1. Mississippi Certificate of Need Meetings during September 2016

During the September 29, 2016, 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: HG-CO-1015-021 North Mississippi Medical Center Cost Overrun to CON #R-0804 (HGRC-1109-030 (West Bed-Tower Expansion and Renovation) Location: Tupelo, Lee County, Mississippi Original Capital Expenditure: $55,103,273 Additional Capital Expenditure: $3,940,979 Revised Capital Expenditure: $59,044,252 Staff Recommendation: Approval

CON Review: HG-NIS-0616-012 Tippah County Hospital Magnetic Resonance Imaging (MRI) Project Location: Ripley, Tippah County, Mississippi Capital Expenditure: $12,250 Staff Recommendation: Approval

CON Review: ESRD-NIS-0616-013 Renal Care Group Tupelo, LLC d/b/a RCG of Tupelo (Lee County Dialysis) Establishment of Satellite ESRD Facility Location: Tupelo, Lee County, Mississippi Capital Expenditure: $1,810,565.90 Staff Recommendation: Approval

The next Certificate of Need meeting is scheduled for October 27, 2016, at 11:00 a.m.

2. Certificate of Need Program Report Filings/Reports in September 2016

A. Letters of Intent to Change Ownership

1. Calhoun County Nursing Home Change of Ownership Received August 29, 2016

2. Calhoun Health Services Critical Access Hospital Change of Ownership Received August 29, 2016

3. New Gulf Coast Surgery Center, LLC Change of Ownership Received August 31, 2016

4. St. Dominic-Jackson Memorial Hospital Change of Ownership Received September 8, 2016

5. Open MRI of Jackson Change of Ownership Received September 8, 2016

B. Determinations of Reviewability

1. North Mississippi Medical Center, Inc. Replacement Purchase of IV Pumps Received August 30, 2016

2. Renal Care Group of Aberdeen Expansion of Existing ESRD Facility by 4 stations Received September 19, 2016

3. Renal Care Group of West Point Expansion of Station at ESRD Satellite Facility Received September 19, 2016

4. Sharkey Issaquena Community Hospital Renovations Received September 19, 2016

C. Letters of Intent to Apply for CON

None

D. Applications Received/Withdrawn

1. Total Renal Care, Inc. d/b/a DaVita HealthCare Partners, Incorporated Establishment of ESRD Facility Location: Mantachie, Itawamba County, MS Capital Expenditure: $1,889,929 Received September 1, 2016

2. Bio-Medical Applications of MS, Inc. d/b/a Fresenius Medical Care Dialysis Services of Rankin County Brandon Location: Brandon, Rankin County, MS Capital Expenditure: $19,700 Received September 26, 2016

3. Bio-Medical Applications of MS, Inc. d/b/a Fresenius Medical Care-BMA of Southwest Jackson Location: Jackson, Hinds County, MS Capital Expenditure: $32,100 Received September 29, 2016

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

1. CON Review Number: NH-A-0816-018 George Regional Hospital d/b/a George Regional Health & Rehab Center Amendment/Cost Overrun to #R-0668 (NH-CB-0602-036) Establishment/Construction of a 60-Bed Skilled Nursing Facility Original Capital Expenditure: $369,000 Additional Capital Expenditure: $307,585 Revised Capital Expenditure: $676,585 Date Deemed Complete - August 30, 2016

2. ESRD-NIS-0916-020 Total Renal Care, Inc. d/b/a DaVita Itawamba County Dialysis Establishment of an ESRD Facility in Itawamba County Location: Mantachie, Itawamba County, Mississippi Capital Expenditure: $1,889,929.00 Date Deemed Complete September 15, 2016

3. CON Review Number: HG-A-0715-015 Singing River Health System d/b/a Singing River Hospital Amendment and Cost Overrun to #R-0761 (CON Review #: HG-R-1207-031) Renovation of Emergency Department & Patient Area Location: Pascagoula, Jackson County, Mississippi Original Capital Expenditure: $9,473,202 Additional Capital Expenditure: $4,445,943 Revised Capital Expenditure: $13,919,145 Date Deemed Complete September 20, 2016

H. Final Orders Issued

1. CON Review: HG-CO-1015-021 North Mississippi Medical Center Cost Overrun to CON #R-0804 (HG-RC-1109-030) (West BedTower Expansion and Renovation) Location: Tupelo, Lee County, Mississippi Original Capital Expenditure: $55,103,273 Additional Capital Expenditure: $3,940,979 Revised Capital Expenditure: $59,044,252 Staff Recommendation: Approval Effective Date September 29, 2016

2. CON Review: HG-NIS-0616-012 Tippah County Hospital Magnetic Resonance Imaging (MRI) Project Location: Ripley, Tippah County, Mississippi Capital Expenditure: $12,250 Staff Recommendation: Approval Effective Date September 29, 2016

3. CON Review: ESRD-NIS-0616-013 Renal Care Group Tupelo, LLC d/b/a RCG of Tupelo (Lee County Dialysis) Establishment of Satellite ESRD Facility Location: Tupelo, Lee County, Mississippi Capital Expenditure: $1,810,565.90 Staff Recommendation: Approval Effective Date September 29, 2016

I. Six-Month Extension Requests

1. Harrison HMA, LLC d/b/a Gulf Coast Medical Center SME on HG-NIS-1111-022; R-0861 Construction/Relocation and Replacement Gulf Coast Medical Center Approved Capital Expenditure: $133,322,098 Granted Expiration Date February 27, 2017

2. Singing River Hospital SME on HG-R-0615-013; R-0896 Exterior Hardening Window Replacement Location: Pascagoula, Jackson County, Mississippi Capital Expenditure: $14,859,227 Granted Expiration Date March 24, 2017

3. Bio-Medical Applications of Mississippi, Inc. d/b/a Fresenius Medical Care Dialysis of Rankin County Brandon SME on ESRD-RLS-0615-009; R-0898 Relocation of ESRD Facility within One Mile and Expansion of ESRD Stations Location: Brandon, Rankin County, Mississippi Capital Expenditure: $5,232,954.70 Granted Expiration Date March 24, 2017

4. Brentwood Acquisition, Inc. d/b/a Brentwood Behavioral SME on HP-CNF-1214-015: R-0866 Healthcare of Mississippi, Establishment of a 36-Bed (Approved by reduction of beds) Psychiatric Residential Treatment Facility Location: Flowood, Rankin County, Mississippi Capital Expenditure: $5,641,228 Granted Expiration Date March 26, 2017

5. Hinds County Nursing & Rehabilitation SME on NH-CRF-0512-011; R-0884 Construction/Relocation and Replacement of 119 Nursing Home Beds/Services Location: Bryam, Hinds County, Mississippi Capital Expenditure: $9,650,798 Granted Expiration Date March 26, 2017

J. Hearings Requested/Scheduled During the Course of Review

1. CON Review Number: FS-NIS-0216-002 Oxford Pre-op & Imaging Center, LLC d/b/a Oxford Pre-op & Imaging Center Acquisition or Otherwise Control of Magnetic Resonance Imaging (MRI) and Offering of MRI Services Capital Expenditure: $1,935,457 Location: Oxford, Lafayette County,

Mississippi Requestor(s): Baptist Memorial HospitalNorth Mississippi, Inc. d/b/a Baptist Memorial HospitalNorth Mississippi BMH North Mississippi Imaging Services, LLC d/b/a Oxford Diagnostic Center Date Requested June 30, 2016 Date Scheduled October 24-26, 2016

2. CON Review Number: C-NIS-0616-010 Wound Care Management, LLC d/b/a MedCentris Provision of Digital Subtraction Angiography (DSA) Services (Limb Salvage Program) Location: Vicksburg, Warren County, Mississippi Capital Expenditure: $317,487 Requestor(s): Vicksburg Healthcare, LLC d/b/a Merit Health River Region Date Requested August 24, 2016 Scheduled December 19-20, 2016

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

None