Nursing Facility Groups for FY 2011/2012 Rate Adjustments Note: Net Total Adjustment/Recovery for Quarters 1, 2 and 3 Amount is Estimated

GROUP 1 A. All NFs that have a net positive payment for Quarters 1, 2 and 3 B. NFs that owe less than 25% of their average monthly Medical Assistance (MA) payment

GROUP FACILITY NAME NET TOTAL Group 1A ABINGTON CREST NURSING AND REHAB CENTER $61,291.56 Group 1A ABINGTON MANOR $146,926.57 Group 1A ALTOONA CENTER FOR NURSING CARE $138,762.98 Group 1A AMBLER EXTENDED CARE CENTER $30,692.59 Group 1B ARBUTUS PARK MANOR -$19,717.75 Group 1A ARISTACARE AT MEADOW SPRINGS $12,352.20 Group 1B ATTLEBORO NURSING AND REHAB CENTER -$25,493.71 Group 1A AVALON NURSING CENTER $3,068.06 Group 1A AVALON SPRINGS NURSING CENTER $28,578.80 Group 1A BALA NURSING AND RETIREMENT CENTER $595,038.52 Group 1A BALDWIN HEALTH CENTER $77,933.69 Group 1A BALL PAVILION, THE $58,147.25 Group 1B BAPTIST HOMES OF WESTERN PENNSYLVANIA -$54,472.75 Group 1A BARBARA J. EGAN NURSING AND REHAB CENTER $125,100.38 Group 1A BARCLAY FRIENDS $16,314.96 Group 1B BARNES-KASSON COUNTY HOSPITAL SNF -$42,745.81 Group 1A BEACON RIDGE, A CHOICE COMMUNITY $20,708.05 Group 1A BEAVER ELDER CARE AND REHAB CENTER $78,360.94 Group 1A BEAVER VALLEY NURSING AND REHAB CENTER $123,590.99 Group 1A BELLE HAVEN $21,851.74 Group 1A BERKSHIRE CENTER $7,514.11 Group 1A BERWICK RETIREMENT VILLAGE NRSNG CTR I $74,758.03 Group 1B BERWICK RETIREMENT VILLAGE NRSNG CTR II -$34,496.61 Group 1A BIRCHWOOD NURSING AND REHAB CENTER $180,422.32 Group 1A BLOOMSBURG HEALTH CARE CENTER $138,080.29 Group 1A BONHAM NURSING CENTER $41,973.93 Group 1A BRADFORD ECUMENICAL HOME, INC $149,319.78 Group 1B BRANDYWINE HALL -$25,655.78 Group 1A BRIARCLIFF PAVILION FOR SPECIALIZED CARE $91,230.17 Group 1A BRIARLEAF NURSING AND CONVAL CENTER $32,320.16 Group 1A BRINTON MANOR $15,974.49 Group 1A BROAD ACRES HEALTH AND REHAB CENTER $255,771.16 Group 1A BROOKLINE MANOR AND REHABILITATIVE SRVCS $70,201.50 Group 1B BROOKSIDE HEALTHCARE AND REHAB CENTER -$45,644.90 Group 1A BROOMALL MANOR $13,867.84 Group 1B BROOMALL REHAB AND NURSING CENTER -$94,191.28 Group 1A BRYN MAWR EXTENDED CARE CENTER $47,223.22 Group 1B BUCKINGHAM VALLEY REHAB AND NURSING CTR -$80,165.95 Group 1A BUCKTAIL MEDICAL CENTER $55,140.53 Group 1A BUFFALO VALLEY LUTHERAN VILLAGE $3,513.56 Group 1A CALVARY FELLOWSHIP HOMES, INC $42,901.95 Group 1A CAMBRIA CARE CENTER $480,177.22 Group 1B CAMBRIDGE SPRINGS REHAB & NURSING CENTER -$55,599.76 Group 1A CANTERBURY PLACE $158,166.81

1 Revised 04/20/2012

GROUP FACILITY NAME NET TOTAL Group 1A CARBONDALE NURSING AND REHAB CENTER $172,449.81 Group 1A CARE PAVILION NURSING AND REHAB CENTER $222,439.77 Group 1B CARING HEART REHAB AND NURSING CENTER -$97,516.70 Group 1B CARING HEIGHTS COMMUNITY CARE & REHAB -$48,125.93 Group 1A CARLETON SENIOR CARE AND REHAB CENTER $13,320.08 Group 1A CATHEDRAL VILLAGE $33,435.16 Group 1A CHANDLER HALL HEALTH SERVICES INC $15,122.74 Group 1B CHAPEL MANOR -$29,203.98 Group 1A CHAPEL POINTE AT CARLISLE $44,176.31 Group 1B CHARLES COLE MEMORIAL HOSPITAL ECF -$7,870.12 Group 1A CHARLES M. MORRIS NURSING AND REHAB CTR $96,641.54 Group 1B CHELTENHAM YORK ROAD NSG & REHAB CENTER -$75,716.42 Group 1A CHERRY TREE NURSING CENTER $158,034.86 Group 1A CHESTER VALLEY REHAB AND NURSING CENTER $551,626.86 Group 1A CHESTNUT HILL LODGE HEALTH AND REHAB CTR $99,652.02 Group 1A CHRIST THE KING MANOR $362,183.37 Group 1A CHRIST'S HOME RETIREMENT CENTER $20,215.15 Group 1A CHURCH OF THE BRETHREN HOME $378,433.63 Group 1A CLARVIEW NURSING AND REHAB CENTER $12,148.82 Group 1A CLIVEDEN NSG & REHAB CTR $185,633.23 Group 1B COLONIAL PARK CARE CENTER -$20,633.59 Group 1B COMMONS AT SQUIRREL HILL -$49,990.66 Group 1A CONCORDIA LUTHERAN HEALTH AND HUMAN CARE $53,917.63 Group 1A CONNER-WILLIAMS NURSING HOME $16,943.70 Group 1A CONSULATE HEALTH CARE OF CHESWICK $64,562.63 Group 1A CONSULATE HEALTH CARE OF NORTH STRABANE $67,304.83 Group 1A CORRY MANOR $4,356.45

COUNTRY MEADOWS NURSING CENTER-Group 1A BETHLEHEM $10,808.16 Group 1A COUNTRY MEADOWS OF SOUTH HILLS $187,276.60 Group 1A COUNTRYSIDE CHRISTIAN COMMUNITY $1,198.00 Group 1B COVENTRY MANOR NURSING HOME -$28,363.32 Group 1A CRANBERRY PLACE $230,936.33 Group 1B CRESTVIEW CENTER -$62,424.67 Group 1A DARWAY ELDER CARE REHABILITATION CENTER $25,970.31 Group 1A DEER MEADOWS RETIREMENT COMMUNITY $39,605.76 Group 1A DENVER NURSING HOME $8,228.77 Group 1B DONAHOE MANOR -$21,490.11 Group 1B DR ARTHUR CLIFTON MCKINLEY HEALTH CENTER -$29,824.41 Group 1A DRESHER HILL HEALTH AND REHAB CENTER $168,764.23 Group 1A DUBOIS NURSING HOME $94,885.14 Group 1A DUNMORE HEALTH CARE CENTER $76,290.88 Group 1B EASTON NURSING CENTER -$153,872.61 Group 1A EDGEHILL NURSING AND REHAB CENTER $75,355.51 Group 1A EDINBORO MANOR $260,773.98 Group 1B ELK HAVEN NURSING HOME -$44,255.99 Group 1A ELKINS CREST HEALTH AND REHAB CENTER $101,720.86 Group 1B EMMANUEL CENTER FOR NURSING AND REHAB -$20,330.61 Group 1B EPHRATA MANOR -$18,521.19 Group 1A EPWORTH MANOR $219,475.98 Group 1A EVERGREEN HEALTH CARE CENTER $32,352.61

2 Revised 04/20/2012

GROUP FACILITY NAME NET TOTAL Group 1B EVERGREEN NURSING CENTER -$52,620.41 Group 1A FAIRMOUNT HOMES $101,812.57 Group 1B FAIRVIEW CARE CENTER OF BETHLEHEM PIKE -$106,675.90 Group 1A FAIRVIEW CARE CENTER OF PAPERMILL ROAD $203,761.66 Group 1A FAIRVIEW MANOR $1,173.68 Group 1B FELLOWSHIP MANOR -$6,437.38 Group 1A FOREST CITY NURSING AND REHAB CENTER $10,880.76 Group 1B FOREST PARK HEALTH CENTER -$71,307.58 Group 1A FORESTVIEW $108,916.08 Group 1A FREDERICK LIVING - CEDARWOOD $29,522.36 Group 1A FRIENDLY NURSING HOME - PITMAN $13,208.19 Group 1A FRIENDSHIP VILLAGE OF SOUTH HILLS $22,496.21 Group 1A GARDEN SPRING CENTER $122,737.75 Group 1B GARVEY MANOR -$33,178.17 Group 1B GERMANTOWN HOME -$109,325.30 Group 1B GLENDALE UPTOWN HOME -$58,932.36 Group 1A GOLDEN HILL NURSING HOME, INC $85,721.50 Group 1A GOLDEN LIVINGCENTER-BLUE RIDGE MOUNTAIN $3,993.17 Group 1A GOLDEN LIVINGCENTER-CAMP HILL $109,364.66 Group 1A GOLDEN LIVINGCENTER-EAST MOUNTAIN $9,201.42 Group 1B GOLDEN LIVINGCENTER-HAIDA -$3,121.36 Group 1B GOLDEN LIVINGCENTER-KINZUA -$5,932.62 Group 1B GOLDEN LIVINGCENTER-LANCASTER -$68,943.49 Group 1B GOLDEN LIVINGCENTER-MANSION -$20,984.50 Group 1B GOLDEN LIVINGCENTER-MEYERSDALE -$17,580.29 Group 1A GOLDEN LIVINGCENTER-MONROEVILLE $149,203.32 Group 1A GOLDEN LIVINGCENTER-MT LEBANON $123,784.92 Group 1A GOLDEN LIVINGCENTER-MURRYSVILLE $7,084.98 Group 1B GOLDEN LIVINGCENTER-OIL CITY -$40,752.12 Group 1B GOLDEN LIVINGCENTER-PHOENIXVILLE -$88,611.19 Group 1A GOLDEN LIVINGCENTER-READING $42,107.20 Group 1A GOLDEN LIVINGCENTER-RICHLAND $14,847.29 Group 1A GOLDEN LIVINGCENTER-SOUTH HILLS $14,841.86 Group 1A GOLDEN LIVINGCENTER-SUMMIT $60,864.33 Group 1A GOLDEN LIVINGCENTER-TITUSVILLE $103,881.74 Group 1B GOLDEN LIVINGCENTER-WALNUT CREEK -$29,268.69 Group 1A GOLDEN LIVINGCENTER-WAYNESBURG $136,641.70 Group 1A GOLDEN LIVINGCENTER-WESTERN RESERVE $1,873.24 Group 1B GOLDEN LIVINGCENTER-WILLIAM PENN -$30,694.46 Group 1B GOLDEN LIVINGCENTER-YORK TERRACE -$22,477.24 Group 1B GOOD SHEPHERD HOME RAKER CENTER -$160,347.00 Group 1A GOOD SHEPHERD HOME-BETHLEHEM $40,589.21 Group 1A GREEN HOME, INC, THE $4,644.29 Group 1B GREENERY SPECIALTY CARE CENTER -$27,774.90 Group 1A GREENLEAF NURSING HOME AND CONVAL CENTER $52,450.38 Group 1A GREENSBURG CARE CENTER $447,492.22 Group 1A GROVE MANOR $35,117.82 Group 1A GUARDIAN ELDER CARE CENTER $15,645.27 Group 1A GUY AND MARY FELT MANOR, INC $6,942.49 Group 1A HAMILTON ARMS CENTER $81,578.19 Group 1A HAMPTON HOUSE $100,750.22

3 Revised 04/20/2012

GROUP FACILITY NAME NET TOTAL Group 1A HARMAR VILLAGE CARE CENTER $61,076.95 Group 1A HARMON HOUSE CARE CENTER $171,719.92 Group 1A HARRISON SENIOR LIVING OF CHRISTIANA $33,594.04 Group 1B HARSTON HALL -$105,968.09 Group 1A HAVEN CONVALESCENT HOME, INC $82,431.63 Group 1B HAVENCREST NURSING CENTER -$5,364.45 Group 1A HEARTLAND HEALTH CARE CENTER(PITTSBURGH) $46,302.49 Group 1A HEMPFIELD MANOR $131,926.92 Group 1A HENRY CLAY VILLA, LP $162,301.66 Group 1A HERITAGE TOWERS $43,574.13 Group 1A HICKORY HOUSE NURSING HOME $58,554.33 Group 1B HIGHLAND MANOR NURSING AND CONVAL CENTER -$33,537.33 Group 1A HIGHLAND PARK CARE CENTER $155,372.52 Group 1A HIGHLAND VIEW CARE CENTER $37,464.22 Group 1B HIGHLANDS CARE CENTER, THE -$10,039.93 Group 1B HILLCREST CENTER -$16,356.60 Group 1B HILLSDALE REHABILITATION AND NURSING CTR -$856.35 Group 1A HOLY FAMILY HOME $78,724.09 Group 1B HOLY FAMILY MANOR -$81,458.85 Group 1A HOLY FAMILY RESIDENCE $85,599.79 Group 1A HOMESTEAD VILLAGE, INC $22,013.76 Group 1A HOMETOWN NURSING AND REHAB CENTER $8,603.20 Group 1A HOMEWOOD AT MARTINSBURG PA INC $237,340.47 Group 1A HOMEWOOD AT PLUM CREEK $71,760.34 Group 1A HOPKINS CENTER $114,926.40 Group 1A HOSPITALITY CARE CENTER OF HERMITAGE INC $70,332.56 Group 1A HUMBERT LANE NURSING AND REHAB CENTRE $92,840.51 Group 1B HUNTINGDON NURSING AND REHAB CENTER -$36,289.59 Group 1A IMMACULATE MARY HOME $570,367.75 Group 1B INGLIS HOUSE -$496,000.09 Group 1B IVY HILL REHABILITATION AND NURSING CTR -$167,177.73 Group 1B JEFFERSON HILLS MANOR -$16,039.05 Group 1A JEFFERSON MANOR HEALTH CENTER $142,628.90 Group 1A JEWISH HOME OF GREATER HARRISBURG $18,224.93 Group 1B JULIA POUND CARE CENTER -$20,174.44 Group 1A JULIA RIBAUDO EXTENDED CARE CENTER $90,992.75 Group 1A KADE NURSING HOME $106,226.08 Group 1A KEARSLEY REHAB AND NURSING CENTER $138,180.13 Group 1B KEPLER HOME, INC, THE -$27,476.91 Group 1A KINDRED TRANSITIONAL CARE - WYOMISSING $60,212.87 Group 1B KINGSTON COMMONS -$64,888.85 Group 1B KINKORA PYTHIAN HOME -$10,531.87 Group 1A KITTANNING CARE CENTER $446,082.53 Group 1B KRAMM HEALTH AND REHAB CENTER -$74,167.17 Group 1A KUTZTOWN MANOR $3,464.60 Group 1B LACKAWANNA HEALTH AND REHAB CENTER -$18,526.88 Group 1A LAFAYETTE MANOR, INC $84,712.03 Group 1A LAFAYETTE-REDEEMER (DBA ENTITY OF HRHS) $170,920.51 Group 1B LAKESIDE NURSING CENTER -$29,797.07 Group 1B LANCASHIRE HALL -$33,558.09 Group 1B LANDIS HOMES -$981.62

4 Revised 04/20/2012

GROUP FACILITY NAME NET TOTAL Group 1A LANGHORNE GARDENS REHAB AND NURSING CTR $2,608.85 Group 1A LAUREL CENTER $7,703.86 Group 1B LAUREL RIDGE CENTER -$2,363.16 Group 1A LAUREL WOOD CARE CENTER $81,182.70 Group 1A LAURELS HEALTH AND REHAB AT MID VALLEY $21,508.80 Group 1A LAWSON NURSING HOME, INC. $8.36 Group 1A LEBANON VALLEY BRETHREN HOME $76,071.15 Group 1B LEHIGH CENTER -$9,997.01 Group 1B LGAR HEALTH AND REHABILITATION CENTER -$60,956.97 Group 1A LIBERTY COURT, GENESIS HEALTHCARE $68,989.85 Group 1A LIFEQUEST NURSING CENTER $123,562.97 Group 1A LINWOOD NURSING AND REHABILITATION CTR $168,246.03 Group 1B LITTLE FLOWER MANOR -$34,299.19 Group 1A LITTLE FLOWER MANOR OF DIOCESE SCRANTON $55,931.80 Group 1B LOCUST GROVE RETIREMENT VILLAGE -$65,004.69 Group 1A LOYALHANNA CARE CENTER $89,349.69 Group 1A LUTHER ACRES MANOR $44,097.14 Group 1A LUTHER CREST NURSING FACILITY $15,661.60 Group 1A LUTHER WOODS CONVALESCENT CENTER $160,581.32 Group 1A LUTHERAN HOME AT HOLLIDAYSBURG, THE $15,396.77 Group 1A LUTHERAN HOME AT KANE, THE $98,041.17 Group 1B LUTHERAN HOME AT TOPTON -$65,569.62 Group 1A LUTHERAN NRSG AND REHAB CTR-SPRENKLE DR $107,987.72 Group 1A MANCHESTER PRESBYTERIAN LODGE $43,233.24 Group 1B MANORCARE HEALTH SVCS-BETHLEHEM (2029) -$29,702.04 Group 1A MANORCARE HEALTH SVCS-CAMP HILL $85,937.75 Group 1A MANORCARE HEALTH SVCS-CARLISLE $84,330.93 Group 1A MANORCARE HEALTH SVCS-CHAMBERSBURG $52,214.27 Group 1A MANORCARE HEALTH SVCS-DALLASTOWN $33,045.56 Group 1B MANORCARE HEALTH SVCS-EASTON -$34,908.31 Group 1A MANORCARE HEALTH SVCS-GREEN TREE $149,401.36 Group 1A MANORCARE HEALTH SVCS-HUNTINGDON VALLEY $27,367.90 Group 1B MANORCARE HEALTH SVCS-JERSEY SHORE -$18,170.83 Group 1A MANORCARE HEALTH SVCS-KINGSTON $50,811.72 Group 1B MANORCARE HEALTH SVCS-KINGSTON COURT -$34,526.97 Group 1A MANORCARE HEALTH SVCS-LANCASTER $152,989.62 Group 1A MANORCARE HEALTH SVCS-LANSDALE $119,385.09 Group 1A MANORCARE HEALTH SVCS-LAURELDALE $110,641.26 Group 1A MANORCARE HEALTH SVCS-LEBANON $160,827.33 Group 1A MANORCARE HEALTH SVCS-MERCY FITZGERALD $103,900.56 Group 1A MANORCARE HEALTH SVCS-MONROEVILLE $157,781.33 Group 1A MANORCARE HEALTH SVCS-NORTH HILLS $5,199.33 Group 1A MANORCARE HEALTH SVCS-PETERS TOWNSHIP $154,923.39 Group 1A MANORCARE HEALTH SVCS-POTTSVILLE $237,102.85 Group 1A MANORCARE HEALTH SVCS-SINKING SPRING $25,619.75 Group 1A MANORCARE HEALTH SVCS-SUNBURY $9,288.47 Group 1A MANORCARE HEALTH SVCS-WEST READING NORTH $109,596.11 Group 1B MANORCARE HEALTH SVCS-WHITEHALL BOROUGH -$27,607.53 Group 1A MANORCARE HEALTH SVCS-WILLIAMSPORT NORTH $10,807.93 Group 1A MANORCARE HEALTH SVCS-WILLIAMSPORT SOUTH $8,740.78 Group 1A MANORCARE HEALTH SVCS-YARDLEY $65,204.86

5 Revised 04/20/2012

GROUP FACILITY NAME NET TOTAL Group 1B MANORCARE HEALTH SVCS-YEADON -$35,188.40 Group 1A MANORCARE HEALTH SVCS-YORK NORTH $81,645.61 Group 1A MAPLE FARM $162,572.64 Group 1A MAPLEWOOD NURSING AND REHABILITATION CTR $69,162.09 Group 1A MARGARET E. MOUL HOME $2,031.30 Group 1A MARY ELLEN CONVALESCENT HOME, INC $46,948.55 Group 1B MEADOW VIEW NURSING CENTER -$75,394.27 Group 1A MEADOW VIEW SENIOR LIVING CENTER $30,566.83 Group 1B MEADOWCREST NURSING CENTER -$11,501.48 Group 1B MEADOWS AT MARTINS RUN, THE -$548.71 Group 1A MEADOWS NURSING AND REHAB CENTER $166,396.65 Group 1B MENNO-HAVEN, INC. -$29,436.53 Group 1B MERCY CENTER NURSING UNIT, INC -$4,892.03 Group 1A MIFFLIN CENTER $215,398.38 Group 1B MILFORD SENIOR CARE AND REHAB CENTER -$8,994.56 Group 1A MILLCREEK MANOR $21,273.16 Group 1A MILLVILLE HEALTH CENTER $59,201.30 Group 1A MISERICORDIA NURSING & REHAB CENTER $116,009.49 Group 1B MON VALLEY CARE CENTER -$1,892.59 Group 1B MORAVIAN HALL SQ. HLTH AND WELLNESS CTR -$7,224.77 Group 1A MORRISONS COVE HOME $24,780.38 Group 1A MOSSER NURSING HOME $40,252.04 Group 1A MOUNT CARMEL NURSING AND REHAB CENTER $56,134.03 Group 1B MOUNT MACRINA MANOR NURSING HOME -$40,039.64 Group 1A MOUNTAIN LAUREL NRC $197,309.05 Group 1A MOUNTAIN TOP SENIOR CARE AND REHAB CTR $136,382.78 Group 1A MOUNTAIN VIEW CARE CENTER $81,927.92 Group 1B MOUNTAINVIEW SPECIALTY CARE CENTER -$7,050.07 Group 1B MULBERRY SQUARE -$9,256.86 Group 1A MUNCY VALLEY HOSPITAL SNU $195,913.44 Group 1A NAAMANS CREEK COUNTRY MANOR $50,406.35 Group 1A NEW EASTWOOD CARE AND REHAB CENTER $38,620.91 Group 1A NIPPLE CONVALESCENT HOME $63,437.71 Group 1A NORMANDIE RIDGE $42,473.16 Group 1B NORTH HILLS HEALTH AND REHAB CENTER -$6,906.07 Group 1B NOTTINGHAM VILLAGE -$38,351.81 Group 1A NUGENT CONVALESCENT HOME $67,625.17 Group 1A OAK HILL NURSING AND REHAB CENTER $76,726.02 Group 1B OHESSON MANOR -$7,721.59 Group 1A OLD ORCHARD HEALTH CARE CENTER $56,014.26 Group 1A ORCHARD MANOR, INC $272,173.89 Group 1A ORWIGSBURG CENTER $121,875.41 Group 1B OSPREY RIDGE HEALTHCARE AND REHAB CENTER -$60,270.72 Group 1B OVERLOOK MEDICAL CLINIC INC -$15,668.72 Group 1A OXFORD HEALTH CENTER $180,708.05 Group 1A PALMYRA NURSING HOME $117,202.94 Group 1A PAVILION AT BRMC $224,365.50 Group 1A PEMBROOKE HEALTH AND REHAB RESIDENCE $17,139.03 Group 1B PENN CENTER FOR REHABILITATION AND CARE -$2,099.44 Group 1B PENNKNOLL VILLAGE -$32,557.77 Group 1B PENNSBURG MANOR -$29,569.19

6 Revised 04/20/2012

GROUP FACILITY NAME NET TOTAL Group 1A PENNYPACK CENTER $56,447.79 Group 1A PETER BECKER COMMUNITY $41,748.76 Group 1A PHILADELPHIA PROTESTANT HOME $196,450.57 Group 1A PHOEBE BERKS HEALTH CARE CENTER, INC $8,310.96 Group 1B PHOEBE HOME, INC -$306,670.74 Group 1B PHOEBE RICHLAND HCC -$37,078.60 Group 1A PHOEBE WYNCOTE $121,041.46 Group 1B PINECREST MANOR -$1,020.95 Group 1A PLEASANT VIEW RETIREMENT COMMUNITY $51,481.64 Group 1A PRESBYTERIAN HOME OF GREATER JOHNSTOWN $12,312.48 Group 1A PRESBYTERIAN HOMES-PRESBYTERY-HUNTINGDON $25,226.63 Group 1A PRESBYTERIAN LODGE $77,850.60 Group 1A PROSPECT PARK HEALTH AND REHAB RESIDENCE $27,267.21 Group 1A PROVIDENCE CARE CENTER $157,381.03 Group 1A QUAKERTOWN CENTER $89,963.39 Group 1A QUARRYVILLE PRESBYTERIAN RETIRMENT COMM $102,374.14 Group 1B REDSTONE HIGHLANDS HEALTH CARE CENTER -$23,178.79 Group 1A REGINA COMMUNITY NURSING CENTER $177,913.51 Group 1A REST HAVEN-YORK $306,417.60 Group 1A RHEEMS NURSING AND REHABILITATION CENTER $1,537.13 Group 1A RICHBORO REHAB AND NURSING CENTER $140,590.74 Group 1B RICHFIELD SENIOR LIVING AND REHAB CENTE -$2,080.12 Group 1B RIDGEVIEW ELDER CARE REHAB CENTER -$15,449.21 Group 1A RITTENHOUSE PINE CENTER $47,566.05 Group 1A RIVERSIDE CARE CENTER $307,866.65 Group 1A RIVERSIDE REHABILITATION AND NURSING CTR $112,287.07 Group 1A RIVERSTREET MANOR $1,719.57 Group 1B RIVERWOODS -$73,562.22 Group 1A ROCHESTER MANOR $116,707.28 Group 1A ROCKHILL MENNONITE COMMUNITY $66,429.32 Group 1A ROLLING FIELDS, INC $76,762.85 Group 1B ROLLING HILLS MANOR -$258.37 Group 1B ROLLING MEADOWS -$46,847.19 Group 1A ROSE VIEW CENTER $403,689.34 Group 1A RYDAL PARK OF PHILADELPHIA PRSBYTR HOMES $1,625.94 Group 1A SAINT ANNE'S RETIREMENT COMMUNITY $49,438.61 Group 1B SAINT FRANCIS COUNTRY HOUSE -$242,629.36 Group 1A SAINT JOHN NEUMANN NURSING HOME $165,693.67 Group 1A SAINT JOSEPH VILLA $40,896.41 Group 1A SAINT MARTHA MANOR $16,037.20 Group 1B SAINT MARY'S EAST -$45,912.56 Group 1A SAINT MARY'S MANOR $14,197.85 Group 1A SAINT MARY'S VILLA NURSING HOME, INC $97,696.72 Group 1B SANATOGA CENTER -$38,835.41 Group 1A SARAH A REED RETIREMENT CENTER, THE $48,494.37 Group 1A SARAH A TODD MEMORIAL HOME $181,287.48 Group 1A SAUNDERS HOUSE $91,396.28 Group 1A SAYRE HEALTH CARE CENTER, LLC $13,302.18 Group 1A SCENERY HILL MANOR $4,065.89 Group 1B SCHUYLKILL CENTER -$39,930.98 Group 1A SCOTTDALE MANOR REHABILITATION CENTER $8,465.57

7 Revised 04/20/2012

GROUP FACILITY NAME NET TOTAL Group 1A SETON MANOR INC $100,792.66 Group 1A SHADYSIDE NURSING AND REHAB CENTER $29,079.80 Group 1A SHENANDOAH MANOR NURSING CENTER $102,425.95 Group 1A SHERWOOD OAKS $5,591.76 Group 1B SIEMONS' LAKEVIEW MANOR NSG AND REHAB -$2,345.10 Group 1B SILVER LAKE CENTER -$12,220.37 Group 1A SILVER STREAM CENTER $11,025.30 Group 1A SIMPSON HOUSE, INC $128,151.94 Group 1B SKILLED CARE CENTER AT UTZ TERRACE -$18,182.43 Group 1A SKY VUE TERRACE $23,053.74 Group 1B SMITH HEALTH CARE, LTD -$5,293.89 Group 1A SOMERTON CENTER $613,683.83 Group 1B SOUTHMONT OF PRESBYTERIAN SENIORCARE -$47,816.04 Group 1A SOUTHWESTERN NURSING CENTER $97,759.27 Group 1B SPANG CREST MANOR -$23,805.92 Group 1B SPRUCE MANOR NURSING AND REHAB CENTER -$7,976.34 Group 1A ST LUKE'S MINERS MEMORIAL GERIATRIC CTR $57,383.63 Group 1B ST. LUKE'S VILLA -$8,889.05 Group 1A ST. MONICA MANOR $35,616.05 Group 1A STERLING HEALTH CARE AND REHAB CENTER $204,269.52 Group 1A STONEBRIDGE HEALTH AND REHAB CENTER $21,173.19 Group 1A STONERIDGE POPLAR RUN $80,643.97 Group 1A SUGAR CREEK STATION SKILLED NSG & REHAB $23,830.54 Group 1A SUMMIT AT BLUE MOUNTAIN NURSING & REHAB $4,718.57 Group 1B SWAIM HEALTH CENTER -$18,859.21 Group 1A THE BELVEDERE CENTER, GENESIS HEALTHCARE $48,194.72 Group 1B THE MANOR AT PENN VILLAGE -$7,354.36 Group 1B THE MANOR AT SUSQUEHANNA VILLAGE -$65,185.17 Group 1A THORNWALD HOME $24,076.27 Group 1A TOWNVIEW HEALTH AND REHAB CENTER $198,570.51 Group 1A TRANSITIONS HEALTHCARE AUTUMN GROVE $8,941.93 Group 1A TREMONT HEALTH AND REHABILITATION CENTER $26,481.88 Group 1A TUCKER HOUSE NSG & REHAB CTR $159,910.35 Group 1A TWIN OAKS NURSING HOME $58,329.76 Group 1A UNITED ZION RETIREMENT COMMUNITY $49,166.81 Group 1B VALENCIA WOODS AT ST BARNABAS -$3,683.71 Group 1B VALLEY MANOR NURSING AND REHAB CENTER -$114,865.60 Group 1B VALLEY VIEW HAVEN, INC -$78,056.31 Group 1B VALLEY VIEW NURSING CENTER -$51,529.60 Group 1A VILLA SAINT JOSEPH OF BADEN INC. $3,069.21 Group 1B VILLAGE AT LUTHER SQUARE -$37,029.78 Group 1A VILLAGE AT PENNWOOD $204,792.42 Group 1B VINCENTIAN HOME -$28,454.86 Group 1B VINCENTIAN REGENCY -$10,894.64 Group 1A WALLINGFORD NURSING AND REHAB CENTER $73,576.20 Group 1A WARREN MANOR $23,816.90 Group 1A WATSONTOWN HEALTH AND REHAB CENTER $103,095.77 Group 1A WAYNE CENTER $64,110.77 Group 1A WAYNE WOODLANDS MANOR $171,222.69 Group 1A WEATHERWOOD NURSING HOME AND REHAB CTR $399,848.55 Group 1A WESBURY UNITED METHODIST COMMUNITY $118,495.47

8 Revised 04/20/2012

GROUP FACILITY NAME NET TOTAL Group 1A WESLEY ENHANCED LIVING AT STAPELY $138,966.00 Group 1A WESLEY VILLAGE $56,897.37 Group 1B WEST HAVEN MANOR -$30,809.77 Group 1A WEST HILLS HEALTH AND REHAB CENTER $38.12 Group 1A WESTGATE REHABILITATION AND NURSING CTR $74,427.91 Group 1B WESTMINSTER VILLAGE -$42,637.05 Group 1A WESTMINSTER WOODS AT HUNTINGDON $13,388.79 Group 1A WEXFORD HOUSE NURSING CENTER $217,031.58 Group 1A WHITE CLIFF NURSING HOME $109,511.19 Group 1A WILLIAM PENN CARE CENTER $139,736.79 Group 1B WILLIAMSPORT HOME, THE -$57,489.24 Group 1A WILLOW RIDGE CENTER $58,610.04 Group 1B WILLOW TERRACE -$32,065.53 Group 1A WILLOWCREST $60,409.10 Group 1B WILLOWS OF PRESBYTERIAN SENIORCARE, THE -$90,016.23 Group 1A WOODHAVEN CARE CENTER $274,783.24 Group 1A WOODLAND RETIREMENT COMMUNITY $11,587.75 Group 1B ZERBE SISTERS NURSING CENTER, INC. -$63,081.71

GROUP 2 NFs that owe 25% or more of their average monthly MA payment will have the amount owed to the Commonwealth recovered over a four-month period; it will be equally divided over the four months. Please note that Month 4 reflects the final amount owed.

GROUP FACILITY NAME NET TOTAL Group 2 ALLIED SERVICES SKILLED NURSING CENTER -$361,254.66 Group 2 ANDORRA WOODS HEALTHCARE CENTER -$309,332.01 Group 2 ARTMAN LUTHERAN HOME -$26,249.96 Group 2 ASBURY HEALTH CENTER -$76,918.28 Group 2 ASHTON HEALTHCARE -$31,548.78 Group 2 AUDUBON VILLA -$106,946.08 Group 2 BALANCED CARE BLOOMSBURG -$187,261.08 Group 2 BALDOCK HEALTH CARE CENTER -$138,942.54 Group 2 BELAIR HEALTH AND REHABILITATION CENTER -$109,059.13 Group 2 BELLE REVE HEALTH CARE CENTER -$16,888.08 Group 2 BETHANY VILLAGE RETIREMENT CENTER -$19,120.60 Group 2 BETHLEN HM OF THE HUNGARIAN RFRMD FED -$200,513.69 Group 2 BRADFORD MANOR -$64,855.24 Group 2 BRETHREN VILLAGE -$141,812.50 Group 2 BROAD MOUNTAIN NURSING AND REHAB CENTER -$135,160.05 Group 2 BROOKMONT HEALTHCARE CENTER LLC -$300,719.54 Group 2 BROOMALL PRESBYTERIAN VILLAGE -$87,208.54 Group 2 BUTLER VALLEY MANOR -$80,400.08 Group 2 CARING PLACE, THE -$69,761.76 Group 2 CEDARS OF MONROEVILLE, THE -$35,684.88 Group 2 CENTENNIAL HEALTHCARE & REHAB CENTER -$552,790.70 Group 2 CHATHAM ACRES -$123,981.63 Group 2 CHELTENHAM NURSING AND REHAB CENTER -$503,340.57 Group 2 CHICORA MEDICAL CENTER -$104,560.45 Group 2 CHURCH OF GOD HOME, INC -$85,345.12 Group 2 CLEPPER MANOR -$36,175.50

9 Revised 04/20/2012

GROUP FACILITY NAME NET TOTAL Group 2 COLONIAL MANOR NURSING HOME -$503,604.66 Group 2 CONESTOGA VIEW -$861,509.71 Group 2 CORNWALL MANOR -$82,337.20 Group 2 COUNTRYSIDE CONVAL HOME LTD PARTNERSHIP -$47,262.51 Group 2 COURTYARD GARDENS NURSING AND REHAB CTR -$234,774.81 Group 2 CROSS KEYS VILLAGE-BRETHREN HM COMM, THE -$414,338.22 Group 2 CUMBERLAND CROSSINGS RETIREMENT COMM -$53,305.03 Group 2 DOCK TERRACE -$40,928.15 Group 2 EDISON MANOR NURSING AND REHAB CENTER -$254,360.52 Group 2 ELDERCREST NURSING CENTER -$36,760.64 Group 2 ELLEN MEMORIAL HEALTH CARE CENTER -$82,038.18 Group 2 ELM TERRACE GARDENS -$77,040.12 Group 2 EVANGELICAL MANOR -$128,879.79 Group 2 FAIR WINDS MANOR -$62,043.95 Group 2 FORBES CENTER FOR REHAB & HEALTHCARE LLC -$196,742.07 Group 2 FOX SUBACUTE AT CLARA BURKE -$427,891.76 Group 2 FOX SUBACUTE AT MECHANICSBURG -$388,028.23 Group 2 FOX SUBACUTE CENTER -$414,548.10 Group 2 FREY VILLAGE -$105,987.30 Group 2 FULTON COUNTY MEDICAL CENTER LTCU -$72,509.53 Group 2 GETTYSBURG CENTER -$227,893.30 Group 2 GETTYSBURG LUTHERAN NURSING REHAB -$93,287.21 Group 2 GOLDEN LIVINGCENTER-CLARION -$49,370.86 Group 2 GOLDEN LIVINGCENTER-DOYLESTOWN -$186,767.72 Group 2 GOLDEN LIVINGCENTER-GETTYSBURG -$123,645.61 Group 2 GOLDEN LIVINGCENTER-HILLVIEW -$489,981.27 Group 2 GOLDEN LIVINGCENTER-LANSDALE -$230,924.55 Group 2 GOLDEN LIVINGCENTER-OAKMONT -$91,122.27 Group 2 GOLDEN LIVINGCENTER-ROSEMONT -$127,258.99 Group 2 GOLDEN LIVINGCENTER-SCRANTON -$146,778.05 Group 2 GOLDEN LIVINGCENTER-SHIPPENVILLE -$102,483.80 Group 2 GOLDEN LIVINGCENTER-STENTON -$140,303.14 Group 2 GOLDEN LIVINGCENTER-STROUD -$249,417.99 Group 2 GOLDEN LIVINGCENTER-TUNKHANNOCK -$127,794.03 Group 2 GOLDEN LIVINGCENTER-UNIONTOWN -$140,132.95 Group 2 GOLDEN LIVINGCENTER-WEST SHORE -$271,733.87 Group 2 GRANDVIEW HEALTH HOMES, INC -$161,827.15 Group 2 GREEN RIDGE CARE CENTER -$49,626.15 Group 2 GWYNEDD SQUARE CTR FOR NSG & CONVAL CARE -$181,647.32 Group 2 HANOVER HALL -$180,846.06 Group 2 HEARTHSIDE REHAB AND NURSING CENTER, THE -$145,760.60 Group 2 HIGHLAND CENTER, GENESIS ELDERCARE NTWRK -$98,567.97 Group 2 HOMELAND CENTER -$49,619.17 Group 2 JAMESON CARE CENTER -$25,324.90 Group 2 JEWISH HOME OF EASTERN PENNSYLVANIA -$173,676.40 Group 2 JOHN XXIII HOME -$101,346.79 Group 2 LAKEVIEW SENIOR CARE AND LIVING CENTER -$30,715.55 Group 2 LATROBE HEALTH AND REHABILITATION CENTER -$118,693.71 Group 2 LAUREL CARE NURSING AND REHAB CENTER -$260,361.94 Group 2 LAUREL VIEW VILLAGE -$19,376.19 Group 2 LAURELS HEALTH AND REHAB AT KINGSTON -$136,642.73

10 Revised 04/20/2012

GROUP FACILITY NAMEGroup 2 LEBANON VALLEY HOME THE Group 2 LIBERTY NURSING AND REHAB CENTER Group 2 LITTLE SISTERS OF THE POOR Group 2 LOCK HAVEN HOSPITAL E.C.U. Group 2 LUTHERAN COMMUNITY AT TELFORD Group 2 LUTHERAN HOME AT JOHNSTOWN, THE Group 2 MADLYN AND LEONARD ABRAMSON CENTER Group 2 MAHONING VALLEY NURSING AND REHAB CENTER Group 2 MAJESTIC OAKS Group 2 MALTA HOME Group 2 MANATAWNY MANOR INC Group 2 MANORCARE HEALTH SVCS-ALLENTOWN Group 2 MANORCARE HEALTH SVCS-BETHEL PARK Group 2 MANORCARE HEALTH SVCS-BETHLEHEM (2021) Group 2 MANORCARE HEALTH SVCS-ELIZABETHTOWN Group 2 MANORCARE HEALTH SVCS-KING OF PRUSSIA Group 2 MANORCARE HEALTH SVCS-POTTSTOWN Group 2 MANORCARE HEALTH SVCS-YORK SOUTH Group 2 MAPLE WINDS CARE CENTER Group 2 MARIAN MANOR CORPORATION Group 2 MARWOOD REST HOME, INC Group 2 MASONIC VILLAGE AT ELIZABETHTOWN Group 2 MASONIC VILLAGE AT LAFAYETTE HILL Group 2 MASONIC VILLAGE AT SEWICKLEY Group 2 MASONIC VILLAGE AT WARMINSTER Group 2 MCMURRAY HILLS MANOR Group 2 MEADVILLE REHABILITATION & NURSING CTR Group 2 MEMORIAL HOSPITAL INC SNU Group 2 MENNONITE HOME, THE Group 2 MESSIAH LIFEWAYS AT MESSIAH VILLAGE Group 2 MORAVIAN MANOR

MOUNT HOPE NAZARENE RETIREMENT Group 2 COMMUNITY Group 2 MOUNTAIN CITY NURSING AND REHAB CENTER Group 2 MOUNTAIN VIEW, A NURSING AND REHAB CTR Group 2 OAKWOOD HEALTHCARE & REHABILITATION CTR Group 2 OIL CITY PRESBYTERIAN HOME Group 2 ORANGEVILLE NURSING AND REHAB CENTER Group 2 PARK PLEASANT HEALTH CARE FACILITY Group 2 PASSAVANT RETIREMENT AND HEALTH CENTER Group 2 PAUL'S RUN Group 2 PENN HALL AT MENNO HAVEN Group 2 PICKERING MANOR HOME Group 2 PINE RUN HEALTH CENTER Group 2 PRAXIS ALZHEIMER'S FACILITY Group 2 PRESQUE ISLE REHAB & NURSING CENTER Group 2 QUINCY RETIREMENT COMMUNITY Group 2 REFORMED PRESBYTERIAN HOME Group 2 REHAB & NURSING CTR GREATER PITTSBURGH Group 2 RIDGEVIEW HEALTHCARE & REHAB CENTER, LLC Group 2 RIVER'S EDGE NURSING AND REHAB CENTER

NET TOTAL -$34,796.35

-$223,169.49 -$28,793.29

-$121,776.27 -$78,128.81

-$134,537.87 -$272,821.35

-$82,153.48 -$188,721.14

-$44,653.05 -$115,061.29 -$304,087.79 -$100,237.48 -$311,584.44

-$44,777.30 -$393,363.13 -$129,005.18 -$101,326.11 -$105,294.93 -$235,956.94 -$106,734.99

-$1,072,000.07 -$105,837.89 -$110,271.42 -$94,846.72

-$186,596.01 -$252,998.61 -$199,553.40 -$246,280.72

-$49,700.22 -$67,821.67

-$55,504.49 -$733,860.48 -$269,667.86 -$137,340.47 -$96,276.08

-$150,838.05 -$167,470.43 -$135,054.56

-$57,843.85 -$31,681.75 -$47,263.11 -$14,096.77

-$145,830.00 -$440,356.42 -$116,896.96 -$111,077.12 -$120,143.02 -$212,422.83 -$108,031.59

11 Revised 04/20/2012

GROUP FACILITY NAME NET TOTAL Group 2 SAINT ANNE HOME -$223,388.50 Group 2 SAINT IGNATIUS NURSING HOME -$188,023.62 Group 2 SAINT MARY'S AT ASBURY RIDGE -$38,217.93 Group 2 SAINT PAUL HOMES -$202,853.21 Group 2 SAXONY HEALTH CENTER -$43,579.55 Group 2 SCRANTON HEALTH CARE CENTER -$47,114.08 Group 2 SENA-KEAN MANOR -$269,831.07 Group 2 SENECA PLACE -$284,448.99 Group 2 SHENANGO PRESBYTERIAN HOME -$15,461.57 Group 2 SHIPPENSBURG HEALTH CARE CENTER -$174,191.72 Group 2 SHOOK HOME, THE -$71,368.44 Group 2 SILVER OAKS NURSING CENTER -$115,310.06 Group 2 SLATE BELT NURSING AND REHAB CENTER -$121,197.99 Group 2 SNYDER MEMORIAL HEALTH CARE CENTER -$274,225.75 Group 2 SOUDERTON MENNONITE HOMES -$39,439.92 Group 2 SOUTH FAYETTE NURSING CENTER -$62,489.45 Group 2 SPRING CREEK REHAB AND HEALTH CARE CTR -$702,291.85 Group 2 SPRINGS AT THE WATERMARK, THE -$75,584.68 Group 2 ST JOHN SPECIALTY CARE CENTER -$221,115.87 Group 2 ST JOSEPH'S MANOR (DBA ENTITY OF HRHS) -$349,947.55 Group 2 ST. BARNABAS NURSING HOME -$104,084.20 Group 2 STATESMAN HEALTH AND REHAB CENTER -$142,933.14 Group 2 STONERIDGE TOWNE CENTRE -$213,447.78 Group 2 SUBURBAN WOODS HEALTH AND REHAB CENTER -$318,456.16 Group 2 SUGAR CREEK REST -$291,360.91 Group 2 SUNBURY COMMUNITY HOSPITAL SNF -$31,770.66 Group 2 SUSQUEHANNA VALLEY NURSING AND REHAB CTR -$145,610.77 Group 2 SWEDEN VALLEY MANOR -$146,108.96 Group 2 SYCAMORE MANOR HEALTH CENTER -$105,603.45 Group 2 TEL HAI RETIREMENT COMMUNITY -$140,344.61 Group 2 THE MANOR AT PERRY VILLAGE -$133,700.88 Group 2 THE MANOR AT ST LUKE VILLAGE -$185,967.18 Group 2 THE PATRIOT, A CHOICE COMMUNITY -$93,092.40 Group 2 THE PAVILION AT ST LUKE VILLAGE -$219,839.33 Group 2 TIMBER RIDGE HEALTH CENTER -$630,606.41 Group 2 TOWNE MANOR EAST -$229,616.96 Group 2 TOWNE MANOR WEST -$317,598.63 Group 2 TRANSITIONS HEALTHCARE GETTYSBURG -$316,996.52 Group 2 TRINITY LIVING CENTER -$158,950.95 Group 2 TWINBROOK MEDICAL CENTER -$77,393.74 Group 2 UPMC HERITAGE PLACE -$127,408.91 Group 2 VINCENTIAN DE MARILLAC -$97,295.56 Group 2 WILLOWBROOKE COURT AT BRITTANY POINTE -$26,861.64 Group 2 WINDY HILL VILLAGE OF PRESBYTERIAN HOMES -$237,699.24

12 Revised 04/20/2012