Certificate-of-need tracking and appeals report [Sept. 29, 2009]

Letters of Intent Expired Letters of Intent
New Applications
Pending Review/Incomplete Applications
Pending Review/Complete Applications
Pending Review/Complete/Joined Applications
Recently Approved Applications
Recently Denied Applications
Applications Withdrawn Appealed CON Projects
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 Cycle Fall Cycle
Fall Batching Notifications New CON Filing Requirements
(effective July 1, 2008) New Reporting Requirements
(effective July 1, 2008)
Certificate of Need Appeal Panel
DHP Notice
New Procedure for Requesting Extensions

DIVISION OF HEALTH PLANNING
CERTIFICATE OF NEED
September 23, 2009 September 29, 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

2009-074 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

2009-077 DeKalb Medical at North Decatur

CT Scanner

Received: 9/9/2009

Application must be submitted on: 10/9/2009

Site: 2701 North Decatur Road, Decatur, GA 30033 (Fulton County)

Estimated Cost: $1,541,800

2009-078 Newton Medical Center

Acquisition: da Vinci Si Robotic Surgery System

Received: 9/22/2009

Application must be submitted on: 10/22/2009

Site: 5126 Hospital Drive, Covington, GA 30014 (Newton County)

Estimated Cost: $1,750,000

2009-079 St. Francis Hospital, Inc.

Renovate and Expand by adding a Clinical Tower

Received: 9/22/2009

Application must be submitted on: 10/22/2009

Site: 2122 Manchester Expressway, Columbus, GA 31908 (Muscogee County)

Estimated Cost: $85,000,000

2009-080 Open MRI of Georgia, Inc.

MRI and CT Scanner Replacement

Received: 9/24/2009

Application must be submitted on: 10/26/2009

Site: 204 Village Center Parkway, Stockbridge, GA 30281 (Henry County)

Estimated Cost: $2,400,000

Expired Letters of Intent
none

New Applications
2009-072 Open MRI and CT Specialists of Stockbridge Re-location of Imaging Center & Acquisition of MRI Unit Filed: 9/16/2009 Site: 900 Block of eagles Landing Parkway, Stockbridge, GA 30281 (Henry County) Contact: Tammy Karst, VP Client Services 770-952-8899 Estimated Cost: $1,409,950

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Pending Review/Incomplete Applications
none

Pending Review/Complete Applications

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

2009-029 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

Contact:

Toni Wimby 404-686-2450

Estimated Cost: $3,705,333

2009-042 Doctors Hospital of Augusta, LLC Acquisition of a da Vinci Si HD Surgical System Site:Filed: 7/1/2009 Deemed Incomplete: 7/15/2009 Deemed Complete: 8/3/2009 1365-C Clifton Road, Atlanta, GA 30322 (DeKalb County) 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

2009-046 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
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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 da Vinci 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
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 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
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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
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
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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
2009-054 Gordon Hospital A New Non-Special Mega Voltage Radiation Therapy Services - (Joined 56,73) Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 Joined: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: 1035 Red Bud Road, Calhoun, GA 30701 (Gordon County) Contact: Sam Huenergardt 706-602-7800 Estimated Cost: $7,012,348
2009-056 Georgia Center for Total Cancer Care of Jasper New Freestanding Radiation Therapy Center in SSDR 1 - (Joined 54,73) Batching Filed: 8/21/2009 Deemed Complete: 8/21/2009 Joined: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: Allred Mill Road and State Road 515, Jasper, GA 30143 (Pickens County) Contact: Dale L. McCord, MD 770-255-7409 Estimated Cost: $6,757,809
2009-073 Gilmer County Comprehensive Cancer Treatment Center Development of Non-Special MRT - Batching (Joined 54-56) Filed: 8/21/2009 Deemed Complete: 8/21/2009 Joined: 8/21/2009 60th Day Deadline: 10/19/2009 Decision Deadline: 12/18/2009 Site: Insect W.brook Boulevard & W.brook Court, Ellijay, GA 30540 (Gilmer County) Contact: Donald Holton 770-682-2099 Estimated Cost: $6,400,609
Recently Approved 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 APPROVED: 9/29/2009 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
2009-027 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
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Decision Deadline: 9/26/2009 APPROVED: 9/24/2009 Site: 1120 Morningside Drive, Perry, GA 31069 (Houston County) Contact: David Campbell 478-988-1625 Estimated Cost: $3,801,899
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 APPROVED: 9/18/2009 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 APPROVED: 9/18/2009 Site: 3883 Rogers Bridge Road, Suite 304B, Duluth, GA 30097 (Gwinnett County) Contact: Nitin Bhise 678-592-4097 Estimated Cost: $42,503
Recently Denied Applications
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 DENIED: 9/18/2009 Site: 960 Joe Frank Harris Parkway, Cartersville, GA 30120 (Bartow County) Contact: Lori E. Rakes, FACHE 770-387-8181 Estimated Cost: $109,974
2009-036 Gwinnett Physicians Center Multi-Specialty, Freestanding ASC - (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 Decision Deadline: 9/20/2009 DENIED: 9/18/2009 Site: 631 Professional Drive, Lawrenceville, GA 30045 (Gwinnett County) Contact: Mark M. Mullin 678-312-4193 Estimated Cost: $8,692,896
Applications Withdrawn
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 WITHDRAWN: 9/17/2009 Site: 864 First Street, Macon, GA 31201 (Bibb County) Contact: Marvin Noles 478-741-6522 Estimated Cost: $1,000
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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 Decision Deadline: 9/20/2009 WITHDRAWN: 9/17/2009 Site: 4370 Georgetown Square, Atlanta, GA 30338 (DeKalb County) Contact: Karen L. Vaughn, RN 770-457-4677 Estimated Cost: $97,400
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; 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.
8

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
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.
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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. Hearing Decision: Pending

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. Hearing Decision: Pending

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; 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.-

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

Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2009020 Carrollton Orthopaedic Clinic, PC

Fixed MRI

Request received: 7/23/2009

Contact Person: Charles Sorrento 770-834-0873

Determination: Approved

Determination Date: 9/25/2009

LNR-EQT2009022 Piedmont Hospital, Inc.

Purchase MRI and CT Scanner for a Hospital-Based Imaging

Request received: 7/29/2009

Contact Person:

Determination: Approved

Determination Date: 9/28/2009

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

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

LNR-EQT2009027 Athens Neurological Associates, P.C. Fixed MRI Request received: 9/18/2009 Contact Person: Jon Poling, M.D. 706-353-0606 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: Approved

Determination

9/21/2009

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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: Approved

Determination

9/23/2009

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-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: Approved

Determination

9/28/2009

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. 770-951-8427

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

12

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

LNR-ASC2009013 Buckhead Mohs Surgical Center, LLC

Single Specialty Dermatology ASC

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

Number of OR's:

Specialty: Dermatology ASC

Project costs as submitted: $0.00

Request received: 9/18/2009

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

Determination: Pending

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

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: Non-reviewable as proposed Determination Date: 9/17/2009

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

404-404-4440

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: Non-reviewable as proposed Determination Date: 9/16/2009

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: Non-reviewable as proposed Determination Date: 9/17/2009

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: Non-reviewable as proposed Determination Date: 9/18/2009

13

DET2009093 Pediatric Services of America, Inc.

Scope of Service Change

Request received: 7/13/2009

Contact Person: Vicki Whiteside 770-248-8740

Determination: Upheld

Determination Date: 9/18/2009

DET2009094 Griffin Imaging, LLC Relocation of CON2008127 Request received: 7/15/2009 Contact Person: Joseph A. Paul 561-744-9122 Determination: Non-reviewable as proposed Determination Date: 9/18/2009

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: Non-reviewable as proposed Determination Date: 9/24/2009

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: Non-reviewable as proposed Determination Date: 9/24/2009
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: Non-reviewable as proposed Determination Date: 9/25/2009
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: Non-reviewable as proposed Determination Date: 9/25/2009
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: Non-reviewable as proposed Determination Date: 9/28/2009
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
14

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
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
15

DET2009115 Emory University dba Emory University Hospital Midtown Replacement of Electrophysiology Lab B Request received: 9/17/2009 Contact Person: Toni Wimby 404-686-2450 Determination: Pending
DET2009116 Healing Community Center Construction of New Community Health Clinic and Recuperative Care Request received: 9/17/2009 Contact Person: Charles E. Moore, MD, FACS 404-778-3939 Determination: Pending
DET2009117 Tattnall Hospital Company, LLC dba The Doctors Hospital of Tattnall Replacement of MRI Request received: 9/18/2009 Contact Person: Michael Kleinpeter 912-644-5370 Determination: Pending
DET2009118 St. Francis Hospital Affiliated Services, Inc. MOB Request received: 9/22/2009 Contact Person: Matthew A. moore 706-596-4160 Determination: Pending
DET2009119 St. Joseph's Hospital of Atlanta, Inc. PET Replacement Request received: 9/23/2009 Contact Person: Heather Dexter 678-843-7001 Determination: Pending
DET2009120 The Medical Center, Inc. Replacement of Three Linear Accelerators Request received: 9/29/2009 Contact Person: Donald Elder 706-660-6342 Determination: Pending

Requests for Extended Implementation/Effective Period

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 09/25/2009
Current Status of Official Division of Health Planning Need Projection Analyses and Other Data Resources Need Projections and Maps for CON Regulated Services 2014 Non-Special MegaVoltage Radiation Therapy - 7/2/2009 2014 Positron Emission Tomography Services - 6/22/2009
16

2014 Ambulatory Surgery Center Services - 9/22/2009 2012 Home Health Agency Services - 9/18/2009 2014 Inpatient Physical Rehabilitation Services - 9/21/2009 2014 Neonatal Intensive Care Beds - 9/23/2009 2014 Neonatal Intermediate Care Beds - 9/23/2009 2014 Obstetric Services Beds - 9/23/2009 2012 Skilled Nursing Home Beds - 9/18/2009 Non-Batched Need Projections 2014 Cardiac Catheterization Labs - Updated 4/1/2009 2014 Long Term Care Hospital Beds - 4/1/2009 2014 Short Stay Hospital Beds Facility-specific projections on an ad hoc basis using 2006 utilization

Non-Filed or Incomplete Division of Health Planning
Facility Surveys for Most Recent 3 Years (Survey Status as of September 29, 2009)
Survey Completion Status - Survey completion status represents the status of survey filings as of the effective date indicated in each version of the Tracking Report. Surveys filed on the effective date may not be reflected as complete and may be reported as delinquent. Please contact the staff contact indicated in the instruction materials associated with each survey if your facility has filed its survey but continues to be reflected as incomplete.

Facility Name

County

Survey Year

Annual Hospital Questionnaire and Addenda (Survey Years 2005 thru 2007)

Charlton Memorial Hospital

Charlton

2006

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 Floyd Center, LLC

2007

17

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

Forum Group at Mount Berry Nursing & Rehabilitation Center, LLC Forum Group at Wildwood Park Nursing & Rehabilitation Center, LLC Meadowbrook Health Care

Floyd Glynn DeKalb

2007 2007 2008

Cardiac Catheterization Services Survey (Survey Years 2006 thru 2008)

Gordon Hospital

Gordon

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

Muscogee

2008

Southern Regional Medical Center Sumter Regional Hospital East

Clayton Sumter

2008 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

2008

Associates Surgery Center, Inc

BIBB

2008

Athens Plastic Surgery Center

CLARKE

2008

Atlanta Aesthetic Surgery Center

Fulton

2008

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

Fulton Fulton

2006 2006

Atlanta Eye Surgery Center at Omni West

Fulton

2007

Atlanta Plastic & Reconst Surg

FULTON

2008

Atlanta Surgicenter

Fulton

2006

Atlanta Women's Medical Center

Fulton

2006

Atlanta Women's Medical Center

Fulton

2007

Augusta Retina-laser Surgi Care

Richmond

2008

Bowman Pain Management, Pc

BIBB

2008

Buckhead Facial Plastic Surgery

FULTON

2008

Center For Pl & Recon Surgery

CLARKE

2008

Clayton Cataract and Laser Surgery Center

Clayton

2008

Clayton Outpatient Surg Ctr

CLAYTON

2008

Cobb Endoscopy Center, Llc

COBB

2008

Columbus Women's Health Organization, Inc.

Muscogee

2006

Columbus Women's Health Organization, Inc.

Muscogee

2007

Day Surgery And Recovery Ctr

WHITFIELD

2008

Digestive Healthcare Of Ga Endoscopy Ctr

FULTON

2008

Endoscopy Center, Llc, The

CHATHAM

2008

Endoscopy Consultants, Llc

FULTON

2008

Ent Surgical Center

CHATHAM

2008

Eye Surgery Center Of Albany, Llc

DOUGHERTY

2008

Eyesight's Laser & Surgery Ctr

HOUSTON

2008

Foot & Ankle Surgery Ctr, Llc, The

MUSCOGEE

2008

Forsyth Surgical Center, Inc.

FORSYTH

2008

Friendship Surgery Center

HALL
18

2008

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

Ga Urology, Pa Rockdale Ambulatory Surgery Ctr Gastrointestinal Endoscopy Of Gwinnett Georgia Surgical Centers- South Georgia Surgical Ctrs Of N Ga Gwinnett Endoscopy Center Lawrenceville Surgery Center Lowndes County Ambulatory Surg 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 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 Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Pain Center, Llc Savannah Plastic Surgicenter, Inc. South Georgia Surgery Center South Georgia Surgery Center ( Brunswick ) Southeastern Pain Ambulatory Surgery Center, Llc Southern Crescent Endoscopy Southern Crescent Plastic Surg Surgical Centers of Georgia Universal Ambulatory Surgery Center, P C Urology Center Of Georgia Llc Urology Surgical Partners, Llc Valdosta Foot & Ankle Surgery West Georgia Endoscopy Center, Llc West Metro Endoscopy Center, Llc Woodstock Endoscopy Ctr, Llc

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

19

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

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

Home Health Agency Survey (Survey Years 2006 thru 2008)

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Gordon Home Care

Gordon

Intrepid USA Healthcare Services

Glynn

Southside Healthcare Home Health

DeKalb

2006 2007 2008 2006 2008 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

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 Autumn Village PCH

Cherokee 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

4/13/2007 10/10/2008
8/7/2009 4/13/2007
8/7/2009 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
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

20

Indigent/Charity Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years
(Commitment status as of 9/29/2009)
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 Savannah Outpatient Foot and Ankle 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 Chatham
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

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

Service
Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center

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

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

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

21

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.
22

SUMMER SPRING WINTER FALL

New Batching Review
The Department will be transitioning many of the reviewable CON services into quarterly Batching Cycles. These services and the Batching Cycles are as follows:

Batched Service
Home Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Ambulatory Surgery
PET, Mega Voltage Radiation Therapy, Pediatric Cath/Open Heart, Adult Open Heart,
Psych/Substance Abuse, Birthing Centers

Batching Notice
September
December

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

March

Letter of Intent
October
January
April

Application Deadline November
February
May

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

June

July

August

Letters of Intent for services, facilities, or expenditures for which there is no specified batching cycle, or other applicable rule, may be filed at any time.

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

Ambulatory Surgery Home Health Agencies
Obstetrical Services

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

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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)

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

Batching Notice
(September 25, 2009)

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

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

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

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

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

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

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

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

Batching Notice issued 30 days before Letter of Intent Due
Letter of Intent received by Department 30 days before application is submitted
Applications submitted; deemed complete; review cycle begins
60-Day meeting (applicant only); deadline for receipt of opposition letter(s)
75th day applicant provides additional information
90th day Opposition Meeting(s) scheduled; applicant can be in attendance; opposing parties must provide written statement of opposition arguments presented (original and one copy to the Department and one copy to the applicant); presentation time will be limited; Department reserves right to make additional inquiries subsequent to 60-day meeting and following opposition meeting.
100th day Last day for letters of support to be submitted to the Department
110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposition due to Department; applicant deadline for providing written response to Department's inquiries subsequent to opposition meeting
120th day Decision issued (No discretion to extend)

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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

DHP Notice
The Division of Health Planning will be closed on
Friday, October 9, 2009 Wednesday, November 25, 2009
For State Furlough Days
Effective, September 30, 2009, requests for extensions to either the mandatory implementation date or the mandatory completion date of approved CONs must be submitted via the form now available on the Department of Community Health website Certificate of Need Performance Extension Request Form.
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