Certificate-of-need tracking and appeals report [Dec. 14, 2008]

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Applications Withdrawn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
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 Completeness List
*** 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
December 8, 2008 December 14, 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

2008-132 Upson Regional Medical Center

Renovation of Kitchen Dietary Services

Received: 11/17/2008

Application must be submitted on: 12/17/2008

Site: 801 West Gordon Street, Thomaston, GA 30286 (Upson County)

Estimated Cost: $4,200,000

2008-133 Salem Imaging, LLC

Establish a Diagnostic Imaging Center

Received: 11/17/2008

Application must be submitted on: 12/17/2008

Site: 1365 Rock Quarry Road, Stockbridge, GA 30294 (Henry County)

Estimated Cost: $416,500

2008-134 Emory Johns Creek Hospital

Establish a Hospital-Based Non-Special Mega Voltage Rad Therapy Svc

Received: 11/25/2008

Application must be submitted on: 12/29/2008

Site: 6325 Hospital Parkway, Johns Creek, GA 30097 (Fulton County)

Estimated Cost: $25,000,000

2008-135 MCG

Expansion of MCG Health Emergency Department

Received: 11/26/2008

Application must be submitted on: 12/29/2008

Site: 1120 15th Street, Augusta, GA 30912 (Richmond County)

Estimated Cost: $5,065,335

2008-136 Bacon County Hospital

Renovation and Expansion of Surgical Suite

Received: 12/1/2008

Application must be submitted on: 12/31/2008

Site: 302 South Wayne Street, Alma, GA 31510 (Bacon County)

Estimated Cost: $4,000,000

2008-137 Hospice House

New Inpatient Hospice Facility

Received: 12/2/2008

Application must be submitted on: 1/2/2009

Site: 6281 Peake Road, Macon, GA 31206 (Bacon County)

Estimated Cost: $5,500,000

2008-138 South Georgia Medical Center

Acquisition of a PET/CT Scanner

Received: 12/5/2008

Application must be submitted on: 1/5/2009

Site: 2501 NorthPatterson Street, Valdosta, GA 31602 (Lowndes County)

Estimated Cost: $4,479,944

2008-139 Emory Eastside Medical Center

Develop a new non-spcial Mega Voltage RadiationTherapy Services

Received: 12/8/2008

Application must be submitted on: 1/7/2009

Site: 1700 Medical Way, Snellville, GA 30078 (Gwinnett County)

Estimated Cost: $5,796,000

2008-140 Flint River Recovery Center for Children and Adolescents

A new Freestanding Pediatric Behavioral Health Facility in Albany

Received: 12/8/2008

Application must be submitted on: 1/7/2009

Site: 1939 McAdam Road, Albany, GA 31705 (Dougherty County)

Estimated Cost: $23,158,400

2

New Applications
2008-129 Coliseum Medical Centers Acquisition of a da Vinci Surgical System Filed: 12/3/2008 Site: 350 Hospital Drive, Macon, GA 31217 (Bibb County) Contact: David A. Portwood Chief Operating Officer 478-765-4100 Estimated Cost: $1,870,600
2008-130 Northside Hospital Acquisition of a da Vinci Surgical System Filed: 12/4/2008 Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County) Contact: Brian Toorek Senior Planner 404-851-6821 Estimated Cost: $2,246,000
Pending Review/Incomplete Applications
2008-091 Gwinnett Medical Center-Duluth Acquisition of a Robotic Surgery System Filed: 10/16/2008 Deemed Incomplete: 10/29/2008 Site: 3620 Howell Ferry Road, Duluth, GA 30096 (Gwinnett County) Contact: Mark M. Mullin Director, Planning 678-312-4193 Estimated Cost: $1,660,000
2008-093 Spalding Regional Medical Center Acquisition of a 64-Slice CT Scanner Filed: 11/5/2008 Deemed Incomplete: 11/20/2008 Site: 601 S. 8th Street, Griffin, GA 30224 (Spalding County) Contact: John Quinn Chief Executive Officer 770-229-6469 Estimated Cost: $1,499,715
2008-094 Doctors Hospital Outpatient Imaging Center Establish a Mobile PET Service Filed: 11/6/2008 Deemed Incomplete: 11/21/2008 Site: 3624 J. Dewey Gray Circle, Augusta, GA 30909 (Richmond County) Contact: Kenneth Wicker Chief Operating Officer 706-651-6104 Estimated Cost: $25,000
2008-095 Doctor's Hospital Expansion and Relocation of Outpatient Wound Care Services Filed: 11/14/2008 Deemed Incomplete: 11/25/2008 Site: 3651 Wheeler Road, Augusta, GA 30909 (Richmond County) Contact: Kenneth Wicker, Chief Operating Officer 706-651-6104 Estimated Cost: $7,233,029
2008-126 Lawrenceville Health Imaging Replacement of MRI and CT Scanners Filed: 11/26/2008 Deemed Incomplete: 12/12/2008 Site: 481 West Pike Street, Lawrenceville, GA 30045 (Gwinnett County) Contact: Scott W. Arant, President 404-296-5887 Estimated Cost: $1,500,000
Pending Review/Complete Applications
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 Extended Deadline: 12/27/2008
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Site: GA (Appling County) Contact: Dale Spell CEO 912-367-9841 Estimated Cost: $68,750

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

2008-072 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 Extended Deadline: 1/10/2009

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 Site:Filed: 7/11/2008 Deemed Incomplete: 7/5/2008 Deemed Complete: 8/14/2008 Trail, Stockbridge, GA 30281 (Henry County) 60th Day Deadline: 10/13/2008 Decision Deadline: 12/12/2008 Extended Deadline: 1/11/2009 Site: 217 Millard Farmer Industrial Boulevard, Newnan, GA 30263 (Coweta County) Contact: Dr Warner Ray Manager 770-994-1650 Estimated Cost: $7,076,788

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: H. Bryan Forlines, Director of Reimbursement 478-633-6966 Estimated Cost: $7,515,077

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
4

17 North Park

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 Deemed Complete: 10/1/2008 60th Day Deadline: 11/30/2008 Decision Deadline: 1/29/2009 Site: GA (Whitfield County) 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
2008-087 Gwinnett Medical Center-Duluth Establishment of Interventional Radiology Services Filed: 9/18/2008 Deemed Incomplete: 9/30/2008 60th Day Deadline: 1/9/2009 Decision Deadline: 3/10/2009 Site: 3620 Howell Ferry Road, Duluth, GA 30096 (Gwinnett County) Contact: Mark M Mullin Director Planning 678-312-4193 Estimated Cost: $1,031,223
2008-088 South Georgia Surgery Center Conversion of Physician Owned ASC to Limited Purpose ASC Filed: 9/19/2008 Deemed Complete: 10/3/2008
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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
2008-089 Emory Crawford Long Hospital Acquisition of a PET/CT Scanner Filed: 10/2/2008 Deemed Incomplete: 10/17/2008 Deemed Complete: 11/26/2008 60th Day Deadline: 1/25/2009 Decision Deadline: 3/26/2009 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 Deemed Complete: 10/21/2008 60th Day Deadline: 12/20/2008 Decision Deadline: 2/18/2009 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek Senior Planner 404-851-6821 Estimated Cost: $16,959,940
2008-092 Northside Hospital Renovation of North Tower Filed: 10/31/2008 Deemed Complete: 11/14/2008 60th Day Deadline: 1/13/2009 Decision Deadline: 3/14/2009 Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County) Contact: Brian Toporek Senior Planner 404-851-6821 Estimated Cost: $14,000,000
2008-096 The Atlanta Aesthetic Surgery Center, LLC Convert Ambulatory Surgery Center to General Surgery-Batching Filed: 11/24/2008 Deemed Complete: 11/24/2008 60th Day Deadline: 1/23/2009 Decision Deadline: 3/24/2009 Site: 4200 Northside Parkway, Building 8, Atlanta, GA 30327 (Fulton County) Contact: Everette B. Jenkins 678-625-4720 Estimated Cost: $6,000
2008-097 V.O.A Ambulatory Surgery Center, Inc. Conversion To Limited Purpose Ambulatory Surgery Ctr-Batching Filed: 11/24/2008 Deemed Complete: 11/24/2008 60th Day Deadline: 1/23/2009 Decision Deadline: 3/24/2009 Site: 3527B North Valdosta Road, Valdosta, GA 31602 (Lowndes County) Contact: Gayle R. Evans Consultant 770-794-4944 Estimated Cost: $5,000
2008-099 Piedmont Hospital Expansion of Neonatal Intermediate Care Services-Batching Filed: 11/24/2008 Deemed Complete: 11/24/2008 60th Day Deadline: 1/23/2009 Decision Deadline: 3/24/2009 Site: 1968 Peachtree Street NW, Atlanta, GA 30309 (Fulton County)
Contact: Davis Dunbar Manager Regulatory Affairs 404-788-3638 Estimated Cost: $2,200,000
2008-101 Phoebe Putney Memorial Hospital Expansion of Neonatal Intermediate Services-Batching
6

Filed: 11/24/2008 Deemed Complete: 11/24/2008 60th Day Deadline: 1/23/2009 Site: 417 Third Avenue, Albany, GA 31701 (Dougherty County) Contact: Lori Jenkins Manager of Planning 229-312-1000 Estimated Cost: $4,000,000
2008-104 Phoebe Putney Memorial Hospital Expansion of Neonatal Intensive Care Services-Batching Filed: 11/24/2008 Deemed Complete: 11/24/2008 60th Day Deadline: 1/23/2009 Decision Deadline: 3/24/2009 Site: 417 Third Avenue, Albany, GA 31701 (Dougherty County) Contact: Lori Jenkins Manager of Planning 229-312-1000 Estimated Cost: $1,000,000
2008-125 Emory Crawford Long Hospital Acquisition of the da Vinci Surgical System Filed: 11/26/2008 Deemed Complete: 12/12/2008 60th Day Deadline: 2/10/2009 Decision Deadline: 4/11/2009 Site: 550 Peachtree Street, Atlanta, GA 30308 (Fulton County) Contact: Toni Wimby 404-686-2450 Estimated Cost: $1,770,000
2008-127 Griffin Imaging Replacement of CON-exempt MRI Unit Filed: 11/26/2008 Deemed Complete: 12/11/2008 60th Day Deadline: 2/9/2009 Decision Deadline: 4/10/2009 Site: 681 South 9th Street Suite B, Griffin, GA 30224 (Spalding County) Contact: Joseph A. Paul, President 561-744-9122 Estimated Cost: $2,000,000
Pending Review/Complete/Joined Applications
2008-102 Piedmont Hospital Expansion of Neonatal Intensive Care Services (Joined 103) Batching Filed: 11/24/2008 Deemed Complete: 11/24/2008 Joined: 11/24/2008 60th Day Deadline: 1/23/2009 Decision Deadline: 3/24/2009 Site: 1968 Peachtree Road NW, Atlanta, GA 30309 (Fulton County) Contact: Davis Dunbar Manager, Regulatory Affairs 404-788-3638 Estimated Cost: $2,749,000
2008-103 Emory Crawford Long Hospital Expansion of Neonatal Intensive Care Services- (Joined 102) Batching Filed: 11/24/2008 Deemed Complete: 11/24/2008 Joined: 11/24/2008 60th Day Deadline: 1/23/2009 Decision Deadline: 3/24/2009 Site: 550 Peachtree Street NE, Atlanta, GA 30308 (Fulton County) Contact: Toni Wimby Associate Administrator 404-686-2450 Estimated Cost: $1,100,000
2008-106 Peoples Home Health Establish New HH Care Agency SSDR 2 (Joined 107, 115-116,119) Batching Filed: 11/24/2008 Deemed Complete: 11/24/2008 Joined: 11/24/2008 60th Day Deadline: 1/23/2009 Decision Deadline: 3/24/2009 Site: GA (Hall County) Contact: Everette Jenkins 678-625-4720 Estimated Cost: $0
7

2008-107 Interim Healthcare of NE Georgia Establish New HH Care Agency SSDR 2 (Joined 106,115-116, 119) Batching Filed: 11/24/2008 Deemed Complete: 11/24/2008 Joined: 11/24/2008 60th Day Deadline: 1/23/2009 Decision Deadline: 3/24/2009 Site: 1062 Thompson Bridge Road Suite B7, Gainesville, GA 30501 (Hall County) Contact: Lacy A. Kenny Owner/Administrator 770-534-0083 Estimated Cost: $0
2008-115 Voyager Home Health Establish a New HH Agency SSDR 2 (Joined 106-107, 116, 119) Batching Filed: 11/24/2008 Deemed Complete: 11/24/2008 Joined: 11/24/2008 60th Day Deadline: 1/23/2009 Decision Deadline: 3/24/2009 Site: GA (Banks County) Contact: Michael Britain Consultant 404-847-0100 Estimated Cost: $100,000
2008-116 SunCrest Home Health Establish new HH Care Agency SSDR 2 (Joined 106-107, 115, 119) Batching Filed: 11/24/2008 Deemed Complete: 11/24/2008 Joined: 11/24/2008 60th Day Deadline: 1/23/2009 Decision Deadline: 3/24/2009 Site: 520 West Atlanta Street, Marietta, GA 30060 (Banks County) Contact: Barbara L. Rasmussen, President 770-331-8719 Estimated Cost: $0
2008-119 Georgia Home Health Care Establish New HH Care Agency SSDR 2 (Joined 106-107,115-116) Batching Filed: 11/24/2008 Deemed Complete: 11/24/2008 Joined: 11/24/2008 60th Day Deadline: 1/23/2009 Decision Deadline: 3/24/2009 Site: 4978 Highway 1 South, Lyons, GA 30436 (Banks County) Contact: William Abbott 912-293-5714 Estimated Cost: $20,340
2008-123 Three Rivers Home Health Services-Treutlen Expansion of Home Health Care Agency SSDR 9 (Joined 124) Batching Filed: 11/24/2008 Deemed Complete: 11/24/2008 Joined: 11/24/2008 60th Day Deadline: 1/23/2009 Decision Deadline: 3/24/2009 Site: 106 Second Street, Soperton, GA 30303 (Candler County) Contact: Victor Moldovan 404-477-2019 Estimated Cost: $0
2008-124 SJC Home Health Services Expansion of Home Health Care Agency SSDR 9 (Joined 123) Batching Filed: 11/24/2008 Deemed Complete: 11/24/2008 Joined: 11/24/2008 60th Day Deadline: 1/23/2009 Decision Deadline: 3/24/2009 Site: 401 N. Main Street, Hinesville (Liberty County) Contact: Peter M. Schenk 912-691-9074 Estimated Cost: $0
Recently Approved Applications
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
8

Decision Deadline: 11/10/2008 Extended Deadline: 12/10/2008 APPROVED: 11/25/2008 Site: 1703 Meadows Lane, Vidalia, GA 30474 (Toombs County) Contact: Howard Holman Vice President 912-538-5889 Estimated Cost: $3,515,000

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 APPROVED: 12/2/2008 Site: GA (DeKalb County) Contact: Donald Fears Director of Strategic 404-501-5790 Estimated Cost: $3,719,331

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 APPROVED: 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

2008-076 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 APPROVED: 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 APPROVED: 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

2008-079 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 APPROVED: 11/26/2008 Site: GA (Wilkes County) Contact: Marvin Goldman CEO 706-678-9212 Estimated Cost: $13,409,807

Deemed Complete: 8/20/2008

Recently Denied Applications
none

9

Applications Withdrawn
none

Expired Letters of Intent

2008-098 Northside Alpharetta Ambulatory Surgery Center

To Develop a Multi-Specialty Ambulatory Surgery Center-Batching

Received: 10/25/2008

Application must be submitted on: 11/24/2008

Site: 3400-A Old Milton Parkway, Alpharetta, GA 30005 (Fulton County)

Estimated Cost: $4,000,000

2008-105 Lifeguide Health Services

Establish a New Home Health Care Agency SSDR 2 Batching

Received: 10/25/2008

Application must be submitted on: 11/24/2008

Site: 519 Forest Parkway Suite 270, Forest Park, GA 30297 (Banks County)

Estimated Cost: $50,000

2008-109 Healthfield Home Health of Atlanta

Expansion of Home Health Care Agency SSDR 2 Batching

Received: 10/25/2008

Application must be submitted on: 11/24/2008

Site: 2080 Ronald Reagan Boulevard, Suite 500, Cumming, GA 30041 (Forsyth County)

Estimated Cost: $0

2008-111 Divine Link Healthcare Services

Establish a New Home Health Care Agency SSDR 2 Batching

Received: 10/25/2008

Application must be submitted on: 11/24/2008

Site: 2759 Delk Road Suite 2500, Marietta, GA 30067 (Banks County)

Estimated Cost: $0

2008-112 Unique Healthcare Solutions, Inc. Establish a New Home Health Care Agency SSDR 2 Batching
Received: 10/25/2008 Application must be submitted on: 11/24/2008 Site: 3951 Pleasantdale Road, Suite 204, Doraville, GA 30340 (Hall County) Estimated Cost: $0

2008-114 Premier Management Company

Establish a New Home Health Care Agency SSDR 2 Batching

Received: 10/25/2008

Application must be submitted on: 11/24/2008

Site: 1603 Hamill Road, Hixson, TN 37343 (Banks County)

Estimated Cost: $0

2008-117 Nightingale Medicare, Inc

Establish a New Home Health Care Agency SSDR 2 Batching

Received: 10/25/2008

Application must be submitted on: 11/24/2008

Site: 3399 Peachtree road Suite 2050, GA 30326 (Banks County)

Estimated Cost: $0

2008-118 The Emma Health Care, LLC

Establish a New Home Health Care Agency SSDR 2 Batching

Received: 10/25/2008

Application must be submitted on: 11/24/2008

Site: 3020 Landington Drive, Austell, GA 30106 (Banks County)

Estimated Cost: $0

2008-120 Custom Healthcare Services

Establish a New Home Health Care Agency SSDR 2 Batching

Received: 10/25/2008

Application must be submitted on: 11/24/2008

Site: 3700 Brainerd Road Suite C, Chattanooga, TN 37411 (Banks County)

Estimated Cost: $0

10

2008-121 Visiting Nurse Health System

Expansion of Home Health Care Agency SSDR 2 Batching

Received: 10/25/2008

Application must be submitted on: 11/24/2008

Site: 1244 Park Vista Drive NE, Atlanta, GA 30319 (Banks County)

Estimated Cost: $0

2008-128 Analia Home Health Care Services

Establish a New Home Health Care Agency Batching

Received: 10/25/2008

Application must be submitted on: 11/24/2008

Site: 145 River Watch Drive, Covington, GA 30014 (Hall County)

Estimated Cost: $0

2008-131 Georgia Metropolitan Home Care Services Establish a New Home Health Care Agency SSDR 2 Batching Received: 10/27/2008 Application must be submitted on: 11/24/2008 Site: 3912 Suwanee Mill Drive, Buford, GA 30512 (Forsyth County) Estimated Cost: $0

2008-100 Northeast Georgia Medical Center

Expansion of Neonatal Intermediate Services-Batching

Received: 10/25/2008

Application must be submitted on: 11/24/2008

Site: 743 Spring Street, NE, Gainesville, GA 30501 (Hall County)

Estimated Cost: $1,000,000

Appealed CON Projects
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
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Appealed By: Anchor Hospital of Atlanta, 8/10/2007; Peachford Behavorial Health of Atlanta, 8/10/2007. 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. Hearing scheduled for 12/9-11/2008, 2pm, 5th floor.
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
2007-094 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
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: N/A: Final Order, 11/14/2008, Southern Regional Medical Center's appeal is moot.
12

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: N/A: Final Order, 11/7/2008, Northside Hospital's and Northside Cardiac Diagnostics' appeal is moot.
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 held 10/22 10/23, 2008 Hearing Officer Decision: Pending
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
2008-042 MCG Medical Associates Ambulatory Care Center (Columbia) Proposed New ASC with CT Agency Decision: Approved, 9/19/2008 Appealed By: University Health Services, Inc., 10/20/2008; Doctors Hospital Surgery Center, L.P. d/b/a Evans Surgery Center, 10/15/2008 Hearing Officer: TBD Hearing Date: TBD
2008-051 Candler Hospital (Chatham) Acquisition of a Fixed PET/CT Scanner Agency Decision: Approved, 10/1/2008 Appealed By: PET Imaging Center of Savannah, LLC d/b/a Trident PET/CT of Savannah, 10/28/2008 Hearing Officer: TBD Hearing Date: TBD
2008-059 UHS of Crescent Pines d/b/a Crescent Pines Hospital (Henry) Develop a 50-bed Acute Inpatient Psychiatric and Substance Abuse Hosp. Agency Decision: Approved, 10/24/2008 Appealed By: Riverwoods Behavioral Health System, 11/18/2008. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: TBD
13

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-ASC2008018 Gastro Specialists Endoscopy Center, LLC

Single-Specialty Physician Owned Ambulatory Surgery Center

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: Approved

Determination

12/2/2008

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: Approved

Determination

12/2/2008

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: Approved

Determination

11/21/2008

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: Approved

Determination

11/18/2008

LNR-ASC2008023 Chattahoochee Plastic Surgery Physician-Owned Single Specialty Ambulatory Surgery Center Site: 2430 Brookstone Centre Parkway, Columbus, Georgia 31904
14

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

LNR-ASC2008025 CPM Surgery Center 2

Physician Owned Pain Management Surgery Center

Site: 110 Evans Mill Drive, Suite 802, Dallas, Georgia 30157

Number of OR's: 1

Specialty: pain management

Project costs as submitted: $480,499.07

Request received: 11/10/2008

Contact Person: Robin Betty 404-725-8786

Determination: Pending

LNR-ASC2008026 Georgia Pain Center

Physician Owned Single Specialty Office Based ASC

Site: 400 Tower Road Suite 350, Marietta, Georgia 30060

Number of OR's: 2

Specialty: pain management

Project costs as submitted: $643,745.00

Request received: 11/12/2008

Contact Person: J.Tyler Taylor 770-590-1078

Determination: Pending

LNR-ASC2008027 Gastrointestinal Specialist PC d/b/a Digestive Health Endoscopy

Physician Owned single Specialty Office-Based ASC

Site: 302 Point North Place, Suite 2, Dalton, Georgia

Number of OR's: 2

Specialty: gastroenterology

Project costs as submitted: $1,409,277.00

Request received: 11/13/2008

Contact Person: Edward C. Luke,Jr 770-951-8427

Determination: Pending

LNR-ASC2008028 Atlanta Aesthetic Surgery Center

Limited-Purpose Physician Owned Single Specialty

Site: 4200 Northside Parkway, Building 8, Atlanta, Georgia 30327

Number of OR's:

Specialty:

Project costs as submitted: $0.00

Request received: 11/13/2008

Contact Person: Everette Jenkins 678-625-4721

Determination: Pending

LNR-ASC2008029 CPM Surgery Center 3

Physician Owned Single Specialty Pain Management ASC

Site: 3400 Chapel Hill road Douglasville Georgia 30135

Number of OR's: 1

Specialty: pain management

Project costs as submitted: $452,111.23

Request received: 11/14/2008

Contact Person: Robin Beatty 770-516-1775

Determination: Pending

LNR-ASC2008030 Pain Care of Georgia, LLC Physician Owned Single Specialty Office Based ASC
15

Site: 1365 Rock Quarry Road Suite 301, Stockbridge, Georgia

Number of OR's: 2

Specialty: Pain Management

Project costs as submitted: $714,185.00

Request received: 11/21/208

Contact Person: Edward Luke Jr. 770-951-8427

Determination: Pending

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-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-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: Approved

Determination Date: 11/20/2008

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

16

Determination: Approved

Determination Date: 12/4/2008

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

LNR-EQT2008031 Center for Primary Care Acquisition of a Ct Scanner Request received: 10/17/2008 Contact Person: James C. Larson 706-922-8285 Determination: Pending

LNR-EQT2008032 Spalding Regional Medical Center Acquisition of Digital Mammography System Request received: 11/4/2008 Contact Person: Chris Locke 770-229-6946 Determination: Pending

LNR-EQT2008033 Macon Orthopaedic and Hand Center, P.A. Magnetic Resonance Imaging Services Request received: 11/5/2008 Contact Person: Bill Lindsey, Administrator 478-745-4206 Determination: Pending

LNR-EQT2008034 Hamilton Medical Center Acquisition of Fixed CT Scanner Request received: 11/12/2008 Contact Person: Corey Roy 706-272-6529 Determination: Pending

LNR-EQT2008035 The Columbus Clinic, P.C. Acquisition of fixed MRI Request received: 11/17/2008 Contact Person: Corbit Gables 706-660-2144 Determination: Pending

LNR-EQT2008036 Gastroenterology Associates of Central Georgia , LLC Acquisition of a Fixed CT Scanner Request received: 11/19/2008 Contact Person: Sarah Gilbert 478-464-2600 Determination: Pending

LNR-EQT2008037 Albany Bone & Joint Clinic PC dba Orthopedic Associates Acquisition of a Fixed MRI Request received: 11/19/2008 Contact Person: Cheryl Boyles 229-883-4707 Determination: Pending

LNR-EQT2008038 Carnmore, LLC MRI Fixed Request received: 10/24/2008 Contact Person: Randall O'Brien, MC Determination: Pending

912-287-1231

LNR-EQT2008039 North American Imaging of Buford, LLC Single Group physician Practice Private Office Request received: 12/2/2008 Contact Person: Joe C. Rude III M.D. 770-779-2169 Determination: Pending

17

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
DET2008067 Craniospinal Institute of Georgia Acquisition of a C-Arm Request received: 8/21/2008 Contact Person: Vernon Spellman 770-425-2167 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: Non-reviewable as proposed Determination Date: 11/14/2008
DET2008078 DOC-MOB, LLC Construction of Medical Office Building Request received: 9/8/2008 Contact Person: Frank Mullins 704-206-8300 Determination: Non-reviewable as proposed Determination Date: 11/17/2008
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: Non-reviewable as proposed Determination Date: 11/19/2008
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: Non-reviewable as proposed Determination Date: 11/19/2008
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: Non-reviewable as proposed Determination Date: 11/19/2008
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
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: Non-reviewable as proposed Determination Date: 11/19/2008
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: Non-reviewable as proposed Determination Date: 11/19/2008
18

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: Non-reviewable as proposed Determination Date: 12/5/2008
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: Non-reviewable as proposed Determination Date: 12/10/2008
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: Non-reviewable as proposed Determination Date: 12/12/2008
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: Non-reviewable as proposed Determination Date: 12/12/2008
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 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
19

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

DET2008101 Gwinnett Medical Center Replace of Magnetic Resonance Imaging Unit Request received: 10/24/2008 Contact Person: Mark M. Mullin (678) 312-4193 Determination: Pending

DET2008102 Cedar Plantation Assisted Living & Alzheimer's Community Increase in occupany from 24 to 36 Request received: 10/24/2008 Contact Person: Nina See-Quick 912-685-4700 Determination: Pending

DET2008103 The Surgery Center, LLC Relocate NovaMed Surgery Center Request received: 10/24/2008 Contact Person: Sharon Johnson 706-323-8803 Determination: Pending

DET2008104 Hamilton Medical Center Infusion Center Renovation Request received: 10/29/2008 Contact Person: Corey Roy 706-272-6529 Determination: Non-reviewable as proposed

Determination Date: 12/1/2008

DET2008105 Georgia Regional Hospital at Atlanta Decertification of ICF/MR Beds Request received: 10/29/2008 Contact Person: Susan Trueblood 404-243-2110 Determination: Pending

DET2008106 Sheridan Senior Living Addition of Beds in a Personal Care Home Request received: 10/30/2008 Contact Person: Mike Pochowski 414-918-5446 Determination: Pending

DET2008107 St. Mary's Highland Hills, Inc. Personal Care Home Expansion Request received: 11/4/2008 Contact Person: Karen Schuller 706-389-3942
20

Determination: Pending
DET2008108 Adventist Health System Georgia d/b/a Gordon Hospital Relocation and Expansion of Laboratory Department Request received: 11/7/2008 Contact Person: Sam Huenergardt 706-602-7800 Determination: Pending
DET2008109 Tifton County Hospital Authority Renovation of Emergency Room Request received: 11/17/2008 Contact Person: Sarah Thompson 229-353-6102 Determination: Pending
DET2008110 Gwinnett Medical Center Replacement of Fluoroscopy Units Request received: 11/21/2008 Contact Person: Mark M. Mullins 678-312-4193 Determination: Pending
DET2008111 Historic LifePoint Hospital, Inc. Acquisition of Rockdale Medical Center Request received: 11/21/2008 Contact Person: Carol Hendry 615-565-1833 Determination: Pending
DET2008112 Southeast Georgia Health System Renovation of Nursing Home Request received: 12/9/2008 Contact Person: Majorie Mathieu 912-466-7055 Determination: Pending
DET2008113 Monroe Nursing Home, Inc. d/b/a Park Place Nursing Facility Acquisition and relocation of nursing facility within county Request received: 11/24/2008 Contact Person: Gary W. Long 770-267-1791 Determination: Pending
DET2008114 Singh Development, LLC New Non-Medicaid Personal Care Home Request received: 12/1/2008 Contact Person: Robert Raymond 248-865-1024 Determination: Pending
DET2008115 Hutcheson Medical Center, Inc. Replacement of existing diagnostic cardiac catheterization lab Request received: 12/10/2008 Contact Person: Gerald Faircloth 706-858-2128 Determination: Pending
DET2008116 Southern Regional Health System d/b/a Southern Regional Medical Center To continue therapeutic cardiac catherizations Request received: 12/12/2008 Contact Person: Determination: Pending
Requests for Extended Implementation/Performance Period
2006-148 The Hospital Authority of Habersham County d/b/a Habersham County Medical Center Expand, Renovate and Upgrade Several Departments Request to extend Effective Period
21

Site: 541 Historic Highway 441 North, Demorest (Habersham)

Project Approved: 3/20/2007

Request Received: 10/23/2008

Contact: James Peterson, Sr. VP, Finance (706)-499-6914

Approved Cost: $38,592,602

Determination: Approved, 11/21/2008

Extended Effective Period: 7/1/2009

2004-077 Kings Bay Community Hospital d/b/a Southeast Georgia Health System Camden Expansion and Renovation of Acute Care Facility Request to extend Effective Period Site: 2000 Dan Proctor Drive, St. Marys (Camden) Project Approved: 12/1/2004 Request Received: 11/3/2008 Contact: Howard Sepp, Jr., VP/Administrator (912)-576-6401 Approved Cost: $29,415,517 Determination: Denied, 11/25/2008

2006-124 CareSouth HHA Holdings of Columbus, LLC d/b/a CareSouth Homecare Professionals Establish New Home Health Agency SSDR 6 Request to extend Implementation Period Site: Walton Way (Houston) Project Approved: 12/10/2007 Request Received: 11/6/2008 Contact: Kelly Tripp, General Counsel (706)-855-5533 Approved Cost: $55,500 Determination: Approved, 11/20/2008

2006-079 Peachtree Hills Place, LLC d/b/a Peachtree Hills Place

Development of Continuing Care Retirement Community (CCRC)

Request to extend Implementation Period

Site: 12 Kings Circle, Atlanta, (Fulton)

Project Approved: 1/4/2007

Request Received: 11/7/2008

Contact: Kevin W. Isakson, Manager (404)-467-4900

Approved Cost: $18,259,750

Determination: Approved, 11/17/2008

Extended Implementation Period: 1/4/2010

2007-024 Solomon Holdings III- Dogwood Four, LLC- Dogwood Forest of Gainesville

Expansion of Personal Care Home Adding 20-Beds

Request to extend Effective Period

Site: 3315 Thompson Bridge Road, Gainesville (Hall)

Project Approved: 8/17/2007

Request Received: 11/13/2008

Contact: Alfred S. Holbrook, III, Chairman (678)-566-0034

Approved Cost: $1,626,000

Determination: Approved, 11/17/2008

Extended Effective Period: 9/17/2009

2007-023 Senior Health of Georgia, Inc. d/b/a Summit Hospital

Construction of a 50-Bed Adult and Geriatric Psych Hospital

Request to extend Implementation Period

Site: 1775 East Highway 34, Newnan (Coweta)

Project Approved: 7/25/2007

Request Received: 11/13/2008

Contact: Richard Algood, VP (615)-321-5577

Approved Cost: $10,865,767

Determination: Approved, 12/12/2008

Extended Implementation Period: 7/24/2009

2007-086 DBHG Enterprises, LLC d/b/a DeKalb Hyperbaric Medicine Construction of New Facility Utilizing Hyperbaric Oxygen Therapy Request to extend Effective Period Site: 5700 Hillandale Drive, Bldg 200, Lithonia (DeKalb)
22

Project Approved: 1/28/2008 Request Received: 12/1/2008 Contact: Helen B. Gelly, MD Member (770)-422-0577 Approved Cost: $2,002,178 Determination: Pending

2007-038 Southern Health Corporation of Ellijay, Inc. d/b/a North Georgia Medical Center

To Replace Existing Facility

Request to extend Implementation Period

Site: 1362 South Main Street, Ellijay (Gilmer)

Project Approved: 7/23/2007

Request Received: 12/10/2008

Contact: Jeffrey Dunn, CEO, (706)-276-4741

Approved Cost: $33,877,400

Determination: Approved, 12/12/2008

Extended Implementation Period: 1/23/2010

2007-026 Fayette Community Hospital d/b/a Piedmont Fayette Hospital Expansion of ICU & Acute Care Beds Request to extend Effective Period Site: 1255 Highway 54 West, Fayetteville (Fayette) Project Approved: 6/15/2007 Request Received: 12/12/2008 Contact: Michael Burnett, Vice-President (770)-719-7171 Approved Cost: $20,914,900 Determination: Pending

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 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

23

Non-Filed or Incomplete Division of Health Planning
Facility Surveys for Most Recent 3 Years (Survey Status as of December 14, 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 2008)

Albany Health Care, Inc.

Dougherty

2008

Buckhead Health & Rehabilitation

Fulton

2007

Carl Vinson Skilled Nursing Home

Laurens

2008

Central State - Craig Nursing Center

Baldwin

2008

Forum Group at Moran Lake Nursing and Rehabiliation Center, LLC Forum Group at Mount Berry Nursing & Rehabilitation Center, LLC Forum Group at Wildwood Park Nursing & Rehabilitation Center, LLC Georgia Regional Atlanta ICF/MR

Floyd Floyd Glynn DeKalb

2007 2007 2007 2008

Golden Living Center - Thomaston

Upson

2008

Goodwill Nursing Home

Bibb

2008

Hart Care Center

Hart

2008

Hutcheson Medical Center Laurel Baye Healthcare of Lake Lanier

Catoosa Gwinnett

2008 2008

Magnolia Manor of Columbus Nursing Center - East

Muscogee

2008

Magnolia Manor of Columbus Nursing Center - West

Muscogee

2008

Manor Care Rehabilitation Center - Marietta

Cobb

2008

McRae Manor Nursing Home

Telfair

2008

Meadowbrook Health Care

DeKalb

2008

Medical Management Health & Rehab Center, LLC

Bibb

2008

Morgan Memorial Hospital TCU

Morgan

2008

24

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
10/31/2008 8/15/2007
10/31/2008 10/31/2008
8/15/2007
8/15/2007
8/15/2007
10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008

Northwest Georgia Regional Hospital ICF/MR Place at Martinez Place at Pooler Porter Field Health & Rehab Center, LLC Rosewood Nursing Center Sadie G Mays Health and Rehabilitation Center Savannah Square Health Center South Fulton Medical Center Skilled Nursing Facility SunBridge Care & Rehab for Folkston SunBridge Care & Rehabilitation for Atlanta SunBridge Care & Rehabilitation for Riverdale Tanner Medical Center Subacute Care Unit Tara at Thunderbolt Nursing & Rehabilitation Center Warner Robins Rehabilitation Center

Floyd Richmond Chatham Bibb Bibb Fulton Chatham Fulton Charlton Fulton Clayton Carroll Chatham Houston

2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008

Cardiac Catheterization Services Survey (Survey Years 2004 thru 2007)

Colquitt Regional Medical Center

Colquitt

2005

Gwinnett Medical Center

Gwinnett

2007

Saint Mary's Hospital

Clarke

2007

Sumter Regional Hospital East

Sumter

2007

Sumter Regional Hospital, Inc.

Sumter

2006

WellStar Cobb Hospital

Cobb

2007

WellStar Kennestone Hospital

Cobb

2007

Freestanding Ambulatory Surgery Services Survey ( Survey Years 2004 thru 2007)

Affinity Outpatient Service

Tift

2007

Atlanta Center for Reconstructive Foot and Ankle Surgery Atlanta Center for Reconstructive Foot and Ankle Surgery Atlanta Eye Surgery Center

Fulton Fulton Fulton

2005 2006 2005

Atlanta Eye Surgery Center

Fulton

2006

Atlanta Eye Surgery Center at Omni West

Fulton

2007

Atlanta Surgicenter

Fulton

2006

Atlanta Surgicenter

Fulton

2007

Atlanta Women's Medical Center

Fulton

2005

Atlanta Women's Medical Center

Fulton

2006

Atlanta Women's Medical Center Columbus Women's Health Organization, Inc.

Fulton Muscogee

2007 2005

Columbus Women's Health Organization, Inc.

Muscogee

2006

Columbus Women's Health Organization, Inc.

Muscogee

2007

North Atlanta Endoscopy Center

Fulton

2006

North Atlanta Orthopaedic Surgery Center, LLC

Fulton

2006

Northside Women's Clinic

DeKalb

2005

Northwoods Surgery Center, LLC

Forsyth

2006

Northwoods Surgery Center, LLC

Forsyth

2007

Novamed Eye Services of Columbus

Muscogee

2005

Premier Surgery Center

Glynn

2005

Premier Surgery Center

Glynn

2006

Savannah Medical Clinic

Chatham

2005

Savannah Medical Clinic

Chatham

2006

Savannah Medical Clinic

Chatham

2007

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 Outpatient Foot and Ankle Surgery Center,

Chatham Chatham Chatham Chatham

2005 2006 2007 2007

25

10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008 10/31/2008
6/9/2006 10/3/2008 10/3/2008 10/3/2008 4/13/2007 10/3/2008 10/3/2008
10/3/2008 7/28/2006
4/13/2007
7/28/2006 4/13/2007 10/3/2008 4/13/2007 10/3/2008 7/28/2006 4/13/2007 10/3/2008 7/28/2006 4/13/2007 10/3/2008 4/13/2007 4/13/2007 7/28/2006 4/13/2007 10/3/2008 7/28/2006 7/28/2006 4/13/2007 7/28/2006 4/13/2007 10/3/2008 7/28/2006
4/13/2007
10/3/2008
10/3/2008

LLC Savannah Plastic Surgicenter, Inc. Summerville Surgical Center Surgical Centers of Georgia Surgical Centers of Georgia

Chatham Richmond Bibb Bibb

2006 2007 2006 2007

Home Health Agency Survey (Survey Years 2004 thru 2007)

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Careone Home Health Services - Savannah

Chatham

CareOne Home Health Services, Inc. - Waycross

Ware

Careone Home Health Services, Inc. (Toombs)

Toombs

Careone Home Health Services, Inc.- Tifton

Tift

Chattahoochee Valley Home Health,

Muscogee

Community Home Health

Cherokee

Gentiva Health Services - Atlanta

Fulton

Gentiva Health Services - Savannah

Chatham

Gordon Home Care

Gordon

Gordon Home Care

Gordon

Healthfield Home Health of Atlanta

DeKalb

Healthfield Home Health of Griffin

Spalding

Healthfield Home Health, Inc.

Fulton

Intrepid USA Healthcare Services

Lowndes

Memorial Home Health

Cook

Muscogee Home Health Agency Ogeechee Home Health

Muscogee Bulloch

Southside Healthcare Home Health

DeKalb

Staff Builders Home Health

Fulton

Trinity Home Health

Richmond

Ultra Care of Georgia

Muscogee

WellStar Home Health - Cobb

Cobb

2005 2006 2007 2007 2007 2007 2007 2007 2007 2007 2007 2006 2007 2007 2007 2007 2007 2007 2007 2007 2006 2007 2007 2007 2007

Hospital Financial Survey (Survey Years 2004 thru 2006)

Charlton Memorial Hospital

Charlton

Flint River Community Hospital

Macon

Gordon Hospital

Gordon

Hutcheson Medical Center

Catoosa

Inner Harbour Hospital

Douglas

Kindred Hospital-Atlanta

Fulton

Liberty Regional Medical Center

Liberty

McDuffie Regional Medical Center

McDuffie

Minnie G. Boswell Memorial Hospital

Greene

Morgan Memorial Hospital

Morgan

Mountain Lakes Medical Center

Rabun

Select Specialty Hospital of Augusta

Richmond

Southwest Hospital & Medical Center

Fulton

Tattnall Community Hospital

Tattnall

Taylor Telfair Regional Hospital

Telfair

Trinity Hospital of Augusta

Richmond

Wildwood Lifestyle Center & Hospital

Dade

Willingway Hospital

Bulloch

2006 2006 2006 2006 2004 2006 2006 2006 2006 2006 2005 2006 2004 2006 2006 2006 2006 2006

Open Heart Surgery Services Survey (Survey Years 2004 thru 2007)

Saint Francis Hospital

Muscogee

2007

WellStar Kennestone Hospital

Cobb

2007

26

4/13/2007 10/3/2008 4/13/2007 10/3/2008
7/7/2006 4/13/2007 10/10/2008 10/10/2008 10/10/2008 10/10/2008 10/10/2008 10/10/2008 10/10/2008 10/10/2008 10/10/2008 4/13/2007 10/10/2008 10/10/2008 10/10/2008 10/10/2008 10/10/2008 10/10/2008 10/10/2008 10/10/2008 4/13/2007 10/10/2008 10/10/2008 10/10/2008 10/10/2008
3/14/2008 3/14/2008 3/14/2008 3/14/2008 5/28/2004 3/14/2008 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
10/3/2008 10/3/2008

Personal Care Home Survey (Survey Years 2005 thru 2007)

Atria Retirement & Assisted Living, Stone Mountain

Gwinnett

Atria West Cobb

Cobb

Atria Woodstock

Cherokee

Autumn Village PCH

Butts

Campbell-Stone Personal Care Home

Fulton

Country Gardens Assisted Living PCH

Fulton

Country Gardens Assisted Living PCH

Fulton

Country Gardens Assisted Living PCH

Fulton

Country Gardens Senior Living

Gwinnett

Epoch Assisted Living of Roswell

Fulton

Reflections PCH

Cobb

Robertville Manor

Bartow

Shadow Moss Plantation Shadow Moss Plantation

Chatham Chatham

Summer's Landing

Coffee

White Oaks at Lanier PCH

Forsyth

White Oaks at Lanier PCH

Forsyth

White Oaks at Lanier PCH

Forsyth

2005 2005 2005 2007 2007 2005 2006 2007 2006 2005 2005 2005 2006 2007 2007 2005 2006 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

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 12/14/2008)
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 Gainesville Surgery Center Healthsouth Gainesville Surgery Center Surgery Center at Mt. Zion Surgery Center, LLC, The North Fulton Regional Hospital Saint Joseph's Hospital of Atlanta Amedisys d/b/a Tugaloo Home Health Agency Amedisys d/b/a Tugaloo Home Health Agency Amedisys Home Health of Covington Amedisys Home Health of Macon Amedisys Home Health of Valdosta Caresouth Homecare Professionals Caresouth Homecare Professionals Caresouth Homecare Professionals Central Home Health Health, Douglasville, an Amedisys Company Charlton Visiting Nurses Services Chattahoochee Valley Home Health, CSRA Home Health- Columbia, Inc. Englewood Health Systems, Arlington

County
Glynn Hall Hall Clayton Muscogee Fulton Fulton Franklin Franklin Newton Bibb Lowndes Hall Muscogee Elbert Douglas

Year
2006 2007 2006 2007 2007 2006 2007 2006 2007 2007 2007 2007 2007 2007 2007 2007

Shortfall Due Service
19.10 Ambulatory Surgery Center 24,547.91 Ambulatory Surgery Center 223,107.87 Ambulatory Surgery Center 16,578.32 Ambulatory Surgery Center 62,798.60 Ambulatory Surgery Center
7,724.22 Cardiac Catheterization 604,005.76 Cardiac Catheterization
24,786.58 Home Health Agency 293,916.56 Home Health Agency 191,002.48 Home Health Agency 252,446.22 Home Health Agency
67,651.32 Home Health Agency 123,172.12 Home Health Agency
45,053.65 Home Health Agency 229,156.80 Home Health Agency 585,386.49 Home Health Agency

Brantley Muscogee McDuffie Calhoun

2007 2006 2007 2007

27

16,359.40 70,792.71 31,195.10
185.36

Home Health Agency Home Health Agency Home Health Agency Home Health Agency

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 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 Guardian Home Care, LLC Healthfield Home Health of Atlanta Healthfield Home Health of Griffin Newton Medical Home Health Pediatric Services of America Southside Healthcare Home Health Staff Builders Home Health Tugaloo Home Health Agency an Amedisys United Home Care of Atlanta United Home Care of North Georgia Anchor Hospital Focus By the Sea Focus By the Sea Saint Joseph's Hospital of Atlanta

Fulton Lowndes Lowndes Lowndes Clarke Clarke Oconee Hall Hall Hall Fulton Fulton Fulton DeKalb Spalding Newton Columbia DeKalb Fulton Hall Gwinnett White Clayton Glynn Glynn Fulton

2006 2005 2006 2007 2005 2006 2007 2005 2006 2007 2005 2006 2007 2006 2006 2007 2007 2007 2006 2007 2007 2007 2006 2005 2006 2007

151,932.04 88,633.28 98,303.88 3,087.28 30,262.52 67,275.28 80,394.12 22,608.78 43,747.37 68,748.96
134,445.58 118,369.89 184,196.33
47,354.47 23,443.09 30,611.12
287.95 4,552.32 490,501.24 349,327.78 130,570.64 95,509.70 9,577.90 165,714.36 30,995.33 943,668.33

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 Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Hospital Hospital Hospital Open Heart Surgery

28

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.
29

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
30

Batching - "Completeness" List

Ambulatory Surgery

Certificate of Need Applications Deemed "Complete" for Review

CON2008096 CON2008097

November 2008 Batching Cycle Applicant and Project Number
The Atlanta Aesthetic Surgery Center, LLC V.O.A. Ambulatory Surgery Center, Inc.

Home Health

Certificate of Need Applications Deemed "Complete" for Review

November 2008 Batching Cycle

SSDR 2 Project Number and Applicant
CON2008106 Peoples Home Health

SSDR 9 Project Number and Applicant
CON2008123 Three Rivers Home Health Services- Treutlen

CON2008107 Interim Health Care

CON2008124 SJC Home Health Services

CON2008115 Voyager Home Health

CON2008116 SunCrest Home Health

SSDR 3 (Under "Exception") Project Number/Applicant

CON2008119 Georgia Home Health Care

none

Newborn, ICU/INT

Certificate of Need Applications Deemed "Complete" for Review

November 2008 Batching Cycle

CON2008099 CON2008101 CON2008102 CON2008103 CON2008104

Project Number and Applicant
Piedmont Hospital Phoebe Putney Memorial Hospital Piedmont Hospital Emory Crawford Long Hospital Phoebe Putney Memorial Hospital

31

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 24, 2008)

75th Day
(applicant provides additional information)
(February 7, 2009)

100th Day
(last day for letters of support to be submitted to
Department)
(March 4, 2009)

120th Day
(Department Issues
decision)
(March 24, 2009)

Letter of Intent
(due by 5pm October 27, 2008)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(January 23, 2009)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(February 22, 2009)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(March 14, 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)

32

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)

33

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.
34

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

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

35