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Tj /F7 12.61 Tf 43.68 -42.72 TD (COMPLAINT COUNSEL'S COMMENTS ON ENH'S PROPOSAL) Tj /F8 5.00 Tf -23.28 -27.84 TD (In its August 2,2007, decision, the Commission h~ld that the 2000 merger of ) Tj /F7 12.00 Tf 373.44 -.72 TD (Evanston) Tj /F7 12.02 Tf -409.68 -27.60 TD (Northwestern Healthcare Corporation \("ENH"\) and Highland Park Hospital \("Highland Park"\)) Tj /F7 12.15 Tf 0.24 -28.08 TD (violated section 7 ofthe Clayton Act. The Commission concluded, however, that although) Tj /F7 12.08 Tf 0.24 -28.32 TD (divestitue is the preferred remedy for an unlawful merger, this was a "highly unusual case" in) Tj /F7 12.15 Tf -.48 -28.32 TD (which a conduct remedy was more appropriate. Slip Gp. at 89. Therefore, the Commission) Tj /F7 12.07 Tf 0.24 -28.32 TD (elected to forgo the remedy of divestitue and, instead, directed ENH to submit a detailed proposal) Tj /F7 12.00 Tf -.48 -28.32 TD (under which ENH would establish separate and independent teams, one for Evanston and one for) Tj /F8 5.00 Tf 0.00 -28.32 TD (Highland Park, ) Tj /F7 11.89 Tf 72.96 4.56 TD (1 that would compete with each other in negotiating contracts with managed care) Tj /F7 12.19 Tf -72.96 -32.64 TD (organzations \("August 2 order"\). The Commission directed that Complaint Counsel could then) Tj /F7 11.93 Tf 0.24 -28.32 TD (submit any objections to or comments on ENH's proposa1.2 We respectfully submit the following) Tj /F7 11.72 Tf -.48 -28.32 TD (comments.) Tj /F7 12.05 Tf 36.24 -35.76 TD (1 As in the Commission's decision, "Evanston" refers to both Evanston Hospital and) Tj /F7 12.03 Tf -36.24 -18.96 TD (Glenbrook Hospital, "Highland Park" refers to Highland Park Hospital, and "ENH" refers to) Tj /F7 12.06 Tf -.24 -14.16 TD (Evanston Northwestern Healthcare Corporation. See Slip Op. at 4 n.2.) Tj /F8 5.00 Tf 35.52 -21.36 TD (2 Submission of ) Tj 82.08 -5.28 TD (Evanston Northwestern Healthcare in Explanation and Support of ) Tj /F7 11.44 Tf 319.44 -.72 TD (its) Tj /F7 12.05 Tf -437.52 -12.96 TD (Proposed Final Order \(September 17, 2007\) \("ENH submission"\) and Proposed Final Order) Tj /F7 11.95 Tf 0.48 -16.32 TD (\("ENH's proposed order"\).) 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In particular, the Commission expressed concern that certain) Tj /F15 12.05 Tf -.24 -28.32 TD (improvements, paricularly the cardiac surgery program that has been developed and implemented) Tj /F15 12.28 Tf -.24 -28.32 TD (post-merger, would not surive divestiture and would take Highland Park a signficant amount of) Tj /F14 8.22 Tf 0.24 -28.08 TD (time to implement on its own following divestitue. Slip Gp. at 89. Based on its assessment of) Tj /F15 12.11 Tf -.24 -28.32 TD (the likely risks and costs of divestitue in this case, the Commission concluded that a conduct) Tj /F15 11.95 Tf -.24 -28.08 TD (remedy would be more appropriate.) Tj /F15 12.02 Tf 36.00 -28.32 TD (Having done so, however, the Commission made clear that conduct relief is not a) Tj /F15 12.49 Tf -35.52 -28.32 TD (substitute for strctual relief in addressing and remedying the competitive har from an unlawful) Tj /F15 12.10 Tf -.48 -28.32 TD (horizontal merger: "Divestitue is the preferred remedy for challenges to unlawful mergers,) Tj /F14 5.00 Tf 0.00 -28.32 TD (regardless of ) Tj /F15 12.40 Tf 64.32 -.24 TD (whether the challenge occurs before or after consumation." d. at 90-91. Indeed,) Tj /F15 12.10 Tf -64.32 -28.08 TD (the Commssion made clear that its rationale for not requiring divestiture in this case would likely) Tj /F14 5.00 Tf -.24 -28.08 TD (have little application to its consideration of ) Tj /F15 12.20 Tf 214.80 -.48 TD (the appropriate remedy in futue challenges to) Tj /F16 11.02 Tf -214.80 -27.84 TD (unconsumated mergers, including future hospital mergers, and that if the agency had challenged) Tj /F16 11.10 Tf 0.00 -28.32 TD (this transaction before it had been consumated, none of the mitigating factors the Commission) Tj /F15 12.22 Tf 0.00 -28.32 TD (identified would have cared much weight in its analysis ofr~medy.3 d. at 90.) Tj /F15 12.13 Tf 35.76 -65.28 TD (3 The Commission also made clear that its reasoning on remedy in this case would not) Tj /F16 11.17 Tf -36.24 -18.48 TD (necessarly apply in any futue challenge to a consummated merger, including a consumated) Tj /F15 11.88 Tf -3.84 -14.40 TD (. hospital merger. d. at 90.) 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D?BgPv)&Rn,k/WՊc)xKb鴵mLVa-jo_ 2!:0 M&& Oa kn>a鏍4uG""*""""HWAu.Roe AAw m b!N6&&6+ RaKIF(|/ & - ڰKk &a-&mu行a TG>o h"Cঁ ՊbЈρ4_]iOq4Mt)؆aB"ɵMWBI%!Mzo (J,& E%P+!Dp|&v7\ev.ɥZUV(;XU * sF S' j.d@w!2GUAT0hڢEނvBU\uuITJ3!>⌮i7S+( _ҪOz_­%I60az?үKJ'40sApN C/ !)"Q%W~YT֒ޚ  <5 9: F O'&vfa3ba]AY0PN4 !Cxg3d ӽ;m}A:/t] rfgNMڠ.OAѺv Awo]t3*H6F'DƉߨ}~>D :fa0MVznz_%ztu(gPy .SBhE%}-WoZI&.A# S/}Sw>+p I&S}ۮzu_B1c[v@^wF}Z_u0o_\+"P~[_}z;`=_[֯iuat뿥{[uA/ե׿bxIWHYyKO]o264i{޴|߫Zb:Z!}%]-/IlqVӵ__o~/]%ؐհLki4v^a>imK!{j!}SO!/K*)>*;⮒%ni%a.J?lO(2R&PTn\tD-Q7 .4KN)X""80(68 &Za5Q `1JA( 4""#Bшl0L#A _a3\0TXaW '*^oPk\DDDDq :TX}=r7"ArnHDDDDDDDHd چB1b83LPg; XAB$> stream q q 612.00 0.00 0.00 792.00 0.00 0.00 cm /Im20 Do Q Q q BT 3 Tr /F21 11.97 Tf 104.64 711.36 TD (We have faced a dilemma in formulating and proposing meaningful comments on ENH's) Tj /F21 12.07 Tf -36.48 -28.08 TD (proposal. As the Commission has stated, divestiture remedies are well established in antitrust law) Tj /F22 5.00 Tf 0.24 -28.32 TD (and supported by decades of ) Tj /F21 12.32 Tf 137.52 -.48 TD (judicial precedent, agency experience and study. The tye of conduct) Tj /F21 12.02 Tf -137.52 -28.08 TD (approach embodied in ENH's proposal has not been studied and does not have a record of) Tj /F22 5.00 Tf -.24 -28.32 TD (success.4 Although ENH's proposal generally appears to conform to the requirements of ) Tj /F21 11.79 Tf 428.40 -1.20 TD (the) Tj /F21 12.05 Tf -428.64 -27.12 TD (Commission's August 2 order, we believe that this approach - establishing two different) Tj -.48 -28.08 TD (negotiating teams with a firewall to inhibit information flows between them - is unlikely to) Tj /F22 5.00 Tf 0.00 -28.08 TD (restore competition or to result in lower ) Tj /F21 12.12 Tf 193.68 -.96 TD (prices to affected consumers. We are also concerned that) Tj /F23 11.21 Tf -193.44 -27.36 TD (attempting to improve upon ENH's proposal \(or any conduct-tye remedy\) by requirng more) Tj /F21 12.15 Tf -.24 -28.32 TD (extensive and complex mechansms and procedures may only create ineffciencies and increase) Tj /F21 11.99 Tf -.24 -28.32 TD (ENH's costs of operation systemwide, without an offsetting improvement to competitive) Tj /F21 12.07 Tf 0.00 -28.32 TD (conditions in the market. Such cost increases to ENH would likely lead to higher prices to its) Tj /F21 11.99 Tf -.48 -28.32 TD (managed care organization \(MCO\) customers, and to higher premiums, deductibles and co-) Tj /F21 12.08 Tf 36.00 -50.64 TD (4 In the only instance in which an analogous approach was attempted at the federal) Tj /F21 12.25 Tf -36.00 -18.96 TD (enforcement level, it failed. See United States and State of Florida v. Morton Plant Health) Tj /F22 5.00 Tf -.24 -14.16 TD (System, Inc. and Trustees of ) Tj /F21 12.03 Tf 137.28 -.48 TD (Mease Hospital, Inc., Civ. No. 94-748-CIV-T-23E \(M.D. Fla. 1994\),) Tj /F21 12.17 Tf -137.28 -13.44 TD (cited by ENH. See ENH submission at 5. The Morton Plant/Mease case was brought by the) Tj /F21 12.51 Tf -.24 -14.16 TD (Deparent of Justice Antitrst Division and the Florida State Attorney General to challenge the) Tj /F22 5.00 Tf -.24 -14.16 TD (proposed merger of ) Tj /F21 12.10 Tf 97.20 -.48 TD (two hospitals in central Florida. It resulted in an injunctive consent decree) Tj /F21 12.32 Tf -96.96 -13.68 TD (that permitted the merging paries to combine administrative fuctions and the provision of) Tj /F21 12.01 Tf 0.00 -14.16 TD (outpatient and specified inpatient services, but required that all other services be provided) Tj /F21 12.05 Tf 0.00 -14.16 TD (separately, and all medical services be marketed and sold separately and independently. The) Tj /F21 11.99 Tf 0.00 -14.16 TD (defendants began violating the consent decree shortly after it was entered and continued to do so) Tj /F21 12.07 Tf 0.00 -14.16 TD (for the decree's entire 5-year term. Among other things, the hospitals committed repeated) Tj /F22 5.00 Tf -.48 -14.16 TD (violations by coordinating the negotiation and sale of ) Tj /F21 12.02 Tf 258.72 -1.20 TD (hospital services through the very) Tj /F21 12.57 Tf -258.96 -12.96 TD (mechanism, a bona fide parership, that the decree allowed for shared fuctions. See) Tj /F22 5.00 Tf 0.00 -14.16 TD (Memorandum ofthe United States and the State of ) Tj /F21 12.24 Tf 247.68 -1.20 TD (Florida in Support ofthe Motion and) Tj /F21 11.97 Tf -247.20 -13.20 TD (Stipulation for Entry of an 鶹ý Order \(September 26, 2000\),) Tj /F21 12.83 Tf -.72 -14.16 TD (htt://ww.usdoi.gov/atr/cases/f5100/5156.htm.) 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Tj /F28 11.88 Tf 35.76 -28.56 TD (We have. therefore evaluated ENH's proposal to determine whether there are any) Tj /F28 12.03 Tf -35.52 -28.56 TD (appropriate changes or additions that we could propose or suggest. Our proposals, suggestions) Tj /F28 11.91 Tf 0.00 -28.32 TD (and specific comments are set forth below.) Tj /F28 12.72 Tf 82.56 -28.56 TD (SPECIFIC COMMENTS ON ENH'S PROPOSED ORDER) Tj /F28 11.99 Tf -47.28 -28.08 TD (ENH's proposed order includes a number of definitions and provisions that are) Tj /F28 11.97 Tf -35.76 -28.08 TD (inconsistent with the ordering language and approach used in other Commission healthcare) Tj /F28 11.91 Tf 0.00 -28.32 TD (orders,5 including ENH's own consent order in this matter that settled the physician price-fixing) Tj /F28 12.12 Tf 0.00 -28.08 TD (allegations in Count il ofthe Commission's Complaint \(hereinafter ENH 2005 consent order\),6 or) Tj /F28 12.05 Tf -.24 -28.32 TD (that are at odds with general Commission practice. In addition, certain provisions in ENH's) Tj /F28 11.97 Tf -.24 -28.32 TD (proposed order fail to conform to managed care contracting practices, which could potentially be) Tj /F28 12.44 Tf 0.24 -28.32 TD (detrmental to the bargainig position ofMCO contract negotiators. We propose a number of) Tj /F28 11.99 Tf 0.00 -28.32 TD (conforming changes, deletions and additions to address these inconsistencies and to improve order) Tj /F28 11.91 Tf 0.00 -28.32 TD (administrability and compliance oversight.) Tj /F28 12.10 Tf 35.52 -28.32 TD (We also propose the addition of a prior notification requirement for any futue acquisitions) Tj /F28 5.00 Tf -35.76 -28.32 TD (of ) Tj /F28 12.01 Tf 12.48 0.24 TD (hospitals that ENH may make within the Chicago Metropolitan Statistical Area, as well as for) Tj /F29 5.00 Tf -12.48 -28.32 TD (any management contracts or similar arangements that ENH may enter into for a hospital ) Tj /F28 11.89 Tf 434.16 -.72 TD (located) Tj /F28 12.09 Tf -434.88 -27.60 TD (within that area. The prior notification requirement we propose is similar to those used in past) Tj /F28 12.02 Tf 0.00 -28.32 TD (hospital orders, and we believe it has the potential to provide the Commission with useful) Tj /F28 11.96 Tf 36.24 -38.88 TD (5 See, e.g., North Texas Specialty Physicians, Docket No. 9312,) Tj /F30 11.38 Tf -36.48 -18.72 TD (http://ww.ftc.gov/os/adipro/d9312/05120 1 finalorder.pdf) Tj /F28 12.12 Tf 36.48 -21.60 TD (6 See Evanston Northwestern Healthcare Corporation and ENH Medical Group, Inc.,) Tj /F29 8.71 Tf -36.48 -18.72 TD (Docket No. 9315 \(issued May 17, 2005\), http://ww.ftc.gov/os/adipro/d9315/050520do.pdf) Tj /F28 11.04 Tf 234.00 -26.64 TD (4) Tj ET Q endstream endobj xref 1 2 0000161205 00000 n 0000161264 00000 n 24 7 0000161355 00000 n 0000161519 00000 n 0000205847 00000 n 0000162047 00000 n 0000161666 00000 n 0000161795 00000 n 0000161920 00000 n trailer << /Size 31 /Prev 160879 /Root 1 0 R >> startxref 208828 %%EOF % Page Description << /EndOffset 0000252248>> 1 0 obj << /Type /Catalog /Pages 2 0 R >> endobj 2 0 obj << /Type /Pages /Kids [3 0 R 10 0 R 17 0 R 24 0 R 31 0 R ] /Count 5 >> endobj 31 0 obj << /Type /Page /Parent 2 0 R /Resources 32 0 R /Contents 33 0 R /Rotate 0 /eCpyResolution 300 /MediaBox [0 0 612.00 792.00 ] >> endobj 32 0 obj << /XObject << /Im34 34 0 R>> /Font << /F35 35 0 R /F36 36 0 R /F37 37 0 R>> /ProcSet [/PDF /Text /ImageB /ImageC ] >> endobj 35 0 obj << /Type /Font /Subtype /Type1 /Name /F35 /BaseFont /Times-Roman /Encoding /WinAnsiEncoding >> endobj 36 0 obj << /Type /Font /Subtype /Type1 /Name /F36 /BaseFont /Courier /Encoding /WinAnsiEncoding >> endobj 37 0 obj << /Type /Font /Subtype /Type1 /Name /F37 /BaseFont /Helvetica /Encoding /WinAnsiEncoding >> endobj 34 0 obj << /Type /XObject /Subtype /Image /Name /Im34 /Width 2550 /Height 3300 /eCpyDPIX 300 /eCpyDPIY 300 /ImageMask false /Filter /CCITTFaxDecode /BitsPerComponent 1 /DecodeParms << /K -1 /Columns 2550 /Rows 3300>> /ColorSpace /DeviceGray /Decode [0 1 ] /Length 38866 >> stream El @UkkP [AFWK3v^LڬA a.#'8Ǚ ٕQQzbDQ`^!c@';(z"'Sȯowʌ4nY^%sU_݇wT cU.Ik}/^jUU[l`$B xl%a^G4(MPa<3SP5 BxO SEr M 0MBAh (&vKR(e8" Df)'4 H&5nMxOw>dwB;x; =W aaki転w#M.ޚ' &ᙞTMOu * aN.)<&dpL&Λ>+kr;i6F O M &v&ķl`餃pޮA0.t6KxMw#P'o׭0VO'va7y99f ^ Rm.M~nIq>G3IWyA9bؚ4O[]:׿ m_]?]j׿)]i?aդ%j63Im&~Zu_KO說]_N W]_&'?v?]u}0^鵽z}+^?q_q/aj~bu,`&7w 0_}[B~ Az|^__J5(ǿ]-DN׿ __ 7sAl4. =^_Ɨ>جom_~KGQ__#d?z^#?r]~9^{3Z4D~$v#W _Z_Bokk}ׯ/mm~7N{~k̅"{[[\eԿ&v_zia/}8i_RaK[Km& %i0](8ث/vwu_د_!/A;CŊ[O;K/f;VwW %D+A&(a0A!ltLS!aXbZK_k]A+tׇCIV>)}[J;J![LqJ?ثVJ{^AvAoih6ET"GA8DtBLP" 6D,B@X frdGQTp#SABp+iM״KDDD#$דt&ajd* 0AaB^= gaM-M0(a^U apM!6"E1@zB! ۈ+diՄ3zDEtb4tb"""""3~05pAY xk S iV"""""""""""""*"""#80LaM>g!/DDDDDR_z*ҭ}bEC^Jj+bV0T " A#xZdMO D UYz?3+LG8!v$.5u>2'!Б9ŃEW!崳$ٰ1Yʴۥܳʿ~]ɰ-S̹<2vO3AG DKHluba8)AA N!A 63C : 9;'#ud!yMs|00T?a<5!0!t& 4 rߍ&qrş4^Q;nj=Q7uv¢#NAPPT}>ژ331h'<6D > 95bۗx}㗁dtqKKnMl/]+ZMُ\4 7^I4f4֪zpî*m~5Ը_IJZMZUT_ZFH9_Wxﺽi#>Vگv]>ՐW ߧ-|WѴ(EoEz_C}.Wn}}{_}7I_%{wW㰶د0MwNߓ;_^Gku!/ae_VnJ!N+6ui4a+{N5bJ8ILwV[P`  "Sf @E88" tD:2T!8Sibh^l ždA5 V0kJ"A>!4M `h m5QDDDDDDDJFAHE/2M3Ņ4 &pa287}\DDDDDDDD񈈈!@T c&dMn\,m)WXa4\,en"G0PU 0R`LL8D|P(/ pPE:."lTdTZoiNġw++ą懒DUOkWv yR jkU]%뮟V__}W#l͑"6t3PC/S"3Dz5#&2!-2Xe9#{)@s$Og\eDjd qA]~wcAS0AB0TQf`PBl9A"08("2R `D0A3Lg 2r Bn r'MH<Ȅd*xلA2pΣw!GQ2'ST%g*M0TjT cL'Ek 4= Ba 3BpU0" - W <0D9ha H"- ""ЂL\d lƋI9H6|Cd=:7gډ3!udtNjp3"\dE$BЫptd&_&҂ &]d`òV}+a=?8I66Z9fbRzI 6h 4:OHM{jիx_^߯:OMЭO~𻮽n876fi5$kz[_^zo_}Pa/v}޽v-z~w]Mo_uЅ_q_KȢHO_:~a(aycac?W k୥{'B+X1 ^~'}GN?aJ>/_KKҽJ owo_D_~Kb}K6֋ݺ^|H~.{k-DQdK^~_ gz_9:E"Enz{JHuKҷom-{^W_W_:_뽮z}iXO޺1f?aKu w׿ }^mZa(pIXiZMiShGw!Vk16l"1A!+\4:ǘK m]wV) \0PLTm1&WÈqVWIX8jV7PTհ_Nե+/FV^PK QMSM2#D> D=B頃C0D.YӶ":Bn!аCB#(5FF("0A:iOka((a[&00# _aBih5ɻj E4Zl a4^ ¦L0Ah& &H@w+piiDGb"(DDFNbCDDDb aJ&/ /iL/5* PX}'IDDDDDDDDDDDDDDDDJ-M3^l3}tDDDDDDG_UUi}H|S7A0'&L22p[X/o6[|`SbQ3c<2C( f!twg M`(335DL(O 8} ӿ%a03j>)ë=0}nۯ}?WuMa"셟]ma帘~7_!-M__uv_mEDvK[1@0D+aM? on$HfFr9nn&V[EX_F‚zW;,ʈKDL. 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Tj /F35 11.96 Tf -41.76 -28.56 TD (Our proposed alternative language and provisions are set forth in the Attachment to this) Tj /F35 11.77 Tf -36.24 -28.32 TD (submission.) Tj /F35 11.97 Tf 36.00 -28.56 TD (Our comments on ENH's proposal are provided with the caveat that, although ENH's) Tj /F35 11.96 Tf -36.48 -27.84 TD (compliance with the contract negotiating and firewall procedures required by any final order) Tj /F35 11.95 Tf 0.24 -28.32 TD (entered by the Commission can be monitored, it is highly unlikely \(and we can therefore make no) Tj /F35 11.99 Tf -.24 -28.08 TD (assurances\) that a competitive market performance outcome will result or that competition) Tj /F35 12.09 Tf -.48 -28.32 TD (between the Evanston and Highland Park hospitals wil be re-created.) Tj /F35 14.74 Tf 0.24 -28.56 TD (A. Comments on PARGRAH I - Definitions) Tj /F35 11.98 Tf 36.00 -28.32 TD (We propose the following changes to the Paragraph I definitions to align ENH's proposed) Tj /F35 11.96 Tf -36.00 -28.08 TD (order with the ordering language and approach used in other healthcare orders issued by the) Tj /F35 12.00 Tf 0.00 -28.56 TD (Commission, including the ENH 2005 consent order in this matter, and to conform to managed) Tj /F37 11.04 Tf -.24 -28.08 TD (care contracting practices. Certain additional definitions are also necessar to implement the) Tj /F35 11.98 Tf -.48 -28.32 TD (proposed prior notification requirement.) Tj /F35 12.88 Tf 36.96 -28.56 TD (1. Proposed changes to ENH's proposed order:) Tj /F36 8.32 Tf -.72 -28.08 TD (, I.H. "Payor": To assure consistency in order language and thereby avoid ambiguity in) Tj /F35 12.09 Tf -36.00 -28.56 TD (compliance and enforcement, the definition of "Payor" should conform to that used in the ENH) Tj /F35 11.98 Tf -.24 -28.32 TD (2005 consent order in this matter as well as in other Commission healthcare orders.) Tj /F36 5.00 Tf 36.00 -28.80 TD (, I.J. "Managed Care Contract": We propose that ENH's definition of ) Tj /F35 12.06 Tf 357.36 -.48 TD ("Managed Care) Tj /F35 12.00 Tf -393.36 -28.08 TD (Contract" be modified to make clear that, if a Payor should elect to negotiate with the separate) Tj -.48 -28.08 TD (Highland Park and Evanston teams, the pricing methodology used, whether per diem, percentage) Tj /F35 9.12 Tf 234.48 -38.88 TD (5) Tj ET Q endstream endobj xref 1 2 0000209155 00000 n 0000209214 00000 n 31 7 0000209312 00000 n 0000209476 00000 n 0000249208 00000 n 0000210004 00000 n 0000209623 00000 n 0000209752 00000 n 0000209877 00000 n trailer << /Size 38 /Prev 208828 /Root 1 0 R >> startxref 251970 %%EOF % Page Description << /EndOffset 0000298028>> 1 0 obj << /Type /Catalog /Pages 2 0 R >> endobj 2 0 obj << /Type /Pages /Kids [3 0 R 10 0 R 17 0 R 24 0 R 31 0 R 38 0 R ] /Count 6 >> endobj 38 0 obj << /Type /Page /Parent 2 0 R /Resources 39 0 R /Contents 40 0 R /Rotate 0 /eCpyResolution 300 /MediaBox [0 0 612.00 792.00 ] >> endobj 39 0 obj << /XObject << /Im41 41 0 R>> /Font << /F42 42 0 R /F43 43 0 R>> /ProcSet [/PDF /Text /ImageB /ImageC ] >> endobj 42 0 obj << /Type /Font /Subtype /Type1 /Name /F42 /BaseFont /Times-Roman /Encoding /WinAnsiEncoding >> endobj 43 0 obj << /Type /Font /Subtype /Type1 /Name /F43 /BaseFont /Courier /Encoding /WinAnsiEncoding >> endobj 41 0 obj << /Type /XObject /Subtype /Image /Name /Im41 /Width 2550 /Height 3300 /eCpyDPIX 300 /eCpyDPIY 300 /ImageMask false /Filter /CCITTFaxDecode /BitsPerComponent 1 /DecodeParms << /K -1 /Columns 2550 /Rows 3300>> /ColorSpace /DeviceGray /Decode [0 1 ] /Length 41578 >> stream H 媳?-3ْj FB#'[[AT4ɰA=™j(.+I&Mp&F?\;)f@سO&գCP_l/(P_cC+~kfA3;1+\є'!4"!*fDuBnBxD-;q%!P9 MH!t4BGdNΙE뮺EP 8pxO`nBjgL&`pa "tPDL " duyAHFuDc]}W֓辢x|5;0dANÍƆDz邅L&TBa?L"1, aa6GAAy\a9ГA` HGAIzt\Itm_/E4=4Oh]˶xhª'pLC9h<&pT0A0D" ZG  d%rqFKB(g#ѬdDfFnhZ/I'{Z੽^Is1݉l9Cb4mD3#pIE>W5H}WUUW o[]tk; .5uJ1_=zꝴ}Vo[J>.pa?&3} V-z:~}~_;Xa %ܵb61 +?z-_?}aN?? 2(ἑߥXbL_wA_/_ߟ^𬑆WᴿoaJ?~ެ?a7!_kk'7!0+ꭊ0 'ﵮ_J}u$Qج?7A~[]zK[_ҿޛou^7}4_xoۦEtaow^0ե_ Zݯ?Uzo׷TSh_H!/k &'u^cһ:Y5Uaz _.[toAXM7bMXӐCIXj_M_Seﴛ}Ղa/߯K/^K 0j tј9p<CLP ☠i#um]mE{kakK.ڱR~inm6MWMkrWs (&kˈacװ]0h &b`~@z"&14 إM!8m &I[KlݩX`/w=xaXiYz"""""""""""MY#Ql k_Na5Cd[Ph6m "M!x0+N .~qQM_)lTTuq !(4;aOyMw֭S^:dG@W  (& 8M9 :iB:MEHWKifSn0ϙ?#2a0dW,BU°Ղu 6SMP aA[A`,>0h6 &j`AI>"""""""""""#Uk"%Ŋ X^(R,ֲаB"_BV!QaTVed3,̋2p4̍r QcfvL y[,[o((AW)Al&wP Ü1R>*QkY,w4AAU[j'_C쳓G/i͵QI%U_P"*!DHDAvKR7h2FpΣ5 Fta2z/0]4Ba )aXg 3Xax  D"'AApEYȐÑ )PF5Ι 293MuU~[Nhhj/hwT80D0&S>*}ϊS D A C".rH!p̈́"'dCF"9SM~  s33>!&hh Ɖ33;fgN  A0I"B%O !"]Ƃ~DЋ8iˬG!hpHΦwFD)O}m:ճM'JLg>7IȀDgxғ$ߤ4t_t_B%m'~]4^u30a54&0T a|Pij BB`AB K4L"Y d-D~-մ'ޟκޛsύMaMhMӽrt.EED-Ǫ'N' ' <*a8!yw 3ª P_uֺֿWO_ IնuMFg>76XڄӤ>!&?ե[k8_ן=G?Zyo_/l%h^kkr #~HKG6+K_l%1 6uWkkKe_Xu v VJ9$j_}gk};7tIVMvԃ{`zk|5tm1_k}_z_K_C*)A" a"!ձZǶ.b~nbi]l]0׭K 6a&~ڿ,0R0 a aT GM!|P"Ȩ`a0A aᄸaz>J`ڱLSk{‘Yyxad_}WM_"#ќ6&f(&e )M+ J]qt LP"ÊBiA L'H4چ 5jƬq0=*Aۯ[JҺC"""""")a$9=ݟ繙90h&6SQR$B!fDuM4!\ 2{4ڇa-8XiZv ZuDDDDDDDDIMth5&8MA+M8a4K0 ؄ 須_0A!*)a!M],DDDDDDDq5?A5=L-M(a-PPtb"""Cd! 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This is consistent with the separate contract negotiation proposal) Tj /F42 11.80 Tf -.24 -28.56 TD (that ENH made to Chief Administrative Law Judge McGuire at tria1.7) Tj /F43 5.00 Tf 35.76 -28.56 TD (, I.K. "Current Contract": To assure consistency ) Tj /F42 12.12 Tf 248.16 -.72 TD (with the ENH 2005 consent order in) Tj /F42 12.00 Tf -284.16 -27.84 TD (this matter and with other recent Commission healthcare orders, we propose that a definition for a) Tj /F42 12.17 Tf 0.00 -28.32 TD ("Preexisting Contract" be substituted for ENH's proposed "Curent Contract.") Tj /F43 8.23 Tf 35.76 -28.56 TD (, I.L. "Inpatient Services": ENH's proposal is to set up two separate negotiating teams,) Tj /F42 12.08 Tf -36.00 -28.32 TD (the "ENH Negotiating Team" and the "Highland Park Negotiating Team." If a Payor does not) Tj /F42 11.97 Tf 0.00 -28.08 TD (elect to engage in separate negotiations, the ENH Negotiating Team would negotiate Managed) Tj /F42 12.05 Tf 0.00 -28.56 TD (Care Contracts for both inpatient and outpatient services at all ENH hospitals. If the Payor does) Tj /F42 11.96 Tf 0.00 -28.08 TD (elect to negotiate separate contracts, the ENH Negotiating Team would negotiate Managed Care) Tj /F42 12.07 Tf -.24 -28.56 TD (Contracts for outpatient services at Highland Park as well as for all services at Evanston. The) Tj /F42 12.08 Tf -.48 -28.08 TD (Highland Park Negotiating Team wil negotiate Managed Care Contracts only for "Inpatient) Tj /F42 11.94 Tf 0.48 -28.56 TD (Services," as defined, at Highland Park.) Tj /F42 12.10 Tf 35.52 -28.32 TD (This proposal, among other things, unealistically separates negotiating for outpatient) Tj /F42 12.06 Tf -36.00 -28.08 TD (services at Highland Park from negotiating for inpatient services at Highland Park. ENH's) Tj /F42 11.99 Tf -.24 -28.08 TD (limitation on the scope of services covered by its separate negotiating team proposal ignores the) Tj -.48 -28.32 TD (reality of competitive negotiations for hospital services and potentially deprives Payors of the) Tj /F42 12.16 Tf 0.24 -28.32 TD (opportnity to weigh the benefits of contracting exclusively with one hospital versus the other on) Tj /F43 5.00 Tf 35.52 -78.48 TD (7 See Post-Trial Brief of ) Tj /F42 12.04 Tf 120.72 -5.04 TD (Respondent Evanston Northwestern Healthcare Corporation) Tj /F43 8.68 Tf -156.48 -16.08 TD (\(May 27,2005\), at 125-126 and Attachment E.) 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See generally Slip Gp. at 55.) Tj /F50 11.67 Tf -69.36 -28.32 TD (2. Proposed new definitions:) Tj /F48 11.99 Tf 0.00 -28.32 TD (We propose the addition of several new definitions to align ENH's proposed order with) Tj /F48 11.97 Tf -36.24 -27.84 TD (the ordering language and approach used in other orders issued by the Commission, and to) Tj /F48 12.15 Tf 0.24 -28.32 TD (implement the proposed prior notification requirement. In paricular, we propose the addition of a) Tj /F48 11.98 Tf 0.00 -28.32 TD (definition for "hospital" that would cover any medical care facility licensed as a hospital in the) Tj /F48 12.06 Tf 0.00 -28.32 TD (state in which it is located. This definition is needed for the broader definition of services that we) Tj /F48 11.99 Tf -.72 -28.32 TD (propose be covered by the separate negotiating option, as well as for the prior notification) Tj /F49 5.00 Tf 36.24 -54.96 TD (8 See IDF 717-719 \(testimony of ) Tj /F48 11.99 Tf 161.04 -5.52 TD (Complaint Counsel's expert witness Dr. Haas-Wilson\).) Tj /F48 12.11 Tf -161.28 -20.64 TD (9 Weare uncertain as to the current division of responsibility for providing certain) Tj /F48 11.96 Tf -35.76 -18.72 TD (outpatient services, such as home-care services \(e.g., physical and occupational therapy; hospice;) Tj /F48 12.38 Tf 0.00 -14.16 TD (skilled and private duty nursing\) fushed at Evanston and Highland Park, that are now) Tj /F48 12.13 Tf 0.00 -14.16 TD (apparently provided through a single subsidiar of ENH on a centralized basis to patients being) Tj /F48 12.17 Tf -.24 -14.16 TD (discharged from any of the hospitals in the ENH system. We lack suffcient information) Tj /F49 5.00 Tf -.24 -14.16 TD (regarding the relationship of ) Tj 138.96 -.48 TD (these shared services to the provision of ) Tj /F48 12.00 Tf 195.36 -.24 TD (inpatient and outpatient) Tj /F50 11.25 Tf -333.84 -13.44 TD (services fushed directly by the hospitals to make meaningful comments on this issue. Under) Tj /F48 11.98 Tf -.24 -14.16 TD (any circumstances, we believe that, however this should be resolved, it is ENH's responsibility to) Tj /F48 11.99 Tf 0.00 -14.16 TD (ensure that if an MCO elects to contract exclusively with Highland Park, it can obtain the full) Tj -.72 -14.40 TD (panoply of services needed to serve its plan enrollees by negotiating with the Highland Park) Tj /F48 11.91 Tf 0.00 -14.16 TD (Negotiating Team.) Tj 36.72 -21.36 TD (lO See, e.g, CX 216 at 6, Exhibit C \(contract between ENH and a payor that covers) Tj /F48 11.96 Tf -36.48 -18.72 TD (inpatient acute and sub-acute care and outpatient care\).) 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Tj /F55 12.00 Tf -.24 -28.32 TD (These definitions are needed for the proposed prior notification provision to cover any) Tj /F55 11.97 Tf 0.00 -28.56 TD (acquisitions of a hospital that ENH may make and any management or similar contracts that ENH) Tj -.48 -28.08 TD (may enter into with a hospitaL. The approach and language used in this definition and in the) Tj /F55 12.00 Tf 0.00 -28.32 TD (proposed prior notification requirements are consistent with those used in more recent orders as) Tj /F55 11.69 Tf 0.00 -28.32 TD (well as in HCA and other past hospital orders.12) Tj /F55 14.82 Tf 0.00 -28.32 TD (B. Comments on PARGRAHS II through XII) Tj /F55 11.98 Tf 36.00 -28.56 TD (In general, we propose that conforming changes be made throughout the order to make it) Tj /F55 12.11 Tf -35.76 -28.32 TD (consistent with curent Commission practice and the proposed changes and additions to the) Tj /F55 12.53 Tf -.24 -28.32 TD (defitions discussed above.W e also propose that: \(i\) fuher specific requirements be added to) Tj /F55 12.08 Tf -.24 -28.32 TD (Paragraph V to clarfy ENH's notification obligations to MCOs regarding their option to reopen) Tj /F55 11.98 Tf 0.24 -28.32 TD (and renegotiate their Managed Care Contracts; \(ii\) additional requirements be added to Paragraph) Tj /F55 12.18 Tf -.24 -28.32 TD (vn to clarfy ENH's record maintenance obligations with respect to the confidentiality required) Tj /F55 12.10 Tf 0.24 -28.08 TD (from its relevant employees; and \(iii\) ENH's reporting obligations in Paragraph Vil be modified) Tj /F55 12.09 Tf -.48 -28.32 TD (to conform to standard provisions in Commission orders. These proposals and changes are set) Tj /F55 11.97 Tf 0.24 -28.32 TD (forth in the Attachment to this submission.) Tj /F55 12.10 Tf 35.76 -28.32 TD (We also propose that Paragraph X ofENH's proposed order be deleted in its entirety) Tj /F55 12.12 Tf 0.48 -52.32 TD (11 See The Maine Health Allance, et al., Docket No. C-4095 \(consent order\),) Tj /F56 11.00 Tf -36.96 -18.96 TD (http://ftc. gov/osI2003/08/mainehealthdo.pdf) Tj /F55 12.00 Tf 36.96 -21.36 TD (12 See, e.g., Hospital Corporation of America v. 鶹ý Trade Commission, 807 F.2d) Tj /F56 11.16 Tf -35.76 -18.96 TD (1381, 1393 \(7th Cir. 1986\); Columbia/HCA Healthcare Corporation, Docket No. C-3619) Tj /F56 10.84 Tf -.96 -16.56 TD (\(consent order\), 120 F.T.C. 743 \(1995\).) 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As) Tj /F62 10.77 Tf -.24 -28.32 TD (proposed by ENH, Paragraph X provides that: .) Tj /F61 12.05 Tf 36.72 -30.96 TD ("\(a\)nyand all disputes between ENH and Payors with respect to Respondent's compliance) Tj /F61 11.96 Tf -.48 -11.76 TD (with this Order shall be solely and exclusively resolved in accordance with this section.) Tj 0.00 -14.16 TD (ENH and the Payor shall first try to settle the dispute by mediation under the Commercial) Tj /F63 8.55 Tf 0.00 -14.16 TD (Mediation Rules of the American Arbitration Association \("AA"\). If the dispute canot) Tj /F61 12.24 Tf -.24 -14.40 TD (be settled by mediation, then by arbitration administered by the AA under its) Tj /F61 11.95 Tf 0.48 -14.16 TD (Commercial Arbitration Rules before a single arbitrator mutually agreed upon by ENH and) Tj /F61 11.99 Tf -.48 -13.92 TD (the Payor.") Tj /F61 11.98 Tf -36.00 -28.08 TD (ENH explains that such provisions are a commonly-accepted means for resolving private disputes) Tj /F61 12.23 Tf -.48 -28.32 TD (that may arse in a commercial context and are therefore reasonable. ENH submission at 5. This) Tj /F62 11.05 Tf 0.00 -28.08 TD (may be tre in the context of a private commercial transaction, and we would have no objection to) Tj /F61 11.99 Tf 0.00 -28.32 TD (the inclusion of such dispute resolution procedures to resolve purely private contractual issues that) Tj /F61 12.23 Tf 0.00 -28.32 TD (may be included in the ordinar course in ENH's contracts with payors. However, such) Tj /F61 12.03 Tf -.48 -28.32 TD (provisions have not been used in Commission orders as a means of resolving issues with or) Tj /F61 12.00 Tf 0.48 -28.32 TD (disputes over a respondent's compliance with an FTC order, and the Commission should not be) Tj /F61 11.98 Tf -.72 -28.32 TD (placed in the position of delegating decisions about order compliance to non-agency third parties.) Tj /F63 5.00 Tf 0.24 -28.32 TD (It is the role of ) Tj /F62 10.99 Tf 73.68 -.24 TD (the Commssion, aided by Commission staff, to determine what constitutes) Tj /F61 12.00 Tf -73.68 -27.84 TD (compliance by a respondent with a Commission order, including whether or not to open a) Tj 0.00 -28.32 TD (compliance investigation or to file an action enforcing compliance with the order and seeking civil) Tj /F63 5.00 Tf -.72 -28.32 TD (penalties and other appropriate equitable relief ) Tj 227.04 -.48 TD (pursuant to Section 5\(l\) of ) Tj /F61 11.94 Tf 129.36 -.48 TD (the FTC Act, 15 U.S.C.) Tj /F61 12.06 Tf -355.44 -27.36 TD ( 45\(l\). 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Paragraph X contains no clear standards to) Tj /F69 12.21 Tf -.24 -30.72 TD (guide a non-agency third par in its determination whether ENH's conduct complies with the) Tj /F69 12.00 Tf -.24 -26.16 TD (Commission's order, nor does it reserve ultimate control and authority to the Commission over) Tj /F69 12.05 Tf -.24 -28.08 TD (this determination. We therefore propose that it be deleted from any final order.) Tj /F70 10.02 Tf -.24 -28.32 TD (B. Proposed New Paragraph - Prior Notice Requirement) Tj /F69 12.09 Tf 36.24 -28.32 TD (We also propose the addition of a prior notification requirement for any futue acquisitions) Tj /F70 5.00 Tf -36.48 -28.08 TD (that ENH may make of ) Tj /F69 12.01 Tf 113.76 -.24 TD (hospitals located within the Chicago Metropolitan Statistical Area, as well) Tj /F69 12.06 Tf -113.52 -28.08 TD (as for any management contracts or similar arangements that ENH may enter into for hospitals) Tj /F69 11.95 Tf 0.00 -28.08 TD (located within that area.14 The prior notification requirement we propose is similar to ones that) Tj /F69 11.96 Tf -.48 -28.56 TD (have been used in past hospital orders.15 We believe the impact of this requirement on ENH will) Tj /F69 12.10 Tf -.24 -28.32 TD (be relatively benign, and it has the potential to provide the Commssion with useful information) Tj /F70 5.00 Tf 0.48 -28.32 TD (about transactions in which ENH engages that are not subject to the reporting requirements of ) Tj /F69 11.98 Tf 453.12 -.96 TD (the) Tj /F69 12.25 Tf -453.60 -27.12 TD (Har-Scott-Rodino Act. The specific requirements ofthe proposed prior notification requirements) Tj /F69 11.97 Tf 0.24 -28.32 TD (are set forth in the Attachment to this submission.) Tj /F70 8.13 Tf 36.48 -40.80 TD (13 See generally Carter v. Carter Coal Co., 298 U.S. 238 \(1936\).) Tj /F69 12.06 Tf 0.00 -26.16 TD (14 At trial, ENH proposed to the Administrative Law Judge that, in lieu of divestitue, it) Tj /F69 12.10 Tf -36.96 -18.72 TD (instead be required to provide prior notification of any futue acquisitions of providers of general) Tj /F69 12.09 Tf 0.24 -14.40 TD (acute care inpatient hospital services in a relevant geographic market. See Post-Trial Brief of) Tj -.48 -14.16 TD (Respondent Evanston Northwestern Healthcare Corporation \(May 27,2005\), at 124-125 and) Tj /F70 8.95 Tf 0.00 -14.16 TD (Attachment D.) Tj /F69 12.00 Tf 36.72 -21.36 TD (15 See, e.g., Hospital Corporation of America v. 鶹ý Trade Commission, 807 F.2d) Tj /F68 11.16 Tf -35.76 -18.96 TD (1381, 1393 \(7th Cir. 1986\); Columbia/HCA Healthcare Corporation, Docket No. C-3619) Tj /F68 10.84 Tf -.96 -16.56 TD (\(consent order\), 120 F.T.C. 743 \(1995\).) 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Tj /F76 10.62 Tf -277.20 -23.76 TD (Complaint Counsel have not been able to create suitable..irljiirld~e f~fi~ftJ S~cate the) Tj /F75 5.00 Tf -36.48 -28.32 TD (relief ) Tj /F75 12.39 Tf 28.80 0.24 TD (achievable through divestitue. We have, however, conflldENH;s prop~'i\(t~ the) Tj /F75 11.93 Tf -28.32 -28.80 TD (Commission's standard language and approach when issuing final orders.) Tj /F75 11.96 Tf 35.76 -28.08 TD (We accept the Commission's decision to forego divestiture so that ENH can continue to) Tj /F75 12.10 Tf -36.48 -28.08 TD (provide the hospital services it has developed, albeit financed in par with seven years of) Tj /F75 12.06 Tf 0.00 -28.32 TD (monopoly profits it extracted from consumers pending a final decision in this case. We must) Tj /F75 11.95 Tf -.24 -28.08 TD (respectfully remind the Commission, however, that a remedy along the lines proposed by ENH,) Tj /F75 12.05 Tf 0.48 -28.32 TD (and contemplated by the Commission's decision, wil not likely solve the competitive problems) Tj /F75 11.85 Tf -.24 -28.32 TD (caused by this unlawful merger.) Tj -.48 -84.96 TD (Jeffrey Schmidt) Tj /F75 12.54 Tf -.48 -14.16 TD (Director) Tj /F77 8.19 Tf 252.48 70.32 TD (Respectfully submitted,) Tj /F75 72.00 Tf -15.84 -48.48 TD (/l1~) Tj /F75 11.94 Tf 16.08 -8.40 TD (Thomas H. Brock) Tj /F77 9.08 Tf 0.48 -14.16 TD (Complaint Counsel) Tj /F75 11.97 Tf -.72 -14.16 TD (Bureau of Competition) Tj /F75 11.99 Tf 0.00 -14.16 TD (鶹ý Trade Commission) Tj /F75 11.85 Tf 0.24 -14.16 TD (601 New Jersey Ave., N.W.) Tj /F75 11.95 Tf -.24 -14.16 TD (Washington, D.C., 20580) Tj /F75 11.79 Tf 0.24 -16.32 TD (\(202\) 326-2813) Tj /F75 12.60 Tf -.24 -11.76 TD (Tbrock~FTC.gov) Tj /F75 11.92 Tf -252.00 57.12 TD (Elizabeth A. 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Tj /F87 12.24 Tf -234.24 -28.08 TD (Under Paragraph I., add the following definitions and make such conforming changes as) Tj /F88 10.85 Tf -36.00 -14.16 TD (are necessar throughout the order:) Tj /F87 11.98 Tf 35.76 -28.32 TD ("Commission" means the 鶹ý Trade Commission.) Tj 0.00 -28.08 TD ("Hospital" means any human medical care facility licensed as a hospital in the state in) Tj /F87 11.89 Tf -.48 -13.92 TD (which the facility is located.) Tj /F87 11.99 Tf 0.48 -30.96 TD ("Operate" means to own, lease, manage or otherwise control or direct the operations of a) Tj /F88 11.28 Tf -.48 -11.52 TD (Hospital, directly or indirectly.) Tj /F89 5.00 Tf 0.24 -28.56 TD ("Ownership Interest" means any and all rights, present or contingent, of ) Tj /F88 10.55 Tf 346.80 -.24 TD (Respondent to) Tj /F87 11.97 Tf -347.28 -13.68 TD (hold any voting or nonvoting stock, share capital, equity or other interests or beneficial) Tj /F87 11.84 Tf 0.48 -14.16 TD (ownership in an entity.) Tj /F87 12.26 Tf -.24 -28.32 TD ("Person" means any individual, parership, joint venture, firm, corporation, association,) Tj /F87 12.57 Tf -.24 -14.16 TD (trust, unncorporated organzation, joint ventue, or other business or governent entity,) Tj /F88 10.97 Tf 0.24 -14.16 TD (and any subsidiares, divisions, groups or affiliates thereof.) Tj /F87 12.27 Tf -.24 -28.56 TD (In Paragraph I.K., change the following definition to add the language bracketed in) Tj /F87 12.17 Tf -36.00 -14.40 TD (BOLD and to delete the language that is strck out, and make conforming changes throughout the) Tj /F87 12.15 Tf 0.00 -14.16 TD (order to substitute the term "Pre-existing Contract" for the term "Curent Contract":) Tj /F89 8.96 Tf -.48 -28.32 TD (K. \("Pre-existing\) Cmi ent Contract" means a Managed Care Contract between a Payor and) Tj /F87 12.31 Tf 36.24 -14.40 TD (ENH \(that is\) in effect at thc tinic ofthc entry of \(on the date\) this Order \(becomes final.\)) Tj /F87 12.28 Tf -.24 -28.56 TD (In Paragraph I.G., change the following definition to add the language bracketed in) Tj /F87 12.16 Tf -35.76 -14.40 TD (BOLD:) Tj /F87 12.60 Tf 0.00 -28.32 TD (G. "ENH Negotiating Team" means the team responsible for negotiating a Managed Care) Tj /F88 10.67 Tf 36.00 -14.64 TD (Contract for aH \(Hospital S\)services at Evanston as well as outpaticnt 5\(,1 viccs fOI) Tj /F87 12.11 Tf -.48 -14.16 TD (Highland raik when Payors elect separate negotiations, and for aH \(Hospital S\)services at) Tj /F87 12.07 Tf 0.48 -14.40 TD (all ENH hospitals when Payors do not elect separate negotiations. The ENH Negotiating) Tj /F87 12.18 Tf -.48 -14.16 TD (Team wil be separate and distinct from the Highland Park Negotiating Team. The ENH) Tj /F87 12.05 Tf -.24 -14.16 TD (Negotiating Team shall consist of employees or advisors that report to the ENH Chief) Tj /F87 12.22 Tf 0.48 -16.56 TD (Operations Offcer \("COO"\) and will be located at Evanston. 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AND III.C.) Tj /F102 8.42 Tf -116.16 -28.08 TD (In Paragraph III.B. and III.C., add the language bracketed in BOLD and delete the) Tj /F103 11.85 Tf -35.76 -14.16 TD (language that is struck out:) Tj /F103 12.64 Tf -.72 -28.56 TD (B. When Payors request separate negotiations for Inpaticnt \(Hospital\) Services at Highland) Tj /F103 11.96 Tf 36.00 -14.40 TD (Park, the ENH Negotiating Team shall negotiate \(only\) for aM \(Hospital S\)services at) Tj /F103 12.15 Tf 0.00 -14.16 TD (Evanston and only ontpaticnt sa viccs at Highland laik.) Tj /F102 8.53 Tf -35.76 -28.56 TD (C. At the request of any specific Payor, the ENH Negotiating Team shall be permitted to) Tj /F103 12.07 Tf 35.52 -14.16 TD (negotiate for aM \(Hospital S\)services at all ENH Hospitals for that specific Payor \(for that) Tj /F101 11.55 Tf 0.48 -14.40 TD (specific Managed Care Contract\).) Tj /F103 14.23 Tf 154.80 -42.96 TD (PARGRAPHV.) Tj /F103 12.25 Tf -155.28 -27.84 TD (In Paragraph V.A., add the language bracketed in BOLD, and add a corresponding) Tj /F103 12.14 Tf -36.00 -14.16 TD (Paragraph V.B. to require ENH to provide similar notifications to any Payors commencing de) Tj /F103 11.91 Tf -.24 -14.16 TD (novo contractual negotiations with ENH:) Tj /F102 8.34 Tf -.24 -28.32 TD (A. Within thirt \(30\) days after the date this order becomes final, ENH shall provide all) Tj /F102 5.00 Tf 36.24 -14.64 TD (Payors with which it has a Cnncnt \(Pre-existing\) Contract notification of ) Tj /F103 12.00 Tf 356.16 -.72 TD (this Order and) Tj /F102 8.35 Tf -355.92 -13.44 TD (offer the opportty to negotiate separately with the Highland Park Negotiating Team for) Tj /F101 11.40 Tf -.24 -14.40 TD (Inpaticnt \(Hospital\) Services for Highland Park \(for each such contract. Respondent) Tj /F103 12.75 Tf 0.24 -14.40 TD (shall give such notifcations to the Chief Executive Officer, the General Counsel, and) Tj /F103 12.85 Tf -.24 -14.16 TD (to the Network Manager of the Payor by both first class mail and bye-mail with) Tj /F101 11.73 Tf 0.24 -14.16 TD (return receipt requested or similar transmission, and keep a fie of such receipts for) Tj /F103 12.77 Tf -.48 -14.16 TD (three \(3\) years after the date on which this Order becomes finaL. Respondent shall) Tj /F101 11.67 Tf 0.24 -13.92 TD (maintain complete records of all such notifcations at Respondent's headquarters) Tj /F103 12.87 Tf 0.00 -14.16 TD (and shall provide an officer's certifcation to the Commission stating that such) Tj /F103 12.74 Tf -.24 -14.16 TD (notification program has been implemented and is being complied with.) Tj /F102 8.97 Tf -36.48 -28.08 TD (B. Not later than ten \(10\) days after being contacted by a Payor to negotiate a Managed) Tj /F103 13.01 Tf 36.48 -14.40 TD (Care Contract, ENH shall provide such Payor notifcation of this Order and offer the) Tj /F103 12.88 Tf 0.00 -14.16 TD (opportunity to negotiate separately with the Highland Park Negotiating Team for) Tj /F103 12.94 Tf -.24 -14.16 TD (Hospital Services for Highland Park. Respondent shall give such notifcations to the) Tj /F103 5.00 Tf 0.24 -14.16 TD (Chief ) Tj /F103 12.87 Tf 30.72 0.00 TD (Executive Officer, the General Counsel, and to the Network Manager ofthe) Tj /F103 13.00 Tf -30.96 -14.16 TD (Payor by both first class mail and bye-mail with return receipt requested or similar) Tj /F103 12.90 Tf -.24 -14.16 TD (transmission, and keep a fie of such receipts for three \(3\) years after the date on) Tj /F103 12.96 Tf -.24 -14.16 TD (which such notifcation is sent to the Payor. Respondent shall maintain complete) Tj /F103 13.01 Tf 0.24 -14.16 TD (records of all such notifcations at Respondent's headquarters and shall provide an) Tj /F103 13.02 Tf 0.00 -14.40 TD (officer's certifcation to the Commission stating that such notifcation program has) Tj /F101 11.49 Tf -.24 -14.16 TD (been implemented and is being complied with.\)) Tj /F103 9.84 Tf 195.84 -37.20 TD (15) Tj ET Q endstream endobj xref 1 2 0000663273 00000 n 0000663332 00000 n 97 7 0000663503 00000 n 0000663667 00000 n 0000722455 00000 n 0000664209 00000 n 0000663822 00000 n 0000663951 00000 n 0000664078 00000 n trailer << /Size 104 /Prev 662946 /Root 1 0 R >> startxref 726687 %%EOF % Page Description << /EndOffset 0000782620>> 1 0 obj << /Type /Catalog /Pages 2 0 R >> endobj 2 0 obj << /Type /Pages /Kids [3 0 R 10 0 R 17 0 R 24 0 R 31 0 R 38 0 R 44 0 R 51 0 R 57 0 R 64 0 R 71 0 R 78 0 R 83 0 R 90 0 R 97 0 R 104 0 R ] /Count 16 >> endobj 104 0 obj << /Type /Page /Parent 2 0 R /Resources 105 0 R /Contents 106 0 R /Rotate 0 /eCpyResolution 300 /MediaBox [0 0 612.00 792.00 ] >> endobj 105 0 obj << /XObject << /Im107 107 0 R>> /Font << /F108 108 0 R /F109 109 0 R /F110 110 0 R>> /ProcSet [/PDF /Text /ImageB /ImageC ] >> endobj 108 0 obj << /Type /Font /Subtype /Type1 /Name /F108 /BaseFont /Helvetica /Encoding /WinAnsiEncoding >> endobj 109 0 obj << /Type /Font /Subtype /Type1 /Name /F109 /BaseFont /Times-Roman /Encoding /WinAnsiEncoding >> endobj 110 0 obj << /Type /Font /Subtype /Type1 /Name /F110 /BaseFont /Courier /Encoding /WinAnsiEncoding >> endobj 107 0 obj << /Type /XObject /Subtype /Image /Name /Im107 /Width 2550 /Height 3300 /eCpyDPIX 300 /eCpyDPIY 300 /ImageMask false /Filter /CCITTFaxDecode /BitsPerComponent 1 /DecodeParms << /K -1 /Columns 2550 /Rows 3300>> /ColorSpace /DeviceGray /Decode [0 1 ] /Length 50332 >> stream !KOfc;9$ߐЯd Y  Ƅ9("CCZd`PC'"@} KT"Xv lBpgᳶ"ķa; a{{m'OKߴ/oo'm^?IvW~K/ o$ݥ ޿/ vmOJp[9t#A""#i{'7W^[ﾻ_/G:o~oG\Gnb^{iou{տ.6=+߶^zIUn}~\!f$Ċ&$Z]. +zi Š@ϲ5&DDg#e9."""""""uƲNDDDDDDGq ɸ J0Qdg`Q.H$!/2rhCFAB LIQ3QH!S  _eTAri"vB7 CKi03D Y3%;nKIDЃA,?xm6uֵC~wj~}o}7ψle(Έmz~Ll ő 0YED!B!lECS1N )e96ux!9CD}1za ADaXjƭK{:Nl8O: }ON: x$O .^D;H~sU~ODU߷+=+#]/ ]~Z_bP_Xu7XDǺ'}P/_%. 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Nothing in this Order shall prevent the ENH Negotiating Team from requesting, receiving,) Tj /F109 12.00 Tf 36.24 -14.40 TD (sharng or otherwise obtaining Managed Care Contracting Information with respect to aH) Tj /F108 10.53 Tf 0.48 -16.56 TD (\(Hospital S\)services at Evanston and outpatie.nt Se.i vie.es at Highland l1k.) 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Tj /F109 12.44 Tf -.48 -28.56 TD (IT IS FURTHER ORDERED that Respondent shall,) Tj /F110 5.00 Tf 0.96 -30.48 TD (\(A.\) One \(1\) year from the date this Order ) Tj /F110 8.47 Tf 216.24 1.68 TD (becomes final\(,\) an anually \(for the next nine) Tj /F109 12.89 Tf -181.20 -14.16 TD (years on the anniversary date this Order becomes final, and at such other times as) Tj /F109 11.79 Tf 0.00 -13.92 TD (the Commission may require\) tl11til the. Oide.i tenninates 01 the Commission de.tGnnines) Tj /F109 12.11 Tf 0.00 -14.16 TD (it no longe.i nee.essar, submit a verified wrtten report to the Commission setting forth in) Tj /F108 11.21 Tf 0.00 -14.16 TD (detail the maner and form in which it has complied and is complying with the Order;) Tj /F109 13.16 Tf -35.28 -30.48 TD (\(B. 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PeA BdT•0 ed!?+jĻ6)p8H*a=Ua$pDG͹ DY$:('aώkq?T4 =]`f3U)iw6פДC{!veo~>NK_{/ƛU%_t~|A 0 ™0)X"d dFR$ "j'AM" 9p3Ac͚ ',FfkgQM32: P2" $KRyWt!9`h08*aWuM > A`L B0XC AOL&~<"8"d;,r!-Th$Ol4DvDD0ƞsbC 5OO0M<[ïu0ƚkcOUw0PL H 4W;4.rrejqhxGwp-(w'uTG;lvCD[b(H6+~PL]]833D黎D .VK!#;O߷"CDy.,w[KtڶG!MȑWXeć\H]m JdRp.UW='ZzׯIi+ttza:OE@lm7{ӫu_~}?[$.鮛m}")hƯ\Z/}[^XƚZסiPjXcA9NeИ~KBZ?7s%d]XF4#^ɓ.|BO?^?wߩ3bZ/?`|'*"8/۬"QD_w_Ԏl? %o"o0a' {o ߿$Ix~K!ӐBP䋵vx| _#j{Z߽~~N_fynz{o?t»{_ui/w~nz}]~Ҵ{ޒNXCz/^M/6+t[__wki}ZVu_o~)[Kckޟm[!G^ZM ҍ648jv)wMBv#!xVa6(&{AAҠڍ)o]W[[ 0%avM6[Vv)5"LCcid$mm5mVL% "EiA㶘R$Zk !BA:XAtM a4, ڠ m }~Q@x!!B9 `3 pD`ء) J!w-x& aG -[ I˴ uTa/PT&pi׈""4""""##B"$$#+.DJ|D37Q Xa4f ) ?faRg[E}DDDDDDDDDDDGiStJkHMm+0om(Gk=?A742gw 2YG&Avv8- .Arϥ B ${>|BwH,#, nW94TϚ6J K8*ӊz^&UT&nUu}W[FA /t.jD "]!lnN) #3$GlL Rp1B yn_q>xYI9CC5g24=haIY Ѩ4$9ABa4ꂄOB` Є(L Ba …0PA Ca0ADvj0 "BL' (A"q d^P0D/K`SABV C0PVxA535ETȃE[PIT*j."piSM=SAN 0U=0PUN?M? TUGy^qjڔhhE^̼/2hj/.2:ECUD.h0&|N,Оϩ"䬚 9>!ɳX?Ȥ_ [__]koaDV){i}_,GS,j' 0-ނ__H"Q"Q b𗠗Ah/lW# }_?_~{oؤ_ڿH_ڿ}ZkM/[ڶ_| ~ᄝ'uK{Uom^r/qҴۯ j_1Un __ecm.Ն a=Um[ +[i .maKE1uնlWIuT80Ҷ c  #: 鐎A0M6)0w}4N)=ӶEuT%& $m'Vma !5h8 42$ A400ASAA0A[!C@p&"dGT aq|A=D"4tFs5?g`E9u&OL&aj 'aV[{L&0 +@_DDDDDDH"""""""""""""""""$DDDeDDFЍץ&Z> stream q q 612.00 0.00 0.00 792.00 0.00 0.00 cm /Im121 Do Q Q q BT 3 Tr /F122 12.15 Tf 68.64 712.80 TD (IT is FURTIIER ORDERED that, MiY and all disputes between ENII Mid layo1s with icspeet) Tj /F123 11.21 Tf 0.00 -14.16 TD (to Respondent's compliance with this Oidei shall be soldy and exdusivdy iesolved in) Tj /F122 12.18 Tf 0.24 -14.40 TD (aeeoidanee with this section. ENII and the layoi shall fiist try in good faith to settle the dispute) Tj /F122 11.85 Tf -.48 -14.16 TD (by mediation undei the CommerGal Mediation Rules ofthe AmeIean Aibitration Association) Tj /F122 12.32 Tf 0.48 -16.56 TD (\("AA"\). Ifthe dispute e1'lot be settled by mediation, then by 1bitution administeied by the) Tj /F122 12.23 Tf -.48 -11.76 TD (AA undei its CommeicIal Aibitiation Rules bef01e a single aibitiatoi mutually agieed upon by) Tj /F124 8.26 Tf 0.00 -14.16 TD (ENII and the layoi. Ain mediation 01 1bitration pioeeeding shall be conducted in Chicago,) Tj /F122 12.83 Tf 0.00 -14.16 TD (Ilinois.) Tj /F123 15.08 Tf 186.96 -56.88 TD (PARGRAH XII) Tj /F122 12.27 Tf -151.20 -28.08 TD (In Paragraph XII., add the following language in BOLD and delete the language that is) Tj /F123 10.72 Tf -35.52 -14.16 TD (struck out:) Tj /F123 11.78 Tf 35.52 -28.56 TD (IT IS FURTHER ORDERED that; this Order \(shall terminate\) wil ieimnn in effect foi) Tj /F122 12.60 Tf -36.00 -14.40 TD (ten \(10\) years \(from\) af the date \(on which this Order becomes final\) of its iSSU11ee. EN) Tj /F122 11.92 Tf 0.00 -14.16 TD (may petition the Commission at any time for iemovl 01 expiiation the Oide!.) 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Tj /F129 11.98 Tf -36.00 -28.32 TD (Said notification shall be given on the Notification and Report Form set forth in the) Tj /F130 5.00 Tf -.48 -16.56 TD (Appendix to Par 803 of ) Tj 119.28 2.16 TD (Title 16 of ) Tj 53.52 0.00 TD (the Code of ) Tj /F129 11.96 Tf 59.28 0.00 TD (鶹ý Regulations as amended) Tj /F129 11.99 Tf -231.60 -16.32 TD (\(hereinafter referred to as "the Notification"\), and shall be prepared and transmitted in) Tj /F130 5.00 Tf -.24 -11.52 TD (accordance with the requirements of ) Tj /F129 12.31 Tf 177.12 -.48 TD (that par, except that no filing fee wil be required for) Tj /F131 11.34 Tf -177.12 -13.68 TD (any such Notification, Notification shall be filed with the Secretar ofthe Commission,) Tj /F129 12.38 Tf -.72 -14.40 TD (Notification need not be made to the United States Deparent of Justice, and Notification) Tj /F131 11.02 Tf 0.48 -13.92 TD (is required only of the Respondents and not of any other par to the transaction.) Tj /F129 12.05 Tf -.24 -14.16 TD (Respondents shall provide two \(2\) complete copies \(with all attachments and exhibits\) of) Tj /F131 11.29 Tf 0.00 -14.16 TD (the Notification to the Commission at least thirty \(30\) days prior to consumating any) Tj /F129 12.08 Tf 0.24 -14.16 TD (such transaction \(hereinafter referred to as the "first waiting period"\). If, within the first) Tj /F129 12.18 Tf -.48 -13.92 TD (waiting period, representatives ofthe Commission make a wrtten request for additional) Tj /F129 12.27 Tf 0.24 -14.16 TD (information or documentar material \(within the meanng of 16 C.F.R. 803.20\),) Tj /F129 12.00 Tf -.24 -14.16 TD (Respondents shall not consummate the transaction until thirty \(30\) days after substantially) Tj /F130 5.00 Tf 0.24 -14.40 TD (complying with such request. Early termination of ) Tj /F129 11.99 Tf 246.96 -.48 TD (the waiting periods in this Paragraph) Tj /F129 12.02 Tf -247.44 -13.44 TD (may be requested and, where appropriate, granted by letter from the Bureau of) Tj /F129 11.97 Tf 0.48 -14.40 TD (Competition; provided, however, that prior notification shall not be required by this) Tj /F129 12.00 Tf -.24 -14.16 TD (Paragraph for a transaction for which notification is required to be made, and has been) Tj /F130 8.34 Tf -.24 -14.16 TD (made, pursuant to Section 7A ofthe Clayton Act, 15 U.S.c. 18a.) 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ќ38ta^IK=fy:||rvY3-^<|o܅}4Mlĩ~xǷxl~Yx~o%\Ir04:!Nuڽٵ>}ߚ)6˙S7'f#p l6 <<)%*P A' ' (4 D@K ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (*Jfs+(s T!l(K⾃$MN$,,#PDzGA@YUޣ  g7n$, t#vx=F~u6(bJll׶y[uR.`/k{I8,G˯@^~-GɞZN^^^rK"^^G ̉r.~*ܦ)/28>~LqyʤO}+7dL endstream endobj 2121 0 obj <>stream H\͎0 gn&mĘż}}.dzEg|n||1bnhxsݐ M24,Ie~5t}}zzh?&Ymn ״6xOa1V.<uMϻd coS\טUMն,k[\Zy;6@S`GSI=^AP$(^VBpQ FHh ڿTTTTTTTTTTTTTTTTQE!lzΪ:@ց$;(Kt(KʒH;"eIw(,V{t#a]t#NvЍAHn$,rx\%, (ټT={mI~+GA^a9K˯9^[9Qg/W<{{HWQ_?=s<& 'ۈ yNLƤ .Nnot'2e0tez endstream endobj 2122 0 obj <>stream H\0E/"fHb V>8T(W؎|c&1 gv}3pB4x 4]oZYosv0]Lyz7/.N_g6˿OMb^~7^c?+d_F?# `Fxlgvžo̹՛mONlx%xU`KU (( J*JO jgAP!hQ@P>@@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>UͦlWrQYC:PceI8 *ʒ𲃲$ҎH@YeUxn$ n$(ЍD Fb+\¢+U߳ _V,roKGJR#%a/{%{k9y){yUγ_Ѻg/xz%3'crpp=SOS^2ehqJu}|NqyʤO}`1\b/ endstream endobj 2123 0 obj <>stream H\0E3_gX.ŴUΞ!MRi2}"WF'˟_}74cMm ќ38ta^IK=fy:||rvY3-^<|o܅}4Mlĩ~xǷxl~Yx~o%\Ir04:!Nuڽٵ>}ߚ)6˙S7'f#p l6 <<)%*P A' ' (4 D@K ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (*Jfs+(s T!l(K⾃$MN$,,#PDzGA@YUޣ  g7n$, t#vx=F~u6(bJll׶y[uR.`/k{I8,G˯@^~-GɞZN^^^rK"^^G ̉r.~*ܦ)/28>~LqyʤO}+7dL endstream endobj 2124 0 obj <>stream H\0E @zmfӸ$=MRI.;7Iؘ<*/MuNGu~,Ȩ-􃛋2[c7)ʗn˫zeQP!vEm q[Z2w)ͤm/nꆨŋJ~?ōX4Z麶coMk'7]h ;88*jZ `pN+UA  >*H რ >*H რ >*H რ >*H0PQ6"$Pc@cdqMKՐšH;"dqw v{pápaw H;,ph:=qu4TG浨oj5\,z٣8rv/H >^#es9@/AE/Kˊrl.8]%3&cr``(_4xL”6Ii)>Ed endstream endobj 2125 0 obj <>stream H\0E/"fHb V>8T(W؎|c&1 gv}3pB4x 4]oZYosv0]Lyz7/.N_g6˿OMb^~7^c?+d_F?# `Fxlgvžo̹՛mONlx%xU`KU (( J*JO jgAP!hQ@P>@@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>UͦlWrQYC:PceI8 *ʒ𲃲$ҎH@YeUxn$ n$(ЍD Fb+\¢+U߳ _V,roKGJR#%a/{%{k9y){yUγ_Ѻg/xz%3'crpp=SOS^2ehqJu}|NqyʤO}`1\b/ endstream endobj 2126 0 obj <>stream H\0E @zmfӸ$=MRI.;7Iؘ<*/MuNGu~,Ȩ-􃛋2[c7)ʗn˫zeQP!vEm q[Z2w)ͤm/nꆨŋJ~?ōX4Z麶coMk'7]h ;88*jZ `pN+UA  >*H რ >*H რ >*H რ >*H0PQ6"$Pc@cdqMKՐšH;"dqw v{pápaw H;,ph:=qu4TG浨oj5\,z٣8rv/H >^#es9@/AE/Kˊrl.8]%3&cr``(_4xL”6Ii)>Ed endstream endobj 2127 0 obj <>stream H\0E/"fHb V>8T(W؎|c&1 gv}3pB4x 4]oZYosv0]Lyz7/.N_g6˿OMb^~7^c?+d_F?# `Fxlgvžo̹՛mONlx%xU`KU (( J*JO jgAP!hQ@P>@@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>UͦlWrQYC:PceI8 *ʒ𲃲$ҎH@YeUxn$ n$(ЍD Fb+\¢+U߳ _V,roKGJR#%a/{%{k9y){yUγ_Ѻg/xz%3'crpp=SOS^2ehqJu}|NqyʤO}`1\b/ endstream endobj 2128 0 obj <>stream H\0E3_gX.ŴUΞ!MRi2}"WF'˟_}74cMm ќ38ta^IK=fy:||rvY3-^<|o܅}4Mlĩ~xǷxl~Yx~o%\Ir04:!Nuڽٵ>}ߚ)6˙S7'f#p l6 <<)%*P A' ' (4 D@K ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (*Jfs+(s T!l(K⾃$MN$,,#PDzGA@YUޣ  g7n$, t#vx=F~u6(bJll׶y[uR.`/k{I8,G˯@^~-GɞZN^^^rK"^^G ̉r.~*ܦ)/28>~LqyʤO}+7dL endstream endobj 2129 0 obj <>stream H\͎0 gn&mĘż}}.dzEg|n||1bnhxsݐ M24,Ie~5t}}zzh?&Ymn ״6xOa1V.<uMϻd coS\טUMն,k[\Zy;6@S`GSI=^AP$(^VBpQ FHh ڿTTTTTTTTTTTTTTTTQE!lzΪ:@ց$;(Kt(KʒH;"eIw(,V{t#a]t#NvЍAHn$,rx\%, (ټT={mI~+GA^a9K˯9^[9Qg/W<{{HWQ_?=s<& 'ۈ yNLƤ .Nnot'2e0tez endstream endobj 2130 0 obj <>stream H\0E3_gX.ŴUΞ!MRi2}"WF'˟_}74cMm ќ38ta^IK=fy:||rvY3-^<|o܅}4Mlĩ~xǷxl~Yx~o%\Ir04:!Nuڽٵ>}ߚ)6˙S7'f#p l6 <<)%*P A' ' (4 D@K ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (*Jfs+(s T!l(K⾃$MN$,,#PDzGA@YUޣ  g7n$, t#vx=F~u6(bJll׶y[uR.`/k{I8,G˯@^~-GɞZN^^^rK"^^G ̉r.~*ܦ)/28>~LqyʤO}+7dL endstream endobj 2131 0 obj <>stream H\0E @zmfӸ$=MRI.;7Iؘ<*/MuNGu~,Ȩ-􃛋2[c7)ʗn˫zeQP!vEm q[Z2w)ͤm/nꆨŋJ~?ōX4Z麶coMk'7]h ;88*jZ `pN+UA  >*H რ >*H რ >*H რ >*H0PQ6"$Pc@cdqMKՐšH;"dqw v{pápaw H;,ph:=qu4TG浨oj5\,z٣8rv/H >^#es9@/AE/Kˊrl.8]%3&cr``(_4xL”6Ii)>Ed endstream endobj 2132 0 obj <>stream H\0E3_gX.ŴUΞ!MRi2}"WF'˟_}74cMm ќ38ta^IK=fy:||rvY3-^<|o܅}4Mlĩ~xǷxl~Yx~o%\Ir04:!Nuڽٵ>}ߚ)6˙S7'f#p l6 <<)%*P A' ' (4 D@K ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (*Jfs+(s T!l(K⾃$MN$,,#PDzGA@YUޣ  g7n$, t#vx=F~u6(bJll׶y[uR.`/k{I8,G˯@^~-GɞZN^^^rK"^^G ̉r.~*ܦ)/28>~LqyʤO}+7dL endstream endobj 2133 0 obj <>stream H\0E/"fHb V>8T(W؎|c&1 gv}3pB4x 4]oZYosv0]Lyz7/.N_g6˿OMb^~7^c?+d_F?# `Fxlgvžo̹՛mONlx%xU`KU (( J*JO jgAP!hQ@P>@@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>UͦlWrQYC:PceI8 *ʒ𲃲$ҎH@YeUxn$ n$(ЍD Fb+\¢+U߳ _V,roKGJR#%a/{%{k9y){yUγ_Ѻg/xz%3'crpp=SOS^2ehqJu}|NqyʤO}`1\b/ endstream endobj 2134 0 obj <>stream H\0E3_gX.ŴUΞ!MRi2}"WF'˟_}74cMm ќ38ta^IK=fy:||rvY3-^<|o܅}4Mlĩ~xǷxl~Yx~o%\Ir04:!Nuڽٵ>}ߚ)6˙S7'f#p l6 <<)%*P A' ' (4 D@K ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (*Jfs+(s T!l(K⾃$MN$,,#PDzGA@YUޣ  g7n$, t#vx=F~u6(bJll׶y[uR.`/k{I8,G˯@^~-GɞZN^^^rK"^^G ̉r.~*ܦ)/28>~LqyʤO}+7dL endstream endobj 2135 0 obj <>stream H\0E @zmfӸ$=MRI.;7Iؘ<*/MuNGu~,Ȩ-􃛋2[c7)ʗn˫zeQP!vEm q[Z2w)ͤm/nꆨŋJ~?ōX4Z麶coMk'7]h ;88*jZ `pN+UA  >*H რ >*H რ >*H რ >*H0PQ6"$Pc@cdqMKՐšH;"dqw v{pápaw H;,ph:=qu4TG浨oj5\,z٣8rv/H >^#es9@/AE/Kˊrl.8]%3&cr``(_4xL”6Ii)>Ed endstream endobj 2136 0 obj <>stream H\0E/"fHb V>8T(W؎|c&1 gv}3pB4x 4]oZYosv0]Lyz7/.N_g6˿OMb^~7^c?+d_F?# `Fxlgvžo̹՛mONlx%xU`KU (( J*JO jgAP!hQ@P>@@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>UͦlWrQYC:PceI8 *ʒ𲃲$ҎH@YeUxn$ n$(ЍD Fb+\¢+U߳ _V,roKGJR#%a/{%{k9y){yUγ_Ѻg/xz%3'crpp=SOS^2ehqJu}|NqyʤO}`1\b/ endstream endobj 2137 0 obj <>stream H\͎0 gn&mĘż}}.dzEg|n||1bnhxsݐ M24,Ie~5t}}zzh?&Ymn ״6xOa1V.<uMϻd coS\טUMն,k[\Zy;6@S`GSI=^AP$(^VBpQ FHh ڿTTTTTTTTTTTTTTTTQE!lzΪ:@ց$;(Kt(KʒH;"eIw(,V{t#a]t#NvЍAHn$,rx\%, (ټT={mI~+GA^a9K˯9^[9Qg/W<{{HWQ_?=s<& 'ۈ yNLƤ .Nnot'2e0tez endstream endobj 2138 0 obj <>stream H\0E3_gX.ŴUΞ!MRi2}"WF'˟_}74cMm ќ38ta^IK=fy:||rvY3-^<|o܅}4Mlĩ~xǷxl~Yx~o%\Ir04:!Nuڽٵ>}ߚ)6˙S7'f#p l6 <<)%*P A' ' (4 D@K ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (*Jfs+(s T!l(K⾃$MN$,,#PDzGA@YUޣ  g7n$, t#vx=F~u6(bJll׶y[uR.`/k{I8,G˯@^~-GɞZN^^^rK"^^G ̉r.~*ܦ)/28>~LqyʤO}+7dL endstream endobj 2139 0 obj <>stream H\0E/"fHb V>8T(W؎|c&1 gv}3pB4x 4]oZYosv0]Lyz7/.N_g6˿OMb^~7^c?+d_F?# `Fxlgvžo̹՛mONlx%xU`KU (( J*JO jgAP!hQ@P>@@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>@P>UͦlWrQYC:PceI8 *ʒ𲃲$ҎH@YeUxn$ n$(ЍD Fb+\¢+U߳ _V,roKGJR#%a/{%{k9y){yUγ_Ѻg/xz%3'crpp=SOS^2ehqJu}|NqyʤO}`1\b/ endstream endobj 2140 0 obj <>stream H\0E @zmfӸ$=MRI.;7Iؘ<*/MuNGu~,Ȩ-􃛋2[c7)ʗn˫zeQP!vEm q[Z2w)ͤm/nꆨŋJ~?ōX4Z麶coMk'7]h ;88*jZ `pN+UA  >*H რ >*H რ >*H რ >*H0PQ6"$Pc@cdqMKՐšH;"dqw v{pápaw H;,ph:=qu4TG浨oj5\,z٣8rv/H >^#es9@/AE/Kˊrl.8]%3&cr``(_4xL”6Ii)>Ed endstream endobj 2141 0 obj <>stream H\0E @zmfӸ$=MRI.;7Iؘ<*/MuNGu~,Ȩ-􃛋2[c7)ʗn˫zeQP!vEm q[Z2w)ͤm/nꆨŋJ~?ōX4Z麶coMk'7]h ;88*jZ `pN+UA  >*H რ >*H რ >*H რ >*H0PQ6"$Pc@cdqMKՐšH;"dqw v{pápaw 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that a copy ofthe foregoing document was~served by de\ livering copies to: )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 386.88 670.8 Tm (,; i. :., ~~. ": : ; ~'~ ~~i \( LJ :, n _ ~ ~\001 )Tj EMC /P <>BDC /T1_2 1 Tf 11.78 0 0 11.78 212.88 656.64 Tm (Offce of the Secretar )Tj EMC /P <>BDC /T1_0 1 Tf 11.97 0 0 11.97 212.4 642.72 Tm (鶹ý Trade Commission )Tj EMC /P <>BDC /T1_2 1 Tf 11.05 0 0 11.05 212.4 628.56 Tm (Room H-159 )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 212.64 614.16 Tm (600 Pennsylvana \001)Tj EMC /P <>BDC /T1_0 1 Tf 11.88 0 0 11.88 299.76 614.16 Tm (Avenue, N.W. )Tj 12.25 0 0 12.25 212.4 600 Tm (Washington, D.C. 20580 )Tj EMC /P <>BDC 12.21 0 0 12.21 212.16 571.92 Tm (Michael L. Sibarum, Esq. )Tj EMC /P <>BDC /T1_1 1 Tf 8.02 0 0 8.02 212.64 557.52 Tm (Charles B. Klein, Esq.\001 )Tj EMC /P <>BDC /T1_2 1 Tf 12.39 0 0 12.39 212.16 543.6 Tm (WISTON & STRAWN, LLP )Tj EMC /P <>BDC /T1_0 1 Tf 11.84 0 0 11.84 213.36 529.44 Tm (1700 K Street, NW )Tj 11.96 0 0 11.96 212.16 515.28 Tm (Washington, DC 20006-3817 )Tj EMC /P <>BDC 11.93 0 0 11.93 68.16 487.2 Tm (and by mailing a copy, First Class Postage Prepaid to )Tj EMC /P <>BDC 11.84 0 0 11.84 212.16 458.88 Tm (Duane M. Kelley, Esq. )Tj 12.63 0 0 12.63 212.16 444.72 Tm (WISTON & STRAWN, LLP )Tj 11.94 0 0 11.94 212.4 430.56 Tm (35 West Wacker Drive )Tj 12.15 0 0 12.15 212.4 416.16 Tm (Chicago, II 60601-9703 )Tj EMC /P <>BDC 11.87 0 0 11.87 212.4 387.84 Tm (Steven M. Shapiro, Esq. )Tj EMC /P <>BDC 11.86 0 0 11.86 212.16 373.68 Tm (Jeffrey W. Sarles, Esq. )Tj EMC /P <>BDC 11.92 0 0 11.92 211.92 359.76 Tm (Mayer Brown Rowe & Maw )Tj EMC /P <>BDC 11.94 0 0 11.94 212.16 345.6 Tm (71 South Wacker Drive )Tj EMC /P <>BDC 12.28 0 0 12.28 212.16 331.2 Tm (Chicago, II 60606 )Tj EMC /P <>BDC 11.99 0 0 11.99 67.2 261.12 Tm (Dated: October 29, 2007 )Tj EMC /P <>BDC 72 0 0 72 298.08 257.28 Tm (~~\243)Tj EMC /P <>BDC 12 0 0 12 319.92 246.48 Tm (Thomas H. Brock )Tj 11.99 0 0 11.99 320.16 232.08 Tm (Complaint Counsel )Tj EMC /Artifact <>BDC 11.52 0 0 11.52 297.84 79.92 Tm (20\001 )Tj EMC ET endstream endobj 2166 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 12.78 0 0 12.78 201.6 713.28 Tm (PRIOR NOTIFICATION PROVISION\001 )Tj EMC /P <>BDC 11.96 0 0 11.96 104.16 685.2 Tm (Add the following prior notification provision to ENH's proposed order: \ )Tj EMC /P <>BDC 12.27 0 0 12.27 104.16 656.4 Tm (IT IS FURTHER ORDERED that, for a period commencing on the date this Ord\ er )Tj 11.94 0 0 11.94 67.92 642.24 Tm (becomes final and continuing for ten \(10\) years, Respondent shall not,\ directly or indirectly, )Tj 12.17 0 0 12.17 68.16 628.08 Tm (through subsidiares or otherwise, without providing advance wrtten notif\ ication to the )Tj 11.79 0 0 11.79 68.4 613.68 Tm (Commission: )Tj EMC /LI_Label <>BDC 13.32 0 0 13.32 103.68 585.6 Tm (A.)Tj EMC /LI_Title <>BDC ( acquire any Ownership Interest in: )Tj EMC /LI_Label <>BDC /T1_1 1 Tf 8.19 0 0 8.19 140.16 554.88 Tm (\(i\))Tj EMC /LI_Title <>BDC ( a Hospital that is located within the Chicago Metropolitan Statistical \ Area;\001 )Tj EMC /P <>BDC /T1_0 1 Tf 11.82 0 0 11.82 176.16 543.12 Tm (or )Tj EMC /LI_Label <>BDC /T1_1 1 Tf 8.22 0 0 8.22 140.16 512.64 Tm (\(ii\))Tj EMC /LI_Title <>BDC ( any Person that Operates a Hospital that is located within the Chicago\001\ )Tj EMC /P <>BDC /T1_0 1 Tf 12.01 0 0 12.01 175.92 500.64 Tm (Metropolitan Statistical Area; or )Tj EMC /LI_Label <>BDC /T1_1 1 Tf 8.56 0 0 8.56 103.44 472.56 Tm (B.)Tj EMC /LI_Title <>BDC ( enter into any agreement or other arangement to Operate or otherwise ob\ tain direct\001 )Tj EMC /P <>BDC /T1_0 1 Tf 11.98 0 0 11.98 139.68 458.4 Tm (or indirect ownership, management, or control of a Hospital that is loca\ ted within )Tj 12.07 0 0 12.07 139.68 444.24 Tm (the Chicago Metropolitan Statistical Area, or any par thereof, including\ but not )Tj 11.79 0 0 11.79 139.68 430.08 Tm (limited to a lease of or management contract for any such HospitaL. )Tj EMC /P <>BDC 11.98 0 0 11.98 103.68 401.76 Tm (Said notification shall be given on the Notification and Report Form set\ forth in the )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 222.48 387.36 Tm [(Title 16 of )-3504(the Code of \001)]TJ EMC /P <>BDC /T1_0 1 Tf 11.96 0 0 11.96 335.28 387.36 Tm (鶹ý Regulations as amended )Tj 11.99 0 0 11.99 103.68 371.04 Tm (\(hereinafter referred to as "the Notification"\), and shall be prepared\ and transmitted in )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 103.2 385.2 Tm (Appendix to Par 803 of \001)Tj EMC /P <>BDC 0.048 -5.136 Td (accordance with the requirements of \001)Tj EMC /P <>BDC /T1_0 1 Tf 12.31 0 0 12.31 280.56 359.04 Tm (that par, except that no filing fee wil be required for )Tj EMC /P <>BDC /T1_2 1 Tf 11.34 0 0 11.34 103.44 345.36 Tm (any such Notification, Notification shall be filed with the Secretar oft\ he Commission, )Tj EMC /P <>BDC /T1_0 1 Tf 12.38 0 0 12.38 102.72 330.96 Tm (Notification need not be made to the United States Deparent of Justice, \ and Notification )Tj EMC /P <>BDC /T1_2 1 Tf 11.02 0 0 11.02 103.2 317.04 Tm (is required only of the Respondents and not of any other par to the tran\ saction. )Tj EMC /P <>BDC /T1_0 1 Tf 12.05 0 0 12.05 102.96 302.88 Tm (Respondents shall provide two \(2\) complete copies \(with all attachmen\ ts and exhibits\) of )Tj EMC /P <>BDC /T1_2 1 Tf 11.29 0 0 11.29 102.96 288.72 Tm (the Notification to the Commission at least thirty \(30\) days prior to \ consumating any )Tj EMC /P <>BDC /T1_0 1 Tf 12.08 0 0 12.08 103.2 274.56 Tm (such transaction \(hereinafter referred to as the "first waiting period"\ \). If, within the first )Tj 12.18 0 0 12.18 102.72 260.64 Tm (waiting period, representatives ofthe Commission make a wrtten request f\ or additional )Tj 12.27 0 0 12.27 102.96 246.48 Tm (information or documentar material \(within the meanng of 16 C.F.R. \247\ 803.20\), )Tj 12 0 0 12 102.72 232.32 Tm (Respondents shall not consummate the transaction until thirty \(30\) day\ s after substantially )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 102.96 217.92 Tm (complying with such request. Early termination of \001)Tj EMC /P <>BDC /T1_0 1 Tf 11.99 0 0 11.99 349.92 217.44 Tm (the waiting periods in this Paragraph )Tj 12.02 0 0 12.02 102.48 204 Tm (may be requested and, where appropriate, granted by letter from the Bure\ au of )Tj 11.97 0 0 11.97 102.96 189.6 Tm (Competition; provided, however, that prior notification shall not be req\ uired by this )Tj 12 0 0 12 102.72 175.44 Tm (Paragraph for a transaction for which notification is required to be mad\ e, and has been )Tj EMC /P <>BDC /T1_1 1 Tf 8.34 0 0 8.34 102.48 161.28 Tm (made, pursuant to Section 7A ofthe Clayton Act, 15 U.S.c. \247 18a.\001 \ )Tj EMC /Artifact <>BDC /T1_0 1 Tf 10.56 0 0 10.56 298.32 79.68 Tm (19\001 )Tj EMC ET endstream endobj 2167 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 12.15 0 0 12.15 68.64 712.8 Tm (IT is FURTIIER ORDERED that, MiY and all disputes between ENII Mid layo1\ s with icspeet )Tj EMC /P <>BDC /T1_1 1 Tf 11.21 0 0 11.21 68.64 698.64 Tm (to Respondent's compliance with this Oidei shall be soldy and exdusivdy \ iesolved in )Tj EMC /P <>BDC /T1_0 1 Tf 12.18 0 0 12.18 68.88 684.24 Tm (aeeoidanee with this section. ENII and the layoi shall fiist try in good\ faith to settle the dispute )Tj 11.85 0 0 11.85 68.4 670.08 Tm (by mediation undei the CommerG\317al Mediation Rules ofthe AmeI\317ean A\ ibitration Association )Tj 12.32 0 0 12.32 68.88 653.52 Tm (\("AA"\). Ifthe dispute e\3431'lot be settled by mediation, then by \345\ 1bitution administeied by the )Tj 12.23 0 0 12.23 68.4 641.76 Tm (AA undei its CommeicIal Aibitiation Rules bef01e a single aibitiatoi mut\ ually agieed upon by )Tj EMC /P <>BDC /T1_2 1 Tf 8.26 0 0 8.26 68.4 627.6 Tm (ENII and the layoi. Ain mediation 01 \3451bitration pioeeeding shall be \ conducted in Chicago,\001 )Tj EMC /P <>BDC /T1_0 1 Tf 12.83 0 0 12.83 68.4 613.44 Tm (Ilinois. )Tj EMC /P <>BDC /T1_1 1 Tf 15.08 0 0 15.08 255.36 556.56 Tm (PARGRAH XII )Tj EMC /P <>BDC /T1_0 1 Tf 12.27 0 0 12.27 104.16 528.48 Tm (In Paragraph XII., add the following language in BOLD and delete the lan\ guage that is )Tj EMC /P <>BDC /T1_1 1 Tf 10.72 0 0 10.72 68.64 514.32 Tm (struck out: )Tj EMC /P <>BDC 11.78 0 0 11.78 104.16 485.76 Tm (IT IS FURTHER ORDERED that; this Order \(shall terminate\) wil ieimnn in\ effect foi )Tj /T1_0 1 Tf 12.6 0 0 12.6 68.16 471.36 Tm (ten \(10\) years \(from\) af the date \(on which this Order becomes fina\ l\) of its iSSU\34311ee. EN )Tj 11.92 0 0 11.92 68.16 457.2 Tm (may petition the Commission at any time for iemov\340l 01 expiiation the\ Oide!. )Tj EMC /Artifact <>BDC 10.32 0 0 10.32 298.8 78.96 Tm (18\001 )Tj EMC ET endstream endobj 2168 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 12.95 0 0 12.95 104.64 713.76 Tm (Respondent as of the date this Order becomes final, submit a verifed wri\ tten report )Tj 12.79 0 0 12.79 104.64 699.6 Tm (to the Commission setting forth in detail the manner and form in which i\ t has )Tj 12.7 0 0 12.7 104.88 685.2 Tm (complied and is complying with the Order; )Tj EMC /LI_Label <>BDC /T1_1 1 Tf 8.96 0 0 8.96 68.88 656.88 Tm (C.)Tj EMC /LI_Title <>BDC ( In each such verifed written report, include, among other things that a\ re required\001 )Tj EMC /P <>BDC /T1_2 1 Tf 11.86 0 0 11.86 104.64 642.72 Tm (from time to time, the following: )Tj EMC /LI_Label <>BDC /T1_1 1 Tf 8.83 0 0 8.83 104.64 612 Tm (\(i\))Tj EMC /LI_Title <>BDC ( a full description of the efforts being made to comply with the each Pa\ ragraph\001 )Tj EMC /P <>BDC /T1_0 1 Tf 13 0 0 13 140.4 600 Tm (of the Order; including, all internal memoranda, and all reports and )Tj EMC /P <>BDC 12.73 0 0 12.73 140.4 585.84 Tm (recommendations concerning compliance with the requirements of this )Tj EMC /P <>BDC 13.44 0 0 13.44 140.16 571.68 Tm (Order; and )Tj EMC /P <>BDC 12.71 0 0 12.71 302.88 543.36 Tm (the ENH Negotiating Team, the Highland)Tj EMC /LI_Label <>BDC /T1_1 1 Tf 5 0 0 5 104.4 541.44 Tm (\(ii\))Tj EMC /LI_Title <>BDC ( The identity of each member of \001)Tj EMC /P <>BDC /T1_2 1 Tf 11.78 0 0 11.78 139.92 529.44 Tm (Park Negotiating Team, any Third Party Consultant\(s\), and the Corporat\ e )Tj 11.52 0 0 11.52 139.68 515.28 Tm (Managed Care Department.\) )Tj EMC /P <>BDC /T1_0 1 Tf 5 0 0 5 257.76 486.96 Tm (PARGRAH )Tj EMC /P <>BDC 12.74 0 0 12.74 336.96 486.72 Tm (IX )Tj EMC /P <>BDC 12.25 0 0 12.25 103.92 458.88 Tm (In Paragraph IX., add the following language in BOLD and delete the lang\ uage that is )Tj EMC /P <>BDC /T1_1 1 Tf 8.28 0 0 8.28 68.16 444.72 Tm (strck out:\001 )Tj EMC /P <>BDC /T1_0 1 Tf 12.53 0 0 12.53 103.92 416.16 Tm (IT IS FURTHER ORDERED that, for puroses of determining or securng compli\ ance )Tj EMC /P <>BDC /T1_2 1 Tf 11.57 0 0 11.57 67.44 401.76 Tm (with this Order, \(and subject to any legally recognized privilege, and \ upon written request )Tj 11.38 0 0 11.38 68.16 387.36 Tm (and upon five \(5\) days notice to the Respondent made to its headquarte\ rs address\), )Tj EMC /P <>BDC /T1_1 1 Tf 8.12 0 0 8.12 67.44 372.96 Tm (Respondent shall, \(without restraint or interference\), permit any duly\ authorized representative\001 )Tj EMC /P <>BDC /T1_0 1 Tf 11.86 0 0 11.86 67.68 358.8 Tm (of the Commission: )Tj EMC /LI_Label <>BDC /T1_1 1 Tf 5 0 0 5 103.68 330.24 Tm (A.)Tj EMC /LI_Title <>BDC ( access, durg \(business\) offce hours \(of \001)Tj EMC /P <>BDC /T1_2 1 Tf 11 0 0 11 341.76 329.76 Tm (the Respondent\) and in the presence of )Tj EMC /P <>BDC /T1_1 1 Tf 7.78 0 0 7.78 139.44 315.84 Tm (counsel, \(to all facilties and access\) to inspect and copy all books, \ ledgers,\001 )Tj EMC /P <>BDC /T1_0 1 Tf 12.01 0 0 12.01 139.44 301.44 Tm (accounts, correspondence, memoranda, calendars, and \(all\) other record\ s and )Tj 12 0 0 12 139.2 287.28 Tm (documents in its possession, or under its control, relating to any matte\ r contained )Tj EMC /P <>BDC /T1_2 1 Tf 11.43 0 0 11.43 139.2 273.12 Tm (in this Order, \(which copying services shall be provided by the Respond\ ent at )Tj 11.51 0 0 11.51 139.2 258.72 Tm (the request of the authorized representative\(s\) of the Commission and \ at the )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 139.2 244.56 Tm (expense of \001)Tj EMC /P <>BDC /T1_0 1 Tf 12.63 0 0 12.63 195.12 244.32 Tm (the Respondent\); and )Tj EMC /LI_Label <>BDC 12.43 0 0 12.43 103.2 216.24 Tm (B.)Tj EMC /LI_Title <>BDC ( Upon five \(5\) days' notice to Respondent, and in the pieSenc.c. of c.\ ounsd, to )Tj EMC /P <>BDC 5 0 0 5 138.96 201.84 Tm (interview )Tj /T1_1 1 Tf 9.696 -0.048 Td (officers, \(directors, lor employees of )Tj EMC /P <>BDC /T1_0 1 Tf 12.26 0 0 12.26 369.84 201.12 Tm (the Respondent\(, who may have )Tj 12.85 0 0 12.85 139.2 187.44 Tm (counsel present, regarding such matters\). )Tj EMC /P <>BDC 5 0 0 5 259.44 144.24 Tm (PARGRAPH )Tj EMC /P <>BDC 12.3 0 0 12.3 338.64 144 Tm (X )Tj EMC /P <>BDC /T1_2 1 Tf 11.32 0 0 11.32 102.72 116.16 Tm (Delete Paragraph X. in its entirety. )Tj EMC /P <>BDC /T1_0 1 Tf 10.32 0 0 10.32 298.08 79.68 Tm (17 )Tj EMC ET endstream endobj 2169 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 13.08 0 0 13.08 250.08 699.84 Tm (PARGRAPH VI.D. )Tj EMC /P <>BDC /T1_1 1 Tf 12.35 0 0 12.35 102.96 671.76 Tm (In Paragraph VI.D., add the language bracketed in BOLD: )Tj EMC /LI_Label <>BDC 12.52 0 0 12.52 66.96 643.44 Tm (D.)Tj EMC /LI_Title <>BDC ( Nothing in this Order shall prevent the ENH Negotiating Team from reque\ sting, receiving, )Tj 12 0 0 12 103.2 629.04 Tm (sharng or otherwise obtaining Managed Care Contracting Information with \ respect to aH )Tj EMC /P <>BDC /T1_0 1 Tf 10.53 0 0 10.53 103.68 612.48 Tm (\(Hospital S\)services at Evanston and outpatie.nt Se.i vie.es at Highla\ nd l\3401k. )Tj EMC /P <>BDC 13.56 0 0 13.56 254.64 586.08 Tm (PARGRAPH VII )Tj EMC /P <>BDC /T1_1 1 Tf 12.33 0 0 12.33 102.72 558 Tm (In Paragraph VII., add the following language bracketed in BOLD: )Tj EMC /P <>BDC /T1_2 1 Tf 5 0 0 5 66.48 515.52 Tm (IT IS FUTHER ORDERED that Respondent shall cause each of \001)Tj EMC /P <>BDC /T1_1 1 Tf 11.97 0 0 11.97 394.8 515.04 Tm (Respondent's employees )Tj -27.429 -1.143 Td (having access to Managed Care Contracting Information to sign a statemen\ t that the individual )Tj EMC /P <>BDC /T1_2 1 Tf 5 0 0 5 66.24 486.96 Tm (will maintain the confidentiality required by the terms and conditions o\ f \001)Tj EMC /P <>BDC /T1_0 1 Tf 11.18 0 0 11.18 414.48 486.48 Tm (this Order. \(Respondent )Tj EMC /P <>BDC /T1_1 1 Tf 12.87 0 0 12.87 66.72 472.56 Tm (shall maintain complete records of all such statements at Respondent's h\ eadquarters and )Tj 12.84 0 0 12.84 66.72 458.4 Tm (shall provide an officer's certifcation to the Commission stating that s\ uch statements have )Tj 12.59 0 0 12.59 66.48 444.24 Tm (been signed and are being complied with by all relevant employees.\) )Tj EMC /P <>BDC /T1_0 1 Tf 15.06 0 0 15.06 252 415.68 Tm (PARGRAH VIII )Tj EMC /P <>BDC /T1_2 1 Tf 8.55 0 0 8.55 102.24 387.6 Tm (In Paragraph VIII, add the following language bracketed in BOLD and dele\ te the\001 )Tj EMC /P <>BDC 16.92 0 0 16.92 66.48 373.44 Tm (language that is strck out: .\001 )Tj EMC /P <>BDC /T1_1 1 Tf 12.44 0 0 12.44 66 344.88 Tm (IT IS FURTHER ORDERED that Respondent shall, )Tj EMC /P <>BDC /T1_2 1 Tf 5 0 0 5 66.96 314.4 Tm (\(A.\) One \(1\) year from the date this Order )Tj 8.47 0 0 8.47 283.2 316.08 Tm (becomes final\(,\) an anually \(for the next nine\001 )Tj EMC /P <>BDC /T1_1 1 Tf 12.89 0 0 12.89 102 301.92 Tm (years on the anniversary date this Order becomes final, and at such othe\ r times as )Tj 11.79 0 0 11.79 102 288 Tm (the Commission may require\) tl11til the. Oide.i tenninates 01 the Commi\ ssion de.tGnnines )Tj 12.11 0 0 12.11 102 273.84 Tm (it no longe.i nee.essar, submit a verified wrtten report to the Commissi\ on setting forth in )Tj EMC /P <>BDC /T1_0 1 Tf 11.21 0 0 11.21 102 259.68 Tm (detail the maner and form in which it has complied and is complying with\ the Order; )Tj EMC /LI_Label <>BDC /T1_1 1 Tf 13.16 0 0 13.16 66.72 229.2 Tm (\(B.)Tj EMC /LI_Title <>BDC ( Within sixty \(60\) days after the date this Order becomes final, and e\ very sixty \(60\) )Tj EMC /P <>BDC /T1_0 1 Tf 11.94 0 0 11.94 102 216.96 Tm (days thereafter unti Respondent has fully complied with Paragraphs II, V\ .A., VI.A., )Tj EMC /P <>BDC /T1_2 1 Tf 5 0 0 5 101.04 202.8 Tm (INSERT PARAGRAPH NUMBER,16 and has obtained the signed statements of \001\ )Tj EMC /P <>BDC /T1_1 1 Tf 12.68 0 0 12.68 506.4 202.32 Tm (all of )Tj 12.81 0 0 12.81 101.76 188.64 Tm (Respondent's employees described in Paragraph VII and who are employed b\ y the )Tj EMC /P <>BDC 11.94 0 0 11.94 102.24 154.8 Tm (16 Insert Paragraph number corresponding to the provisions in Respondent\ 's Proposed )Tj EMC /P <>BDC 12.27 0 0 12.27 65.76 135.36 Tm (Order Paragraph XI. which states "IT IS FURTHER ORDERED that ENH shall, \ within sixty )Tj EMC /LI_Label <>BDC /T1_2 1 Tf 7.83 0 0 7.83 65.76 119.04 Tm (\(60\))Tj EMC /LI_Title <>BDC ( days after the date this Order becomes final, send by first-class mail,\ retu receipt\001 )Tj EMC /P <>BDC /T1_1 1 Tf 12.23 0 0 12.23 65.04 107.28 Tm (requested, a copy ofthis Order to each officer and director ofENH." )Tj EMC /P <>BDC 10.32 0 0 10.32 297.36 80.64 Tm (16 )Tj EMC ET endstream endobj 2170 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 13.13 0 0 13.13 220.8 713.76 Tm (PARGRAPH III.B. AND III.C.\001 )Tj EMC /P <>BDC /T1_1 1 Tf 8.42 0 0 8.42 104.64 685.68 Tm (In Paragraph III.B. and III.C., add the language bracketed in BOLD and d\ elete the\001 )Tj EMC /P <>BDC /T1_2 1 Tf 11.85 0 0 11.85 68.88 671.52 Tm (language that is struck out: )Tj EMC /LI_Label <>BDC 12.64 0 0 12.64 68.16 642.96 Tm (B.)Tj EMC /LI_Title <>BDC ( When Payors request separate negotiations for Inpaticnt \(Hospital\) Se\ rvices at Highland )Tj 11.96 0 0 11.96 104.16 628.56 Tm (Park, the ENH Negotiating Team shall negotiate \(only\) for aM \(Hospita\ l S\)services at )Tj 12.15 0 0 12.15 104.16 614.4 Tm (Evanston and only ontpaticnt sa viccs at Highland laik. )Tj EMC /LI_Label <>BDC /T1_1 1 Tf 8.53 0 0 8.53 68.4 585.84 Tm (C.)Tj EMC /LI_Title <>BDC ( At the request of any specific Payor, the ENH Negotiating Team shall be\ permitted to\001 )Tj EMC /P <>BDC /T1_2 1 Tf 12.07 0 0 12.07 103.92 571.68 Tm (negotiate for aM \(Hospital S\)services at all ENH Hospitals for that sp\ ecific Payor \(for that )Tj EMC /P <>BDC /T1_0 1 Tf 11.55 0 0 11.55 104.4 557.28 Tm (specific Managed Care Contract\). )Tj EMC /P <>BDC /T1_2 1 Tf 14.23 0 0 14.23 259.2 514.32 Tm (PARGRAPHV. )Tj EMC /P <>BDC 12.25 0 0 12.25 103.92 486.48 Tm (In Paragraph V.A., add the language bracketed in BOLD, and add a corresp\ onding )Tj EMC /P <>BDC 12.14 0 0 12.14 67.92 472.32 Tm (Paragraph V.B. to require ENH to provide similar notifications to any Pa\ yors commencing de )Tj EMC /P <>BDC 11.91 0 0 11.91 67.68 458.16 Tm (novo contractual negotiations with ENH: )Tj EMC /LI_Label <>BDC /T1_1 1 Tf 8.34 0 0 8.34 67.44 429.84 Tm (A.)Tj EMC /LI_Title <>BDC ( Within thirt \(30\) days after the date this order becomes final, ENH s\ hall provide all\001 )Tj EMC /P <>BDC 5 0 0 5 103.68 415.2 Tm (Payors with which it has a Cnncnt \(Pre-existing\) Contract notification\ of )Tj /T1_2 1 Tf 12 0 0 12 459.84 414.48 Tm (this Order and )Tj EMC /P <>BDC /T1_1 1 Tf 8.35 0 0 8.35 103.92 401.04 Tm (offer the opportty to negotiate separately with the Highland Park Negoti\ ating Team for\001 )Tj EMC /P <>BDC /T1_0 1 Tf 11.4 0 0 11.4 103.68 386.64 Tm (Inpaticnt \(Hospital\) Services for Highland Park \(for each such contra\ ct. Respondent )Tj EMC /P <>BDC /T1_2 1 Tf 12.75 0 0 12.75 103.92 372.24 Tm (shall give such notifcations to the Chief Executive Officer, the General\ Counsel, and )Tj 12.85 0 0 12.85 103.68 358.08 Tm (to the Network Manager of the Payor by both first class mail and bye-mai\ l with )Tj EMC /P <>BDC /T1_0 1 Tf 11.73 0 0 11.73 103.92 343.92 Tm (return receipt requested or similar transmission, and keep a fie of such\ receipts for )Tj EMC /P <>BDC /T1_2 1 Tf 12.77 0 0 12.77 103.44 329.76 Tm (three \(3\) years after the date on which this Order becomes finaL. Resp\ ondent shall )Tj EMC /P <>BDC /T1_0 1 Tf 11.67 0 0 11.67 103.68 315.84 Tm (maintain complete records of all such notifcations at Respondent's headq\ uarters )Tj EMC /P <>BDC /T1_2 1 Tf 12.87 0 0 12.87 103.68 301.68 Tm (and shall provide an officer's certifcation to the Commission stating th\ at such )Tj EMC /P <>BDC 12.74 0 0 12.74 103.44 287.52 Tm (notification program has been implemented and is being complied with. )Tj EMC /P <>BDC /T1_1 1 Tf 8.97 0 0 8.97 66.96 259.44 Tm (B. Not later than ten \(10\) days after being contacted by a Payor to ne\ gotiate a Managed )Tj /T1_2 1 Tf 13.01 0 0 13.01 103.44 245.04 Tm (Care Contract, ENH shall provide such Payor notifcation of this Order an\ d offer the )Tj 12.88 0 0 12.88 103.44 230.88 Tm (opportunity to negotiate separately with the Highland Park Negotiating T\ eam for )Tj 12.94 0 0 12.94 103.2 216.72 Tm (Hospital Services for Highland Park. Respondent shall give such notifcat\ ions to the )Tj 5 0 0 5 103.44 202.56 Tm (Chief )Tj EMC /P <>BDC 12.87 0 0 12.87 134.16 202.56 Tm (Executive Officer, the General Counsel, and to the Network Manager ofthe\ )Tj 13 0 0 13 103.2 188.4 Tm (Payor by both first class mail and bye-mail with return receipt requeste\ d or similar )Tj 12.9 0 0 12.9 102.96 174.24 Tm (transmission, and keep a fie of such receipts for three \(3\) years afte\ r the date on )Tj 12.96 0 0 12.96 102.72 160.08 Tm (which such notifcation is sent to the Payor. Respondent shall maintain c\ omplete )Tj 13.01 0 0 13.01 102.96 145.92 Tm (records of all such notifcations at Respondent's headquarters and shall \ provide an )Tj 13.02 0 0 13.02 102.96 131.52 Tm (officer's certifcation to the Commission stating that such notifcation p\ rogram has )Tj EMC /P <>BDC /T1_0 1 Tf 11.49 0 0 11.49 102.72 117.36 Tm (been implemented and is being complied with.\) )Tj EMC /Artifact <>BDC /T1_2 1 Tf 9.84 0 0 9.84 298.56 80.16 Tm (15 )Tj EMC ET endstream endobj 2171 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 11.94 0 0 11.94 104.4 714 Tm (authorized representative to execute and sign Managed Care Contracts neg\ otiated by the )Tj 11.87 0 0 11.87 103.92 699.84 Tm (ENH Negotiating Team. )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 103.92 671.28 Tm (In Paragraph I.H., delete ENH's entire definition of )Tj 8.47 0 0 8.47 363.12 670.56 Tm ("Payor" \(strck out language\) and\001 )Tj EMC /P <>BDC /T1_0 1 Tf 11.99 0 0 11.99 67.92 656.64 Tm (substitute the language bracketed in BOLD: )Tj EMC /LI_Label <>BDC 13.6 0 0 13.6 67.44 628.08 Tm (H.)Tj EMC /LI_Title <>BDC ( \("Payor" means any Person that pays, or arranges for payment, for all \ or any part of )Tj 12.82 0 0 12.82 103.92 613.92 Tm (any Hospital Services for itself or for any other Person. Payor includes\ any Person )Tj 12.49 0 0 12.49 103.68 599.76 Tm (that develops, leases, or sells access to networks of Hospitals.\) )Tj EMC /LI_Label <>BDC 12.65 0 0 12.65 67.2 571.92 Tm (H.)Tj EMC /LI_Title <>BDC ( "layol; means a managed eMe company, its offiGeis, diieetois, employees\ , a~ents, )Tj EMC /P <>BDC /T1_1 1 Tf 7.9 0 0 7.9 103.2 557.76 Tm (iepiesentatives, SUGeeSSOlS, and assigns, subsidiMiGs, divisions, gtotls\ , andaffiiatcs\001 )Tj EMC /P <>BDC /T1_0 1 Tf 11.49 0 0 11.49 103.44 543.6 Tm (Gontiolled by it, Mid the IGpiesentativG offeeis, diiGc.OlS, employees, \ a~ent, )Tj EMC /P <>BDC /T1_2 1 Tf 10.55 0 0 10.55 103.2 529.44 Tm (iepiesentatives, sueeessois, Mid assigns of each, that piovides acccss t\ o health eMC )Tj 10.53 0 0 10.53 103.68 515.28 Tm (ser vices 011 Ml insmcd, pMiially insmed 01 a self-insmed basis, indudin\ g plans sue.h as )Tj EMC /P <>BDC /T1_0 1 Tf 12.22 0 0 12.22 102.96 501.36 Tm (health maintcnance oigMiizations \(HMO\), p1dened piovidci oi~anizatioii\ s \(IlO\), and )Tj EMC /P <>BDC /T1_2 1 Tf 10.62 0 0 10.62 102.96 487.2 Tm (point of SCI viGe. plans \(IOS\). A la\)'o1 may be. a licensed insmci, a\ n administiat1 ve )Tj EMC /P <>BDC /T1_0 1 Tf 11.44 0 0 11.44 103.44 473.04 Tm (SC1 viGes oiganzation, Oi both. The SCI viees may indude network aCGess \ and development, )Tj 11.71 0 0 11.71 103.2 458.88 Tm (e.ornaGt negotiation with piovideis, p10vider relations, medie.al Mid ut\ ilization )Tj 12.13 0 0 12.13 102.96 444.72 Tm (management and elaims administiation. This dcfiiiition specifie.ally exd\ udes all fedeial, )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 103.44 430.32 Tm (State and Local Go )Tj /T1_0 1 Tf 18.576 0 Td (v )Tj /T1_1 1 Tf 8.66 0 0 8.66 201.36 430.32 Tm (einment layois \(induding Medie.Me, Medieaid, and MediGMe benefits )Tj EMC /P <>BDC /T1_0 1 Tf 11.97 0 0 11.97 103.2 416.4 Tm (administeicd by Managed CMC la\)i01S, i.e., MedieMe Advantagc llans\), p\ 10videi gtotis )Tj 11.79 0 0 11.79 102.96 402.24 Tm (ine.hidin~ but not limited to Home Health, Hospie.e Agenc.es, Independen\ t lhysiGians )Tj 11.65 0 0 11.65 102.72 388.08 Tm (AssoGiations \(ITA\), ENH self-fuded employee insU1ancG plan Mid any emp\ loyer diiee.t )Tj 11.89 0 0 11.89 102.96 373.92 Tm (agtecmcnt. )Tj EMC /P <>BDC 12.27 0 0 12.27 102.72 345.36 Tm (In Paragraph I.L., change the following definition to add the language b\ racketed in )Tj 12.17 0 0 12.17 66.48 331.2 Tm (BOLD and to delete the language that is strck out, and make conforming c\ hanges throughout the )Tj 12.02 0 0 12.02 66.72 316.8 Tm (Order to substitute the term "Hospital Services" for the term "Inpatient\ Services": )Tj EMC /LI_Label <>BDC /T1_1 1 Tf 8.17 0 0 8.17 66.24 288.48 Tm (L.)Tj EMC /LI_Title <>BDC ( "hipaticnt \(Hospital\) Services" means ~Gneial aGute e.Me. \(all\) inp\ atient hospital services\001 )Tj EMC /P <>BDC /T1_0 1 Tf 12.02 0 0 12.02 102.24 274.08 Tm (which include a broad cluster of medical, surgical, diagnostic, treatmen\ t, and \(all\) other )Tj 12.09 0 0 12.09 102.72 259.92 Tm (services that are included as par of an admission of a patient to an inp\ atient bed within )Tj EMC /P <>BDC /T1_1 1 Tf 8.23 0 0 8.23 102.24 245.52 Tm (Evanston Hospital or Highland Park Hospital, \(and all outpatient servic\ es that are\001 )Tj EMC /P <>BDC 5 0 0 5 102.48 231.12 Tm (related to the )Tj 14.16 -0.048 Td (use of )Tj 8.11 0 0 8.11 205.92 230.88 Tm (that HospitaL.\)\001 )Tj EMC /P <>BDC /T1_2 1 Tf 11.19 0 0 11.19 102 202.8 Tm (In Paragraph I.J., change the following definition to add the language b\ racketed in )Tj EMC /P <>BDC /T1_0 1 Tf 12.04 0 0 12.04 65.76 188.64 Tm (BOLD and to delete the language that is struck out: )Tj EMC /LI_Label <>BDC /T1_2 1 Tf 11.47 0 0 11.47 65.52 159.6 Tm (J.)Tj EMC /LI_Title <>BDC ( "Managed Care Contract" means a contract or agreement for \(Hospital S\)\ services between )Tj 11.21 0 0 11.21 101.76 145.44 Tm (ENH and a Payor including but not limited to rates, definitions, terms, \ conditions an )Tj EMC /P <>BDC /T1_0 1 Tf 12.68 0 0 12.68 101.52 131.04 Tm (policies\(, and pricing methodology \(e.g., per diem, discount rate, and\ case rate\). )Tj EMC /P <>BDC 10.8 0 0 10.8 297.12 79.92 Tm (14 )Tj EMC ET endstream endobj 2172 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 12.69 0 0 12.69 259.44 713.52 Tm (ATTACHMENT\001 )Tj EMC /P <>BDC 12.76 0 0 12.76 98.64 685.2 Tm (Complaint Counsel's proposed changes and additions to ENH's proposed ord\ er: )Tj EMC /P <>BDC 5 0 0 5 258.48 642.24 Tm (PARGRAPH )Tj EMC /LI_Label <>BDC 11.93 0 0 11.93 337.68 642 Tm (I. )Tj EMC /P <>BDC 12.24 0 0 12.24 103.44 613.92 Tm (Under Paragraph I., add the following definitions and make such conformi\ ng changes as )Tj EMC /P <>BDC /T1_1 1 Tf 10.85 0 0 10.85 67.44 599.76 Tm (are necessar throughout the order: )Tj EMC /P <>BDC /T1_0 1 Tf 11.98 0 0 11.98 103.2 571.44 Tm ("Commission" means the 鶹ý Trade Commission. )Tj EMC /P <>BDC 0 -2.344 TD ("Hospital" means any human medical care facility licensed as a hospital \ in the state in )Tj 11.89 0 0 11.89 102.72 529.44 Tm (which the facility is located. )Tj EMC /P <>BDC 11.99 0 0 11.99 103.2 498.48 Tm ("Operate" means to own, lease, manage or otherwise control or direct the\ operations of a )Tj EMC /P <>BDC /T1_1 1 Tf 11.28 0 0 11.28 102.72 486.96 Tm (Hospital, directly or indirectly. )Tj EMC /P <>BDC /T1_2 1 Tf 5 0 0 5 102.96 458.4 Tm ("Ownership Interest" means any and all rights, present or contingent, of\ \001)Tj EMC /P <>BDC /T1_1 1 Tf 10.55 0 0 10.55 449.76 458.16 Tm (Respondent to )Tj EMC /P <>BDC /T1_0 1 Tf 11.97 0 0 11.97 102.48 444.48 Tm (hold any voting or nonvoting stock, share capital, equity or other inter\ ests or beneficial )Tj 11.84 0 0 11.84 102.96 430.32 Tm (ownership in an entity. )Tj EMC /P <>BDC 12.26 0 0 12.26 102.72 402 Tm ("Person" means any individual, parership, joint venture, firm, corporati\ on, association, )Tj 12.57 0 0 12.57 102.48 387.84 Tm (trust, unncorporated organzation, joint ventue, or other business or gov\ ernent entity, )Tj EMC /P <>BDC /T1_1 1 Tf 10.97 0 0 10.97 102.72 373.68 Tm (and any subsidiares, divisions, groups or affiliates thereof. )Tj EMC /P <>BDC /T1_0 1 Tf 12.27 0 0 12.27 102.48 345.12 Tm (In Paragraph I.K., change the following definition to add the language b\ racketed in )Tj 12.17 0 0 12.17 66.48 330.72 Tm (BOLD and to delete the language that is strck out, and make conforming c\ hanges throughout the )Tj 12.15 0 0 12.15 66.48 316.56 Tm (order to substitute the term "Pre-existing Contract" for the term "Curen\ t Contract": )Tj EMC /LI_Label <>BDC /T1_2 1 Tf 8.96 0 0 8.96 66 288.24 Tm (K.)Tj EMC /LI_Title <>BDC ( \("Pre-existing\) Cmi ent Contract" means a Managed Care Contract betwe\ en a Payor and\001 )Tj EMC /P <>BDC /T1_0 1 Tf 12.31 0 0 12.31 102.24 273.84 Tm (ENH \(that is\) in effect at thc tinic ofthc entry of \(on the date\) th\ is Order \(becomes final.\) )Tj EMC /P <>BDC 12.28 0 0 12.28 102 245.28 Tm (In Paragraph I.G., change the following definition to add the language b\ racketed in )Tj 12.16 0 0 12.16 66.24 230.88 Tm (BOLD: )Tj EMC /LI_Label <>BDC 12.6 0 0 12.6 66.24 202.56 Tm (G.)Tj EMC /LI_Title <>BDC ( "ENH Negotiating Team" means the team responsible for negotiating a Man\ aged Care )Tj EMC /P <>BDC /T1_1 1 Tf 10.67 0 0 10.67 102.24 187.92 Tm (Contract for aH \(Hospital S\)services at Evanston as well as outpaticnt\ 5\(,1 viccs fOI )Tj EMC /P <>BDC /T1_0 1 Tf 12.11 0 0 12.11 101.76 173.76 Tm (Highland raik when Payors elect separate negotiations, and for aH \(Hosp\ ital S\)services at )Tj 12.07 0 0 12.07 102.24 159.36 Tm (all ENH hospitals when Payors do not elect separate negotiations. The EN\ H Negotiating )Tj 12.18 0 0 12.18 101.76 145.2 Tm (Team wil be separate and distinct from the Highland Park Negotiating Tea\ m. The ENH )Tj 12.05 0 0 12.05 101.52 131.04 Tm (Negotiating Team shall consist of employees or advisors that report to t\ he ENH Chief )Tj EMC /P <>BDC 12.22 0 0 12.22 102 114.48 Tm (Operations Offcer \("COO"\) and will be located at Evanston. The ENH COO\ is the )Tj EMC /Artifact <>BDC 9.84 0 0 9.84 297.6 79.68 Tm (13 )Tj EMC ET endstream endobj 2173 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 23.94 0 0 23.94 220.56 476.64 Tm (ATTACHMENT\001 )Tj EMC /Artifact <>BDC 10.56 0 0 10.56 297.6 80.64 Tm (12\001 )Tj EMC ET endstream endobj 2174 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /StyleSpan <>BDC /T1_0 1 Tf 3 Tr 12.59 0 0 12.59 263.52 713.04 Tm (CONCLUSION )Tj EMC /P <>BDC /T1_1 1 Tf 5.89 0 0 5.89 372.48 713.04 Tm (", ';!'~:; :-:; , )Tj EMC /P <>BDC 6.79 0 0 6.79 381.6 708.72 Tm (,..g . )Tj EMC /P <>BDC 10.62 0 0 10.62 104.4 684.96 Tm (Complaint Counsel have not been able to create suitable..irljiirld\354~e\ f~fi~ftJ S~\337\315\357cate the )Tj EMC /P <>BDC /T1_0 1 Tf 12.39 0 0 12.39 96.72 656.88 Tm (achievable through divestitue. We have, however, conf\323ll\351dENH;s pr\ op\362~'i\(t~ the)Tj EMC /P <>BDC 5 0 0 5 67.92 656.64 Tm (relief )Tj EMC /P <>BDC 11.93 0 0 11.93 68.4 628.08 Tm (Commission's standard language and approach when issuing final orders. )Tj EMC /P <>BDC 11.96 0 0 11.96 104.16 600 Tm (We accept the Commission's decision to forego divestiture so that ENH ca\ n continue to )Tj EMC /P <>BDC 12.1 0 0 12.1 67.68 571.92 Tm (provide the hospital services it has developed, albeit financed in par w\ ith seven years of )Tj EMC /P <>BDC 12.06 0 0 12.06 67.68 543.6 Tm (monopoly profits it extracted from consumers pending a final decision in\ this case. We must )Tj EMC /P <>BDC 11.95 0 0 11.95 67.44 515.52 Tm (respectfully remind the Commission, however, that a remedy along the lin\ es proposed by ENH, )Tj EMC /P <>BDC 12.05 0 0 12.05 67.92 487.2 Tm (and contemplated by the Commission's decision, wil not likely solve the \ competitive problems )Tj EMC /P <>BDC 11.85 0 0 11.85 67.68 458.88 Tm (caused by this unlawful merger. )Tj EMC /P <>BDC /T1_2 1 Tf 8.19 0 0 8.19 319.2 430.08 Tm (Respectfully submitted,\001)Tj EMC /P <>BDC /T1_0 1 Tf 72 0 0 72 303.36 381.6 Tm (/l\3301~)Tj EMC /P <>BDC 11.85 0 0 11.85 67.2 373.92 Tm (Jeffrey Schmidt )Tj 11.94 0 0 11.94 319.44 373.2 Tm (Thomas H. Brock )Tj 12.54 0 0 12.54 66.72 359.76 Tm (Director )Tj /T1_2 1 Tf 9.08 0 0 9.08 319.92 359.04 Tm (Complaint Counsel )Tj EMC /P <>BDC /T1_0 1 Tf 11.97 0 0 11.97 319.2 344.88 Tm (Bureau of Competition )Tj 11.92 0 0 11.92 67.2 331.44 Tm (Elizabeth A. Piotrowski )Tj 11.99 0 0 11.99 319.2 330.72 Tm (鶹ý Trade Commission )Tj 12.05 0 0 12.05 66.48 317.28 Tm (Deputy Assistant Director )Tj 11.85 0 0 11.85 319.44 316.56 Tm (601 New Jersey Ave., N.W. )Tj 11.71 0 0 11.71 67.68 303.12 Tm (Compliance Division )Tj 11.95 0 0 11.95 319.2 302.4 Tm (Washington, D.C., 20580 )Tj EMC /LI_Label <>BDC 11.79 0 0 11.79 319.44 286.08 Tm (\(202\))Tj EMC /LI_Title <>BDC ( 326-2813 )Tj 11.97 0 0 11.97 66.72 275.04 Tm (Bureau of Competition )Tj 12.6 0 0 12.6 319.2 274.32 Tm (Tbrock~FTC.gov )Tj EMC /P <>BDC 11.97 0 0 11.97 66.72 260.88 Tm (鶹ý Trade Commission )Tj 12.23 0 0 12.23 66.96 246.72 Tm (Washington, D.C. 20580 )Tj EMC /P <>BDC 11.95 0 0 11.95 66.24 175.92 Tm (Dated: October 29, 2007 )Tj EMC /Artifact <>BDC 9.36 0 0 9.36 297.84 79.44 Tm (11 )Tj EMC ET endstream endobj 2175 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 10.92 0 0 10.92 68.16 714.24 Tm (and/or order enforcement authority to a private entity.13 The delegation\ doctrne is not offended )Tj EMC /P <>BDC /T1_1 1 Tf 11.98 0 0 11.98 68.16 685.68 Tm (so long as the Commission retains ultimate authority and control over th\ e decision whether or not )Tj EMC /P <>BDC 12.02 0 0 12.02 68.16 657.36 Tm (a respondent is in compliance with an agency order. Paragraph X contains\ no clear standards to )Tj EMC /P <>BDC 12.21 0 0 12.21 67.92 626.64 Tm (guide a non-agency third par in its determination whether ENH's conduct \ complies with the )Tj EMC /P <>BDC 12 0 0 12 67.68 600.48 Tm (Commission's order, nor does it reserve ultimate control and authority t\ o the Commission over )Tj EMC /P <>BDC 12.05 0 0 12.05 67.44 572.4 Tm (this determination. We therefore propose that it be deleted from any fin\ al order. )Tj EMC /LI_Label <>BDC /T1_2 1 Tf 10.02 0 0 10.02 67.2 544.08 Tm (B.)Tj EMC /LI_Title <>BDC ( Proposed New Paragraph - Prior Notice Requirement\001 )Tj EMC /P <>BDC /T1_1 1 Tf 12.09 0 0 12.09 103.44 515.76 Tm (We also propose the addition of a prior notification requirement for any\ futue acquisitions )Tj EMC /P <>BDC /T1_2 1 Tf 5 0 0 5 66.96 487.68 Tm (that ENH may make of \001)Tj EMC /P <>BDC /T1_1 1 Tf 12.01 0 0 12.01 180.72 487.44 Tm (hospitals located within the Chicago Metropolitan Statistical Area, as w\ ell )Tj 12.06 0 0 12.06 67.2 459.36 Tm (as for any management contracts or similar arangements that ENH may ente\ r into for hospitals )Tj 11.95 0 0 11.95 67.2 431.28 Tm (located within that area.14 The prior notification requirement we propos\ e is similar to ones that )Tj 11.96 0 0 11.96 66.72 402.72 Tm (have been used in past hospital orders.15 We believe the impact of this \ requirement on ENH will )Tj 12.1 0 0 12.1 66.48 374.4 Tm (be relatively benign, and it has the potential to provide the Commssion \ with useful information )Tj EMC /P <>BDC /T1_2 1 Tf 5 0 0 5 66.96 346.08 Tm (about transactions in which ENH engages that are not subject to the repo\ rting requirements of )Tj /T1_1 1 Tf 11.98 0 0 11.98 520.08 345.12 Tm (the )Tj EMC /P <>BDC 12.25 0 0 12.25 66.48 318 Tm (Har-Scott-Rodino Act. The specific requirements ofthe proposed prior not\ ification requirements )Tj 11.97 0 0 11.97 66.72 289.68 Tm (are set forth in the Attachment to this submission. )Tj EMC /P <>BDC /T1_2 1 Tf 8.13 0 0 8.13 103.2 248.88 Tm (13 See generally Carter v. Carter Coal Co., 298 U.S. 238 \(1936\).\001 )Tj EMC /P <>BDC /T1_1 1 Tf 12.06 0 0 12.06 103.2 222.72 Tm (14 At trial, ENH proposed to the Administrative Law Judge that, in lieu \ of divestitue, it )Tj 12.1 0 0 12.1 66.24 204 Tm (instead be required to provide prior notification of any futue acquisiti\ ons of providers of general )Tj 12.09 0 0 12.09 66.48 189.6 Tm (acute care inpatient hospital services in a relevant geographic market. \ See Post-Trial Brief of )Tj -0.04 -1.171 Td (Respondent Evanston Northwestern Healthcare Corporation \(May 27,2005\),\ at 124-125 and )Tj EMC /P <>BDC /T1_2 1 Tf 8.95 0 0 8.95 66 161.28 Tm (Attachment D.\001 )Tj EMC /P <>BDC /T1_1 1 Tf 12 0 0 12 102.72 139.92 Tm (15 See, e.g., Hospital Corporation of America v. 鶹ý Trade Commissio\ n, 807 F.2d )Tj EMC /P <>BDC /T1_0 1 Tf 11.16 0 0 11.16 66.96 120.96 Tm (1381, 1393 \(7th Cir. 1986\); Columbia/HCA Healthcare Corporation, Docke\ t No. C-3619 )Tj 10.84 0 0 10.84 66 104.4 Tm (\(consent order\), 120 F.T.C. 743 \(1995\). )Tj EMC /Artifact <>BDC /T1_1 1 Tf 10.32 0 0 10.32 297.84 79.92 Tm (10\001 )Tj EMC ET endstream endobj 2176 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 12.08 0 0 12.08 67.44 713.76 Tm (because it is at odds with general Commission practice in connection wit\ h FTC orders. As )Tj EMC /P <>BDC /T1_1 1 Tf 10.77 0 0 10.77 67.2 685.44 Tm (proposed by ENH, Paragraph X provides that: . )Tj EMC /P <>BDC /T1_0 1 Tf 12.05 0 0 12.05 103.92 654.48 Tm ("\(a\)nyand all disputes between ENH and Payors with respect to Responde\ nt's compliance )Tj 11.96 0 0 11.96 103.44 642.72 Tm (with this Order shall be solely and exclusively resolved in accordance w\ ith this section. )Tj 0 -1.184 TD (ENH and the Payor shall first try to settle the dispute by mediation und\ er the Commercial )Tj EMC /P <>BDC /T1_2 1 Tf 8.55 0 0 8.55 103.44 614.4 Tm (Mediation Rules of the American Arbitration Association \("AA"\). If the\ dispute canot\001 )Tj EMC /P <>BDC /T1_0 1 Tf 12.24 0 0 12.24 103.2 600 Tm (be settled by mediation, then by arbitration administered by the AA unde\ r its )Tj 11.95 0 0 11.95 103.68 585.84 Tm (Commercial Arbitration Rules before a single arbitrator mutually agreed \ upon by ENH and )Tj 11.99 0 0 11.99 103.2 571.92 Tm (the Payor." )Tj EMC /P <>BDC 11.98 0 0 11.98 67.2 543.84 Tm (ENH explains that such provisions are a commonly-accepted means for reso\ lving private disputes )Tj EMC /P <>BDC 12.23 0 0 12.23 66.72 515.52 Tm (that may arse in a commercial context and are therefore reasonable. ENH \ submission at 5. This )Tj EMC /P <>BDC /T1_1 1 Tf 11.05 0 0 11.05 66.72 487.44 Tm (may be tre in the context of a private commercial transaction, and we wo\ uld have no objection to )Tj EMC /P <>BDC /T1_0 1 Tf 11.99 0 0 11.99 66.72 459.12 Tm (the inclusion of such dispute resolution procedures to resolve purely pr\ ivate contractual issues that )Tj 12.23 0 0 12.23 66.72 430.8 Tm (may be included in the ordinar course in ENH's contracts with payors. Ho\ wever, such )Tj 12.03 0 0 12.03 66.24 402.48 Tm (provisions have not been used in Commission orders as a means of resolvi\ ng issues with or )Tj 12 0 0 12 66.72 374.16 Tm (disputes over a respondent's compliance with an FTC order, and the Commi\ ssion should not be )Tj 11.98 0 0 11.98 66 345.84 Tm (placed in the position of delegating decisions about order compliance to\ non-agency third parties. )Tj EMC /P <>BDC /T1_2 1 Tf 5 0 0 5 66.24 317.52 Tm (It is the role of \001)Tj EMC /P <>BDC /T1_1 1 Tf 10.99 0 0 10.99 139.92 317.28 Tm (the Commssion, aided by Commission staff, to determine what constitutes \ )Tj EMC /P <>BDC /T1_0 1 Tf 12 0 0 12 66.24 289.44 Tm (compliance by a respondent with a Commission order, including whether or\ not to open a )Tj 0 -2.36 TD (compliance investigation or to file an action enforcing compliance with \ the order and seeking civil )Tj EMC /P <>BDC /T1_2 1 Tf 5 0 0 5 65.52 232.8 Tm (penalties and other appropriate equitable relief )Tj 45.408 -0.096 Td (pursuant to Section 5\(l\) of \001)Tj EMC /P <>BDC /T1_0 1 Tf 11.94 0 0 11.94 421.92 231.84 Tm (the FTC Act, 15 U.S.C. )Tj 12.06 0 0 12.06 66.48 204.48 Tm (\247 45\(l\). Moreover, providing that decisions about order compliance \ have been delegated to a non-)Tj 11.96 0 0 11.96 66 176.16 Tm (agency arbiter may subject the order or any determination under such pro\ vision to challenge, )Tj EMC /P <>BDC /T1_2 1 Tf 5 0 0 5 65.76 147.6 Tm (either by payors or by respondents, as an unconstitutional delegation of\ )Tj /T1_1 1 Tf 11.15 0 0 11.15 410.4 146.88 Tm (the Commission's law )Tj EMC /Artifact <>BDC /T1_0 1 Tf 10.56 0 0 10.56 299.76 79.68 Tm (9\001 )Tj EMC ET endstream endobj 2177 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 12.04 0 0 12.04 67.44 710.16 Tm (provision, and is consistent with the definition used in The Maine Healt\ h Allance matter.11 We )Tj 12.05 0 0 12.05 67.92 681.6 Tm (also propose additional definitions for the terms "operate," "ownership \ interest," and "person." )Tj 12 0 0 12 67.68 653.28 Tm (These definitions are needed for the proposed prior notification provisi\ on to cover any )Tj 11.97 0 0 11.97 67.68 624.72 Tm (acquisitions of a hospital that ENH may make and any management or simil\ ar contracts that ENH )Tj -0.04 -2.346 Td (may enter into with a hospitaL. The approach and language used in this d\ efinition and in the )Tj 12 0 0 12 67.2 568.32 Tm (proposed prior notification requirements are consistent with those used \ in more recent orders as )Tj 11.69 0 0 11.69 67.2 540 Tm (well as in HCA and other past hospital orders.12 )Tj EMC /LI_Label <>BDC 14.82 0 0 14.82 67.2 511.68 Tm (B.)Tj EMC /LI_Title <>BDC ( Comments on PARGRAHS II through XII )Tj EMC /P <>BDC 11.98 0 0 11.98 103.2 483.12 Tm (In general, we propose that conforming changes be made throughout the or\ der to make it )Tj 12.11 0 0 12.11 67.44 454.8 Tm (consistent with curent Commission practice and the proposed changes and \ additions to the )Tj 12.53 0 0 12.53 67.2 426.48 Tm (defitions discussed above.W e also propose that: \(i\) fuher specific re\ quirements be added to )Tj 12.08 0 0 12.08 66.96 398.16 Tm (Paragraph V to clarfy ENH's notification obligations to MCOs regarding t\ heir option to reopen )Tj 11.98 0 0 11.98 67.2 369.84 Tm (and renegotiate their Managed Care Contracts; \(ii\) additional requirem\ ents be added to Paragraph )Tj 12.18 0 0 12.18 66.96 341.52 Tm (vn to clarfy ENH's record maintenance obligations with respect to the co\ nfidentiality required )Tj 12.1 0 0 12.1 67.2 313.44 Tm (from its relevant employees; and \(iii\) ENH's reporting obligations in \ Paragraph Vil be modified )Tj 12.09 0 0 12.09 66.72 285.12 Tm (to conform to standard provisions in Commission orders. These proposals \ and changes are set )Tj 11.97 0 0 11.97 66.96 256.8 Tm (forth in the Attachment to this submission. )Tj EMC /P <>BDC 12.1 0 0 12.1 102.72 228.48 Tm (We also propose that Paragraph X ofENH's proposed order be deleted in it\ s entirety )Tj EMC /P <>BDC 12.12 0 0 12.12 103.2 176.16 Tm (11 See The Maine Health Allance, et al., Docket No. C-4095 \(consent ord\ er\), )Tj EMC /P <>BDC /T1_1 1 Tf 11 0 0 11 66.24 157.2 Tm (http://ftc. gov/osI2003/08/mainehealthdo.pdf )Tj EMC /P <>BDC /T1_0 1 Tf 12 0 0 12 103.2 135.84 Tm (12 See, e.g., Hospital Corporation of America v. 鶹ý Trade Commissio\ n, 807 F.2d )Tj EMC /P <>BDC /T1_1 1 Tf 11.16 0 0 11.16 67.44 116.88 Tm (1381, 1393 \(7th Cir. 1986\); Columbia/HCA Healthcare Corporation, Docke\ t No. C-3619 )Tj 10.84 0 0 10.84 66.48 100.32 Tm (\(consent order\), 120 F.T.C. 743 \(1995\). )Tj EMC /Artifact <>BDC /T1_0 1 Tf 9.6 0 0 9.6 300.72 76.08 Tm (8 )Tj EMC ET endstream endobj 2178 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 11.95 0 0 11.95 67.92 712.56 Tm (the basis of the total price they may be willng to pay for all of the se\ rvices they are purchasing.8 )Tj EMC /P <>BDC 11.99 0 0 11.99 68.16 684 Tm (We therefore propose a broader definition for "hospital services" that e\ ncompasses all inpatient )Tj EMC /P <>BDC 11.98 0 0 11.98 68.16 655.44 Tm (and outpatient services.9 This change is intended to accommodate the con\ tracting reality that )Tj EMC /P <>BDC 12.04 0 0 12.04 67.92 627.12 Tm (ENH and a payor may negotiate a single, omnbus contract covering both in\ patient and outpatient )Tj EMC /P <>BDC 11.93 0 0 11.93 67.92 598.8 Tm (services at either Evanston or Highland Park,lO and has no bearng on the\ Commission's findings )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 67.44 570.48 Tm (related to the issue of \001)Tj EMC /P <>BDC /T1_0 1 Tf 12.11 0 0 12.11 172.8 570.48 Tm (relevant product market. See generally Slip Gp. at 55. )Tj EMC /LI_Label <>BDC /T1_2 1 Tf 11.67 0 0 11.67 103.44 542.16 Tm (2.)Tj EMC /LI_Title <>BDC ( Proposed new definitions: )Tj EMC /P <>BDC /T1_0 1 Tf 11.99 0 0 11.99 103.44 513.84 Tm (We propose the addition of several new definitions to align ENH's propos\ ed order with )Tj 11.97 0 0 11.97 67.2 486 Tm (the ordering language and approach used in other orders issued by the Co\ mmission, and to )Tj 12.15 0 0 12.15 67.44 457.68 Tm (implement the proposed prior notification requirement. In paricular, we \ propose the addition of a )Tj 11.98 0 0 11.98 67.44 429.36 Tm (definition for "hospital" that would cover any medical care facility lic\ ensed as a hospital in the )Tj 12.06 0 0 12.06 67.44 401.04 Tm (state in which it is located. This definition is needed for the broader \ definition of services that we )Tj 11.99 0 0 11.99 66.72 372.72 Tm (propose be covered by the separate negotiating option, as well as for th\ e prior notification )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 102.96 317.76 Tm (8 See IDF 717-719 \(testimony of \001)Tj EMC /P <>BDC /T1_0 1 Tf 11.99 0 0 11.99 264 312.24 Tm (Complaint Counsel's expert witness Dr. Haas-Wilson\). )Tj EMC /P <>BDC 12.11 0 0 12.11 102.72 291.6 Tm (9 Weare uncertain as to the current division of responsibility for provi\ ding certain )Tj 11.96 0 0 11.96 66.96 272.88 Tm (outpatient services, such as home-care services \(e.g., physical and occ\ upational therapy; hospice; )Tj 12.38 0 0 12.38 66.96 258.72 Tm (skilled and private duty nursing\) fushed at Evanston and Highland Park,\ that are now )Tj 12.13 0 0 12.13 66.96 244.56 Tm (apparently provided through a single subsidiar of ENH on a centralized b\ asis to patients being )Tj 12.17 0 0 12.17 66.72 230.4 Tm (discharged from any of the hospitals in the ENH system. We lack suffcien\ t information )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 66.48 216.24 Tm (regarding the relationship of )Tj 27.792 -0.096 Td (these shared services to the provision of \001)Tj EMC /P <>BDC /T1_0 1 Tf 12 0 0 12 400.8 215.52 Tm (inpatient and outpatient )Tj EMC /P <>BDC /T1_2 1 Tf 11.25 0 0 11.25 66.96 202.08 Tm (services fushed directly by the hospitals to make meaningful comments on\ this issue. Under )Tj /T1_0 1 Tf 11.98 0 0 11.98 66.72 187.92 Tm (any circumstances, we believe that, however this should be resolved, it \ is ENH's responsibility to )Tj 11.99 0 0 11.99 66.72 173.76 Tm (ensure that if an MCO elects to contract exclusively with Highland Park,\ it can obtain the full )Tj -0.06 -1.201 Td (panoply of services needed to serve its plan enrollees by negotiating wi\ th the Highland Park )Tj 11.91 0 0 11.91 66 145.2 Tm (Negotiating Team. )Tj EMC /P <>BDC 3.083 -1.793 Td (lO See, e.g, CX 216 at 6, Exhibit C \(contract between ENH and a payor t\ hat covers )Tj 11.96 0 0 11.96 66.24 105.12 Tm (inpatient acute and sub-acute care and outpatient care\). )Tj EMC /Artifact <>BDC 10.56 0 0 10.56 299.76 78 Tm (7\001 )Tj EMC ET endstream endobj 2179 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 11.98 0 0 11.98 69.12 711.6 Tm (discount off charges or some other method, is among the terms and provis\ ions that can be subject )Tj EMC /P <>BDC 12.05 0 0 12.05 68.88 683.28 Tm (to reopening and renegotiation. This is consistent with the separate con\ tract negotiation proposal )Tj EMC /P <>BDC 11.8 0 0 11.8 68.64 654.72 Tm (that ENH made to Chief Administrative Law Judge McGuire at tria1.7 )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 104.4 626.16 Tm (, I.K. "Current Contract": To assure consistency )Tj /T1_0 1 Tf 12.12 0 0 12.12 352.56 625.44 Tm (with the ENH 2005 consent order in )Tj EMC /P <>BDC 12 0 0 12 68.4 597.6 Tm (this matter and with other recent Commission healthcare orders, we propo\ se that a definition for a )Tj 12.17 0 0 12.17 68.4 569.28 Tm ("Preexisting Contract" be substituted for ENH's proposed "Curent Contrac\ t." )Tj EMC /P <>BDC /T1_1 1 Tf 8.23 0 0 8.23 104.16 540.72 Tm (, I.L. "Inpatient Services": ENH's proposal is to set up two separate ne\ gotiating teams,\001 )Tj EMC /P <>BDC /T1_0 1 Tf 12.08 0 0 12.08 68.16 512.4 Tm (the "ENH Negotiating Team" and the "Highland Park Negotiating Team." If \ a Payor does not )Tj EMC /P <>BDC 11.97 0 0 11.97 68.16 484.32 Tm (elect to engage in separate negotiations, the ENH Negotiating Team would\ negotiate Managed )Tj EMC /P <>BDC 12.05 0 0 12.05 68.16 455.76 Tm (Care Contracts for both inpatient and outpatient services at all ENH hos\ pitals. If the Payor does )Tj EMC /P <>BDC 11.96 0 0 11.96 68.16 427.68 Tm (elect to negotiate separate contracts, the ENH Negotiating Team would ne\ gotiate Managed Care )Tj 12.07 0 0 12.07 67.92 399.12 Tm (Contracts for outpatient services at Highland Park as well as for all se\ rvices at Evanston. The )Tj 12.08 0 0 12.08 67.44 371.04 Tm (Highland Park Negotiating Team wil negotiate Managed Care Contracts only\ for "Inpatient )Tj 11.94 0 0 11.94 67.92 342.48 Tm (Services," as defined, at Highland Park. )Tj EMC /P <>BDC 12.1 0 0 12.1 103.44 314.16 Tm (This proposal, among other things, unealistically separates negotiating \ for outpatient )Tj 12.06 0 0 12.06 67.44 286.08 Tm (services at Highland Park from negotiating for inpatient services at Hig\ hland Park. ENH's )Tj 11.99 0 0 11.99 67.2 258 Tm (limitation on the scope of services covered by its separate negotiating \ team proposal ignores the )Tj -0.04 -2.362 Td (reality of competitive negotiations for hospital services and potentiall\ y deprives Payors of the )Tj 12.16 0 0 12.16 66.96 201.36 Tm (opportnity to weigh the benefits of contracting exclusively with one hos\ pital versus the other on )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 102.48 122.88 Tm (7 See Post-Trial Brief of \001)Tj EMC /P <>BDC /T1_0 1 Tf 12.04 0 0 12.04 223.2 117.84 Tm (Respondent Evanston Northwestern Healthcare Corporation )Tj EMC /P <>BDC /T1_1 1 Tf 8.68 0 0 8.68 66.72 101.76 Tm (\(May 27,2005\), at 125-126 and Attachment E.\001 )Tj EMC /Artifact <>BDC /T1_0 1 Tf 10.08 0 0 10.08 300.48 77.28 Tm (6\001 )Tj EMC ET endstream endobj 2180 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 11.97 0 0 11.97 67.68 711.84 Tm (information about transactions in which ENH engages that are not subject\ to the reporting )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 67.44 683.28 Tm (requirements of \001)Tj EMC /P <>BDC /T1_0 1 Tf 12.27 0 0 12.27 145.68 683.28 Tm (the Har-Scott-Rodino Act. )Tj 11.96 0 0 11.96 103.92 654.72 Tm (Our proposed alternative language and provisions are set forth in the At\ tachment to this )Tj 11.77 0 0 11.77 67.68 626.4 Tm (submission. )Tj EMC /P <>BDC 11.97 0 0 11.97 103.68 597.84 Tm (Our comments on ENH's proposal are provided with the caveat that, althou\ gh ENH's )Tj 11.96 0 0 11.96 67.2 570 Tm (compliance with the contract negotiating and firewall procedures require\ d by any final order )Tj 11.95 0 0 11.95 67.44 541.68 Tm (entered by the Commission can be monitored, it is highly unlikely \(and \ we can therefore make no )Tj 11.99 0 0 11.99 67.2 513.6 Tm (assurances\) that a competitive market performance outcome will result o\ r that competition )Tj 12.09 0 0 12.09 66.72 485.28 Tm (between the Evanston and Highland Park hospitals wil be re-created. )Tj EMC /LI_Label <>BDC 14.74 0 0 14.74 66.96 456.72 Tm (A.)Tj EMC /LI_Title <>BDC ( Comments on PARGRAH I - Definitions )Tj EMC /P <>BDC 11.98 0 0 11.98 102.96 428.4 Tm (We propose the following changes to the Paragraph I definitions to align\ ENH's proposed )Tj 11.96 0 0 11.96 66.96 400.32 Tm (order with the ordering language and approach used in other healthcare o\ rders issued by the )Tj 12 0 0 12 66.96 371.76 Tm (Commission, including the ENH 2005 consent order in this matter, and to \ conform to managed )Tj EMC /P <>BDC /T1_2 1 Tf 11.04 0 0 11.04 66.72 343.68 Tm (care contracting practices. Certain additional definitions are also nece\ ssar to implement the )Tj EMC /P <>BDC /T1_0 1 Tf 11.98 0 0 11.98 66.24 315.36 Tm (proposed prior notification requirement. )Tj EMC /LI_Label <>BDC 12.88 0 0 12.88 103.2 286.8 Tm (1.)Tj EMC /LI_Title <>BDC ( Proposed changes to ENH's proposed order: )Tj EMC /P <>BDC /T1_1 1 Tf 8.32 0 0 8.32 102.48 258.72 Tm (, I.H. "Payor": To assure consistency in order language and thereby avoi\ d ambiguity in\001 )Tj EMC /P <>BDC /T1_0 1 Tf 12.09 0 0 12.09 66.48 230.16 Tm (compliance and enforcement, the definition of "Payor" should conform to \ that used in the ENH )Tj 11.98 0 0 11.98 66.24 201.84 Tm (2005 consent order in this matter as well as in other Commission healthc\ are orders. )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 102.24 173.04 Tm (, I.J. "Managed Care Contract": We propose that ENH's definition of \001\ )Tj EMC /P <>BDC /T1_0 1 Tf 12.06 0 0 12.06 459.6 172.56 Tm ("Managed Care )Tj 12 0 0 12 66.24 144.48 Tm (Contract" be modified to make clear that, if a Payor should elect to neg\ otiate with the separate )Tj -0.04 -2.34 Td (Highland Park and Evanston teams, the pricing methodology used, whether \ per diem, percentage )Tj EMC /Artifact <>BDC 9.12 0 0 9.12 300.24 77.52 Tm (5 )Tj EMC ET endstream endobj 2181 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 11.91 0 0 11.91 67.92 712.08 Tm (payments and lower coverage for MCO plan enrollees. )Tj EMC /P <>BDC 11.88 0 0 11.88 103.68 683.52 Tm (We have. therefore evaluated ENH's proposal to determine whether there a\ re any )Tj 12.03 0 0 12.03 68.16 654.96 Tm (appropriate changes or additions that we could propose or suggest. Our p\ roposals, suggestions )Tj 11.91 0 0 11.91 68.16 626.64 Tm (and specific comments are set forth below. )Tj EMC /P <>BDC 12.72 0 0 12.72 150.72 598.08 Tm (SPECIFIC COMMENTS ON ENH'S PROPOSED ORDER )Tj EMC /P <>BDC 11.99 0 0 11.99 103.44 570 Tm (ENH's proposed order includes a number of definitions and provisions tha\ t are )Tj 11.97 0 0 11.97 67.68 541.92 Tm (inconsistent with the ordering language and approach used in other Commi\ ssion healthcare )Tj 11.91 0 0 11.91 67.68 513.6 Tm (orders,5 including ENH's own consent order in this matter that settled t\ he physician price-fixing )Tj 12.12 0 0 12.12 67.68 485.52 Tm (allegations in Count il ofthe Commission's Complaint \(hereinafter ENH 2\ 005 consent order\),6 or )Tj 12.05 0 0 12.05 67.44 457.2 Tm (that are at odds with general Commission practice. In addition, certain \ provisions in ENH's )Tj 11.97 0 0 11.97 67.2 428.88 Tm (proposed order fail to conform to managed care contracting practices, wh\ ich could potentially be )Tj 12.44 0 0 12.44 67.44 400.56 Tm (detrmental to the bargainig position ofMCO contract negotiators. We prop\ ose a number of )Tj 11.99 0 0 11.99 67.44 372.24 Tm (conforming changes, deletions and additions to address these inconsisten\ cies and to improve order )Tj 11.91 0 0 11.91 67.44 343.92 Tm (administrability and compliance oversight. )Tj EMC /P <>BDC 12.1 0 0 12.1 102.96 315.6 Tm (We also propose the addition of a prior notification requirement for any\ futue acquisitions )Tj EMC /P <>BDC 12.01 0 0 12.01 79.68 287.52 Tm (hospitals that ENH may make within the Chicago Metropolitan Statistical \ Area, as well as for)Tj EMC /P <>BDC 5 0 0 5 67.2 287.28 Tm (of )Tj EMC /P <>BDC /T1_1 1 Tf 0 -5.616 TD (any management contracts or similar arangements that ENH may enter into \ for a hospital )Tj /T1_0 1 Tf 11.89 0 0 11.89 501.36 258.48 Tm (located )Tj 12.09 0 0 12.09 66.48 230.88 Tm (within that area. The prior notification requirement we propose is simil\ ar to those used in past )Tj 12.02 0 0 12.02 66.48 202.56 Tm (hospital orders, and we believe it has the potential to provide the Comm\ ission with useful )Tj EMC /P <>BDC 11.96 0 0 11.96 102.72 163.68 Tm (5 See, e.g., North Texas Specialty Physicians, Docket No. 9312, )Tj EMC /P <>BDC /T1_2 1 Tf 11.38 0 0 11.38 66.24 144.96 Tm (http://ww.ftc.gov/os/adipro/d9312/05120 1 finalorder.pdf )Tj EMC /P <>BDC /T1_0 1 Tf 12.12 0 0 12.12 102.72 123.36 Tm (6 See Evanston Northwestern Healthcare Corporation and ENH Medical Group\ , Inc., )Tj EMC /P <>BDC /T1_1 1 Tf 8.71 0 0 8.71 66.24 104.64 Tm (Docket No. 9315 \(issued May 17, 2005\), http://ww.ftc.gov/os/adipro/d93\ 15/050520do.pdf\001 )Tj EMC /Artifact <>BDC /T1_0 1 Tf 11.04 0 0 11.04 300.24 78 Tm (4\001 )Tj EMC ET endstream endobj 2182 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 11.97 0 0 11.97 104.64 711.36 Tm (We have faced a dilemma in formulating and proposing meaningful comments\ on ENH's )Tj EMC /P <>BDC 12.07 0 0 12.07 68.16 683.28 Tm (proposal. As the Commission has stated, divestiture remedies are well es\ tablished in antitrust law )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 68.4 654.96 Tm (and supported by decades of \001)Tj EMC /P <>BDC /T1_0 1 Tf 12.32 0 0 12.32 205.92 654.48 Tm (judicial precedent, agency experience and study. The tye of conduct )Tj 12.02 0 0 12.02 68.4 626.4 Tm (approach embodied in ENH's proposal has not been studied and does not ha\ ve a record of )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 68.16 598.08 Tm (success.4 Although ENH's proposal generally appears to conform to the re\ quirements of )Tj /T1_0 1 Tf 11.79 0 0 11.79 496.56 596.88 Tm (the )Tj EMC /P <>BDC 12.05 0 0 12.05 67.92 569.76 Tm (Commission's August 2 order, we believe that this approach - establishin\ g two different )Tj EMC /P <>BDC -0.04 -2.33 Td (negotiating teams with a firewall to inhibit information flows between t\ hem - is unlikely to )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 67.44 513.6 Tm (restore competition or to result in lower \001)Tj EMC /P <>BDC /T1_0 1 Tf 12.12 0 0 12.12 261.12 512.64 Tm (prices to affected consumers. We are also concerned that )Tj EMC /P <>BDC /T1_2 1 Tf 11.21 0 0 11.21 67.68 485.28 Tm (attempting to improve upon ENH's proposal \(or any conduct-tye remedy\) \ by requirng more )Tj EMC /P <>BDC /T1_0 1 Tf 12.15 0 0 12.15 67.44 456.96 Tm (extensive and complex mechansms and procedures may only create ineffcien\ cies and increase )Tj EMC /P <>BDC 11.99 0 0 11.99 67.2 428.64 Tm (ENH's costs of operation systemwide, without an offsetting improvement t\ o competitive )Tj EMC /P <>BDC 12.07 0 0 12.07 67.2 400.32 Tm (conditions in the market. Such cost increases to ENH would likely lead t\ o higher prices to its )Tj EMC /P <>BDC 11.99 0 0 11.99 66.72 372 Tm (managed care organization \(MCO\) customers, and to higher premiums, ded\ uctibles and co\255)Tj EMC /P <>BDC 12.08 0 0 12.08 102.72 321.36 Tm (4 In the only instance in which an analogous approach was attempted at t\ he federal )Tj 12.25 0 0 12.25 66.72 302.4 Tm (enforcement level, it failed. See United States and State of Florida v. \ Morton Plant Health )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 66.48 288.24 Tm (System, Inc. and Trustees of \001)Tj EMC /P <>BDC /T1_0 1 Tf 12.03 0 0 12.03 203.76 287.76 Tm (Mease Hospital, Inc., Civ. No. 94-748-CIV-T-23E \(M.D. Fla. 1994\), )Tj 12.17 0 0 12.17 66.48 274.32 Tm (cited by ENH. See ENH submission at 5. The Morton Plant/Mease case was b\ rought by the )Tj 12.51 0 0 12.51 66.24 260.16 Tm (Deparent of Justice Antitrst Division and the Florida State Attorney Gen\ eral to challenge the )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 66 246 Tm (proposed merger of \001)Tj EMC /P <>BDC /T1_0 1 Tf 12.1 0 0 12.1 163.2 245.52 Tm (two hospitals in central Florida. It resulted in an injunctive consent d\ ecree )Tj 12.32 0 0 12.32 66.24 231.84 Tm (that permitted the merging paries to combine administrative fuctions and\ the provision of )Tj 12.01 0 0 12.01 66.24 217.68 Tm (outpatient and specified inpatient services, but required that all other\ services be provided )Tj 12.05 0 0 12.05 66.24 203.52 Tm (separately, and all medical services be marketed and sold separately and\ independently. The )Tj 11.99 0 0 11.99 66.24 189.36 Tm (defendants began violating the consent decree shortly after it was enter\ ed and continued to do so )Tj 12.07 0 0 12.07 66.24 175.2 Tm (for the decree's entire 5-year term. Among other things, the hospitals c\ ommitted repeated )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 65.76 161.04 Tm (violations by coordinating the negotiation and sale of \001)Tj EMC /P <>BDC /T1_0 1 Tf 12.02 0 0 12.02 324.48 159.84 Tm (hospital services through the very )Tj 12.57 0 0 12.57 65.52 146.88 Tm (mechanism, a bona fide parership, that the decree allowed for shared fuc\ tions. See )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 65.52 132.72 Tm (Memorandum ofthe United States and the State of \001)Tj EMC /P <>BDC /T1_0 1 Tf 12.24 0 0 12.24 313.2 131.52 Tm (Florida in Support ofthe Motion and )Tj 11.97 0 0 11.97 66 118.32 Tm (Stipulation for Entry of an 鶹ý Order \(September 26, 2000\), )Tj 12.83 0 0 12.83 65.28 104.16 Tm (htt://ww.usdoi.gov/atr/cases/f5100/5156.htm. )Tj EMC /P <>BDC 9.6 0 0 9.6 300 77.28 Tm (3 )Tj EMC ET endstream endobj 2183 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 14.77 0 0 14.77 238.8 710.4 Tm (GENERA COMMENTS\001 )Tj EMC /P <>BDC 5 0 0 5 104.88 682.56 Tm (In determining to reject structual relief on the facts of \001)Tj EMC /P <>BDC /T1_1 1 Tf 12.01 0 0 12.01 367.92 682.08 Tm (this case, the Commission cited the )Tj 11.99 0 0 11.99 68.88 654 Tm (integration of operations and improvements that ENH has made at Highland\ Park in the seven )Tj EMC /P <>BDC /T1_0 1 Tf 5 0 0 5 68.64 625.68 Tm (years since consumation of \001)Tj EMC /P <>BDC /T1_1 1 Tf 12.01 0 0 12.01 211.2 625.44 Tm (the merger as factors mitigating against the presumptive remedy of )Tj 12.17 0 0 12.17 68.88 597.36 Tm (divestitue for an unlawful merger. In particular, the Commission express\ ed concern that certain )Tj 12.05 0 0 12.05 68.64 569.04 Tm (improvements, paricularly the cardiac surgery program that has been deve\ loped and implemented )Tj 12.28 0 0 12.28 68.4 540.72 Tm (post-merger, would not surive divestiture and would take Highland Park a\ signficant amount of )Tj EMC /P <>BDC /T1_0 1 Tf 8.22 0 0 8.22 68.64 512.64 Tm (time to implement on its own following divestitue. Slip Gp. at 89. Based\ on its assessment of\001 )Tj EMC /P <>BDC /T1_1 1 Tf 12.11 0 0 12.11 68.4 484.32 Tm (the likely risks and costs of divestitue in this case, the Commission co\ ncluded that a conduct )Tj EMC /P <>BDC 11.95 0 0 11.95 68.16 456.24 Tm (remedy would be more appropriate. )Tj EMC /P <>BDC 12.02 0 0 12.02 104.16 427.92 Tm (Having done so, however, the Commission made clear that conduct relief i\ s not a )Tj EMC /P <>BDC 12.49 0 0 12.49 68.64 399.6 Tm (substitute for strctual relief in addressing and remedying the competiti\ ve har from an unlawful )Tj EMC /P <>BDC 12.1 0 0 12.1 68.16 371.28 Tm (horizontal merger: "Divestitue is the preferred remedy for challenges to\ unlawful mergers, )Tj EMC /P <>BDC /T1_0 1 Tf 5 0 0 5 68.16 342.96 Tm (regardless of \001)Tj EMC /P <>BDC /T1_1 1 Tf 12.4 0 0 12.4 132.48 342.72 Tm (whether the challenge occurs before or after consumation." \241d. at 90-\ 91. Indeed, )Tj 12.1 0 0 12.1 68.16 314.64 Tm (the Commssion made clear that its rationale for not requiring divestitur\ e in this case would likely )Tj EMC /P <>BDC /T1_0 1 Tf 5 0 0 5 67.92 286.56 Tm (have little application to its consideration of \001)Tj EMC /P <>BDC /T1_1 1 Tf 12.2 0 0 12.2 282.72 286.08 Tm (the appropriate remedy in futue challenges to )Tj EMC /P <>BDC /T1_2 1 Tf 11.02 0 0 11.02 67.92 258.24 Tm (unconsumated mergers, including future hospital mergers, and that if the\ agency had challenged )Tj EMC /P <>BDC 11.1 0 0 11.1 67.92 229.92 Tm (this transaction before it had been consumated, none of the mitigating f\ actors the Commission )Tj EMC /P <>BDC /T1_1 1 Tf 12.22 0 0 12.22 67.92 201.6 Tm (identified would have cared much weight in its analysis ofr~medy.3 \241d\ . at 90. )Tj EMC /P <>BDC 12.13 0 0 12.13 103.68 136.32 Tm (3 The Commission also made clear that its reasoning on remedy in this ca\ se would not )Tj EMC /P <>BDC /T1_2 1 Tf 11.17 0 0 11.17 67.44 117.84 Tm (necessarly apply in any futue challenge to a consummated merger, includi\ ng a consumated )Tj EMC /P <>BDC /T1_1 1 Tf 11.88 0 0 11.88 63.6 103.44 Tm (. hospital merger. \241d. at 90. )Tj EMC /Artifact <>BDC 10.56 0 0 10.56 301.68 77.28 Tm (2\001 )Tj EMC ET endstream endobj 2184 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 40.76 0 0 40.76 508.32 772.08 Tm (--~\001 )Tj EMC /P <>BDC 10.24 0 0 10.24 486.96 764.4 Tm (.' \355RP.DE COMi\356r\241;:~)Tj EMC /P <>BDC /T1_1 1 Tf 9.06 0 0 9.06 487.2 760.8 Tm (p.\\. . . 1/0 \)\001)Tj EMC /P <>BDC /T1_0 1 Tf 19.32 0 0 19.32 261.12 750.96 Tm (ORIGINAL )Tj EMC /P <>BDC 7.02 0 0 7.02 470.88 750 Tm (\\\)'i~RECt\\VED DOGUilHHS ;S/C-\357)Tj EMC /P <>BDC /T1_2 1 Tf 18.95 0 0 18.95 456.48 739.2 Tm (f \(:~ t:~1l-~ )Tj EMC /P <>BDC /T1_1 1 Tf 10.6 0 0 10.6 456.24 726.24 Tm (\\ OCT 2 9 2007\001)Tj EMC /P <>BDC /T1_2 1 Tf 19.38 0 0 19.38 457.92 715.2 Tm (\\""' 5\364g\2415;L)Tj EMC /P <>BDC /T1_0 1 Tf 12.61 0 0 12.61 213.6 711.36 Tm (UNITED STATES OF AMERICA )Tj EMC /P <>BDC 16.71 0 0 16.71 481.44 703.68 Tm (-..~~-")Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 472.56 701.76 Tm ('~'=~_. SE~K-',\241:TA.R'l\001)Tj EMC /P <>BDC 13.71 0 0 13.71 182.4 697.44 Tm (BEFORE FEDERA TRAE COMMISSION\001 )Tj EMC /P <>BDC /T1_0 1 Tf 10.81 0 0 10.81 283.68 666.48 Tm (\) )Tj 12.13 0 0 12.13 67.68 655.2 Tm (In the matter of )Tj EMC /P <>BDC 10.81 0 0 10.81 283.68 652.08 Tm (\) )Tj 0 -1.31 TD (\) )Tj 12.92 0 0 12.92 67.68 626.64 Tm (Evanston Northwestern Healthcare )Tj EMC /P <>BDC 10.81 0 0 10.81 283.68 623.52 Tm (\) )Tj 12.94 0 0 12.94 67.92 612.24 Tm (Corporation, )Tj EMC /StyleSpan <>BDC 10.81 0 0 10.81 283.68 609.12 Tm (\) )Tj EMC /P <>BDC 12.07 0 0 12.07 319.92 611.52 Tm (Docket No. 9315 )Tj 11.89 0 0 11.89 82.8 598.08 Tm (a corporation, and )Tj EMC /P <>BDC 10.81 0 0 10.81 283.44 594.96 Tm (\) )Tj EMC /StyleSpan <>BDC 0 -1.332 TD (\) )Tj EMC /P <>BDC 12.49 0 0 12.49 319.92 582.96 Tm (PUBLIC )Tj EMC /P <>BDC /T1_2 1 Tf 11.94 0 0 11.94 67.44 569.28 Tm (ENH Medical Group, Inc., )Tj EMC /P <>BDC /T1_0 1 Tf 10.81 0 0 10.81 283.44 566.16 Tm (\)\001 )Tj 11.76 0 0 11.76 82.56 555.12 Tm (a corporation.\001 )Tj EMC /P <>BDC 10.81 0 0 10.81 283.44 552.24 Tm (\) )Tj 10.09 0 0 10.09 283.44 539.04 Tm (\) )Tj EMC /P <>BDC 12.61 0 0 12.61 126.24 512.4 Tm (COMPLAINT COUNSEL'S COMMENTS ON ENH'S PROPOSAL )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 102.96 484.56 Tm (In its August 2,2007, decision, the Commission h~ld that the 2000 merger\ of )Tj /T1_0 1 Tf 12 0 0 12 476.4 483.84 Tm (Evanston )Tj EMC /P <>BDC 12.02 0 0 12.02 66.72 456.24 Tm (Northwestern Healthcare Corporation \("ENH"\) and Highland Park Hospital\ \("Highland Park"\) )Tj 12.15 0 0 12.15 66.96 428.16 Tm (violated section 7 ofthe Clayton Act. The Commission concluded, however,\ that although )Tj 12.08 0 0 12.08 67.2 399.84 Tm (divestitue is the preferred remedy for an unlawful merger, this was a "h\ ighly unusual case" in )Tj 12.15 0 0 12.15 66.72 371.52 Tm (which a conduct remedy was more appropriate. Slip Gp. at 89. Therefore, \ the Commission )Tj 12.07 0 0 12.07 66.96 343.2 Tm (elected to forgo the remedy of divestitue and, instead, directed ENH to \ submit a detailed proposal )Tj 12 0 0 12 66.48 314.88 Tm (under which ENH would establish separate and independent teams, one for \ Evanston and one for )Tj EMC /P <>BDC 11.89 0 0 11.89 139.44 291.12 Tm (1 that would compete with each other in negotiating contracts with manag\ ed care)Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 66.48 286.56 Tm (Highland Park, \001)Tj EMC /P <>BDC /T1_0 1 Tf 12.19 0 0 12.19 66.48 258.48 Tm (organzations \("August 2 order"\). The Commission directed that Complain\ t Counsel could then )Tj 11.93 0 0 11.93 66.72 230.16 Tm (submit any objections to or comments on ENH's proposa1.2 We respectfully\ submit the following )Tj 11.72 0 0 11.72 66.24 201.84 Tm (comments. )Tj EMC /P <>BDC 12.05 0 0 12.05 102.48 166.08 Tm (1 As in the Commission's decision, "Evanston" refers to both Evanston Ho\ spital and )Tj EMC /P <>BDC 12.03 0 0 12.03 66.24 147.12 Tm (Glenbrook Hospital, "Highland Park" refers to Highland Park Hospital, an\ d "ENH" refers to )Tj 12.06 0 0 12.06 66 132.96 Tm (Evanston Northwestern Healthcare Corporation. See Slip Op. at 4 n.2. )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 101.52 111.6 Tm (2 Submission of )Tj 16.416 -1.056 Td (Evanston Northwestern Healthcare in Explanation and Support of )Tj /T1_0 1 Tf 11.44 0 0 11.44 503.04 105.6 Tm (its )Tj 12.05 0 0 12.05 65.52 92.64 Tm (Proposed Final Order \(September 17, 2007\) \("ENH submission"\) and Pro\ posed Final Order )Tj 11.95 0 0 11.95 66 76.32 Tm (\("ENH's proposed order"\). )Tj EMC ET endstream endobj 2185 0 obj <> endobj 2186 0 obj <>stream application/pdf D-9315 Complaint Counsel's Comments on ENH's Proposal FTC 2007-10-31T10:23:13-04:00 2007-10-31T10:23:13-04:00 2007-10-31T10:23:13-04:00 uuid:05137b54-4512-409c-b23d-ec36b60daa7f uuid:4b1a23a3-fc2f-4597-abf9-0e7134954214 endstream endobj xref 0 2 0000001203 65535 f 0000943174 00000 n 3 1 0000943341 00000 n 10 1 0000943589 00000 n 17 1 0000943839 00000 n 24 1 0000944089 00000 n 31 1 0000944339 00000 n 38 1 0000944589 00000 n 44 1 0000944826 00000 n 51 1 0000945076 00000 n 57 1 0000945313 00000 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