2016
North Carolina
Semiannual
Dialysis Report
January 2016
Division of Health Service Regulation
January 2016 North Carolina
Semiannual Dialysis Report
Issued January 2, 2016
Prepared by
Healthcare Planning and Certificate of Need Section
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
Healthcare Planning and Certificate of Need Section
Division of Health Service Regulation
2704 Mail Service Center
Raleigh, North Carolina 27699-2704
(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
Pat McCrory Richard O. Brajer
Governor Secretary DHHS Drexdal Pratt
Division Director
Office of the Director
http://www.ncdhhs.gov/dhsr/
Phone: 919-855-3750 / Fax: 919-733-2757
Location: 809 Ruggles Drive  Dorothea Dix Hospital Campus  Raleigh, N.C. 27603
Mailing Address: 2701 Mail Service Center • Raleigh, North Carolina 27699-2701
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 K. Brown, Planner
Healthcare Planning and Certificate of Need Section
SUBJECT: January 2016 North Carolina Semiannual Dialysis Report
DATE: January 2, 2016
The North Carolina State Health Coordinating Council and the Healthcare Planning and Certificate
of Need Section are pleased to make the “January 2016 Semiannual Dialysis Report” available.
This report is published pursuant to Chapter 14 of the North Carolina 2016 State Medical Facilities
Plan. It applies the County Need methodology based on patient data as of June 30, 2015 and
calculates utilization rates for implementation of the Facility Need methodology.
Certificate of Need applications in response to the “January 2016 Semiannual Dialysis Report” are
due on March 15, 2016 for review beginning April 1, 2016. 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 Healthcare Planning 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 at 919-855-3873.
END-STAGE RENAL DISEASE DIALYSIS FACILITIES
Semiannual Dialysis Report, January 2016
Introduction
The North Carolina 2016 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 North Carolina 2016 State Medical Facilities Plan
specifies that the Semiannual Dialysis Reports “…will use facility, station and active patient data as
of June 30, 2015 for the ‘January 2016 SDR,’ and as of December 31, 2015 for the ‘July 2016 SDR.’
A new, five-year trend line will be established in the ‘July 2016 SDR,’ based on validated data as
reported to the Centers for Medicare & Medicaid Services (CMS) for the time period ending
December 31, 2012 and dialysis provider self-reported data for the remaining reporting periods. This
document is the “January 2016 SDR.” It reiterates the methodology and presents need determinations
for the certificate of need review beginning April 1, 2016.
Summary of Dialysis Station Supply and Utilization
For purposes of the Semiannual Dialysis Report, as of December 4, 2015 there were 193 End-Stage
Renal Disease (ESRD) dialysis facilities certified and operating in North Carolina providing a total of
4,722 dialysis stations. Certificates of need had been issued for an additional 156 dialysis stations, but
the stations were not yet certified. Another 115 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 15.
Utilization data as of June 30, 2015 are presented in the final two columns of Table A. Of the 192
certified facilities operational on that date, 87 were at or above 80 percent utilization (i.e., operating
with at least 3.2 patients per station).
Changes in the Proposed Plan
No substantive changes to the dialysis need methodology have been incorporated into the North
Carolina 2016 State Medical Facilities Plan. One wording clarification was made to Policy ESRD-2 in
Chapter 4. Dates have been advanced by one year, as needed to represent the time period for the 2016
Plan.
Sources of Data
Inventory Data:
Data on the current number of dialysis facilities and stations were obtained from Certificate of
Need and from the 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 June 30, 2015 were provided by
End-Stage Renal Disease providers operating certified dialysis facilities to the Division of
Health Service Regulation, Healthcare Planning.
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 as of June 30, 2015 were provided by certified
dialysis providers. Data for December 31 of 2010, 2011, 2012, 2013 and 2014 provide for the
five-year trend analysis.
Facility data include all patients being served by each provider as of June 30, 2015 regardless of
the county or state of each patient’s residence. These figures were also provided by certified
dialysis providers.
Method for Projection of New Dialysis Station Need
The North Carolina 2016 State Medical Facilities Plan (SMFP) directs Healthcare Planning 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 2016 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. Healthcare Planning 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
Healthcare Planning 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 and the Avery-Mitchell-Yancey Multi-County
Planning Areas, 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 Healthcare Planning.
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 to Healthcare Planning 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. 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; and,
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 North Carolina 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; and,
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; and,
c. services in rural, remote areas.
Methodology
Need for new dialysis stations shall be determined as follows:
(1) County Need (for the January 2016 SDR – Using the trend line ending with 12/31/14 data)
(A) The average annual rate (percent) of change in total number of dialysis patients resident in
each county from the end of 2010 to the end of 2014 is multiplied by the county’s June 30,
2015 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
June 30, 2016 patients.
(B) The percent of each county's total patients who were home dialysis patients on June 30,
2015 is multiplied by the county's projected total June 30, 2016 patients, and the product is
subtracted from the county's projected total June 30, 2016 patients. The remainder is the
county's projected June 30, 2016 in-center dialysis patients.
(C) The projected number of each county's June 30, 2016 in-center patients is divided by 3.2.
The quotient is the projection of the county's June 30, 2016 in-center dialysis stations.
(D) From each county's projected number of June 30, 2016 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 June 30, 2016
projected station surplus or deficit.
(E) If a county's June 30, 2016 projected station deficit is 10 or greater, and the January SDR
shows that utilization of each dialysis facility in the county is 80 percent or greater, the June
30, 2016 county station need determination is the same as the June 30, 2016 projected
station deficit. If a county's June 30, 2016 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 June 30,
2016 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 6 (the number of months from June 30,
2015 until December 31, 2015) for the January 2016 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 2016 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 North Carolina Semiannual Dialysis Report and for receipt of
certificate of need applications based on each issue of that report in 2016 shall be as follows:
Data for Period
Ending
Publication of
Semi-annual Dialysis
Report
Certificate of Need
Application Due Dates
Certificate of Need
Beginning
Review Dates
June 30, 2015 January 2, 2016 March 15, 2016 April 1, 2016
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 these dialysis reports. The filing deadline is absolute.
County Facility
Facility
Identifi-cation
Number
Provider
Number
City Certified
CON
Issued/
Not
Certified
Certified
Stations
06/30/2015
Number
In-Center
Patients
06/30/2015
Utilization
by Percent
06/30/2015
Patients Per
Station
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates*
Utilization Rates
Alamance 955786 34-2533 BMA Burlington Burlington 45 0 45 101 56.11% 2.2444
Alamance 956036 34-2567 Burlington Dialysis Burlington 26 -2 26 100 96.15% 3.8462
Alamance 100545 34-2691 Carolina Dialysis - Mebane Mebane 12 0 12 46 95.83% 3.8333
Alamance 140092 Proposed Graham Dialysis
new site
consisting
of existing
stations
0 10 0 0 0.00% 0.0000
Alamance 100785 34-2686 North Burlington Dialysis Burlington 16 0 16 71 110.94% 4.4375
Alexander 090725 34-2687 FMC of Alexander County Taylorsville 10 0 10 27 67.50% 2.7000
Alleghany
Anson 955840 34-2560 Dialysis Care of Anson County Wadesboro 15 0 15 31 51.67% 2.0667
Anson 061094 34-2673 FMC Anson County Wadesboro 13 0 13 41 78.85% 3.1538
Ashe
Avery (Mitchell-Avery-Yancey Planning Area)
Beaufort 955789 34-2561 FMC Pamlico Washington 31 0 31 91 73.39% 2.9355
Bertie 956109 34-2547 Windsor Dialysis Unit Windsor 20 0 20 43 53.75% 2.1500
Bladen 955448 34-2578 Southeastern Dialysis Center - Elizabethtown Elizabethtown 24 2 24 77 80.21% 3.2083
Brunswick 070678 34-2689 FMC Brunswick County Supply 10 0 10 15 37.50% 1.5000
Brunswick 140237 Proposed Leland Dialysis
new site
consisting
of existing
stations
0 10 0 0 0.00% 0.0000
Brunswick 960145 34-2582 Southeastern Dialysis Center - Shallotte Shallotte 18 -8 18 49 68.06% 2.7222
Brunswick 070474 34-2669 Southport Dialysis Center Southport 13 -2 13 26 50.00% 2.0000
Buncombe 955773 34-2506 Asheville Kidney Center Asheville 52 0 52 168 80.77% 3.2308
Buncombe 150248 Proposed South Buncombe County Dialysis
new site
consisting
of existing
stations
0 10 0 0 0.00% 0.0000
Buncombe 010920 34-2626 Swannanoa Dialysis Center Swannanoa 10 -10 10 0 0.00% 0.0000
Buncombe 000318 34-2604 Weaverville Dialysis Weaverville 20 0 20 45 56.25% 2.2500
County Facility
Facility
Identifi-cation
Number
Provider
Number
City Certified
CON
Issued/
Not
Certified
Certified
Stations
06/30/2015
Number
In-Center
Patients
06/30/2015
Utilization
by Percent
06/30/2015
Patients Per
Station
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates*
Utilization Rates
Burke 150154 Proposed BMA of Burke County
new site
consisting
of existing
stations
0 31 0 0 0.00% 0.0000
Burke 955785 34-2563 BMA of Burke County Morganton 25 -25 25 92 92.00% 3.6800
Cabarrus 010799 34-2631 Copperfield Dialysis Concord 21 -21 21 72 85.71% 3.4286
Cabarrus 150299 Proposed Copperfield Dialysis
new site
consisting
of existing
stations
0 31 0 0 0.00% 0.0000
Cabarrus 070392 34-2670 Harrisburg Dialysis Center Concord 19 0 19 70 92.11% 3.6842
Caldwell 955791 34-2509 BMA Lenoir Lenoir 34 0 34 99 72.79% 2.9118
Camden
Carteret 970506 34-2588 Crystal Coast Dialysis Unit Morehead City 16 0 16 51 79.69% 3.1875
Carteret 120486 34-2702 FMC Sea Spray Cedar Point 10 0 10 9 22.50% 0.9000
Caswell 960925 34-2597 Renal Care Group - Caswell Yanceyville 10 0 10 34 85.00% 3.4000
Catawba 010648 34-2635 FMC of Catawba Valley Conover 25 0 25 81 81.00% 3.2400
Catawba 955790 34-2516 FMC of Hickory Hickory 35 0 35 116 82.86% 3.3143
Chatham 981038 34-2617 Carolina Dialysis Pittsboro Pittsboro 10 0 10 25 62.50% 2.5000
Chatham 955802 34-2621 Carolina Dialysis Siler City Siler City 22 0 22 58 65.91% 2.6364
Cherokee
(Cherokee-
Clay-Graham
Mulitcounty
Planning Area)
050254 34-2649 Smoky Mountain Dialysis Center Murphy 13 0 10 36 90.00% 3.6000
Chowan 955811 34-2541 Edenton Dialysis Edenton 17 -4 17 45 66.18% 2.6471
Clay (Cherokee-Clay-Graham Planning Area)
Cleveland 070223 34-2676 DCI South Shelby 14 0 14 41 73.21% 2.9286
Cleveland 001291 34-2611 Dialysis Clinic - Kings Mountain Kings Mountain 14 1 14 37 66.07% 2.6429
Cleveland 955845 34-2529 Dialysis Clinic - Shelby Shelby 33 0 33 80 60.61% 2.4242
Cleveland 080370 34-2661 Dialysis Clinic, Inc Shelby 15 0 15 29 48.33% 1.9333
Columbus 020281 34-2628 Chadbourn Dialysis Center Chadbourn 17 0 17 34 50.00% 2.0000
Columbus 956057 34-2521 Southeastern Dialysis Center - Whiteville Whiteville 26 0 26 62 59.62% 2.3846
Craven 960995 34-2585 FMC Craven County New Bern 28 0 28 71 63.39% 2.5357
County Facility
Facility
Identifi-cation
Number
Provider
Number
City Certified
CON
Issued/
Not
Certified
Certified
Stations
06/30/2015
Number
In-Center
Patients
06/30/2015
Utilization
by Percent
06/30/2015
Patients Per
Station
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates*
Utilization Rates
Craven 955965 34-2534 New Bern Dialysis New Bern 37 0 37 96 64.86% 2.5946
Cumberland 140236 Proposed BMA of Fayetteville
new site
consisting
of existing
stations
0 45 0 0 0.00% 0.0000
Cumberland 944475 34-2510 Fayetteville Kidney Center Fayetteville 42 -42 39 136 87.18% 3.4872
Cumberland 960411 34-2593 FMC Dialysis Services North Ramsey Fayetteville 40 0 40 116 72.50% 2.9000
Cumberland 970530 34-2601 FMC Dialysis Services South Ramsey Fayetteville 51 0 51 129 63.24% 2.5294
Cumberland 011019 34-2643 FMC Services of West Fayetteville Fayetteville 40 0 40 154 96.25% 3.8500
Currituck
Dare 970980 34-2598 Dare County Dialysis Center Manteo 9 0 9 26 72.22% 2.8889
Davidson 944660 34-2553 Lexington Dialysis Center Lexington 33 0 30 111 92.50% 3.7000
Davidson 020758 34-2639 Thomasville Dialysis Center Thomasville 24 0 24 87 90.63% 3.6250
Davie 080689 34-2677 Davie Kidney Center Mocksville 13 0 13 43 82.69% 3.3077
Duplin 944440 34-2630 RAI-West College-Warsaw Warsaw 16 0 16 25 39.06% 1.5625
Duplin 945251 34-2535 Southeastern Dialysis Center - Kenansville Kenansville 17 -3 17 44 64.71% 2.5882
Duplin 060249 34-2659 Wallace Dialysis Wallace 16 0 17 59 86.76% 3.4706
Durham 955847 34-3504 Duke Hospital Dialysis Durham 16 0 16 54 84.38% 3.3750
Durham 955621 34-2550 Durham Dialysis Durham 29 -7 29 98 84.48% 3.3793
Durham 010285 34-2616 Durham West Dialysis Durham 29 1 29 97 83.62% 3.3448
Durham 140143 Proposed East Durham Dialysis
new site
consisting
of existing
stations
0 10 0 0 0.00% 0.0000
Durham 990969 34-2615 FMC Dialysis Services of Briggs Avenue Durham 29 0 29 89 76.72% 3.0690
Durham 956837 34-2590 FMC Dialysis Services West Pettigrew Durham 24 0 24 60 62.50% 2.5000
Durham 080098 34-2680 FMC South Durham Dialysis Durham 18 0 14 47 83.93% 3.3571
Durham 955622 34-2538 Freedom Lake Dialysis Unit Durham 26 0 26 87 83.65% 3.3462
Durham 090117 34-2683 Southpoint Dialysis Durham 16 0 16 62 96.88% 3.8750
Edgecombe 970528 34-2603 BMA East Rocky Mount Rocky Mount 30 0 30 127 105.83% 4.2333
Edgecombe 955841 34-2577 Dialysis Care of Edgecombe County Tarboro 35 0 26 98 94.23% 3.7692
County Facility
Facility
Identifi-cation
Number
Provider
Number
City Certified
CON
Issued/
Not
Certified
Certified
Stations
06/30/2015
Number
In-Center
Patients
06/30/2015
Utilization
by Percent
06/30/2015
Patients Per
Station
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates*
Utilization Rates
Edgecombe 150155 Proposed FMC Tarboro
new site
consisting
of existing
stations
0 0 0 0 0.00% 0.0000
Forsyth 070671 34-2667 Miller Street Dialysis Center Winston-Salem 36 0 36 119 82.64% 3.3056
Forsyth 955963 34-2304 NC Baptist Hospital ESRD Winston-Salem 4 0 4 0 0.00% 0.0000
Forsyth 000193 34-2612 Northside Dialysis Center Winston-Salem 45 0 45 124 68.89% 2.7556
Forsyth 944661 34-2505 Piedmont Dialysis Center Winston-Salem 62 0 62 136 54.84% 2.1935
Forsyth 944758 34-2569 Salem Kidney Center Winston-Salem 39 0 39 137 87.82% 3.5128
Franklin 955842 34-2571 Dialysis Care of Franklin County Louisburg 27 0 27 75 69.44% 2.7778
Franklin 130122 Proposed FMC Tar River
new site
consisting
of existing
stations
Louisburg 0 10 0 0 0.00% 0.0000
Gaston 960921 34-2595 BMA Kings Mountain Kings Mountain 14 0 14 53 94.64% 3.7857
Gaston 050039 34-2652 FMC Belmont Belmont 18 0 16 61 95.31% 3.8125
Gaston 955615 34-2513 FMC Gastonia Gastonia 39 0 39 134 85.90% 3.4359
Gaston 070531 34-2671 FMC South Gaston Gastonia 20 6 20 71 88.75% 3.5500
Gates
Graham (Cherokee-Clay-Graham Planning Area)
Granville 955623 34-2520 FMC Dialysis Services Neuse River Oxford 25 0 25 77 77.00% 3.0800
Granville 041025 34-2647 FMS Dialysis Services of Oxford Oxford 23 0 19 66 86.84% 3.4737
Greene 020974 34-2650 Greene County Dialysis Center Snow Hill 21 0 21 44 52.38% 2.0952
Guilford 955872 34-2504 BMA of Greensboro Greensboro 56 0 56 169 75.45% 3.0179
Guilford 980838 34-2537 BMA of South Greensboro Greensboro 59 -10 59 178 75.42% 3.0169
Guilford 980472 34-2600 BMA of Southwest Greensboro Jamestown 31 2 31 97 78.23% 3.1290
Guilford 001324 34-2634 FMC of East Greensboro Greensboro 35 0 35 119 85.00% 3.4000
Guilford 150332 Proposed Fresenius Medical Care High Point
new site
consisting
of existing
stations
High Point 0 10 0 0 0.00% 0.0000
Guilford 945262 34-2514 High Point Kidney Center High Point 42 -10 42 153 91.07% 3.6429
Guilford 990214 34-2613 Northwest Greensboro Kidney Center Greensboro 33 0 33 95 71.97% 2.8788
County Facility
Facility
Identifi-cation
Number
Provider
Number
City Certified
CON
Issued/
Not
Certified
Certified
Stations
06/30/2015
Number
In-Center
Patients
06/30/2015
Utilization
by Percent
06/30/2015
Patients Per
Station
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates*
Utilization Rates
Guilford 980262 34-2599 Triad Dialysis Center High Point 22 0 22 74 84.09% 3.3636
Halifax 956044 34-2542 BMA of Roanoke Rapids Roanoke Rapids 36 10 36 145 100.69% 4.0278
Halifax 981041 34-2619 FMC Dialysis Services of Halifax Scotland Neck 19 0 19 60 78.95% 3.1579
Harnett 944644 34-2557 Dunn Kidney Center Dunn 31 0 31 108 87.10% 3.4839
Harnett 110803 34-2701 FMC Anderson Creek Cameron 11 0 11 25 56.82% 2.2727
Harnett 100969 34-2694 FMC Angier Angier 10 0 10 28 70.00% 2.8000
Harnett 050131 34-2648 Fresenius Medical Care of Lillington Lillington 17 0 17 34 50.00% 2.0000
Haywood 010800 34-2629 Waynesville Dialysis Center Clyde 18 0 18 56 77.78% 3.1111
Henderson 140094 34-2564 Hendersonville Dialysis Center Hendersonville 24 0 24 75 78.13% 3.1250
Hertford 945189 34-2570 Ahoskie Dialysis Ahoskie 26 0 26 79 75.96% 3.0385
Hoke 945165 34-2579 Dialysis Care of Hoke County Raeford 28 0 27 95 87.96% 3.5185
Hoke 110715 34-2698 Lumbee River Dialysis Red Springs 10 0 10 19 47.50% 1.9000
Hyde
Iredell 990439 34-2606 Lake Norman Dialysis Center Mooresville 27 0 27 93 86.11% 3.4444
Iredell 944568 34-2527 Statesville Dialysis Center Statesville 27 0 27 72 66.67% 2.6667
Iredell 020759 34-2636 West Iredell Dialysis Center Statesville 20 0 20 52 65.00% 2.6000
Jackson 944474 34-2556 Sylva Dialysis Center Sylva 16 0 16 25 39.06% 1.5625
Johnston 956062 34-2545 FMC Four Oaks Four Oaks 22 0 22 55 62.50% 2.5000
Johnston 030941 34-2678 FMC Stallings Station Clayton 24 0 24 72 75.00% 3.0000
Johnston 944566 34-2572 Johnston Dialysis Center Smithfield 25 0 25 79 79.00% 3.1600
Jones 001653 34-2625 FMC Dialysis Service of Jones County Trenton 10 0 10 28 70.00% 2.8000
Lee 110959 34-2697 Carolina Dialysis Lee County Sanford 13 0 13 41 78.85% 3.1538
Lee 955801 34-2620 Carolina Dialysis Sanford Sanford 33 3 33 100 75.76% 3.0303
Lenoir 955898 34-2518 BMA Kinston Kinston 39 0 39 99 63.46% 2.5385
Lenoir 010207 34-2609 FMC Vernon Dialysis Kinston 24 0 18 68 94.44% 3.7778
Lincoln 944237 34-2568 FMC Lincolnton Lincolnton 25 0 25 84 84.00% 3.3600
Macon 120162 34-2696 Franklin Township Dialysis Franklin 9 0 9 24 66.67% 2.6667
Madison
Martin 960043 34-2584 Dialysis Care of Martin County Williamston 25 0 25 64 64.00% 2.5600
McDowell 040266 34-2645 McDowell Dialysis Center Marion 13 1 13 42 80.77% 3.2308
Mecklenburg 960156 34-2581 BMA Beatties Ford Charlotte 32 11 32 122 95.31% 3.8125
Mecklenburg 970826 34-2594 BMA Nations Ford Charlotte 28 0 24 114 118.75% 4.7500
County Facility
Facility
Identifi-cation
Number
Provider
Number
City Certified
CON
Issued/
Not
Certified
Certified
Stations
06/30/2015
Number
In-Center
Patients
06/30/2015
Utilization
by Percent
06/30/2015
Patients Per
Station
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates*
Utilization Rates
Mecklenburg 970301 34-2605 BMA of East Charlotte Charlotte 25 -4 25 85 85.00% 3.4000
Mecklenburg 955788 34-2549 BMA of North Charlotte Charlotte 28 8 28 109 97.32% 3.8929
Mecklenburg 955792 34-2554 BMA West Charlotte Charlotte 29 0 29 95 81.90% 3.2759
Mecklenburg 955805 34-2306 Carolinas Medical Center Charlotte 9 0 9 14 38.89% 1.5556
Mecklenburg 955930 34-2548 Charlotte Dialysis Charlotte 36 0 36 126 87.50% 3.5000
Mecklenburg 001554 34-2627 Charlotte East Dialysis Charlotte 26 0 26 104 100.00% 4.0000
Mecklenburg 944671 34-2552 DSI Charlotte Latrobe Dialysis Charlotte 24 0 19 56 73.68% 2.9474
Mecklenburg 955380 34-2591 DSI Glenwater Dialysis Charlotte 42 0 41 132 80.49% 3.2195
Mecklenburg 955947 34-2503 FMC Charlotte Charlotte 43 0 40 133 83.13% 3.3250
Mecklenburg 080137 34-2681 FMC Matthews Matthews 21 0 21 99 117.86% 4.7143
Mecklenburg 120485 Proposed FMC of Southwest Charlotte
new site
consisting
of existing
stations
Charlotte 0 10 0 0 0.00% 0.0000
Mecklenburg 150024 Proposed FMC Regal Oaks
new site
consisting
of existing
stations
0 12 0 0 0.00% 0.0000
Mecklenburg 150435 Proposed Fresenius Medical Care Aldersgate
new site
consisting
of existing
stations
0 0 0 0 0.00% 0.0000
Mecklenburg 130490 Proposed Huntersville Dialysis
new site
consisting
of existing
stations
Huntersville 0 10 0 0 0.00% 0.0000
Mecklenburg 070389 34-2692 Mint Hill Dialysis Mint Hill 12 0 11 44 100.00% 4.0000
Mecklenburg 060083 34-2663 North Charlotte Dialysis Center Charlotte 41 -14 35 134 95.71% 3.8286
Mecklenburg 955814 34-2523 South Charlotte Dialysis Charlotte 22 0 23 70 76.09% 3.0435
Mitchell
(Mitchell-
Avery-Yancey
Mulitcounty
Planning Area)
060380 34-2660 Mayland Dialysis Center Spruce Pine 9 0 9 16 44.44% 1.7778
Montgomery 925156 34-2583 Dialysis Care of Montgomery County Biscoe 20 0 20 60 75.00% 3.0000
County Facility
Facility
Identifi-cation
Number
Provider
Number
City Certified
CON
Issued/
Not
Certified
Certified
Stations
06/30/2015
Number
In-Center
Patients
06/30/2015
Utilization
by Percent
06/30/2015
Patients Per
Station
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates*
Utilization Rates
Moore 080621 34-2679 Carthage Dialysis Carthage 12 0 12 26 54.17% 2.1667
Moore 944674 34-2555 Dialysis Care of Moore County Pinehurst 25 0 25 73 73.00% 2.9200
Moore 020648 34-2638 Southern Pines Dialysis Center Southern Pines 15 0 15 49 81.67% 3.2667
Nash 020870 34-2644 FMC of Spring Hope Spring Hope 15 0 13 50 96.15% 3.8462
Nash 130370 Proposed FMC South Rocky Mount
new site
consisting
of existing
stations
Rocky Mount 0 12 0 0 0.00% 0.0000
Nash 130459 Proposed Nash County Dialysis
new site
consisting
of new
stations
0 0 0 0 0.00% 0.0000
Nash 944658 34-2517 Rocky Mount Kidney Center Rocky Mount 42 -12 42 169 100.60% 4.0238
New Hanover 080819 34-2685 Cape Fear Dialysis Wilmington 32 0 32 119 92.97% 3.7188
New Hanover 140333 Proposed New Hanover Dialysis
new site
consisting
of existing
stations
0 12 0 0 0.00% 0.0000
New Hanover 956055 34-2511 Southeastern Dialysis Center - Wilmington Wilmington 29 3 29 143 123.28% 4.9310
Northampton 970120 34-2586 FMC East Northampton County Conway 19 0 19 58 76.32% 3.0526
Onslow 130178 34-2700 New River Dialysis Jacksonville 18 0 18 55 76.39% 3.0556
Onslow 956056 34-2532 Southeastern Dialysis Center - Jacksonville Jacksonville 25 8 25 92 92.00% 3.6800
Orange 956088 34-2622 Carolina Dialysis Carrboro Carrboro 41 0 41 113 68.90% 2.7561
Pamlico
Pasquotank 130368 Proposed Albemarle Dialysis
new site
consisting
of existing
stations
Elizabeth City 0 14 0 0 0.00% 0.0000
Pasquotank 955812 34-2515 Elizabeth City Dialysis Elizabeth City 30 -11 30 106 88.33% 3.5333
Pender 945252 34-2558 Southeastern Dialysis Center - Burgaw Burgaw 12 3 22 62 70.45% 2.8182
Pender 130180 34-2703 Surf City Dialysis Hampstead 10 0 0 0 0.00% 0.0000
County Facility
Facility
Identifi-cation
Number
Provider
Number
City Certified
CON
Issued/
Not
Certified
Certified
Stations
06/30/2015
Number
In-Center
Patients
06/30/2015
Utilization
by Percent
06/30/2015
Patients Per
Station
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates*
Utilization Rates
Perquimans Perquimans 140091 Proposed County Dialysis
new site
consisting
of existing
stations
0 10 0 0 0.00% 0.0000
Person 120225 34-2562 Roxboro Dialysis Roxboro 35 0 35 113 80.71% 3.2286
Pitt 011155 34-2632 FMC Care of Ayden Ayden 16 0 16 59 92.19% 3.6875
Pitt 960406 34-2596 FMC Dialysis Services East Carolina Greenville 38 3 38 141 92.76% 3.7105
Pitt 140329 Proposed FMC Farmville
new site
consisting
of existing
stations
Farmville 0 10 0 0 0.00% 0.0000
Pitt 944657 34-2502 Greenville Dialysis Center Greenville 48 -3 48 168 87.50% 3.5000
Polk
Randolph 955777 34-2524 BMA of Asheboro Asheboro 46 0 46 106 57.61% 2.3043
Randolph 140089 Proposed N. Randolph Dialysis Center of Wake Forest University
new site
consisting
of existing
stations
0 10 0 0 0.00% 0.0000
Richmond 955843 34-2539 Dialysis Care of Richmond County Hamlet 27 0 30 84 70.00% 2.8000
Richmond 090624 34-2690 Sandhills Dialysis Rockingham 16 0 12 53 110.42% 4.4167
Robeson 980754 34-2607 BMA of Red Springs Red Springs 12 0 12 44 91.67% 3.6667
Robeson 991061 34-2623 FMC Dialysis Services of Robeson County Fairmont 23 0 23 71 77.17% 3.0870
Robeson 971335 34-2682 FMC Pembroke Pembroke 15 4 15 53 88.33% 3.5333
Robeson 060514 34-2662 FMC St. Pauls St. Pauls 15 0 15 57 95.00% 3.8000
Robeson 955445 34-2528 Lumberton Dialysis Unit Lumberton 35 0 35 120 85.71% 3.4286
Robeson 140332 Proposed Maxton Dialysis
new site
consisting
of existing
stations
0 0 0 0 0.00% 0.0000
Robeson 070039 34-2651 St. Pauls Dialysis Center St. Pauls 10 0 10 16 40.00% 1.6000
Rockingham 955844 34-2536 Dialysis Care of Rockingham County Eden 23 0 23 79 85.87% 3.4348
Rockingham 030453 34-2640 Reidsville Dialysis Reidsville 27 0 27 69 63.89% 2.5556
Rockingham 001548 34-2641 Rockingham Kidney Center Reidsville 19 0 17 56 82.35% 3.2941
County Facility
Facility
Identifi-cation
Number
Provider
Number
City Certified
CON
Issued/
Not
Certified
Certified
Stations
06/30/2015
Number
In-Center
Patients
06/30/2015
Utilization
by Percent
06/30/2015
Patients Per
Station
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates*
Utilization Rates
Rowan Dialysis 980409 34-2592 Care of Kannapolis Kannapolis 25 0 25 76 76.00% 3.0400
Rowan 944673 34-2546 Dialysis Care of Rowan County Salisbury 29 -2 29 111 95.69% 3.8276
Rutherford 955824 34-2566 Dialysis Care of Rutherford County Forest City 30 0 30 84 70.00% 2.8000
Sampson 955787 34-2559 BMA of Clinton Clinton 36 0 36 88 61.11% 2.4444
Sampson 080822 34-2688 FMC of Roseboro Roseboro 13 0 13 37 71.15% 2.8462
Scotland 924648 34-2540 BMA of Laurinburg Laurinburg 30 0 30 78 65.00% 2.6000
Scotland 060982 34-2664 FMC Scotland County Laurinburg 14 0 14 37 66.07% 2.6429
Stanly 955784 34-2565 BMA Albemarle Albemarle 26 0 26 85 81.73% 3.2692
Stokes 020980 34-2633 King Dialysis Center King 17 0 17 47 69.12% 2.7647
Surry 001558 34-2614 Elkin Dialysis Center Elkin 19 0 19 44 57.89% 2.3158
Surry 944348 34-2551 Mt Airy Dialysis Center Mount Airy 27 0 27 73 67.59% 2.7037
Swain 000047 34-2602 Cherokee Dialysis Center Cherokee 20 0 20 52 65.00% 2.6000
Transylvania 080169 34-2693 Brevard Dialysis Center Brevard 9 0 9 19 52.78% 2.1111
Tyrrell
Union 060374 34-2666 Marshville Dialysis Center Marshville 12 0 12 29 60.42% 2.4167
Union 955949 34-2525 Metrolina Kidney Center Monroe 21 0 21 66 78.57% 3.1429
Union 955953 34-2526 Union County Dialysis Monroe 28 0 28 87 77.68% 3.1071
Vance 130179 Proposed Kerr Lake Dialysis
new site
consisting
of existing
stations
Henderson 16 0 0 0 0.00% 0.0000
Vance 944655 34-2543 Vance County Dialysis Henderson 33 0 49 155 79.08% 3.1633
Wake 980755 34-2608 BMA of Fuquay Varina Kidney Center Fuquay-Varina 22 1 20 77 96.25% 3.8500
Wake 956008 34-2512 BMA of Raleigh Dialysis Raleigh 50 0 50 163 81.50% 3.2600
Wake 955808 34-2544 Cary Kidney Center Cary 28 0 28 80 71.43% 2.8571
Wake 041023 34-2658 FMC Apex Apex 20 0 20 49 61.25% 2.4500
Wake 080823 34-2684 FMC Central Raleigh Raleigh 19 0 19 55 72.37% 2.8947
Wake 061335 34-2672 FMC Eastern Wake Rolesville 14 0 14 61 108.93% 4.3571
Wake 041024 34-2653 FMC Millbrook Raleigh 17 0 17 57 83.82% 3.3529
Wake 020868 34-2646 FMC New Hope Dialysis Raleigh 36 0 36 110 76.39% 3.0556
County Facility
Facility
Identifi-cation
Number
Provider
Number
City Certified
CON
Issued/
Not
Certified
Certified
Stations
06/30/2015
Number
In-Center
Patients
06/30/2015
Utilization
by Percent
06/30/2015
Patients Per
Station
Table A: Inventory of Dialysis Stations and Calculation of Utilization Rates*
Utilization Rates
Wake 130278 Proposed FMC Northern Wake
new site
consisting
of existing
stations
Raleigh 0 13 0 0 0.00% 0.0000
Wake 990968 34-2642 Southwest Wake County Dialysis Raleigh 31 -1 31 115 92.74% 3.7097
Wake 956094 34-2522 Wake Dialysis Clinic Raleigh 50 0 50 198 99.00% 3.9600
Wake 041181 34-2675 Wake Forest Dialysis Center Raleigh 20 0 20 73 91.25% 3.6500
Wake 970505 34-2589 Zebulon Kidney Center Zebulon 30 -2 30 99 82.50% 3.3000
Warren 991065 34-2610 FMC Dialysis Services of Warren Hills Warrenton 25 0 25 52 52.00% 2.0800
Washington 001549 34-2618 FMC Dialysis Services Plymouth Plymouth 14 0 14 37 66.07% 2.6429
Watauga 150300 Proposed FMC Watauga County
new site
consisting
of existing
stations
Boone 0 16 0 0 0.00% 0.0000
Watauga 944647 34-2674 FMC Watauga County Boone 14 -14 14 42 75.00% 3.0000
Wayne 140466 Proposed Coastal Carolina Dialysis
new site
consisting
of existing
stations
0 12 0 0 0.00% 0.0000
Wayne 944654 34-2531 Goldsboro Dialysis Goldsboro 27 -10 27 97 89.81% 3.5926
Wayne 970275 34-2587 Goldsboro South Dialysis Goldsboro 22 -2 22 78 88.64% 3.5455
Wayne 000304 34-2573 Mt Olive Dialysis Mount Olive 15 0 15 44 73.33% 2.9333
Wayne 945326 34-2576 RAI Care Centers - Goldsboro Goldsboro 16 0 16 31 48.44% 1.9375
Wilkes 956103 34-2313 Wilkes Regional Dialysis Center North Wilkesboro 24 0 19 60 78.95% 3.1579
Wilson 020166 34-2637 Forest Hills Dialysis Wilson 31 0 31 111 89.52% 3.5806
Wilson 971340 34-2507 Wilson Dialysis Wilson 40 0 40 137 85.63% 3.4250
Yadkin 060383 34-2665 Yadkin Dialysis Center Yadkinville 13 0 13 22 42.31% 1.6923
Yancey (Mitchell-Avery-Yancey Planning Area)
State Totals 4,722 156 4,657 14,555
* Inventory compiled 12/04/2015. Utilization rates calculated for 06/30/2015.
County/
Multi-
County
Planning
Area
12.31.10
Total
Patients
12.31.11
Total
Patients
12.31.12
Total
Patients
12.31.13
Total
Patients
12.31.14
Total
Patients
Average
Annual
Change
Rate for
Past Five
Years
Projected
6.30.16
Total
Patients
6.30.15
Home
Patients
6.30.15
Percent
Home
Patients
Projected
6.30.16
Home
Patients
Projected
6.30.16
In-Center
Patients
Projected
6.30.16
In-Center
Station
Utilization
Projected
Total
Available
Stations
Projected
Station
Deficit or
Surplus
County Station
Need
Determination
Table B: ESRD Dialysis Station Need Determinations by Planning Area
6.30.15
Total
Patients
Alamance 271 276 290 285 308 0.033 338.9 34 10.4% 35.1 328 303.7 95 121 Surplus of 26 0
Alexander 37 35 42 34 39 0.026 38 39.0 3 7.9% 3.1 35.9 11 10 1 0
Alleghany 10 7 5 7 11 0.096 8 8.8 1 12.5% 1.1 7.7 2 0 2 0
Anson 75 79 77 78 91 0.052 85 89.4 5 5.9% 5.3 84.2 26 28 Surplus of 2 0
Ashe 21 19 22 21 14 -0.079 16 14.7 5 31.3% 4.6 10.1 3 0 3 0
Beaufort 97 103 97 108 114 0.043 120 125.2 14 11.7% 14.6 110.6 35 31 4 0
Bertie 68 65 61 58 66 -0.004 63 62.7 9 14.3% 9.0 53.8 17 20 Surplus of 3 0
Bladen 95 95 106 87 89 -0.010 95 94.0 13 13.7% 12.9 81.2 25 26 Surplus of 1 0
Brunswick 120 124 134 135 145 0.049 141 147.9 26 18.4% 27.3 120.6 38 41 Surplus of 3 0
Buncombe 226 224 247 258 237 0.014 225 228.2 18 8.0% 18.3 209.9 66 82 Surplus of 16 0
Burke 85 87 101 111 114 0.078 114 122.8 13 11.4% 14.0 108.8 34 33 1 0
Cabarrus 205 198 176 187 209 0.009 210 211.8 43 20.5% 43.4 168.5 53 56 Surplus of 3 0
Caldwell 104 102 107 102 105 0.003 113 113.4 10 8.8% 10.0 103.3 32 34 Surplus of 2 0
Camden 16 15 17 15 13 -0.045 16 15.3 4 25.0% 3.8 11.5 4 0 4 0
Carteret 71 74 78 79 61 -0.030 71 68.9 18 25.4% 17.5 51.4 16 26 Surplus of 10 0
Caswell 37 32 30 34 46 0.072 48 51.5 5 10.4% 5.4 46.1 14 10 4 0
Catawba 181 189 182 198 200 0.026 204 209.4 17 8.3% 17.4 191.9 60 60 0 0
Chatham 81 81 91 87 96 0.046 94 98.3 3 3.2% 3.1 95.2 30 32 Surplus of 2 0
Cherokee 17 19 16 25 25 0.131 33 37.3 6 18.2% 6.8 30.5 10 13 Surplus of 3
Clay 8 10 8 8 7 -0.019 7 6.9 2 28.6% 2.0 4.9 2 0 2
Graham 14 14 15 11 15 0.042 16 16.7 2 12.5% 2.1 14.6 5 0 5
Cherokee-Clay-Graham Planning Area Total 4 0
Chowan 41 36 36 36 30 -0.072 33 30.6 7 21.2% 6.5 24.1 8 13 Surplus of 5 0
Cleveland 238 259 239 244 227 -0.009 219 216.9 22 10.0% 21.8 195.1 61 77 Surplus of 16 0
Columbus 122 134 118 124 123 0.005 118 118.6 15 12.7% 15.1 103.6 32 43 Surplus of 11 0
Craven 173 169 164 177 181 0.012 188 190.3 34 18.1% 34.4 155.9 49 65 Surplus of 16 0
Cumberland 555 533 579 622 614 0.027 616 632.6 89 14.4% 91.4 541.2 169 176 Surplus of 7 0
Currituck 17 10 10 8 13 0.003 13 13.0 3 23.1% 3.0 10.0 3 0 3 0
Dare 29 27 31 33 27 -0.010 22 21.8 5 22.7% 5.0 16.8 5 9 Surplus of 4 0
County/
Multi-
County
Planning
Area
12.31.10
Total
Patients
12.31.11
Total
Patients
12.31.12
Total
Patients
12.31.13
Total
Patients
12.31.14
Total
Patients
Average
Annual
Change
Rate for
Past Five
Years
Projected
6.30.16
Total
Patients
6.30.15
Home
Patients
6.30.15
Percent
Home
Patients
Projected
6.30.16
Home
Patients
Projected
6.30.16
In-Center
Patients
Projected
6.30.16
In-Center
Station
Utilization
Projected
Total
Available
Stations
Projected
Station
Deficit or
Surplus
County Station
Need
Determination
Table B: ESRD Dialysis Station Need Determinations by Planning Area
6.30.15
Total
Patients
Davidson 180 195 191 202 234 0.070 261.0 244 39 16.0% 41.7 219.3 69 61 8 0
Davie 41 40 44 44 51 0.059 61 64.6 16 26.2% 16.9 47.6 15 13 2 0
Duplin 130 134 138 136 152 0.041 145 150.9 26 17.9% 27.1 123.9 39 43 Surplus of 4 0
Durham 500 511 518 565 560 0.029 582 599.1 46 7.9% 47.4 551.8 172 194 Surplus of 22 0
Edgecombe 198 208 227 218 202 0.007 215 216.5 13 6.0% 13.1 203.5 64 75 Surplus of 11 0
Forsyth 593 582 591 579 604 0.005 601 604.0 84 14.0% 84.4 519.6 162 182 Surplus of 20 0
Franklin 111 113 114 120 111 0.001 117 117.1 8 6.8% 8.0 109.1 34 37 Surplus of 3 0
Gaston 278 270 270 297 317 0.035 341 352.8 31 9.1% 32.1 320.7 100 99 1 0
Gates 26 8 8 7 5 -0.276 7 5.1 1 14.3% 0.7 4.3 1 0 1 0
Granville 112 128 131 144 150 0.077 154 165.8 9 5.8% 9.7 156.1 49 48 1 0
Greene 52 57 66 60 48 -0.009 43 42.6 4 9.3% 4.0 38.6 12 21 Surplus of 9 0
Guilford 790 819 830 892 886 0.030 914 941.0 75 8.2% 77.2 863.8 270 278 Surplus of 8 0
Halifax 225 233 219 217 226 0.002 235 235.5 15 6.4% 15.0 220.4 69 65 4 0
Harnett 199 210 139 175 189 0.014 228 231.2 17 7.5% 17.2 214.0 67 69 Surplus of 2 0
Haywood 52 47 64 59 55 0.030 58 59.7 5 8.6% 5.1 54.6 17 18 Surplus of 1 0
Henderson 74 76 75 89 86 0.042 80 83.3 13 16.3% 13.5 69.8 22 24 Surplus of 2 0
Hertford 84 82 82 82 83 -0.003 86 85.8 15 17.4% 15.0 70.8 22 26 Surplus of 4 0
Hoke 92 101 97 115 106 0.041 122 127.0 12 9.8% 12.5 114.6 36 34 2 0
Hyde 6 8 9 11 6 0.057 7 7.4 2 28.6% 2.1 5.3 2 0 2 0
Iredell 200 209 219 218 204 0.006 209 210.3 31 14.8% 31.2 179.1 56 74 Surplus of 18 0
Jackson 28 34 32 39 30 0.036 32 33.1 10 31.3% 10.4 22.8 7 16 Surplus of 9 0
Johnston 213 230 232 244 253 0.044 263 274.6 28 10.6% 29.2 245.4 77 71 6 0
Jones 31 33 21 31 32 0.052 37 38.9 8 21.6% 8.4 30.5 10 10 0 0
Lee 112 108 137 131 138 0.061 132 140.0 21 15.9% 22.3 117.7 37 49 Surplus of 12 0
Lenoir 183 170 188 180 190 0.012 192 194.3 18 9.4% 18.2 176.1 55 63 Surplus of 8 0
Lincoln 87 81 99 96 73 -0.029 92 89.3 15 16.3% 14.6 74.8 23 25 Surplus of 2 0
Macon 23 33 32 32 26 0.054 30 31.6 10 33.3% 10.5 21.1 7 9 Surplus of 2 0
Madison 11 13 13 16 12 0.041 12 12.5 0 0.0% 0.0 12.5 4 0 4 0
Martin 81 85 93 80 83 0.010 85 85.9 12 14.1% 12.1 73.8 23 25 Surplus of 2 0
County/
Multi-
County
Planning
Area
12.31.10
Total
Patients
12.31.11
Total
Patients
12.31.12
Total
Patients
12.31.13
Total
Patients
12.31.14
Total
Patients
Average
Annual
Change
Rate for
Past Five
Years
Projected
6.30.16
Total
Patients
6.30.15
Home
Patients
6.30.15
Percent
Home
Patients
Projected
6.30.16
Home
Patients
Projected
6.30.16
In-Center
Patients
Projected
6.30.16
In-Center
Station
Utilization
Projected
Total
Available
Stations
Projected
Station
Deficit or
Surplus
County Station
Need
Determination
Table B: ESRD Dialysis Station Need Determinations by Planning Area
6.30.15
Total
Patients
McDowell 42 49 47 56 49 0.048 45.1 4 43 9.3% 4.2 40.9 13 14 Surplus of 1 0
Mecklenburg 1201 1327 1416 1473 1505 0.058 1561 1,652.3 144 9.2% 152.4 1,499.9 469 477 Surplus of 8 0
Avery 10 9 13 10 6 -0.072 4 3.7 2 50.0% 1.9 1.9 1 0 1
Mitchell 9 11 7 10 6 -0.028 8 7.8 0 0.0% 0.0 7.8 2 9 Surplus of 7
Yancey 15 16 18 11 14 0.019 10 10.2 1 10.0% 1.0 9.2 3 0 3
Mitchell-Avery-Yancey Planning Area Total Surplus 3 0
Montgomery 54 60 70 53 67 0.075 61 65.6 3 4.9% 3.2 62.3 19 20 Surplus of 1 0
Moore 152 157 153 176 166 0.025 140 143.5 13 9.3% 13.3 130.2 41 53 Surplus of 12 0
Nash 198 193 201 218 262 0.076 273 293.7 25 9.2% 26.9 266.8 83 80 3 0
New Hanover 201 217 228 245 266 0.073 266 285.3 52 19.5% 55.8 229.5 72 78 Surplus of 6 0
Northampton 88 76 81 82 86 -0.002 78 77.8 9 11.5% 9.0 68.8 22 19 3 0
Onslow 127 156 166 183 175 0.088 180 195.8 31 17.2% 33.7 162.1 51 51 0 0
Orange 137 126 120 121 137 0.003 140 140.4 17 12.1% 17.1 123.4 39 41 Surplus of 2 0
Pamlico 21 21 16 13 23 0.086 22 23.9 7 31.8% 7.6 16.3 5 0 5 0
Pasquotank 89 90 97 93 82 -0.018 84 82.5 14 16.7% 13.8 68.8 21 33 Surplus of 12 0
Pender 83 96 98 92 104 0.062 96 101.9 16 16.7% 17.0 84.9 27 28 Surplus of 1 0
Perquimans 23 22 27 25 32 0.097 30 32.9 6 20.0% 6.6 26.3 8 10 Surplus of 2 0
Person 91 102 108 106 117 0.066 116 123.7 20 17.2% 21.3 102.4 32 37 Surplus of 5 0
Pitt 309 317 355 396 365 0.046 379 396.3 55 14.5% 57.5 338.8 106 108 Surplus of 2 0
Polk 11 14 9 10 7 -0.068 7 6.5 1 14.3% 0.9 5.6 2 0 2 0
Randolph 142 151 174 175 170 0.048 171 179.2 19 11.1% 19.9 159.3 50 56 Surplus of 6 0
Richmond 119 121 122 139 158 0.075 161 173.1 20 12.4% 21.5 151.6 47 46 1 0
Robeson 335 337 348 375 405 0.049 418 438.5 26 6.2% 27.3 411.2 129 123 6 0
Rockingham 197 181 186 184 190 -0.008 193 191.5 11 5.7% 10.9 180.6 56 71 Surplus of 15 0
Rowan 145 140 177 176 197 0.086 214 232.4 45 21.0% 48.9 183.5 57 52 5 0
Rutherford 98 113 117 123 108 0.029 102 105.0 14 13.7% 14.4 90.6 28 30 Surplus of 2 0
Sampson 161 164 160 162 167 0.009 162 163.5 18 11.1% 18.2 145.4 45 49 Surplus of 4 0
Scotland 108 121 121 101 100 -0.014 100 98.6 5 5.0% 4.9 93.7 29 44 Surplus of 15 0
Stanly 70 65 69 74 75 0.019 76 77.4 4 5.3% 4.1 73.4 23 26 Surplus of 3 0
County/
Multi-
County
Planning
Area
12.31.10
Total
Patients
12.31.11
Total
Patients
12.31.12
Total
Patients
12.31.13
Total
Patients
12.31.14
Total
Patients
Average
Annual
Change
Rate for
Past Five
Years
Projected
6.30.16
Total
Patients
6.30.15
Home
Patients
6.30.15
Percent
Home
Patients
Projected
6.30.16
Home
Patients
Projected
6.30.16
In-Center
Patients
Projected
6.30.16
In-Center
Station
Utilization
Projected
Total
Available
Stations
Projected
Station
Deficit or
Surplus
County Station
Need
Determination
Table B: ESRD Dialysis Station Need Determinations by Planning Area
6.30.15
Total
Patients
Stokes 56 49 45 52 43 -0.056 43.4 9 19.6% 46 8.5 34.9 11 17 Surplus of 6 0
Surry 107 106 98 85 92 -0.034 102 98.6 12 11.8% 11.6 87.0 27 46 Surplus of 19 0
Swain 44 56 65 43 42 0.018 49 49.9 9 18.4% 9.2 40.7 13 20 Surplus of 7 0
Transylvania 20 33 26 25 32 0.170 29 33.9 9 31.0% 10.5 23.4 7 9 Surplus of 2 0
Tyrrell 6 5 5 8 5 0.015 7 7.1 2 28.6% 2.0 5.1 2 0 2 0
Union 183 182 181 178 212 0.041 219 228.0 37 16.9% 38.5 189.4 59 61 Surplus of 2 0
Vance 163 165 175 163 168 0.009 167 168.5 16 9.6% 16.1 152.3 48 51 Surplus of 3 0
Wake 995 1016 1046 1119 1206 0.050 1234 1,295.1 132 10.7% 138.5 1,156.6 361 356 5 0
Warren 60 60 75 75 64 0.026 58 59.5 7 12.1% 7.2 52.3 16 25 Surplus of 9 0
Washington 37 36 36 34 39 0.016 37 37.6 3 8.1% 3.0 34.5 11 14 Surplus of 3 0
Watauga 31 30 25 25 29 -0.010 34 33.7 7 20.6% 6.9 26.7 8 16 Surplus of 8 0
Wayne 240 250 255 246 254 0.015 273 277.0 29 10.6% 29.4 247.6 77 80 Surplus of 3 0
Wilkes 75 72 83 98 93 0.061 83 88.0 13 15.7% 13.8 74.2 23 24 Surplus of 1 0
Wilson 198 220 226 248 243 0.054 268 282.4 47 17.5% 49.5 232.9 73 71 2 0
Yadkin 40 39 48 42 39 0.002 39 39.1 11 28.2% 11.0 28.1 9 13 Surplus of 4 0
State Totals 14,217 14,605 15,051 15,574 15,932 16,318 1,935 4,648 4,993 0
Table C: Need Determination for New Dialysis Stations by County
(Based on the County Need Methodology – January 2016)
Service Area HSA
Need Determination
for
Dialysis Stations
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 Semiannual Dialysis Report, January 2016.
 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).
N o r t h C a r o l i n a S e m i a n n u a l D i a l y s i s R e p o r t
J a n u a r y 2 0 1 6