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ABCDEFGH
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Rhode Island Department of Health
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Three Capitol Hill
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Annual Report for 2013Providence, RI 02908-5097
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Office of Health Systems Development
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www.health.ri.gov
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CERTIFICATE OF NEED
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ApplicantProject DescriptionDate of Initiation of ReviewComment Period*HSC RecommendationState Agency's Decision
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East Bay Comprehensive Cancer Center, LLC [Radiation Therapy Services, Inc. d/b/a 21st Century Oncology (Radiation Therapy Investments, LLC)]1To establish an Organized Ambulatory Care Facility to provide radiation therapy services [Capital Cost: $5,230,000; Operating Cost: $2,962,000]

07/10/201209/15/201202/26/2013 - Approved with Conditions03/05/2013 - Approved with Conditions
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Endoscopy Associates, Inc.To establish a Freestanding Ambulatory Surgery Center to provide gastroenterological endoscopy procedures at 44 West River Street in Providence

02/10/201304/01/201307/30/2013 - Approved with Conditions08/05/2013 - Approved with Conditions
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Pentec Health, Inc.To establish a Home Nursing Care agency to provide services solely to patients with intrathecal pumps

02/10/201304/01/2013N/A
Withdrawn on 08/01/2013
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Premium Home Health Care, LLC [William F. Holt & Stacy Scarduzio]To establish a Home Nursing Care agency at 1215 Reservoir Avenue in Cranston
07/10/201308/29/201311/19/2013 - Approved with Conditions11/25/2013 - Approved with Conditions
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St. Jude Home Care, Inc.To establish a Hospice agency to provide outpatient hospice care Withdrawn on 01/24/2013N/AN/AN/A
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1 see Requests for Reconsideration
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2 see Public Meetings and Administrative Review
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CHANGE ORDER
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ApplicantProject DescriptionDate of Complete SubmissionComment Period* HSC RecommendationState Agency's Decision
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Eleanor Slater Hospital [Department of Behavioral Healthcare, Developmental Disabilities and Hospitals]Change Order to the 26 January 2011 Certificate of Need approval to consolidate building operations on the Pastore Campus in Cranston [to modify approval from renovation to new construction]04/04/2013---04/30/2013 - Approved with Conditions05/01/2013 - Approved with Conditions
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Newport Hospital [Lifespan Corporation]Change Order to the 25 October 2002 Certificate of Need approval to renovate medical/surgical nursing units [to modify condition of approval]11/27/2013---N/A - Administrative Review12/31/2013 - Approved with Conditions
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CHANGE IN EFFECTIVE CONTROL
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ApplicantProject DescriptionDate of Initiation of ReviewComment Period* HSC RecommendationState Agency's Decision
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Athena Orchard View, LLC Change in Effective Control of Orchard View Manor, Inc. a 180-bed nursing home at 135 Tripps Lane in East Providence

07/19/201208/18/201207/30/2013 - Approved with Conditions07/31/2013 - Approved with conditions
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Bayside Endoscopy Center, LLC [owned by SARC/Kent, LLC, Pinetree Endoscopy, Inc., GI Med Endoscopy, LLC, Bayside Endoscopy Group, Inc., SARC/Providence, LLC, Symbion, Inc., Ocean State Endoscopy, Inc., Center City Endoscopy, LLC and various physicians]Change in Effective Control of Ocean State Endoscopy, Inc. a Freestanding Ambulatory Surgical Center located at 148 West River Street in Providence that provides endoscopic procedures

08/21/201309/20/201311/19/2013 Approved with Conditions11/20/2013 Approved with Conditions
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Care New England Health SystemChange in effective control of The Memorial Hospital d/b/a Memorial Hospital of Rhode Island, a 294-bed hospital located at 111 Brewster Street in Pawtucket

04/05/201305/05/201306/25/2013 - Approved with Conditions06/26/2013 - Approved with Conditions
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Care New England Health SystemChange in effective control of Memorial Hospital Home Care, a home nursing care provider located at 555 Prospect Street in Pawtucket

04/05/201305/05/201306/25/2013 - Approved with Conditions06/26/2013 - Approved with Conditions
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Lawrence & Memorial CorporationChange in effective control of The Westerly Hospital, a 125-bed hospital located at 25 Wells Street in Westerly01/29/201302/28/201304/09/2013 Approved with Conditions04/15/2013 Approved with Conditions
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New England Home Therapies, Inc.[BioScript, Inc.]Change in effective control of Parenteral Infusion Associates d/b/a Care Point Partners, a home nursing care provider at 15 Hazel Street in Pawtucket08/21/201309/20/201310/29/2013 Approved with Conditions10/30/2013 Approved with Conditions
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Prime Healthcare Services - Landmark, LLC [Prime Healthcare Services, Inc., Prime Healthcare Holdings, Inc.]Change in effective control of Landmark Medical Center, a 214-bed hospital located at 115 Cass Avenue in Woonsocket

07/01/201307/31/201309/24/2013 Approved with Conditions10/25/2013 Approved with Conditions
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Prime Healthcare Services - Landmark, LLC [Prime Healthcare Services, Inc., Prime Healthcare Holdings, Inc.]Change in effective control of Rehabilitation Hospital of Rhode Island (Northern Rhode Island Rehab Management Associates, LP) a 82-bed rehabilitation hospital center located at 116 Eddie Dowling Highway in North Smithfield

07/01/201307/31/201309/24/2013 Approved with Conditions10/25/2013 Approved with Conditions
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INITIAL LICENSURE
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ApplicantProject DescriptionDate of Initiation of ReviewComment Period* HSC RecommendationState Agency's Decision
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Access Point RI [The Keystone Group]To establish an Organized Ambulatory Care Facility at 1240 Park Avenue in Cranston

08/15/201309/14/201309/24/2013 Approved with Conditions09/25/2013 Approved with Conditions
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B & B Consulting, LLC d/b/a B & B Medical Marijuana Evaluation Center [Jessica Cotton]To establish an Organized Ambulatory Care Facility at 300 Toll Gate Road in Warwick to perform medical marijuana certification evaluations

07/31/201308/31/201311/19/2013 - Approved with Conditions11/25/2013 - Approved with Conditions
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Seven Hills Rhode IslandTo establish an Organized Ambulatory Care Facility at 30 Cumberland Street in Woonsocket

08/21/201309/20/201309/24/2013 Approved with Conditions09/25/2013 Approved with Conditions
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Tri-Town Economic Opportunity CommitteeTo establish an Organized Ambulatory Care Facility at 33 Maple Street in North Providence10/25/2013 Expedited11/14/1311/19/2013 Approved with Conditions11/20/2013 Approved with Conditions
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Tri-Town Economic Opportunity CommitteeTo establish an Organized Ambulatory Care Facility at 33 Maple Street in North Providence07/26/2013 Expedited08/15/2013N/A
Withdrawn on 09/05/2013
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CLOSINGS OR SIGNIFICANT REDUCTION OF MEDICAL SERVICES
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ApplicantProject DescriptionDate of Initiation of ReviewComment Period* State Agency's Decision
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St. Joseph Center for Health and Human Services [CharterCARE Health Partners]Request to eliminate obstetric services at two of its OB/GYN clinics: (1) 21 Peace Street in Providence, and (2) 40 Broad Street in Pawtucket06/25/201307/25/2013N/A
Withdrawn on 08/01/2013
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The Westerly HospitalRequest to eliminate obstetric labor and delivery services at The Westerly Hospital03/06/201303/27/2013As amended on 04/16/2013 - Approved with Conditions
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FAILURE TO IMPLEMENT
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ApplicantProject DescriptionDate of Initiation of ReviewHSC RecommendationState Agency's Decision
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Cortland Place Health Center, Inc. To establish a 6-bed nursing facility in Greenville through the conversion of 6 residential care/assisted living beds to 6 nursing facility beds [capital cost: $200,000, operating cost: $441,627]12/21/201201/29/2013 - withdraw CON approval02/11/2013 withdraw CON approval
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REQUESTS FOR DECLARATORY RULING
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Requested byProject DescriptionDate of RequestState Agency's Decision
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The Westerly HospitalRequest for a declaratory ruling to establish swing beds12/18/2012N/A
Withdrawn on 06/10/2013
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REQUESTS FOR RECONSIDERATION
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Requested byProject DescriptionDate of RequestState Agency's Decision
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Steward Saint Anne's Hospital Corporation [Steward Health Care System] and Raymond Dugal, MDRequest for reconsideration of the 5 March 2013 decision approving the Certificate of Need application of East Bay Comprehensive Cancer Center, LLC [Radiation Therapy Services, Inc. d/b/a 21st Century Oncology (Radiation Therapy Investments, LLC)] to establish an Organized Ambulatory Care Facility to provide radiation therapy services04/04/2013Denied on 06/04/2013
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ONE-FOR-ONE REPLACEMENT
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ApplicantProject DescriptionDate of RequestState Agency's Decision
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Kent County Memorial Hospital [Care New England]To replace a 16-slice GE Lightspeed CT with a 128-slice Siemens Somatom Definition AS CT unit [capital cost: $870,269, other cost: $25,000]12/21/2012Approved on 02/11/2013
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Kent County Memorial Hospital [Care New England]To replace a 4-slice GE Lightspeed Q/xi CT with a 64-slice Siemens Somatom Definition AS CT unit [capital cost: $569,315, other cost: $25,000]12/21/2012Approved on 02/11/2013
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Open MRI Services of Bristol County, Inc.To replace a Toshiba Proview .23T Open MRI with a 2000 Siemens Symphony 1.5T Closed MRI [capital cost: $275,000, other cost: $10,000]12/05/2013Approved on 12/06/2013
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Radiation Oncology Associates, Inc. d/b/a North Main Radiation OncologyTo replace Varian Clinac 600 CD linear accelerator with an Elekta Infinity linear accelerator [capital cost: $1,900,000, other cost: $500,000]

04/17/2013Approved on 05/08/2013
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Rhode Island Hospital [Lifespan Corporation]To replace the Elekta Instruments, Inc. Leksell Gamma Knife (LGK) Model C with an Elekta Instruments, Inc. Leksell Gamma Knife (LGK) Perfexion [equipment cost: $2,790,860; other cost: $780,000;]07/31/2013Approved on 08/14/2013
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Note: This report is generated pursuant to Section 14.4 of the Rules and Regulations (R23-15-CON)
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*Comment period as stated is when practicable
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