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Certificate of Need

Letter of Intent - as of 9/30/2005

Central Maine Medical Center Relocate Critical Care Units on Hospital

LOI- 09/30/05 Campus
Estimated capital cost- $9,505,933
Estimated 3rd year operating cost- $646,854

Dialysis Clinic, Inc. Acquire Waldo County General Hospital's

LOI- 08/22/05 Dialysis Unit
Estimated capital cost- $225,000
Estimated 3rd year operating cost- $0

Eastern Maine Medical Center Relocate Dialysis Program

LOI- 09/28/05
Estimated capital cost- $2,600,000
Estimated 3rd year operating cost- $600,000

Eastern Maine Medical Center Build New Cancer Center in Brewer

LOI- 09/28/05
Estimated capital cost- $28,000,000
Estimated 3rd year operating cost- $2,000,000

Inland Hospital Build 150-Bed Replacement Hospital

LOI- 09/30/05
Estimated capital cost- $120,000,000
Estimated 3rd year operating cost- $3,000,000

MaineGeneral Medical Center Renovation of Obstetrical Unit (Augusta)

LOI- 09/20/05
Estimate capital cost- $2,669,000
Estimated 3rd year operating cost- $205,467

Maine Medical Center Renovations & Improvements to Patient

LOI- 09/28/05 Admitting Lobby, Emergency Department and
Estimated capital cost- $25,000,000 Space being vacated by Obstetrical & Neonatal
Estimated 3rd year operating cost- $2,250,000

Maine Medical Center Build and Expand Research Institute

LOI- 09/28/05
Estimated capital cost- $9,000,000
Estimated 3rd year operating cost- $1,000,000

MaineGeneral Medical Center Close Seton Campus and relocate/consolidate

LOI- 09/30/05 Services to Thayer Campus
Estimate capital cost- $66,121,000
Estimated 3rd year operating cost- $5,685,000

Opthamology Associates Acquisition of ASU

LOI- 11/09/04
Estimated capital costs- being developed

Rumford Hospital Consolidate ICU, OM and Med/Surg Units

LOI- 09/30/05
Estimated capital cost- $6,300,000
Estimated 3rd year operating cost- $430,000

York Hospital Construction/renovation of Inpatient Rooms

LOI- 04/25/05
Estimated capital cost- $26,000,000
Estimated 3rd year operating cost- $0

York Hospital Construction/renovation of Surgical Service

LOI- 06/13/05 Facilities
Estimated capital cost- $7.875,000
Estimated 3rd year operating cost- $2.015,000

DECISIONS

American Progressive Life and Health

Insurance Company of New York Provide HMO Line of Business *NSTR
LOI- 02/16/05
Estimated capital cost- $0
3rd year operating cost- $0
Commissioner Approval Letter- 03/24/05

Bio-Medical Applications of Maine, Inc. Acquire Waldo County Termination

LOI- 09/02/05 General Hospital's Dialysis Approved
Estimated capital cost- $175,000
3rd year operating cost- $0
Termination approved- 09/07/05

Calais Regional Hospital Subsequent Review Replacement Facility Approved

LOI- 01/23/03
Additional capital costs- $3,198,265
Additional 3rd year operating costs- $0
Commissioner Approval Letter- 03/23/2005

Down East Community Hospital Construction/Renovation Withdrawn

LOI- 08/04/04
Estimated capital cost- $1.2 million
LOI Withdrawn- 08/11/05

Eastern Maine HealthCare Acquire Blue Hill Hospital Application Review

LOI- 05/17/04
Estimated capital cost- $9,486,038
3rd year operating cost- $0
Placed in review cycle- 04/11/05
Commissioner Approval Letter- 08/26/05

Eastern Maine Healthcare Systems TAMC Reorganization *NSTR

LOI- 03/08/05
Estimated capital cost- $0
3rd year operating cost- $0
*NSTR-Project just reorganization of CON approved on 06/25/98
*NSTR letter- 03/16/05

Eastern Maine Medical Center Co-generation plant Approved

LOI- 10/29/03
Estimated capital cost- $7,514,250
3rd year operating cost- $0
Commissioner approval letter- 02/04/05

Eastern Maine Medical Center Mobile MRI Services *NSTR

LOI- 06/08/2005
Estimated purchase price- $0
Incremental cost - $0
*NSTR-Wholesale service agreement on billing
*NSTR letter- 07-19-2005

Eastern Maine Medical Center Develop a 12 bed CCU Approved

LOI- 05/14/04
Estimated capital cost- $4,673,926
3rd year operating cost- $790,002
Placed in review cycle- 01/01/05
Commissioner Approval Letter- 07/21/05

Goodall Hospital Move Outpatient Services to MOB *NSTR

LOI- 08/10/05
Estimated capital cost- $2,127,713
3rd year operating cost- $491,467
*NSTR-Project under review threshold
*NSTR letter- 09-22-2005

Inland Hospital Construction/Renovations Withdrawn

LOI- 05/28/04
Estimated capital cost- $17 million
LOI Withdrawn- 06/21/05

InSight Premier Health Corp. Mobile MRI Services *NSTR

LOI- 01/11/2005
Estimated purchase price- $0
Incremental cost - $0
*NSTR-service deemed part of current service area

*NSTR letter- 01-26-2005

InterMed, P.A. Mobile MRI Services *NSTR

LOI- 08/09/2005
Estimated purchase price- $$400,000
Incremental cost - unknown
*NSTR-Office of a healthcare practitioner in a group practice
*NSTR letter- 08-16-2005

Maine Coast Memorial Hospital Build/Relocate Rehab. Services & *NSTR

LOI- 09/15/05 Expand Urology Services
Estimated capital cost- $945,000
3rd year operating cost- $63,807
*NSTR-Project under review threshold
*NSTR letter- 09/26/05

Maine Medical Center Subsequent Review-Obstetrical/ Approved

LOI- 10/03/02 Newborn/Neonatal Facility
Additional capital costs- $7,144,900
Additional 3rd year operating costs- $341,567
Commissioner Approval Letter- 06/24/05

Maine Medical Center Subsequent Review-Central Approved

LOI- 06/06/03 Utility Plant
Additional capital costs- $3,497,500
Additional 3rd year operating costs- $147,710
Commissioner Approval Letter- 06/24/05

Maine Medical Center Ambulatory Surgery Center Approved

LOI- 05/06/04
Estimated capital cost- $27,300,000
3rd year operating cost- $2,097,000
Placed in review cycle- 01/01/05
Commissioner Approval Letter- 09/19/05

MaineGeneral Medical Center Regional Cancer Center Approved

LOI- 06/30/04
Estimated capital cost- $28,159,373
3rd year operating cost- $2,878,231
Placed in review cycle- 01/01/05
Commissioner Approval Letter- 07/21/05

MaineGeneral 2 Campus ER renovation Approved

LOI- 1/28/03
Estimated capital cost $9,934,870
3rd year operating cost $ 867,266
LOI- 1/28/03
Bill Perfetto
Commissioner approval letter- 01/14/05

Mayo Regional Hospital Physicians Office Building *NSTR

LOI- 09/26/05
Estimated capital cost- $707,000
3rd year operating cost- $38,281
*NSTR-Exempt from CON review
*NSTR letter- 09/27/05

Mercy Hospital Replacement hospital Approved

LOI- 4/14/03
Estimated Phase I capital cost- $70,728,564
3rd year operating cost- $10.389,000
Commissioner approval letter- 02/09/05

Mercy Hospital Replacement facility-Phase II Withdrawn

LOI- 05/05/04
Estimated capital cost- $90 million
LOI Withdrawn- 05/06/05

Northern Maine Medical Center Renovate ICU and Orthopedic suite *NSTR

LOI- 02/11/2005
Estimated capital cost- $1,500,000
3rd year operating cost - Unknown
*NSTR-Project under the review threshold of $2.4 million
*NSTR letter- 2-23-2005

Southern Maine Medical Center Facility expansion Approved

LOI- 05/05/04
Estimated capital cost- $24,000,000
3rd year operating cost- $2,620,000
Placed in review cycle- 01/01/05
Commissioner Approval Letter- 07/26/05

The Aroostook Medical Center Provide Brain Injury Outpatient *NSTR

LOI- 03/08/05 Rehab Services
Estimated capital cost- Under $110,000
3rd year operating cost- Under $400,000
*NSTR-Under thresholds for a new service.
*NSTR letter- 06/21/05

U.S. HealthWorks Develop Ambulatory Surgical Withdrawn

LOI- 06/04/04 Center
Estimated capital cost- being developed
LOI Withdrawn- 06/21/05

York Hospital Construction/renovation Withdrawn

LOI- 05/04/04
Estimated capital cost- $20 million
LOI Withdrawn- 04/25/05

*NSTR - Not Subject to Review