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Please take a few moments to provide valuable information about the financial situation of the nursing home, assisted living, and HCBS services your organization offers. Your answers will not be associated with your organization and will only be reported in aggregate.

Thank you!

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* 1. What service lines do you offer? (Please check all that apply)

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* 6. Using your March 2022 Profit and Loss Statement for your entire organization, please select the answer that best describes operating revenues and operating expense status. 
Your answers will not be associated with your organization and will only be reported in aggregate.

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* 7. What is the average percent increase in base hourly wages that you have given to the following positions from the beginning of the pandemic (March 2020) to today? 
Answers must be provided as a numerical value (i.e., 5, -2, 24, etc.)

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* 14. If you have used a staffing agency since January 2022, what positions have you filled using the agency? (Select all that apply)

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* 15. If you are experiencing financial challenges, please describe the impact on older adults. (i.e., their requests for care and services are delayed or denied, their options are limited or scaled down, they are placed on longer wait lists, etc.)

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* 16. Please provide your contact information.

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