BOARD MEETING: March 27-28, Silver Cross Hospital and Medical Center, Joliet STATE AGENCY REPORT

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1 DOCKET ITEM NUMBER: NA BUSINESS ITEM: REQUESTING ENTITY and LOCATION: BOARD MEETING: March 27-28, 27 Declaratory Ruling Request Silver Cross Hospital and Medical Center, Joliet PROJECT NUMBER: NA I. Request to modify survey results STATE AGENCY REPORT Silver Cross Hospital and Medical Center ( Silver Cross ) is petitioning the State Board to adjust its Inventory of Health Care Facilities and Services and Need Determination ( Inventory ) regarding its bed utilization data for calendar year 24. These adjustments are being requested because Silver Cross submitted inaccurate utilization, payor mix and race-ethnic data for 24 for the Illinois Department of Public Health s ( IDPH ) Annual Hospital Questionnaire ( AHQ ), which is administered on behalf of the State Board. Silver Cross believes it erroneously double counted certain observation days in 24 as both observation days and inpatient days. In addition, Silver Cross now believes that certain observation patients were also counted as admitted patients. As a result of these errors, Silver Cross incorrectly reported its hospital admissions and inpatient days. Thus, it is requesting the State Board adjust its utilization data. II. Background Information Silver Cross is located in HSA IX (Will County) in the A-3 hospital planning area. The State Agency notes the hospital is authorized for 34 beds. Table One list the authorized beds by clinical service. The data is Table One was obtained from Silver Cross 25 hospital profile. TABLE ONE Silver Cross Hospital s Beds by Clinical Service Categories of Service Authorized Beds Bed Set up and Staffed Medical / Surgical ICU 8 8 Pediatric 39 8 Obstetric / Gynecology 2 22 Rehabilitation 7 5 Acute Mental Illness 2 4 TOTAL Source: Illinois Department of Public Health Center for Health Statistics.

2 State Agency Report Declaratory Ruling Request Silver Cross Hospital & Medical Center Page 2 III. Request Details On February 4, 27, the State Agency received a request from Silver Cross requesting corrections to its 24 bed utilization data. Specifically, Silver Cross notes that in the process of compiling the necessary data and completing its most recent AHQ, Silver Cross learned that certain 24 AHQ data submitted were incorrect. Silver Cross indicated that an internal review of its data revealed inaccurate bed utilization for their published 24 data. According to Silver Cross, the 24 AHQ profile (published by the State Agency on May 5, 2) overstated the hospital utilization data. Specifically, Silver Cross states that its 24 admissions and patient days are overstated. The State Agency notes that for the 24 AHQ, observation days were not separately listed from inpatient days. Table Two shows the data originally submitted by Silver Cross the requested corrections. TABLE TWO Silver Cross Hospital s 24 AHQ Data and Requested Corrections Clinical Service Admissions (original) Admissions (Revised) Difference days (original) days (Revised) Difference Medical/Surgical -4 years years 2,72 2, years 3,29 2, years,824, years 2,859 2,72-57 Totals,73, ,9 42,92-2,28 Pediatric ,7, OB ,42 5, ICU ,892 3,88 - Rehabilitation ,827 4,88 9 AMI ,428 3,38 48 Total Utilization 5,7 5, ,2 2,85-2,54 Table Three list the corrections requested to Silver Cross payor mix data. TABLE THREE Silver Cross Hospital s Requested Corrections to Payor Mix Data MEDICARE MEDICAID PRIVATE INSURANCE CHARITY CARE PRIVATE PAY OTHER PUBLIC TOTALS AGE Male Female Male Female Male Female Male Female Male Female Male Female Male Female ,88 73, ,593 3, , ,858, ,49 75+,3 2, ,34 2, TOTALS 2,55 3, ,35,94 2, ,78 9,294

3 State Agency Report Declaratory Ruling Request Silver Cross Hospital & Medical Center Page 3 Table Four lists the corrections requested to Silver Cross Hospital s Race-Ethnic data TABLE FOUR Silver Cross Hospital s Requested Correction to Race-Ethnic Data RACE ADMISSIONS PATIENT DAYS Asian 35 8 American Indian or Native Alaskan Black or African American 3,5 2,87 Native Hawaiian or Pacific Islander White,84 48,59 Unknown 5 2 TOTAL 5,75 2,85 ETHNICITY ADMISSIONS PATIENT DAYS Hispanic or Latino,75 5,8 Not Hispanic or Latino 3, 55,84 Unknown 5 2 TOTAL 5,75 2,85 IV. State Agency Finding(s) The State Agency notes the following for the State Board s consideration: A. The Health Facilities Planning Act ( Act ) grants the State Board jurisdiction to collect data from health care facilities and to compile an Inventory. B. The State Board, through its administrative rules, has delineated policies on the collection of data from health care facilities in order to compile an Inventory and to assist in comprehensive health care planning. V. Summary As referenced, the State Board s rules provide a mechanism to collect information from health care facilities. This data is an integral component of the State Board s review of proposed projects because it allows for a quantifiable assessment of: ) a proposal compared to the needs of a specific planning area, 2) the potential impact the proposal will have on existing health care providers and 3) the proposal s ability to meet the mandated requirements of the Health Facilities Planning Act (i.e., increased access, improved quality and unnecessary duplication of services). The State Agency also notes that Silver Cross was provided an opportunity to correct its 24 data in late 25 and early 2 to the data it submitted during the survey process. The State Board could determine that the revised bed utilization

4 State Agency Report Declaratory Ruling Request Silver Cross Hospital & Medical Center Page 4 data for 24 be accepted and the hospital s profile will be adjusted accordingly. Should the State Board determine not to accept the requested corrections, the 24 profile for Silver Cross would not change. VI. Other Information Appended to this report are the following: a copy of IDPH s 24 hospital profile for Silver Cross and correspondence (dated February 7, 27) from Silver Cross requesting the enumerated corrections. G:\FAC\Silvercross.doc

5 TABLE OF CONTENTS SILVER CROSS HOSPITAL DESCRIPTION PAGES REQUEST FOR DECLARATORY RULING ANNUAL HOSPITAL QUESTIONAIRE ANNUAL HOSPITAL QUESTIONAIRE -7

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9 HOSPITAL PROFILE Silver Cross Hospital Joliet Page Type of Ownership, Management, and Other General Information: Ownership: Silver Cross Hospital & Medical Centers Management: Silver Cross Hospital & Medical Centers IDPH Number: 27 Fed. Number: HSA 9 HPA A-3 County: Will County -4 Years Medical / Surgical Admissions by Age 5-44 Years 2, Years 3, Years, Years 2,859 Total Admissions,73 Organ Transplantation: Kidney: Heart: Lung: Heart/Lung: Pancreas: Liver: Bone Marrow: Total:: Diagnostic Equipment 3 Surgery Data: Surgery : Surgeries: 3,94 of Surgery: 7,722 Surgeries: 7,83 of Surgery: 7,87 Total Surgeries Performed:,29 Total of Surgery: 5,49 Number of surgical Recovery 2 Stage Recovery Stations: 2 Stage 2 Recovery Stations: 2 Birth Data: Number of Deliveries:,894 Number of Live Births:,888 Number of Birthing : Number of Labor : Number of Delivery : Number of Labor-Delivery- 8 Recovery : Number of Labor-Delivery- Recovery-Postpartum : Diagnostic Examinations by Procedures Type and Number of Equipment Exams Exams Contractual Radiology/Fluoroscopy: Nuclear Medicine: Mammography: 3 78 Ultrasound: Angiography: PET Scanner CT Scanner: MRI Scanner: Lithotripter: Emergency Service Data: Emergency Service Type: Comprehensive Persons Treated by Emergency Services: 43,25 Patients Admitted from Emergency: 8,79 Service Data: Persons Treated by Services:,42 Patients Admitted from Services:,4 Cardiac Catheterization Data: Catheterization Labs Pediatric ( - 4 Years) Adult ( 5 Years and Older: 385 Total Cardiac Catheterizations 385 Angioplasty 5 Open Heart Surgery Data: Pediatric ( - 4 Years) With Pump: Adult (5 Years and Older) With Pump: Total With Pump: Coronary Artery Bypass Graft Without Pump: Patients by Race/Ethnic Group: White Not Hispanic: Black Not Hispanic: American Indian Not Hispanic: Asian % 2.4%.%.2% Hispanic or Latino: Not Hispanic or Latino: Unknown: Native Hawaiian or Pacific Islander Unknown:.%.% Linear Accelerators Machine Treatment -7 MEV 8-2 MEV 2 MEV or More Cobalt Total Other Equipment 8.4% 88.%.% Surgeries Cardiovascular Dermatology General Gastroenterology Neurology OB/Gynecology Oral/Maxillofacial Ophthalmology Orthopedic Otolaryngology Plastic Surgery Podiatry Thoracic Urology Totals O.R.s O.R.s Combined O.R.s Total O.R.s s Treated s Treated Surgical Surgical Total Surgical

10 HOSPITAL PROFILE Silver Cross Hospital Joliet Patients by Age Groups, Sex and Payment Source - DIscharge Data and Facility-Reported Clinical Service Medical/Surgical Intensive Care Pediatric Authorized CON Beds Setup and Staffed Beds Admissions Days 42 2 Observation Days,73 42,9 2, ,892 53,25 8 Average Length of Stay Average Daily Census CON Occupancy Rate % Page 2 Staffed Beds Occupancy Rate % Obstetric/Gynecology ,83 4, Swing Beds Long Term Care Neonatal Rehabilitation Acute Mental Illness , , a. Calculated Total Utilization Data 5,7,5 Age Medicare Medicaid Other Public Other Insurance Charity Care Private Pay 4.% 9.7%.% 32.% 2.4% 4.% Male Female Male Female Male Female Male Female Male Female Male Female , , Patients by Age Groups, Sex and Payment Source Totals 2,77 3, , ,25 3, ,37 9,58 5,7 87, Male Female Both 374,549,55 47, Totals 435 3,794,52 52,9, ,343 3,7 99 2,54 2,59,54 Type of Special Procedure Dedicated Gastrointestinal Dedicated Laser Eye Procedures Other Dedicated Procedures: Special Procedure Combined Total s Treated s Treated s s Total DiagnosticEquipment Pieces of Equipment Exams Exams Contractual Agreement Exams General Radiography/Fluoroscopy 3 2,72 48,2 Nuclear Medicine 4 3,58 5,9 Mammography 3,78 Ultrasound 5,234 5,825 Angiography Positron Emission Tomography (PET) Computerized Axial Tomography (CAT) 2 4,54 5,534 Magnetic Resonance Imaging 3,87 5,75 Lithotripsy Ownership of Equipment Lithotripters MRI Scanners PET Scanners Other Diagnostic Equipment Hospital Owned Contracted Equipment Shared 2 3 Contractors of Diagnostic Equipment Remedy Medical Systems Medical Outsourcing Service

11 HOSPITAL PROFILE Silver Cross Hospital Joliet Type of Ownership, Management, and Other General Information: Patients by Race Ownership: Silver Cross Hospital & Medical Centers White 5.7% Management: Address: County: Silver Cross Hospital & Medical Centers 2 Maple Street Will County Black American Indian Asian 2.4%.%.% IDPH Number: 27 HSA 9 HPA A-3 Hawaiian/ Pacific Unknown:.% 3.8% Clinical Service Medical/Surgical Pediatric Intensive Care Direct Admission Transfers Authorized CON Beds Obstetric/Gynecology ,225 5,5 384 Maternity 2,84 4,787 Clean Gynecology 4 34 Neonatal Long Term Care Swing Beds Acute Mental Illness Rehabilitation Dedcated Observation Age Years 5-44 Years 45-4 Years 5-74 Years 75 Years , ,9 2,4 Page Patients by Ethnicity Hispanic or Latino: 3 2.4% Not Hispanic or Latino: Unknown: 73.8% 3.8% Operating Surgical Cases Surgical per Case Total Surgical Surgeries Combined Total Cardiovascular Dermatology.. General Gastroenterology Neurology OB/Gynecology Oral/Maxillofacial.. Ophthalmology Orthopedic Otolaryngology Plastic Surgery Podiatry Thoracic Urology Totals SURGICAL RECOVERY STATIONS Patients by Age Groups, Sex and Payment Source - DIscharge Data and Facility-Reported 2 7 Peak Beds Setup and Staffed Observation Admissions Days Days,37 4,3 3,9 5,99 79,29 4,34,29 2,93,7 83 3, ,89 Average Length of Stay Average Daily Census CON Occupancy Rate % Stage Recovery Stations 3 Stage 2 Recovery Stations 2 Staffed Beds Occupancy Rate % Total Utilization ,37,444 4, Medicare Medicaid Other Public Other Insurance Charity Care Private Pay Male Female Male Female Male Female Male Female Male Female Male Female Beds Setup // , Patients by Age Groups, Sex and Payment Source 42.% 2.%.% 3.%.9% 4.8% Peak Census , ,548 7, 3,9 2,429,7 7,732 2,952 4,3 39,57, Totals 2,798 3,78 7 2,53 7 2,9 2, ,75 9,52 5, Male Female Both 335,53 2,32 942,23 Totals 38 3,93 2,4,88 2, ,4 4,73 2,3 3,43

12 HOSPITAL PROFILE Silver Cross Hospital Joliet Type of Special Procedure Dedicated Gastrointestinal Dedicated Laser Eye Procedures Dedicated Pain Management Special Procedure Page 2 Combined Total Cases Cases Total Birthing Data: Number of Deliveries:,94 Number of Live Births:,89 Level Patient Days 3,89 Level 2 Patient Days 873 Level 2+ Patient Days Number of Birthing : Number of Labor : Number of Delivery : Number of Labor-Delivery- 8 Recovery : Number of Labor-Delivery- Recovery-Postpartum : Emergency Service Data: Emergency Service Type: Comprehensive Persons Treated by Emergency Services: 47, Patients Admitted from Emergency: 9,95 Service Data: Persons Treated by Services:,9 Patients Admitted from Services:,3 Organ Transplantation: Kidney: Heart: Lung: Heart/Lung: Pancreas: Liver: Total:: Cardiac Catheterization Data: Catheterization Labs Catheterization Labs with EP Monitoring Pediatric ( - 4 Years) Adult ( 5 Years and Older: 398 Total Cardiac Catheterizations 398 Cardiac Catheterizations with EP Monitoring Angioplasty Open Heart Surgery Data: Pediatric ( - 4 Years) With Pump: Adult (5 Years and Older) With Pump: Total With Pump: Coronary Artery Bypass Graft Without Pump: Trauma Care: Level of Trauma Service Level 2 Operating Dedicated for Trauma Care Laboratory Studies: Studies 48,33 Studies 935,3 Studies Performed Under Contract Pieces of Equipment Examinations Equipment Hospital Owned Shared Contracted Contractual General Radiography/Fluoroscopy 3 2,95 48,789 Nuclear Medicine 4 2,9 2,984 Mammography 3,559 Ultrasound 5,29 3,858 Angiography 7 3 Positron Emission Tomography (PET) 27 Computerized Axial Tomography (CAT) 2 4,437,7 Magnetic Resonance Imaging 2 2,37 5,85 Lithotripsy Radiation Therapy Equipment: Linear Accelerator Type of Equipment GE MRI Unit PET Scanner Contractors for Equipment Contractor Remedy Medical Medical Outsourcing Service Source: Data based on 25 Annual Hospital Questionnaire administered on behalf of Ilinois Department of Public Health, Health Sytems Development.