I. October 2015 – Mississippi Certificate of Need Meeting

During the October 29, 2015, Certificate of Need meeting, Dr. Mary Currier, State Health Officer, concurred with the health and planning staff analysis and approved the following applications for Certificate of Need:

CON Review # NH-CO-0215-002 - Harrison County Properties, LLC d/b/a Gulfport Care Center - Cost Overrun to CON #R-0819 (CON Review Number: NH-RLS-0110-001) - Construction of 90 Nursing Home Beds In Harrison County, Mississippi - Approved Capital Expenditure: $7,178,929 - Additional Capital Expenditure: $715,516 - Total Capital Expenditure: $7,894,445 - Location: Gulfport, Harrison County, Mississippi - Staff Recommendation: Approval

CON Review # ESRD-A-0615-010 - Amendment to CON #R-0877 (CON Review Number: ESRD-NIS-1213-016) - Bio-Medical Applications of Mississippi, Inc. d/b/a Fresenius Medical Care – West Hinds County - Establishment of a Satellite ESRD Facility - Capital Expenditure: $3,815,643 - Location: Clinton, Hinds County, Mississippi - Staff Recommendation: Approval

The next Certificate of Need meeting is scheduled for November 19, 2015, at 11:00 a.m.

II. Certificate of Need Program Report – Filings/Reports in October 2015

A. Letters of Intent to Change Ownership

1. Winona Manor - Change of Ownership – Received October 30, 2015

2. Courtyard Rehabilitation and Healthcare - Change of Ownership– Received October 30, 2015

3. Starkville Manor - Change of Ownership – Received October 30, 2015

4. The Oaks Rehabilitation and Healthcare Center - Change of Ownership – Received October 30, 2015

5. Hilltop Manor Health and Rehabilitation Center - Change of Ownership – Received October 30, 2015

6. Glenburney Nursing Home - Change of Ownership – Received October 30, 2015

7. Merit Health Natchez Community Campus f/k/a Natchez Community Hospital - Change of Ownership – Received October 30, 2015

B. Determinations of Reviewability

1. Oxford Health and Rehabilitation Center - Advanced Healthcare Management Oxford Health & Rehab Gym Addition – Received September 28, 2015

2. George Regional Health & Rehabilitation Center - Renovation Project – Received October 2, 2015

3. Calhoun Health Services Nursing Home - Expansion and Renovation – Received October 14, 2015

4. Magnolia Regional Health Center - Renovation of Behavioral Health Unit – Received October 16, 2015

5. Claiborne County Medical Center - Installation of Commercial Central Heating and Air Conditioning System – Received October 26, 2015

6. University of Mississippi Medical Center (UMMC) - Additional MRI for Children's of Mississippi – Received October 26, 2015

7. South Central Regional Medical Center - South Central Regional Medical Center Materials Management and Pharmacy Departments Renovation Project – Received October 28, 2015

C. Letters of Intent to Apply for CON

1. Renal Care Group Tupelo, LLC - Expansion of ESRD Stations at Existing Facility – Received October 1, 2015

2. Advanced Vascular Access Center, LLC - Provision of Digital Subtraction Services Angiography Service and Peripheral Vascular Catheterization Procedures – Received October 27, 2015

3. RCG Mississippi, Inc. d/b/a RCG of Meridian - Establishment of Satellite ESRD Facility – Received October 30, 2015

4. RCG Mississippi, Inc. d/b/a RCG of Philadelphia - Establishment of Satellite ESRD Facility – Received October 30, 2015

5. Singing River Health System - Conversion of Level II CMR Beds to Level I CMR Beds – Received October 30, 2015

6. Magnolia Regional Health Center - Renovation for Behavioral Health Unit – Received October 30, 2015

7. Methodist Healthcare – Olive Branch Hospital - Medical Office Building – Received October 30, 2015

D. Applications Received/Withdrawn

1. North Mississippi Medical Center - CON Amendment and/or Cost Overrun to CON Number HG-RC-1109-030; R-0804 - West Bedtower Expansion and Renovation – Withdrawn October 1, 2015

2. The Mississippi Methodist and Rehabilitation Center, Inc. d/b/a Methodist Rehabilitation Center - Renovation of 6th Floor Patient and Nursing Area – Withdrawn October 7, 2015

3. Cedar Lake Open MRI, LLC - Offering of MRI Services and Acquisition of MRI Equipment – Received October 30, 2015

E. Applications Received for Extension/Renewal of an Expired CON

None

F. Additional Material Received in Response to Negative Staff Analysis

None

G. CON Applications Deemed Complete

CON Review # ESRD-NIS-0915-017 017 - Bio-Medical Applications of Mississippi, Inc. d/b/a FMC Mid Mississippi - Establishment of Satellite ESRD Facility - Location: Jackson, Hinds County, Mississippi - Capital Expenditure: $4,688,732 – Date Complete October 1, 2015

CON Review Number: C-NIS-0915-18 - Jackson Heart Clinic Professional Corporation - Acquisition of Cardiac-Only Pet Scanner and Offering of Cardiac-Only PET Services - Location: Jackson, Hinds County, Mississippi - Capital Expenditure: $257,992 – Date Complete October 1, 2015

H. Final Orders Issued

1. CON Review # NH-CO-0215-002 - Harrison County Properties, LLC d/b/a Gulfport Care Center Cost Overrun to CON #R-0819 (CON Review Number: NH-RLS-0110-001) - Construction of 90 Nursing Home Beds In Harrison County, Mississippi - Approved Capital Expenditure: $7,178,929 - Additional Capital Expenditure: $715,516 - Total Capital Expenditure: $7,894,445 - Location: Gulfport, Harrison County, Mississippi - Staff Recommendation: Approval – Effective Date October 29, 2015

2. CON Review # ESRD-A-0615-010 - Amendment to CON #R-0877 (CON Review Number: ESRD-NIS-1213-016) - Bio-Medical Applications of Mississippi, Inc. d/b/a Fresenius Medical Care – West Hinds County - Establishment of a Satellite ESRD Facility - Capital Expenditure: $3,815,643 - Location: Clinton, Hinds County, Mississippi - Staff Recommendation: Approval – Effective Date October 29, 2015

I. Six-Month Extension Requests

1. Memorial Hospital at Gulfport - SME on HG-RC-0611-012; R-0838 - Patient Tower Expansion and Renovation –Granted - Expires November 17, 2015

2. George Regional Hospital d/b/a George County Hospital - SME on NH-CB-0602-036; R-0668 - Establishment/Construction of a 60-Bed Nursing Home Facility – Granted - Expires November 19, 2015

3. Baptist Memorial Hospital-North Mississippi, Oxford - SME on HG-CRF-0612-015; R-0860 - Construction/Relocation and Replacement of 217-Bed Hospital/Services – Granted - Expires November 30, 2015

4. Fresenius Medical Care – North America, Inc. d/b/a RCG-West Point - SME on ESRD-CO-0612-014; R-CO-0842 - Establishment of Satellite ESRD Facility – Granted – Expires November 30, 2015

5. Memorial Hospital at Gulfport - SME on HG-RC-0902-064; R-0594 - West Building Renovation and Expansion – Granted - Expires December 21, 2015

6. Bedford Care Center – Warren Hall, LLC, Hattiesburg d/b/a Bedford Care Center – Picayune SME on NH-RLS-0304-003; R-0643 - Replacement/Relocation of a 120-Bed Nursing Home Facility – Granted - Expires December 24, 2015

7. St. Dominic-Jackson Memorial Hospital, Jackson SME on HG-RC-1214-002; R-0876 - Renovation of Operating Room East Area – Granted - Expires December 28, 2015

8. Renal Care Group, Tupelo, LLC d/b/a RCG of Central New Albany - SME on ESRD-NIS-0312-005; R-0854 - Establishment of Satellite ESRD Facility – Granted - Expires December 29, 2015

9. Clarksdale HMA, LLC d/b/a Northwest Mississippi Regional Medical Center, Clarksdale - SME on HG-RC-0312-007; R-0853 - Renovation/Expansion of Radiology Department – Granted - Expires December 29, 2015

10. Ocean Springs Hospital - SME on HG-A-0311-005; R-0751-A - Construction of Observation Units and Outpatient Services Improvements– Granted - Expires December 30, 2015

11. Forrest General Hospital d/b/a Asbury Hospice House, Hattiesburg - SME on HG-CFSF-0314-004; R-0875 - Construction of Hospice Facility - Capital Expenditure: $6,449,306 – Granted – Expires December 28, 2015

12. Clarksdale HMA, LLC d/b/a Merit Health Northwest Mississippi, Clarksdale - SME on HG-FE-0312-006; R-0852 - Acquisition or Otherwise Control of MRI Equipment and Conversion of Mobile MRI Services to Fixed MRI Services - Capital Expenditure: $387,500 – Granted – Expires December 29, 2015 - Granted – Expires December 29, 2015

13. South Sunflower County Hospital - SME on HG-SB-0312-008; R-0857 - Renovation and Swing Bed Project - Capital Expenditure: $8,768,274 – Granted – Expires January 26, 2016

14. Harrison County Properties, LLC. d/b/a Gulfport Care Center - SME on NH-RLS-0110-001; R-0819 - Construction of 90 Nursing Home Beds in Harrison County, Mississippi - Capital Expenditure: $7,178,929 – Granted – Expires January 26, 2016

15. Singing River Hospital, Pascagoula - SME on HG-A-0312-009; R-0795A - Amendment/Cost Overrun to CON No. R-0781 Electrical Services Upgrade and CON No. R-0795 Modular Chiller Plant and Bridge Project - Capital Expenditure: $11,230,490 – Granted – Expires January 27, 2016

16. Methodist Healthcare - Olive Branch Hospital - SME on HG-CB-0909-023; R-0817 - Construction/Establishment of a 100-Bed Acute Care Hospital, MRI, Therapeutic Cardiac Catheterization, and Open Heart Surgery Equipment and Services - Capital Expenditure: $137,080,000 – Granted – Expires January 29, 2016

17. Bio-Medical Applications of Mississippi, Inc. d/b/a Fresenius Medical Care-West Hinds County - SME on ESRD-NIS-1213-016; R-0877 Hospital Infusion Services Addition Establishment of a Satellite ESRD Facility Capital Expenditure: $3,815,643 – Granted – Expires February 29, 2016

18. Alliance Healthcare, Inc. System d/b/a Alliance Health Care System SME on HG-CRF-1203-035; R-0636 - Construction of a Replacement Hospital - Capital Expenditure: $30,807,769 – Granted – Expires March 25, 2016

19. Mississippi Baptist Medical Center - SME on HG-R-1209-035 - Nursing Units Renovation Project - Capital Expenditure: $58,650,000 - Granted – Expires March 25, 2016

20. Mississippi Methodist Hospital and Rehabilitation Center, Inc., d/b/a Methodist Outpatient Rehabilitation - SME on HG-C-0613-010; R-0870 - Construction of Consolidated Outpatient Therapy Facility - Capital Expenditure: $5,872,945 – Granted – Expires March 28, 2016

21. Baptist Memorial Hospital North Mississippi, Inc. d/b/a Baptist Memorial Hospital North Mississippi - SME on HG-RC-0613-008; R-0868 - Capital Expenditure: $4,153,323 – Granted – Expires March 28, 2016

22. Singing River Hospital, Pascagoula - SME on HG-CB-1211-027; R-0848 - Addition of Level II Comprehensive Medical Rehabilitation Beds - Capital Expenditure: $690,000 – Granted – Expires March 29, 2016

23. Memorial Hospital at Gulfport, Gulfport - SME on HG-RC-0611-013; R-0847 - Neonatal Intensive Care Unit Expansion - Capital Expenditure: $6,663,350 – Granted – Expires March 29, 2016

I. Hearings Requested/Scheduled During the Course of Review

None.

J. Request for Hearing on Denial of Six-Month Extension

CON Review: ESRD-NIS-0905-041; CON # R-0710 - Healthcare Engineers, LLC - Establishment of a Six Station ESRD Facility in Tallahatchie County - Capital Expenditure: $254,085 - Requestor: Alliance Health Partners, LLC d/b/a Tri-Lakes Medical Center - To Be Scheduled

CON Review Number: HG-R-1207-031 - Singing River Hospital, Pascagoula - SME on CON # R-0761 - Renovation of Emergency Department and Patient Care Area - Capital Expenditure: $9,473,202 - Effective Date: March 27, 2008 - Extension Expiration Date: March 27, 2015 - Requestor: Singing River Health System, d/b/a Singing River Hospital, Pascagoula – To Be Scheduled

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