Ambulatory Surgery Centers - Limited Life Report February 2016 Original Limited Life Projects Reports required - Annually CON # 091059 071061 112287 092142 101024 092062 092188 111133 111138 111196 101167 111502 111362 111488 111165 101134 092069 111076 111409 112179 112382 121346 112379 112222 121140 121393 121412 131308 112032 122280 111439 111552 111277 122164 102452 122265 131296 122104 132346 132281 131026 Facility Name Advanced Surgery Center 1 Gastroenterology Care, LLP Surgical Specialty Care of Westchester Mohawk Valley EC, LLC Manhattan Endo, LLC Griffiss Eye Center, LLC Carnegie Hill Endo, LLC Heritage One Day Surgery, LLC Putnam Endoscopy ASC, LLC Syracuse Surgery Center 2 West Side GI, LLC Hudson Valley Center, LLC Upstate Gastroenterology, LLC Yorkville Endoscopy Center Queens Boulevard GI, LLC Manhattan Surgery Center WNY Medical Management, LLC Queens Endoscopy ASC, LLC Flushing Endoscopy Center, LLC Mohawk Valley Eye Surgery New York Eye Surgical White Plains Ambulatory Surgery, LLC Surgery Ctr at Orthopedic Associates, LLC Brooklyn SC, LLC Endoscopy Center of Niagara Island Digestive Health Center Advanced Surgery Center of Long island Great South Bay Endoscopy PBGS, LLC Cortland Surgical Center Empire State Ambulatory North Queens Surgical Center Avicenna ASC, Inc. Mason Eye Surgery Center Fromer LLC Eye Center of New York Island Ambulatory Surgery Apex Surgical Center GoldStep Ambulatory Surgery The Northway Surgery & Pain Center Northern GI endoscopy OMNI Surgery Center 1 2 County Rockland Kings Westchester Oneida New York Oneida New York Onondaga Putnam Onondaga New York Westchester Onondaga New York Queens New York Erie Queens Queens Montgomery Saratoga Westchester Dutchess Kings Niagara Suffolk Suffolk Suffolk Kings Cortland Bronx Queens Bronx Queens Bronx Kings Oneida Kings Saratoga Warren Oneida Opcert Start Date 6/14/2010 3/17/2011 7/6/2011 9/1/2011 12/5/2011 1/3/2012 3/2/2012 3/3/2012 4/2/2012 6/1/2012 6/15/2012 7/11/2012 8/9/2012 2/22/2013 3/25/2013 4/1/2013 4/10/2013 4/23/2013 5/1/2013 6/11/2013 7/31/2013 8/6/2013 8/16/2013 11/1/2013 2/24/2014 5/22/2014 6/4/2014 8/5/2014 10/2/2014 10/6/2014 2/19/2015 3/5/2015 3/18/2015 3/25/2015 4/7/2015 4/21/2015 7/10/2015 7/17/2015 10/19/2015 10/23/2015 12/8/2015 Opcert Exp Date 6/13/2015 3/17/2016 7/5/2016 8/31/2016 12/4/2016 1/2/2017 3/1/2017 3/2/2017 4/1/2017 5/31/2017 6/14/2017 7/10/2017 8/8/2017 2/21/2018 3/24/2018 3/31/2018 4/10/2018 4/22/2018 4/30/2018 6/11/2018 7/31/2018 8/5/2018 8/15/2018 10/31/2018 2/23/2019 5/21/2019 6/4/2019 8/4/2019 10/1/2019 10/5/2019 2/18/2020 3/4/2020 3/17/2020 3/24/2020 4/6/2020 4/20/2020 7/9/2020 7/16/2020 10/18/2020 10/22/2020 12/7/2020 Specialty Type Plastic&Ophthalmlgy Gastroenterology Multi Gastroenterology Gastroenterology Multi Gastroenterology Pain Management Gastroenterology Ophthalmology Gastroenterology Gastroenterology Gastroenterology Gastroenterology Gastroenterology Multi Pain Management Gastroenterology Gastroenterology Ophthalmology Ophthalmology Multi Multi Multi Multi Gastroenterology Gastro/Pain Mgmt Gastroenterology Gynecology Otolaryngology(ENT) Multi Multi Multi Ophthalmology Ophthalmology Multi Multi Multi Pain Management Gastroenterology Pain Management Approved Approved Target % for Target % for Yr 2 - Actual Yr 2 - Actual Charity Care Medicaid Yr 2- visits Charity Care Medicaid 0.00% 3.00% 2.00% 298 0.00% 2.00% 4.00% 2,248 0.04% 26.91% 3.00% 2.00% 1,996 2.30% 1.20% 2.00% 6.00% 6,316 0.13% 0.85% 2.00% 3.00% 11,160 0.66% 1.08% 2.00% 10.00% 3,701 0.86% 4.51% 2.00% 3.00% 13,593 1.19% 0.96% 2.00% 2.00% 12,261 4.15% 6.51% 2.00% 5.00% 2,692 0.00% 0.00% 3.98% 2.00% 1,423 0.00% 0.21% 2.00% 3.00% 12,516 0.59% 15.92% 2.00% 3.20% 3,240 0.15% 4.38% 2.00% 10.00% 1,106 0.27% 17.63% 0.66% 0.24% 2.00% 2.60% 10,685 1.73% 49.51% 2.50% 25.90% 8,244 1.08% 2.88% 2.00% 5.00% 2,502 0.00% 5.88% 2.00% 2.00% 902 0.36% 33.93% 2.50% 15.90% 13,011 1.97% 53.97% 2.51% 15.90% 13,379 0.08% 18.76% 2.00% 22.00% 1,242 6.85% 0.87% 2.00% 2.00% 1,840 0.53% 0.00% 2.00% 15.00% 938 2.18% 15.50% 2,790 0.29% 6.77% 0.24% 10.75% 2.00% 6.00% 5,340 0.17% 8.74% 2.00% 4.80% 2,896 0.10% 18.77% 2.00% 7.00% 5,044 0.13% 3.27% 2.00% 5.00% 5,417 2.50% 10.40% no information provided to SPARCS yet 2.00% 55.50% no information provided to SPARCS yet 2.00% 22.10% no information provided to SPARCS yet 2.00% 10.20% Year 2 SPARCS data not yet due 2.00% 5.00% Year 2 SPARCS data not yet due 4.00% 65.00% Year 2 SPARCS data not yet due 2.00% 50.00% Year 2 SPARCS data not yet due 0.00% 38.50% Year 2 SPARCS data not yet due 2.00% 16.00% Year 2 SPARCS data not yet due 2.00% 5.80% Year 2 SPARCS data not yet due 2.00% 60.00% Year 2 SPARCS data not yet due 3.00% 6.00% Year 2 SPARCS data not yet due 2.00% 7.00% Year 2 SPARCS data not yet due 2.00% 5.20% Year 2 SPARCS data not yet due Yr 3 - Actual Yr 3 - visits Charity Care 200 0.00% 0.00% 3,234 3.07% 3,454 8,621 0.09% 1.37% 17,188 2,981 0.03% 11,426 2.10% 13,240 0.11% 2,315 0.39% 1,089 0.00% 12,549 0.55% 2,769 0.22% 1,474 0.07% Yr 3-Actual Medicaid 0.00% 28.91% 3.47% 2.40% 1.16% 7.95% 1.19% 14.99% 0.35% 2.48% 18.09% 8.02% 15.13% Yr 4- Actual Yr 4- Actual Yr 4- visits Charity Care Medicaid 212 0.00% 0.00% 3,442 0.06% 34.81% 2,571 0.82% 7.16% 0.90% 0.47% 9,063 12,656 1.41% 3.42% Did not file Cost Report for 2012 Did not file Cost Report for 2013 Data Sources (based on OpCert Start Year in table below, except for footnoted facilities): OpCert start year 2010 - Yr 2, Yr 3, and Yr 4 data from Cost Reports OpCert start year 2011 - Yr 2 and Yr 3 data from Cost Reports; Yr 4 data from Annual Report if submitted, else data is from SPARCS OpCert start year 2012 - Yr 2 data from Cost Reports; Yr 3 and Yr 4 data from Annual Report if submitted, else data is from SPARCS OpCert start year after 2012 - Data from Annual Reports if submitted, else data is from SPARCS OpCert Start Year Year 2 Year 3 Year 4 Ambulatory Surgery Centers - Limited Life Report February 2016 2010 2011 2012 2013 2014 2015 2011 2012 2013 2014 2015 2016 2012 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017 2018
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