Certificate-of-need tracking and appeals report [June 30, 2009]

Letters of Intent
Expired 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Applications Withdrawn Appealed CON Projects Requests for LNR for Establishment of Physician-Owned Ambulatory
Surgery Facilities
Requests for LNR for Diagnostic or Therapeutic Equipment
Requests for Miscellaneous Letters of Determination
Requests for Extended Implementation/Performance Period
Need Projection Analyses Non-Filed or Incomplete Surveys
Indigent-Charity Shortfalls
Recent Legislation Affecting CON
New Batching Review Summer Batching Notifications 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
June 23, 2009 June 30, 2009
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

2009-042 Doctors Hospital

Acquisition of a da Vinci Si HD Surgical System

Received: 6/1/2009

Application must be submitted on: 7/1/2009

Site: 3651 Wheeler Road, Augusta, GA 30909 (Richmond County)

Estimated Cost: $1,750,000

2009-043 Northside Hospital, Inc.

Vertical Expansion at Northside Hospital - Forsyth

Received: 6/5/2009

Application must be submitted on: 7/6/2009

Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County)

Estimated Cost: $6,700,000

2009-044 Ty Cobb Regional Medical Center, LLC

New Hospital

Received: 6/10/2009

Application must be submitted on: 7/10/2009

Site: Clear Creek Road & I-85, Lavonia, GA 30553 (Franklin County)

Estimated Cost: $72,340,819

2009-045 Grady Memorial Hospital

Expansion of the Emergency Department

Received: 6/12/2009

Application must be submitted on: 7/13/2009

Site: 80 Jesse Hill, Jr. Drive, SE, Atlanta, GA 30303 (Fulton County)

Estimated Cost: $10,000,000

2009-046 St. Mary's Health Care System, Inc.

Intuitive Surgical da Vinci Si System

Received: 6/18/2009

Application must be submitted on: 7/20/2009

Site: 1230 Baxter Street, Athens, GA 30606 (Clarke County)

Estimated Cost: $2,346,000

2009-047 Cancer Treatment Center of America of the Southeast, Inc.

A New Destination Cancer Treatment Hospital

Received: 6/19/2009

Application must be submitted on: 7/20/2009

Site: Exhibit B, Newnan, GA 30000 (Coweta County)

Estimated Cost: $179,767,423

Expired Letters of Intent
None

New Applications
none
Pending Review/Incomplete Applications
none
Pending Review/Complete Applications
2008-143 St. Joseph's Hospital Acquisition and Replacement of a Siemens Axion Zee Biplane System Filed: 1/22/2009 Deemed Incomplete: 2/5/2009 Deemed Complete: 3/23/2009 60th Day Deadline: 5/22/2009 Decision Deadline: 7/21/2009 Site: 11705 Mercy Boulevard, Savannah, GA 31419 (Chatham County) Contact: John R. Salandi 912-819-2498 Estimated Cost: $2,500,000
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2009-003 The Medical Center Renovation and Expansion of the Emergency Department Filed: 2/12/2009 Deemed Incomplete: 2/26/2009 Deemed Complete: 3/18/2009 60th Day Deadline: 5/17/2009 Decision Deadline: 7/16/2009 Site: 710 Center Street, Columbus, GA 31902 (Muscogee County) Contact: Donald E. Elder 706-571-1000 Estimated Cost: $24,873,606
2009-020 Spalding Regional Medical Center Expand and Renovate the ER and Laboratory Departments Filed: 2/27/2009 Deemed Incomplete: 3/13/2009 Deemed Complete: 3/30/2009 60th Day Deadline: 5/29/2009 Decision Deadline: 7/28/2009 Site: 601 South Eighth Street, Griffin, GA 30224 (Spalding County) Contact: John Quinn 770-229-6469 Estimated Cost: $9,996,548
2009-022 Morgan Memorial Hospital Build a 25-bed replacement hospital Filed: 3/6/2009 Deemed Complete: 3/20/2009 60th Day Deadline: 5/19/2009 Decision Deadline: 7/18/2009 Site: 1077 South Main Street, Madison, GA 30650 (Morgan County) Contact: Brandon W. Jolley, CEO 706-342-1667 Estimated Cost: $35,000,000
2009-024 Salem Imaging, LLC Establish MRI Imaging Center Filed: 3/18/2009 Deemed Complete: 4/1/2009 60th Day Deadline: 5/31/2009 Decision Deadline: 7/30/2009 Site: 1365 Rock Quarry Road,, Stockbridge, GA 30281 (Henry County) Contact: Freebie Ukpede, CEO 404-428-7061 Estimated Cost: $840,000
2009-025 Saint Joseph's Hospital of Atlanta, Inc. Intuitive da Vinci S 4 Arm Robotic Surgical System with HD vision Filed: 3/25/2009 Deemed Incomplete: 4/8/2009 Deemed Complete: 6/4/2009 60th Day Deadline: 8/3/2009 Decision Deadline: 10/2/2009 Site: 5665 Peachtree Dunwoody Road, NE, Atlanta, GA 30342 (Fulton County) Contact: Heather Dexter, VP of Surgical Services & Planning 678-843-7001 Estimated Cost: $1,925,000
2009-026 Saint Joseph's Hospital of Atlanta, Inc. To Expand Imaging Center by Creating a New Center with New Equipment Filed: 3/25/2009 Deemed Incomplete: 4/8/2009 Deemed Complete: 6/5/2009 60th Day Deadline: 8/4/2009 Decision Deadline: 10/3/2009 Site: 1100 Johnson Ferry Road NE, Atlanta, GA 30342 (Fulton County) Contact: Heather Dexter, VP of Surgical Services & Planning 678-843-7001 Estimated Cost: $2,379,599
2009-027 Perry Hospital Renovation and Replacement of Existing Facility Filed: 4/16/2009 Deemed Incomplete: 4/29/2009 Deemed Complete: 5/29/2009 60th Day Deadline: 7/28/2009 Decision Deadline: 9/26/2009 Site: 1120 Morningside Drive, Perry, GA 31069 (Houston County) Contact: David Campbell 478-988-1625 Estimated Cost: $3,801,899
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2009-029 The Emory Winship Cancer Institute Purchase MRI Filed: 5/8/2009 Deemed Incomplete: 5/19/2009 Deemed Complete: 6/10/2009 60th Day Deadline: 8/9/2009 Decision Deadline: 10/8/2009 Site: 1365-C Clifton Road, Atlanta, GA 30322 (DeKalb County) Contact: Toni Wimby 404-686-2450 Estimated Cost: $3,705,333
2009-031 CareOne Health Services, LLC New Home Health Agency for Sub-Saharan African Population- BATCHING Filed: 5/26/2009 Deemed Complete: 5/26/2009 60th Day Deadline: 7/23/2009 Decision Deadline: 9/21/2009 Site: 5405 Memorial Drive, Stone Mountain, GA 30083 (DeKalb County) Contact: Mohamud Abdi 404-808-6893 Estimated Cost: $88,250
2009-032 Duluth Medical Services, Inc. New Home Health Agency for Asian Population- BATCHING Filed: 5/26/2009 Deemed Complete: 5/26/2009 60th Day Deadline: 7/23/2009 Decision Deadline: 9/21/2009 Site: 3883 Rogers Bridge Road, Suite 304B, Duluth, GA 30097 (Gwinnett County) Contact: Nitin Bhise 678-592-4097 Estimated Cost: $42,503
2009-034 Cartersville Medical Center New Neonatal Intermediate Care Service- BATCHING Filed: 5/26/2009 Deemed Complete: 5/26/2009 60th Day Deadline: 7/23/2009 Decision Deadline: 9/21/2009 Site: 960 Joe Frank Harris Parkway, Cartersville, GA 30120 (Bartow County) Contact: Lori E. Rakes, FACHE 770-387-8181 Estimated Cost: $109,974
2009-037 Associates Surgery Center, Inc. Conversion to single specialty ASC - Ophthalmology- BATCHING Filed: 5/26/2009 Deemed Complete: 5/26/2009 60th Day Deadline: 7/23/2009 Decision Deadline: 9/21/2009 Site: 864 First Street, Macon, GA 31201 (Bibb County) Contact: Marvin Noles 478-741-6522 Estimated Cost: $1,000
Pending Review/Complete/Joined Applications
2009-036 Gwinnett Physicians Center Multi-Specialty, Freestanding Ambulatory Surgery Center- (Joined 039) BATCHING Filed: 5/26/2009 Deemed Complete: 5/26/2009 Joined: 5/26/2009 60th Day Deadline: 7/25/2009 Decision Deadline: 9/23/2009 Site: 631 Professional Drive, Lawrenceville, GA 30045 (Gwinnett County) Contact: Mark M. Mullin 678-312-4193 Estimated Cost: $8,106,763
2009-039 Plastikos Surgical Center Establish Multi-Specialty ASC- (Joined 036) BATCHING Filed: 5/26/2009 Deemed Complete: 5/26/2009 Joined: 5/26/2009 60th Day Deadline: 7/25/2009 Decision Deadline: 9/23/2009
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Site: 4370 Georgetown Square, Atlanta, GA 30338 (DeKalb County) Contact: Karen L. Vaughn, RN 770-457-4677 Estimated Cost: $97,400
Recently Approved Applications
2008-135 Medical College of Georgia Expansion of MCG Health Emergency Department Filed: 12/29/2008 Deemed Incomplete: 1/13/2009 Deemed Complete: 2/20/2009 60th Day Deadline: 4/21/2009 Decision Deadline: 6/20/2009 APPROVED: 6/19/2009 Site: 1120 15th Street, Augusta, GA 30912 (Richmond County) Contact: Sheila O'Neal, VP, Strategic Support 706-721-7406 Estimated Cost: $5,375,929
2008-142 Crisp Regional Hospital Expansion of Services by purchase of a Fixed 1.5 Magnet MRI Machine Filed: 1/21/2009 Deemed Incomplete: 2/4/2009 Deemed Complete: 2/12/2009 60th Day Deadline: 4/13/2009 Decision Deadline: 6/12/2009 APPROVED: 6/11/2009 Site: 902 7th Street North, Cordele, GA 31015 (Crisp County) Contact: Charlotte Vestal 229-276-3297 Estimated Cost: $1,275,146
2009-002 Grady Memorial Hospital Development of Neurosciences Center at Grady Memorial Hospital Filed: 2/9/2009 Deemed Complete: 2/23/2009 60th Day Deadline: 4/24/2009 Decision Deadline: 6/23/2009 APPROVED: 6/23/2009 Site: 80 Butler Street, SE, Atlanta, GA 30303 (Fulton County) Contact: Craig Tindall, Sr VP, Operations and Facilities 404-616-3343 Estimated Cost: $15,352,189
2009-004 Hamilton Medical Center Acquisition of a da Vinci Surgical System Filed: 2/13/2009 Deemed Complete: 2/27/2009 60th Day Deadline: 4/28/2009 Decision Deadline: 6/27/2009 APPROVED: 6/26/2009 Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County) Contact: John Bowling 706-226-3003 Estimated Cost: $1,738,000
2009-005 Flint River Recovery Center for Children and Adolescents New Freestanding Pediatric Behavioral Health Facility BATCHING Filed: 2/20/2009 Deemed Complete: 2/20/2009 60th Day Deadline: 4/21/2009 Decision Deadline: 6/20/2009 APPROVED: 6/19/2009 Site: 1939 McAdams Road, Albany, GA 31721 (Dougherty County) Contact: William W. Calhoun, Langley and Lee, LLC 229-431-2249 Estimated Cost: $21,325,525
2009-006 Berrien County Hospital Establishment of New 12-Bed Inpatient Adult Psychiatric Unit BATCHING Filed: 2/20/2009 Deemed Complete: 2/20/2009 60th Day Deadline: 4/21/2009 Decision Deadline: 6/20/2009
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APPROVED: 6/19/2009 Site: 1221 E. McPherson Avenue, Nashville, GA 31639 (Berrien County) Contact: James D. Janek, CEO 404-656-0655 Estimated Cost: $200,000
2009-007 North Fulton Regional Hospital New Mobile PET/CT Services in Roswell BATCHING Filed: 2/20/2009 Deemed Complete: 2/20/2009 60th Day Deadline: 4/21/2009 Decision Deadline: 6/20/2009 APPROVED: 6/19/2009 Site: 3000 Hospital Boulevard, Roswell, GA 30076 (Fulton County) Contact: Ron Henry, Chief Development Officer 770-751-2511 Estimated Cost: $0
2009-009 Gwinnett Medical Center - Lawrenceville Convert Mobile PET/CT Service to Fixed PET/CT Unit BATCHING Filed: 2/20/2009 Deemed Complete: 2/20/2009 60th Day Deadline: 4/21/2009 Decision Deadline: 6/20/2009 APPROVED: 6/19/2009 Site: 1000 Medical Center Boulevard, Lawrenceville, GA 30045 (Gwinnett County) Contact: Mark M. Mullin 678-312-4193 Estimated Cost: $3,798,042
2009-011 South Fulton Medical Center Develop 20-bed Psychiatric and Substance Abuse Services BATCHING Filed: 2/20/2009 Deemed Complete: 2/20/2009 60th Day Deadline: 4/21/2009 Decision Deadline: 6/20/2009 APPROVED: 6/19/2009 Site: 1170 Cleveland Avenue, East Point, GA 30344 (Fulton County) Contact: Yvonne Despard 404-466-1118 Estimated Cost: $398,769
2009-012 The Medical Center Acquisition of a PET/CT Scanner BATCHING Filed: 2/20/2009 Deemed Complete: 2/20/2009 60th Day Deadline: 4/21/2009 Decision Deadline: 6/20/2009 APPROVED: 6/19/2009 Site: 710 Center Street, Columbus, GA 31902 (Muscogee County) Contact: Donald E. Elder 706-660-6342 Estimated Cost: $3,037,406
Recently Denied Applications
none
Applications Withdrawn
2009-008 Stereotactic Radiation Oncology of Newnan. Loc New Freestanding CyberKnife Center BATCHING Filed: 2/20/2009 Deemed Complete: 2/20/2009 60th Day Deadline: 4/21/2009 Decision Deadline: 6/20/2009 WITHDRAWN: 6/3/2009 Site: 217 Millard Farmer Industrial Boulevard, Newnan, GA 30263 (Coweta County) Contact: Dr. Warner Ray, Manager 770-994-1650 Estimated Cost: $7,084,984
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2009-010 Hamilton Medical Center Acquisition of a PET/CT Scanner BATCHING Filed: 2/20/2009 Deemed Complete: 2/20/2009 60th Day Deadline: 4/21/2009 Decision Deadline: 6/20/2009 WITHDRAWN: 6/19/2009 Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County) Contact: Corey Roy 706-272-6529 Estimated Cost: $2,500,000
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
2007-071 Northside Hospital - Forsyth (Forsyth) 2007-083 North Georgia Radiation Oncology (Forsyth) 2007-084 Northeast Georgia Medical Center (Hall) 2007-085 Cancer Treatment Center of Forsyth County (Forsyth) 2007-071 Establish Radiation Therapy Services 2007-083 Expansion of Radiation Therapy Services 2007-084 Expansion of Radiation Therapy Services 2007-085 Establishment of Radiation Therapy Services Agency Decision: Northside Forsyth (2007071) and North Georgia Radiation Oncology (2007083), approved, 1/11/2008; Northeast Georgia (2007084) and Cancer Treatment Center of Forsyth County, denied, 1/11/2008. Appealed By: Northeast Georgia appealed own denial, appealed approval of Northside Forsyth and North Georgia Radiation Oncology, requested intervention in any appeal involving denial of Cancer Treatment Center of Forsyth County 2/7/08; Northside Forsyth requested intervention in any appeal filed by other three applicants 2/7/08; North Georgia Radiation Oncology appealed approval of Northside Forsyth and requested intervention in any appeal filed by other applicants 2/7/08; East Georgia Radiation Holding Company, LLC and Northeast Georgia Cancer Care, LLC, non-applicant intervenor, requested intervention in opposition to Northeast Georgia 2/7/08. Request for Hearing withdrawn by Northwest Georgia Medical Center and East Georgia Radiation Holding Company, LLC, 3/20/2009. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: March 23, 2009, 5th Floor Hearing Decision: Hearing Officer issued decision affirming award of CON to Northside Hospital Forsyth and North Georgia Radiation Oncology, 6/1/2009.
2008-004 Gwinnett Medical Center (Gwinnett) Establish an Open Heart Surgery Program Agency Decision: approved, 6/5/2008. Appealed By: Emory University Hospital, Emory Crawford Long Hospital, and Piedmont Hospital , 7/3/2008. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: February 17-20, 2009, 5th Floor
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Hearing Decision: Hearing Officer reversed Department decision and denied CON to Gwinnett Medical Center, 5/18/2009. The applicant requested Commissioner Review of Hearing Officer's decision, 6/17/2009; the Department requested Commissioner Review of Hearing Officer's decision, 6/17/2009. Commissioner Review Decision: Due 7/17/2009
2008-008 Northside Hospital-Cherokee (Cherokee) To Develop Radiation Therapy Services Agency Decision: Approved, 06/26/2008 Appealed By: Rosa of Georgia dba Northlake Cancer Center, filed by Smith Moore 07/25/08 RCOG Cancer Center dba Cherokee Care Cancer Center filed by Epstein Becker, 07/22/08 Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: August 25-27, 2009, 34th Floor, 12:00PM.
2008-042 MCG Medical Associates Ambulatory Care Center (Columbia) Proposed New ASC with CT Agency Decision: Approved, 9/19/2008 Appealed By: University Health Services, Inc., 10/20/2008; Doctors Hospital Surgery Center, L.P. d/b/a Evans Surgery Center, 10/15/2008 Hearing Officer: 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.
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
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
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
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)
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: TBA
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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: TBA

Requests for LNR for Diagnostic or Therapeutic Equipment
LNR-EQT2009002 Open MRI & CT Specialists of Stockbridge Open MRI and CT Specialists of Stockbridge Request received: 1/9/2009 Contact Person: Tammy Karst 770-952-8899 Determination: Withdr/Appl Prior to Dec

LNR-EQT2009011 Sports Medicine Associates of Augusta, LLC

Fixed MRI

Request received: 3/23/2009

Contact Person: Trish Kinney 706-210-7529

Determination: Approved

Determination Date: 6/9/2009

LNR-EQT2009012 Piedmont Mountainside Hospital, Inc. CT Scanner and Bone Densitometer Request received: 3/26/2009 Contact Person: Davis Dunbar 404-788-3638 Determination: Pending

LNR-EQT2009013 Phoebe Putney Memorial Hospital, Inc.

Purchase a Fixed CT Scanner

Request received: 3/30/2009

Contact Person: Lori Jenkins 229-312-1432

Determination: Approved

Determination Date: 6/30/2009

LNR-EQT2009015 Forsyth Street Orthopaedic Surgery & Rehabiliation Center, P.C.

Magnetic Resonance Imaging - Fixed

Request received: 4/21/2009

Contact Person: Melissa Zediker 478-743-3000

Determination: Approved

Determination Date: 6/30/2009

LNR-EQT2009016 Satilla Health Services, Inc. dba Satilla Regional Medical Center

CT Scanner - Fixed

Request received: 4/22/2009

Contact Person: Windell R. Smith, COO 912-287-2500

Determination: Approved

Determination Date: 6/29/2009

LNR-EQT2009017 Cardiovascular Consultants of Georgia, P.C. Physician-Owned Cardiac PET Request received: 6/12/2009 Contact Person: Dennis P. Breslin 770-716-0051 Determination: Pending

LNR-EQT2009019 Augusta Urology Associates, LLC Fixed CT Scanner Request received: 6/24/2009 Contact Person: John Harper 706-650-1257 Determination: Pending

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

LNR-ASC2008025 CPM Surgery Center 2

Physician-Owned Pain Management Surgery Center

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

Number of OR's: 1

Specialty: pain management

Project costs as submitted: $480,499.07

Request received: 11/10/2008

Contact Person: Robin Betty 404-725-8786

Determination: Approved

Determination

6/10/2009

LNR-ASC2009001 MUS of Georgia, Inc.

Establishment of a Physician-Owned, Single Specialty

Site: 2950A Stone Hogan Connector, Atlanta, GA 30331

Number of OR's: 2

Specialty: Pain Management

Project costs as submitted: $55,478.74

Request received: 1/22/2009

Contact Person: Steven W. Greenberg 770-599-8888

Determination: Approved

Determination

6/2/2009

LNR-ASC2009002 AP Surgery Center, LLC

Physician Owned, Single Specialty Pain Management ASC

Site: 321 Interstate Parkway, Suite B, Augusta, GA 30309

Number of OR's:

Specialty: Pain Management

Project costs as submitted: $1,206,305.32

Request received: 1/30/2009

Contact Person: Robin Beatty 404-725-8786

Determination: Pending

LNR-ASC2009003 Interventional Spine and Pain Management Ambulatory Surgical

Physician-owned Single Specialty

Site: 5303-B Adams Street, Covington, GA 30014

Number of OR's:

Specialty: Pain Management

Project costs as submitted: $65,690.00

Request received: 3/19/2009

Contact Person: Crystal Blackwell 770-929-9033 Ext 15

Determination: Pending

LNR-ASC2009004 Windward Surgery Center, LLC

Physician-Owned, Single Specialty Ambulatory Surgery Center

Site: 12425 Morris Road, Alpharetta, GA 30004

Number of OR's:

Specialty: Pain Management

Project costs as submitted: $1,706,279.92

Request received: 5/5/2009

Contact Person: Brynne Goncher 404-504-7658

Determination: Pending

LNR-ASC2009005 Lane Dermatology and Dermatology Surgery, LLC

Single Specialty ASC

Site: 2301 Brookstone Centre Parkway, Suite 200, Columbus, GA 31904

Number of OR's:

Specialty: Dermatology and Dermatologic Surgery

Project costs as submitted: $0.00

Request received: 5/14/2009

Contact Person: Joshua E. Lane 706-322-1717

Determination: Pending

LNR-ASC2009006 Brookstone Surgical Center, LLC

Single Specialty ASC

Site: 1st floor of a two story building.

Number of OR's:

Specialty: General Surgery

10

Project costs as submitted: $0.00 Request received: 5/27/2009 Contact Person: Gayle R. Evans 770-794-4944 Determination: Pending

LNR-ASC2009007 Surgery Center of BJI, LLC

Physician-Owed, Single Specialty Ambulatory Surgery Center

Site: 1505 South Sunset Boulevard, Jesup, GA 31545

Number of OR's:

Specialty: Orthopaedic Surgery

Project costs as submitted: $2,348,888.95

Request received: 6/2/2009

Contact Person: Brynne R. Goncher 404-504-7658

Determination: Pending

LNR-ASC2009008 Georgia Eye Institute Surgery Center, LLC

Establishment of a Physician-Owned, Single Specialty, Office Based ASC

Site: 4720 Walters Avenue, Savannah, GA 31404

Number of OR's:

Specialty:

Project costs as submitted: $2,625,440.00

Request received: 6/5/2009

Contact Person: Kathy Hegan 912-629-5929

Determination: Pending

LNR-ASC2009009 Athens Gastroenterology Association, P.C.

Physician-Owned Single-Specialty (Gastroenterology) AmbSurg Center

Site: 3320 Old Jefferson Road, Bldg 40, Athens

Number of OR's:

Specialty:

Project costs as submitted: $3,455,197.00

Request received: 6/9/2009

Contact Person: Debbie Turman, Practice Manager 706-613-1625

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

DET2009015 North Georgia Eye Clinic P.C. Relocation of the 1016 Thompson Bridge Road Location Request received: 2/5/2009 Contact Person: Edward C. Luke, Jr. 770-951-8427 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: Pending

DET2009020 North Atlanta Scan Associates, Inc. Replacement of non-reviewable CT Scanner & Woodstock Location Request received: 2/10/2009 Contact Person: Guy Messer 770-692-2371 Determination: Non-reviewable as proposed Determination Date: 6/1/2009

DET2009027 The Physicians Pain & Rehabilitation Specialists of Georgia, P.C. Addition of a surgeon to Pain Management Practice with an LNR Request received: 2/27/2009 Contact Person: Robert Wildmon 404-816-3000 Ext 222
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Determination: Denied

Determination Date: 6/2/2009

DET2009028 SunCrest Home Health of Georgia, Inc. Transfer of Authorization to Serve County Request received: 3/2/2009 Contact Person: Barbara L. Rasmussen 770-427-2056 Determination: Non-reviewable as proposed Determination Date: 6/10/2009

DET2009030 GGNSC Tucker Briarwood LLC dba Golden Living Center Briarwood Relocation of 24 licensed SNF beds at Golden Center Request received: 3/5/2009 Contact Person: Judith Rollins 770-938-5740 Determination: Pending

DET2009031 Piedmont Surgery Center I, L.P. Provision of Orthopaedic Procedures Request received: 3/5/2009 Contact Person: Mikell Peed, Ph.D 478-405-2334 Determination: Non-reviewable as proposed Determination Date: 6/17/2009

DET2009033 Atlanta Surgery Center, Ltd Proposed Reallocation of Operating Rooms Request received: 3/17/2009 Contact Person: Nancy Qkula 404-303-9301 Determination: Pending

DET2009034 Coastal Harbor Treatment Center 10% Increase in bed capacity from 132 to 142 Request received: 3/24/2009 Contact Person: Ray Heckerman 912-354-3911 Determination: Non-reviewable as proposed Determination Date: 6/19/2009

DET2009035 Clary Care Center and Wilkinson Center Increase in Capacity Request received: 3/27/2009 Contact Person: Hayley Knight 706-886-0328 Determination: Non-reviewable as proposed Determination Date: 6/19/2009

DET2009036 Dorminy Medical Center Utilization of a Vacated Operating Room Request received: 3/27/2009 Contact Person: Warren M. Manley 229-424-7130 Determination: Non-reviewable as proposed Determination Date: 6/19/2009

DET2009037 MCG Health, Inc. Renovation of Pediatric Cancer Practice Site Request received: 3/30/2009 Contact Person: Sheila O'Neal 706-721-7406 Determination: Non-reviewable as proposed Determination Date: 6/19/2009

DET2009038 Phoebe Putney Memorial Hospital, Inc. CT Unit Replacement Request received: 3/30/2009 Contact Person: Lori Jenkins 229-312-1432 Determination: Non-reviewable as proposed Determination Date: 6/19/2009

DET2009040 The Oaks Nursing Home, Inc. Relocate 12 Nursing Home Beds Request received: 4/7/2009 Contact Person: W. Jule Windham 478-967-2223 Determination: Non-reviewable as proposed Determination Date: 6/22/2009

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DET2009041 Floyd Healthcare Management, Inc. New MOB Request received: 4/13/2009 Contact Person: Matt Gorman 706-509-3257 Determination: Non-reviewable as proposed Determination Date: 6/22/2009

DET2009042 Phoebe Sumter Medical Center Lease of Sumter Regional Hospital East Request received: 4/15/2009 Contact Person: Lori Jenkins 229-312-1432 Determination: Non-reviewable as proposed

Determination Date: 6/23/2009

DET2009043 Carnmore, LLC Sharing of Diagnostic Facility Request received: 4/20/2009 Contact Person: Randall O'Brien Determination: Denied

912-287-1231 Determination Date: 6/25/2009

DET2009044 Medical College of Georgia New School of Dentistry - Oral & Maxillofacial Operating Room Request received: 4/21/2009 Contact Person: Michael Ash 706-721-1018 Determination: Non-reviewable as proposed Determination Date: 6/26/2009

DET2009045 Tattnall Hospital Company, LLC d/b/a The Doctors Hospital of Tattnall Parking Lot, Repair/Replacement of Physical Plant Equipment Request received: 4/23/2009 Contact Person: Michael Kleinpeter 912-644-5370 Determination: Non-reviewable as proposed Determination Date: 6/26/2009

DET2009046 Hamilton Medical Center, Inc. Expansion of Diagnostic Cardiac Cath Lab Request received: 4/23/2009 Contact Person: Corey Roy 706-272-6477 Determination: Pending

DET2009047 South Georgia Medical Center Replacement of Linear Accelerator Request received: 4/28/2009 Contact Person: Bill Forbes 229-259-4175 Determination: Pending

DET2009048 Skidaway Health and Living Services, Inc./ The Marshes of Skidaway, LLC CCRC 15 Sheltered Nursing Home Bed Exemption Request received: 4/28/2009 Contact Person: Peter Wright 404-760-3433 Determination: Pending

DET2009049 Park Springs, LLC CCRC Sheltered Nursing Home Bed Exemption Request received: 4/29/2009 Contact Person: Kevin W. Isakson 770-417-1789 Determination: Pending

DET2009050 MedCross Imaging, P.C. Upgrade of Mobile MRI Unit Request received: 4/29/2009 Contact Person: Norman King 478-374-1366 Determination: Pending

DET2009051 Tenet HealthSystem GB, Inc. d/b/a Atlanta Medical Center Designation of Radiation Therapy Program as a DTRC
13

Request received: 4/30/2009 Contact Person: William Masteron 404-265-4301 Determination: Pending
DET2009052 Piedmont Hospital, Inc. Establish Hyperbaric Oxygen Therapy Services Request received: 5/6/2009 Contact Person: Davis Dunbar 404-788-3638 Determination: Pending
DET2009053 Floyd Healthcare Management Inc. d/b/a Floyd Medical Center Adult Therapeutic Cardiac Cathe w/o onsite OHS Backup Request received: 5/8/2009 Contact Person: Alison Land 706-509-3258 Determination: Pending
DET2009054 Satilla Health Services, Inc. d/b/a Satilla Regional Medical Center Replacement of CON-Approved MRI Unit Request received: 5/8/2009 Contact Person: Wendell R. Smith 912-827-2500 Determination: Non-reviewable as proposed Determination Date: 6/26/2009
DET2009055 Satilla Health Services, Inc. d/b/a Satilla Regional Medical Center Replacement of CON-Approved CT Scanner Request received: 5/8/2009 Contact Person: Windell R. Smith 912-287-2500 Determination: Pending
DET2009056 St. Mary's Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/11/2009 Contact Person: Janet Parham 706-389-3880 Determination: Pending
DET2009057 Houston hospitals, Inc. d/b/a Houston Medical Center CON Review Exemption - Cardiac Cath Request received: 5/12/2009 Contact Person: Cary Martin 478-542-7839 Determination: Pending
DET2009058 Fayette Community Hospital, Inc. d/b/a Piedmont Fayette Hospital Establish Therapeutic Cardiac Catheterization Service Request received: 5/15/2009 Contact Person: Davis Dunbar 404-355-6881 Determination: Pending
DET2009059 Cobb Hospital, Inc. d/b/a WellStar Cobb Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2009 Contact Person: Caroline Aultman 770-792-1542 Determination: Pending
DET2009060 Henry Medical Center, Inc. Perform Therapeutic Cardiac Catheterization in Hospital Request received: 5/15/2009 Contact Person: Charles F. Scott 678-604-1001 Determination: Pending
DET2009061 Hutcheson Medical Center, Inc. Provision of Therapeutic Cardiac Catheterization Services Request received: 5/15/2009 Contact Person: Charles L. Stewart 706-858-2101
14

Determination: Pending
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: Pending
DET2009063 Statesboro HMA, LLC d/b/a East Georgia Regional Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2009 Contact Person: Spencer Thomas 912-486-1500 Determination: Pending
DET2009064 Satilla Health Services, Inc. d/b/a Satilla Regional Medical Center Provision of Therapeutic Cardiac Catheterization Request received: 5/15/2009 Contact Person: Robert m. Trimm 912-287-2500 Determination: Pending
DET2009065 Tenet South Fulton, Inc. d/b/a South Fulton Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2009 Contact Person: Jeff Stanley 404-466-1114 Determination: Pending
DET2009066 Northside Hospital, Inc. Establishment of Therapeutic Cardiac Catheterization Service Request received: 5/15/2009 Contact Person: Brian J. Toporek 404-851-6821 Determination: Pending
DET2009067 Gwinnett Hospital System, Inc. d/b/a Gwinnett Medical Center Therapeutic Cardiac Catheterization Request received: 5/15/2009 Contact Person: Mark M. Mullin 678-312-4193 Determination: 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: Pending
DET2009069 Cartersville Medical Center, LLC d/b/a Cartersville Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2009 Contact Person: Keith Sandlin 770-387-8182 Determination: Pending
DET2009070 EHCA johns Creek, LLC d/b/a Emory Johns Creek Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2009 Contact Person: Greg Capies 678-474-7012 Determination: Pending
DET2009071 Zebulon Road Properties, LLC Relocation of 66 beds from Bel Arbor Health and Rehabilitation Request received: 5/21/2009 Contact Person: Stelling Nelson 478-314-1560 Determination: Pending
15

DET2009072 Hospital Authority of Stephens County d/b/a Stephens County Hospital replacement of MRI scanner Request received: 5/22/2009 Contact Person: Edward C. Gambrell, Jr. 706-282-4250 Determination: Pending

DET2009073 Atlanta Diagnostic Center, Inc. Replacement of CT and mobile to fixed MRI Request received: 5/26/2009 Contact Person: Dawn Lewis 770-479-4847 Determination: Pending

DET2009074 Saint Joseph's Hospital of Atlanta, Inc. Replacement of Electrophysiology Lab Request received: 5/26/2009 Contact Person: Heather Dexter 678-843-7001 Determination: Pending

DET2009075 Saint Joseph's Hospital of Atlanta, Inc. Replacement of Gamma Knife Request received: 5/26/2009 Contact Person: Heather Dexter 678-843-7001 Determination: Pending

DET2009076 Park Springs, LLC Conversion of 12 Personal Care Home beds to 18 new CCRC beds Request received: 5/27/2009 Contact Person: Kevin W. Isakson 770-417-1788 Determination: Pending

DET2009077 Piedmont Ambulatory Surgery Center West LLC Relocation of Ambulatory Surgery Center Request received: 5/27/2009 Contact Person: David Dunbar 404-788-3638 Determination: Pending

DET2009078 Northside Hospital - Cherokee, Inc. Operation of cardiac catheterization laboratory Request received: 5/28/2009 Contact Person: Brian T. Toporek, Senior Planner 404-851-6821 Determination: Pending

DET2009079 Gwinnett Medical Center - Duluth Replacement of Nuclear Imaging Unit Request received: 5/29/2009 Contact Person: Mark M. Mullin, Director - Planning & Development Determination: Pending

678-

DET2009080 Tift Regional Medical Center Data Center Construction Request received: 5/29/2009 Contact Person: Sarah Thompson, Vice President, Operations 229-353Determination: Pending

DET2009081 Tanner Medical Center, Inc. Expansion of Parking Deck Request received: 6/3/2009 Contact Person: Jeff Jennings 770-836-9195 Determination: Pending

DET2009082 St. Francis Hospital, Inc. Two Operating Rooms
16

Request received: 6/3/2009 Contact Person: Matthew A. Moore 706-596-4160 Determination: Pending

DET2009083 Gwinnett Medical Center - Duluth Replacement of Fluoroscopy Unit Request received: 6/5/2009 Contact Person: Mark M. Mullin 678-312-4193 Determination: Pending

DET2009084 Dekalb Medical Center Temporary Mobile Endovascular Lab Request received: 6/5/2009 Contact Person: Don Fears 404-501-5969 Determination: Pending

DET2009085 Open MRI of Atlanta, LLC Replacement of Health Care Facility's MRI Request received: 6/10/2009 Contact Person: Per B. Normark 678-992-7311 Determination: Pending

DET2009086 Johns Creek SLP, LLC Construction of Personal Care Home: Benton House of Johns Creek Request received: 6/11/2009 Contact Person: David C. Winters 678-297-0388 Determination: Pending

DET2009087 RCOA Imaging Services, Inc. Mobile PET/CT Request received: 6/12/2009 Contact Person: Don Meder 561-477-3500 Determination: Pending

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

404-404-4440

DET2009089 The Doctors Hospital of Tattnall Construction new space for Admin Offices, Physical Therapy and Imaging Request received: 6/25/2009 Contact Person: Michael Kleinpeter, CEO 912-644-5370 Determination: Pending

Requests for Extended Implementation/Effective Period

2006064 Piedmont Hospital, Inc.

Relocate/Expand the Post Anesthesia Unit Add 2 Inpatient ORs

Request to extend Performance Period

Site: 1968 Peachtree Road, NW, Atlanta (Fulton)

Project Approved: 11/9/2006

Request Received: 5/20/2009

Contact: Davis Dunbar, Manager (404)-609-6724

Approved Cost: $23,728,908

Determination: Approved, 5/29/2009

Extended Effective Period: 6/20/2010

2008020 Surgery Center of Athens, LLC d/b/a Surgery Center of Athens Establish a Multi-Specialty Ambulatory Surgery Center (ASC) Request to extend Implementation Period
17

Site: 100 Alps Road, Athens (Clarke) Project Approved: 6/26/2008 Request Received: 5/21/2009 Contact: H. Thomas Scott, President (615)-383-7383 Approved Cost: $7,402,163 Determination: Approved, 6/29/2009

Extended Implementation Period: 12/26/2009

2008032 Bel Arbor Health and Rehabilitation Replacement of 131-Bed Skilled Nursing Facility Request to extend Implementation Period Site: 3468 Napier Avenue, Macon (Bibb) Project Approved: 6/26/2008 Request Received: 5/21/2009 Contact: Stelling Nelson, President (478)-314-1560 Approved Cost: $23,193,249 Determination: Approved, 6/29/2009

Extended Implementation Period: 6/26/2010

2006076 Gwinnett Hospital System d/b/a Gwinnett Medical Center

Renovation of Surgical Services Suite

Request to extend Performance Period

Site: 1000 Medical Center Blvd, Lawrenceville (Gwinnett)

Project Approved: 1/4/2007

Request Received: 5/28/2009

Contact: Mark M. Mullin, Director of Planning (678)-312-4193

Approved Cost: $21,723,366

Determination: Approved, 5/29/2009

Extended Effective Period: 6/30/2010

2004077 Kings Bay Community Hospital d/b/a Southeast Georgia Health System

Expansion and Renovation of Acute Care Facility

Request to extend Performance Period

Site: 2000 Dan Proctor Drive, St. Marys (GA)

Project Approved: 12/1/2004

Request Received: 6/23/2009

Contact: Howard Sepp, VP/Administrator (912)-576-6401

Approved Cost: $29,415,517

Determination: Approved, 6/29/2009

Extended Effective Period: 10/25/2009

Need Projection Analyses Updated 06/22/2009
Current Status of Official Division of Health Planning Need Projection Analyses and Other Data Resources Need Projections and Maps for CON Regulated Services
2013 Non-Special MegaVoltage Radiation Therapy - 6/22/2009 2013 Positron Emission Tomography Services - 6/22/2009 2013 Ambulatory Surgery Center Services - 3/19/2009 2011 Home Health Agency Services - 3/19/2009 2013 Inpatient Physical Rehabilitation Services - 3/20/2009 2013 Neonatal Intensive Care Beds - 3/20/2009 2013 Neonatal Intermediate Care Beds - 3/20/2009 2013 Obstetric Services Beds - 3/20/2009

18

2011 Skilled Nursing Home Beds - 3/10/2009 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 June 30, 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 2005 thru 2007)

Charlton Memorial Hospital

Charlton

2006

Children's Healthcare of Atlanta at Hughes Spalding

Fulton

2007

Fannin Regional Hospital

Fannin

2007

Flint River Community Hospital

Macon

2006

Georgia Center for Youth

Taylor

2005

Georgia Regional Hospital @ Savannah

Chatham

2006

Georgia Regional Hospital @ Savannah

Chatham

2007

Hillside Hospital

Fulton

2006

Kindred Hospital-Atlanta

Fulton

2006

Kindred Hospital-Atlanta

Fulton

2007

Liberty Regional Medical Center

Liberty

2007

Lower Oconee Community Hospital Inc.

Wheeler

2006

Mountain Lakes Medical Center

Rabun

2006

Northeast Georgia Medical Center

Hall

2007

Phoebe Putney Memorial Hospital

Dougherty

2007

Rabun County Memorial Hospital

Rabun

2005

Select Specialty Hospital of Augusta

Richmond

2006

Southwest Hospital And Medical Center

Fulton

2005

Stewart Webster Hospital

Stewart

2006

Stewart Webster Hospital

Stewart

2007

Sumter Regional Hospital East

Sumter

2007

Sumter Regional Hospital, Inc.

Sumter

2006

The Bradley Center of St. Francis

Muscogee

2005

Wayne Memorial Hospital

Wayne

2007

Wheeler County Hospital

Wheeler

2005

Annual Nursing Home Questionnaire (Survey Years 2006 thru 2008)

Buckhead Health & Rehabilitation

Fulton

2007

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 Meadowbrook Health Care

Floyd Floyd Glynn DeKalb

2007 2007 2007 2008

Cardiac Catheterization Services Survey (Survey Years 2005 thru 2007)

Colquitt Regional Medical Center

Colquitt

2005

Sumter Regional Hospital, Inc.

Sumter

2006

19

Survey Due
2/29/2008 3/13/2009 3/13/2009 2/29/2008 9/29/2006 2/29/2008 3/13/2009 2/29/2008 2/29/2008 3/13/2009 3/13/2009 2/29/2008 2/29/2008 3/13/2009 3/13/2009 9/29/2006 2/29/2008 9/29/2006 2/29/2008 3/13/2009 3/13/2009 2/29/2008 9/29/2006 3/13/2009 9/29/2006
8/15/2007 8/15/2007
8/15/2007
8/15/2007
10/31/2008
6/9/2006 4/13/2007

Freestanding Ambulatory Surgery Services Survey ( Survey Years 2005 thru

Affinity Outpatient Service

Tift

2007

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

Fulton Fulton Fulton

2005 2006 2005

Atlanta Eye Surgery Center

Fulton

2006

Atlanta Eye Surgery Center at Omni West

Fulton

2007

Atlanta Surgicenter

Fulton

2006

Atlanta Women's Medical Center

Fulton

2005

Atlanta Women's Medical Center

Fulton

2006

Atlanta Women's Medical Center

Fulton

2007

Columbus Women's Health Organization, Inc.

Muscogee

2005

Columbus Women's Health Organization, Inc.

Muscogee

2006

Columbus Women's Health Organization, Inc.

Muscogee

2007

North Atlanta Endoscopy Center

Fulton

2006

North Atlanta Orthopaedic Surgery Center, LLC

Fulton

2006

Northside Women's Clinic

DeKalb

2005

Northwoods Surgery Center, LLC

Forsyth

2006

Novamed Eye Services of Columbus

Muscogee

2005

Premier Surgery Center

Glynn

2005

Premier Surgery Center

Glynn

2006

Savannah Medical Clinic

Chatham

2005

Savannah Medical Clinic

Chatham

2006

Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Plastic Surgicenter, Inc.

Chatham Chatham Chatham Chatham

2005 2006 2007 2006

Surgical Centers of Georgia

Bibb

2006

Home Health Agency Survey (Survey Years 2005 thru 2007)

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Gordon Home Care

Gordon

Southside Healthcare Home Health

DeKalb

2005 2006 2007 2006 2006

Hospital Financial Survey (Survey Years 2005 thru 2007)

Charlton Memorial Hospital

Charlton

Fannin Regional Hospital

Fannin

Flint River Community Hospital

Macon

Hutcheson Medical Center

Catoosa

Jasper Memorial Hospital

Jasper

Kindred Hospital-Atlanta

Fulton

Kindred Hospital-Atlanta

Fulton

Landmark Hospital of Athens Liberty Regional Medical Center

Clarke Liberty

Mountain Lakes Medical Center

Rabun

Riverwoods Southern Regional Psychiatric Center

Clayton

Stewart Webster Hospital

Stewart

Taylor Telfair Regional Hospital

Telfair

Taylor Telfair Regional Hospital

Telfair

Trinity Hospital of Augusta

Richmond

Wayne Memorial Hospital

Wayne

Wildwood Lifestyle Center & Hospital

Dade

20

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

10/3/2008 7/28/2006
4/13/2007
7/28/2006 4/13/2007 10/3/2008 4/13/2007 7/28/2006 4/13/2007 10/3/2008 7/28/2006 4/13/2007 10/3/2008 4/13/2007 4/13/2007 7/28/2006 4/13/2007 7/28/2006 7/28/2006 4/13/2007 7/28/2006 4/13/2007 7/28/2006
4/13/2007
10/3/2008
4/13/2007 4/13/2007
7/7/2006 4/13/2007 10/10/2008 4/13/2007 4/13/2007
3/14/2008 3/27/2009 3/14/2008 3/14/2008 3/27/2009 3/14/2008 3/27/2009 3/27/2009 3/14/2008 10/27/2006 3/27/2009 3/27/2009 3/14/2008 3/27/2009 3/14/2008 3/27/2009 3/14/2008

Willingway Hospital

Bulloch

2006

Open Heart Surgery Services Survey (Survey Years 2005 thru 2007)
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

Arbor Terrace of Decatur

DeKalb

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

Bentley Assisted Living at Northminster

Jackson

Benton House of Dublin

Laurens

Bethel Gardens

Cobb

Brasstown Manor

Towns

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

Country Gardens Senior Living

Gwinnett

Country Gardens Senior Living

Gwinnett

Courtyard Gardens AL & Memory Care Community

Gwinnett

Cypress Court at Decatur Day Break Village at Kennesaw

DeKalb Cobb

Dogwood Forest at Eagles Landing

Henry

Dogwood Forest of Alpharetta

Fulton

Dogwood Forest of Fayetteville

Fayette

Dogwood Forest of Gainesville

Hall

Eden Gardens at East Cobb

Cobb

Edenbrook-Buckhead, LP

Fulton

Elmcroft of Roswell

Fulton

Fairhaven Assisted Living Residence

Glynn

Franciscan Woods

Muscogee

Freedom Pointe Roswell

Fulton

GA Heritage of Brookstone

Cobb

Garrison Home for Personal Care

Henry

Gentilly Gardens of Stateboro

Bulloch

GoldenCrest Assisted Living

Clayton

GoldenCrest at Eagle's Landing

Henry

Governor's Glen Assisted Living Community

Clayton

Grace Assisted Living Home of Douglasville

Douglas

Greenwood Gardens

Cobb

Habersham House-Senior Residence

Chatham

Heritage Hills Alzheimers's Special Care

Muscogee

21

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

3/14/2008
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 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 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

John-Wesley Villas - Chatham Jonesboro Assisted Living Center Lake Pointe AL & Memory Care Community Lake Springs 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 Carrollton Merrill Gardens at Dunwoody Merrill Gardens at Roswell Merryvale Personal Care Residence Mews Assisted Living of Social Circle Morningside of Albany 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 Estates ALF Peachtree Village Plantation Manor Plantation South - Duluth Plantation South of Dunwoody Premier Memory Care Residence of Cedartown Renaissance Marquis Roman Court Assisted Living Roosevelt Place, The Sanctuary At Northstar, The Sandy Springs Assisted L iving Savannah Cottage of Chatham Shadow Moss Plantation Shadow Moss Plantation 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

Chatham Clayton Hart Gwinnett Glynn Grady Rockdale Fulton Walker DeKalb Carroll DeKalb Fulton Newton Walton Dougherty Clarke Rockdale Henry Gwinnett DeKalb Hall Forsyth Cherokee Colquitt Whitfield Jackson Thomas Gwinnett DeKalb Polk Floyd Floyd Meriwether Cobb Fulton Chatham Chatham Chatham Chatham Laurens Clarke Gwinnett Fulton Thomas Walton Chatham Muscogee Gwinnett Coffee Toombs Houston Spalding Gwinnett Richmond
22

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 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2007 2008 2008 2008 2008 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 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 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

Sunrise Assisted Living of Dunwoody Sunrise at Huntcliff Summit II Sunrise at Ivey Ridge Sunrise at Webb Gin Sunrise of East Cobb Sunrise of West Cobb. Sweetwater Springs Retirement - PCH Tara Plantation 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 Winterville Retirement Center Woodstock Estates AL & Memory Care Community Yellow Brick House

DeKalb Fulton Fulton Gwinnett Cobb Cobb Douglas Forsyth Fulton Muscogee Fulton Bartow DeKalb Forsyth Forsyth Forsyth Cobb Clarke Cherokee DeKalb

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

Positron Emission Tomography Services Survey (Survey Years 2005 thru 2007)

Battlefield Imaging Center

Catoosa

2007

Radiation Therapy Services Survey (Survey Years 2005 thru 2007)

Central Georgia Radiation Oncology Center - Houston Houston

2007

Cherokee Regional Cancer Treatment Center

Cherokee

2005

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 6/5/2009 6/5/2009 6/5/2009
1/16/2009
1/16/2009 7/21/2006

Indigent/Charity Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years
(Commitment status as of 6/30/2009)
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
Surgery Center, LLC, The Amedisys d/b/a Tugaloo Home Health Agency Caresouth Homecare Professionals Chattahoochee Valley Home Health, Chattahoochee Valley Home Health, CSRA Home Health- Columbia, Inc. Englewood Health Systems, Arlington Gentiva Health Services - Atlanta Gentiva Health Services - Atlanta Gentiva Health Services - Savannah Georgia Home Health Services, Valdosta Georgia Home Health Services, Valdosta Georgia Home Health Services, Valdosta Guardian Home Care of Central Georgia Guardian Home Care of Central Georgia Guardian Home Care of Central Georgia Guardian Home Care of Northeast Georgia Guardian Home Care of Northeast Georgia Guardian Home Care of Northeast Georgia Guardian Home Care, LLC Guardian Home Care, LLC

County
Muscogee Franklin Hall Muscogee Muscogee McDuffie Calhoun Fulton Fulton Chatham Lowndes Lowndes Lowndes Clarke Clarke Oconee Hall Hall Hall Fulton Fulton

Year
2007 2006 2007 2006 2007 2007 2007 2006 2007 2007 2005 2006 2007 2005 2006 2007 2005 2006 2007 2005 2006

23

Shortfall Due Service
62,798.60 Ambulatory Surgery Center 24,786.58 Home Health Agency 123,172.12 Home Health Agency 70,792.71 Home Health Agency 13,329.80 Home Health Agency 31,195.10 Home Health Agency
185.36 Home Health Agency 151,932.04 Home Health Agency 125,615.85 Home Health Agency
32,141.02 Home Health Agency 88,633.28 Home Health Agency 98,303.88 Home Health Agency
3,087.28 Home Health Agency 30,262.52 Home Health Agency 67,275.28 Home Health Agency 80,394.12 Home Health Agency 22,608.78 Home Health Agency 43,747.37 Home Health Agency 68,748.96 Home Health Agency 134,445.58 Home Health Agency 118,369.89 Home Health Agency

Guardian Home Care, LLC Healthfield Home Health of Atlanta Healthfield Home Health of Atlanta Healthfield Home Health of Griffin Healthfield Home Health of Griffin Healthfield Home Health, Inc. Muscogee Home Health Agency Ogeechee Home Health Southside Healthcare Home Health Ultra Care of Georgia United Home Care of Atlanta United Home Care of North Georgia Focus By the Sea Focus By the Sea DeKalb Medical Center

Fulton DeKalb DeKalb Spalding Spalding Fulton Muscogee Bulloch DeKalb Muscogee Gwinnett White Glynn Glynn DeKalb

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

184,196.33 47,354.47 36,359.62 23,443.09 11,170.79
252,058.52 1,760.14
37,826.03 4,552.32
27,315.39 130,570.64
95,509.70 165,714.36
30,995.33 76,744.00

Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Hospital Hospital PET Services

24

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.
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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 6/22/2009 on DCH Website
Summer Batching Review Cycle Notifications

PET Mega Voltage Radiation Therapy Pediatric Cath/Open Heart

Adult Open Heart Psych/Substance Abuse Birthing Centers

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

Batching Notice
(March 25, 2009)

Application Day
(application complete when
submitted; review cycle begins same
day)
Sunday, May 24, 2009)
(due by 12 noon May 26, 2009)

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

100th
Day
(last day for letters of support to be submitted to
Department)
(September 1, 2009)

120th Day
(Department Issues
decision)
(September 21, 2009)

Letter of Intent
(due by 5pm April 24, 2009)

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

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

110th Day
(applicant provides amended information; applicant provides response to opposition)
(September 11, 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)

27

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)

28

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.
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CERTIFICATE OF NEED APPEAL PANEL
Sworn by Governor Sonny Perdue on August 20, 2008

Ellwood "Ebb" Oakley (Chair) 1266 West Paces Ferry Rd., #157
Atlanta, GA 30327 eoakley@gsu.edu
Melvin M. Goldstein 248 Roswell Street Marietta, GA 30060 goldatty@bellsouth.net

William "Bill" C. Joy (Vice Chair) 5349 Rosser Road
Stone Mountain, GA 30087 wcjoy@bellsouth.net

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

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