STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD 52525 WEST JEFFERSON ST. SPRINGFIELD, ILLINOIS 62761 (217) 782-3516 FAX: (217) 785-4111 DOCKET NO: E-01 BOARD MEETING: May 14, 2013 PROJECT NO: 13-009 PROJECT COST: Original: $0 Current: $ FACILITY NAME: Garfield Park Hospital CITY: Chicago TYPE OF PROJECT: Non-substantive HSA: VI PROJECT DESCRIPTION: The applicants (Garfield Park Hospital, LLC, UHS of Hargrove Inc., UHS of Delaware, Inc. and Universal Health Services, Inc.) are proposing a change of ownership of Garfield Park Hospital an 88 bed acute mental illness hospital in Chicago, Illinois. There is no cost to the transaction and the anticipated completion date is July 1, 2013.
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STATE OF ILLINOIS
HEALTH FACILITIES AND SERVICES REVIEW BOARD
52525 WEST JEFFERSON ST. SPRINGFIELD, ILL INOIS 62761 (217) 782-3516 FAX: (217) 785-4111
TYPE OF PROJECT: Non-substantive HSA: VI PROJECT DESCRIPTION: The applicants (Garfield Park Hospital, LLC, UHS of Hargrove Inc., UHS of Delaware, Inc. and Universal Health Services, Inc.) are proposing a change of ownership of Garfield Park Hospital an 88 bed acute mental illness hospital in Chicago, Illinois. There is no cost to the transaction and the anticipated completion date is July 1, 2013.
STATE OF ILLINOIS
HEALTH FACILITIES AND SERVICES REVIEW BOARD
52525 WEST JEFFERSON ST. SPRINGFIELD, ILL INOIS 62761 (217) 782-3516FAX: (217) 785-4111
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EXECUTIVE SUMMARY
PROJECT DESCRIPTION: The applicants (Garfield Park Hospital, LLC, UHS of Hargrove Inc., UHS of
Delaware, Inc. and Universal Health Services, Inc.) are proposing a change of ownership of Garfield Park Hospital an 88 bed acute mental illness hospital in Chicago, Illinois. There is no cost to the transaction and the anticipated completion date is July 1, 2013.
WHY THE PROJECT IS BEFORE THE STATE BOARD:
The project proposes a change of ownership of a health care facility as defined by the Act. 20 ILCS 3960/3
PURPOSE OF THE PROJECT:
The applicants state the following: In 2009 the Board approved the establishment of Garfield Park Hospital under CON permit #09-015. The hospital is a dedicated psychiatric facility of 88 acute mental health beds. It serves adolescent and pediatrics patients and is located in the Garfield Park community on Chicago's west side. This project was completed on December 19, 2012. This application is for an internal corporate reorganization that will change the legal status of Garfield Park Hospital to a Limited Liability Company. Per the Board's rules this constitutes a Change of Ownership. Upon approval of this reorganization by the Board, the assets of Garfield Park Hospital will be transferred to Garfield Park Hospital LLC from UHS of Hartgrove, Inc. Both entities are to remain wholly owned subsidiaries of UHS of Delaware, Inc.
REQUIREMENTS FOR CHANGE OF OWNERSHIP:
An applicant proposing a change of ownership must provide details on any proposed changes in the beds or services currently offered, the reason for the transaction, any anticipated additions or reductions in employees, any changes in the restriction of patient admissions, and; document that no reductions in access to care will result from the proposed
change of ownership transaction. A change of ownership of an existing health care facility does not require
evidence of need for the facility.
TRANSACTION: This transaction is for an organizational reorganization that will establish Garfield Park
Hospital as a limited liability company, Garfield Park Hospital LLC. Garfield Park Hospital LLC will be the operating entity and license holder. There will be no change of beds or services.
STATE OF ILLINOIS
HEALTH FACILITIES AND SERVICES REVIEW BOARD
52525 WEST JEFFERSON ST. SPRINGFIELD, ILL INOIS 62761 (217) 782-3516FAX: (217) 785-4111
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There will be no reductions or increases in employees as a result of this transaction,
Employment is expected to increase over the next two years as the newly opened facility reaches its full utilization. The reorganization has been authorized by the Board of Directors of the current ownership.
The current admission policies will remain unchanged.
BACKGROUND/COMPLIANCE ISSUES: The applicants have had no adverse actions in the past three years and are in compliance
with all of the State Board’s reporting requirements. Bed numbers as of December 31, 2011.
The applicants own the following facilities in Illinois: 1. Garfield Park Hospital, 88 AMI beds, Chicago 2. Hartgrove Hospital, 150 AMI beds, Chicago 3. Streamwood Behavioral Health Systems, 162 AMI beds, Streamwood 4. Riveredge Hospital, 210 AMI beds, Forest Park 5. The Pavilion Foundation, 47 AMI beds, Champaign 6. Lincoln Prairie Behavioral, 88 AMI beds, Springfield
PUBLIC HEARING/COMMENT
No public hearing was requested and no letters of support or opposition were received by the State Board Staff.
FINANCIAL
There is no cost to this project. Audited financial statements were provided. CONCLUSIONS:
The applicants have met all of the requirements of the State Board.
STATE OF ILLINOIS
HEALTH FACILITIES AND SERVICES REVIEW BOARD
52525 WEST JEFFERSON ST. SPRINGFIELD, ILL INOIS 62761 (217) 782-3516FAX: (217) 785-4111
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STATE BOARD STAFF REPORT Garfield Park Hospital
Project #13-009
I. The Proposed Project The applicants (Garfield Park Hospital, LLC, UHS of Hargrove Inc., UHS of Delaware, Inc. and Universal Health Services, Inc.) are proposing a change of ownership of Garfield Park Hospital an 88 bed acute mental illness hospital in Chicago, Illinois. There is no cost to the transaction and the anticipated completion date is July 1, 2013.
II. Summary of Findings
A. The State Board Staff finds the proposed project appears to be in conformance with the provisions of Part 1110.
B. The provisions of Part 1120 are not applicable to this application.
III. General Information The applicants are Garfield Park Hospital, LLC, UHS of Hargrove Inc., UHS of Delaware, Inc. and Universal Health Services, Inc. The hospital is located at 520 N. Ridgeway Avenue, Chicago, Illinois. The operating entity is UHS of Hartgrove, Inc. dba Garfield Park Hospital and the owner of the site is UHS of Hartgrove, Inc. The proposed project is located in Chicago in the HSA VI service area. HSA VI consists of City of Chicago. Project obligation will occur after permit issuance.
APPLICATION SUMMARY Applicants Garfield Park Hospital, LLC, UHS of
Hargrove Inc., UHS of Delaware, Inc. and Universal Health Services, Inc.)
Facility Name Garfield Park Hospital Location Chicago
Application Received February 21, 2013 Application Deemed Complete February 22, 2013
Scheduled Review Period Ended April 24, 2013 Review Period Extended by the State
Board Staff? No
Public Hearing Held? No Applicants’ Deferred Project? No
Can Applicants Request Another Deferral? Yes
STATE OF ILLINOIS
HEALTH FACILITIES AND SERVICES REVIEW BOARD
52525 WEST JEFFERSON ST. SPRINGFIELD, ILL INOIS 62761 (217) 782-3516FAX: (217) 785-4111
Page5
IV. Project Costs and Sources of Funds There is no cost to this project.
V. Safety Net Impact Statement/Charity Care The proposed project is a non-substantive project and no safety net statement is required. Charity Care information has been provided as required. See Table Two-Table Six below.
TABLE TWO
The Pavilion Foundation
2009 2010 2011
Net Patient Revenue $11,759,826 $12,914,953 $13,719,378
Amt of Charity Care (charges) $0 $0 $0
Cost of Charity Care $147,948 $162,800 $299,659
% of Charity Care to Net Revenue
1.26% 1.26% 2.18%
TABLE THREE
Lincoln Prairie Behavioral Health
2009 2010 2011
Net Patient Revenue $14,943,989 $15,074,614 $15,901,955
Amt of Charity Care (charges) $0 $0 $0
Cost of Charity Care $0 $4,438 $6,320
% of Charity Care to Net Revenue
0.00% 0.03% 0.04%
TABLE FOUR
Riveredge Hospital
2009 2010 2011
Net Patient Revenue $28,704,819 $32,581,539 $32,218,646
Amt of Charity Care (charges) $0 $0 $0
Cost of Charity Care $17,836 $5,626 $404,466
% of Charity Care to Net Revenue
0.06% 0.02% 1.26%
TABLE FIVE
STATE OF ILLINOIS
HEALTH FACILITIES AND SERVICES REVIEW BOARD
52525 WEST JEFFERSON ST. SPRINGFIELD, ILL INOIS 62761 (217) 782-3516FAX: (217) 785-4111
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Streamwood Behavioral Health System
2009 2010 2011
Net Patient Revenue $36,813,261 $37,826,464 $39,801,553
Amt of Charity Care (charges) $0 $0 $0
Cost of Charity Care $0 $0 $0
% of Charity Care to Net Revenue
0.00% 0.00% 0.00%
TABLE SIX
UHS Hartgrove
2009 2010 2011
Net Patient Revenue $40,181,155 $43,658,318 $38,856,905
Amt of Charity Care (charges) $0 $0 $0
Cost of Charity Care $147,948 $19,021 $64,634
% of Charity Care to Net Revenue
0.37% 0.04% 0.17%
IDPH Number: 5025
HSA 6
HPA A-02
COUNTY: Suburban Cook (Chicago)
OWNERSHIP: Universal Health Services, Inc.OPERATOR: Hartgrove Hospital
Ownership, Management and General Information Patients by RaceWhite #
Birthing DataNumber of Total Births: 0Number of Live Births: 0Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 0Labor-Delivery-Recovery-Postpartum Rooms: 0
Hours per CaseSurgery and Operating Room Utilization
IDPH Number: 4689
HSA 4
HPA D-01
COUNTY: Champaign County
OWNERSHIP: Universal Health ServicesOPERATOR: The Pavilion Foundation Hospital
Ownership, Management and General Information Patients by RaceWhite #
Black #
American Indian #
Asian #
Hawaiian/ Pacific #
Unknown:#
Hispanic or Latino:
Not Hispanic or Latino:
Unknown:
83.3%
11.0%
0.0%
0.5%
0.0%
5.2%
1.4%
93.5%
5.2%
Page 1Hospital Profile - CY 2011 The Pavilion Foundation ChampaignPatients by Ethnicity
809 West Church StreetADDRESS
Not for Profit Corporation (Not Church-RMANAGEMENT:CERTIFICATION:
ChampaignCITY:
ADMINISTRATOR NAME: Joseph Sheehy
ADMINSTRATOR PHONE: 217-373-1701
Birthing DataNumber of Total Births: 0Number of Live Births: 0Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 0Labor-Delivery-Recovery-Postpartum Rooms: 0
Birthing DataNumber of Total Births: 0Number of Live Births: 0Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 0Labor-Delivery-Recovery-Postpartum Rooms: 0
Hours per CaseSurgery and Operating Room Utilization
IDPH Number: 8167
HSA 3
HPA E-01
COUNTY: Sangamonm County
OWNERSHIP: LINCOLN PRAIRIE BEHAVIORAL HEALTH CENTEROPERATOR: LINCOLN PRAIRIE BEHAVIORAL HEALTH CENTER
Ownership, Management and General Information Patients by RaceWhite #
Black #
American Indian #
Asian #
Hawaiian/ Pacific #
Unknown:#
Hispanic or Latino:
Not Hispanic or Latino:
Unknown:
77.7%
14.3%
0.4%
0.7%
0.0%
6.8%
0.3%
99.7%
0.0%
Page 1Hospital Profile - CY 2011 Lincoln Prairie Behavioral Health Center SpringfieldPatients by Ethnicity
5230 South Sixth StreetADDRESS
For Profit CorporationMANAGEMENT:CERTIFICATION:
SpringfieldCITY:
ADMINISTRATOR NAME: Mark Littrell
ADMINSTRATOR PHONE: 217-585-1180
Birthing DataNumber of Total Births: 0Number of Live Births: 0Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 0Labor-Delivery-Recovery-Postpartum Rooms: 0
Hours per CaseSurgery and Operating Room Utilization
IDPH Number: 4762
HSA 7
HPA A-07
COUNTY: Suburban Cook County
OWNERSHIP: Universal Health Services, Inc.OPERATOR: Streamwood Behavioral Healthcare System
Ownership, Management and General Information Patients by RaceWhite #
Black #
American Indian #
Asian #
Hawaiian/ Pacific #
Unknown:#
Hispanic or Latino:
Not Hispanic or Latino:
Unknown:
62.4%
28.1%
0.0%
0.8%
0.0%
8.7%
12.0%
79.3%
8.7%
Page 1Hospital Profile - CY 2011 Streamwood Behavioral Health Systems StreamwoodPatients by Ethnicity
1400 E. Irving Park RoadADDRESS
For Profit CorporationMANAGEMENT:CERTIFICATION:
StreamwoodCITY:
ADMINISTRATOR NAME: Roxane Harcourt
ADMINSTRATOR PHONE: 630-483-5578
Birthing DataNumber of Total Births: 0Number of Live Births: 0Birthing Rooms: 0Labor Rooms: 0Delivery Rooms: 0Labor-Delivery-Recovery Rooms: 0Labor-Delivery-Recovery-Postpartum Rooms: 0