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PA Bulletin, Doc. No. 06-449

NOTICES

Peer Groups, Peer Group Medians and Peer Group Prices for General Nursing Facilities, County Nursing Facilities, Hospital-Based Nursing Facilities and Special Rehabilitation Facilities

[36 Pa.B. 1304]

   The purpose of this notice is to announce the Department of Public Welfare's (Department) peer groups, peer group medians and peer group prices for general nursing facilities, county nursing facilities, hospital-based nursing facilities and special rehabilitation facilities under 55 Pa. Code § 1187.95(a)(4) (relating to general principles for rate and price setting). The Department used the peer groups, peer group medians and peer group prices to determine case-mix rates for nursing facilities for the State Fiscal Year July 1, 2005, through June 30, 2006 (FY 2005-2006). The Department calculated the peer groups, peer group medians and peer group prices announced in this notice in accordance with 55 Pa. Code Chapter 1187 (relating to nursing facility services) as amended at 35 Pa.B. 4612 (August 13, 2005). The data that the Department used to determine the peer group medians and prices is available on the Office of Medical Assistance Programs' website at www.dpw.state.pa.us/omap.

   To establish the database for the calculation of peer group medians and prices, the Department used each facility's three most recent audited cost reports that were issued by the Department on or before March 31, 2005, and indexed the costs for each report forward to the common date of December 31, 2005, using the CMS Nursing Home Without Capital Market Basket Index.

   The following is a listing, by group, of the number of facilities with a particular year-end, and the inflation factor used to roll the costs of each facility forward to the common date of December 31, 2005.

GENERAL AND COUNTY NURSING FACILITIES

Facility Year End Number of Facilities* Inflation Factor
June 30, 1998 1 1.2997
December 31, 1998 4 1.2792
June 30, 1999 6 1.2625
December 31, 1999 9 1.2303
June 30, 2000 11   1.2025
December 31, 2000 311    1.1697
June 30, 2001 240    1.1454
December 31, 2001 356    1.1311
June 30, 2002 235    1.1148
December 31, 2002 360    1.0881
June 30, 2003 239    1.0745
December 31, 2003 37   1.0604

HOSPITAL-BASED NURSING FACILITIES

Facility Year End Number of Facilities* Inflation Factor
June 30, 2000 4 1.2025
June 30, 2001 19   1.1454
June 30, 2002 18   1.1148
June 30, 2003 16   1.0745

SPECIAL REHABILITATION FACILITIES

Facility Year End Number of Facilities* Inflation Factor
December 31, 2000 1 1.1697
June 30, 2001 4 1.1454
December 31, 2001 1 1.1311
June 30, 2002 4 1.1148
December 31, 2002 2 1.0881
June 30, 2003 4 1.0745

*As a result of using the three most recent audited cost reports, the ''Number of Facilities'' column reflects a number in excess of actual enrolled nursing facilities.

   After the database was inflated using the inflation values, the Department grouped the facilities in the correct geographic and bed size groupings. In accordance with 55 Pa. Code § 1187.94 (relating to peer grouping for price setting), to establish peer groups, the Department used the Metropolitan Statistical Areas (MSA) group classification published in the Federal Office of Management and Budget Bulletin No. 99-04 (relating to revised statistical definitions of Metropolitan Areas and guidance on uses of Metropolitan Area definitions) to classify each nursing facility into one of three MSA groups or one non-MSA group. The Department then used the bed complement of the nursing facility on the final day of the reporting period of the most recent audited MA-11 used in the Nursing Information System database to classify nursing facilities into one of three bed complement groups. These groups are 3--119 beds, 120--269, and 270 and over. Peer groups 7 and 10 have been collapsed in accordance with § 1187.94(1)(iv). Peer group 13 is designated for special rehabilitation facilities only and peer group 14 is designated for hospital-based nursing facilities only, regardless of geographic location or bed size.

   After the database was established and the peer groups determined, the Department then calculated the medians and prices for each peer group. To calculate the resident care cost medians, the Department divided the audited allowable resident care costs for each cost report by the total facility case-mix index from the available February 1 picture date closest to the midpoint of the cost report period to obtain case-mix neutral total resident care cost for the cost report year. The Department then divided the case-mix neutral total resident care cost for each cost report by the total audited actual resident days for the cost report year to obtain the case-mix neutral resident care cost per diem for the cost report year. The Department calculated the 3-year arithmetic mean of the case-mix neutral resident care cost per diem for each nursing facility to obtain the average case-mix neutral resident care cost per diem of each nursing facility. The Department arrayed the average case-mix neutral resident care cost per diem for each nursing facility within the respective peer groups and determined a median for each peer group.

   To calculate the other resident care cost medians, the Department first divided the audited allowable other resident care costs for each cost report by the total audited actual resident days for the cost report year to obtain the other resident related cost per diem for the cost report year. The Department calculated the 3-year arithmetic mean of the other resident related cost for each nursing facility to obtain the average other resident related cost per diem of each nursing facility. The Department arrayed the average other resident related cost per diem for each nursing facility within the respective peer groups and determined a median for each peer group.

   To calculate the administrative cost medians, the Department adjusted, as appropriate, the total audited actual resident days for each cost report to a minimum 90% occupancy in accordance with 55 Pa. Code § 1187.23 (relating to nursing facility incentives and adjustments). The Department then divided the audited allowable administrative cost for each cost report by the total audited actual resident days, adjusted to 90% occupancy, if applicable, to obtain the administrative cost per diem for the cost report year. The Department calculated the 3-year arithmetic mean of the administrative cost for each nursing facility to obtain the average administrative cost per diem of each nursing facility. The Department arrayed the average administrative cost per diem for each nursing facility within the respective peer groups to determine a median for each peer group.

   After the medians were determined for each peer group, the Department set prices using the medians. To set peer group prices, the Department multiplied the resident care cost median of each peer group by 1.17 to obtain the resident care cost peer group price; multiplied the other resident related cost median of each peer group by 1.12 to obtain the other resident related peer group price; and, multiplied the administrative cost median of each peer group by 1.04 to obtain the administrative cost peer group price.

   The peer groups, peer group medians and peer group prices of general and county nursing facilities, hospital-based and special rehabilitation nursing facilities for Year 11 are listed in Annex A.

   A Medical Assistance (MA) nursing facility provider may file an administrative appeal if the provider believes that the Department made any errors, or the provider otherwise disagrees with the Year 11 peer group prices that the Department established for its peer group. A provider's appeal must be in sent in writing to the Department's Bureau of Hearings and Appeals, P. O. Box 2675, Harrisburg, PA 17102, and received by the Bureau of Hearings and Appeals within 30 days of the date of this notice. If a provider chooses to appeal, the provider will be afforded the opportunity for a de novo hearing before the Bureau of Hearings and Appeals. The peer group prices applied in setting the provider's rates may be changed as a result of the final adjudication of the provider's peer group price appeal. Providers should refer to 67 Pa.C.S.A Chapter 11 (relating to medical assistance hearings and appeals), and to the Department's standing practice order, set forth at 33 Pa.B. 3053 (June 28, 2003), for more detail regarding their appeal rights and the requirements related to their written appeals.

Fiscal Impact

   The estimated increase in annual aggregate expenditures for MA nursing facility services for FY 2005-2006 is $32.655 million ($14.998 million in State funds).

Public Comment

   Interested persons are invited to submit written comments regarding this notice to Gail Weidman, Chief, Program Analysis and Review Section, Department of Public Welfare, Bureau of Long Term Care Programs, P. O. Box 2675, Harrisburg, PA 17105.

   Persons with a disability who require an auxiliary aid or service may submit comments using the AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).

ESTELLE B. RICHMAN,   
Secretary

   Fiscal Note:  14-NOT-468. (1) General Fund; (2) Implementing Year 2005-06 is $14.998 million; (3) 1st Succeeding Year 2006-07 is $16.362 million; 2nd Succeeding Year 2007-08 is $16.362 million; 3rd Succeeding Year 2008-09 is $16.362 million; 4th Succeeding Year 2009-10 is $16.362 million; 5th Succeeding Year 2010-11 is $16.362 million; (4) 2004-05 Program--$476.116 million; 2003-04 Program--$588.528 million; 2002-03 Program--$250.568 million; (7) Medical Assistance--Long-Term Care; (8) recommends adoption. Funds have been included in the Department's budget to cover this increase.

Annex A

TITLE 55.  PUBLIC WELFARE

PART III.  MEDICAL ASSISTANCE MANUAL

CHAPTER 1187.  NURSING FACILITY SERVICES

Subchapter G.  RATE SETTING

Appendix B

Medians and Prices for 2005-2006

File Date: 1/5/2006

Median
Peer
Group 		Provider
Name 		Most Recent
Cost Report
End Date 		Second Most Recent
Cost Report
End Date 		Third Most Recent
Cost Report
End Date
1 BROOMALL REHAB AND NURSING CENTER 12/31/02 12/31/01 12/31/00
1 CARE PAVILION OF WALNUT PARK, INC 06/30/03 06/30/02 06/30/01
1 FAIR ACRES GERIATRIC CENTER 12/31/02 12/31/01 12/31/00
1 FRIENDSHIP RIDGE 12/31/02 12/31/01 12/31/00
1 IMMACULATE MARY HOME 06/30/03 06/30/02 06/30/01
1 JOHN J KANE REGIONAL CENTER--GLEN HAZEL 12/31/02 12/31/01 12/31/00
1 JOHN J KANE REGIONAL    CENTER-MCKEESPORT 12/31/02 12/31/01 12/31/00
1 JOHN J KANE REGIONAL CENTER--ROSS    TWNSHP 12/31/02 12/31/01 12/31/00
1 JOHN J KANE REGIONAL CENTER--SCOTT    TWNSHP 12/31/02 12/31/01 12/31/00
1 MADLYN AND LEONARD ABRAMSON CENTER 06/30/03
1 NESHAMINY MANOR HOME 12/31/02 12/31/01 12/31/00
1 PARKHOUSE, PROVIDENCE POINTE 12/31/02 12/31/01 12/31/00
1 PHILADELPHIA NURSING HOME 12/31/02 12/31/01 12/31/00
1 POCOPSON HOME 12/31/02 12/31/01 12/31/00
1 SAINT FRANCIS COUNTRY HOUSE 06/30/03 06/30/02 06/30/01
1 SAINT JOSEPH'S MANOR 06/30/03 06/30/02 06/30/01
1 ST JOHN SPECIALTY CARE CENTER 06/30/03 06/30/02 06/30/01
1 WASHINGTON COUNTY HEALTH CENTER 12/31/02 12/31/01 12/31/00
1 WESTMORELAND MANOR 12/31/02 12/31/01 12/31/00
PG1 Resident Care Median
Other Resident
Rltd Median 		Administrative Median
$100.13
$50.68 $17.95
PG1 Resident Care Price
Other Resident
Rltd Price 		Administrative Price
$117.15
$56.76 $18.67
Median
Peer
Group 		Provider
Name 		Most Recent
Cost Report
End Date 		Second Most Recent
Cost Report
End Date 		Third Most Recent
Cost Report
End Date
2 ANDORRA WOODS HEALTHCARE CENTER 12/31/02 12/31/01 12/31/00
2 ASBURY HEALTH CENTER 12/31/02 12/31/01 12/31/00
2 ASHTON HALL NURSING AND REHAB CENTER 06/30/03 06/30/02 06/30/01
2 ATTLEBORO NURSING AND REHAB CENTER 12/31/02 12/31/01 12/31/00
2 BALA NURSING AND RETIREMENT CENTER 06/30/03 06/30/02 06/30/01
2 BALDOCK HEALTH CARE CENTER 06/30/03 06/30/02 06/30/01
2 BALDWIN HEALTH CENTER 06/30/03 06/30/02 06/30/01
2 BAPTIST HOMES NURSING CENTER 06/30/03 06/30/02 06/30/01
2 BEAVER VALLEY NURSING AND REHAB CENTER 06/30/03 06/30/02 06/30/01
2 BEVERLY HEALTHCARE--LANSDALE 12/31/02 12/31/01 12/31/00
2 BEVERLY HEALTHCARE--MONROEVILLE 12/31/02 12/31/01 12/31/00
2 BEVERLY HEALTHCARE--MOUNT LEBANON    MANOR 12/31/02 12/31/01 12/31/00
2 BEVERLY HEALTHCARE--MURRYSVILLE 12/31/02 12/31/01 12/31/00
2 BEVERLY HEALTHCARE--PHOENIXVILLE 12/31/02 12/31/01 12/31/00
2 BEVERLY HEALTHCARE--UNIONTOWN 12/31/02 12/31/01 12/31/00
2 BRANDYWINE HALL 06/30/03 06/30/02 06/30/01
2 BRIARCLIFF PAVILION FOR SPECIALIZED CARE 12/31/02 12/31/01 12/31/00
2 BRIARLEAF NURSING AND CONVAL CENTER 06/30/03 06/30/02 06/30/01
2 BRIGHTEN AT BROOMALL 12/31/02 12/31/01 12/31/00
2 BRIGHTEN AT BRYN MAWR 12/31/02 12/31/00 12/31/99
2 BROOMALL PRESBYTERIAN VILLAGE 12/31/02 12/31/01 12/31/00
2 BUCKINGHAM VALLEY REHAB AND NURSING    CTR 06/30/03 06/30/02 06/30/01
2 CATHEDRAL VILLAGE 06/30/03 06/30/02 06/30/01
2 CENTENNIAL VILLAGE 12/31/01 06/30/00 06/30/99
2 CHAPEL MANOR 12/31/02 12/31/01 12/31/00
2 CHARLES M. MORRIS NURSING AND REHAB    CTR 06/30/03 06/30/02 06/30/01
2 CHATHAM ACRES, INC 06/30/03 06/30/02 06/30/01
2 CHELTENHAM NURSING AND REHAB CENTER 06/30/03 06/30/02 06/30/01
2 CHELTENHAM YORK ROAD NSG & REHAB CENTER 06/30/03 06/30/02 06/30/01
2 CHERRY TREE NURSING CENTER 12/31/02 12/31/01 12/31/00
2 CHESTNUT HILL LODGE HEALTH AND REHAB    CTR 12/31/02 12/31/01 12/31/00
2 CLIVEDEN CONVALESCENT CENTER 06/30/03 06/30/02 06/30/01
2 COMMONS AT SQUIRREL HILL 12/31/02 12/31/01 12/31/00
2 CONCORDIA LUTHERAN MINISTRIES 06/30/03 06/30/02 06/30/01
2 COUNTRY MEADOWS OF SOUTH HILLS 12/31/02 12/31/01 12/31/00
2 CRANBERRY PLACE 06/30/02 06/30/01 06/30/00
2 CRESTVIEW CENTER 06/30/03 06/30/02 06/30/01
2 DEER MEADOWS RETIREMENT COMMUNITY 06/30/03 06/30/02 06/30/01
2 DOYLESTOWN MANOR 12/31/02 12/31/01 12/31/00
2 ELKINS CREST HEALTH AND REHAB CENTER 06/30/03 06/30/02 06/30/01
2 EVANGELICAL MANOR 12/31/02 12/31/01 12/31/00
2 FAIRVIEW CARE CENTER OF BETHLEHEM PIKE 06/30/03 06/30/02 06/30/01
2 FAIRVIEW CARE CENTER OF PAPERMILL ROAD 06/30/03 06/30/02 06/30/01
2 FORBES ROAD NURSING AND REHAB CENTER 12/31/02 06/30/01 06/30/00
2 GARDEN SPRING CENTER 06/30/03 06/30/02 06/30/01
2 GERMANTOWN HOME 06/30/03 06/30/02 06/30/01
2 GOLDEN SLIPPER HEALTH AND REHAB    CENTER 06/30/03 06/30/02 06/30/01
2 GREEN ACRES--IVY HILL NURSING HOME 06/30/03 06/30/02 06/30/01
2 GREENERY SPECIALTY CARE CENTER 06/30/03 06/30/02 06/30/01
2 GREENLEAF NURSING HOME AND CONVAL    CENTER 06/30/03 06/30/02 06/30/01
2 GREENSBURG CARE CENTER 12/31/02 12/31/01 12/31/99
2 GWYNEDD SQUARE CTR FOR NSG & CONVAL    CARE 06/30/03 06/30/02 06/30/01
2 HARMAR VILLAGE CARE CENTER 12/31/02 12/31/01 12/31/00
2 HARSTON HALL 12/31/02 12/31/01 12/31/00
2 HEARTLAND HEALTH CARE CENTER 06/30/03 06/30/02 06/30/01
2 HEMPFIELD MANOR 12/31/03 12/31/02 12/31/01
2 HERITAGE SHADYSIDE, THE 06/30/03 06/30/02 06/30/01
2 HIGHLAND PARK CARE CENTER 12/31/02 06/30/01 06/30/00
2 HILLCREST CENTER 06/30/03 06/30/02 06/30/01
2 HUMBERT LANE HEALTH CARE CENTER 06/30/03 06/30/02 06/30/01
2 IHS OF GREATER PITTSBURGH 12/31/02 12/31/01 12/31/00
2 LAFAYETTE REDEEMER, THE 06/30/03 06/30/02 06/30/01
2 LANGHORNE GARDENS REHAB AND NURSING    CTR 06/30/03 06/30/02 06/30/01
2 LEMINGTON CENTER 06/30/03 06/30/02 06/30/01
2 LGAR HEALTH AND REHABILITATION CENTER 12/31/02 12/31/01 12/31/00
2 LIBERTY COURT, GENESIS ELDERCARE    NETWORK 06/30/03 06/30/02 06/30/01
2 LIFEQUEST NURSING CENTER 06/30/03 06/30/02 06/30/01
2 LITTLE FLOWER MANOR 06/30/03 06/30/02 06/30/01
2 LUTHER WOODS CONVALESCENT CENTER 12/31/02 12/31/01 12/31/00
2 MAIN LINE NURSING AND REHAB CENTER 06/30/03 06/30/02 06/30/01
2 MAJESTIC OAKS 06/30/03 06/30/02 06/30/01
2 MANATAWNY MANOR INC 06/30/03 06/30/02 06/30/01
2 MANORCARE HEALTH SVCS--BETHEL PARK 12/31/02 12/31/01 12/31/00
2 MANORCARE HEALTH SVCS--GREEN TREE 12/31/02 12/31/01 12/31/00
2 MANORCARE HEALTH SVCS--HUNTINGDON    VALLEY 12/31/02 12/31/01 12/31/00
2 MANORCARE HEALTH SVCS--KING OF PRUSSIA 12/31/02 12/31/01 12/31/00
2 MANORCARE HEALTH SVCS--LANSDALE 12/31/02 12/31/01 12/31/00
2 MANORCARE HEALTH SVCS--MCMURRAY 12/31/02 12/31/01 12/31/00
2 MANORCARE HEALTH SVCS--MERCY    FITZGERALD 06/30/03 06/30/02 06/30/01
2 MANORCARE HEALTH SVCS--MONROEVILLE 12/31/02 12/31/01 12/31/00
2 MANORCARE HEALTH SVCS--NORTH HILLS 12/31/02 12/31/01 12/31/00
2 MANORCARE HEALTH SVCS--POTTSTOWN 12/31/02 12/31/01 12/31/00
2 MANORCARE HEALTH SVCS--WHITEHALL    BOROUGH 12/31/02 12/31/01 12/31/00
2 MANORCARE HEALTH SVCS--YARDLEY 12/31/02 12/31/01 12/31/00
2 MANORCARE HEALTH SVCS--YEADON 12/31/02 12/31/01 12/31/00
2 MAPLEWOOD MANOR CENTER 06/30/03 06/30/02 06/30/01
2 MARIAN MANOR CORPORATION 06/30/03 06/30/02 06/30/01
2 MASONIC VILLAGE AT SEWICKLEY 12/31/02 12/31/01 12/31/00
2 MOUNT MACRINA MANOR NURSING HOME 06/30/03 06/30/02 06/30/01
2 MOUNTAINVIEW SPECIALTY CARE CENTER 12/31/02 12/31/01 12/31/00
2 OXFORD HEALTH CENTER 12/31/02 12/31/01 12/31/00
2 PARK PLEASANT HEALTH CARE FACILITY 06/30/03 06/30/02 06/30/01
2 PASSAVANT RETIREMENT AND HEALTH    CENTER 06/30/03 06/30/02 06/30/01
2 PAUL'S RUN 12/31/02 12/31/01 12/31/00
2 PEMBROOKE HEALTH AND REHAB RESIDENCE 06/30/03 06/30/02 06/30/01
2 PENN CENTER FOR REHABILITATION AND    CARE 06/30/03 06/30/02 06/30/01
2 PENNSBURG MANOR 12/31/02 12/31/01 12/31/00
2 PHILADELPHIA PROTESTANT HOME 12/31/02 12/31/01 12/31/00
2 PHOEBE RICHLAND HCC 06/30/03 06/30/02 06/30/01
2 PINE RUN HEALTH CENTER 06/30/03 06/30/02 06/30/01
2 PLYMOUTH HOUSE NURSING HOME, INC 12/31/02 12/31/00 12/31/99
2 PROSPECT PARK HEALTH AND REHAB    RESIDENCE 06/30/03 06/30/02 06/30/01
2 PROVIDENCE CARE CENTER 12/31/02 12/31/01 12/31/00
2 QUAKERTOWN CENTER 12/31/03 12/31/02 12/31/01
2 REGINA COMMUNITY NURSING CENTER 06/30/03 06/30/02 06/30/01
2 RIDGE CREST NURSING AND REHAB CENTER 06/30/03 06/30/02 06/30/01
2 RITTENHOUSE PINE CENTER 06/30/03 06/30/02 06/30/01
2 RIVER'S EDGE NURSING AND REHAB CENTER 12/31/02 12/31/01 12/31/00
2 RIVERSIDE CARE CENTER 12/31/02 12/31/01 12/31/00
2 ROCHESTER MANOR 12/31/02 12/31/01 12/31/00
2 RYDAL PARK OF PHILADELPHIA PRSBYTR    HOMES 12/31/02 12/31/01 12/31/00
2 SACRED HEART MANOR 06/30/03 06/30/02 06/30/01
2 SAINT ANNE HOME 06/30/03 06/30/02 06/30/01
2 SAINT IGNATIUS NURSING HOME 06/30/03 06/30/02 06/30/01
2 SAINT JOHN NEUMANN NURSING HOME 06/30/03 06/30/02 06/30/01
2 SAINT MARTHA MANOR 06/30/03 06/30/02 06/30/01
2 SAINT MARY'S MANOR 06/30/03 06/30/02 06/30/01
2 SANATOGA CENTER 06/30/03 06/30/02 06/30/01
2 SAUNDERS HOUSE 06/30/03 06/30/02 06/30/01
2 SENECA PLACE 06/30/03 06/30/02 06/30/01
2 SHADYSIDE NURSING AND REHAB CENTER 06/30/03 06/30/02 06/30/01
2 SILVER LAKE CENTER 06/30/03 06/30/02 06/30/01
2 SILVER STREAM CENTER 06/30/03 06/30/02 06/30/01
2 SIMPSON HOUSE, INC 12/31/02 12/31/01 12/31/00
2 SOMERTON CENTER 06/30/03 06/30/02 06/30/01
2 SOUTHMONT OF PRESBYTERIAN SENIORCARE 12/31/03 12/31/02 12/31/01
2 SPRINGS AT THE FOUNTAINS, THE 06/30/03 06/30/02 06/30/01
2 ST. BARNABAS NURSING HOME 06/30/03 06/30/02 06/30/01
2 ST. MONICA MANOR 06/30/03 06/30/02 06/30/01
2 STAPELEY IN GERMANTOWN 06/30/03 06/30/02 06/30/01
2 STERLING HEALTH CARE AND REHAB CENTER 06/30/03 06/30/02 06/30/01
2 SUBURBAN WOODS HEALTH AND REHAB    CENTER 12/31/02 12/31/01 12/31/00
2 SUNNYVIEW HOME--BUTLER COUNTY HOME 12/31/02 12/31/01 12/31/00
2 SYCAMORE CREEK NURSING CENTER 06/30/03 06/30/02 06/30/01
2 TANDEM HEALTH CARE OF CHESWICK 06/30/03 06/30/02 06/30/01
2 TEL HAI RETIREMENT COMMUNITY 06/30/03 06/30/02 06/30/01
2 THE BELVEDERE CENTER, GENESIS    HEALTHCARE 12/31/02 12/31/01 12/31/00
2 TOWNE MANOR EAST 12/31/02 12/31/01 12/31/00
2 TUCKER HOUSE 06/30/03 06/30/02 06/30/01
2 VALLEY MANOR NURSING AND REHAB CENTER 06/30/03 06/30/02 06/30/01
2 VILLA SAINT JOSEPH OF BADEN INC. 06/30/03 06/30/02 06/30/01
2 VINCENTIAN HOME 06/30/03 06/30/02 06/30/01
2 VINCENTIAN REGENCY 06/30/03 06/30/02 06/30/01
2 WALLINGFORD NURSING AND REHAB CENTER 06/30/03 06/30/02 06/30/01
2 WEST HAVEN NURSING HOME 06/30/03 06/30/02 06/30/01
2 WEST HILLS HEALTH AND REHAB CENTER 06/30/03 06/30/02 06/30/01
2 WESTWOOD NURSING AND REHAB CENTER 12/31/02 12/31/01 12/31/00
2 WEXFORD HOUSE NURSING CENTER 06/30/03 06/30/02 06/30/01
2 WILLOW RIDGE CENTER 12/31/03 12/31/02 12/31/01
2 WILLOW TERRACE 06/30/03 06/30/02 06/30/01
2 WILLOWS OF PRESBYTERIAN SENIORCARE,    THE 12/31/03 12/31/02 12/31/01
2 WOODHAVEN CARE CENTER 12/31/02 12/31/01 12/31/00
PG2 Resident Care
Median
Other Resident Rltd Median Administrative Median
$84.87
$34.27 $17.72
PG2 Resident Care
Price
Other Resident Rltd Price Administrative Price
$99.30
$38.38 $18.43
Median
Peer
Group 		Provider
Name 		Most Recent
Cost Report
End Date 		Second Most Recent
Cost Report
End Date 		Third Most Recent
Cost Report
End Date
3 58TH STREET PRESBYTERIAN HOME, THE 12/31/02 12/31/01 12/31/00
3 AMBLER REST CENTER 06/30/03 06/30/02 06/30/01
3 ARTMAN LUTHERAN HOME 06/30/03 06/30/02 06/30/01
3 AUTUMN GROVE CARE CENTER 06/30/03 06/30/02 06/30/01
3 BARCLAY FRIENDS 12/31/02 12/31/01 12/31/00
3 BEAVER ELDER CARE AND REHAB CENTER 12/31/02 06/30/01 06/30/00
3 BELAIR HEALTH AND REHABILITATION    CENTER 06/30/03 06/30/02 06/30/01
3 BELLE HAVEN 12/31/02 12/31/01 12/31/00
3 BETHLEN HM OF THE HUNGARIAN RFRMD FED 12/31/02 12/31/01 12/31/00
3 BEVERLY HEALTHCARE--CANONSBURG 12/31/02 12/31/01 12/31/00
3 BEVERLY HEALTHCARE--OAKMONT 12/31/02 12/31/01 12/31/00
3 BEVERLY HEALTHCARE--ROSEMONT 12/31/02 12/31/01 12/31/00
3 BEVERLY HEALTHCARE--STENTON 12/31/02 12/31/01 12/31/00
3 BRINTON MANOR 12/31/03 12/31/02 12/31/01
3 BROOKSIDE HEALTHCARE AND REHAB CENTER 12/31/02 06/30/00 06/30/98
3 CANTERBURY PLACE 12/31/02 12/31/01 12/31/00
3 CARE CENTER AT MARTINS RUN, THE 12/31/02 12/31/01 12/31/00
3 CEDARS OF MONROEVILLE, THE 12/31/02 12/31/01 12/31/00
3 CHANDLER HALL HEALTH SERVICES INC 12/31/02 12/31/01 12/31/00
3 CHICORA MEDICAL CENTER 06/30/03 06/30/02 06/30/01
3 CHRIST'S HOME RETIREMENT CENTER 06/30/03 06/30/02 06/30/01
3 COLLINS HEALTH CENTER 12/31/02 12/31/01 12/31/00
3 CONNER-WILLIAMS NURSING HOME 06/30/03 06/30/02 06/30/01
3 COVENTRY MANOR NURSING HOME 12/31/02 12/31/01 12/31/00
3 DOCK TERRACE 06/30/03 06/30/02 06/30/01
3 DRESHER HILL HEALTH AND REHAB CENTER 06/30/03 06/30/02 06/30/01
3 EDGEHILL NURSING AND REHAB CENTER 06/30/03 06/30/02 06/30/01
3 ELDERCREST NURSING CENTER 06/30/03 06/30/01 06/30/99
3 ELM TERRACE GARDENS 06/30/03 06/30/02 06/30/01
3 EVERGREEN NURSING CENTER 12/31/02 12/31/01 12/31/00
3 FAIR WINDS MANOR 06/30/03 06/30/02 06/30/01
3 FREDERICK MENNONITE COMMUNITY 12/31/02 12/31/01 12/31/00
3 FRIENDSHIP VILLAGE OF SOUTH HILLS 12/31/02 12/31/01 12/31/00
3 HARMON HOUSE CARE CENTER 12/31/02 12/31/0112/31/00
3 HAVENCREST NURSING CENTER 06/30/03 06/30/01 06/30/99
3 HAVERFORD NURSING & REHABILITATION CTR 06/30/03 06/30/02 06/30/01
3 HENRY CLAY VILLA 12/31/03 12/31/02 12/31/01
3 HERITAGE TOWERS 12/31/02 12/31/01 12/31/00
3 HICKORY HOUSE NURSING HOME 12/31/02 12/31/01 12/31/00
3 HIGHLAND CENTER, GENESIS ELDERCARE    NTWRK 06/30/03 06/30/02 06/30/01
3 HOLY FAMILY HOME 12/31/02 12/31/01 12/31/00
3 HOPKINS CENTER 12/31/03 12/31/02 12/31/01
3 HORIZON SENIOR CARE 06/30/03 06/30/02 06/30/01
3 JEFFERSON HILLS MANOR 12/31/02 12/31/01 12/31/00
3 KADE NURSING HOME 12/31/02 12/31/01 12/31/00
3 KEARSLEY LONG TERM CARE CENTER 06/30/03 06/30/02 06/30/01
3 LAFAYETTE MANOR, INC 12/31/02 12/31/01 12/31/00
3 LATROBE REGIONAL HEALTH AND REHAB    CENTER 06/30/03 06/30/01 06/30/99
3 LAUREL RIDGE CENTER 06/30/03 06/30/02 06/30/01
3 LAWSON NURSING HOME, INC. 12/31/02 12/31/01 12/31/00
3 LITTLE SISTERS OF THE POOR 12/31/02 12/31/01 12/31/00
3 LOYALHANNA CARE CENTER 12/31/02 12/31/01 12/31/00
3 LUTHERAN COMM AT TELFORD HLTHCRE CTR    INC 06/30/03 06/30/02 06/30/01
3 MARWOOD REST HOME, INC 06/30/03 06/30/02 06/30/01
3 MARY J DREXEL HOME 12/31/02 12/31/01 12/31/00
3 MASONIC EASTERN STAR HOME EAST 12/31/02 12/31/01 12/31/00
3 MASONIC VILLAGE AT LAFAYETTE HILL 12/31/02 12/31/01 12/31/00
3 MCMURRAY HILLS MANOR 06/30/03 06/30/02 06/30/01
3 MEADOWCREST NURSING CENTER 06/30/03 06/30/01 06/30/99
3 NAAMANS CREEK COUNTRY MANOR 06/30/03 06/30/02 06/30/01
3 NORTH HILLS HEALTH AND REHAB CENTER 06/30/03 06/30/02 06/30/01
3 OAK HILL NURSING AND REHAB CENTER 06/30/03 06/30/01 06/30/99
3 PENNYPACK CENTER 12/31/03 12/31/02 12/31/01
3 PETER BECKER COMMUNITY 06/30/03 06/30/02 06/30/01
3 PICKERING MANOR HOME 06/30/03 06/30/02 06/30/01
3 REDSTONE HIGHLANDS HEALTH CARE CENTER 06/30/03 06/30/02 06/30/01
3 REFORMED PRESBYTERIAN HOME 12/31/02 12/31/01 12/31/00
3 RICHBORO CARE CENTER 06/30/03 06/30/02 06/30/01
3 ROCKHILL MENNONITE COMMUNITY 06/30/03 06/30/02 06/30/01
3 SAINT JOSEPH VILLA 06/30/03 06/30/02 06/30/01
3 SAXONY HEALTH CENTER 12/31/02 12/31/01 12/31/00
3 SCOTTDALE MANOR REHABILITATION CENTER 12/31/02 12/31/01 12/31/99
3 SHERWOOD OAKS 06/30/03 06/30/02 06/30/01
3 SKY VUE TERRACE 06/30/03 06/30/02 06/30/01
3 SOUDERTON MENNONITE HOMES 06/30/03 06/30/02 06/30/01
3 SOUTH FAYETTE NURSING CENTER 06/30/03 06/30/02 06/30/01
3 SOUTHWESTERN NURSING CENTER 06/30/03 06/30/02 06/30/01
3 STATESMAN HEALTH AND REHAB CENTER 06/30/03 06/30/02 06/30/01
3 TANDEM HEALTH CARE OF NORTH STRABANE 12/31/02
3 TOWNE MANOR WEST 12/31/02 12/31/01 12/31/00
3 UNITARIAN UNIVERSALIST HOUSE 12/31/02 12/31/01 12/31/00
3 VALENCIA WOODS AT ST BARNABAS 06/30/03 06/30/02 06/30/01
3 VINCENTIAN DE MARILLAC 06/30/03 06/30/02 06/30/01
3 WASHINGTON HOSP TRANSITIONAL CARE UNIT 06/30/03 06/30/02 06/30/01
3 WAYNE CENTER 06/30/03 06/30/02 06/30/01
3 WILLIAM PENN CARE CENTER 12/31/02 12/31/01 12/31/00
3 WILLOWBROOKE COURT AT BRITTANY POINTE 12/31/0212/31/01 12/31/00
3 WYNCOTE CHURCH HOME 06/30/03 06/30/02 06/30/01
PG3 Resident Care
Median
Other Resident Rltd Median Administrative Median
$82.90
$35.63 $18.10
PG3 Resident Care
Price
Other Resident Rltd Price Administrative Price
$96.99
$39.91 $18.82
Median
Peer
Group 		Provider
Name 		Most Recent
Cost Report
End Date 		Second Most Recent
Cost Report
End Date 		Third Most Recent
Cost Report
End Date
4 ALLIED SERVICES SKILLED NURSING CENTER 06/30/03 06/30/02 06/30/01
4 BERKS HEIM 12/31/02 12/31/01 12/31/00
4 BRETHREN HOME COMMUNITY, THE 06/30/03 06/30/02 06/30/01
4 CAMBRIA COUNTY HOME--LAUREL CREST    REHAB 12/31/02 12/31/01 12/31/00
4 CEDAR HAVEN 12/31/0212/31/01 12/31/00
4 CEDARBROOK NURSING HOMES 12/31/02 12/31/01 12/31/00
4 CLAREMONT NRC OF CUMBERLAND COUNTY 12/31/02 12/31/01 12/31/00
4 COLONIAL MANOR NURSING HOME 12/31/02 12/31/01 12/31/00
4 CONESTOGA VIEW 12/31/02 12/31/01 12/31/00
4 GRACEDALE--NORTHAMPTON COUNTY HOME 12/31/02 12/31/01 12/31/00
4 LACKAWANNA COUNTY HEALTH CARE CENTER 12/31/02 12/31/01 12/31/00
4 MASONIC HOMES 12/31/02 12/31/01 12/31/00
4 MOUNTAIN CITY NURSING AND REHAB    CENTER 12/31/02 12/31/01 12/31/00
4 MOUNTAIN VIEW MANOR NRSG AND REHAB    CTR 12/31/02 12/31/01 12/31/00
4 PHOEBE HOME, INC 06/30/03 06/30/02 06/30/01
4 PLEASANT ACRES NURSING AND REHAB    CENTER 12/31/02 12/31/01 12/31/00
4 PLEASANT RIDGE MANOR EAST/WEST 12/31/02 12/31/01 12/31/00
4 SPRING CREEK REHAB AND HEALTH CARE CTR 12/31/02 12/31/01 12/31/00
4 VALLEY CREST NURSING HOME 12/31/02 12/31/01 12/31/00
4 WEST SHORE HEALTH AND REHAB CENTER 12/31/02 12/31/01 12/31/00
PG4 Resident Care
Median
Other Resident Rltd Median Administrative Median
$99.29
$46.20 $16.81
PG4 Resident Care
Price
Other Resident Rltd Price Administrative Price
$116.17
$51.74 $17.48
Median
Peer
Group 		Provider
Name 		Most Recent
Cost Report
End Date 		Second Most Recent
Cost Report
End Date 		Third Most Recent
Cost Report
End Date
5 ABINGTON MANOR 12/31/03 12/31/02 12/31/01
5 BERKSHIRE CENTER 06/30/03 06/30/02 06/30/01
5 BERWICK RETIREMENT VILLAGE NRSNG CTR II 06/30/02 06/30/01 06/30/00
5 BEVERLY HEALTHCARE--EAST MOUNTAIN 12/31/02 12/31/01 12/31/00
5 BEVERLY HEALTHCARE--READING 12/31/02 12/31/01 12/31/00
5 BEVERLY HEALTHCARE--SCRANTON 12/31/02 12/31/01 12/31/00
5 BEVERLY HEALTHCARE--TUNKHANNOCK 12/31/02 12/31/01 12/31/00
5 BEVERLY HEALTHCARE--WESTERN RESERVE 12/31/02 12/31/01 12/31/00
5 BEVERLY MANOR OF LANCASTER 12/31/02 12/31/01 12/31/00
5 BIRCHWOOD NURSING AND REHAB CENTER 12/31/02 12/31/01 12/31/00
5 BLOOMSBURG HEALTH CARE CENTER 06/30/03 06/30/02 06/30/01
5 BRETHREN VILLAGE 06/30/03 06/30/02 06/30/01
5 COLONIAL PARK CARE CENTER 12/31/02 12/31/01 12/31/00
5 CORNWALL MANOR 12/31/02 12/31/01 12/31/00
5 CORRY MANOR 12/31/03 12/31/02 12/31/01
5 EASTON NURSING CENTER 12/31/02 12/31/01 12/31/00
5 ECC RETIREMENT VILLAGE--ALBRIGHT CAMPUS 12/31/02 12/31/01 12/31/00
5 EDINBORO MANOR 12/31/03 12/31/02 12/31/01
5 EPHRATA MANOR 12/31/02 12/31/01 12/31/00
5 FAIRMOUNT HOMES 06/30/03 06/30/02 06/30/01
5 FAIRVIEW MANOR 12/31/03 12/31/02 12/31/01
5 FELLOWSHIP MANOR 06/30/03 06/30/02 06/30/01
5 FREY VILLAGE 12/31/02 12/31/01 12/31/00
5 HAMILTON ARMS CENTER 06/30/03 06/30/02 06/30/01
5 HANOVER HALL 12/31/02 12/31/01 12/31/00
5 HARRISON SENIOR LIVING OF CHRISTIANA 12/31/02 12/31/01 12/31/00
5 HIGHLAND MANOR NURSING AND CONVAL    CENTER 06/30/03 06/30/02 06/30/01
5 HOLY FAMILY MANOR 12/31/02 12/31/01 12/31/00
5 HOMEWOOD AT PLUM CREEK 12/31/02 12/31/01 12/31/00
5 IHS OF ERIE AT BAYSIDE 12/31/02 12/31/01 12/31/00
5 JEWISH HOME OF EASTERN PENNSYLVANIA 12/31/02 12/31/01 12/31/00
5 JEWISH HOME OF GREATER HARRISBURG 06/30/03 06/30/02 06/30/01
5 KINGSTON COMMONS 12/31/02 12/31/01 12/31/00
5 KUTZTOWN MANOR 06/30/03 06/30/02 06/30/01
5 LANCASHIRE HALL 12/31/02 12/31/01 12/31/00
5 LAUREL CENTER 12/31/03 12/31/02 12/31/01
5 LEBANON VALLEY BRETHREN HOME 12/31/02 12/31/01 12/31/00
5 LEHIGH CENTER 06/30/03 06/30/02 06/30/01
5 LIBERTY NURSING AND REHAB CENTER 06/30/03 06/30/02 06/30/01
5 LITTLE FLOWER MANOR OF DIOCESE    SCRANTON 12/31/02 12/31/01 12/31/00
5 LUTHERAN HOME AT TOPTON 12/31/02 12/31/01 12/31/00
5 MAHONING VALLEY NURSING AND REHAB    CENTER 12/31/03 12/31/02 12/31/01
5 MANORCARE HEALTH SVCS--ALLENTOWN 12/31/02 12/31/01 12/31/00
5 MANORCARE HEALTH SVCS--BETHLEHEM I 12/31/02 12/31/01 12/31/00
5 MANORCARE HEALTH SVCS--BETHLEHEM II 12/31/02 12/31/01 12/31/00
5 MANORCARE HEALTH SVCS--CAMP HILL 12/31/02 12/31/01 12/31/00
5 MANORCARE HEALTH SVCS--CARLISLE 12/31/02 12/31/01 12/31/00
5 MANORCARE HEALTH SVCS--DALLASTOWN 12/31/02 12/31/01 12/31/00
5 MANORCARE HEALTH SVCS--EASTON 12/31/02 12/31/01 12/31/00
5 MANORCARE HEALTH SVCS--KINGSTON 12/31/02 12/31/01 12/31/00
5 MANORCARE HEALTH SVCS--KINGSTON COURT 06/30/03 06/30/02 06/30/01
5 MANORCARE HEALTH SVCS--LANCASTER 12/31/02 12/31/01 12/31/00
5 MANORCARE HEALTH SVCS--LAURELDALE 12/31/02 12/31/01 12/31/00
5 MANORCARE HEALTH SVCS--LEBANON 12/31/02 12/31/01 12/31/00
5 MANORCARE HEALTH SVCS--SINKING SPRING 12/31/02 12/31/01 12/31/00
5 MANORCARE HEALTH SVCS--WEST READING    NORTH 12/31/02 12/31/01 12/31/00
5 MANORCARE HEALTH SVCS--YORK NORTH 06/30/03 06/30/02 06/30/01
5 MANORCARE HEALTH SVCS--YORK SOUTH 06/30/03 06/30/02 06/30/01
5 MAPLE FARM NURSING CENTER 06/30/03 06/30/02 06/30/01
5 MEADOWS NURSING CENTER 06/30/03 06/30/02 06/30/01
5 MENNONITE HOME, THE 06/30/03 06/30/02 06/30/01
5 MESSIAH VILLAGE 06/30/03 06/30/02 06/30/01
5 MIFFLIN CENTER 12/31/03 12/31/02 12/31/01
5 MORAVIAN MANOR 12/31/02 12/31/0112/31/00
5 MOUNTAIN VIEW CARE CENTER 06/30/03 06/30/02 06/30/01
5 OLD ORCHARD HEALTH CARE CENTER 12/31/02
5 ORANGEVILLE NURSING AND REHAB CENTER 12/31/02 12/31/01 12/31/00
5 PHOEBE BERKS HEALTH CARE CENTER, INC 06/30/03 06/30/02 06/30/01
5 PLEASANT VIEW RETIREMENT COMMUNITY 12/31/03 12/31/02 12/31/01
5 QUARRYVILLE PRESBYTERIAN HOME 06/30/03 06/30/02 06/30/01
5 REST HAVEN--YORK 06/30/03 06/30/02 06/30/01
5 RIVERSTREET MANOR 12/31/03 12/31/02 12/31/01
5 SAINT ANNE'S RETIREMENT COMMUNITY 06/30/03 06/30/02 06/30/01
5 SAINT MARY'S EAST 12/31/02 12/31/01 12/31/00
5 SHIPPENSBURG HEALTH CARE CENTER 12/31/02 12/31/01 12/31/00
5 SLATE BELT NURSING AND REHAB CENTER 06/30/03 06/30/02 06/30/01
5 SPRUCE MANOR NURSING AND REHAB CENTER 06/30/03 06/30/02 06/30/01
5 SUMMIT HEALTH CARE CENTER, INC 12/31/02 12/31/01 12/31/00
5 SUSQUEHANNA VALLEY NURSING AND REHAB    CTR 12/31/02 12/31/01 12/31/00
5 TAYLOR NURSING AND REHAB CENTER 06/30/03 06/30/02 06/30/01
5 THE MANOR AT PERRY VILLAGE 12/31/02 12/31/01 12/31/00
5 THE MANOR AT SUSQUEHANNA VILLAGE 12/31/02 12/31/01 12/31/00
5 THE PAVILION AT ST LUKE VILLAGE 12/31/02 12/31/01 12/31/00
5 TWINBROOK MEDICAL CENTER 06/30/03 06/30/02 06/30/01
5 VILLA TERESA 12/31/02 12/31/01 12/31/00
5 WEATHERWOOD--CARBON COUNTY NH &    REHAB CTR 12/31/02 12/31/01 12/31/00
5 WESLEY VILLAGE 12/31/02 12/31/01 12/31/00
PG5 Resident Care
Median
Other Resident Rltd Median Administrative Median
$79.60
$30.90 $15.90
PG5 Resident Care
Price
Other Resident Rltd Price Administrative Price
$93.13
$34.61 $16.54

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