Subchapter K. EXCEPTIONAL PAYMENT FOR NURSING FACILITY ...

12OVERLOOK MEDICALCLINIC INC12/31/02 12/31/01 12/31/0012 PAVILION AT BRMC 06/30/03 06/30/02 06/30/0112 ROLLING HILLS MANOR 06/30/03 06/30/02 06/30/0112 SAYRE HOUSE, INC 06/30/03 06/30/02 06/30/0112 SCENERY HILL MANOR 12/31/02 12/31/01 12/31/0012SHENANGO PRESBYTERIAN12/31/03HOME12/31/02 12/31/0112SHEPHERD’S CHOICE OFGETTYSBURG, THE12/31/02 12/31/01 12/31/0012 SHOOK HOME, THE 12/31/02 12/31/01 12/31/0012SILVER OAKS NURSINGCENTER12/31/02 12/31/01 12/31/0012SNYDER MEMORIALHEALTH CARE CENTER12/31/02 12/31/01 12/31/0012 SUGAR CREEK REST 06/30/03 06/30/02 06/30/0112TRINITY MISSION HEALTHAND REHAB12/31/01 12/31/00 12/31/9912WESTMINSTER WOODS ATHUNTINGDON12/31/03 12/31/02 12/31/0112 ZENDT HOME, THE 06/30/03 06/30/02 06/30/01PG12PG12Resident CareMedianOther ResidentRltd MedianAdministrativeMedian$64.08 $31.25 $13.50Resident CareOther ResidentAdministrativePriceRltd PricePrice$74.97 $35.00 $14.04MedianPeerGroupProviderNameMost RecentCost ReportEnd DateSecond MostRecentCost ReportEnd DateThird MostRecentCost ReportEnd DateFOX SUBACUTE AT1312/31/02CLARA BURKE13 FOX SUBACUTE CENTER 12/31/02 12/31/01 12/31/00GOOD SHEPHERD HOME1306/30/03 06/30/02 06/30/01LTC FACILITY, INC13 GOOD SHEPHERD HOME- 06/30/03 06/30/02 06/30/01