Letters of Intent New Applications Pending Review/Incomplete Applications Pending Review/Complete Applications Pending Review/Complete/Joined Applications Recently Approved Applications Recently Denied Applications Applications Withdrawn Expired Letters of Intent Appealed CON Projects Appealed Determinations Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities Requests for LNR for Diagnostic or Therapeutic Equipment Requests for Miscellaneous Letters of Determination Requests for Extended Implementation/Performance Period Need Projection Analyses Non-Filed or Incomplete Surveys Indigent-Charity Shortfalls Recent Legislation Affecting CON New Batching Review *** Batching Notifications New CON Filing Requirements (effective July 1, 2008) New Reporting Requirements (effective July 1, 2008) Certificate of Need Appeal Panel Notice of Opposition Form - Now Available DIVISION OF HEALTH PLANNING CERTIFICATE OF NEED October 6, 2008 October 13, 2008 Georgia Department of Community Health Division of Health Planning 2 Peachtree Street 5th Floor Atlanta, Georgia 30303-3159 (404) 656-0655 (404) 656-0654 Fax www.dch.georgia.gov Letters of Intent 2008-091 Gwinnett Medical Center-Duluth Acquisition of a Robotic Surgery System Received: 9/16/2008 Application must be submitted on: 10/16/2008 Site: 3620 Howell Ferry Road, Duluth, GA 30096 (Gwinnett County) Estimated Cost: $1,660,000 2008-092 Northside Hospital Renovation of North Tower Received: 10/1/2008 Application must be submitted on: 10/31/2008 Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County) Estimated Cost: $14,000,000 2008-093 Spalding Regional Medical Center Acquisition of a 64-Slice CT Scanner Received: 10/6/2008 Application must be submitted on: 11/5/2008 Site: 601 S. 8th Street, Griffin, GA 30224 (Spalding County) Estimated Cost: $1,500,000 2008-094 Doctors Hospital Outpatient Imaging Center Establish a Mobile PET Service Received: 10/7/2008 Application must be submitted on: 11/6/2008 Site: 3624 J. Dewey Gray Circle, Augusta, GA 30909 (Richmond County) Estimated Cost: $29,860 New Applications 2008-089 Emory Crawford Long Hospital Acquisition of a PET/CT Scanner Filed: 10/2/2008 Site: 550 Peachtree Street NE, Atlanta, GA 30308 (Fulton County) Contact: Toni Wimby Associate Administrator 404-686-2450 Estimated Cost: $2,038,628 2008-090 Northside Hospital-Forsyth Expansion and Renovation of Hospital Services and Facility Filed: 10/6/2008 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek Senior Planner 404-851-6821 Estimated Cost: $16,959,940 Pending Review/Incomplete Applications 2008-087 Gwinnett Medical Center-Duluth Establishment of Interventional Radiology Services Filed: 9/18/2008 Deemed Incomplete: 9/30/2008 Site: 3620 Howell Ferry Road, Duluth, GA 30096 (Gwinnett County) Contact: Mark M Mullin Director Planning 678-312-4193 Estimated Cost: $1,031,223 Pending Review/Complete Applications 2008-046 The Atlanta Aesthetic Surgery Center 2 Conversion to a Limited-Purpose Single-Specialty General Surgery ASC Filed: 4/22/2008 Deemed Incomplete: 5/6/2008 Deemed Complete: 7/3/2008 60th Day Deadline: 9/1/2008 Decision Deadline: 10/1/2008 Extended Deadline: 10/31/2008 Site: 4200 Northside Parkway, Bldg 8, Atlanta, GA 30327 (Fulton County) Contact: Debbie Clotfelter Administrator 404-233-3833 Estimated Cost: $4,000 2008-047 VOA Ambulatory Surgery Center, Inc Freestanding Limited Purpose Ambulatory Surgery Center Filed: 4/30/2008 Deemed Incomplete: 5/14/2008 Deemed Complete: 6/19/2008 60th Day Deadline: 8/18/2008 Decision Deadline: 9/17/2008 Extended Deadline: 10/17/2008 Site: 3527-B North Valdosta Road, Valdosta, GA 31602 (Lowndes County) Contact: VOA 229-253-9336 Estimated Cost: $15,000 2008-057 Appling Healthcare System Expansion of Acute Care Unit By Adding 15 Acute Care Beds Filed: 6/11/2008 Deemed Incomplete: 6/25/2008 Deemed Complete: 8/29/2008 60th Day Deadline: 10/28/2008 Decision Deadline: 11/27/2008 Site: GA (Appling County) Contact: Dale Spell CEO 912-367-9841 Estimated Cost: $68,750 2008-059 Crescent Pines Hospital Develop a 50-bed Acute Inpatient Psychiatric and Substance Abuse Hosp. Filed: 6/13/2008 Deemed Complete: 6/27/2008 60th Day Deadline: 8/26/2008 Decision Deadline: 9/25/2008 Extended Deadline: 10/25/2008 Site: 1000 Eagle's Landing Parkway, Stockbridge, GA 30281 (Henry County) Contact: Matt Crouch CEO and Regional VO 770-454-2312 Estimated Cost: $1,383,353 2008-064 Meadows Regional Medical Center, Inc. Construction of 61-Bed Replacement Hospital Filed: 6/27/2008 Deemed Incomplete: 7/14/2008 Deemed Complete: 8/13/2008 60th Day Deadline: 10/12/2008 Decision Deadline: 11/11/2008 Site: Highway 280/ Harris Industrial Boulevard, Vidalia, GA 30475 (Toombs County) Contact: J. Alan Kent 912-538-5828 Estimated Cost: $82,881,305 2008-065 Phoebe Putney Memorial Hospital Cost Overrun for CON2005078 Filed: 6/27/2008 Deemed Incomplete: 7/14/2008 Deemed Complete: 7/28/2008 60th Day Deadline: 9/26/2008 Decision Deadline: 10/26/2008 Site: 417 West Third Avenue, Albany, GA 31701 (Dougherty County) Contact: Lori Jenkins and Manager/Planning Dept. 229-312-1432 Estimated Cost: $0 2008-068 Vidalia Regional Cancer Center Develop a MegaVoltage Radiation Therapy Service Filed: 6/30/2008 Deemed Incomplete: 7/15/2008 Deemed Complete: 8/12/2008 60th Day Deadline: 10/11/2008 Decision Deadline: 11/10/2008 Site: 1703 Meadows Lane, Vidalia, GA 30474 (Toombs County) Contact: Howard Holman Vice President 912-538-5889 Estimated Cost: $3,515,000 3 2008-069 Dekalb Medical at North Decatur Installation of Endoscopy Laboratory & Purchase Toshiba Infinix System Filed: 7/1/2008 Deemed Incomplete: 7/15/2008 Deemed Complete: 8/4/2008 60th Day Deadline: 10/3/2008 Decision Deadline: 12/2/2008 Site: GA (DeKalb County) Contact: Donald Fears Director of Strategic 404-501-5790 Estimated Cost: $3,719,331 2008-070 Central Georgia Radiation Oncology Center-Houston Relocation of an Existing Radiation Therapy Facility Filed: 7/3/2008 Deemed Incomplete: 7/18/2008 Deemed Complete: 8/27/2008 60th Day Deadline: 10/26/2008 Decision Deadline: 12/25/2008 Site: GA (Houston County) Contact: Patricia Plummer Practice Administrator 478-743-1458 Estimated Cost: $109,000 2008-071 Lewis Hall Singletary Oncology Center Relocate and Replace Lewis Hall Singletary Oncology Center Filed: 7/10/2008 Deemed Incomplete: 7/24/2008 Deemed Complete: 8/13/2008 60th Day Deadline: 10/12/2008 Decision Deadline: 12/11/2008 Site: S. Broad Street and Grant Street, Thomasville, GA 31792 (Thomas County) Contact: J. Perry Mustian President/CEO 229-228-2880 Estimated Cost: $26,977,293 2008-072 Tenet Atlanta Medical Center Relocate the Inpatient Rehabilitation Unit and Create a 14-Bed ICU Filed: 7/10/2008 Deemed Incomplete: 7/24/2008 Deemed Complete: 8/26/2008 60th Day Deadline: 10/25/2008 Decision Deadline: 12/24/2008 Site: 303 Parkway Drive, Atlanta, GA 30312 (Fulton County) Contact: William Masterton CFO 404-265-4301 Estimated Cost: $5,512,388 2008-073 Riverview Health & Rehabilitation Center Renovation and Replacement of Healthcare Facility Filed: 7/11/2008 Deemed Incomplete: 7/25/2008 Deemed Complete: 9/22/2008 60th Day Deadline: 11/21/2008 Decision Deadline: 1/20/2009 Site: 6711 LaRoche Avenue, Savannah, GA 31406 (Chatham County) Contact: Richard Hollander Executive Director 912-201-7050 Estimated Cost: $45,463,922 2008-074 Stereotactic Radiation Oncology of Henry County Develop a Freestanding CyberKnife Center Filed: 7/11/2008 Deemed Incomplete: 7/24/2008 Deemed Complete: 8/13/2008 60th Day Deadline: 10/12/2008 Decision Deadline: 12/11/2008 Site: 17 North Park Trail, Stockbridge, GA 30281 (Henry County) Contact: Dr. Warner Ray Manager 770-994-1650 Estimated Cost: $7,660,482 2008-075 Stereotactic Radiation Oncology of Newnan Develop a Freestanding CyberKnife Center Filed: 7/11/2008 Deemed Incomplete: 7/5/2008 Deemed Complete: 8/14/2008 60th Day Deadline: 10/13/2008 Decision Deadline: 12/12/2008 Site: 217 Millard Farmer Industrial Boulevard, Newnan, GA 30263 (Coweta County) Contact: Dr Warner Ray Manager 770-994-1650 4 Estimated Cost: $7,076,788 2008-076 Northside Hospital-Cherokee To Establish Mobile PET/CT Services Filed: 7/14/2008 Deemed Complete: 7/28/2008 60th Day Deadline: 9/26/2008 Decision Deadline: 11/25/2008 Site: GA 30114 (Cherokee County) Contact: Brian J. Toporek Senior Planner 404-851-6821 Estimated Cost: $0 2008-077 Northside Hospital-Forsyth To Establish Mobile PET/CT Services Filed: 7/14/2008 Deemed Complete: 7/28/2008 60th Day Deadline: 9/26/2008 Decision Deadline: 11/25/2008 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian J. Toporek Senior Planner 404-851-6821 Estimated Cost: $343,640 2008-078 Medical Center of Central Georgia Relocation of Twenty-Five Acute Care Inpatient Beds Filed: 7/14/2008 Deemed Incomplete: 7/28/2008 60th Day Deadline: 11/24/2008 Decision Deadline: 1/23/2009 Site: GA (Bibb County) Contact: Marvin Noles Director of Strategic Planning 478-633-6980 Estimated Cost: $7,515,077 2008-079 Wills Memorial Hospital Regeneration (Renovation) of Entire Hospital Filed: 7/14/2008 Deemed Incomplete: 7/28/2008 60th Day Deadline: 10/19/2008 Decision Deadline: 12/18/2008 Site: GA (Wilkes County) Contact: Marvin Goldman CEO 706-678-9212 Estimated Cost: $13,409,807 Deemed Complete: 8/20/2008 2008-080 MCG Health Renovation of Second EP Lab and Equipment Purchases Filed: 7/14/2008 Deemed Incomplete: 7/28/2008 Deemed Complete: 9/4/2008 60th Day Deadline: 11/3/2008 Decision Deadline: 1/2/2009 Site: GA (Richmond County) Contact: Sheila Oneal VP Strategic Support 706-721-7406 Estimated Cost: $6,280,000 2008-081 Palmyra Medical Center Develop Basic Perinatal Services Filed: 8/14/2008 Deemed Complete: 8/27/2008 60th Day Deadline: 10/26/2008 Decision Deadline: 12/25/2008 Site: GA 31702 (Dougherty County) Contact: Bud Wethington President and CEO 229-434-2101 Estimated Cost: $6,851,482 2008-083 Hamilton Medical Center Acquisition of an Open MRI Scanner Filed: 8/18/2008 Deemed Incomplete: 8/28/2008 60th Day Deadline: 11/30/2008 Decision Deadline: 1/29/2009 Site: GA (Whitfield County) Deemed Complete: 10/1/2008 5 Contact: Gary Howard Senior VP and CFO 706-226-3003 Estimated Cost: $1,695,918 2008-084 Phoebe Putney Memorial Hospital Acquisition of Robotic Surgery System Filed: 8/25/2008 Deemed Complete: 9/9/2008 60th Day Deadline: 11/8/2008 Decision Deadline: 1/7/2009 Site: GA (Dougherty County) Contact: Lori Jenkins Manager of Planning 229-312-1000 Estimated Cost: $1,850,000 2008-085 Phoebe Putney Memorial Hospital Capital Expenditures to Renovate Patient Care Floor(4th Floor) Filed: 8/25/2008 Deemed Incomplete: 9/9/2008 Deemed Complete: 9/19/2008 60th Day Deadline: 11/18/2008 Decision Deadline: 1/17/2009 Site: GA (Dougherty County) Contact: Lori Jenkins Planning Manager 229-312-1000 Estimated Cost: $5,289,680 2008-086 Rockdale Medical Center Outpatient Imaging Center Development of Outpatient Imaging Center Filed: 8/27/2008 Deemed Complete: 9/10/2008 60th Day Deadline: 11/9/2008 Decision Deadline: 1/8/2009 Site: 1301 Sigman Road, Conyers, GA 30012 (Rockdale County) Contact: Deborah Armstrong Vice President Operations COO 770-918-3000 Estimated Cost: $2,298,184 2008-088 South Georgia Surgery Center Conversion of Physician Owned ASC to Limited Purpose ASC Filed: 9/19/2008 Deemed Complete: 10/3/2008 60th Day Deadline: 12/2/2008 Decision Deadline: 1/31/2009 Site: 306 Isabella Street, Waycross, GA 31501 (Ware County) Contact: Michael W. Kleinpeter 404-000-0000 Estimated Cost: $550,000 Pending Review/Complete/Joined Applications none Recently Approved Applications 2008-042 MCG Medical Associates Ambulatory Care Center Proposed New ASC with CT Filed: 4/11/2008 Deemed Incomplete: 4/25/2008 Deemed Complete: 5/23/2008 60th Day Deadline: 7/22/2008 Decision Deadline: 8/21/2008 Extended Deadline: 9/20/2008 APPROVED: 9/19/2008 Site: Intersection of Knob Hill and Washington, Evans, GA 30809 (Columbia County) Contact: Melody Thompson 706-828-6421 Estimated Cost: $34,693,165 2008-050 Lighthouse Care Center of Augusta Conversion of 42 Child Care Beds to Residental Mental Health Beds Filed: 5/7/2008 Deemed Incomplete: 5/21/2008 Deemed Complete: 6/17/2008 60th Day Deadline: 8/16/2008 Decision Deadline: 9/15/2008 APPROVED: 9/15/2008 6 Site: 3100 Perimeter Parkway, Augusta, GA 30909 (Richmond County) Contact: Martha Mather CEO 706-396-2912 Estimated Cost: $394,956 2008-051 Candler Hospital Acquisition of a Fixed PET/CT Scanner Filed: 5/19/2008 Deemed Complete: 6/3/2008 60th Day Deadline: 8/2/2008 Decision Deadline: 9/1/2008 Extended Deadline: 10/1/2008 APPROVED: 10/1/2008 Site: 5353 Reynolds Street, Savannah, GA 31405 (Chatham County) Contact: Nancy Johnson Administrator, LCRP 912-819-5704 Estimated Cost: $3,471,489 2008-054 Dekalb Medical Acquisition of a Robotic Surgical System Filed: 6/2/2008 Deemed Incomplete: 6/16/2008 Deemed Complete: 7/7/2008 60th Day Deadline: 9/5/2008 Decision Deadline: 10/5/2008 APPROVED: 9/19/2008 Site: 2701 N. Decatur Road, Decatur, GA 30033 (DeKalb County) Contact: Donald Fears Director of Strategic & Facility Plan 404-501-5790 Estimated Cost: $2,241,000 2008-056 Medical Center of Central Georgia Relocation of Thirty Licensed CON-Approved Acute Care Inpatient Beds Filed: 6/6/2008 Deemed Complete: 6/19/2008 60th Day Deadline: 8/18/2008 Decision Deadline: 9/17/2008 APPROVED: 9/17/2008 Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: Marvin Noles Director of Planning 478-633-6980 Estimated Cost: $6,748,607 2008-058 Tanner Medical Center-Carrollton Purchase and Installation of a Fixed-Based Magnetic Resonance Scanner Filed: 6/13/2008 Deemed Complete: 6/27/2008 60th Day Deadline: 8/26/2008 Decision Deadline: 9/25/2008 APPROVED: 9/25/2008 Site: 705 Dixie Street, Carrollton, GA 30117 (Carroll County) Contact: David Thornhill Director Medical Imaging 770-836-9292 Estimated Cost: $2,071,104 2008-061 WellStar Kennestone East Cobb Imaging Center Replacement of Open Magnetic Resonance Imaging Unit Filed: 6/17/2008 Deemed Complete: 7/1/2008 60th Day Deadline: 8/30/2008 Decision Deadline: 9/29/2008 APPROVED: 9/29/2008 Site: 1070 Woodlawn Drive, Marietta, GA 30068 (Cobb County) Contact: Caroline Aultman Director of Strategic Planning 770-792-1542 Estimated Cost: $4,453,328 2008-062 WellStar Kennestone Towne Lake Imaging Center Replacement of an Open Magnetic Resonance Imaging Unit Filed: 6/17/2008 Deemed Complete: 7/1/2008 60th Day Deadline: 8/30/2008 Decision Deadline: 9/29/2008 APPROVED: 9/29/2008 Site: South Cherokee Medical Ctr120 Stone Br, Wooodstock, GA (Cherokee County) Contact: Caroline Aultman Director of Strategic Planning 770-792-1542 7 Estimated Cost: $3,913,574 2008-063 MCG Health, Inc Renovation of EndoSurgical Suites and Equipment Acquisition Filed: 6/26/2008 Deemed Complete: 7/11/2008 60th Day Deadline: 9/9/2008 Decision Deadline: 10/9/2008 APPROVED: 10/9/2008 Site: GA 30912 (Richmond County) Contact: Sheila Oneal VP Strategic Support Philanthropy 406-721-7406 Estimated Cost: $6,303,230 2008-066 WellStar Kennestone Hospital Renovate Hospital's Medical Imaging Services Filed: 6/30/2008 Deemed Complete: 7/14/2008 60th Day Deadline: 9/12/2008 Decision Deadline: 10/12/2008 APPROVED: 10/10/2008 Site: 677 Church Street, Marietta, GA 30068 (Cobb County) Contact: Caroline Aultman 770-792-1542 Estimated Cost: $29,290,873 2008-067 Northside Hospital Conversion of Mobile to Fixed PET/CT Filed: 6/30/2008 Deemed Complete: 7/15/2008 60th Day Deadline: 9/13/2008 Decision Deadline: 10/13/2008 APPROVED: 10/10/2008 Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County) Contact: Brian J. Toporek/ Senior Planner 404-303-3524 Estimated Cost: $3,532,923 Recently Denied Applications none Applications Withdrawn 2008-055 Heritage Healthcare of Moultrie Relocation and Replacement of an Existing Skilled Nursing Facility Filed: 6/6/2008 Deemed Complete: 6/20/2008 60th Day Deadline: 8/19/2008 Decision Deadline: 9/18/2008 WITHDRAWN: 9/16/2008 Site: 233 Sunset Circle, Moultrie, GA 31776 (Colquitt County) Contact: Scott Shull Vice President 770-925-4788 Estimated Cost: $12,551,123 2008-060 The Oaks of Athens, LLC d/b/a Heritage Healthcare of Athens Relocation and Replacement of a 120-Bed Nursing Facility Filed: 6/16/2008 Deemed Complete: 6/30/2008 60th Day Deadline: 8/29/2008 Decision Deadline: 9/28/2008 WITHDRAWN: 9/16/2008 Site: 150 West Park Drive, Athens, GA 30602 (Clarke County) Contact: Scott Shull Vice President 770-806-6820 Estimated Cost: $11,672,784 Expired Letters of Intent none 8 Appealed CON Projects 2005-038 Hughston Surgical Institute, LLC (Muscogee) New LP-ASC Facility Agency Decision: Denied, 10/14/2005 Appealed By: Applicant, 11/1/2005. Hearing Officer: William Joy Hearing Date: Hearing tentatively scheduled for 4/12/2006-4/14/2006 at 10 am. Hearing Decision: Hearing Officer affirms the decision of the Department of Community Health to deny a Certificate of Need to Hughston Surgical Institute. Hughston files request for oral argument before the Health Planning Review Board. 8/7/2006. Review Board extends timeframe and schedules meeting for September 25, 2006, at 11am. Review Board Decision: Review Board issues Order upholding Hearing Officer's Decision to affirm the Department's denial of a CON to Hughston,10/3/2006. Appealed to Superior Court: Hughston petitions Superior Court of Muscogee County for review of Review Board's decision, 11/2/2006. Argument scheduled for 4/20/2007. Argument re-scheduled for 4/25/2007. Superior Court Decision: Superior Court of Muscogee County reverses the Department's denial and awards a CON for a single-specialty orthopedic ambulatory surgery center, 8/21/2007. Appealed to Appeals Court: The Surgery Center, LLC petitioned The Court of Appeals for discretionary appeal of the Superior Court of Muscogee County Order, September 19, 2007. Court of Appeals accepted review, November 2007. Appeals Court Decision: Pending Additional Information: 11/10/2005, The Surgery Center, LLC, requests to intervene. Hughston requests motion to remand, 12/16/2005. Hearing on Motion to Remand scheduled for 2/6/2006 at 2:00pm in the 40th floor Board Room. Motion to Remand denied by Hearing Officer, 2/15/2006. 2006-088 Surgery Center at Mt. Zion (Clayton) Relocation of Multi- Specialty Ambulatory Surgery Center (ASC) to MOB Agency Decision: Approved, 1/3/2007. Appealed By: Henry Medical Center, Inc. submits appeal request, 1/31/2007. HMC files motion for summary adjudication, 4/16/2007. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: Hearing scheduled 5/7-9/2007 at 9am. Hearing Decision: Hearing Officer issues Order affirming the Department's decision to award a CON to Southlake, 7/11/2007. HMC requests oral argument before Review Board, 8/13/2007. Southlake has filed a request for oral argument before the full review board, 8/30/07. Oral argument is scheduled for 10/11/07 at 10:00 a.m. Oral Argument before Review Board rescheduled to 10/23/2007 at 5:30 pm. Review Board Decision: Review Board affirmed Hearing Officer decision, 11/5/2007. Appealed to Superior Court: HMC filed Petition for Judicial Review in Fulton County Superior Court, 12/5/2007. Superior Court Decision: Pending 2006-140 Northeast Georgia Medical Center (Hall) Replacement Hospital Facility Agency Decision: Approved, 4/27/2007 Appealed By: Barrow Regional Medical Center, 5/25/2007. Melvin Goldstein was appointed as Hearing Officer on 7/6/2007. Hearing Officer: Melvin Goldstein, Esq. Hearing Date: 9/18-19/2007, 9 a.m. Motion for Summary Determination filed 9/7/2007. Hearing Decision: Hearing Officer affirmed Department approval of CON by Order dated 12/20/2007. Barrow appealed Hearing Officer Decision to Review Board, 1/18/2008. Review Board Decision: Review Board Meeting set for 2/18/2008 at 11a.m. Review Board issued Order affirming Hearing Officer decision, 2/22/2008. Appealed to Superior Court: Barrow filed Petition for Judicial Review in Superior Court of Barrow County, 3/21/2008. Superior Court Decision: Pending 2007-003 Haven Behavioral Services of South Atlanta, LLC (Fulton) To Develop a 26-Bed Hospital within a Hospital Agency Decision: Approved, 7/11/2007 Appealed By: Anchor Hospital of Atlanta, 8/10/2007; Peachford Behavorial Health of Atlanta, 8/10/2007. 9 Hearing Officer: Sabrina Scott, Esq. Hearing Date: December 10-13, 2007 Hearing Decision: Hearing Officer issued decision affirming award of CON to Haven, 3/14/2008. Anchor and Peachford appealed Hearing Officer decision to full Review Board, 4/18/2008. Hearing Date: Review Board Hearing set for Tuesday, June 10, 2008 at 11a.m. Review Board Decision: Review Board affirmed Hearing Officer decision, 6/18/2008. Appealed to Superior Court: Peachford and Anchor filed Petition for Judicial Review in Fulton County Superior Court, 7/18/2008. Superior Court Decision: Pending 2007-062 Memorial Health University Medical Center, Inc. (Chatham) Establish PET Services & Acquire PET/CT Scanner Agency Decision: Approved, 1/11/2008 Appealed By: PET Imaging Center of Savannah, LLC d/b/a Trident PET/CT of Savannah, 2/7/2008. Hearing Officer: Reassigned to William C. Joy, Esq. Hearing Date: July 9-11, 2008. Motion for Summary Adjudication Hearing set for Tuesday, June 10, 2008 at 2 p.m.; Hearing Date continued June 19, 2008. 2007-071 Northside Hospital - Forsyth (Forsyth) 2007-083 North Georgia Radiation Oncology (Forsyth) 2007-084 Northeast Georgia Medical Center (Hall) 2007-085 Cancer Treatment Center of Forsyth County (Forsyth) 2007-071 Establish Radiation Therapy Services 2007-083 Expansion of Radiation Therapy Services 2007-084 Expansion of Radiation Therapy Services 2007-085 Establishment of Radiation Therapy Services Agency Decision: Northside Forsyth (2007071) and North Georgia Radiation Oncology (2007083), approved, 1/11/2008; Northeast Georgia (2007084) and Cancer Treatment Center of Forsyth County, denied, 1/11/2008. Appealed By: Northeast Georgia appealed own denial, appealed approval of Northside Forsyth and North Georgia Radiation Oncology, requested intervention in any appeal involving denial of Cancer Treatment Center of Forsyth County 2/7/08; Northside Forsyth requested intervention in any appeal filed by other three applicants 2/7/08; North Georgia Radiation Oncology appealed approval of Northside Forsyth and requested intervention in any appeal filed by other applicants 2/7/08; East Georgia Radiation Holding Company, LLC and Northeast Georgia Cancer Care, LLC, non-applicant intervenor, requested intervention in opposition to Northeast Georgia 2/7/08. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: Pending 2007-077 Northside Hospital Forsyth, Inc. (Forsyth) Establishment of Adult Diagnostic Cardiac Catheterization Services Agency Decision: Denied, 1/25/2008 Appealed By: Northside Forsyth appealed own denial 2/22/08; Emory Johns Creek Cardiac Diagnostics, nonapplicant intervenor, requested intervention in any appeal filed by Northside Forsyth 2/19/08 Hearing Officer: Reassigned to Melvin Goldstein, Esq. Final Order, 10/8/2008: CON Decision is moot as a result of legislative changes enacted by SB433 and Department's Determination issued on 8/12/2008. 2007-094 Georgia Center for Total Cancer Care of Jasper (Pickens) 2007-110 Wellstar Paulding Radiation Therapy (Paulding) Establishment of Radiation Therapy Services Agency Decision: Georgia Center for Total Cancer Care of Jasper, denied, 3/5/2008; Wellstar Paulding Radiation Therapy, denied, 3/5/2008. Appealed By: Georgia Center for Total Cancer Care appealed own denial, requested intervention in any appeal with respect to its project or Wellstar Paulding project, 4/2/08; Wellstar Paulding appealed own denial, requested intervention in any appeal with respect to its project or Georgia Center for Total Cancer Care project, 4/1/08; Radiotherapy Clinics of Georgia Cancer Centers, LLC, non-applicant intervenor, requested intervention in any appeal filed by the applicants, 3/20/08. Cobb Center for Radiation Therapy, Inc., non-applicant intervenor, requested intervention in opposition to Wellstar Paulding, 4/2/2008. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: Pending 10 2007-105 Henry Medical Center (Henry) Installation of a Second Diagnostic Cardiac Catheterization Laboratory Agency Decision: Approved, 4/8/2008 Appealed By: Southern Regional Medical Center requests initial administrative hearing in opposition to the approval of Henry Medical Center, 5/7/2008. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: TBA 2007-108 Emory Johns Creek Cardiac Diagnostics (Fulton) Relocation of Existing Freestanding Adult Diagnostice Cardiac Catheterization Service (DTRC) Agency Decision: Approved, 3/7/2008 Appealed By: Northside Hospital and Northside Cardiac Diagnostics, non-party intervenor appealed approval, 4/4/08 Hearing Officer: William C. Joy, Esq. Hearing Date: TBA 2007-125 Northeast Georgia Cancer Care, LLC (Clarke) Adding a Second Linear Accelerator Agency Decision: Approved, 4/14/2008. Appealed By: Athens Regional Medical Center requests initial administrative hearing in opposition to the approval of Northeast Georgia Cancer Care, 5/7/2008. Hearing Officer: William C. Joy, Esq. Hearing Date: Hearing scheduled for 10/22/2008 at 10am, 34th floor. 2008-004 Gwinnett Medical Center (Gwinnett) Establish an Open Heart Surgery Program Agency Decision: approved, 6/5/2008. Appealed By: Emory University Hospital, Emory Crawford Long Hospital, and Piedmont Hospital , 7/3/2008. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: TBD 2008-008 Northside Hospital-Cherokee (Cherokee) To Develop Radiation Therapy Services Agency Decision: Approved, 06/26/2008 Appealed By: Rosa of Georgia dba Northlake Cancer Center, filed by Smith Moore 07/25/08 RCOG Cancer Center dba Cherokee Care Cancer Center filed by Epstein Becker, 07/22/08 Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: TBD 2008-030 Loganville Diagnostic Imaging Center (Walton) To Develop a Freestanding Diagnostic Imaging Center Agency Decision: Approved, 8/12/2008 Appealed By: Walton Regional Medical Ctr., filed by Balch & Bingham, 9/10/2008. Hearing Officer: TBD Hearing Date: TBD Appealed Determinations 1995-092-CAN Southern Crescent Rehabilitation & Retirement Center Requested hearing on 10/26/2004 for the purpose of contesting a Notice of Cancellation issued by the Department. Hearing Officer is Walter Van Heiningen. Hearing scheduled 9/13/2005. Hearing held 9/13/2005. 11/7/2005, Hearing Officer issues decision affirming the Department's cancellation of Applicant's CON. Southern Crescent files petition for judicial review on 12/5/2005. Southern Crescent requests Commissioner Review of Hearing Officer's initial determination. 2/16/2006, the Office of the Commissioner issues a Final Administrative Order upholding the findings of the hearing officer. Southern Crescent files petition for judicial review 5/16/2006. 2/15/2007, Superior Court affirms the decision of the Hearing Officer and the Department. 3/16/2007, Southern Crescent seeks discretionary review by Court of Appeals. 4/18/2007, Southern Crescent appeals Superior Court order to the Court of Appeals. Request for oral argument before Court of Appeals is granted, 8/10/2007. Oral argument before Court of Appeals heard on 11/6/2007. Court of Appeals issued Opinion upholding Department and Hearing Officer Decision, March 24, 2008. Court of Appeals denied Southern Crescent Motion for Reconsideration, 4/9/2008. 11 Georgia Supreme Court denied Southern Crescent Petition for Certiorari, 9/8/2008. Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities LNR-ASC2008010 Cartersville OB/GYN Associates, P.C. Physician Owned Single Specialty Ambulatory Surgery Center Site: 985-A Joe Frank Harris Parkway, Suite 107, Cartersville Georgia Number of OR's: 2 Specialty: Obstetrics/Gynecology Project costs as submitted: $891,496.62 Request received: 5/1/2008 Contact Person: Evertte Jenkins 678-625-4720 Determination: Pending LNR-ASC2008012 Interventional Spine & Pain Management Physician Owned Single Specialty ASC Site: 3161 Howell Mill Road, Atlanta, Georgia, 30305 Number of OR's: 2 Specialty: pain management Project costs as submitted: $308,871.03 Request received: 6/4/2008 Contact Person: Crystal Blackwell 770-929-9033 Determination: Approved Determination 9/29/2008 LNR-ASC2008013 Georgia Urology ASC Physician Owned Single Specialty ASC Site: 140 Carnegie Place, Fayetteville, Georgia 30214 Number of OR's: 2 class Specialty: Urology Project costs as submitted: $353,146.00 Request received: 6/10/2008 Contact Person: Jason Shelnutt 404-275-2221 Determination: Approved Determination 9/18/2008 LNR-ASC2008014 Georgia Pain Physicians, PC Physician Owned Single Specialty Ambulatory Surgery Center Site: 185 Professional Court, Calhoun, Georgia 30701 Gordon County Number of OR's: 1 Minor Specialty: pain management Project costs as submitted: $218,330.00 Request received: 6/27/2008 Contact Person: Paul Brown 770-850-9727 Determination: Approved Determination 10/10/2008 LNR-ASC2008016 Georgia Urology, PA Physician Owned Single Specialty Ambulatory Surgery Center Site: 720 Old Snellville Highway, Snellville, Georgia 30078 Number of OR's: 2 class Specialty: urology Project costs as submitted: $433,479.00 Request received: 6/30/2008 Contact Person: Jason Shelnutt 404-275-2221 Determination: Approved Determination 9/30/2008 LNR-ASC2008017 Gwinnett Endoscopy Center PC Physician Owned Single Specialty Ambulatory Surgery Center Site: 301 Philip Blvd., Suite B, Lawrenceville, Georgia 30045 Number of OR's: 4 OR Specialty: gastroenterology Project costs as submitted: $1,298,328.00 Request received: 6/30/2008 Contact Person: Jere Pittner 404-881-1094 Determination: Approved Determination 9/17/2008 LNR-ASC2008018 Gastro Specialists Endoscopy Center, LLC Single-Specialty Physician Owned Ambulatory Surgery Center 12 Site: Number of OR's: 2 Specialty: gastroenterology Project costs as submitted: $2,141,962.46 Request received: 7/3/2008 Contact Person: Robin Beatty 404-725-8786 Determination: Pending LNR-ASC2008019 Eye Surgery Center of Georgia, LLC Eye Surgery Center of Georgia, LLC Site: 1100 Johnson Ferry Road, Center Point II, Suite 130, Atlanta, Ga Number of OR's: 2 Specialty: Ophthalmology Sugical Procedures Project costs as submitted: $1,168,893.00 Request received: 8/13/2008 Contact Person: G. Kirk Domescik 404-253-6978 Determination: Pending LNR-ASC2008020 Cartersville Surgical Associates PC Physician Owned Single Specialty Ambulatory Surgery Center Site: 970 Joe Frank Harris Parkway Suite 240, Cartersville, Georgia Number of OR's: 2 Specialty: General Surgery Project costs as submitted: $1,536,428.35 Request received: 8/21/2008 Contact Person: Everette B. Jenkins 678-625-4720 Determination: Pending LNR-ASC2008021 Landa & Landa Eye Care Specialists Physician Owned Single Specialty Ambulatory Surgery Center Site: 8 Stephenson Avenue, Savannah, Georgia Number of OR's: 1 Specialty: ophthalmology Project costs as submitted: $613,247.04 Request received: 8/27/2008 Contact Person: Michael S. Landa MD 912-355-1091 Determination: Pending LNR-ASC2008022 Georgia Retina P.C. and Georgia Retina Surgery Center LLC Physician-Owned Single Specialty Site: 1100 Johnson Ferry Road, Atlanta, Georgia 30342 Number of OR's: 2 Specialty: ophthalmology Project costs as submitted: $1,711,774.00 Request received: 8/29/2008 Contact Person: Adrienne E. Marting 404-923-9000 Determination: Pending LNR-ASC2008023 Chattahoochee Plastic Surgery Physician-Owned Single Specialty Ambulatory Surgery Center Site: 2430 Brookstone Centre Parkway, Columbus, Georgia 31904 Number of OR's: 2 Class Specialty: plastic surgery Project costs as submitted: $2,411,799.00 Request received: 9/3/2008 Contact Person: Everette B. Jenkins 678-625-4720 Determination: Pending LNR-ASC2008024 Advance Pain Management P.C. Physician Owned Single Specialty Ambulatory Surgery Center Site: 404 Town Park Blvd Evans, Georgia 30809 Number of OR's: 2 Specialty: Pain Medicine Project costs as submitted: $2,379,999.28 Request received: 9/12/2008 Contact Person: Everette B. Jenkins 678-625-4720 Determination: Pending 13 Requests for LNR for Diagnostic or Therapeutic Equipment LNR-EQT2008013 Royston Diagnostic Center, LLC Acquisition of Digital Mammography System Request received: 6/17/2008 Contact Person: Richard L. Gray 706-354-1036 Determination: Pending LNR-EQT2008014 David G. Dillard Acquisition of a Fixed CT Scanner Request received: 6/23/2008 Contact Person: David G. Dillard 706-353-0093 Determination: Approved Determination Date: 9/16/2008 LNR-EQT2008016 Royston Diagnostic Center, LLC Acquisition of a Fixed CT Scanner Request received: 6/25/2008 Contact Person: Richard L. Gray 706-354-1036 Determination: Pending LNR-EQT2008017 Albany Diagnostic Center Acquisition of a Digital Mammography System Request received: 6/25/2008 Contact Person: Richard L. Gray 706-354-1036 Determination: Pending LNR-EQT2008018 Diagnostic Clinic of Athens, LLC DBA Athens Diagnostic Center Acquisition of a Digital Mammography System Request received: 6/25/2008 Contact Person: Richard L. Gray 706-354-1036 Determination: Pending LNR-EQT2008019 Carterville Diagnostic Center Acquisition of a Fixed Magnetic Resonance Imaging Request received: 6/25/2008 Contact Person: Richard L. Gray 706-354-1036 Determination: Pending LNR-EQT2008020 Atlantic Diagnostic Center Acquisition of a Fixed MRI and Fixed CT Scanner Request received: 6/27/2008 Contact Person: Dawn M. Lewis 770-479-4847 Determination: Pending LNR-EQT2008021 Monroe HMA d/b/a Walton Regional Medical Center Acquisition of a CT Scanner & Digital Radiography System Request received: 7/10/2008 Contact Person: Blake Watts 770-267-1793 Determination: Approved Determination Date: 9/23/2008 LNR-EQT2008022 North American Imaging of Buford, LLC Acquisition of Equipment CT Scanner, X-Ray System & Ultrasound System Request received: 7/14/2008 Contact Person: Joe C. Rude, III, MD 770-779-2169 Determination: Denied Determination Date: 10/9/2008 LNR-EQT2008023 Neurosurgical Associates, PC Installation of an MRI Request received: 7/29/2008 Contact Person: Nancy Strenth 229-432-9515 Determination: Pending 14 LNR-EQT2008025 Sheffield & Dempsey, LLC Acquisition of a Fixed CT Scanner Request received: 8/8/2008 Contact Person: Amy Ellis 706-546-7908 Determination: Pending LNR-EQT2008026 ARA Holdings LLC Aquisition of Fixed CT Scanner, Fixed MRI & Viewing Console Request received: 8/21/2008 Contact Person: Dr. Andreas Schilling 912-350-0552 Determination: Pending LNR-EQT2008027 Rockdale Medical Center, Inc. Acquisition of Fixed MRI, Fixed CT Scanner and X-Ray Unit Request received: 8/22/2008 Contact Person: Michael Potter 770-918-3914 Determination: Pending LNR-EQT2008028 Northeast Georgia Heart Center, PC Acquisition of a Cardiac Positron Emission Tomography Scanner (PET) Request received: 8/27/2008 Contact Person: Janet White 770-534-2020 Determination: Pending LNR-EQT2008029 Digital Mammography Specialists-Eagles Landing, LLC Acquisition of Full Field Mammography Unit Request received: 9/17/2008 Contact Person: Manju Morrissey 678-904-6820 Determination: Pending LNR-EQT2008030 Augusta Neuroscience, PC dba Augusta Back Acquisition of a Fixed Magnetic Resonance Imaging Request received: 9/19/2008 Contact Person: Tim Woodall 706-396-6304 Determination: Pending Requests for Miscellaneous Letters of Determination DET2008029 Tanner Medical Center, Inc Expansion of Adult Cardiac Catheterization Laboratory Request received: 6/4/2008 Contact Person: Kathy Butler Polvino 404-527-8140 Determination: Pending DET2008042 Neurological Institute Ambulatory Surgery Center Reorganization of Corporate Entity of Ambulatory Surgery Center Request received: 7/3/2008 Contact Person: Terry Matthews 912-355-1010 Determination: Non-reviewable as proposed Determination Date: 9/23/2008 DET2008046 St Francis Hospital, Inc. Addition to Third Cardiac Catheterization Laboratory Request received: 7/11/2008 Contact Person: Matthew A. Moore 709-596-4160 Determination: Pending DET2008048 Silverleaf Alzheimer's Care of Gainesville, Inc Leasing an Assistant Living Facility Request received: 7/17/2008 Contact Person: Jan Hill 706-540-6797 Determination: Non-reviewable as proposed Determination Date: 9/10/2008 15 DET2008049 Piedmont Hospital, Inc. Replacement of Various Cath Lab Equipment Request received: 7/18/2008 Contact Person: Davis Dunbar 404-605-4565 Determination: Non-reviewable as proposed Determination Date: 9/15/2008 DET2008050 Piedmont Hospital, Inc. Expansion of Cardiac Catheterization Service Request received: 7/18/2008 Contact Person: Davis Dunbar 404-605-4565 Determination: Pending DET2008051 Piedmont Hospital Replacement of Computerized Tomography Equipment Request received: 7/18/2008 Contact Person: Davis Dunbar 404-6054565 Determination: Non-reviewable as proposed Determination Date: 9/17/2008 DET2008052 Smith of Georgia, LLC d/b/a Smith Northview Hospital Increase Bed Capacity by Ten Percent Request received: 7/21/2008 Contact Person: Larry R. Jeter 229-671-2002 Determination: Non-reviewable as proposed Determination Date: 9/19/2008 DET2008053 Burke County Hospital Authority d/b/a Burke Medical Center Renovation and Expansion of Emergency Department Space Request received: 7/23/2008 Contact Person: Jennifer Royal 706-554-4435 Determination: Non-reviewable as proposed Determination Date: 10/1/2008 DET2008054 Newton Health System, Inc. d/b/a Newton Medical Center Renovation and Expansion of Emergency Department Space Request received: 7/24/2008 Contact Person: Troy Brooks 770-385-4426 Determination: Non-reviewable as proposed Determination Date: 10/2/2008 DET2008055 Emory Clinic & Emory University dba The Robert Woodruff Health Science Relocation of Underground Utilities Request received: 7/28/2008 Contact Person: Mike Mason 404-778-5639 Determination: Non-reviewable as proposed Determination Date: 9/23/2008 DET2008056 Hamilton Medical Center Replacement of Imaging Equipment Request received: 7/29/2008 Contact Person: Corey Roy 706-272-6529 Determination: Pending DET2008057 Sugar Hill SLP, LLC Construction of Personal Care Home Request received: 8/1/2008 Contact Person: David C. Winters 678-297-0388 Determination: Non-reviewable as proposed Determination Date: 9/17/2008 DET2008058 FKP Thomasville Senior Living Tenant, LLC Convert 35 Bed Independent Living Facility Into Personal Care Home Request received: 8/1/2008 Contact Person: Declan Sherman 212-231-1741 Determination: Non-reviewable as proposed Determination Date: 9/18/2008 DET2008059 The Emory Clinic Confirmation of Classification 16 Request received: 8/5/2008 Contact Person: Mike Mason 404-778-5639 Determination: Pending DET2008060 WellStar Douglas Hospital Increase Bed Capacity by Ten Percent Request received: 8/5/2008 Contact Person: Caroline Aultman 770-792-1542 Determination: Pending DET2008061 WellStar Douglas Hospital Development of Adult Cardiac Catheterization Request received: 8/5/2008 Contact Person: Caroline Aultman 770-792-1542 Determination: Pending DET2008063 Mary & Martha's Personal Care Increase Bed Capacity From 34 to 42 Request received: 8/11/2008 Contact Person: Martha S Dawn 706-866-9980 Determination: Non-reviewable as proposed Determination Date: 9/18/2008 DET2008065 The Emory Clinic and Emory University dba The Robert W. Woodruff Construction of an Underground Parking Garage Request received: 8/20/2008 Contact Person: Mike Mason 404-778-5639 Determination: Pending DET2008067 Craniospinal Institute of Georgia Acquisition of a C-Arm Request received: 8/21/2008 Contact Person: Vernon Spellman 770-425-2167 Determination: Pending DET2008068 The Hospital Authority of Valdosta dba Lowndes County dba South Modification of CON2006032 Relocation/Replacement of ASC Ors Request received: 8/22/2008 Contact Person: Dana Massingill 229-333-1692 Determination: Pending DET2008069 The Medical Center Capital Expenditure for Water Infiltrations System Request received: 8/22/2008 Contact Person: Don Elder 706-660-6342 Determination: Pending DET2008070 Southern Crescent Rehabilitation and Retirement Center, Inc Development of a Facility for Brain Traumatic Injury Request received: 8/26/2008 Contact Person: Omar El Sawi 770-378-9774 Determination: Non-reviewable as proposed Determination Date: 9/18/2008 DET2008071 Regency Hospital Albany Extension of Implementation for CON2006145 Request received: 8/26/2008 Contact Person: Rod Laughlin 770-772-4345 Determination: Pending DET2008072 Regency Hospital of Macon dba Regency Hospital of Riverside Extension of Implementation of CON2006056 Request received: 8/26/2008 Contact Person: Rod Laughlin 770-772-4345 17 Determination: Pending DET2008073 Grady Memorial Hospital Corporation dba Grady Health System Imaging and Cardiology Equipment Replacement Initiative Request received: 8/28/2008 Contact Person: Craig J. Tindall 404-616-3343 Determination: Non-reviewable as proposed Determination Date: 10/3/2008 DET2008074 Southern Regional Health System dba Southern Regional Medical Center Expansion of Adult Cardiac Catheterization Services Request received: 8/28/2008 Contact Person: Michael C. Miller 770-991-8351 Determination: Pending DET2008075 Southern Regional Health System dba Southern Regional Medical Center Operating a Cardiac Cath Laboratory Pursuant to OCGA 31-6-47(a)(21) Request received: 8/28/2008 Contact Person: Michael C. Miller 770-991-8351 Determination: Pending DET2008076 Hamilton Medical Center Development of a Convenient Care Center Request received: 9/3/2008 Contact Person: Corey Roy 706-272-6529 Determination: Pending DET2008077 West Georgia Urology Associates PC Upgrading a Slice CT Scanner Request received: 9/5/2008 Contact Person: Kevin P. McLaughlin 770-834-5393 Determination: Pending DET2008078 DOC-MOB, LLC Construction of Medical Office Building Request received: 9/8/2008 Contact Person: Frank Mullins 704-206-8300 Determination: Pending DET2008079 University Health Services Inc dba University Hospital Replacement of Electrophysiology Equipment Request received: 9/8/2008 Contact Person: David Henderson 706-828-2454 Determination: Pending DET2008080 University Health Services Inc dab University Hospital Replacement of Cardiac Catheterization Equipment Request received: 9/8/2008 Contact Person: David Henderson 706-828-2454 Determination: Pending DET2008081 University Health Services Inc dba University Hospital Replacement of Cardiac Catheterization Equipment Request received: 9/8/2008 Contact Person: David Henderson 706-828-2454 Determination: Pending DET2008082 University Health Services Inc dba University Hospital Addition of Cardiac Catheterization (Dedicated EP) Room Request received: 9/8/2008 Contact Person: David Henderson 706-828-2454 Determination: Pending 18 DET2008083 University Health Services Inc dba University Hospital Replacement of Cardiac Catheterization Equipment Request received: 9/8/2008 Contact Person: David Henderson 706-828-2454 Determination: Pending DET2008084 University Health Services Inc dba University Hospital Replacement of Cardiac Catheterization Equipment Request received: 9/8/2008 Contact Person: David Henderson 706-828-2454 Determination: Pending DET2008085 EHCA Eastside, LLC dba Emory Eastside Medical Center Increase Bed Capacity by Ten Percent Request received: 9/10/2008 Contact Person: Dustin Greene 770-736-2224 Determination: Pending DET2008086 Laurus Surgical, LLC Contracting for Pain Services Request received: 9/11/2008 Contact Person: Crystal Blackwell 770-929-9033 Determination: Pending DET2008087 Emory University dba Emory University Hospital Replacement of MRI System Request received: 9/15/2008 Contact Person: Toni Wimby 404-686-2450 Determination: Pending DET2008088 Open MRI of Central Georgia, LLC Relocation of Health Care Facility Request received: 9/17/2008 Contact Person: Per B. Normark 678-992-7311 Determination: Pending DET2008089 Open MRI of Central Georgia, LLC Replacement of Health Care Facility's MRI Request received: 9/17/2008 Contact Person: Per B. Normark 678-992-7311 Determination: Pending DET2008090 Athens Healthcare Properties, Inc. & Heritage Healthcare of Athens Relocation and Replacement of a Nursing Facility Request received: 9/18/2008 Contact Person: Scott Shull 678-553-6623 Determination: Non-reviewable as proposed Determination Date: 9/26/2008 DET2008091 Brownwood Properties , Inc & Heritage Healthcare of Moultrie, LLC Relocation and Replacement of a Nursing Facility Request received: 9/18/2008 Contact Person: Scott Shull 678-533-6623 Determination: Non-reviewable as proposed Determination Date: 9/26/2008 DET2008092 Emory University Expansion of the Clairmont Parking Deck Request received: 9/23/2008 Contact Person: Robert S. Hascall, VP, Campus Services 404-727-7499 Determination: Pending DET2008093 Floyd Healthcare Management Expansion & Relocation of Adult Diagnostic Cardiac Catheterization 19 Request received: 9/25/2008 Contact Person: Matt Gorman 706-509-3257 Determination: Pending DET2008094 The Neurological Institute of Savannah & Center for Spine PC Replacement of CT Scanner Request received: 9/30/2008 Contact Person: Terry Mathews 912-355-1010 ext3051 Determination: Pending DET2008095 CHMR of Griffin dba Healthfield Home Health of Griffin & Healthfield Transfer Home Health Counties Request received: 10/1/2008 Contact Person: Ruth C. Schwartz 913-814-2288 Determination: Pending DET2008096 Tent Healthsystem GA, Inc. dba Tenet Atlanta Medical Center Replacement of Two Existing Operating Rooms Request received: 10/2/2008 Contact Person: William Masterton 404-265-4301 Determination: Pending DET2008097 Tattnall Hospital Company, LLC Expansion of Emergency Department, Pre & Post Operative Areas Request received: 10/7/2008 Contact Person: Michael Kleinpeter 912-644-5370 Determination: Pending DET2008098 ENT Surgery Center of Atlanta, LLC RedeemMinority Member Interest Request received: 10/9/2008 Contact Person: Deborah Smith 404-276-9716 Determination: Pending DET2008099 Adventist Health System Georgia, Inc. dba Gordon Hospital Addition of an Adult Diagnostic Cardiac Catheterization Lab Request received: 10/10/2008 Contact Person: Sam Huenergardt 706-602-7800 ext2258 Determination: Pending DET2008100 St. Francis Hospital, Inc. Replacement of MRI Unit Request received: 10/10/2008 Contact Person: Matt Moore 706-596-4160 Determination: Pending Requests for Extended Implementation/Performance Period 2006-075 The Specialty Hospital, Inc. Construction of a 45-Bed Freestanding Long Term Acute Care Hospital Request to extend Implementation Period Site: 420 East Second Avenue, Suite 103, Rome (Floyd) Project Approved: 11/8/2006 Request Received: 8/8/2008 Contact: Mark Fall, CEO (706)-509-4152 Approved Cost: $20,882,483 Determination: Approved, 9/12/2008 Extended Implementation Date: 5/15/2009 2007-047 Emory University d/b/a Emory University Hospital Relocation of MRI Services 20 Request to extend Effective Period Site: 1364 Clifton Road, Atlanta (DeKalb) Project Approved: 8/14/2007 Request Received: 8/29/2008 Contact: Toni Wimby, Associate Administrator (404)-686-2450 Approved Cost: $1,920,292 Determination: Approved, 9/11/08 Extended Effective Period: 3/30/2009 2007-066 HyOx Medical Treatment Center, Inc. Development of Hyperbaric Medicine Program DTRC Request to extend Implementation Period Site: 738 Old Norcross Road, Lawrenceville (Gwinnett) Project Approved: 11/5/2007 Request Received: 9/26/2008 Contact: Charles Gregory, Esq. (404)-873-8500 Approved Cost: $2,709,034 Determination: Pending 2006-073 Georgia Rehabilitation Institute d/b/a Walton Rehabilitation Hospital Renovation of Facility Request to extend Effective Period Site: 1355 Independence Drive, Augusta (Richmond) Project Approved: 10/30/2006 Request Received: 9/26/2008 Contact: Dennis Skelley, CEO (706)-724-7746 Approved Cost: $2,377,084 Determination: Approved, 10/14/2008 Extended Effective Period: 6/30/2009 2007-014 Sunrise Johns Creek GA Senior Living, LLC d/b/a Sunrise of Johns Creek Development of 100-bed Personal Care Home Request to extend Effective Period Site: 11455 Medlock Bridge Road, Duluth (Gwinnett) Project Approved: 6/28/2007 Request Received: 10/3/2008 Contact: Mark Maberry, Exec. VP (770)-777-9898 Approved Cost: $20,885,709 Determination: Approved, 10/14/2008 Extended Effective Period: 8/15/2009 Need Projection Analyses Updated 09/25/2008 Current Status of Official Division of Health Planning Need Projection Analyses and Other Data Resources Need Projections and Maps for CON Regulated Services 2010 Home Health Agency Services - 9/24/2008 (Next update in March 2009 Batching) 2010 Skilled Nursing Home Beds - 9/24/2008 (Next update in March 2009 Batching) 2011 Personal Care Home Services - 4/14/2008 2013 Ambulatory Surgery Center Services - 9/25/2008 2013 Cardiac Catheterization Labs - 4/1/2008 2013 Inpatient Physical Rehabilitation Services - 9/25/2008 2013 Long Term Care Hospital Beds - 4/2/2008 2013 Neonatal Intensive Care Beds - 9/25/2008 21 2013 Neonatal Intermediate Care Beds - 9/25/2008 2013 Obstetric Services Beds - 9/25/2008 2013 Short Stay Hospital Beds Facility-specific projections on an ad hoc basis using 2006 utilization 2012 Positron Emission Tomography Services Corrected 8/13/2008 2013 Non-Special MegaVoltage Radiation Therapy Revised 9/5/2008 Non-Filed or Incomplete Division of Health Planning Facility Surveys for Most Recent 3 Years (Survey Status as of October 13, 2008) Survey Completion Status - Survey completion status represents the status of survey filings as of the effective date indicated in each version of the Tracking Report. Surveys filed on the effective date may not be reflected as complete and may be reported as delinquent. Please contact the staff contact indicated in the instruction materials associated with each survey if your facility has filed its survey but continues to be reflected as incomplete. Facility Name County Survey Year Annual Hospital Questionnaire and Addenda (Survey Years 2004 thru 2006) Central State Hospital - Psychiatric Services Division Baldwin 2006 Charlton Memorial Hospital Charlton 2006 Fannin Regional Hospital Fannin 2006 Flint River Community Hospital Macon 2006 Georgia Center for Youth Taylor 2005 Georgia Regional Hospital @ Savannah Chatham 2006 Hillside Hospital Fulton 2006 Kindred Hospital-Atlanta Fulton 2006 Lower Oconee Community Hospital Inc. Wheeler 2006 Morgan Memorial Hospital Morgan 2005 Mountain Lakes Medical Center Rabun 2006 North Fulton Regional Hospital Fulton 2006 Rabun County Memorial Hospital Rabun 2005 Select Specialty Hospital of Augusta Richmond 2006 Southwest Hospital And Medical Center Fulton 2004 Southwest Hospital And Medical Center Fulton 2005 Stewart Webster Hospital Stewart 2006 Sumter Regional Hospital, Inc. Sumter 2006 Tattnall Community Hospital Tattnall 2006 The Bradley Center of St. Francis Muscogee 2005 Warm Springs Medical Center Meriwether 2006 Wheeler County Hospital Wheeler 2005 Annual Nursing Home Questionnaire (Survey Years 2005 thru 2007) Buckhead Health & Rehabilitation Fulton 2007 Forum Group at Moran Lake Nursing and Rehabiliation Floyd 2007 Center, LLC Forum Group at Mount Berry Nursing & Rehabilitation Floyd 2007 Center, LLC Forum Group at Wildwood Park Nursing & Rehabilitation Glynn 2007 Center, LLC Cardiac Catheterization Services Survey (Survey Years 2004 thru 2006) Colquitt Regional Medical Center Colquitt 2004 Colquitt Regional Medical Center Colquitt 2005 Sumter Regional Hospital, Inc. Sumter 2006 Freestanding Ambulatory Surgery Services Survey ( Survey Years 2004 thru Advanced Surgery Center Of Georgia Cherokee 2004 Atlanta Center for Reconstructive Foot and Ankle Fulton 2004 22 Survey Due 2/29/2008 2/29/2008 2/29/2008 2/29/2008 9/29/2006 2/29/2008 2/29/2008 2/29/2008 2/29/2008 9/29/2006 2/29/2008 2/29/2008 9/29/2006 2/29/2008 3/25/2005 9/29/2006 2/29/2008 2/29/2008 2/29/2008 9/29/2006 2/29/2008 9/29/2006 8/15/2007 8/15/2007 8/15/2007 8/15/2007 8/5/2005 6/9/2006 4/13/2007 3/25/2005 3/25/2005 Surgery Atlanta Center for Reconstructive Foot and Ankle Surgery Atlanta Center for Reconstructive Foot and Ankle Surgery Atlanta Eye Surgery Center Atlanta Eye Surgery Center Atlanta Eye Surgery Center Atlanta Surgicenter Atlanta Surgicenter Atlanta Women's Medical Center Atlanta Women's Medical Center Atlanta Women's Medical Center Columbus Women's Health Organization, Inc. Columbus Women's Health Organization, Inc. Columbus Women's Health Organization, Inc. North Atlanta Endoscopy Center North Atlanta Orthopaedic Surgery Center, LLC Northside Women's Clinic Northside Women's Clinic Northwoods Surgery Center, LLC Novamed Eye Services of Columbus Planned Parenthood Reproductive Health Services, Inc. Premier Surgery Center Premier Surgery Center Premier Surgery Center Savannah Medical Clinic Savannah Medical Clinic Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Plastic Surgicenter, Inc. Surgical Centers of Georgia Fulton Fulton Fulton Fulton Fulton Fulton Fulton Fulton Fulton Fulton Muscogee Muscogee Muscogee Fulton Fulton DeKalb DeKalb Forsyth Muscogee Richmond Glynn Glynn Glynn Chatham Chatham Chatham Chatham Chatham Chatham Bibb Home Health Agency Survey (Survey Years 2004 thru 2006) Appalachian Home Health Care Union Appalachian Home Health Care Union Appalachian Home Health Care Union ASAP Healthcare Network Cobb Carepartners @Home - Gwinnett Gwinnett Gordon Home Care Gordon Interim Healthcare, Inc. Fulton Preferred Home Care - Warren Robins Houston Soleus Healthcare Services of Southern Georgia, Inc. Lowndes Southside Healthcare Home Health Fulton Southside Healthcare Home Health DeKalb Ultra Care of Georgia Muscogee Hospital Financial Survey (Survey Years 2004 thru 2006) Bacon County Hospital Bacon Charlton Memorial Hospital Charlton Flint River Community Hospital Macon Gordon Hospital Gordon Hutcheson Medical Center Catoosa Inner Harbour Hospital Douglas Kindred Hospital-Atlanta Fulton 23 2005 2006 2004 2005 2006 2004 2006 2004 2005 2006 2004 2005 2006 2006 2006 2004 2005 2006 2005 2004 2004 2005 2006 2005 2006 2004 2005 2006 2006 2006 2004 2005 2006 2006 2006 2006 2004 2004 2004 2004 2006 2004 2006 2006 2006 2006 2006 2004 2006 7/28/2006 4/13/2007 3/25/2005 7/28/2006 4/13/2007 3/25/2005 4/13/2007 3/25/2005 7/28/2006 4/13/2007 3/25/2005 7/28/2006 4/13/2007 4/13/2007 4/13/2007 3/25/2005 7/28/2006 4/13/2007 7/28/2006 3/25/2005 3/25/2005 7/28/2006 4/13/2007 7/28/2006 4/13/2007 3/25/2005 7/28/2006 4/13/2007 4/13/2007 4/13/2007 3/25/2005 7/7/2006 4/13/2007 4/13/2007 4/13/2007 4/13/2007 3/25/2005 3/25/2005 3/25/2005 3/25/2005 4/13/2007 3/25/2005 3/14/2008 3/14/2008 3/14/2008 3/14/2008 3/14/2008 5/28/2004 3/14/2008 Liberty Regional Medical Center McDuffie Regional Medical Center Minnie G. Boswell Memorial Hospital Morgan Memorial Hospital Mountain Lakes Medical Center Select Specialty Hospital of Augusta Southwest Hospital & Medical Center Tattnall Community Hospital Taylor Telfair Regional Hospital Trinity Hospital of Augusta Wildwood Lifestyle Center & Hospital Willingway Hospital Liberty McDuffie Greene Morgan Rabun Richmond Fulton Tattnall Telfair Richmond Dade Bulloch 2006 2006 2006 2006 2005 2006 2004 2006 2006 2006 2006 2006 Open Heart Surgery Services Survey (Survey Years 2004 thru 2006) All surveys filed for most recent 3 years. Personal Care Home Survey (Survey Years 2005 thru 2007) Atria Retirement & Assisted Living, Stone Mountain Gwinnett 2005 Atria West Cobb Cobb 2005 Atria Woodstock Cherokee 2005 Autumn Village PCH Butts 2007 Campbell-Stone Personal Care Home Fulton 2007 Country Gardens Assisted Living PCH Fulton 2005 Country Gardens Assisted Living PCH Fulton 2006 Country Gardens Assisted Living PCH Fulton 2007 Country Gardens Senior Living Gwinnett 2006 Epoch Assisted Living of Roswell Fulton 2005 Reflections PCH Cobb 2005 Robertville Manor Bartow 2005 Shadow Moss Plantation Chatham 2006 Shadow Moss Plantation Chatham 2007 Summer's Landing Coffee 2007 White Oaks at Lanier PCH Forsyth 2005 White Oaks at Lanier PCH Forsyth 2006 White Oaks at Lanier PCH Forsyth 2007 Positron Emission Tomography Services Survey (Survey Years 2004 thru 2006) All surveys filed for most recent 3 years. Radiation Therapy Services Survey (Survey Years 2004 thru 2006) Cherokee Regional Cancer Treatment Center Cherokee 2004 Cherokee Regional Cancer Treatment Center Cherokee 2005 Oconee Regional Medical Center Baldwin 2004 3/14/2008 3/14/2008 3/14/2008 3/14/2008 10/27/2006 3/14/2008 3/1/2004 3/14/2008 3/14/2008 3/14/2008 3/14/2008 3/14/2008 9/16/2005 9/16/2005 9/16/2005 8/15/2007 8/15/2007 9/16/2005 9/15/2006 8/15/2007 9/15/2006 9/16/2005 9/16/2005 9/16/2005 9/15/2006 8/15/2007 8/15/2007 9/16/2005 9/15/2006 8/15/2007 3/25/2005 7/21/2006 3/25/2005 Indigent/Charity Shortfalls Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years (Commitment status as of 10/13/2008) Indigent and Charity Care Shortfalls Compliance with indigent and charity care commitments is evaluated on the effective date indicated in each version of the Tracking Report. Adjustments paid to offset shortfalls that are received on or near the effective date may not have had time to be processed by DCH when the Tracking Report is published. Facility Name Brunswick Endoscopy Center Healthsouth Gainesville Surgery Center Novamed Eye Services, Surgery & Laser Center of Columbus The Surgery Center, LLC The Surgery Center, LLC County Glynn Hall Muscogee Year 2006 2006 2004 Shortfall Due Service 19.10 Ambulatory Surgery Center 223,107.87 Ambulatory Surgery Center 26,610.02 Ambulatory Surgery Center Muscogee Muscogee 2004 2006 24 251,623.82 Ambulatory Surgery Center 82,548.12 Ambulatory Surgery Center North Fulton Regional Hospital Amedisys d/b/a Tugaloo Home Health Agency Associated Services of Accountable Professionals Chattahoochee Valley Home Health, Gentiva Health Services - Atlanta Georgia Home Health Services, Valdosta Georgia Home Health Services, Valdosta Georgia Home Health Services, Valdosta Guardian Home Care of Central Georgia Guardian Home Care of Central Georgia Guardian Home Care of Northeast Georgia Guardian Home Care of Northeast Georgia Guardian Home Care of Northeast Georgia Guardian Home Care, LLC Guardian Home Care, LLC Healthfield Home Health of Atlanta Healthfield Home Health of Griffin Staff Builders Home Health Focus By the Sea Autumn Village PCH Carriage House of Southern Plantation, The Cobblestone At Park Springs Cohen Home, The Cypress Pond Assisted Living Delmar Gardens of Smyrna Fite Living Centre Fite Living Centre Gentilly Gardens of Stateboro Gentilly Gardens of Stateboro Golden Years Retirement Village Golden Years Retirement Village Hearthstone at Presbyterian Villeage Magnolia Estates PCH Oaks Assisted Living at the Marshes of Skidaway Island, The Regal At Morning Pointe Regal At Morning Pointe Southern Pines Retirement Community Southern Pines Retirement Community Southern Pines Retirement Community Suites at Cypress Pond, The Suites at Cypress Pond, The Fulton Franklin Cobb Muscogee Fulton Lowndes Lowndes Lowndes Clarke Clarke Hall Hall Hall Fulton Fulton DeKalb Spalding Fulton Glynn Butts Walton DeKalb Fulton Tift Cobb Bartow Bartow Bulloch Bulloch Walton Walton Cobb Elbert Chatham Gordon Gordon Thomas Thomas Thomas Tift Tift 2006 2006 2004 2006 2006 2004 2005 2006 2005 2006 2004 2005 2006 2005 2006 2006 2006 2006 2005 2006 2005 2007 2007 2005 2007 2006 2007 2006 2007 2006 2007 2007 2007 2007 2006 2007 2005 2006 2007 2006 2007 7,724.22 24,786.58 10,464.33 70,792.71 151,932.04 69,448.00 88,633.28 98,303.88 30,262.52 67,275.28 18,107.06 22,608.78 43,747.37 134,445.58 118,369.89 47,354.47 23,443.09 490,501.24 165,714.36 1,300.00 17,294.41 23,442.45 13,735.55 8,044.86 13,648.23 8,800.00 7,860.00 8,028.00 23,051.16 6,240.00 1,461.00 21,362.44 3,791.48 10,718.09 Cardiac Catheterization Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Hospital Personal Care Home Personal Care Home Personal Care Home Personal Care Home Personal Care Home Personal Care Home Personal Care Home Personal Care Home Personal Care Home Personal Care Home Personal Care Home Personal Care Home Personal Care Home Personal Care Home Personal Care Home 17,542.26 17,018.64 23,508.00 25,557.70 29,179.42 9,105.91 9,396.03 Personal Care Home Personal Care Home Personal Care Home Personal Care Home Personal Care Home Personal Care Home Personal Care Home Recent Legislation - Senate Bill 433 Senate Bill 433 as passed April 4, 2008 The Department responses to various questions regarding SB433 are posted on the website for general reference. Senate Bill 433 Determination Letters Opposition Form Now Available Opposition Form 25 NEW CERTIFICATE OF NEED FILING REQUIREMENTS Notices of Intent Effective July 1, 2008, O.C.G.A. 31-6-40(b) provides that: Any person proposing to develop or offer a new institutional health service or health care facility shall, before commencing such activity, submit a letter of intent and an application to the department and obtain a certificate of need in the manner provided in this chapter unless such activity is excluded from the scope of this chapter. O.C.G.A. 31-6-43(a) further provides that: At least 30 days prior to submitting an application for a certificate of need for clinical health services, a person shall submit a letter of intent to the department. The department shall provide by rule a process for submitting letters of intent and a mechanism by which applications may be filed to compete with and be reviewed comparatively with proposals described in submitted letters of intent. All parties interested in applying for a certificate of need for new institutional health services MUST NOW NOTIFY THE DEPARTMENT 30 DAYS PRIOR TO FILING AN APPLICATION of their intent to do so. This notice must be in writing and must contain the following information: Name and address of legal applicant; Person to whom inquiries may be addressed; Name, address of facility, if different from legal applicant; Proposed Project Site Location; Brief summary description of proposal; Proposed service area; and, Cost of the project. The Department will not accept any notices of intent submitted by either telephone, facsimile or e-mail pursuant to Rule 111-2-2-.06(5). Note: The Department will begin implementing the Letter of Intent requirement on July 15, 2008. Beginning with that date, no CON application will be accepted without a previously filed Letter of Intent. The CON application must be submitted no later than 30 days after the Letter of Intent has been received by the Department. BATCHING REQUIREMENTS The Department will be promulgating rules for services that will now be batched pursuant to O.C.G.A. 316-43(e) which states: To allow the opportunity for comparative review of applications, the department may provide by rule for applications for a certificate of need to be submitted on a timetable or batching cycle basis no less often than two times per calendar year for each clinical health service. Applications for services, facilities, or expenditures for which there is no specified batching cycle may be filed at any time. The requirements for Notices of Intent associated with designated Batching Cycles will be issued at the time of publication of the Batching Notice. 26 SUMMER SPRING WINTER FALL New Batching Review The Department will be transitioning many of the reviewable CON services into quarterly Batching Cycles. These services and the Batching Cycles are as follows: Batched Service Home Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Ambulatory Surgery PET, Mega Voltage Radiation Therapy, Pediatric Cath/Open Heart, Adult Open Heart, Psych/Substance Abuse, Birthing Centers Batching Notice September December Home Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Ambulatory Surgery March Letter of Intent October January April Application Deadline November February May PET, Mega Voltage Radiation Therapy, Pediatric Cath/Open Heart, Adult Open Heart, Psych/Substance Abuse, Birthing Centers June July August Fall Batching Notices will be issued the last week of September. In preparation for transition to the New Batching Cycle, no Letters of Intent will be accepted after September 2, 2008, for the following services: Perinatal Services, Inpatient Rehabilitation Services and Ambulatory Surgery Services. Please note: this does not apply to Home Health Services, Intermediate Care Facilities and Skilled Nursing Facilities as these services are already batched services and will continue to follow the existing procedures. Letters of Intent for these services can only be accepted according to the schedule published by the Department the last week of September. Winter Batching Notices will be issued the last week of December. In preparation for transition to the New Batching Cycle, no Letters of Intent will be accepted after December 8, 2008, for the following services: PET, Mega Voltage Radiation Therapy, Pediatric Cath/Open Heart, Adult Open Heart, Psych/SA, and Birthing Centers. Following the transition to these new procedures, Letters of Intent will only be accepted in accordance with the batching schedule published by the Department. Letters of Intent for services, facilities, or expenditures for which there is no specified batching cycle, or other applicable rule, may be filed at any time. Batching Notifications Posted 09/25/2008 on DCH Website Links to Batching Notices for Ambulatory Surgery, Home Health Agencies, Obstetrical Services, Neonatal Intermediate and Intensive Care Services, Comprehensive Inpatient Physical Rehabilitation Services, Skilled Nursing Facilities/ Intermediate Care Facilities 27 BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW ACTIVITIES FALL CYCLE Batching Notice (Sept 25, 2008) Application Day (application complete when submitted; review cycle begins same day) (due by 12 noon Nov 25, 2008) 75th Day (applicant provides additional information) (February 8, 2009) 100th Day (last day for letters of support to be submitted to Department) (March 5, 2009) 120th Day (Department Issues decision) (March 25, 2009) Letter of Intent (due by 5pm October 27, 2008) 60-Day Meeting (applicant only); opposition letter(s) due. (January 24, 2009) 90th Day (opposition meeting, applicant can attend, opposing party must provide written copy of argument) (February 23, 2009) 110th Day (applicant provides amended information; applicant provides response to opposition) (March 15, 2009) Batching Notice issued 30 days before Letter of Intent Due Letter of Intent received by Department 30 days before application is submitted Applications submitted; deemed complete; review cycle begins 60-Day meeting (applicant only); deadline for receipt of opposition letter(s) 75th day applicant provides additional information 90th day Opposition Meeting(s) scheduled; applicant can be in attendance; opposing parties must provide written statement of opposition arguments presented (original and one copy to the Department and one copy to the applicant); presentation time will be limited; Department reserves right to make additional inquiries subsequent to 60-day meeting and following opposition meeting. 100th day Last day for letters of support to be submitted to the Department 110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposition due to Department; applicant deadline for providing written response to Department's inquiries subsequent to opposition meeting 120th day Decision issued (No discretion to extend) 28 NON-BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW ACTIVITIES Letter of Intent Application deemed complete (review cycle begins) 75th Day (applicant provides additional information) 100th Day (last day for letters of support to be submitted to Department) 120th Day (Department Issues decision) Application submitted (10 days to review for completeness) 60-Day Meeting (applicant only); deadline for receipt of opposition letter(s) 90th Day (opposition meeting(s) scheduled; applicant can attend, opposing parties must provide written copy of argument) 110th Day (applicant provides amended information; applicant provides response to opposition) 150th Day (project can be extended) Letter of Intent received by Department 30 days before application is submitted Application submitted (10 working days to review for completeness) Application deemed complete; 120-day review cycle begins 60-day meeting (applicant only); deadline for receipt of opposition letter(s) 75th day applicant provides additional information 90th day Opposition Meeting(s) scheduled; applicant can be in attendance; opposing parties must provide written statement of opposition arguments presented (original and one copy to the Department and one copy to the applicant); presentation time will be limited; Department reserves right to make additional inquiries subsequent to 60-day meeting and following opposition meeting. 100th day Last day for letters of support to be submitted to the Department 110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposition; applicant deadline for providing written response to Department's inquiries subsequent to opposition meeting 120th day Decision issued (Department has discretion to extend to 150th day) 29 NEW REPORTING REQUIREMENTS Beginning July 1, 2008, all facilities operating under a previously granted exemption or letter of nonreviewability as provided at O.C.G.A. 31-6-40(c)(2)(A) will be required to: Provide notice to the department by August 15, 2008, of the following: Name Ownership Location Single Specialty Services provided in the exempt facility For purposes of complying with this requirement, notice may be sent through the mail, by facsimile, or email. Information will not be accepted by telephone. Please submit this information to: Georgia Department of Community Health Division of Health Planning c/o Marsha Hopkins, Executive Director 2 Peachtree Street, NW 5th Floor Atlanta, Georgia 30303 Fax Number: 404-656-0654 E-mail address: mhopkins@dch.ga.gov These facilities will also be required to provide annual reports beginning on January 1, 2009, in accordance with the Department's annual reporting requirements for existing CON-approved facilities and services. Further reporting instructions will be provided by the Department. Noncompliance with this information request may result in a fine as authorized under O.C.G.A. 31-6-70(e)(1). LETTERS OF DETERMINATION The Department will require that a determination request be submitted for any proposed activity that may be exempt under O.C.G.A. 31-6. Such requests will be accepted only on the Department's Determination Request form with the required filing fee of $250. Note: Requests for confirmation of the exemptions for a single specialty ambulatory surgical center or a joint venture ambulatory surgical center and equipment below the threshold are considered requests for a Letter of Nonreviewability and require a $500 filing fee. GENERAL INFORMATION Many of the Department's forms are currently under revision. Look for revised forms starting July 15, 2008. Proposed new rules will be presented to the Board for adoption at the next Department of Community Health Board meeting, scheduled on Thursday, July 10, 2008. 30 CERTIFICATE OF NEED APPEAL PANEL Sworn by Governor Sonny Perdue on August 20, 2008 Ellwood "Ebb" Oakley (Chair) 1266 West Paces Ferry Rd., #157 Atlanta, GA 30327 eoakley@gsu.edu Melvin M. Goldstein 248 Roswell Street Marietta, GA 30060 goldatty@bellsouth.net William "Bill" C. Joy (Vice Chair) 5349 Rosser Road Stone Mountain, GA 30087 wcjoy@bellsouth.net 31