Charity Care Reporting Compliance for Approval ASCs - LL Extensions

Ambulatory Surgery Centers - Limited Life Report
February 2016
Limited Life Extension Projects
Reports required - Quarterly
CON #
141201
142112
141253
151200
151309
151227
Facility Name
New York Endoscopy Center
Meadowbrook Endoscopy
South Brooklyn Endoscopy
South Shore Surgery Center
The Rye ASC, LLC
SurgiCare of Manhattan, LLC
County
Westchester
Nassau
Kings
Opcert
Opcert Exp
Start Date
Date
Specialty Type
1/15/2015 10/9/2016 Gastroenterology
2/26/2015 12/30/2016 Gastroenterology
3/30/2015 12/29/2017 Gastroenterology
Suffolk
Westchester
New York
10/9/2015 10/9/2017 Multi
12/10/2015 12/10/2017 Multi
5/18/2010 5/18/2015 Multi
Note: Extension Yr 1 represents a partial year of information.
Approved
Approved
Ext Yr 1 (yr 6) Ext Yr 1 (yr 6)
Target % for Target % for Ext Yr 1 (yr 6) Actual Charity
Actual
Charity Care Medicaid
visits
Care
Medicaid
2.10%
5.00%
1,745
5.00%
12.00%
3.00%
16.00%
8,045
1.33%
18.20%
2.00%
35.50%
5,705
1.09%
34.65%
1.50%
2.00%
2.00%
11.80% approved on 10/8/15
3.30% approved on 12/10/15
2.00% on 2/11/16 agenda