Corewell would move 22 rehab beds out of Troy and add 62 more to create a standalone rehab hospital in Macomb County. That expands its post-acute reach and frees Troy space for the tower project filed the same day (CON 26-0254).
The largest project in this batch. It adds acute capacity at Corewell's Grand Rapids flagship and raises the bar for Trinity and UM Health-West in Kent County. It was filed the same day as the Troy tower and Sterling Heights rehab hospital, about $1.86B across the three.
A major capacity build in the Oakland–Macomb corridor, justified by high occupancy. Moving 22 rehab beds to the proposed Sterling Heights rehab hospital (CON 26-0253) frees further space, tightening Corewell's hold on the northeast suburbs.
A new billing identity for an ambulatory surgical center in Marquette under Dickinson's name, signed by its chief revenue cycle officer. It likely supports the Superior Endoscopy Center acquisition and suggests Dickinson is preparing to operate and bill there.
The second Harmonyx network acquisition filed within ten days, after network #210 from Comprehensive Imaging and alongside the interest transfer at West Michigan Mobile Imaging. One buyer accumulating networks concentrates mobile MRI supply and pricing leverage over host hospitals.
The model, effective November 30, changes how manufacturer inflation rebates are calculated for certain separately payable Part B drugs. The direct effect falls on drugmakers, but infusion and oncology leaders should watch for knock-on effects on drug pricing and acquisition costs.
This is the first of three filings in a week in which Harmonyx, LLC takes control of mobile MRI networks (also Mobile Imaging Consortium's #199 and West Michigan Mobile Imaging's #50), all with Plymouth addresses. One buyer accumulating networks is a consolidation signal: hospitals that host these units may soon be negotiating with a single, larger vendor.
A full replacement of a 22-bed hospital in Montcalm County, with doubled operating room capacity, signals the hospital intends to stay and compete for local surgery rather than refer it out. This letter of intent is the first public signal.
A hospital changing hands in Oakland County is a market-structure move, giving Insight a 100-bed acute platform there. The filing text is cut off and identifies the seller only by facility number 63-0110, so the conditions and seller need follow-up.
A system named for another county would take over a one-operating-room freestanding surgical outpatient facility in Marquette under a two-year lease ($1.9M). That is a new-geography move that could redirect endoscopy referrals in the Marquette market; a new surgery-center NPI under Dickinson's name in Marquette points the same way.
A new freestanding surgical outpatient facility of this size would shift a large share of outpatient surgery in mid-Michigan into a U-M-branded, lower-cost setting. It is a direct challenge to McLaren Greater Lansing and independent surgery centers, and the conditional approval means it is now moving forward.
Twelve licensed beds move from Corewell's flagship to Mary Free Bed Rehabilitation, which deepens that relationship and expands rehab capacity in Kent County. Competitors that rely on Mary Free Bed for post-acute placement should note the closer Corewell tie.
The third Harmonyx filing in a week, this one a membership interest transfer and not an outright purchase. It is linked to the acquisitions of Comprehensive Imaging's network #210 and Mobile Imaging Consortium's network #199, and confirms one buyer is consolidating mobile MRI networks.
One of two new Berrien County sites, with St. Joseph, for a group likely based in Southfield, since that is the mailing address and a credentialing specialist signed. It is a small but real outpatient behavioral health entry in Corewell Lakeland's area.
The second Berrien County site, alongside Niles, for the same likely Southfield-based group. It adds outpatient behavioral health capacity near Corewell Lakeland; this is early and small.
A new elective cardiac intervention program would let McLaren keep heart patients it now likely refers elsewhere. It puts McLaren in direct competition with established Oakland County programs at Corewell, Henry Ford and Trinity.
This first public signal of a $14.2M expansion would take the Ann Arbor NICU to 80 beds, justified by high occupancy. It strengthens U-M's hold on high-acuity neonatal referrals statewide and puts pressure on competing NICU and high-risk obstetrics programs.
Corewell is shifting licensed beds from a rural Osceola County hospital to its Grand Rapids campus. The filing says nine beds and notes "now 10", likely a revised count. It adds capacity in the contested Kent County market and continues to shrink Reed City's inpatient footprint.
The taxonomy code is community/retail pharmacy and the signer is Munson's oncology and professional services vice president. That likely means a new outpatient or specialty pharmacy, which is a modest revenue play and not obviously tied to the Cadillac surgical facility filing.
An independent urology group is bringing PET imaging in-house on network #125, here and at its Southfield office. This likely pulls prostate cancer imaging away from hospital-based PET in Macomb County.
The second of two host-site approvals for the group on PET network #125, alongside Clinton Township. Together they are a physician-owned imaging play across Oakland and Macomb counties.
This is the receiving side of the Corewell Health Grand Rapids 12-bed relocation, so it is the same story. It is net new rehab capacity for Mary Free Bed, not new beds in the market.
Trinity is expanding heart procedure capacity in Kent County at minimal cost ($50K), which suggests it is converting existing space. It shows Trinity competing for cardiac volume as Corewell plans its Butterworth tower.
A new $6.1M freestanding surgical outpatient facility on a 25-year lease would compete for outpatient surgery in Munson's home market. Novello Imaging's fixed-MRI bid there (CON 26-0184) adds to the independent outpatient pressure on Munson.
A new long-term acute care operator would lease space at Harper University Hospital, part of Detroit Medical Center. This gives DMC an on-campus destination for long-stay patients and adds a post-acute competitor in Detroit.
A new one-room freestanding surgical outpatient facility in northern Macomb County, likely cardiovascular-focused given its name. The high cost for one room suggests an ambitious build that could divert outpatient heart and vascular procedures from hospitals.
A sizeable reinvestment in a small Montcalm County hospital, which signals Corewell intends to keep inpatient care there. It replaces beds rather than adding them.
This brings Havenwyck to 52 flex beds. At $0 cost it is likely a redesignation of existing beds rather than new construction, but it gives the hospital more room to absorb psychiatric referrals from Oakland County emergency departments.
This is the first public signal of a new freestanding surgical outpatient facility in Oakland County, though the $275K cost suggests an existing space is being licensed. It would pull pediatric dental cases needing anesthesia out of hospital operating rooms, with limited effect beyond that niche.
An ownership change at a freestanding surgical outpatient facility tied to a tracked system. The buyer's name is cut off in the filing ("Cadillac…") and the cost is $0, so this is likely an internal restructuring with little market effect; confirm the acquirer.
An ownership transfer plus real estate purchase at a Calhoun County nursing home; the filing does not name the buyer. Worth watching for chain consolidation among post-acute partners in the Battle Creek market.
Trinity is using the high-occupancy route to add six adult psych beds while delicensing six other beds, so this is likely a conversion within its existing licence. It signals sustained inpatient behavioral health demand in Kent County and gives Trinity a little more capacity there.
MyMichigan is reinvesting in surgery at its eastern Upper Peninsula hospital. This strengthens its ability to keep cases local rather than lose them downstate or to other UP providers.
A roughly 40% increase in neonatal intensive care capacity, justified by high occupancy. It reinforces Munson as the regional high-risk birth destination in northern Michigan and reduces transfers downstate.
A $1.5M expansion of an already large independent surgery center. It adds outpatient surgical capacity in Macomb County, where K Heart Surgery Center (CON 26-0182) is also seeking to open.
Moving from part-time mobile to a full-time fixed MRI ($1.1M) gives an independent imaging provider much more capacity in Munson's home market. It surfaces alongside Bayview Surgery Center's new surgery center bid (CON 26-0062).
A $2.1M added CT at the Wyoming hospital is real capacity growth, not a replacement. It points to rising volume at U-M's Grand Rapids-area foothold, in direct competition with Corewell and Trinity.
This is the first public signal of new CT service at McLaren West Side Medical Mall, moving imaging into an outpatient setting in Bay County. The $73K cost suggests an existing or leased unit, but it still gives McLaren a new CT access point against MyMichigan and Covenant in the region.
Approval clears Bronson to build and renovate at its Van Buren County hospital; the full scope is cut off in the state record. It is a meaningful reinvestment in a small rural campus that reinforces Bronson's hold on its western feeder market.
A $7.4M fit-out that continues Trinity's investment in the Howell replacement hospital. It is incremental; the filing does not say what the floor will be used for.
A $3.1M second unit adds scanning capacity across the network's host sites. Eaton Rapids Medical Center and Henry Ford's Brownstown center filed network #105 notices the next day, which likely shows where the new capacity is headed.
This doubles procedure capacity at an independent St. Clair County site for about $100K. It could pull more outpatient pain and spine cases away from hospital operating rooms there.
A $1.8M relocation of existing MRI service by a tracked system; the filing text is cut off, so the origin site is unclear. Worth a glance for Bay-area imaging competitors, but it is not new capacity.
A $1.6M fifth unit on network #126 is the first signal of more mobile PET capacity. It follows the approval of a fourth unit on network #137 for the similarly named Michigan Mobile PET Imaging, so mobile PET supply is expanding on two networks at once.
A $2.0M approved fourth unit on network #137 expands mobile PET capacity for host sites. Together with Michigan Mobile PET, LLC's letter of intent for a fifth unit on network #126, mobile PET supply is growing, which affects make-versus-buy decisions on oncology imaging.
McLaren is investing in PET access in Bay City; the filing does not say whether this is a new host site or an equipment change. The same network is running on a one-month emergency temporary unit (Michigan Mobile PET, CON 26-0243).
The state waived review of a membership interest transfer, which means an ownership change with no buyer named. Town Center ASC in Troy got the same waiver on the same day under the next CON ID, so the two are likely one transaction and worth identifying the acquirer.
Same-day waiver with a consecutive CON ID to Michigan Surgical-Utica, so this is likely the same buyer taking stakes in two southeast Michigan surgery centers. The buyer is not named in the filing.
A $3.3M approved MRI project at a Corewell outpatient care center in Holland. The cost suggests a new or upgraded unit and not paperwork, which would strengthen Corewell's outpatient imaging on the lakeshore.
The filing gives no scope beyond the network number, so this is likely an equipment or host-site change at an independent Southfield imaging operator. Northland also had a CT network replacement approved (CON 26-0180).
A $3.0M like-for-like replacement at the flagship. It adds no capacity.
A small bed shift within Genesee County, paired with Fenton Healthcare's matching filing, though the $9.5M cost and 15-year lease suggest a larger building project behind it. Little effect on hospital discharge options.
One of four same-day notices on network #92 (with Munson Charlevoix, Munson's Foster Family center and Paul Oliver Memorial in Frankfort), likely a coordinated change to how mobile MRI is shared across northwest Michigan. Zero cost and no scope stated, so this is routine unless a unit addition follows.
Filed a day after Alliance-HNI's letter of intent to add a second unit to network #105, so Henry Ford is likely adding or expanding mobile MRI at this Downriver outpatient site. Worth watching, though the notice itself has no cost or scope.
A sizable reinvestment in a county-run nursing home, with no bed change stated. Limited competitive effect beyond a stronger local post-acute option.