the SNF-B Rates
Transcription
the SNF-B Rates
Attachment 1 AB1629 Final Skilled Nursing Facility Rates for Dates of Service 8/1/14-7/31/15 OSHPD ID 206010734 206010744 206010747 206010749 206010750 206010757 206010760 206010770 206010774 206010797 206010798 206010806 206010807 206010808 206010815 206010824 206010825 206010831 206010832 206010845 206010848 206010851 206010854 206010855 206010862 206010863 206010874 206010875 206010876 206010879 206010881 206010889 206010900 206010904 206010906 206010912 206010915 206010917 206010920 206010926 1 of 23 National Provider Identifier (NPI) 1114119054 1568676393 1467597534 1619966751 1689867301 1578675997 1194835017 1053303172 1891964003 1366414906 1871881557 1639401227 1023183662 1639431471 1942228838 1417275959 1427072040 1518282490 1801868302 1538323761 1659693745 1841295003 1235267972 1659495604 1063640597 1912072554 1740207455 1275797409 1124104872 1043426588 1922090091 1508295478 1396832465 1386958965 1497875546 1831183649 1285781013 1609840115 1437230943 1750385167 Owner # Loc # 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 01 01 01 01 01 01 01 01 01 01 01 01 02 01 01 01 01 01 01 01 01 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 Accommodation Accommodation Accommodation Accommodation Code 01 Codes 02 and 03 Code 11 Code 12 $219.60 CROWN BAY NURSING & REHAB $212.76 $225.32 $218.48 $144.01 ASHBY CARE CENTER $137.17 $149.73 $142.89 $270.91 BANCROFT CONVALESCENT HOSPITAL $264.07 $276.63 $269.79 $209.49 ST. FRANCIS EXTENDED CARE $202.65 $215.21 $208.37 $187.03 HILLTOP CARE AND REHABILITATION CENTER $180.19 $192.75 $185.91 $231.55 BERKELEY PINES CARE CENTER $224.71 $237.27 $230.43 $208.11 BETHESDA HOME $201.27 $213.83 $206.99 $258.21 VALLEY POINTE NURSING & REHABILITATION CENTER $251.37 $263.93 $257.09 $188.73 CASTRO VALLEY HEALTHCARE AND REHABILITATION CENTER $181.89 $194.45 $187.61 $226.22 FREMONT HEALTHCARE CENTER $219.38 $231.94 $225.10 $232.44 DRIFTWOOD HEALTH CARE CENTER - HAYWARD $225.60 $238.16 $231.32 $175.75 HAYWARD HEALTHCARE & WELLNESS CENTER $168.91 $181.47 $174.63 $223.80 ELMWOOD CARE CENTER $216.96 $229.52 $222.68 $232.00 BAY AREA HEALTHCARE $225.16 $237.72 $230.88 $264.14 CRESTWOOD TREATMENT CENTER - FREMONT $257.30 $269.86 $263.02 $216.80 WINDSOR POST ACUTE CARE $209.96 $222.52 $215.68 $234.25 KINDRED NURSING AND HEALTHCARE-LIVERMORE $227.41 $239.97 $233.13 $180.88 HAYWARD CONVALESCENT HOSPITAL $174.04 $186.60 $179.76 $237.28 HAYWARD HILLS HEALTHCARE CENTER $230.44 $243.00 $236.16 $215.36 OAKHILL SPRINGS CARE CENTER $208.52 $221.08 $214.24 $193.31 OAKLAND HEALTHCARE & WELLNESS CENTER $186.47 $199.03 $192.19 $203.13 BELLAKEN SKILLED NURSING CENTER $196.29 $208.85 $202.01 $270.10 ALL SAINTS SUBACUTE AND REHAB $263.26 $275.82 $268.98 $197.74 JONES CONVALESCENT HOSPITAL $190.90 $203.46 $196.62 $185.05 WISTERIA CARE CENTER $178.21 $190.77 $183.93 $207.27 KYAKAMEENA SANITORIUM $200.43 $212.99 $206.15 $174.84 SILVER OAK MANOR $168.00 $180.56 $173.72 $196.84 OAKGROVE SPRINGS CARE CENTER $190.00 $202.56 $195.72 $251.21 WINDSOR GARDENS CARE CENTER OF HAYWARD $244.37 $256.93 $250.09 $247.90 MASONIC HOME FOR ADULTS $241.06 $253.62 $246.78 $239.87 MCCLURE CONVALESCENT HOSPITAL & REHAB CENTER $233.03 $245.59 $238.75 $220.89 FRUITVALE HEALTHCARE CENTER $214.05 $226.61 $219.77 $271.17 GARFIELD NEUROBEHAVIORAL CENTER $264.33 $276.89 $270.05 $236.86 WINDSOR HEALTHCARE CENTER OF OAKLAND $230.02 $242.58 $235.74 $220.69 EXCELL HEALTH CARE CENTER $213.85 $226.41 $219.57 $212.36 PARK CENTRAL CARE & REHABILITATION CENTER $205.52 $218.08 $211.24 $250.30 WINDSOR PARK CENTER OF FREMONT $243.46 $256.02 $249.18 $210.24 PARKVIEW HEALTHCARE CENTER $203.40 $215.96 $209.12 $258.77 PIEDMONT GARDENS HEALTH FACILITY $251.93 $264.49 $257.65 $224.17 PLEASANTON NURSING AND REHABILITATION CENTER $217.33 $229.89 $223.05 Facility Name 1/8/2014 Attachment 1 206010934 206010944 206010952 206010953 206010959 206010961 206010968 206010972 206010974 206010988 206010994 206010995 206011527 206013368 206013489 206013570 206013647 206013653 206013696 206014077 206014238 206030915 206040800 206040974 206040999 206041943 206042208 206042213 206042237 206044001 206044003 206044005 206044028 206044159 206051802 206061068 206070892 206070893 206070896 206070905 206070932 206070933 206070935 206070958 206070962 206070996 2 of 23 1194891051 1790850329 1386998664 1578885778 1760471346 1861484982 1437303195 1083634893 1467446278 1306893904 1902828403 1346382298 1659366771 1467684654 1346239928 1841336534 1699798033 1699770867 1225029366 1609867746 1043489016 1467449603 1740326420 1568463214 1992794861 1306028527 1154467835 1255656930 1669473310 1306893995 1427006485 1306894258 1427016740 1255690079 1215921242 1780685461 1720139355 1407924582 1932129731 1821320417 1811969355 1225369002 1568447068 1730221268 1699840231 1366520090 01 01 01 01 01 01 01 02 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 01 01 01 01 01 01 01 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 REDWOOD CONVALESCENT HOSPITAL SAN LEANDRO HEALTHCARE CENTER KINDRED TRANSITIONAL CARE AND REHAB - BAY VIEW ALAMEDA HEALTHCARE & WELLNESS CENTER ST. CHRISTOPHER CONVALESCENT HOSPITAL ST. JOHNS KRONSTADT CONVALESCENT CENTER HAYWARD SPRINGS CARE CENTER KINDRED NURSING AND REHABILITATION-MEDICAL HILL BAY POINT HEALTHCARE CENTER WASHINGTON CARE & REHAB CRESTWOOD MANOR - FREMONT WILLOW TREE NURSING & REHAB CENTER CHAPARRAL HOUSE HILLSIDE SENIOR CARE ST. ANTHONY CARE CENTER, INC WINDSOR COUNTRY DRIVE CARE CENTER GATEWAY CARE & REHAB. CENTER MARINA GARDEN NURSING CENTER MERCY RETIREMENT AND CARE CENTER SALEM CARE CENTER BAYWOOD COURT HEALTH CENTER KIT CARSON NURSING & REHAB CENTER WINDSOR CHICO CARE CENTER PARADISE SKILLED NURSING RIVERSIDE CONVALESCENT HOSPITAL - CHICO CYPRESS HEALTHCARE CENTER CHICO CREEK CARE AND REHABILITATION GRIDLEY HEALTHCARE & WELLNESS CENTRE SHADOWBROOK HEALTH CARE PINE VIEW CARE CENTER OLIVE RIDGE POST ACUTE CARE TWIN OAKS POST ACUTE REHAB CALIFORNIA PARK REHABILITATION HOSPITAL COUNTRY CREST MARK TWAIN CONVALESCENT HOSPITAL VALLEY WEST CARE CENTER ALHAMBRA CONVALESCENT HOSPITAL ANTIOCH CONVALESCENT HOSPITAL KINDRED NURSING AND HEALTHCARE-BAYBERRY SAN PABLO HEALTHCARE & WELLNESS CENTER CREEKSIDE HEALTH CARE CENTER RHEEM VALLEY CONVALESCENT HOSPITAL DANVILLE REHABILITATION GREENRIDGE SENIOR CARE WILLOW PASS HEALTHCARE CENTER LAFAYETTE CARE CENTER $164.96 $241.42 $245.59 $163.47 $179.92 $255.34 $180.39 $229.70 $210.51 $213.24 $252.77 $250.50 $274.74 $144.98 $173.93 $232.51 $210.42 $181.27 $252.57 $256.88 $275.13 $191.47 $200.89 $174.87 $173.59 $181.11 $200.27 $153.32 $150.94 $189.85 $170.92 $174.16 $205.46 $183.49 $192.87 $157.40 $193.24 $227.55 $206.29 $186.07 $234.33 $242.92 $248.24 $185.97 $203.48 $178.88 $158.12 $234.58 $238.75 $156.63 $173.08 $248.50 $173.55 $222.86 $203.67 $206.40 $245.93 $243.66 $267.90 $138.14 $167.09 $225.67 $203.58 $174.43 $245.73 $250.04 $268.29 $184.63 $194.05 $168.03 $166.75 $174.27 $193.43 $146.48 $144.10 $183.01 $164.08 $167.32 $198.62 $176.65 $186.03 $150.56 $186.40 $220.71 $199.45 $179.23 $227.49 $236.08 $241.40 $179.13 $196.64 $172.04 $170.68 $247.14 $251.31 $169.19 $185.64 $261.06 $186.11 $235.42 $216.23 $218.96 $258.49 $256.22 $280.46 $150.70 $179.65 $238.23 $216.14 $186.99 $258.29 $262.60 $280.85 $197.19 $206.61 $180.59 $179.31 $186.83 $205.99 $159.04 $156.66 $195.57 $176.64 $179.88 $211.18 $189.21 $198.59 $163.12 $198.96 $233.27 $212.01 $191.79 $240.05 $248.64 $253.96 $191.69 $209.20 $184.60 $163.84 $240.30 $244.47 $162.35 $178.80 $254.22 $179.27 $228.58 $209.39 $212.12 $251.65 $249.38 $273.62 $143.86 $172.81 $231.39 $209.30 $180.15 $251.45 $255.76 $274.01 $190.35 $199.77 $173.75 $172.47 $179.99 $199.15 $152.20 $149.82 $188.73 $169.80 $173.04 $204.34 $182.37 $191.75 $156.28 $192.12 $226.43 $205.17 $184.95 $233.21 $241.80 $247.12 $184.85 $202.36 $177.76 1/8/2014 Attachment 1 206071009 206071028 206071029 206071042 206071044 206071061 206071069 206071095 206071099 206071107 206073349 206073366 206073625 206073627 206073641 206073644 206074002 206074024 206074025 206074076 206074085 206080930 206090863 206090983 206092347 206100684 206100685 206100689 206100694 206100704 206100713 206100715 206100728 206100731 206100732 206100744 206100750 206100751 206100772 206100778 206100780 206100781 206100789 206100790 206100792 206100799 3 of 23 1609899046 1336470111 1447263397 1922110378 1831235290 1902127392 1578559480 1568593473 1821087966 1639199409 1558532465 1699795484 1396813465 1831185735 1871661967 1932172491 1457471401 1720035090 1821039678 1609817352 1306838438 1679509228 1043518277 1457659682 1588669865 1255446415 1477509180 1205903176 1073569000 1801842877 1730135708 1437388238 1215989769 1467407858 1326346552 1760547160 1336287077 1235208349 1528100013 1225142755 1386996783 1013963693 1134480817 1154377729 1801148952 1558382598 01 01 01 01 01 01 01 01 01 02 01 02 01 01 01 01 01 01 01 02 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 01 01 01 01 01 01 01 01 01 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 MARTINEZ CONVALESCENT HOSPITAL OAK PARK CONVALESCENT HOSPITAL ORINDA REHABILITATION AND CONVALESCENT HOSPITAL PITTSBURG CARE CENTER WINDSOR ROSEWOOD CARE CENTER TAMPICO TERRACE CARE CENTER SHIELDS/RICHMOND NURSING CENTER WINDSOR MANOR REHABILITATION CENTER OF CONCORD VINTAGE ESTATES OF RICHMOND KND NRSG & REHAB-YGNACIO VALLEY LEGACY NURSING AND REHABILITATION CENTER KINDRED TRANSTIONAL CARE AND REHABILITATION - WALNUT CREEK SAN MIGUEL VILLA SHIELDS NURSING CENTER LONE TREE CONVALESCENT HOSPITAL VALE HEALTHCARE CENTER DIAMOND RIDGE HEALTHCARE CENTER MANOR CARE HEALTH SERVICES (WALNUT CREEK) STONEBROOK HEALTHCARE CENTER MANORCARE HEALTH SERVICES-TICE VALLEY REUTLINGER COMMUNITY FOR JEWISH LIVING CRESCENT CITY NURSING & REHAB. WESTERN SLOPE HEALTH CENTER THE PINES AT PLACERVILLE HEALTHCARE CENTER GOLD COUNTRY HEALTH CENTER BETHEL LUTHERAN HOME INC GOLDEN LIVINGCENTER - FRESNO CALIFORNIA ARMENIAN HOME GOLDEN LIVINGCENTER - CLOVIS GOLDEN LIVINGCENTER - COUNTRY VIEW GOLDEN LIVINGCENTER - FOWLER SIERRA VISTA HEALTHCARE GOLDEN LIVING CENTER - HILLCREST GOLDEN LIVINGCENTER - HYLOND OAKWOOD GARDENS CARE CENTER ALICE MANOR CONVALESCENT MANNING GARDENS CONVALESCENT HOSPITAL GOLDEN CROSS HEALTHCARE OF FRESNO PACIFIC GARDENS NURSING & REHAB CENTER PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CTR RAINTREE CONVALESCENT HOSPITAL GOLDEN LIVINGCENTER - REEDLEY SAN JOAQUIN GARDENS GOLDEN LIVINGCENTER - SANGER SELMA CONVALESCENT HOSPITAL SIERRA VIEW HOMES $191.11 $252.43 $277.00 $206.42 $228.07 $258.25 $216.74 $253.93 $194.83 $216.66 $176.65 $232.19 $217.79 $243.61 $246.04 $213.94 $233.43 $258.95 $275.65 $258.47 $268.04 $167.76 $236.66 $236.05 $209.93 $186.90 $175.15 $188.30 $181.30 $172.09 $183.33 $167.76 $173.43 $170.10 $180.06 $140.45 $156.52 $161.20 $170.02 $180.06 $154.14 $178.73 $215.32 $169.12 $148.38 $139.82 $184.27 $245.59 $270.16 $199.58 $221.23 $251.41 $209.90 $247.09 $187.99 $209.82 $169.81 $225.35 $210.95 $236.77 $239.20 $207.10 $226.59 $252.11 $268.81 $251.63 $261.20 $160.92 $229.82 $229.21 $203.09 $180.06 $168.31 $181.46 $174.46 $165.25 $176.49 $160.92 $166.59 $163.26 $173.22 $133.61 $149.68 $154.36 $163.18 $173.22 $147.30 $171.89 $208.48 $162.28 $141.54 $132.98 $196.83 $258.15 $282.72 $212.14 $233.79 $263.97 $222.46 $259.65 $200.55 $222.38 $182.37 $237.91 $223.51 $249.33 $251.76 $219.66 $239.15 $264.67 $281.37 $264.19 $273.76 $173.48 $242.38 $241.77 $215.65 $192.62 $180.87 $194.02 $187.02 $177.81 $189.05 $173.48 $179.15 $175.82 $185.78 $146.17 $162.24 $166.92 $175.74 $185.78 $159.86 $184.45 $221.04 $174.84 $154.10 $145.54 $189.99 $251.31 $275.88 $205.30 $226.95 $257.13 $215.62 $252.81 $193.71 $215.54 $175.53 $231.07 $216.67 $242.49 $244.92 $212.82 $232.31 $257.83 $274.53 $257.35 $266.92 $166.64 $235.54 $234.93 $208.81 $185.78 $174.03 $187.18 $180.18 $170.97 $182.21 $166.64 $172.31 $168.98 $178.94 $139.33 $155.40 $160.08 $168.90 $178.94 $153.02 $177.61 $214.20 $168.00 $147.26 $138.70 1/8/2014 Attachment 1 206100800 206100806 206100817 206100820 206100833 206101843 206102153 206104078 206105014 206112227 206120955 206121030 206121033 206121065 206121081 206130728 206130764 206130785 206144006 206150017 206150060 206150682 206150686 206150688 206150698 206150773 206150774 206150795 206152091 206154001 206154002 206154007 206154031 206154109 206160724 206160726 206160741 206170997 206172313 206174005 206182233 206190005 206190009 206190010 206190011 206190012 4 of 23 1417225848 1891785143 1427057405 1508854795 1750529129 1104064575 1700833977 1003861089 1235363904 1588611297 1003113705 1477850337 1801193768 1316244288 1720385420 1578668976 1699908962 1467447102 1225336373 1497763528 1568410769 1104008002 1518913177 1275614380 1568677342 1821024928 1891980876 1023060571 1700967213 1265649768 1114150448 1255389318 1366595019 1275697658 1679572929 1043316292 1588760623 1942508171 1699723460 1679542658 1124170519 1801827738 1013901313 1811997570 1104801612 1073619904 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 02 01 01 01 01 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 $191.34 NORTHPOINTE HEALTHCARE CENTRE $164.35 SUNNYSIDE CONVALESCENT HOSPITAL $155.23 TWILIGHT HAVEN $153.99 VALLEY HEALTHCARE CENTER $143.13 WISH-I-AH HEALTHCARE & WELLNESS CENTER $139.30 THE REHABILITATION CENTER OF FRESNO $175.52 KINGSBURG CARE & REHAB CENTER $174.45 WILLOW CREEK HEALTHCARE CENTER $184.10 HORIZON HEALTH AND SUBACUTE, LLC $175.81 WILLOWS CARE CENTER $162.78 GRANADA REHABILITATION & WELLNESS CENTER $179.59 PACIFIC REHABILITATION & WELLNESS CENTER $169.39 EUREKA REHABILITATION & WELLNESS CENTER $171.91 SEAVIEW REHABILITATION & WELLNESS CENTER $175.59 FORTUNA REHABILITATION & WELLNESS CENTER $135.80 IMPERIAL MANOR NURSING HOME $165.90 IMPERIAL HEIGHTS HEALTHCARE & WELLNESS CENTRE $123.76 VALLEY CONVALESCENT HOSPITAL $204.61 BISHOP CARE CENTER $147.85 VALLEY CONVALESCENT HOSPITAL $169.11 EVERGREEN ARVIN HEALTHCARE $170.08 BAKERSFIELD HEALTHCARE CENTER $185.52 GOLDEN LIVINGCENTER - BAKERSFIELD $171.64 BROWNING MANOR CONVALESCENT $173.53 CORINTHIAN GARDENS HEALTHCARE CENTER $162.09 PARKVIEW JULIAN CONVALESCENT $162.44 LIFEHOUSE PARKVIEW $170.94 GOLDEN LIVINGCENTER-SHAFTER $175.57 ROSEWOOD HEALTH FACILITY $182.65 RIDGECREST HEALTHCARE CENTER $172.10 THE REHABILITATION CENTER OF BAKERSFIELD $189.24 EVERGREEN BAKERSFIELD POST ACUTE CARE $165.46 DELANO DISTRICT SKILLED NURSING FACILITY $172.86 GLENWOOD GARDENS SKILLED NURSING FACILITY $184.72 HACIENDA REHABILIATION & HEALTH CARE CENTER $159.16 HANFORD NURSING AND REHABILITATION CENTER $165.47 KINGS NURSING AND REHABILITATION CENTER $195.27 ROCKY POINT CARE CENTER $183.04 EVERGREEN LAKEPORT HEALTHCARE $184.75 MEADOWOOD NURSING CENTER COUNTRY VILLA RIVERVIEW REHABILITATION AND HEALTCARE CENTER $196.25 $144.15 SERRANO SOUTH CONVALESCENT HOSPITAL $170.42 GLADSTONE CARE AND REHAB CENTER $186.04 ATLANTIC MEMORIAL HEALTHCARE CENTER $206.79 ALAMITOS-BELMONT REHABILITATION HOSPITAL $173.74 ALCOTT REHABILITATION HOSPITAL $184.50 $157.51 $148.39 $147.15 $136.29 $132.46 $168.68 $167.61 $177.26 $168.97 $155.94 $172.75 $162.55 $165.07 $168.75 $128.96 $159.06 $116.92 $197.77 $141.01 $162.27 $163.24 $178.68 $164.80 $166.69 $155.25 $155.60 $164.10 $168.73 $175.81 $165.26 $182.40 $158.62 $166.02 $177.88 $152.32 $158.63 $188.43 $176.20 $177.91 $189.41 $137.31 $163.58 $179.20 $199.95 $166.90 $197.06 $170.07 $160.95 $159.71 $148.85 $145.02 $181.24 $180.17 $189.82 $181.53 $168.50 $185.31 $175.11 $177.63 $181.31 $141.52 $171.62 $129.48 $210.33 $153.57 $174.83 $175.80 $191.24 $177.36 $179.25 $167.81 $168.16 $176.66 $181.29 $188.37 $177.82 $194.96 $171.18 $178.58 $190.44 $164.88 $171.19 $200.99 $188.76 $190.47 $201.97 $149.87 $176.14 $191.76 $212.51 $179.46 $190.22 $163.23 $154.11 $152.87 $142.01 $138.18 $174.40 $173.33 $182.98 $174.69 $161.66 $178.47 $168.27 $170.79 $174.47 $134.68 $164.78 $122.64 $203.49 $146.73 $167.99 $168.96 $184.40 $170.52 $172.41 $160.97 $161.32 $169.82 $174.45 $181.53 $170.98 $188.12 $164.34 $171.74 $183.60 $158.04 $164.35 $194.15 $181.92 $183.63 $195.13 $143.03 $169.30 $184.92 $205.67 $172.62 1/8/2014 Attachment 1 206190013 206190014 206190015 206190018 206190022 206190024 206190027 206190028 206190032 206190033 206190036 206190037 206190042 206190047 206190048 206190050 206190051 206190055 206190056 206190063 206190064 206190067 206190068 206190073 206190075 206190082 206190083 206190084 206190085 206190086 206190087 206190088 206190089 206190090 206190092 206190097 206190098 206190099 206190101 206190102 206190105 206190106 206190109 206190111 206190112 206190118 5 of 23 1568544781 1063773075 1760470736 1629339809 1255338810 1669462891 1912134263 1346569258 1184871659 1780665356 1780677088 1164403739 1851401251 1629241120 1861415879 1770564114 1053396366 1063409472 1447244801 1376575449 1548255284 1265594824 1619976248 1619965837 1952383168 1932286671 1518036060 1043204522 1326032814 1487734935 1801836622 1255326039 1740289982 1316019482 1881932424 1427003649 1558308460 1669458790 1932104213 1487706628 1396721932 1659612992 1477547024 1780680967 1376538256 1407934946 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 ALDEN TERRACE CONVALESCENT HOSPITAL IVY CREEK HEALTHCARE & WELLNESS CENTRE ALEXANDRIA CARE CENTER ALHAMBRA HEALTHCARE & WELLNESS CENTRE LEISURE GLEN CARE CENTER ROSECRANS CARE CENTER WEST HAVEN HEALTHCARE EL RANCHO VISTA HEALTH CARE CENTER ANGELS NURSING HEALTH CENTER ANTELOPE VALLEY HEALTHCARE ARCADIA HEALTH CARE CENTER SEAPORT 17TH CARE CENTER ASTORIA NURSING REHAB GREENFIELD CENTER OF GARDENA ROYAL CREST HEALTH CARE COAST CARE CONVALESCENT LAKE BALBOA CARE CENTER BAYCREST CARE CENTER COUNTRY VILLA BAY VISTA HEALTHCARE CENTER BELL CONVALESCENT HOSPITAL BRIARCREST NURSING CENTER BELLFLOWER CONVALESCENT HOSPITAL ROSE VILLA CARE & REHABILITATION CENTER BERKLEY VALLEY CONVALESCENT HOSPITAL VERMONT CARE CENTER CALIFORNIA HEALTHCARE & REHABILITATION CENTER BURBANK HEALTHCARE & REHABILITATION CENTER COUNTRY VILLA MONROVIA HC COUNTRY VILLA WEST COVINA HC WEST HILLS HEALTH & REHABILITATION CENTER GOLDSTAR HEALTHCARE CENTER OF SANTA MONICA LLC WHITTIER HILLS HEALTHCARE CENTER THE ORCHARD POST ACUTE CARE ALAMEDA CARE CENTER NEW VISTA POST ACUTE CARE CENTER WEST L.A. BEL TOOREN CONV. HOSPITAL NORTHWALK VILLA CONV HOSPITAL PARAMOUNT MEADOWS NURSING CENTER BIXBY KNOLLS HEALTH CARE & REHAB CENTER BONNIE BRAE CONVALESCENT HOSPITAL BRIER OAK ON SUNSET CENTURY SKILLED NURSING CARE COUNTRY VILLA BROADWAY HC BUENA VENTURA CARE CENTER COUNTRY VILLA MONTE VISTA HEALTH CARE BURLINGTON CONVALESCENT HOSPITAL $141.18 $149.24 $167.31 $162.52 $187.50 $165.84 $174.01 $162.14 $171.61 $191.45 $171.81 $206.36 $186.55 $177.71 $156.40 $161.62 $210.24 $170.32 $203.33 $135.72 $168.23 $119.50 $183.84 $147.93 $165.40 $161.77 $185.21 $183.69 $184.70 $170.57 $184.56 $186.09 $175.04 $145.97 $209.84 $173.10 $182.09 $212.53 $172.74 $125.89 $188.42 $168.28 $194.38 $174.76 $195.01 $147.71 $134.34 $142.40 $160.47 $155.68 $180.66 $159.00 $167.17 $155.30 $164.77 $184.61 $164.97 $199.52 $179.71 $170.87 $149.56 $154.78 $203.40 $163.48 $196.49 $128.88 $161.39 $112.66 $177.00 $141.09 $158.56 $154.93 $178.37 $176.85 $177.86 $163.73 $177.72 $179.25 $168.20 $139.13 $203.00 $166.26 $175.25 $205.69 $165.90 $119.05 $181.58 $161.44 $187.54 $167.92 $188.17 $140.87 $146.90 $154.96 $173.03 $168.24 $193.22 $171.56 $179.73 $167.86 $177.33 $197.17 $177.53 $212.08 $192.27 $183.43 $162.12 $167.34 $215.96 $176.04 $209.05 $141.44 $173.95 $125.22 $189.56 $153.65 $171.12 $167.49 $190.93 $189.41 $190.42 $176.29 $190.28 $191.81 $180.76 $151.69 $215.56 $178.82 $187.81 $218.25 $178.46 $131.61 $194.14 $174.00 $200.10 $180.48 $200.73 $153.43 $140.06 $148.12 $166.19 $161.40 $186.38 $164.72 $172.89 $161.02 $170.49 $190.33 $170.69 $205.24 $185.43 $176.59 $155.28 $160.50 $209.12 $169.20 $202.21 $134.60 $167.11 $118.38 $182.72 $146.81 $164.28 $160.65 $184.09 $182.57 $183.58 $169.45 $183.44 $184.97 $173.92 $144.85 $208.72 $171.98 $180.97 $211.41 $171.62 $124.77 $187.30 $167.16 $193.26 $173.64 $193.89 $146.59 1/8/2014 Attachment 1 206190120 206190122 206190123 206190124 206190128 206190131 206190140 206190141 206190142 206190147 206190157 206190158 206190160 206190161 206190165 206190166 206190167 206190173 206190181 206190187 206190188 206190189 206190190 206190192 206190193 206190194 206190201 206190204 206190207 206190208 206190209 206190210 206190212 206190213 206190214 206190220 206190221 206190223 206190227 206190229 206190231 206190233 206190234 206190235 206190236 206190238 6 of 23 1710960885 1184610768 1194877324 1417950163 1316925969 1548252620 1336148840 1083608293 1558356436 1972721355 1942298914 1043251622 1164575320 1932496767 1164457644 1477530087 1295052330 1841232279 1073608600 1679562557 1861580029 1669542205 1639257165 1770689697 1932215100 1194805630 1144214628 1184793291 1760592190 1215922570 1053392639 1427049816 1780672428 1205826906 1790766376 1386728939 1427131556 1407840457 1447443023 1083603880 1215912910 1972609808 1871581835 1487642336 1154669794 1467552406 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 01 01 02 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 EMERALD TERRACE CONVALESCENT HOSPITAL MISSION CARE CENTER CALIFORNIA CONVALESCENT CENTER #1 GRANCELL VILLAGE MARGUERITE GARDENS CANYON OAKS NURSING AND REHABILITATION CENTER CLAREMONT CARE CENTER COUNTRY VILLA LOS FELIZ COUNTRY VILLA GLENDALE HC GOLDSTAR HEALTHCARE CENTER OF INGLEWOOD ROYAL OAKS CARE CENTER GRAND PARK CONVALESCENT HOSPITAL CHANDLER CONVALESCENT HOSPITAL FOUR SEASONS HEALTHCARE & WELLNESS CENTER GOLDSTAR HEALTHCARE CENTER OF CHATSWORTH INC. CHATSWORTH PARK HEALTH CARE CENTER ALLIANCE CHERRYLEE CENTER INLAND VALLEY CARE & REHABILITAION CENTER CLEAR VIEW SANITARIUM AND CLEAR VIEW CONVALESCENT CENTER COLLEGE VISTA CONVALESCENT HOSPITAL COLONIAL GARDENS NURSING HOME COLONIAL MANOR CONVALESCENT HOSPITAL COLONIAL CARE CENTER NORTH VALLEY NURSING CENTER MESA GLEN CARE CENTER LIVE OAK REHABILITATION CENTER COUNTRY VILLA LYNWOOD HC VILLA MARIA ELANA HEALTHCARE GEM TRANSITIONAL CARE CENTER COUNTRY VILLA UNIVERSITY PARK HEALTHCARE HARBOR CARE CENTER WOODLAND CARE CENTER CATERED MANOR NURSING CENTER PINERIDGE CARE CENTER COUNTRY MANOR HEALTHCARE CRENSHAW NURSING HOME VIEW PARK CONVALESCENT CENTER COUNTRY VILLA TERRACE NURSING CENTER VISTA DEL SOL CARE CENTER CULVER WEST CONVALESCENT HOSPITAL DEL AMO GARDENS CONVALESCENT HOSPITAL DEL MAR CONVALESCENT HOSPITAL DEL RIO CONVALESCENT CENTER DEL RIO GARDENS CARE CENTER NEW VISTA NURSING & REHABILITATION CENTER DOCTORS CONVALESCENT HOSPITAL $139.95 $210.42 $123.13 $193.04 $188.90 $196.25 $185.17 $182.57 $206.47 $171.91 $131.60 $155.99 $155.15 $151.99 $170.74 $190.34 $135.15 $192.20 $168.86 $175.82 $146.96 $146.73 $135.34 $170.44 $163.23 $147.02 $178.28 $147.67 $212.28 $182.95 $147.41 $178.77 $189.55 $152.31 $178.82 $159.53 $151.18 $209.83 $196.36 $178.99 $183.05 $165.19 $140.22 $141.88 $208.05 $140.71 $133.11 $203.58 $116.29 $186.20 $182.06 $189.41 $178.33 $175.73 $199.63 $165.07 $124.76 $149.15 $148.31 $145.15 $163.90 $183.50 $128.31 $185.36 $162.02 $168.98 $140.12 $139.89 $128.50 $163.60 $156.39 $140.18 $171.44 $140.83 $205.44 $176.11 $140.57 $171.93 $182.71 $145.47 $171.98 $152.69 $144.34 $202.99 $189.52 $172.15 $176.21 $158.35 $133.38 $135.04 $201.21 $133.87 $145.67 $216.14 $128.85 $198.76 $194.62 $201.97 $190.89 $188.29 $212.19 $177.63 $137.32 $161.71 $160.87 $157.71 $176.46 $196.06 $140.87 $197.92 $174.58 $181.54 $152.68 $152.45 $141.06 $176.16 $168.95 $152.74 $184.00 $153.39 $218.00 $188.67 $153.13 $184.49 $195.27 $158.03 $184.54 $165.25 $156.90 $215.55 $202.08 $184.71 $188.77 $170.91 $145.94 $147.60 $213.77 $146.43 $138.83 $209.30 $122.01 $191.92 $187.78 $195.13 $184.05 $181.45 $205.35 $170.79 $130.48 $154.87 $154.03 $150.87 $169.62 $189.22 $134.03 $191.08 $167.74 $174.70 $145.84 $145.61 $134.22 $169.32 $162.11 $145.90 $177.16 $146.55 $211.16 $181.83 $146.29 $177.65 $188.43 $151.19 $177.70 $158.41 $150.06 $208.71 $195.24 $177.87 $181.93 $164.07 $139.10 $140.76 $206.93 $139.59 1/8/2014 Attachment 1 206190248 206190250 206190251 206190253 206190255 206190259 206190261 206190263 206190265 206190266 206190267 206190268 206190269 206190270 206190275 206190276 206190277 206190278 206190279 206190282 206190285 206190287 206190290 206190293 206190294 206190295 206190299 206190301 206190302 206190303 206190304 206190308 206190309 206190310 206190311 206190313 206190320 206190321 206190322 206190329 206190331 206190333 206190334 206190335 206190341 206190343 7 of 23 1952366460 1598090029 1003958356 1720153620 1659552289 1811996507 1629053913 1619979754 1992864995 1205839081 1972506327 1497730998 1982773990 1801891395 1225090947 1437147022 1306959846 1790001212 1972719037 1508862798 1396806998 1619121092 1316264567 1477814820 1679558175 1568456739 1659445203 1144490053 1194767871 1891940276 1265687644 1861480097 1396029724 1245422187 1346225059 1457457384 1245528926 1154474302 1386836211 1992885958 1083703573 1669775326 1942389531 1326285255 1063518124 1316033087 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 DREIER'S NURSING CARE CENTER LOTUS CARE CENTER ARARAT CONVALESCENT HOSPITAL THE EARLWOOD INFINITY CARE OF EAST LA SHORELINE HEALTHCARE CENTER EDGEWATER SKILLED NURSING CENTER EISENHOWER NURSING & CONVALESCENT HOSPITAL ,INC. 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HOSPITAL IMPERIAL CONV. HOSPITAL IMPERIAL CARE CENTER INGLEWOOD HEALTHCARE CENTER INTERCOMMUNITY HEALTHCARE & REHABILITATION CENTER INTERCOMMUNITY CARE CENTER MARINA CARE CENTER EISENBERG VILLAGE PARK AVENUE HEALTHCARE & WELLNESS CENTER KENNEDY CARE CENTER COUNTRY VILLA WILSHIRE CONV CTR. KINGSLEY MANOR CARE CENTER VERDUGO VALLEY SKILLED NURSING & WELLNESS CENTRE LAKEVIEW SPECIAL CARE CENTER LAKEWOOD MANOR NORTH, INC. 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CARE ON PALM VISTA PACIFICA CONVALESCENT HOSPITAL BLYTHE NURSING CARE CENTER CHAPMAN CONVALESCENT HOSPITAL PREMIER HEALTCARE CENTER THE BRADLEY GARDENS COMMUNITY CARE AND REHABILITATION CENTER CORONA CARE CONVALESCENT HOSPITAL CYPRESS GARDENS CONVALESCENT HOSPITAL DEVONSHIRE CARE CENTER SAN JACINTO HEALTHCARE BANNING HEALTHCARE PALM GROVE HEALTHCARE DESERT SPRINGS HEALTHCARE & WELLNESS CENTER $226.39 $201.81 $231.27 $179.30 $221.58 $176.27 $198.90 $208.28 $218.37 $213.73 $220.48 $221.29 $235.26 $218.20 $230.95 $188.98 $214.35 $220.99 $184.09 $224.20 $227.18 $189.07 $200.89 $227.48 $216.40 $232.05 $202.14 $214.33 $183.58 $191.71 $222.32 $172.50 $146.14 $173.30 $169.39 $190.19 $185.32 $182.91 $189.13 $176.04 $158.50 $179.24 $182.07 $186.46 $189.84 $164.86 $219.55 $194.97 $224.43 $172.46 $214.74 $169.43 $192.06 $201.44 $211.53 $206.89 $213.64 $214.45 $228.42 $211.36 $224.11 $182.14 $207.51 $214.15 $177.25 $217.36 $220.34 $182.23 $194.05 $220.64 $209.56 $225.21 $195.30 $207.49 $176.74 $184.87 $215.48 $165.66 $139.30 $166.46 $162.55 $183.35 $178.48 $176.07 $182.29 $169.20 $151.66 $172.40 $175.23 $179.62 $183.00 $158.02 $232.11 $207.53 $236.99 $185.02 $227.30 $181.99 $204.62 $214.00 $224.09 $219.45 $226.20 $227.01 $240.98 $223.92 $236.67 $194.70 $220.07 $226.71 $189.81 $229.92 $232.90 $194.79 $206.61 $233.20 $222.12 $237.77 $207.86 $220.05 $189.30 $197.43 $228.04 $178.22 $151.86 $179.02 $175.11 $195.91 $191.04 $188.63 $194.85 $181.76 $164.22 $184.96 $187.79 $192.18 $195.56 $170.58 $225.27 $200.69 $230.15 $178.18 $220.46 $175.15 $197.78 $207.16 $217.25 $212.61 $219.36 $220.17 $234.14 $217.08 $229.83 $187.86 $213.23 $219.87 $182.97 $223.08 $226.06 $187.95 $199.77 $226.36 $215.28 $230.93 $201.02 $213.21 $182.46 $190.59 $221.20 $171.38 $145.02 $172.18 $168.27 $189.07 $184.20 $181.79 $188.01 $174.92 $157.38 $178.12 $180.95 $185.34 $188.72 $163.74 1/8/2014 Attachment 1 206331238 206331250 206331251 206331256 206331267 206331284 206331285 206331300 206331305 206331346 206331349 206331352 206331361 206331364 206331371 206331375 206332173 206334012 206334014 206334020 206334030 206334051 206334439 206334502 206340788 206340789 206340819 206340825 206340862 206340864 206340877 206340890 206340903 206340908 206340953 206340958 206340959 206340960 206340980 206340998 206341002 206341003 206341014 206341069 206341076 206341182 15 of 23 1710166558 1518942143 1902902828 1912950932 1023019700 1699747659 1295710796 1356588826 1699768879 1205874609 1063494276 1750398921 1245343334 1104827898 1386629889 1033431374 1164416657 1447298138 1255312831 1972540714 1326336009 1588740229 1992799795 1174517650 1275539454 1801892096 1538116116 1508959214 1316083025 1235275975 1679505572 1033437579 1689755456 1629158597 1972623924 1417932724 1538251657 1952491862 1518962893 1801897533 1700887452 1720033137 1215928387 1396720892 1134427362 1407154636 01 01 01 01 01 01 01 01 01 01 01 02 01 02 01 01 01 02 01 02 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 01 01 01 01 01 01 01 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RUBIDOUX CONVALESCENT HOSPITAL PALM SPRINGS HEALTHCARE AND REHABILITATI PALM TERRACE CARE CENTER PLYMOUTH TOWER CARE AND LIVING CENTER RAMONA MANOR CONVALESCENT HOSPITAL LIFE CARE CENTER OF MENIFEE MIRAVILLA CARE CENTER CALIFORNIA NURSING AND REHABILITATION CENTER MILLER'S PROGRESSIVE CARE ORANGE TREE NURSING CENTER VILLA HEALTH CARE CENTER CENTINELA GRAND COUNTRY VILLA RANCHO MIRAGE HC MANORCARE HEALTH SERVICES (HEMET) CHERRY VALLEY HEALTHCARE MANORCARE HEALTH SERVICES (PALM DESERT) MONTEREY PALMS HEALTH CARE CENTER THE VILLAGE HEALTHCARE CENTER INDIO NURSING AND REHABILITATION CENTER COUNTRY VILLA MURRIETA HC ARDEN REHAB & HEALTH CENTER NORWOOD PINES CARE CENTER CARMICHAEL CARE & REHAB CENTER ASBURY PARK NURSING AND REHABILITATION CENTER WINDSOR EL CAMINO CARE CENTER WINDSOR ELK GROVE CARE AND REHABILITATION CENTER FOLSOM CONVALESCENT HOSPITAL WINDSOR CARE CENTER OF SACRAMENTO SHERWOOD HEALTHCARE CENTER COLLEGE OAK NURSING & REHABILITATION CENTER MISSION CARMICHAEL HEALTHCARE CENTER ROSEWOOD POST-ACUTE REHABILITATION MOUNTAIN MANOR WOODSIDE HEALTHCARE CENTER PIONEER HOUSE APPLEWOOD CARE CENTER BRIARWOOD HEALTH CARE GOLDEN LIVINGCENTER - GALT SAYLOR LANE HEALTHCARE CENTER UNIVERSITY POST-ACUTE REHAB WHITNEY OAKS CARE CENTER SACRAMENTO SUB-ACUTE $172.63 $193.83 $178.41 $140.43 $176.73 $185.93 $223.44 $184.69 $183.29 $201.41 $181.63 $233.00 $149.35 $175.40 $222.07 $171.25 $234.81 $204.65 $191.24 $212.61 $191.82 $201.94 $163.80 $236.59 $202.44 $190.57 $211.42 $192.55 $225.65 $230.37 $183.77 $171.77 $215.60 $231.07 $223.56 $234.48 $150.45 $195.11 $212.78 $175.69 $175.66 $187.73 $223.21 $238.00 $206.54 $267.57 $165.79 $186.99 $171.57 $133.59 $169.89 $179.09 $216.60 $177.85 $176.45 $194.57 $174.79 $226.16 $142.51 $168.56 $215.23 $164.41 $227.97 $197.81 $184.40 $205.77 $184.98 $195.10 $156.96 $229.75 $195.60 $183.73 $204.58 $185.71 $218.81 $223.53 $176.93 $164.93 $208.76 $224.23 $216.72 $227.64 $143.61 $188.27 $205.94 $168.85 $168.82 $180.89 $216.37 $231.16 $199.70 $260.73 $178.35 $199.55 $184.13 $146.15 $182.45 $191.65 $229.16 $190.41 $189.01 $207.13 $187.35 $238.72 $155.07 $181.12 $227.79 $176.97 $240.53 $210.37 $196.96 $218.33 $197.54 $207.66 $169.52 $242.31 $208.16 $196.29 $217.14 $198.27 $231.37 $236.09 $189.49 $177.49 $221.32 $236.79 $229.28 $240.20 $156.17 $200.83 $218.50 $181.41 $181.38 $193.45 $228.93 $243.72 $212.26 $273.29 $171.51 $192.71 $177.29 $139.31 $175.61 $184.81 $222.32 $183.57 $182.17 $200.29 $180.51 $231.88 $148.23 $174.28 $220.95 $170.13 $233.69 $203.53 $190.12 $211.49 $190.70 $200.82 $162.68 $235.47 $201.32 $189.45 $210.30 $191.43 $224.53 $229.25 $182.65 $170.65 $214.48 $229.95 $222.44 $233.36 $149.33 $193.99 $211.66 $174.57 $174.54 $186.61 $222.09 $236.88 $205.42 $266.45 1/8/2014 Attachment 1 206341499 206342201 206342204 206342207 206342212 206342225 206342229 206342258 206344001 206344022 206344051 206344052 206344077 206360042 206360077 206360188 206361090 206361102 206361112 206361114 206361129 206361131 206361146 206361150 206361158 206361161 206361165 206361191 206361195 206361198 206361199 206361221 206361241 206361244 206361257 206361265 206361276 206361299 206361301 206361311 206361332 206361333 206361350 206361351 206361365 206361366 16 of 23 1689672578 1538131032 1134261142 1639175078 1114922614 1104825975 1023316023 1841296282 1639261795 1003853979 1588780589 1639126287 1780680025 1093711681 1235130915 1710958160 1366558827 1447248075 1174822241 1790779288 1396744918 1396718300 1346346285 1053382598 1700025863 1477547750 1821095647 1811972193 1942273933 1356370159 1144308495 1750352191 1285874560 1265453914 1881681088 1689661357 1780900068 1649271339 1982789343 1699712885 1396739199 1588770929 1851388458 1811926603 1649351735 1851364855 01 02 01 01 01 01 01 01 01 02 01 01 01 01 01 01 01 01 01 01 01 01 01 02 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 CASA COLOMA HEALTH CARE CENTER FLORIN HEALTHCARE CENTER EMERALD GARDENS NURSING CENTER ESKATON CARE CENTER MANZANITA ESKATON CARE CENTER GREENHAVEN SAINT CLAIRE'S NURSING CENTER MCKINLEY PARK CARE CENTER ESKATON CARE CENTER FAIR OAKS ASIAN COMMUNITY NURSING HOME MANOR CARE HEALTH SERVICES CITRUS HEIGHTS GRAMERCY COURT AMERICAN RIVER CARE CENTER ESKATON VILLAGE CARE CENTER INLAND CHRISTIAN HOME DEL ROSA VILLA DESERT MANOR CARE CENTER RANCHO MESA CARE CENTER ARROWHEAD HOME CONVALESCENT HOSPITAL BELLA VISTA HEALTHCARE CENTER COUNTRY VILLA REDLANDS HC BROOKSIDE HEALTHCARE CENTER WESTERN HEALTHCARE CENTER CITRUS NURSING CENTER BRASWELL'S COMMUNITY CONVALESCENT CENTER VISTA COVE CARE CENTER AT RIALTO COUNTRY VILLA HACIENDA HEALTHCARE CENTER DESERT KNOLLS CONVALESCENT HOSPITAL GRAND TERRACE CARE CENTER HERITAGE GARDENS HEALTH CARE CENTER HIGHLAND PALMS HEALTHCARE CENTER HILLCREST NURSING HOME BRASWELL'S IVY RETREAT LAUREL CONVALESCENT HOSPITAL LINDA VALLEY CARE CENTER MEDICAL CENTER CONVALESCENT HOSPITAL MONTCLAIR MANOR CARE CENTER ONTARIO HEALTHCARE CENTER PLOTT NURSING HOME PLYMOUTH VILLAGE RIMROCK VILLA CONV. HOSPITAL LEGACY POST-ACUTE REHABILITATION CENTER VILLA MESA CARE CENTER COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR REDLANDS HEALTHCARE CENTER UPLAND REHAB. & CARE CENTER VALLEY HEALTHCARE CENTER $191.34 $211.60 $217.30 $249.30 $206.92 $166.48 $220.97 $218.70 $221.22 $235.27 $201.65 $217.00 $216.43 $195.68 $178.21 $149.15 $184.40 $152.83 $180.67 $208.72 $174.42 $173.72 $171.84 $154.00 $163.23 $217.76 $203.71 $208.87 $183.14 $190.27 $135.72 $145.15 $156.50 $175.19 $160.44 $172.82 $184.62 $171.14 $216.10 $178.42 $171.50 $173.28 $199.86 $184.22 $179.36 $184.15 $184.50 $204.76 $210.46 $242.46 $200.08 $159.64 $214.13 $211.86 $214.38 $228.43 $194.81 $210.16 $209.59 $188.84 $171.37 $142.31 $177.56 $145.99 $173.83 $201.88 $167.58 $166.88 $165.00 $147.16 $156.39 $210.92 $196.87 $202.03 $176.30 $183.43 $128.88 $138.31 $149.66 $168.35 $153.60 $165.98 $177.78 $164.30 $209.26 $171.58 $164.66 $166.44 $193.02 $177.38 $172.52 $177.31 $197.06 $217.32 $223.02 $255.02 $212.64 $172.20 $226.69 $224.42 $226.94 $240.99 $207.37 $222.72 $222.15 $201.40 $183.93 $154.87 $190.12 $158.55 $186.39 $214.44 $180.14 $179.44 $177.56 $159.72 $168.95 $223.48 $209.43 $214.59 $188.86 $195.99 $141.44 $150.87 $162.22 $180.91 $166.16 $178.54 $190.34 $176.86 $221.82 $184.14 $177.22 $179.00 $205.58 $189.94 $185.08 $189.87 $190.22 $210.48 $216.18 $248.18 $205.80 $165.36 $219.85 $217.58 $220.10 $234.15 $200.53 $215.88 $215.31 $194.56 $177.09 $148.03 $183.28 $151.71 $179.55 $207.60 $173.30 $172.60 $170.72 $152.88 $162.11 $216.64 $202.59 $207.75 $182.02 $189.15 $134.60 $144.03 $155.38 $174.07 $159.32 $171.70 $183.50 $170.02 $214.98 $177.30 $170.38 $172.16 $198.74 $183.10 $178.24 $183.03 1/8/2014 Attachment 1 206361378 206361383 206364001 206364035 206364036 206364042 206364064 206364080 206364083 206364097 206370655 206370659 206370660 206370667 206370669 206370670 206370671 206370678 206370684 206370687 206370692 206370702 206370703 206370708 206370710 206370711 206370712 206370713 206370715 206370717 206370718 206370719 206370723 206370732 206370735 206370736 206370737 206370740 206370741 206370747 206370750 206370752 206370756 206370763 206370765 206370769 17 of 23 1265433957 1306817747 1013914936 1417928862 1780671172 1720307796 1316220247 1215908090 1609847144 1770768509 1487640066 1588660765 1457345001 1942213681 1578576138 1023048295 1598871808 1255344800 1225028327 1730176538 1871522672 1861491490 1346258274 1821174459 1235133687 1336415926 1003098906 1811963028 1598830556 1881767028 1255480646 1578521274 1255337440 1619193729 1356345706 1336134204 1306859970 1013953199 1477566024 1740238047 1649375403 1265415749 1255499174 1538174990 1427129253 1003852666 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 01 01 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 WATERMAN CONVALESCENT HOSPITAL BRASWELL'S YUCAIPA VALLEY CONVALESCENT KNOLLS WEST CONVALESCENT HOSPITAL SKY HARBOR CARE CENTER BRASWELLS COLONIAL CARE ASISTENCIA VILLA REHABILITATION AND CARE CENTER RECHE CANYON REGIONAL REHAB CENTER APPLE VALLEY CARE CENTER BRASWELL'S HAMPTON MANOR HERITAGE PARK NURSING CENTER ARROYO VISTA NURSING CENTER ESCONDIDO CARE CENTER COUNTRY VILLA LA MESA HC SHEA FAMILY CARE GROSSMONT SHEA FAMILY CARE VICTORIA VILLA LAS PALMAS HEALTHCARE CENTER SHEA FAMILY CARE SOMERSET SHEA FAMILY CARE MISSION HILLS COMMUNITY CARE CENTER OF LA MESA WINDSOR GARDENS CONVALESCENT CENTER OF SAN DIEGO UNIVERSITY CARE CENTER PALOMAR VISTA HEALTHCARE CENTER BRIGHTON PLACE - SAN DIEGO FREDERICKA MANOR CARE CENTER FRIENDSHIP MANOR NURSING & REHABILITATION CENTER CLAIREMONT HEALTHCARE & WELLNESS CENTRE SAN DIEGO HEALTHCARE CENTER WINDSOR GARDENS CONV. REHAB CENTER OF GOLDEN HILL PARKWAY HILLS NURSING AND REHABILITATION CHASE CARE CENTER HILLCREST MANOR SANITARIUM BALBOA NURSING AND REHABILITATION CENTER PALOMAR HEIGHTS CARE CENTER KEARNY MESA CONVALESCENT HOSPITAL ARBOR HILLS NURSING AND REHABILITATION CENTER LEMON GROVE CARE & REHABILITATION CENTER SHEA FAMILY CARE PARKSIDE COTTONWOOD CANYON HEALTHCARE CENTER SHEA FAMILY CARE MAGNOLIA MISSION HILLS HEALTH CARE, INC. MOUNT MIGUEL COVENANT VILLAGE ENCINITAS NURSING & REHAB CENTER REO VISTA HEALTHCARE CENTER POINT LOMA CONVALESCENT HOSPITAL THE ROYAL HOME LA MESA HEALTHCARE CENTER $176.21 $152.13 $201.30 $159.57 $153.96 $188.88 $235.54 $199.34 $159.54 $218.47 $198.33 $172.86 $212.04 $219.28 $209.96 $186.20 $222.07 $228.41 $216.99 $182.15 $203.22 $184.97 $173.54 $219.07 $186.84 $189.53 $153.87 $198.80 $206.34 $165.49 $153.27 $204.76 $182.20 $212.04 $195.33 $194.32 $207.71 $188.54 $220.68 $146.75 $186.71 $213.34 $196.43 $176.79 $160.22 $193.47 $169.37 $145.29 $194.46 $152.73 $147.12 $182.04 $228.70 $192.50 $152.70 $211.63 $191.49 $166.02 $205.20 $212.44 $203.12 $179.36 $215.23 $221.57 $210.15 $175.31 $196.38 $178.13 $166.70 $212.23 $180.00 $182.69 $147.03 $191.96 $199.50 $158.65 $146.43 $197.92 $175.36 $205.20 $188.49 $187.48 $200.87 $181.70 $213.84 $139.91 $179.87 $206.50 $189.59 $169.95 $153.38 $186.63 $181.93 $157.85 $207.02 $165.29 $159.68 $194.60 $241.26 $205.06 $165.26 $224.19 $204.05 $178.58 $217.76 $225.00 $215.68 $191.92 $227.79 $234.13 $222.71 $187.87 $208.94 $190.69 $179.26 $224.79 $192.56 $195.25 $159.59 $204.52 $212.06 $171.21 $158.99 $210.48 $187.92 $217.76 $201.05 $200.04 $213.43 $194.26 $226.40 $152.47 $192.43 $219.06 $202.15 $182.51 $165.94 $199.19 $175.09 $151.01 $200.18 $158.45 $152.84 $187.76 $234.42 $198.22 $158.42 $217.35 $197.21 $171.74 $210.92 $218.16 $208.84 $185.08 $220.95 $227.29 $215.87 $181.03 $202.10 $183.85 $172.42 $217.95 $185.72 $188.41 $152.75 $197.68 $205.22 $164.37 $152.15 $203.64 $181.08 $210.92 $194.21 $193.20 $206.59 $187.42 $219.56 $145.63 $185.59 $212.22 $195.31 $175.67 $159.10 $192.35 1/8/2014 Attachment 1 206370770 206370776 206370778 206370779 206370781 206370784 206370790 206370793 206370794 206370853 206370904 206371261 206371321 206371458 206371593 206371598 206371658 206371703 206371716 206371735 206374014 206374019 206374028 206374029 206374043 206374058 206374060 206374064 206374066 206374248 206380762 206380772 206380814 206380830 206380921 206380938 206380958 206380984 206382635 206382673 206390794 206390796 206390826 206390865 206390873 206390894 18 of 23 1881684900 1780682021 1346516937 1457486078 1265462436 1659369262 1811942063 1518974542 1790789170 1568484517 1265879795 1275513293 1154396919 1629129267 1407035512 1972619104 1518146620 1982675328 1386681286 1326378472 1497759856 1184628554 1083727093 1518063437 1912189812 1275533929 1518980697 1659482032 1700973963 1265518872 1588974570 1093872715 1427072016 1629128020 1992882278 1497779086 1700873957 1053480343 1194716712 1245212174 1144221896 1487648135 1679529176 1396881033 1942256391 1053311225 01 02 01 01 01 01 01 02 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 JACOB HEALTH CARE CENTER BRIGHTON PLACE SPRING VALLEY GRANITE HILLS HEALTHCARE & WELLNESS CENTRE LA JOLLA NURSING & REHAB CENTER LA PALOMA HEALTHCARE CENTER VALLE VISTA CONVALESCENT HOSPITAL LIFE CARE CENTER OF VISTA PRESIDIO HEALTH CARE CENTER LAKESIDE SPECIAL CARE CENTER EL DORADO CARE CENTER COLLINGWOOD MANOR NURSING FACILITY PARADISE VALLEY HEALTH CARE CENTER REDWOOD TERRACE HEALTH CENTER THE BRADLEY COURT POWAY HEALTHCARE CENTER ST. PAUL'S HEALTH CARE CENTER AVIARA HEALTHCARE CENTER VILLA MONTE VISTA LIFE CARE CENTER OF ESCONDIDO LAS VILLAS DEL NORTE HEALTH CENTER CASTLE MANOR NURSING & REHABILITATION CENTER STANFORD COURT OF SANTEE NURSING CENTER CARMEL MOUNTAIN REHABILITATION AND HEALTHCARE CENTER VILLA RANCHO BERNARDO CARE CENTER VISTA HEALTHCARE CENTER VISTA KNOLL SPECIALIZED CARE KINDRED TRANSITIONAL CARE AND REHABDOROTHY & JOSEPH GOLDBERG HEALTHCARE CENTER COUNTRY HILLS HEALTH CARE CENTER CARLSBAD BY THE SEA SAN FRANCISCO HEALTH CARE AND REHAB INC CENTRAL GARDENS KND NRSG & REH NINETEENTH AVENUE HAYES CONVALESCENT HOSPITAL KINDRED NURSING AND REHAB-GOLDEN GATE KND TRANS & REHAB - TUNNELL CENTER ST ANNE'S HOME KINDRED NURSING AND HEALTHCARE - VICTORIAN SAN FRANCISCO NURSING CENTER MISSION BAY CONVALESCENT HOSPITAL CRESCENT COURT NURSING HOME BETHANY HOME SOCIETY OF SAN JOAQUIN COUNTY GOLDEN LIVINGCENTER - CHATEAU WINDSOR ELMHAVEN CARE CENTER FAIRMONT REHABILITATION HOSPITAL WINE COUNTRY CARE CENTER $189.98 $181.97 $179.55 $219.46 $209.40 $214.63 $205.29 $202.72 $156.11 $182.71 $153.16 $230.83 $214.95 $163.97 $196.05 $219.61 $208.94 $152.66 $196.15 $186.23 $199.38 $202.30 $199.77 $176.02 $165.58 $195.97 $224.26 $234.23 $168.70 $220.90 $185.61 $235.13 $214.65 $203.24 $216.43 $260.16 $256.62 $224.32 $234.74 $188.72 $176.36 $201.73 $184.23 $226.00 $229.63 $172.33 $183.14 $175.13 $172.71 $212.62 $202.56 $207.79 $198.45 $195.88 $149.27 $175.87 $146.32 $223.99 $208.11 $157.13 $189.21 $212.77 $202.10 $145.82 $189.31 $179.39 $192.54 $195.46 $192.93 $169.18 $158.74 $189.13 $217.42 $227.39 $161.86 $214.06 $178.77 $228.29 $207.81 $196.40 $209.59 $253.32 $249.78 $217.48 $227.90 $181.88 $169.52 $194.89 $177.39 $219.16 $222.79 $165.49 $195.70 $187.69 $185.27 $225.18 $215.12 $220.35 $211.01 $208.44 $161.83 $188.43 $158.88 $236.55 $220.67 $169.69 $201.77 $225.33 $214.66 $158.38 $201.87 $191.95 $205.10 $208.02 $205.49 $181.74 $171.30 $201.69 $229.98 $239.95 $174.42 $226.62 $191.33 $240.85 $220.37 $208.96 $222.15 $265.88 $262.34 $230.04 $240.46 $194.44 $182.08 $207.45 $189.95 $231.72 $235.35 $178.05 $188.86 $180.85 $178.43 $218.34 $208.28 $213.51 $204.17 $201.60 $154.99 $181.59 $152.04 $229.71 $213.83 $162.85 $194.93 $218.49 $207.82 $151.54 $195.03 $185.11 $198.26 $201.18 $198.65 $174.90 $164.46 $194.85 $223.14 $233.11 $167.58 $219.78 $184.49 $234.01 $213.53 $202.12 $215.31 $259.04 $255.50 $223.20 $233.62 $187.60 $175.24 $200.61 $183.11 $224.88 $228.51 $171.21 1/8/2014 Attachment 1 206390902 206390910 206390916 206390929 206390973 206390987 206391045 206391070 206391887 206392202 206392288 206392310 206392330 206392343 206392394 206394001 206394003 206394006 206394007 206394041 206400475 206400477 206400484 206400497 206400527 206400699 206401892 206410734 206410820 206410844 206410877 206410896 206410903 206410904 206411305 206413502 206413509 206420469 206420474 206420488 206420499 206420510 206420523 206420534 206420543 206420901 19 of 23 1548283542 1689626830 1679528988 1821082637 1629097761 1255336533 1255387833 1972501823 1851392500 1629114178 1972865301 1780816777 1396986436 1730128174 1639519986 1316995152 1891700464 1801938816 1487601704 1730269184 1265481162 1063688984 1811918279 1174511612 1396733887 1134366529 1629066071 1386732006 1023182938 1013992510 1346232469 1275703571 1568647121 1366627929 1003891516 1952393076 1659461408 1639182207 1922004407 1881696474 1841351780 1467558692 1720086077 1255412763 1962588582 1205977311 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 $181.65 GOOD SAMARITAN REHAB & CARE CENTER $187.91 GOLDEN LIVINGCENTER - HY-PANA $195.68 LASALETTE HEALTH & REHAB CENTER $186.51 MANTECA CARE AND REHAB. CENTER $160.98 ST. JUDE CARE CENTER $182.97 PLYMOUTH SQUARE $170.89 GOLDEN LIVINGCENTER - PORTSIDE $182.96 VIENNA NURSING AND REHABILITATION CENTER $175.20 DELTA REHAB AND CARE CENTER $202.28 WINDSOR HAMPTON CARE CENTER $225.08 TRACY NURSING AND REHABILITATION CENTER $228.42 LINCOLN SQUARE POST-ACUTE CARE $194.91 ARBOR NURSING CENTER $195.46 CRESTWOOD MANOR - STOCKTON $160.48 WHISPERING HOPE CARE CENTER, INC. $234.52 NEW HOPE POST ACUTE CARE KINDRED TRANSITIONAL CARE AND REHABILITATION-VALLEY GARDENS $225.89 $211.05 WAGNER HEIGHTS NURSING & REHAB CENTER $208.55 CREEKSIDE CARE & REHAB CENTER $216.36 MEADOWOOD HEALTH & REHABILITATION CENTER $206.22 COUNTRY CARE CONVALESCENT HOSPITAL $187.35 DANISH CARE CENTER $196.61 MISSION VIEW HEALTH CENTER $185.43 BAYSIDE CARE CENTER $194.82 ARROYO GRANDE CARE CENTER $179.75 BELLA VISTA TRANSITIONAL CARE CENTER $204.64 VINEYARD HILLS HEALTH CENTER $246.21 CARLMONT GARDENS NURSING CENTER $205.85 ATHERTON HEALTHCARE $276.13 PACIFICA NURSING & REHAB CENTER $233.42 SAN BRUNO SKILLED NURSING HOSPITAL $170.18 A & C CONVALESCENT MILLBRAE $201.86 ST. FRANCIS CONVALESCENT PAVILION $210.46 ST. 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PLEASANT NURSING CENTER COURTYARD CARE CENTER SARATOGA RETIREMENT COMM HEALTH CENTER OUR LADY OF FATIMA VILLA THE TERRACES AT LOS ALTOS CUPERTINO HEALTHCARE & WELLNESS CENTER SUNNY VIEW MANOR SUNNYVALE HEALTH CARE CENTER WILLOW GLEN CENTER PALO ALTO NURSING CENTER SKYLINE HEALTHCARE CENTER - SAN JOSE VISTA MANOR NURSING CENTER LINCOLN GLEN SKILLED NURSING WHITE BLOSSOM CARE CENTER VASONA CREEK HEALTHCARE CENTER CEDAR CREST NURSING AND REHABILITATION CENTER AMBERWOOD GARDENS GRANT CUESTA SUB-ACUTE & REHAB CENTER SAN TOMAS CONVALESCENT HOSPITAL VILLA SIENA LYTTON GARDENS HEALTH CARE CENTER PACIFIC HILLS MANOR MISSION DE LA CASA NURSING & REHABILITATION CENTER MANORCARE HEALTH SERVICES (SUNNYVALE) THE TERRACES OF LOS GATOS $200.25 $196.44 $180.82 $227.95 $227.17 $216.00 $172.93 $239.38 $203.26 $193.29 $165.35 $223.74 $199.00 $232.70 $184.24 $198.21 $203.25 $207.29 $274.50 $159.25 $206.44 $168.99 $218.99 $223.26 $231.76 $259.16 $169.95 $211.74 $237.48 $183.63 $257.82 $203.73 $237.01 $237.10 $236.91 $228.24 $230.36 $170.58 $238.96 $165.20 $273.58 $231.50 $227.48 $183.03 $252.32 $261.31 $193.41 $189.60 $173.98 $221.11 $220.33 $209.16 $166.09 $232.54 $196.42 $186.45 $158.51 $216.90 $192.16 $225.86 $177.40 $191.37 $196.41 $200.45 $267.66 $152.41 $199.60 $162.15 $212.15 $216.42 $224.92 $252.32 $163.11 $204.90 $230.64 $176.79 $250.98 $196.89 $230.17 $230.26 $230.07 $221.40 $223.52 $163.74 $232.12 $158.36 $266.74 $224.66 $220.64 $176.19 $245.48 $254.47 $205.97 $202.16 $186.54 $233.67 $232.89 $221.72 $178.65 $245.10 $208.98 $199.01 $171.07 $229.46 $204.72 $238.42 $189.96 $203.93 $208.97 $213.01 $280.22 $164.97 $212.16 $174.71 $224.71 $228.98 $237.48 $264.88 $175.67 $217.46 $243.20 $189.35 $263.54 $209.45 $242.73 $242.82 $242.63 $233.96 $236.08 $176.30 $244.68 $170.92 $279.30 $237.22 $233.20 $188.75 $258.04 $267.03 $199.13 $195.32 $179.70 $226.83 $226.05 $214.88 $171.81 $238.26 $202.14 $192.17 $164.23 $222.62 $197.88 $231.58 $183.12 $197.09 $202.13 $206.17 $273.38 $158.13 $205.32 $167.87 $217.87 $222.14 $230.64 $258.04 $168.83 $210.62 $236.36 $182.51 $256.70 $202.61 $235.89 $235.98 $235.79 $227.12 $229.24 $169.46 $237.84 $164.08 $272.46 $230.38 $226.36 $181.91 $251.20 $260.19 1/8/2014 Attachment 1 206440727 206440750 206440758 206440764 206440809 206440914 206441702 206441703 206450798 206450841 206451017 206452301 206454002 206454003 206471079 206480917 206480965 206480995 206481011 206481084 206481086 206481105 206484004 206490931 206490940 206490947 206490954 206490956 206490961 206491000 206491001 206491003 206491017 206491032 206491035 206491058 206491062 206491085 206492251 206500820 206500821 206500827 206500855 206500872 206500997 206501094 21 of 23 1629256953 1164590832 1457649436 1609874163 1750396248 1346241460 1346392321 1578615464 1447206099 1487790937 1598750358 1316005226 1952465791 1841214442 1497820021 1023066966 1245288083 1235152679 1285770669 1780669093 1396732590 1336162775 1114914355 1255622817 1760496566 1225051667 1699837229 1114902616 1104874940 1184670747 1184670697 1245225176 1871594614 1174518088 1659356160 1104825520 1487641049 1619976552 1235185752 1851385843 1750388732 1801832464 1427110055 1245237965 1902807654 1932251808 01 02 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 02 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 $205.69 SANTA CRUZ SKILLED NURSING CENTER $155.44 CRESTHAVEN NURSING HOME $204.78 DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ $207.48 PACIFIC COAST MANOR $217.03 KINDRED NURSING AND TRANSITIONAL CARE-SANTA CRUZ $210.72 VALLEY CONVALESCENT HOSPITAL - WATSONVILLE COUNTRY VILLA WATSONVILLE WEST NURSING AND REHABILITATION CE$228.75 COUNTRY VILLA WATSONVILLE EAST NURSING AND REHABILITATION CE $225.75 $194.86 GOLDEN LIVINGCENTER - REDDING $211.47 WINDSOR REDDING CARE CENTER $205.99 MARQUIS CARE OF SHASTA $214.60 OAK RIVER REHAB $222.49 COPPER RIDGE CARE CENTER $196.49 KND TRANS & REHAB-CANYONWOOD $187.12 SHASTA VIEW NURSING CENTER $194.06 SPRINGS ROAD HEALTHCARE $178.55 HEARTWOOD AVENUE HEALTHCARE $215.06 LA MARIPOSA CARE & REHABILITATION CENTER $222.08 WINDSOR VALLEJO CARE CENTER $213.30 FAIRFIELD POST-ACUTE REHAB CENTER $216.47 GREENFIELD CARE CENTER OF FAIRFIELD $217.85 ORCHARD POST ACUTE CARE HOSPITAL $215.16 VACAVILLE CONVALESCENT & REHABILITATION CENTER $241.47 WINDSOR CARE CENTER OF PETALUMA $247.84 CREEKSIDE CONV & MENTAL REHAB PROGRAM $207.31 FIRCREST CONVALESCENT HOSPITAL $246.11 HEALDSBURG SENIOR LIVING COMMUNITY $257.98 APPLE VALLEY POST-ACUTE REHAB $214.26 PETALUMA HEALTH AND REHABILITATION $201.10 GOLDEN LIVINGCENTER - SANTA ROSA $198.36 GOLDEN LIVINGCENTER - LONDON HOUSE SONOMA $196.14 CLOVERDALE HEALTHCARE CENTER $205.11 SONOMA HEALTHCARE CENTER $226.23 THE OAKS NURSING CENTER $242.94 PETALUMA POST-ACUTE REHAB $242.39 PARK VIEW GARDENS AT MONTGOMERY $185.90 SANTA ROSA CONVALESCENT HOSPITAL $223.70 SUMMERFIELD HEALTH CARE CENTER $198.35 GOLDEN LIVINGCENTER - PETALUMA $174.48 HY-LOND HEALTH CARE CENTER - MODESTO $203.46 CASA DE MODESTO $215.31 GARDEN CITY HEALTHCARE CENTER $166.57 ACACIA PARK NURSING & REHABILITATION CENTER $186.47 EVERGREEN NURSING & REHABILITIATION CARE CENTER $156.39 RIVERBANK NURSING CENTER $200.37 COUNTRY VILLA MODESTO NURSING AND REHABILITATION CENTER $198.85 $148.60 $197.94 $200.64 $210.19 $203.88 $221.91 $218.91 $188.02 $204.63 $199.15 $207.76 $215.65 $189.65 $180.28 $187.22 $171.71 $208.22 $215.24 $206.46 $209.63 $211.01 $208.32 $234.63 $241.00 $200.47 $239.27 $251.14 $207.42 $194.26 $191.52 $189.30 $198.27 $219.39 $236.10 $235.55 $179.06 $216.86 $191.51 $167.64 $196.62 $208.47 $159.73 $179.63 $149.55 $193.53 $211.41 $161.16 $210.50 $213.20 $222.75 $216.44 $234.47 $231.47 $200.58 $217.19 $211.71 $220.32 $228.21 $202.21 $192.84 $199.78 $184.27 $220.78 $227.80 $219.02 $222.19 $223.57 $220.88 $247.19 $253.56 $213.03 $251.83 $263.70 $219.98 $206.82 $204.08 $201.86 $210.83 $231.95 $248.66 $248.11 $191.62 $229.42 $204.07 $180.20 $209.18 $221.03 $172.29 $192.19 $162.11 $206.09 $204.57 $154.32 $203.66 $206.36 $215.91 $209.60 $227.63 $224.63 $193.74 $210.35 $204.87 $213.48 $221.37 $195.37 $186.00 $192.94 $177.43 $213.94 $220.96 $212.18 $215.35 $216.73 $214.04 $240.35 $246.72 $206.19 $244.99 $256.86 $213.14 $199.98 $197.24 $195.02 $203.99 $225.11 $241.82 $241.27 $184.78 $222.58 $197.23 $173.36 $202.34 $214.19 $165.45 $185.35 $155.27 $199.25 1/8/2014 Attachment 1 206501354 206501355 206501989 206501990 206502207 206502269 206502364 206504002 206504004 206504035 206510856 206511095 206514003 206514008 206522099 206522221 206540075 206540707 206540709 206540723 206540762 206540809 206540823 206540828 206541695 206541740 206542063 206544041 206544043 206544081 206554007 206560465 206560471 206560482 206560495 206560496 206560503 206560509 206560531 206560532 206560536 206560547 206560823 206564024 206564120 206570854 22 of 23 1326032327 1750375846 1699759803 1801870019 1508884487 1770567984 1154325512 1164563276 1437291929 1205906989 1710057492 1164609079 1477552164 1720386956 1861493504 1518032150 1134427289 1942301627 1609941004 1376524843 1316011851 1457457574 1689735151 1225270341 1871674358 1174730105 1952609182 1215001763 1770644262 1679710719 1356335384 1275962482 1972516540 1619976131 1821096066 1497941595 1912992264 1891783577 1134174501 1255656781 1760424394 1275972481 1215924725 1427057645 1326111402 1235367913 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 AVALON CARE CENTER - MODESTO, LLC SAN LUIS CARE CENTER BEL-AIR LODGE CONVALESCENT HOSPITAL ELNESS CONVALESCENT HOSPITAL CRESTWOOD MANOR-MODESTO HA LE ALOHA CONVALESCENT HOSPITAL ENGLISH OAKS NURSING AND REHABILIATION CENTER TURLOCK NURSING & REHAB CENTER VINTAGE FAIRE NURSING & REHAB CENTER COVENANT VILLAGE CARE CENTER YUBA CITY CARE CENTER YUBA SKILLED NURSING CENTER THE FOUNTAINS RIVER VALLEY CARE CENTER BRENTWOOD SKILLED NURSING AND REHABILITATION CENTER RED BLUFF HEALTH CARE CENTER WESTGATE GARDENS CARE CENTER DELTA NURSING AND REHABILITATION CENTER NEW COVENANT CARE CENTER OF DINUBA SIERRA VALLEY REHABILITATION CENTER MERRITT MANOR CONVALESCENT HOSPITAL TULARE NURSING AND REHABILITATION CENTER VALLEY CARE CENTER REDWOOD SPRINGS HEALTHCARE CENTER KAWEAH MANOR SUN VILLA LINWOOD MEADOWS CARE CENTER PORTERVILLE CONVALESCENT HOSPITAL INC LINDSAY GARDENS TWIN OAKS REHAB & NURSING CENTER AVALON CARE CENTER - SONORA LOS ROBLES CARE CENTER VENTURA CONVALESCENT HOSPITAL GLENWOOD CARE CENTER MARY HEALTH OF THE CONVALESCENT & NURSING HOSPITAL INC. MAYWOOD ACRES CONVALESCENT OXNARD MANOR HEALTHCARE CENTER SHORELINE CARE CENTER THOUSAND OAKS HEALTH CARE CENTER VISTA COVE CARE CENTER AT SANTA PAULA SIMI VALLEY CARE CENTER FILLMORE CONVALESCENT CENTER CAMARILLO HEALTHCARE CENTER VICTORIA CARE CENTER WESTLAKE HEALTH CARE CENTER COURTYARD HEALTHCARE CENTER $174.66 $176.30 $190.71 $176.92 $232.76 $177.36 $213.29 $182.51 $209.09 $196.23 $191.11 $181.83 $221.02 $177.27 $181.14 $174.10 $167.62 $166.79 $173.16 $176.48 $157.48 $163.27 $169.81 $170.28 $156.66 $148.09 $172.86 $158.56 $151.91 $166.56 $192.64 $188.45 $203.19 $186.15 $229.41 $187.60 $205.28 $173.64 $202.76 $158.54 $211.09 $175.23 $181.75 $195.35 $176.50 $196.38 $167.82 $169.46 $183.87 $170.08 $225.92 $170.52 $206.45 $175.67 $202.25 $189.39 $184.27 $174.99 $214.18 $170.43 $174.30 $167.26 $160.78 $159.95 $166.32 $169.64 $150.64 $156.43 $162.97 $163.44 $149.82 $141.25 $166.02 $151.72 $145.07 $159.72 $185.80 $181.61 $196.35 $179.31 $222.57 $180.76 $198.44 $166.80 $195.92 $151.70 $204.25 $168.39 $174.91 $188.51 $169.66 $189.54 $180.38 $182.02 $196.43 $182.64 $238.48 $183.08 $219.01 $188.23 $214.81 $201.95 $196.83 $187.55 $226.74 $182.99 $186.86 $179.82 $173.34 $172.51 $178.88 $182.20 $163.20 $168.99 $175.53 $176.00 $162.38 $153.81 $178.58 $164.28 $157.63 $172.28 $198.36 $194.17 $208.91 $191.87 $235.13 $193.32 $211.00 $179.36 $208.48 $164.26 $216.81 $180.95 $187.47 $201.07 $182.22 $202.10 $173.54 $175.18 $189.59 $175.80 $231.64 $176.24 $212.17 $181.39 $207.97 $195.11 $189.99 $180.71 $219.90 $176.15 $180.02 $172.98 $166.50 $165.67 $172.04 $175.36 $156.36 $162.15 $168.69 $169.16 $155.54 $146.97 $171.74 $157.44 $150.79 $165.44 $191.52 $187.33 $202.07 $185.03 $228.29 $186.48 $204.16 $172.52 $201.64 $157.42 $209.97 $174.11 $180.63 $194.23 $175.38 $195.26 1/8/2014 Attachment 1 206570896 206571033 206571047 206571087 206571828 206572209 206580934 206190139 206190572 206210946 206424054 206190182 206560539 206331203 206492287 206284019 206364186 206374298 NA NA NA NA NA NA NA NA 23 of 23 1699750901 1326243312 1891914784 1841275344 1508164732 1720071954 1912086976 1366538373 1518220615 1417208109 1396081212 1639264914 1497011282 1891950267 1508942111 1104811751 1205821758 1790771194 1003894841 1679569909 1437270634 1760492888 1629006663 1114965894 1811978216 1598038093 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 01 #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A COTTONWOOD POST-ACUTE REHAB RIVER BEND NURSING CENTER STOLLWOOD CONVELESCENT HOSPITAL WOODLAND NURSING & REHABILITATION DAVIS HEALTHCARE CENTER ALDERSON CONVALESCENT HOSPITAL MARYSVILLE CARE CENTER VILLA MARIA CARE CENTER OAKPARK HEALTHCARE CENTER - TUJUNGA SAN RAFAEL HEALTHCARE & WELLNESS CENTER LOMPOC SKILLED & REHAB CENTER CLEAR VIEW SANITARIUM COASTAL VIEW HEALTHCARE CENTER MISSION CARE CENTER FRIENDS HOUSE VETERANS HOME OF CALIFORNIA N. M. Holderman VETERANS HOME OF CALIFORNIA-BARSTOW VETERANS HOME OF CALIFORNIA-CHULA VISTA LENOS HEALTHCARE of YUMA LINDA VISTA NURSING and REHAB SRV, Inc MEDFORD REHABILITATION AND HEALTHCARE CENTER YUMA NURSING CENTER WATERFORD OPERATIONS LLC GOOD SAMARITAN SOCIETY CURRY VILLAGE LA PAZ REGIONAL HOSPITAL $184.05 $152.31 $207.73 $191.83 $199.69 $207.24 $178.62 $170.67 $168.23 $242.66 $208.15 $168.86 $193.92 $185.77 $198.19 $214.22 $185.77 $185.77 $186.75 $186.75 $186.75 $186.75 $186.75 $186.75 $186.75 $186.75 $177.21 $145.47 $200.89 $184.99 $192.85 $200.40 $171.78 $163.83 $161.39 $235.82 $201.31 $162.02 $187.08 $178.93 $191.35 $207.38 $178.93 $178.93 $179.91 $179.91 $179.91 $179.91 $179.91 $179.91 $179.91 $179.91 $189.77 $158.03 $213.45 $197.55 $205.41 $212.96 $184.34 $176.39 $173.95 $248.38 $213.87 $174.58 $199.64 $191.49 $203.91 $219.94 $191.49 $191.49 $192.47 $192.47 $192.47 $192.47 $192.47 $192.47 $192.47 $192.47 $182.93 $151.19 $206.61 $190.71 $198.57 $206.12 $177.50 $169.55 $167.11 $241.54 $207.03 $167.74 $192.80 $184.65 $197.07 $213.10 $184.65 $184.65 $185.63 $185.63 $185.63 $185.63 $185.63 $185.63 $185.63 $185.63 1/8/2014
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