1. CALL TO ORDER: TUESDAY, JUNE 15, 2004, 9:00 A.M. 2. APPROVAL OF AGENDA 3. APPROVAL OF MINUTES: APRIL 21, ELECTION OF VICE CHAIRMAN

Size: px
Start display at page:

Download "1. CALL TO ORDER: TUESDAY, JUNE 15, 2004, 9:00 A.M. 2. APPROVAL OF AGENDA 3. APPROVAL OF MINUTES: APRIL 21, 2004 4. ELECTION OF VICE CHAIRMAN"

Transcription

1 State of Illinois Health Facilities Planning Board 525 West Jefferson, 2 nd Floor, Springfield, Illinois (217) A G E N D A (M-298) -- FINAL per 2 Ill. Adm. Code ) Final Agenda will be posted no later than 9:00 A.M. Friday, June 11, 2004 at the Health Facilities Planning Board office and at the meeting location. TWO Day Meeting, June 15-16, 2004 Holiday Inn City Centre 300 East Ohio Chicago, IL CALL TO ORDER: TUESDAY, JUNE 15, 2004, 9:00 A.M. 2. APPROVAL OF AGENDA 3. APPROVAL OF MINUTES: APRIL 21, ELECTION OF VICE CHAIRMAN 5. ITEMS FOR STATE BOARD ACTION: D. PERMIT RENEWAL REQUESTS D-1 BMA Saline County Harrisburg SAR Renew permit from 3/31/04 to 9/30/04 D-2 BroMenn Medical Center Bloomington SAR Renew permit from 6/15/04 to 12/15/04 D-3 Austin Community Kidney Center Chicago SAR Renew permit from July 1, 2004 to June 30, D-4 Manor Court Peru SAR Renew permit from June 30, 2004 to December 31, D-5 St. Francis Hospital Blue Island SAR Renew permit from July 1, 2004 to December 31, D-6 Clinton Manor Clinton SAR Renew permit from June 30, 2004 to December 31, D-7 Hawthorne Inn of Princeton Princeton SAR Renew permit from June 30, 2004 to December 31, 2004 D-8 St. Mary Medical Center Galesburg SAR Renew permit from July 1, 2004 to September 1, 2004 NOTICE: THIS MEETING WILL BE ACCESSIBLE TO PERSONS WITH SPECIAL NEEDS IN COMPLIANCE WITH EXECUTIVE ORDER #5 AND PERTINENT STATE AND FEDERAL LAWS UPON NOTIFICATION OF ANTICIPATED ATTENDANCE. PERSONS WITH SPECIAL NEEDS SHOULD CONTACT KATHY TIBBS AT THE HEALTH FACILITIES PLANNING BOARD OFFICE BY TELEPHONE AT (217) (TTY # FOR HEARING IMPAIRED ONLY) OR BY LETTER NO LATER THAN JUNE 11, 2004.

2 Agenda - Health Facilities Planning Board - June 15-16, 2004 Page 2 E. EXTENSION REQUESTS E-1 Saint Anthony s Memorial Hospital Effingham SAR Extend obligation period from May 21, 2004 to August 21, 2004 F. EXEMPTION REQUESTS F-1 Saint Therese Medical Center E Waukegan SAR Change of Ownership G. ALTERATIONS G-1 Central DuPage Hospital Winfield SAR Reduce the permit amount by $1,733,044, from $175,812,893 to $174,079,849; Reduce the project s GSF by 946 from 421,013 GSF to 420,067 GSF. G-2 Swedish Covenant Hospital Chicago DEFERRED Rearrange space and revise the bed complement in the Anderson Pavilion as follows: Increase Med/Surg by 14 to 196 and reduce skilled nursing by 10 to 46. H. COMPLIANCE ISSUES / SETTLEMENT AGREEMENTS (None) I. DECLARATORY RULINGS/OTHER BUSINESS I - 1 Fresenius Medical Care & Chicago SAR J. HEALTH CARE WORKER SELF-REFERRAL ACT J - 1 Neurodiagnostics A. APPLICATIONS SUBSEQUENT TO INITIAL REVIEW NON-SUBSTANTIVE A-1 Diamond Dialysis-Oak Lawn Oak Lawn SAR Establish a 19-station ESRD in new construction A-2 St. Joseph Memorial Hospital Murphysboro DEFERRED Establish acute care beds certified for extended care category of service (swing beds). A-3 Hartgrove Hospital Chicago EXTENDED Discontinue the existing 129-bed AMI hospital. *A replacement facility is being proposed in project # SUBSTANTIVE A-4 Hartgrove Hospital Chicago EXTENDED Construct a 136-bed AMI hospital to replace the current Hartgrove Hospital on a new site approx. 2 miles from the old hospital. A-5 Grand Oaks Surgical Center, S.C Libertyville DEFERRED Establish a limited-specialty ASTC dedicated to Pain Care. A-6 Copley Memorial Hospital Aurora SAR Replace, modernize & expand the Diagnostic Radiology and Emergency departments.

3 Agenda - Health Facilities Planning Board - June 15-16, 2004 Page 3 A. APPLICATIONS SUBSEQUENT TO INITIAL REVIEW SUBSTANTIVE (Con t) A-7 Central DuPage Hospital Winfield SAR Construct an addition to house a 6-OR suite. A-8 Edward A. Utlaut Memorial Hospital Greenville SAR Establish a 10-bed geriatric psychiatric unit in renovated space. A-9 Anderson Hospital Maryville SAR Establish a 15-bed Comprehensive Physical Rehabilitation service and discontinue a 19-bed skilled care unit. A-10 Tri-Cities Surgery Center, LLC Geneva SAR Construct & establish a 4-OR, multi-specialty ASTC on the campus of Delnor Community Hospital to provide out-patient surgery. A-11 Elgin Gastroenterology Endoscopy Center Elgin SAR Establish a limited specialty ASTCin existing space for the provision of gastroenterology. A-12 Monroe County Care & Rehabilitation Center Waterloo SAR Construct a replacement facility on a new site consisting of 131 nursing care beds and 50 assisted living beds, which is a decrease of 80 nursing care beds. B. APPLICATIONS SUBSEQUENT TO INTENT TO DENY B-1 Riverside Ambulatory Surgery Center, LLC Bourbonnais SAR SAR Establish a multi-specialty ASTC with 2 ORs. B-2 ARA-Crystal Lake Dialysis Crystal Lake SAR SAR Establish an 8-station ESRD facility in leased space. 6. OTHER BUSINESS Rules 7. EXECUTIVE SESSION 8. RECESS

4 Agenda - Health Facilities Planning Board - June 15-16, 2004 Page 4 1. CALL TO ORDER: WEDNESDAY, JUNE 16, 2004, 9:00 A.M. 2. ADMINISTRATIVE REVIEWS C. APPLICATIONS SUBSEQUENT TO ADMINISTRATIVE HEARING/JUDICIAL REVIEW C-1 Champaign-Urbana Healthcare Urbana K. COMPLETION REPORTS ON CONDITIONAL PERMITS K-1 Marion Memorial Hospital Marion Assessment of Conditional Permit F. EXEMPTION REQUESTS F-2 Galesburg Cottage Hospital E Galesburg SAR Change of Ownership A. APPLICATIONS SUBSEQUENT TO INITIAL REVIEW NON-SUBSTANTIVE A-13 Paris Community Hospital/Family Medical Ctr Paris SAR Construct an addition to the hospital to be used as a Physician Office Building and make modernizations to the hospital. SUBSTANTIVE A-14 Advocate Southwest Hospital Tinley Park SAR GSU Report Construct & establish a new 144-bed hospital consisting of 16 ICU beds, 108 Med/Surg beds & 20 OB beds. The hospital will also include cardiac cath and diagnostic & therapeutic services. A-15 St. Francis Hospital-Orland Orland Park SAR GSU Report Construct and establish a new 130-bed general acute care hospital containing 102 med/surg. beds, 12 OB beds in an LDRP suite, and 16 ICU beds. It will also contain all ancillary support services including ER, Diagnostic Imaging, Surgery and Cardiac Catheterization Services. A-16 Lincoln Estates Lincoln SAR Construct four 10-bed homes to house 40 ICF/DD residents on the former Lincoln Developmental Center campus. B. APPLICATIONS SUBSEQUENT TO INTENT TO DENY B-3 Edward Healthcare Center--Plainfield Plainfield SAR SAR SAR Construct a 3-story medical office building to house physician offices and several Edward Hospital outpatient services including: diagnostic imaging, laboratory services, rehabilitation services and an immediate care program.

5 Agenda - Health Facilities Planning Board - June 15-16, 2004 Page 5 B. APPLICATIONS SUBSEQUENT TO INTENT TO DENY (Con t) B-4 Edward Plainfield Hospital Plainfield SAR SAR GSU Report Construct and establish a 146-bed hospital containing 96 Med/Surg beds, 30 OB beds, 20 ICU beds and all necessary ancillary & support services. B-5 Bolingbrook Hospital Bolingbrook SAR SAR GSU Report Construct & establish a new 6-story general acute care hospital consisting of 138 beds: 106 Med/Surg, 20 OB and 12 ICU beds on the site of the existing Bolingbrook Medical Center which will be incorporated into the new hospital as non-patient care space. 3. ADJOURNMENT 4. NEXT MEETING: August 18, 2004 Holiday Inn City Centre 300 E. Ohio Street Chicago, IL

6 Agenda - Health Facilities Planning Board - June 15-16, 2004 Page 6 Health Facilities Planning Board - Scheduled Board Meetings For FY 2004 Date City Location 2004 June 15-16, 2004 Chicago Holiday Inn City Centre August 18, 2004 Chicago Holiday Inn City Centre October 20, 2004 Chicago Holiday Inn City Centre December 15, 2004 Chicago Holiday Inn Mart Plaza February 16, 2005 Chicago Holiday Inn Mart Plaza April 20, 2005 Chicago Holiday Inn Mart Plaza June 22, 2005 Chicago Holiday Inn City Centre For transcripts of proceedings contact court reporter:

7 Agenda - Health Facilities Planning Board - June 15-16, 2004 Page 7 GLOSSARY OF ABBREVIATIONS AMI apt ADRD ASTC bldg Cath CON ESRD Hlth LDR LTC MOB Med/Surg MRI OB ORs PET SNF Rehab Swing beds Acute Mental Illness apartment Alzheimer s Disease and Related Disorders Ambulatory Surgical Treatment Center building Catheterization (as in Cardiac catheterization) Certificate of Need End Stage Renal Dialysis Health Labor-Delivery-Recovery Long Term Care Medical Office Building Medical-Surgical Magnetic Resonance Imaging Obstetric Operating Rooms Positron Emission Tomography Skilled Nursing Facility Rehabilitation Acute care beds certified for extended care category of service

8 ILLINOIS HEALTH FACILITIES PLANNING BOARD STATUS OF APPLICATIONS AS OF June 7, 2004 Page 1 A. APPLICATIONS PENDING SUBSEQUENT TO INTENT TO DENY A-1 Herrin Hospital Herrin Construct a 2-story addition and partial ground floor to include out-patient physical medicine dept. & pre-admission testing. Modernization of Med/Surg nursing units, comprehensive physical rehab nursing unit, rehab therapies and diagnostic radiology. B. APPLICATIONS PENDING ADMINISTRATIVE HEARING (ADM)/JUDICIAL REVIEW (JUD) B-1 Villa Health Care East Sherman ADM Modernize & add 60 nursing care beds. B-2 Champaign-Urbana Healthcare LLC Urbana ADM Establish an ASTC. C. APPLICATIONS WITHDRAWN/FINAL DENIAL C-1 Neomedica/Loop East Delaware Chicago withdrawn/ Relocate 24-station ESRD facility from One East null & void Delaware to 800 S. Wells Street, Chicago. C-2 Central DuPage Dialysis Center West Chicago withdrawn/ Relocate 16-station dialysis facility from 0N025, null & void Winfield, IL to leased space at 490 E. Roosevelt Road, West Chicago and add 8 stations. D. APPLICATIONS RECEIVED - INCOMPLETE Latest Date for Completion D-1 Fresenius Medical Care of Schaumburg Schaumburg ** Establish a 16-station ESRD in leased space. D-2 Fresenius Medical Care of Lake Bluff Lake Bluff ** Establish a 16-station ESRD in leased space. D-3 Fresenius Medical Care of Antioch Antioch ** Establish an 18-station ESRD in leased space. D-4 Fresenius Medical Care of McHenry McHenry ** Establish a 12-station ESRD in leased space. renovating existing space. D-5 Elmhurst Medical and Surgical Center P.C Elmhurst ** Establish a limited specialty ASTC for foot and ankle surgery. D-6 Central DuPage Dialysis Center Chicago ** Relocate the 16-station dialysis center from 0N025 on the campus of Central DuPage Hospital, Winfield to 490 E. Roosevelt Road, West Chicago in leased space and add 8 stations for a total of 24. D-7 Fresenius Medical Care of Oswego Oswego ** Establish a 10-station dialysis facility in leased space. D-8 Neomedica/Loop East Delaware Chicago ** Relocate the 43-station facility from One East Delaware to 800 S. Wells and reduce the number of stations to 24. D-9 Memorial Hospital Belleville ** Establish a 16-bed comprehensive physical rehab unit in renovated and expanded space within Memorial Convalescent Center, a 108-bed LTC facility. They will also discontinue 22 LTC beds. D-10 Provena St. Mary s Hospital Kankakee ** Discontinue the 24-bed skilled nursing category of service. D-11 Ingalls Memorial Hospital Harvey ** Renovate and modernize the surgical suite and recovery areas.

9 ILLINOIS HEALTH FACILITIES PLANNING BOARD STATUS OF APPLICATIONS AS OF June 7, 2004 Page 2 D. APPLICATIONS RECEIVED - INCOMPLETE Latest Date for Completion D-12 St. Alexius Medical Center Medical Office Building Hoffman Estates ** Construct, own & operate a Medical Office Building on the campus of St. Alexius Medical Center to house physicians offices and a number of other hospital functions. D-13 Illinois Sports Medicine & Orthopedic Surgery Center Morton Grove ** Establish a multi-specialty ASTC in modernized leased space. D-14 Ravine Way Surgery Center Glenview ** Establish a limited-specialty ASTC providing orthopedic surgery and pain management in modernized leased space. D-15 Gottlieb Memorial Hospital Melrose Park ** Establish a 10-bed geriatric psychiatric unit in renovated space. ** Completeness Review in Progress E. APPLICATIONS IN THE REVIEW PROCESS End of Review Period NON-SUBSTANTIVE E-1 Sauget Dialysis Village of Sauget 06/20/04 Establish a 14-station ESRD in leased space as a replacement for the 14-station East St. Louis Dialysis Center, which will be discontinued as result of this project. E-2 Little Village Dialysis Chicago 06/20/04 Establish a 12-station ESRD in leased space. E-3 Clay County Hospital Flora 06/28/04 Discontinue the 2-bed OB category of service. E-4 Cottonwood Health Care Center Galesburg 07/02/04 Discontinue the 97-bed general long-term care facility. E-5 Senior Manor Nursing Center Sparta 07/11/04 Discontinue 59-bed nursing facility. E-6 Alexian Brothers Medical Center Medical Office Building Elk Grove Village 07/18/04 Construct and establish a medical office building to house physicians office exclusively. E-7 Rush North Shore Medical Center Skokie 08/06/04 Discontinue the 3-bed skilled nursing category of service. SUBSTANTIVE E-8 Chicago Incontinence and Surgical Center Willowbrook Extended Est. limited-specialty ASTC with 1 OR E-9 Advanced Eye Surgery and Laser Center, LLC Decatur Extended Construct and establish a limited-specialty ASTC with 2 ORs limited to Ophthalmology. E-10 Anna House at Marian Lake Villa Plainfield Deferred Construct & establish a 70-bed skilled nursing facility to be part of a Continuing Care Retirement Community. E-11 Koke Mill Multi-Specialty ASTC Springfield Modification Add plastic surgery to the pain management and orthopedic procedures at the current multi-specialty facility. E-12 Charleston/Mattoon Surgicenter, LLC Chicago Modification Establish a multi-specialty, freestanding ASTC with 2 ORs & 8 recovery stations and develop a postsurgical recovery care center

10 ILLINOIS HEALTH FACILITIES PLANNING BOARD STATUS OF APPLICATIONS AS OF June 7, 2004 Page 3 E. APPLICATIONS IN THE REVIEW PROCESS End of Review Period SUBSTANTIVE (con t) to be connected to the ASTC. E-13 DuPage Eye Surgery Center Wheaton Modification Construct and establish a limited-specialty ASTC specializing in Ophthalmology containing 3 ORs, an office suite and space for medical records for the use of the Wheaton Eye Clinic patients and physicians. E-14 Hispanic-American Endoscopy Center, LLC Chicago Modification Construct & establish a 1 OR, single-specialty ASTC specializing in gastroenterology procedures. The facility will be an addition to the Garcia Medical Center. E-15 Chicago Prostate Cancer Surgery Center Westmont 08/17/04 Construct & establish a 2 OR, single-specialty ASTC specializing in urological procedures dealing with cancer of the prostate. E-16 Silver Cross Hospital and Medical Centers Joliet 08/18/04 Expand and modernize ER by constructing a 2-story addition (basement and main floor), as well as modernizing existing space. E-17 Mid-Central Illinois Gastroenterology Institute Normal 08/19/04 Construct & establish a limited-specialty ASTC to provide gastroenterology/endoscopy services exclusively. E-18 The Clare at Water Tower Chicago 08/19/04 Construct & establish a 32-bed skilled nursing facility as part of a CCRC which will also contain 271 independent living units, 38 assisted living units and 16 memory support units. E-19 Kindred Hospital-Chicago Chicago 08/19/04 Add 17 AMI beds to its existing 31-bed unit by E-20 Children s Memorial Hospital Chicago 09/03/04 Add 25 Neonatal ICU beds. E-21 Norwegian American Hospital Chicago 09/09/04 Establish diagnostic cardiac cath category of service. E-22 Swedish American Hosp. Assoc. at Rockford Rockford 09/29/04 Construct a 4-story bldg. to be attached to the hosp. by two walkways to house a modernized relocated 30-bed ICU/CCU dept. and 64 modernized relocated private Med/Surg rooms. The project will also result in the discontinuation of 40 Med/Surg beds. E-23 Advocate Christ Med. Ctr. & Hope Children s Hosp Oak Lawn 09/29/04 Modernize existing space, convert 10 Level II neonatal beds to Level III beds, add 3 new Level III beds, discontinue 9 OB beds increasing the number of private rooms and add 5 pediatric ICU beds.

Agenda - Health Facilities Planning Board March 27, 2007 - Page 1

Agenda - Health Facilities Planning Board March 27, 2007 - Page 1 Agenda - Health Facilities Planning Board March 27, 2007 - Page 1 State of Illinois Health Facilities Planning Board 525 West Jefferson Street, 2 nd Floor, Springfield, Illinois 62761 (217) 782-3516, (217)

More information

Hospital/Facility Type (Acute In-patient, LTAC, Rehabilitation, or Specialty) Address City Zip Phone. Hospital Name

Hospital/Facility Type (Acute In-patient, LTAC, Rehabilitation, or Specialty) Address City Zip Phone. Hospital Name Hospital Name Hospital/Facility Type (Acute In-patient, LTAC, Rehabilitation, or Specialty) Address City Zip Phone ADVENTIST BOLINGBROOK HOSPITAL ACUTE INPATIENT 420 MEDICAL CENTER DR BOLINGBROOK 60440

More information

Hospital Directory. Integrated Care Program and Family Health Plan 1-866-329-4701. IlliniCare.com TDD/TTY: 1-866-811-2452

Hospital Directory. Integrated Care Program and Family Health Plan 1-866-329-4701. IlliniCare.com TDD/TTY: 1-866-811-2452 Hospital Directory Integrated Care Program and Family Health Plan 1-866-329-4701 TDD/TTY: 1-866-811-2452 IlliniCare Health Plan, Inc. All rights reserved. IlliniCare.com Hospital Directory 1 WELCOME TO

More information

Research in Your Backyard. Illinois

Research in Your Backyard. Illinois Research in Your Backyard Pharmaceutical Clinical Trials Illinois Since 1999, 5,115 clinical trials have been conducted by biopharmaceutical companies in collaboration with research institutions in Illinois,

More information

RATE YEAR 2014 DISPROPORTIONATE SHARE HOSPITAL and/or MEDICAID PERCENTAGE ADJUSTMENT ELIGIBLE HOSPITALS October 1, 2013 - September 30, 2014

RATE YEAR 2014 DISPROPORTIONATE SHARE HOSPITAL and/or MEDICAID PERCENTAGE ADJUSTMENT ELIGIBLE HOSPITALS October 1, 2013 - September 30, 2014 Abraham Lincoln Children's, Lincoln Yes Yes Adventist GlenOaks Hospital, Glendale Heights Yes Yes Advocate Christ Hope Children's, Oak Lawn Yes Yes Advocate Illinois Masonic MC, Chicago Yes Yes Advocate

More information

STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD

STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD 525 WEST JEFFERSON ST. SPRINGFIELD, ILLINOIS 62761 (217) 782-3516 FAX: (217) 785-4111 DOCKET NO: H-2 BOARD MEETING: November 12, 214 FACILITY

More information

Advocate Trinity Hospital Cardiac/Pulmonary Rehabilitation 2320 E. 93 rd St. Chicago, IL 60617 Ph: (773) 967-2000, ext. 3991 Fax: (773) 967-5956

Advocate Trinity Hospital Cardiac/Pulmonary Rehabilitation 2320 E. 93 rd St. Chicago, IL 60617 Ph: (773) 967-2000, ext. 3991 Fax: (773) 967-5956 Programs in Illinois Arlington Heights Northwest Community 900 W. Central Road Arlington Heights, IL 60005 Ph: (847) 618-7992 Fax: (847) 618-7919 Aurora Rush-Copley Medical Center 2088 Ogden Ave, Suite

More information

STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD

STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD 5 525 WEST JEFFERSON ST. SPRINGFIELD, ILLINOIS 62761 (217) 782-3516 FAX: 217) 785-4111 DOCKET ITEM: BOARD MEETING: EXEMPTION NUMBER: E-1 March

More information

Champaign TYPE OF PROJECT: Substantive HSA: IV

Champaign TYPE OF PROJECT: Substantive HSA: IV DOCKET NO: BOARD MEETING: PROJECT NO: PROJECT COST: B - 1 January 15-16, 2008 07-004 Original: $4,498,500 FACILITY NAME: CITY: Current: $4,498,500 Olympian Surgical Suites Champaign TYPE OF PROJECT: Substantive

More information

BOARD MEETING: March 27-28, 2007. Silver Cross Hospital and Medical Center, Joliet STATE AGENCY REPORT

BOARD MEETING: March 27-28, 2007. Silver Cross Hospital and Medical Center, Joliet STATE AGENCY REPORT 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

More information

PROJECT NO: 01-063 CITY: Highland Park

PROJECT NO: 01-063 CITY: Highland Park DOCKET NO: BOARD MEETING: PROJECT NO: PROJECT COST: A-8 November 29, 2001 FACILITY NAME: Highland Park Hospital CITY: 01-063 Highland Park Original: $3,604,745 Current: $ TYPE OF PROJECT: Substantive HSA:

More information

May 20-21, 2008. Original: $50,325,000 FACILITY NAME:

May 20-21, 2008. Original: $50,325,000 FACILITY NAME: DOCKET NO: BOARD MEETING: PROJECT NO: PROJECT COST: A - May 2-21, 28 8-8 Original: $5,325, FACILITY NAME: Gottlieb Memorial Hospital TYPE OF PROJECT: Non-Substantive CITY: Melrose Park Current: HSA: VII

More information

HEALTHCARE BULLETIN. January 16, 2008 ALABAMA CON REVIEW BOARD UPDATE

HEALTHCARE BULLETIN. January 16, 2008 ALABAMA CON REVIEW BOARD UPDATE HEALTHCARE BULLETIN January 16, 2008 ALABAMA CON REVIEW BOARD UPDATE I. SHPDA ADMINISTRATIVE REPORT A. Contested Cases AL2007-037, Hillcrest Behavioral Health Services, Birmingham AL: Proposal to add fourteen

More information

March 27-28, 2007. Moline TYPE OF PROJECT: Substantive HSA: X

March 27-28, 2007. Moline TYPE OF PROJECT: Substantive HSA: X DOCKET NO: BOARD MEETING: PROJECT NO: PROJECT COST: A - 6 FACILITY NAME: March 27-28, 2007 06-071 CITY: Original: $0 Regional Surgicenter, Ltd. Moline TYPE OF PROJECT: Substantive HSA: X PROJECT DESCRIPTION:

More information

STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD

STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD 52525 WEST JEFFERSON ST. SPRINGFIELD, ILLINOIS 62761 (217) 782-3516 FAX: (217) 785-4111 DOCKET NO: BOARD MEETING: PROJECT NO: PROJECT COST: H-1 July 23-24, 212 FACILITY NAME: Advanced Eye Surgery and Laser

More information

Development Profiles. Pima Medical Pavilion I and II Scottsdale, Arizona. 4105 and 4125 Briargate Parkway Colorado Springs, Colorado

Development Profiles. Pima Medical Pavilion I and II Scottsdale, Arizona. 4105 and 4125 Briargate Parkway Colorado Springs, Colorado Development Profiles Over the last 20 years, Healthcare Realty has developed more than four million square feet of outpatient medical facilities, representing an investment of over $1 billion. These properties,

More information

USA MEDICARE DIRECT a product of

USA MEDICARE DIRECT a product of BUREAU LONG TERM CARE FACILITY KINDRED CHICAGO CENTRAL HOSPITAL 4058 W MELROSE ST CHICAGO, IL 60641 (773) 736-7000 MANOR COURT OF PRINCETON KINDRED HOSPITAL CHICAGO NORTHLAKE 140 N 6TH ST 365 E NORTH AVE

More information

Medicare Advantage HMO Chemical Dependence Services Facility Network

Medicare Advantage HMO Chemical Dependence Services Facility Network RPG Medicare Advantage HMO Chemical Dependence Services Facility Network Adults Facility Name Facility Address Contact Person & Phone No. Administrator Comments Advocate Addiction Treatment Program (formerly

More information

STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD

STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD DOCKET NO: BOARD MEETING: PROJECT NO: PROJECT COST: H-09 October 30-31, 2012 FACILITY NAME: Hispanic American Endoscopy Center 12-068 CITY: Chicago Original:$ 50,500 Current: $ TYPE OF PROJECT: Substantive

More information

Clinics Providing STD Diagnosis and Treatment in Illinois by County

Clinics Providing STD Diagnosis and Treatment in Illinois by County ADAMS FAMILY PLANNING-STD CLINIC 636 HAMPSHIRE ST. SUITE 201 QUINCY Tuesday through Friday 8:30 a.m. to 6:00 p.m. QUINCY 62301 217-224-6877 ALEXANDER SOUTHERN SEVEN HD 3014 ELM ST. CAIRO 8:30 a.m. to 4:30

More information

ILLINOIS EMERGENCY RESPONSE SYSTEM BY EMS REGION

ILLINOIS EMERGENCY RESPONSE SYSTEM BY EMS REGION ILLINOIS EMERGENCY RESPONSE SYSTEM BY REGION REGION 1 - ROCKFORD MEMORIAL HOSPITAL, ROCKFORD POD/RHCC CGH Medical Center Sterling - Associate - FHN Memorial Freeport - Associate - Katherine Shaw Bethea

More information

North Division Telephone Directory

North Division Telephone Directory MONTEFIORE MEDICAL CENTER NORTH DIVISION 600 E. 233 RD STREET BRONX, NEW YORK 10466 North Division Telephone Directory (When calling internally, use all five digits of the extension. When calling from

More information

Provider Identifier Code

Provider Identifier Code Provider Identifier Code Description: Code identifying an organizational entity, a physical location, or an individual Allowable Values: 1G, 1H, 1O, 1Q - 1X, 1Z, 2P, 2S, 2Y, 2Z, 3A - 3Z, 4A 4J, 4L 4S,

More information

MISSISSIPPI CON UPDATE

MISSISSIPPI CON UPDATE MISSISSIPPI CON UPDATE December 1, 2011 I. NOVEMBER 2011, MISSISSIPPI CERTIFICATE OF NEED MEETINGS During the November 17, 2011, Mississippi State Department of Health Certificate of Need Meeting, Donald

More information

STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD

STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD 52525 WEST JEFFERSON ST. SPRINGFIELD, ILLINOIS 62761 (217) 782-3516 FAX: (217) 785-4111 DOCKET NO: H-07 BOARD MEETING: October 7, 2014 FACILITY

More information

A system of care for the people of Central New England

A system of care for the people of Central New England A system of care for the people of Central New England UMassMemorial Health Care 2 Best People. Best Care. Together, we make all the difference. UMass Memorial Health Care is the number one choice for

More information

SIGNIFICANT EVENTS IN THE HISTORY AND PRE-HISTORY OF BLANCHARD VALLEY HEALTH SYSTEM

SIGNIFICANT EVENTS IN THE HISTORY AND PRE-HISTORY OF BLANCHARD VALLEY HEALTH SYSTEM SIGNIFICANT EVENTS IN THE HISTORY AND PRE-HISTORY OF BLANCHARD VALLEY HEALTH SYSTEM JUNE, 1891 Findlay s first hospital is incorporated. Located at 1217 North Main Street, it is known as the Findlay Home

More information

Ambulance Service. Ambulatory Surgery Center. ANCILLARY PROVIDERS PHC Link

Ambulance Service. Ambulatory Surgery Center. ANCILLARY PROVIDERS PHC Link ANCILLARY PROVIDERS PHC Link Ambulance Service Northern Lanc. Co. Med. Transport Svc. Cooperative 101 East Franklin Street 717-355-0303 Ambulatory Surgery Center Crossroads Surgery Center 4150 Barrett

More information

(A) Information needed to identify and classify the hospital, include the following: (b) The hospital number assigned by the department;

(A) Information needed to identify and classify the hospital, include the following: (b) The hospital number assigned by the department; 3701-59-05 Hospital registration and reporting requirements. Every hospital, public or private, shall, by the first of March of each year, register with and report to the department of health the following

More information

Original: $3,201,651 FACILITY NAME: McDonough County Hospital District

Original: $3,201,651 FACILITY NAME: McDonough County Hospital District STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD 525 WEST JEFFERSON ST. SPRINGFIELD, ILLINOIS 62761 (217) 782-3516 FAX: (217) 785-4111 DOCKET NO: H-8 BOARD MEETING: July 14, 214 PROJECT NO:

More information

421 N. County Farm Road Wheaton, IL 60187

421 N. County Farm Road Wheaton, IL 60187 421 N. County Farm Road Wheaton, IL 60187 (630) 407-6500 1-800-942-9412 (Toll-Free) (630) 407-6502 (TDD) (630) 407-6501 (FAX) www.dupageco.org E-mail: seniorsvcs@dupageco.org Choosing a Long Term Care

More information

WEEKLY REPORT No: 05-39 Date: September 30, 2005 Phone: 601-576-7874

WEEKLY REPORT No: 05-39 Date: September 30, 2005 Phone: 601-576-7874 Date: The Division of Health Planning and Resource Development reports the following activities relative to applications for the week ending : LETTER OF INTENT TO CHANGE OWNERSHIP Corinth Health and Rehab

More information

How To Get A Medical Center Bond From The Catholic Health Authority

How To Get A Medical Center Bond From The Catholic Health Authority 2010 Financings Shore Memorial Hospital Series 2010 - $15,000,000 Shore Memorial Hospital, located in Somers Point, New Jersey, is a not-for-profit, 296 licensed bed facility with 1,600 employees and more

More information

IlliniCare Health Plan Network of Nursing Facilities

IlliniCare Health Plan Network of Nursing Facilities Cook County IlliniCare Health Plan Network of Nursing Facilities GLEN LAKE TERRACE NURSING & REHABILITATION CENTER LTD 2222 W 14TH ST WAUKEGAN, IL 60005 (847) 249-2400 ALDEN-DES PLAINES 1221 E GOLF RD

More information

Original: $28,500,000 FACILITY NAME: Carle-Curtis Road Clinic

Original: $28,500,000 FACILITY NAME: Carle-Curtis Road Clinic STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD 525 WEST JEFFERSON ST. SPRINGFIELD, ILLINOIS 62761 (217) 782-3516 FAX: (217) 785-4111 DOCKET NO: H-05 BOARD MEETING: August 25, 2015 PROJECT

More information

Domestic Providers & Services Directory Mohawk Valley Health System

Domestic Providers & Services Directory Mohawk Valley Health System Domestic Providers & Services Directory Mohawk Valley Health System This directory is a resource for Mohawk Valley Health System (MVHS) non-union employees who have MVHS-sponsored medical insurance through

More information

Ten Year Capital Expenditure Plan for Facilities and Equipment

Ten Year Capital Expenditure Plan for Facilities and Equipment Ten Capital Expenditure Plan for Facilities and Equipment John H. Staley Senior Associate Director Ten Capital Expenditure Plan Summary FY 2005-2014 UNIVERSITY OF IOWA HOSPITALS AND CLINICS PRELIMINARY

More information

METROWEST MEDICAL CENTER

METROWEST MEDICAL CENTER (508) 650-7000 Framingham Union METROWEST MEDICAL CENTER 115 Lincoln Street (508) 383-1000 24-hour Emergency Department Care Community Healthcare Provider This healthcare network encompasses the entirety

More information

2009 Cost Center Setup Cross Reference Exhibit 3, 4, 11, 19, 20, 30, 31A, and 46. Exh 4, S-3. 30 & 31A Line

2009 Cost Center Setup Cross Reference Exhibit 3, 4, 11, 19, 20, 30, 31A, and 46. Exh 4, S-3. 30 & 31A Line Setup Cross Reference General Service Assignments (95) (38) Standard 001-026, 029-030, 033, 040-047, 095 (57)Variable 027-028, 031-032, 034-039, 048-094 (Program Capabilities 200) 1 0100 Old Capital Related

More information

WEEKLY REPORT No: 13-39 Date: September 27, 2013 Phone: 601-576-7874

WEEKLY REPORT No: 13-39 Date: September 27, 2013 Phone: 601-576-7874 The Division of Health Planning and Resource Development reports the following activities relative to for the week ending September 27, 2013. LOI TO CHANGE OWNERSHIP/TRANSFER OF HHA COUNTY Cornerstone

More information

SECTION 4 1 CCHP PROVIDER NETWORK

SECTION 4 1 CCHP PROVIDER NETWORK SECTION 4 1 CCHP PROVIDER NETWORK Physicians: Chinese Community Health Care Association (CCHCA) 1 Mid-level Practitioner s Services 1 Participating Providers and Pharmacies 1 Affiliated Hospitals 2 Chinese

More information

State of Illinois Telephone Directory Children and Family Services, Department of [8] Business Listing

State of Illinois Telephone Directory Children and Family Services, Department of [8] Business Listing State of Illinois Telephone Directory Children and Family Services, Department of [8] Business Listing Updated: 10/21/2015 04:11:19 AM This information is provided and updated by the Telecommunications

More information

Pediatric Outpatient Rehabilitation Services

Pediatric Outpatient Rehabilitation Services Pediatric Outpatient Rehabilitation Services Northwestern Medicine Pediatric Rehabilitation As a parent, you want your child to lead a full and satisfying life at home and in school. The goal of Pediatric

More information

LONG-TERM CARE FACILITY UPDATES

LONG-TERM CARE FACILITY UPDATES PLANNING Health Service Area 1 Boone CHOW 6/1/2013 Home Bridge Center, Belvidere Name Change 8/26/2013 The Gardens of Belvidere, Belvidere Formerly Home Bridge Center. Name Change 1/22/2014 Park Place

More information

MEMORIAL HERMANN HEALTH SOLUTIONS, INC. FACILITY & ANCILLARY PROVIDER CREDENTIALING APPLICATION

MEMORIAL HERMANN HEALTH SOLUTIONS, INC. FACILITY & ANCILLARY PROVIDER CREDENTIALING APPLICATION Facility Name: Dear Provider: MEMORIAL HERMANN HEALTH SOLUTIONS, INC. FACILITY & ANCILLARY PROVIDER CREDENTIALING APPLICATION All facilities and ancillary providers must submit a completed Credentialing

More information

Hospital Statement of Cost BHF Page 1 Healthcare and Family Services, Bureau of Health Finance, 201 S. Grand Ave. E., Springfield, IL 62763

Hospital Statement of Cost BHF Page 1 Healthcare and Family Services, Bureau of Health Finance, 201 S. Grand Ave. E., Springfield, IL 62763 Hospital Statement of Cost BHF Page 1 Healthcare and Family Services, Bureau of Health Finance, 201 S. Grand Ave. E., Springfield, IL 62763 General Information Name of Hospital: Jackson Park Hospital 14-0177

More information

HEALTHCARE BULLETIN. August 20, 2008 ALABAMA CON REVIEW BOARD UPDATE

HEALTHCARE BULLETIN. August 20, 2008 ALABAMA CON REVIEW BOARD UPDATE HEALTHCARE BULLETIN August 20, 2008 ALABAMA CON REVIEW BOARD UPDATE I. CERTIFICATE OF NEED PROGRAM A. Emergency CON Application AL2008-036, Mizell Memorial Hospital, Inc., Opp, AL: Request for an emergency

More information

STATUTORY AUTHORITY: KRS 194A.030, 194A.050(1), 216B.010, 216B.015(28), NECESSITY, FUNCTION, AND CONFORMITY: KRS 216B.040(2)(a)2.

STATUTORY AUTHORITY: KRS 194A.030, 194A.050(1), 216B.010, 216B.015(28), NECESSITY, FUNCTION, AND CONFORMITY: KRS 216B.040(2)(a)2. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 CABINET FOR HEALTH AND FAMILY SERVICES Office of Health Policy (Amendment) 900 KAR 5:020. State Health Plan for facilities and services. RELATES TO:

More information

STATE AGENCY REPORT. A. The State Agency finds that the proposed project does not appear to be in conformance with the provisions of Part 1110.

STATE AGENCY REPORT. A. The State Agency finds that the proposed project does not appear to be in conformance with the provisions of Part 1110. STATE AGENCY REPORT WSKC Dialysis Services, Inc. Everest Healthcare Services Corp. West Side Health Authority d/b/a Austin Community Kidney Center Chicago, Illinois Project #00-025 I. The Proposed Project

More information

Population Health and Ambulatory Services

Population Health and Ambulatory Services Population Health and Ambulatory Services Population Health and Ambulatory Services Division President, Kelly Macken-Marble Clinical Integration Population Health Primary Care Home & Community Health Urgency

More information

Carelink CaroMont Provider Directory

Carelink CaroMont Provider Directory Carelink CaroMont Product Service Area: Cleveland, Lincoln, and Gaston Counties November 2013 Carelink from Coventry benefit plans are underwritten and administered by Coventry Health Care of the Carolinas,

More information

University Hospital. Valet Parking. Directions from University Hospital to:

University Hospital. Valet Parking. Directions from University Hospital to: version 7 MAPversion 1 Directions from University Hospital to: Huntsman Cancer Institute and Clinical Neurosciences Center Take the visitor elevators to Level 3. Turn left out of the elevators and follow

More information

Preauthorization Requirements * (as of January 1, 2016)

Preauthorization Requirements * (as of January 1, 2016) OFFICE VISITS Primary Care Office Visits Primary Care Home Visits Specialist Office Visits No Specialist Home Visits PREVENTIVE CARE Well Child Visits and Immunizations Adult Annual Physical Examinations

More information

How To Get Help For A Drug Addict

How To Get Help For A Drug Addict Resources Substance Abuse Treatment Referral Contacts Chicago and Surrounding Areas 12 Step Programs and Other Resources Crystal Meth Treatment Referral Contacts Chicago and Surrounding Areas Howard Brown

More information

YOUR TALENT SEARCH, SIMPLIFIED

YOUR TALENT SEARCH, SIMPLIFIED YOUR TALENT SEARCH, SIMPLIFIED ACADEMIA & RESEARCH American Association for the Study of Liver Diseases American Association of Colleges of Osteopathic Medicine American Association of Diabetes Educators

More information

Medicare Advantage Nursing Facilities

Medicare Advantage Nursing Facilities Medicare Advantage ############## ENROLLEE SERVICES: 1-855-275-2781 66 PROVIDERS TTY: 1-888-461-2378 ALDEN ALMA NELSON MANOR 550 S MULFORD RD ROCKFORD IL 61108 Phone: (815) 484-1002 ALDEN DES PLAINES REHAB

More information

Kettering College Placement in Employment

Kettering College Placement in Employment Kettering College Placement in Employment Summary of Job Titles and Employers This document contains the types of employment graduates qualify for after successfully completing the program, passing their

More information

STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD CITY: Joliet TYPE OF PROJECT: Substantive HSA: IX

STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD CITY: Joliet TYPE OF PROJECT: Substantive HSA: IX STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD 52525 WEST JEFFERSON ST. SPRINGFIELD, ILLINOIS 62761 (217) 782-3516 FAX: (217) 785-4111 DOCKET NO: BOARD MEETING: PROJECT NO: PROJECT COST:

More information

CERTIFICATE OF NEED REVIEWED BY THE DEPARTMENT OF HEALTH DIVISION OF POLICY, PLANNING AND ASSESSMENT 615-741-1954 DATE: December 31, 2015 APPLICANT: Reeves Eye Surgery Center 2328 Knob Creek Road, Suite

More information

APPLICATION FOR RESIDENTIAL OR HEALTH CARE LICENSE

APPLICATION FOR RESIDENTIAL OR HEALTH CARE LICENSE STATE OF NEW HAMPSHIRE DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF OPERATIONS SUPPORT HEALTH FACILITIES ADMINISTRATION 129 Pleasant Street, Concord, NH 03301 TDD Access: Relay NH 1-800-735-2964 Agency

More information

Objective of This Lecture

Objective of This Lecture Component 2: The Culture of Health Care Unit 3: Health Care Settings The Places Where Care Is Delivered Lecture 5 This material was developed by Oregon Health & Science University, funded by the Department

More information

1Q15 PROPERTY ADVISOR REPORT TM. Date Printed: 4/9/2015 11:19:22 AM

1Q15 PROPERTY ADVISOR REPORT TM. Date Printed: 4/9/2015 11:19:22 AM TM Q5 205 National Investment Center for Seniors Housing & Care (NIC). All rights reserved. Data believed to be accurate but not guaranteed; subject to future revision. This report is a part of the NIC

More information

The Mount Sinai Health System Is Formed to Provide Expanded Access to Primary, Specialty, and Ambulatory Care

The Mount Sinai Health System Is Formed to Provide Expanded Access to Primary, Specialty, and Ambulatory Care The Mount Sinai Health System Is Formed to Provide Expanded Access to Primary, Specialty, and Ambulatory Care Seven Member Hospital Campuses and a Single Medical School Serve as Basis for Integrated Health

More information

Specialists, Ancillary, Hospital, and Behavioral Health Providers Provider Relations Representatives

Specialists, Ancillary, Hospital, and Behavioral Health Providers Provider Relations Representatives Specialists,, Hospital, and s Relations Representatives Catherine Ball Fax: (210) 358-6199 Phone: (210) 358-6184 Email: cball@cfhp.com Facilities Anesthesiology Home 78114 Archway Recovery Centers Developmental

More information

PHYSICIANS / SURGEONS

PHYSICIANS / SURGEONS PHYSICIANS / SURGEONS American Academy of Audiology American Academy of Neurology American Academy of Physical Medicine & Rehabilitation American Academy of Ophthalmology Academy of Correctional Health

More information

Pre-License Filing *NOTICE * THIS FORM WAS REVISED IN OCTOBER 2013 PLEASE READ CAREFULLY -

Pre-License Filing *NOTICE * THIS FORM WAS REVISED IN OCTOBER 2013 PLEASE READ CAREFULLY - Pre-License Filing *NOTICE * THIS FORM WAS REVISED IN OCTOBER 2013 PLEASE READ CAREFULLY - THIS FILING IS REQUIRED FOR ALL HEALTHCARE FACILITIES THAT MUST SUBMIT TO ARCHITECTURAL REVIEW AND MUST BE SUBMITTED

More information

THE 2009 ANNUAL AMBULATORY SURGICAL TREATMENT CENTER QUESTIONNAIRE. 24-29 Definitions

THE 2009 ANNUAL AMBULATORY SURGICAL TREATMENT CENTER QUESTIONNAIRE. 24-29 Definitions THE 2009 ANNUAL AMBULATORY SURGICAL TREATMENT CENTER QUESTIONNAIRE Page Number P1-P2 Preface 3 22 Questionnaire Form 23 Charity Care Worksheet 24-29 Definitions PREFACE TO THE 2009 ANNUAL AMBULATORY SURGICAL

More information

AAPA ANNUAL SURVEY REPORT

AAPA ANNUAL SURVEY REPORT 2013 AAPA ANNUAL SURVEY REPORT PHYSICIAN ASSISTANTS AT A GLANCE HIGHLIGHTS OF THE MEDIAN AGE CLINICALLY PRACTICING PAS BY PRIMARY SPECIALTY PRACTICE SETTING Primary Care 32.0% Surgical Subspecialties 27.0%

More information

Illinois Safety-Net Hospitals Caring for our state s most vulnerable citizens

Illinois Safety-Net Hospitals Caring for our state s most vulnerable citizens Illinois Safety-Net Hospitals Caring for our state s most vulnerable citizens Illinois 36 safety-net hospitals representing 17.1% of Illinois hospitals 1 are a major source of medical care for low-income,

More information

Changes of Ownership by Northwest Community Day Surgery

Changes of Ownership by Northwest Community Day Surgery STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD 5 525 WEST JEFFERSON ST. SPRINGFIELD, ILLINOIS 62761 (217) 782-3516 FAX: 217) 785-4111 DOCKET ITEM: BOARD MEETING: EXEMPTION NUMBER: C-01 November

More information

Specialty Clinic Phone Listing

Specialty Clinic Phone Listing Adult Specialties Addiction Services (see Behavioral Health & Recovery/AODA) Allergy/Immunology 451 Junction Rd., Madison (West ) 263-6180 (local) 800-489-6008 (outreach clinics) 20 S. Park St., Madison

More information

DEPARTMENT OF COMMUNITY HEALTH HEALTH POLICY AND REGULATION ADMINISTRATION CERTIFICATE OF NEED

DEPARTMENT OF COMMUNITY HEALTH HEALTH POLICY AND REGULATION ADMINISTRATION CERTIFICATE OF NEED DEPARTMENT OF COMMUNITY HEALTH HEALTH POLICY AND REGULATION ADMINISTRATION CERTIFICATE OF NEED (By authority conferred on the department of public health by sections 2226, 2233, and 22255 of 1978 PA 368,

More information

PREVENTIVE CARE See the REHP Benefits Handbook for a list of preventive benefits* MATERNITY SERVICES Office visits Covered in full including first

PREVENTIVE CARE See the REHP Benefits Handbook for a list of preventive benefits* MATERNITY SERVICES Office visits Covered in full including first Network Providers Non Network Providers** DEDUCTIBLE (Per Calendar Year) None $250 per person $500 per family OUT-OF-POCKET MAXIMUM (When the out-of-pocket maximum is reached, benefits are paid at 100%

More information

FLORIDA BLUE HOSPITAL, ANCILLARY FACILITY AND SUPPLIER BUSINESS APPLICATION. Facility Name: Legal Name (if different from above):

FLORIDA BLUE HOSPITAL, ANCILLARY FACILITY AND SUPPLIER BUSINESS APPLICATION. Facility Name: Legal Name (if different from above): FLORIDA BLUE HOSPITAL, ANCILLARY FACILITY AND SUPPLIER BUSINESS APPLICATION Florida Blue Provider Number: Facility Name: Legal Name (if different from above): Facility Physical Address: City: State: Zip

More information

II.D. HOSPITALS AND CLINICS

II.D. HOSPITALS AND CLINICS II.D. HOSPITALS AND CLINICS A.G. HOLLEY STATE HOSPITAL COMPLEX 1199 West Lantana Road Lantana, FL 33462 Phone: (561) 582-5666 (800) 482-4636 (Tuberculosis Hotline) Hours: 24 hour facility Fees: Contact

More information

How Premier Members access the Verizon Member Agreement from the Premier website.

How Premier Members access the Verizon Member Agreement from the Premier website. How Premier Members access the Verizon Member Agreement from the Premier website. These instructions are designed to connect your organization to the Verizon Wireless Agreement via the Premier Inc website

More information

REQUEST FOR MEMBERSHIP AND CLINICAL PRIVILEGES

REQUEST FOR MEMBERSHIP AND CLINICAL PRIVILEGES REQUEST FOR MEMBERSHIP AND CLINICAL PRIVILEGES *Applicant Printed Name: *Denotes required fields (Last) (First) (M.I) (Degree) Maiden Name (Alias): (Last) (First) *DOB: *SSN Sex: Male Female *Applicant

More information

2013 Match Statistics (Post Grad Year 1) Site Affiliation, Site, Specialty

2013 Match Statistics (Post Grad Year 1) Site Affiliation, Site, Specialty Adena Regional Medical Center Advocate Christ Medical Center Preliminary Albert Einstein Medical Center Allegiance Health Hospital Arrowhead Regional Med Ctr Aultman Hospital Baptist Health System Program

More information

SCHEDULING GUIDE. April 15, 2016. FOR CHANGES TO THE SCHEDULING DIRECTORY, PLEASE EMAIL gainer@musc.edu.

SCHEDULING GUIDE. April 15, 2016. FOR CHANGES TO THE SCHEDULING DIRECTORY, PLEASE EMAIL gainer@musc.edu. SCHEDULING GUIDE April 15, 2016 FOR CHANGES TO THE SCHEDULING DIRECTORY, PLEASE EMAIL gainer@musc.edu. Service Telephone Fax Adolescent Medicine 876-0444 876-1493 Allergy & Immunology 876-8282 876-8181

More information

EXHIBIT 286. (Rev. 80, Issued: 03-01-12) HOSPITAL/CAH DATABASE WORKSHEET

EXHIBIT 286. (Rev. 80, Issued: 03-01-12) HOSPITAL/CAH DATABASE WORKSHEET EXHIBIT 286 (Rev. 80, Issued: 03-01-12) HOSPITAL/CAH DATABASE WORKSHEET Worksheet completed by the SA surveyor to gather data of worksheet, not to be given to provider to fill out. CMS Certification Number

More information

New Jersey Department of Health Office of Certificate of Need and Healthcare Facility Licensure PO Box 358 Trenton, NJ 08625-0358

New Jersey Department of Health Office of Certificate of Need and Healthcare Facility Licensure PO Box 358 Trenton, NJ 08625-0358 New Jersey Department of Health Office of Certificate of Need and Healthcare Facility Licensure PO Box 358 Trenton, NJ 08625-0358 APPLICATION FOR NEW OR AMENDED ACUTE CARE FACILITY LICENSE LICENSURE AND

More information

Medicare Advantage Ancillary

Medicare Advantage Ancillary Medicare Advantage Ancillary December 2014 ENROLLEE SERVICES: 1-855-275-2781 115 ANCILLARY PROVIDERS TTY: 1-888-461-2378 ABCOR, INC. ACCESS HEALTH MEDICAL SUPPLIES 3201 N WILKE RD ARLINGTON HEIGH IL 60004

More information

Triple aim of ACA. Shanty Creek, November 2015. 1. Improved patient experience easier acess 2. Improved quality of healthcare 3.

Triple aim of ACA. Shanty Creek, November 2015. 1. Improved patient experience easier acess 2. Improved quality of healthcare 3. Theresa Anderson, West Shore Medical Center Tracey Chappel, West Shore Medical Center Ingemar Johansson, Centra Wellness Network Shanty Creek, November 2015 Triple aim of ACA 1. Improved patient experience

More information

PENNSYLVANIA PROFESSIONAL LIABILITY JOINT UNDERWRITING ASSOCIATION

PENNSYLVANIA PROFESSIONAL LIABILITY JOINT UNDERWRITING ASSOCIATION PENNSYLVANIA PROFESSIONAL LIABILITY JOINT UNDERWRITING ASSOCIATION Hickory Pointe, Suite 125, 2250 Hickory Road, Plymouth Meeting, PA 19462 (610) 828-8890 - Fax: (610) 825-0688 - E-mail: Insurance@PAJUA.com

More information

Hospital Statement of Cost OHF Page 1 Illinois Department of Public Aid, Office of Health Finance, 201 S. Grand Ave. E., Springfield, IL 62763

Hospital Statement of Cost OHF Page 1 Illinois Department of Public Aid, Office of Health Finance, 201 S. Grand Ave. E., Springfield, IL 62763 Hospital Statement of Cost OHF Page 1 Illinois Department of Public Aid, Office of Health Finance, 201 S. Grand Ave. E., Springfield, IL 62763 General Information Name of Hospital: Provena United Samaritans

More information

Palm Beach Gardens Community Hospital, Inc.

Palm Beach Gardens Community Hospital, Inc. Quality Report Palm Beach Gardens Community Hospital, Inc. DBA: Palm Beach Gardens Medical Center HCO ID: 6884 3360 Burns Road (561 694-7200 w w w.pbgmc.com Summary of Quality Information Accreditation

More information

Presented by Bob Ruebusch, Senior Project Manager Office of Design & Construction

Presented by Bob Ruebusch, Senior Project Manager Office of Design & Construction Presented by Bob Ruebusch, Senior Project Manager Office of Design & Construction Florida Hospital Snapshot 2 Part of Adventist Health Systems faith-based non-profit nationwide 44 hospital chain 8 Campuses

More information

Millikin University Decatur, Illinois. Nursing Internship Application for Summer 2016

Millikin University Decatur, Illinois. Nursing Internship Application for Summer 2016 Millikin University Decatur, Illinois Nursing Internship Application for Summer 2016 Applicant s Anticipated Graduation Date (Circle Response) December 2016 OR May 2017 * Please complete this application

More information

individual and family health insurance plans

individual and family health insurance plans CALL TODAY: (800) 895-2421 MercyCare has a plan for you. individual and family health insurance plans Live well. We ll insure you do. page 1 About us MercyCare s individual health plans are backed by a

More information

STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD PROJECT NO:

STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD PROJECT NO: 52 DOCKET NO: H-3 BOARD MEETING: October 3-31, 212 FACILITY NAME: St. Alexius Medical Center PROJECT NO: 12-64 CITY: Hoffman Estates PROJECT COST: Original: $4,577,328 Current: TYPE OF PROJECT: Non-Substantive

More information

UOM Custom Network SM Facilities List

UOM Custom Network SM Facilities List Facility Name Add1 Add2 City State Zip County Phone Fax Service Abbott Orthotic & Prosthetic Labs LLC 1735 Southwest Blvd JEFFERSON CITY MO 65109 Cole 5736350006 Prosthetics/Orthotics Abbott Orthotic &

More information

Real-Time Job Demand: March/April 2015

Real-Time Job Demand: March/April 2015 Real-Time Job Demand: March/April 2015 Economic Growth Region 3 Adams, Allen, DeKalb, Grant, Huntington, LaGrange, Noble, Steuben, Wabash, Wells, Whitley Industry Focus: Health Care and Social Assistance

More information

63rd Legislature AN ACT RECOGNIZING HOSPITAL ACCREDITATION GRANTED BY ENTITIES OTHER THAN THE JOINT

63rd Legislature AN ACT RECOGNIZING HOSPITAL ACCREDITATION GRANTED BY ENTITIES OTHER THAN THE JOINT 63rd Legislature SB0103 AN ACT RECOGNIZING HOSPITAL ACCREDITATION GRANTED BY ENTITIES OTHER THAN THE JOINT COMMISSION; AND AMENDING SECTIONS 50-5-101 AND 50-5-103, MCA. BE IT ENACTED BY THE LEGISLATURE

More information

Best... MRHC. of Both Worlds. McAlester Regional Health Center

Best... MRHC. of Both Worlds. McAlester Regional Health Center Best... of Both Worlds MRHC is a 197 bed not-for-profit health care facility approved and recognized by JCAHO, American College of Radiology, College of American Pathologists and the Commission on Accreditation

More information

APPENDIX C Description of CHIP Benefits

APPENDIX C Description of CHIP Benefits Inpatient General Acute and Inpatient Rehabilitation Hospital Unlimited. Includes: Hospital-provided physician services Semi-private room and board (or private if medically necessary as certified by attending)

More information

ALEXIAN BROTHERS CENTER FOR ANXIETY AND OBSESSIVE COMPULSIVE DISORDERS

ALEXIAN BROTHERS CENTER FOR ANXIETY AND OBSESSIVE COMPULSIVE DISORDERS ALEXIAN BROTHERS CENTER FOR ANXIETY AND OBSESSIVE COMPULSIVE DISORDERS Begin Here One call is all it takes to access any of the services provided by Alexian Brothers Behavioral Health Hospital. Trained

More information

Elenco dei periodici elettronici in Ovid Full text

Elenco dei periodici elettronici in Ovid Full text Academic Medicine Addictive Disorders & Their Treatment Advances in Anatomic Pathology Age & Ageing AIDS AIDS Patient Care & Stds AJN, American Journal of Nursing Alzheimer Disease & Associated Disorders

More information

Who We Are Not-for-profit, comprehensive acute care medical system Part of the Adventist Health System 277-bed hospital in Daytona Beach 119-bed

Who We Are Not-for-profit, comprehensive acute care medical system Part of the Adventist Health System 277-bed hospital in Daytona Beach 119-bed Who We Are Not-for-profit, comprehensive acute care medical system Part of the Adventist Health System 277-bed hospital in Daytona Beach 119-bed hospital in Ormond Beach (Inpatient Rehabilitation) State-of-the-Art

More information

October 24, 2013. Lakeview Neurorehab Center ATTN: Chief Executive Officer 1701 Sharp Road Waterford, WI 53185. Dear Chief Executive Officer:

October 24, 2013. Lakeview Neurorehab Center ATTN: Chief Executive Officer 1701 Sharp Road Waterford, WI 53185. Dear Chief Executive Officer: Pat Quinn, Governor Julie Hamos, Director 201 South Grand Avenue East Telephone: (217) 785-0710 Springfield, Illinois 62763-0002 TTY: (800) 526-5812 October 24, 2013 Lakeview Neurorehab Center ATTN: Chief

More information

MGMA PROVIDER COMPENSATION 2015

MGMA PROVIDER COMPENSATION 2015 Physicians Allergy/Immunology 203 86 Anesthesiology 2,146 120 Anesthesiology: Pain Management 127 59 Cardiology: Electrophysiology 327 126 Cardiology: Invasive 424 148 Cardiology: Invasive-Interventional

More information