Heywood Healthcare, Inc. – Hospital/Clinic Substantial Capital Expenditure

Determination of Need application materials received by the Department of Public Health for Heywood Healthcare, Inc. – Hospital/Clinic Substantial Capital Expenditure.

Application Form

• Application Form (PDF) | (DOC)

Application Attachments

• Population Characteristics Charts and Tables (PDF) | (XLS)
• Socioeconomic Charts and Tables (PDF) | (XLS)
• Notice of Intent (PDF) | (DOC)
  • Public Notice of Intent-Athol (PDF) | (DOC)
  • Public Notice of Intent-Gardner (PDF) | (DOC)
• Filing Fee (PDF) | (DOC)
• Athol License (PDF) | (DOC)
• Heywood Healthcare – Articles of Incorporation (PDF) | (DOC)
• Heywood Healthcare Bylaws (PDF) | (DOC)
• Heywood Hospital Bylaws (PDF) | (DOC)
• Capital Costs Chart (PDF) | (DOC)
• Care Plan Military Service (PDF) | (DOC)
• Care Planning Overview (PDF) | (DOC)
• Discharge Planning High Risk Screening (PDF) | (DOC)
• Form 990 (PDF) | (DOC)
• Patient Panel (PDF) | (XLS)
• Volume by Specialty (PDF) | (XLS)
• PFAC Demographics Form (PDF) | (DOC)
• Social Service Consultations (PDF) | (DOC)
• Heywood Healthcare – Articles of Organization
• Heywood Healthcare Articles of Organization – 2 (PDF) | (DOC)

Change in Service

• Change in Service (PDF) | (DOC)

Affiliated Parties

• Affiliated Parties (PDF) | (DOC)

Affidavit

• Affidavit (PDF) | (DOC)

Articles of Organization

• AOI Heywood Hospital Change 2013 (PDF) | (DOC)
• AOI Heywood Hospital 1907 (PDF) | (DOC)

CPA Report

• CPA Report (PDF) | (DOC)

Staff Report

• Staff Report (PDF) l (DOC)
• Staff Report Amended (PDF) | (DOC)

Responses to DoN Question

• Responses (PDF) | (DOC)
• Responses to DoN Question – 2 (PDF) | (DOC)
• Responses to DoN Questions – 3 (PDF) | (DOC)
• Responses to DoN Question – 4 (PDF) | (DOC)
• Responses to DoN Questions – 5 (PDF) | (DOC)

Decision Letter

• Decision Letter (PDF) | (DOC)

Acknowledgement

• Acknowledgement (PDF) | (DOCX)