and cardiac catherization, helicopter transport transfer agreement with Rockford Memorial, burn care agreement with St. Anthony, trauma transfer with both STA and RMH. (Tr. 1652-53).
Rochelle has the following referral agreements:
Neonatal/perinatal transfer agreement with RMH; pediatric intensive care unit and cardiac monitoring with SAH: and burn agreement with St. Anthony; and recruitment agreement with University of Illinois College of Medicine. (Tr. 1657).
Katherine Shaw Bethea has the following referral agreements:
Perinatal, rehabilitation, and renal dialysis with RMH; pediatric intensive care with SAH; neurosurgery and trauma transfer agreement with RMH and STA. Radiation oncologist for RMH travels to Katherine Shaw Bethea. (Tr. 1657-58).
120. Approximately twenty-five to thirty percent of the patients actually utilizing the Rockford hospitals come to these hospitals from beyond the government's proposed geographic market. (GX 8).
Most of these patients come to Rockford to receive services that are not available at the hospitals closest to them and others because they believe that the Rockford hospitals provide higher quality. Tr. 86; Tr. 130; 519, 764-5, 944, 1253, 1271, DX 112).
121. Dr. Lynk based his opinion that the geographic market consisted of the ten counties surrounding the Rockford hospitals on an analysis of patient origin and destination data. These data were compiled by the Illinois Hospital Association, which is an association that includes virtually all of the hospitals in Illinois (Tr. 1005), and by the Health Care Financing Administration, which administers the Medicare payment process (the "MedPar" data). (Tr. 1110).
Elzinga-Hogarty Results -- Charges
The following figures were calculated using the charge data in DX 104:
Counties LOFI LIFO AVERAGE
W 67.2% 87.9% 77.6%
W, B 72.6% 88.7% 80.6%
W, O, B 79% 85% 82%
W, O, B, D 83% 80% 81.5%
W, O, B, Mc 82% 75% 78.5%
W, B, O, R 82.7% 81.5% 81.9%
W, O, B, Mc, D 85% 75% 80%
W, B, O, R, S 84.2% 82.2% 82.1%
W, B, O, R, S, D 86.8% 81.4% 83.1%
W, B, O, S, Mc, D 86% 76% 81%
W, R, O, R, S, D, MC 87.6% 75.5% 81.5%
W, B, O, S. Mc, D, L 88% 77% 82.5%
Other 3 counties 1.4% 2%
Ten County Area 90% 74.7% 82.4%
123. In a 1985 CON application for an MRI, Saint Anthony stated it served the entire state designated Region I-A planning area. (DX 55) (Tr. 615.) This is an area consisting of the following Illinois counties: Winnebago, Boone, DeKalb, Ogle, Dixon, Whiteside, Carroll, Jo Daviess and Stephenson. (DX 70.) Moreover, Saint Anthony stated it not only served the state planning area but it also is a regional referral center. (Tr. 615.) Similarly, in another CON application for a mobile lithotripter, Saint Anthony stated that it expected to extend services to southern Wisconsin. (DX 60).
124. Mr. Rindler's testimony that his hospital does not compete with the Rockford hospitals is somewhat contradicted in an earlier book he authored where he described the following:
Beloit's hospital out-migration numbers made it clear that most local residents leaving the community for health care were going to one of three tertiary hospitals in a nearby northern Illinois city. Families tended to utilize the tertiary hospitals for primary care because they perceived the quality of care was better.