SFY 2015

Current Medicaid % of total Rounded

MMIS Legacy Permit permit Settlement Settlement
Number FACILITY NAME Days days Amount Amount Address City State Zip Code
330090 ABBEVILLE NURSING HOME, INC. 27,545 0.72% 86,621.29 $86,621.29 83 THOMSON CIRCLE ABBEVILLE SC 29620-5652
NF1017 ALPHA H&R OF GREER, LLC (PIEDMONT LIVING CENTER) 24,876 0.65% 78,228.03 $78,228.03 401 CHANDLER RD GREER SC 29651-1243

NF1031 AZALEAWOODS REHAB AND NURSING CENTER (AIKEN NURSING HOME) 26,251 0.69% 82,552.02 $82,552.02 123 DUPONT DRIVE AIKEN SC 29801-4089
0898NF BAYVIEW MANOR, LLC 38,566 1.01% 121,279.24 $121,279.24 11 TODD DRIVE BEAUFORT SC 29902-6113
0189NF BETHEA BAPTIST RETIREMENT CENTER 14,470 0.38% 45,504.09 $45,504.09 157 HOME AVE DARLINGTON SC 29532-7625
BLUE RIDGE IN BROOKVIEW HOUSE (BROOKVIEW HEALTHCARE
NF1067 CENTER) 30,683 0.80% 96,489.42 $96,489.42 510 THOMPSON STREET GAFFNEY SC 29340-3620
BLUE RIDGE IN GEORGETOWN (GEORGETOWN HEATHCARE &
NF1064 REHABILITATION, INC) 21,570 0.57% 67,831.59 $67,831.59 2715 SOUTH ISLAND ROAD GEORGETOWN SC 29440-4415
NF1063 BLUE RIDGE OF SUMTER (SUMTER VALLEY NURSING) 26,542 0.70% 83,467.14 $83,467.14 1761 PINEWOOD ROAD SUMTER SC 29154-9056
173286 BRIAN CENTER ST. ANDREWS, LLC 27,919 0.73% 87,797.42 $87,797.42 3514 SIDNEY ROAD COLUMBIA SC 29210-4437
0602NH CHERAW HEALTH CARE, INC 33,026 0.87% 103,857.50 $103,857.50 400 MOFFAT ROAD CHERAW SC 29520-0967
377597 CHEROKEE COUNTY LTC (PEACHTREE CENTER) 22,032 0.58% 69,284.45 $69,284.45 1434 NORTH LIMESTONE ST GAFFNEY SC 29340-4734
CHESTER CO. NURSING CENTER (CHESTER REGIONAL MEDICAL
0895NF CENTER) 20,116 0.53% 63,259.17 $63,259.17 ONE MEDICAL PARK DRIVE CHESTER SC 29706-9769
192677 COMMANDER NURSING CENTER 46,791 1.23% 147,144.56 $147,144.56 4438 PAMPLICO HIGHWAY FLORENCE SC 29505-8502
NF1030 COMPASS POST ACUTE REHAB (AGAPE CONWAY) 4,820 0.13% 15,157.55 $15,157.55 2320 HIGHWAY 378 CONWAY SC 29527-4911
0899NF CONWAY MANOR, LLC 50,025 1.31% 157,314.58 $157,314.58 3300 4TH AVENUE CONWAY SC 29527-6002
0865NF COOKE ASSOCIATES OF FORK (SUNNY ACRES NURSING HOME) 28,671 0.75% 90,162.24 $90,162.24 1727 BUCK SWAMP ROAD FORK SC 29543-6116
175981 COTTAGES AT BRUSHY CREEK 18,460 0.48% 58,051.52 $58,051.52 101 COTTAGE CREEK CIRCLE GREER SC 29650-2438
0946NF COUNTRYWOOD NURSING CENTER, LLC 7,987 0.21% 25,116.87 $25,116.87 1645 RIDGE ROAD HOPKINS SC 29061-8432
COVENANT DOVE OF GREENVILLE (LAUREL BAYE HEALTHCARE OF
NF1056 GREENVILLE,LLC) 26,005 0.68% 81,778.42 $81,778.42 661 RUTHERFORD RD GREENVILLE SC 29609-4640
COVENANT DOVE OF ORANGEBURG (LAUREL BAYE HEALTHCARE OF
NF1055 ORANGEBURG, LLC) 26,470 0.69% 83,240.72 $83,240.72 575 STONEWALL JACKSON BLVD ORANGEBURG SC 29115-7250
NF1020 DAYSPRING (PATEWOOD/OMEGA) 31,983 0.84% 100,577.55 $100,577.55 2 GRIFFITH RD GREENVILLE SC 29607-3503
0897NF DUNDEE MANOR, LLC 30,835 0.81% 96,967.42 $96,967.42 710 15 401 BYPASS WEST BENNETTSVILLE SC 29512-3041
NF1065 ELLEN SAGAR NURSING HOME 30,960 0.81% 97,360.51 $97,360.51 1817 JONESVILLE HWY UNION SC 29379-9793
400001 ELLENBURG NURSING CENTER, INC. 53,925 1.41% 169,578.98 $169,578.98 611 E HAMPTON ST ANDERSON SC 29624-2814
0776NF FAIRFIELD HEALTHCARE, LLC 32,823 0.86% 103,219.12 $103,219.12 117 BELLEFIELD RD RIDGEWAY SC 29130-8261
NF1027 FAITH HEALTH & REHAB OF AIKEN, LLC (ANCHOR H&R OF AIKEN) 5,546 0.15% 17,440.61 $17,440.61 550 EAST GATE DR AIKEN SC 29803-7688
0927NF FAITH HEALTHCARE CENTER 29,717 0.78% 93,451.62 $93,451.62 617 W MARION ST FLORENCE SC 29501-2421
FLORENCE REHAB AND NURSING CENTER (COOKE ASSOC OF
NF1033 FLORENCE) 25,375 0.66% 79,797.25 $79,797.25 133 W CLARKE RD FLORENCE SC 29501-0722
0626NH FOUNTAIN INN CONVALESCENT HOME 10,695 0.28% 33,632.77 $33,632.77 PO BOX 67 FOUNTAIN INN SC 29644-0067
NF1062 GHS LILA DOYLE (LILA DOYLE NURSING CARE CENTER) 20,377 0.53% 64,079.94 $64,079.94 101 LILA DOYLE DRIVE SENECA SC 29672-9495
NF1045 GOLDEN AGE-INMAN 9,187 0.24% 28,890.54 $28,890.54 82 N MAIN STREET INMAN SC 29349-1416
0573NH GRAND STRAND HEALTHCARE, INC 17,637 0.46% 55,463.41 $55,463.41 4452 SOCASTEE BLVD MYRTLE BEACH SC 29588-7206
0932NF HALLMARK HEALTHCARE CENTER 21,566 0.57% 67,819.01 $67,819.01 255 MIDLAND PARKWAY SUMMERVILLE SC 29485-8104
NF1003 HEARTLAND HEALTHCARE OF CHARLESTON (HANAHAN) 16,604 0.44% 52,214.92 $52,214.92 1800 EAGLE LANDING BLVD HANAHAN SC 29406-8517
HEARTLAND OF COLUMBIA (MANOR CARE OF COLUMBIA/COLUMBIA
NF1002 REHAB & NURSING) 22,109 0.58% 69,526.60 $69,526.60 2601 FOREST DRIVE COLUMBIA SC 29204-2363
NF1001 HEARTLAND OF WEST ASHLEY (MANOR CARE OF WEST ASHLEY) 6,862 0.18% 21,579.06 $21,579.06 1137 SAM RITTENBERG BLVD CHARLESTON SC 29407-3360
0450NH HERITAGE HOME OF FLORENCE, INC 24,099 0.63% 75,784.59 $75,784.59 515 WARLEY ST FLORENCE SC 29501-5132
117042 HONORAGE NURSING CENTER 26,824 0.70% 84,353.95 $84,353.95 1207 NORTH CASHUA RD FLORENCE SC 29501-6937
NF1044 INMAN HEALTHCARE 12,407 0.33% 39,016.53 $39,016.53 51 N MAIN STREET INMAN SC 29349-1437
118285 JOHN E. HARTER NURSING CENTER 9,100 0.24% 28,616.94 $28,616.94 185 REVOLUTIONARY TRL FAIRFAX SC 29827-7105
0929NF JOLLEY ACRES HEALTHCARE CENTER 14,713 0.39% 46,268.25 $46,268.25 1180 WOLFE TRAIL ORANGEBURG SC 29115-7339
332258 KERSHAW KARESH MEDICAL CENTER 20,836 0.55% 65,523.37 $65,523.37 1315 ROBERTS STREET CAMDEN SC 29020-3737
0518NH KINGSTON NURSING CENTER 19,631 0.51% 61,733.98 $61,733.98 2379 CYPRESS CIRCLE CONWAY SC 29526-8921
145223 KINGSTREE NURSING FACILITY 24,370 0.64% 76,636.81 $76,636.81 401 NELSON BLVD KINGSTREE SC 29556-4024
0928NF LAKE CITY HEALTHCARE CENTER 23,079 0.60% 72,576.97 $72,576.97 1940 BOYD ROAD SCRANTON SC 29591-5835

0862NF LAKE EMORY POST ACUTE CARE (MAGNOLIA MANOR OF CAMP CARE) 21,136 0.55% 66,466.78 $66,466.78 59 BLACKSTOCK RD INMAN SC 29349-1827
0736NF LAKE MARION NURSING CENTER 20,345 0.53% 63,979.31 $63,979.31 1527 URBANA ROAD SUMMERTON SC 29148-8929
0738NF LAKE MOULTRIE NURSING CENTER 24,802 0.65% 77,995.33 $77,995.33 1038 MCGILL ROAD ST STEPHEN SC 29479-3196
NF1061 LANCASTER CONVALESCENT CENTER, INC. 35,288 0.92% 110,970.85 $110,970.85 2044 PAGELAND HIGHWAY LANCASTER SC 29720-7608
0755NF LAUREL BAYE HEALTHCARE OF BLACKVILLE, LLC 24,427 0.64% 76,816.06 $76,816.06 1612 JONES BRIDGE RD BLACKVILLE SC 29817-3066
0754NF LAUREL BAYE HEALTHCARE OF WILLISTON, LLC 8,785 0.23% 27,626.36 $27,626.36 5721 SPRINGFIELD RD WILLISTON SC 29853-1917
155210 LAURENS NURSING CENTER 44,568 1.17% 140,153.84 $140,153.84 379 PINEHAVEN ST EXT LAURENS SC 29360-2672
0730NF LEXINGTON MEDICAL CENTER EXT 89,713 2.35% 282,122.19 $282,122.19 815 OLD CHEROKEE ROAD LEXINGTON SC 29072-9041
0878NF LIFE CARE CENTER OF CHARLESTON 11,196 0.29% 35,208.28 $35,208.28 2600 ELMS PLANTATION BLVD NORTH CHARLESTON SC 29406-9164
0634NF LIFE CARE CENTER OF COLUMBIA 20,530 0.54% 64,561.08 $64,561.08 2514 FARAWAY DRIVE COLUMBIA SC 29223-3969
0725NF LIFE CARE CENTER OF HILTON HEAD 12,769 0.33% 40,154.92 $40,154.92 120 LAMOTTE DRIVE HILTON HEAD SC 29926-2792

NF1057 LORIS REHAB & NURSING CENTER (LORIS COMMUNITY HOSPITAL ECF) 20,617 0.54% 64,834.68 $64,834.68 3620 STEVENS STREET LORIS SC 29569-2953
332134 LOWMAN HOME 31,359 0.82% 98,615.25 $98,615.25 201 FROTRESS DR CHAPIN SC 29036-0000
0868NF MAGNOLIA MANOR OF COLUMBIA 21,932 0.57% 68,969.98 $68,969.98 1007 NORTH KING ST COLUMBIA SC 29223-1916
0860NF MAGNOLIA MANOR OF GREENVILLE 28,602 0.75% 89,945.26 $89,945.26 411 ANSEL ST GREENVILLE SC 29601-3407
0866NF MAGNOLIA MANOR OF GREENWOOD 24,082 0.63% 75,731.13 $75,731.13 1415 PARKWAY DRIVE GREENWOOD SC 29646-4044
0863NF MAGNOLIA MANOR OF INMAN 45,748 1.20% 143,864.61 $143,864.61 63 BLACKSTOCK RD INMAN SC 29349-1835
0859NF MAGNOLIA MANOR OF ROCK HILL 25,781 0.68% 81,074.01 $81,074.01 127 MURRAH DRIVE ROCK HILL SC 29732-2342
0867NF MAGNOLIA MANOR OF SPARTANBURG 22,796 0.60% 71,687.02 $71,687.02 375 SERPENTINE DRIVE SPARTANBURG SC 29303-3026
0869NF MAGNOLIA PLACE OF GREENVILLE 29,529 0.77% 92,860.41 $92,860.41 35 SOUTHPOINTE DR GREENVILLE SC 29607-5956
MAGNOLIA PLACE OF SPARTANBURG (PHYSICAL REHAB & WELLNESS
0861NF CTR OF SPARTANBURG) 18,522 0.49% 58,246.49 $58,246.49 8020 WHITE AVE SPARTANBURG SC 29303-2043
NF1028 MANNA H&R OF PICKENS, LLC 16,490 0.43% 51,856.42 $51,856.42 716 E CEDAR ROCK ST PICKENS SC 29671-1412
0435NF MARTHA FRANKS BAPTIST RET CTR 9,335 0.24% 29,355.95 $29,355.95 1 MARTHA FRANKS DRIVE LAURENS SC 29360-1772
0539NH MCCOY MEMORIAL NURSING CENTER 34,678 0.91% 109,052.57 $109,052.57 207 CHAPPELL DRIVE BISHOPVILLE SC 29010-1167
0891NF MEDFORD NURSING CENTER, LLC 25,511 0.67% 80,224.93 $80,224.93 105 MEDFORD DRIVE DARLINGTON SC 29532-2719
MILLENNIUM POST ACUTE REHAB (HEARTLAND OF
NF1066 LEXINGTON/LEXINGTON REHAB & NURSING CENTER) 24,218 0.63% 76,158.81 $76,158.81 2416 SUNSET BLVD WEST COLUMBIA SC 29169-4718
0881NF MORRELL NURSING CENTER, LLC 33,167 0.87% 104,300.90 $104,300.90 900 N MARQUIS HWY HARTSVILLE SC 29550-3526
291168 MOUNTAINVIEW NURSING HOME 44,351 1.16% 139,471.44 $139,471.44 340 CEDAR SPRINGS ROAD SPARTANBURG SC 29302-4637
0896NF MT PLEASANT MANOR, LLC 35,000 0.92% 110,065.17 $110,065.17 921 BOWMAN ROAD MOUNT PLEASANT SC 29464-3211
NF1010 MULLINS NURSING CENTER 32,119 0.84% 101,005.24 $101,005.24 518 S MAIN STREET MULLINS SC 29574-3510
NEW CAPSTONE HEALTH & REHAB OF EASLEY (CAPSTONE H&R OF
NF1041 EASLEY, LLC) 17,013 0.45% 53,501.11 $53,501.11 1850 CRESTVIEW RD EASLEY SC 29642-3528
NEW DIAMOND H&R OF SIMPSONVILLE (DIAMOND H&R OF
NF1042 SIMPSONVILLE) 27,420 0.72% 86,228.20 $86,228.20 807 SOUTH EAST MAIN ST SIMPSONVILLE SC 29681-7150

NF1049 NEW EXALTED HEALTH & REHAB OF IVA (EXALTED H&R OF IVA, LLC) 13,813 0.36% 43,438.01 $43,438.01 406 WEST BROAD ST IVA SC 29655-1119
NEW FELLOWSHIP H&R OF ANDERSON (FELLOWSHIP H&R OF
NF1047 ANDERSON, LLC) 19,712 0.52% 61,988.70 $61,988.70 208 JAMES ST ANDERSON SC 29625-2942

NF1051 NEW GLORIFIED H&R OF GREENVILLE) GLORIFIED H&R OF GREENVILLE 30,899 0.81% 97,168.68 $97,168.68 8 NORTH TEXAS AVE GREENVILLE SC 29611-5034
NEW HARVEST H&R OF JOHNS ISLAND (HARVEST H&R OF JOHNS
NF1052 ISLAND) 36,468 0.96% 114,681.62 $114,681.62 3647 MAYBANK HIGHWAY JOHNS ISLAND SC 29455-4825
NF1048 NEW HOPE H&R OF MARIETTA (HOPE H&R OF MARIETTA, LLC) 10,449 0.27% 32,859.17 $32,859.17 2906 GREER HWY MARIETTA SC 29661-9517

NF1054 NEW HOSEANNA H&R OF PIEDMONT (HOSEANNA H&R OF PIEDMONT) 15,936 0.42% 50,114.25 $50,114.25 109 BENTZ RD PIEDMONT SC 29673-1412
NF1046 NEW MAJESTY H&R OF EASLEY (MAJESTY H&R OF EASLEY, LLC) 22,292 0.58% 70,102.08 $70,102.08 200 ANNE DR EASLEY SC 29640-2061
NF1053 NEW PETRA H&R OF MCCORMICK (PETRA H&R OF MCCORMICK, LLC) 35,369 0.93% 111,225.57 $111,225.57 204 HOLIDAY RD MCCORMICK SC 29835-3429
NEW TRINITY H&R OF EDGEFIELD (TRINITY MISSION HEALTH & REHAB
NF1043 OF EDGEFIELD, LLC) 29,454 0.77% 92,624.56 $92,624.56 226 W A REEL DR EDGEFIELD SC 29824-4534
NF1032 NEWBERRY OPERATOR (JF HAWKINS) 24,571 0.64% 77,268.90 $77,268.90 1330 KINARD STREET NEWBERRY SC 29108-3038
NF1008 NHC - BLUFFTON 6,241 0.16% 19,626.19 $19,626.19 3039 OKATIE HIGHWAY BLUFFTON SC 29909-5101
0574NH NHC GARDEN CITY 19,083 0.50% 60,010.68 $60,010.68 9405 HIGHWAY 17 BYPASS MURRELLS INLET SC 29576-9301
0570NH NHC GREENVILLE 20,715 0.54% 65,142.86 $65,142.86 1305 BOILING SPRINGS ROAD GREER SC 29650-4139
262441 NHC HEALTHCARE ANDERSON 48,568 1.27% 152,732.72 $152,732.72 1501 EAST GREENVILLE ST ANDERSON SC 29621-2004
400227 NHC HEALTHCARE OF GREENWOOD 35,114 0.92% 110,423.67 $110,423.67 437 EAST CAMBRIDGE AVENUE GREENWOOD SC 29646-2244
0601NH NHC OF CLINTON (BAILEY) 33,437 0.88% 105,149.98 $105,149.98 304 JACOBS HWY CLINTON SC 29325-7279
0629NH NHC OF LEXINGTON 16,132 0.42% 50,730.61 $50,730.61 2993 SUNSET BLVD WEST COLUMBIA SC 29169-3421
0732NF NHC OF MAULDIN 20,053 0.53% 63,061.05 $63,061.05 850 EAST BUTLER ROAD GREENVILLE SC 29607-5842
0569NH NHC OF NORTH AUGUSTA 31,570 0.83% 99,278.78 $99,278.78 350 AUSTIN GRAYBILL ROAD NORTH AUGUSTA SC 29860-9251
0722NF NHC OF PARKLANE 16,696 0.44% 52,504.23 $52,504.23 7601 PARKLANE RD COLUMBIA SC 29223-6122
0471NH NHC SUMTER 29,747 0.78% 93,545.96 $93,545.96 1018 N GUIGNARD DRIVE SUMTER SC 29150-2423
0923NF OAKBROOK HEALTHCARE CENTER 22,406 0.59% 70,460.58 $70,460.58 920 TRAVELERS BLVD SUMMERVILLE SC 29485-8213
0890NF OAKHAVEN NURSING CENTER, LLC 24,673 0.65% 77,589.66 $77,589.66 123 OAK STREET DARLINGTON SC 29532-2628
NF1000 OAKMONT - UNION 12,913 0.34% 40,607.76 $40,607.76 709 RICE STREET UNION SC 29379-8613
0952NF OAKMONT EAST NURSING CENTER 26,265 0.69% 82,596.05 $82,596.05 601 SULPHER SPRINGS ROAD GREENVILLE SC 29617-1621
0953NF OAKMONT WEST NURSING CENTER 25,246 0.66% 79,391.58 $79,391.58 600 SULPHUR SPRINGS ROAD GREENVILLE SC 29611-1622
0837NF OPUS POST ACUTE REHAB (AGAPE NURSING & REHAB CENTER) 9,521 0.25% 29,940.87 $29,940.87 300 AGAPE DRIVE WEST COLUMBIA SC 29169-3307
0558NH PEPPER HILL NURSING & REHAB CENTER, LLC 29,372 0.77% 92,366.69 $92,366.69 3525 AUGUSTUS ROAD AIKEN SC 29801-2701
NF1034 PRESBYTERIAN COLUMBIA 1,357 0.04% 4,267.38 $4,267.38 700 DAVEGA DRIVE LEXINGTON SC 29073-9699
0930NF PRINCE GEORGE HEALTHCARE CENTER 36,179 0.95% 113,772.80 $113,772.80 901 MAPLE STREET GEORGETOWN SC 29440-4377
0836NF PRUITT HEALTH (UNIHEALTH POST-ACUTE CARE-ROCK HILL, LLC) 29,048 0.76% 91,347.80 $91,347.80 261 SOUTH HERLONG AVENUE ROCK HILL SC 29732-1159

0942NF PRUITT HEALTH AIKEN (HERITAGE HEALTHCARE AT MATTIE C HALL, LLC) 40,874 1.07% 128,537.25 $128,537.25 830 LAURENS STREET AIKEN SC 29801-3416
NF1012 PRUITT HEALTH BLYTHEWOOD (UNIHEALTH - BLYTHEWOOD) 20,776 0.54% 65,334.69 $65,334.69 1075 HEATHER GREEN DRIVE COLUMBIA SC 29229-7831

0835NF PRUITT HEALTH DILLON (HERITAGE HEALTHCARE AT THE PINES, LLC) 20,453 0.54% 64,318.94 $64,318.94 413 LAKESIDE COURT DILLON SC 29536-1926
PRUITT HEALTH ESTILL (HERITAGE HEALTHCARE OF THE LOW
0922NF COUNTRY, LLC) 25,897 0.68% 81,438.79 $81,438.79 252 LIBERTY AVENUE SOUTH ESTILL SC 29918-3310

NF1005 PRUITT HEALTH PICKENS(HERITAGE HEALTHCARE OF PICKENS, LLC) 13,617 0.36% 42,821.64 $42,821.64 163 LOVE AND CARE ROAD SIX MILE SC 29682-9569
PRUITT HEALTH RIDGEWAY (HERITAGE HEALTHCARE OF RIDGEWAY,
0710NF LLC) 37,684 0.99% 118,505.60 $118,505.60 213 TANGLEWOOD COURT RIDGEWAY SC 29130-7100
PRUITT HEALTH WALTERBORO (HERITAGE HEALTHCARE OF
0711NF WALTERBORO, LLC) 32,597 0.85% 102,508.41 $102,508.41 401 WITSELL STREET WALTERBORO SC 29488-3052

NF1007 PRUITT HEALTH-BAMBURG (UNIHEALTH POST ACUTE CARE-BAMBERG) 21,868 0.57% 68,768.72 $68,768.72 439 NORTH STREET BAMBERG SC 29003-1330
PRUITT HEALTH-BARNWELL (UNIHEALTH POST ACUTE CARE -
NF1011 BARNWELL, LLC) 11,749 0.31% 36,947.31 $36,947.31 31 WREN STREET BARNWELL SC 29812-1528
PRUITT HEALTH-COLUMBIA (UNIHEALTH POST-ACUTE CARE-COLUMBIA,
0880NF LLC) 39,035 1.02% 122,754.11 $122,754.11 2451 FOREST DRIVE COLUMBIA SC 29204-2026
PRUITT HEALTH-MONCKS CORNER (UNIHEALTH POST ACUTE CARE OF
0943NF MONCKS CORNER) 33,556 0.88% 105,524.20 $105,524.20 505 S LIVE OAK DRIVE MONCKS CORNER SC 29461-3553
PRUITT HEALTH-NORTH AUGUST (UNIHEALTH POST ACUTE CARE N
NF1004 AUGUSTA) 33,253 0.87% 104,571.35 $104,571.35 1200 TALISMAN DRIVE NORTH AUGUSTA SC 29841-4032
PRUITT HEALTH-ORANGEBURG (UNIHEALTH POST ACUTE CARE
NF1006 ORANGEBURG) 23,084 0.60% 72,592.70 $72,592.70 755 WHITMAN STREET SE ORANGEBURG SC 29115-6163
REDEEMER H&R PICKENS, LLC 9,709 0.25% 30,532.08 $30,532.08 #N/A #N/A #N/A #N/A

NF1058 REHAB CENTER OF CHERAW (CHESTERFIELD CONVALESCENT CTR) 27,640 0.72% 86,920.04 $86,920.04 1150 STATE ROAD CHERAW SC 29520-2048
0553NH RIDGELAND NURSING CENTER 21,364 0.56% 67,183.78 $67,183.78 1516 GRAYS HWY RIDGELAND SC 29936-5440
RIVERSIDE HEALTH & REHAB (DRIFTWOOD REHABILITATION & NURSING
0870NF CENTER) 44,090 1.16% 138,650.67 $138,650.67 2375 BAKER HOSPITAL BLVD CHARLESTON SC 29405-8233
ROCK HILL POST ACUTE CARE REHAB CENTER (EBENEZER SENIOR
0464NF SERVICES, LLC) 16,440 0.43% 51,699.18 $51,699.18 159 SEDGEWOOD DRIVE ROCK HILL SC 29732
0918NF RONALD E. MCNAIR MEMORIAL NURSING CENTER 24,289 0.64% 76,382.08 $76,382.08 56 GENESIS DRIVE LAKE CITY SC 29560-5531
SAINT MATTHEWS HEALTH CARE LLC (CALHOUN CONVALESCENT
NF1059 CENTER) 31,496 0.83% 99,046.08 $99,046.08 601 DANTZLER STREET SAINT MATTHEWS SC 29135-1522
421834 SALUDA NURSING CENTER 39,484 1.03% 124,166.09 $124,166.09 BOX 398 SALUDA SC 29138-0398
NF1009 SANDPIPER REHAB & NURSING - DELAWARE, LLC 35,201 0.92% 110,697.26 $110,697.26 1049 ANNA KNAPP BLVD MOUNT PLEASANT SC 29464-3133
0917NF SENECA HEALTH & REHAB CENTER 27,158 0.71% 85,404.28 $85,404.28 140 TOKEENA ROAD SENECA SC 29678-1744
0453NH SOUTHLAND HEALTH CARE CENTER 22,725 0.60% 71,463.74 $71,463.74 722 SOUTH DARGAN ST FLORENCE SC 29506-2559
0925NF SPRINGDALE HEALTHCARE CENTER 31,536 0.83% 99,171.86 $99,171.86 146 BATTLESHIP ROAD CAMDEN SC 29020-2060
0924NF ST. GEORGE HEALTHCARE CENTER 21,231 0.56% 66,765.53 $66,765.53 905 DUKE STREET SAINT GEORGE SC 29477-2059
0919NF SUMTER EAST HEALTH & REHAB CENTER 42,286 1.11% 132,977.60 $132,977.60 880 CAROLINA AVE SUMTER SC 29150-2815
323391 THE METHODIST OAKS 19,771 0.52% 62,174.24 $62,174.24 1000 METHODIST OAKS DRIVE ORANGEBURG SC 29115-1813
NF1060 VALLEY FALLS TERRACE, INC. 25,280 0.66% 79,498.50 $79,498.50 400 LOCUST GROVE SPARTANBURG SC 29303-4831
271877 WESLEY COMMONS 14,426 0.38% 45,365.72 $45,365.72 1110 MARSHALL ROAD GREENWOOD SC 29646-4216
0466NH WHITE OAK ESTATES 17,273 0.45% 54,318.73 $54,318.73 400 WEBBER ROAD SPARTANBURG SC 29307-2400
0458NH WHITE OAK MANOR-CHARLESTON 45,698 1.20% 143,707.38 $143,707.38 9285 MEDICAL PLAZA DRIVE N CHARLESTON SC 29406-9103
0461NH WHITE OAK MANOR-COLUMBIA 31,872 0.84% 100,228.49 $100,228.49 3001 BEECHAVEN RD COLUMBIA SC 29204-2701
0508NH WHITE OAK MANOR-LANCASTER 33,820 0.89% 106,354.40 $106,354.40 253 CRAIG MANOR ROAD LANCASTER SC 29720-9811
0462NH WHITE OAK MANOR-NEWBERRY 38,529 1.01% 121,162.89 $121,162.89 2555 KINARD ST NEWBERRY SC 29108-2954
0459NH WHITE OAK MANOR-ROCK HILL 37,753 0.99% 118,722.58 $118,722.58 1915 EBENEZER ROAD ROCK HILL SC 29732-1013
0460NH WHITE OAK MANOR-SPARTANBURG 47,860 1.25% 150,506.26 $150,506.26 295 E PEARL ST SPARTANBURG SC 29303-3606
0565NH WHITE OAK MANOR-YORK 29,071 0.76% 91,420.13 $91,420.13 111 S CONGRESS ST YORK SC 29745-1836
0737NF WINDSOR MANOR NURSING FACILITY 20,141 0.53% 63,337.79 $63,337.79 5583 SUMMERTON HWY MANNING SC 29102
0823NF WOODRUFF MANOR, LLC 25,847 0.68% 81,281.56 $81,281.56 1114 E GEORGIA ROAD WOODRUFF SC 29388-9350
GRAND TOTAL 3,815,646 100.00% 12,000,000.00

Nursing home facilities highlighted in blue have completed and returned the
agreement.