operations and financial position of the Debtors in the future.

The Debtors reserve all rights to amend or supplement this Monthly Operating Report in all respects, as may be necessary or appropriate. Nothing contained in this Monthly Operating Report shall constitute a waiver of any of the Debtors' rights or an admission with respect to their chapter 11 cases.

Notes to UST-12 & UST-13: The information contained in UST-12 and UST-13 is provided to fulfill the requirements of the Office of the United States Trustee. All information contained in UST-12 and UST-13 is unaudited and subject to future adjustment. Given that the Debtors’ financial statements and balance sheets are typically on a consolidated basis, all information contained in UST-12 and UST-13 has been presented on a consolidating basis.

Notes to UST-14:December 31, 2019 bank balances reflect available bank balances as of close of business.


4851-8387-8322.1

The Debtors have received approval to pay pre-Petition Date wages and benefits pursuant to Order Granting First Day Motion for Authority to Pay Prepetition Payroll, Employee Benefits, and Related Expenses [Docket No. 70]. As such, the applicable wages, benefits, and related expenses have been paid when due except for amounts that are in dispute, if any.

Notes to UST-17:

On January 13, 2020, the Debtors filed the Debtors’ Motion for Approval of Insurance Premium Finance Agreement [Docket No. 252]. Through this motion, the Debtors seek Court authority to finance a portion of the amount of the insurance premiums over a period of time.


ust-10 cover sheet monthly financial report for … · total post-petition liabilities 6,617,596...

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