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HEALTH SERVICES AND DEVELOPMENT AGENCY COMMUNIQUE HEALTH SERVICES AND DEVELOPMENT AGENCY neral Counsel………………...James B. NOVEMBER 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, Planning, Research, & Forensics……..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, 9 th Floor 502 Deaderick Street Nashville, TN 37243 615.741.2364 Chair……………………………..……D. Lynn Johnson Vice-Chair…………………………....James Wright Executive Director………………….Melanie Hill General Counsel……………………James Christoffersen

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HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE NOVEMBER 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

NOVEMBER 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,

Planning, Research, & Forensics……..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…………………………....James Wright Executive Director………………….Melanie Hill

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

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE NOVEMBER 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 Wednesday, November 11—Veterans’ Day Thursday, November 26—Thanksgiving Day *Friday, November 27—substituted for Columbus Day Thursday, December 24—Christmas Eve Friday, December 25—Christmas Day Thursday, December 31—New Year’s Eve

2016 Friday, January 1—New Year’s Day

* 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

July 07/01/2015-07/10/2015 5 days after LOI published “ 10/28/2015 11/12/2015

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

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

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

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

December 12/01/2015-12/10/2015 “ 03/23/2016 04/07/2016

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 NOVEMBER 2015 PAGE 2

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE NOVEMBER 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:

November– December

Legislative Plaza Room 12

Sixth Avenue North & Union Street Nashville, TN

++++++++

January – June

AT&T Tower Main Auditorium

333 Commerce 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 NOVEMBER 2015 Page 4

RESULTS OF APPLICATIONS HEARD AT OCTOBER MEETING

*The Endoscopy Center Unaddressed site in the northwest quadrant of the intersection of Middlebrook Pike and Dowell Springs Boulevard Knoxville (Knox County), TN 37909 CN1508-030 Contact Person: John Wellborn, Consultant Phone: 615-665-2022 CONSENT CALENDAR

APPROVED

To relocate The Endoscopy Center, an existing single specialty ASTC limited to endoscopy, from 801 Weisgarber Road, Suite 100, Knoxville to an unaddressed site in the northwest quadrant of the intersection of Middlebrook Pike and Dowell Springs Boulevard in Knoxville, Tennessee, a distance of approximately 1.4 miles. As a part of the project, the applicant will reduce its existing surgical complement from 8 to 6 procedure rooms. The estimated project cost is $13,791,719.

*Tennova--Healthcare LaFollette Medical Center 923 Central Ave LaFollette (Campbell County), TN 37766 CN1508-032 Contact Person: Jerry Taylor, Esq. Phone: 615-724-3247 CONSENT CALENDAR

APPROVED

To initiate extracorporeal shockwave lithotripsy (ESWL) services up to 3 days/week on the hospital campus through the use of a leased mobile lithotripsy unit. The estimated project cost is $440,203.

*Saint Thomas Medical Partners 2214 Elliston Place Nashville (Davidson County), TN 37203 CN1508-033 Contact Person: Michael Brent, Esq. Phone: 615-252-2361 CONSENT CALENDAR

APPROVED

To acquire the existing magnetic resonance imaging unit (MRI) approved in Neurological Surgeons, P.C, CN9902-013AM and initiate MRI services with no change in the location of the medical group’s location at 2214 Elliston Place, Suite 200, Nashville (Davidson County), Tennessee. The estimated project cost is $2,213,165.44.

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

2nd DEFERRAL FROM SEPTEMBER

MEETING; APPLICATION ON HOLD,

PENDING RESOLUTION OF DAVIDSON

COUNTY CHANCERY COURT

PETITION FILED BY THE APPLICANT

To establish a home care organization to provide 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. OPPOSITION: Gentiva Health Services, The Home Option by Harden Healthcare, Professional Case Management, Quality Home Health, Quality Private Duty Care, National HealthCare Corporation.

Alere Women's and Children Health, LLC 1926 Hayes St., Suite 111 Nashville (Davidson County), TN 37203 CN1506-025 Contact Person: John Wellborn, Consultant Phone: 615-665-2022.

APPROVED

CONDITION: Limited to high risk

obstetrical patients with antepartum

and postpartum needs.

The applicant is a home health organization providing home health services exclusively limited to the care of high-risk obstetrical patients with antepartun and postpartum needs. It seeks to add 22 counties, including Cannon, Clay, Cumberland, DeKalb, Fentress, Franklin, Giles, Humphreys, Jackson, Lawrence, Lewis, Lincoln, Macon, Moore, Overton, Pickett, Putnam, Smith, Stewart, Trousdale, Van Buren, and White Counties, to its existing 14 county service area approved under Matria Healthcare, Inc., CN9807-043A. There will be no change in the services nor will the location of the parent office change. The total estimated project cost is $84,000.00.

(Continued on the Next Page)

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE NOVEMBER 2015 Page 5

Gateway Medical Center Satellite Emergency Department at Sango Unaddressed site on HWY 76 Clarksville (Montgomery County), TN 37040 CN1507-027 Contact Person: Jerry Taylor, Esq. Phone: 615-724-3247

APPROVED

To establish a full service, 24 hour per day/7 day per week satellite emergency department to be located at an unnamed street address on the north side of Highway 76 approximately 1,400 feet east of I-24 at exit 11 in Clarksville (Montgomery County), Tennessee 37043. The proposed facility will be operated under the license of Gateway Medical Center and will have 8 treatment rooms providing Level 1 through V emergency treatment services and will include ancillary services including but not limited to medical lab, CT, X-Ray and ultra-sound. The estimated project cost is $10,700,000. Simultaneous Review - Gateway Medical Center Satellite Emergency Department at Sango, Sango (Montgomery County), TN CN1507-027 and NorthCrest Medical Center, Clarksville (Montgomery County), TN CN1507-028 will be heard as a simultaneous review.

NorthCrest Medical Center Unaddressed at intersection of Gateway Plaza Boulevard and TN HWY 76 Clarksville (Montgomery County), TN 37040 CN1507-028 Contact Person: Kim Looney, Esq. Phone: 615-850-8722

DENIED

The applicant seeks Certificate of Need approval to establish a full service, 24 hour per day/7 day per week satellite emergency department to be located at an unnamed street address near the intersection of Gateway Plaza Boulevard and TN Highway 76 in Clarksville (Montgomery County), Tennessee 37043. The proposed facility will be operated as a satellite emergency department of NorthCrest Medical Center and will have 8 treatment rooms and will provide emergency diagnostic and treatment services. The project does not contain major medical equipment, initiate or discontinue any other health service or affect the hospital’s licensed 109 bed complement. The total estimated project cost is $6,890,427.66. Simultaneous Review - Gateway Medical Center Satellite Emergency Department at Sango, Sango (Montgomery County), TN CN1507-027 and NorthCrest Medical Center, Clarksville (Montgomery County), TN CN1507-028 will be heard as a simultaneous review.

GENERAL COUNSEL’S REPORT

Metro Knoxville HMA, LLC d/b/a Tennova Healthcare – North Knoville Medical Center (f/k/a Mercy Health System, Inc. dba Mercy Medical Center, North) 7551 Dannaher Way Powell (Knox County), TN CN1106-019A Contact Person: Warren Gooch, Esq. Phone: 865-525-5134 DEFERRED FROM SEPTEMBER MEETING

APPROVED

Request for a 1 year extension of the expiration date from December 1, 2015 to December 1, 2016. This request is for the 2nd extension. The original expiration date of December 1, 2014 was extended to December 1, 2015 on November 19, 2014 by a unanimous vote. This request was DEFERRED FROM THE SEPTEMBER MEETING so the modification to increase the project cost could be heard simultaneously.

Modification of the certificate of need to increase the total project cost from $4,694,671 to $5,900,000, a difference of $1,205,329.

The project was unanimously approved on October 26, 2011 for the acquisition of a second linear accelerator to be located and utilized on the Tennova Healthcare – North Knoxville Medical Center campus.

(Continued on the Next Page)

RESULTS OF APPLICATIONS HEARD AT OCTOBER MEETING

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE NOVEMBER 2015 Page 6

RESULTS OF APPLICATIONS HEARD AT THE OCTOBER MEETING

Baptist Plaza Surgicare 2011 Church St, Plaza I, Lower Level Nashville, (Davidson County), TN 37236 CN1307-029AM Contact Person: Byron Trauger, Esq. Phone: 615-256-8585

APPROVED

Request for an 18-month extension from December 1, 2015 to June 30, 2017. The project was unanimously approved on October 23, 2013 for the relocation and replacement of the existing ASTC from 2011 Church Street, Medical Plaza I Lower Level, Nashville (Davidson County), TN 37203 to the northeast corner of the intersection of Church Street and 20th Avenue North, Nashville (Davidson County), TN 37203. The facility will be constructed in approximately 28,500 SF of rentable space in a new medical office building and will contain nine operating rooms and one procedure room. The estimated project cost was $29,836,377.00. On July 23, 2014, a request to decrease the project cost from $29,836,377 to $19,053,078 and to increase the square footage from 28,500 SF to 30,000 SF, with no increase in the number of operating rooms or procedure rooms was approved. It was determined that the move of the project within the campus of Saint Thomas Midtown Hospital did not require Agency approval, as the campus was considered within the definition of the CON’s location.

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.

VHA Enterprises, Inc., 1424 Baddour Parkway, Suite G., Lebanon (Wilson County), TN 37087. 87-CN-032A Contact Person: Jeffery J. Miller, Esq. Phone: 615-256-0500 DEFERRED TO THE NOVEMBER MEETING

VHA Enterprises, Inc., 87-CN-032A. Request for modification to convert mobile MRI services to a fixed location at 1424 Baddour Parkway, Suite G., Lebanon (Wilson County), TN 37087. If the modification is approved, the CON holder (Insight Health Services Corp.) would no longer be permitted to offer MRI services anywhere else. VHA Enterprises, Inc. was approved for the provision of magnetic resonance imaging services at health care providers in the following counties: Bedford, Cannon, Cheatham, Coffee, Davidson, Dickson, Giles, Hickman, Houston, Lawrence, Lewis, Marshall, Maury, Montgomery, Robertson, Rutherford, Stewart, Wayne, Williamson, and Wilson.

Emergency Department of Gateway Medical Center Unaddressed site on HWY 76 Clarksville (Montgomery County), TN 37040 CN1507-027 Contact Person: Jerry Taylor, Esq. Phone: 615-724-3247

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE NOVEMBER 2015 Page 7

APPLICATIONS TO BE HEARD AT THE NOVEMBER MEETING

Sumner Regional Medical Center 225 Big Station Camp Blvd Gallatin (Sumner County), TN 37066 CN1508-029 Contact Person: Michael Herman Phone: 615-328-6695

To establish a 5 treatment room free-standing, off-campus hospital emergency department. The proposed satellite emergency department will operate as a department of the hospital and is planned to be located at Sumer Regional Medical Center’s existing outpatient facility known as Sumner Station located at 225 Big Station Camp Boulevard, Gallatin (Sumner County), TN 37066 which is located 6.9 miles west of the main campus. The estimated project cost is $7,081,754.

TriStar Summit Medical Center Emergency Department at Mt. Juliet 4910 Beckwith Road Mt. Juliet (Wilson County), TN 37122 CN1508-031 Contact Person: John Wellborn, Consultant Phone: 615-665-2022

To establish an 8 treatment room free-standing, off-campus hospital emergency department to be constructed at an unaddressed site in Wilson County in the southwest quadrant of the intersection of I-40 and Beckwith Road (near Exit 229). The site is approximately 100 yards west of Beckwith Road on an access drive at Smryna Ready Mix, whose address is 4910 Beckwith Road. The satellite emergency department is located approximately 9.9 miles east from TriStar Summit Medical Center. The estimated project cost is $11,106,634.

Baptist Memorial Hospital 6525 Quince Road Memphis (Shelby County), TN 38119 CN1508-036 Contact Person: Arthur Maples Phone: 901-227-4137

To establish a 12 treatment room free-standing, off-campus hospital emergency department to be located at 6525 Quince Road, Memphis (Shelby County), TN 38119. The proposed facility will be operated as a satellite emergency department of Baptist Memorial Hospital located at 6019 Walnut Grove Road in Memphis, a distance of approximately 6.8 miles. The estimated project cost is $18,457,700.

Baptist Memorial Hospital Unaddresseed Site at the Intersection Hwy 64 and Canada Road Lakeland (Shelby County), TN 38002 CN1508-037 Contact Person: Arthur Maples Phone: 901-227-4137

To establish a 10 treatroom room free-standing, off-campus hospital emergency department to be located at an unnamed street address near the intersection of Highway 64 and Canada Road in Lakeland (Shelby County), Tennessee, 38002. The proposed facility will be operated as a satellite emergency department of Baptist Memorial Hospital located at 6019 Walnut Grove Road in Memphis, a distance of approximately 12.3 miles. The estimated project cost is $18,718,029.

(Continued on the Next Page)

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE NOVEMBER 2015 Page 8

GENERAL COUNSEL’S REPORT

VHA Enterprises, Inc., 1424 Baddour Parkway, Suite G., Lebanon (Wilson County), TN 37087. 87-CN-032A Contact Person: Jeffery J. Miller, Esq. Phone: 615-256-0500 DEFERRED FROM THE OCTOBER

MEETING

VHA Enterprises, Inc., 87-CN-032A. Request for modification to convert mobile MRI services to a fixed location at 1424 Baddour Parkway, Suite G., Lebanon (Wilson County), TN 37087. If the modification is approved, the CON holder (Insight Health Services Corp.) would no longer be permitted to offer MRI services anywhere else. VHA Enterprises, Inc. was approved for the provision of magnetic resonance imaging services at health care providers in the following counties: Bedford, Cannon, Cheatham, Coffee, Davidson, Dickson, Giles, Hickman, Houston, Lawrence, Lewis, Marshall, Maury, Montgomery, Robertson, Rutherford, Stewart, Wayne, Williamson, and Wilson.

Southern Sports Surgery Center 127 Saundersville Road, Suite A Hendersonville (Sumner County), TN 37075 CN1204-019AM Contact Person: Thomas Gautsch, M.D. Phone: 615-452-3320

Seeks the following modifications:

1. Cost increase from $3,355,533 to $3,869,549; and 2. Increase in square footage from 6,200 to 7,200.

APPLICATIONS TO BE HEARD AT THE NOVEMBER MEETING

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE NOVEMBER 2015 Page 9

APPLICATIONS TO BE HEARD AT THE DECEMBER MEETING

Asbury Place at Kingsport 100 Netherland Lane Kingsport (Hawkins County), TN 37660 CN1508-034 Contact Person: Michael Brent, Esq. Phone: 615-252-2361

The construction of a building on Asbury Place at Kingsport’s existing Continuing Care Retirement Community campus to house 22 of its skilled nursing beds and the renovation of its existing 67 bed facility into a 45 bed facility located at 100 Netherland Lane, Kingsport (Hawkins County), Tennessee 37203. The estimated project cost is $7,904,823.

Asbury Place at Maryville 2468 Sevierville Road Maryville (Blount County), TN 37804 CN1508-035 Contact Person: Michael Brent, Esq. Phone: 615-252-2361

The construction of a building on Asbury Place at Maryville’s existing Continuing Care Retirement Community campus to house 22 of its skilled nursing beds and the renovation of its existing 181 bed facility into a 159 bed facility located at 2648 Sevierville Road, Maryville (Blount County), Tennessee 37804. The estimated project cost is $8,192,393.

Michael Dunn Center 313 Michael Dunn Drive Rockwood (Roane County), TN 37748 CN1509-038 Contact Person: Mike McElhinney Phone: 865-376-3416

The establishment of a four (4) bed ICF/DD home for four (4) residents located at 313 Michael Dunn Drive in Rockwood (Roane County), Tennessee 37748. The estimated project cost is $1,438,834.

University of Tennessee Medical Center 1924 Alcoa Highway Knoxville (Knox County), TN 37920 CN1509-039 Contact Person: Jerry Taylor, Esq. Phone: 615-724-3247

The acquisition of an MRI unit at a cost in excess of $2 million. If approved, the MRI unit will be the 5th unit operated on the main hospital campus under the hospital’s license. The estimated project cost is $3,658,914.07.

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE NOVEMBER 2015 Page 10

APPLICATIONS TO BE HEARD AT THE JANUARY MEETING

United Regional Medical Center 481 Interstate Drive Manchester (Coffee County), TN 37355 CN1509-040 Contact Person: Ashoke Mukherji Phone: 931-728-6354

For the relocation of an existing open MRI unit approved in CN0209—094A and an existing PET/CT unit approved in CN0409-089A from their current location at 1001 McArthur Street in Manchester (Coffee County) to URMC’s satellite hospital campus at 481 Interstate Drive in Manchester, a distance of approximately 3 miles. The project is the final part of the applicant’s plan to consolidate all medical services at its current 481 Interstate Drive satellite campus acquired in July 2015 (the former Manchester Medical Center) and discontinue use of all medical services at its 1001 McArthur Street campus. The estimated project cost is $986,691.00.

Tennesee Orthopedics, P.C. 101 Physicians Way Lebanon (Wilson County), TN 37087 CN1510-041 Contact Person: Christi Griffin, Esq. Phone: 615-668-0462

For the relocation of a magnetic resonance imaging (MRI) service by Tennessee Orthopedics, P.C. from 1616 West Main Street, Lebanon, TN 37087 to 101 Physicians Way, Lebanon, TN 37087. Applicant also proposes to upgrade the current MRI scanner with a new 1.5 Tesla MRI unit. The estimated project cost is $2,471,197.43.

Lebanon HMA, LLC (d/b/a University Medical Center) 1411 Baddour Parkway Lebanon (Wilson County), TN 37087 CN1510-042 Contact Person: Michael D Brent, Esq. Bradley Arant Boult Cummings LLP Phone: (615)- 252-2361

For the relocation of 75 hospital beds (49 inpatient psychiatric and 26 inpatient rehabilitation) from satellite McFarland Specialty Hospital at 500 Park Avenue, Lebanon (Wilson County) approximately 3 miles to the main campus at 1411 Baddour Parkway, Lebanon, (Wilson County).The University Medical Center main campus currently contains 170 licensed hospital beds and will contain 245 licensed hospital beds after project completion. The estimated project cost is $22,500,000.

Sunrise Community of Tennessee, Inc 640 Old Shiloh Road Greeneville (Greene County), TN 37745 CN1510-043 Contact Person: Ann Williams Phone: 423-329-3973

For the establishment of a four (4) bed ICF/DD home located at 640 Old Shiloh Road, Greeneville (Greene County) Tennessee 37745. The estimated project cost is $949,840.

Reeves Eye Surgery Center 2328 Knob Creek Road, Suite 500 Johnson City (Washington County), TN 37604 CN1510-046 Contact Person: John Wellborn Phone: 615-665-2022

For the addition of pain management procedures to the Reeves Eye Surgery Center located at Suite 500 2328 Knob Creek Road in Johnson City (Washington County), Tennessee, a single specialty ambulatory surgical treatment center limited to ophthalmology approved in CN1209-045A. As part of the project, the applicant proposes to expand its medical staff by granting surgical privileges only to Board-certified physicians qualified to perform pain management procedures not requiring general anesthesia. The project does not involve the addition of operating rooms at the ASTC. The estimated project cost is $175,881.

(Continued on the Next Page)

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE NOVEMBER 2015 Page 11

TriStar Horizon Medical Center 111 Hwy 70 East Dickson (Dickson County), TN 37055 CN1510-047 Contact Person: John Wellborn Phone: 615-665-2022

For the initiation of neonatal intensive care nursery services in a 6-bed Level II neonatal nursery through renovation of existing space on the 2nd floor of Horizon Medical Center located at 111 Highway 70 East in Dickson, Tennessee. The project does not involve a change to the hospital’s existing 157 licensed bed complement, the acquisition of major medical equipment or the initiation or discontinuance of any other health service. The estimated project cost is $975,500.

APPLICATIONS TO BE HEARD AT THE JANUARY MEETING

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE NOVEMBER 2015 Page 12

NOTES

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE NOVEMBER 2015 Page 13

NOTES

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE NOVEMBER 2015 Page 14

NOTES

HEALTH SERVICES AND DEVELOPMENT AGENCY – COMMUNIQUE NOVEMBER 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

5/27/2015

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 NOVEMBER 2015 Page 16

HEALTH SERVICES AND DEVELOPMENT AGENCY MEMBERS

D. Lynn Johnson

(Consumer, Speaker of the House)

James L. Wright

(Nursing Home)

Charlotte C. Burns

(Hospital)

William J. Grandy

(Consumer, Lieutenant Governor)

Robert Doolittle

(Consumer, Governor)

Martin D. Fleming, M.D.

(Physician)

Thom Mills

(Home Care)

Corey Ridgway

(Ambulatory Surgical Treatment Centers)

Keith Gaither, Designee

for Director of TennCare

Darin J. Gordon

Jaclyn Harding, Designee

for Comptroller

Justin Wilson

Lisa Jordan, Designee

for Commerce & Insurance Commissioner

Julie Mix McPeak