esrd facility profile - illinois...14-2662 ara-south barrington dialysis 33 w. higgins road suite...

14-2619

Alton Dialysis309 Homer Adams ParkwayAltonMadison11

END STAGE RENAL DIALYSIS - FACILITY PROFILE 2016

Ownership, Management and General Information

Address:Name:

City:County:

Medicare ID:HSA: Other Ownership:

Ownership Type: For Profit Corporation

Legal Entity Operator: DVA Renal Healthcare Inc.Legal Entity Owner:

Property Owner: Pinetree Alton 1, LLC

Source: Data based on 2016 Annual ESRD Questionnaire administered on behalf of Illinois Department of Public Health, Health Systems Development.

Provides Incenter Noctural Dialysis:

Medical Director Name: Suresh Mathew

In-Center Treatments in calendar year: 9,120Facility Reported Patient Information

Patients treated as of 1/1/2016: (Beginning patients) 56

Patients treated as of 12/31/2016: (Ending patients) 63

Facility Reported Treatment Information

Average Daily Treatments: 0.0Average Treatment Time (min): 210.0

Oct 112

Oct 20

Oct 312

Oct 412

Oct 512

Oct 612

Oct 712

22 0 35 21 33 24 34

Dialysis Station Utilization for the Week of Oct 1 - 7

New Patients: 29Transient Patients: 7Patients Re-Started: 3Post-Transplant Patien 1

Recovered patients: 3Transplant Recipients: 1Patients transferred out: 13Patients voluntarily discontinued: 3Patients lost to follow up: 0Patients deceased: 11

Number of Missed Treatments: 375

PATIENT ADDITIONS PATIENT LOSSES

Date of Operation

Hours operated

Number of Patients Treated

31Total:

40Total:

USE RATE for the FACILITY14,976Treatment Capacity/year (based on Stations):

Use Rate (Treatments/Treatment capacity): 61%Use Rate (including Missed Treatments): 63%Use Rate (Begining patients treated):

Total Unduplicated patients treated in calendar year: 67

58%66%Use Rate (Year end Patients/Stations*6):

Authorized Stations Setup and Staffed in Oct 1-7: 16Isolation Stations Set up in Oct 1-7: 1

Full-Time Work Week: 40Registered Nurse : 4Dialysis Technician : 6Dietician : 1Social Worker: 1LPN : 0Other Health : 0Other Non-Health: 3

Authorized Stations as of 12/31/2016: 16Certified Stations by CMS: 16Peak Authorized Stations Operated: 16

STATION INFORMATION FACILITY STAFFING - FULL TIME EQUIVALENTS

(subset of authorized stations)Number of Shifts Operated per day

Facility Utilization Information

AGE GROUPS MALE FEMALE

Patients by Age and Sex Patients by Race Patients by Ethnicity

Patients and Net Revenue by Payor Source

Medicare

56

84.8%

Medicaid

3

Private Insurance

6

Charity Care

1

Private Pay

0

Other Public

1

TOTAL

66

4.5% 9.1% 1.5%0.0% 1.5% 100.0%

Patients

TOTAL 00

180

49

0670

0

04

11105

02

11168

<15 yrs15-44 yr45-64 yr65-74 yr75 < yrsTotal

Asian Patients:Native American/ Indian:Black/ African American :Hawaiian /Pacific IslandeWhite:Unknown :TOTAL:

Hispanic Latino Patients:Non-Hispanic Latino PatientUnknown Ethnicity PatientsTOTAL:

67

06

2226136730 37

67

$1,765,307 $16,497 $1,194,927 $21,672$0 $803,315 $3,780,045

46.7% 0.4% 31.6% 0.6%0.0% 21.3% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2664

ARA- Crystal Lake Dialysis6298 Northwest Hwy. Suite # 300Crystal LakeMcHenry8



Address:Name:

City:County:


Ownership Type: Limited Liability Company

Legal Entity Operator: ARA N.W. Chicago LLCLegal Entity Owner:

Property Owner: Centro Bradley Crystal Lake, LLC


Total Net Revenue does not compute Total is 543,026


Medical Director Name: Dr Mohammed Zahid






Oct 10

Oct 20

Oct 316

Oct 40

Oct 516

Oct 60

Oct 716

0 0 31 0 31 0 31






Date of Operation

Hours operated


20Total:

17Total:






Full-Time Work Week: 40Registered Nurse : 2.5Dialysis Technician : 3Dietician : 0.5Social Worker: 0.33LPN : 0Other Health : 0.33Other Non-Health: 1.5








Medicare

43

82.7%

Medicaid

2

Private Insurance

7

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

52

3.8% 13.5% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 1030

48

10420

0

02

1396

02785




52

04

2017115230 22

52

$1,030,593 $0 $752,677 $0($1,227,091) ($13,153) $543,026

189.8% 0.0% 138.6% 0.0%-226.0% -2.4% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2737

ARA-McHenry County4209 West Shamrock LaneMcHenryMcHenry8



Address:Name:

City:County:



Legal Entity Operator: American Renal AssociatesLegal Entity Owner:

Property Owner: Riggsby Companies LLC



Medical Director Name: Dr. Mohammad Zahid






Oct 10

Oct 20

Oct 314

Oct 40

Oct 514

Oct 60

Oct 714

0 0 28 0 29 0 30






Date of Operation

Hours operated


24Total:

13Total:






Full-Time Work Week: 40Registered Nurse : 3Dialysis Technician : 3.5Dietician : 0.5Social Worker: 1LPN : 0Other Health : 0Other Non-Health: 2








Medicare

45

86.5%

Medicaid

0

Private Insurance

7

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

52

0.0% 13.5% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 1010

50

3490

0

00

111011

03287




52

03

1318185232 20

52

$1,081,898 $0 $1,513,163 $0$1,513,722 $14,290 $4,123,073

26.2% 0.0% 36.7% 0.0%36.7% 0.3% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2662

ARA-South Barrington Dialysis33 W. Higgins Road Suite 920-945South BarringtonCook7



Address:Name:

City:County:


Ownership Type: Limited Liability Partner

Legal Entity Operator: ARA-N.W. ChicagoLegal Entity Owner:

Property Owner: Stonegate Properties


Total revenue for is $845,814.78. unable to type in total revenue on pg. 12


Medical Director Name: Mohammad Zahid






Oct 111

Oct 20

Oct 316

Oct 411

Oct 516

Oct 611

Oct 716

12 0 31 15 29 16 31






Date of Operation

Hours operated


21Total:

41Total:






Full-Time Work Week: 40Registered Nurse : 3Dialysis Technician : 6Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 1Other Non-Health: 1








Medicare

58

74.4%

Medicaid

4

Private Insurance

16

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

78

5.1% 20.5% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 10060

63

29500

0

03

23159

028

127




79

05

3127167950 29

79

$1,027,762 $17,644 $2,290,775 $0$0 $0 $3,336,180

30.8% 0.5% 68.7% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2736

Barrington Creek Dialysis28160 West Northwest HighwayLake BarringtonCook7



Address:Name:

City:County:



Legal Entity Operator: Camino Dialysis, LLCLegal Entity Owner:

Property Owner: Barrington Medical Development, LLC



Medical Director Name: Dr. Sumit Bector






Oct 10

Oct 20

Oct 314

Oct 40

Oct 514

Oct 60

Oct 714

0 0 26 0 22 0 24






Date of Operation

Hours operated


27Total:

38Total:














Medicare

41

75.9%

Medicaid

5

Private Insurance

8

Charity Care

1

Private Pay

0

Other Public

0

TOTAL

54

9.3% 14.8% 1.9%0.0% 0.0% 100.0%

Patients

TOTAL 2010

47

30

52

5

012144

10

02544




55

01419

8145540 15

55

$6,070 $609,935 $935,838 $0$7,670 $71,167 $1,630,680

0.4% 37.4% 57.4% 0.0%0.5% 4.4% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2795

Belvidere Dialysis1751 Henry Lucklow LaneBelvidereBoone1



Address:Name:

City:County:



Legal Entity Operator: Dialysis of Northern Illinois, LLCLegal Entity Owner:

Property Owner: Dialysis of Northern Illinois, LLC


We do not yet have a Medicaid provider ID number and so it is appearing that we have not treated patients when in fact we have. We are a Denovo facility that opened for treatment in Feb of 2016 with our state audit being completed 3/28/16.


Medical Director Name: Mashood Ahmad






Oct 10

Oct 20

Oct 316

Oct 49

Oct 516

Oct 69

Oct 716

0 0 29 0 27 0 29






Date of Operation

Hours operated


17Total:

43Total:














Medicare

33

76.7%

Medicaid

3

Private Insurance

6

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

43

7.0% 14.0% 0.0%0.0% 2.3% 100.0%

Patients

TOTAL 2050

36

13300

0

01

1056

0254

10




43

03

159

164322 21

43

$0 $0 $0 $0$0 $0 $0

#Num! #Num! #Num! #Num!#Num! #Num! #Num!Net Revenue

12/31/20162/15/2016 to

14-2608

Benton Dialysis1151 State Route #14 WestBentonFranklin5



Address:Name:

City:County:



Legal Entity Operator: Renal Life Link, Inc.Legal Entity Owner:

Property Owner: Steven J. Zelman



Medical Director Name: Dr. Cheryl Emmons






Oct 18

Oct 20

Oct 310

Oct 49

Oct 510

Oct 69

Oct 710

13 0 23 16 24 12 24






Date of Operation

Hours operated


35Total:

38Total:














Medicare

57

76.0%

Medicaid

6

Private Insurance

6

Charity Care

1

Private Pay

0

Other Public

6

TOTAL

75

8.0% 8.0% 1.3%0.0% 8.0% 100.0%

Patients

TOTAL 1020

67

0700

0

04

18119

0278

11




70

06

2519207042 28

70

$1,244,194 $27,791 $654,991 $15,930$0 $301,987 $2,228,962

55.8% 1.2% 29.4% 0.7%0.0% 13.5% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2638

Beverly Dialysis Center8109 South Western AvenueChicagoCook6



Address:Name:

City:County:




Property Owner: Dr. Mazhar M. Butt



Medical Director Name: James .J. Rydel MD






Oct 115.5

Oct 20

Oct 317.5

Oct 415.5

Oct 517.5

Oct 615.5

Oct 717.5

35 0 45 37 46 37 45




Number of Missed Treatments: 1,402


Date of Operation

Hours operated


45Total:

70Total:














Medicare

85

68.5%

Medicaid

4

Private Insurance

20

Charity Care

1

Private Pay

11

Other Public

4

TOTAL

124

3.2% 16.1% 0.8%8.9% 3.2% 100.0%

Patients

TOTAL 10

11806

3122

0

0

01037118

09

29129




125

019662317

12566 59

125

$2,002,064 $60,307 $2,738,895 $11,505$11,505 $1,041,190 $5,853,961

34.2% 1.0% 46.8% 0.2%0.2% 17.8% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2712

Big Oaks Dialysis Center5623 West TouhyNilesCook7



Address:Name:

City:County:



Legal Entity Operator: Total Renal Care, Inc.Legal Entity Owner:

Property Owner: Mid-America Asset Management, Inc



Medical Director Name: Dr. Daiva Valaitis






Oct 10

Oct 20

Oct 314

Oct 40

Oct 514

Oct 60

Oct 714

0 0 32 0 31 0 31






Date of Operation

Hours operated


19Total:

30Total:






Full-Time Work Week: 40Registered Nurse : 3Dialysis Technician : 3Dietician : 0.5Social Worker: 1LPN : 0Other Health : 0.5Other Non-Health: 0.5








Medicare

27

55.1%

Medicaid

2

Private Insurance

10

Charity Care

1

Private Pay

1

Other Public

9

TOTAL

49

4.1% 20.4% 2.0%2.0% 18.4% 100.0%

Patients

TOTAL 16010

28

2434

4

04

1277

01981




49

05

2115

84930 19

49

$735,958 $20,106 $927,026 $885$885 $383,590 $2,067,565

35.6% 1.0% 44.8% 0.0%0.0% 18.6% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2708

Blessing Dialysis Center of Pittsfield640 West Washington StreetPittsfieldPike3



Address:Name:

City:County:



Legal Entity Operator: Total Renal Caer Inc.Legal Entity Owner:

Property Owner: Blessing Hospital



Medical Director Name: Hrishikesh Ghanekar






Oct 10

Oct 20

Oct 314.5

Oct 40

Oct 514

Oct 60

Oct 713

0 0 14 0 13 0 12






Date of Operation

Hours operated


4Total:

11Total:














Medicare

14

87.5%

Medicaid

0

Private Insurance

1

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

16

0.0% 6.3% 0.0%0.0% 6.3% 100.0%

Patients

TOTAL 0000

16

0160

0

02344

00120




16

02464

1613 3

16

$427,458 $0 $140,070 $0$0 $41,705 $609,233

70.2% 0.0% 23.0% 0.0%0.0% 6.8% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2711

Blessing Hospital Renal Dialysis436 North 10th StreetQuincyAdams1



Address:Name:

City:County:



Legal Entity Operator: Total Renal Care Inc.Legal Entity Owner:

Property Owner: Blessing Hospital



Medical Director Name: Hrishikesh Ghanekar






Oct 111

Oct 20

Oct 312.5

Oct 411

Oct 512.5

Oct 611

Oct 712.5

23 0 26 22 26 22 29






Date of Operation

Hours operated


79Total:

77Total:














Medicare

91

77.8%

Medicaid

5

Private Insurance

10

Charity Care

0

Private Pay

0

Other Public

11

TOTAL

117

4.3% 8.5% 0.0%0.0% 9.4% 100.0%

Patients

TOTAL 00

180

99

1116

0

0

05

292116

04

121218




117

09

413334

11771 46

117

$1,646,470 $38,119 $1,403,748 $0$0 $538,863 $3,627,200

45.4% 1.1% 38.7% 0.0%0.0% 14.9% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2663

Center for Renal Replacement7301 N. Lincoln Ave.LincolnwoodCook7



Address:Name:

City:County:



Legal Entity Operator: Center for Renal Replacement, LLCLegal Entity Owner:

Property Owner: Imperial Realty



Medical Director Name: James K. Yeung, MD






Oct 114

Oct 20

Oct 314

Oct 414

Oct 514

Oct 614

Oct 714

29 0 33 28 31 27 33






Date of Operation

Hours operated


20Total:

21Total:














Medicare

52

69.3%

Medicaid

13

Private Insurance

9

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

75

17.3% 12.0% 0.0%1.3% 0.0% 100.0%

Patients

TOTAL 200

207

26

2730

2

02

121613

01

1399




75

03

2525227543 32

75

$1,239,598 $60,080 $411,367 $0$8,050 $0 $1,719,096

72.1% 3.5% 23.9% 0.0%0.5% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2609

Centralia Dialysis1231 State Route 161 EastCentraliaMarion5



Address:Name:

City:County:



Legal Entity Operator: Renal Life, Inc.Legal Entity Owner:

Property Owner: Steven J. Zelman



Medical Director Name: Faisal Rashid






Oct 19

Oct 20

Oct 311

Oct 49

Oct 511

Oct 69

Oct 711

22 0 23 20 25 21 22






Date of Operation

Hours operated


39Total:

28Total:














Medicare

71

81.6%

Medicaid

2

Private Insurance

14

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

87

2.3% 16.1% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

140

73

0870

0

05

181515

00

101311




87

05

2828268753 34

87

$1,926,946 $10,315 $1,032,832 $2,400,299$0 $0 $2,970,093

64.9% 0.3% 34.8% 80.8%0.0% 0.0% 100.0%Net Revenue

12/16/20161/16/2016 to

14-2635

Chicago Heights Dialysis177 East Joe Orr RoadChicago HeightsCook7



Address:Name:

City:County:



Legal Entity Operator: Chicago Height Dialysis LLCLegal Entity Owner:

Property Owner: Matanky Realty



Medical Director Name: Dr. Donald Hollandsworth






Oct 116.5

Oct 20

Oct 316.5

Oct 416.5

Oct 516.5

Oct 616.5

Oct 716.5

39 0 41 37 39 32 44






Date of Operation

Hours operated


60Total:

53Total:














Medicare

94

72.3%

Medicaid

26

Private Insurance

6

Charity Care

0

Private Pay

0

Other Public

4

TOTAL

130

20.0% 4.6% 0.0%0.0% 3.1% 100.0%

Patients

TOTAL 00

970

33

18112

0

0

06

322016

09

251210




130

015573226

13074 56

130

$1,754,405 $47,076 $1,027,373 $40,415$40,415 $1,084,006 $3,953,275

44.4% 1.2% 26.0% 1.0%1.0% 27.4% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2793

Chicago Ridge Dialysis10511 S. Harlem Ave.Chicago RidgeCook7



Address:Name:

City:County:



Legal Entity Operator: Cagles Dialysis, LLCLegal Entity Owner:

Property Owner: Palestra RE Partners, Inc.



Medical Director Name: Dr. Sreya Pallath






Oct 10

Oct 20

Oct 311

Oct 40

Oct 511

Oct 60

Oct 711

0 0 25 0 22 0 22






Date of Operation

Hours operated


16Total:

51Total:














Medicare

27

69.2%

Medicaid

8

Private Insurance

3

Charity Care

1

Private Pay

0

Other Public

1

TOTAL

39

20.5% 7.7% 2.6%0.0% 2.6% 100.0%

Patients

TOTAL 00

100

25

2330

0

01967

01443




35

02

1310103523 12

35

$404,562 $9,874 $504,112 $5,015$0 $72,454 $991,002

40.8% 1.0% 50.9% 0.5%0.0% 7.3% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2540

Circle Medical Management1426 West Washington Blvd.ChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: Circle Medical Management, IncLegal Entity Owner:

Property Owner: Respiratory Health Associates of Chicago



Medical Director Name: Stephe M. Korbet, M.D.






Oct 112

Oct 20

Oct 313

Oct 413

Oct 513

Oct 613

Oct 713

47 0 52 47 50 46 51






Date of Operation

Hours operated


42Total:

37Total:






Full-Time Work Week: 72Registered Nurse : 7Dialysis Technician : 17Dietician : 1.5Social Worker: 2LPN : 2Other Health : 2Other Non-Health: 6.5








Medicare

114

80.3%

Medicaid

12

Private Insurance

16

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

142

8.5% 11.3% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

1070

35

16126

0

0

06

251214

011302519




142

017553733

14257 85

142

$6,152,360 $628,927 $1,754,649 $0$84,501 $0 $8,620,437

71.4% 7.3% 20.4% 0.0%1.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2715

Cobblestone Dialysis836 Dundee AvenueElginKane8



Address:Name:

City:County:



Legal Entity Operator: Cobblestone DialysisLegal Entity Owner:

Property Owner: Palestra Properties Inc



Medical Director Name: Dr. Ravi Damaraju






Oct 115

Oct 20

Oct 318

Oct 415

Oct 518

Oct 615

Oct 718

36 0 49 36 46 37 47






Date of Operation

Hours operated


43Total:

63Total:






Full-Time Work Week: 40Registered Nurse : 3.5Dialysis Technician : 6Dietician : 1Social Worker: 1LPN : 0Other Health : 1Other Non-Health: 1








Medicare

79

71.2%

Medicaid

12

Private Insurance

19

Charity Care

6

Private Pay

0

Other Public

1

TOTAL

111

10.8% 17.1% 5.4%0.0% 0.9% 100.0%

Patients

TOTAL 70

160

94

54630

0

010381212

03

171114




117

013552326

11772 45

117

$1,711,928 $148,320 $2,325,868 $138,945$0 $504,274 $4,690,389

36.5% 3.2% 49.6% 3.0%0.0% 10.8% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2698

Community Dialysis of Harvey16657 South Halsted StreetHarveyCook7



Address:Name:

City:County:




Property Owner: Yousef Musleh



Medical Director Name: Dr. Edwin Cook






Oct 112

Oct 20

Oct 312

Oct 412

Oct 512

Oct 612

Oct 712

33 0 35 31 33 29 34






Date of Operation

Hours operated


68Total:

61Total:














Medicare

85

68.0%

Medicaid

11

Private Insurance

8

Charity Care

0

Private Pay

0

Other Public

21

TOTAL

125

8.8% 6.4% 0.0%0.0% 16.8% 100.0%

Patients

TOTAL 10

11005

9116

0

9

014439

14

06

10209




125

020532923

12580 45

125

$1,537,896 $51,873 $1,025,728 $0$0 $691,045 $3,306,542

46.5% 1.6% 31.0% 0.0%0.0% 20.9% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2655

Concerto Dialysis LLC14255 Cicero AvenueCrestwoodCook7



Address:Name:

City:County:



Legal Entity Operator: Concerto Dialysis LLCLegal Entity Owner:

Property Owner: Eclipse Kensington Properties LLC



Medical Director Name: Suresh Samson






Oct 10

Oct 20

Oct 315

Oct 40

Oct 515

Oct 60

Oct 715

0 0 20 0 19 0 18






Date of Operation

Hours operated


10Total:

7Total:














Medicare

25

86.2%

Medicaid

2

Private Insurance

2

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

29

6.9% 6.9% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

2207

0290

0

02546

02442




29

04988

2917 12

29

$696,828 $80,686 $125,653 $0$0 $0 $903,167

77.2% 8.9% 13.9% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2575

Country Hills Dialysis4215 W. 167th StreetCountry Club HillsCook7



Address:Name:

City:County:



Legal Entity Operator: Country Hills DialysisLegal Entity Owner:

Property Owner: Stenstrom



Medical Director Name: Kenneth Cline






Oct 112

Oct 20

Oct 317

Oct 412

Oct 517

Oct 612

Oct 717

42 0 60 40 58 41 53






Date of Operation

Hours operated


82Total:

87Total:














Medicare

129

75.4%

Medicaid

22

Private Insurance

20

Charity Care

3

Private Pay

0

Other Public

0

TOTAL

171

12.9% 11.7% 1.8%0.0% 0.0% 100.0%

Patients

TOTAL 10

1421

28

12160

2

2

012443117

08

232712




174

020675829

174104 70

174

$2,328,283 $70,091 $1,653,083 $47,495$47,495 $1,216,472 $5,315,423

43.8% 1.3% 31.1% 0.9%0.9% 22.9% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2716

Crystal Springs Dialysis720 Cog CircleCrystal LakeMcHenry8



Address:Name:

City:County:




Property Owner: Apex 720, LLC/Satish Patel



Medical Director Name: Sumit Bector






Oct 112

Oct 20

Oct 315

Oct 412

Oct 515

Oct 612

Oct 715

22 0 35 22 30 22 33






Date of Operation

Hours operated


49Total:

56Total:














Medicare

70

73.7%

Medicaid

4

Private Insurance

17

Charity Care

2

Private Pay

1

Other Public

3

TOTAL

95

4.2% 17.9% 2.1%1.1% 3.2% 100.0%

Patients

TOTAL 3050

89

14830

0

05

23189

03

141411




97

08

3732209755 42

97

$1,647,274 $32,946 $1,607,936 $51,625$51,625 $203,134 $3,542,915

46.5% 0.9% 45.4% 1.5%1.5% 5.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2625

Danville Dialysis Services LLC910 West Clay StreetDanvilleVermilion4



Address:Name:

City:County:



Legal Entity Operator: Danville Dialysis Services, L.L.C.Legal Entity Owner:

Property Owner: Brijnandan S. Sodhi, M.D.



Medical Director Name: Brijnandan S. Sodhi






Oct 111.5

Oct 20

Oct 312

Oct 411.5

Oct 512

Oct 611.5

Oct 712

34 0 45 35 47 30 46






Date of Operation

Hours operated


28Total:

35Total:














Medicare

95

87.2%

Medicaid

7

Private Insurance

7

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

109

6.4% 6.4% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

480

61

2107

0

0

08

131720

07

151415




109

015283135

10958 51

109

$2,089,193 $15,752 $2,522,971 $0$0 $0 $4,627,916

45.1% 0.3% 54.5% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2590

DaVita - Montvale2930 Montvale Drive Suite ASpringfieldSangamon3



Address:Name:

City:County:



Legal Entity Operator: DVA Renal Healthcare. INC.Legal Entity Owner:

Property Owner: Marriott Properties


We have a 4th shift nocturnal program on Sunday-Tuesday-Thursday


Medical Director Name: Dr. Pradeep Mehta

In-Center Treatments in calendar year:

Facility Reported Patient Information





Oct 111

Oct 26

Oct 315

Oct 417

Oct 513

Oct 617

Oct 715

20 12 31 27 29 32 28






Date of Operation

Hours operated


33Total:

53Total:


Use Rate (Treatments/Treatment capacity):Use Rate (including Missed Treatments):Use Rate (Begining patients treated):












Medicare

69

62.2%

Medicaid

3

Private Insurance

35

Charity Care

0

Private Pay

0

Other Public

4

TOTAL

111

2.7% 31.5% 0.0%0.0% 3.6% 100.0%

Patients

TOTAL 10

320

74

3104

0

0

04

181415

099

2018




107

013273433

10751 56

107

$1,615,733 $13,973 $1,470,249 $0$0 $627,366 $3,727,321

43.3% 0.4% 39.4% 0.0%0.0% 16.8% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2640

Davita - Churchview Dialysis417 Ware AvenueRockfordWinnebago1



Address:Name:

City:County:



Legal Entity Operator: Renal Treatment Centers-Illinois, Inc.Legal Entity Owner:

Property Owner: DYN 417 LLC



Medical Director Name: Dr. Charles Sweeney






Oct 113

Oct 20

Oct 317

Oct 413

Oct 517

Oct 613

Oct 717

40 0 61 44 60 42 62






Date of Operation

Hours operated


117Total:

101Total:














Medicare

170

79.8%

Medicaid

15

Private Insurance

21

Charity Care

1

Private Pay

0

Other Public

7

TOTAL

213

7.0% 9.9% 0.5%0.0% 3.3% 100.0%

Patients

TOTAL 41

482

159

29185

0

0

015462725

013332431




214

028795156

214113 101

214

$3,765,927 $78,855 $3,918,638 $16,520$16,520 $1,496,268 $9,276,208

40.6% 0.9% 42.2% 0.2%0.2% 16.1% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2599

DaVita - Decatur East Wood794 East Wood StreetDecaturMacon4



Address:Name:

City:County:



Legal Entity Operator: DVA Renal Healthcare, Inc.Legal Entity Owner:

Property Owner: Shams Siddiqui



Medical Director Name: Mohammad Hasnain, MD






Oct 111

Oct 20

Oct 311

Oct 411

Oct 511

Oct 611

Oct 711

23 0 26 28 28 25 28






Date of Operation

Hours operated


29Total:

40Total:














Medicare

85

78.0%

Medicaid

10

Private Insurance

10

Charity Care

0

Private Pay

0

Other Public

4

TOTAL

109

9.2% 9.2% 0.0%0.0% 3.7% 100.0%

Patients

TOTAL 00

561

52

1108

0

0

012241412

08

22143




109

020462815

10962 47

109

$1,927,595 $13,201 $1,666,872 $0$0 $445,990 $4,053,657

47.6% 0.3% 41.1% 0.0%0.0% 11.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2651

Davita - Dixon Kidney Center1131 North Galena AvenueDixonLee1



Address:Name:

City:County:



Legal Entity Operator: Renal Treatment Center, ILLegal Entity Owner:

Property Owner: Senstrom



Medical Director Name: Dr. Charles Sweeney






Oct 10

Oct 20

Oct 313

Oct 40

Oct 513

Oct 60

Oct 713

0 0 18 0 18 0 18






Date of Operation

Hours operated


26Total:

25Total:






Full-Time Work Week: 30Registered Nurse : 2Dialysis Technician : 2.5Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 0.5Other Non-Health: 0.2








Medicare

36

78.3%

Medicaid

3

Private Insurance

6

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

46

6.5% 13.0% 0.0%0.0% 2.2% 100.0%

Patients

TOTAL 0060

40

2440

0

03

1446

02584




46

05

1912104627 19

46

$940,934 $33,220 $1,404,273 $0$0 $118,586 $2,497,012

37.7% 1.3% 56.2% 0.0%0.0% 4.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2642

DaVita - Freeport Dialysis Unit1028 Kunkle AvenueFreeportStephenson1



Address:Name:

City:County:




Property Owner: Edmund and Siham Totah



Medical Director Name: John Maynard






Oct 17

Oct 20

Oct 312

Oct 47

Oct 512

Oct 67

Oct 712

7 0 18 8 18 9 19






Date of Operation

Hours operated


17Total:

28Total:














Medicare

44

83.0%

Medicaid

7

Private Insurance

1

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

53

13.2% 1.9% 0.0%0.0% 1.9% 100.0%

Patients

TOTAL 00

200

33

2510

0

02

1499

02656




53

04

2014155334 19

53

$702,951 $38,972 $217,231 $0$0 $151,624 $1,110,778

63.3% 3.5% 19.6% 0.0%0.0% 13.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2552

DaVita - Lake County Dialysis Ctr565 Lakeview Parkway STE 176Vernon HillsLake8



Address:Name:

City:County:




Property Owner: Globe Corporation



Medical Director Name: Leon Sujata






Oct 119

Oct 20

Oct 319

Oct 419

Oct 519

Oct 619

Oct 719

20 0 46 18 41 16 44






Date of Operation

Hours operated


79Total:

75Total:






Full-Time Work Week: 40Registered Nurse : 5.88Dialysis Technician : 6.65Dietician : 1Social Worker: 1LPN : 0Other Health : 1Other Non-Health: 1.3








Medicare

107

79.9%

Medicaid

6

Private Insurance

15

Charity Care

2

Private Pay

0

Other Public

6

TOTAL

134

4.5% 11.2% 1.5%0.0% 4.5% 100.0%

Patients

TOTAL 90

162

87

268923

24

011242028

010201015




138

021443043

13883 55

138

$1,920,696 $19,130 $1,648,518 $13,425$0 $327,851 $3,916,196

49.0% 0.5% 42.1% 0.3%0.0% 8.4% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2528

DaVita - Lincoln Park Dialysis Center2484 N. Elston Ave.,ChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: Lincoln Park Dialysis Services, Inc.Legal Entity Owner:

Property Owner: Chicago Title Land Trust Company



Medical Director Name: Melvin K. Roseman, MD






Oct 115

Oct 20

Oct 315

Oct 415

Oct 515

Oct 615

Oct 715

45 0 44 42 46 44 41






Date of Operation

Hours operated


87Total:

87Total:














Medicare

122

Medicaid

36

Private Insurance

16

Charity Care

1

Private Pay Other Public

2

TOTAL

Patients

TOTAL 140

570

107

38140

0

0

020362916

010282217




178

030645133

178101 77

178

$1,960,324 $129,334 $901,926 $10,510$0 $1,005,955 $3,997,539

49.0% 3.2% 22.6% 0.3%0.0% 25.2% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2583

DaVita - Litchfield915 St. Francis WayLitchfieldMontgomery3



Address:Name:

City:County:




Property Owner: St. Francis Hospital of the Hospital Sisters Healt



Medical Director Name: X. Gary Chen, M.D.






Oct 110

Oct 20

Oct 313.5

Oct 410

Oct 513.5

Oct 610

Oct 713.5

22 0 29 23 28 22 32






Date of Operation

Hours operated


28Total:

24Total:






Full-Time Work Week: 40Registered Nurse : 3Dialysis Technician : 5Dietician : 0.5Social Worker: 0.5LPN : 1Other Health : 0.5Other Non-Health: 0








Medicare

70

85.4%

Medicaid

4

Private Insurance

4

Charity Care

0

Private Pay

0

Other Public

4

TOTAL

82

4.9% 4.9% 0.0%0.0% 4.9% 100.0%

Patients

TOTAL 0030

79

0820

0

057

1815

02

101411




82

07

1732268245 37

82

$1,558,769 $52,727 $679,511 $0$0 $274,275 $2,565,283

60.8% 2.1% 26.5% 0.0%0.0% 10.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2668

DaVita - Little Village Dialysis2335 W. Cermak RoadChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: Renal Treatment Centes - Illinois, Inc.Legal Entity Owner:

Property Owner: Crystal Realty, Co.



Medical Director Name: Dr. Ogbonnaya Aneziokoro






Oct 114

Oct 20

Oct 314

Oct 414

Oct 514

Oct 614

Oct 714

39 0 45 40 44 40 44






Date of Operation

Hours operated


38Total:

52Total:














Medicare

78

59.1%

Medicaid

35

Private Insurance

15

Charity Care

3

Private Pay

0

Other Public

4

TOTAL

132

26.5% 11.4% 2.3%0.0% 3.0% 100.0%

Patients

TOTAL 10

290

108

102360

0

019332111

08

211411




138

027543522

13884 54

138

$1,824,219 $137,747 $1,474,524 $73,455$0 $878,678 $4,315,169

42.3% 3.2% 34.2% 1.7%0.0% 20.4% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2534

DaVita - Logan Square Dialysis2838 N. Kimball Ave.ChicagoCook6



Address:Name:

City:County:




Property Owner: Kendrew Developments



Medical Director Name: Kap J. No M.D.






Oct 116

Oct 20

Oct 316

Oct 416

Oct 516

Oct 616

Oct 716

43 0 61 47 57 47 63






Date of Operation

Hours operated


86Total:

42Total:














Medicare

144

64.9%

Medicaid

23

Private Insurance

31

Charity Care

16

Private Pay

0

Other Public

24

TOTAL

222

10.4% 14.0% 7.2%0.0% 10.8% 100.0%

Patients

TOTAL 50

190

159

131520

0

019483714

011151722




183

030635436

183118 65

183

$2,552,584 $179,667 $4,290,118 $36,875$0 $904,571 $7,926,940

32.2% 2.3% 54.1% 0.5%0.0% 11.4% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2584

DaVita - Macon County1090 West McKinley AvenueDecaturMacon4



Address:Name:

City:County:




Property Owner: DVA Renal Healthcare, Inc.



Medical Director Name: Mohammad Hasnain






Oct 112

Oct 20

Oct 312

Oct 412

Oct 512

Oct 612

Oct 712

33 0 36 31 35 28 37






Date of Operation

Hours operated


53Total:

48Total:














Medicare

107

87.0%

Medicaid

6

Private Insurance

7

Charity Care

2

Private Pay

0

Other Public

3

TOTAL

123

4.9% 5.7% 1.6%0.0% 2.4% 100.0%

Patients

TOTAL 00

482

75

1124

0

0

09

302414

04

17189




125

013474223

12577 48

125

$1,897,676 $16,930 $888,559 $7,375$0 $600,334 $3,403,499

55.8% 0.5% 26.1% 0.2%0.0% 17.6% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2649

DaVita - Monteclare Dialysis Center7009 West BelmontChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: Total Renal Care, IncLegal Entity Owner:

Property Owner: Robert Olsen & Gladys Olsen



Medical Director Name: Dr. Kenneth Kuznetsky






Oct 114

Oct 20

Oct 314

Oct 414

Oct 514

Oct 614

Oct 714

37 0 40 37 41 37 41






Date of Operation

Hours operated


72Total:

73Total:














Medicare

109

76.8%

Medicaid

9

Private Insurance

21

Charity Care

4

Private Pay

0

Other Public

3

TOTAL

142

6.3% 14.8% 2.8%0.0% 2.1% 100.0%

Patients

TOTAL 80

342

51

54980

57

016221411

011402513




152

027623924

15263 89

152

$1,978,429 $113,642 $1,572,222 $159,005$0 $619,877 $4,284,169

46.2% 2.7% 36.7% 3.7%0.0% 14.5% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2654

DaVita - Schaumburg Renal Center1156 South Roselle RoadSchaumburgCook7



Address:Name:

City:County:



Legal Entity Operator: ISD Schaumburg, LLC fka DSI Schaumburg, LLCLegal Entity Owner:

Property Owner: Targo Management Inc.



Medical Director Name: Dr. Izabella Gurau






Oct 112

Oct 20

Oct 315

Oct 412

Oct 515

Oct 612

Oct 715

28 0 54 27 54 26 54






Date of Operation

Hours operated


84Total:

104Total:














Medicare

118

71.1%

Medicaid

19

Private Insurance

24

Charity Care

2

Private Pay

0

Other Public

5

TOTAL

166

11.4% 14.5% 1.2%0.0% 3.0% 100.0%

Patients

TOTAL 360

192

109

29141

0

4

011422126

08

231920




170

019654046

170100 70

170

$2,153,413 $75,376 $1,351,854 $9,735$0 $754,156 $4,334,799

49.7% 1.7% 31.2% 0.2%0.0% 17.4% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2586

DaVita - Springfield Central932 North Rutledge StreetSpringfieldSangamon3



Address:Name:

City:County:



Legal Entity Operator: DVA Renal Healthcare Inc.Legal Entity Owner:

Property Owner: Memorial Medical Center



Medical Director Name: Ashraf Tamizuddin






Oct 111

Oct 20

Oct 315

Oct 411

Oct 515

Oct 611

Oct 715

30 0 47 31 42 30 45






Date of Operation

Hours operated


55Total:

60Total:














Medicare

110

80.3%

Medicaid

2

Private Insurance

14

Charity Care

1

Private Pay

0

Other Public

11

TOTAL

137

1.5% 10.2% 0.7%0.0% 8.0% 100.0%

Patients

TOTAL 00

510

86

1137

0

1

09

351420

08

241711




138

017593131

13878 60

138

$1,838,858 $28,109 $1,522,723 $590$0 $799,612 $4,189,302

43.9% 0.7% 36.3% 0.0%0.0% 19.1% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2661

DaVIta - Stony Creek6246 W 95th StOak LawnCook7



Address:Name:

City:County:




Property Owner: Shops of Oak Lawn LLC



Medical Director Name: James Rydel






Oct 115

Oct 215

Oct 315

Oct 415

Oct 515

Oct 615

Oct 715

32 0 35 34 36 33 35






Date of Operation

Hours operated


57Total:

55Total:














Medicare

88

75.2%

Medicaid

15

Private Insurance

9

Charity Care

1

Private Pay

2

Other Public

3

TOTAL

117

12.8% 7.7% 0.9%1.7% 2.6% 100.0%

Patients

TOTAL 20

280

82

20980

6

03

201920

06

151916




118

09

353836

11862 56

118

$1,737,227 $54,635 $1,138,640 $8,155$8,155 $527,857 $3,466,514

50.1% 1.6% 32.8% 0.2%0.2% 15.2% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2639

Davita - Sycamore2200 Gateway DriveSycamoreDeKalb1



Address:Name:

City:County:



Legal Entity Operator: Dialysis of Northern IL, LLCLegal Entity Owner:

Property Owner: Patricia DeNarde



Medical Director Name: Bindu Pavithran, MD






Oct 113

Oct 20

Oct 315

Oct 413

Oct 515

Oct 613

Oct 715

25 0 31 23 29 23 29






Date of Operation

Hours operated


41Total:

47Total:














Medicare

72

78.3%

Medicaid

7

Private Insurance

13

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

92

7.6% 14.1% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

120

75

9830

5

09

191414

079

1010




92

0162824249256 36

92

$1,531,410 $43,380 $905,606 $0$0 $0 $2,480,396

61.7% 1.7% 36.5% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2648

Davita - Whiteside Dialysis2600 North Locust StreetSterlingWhiteside1



Address:Name:

City:County:



Legal Entity Operator: Renal Treatment Centers-Ill Inc.Legal Entity Owner:

Property Owner: CGH Medical Center



Medical Director Name: Charlene Murdakes






Oct 112

Oct 20

Oct 321

Oct 412

Oct 521

Oct 612

Oct 721

14 0 32 19 31 18 29






Date of Operation

Hours operated


35Total:

45Total:






Full-Time Work Week: 30Registered Nurse : 2.8Dialysis Technician : 4.8Dietician : 0.5Social Worker: 0.5LPN : 1Other Health : 0Other Non-Health: 0.9








Medicare

51

70.8%

Medicaid

12

Private Insurance

9

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

72

16.7% 12.5% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 1010

63

7650

7

06

10107

02

13168




72

08

2326157233 39

72

$1,636,224 $84,587 $283,084 $0$0 $181,858 $2,185,752

74.9% 3.9% 13.0% 0.0%0.0% 8.3% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2529

DaVita Emerald Dialysis710 West 43rd StreetChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: Total Renal CareLegal Entity Owner:

Property Owner: Tony Regas



Medical Director Name: Edwin Cook






Oct 112

Oct 20

Oct 316

Oct 412

Oct 516

Oct 612

Oct 716

41 0 61 39 61 36 64






Date of Operation

Hours operated


71Total:

51Total:














Medicare

109

71.2%

Medicaid

16

Private Insurance

9

Charity Care

6

Private Pay

0

Other Public

19

TOTAL

153

10.5% 5.9% 3.9%0.0% 12.4% 100.0%

Patients

TOTAL 00

1370

23

15145

1

1

02646186

015328

10




161

041782616

16196 65

161

$2,527,447 $189,895 $2,214,889 $88,795$0 $1,043,393 $5,975,623

42.3% 3.2% 37.1% 1.5%0.0% 17.5% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2740

Davita Morris Dialysis Center1551 Creek DriveMorrisGrundy9



Address:Name:

City:County:




Property Owner: Keith Jaeschke



Medical Director Name: Z. Teresa Majka-Kravets, MD






Oct 114

Oct 20

Oct 316

Oct 414

Oct 516

Oct 614

Oct 716

22 0 24 20 24 20 22






Date of Operation

Hours operated


24Total:

53Total:






Full-Time Work Week: 40Registered Nurse : 2Dialysis Technician : 4Dietician : 0.4Social Worker: 0.4LPN : 0Other Health : 0.5Other Non-Health: 0








Medicare

67

83.8%

Medicaid

4

Private Insurance

7

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

80

5.0% 8.8% 0.0%0.0% 2.5% 100.0%

Patients

TOTAL 1071

71

4760

0

06

111416

038

1111




80

09

1925278047 33

80

$1,130,161 $61,157 $212,324 $0$0 $144,089 $1,547,731

73.0% 4.0% 13.7% 0.0%0.0% 9.3% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2660

DaVita Mount Greenwood Dialysis3401 W. 111th StreetChicagoCook6



Address:Name:

City:County:




Property Owner: Columbia Pacific Advisors, LLC



Medical Director Name: Dr. Mohamad Barakat






Oct 116

Oct 20

Oct 318

Oct 416

Oct 518

Oct 616

Oct 718

39 0 47 40 48 39 51






Date of Operation

Hours operated


56Total:

69Total:














Medicare

114

87.7%

Medicaid

4

Private Insurance

9

Charity Care

2

Private Pay

0

Other Public

3

TOTAL

130

3.1% 6.9% 1.5%0.0% 2.3% 100.0%

Patients

TOTAL 00

1260

28

8146

0

0

015381919

03

241521




154

018623440

15491 63

154

$2,321,190 $42,858 $1,520,606 $41,005$0 $896,244 $4,780,898

48.6% 0.9% 31.8% 0.9%0.0% 18.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2548

DaVita Olympia Fields Dialysis Center4557 Lincoln HighwayMattesonCook7



Address:Name:

City:County:



Legal Entity Operator: Olympia Fields Dialysis CenterLegal Entity Owner:

Property Owner: Joseph Freed



Medical Director Name: Dr. Don Hollandsworth






Oct 111

Oct 20

Oct 317

Oct 411

Oct 517

Oct 611

Oct 717

43 0 52 42 51 41 52






Date of Operation

Hours operated


50Total:

80Total:














Medicare

124

78.0%

Medicaid

14

Private Insurance

18

Charity Care

2

Private Pay

0

Other Public

3

TOTAL

159

8.8% 11.3% 1.3%0.0% 1.9% 100.0%

Patients

TOTAL 31

1230

26

8153

0

8

015381917

07

271622




161

022653539

16189 72

161

$1,852,090 $285,427 $1,654,345 $87,350$0 $1,310,549 $5,102,411

36.3% 5.6% 32.4% 1.7%0.0% 25.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2718

DaVita Stony Island Dialysis8725 S. Stony Island AvenueChicagoCook6



Address:Name:

City:County:




Property Owner: Tiebout IL LLC



Medical Director Name: Nicole Stankus, MD






Oct 116

Oct 20

Oct 319

Oct 416

Oct 519

Oct 616

Oct 719

69 0 90 70 88 71 81






Date of Operation

Hours operated


59Total:

95Total:














Medicare

166

76.1%

Medicaid

12

Private Insurance

32

Charity Care

2

Private Pay

0

Other Public

8

TOTAL

218

5.5% 14.7% 0.9%0.0% 3.7% 100.0%

Patients

TOTAL 10

22702

5225

0

0

014542220

015383334




230

029925554

230110 120

230

$4,289,247 $194,807 $1,988,325 $81,420$0 $1,307,158 $7,779,537

55.1% 2.5% 25.6% 1.0%0.0% 16.8% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2587

DaVita- Taylorville901 West SpresserTaylorvilleChristian3



Address:Name:

City:County:



Legal Entity Operator: DVa Renal Healthcare, Inc.Legal Entity Owner:

Property Owner: Richmar LLC



Medical Director Name: Pradeep K. Mehta, M.D.






Oct 114

Oct 20

Oct 314.5

Oct 414

Oct 514.5

Oct 614

Oct 714.5

21 0 25 23 25 22 25






Date of Operation

Hours operated


11Total:

25Total:






Full-Time Work Week: 40Registered Nurse : 3Dialysis Technician : 3Dietician : 5Social Worker: 0.5LPN : 0Other Health : 0Other Non-Health: 1








Medicare

44

77.2%

Medicaid

6

Private Insurance

6

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

57

10.5% 10.5% 0.0%0.0% 1.8% 100.0%

Patients

TOTAL 0010

56

0570

0

048

1013

01867




57

05

1616205735 22

57

$1,090,029 $23,344 $398,451 $0$0 $422,695 $1,934,519

56.3% 1.2% 20.6% 0.0%0.0% 21.9% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2604

DaVita TRC Children's Dialysis2611 North HalstedChicagoCook6



Address:Name:

City:County:




Property Owner: Everbury Partners c/o Structured Develpment



Medical Director Name: Dr Craig Langman






Oct 110

Oct 20

Oct 310

Oct 410

Oct 510

Oct 610

Oct 710

8 0 7 6 6 7 6






Date of Operation

Hours operated


13Total:

15Total:






Full-Time Work Week: 40Registered Nurse : 4.5Dialysis Technician : 2Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 1.5Other Non-Health: 0








Medicare

6

21.4%

Medicaid

6

Private Insurance

8

Charity Care

2

Private Pay

0

Other Public

8

TOTAL

28

21.4% 28.6% 7.1%0.0% 28.6% 100.0%

Patients

TOTAL 10

110

18

6240

0

128000

55000




30

1713

000

3020 10

30

$518,430 $118,077 $1,430,386 $3,540$0 $167,652 $2,234,545

23.2% 5.3% 64.0% 0.2%0.0% 7.5% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2577

Davita Waukegan3350 W . GRAND AVE STE 100WaukeganLake8



Address:Name:

City:County:



Legal Entity Operator: ISD RENAL , INC.Legal Entity Owner:

Property Owner: NATIONAL SHOPPING PLAZA



Medical Director Name: SALIMA DIN






Oct 116

Oct 20

Oct 318

Oct 416

Oct 518

Oct 616

Oct 718

56 0 70 56 68 61 67






Date of Operation

Hours operated


68Total:

75Total:














Medicare

98

74.2%

Medicaid

16

Private Insurance

13

Charity Care

4

Private Pay

0

Other Public

5

TOTAL

132

12.1% 9.8% 3.0%0.0% 3.8% 100.0%

Patients

TOTAL 30

610

72

57790

0

015341720

03

191414




136

018533134

13686 50

136

$3,017,529 $135,789 $2,547,454 $177,000$177,000 $1,388,111 $7,265,883

41.5% 1.9% 35.1% 2.4%2.4% 19.1% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2544

Davita-South Holland Renal Center16136 South Park AvenueSouth HollandCook7



Address:Name:

City:County:



Legal Entity Operator: ISD Renal, Inc.Legal Entity Owner:

Property Owner: Cornelius Nymeyer



Medical Director Name: Kenneh Cline, M.D.






Oct 116

Oct 20

Oct 317

Oct 416

Oct 517

Oct 616

Oct 717

47 0 58 47 56 47 58






Date of Operation

Hours operated


82Total:

72Total:














Medicare

135

78.5%

Medicaid

9

Private Insurance

24

Charity Care

0

Private Pay

0

Other Public

4

TOTAL

172

5.2% 14.0% 0.0%0.0% 2.3% 100.0%

Patients

TOTAL 00

1450

27

8164

0

0

011402325

010261720




172

021664045

17299 73

172

$2,871,836 $29,999 $2,691,315 $4,425$4,425 $900,216 $6,497,791

44.2% 0.5% 41.4% 0.1%0.1% 13.9% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2747

Driftwood Dialysis1808 South West AvenueFreeportStephenson1



Address:Name:

City:County:



Legal Entity Operator: Freeport Bay DialysisLegal Entity Owner:

Property Owner: Frontier Real Estate



Medical Director Name: Farhan Khan






Oct 16

Oct 20

Oct 313

Oct 46

Oct 513

Oct 66

Oct 713

7 0 29 8 29 8 29






Date of Operation

Hours operated


23Total:

23Total:














Medicare

54

90.0%

Medicaid

3

Private Insurance

2

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

60

5.0% 3.3% 0.0%0.0% 1.7% 100.0%

Patients

TOTAL 00

21390

0600

0

03

1677

0259

11




60

05

2116186033 27

60

$1,328,947 $61,026 $313,199 $0$0 $99,927 $1,803,099

73.7% 3.4% 17.4% 0.0%0.0% 5.5% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2628

DSI - Arlington Heights17 West Golf RoadArlington HeightsCook7



Address:Name:

City:County:




Property Owner: Watermark Property Management, LLC.



Medical Director Name: George Hvostik M.D,






Oct 112

Oct 20

Oct 316

Oct 412

Oct 516

Oct 612

Oct 716

16 0 38 15 40 14 39






Date of Operation

Hours operated


65Total:

73Total:














Medicare

69

72.6%

Medicaid

11

Private Insurance

10

Charity Care

2

Private Pay

1

Other Public

4

TOTAL

95

11.6% 10.5% 2.1%1.1% 4.2% 100.0%

Patients

TOTAL 14040

74

5871

1

02

231516

02

131012




93

04

3625289356 37

93

$1,713,826 $16,430 $1,022,922 $590$590 $310,194 $3,063,962

55.9% 0.5% 33.4% 0.0%0.0% 10.1% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2650

DSI Buffalo Grove1291 West Dundee RoadBuffalo GroveCook7



Address:Name:

City:County:



Legal Entity Operator: ISD Buffalo Grove, LLC fka DSI Buffalo Grove, LLCLegal Entity Owner:

Property Owner: Amalgamated Bank of Chicago


Fourth Shift is included in the normal scheduled hours of operation during the week of Oct 1 - Oct 7, 2016 but no patients were served on that shift that week.


Medical Director Name: Dr. George Hvostik MD






Oct 115.5

Oct 20

Oct 318

Oct 415.5

Oct 518

Oct 615.5

Oct 718

18 0 36 14 37 13 38






Date of Operation

Hours operated


67Total:

58Total:














Medicare

113

68.1%

Medicaid

2

Private Insurance

17

Charity Care

3

Private Pay

3

Other Public

31

TOTAL

166

1.2% 10.2% 1.8%1.8% 18.7% 100.0%

Patients

TOTAL 29170

129

19147

0

0

09

402635

03

131525




166

012534160

166110 56

166

$1,676,693 $3,570 $1,087,643 $44,975$44,975 $429,877 $3,242,759

51.7% 0.1% 33.5% 1.4%1.4% 13.3% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2622

DSI Hazel Crest3470 West 183rd StreetHazel CrestCook7



Address:Name:

City:County:



Legal Entity Operator: ISD Renal Inc AKA DSI Renal IncLegal Entity Owner:

Property Owner: Resolution Property Services



Medical Director Name: Dr. Daniel Yohay






Oct 116

Oct 20

Oct 321.75

Oct 416

Oct 521.75

Oct 616

Oct 721.75

46 0 52 46 50 38 48






Date of Operation

Hours operated


65Total:

73Total:














Medicare

138

76.7%

Medicaid

16

Private Insurance

19

Charity Care

1

Private Pay

1

Other Public

6

TOTAL

180

8.9% 10.6% 0.6%0.6% 3.3% 100.0%

Patients

TOTAL 00

1560

24

8172

0

0

021452319

010251522




180

031703841

180108 72

180

$2,379,101 $8,364 $1,775,968 $7,965$7,965 $1,226,021 $5,397,420

44.1% 0.2% 32.9% 0.1%0.1% 22.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2505

DSI Loop Renal Center1101 South Canal StreetChicagoCook6



Address:Name:

City:County:




Property Owner: McCaffery Interests



Medical Director Name: Sheldon Hirsch, MD






Oct 113

Oct 20

Oct 316

Oct 413

Oct 516

Oct 613

Oct 716

48 0 49 50 54 48 52






Date of Operation

Hours operated


56Total:

52Total:














Medicare

89

71.8%

Medicaid

23

Private Insurance

10

Charity Care

0

Private Pay

1

Other Public

1

TOTAL

124

18.5% 8.1% 0.0%0.8% 0.8% 100.0%

Patients

TOTAL 110

930

19

13110

0

0

03

34149

07

311114




123

010652523

12360 63

123

$2,382,868 $31,135 $2,230,701 $9,735$9,735 $993,514 $5,647,953

42.2% 0.6% 39.5% 0.2%0.2% 17.6% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2518

DSI Scottsdale Renal Center4651 West 79th StreetChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: US Renal CareLegal Entity Owner:

Property Owner: A & R Katz



Medical Director Name: Dr. Jeannette McLaughlin






Oct 113

Oct 20

Oct 317

Oct 413

Oct 517

Oct 613

Oct 717

48 0 71 48 68 43 69






Date of Operation

Hours operated


49Total:

45Total:














Medicare

127

72.6%

Medicaid

14

Private Insurance

20

Charity Care

2

Private Pay

0

Other Public

14

TOTAL

175

8.0% 11.4% 1.1%0.0% 8.0% 100.0%

Patients

TOTAL 110

830

83

29148

0

0

08

323415

06

273025




177

014596440

17789 88

177

$3,255,901 $256,381 $3,062,658 $12,006$0 $555,808 $7,130,748

45.7% 3.6% 43.0% 0.2%0.0% 7.8% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2701

Edwardsville Dialysis235 South BuchananEdwardsvilleMadison11



Address:Name:

City:County:




Property Owner: Triple Crown Partners, LLC.



Medical Director Name: Sriraj Kanungo






Oct 19

Oct 20

Oct 314

Oct 49

Oct 514

Oct 69

Oct 714

13 0 20 15 21 12 22






Date of Operation

Hours operated


25Total:

21Total:














Medicare

49

84.5%

Medicaid

2

Private Insurance

6

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

58

3.4% 10.3% 0.0%0.0% 1.7% 100.0%

Patients

TOTAL 006

500

0580

2

01

1575

02

12106




58

03

2717115828 30

58

$787,547 $0 $607,098 $0$0 $472,308 $1,866,954

42.2% 0.0% 32.5% 0.0%0.0% 25.3% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2580

Effingham Dialysis904 Medical Park DriveEffinghamEffingham5



Address:Name:

City:County:




Property Owner: HSHS Medical Group, Inc



Medical Director Name: Dr. Bashar Alzahabi






Oct 112

Oct 20

Oct 312

Oct 412

Oct 512

Oct 612

Oct 712

16 0 22 16 20 15 22






Date of Operation

Hours operated


36Total:

31Total:














Medicare

70

92.1%

Medicaid

1

Private Insurance

3

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

76

1.3% 3.9% 0.0%0.0% 2.6% 100.0%

Patients

TOTAL 1000

75

2740

0

02

12207

046

1213




76

06

1832207641 35

76

$1,711,158 $23,886 $1,046,697 $0$0 $135,142 $2,916,883

58.7% 0.8% 35.9% 0.0%0.0% 4.6% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2511

Evanston Renal Center1922 Dempster StreetEvanstonCook7



Address:Name:

City:County:




Property Owner: Schwab Realty and Development



Medical Director Name: George Kim, MD






Oct 113

Oct 20

Oct 315

Oct 413

Oct 515

Oct 613

Oct 715

34 0 41 35 41 35 42






Date of Operation

Hours operated


55Total:

65Total:














Medicare

91

65.5%

Medicaid

31

Private Insurance

14

Charity Care

0

Private Pay

3

Other Public

0

TOTAL

139

22.3% 10.1% 0.0%2.2% 0.0% 100.0%

Patients

TOTAL 210

690

49

24115

0

0

014292017

07

241216




139

021533233

13980 59

139

$1,512,740 $128,751 $1,103,085 $267,750$267,750 $1,013,715 $4,026,042

37.6% 3.2% 27.4% 6.7%6.7% 25.2% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2568

Fox Valley Dialysis,Ltd.1300 Waterford DriveAuroraKane8



Address:Name:

City:County:



Legal Entity Operator: Renaissance Management Company, LLC (operateLegal Entity Owner:

Property Owner: RBSG&M



Medical Director Name: Dr. Pardeep Sood






Oct 112

Oct 20

Oct 318

Oct 412

Oct 518

Oct 612

Oct 718

48 0 71 49 70 47 77






Date of Operation

Hours operated


75Total:

86Total:






Full-Time Work Week: 40Registered Nurse : 6.23Dialysis Technician : 13.22Dietician : 1.14Social Worker: 0.93LPN : 0.87Other Health : 0.62Other Non-Health: 3.94








Medicare

151

76.3%

Medicaid

28

Private Insurance

19

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

198

14.1% 9.6% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 70

380

153

79119

0

0

015432622

015342419




198

030775041

198106 92

198

$2,795,028 $552,118 $1,715,793 $0$0 $0 $5,062,939

55.2% 10.9% 33.9% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2524

Fresenius Medical Care Bridgeport825 West 35th StreetChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Chicagoland, LLCLegal Entity Owner:

Property Owner: Bridgeport Assosiates


Fresenius Medical Care does not hold long term debt on any Illinois dialysis location balance sheet. Fresenius Medical Care does not, as a for profit corporation, provide charity care under the Board's definition of same; however, it treats all patients regardless of ability to pay and thus does provide uncompensated care. Many of our Medicaid patients have moved to managed care “Medicaid Risk” programs which reimburses at rates more similar to Medicaid and Medicare, however these patients/revenues are accounted for under Private Insurance.


Medical Director Name: Maria Sobrero, M.D.






Oct 114

Oct 20

Oct 317

Oct 414

Oct 517

Oct 613

Oct 717

51 0 64 54 65 48 66






Date of Operation

Hours operated


60Total:

42Total:






Full-Time Work Week: 32Registered Nurse : 9Dialysis Technician : 16Dietician : 1.5Social Worker: 1LPN : 1Other Health : 0Other Non-Health: 3








Medicare

118

67.4%

Medicaid

1

Private Insurance

55

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

175

0.6% 31.4% 0.0%0.6% 0.0% 100.0%

Patients

TOTAL 240

980

53

43132

0

0

07

332821

07

352519




175

014685340

17589 86

175

$3,296,412 $49,849 $3,755,770 $0$32,235 $122,369 $7,256,635

45.4% 0.7% 51.8% 0.0%0.4% 1.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2658

Fresenius Medical Care Aledo409 NW 9th AvenueAledoMercer10



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Quad Cities, LLCLegal Entity Owner:

Property Owner: RRS Investments, LLP


Fresenius Medical Care acquired Quad Cities Aledo, Geneseo, Moline, Rock Island, Rock River – Dixon, and Silvis facilities as of May 1, 2016. Compiled 2016 financial information prior to May 1 was provided by Quad Cities and was combined with compiled 2016 financial information from Fresenius Medical Care to complete the survey. Fresenius Medical Care does not hold long term debt on any Illinois dialysis location balance sheet. Fresenius Medical Care does not, as a for profit corporation, provide charity care under the Board's definition of same; however, it treats all patients regardless of ability to pay and thus does provide uncompensated care. Many of our Medicaid patients have moved to managed care “Medicaid Risk” programs which reimburses at rates more similar to Medicaid and Medicare, however these patients/revenues are accounted for under Private Insurance.


Medical Director Name: Travis Figanbaum, M.D.






Oct 10

Oct 20

Oct 312

Oct 40

Oct 511

Oct 60

Oct 711

0 0 14 0 13 0 13






Date of Operation

Hours operated


6Total:

4Total:






Full-Time Work Week: 32Registered Nurse : 1Dialysis Technician : 2Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 0Other Non-Health: 0.5








Medicare

17

89.5%

Medicaid

1

Private Insurance

1

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

19

5.3% 5.3% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0000

19

0190

0

00431

00335




19

00766

198 11

19

$575,970 $1,401 $88,293 $0$0 $0 $665,664

86.5% 0.2% 13.3% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2630

Fresenius Medical Care Alsip12250 S. Cicero, Ste #105AlsipCook7



Address:Name:

City:County:



Legal Entity Operator: WSKC Dialysis Services, Inc.Legal Entity Owner:

Property Owner: Hickory Properties, INC




Medical Director Name: Sejal Kalawadia, M.D.






Oct 113

Oct 20

Oct 318

Oct 413

Oct 518

Oct 613

Oct 718

37 0 49 37 49 37 49






Date of Operation

Hours operated


39Total:

46Total:














Medicare

75

64.1%

Medicaid

0

Private Insurance

41

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

117

0.0% 35.0% 0.0%0.0% 0.9% 100.0%

Patients

TOTAL 10

810

34

11105

1

1

08

26119

04

282011




117

012543120

11754 63

117

$1,431,136 $22,170 $1,942,707 $0$0 $0 $3,396,013

42.1% 0.7% 57.2% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2515

Fresenius Medical Care Aurora455 Mercy LaneAuroraKane8



Address:Name:

City:County:




Property Owner: American Realty Capital Properties , INC


Facility runs a 4th shift of patients on Monday, Wednesday, Friday with 6 patients. Fresenius Medical Care does not hold long term debt on any Illinois dialysis location balance sheet. Fresenius Medical Care does not, as a for profit corporation, provide charity care under the Board's definition of same; however, it treats all patients regardless of ability to pay and thus does provide uncompensated care. Many of our Medicaid patients have moved to managed care “Medicaid Risk” programs which reimburses at rates more similar to Medicaid and Medicare, however these patients/revenues are accounted for under Private Insurance.


Medical Director Name: Navinchandra Dodhia, M.D.






Oct 118

Oct 20

Oct 320

Oct 418

Oct 520

Oct 618

Oct 720

72 0 77 74 71 70 76






Date of Operation

Hours operated


39Total:

50Total:














Medicare

106

55.2%

Medicaid

1

Private Insurance

74

Charity Care

0

Private Pay

7

Other Public

4

TOTAL

192

0.5% 38.5% 0.0%3.6% 2.1% 100.0%

Patients

TOTAL 70

600

125

82110

0

0

015491828

011302615




192

026794443

192110 82

192

$3,098,369 $46,645 $4,962,640 $0$24,164 $85,216 $8,217,034

37.7% 0.6% 60.4% 0.0%0.3% 1.0% 100.0%Net Revenue

1/31/20161/1/2016 to

14-2653

Fresenius Medical Care Austin Community4800 W. Chicago Ave., 2nd Fl.ChicagoCook6



Address:Name:

City:County:




Property Owner: Westside Health Authority




Medical Director Name: David Kracker, M.D.






Oct 114

Oct 20

Oct 314

Oct 414

Oct 514

Oct 614

Oct 714

25 0 29 28 22 28 32






Date of Operation

Hours operated


33Total:

33Total:














Medicare

60

66.7%

Medicaid

1

Private Insurance

29

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

90

1.1% 32.2% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

780

12

12780

0

01022126

05

15137




90

0153725139050 40

90

$1,603,274 $74,148 $1,006,210 $0$94,631 $0 $2,778,263

57.7% 2.7% 36.2% 0.0%3.4% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2533

Fresenius Medical Care Berwyn2601 S. Harlem Avenue, 1st Fl.BerwynCook7



Address:Name:

City:County:



Legal Entity Operator: Dialysis Centers of America - Illinois, Inc.Legal Entity Owner:

Property Owner: Blueroad Net Lease, LLC




Medical Director Name: Matthew Andersen, M.D.






Oct 117

Oct 20

Oct 317

Oct 417

Oct 517

Oct 617

Oct 717

71 0 71 66 73 66 74






Date of Operation

Hours operated


77Total:

77Total:














Medicare

114

50.4%

Medicaid

9

Private Insurance

93

Charity Care

0

Private Pay

9

Other Public

1

TOTAL

226

4.0% 41.2% 0.0%4.0% 0.4% 100.0%

Patients

TOTAL 20

250

199

1129123

0

021713517

07

322221




226

028

1035738

226144 82

226

$2,971,154 $113,690 $4,830,719 $0$129,243 $0 $8,044,806

36.9% 1.4% 60.0% 0.0%1.6% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2539

Fresenius Medical Care Blue Island12200 Western AvenueBlue IslandCook7



Address:Name:

City:County:




Property Owner:




Medical Director Name: Salvatore Ventura, M.D.






Oct 118

Oct 20

Oct 318

Oct 418

Oct 518

Oct 618

Oct 718

56 0 56 56 55 57 56






Date of Operation

Hours operated


41Total:

32Total:














Medicare

81

54.0%

Medicaid

1

Private Insurance

66

Charity Care

0

Private Pay

1

Other Public

1

TOTAL

150

0.7% 44.0% 0.0%0.7% 0.7% 100.0%

Patients

TOTAL 00

1240

25

16133

1

1

010362020

04

212415




150

014574435

15086 64

150

$3,018,361 $35,604 $3,509,548 $0$21,881 $57,251 $6,642,645

45.4% 0.5% 52.8% 0.0%0.3% 0.9% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2605

Fresenius Medical Care Bolingbrook329 Remington BoulevardBolingbrookWill9



Address:Name:

City:County:




Property Owner: Remington Develoment Partners c/o Physicians Re




Medical Director Name: Huma Rohail, M.D.






Oct 118

Oct 20

Oct 318

Oct 418

Oct 518

Oct 618

Oct 718

60 0 61 61 66 56 64






Date of Operation

Hours operated


88Total:

72Total:














Medicare

115

55.0%

Medicaid

3

Private Insurance

84

Charity Care

0

Private Pay

5

Other Public

2

TOTAL

209

1.4% 40.2% 0.0%2.4% 1.0% 100.0%

Patients

TOTAL 500

990

60

45164

0

0

025532910

012383012




209

037915922

209117 92

209

$3,256,569 $70,104 $4,300,928 $0$43,773 $50,009 $7,721,383

42.2% 0.9% 55.7% 0.0%0.6% 0.6% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2637

Fresenius Medical Care Breese160 N. Main StreetBreeseClinton11



Address:Name:

City:County:



Legal Entity Operator: RAI Care Centers of Illinois I, LLCLegal Entity Owner:

Property Owner: Oakmont Capital Resources




Medical Director Name: Matthew Koch, M.D.






Oct 18

Oct 20

Oct 312

Oct 48

Oct 512

Oct 68

Oct 712

6 0 13 5 13 5 12






Date of Operation

Hours operated


32Total:

29Total:






Full-Time Work Week: 32Registered Nurse : 2.5Dialysis Technician : 2Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 0Other Non-Health: 1








Medicare

41

83.7%

Medicaid

0

Private Insurance

8

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

49

0.0% 16.3% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0020

47

0490

0

03

1277

02396




49

05

1516134929 20

49

$1,246,640 $0 $478,787 $0$0 $0 $1,725,427

72.3% 0.0% 27.7% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2641

Fresenius Medical Care Burbank4811 W. 77th StreetBurbankCook7



Address:Name:

City:County:




Property Owner: Burbank Town Center, LLC




Medical Director Name: Vinitha Raghavan, M.D.






Oct 118

Oct 219

Oct 319

Oct 418

Oct 518

Oct 618

Oct 718

61 0 60 57 56 60 56






Date of Operation

Hours operated


78Total:

78Total:






Full-Time Work Week: 32Registered Nurse : 7.5Dialysis Technician : 16Dietician : 1Social Worker: 1LPN : 0Other Health : 0Other Non-Health: 2.5








Medicare

114

55.6%

Medicaid

8

Private Insurance

81

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

205

3.9% 39.5% 0.0%1.0% 0.0% 100.0%

Patients

TOTAL 30

1200

66

86110

9

16

010202850

013282630




205

023485480

205108 97

205

$2,879,883 $186,120 $3,793,202 $0$100,960 $0 $6,960,165

41.4% 2.7% 54.5% 0.0%1.5% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2514

Fresenius Medical Care Carbondale1425 E. Main StreetCarbondaleJackson5



Address:Name:

City:County:



Legal Entity Operator: Bio-Medical Applications of Illinois, Inc.Legal Entity Owner:

Property Owner: FRE Carbondale, LLC




Medical Director Name: Randy Cowart, M.D.






Oct 112

Oct 20

Oct 315

Oct 413

Oct 515

Oct 612

Oct 715

29 0 35 36 38 33 36






Date of Operation

Hours operated


58Total:

62Total:














Medicare

106

74.1%

Medicaid

5

Private Insurance

21

Charity Care

0

Private Pay

0

Other Public

11

TOTAL

143

3.5% 14.7% 0.0%0.0% 7.7% 100.0%

Patients

TOTAL 10

410

101

5138

0

0

08

132014

07

372519




143

015504533

14355 88

143

$2,691,878 $198,849 $1,667,788 $0$0 $399,870 $4,958,385

54.3% 4.0% 33.6% 0.0%0.0% 8.1% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2546

Fresenius Medical Care Centre-West Springfield1112 Centre West DriveSpringfieldSangamon3



Address:Name:

City:County:



Legal Entity Operator: RAI Care Centers of Illinois II, LLCLegal Entity Owner:

Property Owner: Indria D. Lakhram, ELH Mgmt. LLC




Medical Director Name: Merry Downer, M.D.






Oct 113

Oct 20

Oct 317

Oct 413

Oct 517

Oct 613

Oct 717

28 0 39 28 38 29 36






Date of Operation

Hours operated


50Total:

44Total:














Medicare

74

64.3%

Medicaid

0

Private Insurance

39

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

115

0.0% 33.9% 0.0%0.0% 1.7% 100.0%

Patients

TOTAL 00

310

84

2113

0

0

03

182019

08

121322




115

011303341

11560 55

115

$2,722,219 $3,447 $4,366,115 $0$40,716 $145,175 $7,277,672

37.4% 0.0% 60.0% 0.0%0.6% 2.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2588

Fresenius Medical Care Champaign1405 West Park Street, Suite 100UrbanaChampaign4



Address:Name:

City:County:



Legal Entity Operator: Renal Research Institute, LLCLegal Entity Owner:

Property Owner: Tim Max




Medical Director Name: Abdel-Moneim Attia, M.D.






Oct 118

Oct 20

Oct 318

Oct 418

Oct 518

Oct 618

Oct 718

52 0 57 50 58 47 56






Date of Operation

Hours operated


74Total:

64Total:






Full-Time Work Week: 32Registered Nurse : 9.5Dialysis Technician : 13Dietician : 1.5Social Worker: 2LPN : 0Other Health : 0Other Non-Health: 4








Medicare

127

72.6%

Medicaid

25

Private Insurance

19

Charity Care

0

Private Pay

0

Other Public

4

TOTAL

175

14.3% 10.9% 0.0%0.0% 2.3% 100.0%

Patients

TOTAL 10

880

76

10162

3

10

012422415

016261822




175

028684237

17593 82

175

$2,723,619 $247,529 $3,807,155 $0$0 $209,473 $6,987,776

39.0% 3.5% 54.5% 0.0%0.0% 3.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2744

Fresenius Medical Care Chatham8710 S. Holland RoadChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Chatham, LLCLegal Entity Owner:

Property Owner: AEI Income & Growth Fund 27, LLC




Medical Director Name: Sreedevi Chittineni, M.D.






Oct 117

Oct 20

Oct 316

Oct 416

Oct 515

Oct 616

Oct 715

36 0 36 39 35 36 42






Date of Operation

Hours operated


51Total:

46Total:














Medicare

85

66.4%

Medicaid

0

Private Insurance

43

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

128

0.0% 33.6% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

12800

0128

0

0

04

311713

04

241619




128

08

553332

12865 63

128

$1,661,612 $0 $1,348,970 $0$16,269 $0 $3,026,851

54.9% 0.0% 44.6% 0.0%0.5% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2506

Fresenius Medical Care Chicago 1806 W. Hubbard StreetChicagoCook6



Address:Name:

City:County:




Property Owner: KB CHICAGO DIALYSIS, DST




Medical Director Name: George Dunea, M.D.






Oct 112

Oct 20

Oct 317

Oct 412

Oct 517

Oct 612

Oct 712

24 0 39 22 39 21 39






Date of Operation

Hours operated


36Total:

26Total:














Medicare

42

53.2%

Medicaid

3

Private Insurance

33

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

79

3.8% 41.8% 0.0%0.0% 1.3% 100.0%

Patients

TOTAL 01

520

23

10672

3

0132591

08

1571




79

0214016

27948 31

79

$1,214,219 $90,410 $1,351,870 $0$0 $0 $2,656,499

45.7% 3.4% 50.9% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2681

Fresenius Medical Care Chicago Westside1340 S. DamenChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care of Illinois, LLCLegal Entity Owner:

Property Owner: Hasting Center Office




Medical Director Name: Jose Arruda, M.D.






Oct 112.5

Oct 20

Oct 312.5

Oct 412.5

Oct 512.5

Oct 612.5

Oct 712.5

29 0 36 33 36 33 41






Date of Operation

Hours operated


43Total:

14Total:














Medicare

55

57.3%

Medicaid

1

Private Insurance

40

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

96

1.0% 41.7% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 10

500

45

45510

0

01926102

0101694




96

0294219

69657 39

96

$1,731,996 $37,352 $3,103,044 $0$123,711 $0 $4,996,103

34.7% 0.7% 62.1% 0.0%2.5% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2754

Fresenius Medical Care Cicero3000 S. Cicero AvenueCiceroCook7



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Cicero, LLCLegal Entity Owner:

Property Owner: MR CICERO PLAZA, LLC




Medical Director Name: Juan Ruiz, M.D.






Oct 112

Oct 20

Oct 312

Oct 412

Oct 512

Oct 612

Oct 712

30 0 29 30 31 28 29






Date of Operation

Hours operated


27Total:

24Total:














Medicare

45

54.2%

Medicaid

0

Private Insurance

33

Charity Care

0

Private Pay

4

Other Public

1

TOTAL

83

0.0% 39.8% 0.0%4.8% 1.2% 100.0%

Patients

TOTAL 1050

77

73100

0

03

3587

04

1466




83

07

4914138353 30

83

$493,298 $24,046 $1,400,458 $0$0 $0 $1,917,802

25.7% 1.3% 73.0% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2631

Fresenius Medical Care Congress Parkway3410 West Van BurenChicagoCook6



Address:Name:

City:County:




Property Owner: CMGS, LLC




Medical Director Name: Asad Bakir, M.D.






Oct 113.5

Oct 20

Oct 317.5

Oct 413.5

Oct 517.5

Oct 613.5

Oct 717.5

46 0 60 46 53 43 66






Date of Operation

Hours operated


50Total:

40Total:














Medicare

98

60.5%

Medicaid

7

Private Insurance

56

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

162

4.3% 34.6% 0.0%0.6% 0.0% 100.0%

Patients

TOTAL 00

1440

18

18144

0

0

021371710

015311318




162

036683028

16285 77

162

$3,316,925 $191,422 $2,776,713 $0$55,074 $8,368 $6,348,502

52.2% 3.0% 43.7% 0.0%0.9% 0.1% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2538

Fresenius Medical Care Crestwood4861 Cal Sag RoadCrestwoodCook7



Address:Name:

City:County:




Property Owner: Brixmor SPE 3, LLC




Medical Director Name: Akash Ahuja, M.D.






Oct 116

Oct 20

Oct 317

Oct 416

Oct 517

Oct 616

Oct 717

41 0 59 44 55 40 56






Date of Operation

Hours operated


58Total:

62Total:














Medicare

99

62.3%

Medicaid

6

Private Insurance

53

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

159

3.8% 33.3% 0.0%0.0% 0.6% 100.0%

Patients

TOTAL 30

710

85

33126

0

0

09

413319

02

161920




159

011575239

159102 57

159

$1,864,685 $67,948 $2,758,430 $0$0 $82,725 $4,773,788

39.1% 1.4% 57.8% 0.0%0.0% 1.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2603

Fresenius Medical Care Decatur East1830 South 44th StreetDecaturMacon4



Address:Name:

City:County:




Property Owner: Lillibridge Healthcare Services, Inc.




Medical Director Name: Mohammed Dawood, M.D.

In-Center Treatments in calendar year: 3Facility Reported Patient Information





Oct 113

Oct 20

Oct 316

Oct 413

Oct 516

Oct 613

Oct 716

23 0 26 23 27 23 27






Date of Operation

Hours operated


27Total:

20Total:














Medicare

63

86.3%

Medicaid

0

Private Insurance

8

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

73

0.0% 11.0% 0.0%0.0% 2.7% 100.0%

Patients

TOTAL 00

110

62

0730

0

03

131510

01

101011




73

04

2325217341 32

73

$1,015,871 $0 $908,973 $0$0 $0 $1,924,844

52.8% 0.0% 47.2% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2774

Fresenius Medical Care Des Plaines1625 Oakton PlaceDes PlainesCook7



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Des Plaines, LLCLegal Entity Owner:

Property Owner: Washington Center LLC




Medical Director Name: Danial Kniaz, M.D.






Oct 113

Oct 20

Oct 317

Oct 413

Oct 517

Oct 613

Oct 717

12 0 24 11 21 11 25






Date of Operation

Hours operated


43Total:

57Total:














Medicare

55

64.7%

Medicaid

4

Private Insurance

26

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

85

4.7% 30.6% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 8091

67

16690

0

05

171510

03

111410




85

08

2829208547 38

85

$186,529 $6,117 $237,979 $0$0 $10,030 $440,655

42.3% 1.4% 54.0% 0.0%0.0% 2.3% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2503

Fresenius Medical Care Downers Grove3825 Highland Avenue, Ste 102Downers GroveDuPage7



Address:Name:

City:County:




Property Owner: VTR Downers Grove POB Holdings




Medical Director Name: Naresh Julka, M.D.






Oct 112

Oct 20

Oct 317

Oct 412

Oct 517

Oct 612

Oct 717

25 0 44 25 43 24 44






Date of Operation

Hours operated


50Total:

42Total:














Medicare

76

71.0%

Medicaid

0

Private Insurance

28

Charity Care

0

Private Pay

0

Other Public

3

TOTAL

107

0.0% 26.2% 0.0%0.0% 2.8% 100.0%

Patients

TOTAL 80

120

87

14930

0

05

151825

06

159

14




107

011302739

10763 44

107

$1,366,119 $25,951 $2,023,073 $0$45,707 $83,611 $3,544,461

38.5% 0.7% 57.1% 0.0%1.3% 2.4% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2509

Fresenius Medical Care DuPage West450 E. Roosevelt Rd., Ste. 101West ChicagoDuPage7



Address:Name:

City:County:




Property Owner: Midland Ventures Inc.




Medical Director Name: Gregory Kozeny, M.D.






Oct 112

Oct 20

Oct 318

Oct 412

Oct 518

Oct 612

Oct 718

23 0 42 22 39 25 38






Date of Operation

Hours operated


53Total:

45Total:














Medicare

58

56.3%

Medicaid

2

Private Insurance

41

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

103

1.9% 39.8% 0.0%1.9% 0.0% 100.0%

Patients

TOTAL 22

151

83

33700

0

09

302012

0866

12




103

017362624

10371 32

103

$2,016,743 $184,746 $4,309,929 $0$0 $0 $6,511,418

31.0% 2.8% 66.2% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2595

Fresenius Medical Care DuQuoin825 Sunset AvenueDuQuoinPerry5



Address:Name:

City:County:




Property Owner: Andrew Chang




Medical Director Name: Randy Coward, M.D.






Oct 111

Oct 20

Oct 311

Oct 411

Oct 511

Oct 611

Oct 711

18 0 21 17 21 16 21






Date of Operation

Hours operated


20Total:

16Total:














Medicare

41

75.9%

Medicaid

0

Private Insurance

8

Charity Care

0

Private Pay

0

Other Public

5

TOTAL

54

0.0% 14.8% 0.0%0.0% 9.3% 100.0%

Patients

TOTAL 0030

51

0540

0

043

1210

019

105




54

05

1222155429 25

54

$1,057,568 $59,227 $525,759 $0$0 $128,273 $1,770,827

59.7% 3.3% 29.7% 0.0%0.0% 7.2% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2562

Fresenius Medical Care East Peoria3300 North MainEast PeoriaTazewell2



Address:Name:

City:County:




Property Owner: Fresenius Medical Care




Medical Director Name: David Rosborough, M.D.






Oct 116

Oct 20

Oct 319

Oct 418

Oct 519

Oct 618

Oct 719

40 0 51 40 52 40 53






Date of Operation

Hours operated


55Total:

65Total:














Medicare

109

69.4%

Medicaid

4

Private Insurance

44

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

157

2.5% 28.0% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 10

360

120

3154

0

0

011392015

06

262218




157

017654233

15785 72

157

$3,664,698 $80,057 $6,042,289 $0$41,599 $0 $9,828,643

37.3% 0.8% 61.5% 0.0%0.4% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2726

Fresenius Medical Care Elgin2130 Point BoulevardElginKane8



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Elgin, LLCLegal Entity Owner:

Property Owner: Stage Management




Medical Director Name: Raju Ray, M.D.






Oct 117

Oct 20

Oct 319

Oct 417

Oct 519

Oct 617

Oct 717

35 0 42 37 41 42 39






Date of Operation

Hours operated


30Total:

72Total:






Full-Time Work Week: 32Registered Nurse : 8.5Dialysis Technician : 7.5Dietician : 2Social Worker: 1LPN : 1Other Health : 0Other Non-Health: 2








Medicare

76

65.5%

Medicaid

3

Private Insurance

35

Charity Care

0

Private Pay

1

Other Public

1

TOTAL

116

2.6% 30.2% 0.0%0.9% 0.9% 100.0%

Patients

TOTAL 60

143

93

41750

0

010301619

07

16108




116

017462627

11675 41

116

$1,737,692 $0 $3,157,578 $0$0 $0 $4,895,270

35.5% 0.0% 64.5% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2507

Fresenius Medical Care Elk Grove901 Biesterfield Road, Ste. 400Elk Grove VillageCook7



Address:Name:

City:County:




Property Owner: Stage Management




Medical Director Name: Lisa Pillsbury, M.D.






Oct 117

Oct 20

Oct 317

Oct 417

Oct 517

Oct 617

Oct 717

61 0 78 60 74 56 73






Date of Operation

Hours operated


70Total:

64Total:














Medicare

155

76.4%

Medicaid

1

Private Insurance

42

Charity Care

0

Private Pay

1

Other Public

4

TOTAL

203

0.5% 20.7% 0.0%0.5% 2.0% 100.0%

Patients

TOTAL 171

161

168

31172

0

0

014433232

07

242031




203

021675263

203121 82

203

$4,203,602 $73,247 $3,635,095 $0$19,859 $61,416 $7,993,219

52.6% 0.9% 45.5% 0.0%0.2% 0.8% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2612

Fresenius Medical Care Elmhurst133 E. Brush Hill Road, Ste 410ElmhurstDuPage7



Address:Name:

City:County:




Property Owner: Hammes Co.




Medical Director Name: Rukhsana Muneer, M.D.






Oct 113

Oct 20

Oct 318

Oct 413

Oct 518

Oct 613

Oct 718

39 0 68 38 65 40 65






Date of Operation

Hours operated


74Total:

71Total:














Medicare

118

63.8%

Medicaid

0

Private Insurance

67

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

185

0.0% 36.2% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 120

450

85

43142

0

43

09

432732

04

331621




185

013764353

185111 74

185

$2,880,229 $26,016 $2,428,095 $0$146,924 $56,411 $5,537,675

52.0% 0.5% 43.8% 0.0%2.7% 1.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2621

Fresenius Medical Care Evanston2953 Central Street, 1st FloorEvanstonCook7



Address:Name:

City:County:




Property Owner: Craig Bjorkman




Medical Director Name: Neeno Khosla, M.D.






Oct 114

Oct 20

Oct 316

Oct 414

Oct 516

Oct 614

Oct 716

27 0 35 30 34 28 34






Date of Operation

Hours operated


28Total:

33Total:














Medicare

73

73.7%

Medicaid

2

Private Insurance

20

Charity Care

0

Private Pay

2

Other Public

2

TOTAL

99

2.0% 20.2% 0.0%2.0% 2.0% 100.0%

Patients

TOTAL 50

380

53

8910

3

06

132715

04

10168




99

0102343239961 38

99

$1,533,133 $53,120 $939,732 $0$0 $33,912 $2,559,897

59.9% 2.1% 36.7% 0.0%0.0% 1.3% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2545

Fresenius Medical Care Evergreen Park9730 South Western AvenueEvergreen ParkCook7



Address:Name:

City:County:




Property Owner: Evergreen Plaza


Due to a condemnation of the facility parking structure, the facility was closed July 22, 2016. Fresenius Medical Care Chicagoland, LLC was granted permit (#16-035) to relocate to 8901 S. Kedzie Avenue also in Evergreen Park. The facility will reopen mid 2017. Fresenius Medical Care does not hold long term debt on any Illinois dialysis location balance sheet. Fresenius Medical Care does not, as a for profit corporation, provide charity care under the Board's definition of same; however, it treats all patients regardless of ability to pay and thus does provide uncompensated care. Many of our Medicaid patients have moved to managed care “Medicaid Risk” programs which reimburses at rates more similar to Medicaid and Medicare, however these patients/revenues are accounted for under Private Insurance.


Medical Director Name: Paul Crawford, M.D.






Oct 10

Oct 20

Oct 30

Oct 40

Oct 50

Oct 60

Oct 70

0 0 0 0 0 0 0






Date of Operation

Hours operated


174Total:

19Total:














Medicare

107

61.5%

Medicaid

1

Private Insurance

64

Charity Care

0

Private Pay

1

Other Public

1

TOTAL

174

0.6% 36.8% 0.0%0.6% 0.6% 100.0%

Patients

TOTAL 00

1260

48

2172

0

0

09

283520

04

164319




174

013447839

17492 82

174

$2,880,219 $18,336 $3,188,734 $0$4,186 $39,590 $6,131,065

47.0% 0.3% 52.0% 0.0%0.1% 0.6% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2579

Fresenius Medical Care Galesburg765 N Kellogg St, Ste 101GalesburgKnox2



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Galesburg, LLCLegal Entity Owner:

Property Owner: Galesburg Cottage Hospital




Medical Director Name: Parthasarathy Srinivasan






Oct 116

Oct 20

Oct 318

Oct 416

Oct 518

Oct 616

Oct 718

30 0 32 31 32 32 33






Date of Operation

Hours operated


59Total:

58Total:














Medicare

81

61.4%

Medicaid

4

Private Insurance

41

Charity Care

0

Private Pay

0

Other Public

6

TOTAL

132

3.0% 31.1% 0.0%0.0% 4.5% 100.0%

Patients

TOTAL 20

180

112

9123

0

0

08

292219

06

191118




132

014483337

13278 54

132

$1,422,688 $26,328 $1,839,344 $0$19,480 $300,721 $3,608,561

39.4% 0.7% 51.0% 0.0%0.5% 8.3% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2555

Fresenius Medical Care Garfield5401 South WentworthChicagoCook6



Address:Name:

City:County:




Property Owner: East Lake Management Company




Medical Director Name: Paru Kathpalia, M.D.






Oct 113

Oct 20

Oct 318

Oct 413

Oct 518

Oct 613

Oct 718

31 0 57 36 58 31 57






Date of Operation

Hours operated


57Total:

53Total:














Medicare

99

63.9%

Medicaid

3

Private Insurance

49

Charity Care

0

Private Pay

2

Other Public

2

TOTAL

155

1.9% 31.6% 0.0%1.3% 1.3% 100.0%

Patients

TOTAL 00

15203

3152

0

0

01943247

08

201816




155

027634223

15593 62

155

$2,471,781 $187,872 $2,343,216 $0$35,728 $50,530 $5,089,127

48.6% 3.7% 46.0% 0.0%0.7% 1.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2592

Fresenius Medical Care Geneseo600 North College AvenueGeneseoHenry10



Address:Name:

City:County:






Fresenius Medical Care acquired Quad Cities Aledo, Geneseo, Moline, Rock Island, Rock River – Dixon, and Silvis facilities as of May 1, 2016. Compiled 2016 financial information prior to May 1 was provided by Quad Cities and was combined with compiled 2016 financial information from Fresenius Medical Care to complete the survey.


Medical Director Name: Suresh Alla, M.D.






Oct 10

Oct 20

Oct 314

Oct 40

Oct 514.5

Oct 60

Oct 714

0 0 19 0 18 0 19






Date of Operation

Hours operated


4Total:

2Total:














Medicare

18

81.8%

Medicaid

1

Private Insurance

2

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

22

4.5% 9.1% 0.0%4.5% 0.0% 100.0%

Patients

TOTAL 0000

22

0220

0

00324

01057




22

0137

11229 13

22

$658,129 $2,316 $324,433 $0$42,002 $0 $1,026,880

64.1% 0.2% 31.6% 0.0%4.1% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2617

Fresenius Medical Care Glendale Heights130 E. Army Trail RoadGlendale HeightsDuPage7



Address:Name:

City:County:




Property Owner: Clover Leaf Group, Inc.




Medical Director Name: Ernest DeJesus, M.D.






Oct 116

Oct 20

Oct 316

Oct 416

Oct 516

Oct 616

Oct 716

53 0 67 53 67 48 69






Date of Operation

Hours operated


69Total:

80Total:














Medicare

118

59.0%

Medicaid

6

Private Insurance

63

Charity Care

0

Private Pay

12

Other Public

1

TOTAL

200

3.0% 31.5% 0.0%6.0% 0.5% 100.0%

Patients

TOTAL 460

201

133

40160

0

0

011552929

06

221830




200

017774759

200124 76

200

$2,588,217 $23,752 $3,412,750 $0$5,981 $52,285 $6,082,985

42.5% 0.4% 56.1% 0.0%0.1% 0.9% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2551

Fresenius Medical Care Glenview4248 Commercial WayGlenviewCook7



Address:Name:

City:County:




Property Owner: Helios Property Management




Medical Director Name: Venkata Behara, M.D.






Oct 112

Oct 20

Oct 317

Oct 412

Oct 517

Oct 612

Oct 717

30 0 40 29 40 28 41






Date of Operation

Hours operated


46Total:

44Total:














Medicare

65

58.0%

Medicaid

3

Private Insurance

42

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

112

2.7% 37.5% 0.0%1.8% 0.0% 100.0%

Patients

TOTAL 20060

86

19930

0

08

281129

03

111012




112

011392141

11276 36

112

$1,788,649 $76,414 $2,248,017 $0$26,603 $0 $4,139,683

43.2% 1.8% 54.3% 0.0%0.6% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2601

Fresenius Medical Care Greenwood1111 East 87th Street, Suite 700ChicagoCook6



Address:Name:

City:County:




Property Owner: Waveland Property Group




Medical Director Name: Malathi Shah, M.D.






Oct 117

Oct 20

Oct 317

Oct 417

Oct 517

Oct 617

Oct 717

44 0 51 48 48 47 48






Date of Operation

Hours operated


68Total:

55Total:














Medicare

94

51.6%

Medicaid

2

Private Insurance

79

Charity Care

0

Private Pay

2

Other Public

5

TOTAL

182

1.1% 43.4% 0.0%1.1% 2.7% 100.0%

Patients

TOTAL 10

17900

2180

0

2

013492122

05

381717




182

018873839

182105 77

182

$2,593,050 $166,502 $2,536,466 $0$54,861 $145,533 $5,496,412

47.2% 3.0% 46.1% 0.0%1.0% 2.6% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2549

Fresenius Medical Care Gurnee101 GreenleafGurneeLake8



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Lake County, LLCLegal Entity Owner:

Property Owner: Greenleaf Center West/ GRG Properties




Medical Director Name: Rakhi Khanna, M.D.






Oct 118

Oct 20

Oct 318

Oct 418

Oct 518

Oct 618

Oct 718

39 0 38 40 47 40 38






Date of Operation

Hours operated


38Total:

51Total:






Full-Time Work Week: 32Registered Nurse : 3Dialysis Technician : 8.5Dietician : 1Social Worker: 1LPN : 1Other Health : 0Other Non-Health: 2








Medicare

73

61.3%

Medicaid

1

Private Insurance

44

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

119

0.8% 37.0% 0.0%0.0% 0.8% 100.0%

Patients

TOTAL 111

330

74

31880

0

010181914

07

201813




119

017383727

11961 58

119

$1,242,244 $74,316 $3,816,722 $0$0 $43,488 $5,176,770

24.0% 1.4% 73.7% 0.0%0.0% 0.8% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2607

Fresenius Medical Care Hazel Crest17524 E Carriage WayHazel CrestCook7



Address:Name:

City:County:




Property Owner: Rockford 550, LLC




Medical Director Name: Vijaykumar Rao, M.D.






Oct 115

Oct 20

Oct 318

Oct 415

Oct 518

Oct 615

Oct 718

37 0 44 39 46 36 47






Date of Operation

Hours operated


38Total:

48Total:














Medicare

80

65.0%

Medicaid

1

Private Insurance

36

Charity Care

0

Private Pay

0

Other Public

6

TOTAL

123

0.8% 29.3% 0.0%0.0% 4.9% 100.0%

Patients

TOTAL 10

1120

10

6117

0

0

012212212

05

131721




123

017343933

12367 56

123

$2,144,485 $81,580 $1,290,148 $0$25,119 $79,192 $3,620,524

59.2% 2.3% 35.6% 0.0%0.7% 2.2% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2782

Fresenius Medical Care Highland Park1657 Old Skokie RoadHighland ParkLake8



Address:Name:

City:County:




Property Owner: Shepard Warrenville, LLC




Medical Director Name: Nancy Nora, M.D.






Oct 112

Oct 20

Oct 317

Oct 412

Oct 517

Oct 612

Oct 717

18 0 39 21 38 21 38






Date of Operation

Hours operated


61Total:

71Total:














Medicare

80

71.4%

Medicaid

0

Private Insurance

32

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

112

0.0% 28.6% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 2091

100

17950

0

06

141733

035

1222




112

09

192955

11270 42

112

$1,425 $0 $1,736 $0$0 $0 $3,161

45.1% 0.0% 54.9% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2547

Fresenius Medical Care Hoffman Estates3150 West Higgins Road, Suite 190Hoffman EstatesCook7



Address:Name:

City:County:




Property Owner: 3100 & 2150 Higgins, LLC


Fresenius Medical Care does not hold long term debt on any Illinois dialysis location balance sheet. Fresenius Medical Care does not, as a for profit corporation, provide charity care under the Board's definition of same; however, it treats all patients regardless of ability to pay and thus does provide uncompensated care. Many of our Medicaid patients have moved to managed care “Medicaid Risk” programs which reimburses at rates more similar to Medicaid and Medicare, however these patients/revenues are accounted for under Private Insurance. Facility runs a 4th shift Monday/Wednesday/Friday with 15 patients.


Medical Director Name: Lo-Ku Chiang, M.D.






Oct 117

Oct 20

Oct 321

Oct 418

Oct 521

Oct 616.5

Oct 721

36 0 62 38 59 37 59






Date of Operation

Hours operated


70Total:

66Total:














Medicare

80

46.5%

Medicaid

3

Private Insurance

78

Charity Care

0

Private Pay

8

Other Public

3

TOTAL

172

1.7% 45.3% 0.0%4.7% 1.7% 100.0%

Patients

TOTAL 140

230

135

45127

0

0

020442411

012182221




172

032624632

17299 73

172

$1,644,733 $48,770 $4,210,372 $0$108,380 $0 $6,012,255

27.4% 0.8% 70.0% 0.0%1.8% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2516

Fresenius Medical Care Jackson Park7531 South Stony IslandChicagoCook6



Address:Name:

City:County:




Property Owner: Jackson Park Hospital




Medical Director Name: Munavvar Izhar, M.D.






Oct 110

Oct 20

Oct 316

Oct 410

Oct 516

Oct 610

Oct 716

42 0 51 41 50 41 51






Date of Operation

Hours operated


62Total:

78Total:






Full-Time Work Week: 32Registered Nurse : 8Dialysis Technician : 13Dietician : 1Social Worker: 1LPN : 1Other Health : 0Other Non-Health: 2.5








Medicare

71

51.8%

Medicaid

4

Private Insurance

59

Charity Care

0

Private Pay

2

Other Public

1

TOTAL

137

2.9% 43.1% 0.0%1.5% 0.7% 100.0%

Patients

TOTAL 00

13302

2133

2

2

01652134

07

171711




137

023693015

13785 52

137

$2,148,595 $99,354 $1,567,820 $0$0 $49,316 $3,865,085

55.6% 2.6% 40.6% 0.0%0.0% 1.3% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2739

Fresenius Medical Care Joliet721 East Jackson StreetJolietWill9



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care of Plainfield, LLCLegal Entity Owner:

Property Owner: MERIDIAN INVESTMENT PARTNERS, LLC




Medical Director Name: Mohammad Shafi, M.D.






Oct 112

Oct 20

Oct 316

Oct 412

Oct 516

Oct 612

Oct 716

27 0 40 27 40 26 38






Date of Operation

Hours operated


61Total:

66Total:














Medicare

70

52.2%

Medicaid

2

Private Insurance

51

Charity Care

0

Private Pay

7

Other Public

4

TOTAL

134

1.5% 38.1% 0.0%5.2% 3.0% 100.0%

Patients

TOTAL 20

500

82

38960

0

014381916

08

111612




134

022493528

13487 47

134

$994,056 $17,425 $1,663,898 $0$17,966 $34,289 $2,727,634

36.4% 0.6% 61.0% 0.0%0.7% 1.3% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2578

Fresenius Medical Care Kewanee230 W. South StreetKewaneeHenry10



Address:Name:

City:County:




Property Owner: PTM Development, LLC Pete Mangeri




Medical Director Name: Sudha Cherukuri, M.D.






Oct 112

Oct 20

Oct 317

Oct 412

Oct 516.5

Oct 612

Oct 717

14 0 189 15 17 15 18






Date of Operation

Hours operated


16Total:

18Total:














Medicare

36

70.6%

Medicaid

0

Private Insurance

11

Charity Care

0

Private Pay

0

Other Public

4

TOTAL

51

0.0% 21.6% 0.0%0.0% 7.8% 100.0%

Patients

TOTAL 0050

46

2490

0

03

1549

01685




51

04

2112145131 20

51

$901,257 $49,148 $215,019 $0$0 $43,155 $1,208,579

74.6% 4.1% 17.8% 0.0%0.0% 3.6% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2798

Fresenius Medical Care Lemont16177 West 127th StreetLemontCook7



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Lemont, LLCLegal Entity Owner:

Property Owner: Meridian Investment Property, LLC


Facility was not in operation in 2015 so there are no revenues reported.


Medical Director Name: Stella Awua-Larbi, M.D.






Oct 10

Oct 20

Oct 36

Oct 40

Oct 56

Oct 60

Oct 76

0 0 3 0 3 0 3






Date of Operation

Hours operated


5Total:

16Total:






Full-Time Work Week: 32Registered Nurse : 1Dialysis Technician : 1.5Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 0Other Non-Health: 1








Medicare

12

75.0%

Medicaid

0

Private Insurance

4

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

16

0.0% 25.0% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0110

14

1150

0

00425

00122




16

00547

1611 5

16

$0 $0 $0 $0$0 $0 $0


12/31/20151/1/2015 to

14-2766

Fresenius Medical Care Logan Square2721 N. SpauldingChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Logan Square, LLCLegal Entity Owner:

Property Owner: VPRE Real Holdings LLC




Medical Director Name: Eduardo Cremer, M.D.






Oct 112

Oct 20

Oct 316

Oct 412

Oct 516

Oct 612

Oct 716

19 0 32 15 32 16 28






Date of Operation

Hours operated


23Total:

34Total:














Medicare

34

46.6%

Medicaid

10

Private Insurance

27

Charity Care

0

Private Pay

1

Other Public

1

TOTAL

73

13.7% 37.0% 0.0%1.4% 1.4% 100.0%

Patients

TOTAL 20

100

61

40330

0

02

22159

04993




73

06

3124127348 25

73

$422,665 $46,487 $699,782 $0$0 $0 $1,168,934

36.2% 4.0% 59.9% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2722

Fresenius Medical Care Lombard1940 Springer DriveLombardDuPage7



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Lombard, LLCLegal Entity Owner:

Property Owner: Golub Realty Services




Medical Director Name: Samir Kumar, M.D.






Oct 115

Oct 20

Oct 312

Oct 415

Oct 512

Oct 615

Oct 712

28 0 22 29 23 26 24






Date of Operation

Hours operated


36Total:

41Total:






Full-Time Work Week: 32Registered Nurse : 3Dialysis Technician : 4.5Dietician : 0.5Social Worker: 0.5LPN : 0.5Other Health : 0Other Non-Health: 1








Medicare

56

64.4%

Medicaid

3

Private Insurance

28

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

87

3.4% 32.2% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 80

101

68

8790

0

02

261519

0256

12




87

04

3121318762 25

87

$1,710,410 $0 $1,666,178 $0$20,537 $0 $3,397,125

50.3% 0.0% 49.0% 0.0%0.6% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2591

Fresenius Medical Care Macomb523 East Grant StreetMacombMcDonough2



Address:Name:

City:County:




Property Owner: McDonough District Hospital




Medical Director Name: Sudha Cherukuri, M.D.






Oct 111

Oct 20

Oct 313

Oct 412

Oct 511

Oct 611

Oct 712

7 0 10 7 9 7 10






Date of Operation

Hours operated


17Total:

15Total:














Medicare

23

71.9%

Medicaid

2

Private Insurance

5

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

32

6.3% 15.6% 0.0%0.0% 6.3% 100.0%

Patients

TOTAL 0050

27

0320

0

00982

01534




32

01

1411

63219 13

32

$665,527 $0 $445,020 $0$0 $121,755 $1,232,302

54.0% 0.0% 36.1% 0.0%0.0% 9.9% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2790

Fresenius Medical Care Maple City1225 North Main StreetMonmouthWarren2



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Monmouth, LLCLegal Entity Owner:

Property Owner: Rockwell Debt Free Properties


The facility was not in operation in 2015 so no Revenues are reported.


Medical Director Name: Parthasarathy Srinivasan, M.D.






Oct 10

Oct 20

Oct 314

Oct 40

Oct 514

Oct 60

Oct 714

0 0 13 0 13 0 13






Date of Operation

Hours operated


9Total:

12Total:














Medicare

8

47.1%

Medicaid

0

Private Insurance

4

Charity Care

0

Private Pay

0

Other Public

5

TOTAL

17

0.0% 23.5% 0.0%0.0% 29.4% 100.0%

Patients

TOTAL 0020

15

1160

0

00332

00144




17

00476

178 9

17

$0 $0 $0 $0$0 $0 $0


12/31/20151/1/2015 to

14-2566

Fresenius Medical Care Marquette Park6536 S. WesternChicagoCook6



Address:Name:

City:County:




Property Owner: Capri Development 6517, LLC




Medical Director Name: Satya Ahuja, M.D.






Oct 118

Oct 20

Oct 318

Oct 418

Oct 518

Oct 618

Oct 718

39 0 41 39 42 39 39






Date of Operation

Hours operated


30Total:

61Total:














Medicare

41

41.8%

Medicaid

3

Private Insurance

52

Charity Care

0

Private Pay

1

Other Public

1

TOTAL

98

3.1% 53.1% 0.0%1.0% 1.0% 100.0%

Patients

TOTAL 01

680

29

30680

0

01029169

09

1447




98

0194320169864 34

98

$1,556,786 $117,924 $1,825,264 $0$45,845 $104,761 $3,650,580

42.6% 3.2% 50.0% 0.0%1.3% 2.9% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2563

Fresenius Medical Care McLean County1505 Eastland Medical PlazaBloomingtonMcLean4



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Normal, LLCLegal Entity Owner:

Property Owner: OSF St. Joseph Medical Center




Medical Director Name: Robert Bruha, M.D.






Oct 112

Oct 20

Oct 316

Oct 412

Oct 516

Oct 612

Oct 716

29 0 40 27 40 32 41






Date of Operation

Hours operated


58Total:

84Total:














Medicare

88

61.1%

Medicaid

5

Private Insurance

49

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

144

3.5% 34.0% 0.0%0.0% 1.4% 100.0%

Patients

TOTAL 21

550

86

12132

0

0

09

20149

011322029




144

020523438

14452 92

144

$1,887,022 $72,734 $2,424,721 $0$0 $0 $4,384,477

43.0% 1.7% 55.3% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2554

Fresenius Medical Care Melrose Park1111 Superior Street, Ste 204Melrose ParkCook7



Address:Name:

City:County:




Property Owner: Resurrection Services




Medical Director Name: Constantine Delis, M.D.






Oct 113

Oct 20

Oct 316

Oct 413

Oct 516

Oct 612.75

Oct 716

32 0 39 33 38 32 40






Date of Operation

Hours operated


37Total:

40Total:






Full-Time Work Week: 32Registered Nurse : 3Dialysis Technician : 7.5Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 0Other Non-Health: 1.5








Medicare

58

53.2%

Medicaid

3

Private Insurance

47

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

109

2.8% 43.1% 0.0%0.9% 0.0% 100.0%

Patients

TOTAL 00

480

61

29800

0

09

281412

08

168

14




109

017442226

10963 46

109

$867,931 $17,644 $2,213,412 $0$0 $0 $3,098,987

28.0% 0.6% 71.4% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2667

Fresenius Medical Care Merrionette Park11650 S. Kedzie AvenueMerrionette ParkCook7



Address:Name:

City:County:



Legal Entity Operator: Renal Care Group Chicago Southside, LLCLegal Entity Owner:

Property Owner: RSA Companies




Medical Director Name: Ejikeme Obasi, M.D.






Oct 116

Oct 20

Oct 316

Oct 416

Oct 516

Oct 616

Oct 716

56 0 65 56 60 58 67






Date of Operation

Hours operated


68Total:

62Total:














Medicare

100

61.3%

Medicaid

3

Private Insurance

59

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

163

1.8% 36.2% 0.0%0.0% 0.6% 100.0%

Patients

TOTAL 20

1280

22

11152

0

11

05

373019

06

232518




163

011605537

16391 72

163

$3,114,925 $81,580 $5,017,728 $0$0 $0 $8,214,233

37.9% 1.0% 61.1% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2713

Fresenius Medical Care Midway6201 West 63rd StreetChicagoCook6



Address:Name:

City:County:




Property Owner: AR Capital, LLC




Medical Director Name: Edgar Lerma, M.D.






Oct 117

Oct 20

Oct 317

Oct 417

Oct 517

Oct 617

Oct 717

27 0 35 29 34 32 33






Date of Operation

Hours operated


33Total:

30Total:














Medicare

57

60.6%

Medicaid

1

Private Insurance

36

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

94

1.1% 38.3% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

120

82

39550

0

07

271215

02

1489




94

09

4120249461 33

94

$1,332,528 $46,985 $2,597,555 $0$0 $49,533 $4,026,601

33.1% 1.2% 64.5% 0.0%0.0% 1.2% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2526

Fresenius Medical Care Moline400 John Deere RoadMolineRock Island10



Address:Name:

City:County:






Fresenius Medical Care acquired the Quad Cities Aledo, Geneseo, Moline, Rock Island, Rock River – Dixon, and Silvis facilities as of May 1, 2016. Compiled 2016 financial information prior to May 1 was provided by Quad Cities and was combined with compiled 2016 financial information from Fresenius Medical Care to complete the survey. Fresenius Medical Care does not hold long term debt on any Illinois dialysis location balance sheet. Fresenius Medical Care does not, as a for profit corporation, provide charity care under the Board's definition of same; however, it treats all patients regardless of ability to pay and thus does provide uncompensated care. Many of our Medicaid patients have moved to managed care “Medicaid Risk” programs which reimburses at rates more similar to Medicaid and Medicare, however these patients/revenues are accounted for under Private Insurance.


Medical Director Name: Rajesh Alla, M.D.






Oct 113

Oct 20

Oct 314

Oct 414

Oct 513.5

Oct 613.5

Oct 713

32 0 75 31 74 34 69






Date of Operation

Hours operated


97Total:

85Total:














Medicare

145

71.1%

Medicaid

4

Private Insurance

43

Charity Care

0

Private Pay

1

Other Public

11

TOTAL

204

2.0% 21.1% 0.0%0.5% 5.4% 100.0%

Patients

TOTAL 30

400

161

16188

0

0

013402934

012261733




204

025664667

204116 88

204

$4,142,583 $105,592 $3,398,695 $0$280,550 $346,523 $8,273,943

50.1% 1.3% 41.1% 0.0%3.4% 4.2% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2731

Fresenius Medical Care Mundelein1400 Townline RoadMundeleinLake8



Address:Name:

City:County:




Property Owner: Jaffe & Berlin, LLC




Medical Director Name: Shalini Patel, M.D.






Oct 112

Oct 20

Oct 316

Oct 412

Oct 516

Oct 612

Oct 716

19 0 36 18 38 19 38






Date of Operation

Hours operated


52Total:

44Total:














Medicare

59

64.1%

Medicaid

2

Private Insurance

29

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

92

2.2% 31.5% 0.0%0.0% 2.2% 100.0%

Patients

TOTAL 32

140

73

19730

0

05

161622

02

116

14




92

07

2722369259 33

92

$954,260 $0 $1,584,191 $0$0 $0 $2,538,451

37.6% 0.0% 62.4% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2765

Fresenius Medical Care Naperbrook2451 S. Washington St.NapervilleDuPage7



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Naperbrook, LLCLegal Entity Owner:

Property Owner: BRUSHY CREEK DIALYSIS LLC




Medical Director Name: David Schlieben, M.D.






Oct 118

Oct 20

Oct 318

Oct 418

Oct 518

Oct 618

Oct 718

39 0 46 40 40 41 42






Date of Operation

Hours operated


55Total:

61Total:






Full-Time Work Week: 32Registered Nurse : 6Dialysis Technician : 10.5Dietician : 1Social Worker: 1LPN : 0Other Health : 0Other Non-Health: 1.5








Medicare

98

73.7%

Medicaid

0

Private Insurance

35

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

133

0.0% 26.3% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 200

330

80

9124

0

0

09

342117

05

181316




133

014523433

13381 52

133

$1,895,178 $7,176 $1,546,722 $0$0 $5,043 $3,454,119

54.9% 0.2% 44.8% 0.0%0.0% 0.1% 100.0%Net Revenue

12/31/20151/1/2015 to

14-9999

Fresenius Medical Care New City4616 South Bishop StreetChicagoCook6



Address:Name:

City:County:




Property Owner: 4622 S. Bishop, LLC


The facility was not open in 2015 so there are no revenues reported. Fresenius Medical Care does not hold long term debt on any Illinois dialysis location balance sheet. Fresenius Medical Care does not, as a for profit corporation, provide charity care under the Board's definition of same; however, it treats all patients regardless of ability to pay and thus does provide uncompensated care. Many of our Medicaid patients have moved to managed care “Medicaid Risk” programs which reimburses at rates more similar to Medicaid and Medicare, however these patients/revenues are accounted for under Private Insurance.


Medical Director Name: Nic Hristea, M.D.






Oct 10

Oct 20

Oct 30

Oct 40

Oct 50

Oct 60

Oct 70

0 0 0 0 0 0 0






Date of Operation

Hours operated


0Total:

2Total:














Medicare

2

100.0%

Medicaid

0

Private Insurance

0

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

2

0.0% 0.0% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00200

020

0

00100

00100




2

0020021 1

2

$0 $0 $0 $0$0 $0 $0


12/31/20151/1/2015 to

14-2559

Fresenius Medical Care Niles9371 N. Milwaukee AveNilesCook7



Address:Name:

City:County:




Property Owner: Milbrook Associates LLC




Medical Director Name: Harold Bregman, M.D.






Oct 112

Oct 20

Oct 318

Oct 412

Oct 518

Oct 612

Oct 718

36 0 68 35 68 36 68






Date of Operation

Hours operated


54Total:

54Total:














Medicare

99

64.3%

Medicaid

3

Private Insurance

49

Charity Care

0

Private Pay

3

Other Public

0

TOTAL

154

1.9% 31.8% 0.0%1.9% 0.0% 100.0%

Patients

TOTAL 39050

110

21133

0

0

012282435

07

131223




154

019413658

15499 55

154

$3,087,496 $120,397 $3,471,978 $0$61,872 $0 $6,741,743

45.8% 1.8% 51.5% 0.0%0.9% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2778

Fresenius Medical Care Normal1531 E. College Ave.NormalMcLean4



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Normal, LLCLegal Entity Owner:

Property Owner: 1531 E. College, LLC. c/o Pier & Associates




Medical Director Name: Kumarpal Shrishrimal, M.D.






Oct 112

Oct 20

Oct 312

Oct 412

Oct 512

Oct 612

Oct 712

20 0 20 21 22 21 21






Date of Operation

Hours operated


53Total:

55Total:














Medicare

72

73.5%

Medicaid

2

Private Insurance

22

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

98

2.0% 22.4% 0.0%2.0% 0.0% 100.0%

Patients

TOTAL 20

340

62

4940

0

05

18214

06

141416




98

0113235209848 50

98

$193,654 $11,924 $253,865 $0$12,285 $0 $471,728

41.1% 2.5% 53.8% 0.0%2.6% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2521

Fresenius Medical Care Norridge4701 North CumberlandNorridgeCook7



Address:Name:

City:County:




Property Owner: Cumberland Mall, G.P.




Medical Director Name: Chirag Patel, M.D.






Oct 111

Oct 20

Oct 316

Oct 411

Oct 516

Oct 611

Oct 716

29 0 44 28 43 29 42






Date of Operation

Hours operated


44Total:

47Total:














Medicare

81

66.9%

Medicaid

2

Private Insurance

38

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

121

1.7% 31.4% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 5020

114

15106

0

0

05

231926

02

151516




121

07

383442

12173 48

121

$1,770,969 $0 $1,360,694 $0$15,258 $0 $3,146,921

56.3% 0.0% 43.2% 0.0%0.5% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2602

Fresenius Medical Care North Avenue911 W. North AvenueMelrose ParkCook7



Address:Name:

City:County:




Property Owner: Gottlieb Memorial Hospital




Medical Director Name: Martin Finn, M.D.






Oct 117

Oct 20

Oct 317

Oct 417

Oct 517

Oct 617

Oct 717

56 0 57 54 57 52 56






Date of Operation

Hours operated


44Total:

48Total:














Medicare

100

62.5%

Medicaid

1

Private Insurance

54

Charity Care

0

Private Pay

5

Other Public

0

TOTAL

160

0.6% 33.8% 0.0%3.1% 0.0% 100.0%

Patients

TOTAL 200

660

74

70900

0

016283211

015231718




160

031514929

16087 73

160

$3,314,936 $26,100 $3,279,492 $0$69,788 $0 $6,690,316

49.5% 0.4% 49.0% 0.0%1.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2501

Fresenius Medical Care North Kilpatrick4800 North KilpatrickChicagoCook6



Address:Name:

City:County:




Property Owner: Kilpatrick 1.0, LLC




Medical Director Name: Madhav Rao, M.D.






Oct 118

Oct 20

Oct 317

Oct 417

Oct 517

Oct 617

Oct 717

71 0 64 74 65 69 65






Date of Operation

Hours operated


54Total:

53Total:














Medicare

88

45.8%

Medicaid

7

Private Insurance

89

Charity Care

0

Private Pay

7

Other Public

1

TOTAL

192

3.6% 46.4% 0.0%3.6% 0.5% 100.0%

Patients

TOTAL 260

240

142

99930

0

014413224

010252323




192

024665547

192111 81

192

$2,852,103 $187,672 $5,715,341 $0$117,740 $110,028 $8,982,884

31.8% 2.1% 63.6% 0.0%1.3% 1.2% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2531

Fresenius Medical Care Northcenter2620 West Addison StreetChicagoCook6



Address:Name:

City:County:




Property Owner: Bryton Properties LLC




Medical Director Name: Mark Leischner, M.D.






Oct 116

Oct 20

Oct 316

Oct 416

Oct 516

Oct 616

Oct 716

27 0 33 30 30 32 30






Date of Operation

Hours operated


40Total:

41Total:














Medicare

56

53.8%

Medicaid

4

Private Insurance

42

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

104

3.8% 40.4% 0.0%1.9% 0.0% 100.0%

Patients

TOTAL 60

160

82

40640

0

09

231611

06

17175




104

015403316

10459 45

104

$1,271,051 $48,007 $2,457,459 $0$101,190 $0 $3,877,707

32.8% 1.2% 63.4% 0.0%2.6% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2771

Fresenius Medical Care Northfield480 Central Ave.NorthfieldCook7



Address:Name:

City:County:




Property Owner: Richard N. Abrams




Medical Director Name: Sandeep Mehta, M.D.






Oct 10

Oct 20

Oct 38

Oct 40

Oct 58

Oct 60

Oct 78

0 0 4 0 3 0 4






Date of Operation

Hours operated


14Total:

9Total:














Medicare

15

100.0%

Medicaid

0

Private Insurance

0

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

15

0.0% 0.0% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 2020

11

2130

0

01233

01023




15

02256

159 6

15

$112,511 $0 $92,852 $0$0 $69,633 $274,996

40.9% 0.0% 33.8% 0.0%0.0% 25.3% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2597

Fresenius Medical Care Northwestern710 North Fairbanks, Suite 4-200ChicagoCook6



Address:Name:

City:County:




Property Owner: Real Estate Strategy




Medical Director Name: Jennifer Tuazon, M.D.






Oct 117.75

Oct 20

Oct 317.75

Oct 417.75

Oct 517.75

Oct 617.75

Oct 717.75

68 0 78 68 78 68 78






Date of Operation

Hours operated


123Total:

160Total:














Medicare

193

73.4%

Medicaid

2

Private Insurance

65

Charity Care

0

Private Pay

1

Other Public

2

TOTAL

263

0.8% 24.7% 0.0%0.4% 0.8% 100.0%

Patients

TOTAL 150

1440

104

36227

0

0

027663520

018382930




263

045

1046450

263148 115

263

$4,102,213 $138,250 $3,790,834 $0$38,576 $53,610 $8,123,483

50.5% 1.7% 46.7% 0.0%0.5% 0.7% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2764

Fresenius Medical Care Oak Forest5340A West 159th StreetOak ForestCook7



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Oak Forest, LLCLegal Entity Owner:

Property Owner: RJE Investments




Medical Director Name: Jeannette McLaughlin, M.D.






Oct 112

Oct 20

Oct 317

Oct 412

Oct 517

Oct 612

Oct 717

22 0 27 22 27 22 27






Date of Operation

Hours operated


14Total:

30Total:














Medicare

59

72.8%

Medicaid

0

Private Insurance

22

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

81

0.0% 27.2% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 10

360

42

8721

2

01015164

066

159




81

0162131138145 36

81

$462,253 $0 $529,493 $0$28,872 $0 $1,020,618

45.3% 0.0% 51.9% 0.0%2.8% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2504

Fresenius Medical Care Oak Park733 Madison StreetOak ParkCook7



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care River Forest, LLCLegal Entity Owner:

Property Owner: Three M & L Partnership




Medical Director Name: Paul Balter, M.D.






Oct 116

Oct 20

Oct 316

Oct 416

Oct 516

Oct 616

Oct 716

31 0 32 32 31 33 34






Date of Operation

Hours operated


28Total:

31Total:














Medicare

62

64.6%

Medicaid

1

Private Insurance

33

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

96

1.0% 34.4% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 03

750

18

4920

0

09

201013

06

14159




96

0153425229652 44

96

$1,404,327 $27,001 $1,842,622 $0$0 $0 $3,273,950

42.9% 0.8% 56.3% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2673

Fresenius Medical Care of Antioch311 Depot St., Ste. HAntiochLake8



Address:Name:

City:County:




Property Owner: Depot St. Station Development LLC




Medical Director Name: Omaima Degani, M.D.






Oct 112

Oct 20

Oct 314

Oct 412

Oct 514

Oct 612

Oct 714

11 0 23 11 21 14 21






Date of Operation

Hours operated


35Total:

8Total:














Medicare

40

61.5%

Medicaid

2

Private Insurance

21

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

65

3.1% 32.3% 0.0%0.0% 3.1% 100.0%

Patients

TOTAL 10

130

51

7580

0

05

1855

04

1495




65

09

3214106533 32

65

$1,263,352 $0 $1,620,147 $0$0 $65,378 $2,948,877

42.8% 0.0% 54.9% 0.0%0.0% 2.2% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2710

Fresenius Medical Care of Deerfield405 Lake Cook RoadDeerfieldCook7



Address:Name:

City:County:




Property Owner: Lake Cook Plaza, LLC




Medical Director Name: Shalini Patel, M.D.






Oct 10

Oct 20

Oct 316

Oct 40

Oct 516

Oct 60

Oct 716

0 0 26 0 23 0 25






Date of Operation

Hours operated


21Total:

22Total:














Medicare

31

70.5%

Medicaid

0

Private Insurance

13

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

44

0.0% 29.5% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 2040

38

5390

0

0179

13

01634




44

02

1312174430 14

44

$1,257,590 $0 $929,468 $0$0 $0 $2,187,058

57.5% 0.0% 42.5% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2669

Fresenius Medical Care of Lake Bluff101 Waukegan Rd., Ste. 700Lake BluffLake8



Address:Name:

City:County:




Property Owner: Franklin Partners




Medical Director Name: Joshua Trob, M.D.






Oct 114

Oct 20

Oct 318

Oct 414

Oct 518

Oct 613.75

Oct 718

26 0 42 28 40 24 38






Date of Operation

Hours operated


42Total:

42Total:














Medicare

64

59.8%

Medicaid

2

Private Insurance

35

Charity Care

0

Private Pay

0

Other Public

6

TOTAL

107

1.9% 32.7% 0.0%0.0% 5.6% 100.0%

Patients

TOTAL 10

335

67

27800

1

012261510

07

149

14




107

019402424

10763 44

107

$2,101,802 $65,667 $1,871,641 $0$0 $210,062 $4,249,172

49.5% 1.5% 44.0% 0.0%0.0% 4.9% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2679

Fresenius Medical Care of Lakeview4008 N. Broadway, St. 1200ChicagoCook6



Address:Name:

City:County:




Property Owner: Thorek Hospital




Medical Director Name: Haresh Muni, M.D.






Oct 111

Oct 20

Oct 316

Oct 411

Oct 516

Oct 611

Oct 716

22 0 31 20 32 20 30






Date of Operation

Hours operated


28Total:

38Total:














Medicare

53

66.3%

Medicaid

4

Private Insurance

19

Charity Care

0

Private Pay

1

Other Public

3

TOTAL

80

5.0% 23.8% 0.0%1.3% 3.8% 100.0%

Patients

TOTAL 80

360

30

16640

6

06

23166

03

11105




80

09

3426118051 29

80

$1,189,192 $24,151 $1,366,914 $0$0 $53,374 $2,633,631

45.2% 0.9% 51.9% 0.0%0.0% 2.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2672

Fresenius Medical Care of McHenry4312 W. Elm St.McHenryMcHenry8



Address:Name:

City:County:




Property Owner: Bob Dellutri/Heidner Properites, Inc




Medical Director Name: Karol Rosner, M.D.






Oct 112

Oct 20

Oct 312

Oct 412

Oct 512

Oct 612

Oct 712

17 0 19 15 19 14 19






Date of Operation

Hours operated


33Total:

26Total:














Medicare

44

71.0%

Medicaid

0

Private Insurance

15

Charity Care

0

Private Pay

0

Other Public

3

TOTAL

62

0.0% 24.2% 0.0%0.0% 4.8% 100.0%

Patients

TOTAL 0020

60

8540

0

04

11157

03985




62

07

2023126237 25

62

$1,616,118 $107,432 $1,714,480 $0$52,134 $46,795 $3,536,959

45.7% 3.0% 48.5% 0.0%1.5% 1.3% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2705

Fresenius Medical Care of Metropolis20 Hospital DrMetropolisMassac5



Address:Name:

City:County:



Legal Entity Operator: Metropolis Dialysis Services, LLCLegal Entity Owner:

Property Owner: Massac Memorial Hospital




Medical Director Name: Jonathan Wilkerson, M.D.






Oct 110

Oct 20

Oct 311

Oct 410

Oct 511

Oct 610

Oct 711

10 0 16 9 15 9 15






Date of Operation

Hours operated


19Total:

22Total:






Full-Time Work Week: 32Registered Nurse : 2Dialysis Technician : 2Dietician : 0.5Social Worker: 0.5LPN : 0.5Other Health : 0Other Non-Health: 1








Medicare

28

66.7%

Medicaid

4

Private Insurance

6

Charity Care

0

Private Pay

0

Other Public

4

TOTAL

42

9.5% 14.3% 0.0%0.0% 9.5% 100.0%

Patients

TOTAL 00

120

30

0420

0

06

1266

01443




42

07

1610

94230 12

42

$351,363 $41,507 $563,659 $0$0 $45,236 $1,001,765

35.1% 4.1% 56.3% 0.0%0.0% 4.5% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2689

Fresenius Medical Care of Mokena8910 West 192nd StreetMokenaWill9



Address:Name:

City:County:




Property Owner: Value Industrial


Facility runs a 4th shift on M/W/F that consists of 5 Nocturnal dialysis patients. Fresenius Medical Care does not hold long term debt on any Illinois dialysis location balance sheet. Fresenius Medical Care does not, as a for profit corporation, provide charity care under the Board's definition of same; however, it treats all patients regardless of ability to pay and thus does provide uncompensated care. Many of our Medicaid patients have moved to managed care “Medicaid Risk” programs which reimburses at rates more similar to Medicaid and Medicare, however these patients/revenues are accounted for under Private Insurance.


Medical Director Name: Abraham Thomas, M.D.






Oct 113

Oct 20

Oct 322

Oct 413

Oct 522

Oct 613

Oct 722

17 0 37 15 38 16 36






Date of Operation

Hours operated


45Total:

51Total:














Medicare

69

68.3%

Medicaid

0

Private Insurance

25

Charity Care

0

Private Pay

5

Other Public

2

TOTAL

101

0.0% 24.8% 0.0%5.0% 2.0% 100.0%

Patients

TOTAL 20

220

77

8930

0

08

201517

02

131511




101

010333028

10160 41

101

$1,241,433 $0 $1,579,635 $0$0 $45,722 $2,866,790

43.3% 0.0% 55.1% 0.0%0.0% 1.6% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2678

Fresenius Medical Care of Naperville North514 West 5th AvenueNapervilleDuPage7



Address:Name:

City:County:




Property Owner: Mustang Construction, Inc.




Medical Director Name: Kevin Pandya, M.D.






Oct 113

Oct 20

Oct 317

Oct 413

Oct 517.5

Oct 613.5

Oct 718

29 0 46 26 44 26 44






Date of Operation

Hours operated


73Total:

65Total:






Full-Time Work Week: 32Registered Nurse : 4.5Dialysis Technician : 7Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 0Other Non-Health: 1.5








Medicare

94

69.1%

Medicaid

2

Private Insurance

34

Charity Care

0

Private Pay

6

Other Public

0

TOTAL

136

1.5% 25.0% 0.0%4.4% 0.0% 100.0%

Patients

TOTAL 210

390

76

13123

0

0

013221722

05

171525




136

018393247

13674 62

136

$1,750,509 $0 $2,113,924 $0$23,450 $39,659 $3,927,542

44.6% 0.0% 53.8% 0.0%0.6% 1.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2677

Fresenius Medical Care of Oswego1051 Station DriveOswegoKendall9



Address:Name:

City:County:




Property Owner: Oswego Junction, LLC




Medical Director Name: Atif Fakhruddin, M.D.






Oct 118

Oct 20

Oct 318

Oct 418

Oct 518

Oct 618

Oct 718

30 0 31 30 32 30 33






Date of Operation

Hours operated


53Total:

56Total:














Medicare

80

68.4%

Medicaid

3

Private Insurance

32

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

117

2.6% 27.4% 0.0%0.0% 1.7% 100.0%

Patients

TOTAL 70

180

92

14103

0

0

012211310

012161815




117

024373125

11756 61

117

$1,067,470 $40,549 $1,488,905 $0$6,581 $35,082 $2,638,587

40.5% 1.5% 56.4% 0.0%0.2% 1.3% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2707

Fresenius Medical Care of Plainfield2320 Michas DrivePlainfieldWill9



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care of Plainfield, LLCLegal Entity Owner:

Property Owner: ZENITH HOLDINGS, LIMITED




Medical Director Name: Morufu Alausa, M.D.






Oct 117

Oct 20

Oct 317

Oct 417

Oct 517

Oct 617

Oct 717

36 0 38 35 39 36 36






Date of Operation

Hours operated


68Total:

58Total:














Medicare

86

64.2%

Medicaid

2

Private Insurance

44

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

134

1.5% 32.8% 0.0%0.0% 1.5% 100.0%

Patients

TOTAL 20

322

98

22112

0

0

03

502212

04

161611




134

07

663823

13487 47

134

$1,904,651 $47,533 $2,679,645 $0$0 $0 $4,631,829

41.1% 1.0% 57.9% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2690

Fresenius Medical Care of Roseland136 West 111th StreetChicagoCook6



Address:Name:

City:County:




Property Owner: Roseland Medical Center




Medical Director Name: Nimeet Brahmbhatt, M.D.






Oct 117

Oct 20

Oct 317

Oct 417

Oct 517

Oct 617

Oct 717

26 0 31 30 32 33 32






Date of Operation

Hours operated


34Total:

39Total:














Medicare

58

54.2%

Medicaid

2

Private Insurance

47

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

107

1.9% 43.9% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

10601

0107

0

0

0192797

03

228

12




107

022491719

10762 45

107

$1,068,072 $80,605 $1,588,292 $0$0 $148,947 $2,885,916

37.0% 2.8% 55.0% 0.0%0.0% 5.2% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2700

Fresenius Medical Care of Sandwich1310 North Main StreetSandwichDeKalb1



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Sandwich, LLCLegal Entity Owner:

Property Owner: Sandwich Development Partners




Medical Director Name: Atif Fakhruddin, M.D.






Oct 112

Oct 20

Oct 312

Oct 412

Oct 512

Oct 612

Oct 712

15 0 17 18 16 18 18






Date of Operation

Hours operated


28Total:

35Total:






Full-Time Work Week: 32Registered Nurse : 3Dialysis Technician : 4Dietician : 0.5Social Worker: 0.5LPN : 0.5Other Health : 0Other Non-Health: 1








Medicare

44

68.8%

Medicaid

2

Private Insurance

16

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

64

3.1% 25.0% 0.0%3.1% 0.0% 100.0%

Patients

TOTAL 10

100

52

9541

1

03

1887

03

1357




64

06

3113146436 28

64

$777,346 $25,936 $840,042 $0$0 $0 $1,643,324

47.3% 1.6% 51.1% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2695

Fresenius Medical Care of Streator2356 North Bloomington StreetStreatorLaSalle2



Address:Name:

City:County:




Property Owner: Sandor Development Co.




Medical Director Name: David Rosborough, M.D.






Oct 17

Oct 20

Oct 310

Oct 47

Oct 510

Oct 67

Oct 710

7 0 15 7 16 6 16






Date of Operation

Hours operated


21Total:

25Total:






Full-Time Work Week: 32Registered Nurse : 2.5Dialysis Technician : 2.5Dietician : 0.5Social Worker: 1LPN : 0Other Health : 0Other Non-Health: 1








Medicare

35

87.5%

Medicaid

0

Private Insurance

3

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

40

0.0% 7.5% 0.0%0.0% 5.0% 100.0%

Patients

TOTAL 0040

36

2380

0

01

1276

01526




40

02

179

124026 14

40

$482,550 $18,210 $399,143 $0$0 $0 $899,903

53.6% 2.0% 44.4% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2692

Fresenius Medical Care of Uptown47000 North Marine Drive, Ste 200ChicagoCook6



Address:Name:

City:County:

Medicare ID:HSA: Other Ownership: Renal Care Group Chicago Uptown, LLC


Legal Entity Operator: Renal Care Group Chicago Uptown, LLCLegal Entity Owner:

Property Owner: Wellness Associates LLC




Medical Director Name: Neil Soifer, M.D.






Oct 117

Oct 20

Oct 317

Oct 417

Oct 517

Oct 617

Oct 717

34 0 35 34 35 32 36






Date of Operation

Hours operated


23Total:

16Total:














Medicare

58

69.0%

Medicaid

0

Private Insurance

24

Charity Care

0

Private Pay

1

Other Public

1

TOTAL

84

0.0% 28.6% 0.0%1.2% 1.2% 100.0%

Patients

TOTAL 70

371311

135813

16

07

176

13

05

151110




84

0123217238443 41

84

$1,859,938 $210,711 $1,719,329 $0$0 $6,317 $3,796,295

49.0% 5.6% 45.3% 0.0%0.0% 0.2% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2702

Fresenius Medical Care of West Chicago1859 North Neltnor BoulevardWest ChicagoDuPage7



Address:Name:

City:County:




Property Owner: West Chicago Management LLC




Medical Director Name: Jeffrey Kropp, M.D.






Oct 112

Oct 20

Oct 318

Oct 412

Oct 517.75

Oct 612.25

Oct 718

20 0 34 18 32 17 32






Date of Operation

Hours operated


34Total:

46Total:














Medicare

59

72.0%

Medicaid

0

Private Insurance

20

Charity Care

0

Private Pay

0

Other Public

3

TOTAL

82

0.0% 24.4% 0.0%0.0% 3.7% 100.0%

Patients

TOTAL 12070

63

12700

0

05

161316

0397

13




82

08

2520298250 32

82

$1,063,529 $22,923 $525,913 $0$40,182 $0 $1,652,547

64.4% 1.4% 31.8% 0.0%2.4% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2550

Fresenius Medical Care Orland Park9160 W. 159th St.Orland ParkCook7



Address:Name:

City:County:




Property Owner: MGT/Marketing Services




Medical Director Name: Lourdes Terrado, M.D.






Oct 117.5

Oct 20

Oct 317.5

Oct 417.5

Oct 517.5

Oct 617.5

Oct 717.5

35 0 40 32 37 37 37






Date of Operation

Hours operated


40Total:

34Total:














Medicare

81

76.4%

Medicaid

1

Private Insurance

22

Charity Care

0

Private Pay

1

Other Public

1

TOTAL

106

0.9% 20.8% 0.0%0.9% 0.9% 100.0%

Patients

TOTAL 60

120

88

4102

0

0

07

162120

05

111313




106

012273433

10664 42

106

$2,711,839 $0 $3,036,989 $0$42,161 $0 $5,790,989

46.8% 0.0% 52.4% 0.0%0.7% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2576

Fresenius Medical Care Ottawa1601 Mercury Circle Drive, Ste 3OttawaLaSalle2



Address:Name:

City:County:




Property Owner: OSF Healthcare System




Medical Director Name: Amit Jamnadas, M.D.






Oct 112

Oct 20

Oct 316

Oct 412

Oct 516

Oct 612

Oct 716

23 0 28 19 29 20 28






Date of Operation

Hours operated


49Total:

49Total:














Medicare

72

73.5%

Medicaid

9

Private Insurance

17

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

98

9.2% 17.3% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0000

76

22760

22

08

281211

07

101111




98

0153823229859 39

98

$590,969 $67,256 $846,821 $0$0 $95,907 $1,600,953

36.9% 4.2% 52.9% 0.0%0.0% 6.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2723

Fresenius Medical Care Palatine691 E. Dundee RoadPalatineCook7



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Palatine, LLCLegal Entity Owner:

Property Owner: Ramco Gershenson, Inc.




Medical Director Name: Manish Tanna, M.D.






Oct 117

Oct 20

Oct 318

Oct 417

Oct 517.5

Oct 617

Oct 718

32 0 38 35 39 37 38






Date of Operation

Hours operated


37Total:

50Total:














Medicare

66

58.4%

Medicaid

8

Private Insurance

39

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

113

7.1% 34.5% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 120

110

90

16970

0

08

232015

02

131319




113

010363334

11366 47

113

$1,424,861 $43,831 $3,271,150 $0$69,930 $13,054 $4,822,826

29.5% 0.9% 67.8% 0.0%1.4% 0.3% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2571

Fresenius Medical Care Pekin3521 Veterans DrivePekinTazewell2



Address:Name:

City:County:




Property Owner: East Court Shopping Center, LP




Medical Director Name: Gordon James, M.D.






Oct 115

Oct 20

Oct 317

Oct 415

Oct 517.5

Oct 613

Oct 718

16 0 24 15 22 13 24






Date of Operation

Hours operated


22Total:

31Total:














Medicare

41

62.1%

Medicaid

0

Private Insurance

20

Charity Care

0

Private Pay

2

Other Public

3

TOTAL

66

0.0% 30.3% 0.0%3.0% 4.5% 100.0%

Patients

TOTAL 1010

64

0660

0

04

167

11

0574

12




66

09

2311236638 28

66

$740,972 $0 $1,109,278 $0$0 $79,203 $1,929,453

38.4% 0.0% 57.5% 0.0%0.0% 4.1% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2574

Fresenius Medical Care Peoria Downtown410 W Romeo B. Garrett Ave.PeoriaPeoria2



Address:Name:

City:County:




Property Owner: PNLC, LLC




Medical Director Name: Tim Pflederer, M.D.






Oct 115

Oct 20

Oct 318

Oct 415

Oct 518

Oct 615

Oct 718

52 0 60 50 53 55 61






Date of Operation

Hours operated


78Total:

75Total:














Medicare

127

60.8%

Medicaid

5

Private Insurance

72

Charity Care

0

Private Pay

2

Other Public

3

TOTAL

209

2.4% 34.4% 0.0%1.0% 1.4% 100.0%

Patients

TOTAL 11

1230

84

5204

0

0

018442114

013482625




209

031924739

20997 112

209

$2,468,612 $12,753 $3,073,789 $0$0 $100,707 $5,655,861

43.6% 0.2% 54.3% 0.0%0.0% 1.8% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2613

Fresenius Medical Care Peoria North10405 N. Juliet CourtPeoriaPeoria2



Address:Name:

City:County:




Property Owner: K&S Coleman Revocable Trust




Medical Director Name: Samer Sader, M.D.






Oct 112

Oct 20

Oct 313

Oct 412

Oct 516

Oct 612

Oct 716

32 0 48 36 45 35 47






Date of Operation

Hours operated


54Total:

61Total:














Medicare

86

61.4%

Medicaid

2

Private Insurance

52

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

140

1.4% 37.1% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 10

420

97

3137

0

0

08

361418

05

231323




140

013592741

14076 64

140

$2,005,293 $0 $3,077,088 $0$32,276 $0 $5,114,657

39.2% 0.0% 60.2% 0.0%0.6% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2596

Fresenius Medical Care Plainfield North24024 W. Riverwalk CourtPlainfieldWill9



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Plainfield North, LLCLegal Entity Owner:

Property Owner: MERIDIAN INVESTMENT PARTNERS, LLC




Medical Director Name: Aaron Gurfinchel, M.D.






Oct 10

Oct 20

Oct 312

Oct 40

Oct 512

Oct 60

Oct 712

0 0 10 0 10 0 10






Date of Operation

Hours operated


22Total:

20Total:














Medicare

24

70.6%

Medicaid

0

Private Insurance

10

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

34

0.0% 29.4% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 1030

30

3310

0

01687

00237




34

018

11143422 12

34

$297,537 $0 $322,489 $0$0 $9,919 $629,945

47.2% 0.0% 51.2% 0.0%0.0% 1.6% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2502

Fresenius Medical Care Polk557 West PolkChicagoCook6



Address:Name:

City:County:




Property Owner: 571 W. Polk Street LLC




Medical Director Name: Marco Pagani, M.D.






Oct 112

Oct 20

Oct 317

Oct 412

Oct 517

Oct 612

Oct 717

20 0 44 20 44 20 44






Date of Operation

Hours operated


57Total:

52Total:














Medicare

63

57.3%

Medicaid

7

Private Insurance

38

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

110

6.4% 34.5% 0.0%1.8% 0.0% 100.0%

Patients

TOTAL 50

640

41

26840

0

01333125

09

2279




110

022551914

11063 47

110

$3,064,448 $110,551 $4,180,815 $0$0 $0 $7,355,814

41.7% 1.5% 56.8% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2611

Fresenius Medical Care Pontiac804 West Madison StreetPontiacLivingston4



Address:Name:

City:County:




Property Owner: FTB, LLC




Medical Director Name: Kumarpal Shrishrimal, M.D.






Oct 112

Oct 20

Oct 312

Oct 418

Oct 515

Oct 612

Oct 713

14 0 15 17 13 12 16






Date of Operation

Hours operated


15Total:

13Total:














Medicare

35

79.5%

Medicaid

0

Private Insurance

6

Charity Care

0

Private Pay

1

Other Public

2

TOTAL

44

0.0% 13.6% 0.0%2.3% 4.5% 100.0%

Patients

TOTAL 0000

40

1430

4

03

10104

01763




44

04

1716

74427 17

44

$815,657 $31,866 $582,915 $0$0 $51,805 $1,482,243

55.0% 2.1% 39.3% 0.0%0.0% 3.5% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2569

Fresenius Medical Care Prairie1717 South Wabash AvenueChicagoCook6



Address:Name:

City:County:




Property Owner: Loop Auto Parks, Inc.




Medical Director Name: Sheldon Hirsch, M.D.






Oct 112

Oct 20

Oct 317

Oct 413

Oct 517.5

Oct 611.5

Oct 718

40 0 61 44 63 43 60






Date of Operation

Hours operated


57Total:

43Total:














Medicare

85

55.9%

Medicaid

0

Private Insurance

66

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

152

0.0% 43.4% 0.0%0.0% 0.7% 100.0%

Patients

TOTAL 70

14302

4148

0

0

08

272120

013222318




152

021494438

15276 76

152

$2,442,580 $25,117 $3,050,189 $0$0 $169,735 $5,687,621

42.9% 0.4% 53.6% 0.0%0.0% 3.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2589

Fresenius Medical Care Randolph County102 Memorial DriveChesterRandolph5



Address:Name:

City:County:




Property Owner: Randolph Hospital District d/b/a Memorial Hospital




Medical Director Name: Mohammad Kamran, M.D.






Oct 17

Oct 20

Oct 310

Oct 47

Oct 59.5

Oct 66.5

Oct 79

5 0 14 5 11 7 12






Date of Operation

Hours operated


16Total:

14Total:














Medicare

25

65.8%

Medicaid

0

Private Insurance

13

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

38

0.0% 34.2% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0040

31

3350

3

03754

01387




38

04

1013113819 19

38

$404,973 $21,610 $538,743 $0$0 $13,853 $979,179

41.4% 2.2% 55.0% 0.0%0.0% 1.4% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2558

Fresenius Medical Care Regency Park124 Regency Park Drive, Suite 1O'FallonSt. Clair11



Address:Name:

City:County:



Legal Entity Operator: RAI Care Centers of Illinois I, LLCLegal Entity Owner:

Property Owner: Savvi Investment










Oct 113

Oct 20

Oct 313

Oct 413

Oct 513

Oct 613

Oct 713

49 0 52 54 49 46 51






Date of Operation

Hours operated


66Total:

65Total:














Medicare

112

67.1%

Medicaid

0

Private Insurance

51

Charity Care

0

Private Pay

2

Other Public

2

TOTAL

167

0.0% 30.5% 0.0%1.2% 1.2% 100.0%

Patients

TOTAL 00

951

71

4163

0

0

07

392320

07

282122




167

014674442

16789 78

167

$3,090,818 $0 $3,196,888 $0$0 $93,333 $6,381,039

48.4% 0.0% 50.1% 0.0%0.0% 1.5% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2735

Fresenius Medical Care River Forest103 Forest AvenueRiver ForestCook7



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care River Forest, LLCLegal Entity Owner:

Property Owner: Elliott Bay Healthcare Realty, LLC




Medical Director Name: George Naratdam, M.D.






Oct 118

Oct 20

Oct 318

Oct 418

Oct 518

Oct 618

Oct 718

30 0 52 29 51 29 48






Date of Operation

Hours operated


50Total:

47Total:














Medicare

103

77.4%

Medicaid

0

Private Insurance

26

Charity Care

0

Private Pay

2

Other Public

2

TOTAL

133

0.0% 19.5% 0.0%1.5% 1.5% 100.0%

Patients

TOTAL 31

970

32

8125

0

0

015311512

04

251318




133

019562830

13373 60

133

$3,003,609 $43,532 $3,184,807 $0$47,218 $119,097 $6,398,263

46.9% 0.7% 49.8% 0.0%0.7% 1.9% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2703

Fresenius Medical Care Rock Island2623 17th StreetRock IslandRock Island10



Address:Name:

City:County:








Medical Director Name: Travis Figanbaum, M.D.






Oct 10

Oct 20

Oct 314

Oct 40

Oct 514

Oct 60

Oct 713

0 0 33 0 35 0 33






Date of Operation

Hours operated


17Total:

15Total:














Medicare

31

62.0%

Medicaid

1

Private Insurance

17

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

50

2.0% 34.0% 0.0%2.0% 0.0% 100.0%

Patients

TOTAL 10

230

26

1490

0

01697

0069

12




50

01

1218195023 27

50

$924,501 $8,119 $594,318 $0$27,725 $0 $1,554,663

59.5% 0.5% 38.2% 0.0%1.8% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2645

Fresenius Medical Care Rock River - Dixon101 West Second StreetDixonLee1



Address:Name:

City:County:




Property Owner: Katherine Shaw Bethea Hospital










Oct 10

Oct 20

Oct 315

Oct 40

Oct 514

Oct 60

Oct 715

0 0 17 0 18 0 16






Date of Operation

Hours operated


2Total:

1Total:














Medicare

18

85.7%

Medicaid

2

Private Insurance

1

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

21

9.5% 4.8% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0000

21

2190

0

00

1242

00210




21

00

1452

2118 3

21

$654,975 $64,287 $35,546 $0$0 $0 $754,808

86.8% 8.5% 4.7% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2522

Fresenius Medical Care Rogers Park2277 W. Howard St.ChicagoCook6



Address:Name:

City:County:




Property Owner: 2277 Howard L.L.C.




Medical Director Name: Arnold Berns, M.D.






Oct 111

Oct 20

Oct 316

Oct 411

Oct 516

Oct 611

Oct 716

36 0 48 36 48 36 48






Date of Operation

Hours operated


46Total:

40Total:






Full-Time Work Week: 32Registered Nurse : 4.5Dialysis Technician : 10Dietician : 1Social Worker: 0.6LPN : 0Other Health : 0Other Non-Health: 1.5








Medicare

75

60.5%

Medicaid

2

Private Insurance

43

Charity Care

0

Private Pay

2

Other Public

2

TOTAL

124

1.6% 34.7% 0.0%1.6% 1.6% 100.0%

Patients

TOTAL 161

360

71

25990

0

018272016

013136

11




124

031402627

12481 43

124

$1,728,341 $101,796 $2,247,740 $0$19,028 $82,557 $4,179,462

41.4% 2.4% 53.8% 0.0%0.5% 2.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2525

Fresenius Medical Care Rolling Meadows4180 Winnetka AvenueRolling MeadowsCook7



Address:Name:

City:County:




Property Owner: RMS Properties LLC




Medical Director Name: Azza Suleiman, M.D.






Oct 118

Oct 20

Oct 318

Oct 418

Oct 518

Oct 618

Oct 718

0 0 0 0 0 0 0






Date of Operation

Hours operated


55Total:

60Total:














Medicare

106

69.3%

Medicaid

1

Private Insurance

43

Charity Care

0

Private Pay

3

Other Public

0

TOTAL

153

0.7% 28.1% 0.0%2.0% 0.0% 100.0%

Patients

TOTAL 8060

139

26127

0

0

010281439

05

171327




153

015452766

15391 62

153

$2,389,746 $30,906 $3,484,351 $0$75,320 $0 $5,980,323

40.0% 0.5% 58.3% 0.0%1.3% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2670

Fresenius Medical Care Ross Dialysis Englewood6333 South Green StreetChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: Ross Dialysis Englewood, LLCLegal Entity Owner:

Property Owner: AIN Investments, LLC




Medical Director Name: April Kennedy, M.D.






Oct 117

Oct 20

Oct 317

Oct 417

Oct 517

Oct 617

Oct 717

37 0 35 38 39 35 35






Date of Operation

Hours operated


64Total:

56Total:














Medicare

90

62.1%

Medicaid

0

Private Insurance

52

Charity Care

0

Private Pay

2

Other Public

1

TOTAL

145

0.0% 35.9% 0.0%1.4% 0.7% 100.0%

Patients

TOTAL 00

14300

2143

0

2

01345208

08

231810




145

021683818

14586 59

145

$2,107,617 $126,592 $1,066,894 $0$31,585 $56,253 $3,388,941

62.2% 3.7% 31.5% 0.0%0.9% 1.7% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2616

Fresenius Medical Care Round Lake401 Nippersink RoadRound LakeLake8



Address:Name:

City:County:








Medical Director Name: Nino Alapishvili, M.D.






Oct 118

Oct 20

Oct 318

Oct 418

Oct 518

Oct 618

Oct 718

37 0 37 34 32 35 34






Date of Operation

Hours operated


58Total:

53Total:














Medicare

69

59.5%

Medicaid

5

Private Insurance

39

Charity Care

0

Private Pay

0

Other Public

3

TOTAL

116

4.3% 33.6% 0.0%0.0% 2.6% 100.0%

Patients

TOTAL 10060

100

40760

0

09

351814

07

121110




116

016472924

11676 40

116

$1,685,429 $77,462 $2,398,565 $0$27,283 $40,580 $4,229,319

39.9% 1.8% 56.7% 0.0%0.6% 1.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2573

Fresenius Medical Care Saline County275 Small Street, Ste 200HarrisburgSaline5



Address:Name:

City:County:




Property Owner: Lewis Lane, LLC c/o Burley Shay Investments




Medical Director Name: Randy Cowart, M.D.






Oct 111.5

Oct 20

Oct 311.5

Oct 411.5

Oct 511.5

Oct 611.5

Oct 711.5

24 0 26 20 28 20 30






Date of Operation

Hours operated


28Total:

35Total:














Medicare

60

75.9%

Medicaid

9

Private Insurance

4

Charity Care

0

Private Pay

0

Other Public

6

TOTAL

79

11.4% 5.1% 0.0%0.0% 7.6% 100.0%

Patients

TOTAL 0060

73

0790

0

03

171113

02

1779




79

05

3418227944 35

79

$2,279,915 $40,963 $74,101 $0$0 $421,922 $2,816,901

80.9% 1.5% 2.6% 0.0%0.0% 15.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2675

Fresenius Medical Care Silvis880 Crosstown AvenueSilvisRock Island10



Address:Name:

City:County:














Oct 113

Oct 20

Oct 313.5

Oct 413

Oct 513.5

Oct 613

Oct 714

25 0 34 25 31 27 33






Date of Operation

Hours operated


27Total:

28Total:














Medicare

79

84.9%

Medicaid

1

Private Insurance

11

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

93

1.1% 11.8% 0.0%2.2% 0.0% 100.0%

Patients

TOTAL 00

100

82

9840

1

02

131516

05

145

23




93

07

2720399346 47

93

$1,490,218 $13,315 $1,774,517 $0$105,768 $0 $3,383,818

44.0% 0.4% 52.4% 0.0%3.1% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2618

Fresenius Medical Care Skokie9801 Woods DriveSkokieCook7



Address:Name:

City:County:




Property Owner: Old Orchard Woods Management




Medical Director Name: Christopher Najafi, M.D.






Oct 112

Oct 20

Oct 316

Oct 412

Oct 516

Oct 612

Oct 716

25 0 34 23 34 22 34






Date of Operation

Hours operated


38Total:

40Total:






Full-Time Work Week: 32Registered Nurse : 4.5Dialysis Technician : 6Dietician : 1Social Worker: 0.5LPN : 0Other Health : 0Other Non-Health: 2








Medicare

64

65.3%

Medicaid

3

Private Insurance

26

Charity Care

0

Private Pay

2

Other Public

3

TOTAL

98

3.1% 26.5% 0.0%2.0% 3.1% 100.0%

Patients

TOTAL 310

130

54

7910

0

029

1125

04

139

25




98

06

2220509847 51

98

$2,363,471 $79,272 $2,016,051 $0$0 $87,642 $4,546,436

52.0% 1.7% 44.3% 0.0%0.0% 1.9% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2519

Fresenius Medical Care South Chicago9200 South Chicago AvenueChicagoCook6



Address:Name:

City:County:








Medical Director Name: Kareen Simpson, M.D.






Oct 118

Oct 20

Oct 318

Oct 418

Oct 518

Oct 618

Oct 718

88 0 99 93 95 87 99






Date of Operation

Hours operated


57Total:

95Total:














Medicare

149

56.4%

Medicaid

4

Private Insurance

109

Charity Care

0

Private Pay

1

Other Public

1

TOTAL

264

1.5% 41.3% 0.0%0.4% 0.4% 100.0%

Patients

TOTAL 00

2120

52

50214

0

0

021322398

04

122153




264

0254444

151264174 90

264

$3,397,518 $81,902 $3,953,046 $0$73,233 $131,792 $7,637,491

44.5% 1.1% 51.8% 0.0%1.0% 1.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2756

Fresenius Medical Care South Deering10559 S. Torrence Ave.ChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care South Deering, LLCLegal Entity Owner:

Property Owner: Torrence Complex, LP




Medical Director Name: Richard Hong, M.D.






Oct 113

Oct 20

Oct 318

Oct 413

Oct 518

Oct 613

Oct 718

38 0 44 38 44 38 44






Date of Operation

Hours operated


87Total:

135Total:






Full-Time Work Week: 32Registered Nurse : 5.5Dialysis Technician : 10Dietician : 0.5Social Worker: 1LPN : 0Other Health : 0Other Non-Health: 1.5








Medicare

114

71.7%

Medicaid

0

Private Insurance

43

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

159

0.0% 27.0% 0.0%1.3% 0.0% 100.0%

Patients

TOTAL 00

1370

22

18141

0

0

06

421819

04

291823




159

010713642

15985 74

159

$931,857 $24,254 $927,866 $0$32,614 $0 $1,916,591

48.6% 1.3% 48.4% 0.0%1.7% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2542

Fresenius Medical Care South Holland17225 South Paxton AvenueSouth HollandCook7



Address:Name:

City:County:




Property Owner: Physicians Capital investments, LLC




Medical Director Name: Ramesh Soundararajan, M.D.






Oct 117

Oct 20

Oct 317

Oct 417

Oct 517

Oct 617

Oct 717

44 0 49 45 51 46 49






Date of Operation

Hours operated


43Total:

46Total:














Medicare

65

47.8%

Medicaid

0

Private Insurance

70

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

136

0.0% 51.5% 0.0%0.0% 0.7% 100.0%

Patients

TOTAL 30

12904

16120

0

0

03

46206

07

231912




136

010693918

13675 61

136

$1,881,941 $0 $4,729,395 $0$18,844 $55,621 $6,685,801

28.1% 0.0% 70.7% 0.0%0.3% 0.8% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2572

Fresenius Medical Care South Shore2420 East 79th StreetChicagoCook6



Address:Name:

City:County:




Property Owner: Realty Income Illinois Properties




Medical Director Name: Clark McClurkin, M.D.






Oct 10

Oct 20

Oct 318

Oct 40

Oct 518

Oct 60

Oct 718

0 0 41 0 40 0 43






Date of Operation

Hours operated


89Total:

67Total:














Medicare

57

60.0%

Medicaid

0

Private Insurance

36

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

95

0.0% 37.9% 0.0%2.1% 0.0% 100.0%

Patients

TOTAL 00

9302

2930

0

06

32159

05

1396




95

0114524159562 33

95

$1,616,118 $107,432 $1,714,480 $0$52,134 $46,795 $3,536,959

45.7% 3.0% 48.5% 0.0%1.5% 1.3% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2517

Fresenius Medical Care South Suburban2609 Lincoln HighwayOlympia FieldsCook7



Address:Name:

City:County:



Legal Entity Operator: SSKG, Inc.Legal Entity Owner:

Property Owner: GAHC3 Mount Olympia MOB




Medical Director Name: Lourdes Terrado, M.D.






Oct 117

Oct 20

Oct 317

Oct 417

Oct 517

Oct 617

Oct 717

58 0 66 55 64 54 68






Date of Operation

Hours operated


49Total:

45Total:














Medicare

110

61.8%

Medicaid

1

Private Insurance

63

Charity Care

0

Private Pay

3

Other Public

1

TOTAL

178

0.6% 35.4% 0.0%1.7% 0.6% 100.0%

Patients

TOTAL 21

1540

20

12165

1

1

015412819

010242021




178

025654840

178103 75

178

$3,440,434 $123,544 $4,308,699 $0$31,640 $58,071 $7,962,388

43.2% 1.6% 54.1% 0.0%0.4% 0.7% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2508

Fresenius Medical Care Southside3134 W. 76TH STREETChicagoCook6



Address:Name:

City:County:




Property Owner: Elliot Bay Healthcare Realty




Medical Director Name: Ashutosh Gupta, M.D.





Average Daily Treatments: 0.0Average Treatment Time (min): 1,145.0

Oct 117

Oct 20

Oct 317

Oct 417

Oct 517

Oct 617

Oct 717

86 0 90 86 86 88 87






Date of Operation

Hours operated


89Total:

92Total:














Medicare

175

61.2%

Medicaid

4

Private Insurance

96

Charity Care

0

Private Pay

8

Other Public

3

TOTAL

286

1.4% 33.6% 0.0%2.8% 1.0% 100.0%

Patients

TOTAL 00

2310

55

46240

0

0

023802521

019474427




286

042

1276948

286149 137

286

$4,147,957 $175,501 $4,967,085 $0$254,147 $111,690 $9,656,380

43.0% 1.8% 51.4% 0.0%2.6% 1.2% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2535

Fresenius Medical Care Southwestern Illinois7 Professional DriveAltonMadison11



Address:Name:

City:County:




Property Owner: Jim Cunning, Manager, Herman Trust




Medical Director Name: Erik Daniels, M.D.






Oct 112

Oct 20

Oct 316

Oct 412

Oct 516

Oct 612

Oct 716

31 0 33 30 34 31 33






Date of Operation

Hours operated


42Total:

53Total:














Medicare

90

71.4%

Medicaid

1

Private Insurance

35

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

126

0.8% 27.8% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

280

98

2124

0

0

09

231821

07

141717




126

016373538

12671 55

126

$2,398,755 $105,523 $1,170,698 $0$0 $57,654 $3,732,630

64.3% 2.8% 31.4% 0.0%0.0% 1.5% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2565

Fresenius Medical Care Spoon River340 S. Avenue BCantonFulton2



Address:Name:

City:County:




Property Owner: Graham Hospital




Medical Director Name: Anthony Horinek, M.D.






Oct 112

Oct 20

Oct 316

Oct 414

Oct 515

Oct 613

Oct 716

16 0 22 15 22 15 22






Date of Operation

Hours operated


29Total:

26Total:














Medicare

46

73.0%

Medicaid

6

Private Insurance

9

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

63

9.5% 14.3% 0.0%0.0% 3.2% 100.0%

Patients

TOTAL 0010

61

0630

1

037

1014

0357

14




63

06

1217286334 29

63

$1,414,749 $40,173 $399,667 $0$0 $0 $1,854,589

76.3% 2.2% 21.6% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2564

Fresenius Medical Care Spring Valley12 Wolfer Industrial ParkSpring ValleyBureau2



Address:Name:

City:County:




Property Owner: Richwoods Enterprises, Inc.




Medical Director Name: Usman Khan, M.D.






Oct 114.5

Oct 20

Oct 318

Oct 417

Oct 518

Oct 616.5

Oct 718

28 0 36 30 36 31 36






Date of Operation

Hours operated


33Total:

32Total:














Medicare

80

80.0%

Medicaid

6

Private Insurance

8

Charity Care

0

Private Pay

0

Other Public

6

TOTAL

100

6.0% 8.0% 0.0%0.0% 6.0% 100.0%

Patients

TOTAL 0030

97

15850

0

06

191316

03

148

21




100

09

332137

10054 46

100

$2,314,139 $24,149 $743,445 $0$0 $109,672 $3,191,405

72.5% 0.8% 23.3% 0.0%0.0% 3.4% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2725

Fresenius Medical Care Steger219 East 34th StreetStegerCook7



Address:Name:

City:County:




Property Owner: Manco Construction




Medical Director Name: Daniel Yohay, M.D.






Oct 116

Oct 20

Oct 316

Oct 416

Oct 516

Oct 616

Oct 716

33 0 28 33 31 30 34






Date of Operation

Hours operated


33Total:

39Total:














Medicare

69

71.9%

Medicaid

1

Private Insurance

18

Charity Care

0

Private Pay

3

Other Public

5

TOTAL

96

1.0% 18.8% 0.0%3.1% 5.2% 100.0%

Patients

TOTAL 10

580

37

4920

0

04

22198

05

18137




96

09

4032159653 43

96

$1,834,284 $54,199 $1,160,372 $0$9,127 $93,762 $3,151,744

58.2% 1.7% 36.8% 0.0%0.3% 3.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2802

Fresenius Medical Care Summit7320 West Archer AvenueSummitCook7



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Summit, LLCLegal Entity Owner:

Property Owner: Net3 (Summit), LLC (N)


The facility was not operating in 2015 so there are no revenues to report. Fresenius Medical Care does not hold long term debt on any Illinois dialysis location balance sheet. Fresenius Medical Care does not, as a for profit corporation, provide charity care under the Board's definition of same; however, it treats all patients regardless of ability to pay and thus does provide uncompensated care. Many of our Medicaid patients have moved to managed care “Medicaid Risk” programs which reimburses at rates more similar to Medicaid and Medicare, however these patients/revenues are accounted for under Private Insurance.


Medical Director Name: Matthew Andersen, M.D.






Oct 10

Oct 20

Oct 38

Oct 40

Oct 58

Oct 60

Oct 78

0 0 2 0 2 0 2






Date of Operation

Hours operated


0Total:

12Total:














Medicare

7

58.3%

Medicaid

0

Private Insurance

5

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

12

0.0% 41.7% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0010

11

1110

0

00612

00111




12

00723

129 3

12

$0 $0 $0 $0$0 $0 $0


12/31/20151/1/2015 to

14-2789

Fresenius Medical Care Waterloo624 Voris-Jost DriveWaterlooMonroe11



Address:Name:

City:County:




Property Owner: GAHC3 Southern Illinois MOB Portfolio LLC










Oct 10

Oct 20

Oct 310

Oct 40

Oct 510

Oct 60

Oct 710

0 0 11 0 11 0 10






Date of Operation

Hours operated


14Total:

17Total:














Medicare

11

44.0%

Medicaid

0

Private Insurance

14

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

25

0.0% 56.0% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 1130

20

0250

0

00266

03143




25

033

109

2514 11

25

$0 $0 $0 $0$0 $0 $0


12/31/20151/1/2015 to

14-2727

Fresenius Medical Care Waukegan Harbor110 North West StreetWaukeganLake8



Address:Name:

City:County:




Property Owner: AR Capital, LLC




Medical Director Name: Rakhi Khanna, M.D.






Oct 117

Oct 20

Oct 318

Oct 417

Oct 518

Oct 617

Oct 718

52 0 58 54 56 52 54






Date of Operation

Hours operated


46Total:

48Total:














Medicare

88

56.1%

Medicaid

4

Private Insurance

61

Charity Care

0

Private Pay

1

Other Public

3

TOTAL

157

2.5% 38.9% 0.0%0.6% 1.9% 100.0%

Patients

TOTAL 20

730

82

55102

0

0

016451714

07

281614




157

023733328

15792 65

157

$1,984,903 $107,220 $4,349,249 $0$53,276 $243,274 $6,737,922

29.5% 1.6% 64.5% 0.0%0.8% 3.6% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2729

Fresenius Medical Care West Batavia2580 W. Fabyan ParkwayBataviaKane8



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care Batavia, LLCLegal Entity Owner:

Property Owner: MedProperties Group




Medical Director Name: Navinchandra Dodhia, M.D.






Oct 113

Oct 20

Oct 313

Oct 413

Oct 513

Oct 613

Oct 713

19 0 21 19 20 17 23






Date of Operation

Hours operated


51Total:

43Total:














Medicare

41

45.1%

Medicaid

4

Private Insurance

39

Charity Care

0

Private Pay

5

Other Public

2

TOTAL

91

4.4% 42.9% 0.0%5.5% 2.2% 100.0%

Patients

TOTAL 20

150

74

28630

0

06

181312

05

146

17




91

0113219299149 42

91

$516,145 $11,547 $1,948,742 $0$0 $107,186 $2,583,620

20.0% 0.4% 75.4% 0.0%0.0% 4.1% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2523

Fresenius Medical Care West Belmont4943 West BelmontChicagoCook6



Address:Name:

City:County:




Property Owner: 4935 W Belmont, Inc




Medical Director Name: Neetha Dhananjaya, M.D.






Oct 116

Oct 20

Oct 316

Oct 416

Oct 516

Oct 616

Oct 716

37 0 45 39 47 36 43






Date of Operation

Hours operated


40Total:

42Total:














Medicare

49

40.5%

Medicaid

6

Private Insurance

63

Charity Care

0

Private Pay

3

Other Public

0

TOTAL

121

5.0% 52.1% 0.0%2.5% 0.0% 100.0%

Patients

TOTAL 4090

108

89320

0

015261615

07

181410




121

022443025

12172 49

121

$1,423,709 $144,475 $3,323,426 $0$48,348 $0 $4,939,958

28.8% 2.9% 67.3% 0.0%1.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2536

Fresenius Medical Care West Metro1044 North MozartChicagoCook6



Address:Name:

City:County:




Property Owner: Norweigan American Hospital




Medical Director Name: Remegio Vilbar, M.D.






Oct 116

Oct 20

Oct 316

Oct 416

Oct 516

Oct 616

Oct 716

74 0 84 77 83 75 85






Date of Operation

Hours operated


46Total:

40Total:














Medicare

129

60.6%

Medicaid

3

Private Insurance

80

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

213

1.4% 37.6% 0.0%0.5% 0.0% 100.0%

Patients

TOTAL 50

580

150

149622

0

017792117

07

252324




213

024

1044441

213134 79

213

$4,514,425 $284,988 $7,703,696 $0$9,624 $65,295 $12,578,028

35.9% 2.3% 61.2% 0.0%0.1% 0.5% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2530

Fresenius Medical Care West Suburban518 N. Austin Blvd., 5th FloorOak ParkCook7



Address:Name:

City:County:




Property Owner: West Suburban Hospital Medical Center




Medical Director Name: Arthur Morris, M.D.

In-Center Treatments in calendar year:

Facility Reported Patient Information





Oct 117

Oct 20

Oct 317

Oct 417

Oct 517

Oct 617

Oct 717

103 0 119 108 122 99 125






Date of Operation

Hours operated


112Total:

105Total:


Use Rate (Treatments/Treatment capacity):Use Rate (including Missed Treatments):Use Rate (Begining patients treated):












Medicare

200

58.3%

Medicaid

4

Private Insurance

129

Charity Care

0

Private Pay

4

Other Public

6

TOTAL

343

1.2% 37.6% 0.0%1.2% 1.7% 100.0%

Patients

TOTAL 20

2980

43

11332

0

0

032773933

015564645




343

047

1338578

343181 162

343

$5,072,820 $134,208 $6,201,190 $0$49,827 $248,322 $11,706,367

43.3% 1.1% 53.0% 0.0%0.4% 2.1% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2730

Fresenius Medical Care West Willow1444 West WillowChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: Fresenius Medical Care West Willow, LLCLegal Entity Owner:

Property Owner: Elston Industrial Loft LLC




Medical Director Name: Mohammad Salem, M.D.






Oct 112

Oct 20

Oct 312

Oct 412

Oct 512

Oct 612

Oct 712

16 0 21 16 16 17 17






Date of Operation

Hours operated


26Total:

25Total:














Medicare

37

59.7%

Medicaid

0

Private Insurance

25

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

62

0.0% 40.3% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 30

310

28

10520

0

07

1689

01777




62

08

2315166240 22

62

$862,880 $20,573 $927,577 $0$0 $0 $1,811,030

47.6% 1.1% 51.2% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2520

Fresenius Medical Care Westchester2400 Wolf Road, Ste 101AWestchesterCook7



Address:Name:

City:County:

Medicare ID:HSA: Other Ownership: Limited Company

Ownership Type: Other For Profit (specify

Legal Entity Operator: DuPage Dialysis, LTDLegal Entity Owner:

Property Owner: TANDEM REAL ESTATE, LLC




Medical Director Name: Leonard Potempa, M.D.






Oct 114

Oct 20

Oct 318

Oct 414

Oct 518

Oct 614

Oct 718

28 0 45 27 45 25 46






Date of Operation

Hours operated


70Total:

57Total:














Medicare

87

63.5%

Medicaid

2

Private Insurance

38

Charity Care

0

Private Pay

5

Other Public

5

TOTAL

137

1.5% 27.7% 0.0%3.6% 3.6% 100.0%

Patients

TOTAL 50

450

87

8129

0

0

07

351822

03

211318




137

010563140

13782 55

137

$2,072,950 $26,142 $2,841,621 $0$62,087 $64,746 $5,067,546

40.9% 0.5% 56.1% 0.0%1.2% 1.3% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2627

Fresenius Medical Care Williamson County900 Skyline Drive, Ste 200MarionWilliamson5



Address:Name:

City:County:




Property Owner: Zeller Properties




Medical Director Name: Mohammad Kamran, M.D.






Oct 110

Oct 20

Oct 310

Oct 410

Oct 510

Oct 610

Oct 710

19 0 26 15 22 16 25






Date of Operation

Hours operated


41Total:

39Total:














Medicare

64

77.1%

Medicaid

4

Private Insurance

8

Charity Care

0

Private Pay

0

Other Public

7

TOTAL

83

4.8% 9.6% 0.0%0.0% 8.4% 100.0%

Patients

TOTAL 3170

72

1820

0

06

131212

039

199




83

09

2231218343 40

83

$1,806,383 $28,315 $869,072 $0$18,361 $109,762 $2,831,893

63.8% 1.0% 30.7% 0.0%0.6% 3.9% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2632

Fresenius Medical Care Willowbrook6300 Kingery Highway, Ste 408WillowbrookDuPage7



Address:Name:

City:County:




Property Owner: Regency Centers LP




Medical Director Name: May Chow, M.D.






Oct 117

Oct 20

Oct 317

Oct 417

Oct 517

Oct 617

Oct 717

34 0 45 24 46 30 45






Date of Operation

Hours operated


81Total:

70Total:














Medicare

98

69.0%

Medicaid

0

Private Insurance

42

Charity Care

0

Private Pay

2

Other Public

0

TOTAL

142

0.0% 29.6% 0.0%1.4% 0.0% 100.0%

Patients

TOTAL 150

290

98

12130

0

0

07

251622

02

251827




142

09

503449

14270 72

142

$2,238,257 $51,192 $1,799,262 $0$89,083 $0 $4,177,794

53.6% 1.2% 43.1% 0.0%2.1% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2777

Garfield Kidney Center3250 West FranklinChicagoCook6



Address:Name:

City:County:




Property Owner: Total Renal Care Inc.



Medical Director Name: Ogbonnaya Aneziokoro






Oct 115

Oct 20

Oct 318

Oct 415

Oct 518

Oct 615

Oct 718

46 0 48 43 51 41 49






Date of Operation

Hours operated


50Total:

53Total:














Medicare

96

64.4%

Medicaid

34

Private Insurance

16

Charity Care

3

Private Pay

0

Other Public

3

TOTAL

149

22.8% 10.7% 2.0%0.0% 2.0% 100.0%

Patients

TOTAL 21

1040

44

42110

0

1

01956156

06

27149




152

025832915

15296 56

152

$2,327,622 $111,641 $1,750,300 $24,780$24,780 $774,515 $4,988,858

46.7% 2.2% 35.1% 0.5%0.5% 15.5% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2728

Grand Crossing Dialysis7319 South Cottage Grove AvenueChicagoCook6



Address:Name:

City:County:




Property Owner: Mao Mei



Medical Director Name: Mohammed Salem, MD






Oct 114

Oct 20

Oct 314

Oct 414

Oct 514

Oct 614

Oct 714

29 0 26 29 24 27 26






Date of Operation

Hours operated


48Total:

67Total:














Medicare

70

68.6%

Medicaid

18

Private Insurance

10

Charity Care

1

Private Pay

1

Other Public

3

TOTAL

102

17.6% 9.8% 1.0%1.0% 2.9% 100.0%

Patients

TOTAL 00

10300

0103

0

0

012351410

08

1095




103

020452315

10371 32

103

$1,385,666 $71,365 $1,010,227 $780$780 $670,511 $3,138,548

44.1% 2.3% 32.2% 0.0%0.0% 21.4% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2537

Granite City Dialysis9 American VillageGranite CityMadison11



Address:Name:

City:County:



Legal Entity Operator: Renal Treatment Centers-Illinois, INCLegal Entity Owner:

Property Owner: Daniel's Realty Group, Inc.



Medical Director Name: Kenneth Gerdes






Oct 111

Oct 20

Oct 314

Oct 411

Oct 514

Oct 611

Oct 714

32 0 51 33 51 35 48






Date of Operation

Hours operated


39Total:

49Total:














Medicare

89

66.9%

Medicaid

26

Private Insurance

13

Charity Care

0

Private Pay

0

Other Public

5

TOTAL

133

19.5% 9.8% 0.0%0.0% 3.8% 100.0%

Patients

TOTAL 20

480

83

6127

0

0

08

331613

06

222411




133

014554024

13370 63

133

$2,196,495 $65,088 $910,787 $0$0 $1,012,944 $4,185,315

52.5% 1.6% 21.8% 0.0%0.0% 24.2% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2633

Illini Renal Dialysis507 E. University AvenueChampaignChampaign4



Address:Name:

City:County:



Legal Entity Operator: DVA Renal Healthcare, IncLegal Entity Owner:

Property Owner: Barr Real Estate



Medical Director Name: Dr. Abdel-Moneim M. Attia






Oct 112

Oct 20

Oct 314

Oct 414

Oct 514

Oct 614

Oct 714

26 0 25 24 27 25 27






Date of Operation

Hours operated


45Total:

68Total:














Medicare

89

80.2%

Medicaid

8

Private Insurance

7

Charity Care

1

Private Pay

3

Other Public

4

TOTAL

111

7.2% 6.3% 0.9%2.7% 3.6% 100.0%

Patients

TOTAL 30

470

51

9101

2

11

09

24218

08

191211




112

017433319

11262 50

112

$1,704,775 $47,864 $885,411 $3,540$3,540 $695,772 $3,337,362

51.1% 1.4% 26.5% 0.1%0.1% 20.8% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2581

Jacksonville Dialysis1515 West WalnutJacksonvilleMorgan3



Address:Name:

City:County:



Legal Entity Operator: DVA Renal Healthcare IncLegal Entity Owner:

Property Owner: DVA Renal Healthcare Inc



Medical Director Name: Lawrence Smith, MD






Oct 112

Oct 20

Oct 312

Oct 412

Oct 512

Oct 612

Oct 712

23 0 24 26 22 23 25






Date of Operation

Hours operated


27Total:

28Total:














Medicare

67

88.2%

Medicaid

2

Private Insurance

6

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

76

2.6% 7.9% 0.0%0.0% 1.3% 100.0%

Patients

TOTAL 0070

69

0760

0

0489

19

01

14129




76

05

2221287640 36

76

$1,418,438 $30,856 $189,933 $0$0 $270,785 $1,910,011

74.3% 1.6% 9.9% 0.0%0.0% 14.2% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2636

JCH Dialysis Center917 S. State StreetJerseyvilleJersey3



Address:Name:

City:County:




Property Owner: Raul Walters Properties, Inc.



Medical Director Name: Meher S. Mallick, MD






Oct 111

Oct 20

Oct 314

Oct 411

Oct 514

Oct 613.5

Oct 714

18 0 18 21 17 20 20






Date of Operation

Hours operated


14Total:

25Total:














Medicare

50

80.6%

Medicaid

4

Private Insurance

3

Charity Care

0

Private Pay

0

Other Public

5

TOTAL

62

6.5% 4.8% 0.0%0.0% 8.1% 100.0%

Patients

TOTAL 0000

62

0620

0

01

13117

01

10109




62

02

2321166232 30

62

$1,232,453 $58,059 $110,087 $0$0 $319,357 $1,719,955

71.7% 3.4% 6.4% 0.0%0.0% 18.6% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2313

John H. Stroger Hospital of Cook County1969 W. Ogden AvenueChicagoCook6



Address:Name:

City:County:


Ownership Type: County

Legal Entity Operator: JOHN H STROGER HOSPITAL OF COOK COUNTLegal Entity Owner:

Property Owner: Cook County


Comment on page 12- NET REVENUES DURING FISCAL YEAR- Section C- Managed Care Revenue amount was entered in ' Other Public ' category as it did not fit into other Revenue Categories


Medical Director Name: KALYANI PERUMAL






Oct 117

Oct 217

Oct 317

Oct 417

Oct 517

Oct 617

Oct 717

6 0 9 7 8 5 8






Date of Operation

Hours operated


29Total:

18Total:














Medicare

11

25.0%

Medicaid

28

Private Insurance

2

Charity Care

3

Private Pay

3

Other Public

0

TOTAL

44

63.6% 4.5% 6.8%6.8% 0.0% 100.0%

Patients

TOTAL 01

240

17

22250

5

0131700

06

1001




47

01927

01

4730 17

47

$196,300,000 $375,700,000 $47,500,000 $265,700,000$5,700,000 $0 $625,200,000

31.4% 60.1% 7.6% 42.5%0.9% 0.0% 100.0%Net Revenue

11/30/201512/1/2014 to

14-2685

Kankakee County Dialysis581 William Latham DriveBourbonnaisKankakee9



Address:Name:

City:County:



Legal Entity Operator: Renal Treatment Centers - Illinois, Inc.Legal Entity Owner:

Property Owner: Faz Properties LLC.



Medical Director Name: Dr. Nashib Hashmi






Oct 112

Oct 20

Oct 316

Oct 412

Oct 514

Oct 612

Oct 716

25 0 34 25 28 23 32






Date of Operation

Hours operated


30Total:

45Total:














Medicare

61

67.0%

Medicaid

3

Private Insurance

17

Charity Care

1

Private Pay

1

Other Public

9

TOTAL

91

3.3% 18.7% 1.1%1.1% 9.9% 100.0%

Patients

TOTAL 00

280

64

9830

0

04

26137

04

111314




92

08

3726219250 42

92

$1,189,047 $41,925 $308,194 $46,610$46,610 $733,951 $2,319,727

51.3% 1.8% 13.3% 2.0%2.0% 31.6% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2717

Kenwood Dialysis43rd & South Cottage GroveChicagoCook6



Address:Name:

City:County:




Property Owner: Glazier, King, LLC



Medical Director Name: Dr. Bharathi Reddy






Oct 112

Oct 20

Oct 320

Oct 412

Oct 520

Oct 612

Oct 720

43 0 66 44 63 44 66






Date of Operation

Hours operated


50Total:

70Total:














Medicare

148

78.7%

Medicaid

26

Private Insurance

10

Charity Care

2

Private Pay

2

Other Public

2

TOTAL

188

13.8% 5.3% 1.1%1.1% 1.1% 100.0%

Patients

TOTAL 00

18801

1189

0

1

014402713

011372919




190

025775632

19094 96

190

$3,275,006 $47,763 $1,251,642 $60,770$60,770 $1,169,273 $5,804,454

56.4% 0.8% 21.6% 1.0%1.0% 20.1% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2666

Lake Villa Dialysis37809 North IL Route 59Lake VillaLake8



Address:Name:

City:County:



Legal Entity Operator: RENAL TREATMENT CENTERS-ILLINOIS, INC.Legal Entity Owner:

Property Owner: OMAR DALLOUL



Medical Director Name: OMAR DALLOUL






Oct 19

Oct 20

Oct 314

Oct 49

Oct 514

Oct 69

Oct 714

15 0 32 16 30 16 29






Date of Operation

Hours operated


51Total:

57Total:














Medicare

57

78.1%

Medicaid

3

Private Insurance

9

Charity Care

3

Private Pay

1

Other Public

3

TOTAL

73

4.1% 12.3% 4.1%1.4% 4.1% 100.0%

Patients

TOTAL 2060

46

22540

22

18

16177

12

1095




76

2102626127649 27

76

$1,009,256 $34,187 $978,919 $24,190$24,190 $473,937 $2,520,489

40.0% 1.4% 38.8% 1.0%1.0% 18.8% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2768

Lawndale Dialysis3934 W. 24th StChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: Cowell Dialysis LLCLegal Entity Owner:

Property Owner: SDO Development LLC



Medical Director Name: Ogbonnaya Aneziokoro






Oct 114

Oct 20

Oct 316

Oct 414

Oct 516

Oct 614

Oct 716

37 0 46 41 47 39 46






Date of Operation

Hours operated


52Total:

74Total:














Medicare

75

52.1%

Medicaid

46

Private Insurance

12

Charity Care

10

Private Pay

10

Other Public

1

TOTAL

144

31.9% 8.3% 6.9%6.9% 0.7% 100.0%

Patients

TOTAL 41

5006

73629

83

014431311

01424187




144

028673118

14481 63

144

$1,325,887 $308,873 $1,700,848 $199,125$199,125 $1,016,227 $4,550,960

29.1% 6.8% 37.4% 4.4%4.4% 22.3% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2582

Lincoln Dialysis2100 West 5th StreetLincolnLogan3



Address:Name:

City:County:



Legal Entity Operator: DVA Renal Healthcare,INCLegal Entity Owner:

Property Owner: Sheley Corporation LLP



Medical Director Name: Allen Krall






Oct 16.5

Oct 20

Oct 311.5

Oct 46.5

Oct 511.5

Oct 66.5

Oct 711.5

12 0 28 11 25 9 25






Date of Operation

Hours operated


20Total:

20Total:














Medicare

29

59.2%

Medicaid

14

Private Insurance

4

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

49

28.6% 8.2% 0.0%0.0% 4.1% 100.0%

Patients

TOTAL 0110

42

0441

1

01

1158

01829




45

02

197

174525 20

45

$1,057,170 $13,457 $513,773 $0$0 $293,464 $1,877,865

56.3% 0.7% 27.4% 0.0%0.0% 15.6% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2329

Loyola Center for Dialysis on Roosevelt1201 West Roosevelt RoadMaywoodCook7



Address:Name:

City:County:


Ownership Type: Other Not for Profit Corp

Legal Entity Operator: Loyola University Medical CenterLegal Entity Owner:

Property Owner: Loyola University Medical Center



Medical Director Name: Vinod Bansal, MD






Oct 116

Oct 20

Oct 316

Oct 416

Oct 516

Oct 616

Oct 716

58 0 76 62 71 61 69






Date of Operation

Hours operated


67Total:

73Total:














Medicare

123

65.4%

Medicaid

15

Private Insurance

43

Charity Care

0

Private Pay

6

Other Public

1

TOTAL

188

8.0% 22.9% 0.0%3.2% 0.5% 100.0%

Patients

TOTAL 60

1020

80

44144

0

0

12440269

012292720




188

136695329

188100 88

188

$353,428,945 $189,037,253 $542,720,193 $0$13,774,927 $2,105,359 $1,101,066,677

32.1% 17.2% 49.3% 0.0%1.3% 0.2% 100.0%Net Revenue

6/30/20167/1/2015 to

14-2806

Machesney Park Dialysis7170 North Perryville RoadMachesney ParkWinnebago1



Address:Name:

City:County:




Property Owner: First Rockford Group



Medical Director Name: Michael Robertson






Oct 10

Oct 20

Oct 36

Oct 40

Oct 56

Oct 60

Oct 76

0 0 2 0 2 0 2






Date of Operation

Hours operated


1Total:

36Total:














Medicare

31

88.6%

Medicaid

0

Private Insurance

3

Charity Care

1

Private Pay

0

Other Public

1

TOTAL

35

0.0% 8.6% 2.9%0.0% 2.9% 100.0%

Patients

TOTAL 0041

28

3330

3

03963

00474




36

03

1313

73621 15

36

$139,340 $0 $61,079 $1,475$1,475 $31,397 $233,291

59.7% 0.0% 26.2% 0.6%0.6% 13.5% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2671

Manteno Dialysis Centre1 East DivisionMantenoKankakee9



Address:Name:

City:County:



Legal Entity Operator: Kankakee Valley Dialysis Network dba Manteno DiaLegal Entity Owner:

Property Owner: Jerry Curwick



Medical Director Name: Paritosh Tiwari, MD






Oct 19.5

Oct 20

Oct 312.5

Oct 49.5

Oct 512.5

Oct 69.5

Oct 712.5

12 0 25 11 24 11 26






Date of Operation

Hours operated


25Total:

19Total:






Full-Time Work Week: 0Registered Nurse : 3.8Dialysis Technician : 2.7Dietician : 0.4Social Worker: 0.8LPN : 1.8Other Health : 0Other Non-Health: 0.6








Medicare

54

85.7%

Medicaid

3

Private Insurance

6

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

63

4.8% 9.5% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

110

52

2610

0

01

166

15

004

1011




63

01

2016266338 25

63

$1,372,485 $65,326 $557,243 $0$0 $0 $1,995,053

68.8% 3.3% 27.9% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2570

Marion Dialysis324 South 4th StreetMarionWilliamson5



Address:Name:

City:County:




Property Owner: Steven Zelman



Medical Director Name: Kevin Chen






Oct 110

Oct 20

Oct 321

Oct 410

Oct 521

Oct 610

Oct 721

13 0 25 12 21 9 21






Date of Operation

Hours operated


30Total:

30Total:














Medicare

61

70.9%

Medicaid

5

Private Insurance

6

Charity Care

2

Private Pay

2

Other Public

12

TOTAL

86

5.8% 7.0% 2.3%2.3% 14.0% 100.0%

Patients

TOTAL 0070

77

0840

0

03

151515

04

12137




84

07

2728228448 36

84

$1,248,812 $54,817 $620,232 $12,095$12,095 $699,629 $2,635,585

47.4% 2.1% 23.5% 0.5%0.5% 26.5% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2634

Maryville Dialysis- Renal Treatment Ctrs2102 Vadalabene Dr, Suite #1MaryvilleMadison11



Address:Name:

City:County:



Legal Entity Operator: Renal Treatment Centers-Illinois, IncLegal Entity Owner:

Property Owner: Maryville Medical Park Fund, Inc



Medical Director Name: Henry Purcell






Oct 114

Oct 20

Oct 315

Oct 414

Oct 515

Oct 614

Oct 715

29 0 37 30 31 31 32






Date of Operation

Hours operated


39Total:

52Total:














Medicare

88

86.3%

Medicaid

4

Private Insurance

8

Charity Care

0

Private Pay

0

Other Public

2

TOTAL

102

3.9% 7.8% 0.0%0.0% 2.0% 100.0%

Patients

TOTAL 00

190

83

1101

0

0

08

181316

03

161315




102

011342631

10255 47

102

$1,900,280 $4,952 $578,847 $0$0 $412,182 $2,896,261

65.6% 0.2% 20.0% 0.0%0.0% 14.2% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2585

Mattoon Dialysis6051 Development DriveCharlestonColes4



Address:Name:

City:County:




Property Owner: J&P Associates



Medical Director Name: Dr Chen






Oct 111

Oct 20

Oct 313

Oct 411

Oct 513

Oct 611

Oct 713

30 0 35 29 29 30 33






Date of Operation

Hours operated


26Total:

39Total:














Medicare

86

80.4%

Medicaid

7

Private Insurance

10

Charity Care

2

Private Pay

2

Other Public

2

TOTAL

107

6.5% 9.3% 1.9%1.9% 1.9% 100.0%

Patients

TOTAL 1020

99

3991

1

04

1893

04

30278




103

08

483611

10334 69

103

$2,060,597 $72,431 $1,752,772 $3,835$3,835 $408,164 $4,297,799

47.9% 1.7% 40.8% 0.1%0.1% 9.5% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2315

Memorial Medical Center701 North First StreetSpringfieldSangamon3



Address:Name:

City:County:



Legal Entity Operator: Memorial Medical CenterLegal Entity Owner:

Property Owner: Memorial Medical Center



Medical Director Name: Lawrence J. Smith, MD






Oct 114

Oct 20

Oct 314

Oct 414

Oct 514

Oct 614

Oct 714

0 0 1 0 1 0 1






Date of Operation

Hours operated


1Total:

1Total:






Full-Time Work Week: 36Registered Nurse : 11.9Dialysis Technician : 0Dietician : 1Social Worker: 1LPN : 0.9Other Health : 0Other Non-Health: 0








Medicare

0

0.0%

Medicaid

1

Private Insurance

0

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

1

100.0% 0.0% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00001

010

0

00010

00000




1

0001011 0

1

$0 $8,390 $0 $0$0 $0 $8,390

0.0% 100.0% 0.0% 0.0%0.0% 0.0% 100.0%Net Revenue

9/30/201610/1/2015 to

14-2527

Metro East Dialysis5105 West Main StreetBellevilleSt. Clair11



Address:Name:

City:County:



Legal Entity Operator: Renal Life Linc, Inc.Legal Entity Owner:

Property Owner: Columbia Pacific Advisors



Medical Director Name: Rashid Dalal






Oct 112

Oct 26

Oct 317

Oct 418

Oct 517

Oct 618

Oct 717

61 14 71 56 67 60 68






Date of Operation

Hours operated


130Total:

134Total:














Medicare

240

78.2%

Medicaid

29

Private Insurance

27

Charity Care

2

Private Pay

0

Other Public

11

TOTAL

307

9.4% 8.8% 0.7%0.0% 3.6% 100.0%

Patients

TOTAL 00

2460

63

0309

0

0

026683225

022644230




309

048

1327455

309151 158

309

$4,504,277 $15,482 $3,152,887 $6,785$0 $2,045,559 $9,718,206

46.3% 0.2% 32.4% 0.1%0.0% 21.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2302

Mt. Sinai Hospital Med Ctr1500 S. California AvenueChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: Mt. Sinai Hospital and Medical CenterLegal Entity Owner:

Property Owner: Mt. Sinai Hospital and Medical Center


Our facility is hospital based. The hospital system currently has no methodology for allocating long-term debt to specific departments (page 12 question B). Our facility did operate a 4th shift on days Monday through Saturday (page 3 questions D). Significant change to Charity compared to last year attributed to the Affordable Care Act (page 12 question D).


Medical Director Name: Dr. Mohammad Ahmed






Oct 116

Oct 20

Oct 316

Oct 416

Oct 516

Oct 616

Oct 716

37 0 41 37 42 35 40






Date of Operation

Hours operated


22Total:

24Total:














Medicare

53

62.4%

Medicaid

30

Private Insurance

2

Charity Care

3

Private Pay

0

Other Public

0

TOTAL

85

35.3% 2.4% 3.5%0.0% 0.0% 100.0%

Patients

TOTAL 00

5101

36520

36

08

2496

08

2094




88

0164418108847 41

88

$864,041 $489,444 $204,291 $5,399$0 $0 $1,557,776

55.5% 31.4% 13.1% 0.3%0.0% 0.0% 100.0%Net Revenue

6/30/20167/1/2015 to

14-2541

Mt. Vernon Dialysis4102 North Water Tower PlaceMount VernonJefferson5



Address:Name:

City:County:



Legal Entity Operator: Renal Life Link, INCLegal Entity Owner:

Property Owner: Steven Zelman,MD



Medical Director Name: Steven Zelman, MD






Oct 112

Oct 20

Oct 312

Oct 412

Oct 512

Oct 612

Oct 712

32 0 28 31 29 31 29






Date of Operation

Hours operated


22Total:

33Total:














Medicare

82

83.7%

Medicaid

1

Private Insurance

9

Charity Care

0

Private Pay

0

Other Public

6

TOTAL

98

1.0% 9.2% 0.0%0.0% 6.1% 100.0%

Patients

TOTAL 00

120

85

0970

0

07

191321

029

1214




97

09

2825359760 37

97

$2,023,342 $29,206 $1,506,703 $0$0 $368,495 $3,927,746

51.5% 0.7% 38.4% 0.0%0.0% 9.4% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2600

Nephron Dialysis Center, Ltd.5140 N. California Ave., Suite 510ChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: Nephron Dialysis Center, Ltd.Legal Entity Owner:

Property Owner: Swedish Covenant Hospital



Medical Director Name: Hamid Humayun MD






Oct 13

Oct 20

Oct 33

Oct 43

Oct 53

Oct 63

Oct 73

46 0 44 46 43 44 47






Date of Operation

Hours operated


33Total:

44Total:






Full-Time Work Week: 30Registered Nurse : 3Dialysis Technician : 8.5Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 0.5Other Non-Health: 5








Medicare

97

84.3%

Medicaid

9

Private Insurance

9

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

115

7.8% 7.8% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 410

160

58

21940

0

02

262421

00

101517




115

02

363938

11573 42

115

$2,408,251 $151,611 $918,941 $0$3,373 $0 $3,482,176

69.2% 4.4% 26.4% 0.0%0.1% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2779

NxStage Oak Brook, LLC1600 16th StreetOak BrookCook7



Address:Name:

City:County:



Legal Entity Operator: NxStage Kidney Care, LLCLegal Entity Owner:

Property Owner: TCB- Oaks LLC C/O Newport Capital



Medical Director Name: Dr. William Whittier






Oct 18

Oct 20

Oct 38

Oct 48

Oct 58

Oct 68

Oct 78

12 0 12 12 12 12 12






Date of Operation

Hours operated


12Total:

27Total:














Medicare

15

62.5%

Medicaid

4

Private Insurance

4

Charity Care

0

Private Pay

1

Other Public

0

TOTAL

24

16.7% 16.7% 0.0%4.2% 0.0% 100.0%

Patients

TOTAL 2060

12

4200

4

01571

01630




24

02

1110

12414 10

24

$474 $36,168 $248,368 $0$13,879 $0 $298,889

0.2% 12.1% 83.1% 0.0%4.6% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2644

Oak Park Kidney Centers, LLC610 South Maple AvenueOak ParkCook7



Address:Name:

City:County:



Legal Entity Operator: Oak Park kidney Center LLCLegal Entity Owner:

Property Owner: Rush University Medical center



Medical Director Name: Dr Hamid Humayun





Average Daily Treatments: 0.0Average Treatment Time (min): 1,740.0

Oct 113.5

Oct 20

Oct 313.5

Oct 413.5

Oct 513.5

Oct 613.5

Oct 713.5

35 0 35 33 36 31 30






Date of Operation

Hours operated


37Total:

36Total:






Full-Time Work Week: 40Registered Nurse : 3.5Dialysis Technician : 7.5Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 0Other Non-Health: 1








Medicare

80

72.1%

Medicaid

20

Private Insurance

11

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

111

18.0% 9.9% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 20

930

16

5106

0

0

07

29198

05

151414




111

012443322

11163 48

111

$1,680,000 $141,317 $738,566 $0$0 $0 $2,559,883

65.6% 5.5% 28.9% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2674

Olney Dialysis Unit Olney117 North BooneOlneyRichland5



Address:Name:

City:County:




Property Owner: Andy Shuetz



Medical Director Name: Dr Rafael Lao






Oct 110

Oct 20

Oct 312

Oct 410

Oct 512

Oct 610

Oct 712

13 0 19 14 18 12 20






Date of Operation

Hours operated


11Total:

13Total:














Medicare

34

89.5%

Medicaid

0

Private Insurance

1

Charity Care

1

Private Pay

1

Other Public

2

TOTAL

38

0.0% 2.6% 2.6%2.6% 5.3% 100.0%

Patients

TOTAL 0010

37

0380

0

02585

04374




38

068

159

3820 18

38

$1,193,599 $0 $73,488 $2,360$2,360 $81,257 $1,350,704

88.4% 0.0% 5.4% 0.2%0.2% 6.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2732

Palos Park Dialysis13155 South LaGrange RoadOrland ParkCook7



Address:Name:

City:County:




Property Owner: GX Orland Park 2, LLC.



Medical Director Name: Dr. Sonja Marcic






Oct 19.5

Oct 20

Oct 313

Oct 49.5

Oct 513

Oct 69.5

Oct 713

16 0 26 18 24 20 26






Date of Operation

Hours operated


72Total:

110Total:














Medicare

77

67.5%

Medicaid

1

Private Insurance

14

Charity Care

1

Private Pay

0

Other Public

22

TOTAL

114

0.9% 12.3% 0.9%0.0% 19.3% 100.0%

Patients

TOTAL 90

280

78

5110

0

0

03

131632

02

121621




115

05

253253

11564 51

115

$1,296,306 $16,931 $576,987 $8,850$8,850 $471,488 $2,370,562

54.7% 0.7% 24.3% 0.4%0.4% 19.9% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2335

Presence Resurrection Medical Center Dialysis7435 West TalcottChicagoCook6



Address:Name:

City:County:


Ownership Type: Church-Related

Legal Entity Operator: Presence Resurrection Medical CenterLegal Entity Owner:

Property Owner: Presence Resurrection Medical Center



Medical Director Name: Dr. Daiva K Vilaitis






Oct 112

Oct 20

Oct 312.5

Oct 412

Oct 512.5

Oct 612

Oct 712.5

23 0 23 24 22 21 23






Date of Operation

Hours operated


35Total:

26Total:














Medicare

61

93.8%

Medicaid

0

Private Insurance

4

Charity Care

6

Private Pay

0

Other Public

0

TOTAL

65

0.0% 6.2% 9.2%0.0% 0.0% 100.0%

Patients

TOTAL 7011

57

3662

5

019

1414

0076

20




71

01

1620347138 33

71

$1,339,173 $0 $411,578 $8,667$0 $0 $1,750,751

76.5% 0.0% 23.5% 0.5%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2318

Provena St. Mary's Hospital455 West Court StreetKankakeeKankakee9



Address:Name:

City:County:



Legal Entity Operator: Presence St. Mary's HospitalLegal Entity Owner:

Property Owner: Presence St. Mary's Hospital



Medical Director Name: Dr. Miguel Hizon






Oct 112

Oct 20

Oct 316

Oct 412

Oct 516

Oct 612

Oct 716

34 0 48 35 47 34 47






Date of Operation

Hours operated


43Total:

47Total:














Medicare

107

84.3%

Medicaid

8

Private Insurance

10

Charity Care

1

Private Pay

0

Other Public

2

TOTAL

127

6.3% 7.9% 0.8%0.0% 1.6% 100.0%

Patients

TOTAL 20

600

66

4124

0

0

05

391211

05

191918




128

010583129

12867 61

128

$3,299,331 $211,184 $831,892 $0$0 $85,939 $4,428,346

74.5% 4.8% 18.8% 0.0%0.0% 1.9% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2643

Quality Renal Care910 Greenlee Street, Suite BMarengoMcHenry8



Address:Name:

City:County:




Property Owner: Luciano Zecchin



Medical Director Name: Aamir Memon






Oct 10

Oct 20

Oct 315

Oct 40

Oct 515

Oct 60

Oct 715

0 0 25 0 21 0 22






Date of Operation

Hours operated


23Total:

19Total:














Medicare

35

79.5%

Medicaid

2

Private Insurance

4

Charity Care

2

Private Pay

0

Other Public

3

TOTAL

44

4.5% 9.1% 4.5%0.0% 6.8% 100.0%

Patients

TOTAL 1010

44

11350

0

017

128

04572




46

05

1219104628 18

46

$726,313 $10,590 $83,481 $79,650$79,650 $80,604 $980,639

74.1% 1.1% 8.5% 8.1%8.1% 8.2% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2598

Quality Renal Care-Dundee2203 Randall RoadDundeeKane8



Address:Name:

City:County:




Property Owner: Dr. Nasir J. Ahmad



Medical Director Name: Dr. Nasir J. Ahmad






Oct 117.25

Oct 20

Oct 317

Oct 417.25

Oct 517

Oct 617.25

Oct 717

36 0 31 34 33 35 36






Date of Operation

Hours operated


49Total:

54Total:














Medicare

42

79.2%

Medicaid

3

Private Insurance

8

Charity Care

1

Private Pay

0

Other Public

0

TOTAL

53

5.7% 15.1% 1.9%0.0% 0.0% 100.0%

Patients

TOTAL 2070

32

13410

13

05

12135

01477




54

06

1620125435 19

54

$1,683,483 $2,235 $2,603,900 $26,845$26,845 $433,526 $4,749,989

35.4% 0.0% 54.8% 0.6%0.6% 9.1% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2772

Red Bud Dialysis1500 E. Market St.Red BudRandolph5



Address:Name:

City:County:



Legal Entity Operator: Total Renal Care, INC.Legal Entity Owner:

Property Owner: Market Street HealthCare Red Bud, LLC, a Tenness



Medical Director Name: Meher Mallick






Oct 10

Oct 20

Oct 314

Oct 40

Oct 514

Oct 60

Oct 714

0 0 19 0 16 0 20






Date of Operation

Hours operated


7Total:

8Total:














Medicare

20

87.0%

Medicaid

1

Private Insurance

2

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

23

4.3% 8.7% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0020

21

0230

0

00475

00124




23

00599

2316 7

23

$492,767 $48,447 $153,958 $0$0 $30,450 $725,622

67.9% 6.7% 21.2% 0.0%0.0% 4.2% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2742

Renal Center West Joliet1051 Essington RoadJolietWill9



Address:Name:

City:County:




Property Owner: Midwest Community Real Estate Corp



Medical Director Name: Preeti Nagarkatte, MD






Oct 115

Oct 20

Oct 315

Oct 415

Oct 515

Oct 615

Oct 715

55 0 70 56 67 56 66






Date of Operation

Hours operated


109Total:

105Total:














Medicare

200

85.5%

Medicaid

2

Private Insurance

19

Charity Care

2

Private Pay

1

Other Public

12

TOTAL

234

0.9% 8.1% 0.9%0.4% 5.1% 100.0%

Patients

TOTAL 30

682

153

33199

4

10

018483452

010192926




236

028676378

236152 84

236

$3,269,553 $23,808 $2,072,177 $4,315$4,315 $1,003,489 $6,373,342

51.3% 0.4% 32.5% 0.1%0.1% 15.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2714

Robinson Dialysis1121 North Allen StreetRobinsonCrawford5



Address:Name:

City:County:



Legal Entity Operator: Robinson Davita DialysisLegal Entity Owner:

Property Owner: Crawford Hospital District



Medical Director Name: Dr Rafael Lao






Oct 112

Oct 20

Oct 314

Oct 412

Oct 514

Oct 612

Oct 714

15 0 15 16 16 15 16






Date of Operation

Hours operated


14Total:

22Total:














Medicare

48

85.7%

Medicaid

0

Private Insurance

7

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

56

0.0% 12.5% 0.0%0.0% 1.8% 100.0%

Patients

TOTAL 0030

52

1550

1

00

118

15

01669




56

01

1714245634 22

56

$1,059,477 $5,253 $143,963 $0$0 $133,924 $1,342,617

78.9% 0.4% 10.7% 0.0%0.0% 10.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2647

Rockford Dialysis3339 North Rockton AvenueRockfordWinnebago1



Address:Name:

City:County:



Legal Entity Operator: Renal Treatment Centers - Illinois, Inc.Legal Entity Owner:

Property Owner: Stenstrom Real Estate - Renal Treatment Centers o



Medical Director Name: Krishna Sankaran, MD






Oct 115

Oct 20

Oct 316

Oct 415

Oct 516

Oct 615

Oct 716

38 0 52 37 52 40 50






Date of Operation

Hours operated


83Total:

47Total:














Medicare

74

40.2%

Medicaid

16

Private Insurance

5

Charity Care

1

Private Pay

5

Other Public

84

TOTAL

184

8.7% 2.7% 0.5%2.7% 45.7% 100.0%

Patients

TOTAL 00

962

73

1715414

14

014551821

04

381916




185

018933737

185108 77

185

$2,861,967 $126,538 $1,750,626 $19,765$19,765 $930,872 $5,689,769

50.3% 2.2% 30.8% 0.3%0.3% 16.4% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2665

Roxbury Dialysis622 Roxbury RoadRockfordWinnebago1



Address:Name:

City:County:



Legal Entity Operator: Dialysis of Northern IL, LLCLegal Entity Owner:

Property Owner: Stenstrom Real Estate



Medical Director Name: James Stim, MD






Oct 116

Oct 20

Oct 323

Oct 416

Oct 523

Oct 616

Oct 723

40 0 52 39 52 39 51






Date of Operation

Hours operated


80Total:

66Total:














Medicare

132

80.5%

Medicaid

10

Private Insurance

19

Charity Care

0

Private Pay

1

Other Public

2

TOTAL

164

6.1% 11.6% 0.0%0.6% 1.2% 100.0%

Patients

TOTAL 50

302

125

20140

4

2

012412223

010192017




164

022604240

16498 66

164

$3,364,413 $53,464 $2,245,335 $295$295 $858,279 $6,521,786

51.6% 0.8% 34.4% 0.0%0.0% 13.2% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2312

Rush University Dialysis1653 West Congress ParkwayChicagoCook6



Address:Name:

City:County:



Legal Entity Operator: Rush University Medical CenterLegal Entity Owner:

Property Owner: Rush University Medical Center


Part 2 Financial and Capital expenditures is not entered here because this is bit a freestanding dialysis center. It is part of the pediatrics program of Rush University Medical Center. Comprehensive RUMC financial and capital expenditures information will be provided by March 31, in the Annual Hospital Questionnaire.


Medical Director Name: Dr. Sara Jandeska






Oct 10

Oct 20

Oct 310

Oct 40

Oct 510

Oct 60

Oct 710

0 0 4 0 4 0 4






Date of Operation

Hours operated


6Total:

3Total:














Medicare

2

20.0%

Medicaid

6

Private Insurance

0

Charity Care

0

Private Pay

1

Other Public

1

TOTAL

10

60.0% 0.0% 0.0%10.0% 10.0% 100.0%

Patients

TOTAL 00800

190

2

43000

03000




10

46000

107 3

10

$0 $0 $0 $0$0 $0 $0


6/30/20167/1/2015 to

14-2620

Rushville Dialysis112 Sullivan DriveRushvilleSchuyler3



Address:Name:

City:County:




Property Owner: Stan Silverio



Medical Director Name: Dr. Allan Krall






Oct 10

Oct 20

Oct 314

Oct 40

Oct 514

Oct 64

Oct 714

0 0 19 0 18 1 18






Date of Operation

Hours operated


17Total:

12Total:














Medicare

26

78.8%

Medicaid

2

Private Insurance

4

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

33

6.1% 12.1% 0.0%0.0% 3.0% 100.0%

Patients

TOTAL 0010

32

3300

0

04932

00366




33

04

1298

3318 15

33

$588,910 $16,223 $452,652 $0$0 $113,879 $1,171,664

50.3% 1.4% 38.6% 0.0%0.0% 9.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2758

SAH Dialysis Center @ 26th Street3059 W. 26th StreetChicagoCook6



Address:Name:

City:County:


Ownership Type: Church-Related

Legal Entity Operator: Saint Anthony HospitalLegal Entity Owner:

Property Owner: Chicago Title Land Trust#22630



Medical Director Name: Dr. Izabella Gurau






Oct 110

Oct 20

Oct 311

Oct 410

Oct 511

Oct 610

Oct 711

16 0 28 11 28 12 28






Date of Operation

Hours operated


8Total:

14Total:






Full-Time Work Week: 40Registered Nurse : 2.25Dialysis Technician : 3.75Dietician : 0.5Social Worker: 0.5LPN : 0Other Health : 0.5Other Non-Health: 0.25








Medicare

22

40.0%

Medicaid

19

Private Insurance

11

Charity Care

0

Private Pay

2

Other Public

1

TOTAL

55

34.5% 20.0% 0.0%3.6% 1.8% 100.0%

Patients

TOTAL 0040

41

4140

0

06

1552

04832




45

01023

84

4528 17

45

$1,777,779 $124,497 $74,515 $0$8,466 $2,106 $1,987,363

89.5% 6.3% 3.7% 0.0%0.4% 0.1% 100.0%Net Revenue

6/30/20167/1/2015 to

14-2746

Satellite Dialysis of Glenview2601 Compass RoadGlenviewCook7



Address:Name:

City:County:



Legal Entity Operator: Satellite Health CareLegal Entity Owner:

Property Owner: Scott Norton


I just spoke to Mike Mitchell from the Health department and explained him how the 2016 audited financials weren’t available at this time. He suggested that in the comment section we put a note which reads as follow: Fiscal ended 12/31/2016 and will supply Financial Information as soon it will be available. Harita Bajaj Financial Reporting and Taxation Mgr. Satellite Healthcare Inc./300 Santana Row, Suite 300/San Jose, CA 95128 Tel: (650)404-3681 (Direct) / Fax: (650)625-6081/[email protected] www.satellitehealth.com .


Medical Director Name: Dr.Sprague,S






Oct 111

Oct 20

Oct 315

Oct 411

Oct 515

Oct 611

Oct 715

19 0 36 19 35 17 35






Date of Operation

Hours operated


39Total:

40Total:














Medicare

70

86.4%

Medicaid

7

Private Insurance

3

Charity Care

2

Private Pay

0

Other Public

1

TOTAL

81

8.6% 3.7% 2.5%0.0% 1.2% 100.0%

Patients

TOTAL 13060

63

6761

1

02

161423

0268

12




83

04

2222358355 28

83

$0 $0 $0 $0$0 $0 $0


12/31/20151/1/2015 to

14-2561

Sauget Dialysis2061 Goose Lake RoadEast St LouisSt. Clair11



Address:Name:

City:County:



Legal Entity Operator: Renal Treatment Centers- Illinois, LLCLegal Entity Owner:

Property Owner: Rick Sauget



Medical Director Name: Rashid Dalal






Oct 115

Oct 20

Oct 316

Oct 415

Oct 516

Oct 615

Oct 716

34 0 35 35 33 30 25






Date of Operation

Hours operated


41Total:

31Total:














Medicare

87

74.4%

Medicaid

16

Private Insurance

6

Charity Care

1

Private Pay

1

Other Public

7

TOTAL

117

13.7% 5.1% 0.9%0.9% 6.0% 100.0%

Patients

TOTAL 00

1010

17

1117

0

0

09

341210

08

241011




118

017582221

11865 53

118

$1,936,100 $19,878 $1,102,067 $6,785$6,785 $633,601 $3,698,431

52.3% 0.5% 29.8% 0.2%0.2% 17.1% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2624

Shelbyville Community Dialysis410 Heinlein DriveShelbyvilleShelby4



Address:Name:

City:County:



Legal Entity Operator: Renal Therapies, LLCLegal Entity Owner:

Property Owner:



Medical Director Name: Dr. Mahamood Quereshi






Oct 10

Oct 20

Oct 311

Oct 48.5

Oct 511

Oct 68.5

Oct 711

0 0 18 0 18 0 18






Date of Operation

Hours operated


3Total:

7Total:














Medicare

18

78.3%

Medicaid

0

Private Insurance

5

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

23

0.0% 21.7% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0000

23

0230

0

00513

02255




23

02768

239 14

23

$494,498 $0 $203,616 $0$0 $0 $698,115

70.8% 0.0% 29.2% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2753

Shiloh Dialysis1095 North Green Mount RoadShilohSt. Clair11



Address:Name:

City:County:



Legal Entity Operator: Total Renal Vare, Inc.Legal Entity Owner:

Property Owner: Threlkeld Family Investment, LLC



Medical Director Name: Dr. Rashid Dalal






Oct 112

Oct 20

Oct 316

Oct 412

Oct 516

Oct 612

Oct 716

24 0 34 23 32 23 35






Date of Operation

Hours operated


53Total:

87Total:














Medicare

102

79.1%

Medicaid

10

Private Insurance

8

Charity Care

2

Private Pay

2

Other Public

7

TOTAL

129

7.8% 6.2% 1.6%1.6% 5.4% 100.0%

Patients

TOTAL 10

960

34

3128

0

0

011391213

04

211813




131

015603026

13175 56

131

$1,601,175 $25,842 $1,080,102 $0$1,770 $313,042 $3,021,932

53.0% 0.9% 35.7% 0.0%0.1% 10.4% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2741

Silver Cross Renal Center1860 Silver Cross BoulevardNew LenoxWill9



Address:Name:

City:County:




Property Owner: NexCore Properties



Medical Director Name: Dr. Naila Ahmed






Oct 116

Oct 20

Oct 316

Oct 416

Oct 516

Oct 616

Oct 716

42 0 45 41 40 37 43






Date of Operation

Hours operated


42Total:

95Total:














Medicare

127

84.1%

Medicaid

8

Private Insurance

16

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

151

5.3% 10.6% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 10

360

113

11140

0

1

07

252631

08

141723




151

015394354

15189 62

151

$2,805,615 $3,625 $1,224,008 $0$0 $532,624 $4,565,872

61.4% 0.1% 26.8% 0.0%0.0% 11.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2733

Springfield South2930 South 6th StreetSpringfieldSangamon3



Address:Name:

City:County:




Property Owner: Bill Furling



Medical Director Name: Lawrence Smith, MD






Oct 112

Oct 20

Oct 314

Oct 412

Oct 514

Oct 612

Oct 714

7 0 28 8 29 10 28






Date of Operation

Hours operated


39Total:

29Total:














Medicare

50

73.5%

Medicaid

6

Private Insurance

9

Charity Care

1

Private Pay

1

Other Public

2

TOTAL

68

8.8% 13.2% 1.5%1.5% 2.9% 100.0%

Patients

TOTAL 10

240

43

0680

0

04

15129

03

1096




68

07

2521156840 28

68

$1,580,828 $20,724 $1,318,802 $4,720$4,720 $731,666 $3,656,741

43.2% 0.6% 36.1% 0.1%0.1% 20.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2615

Stonecrest Dialysis1302 East State StreetRockfordWinnebago1



Address:Name:

City:County:



Legal Entity Operator: Total Renal Care IncLegal Entity Owner:

Property Owner: Lillibridge Healthcare Services, Inc



Medical Director Name: Joanna Niemiec






Oct 116

Oct 20

Oct 316

Oct 416

Oct 516

Oct 616

Oct 716

31 0 32 29 32 30 32






Date of Operation

Hours operated


42Total:

53Total:














Medicare

88

77.9%

Medicaid

17

Private Insurance

4

Charity Care

1

Private Pay

1

Other Public

3

TOTAL

113

15.0% 3.5% 0.9%0.9% 2.7% 100.0%

Patients

TOTAL 50

510

43

12992

14

09

24149

06

231216




113

015472625

11356 57

113

$1,720,496 $70,410 $443,226 $3,245$3,245 $560,114 $2,797,490

61.5% 2.5% 15.8% 0.1%0.1% 20.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2553

Sun Health2121 Oneida StreetJolietWill9



Address:Name:

City:County:



Legal Entity Operator: Sun Health Inc./Bhuvan Chawla M.D.Legal Entity Owner:

Property Owner: Triumph Joliet, LLC


Let it be noted that Monday 03/20/2017 was my first email notification that this questionnaire was due. I did not receive any other emails, therefore I am submitting this questionnaire ASAP which is today,Tuesday 03/21/2017.


Medical Director Name: Bhuvan Chawla M.D.






Oct 111

Oct 20

Oct 315.5

Oct 411

Oct 515.5

Oct 611

Oct 715.5

20 0 35 18 31 19 34






Date of Operation

Hours operated


25Total:

17Total:














Medicare

66

85.7%

Medicaid

5

Private Insurance

6

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

77

6.5% 7.8% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00

220

40

10643

15

03

141412

009

1114




77

03

2325267743 34

77

$2,028,057 $7,473 $2,525,827 $0$0 $0 $4,561,357

44.5% 0.2% 55.4% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20151/1/2015 to

14-2767

Tazewell County Dialysis1021 Court St.PekinTazewell2



Address:Name:

City:County:



Legal Entity Operator: Pekin Dialysis, LLCLegal Entity Owner:

Property Owner: GP Real Estate Holding LLC



Medical Director Name: Dr Ashan Usman






Oct 10

Oct 20

Oct 312

Oct 40

Oct 512

Oct 60

Oct 712

0 0 17 0 19 0 20






Date of Operation

Hours operated


19Total:

35Total:














Medicare

38

80.9%

Medicaid

3

Private Insurance

2

Charity Care

0

Private Pay

1

Other Public

3

TOTAL

47

6.4% 4.3% 0.0%2.1% 6.4% 100.0%

Patients

TOTAL 00

100

38

0480

0

02666

06895




48

08

1415114820 28

48

$645,477 $10,992 $516,925 $0$2,655 $169,285 $1,345,335

48.0% 0.8% 38.4% 0.0%0.2% 12.6% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2763

Timber Creek Dialysis1001 S. Annie Glidden RoadDeKalbDeKalb1



Address:Name:

City:County:



Legal Entity Operator: Dialysis of Norhtern Illinois, LLCLegal Entity Owner:

Property Owner: Donald E. Meyers Jr



Medical Director Name: Bindu Pavithran






Oct 10

Oct 20

Oct 315

Oct 40

Oct 515

Oct 60

Oct 715

0 0 25 0 26 0 28






Date of Operation

Hours operated


29Total:

30Total:






Full-Time Work Week: 36Registered Nurse : 1.5Dialysis Technician : 2.5Dietician : 0.3Social Worker: 0.3LPN : 0Other Health : 0.5Other Non-Health: 0.75








Medicare

47

70.1%

Medicaid

5

Private Insurance

5

Charity Care

4

Private Pay

4

Other Public

6

TOTAL

67

7.5% 7.5% 6.0%6.0% 9.0% 100.0%

Patients

TOTAL 00

160

39

10452

2

06

1277

06586




57

0121715135732 25

57

$849,626 $59,151 $154,483 $885$885 $56,139 $1,120,283

75.8% 5.3% 13.8% 0.1%0.1% 5.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2810

Tinley Park Dialysis16767 South 80th AvenueTinley ParkCook7



Address:Name:

City:County:



Legal Entity Operator: Kidney Center South LLCLegal Entity Owner:

Property Owner: Tinley Park Healthcare LLC



Medical Director Name: Naila Ahmed






Oct 10

Oct 20

Oct 35

Oct 40

Oct 50

Oct 60

Oct 75

0 0 1 0 0 0 1






Date of Operation

Hours operated


0Total:

1Total:














Medicare

1

100.0%

Medicaid

0

Private Insurance

0

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

1

0.0% 0.0% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 00001

010

0

00001

00000




1

0000111 0

1

$11,138 $0 $0 $0$0 $0 $11,138

100.0% 0.0% 0.0% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2614

Tri-Cities Dialysis, LLC306 Randall RoadGenevaKane8



Address:Name:

City:County:




Property Owner: Delnor Community Healthcare Foundation



Medical Director Name: Dr. Harry Rubinstein






Oct 112

Oct 20

Oct 318

Oct 412

Oct 518

Oct 612

Oct 718

20 0 40 21 40 21 41






Date of Operation

Hours operated


52Total:

61Total:






Full-Time Work Week: 40Registered Nurse : 3.79Dialysis Technician : 6.8Dietician : 0.63Social Worker: 0.5LPN : 0.07Other Health : 0.17Other Non-Health: 1.01








Medicare

103

87.3%

Medicaid

4

Private Insurance

10

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

118

3.4% 8.5% 0.0%0.0% 0.8% 100.0%

Patients

TOTAL 20

100

106

7111

0

0

06

141929

01

101029




118

07

242958

11868 50

118

$1,746,095 $19,576 $851,212 $0$0 $0 $2,616,883

66.7% 0.7% 32.5% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2316

University of Illinois Hospital Dialysis1859 West TaylorChicagoCook6



Address:Name:

City:County:

Medicare ID:HSA: Other Ownership: State

Ownership Type: Other Governmental (speci

Legal Entity Operator: The Board of Trustees of the University of IllinoiLegal Entity Owner:

Property Owner: The Board of Trustees of the University of Illinoi



Medical Director Name: Dr. Jose A. Arruda






Oct 118

Oct 20

Oct 318

Oct 418

Oct 518

Oct 618

Oct 718

58 0 64 58 63 61 63






Date of Operation

Hours operated


31Total:

34Total:














Medicare

120

70.2%

Medicaid

24

Private Insurance

26

Charity Care

2

Private Pay

1

Other Public

0

TOTAL

171

14.0% 15.2% 1.2%0.6% 0.0% 100.0%

Patients

TOTAL 10

1070

65

62111

0

0

02640146

023331912




173

049733318

17386 87

173

$29,733,236 $5,315,592 $5,525,739 $443,831$162,522 $0 $40,737,089

73.0% 13.0% 13.6% 1.1%0.4% 0.0% 100.0%Net Revenue

6/30/20167/1/2015 to

14-2749

USRC Bolingbrook Dialysis396 Remington BlvdBolingbrookWill9



Address:Name:

City:County:



Legal Entity Operator: USRC Bolingbrook, LLCLegal Entity Owner:

Property Owner: PHT Bolingbrook MOB,LLC



Medical Director Name: Mohammed Ahmed






Oct 110

Oct 20

Oct 312

Oct 410

Oct 512

Oct 610

Oct 712

27 0 26 26 16 24 25






Date of Operation

Hours operated


23Total:

28Total:














Medicare

33

47.1%

Medicaid

23

Private Insurance

14

Charity Care

1

Private Pay

0

Other Public

0

TOTAL

70

32.9% 20.0% 1.4%0.0% 0.0% 100.0%

Patients

TOTAL 90

170

39

8577

7

06

14158

0285

14




72

08

2220227243 29

72

$1,227,192 $299,176 $704,761 $9,524$0 $0 $2,231,129

55.0% 13.4% 31.6% 0.4%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2750

USRC Oak Brook Dialysis1201-B Butterfield RdDowners GroveDuPage7



Address:Name:

City:County:



Legal Entity Operator: USRC Oakbrook,LLCLegal Entity Owner:

Property Owner: Cedar Street Commercial



Medical Director Name: Dr. Anis Rauf






Oct 110

Oct 20

Oct 314

Oct 410

Oct 514

Oct 610

Oct 714

17 0 30 15 29 12 31






Date of Operation

Hours operated


48Total:

44Total:














Medicare

62

78.5%

Medicaid

5

Private Insurance

9

Charity Care

1

Private Pay

1

Other Public

2

TOTAL

79

6.3% 11.4% 1.3%1.3% 2.5% 100.0%

Patients

TOTAL 40

170

47

26612

12

05

14208

027

1410




80

07

2134188047 33

80

$1,222,106 $37,376 $475,327 $0$2,100 $252,784 $1,989,693

61.4% 1.9% 23.9% 0.0%0.1% 12.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2738

USRC Streamwood Dialysis149 East Irving Park RoadStreamwoodCook7



Address:Name:

City:County:



Legal Entity Operator: USRenalcare Streamwood LLCLegal Entity Owner:

Property Owner: Inland Commercail Property



Medical Director Name: Gordan Lang






Oct 110

Oct 20

Oct 310

Oct 410

Oct 510

Oct 610

Oct 710

14 0 19 14 18 12 19






Date of Operation

Hours operated


27Total:

21Total:














Medicare

40

76.9%

Medicaid

1

Private Insurance

7

Charity Care

1

Private Pay

0

Other Public

4

TOTAL

52

1.9% 13.5% 1.9%0.0% 7.7% 100.0%

Patients

TOTAL 6032

30

33812

12

018

109

024

136




53

03

1223155328 25

53

$913,943 $65,484 $519,477 $2,039$0 $217,109 $1,716,013

53.3% 3.8% 30.3% 0.1%0.0% 12.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2755

USRC Villa Park Dialysis200 E. North AvenueVilla ParkDuPage7



Address:Name:

City:County:



Legal Entity Operator: USRC Villa ParkLegal Entity Owner:

Property Owner: Royal Plaza Management



Medical Director Name: Michael Cohan






Oct 112

Oct 20

Oct 312

Oct 412

Oct 512

Oct 612

Oct 712

28 0 31 28 27 26 27






Date of Operation

Hours operated


41Total:

40Total:














Medicare

66

74.2%

Medicaid

1

Private Insurance

19

Charity Care

0

Private Pay

1

Other Public

2

TOTAL

89

1.1% 21.3% 0.0%1.1% 2.2% 100.0%

Patients

TOTAL 20

171

51

46718

18

09

131419

01

101112




89

0102325318955 34

89

$1,608,883 $11,208 $2,437,834 $0$0 $135,563 $4,193,488

38.4% 0.3% 58.1% 0.0%0.0% 3.2% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2693

Vandalia Dialysis301 Mattes RoadVandaliaFayette5



Address:Name:

City:County:



Legal Entity Operator: DVA Total Renal Care Inc.Legal Entity Owner:

Property Owner: Old Capital Retail



Medical Director Name: Dr. Bashar Alzahabi






Oct 17

Oct 20

Oct 310

Oct 47

Oct 510

Oct 67

Oct 710

8 0 14 8 13 6 14






Date of Operation

Hours operated


17Total:

12Total:














Medicare

38

92.7%

Medicaid

0

Private Insurance

2

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

41

0.0% 4.9% 0.0%0.0% 2.4% 100.0%

Patients

TOTAL 0030

38

0410

0

01957

02566




41

03

1411134122 19

41

$855,344 $0 $239,411 $0$0 $159,439 $1,254,194

68.2% 0.0% 19.1% 0.0%0.0% 12.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2688

Wayne County Dialysis Center303 NW 11th StreetFairfieldWayne5



Address:Name:

City:County:




Property Owner: Fairfield Memorial Hospital



Medical Director Name: Steven Zelman






Oct 110

Oct 20

Oct 311

Oct 410

Oct 511

Oct 611

Oct 711

13 0 15 12 14 13 13






Date of Operation

Hours operated


17Total:

14Total:














Medicare

35

79.5%

Medicaid

1

Private Insurance

3

Charity Care

0

Private Pay

0

Other Public

5

TOTAL

44

2.3% 6.8% 0.0%0.0% 11.4% 100.0%

Patients

TOTAL 0000

44

0440

0

039

109

01534




44

04

1413134431 13

44

$872,021 $6,273 $323,592 $0$0 $209,216 $1,411,103

61.8% 0.4% 22.9% 0.0%0.0% 14.8% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2719

West Lawn Dialysis7000 South Pulaski RoadChicagoCook6



Address:Name:

City:County:




Property Owner: Glendale 2004 LLC



Medical Director Name: Dr. Michael Arvan






Oct 115

Oct 20

Oct 317

Oct 415

Oct 517

Oct 615

Oct 717

28 0 32 32 33 29 32






Date of Operation

Hours operated


38Total:

40Total:














Medicare

49

71.0%

Medicaid

11

Private Insurance

8

Charity Care

4

Private Pay

0

Other Public

1

TOTAL

69

15.9% 11.6% 5.8%0.0% 1.4% 100.0%

Patients

TOTAL 10

210

46

41270

0

05

10115

03

15127




68

08

2523126831 37

68

$1,538,689 $60,491 $1,585,005 $64,310$0 $333,100 $3,517,284

43.7% 1.7% 45.1% 1.8%0.0% 9.5% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2783

West Side Dialysis1600 W 13th StreetChicagoCook6



Address:Name:

City:County:




Property Owner: Inland Western Chicago Ashland, LLC



Medical Director Name: Don Hollandsworth






Oct 10

Oct 20

Oct 314

Oct 40

Oct 514

Oct 60

Oct 714

0 0 20 0 19 0 20






Date of Operation

Hours operated


51Total:

60Total:














Medicare

23

65.7%

Medicaid

8

Private Insurance

4

Charity Care

3

Private Pay

0

Other Public

0

TOTAL

35

22.9% 11.4% 8.6%0.0% 0.0% 100.0%

Patients

TOTAL 30

2807

7310

0

04

1212

05833




38

09

2045

3819 19

38

$448,050 $106,142 $531,295 $6,785$6,785 $131,380 $1,223,652

36.6% 8.7% 43.4% 0.6%0.6% 10.7% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2721

Woodlawn Dialysis5060 S. State StreetChicagoCook6



Address:Name:

City:County:




Property Owner: South Central Medical Center Building Trust



Medical Director Name: Mary Hammes






Oct 114

Oct 20

Oct 314

Oct 414

Oct 514

Oct 614

Oct 714

56 0 68 56 68 56 68






Date of Operation

Hours operated


54Total:

71Total:














Medicare

140

72.5%

Medicaid

38

Private Insurance

14

Charity Care

0

Private Pay

0

Other Public

1

TOTAL

193

19.7% 7.3% 0.0%0.0% 0.5% 100.0%

Patients

TOTAL 00

18800

5188

0

5

024501912

019381318




193

043883230

193105 88

193

$2,791,907 $34,342 $1,624,020 $35,400$35,400 $1,513,570 $5,999,240

46.5% 0.6% 27.1% 0.6%0.6% 25.2% 100.0%Net Revenue

12/31/20161/1/2016 to

14-2709

Yorkville Dialysis Center1400 N. BeecherYorkvilleKendall9



Address:Name:

City:County:




Property Owner: Yorkville Medical Building Company, LLC



Medical Director Name: Dr. Valerie Heidenry






Oct 10

Oct 20

Oct 311

Oct 40

Oct 511

Oct 60

Oct 711

0 0 15 0 15 0 15






Date of Operation

Hours operated


13Total:

11Total:






Full-Time Work Week: 40Registered Nurse : 1Dialysis Technician : 1.35Dietician : 0.22Social Worker: 0LPN : 0Other Health : 0.07Other Non-Health: 0.27








Medicare

22

88.0%

Medicaid

2

Private Insurance

1

Charity Care

0

Private Pay

0

Other Public

0

TOTAL

25

8.0% 4.0% 0.0%0.0% 0.0% 100.0%

Patients

TOTAL 0030

22

5200

0

03158

02132




25

0528

102517 8

25

$481,043 $131,658 $105,359 $0$0 $0 $718,060

67.0% 18.3% 14.7% 0.0%0.0% 0.0% 100.0%Net Revenue

12/31/20161/1/2016 to

esrd facility profile - illinois...14-2662 ara-south barrington dialysis 33 w. higgins road suite...

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