OUTSIDE DRUGS & MEDICAL CAPITAL MEDICARE MEDICAID AVAILABLE OCCUPANCY SALARIES &

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1 MEDICARE MEDICAID AVAILABLE OCCUPANCY SALARIES & OUTSIDE PROFESSIONAL EMPLOYEE TAXES (NON- OFFICE INSURANCE GENERAL DRUGS & MEDICAL CAPITAL RELATED ADMINISTRATIV OTHER FAC ID FACILITY NAME FACILITY TYPE DAYS DAYS OTHER DAYS TOTAL DAYS DAYS RATE WAGES FEES EXPENSES PAYROLL) EXPENSES EXPENSES EXPENSES SUPPLIES EXPENSES E SERVICES EXPENSES TOTAL EXPENSES COST PER DAY 1 OKMULGEE TERRACE LLC Regular ICF/IID - 17,559-17,559 22, % $ 1,015, $ 50, $ 176, $ 10, $ 61, $ 8, $ 246, $ 31, $ 138, $ 140, $ 119, $ 1,999, $ HAYS HOUSE Regular ICF/IID - 21,972-21,972 40, % $ 1,324, $ 70, $ 159, $ 13, $ 94, $ 9, $ 297, $ 34, $ 135, $ 199, $ 150, $ 2,490, $ WESTVIEW LIVING CENTER Regular ICF/IID - 18, ,420 22, % $ 1,304, $ 42, $ 205, $ 7, $ 87, $ 12, $ 426, $ 33, $ 60, $ 40, $ 133, $ 2,353, $ RELIANT LIVING CENTER Regular ICF/IID - 23,571-23,571 24, % $ 1,849, $ 39, $ 301, $ $ 173, $ 12, $ 281, $ 76, $ 64, $ - $ 189, $ 2,989, $ BILLINGS FAIRCHILD CENTER Regular ICF/IID - 48,267-48,267 56, % $ 2,999, $ 129, $ 612, $ 18, $ 159, $ 94, $ 607, $ 169, $ 70, $ 193, $ 350, $ 5,406, $ WOODLAND PARK HOME Regular ICF/IID - 20,677-20,677 40, % $ 1,170, $ 68, $ 245, $ 35, $ 86, $ 26, $ 216, $ 51, $ 19, $ 18, $ 142, $ 2,081, $ LAKE DRIVE CARE & REHABILITATION Regular ICF/IID - 19,365-19,365 21, % $ 1,103, $ 75, $ 270, $ 9, $ 103, $ 113, $ 177, $ 18, $ 69, $ 107, $ 167, $ 2,215, $ CENTER OF FAMILY LOVE Regular ICF/IID - 9,329-9,329 9, % $ 632, $ 39, $ 114, $ $ 50, $ 14, $ 145, $ 13, $ 84, $ - $ 228, $ 1,323, $ OAKRIDGE HOME INC Regular ICF/IID - 39,564-39,564 58, % $ 2,268, $ 58, $ 280, $ 21, $ 184, $ 12, $ 542, $ 74, $ 370, $ 321, $ 271, $ 4,406, $ REGULAR ICF/IID TOTAL'S - 218, , , % $ 13,668, $ 574, $ 2,366, $ 119, $ 1,000, $ 304, $ 2,941, $ 503, $ 1,013, $ 1,021, $ 1,753, $ 25,265, $

2 SFY 08 thru Cost Comparison SFY 2013 SFY 2012 SFY 2011 SFY 2010 SFY 2009 SFY , , , , , , , , , , , , , , , , ,478 5, % 73.19% 72.13% 69.50% 70.18% 99.77% 99.51% 99.76% 99.36% 97.68% Description: Total Per Day Total Per Day Total Per Day Total Per Day Total Per Day Total Per Day Salaries & Wages: $ $ $ $ $ $ Outside Professional Fees: $ 2.63 $ 2.45 $ 2.27 $ 2.24 $ 3.20 $ 2.47 Employee Expenses: $ $ $ $ $ $ Taxes (Non-Payroll): $ 0.54 $ 0.47 $ 0.51 $ 0.49 $ 0.46 $ 0.49 Office Expenses: $ 4.57 $ 4.62 $ 4.54 $ 4.31 $ 4.70 $ 4.58 Insurance: $ 1.39 $ 1.34 $ 1.37 $ 1.27 $ 1.40 $ 1.34 General Expenses: $ $ $ $ $ $ Drugs & Medical Supplies: $ 2.30 $ 2.50 $ 2.29 $ 2.12 $ 2.04 $ 1.91 Capital Related Cost: $ 4.63 $ 5.24 $ 5.34 $ 7.10 $ 7.07 $ 6.70 Administrative Services: $ 4.67 $ 5.12 $ 5.20 $ 5.43 $ 5.05 $ 5.03 Other Expenses: $ 8.02 $ 7.83 $ 8.02 $ 7.85 $ 8.01 $ 8.69 Total: $ $ $ $ $ $

3 Page 1 Summary Salaries & Wages: $ 13,668, $ Outside Professional Fees: $ 574, $ 2.63 Employee Expenses: $ 2,366, $ Taxes (Non-Payroll): $ 119, $ 0.54 Office Expenses: $ 1,000, $ 4.57 Insurance: $ 304, $ 1.39 General Expenses: $ 2,941, $ Drugs & Medical Supplies: $ 503, $ 2.30 Capital Related Cost: $ 1,013, $ 4.63 Administrative Services: $ 1,021, $ 4.67 Other Expenses: $ 1,753, $ 8.02 Total: $ 25,265, $

4 Page 2 Salaries and Wages Description: Total Cost Total Hours Cost Per Day Hrs Per Day Cost Per Hr Registered Nurses: $ 64, ,445 $ $ Licensed Practical Nurses: $ 1,904, ,122 $ $ Director of Nursing: $ 357, ,636 $ $ Nurse Aides: $ 5,496, ,407 $ $ 8.86 CMA Aides: $ 1,322, ,536 $ $ QMRP'S (ICF-MR Only): $ 713, ,373 $ $ Medical Director: $ - Physical Therapist: $ $ $ Occupational Therapist: $ - Respitory Therapist: $ - Speech Therapist: $ - Therapy Aide/Assistant: $ - Administrator: $ 541, ,407 $ $ Assistant Administrator: $ 12, $ $ Accountant/Bookeeper: $ 52, ,437 $ $ Other Office Staff: $ 299, ,732 $ $ Soc Serv Dir/Soc Worker: $ 35, ,527 $ $ Other Soc Serv Staff: $ 146, ,481 $ $ Activities Director: $ 1, $ $ 9.52

5 Page 2 cont. Salaries and Wages Description: Total Cost Total Hours Cost Per Day Hrs Per Day Cost Per Hr Other Activities Staff: $ 4, $ $ 9.01 Comb Soc Serv/Activities: $ 68, ,960 $ $ 9.79 Dietician: $ 29, ,445 $ $ Other Dietary Staff: $ 1,171, ,107 $ $ 8.87 Housekeeping Supervisor: $ 29, ,963 $ $ Housekeeping Staff: $ 732, ,973 $ $ 7.72 Maintenance Supervisor: $ 55, ,058 $ $ Maintenance Staff: $ 364, ,648 $ $ 9.95 Laundry Supervisor: $ - Other Laundry Staff: $ 210, ,681 $ $ 7.32 Medical Records: $ - Other: $ 51, $ $ Total Salaries & Wages: $ 13,668, ,265,922 $ $ 10.80

6 Page 3 Outside Professional Fees SFY13 Contract Registered Nurse: $ 13, $ 0.06 Contract Lic. Practical Nurse: $ 8, $ 0.04 Contract Nurse Aides: $ 2, $ 0.01 Medical Director: $ 101, $ 0.46 Therapists: $ 117, $ 0.54 Consulting Social Worker: $ 18, $ 0.08 Dietician: $ 36, $ 0.17 Pharmacist: $ 53, $ 0.25 Dentist: $ 1, $ 0.01 Accountants: $ 43, $ 0.20 Legal: $ 20, $ 0.09 Housekeeping: $ Maintenance: $ 42, $ 0.19 Other: $ 106, $ 0.49 Computer Programmer: $ 10, $ 0.05 Total O/S Professional: $ 574, $ 2.63

7 Page 4 Employee Expenses Employee Benefits and Payroll Related Expenses Fica: $ 1,019, $ 4.66 Unemployment Compensation Tax: $ 219, $ 1.01 Workman's Compensation Insurance: $ 660, $ 3.02 Group Health Dental Insurance: $ 227, $ 1.04 Life Insurance: $ 4, $ 0.02 Retirement and Pension: $ Other Employee Benefits: $ 156, $ 0.72 Staff Development and Training Nurse Aide Competency Evaluation: $ 29, $ 0.13 Other Licensed Direct Care Training: $ 37, $ 0.17 Other: $ 12, $ 0.06 Total $ 2,366, $ 10.82

8 Page 5 Taxes Non-Payroll Related Excise Tax: $ Corportation License: $ 7, $ 0.04 Ad Valorem: $ 96, $ 0.44 Auto Tag/Registration: $ $ 0.00 Other: $ 13, $ 0.06 Total Taxes Non-Payroll $ 119, $ 0.54

9 Page 6 Office Expense SFY13 Office Supplies: $ 127, $ 0.58 Office Phone: $ 89, $ 0.41 Office Utilities: $ 783, $ 3.58 Total Office Expense: $ 1,000, $ 4.57

10 Page 7 Insurance Non-Payroll Building Insurance: $ 146, $ 0.67 Automobile Insurance: $ 14, $ 0.07 Other Insurance: $ 143, $ 0.66 Total Insurance Expense: $ 304, $ 1.39

11 Page 8 General Expenses Dues and Publications: $ 35, $ 0.16 Public Relations: $ 26, $ 0.12 Automobile Expense: $ 143, $ 0.66 Maintenance: $ 612, $ 2.80 Laundry and Linen: $ 194, $ 0.89 Housekeeping Supplies: $ 245, $ 1.12 Food and Kitchen Supplies: $ 1,565, $ 7.16 Social Services Supplies: $ 116, $ 0.53 Total General Expenses: $ 2,941, $ 13.45

12 Page 9 Drugs & Medical Supplies Drugs and Medical Supplies: $ 340, $ 1.56 Over-the-Counter Medication: $ 149, $ 0.68 Special Adaptive Medical Equip: $ 13, $ 0.06 Total Drugs & Medical: $ 503, $ 2.30

13 Page 10 Capital Related Cost Equipment Rent/Lease: $ 90, $ 0.42 Facility Rent/Lease: $ 676, $ 3.09 Interest Expense: $ 7, $ 0.03 Depreciation Summary Building & Improvements: $ 139, $ 0.64 Local Improvements: $ Leasehold & Improvements: $ 2, $ 0.01 Equipment: $ 94, $ 0.43 Total Depreciation: $ 237, $ 1.09 Total Capital Related Costs: $ 1,013, $ 4.63

14 Page 11 Administrative Services Home Office Expense: $ 301, $ 1.38 Owner's Non-Salary Compensation: $ 55, $ 0.25 Owner's Salaries Paid: $ 185, $ 0.85 Benefits on Owner's Salaries: $ 7, $ 0.03 Director's Fees: $ Management Fees Paid: $ 471, $ 2.16 Total Administrative Services: $ 1,021, $ 4.67

15 Page 12 Other Expenses Hepatitis Vaccination Costs: $ 4, $ 0.02 Provider Fees: $ 1,485, $ 6.79 Other Costs: $ 263, $ 1.21 Total Other Costs: $ 1,753, $ 8.02