Decisions and Findings

Each month, the Certificate of Need Section makes decisions regarding applications under review to either conditionally approve the application or to disapprove it. The Certificate of Need Section also prepares "findings" which explain the basis for the decision.

December 2023

County Project ID Facility FID Facility Type Project Description Application Review Date Decision Date Decision Findings
Lincoln F-012414-23 Denver Surgery Center 230716 ASC Develop no more than one GI endoscopy room and one procedure room at an existing ambulatory surgery center 9/1/2023 12/8/2023 Conditional Approval Findings
Mecklenburg F-012431-23 Novant Health Imaging Mt. Island Lake 230804 DXCTR Develop a diagnostic center by acquiring no more than one fixed MRI scanner pursuant to the need determination in the 2023 SMFP, a CT scanner, x-ray, mammography, and ultrasound 10/1/2023 12/21/2023 Conditional Approval Findings
Mecklenburg F-012429-23 Matthews Radiation Oncology Center 190631 LINAC Replace an existing LINAC 10/1/2023 12/1/2023 Conditional Approval Findings
Pitt Q-012426-23 ECU Health Medical Center 933410 HOSPITAL Acquire and relocate no more than 16 inpatient rehabilitation beds from East Carolina Health-Heritage, Inc. 10/1/2023 12/20/2023 Conditional Approval Findings

November 2023

County Project ID Facility FID Facility Type Project Description Application Review Date Decision Date Decision Findings
Durham J-012437-23 Duke University Hospital 943138 HOSPITAL Cost overrun for Project ID #J-11851-20 (acquire one unit of angiography equipment for an existing OR to create a hybrid OR) 11/1/2023 11/20/2023 Conditional Approval Findings
Gaston F-012391-23 CaroMont Regional Medical Center - Belmont 190371 HOSPITAL Develop no more than 24 additional acute care beds pursuant to the 2023 SMFP need determination for a total of no more than 78 beds upon project completion 7/1/2023 11/15/2023 Conditional Approval Findings
Iredell F-012423-23 Vascular ASC 230722 ASC Develop a new ASF with no more than one dedicated vascular access OR pursuant to the need determination in the 2023 SMFP 9/1/2023 11/16/2023 Denied Findings
Martin Q-012427-23 Dialysis Care of Martin County 960043 ESRD Relocate no more than eight in-center dialysis stations from Robersonville Dialysis for a total of no more than 23 stations upon project completion 10/1/2023 11/15/2023 Conditional Approval Findings
Mecklenburg F-012403-23 Novant Health Ballantyne Medical Center 180518 HOSPITAL Acquire a fixed MRI scanner pursuant to Policy TE-3 7/1/2023 11/27/2023 Conditional Approval Findings
New Hanover O-012389-23 Interim HealthCare 230533 HC Develop a new Medicare-certified home health agency pursuant to the 2023 SMFP need determination 7/1/2023 11/21/2023 Denied Findings
New Hanover O-012394-23 Healthview Home Health - New Hanover 230540 HC Develop a new Medicare-certified home health agency pursuant to the 2023 SMFP need determination 7/1/2023 11/21/2023 Denied Findings
New Hanover O-012401-23 Aveanna Home Health-New Hanover 230545 HC Develop a new Medicare-certified home health agency pursuant to the 2023 SMFP need determination 7/1/2023 11/21/2023 Denied Findings
New Hanover O-012405-23 Well Care Home Health of New Hanover 230547 HC Develop a new Medicare-certified home health agency pursuant to the 2023 SMFP need determination 7/1/2023 11/21/2023 Conditional Approval Findings
New Hanover O-012404-23 BAYADA Home Health Care 230548 HC Develop a new Medicare-certified home health agency pursuant to the 2023 SMFP need determination 7/1/2023 11/21/2023 Denied Findings
Pitt Q-012392-23 ECU Health Medical Center 933410 HOSPITAL Develop no more than two ORs pursuant to the 2023 SMFP need determination for a total of 36 ORs, including 4 dedicated C-Section ORs and 1 Trauma OR 7/1/2023 11/27/2023 Conditional Approval Findings
Pitt Q-012421-23 Greenville MRI, LLC 030544 DXCTR Develop no more than one fixed MRI scanner pursuant to the need determination in the 2023 SMFP 9/1/2023 11/27/2023 Conditional Approval Findings
Pitt Q-012397-23 Eastern Nephrology Associates ASC 230544 ASC Develop a new ASC with no more than one single specialty dedicated vascular OR pursuant to 2023 SMFP need determination and three procedure rooms 7/1/2023 11/27/2023 Conditional Approval Findings
Wake J-012393-23 Raleigh Radiology Knightdale 190281 DXCTR Acquire a fixed MRI scanner pursuant to the 2023 SMFP need determination 7/1/2023 11/27/2023 Conditional Approval Findings
Wake J-012396-23 Wake Radiology Cary 001330 DXCTR Acquire a fixed MRI scanner pursuant to the 2023 SMFP need determination 7/1/2023 11/27/2023 Denied Findings
Wake J-012395-23 Duke Imaging Garner 230129 DXCTR Acquire a fixed MRI scanner pursuant to the 2023 SMFP need determination 7/1/2023 11/27/2023 Denied Findings
Wake J-012399-23 WakeMed North Hospital 990974 HOSPITAL Acquire a fixed MRI scanner pursuant to Policy TE-3 7/1/2023 11/27/2023 Conditional Approval Findings

October 2023

County Project ID Facility FID Facility Type Project Description Application Review Date Decision Date Decision Findings
Buncombe B-012388-23 The Endoscopy Center 943487 ASC Relocate the facility and develop three new GI endoscopy rooms for a total of no more than eight GI endoscopy rooms upon project completion 6/1/2023 10/27/2023 Conditional Approval Findings
Forsyth G-012420-23 Wake Forest Baptist Medical Center 943495 HOSPITAL Cost overrun for Project ID# G-8460-10 (Construction of a new building to include 8 operating rooms, two procedure rooms, and related clinical space pursuant to Policy AC-3) 9/1/2023 10/31/2023 Conditional Approval Findings
Gaston F-012409-23 Fresenius Kidney Care North Gaston 160496 ESRD Add no more than 1 dialysis station pursuant to Condition 2 of the facility need methodology for a total of no more than 17 stations upon project completion 8/1/2023 10/10/2023 Conditional Approval Findings
Hoke N-012407-23 Dialysis Care of Hoke County 945165 ESRD Add no more than 3 dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 28 stations upon project completion 8/1/2023 10/27/2023 Conditional Approval Findings
Mecklenburg F-012408-23 BMA West Charlotte 955792 ESRD Add no more than 2 dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 31 stations upon project completion 8/1/2023 10/12/2023 Conditional Approval Findings
Onslow P-012411-23 The Landings at Topsail Shores 230628 ACH Develop a new 40-bed ACH facility by relocating no more than 40 ACH beds from Onslow House 8/1/2023 10/26/2023 Conditional Approval Findings

September 2023

County Project ID Facility FID Facility Type Project Description Application Review Date Decision Date Decision Findings
Alamance G-012365-23 Alliance Healthcare Services Mobile MRI 2023 230323 Major Med Equip Acquire one mobile MRI scanner pursuant to the 2023 SMFP need determination 5/1/2023 9/27/2023 Denied Findings
Buncombe B-012380-23 Mission Hospital-Mission FSER West 230341 HOSPITAL Develop a freestanding ED in western Buncombe County licensed under Mission Hospital 5/1/2023 9/25/2023 Conditional Approval Findings
Cabarrus F-012367-23 Atrium Health Cabarrus 943049 HOSPITAL Develop no more than 65 acute care beds pursuant to the 2023 SMFP need determination for a total of no more than 514 acute care beds upon completion of this project and Project ID #F-12116-21 (add 22 beds) 5/1/2023 9/13/2023 Conditional Approval Findings
Caldwell E-012398-23 EmergeOrtho-Lenoir 230543 DXCTR Acquire a fixed MRI scanner pursuant to the 2023 SMFP need determination 7/1/2023 9/27/2023 Conditional Approval Findings
Durham J-012357-23 EmergeOrtho Mobile MRI Blue Ridge/Foothills Route 230317 OTHER Acquire one mobile MRI scanner pursuant to the 2023 SMFP need determination 5/1/2023 9/27/2023 Denied Findings
Durham J-012358-23 EmergeOrtho Mobile MRI Triad Route 230319 OTHER Acquire one mobile MRI scanner pursuant to the 2023 SMFP need determination 5/1/2023 9/27/2023 Conditional Approval Findings
Durham J-012359-23 EmergeOrtho Mobile MRI Triangle Route 230320 OTHER Acquire one mobile MRI scanner pursuant to the 2023 SMFP need determination 5/1/2023 9/27/2023 Denied Findings
Durham J-012377-23 Duke North Pavilion 956937 HOSPITAL COR for Project ID # J-11613-18 (renovate and upfit space in North Pavilion for hospital services) 5/1/2023 9/27/2023 Conditional Approval Findings
Durham J-012378-23 Duke Imaging Mobile MRI 230334 DXCTR Acquire one mobile MRI scanner pursuant to the 2023 SMFP need determination 5/1/2023 9/27/2023 Conditional Approval Findings
Durham J-012406-23 Durham Regional Dialysis 160396 ESRD Add no more than 10 dialysis stations pursuant to Condition 1 of the facility need methodology for a total of no more than 20 stations upon project completion 8/1/2023 9/11/2023 Conditional Approval Findings
Forsyth G-012356-23 PHC Home Health-Forsyth 230318 HC Develop a new Medicaire-certified home health agency pursuant to the 2023 SMFP need determination 5/1/2023 9/20/2023 Denied Findings
Forsyth G-012362-23 Well Care Home Health of Forsyth County 230321 HC Develop a new Medicare-Certified Home Health Agency 5/1/2023 9/20/2023 Conditional Approval Findings
Forsyth G-012364-23 Novant Health Home Care-Forsyth 230322 HC Develop a new Medicare-certified home health agency pursuant to the 2023 SMFP need determination 5/1/2023 9/20/2023 Denied Findings
Forsyth G-012369-23 Aveanna Home Health - Forsyth 230327 HC Develop a new Medicare-certified home health agency pursuant to the 2023 SMFP need determination 5/1/2023 9/20/2023 Denied Findings
Gaston F-012390-23 CaroMont Regional Medical Center 943184 HOSPITAL Develop no more than 24 additional acute care beds pursuant to the 2023 SMFP need determination for a total of no more than 423 beds upon completion of this project, Project ID# F-11749-19 (develop a new hospital by relocating no more than 21 acute care beds from CRMC and developing 33 acute care beds pursuant to the need determination in the 2019 SMFP, and Project ID# F-11894-20 (add 64 acute care beds pursuant to the need determination in the 2020 SMFP 7/1/2023 9/19/2023 Conditional Approval Findings
Guilford G-012372-23 Novant Health-Norfolk, LLC (1) 230325 DXCTR Acquire one mobile MRI scanner pursuant to the 2023 SMFP need determination 5/1/2023 9/27/2023 Denied Findings
Guilford G-012373-23 Novant Health-Norfolk, LLC (2) 230326 DXCTR Acquire one mobile MRI scanner pursuant to the 2023 SMFP need determination 5/1/2023 9/27/2023 Denied Findings
Johnston J-012400-23 Johnston Health 943290 HOSPITAL Acquire one additional unit of fixed cardiac catheterization equipment pursuant to the 2023 SMFP need determination 7/1/2023 9/27/2023 Conditional Approval Findings
Mecklenburg F-012381-23 Carolina Neurosurgery & Spine (2) 230333 DXCTR Acquire one mobile MRI scanner pursuant to the 2023 SMFP need determination 5/1/2023 9/27/2023 Denied Findings
Mecklenburg F-012368-23 Carolina Neurosurgery & Spine (1) 230328 DXCTR Acquire one mobile MRI scanner pursuant to the 2023 SMFP need determination 6/1/2023 9/27/2023 Denied Findings
Moore H-012360-23 Southern Pines Surgery Center 220730 ASC Develop a new ASF by relocating two existing ORs from Surgery Center of Pinehurst and developing two procedure rooms 5/1/2023 9/22/2023 Denied Findings
New Hanover O-012353-23 Delaney Radiologist Group 030359 DXCTR Acquire one fixed MRI scanner pursuant the 2023 SMFP need determination 5/1/2023 9/27/2023 Denied Findings
New Hanover O-012361-23 Novant Health New Hanover Regional Medical Center 943372 HOSPITAL Acquire one fixed MRI scanner pursuant to the 2023 SMFP need determination 5/1/2023 9/27/2023 Denied Findings
New Hanover O-012370-23 Wilmington Health at Porters Neck-8090 Market Street 230324 Major Med Equip Acquire one fixed MRI scanner pursuant to the 2023 SMFP need determination 5/1/2023 9/27/2023 Denied Findings
New Hanover O-012374-23 EmergeOrtho- Wilmington Porters Neck 230344 DXCTR Acquire one fixed MRI scanner pursuant to the 2023 SMFP need determination 5/1/2023 9/27/2023 Conditional Approval Findings
Orange J-012386-23 Carolina Dialysis-Carrboro 956088 ESRD Relocate no more than 2 dialysis stations from Carolina Dialysis Siler City, no more than 2 dialysis stations from FMC Dialysis Center West Pettigrew, and no more than 1 dialysis station from Carolina Dialysis Pittsboro for a total of no more than 46 stations upon completion of this project, Project ID #J-12080-21 (relocate 2 stations), and Project ID #J-11995-20 (relocate 2 stations) 6/1/2023 9/15/2023 Conditional Approval Findings
Wake J-012402-23 Wake Radiology UNC REX PET CT-Imaging Center 230546 DXCTR Develop a new diagnostic center by acquiring, replacing, and relocating an existing fixed PET scanner 7/1/2023 9/28/2023 Conditional Approval Findings
Wake J-012354-23 Liberty Commons Nursing & Rehabilitation Center of Wake County 230316 NH Develop a new 125-bed NF by relocating 19 NF beds from Liberty Commons of Alamance, 28 NF beds from Cross Creek (Hyde County), 20 NF beds from Oak Forest (Forsyth County), and 58 NF beds from Golden Years (Cumberland County) 5/1/2023 9/27/2023 Conditional Approval Findings
Wake J-012355-23 Liberty Commons Rehabilitation and Nursing Care of Raleigh 230315 NH Develop a new 125-bed NF by relocating 122 NF beds from Liberty Commons of Carteret County (Project ID # P-12179-22 (Develop a new facility by relocating no more than 122 NF beds from Harborview Health Care Center)) and 3 NF beds from Pinehurst Healthcare and Rehabilitation (Moore County) 5/1/2023 9/27/2023 Conditional Approval Findings
Wake J-012371-23 UNC REX Hospital 953429 HOSPITAL Acquire one linear accelerator pursuant to the 2023 SMFP need determination 5/1/2023 9/27/2023 Denied Findings
Wake J-012375-23 PHSNC Mobile MRI Scanner 230330 DXCTR Acquire one mobile MRI scanner pursuant to the 2023 SMFP need determination 5/1/2023 9/27/2023 Conditional Approval Findings
Wake J-012376-23 WakeMed Raleigh Medical Park 090441 DXCTR Acquire one linear accelerator pursuant to the 2023 SMFP need determination 5/1/2023 9/27/2023 Conditional Approval Findings
Wake J-012379-23 Duke Radiation Oncology Garner 230343 HOSPITAL Acquire one linear accelerator pursuant to the 2023 SMFP need determination 5/1/2023 9/27/2023 Denied Findings

August 2023

County Project ID Facility FID Facility Type Project Description Application Review Date Decision Date Decision Findings
Brunswick O-012343-23 Leland Dialysis 140237 ESRD Add no more than 7 in-center dialysis stations pursuant to Condition 2 of the facility need methodology for a total of 23 in-center stations upon project completion 4/1/23 8/25/23 Conditional Approval Findings
Buncombe B-012363-23 The Laurels of Summit Ridge 923279 NH Cost Overrun for Project ID #B-12182-22 (Relocate no more than 8 NF beds from the Laurels of GreenTree Ridge for a total of no more than 68 NF beds and 23 ACH beds upon completion of this project and Project ID# B-11270-16 (relocate 29 ACH beds)) 5/1/23 8/8/23 Conditional Approval Findings
Catawba E-012410-23 Fresenius Kidney Care Newton 160340 ESRD Add no more than 2 dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 17 stations upon project completion 8/1/23 8/23/23 Conditional Approval Findings
Johnston J-012349-23 Fresenius Kidney Care West Johnston 170520 ESRD Add no more than 3 dialysis stations pursuant to Condition 1 of the facility need methodology for a total of no more than 15 stations upon completion of this project and Project ID# J-11739-19 (relocate 2 stations) 4/1/23 8/22/23 Conditional Approval Findings
Mecklenburg F-012387-23 Charlotte Gastroenterology & Hepatology - Ballantyne 070703 ASC Relocate the facility and develop no more than three new GI endoscopy rooms for a total of no more than five GI endoscopy rooms upon project completion 6/1/23 8/29/23 Conditional Approval Findings
Stanly F-012366-23 Atrium Health Imaging Locust 040560 DXCTR Acquire one fixed MRI scanner pursuant to the 2023 SMFP need determination 5/1/23 8/9/23 Conditional Approval Findings
Wake J-012383-23 Britthaven of Holly Springs 101149 NH COS/COR for Project ID# J-12123-21 (Cost overrun for Project ID# J-8618-10 (Develop a new 90-bed nursing facility)) to relocate 30 NF beds from Enfield Oaks Nursing and Rehabilitation Center (Halifax County) for a total of 120 NF beds upon project completion 5/1/23 8/31/23 Conditional Approval Findings
Wake J-012382-23 Wake County Health & Rehab Center 110707 NH COS and COR (Project ID# J-8713-11) relocate 25 NF beds from Enfield Oaks Nursing and Rehabilitation Center (Halifax County) for a total of no more than 120 NF beds upon project completion 5/1/23 8/22/23 Conditional Approval Findings
Wake J-012385-23 Raleigh Endoscopy Center 923422 ASC Relocate the facility and develop no more than two new GI endoscopy rooms for a total of no more than six GI endoscopy rooms upon project completion 6/1/23 8/9/23 Conditional Approval Findings

July 2023

County Project ID Facility FID Facility Type Project Description Application Review Date Decision Date Decision Findings
Brunswick O-012316-23 Novant Health Home Care-Brunswick 230123 HC Develop a Medicare-certified home health agency pursuant to the need determination in the 2023 SMFP 3/1/23 7/25/23 Denied Findings
Brunswick O-012318-23 3HC-Brunswick 230125 HC Develop a Medicare-certified home health agency pursuant to the need determination in the 2023 SMFP 3/1/23 7/25/23 Denied Findings
Brunswick O-012324-23 BAYADA Home Health Care, Inc. 230126 HC Develop a Medicare-certified home health agency pursuant to the need determination in the 2023 SMFP 3/1/23 7/25/23 Denied Findings
Brunswick O-012334-23 Well Care Home Health of Brunswick County 230131 HC Develop a Medicare-certified home health agency pursuant to the need determination in the 2023 SMFP 3/1/23 7/25/23 Conditional Approval Findings
Brunswick O-012336-23 Healthview Home Health - Brunswick 230132 HC Develop a Medicare-certified home health agency pursuant to the need determination in the 2023 SMFP 3/1/23 7/25/23 Denied Findings
Buncombe B-012335-23 Mission Hospital 943349 HOSPITAL Develop no more than one PET/CT scanner pursuant to the need determination in the 2023 SMFP for a total of no more than two PET scanners upon project completion 3/1/23 7/26/23 Denied Findings
Cabarrus F-012315-23 Carolina Digestive Endoscopy Center-Concord 230124 ASC Develop a new ASF with no more than one GI endoscopy room 3/1/23 7/3/23 Denied Findings
Carteret P-012323-23 PruittHealth-SeaLevel 923448 NH Change of scope and cost overrun for Project ID #P-11541-18 (relocate 104 NF beds to a new replacement facility) 3/1/23 7/26/23 Conditional Approval Findings
Cleveland C-012337-23 Peak Resources-Shelby 923377 NH Develop a replacement nursing facility by relocating no more than 100 nursing facility beds 3/1/23 7/3/23 Denied Findings
Duplin P-012327-23 ECU Health Duplin Hospital 923139 HOSPITAL Develop no more than one fixed MRI scanner pursuant the need determination in 2023 SMFP 3/1/23 7/18/23 Conditional Approval Findings
Guilford G-012352-23 CK Vascular Center 230309 ASC Develop one dedicated vascular access OR for HSA II pursuant to the 2023 SMFP need determination 5/1/23 7/28/23 Conditional Approval Findings
Guilford G-012330-23 Greensboro Medical Center 230130 HOSPITAL Develop a new hospital by relocating no more than 36 acute care beds and two operating rooms from High Point Medical Center 3/1/23 7/26/23 Conditional Approval Findings
Guilford G-012351-23 BMA of Southwest Greensboro 991046 ESRD Add no more than 2 dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 35 stations upon completion of this project, Project ID# G-12161-21 (add 8 stations) and Project ID# G-12130-21 (relocate 8 stations) 4/1/23 7/18/23 Conditional Approval Findings
Henderson B-012331-23 AdventHealth Hendersonville 943388 HOSPITAL Develop no more than one fixed PET scanner pursuant to the need determination in the 2023 SMFP 3/1/23 7/26/23 Conditional Approval Findings
Mecklenburg F-012319-23 Atrium Health Lake Norman 190513 HOSPITAL Cost overrun for Project ID# F-12010-20 (develop a new acute care hospital) 3/1/23 7/3/23 Conditional Approval Findings
Robeson N-012344-23 Maxton Dialysis Center 140144 ESRD Add no more than 3 dialysis stations pursuant to Condition 2 of facility need methodology for a total of no more than 17 stations upon project completion 4/1/23 7/28/23 Conditional Approval Findings
Wake J-012314-23 The Cardinal at North Hills 080413 NH Develop no more than 10 nursing facility beds for a total of no more than 25 nursing facility beds upon project completion 3/1/23 7/28/23 Conditional Approval Findings
Wake J-012384-23 Triangle Health and Rehabilitation Center 230342 NH Develop a new 120-bed NF by relocating 30 NF beds from Bethany Woods Nursing and Rehabilitation (Stanly County), 5 NF beds from Enfield Oaks Nursing and Rehabilitation Center (Halifax County), 9 NF beds from Harmony Hall Nursing and Rehabilitation Center (Lenoir County), 10 NF beds from Maple Grove Health and Rehabilitation Center (Guilford County), 12 NF beds from Pine Ridge Health and Rehabilitation Center in (Davidson County), 20 NF beds from University Place Nursing and Rehabilitation Center (Mecklenburg County), 20 NF beds from Westwood Hills Nursing and Rehabilitation center (Wilkes County), and 14 NF beds from Willow Creek Nursing and Rehabilitation Center (Wayne County) 5/1/23 7/21/23 Conditional Approval Findings

June 2023

County Project ID Facility FID Facility Type Project Description Application Review Date Decision Date Decision Findings
Caldwell E-012348-23 BMA Lenoir 170328 ESRD Add no more than 4 dialysis stations pursuant to Condition 2 of the facility need methodoloyg for a total of no more than 54 stations upon project completion 4/1/23 6/15/23 Conditional Approval Findings
Cumberland M-012332-23 Cape Fear Valley Medical Center 943057 HOSPITAL Develop no more than 18 acute care beds pursuant to the need determination in the 2023 SMFP for a total of no more than 636 beds upon project completion, including 44 neonatal intensive care units (NICU) beds, upon completion of this project, Project ID# M-12178-22 (add 29 AC beds pursuant to a 2022 SMFP Need Determination) and Project ID# M-8689-11 (add 65 AC beds pursuant to a 2011 Need Determination). 3/1/23 6/29/23 Conditional Approval Findings
Duplin P-012326-23 The Gardens of Rose Hill 945023 ACH Relocate no more 15 ACH beds from Autumn Village to The Gardens of Rose Hill for a total of no more than 60 ACH beds upon project completion 3/1/23 6/22/23 Conditional Approval Findings
Durham J-012350-23 FMC Dialysis Services of Briggs Avenue 990969 ESRD Add no more than 5 dialysis stations pursuant to the Condition 2 of the facility need methodology for a total of no more than 29 stations upon completion of this project and Project ID# J-12311-23 (relocate 5 stations) 4/1/23 6/23/23 Conditional Approval Findings
Forsyth G-012341-23 The Atrium/The Respite Center 922007 MHL Construct two six-bed ICF-IID group homes on the same site by relocating 10 beds from The Arches in Winston-Salem and two beds from The Atrium/The Respite Center 4/1/23 6/26/23 Conditional Approval Findings
Forsyth G-012338-23 Harmony at Kernersville 230135 ACH Develop a new ACH facility by relocating 90 ACH beds from The Ivy at Clemmons, including 36 SCU beds 3/1/23 6/23/23 Conditional Approval Findings
Guilford G-012347-23 BMA of South Greensboro 980838 ESRD Add no more than 4 dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 58 stations upon completion of this project and Project ID# G-11737-19 (relocate 10 stations) 4/1/23 6/26/23 Conditional Approval Findings
Jackson A-012313-23 Balsam Home Training 230039 ESRD Develop a new freestanding home dialysis training facility by relocating no more than 2 existing dialysis stations from Sylva Dialysis dedicated exclusively to home hemodialysis and peritoneal dialysis training and support 2/1/23 6/2/23 Conditional Approval Findings
Nash L-012346-23 Rocky Mount Kidney Center 944658 ESRD Add no more than 1 dialysis station pursuant to Condition 2 for a total of no more than 51 stations upon completion of this project and Project ID# L-12165-21 (add 10 stations) 4/1/23 6/19/23 Conditional Approval Findings
New Hanover O-012317-23 Novant Health New Hanover Regional Medical Center 943372 HOSPITAL Develop no more than 25 acute care beds pursuant to the need determination in the 2023 SMFP for a total of no more than 774 acute care beds, including NICU beds, at all campuses of Novant Health New Hanover Regional Medical Center upon completion of this project, Project ID# O-11947-20 (develop a new satellite hospital campus including 36 new acute care beds) and Project ID# O-12081-21 (develop 35 new acute care beds) 3/1/23 6/30/23 Conditional Approval Findings
Rutherford C-012345-23 Dialysis Care of Rutherford County 955824 ESRD Add no more than one in-center station pursuant to Condition 2 of the facility need methodology for a total of no more than 31 in-center stations upon project completion 4/1/23 6/15/23 Conditional Approval Findings

May 2023

County Project ID Facility FID Facility Type Project Description Application Review Date Decision Date Decision Findings
Durham J-012311-23 Fresenius Kidney Care Eno River 170324 ESRD Relocate no more than 5 dialysis stations from FMC Briggs Avenue for a total of no more than 19 dialysis stations upon project completion 2/1/2023 5/1/2023 Conditional Approval Findings
Randolph G-012339-23 Cone Health Cancer Center - Asheboro 230134 DXCTR Replace and relocate no more than one linear accelerator and no more than one CT simulator to a new cancer center 3/1/2023 5/24/2023 Conditional Approval Findings
Wake J-012329-23 Duke Raleigh Hospital 923421 HOSPITAL Acquire no more than one CT scanner for a total of no more than five CT scanners 3/1/2023 5/26/2023 Conditional Approval Findings
Wake J-012321-23 Raleigh Endoscopy Center-Holly Springs 230128 ASC Develop a new ASF with no more than three GI endoscopy rooms upon project completion 3/1/2023 5/22/2023 Conditional Approval Findings
Wake J-012328-23 Duke Imaging Garner 230129 DXCTR Develop a diagnostic center with mammography and ultrasound 3/1/2023 5/5/2023 Conditional Approval Findings

April 2023

County Project ID Facility FID Facility Type Project Description Application Review Date Decision Date Decision Findings
Alamance G-012301-22 Carolina Dialysis - Mebane 100545 ESRD Add no more than 2 dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 27 dialysis stations upon completion of this project and Project ID# J-12080-21 (relocate 2 stations) 12/1/2022 4/19/2023 Denied Findings
Brunswick O-012325-23 Novant Health Brunswick Medical Center 061342 HOSPITAL Develop no more than one fixed MRI scanner pursuant to the need determination in the 2023 SMFP for a total of no more than two fixed MRI scanners upon project completion 3/1/2023 4/26/2023 Conditional Approval Findings
Cumberland M-012333-23 Cape Fear Valley Medical Center 943057 HOSPITAL Develop no more than 8 hospice inpatient beds pursuant to the need determination in the 2023 SMFP 3/1/2023 4/27/2023 Conditional Approval Findings
New Hanover O-012304-22 Wilmington Health on Silver Stream Lane 220781 ASC Develop a new ASF by relocating no more than three existing multispecialty GI endoscopy rooms and adding one new GI endoscopy room for a total of no more than four GI endoscopy rooms 12/1/2022 4/28/2023 Conditional Approval Findings
Orange J-012320-23 University of North Carolina Medical Center 923517 HOSPITAL Develop no more than 24 Level IV NICU beds for a total of no more than 82 neonatal beds, including 72 Level IV NICU beds and 10 Level III neonatal beds 3/1/2023 4/28/2023 Conditional Approval Findings
Orange J-012322-23 University of North Carolina Hospitals-Hillsborough 090274 HOSPITAL Acquire no more than one unit of fixed cardiac catherization equipment pursuant to the need determination in the 2023 SMFP 3/1/2023 4/28/2023 Conditional Approval Findings
Randolph G-012307-23 Randolph Hospital 933425 HOSPITAL Develop an inpatient dialysis service with no more than 3 stations 2/1/2023 4/6/2023 Conditional Approval Findings
Swain A-012312-23 Cherokee Dialysis Center 970527 ESRD Relocate existing dialysis facility 2/1/2023 4/27/2023 Conditional Approval Findings

March 2023

County Project ID Facility FID Facility Type Project Description Application Review Date Decision Date Decision Findings
Beaufort Q-012310-23 Beaufort County Home 230038 ESRD Develop a new freestanding home dialysis training facility by relocating no more than two dialysis stations and the entire home training program from FMC Pamlico to be exclusively dedicated to home hemodialysis and peritoneal dialysis training and support services 2/1/2023 3/22/2023 Conditional Approval Findings
Edgecombe l-012298-22 FMC Tarboro 150155 ESRD Add no more than one dialysis station pursuant to Condition 2 of the facility need methodology for a total of no more than 19 dialysis stations upon completion of this project and Project ID# L-12103-21 (add 4 stations) 12/1/2022 3/17/2023 Conditional Approval Findings
Guilford G-012289-22 The Stanbridge 220735 ACH Develop a new ACH by relocating no more than 60 ACH beds, including 32 SCU beds, from Holden Heights 11/1/2022 3/28/2023 Conditional Approval Findings
Guilford G-012288-22 The Waverly at Oak Hollow 200746 ACH Relocate no more than 25 ACH beds from Holden Heights to The Waverly Oak Hollow which is a change of scope to Project ID# G-11965-20 (relocate 29 ACH beds from Guilford House and 11 ACH beds from Holden Heights) for a total of no more than 65 ACH beds 11/1/2022 3/23/2023 Conditional Approval Findings
Mecklenburg F-012285-22 Novant Health Matthews Medical Center 945076 HOSPITAL Acquire no more than 1 fixed MRI scanner  pursuant to the 2022 SMFP need determination for a total of no more than 2 fixed MRI scanners 11/1/2022 3/28/2023 Conditional Approval Findings
Mecklenburg F-012287-22 OrthoCarolina University 220734 DXCTR Acquire no more than 1 fixed MRI scanner  pursuant to the 2022 SMFP need determination 11/1/2022 3/28/2023 Denied Findings
Mecklenburg F-012280-22 Atrium Health Pineville 110878 HOSPITAL Develop no more than 5 acute care beds pursuant to the 2022 SMFP need determination for a total of no more than 308 acute care beds upon completion of this project, Project ID #F-12084-21 (relocate 26 beds to Atrium Health Steele Creek), and Project ID #F-12147-21 (develop 25 beds) 11/1/2022 3/24/2023 Conditional Approval Findings
Mecklenburg F-012281-22 Carolinas Medical Center 943070 HOSPITAL Develop no more than 38 acute care beds pursuant to the 2022 SMFP need determination for a total of no more than 1,255 acute care beds upon completion of this project, Project ID #F-12006-20 (add 87 beds), and Project ID #F-12149-21 (add 75 beds) 11/1/2022 3/24/2023 Conditional Approval Findings
Mecklenburg F-012282-22 Atrium Health University City 923516 HOSPITAL Develop no more than 8 acute care beds pursuant to the 2022 SMFP need determination for a total of no more than 120 acute care beds upon completion of this project and Project ID #F-12146-21 (add 8 beds) 11/1/2022 3/24/2023 Conditional Approval Findings
Mecklenburg F-012293-22 Novant Health Presbyterian Medical Center 943501 HOSPITAL Develop no more than 30 acute care beds pursuant to the 2022 SMFP need determination for a total of no more than 542 acute care beds upon completion of this project, Project ID #F-8765-11 (add 14 beds), Project ID #F-11625-18 (relocate 36 beds to develop Novant Health Ballantyne Medical Center), and Project ID #F-12144-21 (add 15 beds) 11/1/2022 3/24/2023 Conditional Approval Findings
Moore H-012284-22 Southern Pines Surgery Center 220730 ASC Acquire and relocate no more than two ORs from Surgery Center of Pinehurst to develop a new ASC with four procedure rooms 11/1/2022 3/29/2023 Denied Findings
Moore H-012290-22 Sandhills Health & Rehabilitation, LLC 220736 NH Develop a new NF by relocating no more than 86 NF beds from St. Joseph of the Pines 11/1/2022 3/22/2023 Conditional Approval Findings
New Hanover O-012295-22 The Luminance at Riverlights 160565 ACH Relocate no more than 20 ACH beds from Castle Creek Memory Care to The Luminance at Riverlights which is a change of scope to Project ID# O-11964-20 (relocate 40 ACH beds from New Hanover House) for a total of no more than 60 ACH beds 11/1/2022 3/28/2023 Conditional Approval Findings
Pitt Q-012294-22 Greenville MRI, LLC 030544 DXCTR Acquire no more than one fixed MRI scanner pursuant to the 2022 SMFP need determination for a total of no more than 3 fixed MRI scanners upon project completion 11/1/2022 3/29/2023 Denied Findings
Pitt Q-012286-22 Orthopaedics East & Sports Medicine Center 220733 DXCTR Acquire no more than one fixed MRI scanner  pursuant to the 2022 SMFP need determination 11/1/2022 3/29/2023 Conditional Approval Findings
Pitt Q-012297-22 FMC Dialysis Services East Carolina University 960406 ESRD Relocate the entire facility and add no more than six dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 47 stations upon project completion 12/1/2022 3/3/2023 Conditional Approval Findings

February 2023

County Project ID Facility FID Facility Type Project Description Application Review Date Decision Date Decision Findings
Alexander E-012300-22 Fresenius Medical Care of Alexander County 090725 ESRD Add no more than 5 dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 18 dialysis stations upon project completion 12/1/2022 2/24/2023 Conditional Approval Findings
Burke E-012305-22 UNC Health Blue Ridge 943191 HOSPITAL Add no more than one GI endoscopy room at the Morganton campus for no more than two GI endoscopy rooms 12/1/2022 2/27/2023 Conditional Approval Findings
Craven P-012306-22 CCHC Endoscopy Center 061311 ASC Add no more than one GI endoscopy room for a total of no more than four GI endoscopy rooms upon project completion 12/1/2022 2/20/2023 Conditional Approval Findings
Cumberland M-012270-22 Cape Fear Valley Medical Center 943057 HOSPITAL Develop a hospital based outpatient 4-station dialysis facility pursuant to Policy ESRD-3 10/1/2022 2/24/2023 Conditional Approval Findings
Currituck R-012271-22 Sentara Advanced Imaging Solutions-Moyock 220669 DXCTR Develop one fixed MRI scanner pursuant to the 2022 SMFP need determination 10/1/2022 2/27/2023 Conditional Approval Findings
Edgecombe L-012277-22 FMC Tarboro 150155 ESRD Cost overrun for Project ID# L-12103-21 (add 4 dialysis stations for a total of 18) 11/1/2022 2/17/2023 Conditional Approval Findings
Pasquotank R-012266-22 Chesapeake Regional Imaging Centers-Elizabeth City 220668 DXCTR Develop one fixed MRI scanner pursuant to the 2022 SMFP need determination 10/1/2022 2/27/2023 Denied Findings
Pitt Q-012302-22 Carolinas Endoscopy Center 061341 ASC Add no more than one GI endoscopy room for no more than four GI endoscopy rooms upon project completion 12/1/2022 2/24/2023 Conditional Approval Findings

January 2023

County Project ID Facility FID Facility Type Project Description Application Review Date Decision Date Decision Findings
Chatham J-012246-22 Chatham County Rehabilitation Center 130367 NH Change of Scope and Cost Overrun for Project ID # J-11656-19 (Relocate no more 6 ACH beds from Liberty Commons Nursing and Rehab Center of Halifax County and no more than 30 ACH beds from Cross Creek Healthcare of Hyde County for a total of no more than 105 NF beds and 36 ACH beds upon project completion) 9/1/2022 1/27/2023 Conditional Approval Findings
Chowan R-012268-22 Chowan Home Dialysis 200027 ESRD Develop one dialysis station to be used exclusively for home hemodialysis training and support services 10/1/2022 1/25/2023 Denied Findings
Gaston F-012299-22 Fresenius Medical Care Belmont 050039 ESRD Add no more than 9 dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 28 dialysis stations upon project completion 12/1/2022 1/27/2023 Conditional Approval Findings
Iredell F-012267-22 Iredell Memorial Hospital, Incorporated 933284 HOSPITAL Develop a new facility with 4 stations pursuant to Policy ESRD-3 10/1/2022 1/27/2023 Conditional Approval Findings
Iredell F-012283-22 Lake Norman Radiation Oncology-Mooresville 220729 LINAC Replace linear accelerator 11/1/2022 1/25/2023 Conditional Approval Findings
Mecklenburg F-012303-22 Brookshire Dialysis 150477 ESRD Add no more than 9 dialysis stations pursuant to Condition 1 of the facility need methodology for a total of no more than 20 stations upon project completion 12/1/2022 1/27/2023 Conditional Approval Findings
Mecklenburg F-012257-22 Atrium Health Pineville 110878 HOSPITAL Acquire no more than one additional linear accelerator pursuant to the need determination in the 2022 SMFP for a total of no more than two linear accelerators 9/1/2022 1/26/2023 Conditional Approval Findings
Mecklenburg F-012278-22 Fresenius Kidney Care Regal Oaks 150024 ESRD Cost overrun for Project ID# F-12162-21 (add 2 dialysis stations for a total of 21 stations upon completion of this project and Project ID #F-12136-21) 11/1/2022 1/20/2023 Conditional Approval Findings
Mecklenburg F-012279-22 Atrium Health Ballantyne Emergency Department 220728 HOSPITAL Cost overrun for Project ID #F-12088-21 (develop a satellite ED) 11/1/2022 1/18/2023 Conditional Approval Findings
Pender O-012276-22 Valleygate Dental Surgery Center Coast 220727 ASC Develop a new ASC by relocating no more than one OR from Valleygate Dental Surgery Center of Fayetteville with one procedure room 11/1/2022 1/27/2023 Conditional Approval Findings
Wake J-012248-22 KM Surgery Center 220571 ASC Develop a multi-specialty ASF with no more than one OR pursuant to the 2022 SMFP with two procedure rooms upon project completion 9/1/2022 1/27/2023 Denied Findings
Wake J-012250-22 Wake Endoscopy Center-Holly Springs 220577 ASC Develop a new ASF with no more than two GI endoscopy rooms 9/1/2022 1/27/2023 Conditional Approval Findings
Wake J-012252-22 Oakview ASC, LLC 220579 ASC Develop a single-specialty ophthalmic ASF with no more than one OR pursuant to the need determination in the 2022 SMFP with one procedure room 9/1/2022 1/27/2023 Denied Findings
Wake J-012253-22 Triangle Vascular Care 220580 ASC Develop a ASF with no more than one OR pursuant to the need determination in the 2022 SMFP and two procedure rooms for vascular access procedures 9/1/2022 1/27/2023 Denied Findings
Wake J-012261-22 Duke Health Green Level Ambulatory Surgical Center 180422 ASC Develop no more than two additional operating rooms pursuant to the need determination in the 2022 SMFP which is a change in scope to CON Project ID# J-11557-18 (develop a new ASF with one operating rooms and five procedure rooms)  for a total of 3 operating rooms and 3 procedure rooms upon completion of this project and Project ID# J-11557-18 9/1/2022 1/27/2023 Denied Findings
Wake J-012263-22 Duke Raleigh Hospital 923421 HOSPITAL Develop no more than 45 additional acute care beds pursuant to the need determination in the 2022 SMFP for a total of no more than 191 acute care beds upon completion of this project and Project ID# J-12029-21 (Develop a new separately licensed 40-bed hospital [Duke Green Level Hospital] by relocating no more than 40 acute care beds and two shared operating rooms from Duke Raleigh Hospital) 9/1/2022 1/27/2023 Conditional Approval Findings
Wake J-012264-22 WakeMed Garner Hospital 220581 HOSPITAL Develop a new hospital with a total of 31 acute care beds and 2 operating rooms by developing no more than 9 new acute care beds and two new operating rooms pursuant to the need determinations in the 2022 SMFP and relocating no more than 22 acute care beds from the WakeMed Raleigh Campus. 9/1/2022 1/27/2023 Conditional Approval Findings
Wake J-012258-22 UNC REX Hospital 953429 HOSPITAL Add no more than 36 acute care beds pursuant to the need determination in the 2022 SMFP for a total of no more than 475 acute care beds at UNC REX Hospital upon project completion 9/1/2022 1/27/2023 Conditional Approval Findings
Wake J-012259-22 UNC REX Holly Springs Hospital 070823 HOSPITAL Add no more than 9 acute care beds pursuant to the need determination in the 2022 SMFP for a total of no more 59 acute care beds upon project completion 9/1/2022 1/27/2023 Denied Findings
Wake J-012260-22 UNC REX Hospital 953429 HOSPITAL Develop no more than two additional ORs pursuant to the need determination in the 2022 SMFP 9/1/2022 1/27/2023 Denied Findings
Wake J-012291-22 WakeMed 943528 HOSPITAL Cost overrun for Project ID# J-010165-13 (reconvert 21 NF beds at WakeMed Fuquay-Varina to acute care beds) 11/1/2022 1/27/2023 Conditional Approval Findings
Wake J-012292-22 WakeMed North Hospital 990974 HOSPITAL Cost overrun for Project ID# J-010166-13 (reconvert 3 NF beds at WakeMed Fuquay-Varina and 13 NF beds from WakeMed Zebulon-Wendell to acute care beds) 11/1/2022 1/27/2023 Conditional Approval Findings
Wake J-012265-22 WakeMed Behavioral Health Center 220582 MHH Develop a psychiatric hospital by relocating no more than 50 psychiatric inpatient beds from Broughton Hospital pursuant to Policy PSY-1 and developing no more than 100 additional psychiatric inpatient beds for a total of no more than 150 psychiatric inpatient beds upon project completion 9/1/2022 1/18/2023 Conditional Approval Findings
Wilson L-012269-22 Wilson Home Dialysis 200032 ESRD Develop one dialysis station to be used exclusively for home hemodialysis training and support services, which is a Change of Scope for CON Project ID# L-11836-20 10/1/2022 1/25/2023 Denied Findings