Finger Lakes Health Systems Agency | Certificate of Need Applications

The Certificate of Need (CON) program is a review process, mandated under the State Public Health Law, which governs the establishment, ownership, construction, and renovation of health care facilities and services in New York State.
[MORE INFORMATION ABOUT THE CON PROCESS]

Health care providers are required to submit a CON application and obtain approval from the New York State Department of Health:

before new facilities are built or existing facilities are renovated;
before facilities acquire major medical equipment and add, delete, or move services;
when ownership of a facility is changed or transfered.

As a State designated review agency, the Finger Lakes Health Systems Agency (FLHSA) has the authority to review and comment on all CON applications pertaining to its nine-county area and give state regulators an expert local opnion on the merits of proposals.

The goal of the FLHSA's CON process is to understand the health care needs in the Finger Lakes region as well as the services available, and use that knowledge in order to:

avoid the unecessary duplication of services;
promote patient access to service;
appropriately contain costs with the consumer in mind.

Applications may also be reviewed by the Community Technology Assessment Advisory Board (CTAAB). CTAAB reviews local projects and makes recommendations to area health insurers concerning whether the insurers should cover such services. For more information about CTAAB reviews, see www.ctaab.org.

The log below contains information about CON applications either received, reviewed, or acted on by the FLHSA, and those acted on by the State in the last 12 months. An application's entry includes the facility, the application number, the date the application was received, the status of the review or decision made by the FLHSA or the State, and a description of the project under review.

For the FLHSA's annual reports of CT, MRI, and PET capacity and utilization in the Finger Lakes region, please see our Publications page.

Received: 9/18/2008
Certificate of Need: 082038-C
Facility: Nicholas H. Noyes Memorial Hospital
Status: Reviewed and Approved by the FLHSA, 1/20/09.
Description: Nicholas H. Noyes Memorial Hospital seeks to certify a CT scanner service at the Livingston Health Services extension clinic located at 50 East South Street, Geneseo. This is an addition of CT services to the hospital's operating license at the clinic location in Geneseo. The new CT Scan Suite will be located in the area of the soon to be relocated Phlebotomy Lab. The hospital will lease a refurbished 16-slice CT scanner from Pantheon Capital. Capital cost: $596,250. Operating costs: $441,591. Revenue: $720,722

Received: 10/3/2008
Certificate of Need: 082122-C
Facility: Threshold Center for Alternative Youth Services
Status: Review waived by FLHSA, 11/1/2008.
Description: Threshold Center for Alternative Youth Services seeks to establish and renovate a clinic located on 145 Parsells Ave., Rochester, NY. Previously, the health center located at 80 St. Paul St., Rochester, NY, was relocated to an existing satellite center at 145 Parsells Ave. The Western NY Office of NYSDOH gave Threshold emergency approval to relocate the center. The space at 145 Parsells Ave. will be leased from the Community Place of Greater Rochester, with renovations to follow. The renovations will give the satellite center 4 exam rooms and an HIV testing room, as well as office and staff space. Capital costs: $350,961. Operating costs: ($46,818). Revenue: ($20,000).

Received: 10/10/2008
Certificate of Need: 082100-C
Facility: Unity Hospital
Status: Reviewed and approved by FLHSA, 11/18/2008.
Description: Unity Hospital seeks to certify a 16-station dialysis extension clinic of the 26-station Long Pond Campus dialysis facility, to be located at Unity Spencerport Renal Center, North Union St., Town of Ogden. The new, single story facility will be constructed on a 3.3 acre site. Unity plans to lease half of the 16,000 sq. ft. building to the dialysis center and temporarily designate half as medical office space. Capital Cost: $1,436,359. Operating Costs: $1,936,176. Revenue: $1,946,688.

Received: 11/10/2008
Certificate of Need: 082148-C
Facility: Arnot Ogden Medical Center
Status: Reviewed and approved by FLHSA, 11/20/2008.
Description: Arnot Ogden Medical Center proposes to add an outpatient extension clinic in Corning to provide screening and diagnostic mammography services to the Central and Eastern area of Steuben County; this unit will utilize digital technology to allow flexibility in terms of image manipulation, storage and retrieval. Capital cost: $473,742. Operating costs: $137,485 in 1st year and $191,686 in 3rd year. Projected Revenue: $232,041 in 1st year and $331,487 in 3rd year.

Received: 11/10/2008
Certificate of Need: 082131-C
Facility: Highland Hospital
Status: Review waived by FLHSA, 1/5/2009.
Description: Highland Hospital seeks to certify a primary medical care extension clinic at 919 Westfall Road, Building B, Suite 115 in Rochester. This proposal is to relocate the Diabetes Healthsource and Nutrition Edge programs from the Hospital to the Extension Clinic at the above-mentioned location; this relocation is considered necessary because these programs are currently situated in the Hospital lobby, which is currently being renovated. Capital costs: $22,750. Operating costs: $151,426 in first year; $147,653 in 2nd year; $154,566 in 3rd year. Projected Revenue: $162,048 in 1st year; $215,163 in 2nd year; $228,266 in 3rd year.

Received: 11/12/2008
Certificate of Need: 082138-C
Facility: Schuyler Hospital
Status: Reviewed and approved by FLHSA, 11/20/2008.
Description: Schuyler Hospital seeks to certify a primary medical care extension clinic at One First Street, Suite One in Watkins Glen. Proposed 3-year lease agreement with Guthrie Health for continued occupation of primary care physician office space at this location. Although Schuyler Hospital has occupied this space for several years, it was recently recognized that this location had never been added to Schuyler Hospital's operating certificate. Capital cost: $3250. Operating costs: $1,205,691 in 1st year and $1,252,100 in 3rd year. Projected Revenue: $1,661,061 in 1st year and $1,701,092 in 3rd year.

Received: 11/5/2008
Certificate of Need: INC-103008
Facility: Daystar
Status: Reviewed and Approved by FLHSA, 11/12/2008. Approved with conditions by NYS, 11/25/2008.
Description: Daystar seeks to expand medical day program to medically fragile infants ages birth to three; this program currently is not included in state or local government plans and Daystar would like to obtain certification through OMRDD. This program is to be located at 47 Lochnavar Parkway in Pittsford, NY and is to be integrated with related services provided by home health agencies and developmental centers.

Received: 11/17/2008
Certificate of Need: 082147-C
Facility: St. John's Home
Status: Reviewed and approved by FLHSA, 11/20/2008.
Description: St. John's Home proposes construction of a total of 20 10-bed Green House homes within the comunity; this CON refers to Phase I, in which approval is sought for two 10-bed Green House homes on a single site located at 1749 Jefferson Road in Henrietta. Capital cost: $5,050,798. Operating costs: $2,128,476 in 1st year and in 3rd year. Projected Revenue: $2,024,774 in year 1 and in year 3.

Received: 11/18/2008
Certificate of Need: 082161-C
Facility: Unity Hospital
Status: Reviewed and approved by FLHSA, 12/16/2008.
Description: Unity Hospital proposes to purchase a Vascular Surgery practice (Rochester Vascular Surgery Associates, PC) to operate as a hospital-based extension clinic with two part-time satellite clinics. The main vascular surgery group would be established as a separate Division of Surgery within the Unity Medical Group; the satellite clinics are currently located in Brockport and Batavia, and would be open for two days per week. Capital cost: $118,806. Operating costs: $2,650,257 in 1st year and $2,650,257 in 3rd year. Projected revenue: $$2,625,590 in 1st and 3rd years.

Received: 11/20/2008
Certificate of Need: CM-08102
Facility: Sleep Insights
Status: Reviewed and approved by the FLHSA, 1/20/2009.
Description: Sleep Insights proposes establishing a satellite sleep center in Gates, which would house 6 beds and create a total of 10 beds for Sleep Insights. Total project cost: $132,000 (anticipated to be provided entirely through private partnership financing); Annual Operating cost: $800,000 and $859,000 by 3rd year; Projected revenue (assuming 1200 studies per year): $960,000.

Received: 11/24/2008
Certificate of Need: CM-08103
Facility: Rochester General Hospital
Status: Application withdrawn, 4/17/2009.
Description: Rochester General Hospital proposes to add 4 beds to its sleep lab and to build a 4-bed sleep lab at Newark Wayne Community Hospital. Capital cost: $700,000. Operating costs: $1,334,786 in 1st year and $1,648,934 in 3rd year. Projected revenue: $1,686,000 in 1st year and $1,994,000 in 3rd year.

Received: 11/24/2008
Certificate of Need: 082146-C
Facility: Strong Memorial Hospital
Status: Reviewed and approved by FLHSA, 11/26/2008.
Description: Strong Memorial Hospital proposes construction of a two station dialysis service for pediatric patients. Capital cost: $113,250. Operating cost: $140,954 in 1st year and $145,183 in 3rd year. Projected revenue: $155,919 in year 1 and $160,596 in year 3.

Received: 12/8/2008
Certificate of Need: 567280
Facility: Park Ridge Nursing Home
Status: Received but not reviewed by FLHSA, 1/5/2009.
Description: Park Ridge Nursing Home is proposing to decertify five (5) adult day health care program slots, revising the capacity to 30. The facility is located at 1555 Long Pond Road in Rochester.

Received: 12/16/2008
Certificate of Need: 082174
Facility: Unity Hospital
Status: Reviewed and approved by the FLHSA, 4/21/2009.
Description: Unity Hospital proposes to add a third cardiac catheterization lab to provide inpatient and outpatient diagnosis and treatment of coronary artery, congenital heart, and peripheral vascular diseases. The lab is proposed to be located in the Hospital's Radiology Dept., adjacent to the two existing cardiac cath labs. Capital cost: $2,897,847. Operating costs: $1,914,726 in 1st Year and $3,133,366 in 3rd Year. Projected revenue: $2,242,144 in 1st Year and $4,771,774 in 3rd Year.

Received: 1/7/2009
Certificate of Need: 082183E
Facility: Elcor Health Services, Inc.
Status: Reviewed and approved by FLHSA, 2/8/2009.
Description: Elcor Health Services, Inc. is requesting approval for a change of ownership to Elcor Nursing and Rehabilitation Center, LLC. The sale includes operations and real estate of existing 305 bed nursing facility and 35 slot Adult Day Health Care. There are currently four proposed operators. The operations are to be managed by Israel Sherman, who owns fifteen nursing facilities (as detailed in Schedule 1C of CON). The real estate will be held in a realty company and the facility will pay rent. Incremental Operating Cost: $11,921 in Year 1.

Received: 1/8/2009
Certificate of Need: 082186-C
Facility: Unity Hospital
Status: Reviewed and approved by FLHSA, 1/21/2009.
Description: Unity Hospital is planning to relocate extension clinics located at: 687 Lee Road, 2524 Ridgeway Avenue (Physical Therapy clinic), and proposed at 103 Canal Landing; the new site is 2655 Ridgeway Road in Rochester. Total capital cost: $1,428,477. Operating costs: $4,635,446 for Year 3. Projected Revenue: $2,381,586 for Year 3.

Received: 1/15/2009
Certificate of Need: 091005-C
Facility: Arnot Ogden Medical Center
Status: Currently under review.
Description: Arnot Ogden Medical Center proposes to construct a three-story tower to replace existing medical/surgical patient rooms that were constructed in 1926 and 1954. The dietary department will be replaced, as it is currently housed in the 1926 building; several outpatient departments will be relocated or expanded. The existing medical/surgical capacity will be reduced from 131 to 120 beds. Capital cost: $131,074,736. Operating costs: $33,370,553 in Year 1 and $39,936,922 in Year 3. Projected revenue: $30,326,484 in Year 1 and $40,258,701 in Year 3.

Received: 1/21/2009
Certificate of Need: 091002-C
Facility: Geneva General Hospital
Status: Reviewed and approved by the FLHSA, 6/2/2009.
Description: Geneva General Hospital proposes a major modernization project to: reconfigure medical/surgical patient rooms to increase the number of private rooms; expand the ED; replace existing 30-year-old ORs; create replacement ICU; expand and enhance Radiology and Cardiology Depts.; house Finger Lakes Health College of Nursing and Marion S. Whelan School of Licensed Practical Nursing in same building. Capital cost: $55,978,956. Operating cost: $38,007,287 in Year 1 and $14,833,875 in Year 3. Projected revenue: $26,935,468 in Year 1 and $15,854,404 in Year 3.

Received: 2/10/2009
Certificate of Need: 091013-C
Facility: Clifton Springs Hospital and Clinics
Status: Reviewed and approved by the FLHSA, 4/21/09.
Description: Clifton Springs Hospital and Clinic proposes to convert their existing 3 days a week MRI service to a fixed, full-time MRI service. This includes the construction of a 700 square foot building which will house the fixed MRI unit. Clifton Springs plans to enter into a 7 year contract with Kings Medical Group for the MRI and associated building construction. The hospital would have the option to purchase the MRI at the end of the contract. Capital cost: $595,250. Operating cost: $88,855 in Year 1 and $57,550 in Year 3. Projected revenue: $58,411 in Year 1 and $58,411 in Year 3.

Received: 3/19/2009
Certificate of Need: 091045-C
Facility: Rushville Health Center
Status: Reviewed and approved by FLHSA, 3/27/09.
Description: The Rushville Health Center proposes certification for a dental extension clinic located at 1519 Nye Road in Lyons. The clinic is already in operation and was given emergency approval by the Western Regional Office in November of 2008. The clinic targets uninsured, underinsured, and Medicaid recipients, and projects to receive 4,500 dental visits by its third year of operation. Project cost: $1,250. Operating cost: $122,558 in Year 1 and $188,914 in Year 3. Projected revenue: $305,544 in Year 1 and $443,316 in Year 3.

Received: 4/1/2009
Certificate of Need: CTF-040109-FL
Facility: United Cerebral Palsy Association
Status: Reviewed and approved by FLHSA, 4/16/09.
Description: The United Cerebral Palsy Association of the Rochester Area proposes to establish a Part 679 Clinic Treatment Facility (Article 16 Clinic).

Received: 4/10/2009
Certificate of Need: 091080-C
Facility: MM Ewing Continuing Care Center
Status: Reviewed and approved by the FLHSA, 5/19/2009.
Description: FF Thompson/MM Ewing Continuing Care Center proposes the addition of 10 slots to their medical adult day care program for a proposed total of 46 slots. This expansion will not require physical changes at the Care Center. There are no construction or moveable equipment costs. Project cost: $1,250. Operating cost for current year (only numbers provided): $445,291. Projected revenue: $56,586 in Year 1 and $169,758 in Year 3.

Received: 4/1/2009
Certificate of Need: 091073-C
Facility: DeMay Living Center
Status: Reviewed and approved by the FLHSA, 8/11/2009.
Description: Wayne Health Center/DeMay Living Center proposes to relocate their 25 existing slots to a freestanding building on the Newark Wayne Community Hospital campus as well as certifying and constructing an additional 19 slots for a proposed total of 44 slots. Project cost: $438,327. Operating cost: $266,218 in Year 1 and $276,114 in Year 3. Projected revenue: $539,415 in Year 1 and $515,332 in Year 3.

Received: 4/15/2009
Certificate of Need: 091107-C
Facility: Monroe County Department of Health Clinics/Starlight Pediatric Clinic
Status: Reviewed and approved by the FLHSA, 4/29/2009.
Description: Monroe County Department of Health proposes to certify and construct a pediatric extension clinic at 451 East Henrietta Road. Project cost: $3,037,491. Operating cost: $335,187 in Year 1 and $343,850 in Year 3. Projected revenue: no information provided.

Received: 4/15/2009
Certificate of Need: 09-1101-C
Facility: Geneva General Hospital
Status: Reviewed and approved by the FLHSA, 4/20/2009.
Description: Geneva General Hospital proposes to relocate the Seneca Family Health Center clinic from 367 East Main Street in Waterloo to 387 East Main Street Waterloo. Project cost: $1,429,649. Operating cost: $146,588 in Year 1 and $136,661 in Year 3. Projected revenue: $39,855 in Year 1 and $90,791 in Year 3.

Received: 4/21/09
Certificate of Need: 091084-C
Facility: Jewish Home
Status: Reviewed and approved by the FLHSA, 6/4/2009.
Description: The Jewish Home and Infirmary of Rochester New York Inc. proposes to certify and construct 19 additional slots at the existing adult day health care program for a total of 65 slots. Project cost: $62,597. Operating cost: $417,178 in Year 1 and $417,178 in Year 3. Projected revenue: $667,500 in Year 1 and $667,500 in Year 3.

Received: 4/29/2009
Certificate of Need: 082183
Facility: Elcor Nursing Home
Status: Received but not reviewed.
Description: Elcor Health Services proposes to establish Elcor Nursing and Rehabilitation, LLC as the new operator of Elcor Nursing Home. Costs and revenue: n/a.

Received: 5/19/2009
Certificate of Need: 091139-B
Facility: Rushville Health Center
Status: Reviewed and approved by the FLHSA, 6/22/2009.
Description: Rushville Health Center proposes to establish Rochester Primary Care Network as the new operator of the Rushville Health Center and to certify and construct three extension clinics. These clinics will be located in Livingston, Wayne, and Oneida Counties. Capital cost: $1,545,276. Operating cost incremental impacts: $4,604,553 in 1st Year and $5,684,891 in 3rd Year (note: current year cost is zero due to this being an establishment application). Projected revenue incremental impacts: $4,741,118 in 1st Year and $6,191,470 in 3rd Year.

Received: 5/19/2009
Certificate of Need: 091132-C
Facility: Strong Memorial Hospital
Status: Reviewed and approved by the FLHSA, 6/24/2009.
Description: Strong Memorial Hospital proposes to replace the inpatient care clinical information system with a new acute care electronic medical record (EMR). Capital cost: $39,675,987. Operating cost incremental impacts: $5,026,078 in 1st Year and $7,510,388 in 3rd Year. Projected revenue incremental impacts: $248,000 in 1st Year and $383,000 in 3rd Year.

Received: 6/2/2009
Certificate of Need: -
Facility: Unity Hospital
Status: Reviewed and approved by the FLHSA, 6/5/2009.
Description: Unity Hospital propose relocating an existing Primary Medical Care Extension Clinic in Spencerport, NY from 377 Union Street to the intersection of North Union Street and Big Ridge Road (approx. 3 minutes distance between two locations). Proposed location will be a newly constructed building that will also accommodate other Unity Hospital clinical services. Capital cost: $10,618. Operating cost incremental impacts: $577,343 in 1st Year and $589,343 in 3rd Year. Projected revenue incremental impacts: $184,825 in 1st Year and $184,825 in 3rd Year.

Received: 6/2/2009
Certificate of Need: 091147-C
Facility: Highland Hospital
Status: Reviewed and approved by the FLHSA, 6/22/2009.
Description: Highland Hospital proposes to certify and construct a separate diagnostic extension clinic located at 2060 Fairport Nine Mile Point Road in Penfield. The radiology suite will be co-located with Strong's Sports Medicine and Orthopaedics Center. Capital cost: $264,050. Operating cost incremental impacts: $266,221 in 1st Year and $277,001 in 3rd Year. Projected revenue incremental impacts: $487,500 in 1st Year and $517,189 in 3rd Year.

Received: 6/9/2009
Certificate of Need: 091141-C
Facility: Strong Hospital
Status: Reviewed and approved by FLHSA, 9/14/2009.
Description: The University of Rochester Medical Center proposes to renovate and expand the Eastman Dental Center by adding two treatment rooms in the general dental care area and two treatment rooms in the orthodontic care area. This project was part of a HEAL-6 approved grant. Capital cost: $3,632,860. Operating cost incremental impacts: $1,995,950 in 1st Year and $1,995,950 in 3rd Year. Projected revenue incremental impacts: $2,486,900 in 1st Year and $2,486,900 in 3rd Year.

Received: 6/26/2009
Certificate of Need: 091167-C
Facility: Unity Hospital
Status: Reviewed and approved by FLHSA, 7/20/2009.
Description: Unity Hospital proposes to construct five dialysis stations at the St. Mary's Campus for a revised capacity of 21 stations. Capital cost: $398,329. Operating cost incremental impacts: $637,838 in 1st Year and $675,634 in 3rd Year. Projected revenue incremental impacts: $4,203,618 in 1st Year and $4.323.366 in 3rd Year.

Received: 7/1/2009
Certificate of Need: INC-062509
Facility: Autism Council
Status: Received but not reviewed, 7/1/2009.
Description: The Autism Council of Rochester proposes an amendment to their Certificate of Incorporation.

Received: 8/14/2009
Certificate of Need: 092034-C
Facility: Crest Manor
Status: Currently under review.
Description: Crest Manor Living and Rehabilitation Center requests approval to modernize and expand their facility. Capital cost: $9,940,403. Operating cost incremental impacts: $1,696,055.

Received: 8/19/2009
Certificate of Need: 092022-C
Facility: Anthony L. Jordan Health Center
Status: Reviewed and approved by the FLHSA, 9/2/2009.
Description: The Anthony L. Jordon Health Center proposes to expand their oral health and adolescent services. Proposal includes four dental chairs, four medical rooms, and an increase of space by 2500 sq. ft. Capital cost: $1,931,500. Operating cost incremental impacts: $371,464 in 1st Year and $443,889 in 3rd Year. Projected revenue incremental impacts: $299,541 in 1st Year and $364,118 in 3rd Year.

Received: 8/25/2009
Certificate of Need: 092040-C
Facility: Highland Hospital
Status: Currently under review.
Description: Highland Hospital proposes to add two new operating rooms, renovate pre-surgical screening, and expand the sterile processing department. Capital cost: $7,011,646. Operating cost incremental impacts: $5,531,230 in 1st Year and $10,277,400 in 3rd Year. Projected revenue incremental impacts: $9,667,782 in 1st Year and $17,784,700 in 3rd Year.

Received: 8/27/2009
Certificate of Need: 092048-C
Facility: Rochester General Hospital
Status: Reviewed and approved by the FLHSA, 9/1/2009.
Description: Rochester General Hospital proposes to expand the capacity of the extension clinic at 2350 Ridgeway Avenue through consolidating providers. Capital cost: $390,000. Operating cost incremental impacts: $436,186 in 1st Year and $100,548 in 3rd Year. Projected revenue incremental impacts: $53,195 in 1st Year and $53,195 in 3rd Year.

Received: 9/8/2009
Certificate of Need: 092054-C
Facility: Finger Lakes Migrant and Community Health Care Project
Status: Reviewed and approved by the FLHSA, 10/2/2009.
Description: Finger Lakes Migrant Health proposes to certify an extension clinic in Penn Yan to provide primary medical care, dental, and medical social services. This is a "safety net" project. Capital cost: $50,250. Operating cost incremantal impacts: $115,364 in 1st year and $119, 234 in 3rd year. Projected revenue incremental impacts: $589,784 in the 1st year and $738,069.

Received: 9/16/2009
Certificate of Need: 092061-B
Facility: Highland Hospital
Status: Reviewed and approved by the FLHSA, 9/18/2009.
Description: Highland Hospital proposes to certify a primary medical care extension clinic for the purpose of providing oncology infusion services at 1000 South Avenue. Capital cost: $2,000 (application fee). Operating cost incremental impacts: $8,707,281 in 1st Year and $10,181,001 in 3rd Year. Projected revenue incremental impacts: $11,832,402 in 1st Year and $14,349,428 in 3rd Year.

Received: 9/25/2009
Certificate of Need: 092074-C
Facility: Newark-Wayne Community Hospital
Status: Currently under review.
Description: Newark-Wayne Community Hospital proposes to construct a one-story addition to the hospital that will house the emergency department. Capital cost: $8,889,926. Operating cost incremantal impacts: $1,300,848 in 1st year and $1,675,987 in 3rd year. Projected revenue incremental impacts: $1,224,561 in the 1st year and $1,975,013 in the 3rd year.