ESRD Facility Profile - Illinois...Medical Director Name: Suresh Mathew In-Center Treatments in calendar year: 11,490 Facility Reported Patient Information Patients treated as of 1/1/2017:

14-2711

Adams County Dialysis436 N. 10th St.QuincyAdams3

END STAGE RENAL DIALYSIS - FACILITY PROFILE 2017Ownership, Management and General Information

Address:Name:

City:County:

Medicare ID:HSA: Other Ownership:

Ownership Type: For Profit Corporation

Legal Entity Operator: DavitaLegal Entity Owner:

Property Owner: Blessing Health System

Provides Incenter Noctural Dialysis:

Medical Director Name: Hrishikesh Ghanekar

In-Center Treatments in calendar year: 8,678Facility Reported Patient Information

Patients treated as of 1/1/2017: (Beginning patients) 52

Patients treated as of 12/31/2017: (Ending patients) 62

Facility Reported Treatment Information

Average Daily Treatments: 0.0Average Treatment Time (min): 210.0

Oct 1

0

Oct 2

12

Oct 3

12

Oct 4

12

Oct 5

12

Oct 6

12

Oct 7

12

0 29 30 29 31 32 31

Dialysis Station Utilization for the Week of Oct 1 - 7, 2017

New Patients: 37Transient Patients: 13Patients Re-Started: 1Post-Transplant Patien 1

Recovered patients: 2Transplant Recipients: 0Patients transferred out: 25Patients voluntarily discontinued: 16Patients lost to follow up: 0Patients deceased: 10

Number of Missed Treatments: 701

PATIENT ADDITIONS PATIENT LOSSES

Date of Operation

Hours operated

Number of Patients Treated

53Total:

52Total:

USE RATE for the FACILITY

15,912Treatment Capacity/year (based on Stations):Use Rate (Treatments/Treatment capacity): 55%Use Rate (including Missed Treatments): 59%Use Rate (Begining patients treated):

Total Unduplicated patients treated in calendar year: 109

51%61%Use Rate (Year end Patients/Stations*6):

Authorized Stations Setup and Staffed in Oct 1-7: 17Isolation Stations Set up in Oct 1-7: 1

Full-Time Work Week: 40Registered Nurse : 3Dialysis Technician : 4Dietician : 1Social Worker: 1LPN : 0Other Health : 1Other Non-Health: 1

Authorized Stations as of 12/31/2017: 17Certified Stations by CMS: 17Peak Authorized Stations Operated: 17

STATION INFORMATION FACILITY STAFFING - FULL TIME EQUIVALENTS

(subset of authorized stations)Number of Shifts Operated per day

Facility Utilization Information

AGE GROUPS MALE FEMALE

Patients by Age and Sex Patients by Race Patients by Ethnicity

Patients and Net Revenue by Payor Source

Medicare

101

79.5%

Medicaid

4

Private Insurance

11

Charity Care

0

Private Pay

0

Other Public

11

TOTAL

127

3.1% 8.7% 0.0%0.0% 8.7% 100.0%

Patients

TOTAL 00

190

108

3124

0

0

04

292216

03

161225

<15 yrs15-44 yr45-64 yr65-74 yr75 < yrsTotal

Asian Patients:Native American/ Indian:Black/ African American :Hawaiian /Pacific IslandeWhite:Unknown :TOTAL:

Hispanic Latino Patients:Non-Hispanic Latino PatientUnknown Ethnicity PatientsTOTAL:

127

07

453441

12771 56

127

$2,011,182 $59,836 $1,450,905 $0$0 $495,816 $4,017,739

50.1% 1.5% 36.1% 0.0%0.0% 12.3% 100.0%Net Revenue

12/31/20171/1/2017 to

Source: Data based on 2017 Annual ESRD Questionnaire administered by the Illinois Department of Public Health.

14-2619

Alton Dialysis309 Homer Adams ParkwayAltonMadison11


Address:Name:

City:County:



Legal Entity Operator: DVA Renal Healthcare Inc.Legal Entity Owner:

Property Owner: Pinetree Alton 1 LLC


Medical Director Name: Suresh Mathew






Oct 1

0

Oct 2

16

Oct 3

12

Oct 4

16

Oct 5

12

Oct 6

16

Oct 7

12

0 30 25 32 29 32 24






Date of Operation

Hours operated


53Total:

52Total:














Medicare

92

88.5%

Medicaid

3

Private Insurance

8

Charity Care

1

Private Pay

0

Other Public

1

TOTAL

104

2.9% 7.7% 1.0%0.0% 1.0% 100.0%

Patients

TOTAL 00

280

77

0105

0

0

07

2311

9

04

142314




105

011373423

10550 55

105

$1,994,200 $8,125 $1,013,145 $590$0 $762,517 $3,777,985

52.8% 0.2% 26.8% 0.0%0.0% 20.2% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2664

ARA Crystal Lake Dialysis 6298 Northwest Highway Suite 300Crystal LakeMcHenry8


Address:Name:

City:County:


Ownership Type: Limited Liability Company

Legal Entity Operator: ARA N.W. Chicago LLCLegal Entity Owner:

Property Owner: Centro Bradley Crystal Lake, LLC


Medical Director Name: Dr. Mohammed Zahid






Oct 1 Oct 2

16

Oct 3 Oct 4

16

Oct 5 Oct 6

16

Oct 7

33 29 31






Date of Operation

Hours operated


11Total:

18Total:






Full-Time Work Week: 40Registered Nurse : 2.5Dialysis Technician : 3.5Dietician : 0.33Social Worker: 0.33LPN : 0Other Health : 0.33Other Non-Health: 1.5








Medicare

39

69.6%

Medicaid

4

Private Insurance

12

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

56

7.1% 21.4% 0.0%1.8% 0.0% 100.0%

Patients

TOTAL 1040

51

12440

0

06

1199

02766




56

08

1815155635 21

56

$1,087,678 $18,506 $914,437 $0$3,209 $0 $2,023,830

53.7% 0.9% 45.2% 0.0%0.2% 0.0% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2737

ARA McHenry Dialysis4209 W Shamrock Unit AMcHenryMcHenry8


Address:Name:

City:County:



Legal Entity Operator: American Renal AssociatesLegal Entity Owner:

Property Owner: Riggsby Companies LLC


Medical Director Name: Dr. Mohammad Zahid

8/17/2017 - Added 2 ESRD stations to existing facility; facility now has 14 ESRD stations.






Oct 1 Oct 2

14

Oct 3 Oct 4

14

Oct 5 Oct 6

14

Oct 7

26 27 27






Date of Operation

Hours operated


24Total:

20Total:














Medicare

44

95.7%

Medicaid

1

Private Insurance

1

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

46

2.2% 2.2% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0020

44

0460

0

01

127

11

03057




46

04

1212184631 15

46

$891,270 $0 $1,065,767 $0$0 $0 $1,957,037

45.5% 0.0% 54.5% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2662

ARA South Barrington Dialysis 33 West Higgins Rd. Suite 920-945South BarringtonCook7


Address:Name:

City:County:


Ownership Type: Limited Liability Partner

Legal Entity Operator: ARA-N.W. ChicagoLegal Entity Owner:

Property Owner: illinois Property Solutions


Medical Director Name: Dr.Mohammad Zahid






Oct 1

0

Oct 2

16

Oct 3

11

Oct 4

16

Oct 5

11

Oct 6

16

Oct 7

11

0 34 19 33 19 35 17






Date of Operation

Hours operated


39Total:

42Total:






Full-Time Work Week: 40Registered Nurse : 3Dialysis Technician : 5Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 1Other Non-Health: 1








Medicare

66

77.6%

Medicaid

4

Private Insurance

14

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

85

4.7% 16.5% 0.0%1.2% 0.0% 100.0%

Patients

TOTAL 18080

59

30550

0

04

2617

7

046

129




85

08

3229168554 31

85

$1,295,858 $56,640 $1,685,008 $0$52,485 $0 $3,089,991

41.9% 1.8% 54.5% 0.0%1.7% 0.0% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2628

Arlington Heights Renal Center17 W. Golf RoadArlington HeightsCook7


Address:Name:

City:County:



Legal Entity Operator:Legal Entity Owner:

Property Owner: Watermark Property Management, LLC


Medical Director Name: George Hvostik MD






Oct 1

0

Oct 2

16

Oct 3

12

Oct 4

16

Oct 5

12

Oct 6

16

Oct 7

12

0 38 19 42 19 40 18






Date of Operation

Hours operated


27Total:

93Total:














Medicare

67

73.6%

Medicaid

11

Private Insurance

13

Charity Care

2

Private Pay

0

Other Public

0

TOTAL

91

12.1% 14.3% 2.2%0.0% 0.0% 100.0%

Patients

TOTAL 15070

59

1200

0

06

208

21

03

111014




81

09

3118359355 38

12

$1,661,481 $67,531 $1,148,732 $52,215$435,612Net Revenue

12/31/20171/1/2017 to


14-2795

Belvidere Dialysis1751 Henry Luckow LaneBelvidereBoone1


Address:Name:

City:County:



Legal Entity Operator: Dialysis of Northern Illinois, LLCLegal Entity Owner:

Property Owner: First Rockford Group, INC


Medical Director Name: Mashood Ahmad






Oct 1

0

Oct 2

15

Oct 3

8

Oct 4

15

Oct 5

8

Oct 6

15

Oct 7

0

0 27 0 23 0 26 0






Date of Operation

Hours operated


17Total:

18Total:














Medicare

36

78.3%

Medicaid

3

Private Insurance

6

Charity Care

3

Private Pay

0

Other Public

1

TOTAL

46

6.5% 13.0% 6.5%0.0% 2.2% 100.0%

Patients

TOTAL 2040

43

13360

0

03

1175

02678




49

05

1714134926 23

49

$531,469 $52,367 $644,998 $52,367$334,978Net Revenue

12/31/20171/1/2017 to


14-2608

Benton DaVita Dialysis1151 State Rte #14 WestBentonFranklin5


Address:Name:

City:County:



Legal Entity Operator: Renal Life Link, IncLegal Entity Owner:

Property Owner: Steven J. Zelman


Medical Director Name: Dr. Cheryl Emmons






Oct 1

0

Oct 2

10

Oct 3

9

Oct 4

10

Oct 5

9

Oct 6

10

Oct 7

9

0 23 11 24 15 21 14






Date of Operation

Hours operated


23Total:

34Total:














Medicare

59

81.9%

Medicaid

7

Private Insurance

1

Charity Care

1

Private Pay

0

Other Public

5

TOTAL

72

9.7% 1.4% 1.4%0.0% 6.9% 100.0%

Patients

TOTAL 1010

71

0730

0

05

189

13

02989




73

07

2717227345 28

73

$1,290,552 $63,440 $3,971 $960$960 $317,090 $1,676,012

77.0% 3.8% 0.2% 0.1%0.1% 18.9% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2638

Beverly Davita8109 South Western AveChicagoCook6


Address:Name:

City:County:




Property Owner: Dr.Mazhar M.Butt

Facility has a 4th shift on MWF.


Medical Director Name: Dr. James Rydel






Oct 1

0

Oct 2

17.5

Oct 3

15.5

Oct 4

17.5

Oct 5

15.5

Oct 6

17.5

Oct 7

15.5

0 50 40 57 38 51 36






Date of Operation

Hours operated


74Total:

45Total:






Full-Time Work Week: 40Registered Nurse : 3Dialysis Technician : 9.71Dietician : 1Social Worker: 1LPN : 0Other Health : 0Other Non-Health: 2








Medicare

148

89.2%

Medicaid

6

Private Insurance

7

Charity Care

0

Private Pay

0

Other Public

5

TOTAL

166

3.6% 4.2% 0.0%0.0% 3.0% 100.0%

Patients

TOTAL 01

1550

10

8158

0

0

011452810

06

282315




166

017735125

16694 72

166

$11,915,663 $112,278 $1,664,758 $0$0 $1,317,387 $15,010,086

79.4% 0.7% 11.1% 0.0%0.0% 8.8% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2650

Buffalo Grove Dialysis 1291 W Dundee RdBuffalo GroveCook7


Address:Name:

City:County:



Legal Entity Operator: ISD Buffalo Grove, LLCLegal Entity Owner:

Property Owner: Amalgamated Bank of Chicago


Medical Director Name: Dr. George Hvostik






Oct 1

0

Oct 2

16

Oct 3

12

Oct 4

16

Oct 5

12

Oct 6

16

Oct 7

12

0 40 17 38 17 39 19






Date of Operation

Hours operated


39Total:

43Total:














Medicare

75

79.8%

Medicaid

0

Private Insurance

8

Charity Care

3

Private Pay

0

Other Public

11

TOTAL

94

0.0% 8.5% 3.2%0.0% 11.7% 100.0%

Patients

TOTAL 12060

79

14830

0

08

201819

0099

14




97

08

2927339765 32

97

$1,413,796 $1,543,656 $50,445$443,523Net Revenue

12/31/20171/1/2017 to


14-2817

Calumet City Dialysis1200 Sibley Blvd.Calumet CityCook7


Address:Name:

City:County:



Legal Entity Operator: Total Renal Care Legal Entity Owner:

Property Owner: Engineer Property Group


Medical Director Name: Dr. Jamie Baylock

In-Center Treatments in calendar year: 685Facility Reported Patient Information





Oct 1

0

Oct 2

11

Oct 3

0

Oct 4

11

Oct 5

0

Oct 6

11

Oct 7

0

0 5 0 6 0 7 0






Date of Operation

Hours operated


13Total:

28Total:














Medicare

24

82.8%

Medicaid

1

Private Insurance

3

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

29

3.4% 10.3% 0.0%0.0% 3.4% 100.0%

Patients

TOTAL 00

2603

2270

0

01864

01441




29

02

12105

2919 10

29

$148,357 $4,958 $108,838 $0$0 $28,039 $290,192

51.1% 1.7% 37.5% 0.0%0.0% 9.7% 100.0%Net Revenue

12/31/20171/25/2017 to


14-2663

Center for Renal Replacement, LLC7301 N. Lincoln Ave., Suite 205LincolnwoodCook7


Address:Name:

City:County:



Legal Entity Operator: James K. Yeung, M.D.Legal Entity Owner:

Property Owner: Imperial Realty


Medical Director Name: James K. Yeung, M.D.






Oct 1

0

Oct 2

14

Oct 3

14

Oct 4

14

Oct 5

14

Oct 6

14

Oct 7

14

0 30 21 29 25 30 23






Date of Operation

Hours operated


30Total:

20Total:














Medicare

59

72.0%

Medicaid

12

Private Insurance

10

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

82

14.6% 12.2% 0.0%1.2% 0.0% 100.0%

Patients

TOTAL 260

186

32

6760

0

03

122211

019

1311




82

04

2135228248 34

82

$1,278,150 $60,339 $651,055 $0$39,606 $0 $2,029,149

63.0% 3.0% 32.1% 0.0%2.0% 0.0% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2609

Centralia DaVita dialysis1231 IL 161 EastCentraliaMarion5


Address:Name:

City:County:



Legal Entity Operator: Renal Life Link, Inc.Legal Entity Owner:



Medical Director Name: Faisal Rashid






Oct 1

0

Oct 2

10

Oct 3

12

Oct 4

10

Oct 5

12

Oct 6

10

Oct 7

12

0 22 23 24 22 26 21






Date of Operation

Hours operated


48Total:

31Total:














Medicare

64

84.2%

Medicaid

1

Private Insurance

5

Charity Care

0

Private Pay

0

Other Public

6

TOTAL

76

1.3% 6.6% 0.0%0.0% 7.9% 100.0%

Patients

TOTAL 00

140

62

0760

0

02

219

13

009

1210




76

02

3021237645 31

76

$1,866,998 $946 $1,347,049 $0$0 $282,826 $3,497,819

53.4% 0.0% 38.5% 0.0%0.0% 8.1% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2635

Chicago Heights Davita177 W. Joe Orr RoadChicago HeightsCook7


Address:Name:

City:County:



Legal Entity Operator: Davita Chicago Heights LLCLegal Entity Owner:

Property Owner: Matanky Realty


Medical Director Name: Dr. Donald Hollandsworth






Oct 1

0

Oct 2

15.5

Oct 3

15.5

Oct 4

15.5

Oct 5

15.5

Oct 6

15.5

Oct 7

15.5

0 44 39 41 36 43 33






Date of Operation

Hours operated


41Total:

37Total:














Medicare

0

#Num!

Medicaid

0

Private Insurance

0

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

0

#Num! #Num! #Num!#Num! #Num! #Num!

Patients

TOTAL 00

951

17

17113

0

17

09

312219

05

22139




130

014533528

13081 49

130

$2,828,515 $174,810 $3,737,465 $0$0 $1,676,094 $8,416,885

33.6% 2.1% 44.4% 0.0%0.0% 19.9% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2793

Chicago Ridge Dialysis10511 S HarlemChicago RidgeCook7


Address:Name:

City:County:




Property Owner: Palestra Real Estate Partners, LLC


Medical Director Name: Sreya Pallath






Oct 1

0

Oct 2

12

Oct 3

8

Oct 4

12

Oct 5

8

Oct 6

12

Oct 7

8

0 40 9 37 9 36 10






Date of Operation

Hours operated


50Total:

72Total:














Medicare

65

74.7%

Medicaid

13

Private Insurance

6

Charity Care

0

Private Pay

0

Other Public

3

TOTAL

87

14.9% 6.9% 0.0%0.0% 3.4% 100.0%

Patients

TOTAL 10

120

35

9490

10

00

131811

01564




58

01

1824155842 16

58

$1,090,380 $53,255 $232,042 $0$588,956Net Revenue

12/31/20171/1/2017 to


14-2640

Churchview DaVita417 Ware AvenueRockfordWinnebago1


Address:Name:

City:County:



Legal Entity Operator: Renal Treatment Centers - IL.Legal Entity Owner:

Property Owner: First Midwest Group


Medical Director Name: Charles Sweeney






Oct 1

0

Oct 2

16

Oct 3

12

Oct 4

16

Oct 5

12

Oct 6

16

Oct 7

12

0 38 26 38 26 41 28






Date of Operation

Hours operated


55Total:

114Total:














Medicare

114

61.3%

Medicaid

10

Private Insurance

9

Charity Care

3

Private Pay

0

Other Public

53

TOTAL

186

5.4% 4.8% 1.6%0.0% 28.5% 100.0%

Patients

TOTAL 52

530

98

2613231

31

010452626

013232224




189

023684850

189107 82

189

$3,244,835 $170,012 $3,883,341 $67,422$1,484,576Net Revenue

12/31/20171/1/2017 to


14-2540

Circle Medical Management, Inc.1426 West Washington Blvd.ChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Edmund J. Lewis, MDLegal Entity Owner:

Property Owner: Respiratory Health Associates


Medical Director Name: Steven Michael Korbet






Oct 1

0

Oct 2

13.5

Oct 3

13

Oct 4

13.5

Oct 5

13

Oct 6

13.5

Oct 7

11

0 53 47 49 49 49 47






Date of Operation

Hours operated


40Total:

49Total:






Full-Time Work Week: 70Registered Nurse : 5Dialysis Technician : 14Dietician : 1Social Worker: 1LPN : 1Other Health : 1Other Non-Health: 5.5








Medicare

107

74.3%

Medicaid

15

Private Insurance

22

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

144

10.4% 15.3% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 10

1100

33

18126

0

0

110241115

016301918




144

126543033

14461 83

144

$7,521,014 $1,579,703 $2,855,474 $0$104,086 $0 $12,060,277

62.4% 13.1% 23.7% 0.0%0.9% 0.0% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2715

Cobblestone Dialysis836 Dundee AveElginKane8


Address:Name:

City:County:



Legal Entity Operator: Total Renal Care, Inc. Legal Entity Owner:

Property Owner: Palestra Properties


Medical Director Name: Dr. Ravi Damaraju






Oct 1

0

Oct 2

17

Oct 3

14

Oct 4

17

Oct 5

14

Oct 6

17

Oct 7

14

0 49 42 48 43 53 41






Date of Operation

Hours operated


90Total:

64Total:














Medicare

90

65.2%

Medicaid

19

Private Insurance

26

Charity Care

11

Private Pay

0

Other Public

3

TOTAL

138

13.8% 18.8% 8.0%0.0% 2.2% 100.0%

Patients

TOTAL 92

210

117

57920

0

016441619

06

261111




149

022702730

14995 54

149

$1,939,374 $315,353 $1,760,546 $153,695$0 $738,162 $4,753,436

40.8% 6.6% 37.0% 3.2%0.0% 15.5% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2698

Community Dialysis of Harvey16641 S. Halsted St. HarveyCook7


Address:Name:

City:County:



Legal Entity Operator: Total Renal Care, INCLegal Entity Owner:

Property Owner: Yousef Musleh


Medical Director Name: Dr. Edwin Cook






Oct 1

0

Oct 2

12

Oct 3

12

Oct 4

12

Oct 5

12

Oct 6

12

Oct 7

12

0 33 33 34 30 33 34






Date of Operation

Hours operated


42Total:

46Total:














Medicare

87

75.7%

Medicaid

20

Private Insurance

6

Charity Care

1

Private Pay

0

Other Public

2

TOTAL

115

17.4% 5.2% 0.9%0.0% 1.7% 100.0%

Patients

TOTAL 00

10506

5111

0

5

010331011

04

152112




116

014483123

11664 52

116

$1,327,566 $97,761 $556,814 $35,695$0 $1,024,633 $3,006,775

44.2% 3.3% 18.5% 1.2%0.0% 34.1% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2655

Concerto Dialysis, LLC14255 Cicero AveCrestwoodCook7


Address:Name:

City:County:



Legal Entity Operator: Concerto Dialysis, LLCLegal Entity Owner:

Property Owner: Symphony of Crestwood


Medical Director Name: Suresh Samson, MD






Oct 1

0

Oct 2

14

Oct 3

5

Oct 4

14

Oct 5

5

Oct 6

14

Oct 7

5

0 13 0 13 1 16 1






Date of Operation

Hours operated


25Total:

32Total:





Authorized Stations Setup and Staffed in Oct 1-7: 9Isolation Stations Set up in Oct 1-7:









Medicare

21

70.0%

Medicaid

1

Private Insurance

8

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

30

3.3% 26.7% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

1908

1290

3

02373

02634




30

049

107

3015 15

30

$564,036 $38,729 $172,282 $0$4,323 $0 $779,370

72.4% 5.0% 22.1% 0.0%0.6% 0.0% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2625

Danville Dialysis Services, L.L.C.910 W. Clay StreetDanvilleVermilion4


Address:Name:

City:County:



Legal Entity Operator: Danville Dialysis Services, L.L.C.Legal Entity Owner:

Property Owner: Dr. & Mrs. Brijnandan Sodhi


Medical Director Name: Brijnandan S. Sodhi, M.D.






Oct 1

0

Oct 2

12

Oct 3

11.5

Oct 4

12

Oct 5

11.5

Oct 6

12

Oct 7

11.5

0 44 31 41 32 43 34






Date of Operation

Hours operated


29Total:

23Total:






Full-Time Work Week: 32Registered Nurse : 8Dialysis Technician : 10Dietician : 1Social Worker: 1LPN : 1Other Health :Other Non-Health: 2








Medicare

84

82.4%

Medicaid

12

Private Insurance

0

Charity Care

0

Private Pay

0

Other Public

6

TOTAL

102

11.8% 0.0% 0.0%0.0% 5.9% 100.0%

Patients

TOTAL 00

520

50

1101

0

0

05

151521

05

161015




102

010312536

10256 46

102

$1,797,068 $84,631 $0$2,187,971Net Revenue

12/31/20171/1/2017 to


14-2651

Davita - Dixon Kidney Center1131 North Galena AvenueDixonLee1


Address:Name:

City:County:



Legal Entity Operator: Renal Treatment Center, ILLegal Entity Owner:

Property Owner: Stenstrom


Medical Director Name: Dr. Charles Sweeney






Oct 1

0

Oct 2

13

Oct 3

6

Oct 4

13

Oct 5

6

Oct 6

13

Oct 7

6

0 14 4 14 4 14 4






Date of Operation

Hours operated


29Total:

27Total:






Full-Time Work Week: 30Registered Nurse : 2Dialysis Technician : 2.5Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 0Other Non-Health: 0.7








Medicare

0

#Num!

Medicaid

0

Private Insurance

0

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

0


Patients

TOTAL 0040

45

2470

0

00

1368

04783




49

04

2014114927 22

49

$948,192 $183,484 $1,249,860 $11,592$0 $154,994 $2,536,530

37.4% 7.2% 49.3% 0.5%0.0% 6.1% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2528

Davita - Lincoln Park Dialysis Center2484 N. Elston AvenueChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Lincoln Park Dialysis Services, Inc.Legal Entity Owner:

Property Owner: Chicago Title Land Trust Company


Medical Director Name: Melvin K. Roseman, MD






Oct 1

0

Oct 2

15

Oct 3

15

Oct 4

15

Oct 5

15

Oct 6

15

Oct 7

15

0 49 38 48 38 50 40






Date of Operation

Hours operated


80Total:

78Total:














Medicare

119

70.0%

Medicaid

10

Private Insurance

10

Charity Care

1

Private Pay

0

Other Public

31

TOTAL

170

5.9% 5.9% 0.6%0.0% 18.2% 100.0%

Patients

TOTAL 220

590

90

37134

0

0

017422611

012262017




171

029684628

17196 75

171

$1,748,869 $184,382 $1,728,756 $1,735$0 $1,460,303 $5,122,309

34.1% 3.6% 33.7% 0.0%0.0% 28.5% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2740

DaVita - Morris Dialysis1551 Creek DriveMorrisGrundy9


Address:Name:

City:County:



Legal Entity Operator: Total Renal Care, Inc.Legal Entity Owner:

Property Owner: Keith Jaeschke


Medical Director Name: Z. Teresa Majka-Kravets

4/10/2017 - 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.v






Oct 1

0

Oct 2

11

Oct 3

11

Oct 4

11

Oct 5

11

Oct 6

11

Oct 7

11

0 19 16 15 15 19 15






Date of Operation

Hours operated


44Total:

38Total:






Full-Time Work Week: 40Registered Nurse : 2Dialysis Technician : 3Dietician : 0.6Social Worker: 0.6LPN : 0Other Health : 0Other Non-Health: 0.5








Medicare

62

82.7%

Medicaid

5

Private Insurance

4

Charity Care

0

Private Pay

0

Other Public

4

TOTAL

75

6.7% 5.3% 0.0%0.0% 5.3% 100.0%

Patients

TOTAL 1011

72

3720

0

059

1314

028

1014




75

07

1723287541 34

75

$1,136,910 $123,820 $264,510 $0$0 $182,882 $1,708,122

66.6% 7.2% 15.5% 0.0%0.0% 10.7% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2736

DaVita Barrington Creek 28160 W. Northwest HighwayLake BarringtonLake7


Address:Name:

City:County:



Legal Entity Operator: Camino Dialysis LLCLegal Entity Owner:

Property Owner: Barrington Meidcal Development


Medical Director Name: Sumit Bector






Oct 1

0

Oct 2

10

Oct 3

0

Oct 4

10

Oct 5

0

Oct 6

10

Oct 7

0

0 20 0 14 0 17 0






Date of Operation

Hours operated


27Total:

24Total:






Full-Time Work Week: 40Registered Nurse : 1Dialysis Technician : 3Dietician : 0.25Social Worker: 0.25LPN : 0Other Health : 0.33Other Non-Health: 0.25








Medicare

34

82.9%

Medicaid

1

Private Insurance

6

Charity Care

2

Private Pay

0

Other Public

0

TOTAL

41

2.4% 14.6% 4.9%0.0% 0.0% 100.0%

Patients

TOTAL 1031

38

3400

0

03

127

12

01314




43

04

158

164334 9

43

$547,135 $0 $581,112 $49,265$98,377Net Revenue

12/31/20171/1/2017 to


14-2712

Davita Big Oaks Dialysis Center5623 W. Touhy AvenueNilesCook7


Address:Name:

City:County:



Legal Entity Operator: Total Renal Care, IncLegal Entity Owner:

Property Owner: DDR Corp


Medical Director Name: Dr. Lynn Anderson






Oct 1

0

Oct 2

14

Oct 3

10

Oct 4

14

Oct 5

10

Oct 6

14

Oct 7

10

0 30 22 27 18 29 16






Date of Operation

Hours operated


57Total:

74Total:














Medicare

75

73.5%

Medicaid

5

Private Insurance

15

Charity Care

1

Private Pay

0

Other Public

7

TOTAL

102

4.9% 14.7% 1.0%0.0% 6.9% 100.0%

Patients

TOTAL 20061

62

6898

14

08

231317

02

131215




103

010362532

10361 42

103

$1,158,932 $48,410 $1,198,548 $48,675$496,313Net Revenue

12/31/20171/1/2017 to


14-2598

DaVita Carpentersville Dialysis2203 Randall RoadCarpentersvilleKane8


Address:Name:

City:County:



Legal Entity Operator: Total Renal CareLegal Entity Owner:

Property Owner: Dr. Nasir J. Ahmad

4th Shift of patients


Medical Director Name: Dr. Nasir J. Ahmad






Oct 1

0

Oct 2

17

Oct 3

17

Oct 4

17

Oct 5

17

Oct 6

17

Oct 7

17

0 38 34 37 35 40 34






Date of Operation

Hours operated


35Total:

50Total:














Medicare

84

77.1%

Medicaid

6

Private Insurance

18

Charity Care

2

Private Pay

0

Other Public

1

TOTAL

109

5.5% 16.5% 1.8%0.0% 0.9% 100.0%

Patients

TOTAL 7050

65

3400

0

06

212524

027

1313




77

08

283837

11176 35

34

$1,920,234 $40,115 $2,406,272 $7,670$491,165Net Revenue

12/31/20171/1/2017 to


14-2822

DaVita Collinsville101 Lanter CourtCollinsvilleMadison11


Address:Name:

City:County:




Property Owner: Pace Properties


Medical Director Name: Sriraj Kanungo






Oct 1 Oct 2

12

Oct 3 Oct 4

12

Oct 5 Oct 6

12

Oct 7

12 12 12






Date of Operation

Hours operated


3Total:

14Total:














Medicare

11

84.6%

Medicaid

2

Private Insurance

0

Charity Care

1

Private Pay

0

Other Public

0

TOTAL

13

15.4% 0.0% 7.7%0.0% 0.0% 100.0%

Patients

TOTAL 00903

2120

2

04251

00011




14

04262

1412 2

14

$65,099 $9,057 $295$15,546Net Revenue

12/31/20171/1/2017 to


14-2575

DaVita Country Hills Dialysis4215 W. 167th StreetCountry Club HillsCook7


Address:Name:

City:County:



Legal Entity Operator: ISD Renal IncLegal Entity Owner:

Property Owner: Stenstrom


Medical Director Name: Dr. Kenneth Cline






Oct 1 Oct 2

16

Oct 3

11

Oct 4

16

Oct 5

11

Oct 6

16

Oct 7

16

0 53 42 54 45 56 44






Date of Operation

Hours operated


112Total:

108Total:














Medicare

0

#Num!

Medicaid

0

Private Insurance

0

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

0


Patients

TOTAL 00

1231

16

9140

0

0

017312515

012191812




140

029504327

14988 61

149

$0Net Revenue

12/31/20171/1/2017 to


14-2716

DaVita Crystal Springs720 Cog CircleCrystal LakeMcHenry8


Address:Name:

City:County:




Property Owner: Apex 720, LLC


Medical Director Name: Sumit Bector

11/20/2017 - Facility added 2 ESRD stations; facility now has 16 ESRD stations.






Oct 1

0

Oct 2

15.5

Oct 3

11

Oct 4

15.5

Oct 5

11

Oct 6

15.5

Oct 7

11

0 34 22 30 19 33 21






Date of Operation

Hours operated


57Total:

56Total:














Medicare

81

77.9%

Medicaid

6

Private Insurance

16

Charity Care

2

Private Pay

0

Other Public

1

TOTAL

104

5.8% 15.4% 1.9%0.0% 1.0% 100.0%

Patients

TOTAL 3051

97

17890

0

08

251712

03

14207




106

011393719

10662 44

106

$1,615,061 $87,423 $1,796,971 $55,165$216,189Net Revenue

12/31/20171/1/2017 to


14-2747

Davita Driftwood Dialysis1808 South West Ave.Freeport Stephenson1


Address:Name:

City:County:




Property Owner: Frontier Real Estate Investment co.LLC


Medical Director Name: John Maynard






Oct 1

0

Oct 2

13

Oct 3

6

Oct 4

13

Oct 5

6

Oct 6

13

Oct 7

6

0 29 7 24 7 28 7






Date of Operation

Hours operated


31Total:

26Total:






Full-Time Work Week: 40Registered Nurse : 2.5Dialysis Technician : 3Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 2Other Non-Health: 0








Medicare

52

83.9%

Medicaid

7

Private Insurance

1

Charity Care

1

Private Pay

0

Other Public

2

TOTAL

62

11.3% 1.6% 1.6%0.0% 3.2% 100.0%

Patients

TOTAL 00

220

40

1620

1

02

2068

018

135




63

03

2819136336 27

63

$1,212,424 $105,401 $44,502 $7,375$219,922Net Revenue

12/31/20171/1/2017 to


14-2511

DaVita Evanston Renal Center1922 Dempster StreetEvanstonCook7


Address:Name:

City:County:



Legal Entity Operator: Total renal Care,Inc.Legal Entity Owner:

Property Owner: Schwab Realty and Development


Medical Director Name: George C. Kim







Oct 1

0

Oct 2

15

Oct 3

15

Oct 4

15

Oct 5

15

Oct 6

15

Oct 7

15

0 47 34 43 34 43 35






Date of Operation

Hours operated


61Total:

60Total:














Medicare

97

72.9%

Medicaid

26

Private Insurance

10

Charity Care

11

Private Pay

0

Other Public

0

TOTAL

133

19.5% 7.5% 8.3%0.0% 0.0% 100.0%

Patients

TOTAL 210

580

65

27117

0

0

010361817

06

251319




144

016613136

14481 63

144

$1,491,798 $116,223 $1,067,434 $333,350$1,301,701Net Revenue

12/31/20171/1/2017 to


14-2622

Davita Hazel Crest3470 W. 183rd StreetHazel CrestCook7


Address:Name:

City:County:



Legal Entity Operator: ISD Renal Inc AKA DSI Renal IncLegal Entity Owner:

Property Owner: Resolution Property Services


Medical Director Name: Dr. Daniel Yohay

3/10/2017 - Added 1 station to existing facility; Facility now has 20 ESRD stations.






Oct 1

0

Oct 2

21

Oct 3

16

Oct 4

21

Oct 5

16

Oct 6

21

Oct 7

16

0 52 39 53 35 59 38






Date of Operation

Hours operated


49Total:

62Total:














Medicare

0

0.0%

Medicaid

5691

Private Insurance

0

Charity Care

3540

Private Pay

0

Other Public

0

TOTAL

5691

100.0% 0.0% 62.2%0.0% 0.0% 100.0%

Patients

TOTAL 00

1500

14

6158

0

0

019402018

010221817




164

029623835

16497 67

164

$0Net Revenue

12/31/20171/10/2017 to


14-2828

Davita Huntley Dialysis10370 Haligus Road, Suite 100HuntleyMcHenry8


Address:Name:

City:County:




Property Owner: Healthcare Trust of America

In November 2017 Davita Huntley was treating one patient while awaiting CMS certification. Huntley received it CMS certification on 1/18/2018.


Medical Director Name: Amit Arora






Oct 1

0

Oct 2

0

Oct 3

0

Oct 4

0

Oct 5

0

Oct 6

0

Oct 7

0

0 0 0 0 0 0 0






Date of Operation

Hours operated


0Total:

1Total:


0Treatment Capacity/year (based on Stations):Use Rate (Treatments/Treatment capacity): #Div/0!Use Rate (including Missed Treatments): #Div/0!Use Rate (Begining patients treated):


#Num!#Div/0!Use Rate (Year end Patients/Stations*6):


Full-Time Work Week: 40Registered Nurse : 1Dialysis Technician : 1Dietician : 0.5Social Worker: 0LPN : 0Other Health : 0.5Other Non-Health: 0








Medicare

1

100.0%

Medicaid

0

Private Insurance

0

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

1

0.0% 0.0% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00001

000

0

00001

00000




1

0000111 0

0

$6,665 $0Net Revenue

12/31/201711/8/2017 to


14-2666

Davita Lake Villa Dialysis37809 N. IL Rte. 59 Lake VillaLake8


Address:Name:

City:County:



Legal Entity Operator: Renal Treatment Center-Illinois, INC.Legal Entity Owner:

Property Owner: Omar Dalloul


Medical Director Name: Omar Dalloul






Oct 1

0

Oct 2

14

Oct 3

10

Oct 4

14

Oct 5

10

Oct 6

14

Oct 7

10

0 34 19 29 20 31 18






Date of Operation

Hours operated


51Total:

53Total:














Medicare

74

73.3%

Medicaid

11

Private Insurance

11

Charity Care

5

Private Pay

0

Other Public

5

TOTAL

101

10.9% 10.9% 5.0%0.0% 5.0% 100.0%

Patients

TOTAL 3070

65

31750

31

08

251921

05

10126




106

013353127

10673 33

106

$981,555 $108,529 $1,106,228 $96,170$0 $609,772 $2,806,083

35.0% 3.9% 39.4% 3.4%0.0% 21.7% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2668

DaVita Little Village2335 W. Cermak Rd.ChicagoCook6


Address:Name:

City:County:




Property Owner: Crystal Realty, Co.


Medical Director Name: Dr. Ogbonnaya Aneziokoro






Oct 1

0

Oct 2

14

Oct 3

14

Oct 4

14

Oct 5

14

Oct 6

14

Oct 7

14

0 41 44 41 44 45 43






Date of Operation

Hours operated


40Total:

42Total:














Medicare

84

64.1%

Medicaid

10

Private Insurance

13

Charity Care

2

Private Pay

0

Other Public

24

TOTAL

131

7.6% 9.9% 1.5%0.0% 18.3% 100.0%

Patients

TOTAL 10

290

103

98350

0

013311815

08

201612




133

021513427

13377 56

133

$1,798,669 $217,279 $1,494,267 $843,700$1,060,605Net Revenue

12/31/20171/1/2017 to


14-2534

DaVita Logan Square2838 N Kimball AvenueChicagoCook6


Address:Name:

City:County:


Ownership Type: Other For Profit

Legal Entity Operator: DaVitaLegal Entity Owner:

Property Owner: Kendrew Development


Medical Director Name: Dr. Kap J No






Oct 1

0

Oct 2

14

Oct 3

14

Oct 4

14

Oct 5

14

Oct 6

14

Oct 7

14

0 75 61 70 61 75 66






Date of Operation

Hours operated


98Total:

118Total:














Medicare

153

58.8%

Medicaid

52

Private Insurance

37

Charity Care

2

Private Pay

0

Other Public

18

TOTAL

260

20.0% 14.2% 0.8%0.0% 6.9% 100.0%

Patients

TOTAL 50

625

187

165943

3

027524722

018363921




262

045888643

262148 114

262

$2,828,515 $174,810 $3,737,465 $82,895$0 $1,676,094 $8,416,884

33.6% 2.1% 44.4% 1.0%0.0% 19.9% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2584

DaVita Macon County1090 W McKinley AvenueDecaturMacon4


Address:Name:

City:County:



Legal Entity Operator: DVA Renal Heathcare, IncLegal Entity Owner:

Property Owner: DVA Decatur IL Landlord LLC


Medical Director Name: Mohammad Hasnain






Oct 1

0

Oct 2

12

Oct 3

12

Oct 4

12

Oct 5

12

Oct 6

12

Oct 7

12

0 39 29 39 31 37 33






Date of Operation

Hours operated


58Total:

56Total:














Medicare

105

82.7%

Medicaid

17

Private Insurance

3

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

127

13.4% 2.4% 0.0%0.0% 1.6% 100.0%

Patients

TOTAL 00

521

74

1126

0

0

011291414

07

221515




127

018512929

12768 59

127

$2,065,491 $280,716 $720,788 $0$0 $160,503 $3,227,498

64.0% 8.7% 22.3% 0.0%0.0% 5.0% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2527

DaVita Metro East5105 W. Main StreetBellevilleSt. Clair11


Address:Name:

City:County:




Property Owner: Columbia Pacific Advisors, LLC


Medical Director Name: R. Dalal, MD






Oct 1

5

Oct 2

16

Oct 3

20

Oct 4

16

Oct 5

20

Oct 6

16

Oct 7

12

15 84 86 81 85 83 69




Number of Missed Treatments: 1,698


Date of Operation

Hours operated


93Total:

121Total:






Full-Time Work Week: 32Registered Nurse : 13.55Dialysis Technician : 26.93Dietician : 2.6Social Worker: 1.8LPN : 0Other Health : 0Other Non-Health: 3








Medicare

184

83.6%

Medicaid

8

Private Insurance

19

Charity Care

5

Private Pay

0

Other Public

9

TOTAL

220

3.6% 8.6% 2.3%0.0% 4.1% 100.0%

Patients

TOTAL 10

1720

39

021411

13

017452723

014452727




225

031905450

225112 113

225

$4,584,667 $64,355 $2,979,100 $40,447$1,935,558Net Revenue

12/31/20171/1/2017 to


14-2660

Davita Mt. Greenwood Dialysis3401 W. 111th StreetChicagoCook6


Address:Name:

City:County:




Property Owner: Columbia Pacific Advisors, LLC

Mon/Wed/Friday- 4 shift for patient schedule


Medical Director Name: Dr. Mohamad Barakat






Oct 1

0

Oct 2

18

Oct 3

16

Oct 4

18

Oct 5

16

Oct 6

18

Oct 7

16

0 47 38 40 37 43 38






Date of Operation

Hours operated


46Total:

44Total:






Full-Time Work Week: 40Registered Nurse : 4.95Dialysis Technician : 9.2Dietician : 1Social Worker: 1LPN : 0Other Health : 0Other Non-Health: 3








Medicare

112

88.2%

Medicaid

6

Private Insurance

8

Charity Care

1

Private Pay

0

Other Public

1

TOTAL

127

4.7% 6.3% 0.8%0.0% 0.8% 100.0%

Patients

TOTAL 00

1060

22

7121

0

0

010371015

07

258

16




128

017621831

12872 56

128

$2,126,948 $102,518 $1,009,577 $27,730$0 $1,214,316 $4,453,359

47.8% 2.3% 22.7% 0.6%0.0% 27.3% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2818

Davita O'Fallon1941 Frank Scott Parkway East, Suite BShilohSt. Clair11


Address:Name:

City:County:




Property Owner: RLP Development Company, Inc.

N/A


Medical Director Name: Bassim Assioun, M.D.






Oct 1

0

Oct 2

8

Oct 3

0

Oct 4

8

Oct 5

0

Oct 6

8

Oct 7

0

0 4 0 4 0 4 0






Date of Operation

Hours operated


4Total:

42Total:














Medicare

29

67.4%

Medicaid

4

Private Insurance

5

Charity Care

0

Private Pay

0

Other Public

5

TOTAL

43

9.3% 11.6% 0.0%0.0% 11.6% 100.0%

Patients

TOTAL 10

251

16

0430

0

04

1365

01662




43

05

19127

4328 15

43

$188,770 $7,979 $198,329 $0$0 $49,200 $444,278

42.5% 1.8% 44.6% 0.0%0.0% 11.1% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2548

DaVita Olympia Fields Dialysis Center4557 Lincoln HighwayMattesonCook7


Address:Name:

City:County:




Property Owner: Joseph Freed


Medical Director Name:






Oct 1

0

Oct 2

17

Oct 3

11

Oct 4

17

Oct 5

11

Oct 6

17

Oct 7

11

0 57 40 46 38 39 40






Date of Operation

Hours operated


67Total:

91Total:














Medicare

70

43.8%

Medicaid

12

Private Insurance

21

Charity Care

3

Private Pay

0

Other Public

57

TOTAL

160

7.5% 13.1% 1.9%0.0% 35.6% 100.0%

Patients

TOTAL 20

1480

13

5158

0

0

011471711

09

411413




163

020883124

16386 77

163

$1,763,790 $157,844 $2,387,758 $52,510$0 $1,557,805 $5,867,196

30.1% 2.7% 40.7% 0.9%0.0% 26.6% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2732

DaVita Palos Park Dialysis13155 S. LaGrange Road Orland ParkCook7


Address:Name:

City:County:




Property Owner: Gx Orland Park 2, LLC


Medical Director Name: Dr. Sonja Marcic






Oct 1

0

Oct 2

13

Oct 3

9.5

Oct 4

13

Oct 5

9.5

Oct 6

13

Oct 7

9.5

0 30 21 26 22 30 20






Date of Operation

Hours operated


68Total:

57Total:














Medicare

64

68.8%

Medicaid

1

Private Insurance

8

Charity Care

0

Private Pay

0

Other Public

20

TOTAL

93

1.1% 8.6% 0.0%0.0% 21.5% 100.0%

Patients

TOTAL 11

190

55

3855

17

01

111319

03

111619




93

04

2229389344 49

93

$1,367,585 $619 $830,906 $0$0 $409,598 $2,608,708

52.4% 0.0% 31.9% 0.0%0.0% 15.7% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2647

DaVita Rockford Dialysis3339 Rockton AvenueRockfordWinnebago1


Address:Name:

City:County:



Legal Entity Operator: Renal Treatment Centers-Illinois, Inc.Legal Entity Owner:

Property Owner: Stenstrom Real Estate


Medical Director Name: Dr. Krishna Sankaran






Oct 1

0

Oct 2

16

Oct 3

16

Oct 4

16

Oct 5

16

Oct 6

16

Oct 7

16

0 53 37 51 41 56 37






Date of Operation

Hours operated


72Total:

57Total:














Medicare

123

78.3%

Medicaid

16

Private Insurance

9

Charity Care

1

Private Pay

5

Other Public

4

TOTAL

157

10.2% 5.7% 0.6%3.2% 2.5% 100.0%

Patients

TOTAL 10

881

68

13145

0

0

015442117

010261312




158

025703429

15897 61

158

$2,483,336 $233,099 $784,940 $295$0 $1,170,325 $4,671,701

53.2% 5.0% 16.8% 0.0%0.0% 25.1% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2665

DaVita Roxbury Dialysis622 Roxbury RdRockfordWinnebago1


Address:Name:

City:County:



Legal Entity Operator: Dialysis of Northern Illinois, LLCLegal Entity Owner:

Property Owner: Stenstrom Real Estates


Medical Director Name: James Stim, MD






Oct 1

0

Oct 2

22

Oct 3

16

Oct 4

22

Oct 5

16

Oct 6

22

Oct 7

16

0 49 38 50 39 50 36






Date of Operation

Hours operated


65Total:

73Total:














Medicare

121

79.6%

Medicaid

7

Private Insurance

21

Charity Care

2

Private Pay

0

Other Public

3

TOTAL

152

4.6% 13.8% 1.3%0.0% 2.0% 100.0%

Patients

TOTAL 40

382

110

24130

0

0

09

411324

06

261718




154

015673042

15487 67

154

$3,208,306 $111,294 $2,387,271 $24,287$0 $1,044,542 $6,751,413

47.5% 1.6% 35.4% 0.4%0.0% 15.5% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2561

DaVita Sauget Dialysis2061 Gooselake RoadSaugetSt. Clair11


Address:Name:

City:County:




Property Owner: Union Planter Trust


Medical Director Name: Dr. Dalal






Oct 1

0

Oct 2

17

Oct 3

12

Oct 4

17

Oct 5

12

Oct 6

17

Oct 7

12

0 39 38 41 40 41 36






Date of Operation

Hours operated


45Total:

69Total:






Full-Time Work Week: 40Registered Nurse : 4Dialysis Technician : 8Dietician : 1Social Worker: 0.5LPN : 0Other Health : 1Other Non-Health: 0








Medicare

74

56.9%

Medicaid

26

Private Insurance

28

Charity Care

2

Private Pay

0

Other Public

2

TOTAL

130

20.0% 21.5% 1.5%0.0% 1.5% 100.0%

Patients

TOTAL 00

12605

100

0

08

5112

6

08

211511




131

016722717

13277 55

1

$1,657,207 $1,735 $866,935 $19,740$0 $647,743 $3,173,620

52.2% 0.1% 27.3% 0.6%0.0% 20.4% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2654

Davita Schaumburg Renal Center1156 S. Roselle Rd.SchaumburgCook7


Address:Name:

City:County:



Legal Entity Operator: ISD Schaumburg, LLC Legal Entity Owner:

Property Owner: Targo Management Inc.


Medical Director Name: Dr. Mussie Beraki






Oct 1

0

Oct 2

15

Oct 3

10

Oct 4

15

Oct 5

10

Oct 6

15

Oct 7

10

0 49 27 46 28 48 30






Date of Operation

Hours operated


61Total:

81Total:














Medicare

106

74.6%

Medicaid

16

Private Insurance

17

Charity Care

2

Private Pay

0

Other Public

3

TOTAL

142

11.3% 12.0% 1.4%0.0% 2.1% 100.0%

Patients

TOTAL 291

161

95

24120

0

2

07

261634

06

171820




144

013433454

14483 61

144

$2,136,324 $70,704 $949,617 $42,080$0 $878,493 $4,035,138

52.9% 1.8% 23.5% 1.0%0.0% 21.8% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2586

DaVita Springfield Central Dialysis932 N. Rutledge St.Springfield Sangamon3


Address:Name:

City:County:




Property Owner: Memorial Medical Center


Medical Director Name: Ashraf Tamizuddin

1/24/2017 - 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.






Oct 1 Oct 2

15

Oct 3

11

Oct 4

15

Oct 5

11

Oct 6

15

Oct 7

11

46 36 43 32 40 38






Date of Operation

Hours operated


56Total:

55Total:














Medicare

99

77.3%

Medicaid

17

Private Insurance

8

Charity Care

1

Private Pay

0

Other Public

4

TOTAL

128

13.3% 6.3% 0.8%0.0% 3.1% 100.0%

Patients

TOTAL 00

610

67

1128

0

1

07

331818

04

221611




129

011553429

12976 53

129

$2,114,502 $218,395 $1,170,128 $3,835$0 $417,506 $3,920,530

53.9% 5.6% 29.8% 0.1%0.0% 10.6% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2590

Davita Springfield Montvale2930 Montvale Drive Suite ASpringfieldSangamon3


Address:Name:

City:County:



Legal Entity Operator: Marriott PropertiesLegal Entity Owner:

Property Owner: Bill Marriott, Jr


Medical Director Name: Dr. Mohamed Alhosaini






Oct 1

6

Oct 2

12

Oct 3

11

Oct 4

12

Oct 5

11

Oct 6

12

Oct 7

11

10 28 39 30 36 29 24






Date of Operation

Hours operated


24Total:

42Total:






Full-Time Work Week: 40Registered Nurse : 3.39Dialysis Technician : 7.14Dietician : 0.81Social Worker: 0.65LPN : 0Other Health : 0Other Non-Health: 1.96








Medicare

78

75.0%

Medicaid

11

Private Insurance

14

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

104

10.6% 13.5% 0.0%0.0% 1.0% 100.0%

Patients

TOTAL 00

410

63

2102

0

0

06

221610

01115168




104

017373218

10454 50

104

$1,774,182 $61,688 $1,161,195 $61,688$0 $459,232 $3,456,298

51.3% 1.8% 33.6% 1.8%0.0% 13.3% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2718

DaVita Stony Island8725 S Stony IslandChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Total Renal Care Inc.Legal Entity Owner:

Property Owner: Tiebout IL LLC


Medical Director Name: Nicole Stankus






Oct 1

0

Oct 2

19

Oct 3

16

Oct 4

19

Oct 5

16

Oct 6

19

Oct 7

16

0 77 65 75 65 78 58






Date of Operation

Hours operated


83Total:

90Total:






Full-Time Work Week: 40Registered Nurse : 8.43Dialysis Technician : 22.2Dietician : 1.5Social Worker: 2LPN : 0Other Health : 1Other Non-Health: 2








Medicare

178

75.1%

Medicaid

10

Private Insurance

43

Charity Care

1

Private Pay

0

Other Public

6

TOTAL

237

4.2% 18.1% 0.4%0.0% 2.5% 100.0%

Patients

TOTAL 00

23602

7231

0

0

014652019

016442931




238

030

1094950

238118 120

238

$138,160 $3,902,725 $1,350,891 $14,455$0 $1,899,786 $7,291,562

1.9% 53.5% 18.5% 0.2%0.0% 26.1% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2639

Davita Sycamore2200 Gateway DriveSycamoreDeKalb1


Address:Name:

City:County:



Legal Entity Operator: DIALYSIS OF NORTHERN IL, LLCLegal Entity Owner:

Property Owner: PATRICA DENARDE


Medical Director Name: BINDU PAVITHRAN, MD






Oct 1

0

Oct 2

15

Oct 3

13

Oct 4

15

Oct 5

13

Oct 6

15

Oct 7

13

0 31 22 31 22 30 22






Date of Operation

Hours operated


26Total:

52Total:














Medicare

64

66.0%

Medicaid

24

Private Insurance

9

Charity Care

2

Private Pay

0

Other Public

0

TOTAL

97

24.7% 9.3% 2.1%0.0% 0.0% 100.0%

Patients

TOTAL 10

190

79

11880

0

07

211315

05

141212




99

0123525279956 43

99

$1,583,145 $113,631 $824,866 $590$0 $341,551 $2,863,193

55.3% 4.0% 28.8% 0.0%0.0% 11.9% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2587

DaVita Taylorville901 West Spresser StreetTaylorvilleChristian3


Address:Name:

City:County:



Legal Entity Operator: DVA Renal Healthcare, Inc.Legal Entity Owner:

Property Owner: Richmar, LLC


Medical Director Name: Lawrence J. Smith, MD

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






Oct 1

0

Oct 2

14

Oct 3

10

Oct 4

14

Oct 5

10

Oct 6

14

Oct 7

10

0 27 15 25 16 27 16






Date of Operation

Hours operated


21Total:

15Total:














Medicare

53

81.5%

Medicaid

8

Private Insurance

3

Charity Care

1

Private Pay

0

Other Public

1

TOTAL

65

12.3% 4.6% 1.5%0.0% 1.5% 100.0%

Patients

TOTAL 0020

64

0660

0

0589

13

01

119

10




66

06

1918236635 31

66

$1,215,036 $102,073 $282,331 $4,425$0 $220,486 $1,819,927

66.8% 5.6% 15.5% 0.2%0.0% 12.1% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2719

Davita West Lawn Dialysis7000 S Pulaski RdChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Total Renal Care, INC Legal Entity Owner:

Property Owner: Bob Dellitti


Medical Director Name: Michael Arvan, MD






Oct 1

0

Oct 2

15

Oct 3

15

Oct 4

15

Oct 5

15

Oct 6

15

Oct 7

15

0 35 26 31 28 32 29






Date of Operation

Hours operated


53Total:

53Total:














Medicare

39

63.9%

Medicaid

11

Private Insurance

11

Charity Care

3

Private Pay

0

Other Public

0

TOTAL

61

18.0% 18.0% 4.9%0.0% 0.0% 100.0%

Patients

TOTAL 10

170

46

42220

0

05

1088

05

14104




64

0102418126431 33

64

$1,358,920 $175,420 $1,677,685 $42,775$0 $390,106 $3,602,131

37.7% 4.9% 46.6% 1.2%0.0% 10.8% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2599

Decatur East Wood Dialysis794 East Wood StreetDecaturMacon4


Address:Name:

City:County:



Legal Entity Operator: DAVITA DIALYSISLegal Entity Owner:

Property Owner: SHAMS SIDDIQUI

FA LAST DAY MARCH 22, 2018. ANY FOLLOWUP TO SURVEY NEEDS TO BE DIRECTED TO REGIONAL OPERATION DIRECTOR: CYNTHIA EMLEY AT [email protected]


Medical Director Name: MOHAMMAD HASNAIN






Oct 1

0

Oct 2

11

Oct 3

11

Oct 4

11

Oct 5

11

Oct 6

11

Oct 7

11

0 31 31 26 30 30 30






Date of Operation

Hours operated


44Total:

44Total:














Medicare

59

60.8%

Medicaid

13

Private Insurance

6

Charity Care

2

Private Pay

0

Other Public

19

TOTAL

97

13.4% 6.2% 2.1%0.0% 19.6% 100.0%

Patients

TOTAL 00

500

49

000

0

010211114

04

21108




99

0144221229956 43

0

$1,858,039 $189,561 $1,268,140 $14,160$0 $309,890 $3,625,629

51.2% 5.2% 35.0% 0.4%0.0% 8.5% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2505

DSI Renal Dialysis Center1101 S. Canal Street ChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Davita Legal Entity Owner:

Property Owner: Canal and Taylor South LLC


Medical Director Name: Dr. Sheldon Hirsch






Oct 1

0

Oct 2

15

Oct 3

12

Oct 4

15

Oct 5

12

Oct 6

15

Oct 7

12

0 49 37 51 38 48 42






Date of Operation

Hours operated


60Total:

59Total:






Full-Time Work Week: 40Registered Nurse : 5Dialysis Technician : 12Dietician : 1Social Worker: 1LPN : 0Other Health :Other Non-Health: 3








Medicare

95

62.1%

Medicaid

31

Private Insurance

19

Charity Care

8

Private Pay

4

Other Public

4

TOTAL

153

20.3% 12.4% 5.2%2.6% 2.6% 100.0%

Patients

TOTAL 160

1200

25

13148

0

0

04

412219

08

271822




161

012684041

16186 75

161

$2,534,831 $68,143 $1,957,654 $63,315$1,026,098Net Revenue

12/31/20171/1/2017 to


14-2701

Edwardsville Dialysis235 South Buchanan StreetEdwardsvilleMadison11


Address:Name:

City:County:



Legal Entity Operator: Total Renal Care Inc. Legal Entity Owner:

Property Owner: Triple Crown Partner LLC


Medical Director Name: Felicia Bentley






Oct 1

0

Oct 2

17

Oct 3

11

Oct 4

17

Oct 5

11

Oct 6

17

Oct 7

11

0 22 16 23 16 21 17






Date of Operation

Hours operated


24Total:

36Total:














Medicare

51

83.6%

Medicaid

0

Private Insurance

8

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

61

0.0% 13.1% 0.0%0.0% 3.3% 100.0%

Patients

TOTAL 00

110

47

0583

3

02

1212

9

02879




61

04

2019186135 26

61

$874,281 $523,737 $0$417,207Net Revenue

12/31/20171/1/2017 to


14-2580

Effingham DaVita Dialysis904 Medical Park Dr., Suite 1EffinghamEffingham5


Address:Name:

City:County:




Property Owner: HSHS Medical Group, Inc.


Medical Director Name: Dr. Bashar Alzahabi






Oct 1

0

Oct 2

13

Oct 3

7

Oct 4

13

Oct 5

7

Oct 6

13

Oct 7

7

0 32 12 30 10 32 12






Date of Operation

Hours operated


25Total:

19Total:














Medicare

55

83.3%

Medicaid

5

Private Insurance

4

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

66

7.6% 6.1% 0.0%0.0% 3.0% 100.0%

Patients

TOTAL 0020

64

1650

0

04

1010

9

02

101110




66

06

2021196633 33

66

$1,935,407 $82,027 $825,648 $0 $152,063 $2,995,144

64.6% 2.7% 27.6% 0.0% 5.1% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2529

Emerald Dialysis710 W 43rd StChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Total Renal Care, IncLegal Entity Owner:

Property Owner: John Regas


Medical Director Name: Dr Edwin Cook






Oct 1

0

Oct 2

16

Oct 3

12

Oct 4

16

Oct 5

12

Oct 6

16

Oct 7

12

0 49 43 49 40 55 42






Date of Operation

Hours operated


52Total:

40Total:














Medicare

71

49.3%

Medicaid

11

Private Insurance

8

Charity Care

5

Private Pay

0

Other Public

54

TOTAL

144

7.6% 5.6% 3.5%0.0% 37.5% 100.0%

Patients

TOTAL 10

14502

14134

1

1

0284116

5

0133358




149

041742113

14990 59

149

$1,939,277 $150,453 $1,272,689 $77,585$0 $1,553,183 $4,915,602

39.5% 3.1% 25.9% 1.6%0.0% 31.6% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2568

Fox Valley Dialysis, Ltd.1300 Waterford DriveAuroraKane8


Address:Name:

City:County:



Legal Entity Operator: Operated by Renaissance Management Co. LLC Legal Entity Owner:

Property Owner: RBSG&M

Additional Related Entities Yorkville Medical Building Affiliated None RBSG&M Affiliated Building Lease Agreement


Medical Director Name: Dr. Pardeep Sood






Oct 1

0

Oct 2

18

Oct 3

18

Oct 4

18

Oct 5

18

Oct 6

18

Oct 7

18

0 78 56 72 57 75 55






Date of Operation

Hours operated


71Total:

83Total:






Full-Time Work Week: 40Registered Nurse : 9.01Dialysis Technician : 13.41Dietician : 1.26Social Worker: 1.4LPN : 3.24Other Health : 0.52Other Non-Health: 2.55








Medicare

151

70.6%

Medicaid

36

Private Insurance

27

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

214

16.8% 12.6% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 110

390

164

90124

0

0

016533122

018362117




214

034895239

214122 92

214

$2,818,835 $459,549 $2,422,210 $0Net Revenue

12/31/20171/1/2017 to


14-2642

Freeport Dialysis1028 Kunkle BLVD Freeport Stephenson1


Address:Name:

City:County:



Legal Entity Operator: Renal Treatment Centers of IllinoisLegal Entity Owner:

Property Owner: Edmund and Siham Totah


Medical Director Name: Dr. John Maynard






Oct 1

0

Oct 2

12

Oct 3

8

Oct 4

12

Oct 5

8

Oct 6

12

Oct 7

8

0 19 9 18 10 19 10






Date of Operation

Hours operated


18Total:

20Total:














Medicare

35

76.1%

Medicaid

6

Private Insurance

0

Charity Care

0

Private Pay

0

Other Public

5

TOTAL

46

13.0% 0.0% 0.0%0.0% 10.9% 100.0%

Patients

TOTAL 00

120

17

2440

17

04

1067

00496




46

04

1415134627 19

46

$734,496 $139,301 $0 $0$0 $184,543 $1,058,340

69.4% 13.2% 0.0% 0.0%0.0% 17.4% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2827

Fresenius Kidney Care 9924 S. VincennesChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Chicagoland, LLC Legal Entity Owner:

Property Owner: Mosaic Real Estate Investments

• Fresenius Kidney Care does not hold long term debt on any Illinois dialysis location balance sheet. Fresenius Medical Care does not, as a for-profit corporation, provide charity care under the Board's definition of same; however, it treats all patients regardless of ability to pay and thus does provide uncompensated care. The cost of providing uncompensated care in Illinois was approximately $3,000,000. Most of our Medicaid patients have moved to managed care “Medicaid Risk” programs which reimburse at rates comparable to Medicaid and Medicare, however these patients/revenues are accounted for under Private Insurance. Approximately 9% of the Illinois hemodialysis patients Fresenius treated in 2017 were covered by either Medicaid or a managed Medicaid insurance. • Patient counts are from 2017 and financial data was obtained from 2016 Audited Financial Statements.


Medical Director Name: Ali Khan, MD






Oct 1

0

Oct 2

7

Oct 3

0

Oct 4

7

Oct 5

0

Oct 6

7

Oct 7

0

0 1 0 1 0 1 0






Date of Operation

Hours operated


0Total:

1Total:














Medicare

0

0.0%

Medicaid

0

Private Insurance

1

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

1

0.0% 100.0% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00100

010

0

00100

00000




1

0010011 0

1

$0 $0 $0 $0$0 $0 $0

#Num! #Num! #Num! #Num!#Num! #Num! #Num!Net Revenue

12/31/20161/1/2016 to


14-2667

Fresenius Kidney Care 11630 S. Kedzie AvenueMerrionette ParkCook7


Address:Name:

City:County:



Legal Entity Operator: Renal Care Group Chicago Southside, LLC Legal Entity Owner:

Property Owner: RSA Companies



Medical Director Name: Ejikeme Obasi, MD






Oct 1

0

Oct 2

17.5

Oct 3

17.5

Oct 4

17.5

Oct 5

17.5

Oct 6

17.5

Oct 7

17.5

0 67 61 60 65 61 58






Date of Operation

Hours operated


46Total:

38Total:














Medicare

101

60.1%

Medicaid

3

Private Insurance

63

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

168

1.8% 37.5% 0.0%0.0% 0.6% 100.0%

Patients

TOTAL 20

1400

26

9159

0

0

011342518

08

242523




168

019585041

16888 80

168

$2,660,340 $48,846 $3,635,825 $0$2,938 $1,338 $6,349,287

41.9% 0.8% 57.3% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2562

Fresenius Kidney Care East Peoria 3300 N. Main StreetPeoriaTazewell2


Address:Name:

City:County:



Legal Entity Operator: Dialysis Centers of America - Illinois, Inc. Legal Entity Owner:

Property Owner: Fresenius Medical Care



Medical Director Name: David Rosborough, MD






Oct 1

0

Oct 2

19

Oct 3

18

Oct 4

19

Oct 5

18

Oct 6

19

Oct 7

16

0 50 47 51 48 50 46






Date of Operation

Hours operated


50Total:

53Total:














Medicare

102

65.4%

Medicaid

4

Private Insurance

49

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

156

2.6% 31.4% 0.0%0.0% 0.6% 100.0%

Patients

TOTAL 00

390

117

2154

0

0

07

452517

09

171917




156

016624434

15694 62

156

$2,188,069 $45,166 $2,619,577 $0$4,050 $0 $4,856,862

45.1% 0.9% 53.9% 0.0%0.1% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2670

Fresenius Kidney Care Ross-Englewood 6333 S. Green StreetChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Ross Dialysis Englewood, LLC Legal Entity Owner:

Property Owner: AIN Investments, LLC



Medical Director Name: April Kennedy, MD

1/24/2017 - 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.






Oct 1

0

Oct 2

17

Oct 3

17

Oct 4

17

Oct 5

17

Oct 6

17

Oct 7

17

0 39 38 39 35 35 37






Date of Operation

Hours operated


52Total:

51Total:














Medicare

71

57.7%

Medicaid

5

Private Insurance

44

Charity Care

0

Private Pay

1

Other Public

2

TOTAL

123

4.1% 35.8% 0.0%0.8% 1.6% 100.0%

Patients

TOTAL 00

12200

1122

0

1

09

3917

9

01017148




123

019563117

12374 49

123

$1,712,571 $21,955 $1,320,454 $0$9,404 $26,563 $3,090,947

55.4% 0.7% 42.7% 0.0%0.3% 0.9% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2658

Fresenius Kidney Care Aledo409 NW 9th AvenueAledoMercer10


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Quad Cities, LLC Legal Entity Owner:

Property Owner: RRS Investments, LLP



Medical Director Name: Travis Figanbaum, MD






Oct 1

0

Oct 2

13

Oct 3

0

Oct 4

12

Oct 5

0

Oct 6

12

Oct 7

0

0 12 0 12 0 12 0






Date of Operation

Hours operated


4Total:

3Total:














Medicare

13

81.3%

Medicaid

0

Private Insurance

2

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

16

0.0% 12.5% 0.0%0.0% 6.3% 100.0%

Patients

TOTAL 0010

15

0160

0

00331

00216




16

00547

167 9

16

$318,132 $0 $41,314 $0$0 $0 $359,446

88.5% 0.0% 11.5% 0.0%0.0% 0.0% 100.0%Net Revenue

1/31/20161/1/2016 to


14-2630

Fresenius Kidney Care Alsip12250 S Cicero, Suite 105AlsipCook7


Address:Name:

City:County:



Legal Entity Operator: WSKC Dialysis Services, Inc.Legal Entity Owner:

Property Owner: Hickory Properties, INC



Medical Director Name: Sejal Kalawadia, MD






Oct 1

0

Oct 2

18

Oct 3

13

Oct 4

18

Oct 5

13

Oct 6

18

Oct 7

13

0 43 42 43 42 43 42






Date of Operation

Hours operated


33Total:

41Total:














Medicare

72

62.1%

Medicaid

0

Private Insurance

44

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

116

0.0% 37.9% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

810

35

22940

0

09

251411

01

221816




116

010473227

11659 57

116

$1,916,456 $17,898 $2,527,461 $0$11,000 $5,611 $4,478,426

42.8% 0.4% 56.4% 0.0%0.2% 0.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2673

Fresenius Kidney Care Antioch311 Depot Street, Suite HAntiochLake8


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Lake County, LLCLegal Entity Owner:

Property Owner: Depot St. Station Development LLC



Medical Director Name: Dr. Degani






Oct 1

0

Oct 2

14

Oct 3

12

Oct 4

14

Oct 5

12

Oct 6

14

Oct 7

12

0 18 10 19 11 18 13






Date of Operation

Hours operated


36Total:

32Total:














Medicare

43

65.2%

Medicaid

1

Private Insurance

20

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

66

1.5% 30.3% 0.0%0.0% 3.0% 100.0%

Patients

TOTAL 2090

55

4620

0

02

1994

01

101110




66

03

2920146634 32

66

$557,063 $9,844 $499,768 $0$3,299 $33,891 $1,103,865

50.5% 0.9% 45.3% 0.0%0.3% 3.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2515

Fresenius Kidney Care Aurora 455 Mercy LaneAuroraKane8


Address:Name:

City:County:



Legal Entity Operator: WSKC Dialysis Services, Inc.Legal Entity Owner:

Property Owner: American Realty Capital Properties , IN



Medical Director Name: Navinchandra Dodhia, MD






Oct 1

0

Oct 2

22

Oct 3

19

Oct 4

22

Oct 5

19

Oct 6

22

Oct 7

19

0 74 63 72 67 77 64






Date of Operation

Hours operated


56Total:

61Total:














Medicare

108

52.9%

Medicaid

4

Private Insurance

80

Charity Care

0

Private Pay

9

Other Public

3

TOTAL

204

2.0% 39.2% 0.0%4.4% 1.5% 100.0%

Patients

TOTAL 50

580

137

113910

4

020492428

08

303114




204

028795542

204121 83

204

$3,045,378 $20,873 $4,858,838 $0$80,974 $56,187 $8,062,250

37.8% 0.3% 60.3% 0.0%1.0% 0.7% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2653

Fresenius Kidney Care Austin Community 4800 W. Chicago Ave., Suite 2AChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: WSKC Dialysis Services, Inc. Legal Entity Owner:

Property Owner: Westside Health Authority



Medical Director Name: David Kracker, MD






Oct 1

0

Oct 2

14

Oct 3

14

Oct 4

14

Oct 5

14

Oct 6

14

Oct 7

14

0 31 19 29 20 31 22






Date of Operation

Hours operated


49Total:

32Total:














Medicare

53

57.0%

Medicaid

3

Private Insurance

36

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

93

3.2% 38.7% 0.0%1.1% 0.0% 100.0%

Patients

TOTAL 00

810

12

11820

0

0112510

3

07

17119




93

0184221129349 44

93

$1,491,726 $49,729 $1,250,539 $0$4,120 $0 $2,796,114

53.3% 1.8% 44.7% 0.0%0.1% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2533

Fresenius Kidney Care Berwyn 2601 S. Harlem Ave.BerwynCook7


Address:Name:

City:County:




Property Owner: Blueroad Net Lease, LLC



Medical Director Name: Matthew Anderson, MD

6/1/2017 - Facility added 2 ESRD stations to existing 28 station facility; facility now authorized for 30 ESRD stations.






Oct 1

0

Oct 2

18

Oct 3

18

Oct 4

18

Oct 5

18

Oct 6

18

Oct 7

18

0 72 73 72 72 71 72






Date of Operation

Hours operated


65Total:

66Total:














Medicare

127

55.7%

Medicaid

14

Private Insurance

75

Charity Care

0

Private Pay

12

Other Public

0

TOTAL

228

6.1% 32.9% 0.0%5.3% 0.0% 100.0%

Patients

TOTAL 10

290

194

147774

4

019673918

013381915




228

032

1055833

228143 85

228

$3,001,315 $100,744 $5,565,042 $0$136,393 $19,681 $8,823,175

34.0% 1.1% 63.1% 0.0%1.5% 0.2% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2539

Fresenius Kidney Care Blue Island 12200 Western Ave., Suite 120Blue IslandCook7


Address:Name:

City:County:




Property Owner: Shops at Blue Island LLC



Medical Director Name: Salvatore Ventura, MD






Oct 1

0

Oct 2

17

Oct 3

17

Oct 4

17

Oct 5

17

Oct 6

17

Oct 7

17

0 58 56 54 54 54 54






Date of Operation

Hours operated


33Total:

30Total:














Medicare

79

53.7%

Medicaid

1

Private Insurance

66

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

147

0.7% 44.9% 0.0%0.0% 0.7% 100.0%

Patients

TOTAL 00

12400

14133

0

23

036311415

04

181910




147

040493325

14796 51

147

$2,438,447 $25,834 $3,440,902 $0$26,349 $46,816 $5,978,348

40.8% 0.4% 57.6% 0.0%0.4% 0.8% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2605

Fresenius Kidney Care Bolingbrook 329 Remington Blvd.BolingbrookWill9


Address:Name:

City:County:




Property Owner: Remington Develoment Partners c/o Ph



Medical Director Name: Huma Rohail, MD






Oct 1

0

Oct 2

18

Oct 3

18

Oct 4

20

Oct 5

18

Oct 6

18

Oct 7

18

0 62 52 61 52 65 54






Date of Operation

Hours operated


62Total:

68Total:














Medicare

102

54.3%

Medicaid

4

Private Insurance

75

Charity Care

0

Private Pay

4

Other Public

3

TOTAL

188

2.1% 39.9% 0.0%2.1% 1.6% 100.0%

Patients

TOTAL 250

680

94

39148

1

1

020482020

011252321




188

031734341

188108 80

188

$2,914,199 $88,038 $4,207,418 $0$50,154 $60,972 $7,320,781

39.8% 1.2% 57.5% 0.0%0.7% 0.8% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2637

Fresenius Kidney Care Breese 160 N. Main StreetBreeseClinton11


Address:Name:

City:County:



Legal Entity Operator: RAI Care Centers of Illinois I, LLC Legal Entity Owner:

Property Owner: Oakmont Capital Resources



Medical Director Name: Bassim Assioun, MD






Oct 1

0

Oct 2

13

Oct 3

13

Oct 4

13

Oct 5

13

Oct 6

13

Oct 7

13

0 14 15 16 14 16 15






Date of Operation

Hours operated


29Total:

29Total:














Medicare

29

80.6%

Medicaid

0

Private Insurance

6

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

36

0.0% 16.7% 0.0%2.8% 0.0% 100.0%

Patients

TOTAL 0040

32

0360

0

0182

13

02424




36

03

124

173624 12

36

$643,649 $0 $267,938 $0$0 $2,175 $913,762

70.4% 0.0% 29.3% 0.0%0.0% 0.2% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2524

Fresenius Kidney Care Bridgeport 825 W. 35th StreetChicagoCook6


Address:Name:

City:County:




Property Owner: Bridgeport Assosiates



Medical Director Name: Maria Sobrero, MD






Oct 1

0

Oct 2

17

Oct 3

12

Oct 4

17

Oct 5

12

Oct 6

17

Oct 7

12

0 66 48 69 49 66 46






Date of Operation

Hours operated


72Total:

80Total:














Medicare

122

61.3%

Medicaid

7

Private Insurance

68

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

199

3.5% 34.2% 0.0%1.0% 0.0% 100.0%

Patients

TOTAL 200

1100

69

31168

0

0

07

433019

09

363520




199

016796539

19999 100

199

$2,867,258 $53,975 $2,635,308 $0$20,598 $46,871 $5,624,010

51.0% 1.0% 46.9% 0.0%0.4% 0.8% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2641

Fresenius Kidney Care Burbank 4811 W. 77th StreetBurbankCook7


Address:Name:

City:County:




Property Owner: Burbank Town Center, LLC



Medical Director Name: Vinitha Raghavan, MD






Oct 1

0

Oct 2

18

Oct 3

18

Oct 4

18

Oct 5

18

Oct 6

18

Oct 7

18

0 64 64 64 64 64 64






Date of Operation

Hours operated


53Total:

53Total:














Medicare

97

53.3%

Medicaid

8

Private Insurance

74

Charity Care

0

Private Pay

3

Other Public

0

TOTAL

182

4.4% 40.7% 0.0%1.6% 0.0% 100.0%

Patients

TOTAL 20

910

25

87950

64

029383517

016191711




182

045575228

182119 63

182

$2,693,914 $137,021 $4,225,624 $0$35,107 $3,272 $7,094,938

38.0% 1.9% 59.6% 0.0%0.5% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2514

Fresenius Kidney Care Carbondale 1425 E. Main StreetCarbondaleJackson5


Address:Name:

City:County:



Legal Entity Operator: Bio-Medical Applications of Illinois, Inc. Legal Entity Owner:

Property Owner: FRE Carbondale, LLC



Medical Director Name: Randy Cowart, MD






Oct 1

0

Oct 2

17

Oct 3

15

Oct 4

16

Oct 5

13

Oct 6

16.5

Oct 7

13

0 47 32 43 34 46 34






Date of Operation

Hours operated


47Total:

65Total:














Medicare

93

70.5%

Medicaid

5

Private Insurance

21

Charity Care

0

Private Pay

1

Other Public

12

TOTAL

132

3.8% 15.9% 0.0%0.8% 9.1% 100.0%

Patients

TOTAL 20

380

92

4128

0

0

08

312322

06

121515




132

014433837

13284 48

132

$367,673 $20,588 $198,805 $0$1,412 $54,497 $642,975

57.2% 3.2% 30.9% 0.0%0.2% 8.5% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2546

Fresenius Kidney Care Centre West Springfield 1112 Centre West DriveSpringfieldSangamon3


Address:Name:

City:County:



Legal Entity Operator: RAI Care Centers of Illinois II, LLC Legal Entity Owner:

Property Owner: Indria D. Lakhram, ELH Mgmt. LLC



Medical Director Name: Merry Downer, MD






Oct 1

0

Oct 2

17

Oct 3

13

Oct 4

17

Oct 5

13

Oct 6

17

Oct 7

13

0 36 30 37 29 37 30






Date of Operation

Hours operated


61Total:

60Total:














Medicare

85

66.9%

Medicaid

1

Private Insurance

41

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

127

0.8% 32.3% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

370

90

2125

0

0

08

222322

06

111520




127

014333842

12775 52

127

$155,701 $951 $1,963,778 $0$0 $22,834 $2,143,264

7.3% 0.0% 91.6% 0.0%0.0% 1.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2588

Fresenius Kidney Care Champaign-Urbana 1405 W. Park Street, Suite 100UrbanaChampaign4


Address:Name:

City:County:



Legal Entity Operator: Renal Research Institute, LLC Legal Entity Owner:

Property Owner: Tim Max



Medical Director Name: Abdel-Moneim Attia, MD






Oct 1

0

Oct 2

17

Oct 3

17

Oct 4

17

Oct 5

17

Oct 6

17

Oct 7

17

0 56 50 54 47 53 47






Date of Operation

Hours operated


81Total:

64Total:














Medicare

111

63.4%

Medicaid

17

Private Insurance

43

Charity Care

0

Private Pay

0

Other Public

4

TOTAL

175

9.7% 24.6% 0.0%0.0% 2.3% 100.0%

Patients

TOTAL 20

800

89

10161

4

4

011482311

013311523




175

024793834

17593 82

175

$1,718,791 $39,284 $2,311,187 $0$0 $137,901 $4,207,163

40.9% 0.9% 54.9% 0.0%0.0% 3.3% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2744

Fresenius Kidney Care Chatham 8710 S. Holland RoadChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Chatham, LLCLegal Entity Owner:

Property Owner: AEI Income & Growth Fund 27, LLC



Medical Director Name: Sreedevi Chittineni, MD






Oct 1

0

Oct 2

17

Oct 3

17

Oct 4

17

Oct 5

17

Oct 6

17

Oct 7

17

0 37 39 33 41 39 40






Date of Operation

Hours operated


37Total:

49Total:














Medicare

81

62.8%

Medicaid

1

Private Insurance

47

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

129

0.8% 36.4% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

12900

0129

0

0

010331318

06

158

26




129

016482144

12974 55

129

$2,013,635 $8,191 $1,841,189 $0$0 $9,083 $3,872,098

52.0% 0.2% 47.6% 0.0%0.0% 0.2% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2506

Fresenius Kidney Care Chicago 1806 Hubbard StreetChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Summit, LLCLegal Entity Owner:

Property Owner: Hasting Center Office



Medical Director Name: Khaleel Sayeed, MD






Oct 1

0

Oct 2

17

Oct 3

12

Oct 4

17

Oct 5

12

Oct 6

17

Oct 7

12

0 36 18 34 19 34 19






Date of Operation

Hours operated


22Total:

24Total:














Medicare

43

54.4%

Medicaid

3

Private Insurance

33

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

79

3.8% 41.8% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 01

490

26

15640

3

06

2971

06

1794




79

01246165

7943 36

79

$1,296,244 $26,600 $1,474,983 $0$12,617 $235 $2,810,679

46.1% 0.9% 52.5% 0.0%0.4% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2832

Fresenius Kidney Care Chicago Heights15 E. Independence DriveChicago HeightsCook7


Address:Name:

City:County:




Property Owner: Inland Commercial Real Estate Service



Medical Director Name: Rizwan Moinuddin, MD






Oct 1

0

Oct 2

8

Oct 3

0

Oct 4

8

Oct 5

8

Oct 6

8

Oct 7

0

0 2 0 1 1 1 0






Date of Operation

Hours operated


0Total:

3Total:














Medicare

0

0.0%

Medicaid

0

Private Insurance

3

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

3

0.0% 100.0% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00201

120

0

00100

00200




3

0030031 2

3

$0 $0 $0 $0$0 $0 $0


1/1/20161/1/2016 to


14-2681

Fresenius Kidney Care Chicago Westside 1340 S. Damen AvenueChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care of Illinois, LLC Legal Entity Owner:

Property Owner: Hasting Center Office



Medical Director Name: Jose Arruda, MD






Oct 1

0

Oct 2

12.5

Oct 3

12.5

Oct 4

12.5

Oct 5

12.5

Oct 6

12.5

Oct 7

12.5

0 32 28 32 28 32 28






Date of Operation

Hours operated


47Total:

37Total:














Medicare

51

48.6%

Medicaid

2

Private Insurance

51

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

105

1.9% 48.6% 0.0%1.0% 0.0% 100.0%

Patients

TOTAL 00

600

45

43620

0

0192212

6

08

2459




105

027461715

10559 46

105

$37,282 $10,177 $38,315 $0$0 $2,857,752 $2,943,526

1.3% 0.3% 1.3% 0.0%0.0% 97.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2754

Fresenius Kidney Care Cicero3000 S. Cicero AvenueCiceroCook7


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Cicero, LLC Legal Entity Owner:

Property Owner: MR CICERO PLAZA, LLC



Medical Director Name: Matthew Anderson, MD






Oct 1

0

Oct 2

17

Oct 3

17

Oct 4

17

Oct 5

17

Oct 6

17

Oct 7

17

0 42 29 42 29 42 29






Date of Operation

Hours operated


17Total:

39Total:














Medicare

50

53.2%

Medicaid

3

Private Insurance

37

Charity Care

0

Private Pay

4

Other Public

0

TOTAL

94

3.2% 39.4% 0.0%4.3% 0.0% 100.0%

Patients

TOTAL 1080

85

80140

0

05

3220

5

06

1754




94

01149259

9462 32

94

$1,155,022 $0 $3,026,192 $0$24,951 $2,019 $4,208,184

27.4% 0.0% 71.9% 0.0%0.6% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2631

Fresenius Kidney Care Congress Parkway 3410 W. Van Buren AvenueChicagoCook6


Address:Name:

City:County:




Property Owner: CMGS, LLC



Medical Director Name: Asad Bakir, MD






Oct 1

0

Oct 2

18

Oct 3

14

Oct 4

18

Oct 5

14

Oct 6

18

Oct 7

14

0 56 39 56 44 61 41






Date of Operation

Hours operated


59Total:

42Total:






Full-Time Work Week: 32Registered Nurse : 7.5Dialysis Technician : 11Dietician : 1.5Social Worker: 1LPN : 1Other Health : 0Other Non-Health: 2








Medicare

86

57.0%

Medicaid

5

Private Insurance

59

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

151

3.3% 39.1% 0.0%0.7% 0.0% 100.0%

Patients

TOTAL 00

1360

15

15136

0

0

019301315

014309

21




151

033602236

15177 74

151

$2,765,398 $114,353 $2,480,777 $0$36,293 $4,042 $5,400,863

51.2% 2.1% 45.9% 0.0%0.7% 0.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2538

Fresenius Kidney Care Crestwood 4861W. Cal Sag Road CrestwoodCook7


Address:Name:

City:County:




Property Owner: Brixmor SPE 3, LLC



Medical Director Name: Akash Ahuja, MD

9/26/2017 - 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.






Oct 1

0

Oct 2

17.5

Oct 3

12.5

Oct 4

17.5

Oct 5

12.5

Oct 6

17.5

Oct 7

12.5

0 49 40 48 37 50 38






Date of Operation

Hours operated


58Total:

41Total:














Medicare

92

63.0%

Medicaid

4

Private Insurance

2

Charity Care

0

Private Pay

0

Other Public

48

TOTAL

146

2.7% 1.4% 0.0%0.0% 32.9% 100.0%

Patients

TOTAL 01

581

86

11135

0

0

09

363619

03

141514




146

012505133

146100 46

146

$2,027,710 $66,192 $3,334,712 $0$4,655 $52,401 $5,485,670

37.0% 1.2% 60.8% 0.0%0.1% 1.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2603

Fresenius Kidney Care Decatur 1830 S. 44th StreetDecaturMacon4


Address:Name:

City:County:




Property Owner: Lillibridge Healthcare Services, Inc.



Medical Director Name: Mohammed Dawood, MD






Oct 1

0

Oct 2

15

Oct 3

12

Oct 4

15

Oct 5

12

Oct 6

15

Oct 7

12

0 24 19 22 21 24 19






Date of Operation

Hours operated


44Total:

39Total:














Medicare

75

85.2%

Medicaid

3

Private Insurance

8

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

88

3.4% 9.1% 0.0%0.0% 2.3% 100.0%

Patients

TOTAL 00

110

77

0880

0

03

211612

019

1511




88

04

3031238852 36

88

$1,406,527 $2,961 $520,838 $0$6,521 $8,500 $1,945,347

72.3% 0.2% 26.8% 0.0%0.3% 0.4% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2710

Fresenius Kidney Care Deerfield 405 Lake Cook RoadDeerfieldCook7


Address:Name:

City:County:




Property Owner: Lake Cook Plaza, LLC



Medical Director Name: Shalini Patel, MD






Oct 1

0

Oct 2

17

Oct 3

0

Oct 4

17

Oct 5

0

Oct 6

17

Oct 7

0

0 29 0 28 0 27 0






Date of Operation

Hours operated


28Total:

32Total:






Full-Time Work Week: 32Registered Nurse : 3Dialysis Technician : 2.5Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 0Other Non-Health: 1








Medicare

37

68.5%

Medicaid

0

Private Insurance

16

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

54

0.0% 29.6% 0.0%1.9% 0.0% 100.0%

Patients

TOTAL 2060

46

6480

0

028

1215

02834




54

04

1615195437 17

54

$658,793 $0 $693,741 $0$0 $0 $1,352,534

48.7% 0.0% 51.3% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2774

Fresenius Kidney Care Des Plaines 1625 Oakton PlaceDes PlainesCook7


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Des Plaines, LLC Legal Entity Owner:

Property Owner: Washington Center LLC



Medical Director Name: Daniel Kniaz, MD






Oct 1

0

Oct 2

17

Oct 3

12

Oct 4

17

Oct 5

12

Oct 6

17

Oct 7

12

0 29 18 29 17 29 20






Date of Operation

Hours operated


35Total:

43Total:






Full-Time Work Week: 32Registered Nurse : 4Dialysis Technician : 4Dietician : 0.5Social Worker: 1LPN : 0Other Health : 0Other Non-Health: 2








Medicare

51

63.0%

Medicaid

2

Private Insurance

25

Charity Care

0

Private Pay

3

Other Public

0

TOTAL

81

2.5% 30.9% 0.0%3.7% 0.0% 100.0%

Patients

TOTAL 140

132

52

16650

0

05

181211

0397

16




81

08

2719278146 35

81

$870,780 $23,031 $701,828 $0$20,171 $20,936 $1,636,746

53.2% 1.4% 42.9% 0.0%1.2% 1.3% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2503

Fresenius Kidney Care Downers Grove 3825 Highland Ave., Suite 102Downers GroveDuPage7


Address:Name:

City:County:




Property Owner: VTR Downers Grove POB Holdings



Medical Director Name: Naresh Julka, MD






Oct 1

0

Oct 2

17

Oct 3

12

Oct 4

17

Oct 5

12

Oct 6

17

Oct 7

12

0 38 25 35 25 34 25






Date of Operation

Hours operated


49Total:

48Total:














Medicare

71

65.7%

Medicaid

0

Private Insurance

32

Charity Care

0

Private Pay

2

Other Public

3

TOTAL

108

0.0% 29.6% 0.0%1.9% 2.8% 100.0%

Patients

TOTAL 120

140

82

16920

0

05

141725

01

161020




108

06

302745

10861 47

108

$1,124,732 $7,098 $1,134,990 $0$10,276 $73,476 $2,350,572

47.8% 0.3% 48.3% 0.0%0.4% 3.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2509

Fresenius Kidney Care DuPage West 450 E. Roosevelt RoadWest ChicagoDuPage7


Address:Name:

City:County:




Property Owner: Midland Ventures Inc.



Medical Director Name: Gregory Kozeny, MD






Oct 1

0

Oct 2

18

Oct 3

12

Oct 4

18

Oct 5

12

Oct 6

18

Oct 7

12

0 40 25 39 23 38 26






Date of Operation

Hours operated


45Total:

46Total:














Medicare

57

55.3%

Medicaid

4

Private Insurance

36

Charity Care

0

Private Pay

6

Other Public

0

TOTAL

103

3.9% 35.0% 0.0%5.8% 0.0% 100.0%

Patients

TOTAL 1161

94

33646

0

09

231912

01110127




103

020333119

10363 40

103

$1,437,167 $36,056 $2,891,215 $0$2,029 $12,927 $4,379,394

32.8% 0.8% 66.0% 0.0%0.0% 0.3% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2595

Fresenius Kidney Care DuQuoin 825 Sunset AvenueDuQuoinPerry5


Address:Name:

City:County:




Property Owner: Andrew Chang



Medical Director Name: Randy Cowart, MD







Oct 1

0

Oct 2

10

Oct 3

10

Oct 4

10

Oct 5

10

Oct 6

10

Oct 7

10

0 23 14 23 15 23 15






Date of Operation

Hours operated


16Total:

20Total:














Medicare

46

86.8%

Medicaid

1

Private Insurance

2

Charity Care

0

Private Pay

0

Other Public

4

TOTAL

53

1.9% 3.8% 0.0%0.0% 7.5% 100.0%

Patients

TOTAL 0030

50

0530

0

01

109

12

00588




53

01

1517205332 21

53

$672,446 $31,337 $325,515 $0$0 $99,359 $1,128,657

59.6% 2.8% 28.8% 0.0%0.0% 8.8% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2726

Fresenius Kidney Care Elgin 2130 Point Blvd., Suite 800ElginKane8


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Elgin, LLC Legal Entity Owner:

Property Owner: Pancor Construction and Development,



Medical Director Name: Raju Ray, M.D.






Oct 1

0

Oct 2

18

Oct 3

18

Oct 4

18

Oct 5

18

Oct 6

18

Oct 7

18

0 56 50 54 50 53 53






Date of Operation

Hours operated


47Total:

81Total:






Full-Time Work Week: 32Registered Nurse : 9.5Dialysis Technician : 10Dietician : 1Social Worker: 1LPN : 1Other Health : 0Other Non-Health: 2








Medicare

97

61.8%

Medicaid

3

Private Insurance

55

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

157

1.9% 35.0% 0.0%1.3% 0.0% 100.0%

Patients

TOTAL 110

173

126

57100

0

0

014342725

09

171318




157

023514043

157100 57

157

$1,632,865 $39,340 $1,910,347 $0$14,412 $32,382 $3,629,346

45.0% 1.1% 52.6% 0.0%0.4% 0.9% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2507

Fresenius Kidney Care Elk Grove 901 Biesterfield RoadElk Grove VillageCook7


Address:Name:

City:County:




Property Owner: Stage Equity Partners, LLC



Medical Director Name: Lisa Pillsbury, MD






Oct 1

0

Oct 2

17

Oct 3

17

Oct 4

17

Oct 5

17

Oct 6

17

Oct 7

17

0 67 56 66 49 67 57






Date of Operation

Hours operated


62Total:

69Total:














Medicare

146

71.6%

Medicaid

0

Private Insurance

55

Charity Care

0

Private Pay

1

Other Public

2

TOTAL

204

0.0% 27.0% 0.0%0.5% 1.0% 100.0%

Patients

TOTAL 201

110

172

32172

0

0

012473338

07

191632




204

019664970

204130 74

204

$3,762,753 $49,786 $3,880,203 $0$40,339 $121,650 $7,854,731

47.9% 0.6% 49.4% 0.0%0.5% 1.5% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2612

Fresenius Kidney Care Elmhurst 133 E Brush Hill RoadElmhurstDuPage7


Address:Name:

City:County:




Property Owner: Hammes Co.



Medical Director Name: Rukhsana Muneer, MD






Oct 1

0

Oct 2

18

Oct 3

13

Oct 4

18

Oct 5

13

Oct 6

18

Oct 7

13

0 67 38 62 35 64 40






Date of Operation

Hours operated


74Total:

66Total:














Medicare

112

63.6%

Medicaid

2

Private Insurance

60

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

176

1.1% 34.1% 0.0%1.1% 0.0% 100.0%

Patients

TOTAL 150

500

111

39137

0

0

013462520

04

272417




176

017734937

176104 72

176

$2,761,837 $48,902 $4,076,469 $0$75,714 $36,994 $6,999,916

39.5% 0.7% 58.2% 0.0%1.1% 0.5% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2621

Fresenius Kidney Care Evanston 2953 Cenetral StreetEvanstonCook7


Address:Name:

City:County:




Property Owner: Craig Bjorkman



Medical Director Name: Neeno Khosla, MD






Oct 1

0

Oct 2

16

Oct 3

14

Oct 4

16

Oct 5

14

Oct 6

16

Oct 7

14

0 33 26 33 26 33 26






Date of Operation

Hours operated


23Total:

25Total:














Medicare

68

75.6%

Medicaid

2

Private Insurance

18

Charity Care

0

Private Pay

1

Other Public

1

TOTAL

90

2.2% 20.0% 0.0%1.1% 1.1% 100.0%

Patients

TOTAL 40

365

43

6822

2

03

1112

9

02

192212




90

05

3034219035 55

90

$1,761,803 $40,079 $1,316,146 $0$9,841 $24,451 $3,152,320

55.9% 1.3% 41.8% 0.0%0.3% 0.8% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2823

Fresenius Kidney Care Evergreen Park 8901 S. Kedzie AvenueEvergreen ParkCook7


Address:Name:

City:County:




Property Owner: Net3, LLC

• Fresenius Kidney Care does not hold long term debt on any Illinois dialysis location balance sheet. Fresenius Medical Care does not, as a for-profit corporation, provide charity care under the Board's definition of same; however, it treats all patients regardless of ability to pay and thus does provide uncompensated care. The cost of providing uncompensated care in Illinois was approximately $3,000,000. Most of our Medicaid patients have moved to managed care “Medicaid Risk” programs which reimburse at rates comparable to Medicaid and Medicare, however these patients/revenues are accounted for under Private Insurance. Approximately 9% of the Illinois hemodialysis patients Fresenius treated in 2017 were covered by either Medicaid or a managed Medicaid insurance. • Patient counts are from 2017 and financial data was obtained from 2016 Audited Financial Statements. *This facility had an emergency closure in 2016 and a CON was granted, #16-035, to relocate. The facility reopened in 2017 under a new address and was given a new provider number.


Medical Director Name: Paul Crawford, MD






Oct 1

0

Oct 2

11

Oct 3

0

Oct 4

8

Oct 5

0

Oct 6

11

Oct 7

0

0 2 0 1 0 2 0






Date of Operation

Hours operated


2Total:

25Total:














Medicare

17

68.0%

Medicaid

0

Private Insurance

8

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

25

0.0% 32.0% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

2401

0250

0

00634

00543




25

00

1177

2513 12

25

$1,819,661 $11,584 $2,014,574 $0$2,645 $25,012 $3,873,476

47.0% 0.3% 52.0% 0.0%0.1% 0.6% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2579

Fresenius Kidney Care Galesburg 765 N. Kellogg Street, Suite 101GalesburgKnox2


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Galesburg, LLC Legal Entity Owner:

Property Owner: Cottage Hospital



Medical Director Name: Parthasarathy Srinivasan, M.D.






Oct 1

0

Oct 2

19

Oct 3

17

Oct 4

19

Oct 5

17

Oct 6

19

Oct 7

17

0 36 34 30 32 37 35






Date of Operation

Hours operated


23Total:

34Total:














Medicare

66

66.7%

Medicaid

1

Private Insurance

31

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

99

1.0% 31.3% 0.0%0.0% 1.0% 100.0%

Patients

TOTAL 20

190

78

9900

0

06

241811

09

109

12




99

0153427239959 40

99

$1,197,426 $21,794 $1,077,804 $0$3,059 $95,072 $2,395,155

50.0% 0.9% 45.0% 0.0%0.1% 4.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2555

Fresenius Kidney Care Garfield 5401 S. WentworthChicagoCook6


Address:Name:

City:County:




Property Owner: East Lake Management Company



Medical Director Name: Paru Kathpalia, MD






Oct 1

0

Oct 2

16

Oct 3

12

Oct 4

16

Oct 5

12

Oct 6

16

Oct 7

12

0 53 35 54 31 57 33






Date of Operation

Hours operated


68Total:

70Total:














Medicare

90

57.3%

Medicaid

4

Private Insurance

59

Charity Care

0

Private Pay

2

Other Public

2

TOTAL

157

2.5% 37.6% 0.0%1.3% 1.3% 100.0%

Patients

TOTAL 00

15340

4153

0

0

0193631

9

010251710




157

029614819

15795 62

157

$1,929,555 $54,070 $1,580,090 $0$20,105 $40,895 $3,624,715

53.2% 1.5% 43.6% 0.0%0.6% 1.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2592

Fresenius Kidney Care Geneseo 600 N. College Ave., Suite 150GeneseoHenry10


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Quad Cities, LLCLegal Entity Owner:




Medical Director Name: Suresh Alla, MD






Oct 1

0

Oct 2

12

Oct 3

0

Oct 4

13

Oct 5

0

Oct 6

14

Oct 7

0

0 14 0 15 0 14 0






Date of Operation

Hours operated


8Total:

5Total:














Medicare

17

73.9%

Medicaid

0

Private Insurance

6

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

23

0.0% 26.1% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0000

23

0230

0

00345

00236




23

0057

112312 11

23

$390,473 $0 $179,995 $0$0 $0 $570,468

68.4% 0.0% 31.6% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2617

Fresenius Kidney Care Glendale Heights 130 E. Army Trail RoadGlendale HeightsDuPage7


Address:Name:

City:County:




Property Owner: Clover Leaf Group, Inc.



Medical Director Name: Ernest Dejesus, MD






Oct 1

0

Oct 2

16

Oct 3

16

Oct 4

16

Oct 5

16

Oct 6

16

Oct 7

16

0 72 53 62 50 70 55






Date of Operation

Hours operated


87Total:

67Total:














Medicare

120

58.3%

Medicaid

12

Private Insurance

69

Charity Care

0

Private Pay

5

Other Public

0

TOTAL

206

5.8% 33.5% 0.0%2.4% 0.0% 100.0%

Patients

TOTAL 470

212

135

42164

0

1

09

543231

09

242027




206

018785258

206126 80

206

$2,725,704 $74,124 $3,770,886 $0$68,563 $36,681 $6,675,958

40.8% 1.1% 56.5% 0.0%1.0% 0.5% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2551

Fresenius Kidney Care Glenview 4248 Commerce WayGlenviewCook7


Address:Name:

City:County:




Property Owner: Helios Property Management



Medical Director Name: Venkata Behara, MD






Oct 1

0

Oct 2

17

Oct 3

12

Oct 4

17

Oct 5

12

Oct 6

17

Oct 7

12

0 42 24 40 23 41 22






Date of Operation

Hours operated


36Total:

30Total:














Medicare

58

62.4%

Medicaid

2

Private Insurance

32

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

93

2.2% 34.4% 0.0%1.1% 0.0% 100.0%

Patients

TOTAL 19040

70

14790

0

07

241222

0377

11




93

0103119339365 28

93

$1,624,411 $32,918 $2,594,627 $0$33,750 $0 $4,285,706

37.9% 0.8% 60.5% 0.0%0.8% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2601

Fresenius Kidney Care Greenwood 1111 E. 87th Street, Suite 700ChicagoCook6


Address:Name:

City:County:




Property Owner: Waveland Property Group



Medical Director Name: Malathia Shah, MD






Oct 1

0

Oct 2

17

Oct 3

13

Oct 4

17

Oct 5

13

Oct 6

17

Oct 7

13

0 61 42 59 42 62 43






Date of Operation

Hours operated


57Total:

76Total:














Medicare

91

53.5%

Medicaid

2

Private Insurance

72

Charity Care

0

Private Pay

2

Other Public

3

TOTAL

170

1.2% 42.4% 0.0%1.2% 1.8% 100.0%

Patients

TOTAL 00

16601

2167

1

3

010482422

05

311515




170

015793937

170104 66

170

$1,816,598 $51,363 $2,022,742 $0$48,343 $115,967 $4,055,013

44.8% 1.3% 49.9% 0.0%1.2% 2.9% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2549

Fresenius Kidney Care Gurnee 50 Tower Court, Suite BGurneeLake8


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Lake County, LLC Legal Entity Owner:

Property Owner: Greenleaf Center West/ GRG Propertie



Medical Director Name: Rakhi Khanna, MD

5/2/2017 - Facility received permit to add 8 stations to existing 16 station facility. Facility now authorized for 24 stations.






Oct 1

0

Oct 2

18

Oct 3

18

Oct 4

18

Oct 5

18

Oct 6

18

Oct 7

18

0 49 47 49 46 47 46






Date of Operation

Hours operated


49Total:

78Total:














Medicare

68

57.1%

Medicaid

2

Private Insurance

42

Charity Care

0

Private Pay

6

Other Public

1

TOTAL

119

1.7% 35.3% 0.0%5.0% 0.8% 100.0%

Patients

TOTAL 140

420

63

40790

0

05

241416

06

271116




119

011512532

11959 60

119

$1,645,625 $21,879 $3,733,681 $0$8,312 $45,055 $5,454,552

30.2% 0.4% 68.5% 0.0%0.2% 0.8% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2607

Fresenius Kidney Care Hazel Crest 1754 E. Carriageway DriveHazel CrestCook7


Address:Name:

City:County:




Property Owner: Rockford 550, LLC



Medical Director Name: Vijaykumar Rao, MD






Oct 1

0

Oct 2

18

Oct 3

13

Oct 4

18

Oct 5

14

Oct 6

18

Oct 7

13

0 43 30 45 31 45 30






Date of Operation

Hours operated


40Total:

29Total:






Full-Time Work Week: 32Registered Nurse : 3.5Dialysis Technician : 10Dietician : 0.8Social Worker: 0.8LPN : 0Other Health : 0Other Non-Health: 1.5








Medicare

76

65.0%

Medicaid

3

Private Insurance

34

Charity Care

0

Private Pay

0

Other Public

4

TOTAL

117

2.6% 29.1% 0.0%0.0% 3.4% 100.0%

Patients

TOTAL 10

1040

12

6111

0

0

07

271710

04

161422




117

011433132

11761 56

117

$1,633,353 $57,770 $1,370,716 $0$8,115 $73,186 $3,143,140

52.0% 1.8% 43.6% 0.0%0.3% 2.3% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2782

Fresenius Kidney Care Highland Park1657 Old Skokie RoadHighland ParkLake8


Address:Name:

City:County:




Property Owner: Shepard Warrenville, LLC



Medical Director Name: Nancy Nora, MD






Oct 1

0

Oct 2

17

Oct 3

14

Oct 4

17

Oct 5

14

Oct 6

17

Oct 7

14

0 40 15 35 14 39 14






Date of Operation

Hours operated


46Total:

37Total:














Medicare

63

70.0%

Medicaid

2

Private Insurance

24

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

90

2.2% 26.7% 0.0%1.1% 0.0% 100.0%

Patients

TOTAL 3080

79

15750

0

038

1427

015

1121




90

04

1325489052 38

90

$1,636,366 $1,906 $2,236,103 $0$994 $2,716 $3,878,085

42.2% 0.0% 57.7% 0.0%0.0% 0.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2547

Fresenius Kidney Care Hoffman Estates 3150 W. Higgins Road, Suite 190Hoffman EstatesCook7


Address:Name:

City:County:




Property Owner: 3100 & 2150 Higgins, LLC



Medical Director Name: Lo-Ku Chaing, MD






Oct 1

0

Oct 2

22

Oct 3

19

Oct 4

22

Oct 5

16.5

Oct 6

21.5

Oct 7

17

0 59 42 60 40 56 43






Date of Operation

Hours operated


76Total:

67Total:














Medicare

86

49.1%

Medicaid

4

Private Insurance

76

Charity Care

0

Private Pay

7

Other Public

2

TOTAL

175

2.3% 43.4% 0.0%4.0% 1.1% 100.0%

Patients

TOTAL 240

250

126

23152

0

0

014422716

07

202722




175

021625438

17599 76

175

$1,769,943 $76,815 $4,938,049 $0$47,441 $21,793 $6,854,041

25.8% 1.1% 72.0% 0.0%0.7% 0.3% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2821

Fresenius Kidney Care Humboldt Park 3520 W. Grand AvenueChicagoCook6


Address:Name:

City:County:




Property Owner: Inland Commercial Real Estate Service

• Fresenius Kidney Care does not hold long term debt on any Illinois dialysis location balance sheet. Fresenius Medical Care does not, as a for-profit corporation, provide charity care under the Board's definition of same; however, it treats all patients regardless of ability to pay and thus does provide uncompensated care. The cost of providing uncompensated care in Illinois was approximately $3,000,000. There were no revenues in 2016. • Patient counts are from 2017 and financial data was obtained from 2016 Audited Financial Statements.


Medical Director Name: Remegio Vilbar, MD






Oct 1

0

Oct 2

8

Oct 3

8

Oct 4

8

Oct 5

8

Oct 6

8

Oct 7

0

0 3 0 3 0 3 0






Date of Operation

Hours operated


0Total:

87Total:














Medicare

51

58.6%

Medicaid

1

Private Insurance

35

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

87

1.1% 40.2% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 20

3402

36492

49

0102710

8

01

127

12




87

0113917208755 32

87

$0 $0 $0 $0$0 $0 $0


12/31/20161/1/2016 to


14-2516

Fresenius Kidney Care Jackson Park 7531 S. Stony Island Ave.ChicagoCook6


Address:Name:

City:County:




Property Owner: Jackson Park Hospital



Medical Director Name: Wadah Atassi, MD






Oct 1

0

Oct 2

16

Oct 3

10

Oct 4

16

Oct 5

10

Oct 6

16

Oct 7

10

0 16 10 16 10 16 10






Date of Operation

Hours operated


64Total:

55Total:














Medicare

74

46.8%

Medicaid

5

Private Insurance

74

Charity Care

0

Private Pay

4

Other Public

1

TOTAL

158

3.2% 46.8% 0.0%2.5% 0.6% 100.0%

Patients

TOTAL 00

15404

2156

0

0

0155219

6

09

271812




158

024793718

15892 66

158

$1,961,966 $41,886 $1,704,385 $0$54,350 $47,559 $3,810,146

51.5% 1.1% 44.7% 0.0%1.4% 1.2% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2739

Fresenius Kidney Care Joliet 721 E. Jackson Blvd.JolietWill9


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care of Plainfield, LLCLegal Entity Owner:

Property Owner: MERIDIAN INVESTMENT PARTNERS,



Medical Director Name: Mohammad Shafi, MD







Oct 1

0

Oct 2

18

Oct 3

14

Oct 4

18

Oct 5

16

Oct 6

18

Oct 7

14

0 18 32 42 32 42 32






Date of Operation

Hours operated


42Total:

41Total:














Medicare

64

57.1%

Medicaid

4

Private Insurance

37

Charity Care

0

Private Pay

4

Other Public

3

TOTAL

112

3.6% 33.0% 0.0%3.6% 2.7% 100.0%

Patients

TOTAL 20

400

22

283648

48

07

331614

05

111016




112

012442630

11270 42

112

$1,402,511 $25,178 $1,620,562 $0$44,665 $54,400 $3,147,316

44.6% 0.8% 51.5% 0.0%1.4% 1.7% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2578

Fresenius Kidney Care Kewanee 230 W. South StreetKewaneeHenry10


Address:Name:

City:County:




Property Owner: PTM Development, LLC Pete Mangeri



Medical Director Name: M. Khattak, MD






Oct 1

0

Oct 2

16

Oct 3

12

Oct 4

16

Oct 5

12

Oct 6

16

Oct 7

12

0 19 14 18 10 21 10






Date of Operation

Hours operated


17Total:

15Total:














Medicare

35

70.0%

Medicaid

1

Private Insurance

11

Charity Care

0

Private Pay

0

Other Public

3

TOTAL

50

2.0% 22.0% 0.0%0.0% 6.0% 100.0%

Patients

TOTAL 0040

46

6440

0

02

1539

00966




50

02

249

155029 21

50

$663,183 $5,310 $436,354 $0$0 $53,790 $1,158,637

57.2% 0.5% 37.7% 0.0%0.0% 4.6% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2669

Fresenius Kidney Care Lake Bluff 101 Waukegan Road, Suite 700Lake BluffLake8


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Lake Bluff, LLC Legal Entity Owner:

Property Owner: Franklin Partners



Medical Director Name: Joshua Trob, MD






Oct 1

0

Oct 2

18

Oct 3

9

Oct 4

18

Oct 5

9

Oct 6

18

Oct 7

9

0 39 29 38 29 40 32






Date of Operation

Hours operated


40Total:

41Total:














Medicare

62

60.2%

Medicaid

3

Private Insurance

28

Charity Care

0

Private Pay

1

Other Public

9

TOTAL

103

2.9% 27.2% 0.0%1.0% 8.7% 100.0%

Patients

TOTAL 61

325

59

25780

0

010261712

07

129

10




103

017382622

10365 38

103

$1,098,994 $13,520 $1,265,962 $0$9,985 $115,097 $2,503,558

43.9% 0.5% 50.6% 0.0%0.4% 4.6% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2679

Fresenius Kidney Care Lakeview 4008 N. Broadway, Suite 1200ChicagoCook6


Address:Name:

City:County:




Property Owner: Thorek Hospital



Medical Director Name: Haresh Muni, MD






Oct 1

0

Oct 2

17

Oct 3

12

Oct 4

17

Oct 5

12

Oct 6

16.5

Oct 7

12

0 31 13 29 15 30 16






Date of Operation

Hours operated


28Total:

29Total:














Medicare

53

67.9%

Medicaid

4

Private Insurance

19

Charity Care

0

Private Pay

1

Other Public

1

TOTAL

78

5.1% 24.4% 0.0%1.3% 1.3% 100.0%

Patients

TOTAL 60

303

24

14640

15

05

2711

5

03

1485




78

08

4119107848 30

78

$1,085,731 $44,694 $1,283,855 $0$11,584 $67,060 $2,492,924

43.6% 1.8% 51.5% 0.0%0.5% 2.7% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2798

Fresenius Kidney Care Lemont 16177 W. 127th StreeetLemontCook7


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Lemont, LLCLegal Entity Owner:

Property Owner: Meridian Investment Property, LLC



Medical Director Name: Stella Asua-Larbi, MD






Oct 1

0

Oct 2

12

Oct 3

0

Oct 4

12

Oct 5

0

Oct 6

12

Oct 7

0

0 21 0 20 0 19 0






Date of Operation

Hours operated


16Total:

33Total:














Medicare

33

84.6%

Medicaid

0

Private Insurance

6

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

39

0.0% 15.4% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0060

33

2370

0

01657

02468




39

03

1011153919 20

39

$84,368 $0 $61,391 $0$0 $0 $145,759

57.9% 0.0% 42.1% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2766

Fresenius Kidney Care Logan Square 2721 N. Spaulding AvenueChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Logan Square, LLC Legal Entity Owner:

Property Owner: VPRE Real Holdings LLC



Medical Director Name: Eduardo Cremer, MD






Oct 1

0

Oct 2

16

Oct 3

14

Oct 4

16

Oct 5

14

Oct 6

16

Oct 7

14

0 33 21 34 23 34 22






Date of Operation

Hours operated


33Total:

42Total:














Medicare

44

46.8%

Medicaid

5

Private Insurance

40

Charity Care

0

Private Pay

3

Other Public

2

TOTAL

94

5.3% 42.6% 0.0%3.2% 2.1% 100.0%

Patients

TOTAL 20

120

79

68251

1

05

192412

03

1975




94

08

3831179460 34

94

$784,954 $63,911 $1,409,222 $0$47,352 $11,095 $2,316,534

33.9% 2.8% 60.8% 0.0%2.0% 0.5% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2722

Fresenius Kidney Care Lombard 1940 Springer DriveLombardDuPage7


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Lombard, LLC Legal Entity Owner:

Property Owner: Golub Realty Services



Medical Director Name: Samir Kumar, MD






Oct 1

0

Oct 2

14

Oct 3

16

Oct 4

14

Oct 5

16

Oct 6

14

Oct 7

16

0 22 24 23 23 24 25






Date of Operation

Hours operated


33Total:

30Total:














Medicare

61

69.3%

Medicaid

1

Private Insurance

26

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

88

1.1% 29.5% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 102

140

62

9790

0

03

201520

0268

14




88

05

2623348858 30

88

$1,280,416 $30,694 $1,847,928 $0$19,758 $0 $3,178,796

40.3% 1.0% 58.1% 0.0%0.6% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2591

Fresenius Kidney Care Macomb 523 E. Grant StreetMacombMcDonough2


Address:Name:

City:County:




Property Owner: McDonough District Hospital

• Fresenius Kidney Care does not hold long term debt on any Illinois dialysis location balance sheet. Fresenius Medical Care does not, as a for-profit corporation, provide charity care under the Board's definition of same; however, it treats all patients regardless of ability to pay and thus does provide uncompensated care. The cost of providing uncompensated care in Illinois was approximately $3,000,000. Most of our Medicaid patients have moved to managed care “Medicaid Risk” programs which reimburse at rates comparable to Medicaid and Medicare, however these patients/revenues are accounted for under Private Insurance. Approximately 9% of the Illinois hemodialysis patients Fresenius treated in 2017 were covered by either Medicaid or a managed Medicaid insurance. • Patient counts are from 2017 and financial data was obtained from 2016 Audited Financial Statements. • The Macomb facility relocated on 2/21/2018 and is now located at 212 E. Calhoun, Macomb.


Medical Director Name: Sudha Cherukuri, MD

3/14/2017 - 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.






Oct 1

0

Oct 2

11

Oct 3

8

Oct 4

11

Oct 5

8

Oct 6

11

Oct 7

8

0 10 4 12 4 11 4






Date of Operation

Hours operated


26Total:

28Total:














Medicare

27

67.5%

Medicaid

1

Private Insurance

9

Charity Care

0

Private Pay

0

Other Public

3

TOTAL

40

2.5% 22.5% 0.0%0.0% 7.5% 100.0%

Patients

TOTAL 0070

33

0400

0

01

1292

02644




40

03

18136

4024 16

40

$345,980 $16,293 $310,089 $0$0 $60,278 $732,640

47.2% 2.2% 42.3% 0.0%0.0% 8.2% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2790

Fresenius Kidney Care Maple City 1225 N. Main StreetMonmouthWarren2


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Monmouth, LLC Legal Entity Owner:

Property Owner: Rockwell Debt Free Properties



Medical Director Name: Parthasarathy Srinivasan, MD






Oct 1

0

Oct 2

12

Oct 3

0

Oct 4

12

Oct 5

0

Oct 6

12

Oct 7

0

0 15 0 14 0 15 0






Date of Operation

Hours operated


8Total:

9Total:






Full-Time Work Week: 32Registered Nurse : 2Dialysis Technician : 0.5Dietician : 0.5Social Worker: 0.5LPN : 0.5Other Health : 0Other Non-Health: 1








Medicare

15

75.0%

Medicaid

0

Private Insurance

3

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

20

0.0% 15.0% 0.0%0.0% 10.0% 100.0%

Patients

TOTAL 0030

17

1190

0

00333

01145




20

01478

209 11

20

($103,030) ($3,779) ($84,547) $0$0 ($38,967) ($230,323)

44.7% 1.6% 36.7% 0.0%0.0% 16.9% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2566

Fresenius Kidney Care Marquette Park 6536 S. Western AvenueChicagoCook6


Address:Name:

City:County:




Property Owner: Capri Development 6517, LLC



Medical Director Name: Satya Ahuja, MD






Oct 1

0

Oct 2

17.5

Oct 3

17.5

Oct 4

17.5

Oct 5

17.5

Oct 6

17.5

Oct 7

17.5

0 41 38 44 35 42 39






Date of Operation

Hours operated


44Total:

59Total:














Medicare

64

43.2%

Medicaid

3

Private Insurance

76

Charity Care

0

Private Pay

3

Other Public

2

TOTAL

148

2.0% 51.4% 0.0%2.0% 1.4% 100.0%

Patients

TOTAL 10

7907

276854

62

019272011

01515348




149

034425419

14977 72

149

$1,435,638 $48,824 $2,729,833 $0$24,348 $45,133 $4,283,776

33.5% 1.1% 63.7% 0.0%0.6% 1.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2672

Fresenius Kidney Care McHenry 4312 W. Elm StreetMcHenryMcHenry8


Address:Name:

City:County:




Property Owner: Bob Dellutri/Heidner Properites, Inc



Medical Director Name: Karol Rosner, MD






Oct 1

0

Oct 2

14

Oct 3

13

Oct 4

14

Oct 5

13

Oct 6

14

Oct 7

13

0 24 19 24 17 24 18






Date of Operation

Hours operated


29Total:

38Total:














Medicare

52

74.3%

Medicaid

0

Private Insurance

12

Charity Care

0

Private Pay

2

Other Public

4

TOTAL

70

0.0% 17.1% 0.0%2.9% 5.7% 100.0%

Patients

TOTAL 1150

63

11572

0

03

1114

9

029

1111




70

05

2025207037 33

70

$223,669 $0 $194,675 $0$813 $27,155 $446,312

50.1% 0.0% 43.6% 0.0%0.2% 6.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2563

Fresenius Kidney Care McLean County 1505 Eastland DriveBloomingtonMcLean4


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Normal, LLC Legal Entity Owner:

Property Owner: OSF St. Joseph Medical Center



Medical Director Name: Robert Bruha, MD






Oct 1

0

Oct 2

19

Oct 3

14

Oct 4

19

Oct 5

14

Oct 6

19

Oct 7

14

0 52 39 52 39 52 39






Date of Operation

Hours operated


55Total:

58Total:














Medicare

84

60.4%

Medicaid

4

Private Insurance

50

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

139

2.9% 36.0% 0.0%0.7% 0.0% 100.0%

Patients

TOTAL 30

340

89

13126

0

13

015282014

07

241318




139

022523332

13977 62

139

$1,860,430 $44,202 $2,244,916 $0$0 $8,831 $4,158,379

44.7% 1.1% 54.0% 0.0%0.0% 0.2% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2554

Fresenius Kidney Care Melrose Park 1111 Superior Street, Suite 204Melrose ParkCook7


Address:Name:

City:County:




Property Owner: Resurrection Services



Medical Director Name: Constantine Delis, MD






Oct 1

0

Oct 2

16

Oct 3

13

Oct 4

16

Oct 5

13

Oct 6

16

Oct 7

13

0 38 27 40 29 39 31






Date of Operation

Hours operated


37Total:

52Total:














Medicare

55

48.7%

Medicaid

2

Private Insurance

55

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

113

1.8% 48.7% 0.0%0.0% 0.9% 100.0%

Patients

TOTAL 10

630

49

38750

0

015261612

09

138

14




113

024392426

11369 44

113

$1,519,233 $19,824 $3,077,913 $0$10,853 $0 $4,627,823

32.8% 0.4% 66.5% 0.0%0.2% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2705

Fresenius Kidney Care Metropolis 20 Hospital DriveMetropolisMassac5


Address:Name:

City:County:



Legal Entity Operator: Metropolis Dialysis Services, LLCLegal Entity Owner:

Property Owner: Massac Memorial Hospital



Medical Director Name: Johnathan Wilkerson, MD






Oct 1

0

Oct 2

12.5

Oct 3

8.5

Oct 4

12.5

Oct 5

8.5

Oct 6

12.5

Oct 7

8.5

0 13 8 13 8 12 8






Date of Operation

Hours operated


15Total:

20Total:














Medicare

32

68.1%

Medicaid

3

Private Insurance

5

Charity Care

0

Private Pay

0

Other Public

7

TOTAL

47

6.4% 10.6% 0.0%0.0% 14.9% 100.0%

Patients

TOTAL 00

110

36

1460

0

07

1511

4

02215




47

09

17129

4737 10

47

$590,520 $55,141 $438,953 $0$501 $55,654 $1,140,769

51.8% 4.8% 38.5% 0.0%0.0% 4.9% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2713

Fresenius Kidney Care Midway 6201 W. 63rd StreetChicagoCook6


Address:Name:

City:County:




Property Owner: AR Capital, LLC



Medical Director Name: Edgar Lerma, MD






Oct 1

0

Oct 2

17.5

Oct 3

17.5

Oct 4

17.5

Oct 5

17.5

Oct 6

17.5

Oct 7

17.5

0 36 36 36 36 36 36






Date of Operation

Hours operated


27Total:

21Total:














Medicare

48

57.1%

Medicaid

1

Private Insurance

35

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

84

1.2% 41.7% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

160

68

40440

0

05

271011

01

1866




84

06

4516178453 31

84

$1,321,504 $6,722 $2,840,957 $0$0 $5,230 $4,174,413

31.7% 0.2% 68.1% 0.0%0.0% 0.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2689

Fresenius Kidney Care Mokena8910 W. 192nd Street, Suite A & BMokenaWill9


Address:Name:

City:County:




Property Owner: Value Industrial



Medical Director Name: Abraham Thomas, MD






Oct 1

0

Oct 2

22

Oct 3

12

Oct 4

22

Oct 5

12

Oct 6

22

Oct 7

12

0 29 16 26 19 29 18






Date of Operation

Hours operated


45Total:

42Total:














Medicare

69

69.0%

Medicaid

3

Private Insurance

23

Charity Care

0

Private Pay

3

Other Public

2

TOTAL

100

3.0% 23.0% 0.0%3.0% 2.0% 100.0%

Patients

TOTAL 31

200

76

6940

0

09

131920

03

121311




100

012253231

10061 39

100

$1,273,072 $5,528 $1,506,857 $0$22,125 $44,611 $2,852,193

44.6% 0.2% 52.8% 0.0%0.8% 1.6% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2526

Fresenius Kidney Care Moline 400 John Deere RoadMolineRock Island10


Address:Name:

City:County:







Medical Director Name: Rajesh Alla, MD






Oct 1

0

Oct 2

17

Oct 3

14

Oct 4

17

Oct 5

14

Oct 6

17

Oct 7

14

0 57 34 56 36 58 34






Date of Operation

Hours operated


99Total:

87Total:














Medicare

131

70.1%

Medicaid

5

Private Insurance

44

Charity Care

0

Private Pay

0

Other Public

7

TOTAL

187

2.7% 23.5% 0.0%0.0% 3.7% 100.0%

Patients

TOTAL 00

330

144

1416310

10

011402629

014211927




187

025614556

187106 81

187

$1,481,920 $26,156 $1,128,304 $0$703 $102,131 $2,739,214

54.1% 1.0% 41.2% 0.0%0.0% 3.7% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2731

Fresenius Kidney Care Mundelein 1402 Town Line RoadMundeleinLake8


Address:Name:

City:County:




Property Owner: Jaffe & Berlin, LLC



Medical Director Name: Shalini Patel, MD






Oct 1

0

Oct 2

17

Oct 3

12

Oct 4

17

Oct 5

12

Oct 6

17

Oct 7

12

0 37 20 37 20 38 20






Date of Operation

Hours operated


47Total:

49Total:














Medicare

66

66.7%

Medicaid

3

Private Insurance

29

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

99

3.0% 29.3% 0.0%0.0% 1.0% 100.0%

Patients

TOTAL 140

140

71

24750

0

04

202519

03

1189




99

07

3133289968 31

99

$1,290,739 $8,715 $1,814,468 $0$9,688 $25,175 $3,148,785

41.0% 0.3% 57.6% 0.0%0.3% 0.8% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2765

Fresenius Kidney Care Naperbrook 2451 S. Washington StreetNapervilleDuPage7


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Naperbrook, LLC Legal Entity Owner:

Property Owner: BRUSHY CREEK DIALYSIS LLC



Medical Director Name: David Schlieben, MD

3/13/2017 - Added 2 stations to existing facility; facility now has 18 ESRD stations.11/14/2017 - Received permit to add 6 ESRD stations to existing facility; facility located at 2451 South Washington Street in Naperville now has 24 ESRD stations.






Oct 1

0

Oct 2

18

Oct 3

18

Oct 4

18

Oct 5

18

Oct 6

18

Oct 7

18

0 52 51 47 49 53 51






Date of Operation

Hours operated


61Total:

89Total:














Medicare

94

63.9%

Medicaid

0

Private Insurance

53

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

147

0.0% 36.1% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 170

410

88

4142

1

1

010342522

05

201615




147

015544137

14791 56

147

$2,383,384 $2,140 $2,654,183 $0$254 $0 $5,039,961

47.3% 0.0% 52.7% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2678

Fresenius Kidney Care Naperville North 516 W. 5th AvenueNapervilleDuPage7


Address:Name:

City:County:




Property Owner: Mustang Construction, Inc.



Medical Director Name: Kevin Pandya, MD






Oct 1

0

Oct 2

17

Oct 3

13

Oct 4

17

Oct 5

13

Oct 6

18

Oct 7

13

0 46 26 47 20 47 23






Date of Operation

Hours operated


57Total:

64Total:






Full-Time Work Week: 32Registered Nurse : 3.5Dialysis Technician : 7Dietician : 1Social Worker: 0.5LPN : 0Other Health : 0Other Non-Health: 2








Medicare

85

64.9%

Medicaid

3

Private Insurance

38

Charity Care

0

Private Pay

5

Other Public

0

TOTAL

131

2.3% 29.0% 0.0%3.8% 0.0% 100.0%

Patients

TOTAL 150

340

82

9120

2

0

014221822

03

171421




131

017393243

13176 55

131

$17,329,270 $5,775 $2,143,273 $0$41,518 $16,379 $19,536,215

88.7% 0.0% 11.0% 0.0%0.2% 0.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2815

Fresenius Kidney Care New City 4916 S. BishopChicagoCook6


Address:Name:

City:County:




Property Owner: 4622 S. Bishop, LLC



Medical Director Name: Nic Hristea, MD






Oct 1

0

Oct 2

14

Oct 3

0

Oct 4

14

Oct 5

0

Oct 6

14

Oct 7

0

0 16 0 16 0 16 0






Date of Operation

Hours operated


5Total:

17Total:














Medicare

4

23.5%

Medicaid

1

Private Insurance

12

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

17

5.9% 70.6% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0040

13

1340

0

03431

01320




17

04751

1711 6

17

$0 $0 $17,090 $0$0 $0 $17,090

0.0% 0.0% 100.0% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2559

Fresenius Kidney Care Niles 9371 N. Milwaukee AvenueNilesCook7


Address:Name:

City:County:




Property Owner: CFT NV Developments, LLC



Medical Director Name: Harold Bregman, MD






Oct 1

0

Oct 2

17

Oct 3

12

Oct 4

17

Oct 5

12

Oct 6

17

Oct 7

12

0 60 36 60 36 61 37






Date of Operation

Hours operated


57Total:

54Total:














Medicare

99

61.9%

Medicaid

3

Private Insurance

57

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

160

1.9% 35.6% 0.0%0.6% 0.0% 100.0%

Patients

TOTAL 35070

118

23137

0

0

010322243

02

141720




160

012463963

160107 53

160

$2,658,934 $60,174 $3,273,216 $0$28,349 $0 $6,020,673

44.2% 1.0% 54.4% 0.0%0.5% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2778

Fresenius Kidney Care Normal 1531 E. College AvenueNormalMcLean4


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Normal, LLC Legal Entity Owner:

Property Owner: 1531 E. College, LLC. c/o Pier & Asso



Medical Director Name: Kumarpal Shrishrimal, MD






Oct 1

0

Oct 2

12

Oct 3

15

Oct 4

12

Oct 5

12

Oct 6

14

Oct 7

12

0 19 22 21 23 18 21






Date of Operation

Hours operated


35Total:

34Total:














Medicare

57

72.2%

Medicaid

2

Private Insurance

19

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

79

2.5% 24.1% 0.0%1.3% 0.0% 100.0%

Patients

TOTAL 10

250

53

4750

0

07

1518

5

0389

14




79

0102327197945 34

79

$955,480 $13,719 $700,193 $0$18,656 $16,419 $1,704,467

56.1% 0.8% 41.1% 0.0%1.1% 1.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2521

Fresenius Kidney Care Norridge 4701 N. Cumberland, Suite 15-18 ANorridgeCook7


Address:Name:

City:County:




Property Owner: Cumberland Mall, G.P.



Medical Director Name: Chirag Patel, MD






Oct 1

0

Oct 2

16

Oct 3

16

Oct 4

16

Oct 5

16

Oct 6

16

Oct 7

16

0 42 30 44 31 43 33






Date of Operation

Hours operated


53Total:

56Total:














Medicare

72

59.5%

Medicaid

1

Private Insurance

48

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

121

0.8% 39.7% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 5040

104

15100

6

8

06

222121

03

131322




121

09

353443

12170 51

121

$1,970,366 $10,319 $1,792,546 $0$3,181 $0 $3,776,412

52.2% 0.3% 47.5% 0.0%0.1% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2602

Fresenius Kidney Care North Avenue 911 W. North AvenueMelrose ParkCook7


Address:Name:

City:County:




Property Owner: Gottlieb Memorial Hospital



Medical Director Name: Martin Finn, MD






Oct 1

0

Oct 2

17

Oct 3

17

Oct 4

17

Oct 5

17

Oct 6

17

Oct 7

17

0 52 53 51 54 51 57






Date of Operation

Hours operated


38Total:

60Total:














Medicare

103

60.2%

Medicaid

3

Private Insurance

60

Charity Care

0

Private Pay

5

Other Public

0

TOTAL

171

1.8% 35.1% 0.0%2.9% 0.0% 100.0%

Patients

TOTAL 60

670

44

52117

2

54

018382824

05

201424




171

023584248

171108 63

171

$2,735,779 $27,558 $2,895,169 $0$76,500 $0 $5,735,006

47.7% 0.5% 50.5% 0.0%1.3% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2501

Fresenius Kidney Care North Kilpatrick 4800 N. KilpatrickChicagoCook6


Address:Name:

City:County:




Property Owner: Kilpatrick 1.0, LLC



Medical Director Name: Madhav Rao, MD






Oct 1

0

Oct 2

17

Oct 3

17

Oct 4

17

Oct 5

17.5

Oct 6

17.5

Oct 7

17

0 65 67 64 66 66 63






Date of Operation

Hours operated


50Total:

49Total:






Full-Time Work Week: 32Registered Nurse : 8Dialysis Technician : 14.5Dietician : 1Social Worker: 1.5LPN : 0Other Health : 0Other Non-Health: 3








Medicare

92

49.7%

Medicaid

7

Private Insurance

84

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

185

3.8% 45.4% 0.0%1.1% 0.0% 100.0%

Patients

TOTAL 220

2013

130

86990

0

014442616

010342219




185

024784835

185100 85

185

$2,220,983 $102,033 $5,655,588 $0$78,854 $62,492 $8,119,950

27.4% 1.3% 69.7% 0.0%1.0% 0.8% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2531

Fresenius Kidney Care Northcenter 2620 W. Addison StreetChicagoCook6


Address:Name:

City:County:




Property Owner: Bryton Properties LLC



Medical Director Name: Mark Leischner, MD






Oct 1

0

Oct 2

17

Oct 3

13

Oct 4

17

Oct 5

13

Oct 6

17

Oct 7

13

0 32 20 32 20 32 20






Date of Operation

Hours operated


56Total:

48Total:














Medicare

42

53.2%

Medicaid

2

Private Insurance

34

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

79

2.5% 43.0% 0.0%1.3% 0.0% 100.0%

Patients

TOTAL 31

151

58

42370

1

05

3186

04

1492




79

09

45178

7950 29

79

$1,230,893 $50,717 $2,709,432 $0$19,838 $0 $4,010,880

30.7% 1.3% 67.6% 0.0%0.5% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2771

Fresenius Kidney Care Northfield 480 Central AvenueNorthfieldCook7


Address:Name:

City:County:




Property Owner: Richard N. Abrams



Medical Director Name: Sandeep Mehta, MD






Oct 1

0

Oct 2

10

Oct 3

0

Oct 4

10

Oct 5

0

Oct 6

12

Oct 7

0

0 8 0 7 0 8 0






Date of Operation

Hours operated


11Total:

17Total:














Medicare

14

77.8%

Medicaid

0

Private Insurance

3

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

18

0.0% 16.7% 0.0%0.0% 5.6% 100.0%

Patients

TOTAL 3010

14

1170

0

00245

01312




18

01557

1811 7

18

$5,979 $0 $2,052 $0$111 $16,359 $24,501

24.4% 0.0% 8.4% 0.0%0.5% 66.8% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2597

Fresenius Kidney Care Northwestern 710 N. Fairbanks CourtChicagoCook6


Address:Name:

City:County:




Property Owner: Real Estate Strategy



Medical Director Name: Jennifer Tuazon, MD






Oct 1

0

Oct 2

18

Oct 3

17

Oct 4

18

Oct 5

17

Oct 6

18

Oct 7

17

0 75 66 74 60 76 60






Date of Operation

Hours operated


136Total:

112Total:














Medicare

179

68.8%

Medicaid

3

Private Insurance

76

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

260

1.2% 29.2% 0.0%0.8% 0.0% 100.0%

Patients

TOTAL 100

1360

72

3318542

42

019663431

022382525




260

041

1045956

260150 110

260

$3,741,510 $36,901 $3,188,721 $0$31,979 $18,429 $7,017,540

53.3% 0.5% 45.4% 0.0%0.5% 0.3% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2764

Fresenius Kidney Care Oak Forest 5340A West 159th StreetOak ForestCook7


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Oak Forest, LLC Legal Entity Owner:

Property Owner: RJE Investments



Medical Director Name: Jeanette McLaughlin, MD






Oct 1

0

Oct 2

18

Oct 3

14

Oct 4

18

Oct 5

12.5

Oct 6

18

Oct 7

12

0 35 19 31 18 33 20






Date of Operation

Hours operated


39Total:

55Total:














Medicare

60

67.4%

Medicaid

1

Private Insurance

28

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

89

1.1% 31.5% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 21

391

44

7820

2

06

1025

8

037

246




89

09

1749148949 40

89

$1,264,503 $0 $1,292,360 $0$0 $0 $2,556,863

49.5% 0.0% 50.5% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2504

Fresenius Kidney Care Oak Park 733 Madison Street Oak ParkCook7


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care River Forest, LLC Legal Entity Owner:

Property Owner: Three M & L Partnership



Medical Director Name: Paul Balter, MD






Oct 1

0

Oct 2

16

Oct 3

16

Oct 4

16

Oct 5

16

Oct 6

16

Oct 7

16

0 34 28 31 28 33 27






Date of Operation

Hours operated


40Total:

31Total:














Medicare

57

63.3%

Medicaid

1

Private Insurance

32

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

90

1.1% 35.6% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

660

24

4860

0

04

221013

07

13138




90

0113523219049 41

90

$1,472,339 $46,314 $1,766,560 $0$3,170 $0 $3,288,383

44.8% 1.4% 53.7% 0.0%0.1% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2550

Fresenius Kidney Care Orland Park 9160 W. 159th StreetOrland ParkCook7


Address:Name:

City:County:




Property Owner: MGT/Marketing Services



Medical Director Name: Lourdes Terrado, MD






Oct 1

0

Oct 2

17.5

Oct 3

13

Oct 4

17.5

Oct 5

13

Oct 6

17.5

Oct 7

13

0 41 23 42 22 43 20






Date of Operation

Hours operated


37Total:

32Total:














Medicare

70

70.0%

Medicaid

1

Private Insurance

28

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

100

1.0% 28.0% 0.0%1.0% 0.0% 100.0%

Patients

TOTAL 40

130

83

2980

0

04

201520

02

101514




100

06

303034

10059 41

100

$2,121,201 $18,991 $1,425,174 $0$6,201 $4,696 $3,576,263

59.3% 0.5% 39.9% 0.0%0.2% 0.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2677

Fresenius Kidney Care Oswego 1051 Station DriveOswegoKendall9


Address:Name:

City:County:




Property Owner: Oswego Junction, LLC



Medical Director Name: Atif Fakhruddin, MD

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






Oct 1

0

Oct 2

18

Oct 3

18

Oct 4

18

Oct 5

18

Oct 6

18

Oct 7

18

0 34 33 34 31 36 37






Date of Operation

Hours operated


59Total:

56Total:






Full-Time Work Week: 32Registered Nurse : 3Dialysis Technician : 5.5Dietician : 0.5Social Worker: 1LPN : 1Other Health : 0Other Non-Health: 1.5








Medicare

81

66.9%

Medicaid

3

Private Insurance

35

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

121

2.5% 28.9% 0.0%1.7% 0.0% 100.0%

Patients

TOTAL 40

280

89

31900

0

05

202214

06

212013




121

011414227

12161 60

121

$1,614,196 $47,175 $1,844,545 $0$4,770 $50,660 $3,561,346

45.3% 1.3% 51.8% 0.0%0.1% 1.4% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2576

Fresenius Kidney Care Ottawa 1601 Mercury Court, Suite 3OttawaLaSalle2


Address:Name:

City:County:




Property Owner:



Medical Director Name: Amit Jamnadas, MD






Oct 1

0

Oct 2

17

Oct 3

13

Oct 4

17

Oct 5

13

Oct 6

17

Oct 7

13

0 25 16 25 15 25 16






Date of Operation

Hours operated


37Total:

22Total:














Medicare

43

72.9%

Medicaid

3

Private Insurance

12

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

59

5.1% 20.3% 0.0%1.7% 0.0% 100.0%

Patients

TOTAL 0000

59

12470

0

05

1612

4

02497




59

07

2021115937 22

59

$995,341 $75,214 $1,074,791 $0$2,089 $52,375 $2,199,810

45.2% 3.4% 48.9% 0.0%0.1% 2.4% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2723

Fresenius Kidney Care Palatine 691 E. Dundee RoadPalatineCook7


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Palatine, LLC Legal Entity Owner:

Property Owner: Ramco Gershenson Properties Trust ,



Medical Director Name: Manish Tanna, MD

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






Oct 1

0

Oct 2

18

Oct 3

18

Oct 4

18

Oct 5

18

Oct 6

18

Oct 7

18

0 43 46 45 40 44 43






Date of Operation

Hours operated


42Total:

59Total:














Medicare

85

63.4%

Medicaid

1

Private Insurance

44

Charity Care

0

Private Pay

4

Other Public

0

TOTAL

134

0.7% 32.8% 0.0%3.0% 0.0% 100.0%

Patients

TOTAL 1910

00

105

20114

0

0

09

312522

04

101617




134

013414139

13487 47

134

$1,469,188 $91,433 $3,145,668 $0$45,467 $1,971 $4,753,727

30.9% 1.9% 66.2% 0.0%1.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2571

Fresenius Kidney Care Pekin 3521 Veterans DrivePekinTazewell2


Address:Name:

City:County:




Property Owner: East Court Shopping Center, LP



Medical Director Name: Gordon James, MD






Oct 1

0

Oct 2

17

Oct 3

15

Oct 4

17

Oct 5

14

Oct 6

17

Oct 7

13

0 23 16 23 16 23 16






Date of Operation

Hours operated


25Total:

27Total:














Medicare

39

62.9%

Medicaid

0

Private Insurance

19

Charity Care

0

Private Pay

1

Other Public

3

TOTAL

62

0.0% 30.6% 0.0%1.6% 4.8% 100.0%

Patients

TOTAL 0000

62

0620

0

03

139

11

0392

12




62

06

2211236236 26

62

$718,318 $0 $998,532 $0$3,819 $73,404 $1,794,073

40.0% 0.0% 55.7% 0.0%0.2% 4.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2574

Fresenius Kidney Care Peoria Downtown 410 W. Romeo Garrett AvenuePeoriaPeoria2


Address:Name:

City:County:




Property Owner: PNLC, LLC



Medical Director Name: Tim Pflederer, MD






Oct 1

16

Oct 2

12

Oct 3

16

Oct 4

12

Oct 5

16

Oct 6

12

Oct 7

0

0 62 59 58 58 65 52






Date of Operation

Hours operated


65Total:

68Total:














Medicare

116

64.8%

Medicaid

3

Private Insurance

55

Charity Care

0

Private Pay

2

Other Public

3

TOTAL

179

1.7% 30.7% 0.0%1.1% 1.7% 100.0%

Patients

TOTAL 00

1261

52

7172

0

0

010412110

06

323326




179

016735436

17982 97

179

$2,575,018 $11,985 $2,253,119 $0$12,847 $88,725 $4,941,694

52.1% 0.2% 45.6% 0.0%0.3% 1.8% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2613

Fresenius Kidney Care Peoria North 10405 North Juliet CourtPeoriaPeoria2


Address:Name:

City:County:




Property Owner: K&S Coleman Revocable Trust



Medical Director Name: Raji Jacob, MD

2/24/2017 - Added 2 stations to existing facility; facility now has 21 ESRD stations.






Oct 1

0

Oct 2

16

Oct 3

13

Oct 4

16

Oct 5

13

Oct 6

16

Oct 7

13

0 43 37 46 35 41 37






Date of Operation

Hours operated


70Total:

62Total:














Medicare

84

63.6%

Medicaid

1

Private Insurance

45

Charity Care

0

Private Pay

1

Other Public

1

TOTAL

132

0.8% 34.1% 0.0%0.8% 0.8% 100.0%

Patients

TOTAL 20

350

95

5125

2

0

06

341524

06

171119




132

012512643

13279 53

132

$1,912,146 $10,271 $2,415,842 $0$11,949 $0 $4,350,208

44.0% 0.2% 55.5% 0.0%0.3% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2707

Fresenius Kidney Care Plainfield2320 Michas DrivePlainfieldWill9


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care of Plainfield, LLC Legal Entity Owner:

Property Owner: ZENITH HOLDINGS, LIMITED



Medical Director Name: Morufu Alausa, MD






Oct 1

0

Oct 2

20

Oct 3

22

Oct 4

20

Oct 5

19.25

Oct 6

19.5

Oct 7

19

0 40 40 41 38 38 39






Date of Operation

Hours operated


69Total:

67Total:














Medicare

83

64.3%

Medicaid

2

Private Insurance

43

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

129

1.6% 33.3% 0.0%0.8% 0.0% 100.0%

Patients

TOTAL 100

330

86

21108

0

0

010321912

08

181812




129

018503724

12973 56

129

$2,050,856 $23,407 $2,817,760 $0$6,682 $6,846 $4,905,551

41.8% 0.5% 57.4% 0.0%0.1% 0.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2596

Fresenius Kidney Care Plainfield North 24024 W. Riverwalk CourtPlainfieldWill9


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Plainfield North, LLC Legal Entity Owner:

Property Owner: MERIDIAN INVESTMENT PARTNERS,



Medical Director Name: Aaron Gurfinchel, MD






Oct 1

0

Oct 2

12

Oct 3

8

Oct 4

12

Oct 5

8

Oct 6

12

Oct 7

8

0 17 7 17 6 17 6






Date of Operation

Hours operated


27Total:

40Total:














Medicare

41

77.4%

Medicaid

1

Private Insurance

11

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

53

1.9% 20.8% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 20

120

35

2501

4

01

1214

9

01277




53

02

1421165336 17

53

$52,046 $889 $38,476 $0$0 $12,021 $103,432

50.3% 0.9% 37.2% 0.0%0.0% 11.6% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2502

Fresenius Kidney Care Polk 557 W. Polk StreetChicagoCook6


Address:Name:

City:County:




Property Owner: 571 W. Polk Street LLC



Medical Director Name: Marco Pagani, MD






Oct 1

0

Oct 2

18

Oct 3

12

Oct 4

18

Oct 5

12

Oct 6

18

Oct 7

12

0 39 18 37 18 38 18






Date of Operation

Hours operated


57Total:

48Total:






Full-Time Work Week: 32Registered Nurse : 4Dialysis Technician : 5.5Dietician : 1Social Worker: 1LPN : 0Other Health : 2Other Non-Health:








Medicare

57

56.4%

Medicaid

2

Private Insurance

41

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

101

2.0% 40.6% 0.0%1.0% 0.0% 100.0%

Patients

TOTAL 40

631

28

19775

5

0113019

5

01

2285




101

012522710

10165 36

101

$1,427,828 $75,354 $1,793,582 $19,125 $1,623 $3,317,512

43.0% 2.3% 54.1% 0.6% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2611

Fresenius Kidney Care Pontiac 804 W. Madison StreetPontiacLivingston4


Address:Name:

City:County:




Property Owner: FTB, LLC



Medical Director Name: David Rosborough, MD






Oct 1

0

Oct 2

16

Oct 3

15

Oct 4

14

Oct 5

17

Oct 6

14

Oct 7

13

0 15 12 15 12 14 15






Date of Operation

Hours operated


34Total:

27Total:














Medicare

43

81.1%

Medicaid

2

Private Insurance

6

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

53

3.8% 11.3% 0.0%0.0% 3.8% 100.0%

Patients

TOTAL 1010

49

2510

2

05

1097

01

1074




53

06

2016115331 22

53

$499,845 $4,471 $466,711 $0$4,730 $33,794 $1,009,551

49.5% 0.4% 46.2% 0.0%0.5% 3.3% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2569

Fresenius Kidney Care Prairie 1717 S. Wabash AvenueChicagoCook6


Address:Name:

City:County:




Property Owner: Loop Auto Parks, Inc.



Medical Director Name: Sheldon Hirsch, MD






Oct 1

0

Oct 2

17.5

Oct 3

13

Oct 4

17.5

Oct 5

17

Oct 6

18

Oct 7

13

0 60 40 59 42 63 45






Date of Operation

Hours operated


60Total:

59Total:














Medicare

95

57.6%

Medicaid

1

Private Insurance

68

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

165

0.6% 41.2% 0.0%0.0% 0.6% 100.0%

Patients

TOTAL 90

15303

3162

0

0

07

424011

05

132621




165

012556632

165100 65

165

$2,207,416 $4,086 $3,166,484 $0$1,684 $76,304 $5,455,974

40.5% 0.1% 58.0% 0.0%0.0% 1.4% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2589

Fresenius Kidney Care Randolph County 102 Memorial DriveChesterRandolph5


Address:Name:

City:County:




Property Owner: Randolph Hospital District d/b/a Memori



Medical Director Name: Muhammad Kamran, MD






Oct 1

0

Oct 2

11

Oct 3

8

Oct 4

10

Oct 5

8

Oct 6

10

Oct 7

7

0 16 8 12 8 15 8






Date of Operation

Hours operated


7Total:

7Total:














Medicare

22

73.3%

Medicaid

0

Private Insurance

8

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

30

0.0% 26.7% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0050

25

4260

0

03543

01455




30

04998

3015 15

30

$596,490 $0 $690,816 $0$0 $12,142 $1,299,448

45.9% 0.0% 53.2% 0.0%0.0% 0.9% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2558

Fresenius Kidney Care Regency Park 124 Regency Park Drive, Suite 1O'FallonSt. Clair11


Address:Name:

City:County:



Legal Entity Operator: RAI Care Centers of Illinois I, LLC Legal Entity Owner:

Property Owner: Savvi Investment



Medical Director Name: Matthew Koch, MD






Oct 1

0

Oct 2

16

Oct 3

16

Oct 4

16

Oct 5

16

Oct 6

16

Oct 7

16

0 44 51 43 45 50 53






Date of Operation

Hours operated


69Total:

64Total:














Medicare

115

67.6%

Medicaid

1

Private Insurance

52

Charity Care

0

Private Pay

1

Other Public

1

TOTAL

170

0.6% 30.6% 0.0%0.6% 0.6% 100.0%

Patients

TOTAL 01

981

70

1169

0

0

012382523

05

212422




170

017594945

17098 72

170

$2,068,549 $0 $2,510,050 $0$3,679 $51,200 $4,633,478

44.6% 0.0% 54.2% 0.0%0.1% 1.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2735

Fresenius Kidney Care River Forest 103 Forest AvenueRiver ForestCook7


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care River Forest, LLC Legal Entity Owner:

Property Owner: Elliott Bay Healthcare Realty, LLC



Medical Director Name: George Naratadam, MD






Oct 1

0

Oct 2

18

Oct 3

18

Oct 4

18

Oct 5

18

Oct 6

18

Oct 7

18

0 49 36 48 37 49 36






Date of Operation

Hours operated


38Total:

47Total:














Medicare

96

73.8%

Medicaid

1

Private Insurance

30

Charity Care

0

Private Pay

1

Other Public

2

TOTAL

130

0.8% 23.1% 0.0%0.8% 1.5% 100.0%

Patients

TOTAL 41

940

31

9121

0

0

0113417

9

08

211515




130

019553224

13071 59

130

$2,120,870 $30,698 $2,231,970 $0$2,431 $51,526 $4,437,495

47.8% 0.7% 50.3% 0.0%0.1% 1.2% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2703

Fresenius Kidney Care Rock Island 2623 17th StreetRock IslandRock Island10


Address:Name:

City:County:







Medical Director Name: Travis Figanbaum, MD






Oct 1

0

Oct 2

12

Oct 3

0

Oct 4

12

Oct 5

0

Oct 6

12

Oct 7

0

0 35 0 35 0 35 0






Date of Operation

Hours operated


20Total:

22Total:














Medicare

38

69.1%

Medicaid

0

Private Insurance

17

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

55

0.0% 30.9% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 20

190

34

0550

0

028

103

0377

15




55

05

1517185523 32

55

$602,017 $0 $310,465 $0$0 $0 $912,482

66.0% 0.0% 34.0% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2645

Fresenius Kidney Care Rock River - Dixon 101 W. Second StreeetDixonLee1


Address:Name:

City:County:




Property Owner: Katherine Shaw Bethea Hospital









Oct 1

0

Oct 2

15

Oct 3

0

Oct 4

15

Oct 5

0

Oct 6

15

Oct 7

0

0 15 0 15 0 15 0






Date of Operation

Hours operated


10Total:

6Total:














Medicare

20

80.0%

Medicaid

4

Private Insurance

1

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

25

16.0% 4.0% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0000

25

2230

0

01

1251

00240




25

01

1491

2519 6

25

$385,495 $35,295 $0 $0$0 $0 $420,790

91.6% 8.4% 0.0% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2522

Fresenius Kidney Care Rogers Park 2277 W. Howard StreeetChicagoCook6


Address:Name:

City:County:




Property Owner: 2277 Howard L.L.C.



Medical Director Name: Arnold Berns, MD






Oct 1

0

Oct 2

17

Oct 3

13

Oct 4

17

Oct 5

13

Oct 6

17

Oct 7

13

0 45 30 47 31 46 30






Date of Operation

Hours operated


36Total:

39Total:














Medicare

63

53.8%

Medicaid

2

Private Insurance

48

Charity Care

0

Private Pay

3

Other Public

1

TOTAL

117

1.7% 41.0% 0.0%2.6% 0.9% 100.0%

Patients

TOTAL 131

460

57

29880

0

014271015

011179

14




117

025441929

11766 51

117

$1,805,671 $47,363 $2,388,322 $0$32,014 $54,317 $4,327,687

41.7% 1.1% 55.2% 0.0%0.7% 1.3% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2525

Fresenius Kidney Care Rolling Meadows 4180 Winnetka AveRolling MeadowsCook7


Address:Name:

City:County:




Property Owner: RMS Properties LLC



Medical Director Name: Azza Suleiman, MD






Oct 1

0

Oct 2

17

Oct 3

17

Oct 4

17

Oct 5

17

Oct 6

17

Oct 7

17

0 48 33 48 33 48 34






Date of Operation

Hours operated


48Total:

52Total:














Medicare

102

66.2%

Medicaid

5

Private Insurance

43

Charity Care

0

Private Pay

4

Other Public

0

TOTAL

154

3.2% 27.9% 0.0%2.6% 0.0% 100.0%

Patients

TOTAL 10030

133

23123

8

8

010291838

04

141427




154

014433265

15495 59

154

$2,375,222 $22,471 $3,645,081 $0$60,586 $18,964 $6,122,324

38.8% 0.4% 59.5% 0.0%1.0% 0.3% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2690

Fresenius Kidney Care Roseland 132 W. 111th StreeetChicagoCook6


Address:Name:

City:County:




Property Owner: Roseland Medical Center



Medical Director Name: Nimeet Brahmbhatt, MD






Oct 1

0

Oct 2

17

Oct 3

17

Oct 4

17

Oct 5

17

Oct 6

17

Oct 7

17

0 32 28 32 30 33 30






Date of Operation

Hours operated


32Total:

19Total:














Medicare

51

51.0%

Medicaid

1

Private Insurance

45

Charity Care

0

Private Pay

1

Other Public

2

TOTAL

100

1.0% 45.0% 0.0%1.0% 2.0% 100.0%

Patients

TOTAL 00

9802

0100

0

0

09

2810

5

06

238

11




100

015511816

10052 48

100

$1,158,900 $27,921 $1,369,126 $0$0 $41,836 $2,597,783

44.6% 1.1% 52.7% 0.0%0.0% 1.6% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2616

Fresenius Kidney Care Round Lake 401 W. Nippersink RoadRound LakeLake8


Address:Name:

City:County:







Medical Director Name: Nino Alapishvili, MD






Oct 1

0

Oct 2

18

Oct 3

18

Oct 4

18

Oct 5

18

Oct 6

18

Oct 7

18

0 42 37 38 39 39 34






Date of Operation

Hours operated


38Total:

38Total:














Medicare

68

63.0%

Medicaid

5

Private Insurance

29

Charity Care

0

Private Pay

3

Other Public

3

TOTAL

108

4.6% 26.9% 0.0%2.8% 2.8% 100.0%

Patients

TOTAL 5030

100

40680

0

011271813

04

111311




108

015383124

10869 39

108

$1,701,156 $52,043 $2,316,656 $0$17,733 $65,856 $4,153,444

41.0% 1.3% 55.8% 0.0%0.4% 1.6% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2573

Fresenius Kidney Care Saline County 275 Small Street, Suite 200HarrisburgSaline5


Address:Name:

City:County:




Property Owner: Lewis Lane, LLC c/o Burley Shay Invest



Medical Director Name: Randy Coward, MD






Oct 1

0

Oct 2

12

Oct 3

11

Oct 4

12

Oct 5

11

Oct 6

12

Oct 7

11

0 26 22 23 26 25 26






Date of Operation

Hours operated


32Total:

31Total:














Medicare

66

80.5%

Medicaid

6

Private Insurance

6

Charity Care

0

Private Pay

0

Other Public

4

TOTAL

82

7.3% 7.3% 0.0%0.0% 4.9% 100.0%

Patients

TOTAL 0030

79

0820

0

06

181014

019

1410




82

07

2724248248 34

82

$362,891 $22,629 $97,510 $0$0 $46,144 $529,174

68.6% 4.3% 18.4% 0.0%0.0% 8.7% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2700

Fresenius Kidney Care Sandwich 1310 N. Main Street, Suite 105SandwichDeKalb1


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Sandwich, LLC Legal Entity Owner:

Property Owner: Sandwich Development Partners



Medical Director Name: Atif Fakhruddin, MD

9/26/2017 - Facility approved to add 1 ESRD station to existing facility; facility is now authorized for 12 ESRD stations.






Oct 1

0

Oct 2

14

Oct 3

14

Oct 4

14

Oct 5

14

Oct 6

14

Oct 7

14

0 18 16 18 17 18 16






Date of Operation

Hours operated


18Total:

19Total:














Medicare

37

67.3%

Medicaid

2

Private Insurance

13

Charity Care

0

Private Pay

2

Other Public

1

TOTAL

55

3.6% 23.6% 0.0%3.6% 1.8% 100.0%

Patients

TOTAL 0040

51

8470

0

03

1013

5

03957




55

06

1918125531 24

55

$1,002,707 $29,151 $1,043,020 $0$1,058 $0 $2,075,936

48.3% 1.4% 50.2% 0.0%0.1% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2675

Fresenius Kidney Care Silvis 880 Crosstown AvenueSilvisRock Island10


Address:Name:

City:County:













Oct 1

0

Oct 2

14

Oct 3

14

Oct 4

14

Oct 5

14

Oct 6

14

Oct 7

14

0 33 25 35 23 35 26






Date of Operation

Hours operated


38Total:

32Total:














Medicare

53

54.1%

Medicaid

1

Private Insurance

43

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

98

1.0% 43.9% 0.0%1.0% 0.0% 100.0%

Patients

TOTAL 10

110

82

9854

4

03

161712

03

151121




98

06

3128339848 50

98

$946,450 $0 $808,617 $0$2,713 $0 $1,757,780

53.8% 0.0% 46.0% 0.0%0.2% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2618

Fresenius Kidney Care Skokie 9801 Woods DriveSkokieCook7


Address:Name:

City:County:




Property Owner:



Medical Director Name: Christopher Najafi, MD






Oct 1

0

Oct 2

16

Oct 3

13

Oct 4

16

Oct 5

13

Oct 6

16

Oct 7

13

0 35 20 34 22 34 21






Date of Operation

Hours operated


41Total:

40Total:














Medicare

56

61.5%

Medicaid

3

Private Insurance

30

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

91

3.3% 33.0% 0.0%0.0% 2.2% 100.0%

Patients

TOTAL 250

130

53

8830

0

08

141522

0295

16




91

0102320389159 32

91

$1,027,291 $25,409 $825,067 $0$6,006 $56,601 $1,940,374

52.9% 1.3% 42.5% 0.0%0.3% 2.9% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2519

Fresenius Kidney Care South Chicago 9200 S. South Chicago AvenueChicagoCook6


Address:Name:

City:County:







Medical Director Name: Kareen Simpson, MD






Oct 1

0

Oct 2

17

Oct 3

17

Oct 4

17

Oct 5

17

Oct 6

17

Oct 7

17

0 98 93 91 91 95 91






Date of Operation

Hours operated


71Total:

57Total:














Medicare

158

59.8%

Medicaid

5

Private Insurance

99

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

264

1.9% 37.5% 0.0%0.8% 0.0% 100.0%

Patients

TOTAL 00

2130

51

48216

0

0

023713741

05

362922




264

028

1076663

264172 92

264

$3,666,562 $60,873 $5,003,069 $0$11,402 $60,812 $8,802,718

41.7% 0.7% 56.8% 0.0%0.1% 0.7% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2756

Fresenius Kidney Care South Deering 10559 S. Torrence AvenueChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care South Deering, LLC Legal Entity Owner:

Property Owner: Torrence Complex,LP



Medical Director Name: Richard Hong, MD






Oct 1

0

Oct 2

14

Oct 3

14

Oct 4

14

Oct 5

14

Oct 6

14

Oct 7

14

0 35 34 34 33 32 34






Date of Operation

Hours operated


43Total:

31Total:














Medicare

72

70.6%

Medicaid

0

Private Insurance

29

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

102

0.0% 28.4% 0.0%1.0% 0.0% 100.0%

Patients

TOTAL 00

850

17

12900

0

04

281212

02

201014




102

06

482226

10256 46

102

$1,668,377 $16,492 $1,516,334 $0$3,922 $0 $3,205,125

52.1% 0.5% 47.3% 0.0%0.1% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2542

Fresenius Kidney Care South Holland 17225 S. Paxton South HollandCook7


Address:Name:

City:County:




Property Owner: Physicians Capital investments, LLC



Medical Director Name: R. Soundararajan, MD






Oct 1

0

Oct 2

18

Oct 3

14

Oct 4

18

Oct 5

14

Oct 6

18

Oct 7

14

0 57 42 57 41 56 42






Date of Operation

Hours operated


43Total:

46Total:






Full-Time Work Week: 32Registered Nurse : 9.5Dialysis Technician : 11Dietician : 1Social Worker: 1LPN : 0Other Health : 0Other Non-Health: 1.5








Medicare

69

47.6%

Medicaid

1

Private Insurance

71

Charity Care

0

Private Pay

1

Other Public

3

TOTAL

145

0.7% 49.0% 0.0%0.7% 2.1% 100.0%

Patients

TOTAL 00

1300

15

11134

0

0

010551413

08

171513




145

018722926

14592 53

145

$1,744,980 $7,309 $3,344,067 $0$3,698 $20,381 $5,120,435

34.1% 0.1% 65.3% 0.0%0.1% 0.4% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2572

Fresenius Kidney Care South Shore 2420 E 79th StreetChicagoCook6


Address:Name:

City:County:




Property Owner: Realty Income Illinois Properties



Medical Director Name: Clark McClurkin, MD






Oct 1

0

Oct 2

18

Oct 3

8

Oct 4

18

Oct 5

8

Oct 6

18

Oct 7

8

0 31 9 35 8 39 7






Date of Operation

Hours operated


40Total:

41Total:






Full-Time Work Week: 32Registered Nurse : 2Dialysis Technician : 5Dietician : 0.5Social Worker: 0LPN : 0Other Health : 0Other Non-Health: 1.5








Medicare

46

52.9%

Medicaid

1

Private Insurance

39

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

87

1.1% 44.8% 0.0%1.1% 0.0% 100.0%

Patients

TOTAL 00

8601

1860

0

06

1499

06879




87

0122216186838 30

87

$786,510 $14,256 $770,078 $0$14,446 $26,638 $1,611,928

48.8% 0.9% 47.8% 0.0%0.9% 1.7% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2517

Fresenius Kidney Care South Suburban 2609 Lincoln HighwayOlympia FieldsCook7


Address:Name:

City:County:



Legal Entity Operator: SSKG, Inc.Legal Entity Owner:

Property Owner: GAHC3 Mount Olympia MOB



Medical Director Name: Lourdes Terrado, MD






Oct 1

0

Oct 2

17.5

Oct 3

17.5

Oct 4

17.5

Oct 5

17.5

Oct 6

17.5

Oct 7

17.5

0 64 49 61 49 58 45






Date of Operation

Hours operated


80Total:

69Total:














Medicare

123

61.2%

Medicaid

3

Private Insurance

70

Charity Care

0

Private Pay

2

Other Public

3

TOTAL

201

1.5% 34.8% 0.0%1.0% 1.5% 100.0%

Patients

TOTAL 11

1660

19

13187

1

14

013483726

08

292218




201

021775944

201124 77

201

$2,815,305 $35,513 $4,298,738 $0$38,242 $51,839 $7,239,637

38.9% 0.5% 59.4% 0.0%0.5% 0.7% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2508

Fresenius Kidney Care Southside 3134 W. 76th StreetChicagoCook6


Address:Name:

City:County:




Property Owner: Elliot Bay Healthcare Realty



Medical Director Name: Guatam Bhanushali, MD






Oct 1

0

Oct 2

16

Oct 3

16

Oct 4

16

Oct 5

16

Oct 6

16

Oct 7

16

0 95 85 92 89 96 80






Date of Operation

Hours operated


77Total:

83Total:














Medicare

146

52.3%

Medicaid

4

Private Insurance

119

Charity Care

0

Private Pay

7

Other Public

3

TOTAL

279

1.4% 42.7% 0.0%2.5% 1.1% 100.0%

Patients

TOTAL 00

2250

54

50229

0

0

022713725

017513719




279

039

1227444

279155 124

279

$3,785,762 $74,618 $4,858,418 $0$164,345 $92,370 $8,975,513

42.2% 0.8% 54.1% 0.0%1.8% 1.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2535

Fresenius Kidney Care Southwestern Illinois 7 Professional DriveAltonMadison11


Address:Name:

City:County:




Property Owner: 04-2560009



Medical Director Name: Erik Daniels, MD






Oct 1

0

Oct 2

15

Oct 3

12

Oct 4

15

Oct 5

12

Oct 6

15

Oct 7

12

0 42 35 41 32 43 34






Date of Operation

Hours operated


51Total:

33Total:














Medicare

80

69.6%

Medicaid

2

Private Insurance

32

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

115

1.7% 27.8% 0.0%0.0% 0.9% 100.0%

Patients

TOTAL 00

220

93

0115

0

0

011271722

087

212




115

019343824

11577 38

115

$2,067,038 $39,864 $1,392,937 $0$2,476 $0 $3,502,315

59.0% 1.1% 39.8% 0.0%0.1% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2565

Fresenius Kidney Care Spoon River 340 S. Avenue BCantonFulton2


Address:Name:

City:County:




Property Owner: Graham Hospital



Medical Director Name: Anthony Horinek, MD






Oct 1

0

Oct 2

15

Oct 3

14

Oct 4

16

Oct 5

13

Oct 6

15.5

Oct 7

11

0 21 15 20 15 23 13






Date of Operation

Hours operated


16Total:

17Total:














Medicare

39

76.5%

Medicaid

2

Private Insurance

9

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

51

3.9% 17.6% 0.0%0.0% 2.0% 100.0%

Patients

TOTAL 0010

49

1500

1

0268

12

0155

12




51

03

1113245128 23

51

$877,342 $44,639 $271,616 $0$0 $27,295 $1,220,892

71.9% 3.7% 22.2% 0.0%0.0% 2.2% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2564

Fresenius Kidney Care Spring Valley 12 Wolfer Industrial DriveSpring ValleyBureau2


Address:Name:

City:County:




Property Owner: Richwoods Enterprises, Inc.



Medical Director Name: Usman Khan, MD






Oct 1

0

Oct 2

18

Oct 3

16

Oct 4

18

Oct 5

16

Oct 6

18

Oct 7

15

0 33 27 33 29 36 28






Date of Operation

Hours operated


34Total:

30Total:














Medicare

82

84.5%

Medicaid

3

Private Insurance

8

Charity Care

0

Private Pay

1

Other Public

3

TOTAL

97

3.1% 8.2% 0.0%1.0% 3.1% 100.0%

Patients

TOTAL 0030

94

17800

0

06

211711

04

136

19




97

0103423309755 42

97

$1,316,052 $20,959 $526,828 $0$1,673 $105,650 $1,971,162

66.8% 1.1% 26.7% 0.0%0.1% 5.4% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2725

Fresenius Kidney Care Steger 219 E. 34th StreetStegerCook7


Address:Name:

City:County:




Property Owner: Manco Construction



Medical Director Name: Daniel Yohay, MD






Oct 1

0

Oct 2

17.5

Oct 3

12

Oct 4

17.5

Oct 5

12

Oct 6

17.5

Oct 7

12

0 31 22 31 21 33 21






Date of Operation

Hours operated


34Total:

35Total:






Full-Time Work Week: 32Registered Nurse : 4Dialysis Technician : 7Dietician : 5Social Worker: 0.5LPN : 0Other Health : 0Other Non-Health: 1.5








Medicare

62

62.0%

Medicaid

1

Private Insurance

29

Charity Care

0

Private Pay

3

Other Public

5

TOTAL

100

1.0% 29.0% 0.0%3.0% 5.0% 100.0%

Patients

TOTAL 00

510

49

5950

0

09

191415

05

208

10




100

014392225

10057 43

100

$980,550 $2,205 $627,937 $0$22,086 $95,079 $1,727,857

56.7% 0.1% 36.3% 0.0%1.3% 5.5% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2695

Fresenius Kidney Care Streator 2356 N. Bloomington StreetStreatorLaSalle2


Address:Name:

City:County:




Property Owner: Sandor Development Co. (Thomas Siff



Medical Director Name: Amit Jamnadas, MD






Oct 1

0

Oct 2

12

Oct 3

12

Oct 4

12

Oct 5

12

Oct 6

12

Oct 7

12

0 13 11 14 11 14 9






Date of Operation

Hours operated


11Total:

16Total:














Medicare

33

89.2%

Medicaid

1

Private Insurance

2

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

37

2.7% 5.4% 0.0%0.0% 2.7% 100.0%

Patients

TOTAL 0030

34

1360

0

03977

00335




37

03

1210123726 11

37

$529,323 $1,283 $518,714 $0$0 $28,165 $1,077,485

49.1% 0.1% 48.1% 0.0%0.0% 2.6% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2802

Fresenius Kidney Care Summit 7320 W. Archer AvenueSummitCook7


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Summit, LLC Legal Entity Owner:

Property Owner: Net3 (Summit), LLC (N)



Medical Director Name: Rajiv Gandhi, MD






Oct 1

0

Oct 2

13

Oct 3

0

Oct 4

13

Oct 5

0

Oct 6

13

Oct 7

0

0 20 0 22 0 22 0






Date of Operation

Hours operated


16Total:

32Total:














Medicare

16

39.0%

Medicaid

4

Private Insurance

20

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

41

9.8% 48.8% 0.0%2.4% 0.0% 100.0%

Patients

TOTAL 0060

35

12290

0

03

1245

03653




41

06

1898

4124 17

41

$30,706 $0 $78,618 $0$0 $0 $109,324

28.1% 0.0% 71.9% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2692

Fresenius Kidney Care Uptown 4700 N. Marine Drive, Suite 200ChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Renal Care Group Chicago Uptown, LLC Legal Entity Owner:

Property Owner: Wellness Associates LLC



Medical Director Name: Neil Soifer, MD






Oct 1

0

Oct 2

17

Oct 3

17

Oct 4

17

Oct 5

17

Oct 6

17

Oct 7

17

0 35 31 36 30 38 29






Date of Operation

Hours operated


39Total:

50Total:














Medicare

78

61.4%

Medicaid

2

Private Insurance

45

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

127

1.6% 35.4% 0.0%0.0% 1.6% 100.0%

Patients

TOTAL 110

630

53

13114

0

0

07

251221

09

181718




127

016432939

12765 62

127

$1,643,837 $32,264 $1,703,236 $0$16,175 $48,235 $3,443,747

47.7% 0.9% 49.5% 0.0%0.5% 1.4% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2789

Fresenius Kidney Care Waterloo 624 Voris-Jost DriveWaterlooMonroe11


Address:Name:

City:County:




Property Owner: GAHC3 Southern Illinois MOB Portfolio



Medical Director Name: Matthew Koch, MD






Oct 1

0

Oct 2

21

Oct 3

0

Oct 4

20

Oct 5

0

Oct 6

20

Oct 7

0

0 10 0 9 0 10 0






Date of Operation

Hours operated


16Total:

7Total:














Medicare

12

54.5%

Medicaid

0

Private Insurance

9

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

22

0.0% 40.9% 0.0%0.0% 4.5% 100.0%

Patients

TOTAL 0000

22

0220

0

01275

02023




22

03298

2215 7

22

$224,157 $0 $336,033 $0$0 $0 $560,190

40.0% 0.0% 60.0% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2727

Fresenius Kidney Care Waukegan Harbor 110 N. West StreetWaukeganLake8


Address:Name:

City:County:




Property Owner: AR Capital, LLC



Medical Director Name: Rakhi Khanna, MD






Oct 1

0

Oct 2

18

Oct 3

17

Oct 4

18

Oct 5

17

Oct 6

18

Oct 7

17

0 56 55 56 50 54 54






Date of Operation

Hours operated


30Total:

32Total:














Medicare

79

54.5%

Medicaid

2

Private Insurance

59

Charity Care

0

Private Pay

2

Other Public

3

TOTAL

145

1.4% 40.7% 0.0%1.4% 2.1% 100.0%

Patients

TOTAL 40

630

78

56890

0

0164517

2

07

281614




145

023733316

14580 65

145

$2,095,731 $41,891 $3,824,865 $0$41,848 $122,126 $6,126,461

34.2% 0.7% 62.4% 0.0%0.7% 2.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2729

Fresenius Kidney Care West Batavia 2580 W. Fabyan ParkwayBataviaKane8


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Batavia, LLC Legal Entity Owner:

Property Owner: MedProperties Group



Medical Director Name: Navinchandra Dodhia, MD






Oct 1

0

Oct 2

17

Oct 3

13

Oct 4

17

Oct 5

13

Oct 6

17

Oct 7

13

0 33 20 32 20 31 23






Date of Operation

Hours operated


25Total:

50Total:














Medicare

39

43.8%

Medicaid

6

Private Insurance

41

Charity Care

0

Private Pay

1

Other Public

2

TOTAL

89

6.7% 46.1% 0.0%1.1% 2.2% 100.0%

Patients

TOTAL 40

130

72

29600

0

07

201213

01

15147




89

08

3526208952 37

89

$676,726 $22,945 $1,712,784 $0$51,385 $60,344 $2,524,184

26.8% 0.9% 67.9% 0.0%2.0% 2.4% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2523

Fresenius Kidney Care West Belmont 4943 West Belmont AvenueChicagoCook6


Address:Name:

City:County:




Property Owner: 4935 W Belmont, Inc.



Medical Director Name: Neetha Dhananjaya, MD






Oct 1

0

Oct 2

16

Oct 3

16

Oct 4

16

Oct 5

16

Oct 6

16

Oct 7

16

0 48 44 48 44 48 44






Date of Operation

Hours operated


27Total:

35Total:














Medicare

37

40.7%

Medicaid

3

Private Insurance

48

Charity Care

0

Private Pay

3

Other Public

0

TOTAL

91

3.3% 52.7% 0.0%3.3% 0.0% 100.0%

Patients

TOTAL 2070

82

60310

0

0142215

5

05

14133




91

01936288

9156 35

91

$1,344,686 $94,818 $4,147,260 $0$57,538 $0 $5,644,302

23.8% 1.7% 73.5% 0.0%1.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2702

Fresenius Kidney Care West Chicago 1859 N. Neltnor Blvd.West ChicagoDuPage7


Address:Name:

City:County:




Property Owner: West Chicago Management LLC



Medical Director Name: J. Kropp, MD






Oct 1

0

Oct 2

18

Oct 3

18

Oct 4

18

Oct 5

18

Oct 6

18

Oct 7

18

0 30 24 30 20 28 28






Date of Operation

Hours operated


17Total:

36Total:






Full-Time Work Week: 32Registered Nurse : 3Dialysis Technician : 5Dietician : 0.5Social Worker: 0.5LPN : 0.5Other Health : 0Other Non-Health: 2








Medicare

58

64.4%

Medicaid

0

Private Insurance

29

Charity Care

0

Private Pay

0

Other Public

3

TOTAL

90

0.0% 32.2% 0.0%0.0% 3.3% 100.0%

Patients

TOTAL 810

70

65

12780

0

03

151819

065

1113




90

09

2029329055 35

90

$1,273,987 $29,473 $1,243,743 $0$0 $43,201 $2,590,404

49.2% 1.1% 48.0% 0.0%0.0% 1.7% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2536

Fresenius Kidney Care West Metro 1044 N. Mozart, Suite 3ChicagoCook6


Address:Name:

City:County:




Property Owner: Norweigan American Hospital Attention

•• Fresenius Kidney Care does not hold long term debt on any Illinois dialysis location balance sheet. Fresenius Medical Care does not, as a for-profit corporation, provide charity care under the Board's definition of same; however, it treats all patients regardless of ability to pay and thus does provide uncompensated care. The cost of providing uncompensated care in Illinois was approximately $3,000,000. Most of our Medicaid patients have moved to managed care “Medicaid Risk” programs which reimburse at rates comparable to Medicaid and Medicare, however these patients/revenues are accounted for under Private Insurance. Approximately 9% of the Illinois hemodialysis patients Fresenius treated in 2017 were covered by either Medicaid or a managed Medicaid insurance. • Patient counts are from 2017 and financial data was obtained from 2016 Audited Financial Statements. • As a condition to #14-047, Humboldt Park 34-station facility, the West Metro facility was permitted to reduce stations from 32 to 12. While HRSRB posted the reduction immediately upon permit approval, the facility could not reduce stations until the Humboldt Park facility was up and running and patients and staff could transfer. This transfer of patients along with the reduction of stations to 12 was accomplished effective February 6, 2017.


Medical Director Name: Remegio Vilbar, MD






Oct 1

0

Oct 2

17

Oct 3

17

Oct 4

17

Oct 5

17

Oct 6

17

Oct 7

17

0 76 59 72 63 77 65






Date of Operation

Hours operated


106Total:

28Total:














Medicare

113

58.9%

Medicaid

3

Private Insurance

75

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

192

1.6% 39.1% 0.0%0.5% 0.0% 100.0%

Patients

TOTAL 40

670

121

114780

0

016682015

06

232024




192

022914039

192119 73

192

$3,544,632 $95,763 $6,056,657 $0$18,029 $45,173 $9,760,254

36.3% 1.0% 62.1% 0.0%0.2% 0.5% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2530

Fresenius Kidney Care West Suburban 518 N. Austin Blvd., Suite 5000Oak ParkCook7


Address:Name:

City:County:




Property Owner: West Suburban Hospital Medical Cente



Medical Director Name: Arthur Morris, MD

In-Center Treatments in calendar year:

Facility Reported Patient Information





Oct 1

0

Oct 2

16

Oct 3

16

Oct 4

16

Oct 5

16

Oct 6

16

Oct 7

16

0 126 105 119 103 125 99






Date of Operation

Hours operated


99Total:

123Total:


43,056Treatment Capacity/year (based on Stations):Use Rate (Treatments/Treatment capacity):Use Rate (including Missed Treatments):Use Rate (Begining patients treated):












Medicare

189

56.6%

Medicaid

5

Private Insurance

132

Charity Care

0

Private Pay

3

Other Public

5

TOTAL

334

1.5% 39.5% 0.0%0.9% 1.5% 100.0%

Patients

TOTAL 30

3140

17

013

321

0

027753737

016505042




334

043

1258779

334176 158

334

$4,560,137 $72,686 $5,784,341 $0$107,359 $155,636 $10,680,159

42.7% 0.7% 54.2% 0.0%1.0% 1.5% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2730

Fresenius Kidney Care West Willow 1444 W. WillowChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care West Willow, LLC Legal Entity Owner:

Property Owner: Elston Industrial Loft LLC



Medical Director Name: Mohamed Salem, MD






Oct 1

0

Oct 2

12

Oct 3

17

Oct 4

12

Oct 5

17

Oct 6

12

Oct 7

12

0 14 19 20 15 19 15






Date of Operation

Hours operated


21Total:

24Total:














Medicare

36

62.1%

Medicaid

0

Private Insurance

22

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

58

0.0% 37.9% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 30

310

24

6520

0

04

159

11

01855




58

05

2314165839 19

58

$920,023 $12,847 $943,488 $0$0 $0 $1,876,358

49.0% 0.7% 50.3% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2520

Fresenius Kidney Care Westchester 2400 Wolf Road, Suite 101AWestchesterCook7


Address:Name:

City:County:



Legal Entity Operator: DuPage Dialysis, LTD Legal Entity Owner:

Property Owner: TANDEM REAL ESTATE, LLC



Medical Director Name: Leonard Potempa, MD

1/26/2017 - Added 2 stations to existing facility; facility now has 22 ESRD stations.






Oct 1

0

Oct 2

18

Oct 3

14

Oct 4

18

Oct 5

14

Oct 6

18

Oct 7

14

0 49 34 46 34 50 34






Date of Operation

Hours operated


64Total:

64Total:














Medicare

86

62.3%

Medicaid

4

Private Insurance

46

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

138

2.9% 33.3% 0.0%1.4% 0.0% 100.0%

Patients

TOTAL 50

480

85

15123

0

0

011362018

05

181614




138

016543632

13885 53

138

$2,078,908 $16,142 $2,349,622 $0$41,878 $100,486 $4,587,036

45.3% 0.4% 51.2% 0.0%0.9% 2.2% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2627

Fresenius Kidney Care Williamson County 900 Skyline Drive, Suite 200MarionWilliamson5


Address:Name:

City:County:




Property Owner: Zeller Properties



Medical Director Name: Muhammad Kamran, MD






Oct 1

0

Oct 2

11

Oct 3

10

Oct 4

11

Oct 5

10

Oct 6

11

Oct 7

10

0 26 24 24 21 25 21






Date of Operation

Hours operated


44Total:

41Total:














Medicare

65

71.4%

Medicaid

4

Private Insurance

14

Charity Care

0

Private Pay

0

Other Public

8

TOTAL

91

4.4% 15.4% 0.0%0.0% 8.8% 100.0%

Patients

TOTAL 10

132

75

0910

0

07

151316

02

111710




91

09

2630269151 40

91

$308,569 $15,135 $249,844 $0$1,793 $36,605 $611,946

50.4% 2.5% 40.8% 0.0%0.3% 6.0% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2632

Fresenius Kidney Care Willowbrook 6300 Kingery Hwy, Suite 408WillowbrookDuPage7


Address:Name:

City:County:




Property Owner: Regency Centers LP



Medical Director Name: May Chow, MD






Oct 1

0

Oct 2

17

Oct 3

17

Oct 4

17

Oct 5

17

Oct 6

17

Oct 7

17

0 39 32 38 34 37 36






Date of Operation

Hours operated


57Total:

56Total:














Medicare

88

67.7%

Medicaid

2

Private Insurance

37

Charity Care

0

Private Pay

3

Other Public

0

TOTAL

130

1.5% 28.5% 0.0%2.3% 0.0% 100.0%

Patients

TOTAL 110

210

98

7123

0

0

06

231822

03

211423




130

09

443245

13069 61

130

$2,054,713 $48,680 $1,369,525 $0$16,374 $4,832 $3,494,124

58.8% 1.4% 39.2% 0.0%0.5% 0.1% 100.0%Net Revenue

12/31/20161/1/2016 to


14-2777

Garfield Kidney Center3250 W. Franklin Blvd.ChicagoCook6


Address:Name:

City:County:




Property Owner: Total Renal Care, Inc.

4th shift in operation on Monday, Wednesday and Friday during week of October 1st - 7th 2017


Medical Director Name: Ogbonnaya Aneziokoro, M.D.






Oct 1

0

Oct 2

19

Oct 3

15

Oct 4

19

Oct 5

15

Oct 6

19

Oct 7

15

0 45 33 45 32 44 36






Date of Operation

Hours operated


76Total:

77Total:














Medicare

110

67.1%

Medicaid

43

Private Insurance

11

Charity Care

2

Private Pay

0

Other Public

0

TOTAL

164

26.2% 6.7% 1.2%0.0% 0.0% 100.0%

Patients

TOTAL 10

1160

49

45121

0

0

0175722

9

09

28186




166

026854015

166105 61

166

$2,282,012 $302,776 $1,020,240 $59,000$1,160,720Net Revenue

12/31/20171/1/2017 to


14-2728

Grand Crossing Dialysis7319 S Cottage Grove AvenueChicagoCook6


Address:Name:

City:County:




Property Owner: Frontline Real Estate Partners


Medical Director Name: Mohamed Salem, MD






Oct 1

0

Oct 2

16

Oct 3

16

Oct 4

16

Oct 5

16

Oct 6

16

Oct 7

16

0 30 32 29 29 29 29






Date of Operation

Hours operated


54Total:

103Total:














Medicare

104

77.6%

Medicaid

15

Private Insurance

8

Charity Care

1

Private Pay

0

Other Public

7

TOTAL

134

11.2% 6.0% 0.7%0.0% 5.2% 100.0%

Patients

TOTAL 00

13400

1134

0

1

017421910

05

2877




135

022702617

13588 47

135

$1,159,571 $102,712 $390,581 $12,390$0 $1,078,258 $2,731,123

42.5% 3.8% 14.3% 0.5%0.0% 39.5% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2537

Granite City Dialysis Center9 American Village Shopping CenterGranite CityMadison11


Address:Name:

City:County:



Legal Entity Operator: RENAL TREATMENT CENTERS-ILLINOIS, INC.Legal Entity Owner:

Property Owner: Central Plaza Partners


Medical Director Name: Kenneth Gerdes






Oct 1

0

Oct 2

14

Oct 3

10

Oct 4

14

Oct 5

10

Oct 6

14

Oct 7

10

0 49 36 47 35 50 36






Date of Operation

Hours operated


48Total:

46Total:














Medicare

103

74.1%

Medicaid

11

Private Insurance

17

Charity Care

3

Private Pay

0

Other Public

8

TOTAL

139

7.9% 12.2% 2.2%0.0% 5.8% 100.0%

Patients

TOTAL 20

440

96

8134

0

0

010332013

06

222711




142

016554724

14276 66

142

$2,174,520 $94,844 $764,432 $30,444$1,429,241Net Revenue

12/31/20171/1/2017 to


14-2633

Illini Renal Dialysis507 E. University AveChampaignChampaign4


Address:Name:

City:County:




Property Owner: Barr Real Estate


Medical Director Name: Dr. Attia, Abdel-Moneim

11/14/2017 - 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.






Oct 1

0

Oct 2

14

Oct 3

15

Oct 4

14

Oct 5

14

Oct 6

15

Oct 7

15

0 27 32 27 28 30 34






Date of Operation

Hours operated


55Total:

54Total:






Full-Time Work Week: 32Registered Nurse : 5Dialysis Technician : 6Dietician : 1Social Worker: 0.75LPN : 0Other Health : 1Other Non-Health: 0








Medicare

79

69.3%

Medicaid

12

Private Insurance

12

Charity Care

3

Private Pay

0

Other Public

11

TOTAL

114

10.5% 10.5% 2.6%0.0% 9.6% 100.0%

Patients

TOTAL 10

431

67

5112

0

5

012192415

06

22136




117

018413721

11770 47

117

$1,849,545 $143,741 $880,178 $10,984$0 $776,623 $3,650,087

50.7% 3.9% 24.1% 0.3%0.0% 21.3% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2581

Jacksonville Dialysis1515 W. Walnut, Bldg. # 11JacksonvilleMorgan3


Address:Name:

City:County:




Property Owner: DVA Renal Healthcare, Inc.


Medical Director Name: Lawrence Smith, MD






Oct 1

0

Oct 2

13

Oct 3

13

Oct 4

13

Oct 5

13

Oct 6

13

Oct 7

13

0 24 26 22 22 26 26






Date of Operation

Hours operated


30Total:

32Total:














Medicare

73

90.1%

Medicaid

4

Private Insurance

4

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

81

4.9% 4.9% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0060

75

0810

0

05

119

16

03

141310




81

08

2522268141 40

81

$1,600,980 $22,123 $98,578 $0$0 $192,270 $1,913,951

83.6% 1.2% 5.2% 0.0%0.0% 10.0% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2636

Jerseyville Dialysis917 South State StreetJerseyvilleJersey3


Address:Name:

City:County:




Property Owner: Raul Walters Properties


Medical Director Name: Meher S. Mallick, MD

1/24/2017 - 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.






Oct 1

0

Oct 2

13

Oct 3

11

Oct 4

12

Oct 5

10

Oct 6

12

Oct 7

10.5

0 18 15 12 14 17 13






Date of Operation

Hours operated


21Total:

9Total:














Medicare

0

#Num!

Medicaid

0

Private Insurance

0

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

0


Patients

TOTAL 0010

55

00

56

0

03

1177

01

11106




56

04

2217135628 28

56

$1,030,514 $111,950 $145,523 $0$0 $221,542 $1,509,529

68.3% 7.4% 9.6% 0.0%0.0% 14.7% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2313

John H. Stroger Hospital of Cook County Dialysis 1900 West Harrison ChicagoCook6


Address:Name:

City:County:


Ownership Type: Government County

Legal Entity Operator: John H. Stroger Hospital of Cook County Legal Entity Owner:

Property Owner: Cook County

Page 8 - Section II. Net Revenue by source during the fiscal year. The total dollars amount reported in this section represents the total revenue for all services of the hospital. Actual cost of charity care The total dollar amount reported in this section represents the total costs of charity care provided at all services in the hospital.


Medical Director Name: Kalyani Perumal, MD






Oct 1

0

Oct 2

16

Oct 3

16

Oct 4

16

Oct 5

16

Oct 6

16

Oct 7

16

0 12 8 13 8 14 8






Date of Operation

Hours operated


19Total:

22Total:














Medicare

5

13.5%

Medicaid

28

Private Insurance

1

Charity Care

2

Private Pay

0

Other Public

3

TOTAL

37

75.7% 2.7% 5.4%0.0% 8.1% 100.0%

Patients

TOTAL 40

170

18

19200

0

08

1420

07431




39

0151851

3924 15

39

$71,596,921 $98,900,548 $50,315,213 $281,015,133$10,958,656 $299,413,823 $531,185,161

13.5% 18.6% 9.5% 52.9%2.1% 56.4% 100.0%Net Revenue

11/30/201612/1/2015 to


14-2685

Kankakee County DaVita581 William Latham Drive, Suite 104BourbonnaisKankakee9


Address:Name:

City:County:



Legal Entity Operator: Renal Treatment Centers - Ililinois, Inc.Legal Entity Owner:

Property Owner: FAZ Properties LLC


Medical Director Name: Dr. Nashib Hashmi







Oct 1

0

Oct 2

16

Oct 3

12

Oct 4

16

Oct 5

12

Oct 6

16

Oct 7

12

0 38 25 32 23 35 25






Date of Operation

Hours operated


24Total:

42Total:














Medicare

80

74.8%

Medicaid

12

Private Insurance

8

Charity Care

1

Private Pay

0

Other Public

7

TOTAL

107

11.2% 7.5% 0.9%0.0% 6.5% 100.0%

Patients

TOTAL 10

340

58

10944

15

07

281915

04

101213




108

011383128

10869 39

108

$1,258,981 $59,528 $335,753 $7,375$0 $1,008,503 $2,662,765

47.3% 2.2% 12.6% 0.3%0.0% 37.9% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2717

Kenwood Dialysis4259 S. Cottage GroveChicago Cook6


Address:Name:

City:County:



Legal Entity Operator: Total Renal Care,IncLegal Entity Owner:

Property Owner: Bob Ernst


Medical Director Name: Bharathi Reddy






Oct 1

0

Oct 2

20

Oct 3

12.5

Oct 4

20

Oct 5

12.5

Oct 6

20

Oct 7

12.5

0 68 52 64 47 66 51






Date of Operation

Hours operated


52Total:

64Total:














Medicare

139

74.3%

Medicaid

30

Private Insurance

15

Charity Care

5

Private Pay

0

Other Public

3

TOTAL

187

16.0% 8.0% 2.7%0.0% 1.6% 100.0%

Patients

TOTAL 10

18203

2186

4

6

015352317

01953219




192

034884426

19290 102

192

$3,180,358 $92,011 $881,858 $61,950$0 $1,393,210 $5,547,437

57.3% 1.7% 15.9% 1.1%0.0% 25.1% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2552

Lake County Dialysis Services565 Lakeview Parkway Ste 176Vernon HillsLake8


Address:Name:

City:County:



Legal Entity Operator: TRC Renal Care Inc.Legal Entity Owner:

Property Owner: Globe Corporation

Please note: Facility has 4th shift + Nocturnal on MWF.


Medical Director Name: Leon Sujata






Oct 1

0

Oct 2

19.5

Oct 3

19

Oct 4

19.5

Oct 5

19

Oct 6

19.5

Oct 7

19

0 47 22 43 20 44 26






Date of Operation

Hours operated


55Total:

56Total:






Full-Time Work Week: 40Registered Nurse : 5.5Dialysis Technician : 8.5Dietician : 1Social Worker: 0.8LPN : 0Other Health : 0Other Non-Health: 1.25








Medicare

82

71.9%

Medicaid

5

Private Insurance

21

Charity Care

8

Private Pay

3

Other Public

3

TOTAL

114

4.4% 18.4% 7.0%2.6% 2.6% 100.0%

Patients

TOTAL 31

215

83

219110

9

015251920

08

148

13




122

023392733

12279 43

122

$1,757,565 $32,649 $1,813,404 $24,890$972 $361,709 $3,966,299

44.3% 0.8% 45.7% 0.6%0.0% 9.1% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2768

Lawndale Dialysis3934 West 24th StreetChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: COWELL DIALYSIS LLCLegal Entity Owner:

Property Owner: SDO DEVELEOPMENT LLC


Medical Director Name: OGBONNAYA ANEZIOKORO






Oct 1

0

Oct 2

17

Oct 3

14

Oct 4

17

Oct 5

14

Oct 6

17

Oct 7

14

0 50 42 52 41 49 41






Date of Operation

Hours operated


49Total:

46Total:














Medicare

82

59.9%

Medicaid

36

Private Insurance

18

Charity Care

8

Private Pay

0

Other Public

1

TOTAL

137

26.3% 13.1% 5.8%0.0% 0.7% 100.0%

Patients

TOTAL 20

530

90

87580

0

0154118

9

09

271610




145

024683419

14583 62

145

$1,555,434 $364,571 $1,290,717 $211,220$0 $1,400,730 $4,611,452

33.7% 7.9% 28.0% 4.6%0.0% 30.4% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2582

Lincoln Dialysis2100 5th StreetLincolnLogan3


Address:Name:

City:County:




Property Owner: Sheley Group LLC


Medical Director Name: Allen Krall MD






Oct 1

0

Oct 2

12

Oct 3

7

Oct 4

11

Oct 5

7

Oct 6

11

Oct 7

7

0 27 6 24 6 23 9






Date of Operation

Hours operated


20Total:

21Total:














Medicare

45

83.3%

Medicaid

5

Private Insurance

4

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

54

9.3% 7.4% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 1020

51

10

53

0

02

108

14

00866




54

02

1814205434 20

54

$79,264 $972,513 $236,092 $0$209,754Net Revenue

12/31/20171/1/2017 to


14-2583

Litchfield Dialysis915 St. Francis WayLitchfieldMontgomery3


Address:Name:

City:County:




Property Owner: St. Francis Hospital of the Hospital Sis


Medical Director Name: Xueguang Chen, MD






Oct 1

0

Oct 2

11.5

Oct 3

11

Oct 4

11.5

Oct 5

11

Oct 6

11.5

Oct 7

10.5

0 24 17 23 19 24 17






Date of Operation

Hours operated


46Total:

35Total:














Medicare

66

73.3%

Medicaid

5

Private Insurance

6

Charity Care

0

Private Pay

1

Other Public

12

TOTAL

90

5.6% 6.7% 0.0%1.1% 13.3% 100.0%

Patients

TOTAL 00

110

79

2880

0

07

181016

03

131310




90

0103123269051 39

90

$1,366,485 $98,870 $576,841 $0$0 $120,786 $2,162,982

63.2% 4.6% 26.7% 0.0%0.0% 5.6% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2329

Loyola Center for Dialysis on Roosevelt1201 West Roosevelt RoadMaywoodCook7


Address:Name:

City:County:


Ownership Type: Not for Profit Corporatio

Legal Entity Operator: LUMCLegal Entity Owner:

Property Owner: Loyola University Medical Center


Medical Director Name: Vinod Bansal, M.D.






Oct 1

0

Oct 2

16

Oct 3

16

Oct 4

16

Oct 5

16

Oct 6

16

Oct 7

16

0 76 66 78 67 77 67






Date of Operation

Hours operated


60Total:

62Total:














Medicare

136

61.3%

Medicaid

26

Private Insurance

55

Charity Care

0

Private Pay

5

Other Public

0

TOTAL

222

11.7% 24.8% 0.0%2.3% 0.0% 100.0%

Patients

TOTAL 90

1100

103

59163

0

0

326492411

015323626




222

341816037

222113 109

222

$364,595,524 $231,298,877 $493,821,862 $9,695,769$5,811,794 $6,480,354 $1,102,008,411

33.1% 21.0% 44.8% 0.9%0.5% 0.6% 100.0%Net Revenue

6/30/20177/1/2016 to


14-2806

Machesney Park Dialysis7170 N Perryville RdMachesney ParkWinnebago1


Address:Name:

City:County:




Property Owner: First Midwest Group

Facility opened a TTS shift Oct 17th.


Medical Director Name: Michael Robertson






Oct 1

0

Oct 2

16

Oct 3

0

Oct 4

16

Oct 5

0

Oct 6

16

Oct 7

0

0 33 0 34 0 35 0






Date of Operation

Hours operated


19Total:

28Total:














Medicare

46

86.8%

Medicaid

2

Private Insurance

3

Charity Care

2

Private Pay

0

Other Public

2

TOTAL

53

3.8% 5.7% 3.8%0.0% 3.8% 100.0%

Patients

TOTAL 0052

41

7480

7

01

131012

00676




55

01

1917185536 19

55

$1,172,138 $21,519 $95,248 $15,045$0 $162,858 $1,451,763

80.7% 1.5% 6.6% 1.0%0.0% 11.2% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2671

Manteno Dialysis Centre 1 E. Division St.Manteno Kankakee9


Address:Name:

City:County:



Legal Entity Operator: Manteno Dialysis CentreLegal Entity Owner:

Property Owner: Jerry Curwick


Medical Director Name: Paritosh Tiwari






Oct 1

0

Oct 2

12

Oct 3

9.5

Oct 4

12

Oct 5

9.5

Oct 6

12

Oct 7

9.5

0 26 12 23 10 27 12






Date of Operation

Hours operated


18Total:

21Total:






Full-Time Work Week: 40Registered Nurse : 4.7Dialysis Technician : 2.7Dietician : 0.375Social Worker: 0.8LPN : 1.8Other Health : 0.6Other Non-Health: 0








Medicare

34

60.7%

Medicaid

1

Private Insurance

21

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

56

1.8% 37.5% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

120

50

3590

0

01

158

13

0068

11




62

01

2116246237 25

62

$1,612,035 $71,171 $557,598 $0$0 $0 $2,240,804

71.9% 3.2% 24.9% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2643

Marengo City Dialysis910 Greenlee Street, Suite BMarengo McHenry8


Address:Name:

City:County:




Property Owner: Luciano Zecchin


Medical Director Name: Aamir Memon






Oct 1

0

Oct 2

15

Oct 3

0

Oct 4

15

Oct 5

0

Oct 6

15

Oct 7

0

0 31 0 30 0 30 0






Date of Operation

Hours operated


22Total:

29Total:














Medicare

39

76.5%

Medicaid

3

Private Insurance

7

Charity Care

1

Private Pay

0

Other Public

2

TOTAL

51

5.9% 13.7% 2.0%0.0% 3.9% 100.0%

Patients

TOTAL 1030

48

12400

0

039

115

053

106




52

08

1221115228 24

52

$1,134,784 $47,364 $184,334 $45,430$0 $76,323 $1,442,805

78.7% 3.3% 12.8% 3.1%0.0% 5.3% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2570

Marion Dialysis324S. 4th streetMarionWilliamson5


Address:Name:

City:County:





The facility operated a fourth shift in October 2017.


Medical Director Name: Kevin Chen MD






Oct 1 Oct 2

13

Oct 3 Oct 4

13

Oct 5 Oct 6

13

Oct 7

3

34 32 33 2






Date of Operation

Hours operated


37Total:

14Total:














Medicare

49

64.5%

Medicaid

2

Private Insurance

4

Charity Care

1

Private Pay

0

Other Public

21

TOTAL

76

2.6% 5.3% 1.3%0.0% 27.6% 100.0%

Patients

TOTAL 00

120

65

3740

0

05

191014

06

1076




77

0112917207748 29

77

$2,828,515 $174,810 $3,737,465 $82,895$0 $1,676,094 $8,416,885

33.6% 2.1% 44.4% 1.0%0.0% 19.9% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2634

Maryville Dialysis2102 Vadalabene Drive, Suite 1MaryvilleMadison11


Address:Name:

City:County:




Property Owner: Maryville Medical Park Fund LLC


Medical Director Name: Henry Purcell






Oct 1

0

Oct 2

15

Oct 3

12

Oct 4

15

Oct 5

12

Oct 6

15

Oct 7

12

0 34 27 37 28 36 25






Date of Operation

Hours operated


46Total:

67Total:














Medicare

104

89.7%

Medicaid

1

Private Insurance

8

Charity Care

2

Private Pay

0

Other Public

3

TOTAL

116

0.9% 6.9% 1.7%0.0% 2.6% 100.0%

Patients

TOTAL 00

260

89

3115

0

3

010182016

02

191320




118

012373336

11864 54

118

$1,657,207 $1,735 $866,935 $19,740$0 $647,743 $3,173,620

52.2% 0.1% 27.3% 0.6%0.0% 20.4% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2585

Mattoon Dialysis6051 Development DrCharlestonColes4


Address:Name:

City:County:



Legal Entity Operator: DVA Renal Healthcare, Inc. Legal Entity Owner:

Property Owner: J&P Associates


Medical Director Name: Allen Krall






Oct 1 Oct 2

14

Oct 3

12

Oct 4

14

Oct 5

12

Oct 6

14

Oct 7

12

0 30 29 31 28 31 29






Date of Operation

Hours operated


16Total:

40Total:














Medicare

61

70.9%

Medicaid

11

Private Insurance

9

Charity Care

3

Private Pay

0

Other Public

5

TOTAL

86

12.8% 10.5% 3.5%0.0% 5.8% 100.0%

Patients

TOTAL 0121

85

3860

0

07

2112

3

06

102010




89

0133132138943 46

89

$1,971,395 $273,366 $982,944 $19,612$0 $318,315 $3,546,020

55.6% 7.7% 27.7% 0.6%0.0% 9.0% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2315

Memorial Medical Centeer701 N First StreetSpringfieldSangamon3


Address:Name:

City:County:



Legal Entity Operator: Memorial Health SystemLegal Entity Owner:

Property Owner: Memorial Health System


Medical Director Name: Lawrence Smith, MD






Oct 1

0

Oct 2

14

Oct 3

14

Oct 4

14

Oct 5

14

Oct 6

14

Oct 7

14

0 0 0 0 0 0 0






Date of Operation

Hours operated


0Total:

0Total:






Full-Time Work Week: 36Registered Nurse : 12.6Dialysis Technician : 0Dietician : 1Social Worker: 1LPN : 0.5Other Health : 0Other Non-Health: 0








Medicare

0

#Num!

Medicaid

0

Private Insurance

0

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

0


Patients

TOTAL 00000

000

0

00000

00000




0

0000000 0

0

$0 $0 $0 $0$0 $0 $0


9/30/201710/1/2016 to


14-2649

Montclare Dialysis Center7009 W Belmont AveChicagoCook6


Address:Name:

City:County:




Property Owner: Robert Olsen & Gladys Olsen


Medical Director Name: Kenneth Kuznetsky






Oct 1

0

Oct 2

12.5

Oct 3

12.5

Oct 4

12.5

Oct 5

12.5

Oct 6

12.5

Oct 7

12.5

0 41 45 42 42 43 44






Date of Operation

Hours operated


68Total:

103Total:














Medicare

106

73.6%

Medicaid

12

Private Insurance

25

Charity Care

5

Private Pay

0

Other Public

1

TOTAL

144

8.3% 17.4% 3.5%0.0% 0.7% 100.0%

Patients

TOTAL 90

290

111

57920

0

010412311

011231713




149

021644024

14985 64

149

$1,987,762 $210,859 $2,169,831 $113,575$0 $770,371 $5,138,824

38.7% 4.1% 42.2% 2.2%0.0% 15.0% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2813

Montgomery County Dialysis 1822 Senator Miller DriveHillsboroMontgomery3


Address:Name:

City:County:



Legal Entity Operator: Total Renal Care, INC.Legal Entity Owner:

Property Owner: Palestra Real Estate Partners, INC.


Medical Director Name: Ashraf Tamizuddin, MD.






Oct 1

0

Oct 2

11

Oct 3

7

Oct 4

11

Oct 5

7

Oct 6

11

Oct 7

7

0 15 5 14 5 13 6






Date of Operation

Hours operated


8Total:

26Total:






Full-Time Work Week: 40Registered Nurse : 1Dialysis Technician : 1Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 0.5Other Non-Health: 0








Medicare

21

77.8%

Medicaid

4

Private Insurance

2

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

27

14.8% 7.4% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0010

26

0270

0

01162

01745




27

028

107

2710 17

27

$335,305 $57,715 $636,562 $0$0 $145,169 $1,174,752

28.5% 4.9% 54.2% 0.0%0.0% 12.4% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2541

Mount Vernon Dialysis4102 North Water Tower PlaceMount Vernon Jefferson5


Address:Name:

City:County:




Property Owner: Nephroplex Service Corporation-


Medical Director Name: Steven Zelman






Oct 1

0

Oct 2

11

Oct 3

11

Oct 4

11

Oct 5

11

Oct 6

11

Oct 7

11

0 28 25 26 26 26 28






Date of Operation

Hours operated


41Total:

33Total:














Medicare

77

83.7%

Medicaid

0

Private Insurance

8

Charity Care

0

Private Pay

0

Other Public

7

TOTAL

92

0.0% 8.7% 0.0%0.0% 7.6% 100.0%

Patients

TOTAL 10

150

76

1910

0

07

171318

016

1416




92

08

2327349255 37

92

$1,892,745 $69,146 $1,274,752 $0$273,139Net Revenue

12/31/20181/1/2017 to


14-2302

Mt. Sinai Hospital1500 S.CaliforniaAveChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Mt.Sinai Hosptial and Medical CenterLegal Entity Owner:

Property Owner: Mt. Sinai Hospital and Medical Center


Medical Director Name: Andres Serrano MD






Oct 1 Oct 2

15

Oct 3

15

Oct 4

15

Oct 5

15

Oct 6

15

Oct 7

15

43 41 43 41 43 41






Date of Operation

Hours operated


23Total:

23Total:














Medicare

50

61.7%

Medicaid

26

Private Insurance

5

Charity Care

3

Private Pay

0

Other Public

0

TOTAL

81

32.1% 6.2% 3.7%0.0% 0.0% 100.0%

Patients

TOTAL 10

470

36

35490

0

08

2378

08

1875




84

0164114138446 38

84

$908,630 $414,224 $358,252 $118,301Net Revenue

6/30/20177/1/2016 to


14-2600

Nephron Dialysis Center, Ltd.5140 N. California Ave., Suite 510ChicagoCook6


Address:Name:

City:County:




Property Owner: Swedish Covenant Hospital


Medical Director Name: Hamid Humayun MD






Oct 1

0

Oct 2

13.3

Oct 3

13.3

Oct 4

13.3

Oct 5

13.3

Oct 6

13.3

Oct 7

13.3

0 44 42 40 40 41 44






Date of Operation

Hours operated


47Total:

47Total:














Medicare

106

85.5%

Medicaid

13

Private Insurance

5

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

124

10.5% 4.0% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 440

180

62

19105

0

0

05

262918

00

101521




124

05

364439

12478 46

124

$2,095,138 $729,639 $664,568 $0$1,500 $0 $3,490,846

60.0% 20.9% 19.0% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2797

Nocturnal Dialysis Spa, LLC1634 S Ardmore AveVilla ParkDuPage7


Address:Name:

City:County:




Property Owner: HCT Trust


Medical Director Name: Hamid Humayun, MD






Oct 1

0

Oct 2

7

Oct 3

0

Oct 4

7

Oct 5

0

Oct 6

7

Oct 7

0

0 2 0 2 0 2 0






Date of Operation

Hours operated


3Total:

8Total:














Medicare

6

60.0%

Medicaid

0

Private Insurance

0

Charity Care

0

Private Pay

1

Other Public

3

TOTAL

10

0.0% 0.0% 0.0%10.0% 30.0% 100.0%

Patients

TOTAL 30601

0100

0

00421

00030




10

00451

107 3

10

$80,874 $0$1,250 $879Net Revenue

12/31/20171/1/2017 to


14-2779

NxStage Kidney Care Oak Brook, LLC1600 West 16th Street, Ste 13Oak BrookCook7


Address:Name:

City:County:



Legal Entity Operator: NxStage Kidney Care Oak Brook, LLCLegal Entity Owner:

Property Owner: Newport Capital Partners

Information reported includes all dialysis modalities (Home (HHD,PD) & In Center (HD)) except where request is specifically for In Center information only.


Medical Director Name: William Whittier






Oct 1

8

Oct 2

8

Oct 3

8

Oct 4

8

Oct 5

8

Oct 6

8

Oct 7

8

4 29 20 20 19 22 25


New Patients: 18Transient Patients:Patients Re-Started: 0Post-Transplant Patien 0




Date of Operation

Hours operated


10Total:

Total:



Total Unduplicated patients treated in calendar year:











Medicare

23

52.3%

Medicaid

5

Private Insurance

16

Charity Care

1

Private Pay

0

Other Public

0

TOTAL

44

11.4% 36.4% 2.3%0.0% 0.0% 100.0%

Patients

TOTAL 00000

00

45

45

04953

06

1242




45

0102195

4521 24

45

$805,303 ($23,769) $937,379 $50,283($49,453) $168,644 $1,838,104

43.8% -1.3% 51.0% 2.7%-2.7% 9.2% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2644

Oak Park Kidney Center, LLC610 S Maple Avenue. Suite 4100Oak ParkCook7


Address:Name:

City:County:




Property Owner: Rush University Medical Center


Medical Director Name: Hamid Humayun, MD






Oct 1

0

Oct 2

13.5

Oct 3

13.5

Oct 4

13.5

Oct 5

13.5

Oct 6

13.5

Oct 7

13.5

0 36 32 27 28 28 32




Number of Missed Treatments:


Date of Operation

Hours operated


46Total:

39Total:


16,848Treatment Capacity/year (based on Stations):Use Rate (Treatments/Treatment capacity): 58%Use Rate (including Missed Treatments):Use Rate (Begining patients treated):












Medicare

78

70.9%

Medicaid

16

Private Insurance

7

Charity Care

0

Private Pay

0

Other Public

9

TOTAL

110

14.5% 6.4% 0.0%0.0% 8.2% 100.0%

Patients

TOTAL 20

880

20

5105

0

0

06

222012

05

171711




110

011393723

11060 50

110

$17,000,000 $239,752 $850,307 $0$0 $126,678 $18,216,737

93.3% 1.3% 4.7% 0.0%0.0% 0.7% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2674

Olney Dialysis Unit117 N Boone OlneyRichland5


Address:Name:

City:County:




Property Owner: Andy Shuetz previous


Medical Director Name: Dr Rafeal Lao






Oct 1

0

Oct 2

12

Oct 3

6.5

Oct 4

12

Oct 5

6.5

Oct 6

12

Oct 7

6.5

0 15 5 15 5 15 5






Date of Operation

Hours operated


21Total:

16Total:














Medicare

37

86.0%

Medicaid

1

Private Insurance

1

Charity Care

1

Private Pay

1

Other Public

3

TOTAL

43

2.3% 2.3% 2.3%2.3% 7.0% 100.0%

Patients

TOTAL 0010

42

1430

1

02878

02539




44

04

1310174425 19

44

$736,840 $8,606 $11,385 $0$2,655 $52,460 $811,947

90.7% 1.1% 1.4% 0.0%0.3% 6.5% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2708

Pittsfield Dialysis640 W WashingtonPittsfieldPike3


Address:Name:

City:County:




Property Owner: Blessing Health System - Illini Hospital


Medical Director Name: Hrishikesh Ghanekar MD






Oct 1

0

Oct 2

13.5

Oct 3

0

Oct 4

13.5

Oct 5

0

Oct 6

15

Oct 7

0

0 11 0 11 0 12 0






Date of Operation

Hours operated


10Total:

15Total:














Medicare

19

79.2%

Medicaid

1

Private Insurance

3

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

24

4.2% 12.5% 0.0%0.0% 4.2% 100.0%

Patients

TOTAL 0000

24

0240

0

02375

00232




24

025

107

2417 7

24

$455,107 $757 $186,875 $0$0 $44,778 $687,517

66.2% 0.1% 27.2% 0.0%0.0% 6.5% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2335

Presence Resurrection Medical Center7435 W. TalcottChicagoCook6


Address:Name:

City:County:


Ownership Type: Non-Profit Church-Related

Legal Entity Operator: Presence Chicago Hospitals Network d/b/a Legal Entity Owner:

Property Owner: Presence Chicago Hospital d/b/a

Unit was closed from 3/17/2017 to 9/26/2017


Medical Director Name: Anna Gopaniuk M.D.






Oct 1

0

Oct 2

12

Oct 3

0

Oct 4

12

Oct 5

0

Oct 6

12

Oct 7

0

0 16 0 16 0 17 0






Date of Operation

Hours operated


53Total:

26Total:














Medicare

48

98.0%

Medicaid

0

Private Insurance

1

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

49

0.0% 2.0% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 6000

39

1453

4

006

117

0044

17




49

00

1015244924 25

49

$1,940,469 $0 $225,020 $0$0 $0 $2,165,489

89.6% 0.0% 10.4% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2318

Presence St. Mary's Hospital 455 West Court Street KankakeeKankakee9


Address:Name:

City:County:



Legal Entity Operator: Presence St. Mary's HospitalLegal Entity Owner:

Property Owner: Presence St. Mary's Hospital


Medical Director Name: Dr. Hizon






Oct 1

0

Oct 2

15

Oct 3

11

Oct 4

15

Oct 5

11

Oct 6

15

Oct 7

11

0 53 38 51 35 57 35






Date of Operation

Hours operated


46Total:

59Total:














Medicare

73

77.7%

Medicaid

10

Private Insurance

6

Charity Care

0

Private Pay

2

Other Public

3

TOTAL

94

10.6% 6.4% 0.0%2.1% 3.2% 100.0%

Patients

TOTAL 10

510

42

4900

0

03

281110

05

111313




94

08

3924239452 42

94

$3,580,456 $308,035 $1,224,099 $0$0 $774,734 $5,887,324

60.8% 5.2% 20.8% 0.0%0.0% 13.2% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2772

Red Bud Dialysis1500 East Market StreetRed BudRandolph5


Address:Name:

City:County:




Property Owner: Market Street Healthcare Red Bud, LLC


Medical Director Name: Meher Mallick






Oct 1

0

Oct 2

13

Oct 3

0

Oct 4

13

Oct 5

0

Oct 6

13

Oct 7

0

0 16 0 15 0 16 0






Date of Operation

Hours operated


15Total:

15Total:














Medicare

12

80.0%

Medicaid

2

Private Insurance

1

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

15

13.3% 6.7% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0020

13

0150

0

00233

01240




15

01473

158 7

15

$446,636 $38,324 $199,746 $0$0 $79,634 $764,340

58.4% 5.0% 26.1% 0.0%0.0% 10.4% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2741

Renal Center New Lenox1890 Silver Cross Blvd, Suite 150New LenoxWill9


Address:Name:

City:County:




Property Owner: NexCore Properties


Medical Director Name: Dr. Naila Ahmed






Oct 1

0

Oct 2

16

Oct 3

16

Oct 4

16

Oct 5

16

Oct 6

16

Oct 7

16

0 45 47 39 40 49 50






Date of Operation

Hours operated


65Total:

70Total:














Medicare

128

84.2%

Medicaid

14

Private Insurance

9

Charity Care

1

Private Pay

0

Other Public

1

TOTAL

152

9.2% 5.9% 0.7%0.0% 0.7% 100.0%

Patients

TOTAL 10

340

105

1412613

13

08

262730

05

171822




153

013434552

15391 62

153

$2,860,870 $16,725 $806,514 $21,240$0 $764,720 $4,448,829

64.3% 0.4% 18.1% 0.5%0.0% 17.2% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2742

Renal Center West Joliet1051 Essington Rd.Suite 160JolietWill9


Address:Name:

City:County:




Property Owner: Midwest Community Real Estate Corp.


Medical Director Name: Dr. Preeti Nagarkatte






Oct 1

0

Oct 2

15

Oct 3

15

Oct 4

15

Oct 5

15

Oct 6

15

Oct 7

15

0 66 50 64 46 67 48






Date of Operation

Hours operated


67Total:

94Total:






Full-Time Work Week: 40Registered Nurse : 7.5Dialysis Technician : 12Dietician : 1Social Worker: 1.5LPN : 0Other Health : 0Other Non-Health: 1.5








Medicare

155

74.9%

Medicaid

5

Private Insurance

25

Charity Care

2

Private Pay

0

Other Public

22

TOTAL

207

2.4% 12.1% 1.0%0.0% 10.6% 100.0%

Patients

TOTAL 21675

3103

20184

5

10

021392740

09

252028




209

030644768

209127 82

209

$2,986,190 $40,161 $2,019,949 $5,900$0 $1,208,497 $6,254,797

47.7% 0.6% 32.3% 0.1%0.0% 19.3% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2714

Robinson Dialysis1215 N Allen St STE BRobinsonCrawford5


Address:Name:

City:County:




Property Owner: Crawford Memorial Hospital


Medical Director Name: Rafael Lao






Oct 1

0

Oct 2

14

Oct 3

12

Oct 4

14

Oct 5

12

Oct 6

14

Oct 7

12

0 17 18 18 16 17 17






Date of Operation

Hours operated


35Total:

23Total:














Medicare

37

82.2%

Medicaid

3

Private Insurance

4

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

45

6.7% 8.9% 0.0%0.0% 2.2% 100.0%

Patients

TOTAL 0010

44

000

0

0153

16

01946




45

02

147

224525 20

0

$1,077,559 $59,159 $290,950 $0$134,584Net Revenue

12/31/20171/1/2017 to


14-2312

Rush University Medical Center1620 W. Harrison Street, Suite 735 Kellogg BldgChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: Rush University Medical CenterLegal Entity Owner:

Property Owner: Rush University Medical Center

The above information is data from January1 2017-September 15,2017 as our facility discontinued providing on site dialysis service after that date.


Medical Director Name: Sara Jandeska, MD






Oct 1

0

Oct 2

0

Oct 3

0

Oct 4

0

Oct 5

0

Oct 6

0

Oct 7

0

0 0 0 0 0 0 0






Date of Operation

Hours operated


8Total:

6Total:




#Div/0!#Num!Use Rate (Year end Patients/Stations*6):


Full-Time Work Week: 36Registered Nurse : 0Dialysis Technician : 1.5Dietician : 0.6Social Worker: 0.5LPN : 0.5Other Health : 0Other Non-Health: 0








Medicare

4

50.0%

Medicaid

3

Private Insurance

0

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

8

37.5% 0.0% 0.0%0.0% 12.5% 100.0%

Patients

TOTAL 00404

350

0

21000

14000




8

3500083 5

8

$0 $0 $0 $0$0 $0 $0


7/1/20177/1/2016 to


14-2620

Rushville Dialysis112 Sullivan DriveRushvilleSchuyler3


Address:Name:

City:County:




Property Owner: Stan Silverio


Medical Director Name: Mohamad Alhosaini






Oct 1

0

Oct 2

15

Oct 3

0

Oct 4

15

Oct 5

4

Oct 6

15

Oct 7

0

0 20 0 20 1 21 0






Date of Operation

Hours operated


8Total:

19Total:














Medicare

24

72.7%

Medicaid

4

Private Insurance

5

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

33

12.1% 15.2% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0000

33

4290

0

03952

00545




33

03

1497

3319 14

33

$599,288 $50,133 $275,656 $0$0 $108,854 $1,033,932

58.0% 4.8% 26.7% 0.0%0.0% 10.5% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2758

SAH Dialysis Center at 26th Street3059 W 26th St.ChicagoCook6


Address:Name:

City:County:


Ownership Type: Non-Profit Church-Related

Legal Entity Operator: Saint Anthony HospitalLegal Entity Owner:

Property Owner: Chicago Title Land # 22630


Medical Director Name: Dr. Izabella Gurau






Oct 1

0

Oct 2

10

Oct 3

10

Oct 4

10

Oct 5

10

Oct 6

10

Oct 7

10

0 26 19 27 19 27 17






Date of Operation

Hours operated


12Total:

19Total:














Medicare

32

53.3%

Medicaid

17

Private Insurance

10

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

60

28.3% 16.7% 0.0%1.7% 0.0% 100.0%

Patients

TOTAL 0060

54

5370

0

05

2083

06

1062




60

01130145

6036 24

60

$2,356,160 $1,202,042 $745,626 $0$204,660 $0 $4,508,488

52.3% 26.7% 16.5% 0.0%4.5% 0.0% 100.0%Net Revenue

6/30/20177/1/2016 to


14-2746

Satellite Dialysis of Glenview 2601 Compass Road GlenviewCook7


Address:Name:

City:County:


Ownership Type: Other Not for Profit

Legal Entity Operator: Satellite Health CareLegal Entity Owner:

Property Owner:


Medical Director Name: Sprague, S. MD






Oct 1 Oct 2

16

Oct 3

11

Oct 4

16

Oct 5

11

Oct 6

16

Oct 7

11

42 22 37 18 39 22






Date of Operation

Hours operated


37Total:

42Total:














Medicare

47

83.9%

Medicaid

3

Private Insurance

4

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

56

5.4% 7.1% 0.0%0.0% 3.6% 100.0%

Patients

TOTAL 12050

38

3521

1

0198

16

01777




56

02

1615235634 22

56

$1,848,957 $58,471 $345,430 $0$39,717 $26,981 $2,319,556

79.7% 2.5% 14.9% 0.0%1.7% 1.2% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2624

Shelbyville Dialysis410 S. Heinlein DrShelbyvilleShelby4


Address:Name:

City:County:



Legal Entity Operator: Renal Therapies, LLCLegal Entity Owner:

Property Owner: John and Linda Hodel


Medical Director Name: Dr. Mohamud Qureshi






Oct 1

0

Oct 2

11

Oct 3

6

Oct 4

11

Oct 5

6

Oct 6

11

Oct 7

6

0 16 7 15 7 15 7






Date of Operation

Hours operated


13Total:

15Total:






Full-Time Work Week: 40Registered Nurse : 1.9Dialysis Technician : 1.74Dietician : 0.5Social Worker: 1LPN : 0Other Health : 0Other Non-Health: 1








Medicare

31

88.6%

Medicaid

0

Private Insurance

4

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

35

0.0% 11.4% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0000

35

0350

0

00748

01366




35

01

1010143519 16

35

$743,923 $183,875 $0Net Revenue

12/31/20171/1/2017 to


14-2753

Shiloh Dialysis1095 North Green Mount RoadBellevilleSt. Clair11


Address:Name:

City:County:




Property Owner: Threlkeld Family Investments, LLC


Medical Director Name: Dr. Rashid Dalal






Oct 1

0

Oct 2

16.5

Oct 3

12

Oct 4

16.5

Oct 5

12

Oct 6

16.5

Oct 7

12

0 37 22 37 25 35 24






Date of Operation

Hours operated


41Total:

56Total:














Medicare

97

85.1%

Medicaid

3

Private Insurance

9

Charity Care

3

Private Pay

0

Other Public

5

TOTAL

114

2.6% 7.9% 2.6%0.0% 4.4% 100.0%

Patients

TOTAL 10

680

45

2114

1

3

05

321811

04

191810




117

09

513621

11766 51

117

$1,750,108 $22,579 $1,067,404 $17,181$0 $398,931 $3,239,022

54.0% 0.7% 33.0% 0.5%0.0% 12.3% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2544

South Holland Renal Center16110 S. LaSalle StreetSouth HollandCook7


Address:Name:

City:County:




Property Owner: Genesis KC Development, LLC

During the week of October 1 - October 7,2017 we had a fourth shift on M-W-F only.


Medical Director Name: Kenneth Cline, MD






Oct 1

0

Oct 2

17.5

Oct 3

16

Oct 4

17.5

Oct 5

16

Oct 6

17.5

Oct 7

16

0 52 53 50 47 58 49






Date of Operation

Hours operated


54Total:

52Total:














Medicare

137

78.3%

Medicaid

17

Private Insurance

19

Charity Care

1

Private Pay

0

Other Public

2

TOTAL

175

9.7% 10.9% 0.6%0.0% 1.1% 100.0%

Patients

TOTAL 00

1580

18

8168

0

0

014472224

010261221




176

024733445

176107 69

176

$2,775,461 $146,915 $1,998,862 $23,010$0 $1,145,601 $6,066,838

45.7% 2.4% 32.9% 0.4%0.0% 18.9% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2733

Springfield South Dialysis2930 S 6th StreetSpringfieldSangamon3


Address:Name:

City:County:




Property Owner: William Furling


Medical Director Name: Xueguang Chen






Oct 1

0

Oct 2

15

Oct 3

10

Oct 4

15

Oct 5

10

Oct 6

15

Oct 7

10

0 28 17 28 17 28 17






Date of Operation

Hours operated


43Total:

49Total:














Medicare

64

72.7%

Medicaid

11

Private Insurance

13

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

88

12.5% 14.8% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 10

310

56

2860

0

06

201112

02

18127




88

08

3823198849 39

88

$1,789,566 $88,748 $1,911,806 $0$0 $413,520 $4,203,640

42.6% 2.1% 45.5% 0.0%0.0% 9.8% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2615

Stonecrest Dialysis1302 E. State St. RockfordWinnebago1


Address:Name:

City:County:




Property Owner: Lilibridge Healthcare Services, Inc


Medical Director Name: Joanna Niemiec

In-Center Treatments in calendar year:

Facility Reported Patient Information





Oct 1

0

Oct 2

16

Oct 3

16

Oct 4

16

Oct 5

16

Oct 6

16

Oct 7

16

0 29 31 32 30 29 30


New Patients: 20Transient Patients: 12Patients Re-Started:Post-Transplant Patien 2

Recovered patients: 1Transplant Recipients: 2Patients transferred out: 16Patients voluntarily discontinued: 6Patients lost to follow up:Patients deceased: 6



Date of Operation

Hours operated


Total:

Total:


11,232Treatment Capacity/year (based on Stations):Use Rate (Treatments/Treatment capacity):Use Rate (including Missed Treatments):Use Rate (Begining patients treated):












Medicare

87

84.5%

Medicaid

9

Private Insurance

5

Charity Care

3

Private Pay

0

Other Public

2

TOTAL

103

8.7% 4.9% 2.9%0.0% 1.9% 100.0%

Patients

TOTAL 40

560

28

18880

18

05

231611

03

191415




106

08

423026

10655 51

106

$1,840,443 $113,368 $482,711 $5,605$522,300Net Revenue

12/31/20171/1/2017 to


14-2661

Stony Creek Dialysis6246 W. 95th SreetOak LawnCook7


Address:Name:

City:County:




Property Owner: Shops of Oak Lawn LLC


Medical Director Name: James Rydel






Oct 1

0

Oct 2

17

Oct 3

15

Oct 4

17

Oct 5

15

Oct 6

17

Oct 7

15

0 37 36 38 34 38 36






Date of Operation

Hours operated


69Total:

78Total:














Medicare

92

76.0%

Medicaid

18

Private Insurance

10

Charity Care

1

Private Pay

0

Other Public

1

TOTAL

121

14.9% 8.3% 0.8%0.0% 0.8% 100.0%

Patients

TOTAL 20

300

90

13109

0

0

05

242420

04

171117




122

09

413537

12273 49

122

$22,969 $1,688,983 $1,000,980 $52,510$0 $893,794 $3,606,726

0.6% 46.8% 27.8% 1.5%0.0% 24.8% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2553

Sun Health Inc.2121 Oneida StJolietWill9


Address:Name:

City:County:



Legal Entity Operator: Bhuvan Chawla, MDLegal Entity Owner:

Property Owner: Triumph Joliet LLC

This program is not allowing me to input "totals", so some boxes are left unfilled. Any Question, Please contact me at my email, and I can submit hardcopy. Thanks Anita


Medical Director Name: Bhuvan Chawla, MD






Oct 1

0

Oct 2

15.5

Oct 3

11

Oct 4

15.5

Oct 5

11

Oct 6

15.5

Oct 7

11

0 34 18 33 18 33 19






Date of Operation

Hours operated


22Total:

29Total:














Medicare

52

63.4%

Medicaid

5

Private Insurance

10

Charity Care

0

Private Pay

1

Other Public

14

TOTAL

82

6.1% 12.2% 0.0%1.2% 17.1% 100.0%

Patients

TOTAL 00

211

60

9730

0

03

131217

019

1116




82

04

2223338245 37

82

$1,202,745 $1,945 $3,041,068 $0$134,475 $666,226 $5,046,459

23.8% 0.0% 60.3% 0.0%2.7% 13.2% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2767

Tazewell County Dialysis1021 Court St PekinTazewell2


Address:Name:

City:County:



Legal Entity Operator: Pekin Dialysis, LLCLegal Entity Owner:

Property Owner:


Medical Director Name: Mohammed Shakaib






Oct 1

0

Oct 2

16

Oct 3

6

Oct 4

16

Oct 5

6

Oct 6

16

Oct 7

6

0 13 5 13 6 11 4






Date of Operation

Hours operated


22Total:

48Total:






Full-Time Work Week:Registered Nurse : 3.5Dialysis Technician : 3Dietician : 0.2Social Worker: 0.2LPN : 0Other Health : 0.5Other Non-Health: 0.9








Medicare

30

47.6%

Medicaid

2

Private Insurance

6

Charity Care

1

Private Pay

0

Other Public

25

TOTAL

63

3.2% 9.5% 1.6%0.0% 39.7% 100.0%

Patients

TOTAL 20

100

52

1630

0

03

1217

3

04

11131




64

07

23304

6435 29

64

$668,496 $4,275 $258,478 $7,375$0 $398,091 $1,329,341

50.3% 0.3% 19.4% 0.6%0.0% 29.9% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2763

Timber Creek Dialysis1001 S. Annie Glidden RDDeKalbDeKalb1


Address:Name:

City:County:



Legal Entity Operator: Dialysis of Northern Illinois,LLCLegal Entity Owner:

Property Owner: Donald E. Myers Jr


Medical Director Name: Bindu Pavithran






Oct 1 Oct 2

14

Oct 3 Oct 4

14

Oct 5 Oct 6

14

Oct 7

26 26 26






Date of Operation

Hours operated


29Total:

32Total:














Medicare

41

80.4%

Medicaid

4

Private Insurance

4

Charity Care

4

Private Pay

0

Other Public

2

TOTAL

51

7.8% 7.8% 7.8%0.0% 3.9% 100.0%

Patients

TOTAL 10

170

37

6490

0

04

2092

033

113




55

07

23205

5535 20

55

$727,895 $68,456 $216,824 $28,320$0 $75,117 $1,088,293

66.9% 6.3% 19.9% 2.6%0.0% 6.9% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2810

Tinley Park Dialysis16767 80th AvenueTinley ParkCook7


Address:Name:

City:County:



Legal Entity Operator: DaVita and Kidney Care South LLC Legal Entity Owner:

Property Owner: Tinley Park Healthcare LLC


Medical Director Name: Naila Ahmed






Oct 1

0

Oct 2

11

Oct 3

0

Oct 4

11

Oct 5

0

Oct 6

11

Oct 7

0

0 15 0 15 0 16 0






Date of Operation

Hours operated


20Total:

39Total:






Full-Time Work Week:Registered Nurse : 1Dialysis Technician : 2Dietician : 0.13Social Worker: 0.13LPN : 0Other Health : 0Other Non-Health: 0.47








Medicare

30

83.3%

Medicaid

1

Private Insurance

4

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

36

2.8% 11.1% 0.0%0.0% 2.8% 100.0%

Patients

TOTAL 2070

27

2340

0

01895

00346




36

01

1113113623 13

36

$331,579 $4,643 $365,181 $0$0 $60,437 $761,840

43.5% 0.6% 47.9% 0.0%0.0% 7.9% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2604

TRC Children's Dialysis Center1333 N Kingsbury StreetChicagoCook6


Address:Name:

City:County:




Property Owner: North Kingsbury Chicago Real Estate

Note our address is no longer 2611 N Halsted Chicago, IL 60614 We moved 3.5 years ago New address: 1333 N Kingsbury Street Chicago, IL 60642


Medical Director Name: Dr Craig Langman






Oct 1

0

Oct 2

10

Oct 3

10

Oct 4

10

Oct 5

10

Oct 6

10

Oct 7

10

0 8 5 6 7 6 7






Date of Operation

Hours operated


13Total:

13Total:














Medicare

9

30.0%

Medicaid

9

Private Insurance

7

Charity Care

0

Private Pay

0

Other Public

5

TOTAL

30

30.0% 23.3% 0.0%0.0% 16.7% 100.0%

Patients

TOTAL 80

100

12

8220

0

125000

67000




30

1812000

3017 13

30

$407,831 $286,613 $1,534,112 $0$0 $368,352 $2,596,908

15.7% 11.0% 59.1% 0.0%0.0% 14.2% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2614

Tri-Cities Dialysis, LLC306 Randall RoadGenevaKane8


Address:Name:

City:County:



Legal Entity Operator: Operated by Renaissance Management Co., LLCLegal Entity Owner:

Property Owner: Delnor Community Healthcare Foundati

Related Entities Yorkville Dialysis Center, LLC Affiliate None Fox Valley Acute Dialysis Services, LLC Affiliate None Yorkville Medical Building Affiliate None


Medical Director Name: Dr. Harry Rubinstein






Oct 1

0

Oct 2

18

Oct 3

12

Oct 4

18

Oct 5

12

Oct 6

18

Oct 7

12

0 39 23 39 20 39 22






Date of Operation

Hours operated


39Total:

41Total:














Medicare

93

83.8%

Medicaid

6

Private Insurance

12

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

111

5.4% 10.8% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 10

151

94

8103

0

0

07

141927

03

111119




111

010253046

11167 44

111

$1,612,298 $37,968 $1,378,650 $0$0 $0 $3,028,916

53.2% 1.3% 45.5% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2755

U.S. Renal Care Villa Park Dialysis200 E. North AvenueVilla ParkDuPage7


Address:Name:

City:County:



Legal Entity Operator: U.S. Renal CareLegal Entity Owner:

Property Owner: DCSL Management


Medical Director Name: Dr. Michael Cohan






Oct 1

0

Oct 2

13.5

Oct 3

13.5

Oct 4

13.5

Oct 5

13.5

Oct 6

13.5

Oct 7

13.5

0 32 27 30 26 30 27






Date of Operation

Hours operated


27Total:

18Total:






Full-Time Work Week: 40Registered Nurse : 2.9Dialysis Technician : 5.5Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 0.5Other Non-Health: 1








Medicare

66

75.9%

Medicaid

2

Private Insurance

19

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

87

2.3% 21.8% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 21

161

46

36618

21

06

131716

02

10149




87

08

2331258752 35

87

$1,768,666 $36,446 $2,167,855 $0$0 ($420) $3,972,547

44.5% 0.9% 54.6% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2316

University of Illinois Hospital Dialysis1859 West Taylor StreetChicagoCook6


Address:Name:

City:County:


Ownership Type: Other Government

Legal Entity Operator: The Board of Trustees of the University of IllinoiLegal Entity Owner:

Property Owner: The Board of Trustees - Univ. of IL


Medical Director Name: Dr. Jose A. Arruda






Oct 1

0

Oct 2

3

Oct 3

3

Oct 4

3

Oct 5

3

Oct 6

3

Oct 7

3

0 68 60 68 56 71 58






Date of Operation

Hours operated


35Total:

30Total:














Medicare

107

78.1%

Medicaid

13

Private Insurance

14

Charity Care

0

Private Pay

3

Other Public

0

TOTAL

137

9.5% 10.2% 0.0%2.2% 0.0% 100.0%

Patients

TOTAL 10

750

61

54830

0

01740

97

01524178




137

032642615

13773 64

137

$391,920 $49,630 $105,437 $0$1,499 $0 $548,486

71.5% 9.0% 19.2% 0.0%0.3% 0.0% 100.0%Net Revenue

6/30/20177/1/2016 to


14-2518

US Renal Care Scottsdale4651 West 79th StreetChicagoCook6


Address:Name:

City:County:



Legal Entity Operator: US Renal CareLegal Entity Owner:

Property Owner: A & R Katz


Medical Director Name: Jeanette McLaughlin






Oct 1 Oct 2

17

Oct 3

13

Oct 4

17

Oct 5

13

Oct 6

17

Oct 7

13

70 45 66 44 62 51






Date of Operation

Hours operated


51Total:

36Total:














Medicare

138

80.2%

Medicaid

17

Private Insurance

17

Charity Care

3

Private Pay

0

Other Public

0

TOTAL

172

9.9% 9.9% 1.7%0.0% 0.0% 100.0%

Patients

TOTAL 20

781

64

24145

6

30

010432116

05

232829




175

015664945

17590 85

175

$3,838,147 $369,136 $3,530,492 $64,773$790 $636,022 $8,374,587

45.8% 4.4% 42.2% 0.8%0.0% 7.6% 100.0%Net Revenue

12/31/20171/31/2017 to


14-2750

US Renalcare Oak Brook Dialysis1201-B Butterfield RdDowners GroveDuPage7


Address:Name:

City:County:



Legal Entity Operator: US RenalcareLegal Entity Owner:

Property Owner: Cedar Street Commercial


Medical Director Name: Dr. Anis Rauf






Oct 1

0

Oct 2

14

Oct 3

14

Oct 4

14

Oct 5

14

Oct 6

14

Oct 7

14

0 34 20 30 20 33 21






Date of Operation

Hours operated


34Total:

25Total:






Full-Time Work Week: 40Registered Nurse : 2.9Dialysis Technician : 4.5Dietician : 0.5Social Worker: 0.5LPN : 0.9Other Health : 0.5Other Non-Health: 1








Medicare

77

85.6%

Medicaid

6

Private Insurance

7

Charity Care

1

Private Pay

0

Other Public

0

TOTAL

90

6.7% 7.8% 1.1%0.0% 0.0% 100.0%

Patients

TOTAL 61

150

62

1846

7

03

211915

0179

16




91

04

2828319158 33

91

$1,602,397 $100,941 $638,510 $1,741$4,950 $57,076 $2,403,875

66.7% 4.2% 26.6% 0.1%0.2% 2.4% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2749

USRC Bolingbrook Dialysis 396 Remington BlvdBolingbrookWill9


Address:Name:

City:County:



Legal Entity Operator: USRC Bolingbrook LLCLegal Entity Owner:

Property Owner: PHT Bolingbrook MOB, LLC


Medical Director Name: Dr. Mohamed Ahmed






Oct 1

0

Oct 2

13

Oct 3

13

Oct 4

13

Oct 5

13

Oct 6

13

Oct 7

13

0 25 23 20 23 27 22






Date of Operation

Hours operated


40Total:

23Total:














Medicare

74

81.3%

Medicaid

2

Private Insurance

15

Charity Care

4

Private Pay

0

Other Public

0

TOTAL

91

2.2% 16.5% 4.4%0.0% 0.0% 100.0%

Patients

TOTAL 100

250

42

77711

18

07

201810

04

101214




95

0113030249555 40

95

$1,602,397 $100,941 $638,510 $0$4,950 $57,076 $2,403,875

66.7% 4.2% 26.6% 0.0%0.2% 2.4% 100.0%Net Revenue

12/31/20171/30/2017 to


14-2738

USRC Streamwood149 E. Irving Park RoadStreamwoodCook7


Address:Name:

City:County:



Legal Entity Operator: USRenalcare Streamwood LLCLegal Entity Owner:

Property Owner: Inland Commercial Property


Medical Director Name: Dr. Richard Lee






Oct 1

0

Oct 2

11

Oct 3

11

Oct 4

11

Oct 5

11

Oct 6

11

Oct 7

11

0 21 21 23 19 20 22






Date of Operation

Hours operated


20Total:

17Total:






Full-Time Work Week: 40Registered Nurse : 3Dialysis Technician : 2.4Dietician : 0.5Social Worker: 0.6LPN : 0.5Other Health : 0.5Other Non-Health: 0.8








Medicare

49

79.0%

Medicaid

3

Private Insurance

10

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

62

4.8% 16.1% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 8062

26

54215

20

02989

027

205




62

04

1628146228 34

62

$1,243,960 $47,646 $1,076,777 $0$63,690Net Revenue

12/31/20171/30/2017 to


14-2693

Vandalia DaVita Dialysis301 Mattes AvenueVandaliaFayette5


Address:Name:

City:County:



Legal Entity Operator: DVA Total Renal Care Inc.Legal Entity Owner:

Property Owner: Old Capitol Retail


Medical Director Name: Dr. Bashar Alzahabi






Oct 1

0

Oct 2

9

Oct 3

7

Oct 4

9

Oct 5

7

Oct 6

9

Oct 7

7

0 16 8 14 7 15 7






Date of Operation

Hours operated


15Total:

13Total:














Medicare

34

91.9%

Medicaid

0

Private Insurance

2

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

37

0.0% 5.4% 0.0%0.0% 2.7% 100.0%

Patients

TOTAL 0020

35

0370

0

00883

01584




37

01

13167

3719 18

37

$755,154 $2,347 $71,244 $0$170,245Net Revenue

12/31/20171/1/2017 to


14-2812

Vermilion County Dialysis26 E. West Newell Rd.DanvilleVermilion4


Address:Name:

City:County:




Property Owner: Genesis KC Development, LLC


Medical Director Name: Erlandas Ulozas, MD






Oct 1

0

Oct 2

12

Oct 3

0

Oct 4

12

Oct 5

0

Oct 6

12

Oct 7

0

0 21 0 21 0 21 0






Date of Operation

Hours operated


18Total:

48Total:














Medicare

27

56.3%

Medicaid

6

Private Insurance

7

Charity Care

0

Private Pay

0

Other Public

8

TOTAL

48

12.5% 14.6% 0.0%0.0% 16.7% 100.0%

Patients

TOTAL 10

180

29

4440

0

010

885

03653




48

01314138

4831 17

48

$204,948 $112,167 $579,543 $885$0 $342,166 $1,238,824

16.5% 9.1% 46.8% 0.1%0.0% 27.6% 100.0%Net Revenue

12/31/20171/1/2017 to


14-9999

Washington Heights Dialysis10620 S. Halsted St.ChicagoCook6


Address:Name:

City:County:




Property Owner: George Novogroder


Medical Director Name: Dr. Abdessamad






Oct 1

0

Oct 2

0

Oct 3

0

Oct 4

0

Oct 5

0

Oct 6

0

Oct 7

0

0 0 0 0 0 0 0






Date of Operation

Hours operated


0Total:

1Total:




#Num!#Div/0!Use Rate (Year end Patients/Stations*6):










Medicare

0

0.0%

Medicaid

0

Private Insurance

0

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

1

0.0% 0.0% 0.0%0.0% 100.0% 100.0%

Patients

TOTAL 00100

010

0

00010

00000




1

0001011 0

1

$0$4,942Net Revenue

12/31/20171/1/2017 to


14-2577

Waukegan Renal Center3350 West Grand Avenue Suite 100 WaukeganLake8


Address:Name:

City:County:



Legal Entity Operator: ISD Renal, IncLegal Entity Owner:

Property Owner: Waukegan Plaza II, L.L.C


Medical Director Name: Salima Din






Oct 1

0

Oct 2

16.5

Oct 3

16.5

Oct 4

16.5

Oct 5

16.5

Oct 6

16.5

Oct 7

16.5

0 70 63 71 60 70 63






Date of Operation

Hours operated


37Total:

33Total:














Medicare

123

72.4%

Medicaid

17

Private Insurance

22

Charity Care

7

Private Pay

0

Other Public

8

TOTAL

170

10.0% 12.9% 4.1%0.0% 4.7% 100.0%

Patients

TOTAL 52

720

98

63114

0

0

015551915

06

271921




177

021823836

177104 73

177

$3,041,563 $268,087 $2,662,229 $136,290$1,437,906Net Revenue

12/31/20171/1/2017 to


14-2688

Wayne County Davita303 N.W. 11th St.Fairfield Wayne5


Address:Name:

City:County:



Legal Entity Operator: Total Renal Care, Inc. Legal Entity Owner:

Property Owner: Fairfield Memorial Hospital Association


Medical Director Name: Dr. Steven Zelman






Oct 1

0

Oct 2

10

Oct 3

7

Oct 4

10

Oct 5

7

Oct 6

10

Oct 7

7

0 15 8 15 8 14 9






Date of Operation

Hours operated


18Total:

17Total:






Full-Time Work Week: 40Registered Nurse : 2.05Dialysis Technician : 2Dietician : 0.28Social Worker: 0LPN : 0Other Health : 0Other Non-Health: 0








Medicare

31

81.6%

Medicaid

1

Private Insurance

1

Charity Care

0

Private Pay

0

Other Public

5

TOTAL

38

2.6% 2.6% 0.0%0.0% 13.2% 100.0%

Patients

TOTAL 0000

38

000

0

02976

02633




38

04

15109

3824 14

0

$742,324 $36,039 $511,314 $0$241,607Net Revenue

12/31/20171/1/2017 to


14-2783

West Side Dialysis Center1600 W. 13th St . Unit 3ChicagoCook6


Address:Name:

City:County:




Property Owner: RPAI US Management LLC


Medical Director Name: Edwin J Cook






Oct 1

0

Oct 2

12

Oct 3

10

Oct 4

12

Oct 5

10

Oct 6

12

Oct 7

10

0 26 11 22 11 22 10






Date of Operation

Hours operated


41Total:

58Total:














Medicare

54

62.1%

Medicaid

22

Private Insurance

10

Charity Care

1

Private Pay

0

Other Public

1

TOTAL

87

25.3% 11.5% 1.1%0.0% 1.1% 100.0%

Patients

TOTAL 40

560

24

20644

4

09

2756

08

17124




88

0174417108847 41

88

$673,598 $92,464 $173,948 $590$447,852Net Revenue

12/31/20171/1/2017 to


14-2648

Whiteside Dialysis2600 N Locust StSterlingWhiteside1


Address:Name:

City:County:



Legal Entity Operator: Renal Treatment Centers-IL IncLegal Entity Owner:

Property Owner: CGH Medical Center


Medical Director Name: Charlene Murdakes

3/14/2017 - 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.






Oct 1

0

Oct 2

18

Oct 3

14

Oct 4

18

Oct 5

14

Oct 6

18

Oct 7

14

0 34 20 32 23 36 18






Date of Operation

Hours operated


24Total:

35Total:














Medicare

70

77.8%

Medicaid

15

Private Insurance

5

Charity Care

1

Private Pay

0

Other Public

0

TOTAL

90

16.7% 5.6% 1.1%0.0% 0.0% 100.0%

Patients

TOTAL 1030

80

7840

7

03

131915

01

111613




91

04

2435289150 41

91

$1,685,040 $1,685,040 $484,889 $19,470$0 $243,563 $4,098,532

41.1% 41.1% 11.8% 0.5%0.0% 5.9% 100.0%Net Revenue

12/31/20171/1/2017 to


14-2721

Woodlawn Dialysis5060 S State St.ChicagoCook6


Address:Name:

City:County:




Property Owner: South Central Medical Center Building


Medical Director Name: Mary Hammes, MD






Oct 1

0

Oct 2

18

Oct 3

17

Oct 4

18

Oct 5

17

Oct 6

18

Oct 7

17

0 69 60 70 59 69 62






Date of Operation

Hours operated


56Total:

73Total:


29,952Treatment Capacity/year (based on Stations):Use Rate (Treatments/Treatment capacity): 66%Use Rate (including Missed Treatments):Use Rate (Begining patients treated):












Medicare

155

79.5%

Medicaid

33

Private Insurance

6

Charity Care

1

Private Pay

0

Other Public

1

TOTAL

195

16.9% 3.1% 0.5%0.0% 0.5% 100.0%

Patients

TOTAL 00

18801

7189

0

7

0213744

8

012243218




196

033617626

196110 86

196

$3,214,779 $87,451 $855,614 $35,400$1,933,451Net Revenue

12/31/20171/1/2017 to


14-2709

Yorkville Dialysis Center, LLC1400 N. Beecher RoadYorkvilleKendall9


Address:Name:

City:County:



Legal Entity Operator: Operated by Renaissance Management Co., LLCLegal Entity Owner:

Property Owner: Yorkville Medical Building Co., LLC

Related Entities: Tri-Cities Dialysis, LLC Affiliate None


Medical Director Name:






Oct 1

0

Oct 2

12

Oct 3

0

Oct 4

12

Oct 5

0

Oct 6

12

Oct 7

0

0 14 0 13 0 14 0






Date of Operation

Hours operated


11Total:

15Total:














Medicare

24

82.8%

Medicaid

3

Private Insurance

2

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

29

10.3% 6.9% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0140

24

5240

0

02255

03525




29

0577

102914 15

29

$509,831 $51,229 $124,403 $0$0 $0 $685,463

74.4% 7.5% 18.1% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20171/1/2017 to


Documents

ESRD Facility Profile - Illinois...Medical Director Name: Suresh Mathew In-Center Treatments in calendar year: 11,490 Facility Reported Patient Information Patients treated as of 1/1/2017: