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STATE OF ILLINOIS
HEALTH FACILITIES AND SERVICES REVIEW BOARD
52525 WEST JEFFERSON ST. SPRINGFIELD, ILL INOIS 62761 (217) 782-3516 FAX: (217) 785-4111
DOCKET NO:
E-01
BOARD MEETING:
May 14, 2013
PROJECT NO:
13-009
PROJECT COST: Original: $0 Current: $ FACILITY NAME:
Garfield Park Hospital
CITY:
Chicago
TYPE OF PROJECT: Non-substantive HSA: VI PROJECT DESCRIPTION: The applicants (Garfield Park Hospital, LLC, UHS of Hargrove Inc., UHS of Delaware, Inc. and Universal Health Services, Inc.) are proposing a change of ownership of Garfield Park Hospital an 88 bed acute mental illness hospital in Chicago, Illinois. There is no cost to the transaction and the anticipated completion date is July 1, 2013.
STATE OF ILLINOIS
HEALTH FACILITIES AND SERVICES REVIEW BOARD
52525 WEST JEFFERSON ST. SPRINGFIELD, ILL INOIS 62761 (217) 782-3516FAX: (217) 785-4111
Page2
EXECUTIVE SUMMARY
PROJECT DESCRIPTION: The applicants (Garfield Park Hospital, LLC, UHS of Hargrove Inc., UHS of
Delaware, Inc. and Universal Health Services, Inc.) are proposing a change of ownership of Garfield Park Hospital an 88 bed acute mental illness hospital in Chicago, Illinois. There is no cost to the transaction and the anticipated completion date is July 1, 2013.
WHY THE PROJECT IS BEFORE THE STATE BOARD:
The project proposes a change of ownership of a health care facility as defined by the Act. 20 ILCS 3960/3
PURPOSE OF THE PROJECT:
The applicants state the following: In 2009 the Board approved the establishment of Garfield Park Hospital under CON permit #09-015. The hospital is a dedicated psychiatric facility of 88 acute mental health beds. It serves adolescent and pediatrics patients and is located in the Garfield Park community on Chicago's west side. This project was completed on December 19, 2012. This application is for an internal corporate reorganization that will change the legal status of Garfield Park Hospital to a Limited Liability Company. Per the Board's rules this constitutes a Change of Ownership. Upon approval of this reorganization by the Board, the assets of Garfield Park Hospital will be transferred to Garfield Park Hospital LLC from UHS of Hartgrove, Inc. Both entities are to remain wholly owned subsidiaries of UHS of Delaware, Inc.
REQUIREMENTS FOR CHANGE OF OWNERSHIP:
An applicant proposing a change of ownership must provide details on any proposed changes in the beds or services currently offered, the reason for the transaction, any anticipated additions or reductions in employees, any changes in the restriction of patient admissions, and; document that no reductions in access to care will result from the proposed
change of ownership transaction. A change of ownership of an existing health care facility does not require
evidence of need for the facility.
TRANSACTION: This transaction is for an organizational reorganization that will establish Garfield Park
Hospital as a limited liability company, Garfield Park Hospital LLC. Garfield Park Hospital LLC will be the operating entity and license holder. There will be no change of beds or services.
STATE OF ILLINOIS
HEALTH FACILITIES AND SERVICES REVIEW BOARD
52525 WEST JEFFERSON ST. SPRINGFIELD, ILL INOIS 62761 (217) 782-3516FAX: (217) 785-4111
Page3
There will be no reductions or increases in employees as a result of this transaction,
Employment is expected to increase over the next two years as the newly opened facility reaches its full utilization. The reorganization has been authorized by the Board of Directors of the current ownership.
The current admission policies will remain unchanged.
BACKGROUND/COMPLIANCE ISSUES: The applicants have had no adverse actions in the past three years and are in compliance
with all of the State Board’s reporting requirements. Bed numbers as of December 31, 2011.
The applicants own the following facilities in Illinois: 1. Garfield Park Hospital, 88 AMI beds, Chicago 2. Hartgrove Hospital, 150 AMI beds, Chicago 3. Streamwood Behavioral Health Systems, 162 AMI beds, Streamwood 4. Riveredge Hospital, 210 AMI beds, Forest Park 5. The Pavilion Foundation, 47 AMI beds, Champaign 6. Lincoln Prairie Behavioral, 88 AMI beds, Springfield
PUBLIC HEARING/COMMENT
No public hearing was requested and no letters of support or opposition were received by the State Board Staff.
FINANCIAL
There is no cost to this project. Audited financial statements were provided. CONCLUSIONS:
The applicants have met all of the requirements of the State Board.
STATE OF ILLINOIS
HEALTH FACILITIES AND SERVICES REVIEW BOARD
52525 WEST JEFFERSON ST. SPRINGFIELD, ILL INOIS 62761 (217) 782-3516FAX: (217) 785-4111
Page4
STATE BOARD STAFF REPORT Garfield Park Hospital
Project #13-009
I. The Proposed Project The applicants (Garfield Park Hospital, LLC, UHS of Hargrove Inc., UHS of Delaware, Inc. and Universal Health Services, Inc.) are proposing a change of ownership of Garfield Park Hospital an 88 bed acute mental illness hospital in Chicago, Illinois. There is no cost to the transaction and the anticipated completion date is July 1, 2013.
II. Summary of Findings
A. The State Board Staff finds the proposed project appears to be in conformance with the provisions of Part 1110.
B. The provisions of Part 1120 are not applicable to this application.
III. General Information The applicants are Garfield Park Hospital, LLC, UHS of Hargrove Inc., UHS of Delaware, Inc. and Universal Health Services, Inc. The hospital is located at 520 N. Ridgeway Avenue, Chicago, Illinois. The operating entity is UHS of Hartgrove, Inc. dba Garfield Park Hospital and the owner of the site is UHS of Hartgrove, Inc. The proposed project is located in Chicago in the HSA VI service area. HSA VI consists of City of Chicago. Project obligation will occur after permit issuance.
APPLICATION SUMMARY Applicants Garfield Park Hospital, LLC, UHS of
Hargrove Inc., UHS of Delaware, Inc. and Universal Health Services, Inc.)
Facility Name Garfield Park Hospital Location Chicago
Application Received February 21, 2013 Application Deemed Complete February 22, 2013
Scheduled Review Period Ended April 24, 2013 Review Period Extended by the State
Board Staff? No
Public Hearing Held? No Applicants’ Deferred Project? No
Can Applicants Request Another Deferral? Yes
STATE OF ILLINOIS
HEALTH FACILITIES AND SERVICES REVIEW BOARD
52525 WEST JEFFERSON ST. SPRINGFIELD, ILL INOIS 62761 (217) 782-3516FAX: (217) 785-4111
Page5
IV. Project Costs and Sources of Funds There is no cost to this project.
V. Safety Net Impact Statement/Charity Care The proposed project is a non-substantive project and no safety net statement is required. Charity Care information has been provided as required. See Table Two-Table Six below.
TABLE TWO
The Pavilion Foundation
2009 2010 2011
Net Patient Revenue $11,759,826 $12,914,953 $13,719,378
Amt of Charity Care (charges) $0 $0 $0
Cost of Charity Care $147,948 $162,800 $299,659
% of Charity Care to Net Revenue
1.26% 1.26% 2.18%
TABLE THREE
Lincoln Prairie Behavioral Health
2009 2010 2011
Net Patient Revenue $14,943,989 $15,074,614 $15,901,955
Amt of Charity Care (charges) $0 $0 $0
Cost of Charity Care $0 $4,438 $6,320
% of Charity Care to Net Revenue
0.00% 0.03% 0.04%
TABLE FOUR
Riveredge Hospital
2009 2010 2011
Net Patient Revenue $28,704,819 $32,581,539 $32,218,646
Amt of Charity Care (charges) $0 $0 $0
Cost of Charity Care $17,836 $5,626 $404,466
% of Charity Care to Net Revenue
0.06% 0.02% 1.26%
TABLE FIVE
STATE OF ILLINOIS
HEALTH FACILITIES AND SERVICES REVIEW BOARD
52525 WEST JEFFERSON ST. SPRINGFIELD, ILL INOIS 62761 (217) 782-3516FAX: (217) 785-4111
Page6
Streamwood Behavioral Health System
2009 2010 2011
Net Patient Revenue $36,813,261 $37,826,464 $39,801,553
Amt of Charity Care (charges) $0 $0 $0
Cost of Charity Care $0 $0 $0
% of Charity Care to Net Revenue
0.00% 0.00% 0.00%
TABLE SIX
UHS Hartgrove
2009 2010 2011
Net Patient Revenue $40,181,155 $43,658,318 $38,856,905
Amt of Charity Care (charges) $0 $0 $0
Cost of Charity Care $147,948 $19,021 $64,634
% of Charity Care to Net Revenue
0.37% 0.04% 0.17%
IDPH Number: 5025
HSA 6
HPA A-02
COUNTY: Suburban Cook (Chicago)
OWNERSHIP: Universal Health Services, Inc.OPERATOR: Hartgrove Hospital
Ownership, Management and General Information Patients by RaceWhite #
Black #
American Indian #
Asian #
Hawaiian/ Pacific #
Unknown:#
Hispanic or Latino:
Not Hispanic or Latino:
Unknown:
28.0%
69.7%
0.0%
1.1%
0.0%
1.1%
17.0%
82.0%
1.0%
Page 1Hospital Profile - CY 2011 UHS Hartgrove Hospital ChicagoPatients by Ethnicity
5730 West Roosevelt RD.ADDRESS
For Profit CorporationMANAGEMENT:CERTIFICATION:
ChicagoCITY:
ADMINISTRATOR NAME: Steven Airhart
ADMINSTRATOR PHONE: 773-413-1800
Birthing DataNumber of Total Births: 0Number of Live Births: 0Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 0Labor-Delivery-Recovery-Postpartum Rooms: 0
Level 1 Patient Days 0
Level 2 Patient Days 0
Level 2+ Patient Days 0
C-Section Rooms: 0
Newborn Nursery Utilization
Total Nursery Patientdays 0
CSections Performed: 0
Inpatient Studies 4,396
Outpatient Studies 0
Laboratory Studies
Kidney: 0Heart: 0Lung: 0Heart/Lung: 0Pancreas: 0Liver: 0
Organ Transplantation
Total: 0Studies Performed Under Contract 4,396
FACILITY DESIGNATION: Psychiatric Hospital
0
0
0
0
0
0
0
150
Clinical ServicePeak Beds Setup and
Staffed AdmissionsInpatient
Days
Average Length of Stay
Average Daily
Census
Staff Bed Occupancy
Rate %Medical/Surgical
Pediatric
Intensive Care
Obstetric/Gynecology
Long Term CareSwing Beds
Neonatal
Acute Mental Illness
Rehabilitation
0
0
0
0
0
150
0
0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
0 0 0
3,047 44,520 0
0 0
0 0 0
0
Observation Days
0.0 0.0 0.0 0.0
0.0 0.0 0.0
0.0 0.0 0.0 0.0
0.0
0.0 0.0 0.0 0.0
0.0 0.0
0.0 0.0 0.0 0.0
0.0 0.0 0.0 0.0
0.0 0.0 0.0 0.0
14.6 122.0 81.3 81.3
Medicare Medicaid Charity CareOther Public Private Insurance Private PayInpatients and Outpatients Served by Payor Source
Totals
203 1997 0 801 1333
Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2011
Peak Census
Dedcated Observation
0
0
0
0
0
147
0
0
0 00 0
0 0
00 00
0-14 Years15-44 Years45-64 Years65-74 Years75 Years +
00
0Direct AdmissionTransfers
MaternityClean Gynecology 0 0
0 0
0 0
0
(Includes ICU Direct Admissions Only)Facility Utilization 3,047 44,520 0150 14.6 122.0
Inpatients
Outpatients
3,047
0 0 0 0 00 0
6.7% 65.5% 0.0% 26.3% 1.1% 0.4%
#Num! #Num! #Num! #Num! #Num! #Num!
81.315
2,029,440 30,452,127 0 4,500,018 150,500 64,63437,132,085
1,095,2300 0 616,990 12,600 1,724,820 0
0.0% 63.5% 0.0% 35.8% 0.7%
5.5% 82.0% 0.0% 12.1% 0.4%
Inpatient and Outpatient Net Revenue by Payor Source
Inpatient Revenue ( $)
Outpatient Revenue ( $)
100.0%
100.0%
64,634
0.2%
Medicare MedicaidCharity
Care Expense
Other Public Private Insurance Private Pay Totals
Total Charity Care as % of Net Revenue
1/1/2011 12/31/2011Financial Year Reported: to Total Charity Care Expense
CON Occupancy 12/31/2011
Long-Term Acute Care 0 0.0 0.00 00 00 0.0 0.0
Page 2UHS Hartgrove Hospital Chicago
Source: 2011 Annual Hospital Questionnaire, Illinois Department of Public Health, Health Systems Development.
Emergency/Trauma Care
Persons Treated by Emergency Services: 0
Patients Admitted from Emergency: 0
ComprehensiveEmergency Service Type:
Level of Trauma Service
Operating Rooms Dedicated for Trauma Care 0
Patients Admitted from Trauma 0
Number of Trauma Visits: 0
Level 1(Not Answered)
Level 2Not Answered
Total ED Visits (Emergency+Trauma): 0
Outpatient Visits at the Hospital/ Campus: 0
Outpatient Service DataTotal Outpatient Visits 5,238
Outpatient Visits Offsite/off campus 5,238
Cardiac Catheterization LabsTotal Cath Labs (Dedicated+Nondedicated labs): 0
Dedicated Interventional Catheterization Labs 0 Interventional Catheterizations (0-14): 0
EP Catheterizations (15+) 0
Interventional Catheterization (15+) 0
Cardiac Surgery Data
Pediatric (0 - 14 Years): 0Adult (15 Years and Older): 0
Coronary Artery Bypass Grafts (CABGs) performed of total Cardiac Cases : 0
Total Cardiac Surgery Cases: 0
Diagnostic Catheterizations (15+) 0
Dedicated EP Catheterization Labs 0
Cath Labs used for Angiography procedures 0Dedicated Diagnostic Catheterization Labs 0
Diagnostic Catheterizations (0-14) 0
Cardiac Catheterization UtilizationTotal Cardiac Cath Procedures: 0
Number of Emergency Room Stations 0
Certified Trauma Center No
Hospital Profile - CY 2011
General Radiography/Fluoroscopy 0 0 0
Diagnostic/Interventional
0 0 0Nuclear MedicineMammographyUltrasound
Diagnostic Angiography
Positron Emission Tomography (PET)Computerized Axial Tomography (CAT)Magnetic Resonance Imaging
Lithotripsy
0 0 00 0 0
0 0
0 0 00 0 00 0 0
Owned Contract Inpatient Outpt
Linear Accelerator 0 0
22000
13
000
0
Therapies/ Treatments
00Interventional Angiography0 0 0Proton Beam Therapy
Gamma Knife 0 0 0Cyber knife 0 0 0
0 0 0
Treatment Equipment Owned ContractExaminations
0
0
0 0 0
Image Guided Rad Therapy
Intensity Modulated Rad Thrpy
High Dose Brachytherapy0 0
0 0
0 0Angiography
Contract0000
0
000
0
Equipment
Dedicated and Non-Dedicated Procedure Room Utilzation
Procedure TypeGastrointestinalLaser Eye ProceduresPain Management
0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0
Cystoscopy 0 0 0 0 0 0 0 0 0
Multipurpose Non-Dedicated Rooms
Inpatient Outpatient
Hours per Case
0.0 0.00.00.00.0
0.00.0
0.00.00.0
0.00.0
Inpatient Outpatient Combined Total
Procedure Rooms
Inpatient Outpatient
Surgical Cases
Inpatient Total HoursOutpatient
Surgical Hours
0 0 0 0 0 0 0 0 0 0.0 0.0
0 0 00 0 0 0 0
Surgical Specialty
Inpatient Outpatient Combined Total Inpatient Inpatient Total HoursOutpatient Outpatient0Cardiovascular
0 0 00 0 0 0 0 0Dermatology
0 0 00 0 0 0 0 0General
Gastroenterology
Neurology
OB/Gynecology
Oral/Maxillofacial
Ophthalmology
Orthopedic
Otolaryngology
Plastic Surgery
Podiatry
Thoracic
Urology
Totals
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
Stage 1 Recovery Stations 0 Stage 2 Recovery Stations 0SURGICAL RECOVERY STATIONS
Operating Rooms Surgical Cases Surgical Hours
0.0 0.0Inpatient Outpatient
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
Hours per CaseSurgery and Operating Room Utilization
IDPH Number: 4689
HSA 4
HPA D-01
COUNTY: Champaign County
OWNERSHIP: Universal Health ServicesOPERATOR: The Pavilion Foundation Hospital
Ownership, Management and General Information Patients by RaceWhite #
Black #
American Indian #
Asian #
Hawaiian/ Pacific #
Unknown:#
Hispanic or Latino:
Not Hispanic or Latino:
Unknown:
83.3%
11.0%
0.0%
0.5%
0.0%
5.2%
1.4%
93.5%
5.2%
Page 1Hospital Profile - CY 2011 The Pavilion Foundation ChampaignPatients by Ethnicity
809 West Church StreetADDRESS
Not for Profit Corporation (Not Church-RMANAGEMENT:CERTIFICATION:
ChampaignCITY:
ADMINISTRATOR NAME: Joseph Sheehy
ADMINSTRATOR PHONE: 217-373-1701
Birthing DataNumber of Total Births: 0Number of Live Births: 0Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 0Labor-Delivery-Recovery-Postpartum Rooms: 0
Level 1 Patient Days 0
Level 2 Patient Days 0
Level 2+ Patient Days 0
C-Section Rooms: 0
Newborn Nursery Utilization
Total Nursery Patientdays 0
CSections Performed: 0
Inpatient Studies 2,747
Outpatient Studies 0
Laboratory Studies
Kidney: 0Heart: 0Lung: 0Heart/Lung: 0Pancreas: 0Liver: 0
Organ Transplantation
Total: 0Studies Performed Under Contract 0
FACILITY DESIGNATION: Psychiatric Hospital
0
0
0
0
0
0
0
47
Clinical ServicePeak Beds Setup and
Staffed AdmissionsInpatient
Days
Average Length of Stay
Average Daily
Census
Staff Bed Occupancy
Rate %Medical/Surgical
Pediatric
Intensive Care
Obstetric/Gynecology
Long Term CareSwing Beds
Neonatal
Acute Mental Illness
Rehabilitation
0
0
0
0
0
47
0
0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
0 0 0
1,530 15,082 0
0 0
0 0 0
0
Observation Days
0.0 0.0 0.0 0.0
0.0 0.0 0.0
0.0 0.0 0.0 0.0
0.0
0.0 0.0 0.0 0.0
0.0 0.0
0.0 0.0 0.0 0.0
0.0 0.0 0.0 0.0
0.0 0.0 0.0 0.0
9.9 41.3 87.9 87.9
Medicare Medicaid Charity CareOther Public Private Insurance Private PayInpatients and Outpatients Served by Payor Source
Totals
207 774 0 530 118
Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2011
Peak Census
Dedcated Observation
0
0
0
0
0
47
0
0
0 00 0
0 0
00 00
0-14 Years15-44 Years45-64 Years65-74 Years75 Years +
00
0Direct AdmissionTransfers
MaternityClean Gynecology 0 0
0 0
0 0
0
(Includes ICU Direct Admissions Only)Facility Utilization 1,530 15,082 047 9.9 41.3
Inpatients
Outpatients
1,530
39 209 0 306 1016 580
13.5% 50.6% 0.0% 34.6% 0.5% 0.7%
6.7% 36.0% 0.0% 52.8% 2.8% 1.7%
87.916
1,923,918 7,012,432 0 2,955,238 50,000 142,88611,941,588
125,966143,423 0 1,341,401 167,000 1,777,790 156,773
8.1% 7.1% 0.0% 75.5% 9.4%
16.1% 58.7% 0.0% 24.7% 0.4%
Inpatient and Outpatient Net Revenue by Payor Source
Inpatient Revenue ( $)
Outpatient Revenue ( $)
100.0%
100.0%
299,659
2.2%
Medicare MedicaidCharity
Care Expense
Other Public Private Insurance Private Pay Totals
Total Charity Care as % of Net Revenue
1/1/2011 12/31/2011Financial Year Reported: to Total Charity Care Expense
CON Occupancy 12/31/2011
Long-Term Acute Care 0 0.0 0.00 00 00 0.0 0.0
Page 2The Pavilion Foundation Champaign
Source: 2011 Annual Hospital Questionnaire, Illinois Department of Public Health, Health Systems Development.
Emergency/Trauma Care
Persons Treated by Emergency Services: 0
Patients Admitted from Emergency: 0
Stand-ByEmergency Service Type:
Level of Trauma Service
Operating Rooms Dedicated for Trauma Care 0
Patients Admitted from Trauma 0
Number of Trauma Visits: 0
Level 1(Not Answered)
Level 2Not Answered
Total ED Visits (Emergency+Trauma): 0
Outpatient Visits at the Hospital/ Campus: 6,026
Outpatient Service DataTotal Outpatient Visits 6,026
Outpatient Visits Offsite/off campus 0
Cardiac Catheterization LabsTotal Cath Labs (Dedicated+Nondedicated labs): 0
Dedicated Interventional Catheterization Labs 0 Interventional Catheterizations (0-14): 0
EP Catheterizations (15+) 0
Interventional Catheterization (15+) 0
Cardiac Surgery Data
Pediatric (0 - 14 Years): 0Adult (15 Years and Older): 0
Coronary Artery Bypass Grafts (CABGs) performed of total Cardiac Cases : 0
Total Cardiac Surgery Cases: 0
Diagnostic Catheterizations (15+) 0
Dedicated EP Catheterization Labs 0
Cath Labs used for Angiography procedures 0Dedicated Diagnostic Catheterization Labs 0
Diagnostic Catheterizations (0-14) 0
Cardiac Catheterization UtilizationTotal Cardiac Cath Procedures: 0
Number of Emergency Room Stations 0
Certified Trauma Center No
Hospital Profile - CY 2011
General Radiography/Fluoroscopy 0 0 0
Diagnostic/Interventional
0 0 0Nuclear MedicineMammographyUltrasound
Diagnostic Angiography
Positron Emission Tomography (PET)Computerized Axial Tomography (CAT)Magnetic Resonance Imaging
Lithotripsy
0 0 00 0 0
0 0
0 0 00 0 00 0 0
Owned Contract Inpatient Outpt
Linear Accelerator 0 0
0000
000
0
Therapies/ Treatments
00Interventional Angiography0 0 0Proton Beam Therapy
Gamma Knife 0 0 0Cyber knife 0 0 0
0 0 0
Treatment Equipment Owned ContractExaminations
0
0
0 0 0
Image Guided Rad Therapy
Intensity Modulated Rad Thrpy
High Dose Brachytherapy0 0
0 0
0 0Angiography
Contract0000
0
000
0
Equipment
Dedicated and Non-Dedicated Procedure Room Utilzation
Procedure TypeGastrointestinalLaser Eye ProceduresPain Management
0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0
Cystoscopy 0 0 0 0 0 0 0 0 0
Multipurpose Non-Dedicated Rooms
Inpatient Outpatient
Hours per Case
0.0 0.00.00.00.0
0.00.0
0.00.00.0
0.00.0
Inpatient Outpatient Combined Total
Procedure Rooms
Inpatient Outpatient
Surgical Cases
Inpatient Total HoursOutpatient
Surgical Hours
0 0 0 0 0 0 0 0 0 0.0 0.0
0 0 00 0 0 0 0
Surgical Specialty
Inpatient Outpatient Combined Total Inpatient Inpatient Total HoursOutpatient Outpatient0Cardiovascular
0 0 00 0 0 0 0 0Dermatology
0 0 00 0 0 0 0 0General
Gastroenterology
Neurology
OB/Gynecology
Oral/Maxillofacial
Ophthalmology
Orthopedic
Otolaryngology
Plastic Surgery
Podiatry
Thoracic
Urology
Totals
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
Stage 1 Recovery Stations 0 Stage 2 Recovery Stations 0SURGICAL RECOVERY STATIONS
Operating Rooms Surgical Cases Surgical Hours
0.0 0.0Inpatient Outpatient
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
Hours per CaseSurgery and Operating Room Utilization
IDPH Number: 5124
HSA 7
HPA A-06
COUNTY: Suburban Cook County
OWNERSHIP: Riveredge HospitalOPERATOR: Riveredge Hospital
Ownership, Management and General Information Patients by RaceWhite #
Black #
American Indian #
Asian #
Hawaiian/ Pacific #
Unknown:#
Hispanic or Latino:
Not Hispanic or Latino:
Unknown:
55.4%
43.5%
0.0%
0.7%
0.0%
0.3%
16.4%
83.3%
0.3%
Page 1Hospital Profile - CY 2011 Riveredge Hospital Forest ParkPatients by Ethnicity
8311 West Roosevelt RoadADDRESS
For Profit CorporationMANAGEMENT:CERTIFICATION:
Forest ParkCITY:
ADMINISTRATOR NAME: Carey Carlock
ADMINSTRATOR PHONE: 708 209-4182
Birthing DataNumber of Total Births: 0Number of Live Births: 0Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 0Labor-Delivery-Recovery-Postpartum Rooms: 0
Level 1 Patient Days 0
Level 2 Patient Days 0
Level 2+ Patient Days 0
C-Section Rooms: 0
Newborn Nursery Utilization
Total Nursery Patientdays 0
CSections Performed: 0
Inpatient Studies 32,541
Outpatient Studies 0
Laboratory Studies
Kidney: 0Heart: 0Lung: 0Heart/Lung: 0Pancreas: 0Liver: 0
Organ Transplantation
Total: 0Studies Performed Under Contract 0
FACILITY DESIGNATION: Psychiatric Hospital
0
0
0
0
0
0
0
210
Clinical ServicePeak Beds Setup and
Staffed AdmissionsInpatient
Days
Average Length of Stay
Average Daily
Census
Staff Bed Occupancy
Rate %Medical/Surgical
Pediatric
Intensive Care
Obstetric/Gynecology
Long Term CareSwing Beds
Neonatal
Acute Mental Illness
Rehabilitation
0
0
0
0
0
210
0
0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
0 0 0
3,030 41,283 0
0 0
0 0 0
0
Observation Days
0.0 0.0 0.0 0.0
0.0 0.0 0.0
0.0 0.0 0.0 0.0
0.0
0.0 0.0 0.0 0.0
0.0 0.0
0.0 0.0 0.0 0.0
0.0 0.0 0.0 0.0
0.0 0.0 0.0 0.0
13.6 113.1 53.9 53.9
Medicare Medicaid Charity CareOther Public Private Insurance Private PayInpatients and Outpatients Served by Payor Source
Totals
986 1314 0 728 20
Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2011
Peak Census
Dedcated Observation
0
0
0
0
0
154
0
0
0 00 0
0 0
00 00
0-14 Years15-44 Years45-64 Years65-74 Years75 Years +
00
0Direct AdmissionTransfers
MaternityClean Gynecology 0 0
0 0
0 0
0
(Includes ICU Direct Admissions Only)Facility Utilization 3,030 41,283 0210 13.6 113.1
Inpatients
Outpatients
3,030
0 7990 0 701 00 8,691
32.5% 43.4% 0.0% 24.0% 0.0% 0.1%
0.0% 91.9% 0.0% 8.1% 0.0% 0.0%
53.859
9,648,273 16,002,947 1,529,691 4,066,076 0 401,46631,246,987
762,5770 0 209,082 0 971,659 0
0.0% 78.5% 0.0% 21.5% 0.0%
30.9% 51.2% 4.9% 13.0% 0.0%
Inpatient and Outpatient Net Revenue by Payor Source
Inpatient Revenue ( $)
Outpatient Revenue ( $)
100.0%
100.0%
401,466
1.2%
Medicare MedicaidCharity
Care Expense
Other Public Private Insurance Private Pay Totals
Total Charity Care as % of Net Revenue
1/1/2011 12/31/2011Financial Year Reported: to Total Charity Care Expense
CON Occupancy 12/31/2011
Long-Term Acute Care 0 0.0 0.00 00 00 0.0 0.0
Page 2Riveredge Hospital Forest Park
Source: 2011 Annual Hospital Questionnaire, Illinois Department of Public Health, Health Systems Development.
Emergency/Trauma Care
Persons Treated by Emergency Services: 0
Patients Admitted from Emergency: 0
Stand-ByEmergency Service Type:
Level of Trauma Service
Operating Rooms Dedicated for Trauma Care 0
Patients Admitted from Trauma 0
Number of Trauma Visits: 0
Level 1(Not Answered)
Level 2Not Answered
Total ED Visits (Emergency+Trauma): 0
Outpatient Visits at the Hospital/ Campus: 8,691
Outpatient Service DataTotal Outpatient Visits 8,691
Outpatient Visits Offsite/off campus 0
Cardiac Catheterization LabsTotal Cath Labs (Dedicated+Nondedicated labs): 0
Dedicated Interventional Catheterization Labs 0 Interventional Catheterizations (0-14): 0
EP Catheterizations (15+) 0
Interventional Catheterization (15+) 0
Cardiac Surgery Data
Pediatric (0 - 14 Years): 0Adult (15 Years and Older): 0
Coronary Artery Bypass Grafts (CABGs) performed of total Cardiac Cases : 0
Total Cardiac Surgery Cases: 0
Diagnostic Catheterizations (15+) 0
Dedicated EP Catheterization Labs 0
Cath Labs used for Angiography procedures 0Dedicated Diagnostic Catheterization Labs 0
Diagnostic Catheterizations (0-14) 0
Cardiac Catheterization UtilizationTotal Cardiac Cath Procedures: 0
Number of Emergency Room Stations 0
Certified Trauma Center No
Hospital Profile - CY 2011
General Radiography/Fluoroscopy 0 0 0
Diagnostic/Interventional
0 0 0Nuclear MedicineMammographyUltrasound
Diagnostic Angiography
Positron Emission Tomography (PET)Computerized Axial Tomography (CAT)Magnetic Resonance Imaging
Lithotripsy
0 0 00 0 0
0 0
0 0 00 0 00 0 0
Owned Contract Inpatient Outpt
Linear Accelerator 0 0
0000
000
0
Therapies/ Treatments
00Interventional Angiography0 0 0Proton Beam Therapy
Gamma Knife 0 0 0Cyber knife 0 0 0
0 0 0
Treatment Equipment Owned ContractExaminations
0
0
0 0 0
Image Guided Rad Therapy
Intensity Modulated Rad Thrpy
High Dose Brachytherapy0 0
0 0
0 0Angiography
Contract0000
0
000
0
Equipment
Dedicated and Non-Dedicated Procedure Room Utilzation
Procedure TypeGastrointestinalLaser Eye ProceduresPain Management
0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0
Cystoscopy 0 0 0 0 0 0 0 0 0
Multipurpose Non-Dedicated Rooms
Inpatient Outpatient
Hours per Case
0.0 0.00.00.00.0
0.00.0
0.00.00.0
0.00.0
Inpatient Outpatient Combined Total
Procedure Rooms
Inpatient Outpatient
Surgical Cases
Inpatient Total HoursOutpatient
Surgical Hours
0 0 0 0 0 0 0 0 0 0.0 0.0
0 0 00 0 0 0 0
Surgical Specialty
Inpatient Outpatient Combined Total Inpatient Inpatient Total HoursOutpatient Outpatient0Cardiovascular
0 0 00 0 0 0 0 0Dermatology
0 0 00 0 0 0 0 0General
Gastroenterology
Neurology
OB/Gynecology
Oral/Maxillofacial
Ophthalmology
Orthopedic
Otolaryngology
Plastic Surgery
Podiatry
Thoracic
Urology
Totals
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
Stage 1 Recovery Stations 0 Stage 2 Recovery Stations 0SURGICAL RECOVERY STATIONS
Operating Rooms Surgical Cases Surgical Hours
0.0 0.0Inpatient Outpatient
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
Hours per CaseSurgery and Operating Room Utilization
IDPH Number: 8167
HSA 3
HPA E-01
COUNTY: Sangamonm County
OWNERSHIP: LINCOLN PRAIRIE BEHAVIORAL HEALTH CENTEROPERATOR: LINCOLN PRAIRIE BEHAVIORAL HEALTH CENTER
Ownership, Management and General Information Patients by RaceWhite #
Black #
American Indian #
Asian #
Hawaiian/ Pacific #
Unknown:#
Hispanic or Latino:
Not Hispanic or Latino:
Unknown:
77.7%
14.3%
0.4%
0.7%
0.0%
6.8%
0.3%
99.7%
0.0%
Page 1Hospital Profile - CY 2011 Lincoln Prairie Behavioral Health Center SpringfieldPatients by Ethnicity
5230 South Sixth StreetADDRESS
For Profit CorporationMANAGEMENT:CERTIFICATION:
SpringfieldCITY:
ADMINISTRATOR NAME: Mark Littrell
ADMINSTRATOR PHONE: 217-585-1180
Birthing DataNumber of Total Births: 0Number of Live Births: 0Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 0Labor-Delivery-Recovery-Postpartum Rooms: 0
Level 1 Patient Days 0
Level 2 Patient Days 0
Level 2+ Patient Days 0
C-Section Rooms: 0
Newborn Nursery Utilization
Total Nursery Patientdays 0
CSections Performed: 0
Inpatient Studies 0
Outpatient Studies 0
Laboratory Studies
Kidney: 0Heart: 0Lung: 0Heart/Lung: 0Pancreas: 0Liver: 0
Organ Transplantation
Total: 0Studies Performed Under Contract 0
FACILITY DESIGNATION: Psychiatric Hospital
0
0
0
0
0
0
0
88
Clinical ServicePeak Beds Setup and
Staffed AdmissionsInpatient
Days
Average Length of Stay
Average Daily
Census
Staff Bed Occupancy
Rate %Medical/Surgical
Pediatric
Intensive Care
Obstetric/Gynecology
Long Term CareSwing Beds
Neonatal
Acute Mental Illness
Rehabilitation
0
0
0
0
0
88
0
0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
0 0 0
1,460 19,112 0
0 0
0 0 0
0
Observation Days
0.0 0.0 0.0 0.0
0.0 0.0 0.0
0.0 0.0 0.0 0.0
0.0
0.0 0.0 0.0 0.0
0.0 0.0
0.0 0.0 0.0 0.0
0.0 0.0 0.0 0.0
0.0 0.0 0.0 0.0
13.1 52.4 59.5 59.5
Medicare Medicaid Charity CareOther Public Private Insurance Private PayInpatients and Outpatients Served by Payor Source
Totals
0 1151 0 306 30
Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2011
Peak Census
Dedcated Observation
0
0
0
0
0
70
0
0
0 00 0
0 0
00 00
0-14 Years15-44 Years45-64 Years65-74 Years75 Years +
00
0Direct AdmissionTransfers
MaternityClean Gynecology 0 0
0 0
0 0
0
(Includes ICU Direct Admissions Only)Facility Utilization 1,460 19,112 088 13.1 52.4
Inpatients
Outpatients
1,460
0 4145 0 1115 00 5,260
0.0% 78.8% 0.0% 21.0% 0.0% 0.2%
0.0% 78.8% 0.0% 21.2% 0.0% 0.0%
59.502
0 12,280,245 0 3,248,973 0 6,32015,529,218
290,4640 0 82,273 0 372,737 0
0.0% 77.9% 0.0% 22.1% 0.0%
0.0% 79.1% 0.0% 20.9% 0.0%
Inpatient and Outpatient Net Revenue by Payor Source
Inpatient Revenue ( $)
Outpatient Revenue ( $)
100.0%
100.0%
6,320
0.0%
Medicare MedicaidCharity
Care Expense
Other Public Private Insurance Private Pay Totals
Total Charity Care as % of Net Revenue
1/1/2011 12/31/2011Financial Year Reported: to Total Charity Care Expense
CON Occupancy 12/31/2011
Long-Term Acute Care 0 0.0 0.00 00 00 0.0 0.0
Page 2Lincoln Prairie Behavioral Health Center Springfield
Source: 2011 Annual Hospital Questionnaire, Illinois Department of Public Health, Health Systems Development.
Emergency/Trauma Care
Persons Treated by Emergency Services: 0
Patients Admitted from Emergency: 0
BasicEmergency Service Type:
Level of Trauma Service
Operating Rooms Dedicated for Trauma Care 0
Patients Admitted from Trauma 0
Number of Trauma Visits: 0
Level 1(Not Answered)
Level 2Not Answered
Total ED Visits (Emergency+Trauma): 0
Outpatient Visits at the Hospital/ Campus: 5,260
Outpatient Service DataTotal Outpatient Visits 5,260
Outpatient Visits Offsite/off campus 0
Cardiac Catheterization LabsTotal Cath Labs (Dedicated+Nondedicated labs): 0
Dedicated Interventional Catheterization Labs 0 Interventional Catheterizations (0-14): 0
EP Catheterizations (15+) 0
Interventional Catheterization (15+) 0
Cardiac Surgery Data
Pediatric (0 - 14 Years): 0Adult (15 Years and Older): 0
Coronary Artery Bypass Grafts (CABGs) performed of total Cardiac Cases : 0
Total Cardiac Surgery Cases: 0
Diagnostic Catheterizations (15+) 0
Dedicated EP Catheterization Labs 0
Cath Labs used for Angiography procedures 0Dedicated Diagnostic Catheterization Labs 0
Diagnostic Catheterizations (0-14) 0
Cardiac Catheterization UtilizationTotal Cardiac Cath Procedures: 0
Number of Emergency Room Stations 0
Certified Trauma Center No
Hospital Profile - CY 2011
General Radiography/Fluoroscopy 1 1,136 0
Diagnostic/Interventional
0 0 0Nuclear MedicineMammographyUltrasound
Diagnostic Angiography
Positron Emission Tomography (PET)Computerized Axial Tomography (CAT)Magnetic Resonance Imaging
Lithotripsy
0 0 00 0 0
0 0
0 0 00 0 00 0 0
Owned Contract Inpatient Outpt
Linear Accelerator 0 0
0000
000
0
Therapies/ Treatments
00Interventional Angiography0 0 0Proton Beam Therapy
Gamma Knife 0 0 0Cyber knife 0 0 0
0 0 0
Treatment Equipment Owned ContractExaminations
0
0
0 0 0
Image Guided Rad Therapy
Intensity Modulated Rad Thrpy
High Dose Brachytherapy0 0
0 0
0 0Angiography
Contract0000
0
000
0
Equipment
Dedicated and Non-Dedicated Procedure Room Utilzation
Procedure TypeGastrointestinalLaser Eye ProceduresPain Management
0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0
Cystoscopy 0 0 0 0 0 0 0 0 0
Multipurpose Non-Dedicated Rooms
Inpatient Outpatient
Hours per Case
0.0 0.00.00.00.0
0.00.0
0.00.00.0
0.00.0
Inpatient Outpatient Combined Total
Procedure Rooms
Inpatient Outpatient
Surgical Cases
Inpatient Total HoursOutpatient
Surgical Hours
0 0 0 0 0 0 0 0 0 0.0 0.0
0 0 00 0 0 0 0
Surgical Specialty
Inpatient Outpatient Combined Total Inpatient Inpatient Total HoursOutpatient Outpatient0Cardiovascular
0 0 00 0 0 0 0 0Dermatology
0 0 00 0 0 0 0 0General
Gastroenterology
Neurology
OB/Gynecology
Oral/Maxillofacial
Ophthalmology
Orthopedic
Otolaryngology
Plastic Surgery
Podiatry
Thoracic
Urology
Totals
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
Stage 1 Recovery Stations 0 Stage 2 Recovery Stations 0SURGICAL RECOVERY STATIONS
Operating Rooms Surgical Cases Surgical Hours
0.0 0.0Inpatient Outpatient
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
Hours per CaseSurgery and Operating Room Utilization
IDPH Number: 4762
HSA 7
HPA A-07
COUNTY: Suburban Cook County
OWNERSHIP: Universal Health Services, Inc.OPERATOR: Streamwood Behavioral Healthcare System
Ownership, Management and General Information Patients by RaceWhite #
Black #
American Indian #
Asian #
Hawaiian/ Pacific #
Unknown:#
Hispanic or Latino:
Not Hispanic or Latino:
Unknown:
62.4%
28.1%
0.0%
0.8%
0.0%
8.7%
12.0%
79.3%
8.7%
Page 1Hospital Profile - CY 2011 Streamwood Behavioral Health Systems StreamwoodPatients by Ethnicity
1400 E. Irving Park RoadADDRESS
For Profit CorporationMANAGEMENT:CERTIFICATION:
StreamwoodCITY:
ADMINISTRATOR NAME: Roxane Harcourt
ADMINSTRATOR PHONE: 630-483-5578
Birthing DataNumber of Total Births: 0Number of Live Births: 0Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 0Labor-Delivery-Recovery-Postpartum Rooms: 0
Level 1 Patient Days 0
Level 2 Patient Days 0
Level 2+ Patient Days 0
C-Section Rooms: 0
Newborn Nursery Utilization
Total Nursery Patientdays 0
CSections Performed: 0
Inpatient Studies 0
Outpatient Studies 0
Laboratory Studies
Kidney: 0Heart: 0Lung: 0Heart/Lung: 0Pancreas: 0Liver: 0
Organ Transplantation
Total: 0Studies Performed Under Contract 0
FACILITY DESIGNATION: Psychiatric Hospital
0
0
0
0
0
0
0
162
Clinical ServicePeak Beds Setup and
Staffed AdmissionsInpatient
Days
Average Length of Stay
Average Daily
Census
Staff Bed Occupancy
Rate %Medical/Surgical
Pediatric
Intensive Care
Obstetric/Gynecology
Long Term CareSwing Beds
Neonatal
Acute Mental Illness
Rehabilitation
0
0
0
0
0
162
0
0
0 0 0
0 0 0
0 0 0
0 0 0
0 0
0 0 0
2,656 43,309 0
0 0
0 0 0
0
Observation Days
0.0 0.0 0.0 0.0
0.0 0.0 0.0
0.0 0.0 0.0 0.0
0.0
0.0 0.0 0.0 0.0
0.0 0.0
0.0 0.0 0.0 0.0
0.0 0.0 0.0 0.0
0.0 0.0 0.0 0.0
16.3 118.7 73.2 73.2
Medicare Medicaid Charity CareOther Public Private Insurance Private PayInpatients and Outpatients Served by Payor Source
Totals
3 2199 5 448 01
Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2011
Peak Census
Dedcated Observation
0
0
0
0
0
162
0
0
0 00 0
0 0
00 00
0-14 Years15-44 Years45-64 Years65-74 Years75 Years +
00
0Direct AdmissionTransfers
MaternityClean Gynecology 0 0
0 0
0 0
0
(Includes ICU Direct Admissions Only)Facility Utilization 2,656 43,309 0162 16.3 118.7
Inpatients
Outpatients
2,656
0 0 0 0 00 0
0.1% 82.8% 0.2% 16.9% 0.0% 0.0%
#Num! #Num! #Num! #Num! #Num! #Num!
73.244
60,392 29,692,455 4,099,473 3,869,506 1,399 10,42537,723,225
1,810,7280 84,149 178,922 4,529 2,078,328 2,016
0.0% 87.1% 4.0% 8.6% 0.2%
0.2% 78.7% 10.9% 10.3% 0.0%
Inpatient and Outpatient Net Revenue by Payor Source
Inpatient Revenue ( $)
Outpatient Revenue ( $)
100.0%
100.0%
12,442
0.0%
Medicare MedicaidCharity
Care Expense
Other Public Private Insurance Private Pay Totals
Total Charity Care as % of Net Revenue
1/1/2011 12/31/2011Financial Year Reported: to Total Charity Care Expense
CON Occupancy 12/31/2011
Long-Term Acute Care 0 0.0 0.00 00 00 0.0 0.0
Page 2Streamwood Behavioral Health Systems Streamwood
Source: 2011 Annual Hospital Questionnaire, Illinois Department of Public Health, Health Systems Development.
Emergency/Trauma Care
Persons Treated by Emergency Services: 0
Patients Admitted from Emergency: 0
Stand-ByEmergency Service Type:
Level of Trauma Service
Operating Rooms Dedicated for Trauma Care 0
Patients Admitted from Trauma 0
Number of Trauma Visits: 0
Level 1(Not Answered)
Level 2Not Answered
Total ED Visits (Emergency+Trauma): 0
Outpatient Visits at the Hospital/ Campus: 27,715
Outpatient Service DataTotal Outpatient Visits 27,715
Outpatient Visits Offsite/off campus 0
Cardiac Catheterization LabsTotal Cath Labs (Dedicated+Nondedicated labs): 0
Dedicated Interventional Catheterization Labs 0 Interventional Catheterizations (0-14): 0
EP Catheterizations (15+) 0
Interventional Catheterization (15+) 0
Cardiac Surgery Data
Pediatric (0 - 14 Years): 0Adult (15 Years and Older): 0
Coronary Artery Bypass Grafts (CABGs) performed of total Cardiac Cases : 0
Total Cardiac Surgery Cases: 0
Diagnostic Catheterizations (15+) 0
Dedicated EP Catheterization Labs 0
Cath Labs used for Angiography procedures 0Dedicated Diagnostic Catheterization Labs 0
Diagnostic Catheterizations (0-14) 0
Cardiac Catheterization UtilizationTotal Cardiac Cath Procedures: 0
Number of Emergency Room Stations 0
Certified Trauma Center No
Hospital Profile - CY 2011
General Radiography/Fluoroscopy 0 0 0
Diagnostic/Interventional
0 0 0Nuclear MedicineMammographyUltrasound
Diagnostic Angiography
Positron Emission Tomography (PET)Computerized Axial Tomography (CAT)Magnetic Resonance Imaging
Lithotripsy
0 0 00 0 0
0 0
0 0 00 0 00 0 0
Owned Contract Inpatient Outpt
Linear Accelerator 0 0
0000
000
0
Therapies/ Treatments
00Interventional Angiography0 0 0Proton Beam Therapy
Gamma Knife 0 0 0Cyber knife 0 0 0
0 0 0
Treatment Equipment Owned ContractExaminations
0
0
0 0 0
Image Guided Rad Therapy
Intensity Modulated Rad Thrpy
High Dose Brachytherapy0 0
0 0
0 0Angiography
Contract0000
0
000
0
Equipment
Dedicated and Non-Dedicated Procedure Room Utilzation
Procedure TypeGastrointestinalLaser Eye ProceduresPain Management
0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0
Cystoscopy 0 0 0 0 0 0 0 0 0
Multipurpose Non-Dedicated Rooms
Inpatient Outpatient
Hours per Case
0.0 0.00.00.00.0
0.00.0
0.00.00.0
0.00.0
Inpatient Outpatient Combined Total
Procedure Rooms
Inpatient Outpatient
Surgical Cases
Inpatient Total HoursOutpatient
Surgical Hours
0 0 0 0 0 0 0 0 0 0.0 0.0
0 0 00 0 0 0 0
Surgical Specialty
Inpatient Outpatient Combined Total Inpatient Inpatient Total HoursOutpatient Outpatient0Cardiovascular
0 0 00 0 0 0 0 0Dermatology
0 0 00 0 0 0 0 0General
Gastroenterology
Neurology
OB/Gynecology
Oral/Maxillofacial
Ophthalmology
Orthopedic
Otolaryngology
Plastic Surgery
Podiatry
Thoracic
Urology
Totals
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
0 0 00 0 0 0 0 0
Stage 1 Recovery Stations 0 Stage 2 Recovery Stations 0SURGICAL RECOVERY STATIONS
Operating Rooms Surgical Cases Surgical Hours
0.0 0.0Inpatient Outpatient
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
Hours per CaseSurgery and Operating Room Utilization
Copyright © and (P) 1988–2006 Microsoft Corporation and/or its suppliers. All rights reserved. http://www.microsoft.com/mappoint/Portions © 1990–2005 InstallShield Software Corporation. All rights reserved. Certain mapping and direction data © 2005 NAVTEQ. All rights reserved. The Data for areas of Canada includes information taken with permission from Canadian authorities, including: © Her Majesty the Queen in Right of Canada, © Queen's Printer for Ontario. NAVTEQ and NAVTEQ ON BOARD are trademarks of NAVTEQ. © 2005 Tele Atlas North America, Inc. All rights reserved. Tele Atlas and Tele Atlas North America are trademarks of Tele Atlas, Inc.
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