Certificate-of-need tracking and appeals report [Dec. 15, 2009]

Letters of Intent Expired Letters of Intent
New Applications

Pending Review/Incomplete Applications Pending Review/Complete Applications

DIVISION OF HEALTH PLANNING

Pending Review/Complete/Joined Applications

Recently Approved Applications

Recently Denied Applications Applications Withdrawn Appealed CON Projects

CERTIFICATE OF NEED

Appealed Determinations
Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities
Requests for LNR for Diagnostic or Therapeutic Equipment

December 9, 2009 December 15, 2009

Requests for Miscellaneous Letters of Determination

Requests for Extended Implementation/Performance Period
Need Projection Analyses
Non-Filed or Incomplete Surveys
Indigent-Charity Shortfalls
Legislation Affecting CON
New Batching Review Summer Cycle Fall Cycle
Fall Batching Notifications
New CON Filing Requirements (effective July 1, 2008)
New Reporting Requirements (effective July 1, 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

Certificate of Need Appeal Panel

New Procedure for Requesting Extensions

Letters of Intent

2009-101 Gwinnett Medical Center

Replace Existing MRI

Received: 11/18/2009

Application must be submitted on: 12/18/2009

Site: 1000 Medical Center Boulevard, Lawrenceville, GA 30046 (Gwinnett County)

Estimated Cost: $4,000,000

2009-102 Marquis Diagnostic Imaging of Georgia LLC

Freestanding, Multi-Modality Imaging Center = Lawrenceville

Received: 11/23/2009

Application must be submitted on: 12/23/2009

Site: 771 Old Norcross Road, Lawrenceville, GA 30046 (Gwinnett County)

Estimated Cost: $5,500,000

2009-103 Marquis Diagnostic Imaging of Georgia, LLC

Develop a Multi-Modality Diagnostic Imaging Center = Sandy Springs

Received: 11/23/2009

Application must be submitted on: 12/23/2009

Site: 1150 Hammond Drive, Building E, Atlanta, GA 30328 (Fulton County)

Estimated Cost: $5,500,000

2009-104 WellStar Community Hospice

Inpatient Hospice Home

Received: 11/24/2009

Application must be submitted on: 12/28/2009

Site: 475 Dickson Avenue, Marietta, GA 30064 (Cobb County)

Estimated Cost: $12,750,000

2009-105 Emory Eastside Medical Center

Da Vinci Surgical System

Received: 11/30/2009

Application must be submitted on: 12/30/2009

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

Estimated Cost: $2,700,000

2009-106 Tanner Medical Center - Carrollton

Renovation, Expansion and Upgrade

Received: 12/3/2009

Application must be submitted on: 1/4/2010

Site: 705 Dixie Street, Carrollton, GA 30117 (Carroll County)

Estimated Cost: $55,000,000

2009-107 Cumming Diagnostic Imaging, LLC

Replace MRI and CT Scanner

Received: 12/14/2009

Application must be submitted on: 1/13/2010

Site: 100 Mountainview Drive, Suite 200, Cumming, GA 30040 (Fulton County)

Estimated Cost: $2,600,000

Expired Letters of Intent

2009-096 Tanner Medical Center

Establish 20-Bed Comprehensive Inpatient Physical Rehabiliation Unit - BATCHING

Received: 10/25/2009

Application must be submitted on: 11/24/2009

Site: 705 Dixie Street, Carrollton, GA 30117 (Carroll County)

Estimated Cost: $650,000

2009-097 East Georgia Regional Medical Center, LLC

Expansion and Renovation of Facility

Received: 10/30/2009

Application must be submitted on: 11/30/2009

Site: 1499 Fair Road, Statesboro, GA 30458 (Bulloch County)

Estimated Cost: $32,000,000

2

2009-098 Tanner Medical Center, Inc.

Hospital Renovation, Expansion, and Central Energy Plant Upgrade

Received: 11/3/2009

Application must be submitted on: 12/3/2009

Site: 705 Dixie Street, Carrollton, GA 30117 (Carroll County)

Estimated Cost:

$55,000,000

New Applications

2009-099

Floyd Medical Center

Construct New Space to House Existing Acute Care Beds

Filed: 12/7/2009 Site: 304 Turner McCall Boulevard, Rome, GA 30161 (Floyd County) Contact: Alison Land 706-509-3258 Estimated Cost: $9,161,637

2009-100

Shepherd Center

Renovation of 2nd Floor; add a Chiller and a Generator

Filed: 12/9/2009 Site: 2020 Peachtree Road, Atlanta, GA 30309 (Fulton County) Contact: Gary R. Ulicny, President & CEO 404-350-7311 Estimated Cost: $5,671,252

Pending Review/Incomplete Applications
none

Pending Review/Complete Applications
2009-046 St. Mary's Health Care System, Inc. Intuitive Surgical da Vinci Si System Filed: 7/20/2009 Deemed Incomplete: 7/31/2009 Deemed Complete: 9/4/2009 60th Day Deadline: 11/2/2009 Decision Deadline: 1/1/2010 Site: 1230 Baxter Street, Athens, GA 30606 (Clarke County) Contact: Donald McKenna 706-389-3000 Estimated Cost: $1,750,000
2009-047 Cancer Treatment Center of America of the Southeast, Inc. A New Destination Cancer Treatment Hospital Filed: 7/20/2009 Deemed Incomplete: 8/3/2009 Deemed Complete: 8/24/2009 60th Day Deadline: 10/22/2009 Decision Deadline: 12/21/2009 Site: 28.71 acre site in Newnan, Newnan, GA 30000 (Coweta County) Contact: David Kent 847-342-7472 Estimated Cost: $179,767,423
2009-048 Piedmont Fayette Hospital Acquisition of daVinci Surgical Robotic System Filed: 7/24/2009 Deemed Incomplete: 8/7/2009 Deemed Complete: 8/19/2009 60th Day Deadline: 10/18/2009 Decision Deadline: 12/17/2009 Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County) Contact: Davis Dunbar, Manager Regulatory Affairs 404-605-4565 Estimated Cost: $2,560,000
2009-050 Grady Memorial Hospital Corporation Renovate, Modernize and Expand Trauma Capacity in ER
3

Filed: 8/17/2009 Deemed Complete: 8/31/2009 60th Day Deadline: 10/30/2009 Decision Deadline: 12/29/2009 Site: 80 Jesse Hill Jr. Drive SE, Atlanta, GA 30303 (Fulton County) Contact: Craig Tindall, Sr. VP, Operations/Facilities 404-616-3343 Estimated Cost: $11,794,726
2009-051 Houston Medical Center
Add 28 Medical/Surgical Inpatient Beds Filed: 8/19/2009 Deemed Complete: 9/2/2009 60th Day Deadline: 10/31/2009 Decision Deadline: 12/30/2009 Site: 1601 Watson Boulevard, Warner Robins, GA 31093 (Houston County) Contact: Grady W. (Skip) Philips, III 478-542-5040 Estimated Cost: $1,303,819
2009-052 Southeast Georgia Health System
Acquisition Of A Cyber Knife - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 2415 Parkwood Drive, Brunswick, GA 31520 (Glynn County) Contact: Carlton A. DeVooght 912-466-3391 Estimated Cost: $5,494,337
2009-053 Kings Bay Community Hospital, Inc.d/b/a Camden Medical Center
Establish a New Radiation Therapy Program - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 2000 Dan Proctor Drive, St. Mary's, GA 31558 (Camden County) Contact: Charlton A. DeVooght 912-466-3391 Estimated Cost: $1,992,072
2009-055 Emory Johns Creek Hospital
New Hospital-Based Non-Special Radiation - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 6325 Hospital Parkway, Johns Creek, GA 30097 (Fulton County) Contact: John D. Quinlivan Jr 678-474-7003 Estimated Cost: $13,025,739
2009-057 The Baxley and Appling County Hospital Authority d/b/a Appling Healthcare
New Mobile PET Services - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 163 E. Tomlinson Street, Baxley, GA 31806 (Appling County) Contact: Dale Spell, CEO 912-367-9841 Estimated Cost: $4,000
2009-058 Hamilton Medical Center
Acquisition of a Fixed PET/CT Scanner - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County) Contact: John Bowling 706-226-3003 Estimated Cost: $2,500,000
4

2009-059 WellStar Cobb Hospital
Acquisition of a PET/CT Scanner System - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 3950 Austell Road, Austell, GA 30106 (Cobb County) Contact: Caroline Aultman 770-792-1542 Estimated Cost: $3,700,000
2009-060 Spalding Regional Medical Center
Develop New Mobile PET/CT Services - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 601 South Eighth Street, Griffin, GA 30224 (Spalding County) Contact: John Quinn, CEO 770-229-6469 Estimated Cost: $0
2009-061 Emory University Hospital
Expansion of PET/CT Services - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 1364 Clifton Road, Atlanta, GA 30322 (DeKalb County) Contact: Toni Wimby, Associate Administrator 404-686-2450 Estimated Cost: $1,196,950
2009-062 Emory Johns Creek Hospital
Develop A Mobile PET/CT Service - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 6325 Hospital Parkway, Johns Creek, GA 30097 (Fulton County) Contact: Greg Caples, COO 678-474-7012 Estimated Cost: $77,900
2009-063 Meadows Regional Medical Center
A Mobile PET/CT Services - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 1703 Meadow Lane, Vidalia, GA 30475 (Toombs County) Contact: Howard Holman, VP/Business Development 912-538-5889 Estimated Cost: $25,000
2009-064 Fairview Park Hospital
A Mobile PET/CT Services - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 200 Industrial Boulevard, Dublin, GA 31021 (Laurens County) Contact: Ted Short, CFO 478-274-3103 Estimated Cost: $25,000
2009-072 Open MRI and CT Specialists of Stockbridge
Re-location of Imaging Center & Acquisition of MRI Unit Filed: 9/16/2009 Deemed Complete: 9/29/2009 60th Day Deadline: 11/27/2009 Decision Deadline: 1/26/2010 Site: 900 Block of eagles Landing Parkway, Stockbridge, GA 30281 (Henry County) Contact: Tammy Karst, VP Client Services 770-952-8899
5

Estimated Cost: $1,409,950
2009-074 Redmond Regional Medical Center
Purchase a da Vinci Surgical System Filed: 10/2/2009 Deemed Incomplete: 10/19/2009 Deemed Complete: 11/9/2009 60th Day Deadline: 1/7/2010 Decision Deadline: 3/8/2010 Site: 501 Redmond Road, Rome, GA 30165 (Floyd County) Contact: Carlton Ulmer, COO 706-802-3012 Estimated Cost: $2,300,000
2009-075 WellStar Cobb Hospital,
Surgery Center Renovation Filed: 10/2/2009 Deemed Incomplete: 10/14/2009 Deemed Complete: 11/2/2009 60th Day Deadline: 12/31/2009 Decision Deadline: 3/1/2010 Site: 3950 Austell Road, Austell, GA 30106 (Cobb County) Contact: Caroline Aultman, Director of Strategic Planning 770-792-1542 Estimated Cost: $16,754,606
2009-076 Southeast Georgia Health System-Camden Campus
Cost Overrun (CON2004077) Filed: 10/8/2009 Deemed Complete: 10/22/2009 60th Day Deadline: 12/20/2009 Decision Deadline: 2/18/2010 Site: 2000 Dan Proctor Drive, St. Marys, GA 31558 (Camden County) Contact: Carlton A. DeVooght V P/G-Counsel Gov't Relations 912-466-3391 Estimated Cost: $3,668,436
2009-077 DeKalb Medical at North Decatur
Computerized Tomography (CT) Scanner Filed: 10/9/2009 Deemed Incomplete: 10/26/2009 Deemed Complete: 12/3/2009 60th Day Deadline: 1/31/2010 Decision Deadline: 4/1/2010 Site: 2701 North Decatur Road, Decatur, GA 30033 (DeKalb County) Contact: Donald G. Fears, Director of Regulatory & Facility 404-501-5790 Estimated Cost: $2,101,073
2009-078 Newton Medical Center
Acquisition: da Vinci Si Robotic Surgery System Filed: 10/22/2009 Deemed Incomplete: 11/4/2009 Deemed Complete: 11/17/2009 60th Day Deadline: 1/15/2010 Decision Deadline: 3/16/2010 Site: 5126 Hospital Drive, Covington, GA 30014 (Newton County) Contact: Everette B. Jenkins 678-625-4720 Estimated Cost: $1,750,000
2009-079 St. Francis Hospital, Inc.
Renovate and Expand by adding a Clinical Tower Filed: 10/22/2009 Deemed Incomplete: 11/5/2009 Deemed Complete: 12/1/2009 60th Day Deadline: 1/29/2010 Decision Deadline: 3/30/2010 Site: 2122 Manchester Expressway, Columbus, GA 31908 (Muscogee County) Contact: Michele Madison 404-504-7621 Estimated Cost: $90,750,000
2009-080 Open MRI of Georgia, Inc.
MRI and CT Scanner Replacement Filed: 10/26/2009 Deemed Complete: 11/6/2009 60th Day Deadline: 1/4/2010 Decision Deadline: 3/5/2010
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Site: 204 Village Center Parkway, Stockbridge, GA 30281 (Henry County) Contact: Per B. Normark, Deputy General Counsel 678-992-7311 Estimated Cost: $2,400,000
2009-081 WellStar Kennestone Hospital
Acquisition of da Vinci robotic surgery equipment Filed: 10/29/2009 Deemed Complete: 11/10/2009 60th Day Deadline: 1/8/2010 Decision Deadline: 3/9/2010 Site: 677 Church Street, Marietta, GA 30060 (Cobb County) Contact: Caroline Aultman 770-792-1542 Estimated Cost: $3,206,000
2009-082 Saint Joseph's Hospital of Atlanta, Inc.
Intuitive da Vinci S 4 Arm Robotic Surgical System with HD vision Filed: 11/4/2009 Deemed Complete: 11/18/2009 60th Day Deadline: 1/16/2010 Decision Deadline: 3/17/2010 Site: 5665 Peachtree Dunwoody Road, NE, Atlanta, GA 30342 (Fulton County) Contact: Heather Dexter, VP of Surgical Services & Planning 678-843-7001 Estimated Cost: $1,850,000
2009-083 South Georgia Medical Center
To develop a multi-modality outpatient imaging center Filed: 11/6/2009 Deemed Complete: 11/23/2009 60th Day Deadline: 1/21/2010 Decision Deadline: 3/22/2010 Site: 2501 North Patterson Street, Valdosta, GA 31602 (Lowndes County) Contact: William E. Forbes, Chief Planning Officer 229-259-4175 Estimated Cost: $10,668,191
2009-084 Rockdale Medical Center
Acquire a da Vinci Robotic Surgical System Filed: 11/12/2009 Deemed Complete: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 Site: 1412 Milstead Avenue, Conyers, GA 30012 (Rockdale County) Contact: Deborah Armstrong, COO/Vice President 770-918-3877 Estimated Cost: $2,760,000
2009-085 Grady Memorial Hospital
Installation of a Bi-Plane Angiography Unit Filed: 11/12/2009 Deemed Complete: 11/30/2009 60th Day Deadline: 1/28/2010 Decision Deadline: 3/29/2010 Site: 80 Jesse Hill Drive, SE, Atlanta, GA 30303 (Fulton County) Contact: Craig J. Tindall, Senior VP 404-616-5141 Estimated Cost: $2,498,893
2009-086 Piedmont Hospital
Acquisition of a Robotics Surgery System Filed: 11/13/2009 Deemed Complete: 12/1/2009 60th Day Deadline: 1/29/2010 Decision Deadline: 3/30/2010 Site: 1968 Peachtree Road, NW, Atlanta, GA 30309 (Fulton County) Contact: Davis Dunbar, Manager, Regulatory Affairs 404-605-4565 Estimated Cost: $2,970,000
2009-087 The Medical Center of Central Georgia, Inc. - 4th Floor West Tower
Convert 4 Main step-down cardiac surgical unit to a (14) bed Medical/Surgical ICU Filed: 11/18/2009 Deemed Complete: 12/2/2009
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60th Day Deadline: 1/30/2010 Decision Deadline: 3/31/2010 Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: H. Bryan Forlines, Reimbursement Director 478-633-6966 Estimated Cost: $10,699,689
2009-088 Satilla Regional Medical Center Patient Wing Expansion Filed: 11/20/2009 Deemed Complete: 12/8/2009 60th Day Deadline: 2/5/2010 Decision Deadline: 4/6/2010 Site: 410 Darling Avenue, Waycross, GA 31501 (Ware County) Contact: Windell R. Smith, Chief Operating Officer 912-287-2500 Estimated Cost: $6,500,000
2009-089 Newton Ambulatory Surgical Center Conversion to Single Specialty ASC - BATCHING Filed: 11/24/2009 Deemed Complete: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 Site: 5303-D Adams Street, Covington, GA 30014 (Newton County) Contact: Crystal Blackwell 770-929-9033 Estimated Cost: $50,357
2009-090 West Paces Ambulatory Surgical Center Conversion to Single Specialty ASC - BATCHING Filed: 11/24/2009 Deemed Complete: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 Site: 3161 Howell Mill Road, Suite 320, Atlanta, GA 30327 (Fulton County) Contact: Crystal Blackwell 770-929-9033 Estimated Cost: $1,000
2009-092 Associates Surgery Center, Inc. Conversion to Single Specialty ASC - BATCHING Filed: 11/24/2009 Deemed Complete: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 Site: 864 First Street, Macon, GA 31201 (Bibb County) Contact: Marvin A. Noles 478-414-1234 Estimated Cost: $1,000
2009-094 St. Francis Hospital Establish Basic Perinatal Service - BATCHING Filed: 11/24/2009 Deemed Complete: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 Site: 2122 Manchester Expressway, Columbus, GA 31908 (Muscogee County) Contact: Matthew A. Moore 706-596-4160 Estimated Cost: $8,250,000
2009-095 South Fulton Medical Center (SFMC) Establish 4 Bed Level III NICU - BATCHING Filed: 11/24/2009 Deemed Complete: 12/10/2009 60th Day Deadline: 2/7/2010 Decision Deadline: 4/8/2010 Site: 1170 Cleveland Avenue, East Point, GA 30344 (Fulton County) Contact: Robert Russell, COO 404-466-1122 Estimated Cost: $239,220
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Pending Review/Complete/Joined Applications
2009-054 Gordon Hospital A New Non-Special Mega Voltage Radiation Therapy Services - (Joined 56,73) Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 Joined: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 1035 Red Bud Road, Calhoun, GA 30701 (Gordon County) Contact: Sam Huenergardt 706-602-7800 Estimated Cost: $7,012,348
2009-056 Georgia Center for Total Cancer Care of Jasper New Freestanding Radiation Therapy Center in SSDR 1 - (Joined 54,73) Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 Joined: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: Allred Mill Road and State Road 515, Jasper, GA 30143 (Pickens County) Contact: Dale L. McCord, MD 770-255-7409 Estimated Cost: $6,757,809
2009-073 Gilmer County Comprehensive Cancer Treatment Center Development of Non-Special MRT - Batching (Joined 54-56) Filed: 8/21/2009 Deemed Complete: 8/21/2009 Joined: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: Insect W.brook Boulevard & W.brook Court, Ellijay, GA 30540 (Gilmer County) Contact: Donald Holton 770-682-2099 Estimated Cost: $6,400,609
2009-091 Plastikos Surgical Center
Establish Multi-Specialty ASC - BATCHING Joined (093) Filed: 11/24/2009 Deemed Complete: 11/24/2009 Joined: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 Site: 4370 Georgetown Square, Atlanta, GA 30338 (DeKalb County) Contact: Karen L. Vaughn, RN, Practice Administrator 770-457-4677 Estimated Cost: $88,295
2009-093 Northside Alpharetta Ambulatory Surgery Center
Establish Multi-Specialty ASC - BATCHING Joined (091) Filed: 11/24/2009 Deemed Complete: 11/24/2009 Joined: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 Site: 3400-A Old Milton Parkway, Alpharetta, GA 30005 (Fulton County) Contact: Brian J. Toporek 404-851-6821 Estimated Cost: $4,300,391

Recently Approved Applications

2009-042

Doctors Hospital of Augusta, LLC

Acquisition of a da Vinci Si HD Surgical System

Filed: 7/1/2009 Deemed Incomplete: 7/15/2009 Deemed Complete: 8/3/2009 60th Day Deadline: 10/2/2009 Decision Deadline: 12/1/2009 APPROVED: 11/23/2009 Site: 3651 Wheeler Road, Augusta, GA 30909 (Richmond County) Contact: Kenneth Wicker 706-651-6104 Estimated Cost: $2,149,906

9

2009-043

Northside Hospital, Inc.

Vertical Expansion at Northside Hospital - Forsyth

Filed: 7/6/2009 Deemed Complete: 7/20/2009 60th Day Deadline: 9/18/2009 Decision Deadline: 11/17/2009 APPROVED: 11/16/2009 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek 404-851-6821 Estimated Cost: $6,690,746

2009-044

Ty Cobb Regional Medical Center, LLC

New Hospital

Filed: 7/10/2009 Deemed Complete: 7/24/2009 60th Day Deadline: 9/22/2009 Decision Deadline: 11/21/2009 APPROVED: 11/20/2009 Site: Clear Creek Road & I-85, Lavonia, GA 30553 (Franklin County) Contact: Charles T. Adams, CEO 706-245-1802 Estimated Cost: $72,340,819

2009-049

Emory Eastside Medical Center

Expansion of Emergency Department

Filed: 7/30/2009 Deemed Complete: 8/12/2009 60th Day Deadline: 10/11/2009 Decision Deadline: 12/10/2009 APPROVED: 12/9/2009 Site: 1700 Medical Way, Snellville, GA 30078 (Gwinnett County) Contact: Dustin Greene, COO 770-736-2224 Estimated Cost: $12,632,341

Recently Denied Applications
none

Applications Withdrawn
none

Appealed CON Projects

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: Reversed by Superior Court of Barrow County, 12/15/2008. Court of Appeals: Department and NEGA requested appeal of Superior Court Order to Georgia Court of Appeals; Barrow opposed request; Court of Appeals agreed to hear appeal of Superior Court Order, 1/30/2009. Appeals Court Decision: Pending

2008-042 MCG Medical Associates Ambulatory Care Center (Columbia) Proposed New ASC with CT Agency Decision: Approved, 9/19/2008
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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: William C. Joy, Esq. Hearing Date: January 26, 27, 28, 2009, 5th Floor Hearing Decision: Hearing Officer reversed award of CON to MCG, 4/7/2009: The applicant requested Commissioner Review of Hearing Officer's decision, 5/5/2009; the Department requested Commissioner Review of Hearing Officer's decision, 5/7/2009. Commissioner Review Decision: due 6/8/2009; Per Final Order Hearing Officer is reversed and the original decision of the Department to award a CON to Physicians Practice Group is reinstated, 4/7/2009. Appealed to Superior Court: University Health Services and Evans filed Petion for Judicial Review, Richmond County Superior Court, 7/8/2009. Superior Court Decision: Richmond County Superior Court denied University & Evans petition for judicial review and affirmed Final Order, 9/30/2009. Appealed to Appeals Court: University and Evans filed application for discretionary appeal to GA Court of Appeals, 10/30/2009. Appeals Court Decision: Application for discretionary appeal denied, 11/23/2009. University and Evans filed petition for writ of certiorari to Georgia Supreme Court, 12/14/2009.
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: Melvin M. Goldstein, Esq. Hearing Date: May 11, 2009, 9:00 AM, through May 15, 2009, 34th Floor Hearing Decision: Hearing Officer affirmed Department approval, 8/26/2009. Trident requested Commissioner Review of Hearing Officer Decision, 9/24/2009. Commissioner Review: Affirmed Hearing Officer Decision to award CON to Candler, 10/23/2009. Appealed to Superior Court: Trident filed Petition for Judicial Review in Fayette Superior Court, 11/19/2009.
2008-068 Vidalia Regional Cancer Center (Toombs) Develop a MegaVoltage Radiation Therapy Service Agency Decision: Approved, 11/25/2008 Appealed By: Statesboro Oncology Associates, P.C, 12/23/2008 and Satilla Regional Cancer Center, 12/23/2008. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: May 19, 2009, 5th Floor, 9:00AM Hearing Decision: Hearing Officer affirmed award of CON to Vidalia, 8/10/2009; Satilla Regional Cancer Treatment Center and South Georgia Center for Cancer Care requested Commissioner Review of Hearing Officer's Decision, 09/09/09. Commissioner Review Decision: Affirmed Hearing Officer Decision, 10/08/2009. Appealed to Superior Court: South Georgia Center for Cancer Care filed petition for judicial review to Superior Court of Bulloch County, 11/6/2009. Superior Court Decision: Satilla filed Petition for Judicial Review in Fulton County Superior Court, November 6, 2009.
2008-081 Palmyra Medical Center (Dougherty) Develop Basic Perinatal Services Agency Decision: Approved, 1/9/2009 Appealed By: Phoebe Putney Memorial Hospital, 2/6/2009 and Sumter Regional Hospital, 2/6/2009 Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: July 13, 2009, 12:00PM, 34th Floor Hearing Decision: Hearing Officer affirmed award of CON to Palmyra, 10/18/2009; Phoebe Putney and Sumter Regional request Commissioner Review, 11/17/2009. Commissioner Review Decision: due 12/20/2009.
2008-106 Peoples Home Health (Hall) 2008-107 Interim Home Healthcare Georgia (Hall) 2008-115 Voyager Home Health (Banks) 2008-116 Suncrest Home Health (Banks) 2008-119 Georgia Home Health Care (White)
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Establish New HH Care Agency SSDR 2 Agency Decision: 2008-106 denied 3/24/2009; 2008-107 approved 3/24/2009; 2008-115 denied
3/24/2009; 2008-116 denied 3/24/2009; 2008-119 denied 3/24/2009. Appealed By: Suncrest Home Health appealed its denial and approval of Interim, 4/23/2009. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: September 10, 2009, 9:00AM to September 11, 2009 4:30PM, 34th Floor Large Conference Room; Motion Hearing held 9/15/2009. Hearing Decision: Remanded to Department 11/13/2009; decision issued 12/10/2009 affirming award of CON to Interim and affirming denial to Suncrest.
2008-123 Three Rivers Home Health Services-Treutlen (Candler) 2008-124 SJC Home Health Services (Liberty) Expansion of Home Health Care Agency SSDR 9 Agency Decision: 2008-123, Three Rivers Home Health Services, approved, 3/24/2009; SJC Home Health Services (2008-124), denied, 3/24/2009. Appealed By: SJC Home Health Services (2008-124) filed an appeal of the denial of their own application, as well as, the approval of Three Rivers Home Health Services (2008123), 4/17/2009. Hearing Officer: William C. Joy, Esq. Hearing Date: September 15, 2009, 9:00AM to September 17, 2009, 4:30PM, 34th Floor Large Conference Room; Motion Hearing held, 9/15/2009. Hearing Decision: Hearing Officer issued Order on Cross Motions for Summary Adjudication during CON to SJC and affirming award of CON to Three Rivers, 11/5/2009.
2009-026 St Josephs Hospital of Atlanta, Inc. (Fulton) Develop a Second Hospital-Based Outpatient Imaging Center Agency Decision: Approved, 9/3/2009 Appealed By: Diagnostic Imaging of Atlanta, LLC, 10/29/2009 Hearing Officer: William C. Joy, Esq. Hearing Date: TBA

Appealed Determinations

DET2009062 Augusta Hospital, LLC d/b/a Trinity Hospital of Augusta Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2009 Contact Person: Robyn Stowell 706-481-7678 Determination: Non-reviewable as proposed Determination Date: 7/15/2009 Opposition: University Health Services, Inc.- 6/15/2009; MCG Health, Inc.- 6/15/2009, Request for Hearing filed by University Health Services, 8/12/2009. Hearing: 10/23/2009, 9AM 10/26/2009, 5PM, 34th Floor Conference Room; Cliff Weiss, Esq., Hearing Officer. Hearing Officer Decision Pending.

DET2009068 Doctors Hospital of Augusta, LLC d/b/a Doctors Hospital

Therapeutic Cardiac Catheterization Statutory Exemption

Request received: 5/15/2009

Contact Person: Kenneth Wicker 706-651-6104

Determination: Denied

Determination Date: 7/15/2009

Opposition: University Health Services, Inc./University Hospital- 6/15/2009; MCG Health, Inc.-

6/15/2009; Request for Hearing filed by Doctors Hospital, 7/21/2009; Request to intervene filed by University Health Services, 8/12/2009. Hearing scheduled 10/14/200910/15/2009, 34th Floor Conference Room; Cliff Weiss, Esq.,

Hearing Officer. University withdrew request to intervene in opposition to Doctors denial, 11/6/2009.

Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2009009 Houston Orthopaedic Surgery & Sport Medicine P.C.

Fixed MRI

Request received: 2/27/2009

Contact Person: Clif Pritchett 478-953-4563

Determination: Approved

Determination Date: 12/3/2009

12

LNR-EQT2009024 MedCross Imaging, P.C. Purchase a Mobile MRI Request received: 8/24/2009 Contact Person: Norman King 478-374-4305 Determination: Pending

LNR-EQT2009028 The Baxley and Appling County Hospital Authority

Acquisition of Fixed Magnetic Resonance Imaging

Request received: 10/8/2009

Contact Person: Dale Spell, CEO 912-367-9841

Determination: Approved

Determination Date: 12/4/2009

LNR-EQT2009029 Henry Medical Center, Inc. Fixed MRI and CT Scanner Request received: 11/13/2009 Contact Person: Claude Y. Carruth 678-604-5141 Determination: Pending

LNR-EQT2009030 Northwest ENT Associates, PC Fixed CT Scanner Request received: 11/19/2009 Contact Person: Kelly V. Ladd 770-427-0368 Determination: Pending

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

LNR-ASC2009006 Brookstone Surgical Center, LLC

Single Specialty ASC

Site: 1st floor of a two story building.

Number of OR's:

Specialty: General Surgery

Project costs as submitted: $0.00

Request received: 5/27/2009

Contact Person: Gayle R. Evans 770-794-4944

Determination: Approved

Determination

12/3/2009

LNR-ASC2009012 Athens Eye Surgery Center, LLC

Physician-Owed, Single Specialty Ambulatory Surgery Center

Site:

Number of OR's:

Specialty: Ophthalmology

Project costs as submitted: $790,162.21

Request received: 9/8/2009

Contact Person: Brynne R. Goncher 404-233-7000

Determination: Approved

Determination

12/3/2009

LNR-ASC2009013 Buckhead Mohs Surgical Center, LLC

Single Specialty Dermatology ASC

Site: 3525 Piedmont Road, Building 6, Suite 220, Atlanta, GA 30305

Number of OR's:

Specialty: Dermatology ASC

Project costs as submitted: $0.00

Request received: 9/18/2009

Contact Person: Katarina G. Chiller, M.D. 404-725-8786

Determination: Pending

LNR-ASC2009014 Orthocare Surgery Center, LLC

To own and operate a two (2) room outpatient surgery center

Site: 619 Pointe North Boulevard, Albany, Georgia 31702

Number of OR's: 2

Specialty: Orthopaedics

Project costs as submitted: $1,486,843.70

Request received: 10/6/2009

Contact Person:

13

Determination: Pending

LNR-ASC2009015 Carlin Vision Surgery Center, LLC

To own and operate a two (2)-operating room ASC at MOB

Site: 2347 Lenora Church Road, Snellville, Georgia 30078

Number of OR's: 2

Specialty: Ophthalmology

Project costs as submitted: $1,306,062.00

Request received: 10/7/2009

Contact Person: Neil W. Hoffman, Ph.D., J.D. 404-815-6500

Determination: Pending

LNR-ASC2009016 Vandemark Plastic Surgery Center, LLC

Exempt Single Specialty Ambulatory Surgical Center

Site: King's Way Boulevard, Valdosta, Georgia 31605

Number of OR's: 1

Specialty: Plastic Surgery

Project costs as submitted: $2,902,724.72

Request received: 10/8/2009

Contact Person: Michael Kleinpeter

Determination: Pending

LNR-ASC2009017 Georgia Pain Management Center, LLC

Pain Management Specialists of Atlanta, P.C.

Site: 165 North Park Trail, Stockbridge, Georgia

Number of OR's: 2

Specialty: Pain Management

Project costs as submitted: $1,352,582.00

Request received: 10/16/2009

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

Determination: Pending

LNR-ASC2009018 Pinnacle Orthopaedics & Sports Medicine Specialists, LLC

Single Specialty Ambulatory Surgery

Site: 3672 Marathon Circle, Suite 120, Austell, GA 30106

Number of OR's:

Specialty: Orthopaedic

Project costs as submitted: $0.00

Request received: 11/19/2009

Contact Person: N. Phillip Bennett, MBA CMPE CASC 770-427-5744

Determination: Pending

Requests for Miscellaneous Letters of Determination
DET2008112 Southeast Georgia Health System Renovation of Nursing Home Request received: 12/9/2008 Contact Person: Marjorie Mathieu 912-466-7055 Determination: Pending

DET2009019 CareSouth HHA Holdings, LLC

Free Services to Indigent & Charity Care Medicaid-Eligible Pt

Request received: 2/10/2009

Contact Person: John M. Southern, CFO 706-373-2413

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

12/3/2009

DET2009088 Lenbrook Square Additional Beds Request received: 6/19/2009 Contact Person: Becky Webster Determination: Pending

404-404-4440

DET2009117 Tattnall Hospital Company, LLC dba The Doctors Hospital of Tattnall Replacement of MRI Request received: 9/18/2009

14

Contact Person: Michael Kleinpeter 912-644-5370 Determination: Non-reviewable as proposed Determination Date: 11/16/2009

DET2009120 The Medical Center, Inc. Replacement of Three Linear Accelerators Request received: 9/29/2009 Contact Person: Donald Elder 706-660-6342 Determination: Non-reviewable as proposed

Determination Date: 11/20/2009

DET2009121 Elder Hope Investments, LLC Construction of new 64 Bed Personal Care Home Request received: 9/29/2009 Contact Person: George Schoepf 706-999-1434 Determination: Non-reviewable as proposed Determination Date: 11/20/2009

DET2009122 Hamilton Medical Center Generator Replacement Request received: 10/1/2009 Contact Person: Corey Roy 706-272-6477 Determination: Non-reviewable as proposed

Determination Date: 11/20/2009

DET2009123 RiverWoods Behavioral Health System Increase in bed capacity Request received: 10/5/2009 Contact Person: Kirk Kureska, CEO 770-991-8500 Determination: Non-reviewable as proposed Determination Date: 11/20/2009

DET2009124 Atlanta Pain & Injury, P.C. Clarification of classification of clinic regarding new services Request received: 10/7/2009 Contact Person: Dr. Shailesh S. Kothari, CEO 770-938-2625 Determination: Non-reviewable as proposed Determination Date: 11/20/2009

DET2009125 Northside Hospital-Forsyth Expansion of Adult Cardiac Catheterization Services Request received: 10/7/2009 Contact Person: Brian J. Toporek, Senior Planner 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 11/30/2009

DET2009126 South Georgia Medical Center Modification of Previously Approved Project # GA 2008-138 Request received: 10/7/2009 Contact Person: William E. Forbes, Chief Planning Officer 229-259-4175 Determination: Non-reviewable as proposed Determination Date: 12/4/2009

DET2009127 Insight Health Corporation d/b/a INSIGHT IMAGING Participation as a Mobile PET/CT Provider in Georgia Request received: 10/13/2009 Contact Person: Determination: Non-reviewable as proposed Determination Date: 12/7/2009

DET2009128 Piedmont Hospital, Inc. Capital Expenditure for Development of Interventional Operating Room Request received: 10/14/2009 Contact Person: Determination: Non-reviewable as proposed Determination Date: 12/7/2009

DET2009129 Cobb Hospital, Inc. d/b/a WellStar Cobb Hospital Renovations of Hospital Lobby Request received: 10/15/2009 Contact Person: Caroline Aultman, Director Strategic Planning 770-792Determination: Pending

15

DET2009130 Delmar Gardens of Gwinnett Increase number of Licensed Personal Care Home Beds Request received: 10/15/2009 Contact Person: Jennifer Thilo, Executive Director 770-923-3100 Determination: Non-reviewable as proposed Determination Date: 12/10/2009
DET2009131 Grady Memorial Hospital Corporation d/b/a Grady Health System Modification of CT Equip. Prev Apprvd as Part of CON Proj. 2009002 Request received: 10/23/2009 Contact Person: Craig Tindall, Sr. VP, Operations/Facilities 404-616-3343 Determination: Non-reviewable as proposed Determination Date: 12/10/2009
DET2009132 Northland Partners LLC d/b/a Summer's Landing Northland Increase in licensed beds from 24 to 60 Request received: 10/19/2009 Contact Person: Chris Brogdon, Manager 404-386-9607 Determination: Non-reviewable as proposed Determination Date: 12/10/2009
DET2009133 Northside-Roswell Cancer Center Relocation of Northside-Roswell Cancer Center Request received: 10/23/2009 Contact Person: Determination: Non-reviewable as proposed Determination Date: 12/7/2009
DET2009134 Hospital Authority of Valdosta dba South Georgia Medical Center Acquisition of Diagnostic Radiology Facility Request received: 10/23/2009 Contact Person: Determination: Non-reviewable as proposed Determination Date: 12/14/2009
DET2009135 HyOx Medical Treatment Center, Inc. Modification for original CON2007066 Request received: 10/26/2009 Contact Person: Determination: Pending
DET2009136 Northland Partners, LLC d/b/a Summers Landing Increase licensed beds from 24 to 60 Request received: 10/29/2009 Contact Person: Chris Brodgon 770-386-9607 Determination: Pending
DET2009137 CannonWood LLC Increased Capacity Request received: 10/29/2009 Contact Person: Thomas D. Major 404-680-5066 Determination: Non-reviewable as proposed Determination Date: 12/10/2009
DET2009138 Phoebe Putney Memorial Hospital, Inc. Information Technology Expenditures Request received: 11/2/2009 Contact Person: Determination: Pending
DET2009139 Phoebe Sumter Medial Center, Inc. Construction of Medical Office Building 3 Request received: 11/2/2009 Contact Person: Determination: Pending
DET2009140 Phoebe Sumter Medical Center, Inc. Construction of Medical Office Building 2 Request received: 11/2/2009
16

Contact Person: Determination: Pending

DET2009141 Phoebe Sumter Medical Center, Inc. Construction of Medical Office Building 1 Request received: 11/2/2009 Contact Person: Determination: Pending

DET2009142 Phoebe Sumter Medical Center, Inc. Relocation of Healthcare Facility (Phoebe Sumter Medical Center) Request received: 11/2/2009 Contact Person: Determination: Pending

DET2009143 Chulio Assisted Living, LLC Change of Governing Body Request received: 11/5/2009 Contact Person: Determination: Pending

DET2009144 Phoebe Sumter Medical Center, Inc. Replacement of CON-Approved Fixed MRI Unit Request received: 11/6/2009 Contact Person: Lori Jenkins, Manager/Planning Department Determination: Pending

229-312-1432

DET2009145 Saint Joseph's Hospital of Atlanta, Inc. Renovation of Admissions/Recovery Unit Request received: 11/12/2009 Contact Person: Heather Dexter 678-843-7001 Determination: Pending

DET2009146 East Georgia Regional Medical Center, LLC. Replacement of Cardiac Catheterization Equipment Request received: 11/16/2009 Contact Person: Spencer Thomas 912-486-1500 Determination: Pending

DET2009147 John Cheney Use/Remodel of Former Hospital to Personal Care Home Request received: 11/16/2009 Contact Person: John Cheney 770-876-3132 Determination: Pending
DET2009148 Hamilton Medical Center Pharmacy Clean Room Renovation Request received: 11/19/2009 Contact Person: Corey Roy 706-272-6529 Determination: Pending
DET2009149 Tenet Healthsystem GB, Inc. d/b/a Atlanta Medical Center Replace Cardiac Catheterization Equipment in Cath Lab One Request received: 11/20/2009 Contact Person: Bill Masterton 404-265-3903 Determination: Pending
DET2009150 Lanier Village Estates, Inc. Additional 28 Skilled Sheltered Nursing Home beds Request received: 11/23/2009 Contact Person: Alice Eckhardt 678-450-3000 Determination: Pending

17

DET2009151 Oaks Senior Living, LLC Develop New 86 Bed Assisted Living Community Request received: 11/30/2009 Contact Person: Alex Salabarria 770-888-4683 Determination: Pending

DET2009152 Gwinnett Retirement Oper't, LLC d/b/a The Bridge Assisted Living at Life Increase/Change in Bed Capacity Request received: 11/30/2009 Contact Person: Cindy Cross 423-473-5867 Determination: Pending

DET2009153 Merrill Gardens LLC Increase bed capacity by 37 Request received: 12/1/2009 Contact Person: Cynthia Johnson 404-252-7974 Determination: Pending

DET2009154 BrendaLee Obiorah Assisted Living Facility for a Capacity over 25 Request received: 12/4/2009 Contact Person: BrendaLee Obiorah, Owner Determination: Pending

770/653-6798

DET2009155 Piedmont Hosptial, Inc. Renovation of OR Request received: 12/7/2009 Contact Person: David Dunbar 404-605-4565 Determination: Pending

DET2009156 PVHA/SIMS - Savannah Commons, LLC Increase Number of Licensed Personal Care Home Beds Request received: 12/11/2009 Contact Person: Randy Yost 912-927-0500 Determination: Pending

Requests for Extended Implementation/Effective Period

2006079 Peachtree Hills Place, LLC, d/b/a Peachtree Hills Place

Development of CCRC/12PCH-Beds, 24 Sheltered Nursing Beds, 274 IL

Request to extend mandatory implementation date

Site: 228 Peachtree Hills Avenue, Atlanta (Fulton)

Project Approved: 1/4/2007

Request Received: 11/3/2009

Contact: Kevin Isakson (404) 941-1329

Approved Cost: $18,259,750

Determination: Approved, 11/16/2009

Extended Implementation Date: 1/4/2011

2008086 Rockdale Medical Center Development of Outpatient Imaging Center Request to extend mandatory completion date Site: 1301 Sigman Road, Conyers (Rockdale) Project Approved: 12/19/2008 Request Received: 11/19/2009 Contact: Debra Armstrong, COO (770) 918-3877 Approved Cost: $2,298,184 Determination: Approved, 11/19/2009

Extended Completion Date: 12/31/2010

2008020 Surgery Center of Athens, LLC Establish a Multi-Specialty Ambulatory Surgery Center (ASC) Request to extend mandatory implementation date
18

Site: 100 Alps Road, Athens (Clarke) Project Approved: 6/26/2008 Request Received: 11/24/2009 Contact: H. Thomas Scott, President (615) 383-7383 Approved Cost: $7,402,163 Determination: Approved, 11/30/2009

Extended Implementation Date: 12/26/2010

2007003 South Fulton Medical Center d/b/a Haven Behavioral Services of South Atlanta, LLC

Development of 26-Bed Hospital within a Hospital

Request to extend mandatory completion date

Site: 1170 Cleveland Avenue, Atlanta (Fulton)

Project Approved: 1/9/2009

Request Received: 12/1/2009

Contact: Robert C. Threlkeld, Attorney (404) 504-7757

Approved Cost: $639,177

Determination: Approved, 12/3/2009

Extended Completion Date: 1/18/2011

2008084 Phoebe Putney Memorial Hospital, Inc.

Acquisition of Robotic Surgery System

Request to extend performance period

Site: 417 Third Avenue, Albany (Dougherty)

Project Approved: 1/7/2009

Request Received: 12/7/2009

Contact: Lori Jenkins, Manager, Planning (229) 312-1000

Approved Cost: $1, 850, 000

Determination: Approved, 12/8/2009

Extended Completion Date: 1/7/2011

2007097 Fairhaven Assisted Living Center, L.P. Increase PCH Bed Capacity from 65-Beds to 100-Beds Request to extend performance period Site: 1550 Glynco Parkway, Brunswick (Glynn) Project Approved: 1/24/2008 Request Received: 12/14/2009 Contact: Kelly Elbiltagy, President of General Partner (912) 280-0078 Approved Cost: $2,982,590 Determination: Pending

Need Projection Analyses Updated 09/25/2009
Current Status of Official Division of Health Planning Need Projection Analyses and Other Data Resources Need Projections and Maps for CON Regulated Services 2014 Non-Special MegaVoltage Radiation Therapy - 7/2/2009 2014 Positron Emission Tomography Services - 6/22/2009 2014 Ambulatory Surgery Center Services - 9/22/2009 2012 Home Health Agency Services - 9/18/2009 2014 Inpatient Physical Rehabilitation Services - 9/21/2009 2014 Neonatal Intensive Care Beds - 9/23/2009 2014 Neonatal Intermediate Care Beds - 9/23/2009 2014 Obstetric Services Beds - 9/23/2009
19

2012 Skilled Nursing Home Beds - 9/18/2009 Non-Batched Need Projections 2014 Cardiac Catheterization Labs - Updated 4/1/2009 2014 Long Term Care Hospital Beds - 4/1/2009 2014 Short Stay Hospital Beds Facility-specific projections on an ad hoc basis using 2006 utilization

Non-Filed or Incomplete Division of Health Planning
Facility Surveys for Most Recent 3 Years (Survey Status as of December 15, 2009)
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 2006 thru 2008)

Charlton Memorial Hospital

Charlton

2006

Dorminy Medical Center

Ben Hill

2008

Flint River Community Hospital

Macon

2006

Georgia Regional Hospital @ Savannah

Chatham

2006

Georgia Regional Hospital @ Savannah

Chatham

2007

Georgia Regional Hospital @ Savannah

Chatham

2008

Gwinnett Medical Center

Gwinnett

2008

Hillside Hospital

Fulton

2006

Inner Harbour Hospital

Douglas

2008

Kindred Hospital-Atlanta

Fulton

2006

Kindred Hospital-Atlanta

Fulton

2007

Kindred Hospital-Atlanta

Fulton

2008

Liberty Regional Medical Center

Liberty

2007

Liberty Regional Medical Center

Liberty

2008

Lower Oconee Community Hospital Inc.

Wheeler

2006

Macon Behavioral Health System

Bibb

2008

Monroe County Hospital

Monroe

2008

Morgan Memorial Hospital

Morgan

2008

Mountain Lakes Medical Center

Rabun

2006

Northeast Georgia Medical Center

Hall

2008

Northwest Georgia Regional Hospital

Floyd

2008

Phoebe Putney Memorial Hospital

Dougherty

2008

Select Specialty Hospital of Augusta

Richmond

2006

Southwestern State Hospital

Thomas

2008

St. Simons-By-The-Sea

Glynn

2008

Stewart Webster Hospital

Stewart

2006

Stewart Webster Hospital

Stewart

2007

Stewart Webster Hospital

Stewart

2008

SummitRidge Center - Psychiatry & Addictive Medicine Gwinnett

2008

Sumter Regional Hospital East

Sumter

2007

Sumter Regional Hospital East

Sumter

2008

Sumter Regional Hospital, Inc.

Sumter

2006

Union General Hospital

Union

2008

Wayne Memorial Hospital

Wayne

2007

Wayne Memorial Hospital

Wayne

2008

Survey Due
2/29/2008 9/18/2009 2/29/2008 2/29/2008 3/13/2009 9/18/2009 9/18/2009 2/29/2008 9/18/2009 2/29/2008 3/13/2009 9/18/2009 3/13/2009 9/18/2009 2/29/2008 9/18/2009 9/18/2009 9/18/2009 2/29/2008 9/18/2009 9/18/2009 9/18/2009 2/29/2008 9/18/2009 9/18/2009 2/29/2008 3/13/2009 9/18/2009 9/18/2009 3/13/2009 9/18/2009 2/29/2008 9/18/2009 3/13/2009 9/18/2009

20

Annual Nursing Home Questionnaire (Survey Years 2007 thru 2009)

Buckhead Health & Rehabilitation

Fulton

2007

Carl Vinson Skilled Nursing Home

Laurens

2009

Folkston Park Care and Rehabilitation Center

Charlton

2009

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 Fountain City Care and Rehabilitation

Floyd Floyd Glynn Muscogee

2007 2007 2007 2009

Golden Living Center - Augusta

Richmond

2009

Golden Living Center - Northside

Fulton

2009

Golden Living Center - Tifton

Tift

2009

Magnolia Manor of Saint Simons Nursing and Rehabilitation Center McRae Manor Nursing Home

Glynn Telfair

2009 2009

Meadowbrook Health Care

DeKalb

2008

Parkwood Living Center, LLC

Gwinnett

2009

Riverview Health & Rehabilitation Center, Inc.

Chatham

2009

Southwestern Development Center

Thomas

2009

Warner Robins Rehabilitation Center

Houston

2009

Cardiac Catheterization Services Survey (Survey Years 2006 thru 2008)
All surveys filed for most recent 3 years.

Freestanding Ambulatory Surgery Services Survey (Survey Years 2006 thru

Academy Orthopedics, Llc

FORSYTH

2008

Afa Ambulatory Surgery Center

BIBB

2008

Affinity Outpatient Service

Tift

2007

Affinity Outpatient Service

Tift

2008

Ambulatory Foot & Leg Surg Ctr

COBB

2008

Ambulatory Laser & Surgery Ctr

CLAYTON

2008

Ambulatory Plastic Surgery Center, Inc

MUSCOGEE

2008

Associates Physicians Asc

BIBB

2008

Athens Plastic Surgery Center

CLARKE

2008

Atlanta Aesthetic Surgery Center

Fulton

2008

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

Fulton Fulton

2006 2006

Atlanta Eye Surgery Center at Omni West

Fulton

2007

Atlanta Plastic & Reconst Surg

FULTON

2008

Atlanta Surgicenter

Fulton

2006

Atlanta Women's Medical Center

Fulton

2006

Atlanta Women's Medical Center

Fulton

2007

Augusta Retina-laser Surgi Care

Richmond

2008

Bowman Pain Management, Pc

BIBB

2008

Buckhead Facial Plastic Surgery

FULTON

2008

Center For Pl & Recon Surgery Clayton Cataract and Laser Surgery Center

CLARKE Clayton

2008 2008

Clayton Outpatient Surg Ctr

CLAYTON

2008

Cobb Endoscopy Center, Llc

COBB

2008

Columbus Women's Health Organization, Inc.

Muscogee

2006

Columbus Women's Health Organization, Inc.

Muscogee

2007

Day Surgery And Recovery Ctr

WHITFIELD

2008

Digestive Healthcare Of Ga Endoscopy Ctr

FULTON

2008

Endoscopy Center, Llc, The

CHATHAM

2008

Endoscopy Consultants, Llc

FULTON

2008

Ent Surgical Center

CHATHAM
21

2008

8/15/2007 9/18/2009 9/18/2009 8/15/2007
8/15/2007
8/15/2007
9/18/2009 9/18/2009 9/18/2009 9/18/2009 9/18/2009
9/18/2009 10/31/2008
9/18/2009 9/18/2009 9/18/2009 9/18/2009
7/31/2009 7/31/2009 10/3/2008 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 4/13/2007
4/13/2007 10/3/2008 7/31/2009 4/13/2007 4/13/2007 10/3/2008 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 4/13/2007 10/3/2008 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009

Eye Surgery Center Of Albany, Llc Eyesight's Laser & Surgery Ctr Foot & Ankle Surgery Ctr, Llc, The Forsyth Surgical Center, Inc. Friendship Surgery Center Ga Urology, Pa Rockdale Ambulatory Surgery Ctr Gastrointestinal Endoscopy Of Gwinnett Georgia Surgical Centers- South Georgia Surgical Ctrs Of N Ga Gwinnett Endoscopy Center Lawrenceville Surgery Center Lowndes County Ambulatory Surg Metro Atlanta Endoscopy Midtown Endoscopy Center, Llc Midtown Urology Surgical Center Newnan Foot & Ankle Surgery Center, Llc North Atlanta Endoscopy Center North Atlanta Orthopaedic Surgery Center, LLC North Fulton Diagnostic Gastrointestinal Center North Georgia Endoscopy Center, Inc North Georgia Eye Surgery Center, Llc Northern Crescent Endoscopy Northview Orthopaedic Surgery Center Piedmont Eye Plastic Surgery Ctr Land, The Podiatric Surgi Center Premier Surgery Center Pulliam Ambulatory Surg Ctr Rome Endoscopy Ctr Inc, The Rome Foot And Ankle Surgery Center Rome Surgical Center, P C Roswell Center for Foot and Ankle Surgery Roswell Surgery Center, L.l.c. Samson Pain Center, Pc Savannah Medical Clinic Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Pain Center, Llc Savannah Plastic Surgicenter, Inc. South Georgia Surgery Center South Georgia Surgery Center ( Brunswick ) Southeastern Pain Ambulatory Surgery Center, Llc Southern Crescent Endoscopy Southern Crescent Plastic Surg Surgical Centers of Georgia Universal Ambulatory Surgery Center, P C Urology Center Of Georgia Llc Urology Surgical Partners, Llc Valdosta Foot & Ankle Surgery West Georgia Endoscopy Center, Llc West Metro Endoscopy Center, Llc Woodstock Endoscopy Ctr, Llc

DOUGHERTY HOUSTON MUSCOGEE FORSYTH HALL ROCKDALE GWINNETT CLAYTON GORDON GWINNETT GWINNETT LOWNDES FULTON FULTON FULTON COWETA Fulton Fulton FULTON CHEROKEE HALL FULTON LUMPKIN FULTON CHATHAM DEKALB Glynn NEWTON FLOYD FLOYD FLOYD Fulton FULTON CHEROKEE Chatham Chatham
Chatham
CHATHAM Chatham Ware GLYNN FULTON HENRY HENRY Bibb MUSCOGEE BIBB FULTON LOWNDES CARROLL DOUGLAS CHEROKEE

Home Health Agency Survey (Survey Years 2006 thru 2008)

22

2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2006 2006 2008 2008 2008 2008 2008 2008 2008 2008 2006 2008 2008 2008 2008 2008 2008 2008 2006 2006
2007
2008 2006 2008 2008 2008 2008 2008 2006 2008 2008 2008 2008 2008 2008 2008

7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 4/13/2007 4/13/2007 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 4/13/2007 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 4/13/2007 4/13/2007
10/3/2008
7/31/2009 4/13/2007 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 4/13/2007 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009

Appalachian Home Health Care Appalachian Home Health Care Appalachian Home Health Care Southside Healthcare Home Health

Union Union Union DeKalb

2006 2007 2008 2006

Hospital Financial Survey (Survey Years 2006 thru 2008)

Charlton Memorial Hospital

Charlton

Devereux Georgia Treatment Network

Cobb

Flint River Community Hospital

Macon

Hutcheson Medical Center

Catoosa

Jasper Memorial Hospital

Jasper

Kindred Hospital-Atlanta

Fulton

Kindred Hospital-Atlanta

Fulton

Liberty Regional Medical Center

Liberty

Lower Oconee Community Hospital Inc.

Wheeler

Macon Behavioral Health System

Bibb

Riverwoods Southern Regional Psychiatric Center

Clayton

Riverwoods Southern Regional Psychiatric Center

Clayton

Southern Regional Medical Center

Clayton

Stewart Webster Hospital

Stewart

Stewart Webster Hospital

Stewart

Taylor Telfair Regional Hospital

Telfair

Taylor Telfair Regional Hospital Trinity Hospital of Augusta

Telfair Richmond

Wayne Memorial Hospital

Wayne

Wayne Memorial Hospital

Wayne

Wesley Woods Geriatric Hospital

DeKalb

Wildwood Lifestyle Center & Hospital

Dade

Willingway Hospital

Bulloch

2006 2008 2006 2006 2007 2006 2007 2006 2008 2008 2007 2008 2008 2007 2008 2006 2007 2006 2007 2008 2008 2006 2006

Open Heart Surgery Services Survey (Survey Years 2006 thru 2008)
All surveys filed for most recent 3 years.

Personal Care Home Survey (Survey Years 2006 thru 2008)

Arbor Terrace at Cascade

Fulton

Arbor Terrace at Crabapple

Fulton

Aspen Renaissance on Peachtree - PCH

Fulton

Augusta Gardens Retirement Residence

Richmond

Autumn Breeze PCH

Hall

Autumn Village PCH

Butts

Beacon Pointe

Bibb

Belair at Macon, The

Bibb

Benton House of Dublin

Laurens

Bethel Gardens

Cobb

Brighton Gardens of Vinings

Cobb

Cameron Hall of Ellijay

Gilmer

Campbell-Stone Personal Care Home

Fulton

Campbell-Stone Personal Care Home

Fulton

Carestone at Mount Zion

Clayton

Carestone At Milford Chase PCH

Cobb

Carriage House of Southern Plantation, Inc.

Walton

Cedar Hill Senior Living Community

Polk

Cordelia Manor PCH

Crisp

Country Gardens Assisted Living PCH

Fulton

Country Gardens Assisted Living PCH

Fulton

Country Gardens Assisted Living PCH

Fulton

2008 2008 2008 2008 2008 2007 2008 2008 2008 2008 2008 2008 2007 2008 2008 2008 2008 2008 2008 2006 2007 2008

23

4/13/2007 10/10/2008
8/7/2009 4/13/2007
3/14/2008 9/30/2009 3/14/2008 3/14/2008 3/27/2009 3/14/2008 3/27/2009 3/14/2008 9/30/2009 9/30/2009 3/27/2009 9/30/2009 9/30/2009 3/27/2009 9/30/2009 3/14/2008 3/27/2009 3/14/2008 3/27/2009 9/30/2009 9/30/2009 3/14/2008 3/14/2008
6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 8/15/2007 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 8/15/2007 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 9/15/2006 8/15/2007 6/5/2009

Country Gardens Senior Living Country Gardens Senior Living Courtyard Gardens AL & Memory Care Community Cypress Court at Decatur Day Break Village at Kennesaw Dogwood Forest at Eagles Landing Dogwood Forest of Alpharetta Dogwood Forest of Fayetteville Dogwood Forest of Gainesville Eden Gardens at East Cobb Edenbrook-Buckhead, LP Elmcroft of Roswell Fairhaven Assisted Living Residence GA Heritage of Brookstone Garrison Home for Personal Care Gentilly Gardens of Stateboro GoldenCrest Assisted Living GoldenCrest at Eagle's Landing Governor's Glen Assisted Living Community Grace Assisted Living Home of Douglasville Habersham House-Senior Residence Heritage Hills Alzheimers's Special Care John-Wesley Villas - Chatham Jonesboro Assisted Living Center Lake Pointe AL & Memory Care Community Magnolia Manor of Saint Simons Assisted Living Magnolia Place of Cairo Magnolias, The Mann House, The Mary and Martha's Personal Care Medlock Gardens Merrill Gardens at Dunwoody Merrill Gardens at Roswell Merryvale Personal Care Residence Mews Assisted Living of Social Circle Morningside of Athens Morningside of Conyers Mt Carmel PCH Noble Village Gwinnett LLC Northlake Gardens Oakbridge Terrace at Lanier Village Estates Oaks at Post Road Assisted Living, The Oaks at Riverstone Assisted Living, The Park Regency Peachtree Village Plantation Manor Plantation South - Duluth Plantation South of Dunwoody Premier Memory Care Residence of Cedartown Roman Court Assisted Living Roosevelt Place, The Sandy Springs Assisted L iving Savannah Cottage of Chatham Shadow Moss Plantation Shadow Moss Plantation

Gwinnett Gwinnett Gwinnett DeKalb Cobb Henry Fulton Fayette Hall Cobb Fulton Fulton Glynn Cobb Henry Bulloch Clayton Henry Clayton Douglas Chatham Muscogee Chatham Clayton Hart Glynn Grady Rockdale Fulton Walker DeKalb DeKalb Fulton Newton Walton Clarke Rockdale Henry Gwinnett DeKalb Hall Forsyth Cherokee Colquitt Jackson Thomas Gwinnett DeKalb Polk Floyd Meriwether Fulton Chatham Chatham Chatham
24

2006 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2006 2007

9/15/2006 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009
9/15/2006 8/15/2007

Shadow Moss Plantation Sheridan Senior Living Silverleaf Alzheimer's Care of Athens Silverleaf Alzheimer's Care of Snellville Somerby of Alpharetta Southern Pines Retirement Community Southern Plantation Spanish Oaks Retreat, Inc Spring Harbor at Green Island Stone Mountain Estates AL & Memory Care Community Summer's Landing Summer's Landing Summer's Landing of Warner Robbins Sunbridge Senior Residence for Griffin Sunrise of Tucker Sunrise Assisted Living of Augusta Sunrise Assisted Living of Dunwoody Sunrise at Ivey Ridge Sunrise at Webb Gin Sunrise of East Cobb Sunrise of West Cobb. Sweetwater Springs Retirement - PCH The Gardens of Roswell Trillium Village Veranda At Hembree Pointe, The Waldrop Assisted Living Waterford Gardens White Oaks at Lanier PCH White Oaks at Lanier PCH White Oaks at Lanier PCH Winnwood Retirement Community

Chatham Laurens Clarke Gwinnett Fulton Thomas Walton Chatham Muscogee Gwinnett Coffee Toombs Houston Spalding Gwinnett Richmond DeKalb Fulton Gwinnett Cobb Cobb Douglas Fulton Muscogee Fulton Bartow DeKalb Forsyth Forsyth Forsyth Cobb

2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2007 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2006 2007 2008 2008

Positron Emission Tomography Services Survey (Survey Years 2006 thru 2008)

Battlefield Imaging Center

Catoosa

2007

Battlefield Imaging Center

Catoosa

2008

Georgia Institute for Lung Cancer Research, Inc. (c/o

Fulton

2008

Alliance Imaging)

P.E.T. Scans of America Corporation - Year 2000 Unit Fulton

2008

(c/o Allicance Imaging)

P.E.T. Scans of America Corporation - Year 2001 Unit Fulton

2008

(c/o Allicance Imaging)

Radiation Therapy Services Survey (Survey Years 2006 thru 2008)

Central Georgia Radiation Oncology Center - Bibb

Bibb

2008

Central Georgia Radiation Oncology Center - Houston Houston

2007

Central Georgia Radiation Oncology Center - Houston Hutcheson Medical Center

Houston Catoosa

2008 2008

Northeast Georgia Cancer Care

Clarke

2008

6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 8/15/2007 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 9/15/2006 8/15/2007 6/5/2009 6/5/2009
1/16/2009 8/7/2009 8/7/2009
8/7/2009
8/7/2009
8/7/2009 1/16/2009
8/7/2009 8/7/2009 8/7/2009

25

Indigent Charity Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years
(Commitment status as of 12/15/2009)
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

County

Year Shortfall Due Service

Albany Endoscopy Center Gainesville Surgery Center North Oak Ambulatory Surgery Center, Llc Savannah Outpatient Foot and Ankle Surgery Center, LLC Summerville Surgical Center Surgery Center, LLC, The 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 Camellia Home Health Careone Home Health Services, Inc. (Toombs) Caresouth Homecare Professionals 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, Chattahoochee Valley Home Health, Chattahoochee Valley Home Health, Community Home Health, an Amedisys Company CSRA Home Health- Columbia, Inc. CSRA Home Health- Columbia, Inc. Englewood Health Systems, Arlington Floyd HomeCare Gentiva Health Services - Atlanta Gentiva Health Services - Atlanta Gentiva Health Services - Atlanta Gentiva Health Services - Savannah Gentiva Health Services - Savannah Georgia Home Health Services, Inc., High Shoals Georgia Home Health Services, Valdosta Georgia Home Health Services, Valdosta Georgia Home Health Services, Valdosta Gordon Home Care 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

Dougherty Hall LOWNDES Chatham

2008 2008 2008 2008

Richmond Muscogee Franklin Franklin Newton Bibb Lowndes Cobb Toombs Hall Hall Elbert Muscogee Douglas

2008 2008 2006 2008 2008 2008 2008 2008 2008 2007 2008 2008 2008 2008

Brantley Muscogee Muscogee Muscogee Cherokee McDuffie McDuffie Calhoun Floyd Fulton Fulton Fulton Chatham Chatham Oconee Lowndes Lowndes Lowndes Gordon Clarke Oconee Oconee Hall Hall Hall Fulton Fulton

2008 2006 2007 2008 2008 2007 2008 2007 2008 2006 2007 2008 2007 2008 2008 2006 2007 2008 2008 2006 2007 2008 2006 2007 2008 2006 2007
26

22,637.01 60,220.46 16,830.22 63,987.36

Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center

744.46 118,639.50
24,786.58 342,825.43 214,673.39 369,149.60
71,436.47 17,184.35 76,874.74 123,172.12 146,715.76 224,038.55 100,400.27 826,827.27

Ambulatory Surgery Center Ambulatory Surgery Center 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

31,386.02 70,792.71 13,329.80 70,270.61 225,476.08 31,195.10 39,221.83
185.36 88,297.85 151,932.04 125,615.85 94,357.96 32,141.02 41,204.20
4,106.22 98,303.88
3,087.28 3,198.00
107.78 67,275.28 80,394.12 123,061.96 43,747.37 68,748.96 109,316.11 118,369.89 184,196.33

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

Guardian Home Care, LLC Healthfield Home Health of Atlanta Healthfield Home Health of Atlanta Healthfield Home Health of Atlanta Healthfield Home Health of Griffin Healthfield Home Health of Griffin Healthfield Home Health of Griffin Healthfield Home Health, Inc. Healthfield Home Health, Inc. Muscogee Home Health Agency Ogeechee Home Health Ogeechee Home Health Southside Healthcare Home Health Southside Healthcare Home Health Staff Builders Home Health Three Rivers Home Health of Bibb Three Rivers Home Health, Truetlen Tugaloo Home Health Agency an Amedisys Ultra Care of Georgia Ultra Care of Georgia United Home Care of Atlanta United Home Care of Cumming United Home Care of North Georgia VNA of Southwest Georgia, Inc. Focus By the Sea

Fulton DeKalb DeKalb Forsyth Spalding Spalding Spalding Fulton Fulton Muscogee Bulloch Bulloch DeKalb DeKalb Fulton Bibb Treutlen Hall Muscogee Muscogee Gwinnett Forsyth Hall Decatur Glynn

2008 2006 2007 2008 2006 2007 2008 2007 2008 2007 2007 2008 2007 2008 2008 2008 2008 2008 2007 2008 2008 2008 2008 2008 2006

312,705.50 47,354.47 36,359.62 64,346.81 23,443.09 11,170.79 35,481.79
252,058.52 708,840.78
1,760.14 37,826.03 107,582.54
4,552.32 3,909.18 387,507.97 75,623.21
81.83 505,269.70
27,315.39 27,746.82 149,965.04 59,747.85 115,987.15 26,842.90 30,995.33

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 Home Health Agency Home Health Agency Hospital

27

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.
28

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

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 9/25/2009 on DCH Website
Fall Batching Review Cycle Notifications

Ambulatory Surgery Home Health Agencies
Obstetrical Services

Neonatal Intermediate Services Neonatal Intensive Care Services Comprehensive Inpatient Physical Rehabilitation Services Skilled Nursing Facilities/Intermediate Care Facilities

29

BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW ACTIVITIES
SUMMER CYCLE

Batching Notice
(June 22, 2009)

Application Day
(application complete when
submitted; review cycle begins same
day)
(due by 12 noon August 21, 2009)

75th Day
(applicant provides additional information)
(November 3, 2009)

100th Day
(last day for letters of support to be submitted to Department)
November 28, 2009 (due Monday, November 30, 2009)

120th Day
(Department Issues
decision)
(December 18, 2009)

Letter of Intent
(due by 5pm July 22, 2009)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(October 19, 2009)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(November 18, 2009)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(December 8, 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)

30

BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW ACTIVITIES
FALL CYCLE

Batching Notice
(September 25, 2009)

Application Day
(application complete when
submitted; review cycle begins same
day)
(due by 12 noon November 24, 2009)

75th Day
(applicant provides additional information)
(February 6, 2010)

100th Day
(last day for letters of support to be submitted to
Department)
(March 3, 2010)

120th Day
(Department Issues
decision)
(March 23, 2010)

Letter of Intent
(due by 5pm October 25, 2009) (Rollover Date: October 26, 2009)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(January 22, 2010)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(February 21, 2010)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(March 13, 2010)

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)

31

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)

32

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).
These reports will not be due to the Department until the survey instrument has been issued. The survey instrument for ambulatory surgery services is now complete. Further information will be forthcoming by mail. The survey instrument for imaging centers is expected to be released on or before July 1, 2009.
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.
33

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

Legislation - Senate Bill 433
Senate Bill 433 as passed April 4, 2008

Effective September 30, 2009, requests for extensions of either the mandatory implementation date or the mandatory completion date of approved CONs must be submitted via the form now available on the Department of Community Health website Certificate of Need Performance Extension Request Form.

34