Illinois § 4.5

§ 4.5.

Hospital with multiple locations; single license. (a) A hospital located in a county with fewer than 3,000,000 inhabitants may apply to the Department for approval to conduct its operations from more than one location within the county under a single license. At the time of the application to operate under a single license, a hospital located in a county with fewer than 125,000 inhabitants may apply to the Department for approval to conduct its operations from more than one location within contiguous counties in which both facilities are located, provided that the second county has fewer than 235,000 inhabitants. A hospital located in a county with fewer than 325,000 inhabitants may apply to the Department for approval to conduct its operations from more than one location within contiguous counties provided that the facility located in the contiguous county is separately licensed under this Act and was acquired out of bankruptcy proceedings under the United States Bankruptcy Code before the effective date of this amendatory Act of the 104th General Assembly. (b) The facilities or buildings at those locations must be owned or operated together by a single corporation or other legal entity serving as the licensee and must share: (1) a single board of directors with responsibility for governance, including financial oversight and the authority to designate or remove the chief executive officer; (2) a single medical staff accountable to the board of directors and governed by a single set of medical staff bylaws, rules, and regulations with responsibility for the quality of the medical services; and (3) a single chief executive officer, accountable to the board of directors, with management responsibility. (c) Each hospital building or facility that is located on a site geographically separate from the campus or premises of another hospital building or facility operated by the licensee must, at a minimum, individually comply with the Department's hospital licensing requirements for emergency services. (d) The hospital shall submit to the Department a comprehensive plan in relation to the waiver or waivers requested describing the services and operations of each facility or building and how common services or operations will be coordinated between the various locations. With the exception of items required by subsection (c), the Department is authorized to waive compliance with the hospital licensing requirements for specific buildings or facilities, provided that the hospital has documented which other building or facility under its single license provides that service or operation, and that doing so would not endanger the public's health, safety, or welfare. Nothing in this Section relieves a hospital from the requirements of the Health Facilities Planning Act. (Source: P.A. 103-1075, eff. 3-21-25; 104-9, eff. 6-16-25.)