SNFData - 135042 - Financial & Statistical Information

LACROSSE HEALTH AND REHAB
210 WEST LACROSSE
COEUR D ALENE, ID 83814
(208) 664-2185

Medicare Provider Number: 135042

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Period ending date	###	###	###	###	###
Number of months in period	###	###	###	###	###
Cost report status	###	###	###	###	###
View Cost Report	view	view	view	view	view
Assets
Current Assets	###	###	###	###	###
Fixed Assets	###	###	###	###	###
Other Assets	###	###	###	###	###
Total Assets	###	###	###	###	###
Liabilities and Fund Balances
Current Liabilities	###	###	###	###	###
Long-Term Liabilities	###	###	###	###	###
Total Liabilities	###	###	###	###	###
Total Fund Balances	###	###	###	###	###
Total Liabilities & Fund Balances	###	###	###	###	###

Inpatient Revenue	###	###	###	###	###
Outpatient Revenue	###	###	###	###	###
Total Patient Revenue	###	###	###	###	###
Contractual Allowance (Discounts)	###	###	###	###	###
Net Patient Revenues	###	###	###	###	###
Total Operating Expense¹	###	###	###	###	###
Operating Income	###	###	###	###	###
Other Income (Contributions, Bequests, etc.)	###	###	###	###	###
Income from Investments	###	###	###	###	###
Governmental Appropriations	###	###	###	###	###
Miscellaneous Non-Patient Revenue	###	###	###	###	###
Total Non-Patient Revenue	###	###	###	###	###
Total Other Expenses	###	###	###	###	###
Net Income or (Loss)	###	###	###	###	###
¹ Depreciation Expense (included above)	###	###	###	###	###