Applicant:

Central Connecticut Endoscopy Center

Docket Number:

04-30187-RCN

Project Title:

Reconsideration of Final Decision for Establishment of Single-Specialty Endoscopy Center

Date:

August 12, 2004

Summary:

Central Connecticut Endoscopy Center's request for reconsideration has been Approved

Applicant:

Norwalk Hospital

Docket Number:

04-30294-CON

Project Title:

Renovation of Obstetrical Unit

Date:

August 11, 2004

Summary

Norwalk Hospital's request to replace the current obstetrical unit, at a total capital expenditure of $1,900,000, has been approved and a Certificate of Need has been GRANTED.

Applicant:

Radiologic Association of Middletown, P.C. d/b/a Guilford Radiology

Docket Number:

04-30349-WVR

Project Title:

Request to Waive CON Requirements for Replacement of Mobile MRI Unit

Date:

August 10, 2004

Summary

Radiologic Associates of Middletown, P.C. d/b/a Guilford Radiology's request for a waiver of CON requirements for replacement equipment to replace its existing MRI unit, at a total capital cost of $1,743,114, meets the requirements for waiver of the CON process pursuant to Section 19a-639c, C.G.S., and is hereby GRANTED.

Applicant:

John Dempsey Hospital

Docket Number:

04-30343-WVR

Project Title:

Request to waive CON Requirements for the Replacement of Existing CT Scanner

Date:

August 5, 2004

Summary

John Dempsey Hospital’s request for a waiver of CON requirements for replacement equipment to replace its existing CT scanner, at a total capital expenditure of $965,272, meets the requirements for waiver of the CON process pursuant to Section 19a-639c, C.G.S., and is hereby GRANTED.

Applicant:

Danbury Hospital

Docket Number:

03-30143-CON

Project Title:

Establish a Regional Primary and Elective Angioplasty and Open Heart Surgery Program in Danbury

Date:

July 23, 2004

Summary

Danbury Hospital's ("Hospital") request to establish a regional primary and elective angioplasty and open-heart surgery program, to be located at Danbury Hospital at a total capital expenditure of $5,691,866 has been GRANTED under an Agreed Settlement.

Applicant:

The Waterbury Hospital and St. Mary’s Hospital Corporation, d/b/a Waterbury Area Heart Center, Inc. and University of Connecticut Health Center/John Dempsey Hospital

Docket Number:

03-30167-CON

Project Title:

Establish a Primary and Elective Angioplasty and Open Heart Surgery Program at Waterbury Hospital and St. Mary’s Hospital

Date:

July 23, 2004

Summary

The Waterbury Hospital and St. Mary’s Hospital Corporation, d/b/a Waterbury Area Heart Center, Inc. and the University of Connecticut Health Center/John Dempsey Hospital ("Applicants") request to establish a primary and elective angioplasty and open-heart surgery program at St. Mary’s Hospital and The Waterbury Hospital, at a total capital expenditure of $7,181,248 has been GRANTED under an Agreed Settlement.

Applicant:

Yale-New Haven Hospital

Docket Number:

04-30244-CON

Project Title:

North Pavilion Enabling Project

Date:

July 9, 2004

Summary

Yale-New Haven Hospital's request to demolish the Grace building and other structures on its Hospital campus in New Haven, Connecticut, relocate certain departments, major utility services, and a data center as listed in Tables 4, 5, 6, and 7 of the Findings of Fact, create additional surface parking areas, and plan and design a proposed new patient care building, at a total capital expenditure of $19,990,000, has been approved and a Certificate of Need has been GRANTED subject to conditions.

Applicant:

John Dempsey Hospital of the University of Connecticut Health Center

Docket Number:

04-30272-CON

Project Title:

Termination of Bone Marrow Transplant Program

Date:

July 8, 2004

Summary

John Dempsey Hospital of the University of Connecticut Health Center ("Hospital") request to terminate its Bone Marrow Transplant Program has been approved and a Certificate of Need has been GRANTED. In order for the Hospital to reestablish this program at any time in the future, the Hospital must seek authorization from OHCA pursuant to Section 19-638 of the Connecticut General Statutes.

Applicant:

Wilton Pain Management Ctr., LLC d/b/a Wilton Surgery Ctr. LLC

Docket Number:

04-30251-CON

Project Title:

Expansion of Scope of Services

Date:

July 7, 2004

Summary

Wilton Pain Management, LLC d/b/a Wilton Surgery Center, LLC located at 195 Danbury Rd in Wilton, Connecticut request to expand the scope of its services to include ophthalmic procedures, add two additional operating rooms, and purchase the medical equipment necessary to perform ophthalmological surgical procedures, at a total proposed capital expenditure of $449,000, has been approved subject to the following conditions, and a Certificate of Need has been Granted.

Applicant:

Yale-New Haven Hospital, Bridgeport Hospital and Greenwich Hospital

Docket Number:

03-30148-CON

Project Title:

Establish Primary Angioplasty at Greenwich Hospital

Date:

July 8, 2004

Summary

Yale-New Haven Hospital, Bridgeport Hospital and Greenwich Hospital d/b/a Yale-New Haven Health Heart Institute request for a CON to establish a primary interventional cardiac service to be located at Greenwich Hospital at a total capital expenditure of $5,000 has been GRANTED under an Agreed Settlement. OHCA and the Applicants agree that this CON is granted for and in effect for an initial period of three (3) years, starting on the date of the performance of the first primary angioplasty procedure, in order for the Applicants to validate that the program can achieve the utilization that has been projected in the CON proposal.

Applicant:

Naugatuck Valley Computerized Imaging, LLC

Docket Number:

04-30314-WVR

Project Title:

Request to Waive CON Requirements for Replacement and Upgrade CT Scanner

Date:

July 2, 2004

Summary

Naugatuck Valley Computerized Imaging, LLC's request to replace and upgrade its existing CT Scanner unit, at a total capital cost of $1,325,000, has been approved and a Certificate of Need has been GRANTED.

Applicant:

Docket Number:

Project Title:

Date:

Summary

Applicant:

Central Connecticut Endoscopy Center, LLC

Docket Number:

03-30187-CON

Project Title:

Establishment of a Single-Specialty, Outpatient

Endoscopy Center

Date:

June 25, 2004

Summary

Central Connecticut Endoscopy Center, LLC's request for the establishment of a single-specialty, outpatient endoscopy center to be located at 440 New Britain Avenue, Plainville, Connecticut, at a capital expenditure of $1,650,355 has been approved and a certificate of need has been GRANTED

Applicant:

Norwalk Hospital

Docket Number:

04-30245-CON

Project Title:

Acquire a Replacement Linear Accelerator with IMRT Technology

Date:

June 24, 2004

Summary

Norwalk Hospital's request to acquire a replacement linear 



accelerator with IMRT technology, at a total capital expenditure 


of $4,100,000, has been approved and certificate of need has been granted.

Applicant:

Waterbury Hospital

Docket Number:

04-30210-CON

Project Title:

Dental Clinic Closure

Date:

June 9, 2004

Summary

Waterbury Hospital's request to terminate it's dental clinic at no capital expenditure has been approved and a Certificate of Need has been granted.

Applicant:

Gaylord Hospital, Inc. and Saint Mary's Hospital Corporation

Docket Number:

03-30218-CO

Project Title:

Establish a 25 Bed Long Term Acute Care Hospital at St. Mary's Hospital as a Demonstration Project

Date:

May 27, 2004

Summary

The Applicants’ request for a Certificate of Need ("CON") to establish a 25 bed Long Term Acute Care Hospital ("LTAC facility") at Saint Mary’s Hospital’s Franklin Street campus in Waterbury as a demonstration project authorized by Public Act 03-275, at a total capital expenditure of $4,063,000, has been approved as an Agreed Settlement.

Applicant:

St. Vincent's Medical Center

Docket Number:

04-30291-WVR

Project Title:

Request to Waive CON Requirements for the Replacement of Interventional Suite Radiology Equipment

Date:

May 27, 2004

Summary

St. Vincent’s Medical Center’s request for a waiver of CON requirements for replacement equipment to replace its existing interventional suite radiology equipment, at a total capital expenditure of $1,537,973, meets the requirements for waiver of the CON process pursuant to Section 19a-639c, C.G.S., and is hereby GRANTED.

Applicant:

St. Vincent's Medical Center

Docket Number:

04-30293-WVR

Project Title:

Request to Waive CON Requirements for the Replacement of CT Scanner #2

Date:

May 27, 2004

Summary

St. Vincent’s Medical Center’s request for a waiver of CON requirements for replacement equipment to replace its existing CT scanner #2, at a total capital expenditure of $1,084,008, meets the requirements for waiver of the CON process pursuant to Section 19a-639c, C.G.S., and is hereby GRANTED.

Applicant:

St. Vincent's Medical Center

Docket Number:

04-30292-WVR

Project Title:

Request to Waive CON Requirements for the Replacement of CT Scanner #1

Date:

May 27, 2004

Summary

St. Vincent’s Medical Center’s request for a waiver of CON requirements for replacement equipment to replace its existing CT scanner #1, at a total capital expenditure of $1,757,008, meets the requirements for waiver of the CON process pursuant to Section 19a-639c, C.G.S., and is hereby GRANTED.

Applicant:

Greenwich Hospital

Docket Number:

04-30295 CON

Project Title:

Acquire and Install a Standby Emergency Generator

Date:

June 3, 2004

Summary

Greenwich Hospital 's request to acquire and install a standby emergency generator, at a total capital expenditure of $1,580,000, has been approved and a certificate of need has been granted

Applicant:

Mandell & Blau, MDs, P.C. d/b/a Open MRI of Buckland Hills

Docket Number:

03-30205-CON

Project Title:

Acquisition of an Open Magnetic Resonance Imaging Unit

Date:

May 20, 2004

Summary

Mandell & Blau, M.D.s, P.C. d/b/a Open MRI of Buckland Hills' request to replace its existing open MRI unit with a Hitachi Altaire 0.7 T Open MRI with high field performance unit at its South Windsor location, at a total capital cost of $1,885,000, has been approved and a certificate of need has hereby GRANTED.

Applicant:

Yale-New Haven Hospital

Docket Number:

04-30284-WVR

Project Title:

Request to Waive CON Requirements for Replacement of MRI Scanner

Date:

April 27, 2004

Summary

Yale-New Haven Hospital's request to replace its existing MRI Scanner unit, at a total capital cost of $760,000, has been approved and a certificate of need has been GRANTED.

Applicant:

Fairfield County High Field Open MRI, LLC

Docket Number:

04-30236-CON

Project Title:

Acquire a High Field Open MRI Unit for Fairfield Office

Date:

April 27, 2004

Summary

Fairfield County High Field Open MRI, LLC's request to acquire a high field open MRI unit for its Fairfield office, at a total capital expenditure of $2,096,000, has been approved and a certificate of need has been GRANTED

Applicant:

Middlesex Hospital

Docket Number:

04-30230-CON

Project Title:

Acquisition of a 1.5 Tesla Magnetic Resonance Imaging System

Date:

April 30, 2004

Summary

Middlesex Hospital's request to acquire a fixed 1.5 Tesla Magnetic Resonance Imaging System for its Middlesex Outpatient Center at 534 Old Saybrook Road, Middletown, at a total capital expenditure of $2,500,000, has been approved and a certificate of need has been GRANTED.

Applicant:

Stonington Institute

Docket Number:

04-30249-CON

Project Title:

Transfer of Ownership and Control Through Purchase and Sale of Assets

Date:

April 22, 2004

Summary

Connecticut Hospital Management Corporation d/b/a Stonington Institute (CHMC) request to transfer ownership and control of CHMC's assets through the purchase and sale of CHMC's assets to Stonington Behavioral Health, Inc. (SBH), at a total capital expenditure of $40,200,000 has been approved and a certificate of need has been GRANTED.

Applicant:

Norwalk Hospital

Docket Number:

04-30229-CON

Project Title:

Replacement and Purchase of Open MRI Unit

Date:

April 22, 2004

Summary

Norwalk Hospital's request to purchase a replacement open MRI unit to be operated at the Norwalk Radiology & Mammography Center, at a total capital expenditure of $1,200,000, has been approved and a certificate of need has been GRANTED.

Applicant:

New Milford Hospital

Docket Number:

03-30089-CON (includes attachments)

Project Title:

Establish a Diagnostic/ Interventional Cardiac Catheterization Lab

Date:

April 21, 2004

Summary:

New Milford Hospital and New York Presbyterian Healthcare System, Inc. request to establish the diagnostic and interventional cardiac catheterization laboratory at New Milford Hospital, at a capital expenditure of $3,063,900 has been GRANTED under an agreed settlement. Once the number of diagnostic cardiac catheterizations exceeds 300 in any consecutive twelve-month period, the Applicants may transition the program to include primary angioplasty services.

Applicant:

Carucci Chiropractor Center

Docket Number:

03-30175-CON

Project Title:

Establishment of Mountain Top Recovery Program/Outpatient Substance Abuse Recovery

Date:

April 12, 2004

Summary

Carucci Chiropractor Center, LLC 's request to establish a Mountain Top Recovery program which is an outpatient substance abuse recovery program located at 415 Silas Deane Highway, Suite 400, Wethersfield, Connecticut at a total capital cost of $45,165, has been approved and a certificate of need has been GRANTED.

Applicant:

Griffin Hospital and Birmingham Group Health Services

Docket Number:

03-30196-CON

Project Title

Merger of Cochran Outpatient Psychiatric Clinic and Valley Mental Health Center with Transfer of Clinical and Administrative Control to Birmingham Group Health Services

Date

April 5, 2004

Summary

Griffin Hospital and Birmingham Group Health Services proposal to merge its Cochran Outpatient Psychiatric Clinic with Birmingham Group Health Services' Valley Mental Health Center at 435 East Main Street, Ansonia, Connecticut and transfer the clinical and administrative control to Birmingham Group Health Services at a total capital cost of $694,932 has been approved and a certificate of need has been Granted.

Applicant:

BlueRidge Health Services, Inc. /Saint Francis Hospital and Medical Center and Hartford Hospital, Natchaug Hospital, and Rushford Center

Docket Number:

03-30166-CON

Project Title

Transfer/Change of Ownership or Control of Behavioral Health Partial Hospital and Outpatient Programs

Date

March 25, 2004

Summary

The proposal to close the Teamworks programs in Manchester is hereby DENIED. Blue Ridge Health Services, Inc./ Saint Francis Hospital and Medical Center are hereby approved to close, or transfer to Hartford Hospital, Natchaug Hospital, and Rushford Center, Inc., the partial hospital programs and intensive outpatient programs, at a total capital expenditure of $748,000 subject to conditions.

Applicant:

Day Kimball Hospital

Docket Number:

03-30213-CON

Project Title

Picture Archiving Communications System (PACS)

Date

March 24, 2004

Summary

Day Kimball Hospital's request to acquire a Picture Archiving Communication System, at a total capital expenditure of $2,013,500, has been approved and
a certificate of need has been GRANTED

Applicant:

St. Francis Hospital and Medical Center

Docket Number:

03-30197-CON

Project Title

Expansion and Renovation of Cancer Center and Reestablishment of Stem Cell Transplant Program

Date

March 19, 2004

Summary

Saint Francis Hospital and Medical Center's request for the expansion and renovation of the Hospital's cancer center as well as the reestablishment of the Hospital's Stem Cell Transplant Program, at a total capital expenditure of $5,430,459, has been approved and
a Certificate of Need has been GRANTED.

Applicant:

Hartford Hospital

Docket Number:

03-30206-CON

Project Title

Replacement of Two Cardiac Catheterization Laboratories and Associated Renovations

Date

March 17, 2004

Summary

Hartford Hospital's request to renovate the cardiac catheterization laboratory, replace aged equipment, at 80 Seymour Street, Hartford, has been approved and a Certificate of Need has been GRANTED

Applicant:

MidState Medical Center

Docket Number:

03-30222-CON

Project Title

Replacement of Radiation Oncology Simulator with a CT Simulator

Date

March 2, 2004

Summary

MidState Medical Center's request to replace its existing Radiation Oncology simulator with a CT simulator, at a total capital expenditure of $840,900 has been approved and a certificate of need has been granted

Applicant:

Eastern Connecticut Health Network, Inc. and Eastern Connecticut Imaging, P.C.

Docket Number:

03-30172-CON

Project Title

Establish Radiology Services at the ECHN Medical Office Building at Evergreen Walk to South Windsor

Date

March 2, 2004

Summary

Eastern Connecticut Health Network and Manchester Hospital and Eastern Connecticut Imaging, P.C.'s request to establish radiology services at the ECHN Medical Office Building at Evergreen Walk in South Windsor, at a total proposed capital expenditure of $3,118,325, has been approved and a certificate of need has been GRANTED.

Applicant:

Yale-New Haven Hospital

Docket Number:

03-30171-CON

Project Title

Acquire Computed Radiography Equipment

Date

February 3, 2004

Summary

Yale-New Haven Hospital's request to acquire computed radiography equipment, at a total capital expenditure of $2,400,000, has been approved and a certificate of need has been GRANTED

Applicant:

Bridgeport Hospital

Docket Number:

03-30181-CON

Project Title

Establish a Mobile Lithotripsy Service under Bridgeport Hospital's License

Date

January 30, 2004

Summary

Bridgeport Hospital's request to establish a mobile lithotripsy service under Bridgeport Hospital's license, at a total capital cost of $425,000, has been approved and a certificate of need has been GRANTED

Applicant:

Community Health & Wellness Center of Greater Torrington and The Charlotte Hungerford Hospital

Docket Number:

03-30146-CON

Project Title

Establishment of a Federally Qualified Health Center

Date

January 29, 2004

Summary

Community Health & Wellness Center of Greater Torrington and The Charlotte Hungerford Hospital's request to establish a Federally Qualified Health Center has been approved and a certificate of need has been GRANTED

Applicant:

Bradley Memorial Hospital and Health Center

Docket Number:

03-30184-CON

Project Title

Replacement of Mobile Magnetic Resonance Imaging Service with fixed Magnetic Resonance Imaging Service

Date

January 29, 2004

Summary

Bradley Memorial Hospital's request to replace its mobile magnetic resonance imaging service with a fixed magnetic resonance imaging scanner at a total capital expenditure of $2,425,500 has been approved and a certificate of need has been GRANTED.

Applicant:

Greenwich Hospital

Docket Number:

03-30201

Project Title

Establish Lithotripsy Service Under Greenwich Hospital's License

Date

January 27, 2004

Summary

Greenwich Hospital's request to establish a lithotripsy service to be operated under its own hospital license at a proposed capital cost of $425,000 has been approved and a certificate of need has been GRANTED.

Applicant:

United Community & Family Services

Docket Number:

03-30157

Project Title

Termination of Outpatient Services in Old Saybrook

Date

January 23, 2004

Summary

United Community & Family Services' request to terminate its outpatient behavioral health service in Old Saybrook has been approved and a certificate of need has been GRANTED.

Applicant:

Gaylord Hospital, Inc

Docket Number:

03-30195

Project Title

Establish Outpatient Rehabilitative Services in Guilford

Date

January 23, 2004

Summary

Gaylord Hospital, Inc.'s request to establish outpatient rehabilitative services at 37 Soundview Road, Guilford, Connecticut at a total capital expenditure of $112,900, has been approved and a certificate of need has been GRANTED.

Applicant:

The Stamford Hospital

Docket Number:

03-30163

Project Title

Construction and Renovation of a Dedicated Cardiology Unit

Date

January 23, 2004

Summary

The Stamford Hospital's request to construct and perform renovations for a dedicated 32-bed cardiology unit, at a total capital expenditure of $2,744,535, has been approved and a certificate of need has been GRANTED

Applicant:

The Charlotte Hungerford Hospital and Alliance Imaging, Inc

Docket Number:

03-30189

Project Title

Add an Additional Day for Mobile PET Scanning Services at Winsted Campus

Date

January 23, 2004

Summary

The Charlotte Hungerford Hospital and Alliance Imaging, Inc.'s request to add an additional day once every two weeks for mobile PET scanning services to be provided at the Hospital's Winsted campus, at a total capital expenditure of $1,695,000, has been approved and a certificate of need has been GRANTED

Applicant:

Waterbury Hospital

Docket Number:

03-30135

Project Title

Replacement of Hospital Information System

Date

January 21, 2004

Summary

Waterbury Hospital's request to replace its existing hospital information system with a new information system, at a total capital expenditure of $10,925,881, has been approved and a certificate of need has been GRANTED.

Applicant:

Danbury Hospital

Docket Number:

03-30139

Project Title

Acquire a New 3.0 Tesla Fixed MRI Unit and Operate a 1.5 Tesla Mobile MRI Unit on a Temporary Basis

Date

January 21, 2004

Summary

Danbury Hospital's request to acquire a new 3.0 tesla fixed MRI unit and operate a 1.5 tesla mobile MRI unit on a temporary basis, at a total capital expenditure of $3,778,462, has been approved and a certificate of need has been GRANTED.

Applicant:

St. Francis Hospital and Medical Center

Docket Number:

03-30150

Project Title

Establish a 28 Bed Long Term Acute Care Hospital at St. Francis Hospital and Medical Center as a Demonstration Project

Date

January 16, 2004

Summary

Saint Francis Hospital and Medical Center and Hospital for Special Care's request for a CON to establish a 28 bed LTAC at Saint Francis Hospital and Medical Center as a demonstration project authorized by Public Act at a total capital expenditure of $2,102,718 has been approved and a certificate of need and GRANTED.

Applicant:

Johnson Memorial Hospital

Docket Number:

03-30186

Project Title

Establish Lithotripsy Service

Date

January 16, 2004

Summary

Johnson Memorial Hospital's request to establish a transportable lithotripsy service has been approved and a certificate of need has been GRANTED

Applicant:

Fresh Start Substance Services, LLC

Docket Number:

03-30043-CON

Project Title

Establish Methadone Maintenance Program, Substance Abuse Outpatient Treatment Facility and Psychiatric Outpatient Clinic for Adults

Date

January 9, 2004

Summary

Fresh Start Substance Services, LLC's request to establish a methadone maintenance and substance abuse outpatient treatment facility and psychiatric
outpatient clinic for adults located at 285 Congress Street, Bridgeport, Connecticut at a total capital cost of $6,800, has been approved and a certificate of need has
been GRANTED.

Applicant:

Alliance Imaging, Inc. and Day Kimball Hospital

Docket Number:

03-30173

Project Title

Establish and Operate a Mobile Positron Emission Tomography Scanner at Day Kimball Hospital

Date

January 7, 2004

Summary

Alliance Imaging, Inc. and Day Kimball Hospital's request to establish a mobile Positron Emission Tomography scanning service at the Hospital's campus in Putnam, Connecticut, at a total capital cost of $1,695,000 representing the fair market value of the PET unit, has been approved and a certificate of need has been GRANTED.

Applicant:

Stamford Health System, Inc

Docket Number:

03-30156-CON

Project Title

Health Information System Replacement

Date

January 5, 2004

Summary

Stamford Health System, Inc.'s request to replace its existing health information system with a new integrated clinical, financial, and ancillary information system, at a total capital expenditure of $7,000,000 has been approved and a certificate of need has been GRANTED.

Applicant:

Stonington Institute

Docket Number:

03-30142-CON

Project Title

Establish Ambulatory Detoxification Service

Date

January 5, 2004

Summary

Stonington Institute's request to establish an outpatient detoxification service located at 75 Swantown Hill Road, North Stonington, Connecticut at no associated capital expenditure has been approved and a certificate of need has been GRANTED.

Applicant:

Bradley Memorial Hospital

Docket Number:

03-30168-CON

Project Title

Establishment of Hyperbaric Oxygen Therapy Services

Date

January 5, 2004

Summary

Bradley Memorial Hospital's request to establish a hyperbaric oxygen service, which includes the acquisition of a monoplace hyperbaric oxygen therapy chamber, at a total capital expenditure of $157,564, has been approved and a certificate of need has been GRANTED

Applicant:

Saint Francis Hospital and Medical Center

Docket Number:

03-30219-WVR

Project Title

Request to Waive CON Requirements for Replacement of Cardiac Catheterization Laboratory

Date

January 5, 2004

Summary

Saint Francis Hospital and Medical Center's request for a waiver of the CON requirements to replace its existing cardiac catheterization laboratory, a Siemens Corosop Hi-P unit, with a Philips Integris Allura unit, at a total capital expenditure of $1,190,741, meets the requirements for waiver of the CON process pursuant to Section 19a-639c, C.G.S. and is hereby GRANTED

Applicant:

Connecticut Children's Medical Center

Docket Number:

03-30090-CON

Project Title

MRI Unit Addition, CT Scanner Replacement, Radiology Department Renovation

Date

January 2, 2004

Summary

Connecticut Children's Medical Center's ("Hospital") request to acquire a fixed 1.5 Tesla Magnetic Resonance Imaging Unit, replace a CT Scan and renovate the Radiology Department at a total capital expenditure of $4,117,071, has been approved and a
Certificate of need has been Granted.