Certificate-of-need tracking and appeals report [Sept. 7, 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Applications Withdrawn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
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
New CON Filing Requirements (effective July 1, 2008)
New Reporting Requirements (effective July 1, 2008)
Certificate of Need Appeal Panel

DIVISION OF HEALTH PLANNING
CERTIFICATE OF NEED
September 1, 2008 September 7, 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

2008-087 Gwinnett Medical Center-Duluth

Establishment of Interventional Radiology Services

Received: 8/19/2008

Application must be submitted on: 9/18/2008

Site: 3620 Howell Ferry Road, Duluth, GA 30096 (Gwinnett County)

Estimated Cost: $1,031,223

2008-088 South Georgia Surgery Center

Conversion of Physician Owned ASC to Limited Purpose ASC

Received: 8/20/2008

Application must be submitted on: 9/19/2008

Site: 306 Isabella Street, Waycross, GA 31501 (Ware County)

Estimated Cost: $550,000

2008-089 Emory Crawford Long Hospital

Acquisition of a PET/CT Scanner

Received: 9/2/2008

Application must be submitted on: 10/2/2008

Site: 550 Peachtree Street NE, Atlanta, GA 30308 (Fulton County)

Estimated Cost: $2,038,628

New Applications
2008-084 Phoebe Putney Memorial Hospital Acquisition of Robotic Surgery System Filed: 8/25/2008 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 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 Site: 1301 Sigman Road, Conyers, GA 30012 (Rockdale County) Contact: Deborah Armstrong Vice President Operations COO 770-918-3000 Estimated Cost: $2,298,184

Pending Review/Incomplete Applications
2008-073 Riverview Health & Rehabilitation Center Renovation and Replacement of Healthcare Facility Filed: 7/11/2008 Deemed Incomplete: 7/25/2008 Site: 6711 LaRoche Avenue, Savannah, GA 31406 (Chatham County) Contact: Richard Hollander Executive Director 912-201-7050 Estimated Cost: $45,463,922
2008-078 Medical Center of Central Georgia Relocation of Twenty-Five Acute Care Inpatient Beds Filed: 7/14/2008 Deemed Incomplete: 7/28/2008 Site: GA (Bibb County) Contact: Marvin Noles Director of Strategic Planning 478-633-6980
2

Estimated Cost: $7,515,077
2008-083 Hamilton Medical Center Acquisition of an Open MRI Scanner Filed: 8/18/2008 Deemed Incomplete: 8/28/2008 Site: GA (Whitfield County) Contact: Gary Howard Senior VP and CFO 706-226-3003 Estimated Cost: $1,695,918
Pending Review/Complete 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 Site: Intersection of Knob Hill and Washington, Evans, GA 30809 (Columbia County) Contact: Melody Thompson 706-828-6421 Estimated Cost: $34,693,165
2008-046 The Atlanta Aesthetic Surgery Center 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 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 Site: 3527-B North Valdosta Road, Valdosta, GA 31602 (Lowndes County) Contact: VOA 229-253-9336 Estimated Cost: $15,000
2008-049 Piedmont Hospital Develop Spine Center Filed: 5/6/2008 Deemed Incomplete: 5/19/2008 Deemed Complete: 6/10/2008 60th Day Deadline: 8/9/2008 Decision Deadline: 9/8/2008 Site: 2001 Peachtree Road, Atlanta, GA 30309 (Fulton County) Contact: Davis Dunbar Manager Regulatory Affairs 404-605-4565 Estimated Cost: $5,467,000
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 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
3

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 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
2008-055 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 Site: 233 Sunset Circle, Moultrie, GA 31776 (Colquitt County) Contact: Scott Shull Vice President 770-925-4788 Estimated Cost: $12,551,123
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 Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: Marvin Noles Director of Planning 478-633-6980 Estimated Cost: $6,748,607
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
2008-058 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 Site: 705 Dixie Street, Carrollton, GA 30117 (Carroll County) Contact: David Thornhill Director Medical Imaging 770-836-9292 Estimated Cost: $2,071,104
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 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
2008-060 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
4

Decision Deadline: 9/28/2008 Site: 150 West Park Drive, Athens, GA 30602 (Clarke County) Contact: Scott Shull Vice President 770-806-6820 Estimated Cost: $11,672,784
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 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 Site: South Cherokee Medical Ctr120 Stone Br, Wooodstock, GA (Cherokee County) Contact: Caroline Aultman Director of Strategic Planning 770-792-1542 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 Site: GA 30912 (Richmond County)
Contact: Sheila Oneal VP Strategic Support Philanthropy 406-721-7406 Estimated Cost: $6,303,230
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
2008-066 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 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
5

60th Day Deadline: 9/13/2008 Decision Deadline: 10/13/2008 Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County) Contact: Brian J. Toporek/ Senior Planner 404-303-3524 Estimated Cost: $3,532,923
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
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
2008-074 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
6

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 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

2008-079 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

Pending Review/Complete/Joined Applications
none

Recently Approved Applications

2008-015 Northeast Georgia Medical Center To Consolidate And Expand Its Outpatient Imaging Services Filed: 2/18/2008 Deemed Incomplete: 3/3/2008 Deemed Complete: 4/17/2008
7

60th Day Deadline: 6/16/2008 Decision Deadline: 7/16/2008 Extended Deadline: 8/15/2008 APPROVED: 8/12/2008 Site: 743 Spring Street, Gainesville, GA 30501 (Hall County) Contact: Chad Bolton Director of Planning 678-897-6630 Estimated Cost: $10,786,602
2008-030 Loganville Diagnostic Imaging Center To Develop a Freestanding Diagnostic Imaging Center Filed: 3/13/2008 Deemed Incomplete: 3/27/2008 Deemed Complete: 5/14/2008 60th Day Deadline: 7/13/2008 Decision Deadline: 8/12/2008 APPROVED: 8/12/2008 Site: Hwy 81 South, Loganville, GA 30052 (Walton County) Contact: Dustin Greene, FACHE 770-736-2224 Estimated Cost: $3,096,783
2008-035 Interventional Spine and Pain Management Ambulatory Surgical Center, LLC Conversion of a Physician Owned to a Limited Purpose ASC Filed: 3/24/2008 Deemed Incomplete: 4/7/2008 Deemed Complete: 4/29/2008 60th Day Deadline: 6/28/2008 Decision Deadline: 7/28/2008 Extended Deadline: 8/27/2008 APPROVED: 8/27/2008 Site: 1388-A Wellbrook Circle, Conyers, GA 30012 (Rockdale County) Contact: Crystal Blackwell Business Manager 770-929-9033 Estimated Cost: $1,000
2008-038 Harbin Clinic, LLC Acquisition of a Magnetic Resonance Imaging Scanner Filed: 3/31/2008 Deemed Incomplete: 4/14/2008 Deemed Complete: 4/22/2008 60th Day Deadline: 6/21/2008 Decision Deadline: 7/21/2008 Extended Deadline: 8/20/2008 APPROVED: 8/14/2008 Site: 1825 Martha Berry Boulevard, Rome, GA 30165 (Floyd County) Contact: Kenna Stock Chief Operating Officer 706-236-6347 Estimated Cost: $2,456,204
2008-044 Coliseum Medical Centers Renovate and Expand Critical Care Services Filed: 4/14/2008 Deemed Incomplete: 4/29/2008 Deemed Complete: 5/15/2008 60th Day Deadline: 7/14/2008 Decision Deadline: 8/13/2008 APPROVED: 8/13/2008 Site: 350 Hospital Drive, Macon, GA 31217 (Bibb County) Contact: David Portwood Chief Operating Officer 478-765-7000 Estimated Cost: $13,396,212
2008-048 Tanner Medical Center-Carrollton Expansion of Radiation Therapy Services Filed: 5/2/2008 Deemed Complete: 5/16/2008 60th Day Deadline: 7/15/2008 Decision Deadline: 8/14/2008 APPROVED: 8/14/2008 Site: 165 Clinic Avenue, Carrollton, GA 30117 (Carroll County) Contact: Jeff Jennings Senior vice President 770-836-9195 Estimated Cost: $5,654,304
2008-053 WellStar Kennestone Hospital Renovation of the Hospital's Surgical Services Filed: 5/22/2008 Deemed Complete: 6/6/2008 60th Day Deadline: 8/5/2008 Decision Deadline: 9/4/2008
8

APPROVED: 9/4/2008 Site: 677 Church Street, Marietta, GA 30060 (Cobb County) Contact: Caroline Aultman Director of Strategic Planning 770-792-1542 Estimated Cost: $34,901,390

Recently Denied Applications
none
Applications Withdrawn
2008-052 Cartersville Medical Center Acquisition of a Second Linear Accelerator Unit Filed: 5/20/2008 Deemed Incomplete: 6/4/2008 WITHDRAWN: 8/4/2008 Site: 960 Joe Frank Harris Parkway, Cartersville, GA 30120 (Bartow County) Contact: Tim Thompson Chief Operating Officer 770-387-8181 Estimated Cost: $4,585,791

Expired Letters of Intent

2008-082 Upson Regional Medical Center

Renovate & Replace Kitchen, Dietary Facility and Equipment

Received: 7/15/2008

Application must be submitted on: 8/14/2008

Expiration Date: 8/15/2008

Site: GA (Upson County)

Estimated Cost:

$4,000,000

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.
9

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. 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: Clifford M. Weiss, 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, nonapplicant intervenor, requested intervention in opposition to Northeast Georgia 2/7/08.
10

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, non-applicant intervenor, requested intervention in any appeal filed by Northside Forsyth 2/19/08 Hearing Officer: Sabrina Scott, 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: TBD 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: TBD Hearing Date: TBA
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: TBD 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: TBD
11

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.

Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities

LNR-ASC2008009 Northwest Endoscopy Center, LLC

Physician Owned Single Specialty Ambulatory Surgery Center

Site: 488 Kennesaw Avenue, Suite 100, Marietta, Georgia 30060

Number of OR's: 3

Specialty: gastroenterology & endoscopy

Project costs as submitted: $1,231,334.00

Request received: 4/30/2008

Contact Person: Jere Pittner 404-881-1094

Determination: Approved

Determination

8/22/2008

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-ASC2008011 Georgia Urology

Physician Owned Single Specialty ASC

Site: 1501 Milstead Road, Conyers, Georgia

Number of OR's: 2

Specialty: urology

Project costs as submitted: $298,399.00

Request received: 5/14/2008

Contact Person: Jason Shelnutt 404-252-5212

Determination: Approved

Determination

8/15/2008

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: Pending

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

12

Project costs as submitted: $353,146.00 Request received: 6/10/2008 Contact Person: Jason Shelnutt 404-275-2221 Determination: Pending

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: Pending

LNR-ASC2008015 Gainesville Pain Surgery Center, LLC

Physician Owned Single Specialty Ambulatory Surgery Center

Site: 1250 Jesse Jewell Parkway, Suite 100, Gainesville, Georgia 30501

Number of OR's: 2

Specialty: pain management

Project costs as submitted: $0.00

Request received: 6/27/2008

Contact Person: Leslie A. Allen 404-504-7631

Determination: Pending

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: Pending

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: 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: 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
13

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

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: 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
14

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: Pending

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: Pending

LNR-EQT2008023 Neurosurgical Associates, PC Installation of an MRI Request received: 7/29/2008 Contact Person: Nancy Strenth 229-432-9515 Determination: Pending

LNR-EQT2008024 Augusta Neuroscience PC dba Augusta Back

Acquisition of a Fixed Magnetic Resonance Imaging

Request received: 8/4/2008

Contact Person: Tim Woodall 706-396-6304

Determination: Approved

Determination Date: 8/12/2008

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
15

Requests for Miscellaneous Letters of Determination
DET2008019 Tower & Church, LLC Development of Medical Office Building Request received: 4/15/2008 Contact Person: Wayne Williams 636-536-9443 Determination: Non-reviewable as proposed Determination Date: 8/20/2008
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
DET2008032 Brunswick Pain Treatment Center, LLC Add a Physician Employee of a Different Specialty Request received: 6/11/2008 Contact Person: Kathleen Cruger 912-262-6552 124 Determination: Non-reviewable as proposed Determination Date: 8/11/2008
DET2008033 Northside Hospital Northside Hospital-Forsyth Request received: 6/13/2008 Contact Person: Kathy Polvino 404-527-8140 Determination: Withdr/Agency Prior to Dec
DET2008034 MCG Health Replacement of Adult Cardiac Catheterization Laboratory Request received: 6/16/2008 Contact Person: Sheila O'Neal 706-721-7406 Determination: Non-reviewable as proposed Determination Date: 8/14/2008
DET2008035 Resurgens, PC Adding Physiatrists to Single Specialty Orthopedic ASC Request received: 6/25/2008 Contact Person: Steve Wertheim MD 404-847-9999 Determination: Withdr/Appl Prior to Dec
DET2008036 EHCA Johns Creek LLC dba Emory Johns Creek Hospital Initiation of Hosp-Based Diagnostic Adult Cardiac Cath Services Request received: 6/25/2008 Contact Person: John Quinlivan 678-474-7003 Determination: Non-reviewable as proposed Determination Date: 8/13/2008
DET2008037 Northside Hospital, Inc. dba Northside Hospital-Forsyth Establishment of Hospital-Based Adult Cardiac Catheterization Services Request received: 7/1/2008 Contact Person: Kathy Bulter Polvino 404-527-8140 Determination: Non-reviewable as proposed Determination Date: 8/12/2008
DET2008039 The Hospital Authority of Houston County dba Houston Medical Center Mobile PET Location Request received: 7/2/2008 Contact Person: Gray Skip Philips 478-542-7740 Determination: Non-reviewable as proposed Determination Date: 8/15/2008
DET2008040 Henry Medical Center, Inc. Establishment of Second Adult Diagnostic Cardiac Catheterization Request received: 7/2/2008 Contact Person: Claude Carruth 678-604-5141 Determination: Non-reviewable as proposed Determination Date: 8/18/2008
16

DET2008041 Henry Medical Center Operational Status of the First Cardiac Cath Lab Pursuant to OCGA Request received: 7/2/2008 Contact Person: Claude Carruth 678-604-5141 Determination: Non-reviewable as proposed Determination Date: 8/18/2008
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: Pending
DET2008043 Athens Regional Medical Center Construction of Medical Office Building Request received: 7/8/2008 Contact Person: W. Larry Webb 706-475-3334 Determination: Non-reviewable as proposed Determination Date: 8/20/2008
DET2008044 Athens Regional Medical Center Construction of Medical Office Building Request received: 7/8/2008 Contact Person: W. Larry Webb 706-475-3334 Determination: Non-reviewable as proposed Determination Date: 8/20/2008
DET2008045 St. Francis Hospital, Inc. Diagnostic Only Hospital Based Cardiac Catheterization Request received: 7/11/2008 Contact Person: Matthew A. Moore 706-596-4160 Determination: Non-reviewable as proposed Determination Date: 9/4/2008
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
DET2008047 The Houston Authority of Houston County d/b/a Houston Medical Center Construction of a Medical Office Building Request received: 7/16/2008 Contact Person: Grady Skip Philips 478-542-7740 Determination: Non-reviewable as proposed Determination Date: 8/15/2008
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: Pending
DET2008049 Piedmont Hospital, Inc. Replacement of Various Cath Lab Equipment Request received: 7/18/2008 Contact Person: Davis Dunbar 404-605-4565 Determination: Pending
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
17

Request received: 7/18/2008 Contact Person: Davis Dunbar 404-6054565 Determination: Pending
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: Pending
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: Pending
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: Pending
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: Pending
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: Pending
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: Pending
DET2008059 The Emory Clinic Confirmation of Classification 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
18

Determination: Pending
DET2008062 Henry Medical Center Development of Radiation Therapy Facility as a DTRC Request received: 8/5/2008 Contact Person: Claude Carruth 678-604-51141 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: Pending
DET2008064 Resurgens, P.C. Adding Physiatrists to Single Specialty Orthopedic ASC Request received: 8/13/2008 Contact Person: Steven Werthelm, M.D., President 404-847-9999 Determination: Non-reviewable as proposed Determination Date: 8/25/2008
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
DET2008066 EHCA Johns Creek, LC dba Emory Johns Creek Hospital Initiation of Hospital-Based Diagnostic Adult Cardiac Cath Services Request received: 8/20/2008 Contact Person: John Quinlivan 678-474-7003 Determination: Non-reviewable as proposed Determination Date: 9/5/2008
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: Pending
DET2008071 Regency Hospital Albany Extension of Implementation for CON2006145 Request received: 8/26/2008 Contact Person: Rod Laughlin 770-772-4345 Determination: Pending
19

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 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: Pending
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

Requests for Extended Implementation/Performance Period

2004007 (and 2005116 cost overrun) Egleston Children's Hospital at Emory University

Facility Expansion/Third Cardiac Cath Lab Added

Request to extend Effective Period

Site: 1405 Clifton Road, Atlanta (DeKalb)

Project Approved: 8/13/2004

Request Received: 8/4/2008

Contact: David Tatum, VP Gov't Affairs (404) 325-6000

Approved Cost: $218,315,219

Determination: Approved, 8/5/2008

Extended Effective Period: 9/24/2009

2007-035 Monroe HMA, Inc. d/b/a Walton Regional Medical Center

Replace and Relocate Hospital

Request to extend Effective Period

Site: 330 Alcovy Street, Monroe (Walton)

Project Approved: 8/17/2007

Request Received: 7/8/2008

Contact: Ann Barnhart, VP, Operations (770)-267-1792

Approved Cost: $104,974,730

Determination: Approved, 8/21/2008

Extended Effective Period: 12/1/2010

2007-046 Quality Senior Services, LLC d/b/a The Rosewood at Fort Oglethorpe Increase Bed Capacity from 60-beds to 120-beds of Personal Care Home Request to extend Implementation Period
20

Site: 14 Fort Town Drive, Fort Oglethorpe (Catoosa)

Project Approved: 9/14/2007

Request Received: 8/11/2008

Contact: Jason Gibson, Executive Director (706)-866-4443

Approved Cost: $4,950,000

Determination: Approved, 8/21/2008

Extended Implementation Date: 9/13/2009

2006-047 Kennestone Hospital, Inc. d/b/a WellStar Kennestone Hospital

New Outpatient Facility and Expansion of Services

Request to extend Implementation Period

Site: Acworth (Cobb)

Project Approved: 9/29/2006

Request Received: 8/12/2008

Contact: Caroline Aultman, Director of Strategic Planning (770) 792-1599

Approved Cost: $14,144,602

Determination: Approved, 8/29/2008

Extended Implementation Date: 9/29/2009

2006-102 Solomon Holdings IV, Dogwood Acworth, LLC To Construct a 115-Bed Personal Care Home Request to extend Implementation Period Site: 4461 South Main Street, Acworth (Cobb) Project Approved: 3/12/2007 Request Received: 8/19/2008 Contact: Alfred S. Holbrook III, Chairman (678)-566-0034 Approved Cost: $38,430,900 Determination: Denied, 8/28/2008

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: Pending

2006-096 Toccoa Assisted Living Management Corporation Establishment of a 96-Bed Personal Care Home Request to extend Implementation Period Site: 242 Rothell Road, Toccoa (Stephens) Project Approved: 2/28/2007 Request Received: 8/26/2008 Contact: James Anderson (864)-505-3535 Approved Cost: $541,306 Determination: Denied, 8/28/2008

2007-047 Emory University d/b/a Emory University Hospital Relocation of MRI Services 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: Pending

21

Need Projection Analyses Updated 09/5/2008
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 - 3/25/2008 (Next update in September 2008 Batching) 2010 Skilled Nursing Home Beds - 3/18/2008 (Next update in September 2008 Batching) 2011 Personal Care Home Services - 4/14/2008 2013 Ambulatory Surgery Center Services - 8/1/2008 2013 Cardiac Catheterization Labs - 4/1/2008 2013 Inpatient Physical Rehabilitation Services - 4/9/2008 2013 Long Term Care Hospital Beds - 4/2/2008 2013 Neonatal Intensive Care Beds - 4/3/2008 2013 Neonatal Intermediate Care Beds - 4/3/2008 2013 Obstetric Services Beds - 4/3/2008 2013 Short Stay Hospital Beds Facility-specific projections on an ad hoc basis using 2006 utilization 2012 Positron Emission Tomography Services - 8/12/2008 2013 Non-Special MegaVoltage Radiation Therapy - 9/5/2008

Non-Filed or Incomplete Division of Health Planning
Facility Surveys for Most Recent 3 Years (Survey Status as of September 7, 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 Charlton Memorial Hospital Fannin Regional Hospital Flint River Community Hospital Georgia Center for Youth Georgia Regional Hospital @ Savannah Gwinnett Medical Center Gwinnett Medical Center - Duluth Hillside Hospital Kindred Hospital-Atlanta Lower Oconee Community Hospital Inc. Morgan Memorial Hospital Mountain Lakes Medical Center North Fulton Regional Hospital Rabun County Memorial Hospital

Baldwin Charlton Fannin Macon Taylor Chatham Gwinnett Gwinnett Fulton Fulton Wheeler Morgan Rabun Fulton Rabun

2006 2006 2006 2006 2005 2006 2006 2006 2006 2006 2006 2005 2006 2006 2005

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 2/29/2008 2/29/2008 9/29/2006 2/29/2008 2/29/2008 9/29/2006

Select Specialty Hospital of Augusta Southwest Hospital And Medical Center Southwest Hospital And Medical Center Stewart Webster Hospital Sumter Regional Hospital, Inc. Tattnall Community Hospital The Bradley Center of St. Francis Warm Springs Medical Center Wheeler County Hospital

Richmond Fulton Fulton Stewart Sumter Tattnall Muscogee Meriwether Wheeler

2006 2004 2005 2006 2006 2006 2005 2006 2005

Annual Nursing Home Questionnaire (Survey Years 2005 thru 2007)

Brian Center Nursing Care/Lumber City

Telfair

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

Fulton Fulton Fulton Fulton

2004 2005 2006 2004

Atlanta Eye Surgery Center

Fulton

2005

Atlanta Eye Surgery Center

Fulton

2006

Atlanta Surgicenter

Fulton

2004

Atlanta Surgicenter

Fulton

2006

Atlanta Women's Medical Center

Fulton

2004

Atlanta Women's Medical Center

Fulton

2005

Atlanta Women's Medical Center

Fulton

2006

Columbus Women's Health Organization, Inc.

Muscogee

2004

Columbus Women's Health Organization, Inc.

Muscogee

2005

Columbus Women's Health Organization, Inc.

Muscogee

2006

North Atlanta Endoscopy Center

Fulton

2006

North Atlanta Orthopaedic Surgery Center, LLC

Fulton

2006

Northside Women's Clinic

DeKalb

2004

Northside Women's Clinic

DeKalb

2005

Northwoods Surgery Center, LLC

Forsyth

2006

Novamed Eye Services of Columbus

Muscogee

2005

Planned Parenthood Reproductive Health Services, Inc. Richmond

2004

Premier Surgery Center

Glynn

2004

Premier Surgery Center

Glynn

2005

Premier Surgery Center

Glynn

2006

Savannah Medical Clinic

Chatham

2005

Savannah Medical Clinic

Chatham

2006

Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC

Chatham Chatham Chatham

23

2004 2005 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
8/15/2007
8/5/2005 6/9/2006 4/13/2007
3/25/2005 3/25/2005
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

Savannah Plastic Surgicenter, Inc. Surgical Centers of Georgia

Chatham Bibb

2006 2006

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. Southside Healthcare Home Health

Lowndes Fulton

Southside Healthcare Home Health

DeKalb

Ultra Care of Georgia

Muscogee

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

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

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 2006 2004 2006 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

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

Chatham

Shadow Moss Plantation

Chatham

Summer's Landing

Coffee

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

24

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 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

White Oaks at Lanier PCH White Oaks at Lanier PCH
White Oaks at Lanier PCH

Forsyth Forsyth
Forsyth

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 9/15/2006 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 9/7/2008)
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 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

County
Glynn Hall Muscogee
Muscogee Muscogee 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

Year
2006 2006 2004

Shortfall Due Service
19.10 Ambulatory Surgery Center 223,107.87 Ambulatory Surgery Center
26,610.02 Ambulatory Surgery Center

2004 2006 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

251,623.82 82,548.12 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

Ambulatory Surgery Center Ambulatory Surgery Center 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

25

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

Elbert Chatham
Gordon Gordon Thomas Thomas Thomas Tift Tift

2007 2007
2006 2007 2005 2006 2007 2006 2007

3,791.48 Personal Care Home 10,718.09 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

26

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. 31-643(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.
27

SUMMER SPRING WINTER FALL

Note: 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

Batching Notice

Home Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Ambulatory Surgery

September

PET, Mega Voltage Radiation Therapy, Pediatric Cath/Open Heart, Adult Open Heart,
Psych/Substance Abuse, Birthing Centers

December

Letter of Intent
October
January

Home Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Ambulatory Surgery

March

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.

28

BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW ACTIVITIES

Batching Notice

Application
Day
(application complete when
submitted; review cycle begins same
day)

75th Day
(applicant provides additional information)

100th
Day
(last day for letters of support to be submitted to
Department)

120th Day
(Department Issues
decision)

Letter of Intent

60-Day
Meeting
(applicant only);
opposition letter(s) due.

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

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

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)

29

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)

30

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 e-mail. 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.
31

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

32