I. Certificate of Need Program - A. AL2014-027, Saad Enterprises, Inc. d/b/a Saad Hospice Services, Mobile, AL: Proposes to establish a new thirty-four (34) bed freestanding residential-based inpatient hospice facility in Region XIII. Project Modification Request: The project modification reflects an increase in the total cost of the project from $6,843,178 to $12,781,824.50, an increase of 86.8%. Opposition: None Approved. B. AL2020-044, Brookside Memory and Specialty Care on Cottage Hill, LLC, Mobile County, AL: Proposes to convert the existing thirty-two (32) licensed ALF beds into thirty-two (32) SCALF beds. Opposition: None. Approved. Please see full Report below for more information. Alabama CON Report January 28, 2021 Bradley Arant Boult Cummings LLP 1 bradley.com I. Certificate of Need Program A. AL2014-027, Saad Enterprises, Inc. d/b/a Saad Hospice Services, Mobile, AL: Proposes to establish a new thirty-four (34) bed freestanding residential-based inpatient hospice facility in Region XIII. Project Modification Request: The project modification reflects an increase in the total cost of the project from $6,843,178 to $12,781,824.50, an increase of 86.8%. Opposition: None Approved. B. AL2020-044, Brookside Memory and Specialty Care on Cottage Hill, LLC, Mobile County, AL: Proposes to convert the existing thirty-two (32) licensed ALF beds into thirty-two (32) SCALF beds. Opposition: None. Approved. C. AL2020-045, The Health Care Authority of the City of Huntsville d/b/a Huntsville Hospital, Huntsville, AL: Proposes to lease radiation oncology equipment in order to resume radiation oncology services as a hospital-based department. Opposition: None Approved. D. AL2020-046, Washington County Health Care Authority, Inc. d/b/a Washington County Hospital, Chatom, AL: Proposes to certify five (5) general acute care beds as five (5) swing beds pursuant to section 410-2-4-.09 of the 2020-2023 Alabama State Health Plan. Opposition: None. Approved. E. AL2020-047, Choctaw General Hospital, Butler, AL: Proposes to convert five (5) acute care beds into swing beds pursuant to section 410-2-4-.09 of the 2020-2023 Alabama State Health Plan. Opposition: None. Approved. F. AL2020-048, Rehabilitation Hospital of North Alabama, LLC d/b/a Encompass Health Rehabilitation Hospital of North Alabama, Huntsville, AL: Proposes to add six (6) inpatient physical rehabilitation beds for a total of eighty-two (82) beds, pursuant to the May 15, 2020, Statistical Update to the Inpatient Physical Rehabilitation section of the 2020-2023 State Health Plan. Opposition: None. Approved. Alabama CON Report January 28, 2021 Bradley Arant Boult Cummings LLP 2 bradley.com G. AL2020-049, Foley Hospital Corporation d/b/a South Baldwin Regional Medical Center, Foley, AL: Proposes to undertake significant renovations to modernize the existing spaces and construct a new patient tower. Opposition: None Approved. II. Reviewability Determinations and Pending Reviewability Determinations A. Reviewability Determinations: RV2020-022, Hale County Hospital, proposes to relocate their administrative office to another site in Hale County, Alabama. Status: Non-Reviewable RV2021-002, Salame Heart & Vascular Clinic, LLC, proposes to add an office-based lab. Status: Non-Reviewable B. Pending Reviewability Determinations RV2020-024, Alabama Home Health Care Providers, proposes to provide home health services in Etowah, Talladega, Calhoun, Jefferson, Marshall, and Madison counties in Alabama. Status: Pending Rural, Cullman Regional Medical Center, proposes the re-opening of a second catheterization lab for vascular surgery and for diagnostic and interventional cardiac catheterization on CRMC's campus. Status: Pending. RV2021-003, The Heart Center Cardiology, proposes to perform low-risk peripheral angiography and interventional procedures, left and right diagnostic heart catheterizations, coronary angiography, elective internal cardiac defibrillator (ICD) and planned pacemaker generator changes, low-risk ICD and pacemaker implantation, implantable lop recorder insertion, direct current cardioversion, infusaport placement, transesophageal echocardiography, pulmonary artery pressure recording devices and low-risk atrial, ventricular and nodal ablation procedures within this private practice. Status: Pending. RV2021-004, Affinity Healthcare Services, Inc. d/b/a Affinity Home Hospice Services, proposes to establish a hospice branch office in Pell City, St. Clair County, which is located within the service area the agency is permitted to serve pursuant to CON-2323-HPC. Status: Pending. RV2021-005, Techota, LLC d/b/a CV Home Health of Bibb County, proposes to add a drop site in Tuscaloosa County. This request does not include any new or additional services or personnel. Status: Pending. Alabama CON Report January 28, 2021 Bradley Arant Boult Cummings LLP 3 bradley.com RV2021-006, Home Choice of Alabama, Inc. d/b/a Springhill Home Health and Hospice, proposes to relocate their administrative office to another site within Mobile County. Status: Pending. RV2021-007, Sereno Ridge Recovery, proposes that the operation of an immersive twelve (12) step addiction recovery program for guests staying at the lodge owned and operated by applicant does not involve the provision of “institutional health services” as defined in Ala. Code 22-21-260. Status: Pending. RV2021-008, Comfort Care Home Health Services, LLC, proposes to establish a drop site in Cullman County where they currently have contiguous county authority to provide services. Status: Pending. III. New Business Declaratory Ruling 156: Addiction and Mental Health Services, LLC, d/b/a Bradford Health Services, submits this Petition for Declaratory Ruling pursuant to Rule 410-1-9-.01 of the Alabama Certificate of Need Rules and Regulations regarding Institute for Substance Use Disorders, LLC d/b/a Sereno Ridge Recovery, adopting and incorporating Bradford Health Services’ Petition for Declaratory Ruling in DR-155, which was previously dismissed by CONRB without prejudice. DR-155, as filed by Bradford Health Services, sought a declaratory ruling that Sereno Ridge Recovery’s plan to develop and operate a 16-bed, 16,500-square-foot “Clinically Managed High Intensity Residential Program for Adults and Medically Monitored Residential Detoxification Program” proposed a new institutional health facility and services. The board voted to grant the Petition for Declaratory Ruling. The next CON Review Board meeting will be held on February 17, 2021.