Certificate-of-need tracking and appeals report [Aug. 18, 2009]

Letters of Intent Summer Batching 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Applications Withdrawn Appealed CON Projects
Appealed Determinations Requests for LNR for Establishment
of Physician-Owned Ambulatory Surgery Facilities
Requests for LNR for Diagnostic or Therapeutic Equipment
Requests for Miscellaneous Letters of Determination
Requests for Extended Implementation/Performance Period
Need Projection Analyses Non-Filed or Incomplete Surveys
Indigent-Charity Shortfalls
Recent Legislation Affecting CON
New Batching Review 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
August 12, 2009 August 18, 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

2009-051 Houston Medical Center

Add 28 Medical/Surgical Inpatient Beds

Received: 7/20/2009

Application must be submitted on: 8/19/2009

Site: 1601 Watson Boulevard, Warner Robins, GA 31093 (Houston County)

Estimated Cost: $0

2009-072 Open MRI and CT Specialists of Stockbridge

Re-location of Imaging Center & Acquisition of MRI Unit

Received: 8/17/2009

Application must be submitted on: 9/16/2009

Site: 900 Block of eagles Landing Pwy, Ste 100, Stockbridge, GA 30281 (Henry County)

Estimated Cost:

$1,500,000

Summer Batching Letters of Intent
Adult Open Heart Surgery
none

Freestanding Birthing Centers
none

Megavoltage Radiation Therapy

2009-052 Southeast Georgia Health System

Acquisition Of A CyberKnife

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: 2415 Parkwood Drive, Brunswick, GA 31520 (Glynn County)

Estimated Cost: $8,000,000

2009-053 Kings Bay Community Hospital, Inc.d/b/a Camden Medical Center

Glynn-Brunswick Memorial Hospital Authority d/b/a Southeast Georgia Health System

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: 2000 Dan Proctor Drive, St. Mary's, GA 31558 (Camden County)

Estimated Cost: $6,000,000

2009-054 Gordon Hospital

A New Non-Special Mega Voltage Radiation Therapy Services

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: 1035 Red Bud Road, Calhoun, GA 30701 (Gordon County)

Estimated Cost: $5,500,000

2009-055 Emory Johns Creek Hospital

New Hospital-Based Non-Special Mega Voltage Radiation Therapy Services

Received: 7/22/2009

Application must be submitted on: 8/21/2009

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

Estimated Cost: $30,000,000

2009-056 Georgia Center for Total Cancer Care of Jasper

New Freestanding Radiation Therapy Center in SSDR 1

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: Allred Mill Road and State Road 515, Jasper, GA 30143 (Pickens County)

Estimated Cost: $6,000,000

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2009-070 MMS Medical Management Services, LLC

Non-Special Mega Voltage Radiation Therapy Services/Unit

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: Ponce De Leon Avenue, Midtown Atlanta, GA 30308 (Fulton County)

Estimated Cost: $3,500,000

2009-071 MMS Medical Management Services, LLC

Non-Special Mega Voltage Radiation Therapy Services/Unit

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: Eller Road, Ellijay, GA 30721 (Gilmer County)

Estimated Cost: $3,500,000

Pediatric Cardiac Cath and Open Heart Surgery
none

Positron Emission Tomography Services

2009-057 The Baxley and Appling County Hospital Authority d/b/a Appling Healthcare System

New Mobile PET Services

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: Route 1, Box 50A, Ellaville, GA 31806 (Schley County)

Estimated Cost: $1,200

2009-058 Hamilton Medical Center

Acquisition of a Fixed PET/CT Scanner

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: 1200 Memoiral Drive, Dalton, GA 30720 (Whitfield County)

Estimated Cost: $2,500,000

2009-059 WellStar Cobb Hospital

Acquisition of a PET/CT Scanner System

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: 3950 Austell Road, Austell, GA 30106 (Cobb County)

Estimated Cost: $3,700,000

2009-060 Spalding Regional Medical Center

Develop New Mobile PET/CT Services

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: 601 South Eighth Street, Griffin, GA 30224 (Spalding County)

Estimated Cost: $0

2009-061 Emory University Hospital

Expansion of PET/CT Services

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: 1364 Clifton Road, Atlanta, GA 30322 (DeKalb County)

Estimated Cost: $50,000

2009-062 Emory Johns Creek Hospital

Develop A Mobile PET/CT Service

Received: 7/22/2009

Application must be submitted on: 8/21/2009

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

Estimated Cost: $50,000

2009-063 Meadow Regional Medical Center

A Mobile PET/CT Services

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: 1703 Meadow Lane, Vidalia, GA 30475 (Toombs County)

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Estimated Cost: $50,000

2009-064 Fairview Park Hospital

A Mobile PET/CT Services

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: 200 Industrial Boulevard, Dublin, GA 31021 (Laurens County)

Estimated Cost: $50,000

2009-065 Dublin Hematology

Establish A New PET Unit

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: 207 Fairview Park Drive, Dublin, GA 31021 (Laurens County)

Estimated Cost: $800,000

2009-066 South Central Georgia Mobile PET, LLC

Establish a New Mobile PET

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: 1451 Church Street, Waycross, GA 31501 (Ware County)

2009-067 Dr. Harper

New Site for Mobile PET

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: 200 Doctor's Drive, Douglas, GA 31533 (Coffee County)

Estimated Cost: $800,000

2009-068 Satilla Regional Cancer Treatment Center, Inc.

Establish a New Location for PET Units

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: 101 Seymour Street, Douglas, GA 31533 (Cobb County)

Estimated Cost: $800,000

2009-069 Henry Medical Center, Inc.

A New Mobile PET

Received: 7/22/2009

Application must be submitted on: 8/21/2009

Site: 1133 Eagle's Landing Parkway, Stockbridge, GA 30281 (Henry County)

Estimated Cost: $213,600

Psychiatric and Substance Abuse Services
none

Expired Letters of Intent
none
New Applications

2009-050 Grady Memorial Hospital Corporation

Renovate, Modernize and Expand Trauma Capacity in ER

Filed: 8/17/2009

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

Pending Review/Incomplete 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
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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 Site: Exhibit B, 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 Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County) Contact: Davis Dunbar, Manager Regulatory Affairs 404-605-4565 Estimated Cost: $2,560,000
Pending Review/Complete Applications
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
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
5

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
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 Site: 3651 Wheeler Road, Augusta, GA 30909 (Richmond County) Contact: Kenneth Wicker 706-651-6104 Estimated Cost: $2,149,906
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 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 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
6

Decision Deadline: 12/10/2009 Site: 1700 Medical Way, Snellville, GA 30078 (Gwinnett County) Contact: Dustin Greene, COO 770-736-2224 Estimated Cost: $12,632,341
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 Site: 4370 Georgetown Square, Atlanta, GA 30338 (DeKalb County) Contact: Karen L. Vaughn, RN 770-457-4677 Estimated Cost: $97,400
Recently Approved Applications
2008-143 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 APPROVED: 7/21/2009 Site: 11705 Mercy Boulevard, Savannah, GA 31419 (Chatham County) Contact: John R. Salandi 912-819-2498 Estimated Cost: $2,500,000
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 APPROVED: 7/28/2009 Site: 601 South Eighth Street, Griffin, GA 30224 (Spalding County) Contact: John Quinn 770-229-6469 Estimated Cost: $9,996,548
2009-024 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 APPROVED: 7/30/2009 Site: 1365 Rock Quarry Road,, Stockbridge, GA 30281 (Henry County) Contact: Freebie Ukpede, CEO 404-428-7061 Estimated Cost: $840,000
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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
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 Northeast 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. North Georgia Radiation Oncology requested Commissioner Review of Hearing Officer's decision to award CON to Northside, 7/1/2009; Northside requested Commissioner Review of Hearing Officer's decision to award CON to North Georgia Radiation Oncology, 7/1/2009. Commissioner Review Decision: Affirmed Hearing Officer decision, 7/31/2009.
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
8

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; The May 18, 2009 decision of the Hearing Officer is reversed and the original decision of the Department to award a CON to Gwinnett Medical Center is reinstated, 7/17/2009. Appealed to Superior Court: Piedmont Hospital and Emory Healthcare filed petition for Judicial Review, Fulton County Superior Court, 8/17/2009. Superior Court Decision: Pending
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; Continued; Remand Order issued by Hearing Officer, 8/11/2009.
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. Appealed to Superior Court: University Health Services and Evans filed Petion for Judicial Review, Richmond County Superior Court, 7/8/2009. Superior Court Decision: Pending
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 Hearing Decision: Hearing Officer affirmed award of CON to Vidalia, 8/10/2009.
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
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)
9

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: September 10, 2009, 9:00AM to September 11, 2009 4:30PM, 34th Floor Large Conference Room.
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.

Appealed Determinations

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: Denied

Determination Date: 7/15/2009

Opposition: Southern Regional Medical Center, Inc.- 6/12/2009; Request for Hearing filed by Henry Medical Center,

8/14/2009; Request to intervene filed by Southern Regional Medical Center, 8/12/2009.

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.

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: Denied

Determination Date: 7/15/2009

Request for Hearing filed by Applicant, 8/13/2009.

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.

Requests for LNR for Diagnostic or Therapeutic Equipment

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: Approved

Determination Date: 8/13/2009

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LNR-EQT2009018 The Doctors Hospital of Tattnall

Fixed Magnetic Resonance Imaging

Request received: 6/22/2009

Contact Person: Joseph R. Ross, Esq. 912-232-7182

Determination: Approved

Determination Date: 8/17/2009

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

LNR-EQT2009020 Carrollton Orthopaedic Clinic, PC Fixed MRI Request received: 7/23/2009 Contact Person: Charles Sorrento 770-834-0873 Determination: Pending

LNR-EQT2009021 Emory Eastside Medical Center Renovation Of Pharmacy To Become USP 797 Compliant Request received: 7/28/2009 Contact Person: Dustin Greene 770-979-0200 Determination: Pending

LNR-EQT2009022 Piedmont Hospital, Inc. Purchase MRI and CT Scanner for a Hospital-Based Imaging Request received: 7/29/2009 Contact Person: Determination: Pending

LNR-EQT2009023 St. Frances Hospital, Inc. Mobile MRI Request received: 8/3/2009 Contact Person: Matthew A. Moore 706-596-4160 Determination: Pending

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

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

11

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: Approved

Determination

7/20/2009

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: 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

Opposition: Wayne Memorial Hospital- 7/1/2009

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: Ophthalmology

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 AmbSurg Center

Site: 3320 Old Jefferson Road, Bldg 40, Athens

Number of OR's:

Specialty: Gastroenterology

Project costs as submitted: $3,455,197.00

Request received: 6/9/2009

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

Determination: Pending

LNR-ASC2009010 Lanier Interventional Pain Center, LLC

Physician-Owned, Single Specialty Ambulatory Surgery Center

Site: 2335 LimeStone Overlook, Gainesville, GA

Number of OR's:

Specialty: Pain Management

Project costs as submitted: $2,362,679.00

Request received: 7/7/2009

Contact Person: Edward C. Luke, Jr. 770-444-4444

Determination: Pending

12

LNR-ASC2009011 Northeast Georgia Otolaryngology - Head and Neck Surgery

Associates, LLC

Physician-Owned Single-Specialty (Ambulatory Surgery Center

Site: 2406 Lighthouse Manor Drive, Gainesville, GA

Number of OR's:

Specialty: Otolaryngology

Project costs as submitted: $1,296,899.85

Request received: 7/28/2009

Contact Person: Melody Scarborough 770-536-4558

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: Pending
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: Non-reviewable as proposed Determination Date: 7/20/2009
DET2009033 Atlanta Surgery Center, Ltd Proposed Reallocation of Operating Rooms Request received: 3/17/2009 Contact Person: Nancy Qkula 404-303-9301 Determination: Pending
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: Non-reviewable as proposed Determination Date: 7/22/2009
DET2009049 Park Springs, LLC CCRC Sheltered Nursing Home Bed Exemption Request received: 4/29/2009 Contact Person: Kevin W. Isakson 770-417-1789 Determination: Non-reviewable as proposed Determination Date: 7/23/2009
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 Request received: 4/30/2009 Contact Person: William Masteron 404-265-4301 Determination: Non-reviewable as proposed Determination Date: 7/23/2009
DET2009052 Piedmont Hospital, Inc. Establish Hyperbaric Oxygen Therapy Services Request received: 5/6/2009
13

Contact Person: Davis Dunbar 404-788-3638 Determination: Non-reviewable as proposed Determination Date: 7/24/2009
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: Non-reviewable as proposed Determination Date: 7/24/2009

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: Non-reviewable as proposed Determination Date: 7/24/2009

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: Non-reviewable as proposed Determination Date: 7/28/2009

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: Non-reviewable as proposed

Determination Date: 7/29/2009

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: Non-reviewable as proposed Determination Date: 7/30/2009

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: Non-reviewable as proposed Determination Date: 7/31/2009

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: Non-reviewable as proposed Determination Date: 8/3/2009

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: Non-reviewable as proposed Determination Date: 8/3/2009

DET2009079 Gwinnett Medical Center - Duluth Replacement of Nuclear Imaging Unit Request received: 5/29/2009 Contact Person: Mark M. Mullin, Director - Planning & Development 678Determination: Non-reviewable as proposed Determination Date: 8/3/2009

14

DET2009080 Tift Regional Medical Center Data Center Construction Request received: 5/29/2009 Contact Person: Sarah Thompson, Vice President, Operations 229-353Determination: Non-reviewable as proposed Determination Date: 8/5/2009

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

Determination Date: 8/5/2009

DET2009082 St. Francis Hospital, Inc. Two Operating Rooms Request received: 6/3/2009 Contact Person: Matthew A. Moore 706-596-4160 Determination: Non-reviewable as proposed Determination Date: 8/7/2009

DET2009083 Gwinnett Medical Center - Duluth Replacement of Fluoroscopy Unit Request received: 6/5/2009 Contact Person: Mark M. Mullin 678-312-4193 Determination: Non-reviewable as proposed Determination Date: 8/10/2009

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

Determination Date: 8/10/2009

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: Non-reviewable as proposed Determination Date: 8/11/2009

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: Non-reviewable as proposed Determination Date: 8/11/2009

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

Determination Date: 8/12/2009

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: Non-reviewable as proposed Determination Date: 8/17/2009
DET2009090 West Georgia Health System Change in Implementation of Approved 64-Slice CT Scanner Request received: 7/1/2009

15

Contact Person: Carol Todd, General Counsel 706-845-3703 or Determination: Pending
DET2009091 The Hospital Authority of Valdosta & Lowndes Co. d/b/a S. GA Med Center Replacement of an Air Conditioning Chiller System Request received: 7/6/2009 Contact Person: Bill Forbes 229-259-4175 Determination: Pending
DET2009092 Charles M. Yannett - Church Home of the Aged Additions and Interior Alterations Request received: 7/10/2009 Contact Person: Charles M. Yannett 478-988-8273 Determination: Pending
DET2009093 Pediatric Services of America, Inc. Scope of Service Change Request received: 7/13/2009 Contact Person: Vicki Whiteside 770-248-8740 Determination: Pending
DET2009094 Griffin Imaging, LLC Relocation of CON2008127 Request received: 7/15/2009 Contact Person: Joseph A. Paul 561-744-9122 Determination: Pending
DET2009095 Houston Hospitals, Inc. d/b/a Houston Medical Center Create a 28-Bed 23-Hour Maximum Length of Stay Observation Unit Request received: 7/17/2009 Contact Person: Grady W. (Skip) Philips, III 478-542-7839 Determination: Pending
DET2009096 Wesley Woods of Newnan - Peachtree City, Inc. Expansion of Personal Care Home Request received: 7/20/2009 Contact Person: Richard Zechiel 770-683-6833 Determination: Pending
DET2009097 Physicians For a Community United For Research and Foundation and Participation as a mobile PET/CT Provider in Georgia Request received: 7/22/2009 Contact Person: Shyam Paryani, MD, MS, MHA 904-346-3338 Determination: Pending
DET2009098 The Medical Center, Inc. Capital Expenditure For Electrical Distribution System Upgrade Request received: 7/24/2009 Contact Person: Donald Elder 706-660-6342 Determination: Pending
DET2009099 Emory University d/b/a Emory University Hospital Transfer of Major Medical Equipment Request received: 7/27/2009 Contact Person: Mike Mason 404-778-5639 Determination: Pending
DET2009100 Emory University d/b/a Emory University Hospital Midtown Transfer of Major Medical Equipment Request received: 7/27/2009 Contact Person: Mike Mason 404-778-5639 Determination: Pending
16

DET2009101 Emory University Hospital Transfer of Major Medical Equipment Request received: 7/27/2009 Contact Person: Mike Mason 404-778-5639 Determination: Pending
DET2009102 EHCA, LLC d/b/a Emory Eastside Medical Center Renovation of Pharmacy To Become USP 797 Complaint Request received: 7/28/2009 Contact Person: Dustin Greene, COO 770-979-0200 Determination: Pending
DET2009103 DayBreak Village Assisted Living Home Increase of licensed capacity of Personal Care Home Request received: 8/3/2009 Contact Person: Ben Harbour 770-218-6166 Determination: Pending
DET2009104 Tenet South Fulton, Inc. d/b/a South Fulton Medical Center Replacement of CON Approved MRI Request received: 8/7/2009 Contact Person: Robert Russell 404-466-1122 Determination: Pending
DET2009105 Shepherd Center, Inc. Addition of 12 Beds To Shepherd Center, Inc. Request received: 8/11/2009 Contact Person: Gary Ulicny 404-350-7311 Determination: Pending
DET2009106 Numed, Inc. on behalf of Kaiser Permanente Health Plan Georgia Region Addition of PET/CT Services-Kaiser Permanente Glenlake Medical Center Request received: 8/12/2009 Contact Person: Jack Allen 940-365-9777 Determination: Pending
DET2009107 Numed, Inc. on behalf of Kaiser Permanente Health Plan Georgia Region Addition of 64 Slice CT System-Kaiser Permanente Glenlake Med Center Request received: 8/12/2009 Contact Person: Jack Allen 940-365-9777 Determination: Pending

Requests for Extended Implementation/Effective Period

2008053 WellStar Kennestone Hospital

Renovation of the hospital's surgical services

Request to extend Implementation Period

Site: 677 Church Street, Marietta (Cobb)

Project Approved: 9/4/2008

Request Received: 7/31/2009

Contact: Caroline Aultman, Dir, Strategic Planning, (770) 792-1542

Approved Cost: $34,901,390

Determination: Approved, 8/6/2009

Extended Implementation Period: 9/4/2010

2007046 Quality Senior Services, LLC d/b/a The Rosewood at Fort Oglethorpe Increase in Bed Capacity from 60-beds to 120-beds Request to extend Implementation Period Site: 14 Fort Town Drive, Fort Oglethorpe (Catoosa) Project Approved: 9/14/2007 Request Received: 8/13/2009 Contact: Jason Gibson, Executive Director (706) 866-4443
17

Approved Cost: $4,950,000 Determination: Approved, 8/14/2009

Extended Implementation Period: 9/13/2010

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 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 August 18, 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 Flint River Community Hospital Georgia Center for Youth Georgia Regional Hospital @ Savannah Georgia Regional Hospital @ Savannah Hillside Hospital Kindred Hospital-Atlanta Kindred Hospital-Atlanta Liberty Regional Medical Center Lower Oconee Community Hospital Inc. Mountain Lakes Medical Center Northeast Georgia Medical Center

Charlton Macon Taylor Chatham Chatham Fulton Fulton Fulton Liberty Wheeler Rabun Hall

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

18

Survey Due
2/29/2008 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

Rabun County Memorial Hospital Select Specialty Hospital of Augusta Southwest Hospital And Medical Center Stewart Webster Hospital Stewart Webster Hospital Sumter Regional Hospital East Sumter Regional Hospital, Inc. The Bradley Center of St. Francis Wayne Memorial Hospital Wheeler County Hospital

Rabun Richmond Fulton Stewart Stewart Sumter Sumter Muscogee Wayne Wheeler

2005 2006 2005 2006 2007 2007 2006 2005 2007 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

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

2005

19

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
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

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

Union Union Gordon DeKalb

2006 2007 2006 2006

Hospital Financial Survey (Survey Years 2005 thru 2007)

Charlton Memorial Hospital

Charlton

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

Clarke

Liberty Regional Medical Center

Liberty

Mountain Lakes Medical Center

Rabun

Riverwoods Southern Regional Psychiatric Center

Clayton

Stewart Webster Hospital Taylor Telfair Regional Hospital

Stewart Telfair

Taylor Telfair Regional Hospital

Telfair

Trinity Hospital of Augusta

Richmond

Wayne Memorial Hospital

Wayne

Wildwood Lifestyle Center & Hospital

Dade

Willingway Hospital

Bulloch

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

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

DeKalb

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

20

4/13/2007 10/10/2008
4/13/2007 4/13/2007
3/14/2008 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 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 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

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 Franciscan Woods Freedom Pointe Roswell 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 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 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 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

Cobb Henry Fulton Fayette Hall Cobb Fulton Fulton Glynn Muscogee Fulton Cobb Henry Bulloch Clayton Henry Clayton Douglas Chatham Muscogee Chatham Clayton Hart Gwinnett Glynn Grady Rockdale Fulton Walker DeKalb DeKalb Fulton Newton Walton Dougherty Clarke Rockdale Henry Gwinnett DeKalb Hall Forsyth Cherokee Colquitt Jackson Thomas Gwinnett DeKalb Polk Floyd Meriwether Fulton Chatham Chatham Chatham
21

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 2008 2006 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 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 Huntcliff Summit II 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 Woodstock Estates AL & Memory Care Community

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

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 2008 2006 2007 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 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 6/5/2009 9/15/2006 8/15/2007 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 8/18/2009)
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

County
Muscogee Franklin Hall Muscogee Muscogee McDuffie Calhoun

Year
2007 2006 2007 2006 2007 2007 2007

Shortfall Due
62,798.60 24,786.58 123,172.12 70,792.71 13,329.80 31,195.10
185.36

Service
Ambulatory Surgery Center Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency

22

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 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 Focus By the Sea Focus By the Sea DeKalb Medical Center

Fulton Fulton Chatham Lowndes Lowndes Lowndes Clarke Clarke Oconee Hall Hall Hall Fulton Fulton Fulton DeKalb DeKalb Spalding Spalding Fulton Muscogee Bulloch DeKalb Muscogee Glynn Glynn DeKalb

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

151,932.04 125,615.85
32,141.02 88,633.28 98,303.88
3,087.28 30,262.52 67,275.28 80,394.12 22,608.78 43,747.37 68,748.96 134,445.58 118,369.89 184,196.33 47,354.47 36,359.62 23,443.09 11,170.79 252,058.52
1,760.14 37,826.03
4,552.32 27,315.39 165,714.36 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 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

23

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)

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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)

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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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