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Certificate of Need

Moratorium

Brian O'Donnell, MD Proposed surgery services Returned

LOI-April 3, 2004
Returned-Moratorium letter

Aroostook Urologic Surgery Seeks ASC certification Returned

LOI October 7, 2003
Returned Moratorium letter

Letter of Intent - By Date Submitted

Mercy Hospital Replacement facility-Phase II

LOI-May 5, 2004
Estimated Cost-$90 million

Southern Maine Medical Center Facility expansion

LOI-May 5, 2004
Estimated Cost-$30 million

York Hospital Construction/renovation

LOI-May 5, 2004
Estimated Cost-$20 million

Maine Medical Center Ambulatory Surgery Center

LOI-May 6, 2004
Estimated Cost-$26 million

Eastern Maine HealthCare Acquire Blue Hill Hospital

LOI-May 17, 2004
Estimated Cost-being developed

U.S. HealthWorks Develop Ambulatory Surgical Center

LOI-June 4, 2004
Estimated cost-being developed

Inland Hospital Construction/Renovations

LOI-June 5, 2004
Estimated Cost-$17M

MaineGeneral Medical Center Regional Cancer Center

LOI-June 30, 2004
Estimated Cost-$23M

Down East Community Hospital Construction/Renovation

LOI-August 4, 2004
Estimated Cost- < $1.2

Eastern Maine Medical Center Develop a 12 bed CCU

LOI-May 14, 2004
Estimated Cost-$3.8
Emergency Request-August 25, 2004

Opthamology Associates Acquisition of ASU

LOI-November 29, 2004

Reviews

Eastern Maine Medical Center Co-generation plant Application Review

LOI- October 29, 2003
Estimated cost $7.2M
Anticipated overall savings $1.9M
Preliminary Circulating

Mercy Hospital Replacement hospital Application Review

Estimated Phase I capital cost $70M
3rd year operating cost $5.2M
New facility Estimated completion cost $135M
3rd year operating cost $10.4M
LOI - 4/14/03
Preliminary Circulating

MaineGeneral 2 Campus ER renovation Application Review

Estimated Capital cost $10.6M
3rd year operating cost $ 0.9M
LOI- 1/28/03
Brad Ronco

DECISIONS

Androscoggin Home Care Construct Hospice Facility NSTR

Hospice service/facility
LOI-4/9/04
NSTR letter-4/15/04- exempt from CON

BioMedical Applications of Maine Acquire WCGH Dialysis Approved

Estimated Purchase price $175,000
Incremental cost $0
LOI-3/4/04-returned, resubmitted May 7, 2004
Steve Keaten
Commissioner approval letter-10-19-04

C.A Dean Hospital CT services NSTR

LOI-October 28, 2004
Estimated purchase price-$156,000
NSTR-service deemed part of current radiology diagnostic
NSTR letter 11-05-2004

Calais Regional Hospital Replacement hospital Approved

Estimated capital cost $17,997,571
3rd year operational cost savings $966,821
LOI - 1/23/03
Steve Keaten
Commissioner approval letter 11/24/04

Central Maine Medical Center Relocation/new equipment NSTR

LOI-June 10, 2004
Cardiac Cath
Cost-$2,288,427
NSTR letter with conditions-7/23/04

Henrietta Goodall MRI NSTR

LOI-1/16/04
Capital cost-$1.175M
Equipment purchase similar to previously approved York proposal
NSTR letter-4/09/04-below threshold

Fresenius Medical Care Relocate dialysis center NSTR

LOI-May 7, 2004
Estimated Cost-$850,000
NSTR-May 18, 2004, below threshold no new services or expansion

MaineCenters Healthcare PA Equipment purchase NSTR

Physicians Office
LOI-2/27/04
Capital cost-$0.5M
NSTR letter-3/3/04-physician office exemption

Maine Medical Center Power plant replacement Approved

LOI-6/6/03
Estimated Capital Cost-$18.650,000
3rd year operating-$167,000
Commissioner approval letter-April 15, 2004

Maine Medical Center Replace Laundry Equipment NSTR

LOI-10/18/2004
Estimated Capital Cost-$3.4M
3rd year operating-$48,000
NSTR letter-10/28/2004

Medical Services Corporation Extend In-Vitro Services NSTR

LOI-10-18-04
Physician Group
NSTR letter-11-22-04

Maine Neuroscience Associates Fixed MRI Approved

Estimated capital cost $2,841,750
Two physician groups to purchase MRI equip.
LOI - 10/30/02
Approval letter 10-5-04

NEHE-MRI Expansion of existing services Withdrawn

LOI-April 16, 2004
Estimated Cost-$1.8 million
Withdrawn-7/23/04

NEHE-MRI Eastern Maine HealthCare Mall Withdrawn

LOI-July 7, 2004
Estimated Cost- < $1.2 million
Withdrawn 12/16/04

NEHE-MRI Expansion of existing services NSTR

LOI-December 16, 2004
Estimated Cost-
NSTR letter dated 12/21/04

Parkview Adventist Medical Center Nuclear Medicine services NSTR

LOI-August 23, 2004
Estimated Cost-< $100,000
NSTR letter dated 11-29-04

Penobscot Valley Hosp Replace and add OR suite(s) Approved

LOI-12/02/02
Estimated capital cost $3.650,833
3rd year operating $750,000
Approved January 14, 2004

Portland Gastroenterology Renovations/expansion NSTR

LOI-3/1/04
Capital cost-$892,000 of which $670,000 is the ASC
NSTR letter-3/26/04-below threshold

Portland Surgery Center New Amb. Surgery Facility Disapproved

Estimated capital cost $3.5
Letter of Intent April 02, 2003
Commissioner Letter March 28, 2004

Portland Urological Expired

LOI-May 15, 2003
Moratorium letter 6-10-03
Expired letter May 27, 2004

Rumford Hospital c/o CMMC Construction/renovation NSTR

LOI-March 8, 2004
Capital Cost-$2,215,893
NSTR letter-6/29/04-below threshold

Rumford Hospital Relocation-Oncology Services NSTR

LOI-4/6/04
Capital costs-$87,000
NSTR Letter-4/12/04

St. Mary's Medical Center New Health Service NSTR

LOI-1-8-2004
Capital costs-$53,000
3rd year operating-$309,000
NSTR Letter-11-29-2004

Sunrise County Dialysis Center Additional Stations NSTR

LOI-10/18/2004
Capital Cost-$27,000
3rd year operating-staff costs-$40,000
NSTR letter-10/28/04

Vision Care of Maine New construction NSTR

LOI-10/14/03
Capital cost $400,000-office/clinic/surgery
Cost associated with surgical center-$105,000
NSTR letter-1/7/04

York Hospital Medical Office construction NSTR

LOI October 20, 2003
All associated costs below threshold
Decision letter-April 28, 2004

*NSTR - Not Subject to Review