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WEDER of Provider Title ADMINISTRATOR Date Paid Preparer Print Name and Title MARK J. KORTE CPA PRINCIPAL Firm Name SCHEFFEL BOYLE P. Census-For the entire report period. Patient Days by Level of Care and Primary Source of Payment Medicaid Recipient Private Pay Total SNF SNF/PED ICF 14 298 19 599 ICF/DD SC DD 16 OR LESS C. 1 DEMARIS A WEDER 2 AMY B SOBCZAK Title Function ADMINISTRATOR ADMIN DIR OF NURSING DIR OF NURS 50. 83 12. 86 Dietary Consultant Nurse Consultant Pharmacist Consultant...

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