North Carolina semiannual dialysis report

              2012
North Carolina
Semiannual
Dialysis Report
July 2012
Division of Health Service Regulation
July 2012 North Carolina
Semiannual Dialysis Report
Issued July 2, 2012
Prepared by
Medical Facilities Planning Branch
Division of Health Service Regulation
North Carolina Department of Health and Human Services
Under the direction of the
North Carolina State Health Coordinating Council
For information contact the
Medical Facilities Planning Branch
Division of Health Service Regulation
2714 Mail Service Center
Raleigh, North Carolina 27699-2714
(919) 855-3865
The North Carolina Department of Health and Human Services does not
discriminate on the basis of race, color, national origin, sex, religion,
age or disability in employment or the provision of services.
North Carolina Department of Health and Human Services
Division of Health Service Regulation
Medical Facilities Planning Branch
2714 Mail Service Center  Raleigh, North Carolina 27699-2714
Beverly Eaves Perdue, Governor Nadine Pfeiffer, Branch Manager
Albert A. Delia, Acting Secretary Phone: (919) 855-3811
Fax: (919) 715-4413
Location: 809 Ruggles Drive  Dorothea Dix Hospital Campus  Raleigh, N.C. 27603
An Equal Opportunity / Affirmative Action Employer
M E M O R A N D U M
TO: Individuals Interested in the North Carolina Semiannual Dialysis Reports
FROM: Elizabeth Brown, Planner
Medical Facilities Planning Branch
SUBJECT: North Carolina Semiannual Dialysis Report, July, 2012
DATE: July 2, 2012
The North Carolina State Health Coordinating Council and the Medical Facilities Planning
Branch are pleased to make the “July 2012 Semiannual Dialysis Report” available. This
report is published pursuant to Chapter 14 of the North Carolina 2012 State Medical
Facilities Plan. It applies the County Need methodology based on patient data as of
December 31, 2011 and calculates utilization rates for implementation of the Facility Need
methodology.
Certificate of need applications in response to the “July 2012 Semiannual Dialysis Report”
are due on September 17, 2012 for review beginning October 1, 2012. The filing deadline is
5:30 p.m. on the Application Due Date. The filing deadline is absolute.
General questions about the Semiannual Dialysis Report may be directed to the Medical
Facilities Planning Branch at 919-855-3865. For additional information regarding the
certificate of need application process, please contact the Division of Health Service
Regulation, Certificate of Need Section at 919-855-3873.
END-STAGE RENAL DISEASE DIALYSIS FACILITIES
Semiannual Dialysis Report, July 2012
Introduction
The North Carolina 2012 State Medical Facilities Plan requires semiannual
determination of need for new dialysis stations in North Carolina. This approach calls for
publication of “Semiannual Dialysis Reports” (SDR) during January and July. The 2012
North Carolina State Medical Facilities Plan specifies that the Semiannual Dialysis Reports
“…will use facility, station and active patient data as of June 30, 2011 for the ‘January 2012
SDR,’ and as of December 31, 2011 for the ‘July 2012 SDR.’ A new five-year trend line will
be established in the ‘July 2012 SDR,’ based on validated data as reported to the Centers for
Medicare & Medicaid Services (CMS) for the time period ending December 31, 2011.”
This document is the “July 2012 SDR.” It reiterates the methodology and presents
need determinations for the certificate of need review beginning October 1, 2012.
Summary of Dialysis Station Supply and Utilization
For purposes of the Semiannual Dialysis Report, as of June 25, 2012 there were 180
End-Stage Renal Disease (ESRD) dialysis facilities certified and operating in North Carolina
(i.e., facilities reporting patient data via the Southeastern Kidney Council), providing a total
of 4,210 dialysis stations. Certificates of need had been issued for an additional 187 dialysis
stations, but the stations were not yet certified. Another 64 dialysis stations had been
requested, but had not completed the certificate of need review and appeals process. The
number of facilities per county ranged from zero to 14.
Utilization data as of December 31, 2011 are presented in the final two columns of
Table A. Of the 180 certified facilities operational on that date, 69 were at or above 80
percent utilization (i.e., operating with at least 3.2 patients per station).
Sources of Data
Inventory Data:
Data on the current number of dialysis facilities and stations were obtained from the
Certificate of Need Section and from the Acute and Home Care Licensure and
Certification Section, Division of Health Service Regulation, North Carolina
Department of Health and Human Services.
Dialysis Patient Data:
Data on the dialysis population by county and by facility as of December 31, 2011 were
provided by the Centers for Medicare & Medicaid Services (CMS) through the
Southeastern Kidney Council, Inc. (SEKC) and the Mid-Atlantic Renal Coalition, Inc.
(MARC).
County data are designed to include all North Carolina residents of each county who are
receiving dialysis, regardless of where they are currently being served. The numbers of
North Carolina patients being served in North Carolina, Georgia and South Carolina as
of December 31, 2011 were provided by the SEKC on May 22, 2012. The SEKC noted
that data in its report were based upon information provided to the SEKC by dialysis
facilities in Network 6 and were represented to the SEKC as current as of May 18, 2012.
The SEKC stated that these data are subject to change (SEKC Disclaimer found at the
end of this document). County totals from the SEKC were supplemented by data from
MARC indicating the number of patients residing in North Carolina counties and
receiving dialysis in Virginia. Data for December 31st of 2007, 2008, 2009 and 2010,
2011 have been provided by the same sources for the five-year trend analysis.
Facility data include all patients being served by each provider as of December 31, 2011
regardless of the county or state of each patient’s residence. These figures were also
provided by the SEKC on May 22, 2012. Again, the SEKC noted that these figures
reflect data provided to it by dialysis facilities in Network 6 and were represented to the
SEKC as current as of May 18, 2012. The SEKC also stated that these figures are
subject to change.
Method for Projection of New Dialysis Station Need
The North Carolina 2012 State Medical Facilities Plan (SMFP) directs the Medical
Facilities Planning Branch to “…determine need for new dialysis stations two times each
calendar year, and…make a report of such determinations available to all who request it.”
The basic principles, methodology and timeline to be used were specified in the 2012 SMFP
and are presented below:
Basic Principles
The principles underlying projection of need for additional dialysis stations are as
follows:
1. Increases in the number of facilities or stations should be done to meet the specific
need for either a new facility or an expansion.
2. New facilities must have a projected need for at least 10 stations (or 32 patients at
3.2 patients per station) to be cost effective and to assure quality of care.
3. The Medical Facilities Planning Branch will maintain a list of existing facilities and
stations, utilization rates and projected need by county that is updated
semiannually. Updated projections will be available two times a year on a
published schedule. Existing or potential providers interested in expanding in any
area of the state may contact the Medical Facilities Planning Branch for projected
need in the area of interest. (Note: A dialysis station’s service area is the dialysis
station planning area in which the dialysis station is located. Except for the
Cherokee-Clay-Graham Multi-County Planning Area and the Avery-Mitchell-
Yancey Multi-County Planning Area, each of the 94 remaining counties is a
separate dialysis station planning area.)
4. Updates of the projections may target counties that have developed sufficient need
to warrant consideration for facility expansion or for establishment of a new
facility. Actual numbers are not published in the North Carolina State Medical
Facilities Plan so they can be updated as appropriate by the Medical Facilities
Planning Branch.
5. Home patients will not be included in the determination of need for new stations.
Home patients include those that receive hemodialysis or peritoneal dialysis in their
home.
6. No existing facility may expand unless its utilization is 80 percent or greater. Any
facility at 80 percent utilization or greater may apply to expand.
7. Facilities reporting no patients through the Southeastern Kidney Council for four
consecutive Semiannual Dialysis Reports will be excluded from future inventories.
8. Quality of Care: All facilities should comply with Medicare and Medicaid
regulations relating to the delivery and certification of ESRD services and with
relevant North Carolina statutory provisions. An applicant already involved in the
provision of end-stage renal disease services should provide evidence that care of
high quality has been provided in the past. The following are considered indicators
of quality of care and existing providers proposing to expand their operations
should include in their applications data which include, but are not limited to, the
following:
a. utilization rates
b. morbidity and mortality rates
c. numbers of patients that are home trained and patients on home dialysis
d. number of patients receiving transplants
e. number of patients currently on the transplant waiting list
f. hospital admission rates
g. conversion rates for patients who have acquired hepatitis or AIDS
9. Availability of Manpower and Ancillary/Support Services: The applicant should
show evidence of the availability of qualified staff and other health manpower and
management for the provision of quality ESRD services as well as the availability
of a safe and adequate water supply, provision for treatment of wastewater
discharge and a standing electrical service with backup capabilities.
10. Patient Access to In-Center ESRD Services: As a means of making ESRD services
more accessible to patients, one of the goals of the N. C. Department of Health and
Human Services is to minimize patient travel time to and from the center.
Therefore,
a. End-stage renal disease treatment should be provided in North Carolina such
that patients who require renal dialysis are able to be served in a facility no
farther than 30 miles from the patients’ homes.
b. In areas where it is apparent that patients are currently traveling more than 30
miles for in-center dialysis, favorable consideration should be given to
proposed new facilities which would serve patients who are farthest away from
existing, operational or approved facilities.
11. Transplantation Services: Transplantation services should be available to, and a
priority for, all ESRD patients whose conditions make them suitable candidates for
this treatment. New enrollees should meet with and have access to a
transplantation representative to provide patient education and evaluation for
transplantation.
12. Availability of Dialysis Care: The North Carolina State Health Coordinating
Council encourages applicants for dialysis stations to provide or arrange for:
a. Home training and backup for patients suitable for home dialysis in the ESRD
dialysis facility or in a facility that is a reasonable distance from the patient’s
residence;
b. ESRD dialysis service availability at times that do not interfere with ESRD
patients’ work schedules;
c. Services in rural, remote areas.
Methodology
Need for new dialysis stations shall be determined as follows:
(1) County Need (for the July 2012 SDR – Using a new trend line ending with 12/31/11 data)
(A) The average annual rate (percent) of change in total number of dialysis patients
resident in each county from the end of 2007 to the end of 2011 is multiplied by the
county’s December 31, 2011 total number of patients in the SDR, and the product is
added to each county's most recent total number of patients reported in the SDR.
The sum is the county's projected total December 31, 2012 patients.
(B) The percent of each county's total patients who were home dialysis patients on
December 31, 2011 is multiplied by the county's projected total December 31, 2012
patients, and the product is subtracted from the county's projected total December
31, 2012 patients. The remainder is the county's projected December 31, 2012 in-center
dialysis patients.
(C) The projected number of each county's December 31, 2012 in-center patients is
divided by 3.2. The quotient is the projection of the county's December 31, 2012
in-center dialysis stations.
(D) From each county's projected number of December 31, 2012 in-center stations is
subtracted the county's number of stations certified for Medicare, CON-approved
and awaiting certification, awaiting resolution of CON appeals, and the number
represented by need determinations in previous State Medical Facilities Plans or
Semiannual Dialysis Reports for which CON decisions have not been made. The
remainder is the county's December 31, 2012 projected station surplus or deficit.
(E) If a county's December 31, 2012 projected station deficit is 10 or greater and the
July SDR shows that utilization of each dialysis facility in the county is 80 percent
or greater, the December 31, 2012 county station need determination is the same as
the December 31, 2012 projected station deficit. If a county's December 31, 2012
projected station deficit is less than 10 or if the utilization of any dialysis facility in
the county is less than 80 percent, the county’s December 31, 2012 station need
determination is zero.
(2) Facility Need
A dialysis facility located in a county for which the result of the County Need
methodology is zero in the current Semiannual Dialysis Report (SDR) is determined to
need additional stations to the extent that:
(A) Its utilization, reported in the current SDR, is 3.2 patients per station or greater.
(B) Such need, calculated as follows, is reported in an application for a certificate of
need:
(i) The facility's number of in-center dialysis patients reported in the previous
Dialysis Report (SDR1) is subtracted from the number of in-center dialysis
patients reported in the current SDR (SDR2). The difference is multiplied by 2
to project the net in-center change for 1 year. Divide the projected net in-center
change for the year by the number of in-center patients from SDR1 to determine
the projected annual growth rate.
(ii) The quotient from (2)(B)(i) is divided by 12.
(iii) The quotient from (2)(B)(ii) is multiplied by 12 (the number of months from
December 31, 2010 until December 31, 2011) for the July 2012 SDR.
(iv) The product from (2)(B)(iii) is multiplied by the number of the facility's in-center
patients reported in the current SDR and that product is added to such
reported number of in-center patients.
(v) The sum from (2)(B)(iv) is divided by 3.2, and from the quotient is subtracted
the facility's current number of certified stations as recorded in the current
SDR and the number of pending new stations for which a certificate of need
has been issued. The remainder is the number of stations needed.
(C) The facility may apply to expand to meet the need established in (2)(B)(v), up to a
maximum of 10 stations.
[NOTE: "Rounding" to the nearest whole number is allowed only in Step 1(C) and Step
2(B)(v). In these instances, fractions of 0.5000 or greater shall be rounded to the next highest
whole number.]
Unless specific “adjusted need determinations” are recommended by the North
Carolina State Health Coordinating Council, an application for a certificate of need for
additional dialysis stations can be considered consistent with the need determinations of the
North Carolina 2012 State Medical Facilities Plan only if it demonstrates a need by utilizing
one of the methods of determining need outlined in Chapter 14.
Timeline
The schedule for publication of the “July 2012 North Carolina Semiannual Dialysis
Report” and for receipt of certificate of need applications based on this report shall be as
follows:
Data for Period
Ending
Publication of SDR Application Due Date
for CON Applications
Beginning Review
Dates
Dec. 31, 2011 July 2, 2012 September 17, 2012 October 1, 2012
Please be advised that 5:30 p.m. on the specified application due date is the filing
deadline for any certificate of need application in response to the dialysis report. The filing
deadline is absolute.
Certified
CON
Issued/ Not
Certified
Decision
Rendered
(Conditional
Approvals)
Decision
Pending Total
Utilization
by Percent
12.31.11
Patients
per
Station
Alamance 34-2533 BMA Burlington Burlington 49 -4 0 0 45 49 146 74.49% 2.9796
Alamance 34-2567 Burlington Dialysis Center Burlington 17 0 3 0 20 17 61 89.71% 3.5882
Alamance 34-2686 North Burlington Dialysis Burlington 10 0 0 0 10 10 39 97.50% 3.9000
Alamance
Proposed new site
consisting of existing
stations.
FMC Mebane (Utilization included
with BMA of Burlington) Mebane 0 10 0 0 10 0 0 0.00% 0.0000
Alexander n/a FMC Alexander County Taylorsville 0 10 0 0 10 0 0 0.00% 0.0000
Alleghany
Anson 34-2560 Dialysis Care Anson County Wadesboro 15 0 0 0 15 15 31 51.67% 2.0667
Anson 34-2673 FMC Anson County Wadesboro 10 0 0 0 10 10 30 75.00% 3.0000
Ashe
Avery (Mitchell-Avery-Yancey Multicounty Planning Area.)
Beaufort 34-2561 BMA Pamlico Washington 25 0 0 0 25 25 78 78.00% 3.1200
Bertie 34-2547 Windsor Dialysis Unit (BMA) Windsor 20 0 0 0 20 20 39 48.75% 1.9500
Bladen 34-2578 Southeastern Dialysis Center Elizabethtown 24 0 0 3 27 24 65 67.71% 2.7083
Brunswick 34-2582 Southeastern Dialysis Center Shallotte 15 0 3 0 18 15 42 70.00% 2.8000
Brunswick 34-2669 Southport Dialysis Center Southport 10 0 0 0 10 10 33 82.50% 3.3000
Brunswick n/a FMC Brunswick County Supply 0 10 0 0 10 0 0 0.00% 0.0000
Buncombe 34-2506 Asheville Kidney Center Asheville 50 0 0 0 50 50 152 76.00% 3.0400
Buncombe 34-2626 Swannanoa Dialysis Center Swannanoa 10 0 0 0 10 10 17 42.50% 1.7000
Buncombe 34-2604 Weaverville Dialysis Weaverville 20 6 0 0 26 20 38 47.50% 1.9000
Burke 34-2563 BMA Burke County Morganton 25 0 0 -2 23 25 69 69.00% 2.7600
Cabarrus n/a
Three applications were submitted in
response to the 2010 County Need
Determination. 0 0 0 23 23 0 0 0.00% 0.0000
Cabarrus 34-2670 Harrisburg Dialysis Center Concord 15 0 4 0 19 15 58 96.67% 3.8667
Cabarrus 34-2631 Copperfield Dialysis Concord 21 0 0 0 21 21 59 70.24% 2.8095
Caldwell 34-2509 BMA Lenoir Lenoir 34 0 0 0 34 34 84 61.76% 2.4706
Camden
Carteret 34-2588
Crystal Coast Dialysis Unit
(BMA) Morehead City 20 6 0 0 26 20 68 85.00% 3.4000
Provider
Number
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates
(Inventory Compiled 6.25.2012. Utilization Rates Calculated for 12.31.2011.)
Number of Dialysis Stations as of 6.25.12 Utilization Rates
Certified
Stations
12.31.2011
Number
In-Center
Patients
12.31.11
County Facility City
1
Certified
CON
Issued/ Not
Certified
Decision
Rendered
(Conditional
Approvals)
Decision
Pending Total
Utilization
by Percent
12.31.11
Patients
per
Station
Provider
Number
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates
(Inventory Compiled 6.25.2012. Utilization Rates Calculated for 12.31.2011.)
Number of Dialysis Stations as of 6.25.12 Utilization Rates
Certified
Stations
12.31.2011
Number
In-Center
Patients
12.31.11
County Facility City
Caswell 34-2597
Renal Care Group Caswell
(BMA) Yanceyville 10 0 0 0 10 10 28 70.00% 2.8000
Catawba 34-2516 BMA Hickory Hickory 33 0 0 -6 27 33 113 85.61% 3.4242
Catawba 34-2635 FMC Catawba Valley Conover 23 0 0 0 23 23 57 61.96% 2.4783
Chatham 34-2621 Carolina Dialysis Siler City Siler City 18 0 0 0 18 18 50 69.44% 2.7778
Chatham 34-2617 Carolina Dialysis Pittsboro Pittsboro 10 0 0 0 10 10 23 57.50% 2.3000
Cherokee
(Cherokee-Clay-
Graham
Multicounty
Planning Area.) 34-2649
Smokey Mountains Dialysis
Center Murphy 10 0 0 0 10 10 25 62.50% 2.5000
Chowan 34-2541 Edenton Dialysis Edenton 17 0 0 0 17 17 51 75.00% 3.0000
Clay (Cherokee-Clay-Graham Multicounty Planning Area.)
Cleveland
Proposed new site
consisting of existing
stations. FMC Cleveland County Shelby 0 0 0 10 10 0 0 0.00% 0.0000
Cleveland 34-2529 Dialysis Clinic (DCI Shelby) Shelby 25 4 4 0 33 25 97 97.00% 3.8800
Cleveland 34-2661 DCI Boiling Springs Boiling Springs 10 1 2 0 13 10 37 92.50% 3.7000
Cleveland 34-2611 DCI Kings Mountain Kings Mtn. 14 0 1 0 15 14 44 78.57% 3.1429
Cleveland 34-2676 DCI South Shelby Shelby 10 0 0 0 10 10 39 97.50% 3.9000
Columbus 34-2521 Southeastern Dialysis Center Whiteville 26 0 0 -2 24 26 65 62.50% 2.5000
Columbus 34-2628 Chadbourn Dialysis Center Chadbourn 17 0 0 -1 16 17 45 66.18% 2.6471
Craven 34-2534 New Bern Dialysis Unit (BMA) New Bern 37 0 0 0 37 37 86 58.11% 2.3243
Craven 34-2585 FMC Craven County New Bern 29 -1 0 0 28 29 74 63.79% 2.5517
Cumberland 34-2510
Fayetteville Kidney Center
(BMA) Fayetteville 38 -3 0 4 39 38 116 76.32% 3.0526
Cumberland 34-2643 FMC West Fayetteville Fayetteville 37 3 0 0 40 37 111 75.00% 3.0000
Cumberland 34-2593 FMC North Ramsey Fayetteville 40 0 0 0 40 40 121 75.63% 3.0250
2
Certified
CON
Issued/ Not
Certified
Decision
Rendered
(Conditional
Approvals)
Decision
Pending Total
Utilization
by Percent
12.31.11
Patients
per
Station
Provider
Number
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates
(Inventory Compiled 6.25.2012. Utilization Rates Calculated for 12.31.2011.)
Number of Dialysis Stations as of 6.25.12 Utilization Rates
Certified
Stations
12.31.2011
Number
In-Center
Patients
12.31.11
County Facility City
Cumberland 34-2601 FMC South Ramsey Fayetteville 51 0 0 0 51 51 111 54.41% 2.1765
Currituck
Dare 34-2598
Dare County/Outer Banks
Dialysis Clinic Nags Head 9 0 0 0 9 9 29 80.56% 3.2222
Davidson 34-2553
Lexington Dialysis Center
(WFU) Lexington 36 0 0 0 36 36 98 68.06% 2.7222
Davidson 34-2639 Thomasville Dialysis Center Thomasville 18 0 0 0 18 18 48 66.67% 2.6667
Davie 34-2677 Davie Kidney Center Mocksville 10 0 0 0 10 10 27 67.50% 2.7000
Duplin 34-2535
Southeastern Dialysis Center
Kenansville Kenansville 14 0 3 0 17 14 51 91.07% 3.6429
Duplin 34-2659 Wallace Dialysis Center Wallace 12 0 4 0 16 12 49 102.08% 4.0833
Duplin 34-2630 Warsaw Dialysis Center (RAI) Warsaw 16 0 0 0 16 16 24 37.50% 1.5000
Durham 34-2302 (34-3504)
Duke University Hospital ESRD
Unit Durham 16 0 0 0 16 16 47 73.44% 2.9375
Durham 34-2550 Durham Dialysis Durham 24 0 0 0 24 24 83 86.46% 3.4583
Durham 34-2616 Durham West Dialysis Durham 29 0 0 0 29 29 86 74.14% 2.9655
Durham 34-2538 Freedom Lake Dialysis Center Durham 22 0 0 0 22 22 66 75.00% 3.0000
Durham 34-2590 FMC West Pettigrew Durham 20 0 0 0 20 20 57 71.25% 2.8500
Durham 34-2615 FMC Briggs Avenue Durham 29 0 0 0 29 29 69 59.48% 2.3793
Durham 34-2680 FMC South Durham Dialysis Durham 12 0 0 0 12 12 32 66.67% 2.6667
Durham 34-2683 Southpoint Dialysis Durham 12 0 0 0 12 12 38 79.17% 3.1667
Edgecombe 34-2577
Dialysis Care Edgecombe
County Tarboro 25 10 0 0 35 25 87 87.00% 3.4800
Edgecombe 34-2603 BMA East Rocky Mount Rocky Mount 30 0 0 0 30 30 99 82.50% 3.3000
Forsyth 34-2304 (34-0047) North Carolina Baptist Hospitals Winston-Salem 4 0 0 0 4 4 0 0.00% 0.0000
Forsyth 34-2505 Piedmont Dialysis Winston-Salem 62 0 0 0 62 62 141 56.85% 2.2742
Forsyth 34-2612
Northside Dialysis Center
(WFU) Winston-Salem 45 0 0 0 45 45 128 71.11% 2.8444
Forsyth 34-2569 Salem Kidney Center (WFU) Winston-Salem 36 0 0 0 36 36 123 85.42% 3.4167
3
Certified
CON
Issued/ Not
Certified
Decision
Rendered
(Conditional
Approvals)
Decision
Pending Total
Utilization
by Percent
12.31.11
Patients
per
Station
Provider
Number
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates
(Inventory Compiled 6.25.2012. Utilization Rates Calculated for 12.31.2011.)
Number of Dialysis Stations as of 6.25.12 Utilization Rates
Certified
Stations
12.31.2011
Number
In-Center
Patients
12.31.11
County Facility City
Forsyth 34-2667
Miller Street Dialysis Center
WFU Winston-Salem 36 0 0 0 36 36 108 75.00% 3.0000
Franklin
n/a (Proposed new site
consisting of existing
stations) FMC Franklin County Louisburg 0 0 0 10 10 0 0 0.00% 0.0000
Franklin 34-2571 Dialysis Care Franklin County Louisburg 23 0 0 0 23 23 70 76.09% 3.0435
Gaston 34-2513 BMA Gastonia Gastonia 39 0 0 0 39 39 100 64.10% 2.5641
Gaston 34-2652
Metrolina Kidney Center
Belmont Belmont 16 0 0 0 16 16 38 59.38% 2.3750
Gaston 34-2595 BMA Kings Mountain Kings Mountain 14 0 0 -1 13 14 37 66.07% 2.6429
Gaston 34-2671 FMC South Gaston Gastonia 17 0 0 3 20 17 62 91.18% 3.6471
Gates n/a
Gambro Healthcare Gates
County Gatesville 0 10 0 0 10 0 0 0.00% 0.0000
Graham (Cherokee-Clay-Graham Multicounty Service Area.)
Granville 34-2520 FMC Neuse River Oxford 18 -3 7 0 22 18 69 95.83% 3.8333
Granville 34-2647 FMS Oxford Oxford 16 3 0 0 19 16 57 89.06% 3.5625
Greene 34-2650 Greene County Dialysis Center Snow Hill 16 0 0 0 16 16 55 85.94% 3.4375
Guilford 34-2537 BMA South Greensboro Greensboro 59 0 0 0 59 59 166 70.34% 2.8136
Guilford 34-2600 BMA Southwest Greensboro Jamestown 31 -2 0 0 29 31 85 68.55% 2.7419
Guilford 34-2504
Kidney Center Greensboro
(BMA) Greensboro 56 0 0 0 56 56 164 73.21% 2.9286
Guilford 34-2613
Northwest Greensboro Kidney
Center (BMA) Greensboro 25 0 0 0 25 25 64 64.00% 2.5600
Guilford 34-2634 FMC East Greensboro Greensboro 37 0 0 0 37 37 95 64.19% 2.5676
Guilford 34-2514
High Point Kidney Center
(WFU) High Point 42 0 0 0 42 42 142 84.52% 3.3810
Guilford 34-2599 Triad Dialysis Center (WFU) High Point 22 0 0 0 22 22 62 70.45% 2.8182
Halifax 34-2542 BMA Roanoke Rapids
Roanoke
Rapids 35 1 0 0 36 35 142 101.43% 4.0571
Halifax 34-2619 FMC Halifax County Scotland Neck 15 4 0 0 19 15 51 85.00% 3.4000
Halifax
Proposed new site
consisting of existing
stations.
FMC Weldon (Utilization included
with BMA Roanoke Rapids) Weldon 0 10 0 0 10 0 0 0.00% 0.0000
4
Certified
CON
Issued/ Not
Certified
Decision
Rendered
(Conditional
Approvals)
Decision
Pending Total
Utilization
by Percent
12.31.11
Patients
per
Station
Provider
Number
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates
(Inventory Compiled 6.25.2012. Utilization Rates Calculated for 12.31.2011.)
Number of Dialysis Stations as of 6.25.12 Utilization Rates
Certified
Stations
12.31.2011
Number
In-Center
Patients
12.31.11
County Facility City
Harnett n/a
Two applications were submitted in
response to the July 2011 County
Need Determination. 0 0 0 11 11 0 0 0.00% 0.0000
Harnett 34-2557 Dunn Kidney Center (BMA) Dunn 25 -1 7 0 31 25 91 91.00% 3.6400
Harnett 34-2648 FMS Lillington Lillington 17 0 0 0 17 16 45 70.31% 2.8125
Harnett
Proposed new site
consisting of existing
stations.
FMC Angier (Utilization included
with BMA Cary, BMA Fuquay-Varina
and BMA Dunn) Angier 0 10 0 0 10 0 0 0.00% 0.0000
Haywood 34-2629 Waynesville Dialysis Center Clyde 18 0 0 0 18 18 51 70.83% 2.8333
Henderson 34-2564 Hendersonville Dialysis Center Hendersonville 20 0 0 0 20 20 92 115.00% 4.6000
Hertford 34-2570 Ahoskie Dialysis Ahoskie 27 0 0 0 27 27 85 78.70% 3.1481
Hoke
Proposed new site
consisting of existing
stations. Lumbee River Dialysis 0 0 10 0 10 0 0 0.00% 0.0000
Hoke 34-2579 Dialysis Care Hoke County Raeford 30 0 -3 0 27 30 108 90.00% 3.6000
Hyde
Iredell 34-2527
Statesville Dialysis Center
(WFU) Statesville 27 0 0 0 27 27 73 67.59% 2.7037
Iredell 34-2636 West Iredell Dialysis Center Statesville 20 0 0 0 20 20 62 77.50% 3.1000
Iredell 34-2606
Lake Norman Dialysis Center
(WFU) Mooresville 27 0 0 0 27 27 86 79.63% 3.1852
Jackson 34-2556 Sylva Dialysis Center Sylva 18 0 0 0 18 18 49 68.06% 2.7222
Johnston 34-2545 FMC Four Oaks Four Oaks 19 3 0 0 22 19 57 75.00% 3.0000
Johnston 34-2572 Johnston Dialysis Center (BMA) Smithfield 20 0 0 0 20 25 84 84.00% 3.3600
Johnston 34-2678 FMC Stallings Station Clayton 20 0 0 0 20 10 39 97.50% 3.9000
Jones 34-2625 FMC Jones County Trenton 10 0 0 0 10 10 24 60.00% 2.4000
Lee 34-2620
Carolina Dialysis Sanford
(UNC) Sanford 39 -13 0 0 26 39 144 92.31% 3.6923
Lee
Proposed new site
consisting of existing
stations.
Carolina Dialysis Sanford
(UNC) - New Facility Sanford 0 13 0 0 13 0 0 0.00% 0.0000
Lenoir 34-2518 Kinston Dialysis Unit (BMA) Kinston 39 0 0 0 39 39 100 64.10% 2.5641
5
Certified
CON
Issued/ Not
Certified
Decision
Rendered
(Conditional
Approvals)
Decision
Pending Total
Utilization
by Percent
12.31.11
Patients
per
Station
Provider
Number
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates
(Inventory Compiled 6.25.2012. Utilization Rates Calculated for 12.31.2011.)
Number of Dialysis Stations as of 6.25.12 Utilization Rates
Certified
Stations
12.31.2011
Number
In-Center
Patients
12.31.11
County Facility City
Lenoir 34-2609 FMC Vernon Dialysis Kinston 24 0 0 0 24 24 64 66.67% 2.6667
Lincoln 34-2568 FMC Lincolnton Lincolnton 25 0 0 -1 24 25 66 66.00% 2.6400
Macon
n/a (Proposed new
facility deveoped with
new stations) TBD Franklin 0 0 0 7 7 0 0 0.00% 0.0000
Madison
Martin 34-2584 Dialysis Care Martin County Williamston 23 0 0 0 23 23 71 77.17% 3.0870
McDowell 34-2645 McDowell Dialysis Center Marion 13 0 0 0 13 13 41 78.85% 3.1538
Mecklenburg 34-2554 BMA West Charlotte Charlotte 27 0 0 0 27 27 96 88.89% 3.5556
Mecklenburg 34-2581 BMA Beatties Ford (Metrolina) Charlotte 32 0 0 0 32 32 114 89.06% 3.5625
Mecklenburg 34-2549 BMA North Charlotte Charlotte 27 0 0 0 27 27 90 83.33% 3.3333
Mecklenburg 34-2306 (34-0113) Carolina's Medical Center Charlotte 9 0 0 0 9 9 14 38.89% 1.5556
Mecklenburg 34-2552 RAI Care Centers Charlotte Charlotte 24 0 0 0 24 24 63 65.63% 2.6250
Mecklenburg 34-2591
RAI Care Centers
Mecklenburg/University Charlotte 34 8 0 0 42 29 117 100.86% 4.0345
Mecklenburg 34-2523 South Charlotte Dialysis Charlotte 17 3 0 0 20 17 66 97.06% 3.8824
Mecklenburg 34-2548 Charlotte Dialysis Charlotte 32 2 0 0 34 32 111 86.72% 3.4688
Mecklenburg 34-2627 Charlotte East Dialysis Charlotte 16 0 4 0 20 16 74 115.63% 4.6250
Mecklenburg 34-2663 North Charlotte Dialysis Center Charlotte 21 0 0 4 25 21 102 121.43% 4.8571
Mecklenburg 34-2503 BMA Charlotte Charlotte 40 0 0 -2 38 40 121 75.63% 3.0250
Mecklenburg 34-2605 BMA East Charlotte Charlotte 24 0 0 0 24 24 76 79.17% 3.1667
Mecklenburg 34-2594 BMA Nations Ford Charlotte 22 0 2 0 24 22 92 104.55% 4.1818
Mecklenburg 34-2681 FMC Matthews Matthews 21 0 0 0 21 17 66 97.06% 3.8824
6
Certified
CON
Issued/ Not
Certified
Decision
Rendered
(Conditional
Approvals)
Decision
Pending Total
Utilization
by Percent
12.31.11
Patients
per
Station
Provider
Number
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates
(Inventory Compiled 6.25.2012. Utilization Rates Calculated for 12.31.2011.)
Number of Dialysis Stations as of 6.25.12 Utilization Rates
Certified
Stations
12.31.2011
Number
In-Center
Patients
12.31.11
County Facility City
Mecklenburg
Proposed new site
consisting of existing
stations.
Mint Hill Dialysis Center
(Utilization included with Charlotte East
and South Charlotte) Mint Hill 0 10 0 0 10 0 0 0.00% 0.0000
Mitchell
(Mitchell-Avery-
Yancey
Multicounty
Planning Area) 34-2660 Mayland Dialysis Center Spruce Pine 9 0 0 0 9 9 22 61.11% 2.4444
Montgomery 34-2583
Dialysis Care Montgomery
County Biscoe 19 0 0 0 19 19 61 80.26% 3.2105
Moore 34-2555 Dialysis Care Pinehurst Pinehurst 25 0 0 0 25 25 70 70.00% 2.8000
Moore 34-2638 Southern Pines Dialysis Center Southern Pines 15 0 0 0 15 15 52 86.67% 3.4667
Moore 34-2679 Carthage Dialysis Center Carthage 12 0 0 0 12 12 22 45.83% 1.8333
Nash 34-2517
Rocky Mount Kidney Center
(BMA) Rocky Mount 42 0 0 0 42 42 151 89.88% 3.5952
Nash 34-2644 FMC Spring Hope Spring Hope 10 0 3 0 13 10 30 75.00% 3.0000
New Hanover 34-2511 Southeastern Dialysis Center Wilmington 29 0 0 0 29 29 80 68.97% 2.7586
New Hanover 34-2685 Cape Fear Dialysis Center Wilmington 28 0 0 0 28 28 132 117.86% 4.7143
Northampton n/a
Two applications were received in
response to the July 2011 County
Need Determination. 0 0 0 10 10 0 0 0.00% 0.0000
Northampton 34-2586 FMC East Northampton County Rich Square 16 3 0 0 19 16 43 67.19% 2.6875
Onslow 34-2532
Southeastern Dialysis Ctr.
Jacksonville Jacksonville 38 0 0 4 42 38 138 90.79% 3.6316
Orange 34-2622
Carolina Dialysis Carrboro
(UNC) Carrboro 36 5 0 0 41 36 107 74.31% 2.9722
Pamlico
Pasquotank 34-2515 Elizabeth City Dialysis Elizabeth City 30 0 0 0 30 30 102 85.00% 3.4000
Pender 34-2558 Southeastern Dialysis Center Burgaw 20 2 0 0 22 20 68 85.00% 3.4000
Perquimans
7
Certified
CON
Issued/ Not
Certified
Decision
Rendered
(Conditional
Approvals)
Decision
Pending Total
Utilization
by Percent
12.31.11
Patients
per
Station
Provider
Number
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates
(Inventory Compiled 6.25.2012. Utilization Rates Calculated for 12.31.2011.)
Number of Dialysis Stations as of 6.25.12 Utilization Rates
Certified
Stations
12.31.2011
Number
In-Center
Patients
12.31.11
County Facility City
Person 34-2562 Roxboro Dialysis Roxboro 24 6 0 0 30 24 101 105.21% 4.2083
Pitt 34-2502
Greenville Dialysis Center
(BMA) Greenville 48 0 0 0 48 48 130 67.71% 2.7083
Pitt 34-2632 FMC Care of Ayden Ayden 15 0 0 0 15 15 57 95.00% 3.8000
Pitt 34-2596 FMC East Carolina University Greenville 38 0 0 0 38 38 120 78.95% 3.1579
Polk n/a Polk County Dialysis Center Columbus 0 10 0 0 10 0 0 0.00% 0.0000
Randolph 34-2524
Bio-Medical Applications of
Asheboro Asheboro 27 19 0 0 46 27 105 97.22% 3.8889
Richmond 34-2539
Dialysis Care of Richmond
County Hamlet 32 -5 0 0 27 32 115 89.84% 3.5938
Richmond
Proposed new site
consisting of existing
stations.
Sandhills Dialysis Center
(Utilization included with Dialysis Care
of Richmond County) Rockingham 0 12 0 0 12 0 0 0.00% 0.0000
Robeson 34-2528 Lumberton Dialysis Unit (BMA) Lumberton 29 0 0 0 29 29 89 76.72% 3.0690
Robeson 34-2623
FMC Dialysis Services
Robeson County Fairmont 23 0 0 0 23 23 63 68.48% 2.7391
Robeson 34-2607 BMA Red Springs Red Springs 14 0 0 0 14 14 34 60.71% 2.4286
Robeson 34-2662 BMA St. Pauls St. Pauls 10 0 4 0 14 10 36 90.00% 3.6000
Robeson 34-2651 St. Pauls Dialysis Center St. Pauls 10 0 0 0 10 10 23 57.50% 2.3000
Robeson 34-2682 FMC of Pembroke Pembroke 13 0 0 0 13 13 39 75.00% 3.0000
Rockingham 34-2536
Dialysis Care of Rockingham
County Eden 23 0 0 0 23 23 63 68.48% 2.7391
Rockingham 34-2624 Madison Dialysis Center Madison 10 0 0 0 10 10 28 70.00% 2.8000
Rockingham 34-2640 Reidsville Dialysis Reidsville 19 0 0 0 19 19 55 72.37% 2.8947
Rockingham 34-2641
Rockingham Kidney Center
(BMA) Reidsville 15 0 0 0 15 15 49 81.67% 3.2667
Rowan 34-2546 Dialysis Care Rowan County Salisbury 29 0 0 0 29 29 95 81.90% 3.2759
Rowan 34-2592
Dialysis Care
Kannapolis/Rowan Kannapolis 25 0 0 0 25 25 61 61.00% 2.4400
Rutherford 34-2566
Dialysis Care Rutherford
County Forest City 30 0 0 0 30 30 86 71.67% 2.8667
Sampson 34-2559 BMA Clinton Clinton 33 0 0 0 33 39 131 83.97% 3.3590
Sampson 34-2688
FMC Roseboro (Utilization included
with BMA of Clinton) Roseboro 10 0 0 0 10 0 0 0.00% 0.0000
8
Certified
CON
Issued/ Not
Certified
Decision
Rendered
(Conditional
Approvals)
Decision
Pending Total
Utilization
by Percent
12.31.11
Patients
per
Station
Provider
Number
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates
(Inventory Compiled 6.25.2012. Utilization Rates Calculated for 12.31.2011.)
Number of Dialysis Stations as of 6.25.12 Utilization Rates
Certified
Stations
12.31.2011
Number
In-Center
Patients
12.31.11
County Facility City
Scotland 34-2540 BMA Laurinburg Laurinburg 26 0 0 0 26 26 85 81.73% 3.2692
Scotland 34-2664 FMC Scotland County Laurinburg 12 0 0 0 12 12 40 83.33% 3.3333
Stanly 34-2565 BMA Albemarle Albemarle 22 0 0 0 22 22 69 78.41% 3.1364
Stokes 34-2633 King Dialysis Center King 17 0 0 0 17 17 41 60.29% 2.4118
Surry 34-2551
Mount Airy Dialysis Center
(WFU) Mt. Airy 27 0 0 0 27 27 82 75.93% 3.0370
Surry 34-2614 Elkin Dialysis Center (WFU) Elkin 19 0 0 0 19 19 44 57.89% 2.3158
Swain 34-2602 Cherokee Dialysis Center Cherokee 20 0 0 0 20 20 65 81.25% 3.2500
Transylvania n/a Brevard Dialysis Center Transylvania 0 8 0 0 8 0 0 0.00% 0.0000
Tyrrell
Union 34-2525
Metrolina Kidney Center (BMA
Monroe) Monroe 21 0 0 0 21 21 49 58.33% 2.3333
Union 34-2526 Union County Dialysis Monroe 24 6 0 0 30 24 80 83.33% 3.3333
Union 34-2666 Marshville Dialysis Center Marshville 10 0 0 0 10 10 26 65.00% 2.6000
Vance 34-2543 Henderson Dialysis Center Henderson 43 6 0 0 49 43 143 83.14% 3.3256
Wake 34-2544 Cary Kidney Center (BMA) Cary 23 -3 0 0 20 23 72 78.26% 3.1304
Wake 34-2658 FMS Apex Apex 14 0 2 0 16 14 39 69.64% 2.7857
Wake 34-2512 BMA Raleigh Dialysis Raleigh 49 -2 0 0 47 49 151 77.04% 3.0816
Wake 34-2646 FMC New Hope Raleigh 30 6 0 0 36 30 84 70.00% 2.8000
Wake 34-2684 FMC Central Raleigh Raleigh 13 2 0 0 15 13 20 38.46% 1.5385
Wake 34-2608 BMA Fuquay Varina Fuquay-Varina 22 -5 2 0 19 22 75 85.23% 3.4091
Wake 34-2589 Zebulon Kidney Center (BMA) Zebulon 30 0 0 -3 27 30 88 73.33% 2.9333
Wake 34-2522 Wake Dialysis Clinic Raleigh 50 0 0 0 50 50 165 82.50% 3.3000
Wake 34-2672 FMC Eastern Wake Rolesville 14 0 0 -3 11 14 40 71.43% 2.8571
Wake 34-2653 FMC Millbrook Raleigh 16 0 1 0 17 16 49 76.56% 3.0625
Wake 34-2642
Southwest Wake County
Dialysis Raleigh 30 0 1 0 31 30 101 84.17% 3.3667
Wake 34-2675 Wake Forest Dialysis Center Wake Forest 10 0 0 0 10 10 34 85.00% 3.4000
9
Certified
CON
Issued/ Not
Certified
Decision
Rendered
(Conditional
Approvals)
Decision
Pending Total
Utilization
by Percent
12.31.11
Patients
per
Station
Provider
Number
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates
(Inventory Compiled 6.25.2012. Utilization Rates Calculated for 12.31.2011.)
Number of Dialysis Stations as of 6.25.12 Utilization Rates
Certified
Stations
12.31.2011
Number
In-Center
Patients
12.31.11
County Facility City
Warren 34-2610 FMC Warren Hills Warrenton 25 0 0 -4 21 25 61 61.00% 2.4400
Washington 34-2618 FMC Plymouth Plymouth 14 0 0 0 14 14 37 66.07% 2.6429
Watauga 34-2674 FMC Watauga County Boone 14 0 0 0 14 14 35 62.50% 2.5000
Wayne 34-2531 Goldsboro Dialysis Goldsboro 26 0 0 0 26 25 87 87.00% 3.4800
Wayne 34-2587 Goldsboro South Dialysis Goldsboro 23 0 0 0 23 23 74 80.43% 3.2174
Wayne 34-2573 Mount Olive Dialysis Mount Olive 15 0 0 0 15 11 34 77.27% 3.0909
Wayne 34-2576 RAI Care Centers Goldsboro Goldsboro 16 0 0 0 16 16 24 37.50% 1.5000
Wilkes 34-2313 (34-0064) Wilkes Regional Dialysis Center N. Wilkesboro 16 0 0 0 16 16 52 81.25% 3.2500
Wilson 34-2507 Wilson Dialysis Wilson 29 7 0 0 36 29 122 105.17% 4.2069
Wilson 34-2637 Forest Hills Dialysis Forest Hills 21 0 0 0 21 21 96 114.29% 4.5714
Yadkin 34-2665 Yadkin Dialysis Center Yadkinville 13 0 0 0 13 13 26 50.00% 2.0000
Yancey
State Totals 4,210 187 64 64 4,525 4,186 12,833
(Mitchell-Avery-Yancey Multicounty Planning Area.)
10
County/ Multi-
County
Planning Area
12.31.07
Total
Patients
12.31.08
Total
Patients
12.31.09
Total
Patients
12.31.10
Total
Patients
12.31.11
Total
Patients
Average
Annual
Change Rate
for Past Five
Years
Projected
12.31.12 Total
Patients
12.31.11
Home
Patients
12.31.11
Percent
Home
Patients
Projected
12.31.12
Home
Patients
Projected
12.31.12
In-Center
Patients
Projected
12.31.12
In-Center
Station
Utilization
Total
Available
Stations
Projected
Station Deficit
(bolded) or
Surplus
County Station
Need
Determination
Alamance 232 238 256 271 276 0.045 288.3 38 13.8% 39.7 248.6 78 85 Surplus of 7 0
Alexander 27 34 30 37 35 0.080 37.8 9 25.7% 9.7 28.1 9 10 Surplus of 1 0
Alleghany 5 7 12 10 7 0.162 8.1 3 42.9% 3.5 4.6 1 0 1 0
Anson 75 69 68 75 79 0.015 80.2 6 7.6% 6.1 74.1 23 25 Surplus of 2 0
Ashe 20 18 16 21 19 0.002 19.0 5 26.3% 5.0 14.0 4 0 4 0
Beaufort 96 96 96 97 103 0.018 104.9 16 15.5% 16.3 88.6 28 25 3 0
Bertie 67 68 65 68 65 -0.007 64.6 7 10.8% 7.0 57.6 18 20 Surplus of 2 0
Bladen 78 89 92 95 95 0.052 99.9 11 11.6% 11.6 88.4 28 27 1 0
Brunswick 102 113 109 120 124 0.052 130.4 26 21.0% 27.3 103.1 32 38 Surplus of 6 0
Buncombe 230 225 222 226 224 -0.006 222.5 31 13.8% 30.8 191.8 60 86 Surplus of 26 0
Burke 90 92 92 85 87 -0.008 86.3 15 17.2% 14.9 71.5 22 23 Surplus of 1 0
Cabarrus 170 174 201 205 198 0.041 206.1 34 17.2% 35.4 170.7 53 63 Surplus of 10 0
Caldwell 104 106 110 104 102 -0.004 101.6 12 11.8% 11.9 89.6 28 34 Surplus of 6 0
Camden 9 12 12 16 15 0.151 17.3 2 13.3% 2.3 15.0 5 0 5 0
Carteret 56 54 67 71 74 0.077 79.7 11 14.9% 11.8 67.8 21 26 Surplus of 5 0
Caswell 25 26 32 37 32 0.073 34.3 3 9.4% 3.2 31.1 10 10 0 0
Catawba 157 162 167 181 189 0.048 198.0 32 16.9% 33.5 164.5 51 50 1 0
Chatham 73 71 79 81 81 0.028 83.2 5 6.2% 5.1 78.1 24 28 Surplus of 4 0
Cherokee 29 23 20 17 19 -0.092 17.2 3 15.8% 2.7 14.5 5 10 Surplus of 5
Clay 8 9 8 8 10 0.066 10.7 0 0.0% 0.0 10.7 3 0 3
Graham 11 11 12 14 14 0.064 14.9 0 0.0% 0.0 14.9 5 0 5
Cherokee- Clay-
Graham
Planning Area
Total 3 0
Chowan 37 39 40 41 36 -0.004 35.8 5 13.9% 5.0 30.9 10 17 Surplus of 7 0
Cleveland 206 213 214 238 259 0.060 274.5 31 12.0% 32.9 241.6 76 81 Surplus of 5 0
Columbus 137 137 129 122 134 -0.004 133.5 7 5.2% 7.0 126.5 40 40 0 0
Craven 155 159 177 173 169 0.023 172.9 15 8.9% 15.3 157.6 49 65 Surplus of 16 0
Cumberland 510 521 523 555 533 0.012 539.3 58 10.9% 58.7 480.6 150 170 Surplus of 20 0
Currituck 15 14 14 17 10 -0.066 9.3 5 50.0% 4.7 4.7 1 0 1 0
Dare 23 26 22 29 27 0.056 28.5 1 3.7% 1.1 27.5 9 9 0 0
Davidson 172 172 181 180 195 0.033 201.3 26 13.3% 26.8 174.5 55 54 1 0
Davie 36 39 38 41 40 0.028 41.1 7 17.5% 7.2 33.9 11 10 1 0
Duplin 118 127 131 130 134 0.033 138.4 12 9.0% 12.4 126.0 39 49 Surplus of 10 0
Durham 495 505 516 500 511 0.008 515.2 38 7.4% 38.3 476.9 149 164 Surplus of 15 0
Edgecombe 171 186 182 198 208 0.051 218.6 24 11.5% 25.2 193.4 60 65 Surplus of 5 0
Forsyth 556 571 588 593 582 0.012 588.8 77 13.2% 77.9 510.9 160 183 Surplus of 23 0
Franklin 85 94 92 111 113 0.077 121.7 14 12.4% 15.1 106.7 33 33 0 0
Gaston 246 277 295 278 270 0.026 277.1 27 10.0% 27.7 249.4 78 88 Surplus of 10 0
Gates 28 24 18 26 8 -0.160 6.7 2 25.0% 1.7 5.0 2 10 Surplus of 8 0
Granville 116 117 106 112 128 0.029 131.7 12 9.4% 12.3 119.3 37 41 Surplus of 4 0
Greene 38 40 46 52 57 0.107 63.1 4 7.0% 4.4 58.7 18 16 2 0
Guilford 792 787 822 790 819 0.009 826.4 61 7.4% 61.5 764.8 239 270 Surplus of 31 0
Halifax 182 192 199 225 233 0.064 248.0 34 14.6% 36.2 211.8 66 65 1 0
Harnett 139 153 164 199 210 0.110 233.2 18 8.6% 20.0 213.2 67 69 Surplus of 2 0
Haywood 49 52 53 52 47 -0.009 46.6 7 14.9% 6.9 39.7 12 18 Surplus of 6 0
Henderson 71 79 70 74 76 0.021 77.6 16 21.1% 16.3 61.2 19 20 Surplus of 1 0
Hertford 78 77 87 84 82 0.015 83.2 6 7.3% 6.1 77.1 24 27 Surplus of 3 0
Hoke 64 67 73 92 101 0.124 113.5 4 4.0% 4.5 109.0 34 37 Surplus of 3 0
Hyde 6 6 7 6 8 0.089 8.7 2 25.0% 2.2 6.5 2 0 2 0
Iredell 192 201 192 200 209 0.022 213.6 42 20.1% 42.9 170.7 53 74 Surplus of 21 0
Table B: ESRD Dialysis Station Need Determinations by Planning Area
Note: Except for the Cherokee-Clay-Graham Multi-county Planning Area and the Mitchell-Avery-Yancey Multi-county Planning Area, each of the 94 remaining counties is a separate dialysis station planning area.
County/ Multi-
County
Planning Area
12.31.07
Total
Patients
12.31.08
Total
Patients
12.31.09
Total
Patients
12.31.10
Total
Patients
12.31.11
Total
Patients
Average
Annual
Change Rate
for Past Five
Years
Projected
12.31.12 Total
Patients
12.31.11
Home
Patients
12.31.11
Percent
Home
Patients
Projected
12.31.12
Home
Patients
Projected
12.31.12
In-Center
Patients
Projected
12.31.12
In-Center
Station
Utilization
Total
Available
Stations
Projected
Station Deficit
(bolded) or
Surplus
County Station
Need
Determination
Table B: ESRD Dialysis Station Need Determinations by Planning Area
Jackson 25 24 23 28 34 0.088 37.0 8 23.5% 8.7 28.3 9 18 Surplus of 9 0
Johnston 193 191 202 213 230 0.045 240.4 20 8.7% 20.9 219.5 69 62 7 0
Jones 24 28 32 31 33 0.086 35.8 3 9.1% 3.3 32.6 10 10 0 0
Lee 100 102 107 112 108 0.020 110.2 8 7.4% 8.2 102.0 32 39 Surplus of 7 0
Lenoir 175 174 174 183 170 -0.006 168.9 11 6.5% 10.9 158.0 49 63 Surplus of 14 0
Lincoln 66 78 77 87 81 0.057 85.7 18 22.2% 19.0 66.6 21 24 Surplus of 3 0
Macon 21 24 23 23 33 0.134 37.4 8 24.2% 9.1 28.3 9 7 2 0
Madison 9 8 13 11 13 0.135 14.8 1 7.7% 1.1 13.6 4 0 4 0
Martin 64 62 74 81 85 0.077 91.5 8 9.4% 8.6 82.9 26 23 3 0
McDowell 38 44 43 42 49 0.070 52.4 5 10.2% 5.3 47.1 15 13 2 0
Mecklenburg 1071 1097 1122 1201 1327 0.056 1400.8 139 10.5% 146.7 1254.0 392 377 15 0
Mitchell 8 8 7 9 11 0.096 12.1 1 9.1% 1.1 11.0 3 9 Surplus of 6
Avery 10 9 10 10 9 -0.022 8.8 4 44.4% 3.9 4.9 2 0 2
Yancey 18 17 12 15 16 -0.008 15.9 0 0.0% 0.0 15.9 5 0 5
Mitchell-Avery-
Yancey
Planning Area
Total 1 0
Montgomery 53 54 44 54 60 0.043 62.6 2 3.3% 2.1 60.5 19 19 0 0
Moore 150 156 155 152 157 0.012 158.8 22 14.0% 22.3 136.6 43 52 Surplus of 9 0
Nash 176 186 204 198 193 0.025 197.8 22 11.4% 22.5 175.2 55 55 0 0
New Hanover 180 191 198 201 217 0.048 227.4 34 15.7% 35.6 191.8 60 57 3 0
Northampton 71 76 79 88 76 0.022 77.7 8 10.5% 8.2 69.5 22 29 Surplus of 7 0
Onslow 125 131 133 127 156 0.062 165.6 27 17.3% 28.7 136.9 43 42 1 0
Orange 142 128 138 137 126 -0.027 122.6 11 8.7% 10.7 111.9 35 41 Surplus of 6 0
Pamlico 20 18 21 21 21 0.017 21.4 4 19.0% 4.1 17.3 5 0 5 0
Pasquotank 76 74 86 89 90 0.045 94.1 10 11.1% 10.5 83.6 26 30 Surplus of 4 0
Pender 71 77 82 83 96 0.080 103.6 11 11.5% 11.9 91.8 29 22 7 0
Perquimans 18 17 22 23 22 0.060 23.3 2 9.1% 2.1 21.2 7 0 7 0
Person 86 86 90 91 102 0.045 106.6 7 6.9% 7.3 99.2 31 30 1 0
Pitt 292 303 310 309 317 0.021 323.6 33 10.4% 33.7 289.9 91 101 Surplus of 10 0
Polk 16 12 14 11 14 -0.006 13.9 3 21.4% 3.0 10.9 3 10 Surplus of 7 0
Randolph 105 114 141 142 151 0.098 165.8 16 10.6% 17.6 148.3 46 46 0 0
Richmond 105 109 122 119 121 0.037 125.5 9 7.4% 9.3 116.2 36 39 Surplus of 3 0
Robeson 327 314 327 335 337 0.008 339.7 22 6.5% 22.2 317.5 99 103 Surplus of 4 0
Rockingham 159 161 175 197 181 0.036 187.5 12 6.6% 12.4 175.1 55 67 Surplus of 12 0
Rowan 143 149 150 145 140 -0.005 139.3 29 20.7% 28.9 110.5 35 54 Surplus of 19 0
Rutherford 88 80 87 98 113 0.069 120.8 22 19.5% 23.5 97.3 30 30 0 0
Sampson 147 140 142 161 164 0.030 168.9 14 8.5% 14.4 154.5 48 43 5 0
Scotland 110 99 109 108 121 0.028 124.4 9 7.4% 9.3 115.1 36 38 Surplus of 2 0
Stanly 64 74 67 70 65 0.009 65.6 5 7.7% 5.0 60.5 19 22 Surplus of 3 0
Stokes 45 51 54 56 49 0.026 50.3 8 16.3% 8.2 42.1 13 17 Surplus of 4 0
Surry 96 100 99 107 106 0.026 108.7 11 10.4% 11.3 97.4 30 46 Surplus of 16 0
Swain 48 48 48 44 56 0.047 58.7 4 7.1% 4.2 54.5 17 20 Surplus of 3 0
Transylvania 23 16 15 20 33 0.154 38.1 7 21.2% 8.1 30.0 9 8 1 0
Tyrrell 11 7 9 6 5 -0.144 4.3 3 60.0% 2.6 1.7 1 0 1 0
Union 135 148 156 183 182 0.079 196.5 27 14.8% 29.1 167.3 52 61 Surplus of 9 0
Vance 139 152 158 163 165 0.044 172.3 11 6.7% 11.5 160.8 50 49 1 0
Wake 864 929 952 995 1016 0.042 1058.2 133 13.1% 138.5 919.7 287 299 Surplus of 12 0
Warren 57 60 63 60 60 0.014 60.8 2 3.3% 2.0 58.8 18 21 Surplus of 3 0
Washington 29 33 38 37 36 0.059 38.1 1 2.8% 1.1 37.1 12 14 Surplus of 2 0
Watauga 30 32 27 31 30 0.007 30.2 12 40.0% 12.1 18.1 6 14 Surplus of 8 0
Note: Except for the Cherokee-Clay-Graham Multi-county Planning Area and the Mitchell-Avery-Yancey Multi-county Planning Area, each of the 94 remaining counties is a separate dialysis station planning area.
County/ Multi-
County
Planning Area
12.31.07
Total
Patients
12.31.08
Total
Patients
12.31.09
Total
Patients
12.31.10
Total
Patients
12.31.11
Total
Patients
Average
Annual
Change Rate
for Past Five
Years
Projected
12.31.12 Total
Patients
12.31.11
Home
Patients
12.31.11
Percent
Home
Patients
Projected
12.31.12
Home
Patients
Projected
12.31.12
In-Center
Patients
Projected
12.31.12
In-Center
Station
Utilization
Total
Available
Stations
Projected
Station Deficit
(bolded) or
Surplus
County Station
Need
Determination
Table B: ESRD Dialysis Station Need Determinations by Planning Area
Wayne 241 249 236 240 250 0.010 252.5 41 16.4% 41.4 211.1 66 80 Surplus of 14 0
Wilkes 61 69 83 75 72 0.049 75.6 11 15.3% 11.5 64.0 20 16 4 0
Wilson 192 188 199 198 220 0.036 227.9 24 10.9% 24.9 203.0 63 57 6 0
Yadkin 43 43 45 40 39 -0.022 38.1 7 17.9% 6.8 31.3 10 13 Surplus of 3 0
Unknowns 6 7 9 15 14 0.263 17.7 3 21.4% 0 0.0 0 0 0 0
State Totals 12,947 13,319 13,751 14,232 14,619 1,697 4,174 4,525 0
Note: Except for the Cherokee-Clay-Graham Multi-county Planning Area and the Mitchell-Avery-Yancey Multi-county Planning Area, each of the 94 remaining counties is a separate dialysis station planning area.
Table C: Need Determination for New Dialysis Stations by County
(Based on the County Need Methodology – July 2012)
Service Area HSA
Number of
Dialysis Stations
Needed
Certificate of Need
Application Due
Date
Certificate of
Need
Beginning
Review Date
Application of the County Need Methodology resulted in no dialysis station need
determinations for the July 2012 Semiannual Dialysis Report.
* Application due dates are absolute deadlines. The filing deadline is 5:30 p.m. on the
application due date. The filing deadline is absolute (see Chapter 3).
Southeastern Kidney Council Disclaimer
May 22, 2012
The Southeastern Kidney Council, Inc. is a nonprofit organization that contracts with
the Centers for Medicare & Medicaid Services for the provision of information-related
services with respect to End Stage Renal Disease Network 6. The data in this report are based
upon information generated by dialysis facilities in Network 6 and provided by these facilities
to the Southeastern Kidney Council, Inc. The information has been represented to the
Southeastern Kidney Council, Inc. as current as of May 18, 2012. These data are subject to
change without notice.
This report is made available by the Southeastern Kidney Council, Inc. to the Medical
Facilities Planning Branch, Division of Health Service Regulation, North Carolina
Department of Health and Human Services (“Department”) solely for the Department’s use.
The Southeastern Kidney Council, Inc. takes no responsibility for the use by the Department
of this report or the information contained in it for any purpose, including but not limited to
any dissemination by the Department of the report or any information in it to other agencies
or the public, or any use by the Department of the report or any information in it in
preparation of the Department’s Semiannual Dialysis Reports or any need determinations for
dialysis stations. While the Southeastern Kidney Council, Inc. strives for as much accuracy
as possible, it expressly disclaims any representations or warranties, whether express or
implied, to the Department or any other entity or person regarding the accuracy or reliability
for any purpose of the information in this report, including but not limited to any information
provided to the Southeastern Kidney Council, Inc. by dialysis facilities.
Nor t h Carol i na Semian n ual Dial y s i s Repor t
J u l y 2 0 1 2