HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE JUNE 2015 Page 1

HEALTH SERVICES

AND

DEVELOPMENT AGENCY

COMMUNIQUE

HEALTH SERVICES AND DEVELOPMENT AGENCY

neral Counsel………………...James B.

Christoffersen

Wright

Executive Director………………Melanie Hill

General Counsel………………...James B.

Christoffersen

………………...…….D. Lynn Johnson

Vice-Chair…………………………..James Wright

Executive Director………………Melanie Hill

General Counsel………………...James B.

Christoffersen

JUNE 2015

For Meeting verification/change or agenda information, please call the Agency Office

or check our website at www.tn.gov/hsda

Tennessee Department of Health, Division of Policy, Planning and Assessment……...615/741-1954

Tennessee Department of Mental Health and Substance Abuse Services,

Division of Planning, Research & Forensic……..615/532-6717

Tennessee Department of Intellectual and Development Disabilities, Office of General Counsel…615/253-8731 or Main Office….615/532-6530 or 800-535-9725

MONTHLY PUBLICATION OF

HEALTH SERVICES AND DEVELOPMENT AGENCY Andrew Jackson Building, 9th Floor

502 Deaderick Street

Nashville, TN 37243

615.741.2364

Chair……………………………..……D. Lynn Johnson Vice-Chair…………………………....Robert S. Doolittle Executive Director………………….Melanie Hill

General Counsel……………………James Christoffersen

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE JUNE 2015 Page 2

2013 REVIEW CYCLE

2013 Cycle Publication Dates—

Letter of Intent Application HSDA Meeting Dates

September 08/01/2013-08/10/2013 5 days after Publication 11/20/2013

October 09/01/2013-09/10/2013 “ 12/18/2013

November 10/01/2013-10/10/2013 “ 01/22/2014

December 11/1/2013-11/10/2013 “ 02/26/2014

2014 REVIEW CYCLE

2013 Cycle Publication Dates—

Letter of Intent Application HSDA Meeting Dates

January 12/01/2013-12/10/2013 5 days after Publication 03/26/2014

February 01/01/2014-01/10/2014 “ 04/23/2014

March 02/01/2014-02/10/2014 “ 05/28/2014

April 03/01/2014-03/10/2014 “ 06/25/2014

simplifying IT

CALENDAR The Health Services and Development Agency will be closed on the following days:

2015 Friday, July 3—Independence Day observed Monday, September 7—Labor Day Monday, October 12—Columbus Day Wednesday, November 11—Veterans’ Day Thursday, November 26—Thanksgiving Day *Friday, November 27—substituted for Columbus Day Day

Thursday, December 24—Christmas Eve Friday, December 25—Christmas Thursday, December 31—New Year’s Eve

* Columbus Day “Second Monday in October at the Governor’s discretion may be observed the Friday after Thanksgiving.

In the event that the last appropriate filing date falls on a Saturday, Sunday, or legal holiday, such filing should occur on the preceding business day.

*Appeal deadline is 15 days after meeting date.

2015 REVIEW CYCLE

2015 Cycle Month

Publication Dates— Letter of Intent

Application Due Date HSDA Meeting Dates *End of Appeal Period

April 03/01/2015-03/10/2015 “ 06/24/2015 07/09/2015

May 04/01/2015-04/10/2015 “ 07/22/2015 08/06/2015

June 05/01/2015-05/10/2015 “ 08/26/2015 09/10/2015

July 06/01/2015-06/10/2015 “ 09/23/2015 10/09/2015

August 07/01/2015-07/10/2015 “ 10/28/2015 11/12/2015

September 08/01/2015-08/10/2015 “ 11/18/2015 12/03/2015

October 09/01/02015-9/10/2015 “ 12/16/2015 12/31/2015

November 10/01/2015-10/10/2015 “ 01/27/2016 02/11/2016

December 11/01/2015-11/10/2015 “ 02/24/2016 03/10/2016

STATE OF TENNESSEE POLICY OF NON-DISCRIMINATION PURSUANT TO THE STATE OF TENNESSEE’S POLICY OF NON-DISCRIMINATION, THE HEALTH SERVICES AND DEVELOPMENT AGENCY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, SEX, RELIGION, COLOR, NATIONAL OR ETHNIC ORIGIN, AGE, DISABILITY OR MILITARY SERVICE IN ITS POLICIES OR IN THE ADMISSION OR ACCESS TO, OR TREATMENT OR EMPLOYMENT IN, ITS PROGRAMS, SERVICES OR ACTIVIES. EQUAL EMPLOYMENT OPPORTUNITY/AFFIRMATIVE ACTION INQUIRIES OR COMPLAINTS SHOULD BE DIRECTED TO THE HEALTH SERVICES AND DEVELOPMENT AGENCY EEO/AA COORDINATOR OR OFFICER, HEALTH SERVICES AND DEVELOPMENT AGENCY, ANDREW JACKSON BUILDING, 9 th FLOOR, 502 DEADERICK STREET, NASHVILLE, TN 37243. TELEPHONE NO.: 615/741-2364. ADA INQUIRIES OR COMPLAINTS SHOULD BE DIRECTED TO THE HEALTH SERVICES AND DEVELOPMENT AGENCY’S ADA COORDINATOR: JAMES CHRISTOFFERSEN, HEALTH SERVICES AND DEVELOPMENT AGENCY, ANDREW JACKSON BUILDING, NINTH FLOOR, 502 DEADERICK STREET, NASHVILLE, TN 37243. TELEPHONE NO.: 615/741-2364.

HEALTH SERVICES AND DEVELOPMENT AGENCY—COMMUNIQUE June 2015 PAGE 2

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE JUNE 2015 Page 3

HEALTH SERVICES AND DEVELOPMENT AGENCY

MEETINGS

THSDA Meetings are scheduled to be held at 8:30 a.m. CDT/CST

At the following locations:

July – December

Legislative Plaza Room 12

Sixth Avenue North & Union Street Nashville, TN

++++++++

++++++++ * Meeting locations are subject to change

** All meetings of the Health Services and Development Agency are posted on the Agency’s website at www.tn.gov/hsda

EXECUTIVE DIRECTOR’S ANNOUNCEMENTS:

PLEASE NOTE:

In order that the Agency members may have sufficient time to review the meeting packet, please submit all support, rebuttal and comments for matters on the Agency's agenda no later than noon (Central Time) on the thirteenth day before the meeting at which that matter will be Heard. The parties are encouraged to provide 15 copies. In accordance with T.C.A., Section 68-11-1609(g)(1), any health care institution wishing to oppose a Certificate of Need application must file a written objection with the Agency and serve a copy on the applicant no later than fifteen days before the agency meeting at which time the application is originally scheduled.

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE JUNE 2015 Page 4

RESULTS OF APPLICATIONS HEARD AT MAY MEETING

Southern Hills Surgery Center Unaddressed site at NE corner of intersection at Old Hickory Blvd. and American General Way Brentwood (Davidson County), TN 37250 CN1411-047 Contact Person: John L. Wellborn, Consultant Phone: 615-665-2022 DEFERRED FROM THE MARCH MEETING APPROVED

The relocation of Southern Hills Surgery Center from 360 Wallace Road, Nashville (Davidson County), TN 37211, to leased space in a building to be constructed at an unaddressed site in the northeast corner of the intersection of Old Hickory Boulevard and American Way, Brentwood (Davidson County), TN 37250. The estimated project cost is $17,357,832.00.

Scott Hamilton Proton Center Unaddressed Site at Intersection Carothers Pkwy and Physicians Way Franklin (Williamson County), TN 37027 CN1502-004 Contact Person: Scott Warwick, Vice President Phone: 865-684-2613 APPROVED

To establish a proton therapy center for cancer patients, acquire major medical equipment and initiate outpatient proton therapy services in a new building to be constructed at an unaddressed site containing approximately 11.6 acres located on the east side of Carothers Parkway between its intersection with Physician’s Way and Williamson Medical Center in Franklin (Williamson County), TN. The estimated project cost is $109,057,664.00.

Chattanooga-Hamilton County Hospital d/b/a Erlanger East Hospital 1755 Gunbarrel Road Chattanooga (Hamilton County), TN 37421 CN1502-005 Contact Person: Joseph M. Winick, Sr. Vice President Phone: 423-778-7274 APPROVED

To modernize the CON originally issued in 2004 (CN0405-047AE) which was approved for diagnostic cardiac services. The applicant proposes to upgrade the unimplemented diagnostic Cardiac Catheterization Lab to also perform interventional cardiac procedures. Erlanger East Hospital is located at 1755 Gunbarrel Road, Chattanooga (Hamilton County), Tennessee 37416. The estimated project cost is $303,000.00.

Trustpoint Hospital, LLC 1009 North Thompson Lane Murfreesboro (Rutherford County), TN 37129 CN1502-006 Contact Person: E. Graham Baker, Jr., Esq. Phone: 615-370-3380 APPROVED

The net increase of 33 inpatient beds licensed by the Tennessee Department of Health as follows: Adult Psychiatric Beds will increase from 31 beds to 59; Geriatric Psychiatric will increase from 28 beds to 36; Medical Detoxification beds will increase from 10 to 18 beds, Physical Rehabilitation Beds will decrease from 27 beds to 16 beds; with total beds increasing from 96 to 129 beds. There will be no new construction, and all bed increases will occur within existing space at the applicant’s hospital. The estimated project cost is $935,000.00.

GENERAL COUNSEL’S REPORT

Chattanooga-Hamilton County Hospital d/b/a Erlanger East Hospital 1755 Gunbarrel Road Chattanooga (Hamilton County), TN 37421 CN1207-034A Contact Person: Joseph M. Winick, Sr. Vice President Phone: 423-778-7274 APPROVED

Request for a two year extension of the expiration date from November 1, 2015 to November 1, 2017. The CON was unanimously approved in October 2012 for the renovation, upgrade and modernization of adult operating rooms to include the addition of 4 new operating rooms. The estimated project cost was $21,725,467.00.

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE JUNE 2015 Page 5

McKendree Village, Hermitage (Davidson County), TN 4343 Lebanon Pike Hermitage, TN 37076 CN1202-010AE Contact Person: Byron Trauger, Esq. Phone: 615-256-8585 APPROVED

Request for a sixteen month extension of the expiration date from August 1, 2015 to December 31, 2016. The CON was unanimously approved in May 2012 for the addition of 30 Medicare skilled nursing facility beds to the 150 nursing home beds it currently operates. Upon Certificate of Need approval and the licensure of this project, McKendree Village will operate a 180 licensed bed nursing home facility. McKendree Village will provide Medicare/Medicaid skilled nursing facility services in these proposed 30 nursing home beds. The estimated project cost was $1,303,000.00.

McKendree Village, Hermitage (Davidson County), TN 4343 Lebanon Pike Hermitage, TN 37076 CN1303-007A Contact Person: Byron Trauger, Esq. Phone: 615-256-8585 APPROVED

Request for a 16-month extension of the expiration date from August 1, 2015 to December 31, 2016. Both this project and McKendree Village, CN1202-010A, were undertaken as a single construction project. This is a 1st extension request. The project was originally approved in June 2013 with an estimated cost of $3,808,150.

Tennessee Orthopedic Alliance, P.A., 6 City Blvd . Suite 100 Nashvillle (Davidson County), TN 37209 CN1302-004A Contact Person: Jerry Taylor, Esq. Phone: 615-256-8585 APPROVED

Request for a one year extension of the expiration date from August 1, 2015 to August 1, 2016 and a change in the address on the certificate from 3000 Charlotte Avenue to 6 City Blvd. This is a change in the address but not a change of site. This is a 1st extension request. The project was originally approved in May 2013 with an estimated cost of $2,418,133.

Collins Chapel Health & Rehabilitation Center 409 Ayers St Memphis (Shelby County), TN 38105 CN1202-011A Contact Person: William West, Esq. Phone: 615-726-5561 APPROVED

Request for an 18 month extension of the expiration date from August 1, 2015 to February 1, 2017. This will be the 2nd extension of the expiration date.The project was originally approved in June 2012 with an estimated cost of $1,626,331.

RESULTS OF APPLICATIONS HEARD AT MAY MEETING

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE JUNE 2015 Page 6

APPLICATIONS TO BE HEARD AT THE JUNE MEETING

*Cumberland Medical Center 421 South Main St Crossville (Cumberland County), TN 38555 CN1504-011 Contact Person: Mike Richardson Phone: 865-531-5123 CONSENT CALENDAR

The construction renovation, and expansion of an existing building to create a new Emergency Department on the current hospital campus located at 421 South Main Street, Crossville (Cumberland County), TN 38555. The estimated project cost is $6,369,682.

The relocation of Southern Hills Surgery Center from 360 Wallace Road, Nashville (Davidson County), TN 37211, to leased space in a building to be constructed at an unaddressed site in the northeast corner of the intersection of Old Hickory Boulevard and American Way, Brentwood (Davidson County), TN 37250. The estimated project cost is $17,357,832.00.

Implanted Pump Management, LLC+ 200 Prosperity Place, #102 Knoxville (Knox County), TN 37923 CN1407-027 Contact Person: Melissa Hess, Director of Nursing Phone: 201-475-9635 DEFERRED UP T0 90 DAYS

The establishment of a home care organization and the initiation of home health services limited to intrathecal pump services. The parent office will be located at 200 Prosperity Place #102, Knoxville (Knox County), TN 37932. There are no branch offices proposed for this project. The service area includes all 95 counties in Tennessee. The estimated project cost is $13,038.00. Simultaneous Review+- Implanted Pump Management, LLC, Knoxville (Knox County), TN ─ CN1407-027 and Pentec Health, Inc., Nashville (Davidson County), TN ─ CN1411-046 will be heard as a simultaneous review.

Pentec Health, Inc.+ 424 Church Street, Suite 2000 Nashville (Davidson County), TN 37219 CN1411-046 Contact Person: Richarde Leigh, Esq. Specialty Infusion Phone: 717-257-7501 DEFERRED UP T0 90 DAYS

The establishment of a home care organization and the initiation of home health services limited to intrathecal pump infusion and Ig-G replacement therapy services in all counties in Tennessee except Hancock, Perry and VanBuren Counties. The parent office will be located in leased space at 424 Church Street, Suite 2000, Nashville, TN. There are no branch offices proposed for this project. The estimated project cost is $142,028.00.

Simultaneous Review+- Implanted Pump Management, LLC, Knoxville (Knox County), TN ─ CN1407-027 and Pentec Health, Inc., Nashville (Davidson County), TN ─ CN1411-046 will be heard as a simultaneous review.

Parkridge Medical Center 2333 McCallie, Ave Chattanooga (Hamilton County), TN 37404 CN1503-007 Contact Person: John Wellborn Phone: 615-665-2022

A major construction project requiring a capital expenditure greater than 5 million dollars at the main campus of Parkridge Medical Center at 2333 McCallie Avenue, Chattanooga (Hamilton County), Tennessee. The application proposes to remodel and expand floor space of several patients care and support departments, including the addition of a cardiac catheterization laboratory and a bone densitometry unit. The project does not include the addition of major medical equipment, initiation or discontinuance of any covered health care services, or affect the hospital’s bed complement. Parkridge Medical Center, Inc. owns and operates five campuses with a consolidated license for 621 hospital beds. The 2333 McCallie Avenue campus, where this project is located, operates 275 of those beds. The estimated project cost is $61,459,477.00.

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HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE JUNE 2015 Page 7

APPLICATIONS TO BE HEARD AT THE JUNE MEETING

Methodist Healthcare-Memphis Hospitals d/b/a Methodist South Hospital 1300 Wesley Dr Memphis (Shelby County), TN 38116 CN1503-008 Contact Person: Carol Weidenhoffer, Senior Director of Planning and Business Development Phone: 901-516-0679

A major construction project requiring a capital expenditure greater than $5 million dollars that involves the renovation and expansion of the Emergency Department and related areas of the hospital campus at 1300 Wesley Drive, Memphis (Shelby County), Tennessee. The project does not involve an increase of the hospital’s ED rooms, the addition of inpatient beds, initiation of services or addition of major medical equipment. Methodist Healthcare Memphis Hospitals owns and operates five campuses with a consolidated license for 1,583 hospital beds. The 1300 Wesley Dr campus, where this project is located, operates 156 of those beds. The estimated project cost is $8,741,872.00.

Turner Surgery Center, LLC 28 White Bridge Road Suite 210 Nashville (Davidson County), TN 37205 CN1503-009 Contact Person: Dan Elrod, Esq Phone: 615-651-6702

The establishment of a single specialty ambulatory surgical treatment center (ASTC) located at Suite 210, 28 White Bridge Road, (Davidson County), TN 37205. The one procedure room ASTC will be limited to implantation of spinal neurostimulator devices and other pain management procedures. The estimated project cost is $547,150.

Baptist Memorial Group, Inc. d/b/a Baptist Medical Group 2100 Exeter Road Germantown (Shelby County), TN 38138 CN1503-010 Contact Person: Arthur Maples Phone: 901-227-4137

The initiation of magnetic resonance imaging (MRI) services in leased space on the campus of Baptist Rehabilitation-Germantown, 2100 Exeter Road, Germantown (Shelby County), Tennessee, as part of the medical group’s practice. An existing 1.5 Tesla fixed MRI unit owned and operated by Baptist Rehabilitation-Germantown will be transferred to Baptist Medical Group as part of the project. Other than the change in operation, no change in site, equipment or imaging services will change as a result of the project. The estimated project cost is $1,262,000.00.

GENERAL COUNSEL’S REPORT

The Village at Germantown Skilled Nursing Facility 7820 Walking Horse Circle Germantown (Shelby County), TN 38138 CN1310-039A Contact Person: Byron R. Trauger, Esq. Phone: 615-256-8585

On January 22, 2014 the Agency unanimously approved the addition of twenty (20*) Medicare-certified skilled beds to its existing thirty (30) Medicare skilled bed nursing home, with an estimated project cost of $5,641,539. A nine month extension, from March 1, 2016 to 12/1/16, is being requested.

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HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE JUNE 2015 Page 8

Horizon Medical Center Free Standing Emergency Department 111 Highway 70 East Dickson (Dickson County), TN 37055 CN1202-008A Contact Person: Jerry W. Taylor, Esq. Phone: 615 724-3200

On May 23, 2012, by a 8-1 vote, the Agency approved the establishment of a satellite Emergency Department (ED) facility at Horizon Medical Center’s Natchez Medical Park campus, which is located less than one-half mile south of Exit 172 on I-40 in Dickson (Dickson County), TN. The project is the fourth of a series of projects for which Horizon Medical Center has sought approval from the Agency as a part of a multi-phased master facility plan to eventually relocate its aging hospital facility. Located at 109 Natchez Park Drive, the freestanding, satellite ED will adjoin and be physically connected to the diagnostic services in the Natchez Ambulatory Care Center. A one month extension is being requested, from July 1, 2015 to August 1, 2015.

Natchez Surgery Center 111 Highway 70 East Dickson (Dickson County), TN 37055 CN1002-011A Contact Person: Jerry W. Taylor, Esq. Phone: 615 724-3200

On May 26, 2010, the Agency unanimously approved the establishment of an ambulatory surgical treatment center (ASTC) with 3 operating rooms and 3 procedure rooms. Upon approval CN0801-001A was to be surrendered which is for a similar facility at this site. The intent of this application was to change the project’s organizational form to permit physician ownership participation. When the 6 new surgical rooms are licensed and operational, Horizon Medical Center will cease to staff 5 of its operating and procedure rooms. The estimated project cost was $ 13,073,892.00. A 24 month extension is being requested, from July 1, 2015 to July 1, 2017.

Hemophilia Preferred Care of Memphis 6423 Shelby View Dr #104, Memphis (Shelby County), TN 38134 CN1201-002A Contact Person: William West, Esq. Phone: 615-726-5600

On June 27, 2012, the Agency unanimously approved the establishment of a home care organization to provide home health services limited to serving those patients suffering from hemophilia or similar blood disorders who are also patients of the pharmacy operated by Hemophilia Preferred Care of Memphis at 852 South Cooper Street, Memphis (Shelby County), TN. The service area will be Shelby County. The estimated project cost was$ 43,000.00. A six month extension is being requested, from August 1, 2015 to February 1, 2016.

Macon County General Hospital P.O. Box 378 204 Medical Drive Lafayette (Macon County), TN 37083 CN9904-030A Contact Person: Kimberly Winsett Phone: 615-666-2147

On July 28, 1999, the Health Facilities Commission (predecessor to the Agency) unanimously approved the initiation of mobile MRI services 1 day per week, with an estimated project cost of $1,003,000. Macon County General Hospital seeks the removal of the limitation of 1 day per week.

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APPLICATIONS TO BE HEARD AT THE JUNE MEETING

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE JUNE 2015 Page 9

APPLICATIONS TO BE HEARD AT THE JUNE MEETING

OTHER BUSINESS

Jellico Community Hospital 188 Hospital Lane Jellico (Campbell County), TN 37762 Agency Determination Contact Person: William West, Esq. Phone: 615-726-5600

Request for Agency Determination by Jellico Community Hospital An Agency determination has been requested with respect to whether a Certificate of Need would be required under §68-11-1607(a)(4) and Agency Rule 0720-9-.01(16) for Jellico Community Hospital to establish a designated Level 2 NICU that is staffed by a board certified pediatrician with a subspecialty certification in neonatal and perinatal medicine as chief of neonatal care service, with no neonatologist. Agency Rule provides that an Agency determination represents a formal opinion of The Agency. Such determinations are initially analyzed and drafted by staff, and presented to the full Agency during a regularly scheduled Agency meeting. The Agency may then adopt, reject, or modify staff's recommendation.

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE JUNE 2015 Page 10

APPLICATIONS TO BE HEARD AT THE JULY MEETING

No Meeting.

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE JUNE 2015 Page 11

*Medical Care PLLC 1501 W. Elk Ave Elizabethton (Carter County), TN 37643 CN1505-018 Contact Person: Rachel C. Nelley, Esq. Phone: 615-726-1200 CONSENT CALENDAR

A multi-specialty medical group seeks approval to initiate MRI services for use by its physicians and patients. The project focuses on a shared equipment and services arrangement with Mountain States Health Alliance d/b/a Sycamore Shoals Hospital for the use of an existing MRI unit located on the hospital campus on a block time basis, initially 12 hours per week. The project cost is $1,608,550.71.

Hero Healthcare 231 Walls Hollow Road Oliver Springs (Morgan County), TN 37840 CN1504-012 Contact Person: Anne Arney, Esq. Phone: 615-238-6300

To establish a home health agency licensed in Anderson and Morgan counties restricted to home health services to a specific patient who is a beneficiary of the United States Department of Labor, Division of Energy Employees Occupation Illness Compensation Program (EEOICP). The principle office will be located at 231 Walls Hollow Road, Oliver Springs (Morgan County), Tennessee. The service area is Morgan and Anderson Counties. The estimated project cost is $29,680.

NorthCrest Medical Center 100 NorthCrest Drive Springfield (Robertson County), TN 37172 CN1504-013 Contact Person: Kim Looney, Esq. Phone: 615-850-8722

To initiate a mobile Positron Emission Tomography service (PET) on the Northcrest Medical Center campus at 100 Northcrest Drive in Springfield (Robertson County), Tennessee 37172. The mobile PET service will initially be offered one half day per week (approximately 5 hours while docked) increasing to 2 half days per week. The estimated project cost is $187,500.

TriStar Skyline Medical Center 3441 Dickerson Pike Nashville (Davidson County), TN CN1504-014 Contact Person: John Wellborn, Consultant Phone: 615-665-2022

For a net increase of ten (10) medical-surgical beds on the main hospital campus at 3441 Dickerson Pike, Nashville (Davidson County), TN by the renovation of existing spaces and closure of 10 beds at the hospital’s satellite campus at 500 Hospital Drive in Madison (Davidson County), TN. The hospital’s consolidated 385-bed license will not change as a result of this project. The estimated project cost is $843,000.

Premier Medical Group, PC 490 Dunlop Lane Clarksville (Montgomery County), TN 37040 CN1505-016 Contact Person: Lloyd E. Matson Phone: 931-245-7000

A multi-specialty medical group seeks approval to relocate its existing MRI service limited to use by the physicians and patients of the practice as approved in CN9909-082A. The project focuses on the relocation of the MRI to the new practice location which will be in leased space in a new building under construction, a distance of not more than 2 miles from the existing site and the lease of a new 1.5 Tesla GE MRI unit. The project cost is $2,064,060.

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APPLICATIONS TO BE HEARD AT THE AUGUST MEETING

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE JUNE 2015 Page 12

APPLICATIONS TO BE HEARD AT THE AUGUST MEETING

Maury Regional Hospital d/b/a Maury Regional Medical Center 1224 Trotwood Ave Cloumbia (Maury County), TN 38401 CN1505-017 Contact Person: Paul Betz, COO Phone: 931-380-4002

Maury Regional Hospital seeks approval for a major construction project requiring a capital expenditure greater than $5 million. Two Critical Care Units currently located on the 1st and 2nd floors of the hospital will be consolidated in 28,000 SF of renovated space on the 5th floor of the West Tower. The project cost is $11,624,715.

Lakeside Behavioral Health System 2911 Brunswick Road Memphis (Shelby County), TN 38133 CN1505-019 Contact Person: Anna J. Golden Phone: 901-377-4774

Lakeside Behavioral Health seeks approval for a major construction project requiring a capital expenditure greater than $5 million. A 48-bed building will be constructed on campus to house geriatric psychiatric beds which will be relocated from another area of the campus. This project will not increase the licensed bed capacity of the hospital. The project cost is $9,393,796.

TriStar Summit Medical Center 5655 Frist Blvd Hermitage (Davidson County), TN 37076 CN1505-020 Contact Person: John Wellborn, Consultant Phone: 615-665-2022

TriStar Summit Medical Center seeks approval for the addition of 8 inpatient rehabilitation beds and 2 medical/surgical beds. It will delicense 6 obstetric beds by converting 6 LDRP beds to LDR so the net increase will result in only four additional licensed beds, resulting in an increase in bed capacity from 196 to 200. The project involves renovations of existing patient floors to include the addition of the beds. The project cost is $4,892,904.

Tennova LaFollette Health and Rehab Center 200 Torrey Road LaFollette (Campbell County), TN 37766 CN1505-021 Contact Person: Jerry W. Taylor, Esq. Phone: 615-724-3247

A 98 licensed bed nursing home owned by Campbell County HMA, LLC, a Tennessee limited liability company that is a wholly owned subsidiary of Community Health Systems, Inc., seeks approval to renovate approximately 26,350 of the existing 35,317 square foot facility at a construction cost in excess of $2 million. The project focuses on cosmetic finishes, changes to nurses stations, patient day rooms and patient dining areas of the building and does not involve changes to any existing services or the licensed bed complement. The project cost is $3,202,188.75.

Regional Hospital of Jackson 367 Hospital Blvd Jackson (Madison County), TN 38305 CN1505-022 Contact Person: Jerry W. Taylor, Esq. Phone: 615-724-3247

Regional Hospital of Jackson seeks approval for a major construction project requiring a capital expenditure greater than $5 million for the following: 1) renovation of approximately 9,294 SF in the existing surgical department, 2) the addition of approximately 3,777 SF of new construction to the existing surgical department, and 3) the addition of 2 operating rooms, increasing the number of operating rooms from 6 to 8. If approved the hospital will de-license 2 inpatient beds. The project cost is $8,864,901.

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE JUNE 2015 Page 13

NOTES

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE JUNE 2015 Page 14

NOTES

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE JUNE 2015 Page 15

APPEALS OF AGENCY DECISIONS

FACILITY DOCKET # DESCRIPTION MEETING DATE

TriStar Centennial Medical Center Nashville, Davidson County CN1407-032A

25.00-128905J Appeal of Approval of CON

10/22//2014

East Tennessee Radiation Therapy Services Knoxville, Knox County CN1108-030ADA

25.00-115208J Appeal of Approval of CON

12/14/2011

HCA Health Services of Tennessee, Inc. d/b/a TriStar Southern Hills Medical Center Emergency Department at I-65 CN1412-050D

25.00-130740J Appeal of Denial of CON

3/25/2015

SBH-Kingsport, LLC Kingsport, Sullivan County CN1312-050A

25.00-126908J Appeal of Denial of CON

6/25/2014

TriStar Southern Hills Surgery Center Nashville, Davidson County CN1411-047A

25.00-131649J Appeal of Approval of CON

TBA

Tri-Cities Holdings LLC d/b/a Trex Treatment Center Johnson City, Washington County CN1303-005D

25.00-122076J Appeal of Denial of CON

6/26/2013

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE JUNE 2015 Page 16

HEALTH SERVICES AND DEVELOPMENT AGENCY MEMBERS

D. Lynn Johnson

(Consumer, Speaker of the House)

Charlotte C. Burns

(Hospital)

Claudia H. Byrd

(Consumer, Speaker of the Senate)

Robert Doolittle

(Consumer, Governor)

Martin D. Fleming, M.D.

(Physician)

Thom Mills

(Home Care)

Mark Flora, M.D.

(Ambulatory Surgical Treatment Centers)

James L. Wright

(Nursing Home)

Keith Gaither, Designee

for Director of TennCare

Darin J. Gordon

Jaclyn Austin, Designee

for Comptroller

Justin Wilson

Lisa Jordan, Designee

for Commerce & Insurance Commissioner

Julie Mix McPeak