Certificate of Public Need Requests That Were Opposed Certificate of Public Need Requests Reported May 2012- April 2018

Opposition as noted in the Staff or Adjudication Officer Reports and Recommendations Prepared by Department of Health, Office of Licensure and Certification Staff

For the period May 2012 – April 2018 there were 281 Certificate of Public Need (COPN) decisions, 253 (90%) of which were approved and issued a COPN. At least one expression of opposition was recorded for 71 (25%) of the COPN requests decided during the period. Of those 71 COPN requests with recorded opposition, 48 (68%) were approved and 23 (32%) were denied.

LIST OF OPPOSED COPN REQUESTS

VA-7890, Advanced Vision Surgery Center, LLC, Establish a one OR Outpatient Surgical Hospital Denied Opposed by: Doctors Surgery Center of Williamsburg

VA-7897, Petersburg Hospital Company, LLC d/b/a Southside Regional Medical Center, Establish Open Heart Services/ add 1 OR dedicated to Open Heart Surgery VA-4411 Opposed by: CJW Medical Center Virginia Commonwealth University Health System

VA-7899, Med Atlantic, Inc. Establish a one OR Outpatient Surgical Hospital in Prince George County, Denied Opposed by: Southside Regional Medical Center

VA-7901, Bon Secours DePaul Medical Center, Addition of 2 GPORs VA-4356 Opposed by: Sentara Princess Anne Hospital

VA-7913, Carilion Medical Center d/b/a Carilion Roanoke Memorial Hospital and Carilion Roanoke Community Hospital Establish a Specialized Center for CT Services by Relocating an Existing Facility within PD 5 VA- 4351 Opposed by: Lewis Gale Medical Center

VA-7917, BreatheAmerica, Inc. Establish a Specialized Center for CT Imaging (Henrico), VA-4377 Opposed by: Local Physicians Eastern Virginia Medical School

VA-7918, BreatheAmerica, Inc. Establish a Specialized Center for CT Imaging (Chesterfield) VA-4378 Opposed by: Local Physicians Eastern Virginia Medical School

VA-7924, Friendship Health and Rehab Center, Inc. Establish a 120-bed Nursing Home with beds to be Relocated from an Existing Nursing home VA-4369 Opposed by: Local Resident

VA-7925, Sentara Williamsburg Regional Medical Center Establish a Mobile CT Service Site in Gloucester VA-4410 Opposed by: Riverside Health System

VA-7936, Richmond Radiation Oncology Center, Inc. and Richmond Radiation Oncology Center I, LLC Establish a Specialized Center for Radiation Therapy Services VA-4393 Opposed by: Virginia Commonwealth University Health System

VA-7943, Riverside Regional Medical Center Establish a Mobile Cardiac Catheterization Laboratory to serve sites in PDs 18, 21 and 22. VA-4404 Opposed by: Sentara Health Care

VA-7962, Keystone Newport News, LLC d/b/a Newport News Behavorial Health Center Establish a 24 bed Acute Inpatient Psychiatric Hospital for Children and Adolescents VA-4418 Opposed by: Riverside Behavioral Health

VA-7969, Centra Health Establish a Specialized Center for CT Services VA-4412 Opposed by: Local resident

VA-7972, Potomac Hospital Corporation of Prince William d/b/a Sentara Northern Virginia Medical Center Introduce MRI Services at Sentara Lake Ridge through acquisition of Stationary MRI VA-4373 Opposed by: Insight Imaging

VA-7979, HealthSouth Rehabilitation Hospital of Hampton Roads, LLC Establish a 60-bed Medical Rehabilitation Hospital Denied Opposed by: Sentara Health Care Sentara Norfolk General Hospital Sentara Life Care Eastern Virginia Medical School Sentara Virginia Beach General Hospital Bon Secours Maryview Medical Center Riverside Rehabilitation Institute Virginia Health Care Association Medical Facilities of America Premier Consulting Traditions Senior Management Autumn Care Beth Shalom Village Chesapeake Health and Rehabilitation Center Lake Taylor Transitional Care Hospital

VA-7988, Bon Secours DePaul Medical Center Introduce Specialty Level Newborn Services Denied Opposed by: Children’s Hospital of the Kings Daughters

VA-7990, Select Specialty Hospital - Richmond, Inc. Establish a 27-bed Long Term Acute Care Hospital within Retreat Doctors' Hospital Denied Opposed by: Kindred Hospital

VA-7992, Martha Jefferson Hospital Establish an Outpatient Surgical Hospital with four Operating Rooms VA-4392 Opposed by: Charlottesville Surgery Center

VA-7994, Chesapeake Regional Medical Center Establish an Outpatient Surgical Hospital with one Operating Room VA-4414 Opposed by: Sentara Health Care Sentara Princess Anne Ambulatory Surgery Center

VA-8003, Clarksville Senior Care, L.L.C. d/b/a Meadowview Terrace Add 18 Nursing Home Beds VA-4406 Opposed by: Community Memorial Healthcenter

VA-8015, Bon Secours - Virginia HealthSource, Inc. Establish a Specialized Center for CT and MRI Services (Henrico) VA-4423 Opposed by: Local resident

VA-8016, Bon Secours - Virginia HealthSource, Inc. Establish a Specialized Center for CT and MRI Services (Hanover) VA-4424 Opposed by: Local resident

VA-8057, Riverside Health System Add one Operating Room at Doctors Surgery Center in Williamsburg Denied Opposed by: Local resident

VA-8058, Vest Virginia, LLC Establish a 75-bed Psychiatric Hospital Denied Opposed by: Virginia Hospital Center Inova Health Center Novant Prince William Medical Center Serenity Acres Treatment Center A psychiatrist 4 former Novant Patients

VA-8061, Virginia Psychiatric Company, Inc. Add 32 Psychiatric Beds at Dominion Hospital VA-4429 Opposed by: Family Psychiatric Associates MLD Nutrition Care Martin Reddy Architect A Licensed Clinical Social Worker

VA-8064, Loudoun Hospital Center Establish a Specialized Center for CT Imaging Denied Opposed by: Northern Virginia Imaging StoneSpring Hospital Center Local Residents

VA-8071, Spotsylvania Medical Center, Inc. d/b/a Spotsylvania Regional Medical Center Add Stereotactic Radiotherapy and Stereotactic Radiosurgery Services VA-4441 Opposed by:

VA-8074, Wythe County Community Hospital, LLC Introduce Radiation Therapy Services Denied Opposed by: Local Residents

VA-8093, The Orthopaedic Foot & Ankle Center Establish a Specialized Center for CT Imaging VA-4455 Opposed by: Northern Virginia Imaging

VA-8099, Columbia/HCA John Randolph, Inc. d/b/a John Randolph Medical Center Establish a Specialized Center for CT Imaging (1 fixed unit) VA-4498 Opposed by: Southside Regional Medical Center Local physicians

VA-8100, Northern Virginia Community Hospital, LLC Establish a Specialized Center for CT Imaging (1 fixed unit) Denied Opposed by: Local Residents Local physicians Northern Virginia Imaging

VA-8111, Centra Health, Inc. Introduce MRI Services at Centra Gretna Medical Center (Mobile Site) VA-4472 Opposed by: Danville Regional Medical Center

VA-8114, Chippenham & Johnston-Willis Hospitals, Inc. Add 24 Psychiatric Beds at Chippenham Hospital (Tucker Pavilion) VA-4462 Opposed by: Poplar Springs Hospital

VA-8115, Behavioral Health Wellness Center, LLC Establish a 40-bed Psychiatric Hospital Denied Opposed by: Poplar Springs Hospital Novant Health Diamond Healthcare Corporation North Springs Behaviorial Healthcare

VA-8117, HCA Health Services of Virginia, Inc. Add 20 Psychiatric Beds at Parham Doctors' Hospital (site change to Retreat) VA-4463 Opposed by: Poplar Springs Hospital

VA-8118, North Spring Behavioral Healthcare, Inc. Add 33 Psychiatric Beds VA-4466 Opposed by: Service Employees International Union members

VA-8120, Inova Health Care Services Establish a Specialized Center for CT Imaging VA-4474 Opposed by: Washington Radiology Associates StoneSpring Hospital Center

VA-8127, Northern Virginia Community Hospital, LLC Establish a Specialized Center for CT Imaging (1 fixed unit) Denied Opposed by: Washington Radiology Associates VA-8133, Virginia Hospital Center Cancer Services, LLC Introduce Radiation Therapy Services (1 linear accelerator) Denied Opposed by: Inova Health System

VA-8139, Reston Hospital Center, LLC Add 14 Acute Care Beds (Obstetric) VA-4481 Opposed by: Inova Health System

VA-8140, Sentara Hospitals d/b/a Sentara Obici Hospital Establish an Outpatient Surgical Hospital with 2 ORs VA-4509 Opposed by: Tidewater Eye Center Bon Secours Surgery Center Harbour View Bon Secours Maryview Medical Center Bon Secours Hampton Roads Chesapeake Regional Medical Center

VA-8141, Bristol HCP, LLC Establish a 90-bed Nursing Home in Bristol VA-4493 Opposed by: Abingdon Health and Rehabilitation Center Commonwealth Care of Roanoke NHC Healthcare Tennessee Physicians

VA-8142, McLean Ambulatory Surgery, LLC Establish an Outpatient Surgical Hospital with 2 ORs VA-4476 Opposed by: HCA Virginia

VA-8144, Shady Grove Reproductive Science Center,PC Establish an Outpatient Surgical Hospital with 2 ORs Denied Opposed by: HCA Virginia

VA-8146, Richmond Eye & Ear Healthcare Alliance, Inc. d/b/a MEDARVA Healthcare Establish an Outpatient Surgical Hospital with 2 ORs Denied Opposed by: HCA Virginia Virginia Eye Institute

VA-8155, VCU Health System Establish a Specialized Center for MRI Services Denied Opposed by: Bon Secours Richmond Health System Henrico Doctors Hospital

VA-8156, VCU Health System Add one MRI unit at the VCU Medical Center VA-4494 Opposed by: Bon Secours Richmond Health System

VA-8157, VCU Health System Establish a Specialized Center for CT Services Denied Opposed by: Bon Secours Richmond Health System

VA-8158, Dae Ah Medical Clinic, LLC d/b/a Open Door Imaging Establish a Specialized Center for CT and MRI Imaging Denied Opposed by: Inova Health System Novant Health

VA-8159, Bon Secours - St. Mary's Hospital of Richmond, Inc. and Broad/64 Imaging, LLC Establish a Specialized Center for CT Services VA-4496 Opposed by: Henrico Doctors Hospital Virginia Commonwealth University Health System

VA-8164, HCA Health Services of Virginia, Inc. d/b/a Henrico Doctors' Hospital Establish a Specialized Center for CT and MRI Imaging VA-4495 Opposed by: Bon Secours Richmond Health System Virginia Commonwealth University Health System

VA-8167, Inova Health Care Services Introduce Medical Rehabilitation Services at (25 bed unit) VA-4486 Opposed by: Virginia Hospital Center

VA-8192, Reston Hospital Center, LLC Establish a Specialized Center for CT Imaging VA-4554 Opposed by: Inova Health System

VA-8194, Novant Health Tyson's Corner Orthopedic Imaging, LLC Establish a Specialized Center for MRI Imaging Denied Opposed by: Inova Health System MRI of Reston

VA-8203, Covenant Woods Health Care Center Add 23 CCRC Nursing Home Beds VA-4516 Opposed by: Medical Facilities of America Henrico Health and Rehabilitation Center

VA-8204, Locust Hill Health Investors, LLC Add 30 Nursing Home Beds at Dockside Health and Rehabilitation (RFA) VA-4544 Opposed by: Riverside Health System Virginia Health Services

VA-8206, Virginia Cancer Specialists, P.C. Add one Linear Accelerator and Introduce SRS/SRT VA-4532 Opposed by: Novant Health Cancer Center at Lake Manassas

VA-8207, Essex Rehabilitation & Care Center, LLC d/b/a Carrington Place of Tappahannock Add 30 Nursing Home Beds to the Existing Facility in Essex County Denied Opposed by: Riverside Health System Virginia Health Services

VA-8237, HealthSouth Rehabilitation Hospital of Fredericksburg, LLC Add six Medical Rehabilitation Beds VA-4528 Opposed by: Heritage Hall King George Medical Facilities of America Carriage Hill Health and Rehabilitation Bowling Green HRC

VA-8267, Spotsylvania Medical Center, Inc., d/b/a Spotsylvania Regional Medical Center Establish a Specialized Center for CT Imaging VA-4561 Opposed by: Fredericksburg Emergency Medical Alliance Radiologic Associates of Fredericksburg Mary Washington Healthcare

VA-8269, Stafford Hospital, LLC Add one CT Scanner VA-4562 Opposed by: Public Hearing

VA-8271, Rehab JV, LLC dba Sheltering Arms Rehab Institute Establish a 114-bed Medical Rehabilitation Hospital VA-4555 Opposed by: Local physician Local Residents

VA-8276, Virginia Hospital Center Arlington Health System d/b/a Virginia Hospital Center Add 100 Acute Care Beds (Reduced to 44) VA-4563 Opposed by: Inova Health System

VA-8277, Inova Health Care Services Add 48 Acute Care Beds at Inova Fairfax Hospital (Reduced to 24) VA-4564 Opposed by: Reston Hospital Center

VA-8280, Center for Visual Surgical Excellence, LLC Establish an Outpatient Surgical Hospital with one OR VA-4576 Opposed by: Surgery Center of Chesapeake Del. Cosgrove Del. Leftwich Chesapeake Hospital Authority Local physician Tidewater Eye Specialists Virginia Eye Surgery Center

VA-8282, American Access Care of Richmond, LLC Establish an Outpatient Surgical Hospital with two ORs VA-4570 Opposed by: HCA Virginia

VA-8302, Virginia Health Services, Inc. Establish a 60-bed Nursing Home (Relocate 60 beds from PD 17 and PD 18) VA-4584 Opposed by: Riverside Health System

VA-8307, Sentara Hospitals d/b/a Sentara Leigh Hospital Add two (2) General Purpose ORs VA-4579 Opposed by: Chesapeake Regional Healthcare

VA-8336, Westminister-Canterbury of the Blue Ridge Transfer up to 19 beds from PD 15 Denied Opposed by: The Laurels of Charlottesville

VA-8337, Medical Facilities of America LXXVI (76) Limited Partnership Addition of 15 Nursing Home Beds Denied Opposed by: The Laurels of Charlottesville

VA-8349, Warren Memorial Hospital Establish a General Acute Care Hospital by Replacing Warren Memorial Hospital VA-4602 Opposed by: Birth Local Legal Works Counsel Local Residents