I. Certificate of Need Program - A. AL2021-028, Renal Treatment Centers - Southeast, LP d/b/a Crown Dialysis, Birmingham, AL: Proposes to expand its existing End Stage Renal Disease (ESRD) facility by adding four (4) new incenter hemodialysis stations. Opposition: None. Approved. B. AL2021-030, Flor Dialysis, LLC d/b/a Steel City Dialysis, Birmingham, AL: Proposes to expand its existing End Stage Renal Disease (ESRD) facility by adding two (2) new in-center hemodialysis stations. Opposition: None. Approved. Please see full Report below for more information. Alabama CON Report CON Review Board Meeting July 21, 2021 Bradley Arant Boult Cummings LLP 1 bradley.com I. Certificate of Need Program A. AL2021-028, Renal Treatment Centers - Southeast, LP d/b/a Crown Dialysis, Birmingham, AL: Proposes to expand its existing End Stage Renal Disease (ESRD) facility by adding four (4) new in-center hemodialysis stations. Opposition: None. Approved. B. AL2021-030, Flor Dialysis, LLC d/b/a Steel City Dialysis, Birmingham, AL: Proposes to expand its existing End Stage Renal Disease (ESRD) facility by adding two (2) new in-center hemodialysis stations. Opposition: None. Approved. C. AL2021-031, Springhill Hospitals, Inc. d/b/a Springhill Medical Center, Mobile, AL: Proposes to expand facility by adding seven (7) Inpatient Rehabilitation (IRF) beds pursuant to the Alabama State Health Plan adjustment signed by Governor Ivey on March 13, 2020. Opposition: None. Approved. D. AL2021-032, Dominion Senior Living of Fairhope, LLC, Fairhope, AL: Proposes to construct and operate a new Specialty Care Assisted Living Facility (SCALF) consisting of thirty-two (32) SCALF beds with an additional thirty-two (32) assisted living beds and one hundred four (104) independent living suites. Opposition: None. Approved. E. AL2021-034, One Nineteen GI ASC, LLC, Hoover, AL: Proposes to construct and operate a single-specialty Ambulatory Surgery Center (ASC) within an existing physician office building on the One Nineteen campus. Opposition: None. Approved. F. AL2021-035, Rehab Associates, LLC d/b/a Champion Sports Medicine, Vestavia Hills, AL: Proposes to add occupational therapy services to their existing physical therapy clinic and operate it as a multi-specialty outpatient rehabilitation center. Opposition: None. Approved. Alabama CON Report CON Review Board Meeting July 21, 2021 Bradley Arant Boult Cummings LLP 2 bradley.com G. Request for Reconsideration: AL2020-030, USA Baldwin County ASC, LLC d/b/a USA Health Baldwin ASC, Fairhope, AL: Proposes construction of a multi-specialty ambulatory surgery center (ASC) with 6 operating rooms and 2 procedure rooms in Baldwin County. Opposition: Bay Eyes Surgery Center, Inc. d/b/a VisionaryUSA.com Surgery Institute filed a Notice of Intervention and Opposition to the CON application on August 7, 2020. Infirmary Health Systems, Inc., Gulf Health Hospitals, Inc. d/b/a Thomas Hospital; Thomas Medical Center, North Baldwin Infirmary, Mobile Infirmary Association d/b/a Mobile Infirmary Medical Center d/b/a Infirmary Eastern Shore Ambulatory Surgical Center, (collectively, “Infirmary Intervenors”), also filed a Notice of Intervention and Opposition and a Notice of Letters in Opposition on August 7, 2020. USA Baldwin County ASC and Infirmary Intervenors, collectively, requested a contested case hearing. The Administrative Law Judge submitted a Recommended Order of denial. The Board rejected the Administrative Law Judge’s Order on Recommended Findings and granted the application filed by USA Baldwin ASC, LLC. Reconsideration Denied. II. Reviewability Determinations and Pending Reviewability Determinations A. Reviewability Determinations: RV2021-011, Parker Cornea, Inc., proposes to operate an office-based surgery suite in their physician-owned practice. Status: Non-Reviewable RV2021-013, Comfort Care Home Health Services, LLC, proposes to establish an additional branch office in Shelby County, one of the counties included in their CON area of Shelby, Jefferson, and Walker Counties, as defined within 42 CFR 484.2. Status: Non-Reviewable RV2021-014, ProHealth Hospice – Gadsden, LLC, proposes to establish a branch office in Pell City, which is located in St. Clair County and covered under CON 2506-HPC. Status: Non-Reviewable RV2021-015, ProHealth Hospice – Gadsden, LLC, proposes to establish a branch office in Jasper, which is located in Walker County and covered under CON 2506-HPC. 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 (Opposition filed by Amedisys on 4/12/2021; Comments filed on 6/22/2021 by Highlands Home Alabama CON Report CON Review Board Meeting July 21, 2021 Bradley Arant Boult Cummings LLP 3 bradley.com Health) RV2021-017, Affinity Acquisitions, LLC d/b/a Affinity Hospice, proposes to establish a hospice branch office in Alabaster, Shelby County, which is located within the service area the facility is permitted to serve under CON 2323-HPC. Status: Pending RV2021-018, Noble Manor LLC, proposes to relocate sixteen (16) licensed Specialty Care Assisted Living Facility (SCALF) beds from Noble Manor #3 Memory Care over to Noble Manor, LLC #2 on the same campus. These beds were licensed via project AL2014-017, CON 2677-SCALF. Status: Pending RV2021-019, The Heart Center Cardiology, proposes to establish an office-based lab pursuant to Ala. Admin. r. 410-1-7-.02 in order to perform low risk peripheral angiography and interventional procedures and fixed-base diagnostic coronary angiography procedures within his private practice. Status: Pending (Opposition filed 6/23/2021 by EAMC). RV2021-020, Dale Medical Center, proposes to convert three (3) existing ER rooms into isolation rooms. Status: Pending RV2021-021, Stringfellow Memorial Hospital, proposes to make Stringfellow Memorial Hospital a provider-based location to Northeast Alabama Regional Medical Center (RMC) and to allow Stringfellow to begin operating and billing under RMC's provider number. Status: Pending RV2021-022, Rockridge Dialysis, LLC d/b/a Marshall County Home Training, proposes to establish and operate a new DaVita home training program/facility comprised of three (3) home-training stations to be used for peritoneal dialysis home training and treatment pursuant to Ala. Code § 22-21-278. Status: Pending RV2021-023, STAR Physical Therapy, proposes to establish a physical therapy clinic in Huntsville, Alabama. Status: Pending RV2021-024, Thomas Home Health, LLC d/b/a Coastal Home Health, proposes to open a branch office at a separate location in Gulf Shores and offer the same services offered at the parent location. Status: Pending. The next CON Review Board meeting will be held on August 18, 2021.