C o s t o f C A R E S U RV E Y. Home Care Providers, Adult Day Health Care Facilities, Assisted Living Facilities and Nursing Homes 48593 04/27/10



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g e n WO RT H 2 0 1 0 C o s t o f C A R E S U RV E Y a p r i l 2 0 10 Home Care Providers, Adult Day Health Care Facilities, Assisted Living Facilities and Nursing Homes 48593 04/27/10

Alaska AK - Anchorage Anchorage Municipality, Matanuska Susitna Borough AK - Fairbanks Fairbanks North Star Borough AK - Rest of State Alabama AL - Anniston - Oxford Calhoun AL - Auburn - Opelika Lee AL - Birmingham - Hoover Bibb, Blount, Chilton, Jefferson, Saint Clair, Shelby, Walker AL - Decatur Lawrence, Morgan AL - Dothan Geneva, Henry, Houston AL - Florence - Muscle Shoals Colbert, Lauderdale AL - Gadsden Etowah AL - Huntsville Limestone, Madison AL - Mobile Mobile AL - Montgomery Autauga, Elmore, Lowndes, Montgomery AL - Tuscaloosa Greene, Hale, Tuscaloosa AL - Rest of State Arkansas AR - Fayetteville - Springdale - Rogers Madison, Washington, McDonald (MO), Benton AR - Fort Smith Franklin, Sebastian, LeFlore (OK), Sequoyah (OK), Crawford AR - Hot Springs Garland AR - Jonesboro Craighead, Poinsett AR - Little Rock - North Little Rock - Conway Faulkner, Grant, Lonoke, Perry, Pulaski, Saline AR - Pine Bluff Cleveland, Jefferson, Lincoln AR - Rest of State Arizona AZ - Flagstaff Coconino AZ - Lake Havasu City - Kingman Mohave AZ - Phoenix - Mesa - Scottsdale Maricopa, Pinal AZ - Prescott Yavapai AZ - Tucson Pima AZ - Yuma Yuma AZ - Rest of State California CA - Bakersfield Kern CA - Chico Butte CA - East Bay Alameda, Contra Costa CA - El Centro Imperial CA - Fresno Fresno CA - Hanford - Corcoran Kings CA - Madera - Chowchilla Madera CA - Merced Merced CA - Modesto Stanislaus CA - Napa Napa CA - Los Angeles County Los Angeles 2

CA - Orange County Orange CA - Oxnard - Thousand Oaks - Ventura Ventura CA - Redding Shasta CA - Riverside - San Bernardino - Ontario Riverside, San Bernardino CA - Sacramento - Arden-Arcade - Roseville El Dorado, Placer, Sacramento, Yolo CA - Salinas Monterey CA - San Diego - Carlsbad - San Marcos San Diego CA - San Francisco Marin, San Francisco, San Mateo CA - San Jose - Sunnyvale - Santa Clara San Benito, Santa Clara CA - San Luis Obispo - Paso Robles San Luis Obispo CA - Santa Barbara - Santa Maria - Goleta Santa Barbara CA - Santa Cruz - Watsonville Santa Cruz CA - Santa Rosa - Petaluma Sonoma CA - Stockton San Joaquin CA - Vallejo - Fairfield Solano CA - Visalia - Porterville Tulare CA - Yuba City Sutter, Yuba CA - Rest of State Colorado CO - Boulder Boulder CO - Colorado Springs El Paso, Teller CO - Denver - Aurora - Broomfield Adams, Arapahoe, Broomfield*, Clear Creek, Denver, Douglas, Elbert, Gilpin, Jefferson, Park CO - Fort Collins - Loveland Larimer CO - Grand Junction Mesa CO - Greeley Weld CO - Pueblo Pueblo CO - Rest of State Connecticut CT - Bridgeport - Stamford - Norwalk Fairfield CT - Hartford - West Hartford - East Hartford Hartford, Middlesex, Tolland CT - New Haven - Milford New Haven CT - Norwich - New London New London CT - Rest of State District of Columbia DC - Washington - Arlington - Alexandria Alexandria City (VA), Arlington (VA), Calvert (MD), Charles (MD), Clarke (VA), District of Columbia (DC), Fairfax City (VA), Fairfax (VA), Falls Church City (VA), Fauquier (VA), Fredericksburg City (VA) Jefferson (WV), Loudoun (VA), Manassas City (VA), Manassas Park City (VA), Prince George s (MD), Prince William (VA), Spotsylvania (VA), Stafford (VA), Warren (VA) DC - Rest of State Delaware DE - Dover Kent DE - Rest of State 3

Florida FL - Bradenton - Sarasota - Venice Manatee, Sarasota FL - Cape Coral - Fort Myers FL - Deltona - Daytona Beach - Ormond Beach Volusia FL - Fort Walton Beach - Crestview - Destin Okaloosa FL - Gainesville Alachua, Gilchrist FL - Jacksonville Baker, Clay, Duval, Nassau, St. Johns FL - Lakeland - Winter Haven Polk FL - Miami - Fort Lauderdale - Pompano Beach Broward, Miami-Dade, Palm Beach FL - Naples - Marco Island Collier FL - Ocala Marion FL - Orlando - Kissimmee Lake, Orange, Osceola, Seminole FL - Palm Bay - Melbourne - Titusville Brevard FL - Palm Coast Flagler FL - Panama City - Lynn Haven - Panama City Bay Beach FL - Pensacola - Ferry Pass - Brent Escambia, Santa Rosa FL - Port St. Lucie Martin, St. Lucie FL - Punta Gorda Charlotte FL - Sebastian - Vero Beach Indian River FL - Tallahassee Gadsden, Jefferson, Leon, Wakulla FL - Tampa - St. Petersburg - Clearwater Hernando, Hillsborough, Pasco, Pinellas FL - Rest of State Georgia GA - Albany Baker, Dougherty, Lee, Terrell, Worth GA - Athens - Clarke County Clarke, Madison, Oconee, Oglethorpe GA - Atlanta - Sandy Springs - Marietta Barrow, Bartow, Butts, Carroll, Cherokee, Clayton, Cobb, Coweta, Dawson, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Haralson, Heard, Henry, Jasper, Lamar, Meriwether, Newton, Paulding, Pickens, Pike, Rockdale, Spalding, Walton GA - Augusta - Richmond County Columbia, McDuffie, Richmond, Aiken (SC), Edgefield (SC), Burke GA - Brunswick Brantley, Glynn, McIntosh GA - Columbus Chattahoochee, Harris, Marion, Muscogee, Russell GA - Dalton Murray, Whitfield GA - Gainesville Hall GA - Hinesville - Fort Stewart Liberty, Long GA - Macon Bibb, Crawford, Jones, Monroe, Twiggs GA - Rome Floyd GA - Savannah Bryan, Chatham, Effingham GA - Valdosta Brooks, Echols, Lanier, Lowndes GA - Warner Robins Houston GA - Rest of State Lee 4

Hawaii HI - Honolulu Honolulu HI - Rest of State Iowa IA - Ames Story IA - Cedar Rapids Benton, Jones, Linn IA - Davenport - Moline - Rock Island Mercer (IL), Rock Island (IL), Scott, Henry IA - Des Moines - West Des Moines Dallas, Guthrie, Madison, Polk, Warren IA - Dubuque Dubuque IA - Iowa City Johnson, Washington IA - Sioux City Dakota (NE), Dixon (NE), Union (SD), Woodbury IA - Waterloo - Cedar Falls Black Hawk, Bremer, Grundy IA - Rest of State Idaho ID - Boise City - Nampa Ada, Boise, Canyon, Gem, Owyhee ID - Coeur d'alene Kootenai ID - Idaho Falls Bonneville, Jefferson ID - Lewiston Asotin (WA), Nez Perce ID - Pocatello Bannock, Power ID - Rest of State Illinois IL - Bloomington - Normal McLean IL - Champaign - Urbana Champaign, Ford, Piatt IL - Chicago - Naperville - Joliet Kenosha (WI), Lake, Cook, DeKalb, DuPage, Grundy, Kane, Kendall, McHenry, Will, Jasper (IN), Lake (IN), Newton (IN), Porter (IN) IL - Danville Vermilion IL - Decatur Macon IL - Kankakee - Bradley Kankakee IL - Peoria Marshall, Peoria, Stark, Tazewell, Woodford IL - Rockford Boone, Winnebago IL - Springfield Menard, Sangamon IL - Rest of State Indiana IN - Anderson Madison IN - Bloomington Greene, Monroe, Owen IN - Columbus Bartholomew IN - Elkhart - Goshen Elkhart IN - Evansville Posey, Vanderburgh, Warrick, Henderson (KY), Webster (KY), Gibson IN - Fort Wayne Allen, Wells, Whitley IN - Indianapolis - Carmel Boone, Brown, Hamilton, Hancock, Hendricks, Johnson, Marion, Morgan, Putnam, Shelby IN - Kokomo Howard, Tipton IN - Lafayette Benton, Carroll, Tippecanoe IN - Michigan City - La Porte La Porte IN - Muncie Delaware 5

IN - South Bend - Mishawaka Cass (MI), St. Joseph IN - Terre Haute Clay, Sullivan, Vermillion, Vigo IN - Rest of State Kansas KS - Lawrence Douglas KS - Manhattan Geary, Pottawatomie, Riley KS - Topeka Jackson, Jefferson, Osage, Shawnee, Wabaunsee KS - Wichita Butler, Harvey, Sedgwick, Sumner KS - Rest of State Kentucky KY - Bowling Green Edmonson, Warren KY - Elizabethtown Hardin, Larue KY - Lexington - Fayette Bourbon, Clark, Fayette, Jessamine, Scott, Woodford KY - Louisville/Jefferson County Floyd, Harrison, Washington, Bullitt, Henry, Jefferson, Meade, Nelson, Oldham, Shelby, Spencer, Trimble, Clark (IN) KY - Owensboro Daviess, Hancock, McLean KY - Rest of State Louisiana LA - Alexandria Grant, Rapides LA - Baton Rouge Ascension, East Baton Rouge, East Feliciana, Iberville, Livingston, Pointe Coupee, St. Helena, West Baton Rouge, West Feliciana LA - Houma - Bayou Cane - Thibodaux Lafourche, Terrebonne LA - Lafayette Lafayette, St. Martin LA - Lake Charles Calcasieu, Cameron LA - Monroe Ouachita, Union LA - New Orleans - Metairie - Kenner Jefferson, Orleans, Plaquemines, St. Bernard, St. Charles, St. John the Baptist, St. Tammany LA - Shreveport - Bossier City Bossier, Caddo, De Soto LA - Rest of State Massachusetts MA - Barnstable Town Barnstable MA - Boston - Cambridge - Quincy Norfolk, Plymouth, Suffolk, Middlesex, Essex, Rockingham (NH), Strafford (NH) MA - Pittsfield Berkshire MA - Springfield Franklin, Hampden, Hampshire MA - Worcester Worcester MA - Rest of State Maryland MD - Baltimore - Towson Anne Arundel, Baltimore, Carroll, Harford, Howard, Queen Anne s, Baltimore City MD - Bethesda Frederick, Montgomery MD - Cumberland Mineral (WV), Allegany MD - Hagerstown - Martinsburg Berkeley (WV), Morgan (WV), Washington MD - Salisbury Somerset, Wicomico MD - Rest of State 6

Maine ME - Bangor Penobscot ME - Lewiston - Auburn Androscoggin ME - Portland - South Portland - Biddeford Cumberland, Sagadahoc, York ME - Rest of State Michigan MI - Ann Arbor Washtenaw MI - Battle Creek Calhoun MI - Bay City Bay MI - Detroit - Warren - Livonia Wayne, Lapeer, Livingston, Macomb, Oakland, St. Clair MI - Flint Genesee MI - Grand Rapids - Wyoming Barry, Ionia, Kent, Newaygo MI - Holland - Grand Haven Ottawa MI - Jackson Jackson MI - Kalamazoo - Portage Kalamazoo, Van Buren MI - Lansing - East Lansing Clinton, Eaton, Ingham MI - Monroe Monroe MI - Muskegon - Norton Shores Muskegon MI - Niles - Benton Harbor Berrien MI - Saginaw - Saginaw Township North Saginaw MI - Rest of State Minnesota MN - Duluth Saint Louis, Douglas (WI), Carlton MN - Mankato - North Mankato Blue Earth, Nicollet MN - Minneapolis - St. Paul - Bloomington Carver, Chisago, Dakota, Hennepin, Isanti, Ramsey, Scott, Sherburne, Washington, Wright, Pierce (WI), St. Croix (WI), Anoka MN - Rochester Dodge, Olmsted, Wabasha MN - St. Cloud Benton, Stearns MN - Rest of State Missouri MO - Cape Girardeau - Jackson Bollinger, Cape Girardeau, Alexander (IL) MO - Columbia Boone, Howard MO - Jefferson City Callaway, Cole, Moniteau, Osage MO - Joplin Jasper, Newton MO - Kansas City Johnson (KS), Leavenworth (KS), Linn (KS), Miami (KS), Wyandotte (KS), Bates, Caldwell, Cass, Clay, Clinton, Jackson, Lafayette, Platte, Ray, Franklin (KS) MO - St. Joseph Andrew, Buchanan, DeKalb, Doniphan (KS) MO - St. Louis Calhoun (IL), Clinton (IL), Jersey (IL), Macoupin (IL), Madison (IL), Monroe (IL), Saint Clair (IL), Crawford, Franklin, Jefferson, Lincoln, St. Charles, Saint Louis, Warren, Washington, St. Louis City (MO), Bond (IL) MO - Springfield Christian, Dallas, Greene, Polk, Webster MO - Rest of State 7

Mississippi MS - Gulfport - Biloxi Hancock, Harrison, Stone MS - Hattiesburg Forrest, Lamar, Perry MS - Jackson Copiah, Hinds, Madison, Rankin, Simpson MS - Pascagoula George, Jackson MS - Rest of State Montana MT - Billings Carbon, Yellowstone MT - Great Falls Cascade MT - Missoula Missoula MT - Rest of State North Carolina NC - Asheville Buncombe, Haywood, Henderson, Madison NC - Burlington Alamance NC - Charlotte - Gastonia - Concord Cabarrus, Gaston, Mecklenburg, Union, York (SC), Anson NC - Durham - Chapel Hill Chatham, Durham, Orange, Person NC - Fayetteville Cumberland, Hoke NC - Goldsboro Wayne NC - Greensboro - High Point Guilford, Randolph, Rockingham NC - Greenville Greene, Pitt NC - Hickory - Lenoir - Morganton Alexander, Burke, Caldwell, Catawba NC - Jacksonville Onslow NC - Raleigh - Cary Franklin, Johnston, Wake NC - Rocky Mount Edgecombe, Nash NC - Wilmington Brunswick, New Hanover, Pender NC - Winston-Salem Davie, Forsyth, Stokes, Yadkin NC - Rest of State North Dakota ND - Bismarck Burleigh, Morton ND - Fargo Clay, Cass ND - Grand Forks Grand Forks, Polk ND - Rest of State Nebraska NE - Lincoln Lancaster, Seward NE - Omaha - Council Bluffs Mills (IA), Pottawattamie (IA), Cass, Douglas, Sarpy, Saunders, Washington, Harrison (IA) NE - Rest of State New Hampshire NH - Manchester - Nashua Hillsborough NH - Rest of State New Jersey NJ - Atlantic City - Hammonton Atlantic NJ - Northern New Jersey Essex, Hudson, Hunterdon, Monmouth, Morris, Ocean, Passaic, Somerset, Sussex, Union, Bergen, Middlesex NJ - Ocean City Cape May NJ - Trenton - Ewing Mercer NJ - Vineland - Millville - Bridgeton Cumberland NJ - Rest of State 8

New Mexico NM - Albuquerque Bernalillo, Sandoval, Torrance, Valencia NM - Farmington NM - Las Cruces NM - Santa Fe NM - Rest of State San Juan Dona Ana Santa Fe Nevada NV - Carson City Carson City NV - Las Vegas - Paradise NV - Reno - Sparks NV - Rest of State Clark Storey, Washoe New York NY - Albany - Schenectady - Troy Albany, Rensselaer, Saratoga, Schenectady, Schoharie NY - Binghamton NY - Bronx NY - Brooklyn NY - Buffalo - Niagara Falls NY - Elmira NY - Glens Falls NY - Ithaca NY - Kingston NY - Long Island NY - Manhattan NY - Outer New York City Area Broome, Tioga Bronx Kings Erie, Niagara Chemung Warren, Washington Tompkins Ulster Nassau, Suffolk New York Pike (PA), Putnam, Rockland, Westchester NY - Poughkeepsie - Newburgh - Middletown Dutchess, Orange NY - Queens Queens NY - Rochester Livingston, Monroe, Ontario, Orleans, Wayne NY - Staten Island Richmond NY - Syracuse Madison, Onondaga, Oswego NY - Utica - Rome Herkimer, Oneida NY - Rest of State Ohio OH - Akron Portage, Summit OH - Canton - Massillon Carroll, Stark OH - Cincinnati - Middletown Boone (KY), Bracken (KY), Campbell (KY), Gallatin (KY), Grant (KY), Kenton (KY), Pendleton (KY), Brown, Butler, Clermont, Hamilton, Warren, Dearborn (IN) OH - Cleveland - Elyria - Mentor Cuyahoga, Geauga, Lake, Lorain, Medina OH - Columbus Delaware, Fairfield, Franklin, Licking, Madison, Morrow, Pickaway, Union OH - Dayton Greene, Miami, Montgomery, Preble OH - Lima Allen OH - Mansfield Richland OH - Sandusky Erie 9

OH - Springfield OH - Toledo Clark Fulton, Lucas, Ottawa, Wood OH - Youngstown - Warren - Boardman Trumbull, Mercer (PA), Mahoning OH - Rest of State Oklahoma OK - Lawton Comanche OK - Oklahoma City Canadian, Cleveland, Grady, Lincoln, Logan, McClain, Oklahoma OK - Tulsa Creek, Okmulgee, Osage, Pawnee, Rogers, Tulsa, Wagoner OK - Rest of State Oregon OR - Bend Deschutes OR - Corvallis Benton OR - Eugene - Springfield Lane OR - Medford Jackson OR - Portland - Vancouver - Beaverton Columbia, Multnomah, Washington, Yamhill, Clark (WA), Skamania (WA), Clackamas OR - Salem Marion, Polk OR - Rest of State Pennsylvania PA - Allentown - Bethlehem - Easton Carbon, Lehigh, Northampton, Warren (NJ) PA - Altoona Blair PA - Erie Erie PA - Harrisburg - Carlisle Cumberland, Dauphin, Perry PA - Johnstown Cambria PA - Lancaster Lancaster PA - Lebanon Lebanon PA - Philadelphia - Camden - Wilmington Cecil (MD), Salem (NJ), Burlington (NJ), Camden (NJ), Gloucester (NJ), Bucks, Chester, Delaware, Montgomery, Philadelphia, New Castle (DE) PA - Pittsburgh Allegheny, Armstrong, Beaver, Butler, Fayette, Washington, Westmoreland PA - Reading Berks PA - Scranton - Wilkes-Barre Lackawanna, Luzerne, Wyoming PA - State College Centre PA - Williamsport Lycoming PA - York - Hanover York PA - Rest of State Puerto Rico PR - Aguadilla - Isabela - San Sebastián Aguada, Aguadilla, Añasco, Isabela, Lares, Moca, Rincón, San Sebastián PR - Fajardo Ceiba, Fajardo, Luquillo PR - Guayama Arroyo, Guayama, Patillas PR - Mayaguez Hormigueros, Mayagüez PR - Ponce Juana Díaz, Ponce, Villalba PR - San German - Cabo Rojo Cabo Rojo, Lajas, Sabana Grande, San Germán 10

PR - San Juan - Caguas - Guaynabo Aguas Buenas, Aibonito, Arecibo, Barceloneta, Barranquitas, Bayamón, Caguas, Camuy, Canóvanas, Carolina, Cataño, Cayey, Ciales, Cidra, Comerio, Corozal, Dorado, Florida, Guaynabo, Gurabo, Hatillo, Humacao, Juncos, Las Piedras, Loíza, Manatí, Maunabo, Morovis, Naguabo, Naranjito, Orocovis, Quebradillas, Río Grande, San Juan, San Lorenzo, Toa Alta, Toa Baja, Trujillo Alto, Vega Alta, Vega Baja, Yabucoa PR - Yauco Guánica, Guayanilla, Peñuelas, Yauco PR - Rest of State Rhode Island RI - Providence - New Bedford - Fall River Bristol, Kent, Newport, Providence, Washington, Bristol (MA) RI - Rest of State South Carolina SC - Anderson Anderson SC - Charleston - North Charleston - Berkeley, Charleston, Dorchester Summerville SC - Columbia Calhoun, Fairfield, Kershaw, Lexington, Richland, Saluda SC - Florence Darlington, Florence SC - Greenville - Mauldin - Easley Greenville, Laurens, Pickens SC - Myrtle Beach - North Myrtle Beach - Horry Conway SC - Spartanburg Spartanburg SC - Sumter Sumter SC - Rest of State South Dakota SD - Rapid City Meade, Pennington SD - Sioux Falls Lincoln, McCook, Minnehaha, Turner SD - Rest of State Tennessee TN - Chattanooga Dade (GA), Walker (GA), Hamilton, Marion, Sequatchie, Catoosa (GA) TN - Clarksville Trigg (KY), Montgomery, Stewart, Christian (KY) TN - Cleveland Bradley, Polk TN - Jackson Chester, Madison TN - Johnson City Carter, Unicoi, Washington TN - Kingsport - Bristol - Bristol Sullivan, Scott (VA), Washington (VA), Bristol City (VA), Hawkins TN - Knoxville Anderson, Blount, Knox, Loudon, Union TN - Memphis De Soto (MS), Marshall (MS), Tate (MS), Tunica (MS), Fayette, Shelby, Tipton, Crittenden (AR) TN - Morristown Grainger, Hamblen, Jefferson TN - Nashville - Davidson - Murfreesboro - Franklin Cannon, Cheatham, Davidson, Dickson, Hickman, Macon, Robertson, Rutherford, Smith, Sumner, Trousdale, Williamson, Wilson TN - Rest of State Texas TX - Abilene Callahan, Jones, Taylor TX - Amarillo Armstrong, Carson, Potter, Randall 11

TX - Austin - Round Rock TX - Beaumont - Port Arthur TX - Brownsville - Harlingen TX - College Station - Bryan TX - Corpus Christi TX - Dallas - Fort Worth - Arlington TX - El Paso TX - Houston - Sugar Land - Baytown TX - Killeen - Temple - Fort Hood TX - Laredo TX - Longview TX - Lubbock TX - McAllen - Edinburg - Mission TX - Midland TX - Odessa TX - San Angelo TX - San Antonio Bastrop, Caldwell, Hays, Travis, Williamson Hardin, Jefferson, Orange Cameron Brazos, Burleson, Robertson Aransas, Nueces, San Patricio Collin, Dallas, Delta, Denton, Ellis, Hunt, Kaufman, Rockwall, Johnson, Parker, Tarrant, Wise El Paso Austin, Brazoria, Chambers, Fort Bend, Galveston, Harris, Liberty, Montgomery, San Jacinto, Waller Bell, Coryell, Lampasas Webb Gregg, Rusk, Upshur Crosby, Lubbock Hidalgo Midland Ector Irion, Tom Green Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, Wilson Grayson Bowie, Miller Smith Calhoun, Goliad, Victoria McLennan Archer, Clay, Wichita TX - Sherman - Denison TX - Texarkana TX - Tyler TX - Victoria TX - Waco TX - Wichita Falls TX - Rest of State Utah UT - Logan Cache, Franklin (ID) UT - Ogden - Clearfield Davis, Morgan, Weber UT - Provo - Orem Juab, Utah UT - St. George Washington UT - Salt Lake City Salt Lake, Summit, Tooele UT - Rest of State Virginia VA - Blacksburg - Christiansburg - Radford Giles, Montgomery, Pulaski, Radford City VA - Charlottesville Albemarle, Fluvanna, Greene, Nelson, Charlottesville City VA - Danville Pittsylvania, Danville City VA - Harrisonburg Rockingham, Harrisonburg City VA - Lynchburg Amherst, Appomattox, Bedford, Campbell, Bedford City, Lynchburg City 12

VA - Richmond Amelia, Caroline, Charles City, Chesterfield, Cumberland, Dinwiddie, Goochland, Hanover, Henrico, King and Queen, King William, Louisa, New Kent, Powhatan, Prince George, Sussex, Colonial Heights City, Hopewell City, Petersburg City, Richmond City VA - Roanoke Botetourt, Craig, Franklin, Roanoke, Roanoke City, Salem City VA - Virginia Beach - Norfolk - Newport News Gloucester, Isle of Wight, James City, Mathews, Surry, York, Chesapeake City, Hampton City, Newport News City, Norfolk City, Poquoson City, Portsmouth City, Suffolk City, Virginia Beach City, Williamsburg City, Currituck (NC) VA - Winchester Winchester City, Hampshire (WV), Frederick VA - Rest of State Vermont VT - Burlington - South Burlington Chittenden, Franklin, Grand Isle VT - Rest of State Washington WA - Bellingham Whatcom WA - Bremerton - Silverdale Kitsap WA - Kennewick - Pasco - Richland Benton, Franklin WA - Longview Cowlitz WA - Mount Vernon - Anacortes Skagit WA - Olympia Thurston WA - Seattle - Tacoma - Bellevue King, Snohomish, Pierce WA - Spokane Spokane WA - Wenatchee - East Wenatchee Chelan, Douglas WA - Yakima Yakima WA - Rest of State Wisconsin WI - Appleton Calumet, Outagamie WI - Eau Claire Chippewa, Eau Claire WI - Fond du Lac Fond du Lac WI - Green Bay Brown, Kewaunee, Oconto WI - Janesville Rock WI - La Crosse La Crosse, Houston (MN) WI - Madison Columbia, Dane, Iowa WI - Milwaukee - Waukesha - West Allis Milwaukee, Ozaukee, Washington, Waukesha WI - Oshkosh - Neenah Winnebago WI - Racine Racine WI - Sheboygan Sheboygan WI - Wausau Marathon WI - Rest of State West Virginia WV - Charleston Boone, Clay, Kanawha, Lincoln, Putnam WV - Huntington - Ashland Greenup (KY), Lawrence (OH), Cabell, Wayne, Boyd (KY) WV - Morgantown Monongalia, Preston 13

WV - Parkersburg - Marietta - Vienna Pleasants, Wirt, Wood, Washington (OH) WV - Weirton - Steubenville Brooke, Hancock, Jefferson (OH) WV - Wheeling Marshall, Ohio, Belmont (OH) WV - Rest of State Wyoming WY - Casper Natrona WY - Cheyenne Laramie WY - Rest of State USA USA All states excluding Puerto Rico 14

35 Y E A R S Keeping Our Promises A leader in long term care insurance since 1974 About CareScout Headquartered in Waltham, Massachusetts, CareScout helps Americans across the United States find quality care providers for their long term care needs. As an objective source for this provider information, CareScout, now part of the Genworth Financial family of companies, developed the nation s first quality-of-care ratings system for certified nursing homes and home care providers. Large employers, risk underwriters and families rely on CareScout s proprietary ratings system, the CareScout network and its database of more than 90,000 providers including nursing homes, assisted living facilities and home care agencies to help find and arrange the most appropriate care for loved ones. For more information, visit carescout.com. About Genworth Financial Genworth Financial, Inc. (NYSE:GNW) is a leading Fortune 500 global financial security company. Genworth employs approximately 6,000 people with a presence in more than 25 countries. Its products and services help meet the investment, protection, retirement and lifestyle needs of more than 15 million customers. Genworth operates through three segments: Retirement and Protection, U.S. Mortgage Insurance and International. Its products and services are offered through financial intermediaries, advisors, independent distributors and sales specialists. Genworth Financial, which traces its roots back to 1871, became a public company in 2004 and is headquartered in Richmond, Virginia. For more information, visit Genworth.com. From time to time, Genworth releases important information via postings on its corporate Web site. Accordingly, investors and other interested parties are encouraged to enroll to receive automatic e-mail alerts and Really Simple Syndication (RSS) feeds regarding new postings. Enrollment information is found under the Investors section of Genworth.com. Visit genworth.com/costofcare to: compare costs across locations calculate future costs of care get more information about the Cost of Care Survey Insurance and annuity products: Are not deposits. Are not insured by the FDIC or any other federal government agency. May decrease in value. Are not guaranteed by the bank or its affiliates. Alzheimer s Association and Genworth Financial, Inc. have entered into a strategic relationship that permits Genworth s use of the Association s trademarks and/or logos. The use of the Alzheimer s Association logo does not constitute an endorsement of the Company s products and services. 2005-2010 Genworth Financial, Inc. and National Eldercare Referral Systems, LLC (CareScout). All rights reserved. Genworth, Genworth Financial and the Genworth logo are registered service marks of Genworth Financial, Inc.