The State of Illinois requires hospitals to get approval for major spending on expansion and improvement projects and for significant changes in a hospitals capacity. Since Jim Skogsbergh became President and CEO of Advocate in 2002, Advocate has asked for approval to make changes at hospitals located in the City of Chicago only twice:

Advocate Ravenswood
• Closed in 2002
Advocate Bethany
• No requests
Advocate Trinity
• Received permission to discontinue Pediatric services in 2002
Advocate Illinois Masonic
• Received permission to add a 24-bed Rehabilitation Unit at a cost of $2,862,000 in 2002
 
On the other hand, since Skogsbergh became President and CEO in 2002, Advocate has repeatedly sought permission to make major investments in the suburbs:

Advocate Good Shepherd in Barrington
• Received permission to add 35 medical-surgical beds, 8 intensive care beds, one operating room, and construct a three-story addition at a cost of $35,600,000 in 2002
• Received permission to rebuild emergency room at a cost of $$29,585,000 in 2005

Advocate Christ in Oak Lawn
• Received permission to construct addition to surgical pavilion, add 5 operating rooms, and add 24 ICU beds at a cost of $29,941,000
• Received permission to modernize existing space, add 5 pediatric intensive care beds, convert and add neonatal beds, and increase number of private rooms at a cost of $9,488,000 in 2004

Advocate Tinley Park
• Sought permission to build a new hospital in Tinley Park at a cost of $222,269,000 in 2004; the permit was denied, but Advocate is appealing the decision

Advocate South Suburban in Hazel Crest
• Received permission to construct a 3-level building at a cost of $20,573,000 in 2003

Advocate Good Samaritan in Downers Grove
• Received permission to replace and expand Intensive Care Unit at a Cost of $16,665,000 in 2003
• Received permission to renovate operating rooms and build 5 new operating rooms at a cost of $49,827,000 in 2005

Advocate Lutheran General in Park Ridge
• Received permission to renovate the outpatient surgery department at a cost of $7,857,000 in 2003
• Received permission to remodel the West Pavilion at a cost of $44,483,000 in 2004
• Received permission to build a 9-level tower to replace part of existing facility at a cost of $239,190,000 in 2005
 

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