2019 Inventory of Other Healthcare Services

Inventory of Health Care Facilities and Services and Need Determinations Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health

INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS 2019

OTHER HEALTH SERVICES Inventory of Health Care Facilities and Services and Need Determinations Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health

INVENTORY OF OTHER HEALTH SERVICES TABLE OF CONTENTS

Section A. IN-CENTER HEMODIALYSIS A-1 – A-21

Section B. NON-HOSPITAL AMBULATORY SURGERY B-1 – B-13

Section C. ALTERNATIVE HEALTH CARE MODELS C-1 – C-9

Post-Surgical Recovery Care Center Models C-2 – C-4

Children’s Respite Care Models C-5 – C-7

Community-Based Residential Care Models C-8 – C-9 Inventory of Health Care Facilities and Services and Need Determinations Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 1

SECTION A

IN-CENTER HEMODIALYSIS Category of Service Inventory of Health Care Facilities and Services and Need Determinations Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 2

Planning Process for In-Center Hemodialysis Category of Service

For the In-Center Hemodialysis category of service:

1. The planning areas are the designated Health Service Areas

2. The utilization standard is a facility must operate at a minimum of 80 percent utilization rate, assuming three patient shifts per day per renal dialysis station operating six days a week. Inventory of Health Care Facilities and Services and Need Determinations Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 3

3. The need for end stage renal disease (ESRD) stations is calculated for a five-year period from the base year. The need for additional treatment stations is determined utilizing the following methodologies:

a. Five-year Projection:

i. Establish a minimum institutional dialysis rate by dividing the total number of institutional dialysis patients in the base year by the State base year estimated population in thousands and multiply the result by .6 (60%).

ii. Determine each planning area's experienced institutional dialysis rate by dividing the number of patients receiving dialysis in the base year by the planning area estimated population in thousands for the base year.

iii. Multiply each planning area's projected population in thousands five (5) years from the base year by the greater of the minimum institutional dialysis rate or the experienced institutional dialysis rate for the planning area to determine the estimated number of institutional dialysis patients.

iv. Multiply the planning area's estimated number of institutional dialysis patients by a factor of 1.33 (estimated increase in prevalence) to determine the projected number of institutional dialysis patients in the planning area for the projected year.

v. Multiply the projected number of institutional dialysis patients by 156 to determine the projected number of institutional procedures

vi. Divide the projected number of institutional procedures by 749 to determine the projected number of stations needed for the projected year.

vii. Subtract the number of existing stations from the projected number of needed stations to determine the excess or additional stations needed. Inventory of Health Care Facilities and Services and Need Determinations Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 4

IN-CENTER HEMODIALYSIS Category of Service Existing Services and Projected Need

2017 2022 Planning Area Existing Existing Estimated Projected Projected Additional Excess Facilities Stations Population Population Station Need Stations Needed Stations

HSA 1 15 198 665,800 702,200 205 7 0

HSA 2 13 191 662,000 650,300 183 0 8

HSA 3 14 182 564,100 556,000 165 0 17

HSA 4 13 202 827,600 822,900 195 0 7

HSA 5 16 195 605,400 588,600 177 0 18

HSA 6 68 1,349 2,716,500 2,721,500 1,429 80 0

HSA 7 84 1,487 3,424,900 3,094,300 1,360 0 127

HSA 8 31 492 1,547,300 1,716,200 527 35 0

HSA 9 19 308 979,100 1,146,500 384 76 0

HSA 10 6 96 209,800 198,800 65 0 31

HSA 11 18 260 599,600 605,600 244 0 16

STATE 2 4, 12,8 00 1 , , 00 4, TOTAL 97 960 02,1 2 802 9 934 198 224 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 5 IN-CENTER HEMODIALYSIS Category of Service PLANNING AREA: Health Service Area: 1 FACILITY CITY STATIONS PATIENTS - 2017 Churchview Dialysis - East Rockford East Rockford 24 92 DaVita Belvidere Dialysis Belvidere 12 29 DaVita Forest CIty Dialysis Rockford 12 3 DaVita Machesney Park Machesney Park 12 42 Dixon Kidney Center Dixon 8 22 Driftwood Dialysis Freeport 10 35 Freeport Dialysis Unit Freeport 10 26 Fresenius Medical Care Dixon Dixon 8 14 Fresenius Medical Care of Sandwich Sandwich 12 39 9/26/2017 17-027 Facility approved to add 1 ESRD station to existing facility; facility is now authorized for 12 ESRD stations. Rockford Dialysis Rockford 22 102 Roxbury Dialysis Rockford 16 89 Stonecrest Dialysis Rockford 12 69 Sycamore Dialysis Sycamore 12 56 Timber Creek Dialysis DeKalb 12 25 Whiteside Dialysis Sterling 16 59 3/14/2017 16-051 Received permit to discontinue a 15 station ESRD facility at 2600 North Locust, Suite D in Sterling and to establish a 15 station ESRD facility at 4320 East Lincolnway in Sterling. 12/11/2018 Station Change Facility added 1 station to existing facility; facility now has 16 ESRD stations. PLANNING AREA TOTALS 198 702 State ESRD Patients - 201717,938 2017 State Population12,802,000 State Use Rate - 20171.401 Minimum Use Rate - 2017 0.841 Planning Area Area Use Planned Planning Area Projected Adjustment Patients Adjusted Projected Stations Stations Population - 2017 Rate - 2017 Use Rate Population - 2022 Patients - 2022 Factor for Increase Treatments - 2022 Needed- 2022 Needed 665.8 1,054.3711,054.371 702.2 740.41.33 985 153,614 205 7 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 6 IN-CENTER HEMODIALYSIS Category of Service PLANNING AREA: Health Service Area: 2 FACILITY CITY STATIONS PATIENTS - 2017 DaVita Tazewell County Dialysis Pekin 834 Fresenius Kidney Care Galesburg Galesburg 14 0 2/27/2018 17-056 Received permit to establish a facility with 14 ESRD stations at 725 North Seminary Street in Galesburg. Fresenius Medical Care - Pekin Pekin 10 46 Fresenius Medical Care Galesburg Galesburg 0 76 2/27/2018 17-056 Received permit to discontinue a facility with 14 ESRD stations at 765 North Kellogg in Galesburg. Fresenius Medical Care Macomb Macomb 8 20 3/14/2017 16-049 Received permit to discontinue a 6 station ESRD facility at 523 East Grant Street in Macomb and to establish an 8 station ESRD facility at 212 East Calhoun Street in Macomb. Fresenius Medical Care Maple City Monmouth 9 17 Fresenius Medical Care of Streator Streator 825 Fresenius Medical Care Spoon River Canton 11 32 3/7/2018 Station Change Fresenius Medical Care Spoon River only certified for 11 stations; one station removed from inventory. Proctor Community Hospital Peoria 14 0 6/5/2018 17-045 Facility received permit to establish a facility with 14 stations at 5409 North Knoxville in Peoria. RCG - Ottawa Ottawa 12 39 Renal Care Group - Downtown Peoria 32 136 Renal Care Group - East Peoria East Peoria 24 104 Renal Care Group - Peoria North Peoria 24 77 2/24/2017 Station Change Added 2 stations to existing facility; facility now has 21 ESRD stations. 5/23/2019 Station Change Added 3 stations to existing facility; facility now has 24 ESRD stations. Renal Care Group - Spring Valley Spring Valley 17 65 PLANNING AREA TOTALS 191 671 State ESRD Patients - 201717,938 2017 State Population12,802,000 State Use Rate - 20171.401 Minimum Use Rate - 2017 0.841 Planning Area Area Use Planned Planning Area Projected Adjustment Patients Adjusted Projected Stations Excess Population - 2017 Rate - 2017 Use Rate Population - 2022 Patients - 2022 Factor for Increase Treatments - 2022 Needed- 2022 Stations 662.0 1,013.5951,013.595 650.3 659.11.33 877 136,759 183 8 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 7 IN-CENTER HEMODIALYSIS Category of Service PLANNING AREA: Health Service Area: 3 FACILITY CITY STATIONS PATIENTS - 2017 Adams County Dialysis Quincy 17 62 Fresenius Kidney Care Springfield East Springfield 9 0 1/9/2018 17-024 Received permit to establish a 9 station ESRD facility at 1800 East Washington Street in Springfield. Jacksonville Dialysis Jacksonville 14 57 Jerseyville Dialysis Center Jerseyville 17 38 1/24/2017 16-040 Received permit to add 8 ESRD stations to an existing facility at 917 South State Street in Jerseyville. The facility will have a total of 17 ESRD stations. Lincoln Dialysis Lincoln 14 37 Litchfield Dialysis Litchfield 12 44 Memorial Medical Center Springfield 0 0 5/29/2018 E-027-18 Received approval to discontinue an ESRD facility with 6 ESRD stations. Montgomery County Dialysis Hillsboro 8 19 Pittsfield Dialysis Pittsfield 5 15 RAI - Center West - Springfield Springfield 16 66 Rushville Dialysis Rushville 8 21 Springfield Central Dialysis Springfield 21 81 1/24/2017 16-036 Received permit to discontinue a 21 station ESRD facility at 932 North Rutledge Street in Springfield and to establish a 21 station ESRD facility at 600 North Grand Avenue West in Springfield. Springfield Montvale Dialysis Springfield 17 73 Springfield South Springfield 12 46 Taylorville Dialysis Taylorville 12 44 1/4/2017 16-041 Facility approved for permit to add 2 ESRD stations to an existing facility; facility now has 12 ESRD stations. PLANNING AREA TOTALS 182 603 State ESRD Patients - 201717,938 2017 State Population12,802,000 State Use Rate - 20171.401 Minimum Use Rate - 2017 0.841 Planning Area Area Use Planned Planning Area Projected Adjustment Patients Adjusted Projected Stations Excess Population - 2017 Rate - 2017 Use Rate Population - 2022 Patients - 2022 Factor for Increase Treatments - 2022 Needed- 2022 Stations 564.1 1,068.9591,068.959 556.0 594.31.33 790 123,314 165 17 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 8 IN-CENTER HEMODIALYSIS Category of Service PLANNING AREA: Health Service Area: 4 FACILITY CITY STATIONS PATIENTS - 2017 Champaign-Urbana Dialysis Center Urbana 25 107 Danville Dialysis Services LLC Danville 19 74 DaVita Illini Renal Dialysis Champaign 18 67 11/14/2017 17-032 Received permit to discontinue 12 station ESRD at 507 East University Avenue in Champaign and to establish an 18 station ESRD facility at 1004 West Anthony Drive in Champaign. Decatur East Wood Dialysis Decatur 18 63 Fresenius Kidney Care Paris Community Paris 80 3/14/2017 16-042 Received permit to establish 8 station ESRD facility at 721 East Court Street, Suite B in Paris. Fresenius Medical Care McLean County Bloomington 20 89 Fresenius Medical Care Normal Normal 12 44 Fresenius Medical Care Pontiac Pontiac 10 25 7/25/2018 Station Change Facility added 1 ESRD station; facility is now authorized for 10 stations. Macon County Dialysis Decatur 23 70 Mattoon Dialysis Charleston 16 60 Renal Care Group - Decatur Decatur 12 50 Shelbyville Community Dialysis Shelbyville 9 23 Vermilion County Dialysis Center Danville 12 35 7/24/2018 18-014 Received permit to add 4 stations to existing facility; facility now authorized for 12 stations. PLANNING AREA TOTALS 202 707 State ESRD Patients - 201717,938 2017 State Population12,802,000 State Use Rate - 20171.401 Minimum Use Rate - 2017 0.841 Planning Area Area Use Planned Planning Area Projected Adjustment Patients Adjusted Projected Stations Excess Population - 2017 Rate - 2017 Use Rate Population - 2022 Patients - 2022 Factor for Increase Treatments - 2022 Needed- 2022 Stations 827.6 854.277854.277 822.9 703.01.33 935 145,855 195 7 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 9 IN-CENTER HEMODIALYSIS Category of Service PLANNING AREA: Health Service Area: 5 FACILITY CITY STATIONS PATIENTS - 2017 Benton Dialysis Benton 13 44 BMA - Carbondale Carbondale 24 86 BMA - Saline County Harrisburg Harrisburg 18 63 12/24/2018 Station Change Facility added 2 ESRD stations; facility now has 18 authorized ESRD stations. Centralia Dialysis Centralia 12 52 DaVita Red Bud Dialysis Red Bud 8 19 Effingham Dialysis Effingham 16 49 FMC - Williamson County Marion 14 56 FMC Dialysis Services - DuQuoin DuQuoin 13 39 10/10/2017 Station Change Facility added 2 ESRD stations; facility now has 13 ESRD stations. Fresenius Medical Care of Metropolis Metropolis 8 26 Marion Dialysis Marion 13 32 Mt. Vernon Dialysis Mount Vernon 16 60 Olney Dialysis Unit Olney Olney 7 23 Randolph County Dialysis-Chester Chester 8 24 Robinson Dialysis Robinson 9 36 Vandalia Dialysis Vandalia 8 25 Wayne County Dialysis Fairfield 8 23 PLANNING AREA TOTALS 195 657 State ESRD Patients - 201717,938 2017 State Population12,802,000 State Use Rate - 20171.401 Minimum Use Rate - 2017 0.841 Planning Area Area Use Planned Planning Area Projected Adjustment Patients Adjusted Projected Stations Excess Population - 2017 Rate - 2017 Use Rate Population - 2022 Patients - 2022 Factor for Increase Treatments - 2022 Needed- 2022 Stations 605.4 1,085.2331,085.233 588.6 638.81.33 850 132,532 177 18 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 10 IN-CENTER HEMODIALYSIS Category of Service PLANNING AREA: Health Service Area: 6 FACILITY CITY STATIONS PATIENTS - 2017 Austin Community Kidney Center Chicago 16 61 Beverly Dialysis Center Chicago 16 94 Brighton Park Dialysis Chicago 16 0 Circle Medical Management Chicago 27 113 DaVita Auburn Park Dialysis Chicago 12 0 6/5/2018 17-062 Facility received permit to establish a facility with 12 stations at 7939 South Western Avenue in Chicago. DaVita Brickyard Dialysis Chicago 12 0 4/17/2018 17-064 Facility received permit to establish a facility with 12 stations at 2640 North Narragansett Avenue in Chicago. DaVita Garfield Kidney Center Chicago 24 0 6/5/2018 18-001 Facility received permit to establish a facility with 24 stations at 408 North Homan Avenue in Chicago. DaVita Marshall Square Dialysis Chicago 12 0 10/30/2018 18-017 Facility received permit to establish a facility with 12 stations at 2950 West 26th Street in Chicago. DaVita Park Manor Dialysis Chicago161 DaVita Stony Island Dialysis Chicago 32 155 DaVita TRC Children's Dialysis Chicago 8 17 DaVita Washington Heights Dialysis Chicago 16 1 DaVita West Side Dialysis Chicago 12 40 Dialysis Care Center Beverly Chicago 14 0 2/27/2018 17-052 Received permit to establish a facility with 14 ESRD stations at 10801 South Western Avenue in Chicago. Dialysis Center of America - (Rogers Park) Chicago 2082 DSI - Loop Chicago 28 101 DSI Renal Services-Scottsdale Chicago 36 137 Emerald Kidney Center Chicago 24 105 FMC Chicago Dialysis Center Chicago 21 62 FMC Dialysis Services of Congress Parkway Chicago 30 107 FMC West Metro Dialysis Center Chicago 12 128 Ford City Dialysis Chicago 12 0 2/27/2018 17-053 Received permit to establish a facility with 12 ESRD stations at 8159 South Cicero in Chicago. Fresenius Medical Care - Bridgeport Chicago 27 132 Fresenius Medical Care Beverly Ridge Chicago 16 1 Fresenius Medical Care Chatham Chicago1690 Fresenius Medical Care Humboldt Park Chicago 34 87 Fresenius Medical Care Lakeview Chicago 14 52 Fresenius Medical Care Logan Square Chicago 14 64 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 11 IN-CENTER HEMODIALYSIS Category of Service Fresenius Medical Care Marquette Park Chicago 16 92 Fresenius Medical Care Midway Chicago 12 60 Fresenius Medical Care New City Chicago 16 14 Fresenius Medical Care North Kilpatrick Chicago 28 137 Fresenius Medical Care Northcenter Chicago 16 57 Fresenius Medical Care of Chicago - West Chicago 31 63 Fresenius Medical Care of Uptown Chicago 14 79 Fresenius Medical Care Polk Chicago 24 57 Fresenius Medical Care Roseland Chicago 12 69 Fresenius Medical Care Ross Dialysis - Englewood Chicago 24 76 1/24/2017 16-029 Received permit to discontinue a 16 station ESRD facility at 6333 South Green Street in Chicago and to establish a 24 station ESRD facility at 6226 South Sangamon Street in Chicago. Fresenius Medical Care South Chicago Chicago 36 196 Fresenius Medical Care South Deering Chicago 20 65 Fresenius Medical Care South Shore Chicago 16 89 Fresenius Medical Care West Belmont Chicago 21 93 1/15/2019 18-045 Facility received permit to add 4 ESRD stations to existing facility; raises authorized ESRD stations to 21. Fresenius Medical Care West Willow Chicago 12 40 Garfield Kidney Center Chicago 0 108 6/5/2018 18-001 Facility received permit to discontinue a facility with 16 stations at 3250 West Franklin Boulevard in Chicago Grand Crossing Dialysis Chicago 12 65 Greenwood Dialysis Center Chicago 28 119 Irving Park Dialysis Chicago 12 0 Jackson Park Dialysis Chicago 24 101 John H. Stroger Hospital of Cook County Chicago 9 22 Kenwood Dialysis Chicago 32 136 Lawndale Dialysis Chicago 16 99 Lincoln Park Dialysis Center Chicago 22 91 Little Village Dialysis Chicago 16 93 Logan Square Dialysis Chicago 28 152 Monteclare Dialysis Center Chicago 16 98 Mount Greenwood Dialysis Chicago 16 84 Mt. Sinai Hospital Med Ctr Chicago 16 87 Nephron Dialysis Ctr Swedish Covenant Chicago 16 92 Northwestern Memorial Hospital Chicago 42 170 Norwood Park Dialysis Chicago 14 20 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 12 IN-CENTER HEMODIALYSIS Category of Service Provident Hospital of Cook County ESRD Chicago 12 0 11/27/2017 17-017 Received permit to establish a 12 station ESRD facility at 430 East 50th Place, Chicago, IL 60615. RCG Garfield Chicago 22 89 RCG MidAmerica - Prairie Chicago 24 109 Rush University Medical Ctr Chicago 0 0 4/4/2018 E-012-18 Exemption approved to discontinue 6 station ESRD service. SAH Dialysis Clinic at 26th Street Chicago 15 49 South Side Dialysis Center Chicago 39 204 University of Illinois Hospital Chicago 26 137 US Renal Care West Chicago Chicago 13 0 West Lawn Dialysis Chicago 12 67 Woodlawn Dialysis Chicago 32 140 PLANNING AREA TOTALS 1,349 5,149 State ESRD Patients - 201717,938 2017 State Population12,802,000 State Use Rate - 20171.401 Minimum Use Rate - 2017 0.841 Planning Area Area Use Planned Planning Area Projected Adjustment Patients Adjusted Projected Stations Stations Population - 2017 Rate - 2017 Use Rate Population - 2022 Patients - 2022 Factor for Increase Treatments - 2022 Needed- 2022 Needed 2,716.5 1,895.4541,895.454 2,721.5 5,158.51.33 6,861 1,070,281 1,429 80 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 13 IN-CENTER HEMODIALYSIS Category of Service PLANNING AREA: Health Service Area: 7 FACILITY CITY STATIONS PATIENTS - 2017 Alsip Dialysis Center Alsip 20 84 ARA-South Barrington Dialysis S. Barrington 14 56 Big Oaks Dialysis Center Niles 12 48 Calumet Dialysis Center Calumet City 16 16 Center for Renal Replacement Lincolnwood 16 57 Central Dupage Dialysis Center West Chicago 16 67 Chicago Heights Renal Care Chicago Heights 16 85 Community Dialysis of Harvey Harvey 18 95 Concerto Dialysis Crestwood 9 18 Country Hills Dialysis Country Club Hills 24 102 DaVita Chicago Ridge Dialysis Worth 16 83 DaVita Cicero Dialysis Cicero 12 0 1/15/2019 18-037 Facility received permit to establish a facility with 12 stations at 6001 Ogden Avenue in Cicero. DaVita Evanston Renal Center Evanston 20 84 3/16/2017 Station Change Added 2 ESRD stations to existing facility; facility now has 20 ESRD stations. DaVita Geneva Crossing Dialysis Carol Stream 12 0 7/24/2018 17-013 Received permit to establish a facility with 12 ESRD stations at 540 South Schmale Road in Carol Stream. DaVita Melrose Village Dialysis Melrose Park 12 0 10/30/2018 17-029 Facility received permit to establish a facility with 12 stations at 480 North Independence Blvd in Melrose Park. DaVita Oak Meadows Dialysis Oak Lawn 12 0 7/24/2018 17-068 Received permit to establish a facility with 12 ESRD stations at 5020 West 95th Street in Oak Lawn. DaVita Rutgers Park Dialysis Woodridge120 6/5/2018 17-014 Received permit to establish a facility with 12 ESRD stations at 8455 Woodward Avenue in Woodridge. DaVita Salt Creek Dialysis Villa Park 12 0 6/5/2018 17-016 Received permit to establish a facility with 12 ESRD stations at 196 West North Avenue in Villa Park. DaVita Tinley Park Dialysis Tinley Park 12 19 Dialysis Care Center Evergreen Park 14 0 12/4/2018 18-018 Facility received permit to establish a facility with 14 stations at 9834 South Kedzie Avenue in Evergreen Park. Dialysis Care Center Hazel Crest Hazel Crest 12 0 10/30/2018 17-071 Facility received permit to establish a facility with 12 stations at 18325 Pulaski Avenue in Hazel Crest. Dialysis Care Center of Oak Lawn Oak Lawn 11 0 Dialysis Care Center of Olympia Fields Olympia Fields 12 3 7/10/2019 Station Change Facility certified for 12 stations by CMS; inventory corrected to reflect additional station. DSI - Arlington Heights Arlington Heights 18 75 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 14 IN-CENTER HEMODIALYSIS Category of Service DSI - Buffalo Grove Buffalo Grove 16 60 Elk Grove Dialysis Center Elk Grove Village 28 142 FMC - Orland Park Orland Park 18 68 FMC Dialysis Services of Willowbrook Willowbrook 20 75 FMC Merrionette Park Merrionette Park 24 137 FMC MidAmerica - Berwyn Berwyn 30 151 6/1/2017 Station Change Facility added 2 ESRD stations to existing 28 station facility; facility now authorized for 30 ESRD stations. Fresenius Kidney Care Mount Prospect Mount Prospect 80 5/2/2017 17-004 Facility received permit to establish a facility with 8 ESRD stations at 1710 West Golf Road in Mount Prospect. Fresenius Kidney Care Woodridge Woodridge 12 0 3/14/2017 16-034 Received permit to establish 12 station ESRD facility at 7550 Janes Avenue in Woodridge. Fresenius Medical Care - Crestwood Crestwood 24 88 9/26/2017 17-025 Facility approved to discontnue 24 station ESRD facility at 4881 Cal Sag Road in Crestwood and to establish 24 station ESRD facility at 4809 West Midlothian Turnpike in Crestwood. Fresenius Medical Care - Lombard Lombard 12 51 Fresenius Medical Care - Steger Steger 18 62 Fresenius Medical Care Blue Island Blue Island 28 116 Fresenius Medical Care Burbank Burbank 26 129 Fresenius Medical Care Chicago Heights Chicago Heights 12 3 Fresenius Medical Care Cicero Cicero 20 74 8/3/2018 Station Change Facility added 2 ESRD stations; facility is now authorized for 18 stations. 1/15/2019 18-046 Facility received permit to add 2 ESRD stations to existing facility; raises authorized ESRD stations to 20. Fresenius Medical Care Des Plaines Des Plaines 13 51 6/8/2018 Station Change Added 1 ESRD station to existing facility. Facility now has 13 authorized ESRD stations. Fresenius Medical Care Downers Grove Downers Grove 16 68 Fresenius Medical Care Elmhurst Elmhurst 28 115 Fresenius Medical Care Evergreen Park Evergreen Park 30 23 Fresenius Medical Care Glendale Heights Glendale Heights 29 136 Fresenius Medical Care Hazel Crest Hazel Crest 16 77 Fresenius Medical Care Hoffman Estates Hoffman Estates 20 111 Fresenius Medical Care Lemont Lemont 12 25 Fresenius Medical Care Melrose Park Melrose Park 18 78 Fresenius Medical Care Niles Niles 32 106 Fresenius Medical Care Norridge Norridge 16 80 Fresenius Medical Care North Avenue Melrose Park 24 114 Fresenius Medical Care Northfield Northfield 12 9 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 15 IN-CENTER HEMODIALYSIS Category of Service Fresenius Medical Care Oak Forest Oak Forest 12 58 Fresenius Medical Care of Deerfield Deerfield 12 29 Fresenius Medical Care of Naperville-North Naperville 21 79 Fresenius Medical Care of West Chicago West Chicago 12 58 Fresenius Medical Care Palatine Palatine 17 90 7/10/2017 Station Change Facility added 2 additional ESRD stations; facility now has 16 ESRD stations. 8/31/2017 17-033 Facility approved to add 1 ESRD station to existing facility; facility is now authorized for 17 ESRD stations. Fresenius Medical Care River Forest River Forest 24 94 9/6/2018 Station Change Added 2 stations to an existing facility; facility now has 24 ESRD stations. Fresenius Medical Care Rolling Meadows Rolling Meadows 24 109 Fresenius Medical Care Schaumburg Schaumburg 12 0 Fresenius Medical Care South Holland South Holland 24 109 Fresenius Medical Care Summit Summit 12 30 Fresenius Medical Care Westshester Westchester 22 82 1/26/2017 Station Change Added 2 stations to existing facility; facility now has 22 ESRD stations. Fresenius Oak Park Dialysis Center Oak Park 12 63 Fresenius RCG South Suburban Olympia Fields 27 119 Glenview Dialysis Center Glenview 20 68 Hazel Crest Renal Center Hazel Crest 20 104 3/10/2017 Station Change Added 1 station to existing facility; Facility now has 20 ESRD stations. Loyola Univ. Hosp. Outpatient Dialysis Center Maywood 30 147 Maple Avenue Kidney Center Oak Park 18 91 Noctural Dialysis Spa Villa Park 12 5 NxStage Oak Brook Oak Brook 821 Olympia Fields Dialysis Center Matteson 24 101 Palos Park Dialysis Orland Park 12 50 RCG Evanston Evanston 14 64 RCG Skokie Skokie 14 60 Satellite Dialysis of Glenview Glenview 16 60 Schaumburg Renal Center Schaumburg 22 79 1/2/2018 Station Change Facility added 2 ESRD stations; facility now has 22 ESRD stations. South Holland Renal Center South Holland 24 122 Stony Creek Dialysis Oak Lawn 14 83 U.S. Renal Care Villa Park Dialysis Villa Park 13 68 US Renal Care Hickory Hills Hickory Hills 13 0 USRC Oak Brook Dialysis Downers Grove 13 66 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 16 IN-CENTER HEMODIALYSIS Category of Service USRC Streamwood Dialysis Streamwood 13 48 West Suburban Hosp. Dialysis Unit Oak Park 46 235 PLANNING AREA TOTALS 1,487 5,433 State ESRD Patients - 201717,938 2017 State Population12,802,000 State Use Rate - 20171.401 Minimum Use Rate - 2017 0.841 Planning Area Area Use Planned Planning Area Projected Adjustment Patients Adjusted Projected Stations Excess Population - 2017 Rate - 2017 Use Rate Population - 2022 Patients - 2022 Factor for Increase Treatments - 2022 Needed- 2022 Stations 3,424.9 1,586.3241,586.324 3,094.3 4,908.61.33 6,528 1,018,428 1,360 127 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 17 IN-CENTER HEMODIALYSIS Category of Service PLANNING AREA: Health Service Area: 8 FACILITY CITY STATIONS PATIENTS - 2017 ARA- Crystal Lake Dialysis Crystal Lake 16 36 ARA-McHenry County McHenry 12 28 8/17/2017 Station Change Added 2 ESRD stations to existing facility; facility now has 14 ESRD stations. Aurora Dialysis Center Aurora 24 150 Barrington Creek Dialysis Lake Barrington 12 20 Cobblestone Dialysis Elgin 16 92 Crystal Springs Dialysis Crystal Lake 16 62 11/20/2017 Station Change Facility added 2 ESRD stations; facility now has 16 ESRD stations. DaVita Huntley Dialysis Huntley 12 1 DaVita North Dunes Dialysis Waukegan 12 0 10/30/2018 17-066 Facility received permit to establish a facility with 12 stations at 3113 North Lewis Avenue in Waukegan. Dialysis Care Center Elgin Elgin 14 0 6/5/2018 17-061 Facility received permit to establish a facility with 14 stations at 995 North Randall Road in Elgin. Dialysis Care Center McHenry McHenry 14 0 6/20/2017 16-058 Received permit to establish a 14 station ESRD facility at Suite A, 612 South Illinois Route 31 in McHenry. DSI - Waukegan Waukegan 24 145 Fox Valley Dialysis Center Aurora 29 143 Fresenius Kidney Care East Aurora Aurora 12 0 Fresenius Kidney Care Grayslake Grayslake 10 0 Fresenius Medical Care Gurnee Gurnee 24 97 5/2/2017 17-003 Facility received permit to add 8 stations to existing 16 station facility. Facility now authorized for 24 stations. Fresenius Medical Care Highland Park Highland Park 20 48 Fresenius Medical Care Mundelein Mundelein 14 62 Fresenius Medical Care of Elgin Elgin 25 116 6/5/2018 18-004 Received permit to add 5 stations to existing facility; facility now authorized for 25 stations. Fresenius Medical Care of Lake Bluff Lake Bluff 16 75 Fresenius Medical Care of McHenry McHenry 14 43 Fresenius Medical Care South Elgin South Elgin 12 0 11/14/2017 17-038 Received permit to establish a 12 station ESRD facility at North McLean Boulevard and Bowes Road in South Elgin. Fresenius Medical Care Waukegan Harbor Waukegan 21 115 Fresenius Medical Care West Batavia Batavia 12 55 Fresenius Medical Care Zion Zion 12 Fresenius Medical Cre of Antioch Antioch 12 34 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 18 IN-CENTER HEMODIALYSIS Category of Service Lake County Dialysis Center Vernon Hills 16 74 Lake Villa Dialysis Lake Villa 12 55 Neomedica Dialysis Ctrs - Round Lake Round Lake 16 80 Quality Renal Care - Carpentersville Carpentersville 13 81 Quality Renal Care - Marengo Marengo 10 31 Tri-Cities Dialysis Geneva 20 72 PLANNING AREA TOTALS 492 1,715 State ESRD Patients - 201717,938 2017 State Population12,802,000 State Use Rate - 20171.401 Minimum Use Rate - 2017 0.841 Planning Area Area Use Planned Planning Area Projected Adjustment Patients Adjusted Projected Stations Stations Population - 2017 Rate - 2017 Use Rate Population - 2022 Patients - 2022 Factor for Increase Treatments - 2022 Needed- 2022 Needed 1,547.3 1,108.3821,108.382 1,716.2 1,902.21.33 2,530 394,670 527 35 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 19 IN-CENTER HEMODIALYSIS Category of Service PLANNING AREA: Health Service Area: 9 FACILITY CITY STATIONS PATIENTS - 2017 DaVita Hickory Creek Dialysis Joliet 12 0 4/17/2018 17-063 Facility received permit to establish a facility with 12 stations at 214 Collins Street in Joliet. DaVita Morris Dialysis Center Morris 9 37 4/10/2017 15-032 Relinquished permit to establish 12 station facility at 180 East Waverly Street in Morris. Facility reverts to 9 stations at 1551 Creek Drive in Morris. Fresenius Kidney Care New Lenox New Lenox 12 0 4/17/2018 17-065 Facility received permit to establish a facility with 12 stations on Cedar Crossing Drive in New Lenox Fresenius Medical Care Bolingbrook Bolingbrook 24 126 Fresenius Medical Care Joliet Joliet 18 72 10/6/2017 Station Change Facility added 2 ESRD stations; facility now has 18 ESRD stations. Fresenius Medical Care Naperbrook Naperville 24 101 3/13/2017 Station Change Added 2 stations to existing facility; facility now has 18 ESRD stations. 11/14/2017 17-034 Received permit to add 6 ESRD stations to existing facility; facility located at 2451 South Washington Street in Naperville now has 24 ESRD stations. Fresenius Medical Care of Mokena Mokena 14 55 Fresenius Medical Care of Oswego Oswego 19 69 1/17/2017 Station Change Added 2 stations to existing facility; facility now has 13 ESRD stations. 9/26/2017 17-023 Facility approved to add 6 ESRD stations to existing facility; facility is now authorized for 19 ESRD stations. Fresenius Medical Care of Plainfield Plainfield 16 80 Fresenius Medical Care Plainfield North Plainfield 10 34 Kankakee County Dialysis Bourbonnais 14 70 3/21/2017 Station Change Added 2 ESRD stations to existing facility; facility now has 14 ESRD stations. Kankakee River Dialysis Kankakee 25 94 Manteno Dialysis Center Manteno 15 44 Morris Community Dialysis Morris 10 21 Silver Cross Renal Center New Lenox 19 107 Silver Cross Renal Center West Joliet 29 130 Sun Health Joliet 17 61 USRC Bolingbrook Dialysis Bolingbrook 13 63 Yorkville Dialysis Center Yorkville 8 21 PLANNING AREA TOTALS 308 1,185 State ESRD Patients - 201717,938 2017 State Population12,802,000 State Use Rate - 20171.401 Minimum Use Rate - 2017 0.841 Planning Area Area Use Planned Planning Area Projected Adjustment Patients Adjusted Projected Stations Stations Population - 2017 Rate - 2017 Use Rate Population - 2022 Patients - 2022 Factor for Increase Treatments - 2022 Needed- 2022 Needed 979.1 1,210.2951,210.295 1,146.5 1,387.61.33 1,846 287,900 384 76 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 20 IN-CENTER HEMODIALYSIS Category of Service PLANNING AREA: Health Service Area: 10 FACILITY CITY STATIONS PATIENTS - 2017 FMC - Kewanee Kewanee 8 33 Fresenius Medical Care Aledo Aledo 8 13 Fresenius Medical Care Geneseo Geneseo 7 15 Fresenius Medical Care Moline Moline 36 91 Fresenius Medical Care Rock Island Rock Island 19 35 Fresenius Medical Care Silvis Silvis 18 62 PLANNING AREA TOTALS 96 249 State ESRD Patients - 201717,938 2017 State Population12,802,000 State Use Rate - 20171.401 Minimum Use Rate - 2017 0.841 Planning Area Area Use Planned Planning Area Projected Adjustment Patients Adjusted Projected Stations Excess Population - 2017 Rate - 2017 Use Rate Population - 2022 Patients - 2022 Factor for Increase Treatments - 2022 Needed- 2022 Stations 209.8 1,186.8451,186.845 198.8 235.91.33 314 48,954 65 31 INVENTORY OF HEALTH CARE FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page A - 21 IN-CENTER HEMODIALYSIS Category of Service PLANNING AREA: Health Service Area: 11 FACILITY CITY STATIONS PATIENTS - 2017 Alton Dialysis Alton 16 65 DaVita Collinsville Dialysis Collinsville 8 11 DaVita Edgemont Dialysis East St. Louis 12 0 1/9/2018 17-040 Received permit to establish a 12 station ESRD facility at 8 Vieux Carre Drive in East St. Louis. DaVita Foxpoint Granite City 12 0 3/14/2017 16-037 Received permit to establish 12 station ESRD facility at 1300 Schaefer Road in Granite City. Edwardsville Dialysis Edwardsville 8 39 Fresenius Kidney Care Madison County Granite City 9 0 10/30/2018 18-006 Facility received permit to establish a facility with 9 stations at 1938 Grand Avenue in Granite City. Fresenius Medical Care Belleville Belleville 12 0 Fresenius Medical Care Regency Park O'Fallon 20 107 Fresenius Medical Care Southwestern Illinois Alton 19 80 Fresenius Medical Care Waterloo Waterloo 6 9 Granite City Dialysis Granite City 20 98 Maryville Dialysis- Renal Treatment Ctrs Maryville 14 65 Metro East Dialysis Belleville 36 185 Northgrove Dialysis Highland 12 0 4/17/2018 17-049 Facility received permit to establish a facility with 12 stations at 2491 Industrial Drive in Highland. O'Fallon Dialysis O'Fallon 12 26 RAI - North Main Breese 8 30 Sauget Dialysis Sauget 24 92 Shiloh Dialysis Shiloh 12 64 PLANNING AREA TOTALS 260 871 State ESRD Patients - 201717,938 2017 State Population12,802,000 State Use Rate - 20171.401 Minimum Use Rate - 2017 0.841 Planning Area Area Use Planned Planning Area Projected Adjustment Patients Adjusted Projected Stations Excess Population - 2017 Rate - 2017 Use Rate Population - 2022 Patients - 2022 Factor for Increase Treatments - 2022 Needed- 2022 Stations 599.6 1,452.6351,452.635 605.6 879.71.33 1,170 182,523 244 16 Inventory of Health Care Facilities and Services and Need Determinations Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page B - 1

SECTION B

NON-HOSPITAL BASED AMBULATORY SURGERY Category of Service Inventory of Health Care Facilities and Services and Need Determinations Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page B - 2 Planning Process for Non-Hospital Based Ambulatory Surgery Category of Service

For the Non-Hospital Based Ambulatory Surgery category of service:

1. The planning areas are the designated Health Service Areas

2. No utilization standard has been established. Inventory of Health Care Facilities and Services and Need Determinations Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page B - 3

3. No service need formula has been established. Need is only a facility need and it is the responsibility of the applicant to document. Inventory of Health Care Facilities and Services and Need Determinations Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page B - 4

Non-Hospital Based Ambulatory Surgery Category of Service by Health Service Area

Number Operating Surgeries Hours of Planning Areas of Facilities Rooms 2017 Surgery 2017

Health Service Area 1 6 17 29,143 31,846.46

Health Service Area 2 6 18 25,752 24,748.57

Health Service Area 3 5 15 39,116 25,501.55

Health Service Area 4 12 37 42,571 35,736.55

Health Service Area 5 9 20 29,429 28,555.60

Health Service Area 6 22 52 34,467 45,319.37

Health Service Area 7 60 175 169,256 164,517.37

Health Service Area 8 17 44 57,532 51,566.21

Health Service Area 9 11 32 36,310 35,218.65

Health Service Area 10 3 8 16,363 11,347.75

Health Service Area 11 9 16 23,226 11,973.36

STATE TOTALS 160 434 474,641 466,331.44 INVENTORY OF HEALTH FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health NON-HOSPITAL BASED AMBULATORY SURGERY Category of Service Page B- 5 Planning Area: 001 Operating 2017 Surgeries Ambulatory Surgical Treatment Center City Rooms Cases Time(Hrs.) HAUSER ROSS EYE INSTITUTE SURGERY CENTER SYCAMORE 4 2,794 13,196.50 MIDLAND SURGICAL CENTER SYCAMORE 2 1,227 1,702.00 NORTHPOINTE HEALTH AND WELLNESS CENTER ROSCOE 2 1,077 522.71 ROCKFORD AMBULATORY SURGERY CENTER ROCKFORD 5 5,040 5,241.50 ROCKFORD ENDOSCOPY CENTER ROCKFORD 2 15,090 6,581.00 ROCKFORD ORTHOPEDIC SURGERY CENTER ROCKFORD 2 3,915 4,602.75 PLANNING AREA TOTAL 17 29,143 31,846.46 Planning Area: 002 Operating 2017 Surgeries Ambulatory Surgical Treatment Center City Rooms Cases Time(Hrs.) CENTER FOR HEALTH AMBULATORY SURGERY CENTER - II PEORIA 2 451 844.00 5/31/2018 Licensure Change of ownership (formerly license 7003146) completed; facility licensed as Center for Health Ambulatory Surgery - II. 2/27/2018 E-002-18 Facility received exemption for change of ownership. CENTER FOR HEALTH AMBULATORY SURGERY CENTER, LLC PEORIA 6 8,082 11,415.75 CENTRAL ILLINOIS ENDOSCOPY CENTER PEORIA 3 10,305 6,435.55 PEORIA AMBULATORY SURGERY CENTER PEORIA 1 3,066 2,411.00 4/30/2019 E-014-19 Received exemption for change of ownership. PEORIA DAY SURGERY CENTER PEORIA 4 2,410 2,252.20 RENAL INTERVENTION CENTER, LLC. MORTON 2 1,438 1,390.07 PLANNING AREA TOTAL 18 25,752 24,748.57 Planning Area: 003 Operating 2017 Surgeries Ambulatory Surgical Treatment Center City Rooms Cases Time(Hrs.) BLESSING HOSPITAL SURGERY CENTER QUINCY 3 10,683 7,377.00 ORTHOPAEDIC SURGERY CTR. OF IL. SPRINGFIELD 2 3,641 2,990.00 PRAIRIE DIAGNOSTIC CENTER AT ST JOHN'S HOSPITAL SPRINGFIELD 0 55 48.30 5/15/2018 Closure Facility discontinued operations; 2 operating rooms removed from inventory. QUINCY MEDICAL GROUP SURGERY CENTER QUINCY 5 4/30/2019 18-042 Received permit to establish a multi-specialty Ambulatory Surgical Treatment Center with 5 operating rooms and 3 procedure rooms for cardiovascular, colon and rectal surgery, general surgery, gastroenterology, neurological surgery, obstetrics/gynecology, ophthalmology, oral/maxillofacial surgery, orthopedic surgery, otolaryngology, plastic surgery, podiatric surgery, urology, and cardiac catheterization/pulmonology at 3347 Broadway in Quincy. SPRINGFIELD CLINIC AMB. SURG. SPRINGFIELD 3 22,079 13,284.25 ST. JOHN'S SURGERY SUITES MONTVALE SPRINGFIELD 2 2,658 1,802.00 PLANNING AREA TOTAL 15 39,116 25,501.55 INVENTORY OF HEALTH FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health NON-HOSPITAL BASED AMBULATORY SURGERY Category of Service Page B- 6 Planning Area: 004 Operating 2017 Surgeries Ambulatory Surgical Treatment Center City Rooms Cases Time(Hrs.) BLOOMI/NORMAL HEALTHCARE SURGERY CENTER NORMAL 4 2,135 2,360.00 BLOOMINGTON EYE INSTITUTE, L.L.C. BLOOMINGTON 2 4,023 1,300.25 CARLE SURGICENTER - DANVILLE DANVILLE 2 1,634 1,426.00 7/24/2018 18-014 Received permit to add 4 surgical specialties (colo-rectal surgery, plastic surgery, urology and interventional radiology) to an existing ASTC facility CHAMPAIGN SURGICENTER CHAMPAIGN 8 5,389 6,535.00 1/24/2017 16-045 Received permit to establish a multi-specialty ASTC with 8 operating rooms at South Staley Road and West Curtis Road in Champaign. 1/24/2017 E-060-16 Facility received exemption to discontinue facility with 4 operating rooms at 1702 South Mattis Avenue in Champaign. DANVILLE POLYCLINIC, LTD. DANVILLE 2 2,940 3,184.50 EASTLAND MEDICAL PLAZA SURGICENTER BLOOMINGTON 4 8,232 4,333.40 GAILEY EYE SURGERY - DECATUR, LLC DECATUR 2 1,489 401.75 GASTROINTESTINAL INSTITUTE NORMAL 2 3,055 663.65 IRELAND GROVE CENTER FOR SURGERY BLOOMINGTON 2 2,639 2,050.25 OLYMPIAN SURGICAL SUITES CHAMPAIGN 2 225 338.00 PRAIRIELAND OUTPT DIAGNOSTIC CTR. NORMAL 3 4,834 4,104.25 THE CENTER FOR ORTHOPEDIC MEDICINE BLOOMINGTON 4 5,976 9,039.50 PLANNING AREA TOTAL 37 42,571 35,736.55 Planning Area: 005 Operating 2017 Surgeries Ambulatory Surgical Treatment Center City Rooms Cases Time(Hrs.) EFFINGHAM AMBULATORY SURGERY CTR. EFFINGHAM 2 6,824 12,425.10 MARION HEALTHCARE MARION 3 3,501 2,175.50 MASSAC COUNTY SURGERY CENTER METROPOLIS 3 1,262 1,885.00 6/4/2019 19-006 Received permit to add Pain Management specialty to an ASTC facility at 1811 East 5th Street in Metropolis. MT. VERNON EYE CENTER MT. VERNON 2 4,717 3,354.75 PAIN CARE SURGERY MARION 1 2,007 439.00 PHYSICIAN SURGERY CENTER AT GOOD SAMARITAN MOUNT VERNON 3 3,043 2,733.75 PHYSICIANS' SURGERY CENTER, LLC CARBONDALE 1 3,494 814.00 SOUTHERN ILLINOIS ORTHOPEDIC, L.L.C HERRIN 3 2,912 3,320.00 6/4/2019 19-007 Received permit to add Pain Management, Neurosurgery and Podiatry specialties to an ASTC facility at 510 Lincoln Drive in Herrin. SURGERY CENTER OF CENTRALIA CENTRALIA 2 1,669 1,408.50 PLANNING AREA TOTAL 20 29,429 28,555.60 INVENTORY OF HEALTH FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health NON-HOSPITAL BASED AMBULATORY SURGERY Category of Service Page B- 7 Planning Area: 006 Operating 2017 Surgeries Ambulatory Surgical Treatment Center City Rooms Cases Time(Hrs.) 25 EAST SAME DAY SURGERY CHICAGO 4 2,227 4,399.06 ADVANCED AMBULATORY SURGICAL CENTER CHICAGO 3 1,137 1,052.40 BELMONT/HARLEM SURGERY CENTER, LLC CHICAGO 4 2,417 1,839.45 CHICAGO SURGERY CENTER CHICAGO 1 708 484.30 FULLERTON KIMBALL MEDICAL & SURGICAL CENTER CHICAGO 2 843 959.50 FULLERTON SURGERY CENTER,INC. CHICAGO 3 1,418 1,497.50 GOLD COAST SURGICENTER CHICAGO 2 3,101 5,402.30 GRAND AVENUE SURGICAL CENTER CHICAGO 5 436 600.75 HYDE PARK SURGERY CENTER, LLC CHICAGO 1 1,275 1,542.00 LAKESHORE PHYSICANS & SURGERY CTR. CHICAGO 2 1,092 1,763.00 NOVAMED SURGERY CENTER OF CHICAGO N CHICAGO 1 2,784 1,202.61 PETERSON SURGERY CENTER CHICAGO 2 177 121.50 RIVER NORTH CENTER FOR REPRODUCTIVE HEALTH CHICAGO 0 4/30/2019 19-003 Received permit to establish an Ambulatory Surgical Treatment Center with 3 procedures rooms for Urology and OB/Gynecology services at 361 West Chestnut in Chicago. RIVER NORTH SAME DAY SURGERY CENTER CHICAGO 4 2,108 3,476.75 ROGERS PARK ONE DAY SURGERY CENTER CHICAGO 2 78 203.00 RUSH SURGICENTER - PROF. BLDG. CHICAGO 4 5,760 8,847.25 SIX CORNERS SAME DAY SURGERY CHICAGO 4 71 139.00 SOUTH LOOP ENDOSCOPY & WELLNESS CENTER CHICAGO 1 2,429 1,619.00 SURGICORE CHICAGO 1 168 201.75 THE SURGERY CENTER AT 900 N. MICHIGAN CHICAGO 4 4,675 8,907.25 VASCULAR ACCESS CENTER OF ILLINOIS CHICAGO 0 1/9/2018 17-047 Received permit to establish a single-specialty ambulatory surgical treatment center for General Surgery with 3 procedure rooms and 0 operating rooms at 1701 West Monterey Avenue in Chicago. WESTERN DIVERSEY SURGERY CENTER CHICAGO 2 1,563 1,061.00 PLANNING AREA TOTAL 52 34,467 45,319.37 INVENTORY OF HEALTH FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health NON-HOSPITAL BASED AMBULATORY SURGERY Category of Service Page B- 8 Planning Area: 007 Operating 2017 Surgeries Ambulatory Surgical Treatment Center City Rooms Cases Time(Hrs.) ADVANTAGE HEALTH CARE, LTD. WOOD DALE 2 986 1,731.50 AIDEN CENTER FOR DAY SURGERY, LLC ADDISON 4 285 525.50 AMBUL. SURGICENTER OF DOWNERS GROVE DOWNERS GROVE 3 856 772.10 ASHTON CENTER FOR DAY SURGERY HOFFMAN ESTATES 5 2,726 1,715.75 CADENCE AMBULATORY SURGERY CENTER WARRENVILLE 2 3,969 4,495.10 CENTER FOR RECONSTUCTIVE SURGERY OAK LAWN 2 1,974 1,188.62 CHICAGO PROSTATE CANCER SURGERY CENTER WESTMONT 2 615 617.00 CHICAGO SURGICAL CLINIC ARLINGTON HEIGHTS 2 448 466.00 CHICAGO VASCULAR ASC WESTMONT 0 5/2/2017 17-005 Received permit to establish a limited-specialty ASTC with 0 operating rooms (3 procedure rooms) at 700 Pasquinelli Drive in Westmont. 7/26/2018 Licensure Facility licensed for operation. CHILDREN'S MEM. SPEC. PED. WESTCHESTER 3 2,278 3,270.50 DMG SURGICAL CENTER LOMBARD 8 22,423 18,505.75 DUPAGE EYE SURGERY CENTER WHEATON 3 9,234 2,877.65 DUPAGE VASCULAR CARE WOODRIDGE 0 9/26/2017 17-018 Received permit to establish a single-specialty Ambulatory Surgical Treatment Center with 1 procedure room at 7425 Janes Avenue in Woodridge. ELMHURST OUTPATIENT SURGERY CENTER ELMHURST 4 7,076 7,227.75 ELMWOOD PARK SAME DAY SURGERY, LLC ELMWOOD PARK 3 323 280.75 EYE SURGERY CENTER OF HINSDALE HINSDALE 2 2,574 2,244.00 GOLF SURGICAL CENTER DES PLAINES 5 6,312 5,381.50 HINSDALE SURGICAL CENTER, LLC HINSDALE 4 6,853 6,109.34 12/4/2018 18-036 Received permit to add 3 surgical specialties (gastroenterology, neurologcal, and vascular surgery) to an existing ASTC facility ILLINOIS BACK & NECK INSTITUTE ELMHURST 1 7/24/2018 17-073 Received permit to establish a multi-specialty ASTC for Pain Management, Orthopedic, Podiatric and Gastroenterology Surgery with 1 operating room at 360 West Butterfield Road, Suite 100 in Elmhurst. ILLINOIS HAND & UPPER EXTREMITY CENTER ARLINGTON HEIGHTS 1 539 1,298.50 ILLINOIS SPINE INSTITUTE SCHAUMBURG 1 3/5/2019 18-044 Received permit to establish a limited-specialty ASTC for Pain Management and Orthopedic Surgery with 1 operating room at 500 West Golf Road in Schaumburg. ILLINOIS SPORTS MEDICINE & ORTHOPEDIC SURG CTR MORTON GROVE 4 3,882 4,109.07 ILLINOIS VASCULAR CARE SCHAUMBURG 0 4/17/2018 17-072 Received permit to establish a single-specialty ASTC for General Surgery with 0 operating rooms and 2 procedure rooms at 846 East Algonquin in Schaumburg. INGALLS SAME DAY SURGERY TINLEY PARK 4 3,531 4,606.50 JUSTICE MEDICAL-SURGICAL CENTER JUSTICE 2 806 705.13 INVENTORY OF HEALTH FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health NON-HOSPITAL BASED AMBULATORY SURGERY Category of Service Page B- 9 LOYOLA AMB. SURG. CTR. AT OAKBROOK OAKBROOK TERRACE 3 1,598 4,449.00 LOYOLA UNIVERSITY AMB. SURG. CTR. MAYWOOD 6 5,959 9,987.07 LURIE CHILDREN'S HOSPITAL ASTC NORTHBROOK 4 1/24/2017 16-044 Received permit to establish a multi-specilaty ASTC with 4 operating rooms at 1121 Techny Road in Northbrook. MIDWEST CENTER FOR DAY SURGERY DOWNERS GROVE 5 4,089 4,955.75 MIDWEST ENDOSCOPY CENTER NAPERVILLE 2 6,002 5,701.90 MIDWEST EYE CENTER, S.C. CALUMET CITY 2 1,923 1,723.00 NAPERVILLE FERTILITY CLINIC NAPERVILLE 1 725 1,368.00 4/30/2019 E-013-19 Received exemption for change of ownership. NAPERVILLE SURGICAL CENTRE NAPERVILLE 3 4,143 5,572.50 NORTH SHORE SURGICAL CENTER LINCOLNWOOD 3 3,892 3,915.75 NORTH SUBURBAN PAIN & SPINE INSTITUTE DES PLAINES 2 12/4/2018 18-018 Received permit to establish a multi-specialty ASTC for Pain Management, Orthopedic, and Neurological Surgery with 2 operating rooms at 9680 Golf Road in Des Plaines. NORTHWEST COMMUNITY DAY SURG. ARLINGTON HEIGHTS 9 6,775 10,483.25 NORTHWEST COMMUNITY FOOT & ANKLE CENTER DES PLAINES 1 334 405.05 NORTHWEST ENDOSCOPY CENTER ARLINGTON HEIGHTS 0 2,377 1,981.25 NORTHWEST SURGICARE HEALTHSOUTH ARLINGTON HEIGHTS 4 4,058 3,438.50 NOVAMED SURGERY CENTER OF RIVER FOREST RIVER FOREST 2 1,373 904.69 OAK BROOK SURGICAL CENTER, THE OAKBROOK 4 2,087 2,259.50 OAK LAWN ENDOSCOPY OAK LAWN 2 5,698 5,698.00 OPHTHALMOLOGY SURGERY CENTER OF ILLINOIS ITASCA 2 4/30/2019 18-047 Received permit to establish a limited specialty Ambulatory Surgical Treatment Center with 2 operating rooms for ophthalmology services at 1300 Arlington Heights Road in Itasca. ORTHOTEC SURGERY CENTER ELMHURST 1 122 242.62 9/26/2017 17-026 Received permit to add Orthopedic Surgery specialty to an existing limited-specialty Ambulatory Surgical Treatment Center at 340 West Butterfield Road in Elmhurst. PALOS HEALTH SURGERY CENTER ORLAND PARK 4 3/14/2017 16-059 Received permit to establish a multi-specialty ASTC with 4 operating rooms at 153rd Street and West Avenue in Orland Park. PALOS HILLS SURGERY CENTER PALOS HILLS 2 2,610 2,831.50 PALOS SURGICENTER, LLC PALOS HEIGHTS 4 4,845 2,105.00 PREFERRED SURGICENTER, LLC ORLAND PARK 3 553 654.24 PREMIER CARDIAC SURGERY CENTER MERRIONETTE PARK 1 2/27/2018 17-058 Received permit to establish a limited specialty surgery center for cardiovascular service with 1 operating room at 11560 South Kedzie Avenue, Suite 102 in Merrionette Park. PRESENCE LAKESHORE GASTROENTEROLOGY DES PLAINES 0 2 0.85 RAVINE WAY SURGERY CENTER GLENVIEW 3 2,325 2,646.95 3/5/2019 18-043 Received permit to add Podiatry and Pain Management specialties to an existing single specialty ASTC facility. RETINA SURGERY CENTER NILES 1 INVENTORY OF HEALTH FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health NON-HOSPITAL BASED AMBULATORY SURGERY Category of Service Page B- 10 6/4/2019 18-002 Received permit to establish an ASTC facility with 1 operating room for ophthalmology service at 8780 West Golf Road, Suite 102 in Niles. RUSH OAK BROOK SURGERY CENTER OAK BROOK 6 SALT CREEK SURGERY CENTER WESTMONT 4 4,020 3,371.50 SCHAUMBURG SURGERY CENTER SCHAUMBURG 0 SOUTHWESTERN MEDICAL CENTER BEDFORD PARK 3 3,772 3,329.75 THE CENTER FOR SURGERY NAPERVILLE 8 5,462 4,453.75 THE GLEN ENDOSCOPY CENTER GLENVIEW 2 4,255 3,578.00 THE HOFFMAN ESTATES SURGERY CENTER HOFFMAN ESTATES 4 6,470 3,874.49 TINLEY WOODS SURGERY CENTER TINLEY PARK 4 5,078 4,684.25 UNITED UROLOGY CENTERS, LLC LAGRANGE 1 985 1,723.75 UROPARTNERS SURGERY CENTER DES PLAINES 2 34 49.50 PLANNING AREA TOTAL 175 169,256 164,517.37 INVENTORY OF HEALTH FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health NON-HOSPITAL BASED AMBULATORY SURGERY Category of Service Page B- 11 Planning Area: 008 Operating 2017 Surgeries Ambulatory Surgical Treatment Center City Rooms Cases Time(Hrs.) ADVOCATE CONDELL ASTC LIBERTYVILLE 2 359 618.75 ADVOCATE SHERMAN ASTC ELGIN 3 1/24/2017 16-038 Received permit to establish a multi-specialty ASTC with 3 operating rooms at 1445 North Randall Road in Elgin. AGAPHY SURGICAL CENTER BARRINGTON 0 12/4/2018 18-027 Facility received permit to establish a single-specialty ASTC for gastroenterology with 0 operating rooms and 2 procedure rooms at 200 Fox Glen Court in Barrington. ALGONQUIN ROAD SURGERY CENTER, LLC LAKE IN THE HILLS 3 3,477 3,792.25 BARRINGTON PAIN AND SPINE INSTITUTE BARRINGTON 3 2,960 1,459.50 1/15/2019 18-038 Received permit to add 2 surgical specialties (orthopedic and podiatric surgery) to an existing ASTC facility CASTLE SURGICENTER, LLC AURORA 2 1,525 1,383.50 DREYER AMBULATORY SURGERY CENTER AURORA 4 12,533 7,278.50 ELGIN GASTROENTEROLOGY ENDOSCOPY CENTER ELGIN 2 4,947 4,866.00 FOX VALLEY ORTHOPAEDIC ASSOCIATES GENEVA 2 3,779 4,278.00 HAWTHORNE PLACE OUTPATIENT SURGERY CENTER VERNON HILLS 3 5,101 7,110.74 LAKE FOREST ENDOSCOPY CENTER GRAYSLAKE 2 2,247 1,211.08 LINDENHURST SURGERY CENTER LINDENHURST 2 3,020 1,717.25 NORTH SHORE ENDOSCOPY CENTER LAKE BLUFF 2 3,042 2,053.35 NORTHWESTERN GRAYSLAKE OUTPATIENT & ACUTE CARE GRAYSLAKE 4 1,408 2,115.29 VALLEY AMBULATORY SURGERY CENTER ST. CHARLES 6 7,077 8,532.50 2/27/2018 17-057 Received permit to establish a multi-specialty surgery center with 6 operating rooms and 2 procedure rooms at 2475 Dean Street in St. Charles. 2/27/2018 E-048-17 Received exemption to discontinue a multi-specialty surgery center with 7 operating rooms and 1 procedure room at 2210 Dean Street in St. Charles. VERNON SQUARE SURGICENTER VERNON HILLS 2 1,032 2,636.50 WINCHESTER ENDOSCOPY CENTER LIBERTYVILLE 2 5,025 2,513.00 PLANNING AREA TOTAL 44 57,532 51,566.21 INVENTORY OF HEALTH FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health NON-HOSPITAL BASED AMBULATORY SURGERY Category of Service Page B- 12 Planning Area: 009 Operating 2017 Surgeries Ambulatory Surgical Treatment Center City Rooms Cases Time(Hrs.) DEERPATH ORTHOPEDIC SURGICAL CTR. MORRIS 2 665 570.75 1/9/2018 17-059 Received permit to add Endoscopy, ENT, Ophthalmology, Urology, GYN, General Surgery and Pain Management specialties to existing limited specialty ASTC. DMG CENTER FOR PAIN MANAGEMENT NAPERVILLE 2 6,373 3,169.25 EDWARD PLAINFIELD SURGERY CENTER PLAINFIELD 4 3,551 3,815.50 HEALTHSOUTH AMSURG SURGERY CENTER JOLIET 5 8,061 8,851.47 KENDALL POINTE SURGERY CENTER, LLC OSWEGO 3 1,459 1,644.50 OAK AMBULATORY SURGERY CENTER BOURBONNAIS 3 6/4/2019 19-001 Received permit to establish an ASTC facility with 3 operating rooms for orthopedics, podiatry and pain management at 6700 South LaGrange Road in Bourbonnais. OAK SURGICAL INSTITUTE BRADLEY 2 3,452 4,785.00 RIVERSIDE AMBULATORY SURGERY CENTER, LLC BOURBONNAIS 2 2,258 1,978.00 6/4/2019 19-009 Received permit to add Orthopedic surgery specialty to an ASTC facility at 300 Riverside Drive in Bourbonnais. SILVER CROSS AMBULATORY YREATMENT CENTER NEW LENOX 3 8 23.25 SOUTHWEST SURGERY CENTER, L.L.C. MOKENA 4 4,395 5,668.27 3/5/2019 Correction Facility erroneously listed with 3 operating rooms; operating rooms corrected to 4. THE CENTER FOR DIGESTIVE HEALTH BOURBONNAIS 2 6,088 4,712.66 PLANNING AREA TOTAL 32 36,310 35,218.65 Planning Area: 010 Operating 2017 Surgeries Ambulatory Surgical Treatment Center City Rooms Cases Time(Hrs.) DIALYSIS ACCESS CENTER MOLINE 0 49 19.50 1/29/2018 Closure Facility ceased operations; 1 operating room removed from inventory. QUAD CITY AMB. SURGERY CENTER MOLINE 2 2,469 1,089.00 QUAD CITY ENDOSCOPY - MOLINE MOLINE 2 3,100 2,374.25 REGIONAL SURGICENTER, LTD. MOLINE 4 10,745 7,865.00 PLANNING AREA TOTAL 8 16,363 11,347.75 INVENTORY OF HEALTH FACILITIES AND SERVICES AND NEED DETERMINATIONS Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health NON-HOSPITAL BASED AMBULATORY SURGERY Category of Service Page B- 13 Planning Area: 011 Operating 2017 Surgeries Ambulatory Surgical Treatment Center City Rooms Cases Time(Hrs.) ANDERSON SURGERY CENTER, LLC EDWARDSVILLE 2 12/4/2018 18-031 Facility received permit to establish a multi-specialty ASTC for General, Gastroenterology, Obstetrics, Ophthalmology, Oral, Otolaryngology, Pain Management, Plastic, Podiatric and Urologic Surgery with 2 operating rooms at the intersection of Goshen Road and Gusewelle Road in Edwardsville. BEL-CLAIR AMB. SURGICAL CTR. BELLEVILLE 2 1,351 833.12 EDWARDSVILLE AMBULATORY SURG CTR, L GLEN CARBON 2 1,910 1,122.75 HEALTHSOUTH SURG CTR OF BELLEVILLE BELLEVILLE 0 1,031 1,035.29 3/5/2019 E-003-19 Received exemption for discontinuation of ASTC facility with3 operating rooms at 28 North 64th Street in Belleville. HOPE CLINIC FOR WOMEN, LTD., THE GRANITE CITY 3 3,029 758.25 ILLINOIS EYE SURGEONS CATARACT SUR BELLEVILLE 2 4,438 2,512.00 METROEAST ENDOSCOPY SURGERY CENTER FAIRVIEW HEIGHTS 1 4,204 1,542.00 6/4/2019 19-010 Received permit to add General Surgery, Plastic Surgery and Gynecology services to an ASTC facility at 5023 North Illinois Street, Suite 3 in Fairview Heights. MONROE COUNTY SURGICAL CENTER WATERLOO 2 898 795.50 NOVAMED EYE SURGERY CTR OF MARYVILLE MARYVILLE 1 2,725 1,393.75 PHYSICIAN'S SURGICAL CENTER, LTD BELLEVILLE 1 3,640 1,980.70 3/5/2019 E-002-19 Received exemption for change of ownership. PLANNING AREA TOTAL 16 23,226 11,973.36 Inventory of Health Care Facilities and Services and Need Determinations

Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page C- 1

SECTION C

ALTERNATIVE HEALTH CARE MODELS Inventory of Health Care Facilities and Services and Need Determinations

Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page C- 2

Planning Process for Post-Surgical Recovery Care Center Models

The Post-Surgical Recovery Care Center Model is closed. No additional applications will be accepted.

1. The planning areas for Post-Surgical Recovery Care Center Models:

1) the City of Chicago;

2) Cook County outside the City of Chicago;

3) Kane, Lake, and McHenry Counties;

4) Municipalities with a population greater than 50,000 not located in the areas described in subsections (a)(1), (2), and (3) of this Section. Municipalities means geographic areas designated as Metropolitan Statistical Area by the Bureau of the Census; and

5) Rural areas, i.e., all areas exclusive of subsections (a)(1), (2), (3), and (4) of this Section.

2. Occupancy Targets: Beds should have an occupancy of 80% or higher

3. Need Determination: There shall be no more than a total of twelve postsurgical recovery care center alternative health care models in the demonstration program, located as follows:

1) Two in the City of Chicago.

2) Two in Cook County outside the City of Chicago. At least one of these shall be owned or operated by a hospital devoted exclusively to caring for children.

3) Two in Kane, Lake and McHenry Counties.

4) Four in municipalities (as defined in subsection (a)(4)), three of which shall be owned or operated by hospitals, at least two of which shall be located in counties with a population of less than 175,000, according to the most recent decennial census for which data are available, and one of which shall be owned or operated by an ambulatory surgical treatment center.

5) Two in rural areas (as defined in subsection (a)(5)), both of which shall be owned or operated by hospitals. (Section 30(a-5) of the Alternative Health Care Delivery Act [210 ILCS 3/30(a-5)]) Inventory of Health Care Facilities and Services and Need Determinations

Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page C- 3

Alternative Health Care Models Post-Surgical Recovery Care Center Models

PLANNING AREA: City of Chicago Need Determination: There shall be no more than a total of 12 postsurgical recovery care center alternative health care models in the demonstration program, 2 in the City of Chicago.

City Name of Facility Permit # Date of Initial License Number of Beds Comments

No models have been approved.

PLANNING AREA: Cook County Outside City of Chicago Need Determination: Two in Cook County outside the City of Chicago. At least one of these shall be owned or operated by a hospital devoted exclusively to caring for children.

City Name of Facility Permit # Date of Initial License Number of Beds Comments

No models have been approved.

PLANNING AREA: DuPage, Kane, Lake, McHenry and Will Counties Need Determination: Two in Kane, Lake and McHenry Counties.

City Name of Facility Permit # Date of Initial License Number of Beds Comments

St. Charles Valley Medical Inn 95-125 10/10/1997 9 beds Mokena Southwest Recovery Center – Mokena 06-020 4 beds TOTAL 13 beds Inventory of Health Care Facilities and Services and Need Determinations

Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page C- 4

PLANNING AREA: Municipalities with population exceeding 50,000 not included in areas above Need Determination: Four, three of which shall be owned or operated by hospitals, at least two of which shall be located in counties with a population of less than 175,000, and one of which shall be owned or operated by an ambulatory surgical treatment center.

City Name of Facility Permit # Date of Initial License Number of Beds Comments

DeKalb Kishwaukee Community Hospital 98-117 4 beds Peoria Peoria Recovery Care Center 95-086 6/4/1997 6 beds Bloomington Bromenn Care & Comfort Suites 07-060 3 beds TOTAL 13 beds

PLANNING AREA: Rural areas not included in above defined planning areas Need Determination: Two in rural areas (as defined in subsection (a)(5)), both of which shall be owned or operated by hospitals.

City Name of Facility Permit # Date of Initial License Number of Beds Comments Exempt*

No models have been approved. Inventory of Health Care Facilities and Services and Need Determinations Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page C - 5 Planning Process for Children’s Respite Care Models

For the Children’s Respite Care Models:

1. The planning areas for Children’s Respite Care Models:

1) the City of Chicago;

2) Cook County outside the City of Chicago;

3) DuPage, Kane, Lake, Will and McHenry Counties;

5) Rural areas, i.e., all areas exclusive of subsections (a)(1), (2), (3), and (4) of this Section.

2. Occupancy Targets: Beds should have an occupancy of 40% or higher

3. Need Determination: There shall be no more than a total of eight Children's Respite Care Alternative Health Care Models in the demonstration program, located as follows:

1) One in the City of Chicago.

2) One in Cook County outside the City of Chicago.

3) Two in DuPage, Kane, Lake, McHenry and Will counties.

4) Two in municipalities (as defined in subsection (a)(4)) not located in areas specified in subsection (f)(1), (2) or (3) above.

5) Two in rural areas (as defined in subsection (a)(5)) not located in areas specified in subsection (f)(1), (2), (3) or (4) above. (Section 30(a)(10) of the Alternative Health Care Delivery Act [210 ILCS 3/30(a)(10)]) Inventory of Health Care Facilities and Services and Need Determinations Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page C - 6

Alternative Health Care Models Children’s Respite Care Models

PLANNING AREA: City of Chicago Need Determination: There shall be no more than a total of 8 Children's Respite Care Alternative Health Care Models in the demonstration program, 1 in the City of Chicago.

City Name of Facility Permit # Date of Initial License Number of Beds Comments

Change of Ownership 11/3/2014 Chicago Chicago Behavioral Hospital 06-012 12 beds Formerly known as Maryville TOTAL 12 beds Academy Healthcare and Respite Center

PLANNING AREA: Cook County Outside City of Chicago Need Determination: One in Cook County outside the City of Chicago.

City Name of Facility Permit # Date of Initial License Number of Beds Comments

No models have been approved.

PLANNING AREA: DuPage, Kane, Lake, McHenry and Will Counties Need Determination: Two in Kane, Lake and McHenry Counties.

City Name of Facility Permit # Date of Initial License Number of Beds Comments

Naperville Respite House – Naperville 97-003 10 beds Not owned or operated by a skilled TOTAL 10 beds pediatric facility.

PLANNING AREA: Municipalities with population exceeding 50,000 not included in areas above Need Determination: Two in municipalities with population exceeding 50,000, not included in areas above.

City Name of Facility Permit # Date of Initial License Number of Beds Comments Inventory of Health Care Facilities and Services and Need Determinations Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page C - 7

PLANNING AREA: Municipalities with population exceeding 50,000 not included in above defined planning areas Need Determination: Two in municipalities with population exceeding 50,000, not included in areas specified above.

City Name of Facility Permit # Date of Initial License Number of Beds Comments

No models have been approved.

PLANNING AREA: Rural areas not included in above defined planning areas Need Determination: Two in rural areas, not located in areas specified above.

City Name of Facility Permit # Date of Initial License Number of Beds Comments Exempt*

Planning Process for Community-Based Residential Care Models

For the Community-Based Residential Care Models:

1. The planning area for Community-Based Residential Care Models:

The area of Illinois south of Interstate Highway 70

2. Occupancy Targets:

Modernization/Establishment 70% or higher

3. Need Determination:

One model for the State of Illinois Inventory of Health Care Facilities and Services and Need Determinations Illinois Health Facilities and Services Review Board 9/1/2019 Illinois Department of Public Health Page C - 9

Alternative Health Care Models Community-Based Residential Rehabilitation Center Models

PLANNING AREA: State of Illinois – South of Interstate Highway 70 Need Determination: One model for the State of Illinois south of Interstate Highway 70.

Name of Facility Permit # Location Number of Beds Comments

Center for Comprehensive Services 00-043 Carbondale 100 00-043 issued July 13, 2001 to establish model with 94 01-048 (Jackson County) beds. 01-048 issued October 11, 2001 to add 6 beds.

Center for Comprehensive Services 09-060 Des Plaines 8 Permit issued March 2, 2010 (DuPage County)

Center for Comprehensive Services 12-033 Palatine 8 Permit issued July 23, 2012; completed January 9, (Cook County) 2013

Center for Comprehensive Services 13-051 Palatine 5 Permit issued September 24, 2013 (Cook County)

Center for Comprehensive Services 14-067 Palatine 5 Permit issued March 10, 2015 (Cook County)

Rescare Neuro Rehab Center 09-043 Downers Grove 12 Permit issued July 27, 2010 (DuPage County)

TOTAL 138 beds