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.

Facility: AIDS Community Health Center
Received: 1/26/2010
Certificate of Need: 092195-C
Status: Reviewed and approved, 3/10/2010.
Description: AIDS Community Health Center proposes to certify an AIDS adult day health care program at 259 Monroe Avenue. Capital cost: $49,466. Incremental operating cost impact: $790,219 in the first year; $876,973 in the third year. Total revenue impact: $1,231,886 in the first year; $1,556,067 in the third year.

Facility: Anthony L. Jordan Health Center
Received: 8/19/2009
Certificate of Need: 092022-C
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.

Facility: Arnot Ogden Medical Center
Certificate of Need: 091005-C
Received: 1/15/2009
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.

Facility: Clifton Springs Hospital and Clinic
Certificate of Need: 091013-C
Received: 2/10/2009
Status: Reviewed and approved by the FLHSA, 4/21/2009.
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.

Facility: Clifton Springs Hospital and Clinic
Received: 5/4/2010
Certificate of Need: 101111-C
Status: Currently under review.
Description: Clifton Springs proposes to open a primary care extension clinic in Cannery Row on West Union Street in Newark. This will be full service Family Medicine practice with preventative and acute care services. Capital cost: $216,966. Incremental operating cost impact in the first year: $305,945; and $509,033 in the third year. Incremental revenue impact in the first year: $175,00; and $425,000 in the third year.

Facility: Crest Manor
Received: 8/14/2009
Certificate of Need: 092034-C
Status: Reviewed and approved by the FLHSA, 3/10/2010.
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.

Facility: DeMay Living Center
Received: 4/1/2009
Certificate of Need: 091073-C
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.

Facility: Elcor Health Services, Inc.
Certificate of Need: 082183E
Received: 1/7/2009
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.

Facility: Elcor Nursing Home
Received: 4/29/09
Certificate of Need: 082183
Status: Received but not reviewed, 6/1/2009.
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.

Facility: FF Thompson
Received: 2/1/2010
Certificate of Need: 092197-C
Status: Received but not reviewed.
Description: FF Thompson proposes certification of a sleep disorder center at 229 Parrish Street. This project was originally classified as a limited review, but has be revised to entail a full administrative review.

Facility: Finger Lakes Migrant and Community Health Care Project
Received: 9/8/2009
Certificate of Need: 092054-C
Status: Received 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.

Facility: Finger Lakes Migrant and Community Health Care Project
Received: 11/19/2009
Certificate of Need: 092132-E
Status: Reviewed and approved, 12/16/2009.
Description: Finger Lakes Migrant Health Care Project proposes the transfer of ownership of Yates County Family Planning Services to the FLMHCP. Capital cost: N/A. Total cost impact: 495,851 in the first year; $497,851 in the third year. Total revenue impact: $334,208 in the first year; $412,575 in the third year.

Facility: Geneva General Hospital
Certificate of Need: 091002-C
Received: 1/21/2009
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.

Facility: Geneva General Hospital
Certificate of Need: 09-1101-C
Received: 4/15/2009
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.

Facility: Highland Hospital
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.

Facility: Highland Hospital
Received: 8/25/2009
Certificate of Need: 092040-C
Status: Reviewed and approved by the FLHSA, 1/19/2010.
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.

Facility: Highland Hospital
Received: 9/16/2009
Certificate of Need: 092061-B
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.

Facility: Highland Hospital
Received: 10/20/2009
Certificate of Need: 092092-C
Status: Reviewed and approved by FLHSA, 1/19/2010.
Description: Highland Hospital proposes to renovate existing inpatient unit to create a 22-bed neuromedicine unit. Capital cost: $5,178,855. Incremental cost impact: $1,185,901 in the first year; $866,674 in the third year. Incremental revenue impact: $559,967 in the first year; $2,487,905 in the third year.

Facility: Jewish Home
Received: 4/21/09
Certificate of Need: 091084-C
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.

Facility: MM Ewing Continuing Care Center
Certificate of Need: 091080-C
Received: 4/10/2009
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.

Facility: Monroe County Department of Health Clinics/Starlight Pediatric Clinic
Certificate of Need: 091107-C
Received: 4/15/2009
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.

Facility: Newark-Wayne Community Hospital
Received: 9/25/2009
Certificate of Need: 092074-C
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.

Facility: Newark-Wayne Community Hospital
Received: 10/23/2009
Certificate of Need: 092107-C
Status: Reviewed and approved, 3/16/2010.
Description: Newark-Wayne Community Hospital proposes to relocate and renovate the endoscopy suite vacated space within hospital. Capital cost: $1,692,265. Incremental cost impact: $64,061 in the first year; $179,877 in the third year. Incremental revenue impact: $128,212 in the first year; $359,999 in the third year.

Facility: Park Ridge Nursing Home
Certificate of Need: 567280
Received: 12/8/2008
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.

Facility: Rochester General Hospital
Received: 8/27/2009
Certificate of Need: 092048-C
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.

Facility: Rushville Health Center
Certificate of Need: 091045-C
Received: 3/19/2009
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.

Facility: Rushville Health Center
Received: 5/19/2009
Certificate of Need: 091139-B
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.

Facility: Schuyler Hospital
Received: 10/20/2009
Certificate of Need: 092098-C
Status: Reviewed and approved, 3/1/2010.
Description: Schuyler Hospital proposes to certify a primary care extension clinic in Montour Falls. Capital cost: $11,120. Incremental cost impact: not filled out. Incremental revenue impact:1,891,397 in the first year; 1,967,053 in the third year.

Facility: St. Ann's
Received: 11/5/2009
Certificate of Need: 092123-C
Facility: St. Ann's
Status: Reviewed and approved, 3/10/2010.
Description: St Anns is proposing to construct a new SNF wing/building on the St. Anns Community Irondequoit Campus that will provide 72 SNF beds. In addition, 10 hospice inpatient general beds are planned for the first floor of the new building/wing. Capital cost: $32,270,272.Total cost impact: 41,035,737 in the first year; $53,725,055 in the third year. Total revenue impact: $40,252,504 in the first year; $41,243,421 in the third year.

Facility: St. Ann's
Received: 11/5/2009
Certificate of Need: 092124-C
Status: Reviewed and approved, 3/10/2010.
Description: St Anns (Hertiage) is proposing to construct a new SNF wing/building on the St. Anns Community Webster Campus that will provide 72 SNF beds. Capital cost: $21,039,144. Total cost impact: 13,919,063 in the first year; $9,221,999 in the third year. Total revenue impact: $10,344,938 in the first year; $5,498,064 in the third year.

Facility: St. John's Home
Received: 4/15/2010
Certificate of Need: 101095-B
Status: Currently under review.
Description: St. John's proposes to establish themselves as a new corporate entity to construct 20 stand alone greenhouse homes. This application would amend and supersede CON #082147. [Application included only schedules #1-3.]

Facility: Strong Memorial Hospital
Received: 5/19/2009
Certificate of Need: 091132-C
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.

Facility: Strong Memorial Hospital
Received: 6/9/2009
Certificate of Need: 091141-C
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.

Facility: Strong Memorial Hospital
Received: 3/4/2010
Certificate of Need: 101047-C
Status: Received but not reviewed.
Description: Strong Memorial Hospital proposes to add 8 neonatal continuing care beds for a total of 60 neonatal intensive care unit beds. Capital cost: 755,120. Incremental operating cost impact: $20,712,678 in the first year; $21,777,904 in the third year. Incremental revenue impact: $38,272,662 in the first year; $40,603, 467 in the third year.

Facility: United Cerebral Palsy Association Clinic
Certificate of Need: CTF-040109-FL
Received: 4/1/2009
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).

Facility: Unity Hospital
Received: 6/2/2009
Certificate of Need: -
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.

Facility: Unity Hospital
Received: 6/26/2009
Certificate of Need: 091167-C
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.

Facility: Unity Hospital
Received: 10/9/2009
Certificate of Need: 092089-C
Status: FLHSA submitted a letter in support of this project to NYSDOH, 11/19/2009.
Description: Unity Hospital proposes to construct and modernize the facility at Parkridge Campus including a net increase of 80 beds in various categories and decertify 33 beds in various categories of St. Mary's Campus. This application amends and supercedes CON #081091-C. Capital cost: $159,819,065. Schedule 13 not included.