Baystate Medical Center, Inc. (“Applicant” or “Hospital”), a licensed hospital located at 759 Chestnut Street, Springfield, Massachusetts, 01199, intends to file on or about July 31, 2018 a request for a significant amendment (“Request”) to its approved Determination of Need (“DoN”) Project #1-3B36. The DoN, as amended, approved new construction of a seven (7)- story addition that included replacement medical/surgical beds, additional medical/surgical and critical care beds, and other support services as well as shell space for future build-out by the Hospital (“Project”). The approved maximum capital expenditure (“MCE”) is $373,520,390 (October 2016 Dollars). The Hospital now seeks to build out 22,690 GSF of shell space in order to update and consolidate to one location its separate cardiac catheterization and electrophysiology services. There will be no changes in the number of treatment rooms or the services provided and therefore no impact on the Hospital’s patient panel is projected. The amendment will increase the approved new construction GSF to 509,389 GSF and reduce its approved shell space to 133,913 GSF. The total approved GSF for the Project would increase to 703,560 GSF. The total cost of this phase of the Project will be $56,032,439, increasing the DoN approved maximum capital expenditure (“MCE”) to $429,552,829 (July 2018 Dollars). Any ten taxpayers of Massachusetts may register in connection with the intended amendment by no later than August 30, 2018 by contacting the Department of Public Health Determination of Need Program, Attention: Program Director, 250 Washington Street, Boston, Massachusetts 02108.