LTCHs That Successfully Met QRP Reporting Requirements for ...

LTCHs That Successfully Met QRP Reporting Requirements for APU FY2018

CMS populates the provider demographic information appearing on reports from the Automated Survey Processing Environment (ASPEN) system, which is updated by each state's CASPER/ASPEN coordinator and/or CMS Regional Office. If the information you see displayed is inaccurate, please contact your state's

CASPER/ASPEN coordinator or CMS Regional Office. To find your Regional Office, visit CMS's Regional Office webpage and scroll down to the PDFs in the Downloads box. Additionally, to find your MAC, visit the interactive map of CMS contractors and select your state.

CCN 022001 012006 012011 012009 012010 012007 012013 012012 012014 012008 042011 042012 042008 042004 042010 042009 042006 032004 032000 032002 032006 032005 032001 052043 052031 052056 052038 052032 052037 052045 052039 052052 052049 052036 052034 052050 052035 052054 052047

Provider Name ALASKA SPECIALTY HOSPITAL LLC Infirmary LTAC Hospital Noland Hospital Anniston II, LLC Noland Hospital Birmingham II, LLC Noland Hospital Dothan II, LLC Noland Hospital Montgomery II, LLC Noland Hospital Shelby II, LLC Noland Hospital Tuscaloosa II, LLC North Alabama Specialty Hospital Select Specialty Hospitals Inc ADVANCED CARE HOSPITAL OF WHITE COUNTY BAPTIST HEALTH EXTENDED CARE HOSP LITTLE ROCK Christus Dubuis Hospital of Fort Smith Christus Dubuis Hospital of Hot Springs Cornerstone Hospital Little Rock Regency Hospital of Northwest Arkansas LLC Select Specialty Hospital Fort Smith Cornerstone Hospital Southeast Arizona Curahealth Phoenix Curahealth Tucson Promise Hospital of Phoenix, Inc Select Specialty Hospital Arizona Inc Select Specialty Hospital Phoenix 1125 Sir Francis Drake Operating Co, LLC Barlow Respiratory Hospital KENTFIELD HOSPITAL SAN FRANCISCO Kindred Hospital - La Mirada Kindred Hospital - Los Angeles Kindred Hospital - Ontario Kindred Hospital Baldwin Park Kindred Hospital Brea Kindred Hospital of Riverside Kindred Hospital Rancho Kindred Hospital -San Diego Kindred Hospital San Francisco Bay Area Kindred Hospital South Bay Kindred Hospital Westminster Monrovia Memorial Hospital Northern California Rehabilitation Hospital

Provider Address 1 ST ELIAS SPECIALTY HOSPITAL 5 MOBILE INFIRMARY CIRCLE 400 EAST 10 TH ST. - 4TH FLOOR 50 MEDICAL PARK EAST DRIVE, 1108 ROSS CLARK CIRCLE 1725 PINE ST 1000 FIRST STREET NORTH 809 UNIVERSITY BLVD., EAST, 700 West Market Street 800 MONTCLAIR ROAD 1200 SOUTH MAIN STREET 9601 INTERSTATE 630, EXIT 7 7301 ROGERS AVE #4 300 WERNER ST #3 2 St. Vincent Circle, 6th Floor 1125 N COLLEGE AVENUE 1001 TOWSON AVENUE 7220 E ROSEWOOD ST 40 E INDIANOLA AVE 355 North Wilmont Road 433 E 6TH STREET 7400 E OSBORN RD 350 WEST THOMAS ROAD 3RD FLOOR 1125 SIR FRANCES DRAKE BLVD 2000 STADIUM WAY 450 Stanyan St 14900 IMPERIAL HWY 5525 W SLAUSON AVE 550 N MONTEREY AVE 14148 EAST FRANCISQUITO AVE 875 N BREA BLVD 2224 MEDICAL CENTER DRIVE 10841 WHITE OAK AVE 1940 EL CAJON BLVD 2800 BENEDICT DR 1246 WEST 155TH STREET 200 HOSPITAL CIR 323 S. HELIOTROPE AVENUE 2801 EUREKA WAY

- 1 -

Provider Address 2 4800 CORDOVA ST

8TH FLOOR 4TH FLOOR 6th Floor, North Wing THIRD FLOOR 4TH FLOOR 2nd floor 9TH FLOOR

FOURTH FLOOR

3RD FLOOR

City ANCHORAGE MOBILE ANNISTON BIRMINGHAM DOTHAN MONTGOMERY ALABASTER TUSCALOOSA Athens BIRMINGHAM SEARCY LITTLE ROCK FORT SMITH HOT SPRINGS Little Rock FAYETTEVILLE FORT SMITH TUCSON PHOENIX TUCSON MESA SCOTTSDALE PHOENIX KENTFIELD LOS ANGELES SAN FRANCISCO LA MIRADA LOS ANGELES ONTARIO BALDWIN PARK BREA PERRIS RANCHO CUCAMONGA SAN DIEGO SAN LEANDRO GARDENA WESTMINSTER MONROVIA REDDING

State AK AL AL AL AL AL AL AL AL AL AR AR AR AR AR AR AR AZ AZ AZ AZ AZ AZ CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

Zip 99503 36607 36207 35261 36301 36106 35007 35401 35611 35213 72143 72205 72903 71913 72205 72703 72901 85710 85012 85711 85203 85251 85013 94904 90026 94117 90638 90056 91764 91706 92821 92571 91730 92104 94577 90247 92683 91016 96001

LTCHs That Successfully Met QRP Reporting Requirements for APU FY2018

CCN 052046 052051 052033 052044 062012 062011 062015 062013 062009 062016 062017 062014 072003 072004 092002 092003 082000 102021 102018 102027 102013 102009 102015 102019 102010 102025 102032 102028 102029 102031 102024 102030 102003 102017 102020 102016 102023 102022 102012 102026 102001

Provider Name Promise Hospital of East Los Angeles LP Promise Hospital of San Diego Vibra Hospital of Sacramento Vibra Hospital of San Diego Colorado Acute Long Term Hospital Craig Hospital (0101) Kindred Hospital - Denver South Kindred Hospital Aurora Kindred Hospital Denver Kindred Hospital-Colorado Springs Northern Colorado Long Term Acute Hospital Vibra Hospital Denver Gaylord Hospital Hospital for Special Care Specialty Hospital Capitol Hill Specialty Hospital Hadley Select Specialty Hospital Wilmington Inc Baycare Alliant Hospital COMPLEX CARE HOSPITAL AT RIDGELAKE Kindred Development 17, LLC Kindred Hospital - Central Tampa Kindred Hospital Bay Area Tampa Kindred Hospital North Florida Kindred Hospital Ocala Kindred Hospital South Florida Ft Lauderdale Kindred Palm Beaches Landmark Hospital of Southwest Florida, Inc. Promise Hospital of Florida at the Villages, Inc. Promise Hospital of Fort Myers Promise Hospital of Miami Select Hospital Pensacola Select Specialty Hospital - Daytona Beach Select Specialty Hospital Orlando Inc Select Specialty Hospital Panama City Inc Select Specialty Hospital Tallahassee Inc Sister Emmanuel Hospital Specialty Hospital - Palm Beach Specialty Hospital Gainesville Specialty Hospital Jacksonville UCH LTACH Connorton Victoria Healthcare Inc

112009 112012 112006 112010

American Transitional Hospitals Inc Columbus Speciality Hospital, Inc. Decatur Hospital Resources, Inc. Kindred Hospital Rome

Provider Address 1 443 S SOTO ST 5550 UNIVERSITY AVENUE 330 MONTROSE DR 555 WASHINGTON STREET 1690 N. MEADE STREET 3425 SOUTH CLARKSON ST. 2525 South Downing Street, 3rd Floor 700 POTOMAC ST 1920 HIGH STREET 6001 East Woodmen Road, 6th Floor 4401 A UNION STREET 8451 PEARL ST 50 Gaylord Farm Road 2150 Corbin Avenue 700 CONSTITUTION AVE NE 4601 MARTIN LUTHER KING JR AVE 7TH AND CLAYTON ST 601 MAIN STREET 6150 EDGE LAKE DRIVE 765W NASA BLVD 4801 NORTH HOWARD AVE 4555 S MANHATTAN AVE 801 OAK ST 1500 SW 1st Ave 5th Floor 1516 E LAS OLAS BLVD 5555 W. BLUE HERON BLVD. 1285 Creekside Blvd East 5050 COUNTY ROAD 472 3050 Champion Ring Road 14001 NW 82nd Avenue 7000 COBBLE CREEK DRIVE 301 Memorial Medical Parkway 2250 BEDFORD ROAD 615 N BONITA AVE 1554 SURGEONS DRIVE 3663 S. MIAMI AVENUE 4TH FLOOR 3060 MELALEUCA LANE 2708 SW ARCHER ROAD 4901 Richard St 9441 HEALTH CENTER DRIVE 955 NW 3RD ST

550 PEACHTREE STREET NE 710 CENTER STREET, 9TH FLOOR 450 NORTH CHANDLER STREET 320 TURNER MCCALL BLVD, SW

- 2 -

Provider Address 2 2nd Floor SW 5TH FLOOR

7TH FLOOR WOODRUFF BUILDING

City LOS ANGELES SAN DIEGO FOLSOM SAN DIEGO DENVER ENGLEWOOD Denver AURORA DENVER Colorado Springs JOHNSTOWN THORNTON Wallingford New Britain WASHINGTON WASHINGTON WILMINGTON DUNEDIN SARASOTA MELBOURNE TAMPA TAMPA GREEN COVE SPRINGS Ocala FT LAUDERDALE RIVIERA BEACH Naples OXFORD Fort Myers Miami Lakes PENSACOLA Daytona Beach ORLANDO PANAMA CITY TALLAHASSEE MIAMI LAKE WORTH GAINESVILLE JACKSONVILLE LAND OLAKES MIAMI

ATLANTA COLUMBUS DECATUR ROME

State CA CA CA CA CO CO CO CO CO CO CO CO CT CT DC DC DE FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL

Zip 90033 92105 95630 92103 80204 80113 80218 80011 80218 80923 80537 80229 06492 06053 20002 20032 19805 34698 34240 32901 33603 33611 32043 34474 33301 33418 34108 34484 33905 33016 32504 32117 32803 32401 32308 33133 33461 32608 32207 34637 33128

GA 30308 GA 31901 GA 30030 GA 30165

LTCHs That Successfully Met QRP Reporting Requirements for APU FY2018

CCN 112017 112018 112016 112014 112000 112013 112004 112011 112005 112003 112015 112007 122001 162002 162003 162001 132001 132003 132002 142013 142009 142008 142006 142011 142010 142014 152025 152008 152007 152013 152018 152012 152024 152014 152016 152020 152027 152028 172003 172004 172005 172007 182005 182009 182006 182008

Provider Name Landmark Hospital of Athens, LLC Landmark Hospital of Savannah LLC Regency Hospital Company of Macon LLC Regency Hospital of South Atlanta LLC Roosevelt Warm Springs LTAC Hospital Select Specialty Hospital Augusta Inc Select Specialty Hospital Midtown Atlanta Select Specialty Hospital Savannah Inc Select Sprecialty Hospital-NE Atl Shepherd Center, Inc. Southern Crescent Hospital for Specialty Care Wellstar Windy Hill Hospital Leahi Hospital Continuing Care Hospital at St Luke's Select Specialty Hospital Des Moines Select Specialty Hospital Quad Cities Inc Northern Idaho Advanced Care Hospital SOUTHWEST IDAHO ADVANCED CARE HOSPITAL INC Vibra Hospital of Boise Greater Peoria Specialty Hospital Kindred Chicago Central Hospital Kindred Hospital Chicago Kindred Hospital Sycamore Presence Holy Family Medical Center RM Health Providers, LP Vibra Hospital of Springfield Central Indiana AMG Specialty Hospital Kindred Hospital - Indianapolis South Kindred Hospital Indianapolis Kindred Hospital Indianapolis North Kindred Hospital Northern Indiana Kindred Hospital Northwest Indiana Regency Hospital of Northwest Indiana LLC Select Specialty Hospital Evansville LLC Select Specialty Hospital Fort Wayne Inc St Vincent Seton Specialty Hospital Indianapolis VIBRA HOSPITAL OF FORT WAYNE Vibra Hospital of Northwestern Indiana LLC LTAC Hospital of Wichita Promise Hospital of Overland Park Select Specialty Hospital Kansas City Inc Select Specialty Hospital Wichita Inc Commonwealth Regional Specialty Hospital Continuecare Hospital at Baptist Health ContinueCare Hospital at Baptist Health Corbin ContinueCare Hospital at Baptist Health Puducah Inc.

Provider Address 1 775 SUNSET DRIVE 800 E 68th St 700 SPRING ST 1170 CLEVELAND AVE 6135 ROOSEVELT HWY 1537 WALTON WAY 705 Juniper Street 5353 REYNOLDS ST 1821 CLIFTON ROAD, NE 2020 PEACHTREE ROAD NW 11 UPPER RIVERDALE ROAD SW 2540 WINDY HILL ROAD 3675 KILAUEA AVENUE 1026 A AVENUE NORTHEAST 1111 6th Ave 1111 WEST KIMBERLY ROAD 600 N CECIL ROAD 6651 WEST FRANKLIN ROAD 2131 S BONITO WAY 500 W ROMEO B GARRETT AVE 4058 W MELROSE ST 365 EAST NORTH AVE 225 EDWARD ST 100 NORTH RIVER ROAD 5601 SOUTH COUNTY LINE ROAD 701 N WALNUT ST 2401 W University Ave 5th Floor East Tower 607 GREENWOOD SPRINGS DR 1700 W 10TH ST 8060 Knue Road 215 W 4TH ST STE 200 5454 HOHMAN AVE 4321 FIR STREET FOURTH FLOOR 400 SE 4TH ST 700 BROADWAY 8050 TOWNSHIP LINE RD 2200 RANDALLIA DR 9509 Georgia St 8080 E PAWNEE STREET 6509 W 103RD ST 8929 PARALLEL PKWY 929 N SAINT FRANCIS, 6TH FLOOR NORTH 250 PARK STREET 900 Hospital Dr. 4th ONE TRILLIUM WAY LOWER LEVEL 2501 Kentucky Ave

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Provider Address 2 FOURTH FLOOR 6TH FLOOR SIXTH FLOOR 4th Floor

7TH FL EAST 5TH FL 6TH FLOOR 5th Floor

City ATHENS Savannah MACON EAST POINT WARM SPRINGS AUGUSTA ATLANTA SAVANNAH ATLANTA ATLANTA RIVERDALE MARIETTA HONOLULU CEDAR RAPIDS Des Moines DAVENPORT POST FALLS BOISE MERIDIAN PEORIA CHICAGO NORTHLAKE SYCAMORE DES PLAINES HINSDALE SPRINGFIELD MUNCIE GREENWOOD INDIANAPOLIS Indianapolis MISHAWAKA HAMMOND EAST CHICAGO EVANSVILLE FORT WAYNE INDIANAPOLIS FORT WAYNE CROWN POINT WICHITA OVERLAND PARK KANSAS CITY WICHITA BOWLING GREEN Madisonville CORBIN Paducah

State GA GA GA GA GA GA GA GA GA GA GA GA HI IA IA IA ID ID ID IL IL IL IL IL IL IL IN IN IN IN IN IN IN IN IN IN IN IN KS KS KS KS KY KY KY KY

Zip 30306 31405 31201 30344 31830 30904 30308 31405 30329 30309 30274 30067 96816 52402 50314 52806 83854 83709 83642 61605 60641 60164 60178 60016 60521 62702 57303 46143 46222 46250 46544 46320 46312 47713 46802 46260 46805 46307 67207 66212 66112 67214 42101 42431 40701 42003

LTCHs That Successfully Met QRP Reporting Requirements for APU FY2018

CCN 182002 182001 182004 182003 192012 192006 192013 192031 192009 192008 192043 192040 192037 192055 192032 192011 192035 192034 192007 192015 192029 192019 192022 192048 192036 192033 192028 192004 192049 192010 192051 192046 192052 192016 192030 192041 222043 222003 222045 222044 222002 222007 222027 222000 222046 222023

Provider Name Continuing Care Hospital at St Joseph East Kindred Hospital Louisville Select Specialty Hospital - Northern Kentucky Select Specialty Hospital Lexington Inc Christus Dubuis Hospital of Alexandria Cornerstone Hospital of Bossier City LLC Cornerstone Hospital of Southwest Louisiana Cornerstone Hospital of West Monroe LLC Curahealth New Orleans Denham Springs - AMG Specialty Hospital HealthSouth Riverside Hospital Holy Spirit Comfort & Healing Centers Inc Houma-AMG Specialty Hospital LHCG-X, LLC LHCG-XII, LLC LifeCare Hospitals of Shreveport LLC-1 LLC LLC-II LLC Louisiana Continuing Care Hospital Louisiana Extended Care Hospital of Kenner, L LTAC of Louisiana, LLC Memorial Specialty Hospital New LifeCare Specialty Hospital of North Louisiana PAM II of Covington, LLC PAM Specialty Hospital of Hammond Post Acute Specialty Hospital of Lafayette Professional Rehabilitation Hospital Promise Hospital Baton Rouge Promise Hospital of Baton Rouge Inc Promise Hospital of Louisiana, Inc. Regency Hospital of Covington, LLC Slidell AMG Specialty Hospital Speciality Hospital of Winnfield Specialty Hospital St Theresa Specialty Hospital Zachary-AMG Specialty Hospital 4499 Acushnet Avenue Operating Company, LLC Commonwealth of Massachusetts CuraHealth Boston CuraHealth Boston North Shore CuraHealth Stoughton Hebrew Rehabilitation Center New England Sinai Hospital Spaulding Hospital Cambridge, Inc. Vibra Hospital of Western Massachusetts Western Massachusetts Hospital

Provider Address 1 1 St Joseph Hospital Drive 1313 SAINT ANTHONY PL 85 NORTH GRAND AVENUE 310 S LIMESTONE STREET 3330 MASONIC DR 4900 MEDICAL DR 703 CYPRESS ST 6198 CYPRESS STREET 3601 COLISEUM ST 8375 FLORIDA BOULEVARD 211 4TH STREET, FIFTH FLOOR 719 AVE. G 629 DUNN ST 503 MCMILLAN ROAD 3RD FLOOR 1214 COOLIDGE STREET 8TH FLOOR 9320 LINWOOD AVENUE 501 KEYSER AVENUE 4TH FLOOR 901 Hugh Wallis Road S 1101 Medical Center Blvd 180 WEST ESPLANADE, 5TH FLOOR 310 YOUNGSVILLE HWY. 524 Dr Michael Debakey Dr 1401 EZELL STREET 20050 CRESTWOOD BLVD. 42074 VETERANS AVE 204 ENERGY PARKWAY 209 FRONT STREET 5130 MANCUSO LN 3600 Florida Blvd 4 1800 IRVING PLACE, SUITE 100 195 HIGHLAND PARK ENTRANCE 1400 LINDBERG DR 915 1ST ST 309 JACKSON ST 3601 LOYOLA DRIVE 4601 McHugh Rd Bldg B 4499 ACUSHNET AVE 365 EAST ST 1515 COMMONWEALTH AVE 15 KING ST 909 SUMNER ST 1200 CENTRE ST 150 YORK STREET 1575 CAMBRIDGE STREET 1400 STATE STREET 91 EAST MOUNTAIN ROAD

- 4 -

Provider Address 2 4th Floor 3RD FLOOR CENTER 3RD FLOOR 4TH FL

7th Floor 3rd Floor

7TH FLOOR

1ST FLOOR

City Lexington LOUISVILLE FORT THOMAS LEXINGTON ALEXANDRIA BOSSIER CITY SULPHUR WEST MONROE NEW ORLEANS DENHAM SPRINGS ALEXANDRIA KENTWOOD HOUMA WEST MONROE LAFAYETTE SHREVEPORT NATCHITOCHES Lafayette Marrero KENNER LAFAYETTE LAKE CHARLES RUSTON COVINGTON HAMMOND LAFAYETTE VIDALIA BATON ROUGE BATON ROUGE SHREVEPORT COVINGTON SLIDELL WINNFIELD MONROE KENNER Zachary NEW BEDFORD TEWKSBURY BOSTON PEABODY STOUGHTON ROSLINDALE STOUGHTON CAMBRIDGE SPRINGFIELD WESTFIELD

State KY KY KY KY LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA MA MA MA MA MA MA MA MA MA MA

Zip 40504 40204 41057 40508 71301 71112 70663 71291 70115 70726 71301 70444 70360 71291 70505 71106 71457 70508 70072 70065 70508 70601 71270 70433 70403 70508 71373 70809 70806 71101 70433 70458 71483 71201 70065 70791 02745 01876 02135 01960 02072 02131 02072 02138 01109 01085

LTCHs That Successfully Met QRP Reporting Requirements for APU FY2018

CCN 222047 222048 212003 212002 232034 232021 232026 232036 232027 232020 232039 232024 232031 232032 232012 232038 232035 232023 232030 232033 232037 232029 232019 242004 242005 262013 262011 262018 262010 262021 262015 262020 262016 262019 262014 262017 252013 252011 252010 252008 252006 252012 252009 252004 252003 252005

Provider Name Whittier Rehab Hospital Whittier Rehabilitation Hospital Deers Head Center WESTERN MARYLAND HOSPITAL CENTER Borgess Pipp Hospital Great Lakes Specialty Hospital Hackley LLC Great Lakes Specialty Hospital Oak LLC Henry Ford Allegiance Carelink Kindred Hospital Detroit McLaren Bay Special Care Pioneer Specialty Hospital Select Speciality Hospital Ann Arbor Inc Select Specialty Downriver LLC Select Specialty Hosp NW Detroit Select Specialty Hospital Flint Inc Select Specialty Hospital Grosse Pointe Inc Select Specialty Hospital Kalamazoo Inc Select Specialty Hospital Macomb Select Specialty Hospital Pontiac Inc Select Specialty Hospital Saginaw Inc Sparrow Specialty Hospital Spectrum Health-Kent Community Campus Vibra of Southeastern Michigan Healtheast Bethesda Hospital Regency Hospital of Minneapolis LLC Intensiva Hospital of Great St Louis Inc Kindred Hospital Kansas City Kindred Hospital Northland Kindred Hospital St Louis Kindred Hospital St Louis at Mercy Landmark Hospital of Cape Girardeau Landmark Hospital of Columbia LLC Landmark Hospital of Joplin LLC Long Term Acute Care Hospital Mosaic Life Care at St Joseph Select Specialty Hospital - Western Missouri Select Specialty Hospital Springfield ALLEGIANCE SPECIALTY HOSPITAL OF GREENVILLE LLC Batesville Hospital Management, Inc. LTAC Hospital Of Greenwood LLC Promise Hospital of Vicksburg, Inc. Regency Hospital Company of Meridian LLC Regency Hospital of Jackson LLC Regency Hospital of Southern Mississippi LLC Rush Care, Inc. Select Specialty Hospital - Belhaven Select Specialty Hospital Gulf Coast Inc

Provider Address 1 145 WARD HILL AVE 150 FLANDERS RD EMERSON AVENUE, PO BOX 2018 1500 PENNSYLVANIA AVE 411 NAOMI ST 1700 CLINTON ST 1700 OAK AVENUE 110 N ELM AVE 4777 E OUTER DR 3250 E MIDLAND RD 50 N Perry St 5301 E HURON RIVER DR 10000 TELEGRAPH ROAD 6071 WEST OUTER DRIVE 401 SOUTH BALLENGER HWY 159 KERCHIVAL AVENUE 601 JOHN STREET 215 NORTH AVENUE STE 200 44405 WOODWARD AVENUE 1447 N HARRISON ST 1215 E Michigan Ave 750 FULLER AVENUE NORTHEAST 26400 WEST OUTER DR 559 Capital Blve 1300 HIDDEN LAKES PKWY 300 1ST CAPITOL DRIVE 8701 TROOST AVE 500 NW 68TH ST 4930 LINDELL BLVD 615 S New Ballas Rd 3255 INDEPENDENCE ST 604 OLD 63 N 2040 W 32ND ST 5325 FARAON STREET 2316 E MEYER BLVD 3 WEST 1630 E PRIMROSE ST 300 SOUTH WASHINGTON AVENUE 3RD FLOOR 303 MEDICAL CENTER DRIVE 1401 RIVER ROAD, 2ND FLOOR 1111 NORTH FRONTAGE ROAD 3RD F 1102 CONSTITUTION AVE 2ND FLR 969 LAKELAND DR 220 27TH AVENUE 1314 19TH AVENUE 1225 NORTH STATE STREET 1520 BROAD AVE

- 5 -

Provider Address 2

2 SOUTH 3RD FLOOR 5th Floor 7TH FL 2ND FLOOR 7TH FLOOR

8TH FLOOR 7TH AND 8TH FLOORS 8W Sparrow Hospital Tower

7th Floor

6TH FLOOR SUITE 300

City BRADFORD WESTBOROUGH SALISBURY HAGERSTOWN PLAINWELL MUSKEGON MUSKEGON JACKSON DETROIT BAY CITY Pontiac YPSILANTI TAYLOR DETROIT FLINT GROSSE POINTE KALAMAZOO MOUNT CLEMENS PONTIAC SAGINAW LANSING GRAND RAPIDS LINCOLN PARK St Paul GOLDEN VALLEY ST CHARLES KANSAS CITY KANSAS CITY ST LOUIS Saint Louis CAPE GIRARDEAU COLUMBIA JOPLIN SAINT JOSEPH KANSAS CITY SPRINGFIELD GREENCILLE BATESVILLE GREENWOOD VICKSBURG MERIDIAN JACKSON HATTIESBURG MERIDIAN JACKSON GULFPORT

State MA MA MD MD MI MI MI MI MI MI MI MI MI MI MI MI MI MI MI MI MI MI MI MN MN MO MO MO MO MO MO MO MO MO MO MO MS MS MS MS MS MS MS MS MS MS

Zip 01835 01581 21801 21740 49080 49442 49442 49202 48234 48706 48342 48197 48180 48235 48503 48236 49007 48043 48341 48602 48912 49503 48146 55103 55422 63301 64131 64118 63108 63141 63701 65201 64804 64506 64132 65804 38701 38606 38930 39180 39301 39216 39401 39301 39202 39501

LTCHs That Successfully Met QRP Reporting Requirements for APU FY2018

CCN 252007 272001 342017 342015 342021 342019 342014 342012 342013 342018 342016 342020 352005 352004 282000 282003 282002 282001 312023 312017 312024 312020 312022 312014 312019 312018 322004 322003 322002 292006 292008 292002 292007 292004 292003 332006 332008 332022 362035 362032 362025 362007 362038 362015 362033 362021

Provider Name Select Specialty Hospital Jackson Inc Advanced Care Hospital of Montana Inc Asheville Specialty Hospital Carolinas ContinueCare Hospital at Pineville CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY Crawley Memorial Hospital Inc. Highsmith-Rainey Specialty Hospital Kindred Hospital-Greensboro Lifecare Hospital of North Carolina Select Specialty Hospital Durham Inc Select Specialty Hospital Winston Salem Inc Specialty Hospital Greensboro Vibra Hospital of Central Dakotas Vibra Hospital of Fargo Madonna Rehabilitation LTC Hospital Madonna Rehabilitation Specialty Hospital Omaha Select Specialty Hospital Lincoln Select Specialty Hospital Omaha Inc Acuity Specialty Hospital of New Jersey Acutecare Health System LLC Columbus Hospital LTACH Kindred Hospital New Jersey Morris County LOURDES SPECIALTY HOSPITAL OF SOUTHERN NJ Matheny School Select Specialty Hospital Northeast New Jerse The Rehabilitation Hosp at Raritan Bay Medic Advanced Care Hospital of Southern New Mexico Albuquerque - AMG Specialty Hospital Kindred Hospital - Albuquerque Complex Care Hospital at Tenaya ContinueCare Hospital of Carson/Tahoe Kindred Hospital Las Vegas Sahara Campus Las Vegas AMG Specialty Hospital Tahoe Pacific Hospital THI Of Nevada II at Desert Lane, LLC Calvary Hospital, Inc. HHC Goldwater Memorial Hosp Terence Cardinal Cooke Health Care Center Acuity Special Hospital Ohio Valley Acute Care Specialty Hospital at Aultman LLC Community Specialty Hospital Eden Springs Healthcare Center Garden II Leasing Co, LLC Grace Hospital Kindred Hospital - Dayton Kindred Hospital Central Ohio

Provider Address 1 5903 RIDGEWOOD ROAD 3528 GABEL ROAD 428 BILTMORE AVENUE 10648 Park Rd 8800 N Tyron St 706 West King Street 150 ROBESON ST 2401 S SIDE BLVD 1031 NOELL LN 3643 NORTH ROXBORO ROAD 3333 SILAS CREEK PARKWAY 1200 NORTH ELM STREET 1000 18th St NW 1720 UNIVERSITY DR S 5401 SOUTH ST 17500 Burke St 2300 S 16th St 1870 S 75TH STREET 1925 PACIFIC AVENUE 5TH FLOOR 300 SECOND AVENUE GREENWALL 6 495 NORTH 13TH STREET 400 W BLACKWELL ST 218 A SUNSET ROAD MAIN STREET 96 PARKWAY 530 NEW BRUNSWICK AVE FLOOR 2 GREEN 4451 EAST LOHMAN AVE. 235 ELM STREET NE 700 HIGH STREET NE 2500 NORTH TENAYA WAY 775 FLEISCHMANN WAY 5110 W SAHARA AVE 4015 Mcleod Drive 10405 DOUBLE R BOULEVARD 640 DESERT LANE 1740 EASTCHESTER ROAD 1752 Park Avenue 1249 FIFTH AVENUE 4697 Harrison St 2600 SIXTH STREET SW 254 Cleveland Ave Fl 2 401 NORTH BROADWAY 1015 GARDEN LAKE PARKWAY 20000 Harvard Road 713 E Anderson St 335 GLESSNER AVENUE

- 6 -

Provider Address 2 4TH FLOOR 2nd Floor 6TH FLOOR 5TH FLOOR 2ND FLOOR 4th Floor #7

Fl 2

City JACKSON BILLINGS ASHEVILLE CHARLOTTE CHARLOTTE Kings Mountain FAYETTEVILLE GREENSBORO ROCKY MOUNT DURHAM WINSTON SALEM GREENSBORO MANDAN FARGO LINCOLN Omaha Lincoln OMAHA ATLANTIC CITY LONG BRANCH NEWARK DOVER WILLINGBORO PEAPACK ROCHELLE PARK PERTH AMBOY LAS CRUCES ALBUQUERQUE ALBUQUERQUE LAS VEGAS CARSON CITY LAS VEGAS LAS VEGAS RENO LAS VEGAS BRONX New York NEW YORK Bellaire CANTON Amherst GREEN SPRINGS TOLEDO Warrensville Heights DAYTON MANSFIELD

State MS MT NC NC NC NC NC NC NC NC NC NC ND ND NE NE NE NE NJ NJ NJ NJ NJ NJ NJ NJ NM NM NM NV NV NV NV NV NV NY NY NY OH OH OH OH OH OH OH OH

Zip 39204 59102 28801 28210 28262 28086 28301 27406 27804 27704 27103 27401 58554 58103 68506 68118 68502 68124 08401 07740 07107 07801 08046 07977 07662 08861 88011 87102 87102 89128 89703 89146 89121 89521 89106 10461 10035 10029 43906 44710 44001 44836 43614 44122 76086 44903

LTCHs That Successfully Met QRP Reporting Requirements for APU FY2018

CCN 362020 362028 362039 362034 362037 362029 362036 362026 362027 362019 362022 362016 362040 362024 362031 362014 362023 372004 372016 372005 372023 372021 372018 372017 372009 372007 372022 372019 372012 372011 382004 392043 392028

Provider Name Kindred Hospital Lima Lifecare Hospitals of Dayton LTAC Investors LLC Regency Hospital of Cincinnati LLC Regency Hospital of Columbus Regency Hospital of North Central Ohio LLC Regency Hospital of Toledo Select Specialty Hospital - Cleveland Fairhill Select Specialty Hospital Akron LLC Select Specialty Hospital Cincinnati Inc Select Specialty Hospital Columbus Inc Select Specialty Hospital Northeast Ohio Inc SELECT SPECIALTY HOSPITAL YOUNGSTOWN BOARDMAN Select Specialty Hospital Youngstown Inc Select Specialty Hospital Zanesville Inc University Hospitals Extended Care Campus Vibra Hospital of Mahoning Valley Curahealth Oklahoma INTEGRIS BASS PAVILION LTAC Hospital of Edmond Muscogee Creek Nation Long Term Acute Care Hospital Norman Specialty Hospital Post Acute Specialty Hospital of Tulsa Rural Healthcare of Oklahoma Inc Select Specialty Hospital Oklahoma City Select Specialty Hospital Tulsa Midtown LLC SOLARA HOSPITAL MUSKOGEE Solara Hospital Shawnee LLC Specialty Hospital of Midwest City Tulsa-AMG Speciality Hospital VIBRA SPECIALTY HOSPITAL OF PORTLAND LLC CuraHealth Heritage Valley Curahealth Pittsburgh

392033 392027 392038 392041 392048 392024

Good Shepherd Specialty Hospital - Allentown Kindred Hospital Philadelphia LIFECARE HOSPITAL OF MECHANICSBURG LIFECARE HOSPITAL OF PITTSBURGH-MONROEVILLE LifeCare Hospitals of Chester County LifeCare Hospitals of Pittsburgh

392050 392025 392031 392039 392047

Philadelphia Post-Acute Partner Post Acute Medical Specialty Hospital Select Speciality Hospital Johnstown Inc Select Specialty Hospital Central PA LP Select Specialty Hospital Danville Inc

Provider Address 1 730 W MARKET ST 4000 MIAMISBURG CENTERVILLE RD 200 SCHOOL ST 10500 MONTGOMERY ROAD 1430 SOUTH HIGH STREET 4200 INTERCHANGE CORP CTR RD 5220 ALEXIS ROAD 11900 Fairhill Rd 200 E MARKET STREET 375 DIXMYTH AVE 1087 DENNISON AVE 1320 MERCY DR 8401 MARKET ST 1044 BELMONT AVE 800 FOREST AVENUE SIXTH FLOOR 12340 BASS LAKE ROAD 8049 SOUTH AVE 1407 N ROBINSON AVE 401 SOUTH THIRD 1100 E NINTH STREET 900 E. AIRPORT ROAD 1210 W ROBINSON ST 3219 SOUTH 79TH EAST AVE 2815 E JACKSON 3524 NW 56TH STREET 1125 SOUTH TRENTON 351 S. 40TH STREET 1900 GORDON COOPER DR, 2ND FLOOR 8210 National Avenue 1923 SOUTH UTICA AVENUE, 4 SOUTH 10300 NE HANCOCK STREET 1000 DUTCH RIDGE RD 2ND FLOOR 7777 STEUBENVILLE PIKE 2545 SCHOENERSVILLE ROAD 3RD AND 4TH FLOORS SOUTH 6129 PALMETTO ST 4950 WILSON LANE 2380 MCGINLEY RD 400 E MARSHALL ST 225 PENN AVENUE

1800 LOMBARD STREET-5TH FLOOR 275 North River Street, 7th Floor 320 MAIN STREET 503 NORTH 21ST STREET 100 N ACADEMY AVE

- 7 -

Provider Address 2

15TH FLOOR 2ND FLOOR 6TH FLOOR #7

2ND AND 3RD FLOORS

GOOD SHEPHERD PENN PARTNERS SP 5TH FLOOR BUSH PAVILION 3

City LIMA MIAMISBURG WINTERSVILLE CINCINNATI COLUMBUS WARRENSVILLE HEIGHTS SYLVANIA CLEVELAND AKRON CINCINNATI COLUMBUS CANTON YOUNGSTOWN YOUNGSTOWN ZANESVILLE CHARDON BOARDMAN OKLAHOMA CITY ENID EDMOND OKMULGEE NORMAN TULSA HUGO OKLAHOMA CITY TULSA MUSKOGEE SHAWNEE Midwest City TULSA PORTLAND BEAVER OAKDALE

BETHLEHEM PHILADELPHIA MECHANICSBURG MONROEVILLE WEST CHESTER PITTSBURGH

PHILADELPHIA Wilkes-Barre JOHNSTOWN CAMP HILL DANVILLE

State OH OH OH OH OH OH OH OH OH OH OH OH OH OH OH OH OH OK OK OK OK OK OK OK OK OK OK OK OK OK OR PA PA

Zip 45801 45342 43953 45219 43207 44128 43560 44120 44308 45220 43201 44708 44512 44504 43701 44024 44512 73103 73701 73034 74447 73069 74145 74743 73112 74120 74401 74801 73110 74104 97220 15009 15071

PA 18017 PA 19111 PA 17055 PA 15146 PA 19380 PA 15221

PA 19146 PA 18702 PA 15901 PA 17011 PA 17822

LTCHs That Successfully Met QRP Reporting Requirements for APU FY2018

CCN 392037 392036 392045 392044 392046 412001 422008 422006 422007 422009 422004 422005 432002 442010 442006 442007 442013 442017 442012 442014 442011 442015 442016 452040 452114 452111 452105 452057 452041 452042 452082 452113 452029 452121 452117 452107 452034 452032 452055 452102 452108 452103 452110 452051 452118 452046

Provider Name Select Specialty Hospital Erie Inc Select Specialty Hospital Laurel Highlands Select Specialty Hospital McKeesport Inc Select Specialty Hospital Pittsburgh UPMC Inc Triumph Hospital at St. Agnes Eleanor Slater Hospital GHS North Greenville Long Term Acute Care Hospital Intermedical Hospital Regency Hospital Company of South Carolina Regency Hospital of Greenville LLC Spartanburg Hospital For Vibra Hospital of Charleston Select Specialty Hospital Sioux Falls Inc BAPTIST MEMORIAL RESTORATIVE CARE HOSPITAL CuraHealth Nashville Kindred Hospital Chattanooga Methodist Extended Care Hospital, Inc. REGIONAL ONE HEALTH EXTENDED CARE HOSP Select Specialty Hospital Knoxville Inc Select Specialty Hospital Memphis Select Specialty Hospital Nashville Inc Select Specialty Hospital North Knoxville Inc Select Specialty Hospital TriCities Inc Acuity Hospital of South Texas Atrium Medical Center Atrium Medical Center at Corinth Baylor Scott & White Continuing Care Hospital Beacon Specialty Hospital Carrus Specialty Hospital Christus Continuing Care Christus Continuing Care Christus Dubuis Hospital of Bryan ContinueCare Hospital at Hendrick Medical Center ContinueCare Hospital at Medical Center Odessa ContinueCare Hospital of Midland Cornerston Hospital Conroe Cornerstone Hospital Austin Cornerstone Hospital Houston - Clear Lake Cornerstone Hospital Medical Center Covenant Specialty Hospital Dallas LTACH, LLC El Paso LTAC Hospital Ethicus Hospital - Grapevine ETMC-Specialty Hospital Houston Methodist St. Catherine Hospital Houston Specialty Hospital Inc

Provider Address 1 METRO CTR BLDG 252 W 11TH ST ONE MELLON WAY 1500 FIFTH AVENUE 200 LOTHROP ST 1900 SOUTH BROAD STREET 111 HOWARD AVE 807 NORTH MAIN STREET TAYLOR AT MARION STREETS 121 EAST CEDAR STREET 3 ST FRANCIS DR 389 SERPENTINE DRIVE 1200 HOSPITAL DR 800 E 21ST ST 6019 WALNUT GROVE RD, 1 WEST 1412 COUNTY HOSPITAL RD 709 WALNUT STREET 225 SOUTH CLAYBROOK 890 MADISON AVENUE 1901 CLINCH AVENUE 5959 PARK AVE 12TH FLOOR 2000 HAYES ST 900 EAST OAK HILL AVENUE 1 MEDICAL PARK BLVD 718 Lexington Avenue 11929 WEST AIRPORT BLVD. SUITE 110 3305 CORINTH PARKWAY 546 KEGLEY RD. 9182 SIX PINES DRIVE 1810 WEST HIGHWAY 82 2830 CALDER STREET, 4TH FLOOR 820 CLARKSVILLE STREET, 6TH FLOOR 1600 JOSEPH DRIVE, 2ND FLOOR 1900 PINE ST. 5TH FLOOR 500 West 4th Street, 4th Floor 4214 Andrews Highway 1500 GRAND LAKE DRIVE 4207 BURNET ROAD 709 MEDICAL CENTER BLVD 2001 HERMANN DRIVE, SUITE 100 3815 20TH STREET 8050 MEADOW RD. 1221 N. COTTON ST., 3RD FLOOR 4201 WILLIAM D. TATE AVE. 1000 S. BECKHAM, 5TH FLOOR 701 South Fry Road 1300 BINZ ST

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Provider Address 2 3RD FLOOR CRAWFORD 6TH FLOOR MUH E824

STE 440 STE 300

4TH FLOOR 4TH FLOOR NORTH SUITE 500 FIFTH FLOOR WEST

City ERIE LATROBE MCKEESPORT PITTSBURG PHILADELPHIA CRANSTON TRAVELERS REST COLUMBIA FLORENCE GREENVILLE SPARTANBURG MT PLEASANT SIOUX FALLS MEMPHIS NASHVILLE CHATTANOOGA MEMPHIS MEMPHIS KNOXVILLE MEMPHIS NASHVILLE KNOXVILLE BRISTOL San Antonio STAFFORD CORINTH TEMPLE THE WOODLANDS SHERMAN BEAUMONT PARIS BRYAN ABILENE Odessa Midland CONROE AUSTIN WEBSTER HOUSTON LUBBOCK DALLAS EL PASO GRAPEVINE TYLER Katy HOUSTON

State PA PA PA PA PA RI SC SC SC SC SC SC SD TN TN TN TN TN TN TN TN TN TN TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX

Zip 16501 15650 15132 15213 19145 02920 29690 29220 29506 29601 29303 29464 57105 38120 37218 37402 38104 38103 37916 38119 37203 37917 37620 78212 77477 76208 76502 77380 78092 77702 75460 77802 79601 79761 79703 77304 78756 77598 77002 79410 75231 79902 76051 75701 77450 77004

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