OTHER HEALTH SERVICES - Illinois...Memorial Medical Center Springfield 0 0 5/29/2018 E-027-18...

Inventory of Health Care Facilities and Services

and Need Determinations

Illinois Health Facilities and Services Review Board 9/1/2019

Illinois Department of Public Health

INVENTORY OF HEALTH CARE

FACILITIES AND SERVICES

AND NEED DETERMINATIONS

2019

OTHER HEALTH SERVICES





INVENTORY OF OTHER HEALTH SERVICES

TABLE OF CONTENTS

Section A. IN-CENTER HEMODIALYSIS

Section B. NON-HOSPITAL AMBULATORY SURGERY

Section C. ALTERNATIVE HEALTH CARE MODELS

Post-Surgical Recovery Care Center Models

Children’s Respite Care Models

Community-Based Residential Care Models

A-1 – A-21

B-1 – B-13

C-1 – C-9

C-2 – C-4

C-5 – C-7

C-8 – C-9




Illinois Department of Public Health Page A - 1

SECTION A

IN-CENTER HEMODIALYSIS

Category of Service





Planning Process for In-Center Hemodialysis

Category of Service

For the In-Center Hemodialysis category of service:

1. The planning areas are the designated Health Service Areas

2. The utilization standard is a facility must operate at a minimum of 80 percent utilization rate,

assuming three patient shifts per day per renal dialysis station operating six days a week.





3. The need for end stage renal disease (ESRD) stations is calculated for a five-year period from the

base year. The need for additional treatment stations is determined utilizing the following

methodologies:

a. Five-year Projection:

i. Establish a minimum institutional dialysis rate by dividing the total number of

institutional dialysis patients in the base year by the State base year estimated

population in thousands and multiply the result by .6 (60%).

ii. Determine each planning area's experienced institutional dialysis rate by dividing

the number of patients receiving dialysis in the base year by the planning area

estimated population in thousands for the base year.

iii. Multiply each planning area's projected population in thousands five (5) years from

the base year by the greater of the minimum institutional dialysis rate or the

experienced institutional dialysis rate for the planning area to determine the

estimated number of institutional dialysis patients.

iv. Multiply the planning area's estimated number of institutional dialysis patients by a

factor of 1.33 (estimated increase in prevalence) to determine the projected number

of institutional dialysis patients in the planning area for the projected year.

v. Multiply the projected number of institutional dialysis patients by 156 to determine

the projected number of institutional procedures

vi. Divide the projected number of institutional procedures by 749 to determine the

projected number of stations needed for the projected year.

vii. Subtract the number of existing stations from the projected number of needed

stations to determine the excess or additional stations needed.





IN-CENTER HEMODIALYSIS

Category of Service

Existing Services and Projected Need

Planning

Area

2017 2022

Existing

Facilities

Existing

Stations

Estimated

Population

Projected

Population

Projected

Station Need

Additional

Stations Needed

Excess

Stations

HSA 1 15 198 665,800 702,200 205 7 0

HSA 2 13 191 662,000 650,300 183 0 8

HSA 3 14 182 564,100 556,000 165 0 17

HSA 4 13 202 827,600 822,900 195 0 7

HSA 5 16 195 605,400 588,600 177 0 18

HSA 6 68 1,349 2,716,500 2,721,500 1,429 80 0

HSA 7 84 1,487 3,424,900 3,094,300 1,360 0 127

HSA 8 31 492 1,547,300 1,716,200 527 35 0

HSA 9 19 308 979,100 1,146,500 384 76 0

HSA 10 6 96 209,800 198,800 65 0 31

HSA 11 18 260 599,600 605,600 244 0 16

STATE

TOTAL 297 4,960 12,802,100 12,802,900 4,934 198 224

IN-CENTER HEMODIALYSIS Category of Service

INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONSIllinois Health Facilities and Services Review Board

Page A - 59/1/2019


Health Service Area: 1PLANNING AREA: FACILITY CITY STATIONS PATIENTS - 2017

Churchview Dialysis - East Rockford East Rockford 24 92DaVita Belvidere Dialysis Belvidere 12 29DaVita Forest CIty Dialysis Rockford 12 3DaVita Machesney Park Machesney Park 12 42Dixon Kidney Center Dixon 8 22Driftwood Dialysis Freeport 10 35Freeport Dialysis Unit Freeport 10 26Fresenius Medical Care Dixon Dixon 8 14Fresenius Medical Care of Sandwich Sandwich 12 39

9/26/2017 17-027 Facility approved to add 1 ESRD station to existing facility; facility is now authorized for 12 ESRD stations.Rockford Dialysis Rockford 22 102Roxbury Dialysis Rockford 16 89Stonecrest Dialysis Rockford 12 69Sycamore Dialysis Sycamore 12 56Timber Creek Dialysis DeKalb 12 25Whiteside Dialysis Sterling 16 59

3/14/2017 16-051 Received permit to discontinue a 15 station ESRD facility at 2600 North Locust, Suite D in Sterling and to establish a 15 station ESRD facility at 4320 East Lincolnway in Sterling.

12/11/2018 Station Change Facility added 1 station to existing facility; facility now has 16 ESRD stations.

198 702PLANNING AREA TOTALSState ESRD Patients - 2017 2017 State Population State Use Rate - 2017 Minimum Use Rate - 2017

Planning Area Population - 2017

Area Use Rate - 2017


Projected Patients - 2022

Projected Treatments - 2022

Stations Needed- 2022

12,802,00017,938 1.401 0.841

665.8 1,054.371 702.2 740.4 153,614 205 7

Patients Adjusted for Increase

985

Stations Needed

Adjustment Factor

1.33

Planned Use Rate1,054.371



Page A - 69/1/2019



DaVita Tazewell County Dialysis Pekin 8 34Fresenius Kidney Care Galesburg Galesburg 14 0

2/27/2018 17-056 Received permit to establish a facility with 14 ESRD stations at 725 North Seminary Street in Galesburg.Fresenius Medical Care - Pekin Pekin 10 46Fresenius Medical Care Galesburg Galesburg 0 76

2/27/2018 17-056 Received permit to discontinue a facility with 14 ESRD stations at 765 North Kellogg in Galesburg.Fresenius Medical Care Macomb Macomb 8 20

3/14/2017 16-049 Received permit to discontinue a 6 station ESRD facility at 523 East Grant Street in Macomb and to establish an 8 station ESRD facility at 212 East Calhoun Street in Macomb.

Fresenius Medical Care Maple City Monmouth 9 17Fresenius Medical Care of Streator Streator 8 25Fresenius Medical Care Spoon River Canton 11 32

3/7/2018 Station Change Fresenius Medical Care Spoon River only certified for 11 stations; one station removed from inventory.Proctor Community Hospital Peoria 14 0

6/5/2018 17-045 Facility received permit to establish a facility with 14 stations at 5409 North Knoxville in Peoria.RCG - Ottawa Ottawa 12 39Renal Care Group - Downtown Peoria 32 136Renal Care Group - East Peoria East Peoria 24 104Renal Care Group - Peoria North Peoria 24 77

2/24/2017 Station Change Added 2 stations to existing facility; facility now has 21 ESRD stations.5/23/2019 Station Change Added 3 stations to existing facility; facility now has 24 ESRD stations.

Renal Care Group - Spring Valley Spring Valley 17 65191 671PLANNING AREA TOTALS

State ESRD Patients - 2017 2017 State Population State Use Rate - 2017 Minimum Use Rate - 2017







12,802,00017,938 1.401 0.841

662.0 1,013.595 650.3 659.1 136,759 183 8


877

Excess Stations

Adjustment Factor

1.33




Page A - 79/1/2019



Adams County Dialysis Quincy 17 62Fresenius Kidney Care Springfield East Springfield 9 0

1/9/2018 17-024 Received permit to establish a 9 station ESRD facility at 1800 East Washington Street in Springfield.Jacksonville Dialysis Jacksonville 14 57Jerseyville Dialysis Center Jerseyville 17 38

1/24/2017 16-040 Received permit to add 8 ESRD stations to an existing facility at 917 South State Street in Jerseyville. The facility will have a total of 17 ESRD stations.

Lincoln Dialysis Lincoln 14 37Litchfield Dialysis Litchfield 12 44Memorial Medical Center Springfield 0 0

5/29/2018 E-027-18 Received approval to discontinue an ESRD facility with 6 ESRD stations.Montgomery County Dialysis Hillsboro 8 19Pittsfield Dialysis Pittsfield 5 15RAI - Center West - Springfield Springfield 16 66Rushville Dialysis Rushville 8 21Springfield Central Dialysis Springfield 21 81

1/24/2017 16-036 Received permit to discontinue a 21 station ESRD facility at 932 North Rutledge Street in Springfield and to establish a 21 station ESRD facility at 600 North Grand Avenue West in Springfield.

Springfield Montvale Dialysis Springfield 17 73Springfield South Springfield 12 46Taylorville Dialysis Taylorville 12 44

1/4/2017 16-041 Facility approved for permit to add 2 ESRD stations to an existing facility; facility now has 12 ESRD stations.








12,802,00017,938 1.401 0.841

564.1 1,068.959 556.0 594.3 123,314 165 17


790

Excess Stations

Adjustment Factor

1.33




Page A - 89/1/2019



Champaign-Urbana Dialysis Center Urbana 25 107Danville Dialysis Services LLC Danville 19 74DaVita Illini Renal Dialysis Champaign 18 67

11/14/2017 17-032 Received permit to discontinue 12 station ESRD at 507 East University Avenue in Champaign and to establish an 18 station ESRD facility at 1004 West Anthony Drive in Champaign.

Decatur East Wood Dialysis Decatur 18 63Fresenius Kidney Care Paris Community Paris 8 0

3/14/2017 16-042 Received permit to establish 8 station ESRD facility at 721 East Court Street, Suite B in Paris.Fresenius Medical Care McLean County Bloomington 20 89Fresenius Medical Care Normal Normal 12 44Fresenius Medical Care Pontiac Pontiac 10 25

7/25/2018 Station Change Facility added 1 ESRD station; facility is now authorized for 10 stations.Macon County Dialysis Decatur 23 70Mattoon Dialysis Charleston 16 60Renal Care Group - Decatur Decatur 12 50Shelbyville Community Dialysis Shelbyville 9 23Vermilion County Dialysis Center Danville 12 35

7/24/2018 18-014 Received permit to add 4 stations to existing facility; facility now authorized for 12 stations.








12,802,00017,938 1.401 0.841

827.6 854.277 822.9 703.0 145,855 195 7


935

Excess Stations

Adjustment Factor

1.33

Planned Use Rate

854.277



Page A - 99/1/2019



Benton Dialysis Benton 13 44BMA - Carbondale Carbondale 24 86BMA - Saline County Harrisburg Harrisburg 18 63

12/24/2018 Station Change Facility added 2 ESRD stations; facility now has 18 authorized ESRD stations.Centralia Dialysis Centralia 12 52DaVita Red Bud Dialysis Red Bud 8 19Effingham Dialysis Effingham 16 49FMC - Williamson County Marion 14 56FMC Dialysis Services - DuQuoin DuQuoin 13 39

10/10/2017 Station Change Facility added 2 ESRD stations; facility now has 13 ESRD stations.Fresenius Medical Care of Metropolis Metropolis 8 26Marion Dialysis Marion 13 32Mt. Vernon Dialysis Mount Vernon 16 60Olney Dialysis Unit Olney Olney 7 23Randolph County Dialysis-Chester Chester 8 24Robinson Dialysis Robinson 9 36Vandalia Dialysis Vandalia 8 25Wayne County Dialysis Fairfield 8 23








12,802,00017,938 1.401 0.841

605.4 1,085.233 588.6 638.8 132,532 177 18


850

Excess Stations

Adjustment Factor

1.33




Page A - 109/1/2019



Austin Community Kidney Center Chicago 16 61Beverly Dialysis Center Chicago 16 94Brighton Park Dialysis Chicago 16 0Circle Medical Management Chicago 27 113DaVita Auburn Park Dialysis Chicago 12 0

6/5/2018 17-062 Facility received permit to establish a facility with 12 stations at 7939 South Western Avenue in Chicago.DaVita Brickyard Dialysis Chicago 12 0

4/17/2018 17-064 Facility received permit to establish a facility with 12 stations at 2640 North Narragansett Avenue in Chicago.DaVita Garfield Kidney Center Chicago 24 0

6/5/2018 18-001 Facility received permit to establish a facility with 24 stations at 408 North Homan Avenue in Chicago.DaVita Marshall Square Dialysis Chicago 12 0

10/30/2018 18-017 Facility received permit to establish a facility with 12 stations at 2950 West 26th Street in Chicago.DaVita Park Manor Dialysis Chicago 16 1DaVita Stony Island Dialysis Chicago 32 155DaVita TRC Children's Dialysis Chicago 8 17DaVita Washington Heights Dialysis Chicago 16 1DaVita West Side Dialysis Chicago 12 40Dialysis Care Center Beverly Chicago 14 0

2/27/2018 17-052 Received permit to establish a facility with 14 ESRD stations at 10801 South Western Avenue in Chicago.Dialysis Center of America - (Rogers Park) Chicago 20 82DSI - Loop Chicago 28 101DSI Renal Services-Scottsdale Chicago 36 137Emerald Kidney Center Chicago 24 105FMC Chicago Dialysis Center Chicago 21 62FMC Dialysis Services of Congress Parkway Chicago 30 107FMC West Metro Dialysis Center Chicago 12 128Ford City Dialysis Chicago 12 0

2/27/2018 17-053 Received permit to establish a facility with 12 ESRD stations at 8159 South Cicero in Chicago.Fresenius Medical Care - Bridgeport Chicago 27 132Fresenius Medical Care Beverly Ridge Chicago 16 1Fresenius Medical Care Chatham Chicago 16 90Fresenius Medical Care Humboldt Park Chicago 34 87Fresenius Medical Care Lakeview Chicago 14 52Fresenius Medical Care Logan Square Chicago 14 64



Page A - 119/1/2019


Fresenius Medical Care Marquette Park Chicago 16 92Fresenius Medical Care Midway Chicago 12 60Fresenius Medical Care New City Chicago 16 14Fresenius Medical Care North Kilpatrick Chicago 28 137Fresenius Medical Care Northcenter Chicago 16 57Fresenius Medical Care of Chicago - West Chicago 31 63Fresenius Medical Care of Uptown Chicago 14 79Fresenius Medical Care Polk Chicago 24 57Fresenius Medical Care Roseland Chicago 12 69Fresenius Medical Care Ross Dialysis - Englewood Chicago 24 76

1/24/2017 16-029 Received permit to discontinue a 16 station ESRD facility at 6333 South Green Street in Chicago and to establish a 24 station ESRD facility at 6226 South Sangamon Street in Chicago.

Fresenius Medical Care South Chicago Chicago 36 196Fresenius Medical Care South Deering Chicago 20 65Fresenius Medical Care South Shore Chicago 16 89Fresenius Medical Care West Belmont Chicago 21 93

1/15/2019 18-045 Facility received permit to add 4 ESRD stations to existing facility; raises authorized ESRD stations to 21.Fresenius Medical Care West Willow Chicago 12 40Garfield Kidney Center Chicago 0 108

6/5/2018 18-001 Facility received permit to discontinue a facility with 16 stations at 3250 West Franklin Boulevard in ChicagoGrand Crossing Dialysis Chicago 12 65Greenwood Dialysis Center Chicago 28 119Irving Park Dialysis Chicago 12 0Jackson Park Dialysis Chicago 24 101John H. Stroger Hospital of Cook County Chicago 9 22Kenwood Dialysis Chicago 32 136Lawndale Dialysis Chicago 16 99Lincoln Park Dialysis Center Chicago 22 91Little Village Dialysis Chicago 16 93Logan Square Dialysis Chicago 28 152Monteclare Dialysis Center Chicago 16 98Mount Greenwood Dialysis Chicago 16 84Mt. Sinai Hospital Med Ctr Chicago 16 87Nephron Dialysis Ctr Swedish Covenant Chicago 16 92Northwestern Memorial Hospital Chicago 42 170Norwood Park Dialysis Chicago 14 20



Page A - 129/1/2019


Provident Hospital of Cook County ESRD Chicago 12 011/27/2017 17-017 Received permit to establish a 12 station ESRD facility at 430 East 50th Place, Chicago, IL 60615.

RCG Garfield Chicago 22 89RCG MidAmerica - Prairie Chicago 24 109Rush University Medical Ctr Chicago 0 0

4/4/2018 E-012-18 Exemption approved to discontinue 6 station ESRD service.SAH Dialysis Clinic at 26th Street Chicago 15 49South Side Dialysis Center Chicago 39 204University of Illinois Hospital Chicago 26 137US Renal Care West Chicago Chicago 13 0West Lawn Dialysis Chicago 12 67Woodlawn Dialysis Chicago 32 140

1,349 5,149PLANNING AREA TOTALSState ESRD Patients - 2017 2017 State Population State Use Rate - 2017 Minimum Use Rate - 2017







12,802,00017,938 1.401 0.841

2,716.5 1,895.454 2,721.5 5,158.5 1,070,281 1,429 80


6,861

Stations Needed

Adjustment Factor

1.33




Page A - 139/1/2019



Alsip Dialysis Center Alsip 20 84ARA-South Barrington Dialysis S. Barrington 14 56Big Oaks Dialysis Center Niles 12 48Calumet Dialysis Center Calumet City 16 16Center for Renal Replacement Lincolnwood 16 57Central Dupage Dialysis Center West Chicago 16 67Chicago Heights Renal Care Chicago Heights 16 85Community Dialysis of Harvey Harvey 18 95Concerto Dialysis Crestwood 9 18Country Hills Dialysis Country Club Hills 24 102DaVita Chicago Ridge Dialysis Worth 16 83DaVita Cicero Dialysis Cicero 12 0

1/15/2019 18-037 Facility received permit to establish a facility with 12 stations at 6001 Ogden Avenue in Cicero.DaVita Evanston Renal Center Evanston 20 84

3/16/2017 Station Change Added 2 ESRD stations to existing facility; facility now has 20 ESRD stations.DaVita Geneva Crossing Dialysis Carol Stream 12 0

7/24/2018 17-013 Received permit to establish a facility with 12 ESRD stations at 540 South Schmale Road in Carol Stream.DaVita Melrose Village Dialysis Melrose Park 12 0

10/30/2018 17-029 Facility received permit to establish a facility with 12 stations at 480 North Independence Blvd in Melrose Park.DaVita Oak Meadows Dialysis Oak Lawn 12 0

7/24/2018 17-068 Received permit to establish a facility with 12 ESRD stations at 5020 West 95th Street in Oak Lawn.DaVita Rutgers Park Dialysis Woodridge 12 0

6/5/2018 17-014 Received permit to establish a facility with 12 ESRD stations at 8455 Woodward Avenue in Woodridge.DaVita Salt Creek Dialysis Villa Park 12 0

6/5/2018 17-016 Received permit to establish a facility with 12 ESRD stations at 196 West North Avenue in Villa Park.DaVita Tinley Park Dialysis Tinley Park 12 19Dialysis Care Center Evergreen Park 14 0

12/4/2018 18-018 Facility received permit to establish a facility with 14 stations at 9834 South Kedzie Avenue in Evergreen Park.Dialysis Care Center Hazel Crest Hazel Crest 12 0

10/30/2018 17-071 Facility received permit to establish a facility with 12 stations at 18325 Pulaski Avenue in Hazel Crest.Dialysis Care Center of Oak Lawn Oak Lawn 11 0Dialysis Care Center of Olympia Fields Olympia Fields 12 3

7/10/2019 Station Change Facility certified for 12 stations by CMS; inventory corrected to reflect additional station.DSI - Arlington Heights Arlington Heights 18 75



Page A - 149/1/2019


DSI - Buffalo Grove Buffalo Grove 16 60Elk Grove Dialysis Center Elk Grove Village 28 142FMC - Orland Park Orland Park 18 68FMC Dialysis Services of Willowbrook Willowbrook 20 75FMC Merrionette Park Merrionette Park 24 137FMC MidAmerica - Berwyn Berwyn 30 151

6/1/2017 Station Change Facility added 2 ESRD stations to existing 28 station facility; facility now authorized for 30 ESRD stations.Fresenius Kidney Care Mount Prospect Mount Prospect 8 0

5/2/2017 17-004 Facility received permit to establish a facility with 8 ESRD stations at 1710 West Golf Road in Mount Prospect.Fresenius Kidney Care Woodridge Woodridge 12 0

3/14/2017 16-034 Received permit to establish 12 station ESRD facility at 7550 Janes Avenue in Woodridge.Fresenius Medical Care - Crestwood Crestwood 24 88

9/26/2017 17-025 Facility approved to discontnue 24 station ESRD facility at 4881 Cal Sag Road in Crestwood and to establish 24 station ESRD facility at 4809 West Midlothian Turnpike in Crestwood.

Fresenius Medical Care - Lombard Lombard 12 51Fresenius Medical Care - Steger Steger 18 62Fresenius Medical Care Blue Island Blue Island 28 116Fresenius Medical Care Burbank Burbank 26 129Fresenius Medical Care Chicago Heights Chicago Heights 12 3Fresenius Medical Care Cicero Cicero 20 74

8/3/2018 Station Change Facility added 2 ESRD stations; facility is now authorized for 18 stations.1/15/2019 18-046 Facility received permit to add 2 ESRD stations to existing facility; raises authorized ESRD stations to 20.

Fresenius Medical Care Des Plaines Des Plaines 13 516/8/2018 Station Change Added 1 ESRD station to existing facility. Facility now has 13 authorized ESRD stations.

Fresenius Medical Care Downers Grove Downers Grove 16 68Fresenius Medical Care Elmhurst Elmhurst 28 115Fresenius Medical Care Evergreen Park Evergreen Park 30 23Fresenius Medical Care Glendale Heights Glendale Heights 29 136Fresenius Medical Care Hazel Crest Hazel Crest 16 77Fresenius Medical Care Hoffman Estates Hoffman Estates 20 111Fresenius Medical Care Lemont Lemont 12 25Fresenius Medical Care Melrose Park Melrose Park 18 78Fresenius Medical Care Niles Niles 32 106Fresenius Medical Care Norridge Norridge 16 80Fresenius Medical Care North Avenue Melrose Park 24 114Fresenius Medical Care Northfield Northfield 12 9



Page A - 159/1/2019


Fresenius Medical Care Oak Forest Oak Forest 12 58Fresenius Medical Care of Deerfield Deerfield 12 29Fresenius Medical Care of Naperville-North Naperville 21 79Fresenius Medical Care of West Chicago West Chicago 12 58Fresenius Medical Care Palatine Palatine 17 90

7/10/2017 Station Change Facility added 2 additional ESRD stations; facility now has 16 ESRD stations.8/31/2017 17-033 Facility approved to add 1 ESRD station to existing facility; facility is now authorized for 17 ESRD stations.

Fresenius Medical Care River Forest River Forest 24 949/6/2018 Station Change Added 2 stations to an existing facility; facility now has 24 ESRD stations.

Fresenius Medical Care Rolling Meadows Rolling Meadows 24 109Fresenius Medical Care Schaumburg Schaumburg 12 0Fresenius Medical Care South Holland South Holland 24 109Fresenius Medical Care Summit Summit 12 30Fresenius Medical Care Westshester Westchester 22 82

1/26/2017 Station Change Added 2 stations to existing facility; facility now has 22 ESRD stations.Fresenius Oak Park Dialysis Center Oak Park 12 63Fresenius RCG South Suburban Olympia Fields 27 119Glenview Dialysis Center Glenview 20 68Hazel Crest Renal Center Hazel Crest 20 104

3/10/2017 Station Change Added 1 station to existing facility; Facility now has 20 ESRD stations.Loyola Univ. Hosp. Outpatient Dialysis Center Maywood 30 147Maple Avenue Kidney Center Oak Park 18 91Noctural Dialysis Spa Villa Park 12 5NxStage Oak Brook Oak Brook 8 21Olympia Fields Dialysis Center Matteson 24 101Palos Park Dialysis Orland Park 12 50RCG Evanston Evanston 14 64RCG Skokie Skokie 14 60Satellite Dialysis of Glenview Glenview 16 60Schaumburg Renal Center Schaumburg 22 79

1/2/2018 Station Change Facility added 2 ESRD stations; facility now has 22 ESRD stations.South Holland Renal Center South Holland 24 122Stony Creek Dialysis Oak Lawn 14 83U.S. Renal Care Villa Park Dialysis Villa Park 13 68US Renal Care Hickory Hills Hickory Hills 13 0USRC Oak Brook Dialysis Downers Grove 13 66



Page A - 169/1/2019


USRC Streamwood Dialysis Streamwood 13 48West Suburban Hosp. Dialysis Unit Oak Park 46 235

1,487 5,433PLANNING AREA TOTALSState ESRD Patients - 2017 2017 State Population State Use Rate - 2017 Minimum Use Rate - 2017







12,802,00017,938 1.401 0.841

3,424.9 1,586.324 3,094.3 4,908.6 1,018,428 1,360 127


6,528

Excess Stations

Adjustment Factor

1.33




Page A - 179/1/2019



ARA- Crystal Lake Dialysis Crystal Lake 16 36ARA-McHenry County McHenry 12 28

8/17/2017 Station Change Added 2 ESRD stations to existing facility; facility now has 14 ESRD stations.Aurora Dialysis Center Aurora 24 150Barrington Creek Dialysis Lake Barrington 12 20Cobblestone Dialysis Elgin 16 92Crystal Springs Dialysis Crystal Lake 16 62

11/20/2017 Station Change Facility added 2 ESRD stations; facility now has 16 ESRD stations.DaVita Huntley Dialysis Huntley 12 1DaVita North Dunes Dialysis Waukegan 12 0

10/30/2018 17-066 Facility received permit to establish a facility with 12 stations at 3113 North Lewis Avenue in Waukegan.Dialysis Care Center Elgin Elgin 14 0

6/5/2018 17-061 Facility received permit to establish a facility with 14 stations at 995 North Randall Road in Elgin.Dialysis Care Center McHenry McHenry 14 0

6/20/2017 16-058 Received permit to establish a 14 station ESRD facility at Suite A, 612 South Illinois Route 31 in McHenry.DSI - Waukegan Waukegan 24 145Fox Valley Dialysis Center Aurora 29 143Fresenius Kidney Care East Aurora Aurora 12 0Fresenius Kidney Care Grayslake Grayslake 10 0Fresenius Medical Care Gurnee Gurnee 24 97

5/2/2017 17-003 Facility received permit to add 8 stations to existing 16 station facility. Facility now authorized for 24 stations.Fresenius Medical Care Highland Park Highland Park 20 48Fresenius Medical Care Mundelein Mundelein 14 62Fresenius Medical Care of Elgin Elgin 25 116

6/5/2018 18-004 Received permit to add 5 stations to existing facility; facility now authorized for 25 stations.Fresenius Medical Care of Lake Bluff Lake Bluff 16 75Fresenius Medical Care of McHenry McHenry 14 43Fresenius Medical Care South Elgin South Elgin 12 0

11/14/2017 17-038 Received permit to establish a 12 station ESRD facility at North McLean Boulevard and Bowes Road in South Elgin.

Fresenius Medical Care Waukegan Harbor Waukegan 21 115Fresenius Medical Care West Batavia Batavia 12 55Fresenius Medical Care Zion Zion 12Fresenius Medical Cre of Antioch Antioch 12 34



Page A - 189/1/2019


Lake County Dialysis Center Vernon Hills 16 74Lake Villa Dialysis Lake Villa 12 55Neomedica Dialysis Ctrs - Round Lake Round Lake 16 80Quality Renal Care - Carpentersville Carpentersville 13 81Quality Renal Care - Marengo Marengo 10 31Tri-Cities Dialysis Geneva 20 72

492 1,715PLANNING AREA TOTALSState ESRD Patients - 2017 2017 State Population State Use Rate - 2017 Minimum Use Rate - 2017







12,802,00017,938 1.401 0.841

1,547.3 1,108.382 1,716.2 1,902.2 394,670 527 35


2,530

Stations Needed

Adjustment Factor

1.33




Page A - 199/1/2019



DaVita Hickory Creek Dialysis Joliet 12 04/17/2018 17-063 Facility received permit to establish a facility with 12 stations at 214 Collins Street in Joliet.

DaVita Morris Dialysis Center Morris 9 374/10/2017 15-032 Relinquished permit to establish 12 station facility at 180 East Waverly Street in Morris. Facility reverts to 9

stations at 1551 Creek Drive in Morris.Fresenius Kidney Care New Lenox New Lenox 12 0

4/17/2018 17-065 Facility received permit to establish a facility with 12 stations on Cedar Crossing Drive in New LenoxFresenius Medical Care Bolingbrook Bolingbrook 24 126Fresenius Medical Care Joliet Joliet 18 72

10/6/2017 Station Change Facility added 2 ESRD stations; facility now has 18 ESRD stations.Fresenius Medical Care Naperbrook Naperville 24 101

3/13/2017 Station Change Added 2 stations to existing facility; facility now has 18 ESRD stations.11/14/2017 17-034 Received permit to add 6 ESRD stations to existing facility; facility located at 2451 South Washington Street in

Naperville now has 24 ESRD stations.Fresenius Medical Care of Mokena Mokena 14 55Fresenius Medical Care of Oswego Oswego 19 69

1/17/2017 Station Change Added 2 stations to existing facility; facility now has 13 ESRD stations.9/26/2017 17-023 Facility approved to add 6 ESRD stations to existing facility; facility is now authorized for 19 ESRD stations.

Fresenius Medical Care of Plainfield Plainfield 16 80Fresenius Medical Care Plainfield North Plainfield 10 34Kankakee County Dialysis Bourbonnais 14 70

3/21/2017 Station Change Added 2 ESRD stations to existing facility; facility now has 14 ESRD stations.Kankakee River Dialysis Kankakee 25 94Manteno Dialysis Center Manteno 15 44Morris Community Dialysis Morris 10 21Silver Cross Renal Center New Lenox 19 107Silver Cross Renal Center West Joliet 29 130Sun Health Joliet 17 61USRC Bolingbrook Dialysis Bolingbrook 13 63Yorkville Dialysis Center Yorkville 8 21

308 1,185PLANNING AREA TOTALSState ESRD Patients - 2017 2017 State Population State Use Rate - 2017 Minimum Use Rate - 2017







12,802,00017,938 1.401 0.841

979.1 1,210.295 1,146.5 1,387.6 287,900 384 76


1,846

Stations Needed

Adjustment Factor

1.33




Page A - 209/1/2019



FMC - Kewanee Kewanee 8 33Fresenius Medical Care Aledo Aledo 8 13Fresenius Medical Care Geneseo Geneseo 7 15Fresenius Medical Care Moline Moline 36 91Fresenius Medical Care Rock Island Rock Island 19 35Fresenius Medical Care Silvis Silvis 18 62








12,802,00017,938 1.401 0.841

209.8 1,186.845 198.8 235.9 48,954 65 31


314

Excess Stations

Adjustment Factor

1.33




Page A - 219/1/2019



Alton Dialysis Alton 16 65DaVita Collinsville Dialysis Collinsville 8 11DaVita Edgemont Dialysis East St. Louis 12 0

1/9/2018 17-040 Received permit to establish a 12 station ESRD facility at 8 Vieux Carre Drive in East St. Louis.DaVita Foxpoint Granite City 12 0

3/14/2017 16-037 Received permit to establish 12 station ESRD facility at 1300 Schaefer Road in Granite City.Edwardsville Dialysis Edwardsville 8 39Fresenius Kidney Care Madison County Granite City 9 0

10/30/2018 18-006 Facility received permit to establish a facility with 9 stations at 1938 Grand Avenue in Granite City.Fresenius Medical Care Belleville Belleville 12 0Fresenius Medical Care Regency Park O'Fallon 20 107Fresenius Medical Care Southwestern Illinois Alton 19 80Fresenius Medical Care Waterloo Waterloo 6 9Granite City Dialysis Granite City 20 98Maryville Dialysis- Renal Treatment Ctrs Maryville 14 65Metro East Dialysis Belleville 36 185Northgrove Dialysis Highland 12 0

4/17/2018 17-049 Facility received permit to establish a facility with 12 stations at 2491 Industrial Drive in Highland.O'Fallon Dialysis O'Fallon 12 26RAI - North Main Breese 8 30Sauget Dialysis Sauget 24 92Shiloh Dialysis Shiloh 12 64








12,802,00017,938 1.401 0.841

599.6 1,452.635 605.6 879.7 182,523 244 16


1,170

Excess Stations

Adjustment Factor

1.33





Illinois Department of Public Health Page B - 1

SECTION B

NON-HOSPITAL BASED AMBULATORY SURGERY

Category of Service





Planning Process for Non-Hospital Based

Ambulatory Surgery Category of Service

For the Non-Hospital Based Ambulatory Surgery category of service:

1. The planning areas are the designated Health Service Areas

2. No utilization standard has been established.





3. No service need formula has been established. Need is only a facility need and it is the responsibility

of the applicant to document.





Non-Hospital Based Ambulatory Surgery Category of Service

by Health Service Area

Planning Areas

Number

of Facilities

Operating

Rooms

Surgeries

2017Hours of

Surgery 2017

Health Service Area 1 6 17 29,143 31,846.46











STATE TOTALS 160 434 474,641 466,331.44

INVENTORY OF HEALTH FACILITIES AND SERVICES AND NEED DETERMINATIONS

NON-HOSPITAL BASED AMBULATORY SURGERY Category of ServiceIllinois Health Facilities and Services Review Board

Page B- 59/1/2019


Planning Area: 001Ambulatory Surgical Treatment Center City

Operating Rooms

2017 Surgeries Cases Time(Hrs.)

HAUSER ROSS EYE INSTITUTE SURGERY CENTER SYCAMORE 4 2,794 13,196.50MIDLAND SURGICAL CENTER SYCAMORE 2 1,227 1,702.00NORTHPOINTE HEALTH AND WELLNESS CENTER ROSCOE 2 1,077 522.71ROCKFORD AMBULATORY SURGERY CENTER ROCKFORD 5 5,040 5,241.50ROCKFORD ENDOSCOPY CENTER ROCKFORD 2 15,090 6,581.00ROCKFORD ORTHOPEDIC SURGERY CENTER ROCKFORD 2 3,915 4,602.75

PLANNING AREA TOTAL 17 29,143 31,846.46Planning Area: 002

Ambulatory Surgical Treatment Center CityOperating

Rooms 2017 Surgeries

Cases Time(Hrs.)

CENTER FOR HEALTH AMBULATORY SURGERY CENTER - II PEORIA 2 451 844.005/31/2018 Licensure Change of ownership (formerly license 7003146) completed; facility licensed as Center for Health Ambulatory Surgery - II.2/27/2018 E-002-18 Facility received exemption for change of ownership.

CENTER FOR HEALTH AMBULATORY SURGERY CENTER, LLC PEORIA 6 8,082 11,415.75CENTRAL ILLINOIS ENDOSCOPY CENTER PEORIA 3 10,305 6,435.55PEORIA AMBULATORY SURGERY CENTER PEORIA 1 3,066 2,411.004/30/2019 E-014-19 Received exemption for change of ownership.

PEORIA DAY SURGERY CENTER PEORIA 4 2,410 2,252.20RENAL INTERVENTION CENTER, LLC. MORTON 2 1,438 1,390.07




Cases Time(Hrs.)

BLESSING HOSPITAL SURGERY CENTER QUINCY 3 10,683 7,377.00ORTHOPAEDIC SURGERY CTR. OF IL. SPRINGFIELD 2 3,641 2,990.00PRAIRIE DIAGNOSTIC CENTER AT ST JOHN'S HOSPITAL SPRINGFIELD 0 55 48.305/15/2018 Closure Facility discontinued operations; 2 operating rooms removed from inventory.

QUINCY MEDICAL GROUP SURGERY CENTER QUINCY 54/30/2019 18-042 Received permit to establish a multi-specialty Ambulatory Surgical Treatment Center with 5 operating rooms and 3 procedure

rooms for cardiovascular, colon and rectal surgery, general surgery, gastroenterology, neurological surgery, obstetrics/gynecology, ophthalmology, oral/maxillofacial surgery, orthopedic surgery, otolaryngology, plastic surgery, podiatric surgery, urology, and cardiac catheterization/pulmonology at 3347 Broadway in Quincy.

SPRINGFIELD CLINIC AMB. SURG. SPRINGFIELD 3 22,079 13,284.25ST. JOHN'S SURGERY SUITES MONTVALE SPRINGFIELD 2 2,658 1,802.00

PLANNING AREA TOTAL 15 39,116 25,501.55



Page B- 69/1/2019



Operating Rooms


BLOOMI/NORMAL HEALTHCARE SURGERY CENTER NORMAL 4 2,135 2,360.00BLOOMINGTON EYE INSTITUTE, L.L.C. BLOOMINGTON 2 4,023 1,300.25CARLE SURGICENTER - DANVILLE DANVILLE 2 1,634 1,426.007/24/2018 18-014 Received permit to add 4 surgical specialties (colo-rectal surgery, plastic surgery, urology and interventional radiology) to an

existing ASTC facility

CHAMPAIGN SURGICENTER CHAMPAIGN 8 5,389 6,535.001/24/2017 16-045 Received permit to establish a multi-specialty ASTC with 8 operating rooms at South Staley Road and West Curtis Road in

Champaign.1/24/2017 E-060-16 Facility received exemption to discontinue facility with 4 operating rooms at 1702 South Mattis Avenue in Champaign.

DANVILLE POLYCLINIC, LTD. DANVILLE 2 2,940 3,184.50EASTLAND MEDICAL PLAZA SURGICENTER BLOOMINGTON 4 8,232 4,333.40GAILEY EYE SURGERY - DECATUR, LLC DECATUR 2 1,489 401.75GASTROINTESTINAL INSTITUTE NORMAL 2 3,055 663.65IRELAND GROVE CENTER FOR SURGERY BLOOMINGTON 2 2,639 2,050.25OLYMPIAN SURGICAL SUITES CHAMPAIGN 2 225 338.00PRAIRIELAND OUTPT DIAGNOSTIC CTR. NORMAL 3 4,834 4,104.25THE CENTER FOR ORTHOPEDIC MEDICINE BLOOMINGTON 4 5,976 9,039.50




Cases Time(Hrs.)

EFFINGHAM AMBULATORY SURGERY CTR. EFFINGHAM 2 6,824 12,425.10MARION HEALTHCARE MARION 3 3,501 2,175.50MASSAC COUNTY SURGERY CENTER METROPOLIS 3 1,262 1,885.00

6/4/2019 19-006 Received permit to add Pain Management specialty to an ASTC facility at 1811 East 5th Street in Metropolis.

MT. VERNON EYE CENTER MT. VERNON 2 4,717 3,354.75PAIN CARE SURGERY MARION 1 2,007 439.00PHYSICIAN SURGERY CENTER AT GOOD SAMARITAN MOUNT VERNON 3 3,043 2,733.75PHYSICIANS' SURGERY CENTER, LLC CARBONDALE 1 3,494 814.00SOUTHERN ILLINOIS ORTHOPEDIC, L.L.C HERRIN 3 2,912 3,320.00

6/4/2019 19-007 Received permit to add Pain Management, Neurosurgery and Podiatry specialties to an ASTC facility at 510 Lincoln Drive in Herrin.

SURGERY CENTER OF CENTRALIA CENTRALIA 2 1,669 1,408.50PLANNING AREA TOTAL 20 29,429 28,555.60



Page B- 79/1/2019



Operating Rooms


25 EAST SAME DAY SURGERY CHICAGO 4 2,227 4,399.06ADVANCED AMBULATORY SURGICAL CENTER CHICAGO 3 1,137 1,052.40BELMONT/HARLEM SURGERY CENTER, LLC CHICAGO 4 2,417 1,839.45CHICAGO SURGERY CENTER CHICAGO 1 708 484.30FULLERTON KIMBALL MEDICAL & SURGICAL CENTER CHICAGO 2 843 959.50FULLERTON SURGERY CENTER,INC. CHICAGO 3 1,418 1,497.50GOLD COAST SURGICENTER CHICAGO 2 3,101 5,402.30GRAND AVENUE SURGICAL CENTER CHICAGO 5 436 600.75HYDE PARK SURGERY CENTER, LLC CHICAGO 1 1,275 1,542.00LAKESHORE PHYSICANS & SURGERY CTR. CHICAGO 2 1,092 1,763.00NOVAMED SURGERY CENTER OF CHICAGO N CHICAGO 1 2,784 1,202.61PETERSON SURGERY CENTER CHICAGO 2 177 121.50RIVER NORTH CENTER FOR REPRODUCTIVE HEALTH CHICAGO 04/30/2019 19-003 Received permit to establish an Ambulatory Surgical Treatment Center with 3 procedures rooms for Urology and OB/Gynecology

services at 361 West Chestnut in Chicago.

RIVER NORTH SAME DAY SURGERY CENTER CHICAGO 4 2,108 3,476.75ROGERS PARK ONE DAY SURGERY CENTER CHICAGO 2 78 203.00RUSH SURGICENTER - PROF. BLDG. CHICAGO 4 5,760 8,847.25SIX CORNERS SAME DAY SURGERY CHICAGO 4 71 139.00SOUTH LOOP ENDOSCOPY & WELLNESS CENTER CHICAGO 1 2,429 1,619.00SURGICORE CHICAGO 1 168 201.75THE SURGERY CENTER AT 900 N. MICHIGAN CHICAGO 4 4,675 8,907.25VASCULAR ACCESS CENTER OF ILLINOIS CHICAGO 0

1/9/2018 17-047 Received permit to establish a single-specialty ambulatory surgical treatment center for General Surgery with 3 procedure rooms and 0 operating rooms at 1701 West Monterey Avenue in Chicago.

WESTERN DIVERSEY SURGERY CENTER CHICAGO 2 1,563 1,061.00PLANNING AREA TOTAL 52 34,467 45,319.37



Page B- 89/1/2019



Operating Rooms


ADVANTAGE HEALTH CARE, LTD. WOOD DALE 2 986 1,731.50AIDEN CENTER FOR DAY SURGERY, LLC ADDISON 4 285 525.50AMBUL. SURGICENTER OF DOWNERS GROVE DOWNERS GROVE 3 856 772.10ASHTON CENTER FOR DAY SURGERY HOFFMAN ESTATES 5 2,726 1,715.75CADENCE AMBULATORY SURGERY CENTER WARRENVILLE 2 3,969 4,495.10CENTER FOR RECONSTUCTIVE SURGERY OAK LAWN 2 1,974 1,188.62CHICAGO PROSTATE CANCER SURGERY CENTER WESTMONT 2 615 617.00CHICAGO SURGICAL CLINIC ARLINGTON HEIGHTS 2 448 466.00CHICAGO VASCULAR ASC WESTMONT 0

5/2/2017 17-005 Received permit to establish a limited-specialty ASTC with 0 operating rooms (3 procedure rooms) at 700 Pasquinelli Drive in Westmont.

7/26/2018 Licensure Facility licensed for operation.

CHILDREN'S MEM. SPEC. PED. WESTCHESTER 3 2,278 3,270.50DMG SURGICAL CENTER LOMBARD 8 22,423 18,505.75DUPAGE EYE SURGERY CENTER WHEATON 3 9,234 2,877.65DUPAGE VASCULAR CARE WOODRIDGE 09/26/2017 17-018 Received permit to establish a single-specialty Ambulatory Surgical Treatment Center with 1 procedure room at 7425 Janes Avenue

in Woodridge.

ELMHURST OUTPATIENT SURGERY CENTER ELMHURST 4 7,076 7,227.75ELMWOOD PARK SAME DAY SURGERY, LLC ELMWOOD PARK 3 323 280.75EYE SURGERY CENTER OF HINSDALE HINSDALE 2 2,574 2,244.00GOLF SURGICAL CENTER DES PLAINES 5 6,312 5,381.50HINSDALE SURGICAL CENTER, LLC HINSDALE 4 6,853 6,109.3412/4/2018 18-036 Received permit to add 3 surgical specialties (gastroenterology, neurologcal, and vascular surgery) to an existing ASTC facility

ILLINOIS BACK & NECK INSTITUTE ELMHURST 17/24/2018 17-073 Received permit to establish a multi-specialty ASTC for Pain Management, Orthopedic, Podiatric and Gastroenterology Surgery

with 1 operating room at 360 West Butterfield Road, Suite 100 in Elmhurst.

ILLINOIS HAND & UPPER EXTREMITY CENTER ARLINGTON HEIGHTS 1 539 1,298.50ILLINOIS SPINE INSTITUTE SCHAUMBURG 1

3/5/2019 18-044 Received permit to establish a limited-specialty ASTC for Pain Management and Orthopedic Surgery with 1 operating room at 500 West Golf Road in Schaumburg.

ILLINOIS SPORTS MEDICINE & ORTHOPEDIC SURG CTR MORTON GROVE 4 3,882 4,109.07ILLINOIS VASCULAR CARE SCHAUMBURG 04/17/2018 17-072 Received permit to establish a single-specialty ASTC for General Surgery with 0 operating rooms and 2 procedure rooms at 846

East Algonquin in Schaumburg.

INGALLS SAME DAY SURGERY TINLEY PARK 4 3,531 4,606.50JUSTICE MEDICAL-SURGICAL CENTER JUSTICE 2 806 705.13



Page B- 99/1/2019


LOYOLA AMB. SURG. CTR. AT OAKBROOK OAKBROOK TERRACE 3 1,598 4,449.00LOYOLA UNIVERSITY AMB. SURG. CTR. MAYWOOD 6 5,959 9,987.07LURIE CHILDREN'S HOSPITAL ASTC NORTHBROOK 41/24/2017 16-044 Received permit to establish a multi-specilaty ASTC with 4 operating rooms at 1121 Techny Road in Northbrook.

MIDWEST CENTER FOR DAY SURGERY DOWNERS GROVE 5 4,089 4,955.75MIDWEST ENDOSCOPY CENTER NAPERVILLE 2 6,002 5,701.90MIDWEST EYE CENTER, S.C. CALUMET CITY 2 1,923 1,723.00NAPERVILLE FERTILITY CLINIC NAPERVILLE 1 725 1,368.004/30/2019 E-013-19 Received exemption for change of ownership.

NAPERVILLE SURGICAL CENTRE NAPERVILLE 3 4,143 5,572.50NORTH SHORE SURGICAL CENTER LINCOLNWOOD 3 3,892 3,915.75NORTH SUBURBAN PAIN & SPINE INSTITUTE DES PLAINES 212/4/2018 18-018 Received permit to establish a multi-specialty ASTC for Pain Management, Orthopedic, and Neurological Surgery with 2 operating

rooms at 9680 Golf Road in Des Plaines.

NORTHWEST COMMUNITY DAY SURG. ARLINGTON HEIGHTS 9 6,775 10,483.25NORTHWEST COMMUNITY FOOT & ANKLE CENTER DES PLAINES 1 334 405.05NORTHWEST ENDOSCOPY CENTER ARLINGTON HEIGHTS 0 2,377 1,981.25NORTHWEST SURGICARE HEALTHSOUTH ARLINGTON HEIGHTS 4 4,058 3,438.50NOVAMED SURGERY CENTER OF RIVER FOREST RIVER FOREST 2 1,373 904.69OAK BROOK SURGICAL CENTER, THE OAKBROOK 4 2,087 2,259.50OAK LAWN ENDOSCOPY OAK LAWN 2 5,698 5,698.00OPHTHALMOLOGY SURGERY CENTER OF ILLINOIS ITASCA 24/30/2019 18-047 Received permit to establish a limited specialty Ambulatory Surgical Treatment Center with 2 operating rooms for ophthalmology

services at 1300 Arlington Heights Road in Itasca.

ORTHOTEC SURGERY CENTER ELMHURST 1 122 242.629/26/2017 17-026 Received permit to add Orthopedic Surgery specialty to an existing limited-specialty Ambulatory Surgical Treatment Center at 340

West Butterfield Road in Elmhurst.

PALOS HEALTH SURGERY CENTER ORLAND PARK 43/14/2017 16-059 Received permit to establish a multi-specialty ASTC with 4 operating rooms at 153rd Street and West Avenue in Orland Park.

PALOS HILLS SURGERY CENTER PALOS HILLS 2 2,610 2,831.50PALOS SURGICENTER, LLC PALOS HEIGHTS 4 4,845 2,105.00PREFERRED SURGICENTER, LLC ORLAND PARK 3 553 654.24PREMIER CARDIAC SURGERY CENTER MERRIONETTE PARK 12/27/2018 17-058 Received permit to establish a limited specialty surgery center for cardiovascular service with 1 operating room at 11560 South

Kedzie Avenue, Suite 102 in Merrionette Park.

PRESENCE LAKESHORE GASTROENTEROLOGY DES PLAINES 0 2 0.85RAVINE WAY SURGERY CENTER GLENVIEW 3 2,325 2,646.95

3/5/2019 18-043 Received permit to add Podiatry and Pain Management specialties to an existing single specialty ASTC facility.

RETINA SURGERY CENTER NILES 1



Page B- 109/1/2019


6/4/2019 18-002 Received permit to establish an ASTC facility with 1 operating room for ophthalmology service at 8780 West Golf Road, Suite 102 in Niles.

RUSH OAK BROOK SURGERY CENTER OAK BROOK 6SALT CREEK SURGERY CENTER WESTMONT 4 4,020 3,371.50SCHAUMBURG SURGERY CENTER SCHAUMBURG 0SOUTHWESTERN MEDICAL CENTER BEDFORD PARK 3 3,772 3,329.75THE CENTER FOR SURGERY NAPERVILLE 8 5,462 4,453.75THE GLEN ENDOSCOPY CENTER GLENVIEW 2 4,255 3,578.00THE HOFFMAN ESTATES SURGERY CENTER HOFFMAN ESTATES 4 6,470 3,874.49TINLEY WOODS SURGERY CENTER TINLEY PARK 4 5,078 4,684.25UNITED UROLOGY CENTERS, LLC LAGRANGE 1 985 1,723.75UROPARTNERS SURGERY CENTER DES PLAINES 2 34 49.50




Page B- 119/1/2019



Operating Rooms


ADVOCATE CONDELL ASTC LIBERTYVILLE 2 359 618.75ADVOCATE SHERMAN ASTC ELGIN 31/24/2017 16-038 Received permit to establish a multi-specialty ASTC with 3 operating rooms at 1445 North Randall Road in Elgin.

AGAPHY SURGICAL CENTER BARRINGTON 012/4/2018 18-027 Facility received permit to establish a single-specialty ASTC for gastroenterology with 0 operating rooms and 2 procedure rooms at

200 Fox Glen Court in Barrington.

ALGONQUIN ROAD SURGERY CENTER, LLC LAKE IN THE HILLS 3 3,477 3,792.25BARRINGTON PAIN AND SPINE INSTITUTE BARRINGTON 3 2,960 1,459.501/15/2019 18-038 Received permit to add 2 surgical specialties (orthopedic and podiatric surgery) to an existing ASTC facility

CASTLE SURGICENTER, LLC AURORA 2 1,525 1,383.50DREYER AMBULATORY SURGERY CENTER AURORA 4 12,533 7,278.50ELGIN GASTROENTEROLOGY ENDOSCOPY CENTER ELGIN 2 4,947 4,866.00FOX VALLEY ORTHOPAEDIC ASSOCIATES GENEVA 2 3,779 4,278.00HAWTHORNE PLACE OUTPATIENT SURGERY CENTER VERNON HILLS 3 5,101 7,110.74LAKE FOREST ENDOSCOPY CENTER GRAYSLAKE 2 2,247 1,211.08LINDENHURST SURGERY CENTER LINDENHURST 2 3,020 1,717.25NORTH SHORE ENDOSCOPY CENTER LAKE BLUFF 2 3,042 2,053.35NORTHWESTERN GRAYSLAKE OUTPATIENT & ACUTE CARE GRAYSLAKE 4 1,408 2,115.29VALLEY AMBULATORY SURGERY CENTER ST. CHARLES 6 7,077 8,532.502/27/2018 17-057 Received permit to establish a multi-specialty surgery center with 6 operating rooms and 2 procedure rooms at 2475 Dean Street in

St. Charles.2/27/2018 E-048-17 Received exemption to discontinue a multi-specialty surgery center with 7 operating rooms and 1 procedure room at 2210 Dean

Street in St. Charles.

VERNON SQUARE SURGICENTER VERNON HILLS 2 1,032 2,636.50WINCHESTER ENDOSCOPY CENTER LIBERTYVILLE 2 5,025 2,513.00




Page B- 129/1/2019



Operating Rooms


DEERPATH ORTHOPEDIC SURGICAL CTR. MORRIS 2 665 570.751/9/2018 17-059 Received permit to add Endoscopy, ENT, Ophthalmology, Urology, GYN, General Surgery and Pain Management specialties to

existing limited specialty ASTC.

DMG CENTER FOR PAIN MANAGEMENT NAPERVILLE 2 6,373 3,169.25EDWARD PLAINFIELD SURGERY CENTER PLAINFIELD 4 3,551 3,815.50HEALTHSOUTH AMSURG SURGERY CENTER JOLIET 5 8,061 8,851.47KENDALL POINTE SURGERY CENTER, LLC OSWEGO 3 1,459 1,644.50OAK AMBULATORY SURGERY CENTER BOURBONNAIS 3

6/4/2019 19-001 Received permit to establish an ASTC facility with 3 operating rooms for orthopedics, podiatry and pain management at 6700 South LaGrange Road in Bourbonnais.

OAK SURGICAL INSTITUTE BRADLEY 2 3,452 4,785.00RIVERSIDE AMBULATORY SURGERY CENTER, LLC BOURBONNAIS 2 2,258 1,978.00

6/4/2019 19-009 Received permit to add Orthopedic surgery specialty to an ASTC facility at 300 Riverside Drive in Bourbonnais.

SILVER CROSS AMBULATORY YREATMENT CENTER NEW LENOX 3 8 23.25SOUTHWEST SURGERY CENTER, L.L.C. MOKENA 4 4,395 5,668.27

3/5/2019 Correction Facility erroneously listed with 3 operating rooms; operating rooms corrected to 4.

THE CENTER FOR DIGESTIVE HEALTH BOURBONNAIS 2 6,088 4,712.66PLANNING AREA TOTAL 32 36,310 35,218.65Planning Area: 010



Cases Time(Hrs.)

DIALYSIS ACCESS CENTER MOLINE 0 49 19.501/29/2018 Closure Facility ceased operations; 1 operating room removed from inventory.

QUAD CITY AMB. SURGERY CENTER MOLINE 2 2,469 1,089.00QUAD CITY ENDOSCOPY - MOLINE MOLINE 2 3,100 2,374.25REGIONAL SURGICENTER, LTD. MOLINE 4 10,745 7,865.00




Page B- 139/1/2019



Operating Rooms


ANDERSON SURGERY CENTER, LLC EDWARDSVILLE 212/4/2018 18-031 Facility received permit to establish a multi-specialty ASTC for General, Gastroenterology, Obstetrics, Ophthalmology, Oral,

Otolaryngology, Pain Management, Plastic, Podiatric and Urologic Surgery with 2 operating rooms at the intersection of Goshen Road and Gusewelle Road in Edwardsville.

BEL-CLAIR AMB. SURGICAL CTR. BELLEVILLE 2 1,351 833.12EDWARDSVILLE AMBULATORY SURG CTR, L GLEN CARBON 2 1,910 1,122.75HEALTHSOUTH SURG CTR OF BELLEVILLE BELLEVILLE 0 1,031 1,035.29

3/5/2019 E-003-19 Received exemption for discontinuation of ASTC facility with3 operating rooms at 28 North 64th Street in Belleville.

HOPE CLINIC FOR WOMEN, LTD., THE GRANITE CITY 3 3,029 758.25ILLINOIS EYE SURGEONS CATARACT SUR BELLEVILLE 2 4,438 2,512.00METROEAST ENDOSCOPY SURGERY CENTER FAIRVIEW HEIGHTS 1 4,204 1,542.00

6/4/2019 19-010 Received permit to add General Surgery, Plastic Surgery and Gynecology services to an ASTC facility at 5023 North Illinois Street, Suite 3 in Fairview Heights.

MONROE COUNTY SURGICAL CENTER WATERLOO 2 898 795.50NOVAMED EYE SURGERY CTR OF MARYVILLE MARYVILLE 1 2,725 1,393.75PHYSICIAN'S SURGICAL CENTER, LTD BELLEVILLE 1 3,640 1,980.70

3/5/2019 E-002-19 Received exemption for change of ownership.


Inventory of Health Care Facilities and Services and Need Determinations

Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page C- 1

SECTION C

ALTERNATIVE HEALTH CARE MODELS



Planning Process for Post-Surgical

Recovery Care Center Models

The Post-Surgical Recovery Care Center Model is closed.

No additional applications will be accepted.

1. The planning areas for Post-Surgical Recovery Care Center Models:

1) the City of Chicago;

2) Cook County outside the City of Chicago;

3) Kane, Lake, and McHenry Counties;

4) Municipalities with a population greater than 50,000 not located in the areas described in

subsections (a)(1), (2), and (3) of this Section. Municipalities means geographic areas designated

as Metropolitan Statistical Area by the Bureau of the Census; and

5) Rural areas, i.e., all areas exclusive of subsections (a)(1), (2), (3), and (4) of this Section.

2. Occupancy Targets: Beds should have an occupancy of 80% or higher

3. Need Determination: There shall be no more than a total of twelve postsurgical recovery care center

alternative health care models in the demonstration program, located as follows:

1) Two in the City of Chicago.

2) Two in Cook County outside the City of Chicago. At least one of these shall be owned or

operated by a hospital devoted exclusively to caring for children.

3) Two in Kane, Lake and McHenry Counties.

4) Four in municipalities (as defined in subsection (a)(4)), three of which shall be owned or

operated by hospitals, at least two of which shall be located in counties with a population of less

than 175,000, according to the most recent decennial census for which data are available, and one

of which shall be owned or operated by an ambulatory surgical treatment center.

5) Two in rural areas (as defined in subsection (a)(5)), both of which shall be owned or operated by

hospitals. (Section 30(a-5) of the Alternative Health Care Delivery Act [210 ILCS 3/30(a-5)])



Alternative Health Care Models

Post-Surgical Recovery Care Center Models

PLANNING AREA: City of Chicago Need Determination: There shall be no more than a total of 12 postsurgical recovery care center alternative health care models in the demonstration program, 2 in the

City of Chicago.

City Name of Facility Permit # Date of Initial License Number of Beds Comments

No models have been approved.

PLANNING AREA: Cook County Outside City of Chicago Need Determination: Two in Cook County outside the City of Chicago. At least one of these shall be owned or operated by a hospital devoted exclusively to caring

for children.



PLANNING AREA: DuPage, Kane, Lake, McHenry and Will Counties Need Determination: Two in Kane, Lake and McHenry Counties.


St. Charles

Mokena

Valley Medical Inn

Southwest Recovery Center – Mokena

95-125

06-020

10/10/1997 9 beds

4 beds

TOTAL 13 beds



PLANNING AREA: Municipalities with population exceeding 50,000 not included in areas above Need Determination: Four, three of which shall be owned or operated by hospitals, at least two of which shall be located in counties with a population of less than

175,000, and one of which shall be owned or operated by an ambulatory surgical treatment center.


DeKalb

Peoria

Bloomington

Kishwaukee Community Hospital

Peoria Recovery Care Center

Bromenn Care & Comfort Suites

98-117

95-086

07-060

6/4/1997 4 beds

6 beds

3 beds

TOTAL 13 beds

PLANNING AREA: Rural areas not included in above defined planning areas Need Determination: Two in rural areas (as defined in subsection (a)(5)), both of which shall be owned or operated by hospitals.

City Name of Facility Permit #

Exempt*

Date of Initial License Number of Beds Comments





Illinois Department of Public Health Page C - 5

Planning Process for Children’s

Respite Care Models

For the Children’s Respite Care Models:

1. The planning areas for Children’s Respite Care Models:

1) the City of Chicago;

2) Cook County outside the City of Chicago;

3) DuPage, Kane, Lake, Will and McHenry Counties;

4) Municipalities with a population greater than 50,000 not located in the areas described in

subsections (a)(1), (2), and (3) of this Section. Municipalities means geographic areas

designated as Metropolitan Statistical Areas by the Bureau of the Census; and

5) Rural areas, i.e., all areas exclusive of subsections (a)(1), (2), (3), and (4) of this Section.

2. Occupancy Targets: Beds should have an occupancy of 40% or higher

3. Need Determination: There shall be no more than a total of eight Children's Respite Care Alternative

Health Care Models in the demonstration program, located as follows:

1) One in the City of Chicago.

2) One in Cook County outside the City of Chicago.

3) Two in DuPage, Kane, Lake, McHenry and Will counties.

4) Two in municipalities (as defined in subsection (a)(4)) not located in areas specified in

subsection (f)(1), (2) or (3) above.

5) Two in rural areas (as defined in subsection (a)(5)) not located in areas specified in subsection

(f)(1), (2), (3) or (4) above. (Section 30(a)(10) of the Alternative Health Care Delivery Act [210

ILCS 3/30(a)(10)])






Children’s Respite Care Models

PLANNING AREA: City of Chicago Need Determination: There shall be no more than a total of 8 Children's Respite Care Alternative Health Care Models in the demonstration program, 1 in the City

of Chicago.


Chicago Chicago Behavioral Hospital 06-012 12 beds

TOTAL 12 beds

Change of Ownership 11/3/2014

Formerly known as Maryville

Academy Healthcare and Respite

Center

PLANNING AREA: Cook County Outside City of Chicago Need Determination: One in Cook County outside the City of Chicago.



PLANNING AREA: DuPage, Kane, Lake, McHenry and Will Counties Need Determination: Two in Kane, Lake and McHenry Counties.


Naperville Respite House – Naperville 97-003 10 beds

TOTAL 10 beds

Not owned or operated by a skilled

pediatric facility.

PLANNING AREA: Municipalities with population exceeding 50,000 not included in areas above Need Determination: Two in municipalities with population exceeding 50,000, not included in areas above.







PLANNING AREA: Rural areas not included in above defined planning areas Need Determination: Two in rural areas, not located in areas specified above.

City Name of Facility Permit #

Exempt*

Date of Initial License Number of Beds Comments



PLANNING AREA: Municipalities with population exceeding 50,000 not included in above defined planning areas Need Determination: Two in municipalities with population exceeding 50,000, not included in areas specified above.





Planning Process for Community-Based

Residential Care Models

For the Community-Based Residential Care Models:

1. The planning area for Community-Based Residential Care Models:

The area of Illinois south of Interstate Highway 70

2. Occupancy Targets:

Modernization/Establishment 70% or higher

3. Need Determination:

One model for the State of Illinois






Community-Based Residential Rehabilitation Center Models

PLANNING AREA: State of Illinois – South of Interstate Highway 70 Need Determination: One model for the State of Illinois south of Interstate Highway 70.

Name of Facility Permit # Location Number of Beds Comments

Center for Comprehensive Services





Rescare Neuro Rehab Center

00-043

01-048

09-060

12-033

13-051

14-067

09-043

Carbondale

(Jackson County)

Des Plaines

(DuPage County)

Palatine

(Cook County)

Palatine

(Cook County)

Palatine

(Cook County)

Downers Grove

(DuPage County)

100

8

8

5

5

12

TOTAL 138 beds

00-043 issued July 13, 2001 to establish model with 94

beds.

01-048 issued October 11, 2001 to add 6 beds.

Permit issued March 2, 2010

Permit issued July 23, 2012; completed January 9,

2013

Permit issued September 24, 2013

Permit issued March 10, 2015

Permit issued July 27, 2010

OTHER HEALTH SERVICES - Illinois...Memorial Medical Center Springfield 0 0 5/29/2018 E-027-18...

Documents

Transcript of OTHER HEALTH SERVICES - Illinois...Memorial Medical Center Springfield 0 0 5/29/2018 E-027-18...