PROJECTS PENDING AT YEAR-END
(Key: AH=Alliance for Health, MDCH=Michigan Dept
of Community Health, LOI=Letter of Intent, NS=Non-Substantive)
| # | Project Title | Proposed Capital Expense | Status |
| 05-49 | Hackley Hospital - Third CT Scanner (Muskegon), CON Application No. 06-0001 | $3,203,055 | LOI - 12/13/05 |
| 05-48 | United Memorial Health Center - Mobile Lithotripsy Host Site (Greenville), CON Application No. Pending | $-0- | LOI - 11/15/05 |
| 05-47 | LifeCare Hospitals of Western Michigan - 8 Additional Beds and Renovations (Muskegon) , CON Application No. 05-0486 | $745,000 | LOI - 11/7/05 |
| 05-46 | Spectrum Health Reed City Campus - Mobile Lithotripsy Host Site (Reed City), CON Application No. 05-0487 | $-0- | LOI - 11/8/05 |
| 05-45 | Porter Hills Retirement Communities and Services - The Valley Health Center (Grand Rapids), CON Application No. 05-0452 | $2,411,000 | LOI - 11/4/05 |
| 05-44 | Porter Hills Retirement Communities and Services - The Creek Health Center (Grand Rapids), CON Application No. 05-0451 | $2,686,000 | LOI - 11/4/05 |
| 05-43 | Porter Hills Retirement Communities and Services - The Ponds Health Center (Grand Rapids), CON Application No. 05-0450 | $2,201,000 | LOI - 11/4/05 |
| 05-42 | Metropolitan Enterprises - Initiate 4-OR Ambulatory Surgical Center (Comstock Park), CON Application No. 05-0465 | $6,363,753 | LOI - 10/17/05 Revised LOI - 11/7/05 Proposal - 11/1/05; MDCH Decision Pending 3/31/06 |
| 05-41 | Plainwell Medical Investors - Acquisition of Life Care Center of Plainwell (Plainwell), CON Application No 05-0367 | NA | LOI sent to MDCH Only, Not to AH |
| 05-40 | HHMSC, LLC - Initiate 3-OR Ambulatory Surgical Center (Muskegon), CON Application No. 05-0356 | $13,035,500 | LOI - 10/4/05 Proposal - 10/31/05; MDCH Decision Pending 3/31/06 |
| 05-39 | Resthaven Care Center - Renovation and Construction (Holland), CON Application No 05-0432 | $1,509,747 | LOI - 10/3/05 Proposal - 1/3/06; MDCH Decision Pending |
| 05-37 | West Michigan Surgery Center of Grand Rapids - Initiate 1-OR Ambulatory Surgical Center (Grand Rapids), CON Application No 05-0383 | $6,978,210 | LOI 9/9/05 Proposal - 10/3/05; MDCH Decision Pending 3/1/06 |
| 05-36 | Surgery Center of West Michigan LLC - Initiate 4-OR Ambulatory Surgical Center (Grand Rapids), CON Application No 05-0361 | $11,305,899 | LOI - 9/2/05 Proposal - 10/3/05; MDCH Decision Pending 3/1/06 |
| 05-35 | Saint Mary's Health Care - 4 Story Building Addition (Grand Rapids), CON Application No 05-0359 | $54,820,933 | LOI - 9/1/05 Proposal - 10/3/05; MDCH Decision Pending 3/1/06 |
| 05-33 | Holland SC, LLC - Initiate 4-OR Ambulatory Surgical Center (Holland), CON Application No. 05-0312 | $13,987,654 | LOI - 7/27/05 Proposal - 9/1/05; MDCH Decision Pending 1/31/06 |
| 05-30 | Mercy General Health Partners - Acquire Linear Accelerator (Muskegon), CON Application No. 05-0280 | $6,200,000 | LOI - 6/28/05 |
| 05-29 | Mercy General Health Partners - Transfer 34 Beds from Oak Campus to Sherman Campus (Muskegon), CON Application No. 05-0282 & 0283 | $34,800,000 | LOI - 6/28/05 |
| 05-27 | Holland Eye Clinic - Initiate 2-OR Ambulatory Surgical Center (Holland), CON Application No. 02-0271 | $648,910 | LOI - 6/24/05 Revised LOI - 9/26/05 Proposal - 10/26/05; MDCH Decision Pending 3/31/06 |
| 05-24 | Cancer and Hematology Centers of Western Michigan - Initiate CT Scanning Service (Holland), CON Application No. 02-0247 | $890,000 | LOI - 6/15/05 |
| 05-23 | East Hills Imaging - Additional Mobile MRI Network (Grand Rapids) CON Application No. 05-0218 | $-0- | NS LOI - 5/17/05 |
| 05-22 | Carson City Hospital - Renovation and Expansion Project (Carson City) CON Application No. 05-0198 | $12,259,143 | LOI - 5/10/05 Proposal - 10/3/05; MDCH Decision Pending 3/1/06 |
| 05-19 | West Coast Radiation Therapy - Acquire Linear Accelerator from Saint Mary's (Free Soil) CON Application No. 05-0158 | $3,720,000 | NS LOI - 4/20/05 NS Proposal - 5/11/05 Project Held until Project 05-17 is Completed |
| 05-16 | Gerber Memorial Health Services - Fixed MRI (Fremont) CON Application No. 05-0107 | $2,599,680 | LOI - 3/21/05 Proposal - 12/1/05 MDCH Decision Pending 5/3/06 |
| 05-15 | Hackley Hospital - Mobile Lithotripsy Host Site (Muskegon) CON Application No. 05-0150 | $-0- | LOI - 4/13/05 Proposal - 1/3/06 MDCH Decision Pending |
| 05-09 | Holland Community Hospital - Mobile Lithotripsy Host Site (Holland) CON Application No. 05-0082 | $-0- | LOI - 3/7/05 Proposal - 1/3/06 MDCH Decision Pending |
| 05-05 | Mercy General Health Partners - Transfer 17 Beds from Muskegon General Campus to Mercy Campus (Muskegon) CON Application No. 05-0096 | $-0- | LOI - 2/10/05 |
PROJECTS ENDORSED (Key: AH=Alliance for Health, MDCH=Michigan Dept of Community Health, LOI=Letter of Intent, NS=Non-substantive, NRN=No Review Necessary))
| # | Project Title | Proposed Capital Expense | Status |
| 05-38 | Spectrum Health - Replace One of 4 CT Scanners with 64-Slice Unit (Grand Rapids), CON Application No 05-0395 | $1,731,000 | AH-Endorsed 11/17/05 NS: MDCH Approved 12/16/05 |
| 05-32 | Allegan General Hospital - Host Site on New Mobile MRI Network #169 (Allegan) CON Application No. 05-0301 | $-0- | AH-Endorsed 8/19/05 NS; MDCH Review Waived |
| 05-31 | Memorial Medical Center of West Michigan - Mobile Lithotriptor Host Site (Ludington) CON Application No. 05-0286 | $10,000 | AH-Endorsed 10/6/05, NS; MDCH Approved 12/9/05 |
| 05-26 | Holland Community Hospital - Replacement of Multi-Purpose Special Radiological Procedures Room (Holland), CON Application No. 05-0273 | $2,272,812 | AH-Endorsed 8/19/05 NS; MDCH Approved 10/14/05 |
| 05-25 | Holland Community Hospital - Replace 2 CT Scanners (Holland), CON Application No. 05-0272 | $3,916,084 | AH-Endorsed 9/6/05;
MDCH Approved 10/14/05; Amended 10/31/05 to Reduce Costs by 30% - $2,737,414 |
| 05-21 | Mecosta County General Hospital - Fixed MRI (Big Rapids) CON Application No. 05-0183 | $1,665,078 | AH-Endorsed 9/15/05 MDCH Approved 10/27/05 |
| 05-20 | Michigan Medical PC - Replace/Upgrade CT Scanner (Grand Rapids) CON Application No. 05-0147 | $2,153,220 | AH-Endorsed 8/19/05 NS; MDCH Approved 10/14/05 |
| 05-18 | Saint Mary's Health Care - 12 Additional Psychiatric Beds (Cutlerville) CON Application No. 05-0159 | $200,000 | AH-Endorsed 7/21/05; MDCH MDCH Approved 8/10/05 |
| 05-17 | Saint Mary's Health Care - Relocate Linear Accelerator to Free Soil (Free Soil) CON Application No. 05-0157 | $2,435,500 | AH-Endorsed - 6/8/05 NS; MDCH Approved 8/1/05 |
| 05-14 | Zeeland Community Hospital - CT Replacement (Zeeland) CON Application No. 05-0116 | $762,711 | AH-Endorsed 6/29/05 NS MDCH Approved 9/23/05 |
| 05-13 | Spectrum Health Hospitals - Acquire Butterworth AeroMed (Grand Rapids) CON Application No. 05-0113 | $-0- | AH-Endorsed 4/21/05 NS MDCH Approved 6/9/05 |
| 05-12 | Zeeland Community Hospital - Mobile MRI Host Site (Zeeland) CON Application No. 05-0099 | $-0- | AH-Endorsed 9/15/05 MDCH Approved 10/27/05 |
| 05-11 | Sixty-Fourth Street LLC - Ambulatory Surgical Center (Byron Center) CON Application No. 05-0094 | $2,505,500 | AH-Endorsed 6/16/05; MDCH Approved 9/26/05 |
| 05-10 | Hackley Hospital - Mobile PET Host Site (Muskegon) CON Application No. 05-0093 | $6,500 | AH-Endorsed 8/12/05 MDCH Approved 9/27/05 |
| 05-08 | Memorial Medical Center of West Michigan - Fixed MRI (Ludington) CON Application No. 05-0071 | $2,563,000 | AH-Endorsed 6/16/05; MDCH Approved 8/26/05 |
| 05-07 | Memorial Medical Center of West Michigan - 2nd Fixed CT Scanner (Ludington) CON Application No. 05-0070 | $1,813,873 | AH-Endorsed 6/16/05; MDCH Approved 9/27/05 |
| 05-06 | Newaygo Medical Care Facility - Renovation and Ward Conversion (Fremont) CON Application No. 05-0049 | $2,653,315 | AH-Endorsed 6/29/05 NS; MDCH Approved 8/10/05 |
| 05-04 | Saint Mary's Health Care - One Additional Operating Room (Grand Rapids) CON Application 05-0036 | $-0- | AH-Endorsed 3/17/05 MDCH Approved 6/15/05 |
| 05-03 | Spectrum Health Lake Drive Surgery Center - Mobile Lithotripsy Host Site Unit (Grand Rapids) CON Application No. 05-0017 | $-0- | AH-Endorsed 4/21/05 MDCH Conditional Approval 10/31/05 |
| 05-02 | Spectrum Health Blodgett Campus - Mobile Lithotripsy Host Site Unit (Grand Rapids) CON Application No. 05-0016 | $-0- | AH-Endorsed 4/21/05 MDCH Conditional Approval 10/31/05 |
| 05-01 | Spectrum Health Hospitals - Replace Fixed Lithotripter with Mobile Unit (Grand Rapids) CON Application No. 05-0015 | $669,787 | AH-Endorsed 4/21/05 MDCH Conditional Approval 10/31/05 |
| 04-43 | Metropolitan Hospital - Cardiac Cath Lab Replacement (Grand Rapids) CON Application No. 05-0006 | $1,885,922 | AH-Endorsed 6/6/05 NS MDCH Approved 6/14/05 |
| 04-42 | The Laurels of Carson City - Proposed 82-bed Nursing Home (Carson City) CON Application No. 04-0529 | $6,792,000 | AH-Endorsed 3/17/05 MDCH Approved 7/19/05 |
| 04-41 | Holland Community Hospital - Outpatient CT Scanner (Holland) CON Application No. 04-0523 | $945,000 | AH-Endorsed 4/21/05 MDCH Approved 6/29/05 Amended 10/31/05 to Increase Costs by 64% to $1,963,288 |
| 04-40 | Metropolitan Hospital - Metro Health Southwest Plaza as a Host Site on MRI Mobile Network #271(Wyoming) CON Application No. 05-0097 | $-0- | AH-Endorsed 6/16/05 MDCH Approved 7/27/05 |
| 04-33 | East Beltline Imaging PLC - Fixed CT Scanner (Grand Rapids) CON Application No. 04-0383 | $1,722,158 | AH-Endorsed 3/17/05; MDCH Approved 5/3/05 Amended to Reduce costs to $1,374,321 and to Substitute a 64-Slice CT Scanner |
| 04-29 | Mercy General Health Partners - Mobile PET Host Site (Muskegon CON Application No. 04-0354 | $-0- | AH-Endorsed 3/17/05 MDCH Approved 4/19/05 |
| 04-24 | Walker Surgical Center - Outpatient Surgical Center (Walker) CON Application No. 04-0240 | $9,654,826 | AH-Endorsed 3/17/05; MDCH Approved 5/31/05 |
PROJECTS NOT ENDORSED (Key: AH=Alliance for Health, MDCH=Michigan Dept of Community Health, LOI=Letter of Intent, NS=Non-substantive, NRN=No Review Necessary))
| # | Project Title | Proposed Capital Expense | Status |
| 05-34 | Muskegon SC, LLC - Initiate 3-OR Ambulatory Surgical Center (Muskegon), CON Application No 05-0318 | $11,815,860 | AH-Not
Endorsed 12/15/05 MDCH Approved 1/24/06 |
| 05-28 | West Michigan Surgery Center - Initiate 1-OR Ambulatory Surgical Center (Big Rapids), CON Application No. 05-0243 | $5,950,532 | AH-Not
Endorsed 12/15/05 MDCH Conditionally Approved 1/24/06 |
FILES CLOSED WITHOUT REVIEW (Key: AH=Alliance for Health, MDCH=Michigan Dept of Community Health, LOI=Letter of Intent, NS=Non-substantive, NRN=No Review Necessary))
| # | Project Title | Proposed Capital Expense | Status |
| 05-51 | Orthopedic Associates of Grand Rapids - Mobile MRI Host Site on Network #88 (Grand Rapids), CON Application No. 05-0544 | $-0- | LOI Filed with MDCH
12/12/05 NRN, Existing Host Site |
| 05-50 | Orthopedic Associates of Grand Rapids - Mobile MRI Host Site on Network #28 (Grand Rapids), CON Application No. 05-0543 | $-0- | LOI Filed with MDCH
12/12/05 NRN, Existing Host Site |
| 04-39 | Othropedic Associates of Grand Rapids- MRI Mobile Host Site on Network #34 CON Application No. 04-0474 | $-0- | LOI sent to MDCH Only, File Closed Without Review |
| 04-28 | Hackley Hospital - Host Site for Great Lakes Mobile Lithotripsy Network (Muskegon) CON Application No. 04-0256 | $-0- | LOI - 6/1/04 LOI Withdrawn 2/11/05, File Closed |
| 04-18 | Great lakes Mobile Lithotripsy - Mobile Lithotripsy Network (Grand Rapids) CON Application No. 04-0214 | $800,000 | LOI - 4/29/04 LOI Withdrawn 2/11/05, File Closed |
| 04-12 | Horizon Medical PC - Fixed CT Scanner (Grand Haven) CON Application No. 04-0148 | $1,075,000 | LOI - 3/30/04 LOI Expired, File Closed |
| 04-09 | Metropolitan Enterprises - Metro Health Center Cedar Springs Plaza as a Host Site on MRI Mobile Network #23 (Cedar Springs) CON Application No. 04-0163 | $150,000 | LOI - 4/9/04 LOI Expired, File Closed |
| 04-04 | Golden Acres Christian Living - 20-Bed Nursing Home (Fennville) CON Application No. 04-0027 | NA | LOI sent to MDCH
Only, Not to AH; LOI Expired, File Closed 2/1/05 |
| 03-87 | Plainwell Real Estate
Investors - Acquisition of Life Care Center of Plainwell (Plainwell) CON
Application No. 03-0490 |
$2,051,000 | LOI - 1/30/04 LOI Expired, File Closed 1/30/05 |
TOTAL FINANCIAL ACTIVITY - A SIX YEAR REVIEW
OBSERVATIONS ABOUT THE 2005 DATA
On average, $100
dollars invested in capital spending are expected to result in increased annual
operating revenues of $34.60, increased annual operating expenses of $33.00 and
increased annual operating margins of $1.60.
Only 2 projects proposed capital spending projects that would result in reduced
operating expenses. These 2 projects would reduce their annual operating costs
by a total of $86,600. Annual operating costs would increase by a total of
$68,288,100 for 40 other projects that were considered.
37 project sponsors expect to increase their total net operating revenues by
$71,555,400. None projected a decrease in revenues.
Of the projects, 19 expect to absorb increased operating costs within their
existing cost structures. For these project sponsors, existing margins would be
reduced by a total of $6,069,900. Another 24 projects expect to increase
revenues by a total of $9,423,700. The net annual increase for the West Central
Michigan area will be $3,353,800.
Clearly the majority of projects have not been proposed in
order to help gain efficiencies that will reduce either the total operating
expenses or total charges to customers.
|
|
2005 | 2004 | 2003 |
2002 |
2001 |
2000 |
|
Files
Remaining from Prior Years |
14 | 56 | 25 |
16 |
12 |
5 |
|
Files
Set Up during Current Year |
51 | 43 | 88 |
42 |
41 |
24 |
|
Endorsed
by Evaluation Board |
16 | 22 | 33 |
12 |
11 |
3 |
|
NOT
Endorsed by Evaluation Board |
2 | 4 | 1 |
0 |
17 |
0 |
|
Non-Substantive-Endorsed by Staff |
12 | 15 | 8 |
6 |
8 |
6 |
|
Total
Evaluated |
30 | 41 | 42 |
18 |
26 |
9 |
|
Closed
with No Evaluation |
9 | 43 | 15 |
15 |
12 |
8 |
|
Remaining
Active at Year End |
26 | 15 | 56 |
25 |
16 |
12 |
|
Total
Projects |
65 | 99 | 113 |
58 |
54 |
29 |
|
|
||||||
|
|
2005 | 2004 | 2003 |
2002 |
2001 |
2000 |
|
Total
Number of Projects |
65 | 99 | 113 |
58 |
54 |
29 |
|
Total
Proposed Capital Expense |
$252,538,400 | $265,371,900 | $333,499,800 |
$316,331,700 |
$127,849,900 |
$168,085,500 |
|
Total Proposed Increase in Annual Revenues |
$71,555,400 | $116,074,800 | $236,526,600 |
$43,012,900 |
$26,419,700 |
$33,842,600 |
|
Total
Proposed Increase in Annual Expenses |
$68,201,600 | $93,814,300 | $98,905,000 |
$28,072,900 |
$27,480,800 |
$32,790,900 |
|
Total Proposed Increase in Annual "Profits" |
$3,353,800 | $24,260,500 | $137,621,600 |
$14,939,900 |
$(1,061,100) |
$1,051,700 |
revised 2/16/06