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IDPH Number: 5728 HSA 3 HPA E-01 COUNTY: Logan County OWNERSHIP: Abraham Lincoln Memorial Hospital OPERATOR: Abraham Lincoln Memorial Hospital Ownership, Management and General Information Patients by Race White Black American Indian Asian Hawaiian/ Pacific Hispanic or Latino: Not Hispanic or Latino: Unknown: 99.6% 0.3% 0.0% 0.1% 0.0% 0.0% 0.0% 100.0% 0.0% Page 1 Hospital Profile - CY 2016 Abraham Lincoln Hospital Lincoln Patients by Ethnicity Critical Access Hospital 200 Stahlhut Drive ADDRESS Other Not For Profit (specify below) MANAGEMENT: CERTIFICATION: Lincoln CITY: ADMINISTRATOR NAME: Dolan Dalpoas ADMINSTRATOR PHONE: 217-605-5001 Birthing Data Number of Total Births: 208 Number of Live Births: 208 Birthing Rooms: 0 Labor Rooms: 0 Delivery Rooms: 0 Labor-Delivery-Recovery Rooms: 3 Labor-Delivery-Recovery-Postpartum Rooms: 0 0 0 0 C-Section Rooms: 0 Newborn Nursery Utilization Total Newborn Patient Days 0 CSections Performed: 63 Inpatient Studies 30,264 Outpatient Studies 113,141 Laboratory Studies Kidney: Heart: Lung: Heart/Lung: Pancreas: Liver: Organ Transplantation Total: Studies Performed Under Contract 0 FACILITY DESIGNATION: General Hospital Unknown Patient Days Beds 0 0 0 Level I Level II Level II+ 22 0 0 3 0 0 0 Clinical Service Peak Beds Setup and Staffed Admissions Inpatient Days Average Length of Stay Average Daily Census Staffed Bed Occupancy Rate % Medical/Surgical Pediatric Intensive Care Obstetric/Gynecology Long Term Care Swing Beds Neonatal Adult AMI Rehabilitation 22 0 0 0 0 0 0 3 697 2,508 193 0 0 0 0 0 0 0 0 0 129 628 0 0 0 0 0 0 486 0 0 0 0 214 Observation Days 0.0 0.0 0.0 0.0 3.9 7.4 33.5 0.0 0.0 0.0 0.0 33.5 2.3 1.3 44.3 44.3 4.9 1.7 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Medicare Medicaid Charity Care Other Public Private Insurance Private Pay Inpatients and Outpatients Served by Payor Source Totals 618 205 0 184 25 8 Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2016 Peak Census Dedicated Observation 22 0 0 0 0 0 0 3 88 256 4 5 329 1,303 519 122 425 154 0-14 Years 15-44 Years 45-64 Years 65-74 Years 75 Years + 0 0 0 Direct Admission Transfers - Not included in Facility Admissions Maternity Clean Gynecology 0 0 214 486 0 0 0 Facility Utilization 1,040 3,622 193 25 3.7 10.4 Inpatients Outpatients 1,040 18329 12125 0 14088 1920 2194 48,656 59.4% 19.7% 0.0% 17.7% 0.8% 2.4% 37.7% 24.9% 0.0% 29.0% 4.5% 3.9% 41.7 4,777,836 528,157 0 1,873,263 66,923 7,989 7,246,179 1,459,043 15,873,459 0 20,865,077 1,304,793 39,502,372 498,011 40.2% 3.7% 0.0% 52.8% 3.3% 65.9% 7.3% 0.0% 25.9% 0.9% Inpatient and Outpatient Net Revenue by Payor Source Inpatient Revenue ( $) Outpatient Revenue ( $) 100.0% 100.0% 506,000 1.1% Medicare Medicaid Charity Care Expense Other Public Private Insurance Private Pay Totals Total Charity Care as % of Net Revenue 10/1/2015 9/30/2016 Financial Year Reported: to Total Charity Care Expense CON Occupancy Rate % Long-Term Acute Care 0 0.0 0.0 0 0 0 0 0 0.0 0.0 22 0 Total AMI 0 0 0 0.0 0.0 0.0 Adolescent AMI 0 0 0 0 0.0 0.0 0.0 0

Abraham Lincoln Hospital Lincoln Page 1 - Illinois · Abraham Lincoln Hospital Lincoln Page 2 Source: 2016 Annual Hospital Questionnaire, Illinois Department of Public Health, Health

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  • IDPH Number: 5728

    HSA 3HPA E-01

    COUNTY: Logan County

    OWNERSHIP: Abraham Lincoln Memorial HospitalOPERATOR: Abraham Lincoln Memorial Hospital

    Ownership, Management and General Information Patients by RaceWhite #Black #American Indian #Asian #Hawaiian/ Pacific #

    Hispanic or Latino:Not Hispanic or Latino:Unknown:

    99.6%0.3%0.0%0.1%0.0%0.0%

    0.0%100.0%

    0.0%

    Page 1Hospital Profile - CY 2016 Abraham Lincoln Hospital LincolnPatients by Ethnicity

    Critical Access Hospital

    200 Stahlhut DriveADDRESS

    Other Not For Profit (specify below)MANAGEMENT:CERTIFICATION:

    LincolnCITY:

    ADMINISTRATOR NAME: Dolan DalpoasADMINSTRATOR PHONE: 217-605-5001

    Birthing DataNumber of Total Births: 208Number of Live Births: 208Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 3Labor-Delivery-Recovery-Postpartum Rooms: 0

    0 0 0

    C-Section Rooms: 0

    Newborn Nursery Utilization

    Total Newborn Patient Days 0

    CSections Performed: 63

    Inpatient Studies 30,264Outpatient Studies 113,141

    Laboratory Studies

    Kidney:Heart:Lung:Heart/Lung:Pancreas:Liver:

    Organ Transplantation

    Total:

    Studies Performed Under Contract 0

    FACILITY DESIGNATION: General HospitalUnknown

    Patient DaysBeds 0 0 0

    Level I Level II Level II+

    22

    00

    3

    0

    0

    0

    Clinical Service

    Peak Beds Setup and

    Staffed AdmissionsInpatient

    Days

    Average Length of Stay

    Average Daily

    Census

    Staffed Bed Occupancy

    Rate %

    Medical/Surgical

    PediatricIntensive Care

    Obstetric/Gynecology

    Long Term CareSwing Beds

    Neonatal

    Adult AMIRehabilitation

    22

    00

    0

    00

    0

    3

    697 2,508 193

    0 0 00 0 0

    0 0 0129 628

    0 0 00 0 0

    486 0

    0 0 0

    214

    Observation Days

    0.0 0.0 0.0 0.0

    3.9 7.4 33.5

    0.0 0.0 0.0 0.0

    33.5

    2.3 1.3 44.3 44.3

    4.9 1.70.0 0.0 0.0 0.0

    0.0 0.0 0.0 0.0

    0.0 0.0 0.0 0.00.0 0.0 0.0

    Medicare Medicaid Charity CareOther Public Private Insurance Private PayInpatients and Outpatients Served by Payor Source

    Totals

    618 205 0 184 258

    Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2016

    Peak Census

    Dedicated Observation

    22

    00

    0

    00

    0

    3

    88 2564 5

    329 1,303

    519122 425154

    0-14 Years15-44 Years45-64 Years65-74 Years75 Years +

    00

    0Direct AdmissionTransfers - Not included in Facility Admissions

    MaternityClean Gynecology 0 0

    214 486

    0 0

    0

    Facility Utilization 1,040 3,622 19325 3.7 10.4

    Inpatients

    Outpatients

    1,040

    18329 12125 0 14088 19202194 48,656

    59.4% 19.7% 0.0% 17.7% 0.8% 2.4%

    37.7% 24.9% 0.0% 29.0% 4.5% 3.9%

    41.7

    4,777,836 528,157 0 1,873,263 66,923 7,9897,246,179

    1,459,04315,873,459 0 20,865,077 1,304,793 39,502,372 498,01140.2% 3.7% 0.0% 52.8% 3.3%

    65.9% 7.3% 0.0% 25.9% 0.9%

    Inpatient and Outpatient Net Revenue by Payor Source

    Inpatient Revenue ( $)

    Outpatient Revenue ( $)

    100.0%

    100.0%

    506,000

    1.1%

    Medicare MedicaidCharity

    Care Expense

    Other Public Private Insurance Private Pay Totals

    Total Charity Care as % of Net Revenue

    10/1/2015 9/30/2016Financial Year Reported: to Total Charity Care Expense

    CON Occupancy

    Rate %

    Long-Term Acute Care 0 0.0 0.00 00 00 0.0 0.0

    220Total AMI 0 0 0 0.0 0.0 0.0

    Adolescent AMI 0 0 0 0 0.0 0.0 0.00

  • Page 2Abraham Lincoln Hospital Lincoln

    Source: 2016 Annual Hospital Questionnaire, Illinois Department of Public Health, Health Systems Development.

    Emergency/Trauma Care

    Persons Treated by Emergency Services: 17,190Patients Admitted from Emergency: 526

    ComprehensiveEmergency Service Type:

    Level of Trauma Service

    Operating Rooms Dedicated for Trauma Care 0

    Patients Admitted from Trauma 0Number of Trauma Visits: 0

    Level 1(Not Answered)

    Level 2Not Answered

    Total ED Visits (Emergency+Trauma): 17,190

    Outpatient Visits at the Hospital/ Campus: 48,656

    Outpatient Service DataTotal Outpatient Visits 48,656

    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+) 0Interventional Catheterization (15+) 0

    Cardiac Surgery Data

    Pediatric (0 - 14 Years): 0Adult (15 Years and Older): 0Coronary 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: 0Number of Emergency Room Stations 0

    Certified Trauma Center No

    Hospital Profile - CY 2016

    Patient Visits in Free-Standing Centers

    Free-Standing Emergency CenterBeds in Free-Standing Centers

    Hospital Admissions from Free-Standing Center

    General Radiography/Fluoroscopy 3 834 9,124

    Diagnostic/Interventional Equipment

    1 14 296Nuclear MedicineMammographyUltrasound

    Diagnostic Angiography

    Positron Emission Tomography (PET)Computerized Axial Tomography (CAT)Magnetic Resonance Imaging

    Lithotripsy

    1 2 3,4342 124 3,606

    0 0

    0 0 01 268 6,8121 68 1,605

    Owned Contract Inpatient Outpt

    Linear Accelerator 0 00000

    000

    0

    Therapies/ Treatments

    00Interventional Angiography0 0 0Proton Beam Therapy

    Gamma Knife 0 0 0Cyber knife 0 0 0

    0 0 0

    Therapeutic Equipment Owned Contract

    Examinations

    00

    0 0 0

    Image Guided Rad TherapyIntensity Modulated Rad Thrpy

    High Dose Brachytherapy0 0Angiography

    Contract0000

    0

    000

    0

    Dedicated and Non-Dedicated Procedure Room Utilzation

    Procedure TypeGastrointestinalLaser Eye ProceduresPain Management

    0 0 1 1 1 728 1 573 5740 0 0 0 0 0 0 0 00 0 1 1 0 139 0 72 72

    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 OutpatientHours per Case

    1.0 0.80.00.00.0

    0.00.0

    0.00.50.0

    0.00.0

    Inpatient Outpatient Combined TotalProcedure Rooms

    Inpatient OutpatientSurgical Cases

    Inpatient Total HoursOutpatientSurgical Hours

    0 0 0 0 0 0 0 0 0 0.0 0.0

    0 0 00 0 0 0 0

    Surgical SpecialtyInpatient Outpatient Combined Total Inpatient Inpatient Total HoursOutpatient Outpatient

    0Cardiovascular0 0 00 0 0 0 0 0Dermatology0 79 790 0 3 3 0 53General

    GastroenterologyNeurologyOB/GynecologyOral/MaxillofacialOphthalmologyOrthopedicOtolaryngologyPlastic SurgeryPodiatryThoracicUrology

    Totals

    0 0 00 0 0 0 0 00 0 00 0 0 0 0 0

    294 372 6660 0 0 0 120 2051 19 200 0 0 0 1 17

    99 164 2630 0 0 0 25 740 80 800 0 0 0 0 1110 3 30 0 0 0 0 30 13 130 0 0 0 0 100 0 00 0 0 0 0 01 61 620 0 0 0 1 69

    0 0 00 0 0 0 0 0

    395 791 11860 0 3 3 147 542

    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 0.00.0 1.50.0 0.00.0 0.02.5 1.81.0 1.1

    4.0 2.20.0 0.70.0 1.00.0 1.30.0 0.01.0 0.9

    0.0 0.0

    2.7 1.5

    Hours per CaseSurgery and Operating Room Utilization

  • IDPH Number: 5496

    HSA 9HPA A-13

    COUNTY: Will County

    OWNERSHIP: Adventist Bolingbrook HospitalOPERATOR: Adventist Bolingbrook Hospital

    Ownership, Management and General Information Patients by RaceWhite #Black #American Indian #Asian #Hawaiian/ Pacific #

    Hispanic or Latino:Not Hispanic or Latino:Unknown:

    55.4%18.1%

    0.0%4.1%0.0%

    22.4%

    16.8%83.1%0.1%

    Page 1Hospital Profile - CY 2016 Adventist Bolingbrook Hospital BolingbrookPatients by Ethnicity

    (Not Answered)

    500 Remington BlvdADDRESS

    Church-RelatedMANAGEMENT:CERTIFICATION:

    BolingbrookCITY:

    ADMINISTRATOR NAME: Bruce ChristianADMINSTRATOR PHONE: 630-545-3901

    Birthing DataNumber of Total Births: 1,019Number of Live Births: 1,010Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 6Labor-Delivery-Recovery-Postpartum Rooms: 0

    1,426 529 924

    C-Section Rooms: 2

    Newborn Nursery Utilization

    Total Newborn Patient Days 2,879

    CSections Performed: 352

    Inpatient Studies 126,702Outpatient Studies 164,666

    Laboratory Studies

    Kidney:Heart:Lung:Heart/Lung:Pancreas:Liver:

    Organ Transplantation

    Total:

    Studies Performed Under Contract 4,398

    FACILITY DESIGNATION: General HospitalUnknown

    Patient DaysBeds 20 10 0

    Level I Level II Level II+

    82

    120

    20

    0

    0

    0

    Clinical Service

    Peak Beds Setup and

    Staffed AdmissionsInpatient

    Days

    Average Length of Stay

    Average Daily

    Census

    Staffed Bed Occupancy

    Rate %

    Medical/Surgical

    PediatricIntensive Care

    Obstetric/Gynecology

    Long Term CareSwing Beds

    Neonatal

    Adult AMIRehabilitation

    82

    120

    0

    024

    0

    20

    3,668 12,386 3,033

    1,009 4,803 300 0 0

    0 0 00 0

    0 0 0245 2,638 0

    2,715 44

    0 0 0

    1,104

    Observation Days

    0.0 0.0 0.0 0.0

    4.2 42.1 51.4

    4.8 13.2 110.0 110.0

    51.4

    2.5 7.5 37.7 37.7

    0.0 0.00.0 0.0 0.0 0.0

    0.0 0.0 0.0 0.0

    0.0 0.0 0.0 0.010.8 7.2 30.0

    Medicare Medicaid Charity CareOther Public Private Insurance Private PayInpatients and Outpatients Served by Payor Source

    Totals

    2633 1439 53 1690 111100

    Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2016

    Peak Census

    Dedicated Observation

    51

    120

    0

    012

    0

    18

    925 2,6587 15

    995 3,740

    3,817645 2,156

    1,096

    0-14 Years15-44 Years45-64 Years65-74 Years75 Years +

    4,8030

    1,009Direct AdmissionTransfers - Not included in Facility Admissions

    MaternityClean Gynecology 50 107

    1,054 2,608

    0 0

    0

    Facility Utilization 6,026 22,542 3,107138 4.3 70.1

    Inpatients

    Outpatients

    6,026

    20447 27265 1222 55341 8534312 109,440

    43.7% 23.9% 0.9% 28.0% 1.7% 1.8%

    18.7% 24.9% 1.1% 50.6% 3.9% 0.8%

    50.8

    6,632,741 23,810,645 636,089 19,646,735 3,100,537 383,55853,826,747

    14,328,0409,361,396 1,121,131 54,927,173 6,553,823 86,291,563 1,100,08310.8% 16.6% 1.3% 63.7% 7.6%

    12.3% 44.2% 1.2% 36.5% 5.8%

    Inpatient and Outpatient Net Revenue by Payor Source

    Inpatient Revenue ( $)

    Outpatient Revenue ( $)

    100.0%

    100.0%

    1,483,641

    1.1%

    Medicare MedicaidCharity

    Care Expense

    Other Public Private Insurance Private Pay Totals

    Total Charity Care as % of Net Revenue

    7/1/2015 6/30/2016Financial Year Reported: to Total Charity Care Expense

    CON Occupancy

    Rate %

    Long-Term Acute Care 0 0.0 0.00 00 00 0.0 0.0

    024Total AMI 245 2,638 0 10.8 7.2 30.0

    Adolescent AMI 0 0 0 0 0.0 0.0 0.00

  • Page 2Adventist Bolingbrook Hospital Bolingbrook

    Source: 2016 Annual Hospital Questionnaire, Illinois Department of Public Health, Health Systems Development.

    Emergency/Trauma Care

    Persons Treated by Emergency Services: 38,446Patients Admitted from Emergency: 6,112

    ComprehensiveEmergency Service Type:

    Level of Trauma Service

    Operating Rooms Dedicated for Trauma Care 22

    Patients Admitted from Trauma 335Number of Trauma Visits: 670

    Level 1(Not Answered)

    Level 2Adult

    Total ED Visits (Emergency+Trauma): 39,116

    Outpatient Visits at the Hospital/ Campus: 84,080

    Outpatient Service DataTotal Outpatient Visits 109,440

    Outpatient Visits Offsite/off campus 25,360

    Cardiac Catheterization LabsTotal Cath Labs (Dedicated+Nondedicated labs): 1

    Dedicated Interventional Catheterization Labs 0

    Interventional Catheterizations (0-14): 0

    EP Catheterizations (15+) 15Interventional Catheterization (15+) 107

    Cardiac Surgery Data

    Pediatric (0 - 14 Years): 0Adult (15 Years and Older): 0Coronary Artery Bypass Grafts (CABGs) performed of total Cardiac Cases : 0

    Total Cardiac Surgery Cases: 0

    Diagnostic Catheterizations (15+) 147

    Dedicated EP Catheterization Labs 0

    Cath Labs used for Angiography procedures 1Dedicated Diagnostic Catheterization Labs 0

    Diagnostic Catheterizations (0-14) 0

    Cardiac Catheterization UtilizationTotal Cardiac Cath Procedures: 269Number of Emergency Room Stations 0

    Certified Trauma Center Yes

    Hospital Profile - CY 2016

    Patient Visits in Free-Standing Centers

    Free-Standing Emergency CenterBeds in Free-Standing Centers

    Hospital Admissions from Free-Standing Center

    General Radiography/Fluoroscopy 5 6,809 27,451

    Diagnostic/Interventional Equipment

    1 335 998Nuclear MedicineMammographyUltrasound

    Diagnostic Angiography

    Positron Emission Tomography (PET)Computerized Axial Tomography (CAT)Magnetic Resonance Imaging

    Lithotripsy

    2 2 7,5835 1,989 12,868

    203 1,037

    0 0 03 3,408 11,3172 719 3,894

    Owned Contract Inpatient Outpt

    Linear Accelerator 0 00000

    100

    0

    Therapies/ Treatments

    69Interventional Angiography0 0 0Proton Beam Therapy

    Gamma Knife 0 0 0Cyber knife 0 0 0

    2 1 27

    Therapeutic Equipment Owned Contract

    Examinations

    00

    0 0 0

    Image Guided Rad TherapyIntensity Modulated Rad Thrpy

    High Dose Brachytherapy1 0Angiography

    Contract0000

    0

    17900

    0

    Dedicated and Non-Dedicated Procedure Room Utilzation

    Procedure TypeGastrointestinalLaser Eye ProceduresPain Management

    0 0 2 2 411 1870 517 2384 29010 0 1 1 0 161 0 169 1690 0 3 3 0 4029 0 3499 3499

    0 0 1 1 1 25 1 29 300 0 0 0 0 0 0 0 0

    Cystoscopy 0 0 0 0 0 0 0 0 0

    Multipurpose Non-Dedicated RoomsMinor

    Inpatient OutpatientHours per Case

    1.3 1.30.00.00.0

    1.00.0

    1.00.90.0

    1.20.0

    Inpatient Outpatient Combined TotalProcedure Rooms

    Inpatient OutpatientSurgical Cases

    Inpatient Total HoursOutpatientSurgical Hours

    0 0 0 0 0 0 0 0 0 0.0 0.0

    0 0 00 0 0 0 0

    Surgical SpecialtyInpatient Outpatient Combined Total Inpatient Inpatient Total HoursOutpatient Outpatient

    0Cardiovascular0 0 00 0 0 0 0 0Dermatology

    1166 1834 30000 0 5 5 428 856GeneralGastroenterologyNeurologyOB/GynecologyOral/MaxillofacialOphthalmologyOrthopedicOtolaryngologyPlastic SurgeryPodiatryThoracicUrology

    Totals

    24 83 1070 0 0 0 15 5161 64 1250 0 0 0 14 21

    240 630 8700 0 0 0 87 3260 2 20 0 0 0 0 1

    824 1385 22090 0 0 0 228 50638 435 4730 0 0 0 17 20419 95 1140 0 0 0 8 39

    127 1071 11980 0 0 0 51 4130 0 00 0 0 0 0 0

    86 306 3920 0 1 1 57 214

    6 436 4420 0 0 0 2 281

    2591 6341 89320 0 6 6 907 2912

    Stage 1 Recovery Stations 13 Stage 2 Recovery Stations 21SURGICAL RECOVERY STATIONS

    Operating Rooms Surgical Cases Surgical Hours

    0.0 0.0Inpatient Outpatient

    0.0 0.02.7 2.11.6 1.64.4 3.02.8 1.90.0 2.0

    3.6 2.72.2 2.12.4 2.42.5 2.60.0 0.01.5 1.4

    3.0 1.6

    2.9 2.2

    Hours per CaseSurgery and Operating Room Utilization

  • IDPH Number: 3814

    HSA 7HPA A-05

    COUNTY: DuPage County

    OWNERSHIP: Adventist Glen Oaks HospitalOPERATOR: Adventist Glen Oaks Hospital

    Ownership, Management and General Information Patients by RaceWhite #Black #American Indian #Asian #Hawaiian/ Pacific #

    Hispanic or Latino:Not Hispanic or Latino:Unknown:

    64.2%10.5%

    0.0%7.2%0.2%

    18.0%

    14.5%85.4%0.1%

    Page 1Hospital Profile - CY 2016 Adventist GlenOaks Hospital Glendale HeightsPatients by Ethnicity

    (Not Answered)

    701 Winthrop AvenueADDRESS

    Church-RelatedMANAGEMENT:CERTIFICATION:

    Glendale HeightsCITY:

    ADMINISTRATOR NAME: Bruce ChristianADMINSTRATOR PHONE: 630-545-3901

    Birthing DataNumber of Total Births: 378Number of Live Births: 375Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 0Labor-Delivery-Recovery-Postpartum Rooms: 8

    528 105 0

    C-Section Rooms: 1

    Newborn Nursery Utilization

    Total Newborn Patient Days 633

    CSections Performed: 91

    Inpatient Studies 95,715Outpatient Studies 73,200

    Laboratory Studies

    Kidney:Heart:Lung:Heart/Lung:Pancreas:Liver:

    Organ Transplantation

    Total:

    Studies Performed Under Contract 2,700

    FACILITY DESIGNATION: General HospitalUnknown

    Patient DaysBeds 24 4 0

    Level I Level II Level II+

    57

    100

    15

    0

    0

    0

    Clinical Service

    Peak Beds Setup and

    Staffed AdmissionsInpatient

    Days

    Average Length of Stay

    Average Daily

    Census

    Staffed Bed Occupancy

    Rate %

    Medical/Surgical

    PediatricIntensive Care

    Obstetric/Gynecology

    Long Term CareSwing Beds

    Neonatal

    Adult AMIRehabilitation

    57

    100

    0

    061

    0

    15

    1,730 5,550 1,665

    854 4,685 290 0 0

    0 0 00 0

    0 0 02,520 17,979 0

    722 70

    0 0 0

    405

    Observation Days

    0.0 0.0 0.0 0.0

    4.2 19.7 34.6

    5.5 12.9 128.8 128.8

    34.6

    2.0 2.2 14.4 14.4

    0.0 0.00.0 0.0 0.0 0.0

    0.0 0.0 0.0 0.0

    0.0 0.0 0.0 0.07.1 49.1 80.5

    Medicare Medicaid Charity CareOther Public Private Insurance Private PayInpatients and Outpatients Served by Payor Source

    Totals

    2317 1981 20 878 110203

    Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2016

    Peak Census

    Dedicated Observation

    29

    100

    0

    060

    0

    7

    337 8254 5

    545 2,014

    1,696293 1,010551

    0-14 Years15-44 Years45-64 Years65-74 Years75 Years +

    4,6850

    854Direct AdmissionTransfers - Not included in Facility Admissions

    MaternityClean Gynecology 33 58

    372 664

    0 0

    0

    Facility Utilization 5,509 28,936 1,764143 5.6 83.9

    Inpatients

    Outpatients

    5,509

    6662 17301 247 13536 8031622 40,171

    42.1% 36.0% 0.4% 15.9% 3.7% 2.0%

    16.6% 43.1% 0.6% 33.7% 4.0% 2.0%

    58.7

    16,324,722 21,999,938 176,938 9,298,115 2,367,810 486,95450,167,523

    4,380,31314,249,071 312,183 16,795,925 5,565,709 41,303,201 1,367,12134.5% 10.6% 0.8% 40.7% 13.5%

    32.5% 43.9% 0.4% 18.5% 4.7%

    Inpatient and Outpatient Net Revenue by Payor Source

    Inpatient Revenue ( $)

    Outpatient Revenue ( $)

    100.0%

    100.0%

    1,854,075

    2.0%

    Medicare MedicaidCharity

    Care Expense

    Other Public Private Insurance Private Pay Totals

    Total Charity Care as % of Net Revenue

    7/1/2015 6/30/2016Financial Year Reported: to Total Charity Care Expense

    CON Occupancy

    Rate %

    Long-Term Acute Care 0 0.0 0.00 00 00 0.0 0.0

    061Total AMI 2,520 17,979 0 7.1 49.1 80.5

    Adolescent AMI 0 0 0 0 0.0 0.0 0.00

  • Page 2Adventist GlenOaks Hospital Glendale Heights

    Source: 2016 Annual Hospital Questionnaire, Illinois Department of Public Health, Health Systems Development.

    Emergency/Trauma Care

    Persons Treated by Emergency Services: 22,589Patients Admitted from Emergency: 4,057

    ComprehensiveEmergency Service Type:

    Level of Trauma Service

    Operating Rooms Dedicated for Trauma Care 0

    Patients Admitted from Trauma 173Number of Trauma Visits: 341

    Level 1(Not Answered)

    Level 2Not Answered

    Total ED Visits (Emergency+Trauma): 22,930

    Outpatient Visits at the Hospital/ Campus: 36,730

    Outpatient Service DataTotal Outpatient Visits 40,170

    Outpatient Visits Offsite/off campus 3,440

    Cardiac Catheterization LabsTotal Cath Labs (Dedicated+Nondedicated labs): 1

    Dedicated Interventional Catheterization Labs 0

    Interventional Catheterizations (0-14): 0

    EP Catheterizations (15+) 70Interventional Catheterization (15+) 74

    Cardiac Surgery Data

    Pediatric (0 - 14 Years): 0Adult (15 Years and Older): 0Coronary Artery Bypass Grafts (CABGs) performed of total Cardiac Cases : 0

    Total Cardiac Surgery Cases: 0

    Diagnostic Catheterizations (15+) 232

    Dedicated EP Catheterization Labs 0

    Cath Labs used for Angiography procedures 1Dedicated Diagnostic Catheterization Labs 0

    Diagnostic Catheterizations (0-14) 0

    Cardiac Catheterization UtilizationTotal Cardiac Cath Procedures: 376Number of Emergency Room Stations 19

    Certified Trauma Center No

    Hospital Profile - CY 2016

    Patient Visits in Free-Standing Centers

    Free-Standing Emergency CenterBeds in Free-Standing Centers

    Hospital Admissions from Free-Standing Center

    General Radiography/Fluoroscopy 9 5,211 11,862

    Diagnostic/Interventional Equipment

    2 269 443Nuclear MedicineMammographyUltrasound

    Diagnostic Angiography

    Positron Emission Tomography (PET)Computerized Axial Tomography (CAT)Magnetic Resonance Imaging

    Lithotripsy

    1 1 1,7293 1,071 3,952

    12 16

    0 0 01 2,295 5,0401 470 801

    Owned Contract Inpatient Outpt

    Linear Accelerator 0 00001

    000

    0

    Therapies/ Treatments

    69Interventional Angiography0 0 0Proton Beam Therapy

    Gamma Knife 0 0 0Cyber knife 0 0 0

    0 2 5

    Therapeutic Equipment Owned Contract

    Examinations

    00

    0 0 0

    Image Guided Rad TherapyIntensity Modulated Rad Thrpy

    High Dose Brachytherapy1 0Angiography

    Contract0000

    0

    000

    0

    Dedicated and Non-Dedicated Procedure Room Utilzation

    Procedure TypeGastrointestinalLaser Eye ProceduresPain Management

    0 0 1 1 235 741 211 529 7400 1 0 1 0 174 0 47 470 0 1 1 4 250 5 223 228

    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 OutpatientHours per Case

    0.9 0.70.01.30.0

    0.00.0

    0.30.90.0

    0.00.0

    Inpatient Outpatient Combined TotalProcedure Rooms

    Inpatient OutpatientSurgical Cases

    Inpatient Total HoursOutpatientSurgical Hours

    0 0 0 0 0 0 0 0 0 0.0 0.0

    14 15 290 0 0 4 5

    Surgical SpecialtyInpatient Outpatient Combined Total Inpatient Inpatient Total HoursOutpatient Outpatient

    0Cardiovascular0 0 00 0 0 0 0 0Dermatology

    259 191 4500 0 1 1 128 121GeneralGastroenterologyNeurologyOB/GynecologyOral/MaxillofacialOphthalmologyOrthopedicOtolaryngologyPlastic SurgeryPodiatryThoracicUrology

    Totals

    0 0 00 0 0 0 0 00 0 00 0 0 0 0 0

    278 165 4430 0 1 1 136 1060 2 20 0 0 0 0 1

    311 445 7560 0 1 1 102 1680 6 60 0 0 0 0 38 0 80 0 0 0 2 0

    30 208 2380 0 0 0 17 1145 0 50 0 0 0 2 0

    24 13 370 0 1 1 17 9

    0 648 6480 0 1 1 0 520

    929 1693 26220 0 5 5 408 1047

    Stage 1 Recovery Stations 5 Stage 2 Recovery Stations 4SURGICAL RECOVERY STATIONS

    Operating Rooms Surgical Cases Surgical Hours

    3.5 3.0Inpatient Outpatient

    0.0 0.02.0 1.60.0 0.00.0 0.02.0 1.60.0 2.0

    3.0 2.60.0 2.04.0 0.01.8 1.82.5 0.01.4 1.4

    0.0 1.2

    2.3 1.6

    Hours per CaseSurgery and Operating Room Utilization

  • IDPH Number: 0976

    HSA 7HPA A-05

    COUNTY: DuPage County

    OWNERSHIP: Adventist Hinsdale HospitalOPERATOR: Adventist Hinsdale Hospital

    Ownership, Management and General Information Patients by RaceWhite #Black #American Indian #Asian #Hawaiian/ Pacific #

    Hispanic or Latino:Not Hispanic or Latino:Unknown:

    81.1%5.1%0.1%3.9%0.0%9.8%

    6.0%93.9%0.1%

    Page 1Hospital Profile - CY 2016 Adventist Hinsdale Hospital HinsdalePatients by Ethnicity

    (Not Answered)

    120 North Oak StreetADDRESS

    Church-RelatedMANAGEMENT:CERTIFICATION:

    HinsdaleCITY:

    ADMINISTRATOR NAME: Mike GoebelADMINSTRATOR PHONE: 630-856-6005

    Birthing DataNumber of Total Births: 2,511Number of Live Births: 2,497Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 10Labor-Delivery-Recovery-Postpartum Rooms: 0

    4,971 920 6,881

    C-Section Rooms: 2

    Newborn Nursery Utilization

    Total Newborn Patient Days 12,772

    CSections Performed: 758

    Inpatient Studies 236,693Outpatient Studies 547,843

    Laboratory Studies

    Kidney:Heart:Lung:Heart/Lung:Pancreas:Liver:

    Organ Transplantation

    Total:

    Studies Performed Under Contract 20,101

    FACILITY DESIGNATION: General HospitalUnknown

    Patient DaysBeds 23 14 14

    Level I Level II Level II+

    131

    4418

    37

    0

    14

    0

    Clinical Service

    Peak Beds Setup and

    Staffed AdmissionsInpatient

    Days

    Average Length of Stay

    Average Daily

    Census

    Staffed Bed Occupancy

    Rate %

    Medical/Surgical

    PediatricIntensive Care

    Obstetric/Gynecology

    Long Term CareSwing Beds

    Neonatal

    Adult AMIRehabilitation

    131

    4418

    0

    017

    14

    37

    6,402 22,621 1,687

    1,211 8,182 9371 836 561

    0 0 00 0

    0 0 0820 4,208 0

    7,179 115

    337 5,312 0

    2,505

    Observation Days

    3.8 3.8 21.2 21.2

    3.8 66.4 50.7

    6.8 22.4 50.9 50.9

    50.7

    2.9 19.9 53.9 53.9

    0.0 0.00.0 0.0 0.0 0.0

    15.8 14.5 103.7 103.7

    0.0 0.0 0.0 0.05.1 11.5 67.6

    Medicare Medicaid Charity CareOther Public Private Insurance Private PayInpatients and Outpatients Served by Payor Source

    Totals

    4309 1204 54 5965 7342

    Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2016

    Peak Census

    Dedicated Observation

    84

    378

    0

    017

    14

    34

    971 2,9429 9

    2,187 9,026

    6,1421,297 4,5021,938

    0-14 Years15-44 Years45-64 Years65-74 Years75 Years +

    8,1820

    1,211Direct AdmissionTransfers - Not included in Facility Admissions

    MaternityClean Gynecology 50 50

    2,455 7,129

    12 1377

    0

    Facility Utilization 11,646 48,338 3,749261 4.5 142.3

    Inpatients

    Outpatients

    11,647

    81895 25405 1576 136420 4214137 249,854

    37.0% 10.3% 0.5% 51.2% 0.4% 0.6%

    32.8% 10.2% 0.6% 54.6% 1.7% 0.2%

    54.5

    14,175,204 38,847,290 68,104 75,431,384 2,248,487 358,276130,770,469

    48,197,77810,385,734 1,241,662 106,237,713 3,200,507 169,263,394 684,3566.1% 28.5% 0.7% 62.8% 1.9%

    10.8% 29.7% 0.1% 57.7% 1.7%

    Inpatient and Outpatient Net Revenue by Payor Source

    Inpatient Revenue ( $)

    Outpatient Revenue ( $)

    100.0%

    100.0%

    1,042,632

    0.3%

    Medicare MedicaidCharity

    Care Expense

    Other Public Private Insurance Private Pay Totals

    Total Charity Care as % of Net Revenue

    7/1/2015 6/30/2016Financial Year Reported: to Total Charity Care Expense

    CON Occupancy

    Rate %

    Long-Term Acute Care 0 0.0 0.00 00 00 0.0 0.0

    017Total AMI 820 4,208 0 5.1 11.5 67.6

    Adolescent AMI 0 0 0 0 0.0 0.0 0.00

  • Page 2Adventist Hinsdale Hospital Hinsdale

    Source: 2016 Annual Hospital Questionnaire, Illinois Department of Public Health, Health Systems Development.

    Emergency/Trauma Care

    Persons Treated by Emergency Services: 27,277Patients Admitted from Emergency: 7,341

    ComprehensiveEmergency Service Type:

    Level of Trauma Service

    Operating Rooms Dedicated for Trauma Care 1

    Patients Admitted from Trauma 473Number of Trauma Visits: 512

    Level 1(Not Answered)

    Level 2Adult

    Total ED Visits (Emergency+Trauma): 27,789

    Outpatient Visits at the Hospital/ Campus: 188,168

    Outpatient Service DataTotal Outpatient Visits 249,854

    Outpatient Visits Offsite/off campus 61,686

    Cardiac Catheterization LabsTotal Cath Labs (Dedicated+Nondedicated labs): 3

    Dedicated Interventional Catheterization Labs 0

    Interventional Catheterizations (0-14): 0

    EP Catheterizations (15+) 931Interventional Catheterization (15+) 173

    Cardiac Surgery Data

    Pediatric (0 - 14 Years): 0Adult (15 Years and Older): 88Coronary Artery Bypass Grafts (CABGs) performed of total Cardiac Cases : 65

    Total Cardiac Surgery Cases: 88

    Diagnostic Catheterizations (15+) 454

    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: 1,558Number of Emergency Room Stations 1

    Certified Trauma Center Yes

    Hospital Profile - CY 2016

    Patient Visits in Free-Standing Centers

    Free-Standing Emergency CenterBeds in Free-Standing Centers

    Hospital Admissions from Free-Standing Center

    General Radiography/Fluoroscopy 19 13,909 23,679

    Diagnostic/Interventional Equipment

    5 452 2,426Nuclear MedicineMammographyUltrasound

    Diagnostic Angiography

    Positron Emission Tomography (PET)Computerized Axial Tomography (CAT)Magnetic Resonance Imaging

    Lithotripsy

    5 0 19,18915 2,683 14,651

    259 275

    1 0 7333 4,977 11,5152 1,222 5,560

    Owned Contract Inpatient Outpt

    Linear Accelerator 1 6,3200000

    000

    1

    Therapies/ Treatments

    16821Interventional Angiography0 0 0Proton Beam Therapy

    Gamma Knife 0 0 0Cyber knife 0 0 0

    1 1 59

    Therapeutic Equipment Owned Contract

    Examinations

    2952,460

    1 0 41

    Image Guided Rad TherapyIntensity Modulated Rad Thrpy

    High Dose Brachytherapy2 0Angiography

    Contract0000

    0

    000

    0

    Dedicated and Non-Dedicated Procedure Room Utilzation

    Procedure TypeGastrointestinalLaser Eye ProceduresPain Management

    0 0 4 4 489 3313 502 3571 40730 0 0 0 0 0 0 0 00 0 1 1 14 373 11 280 291

    0 1 0 1 0 5 0 13 130 0 0 0 0 0 0 0 0

    Cystoscopy 0 0 0 0 0 0 0 0 0

    Multipurpose Non-Dedicated RoomsAmbulatory Care

    Inpatient OutpatientHours per Case

    1.0 1.10.00.80.0

    0.00.0

    0.00.80.0

    2.60.0

    Inpatient Outpatient Combined TotalProcedure Rooms

    Inpatient OutpatientSurgical Cases

    Inpatient Total HoursOutpatientSurgical Hours

    0 0 0 0 0 0 0 0 0 0.0 0.0

    531 0 5310 1 1 82 0

    Surgical SpecialtyInpatient Outpatient Combined Total Inpatient Inpatient Total HoursOutpatient Outpatient

    0Cardiovascular0 0 00 0 0 0 0 0Dermatology

    1376 1675 30510 0 2 2 429 719GeneralGastroenterologyNeurologyOB/GynecologyOral/MaxillofacialOphthalmologyOrthopedicOtolaryngologyPlastic SurgeryPodiatryThoracicUrology

    Totals

    25 14 390 0 0 0 14 10901 270 11710 0 0 0 245 100849 2415 32640 0 2 2 241 1006214 202 4160 0 0 0 42 71

    4025 2415 64400 0 4 4 1100 769166 2102 22680 0 2 2 50 93122 205 2270 0 0 0 7 58

    128 204 3320 0 0 0 48 137466 45 5110 0 0 0 104 20151 359 5100 0 1 1 100 227

    9 144 1530 0 0 0 3 63

    8863 10050 189130 0 12 12 2465 4111

    Stage 1 Recovery Stations 16 Stage 2 Recovery Stations 42SURGICAL RECOVERY STATIONS

    Operating Rooms Surgical Cases Surgical Hours

    6.5 0.0Inpatient Outpatient

    0.0 0.03.2 2.31.8 1.43.7 2.73.5 2.45.1 2.8

    3.7 3.13.3 2.33.1 3.52.7 1.54.5 2.31.5 1.6

    3.0 2.3

    3.6 2.4

    Hours per CaseSurgery and Operating Room Utilization

  • IDPH Number: 5967

    HSA 7HPA A-04

    COUNTY: Suburban Cook County

    OWNERSHIP: Adventist Health System dba La Grange Memorial HosOPERATOR: Adventist Health System dba La Grange Memorial Hos

    Ownership, Management and General Information Patients by RaceWhite #Black #American Indian #Asian #Hawaiian/ Pacific #

    Hispanic or Latino:Not Hispanic or Latino:Unknown:

    85.6%5.7%0.0%0.8%0.0%7.8%

    6.9%93.0%0.1%

    Page 1Hospital Profile - CY 2016 Adventist La Grange Memorial Hospital La GrangePatients by Ethnicity

    (Not Answered)

    5101 S. Willow Springs RoadADDRESS

    Church-RelatedMANAGEMENT:CERTIFICATION:

    La GrangeCITY:

    ADMINISTRATOR NAME: Michael GoebelADMINSTRATOR PHONE: 630-856-6056

    Birthing DataNumber of Total Births: 384Number of Live Births: 383Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 5Labor-Delivery-Recovery-Postpartum Rooms: 0

    754 14 105

    C-Section Rooms: 1

    Newborn Nursery Utilization

    Total Newborn Patient Days 873

    CSections Performed: 136

    Inpatient Studies 166,307Outpatient Studies 131,354

    Laboratory Studies

    Kidney:Heart:Lung:Heart/Lung:Pancreas:Liver:

    Organ Transplantation

    Total:

    Studies Performed Under Contract 4,861

    FACILITY DESIGNATION: General HospitalUnknown

    Patient DaysBeds 10 2 0

    Level I Level II Level II+

    141

    270

    12

    0

    0

    16

    Clinical Service

    Peak Beds Setup and

    Staffed AdmissionsInpatient

    Days

    Average Length of Stay

    Average Daily

    Census

    Staffed Bed Occupancy

    Rate %

    Medical/Surgical

    PediatricIntensive Care

    Obstetric/Gynecology

    Long Term CareSwing Beds

    Neonatal

    Adult AMIRehabilitation

    141

    270

    0

    160

    0

    12

    5,906 22,789 611

    1,273 8,565 170 0 0

    0 0 00 0

    509 4,967 00 0 0

    942 44

    0 0 0

    429

    Observation Days

    0.0 0.0 0.0 0.0

    4.0 63.9 45.3

    6.7 23.4 86.8 86.8

    45.3

    2.3 2.7 22.4 22.4

    0.0 0.00.0 0.0 0.0 0.0

    0.0 0.0 0.0 0.0

    9.8 13.6 84.8 84.80.0 0.0 0.0

    Medicare Medicaid Charity CareOther Public Private Insurance Private PayInpatients and Outpatients Served by Payor Source

    Totals

    5084 741 20 2158 8233

    Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2016

    Peak Census

    Dedicated Observation

    90

    270

    0

    160

    0

    9

    614 1,8109 10

    2,564 10,829

    5,1391,223 5,0011,496

    0-14 Years15-44 Years45-64 Years65-74 Years75 Years +

    8,5650

    1,273Direct AdmissionTransfers - Not included in Facility Admissions

    MaternityClean Gynecology 27 46

    402 896

    24 3119

    0

    Facility Utilization 8,117 37,263 3,791196 5.1 112.2

    Inpatients

    Outpatients

    8,118

    35019 12005 239 53864 3882002 103,517

    62.6% 9.1% 0.2% 26.6% 0.4% 1.0%

    33.8% 11.6% 0.2% 52.0% 1.9% 0.4%

    57.2

    9,643,426 50,380,458 250,414 26,769,225 2,315,655 402,67689,359,178

    18,972,0464,122,811 234,250 52,559,162 3,057,625 78,945,894 924,9245.2% 24.0% 0.3% 66.6% 3.9%

    10.8% 56.4% 0.3% 30.0% 2.6%

    Inpatient and Outpatient Net Revenue by Payor Source

    Inpatient Revenue ( $)

    Outpatient Revenue ( $)

    100.0%

    100.0%

    1,327,600

    0.8%

    Medicare MedicaidCharity

    Care Expense

    Other Public Private Insurance Private Pay Totals

    Total Charity Care as % of Net Revenue

    7/1/2015 6/30/2016Financial Year Reported: to Total Charity Care Expense

    CON Occupancy

    Rate %

    Long-Term Acute Care 0 0.0 0.00 00 00 0.0 0.0

    00Total AMI 0 0 0 0.0 0.0 0.0

    Adolescent AMI 0 0 0 0 0.0 0.0 0.00

  • Page 2Adventist La Grange Memorial Hospital La Grange

    Source: 2016 Annual Hospital Questionnaire, Illinois Department of Public Health, Health Systems Development.

    Emergency/Trauma Care

    Persons Treated by Emergency Services: 29,760Patients Admitted from Emergency: 5,426

    ComprehensiveEmergency Service Type:

    Level of Trauma Service

    Operating Rooms Dedicated for Trauma Care 3

    Patients Admitted from Trauma 419Number of Trauma Visits: 560

    Level 1(Not Answered)

    Level 2Adult

    Total ED Visits (Emergency+Trauma): 30,320

    Outpatient Visits at the Hospital/ Campus: 86,261

    Outpatient Service DataTotal Outpatient Visits 103,517

    Outpatient Visits Offsite/off campus 17,256

    Cardiac Catheterization LabsTotal Cath Labs (Dedicated+Nondedicated labs): 2

    Dedicated Interventional Catheterization Labs 0

    Interventional Catheterizations (0-14): 0

    EP Catheterizations (15+) 168Interventional Catheterization (15+) 261

    Cardiac Surgery Data

    Pediatric (0 - 14 Years): 0Adult (15 Years and Older): 35Coronary Artery Bypass Grafts (CABGs) performed of total Cardiac Cases : 28

    Total Cardiac Surgery Cases: 35

    Diagnostic Catheterizations (15+) 527

    Dedicated EP Catheterization Labs 0

    Cath Labs used for Angiography procedures 1Dedicated Diagnostic Catheterization Labs 0

    Diagnostic Catheterizations (0-14) 0

    Cardiac Catheterization UtilizationTotal Cardiac Cath Procedures: 956Number of Emergency Room Stations 24

    Certified Trauma Center Yes

    Hospital Profile - CY 2016

    Patient Visits in Free-Standing Centers

    Free-Standing Emergency CenterBeds in Free-Standing Centers

    Hospital Admissions from Free-Standing Center

    General Radiography/Fluoroscopy 16 11,761 25,770

    Diagnostic/Interventional Equipment

    2 707 1,054Nuclear MedicineMammographyUltrasound

    Diagnostic Angiography

    Positron Emission Tomography (PET)Computerized Axial Tomography (CAT)Magnetic Resonance Imaging

    Lithotripsy

    2 0 9,8078 2,977 11,106

    1,404 1,586

    0 0 452 5,364 12,2721 1,173 3,260

    Owned Contract Inpatient Outpt

    Linear Accelerator 0 00000

    100

    0

    Therapies/ Treatments

    00Interventional Angiography0 0 0Proton Beam Therapy

    Gamma Knife 0 0 0Cyber knife 0 0 0

    1 1 57

    Therapeutic Equipment Owned Contract

    Examinations

    00

    0 0 0

    Image Guided Rad TherapyIntensity Modulated Rad Thrpy

    High Dose Brachytherapy1 0Angiography

    Contract0000

    0

    000

    0

    Dedicated and Non-Dedicated Procedure Room Utilzation

    Procedure TypeGastrointestinalLaser Eye ProceduresPain Management

    0 0 3 3 561 2466 546 2572 31180 1 0 1 0 95 0 101 1010 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 OutpatientHours per Case

    1.0 1.00.00.00.0

    0.00.0

    1.10.00.0

    0.00.0

    Inpatient Outpatient Combined TotalProcedure Rooms

    Inpatient OutpatientSurgical Cases

    Inpatient Total HoursOutpatientSurgical Hours

    0 0 0 0 0 0 0 0 0 0.0 0.0

    217 0 2170 0 1 34 0

    Surgical SpecialtyInpatient Outpatient Combined Total Inpatient Inpatient Total HoursOutpatient Outpatient

    1Cardiovascular0 0 00 0 0 0 0 0Dermatology

    1622 2014 36360 0 2 2 516 915GeneralGastroenterologyNeurologyOB/GynecologyOral/MaxillofacialOphthalmologyOrthopedicOtolaryngologyPlastic SurgeryPodiatryThoracicUrology

    Totals

    83 20 1030 0 0 0 57 14431 241 6720 0 1 1 107 72133 1106 12390 0 1 1 41 53613 83 960 0 0 0 7 25

    2284 1394 36780 0 1 1 639 51171 220 2910 0 1 1 34 8526 281 3070 0 1 1 7 9777 177 2540 0 0 0 40 137

    528 42 5700 0 1 1 128 15205 585 7900 0 1 1 135 340

    0 777 7770 0 1 1 0 453

    5690 6940 126301 0 10 11 1745 3200

    Stage 1 Recovery Stations 9 Stage 2 Recovery Stations 30SURGICAL RECOVERY STATIONS

    Operating Rooms Surgical Cases Surgical Hours

    6.4 0.0Inpatient Outpatient

    0.0 0.03.1 2.21.5 1.44.0 3.33.2 2.11.9 3.3

    3.6 2.72.1 2.63.7 2.91.9 1.34.1 2.81.5 1.7

    0.0 1.7

    3.3 2.2

    Hours per CaseSurgery and Operating Room Utilization

  • IDPH Number: 5645

    HSA 4HPA D-02

    COUNTY: McLean County

    OWNERSHIP: Advocate Health & Hospitals CorporationOPERATOR: Advocate BroMenn Medical Center

    Ownership, Management and General Information Patients by RaceWhite #Black #American Indian #Asian #Hawaiian/ Pacific #

    Hispanic or Latino:Not Hispanic or Latino:Unknown:

    87.7%7.5%0.0%3.2%0.0%1.6%

    2.0%96.4%1.6%

    Page 1Hospital Profile - CY 2016 Advocate BroMenn Medical Center NormalPatients by Ethnicity

    (Not Answered)

    1304 Franklin AvenueADDRESS

    Church-RelatedMANAGEMENT:CERTIFICATION:

    NormalCITY:

    ADMINISTRATOR NAME: Colleen KannadayADMINSTRATOR PHONE: 309-268-5180

    Birthing DataNumber of Total Births: 1,587Number of Live Births: 1,576Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 0Labor-Delivery-Recovery-Postpartum Rooms: 18

    2,924 1,179 0

    C-Section Rooms: 2

    Newborn Nursery Utilization

    Total Newborn Patient Days 4,103

    CSections Performed: 595

    Inpatient Studies 204,712Outpatient Studies 226,243

    Laboratory Studies

    Kidney:Heart:Lung:Heart/Lung:Pancreas:Liver:

    Organ Transplantation

    Total:

    Studies Performed Under Contract 17,282

    FACILITY DESIGNATION: General HospitalUnknown

    Patient DaysBeds 37 8 0

    Level I Level II Level II+

    134

    1211

    30

    0

    0

    15

    Clinical Service

    Peak Beds Setup and

    Staffed AdmissionsInpatient

    Days

    Average Length of Stay

    Average Daily

    Census

    Staffed Bed Occupancy

    Rate %

    Medical/Surgical

    PediatricIntensive Care

    Obstetric/Gynecology

    Long Term CareSwing Beds

    Neonatal

    Adult AMIRehabilitation

    122

    1210

    0

    1412

    0

    28

    6,172 21,714 1,883

    681 1,665 2158 181 139

    0 0 00 0

    254 3,002 0566 3,500 0

    3,859 53

    0 0 0

    1,664

    Observation Days

    5.5 0.9 7.9 8.7

    3.8 64.5 48.1

    2.5 4.6 38.4 38.4

    52.8

    2.4 10.7 35.6 38.2

    0.0 0.00.0 0.0 0.0 0.0

    0.0 0.0 0.0 0.0

    11.8 8.2 54.7 58.66.2 9.6 79.7

    Medicare Medicaid Charity CareOther Public Private Insurance Private PayInpatients and Outpatients Served by Payor Source

    Totals

    3701 1613 0 3372 1160

    Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2016

    Peak Census

    Dedicated Observation

    91

    105

    0

    1312

    0

    22

    817 2,7240 0

    2,087 7,620

    6,4181,411 4,9521,857

    0-14 Years15-44 Years45-64 Years65-74 Years75 Years +

    4941,171

    88Direct AdmissionTransfers - Not included in Facility Admissions

    MaternityClean Gynecology 105 160

    1,559 3,699

    0 0

    593

    Facility Utilization 8,802 33,921 2,096221 4.1 98.4

    Inpatients

    Outpatients

    8,802

    31792 23711 0 52765 270114211 125,180

    42.0% 18.3% 0.0% 38.3% 0.0% 1.3%

    25.4% 18.9% 0.0% 42.2% 11.4% 2.2%

    44.5

    34,231,621 16,758,403 0 38,706,858 1,021,850 495,00090,718,732

    7,148,70015,939,460 0 50,826,360 2,345,408 76,259,928 1,309,00020.9% 9.4% 0.0% 66.6% 3.1%

    37.7% 18.5% 0.0% 42.7% 1.1%

    Inpatient and Outpatient Net Revenue by Payor Source

    Inpatient Revenue ( $)

    Outpatient Revenue ( $)

    100.0%

    100.0%

    1,804,000

    1.1%

    Medicare MedicaidCharity

    Care Expense

    Other Public Private Insurance Private Pay Totals

    Total Charity Care as % of Net Revenue

    1/1/2016 12/31/2016Financial Year Reported: to Total Charity Care Expense

    CON Occupancy

    Rate %

    Long-Term Acute Care 0 0.0 0.00 00 00 0.0 0.0

    019Total AMI 566 3,500 0 6.2 9.6 50.3

    Adolescent AMI 0 0 0 0 0.0 0.0 0.00

  • Page 2Advocate BroMenn Medical Center Normal

    Source: 2016 Annual Hospital Questionnaire, Illinois Department of Public Health, Health Systems Development.

    Emergency/Trauma Care

    Persons Treated by Emergency Services: 30,423Patients Admitted from Emergency: 4,011

    ComprehensiveEmergency Service Type:

    Level of Trauma Service

    Operating Rooms Dedicated for Trauma Care 1

    Patients Admitted from Trauma 39Number of Trauma Visits: 230

    Level 1(Not Answered)

    Level 2Adult

    Total ED Visits (Emergency+Trauma): 30,653

    Outpatient Visits at the Hospital/ Campus: 110,512

    Outpatient Service DataTotal Outpatient Visits 125,180

    Outpatient Visits Offsite/off campus 14,668

    Cardiac Catheterization LabsTotal Cath Labs (Dedicated+Nondedicated labs): 3

    Dedicated Interventional Catheterization Labs 0

    Interventional Catheterizations (0-14): 0

    EP Catheterizations (15+) 171Interventional Catheterization (15+) 194

    Cardiac Surgery Data

    Pediatric (0 - 14 Years): 0Adult (15 Years and Older): 24Coronary Artery Bypass Grafts (CABGs) performed of total Cardiac Cases : 22

    Total Cardiac Surgery Cases: 24

    Diagnostic Catheterizations (15+) 543

    Dedicated EP Catheterization Labs 1

    Cath Labs used for Angiography procedures 2Dedicated Diagnostic Catheterization Labs 0

    Diagnostic Catheterizations (0-14) 0

    Cardiac Catheterization UtilizationTotal Cardiac Cath Procedures: 908Number of Emergency Room Stations 23

    Certified Trauma Center Yes

    Hospital Profile - CY 2016

    Patient Visits in Free-Standing Centers

    Free-Standing Emergency CenterBeds in Free-Standing Centers

    Hospital Admissions from Free-Standing Center

    General Radiography/Fluoroscopy 13 9,879 18,183

    Diagnostic/Interventional Equipment

    3 328 1,464Nuclear MedicineMammographyUltrasound

    Diagnostic Angiography

    Positron Emission Tomography (PET)Computerized Axial Tomography (CAT)Magnetic Resonance Imaging

    Lithotripsy

    3 0 7,9454 1,939 9,480

    14 58

    0 0 03 3,683 11,8601 662 2,383

    Owned Contract Inpatient Outpt

    Linear Accelerator 0 00000

    001

    0

    Therapies/ Treatments

    315Interventional Angiography0 0 0Proton Beam Therapy

    Gamma Knife 0 0 0Cyber knife 0 0 0

    0 2 84

    Therapeutic Equipment Owned Contract

    Examinations

    00

    0 0 0

    Image Guided Rad TherapyIntensity Modulated Rad Thrpy

    High Dose Brachytherapy3 0Angiography

    Contract0000

    0

    00

    204

    0

    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 1 1 63 152 62 153 2150 0 1 1 311 331 311 331 642

    Cystoscopy 0 0 0 0 0 0 0 0 0

    Multipurpose Non-Dedicated Rooms

    EndoCysto

    Inpatient OutpatientHours per Case

    0.0 0.00.00.00.0

    1.01.0

    0.00.00.0

    1.01.0

    Inpatient Outpatient Combined TotalProcedure Rooms

    Inpatient OutpatientSurgical Cases

    Inpatient Total HoursOutpatientSurgical Hours

    0 0 0 0 0 0 0 0 0 0.0 0.0

    158 0 1580 1 1 30 0

    Surgical SpecialtyInpatient Outpatient Combined Total Inpatient Inpatient Total HoursOutpatient Outpatient

    0Cardiovascular0 0 00 0 0 0 0 0Dermatology

    967 1454 24210 0 9 9 291 755GeneralGastroenterologyNeurologyOB/GynecologyOral/MaxillofacialOphthalmologyOrthopedicOtolaryngologyPlastic SurgeryPodiatryThoracicUrology

    Totals

    0 0 00 0 0 0 0 01238 642 18800 0 0 0 262 229224 1235 14590 0 0 0 124 1105

    0 275 2750 0 0 0 0 190

    2116 264 23800 0 0 0 993 19826 446 4720 0 0 0 8 2803 215 2180 0 0 0 2 127

    44 51 950 0 0 0 37 2141 2 430 0 0 0 17 1

    211 362 5730 0 0 0 112 322

    3 146 1490 0 0 0 2 99

    5031 5092 101230 0 10 10 1878 3327

    Stage 1 Recovery Stations 12 Stage 2 Recovery Stations 25SURGICAL RECOVERY STATIONS

    Operating Rooms Surgical Cases Surgical Hours

    5.3 0.0Inpatient Outpatient

    0.0 0.03.3 1.90.0 0.04.7 2.81.8 1.10.0 1.4

    2.1 1.33.3 1.61.5 1.71.2 2.42.4 2.01.9 1.1

    1.5 1.5

    2.7 1.5

    Hours per CaseSurgery and Operating Room Utilization

  • IDPH Number: 0315

    HSA 7HPA A-04

    COUNTY: Suburban Cook County

    OWNERSHIP: Advocate Health and Hospital CorporationOPERATOR: Advocate Health and Hospital Corporation

    Ownership, Management and General Information Patients by RaceWhite #Black #American Indian #Asian #Hawaiian/ Pacific #

    Hispanic or Latino:Not Hispanic or Latino:Unknown:

    54.4%37.6%

    0.6%0.7%0.0%6.6%

    11.9%85.5%2.6%

    Page 1Hospital Profile - CY 2016 Advocate Christ Medical Center Oak lawnPatients by Ethnicity

    (Not Answered)

    4440 West 95th StreetADDRESS

    Church-RelatedMANAGEMENT:CERTIFICATION:

    Oak lawnCITY:

    ADMINISTRATOR NAME: Kenneth LukhardADMINSTRATOR PHONE: 708-684-5010

    Birthing DataNumber of Total Births: 4,248Number of Live Births: 4,209Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 15Labor-Delivery-Recovery-Postpartum Rooms: 0

    7,818 0 0

    C-Section Rooms: 4

    Newborn Nursery Utilization

    Total Newborn Patient Days 7,818

    CSections Performed: 1,430

    Inpatient Studies 1,432,547Outpatient Studies 517,904

    Laboratory Studies

    Kidney: 23Heart: 26Lung: 3Heart/Lung: 0Pancreas: 0Liver: 0

    Organ Transplantation

    Total: 52

    Studies Performed Under Contract 0

    FACILITY DESIGNATION: General HospitalUnknown

    Patient DaysBeds 16 0 0

    Level I Level II Level II+

    394

    15345

    56

    0

    64

    37

    Clinical Service

    Peak Beds Setup and

    Staffed AdmissionsInpatient

    Days

    Average Length of Stay

    Average Daily

    Census

    Staffed Bed Occupancy

    Rate %

    Medical/Surgical

    PediatricIntensive Care

    Obstetric/Gynecology

    Long Term CareSwing Beds

    Neonatal

    Adult AMIRehabilitation

    390

    15345

    0

    3734

    58

    44

    24,307 131,055 2,211

    7,386 35,921 173,413 11,582 1,577

    0 0 00 0

    928 12,113 01,349 10,133 0

    14,001 165

    1,454 16,385 0

    5,072

    Observation Days

    3.9 36.0 79.9 79.9

    5.5 364.1 92.4

    4.9 98.2 64.2 64.2

    93.4

    2.8 38.7 69.1 88.0

    0.0 0.00.0 0.0 0.0 0.0

    11.3 44.8 69.9 77.2

    13.1 33.1 89.4 89.47.5 27.7 81.4

    Medicare Medicaid Charity CareOther Public Private Insurance Private PayInpatients and Outpatients Served by Payor Source

    Totals

    17134 10517 0 12765 6591334

    Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2016

    Peak Census

    Dedicated Observation

    390

    15345

    0

    3734

    58

    44

    3,960 19,4980 0

    6,798 36,426

    45,0025,362 30,1298,187

    0-14 Years15-44 Years45-64 Years65-74 Years75 Years +

    28,6267,295

    5,886Direct AdmissionTransfers - Not included in Facility Admissions

    MaternityClean Gynecology 479 1,354

    4,593 12,647

    34 5203

    1,500

    Facility Utilization 42,409 231,190 9,173788 5.7 656.7

    Inpatients

    Outpatients

    42,409

    92382 100169 0 148307 62656831 353,954

    40.4% 24.8% 0.0% 30.1% 3.1% 1.6%

    26.1% 28.3% 0.0% 41.9% 1.9% 1.8%

    83.3

    283,263,474 123,724,958 0 323,189,760 9,061,245 7,408,000739,239,437

    26,818,34766,387,694 0 195,744,299 9,548,016 298,498,356 3,348,00022.2% 9.0% 0.0% 65.6% 3.2%

    38.3% 16.7% 0.0% 43.7% 1.2%

    Inpatient and Outpatient Net Revenue by Payor Source

    Inpatient Revenue ( $)

    Outpatient Revenue ( $)

    100.0%

    100.0%

    10,756,000

    1.0%

    Medicare MedicaidCharity

    Care Expense

    Other Public Private Insurance Private Pay Totals

    Total Charity Care as % of Net Revenue

    1/1/2016 12/31/2016Financial Year Reported: to Total Charity Care Expense

    CON Occupancy

    Rate %

    Long-Term Acute Care 0 0.0 0.00 00 00 0.0 0.0

    039Total AMI 1,349 10,133 0 7.5 27.7 71.0

    Adolescent AMI 0 0 0 0 0.0 0.0 0.00

  • Page 2Advocate Christ Medical Center Oak lawn

    Source: 2016 Annual Hospital Questionnaire, Illinois Department of Public Health, Health Systems Development.

    Emergency/Trauma Care

    Persons Treated by Emergency Services: 100,777Patients Admitted from Emergency: 20,676

    ComprehensiveEmergency Service Type:

    Level of Trauma Service

    Operating Rooms Dedicated for Trauma Care 1

    Patients Admitted from Trauma 2,219Number of Trauma Visits: 4,061

    Level 1h Adult and Pedia

    Level 2Not Answered

    Total ED Visits (Emergency+Trauma): 104,838

    Outpatient Visits at the Hospital/ Campus: 325,486

    Outpatient Service DataTotal Outpatient Visits 353,954

    Outpatient Visits Offsite/off campus 28,468

    Cardiac Catheterization LabsTotal Cath Labs (Dedicated+Nondedicated labs): 6

    Dedicated Interventional Catheterization Labs 0

    Interventional Catheterizations (0-14): 217

    EP Catheterizations (15+) 1,134Interventional Catheterization (15+) 1,073

    Cardiac Surgery Data

    Pediatric (0 - 14 Years): 354Adult (15 Years and Older): 1,488Coronary Artery Bypass Grafts (CABGs) performed of total Cardiac Cases : 451

    Total Cardiac Surgery Cases: 1,842

    Diagnostic Catheterizations (15+) 3,601

    Dedicated EP Catheterization Labs 2

    Cath Labs used for Angiography procedures 0Dedicated Diagnostic Catheterization Labs 0

    Diagnostic Catheterizations (0-14) 114

    Cardiac Catheterization UtilizationTotal Cardiac Cath Procedures: 6,139Number of Emergency Room Stations 63

    Certified Trauma Center Yes

    Hospital Profile - CY 2016

    Patient Visits in Free-Standing Centers

    Free-Standing Emergency CenterBeds in Free-Standing Centers

    Hospital Admissions from Free-Standing Center

    General Radiography/Fluoroscopy 15 ####### 62,403

    Diagnostic/Interventional Equipment

    6 2,912 3,156Nuclear MedicineMammographyUltrasound

    Diagnostic Angiography

    Positron Emission Tomography (PET)Computerized Axial Tomography (CAT)Magnetic Resonance Imaging

    Lithotripsy

    6 0 20,93014 17,621 22,224

    8,598 4,393

    1 0 1,2668 31,048 29,8007 7,429 8,883

    Owned Contract Inpatient Outpt

    Linear Accelerator 2 11,5700000

    000

    0

    Therapies/ Treatments

    6571,907Interventional Angiography0 0 0Proton Beam Therapy

    Gamma Knife 0 0 0Cyber knife 1 0 255

    0 1 98

    Therapeutic Equipment Owned Contract

    Examinations

    3,6673,875

    1 0 174

    Image Guided Rad TherapyIntensity Modulated Rad Thrpy

    High Dose Brachytherapy4 0Angiography

    Contract0000

    0

    000

    0

    Dedicated and Non-Dedicated Procedure Room Utilzation

    Procedure TypeGastrointestinalLaser Eye ProceduresPain Management

    3 7 0 10 4038 9000 4623 9987 146100 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 OutpatientHours per Case

    1.1 1.10.00.00.0

    0.00.0

    0.00.00.0

    0.00.0

    Inpatient Outpatient Combined TotalProcedure Rooms

    Inpatient OutpatientSurgical Cases

    Inpatient Total HoursOutpatientSurgical Hours

    0 0 0 0 0 0 0 0 0 0.0 0.0

    12315 1213 135280 6 6 2789 487

    Surgical SpecialtyInpatient Outpatient Combined Total Inpatient Inpatient Total HoursOutpatient Outpatient

    0Cardiovascular0 0 00 0 0 0 0 0Dermatology

    8544 5857 144010 10 6 16 2901 2882GeneralGastroenterologyNeurologyOB/GynecologyOral/MaxillofacialOphthalmologyOrthopedicOtolaryngologyPlastic SurgeryPodiatryThoracicUrology

    Totals

    0 0 00 0 0 0 0 05912 225 61370 0 1 1 1301 891931 2648 45790 0 2 2 575 1288111 288 3990 0 0 0 40 98

    10149 6044 161930 0 5 5 3252 2915712 2225 29370 0 1 1 321 1420

    1038 2363 34010 0 2 2 386 1266390 581 9710 0 0 0 169 276

    1741 535 22760 0 2 2 581 2811267 2610 38770 0 2 2 514 1288

    85 2224 23090 2 1 3 37 1407

    44195 26813 710080 12 28 40 12866 13697

    Stage 1 Recovery Stations 30 Stage 2 Recovery Stations 80SURGICAL RECOVERY STATIONS

    Operating Rooms Surgical Cases Surgical Hours

    4.4 2.5Inpatient Outpatient

    0.0 0.02.9 2.00.0 0.04.5 2.53.4 2.12.8 2.9

    3.1 2.12.2 1.62.7 1.92.3 2.13.0 1.92.5 2.0

    2.3 1.6

    3.4 2.0

    Hours per CaseSurgery and Operating Room Utilization

  • IDPH Number: 5579

    HSA 8HPA A-09

    COUNTY: Lake County

    OWNERSHIP: Advocate Health and Hospitals CorporationOPERATOR: Advocate Health and Hospitals Corporation

    Ownership, Management and General Information Patients by RaceWhite #Black #American Indian #Asian #Hawaiian/ Pacific #

    Hispanic or Latino:Not Hispanic or Latino:Unknown:

    72.8%6.3%2.8%3.3%0.1%

    14.8%

    17.6%81.4%1.0%

    Page 1Hospital Profile - CY 2016 Advocate Condell Medical Center LibertyvillePatients by Ethnicity

    (Not Answered)

    801 South Milwaukee AvenueADDRESS

    Church-RelatedMANAGEMENT:CERTIFICATION:

    LibertyvilleCITY:

    ADMINISTRATOR NAME: Dominica TallaricoADMINSTRATOR PHONE: 847-990-5201

    Birthing DataNumber of Total Births: 2,207Number of Live Births: 2,186Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 9Labor-Delivery-Recovery-Postpartum Rooms: 0

    2,068 1,840 2,626

    C-Section Rooms: 2

    Newborn Nursery Utilization

    Total Newborn Patient Days 6,534

    CSections Performed: 671

    Inpatient Studies 354,391Outpatient Studies 256,029

    Laboratory Studies

    Kidney:Heart:Lung:Heart/Lung:Pancreas:Liver:

    Organ Transplantation

    Total:

    Studies Performed Under Contract 7,019

    FACILITY DESIGNATION: General HospitalUnknown

    Patient DaysBeds 26 0 14

    Level I Level II Level II+

    214

    1716

    26

    0

    0

    0

    Clinical Service

    Peak Beds Setup and

    Staffed AdmissionsInpatient

    Days

    Average Length of Stay

    Average Daily

    Census

    Staffed Bed Occupancy

    Rate %

    Medical/Surgical

    PediatricIntensive Care

    Obstetric/Gynecology

    Long Term CareSwing Beds

    Neonatal

    Adult AMIRehabilitation

    204

    1716

    0

    00

    0

    26

    12,084 53,557 7,942

    2,146 4,977 0277 564 441

    0 0 00 0

    0 0 00 0 0

    5,388 146

    0 0 0

    2,268

    Observation Days

    3.6 2.7 17.2 17.2

    5.1 168.0 78.5

    2.3 13.6 80.0 80.0

    82.4

    2.4 15.1 58.2 58.2

    0.0 0.00.0 0.0 0.0 0.0

    0.0 0.0 0.0 0.0

    0.0 0.0 0.0 0.00.0 0.0 0.0

    Medicare Medicaid Charity CareOther Public Private Insurance Private PayInpatients and Outpatients Served by Payor Source

    Totals

    7792 2921 143 5063 42623

    Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2016

    Peak Census

    Dedicated Observation

    204

    179

    0

    00

    0

    26

    1,741 6,3570 0

    4,424 21,033

    15,1472,338 11,0203,581

    0-14 Years15-44 Years45-64 Years65-74 Years75 Years +

    3,5811,396

    1,739Direct AdmissionTransfers - Not included in Facility Admissions

    MaternityClean Gynecology 54 74

    2,214 5,314

    0 0

    407

    Facility Utilization 16,368 64,486 8,529273 4.5 199.5

    Inpatients

    Outpatients

    16,368

    62133 48179 2018 114435 28563234 232,855

    47.6% 17.8% 0.9% 30.9% 0.1% 2.6%

    26.7% 20.7% 0.9% 49.1% 1.4% 1.2%

    73.1

    73,152,698 31,969,521 1,537,051 86,633,606 2,253,918 2,658,000195,546,794

    20,731,74731,676,461 1,583,464 94,001,883 3,025,409 151,018,964 2,452,00021.0% 13.7% 1.0% 62.2% 2.0%

    37.4% 16.3% 0.8% 44.3% 1.2%

    Inpatient and Outpatient Net Revenue by Payor Source

    Inpatient Revenue ( $)

    Outpatient Revenue ( $)

    100.0%

    100.0%

    5,110,000

    1.5%

    Medicare MedicaidCharity

    Care Expense

    Other Public Private Insurance Private Pay Totals

    Total Charity Care as % of Net Revenue

    1/1/2016 12/31/2016Financial Year Reported: to Total Charity Care Expense

    CON Occupancy

    Rate %

    Long-Term Acute Care 0 0.0 0.00 00 00 0.0 0.0

    00Total AMI 0 0 0 0.0 0.0 0.0

    Adolescent AMI 0 0 0 0 0.0 0.0 0.00

  • Page 2Advocate Condell Medical Center Libertyville

    Source: 2016 Annual Hospital Questionnaire, Illinois Department of Public Health, Health Systems Development.

    Emergency/Trauma Care

    Persons Treated by Emergency Services: 59,988Patients Admitted from Emergency: 10,135

    ComprehensiveEmergency Service Type:

    Level of Trauma Service

    Operating Rooms Dedicated for Trauma Care 1

    Patients Admitted from Trauma 1,274Number of Trauma Visits: 1,958

    Level 1h Adult and Pedia

    Level 2Not Answered

    Total ED Visits (Emergency+Trauma): 61,946

    Outpatient Visits at the Hospital/ Campus: 162,189

    Outpatient Service DataTotal Outpatient Visits 232,855

    Outpatient Visits Offsite/off campus 70,666

    Cardiac Catheterization LabsTotal Cath Labs (Dedicated+Nondedicated labs): 3

    Dedicated Interventional Catheterization Labs 0

    Interventional Catheterizations (0-14): 0

    EP Catheterizations (15+) 394Interventional Catheterization (15+) 513

    Cardiac Surgery Data

    Pediatric (0 - 14 Years): 0Adult (15 Years and Older): 175Coronary Artery Bypass Grafts (CABGs) performed of total Cardiac Cases : 109

    Total Cardiac Surgery Cases: 175

    Diagnostic Catheterizations (15+) 1,266

    Dedicated EP Catheterization Labs 0

    Cath Labs used for Angiography procedures 2Dedicated Diagnostic Catheterization Labs 0

    Diagnostic Catheterizations (0-14) 0

    Cardiac Catheterization UtilizationTotal Cardiac Cath Procedures: 2,173Number of Emergency Room Stations 32

    Certified Trauma Center Yes

    Hospital Profile - CY 2016

    Patient Visits in Free-Standing Centers

    Free-Standing Emergency CenterBeds in Free-Standing Centers

    Hospital Admissions from Free-Standing Center

    General Radiography/Fluoroscopy 8 23,079 46,601

    Diagnostic/Interventional Equipment

    2 1,029 1,953Nuclear MedicineMammographyUltrasound

    Diagnostic Angiography

    Positron Emission Tomography (PET)Computerized Axial Tomography (CAT)Magnetic Resonance Imaging

    Lithotripsy

    5 9 12,49511 4,873 24,753

    343 602

    1 5 4024 10,666 22,8033 2,640 6,540

    Owned Contract Inpatient Outpt

    Linear Accelerator 1 4,3810000

    000

    0

    Therapies/ Treatments

    1,617829Interventional Angiography0 0 0Proton Beam Therapy

    Gamma Knife 0 0 0Cyber knife 0 0 0

    0 2 257

    Therapeutic Equipment Owned Contract

    Examinations

    791,646

    0 0 0

    Image Guided Rad TherapyIntensity Modulated Rad Thrpy

    High Dose Brachytherapy1 0Angiography

    Contract0000

    0

    000

    0

    Dedicated and Non-Dedicated Procedure Room Utilzation

    Procedure TypeGastrointestinalLaser Eye ProceduresPain Management

    0 0 4 4 1105 2864 1150 2768 39180 0 1 1 0 101 0 111 1110 0 1 1 52 1312 42 1008 1050

    0 0 1 1 49 149 56 190 2460 0 0 0 0 0 0 0 0

    Cystoscopy 0 0 0 0 0 0 0 0 0

    Multipurpose Non-Dedicated RoomsPain Mgmt - OR

    Inpatient OutpatientHours per Case

    1.0 1.00.00.80.0

    1.10.0

    1.10.80.0

    1.30.0

    Inpatient Outpatient Combined TotalProcedure Rooms

    Inpatient OutpatientSurgical Cases

    Inpatient Total HoursOutpatientSurgical Hours

    0 0 0 0 0 0 0 0 0 0.0 0.0

    1759 245 20040 0 0 424 95

    Surgical SpecialtyInpatient Outpatient Combined Total Inpatient Inpatient Total HoursOutpatient Outpatient

    0Cardiovascular0 0 00 0 0 0 0 0Dermatology

    2556 2594 51500 0 12 12 1007 1431GeneralGastroenterologyNeurologyOB/GynecologyOral/MaxillofacialOphthalmologyOrthopedicOtolaryngologyPlastic SurgeryPodiatryThoracicUrology

    Totals

    0 0 00 0 0 0 0 02308 912 32200 0 0 0 704 420307 980 12870 0 0 0 122 60145 27 720 0 0 0 18 13

    2715 2977 56920 0 0 0 993 143554 1006 10600 0 0 0 27 64993 294 3870 0 0 0 29 13458 208 2660 0 0 0 38 115

    340 32 3720 0 0 0 115 17767 966 17330 0 0 0 347 657

    0 1812 18120 0 0 0 0 1325

    11002 12053 230550 0 12 12 3824 6892

    Stage 1 Recovery Stations 26 Stage 2 Recovery Stations 22SURGICAL RECOVERY STATIONS

    Operating Rooms Surgical Cases Surgical Hours

    4.1 2.6Inpatient Outpatient

    0.0 0.02.5 1.80.0 0.03.3 2.22.5 1.62.5 2.1

    2.7 2.12.0 1.63.2 2.21.5 1.83.0 1.92.2 1.5

    0.0 1.4

    2.9 1.7

    Hours per CaseSurgery and Operating Room Utilization

  • IDPH Number: 5652

    HSA 2HPA C-01

    COUNTY: Woodford County

    OWNERSHIP: Advocate Health & Hospitals CorporationOPERATOR: Advocate Eureka Hospital

    Ownership, Management and General Information Patients by RaceWhite #Black #American Indian #Asian #Hawaiian/ Pacific #

    Hispanic or Latino:Not Hispanic or Latino:Unknown:

    99.1%0.0%0.0%0.0%0.0%0.9%

    0.0%99.1%0.9%

    Page 1Hospital Profile - CY 2016 Advocate Eureka Hospital EurekaPatients by Ethnicity

    Critical Access Hospital

    101 South Major StreetADDRESS

    Church-RelatedMANAGEMENT:CERTIFICATION:

    EurekaCITY:

    ADMINISTRATOR NAME: Colleen KannadayADMINSTRATOR PHONE: 309-268-5180

    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

    0 0 0

    C-Section Rooms: 0

    Newborn Nursery Utilization

    Total Newborn Patient Days 0

    CSections Performed: 0

    Inpatient Studies 3,818Outpatient Studies 34,890

    Laboratory Studies

    Kidney:Heart:Lung:Heart/Lung:Pancreas:Liver:

    Organ Transplantation

    Total:

    Studies Performed Under Contract 2,178

    FACILITY DESIGNATION: General HospitalUnknown

    Patient DaysBeds 0 0 0

    Level I Level II Level II+

    25

    00

    0

    0

    0

    0

    Clinical Service

    Peak Beds Setup and

    Staffed AdmissionsInpatient

    Days

    Average Length of Stay

    Average Daily

    Census

    Staffed Bed Occupancy

    Rate %

    Medical/Surgical

    PediatricIntensive Care

    Obstetric/Gynecology

    Long Term CareSwing Beds

    Neonatal

    Adult AMIRehabilitation

    11

    00

    0

    00

    0

    0

    141 426 160

    0 0 00 0 0

    0 0 094 821

    0 0 00 0 0

    0 0

    0 0 0

    0

    Observation Days

    0.0 0.0 0.0 0.0

    4.2 1.6 6.4

    0.0 0.0 0.0 0.0

    14.6

    0.0 0.0 0.0 0.0

    8.7 2.20.0 0.0 0.0 0.0

    0.0 0.0 0.0 0.0

    0.0 0.0 0.0 0.00.0 0.0 0.0

    Medicare Medicaid Charity CareOther Public Private Insurance Private PayInpatients and Outpatients Served by Payor Source

    Totals

    189 11 0 30 32

    Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2016

    Peak Census

    Dedicated Observation

    5

    00

    0

    00

    0

    0

    10 170 0

    84 286

    7118 5229

    0-14 Years15-44 Years45-64 Years65-74 Years75 Years +

    00

    0Direct AdmissionTransfers - Not included in Facility Admissions

    MaternityClean Gynecology 0 0

    0 0

    0 0

    0

    Facility Utilization 235 1,247 16025 6.0 3.8

    Inpatients

    Outpatients

    235

    16268 4628 0 8393 2042103 31,596

    80.4% 4.7% 0.0% 12.8% 0.9% 1.3%

    51.5% 14.6% 0.0% 26.6% 6.7% 0.6%

    15.4

    2,677,954 915,549 0 197,577 57,700 6,0003,848,780

    1,030,7023,850,856 0 4,288,179 518,837 9,688,574 150,00039.7% 10.6% 0.0% 44.3% 5.4%

    69.6% 23.8% 0.0% 5.1% 1.5%

    Inpatient and Outpatient Net Revenue by Payor Source

    Inpatient Revenue ( $)

    Outpatient Revenue ( $)

    100.0%

    100.0%

    156,000

    1.2%

    Medicare MedicaidCharity

    Care Expense

    Other Public Private Insurance Private Pay Totals

    Total Charity Care as % of Net Revenue

    1/1/2016 12/31/2016Financial Year Reported: to Total Charity Care Expense

    CON Occupancy

    Rate %

    Long-Term Acute Care 0 0.0 0.00 00 00 0.0 0.0

    70Total AMI 0 0 0 0.0 0.0 0.0

    Adolescent AMI 0 0 0 0 0.0 0.0 0.00

  • Page 2Advocate Eureka Hospital Eureka

    Source: 2016 Annual Hospital Questionnaire, Illinois Department of Public Health, Health Systems Development.

    Emergency/Trauma Care

    Persons Treated by Emergency Services: 4,097Patients Admitted from Emergency: 125

    Stand-ByEmergency Service Type:

    Level of Trauma Service

    Operating Rooms Dedicated for Trauma Care 0

    Patients Admitted from Trauma 0Number of Trauma Visits: 0

    Level 1(Not Answered)

    Level 2Not Answered

    Total ED Visits (Emergency+Trauma): 4,097

    Outpatient Visits at the Hospital/ Campus: 31,596

    Outpatient Service DataTotal Outpatient Visits 31,596

    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+) 0Interventional Catheterization (15+) 0

    Cardiac Surgery Data

    Pediatric (0 - 14 Years): 0Adult (15 Years and Older): 0Coronary 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: 0Number of Emergency Room Stations 6

    Certified Trauma Center No

    Hospital Profile - CY 2016

    Patient Visits in Free-Standing Centers

    Free-Standing Emergency CenterBeds in Free-Standing Centers

    Hospital Admissions from Free-Standing Center

    General Radiography/Fluoroscopy 4 204 4,459

    Diagnostic/Interventional Equipment

    0 0 0Nuclear MedicineMammographyUltrasound

    Diagnostic Angiography

    Positron Emission Tomography (PET)Computerized Axial Tomography (CAT)Magnetic Resonance Imaging

    Lithotripsy

    1 0 5201 36 925

    0 0

    0 0 01 65 1,2080 0 0

    Owned Contract Inpatient Outpt

    Linear Accelerator 0 00100

    001

    0

    Therapies/ Treatments

    00Interventional Angiography0 0 0Proton Beam Therapy

    Gamma Knife 0 0 0Cyber knife 0 0 0

    0 0 0

    Therapeutic Equipment Owned Contract

    Examinations

    00

    0 0 0

    Image Guided Rad TherapyIntensity Modulated Rad Thrpy

    High Dose Brachytherapy0 0Angiography

    Contract0

    17800

    0

    00

    281

    0

    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 OutpatientHours per Case

    0.0 0.00.00.00.0

    0.00.0

    0.00.00.0

    0.00.0

    Inpatient Outpatient Combined TotalProcedure Rooms

    Inpatient OutpatientSurgical Cases

    Inpatient Total HoursOutpatientSurgical Hours

    0 0 0 0 0 0 0 0 0 0.0 0.0

    0 0 00 0 0 0 0

    Surgical SpecialtyInpatient Outpatient Combined Total Inpatient Inpatient Total HoursOutpatient Outpatient

    0Cardiovascular0 0 00 0 0 0 0 0Dermatology5 76 810 0 2 2 1 91General

    GastroenterologyNeurologyOB/GynecologyOral/MaxillofacialOphthalmologyOrthopedicOtolaryngologyPlastic SurgeryPodiatryThoracicUrology

    Totals

    1 176 1770 0 0 0 1 3480 0 00 0 0 0 0 00 0 00 0 0 0 0 00 0 00 0 0 0 0 0

    0 3 30 0 0 0 0 30 0 00 0 0 0 0 00 0 00 0 0 0 0 00 0 00 0 0 0 0 00 0 00 0 0 0 0 00 2 20 0 0 0 0 3

    0 0 00 0 0 0 0 0

    6 257 2630 0 2 2 2 445

    Stage 1 Recovery Stations 3 Stage 2 Recovery Stations 6SURGICAL RECOVERY STATIONS

    Operating Rooms Surgical Cases Surgical Hours

    0.0 0.0Inpatient Outpatient

    0.0 0.05.0 0.81.0 0.50.0 0.00.0 0.00.0 0.0

    0.0 1.00.0 0.00.0 0.00.0 0.00.0 0.00.0 0.7

    0.0 0.0

    3.0 0.6

    Hours per CaseSurgery and Operating Room Utilization

  • IDPH Number: 3384

    HSA 7HPA A-05

    COUNTY: DuPage County

    OWNERSHIP: Advocate Health and Hospitals CorporationOPERATOR: Advocate Health and Hospitals Corporation

    Ownership, Management and General Information Patients by RaceWhite #Black #American Indian #Asian #Hawaiian/ Pacific #

    Hispanic or Latino:Not Hispanic or Latino:Unknown:

    72.3%6.4%0.4%5.8%0.0%

    15.0%

    5.0%82.0%13.0%

    Page 1Hospital Profile - CY 2016 Advocate Good Samaritan Hospital Downers GrovePatients by Ethnicity

    (Not Answered)

    3815 Highland AvenueADDRESS

    Church-RelatedMANAGEMENT:CERTIFICATION:

    Downers GroveCITY:

    ADMINISTRATOR NAME: David FoxADMINSTRATOR PHONE: 630-275-1902

    Birthing DataNumber of Total Births: 1,832Number of Live Births: 1,810Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 9Labor-Delivery-Recovery-Postpartum Rooms: 0

    3,580 126 0

    C-Section Rooms: 2

    Newborn Nursery Utilization

    Total Newborn Patient Days 3,706

    CSections Performed: 629

    Inpatient Studies 340,360Outpatient Studies 236,595

    Laboratory Studies

    Kidney:Heart:Lung:Heart/Lung:Pancreas:Liver:

    Organ Transplantation

    Total:

    Studies Performed Under Contract 8,512

    FACILITY DESIGNATION: General HospitalUnknown

    Patient DaysBeds 36 0 0

    Level I Level II Level II+

    145

    447

    36

    0

    11

    0

    Clinical Service

    Peak Beds Setup and

    Staffed AdmissionsInpatient

    Days

    Average Length of Stay

    Average Daily

    Census

    Staffed Bed Occupancy

    Rate %

    Medical/Surgical

    PediatricIntensive Care

    Obstetric/Gynecology

    Long Term CareSwing Beds

    Neonatal

    Adult AMIRehabilitation

    156

    440

    0

    036

    11

    36

    9,059 33,340 8,728

    3,395 13,873 2610 0 0

    0 0 00 0

    0 0 01,169 9,639 0

    5,269 18

    252 4,015 0

    1,833

    Observation Days

    0.0 0.0 0.0 0.0

    4.6 114.9 79.3

    4.2 38.6 87.8 87.8

    73.7

    2.9 14.4 40.1 40.1

    0.0 0.00.0 0.0 0.0 0.0

    15.9 11.0 99.7 99.7

    0.0 0.0 0.0 0.08.2 26.3 73.2

    Medicare Medicaid Charity CareOther Public Private Insurance Private PayInpatients and Outpatients Served by Payor Source

    Totals

    6828 2054 43 5503 281304

    Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2016

    Peak Census

    Dedicated Observation

    156

    440

    0

    036

    11

    36

    1,351 3,9460 0

    3,405 14,135

    8,3261,863 6,9332,440

    0-14 Years15-44 Years45-64 Years65-74 Years75 Years +

    10,3013,572

    2,700Direct AdmissionTransfers - Not included in Facility Admissions

    MaternityClean Gynecology 33 96

    1,800 5,173

    0 0

    695

    Facility Utilization 15,013 66,136 9,007284 5.0 205.3

    Inpatients

    Outpatients

    15,013

    44672 18767 396 64590 30764197 135,698

    45.5% 13.7% 0.3% 36.7% 2.0% 1.9%

    32.9% 13.8% 0.3% 47.6% 3.1% 2.3%

    72.3

    76,510,832 30,521,712 477,401 130,206,491 7,004,002 2,295,000244,720,438

    5,095,84232,313,735 333,338 100,199,144 8,519,674 146,461,733 1,978,00022.1% 3.5% 0.2% 68.4% 5.8%

    31.3% 12.5% 0.2% 53.2% 2.9%

    Inpatient and Outpatient Net Revenue by Payor Source

    Inpatient Revenue ( $)

    Outpatient Revenue ( $)

    100.0%

    100.0%

    4,273,000

    1.1%

    Medicare MedicaidCharity

    Care Expense

    Other Public Private Insurance Private Pay Totals

    Total Charity Care as % of Net Revenue

    1/1/2016 12/31/2016Financial Year Reported: to Total Charity Care Expense

    CON Occupancy

    Rate %

    Long-Term Acute Care 0 0.0 0.00 00 00 0.0 0.0

    041Total AMI 1,169 9,639 0 8.2 26.3 64.2

    Adolescent AMI 0 0 0 0 0.0 0.0 0.00

  • Page 2Advocate Good Samaritan Hospital Downers Grove

    Source: 2016 Annual Hospital Questionnaire, Illinois Department of Public Health, Health Systems Development.

    Emergency/Trauma Care

    Persons Treated by Emergency Services: 41,233Patients Admitted from Emergency: 9,051

    ComprehensiveEmergency Service Type:

    Level of Trauma Service

    Operating Rooms Dedicated for Trauma Care 0

    Patients Admitted from Trauma 527Number of Trauma Visits: 730

    Level 1Adult

    Level 2Not Answered

    Total ED Visits (Emergency+Trauma): 41,963

    Outpatient Visits at the Hospital/ Campus: 120,268

    Outpatient Service DataTotal Outpatient Visits 135,698

    Outpatient Visits Offsite/off campus 15,430

    Cardiac Catheterization LabsTotal Cath Labs (Dedicated+Nondedicated labs): 3

    Dedicated Interventional Catheterization Labs 0

    Interventional Catheterizations (0-14): 0

    EP Catheterizations (15+) 618Interventional Catheterization (15+) 469

    Cardiac Surgery Data

    Pediatric (0 - 14 Years): 0Adult (15 Years and Older): 334Coronary Artery Bypass Grafts (CABGs) performed of total Cardiac Cases : 172

    Total Cardiac Surgery Cases: 334

    Diagnostic Catheterizations (15+) 1,568

    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: 2,655Number of Emergency Room Stations 28

    Certified Trauma Center Yes

    Hospital Profile - CY 2016

    Patient Visits in Free-Standing Centers

    Free-Standing Emergency CenterBeds in Free-Standing Centers

    Hospital Admissions from Free-Standing Center

    General Radiography/Fluoroscopy 33 24,004 38,213

    Diagnostic/Interventional Equipment

    3 933 2,033Nuclear MedicineMammographyUltrasound

    Diagnostic Angiography

    Positron Emission Tomography (PET)Computerized Axial Tomography (CAT)Magnetic Resonance Imaging

    Lithotripsy

    8 24 13,71413 4,473 13,379

    0 0

    0 0 04 11,831 18,7053 2,889 5,562

    Owned Contract Inpatient Outpt

    Linear Accelerator 1 4,4810000

    101

    0

    Therapies/ Treatments

    1,6482,420Interventional Angiography0 0 0Proton Beam Therapy

    Gamma Knife 0 0 0Cyber knife 0 0 0

    0 0 0

    Therapeutic Equipment Owned Contract

    Examinations

    3,628853

    1 0 45

    Image Guided Rad TherapyIntensity Modulated Rad Thrpy

    High Dose Brachytherapy3 0Angiography

    Contract0000

    0

    32601

    0

    Dedicated and Non-Dedicated Procedure Room Utilzation

    Procedure TypeGastrointestinalLaser Eye ProceduresPain Management

    0 0 6 6 1023 4083 838 3026 38640 0 0 0 0 0 0 0 00 0 1 1 82 378 27 126 153

    0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0

    Cystoscopy 0 0 1 1 153 342 244 572 816

    Multipurpose Non-Dedicated Rooms

    Inpatient OutpatientHours per Case

    0.8 0.70.00.31.6

    0.00.0

    0.00.31.7

    0.00.0

    Inpatient Outpatient Combined TotalProcedure Rooms

    Inpatient OutpatientSurgical Cases

    Inpatient Total HoursOutpatientSurgical Hours

    0 0 0 0 0 0 0 0 0 0.0 0.0

    1535 94 16290 2 2 334 38

    Surgical SpecialtyInpatient Outpatient Combined Total Inpatient Inpatient Total HoursOutpatient Outpatient

    0Cardiovascular0 0 00 0 0 0 0 0Dermatology

    2391 2077 44680 0 12 12 830 1116GeneralGastroenterologyNeurologyOB/GynecologyOral/MaxillofacialOphthalmologyOrthopedicOtolaryngologyPlastic SurgeryPodiatryThoracicUrology

    Totals

    15 11 260 0 0 0 11 102579 401 29800 0 0 0 528 137451 1401 18520 0 0 0 152 78838 16 540 0 0 0 18 8

    5131 2274 74050 0 0 0 1583 966117 1008 11250 0 0 0 48 416456 1617 20730 0 0 0 168 762139 169 3080 0 0 0 81 77

    3 2 50 0 0 0 1 1409 688 10970 0 1 1 204 395

    5 11 160 0 0 0 3 10

    13269 9769 230380 0 15 15 3961 4724

    Stage 1 Recovery Stations 18 Stage 2 Recovery Stations 39SURGICAL RECOVERY STATIONS

    Operating Rooms Surgical Cases Surgical Hours

    4.6 2.5Inpatient Outpatient

    0.0 0.02.9 1.91.4 1.14.9 2.93.0 1.82.1 2.0

    3.2 2.42.4 2.42.7 2.11.7 2.23.0 2.02.0 1.7

    1.7 1.1

    3.3 2.1

    Hours per CaseSurgery and Operating Room Utilization

  • IDPH Number: 3475

    HSA 8HPA A-09

    COUNTY: Lake County

    OWNERSHIP: Advocate Health and Hospitals CorporationOPERATOR: Advocate Health and Hospitals Corporation

    Ownership, Management and General Information Patients by RaceWhite #Black #American Indian #Asian #Hawaiian/ Pacific #

    Hispanic or Latino:Not Hispanic or Latino:Unknown:

    93.9%0.8%0.8%1.9%0.1%2.6%

    4.1%94.3%1.6%

    Page 1Hospital Profile - CY 2016 Advocate Good Shepherd Hospital BarringtonPatients by Ethnicity

    (Not Answered)

    450 West Highway #22ADDRESS

    Church-RelatedMANAGEMENT:CERTIFICATION:

    BarringtonCITY:

    ADMINISTRATOR NAME: Karen LambertADMINSTRATOR PHONE: 847-842-4005

    Birthing DataNumber of Total Births: 1,322Number of Live Births: 1,322Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 9Labor-Delivery-Recovery-Postpartum Rooms: 0

    2,563 788 483

    C-Section Rooms: 2

    Newborn Nursery Utilization

    Total Newborn Patient Days 3,834

    CSections Performed: 384

    Inpatient Studies 283,871Outpatient Studies 212,221

    Laboratory Studies

    Kidney:Heart:Lung:Heart/Lung:Pancreas:Liver:

    Organ Transplantation

    Total:

    Studies Performed Under Contract 0

    FACILITY DESIGNATION: General HospitalUnknown

    Patient DaysBeds 24 10 10

    Level I Level II Level II+

    112

    328

    24

    0

    0

    0

    Clinical Service

    Peak Beds Setup and

    Staffed AdmissionsInpatient

    Days

    Average Length of Stay

    Average Daily

    Census

    Staffed Bed Occupancy

    Rate %

    Medical/Surgical

    PediatricIntensive Care

    Obstetric/Gynecology

    Long Term CareSwing Beds

    Neonatal

    Adult AMIRehabilitation

    106

    188

    0

    00

    0

    24

    7,397 30,493 6,298

    1,108 4,403 15110 234 7

    0 0 00 0

    0 0 00 0 0

    3,342 17

    0 0 0

    1,380

    Observation Days

    2.2 0.7 8.2 8.2

    5.0 100.5 89.8

    4.0 12.1 37.7 67.1

    94.8

    2.4 9.2 38.2 38.2

    0.0 0.00.0 0.0 0.0 0.0

    0.0 0.0 0.0 0.0

    0.0 0.0 0.0 0.00.0 0.0 0.0

    Medicare Medicaid Charity CareOther Public Private Insurance Private PayInpatients and Outpatients Served by Payor Source

    Totals

    4644 603 0 4180 117204

    Facility Utilization Data by Category of Service Authorized CON Beds 12/31/2016

    Peak Census

    Dedicated Observation

    106

    188

    0

    00

    0

    24

    1,785 5,0460 0

    2,100 10,200

    8,0611,485 7,1862,027

    0-14 Years15-44 Years45-64 Years65-74 Years75 Years +

    3,1391,264

    861Direct AdmissionTransfers - Not included in Facility Admissions

    MaternityClean Gynecology 9 10

    1,371 3,332

    0 0

    247

    Facility Utilization 9,748 38,472 6,337176 4.6 122.4

    Inpatients

    Outpatients

    9,748

    123241 19284 0 132982 19174916 282,340

    47.6% 6.2% 0.0% 42.9% 2.1% 1.2%

    43.6% 6.8% 0.0% 47.1% 1.7% 0.7%

    69.6

    51,616,075 3,960,644 0 78,738,753 2,929,979 741,000137,245,451

    3,398,85834,754,729 0 119,298,543 6,449,379 163,901,509 1,106,00021.2% 2.1% 0.0% 72.8% 3.9%

    37.6% 2.9% 0.0% 57.4% 2.1%

    Inpatient and Outpatient Net Revenue by Payor Source

    Inpatient Revenue ( $)

    Outpatient Revenue ( $)

    100.0%

    100.0%

    1,847,000

    0.6%

    Medicare MedicaidCharity

    Care Expense

    Other Public Private Insurance Private Pay Totals

    Total Charity Care as % of Net Revenue

    1/1/2016 12/31/2016Financial Year Reported: to Total Charity Care Expense

    CON Occupancy

    Rate %

    Long-Term Acute Care 0 0.0 0.00 00 00 0.0 0.0

    00Total AMI 0 0 0 0.0 0.0 0.0

    Adolescent AMI 0 0 0 0 0.0 0.0 0.00

  • Page 2Advocate Good Shepherd Hospital Barrington

    Source: 2016 Annual Hospital Questionnaire, Illinois Department of Public Health, Health Systems Development.

    Emergency/Trauma Care

    Persons Treated by Emergency Services: 34,623Patients Admitted from Emergency: 5,674

    ComprehensiveEmergency Service Type:

    Level of Trauma Service

    Operating Rooms Dedicated for Trauma Care 0

    Patients Admitted from Trauma 576Number of Trauma Visits: 883

    Level 1(Not Answered)

    Level 2Adult and Ped

    Total ED Visits (Emergency+Trauma): 35,506

    Outpatient Visits at the Hospital/ Campus: 248,667

    Outpatient Service DataTotal Outpatient Visits 282,340

    Outpatient Visits Offsite/off campus 33,673

    Cardiac Catheterization LabsTotal Cath Labs (Dedicated+Nondedicated labs): 3

    Dedicated Interventional Catheterization Labs 0

    Interventional Catheterizations (0-14): 0

    EP Catheterizations (15+) 382Interventional Catheterization (15+) 256

    Cardiac Surgery Data

    Pediatric (0 - 14 Years): 0Adult (15 Years and Older): 170Coronary Artery Bypass Grafts (CABGs) performed of total Cardiac Cases : 127

    Total Cardiac Surgery Cases: 170

    Diagnostic Catheterizations (15+) 840

    Dedicated EP Catheterization Labs 1

    Cath Labs used for Angiography procedures 2Dedicated Diagnostic Catheterization Labs 0

    Diagnostic Catheterizations (0-14) 0

    Cardiac Catheterization UtilizationTotal Cardiac Cath Procedures: 1,478Number of Emergency Room Stations 24

    Certified Trauma Center Yes

    Hospital Profile - CY 2016

    Patient Visits in Free-Standing Centers

    Free-Standing Emergency CenterBeds in Free-Standing Centers

    Hospital Admissions from Free-Standing Center

    General Radiography/Fluoroscopy 12 16,584 35,805

    Diagnostic/Interventional Equipment

    2 576 2,573Nuclear MedicineMammographyUltrasound

    Diagnostic Angiography

    Positron Emission Tomography (PET)Computerized Axial Tomography (CAT)Magnetic Resonance Imaging

    Lithotripsy

    5 35 29,40110 2,646 13,174

    643 988

    1 0 5364 5,856 17,3173 1,217 5,367

    Owned Contract Inpatient Outpt

    Linear Accelerator 1 9,4980000

    000

    0

    Therapies/ Treatments

    899783Interventional Angiography0 0 0Proton Beam Therapy

    Gamma Knife 0 0 0Cyber knife 0 0 0

    0 1 84

    Therapeutic Equipment Owned Contract

    Examinations

    187110

    1 0 62

    Image Guided Rad TherapyIntensity Modulated Rad Thrpy

    High Dose Brachytherapy1 0Angiography

    Contract0000

    0

    000

    0

    Dedicated and Non-Dedicated Procedure Room Utilzation

    Procedure TypeGastrointestinalLaser Eye ProceduresPain Management

    0 0 5 5 1243 5665 932 4249 51810 0 0 0 0 0 0 0 00 0 1 1 39 1147 39 1147 1186

    0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0

    Cystoscopy 0 0 1 1 103 334 150 447 597

    Multipurpose Non-Dedicated Rooms

    Inpatient OutpatientHours per Case

    0.7 0.80.01.01.5

    0.00.0

    0.01.01.3

    0.00.0

    Inpatient Outpatient Combined TotalProcedure Rooms

    Inpatient OutpatientSurgical Cases

    Inpatient Total HoursOutpatientSurgical Hours

    0 0 0 0 0 0 0 0 0 0.0 0.0

    1291 57 13480 2 2 266 25

    Surgical SpecialtyInpatient Outpatient Combined Total Inpatient Inpatient Total HoursOutpatient Outpatient

    0Cardiovascular0 0 00 0 0 0 0 0Dermatology

    2027 2311 43380 0 9 9 599 1308GeneralGastroenterologyNeurologyOB/GynecologyOral/MaxillofacialOphthalmologyOrthopedicOtolaryngologyPlastic SurgeryPodiatryThoracicUrology

    Totals

    22 21 430 0 0 0 16 13315 231 5460 0 0 0 103 98286 1458 17440 0 0 0 98 893

    3 87 900 0 0 0 2 44

    3421 3334 67550 0 0 0 1032 1527107 1673 17800 0 0 0 64 97796 723 8190 0