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A - May 20-21, 2008 08-008

FACILITY NAME:

Gottlieb Memorial Hospital

CITY:

Melrose Park

Original: $50,325,000

Current:

TYPE OF PROJECT: Non-Substantive HSA: VII

PROJECT DESCRIPTION: The applicants propose a change of ownership for Gottlieb

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Gottlieb Memorial Hospital Project #08-008

APPLICATION SUMMARY

Applicants Loyola University Health System and Gottlieb Health Resources d/b/a

Gottlieb Memorial Hospital Facility Name Gottlieb Memorial Hospital

Location Melrose Park, Illinois

Application Received February 6, 2008 Application Deemed Complete March 3, 2008 Scheduled Review Period Ended May 2, 2008 Review Period Extended by the State Agency? No

Public Hearing Requested? No

Applicants’ Deferred Project? No

Can Applicants Request Deferral? Yes Applicants’ Modified the Project? Yes

I. The Proposed Project

The applicants propose a change of ownership for Gottlieb Memorial Hospital (“GMH”). The facility is a 274-bed hospital located in Melrose Park, Illinois. The fair market value of the acquisition is $50,325,000.

II. Summary of Findings

A. The State Agency finds the proposed project appears to be in conformance with the provisions of Part 1110.

B. The State Agency finds the proposed project does not appear to be in conformance with the provisions of Part 1120.

III. General Information

The applicants are Loyola University Health System (“LUHS”) and Gottlieb Health Resources d/b/a Gottlieb Memorial Hospital. LUHS owns and operates Loyola University Medical Center (“LUMC” located in Maywood – HSA VII). GMH is located at 701 West North Avenue in Melrose Park (HSA VII). The distance between GMH and LUMC is approximately 3.5 miles.

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and Part 1120 review. A public hearing for this project was held on April 3, 2008. There were 23 individuals in attendance at the public hearing. Of this number, 14 individuals testified in support of the project and one individual testified in opposition. The State Agency received one letter of support for the project. Project obligation is contingent upon permit issuance. The anticipated project completion date is May 31, 2008.

IV. The Proposed Project – Details

The applicants are LUHS and Gottlieb Health Resources (“GHR”) d/b/a Gottlieb Memorial Hospital. The applicants propose to transfer all of the assets, programs and facilities currently owned and operated by GHR which include Gottlieb Memorial Hospital, Gottlieb Health and Fitness Center and Marjorie G. Weinberg Cancer Center to LUHS. The fair market value (“FMV”) of these assets is estimated to be $50,325,000. The State Agency notes no funds are being expended or borrowed to complete this transaction.

Before executing this change of ownership, GHR will establish a not-for-profit charitable foundation. Once the foundation is established, GHR will transfer $90 million to the foundation with $15 million dedicated to capital improvements at GMH. The foundation will provide support for programs and services at GMH only.

Once the change of ownership is complete, LUHS will become the sole owner and operator of all entities of GHR. The operating entity / licensee and owner of GMH will be LUHS.

Tables One and Two display the operational data for GMH. Data in the tables includes authorized beds, admissions, patient days, average length of stay (“ALOS”), average daily census (“ADC”) and occupancy. The State Agency notes data in Table One is for 2006 and was obtained from IDPH’s hospital profiles. The data in Table Two was furnished by the applicants.

TABLE ONE

Gottlieb Memorial Hospital - Utilization Data for January 1, 2006 thru December 31, 2006

Service Authorized Beds Admissions Patient Days ALOS ADC Occupancy

Medical Surgical 154 6,339 32,229 5.2 90.7 58.9%

Pediatric 12 106 176 1.7 0.5 4.0%

Obstetric 30 781 1,990 2.6 5.6 18.7%

Intensive Care 24 937 5,463 3.4 15.0 62.4%

Acute Mental Illness 10 5 47 9.4 0.1 1.3%

LTC Beds 44 756 9,816 13.0 26.9 61.1%

TOTALS 274 8,924 49,721 5.7 138.8 50.7%

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TABLE TWO

Gottlieb Memorial Hospital - Utilization Data for January 1, 2007 thru December 31, 2007

Service Authorized Beds Admissions Patient Days ALOS ADC Occupancy

Medical Surgical 154 5,685 31,543 5.6 86.4 56.1%

Pediatric 12 78 151 1.9 1.0 8.3%

Obstetric 30 752 1,864 2.5 5.1 17.0%

Intensive Care 24 1,436 5,442 3.8 14.9 62.0%

Acute Mental Illness 10 150 1,966 13.1 5.4 53.8%

LTC Beds 44 732 10,041 13.7 27.5 62.5%

TOTALS 274 8,833 51,007 5.8 139.7 51.0%

Source: Data provided by the applicants.

Table Three displays the operational data for Loyola University Medical Center for 2006. The data in the table was obtained from IDPH’s 2006 hospital profile.

TABLE THREE

Loyola University Medical Center - Utilization Data for January 1, 2006 thru December 31, 2006

Service Authorized Beds Admissions Patient Days ALOS ADC Occupancy

Medical Surgical 298 16,515 67,596 4.2 191.2 64.1% Pediatric 32 2,709 6,332 2.6 19.0 59.4% Obstetric 30 3,753 10,381 3.3 33.7 112.2% Intensive Care 134 7,103 33,571 3.2 93.7 69.9% NICU 50 506 12,390 33.9 33.9 67.9% Rehabilitation 24 656 8,048 22.0 22.0 91.9% TOTALS 568 31,242 138,318 4.6 138.8 69.5%

Source: IDPH 2006 hospital profile.

The applicants’ payor source information is listed in Table Four. The data was obtained from the 2006 hospital profiles.

TABLE FOUR

Applicants Payor Source Information Loyola University Medical Center

Medicare Medicaid Public Other Insurance Other Private Pay Charity Care Totals

Inpatients 9,988 5,890 3,472 10,804 709 379 31,242

Percent 32.0% 18.9% 11.1% 34.6% 2.3% 1.2% 100.0%

Gottlieb Memorial Hospital

Medicare Medicaid Other Public Other Insurance Private Pay Charity Care Totals Inpatients 4,423 1,209 0 2,632 362 298 8,924 Percent 49.6% 13.5% 0.0% 29.5% 4.1% 3.3% 100.0%

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V. Project Costs and Sources of Funds

GHR will transfer assets with a FMV of $50,325,000 to LUHS. An appraisal of the property can be found at pages 112-126 of the application. The land has an appraised value of $15,190,000. The State Agency notes land cost is not subject to State Board review. The State Agency also notes that no funds are being expended or borrowed to complete this transaction. Table Five displays the project’s cost information.

TABLE FIVE Project Cost Information

Acquisition of Property 50,325,000

Total $50,325,000

Other Funds and Sources 1 50,325,000

Total $50,325,000

1. Other funds and sources reflect the FMV of the assets transferred. No funds are being expended or borrowed to complete this transaction.

VI. General Review Criteria

A. Criterion 1110.230(b) - Background of Applicants The criterion states:

“1) The applicant shall demonstrate that it is fit, willing and able, and has the qualifications, background and character to adequately provide a proper standard of health care service for the community [20 ILCS 3960/6]. In evaluating the fitness of the applicant, the State Board shall consider whether adverse action has been taken against the applicant, or against any health care facility owned or operated by the applicant, directly or indirectly, within three years preceding the filing of the application.”

The applicants provided licensure and certification information as required (application pages 58-62). The applicants certified they have not had any adverse actions within the past three years. It appears the applicants are fit, willing and able and have the qualifications, background and character to adequately provide a proper standard of healthcare service for the community.

THE STATE AGENCY NOTES THE APPLICANTS APPEAR TO MEET THE BACKGROUND OF APPLICANT CRITERION (77 IAC 1110.230(b)).

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A. Criterion 1110.240(b) - Impact Statement The criterion states:

“The applicant must submit an impact statement which details any proposed changes in the beds or services currently offered, who the anticipated operating entity will be, the reason for the transaction, any anticipated additions or reductions in employees, and a cost/benefit analysis of the transaction. The statement must reflect at least a two-year period following the date of the change of ownership, merger or consolidation.”

The applicants provided an impact statement (page 75 of the application), which detailed there would be no change in the services offered, no addition or reduction in employees, no cost or benefit associated with the transaction, now or in the next two years. It appears the applicants have met the requirements of this criterion.

THE STATE AGENCY NOTES IT APPEARS THE APPLICANTS MEET THE IMPACT STATEMENT CRITERION (77 IAC 1110.240(b)).

B. Criterion 1110.240(c) - Access The criterion states:

“The applicant must document any changes which may result in the restriction of patient admissions and document that no reductions in access to care will result from the transaction. Documentation shall consist of a written certification that the admission policies of the facilities involved will not become more restrictive and the submission of both the current formal admission policies of all institutions involved and the anticipated policy following completion of the project.”

The applicants’ state there will be no change in the admission policies or a reduction in access to care currently in effect at the facility. A copy of the admission policies was provided as required (pages 76-106 of the application).

THE STATE AGENCY NOTES IT APPEARS THE APPLICANTS MEET THE ACCESS CRITERION (77 IAC 1110.240(c)).

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The criterion states:

“1) The applicant must document that:

A) the applicant's care system will not restrict the use of other area care providers; or

B) the project improves access to services previously unavailable in the community because of the structure of the applicant's care system.

2) Documentation must detail the current and proposed relationship with those health care or health related organizations which are to be owned (in whole or in part), affiliated, operated, or under management contract with the applicant and provide the following: A) all care system service providers and services offered

including location, types of services, number of beds, and utilization levels for provided services over the last 12-month period; and

B) the proposed relationship of the project to the care system. Data should include where referrals for categories of service not available at the proposed project will be made, how duplication of services will be resolved, time and travel factors involving referrals within the care system and any organization policies concerning the use of care system providers over other area providers.”

The applicants state “the use of other health care providers outside the health system is determined by physician caring for the patient. The patient’s physician makes the decision to refer patients to a non-Loyola University Health System facility.” The applicants anticipate LUMC will relocate its general obstetrics, general gynecology, and orthopedic joint program to Gottlieb (application page 76).

THE STATE AGENCY NOTES IT APPEARS THE APPLICANTS MEET THE ACCESS CRITERION (77 IAC 1110.240(d)).

VIII. Financial Feasibility Review Criteria

A. Criterion 1120.210(a) - Financial Viability The criterion states:

“1) Viability Ratios

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with viability ratio standards detailed in Appendix A of this Part or address a variance. Applicants must document compliance for the most recent three years for which audited financial statements are available. For Category B applications, the applicant also must document compliance through the first full fiscal year after project completion or for the first full fiscal year when the project achieves or exceeds target utilization pursuant to 77 Ill. Adm. Code 1100, whichever is later, or address a variance.

2) Variance for Applications Not Meeting Ratios

Applicants not in compliance with any of the viability ratios must document that another organization, public or private, shall assume the legal responsibility to meet the debt obligations should the applicant default.”

Tables Six and Seven display the applicants’ financial ratio information.

TABLE SIX

Gottlieb Health Resources, Inc. d/b/a Gottlieb Memorial Hospital

Historical Projected

Ratio Standard State 2004 2005 2006 2009

Current Ratio >=1.5 2.81 2.32 2.14 1.5 Net Margin Percentage >=3.5% 3.70 .12 2.25 3.04 Percent Debt to Total Capitalization <=60% 31.90 31.42 30.35 0 Projected Debt Service Coverage >=1.75 4.59 3.16 3.74 N/A Days Cash on Hand >=90 456.23 430.60 408.01 51.02 Cushion Ratio >=5 35.19 33.71 32.24 N/A

Gottlieb Health Resources, Inc. provided consolidated financial information for all years required. As seen in Table Six, GHR does not meet the State Board’s standards for Net Margin Percentage for 2005, 2006, and 2009. The State Agency notes the Percent Debt to Total Capitalization Ratio for 2009 will be zero because debt will be reduced to zero as part of the proposed transaction. The Projected Debt Service Coverage and Cushion Ratios are not applicable for 2009 because debt is being repaid as part of the proposed transaction. The Day’s Cash on Hand Ratio is below the standard for 2009 because debt is being repaid.

TABLE SEVEN

Loyola University Health System

Historical Projected

Ratio Standard State

2005 2006 2007 2009

Current Ratio >=1.5 1.79 1.64 2.17 1.95 Net Margin Percentage >=3.5% 1.93 1.68 4.33 3.51 Percent Debt to Total Capitalization <=60% 51.24 50.77 60.62 50.21

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TABLE SEVEN

Loyola University Health System

Historical Projected

Ratio Standard State

2005 2006 2007 2009

Projected Debt Service Coverage >=1.75 3.22 2.87 3.10 3.93 Days Cash on Hand >=90 144.88 141.69 127.09 124.01

Cushion Ratio >=5 9.31 9.21 8.92 10.45

As seen in Table Seven, LUHS does not meet the standard for the Net Margin Percentage Ratio for 2005 and 2006 and the Percent Debt to Total Capitalization Ratio for 2007. No entity was identified to assume responsibility for the debt should the applicants default. Since the applicants do not meet all of the ratio requirements and since another entity was not identified to assume debt obligations, it appears the applicants do not meet the criterion.

THE STATE AGENCY NOTES IT APPEARS THE APPLICANTS HAVE NOT MET THE FINANCIAL VIABILITY CRITERION (77 IAC 1120.210(a)).

B. Criterion 1120.210(b) - Availability of Funds The criterion states:

“The applicant must document that financial resources shall be available and be equal to or exceed the estimated total project cost and any related cost.”

The applicants are transferring assets; no cash is being expended for this change of ownership. Thus, this criterion is not applicable.

C. Criterion 1120.210(c) - Operating Start-up Costs The criterion states:

“The applicant must document that financial resources shall be available and be equal to or exceed any start-up expenses and any initial operating deficit.”

This is an ongoing health care facility; there are no operating start-up costs for this project. Thus, the criterion is not applicable.

IX. Economic Feasibility Review Criteria

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B. Criterion 1120.310 (b) Conditions of Debt Financing

These criteria are not applicable since there is no debt with the project. C. Criterion 1120.310(c) - Reasonableness of Project and Related Costs

Other Costs to be Capitalized - These costs total $53,325,000, which reflect the FMV of the assets being transferred. The State Board does not have standards for this cost.

D. Criterion 1120.310(d) - Projected Operating Cost The criterion states:

“The applicant must provide the projected direct annual operating costs (in current dollars per equivalent patient day or unit of service) for the first full fiscal year after project completion or the first full fiscal year when the project achieves or exceeds target utilization pursuant to 77 Ill. Adm. Code 1100, whichever is later. Direct costs mean the fully allocated costs of salaries, benefits, and supplies for the service.”

Projected operating costs per equivalent patient day are $1074.78. The State Board does not have standards for this cost.

E. Criterion 1120.310(e) - Total Effect of the Project on Capital Costs The criterion states:

“The applicant must provide the total projected annual capital costs (in current dollars per equivalent patient day) for the first full fiscal year after project completion or the first full fiscal year when the project achieves or exceeds target utilization pursuant to 77 Ill. Adm. Code 1100, whichever is later.”

Projected capital costs per equivalent patient day are $89.02. The State Board does not have standards for this cost.

F. Criterion 1120.310 (f) Non-patient Related Services This criterion is not applicable.

G:\FAC\SAR\2008-sar\08-008 Gottlieb Memorial Hospital.doc MC – review completed 4/16/08

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IDPH Number: 0851

HSA 7

HPA A-06 County: Suburban Cook County

American Indian Asian Hawaiian/ Pacific Unknown: Unknown: 0.1% 0.8% 0.3% 1.1% 0.9%

701 West North Avenue Address:

Non-Government Other Non-Profit Management: Facility Type: Melrose Park City: 154 24 12 30 44 0 0 10

Clinical Service Authorized CON Beds

Peak Beds Setup and Staffed Admissions Inpatient Days Average Length of Stay Average Daily Census CON Occupancy Rate % Staffed Beds Occupancy Rate % Medical/Surgical Pediatric Intensive Care Obstetric/Gynecology

Long Term Care Swing Beds Neonatal

Acute Mental Illness Rehabilitation 154 24 12 34 0 10 0 23 6,339 32,229 891 1,597 5,463 4 106 176 0 756 9,816 0 0 0 0 0 0 5 47 0 1,990 63 0 0 0 781 Observation Days 1.7 0.5 4.0 4.0 5.2 90.7 58.9 3.4 15.0 62.4 62.4 58.9 2.6 5.6 18.7 24.5 0.0 0.0 13.0 26.9 61.1 79.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 9.4 0.1 1.3 1.3

Medicare Medicaid Other Public Other Insurance Private Pay Charity Care Inpatient and Outpatient Information by Payor Source

Totals

4423 1209 0 2632 362 298

Totals 9,584 49,721

Facility Utilization Data by Category of Service

Beds Setup 10/1/2006 Peak Census Dedcated Observation 154 24 12 23 34 0 0 0 119 21 3 31 0 3 0 13 958 1,104 3,532 0 0 2,320 14,403 8,294 1,061 6,000 1,854 0-14 Years 15-44 Years 45-64 Years 65-74 Years 75 Years + 3,206 2,257 937 Direct Admission Transfers Maternity Clean Gynecology 143 395 638 1,595 0 0 274 247 5.3 138.8 660

Minus ICU Transfers 660

Facility Utilization 274 247 8,924 49,721 958 5.3 138.8 Inpatients Outpatients 8924 28436 7478 0 37037 6129 572 79652 49.6% 13.5% 0.0% 29.5% 4.1% 3.3% 35.7% 9.4% 0.0% 46.5% 7.7% 0.7% 573 0 573 0 0 2 112 0 Surgical Specialty

Inpatient Outpatient Combined Total Inpatient Outpatient Inpatient Outpatient Total Hours 2 Cardiovascular 0 0 0 0 0 0 0 0 0 Dermatology 1771 1736 3507 0 0 7 7 742 1131 General Gastroenterology Neurology OB/Gynecology Oral/Maxillofacial Ophthalmology Orthopedic Otolaryngology Plastic Surgery Podiatry Thoracic Urology Totals 5 0 5 0 0 0 0 4 0 291 158 449 0 0 0 0 66 44 474 681 1155 0 0 0 0 202 480 3 3 6 0 0 0 0 1 1 1170 972 2142 0 0 0 0 446 502 44 277 321 0 0 0 0 23 163 30 419 449 0 0 0 0 12 285 19 88 107 0 0 0 0 11 46 121 13 134 0 0 0 0 60 9 233 407 640 0 0 0 0 104 215 3 487 490 0 0 0 0 2 501 4737 5241 9978 2 0 7 9 1785 3377

Stage 1 Recovery Stations 9 Stage 2 Recovery Stations 21

SURGICAL RECOVERY STATIONS

Operating Rooms Surgical Cases Surgical Hours

5.1 0.0 Inpatient Outpatient 0.0 0.0 2.4 1.5 1.3 0.0 4.4 3.6 2.3 1.4 3.0 3.0 2.6 1.9 1.9 1.7 2.5 1.5 1.7 1.9 2.0 1.4 2.2 1.9 1.5 1.0 2.7 1.6 Hours per Case

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Emergency Service Data

Persons Treated by Emergency Services: 21,633

Persons Treated by Outpatient Services: 75 Patients Admitted from Emergency: 5,569 Basic Emergency Service Type:

Cardiac Catheterization Labs

Total Catheterization Labs 2 Dedicated Interventional Catheterization Labs 0

Interventional Catheterizations (0-14: 0

EP Catheterizations 25 Interventional Catheterization (15+) 198

Cardiac Surgery Data

Pediatric (0 - 14 Years): 0 Adult (15 Years and Older): 106

Coronary Artery Bypass Grafts (CABGs): 98

Total: 106

Birthing Data

Number of Deliveries: 621 Number of Live Births: 616 Birthing Rooms: 0 Labor Rooms: 0 Delivery Rooms: 0 Labor-Delivery-Recovery Rooms: 5 Labor-Delivery-Recovery-Postpartum Rooms: 0 Kidney: 0 Heart: 0 Lung: 0 Heart/Lung: 0 Pancreas: 0 Liver: 0 Organ Transplantation Total:: 0

Patients Admitted from Outpatient Services: 0

Outpatient Service Data

Diagnostic Catheterizations (15+) 510 Dedicated EP Catheterization Labs 0

Level of Trauma Service Level 2 Operating Rooms Dedicated for Trauma Care 0

Trauma Care

Inpatient Studies 289,583 Outpatient Studies 210,709

Laboratory Studies

Studies Performed Under Contract 11,913 Level 1 Patient Days 1,148

Level 2 Patient Days 107 Level 2+ Patient Days 0

Source: Data based on 2006 Annual Hospital Questionnaire administered on behalf of Ilinois Department of Public Health, Health Sytems Development. C-Section Rooms: 0

Multi-Purpose Catheterization Labs 2 Dedicated Diagnostic Catheterization Labs 0

Diagnostic Catheterizations (0-14) 0

Newborn Nursery Utilization

Cardiac Catheterization Utilization

Total Nursery Patientdays 1255

General Radiography/Fluoroscopy 6 25,878 25,622 0

Equipment

Diagnostic and Therapeutic Equipment

3 1,292 1,849 0

Nuclear Medicine Mammography Ultrasound Angiography

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

Lithotripsy 3 17 16,689 0 4 3,329 7,577 0 1 852 477 0 0 0 0 0 2 5,370 8,645 0 1 1,450 3,467 0 0 0

Hospital Owned Shared Contracted

Contractors for Equipment

Examinations Inpatient Outpatient Contractual

Radiation Therapy Equipment:

Linear Accelerator 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Type of Equipment Contractor

Treatment Courses

Room Type Rooms Rooms Rooms Rooms Cases Cases Hours Hours Hours

Gastrointestinal Laser Eye Procedures Pain Management 0 0 2 2 1023 2330 1136 2361 3497 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 C-Section Procedures Cystoscopy 1 0 0 1 231 0 696 0 696 0 0 0 0 0 0 0 0 0

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IDPH Number: 4630

HSA 7

HPA A-06 County: Suburban Cook County

American Indian Asian Hawaiian/ Pacific Unknown: Unknown: 0.2% 1.6% 0.1% 4.6% 4.6% 2160 South 1st Avenue Address:

Non-Government Other Non-Profit Management: Facility Type: Maywood City: 298 134 32 30 0 50 24 0

Clinical Service Authorized CON Beds

Peak Beds Setup and Staffed Admissions Inpatient Days Average Length of Stay Average Daily Census CON Occupancy Rate % Staffed Beds Occupancy Rate % Medical/Surgical Pediatric Intensive Care Obstetric/Gynecology

Long Term Care Swing Beds Neonatal

Acute Mental Illness Rehabilitation 258 111 32 0 24 0 50 30 16,515 67,596 2,174 10,553 33,571 624 2,709 6,332 604 0 0 0 0 0 656 8,048 0 0 0 0 10,381 1,905 506 12,390 0 3,753 Observation Days 2.6 19.0 59.4 59.4 4.2 191.2 64.1 3.2 93.7 69.9 84.4 74.1 3.3 33.7 112.2 112.2 0.0 0.0 0.0 0.0 0.0 0.0 24.5 33.9 67.9 67.9 12.3 22.0 91.9 91.9 0.0 0.0 0.0 0.0

Medicare Medicaid Other Public Other Insurance Private Pay Charity Care Inpatient and Outpatient Information by Payor Source

Totals

9988 5890 3472 10804 709 379

Totals 34,692 138,318

Facility Utilization Data by Category of Service

Beds Setup 10/1/2006 Peak Census Dedcated Observation 258 111 32 30 0 50 24 0 258 111 32 0 24 0 50 30 5,790 4,490 16,282 0 0 3,278 14,252 24,865 2,731 12,197 6,016 0-14 Years 15-44 Years 45-64 Years 65-74 Years 75 Years + 19,727 13,844 7,103 Direct Admission Transfers Maternity Clean Gynecology 334 599 3,419 9,782 12 483 568 505 4.2 394.8 3,450

Minus ICU Transfers 3,450

Facility Utilization 568 505 31,242 138,318 5,790 4.2 394.8 Inpatients Outpatients 31242 70702 44531 75512 139990 12932 264 343931 32.0% 18.9% 11.1% 34.6% 2.3% 1.2% 20.6% 12.9% 22.0% 40.7% 3.8% 0.1% 6531 0 6531 0 0 0 1088 0 Surgical Specialty

Inpatient Outpatient Combined Total Inpatient Outpatient Inpatient Outpatient Total Hours 0 Cardiovascular 0 0 0 0 0 0 0 0 0 Dermatology 13173 0 13173 18 0 0 18 3679 0 General Gastroenterology Neurology OB/Gynecology Oral/Maxillofacial Ophthalmology Orthopedic Otolaryngology Plastic Surgery Podiatry Thoracic Urology Totals 0 0 0 0 0 0 0 0 0 4576 0 4576 0 0 0 0 1118 0 2279 0 2279 0 0 0 0 728 0 807 0 807 0 0 0 0 170 0 7728 0 7728 0 0 0 0 1923 0 4299 0 4299 0 0 0 0 1284 0 1535 0 1535 0 0 0 0 398 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3271 0 3271 0 0 0 0 881 0 84 0 84 0 0 0 0 25 0 44283 0 44283 18 0 0 18 11294 0

Stage 1 Recovery Stations 24 Stage 2 Recovery Stations 0

SURGICAL RECOVERY STATIONS

Operating Rooms Surgical Cases Surgical Hours

6.0 0.0 Inpatient Outpatient 0.0 0.0 3.6 0.0 0.0 0.0 4.1 0.0 3.1 0.0 4.7 0.0 4.0 0.0 3.3 0.0 3.9 0.0 0.0 0.0 0.0 0.0 3.7 0.0 3.4 0.0 3.9 0.0 Hours per Case

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Emergency Service Data

Persons Treated by Emergency Services: 51,140

Persons Treated by Outpatient Services: 766 Patients Admitted from Emergency: 11,898 Comprehensive Emergency Service Type:

Cardiac Catheterization Labs

Total Catheterization Labs 5 Dedicated Interventional Catheterization Labs 0

Interventional Catheterizations (0-14: 0

EP Catheterizations 478 Interventional Catheterization (15+) 1,054

Cardiac Surgery Data

Pediatric (0 - 14 Years): 4 Adult (15 Years and Older): 517

Coronary Artery Bypass Grafts (CABGs): 303

Total: 521

Birthing Data

Number of Deliveries: 1,676 Number of Live Births: 1,662 Birthing Rooms: 0 Labor Rooms: 0 Delivery Rooms: 2 Labor-Delivery-Recovery Rooms: 7 Labor-Delivery-Recovery-Postpartum Rooms: 0 Kidney: 80 Heart: 20 Lung: 27 Heart/Lung: 0 Pancreas: 0 Liver: 14 Organ Transplantation Total:: 141

Patients Admitted from Outpatient Services: 766

Outpatient Service Data

Diagnostic Catheterizations (15+) 2,867 Dedicated EP Catheterization Labs 2

Level of Trauma Service Level 1 Operating Rooms Dedicated for Trauma Care 1

Trauma Care

Inpatient Studies 1,296,952 Outpatient Studies 1,055,831

Laboratory Studies

Studies Performed Under Contract 47,449 Level 1 Patient Days 2,338

Level 2 Patient Days 584 Level 2+ Patient Days 12,390

* Note: Illinois Health Facilities and Programs approved a 2 bed increase in Pediatric unit for Loyola University Medical Center on 12/13/2006. The pediatric unit now has 34 beds instead of 32.

Source: Data based on 2006 Annual Hospital Questionnaire administered on behalf of Ilinois Department of Public Health, Health Sytems Development. C-Section Rooms: 0

Multi-Purpose Catheterization Labs 3 Dedicated Diagnostic Catheterization Labs 0

Diagnostic Catheterizations (0-14) 0

Newborn Nursery Utilization

Cardiac Catheterization Utilization

Total Nursery Patientdays 15312

General Radiography/Fluoroscopy 14 50,204 61,304 0

Equipment

Diagnostic and Therapeutic Equipment

6 2,369 12,638 0

Nuclear Medicine Mammography Ultrasound Angiography

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

Lithotripsy 3 2 9,511 0 9 3,434 14,896 0 4 5,553 4,535 0 1 22 755 0 5 12,662 23,458 0 4 2,086 9,511 0 1 56

Hospital Owned Shared Contracted

Contractors for Equipment

Examinations Inpatient Outpatient Contractual

Radiation Therapy Equipment:

Linear Accelerator 3 15,436 2 264 Novalis, HDR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Type of Equipment Contractor

Treatment Courses

Room Type Rooms Rooms Rooms Rooms Cases Cases Hours Hours Hours

Gastrointestinal Laser Eye Procedures Pain Management 0 0 6 6 2160 8638 2908 8638 11546 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 C-Section Procedures Cystoscopy 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

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Jako nevhodnější metoda se ukázalo být rozdělení kontury pomocí přímky, která je osou úsečky spojující těžiště jader těchto dvou buněk.. Bylo by možné provést

Making sacramental wine requires special attention and care, starting with qvevri washing and marani hygiene and ending with fermentation, aging and storage. During

The project was a joint venture by Kellogg Community College and the Miller Foundation to develop an upper division private college allowing students to have a seamless

The depressed patient cohort consists of all patients over 18 years of age who meet criteria (explained below) ensuring that they: (i) indeed have depression, (ii) have a