Certificate-of-need tracking and appeals report [Nov. 23, 2010]

Letters of Intent Expired Letters of Intent Fall Batching Expired Letters of Intent
New Applications

IMPORTANT INFORMATION PERTAINING TO FALL 2010 HOME HEALTH SERVICES BATCHING CYCLE See Page 33

Pending Review/Incomplete Applications

Pending Review/Complete Applications Fall Batching - Application Status
Fall Batching Applications Disqualified Pending Review/Complete/Joined Applications
Recently Approved Applications

DIVISION OF HEALTH PLANNING

Recently Denied Applications

Appealed CON Projects
Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities

CERTIFICATE OF NEED

Requests for LNR for Diagnostic or Therapeutic Equipment

Requests for Miscellaneous Letters of Determination
Requests for Extended Implementation/Performance Period

November 17, 2010 November 23, 2010

Need Projection Analyses
Non-Filed or Incomplete Surveys
Indigent-Charity Shortfalls
Legislation Affecting CON
New Batching Review Fall Cycle
Summer Cycle
New CON Filing Requirements (effective July 1, 2008)
New Reporting Requirements (effective July 1, 2008)

Georgia Department of Community Health Division of Health Planning 2 Peachtree Street 5th Floor Atlanta, Georgia 30303-3159
(404) 656-0655 (404) 656-0654 Fax www.dch.georgia.gov

Certificate of Need Appeal Panel New Procedure for Requesting Extensions

Letters of Intent

LOI2010120 Gwinnett Medical Center

Renovation of South Tower

Received: 11/1/2010

Application must be submitted on: 12/1/2010

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

Estimated Cost: $13,500,000

LOI2010121 Rockdale Medical Center

Cost Overrun of CON Project GA2008-086

Received: 11/15/2010

Application must be submitted on: 12/15/2010

Site: 1412 Milstead Avenue, Conyers, GA 30012 (Rockdale County)

Estimated Cost: $4,800,000

LOI2010122 MRI & Imaging of Johns Creek

Replacement of Existing MRI Scanner

Received: 11/17/2010

Application must be submitted on: 12/17/2010

Site: 6630 McGinnis Ferry Road, Suite 600, Johns Creek, GA 30097 (Fulton County)

Estimated Cost: $1,846,835

Expired Letters of Intent

LOI2010056 Heritage of Hope Hospital and Medical Center, Inc.

Replace Southwest Atlanta Medical Center

Received: 10/13/2010

Application must be submitted on: 11/12/2010

Site: 501 Fairburn Road, Atlanta, GA 30331 (Fulton County)

Estimated Cost: $294,000,000

Fall Batching Expired Letters of Intent
SEE INFORMATION PERTAINING TO FALL 2010 HOME HEALTH SERVICES BATCHING CYCLE , PAGE 33
See Update to #2 on page 33
Home Health
LOI2010069 St. Joseph's Candler Health System - Brunswick BATCHING: Expand - SSDR 12 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 106 Anderson Way, Brunswick, GA 00000 (Glynn County) Estimated Cost: $0
LOI2010070 Magnus Home Health, LLC BATCHING: New Home Health - SSDR 12 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 317 Ault Road, Suite 216, Signal Mountain, TN 37377 Estimated Cost: $0
LOI2010075 Peoples Home Medical, LLC BATCHING: New Home Health - SSDR 12 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 1174 Monticello Street, Covington, GA 30014 (Newton County) Estimated Cost: $25,000
2

LOI2010076 Lanu Healthcare Services BATCHING: New Home Health - Exception SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 1940 Cooper Lakes Drive, Grayson, GA 30017 (Gwinnett County) Estimated Cost: $0
LOI2010079 Angelite Health Services Inc. BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 8491 Hospital Drive #176, Douglasville, GA 30134 (Douglas County) Estimated Cost: $0
LOI2010081 Orie Jenkins BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 9381 Grace Lake Drive, Douglasville, GA 30135 (Douglas County) Estimated Cost: $0
LOI2010082 Shannon Private Home Care, Inc. BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 9 Lumkin Street, Lawrenceville, GA 30046 (Gwinnett County) Estimated Cost: $10,000
LOI2010083 Helping Hand Home Healthcare BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 2850 Delk Road Apt 19L, Marietta, GA 30067 (Cobb County) Estimated Cost: $2,000
LOI2010090 Peoples Home Medical BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 1174 Monticello Street, Covington, GA 30014 (Rockdale County) Estimated Cost: $25,000
LOI2010091 Peoples Home Medical BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 1174 Monticello Street, Covington, GA 30014 (Rockdale County) Estimated Cost: $25,000
LOI2010095 Citizen Home Health Agency BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 3535 Chasefield Way, Marietta, GA 30066 (Cobb County) Estimated Cost: $180,000
LOI2010096 Amicita Home Health BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 430 Lovena Drive, Suite 1, Marietta, GA 30076 (Cobb County) Estimated Cost: $100,000
LOI2010097 Amicita Home Health, LLC BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 1770 Indian Trail Road, Suite 110, Norcross, GA 30093 (Gwinnett County) Estimated Cost: $100,000
3

LOI2010098 Golden Angels Home Healthcare BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 514 Preston Landing Circle, Lithia Springs, GA 30122 (Douglas County) Estimated Cost: $0
LOI2010100 Duluth Medical Services, Inc. BATCHING: New Home Health - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 3883 Rogers Bridge Road Suite 304B, Duluth, GA 30097 (Gwinnett County) Estimated Cost: $0
LOI2010101 Duluth Medical Services, Inc. BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 3883 Rogers Bridge Road Suite 304B, Duluth, GA 30097 (Gwinnett County) Estimated Cost: $0
LOI2010102 Attendant Health Care BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 1830 Walton Way, Augusta, GA 30904 (Gwinnett County) Estimated Cost: $42,840
LOI2010103 Attendant Health Care, LLC BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 1830 Walton Way, Augusta, GA 30904 (Gwinnett County) Estimated Cost: $0
LOI2010104 Quality One BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 1202 Hogan Ridge Court, Grayson, GA 30017 (Gwinnett County) Estimated Cost: $0
LOI2010106 STG HealthCare of Atlanta, Inc. BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 6000 Lake Forrest Drive, NW, Suite 500, Atlanta, GA 30328 (Fulton County) Estimated Cost: $100,000
LOI2010108 Magnus Home Health BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 317 Ault Road Suite 216, Signal Mountain, TN 37377 Estimated Cost: $0
LOI2010113 Shannon Private Home Care-Marietta BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 125 Townlake Drive, Suite 300, Kennesaw, GA 30144 (Cobb County) Estimated Cost: $3,500
LOI2010114 BCH Home Care Services, LLC BATCHING: New Home Health Agency - SSDR3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 1221 E. McPherson Avenue, Nashville, GA 31639 (Berrien County) Estimated Cost: $0
4

LOI2010116 Alfonso Hargrove Home Health BATCHING: New Home Health Agency - SSDR 3 Received: 10/24/2010 (Rollover 10/25/2010) Application must be submitted on: 11/23/2010 Site: 2409 Peachwood Circle, Atlanta, GA 30345 (Gwinnett County) Estimated Cost: $0
Fall Batching Applications Disqualified
See Bottom of Page 35
New Applications
2010-048 Tift County Hospital Authority d/b/a Tift Regional Medical Center Tift County Hospital Authority d/b/a Tift Regional Medical Center Filed: 11/12/2010 Site: 901 East 18th Street, P O Drawer 747, Tifton, GA 31793 (Tift County) Contact: Sarah Thompson, VP/Operations 229-353-6102 Estimated Cost: $8,932,500
Pending Review/Incomplete Applications
2010-045 Floyd Medical Center Replacement of two CT Units Filed: 11/1/2010 Deemed Incomplete: 11/16/2010 Site: 304 Turner McCall Boulevard, Rome, GA 30162 (Floyd County) Contact: Stephen Weed, Director of Planning 706-509-3257 Estimated Cost: $1,557,538
Pending Review/Complete Applications - See Page 35
2010-026 John D Archbold Memorial Hospital dba Grady General Hospital Install an in-house MRI unit and refurbished CT-Scanner Filed: 6/7/2010 Deemed Incomplete: 6/21/2010 Deemed Complete: 8/13/2010 60th Day Deadline: 10/11/2010 Decision Deadline: 12/10/2010 Site: 1155 5th Street SE, Cairo, GA 31728 (Grady County) Contact: LaDon Toole, Administrator 229-377-0251 Estimated Cost: $4,508,026
2010-032 Southeast Georgia Health System Renovation of a Nursing Unit Filed: 7/26/2010 Deemed Incomplete: 8/9/2010 Deemed Complete: 8/24/2010 60th Day Deadline: 10/22/2010 Decision Deadline: 12/21/2010 Site: 2415 Parkwood Drive, Brunswick, GA 31520 (Glynn County) Contact: Marjorie A. Mathieu, FACHE 912-466-7090 Estimated Cost: $10,900,000
2010-033 MCG Health, Inc. Renovate Bone Marrow Transplant Unit Filed: 7/26/2010 Deemed Complete: 8/9/2010 Deemed Complete: 8/9/2010 60th Day Deadline: 10/7/2010 Decision Deadline: 12/6/2010 Site: 1120 15th Street, 5th Floor, HPA-7, Augusta, GA 30912 (Richmond County) Contact: Sheila O'Neal, VP Strategic Support & Philanthropy 706-721-7406 Estimated Cost: $6,017,138
5

2010-034 Lakeview Behavioral Health System, LLC
BATCHING - Establish a 60-bed Acute Care Psychiatric/Substance Abuse Hospital. Filed: 8/21/2010 Deemed Complete: 8/21/2010 60th Day Deadline: 10/19/2010 Decision Deadline: 12/18/2010 Site: 1 Technology Parkway, Norcross, GA 30092 (Gwinnett County) Contact: R. Kirk Kureska 770-991-8500 Estimated Cost: $12,971,000
2010-035 Emory Eastside Medical Center
BATCHING - Mobile PET Services Filed: 8/21/2010 Deemed Complete: 8/21/2010 60th Day Deadline: 10/19/2010 Decision Deadline: 12/18/2010 Site: 1700 Medical Way, Snellville, GA 20078 (Gwinnett County) Contact: Dustin Greene, COO 770-736-2224 Estimated Cost: $27,035
2010-036 Memorial Hospital of Adel
BATCHING - Establish a New Geri-Psychiatric Program Filed: 8/21/2010 Deemed Complete: 8/21/2010 60th Day Deadline: 10/19/2010 Decision Deadline: 12/18/2010 Site: 706 N. Parrish Avenue, Adel, GA 31620 (Cook County) Contact: Beth Ryther 229-896-8042 Estimated Cost: $400,000
2010-037 North Georgia Medical Center
BATCHING - Add 10-Bed Senior Mental Health (Adult Psych) Program/Facility Renovations Filed: 8/21/2010 Deemed Complete: 8/21/2010 60th Day Deadline: 10/19/2010 Decision Deadline: 12/18/2010 Site: 1362 South Main Street, Ellijay, GA 30540 (Gilmer County) Contact: Jeffrey Dunn, CEO 706-276-4741 Estimated Cost: $14,760,164
2010-038 Cancer Treatment Center at Union General
BATCHING - Add Second MV Rad Ther Unit/Purchase Digital Linear Accelerator Filed: 8/21/2010 Deemed Complete: 8/21/2010 60th Day Deadline: 10/19/2010 Decision Deadline: 12/18/2010 Site: 308 Deep South Farm Road, Blairsville, GA 30512 (Fannin County) Contact: Dale McCord, MD, Manager 770-255-7409 Estimated Cost: $6,100,000
2010-039 Emory Johns Creek Hospital
BATCHING - Establish a Cancer Center, Radiation Therapy Services Filed: 8/21/2010 Deemed Complete: 8/21/2010 60th Day Deadline: 10/19/2010 Decision Deadline: 12/18/2010 Site: 6325 Hospital Parkway, Johns Creek, GA 30097 (Fulton County) Contact: John Quinlivan, Jr. CEO 678-474-7000 Estimated Cost: $15,000,000
2010-040 Flint River Hospital
BATCHING - Establish a New 12-Bed Inpatient Geriatric Psychiatric Unit Filed: 8/21/2010 Deemed Complete: 8/21/2010 60th Day Deadline: 10/19/2010 Decision Deadline: 12/18/2010 Site: 509 Sumter Street, Montezuma, GA 31063 (Macon County) Contact: Frank Schupp, CEO 478-472-3246
6

Estimated Cost: $200,000
2010-041 Gwinnett Physicians Center Breast Health Imaging Center Filed: 9/13/2010 Deemed Incomplete: 9/27/2010 Deemed Complete: 10/22/2010 60th Day Deadline: 12/20/2010 Decision Deadline: 2/18/2011 Site: 631 Professional Boulevard, Lawrenceville, GA 30046 (Gwinnett County) Contact: Mark M. Mullin 678-312-4193 Estimated Cost: $4,976,170
2010-042 Bacon County Hospital Replacement of a CON-exempt CT Scanner Filed: 9/24/2010 Deemed Incomplete: 10/8/2010 Deemed Complete: 11/2/2010 60th Day Deadline: 12/31/2010 Decision Deadline: 3/1/2011 Site: 302 South Wayne Street, Alma, GA 31510 (Bacon County) Contact: Cindy R. Turner, CEO 912-632-8961 Estimated Cost: $1,857,077
2010-043 South Georgia Medical Center Acquisition of da Vinci Si Surgical System Filed: 10/18/2010 Deemed Complete: 11/1/2010 60th Day Deadline: 12/30/2010 Decision Deadline: 2/28/2011 Site: 2501 North Patterson Street, Valdosta, GA 31602 (Lowndes County) Contact: William E. Forbes 229-259-4175 Estimated Cost: $2,273,860
2010-044 Molecular Imaging Alliance of Atlanta Center Diagnostic Molecular and New Cardiac PET Filed: 10/29/2010 Deemed Complete: 11/15/2010 60th Day Deadline: 1/13/2011 Decision Deadline: 3/14/2011 Site: 1140 Hammond Drive, Building K Suite 210, Atlanta, GA 30328 (Fulton County) Contact: David Eve 502-899-5995 Estimated Cost: $399,221
2010-046 Floyd Medical Center Purchase and Install a New MRI Unit Filed: 11/1/2010 Deemed Complete: 11/3/2010 60th Day Deadline: 1/1/2011 Decision Deadline: 3/2/2011 Site: 304 Turner McCall Boulevard, Rome, GA 30162 (Floyd County) Contact: Stephen Weed 706-509-3257 Estimated Cost: $2,019,313
2010-047 Emory Eastside Medical Center Renovation and Expansion of Main Hospital Facility Filed: 11/3/2010 Deemed Complete: 11/5/2010 60th Day Deadline: 1/3/2011 Decision Deadline: 3/4/2011 Site: 1700 Medical Way, Snellville, GA 30078 (Gwinnett County) Contact: Dustin Greene, FACHE, COO 770-736-2224 Estimated Cost: $75,336,587
Pending Review/Complete/Joined Applications
none
Recently Approved Applications
7

2010-028 The Medical Center of Central Georgia

Convert Office Space to 30 Acute Care Rooms and Supporting Space

Filed: 6/23/2010 Deemed Incomplete: 7/8/2010 Deemed Complete: 7/27/2010

60th Day Deadline: 9/24/2010

Decision Deadline: 11/23/2010

APPROVED: 11/22/2010

Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County)

Contact: H. Bryan Forlines 478-633-6966

Estimated Cost:

$7,970,490

2010-029 Tift County Hospital Authority dba Tift Regional Medial Center
Purchase of a da Vinci Surgical System Filed: 6/23/2010 Deemed Complete: 7/8/2010 60th Day Deadline: 9/5/2010 Decision Deadline: 11/4/2010 APPROVED: 11/4/2010 Site: 901 East 18th Street, Tifton, GA 31793 (Tift County) Contact: Claire Byrnes, Administrative Extern 229-353-3421 Estimated Cost: $2,287,600
2010-030 Memorial Health University Medical Center, Inc.
Replacement and Relocation of the Children Hospital Filed: 6/23/2010 Deemed Incomplete: 7/6/2010 Deemed Complete: 7/12/2010 60th Day Deadline: 9/9/2010 Decision Deadline: 11/8/2010 APPROVED: 11/8/2010 Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Contact: Margaret Gill, Sr V P & COO 912-350-7073 Estimated Cost: $22,622,600
2010-031 Children's Healthcare of Atlanta at Forsyth
Establish Pediatric Ambulatory Destination Center Filed: 7/5/2010 Deemed Complete: 7/19/2010 60th Day Deadline: 9/16/2010 Decision Deadline: 11/15/2010 APPROVED: 11/15/2010 Site: 410 Peachtree Parkway, Suite 300, Cumming, GA 30041 (Forsyth County) Contact: David R. Tatum, VP & Chief Public Policy Officer 404-785-7556 Estimated Cost: $5,698,612

Recently Denied Applications
none

Appealed CON Projects
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 Phoebe Sumter Medical Center, 2/6/2009 Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: July 13, 2009, 12:00PM, 34th Floor Hearing Decision: Hearing Officer affirmed award of CON to Palmyra, 10/18/2009; Phoebe Putney and Sumter Regional request Commissioner Review, 11/17/2009. Commissioner Review Decision: due 12/20/2009. Affirmed Hearing Officer Decision to award CON to Palmyra, 12/18/2009; Phoebe Putney Memorial Hospital filed Petition for Judicial Review in Dougherty County Superior Court, 1/19/2010; Phoebe Sumter Medical Center filed Petition for Judicial Review in Sumter County Superior Court, 1/19/2010. Superior Court of Sumter County Decision: CON reversed in part and affirmed in part, 6/9/2010. Superior Court of Dougherty County Decision: CON reversed, 6/22/2010.
8

Georgia Court of Appeals: Palmyra makes application to Georgia Court of Appeals for discretionary appeal of Sumter County Superior Court Decision, 7/9/10; and, Dougherty County Superior Court decision, 7/28/10; DCH makes application to Georgia Court of Appeals for discretionary appeal of Sumter County Superior Court Decision, 7/9/10; and, Dougherty County Superior Court decision, 7/22/10; Phoebe Sumter and Phoebe Putney opposed request. Georgia Court of Appeals grants both Palmyra and DCH applications for discretionary appeal of Sumter and Dougherty Superior Court decisions, 8/2/10. Hearing date: TBD
2009-054 Adventist Health System of Georgia d/b/a Gordon Hospital (Gordon) 2009-056 ROSA of Georgia, LLC d/b/a Georgia Center for Total Cancer Care of Jasper (Pickens) 2009-073 Physician Oncology Services, LP d/b/a Gilmer County Comprehensive Cancer Treatment Center (Gilmer)
A New Non-Special Mega Voltage Radiation Therapy Service SSDR 1 Agency Decision: 12/18/2009: Approved 2009-054; Denied 2009-056; Denied 2009-073. Appealed By: ROSA of Georgia, LLC, appeals approval of 2009-054, appeals own denial, and requests intervention, 1/14/2010; Physician Oncology Services, LP, appeals approval of 2009-054, appeals own denial, and requests intervention, 1/19/2010; Physician Oncology Services withdrew request for appeal, 6/3/2010. Cartersville Medical Center, LLC, appeals approval of 2009-054, 1/15/2010. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: 8/26/2010; Hearing held 8/26, 27, 30/2010; Decision Pending Hearing Decision: Remand Order issued, 5/3/2010. Remand decision issued affirming award of CON to Gordon Hospital and denial of CON to ROSA of Georgia, LLC and Physician Oncology Services, LP., 5/18/2010.
2009-079 St. Francis Hospital, Inc. (Muscogee) Renovate and Expand by adding a Clinical Tower Agency Decision: Approved, 3/30/2010 Appealed By: Doctors Hospital, 4/21/2010; The Medical Center 4/21/2010; Appeal withdrawn, 10/26/2010. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: 9/27/2010
2009-094 St. Francis Hospital (Muscogee) Establish Basic Perinatal Service - BATCHING Agency Decision: Approved, 3/23/2010 Appealed By: Phoebe Sumter Medical Center, 4/21/2010; The Medical Center, 4/21/2010; and Doctors Hospital, 4/21/2010. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: Hearing stayed pending final resolution of appellate procedures for CON2008-081, pursuant to 9/25/2010 Consent Order.
2010-023 Northside/Alpharetta Ambulatory Surgery Services (Fulton) BATCHING - The Development of an Ambulatory Surgery Services Agency Decision: Approved, 9/20/2010 Appealed By: St. Joseph's Hospital of Atlanta, 10/19/2010; EHCA Johns Creek, LLC, d/b/a Emory Johns Creek Hospital, 10/20/2010; Applicant (Northside) requests to intervene, 10/19/2010 Hearing Officer: TBD Hearing Date: TBD
2010-025 WellStar Kennestone at East Cobb (Cobb) BATCHING - Development an Ambulatory Surgery Facility Agency Decision: Approved, 9/20/2010 Appealed By: St. Joseph's Hospital of Atlanta, 10/19/2010; Northside Hospital-Atlanta and Northside Alpharetta Surgery Center, 10/19/2010; Applicant (Kennestone) requests to intervene, 10/19/2010. Hearing Officer: TBD Hearing Date: TBD
Home Health Appeals of Shortfall
OTH2010013 Ogeechee Home Health Administrative Appeal of Shortfall - HHA048, Bulloch Request received: 5/27/2010 Contact Person: Shayna Bowen 404-443-5732
9

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

10/25/2010

OTH2010014 Gentiva Health Services - Savannah

Administrative Appeal of Shortfall - HHA077, Chatham

Request received: 5/27/2010

Contact Person: Shayna Bowen 404-443-5732

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

10/25/2010

OTH2010015 Gentiva Health Services - Atlanta

Administrative Appeal of Shortfall - HHA110, Fulton

Request received: 5/27/2010

Contact Person: Shayna Bowen 404-443-5732

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

10/25/2010

OTH2010016 Healthfield Home Health, Inc.

Administrative Appeal of Shortfall - HHA042, Fulton

Request received: 5/27/2010

Contact Person: Shayna Bowen 404-443-5732

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

10/25/2010

OTH2010017 Healthfield Home Health of Atlanta

Administrative Appeal of Shortfall - HHA140, Forsyth

Request received: 5/27/2010

Contact Person: Shayna Bowen 404-443-5732

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

10/25/2010

OTH2010018 Healthfield of Southwest Georgia

Administrative Appeal of Shortfall - HHA148, Decatur

Request received: 5/27/2010

Contact Person: Shayna Bowen 404-443-5732

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

10/25/2010

OTH2010019 Healthfield Home Health of Griffin

Administrative Appeal of Shortfall - HHA142, Spalding

Request received: 5/27/2010

Contact Person: Shayna Bowen 404-443-5732

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

10/25/2010

OTH2010020 Chattahoochee Valley Home Health

Administrative Appeal of Shortfall - HHA019, Muscogee

Request received: 5/27/2010

Contact Person: Shayna Bowen 404-443-5732

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

10/25/2010

OTH2010024 Visiting Nurses Association of Southwest Georgia

Administrative Appeal of Shortfall - HHA068, Decatur

Request received: 5/27/2010

Contact Person: Shayna Bowen 404-443-5732

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

10/26/2010

Requests for LNR for Diagnostic or Therapeutic Equipment
LNR-EQT2010006 VMW Properties, LLC Fixed CT Scanner Request received: 3/1/2010
10

Contact Person: Determination: Pending
LNR-EQT2010041 Athens Heart Center, P.C. Dedicated Cardiac PET Imaging Request received: 9/9/2010 Contact Person: Andrew Payne 706-208-9700 Determination: Pending
LNR-EQT2010042 Reed Imaging Services, LLC Fixed CT Scanner Request received: 9/14/2010 Contact Person: Michael Reed 678-605-9009 Determination: Pending
LNR-EQT2010043 Atlanta ENT, Sinus & Allergy Associates Fixed CT Scanner Request received: 10/4/2010 Contact Person: Becky Mitchell 404-255-1971 Determination: Pending
LNR-EQT2010044 PAPP Clinic, P.C. Fixed CT Scanner Request received: 10/7/2010 Contact Person: Carol E. Alexander 770-254-6031 Determination: Pending
LNR-EQT2010045 South Fulton Medical Center CT Scanner Request received: 10/13/2010 Contact Person: Jeff Stanley 404-466-1114 Determination: Pending
LNR-EQT2010046 Northwest ENT Associates, PC dba Northeast ENT and Allergy Center Fixed CT Scanner Request received: 10/29/2010 Contact Person: Kelly V> Ladd 77-427-0368 Determination: Pending
LNR-EQT2010047 Jenkins County Hospital Lease a Fixed 16 Slice Replacement CT Scanner Request received: 11/15/2010 Contact Person: Determination: Pending

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

LNR-ASC2010011 Philip F. Macon Center For Orthopedic Medicine

Physician Single Specialty Ambulatory Surgery Treatment Center

Site: 10700 Medlock Bridge Road, Suite 101, Johns Creek, Fulton County

Number of OR's: 1

Specialty: Pain Orthopedic Medicine

Project costs as submitted: $289,104.51

Request received: 6/24/2010

Contact Person: Everette B. Jenkins 678-625-4720

Determination: Pending

LNR-ASC2010012 Lakeview Surgery Center, LLC

Physician-Owned, Single, Specialty Ambulatory Surgery Center

Site: 100 Jim Mason Court, Warner Robins, GA 31088

Number of OR's: 2

Specialty: Pain Management Procedures

Project costs as submitted: $449,942.48

11

Request received: 7/8/2010

Contact Person: Bryanne Goncher 404-504-7658

Determination: Approved

Determination

11/8/2010

LNR-ASC2010013 North Columbus Surgery Center

Physician-Owned ASC

Site: 7351 Old Moon Road, Columbus, GA 31909

Number of OR's: 2

Specialty: Pain Management

Project costs as submitted: $248,649.98

Request received: 7/16/2010

Contact Person: Brynne Goncher 404-233-7000

Determination: Approved

Determination

11/8/2010

LNR-ASC2010014 Peachtree Orthopaedic Surgery Center at Perimeter, LLC

Physician-Owned, Single Specialty Ambulatory Surgery, LLC

Site: 5505 Peachtree-Dunwoody Road, Suite 200, Atlanta, GA

Number of OR's: 2

Specialty: Orthopaedic

Project costs as submitted: $2,456,458.57

Request received: 7/21/2010

Contact Person: Robert Limyansky 770-394-8465

Determination: Pending

LNR-ASC2010015 RLS Med-Support, Inc.

Relocation of the Atlanta Eye International Surgery Center, Inc.

Site: 1415 Howell Mill Road, Atlanta, GA

Number of OR's: 2

Specialty: Eye Surgery

Project costs as submitted: $0.00

Request received: 7/23/2010

Contact Person: Steven W/ Greenberg 770-559-8888

Determination: Pending

LNR-ASC2010016 MD Pain Care, P.C. Clinical Office

Physician-Owned Single-Specialty

Site: 1301 Sigman Road, Suite 100, Conyers, GA 30012

Number of OR's: 2

Specialty: Pain Medicine

Project costs as submitted: $597,727.10

Request received: 7/30/2010

Contact Person: J. R. Talley, MD 770-760-9360

Determination: Pending

LNR-ASC2010017 Gastroenterology Consultants, P.C.

Physician-Owned, Single Specialty Ambulatory Surgery Center

Site: 5669 Peachtree-Dunwoody Road, Suite 270, Atlanta, GA

Number of OR's: 2

Specialty: Gastroenterology

Project costs as submitted: $1,510,319.00

Request received: 9/8/2010

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

Determination: Pending

LNR-ASC2010018 Gwinnett Surgical Associates, LLP

Physician-Owned, Single Specialty, Office-Based AmSurg Center

Site: 631 Professional Drive, Lawrenceville, GA

Number of OR's: 2

Specialty: General Surgery

Project costs as submitted: $984,500.00

Request received: 9/9/2010

Contact Person:

Determination: Pending

LNR-ASC2010019 Lagniappe, LLC dba Southern Pain Institute Ambulatory Surgery Mobile C-Arm Site: 1501 Milstead Road, Suite 175, Conyers, GA 30012, Rockdale
12

Number of OR's:

Specialty: Pain Management

Project costs as submitted: $15,516.52

Request received: 5/25/2010

Contact Person: Anthony T. Clavo, M.D. 770-632-3730

Determination: Pending

LNR-ASC2010020 Atlanta Orthopedic Surgery Center, LLC

Physician-Owned Single-Speciality ASC

Site: 3161 Howell Mill Road, Suite 300, Atlanta, GA 30327

Number of OR's: 2

Specialty: Orthopedics

Project costs as submitted: $0.00

Request received: 11/18/2010

Contact Person: Richard D. Sanders 404-364-1819

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
DET2010046 Athens Healthcare Properties, Inc., Heritage Healthcare of Athens, LLC Transfer and Relocation of Nursing Facility Beds Request received: 5/7/2010 Contact Person: Sarah Haislip 678-533-6485 Determination: Pending
DET2010081 Central Georgia Home Health Reduce Indigent and Charity Care Commitment to 1% Request received: 5/18/2010 Contact Person: H. Bryan Forlines 478-633-6966 Determination: Pending
DET2010096 STC Healthcare of Atlanta, In. dba Interim Healthcare of Atlanta, Inc Indigent and Charity Care Commitment Conversion Request received: 5/25/2010 Contact Person: Lisa Rainey 404-856-6130 Determination: Pending
DET2010106 Visiting Nurses Association of Southwest Georgia, Inc. Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: Amy Ferry, RN 229-246-6462 Determination: Non-reviewable as proposed Determination Date: 10/27/2010
DET2010107 Guardian Home Care of Northeast Georgia Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: Duff Whitaker 615-371-1904 Determination: Non-reviewable as proposed Determination Date: 10/27/2010
DET2010108 Guardian Home Care, LLC Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: Duff Whitaker 615-371-1904 Determination: Non-reviewable as proposed Determination Date: 10/27/2010
DET2010109 Guardian Home Care of Central Georgia Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: Duff Whitaker 615-371-1904
13

Determination: Non-reviewable as proposed Determination Date: 10/27/2010
DET2010110 Ogeechee Home Health Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: JoAnne Little 770-951-6426 Determination: Non-reviewable as proposed Determination Date: 10/27/2010
DET2010111 Healthfield Home Health of Griffin Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: JoAnne Little 770-951-6426 Determination: Non-reviewable as proposed Determination Date: 10/27/2010
DET2010112 Chattahoochee Valley Home Health Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: JoAnne Little 770-951-6426 Determination: Non-reviewable as proposed Determination Date: 10/27/2010
DET2010113 Gentiva Health Services - Atlanta Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: JoAnne Little 770-951-6426 Determination: Non-reviewable as proposed Determination Date: 10/27/2010
DET2010114 Healthfield of Southwest Georgia Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: JoAnne Little 770-951-6426 Determination: Non-reviewable as proposed Determination Date: 10/27/2010
DET2010115 Healthfield Home Health of Atlanta Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: JoAnne Little 770-951-6426 Determination: Non-reviewable as proposed Determination Date: 10/27/2010
DET2010116 Gentiva Health Services - Savannah Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: JoAnne Little 770-951-6426 Determination: Non-reviewable as proposed Determination Date: 10/27/2010
DET2010117 Healthfield Home Health, Inc. Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: JoAnne Little 770-951-6426 Determination: Non-reviewable as proposed Determination Date: 10/27/2010
DET2010120 SunCrest Home Health of Georgia, Inc. Indigent and Charity Care Commitment Conversion Request received: 6/1/2010 Contact Person: Gary Rasmussen 770-971-5808 ext 16 Determination: Non-reviewable as proposed Determination Date: 11/16/2010
DET2010122 Georgia Home Health Services, Inc. Indigent and Charity Care Commitment Conversion Request received: 6/1/2010 Contact Person: Dawn Howard 706-769-8835 Determination: Pending
DET2010131 Zebulon Road Properties, LLC
14

Relocation of Bel Arbor Health and Rehabilitation Request received: 6/21/2010 Contact Person: Stelling Nelson 478-314-1560 Determination: Pending
DET2010132 Gary Holding Group, LLC Construction and Operation of Non-Medical Assisted Living Facility Request received: 6/21/2010 Contact Person: Mark Gary 678-473-0262 Determination: Non-reviewable as proposed Determination Date: 10/25/2010
DET2010133 Miller Co. Hospital Authority dba Miller County Hospital and Nursing Hospital and Adjoining SNF - Compliance Actions Request received: 6/23/2010 Contact Person: Robin A. Rau 229-758-5954 Determination: Non-reviewable as proposed Determination Date: 11/1/2010
DET2010134 Miller County Hospital Authority dba Miller County Hospital and Nursing Repair of Existing Hospital and Adjoining SNF Request received: 6/23/2010 Contact Person: Robin A. Rau 229-758-5854 Determination: Non-reviewable as proposed Determination Date: 11/1/2010
DET2010135 Medical Center of Central Georgia, Inc. Utilize Vascular Lab Rooms for Diagnostic & Therapeutic Cath Request received: 6/23/2010 Contact Person: H. Bryan Forlines 478-633-6966 Determination: Pending
DET2010136 RCOG Cancer Centers, LLC and Dr. Leela Maxa Utilization of Existing Health Care Facilities Request received: 6/23/2010 Contact Person: Chris Male 404-873-8724 Determination: Pending
DET2010137 Saint Joseph's Hospital of Atlanta, Inc. Operating Suite Renovations Request received: 6/29/2010 Contact Person: Health Dexter 678-843-7001 Determination: Non-reviewable as proposed Determination Date: 11/1/2010

DET2010138 Alliance Healthcare Services Replacement of Mobile PET/CT unit Request received: 7/6/2010 Contact Person: Cindy Smith 678-873-1364 Determination: Non-reviewable as proposed

Determination Date: 11/12/2010

DET2010139 Dr. Bruce Salzberg Medical Practice

Locum Tenens Services

Request received: 7/9/2010

Contact Person: Bruce Salzberg, MD 678-957-0057

Determination: Denied

Determination Date: 11/15/2010

DET2010140 MCG Health, Inc. Renovation of MCGHealth Children's Medical Center Request received: 7/14/2010 Contact Person: Sheila O'Neal 706-721-7406 Determination: Pending
DET2010141 MCG Health, Inc. Construction of Women's Health Center

15

Request received: 7/14/2010 Contact Person: Sheila O'Neal 706-721-7506 Determination: Pending

DET2010142 Hillside, Inc. Increase Beds by Converting Staff Beds to Residential Beds Request received: 7/15/2010 Contact Person: Teresa Stoker 404-564-0660 Determination: Non-reviewable as proposed Determination Date: 10/26/2010

DET2010143 Piedmont Hospital, Inc. Addition of 48 Beds Request received: 7/16/2010 Contact Person: Davis Dunbar 404-605-4565 Determination: Non-reviewable as proposed Determination Date: 11/5/2010

DET2010144 Bethany Home, Inc. dba Bethany Nursing Center of Millen Replacement of Fire Alarm Panel for 100-Bed Facility Request received: 7/16/2010 Contact Person: Becky Livingston, Esq. 912-764-7960 Determination: Pending

DET2010145 Peachbelt Properties, Inc. Relocation of Nursing Facility Peachbelt Health and Rehabilitation Request received: 7/21/2010 Contact Person: Debbie Meade 478-328-3800 Determination: Pending

DET2010146 Elberta Convalescent Home, Inc. Relocation of Nursing Facility Elberta Health Care Request received: 7/21/2010 Contact Person: Debbie Meade 478-328-3800 Determination: Pending

DET2010147 K. Scott Malone

Introduction of Orthobiologic Procedures in ASC settings

Request received: 8/2/2010

Contact Person: K. Scott Malone, MD 478-953-4563

Determination: Not Applicable

Determination Date: 11/12/2010

DET2010148 Surgery Center of Athens, LLC Change of Location Request received: 8/9/2010 Contact Person: Tom Scott 615-579-1177 Determination: Non-reviewable as proposed

Determination Date: 11/15/2010

DET2010149 Emory University Hospital Midtown Replacement of CT Scanner Request received: 8/16/2010 Contact Person: Tim Wimby 404-686-2806 Determination: Non-reviewable as proposed Determination Date: 10/29/2010
DET2010150 Emory University Hospital Midtown Replacement of Interventional Radiology Suite Request received: 8/16/2010 Contact Person: Toni Wimby 404-686-2809 Determination: Non-reviewable as proposed Determination Date: 11/1/2010
DET2010151 Piedmont Hospital, Inc. Conversion of 13 Med/Surg Beds to 13 Intensive Care Request received: 8/20/2010

16

Contact Person: Davis Dunbar 404-605-4565 Determination: Pending
DET2010152 MCG Health Critical Care Center Replacement of Neuroangiography Equipment Request received: 8/23/2010 Contact Person: Sheila O'Neal 706-721-7406 Determination: Pending
DET2010153 Heritage Healthcare of Moultrie, LLC Remodel at Heritage Healthcare of Moultrie Request received: 8/23/2010 Contact Person: Jonell Hollis 678-533-6656 Determination: Pending
DET2010154 Wood Dale Health and Rehabilitation Central Bathing Spa Renovation Request received: 8/24/2010 Contact Person: Stelling Nelson, HSRE-President 478-314-1560 ext 2261 Determination: Pending
DET2010155 Newnan Regional Radiation Therapy Center, Inc. Relocation of Health Care Facility Request received: 9/2/2010 Contact Person: J. Warner Ray, M.D. 770-994-1650 Determination: Pending
DET2010156 the Marshes of Skidaway, LLC CCRC Conversion of Personal Care Home to Sheltered Nursing Home Beds Request received: 9/8/2010 Contact Person: Russell Peterson 912-598-9845 Determination: Pending
DET2010157 Gwinnett Medical Center Imaging Center at Hamilton Mill Consolidate Indigent and Charity Care Commitments Request received: 9/8/2010 Contact Person: Mark M. Mullin 678-312-4193 Determination: Pending

DET2010158 Life Care Center Roof Restoration Request received: 9/13/2010 Contact Person: Louise Steedley Determination: Pending

229-423-5621

DET2010159 MCG Health Children's Medical Center Renovation of Eighth Surgical Suite Request received: 9/16/2010 Contact Person: Sheila O'Neal 706-721-7406 Determination: Pending

DET2010160 Northside Hospital, Inc. and RCOG Cancer Centers, LLC Acquisition of Radiation Therapy Center Request received: 9/17/2010 Contact Person: Brian Toporek 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 11/17/2010

DET2010161 Northside Hospital, Inc. and RCOG Cancer Centers, LLC Acquisition of Radiation Therapy Center Request received: 9/17/2010 Contact Person: Brian Toporek 404-851-6821 Determination: Pending

17

DET2010162 Diagnostic Imaging of Atlanta, LLC Replacement of Health Care Facility's CT Request received: 8/30/2010 Contact Person: Per B. Normark 678-992-7311 Determination: Pending Opposition: - 9/28/2010
DET2010163 Diagnostic Imaging of Atlanta, LLC Replacement of Health Care Facility's MRI Request received: 8/30/2010 Contact Person: Per B. Normark 678-992-7311 Determination: Pending Opposition: - 9/28/2010
DET2010164 Hughston Surgical Center, LLC Relocation of Multi-Specialty ASC Request received: 9/23/2010 Contact Person: Mark Baker 000-000-0000 Determination: Pending
DET2010165 Phoebe Putney Memorial Hospital, Inc. Expansion of Main Campus Breast Health Services Request received: 10/1/2010 Contact Person: Lori Jenkins 229-312-1432 Determination: Pending
DET2010166 Heritage Healthcare at Magnolia Manor Relocation of Existing Nursing Facility Request received: 10/4/2010 Contact Person: Rachel Lee 678-533-6386 Determination: Pending
DET2010167 MRI & Imaging of Habersham Replacement of CT Request received: 10/6/2010 Contact Person: Per B. Normark 678-992-7311 Determination: Pending Opposition: Northside Hospital Inc. d/b/a Northside Hospital - Forsyth- 11/4/2010
DET2010168 MRI & Imaging of Georgia Replacement of CT Request received: 10/6/2010 Contact Person: Per B. Normark 678-992-7311 Determination: Pending Opposition: Northside Hospital Inc. d/b/a Northside Hospital - Forsyth- 11/4/2010
DET2010169 MRI & Imaging of Georgia Replacement of CT Request received: 10/6/2010 Contact Person: Per B. Normark 678-992-7311 Determination: Pending Opposition: Northside Hospital Inc. d/b/a Northside Hospital - Forsyth- 11/4/2010
DET2010170 PAPP Clinic, PC Rental of Mobile CT Scanner Request received: 10/7/2010 Contact Person: Carol E. Alexander 770-254-6031 Determination: Pending
DET2010171 Henry Medical Center Relocation of Electrophysiology (EP) Lab Request received: 10/12/2010 Contact Person: Charles F. Scott 678-604-5141 Determination: Pending
18

DET2010172 South Fulton Medical Center Relocation of 16-slice CT Scanner Request received: 10/13/2010 Contact Person: Jeff Stanley 404-466-1114 Determination: Pending
DET2010173 Phoebe Putney Health System, Inc. Development of Medical Office Building Request received: 10/14/2010 Contact Person: Lori Jenkins 229-312-1432 Determination: Pending
DET2010174 MCG Health Hospitals and Clinics Replacement of Gamma Knife Equipment Request received: 10/14/2010 Contact Person: Shelia O'Neal 706-721-7406 Determination: Pending
DET2010175 Emory University Hospital Replacement of PET/CT Scanner Request received: 10/14/2010 Contact Person: Toni Wimby 404-686-2809 Determination: Pending
DET2010176 Don McClure Relocation and Combination of 2 Skilled Nursing Homes Request received: 10/18/2010 Contact Person: Don McClure 678-300-8788 Determination: Pending
DET2010177 Northside Cardiac Diagnostics Relocation of Northside Cardiac Diagnostics .04 miles Request received: 10/19/2010 Contact Person: Determination: Pending
DET2010178 MRI & Imaging of Georgia Replacement of MRI Request received: 10/19/2010 Contact Person: Per B. Normark 678-992-7311 Determination: Pending
DET2010179 Children's Healthcare of Atlanta at Egleston Fold Service Specific I/C Commitment for PET/CT into Hospital-Wide I/C Request received: 10/20/2010 Contact Person: David.tatum@choa.org 404-785-7556 Determination: Pending
DET2010180 Gwinnett Medical Center Temporary house CON Project in Existing Facility During Construction Request received: 10/22/2010 Contact Person: Mark M. Mullin 678-312-4193 Determination: Pending
DET2010181 WellStar Paulding Hospital Development of Medical Office Building Request received: 10/27/2010 Contact Person: Caroline Aultman 678-331-6885 Determination: Pending
DET2010182 WellStar Cobb Hospital Modification to Approved CON Request received: 10/27/2010
19

Contact Person: Caroline Aultman 678-331-6885 Determination: Pending
DET2010183 WellStar Paulding Radiation Therapy, LLC Transfer of WellStar Paulding Radiation Therapy CON Request received: 10/27/2010 Contact Person: Caroline Aultman 678-331-6885 Determination: Pending
DET2010184 West Paces Diagnostic Imaging, LLC Replacement of Health Care Facility's MRI Request received: 10/29/2010 Contact Person: Per B. Normark 678-992-7311 Determination: Pending Opposition: 11/23/2010
DET2010185 West Paces Diagnostic Imaging, LLC Replacement of Health Care Facility's CT Request received: 10/29/2010 Contact Person: Pet B. Normark 678-992-7311 Determination: Pending Opposition: 11/23/2010
DET2010186 UniHealth Post-Acute Care - Decatur, LLC Renovation of Existing Nursing Facility below CON threshold Request received: 11/1/2010 Contact Person: Rachel Lee 678-533-6386 Determination: Pending
DET2010187 Gwinnett Hospital System, Inc. dba Gwinnett Medical Center - Lawrenceville Imaging Corridor Renovation Request received: 11/4/2010 Contact Person: Mark M. Mullin 678-312-4193 Determination: Pending
DET2010188 Northside Hospital, Inc. Replacement of CON-Authorized MRI Unit Request received: 11/4/2010 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2010189 Dermatologic Surgery Specialists, P.C. Acquisition and Use of Superficial X-Ray Therapy Equipment Request received: 11/4/2010 Contact Person: David E. Kent, 478-742-2180 Determination: Pending
DET2010190 Douglasville Nursing & Rehabilitation Center, LLC Remodel and Minor Construction to Existing Independent Living Building Request received: 11/4/2010 Contact Person: Keith Wilson 770-942-7111 Determination: Pending
DET2010191 Yellow Brick House, Inc. Increase in Capacity Request received: 11/8/2010 Contact Person: Dawn Massey 770-482-4044 Determination: Pending
DET2010192 Phoebe Putney Memorial Hospital, Inc. Replacement of CON-Approved Cath Lab Equipment Request received: 11/10/2010 Contact Person: Lori Jenkins 229-312-1432
20

Determination: Pending
DET2010193 Diagnostic Imaging of Atlanta, LLC Replacement of MRI Request received: 10/6/2010 Contact Person: Determination: Pending
DET2010194 Athens Orthopedic Clinic, P.A. Existing LNR for a Physician-Owned Single-Speciality ASC Request received: 11/12/2010 Contact Person: Kayo Elliott 706-549-1663 Determination: Pending
DET2010195 SJC Oncology Services - Georgia, LLC dba Savannah Oncology Center Move an Existing Linear Accelerator to another Campus Request received: 11/22/2010 Contact Person: John Salandi 912-819-7671 Determination: Pending

Requests for Extended Implementation/Effective Period

2008042 The Medical College of Georgia Physician Practice Group Foundation

Construct Ambulatory Surgery Center

Request to extend implementation period

Site: Intersection of Knob Hill and Washington (Columbia)

Project Approved: 9/19/2008

Request Received: 08/19/2010

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

Approved Cost: $34,693,165

Determination: Approved, 11/15/2010

Extended Implementation Date: 3/29/2012

2009047 Cancer Treatment Centers of America of the Southeast, Inc.

Construct Destination Cancer Treatment Hospital

Request to extend performance period

Site: 28.71 acre site in Newnan (Coweta)

Project Approved: 12/17/2009

Request Received: 11/3/2010

Contact: Victor Moldovan (404) 443-5708

Approved Cost: $179,767,423

Determination: Approved, 11/4/2010

Extended Implementation Date: 12/17/2011

2008086 Rockdale Medical Center Development of Outpatient Imaging Center Request to extend performance period Site: 1301 Sigman Road, Conyers (Rockdale) Project Approved: 12/19/2008 Request Received: 11/15/2010 Contact: Deborah Armstrong (770) 918-3877 Approved Cost: $2,298,184 Determination: Approved, 11/18/2010

Extended Completion Date: 12/31/2011

2008020 Surgery Center of Athens, LLC Establish a Multi-Specialty Ambulatory Surgery Center (ASC) Request to extend performance period Site: 2142 W. Broad Street, Athens (Clarke) Project Approved: 6/26/2008 Request Received: 7/22/2010 (Pending DET2010148 response) Contact: H. Thomas Scott (615) 383-7383 Approved Cost: $7,402,163
21

Determination: Approved, 11/19/2010

Extended Implementation Date: 6/26/2011

2008072 Tenet Healthsystem GB, Inc. d/b/a Tenet Atlanta Medical Center Relocate the Inpatient Rehabilitation Unit and Create a 14-Bed ICU Request to extend performance period Site: 303 Parkway Drive, Atlanta (Fulton) Project Approved: 12/23/2008 Request Received: 11/23/2010 Contact: Robert Russell (404) 265-4301 Approved Cost: $5,512,388 Determination: Pending

Need Projection Analyses Updated 9/21/2010
Current Status of Official Division of Health Planning Need Projection Analyses and Other Data Resources Need Projections and Maps for CON Regulated Services

2015 Non-Special MegaVoltage Radiation Therapy - 6/18/2010 2015 Positron Emission Tomography Services - 6/16/2010 2015 Ambulatory Surgery Center Services - 9/21/2010 2013 Home Health Agency Services - 9/1/2010 2015 Inpatient Physical Rehabilitation Services - 9/15/2010 2015 Neonatal Intensive Care Beds - 9/21/2010 2015 Neonatal Intermediate Care Beds - 9/21/2010 2015 Obstetric Services Beds - 9/15/2010 2013 Skilled Nursing Home Beds - 9/15/2010 Non-Batched Need Projections 2015 Cardiac Catheterization Labs - Updated 4/6/2010 2015 Long Term Care Hospital Beds - 4/1/2010 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 November 23, 2010)
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 2007 thru 2009)

Georgia Regional Hospital @ Savannah

Chatham

2007

Georgia Regional Hospital @ Savannah

Chatham

2008

Georgia Regional Hospital at Savannah

Chatham

2009

Kindred Hospital-Atlanta

Fulton

2007

22

Survey Due
3/13/2009 9/18/2009 3/12/2010 3/13/2009

Liberty Regional Medical Center Northwest Georgia Regional Hospital Stewart Webster Hospital Stewart Webster Hospital Stewart Webster Hospital Sumter Regional Hospital East Sumter Regional Hospital East Union General Hospital Union General Hospital Wayne Memorial Hospital

Liberty Floyd Stewart Stewart Stewart Sumter Sumter Union Union Wayne

2007 2008 2007 2008 2009 2007 2009 2008 2009 2009

Annual Nursing Home Questionnaire (Survey Years 2008 thru 2010)

Fox Glove Court Care And Rehabilitation Center

Fulton

2010

Manor Care Rehabilitation Center - Marietta

Cobb

2010

Meadowbrook Health Care

DeKalb

2008

Southland Healthcare And Rehabilitation Center

Laurens

2010

Cardiac Catheterization Services Survey (Survey Years 2007 thru 2009)

Grady Memorial Hospital

Fulton

2009

Northeast Georgia Medical Center

Hall

2009

Freestanding Ambulatory Surgery Services Survey (Survey Years 2007 thru

Academy Orthopedics, Llc

FORSYTH

2008

Afa Ambulatory Surgery Center

BIBB

2008

Afa Ambulatory Surgery Center

BIBB

2009

Affinity Outpatient Service

Tift

2007

Affinity Outpatient Service

Tift

2008

Akstein Eye Center, P.c.

CLAYTON

2009

Ambulatory Foot & Leg Surg Ctr

COBB

2008

Ambulatory Laser & Surgery Ctr

CLAYTON

2008

Ambulatory Laser & Surgery Ctr

CLAYTON

2009

Ambulatory Plastic Surgery Center, Inc

MUSCOGEE

2008

Ambulatory Plastic Surgery Center, Inc

MUSCOGEE

2009

Associates Physicians Asc Associates Physicians Asc

BIBB BIBB

2008 2009

Athens Plastic Surgery Center

CLARKE

2008

Atlanta Aesthetic Surgery Center

Fulton

2008

Atlanta Center for Reconstructive Foot and Ankle Surgery Atlanta Endoscopy Center, Ltd.

Fulton DEKALB

2009 2009

Atlanta Eye Surgery Center at Omni West

Fulton

2007

Atlanta Plastic & Reconst Surg

FULTON

2008

Atlanta Plastic & Reconst Surg

FULTON

2009

Atlanta South Endoscopy Center, Llc

CLAYTON

2009

Atlanta West Endoscopy Center, Llc

DOUGLAS

2009

Atlanta Women's Medical Center

Fulton

2007

Augusta Endoscopy Center

COLUMBIA

2009

Bowman Pain Management, Pc

BIBB

2008

Bowman Pain Management, Pc

BIBB

2009

Buckhead Facial Plastic Surgery

FULTON

2008

Center For Pl & Recon Surgery

CLARKE

2008

Center For Pl & Recon Surgery

CLARKE

2009

Center For Spine & Pain Medicine

WHITFIELD

2009

Clayton Cataract and Laser Surgery Center

Clayton

2008

Clayton Outpatient Surg Ctr

CLAYTON

2008

Coastal Empire Plastic Surgery

CHATHAM

2009

Cobb Endoscopy Center, Llc

COBB

2008

23

3/13/2009 9/18/2009 3/13/2009 9/18/2009 3/12/2010 3/13/2009 3/12/2010 9/18/2009 3/12/2010 3/12/2010
9/17/2010 9/17/2010 10/31/2008 9/17/2010
7/2/2010 7/2/2010
7/31/2009 7/31/2009 3/12/2010 10/3/2008 7/31/2009 3/12/2010 7/31/2009 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 7/31/2009 3/12/2010
3/12/2010 10/3/2008 7/31/2009 3/12/2010 3/12/2010 3/12/2010 10/3/2008 3/12/2010 7/31/2009 3/12/2010 7/31/2009 7/31/2009 3/12/2010 3/12/2010 7/31/2009 7/31/2009 3/12/2010 7/31/2009

Cobb Endoscopy Center, Llc Coffee County Center For Digestive Disease Columbus Women's Health Organization, Inc. Columbus Women's Health Organization, Inc. Dalton Plastic Surgery Day Surgery And Recovery Ctr Digestive Healthcare Of Ga Endo Ctr Mountainside Digestive Healthcare Of Ga Endoscopy Ctr Digestive Healthcare Of Ga Endoscopy Ctr Dublin Eye Surgery Center East-West Surgery Center Endoscopy Center, Llc, The Endoscopy Center, Llc, The Endoscopy Consultants, Llc Ent Surgery Center Of Augusta, Llc Ent Surgical Center Ent Surgical Center Eye Associates Surgery Ctr Eye Surgery Center Of Albany, Llc Eyesight's Laser & Surgery Ctr Foot & Ankle Surgery Ctr, Llc, The Foot & Ankle Surgery Ctr, Llc, The Forsyth Surgical Center, Inc. Forsyth Surgical Center, Inc. Friendship Surgery Center Ga Urology, Pa Rockdale Ambulatory Surgery Ctr Gainesville Endoscopy Center, Llc Gainesville Eye Center, Llc Gastrointestinal Endoscopy Of Gwinnett Georgia Surgical Centers- South Georgia Surgical Ctrs Of N Ga Georgia Surgical Ctrs Of N Ga Gwinnett Center for Outpatient Surgery Gwinnett Endoscopy Center Interventional Spine and Pain Management Ambulatory Surgical Center Island Surgery Center, Inc Jimenez Foot, Ankle & Leg Asc Lawrenceville Surgery Center Lowndes County Ambulatory Surg Macon Pain Center, Pc Metro Atlanta Endoscopy Midtown Endoscopy Center, Llc Newnan Foot & Ankle Surgery Center, Llc Newnan Foot & Ankle Surgery Center, Llc Newton Ambulatory Surgical Center North Fulton Diagnostic Gastrointestinal Center North Fulton Diagnostic Gastrointestinal Center North Georgia Endoscopy Center, Inc North Georgia Endoscopy Center, Inc North Georgia Eye Surgery Center, Llc North Georgia Eye Surgery Center, Llc North Georgia Outpatient Surg Northeast Endoscopy Center, Llc Northern Crescent Endoscopy

COBB COFFEE Muscogee Muscogee WHITFIELD WHITFIELD PICKENS FULTON FULTON LAURENS Cobb CHATHAM CHATHAM FULTON COLUMBIA CHATHAM CHATHAM LOWNDES DOUGHERTY HOUSTON MUSCOGEE MUSCOGEE FORSYTH FORSYTH HALL ROCKDALE HALL HALL GWINNETT CLAYTON GORDON GORDON Gwinnett GWINNETT Rockdale
GLYNN GWINNETT GWINNETT LOWNDES BIBB FULTON FULTON COWETA COWETA NEWTON FULTON FULTON CHEROKEE CHEROKEE HALL HALL GORDON GWINNETT FULTON

24

2009 2009 2007 2009 2009 2008 2009 2008 2009 2009 2009 2008 2009 2008 2009 2008 2009 2009 2008 2008 2008 2009 2008 2009 2008 2008 2009 2009 2008 2008 2008 2009 2009 2008 2009
2009 2009 2008 2008 2009 2008 2008 2008 2009 2009 2008 2009 2008 2009 2008 2009 2009 2009 2008

3/12/2010 3/12/2010 10/3/2008 3/12/2010 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 7/31/2009 7/31/2009 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 7/31/2009 3/12/2010 3/12/2010 7/31/2009 7/31/2009 7/31/2009 3/12/2010 3/12/2010 7/31/2009 3/12/2010
3/12/2010 3/12/2010 7/31/2009 7/31/2009 3/12/2010 7/31/2009 7/31/2009 7/31/2009 3/12/2010 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010 7/31/2009

Northside Foot & Ankle Outpat Northview Orthopaedic Surgery Center NORTHWEST ENDOSCOPY CENTER Orthopedic Surgery Center, L.P. Paces Plastic Surgery Center Piedmont Eye Plastic Surgery Ctr Land, The Plastic Surgery Ctr Land, The Podiatric Surgi Center Podiatric Surgi Center Pulliam Ambulatory Surg Ctr Pulliam Ambulatory Surg Ctr Renue Surgery Center Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Foot And Ankle Surgery Center Rome Surgical Center, P C Rome Surgical Center, P C Samson Pain Center, Pc 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 Pain Center, Llc South Georgia Surgery Center South Georgia Surgery Center ( Brunswick ) Southeastern Pain Ambulatory Surgery Center, Llc Southern Bone & Joint, Llc Southern Crescent Endoscopy Summit Endoscopy Center, L L C Surgical Centers of Georgia Thomas Eye Surgery Center Universal Ambulatory Surgery Center, P C Urology Center Of Georgia Llc Urology Surgical Partners, Llc Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery West Metro Endoscopy Center, Llc Woodhams Laser & Lens Implant Woodstock Endoscopy Ctr, Llc

GWINNETT LUMPKIN COBB Chatham FULTON FULTON CHATHAM CHATHAM DEKALB DEKALB NEWTON NEWTON GLYNN FLOYD FLOYD FLOYD FLOYD FLOYD CHEROKEE CHEROKEE Chatham Chatham
Chatham
CHATHAM CHATHAM Ware GLYNN FULTON COWETA HENRY FAYETTE Bibb FULTON MUSCOGEE BIBB FULTON LOWNDES LOWNDES DOUGLAS FULTON CHEROKEE

2009 2008 2009 2009 2009 2008 2008 2009 2008 2009 2008 2009 2009 2008 2009 2008 2008 2009 2008 2009 2009 2007
2009
2008 2009 2008 2008 2008 2009 2008 2009 2009 2009 2008 2008 2008 2008 2009 2008 2009 2008

Home Health Agency Survey (Survey Years 2007 thru 2009)
All surveys filed for most recent 3 years.

Hospital Financial Survey (Survey Years 2007 thru 2009)

Devereux Georgia Treatment Network

Cobb

Jasper Memorial Hospital

Jasper

Stewart Webster Hospital

Stewart

Stewart Webster Hospital

Stewart

Taylor Telfair Regional Hospital

Telfair

2008 2007 2007 2008 2007

Open Heart Surgery Services Survey (Survey Years 2007 thru 2009)
All surveys filed for most recent 3 years.
Positron Emission Tomography Services Survey (Survey Years 2007 thru 2009)

25

3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010 7/31/2009 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 7/31/2009 3/12/2010 7/31/2009 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 10/3/2008
3/12/2010
7/31/2009 3/12/2010 7/31/2009 7/31/2009 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010 7/31/2009 7/31/2009 7/31/2009 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009
9/30/2009 3/27/2009 3/27/2009 9/30/2009 3/27/2009

Battlefield Imaging Center Battlefield Imaging Center

Catoosa Catoosa

2007 2009

Radiation Therapy Services Survey (Survey Years 2007 thru 2009)

Central Georgia Radiation Oncology Center - Bibb

Bibb

2008

Central Georgia Radiation Oncology Center - Bibb

Bibb

2009

Central Georgia Radiation Oncology Center - Houston Houston

2007

Central Georgia Radiation Oncology Center - Houston Houston

2008

Central Georgia Radiation Oncology Center - Houston Houston

2009

Grady Memorial Hospital

Fulton

2009

Northeast Georgia Cancer Care

Clarke

2008

Northeast Georgia Cancer Care

Clarke

2009

Indigent and Charity Care Shortfalls

1/16/2009 4/30/2010
8/7/2009 4/30/2010 1/16/2009
8/7/2009 4/30/2010 4/30/2010
8/7/2009 4/30/2010

Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years (Commitment status as of 11/23/2010)

Facility Name
Atlanta Eye Surgery Center at Omni West Endoscopy Center of Columbus, LLC Endoscopy Ctr Of Southeast Ga Gainesville Surgery Center Savannah Outpatient Foot and Ankle Surgery Center, LLC Surgery Center, LLC, The AseraCare Home Health AseraCare Home Health CSRA Home Health- Columbia, Inc. CSRA Home Health- Columbia, Inc. CSRA Home Health- Columbia, Inc. Georgia Home Health Services, Inc., High Shoals Georgia Home Health Services, Inc., High Shoals Battlefield Imaging Center Decatur Health Imaging, LLC

County
Fulton Muscogee TOOMBS Hall Chatham
Muscogee DeKalb DeKalb McDuffie McDuffie McDuffie Oconee Oconee Catoosa DeKalb

Year
2009 2009 2009 2009 2008

Shortfall Due Service
1,665.20 Ambulatory Surgery Center 22,714.61 Ambulatory Surgery Center 55,632.65 Ambulatory Surgery Center 115,649.77 Ambulatory Surgery Center 63,987.36 Ambulatory Surgery Center

2009 2008 2009 2007 2008 2009 2008 2009 2008 2009

114,593.31 123.78
1,732.59 31,195.10 39,221.83 45,455.44
4,106.22 22,488.72 47,397.70
6.45

Ambulatory Surgery Center Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency PET Services PET Services

Notes: The provisions of the Provider Payment Act of 2010 exempt eligible hospitals from being required to pay shortfalls associated with CON indigent and charity care commitments while the Act is in force. Critical Access Hospitals, Psychiatric Hospitals, and State-owned hospitals are exempt from the PPA so must still pay shortfalls associated with CON

26

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.
27

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 9/24/2010 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

28

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

Batching Notice
(June 22, 2010)

Application
Day
(application complete when
submitted; review cycle begins same
day)
(due August 21, 2010 must be received by 12 noon Aug 23, 2010)

75th Day
(applicant provides additional information)
(November 3, 2010)

100th

Day
(last day for letters of support to be submitted to Department)
November 28, 2010 (due Monday, November 29, 2010)

120th Day
(Department Issues
decision)

(December 18, 2010)

Letter of Intent
(due by 5pm July 22, 2010)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(October 19, 2010)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(November 18, 2010)

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

29

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

Batching Notice
September 24, 2010

Application Day
(application complete when
submitted; review cycle begins same
day)
due by 12 noon Tuesday, November 23, 2010

75th Day
(applicant provides additional information)
February 5, 2011 (rollover to Monday, February 7)

100th
Day
(last day for letters of support to be submitted to
Department)
March 2, 2011

120th Day
(Department Issues
decision)
March 22, 2011

Letter of Intent
Sunday, October 24 (rollover to Monday,October 25, 2010)

60-Day Meeting
(applicant only);
opposition letter(s) due.
January 21, 2011

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
February 20, 2011

110th Day
(applicant provides amended information; applicant provides response to opposition)
March 12, 2011 (rollover to Monday, March 14)

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

30

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)

31

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.
32

INFORMATION PERTAINING TO FALL 2010 HOME HEALTH SERVICES BATCHING CYCLE See Update to #2
1. An application for a new home health agency must propose an authorized geographic service area of
counties which are contiguous and which show a total unmet numerical need of at least 500 patients. Notwithstanding the acceptance of a Letter of Intent, the Department will not deem complete and enter into the batching cycle for review an application for a new agency with proposed geographic service area
counties that are not contiguous. See CON Rule 111-2-2-.32(2)(c) and SSDR map below
2. Based upon prior judicial and administrative precedent, the Department will not accept more than one
application within a State Service Delivery Region (SSDR) from the same legal applicant(s) or applicant entities which are related through a common corporate parent or controlled by the same central management. See Healthfield Home Health, Inc. v. Department of Community Health, Civil Action No. 003CV75049 (10/28/2005) and Archbold Health Services Inc. v. Department of Community Health, Civil Action No. 2007CV137118 (12/6/2007). Please note, after taking the matter under further advisement, the Department will accept more than one application in the current batching cycle from the same legal applicant, from applicants who are related entities, or from applicants controlled by the same central management, within the same SSDR, for new and expanded agencies, if the applications do not propose overlapping geographic service area counties.
3. Irrespective of the number of patient unmet numerical need in specific counties within an SSDR for which
applications can be filed, the Department can award new or expanded agencies based only on the net unmet numerical patient need. For example, if the net unmet numerical need in SSDR 3 is 580 patients, the Department is restricted to the award of one (1) new agency or two (2) expanded agencies.
See SSDR Map Next Page
33

STATE SER VIC E DELIVER Y REGIONS
Am ended E ffective July 1, 2005

DADE

CATO OSA

FANNIN MURRAY

TOWNS UNION

RABUN

WHITFIEL D WALKER

GLI MER

WHITE HABERSHAM

CHATTOOGA GORDON
1

PICKENS

LUMPKIN

DAWSON

2
HALL

STEPHENS

FRANKL IN

BANKS

HART

FL OYD

BARTOW CHEROKEE FORSYTH

POLK

COBB

J ACKSON

ELBERT

3

MADISON

GWINNETT BARROW CLARKE OGLETHO RPE

PAUL DING

OCO NEE

HARAL SON CARROL L

DOUGL AS FULTON DEKAL B

WAL TON
5

CLAYTON ROCKDAL E

M ORGAN

GREENE

WILKES TALIAFERRO

NEWTON

LINCOLN
COL UM BIA MCDUFFIE

HEARD

FAYETTE HENRY

COWETA

SPAL DING BUTTS

JASPER

PUTNAM

WARREN

RICHMOND

HANCOCK

7 GL ASCOCK

TROUP

4

PIKE LAMAR MONROE J ONES

MERIWETHER

6

UPSON

BIBB

BALDWNI

J EFFERSON WASHINGTON

WILKINSON

BURKE J ENKINS

HARRIS

TALBOT

CRAWFORD

TWIGGS

J OHNSON EMANUEL

SCREVEN

TAYL OR M USCOGEE
8 MARION

PEACH HOUSTON

CHATTAHOOCHEE

MACON

BL ECKL EY

LAURENS
9

TREUTL EN

BULL OCH CANDLER

EFFINGHAM

MONTGOM ERY

SCHL EY

STEWART

WEBSTER SUMTER

PULASKI DOOL Y

DODGE

WHEEL ER

CRISP

WLI COX

TELFAIR

EVANS TOOMBS TATTNALL

BRYAN

CHATHAM

12

L IBERTY

QUITMAN

TERRELL LEE

RANDOL PH

TURNER

BENHILL

JEFFDAVSI APPLING

LO NG

CLAY CAL HO UN

DOUGHERTY WORTH

IRWIN TFI T

COFFEE

EARLY

BAKER

10

MILL ER

M TI CHEL L

COL QUITT

SEMINOLE

BERRIEN ATKINSON

COOK

11
LANIER CLINCH

DECATUR GRADY THOMAS BROOKS LOWNDES

BACON

WAYNE

MCINTOSH

PIERCE

WARE

BRANTLEY

GL YNN

CHARL TON

CAMDEN

ECHOL S

34

Batching Cycle November 2010 CON Applications
Deemed Complete, November 23, 2010

Letter of Intent # LOI2010059

Ambulatory Surgery
V.O.A. Ambulatory Surgical Center, Inc.

Newborn ICU/Neonatal INT
LOI2010057 LOI2010058

Northside Hospital - Forsyth Northside Hospital - Forsyth

Inpatient Physical Rehabilitation
LOI2010060 LOI2010061

HealthSouth of Georgia, LLC
Southern Crescent Rehabilitation Center

Home Health
LOI2010062 Appling Healthcare System

LOI2010063 LOI2010065 LOI2010067 LOI2010068 LOI2010071 LOI2010072 LOI2010073 LOI2010074 LOI2010080 LOI2010086 LOI2010087

Three Rivers Home Health of Bibb United Home Care of Savannah CareSouth HHA Holdings of Savannah, LLC
Amicita Home Health, LLC
Island Healthcare, Inc. Bayada Nurses Home Care Specialists SunCrest Home Health of Georgia, Inc. BCH Home Care Services, LLC
Faith Staffing Agency Making a Dream Come True, Inc. Making a Dream Come True, Inc.

LOI2010089
LOI2010094 LOI2010105 LOI2010107 LOI2010109
LOI2010110
LOI2010111
LOI2010112 LOI2010118

CareSouth HHA Holdings of Atlanta, LLC
Citizen Home Health Agency
Interim Healthcare of Atlanta
Interim Healthcare of Atlanta Bayada Nurses Home Care Specialists Bayada Nurses Home Care Specialists SunCrest Home Health of Georgia, Inc. SunCrest Home Health of Georgia, Inc.
Winyah Home Health Care

Batching Cycle November 2010
CON Applications Deemed Incomplete/Disqualified, November 23, 2010

Letter of Intent
LOI2010117 LOI2010078 LOI2010092 LOI2010077 LOI2010099
LOI2010119 LOI2010115
LOI2010064 LOI2010084 LOI2010088
LOI2010066 LOI2010085 LOI2010093

Home Health Angels Home Health Care Assured & Associates Personal Care Home Contact In Home-Care Good Samaritan Home Health Care, LLC NAK Union New Generation Home Care, Inc. Paradise Care International, Inc. Secure Care, Inc. Prevail Home Healthcare of GA, LLC Trans Alliance Med & Drugs MediCare Givers SSDR12 MediCare Givers SSDR3 Aspera Healthcare

35

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

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

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

Legislation - Senate Bill 433
Senate Bill 433 as passed April 4, 2008
Effective September 30, 2009, requests for extensions of either the mandatory implementation date or the mandatory completion date of approved CONs must be submitted via the form now available on the Department of Community Health website Certificate of Need Performance Extension Request Form.

HOME HEALTH RULE CHANGE:
Rule 111-2-2-.32 Specific Rule Considerations for Home Health Services
Effective March 8, 2010, the Indigent and Charity Care Commitment requirement in the Home Health Rules was changed from 3% to 1%. This change applies to prospective applicants for new or expanded home health services.
Existing Home Health agencies that have a 3% or greater Indigent and Charity Care Commitment may file a Determination Request from May 1, 2010 to May 31, 2010 to request conversion of the commitment to the 1% amount. Such requests must be filed on the Determination Request form, with the proper filing fee enclosed. No Determination Requests for conversion will be accepted after May 31, 2010.
Any Home Health agency with an existing Indigent and Charity Care shortfall from any previous year must satisfy such shortfall(s) prior to receiving a response from the Department.

36