Sufficient information and financial records shall be submitted to the Department, in addition to the application form referenced in OAR 411-029-0040, and shall include each of the following:

1. (1) A written Facility Statement of Need that includes each of the following:

   1. (a) Written statement of how a potential closure of the facility would create a lack of access to care, particularly for low income and Medicaid beneficiaries in the area;
   2. (b) Written statement of steps taken to address current financial hardships, such as accessing reserve funds, being approved for the Enhanced Wage Add-on Program (OAR 411-027-0160), employed strategies to increase facility census, and recruiting and retaining permanent staff;
   3. (c) Written statement demonstrating how the facility plans to be financially sustainable in the future; and
   4. (d) Written statement of an amount that the facility is requesting to assist the facility out of financial hardship. This amount may not reflect the approved amount by the Department.

2. (2) A copy of the following records from the facility and the parent corporation, if applicable:

   1. (a) Federal income tax return for the previous two years;
   2. (b) A current Working Trial Balance;
   3. (c) A current Income Statement; and
   4. (d) A current Cash Flow Statement.
3. (3) Any other information or records that the Department may request to support a Facility’s Statement of Need.

Statutory/Other Authority

ORS 410.070

Statutes/Other Implemented

ORS 410.070

History

APD 51-2022, adopt filed 11/04/2022, effective 11/07/2022
APD 42-2022, temporary adopt filed 08/19/2022, effective 08/19/2022 through 11/10/2022
APD 21-2022, temporary adopt filed 05/09/2022, effective 05/15/2022 through 11/10/2022