Cost of Care Survey. December 2012

Transcription

1 Cost of Care Survey December 2012 NOTICE: Readers of this document, including any and all attachments, are hereby notified that any distribution or copying of this document without written consent is strictly prohibited.

2 Table of Contents Executive Summary... 3 Background... 4 Overview: Skilled Nursing Facilities... 4 Overview: Facilities... 4 Overview: Home Health Aides & Organizations... 4 Methodology... 6 Skilled Nursing Facilities... 6 Facilities... 7 Home Health Care... 8 Results and Key Findings... 9 Skilled Data Private s Semi-Private s Facility Data One Bedroom s Two Bedroom s Suite s Home Health Care Data Page 2 of 32

3 Executive Summary Univita completed the 2013 Cost of Care study for Lincoln Financial, surveying the cost of care from Skilled Nursing Facilities, Facilities and Home Health Care providers across specific regions through the United States. Univita surveyors made outbound calls to 110 major markets to obtain data for this study. Private pay rates have been obtained for private, single occupancy and semi-private, dual occupancy rooms in Medicare-certified nursing homes. Monthly private pay rates were also obtained for assisted living facilities with rates based on the layout of the apartment and level of care provided. Hourly rates for home health aides have been obtained for Medicare-certified home health care agencies offering private pay or self-pay options. Univita surveyors contacted more than 1,000 Skilled Nursing Facilities, Facilities and Home Health Care Agencies to complete over 5,000 surveys between February 2012 and November The regions surveyed correspond geographically with the Metropolitan Statistical Areas as defined by the U.S. Census Bureau. Page 3 of 32

4 Background Overview: Skilled Nursing Facilities The Skilled Nursing industry is comprised of establishments primarily engaged in providing inpatient nursing and rehabilitative services. The care is generally provided for an extended period of time to individuals requiring nursing care. These establishments have a permanent core staff of registered or licensed practical nurses that, along with other staff, provide nursing and ongoing personal care services. According to the North American Industry Classification System (NAICS), Skilled Nursing Care Facilities (SIC 8051) are establishments primarily engaged in providing inpatient nursing and rehabilitative services to patients who require ongoing healthcare, but not hospital services. This does not include continuing care retirement communities or psychiatric hospitals. Care must be ordered by and remain under the direction of a physician. The staff must include a licensed nurse on duty continuously with a minimum of one full-time registered nurse on duty during each day shift. Included are establishments certified to deliver skilled nursing care under the Medicare and Medicaid programs. Overview: Facilities Facilities provide supervision or assistance with activities of daily living (ADLs), coordination of services by outside health care providers and monitoring of resident activities to ensure their health, safety, and well-being. Assistance may include the administration of medication or personal care services provided by trained staff members. provides for those cases where independent living is no longer appropriate but the person does not need the 24-hour medical care provided by a nursing home. Overview: Home Health Aides & Organizations Home Health Aides provide routine, personal healthcare to elderly, convalescent, or disabled persons in home or residential care settings. Home Health Aides assist elderly or disabled persons with activities of daily living, including bathing, dressing, grooming, eating, transferring, toileting and other services to persons who would otherwise require a nursing home level of care. Duties performed at a place of residence may include housekeeping (making beds, doing laundry, washing dishes) and preparing meals. Home Health Aides may provide meals and supervised activities at non-residential care facilities. They also may advise families, the elderly and disabled on such things as nutrition, cleanliness and household utilities. Providing these services in person's home or in a daytime, non-residential facility allows people the option to remain at home, or reside in a community near family, friends, and things they enjoy while fostering independence and enhancing quality of care. Page 4 of 32

5 Home care organizations include home healthcare agencies, home care aide organizations, and hospice facilities. Some of these organizations are Medicare certified, which allows providers to bill Medicare for reimbursement. Agencies that are not Medicare certified cannot be reimbursed through Medicare. Types of Agencies who may provide Home Health Aide services include the following: Visiting Nurse Associations (VNA): Freestanding, voluntary, nonprofit organizations governed by a board of directors and usually financed by tax-deductible contributions as well as by earnings Combination Agencies: Combined with both government and voluntary agencies, combination agencies are sometimes included with counts for Visiting Nurse Associations Public Agencies: Government agencies operated by a state, county, city or other unit of local government having a major responsibility for preventing disease and for community health education Proprietary Agencies: Freestanding, for-profit home care agencies Private Not-For-Profit Agencies: Freestanding and privately developed, governed and owned nonprofit home care agencies Other Freestanding Agencies: Freestanding agencies that do not fit one of the categories for freestanding agencies listed above Hospital-Based Agencies: Operating units or departments within a hospital, agencies which have working arrangements with a hospital, or are owned by a hospital but operate as separate entities, are classified as freestanding agencies under one of the categories listed above Rehabilitation Agencies: Agencies based in rehabilitation facilities Skilled Nursing Facilities (SNF): Agencies based in skilled nursing facilities Page 5 of 32

6 Methodology Skilled Nursing Facilities Definitions: Nursing Homes Nursing home facilities generally offer accommodations of either private rooms, or rooms shared between two or more residents. Private rooms may have a private bathroom or a bathroom shared between two adjoining rooms. Some facilities charge more for a private room with a private bathroom versus a private room with a shared bathroom. The daily room charge usually includes services beyond the daily bed charge (rent), such as three meals a day, laundry services, basic nurse supervision, and generic-brand, over the counter (OTC) or non-prescription pharmaceuticals. Nursing facilities are responsible for providing OTC pharmaceutical services when they are specified in the resident s plan of care. For the purpose of this study, the following facilities defined by the NAICS were deemed qualified for inclusion in the sample population: 2012 NAICS Corresponding Index Entries Homes for the Aged with Nursing Care Homes for the Elderly with Nursing Care Nursing Homes Skilled Nursing Facilities Sampling Procedures: Nursing Homes The sample population was derived from a list of over 15,500 Medicare-certified Nursing Homes. Across all of the 110 defined regions, surveyors polled over 10% of all certified Nursing Homes. A minimum of ten providers completed surveys for all regions, unless impractical. In many regions, the sample size was substantially larger. More than 1,000 total providers contributed data to this study. Data collected includes the daily rate for a private room (single occupant) and semi-private room in Medicare-certified nursing facilities. Data Collection: Nursing Homes Daily private pay room rate for private (single occupant) nursing home room Daily private pay room rate for semi-private nursing home room Results presented include average, maximum and minimum values within each region and in total Page 6 of 32

7 Facilities Definitions: Facilities People who live in newer assisted living facilities usually have their own private apartment. Trained staff members are usually on-site around the clock to provide needed services. Household chores are performed: sheets are changed, laundry is done, and food is cooked and served. Where provided, private apartments generally are self-contained; i.e., they have their own bedroom and bathroom, and may have a separate living area or small kitchen. Registered Nurses and License Practical Nurses are available by phone or 24 hours per day, to ensure proper teaching and/or education of staff available. Alternatively, individual living spaces may resemble a dormitory or hotel room consisting of a private or semi-private sleeping area and a shared bathroom. There are usually common areas for socializing, as well as a central kitchen and dining room for preparing and eating meals. For the purpose of this study, the following facilities defined by the NAICS were deemed qualified for inclusion in the sample population: 2012 NAICS Corresponding Index Entries Assisted-Living Facilities without on-site Nursing Care Facilities Homes for the Aged without Nursing Care Homes for the Elderly without Nursing Care Sampling Procedure: Facilities The sample population was derived from a list of over 40,000 assisted living facilities from across the United States. Across all of the 110 defined geographic regions, surveyors polled at least 10% of all assisted living facilities. A minimum of ten providers completed surveys for all regions, unless impractical. More than 1,000 total providers contributed data to this study. Data collected includes the daily rate for a private 1 bedroom, 2 bedroom and studio apartment in statecertified assisted living facilities. Data Collection: Facilities Monthly private pay rate for a one bedroom unit Monthly private pay rate for a two bedroom unit Monthly private pay rate for a studio unit Results presented will include average, maximum and minimum values within each Region and in total Page 7 of 32

8 Home Health Care Definitions: Home Health Care Home Healthcare Aide refers to the Bureau of Labor Statistics Standard Occupational Code (SOC): Home Healthcare Aides provide routine, personal healthcare, such as bathing, dressing or grooming to elderly, convalescent, or disabled persons in the home of patients or in a residential care facility. For the purpose of this study, establishments primarily engaged in either providing skilled nursing or medical care in the home under supervision of a medical doctor qualified for inclusion in the sample population. The following are defined by NAICS to meet those qualifications: 2012 NAICS Corresponding Index Entries Home Care of Elderly, Medical Home Health Agencies Home Health Care Agencies Home Nursing Services (except private practices) Nurse Associations, Visiting Nursing Agencies, primarily providing Home Nursing Services Visiting Nurse Associations Sampling Procedure: Home Health Care The sample population is a list comprised of over 5,600 Medicare-certified home care agencies. Across the 110 geographic regions, surveyors polled 10% of home care providers across provider types to determine the hourly private pay rates charged for the services of a Home Health Aide, Registered Nurse and Licensed Practical Nurse as defined by the U.S. Bureau of Labor. A minimum of ten providers completed surveys for all regions, unless impractical. In many regions, the sample size was substantially larger. Surveyors completed over 1,000 surveys to obtain Home Health Care data. Data collected includes the hourly rate for home health aides, registered nurses and licensed practical nurses. All rates referred to throughout this document are weekday (Monday Friday) rates. Data Collection: Home Health Care Hourly private pay rate for a Home Health Aide Hourly private pay rate for a Registered Nurse Hourly private pay rate for a Licensed Practical Nurse Results presented include average, maximum and minimum values within each region and in total. Page 8 of 32

9 Results and Key Findings The National average annual cost of a private room in a Medicare-certified nursing home for all regions surveyed in this study is $95,630 per year. The National average annual cost of a private, one bedroom unit in a state-certified Facility for regions surveyed in this study is $44,328 per year. The average daily rate for a single occupancy, private room in a Medicare-certified Nursing Home is $262. The average daily rate for a semi-private room in a Medicare-certified Nursing Home is $229. The average monthly rate for a single occupancy, one bedroom unit in a state-certified Assisted Living Facility is $3,694. The average monthly rate for a two bedroom unit in a state-certified Facility is $3,400. The average monthly rate for a single occupancy, suite unit in a state-certified Facility is $3,435. The national average hourly rate for Home Health Aides provided by a certified Home Healthcare Agency is $19.36 per hour. Page 9 of 32

10 Skilled Data Private s Geographical Area/Region Minimum Daily Average Daily Maximum Daily Akron, OH $150 $227 $283 Albany-Schenectady-Troy, NY $154 $314 $415 Albuquerque, NM $193 $229 $279 Anchorage, AK $505 $927 $1,196 Atlanta-Sandy Springs-Marietta, GA $155 $209 $504 Austin-Round Rock-San Marcos, TX $162 $224 $304 Bakersfield-Delano, CA $230 $254 $290 Baltimore-Towson, MD $193 $312 $550 Baton Rouge, LA $135 $184 $400 Billings, MT $185 $210 $235 Birmingham-Hoover, AL $160 $184 $220 Boise City-Nampa, ID $176 $234 $282 Boston-Cambridge-Quincy, MA-NH $280 $374 $510 Bozeman-Missoula-Helena, MT $175 $200 $227 Bridgeport-Stamford-Norwalk, CT $233 $428 $530 Buffalo-Niagara Falls, NY $238 $303 $390 Burlington-South Burlington, VT $220 $280 $332 Cape Coral-Fort Myers, FL $215 $295 $475 Charleston-Morgantown, WV $150 $251 $317 Charleston-North Charleston-Summerville, SC $140 $187 $260 Charlotte-Gastonia-Rock Hill, NC-SC $167 $223 $300 Cheyenne-Casper, WY $178 $209 $367 Chicago-Joliet-Naperville, IL-IN-WI $131 $199 $360 Cincinnati-Middletown, OH-KY-IN $185 $258 $369 Cleveland-Elyria-Mentor, OH $175 $227 $294 Colorado Springs, CO $164 $232 $434 Columbia, SC $39 $201 $279 Columbus, OH $135 $201 $350 Dallas-Fort Worth-Arlington, TX $120 $213 $306 Dayton, OH $165 $256 $401 Denver-Aurora- Broomfield, CO $82 $245 $400 Des Moines-West Des Moines, IA $136 $173 $250 Page 10 of 32

11 Minimum Daily Average Daily Maximum Daily Detroit-Warren-Livonia, MI $124 $274 $574 El Paso, TX $143 $143 $143 Evansville-Terra Haute, IN $180 $209 $227 Fargo-Grand Forks-Bismarck, ND $127 $191 $267 Fayetteville-Fort Smith, AR $140 $181 $250 Fort Wayne, IN $160 $239 $297 Fresno, CA $190 $237 $316 Grand Rapids-Wyoming, MI $190 $259 $323 Greensboro-High Point, NC $165 $241 $450 Greenville-Mauldin-Easley, SC $185 $218 $313 Gulfport-Biloxi, MS $154 $191 $223 Hartford-West Hartford-East Hartford, CT $325 $401 $502 Honolulu, HI $275 $361 $500 Houston-Sugar Land-Baytown, TX $200 $246 $298 Huntsville, AL $155 $200 $335 Indianapolis-Carmel, IN $213 $332 $495 Jackson, MS $179 $201 $238 Jacksonville, FL $202 $234 $274 Kansas City, MO-KS $114 $173 $302 Knoxville, TN $161 $193 $270 Lakeland-Winter Haven, FL $169 $236 $325 Las Vegas-Paradise, NV $195 $233 $299 Lexington, KY $152 $219 $265 Little Rock-North Little Rock-Conway, AR $135 $196 $280 Los Angeles-Long Beach-Santa Ana, CA $170 $303 $453 Louisville/Jefferson County, KY-IN $109 $248 $513 Madison, WI $158 $236 $316 Manchester-Nashua, NH $260 $322 $415 McAllen-Edinburg-Mission, TX $145 $244 $322 Memphis, TN-MS-AR $125 $196 $275 Miami-Fort Lauderdale-Pompano Beach, FL $195 $302 $500 Milwaukee-Waukesha-West Allis, WI $182 $279 $395 Minneapolis-St. Paul-Bloomington, MN-WI $133 $258 $370 Mobile, AL $173 $187 $210 Montgomery, AL $140 $200 $284 Page 11 of 32

12 Minimum Daily Average Daily Maximum Daily Nashville-Davidson-Murfreesboro-Franklin, TN $155 $233 $600 New Orleans-Metairie-Kenner, LA $115 $175 $463 New York-Northern New Jersey-Long Island, NY-NJ- PA $250 $370 $625 North Port-Bradenton-Sarasota, FL $172 $266 $331 Oklahoma City, OK $125 $158 $320 Omaha-Council Bluffs, NE-IA $148 $234 $398 Orlando-Kissimmee-Sanford, FL $215 $241 $280 Oxnard-Thousand Oaks-Ventura, CA $270 $385 $443 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD $163 $319 $714 Phoenix-Mesa-Glendale, AZ $162 $262 $800 Pittsburgh, PA $217 $302 $412 Portland-South Portland-Biddeford, ME $270 $347 $469 Portland-Vancouver-Hillsboro, OR-WA $220 $262 $324 Poughkeepsie-Newburgh-Middletown, NY $237 $379 $550 Providence-New Bedford-Fall River, RI-MA $215 $312 $590 Raleigh-Cary, NC $193 $252 $389 Rapid City, SD $213 $216 $230 Richmond, VA $172 $228 $288 Riverside-San Bernardino-Ontario, CA $175 $265 $390 Rochester, NY $270 $331 $495 Sacramento--Arden-Arcade--Roseville, CA $195 $366 $685 Salt Lake City, UT $167 $294 $600 San Antonio-New Braunfels, TX $145 $196 $255 San Diego-Carlsbad-San Marcos, CA $147 $267 $500 San Francisco-Oakland-Fremont, CA $245 $393 $560 San Jose-Sunnyvale-Santa Clara, CA $250 $319 $400 Santa Rosa-Petaluma, CA $165 $296 $600 Seattle-Tacoma-Bellevue, WA $230 $304 $420 Shreveport-Bossier City, LA $113 $158 $236 Sioux Falls, SD $158 $208 $341 South Bend-Mishawaka, IN-MI $145 $217 $300 Spokane, WA $170 $245 $410 Springfield, MA $138 $303 $360 Page 12 of 32

13 Minimum Daily Average Daily Maximum Daily Springfield, MO $144 $193 $300 St. Louis, MO-IL $125 $190 $360 Syracuse, NY $198 $297 $380 Tampa-St. Petersburg-Clearwater, FL $215 $270 $450 Toledo, OH $140 $209 $260 Tulsa, OK $130 $182 $361 Virginia Beach-Norfolk-Newport News, VA-NC $139 $216 $415 Washington-Arlington-Alexandria, DC-VA-MD- WV $165 $322 $394 West Palm Beach-Boca Raton, FL $163 $277 $475 Wichita, KS $173 $205 $267 National Average/Min/Max $82 $262 $1,196 Page 13 of 32

14 Semi-Private s Geographical Area/Region Minimum Daily Semi-Private Skilled Nursing Average Daily Semi-Private Skilled Nursing Maximum Daily Semi-Private Skilled Nursing Akron, OH $150 $202 $261 Albany-Schenectady-Troy, NY $260 $313 $454 Albuquerque, NM $165 $187 $198 Anchorage, AK $505 $803 $1,025 Atlanta-Sandy Springs-Marietta, GA $142 $184 $281 Austin-Round Rock-San Marcos, TX $110 $162 $260 Bakersfield-Delano, CA $194 $226 $252 Baltimore-Towson, MD $203 $289 $500 Baton Rouge, LA $130 $155 $350 Billings, MT $55 $187 $218 Birmingham-Hoover, AL $150 $173 $198 Boise City-Nampa, ID $166 $220 $247 Boston-Cambridge-Quincy, MA-NH $265 $348 $476 Bozeman-Missoula-Helena, MT $71 $179 $215 Bridgeport-Stamford-Norwalk, CT $170 $388 $485 Buffalo-Niagara Falls, NY $235 $293 $369 Burlington-South Burlington, VT $200 $250 $310 Cape Coral-Fort Myers, FL $205 $248 $300 Charleston-Morgantown, WV $72 $241 $307 Charleston-North Charleston-Summerville, SC $107 $169 $206 Charlotte-Gastonia-Rock Hill, NC-SC $160 $205 $242 Cheyenne-Casper, WY $165 $191 $245 Chicago-Joliet-Naperville, IL-IN-WI $117 $175 $282 Cincinnati-Middletown, OH-KY-IN $175 $250 $720 Cleveland-Elyria-Mentor, OH $173 $219 $322 Colorado Springs, CO $158 $192 $243 Columbia, SC $142 $195 $226 Columbus, OH $135 $181 $245 Dallas-Fort Worth-Arlington, TX $80 $139 $163 Dayton, OH $140 $227 $325 Denver-Aurora- Broomfield, CO $73 $215 $272 Des Moines-West Des Moines, IA $128 $160 $221 Page 14 of 32

15 Minimum Daily Semi-Private Skilled Nursing Average Daily Semi-Private Skilled Nursing Maximum Daily Semi-Private Skilled Nursing Detroit-Warren-Livonia, MI $124 $234 $323 El Paso, TX $110 $135 $152 Evansville-Terra Haute, IN $150 $182 $215 Fargo-Grand Forks-Bismarck, ND $117 $165 $228 Fayetteville-Fort Smith, AR $100 $153 $200 Fort Wayne, IN $151 $198 $225 Fresno, CA $180 $221 $350 Grand Rapids-Wyoming, MI $200 $233 $299 Greensboro-High Point, NC $155 $204 $255 Greenville-Mauldin-Easley, SC $163 $192 $221 Gulfport-Biloxi, MS $150 $184 $213 Hartford-West Hartford-East Hartford, CT $271 $370 $470 Honolulu, HI $275 $342 $584 Houston-Sugar Land-Baytown, TX $130 $150 $202 Huntsville, AL $95 $179 $218 Indianapolis-Carmel, IN $96 $202 $337 Jackson, MS $165 $191 $215 Jacksonville, FL $194 $216 $260 Kansas City, MO-KS $103 $153 $251 Knoxville, TN $86 $175 $250 Lakeland-Winter Haven, FL $152 $215 $250 Las Vegas-Paradise, NV $173 $214 $245 Lexington, KY $140 $200 $240 Little Rock-North Little Rock-Conway, AR $120 $152 $230 Los Angeles-Long Beach-Santa Ana, CA $185 $238 $331 Louisville/Jefferson County, KY-IN $170 $208 $472 Madison, WI $155 $219 $293 Manchester-Nashua, NH $200 $275 $356 McAllen-Edinburg-Mission, TX $105 $144 $171 Memphis, TN-MS-AR $108 $170 $199 Miami-Fort Lauderdale-Pompano Beach, FL $175 $257 $500 Milwaukee-Waukesha-West Allis, WI $159 $254 $313 Minneapolis-St. Paul-Bloomington, MN-WI $133 $234 $350 Mobile, AL $160 $172 $177 Page 15 of 32

16 Minimum Daily Semi-Private Skilled Nursing Average Daily Semi-Private Skilled Nursing Maximum Daily Semi-Private Skilled Nursing Springfield, MO $137 $169 $210 St. Louis, MO-IL $112 $161 $257 Syracuse, NY $198 $274 $343 Tampa-St. Petersburg-Clearwater, FL $200 $235 $302 Toledo, OH $125 $187 $281 Tulsa, OK $105 $149 $275 Virginia Beach-Norfolk-Newport News, VA-NC $128 $195 $405 Washington-Arlington-Alexandria, DC-VA-MD- WV $165 $276 $355 West Palm Beach-Boca Raton, FL $153 $237 $315 Wichita, KS $152 $170 $180 National Average/Min/Max $55 $229 $1,025 Page 16 of 32

17 Facility Data One Bedroom s Geographical Area/Region Minimum Monthly 1 Bedroom Average Monthly 1 Bedroom Maximum Monthly 1 Bedroom Akron, OH $3,000 $3,843 $4,530 Albany-Schenectady-Troy, NY $1,900 $4,029 $7,000 Albuquerque, NM $630 $3,229 $11,250 Anchorage, AK $5,333 $5,430 $5,526 Atlanta-Sandy Springs-Marietta, GA $2,795 $3,635 $4,500 Austin-Round Rock-San Marcos, TX $2,995 $4,462 $6,300 Bakersfield-Delano, CA $2,500 $2,848 $3,245 Baltimore-Towson, MD $1,500 $3,188 $4,500 Baton Rouge, LA $1,850 $3,773 $6,190 Billings, MT $2,285 $3,320 $4,000 Birmingham-Hoover, AL $2,011 $3,245 $4,700 Boise City-Nampa, ID $2,728 $3,624 $3,900 Boston-Cambridge-Quincy, MA-NH $3,000 $5,414 $7,100 Bozeman-Missoula-Helena, MT $3,840 $6,215 $10,200 Bridgeport-Stamford-Norwalk, CT $1,208 $3,460 $7,620 Buffalo-Niagara Falls, NY $1,800 $3,274 $6,200 Burlington-South Burlington, VT $2,995 $3,856 $4,717 Cape Coral-Fort Myers, FL $1,500 $2,764 $6,792 Charleston-Morgantown, WV $2,500 $3,179 $4,500 Charleston-North Charleston-Summerville, SC $1,122 $2,457 $4,275 Charlotte-Gastonia-Rock Hill, NC-SC $1,092 $3,060 $4,500 Cheyenne-Casper, WY $3,625 $4,282 $6,000 Chicago-Joliet-Naperville, IL-IN-WI $3,495 $4,669 $6,240 Cincinnati-Middletown, OH-KY-IN $3,070 $3,432 $3,956 Cleveland-Elyria-Mentor, OH $2,400 $3,096 $4,650 Colorado Springs, CO $1,000 $2,382 $5,000 Columbia, SC $2,500 $3,567 $4,500 Columbus, OH $1,100 $1,762 $3,912 Dallas-Fort Worth-Arlington, TX $900 $2,055 $3,493 Dayton, OH $1,850 $2,598 $4,000 Denver-Aurora- Broomfield, CO $3,300 $3,767 $4,380 Des Moines-West Des Moines, IA $2,200 $3,704 $5,620 Page 17 of 32

18 Minimum Monthly 1 Bedroom Average Monthly 1 Bedroom Maximum Monthly 1 Bedroom Detroit-Warren-Livonia, MI $635 $2,680 $4,210 El Paso, TX $812 $3,133 $6,000 Evansville-Terra Haute, IN $613 $1,903 $3,000 Fargo-Grand Forks-Bismarck, ND $2,113 $3,403 $5,190 Fayetteville-Fort Smith, AR $2,145 $2,911 $3,875 Fort Wayne, IN $1,875 $2,941 $3,600 Fresno, CA $1,900 $3,850 $6,100 Grand Rapids-Wyoming, MI $1,742 $3,051 $3,990 Greensboro-High Point, NC $1,500 $2,617 $3,800 Greenville-Mauldin-Easley, SC $1,200 $2,340 $3,958 Gulfport-Biloxi, MS $3,210 $3,705 $4,200 Hartford-West Hartford-East Hartford, CT $1,100 $3,198 $8,010 Honolulu, HI $3,100 $3,100 $3,100 Houston-Sugar Land-Baytown, TX $3,995 $5,519 $6,830 Huntsville, AL $6,351 $6,451 $6,550 Indianapolis-Carmel, IN $600 $2,273 $4,500 Jackson, MS $2,165 $3,807 $4,998 Jacksonville, FL $2,100 $2,990 $3,670 Kansas City, MO-KS $1,800 $2,492 $3,850 Knoxville, TN $2,000 $3,646 $5,810 Lakeland-Winter Haven, FL $1,200 $2,972 $5,700 Las Vegas-Paradise, NV $1,000 $2,954 $4,475 Lexington, KY $1,700 $2,699 $3,795 Little Rock-North Little Rock-Conway, AR $2,600 $3,219 $4,500 Los Angeles-Long Beach-Santa Ana, CA $1,000 $2,257 $3,600 Louisville/Jefferson County, KY-IN $2,915 $3,786 $4,950 Madison, WI $1,200 $4,025 $8,850 Manchester-Nashua, NH $1,575 $3,184 $6,840 McAllen-Edinburg-Mission, TX $588 $3,044 $5,010 Memphis, TN-MS-AR $2,480 $4,821 $7,729 Miami-Fort Lauderdale-Pompano Beach, FL $750 $2,250 $3,300 Milwaukee-Waukesha-West Allis, WI $1,000 $3,139 $5,195 Minneapolis-St. Paul-Bloomington, MN-WI $1,200 $2,638 $4,600 Mobile, AL $2,300 $4,385 $9,900 Montgomery, AL $1,410 $3,696 $7,500 Page 18 of 32

19 Minimum Monthly 1 Bedroom Average Monthly 1 Bedroom Maximum Monthly 1 Bedroom Nashville-Davidson-Murfreesboro-Franklin, TN $2,600 $3,306 $3,895 New Orleans-Metairie-Kenner, LA $1,400 $2,483 $4,400 New York-Northern New Jersey-Long Island, NY-NJ- PA $1,500 $3,491 $6,900 North Port-Bradenton-Sarasota, FL $2,170 $3,268 $4,860 Oklahoma City, OK $4,645 $5,552 $6,500 Omaha-Council Bluffs, NE-IA $1,000 $2,984 $4,350 Orlando-Kissimmee-Sanford, FL $2,600 $3,013 $3,625 Oxnard-Thousand Oaks-Ventura, CA $2,422 $3,414 $9,630 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD $1,000 $3,056 $4,200 Phoenix-Mesa-Glendale, AZ $2,527 $3,929 $5,850 Pittsburgh, PA $2,200 $2,814 $4,000 Portland-South Portland-Biddeford, ME $649 $4,948 $7,530 Portland-Vancouver-Hillsboro, OR-WA $2,000 $3,777 $5,800 Poughkeepsie-Newburgh-Middletown, NY $1,000 $2,303 $5,000 Providence-New Bedford-Fall River, RI-MA $4,054 $4,645 $5,490 Raleigh-Cary, NC $2,400 $3,353 $4,150 Rapid City, SD $1,208 $4,450 $8,000 Richmond, VA $1,175 $3,529 $5,400 Riverside-San Bernardino-Ontario, CA $3,075 $4,896 $7,470 Rochester, NY $1,650 $2,931 $3,600 Sacramento--Arden-Arcade--Roseville, CA $1,500 $2,904 $4,980 Salt Lake City, UT $1,198 $3,216 $5,050 San Antonio-New Braunfels, TX $1,000 $2,997 $5,250 San Diego-Carlsbad-San Marcos, CA $1,600 $2,852 $4,450 San Francisco-Oakland-Fremont, CA $2,250 $3,281 $4,200 San Jose-Sunnyvale-Santa Clara, CA $1,800 $3,237 $6,590 Santa Rosa-Petaluma, CA $1,800 $3,414 $5,000 Seattle-Tacoma-Bellevue, WA $1,500 $3,410 $6,100 Shreveport-Bossier City, LA $1,800 $3,341 $5,500 Sioux Falls, SD $5,100 $5,100 $5,100 South Bend-Mishawaka, IN-MI $1,800 $3,096 $4,743 Spokane, WA $1,481 $2,966 $3,950 Springfield, MA $2,550 $3,298 $3,773 Page 19 of 32

20 Minimum Monthly 1 Bedroom Average Monthly 1 Bedroom Maximum Monthly 1 Bedroom Springfield, MO $2,774 $4,041 $5,330 St. Louis, MO-IL $1,400 $2,195 $3,240 Syracuse, NY $1,050 $2,642 $4,700 Tampa-St. Petersburg-Clearwater, FL $1,208 $3,653 $9,960 Toledo, OH $962 $2,590 $4,100 Tulsa, OK $1,950 $2,937 $5,095 Virginia Beach-Norfolk-Newport News, VA-NC $3,185 $3,627 $4,395 Washington-Arlington-Alexandria, DC-VA-MD- WV $1,000 $2,365 $3,250 West Palm Beach-Boca Raton, FL $1,950 $2,937 $5,095 Wichita, KS $3,150 $5,340 $6,900 National Average/Min/Max $2,000 $3,695 $6,300 Page 20 of 32

21 Two Bedroom s Geographical Area/Region Minimum Monthly 2 Bedroom Average Monthly 2 Bedroom Maximum Monthly 2 Bedroom Akron, OH $4,920 $4,920 $4,920 Albany-Schenectady-Troy, NY $2,750 $4,710 $6,300 Albuquerque, NM $3,500 $4,088 $4,500 Anchorage, AK $5,860 $6,097 $6,333 Atlanta-Sandy Springs-Marietta, GA $3,900 $3,923 $3,945 Austin-Round Rock-San Marcos, TX $3,980 $4,150 $4,320 Bakersfield-Delano, CA $2,000 $3,123 $4,245 Baltimore-Towson, MD $1,800 $1,800 $1,800 Baton Rouge, LA $2,400 $4,116 $5,447 Billings, MT $2,500 $3,610 $4,450 Birmingham-Hoover, AL $2,050 $3,840 $5,900 Boise City-Nampa, ID $4,117 $4,117 $4,117 Boston-Cambridge-Quincy, MA-NH $4,600 $6,107 $8,300 Bozeman-Missoula-Helena, MT $5,800 $7,083 $9,500 Bridgeport-Stamford-Norwalk, CT $7,658 $7,658 $7,658 Buffalo-Niagara Falls, NY $3,500 $3,500 $3,500 Burlington-South Burlington, VT $3,895 $4,476 $5,057 Cape Coral-Fort Myers, FL $1,032 $2,279 $3,525 Charleston-Morgantown, WV $4,800 $4,800 $4,800 Charleston-North Charleston-Summerville, SC $1,522 $3,269 $5,225 Charlotte-Gastonia-Rock Hill, NC-SC $1,549 $1,549 $1,549 Cheyenne-Casper, WY $4,055 $5,361 $9,000 Chicago-Joliet-Naperville, IL-IN-WI $3,315 $4,805 $7,500 Cincinnati-Middletown, OH-KY-IN $3,400 $3,926 $4,404 Cleveland-Elyria-Mentor, OH $3,477 $4,214 $4,950 Colorado Springs, CO $2,928 $2,928 $2,928 Columbia, SC $5,425 $5,828 $6,600 Columbus, OH $4,000 $4,350 $4,699 Dallas-Fort Worth-Arlington, TX $1,282 $1,282 $1,282 Dayton, OH $2,305 $2,383 $2,460 Denver-Aurora- Broomfield, CO $4,400 $4,400 $4,400 Des Moines-West Des Moines, IA $3,475 $4,723 $6,135 Page 21 of 32

22 Minimum Monthly 2 Bedroom Average Monthly 2 Bedroom Maximum Monthly 2 Bedroom Detroit-Warren-Livonia, MI $2,760 $3,685 $4,440 El Paso, TX $3,800 $4,550 $5,300 Evansville-Terra Haute, IN No Facilities Found Fargo-Grand Forks-Bismarck, ND $3,431 $3,677 $4,000 Fayetteville-Fort Smith, AR $2,709 $3,392 $4,075 Fort Wayne, IN $2,150 $3,285 $4,500 Fresno, CA $1,650 $3,232 $4,800 Grand Rapids-Wyoming, MI $3,495 $3,495 $3,495 Greensboro-High Point, NC $2,700 $3,835 $4,300 Greenville-Mauldin-Easley, SC No Facilities Found Gulfport-Biloxi, MS $3,450 $4,089 $4,766 Hartford-West Hartford-East Hartford, CT $4,300 $4,475 $4,650 Honolulu, HI $2,000 $2,000 $2,000 Houston-Sugar Land-Baytown, TX $4,695 $5,448 $6,200 Huntsville, AL $4,950 $4,950 $4,950 Indianapolis-Carmel, IN $650 $1,700 $3,150 Jackson, MS $2,500 $4,399 $6,698 Jacksonville, FL $2,885 $3,243 $3,600 Kansas City, MO-KS $3,900 $3,900 $3,900 Knoxville, TN $3,225 $4,297 $5,165 Lakeland-Winter Haven, FL $2,370 $3,486 $4,800 Las Vegas-Paradise, NV $3,033 $3,594 $4,200 Lexington, KY $4,200 $4,250 $4,300 Little Rock-North Little Rock-Conway, AR $3,700 $3,964 $4,335 Los Angeles-Long Beach-Santa Ana, CA $4,475 $4,475 $4,475 Louisville/Jefferson County, KY-IN $3,521 $4,361 $5,200 Madison, WI $1,002 $3,093 $7,170 Manchester-Nashua, NH $2,410 $3,637 $5,100 McAllen-Edinburg-Mission, TX $1,857 $3,101 $4,295 Memphis, TN-MS-AR $3,500 $4,550 $6,150 Miami-Fort Lauderdale-Pompano Beach, FL No Facilities Found Milwaukee-Waukesha-West Allis, WI $3,033 $3,761 $4,380 Minneapolis-St. Paul-Bloomington, MN-WI $700 $1,731 $3,150 Mobile, AL $3,900 $4,479 $5,057 Montgomery, AL $1,869 $2,768 $3,710 Page 22 of 32

23 Minimum Monthly 2 Bedroom Average Monthly 2 Bedroom Maximum Monthly 2 Bedroom Nashville-Davidson-Murfreesboro-Franklin, TN No Facilities Found New Orleans-Metairie-Kenner, LA $1,695 $2,973 $4,500 New York-Northern New Jersey-Long Island, NY-NJ- PA $3,450 $3,450 $3,450 North Port-Bradenton-Sarasota, FL No Facilities Found Oklahoma City, OK $3,942 $5,231 $6,520 Omaha-Council Bluffs, NE-IA $4,000 $4,288 $4,575 Orlando-Kissimmee-Sanford, FL $2,725 $3,439 $4,325 Oxnard-Thousand Oaks-Ventura, CA $2,622 $3,811 $6,685 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD $2,000 $2,957 $3,785 Phoenix-Mesa-Glendale, AZ $4,790 $4,790 $4,790 Pittsburgh, PA $2,537 $3,551 $6,246 Portland-South Portland-Biddeford, ME $3,000 $5,416 $7,800 Portland-Vancouver-Hillsboro, OR-WA $1,850 $3,559 $5,200 Poughkeepsie-Newburgh-Middletown, NY $1,795 $2,362 $2,928 Providence-New Bedford-Fall River, RI-MA $4,157 $4,157 $4,157 Raleigh-Cary, NC $3,820 $4,570 $5,250 Rapid City, SD $6,400 $7,633 $8,250 Richmond, VA $2,500 $4,722 $6,450 Riverside-San Bernardino-Ontario, CA $2,000 $4,164 $6,270 Rochester, NY $4,380 $4,482 $4,584 Sacramento--Arden-Arcade--Roseville, CA $1,900 $3,607 $5,400 Salt Lake City, UT $3,550 $3,550 $3,550 San Antonio-New Braunfels, TX $2,094 $3,005 $4,025 San Diego-Carlsbad-San Marcos, CA $3,540 $3,923 $4,305 San Francisco-Oakland-Fremont, CA $3,405 $3,405 $3,405 San Jose-Sunnyvale-Santa Clara, CA $2,225 $3,513 $4,800 Santa Rosa-Petaluma, CA $2,500 $3,120 $3,800 Seattle-Tacoma-Bellevue, WA $1,400 $2,894 $5,995 Shreveport-Bossier City, LA $5,745 $5,745 $5,745 Sioux Falls, SD No Facilities Found South Bend-Mishawaka, IN-MI $2,150 $3,585 $4,850 Spokane, WA No Facilities Found Springfield, MA $4,608 $4,608 $4,608 Page 23 of 32

24 Minimum Monthly 2 Bedroom Average Monthly 2 Bedroom Maximum Monthly 2 Bedroom Springfield, MO $6,497 $6,497 $6,497 St. Louis, MO-IL $2,205 $3,043 $3,600 Syracuse, NY $4,795 $5,448 $6,100 Tampa-St. Petersburg-Clearwater, FL No Facilities Found Toledo, OH $1,475 $3,528 $5,000 Tulsa, OK $5,595 $5,595 $5,595 Virginia Beach-Norfolk-Newport News, VA-NC $3,685 $4,293 $4,600 West Palm Beach-Boca Raton, FL $2,442 $3,108 $3,700 Washington-Arlington-Alexandria, DC-VA-MD- WV $5,595 $5,595 $5,595 Wichita, KS $450 $4,510 $7,800 National Average/Min/Max $1,800 $3,400 $5,550 Page 24 of 32

25 Studio s Geographical Area/Region Minimum Monthly Studio Average Monthly Studio Assisted Living Facility Maximum Monthly Studio Akron, OH $877 $3,217 $4,465 Albany-Schenectady-Troy, NY $2,500 $3,837 $5,850 Albuquerque, NM $1,050 $2,832 $4,000 Anchorage, AK $5,011 $5,094 $5,177 Atlanta-Sandy Springs-Marietta, GA $1,850 $3,026 $4,100 Austin-Round Rock-San Marcos, TX $2,695 $3,425 $4,000 Bakersfield-Delano, CA $1,002 $1,624 $2,245 Baltimore-Towson, MD $3,000 $5,200 $6,200 Baton Rouge, LA $1,733 $3,646 $4,705 Billings, MT $2,000 $2,734 $3,900 Birmingham-Hoover, AL $1,746 $2,738 $3,900 Boise City-Nampa, ID $3,900 $3,900 $3,900 Boston-Cambridge-Quincy, MA-NH $2,500 $4,602 $6,500 Bozeman-Missoula-Helena, MT $3,420 $5,216 $9,200 Bridgeport-Stamford-Norwalk, CT $1,820 $2,538 $3,286 Buffalo-Niagara Falls, NY $1,950 $3,963 $7,470 Burlington-South Burlington, VT $2,375 $3,383 $4,390 Cape Coral-Fort Myers, FL $1,995 $2,965 $5,200 Charleston-Morgantown, WV $2,375 $2,855 $3,200 Charleston-North Charleston-Summerville, SC $1,122 $2,773 $3,383 Charlotte-Gastonia-Rock Hill, NC-SC $842 $2,692 $4,050 Cheyenne-Casper, WY $2,950 $3,306 $3,900 Chicago-Joliet-Naperville, IL-IN-WI $2,790 $3,387 $4,330 Cincinnati-Middletown, OH-KY-IN $774 $3,283 $5,600 Cleveland-Elyria-Mentor, OH $1,800 $3,300 $5,100 Colorado Springs, CO $1,733 $2,708 $3,690 Columbia, SC $600 $3,086 $3,984 Columbus, OH $1,500 $2,420 $3,439 Dallas-Fort Worth-Arlington, TX $1,100 $2,350 $3,780 Dayton, OH $3,000 $3,244 $3,500 Denver-Aurora- Broomfield, CO $500 $2,133 $4,050 Des Moines-West Des Moines, IA $2,100 $3,342 $4,875 Page 25 of 32

26 Minimum Monthly Studio Average Monthly Studio Assisted Living Facility Maximum Monthly Studio Detroit-Warren-Livonia, MI $1,450 $1,450 $1,450 El Paso, TX $550 $1,659 $6,810 Evansville-Terra Haute, IN $750 $975 $1,200 Fargo-Grand Forks-Bismarck, ND $1,888 $2,675 $3,193 Fayetteville-Fort Smith, AR $2,709 $2,709 $2,709 Fort Wayne, IN $1,530 $2,394 $3,200 Fresno, CA $1,500 $2,765 $3,900 Grand Rapids-Wyoming, MI $1,200 $2,531 $3,300 Greensboro-High Point, NC $1,650 $2,264 $3,095 Greenville-Mauldin-Easley, SC $912 $2,389 $3,324 Gulfport-Biloxi, MS No Facilities Found Hartford-West Hartford-East Hartford, CT $2,280 $3,012 $3,350 Honolulu, HI $2,000 $2,700 $3,400 Houston-Sugar Land-Baytown, TX $3,200 $4,390 $5,200 Huntsville, AL $2,500 $4,136 $5,909 Indianapolis-Carmel, IN $625 $3,103 $6,500 Jackson, MS $1,975 $3,354 $4,295 Jacksonville, FL $1,700 $2,540 $2,900 Kansas City, MO-KS $560 $2,374 $4,560 Knoxville, TN $1,000 $2,850 $3,890 Lakeland-Winter Haven, FL $1,000 $2,509 $5,000 Las Vegas-Paradise, NV $2,584 $3,130 $3,630 Lexington, KY $2,195 $2,845 $3,750 Little Rock-North Little Rock-Conway, AR $1,800 $2,511 $3,500 Los Angeles-Long Beach-Santa Ana, CA $2,675 $2,854 $3,032 Louisville/Jefferson County, KY-IN $2,468 $3,194 $4,100 Madison, WI $2,000 $3,833 $8,400 Manchester-Nashua, NH $1,700 $2,383 $2,900 McAllen-Edinburg-Mission, TX $2,100 $3,453 $5,640 Memphis, TN-MS-AR $2,100 $4,329 $7,719 Miami-Fort Lauderdale-Pompano Beach, FL $1,575 $2,625 $4,500 Milwaukee-Waukesha-West Allis, WI $2,577 $3,041 $3,990 Minneapolis-St. Paul-Bloomington, MN-WI $2,495 $2,648 $2,800 Mobile, AL $2,515 $4,764 $9,060 Montgomery, AL $1,200 $3,792 $7,050 Page 26 of 32

27 Minimum Monthly Studio Average Monthly Studio Maximum Monthly Studio Nashville-Davidson-Murfreesboro-Franklin, TN $2,015 $2,741 $3,300 New Orleans-Metairie-Kenner, LA $1,200 $2,485 $4,500 New York-Northern New Jersey-Long Island, NY-NJ- PA No Facilities Found North Port-Bradenton-Sarasota, FL $2,910 $2,910 $2,910 Oklahoma City, OK $3,479 $4,796 $7,100 Omaha-Council Bluffs, NE-IA $2,390 $3,017 $3,650 Orlando-Kissimmee-Sanford, FL $1,700 $2,539 $3,325 Oxnard-Thousand Oaks-Ventura, CA $1,500 $3,047 $9,490 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD $450 $2,474 $3,900 Phoenix-Mesa-Glendale, AZ $1,500 $4,054 $6,000 Pittsburgh, PA $2,204 $2,204 $2,204 Portland-South Portland-Biddeford, ME $495 $4,288 $6,330 Portland-Vancouver-Hillsboro, OR-WA $2,500 $3,812 $8,400 Poughkeepsie-Newburgh-Middletown, NY $1,500 $2,645 $3,690 Providence-New Bedford-Fall River, RI-MA $3,100 $5,004 $9,810 Raleigh-Cary, NC $3,455 $3,536 $3,720 Rapid City, SD $3,000 $5,782 $12,060 Richmond, VA $3,000 $3,579 $4,300 Riverside-San Bernardino-Ontario, CA $2,100 $3,972 $5,880 Rochester, NY $875 $2,508 $3,960 Sacramento--Arden-Arcade--Roseville, CA $1,200 $2,715 $5,000 Salt Lake City, UT $1,850 $2,215 $3,000 San Antonio-New Braunfels, TX $1,800 $3,043 $4,500 San Diego-Carlsbad-San Marcos, CA $2,295 $3,279 $5,550 San Francisco-Oakland-Fremont, CA $2,365 $2,830 $3,295 San Jose-Sunnyvale-Santa Clara, CA $1,500 $2,858 $4,380 Santa Rosa-Petaluma, CA $1,000 $2,200 $4,000 Seattle-Tacoma-Bellevue, WA $2,195 $2,898 $3,200 Shreveport-Bossier City, LA $1,800 $2,425 $3,350 Sioux Falls, SD No Facilities Found South Bend-Mishawaka, IN-MI $1,650 $2,622 $3,750 Spokane, WA $2,700 $2,959 $3,555 Springfield, MA $2,430 $2,498 $2,565 Page 27 of 32

28 Minimum Monthly Studio Average Monthly Studio Assisted Living Facility Maximum Monthly Studio Springfield, MO $2,711 $3,244 $3,750 St. Louis, MO-IL $900 $2,220 $3,720 Syracuse, NY $1,300 $2,418 $3,900 Tampa-St. Petersburg-Clearwater, FL $2,680 $3,252 $4,375 Toledo, OH $1,115 $2,619 $5,000 Tulsa, OK $1,800 $3,104 $4,595 Virginia Beach-Norfolk-Newport News, VA-NC $850 $2,745 $4,050 Washington-Arlington-Alexandria, DC-VA-MD- WV $670 $2,093 $3,034 West Palm Beach-Boca Raton, FL $1,800 $3,104 $4,595 Wichita, KS $3,750 $5,212 $6,900 National Average/Min/Max $3,370 $3,435 $3,500 Page 28 of 32

29 Home Health Care Data Geographical Area/Region Minimum Hourly Home Health Aide Average Hourly Home Health Aide Maximum Hourly Home Health Aide Akron, OH $8.00 $17.06 $20.00 Albany-Schenectady-Troy, NY $18.00 $22.64 $26.00 Albuquerque, NM $9.00 $16.00 $22.00 Anchorage, AK $15.00 $23.30 $27.00 Atlanta-Sandy Springs-Marietta, GA $15.00 $17.54 $22.00 Austin-Round Rock-San Marcos, TX $17.00 $18.75 $20.00 Bakersfield-Delano, CA $16.00 $18.55 $20.00 Baltimore-Towson, MD $9.00 $19.23 $46.00 Baton Rouge, LA $12.00 $18.40 $30.00 Billings, MT $20.00 $20.67 $21.00 Birmingham-Hoover, AL $13.00 $17.06 $30.00 Boise City-Nampa, ID $16.00 $17.79 $22.00 Boston-Cambridge-Quincy, MA-NH $23.00 $24.54 $26.00 Bozeman-Missoula-Helena, MT $20.00 $20.67 $21.00 Bridgeport-Stamford-Norwalk, CT $13.00 $21.84 $37.00 Buffalo-Niagara Falls, NY $17.00 $19.00 $25.00 Burlington-South Burlington, VT $21.00 $23.20 $28.00 Cape Coral-Fort Myers, FL $15.00 $20.45 $23.00 Charleston-Morgantown, WV $13.00 $16.27 $22.00 Charleston-North Charleston-Summerville, SC $12.00 $17.36 $25.00 Charlotte-Gastonia-Rock Hill, NC-SC $10.00 $17.89 $20.00 Cheyenne-Casper, WY $18.00 $21.33 $26.00 Chicago-Joliet-Naperville, IL-IN-WI $15.00 $19.69 $26.00 Cincinnati-Middletown, OH-KY-IN $17.00 $19.67 $24.00 Cleveland-Elyria-Mentor, OH $8.00 $17.45 $28.00 Colorado Springs, CO $16.00 $21.40 $35.00 Columbia, SC $15.00 $16.85 $18.00 Columbus, OH $16.00 $18.68 $23.00 Dallas-Fort Worth-Arlington, TX $16.00 $17.36 $19.00 Dayton, OH $9.00 $18.47 $22.00 Denver-Aurora- Broomfield, CO $14.00 $21.34 $26.00 Des Moines-West Des Moines, IA $20.00 $23.69 $37.50 Page 29 of 32

30 Minimum Daily Average Daily Maximum Daily Detroit-Warren-Livonia, MI $16.00 $18.30 $21.00 El Paso, TX $13.00 $14.00 $15.00 Evansville-Terra Haute, IN $15.00 $17.20 $19.00 Fargo-Grand Forks-Bismarck, ND $18.00 $22.67 $25.00 Fayetteville-Fort Smith, AR $15.00 $16.33 $17.00 Fort Wayne, IN $16.00 $22.25 $41.50 Fresno, CA $10.00 $19.39 $26.00 Grand Rapids-Wyoming, MI $17.00 $18.78 $20.00 Greensboro-High Point, NC $15.00 $17.33 $19.00 Greenville-Mauldin-Easley, SC $15.00 $16.64 $18.00 Gulfport-Biloxi, MS $13.00 $15.00 $17.00 Hartford-West Hartford-East Hartford, CT $15.00 $20.08 $25.00 Honolulu, HI $20.00 $21.80 $24.00 Houston-Sugar Land-Baytown, TX $16.00 $17.86 $20.00 Huntsville, AL $14.00 $15.33 $17.00 Indianapolis-Carmel, IN $18.00 $18.55 $19.00 Jackson, MS $13.00 $15.67 $18.00 Jacksonville, FL $10.00 $18.56 $24.00 Kansas City, MO-KS $17.00 $18.13 $20.00 Knoxville, TN $16.00 $17.33 $18.00 Lakeland-Winter Haven, FL $13.00 $17.67 $20.00 Las Vegas-Paradise, NV $16.00 $19.61 $23.00 Lexington, KY $17.00 $18.15 $21.00 Little Rock-North Little Rock-Conway, AR $9.00 $16.00 $18.00 Los Angeles-Long Beach-Santa Ana, CA $12.00 $18.89 $22.00 Louisville/Jefferson County, KY-IN $9.00 $16.60 $19.00 Madison, WI $16.00 $20.92 $24.00 Manchester-Nashua, NH $20.00 $23.27 $27.00 McAllen-Edinburg-Mission, TX $15.00 $15.50 $16.00 Memphis, TN-MS-AR $13.00 $16.25 $18.00 Miami-Fort Lauderdale-Pompano Beach, FL $9.00 $15.43 $22.00 Milwaukee-Waukesha-West Allis, WI $13.00 $22.13 $38.00 Minneapolis-St. Paul-Bloomington, MN-WI $16.00 $23.00 $27.00 Mobile, AL $9.00 $13.67 $17.00 Montgomery, AL $14.00 $15.29 $16.00 Page 30 of 32

31 Minimum Daily Average Daily Maximum Daily Nashville-Davidson-Murfreesboro-Franklin, TN $15.00 $17.64 $23.00 New Orleans-Metairie-Kenner, LA $14.00 $16.44 $18.00 New York-Northern New Jersey-Long Island, NY-NJ- PA $15.00 $18.79 $27.00 North Port-Bradenton-Sarasota, FL $15.00 $19.57 $22.00 Oklahoma City, OK $18.00 $18.67 $19.00 Omaha-Council Bluffs, NE-IA $14.00 $18.36 $23.00 Orlando-Kissimmee-Sanford, FL $15.00 $17.25 $21.00 Oxnard-Thousand Oaks-Ventura, CA $15.00 $21.56 $28.00 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD $12.00 $16.17 $18.00 Phoenix-Mesa-Glendale, AZ $15.00 $20.25 $26.00 Pittsburgh, PA $12.00 $19.20 $24.00 Portland-South Portland-Biddeford, ME $19.00 $21.56 $27.00 Portland-Vancouver-Hillsboro, OR-WA $17.00 $20.85 $23.00 Poughkeepsie-Newburgh-Middletown, NY $20.00 $21.40 $23.00 Providence-New Bedford-Fall River, RI-MA $21.00 $22.57 $24.00 Raleigh-Cary, NC $19.00 $22.50 $28.00 Rapid City, SD $15.00 $18.21 $21.00 Richmond, VA $18.00 $18.00 $18.00 Riverside-San Bernardino-Ontario, CA $18.00 $19.50 $21.00 Rochester, NY $16.00 $19.00 $22.00 Sacramento--Arden-Arcade--Roseville, CA $19.00 $21.00 $24.00 Salt Lake City, UT $17.00 $21.07 $25.00 San Antonio-New Braunfels, TX $10.00 $22.33 $35.00 San Diego-Carlsbad-San Marcos, CA $15.00 $18.00 $19.00 San Francisco-Oakland-Fremont, CA $18.00 $20.98 $28.00 San Jose-Sunnyvale-Santa Clara, CA $20.00 $24.40 $28.00 Santa Rosa-Petaluma, CA $11.00 $22.84 $28.00 Seattle-Tacoma-Bellevue, WA $20.00 $25.89 $66.00 Shreveport-Bossier City, LA $20.00 $24.17 $27.00 Sioux Falls, SD $12.00 $14.85 $18.00 South Bend-Mishawaka, IN-MI $18.00 $24.33 $55.00 Spokane, WA $17.00 $19.25 $21.00 Springfield, MA $20.00 $21.50 $24.00 Page 31 of 32

32 Minimum Daily Average Daily Maximum Daily Springfield, MO $17.00 $17.33 $18.00 St. Louis, MO-IL $16.00 $19.00 $22.00 Syracuse, NY $18.00 $21.80 $25.00 Tampa-St. Petersburg-Clearwater, FL $9.00 $16.78 $20.00 Toledo, OH $8.00 $17.05 $22.00 Tulsa, OK $15.00 $25.50 $60.00 Virginia Beach-Norfolk-Newport News, VA-NC $18.00 $18.50 $19.00 Washington-Arlington-Alexandria, DC-VA-MD- WV $18.00 $20.67 $24.00 Wichita, KS $17.00 $18.67 $20.00 National Average/Min/Max $8.00 $19.36 $66.00 Page 32 of 32