NOTICE OF AN OPPORTUNITY FOR PUBLIC COMMENT AND REQUEST FOR PUBLIC HEARING

Pursuant to the Illinois Health Facilities Planning Act, notice is hereby given that 18 applications have been submitted seeking approval to merge Endeavor Health and the Rush System for Health (d/b/a Rush University System for Health). The proposed transaction involves a comprehensive system-level combination of Rush University System for Health and Endeavor Health (along with its major operating divisions and legacy entities such as NorthShore, Edward-Elmhurst, and Northwest Community Healthcare) under a unified parent structure, Rush System for Health. Designed to address growing pressures in the nonprofit healthcare sector and improve regional access to care, the transaction coordinates clinical operations, academic medicine, digital transformation, and community health investments across 18 facilities and Change of Ownership (CHOW) exemption applications submitted to the Illinois Health Facilities and Services Review Board. The health care facilities are listed below.

Under the System Affiliation Agreement, Endeavor Health will merge into Rush, making Rush the ultimate parent entity. The post-closing board of directors will have 20 members, split evenly, with 10 appointed by each system.  The operating entities will remain unchanged; the transaction involves no financial consideration between the parties. Instead, Endeavor Health has committed an incremental $1 billion transformation investment directed toward Community Impact, Academics and Research, and Quality and Care Innovation.  The Planned Transaction is expected to close as soon as all regulatory requirements are met and definitive agreements are completed. 

Exemption Facility Name Address City

E-021-26 Evanston Hospital 2650 Ridge Avenue Evanston

E-022-26 Highland Park Hospital 777 Park Avenue West Highland Park

E-023-26 Northwest Community Hospital 800 West Central Road Arlington Heights

E-024-26 Linden Oaks Hospital 852 South West Street Naperville

E-025-26 Glenbrook Hospital 2100 Pfingsten Road Glenview

E-026-26 Swedish Hospital 5140 North California Avenue Chicago

E-027-26 Skokie Hospital 9600 Gross Point Road Skokie

E-028-26 Rush University Medical Center 1653 West Congress Parkway Chicago

E-029-26 Rush Oak Park Hospital 520 South Maple Avenue Oak Park

E-030-26 Edward Hospital 801 South Washington Street Naperville

E-031-26 Elmhurst Hospital 155 East Brush Hill Road Elmhurst

E-032-26 Rush Copley Medical Center 2000 Ogden Avenue Aurora

E-033-26 Midwest Endoscopy 3811 Highland Avenue Downers Grove

E-034-26 Rush-Copley SurgiCenter 2111 Ogden Avenue Aurora

E-035-26 Edward Plainfield Emergency Center 24600 West 127th Street Plainfield

E-036-26 Northwest Endo Center 1415 South Arlington Heights Road Arlington Heights

E-037-26 Rush SurgiCenter/Professional Office Bld. 1725 West Harrison Street, Suite 555 Chicago

E-038-26 Northwest Community Day Surgery Center II 675 West Kirchoff Road Arlington Heights

The State Board has deemed these exemption applications substantially complete on October 22, 2026.  Consideration by the State Board has been tentatively scheduled for the January 26, 2027, State Board Meeting. The State Board must receive requests for a public hearing (no email or fax will be accepted) no later than November 6, 2026.  Any person wanting to submit written comments on this project must submit these comments by January 6, 2027.  The State Board will post its findings in a State Board Staff Report, which will be available online on January 12, 2027. The public may submit written responses in support of or in opposition to the findings of the Illinois Health Facilities and Services Review Board. The public will have until 9:00 a.m. on January 19, 2027. The internet address used to access this report is www.hfsrb.illinois.gov 

Illinois Health Facilities and Services Review Board

525 West Jefferson Street (2nd Floor)

Springfield, IL 62761

217-782-3516

(TTY #800-547-0466 for the hearing impaired only)