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Pending Review/Complete/Joined Applications Recently Approved Applications Recently Denied Applications Applications Withdrawn Appealed CON Projects Appealed Determinations Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities Requests for LNR for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 Spring Cycle Summer Cycle Summer Batching Notifications New CON Filing Requirements (effective July 1, 2008) New Reporting Requirements (effective July 1, 2008) Certificate of Need Appeal Panel DHP Notice DIVISION OF HEALTH PLANNING CERTIFICATE OF NEED September 9, 2009 September 14, 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 2009-072 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 2009-074 Redmond Regional Medical Center Purchase a da Vinci Surgical System Received: 9/2/2009 Application must be submitted on: 10/2/2009 Site: 501 Redmond Road, Rome, GA 30165 (Floyd County) Estimated Cost: $2,300,000 2009-075 WellStar Cobb Hospital, Surgery Center Renovation Received: 9/2/2009 Application must be submitted on: 10/2/2009 Site: 3950 Austell Road, Austell, GA 30106 (Cobb County) Estimated Cost: $17,000,000 2009-076 Southeast Georgia Health System-Camden Campus Cost Overrun (CON2004077) Received: 9/8/2009 Application must be submitted on: 10/8/2009 Site: 2000 Dan Proctor Drive, St. Marys, GA 31558 (Camden County) Estimated Cost: $33,000,000 Expired Letters of Intent 2009-070 MMS Medical Management Services, LLC Non Special Mega Voltage Radiation Therapy Services/Unit - Batching 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 - Batching 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 2009-065 Dublin Hematology Establish A New PET Unit - Batching 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 - Batching Received: 7/22/2009 Application must be submitted on: 8/21/2009 Site: 1451 Church Street, Waycross, GA 31501 (Ware County) Estimated Cost: $800,000 2009-067 Dr. Harper New Site for Mobile PET - Batching 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 2 2009-068 Satilla Regional Cancer Treatment Center, Inc. Establish a New Location for PET Units - Batching 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 - Batching 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 New Applications none Pending Review/Incomplete Applications none 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 Opposition Meeting: 9/3/2009, 2:00PM 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 3 2009-031 CareOne Health Services, LLC New Home Health Agency for Sub-Saharan African Population- BATCHING Filed: 5/26/2009 (Rollover Date) Deemed Complete: 5/26/2009 (Rollover Date) 60th Day Deadline: 7/22/2009 Decision Deadline: 9/20/2009 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 (Rollover Date) Deemed Complete: 5/26/2009 (Rollover Date) 60th Day Deadline: 7/22/2009 Decision Deadline: 9/20/2009 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 (Rollover Date) Deemed Complete: 5/26/2009 (Rollover Date) 60th Day Deadline: 7/22/2009 Decision Deadline: 9/20/2009 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 (Rollover Date) Deemed Complete: 5/26/2009 (Rollover Date) 60th Day Deadline: 7/22/2009 Decision Deadline: 9/20/2009 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 4 2009-046 St. Mary's Health Care System, Inc. Intuitive Surgical da Vinci Si System Filed: 7/20/2009 Deemed Incomplete: 7/31/2009 Deemed Complete: 9/4/2009 60th Day Deadline: 11/2/2009 Decision Deadline: 1/1/2010 Site: 1230 Baxter Street, Athens, GA 30606 (Clarke County) Contact: Donald McKenna 706-389-3000 Estimated Cost: $1,750,000 2009-047 Cancer Treatment Center of America of the Southeast, Inc. A New Destination Cancer Treatment Hospital Filed: 7/20/2009 Deemed Incomplete: 8/3/2009 Deemed Complete: 8/24/2009 60th Day Deadline: 10/22/2009 Decision Deadline: 12/21/2009 Site: 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 Deemed Complete: 8/19/2009 60th Day Deadline: 10/18/2009 Decision Deadline: 12/17/2009 Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County) Contact: Davis Dunbar, Manager Regulatory Affairs 404-605-4565 Estimated Cost: $2,560,000 2009-049 Emory Eastside Medical Center Expansion of Emergency Department Filed: 7/30/2009 Deemed Complete: 8/12/2009 60th Day Deadline: 10/11/2009 Decision Deadline: 12/10/2009 Site: 1700 Medical Way, Snellville, GA 30078 (Gwinnett County) Contact: Dustin Greene, COO 770-736-2224 Estimated Cost: $12,632,341 2009-050 Grady Memorial Hospital Corporation Renovate, Modernize and Expand Trauma Capacity in ER Filed: 8/17/2009 Deemed Complete: 8/31/2009 60th Day Deadline: 10/30/2009 Decision Deadline: 12/29/2009 Site: 80 Jesse Hill Jr. Drive SE, Atlanta, GA 30303 (Fulton County) Contact: Craig Tindall, Sr. VP, Operations/Facilities 404-616-3343 Estimated Cost: $11,794,726 2009-051 Houston Medical Center Add 28 Medical/Surgical Inpatient Beds Filed: 8/19/2009 Deemed Complete: 9/2/2009 60th Day Deadline: 10/31/2009 Decision Deadline: 12/30/2009 Site: 1601 Watson Boulevard, Warner Robins, GA 31093 (Houston County) Contact: Grady W. (Skip) Philips, III 478-542-5040 Estimated Cost: $1,303,819 2009-052 Southeast Georgia Health System Acquisition Of A Cyber Knife - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 2415 Parkwood Drive, Brunswick, GA 31520 (Glynn County) Contact: Carlton A. DeVooght 912-466-3391 Estimated Cost: $5,494,337 5 2009-053 Kings Bay Community Hospital, Inc.d/b/a Camden Medical Center Establish a New Radiation Therapy Program - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 2000 Dan Proctor Drive, St. Mary's, GA 31558 (Camden County) Contact: Charlton A. DeVooght 912-466-3391 Estimated Cost: $1,992,072 2009-055 Emory Johns Creek Hospital New Hospital-Based Non-Special Radiation - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 6325 Hospital Parkway, Johns Creek, GA 30097 (Fulton County) Contact: John D. Quinlivan Jr 678-474-7003 Estimated Cost: $13,025,739 2009-057 The Baxley and Appling County Hospital Authority d/b/a Appling Healthcare New Mobile PET Services - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 163 E. Tomlinson Street, Baxley, GA 31806 (Appling County) Contact: Dale Spell, CEO 912-367-9841 Estimated Cost: $4,000 2009-058 Hamilton Medical Center Acquisition of a Fixed PET/CT Scanner - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County) Contact: john Bowling 706-226-3003 Estimated Cost: $2,500,000 2009-059 WellStar Cobb Hospital Acquisition of a PET/CT Scanner System - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 3950 Austell Road, Austell, GA 30106 (Cobb County) Contact: Caroline Aultman 770-792-1542 Estimated Cost: $3,700,000 2009-060 Spalding Regional Medical Center Develop New Mobile PET/CT Services - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 601 South Eighth Street, Griffin, GA 30224 (Spalding County) Contact: John Quinn, CEO 770-229-6469 Estimated Cost: $0 2009-061 Emory University Hospital Expansion of PET/CT Services - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 1364 Clifton Road, Atlanta, GA 30322 (DeKalb County) Contact: Toni Wimby, Associate Administrator 404-686-2450 Estimated Cost: $1,196,950 6 2009-062 Emory Johns Creek Hospital Develop A Mobile PET/CT Service - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 6325 Hospital Parkway, Johns Creek, GA 30097 (Fulton County) Contact: Greg Caples, COO 678-474-7012 Estimated Cost: $77,900 2009-063 Meadows Regional Medical Center A Mobile PET/CT Services - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 1703 Meadow Lane, Vidalia, GA 30475 (Toombs County) Contact: Howard Holman, VP/Business Development 912-538-5889 Estimated Cost: $25,000 2009-064 Fairview Park Hospital A Mobile PET/CT Services - Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 200 Industrial Boulevard, Dublin, GA 31021 (Laurens County) Contact: Ted Short, CFO 478-274-3103 Estimated Cost: $25,000 Pending Review/Complete/Joined Applications 2009-036 Gwinnett Physicians Center Multi-Specialty, Freestanding Ambulatory Surgery Center- (Joined 039) BATCHING Filed: 5/26/2009 (Rollover Date) Deemed Complete: 5/26/2009 (Rollover Date) Joined: 5/26/2009 60th Day Deadline: 7/22/2009 Opposition Meeting: 8/27/2009, 2:30PM Decision Deadline: 9/20/2009 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(Rollover Date) Deemed Complete: 5/26/2009 (Rollover Date) Joined: 5/26/2009 60th Day Deadline: 7/22/2009 Opposition Meeting: 8/27/2009, 2:30PM Decision Deadline: 9/20/2009 Site: 4370 Georgetown Square, Atlanta, GA 30338 (DeKalb County) Contact: Karen L. Vaughn, RN 770-457-4677 Estimated Cost: $97,400 2009-054 Gordon Hospital A New Non-Special Mega Voltage Radiation Therapy Services - (Joined 56,73) Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 Joined: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 1035 Red Bud Road, Calhoun, GA 30701 (Gordon County) Contact: Sam Huenergardt 706-602-7800 Estimated Cost: $7,012,348 2009-056 Georgia Center for Total Cancer Care of Jasper New Freestanding Radiation Therapy Center in SSDR 1 - (Joined 54,73) Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 7 Joined: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: Allred Mill Road and State Road 515, Jasper, GA 30143 (Pickens County) Contact: Dale L. McCord, MD 770-255-7409 Estimated Cost: $6,757,809 2009-073 Gilmer County Comprehensive Cancer Treatment Center Development of Non-Special MRT - Batching (Joined 54-56) Filed: 8/21/2009 Deemed Complete: 8/21/2009 Joined: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: Insect W.brook Boulevard & W.brook Court, Ellijay, GA 30540 (Gilmer County) Contact: Donald Holton 770-682-2099 Estimated Cost: $6,400,609 Recently Approved Applications none 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 8 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; Northside filed petition for Judicial Review in Fulton County Superior Court, 8/31/2009; Northside voluntarily dismissed petition, 9/2/2009. 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 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 Hearing Decision: Pending 9 2008-068 Vidalia Regional Cancer Center (Toombs) Develop a MegaVoltage Radiation Therapy Service Agency Decision: Approved, 11/25/2008 Appealed By: Statesboro Oncology Associates, P.C, 12/23/2008 and Satilla Regional Cancer Center, 12/23/2008. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: May 19, 2009, 5th Floor, 9:00AM Hearing Decision: Hearing Officer affirmed award of CON to Vidalia, 8/10/2009; Satilla Regional Cancer Treatment Center and South Georgia Center for Cancer Care requested Commissioner Review of Hearing Officer's Decision, 09/09/09. Commissioner Review Decision: Pending 2008-081 Palmyra Medical Center (Dougherty) Develop Basic Perinatal Services Agency Decision: Approved, 1/9/2009 Appealed By: Phoebe Putney Memorial Hospital, 2/6/2009 and Sumter Regional Hospital, 2/6/2009; Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: July 13, 2009, 12:00PM, 34th Floor Hearing Decision: Pending 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: 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, 8/12/2009; 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. Hearing: 10/23/2009, 9AM 10/26/2009, 5PM, 34th Floor Conference Room; 10 Cliff Weiss, Esq., Hearing Officer. 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. Hearing scheduled 10/14/2009 10/15/2009; Cliff Weiss, Esq., Hearing Officer. Requests for LNR for Diagnostic or Therapeutic Equipment 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: Affirmed Determination Date: 8/24/2009 LNR-EQT2009020 Carrollton Orthopaedic Clinic, PC Fixed MRI Request received: 7/23/2009 Contact Person: Charles Sorrento 770-834-0873 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 LNR-EQT2009024 MedCross Imaging, P.C. Purchase a Mobile MRI Request received: 8/24/2009 Contact Person: Norman King 478-374-4305 Determination: Pending LNR-EQT2009025 Bone and Joint Institute of South Georgia, P.C. Fixed MRI Request received: 9/10/2009 Contact Person: J. Lex Kenerly III, M.D. 912-427-0800 Determination: Pending 11 LNR-EQT2009026 Premier Orthopedic, P.C. Mobile MRI Request received: 9/14/2009 Contact Person: Bennett D. Cotton, Jr. M.D. President 229-435-1458 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 Project costs as submitted: $1,706,279.92 Request received: 5/5/2009 Contact Person: Brynne Goncher 404-504-7658 Determination: Approved Determination 8/24/2009 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: Approved Determination Opposition: Wayne Memorial Hospital- 7/1/2009 8/25/2009 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 12 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 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 LNR-ASC2009012 Athens Eye Surgery Center, LLC Physician-Owed, Single Specialty Ambulatory Surgery Center Site: Number of OR's: Specialty: Ophthalmology Project costs as submitted: $790,162.21 Request received: 9/8/2009 Contact Person: Brynne R. Goncher 404-233-7000 Determination: 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 DET2009033 Atlanta Surgery Center, Ltd Proposed Reallocation of Operating Rooms Request received: 3/17/2009 Contact Person: Nancy Qkula 404-303-9301 Determination: Pending DET2009050 MedCross Imaging, P.C. 13 Upgrade of Mobile MRI Unit Request received: 4/29/2009 Contact Person: Norman King 478-374-1366 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 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 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 14 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 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 15 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 DET2009108 The Gardens of Magnolia Trails Increase in bed capacity from 24 to 40 beds Request received: 8/20/2009 Contact Person: Terry Porter 678-691-1953 Determination: Pending DET2009109 Cobb Hospital, Inc. d/b/a WellStar Cobb Hospital Repair/Replacement of Physical Plant Equipment Request received: 8/21/2009 Contact Person: Caroline Aultman 770-792-1542 Determination: Pending DET2009111 Kennestone Hospital, Inc. d/b/a WellStar Kennestone Hospital Electrophysiology (EP) Lab Renovation and Equipment Replacement Request received: 9/2/2009 Contact Person: Caroline Aultman 770-792-1542 Determination: Pending DET2009112 Rock Creek Manor, LLC Construction & Operation Assisted Living & Day Care Cntr for Seniors Request received: 9/8/2009 Contact Person: Christine Van Der Walt 770-735-4623 Determination: Pending DET2009113 Southeast Georgia Health System Therapeutic Cardiac Catheterization Statutory Exemption Request received: 9/14/2009 Contact Person: Gary R. Colberg, FACHE President/CEO 912-466-7098 Determination: Pending DET2009114 LaGrange-Troup County Hospital Authority d/d/a West GA Med Center Therapeutic Cardiac Catheterization Services - C-Port Non-Participant Request received: 9/14/2009 Contact Person: Carol M. Todd, General Counsel 706-845-3703 Determination: Pending Requests for Extended Implementation/Effective Period 2006047 WellStar Kennestone Hospital New Outpatient Facility and Expansion of Services Request to extend Implementation Period Site: 677 Church Street, Marietta (Cobb) Project Approved: 9/29/2006 Request Received: 8/20/2009 Contact: Caroline Aultman, Dir, Strategic Planning, (770) 792-1599 Approved Cost: $14,144,602 Determination: Approved, 8/28/2009 Extended Implementation Period: 9/29/2010 2007129 Fulton DeKalb Hospital Authority d/b/a Children's Healthcare of Atlanta at Hughes Spalding Facility Renovations Request to extend Effective Period for Remaining Phases Site: 35 Jesse Hill Dr. SE, Atlanta (Fulton) 16 Project Approved: 3/19/2008 Request Received: 8/24/2009 Contact: Trey Weathers, Construction Project Director (404) 785-7745 Approved Cost: $43,010,100 Determination: Approved, 8/28/2009 Extended Effective Period: 7/30/2010 2008066 WellStar Kennestone Hospital Renovation of the hospital's imaging services Request to extend Implementation Period Site: 677 Church Street, Marietta (Cobb) Project Approved: 10/10/2008 Request Received: 9/2/2009 Contact: Caroline Aultman, Dir, Strategic Planning, (770) 792-1542 Approved Cost: $29,290,873 Determination: Approved, 9/8/2009 Extended Implementation Period: 10/10/2010 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 September 14, 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. 17 Facility Name County Survey Year Annual Hospital Questionnaire and Addenda (Survey Years 2005 thru 2007) Charlton Memorial Hospital Charlton 2006 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 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 2006 thru 2008) Gordon Hospital Gordon 2008 Grady Memorial Hospital Fulton 2008 Gwinnett Medical Center Gwinnett 2008 John D. Archbold Memorial Hospital Thomas 2008 Northeast Georgia Medical Center Hall 2008 Phoebe Putney Memorial Hospital Dougherty 2008 Saint Francis Hospital Satilla Regional Medical Center Muscogee Ware 2008 2008 Southern Regional Medical Center Clayton 2008 Sumter Regional Hospital East Sumter 2008 Sumter Regional Hospital, Inc. Sumter 2006 Freestanding Ambulatory Surgery Services Survey (Survey Years 2006 thru Academy Orthopedics, Llc FORSYTH 2008 Advanced Surgery Center Of Georgia Cherokee 2008 Afa Ambulatory Surgery Center BIBB 2008 Affinity Outpatient Service Tift 2007 Affinity Outpatient Service Tift 2008 Akstein Eye Center, P.c. CLAYTON 2008 Ambulatory Foot & Leg Surg Ctr COBB 2008 Ambulatory Laser & Surgery Ctr CLAYTON 2008 Ambulatory Plastic Surgery Center, Inc MUSCOGEE 2008 Associates Physicians Asc BIBB 18 2008 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 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 7/17/2009 7/17/2009 7/17/2009 7/17/2009 7/17/2009 7/17/2009 7/17/2009 7/17/2009 7/17/2009 7/17/2009 4/13/2007 7/31/2009 7/31/2009 7/31/2009 10/3/2008 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 Associates Surgery Center, Inc Athens Plastic Surgery Center Atlanta Aesthetic Surgery Center Atlanta Center for Reconstructive Foot and Ankle Surgery Atlanta Eye Surgery Center Atlanta Eye Surgery Center at Omni West Atlanta Plastic & Reconst Surg Atlanta Surgicenter Atlanta Women's Medical Center Atlanta Women's Medical Center Augusta Retina-laser Surgi Care Bowman Pain Management, Pc Buckhead Facial Plastic Surgery Center For Pl & Recon Surgery Center For Plastic Surgery Clayton Cataract and Laser Surgery Center Clayton Outpatient Surg Ctr Cobb Endoscopy Center, Llc Columbus Women's Health Organization, Inc. Columbus Women's Health Organization, Inc. Day Surgery And Recovery Ctr Digestive Healthcare Of Ga Endoscopy Ctr Endoscopy Center, Llc, The Endoscopy Consultants, Llc Ent Surgical Center Eye Surgery Center Of Albany, Llc Eyesight's Laser & Surgery Ctr Foot & Ankle Surgery Ctr, Llc, The Forsyth Surgical Center, Inc. Friendship Surgery Center Ga Urology, Pa Rockdale Ambulatory Surgery Ctr Gastrointestinal Endoscopy Of Gwinnett Georgia Surgical Centers- South Georgia Surgical Ctrs Of N Ga Georgia Urology Ambulatory Surgery Center Gwinnett Endoscopy Center Lawrenceville Surgery Center Lowndes County Ambulatory Surg Macon Pain Center, Pc Metro Atlanta Endoscopy Midtown Endoscopy Center, Llc Midtown Urology Surgical Center Newnan Foot & Ankle Surgery Center, Llc North Atlanta Endoscopy Center North Atlanta Orthopaedic Surgery Center, LLC North Fulton Diagnostic Gastrointestinal Center North Georgia Endoscopy Center, Inc North Georgia Eye Surgery Center, Llc Northern Crescent Endoscopy Northview Orthopaedic Surgery Center Northwest Ga Orthopaedic Sc Northwoods Surgery Center, LLC Orthopaedic South Surgical Center Pain Solutions Treatment Centers BIBB CLARKE Fulton Fulton Fulton Fulton FULTON Fulton Fulton Fulton Richmond BIBB FULTON CLARKE FULTON Clayton CLAYTON COBB Muscogee Muscogee WHITFIELD FULTON CHATHAM FULTON CHATHAM DOUGHERTY HOUSTON MUSCOGEE FORSYTH HALL ROCKDALE GWINNETT CLAYTON GORDON DEKALB GWINNETT GWINNETT LOWNDES BIBB FULTON FULTON FULTON COWETA Fulton Fulton FULTON CHEROKEE HALL FULTON LUMPKIN COBB Forsyth CLAYTON BARTOW 19 2008 2008 2008 2006 2006 2007 2008 2006 2006 2007 2008 2008 2008 2008 2008 2008 2008 2008 2006 2007 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2006 2006 2008 2008 2008 2008 2008 2008 2006 2008 2008 7/31/2009 7/31/2009 7/31/2009 4/13/2007 4/13/2007 10/3/2008 7/31/2009 4/13/2007 4/13/2007 10/3/2008 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 4/13/2007 10/3/2008 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 4/13/2007 4/13/2007 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 4/13/2007 7/31/2009 7/31/2009 Piedmont Eye Plastic Surgery Ctr Land, The Podiatric Surgi Center Premier Surgery Center Pulliam Ambulatory Surg Ctr Resurgens Surgical Center Rome Endoscopy Ctr Inc, The Rome Foot And Ankle Surgery Center Rome Surgical Center, P C Roswell Center for Foot and Ankle Surgery Roswell Surgery Center, L.l.c. Samson Pain Center, Pc Savannah Medical Clinic Savannah Medical Clinic 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 Pain Center, Llc Savannah Plastic Surgicenter, Inc. Schulze Surgery Center, Inc. South Georgia Surgery Center South Georgia Surgery Center ( Brunswick ) Southeastern Pain Ambulatory Surgery Center, Llc Southern Crescent Endoscopy Southern Crescent Plastic Surg Surgical Centers of Georgia Universal Ambulatory Surgery Center, P C Urology Center Of Georgia Llc Urology Surgical Partners, Llc Valdosta Foot & Ankle Surgery West Georgia Endoscopy Center, Llc West Metro Endoscopy Center, Llc Woodstock Endoscopy Ctr, Llc FULTON CHATHAM DEKALB Glynn NEWTON FULTON FLOYD FLOYD FLOYD Fulton FULTON CHEROKEE Chatham Chatham Chatham Chatham Chatham CHATHAM Chatham Chatham Ware GLYNN FULTON HENRY HENRY Bibb MUSCOGEE BIBB FULTON LOWNDES CARROLL DOUGLAS CHEROKEE Home Health Agency Survey (Survey Years 2006 thru 2008) Appalachian Home Health Care Union Appalachian Home Health Care Union Appalachian Home Health Care Union Caresouth Homecare Professionals - Macon Houston Chattahoochee Valley Home Health, Muscogee Gentiva Health Services - Atlanta Fulton Gentiva Health Services - Savannah Chatham Georgia Home Health Care Agency, Reidsville Tattnall Gordon Home Care Gordon Healthfield Home Health of Atlanta Forsyth Healthfield Home Health of Griffin Spalding Healthfield Home Health, Inc. Fulton Healthfield of Southwest Georgia Decatur Intrepid USA Healthcare Services Glynn Ogeechee Home Health Bulloch Phoebe Home Care Dougherty Southside Healthcare Home Health DeKalb Suncrest Home Health Newton United Home Care of Cumming Forsyth 20 2008 2008 2008 2006 2008 2008 2008 2008 2008 2008 2008 2008 2006 2008 2006 2007 2008 2008 2006 2008 2008 2008 2008 2008 2008 2006 2008 2008 2008 2008 2008 2008 2008 2006 2007 2008 2008 2008 2008 2008 2008 2006 2008 2008 2008 2008 2008 2008 2008 2006 2008 2008 7/31/2009 7/31/2009 7/31/2009 4/13/2007 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 4/13/2007 7/31/2009 4/13/2007 10/3/2008 7/31/2009 7/31/2009 4/13/2007 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 4/13/2007 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 7/31/2009 4/13/2007 10/10/2008 8/7/2009 8/7/2009 8/7/2009 8/7/2009 8/7/2009 8/7/2009 4/13/2007 8/7/2009 8/7/2009 8/7/2009 8/7/2009 8/7/2009 8/7/2009 8/7/2009 4/13/2007 8/7/2009 8/7/2009 United Home Care of Griffin United Home Care of North Georgia Spalding Hall 2008 2008 Hospital Financial Survey (Survey Years 2005 thru 2007) Charlton Memorial Hospital Charlton Flint River Community Hospital Hutcheson Medical Center Macon 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 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 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 2006 thru 2008) All surveys filed for most recent 3 years. Personal Care Home Survey (Survey Years 2005 thru 2007) Atria Retirement & Assisted Living, Stone Mountain Gwinnett Atria West Cobb Cobb Atria Woodstock Cherokee Autumn Village PCH Butts Campbell-Stone Personal Care Home Fulton Country Gardens Assisted Living PCH Fulton Country Gardens Assisted Living PCH Fulton Country Gardens Assisted Living PCH Fulton Country Gardens Senior Living Gwinnett Epoch Assisted Living of Roswell Fulton Reflections PCH Cobb Robertville Manor Bartow Shadow Moss Plantation Chatham Shadow Moss Plantation Chatham Summer's Landing Coffee White Oaks at Lanier PCH Forsyth White Oaks at Lanier PCH Forsyth White Oaks at Lanier PCH Forsyth 2005 2005 2005 2007 2007 2005 2006 2007 2006 2005 2005 2005 2006 2007 2007 2005 2006 2007 Positron Emission Tomography Services Survey (Survey Years 2006 thru 2008) Battlefield Imaging Center Catoosa 2007 Radiation Therapy Services Survey (Survey Years 2006 thru 2008) Central Georgia Radiation Oncology Center - Houston Houston 2007 8/7/2009 8/7/2009 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 9/16/2005 9/16/2005 9/16/2005 8/15/2007 8/15/2007 9/16/2005 9/15/2006 8/15/2007 9/15/2006 9/16/2005 9/16/2005 9/16/2005 9/15/2006 8/15/2007 8/15/2007 9/16/2005 9/15/2006 8/15/2007 1/16/2009 1/16/2009 Indigent/Charity Shortfalls Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years 21 (Commitment status as of 9/14/2009) 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 Albany Endoscopy Center Gainesville Surgery Center North Oak Ambulatory Surgery Center, Llc Summerville Surgical Center Surgery Center, LLC, The Surgery Center, LLC, The Physician's Cath Lab, LLC 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 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, 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 DeKalb Medical Center County Dougherty Hall LOWNDES Richmond Muscogee Muscogee Fulton Franklin Hall Muscogee Muscogee McDuffie Calhoun Fulton Fulton Chatham Lowndes Lowndes Clarke Oconee Hall Hall Fulton Fulton DeKalb DeKalb Spalding Spalding Fulton Muscogee Bulloch DeKalb Muscogee Glynn Glynn DeKalb DeKalb Year 2008 2008 2008 2008 2007 2008 2008 2006 2007 2006 2007 2007 2007 2006 2007 2007 2006 2007 2006 2007 2006 2007 2006 2007 2006 2007 2006 2007 2007 2007 2007 2007 2007 2005 2006 2007 2008 Shortfall Due 22,637.01 60,220.46 16,830.22 744.46 62,798.60 118,639.50 35,183.93 24,786.58 123,172.12 70,792.71 13,329.80 31,195.10 185.36 151,932.04 125,615.85 32,141.02 98,303.88 3,087.28 67,275.28 80,394.12 43,747.37 68,748.96 118,369.89 184,196.33 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 80,176.20 Service Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Cardiac Catheterization Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency 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 PET Services 22 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. 23 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 24 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 6, 2009) 100th Day (last day for letters of support to be submitted to Department) (August 31, 2009) 120th Day (Department Issues decision) (September 20, 2009) Letter of Intent (due by 5pm April 24, 2009) 60-Day Meeting (applicant only); opposition letter(s) due. (July 22, 2009) 90th Day (opposition meeting, applicant can attend, opposing party must provide written copy of argument) (August 21, 2009) 110th Day (applicant provides amended information; applicant provides response to opposition) (September 10, 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) 25 BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW ACTIVITIES Summer CYCLE Batching Notice (June 22, 2009) Application Day (application complete when submitted; review cycle begins same day) (due by 12 noon August 21, 2009) 75th Day (applicant provides additional information) (November 3, 2009) 100th Day (last day for letters of support to be submitted to Department) November 28, 2009 (due Monday, November 30, 2009) 120th Day (Department Issues decision) (December 18, 2009) Letter of Intent (due by 5pm July 22, 2009) 60-Day Meeting (applicant only); opposition letter(s) due. (October 19, 2009) 90th Day (opposition meeting, applicant can attend, opposing party must provide written copy of argument) (November 18, 2009) 110th Day (applicant provides amended information; applicant provides response to opposition) (December 8, 2009) Batching Notice issued 30 days before Letter of Intent Due Letter of Intent received by Department 30 days before application is submitted Applications submitted; deemed complete; review cycle begins 60-Day meeting (applicant only); deadline for receipt of opposition letter(s) 75th day applicant provides additional information 90th day Opposition Meeting(s) scheduled; applicant can be in attendance; opposing parties must provide written statement of opposition arguments presented (original and one copy to the Department and one copy to the applicant); presentation time will be limited; Department reserves right to make additional inquiries subsequent to 60-day meeting and following opposition meeting. 100th day Last day for letters of support to be submitted to the Department 110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposition due to Department; applicant deadline for providing written response to Department's inquiries subsequent to opposition meeting 120th day Decision issued (No discretion to extend) 26 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) 27 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. 28 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 DHP Notice The Division of Health Planning will be closed on Friday, October 9, 2009 Wednesday, November 25, 2009 For State Furlough Days 29