market-financial healthcare facility acquisition analysis - dewitt

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COMPETITIVE MARKET ANALYSIS NASHVILLE NEW CONSTRUCTION FACILITY PROPRIETARY and CONFIDENTIAL This Market Analysis is presented for informational and evaluation purposes only. The information and ideas contained herein are to be held in the strictest confidence by the reader and are not to be divulged or acted upon without the express written consent of xxx

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Page 1: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

COMPETITIVE MARKET ANALYSIS

NASHVILLE NEW CONSTRUCTION FACILITY

PROPRIETARY and CONFIDENTIALThis Market Analysis is presented for informational and evaluation purposes only. The information and ideas contained herein are to be held in the strictest confidence by the reader and are not to be divulged or acted upon

without the express written consent of xxx

Page 2: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

SUMMARY COMPETITIVE MARKET ANALYSISNASHVILLE NEW BLDG MARKET AREA

Hospital Supply & UtilizationUNITED STATES TENNESSEE AREA

Total Per 1,000 Population

Total Per 1,000 Population

Total Per 1,000 Population

# of Hospital Beds 923,339 3.12 22,384 3.75 3,034 5.08

# of Admissions 35,777,910 121 849,830 142 54,268 91

DEMOGRAPHICSUNITED STATES TENNESSEE AREA

Total Annual Growth Rate

2015

Total Annual Growth Rate

2015

Total Annual Growth Rate

2015

Total Population 295,507,134 0.9% 5,965,317 0.9% 597,539 0.9%

65+ Population 36,695,904 2.8% 747,646 3.0% 74,891 3.0%

% Population 65+ 12% 13% 13%

Nursing Home Supply & UtilizationUNITED STATES TENNESSEE AREA

Total Per 1,000 65+

Population

Total Per 1,000 65+

Population

Total Per 1,000 65+

Population

# of Beds 1,670,902 46 36,720 49 2,014 27

# of Occupied Beds 1,400,410 38 31,812 43 1,883 25

83.8% 86.6% 93.5%

Labor SupplyUNITED STATES TENNESSEE AREA

Total Per 100,000 Population

Total Per 100,000 Population

Total Per 100,000 Population

RN 2,504,664 848 61,570 1,032 19,510 3,265

PT 172,948 59 3,490 59 720 120

OT 98,858 33 1,370 23 300 50

Page 3: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

MARKET/CENSUS ANALYSISNASHVILLE NEW BLDG MARKET AREA

1 2 3 4 5 6 7 8 9

IMPERIAL GARDENS HEALTH

AND REHABILITATION

MADISON HEALTHCARE

TREVECCA HEALTH CARE CENTER

DONELSON PLACE CARE &

REHABILITATION CENTER

BETHANY HEALTH CARE CENTER

THE HEALTH CENTER AT

RICHLAND PLACE

GOOD SAMARITAN HEALTH AND

REHAB CENTERWEST MEADE

PLACE

CUMBERLAND MANOR NURSING

CENTERCOUNTY DAVIDSON DAVIDSON DAVIDSON DAVIDSON DAVIDSON DAVIDSON DAVIDSON DAVIDSON DAVIDSON

PROVIDER NUMBER 445047 445075 445112 445148 445159 445166 445170 445203 445262

BEDS 165 102 240 124 180 60 110 120 124OVERALL STAR RATING 1 3 4 1 4 5 1 5 1

PVT - - - - - - - - - MCR 10,344 5,018 7,438 8,007 7,633 6,288 4,454 8,529 4,763 MCD 30,897 - 58,866 24,499 38,944 - 19,753 12,367 - OTHER 11,620 30,497 15,614 8,337 15,648 40,986 6,838 18,546 37,579

TOTAL 52,861 35,515 81,918 40,843 62,225 47,274 31,045 39,442 42,342

PVT - - - - - - - - - MCR 28 14 20 22 21 17 12 23 13 MCD 85 - 161 67 107 - 54 34 - OTHER 32 84 43 23 43 112 19 51 103

TOTAL 145 97 224 112 170 130 85 108 116

TOTAL ADMISSIONS 435 231 386 245 380 669 384 389 333 MCR ADMISSIONS 277 131 219 183 232 270 152 289 156 % OF ADMISSIONS 63.7% 56.7% 56.7% 74.7% 61.1% 40.4% 39.6% 74.3% 46.8%

TOTAL HOSP SNF DSCHRGS 7,813 % OF ADMISSIONS 5.6% 3.0% 4.9% 3.1% 4.9% 8.6% 4.9% 5.0% 4.3%

PREMIUM MIX % 19.57% 14.13% 9.08% 19.60% 12.27% 13.30% 14.35% 21.62% 11.25%OCCUPANCY % 87.53% 95.13% 93.26% 89.99% 94.45% 98.60% 77.03% 89.80% 93.30%

COMPETITORS (10 MI RADIUS)

CENSUS

ADC

MARKET SHARE - MCR ADMISSIONS

MARKET SHARE - ADMISSIONS FR HOSPITAL SNF

Page 4: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

MARKET/CENSUS ANALYSISNASHVILLE NEW BLDG MARKET AREA

COUNTY

PROVIDER NUMBER

BEDSOVERALL STAR RATING

PVTMCRMCDOTHER

TOTAL

PVTMCRMCDOTHER

TOTAL

TOTAL ADMISSIONSMCR ADMISSIONS% OF ADMISSIONS

TOTAL HOSP SNF DSCHRGS% OF ADMISSIONS

PREMIUM MIX %OCCUPANCY %

10 11 12 13 14 15 16 17 18 19

BELCOURT TERRACE NURSING

HOME

GRACE HEALTHCARE OF WHITES CREEK

LAKESHORE WEDGEWOOD

CRESTVIEW HEALTH AND

REHABILITATIONMCKENDREE VILLAGE INC

LAKESHORE HEARTLAND

GREENHILLS HEALTH AND

REHABILITATION CENTER

WOODCREST AT BLAKEFORD

VANCO MANOR NURSING CENTER

RIDGETOP HAVEN HEALTH CARE

CENTERDAVIDSON DAVIDSON DAVIDSON DAVIDSON DAVIDSON DAVIDSON DAVIDSON DAVIDSON DAVIDSON DAVIDSON

445273 445281 445346 445409 445491 445346 445267 445378 445460 445486

49 127 52 111 50 52 150 70 90 383 1 5 2 5 5 1 3 3 3

- - - - - - - - - - 2,694 740 3,756 3,648 - 3,756 6,559 6,771 8,999 1,849

10,108 13,178 - 28,884 - - 27,685 - - 9,752 2,342 2,662 33,232 1,122 - 33,232 12,640 16,059 22,687 1,533

15,144 16,580 36,988 33,654 - 36,988 46,884 22,830 31,686 13,134

- - - - - - - - - - 7 2 10 10 - 10 18 19 25 5

28 36 - 79 - - 76 - - 27 6 7 91 3 - 91 35 44 62 4 41 45 101 92 0 101 128 63 87 36

85 91 674 192 - 674 404 331 440 68 72 23 330 114 - 330 232 202 283 38

84.7% 25.3% 49.0% 59.4% 49.0% 57.4% 61.0% 64.3% 55.9%

1.1% 1.2% 8.6% 2.5% 8.6% 5.2% 4.2% 5.6% 0.9%

17.79% 4.46% 10.15% 10.84% 10.15% 13.99% 29.66% 28.40% 14.08%84.44% 85.89% 71.67% 82.84% 71.67% 85.40% 89.11% 96.19% 94.43%

DISCHARGE

Page 5: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

MARKET/CENSUS ANALYSISNASHVILLE NEW BLDG MARKET AREA

Facility Name # of Beds Star Ranking Avg Daily Census Occu. % Prem Mix % % of MCR Admits% of Hosp Dschrg

AdmitsTHE HEALTH CENTER AT RICHLAND PLACE 60 5 130 98.6% 13.3% 40.4% 42.4%VANCO MANOR NURSING CENTER 90 3 87 96.2% 28.4% 64.3% 27.9%MADISON HEALTHCARE 102 3 97 95.1% 14.1% 56.7% 14.7%BETHANY HEALTH CARE CENTER 180 4 170 94.5% 12.3% 61.1% 24.1%RIDGETOP HAVEN HEALTH CARE CENTER 38 3 36 94.4% 14.1% 55.9% 4.3%CUMBERLAND MANOR NURSING CENTER 124 1 116 93.3% 11.2% 46.8% 21.1%TREVECCA HEALTH CARE CENTER 240 4 224 93.3% 9.1% 56.7% 24.5%DONELSON PLACE CARE & REHABILITATION CENTER 124 1 112 90.0% 19.6% 74.7% 15.5%WEST MEADE PLACE 120 5 108 89.8% 21.6% 74.3% 24.7%WOODCREST AT BLAKEFORD 70 3 63 89.1% 29.7% 61.0% 21.0%IMPERIAL GARDENS HEALTH AND REHABILITATION 165 1 145 87.5% 19.6% 63.7% 27.6%GRACE HEALTHCARE OF WHITES CREEK 127 1 45 85.9% 4.5% 25.3% 5.8%GREENHILLS HEALTH AND REHABILITATION CENTER 150 1 128 85.4% 14.0% 57.4% 25.6%

BELCOURT TERRACE NURSING HOME 49 3 41 84.4% 17.8% 84.7% 5.4%CRESTVIEW HEALTH AND REHABILITATION 111 2 92 82.8% 10.8% 59.4% 12.2%

GOOD SAMARITAN HEALTH AND REHAB CENTER 110 1 85 77.0% 14.3% 39.6% 24.4%LAKESHORE HEARTLAND 52 5 101 71.7% 10.2% 49.0% 42.8%

LAKESHORE WEDGEWOOD 52 5 101 71.7% 10.2% 49.0% 42.8%MCKENDREE VILLAGE INC 50 5 - 0.0% 0.0% 0.0% 0.0%

0 #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!Grand Total/Average 2,014 3 99 83.2% 14.5% 53.7% 21.4%

**NOTE: CENSUS DATA TAKEN FROM COST RPT SUBMITTED TO CMS

MARKET RANKING SUMMARY (Ranked by Occupancy %)

Page 6: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

NASHVILLE NEW BLDG FACILITY NAMEPROVIDER #

58 # OF BEDSDAVIDSON COUNTYURBAN AREA10 DISTINCTION RULEURBANRURAL

OVERALL RATING 3 STAR RATING REPORTHEALTH INSPEECTION 3 NURSE STAFFING 3 QUALITY MEASURES 3

NUMBER OF COMPETITORS 20 COMPETITORS THAT ARE SHC FACILITIES 1

AVERAGE # OF CERTIFIED BEDS 119

Much Above AverageAbove AverageAverageBelow AverageMuch Below Average

# on Map FACILITY NAME PROVIDER # BEDS

OVERALL RATING

HEALTH INSPEECTION

NURSE STAFFING

QUALITY MEASURES

1 BORDEAUX LONG TERM CARE 445033 419 2 1 4 32 IMPERIAL GARDENS HEALTH AND REHABILITATION 445047 165 1 1 3 33 MADISON HEALTHCARE 445075 102 3 3 2 34 TREVECCA HEALTH CARE CENTER 445112 240 4 4 3 35 DONELSON PLACE CARE & REHABILITATION CENTER 445148 124 1 2 3 16 BETHANY HEALTH CARE CENTER 445159 180 4 4 4 47 THE HEALTH CENTER AT RICHLAND PLACE 445166 60 5 5 4 38 GOOD SAMARITAN HEALTH AND REHAB CENTER 445170 110 1 2 2 19 WEST MEADE PLACE 445203 120 5 5 3 4

10 CUMBERLAND MANOR NURSING CENTER 445262 124 1 1 2 211 BELCOURT TERRACE NURSING HOME 445273 49 3 2 4 412 GRACE HEALTHCARE OF WHITES CREEK 445281 127 1 1 2 413 LAKESHORE WEDGEWOOD 445346 26 3 3 0 314 CRESTVIEW HEALTH AND REHABILITATION 445409 111 2 2 2 415 MCKENDREE VILLAGE INC 445491 50 5 5 3 516 LAKESHORE HEARTLAND 445346 26 2 1 4 517 GREENHILLS HEALTH AND REHABILITATION CENTER 445267 150 1 1 2 218 WOODCREST AT BLAKEFORD 445378 70 3 2 3 519 VANCO MANOR NURSING CENTER 445460 90 3 3 2 320 RIDGETOP HAVEN HEALTH CARE CENTER 445486 38 3 2 4 4

SUMMARY

RATING

Page 7: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

PROJECTED GROWTH RATE ANALYSISNASHVILLE NEW BLDG Market Area

PROJECTION

UNITED STATES TENNESSEEMARKET

AREA Population By Age Category # % # % # %2000 12.4% 12.4% 12.4% All Ages 281,421,906 5,689,283 569,889 2005 12.4% 12.5% 12.5% Under 60 235,624,706 83.7% 4,746,663 83.4% 475,468 83.4%2010 13.0% 13.3% 13.3% 60+ 10,805,447 3.8% 239,309 4.2% 23,971 4.2%2015 14.5% 14.9% 14.9% 65+ 9,533,545 3.4% 204,571 3.6% 20,492 3.6%2020 16.3% 16.5% 16.5% 70+ 8,857,441 3.1% 178,281 3.1% 17,858 3.1%2025 18.2% 18.1% 18.1% 75+ 16,600,767 5.9% 320,459 5.6% 32,100 5.6%2030 19.7% 19.2% 19.2% PROJECTION

Population By Age Category # % # % # %

UNITED STATES TENNESSEEMARKET

AREA All Ages 295,507,134 5,965,317 597,539 2000 TO 2005 4.9% 6.3% 1.4% Under 60 245,794,420 83.2% 4,932,462 82.7% 494,079 82.7%2005 TO 2010 9.7% 10.9% 6.2% 60+ 13,016,810 4.4% 285,209 4.8% 28,569 4.8%2010 TO 2015 16.3% 16.9% 12.0% 65+ 10,123,368 3.4% 222,071 3.7% 22,245 3.7%2015 TO 2020 16.8% 15.7% 10.9% 70+ 8,500,392 2.9% 180,601 3.0% 18,091 3.0%2020 TO 2025 16.3% 14.2% 9.5% 75+ 18,072,144 6.1% 344,974 5.8% 34,556 5.8%2025 TO 2030 12.5% 10.8% 6.1% PROJECTION

Population By Age Category # % # % # %NOTE: All Ages 308,935,581 6,230,852 624,137 (1) Growth Rate of 65+ over entire population - Year over Year Under 60 252,013,163 81.6% 5,041,613 80.9% 505,013 80.9%(2) Growth Rate of 65+ in 5 yrs increment 60+ 16,678,705 5.4% 360,216 5.8% 36,082 5.8%

65+ 12,172,070 3.9% 264,515 4.2% 26,496 4.2% 70+ 9,097,439 2.9% 196,841 3.2% 19,717 3.2%

295,507,134 322,365,787 36,695,904 46,790,727 NATIONAL 75+ 18,974,204 6.1% 367,667 5.9% 36,829 5.9%5,965,317 6,502,017 747,646 968,919 STATE PROJECTION

597539.0115 651299.639 74890.8485 97055.513 COUNTY9.1% 27.5% NATIONAL Population By Age Category # % # % # %9.0% 29.6% STATE All Ages 322,365,787 6,502,017 651,300 9.0% 29.6% COUNTY Under 60 256,814,346 79.7% 5,139,906 79.1% 514,859 79.1%

60+ 18,760,714 5.8% 393,192 6.0% 39,386 6.0% 65+ 15,621,458 4.8% 334,337 5.1% 33,490 5.1% 70+ 10,986,874 3.4% 235,531 3.6% 23,593 3.6% 75+ 20,182,395 6.3% 399,051 6.1% 39,972 6.1%

OVERALL POP PROJECTION2005 4.85%2010 4.45% Population By Age Category # % # % # %2015 4.35% All Ages 335,804,546 6,780,670 679,212 2020 4.29% Under 60 260,316,709 74.5% 5,233,079 77.2% 524,192 77.2%2025 4.31% 60+ 20,855,946 6.0% 426,528 6.3% 42,725 6.3%2030 4.35% 65+ 17,618,270 5.0% 365,368 5.4% 36,598 5.4%

70+ 14,160,889 4.1% 298,718 4.4% 29,922 4.4% 75+ 22,852,732 6.5% 456,977 6.7% 45,775 6.7%

PROJECTION

Population By Age Category # % # % # % All Ages 349,439,199 7,073,125 708,507 Under 60 264,787,034 75.8% 5,359,020 75.8% 536,807 75.8% 60+ 21,128,433 6.0% 434,124 6.1% 43,486 6.1% 65+ 19,646,750 5.6% 396,661 5.6% 39,733 5.6% 70+ 16,040,825 4.6% 327,393 4.6% 32,795 4.6% 75+ 27,836,157 8.0% 555,927 7.9% 55,687 7.9%

PROJECTION

Population By Age Category # % # % # % All Ages 363,584,435 7,380,634 739,310 Under 60 272,455,104 74.9% 5,554,467 75.3% 556,385 75.3% 60+ 19,675,860 5.4% 408,459 5.5% 40,915 5.5% 65+ 19,980,262 5.5% 404,412 5.5% 40,509 5.5% 70+ 17,967,671 4.9% 356,420 4.8% 35,702 4.8% 75+ 33,505,538 9.2% 656,876 8.9% 65,799 8.9%

POPULATION CENSUS SUMMARY 2000PROJECTED % 65+ POPULATION (1) NATIONAL TENNESSEE MARKET AREA

2030

2005MARKET ANALYSIS GROWTH RATE (2)

2010

2015

2020

2025

Page 8: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

BED NEED ANALYSISNASHVILLE NEW BLDG Market Area

State TN

Bed Need Calculation Rules:(1) The need for nursing home beds in shall be determined by applying the following

population-based methodology two years into the future from the current year:(a) 0.0005 X population of county 65 years of age and under, plus(b) 0.0120 X population age 65-74, plus(c) 0.06 X Population age 75-84, plus(d) 0.15 X population 85 and over* Basic Bed need calculation from TN Bed Need Calculations Rule

Age Group Bed Need Value2010 Pop. Projection

2012 Pop. Projection

2012 Bed Need Calc

0-64 0.0005 541,095 494,064 247 65-74 0.012 46,214 42,197 506 75-84 0.06 25,803 23,560 1,414 85+ 0.15 11,026 10,067 1,510 TOTAL 624,137 569,888 3,677

- TN TOTAL CENSUS 6,230,852 5,689,276 *Study of Bed Need in County(s) allocated by radius of Star Rating

County(s)

# of Beds in County(s) currently

# of Beds in Market Area % of Market

Davidson 2,668 2,014 75.5%- - - - - - - - - - - - - -

TOTAL 2,668 2,014 75.5%

# of Beds Needed 3,677 # of Beds in county(s) 2,668 Subtotal: Under/(Over) Bedded 1,009

Beds w/in Market Study 2,014 % of market beds in county 75.5%

Total: Under/(Over) Bedded 762

Summary Analysis

Bed Need Calculation for County(s)

Market (County(s)) Allocation

Page 9: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Market MGD PenetrationNASHVILLE NEW BLDG Market Area

Medicare Enrollment as of

July 2007

Avg Medicare Managed Care Enrollment for

2009Medicare MGD

Care Penetration

U.S. 44,132,245 10,894,077 24.7%TENNESSEE 968,131 228,299 23.6%

Market AreaDavidson 74,912 24,662 32.9%

- - - - - - - - - - - - - -

Total Market Area 74,912 24,662 32.9%

** Note: Medicare and Medicare Managed Care Enrollment data from http://www.cms.gov.

Does not include Private Managed Care enrollment.

Page 10: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

LABOR STATISTICSNASHVILLE NEW BLDG MARKET AREA

TOTAL in Industry in LTC % in Industry TENNESSEE MARKET AREA % in County in Industry in LTC % in Industry TENNESSEE MARKET AREA % in CountyNURSINGRN 2,504,664 161,901 6.5% 61,570 19,510 31.7% 3,092,013 202,731 6.6% 64,428 19,567 31.8%LPN 748,605 240,661 32.1% 24,390 5,990 24.6% 853,703 297,091 34.8% 80,843 6,637 27.2%

THERAPISTPT 172,948 11,912 6.9% 3,490 720 20.6% 219,752 14,753 6.7% 3,018 714 20.5%SLP 109,677 4,880 4.4% 1,670 410 24.6% 121,288 5,634 4.6% 1,394 413 24.7%OT 98,858 9,797 9.9% 1,370 300 21.9% 121,709 12,139 10.0% 2,666 301 22.0%

TitleTotal

EmployeesOffice and admin support occupations 133,710 34%Sales and related occupations 76,310 20%Food preparation, serving and related occupations 63,260 16%Transportation and related occupations 60,590 16%Production and related occupations 54,899 14%

388,769 Note: All data retrived from "http://www.bls.gov/emp/empoils.htm" website

2008 PROJECTED 2016

Current Top 5 Occupational Employment within NASHVILLE NEW BLDG MARKET AREATotal Employeed persons -

388769

Page 11: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

HOSPITAL SUMMARY RESULTSNASHVILLE NEW BLDG MARKET AREA

Dschrgs to SNF's 7,813

Hospital Name Baptist Hospital Bordeaux Long Term Care Centennial Medical Center Hendersonville Medical CenterType of Faciltiy Short Term Acute Care Long Term Short Term Acute Care Short Term Acute CareTotal # of Beds 436 60 365 78# of Cert MCR Beds 683 60 586 148Dschrgs to SNF's 1,157 45 1,048 298

1Major joint replacement or reattachment of lower extremity

Respiratory system diagnosis w ventilator support 96+ hours Psychoses Chronic obstructive pulmonary disease

2 Heart failure & shockRespiratory system diagnosis w ventilator support <96 hours Spinal fusion except cervical Simple pneumonia & pleurisy

3 Chronic obstructive pulmonary disease Pulmonary edema & respiratory failure Heart failure & shock Kidney & urinary tract infections4 Rehabilitation Skin ulcers Septicemia or severe sepsis w/o MV 96+ hours Heart failure & shock

5 Septicemia or severe sepsis w/o MV 96+ hours All Other Base MS-DRGs Circulatory disorders except AMI, w card cath Esophagitis, gastroent & misc digest disorders6 Simple pneumonia & pleurisy Chronic obstructive pulmonary disease Circulatory disorders except AMI, w card cath7 Esophagitis, gastroent & misc digest disorders Major joint replacement or reattachment of Major joint replacement or reattachment of 8 Kidney & urinary tract infections Percutaneous cardiovascular proc w drug-eluting Renal failure9 Nutritional & misc metabolic disorders Cardiac arrhythmia & conduction disorders Septicemia or severe sepsis w/o MV 96+ hours

10 Intracranial hemorrhage or cerebral infarction Renal failure Cardiac arrhythmia & conduction disorders

Hospital Name Nashville General Hospital at Meharry Saint Thomas Hospital Select Specialty Hospital - Nashville Skyline Medical CenterType of Faciltiy Short Term Acute Care Short Term Acute Care Long Term Short Term Acute CareTotal # of Beds 114 483 47 231# of Cert MCR Beds 150 571 37 467Dschrgs to SNF's 32 1,754 75 780

1 Renal failure Percutaneous cardiovascular proc w drug-eluting Respiratory system diagnosis w ventilator Psychoses2 Heart failure & shock Major joint replacement or reattachment of Pulmonary edema & respiratory failure Rehabilitation3 Chest pain Circulatory disorders except AMI, w card cath All Other Base MS-DRGs Intracranial hemorrhage or cerebral infarction4 Nutritional & misc metabolic disorders Heart failure & shock Chronic obstructive pulmonary disease5 Chronic obstructive pulmonary disease Cardiac arrhythmia & conduction disorders Kidney & urinary tract infections6 Simple pneumonia & pleurisy Simple pneumonia & pleurisy Heart failure & shock7 Circulatory disorders except AMI, w card cath Chronic obstructive pulmonary disease Septicemia or severe sepsis w/o MV 96+ hours8 Red blood cell disorders Acute myocardial infarction, discharged alive Simple pneumonia & pleurisy9 Esophagitis, gastroent & misc digest disorders Intracranial hemorrhage or cerebral infarction Major joint replacement or reattachment of 10 Septicemia or severe sepsis w/o MV 96+ hours Percutaneous cardiovasc proc w non-drug- Alcohol/drug abuse or dependence w

Hospital Name Southern Hills Medical Center Vanderbilt University Medical Center Summit Medical Center Williamson Medical CenterType of Faciltiy Short Term Acute Care Short Term Acute Care Short Term Acute Care Short Term Acute CareTotal # of Beds 91 725 188 158# of Cert MCR Beds 180 836 188 185Dschrgs to SNF's 353 808 608 855

1 Kidney & urinary tract infections Psychoses Psychoses Major joint replacement or reattachment of 2 Chronic obstructive pulmonary disease Heart failure & shock Chronic obstructive pulmonary disease Chronic obstructive pulmonary disease3 Heart failure & shock Circulatory disorders except AMI, w card cath Kidney & urinary tract infections Heart failure & shock4 Simple pneumonia & pleurisy Cardiac arrhythmia & conduction disorders Heart failure & shock Simple pneumonia & pleurisy5 Spinal fusion except cervical Percutaneous cardiovascular proc w drug-eluting Simple pneumonia & pleurisy Cardiac arrhythmia & conduction disorders6 Septicemia or severe sepsis w/o MV 96+ hours Renal failure Renal failure Kidney & urinary tract infections7 Major joint replacement or reattachment of lowe Major joint replacement or reattachment of Major joint replacement or reattachment of Other vascular procedures8 Circulatory disorders except AMI, w card cath Major male pelvic procedures Septicemia or severe sepsis w/o MV 96+ hours Septicemia or severe sepsis w/o MV 96+ hours9 Renal failure Craniotomy & endovascular intracranial Cellulitis Intracranial hemorrhage or cerebral infarction10 Nutritional & misc metabolic disorders Other circulatory system diagnoses Intracranial hemorrhage or cerebral infarction Hip & femur procedures except major joint

Note: All data retrieved from "http://ahd.com/"

Ten most frequent Diagnosis Related Groups

Ten most frequent Diagnosis Related Groups

Ten most frequent Diagnosis Related Groups

Page 12: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

HOSPITAL FINANCIAL & DRG'S DETAILED RESULTSNASHVILLE NEW BLDG MARKET AREA

Baptist HospitalMedicare Provider Number: 440133

Profile

Type of Facility: Short Term Acute CareHealth Care System: Ascension HealthGeneral Med/Surg Beds: 338Special Care Beds: 98Total Discharges: 6,327Discharges to SNF's: 1,157Medicare Certified Beds: 683

Top 10 Discharging DRGsBase MS-DRG Description Discharges ALOS Base MS-DRG Description Discharges ALOS

470-469

Major joint replacement or reattachment of lower extremity 463 4 195-194-193

Simple pneumonia & pleurisy 187 5

293-292-291 Heart failure & shock 303 5 392-391

Esophagitis,gastroent & misc digest disorders 168 4

192-191-190Chronic obstructive pulmonary disease 247 5 690-689

Kidney & urinary tract infections 141 4

946-945 Rehabilitation 205 14 641-640Nutritional & misc metabolic disorders 141 4

872-871

Septicemia or severe sepsis w/o MV 96+ hours 190 6 066-065-064

Intracranial hemorrhage or cerebral infarction 139 4

Bordeaux Long Term CareMedicare Provider Number: 442006

Profile

Type of Facility: Long TermHealth Care System: Metropolitan Nashville Hospital AuthorityGeneral Med/Surg Beds: 60Special Care Beds: 0Total Discharges: 198Discharges to SNF's: 45Medicare Certified Beds: 60

Top 10 Discharging DRGsBase MS-DRG Description Discharges ALOS Base MS-DRG Description Discharges ALOS

207

Respiratory system diagnosis w ventilator support 96+ hours 69 40.16

208

Respiratory system diagnosis w ventilator support <96 hours 27 8.33

189Pulmonary edema & respiratory failure 22 32.23

594-593-592 Skin ulcers 19 29.32 All Other Base MS-DRGs 61 35.93

Centennial Medical CenterMedicare Provider Number: 440161

Profile

Type of Facility: Short Term Acute CareHealth Care System: HCAGeneral Med/Surg Beds: 365Special Care Beds: 58Total Discharges: 8,930Discharges to SNF's: 1,048Medicare Certified Beds: 586

Top 10 Discharging DRGsBase MS-DRG Description Discharges ALOS Base MS-DRG Description Discharges ALOS

885 Psychoses 1,352 11.67 192-191-190Chronic obstructive pulmonary disease 206 4.86

Page 13: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

HOSPITAL FINANCIAL & DRG'S DETAILED RESULTSNASHVILLE NEW BLDG MARKET AREA

460-459Spinal fusion except cervical 362 3.01 470-469

Major joint replacement or reattachment of lower extremity 200 3.85

293-292-291 Heart failure & shock 273 5.27 247-246

Percutaneous cardiovascular proc w drug-eluting stent 186 3.12

872-871

Septicemia or severe sepsis w/o MV 96+ hours 225 7.58 310-309-308

Cardiac arrhythmia & conduction disorders 183 3.21

287-286

Circulatory disordersexcept AMI, w card cath 210 3.30 684-683-682 Renal failure 183 6.25

Hendersonville Medical CenterMedicare Provider Number: 440194

Profile

Type of Facility: Short Term Acute CareHealth Care System: HCAGeneral Med/Surg Beds: 68Special Care Beds: 10Total Discharges: 1,699Discharges to SNF's: 298Medicare Certified Beds: 148

Top 10 Discharging DRGsBase MS-DRG Description Discharges ALOS Base MS-DRG Description Discharges ALOS

192-191-190Chronic obstructive pulmonary disease 105.00 4.59 287-286

Circulatory disordersexcept AMI, w card cath 55.00 2.78

195-194-193Simple pneumonia & pleurisy 79.00 4.87 470-469

Major joint replacement or reattachment of lower extremity 52.00 4.02

690-689Kidney & urinary tract infections 64.00 5.02 684-683-682 Renal failure 51.00 7.24

293-292-291 Heart failure & shock 63.00 4.81 872-871

Septicemia or severe sepsis w/o MV 96+ hours 51.00 5.73

392-391

Esophagitis, gastroent & misc digest disorders 61.00 3.52 310-309-308

Cardiac arrhythmia & conduction disorders 46.00 2.70

Nashville General Hospital at MeharryMedicare Provider Number: 440111

Profile

Type of Facility: Short Term Acute CareHealth Care System: Metropolitan Nashville Hospital AuthorityGeneral Med/Surg Beds: 82Special Care Beds: 32Total Discharges: 478Discharges to SNF's: 32Medicare Certified Beds: 150

Top 10 Discharging DRGsBase MS-DRG Description Discharges ALOS Base MS-DRG Description Discharges ALOS

684-683-682 Renal failure 30.00 4.23 195-194-193Simple pneumonia & pleurisy 13.00 4.77

293-292-291 Heart failure & shock 29.00 4.14 287-286

Circulatory disordersexcept AMI, w card cath 12.00 3.58

313 Chest pain 23.00 2.39 812-811Red blood cell disorders 11.00 3.91

641-640Nutritional & misc metabolic disorders 19.00 3.68 392-391

Esophagitis,gastroent & misc digest disorders 11.00 3.09

192-191-190Chronic obstructive pulmonary disease 17.00 3.71 872-871

Septicemia or severe sepsis w/o MV 96+ hours 11.00 7.73

Saint Thomas HospitalMedicare Provider Number: 440082

Profile

Page 14: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

HOSPITAL FINANCIAL & DRG'S DETAILED RESULTSNASHVILLE NEW BLDG MARKET AREA

Type of Facility: Short Term Acute CareHealth Care System: Ascension HealthGeneral Med/Surg Beds: 368Special Care Beds: 115Total Discharges: 11,758Discharges to SNF's: 1,754Medicare Certified Beds: 571

Top 10 Discharging DRGsBase MS-DRG Description Discharges ALOS Base MS-DRG Description Discharges ALOS

247-246

Percutaneouscardiovascular proc w drug-eluting stent 814.00 2.14 195-194-193

Simple pneumonia & pleurisy 307.00 4.55

470-469

Major joint replacement or reattachment of lower extremity 749.00 3.00 192-191-190

Chronic obstructive pulmonary disease 297.00 4.54

287-286

Circulatory disordersexcept AMI, w card cath 606.00 2.64 282-281-280

Acute myocardial infarction, discharged alive 272.00 4.49

293-292-291 Heart failure & shock 571.00 4.75 066-065-064

Intracranial hemorrhage or cerebral infarction 248.00 4.30

310-309-308Cardiac arrhythmia & conduction disorders 391.00 2.91 249-248

Percutaneouscardiovasc proc w non-drug-eluting stent 233.00 3.11

Select Specialty Hospital - NashvilleMedicare Provider Number: 442011

Profile

Type of Facility: Long TermHealth Care System: Select Medical CorporationGeneral Med/Surg Beds: 47Special Care Beds: 0Total Discharges: 277Discharges to SNF's: 75Medicare Certified Beds: 37

Top 10 Discharging DRGsBase MS-DRG Description Discharges ALOS Base MS-DRG Description Discharges ALOS

207

Respiratory system diagnosis w ventilator support 96+ hours 167.00 35.63

189Pulmonary edema & respiratory failure 32.00 23.16 All Other Base MS-DRGs 78.00 26.37

Skyline Medical CenterMedicare Provider Number: 440006

Profile

Type of Facility: Short Term Acute CareHealth Care System: HCAGeneral Med/Surg Beds: 203Special Care Beds: 28Total Discharges: 5,354Discharges to SNF's: 780Medicare Certified Beds: 467

Top 10 Discharging DRGsBase MS-DRG Description Discharges ALOS Base MS-DRG Description Discharges ALOS

885 Psychoses 603.00 8.54 293-292-291Heart failure & shock 140.00 4.09

946-945 Rehabilitation 399.00 15.06 872-871

Septicemia or severe sepsis w/o MV 96+ hours 133.00 5.92

066-065-064

Intracranial hemorrhage or cerebral infarction 221.00 4.38 195-194-193

Simple pneumonia & pleurisy 132.00 4.89

192-191-190Chronic obstructive pulmonary disease 164.00 4.07 470-469

Major joint replacement or reattachment of lower extremity 127.00 4.28

Page 15: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

HOSPITAL FINANCIAL & DRG'S DETAILED RESULTSNASHVILLE NEW BLDG MARKET AREA

690-689Kidney & urinary tract infections 141.00 4.02 895

Alcohol/drug abuse or dependence w rehabilitation therapy 115.00 5.96

Southern Hills Medical CenterMedicare Provider Number: 440197

Profile

Type of Facility: Short Term Acute CareHealth Care System: HCAGeneral Med/Surg Beds: 75Special Care Beds: 16Total Discharges: 1,503Discharges to SNF's: 353Medicare Certified Beds: 180

Top 10 Discharging DRGsBase MS-DRG Description Discharges ALOS Base MS-DRG Description Discharges ALOS

690-689Kidney & urinary tract infections 92.00 4.84 872-871

Septicemia or severe sepsis w/o MV 96+ hours 45.00 5.69

192-191-190Chronic obstructive pulmonary disease 90.00 4.73 470-469

Major joint replacement or reattachment of lower extremity 39.00 3.97

293-292-291 Heart failure & shock 85.00 4.95 287-286

Circulatory disordersexcept AMI, w card cath 36.00 3.44

195-194-193Simple pneumonia & pleurisy 66.00 4.48 684-683-682 Renal failure 34.00 4.56

460-459Spinal fusion except cervical 62.00 2.87 641-640

Nutritional & misc metabolic disorders 32.00 3.38

Vanderbilt University Medical CenterMedicare Provider Number: 440039

Profile

Type of Facility: Short Term Acute CareHealth Care System: Vanderbilt University Medical CenterGeneral Med/Surg Beds: 470Special Care Beds: 255Total Discharges: 11,327Discharges to SNF's: 808Medicare Certified Beds: 836

Top 10 Discharging DRGsBase MS-DRG Description Discharges ALOS Base MS-DRG Description Discharges ALOS885 Psychoses 479.00 8.72 684-683-682 Renal failure 214.00 4.47

293-292-291 Heart failure & shock 314.00 4.35 470-469

Major joint replacement or reattachment of lower extremity 206.00 4.22

287-286

Circulatory disordersexcept AMI, w card cath 291.00 3.44 708-707

Major male pelvic procedures 205.00 1.39

310-309-308Cardiac arrhythmia & conduction disorders 243.00 2.79 027-026-025

Craniotomy & endovascular intracranial procedures 201.00 4.12

247-246

Percutaneouscardiovascular proc w drug-eluting stent 240.00 3.11 316-315-314

Other circulatory system diagnoses 193.00 5.30

Summit Medical CenterMedicare Provider Number: 440150

Profile

Type of Facility: Short Term Acute CareHealth Care System: HCAGeneral Med/Surg Beds: 164Special Care Beds: 24Total Discharges: 3,162Discharges to SNF's: 608Medicare Certified Beds: 188

Top 10 Discharging DRGs

Page 16: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

HOSPITAL FINANCIAL & DRG'S DETAILED RESULTSNASHVILLE NEW BLDG MARKET AREABase MS-DRG Description Discharges ALOS Base MS-DRG Description Discharges ALOS885 Psychoses 172.00 6.85 684-683-682 Renal failure 132.00 4.76

192-191-190Chronic obstructive pulmonary disease 171.00 3.73 470-469

Major joint replacement or reattachment of lower extremity 99.00 4.49

690-689Kidney & urinary tract infections 157.00 4.36 872-871

Septicemia or severe sepsis w/o MV 96+ hours 81.00 6.58

293-292-291 Heart failure & shock 149.00 5.07 603-602 Cellulitis 79.00 3.97

195-194-193Simple pneumonia & pleurisy 134.00 4.40 066-065-064

Intracranial hemorrhage or cerebral infarction 76.00 3.83

Williamson Medical CenterMedicare Provider Number: 440029

Profile

Type of Facility: Short Term Acute CareHealth Care System: Voluntary Nonprofit, OtherGeneral Med/Surg Beds: 138Special Care Beds: 20Total Discharges: 3,255Discharges to SNF's: 855Medicare Certified Beds: 185

Top 10 Discharging DRGsBase MS-DRG Description Discharges ALOS Base MS-DRG Description Discharges ALOS

470-469

Major joint replacement or reattachment of lower extremity 291.00 4.18 690-689

Kidney & urinary tract infections 91.00 4.25

192-191-190Chronic obstructive pulmonary disease 167.00 4.42 254-253-252

Other vascular procedures 82.00 4.66

293-292-291 Heart failure & shock 139.00 4.37 872-871

Septicemia or severe sepsis w/o MV 96+ hours 75.00 6.67

195-194-193Simple pneumonia & pleurisy 124.00 4.81 066-065-064

Intracranial hemorrhage or cerebral infarction 67.00 5.04

310-309-308Cardiac arrhythmia & conduction disorders 110.00 2.89 482-481-480

Hip & femur procedures except major joint 66.00 6.21

Note: All data retrieved from "http://ahd.com/"

Page 17: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

FINANCIAL - 1 YEAR SUMMARY RESULTSNASHVILLE NEW BLDG MARKET AREA

IMPERIAL GARDENS HEALTH AND

REHABILITATIONMADISON

HEALTHCARETREVECCA HEALTH

CARE CENTER

DONELSON PLACE CARE &

REHABILITATION CENTER

BETHANY HEALTH CARE CENTER

THE HEALTH CENTER AT

RICHLAND PLACE

GOOD SAMARITAN HEALTH AND

REHAB CENTERWEST MEADE

PLACE

CUMBERLAND MANOR NURSING

CENTER

BELCOURT TERRACE NURSING

HOME

Income/(Loss) (544,981) (297,163) 711,603 237,322 128,949 71,366 (16,014) 403,147 (75,336) (95,448)

CENSUS DATABeds 165 102 240 124 180 131 110 120 124 49

Medicare 10,344 5,018 7,438 8,007 7,633 6,288 4,454 8,529 4,763 2,694 Other 42,517 30,497 74,480 32,836 54,592 40,986 26,591 30,913 37,579 12,450

-------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- --------------------------TPD 52,861 35,515 81,918 40,843 62,225 47,274 31,045 39,442 42,342 15,144

================ ================ ================ ================ ================ ================ ================ ================ ================ ================Bed Days Avail. 60,390 37,332 87,840 45,384 65,880 47,946 40,305 43,920 45,384 17,934 Occupancy % 87.5% 95.1% 93.3% 90.0% 94.5% 98.6% 77.0% 89.8% 93.3% 84.4%

AdmissionsMCR 277 131 219 183 232 270 152 289 156 72 Total Admissions 435 231 386 245 380 669 384 389 333 85

Total ALOS 482 207 1,041 538 975 94 443 1,014 152 577

Total DSCHRG 465 223 384 255 459 669 334 399 342 91

*** NOTE: ALL FINANCIAL INFORMATION RETRIEVED FROM COST REPORTS SUBMITTED TO CMS

Page 18: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

FINANCIAL - 1 YEAR SUMMANASHVILLE NEW BLDG MARKET AREA

Income/(Loss)

CENSUS DATABeds

MedicareOther

TPD

Bed Days Avail.Occupancy %

AdmissionsMCRTotal Admissions

Total ALOS

Total DSCHRG

*** NOTE: ALL FINANCIAL INFORMATION

GRACE HEALTHCARE OF WHITES CREEK

LAKESHORE WEDGEWOOD

CRESTVIEW HEALTH AND

REHABILITATIONMCKENDREE VILLAGE INC

LAKESHORE HEARTLAND

GREENHILLS HEALTH AND

REHABILITATION CENTER

WOODCREST AT BLAKEFORD

VANCO MANOR NURSING CENTER

RIDGETOP HAVEN HEALTH CARE

CENTER

(1,211,807) 649,076 (551,121) - 649,076 507,623 (422,841) 127,170 (41,443)

127 282 111 - 282 150 70 90 38

740 7,512 3,648 - 7,512 6,559 6,771 8,999 1,849 15,840 66,464 30,006 - 66,464 40,325 16,059 22,687 11,285

-------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- -------------------------- --------------------------16,580 73,976 33,654 - 73,976 46,884 22,830 31,686 13,134

================ ================ ================ ================ ================ ================ ================ ================ ================19,304 103,212 40,626 - 103,212 54,900 25,620 32,940 13,908 85.9% 71.7% 82.8% 71.7% 85.4% 89.1% 96.2% 94.4%

23 330 114 - 330 232 202 283 38 91 674 192 - 674 404 331 440 68

570 258 529 - 258 787 97 102 679

107 690 201 - 690 379 350 443 68

Page 19: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

FINANCIAL - 4 YEARS DETAILED RESULTSNASHVILLE NEW BLDG MARKET AREA

Provider ID 445047

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue 9,927,413 10,891,909 11,019,268 11,150,870

Operating Expenses 10,024,145 10,780,687 11,564,249 11,986,356 =================================== ================= =================

Income/(Loss) (96,732) 111,222 (544,981) (835,486) 445047Income/(Loss)=================================== ================= =================

CENSUS DATABeds 165 165 165 165 445047Beds

Patient DaysSNFMedicare 11,711 12,427 13,342 10,344 445047MedicareMedicaid 32,766 30,061 29,040 30,897 Other 10,424 13,681 11,356 11,620

--------------------------- --------------------------- --------------------------- ---------------------------TPD 54,901 56,169 53,738 52,861 445047TPD

================= ================= ================= =================

Bed Days Avail. 60,225 60,225 60,225 60,390 445047Bed Days Avail.Occupancy % 91.2% 93.3% 89.2% 87.5%

ADMISSIONSMCR 284 319 319 277 445047MCRMCD 49 36 56 62 OTH 12 25 32 96

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions 345 380 407 435 445047Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS 38 49 42 39 MCD ALOS 385 501 319 329 OTH ALOS 135 150 111 114

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS 558 700 472 482 445047Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG 307 255 317 262 MCD DSCHRG 85 60 91 94 OTH DSCHRG 15 59 76 109

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG 407 374 484 465 445047Total DSCHRG

================= ================= ================= =================

IMPERIAL GARDENS HEALTH AND REHABILITATION

Page 20: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445075

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue - 6,194,056 6,603,675 6,928,473

Operating Expenses - 6,341,760 6,900,838 7,276,718 =================================== ================= =================

Income/(Loss) - (147,704) (297,163) (348,245) 445075Income/(Loss)=================================== ================= =================

CENSUS DATABeds - 102 102 102 445075Beds

Patient DaysSNFMedicare - 5,345 5,276 5,018 445075MedicareMedicaid - - - - Other - 28,724 28,976 30,497

--------------------------- --------------------------- --------------------------- ---------------------------TPD - 34,069 34,252 35,515 445075TPD

================= ================= ================= =================

Bed Days Avail. - 37,230 37,230 37,332 445075Bed Days Avail.Occupancy % 91.5% 92.0% 95.1%

ADMISSIONSMCR - 190 146 131 445075MCRMCD - - - - OTH - 65 101 100

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions - 255 247 231 445075Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS - 34 42 48 MCD ALOS - - - - OTH ALOS - 136 134 159

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS - 170 176 207 445075Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG - 157 127 105 MCD DSCHRG - - - - OTH DSCHRG - 93 129 118

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG - 250 256 223 445075Total DSCHRG

================= ================= ================= =================

MADISON HEALTHCARE

Page 21: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445112

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue 14,407,102 15,077,620 14,804,219 15,129,367

Operating Expenses 13,777,244 13,516,584 13,725,412 14,417,764 =================================== ================= =================

Income/(Loss) 629,858 1,561,036 1,078,807 711,603 445112Income/(Loss)=================================== ================= =================

CENSUS DATABeds 240 240 240 240 445112Beds

Patient DaysSNFMedicare 9,928 9,077 7,662 7,438 445112MedicareMedicaid 58,366 59,448 58,866 58,866 Other 13,427 14,505 14,441 15,614

--------------------------- --------------------------- --------------------------- ---------------------------TPD 81,721 83,030 80,969 81,918 445112TPD

================= ================= ================= =================

Bed Days Avail. 87,600 87,600 87,600 87,840 445112Bed Days Avail.Occupancy % 93.3% 94.8% 92.4% 93.3%

ADMISSIONSMCR 276 201 204 219 445112MCRMCD 61 42 57 45 OTH 181 164 140 122

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions 518 407 401 386 445112Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS 31 58 48 43 MCD ALOS 561 826 684 785 OTH ALOS 162 204 201 213

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS 754 1,088 933 1,041 445112Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG 323 157 159 175 MCD DSCHRG 104 72 86 75 OTH DSCHRG 78 179 158 134

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG 505 408 403 384 445112Total DSCHRG

================= ================= ================= =================

TREVECCA HEALTH CARE CENTER

Page 22: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445148

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue 7,018,470 7,063,052 3,075,632 8,292,649

Operating Expenses 6,865,299 6,554,853 2,838,310 8,475,859 =================================== ================= =================

Income/(Loss) 153,171 508,199 237,322 (183,210) 445148Income/(Loss)=================================== ================= =================

CENSUS DATABeds 124 124 124 124 445148Beds

Patient DaysSNFMedicare 5,376 7,196 2,728 8,007 445148MedicareMedicaid 28,259 25,519 10,786 24,499 Other 4,604 6,303 2,548 8,337

--------------------------- --------------------------- --------------------------- ---------------------------TPD 38,239 39,018 16,061 40,843 445148TPD

================= ================= ================= =================

Bed Days Avail. 45,260 45,260 17,271 45,384 445148Bed Days Avail.Occupancy % 84.5% 86.2% 93.0% 90.0%

ADMISSIONSMCR 161 155 47 183 445148MCRMCD 23 35 13 33 OTH 13 31 8 29

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions 197 221 69 245 445148Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS 40 64 141 51 MCD ALOS 479 654 640 327 OTH ALOS 175 192 367 160

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS 694 910 1,148 538 445148Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG 135 113 42 157 MCD DSCHRG 59 39 17 75 OTH DSCHRG 24 51 10 23

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG 218 203 70 255 445148Total DSCHRG

================= ================= ================= =================

DONELSON PLACE CARE & REHABILITATION CENTER

Page 23: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445159

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue 11,325,376 11,563,269 12,631,745 12,669,979

Operating Expenses 10,734,573 11,449,564 12,049,138 12,541,030 =================================== ================= =================

Income/(Loss) 590,803 113,705 582,607 128,949 445159Income/(Loss)=================================== ================= =================

CENSUS DATABeds 180 180 180 180 445159Beds

Patient DaysSNFMedicare 10,586 8,356 9,283 7,633 445159MedicareMedicaid 39,702 42,755 38,168 38,944 Other 11,776 12,154 14,545 15,648

--------------------------- --------------------------- --------------------------- ---------------------------TPD 62,064 63,265 61,996 62,225 445159TPD

================= ================= ================= =================

Bed Days Avail. 65,700 65,700 65,700 65,880 445159Bed Days Avail.Occupancy % 94.5% 96.3% 94.4% 94.5%

ADMISSIONSMCR 220 192 246 232 445159MCRMCD 26 22 26 18 OTH 63 88 108 130

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions 309 302 380 380 445159Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS 37 54 44 28 MCD ALOS 778 1,096 734 811 OTH ALOS 172 207 162 136

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS 987 1,357 940 975 445159Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG 288 154 210 269 MCD DSCHRG 51 39 52 48 OTH DSCHRG 21 112 121 142

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG 360 305 383 459 445159Total DSCHRG

================= ================= ================= =================

BETHANY HEALTH CARE CENTER

Page 24: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445166

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue 10,571,834 10,876,367 11,592,643 12,223,930

Operating Expenses 10,461,694 10,678,716 11,313,435 12,152,564 =================================== ================= =================

Income/(Loss) 110,140 197,651 279,208 71,366 445166Income/(Loss)=================================== ================= =================

CENSUS DATABeds 137 137 137 131 445166Beds

Patient DaysSNFMedicare 5,722 6,440 6,913 6,288 445166MedicareMedicaid - - - - Other 41,824 40,994 40,423 40,986

--------------------------- --------------------------- --------------------------- ---------------------------TPD 47,546 47,434 47,336 47,274 445166TPD

================= ================= ================= =================

Bed Days Avail. 50,005 50,005 50,005 47,946 445166Bed Days Avail.Occupancy % 95.1% 94.9% 94.7% 98.6%

ADMISSIONSMCR 177 198 249 270 445166MCRMCD - - - - OTH 160 181 286 399

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions 337 379 535 669 445166Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS 38 33 29 23 MCD ALOS - - - - OTH ALOS 141 125 89 71

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS 179 158 117 94 445166Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG 150 196 241 274 MCD DSCHRG - - - - OTH DSCHRG 187 183 292 395

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG 337 379 533 669 445166Total DSCHRG

================= ================= ================= =================

THE HEALTH CENTER AT RICHLAND PLACE

Page 25: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445170

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue 4,737,467 5,449,171 5,923,091 -

Operating Expenses 5,137,184 5,635,161 5,939,105 - =================================== ================= =================

Income/(Loss) (399,717) (185,990) (16,014) - 445170Income/(Loss)=================================== ================= =================

CENSUS DATABeds 115 115 110 - 445170Beds

Patient DaysSNFMedicare 4,351 4,730 4,454 - 445170MedicareMedicaid 19,572 20,210 19,753 - Other 3,892 5,553 6,838 -

--------------------------- --------------------------- --------------------------- ---------------------------TPD 27,815 30,493 31,045 - 445170TPD

================= ================= ================= =================

Bed Days Avail. 41,975 41,975 40,305 - 445170Bed Days Avail.Occupancy % 66.3% 72.6% 77.0%

ADMISSIONSMCR 150 206 152 - 445170MCRMCD 134 156 162 - OTH 52 82 70 -

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions 336 444 384 - 445170Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS 31 23 27 - MCD ALOS 261 130 324 - OTH ALOS 108 70 93 -

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS 400 223 443 - 445170Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG 142 209 166 - MCD DSCHRG 75 155 61 - OTH DSCHRG 40 69 107 -

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG 257 433 334 - 445170Total DSCHRG

================= ================= ================= =================

GOOD SAMARITAN HEALTH AND REHAB CENTER

Page 26: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider 445203

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue 8,117,762 8,645,903 9,041,462 9,513,873

Operating Expenses 7,937,222 8,215,285 8,399,458 9,110,726 =================================== ================= =================

Income/(Loss) 180,540 430,618 642,004 403,147 445203Income/(Loss)=================================== ================= =================

CENSUS DATABeds 120 120 120 120 445203Beds

Patient DaysSNFMedicare 6,270 6,854 7,103 8,529 445203MedicareMedicaid 27,433 25,547 22,998 12,367 Other 8,652 10,442 11,789 18,546

--------------------------- --------------------------- --------------------------- ---------------------------TPD 42,355 42,843 41,890 39,442 445203TPD

================= ================= ================= =================

Bed Days Avail. 43,800 43,800 43,920 43,920 445203Bed Days Avail.Occupancy % 96.7% 97.8% 95.4% 89.8%

ADMISSIONSMCR 152 114 174 289 445203MCRMCD 7 - - - OTH 82 28 35 100

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions 241 142 209 389 445203Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS 52 61 39 32 MCD ALOS 1,143 1,277 1,353 883 OTH ALOS 195 234 157 99

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS 1,390 1,572 1,548 1,014 445203Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG 121 112 184 267 MCD DSCHRG 24 20 17 14 OTH DSCHRG 72 51 66 118

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG 217 183 267 399 445203Total DSCHRG

================= ================= ================= =================

WEST MEADE PLACE

Page 27: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445262

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue 6,495,776 6,956,729 7,216,594 7,543,915

Operating Expenses 6,610,691 6,959,979 7,291,930 7,572,733 =================================== ================= =================

Income/(Loss) (114,915) (3,250) (75,336) (28,818) 445262Income/(Loss)=================================== ================= =================

CENSUS DATABeds 124 124 124 124 445262Beds

Patient DaysSNFMedicare 4,725 4,860 4,541 4,763 445262MedicareMedicaid - - - - Other 36,658 37,338 37,759 37,579

--------------------------- --------------------------- --------------------------- ---------------------------TPD 41,383 42,198 42,300 42,342 445262TPD

================= ================= ================= =================

Bed Days Avail. 45,260 45,260 45,260 45,384 445262Bed Days Avail.Occupancy % 91.4% 93.2% 93.5% 93.3%

ADMISSIONSMCR 157 147 157 156 445262MCRMCD - - - - OTH 109 171 91 177

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions 266 318 248 333 445262Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS 31 34 47 28 MCD ALOS - - - - OTH ALOS 149 135 175 124

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS 180 169 221 152 445262Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG 154 142 97 168 MCD DSCHRG - - - - OTH DSCHRG 123 171 145 174

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG 277 313 242 342 445262Total DSCHRG

================= ================= ================= =================

CUMBERLAND MANOR NURSING CENTER

Page 28: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445273

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue 2,647,724 2,847,360 3,023,430 3,099,426

Operating Expenses 2,664,376 2,849,532 3,118,878 3,273,063 =================================== ================= =================

Income/(Loss) (16,652) (2,172) (95,448) (173,637) 445273Income/(Loss)=================================== ================= =================

CENSUS DATABeds 49 49 49 49 445273Beds

Patient DaysSNFMedicare 2,002 2,188 2,285 2,694 445273MedicareMedicaid 10,165 8,947 10,843 10,108 Other 3,292 3,870 3,036 2,342

--------------------------- --------------------------- --------------------------- ---------------------------TPD 15,459 15,005 16,164 15,144 445273TPD

================= ================= ================= =================

Bed Days Avail. 17,885 17,885 17,885 17,934 445273Bed Days Avail.Occupancy % 86.4% 83.9% 90.4% 84.4%

ADMISSIONSMCR 78 62 61 72 445273MCRMCD 16 16 32 9 OTH 18 18 11 4

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions 112 96 104 85 445273Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS 33 41 51 50 MCD ALOS 318 224 217 361 OTH ALOS 136 132 144 166

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS 487 397 412 577 445273Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG 61 54 45 54 MCD DSCHRG 32 40 50 28 OTH DSCHRG 21 20 17 9

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG 114 114 112 91 445273Total DSCHRG

================= ================= ================= =================

BELCOURT TERRACE NURSING HOME

Page 29: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445281

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue 6,361,015 7,197,447 7,402,769 2,924,670

Operating Expenses 6,517,319 7,646,794 8,614,576 3,904,040 =================================== ================= =================

Income/(Loss) (156,304) (449,347) (1,211,807) (979,370) 445281Income/(Loss)=================================== ================= =================

CENSUS DATABeds 127 127 127 127 445281Beds

Patient DaysSNFMedicare 4,777 4,997 3,559 740 445281MedicareMedicaid 30,690 30,357 28,944 13,178 Other 4,758 6,787 8,401 2,662

--------------------------- --------------------------- --------------------------- ---------------------------TPD 40,225 42,141 40,904 16,580 445281TPD

================= ================= ================= =================

Bed Days Avail. 46,355 46,355 46,355 19,304 445281Bed Days Avail.Occupancy % 86.8% 90.9% 88.2% 85.9%

ADMISSIONSMCR 139 146 110 23 445281MCRMCD 69 69 58 25 OTH 67 113 100 43

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions 275 328 268 91 445281Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS 46 48 43 49 MCD ALOS 310 253 452 366 OTH ALOS 146 121 164 155

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS 502 422 659 570 445281Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG 103 104 82 15 MCD DSCHRG 99 120 64 36 OTH DSCHRG 74 123 103 56

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG 276 347 249 107 445281Total DSCHRG

================= ================= ================= =================

GRACE HEALTHCARE OF WHITES CREEK

Page 30: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445346

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue 6,099,818 6,466,299 6,078,625 5,886,039

Operating Expenses 6,300,467 6,277,112 5,754,087 5,886,330 =================================== ================= =================

Income/(Loss) (200,649) 189,187 324,538 (291) 445346Income/(Loss)=================================== ================= =================

CENSUS DATABeds 141 141 141 141 445346Beds

Patient DaysSNFMedicare 4,918 5,611 4,550 3,756 445346MedicareMedicaid - - - - Other 36,717 35,823 33,911 33,232

--------------------------- --------------------------- --------------------------- ---------------------------TPD 41,635 41,434 38,461 36,988 445346TPD

================= ================= ================= =================

Bed Days Avail. 51,465 51,465 51,465 51,606 445346Bed Days Avail.Occupancy % 80.9% 80.5% 74.7% 71.7%

ADMISSIONSMCR 223 192 193 165 445346MCRMCD - - - - OTH 243 170 163 172

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions 466 362 356 337 445346Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS 26 29 23 22 MCD ALOS - - - - OTH ALOS 94 108 106 107

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS 120 137 129 129 445346Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG 190 192 195 172 MCD DSCHRG - - - - OTH DSCHRG 253 190 168 173

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG 443 382 363 345 445346Total DSCHRG

================= ================= ================= =================

LAKESHORE WEDGEWOOD

Page 31: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445409

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue 5,651,787 5,794,191 5,571,125 5,856,216

Operating Expenses 5,244,142 5,706,052 6,122,246 6,203,934 =================================== ================= =================

Income/(Loss) 407,645 88,139 (551,121) (347,718) 445409Income/(Loss)=================================== ================= =================

CENSUS DATABeds 111 111 111 111 445409Beds

Patient DaysSNFMedicare 5,415 5,232 3,587 3,648 445409MedicareMedicaid 29,871 29,070 29,890 28,884 Other 793 1,881 1,092 1,122

--------------------------- --------------------------- --------------------------- ---------------------------TPD 36,079 36,183 34,569 33,654 445409TPD

================= ================= ================= =================

Bed Days Avail. 40,515 40,515 40,515 40,626 445409Bed Days Avail.Occupancy % 89.1% 89.3% 85.3% 82.8%

ADMISSIONSMCR 119 123 80 114 445409MCRMCD 48 54 49 37 OTH 14 43 19 41

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions 181 220 148 192 445409Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS 41 63 37 51 MCD ALOS 369 327 460 311 OTH ALOS 163 172 191 167

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS 573 562 687 529 445409Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG 133 83 96 72 MCD DSCHRG 81 89 65 93 OTH DSCHRG 8 38 20 36

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG 222 210 181 201 445409Total DSCHRG

================= ================= ================= =================

CRESTVIEW HEALTH AND REHABILITATION

Page 32: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445491

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue - - - -

Operating Expenses - - - - =================================== ================= =================

Income/(Loss) - - - - 445491Income/(Loss)=================================== ================= =================

CENSUS DATABeds - - - - 445491Beds

Patient DaysSNFMedicare - - - - 445491MedicareMedicaid - - - - Other - - - -

--------------------------- --------------------------- --------------------------- ---------------------------TPD - - - - 445491TPD

================= ================= ================= =================

Bed Days Avail. - - - - 445491Bed Days Avail.Occupancy %

ADMISSIONSMCR - - - - 445491MCRMCD - - - - OTH - - - -

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions - - - - 445491Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS - - - - MCD ALOS - - - - OTH ALOS - - - -

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS - - - - 445491Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG - - - - MCD DSCHRG - - - - OTH DSCHRG - - - -

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG - - - - 445491Total DSCHRG

================= ================= ================= =================

MCKENDREE VILLAGE INC

Page 33: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445346

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue 6,099,818 6,466,299 6,078,625 5,886,039

Operating Expenses 6,300,467 6,277,112 5,754,087 5,886,330 =================================== ================= =================

Income/(Loss) (200,649) 189,187 324,538 (291) 445346Income/(Loss)=================================== ================= =================

CENSUS DATABeds 141 141 141 141 445346Beds

Patient DaysSNFMedicare 4,918 5,611 4,550 3,756 445346MedicareMedicaid - - - - Other 36,717 35,823 33,911 33,232

--------------------------- --------------------------- --------------------------- ---------------------------TPD 41,635 41,434 38,461 36,988 445346TPD

================= ================= ================= =================

Bed Days Avail. 51,465 51,465 51,465 51,606 445346Bed Days Avail.Occupancy % 80.9% 80.5% 74.7% 71.7%

ADMISSIONSMCR 223 192 193 165 445346MCRMCD - - - - OTH 243 170 163 172

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions 466 362 356 337 445346Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS 26 29 23 22 MCD ALOS - - - - OTH ALOS 94 108 106 107

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS 120 137 129 129 445346Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG 190 192 195 172 MCD DSCHRG - - - - OTH DSCHRG 253 190 168 173

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG 443 382 363 345 445346Total DSCHRG

================= ================= ================= =================

LAKESHORE WEDGEWOOD

Page 34: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445267

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue 8,635,477 9,026,410 10,086,815 10,009,835

Operating Expenses 8,162,318 9,330,243 8,877,346 9,502,212 =================================== ================= =================

Income/(Loss) 473,159 (303,833) 1,209,469 507,623 445267Income/(Loss)=================================== ================= =================

CENSUS DATABeds 150 150 150 150 445267Beds

Patient DaysSNFMedicare 8,788 7,009 8,111 6,559 445267MedicareMedicaid 22,301 25,187 25,592 27,685 Other 14,086 14,819 14,154 12,640

--------------------------- --------------------------- --------------------------- ---------------------------TPD 45,175 47,015 47,857 46,884 445267TPD

================= ================= ================= =================

Bed Days Avail. 50,100 54,750 54,750 54,900 445267Bed Days Avail.Occupancy % 90.2% 85.9% 87.4% 85.4%

ADMISSIONSMCR 274 241 301 232 445267MCRMCD 42 16 - 9 OTH 125 145 156 163

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions 441 402 457 404 445267Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS 41 34 33 34 MCD ALOS 496 387 - 629 OTH ALOS 110 108 119 124

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS 647 529 152 787 445267Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG 216 208 244 195 MCD DSCHRG 45 65 - 44 OTH DSCHRG 149 162 158 140

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG 410 435 402 379 445267Total DSCHRG

================= ================= ================= =================

GREENHILLS HEALTH AND REHABILITATION CENTER

Page 35: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445378

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue 8,980,265 10,498,279 12,256,300 12,687,100

Operating Expenses 9,955,599 10,071,715 12,679,141 13,839,585 =================================== ================= =================

Income/(Loss) (975,334) 426,564 (422,841) (1,152,485) 445378Income/(Loss)=================================== ================= =================

CENSUS DATABeds 40 48 66 70 445378Beds

Patient DaysSNFMedicare 2,233 4,728 6,710 6,771 445378MedicareMedicaid - - - - Other 11,514 11,398 14,419 16,059

--------------------------- --------------------------- --------------------------- ---------------------------TPD 13,747 16,126 21,129 22,830 445378TPD

================= ================= ================= =================

Bed Days Avail. 14,600 17,520 24,090 25,620 445378Bed Days Avail.Occupancy % 94.2% 92.0% 87.7% 89.1%

ADMISSIONSMCR 63 150 237 202 445378MCRMCD - - - - OTH 35 76 71 129

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions 98 226 308 331 445378Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS 41 36 32 32 MCD ALOS - - - - OTH ALOS 121 79 86 65

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS 162 115 117 97 445378Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG 55 132 211 212 MCD DSCHRG - - - - OTH DSCHRG 59 73 36 138

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG 114 205 247 350 445378Total DSCHRG

================= ================= ================= =================

WOODCREST AT BLAKEFORD

Page 36: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445460

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue 6,227,817 6,696,431 6,982,926 7,235,810

Operating Expenses 5,719,715 6,356,718 6,855,756 7,386,353 =================================== ================= =================

Income/(Loss) 508,102 339,713 127,170 (150,543) 445460Income/(Loss)=================================== ================= =================

CENSUS DATABeds 90 90 90 90 445460Beds

Patient DaysSNFMedicare 7,467 8,397 7,529 8,999 445460MedicareMedicaid - - - - Other 24,249 23,535 24,349 22,687

--------------------------- --------------------------- --------------------------- ---------------------------TPD 31,716 31,932 31,878 31,686 445460TPD

================= ================= ================= =================

Bed Days Avail. 32,850 32,850 32,850 32,940 445460Bed Days Avail.Occupancy % 96.5% 97.2% 97.0% 96.2%

ADMISSIONSMCR 229 286 232 283 445460MCRMCD - - - - OTH 61 186 134 157

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions 290 472 366 440 445460Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS 27 30 32 30 MCD ALOS - - - - OTH ALOS 111 68 87 72

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS 138 98 119 102 445460Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG 279 277 232 297 MCD DSCHRG - - - - OTH DSCHRG 8 193 134 146

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG 287 470 366 443 445460Total DSCHRG

================= ================= ================= =================

VANCO MANOR NURSING AND REHABILITATION CENTER

Page 37: MARKET-FINANCIAL HEALTHCARE FACILITY ACQUISITION ANALYSIS - DEWITT

Provider ID 445486

2005 2006 2007 2008

INCOME STATEMENTNet Patient Revenue - - 1,976,223 2,679,947

Operating Expenses - - 2,017,666 2,832,307 =================================== ================= =================

Income/(Loss) - - (41,443) (152,360) 445486Income/(Loss)=================================== ================= =================

CENSUS DATABeds - - 38 38 445486Beds

Patient DaysSNFMedicare - - 379 1,849 445486MedicareMedicaid - - 11,169 9,752 Other - - 1,570 1,533

--------------------------- --------------------------- --------------------------- ---------------------------TPD - - 13,118 13,134 445486TPD

================= ================= ================= =================

Bed Days Avail. - - 13,870 13,908 445486Bed Days Avail.Occupancy % 94.6% 94.4%

ADMISSIONSMCR - - 12 38 445486MCRMCD - - 22 18 OTH - - 12 12

--------------------------- --------------------------- --------------------------- ---------------------------Total Admissions - - 46 68 445486Total Admissions

================= ================= ================= =================

AVG LENGTH OF STAYMCR ALOS - - 54 80 MCD ALOS - - 465 406 OTH ALOS - - 312 193

--------------------------- --------------------------- --------------------------- ---------------------------Total ALOS - - 831 679 445486Total ALOS

================= ================= ================= =================

DISCHARGESMCR DSCHRG - - 7 23 MCD DSCHRG - - 24 24 OTH DSCHRG - - 11 21

--------------------------- --------------------------- --------------------------- ---------------------------Total DSCHRG - - 42 68 445486Total DSCHRG

================= ================= ================= =================

RIDGETOP HAVEN HEALTH CARE CENTER