{"text_format":"1","workbook":"xlsx","n_sheets":5,"sheets":["Instructions","Medical Practices","Physician Name","Business Entity","PhysicianSpecialities"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":0,"defined_names":8,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Instructions","index":0,"n_rows":28,"n_cols":1,"rows_kept":28,"cut":false,"hidden":false,"merged":[[41,0,41,2],[33,0,33,2],[35,0,35,2],[37,0,37,2],[39,0,39,2]]}
[]
["Annual Report "]
["Concerning Ownership of, or Affiliation with Group Medical Practices"]
["Summary of Instructions"]
[]
["Sections 1(f) and (g) of P.A. 14-168, AN ACT CONCERNING JOINT VENTURES AND AFFILIATIONS OF GROUP MEDICAL PRACTICES (the \"Act\"), effective October 1, 2014, require that hospitals, hospital systems, and group medical practices comprised of thirty or more physicians (\"filers\"), submit to the Attorney General (\"OAG\") and to the Department of Public Health (\"DPH\") an Annual Report providing information concerning the filers, and group practices that may be owned by or affiliated with the filers. "]
[]
["The Annual Report must be filed with the Attorney General and with the DPH Office of Health Care Access (\"OHCA\") no later than December 31, 2014 and annually thereafter."]
[]
["This file includes the spreadsheets needed to fullfill the Annual Reporting requirement.  There are three tabs (Medical Practices, Physician Name, and Business Entity that all must be completed.  Further instructions are provided on the individual tabs.  The file should be electronically submitted to the following email address: GroupPracticeFilings@ct.gov"]
[]
["Key Definitions:"]
["(1) \"Affiliation\" means the formation of a relationship between two or more entities that permits the entities to negotiate jointly with third parties over rates for professional medical services; "]
[]
["(2) \"Hospital\" has the same meaning as provided in section 19a-490 of the general statutes; "]
[]
["(3) \"Hospital system\" means: (A) A parent corporation of one or more hospitals and any entity affiliated with such parent corporation through ownership, governance or membership, or (B) a hospital and any entity affiliated with such hospital through ownership, governance or membership; "]
[]
["(4) \"Group practice\" - please reference the P.A. 14-168 section 1(a)"]
[]
["(5) \"Primary service area\" means the smallest number of zip codes from which the group practice draws at least seventy-five per cent of its patients.  "]
[]
["Primary Service Areas (\"PSAs\") are defined by a set of postal zip codes.  The Act defines PSA to mean \"the smallest number of zip codes from which the group practice draws at least seventy-five per cent of its patients.\"  "]
[]
["Click on the following for a full copy of the Filing Instructions."]
[]
["The Medicare.gov website was used for medical/physician specialties in the attached spreadsheets.  For the list of specialties and descriptions of each please refer to the Medicare.gov website by clicking on the link below:"]
["http://www.medicare.gov/physiciancompare/staticpages/resources/specialtydefinitions.html?AspxAutoDetectCookieSupport=1"]

{"sheet":"Medical Practices","index":1,"n_rows":61,"n_cols":4,"rows_kept":61,"cut":false,"hidden":false,"merged":[[0,0,0,3],[1,0,1,3],[2,0,2,3],[3,0,3,3]]}
[]
["Hospitals, Hospital Systems, and Group Practices with 30 or more physicians"]
["Written Report due by December 31st annually"]
[]
["Date of Filing -------------------------------------------------------------->"]
["Full Legal Name of Entity Reporting ------------------------------>"]
["Type of Provider Reporting (see options below) ------------->"]
["(Hospital, Hospital System, Group Practice)"]
[]
[-1,-2,-3,-4]
["Line","Name of Group Practice being reported","Description of the nature of the relationship of the Hospital or Hospital System to the Group Practice","If within a hospital affiliated system, identify if owned directly by the hospital (Provide Hosp. Name) or by health system parent corporation?"]
[1]
[{"$f":"A12+1","v":2}]
[{"$f":"A13+1","v":3}]
[4]
[5]
[6]
[7]
[8]
[9]
[10]
[11]
[12]
[13]
[14]
[15]
[16]
[17]
[18]
[19]
[20]
[21]
[22]
[23]
[24]
[25]
[26]
[27]
[28]
[29]
[30]
[31]
[32]
[33]
[34]
[35]
[36]
[37]
[38]
[39]
[40]
[41]
[42]
[43]
[44]
[45]
[46]
[47]
[48]
[49]
[50]

{"sheet":"Physician Name","index":2,"n_rows":522,"n_cols":3,"rows_kept":522,"cut":false,"hidden":false,"merged":[[1,0,1,2],[2,0,2,2],[3,0,3,2]]}
[]
["Hospitals, Hospital Systems, and Group Practices with 30 or more physicians"]
["Written Report due by December 31st annually"]
[]
["Date of Filing ----------------------------------------------------------------->"]
["Full Legal Name of Entity Reporting ---------------------------------->"]
["Type of Provider Reporting (see options below) ----------------->"]
[null,"(Hospital, Hospital System, Group Practice)"]
[]
["If more than one Group Practice is being reported, please follow the instructions below to add additional tabs."]
[1,"Right click on the the \"PhysicianName\" tab below"]
[2,"Click the \"Move or Copy\" option"]
[3,"Under the heading \"Before Sheet:,\"  click on \"Business Entity\""]
[4,"Click inside the \"create a copy\" box"]
[5,"Click \"OK\""]
[]
[]
[null,"Name of Group Practice ------------------------------------->"]
[]
[-1,-2,-3]
["Line","Physician Name (Last, First)","Physician Specialty(s)"]
[null,null,"When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services."]
[1]
[{"$f":"A23+1","v":2}]
[{"$f":"A24+1","v":3}]
[4]
[5]
[6]
[7]
[8]
[9]
[10]
[11]
[12]
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[{"$f":"A88+1","v":67}]
[68]
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[120]
[121]
[122]
[123]
[124]
[125]
[126]
[127]
[128]
[129]
[130]
[{"$f":"A152+1","v":131}]
[132]
[133]
[134]
[135]
[136]
[137]
[138]
[139]
[140]
[141]
[142]
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[{"$f":"A216+1","v":195}]
[196]
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[{"$f":"A280+1","v":259}]
[260]
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[{"$f":"A344+1","v":323}]
[324]
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[{"$f":"A408+1","v":387}]
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[{"$f":"A472+1","v":451}]
[452]
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[500]

{"sheet":"Business Entity","index":3,"n_rows":519,"n_cols":6,"rows_kept":519,"cut":false,"hidden":false,"merged":[[3,0,3,3],[1,0,1,5],[2,0,2,5]]}
[]
["Hospitals, Hospital Systems and Group Practices with 30 or more physicians"]
["Written Report due by December 31st annually"]
[]
["Date of Filing ------------------------------------------------------------------------------------------------------------------------>"]
["Full Legal Name of Entity Reporting ---------------------------------------------------------------------------------------->"]
["Type of Provider Reporting (see options below) ----------------------------------------------------------------------->"]
[null,"(Hospital, Hospital System, Group Practice)"]
[]
["If more than one Group Practice is being reported, please follow the instructions below to add additional tabs. "]
[1,"Right click on the the \"BusinessEntity\" tab below"]
[2,"Click the \"Move or Copy\" option"]
[3,"Under the heading \"Before Sheet:,\"  click on \"(move to end)\""]
[4,"Click inside the \"create a copy\" box"]
[5,"Click \"OK\""]
[]
[-1,-2,-3,-4,-5,-6]
["Line","Name and address of Group Practice ","Location","Primary Service Area as defined in Section 1(11) of PA 14-168","Name and address of each Business Entity that provides services as part of the Group Practice","Description of services at this location"]
[null,null,null,null,null,"When user clicks into a cell below, a dropdown box appears allowing the user to enter multiple services. Users must select one service at a time when entering services."]
[1]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[9]
[10]
[11]
[12]
[13]
[14]
[15]
[16]
[17]
[18]
[19]
[20]
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[29]
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[60]
[61]
[62]
[63]
[64]
[65]
[66]
[67]
[68]
[69]
[70]
[71]
[72]
[73]
[74]
[75]
[76]
[77]
[78]
[79]
[80]
[81]
[82]
[83]
[84]
[85]
[86]
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[88]
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[90]
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[92]
[93]
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[95]
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[111]
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[498]
[499]
[500]

{"sheet":"PhysicianSpecialities","index":4,"n_rows":73,"n_cols":1,"rows_kept":73,"cut":false,"hidden":true,"merged":[]}
["Addiction medicine"]
["Allergy/immunology"]
["Anesthesiologist Assistant"]
["Anesthesiology"]
["Audiologist"]
["Cardiac electrophysiology"]
["Cardiovascular disease (cardiology)"]
["Certified Nurse Midwife"]
["Certified Registered Nurse Anesthetist"]
["Chiropractic medicine"]
["Clinical Nurse Specialist"]
["Clinical Psychologist"]
["Clinical Social Worker"]
["Colorectal surgery (proctology)"]
["Critical care medicine (intensivists)"]
["Dermatology"]
["Diagnostic radiology"]
["Emergency medicine"]
["Endocrinology"]
["Family practice"]
["Gastroenterology"]
["General practice"]
["General surgery"]
["Geriatric medicine"]
["Gynecological oncology"]
["Hand surgery"]
["Hematology"]
["Hematology/oncology"]
["Hospice and palliative care"]
["Infectious disease"]
["Internal medicine"]
["Interventional pain management"]
["Interventional radiology"]
["Maxillofacial surgery"]
["Medical oncology"]
["Nephrology"]
["Neurology"]
["Neuropsychiatry"]
["Neurosurgery"]
["Nuclear medicine"]
["Nurse Practitioner"]
["Obstetrics/gynecology"]
["Occupational Therapy"]
["Ophthalmology"]
["Optometry"]
["Oral surgery (dentists only)"]
["Orthopedic surgery"]
["Osteopathic manipulative medicine"]
["Otolaryngology"]
["Pain management"]
["Pathology"]
["Pediatric medicine"]
["Peripheral vascular disease"]
["Physical medicine and rehabilitation"]
["Physical Therapy"]
["Physician Assistant"]
["Plastic and reconstructive surgery"]
["Podiatry"]
["Preventive medicine"]
["Primary care"]
["Psychiatry"]
["Psychiatry (geriatric)"]
["Pulmonary disease"]
["Radiation oncology"]
["Registered Dietitian / Nutrition Professional"]
["Rheumatology"]
["Sleep medicine"]
["Speech-Language Pathologist"]
["Sports medicine"]
["Surgical oncology"]
["Thoracic surgery"]
["Urology"]
["Vascular surgery"]