Certificate-of-need tracking and appeals report [Mar. 16, 2010]

Letters of Intent Expired Letters of Intent
New Applications

Pending Review/Incomplete Applications Pending Review/Complete Applications

DIVISION OF HEALTH PLANNING

Pending Review/Complete/Joined Applications

Recently Approved Applications

Recently Denied Applications

Applications Withdrawn Appealed CON Projects

CERTIFICATE OF NEED

Appealed Determinations
Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities
Requests for LNR for Diagnostic or Therapeutic Equipment

March 10, 2010 March 16, 2010

Requests for Miscellaneous Letters of Determination

Requests for Extended Implementation/Performance Period
Need Projection Analyses
Non-Filed or Incomplete Surveys
Indigent-Charity Shortfalls
Legislation Affecting CON
New Batching Review Fall Cycle
Winter 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
New! For Letters of Intent Annual Assessment of TCC Exemption

Letters of Intent New! For Letters of Intent

LOI2010014 Memorial Health University Medical Center

daVinci Surgical System

Received: 2/22/2010

Application must be submitted on: 3/24/2010

Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County)

Estimated Cost: $2,250,000

LOI2010015 Floyd Medical Center

New MRI Unit

Received: 2/25/2010

Application must be submitted on: 3/29/2010

Site: 304 Turner McCall Boulevard, Rome, GA 30162 (Floyd County)

Estimated Cost: $2,400,000

LOI2010016 Open MRI & Imaging of DeKalb, LLC

Replace MRI, CT Scanner and Relocate Facility

Received: 3/2/2010

Application must be submitted on: 4/1/2010

Site: 2601 North Decatur Road, Decatur, GA 30033 (DeKalb County)

Estimated Cost: $3,000,000

LOI2010017 SouthCoast Imaging Center

Replace MRI System

Received: 3/3/2010

Application must be submitted on: 4/2/2010

Site: 1326 B Eisenhower Drive, Savannah, GA 31406 (Chatham County)

Estimated Cost: $1,908,621

Expired Letters of Intent
none

Winter Batching Cycle Expired Letters of Intent

LOI2010010 Lighthouse Care Center of Augusta

Establish 16-Bed Acute Care Pediatric Psychiatric Inpatient Program (BATCHING)

Received: 1/21/2010

Application must be submitted on: 2/22/2010 (Rollover Date)

Site: 3100 Perimeter Parkway, Augusta, GA 30909 (Richmond County)

Estimated Cost: $150,000

Winter Batching Cycle Incomplete or Untimely Applications

LOI2010011 Memorial Hospital of Adel

Establish a New Geri-Psychiatric Program (BATCHING)

Received: 1/21/2010

Application must be submitted on: 2/22/2010 (Rollover Date)

Site: 706 N. Parrish Avenue, Adel, GA 31620 (Cook County)

Estimated Cost: $50,000

New Applications

2010-011 Tanner Medical Center - Carrollton

Renovation, Expansion, and Central Energy Plant Upgrade

Filed: 3/12/2010

Site: 705 Dixie Street, Carrollton, GA 30117 (Carroll County)

Contact: Jeff Jennings, Senior Vice President 770-836-9195

Estimated Cost:

$62,665,716

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Pending Review/Incomplete Applications
2009-108 East Georgia Regional Medical Center, LLC da Vinci Robotic Surgical System Filed: 1/14/2010 Deemed Incomplete: 1/29/2010 Site: 1499 Fair Road, Statesboro, GA 30458 (Bulloch County) Contact: Spencer Thomas 912-486-1500 Estimated Cost: $2,166,269
2010-002 Southwest Atlanta HealthCare System, LLC New Hospital Acute Care Filed: 2/18/2010 Deemed Incomplete: 3/4/2010 Site: 501 Fairburn Road, Atlanta, GA 30331 (Fulton County) Contact: Michael V. Smith, M.D. 404-880-7953 Estimated Cost: $12,075,637
Pending Review/Complete Applications
2009-077 DeKalb Medical at North Decatur Computerized Tomography (CT) Scanner Filed: 10/9/2009 Deemed Incomplete: 10/26/2009 Deemed Complete: 12/3/2009 60th Day Deadline: 1/31/2010 Decision Deadline: 4/1/2010 Site: 2701 North Decatur Road, Decatur, GA 30033 (DeKalb County) Contact: Donald G. Fears, Director of Regulatory & Facility 404-501-5790 Estimated Cost: $2,101,073
2009-079 St. Francis Hospital, Inc. Renovate and Expand by adding a Clinical Tower Filed: 10/22/2009 Deemed Incomplete: 11/5/2009 Deemed Complete: 12/1/2009 60th Day Deadline: 1/29/2010 Decision Deadline: 3/30/2010 Site: 2122 Manchester Expressway, Columbus, GA 31908 (Muscogee County) Contact: Michele Madison 404-504-7621 Estimated Cost: $90,750,000
2009-082 Saint Joseph's Hospital of Atlanta, Inc. Intuitive da Vinci S 4 Arm Robotic Surgical System with HD vision Filed: 11/4/2009 Deemed Complete: 11/18/2009 60th Day Deadline: 1/16/2010 Decision Deadline: 3/17/2010 Site: 5665 Peachtree Dunwoody Road, NE, Atlanta, GA 30342 (Fulton County) Contact: Heather Dexter, VP of Surgical Services & Planning 678-843-7001 Estimated Cost: $1,850,000
2009-083 South Georgia Medical Center To develop a multi-modality outpatient imaging center Filed: 11/6/2009 Deemed Complete: 11/23/2009 60th Day Deadline: 1/21/2010 Decision Deadline: 3/22/2010 Site: 2501 North Patterson Street, Valdosta, GA 31602 (Lowndes County) Contact: William E. Forbes, Chief Planning Officer 229-259-4175 Estimated Cost: $10,668,191
2009-084 Rockdale Medical Center Acquire a da Vinci Robotic Surgical System Filed: 11/12/2009 Deemed Complete: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010
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Site: 1412 Milstead Avenue, Conyers, GA 30012 (Rockdale County) Contact: Deborah Armstrong, COO/Vice President 770-918-3877 Estimated Cost: $2,760,000
2009-085 Grady Memorial Hospital
Installation of a Bi-Plane Angiography Unit Filed: 11/12/2009 Deemed Complete: 11/30/2009 60th Day Deadline: 1/28/2010 Decision Deadline: 3/29/2010 Site: 80 Jesse Hill Drive, SE, Atlanta, GA 30303 (Fulton County) Contact: Craig J. Tindall, Senior VP 404-616-5141 Estimated Cost: $2,498,893
2009-086 Piedmont Hospital
Acquisition of a Robotics Surgery System Filed: 11/13/2009 Deemed Complete: 12/1/2009 60th Day Deadline: 1/29/2010 Decision Deadline: 3/30/2010 Site: 1968 Peachtree Road, NW, Atlanta, GA 30309 (Fulton County) Contact: Davis Dunbar, Manager, Regulatory Affairs 404-605-4565 Estimated Cost: $2,970,000
2009-087 The Medical Center of Central Georgia, Inc. - 4th Floor West
Convert 4 Main step-down cardiac surgical unit to a (14) bed Medical/Surgical ICU Filed: 11/18/2009 Deemed Complete: 12/2/2009 60th Day Deadline: 1/30/2010 Decision Deadline: 3/31/2010 Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: H. Bryan Forlines, Reimbursement Director 478-633-6966 Estimated Cost: $10,699,689
2009-088 Satilla Regional Medical Center
Patient Wing Expansion Filed: 11/20/2009 Deemed Complete: 12/8/2009 60th Day Deadline: 2/5/2010 Decision Deadline: 4/6/2010 Site: 410 Darling Avenue, Waycross, GA 31501 (Ware County) Contact: Windell R. Smith, Chief Operating Officer 912-287-2500 Estimated Cost: $6,500,000
2009-089 Newton Ambulatory Surgical Center
Conversion to Single Specialty ASC - BATCHING Filed: 11/24/2009 Deemed Complete: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 Site: 5303-D Adams Street, Covington, GA 30014 (Newton County) Contact: Crystal Blackwell 770-929-9033 Estimated Cost: $50,357
2009-090 West Paces Ambulatory Surgical Center
Conversion to Single Specialty ASC - BATCHING Filed: 11/24/2009 Deemed Complete: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 Site: 3161 Howell Mill Road, Suite 320, Atlanta, GA 30327 (Fulton County) Contact: Crystal Blackwell 770-929-9033 Estimated Cost: $1,000
2009-092 Associates Surgery Center, Inc.
Conversion to Single Specialty ASC - BATCHING Filed: 11/24/2009 Deemed Complete: 11/24/2009
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60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 Site: 864 First Street, Macon, GA 31201 (Bibb County) Contact: Marvin A. Noles 478-414-1234 Estimated Cost: $1,000
2009-094 St. Francis Hospital Establish Basic Perinatal Service - BATCHING Filed: 11/24/2009 Deemed Complete: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 Site: 2122 Manchester Expressway, Columbus, GA 31908 (Muscogee County) Contact: Matthew A. Moore 706-596-4160 Estimated Cost: $8,250,000
2009-095 South Fulton Medical Center (SFMC) Establish 4 Bed Level III NICU - BATCHING Filed: 11/24/2009 Deemed Complete: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 Site: 1170 Cleveland Avenue, East Point, GA 30344 (Fulton County) Contact: Robert Russell, COO 404-466-1122 Estimated Cost: $239,220
2009-099 Floyd Medical Center Construct New Space to House Existing Acute Care Beds Filed: 12/7/2009 Deemed Incomplete: 12/18/2009 Deemed Complete: 1/21/2010 60th Day Deadline: 3/21/2010 Decision Deadline: 5/20/2010 Site: 304 Turner McCall Boulevard, Rome, GA 30161 (Floyd County) Contact: Alison Land 706-509-3258 Estimated Cost: $9,161,637
2009-100 Shepherd Center Renovation of 2nd Floor; add a Chiller and a Generator Filed: 12/9/2009 Deemed Incomplete: 12/23/2009 Deemed Complete: 12/29/2009 60th Day Deadline: 2/26/2010 Decision Deadline: 4/27/2010 Site: 2020 Peachtree Road, Atlanta, GA 30309 (Fulton County) Contact: Gary R. Ulicny, President & CEO 404-350-7311 Estimated Cost: $5,671,252
2009-101 Gwinnett Medical Center Replace Existing MRI Filed: 12/18/2009 Deemed Incomplete: 1/5/2010 Deemed Complete: 2/15/2010 60th Day Deadline: 4/15/2010 Decision Deadline: 6/14/2010 Site: 631 Professional Drive, Lawrenceville, GA 30046 (Gwinnett County) Contact: Mark M. Mullin, Director, Planning 678-312-4193 Estimated Cost: $4,796,291
2009-105 Emory Eastside Medical Center Da Vinci Surgical System Filed: 12/30/2009 Deemed Incomplete: 1/14/2010 Deemed Complete: 2/16/2010 60th Day Deadline: 4/16/2010 Decision Deadline: 6/15/2010 Site: 1700 Medical Way, Snellville, GA 30078 (Gwinnett County) Contact: Dustin Greene, FACHE/ COO 770-736-2224 Estimated Cost: $1,953,210
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2009-107 Cumming Diagnostic Imaging, LLC
Replace MRI and CT Scanner Filed: 1/13/2010 Deemed Complete: 1/27/2010 60th Day Deadline: 3/27/2010 Decision Deadline: 5/26/2010 Site: 100 Mountainview Drive, Suite 200, Cumming, GA 30040 (Forsyth County) Contact: Per B. Normark 678-992-7311 Estimated Cost: $2,574,885
2009-109 Smith Northview Hospital
da Vinci Robotic Surgical System Filed: 1/21/2010 Deemed Incomplete: 2/3/2010 Deemed Complete: 3/4/2010 60th Day Deadline: 5/2/2010 Decision Deadline: 7/1/2010 Site: 4280 N. Valdosta Road, Valdosta, GA 31602 (Lowndes County) Contact: James L. Matney 229-671-2002 Estimated Cost: $1,750,000
2009-110 Open MRI of Georgia, Inc.
Replace an Existing MRI Filed: 1/22/2010 Deemed Incomplete: 2/5/2010 Deemed Complete: 2/24/2010 60th Day Deadline: 4/24/2010 Decision Deadline: 6/23/2010 Site: 600 Professional Drive, Suite 100, Lawrenceville, GA 30045 (Gwinnett County) Contact: Per Normark 678-992-7311 Estimated Cost: $2,223,013
2009-111 WellStar Community Hospice at Kennesaw Mountain
Develop an Inpatient Hospice Home Filed: 1/28/2010 Deemed Complete: 2/11/2010 60th Day Deadline: 4/11/2010 Decision Deadline: 6/10/2010 Site: 475 Dickson Avenue, Marietta, GA 30064 (Cobb County) Contact: Caroline Aultman 770-792-1542 Estimated Cost: $12,921,178
2009-112 Marquis Diagnostic Imaging of Georgia, LLC
Develop a Freestanding, Multi-Modality Imaging Center Filed: 1/27/2010 Deemed Complete: 2/10/2010 60th Day Deadline: 4/10/2010 Decision Deadline: 6/9/2010 Site: 1150 Hammond Drive, Building E, Atlanta, GA 30328 (Fulton County) Contact: John K. Luke, CEO 678-893-8101 Estimated Cost: $5,727,570
2009-113 Marquis Diagnostic Imaging of Georgia, LLC
Develop a Freestanding, Multi-Modality Imaging Center Filed: 1/27/2010 Deemed Complete: 2/10/2010 60th Day Deadline: 4/10/2010 Decision Deadline: 6/9/2010 Site: 771 Old Norcross Road, Lawrenceville, GA 30046 (Gwinnett County) Contact: John K. Luke, CEO 678-893-8101 Estimated Cost: $5,673,935
2010-001 Effingham Hospital
Construction of 2-Story Clinical Services Building Joined to Hospital Filed: 2/4/2010 Deemed Complete: 2/17/2010 60th Day Deadline: 4/17/2010 Decision Deadline: 6/16/2010 Site: 459 Hwy 119 South, Springfield, GA 31329 (Effingham County) Contact: Norma Jean Morgan, CEO 912-754-0160
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Estimated Cost: $29,099,449
2010-003 Southern Regional Health System, Inc. Adult Open Heart (BATCHING) Filed: 2/20/2010 Deemed Complete: 2/20/2010 60th Day Deadline: 4/20/2010 Decision Deadline: 6/19/2010 Site: 11 Upper Riverdale Road, SW, Riverdale, GA 30274 (Clayton County) Contact: Michael Miller, Managing Director of Planning 770-991-8141 Estimated Cost: $2,852,305
2010-006 Cancer Center of Gwinnett (Georgia Center for Total Cancer Care at Gwinnett
Non-Special Mega Voltage (BATCHING) Filed: 2/20/2010 Deemed Complete: 2/20/2010 60th Day Deadline: 4/20/2010 Decision Deadline: 6/19/2010 Site: 698 Duluth Highway, Lawrenceville, GA 30045 (Gwinnett County) Contact: Dale L. McCord, MD 770-350-0126 Estimated Cost: $5,384,933
2010-007 Coliseum Medical Centers Mobile PET/CT (BATCHING) Filed: 2/20/2010 Deemed Complete: 2/20/2010 60th Day Deadline: 4/20/2010 Decision Deadline: 6/19/2010 Site: 350 Hospital Drive, Macon, GA 31217 (Bibb County) Contact: David A. Portwood / COO 478-765-4100 Estimated Cost: $29,860
2010-008 Gordon Hospital Mobile PET/CT Scanner (BATCHING) Filed: 2/20/2010 Deemed Complete: 2/20/2010 60th Day Deadline: 4/20/2010 Decision Deadline: 6/19/2010 Site: 1035 Red Bud Road, Calhoun, GA 30701 (Gordon County) Contact: Sam Huenergardt 706-602-7800 Estimated Cost: $14,000
2010-009 WellStar Cobb Hospital Mobile PET/CT Scanner (BATCHING) Filed: 2/20/2010 Deemed Complete: 2/20/2010 60th Day Deadline: 4/20/2010 Decision Deadline: 6/19/2010 Site: 3950 Austell Road, Austell, GA 30106 (Cobb County) Contact: Caroline Aultman 678-331-6885 Estimated Cost: $5,000
2010-010 RiverWoods Behavioral Health System Add 20 Adult Acute Care Psychiatric/Substance Abuse Beds (BATCHING) Filed: 2/20/2010 Deemed Complete: 2/20/2010 60th Day Deadline: 4/20/2010 Decision Deadline: 6/19/2010 Site: 223 Medical Center Drive, Riverdale, GA 30274 (Clayton County) Contact: R. Kirk Kureska, CEO 770-991-8500 Estimated Cost: $339,000
Pending Review/Complete/Joined Applications
2009-091 Plastikos Surgical Center 7

Establish Multi-Specialty ASC - BATCHING Joined (093) Filed: 11/24/2009 Deemed Complete: 11/24/2009 Joined: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 Site: 4370 Georgetown Square, Atlanta, GA 30338 (DeKalb County) Contact: Karen L. Vaughn, RN, Practice Administrator 770-457-4677 Estimated Cost: $88,295
2009-093 Northside Alpharetta Ambulatory Surgery Center Establish Multi-Specialty ASC - BATCHING Joined (091) Filed: 11/24/2009 Deemed Complete: 11/24/2009 Joined: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 Site: 3400-A Old Milton Parkway, Alpharetta, GA 30005 (Fulton County) Contact: Brian J. Toporek 404-851-6821 Estimated Cost: $4,300,391
2010-004 Candler Hospital dba Lewis Cancer & Research Pavilion New CyberKnife Unit (BATCHING) Joined (005) Filed: 2/20/2010 Deemed Complete: 2/20/2010 Joined: 2/20/2010 60th Day Deadline: 4/20/2010 Decision Deadline: 6/19/2010 Site: 225 Candler Drive, Savannah, GA 31405 (Chatham County) Contact: John Salandi 912-819-2498 Estimated Cost: $6,263,060
2010-005 Southeast Georgia Health System Acquisition of a CyberKnife (BATCHING) Joined (004) Filed: 2/20/2010 Deemed Complete: 2/20/2010 Joined: 2/20/2010 60th Day Deadline: 4/20/2010 Decision Deadline: 6/19/2010 Site: 2415 Parkwood Drive, Brunswick, GA 31520 (Glynn County) Contact: Carlton A. DeVooght 912-466-3391 Estimated Cost: $4,787,028
Recently Approved Applications
2009-074 Redmond Regional Medical Center Purchase a da Vinci Surgical System Filed: 10/2/2009 Deemed Incomplete: 10/19/2009 Deemed Complete: 11/9/2009 60th Day Deadline: 1/7/2010 Decision Deadline: 3/8/2010 APPROVED: 3/1/2010 Site: 501 Redmond Road, Rome, GA 30165 (Floyd County) Contact: Carlton Ulmer, COO 706-802-3012 Estimated Cost: $2,300,000
2009-075 WellStar Cobb Hospital Surgery Center Renovation Filed: 10/2/2009 Deemed Incomplete: 10/14/2009 Deemed Complete: 11/2/2009 60th Day Deadline: 12/31/2009 Decision Deadline: 3/1/2010 APPROVED: 3/1/2010 Site: 3950 Austell Road, Austell, GA 30106 (Cobb County) Contact: Caroline Aultman, Director of Strategic Planning 770-792-1542 Estimated Cost: $16,754,606
2009-080 Open MRI of Georgia, Inc. MRI and CT Scanner Replacement Filed: 10/26/2009 Deemed Complete: 11/6/2009
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60th Day Deadline: 1/4/2010 Decision Deadline: 3/5/2010 APPROVED: 3/5/2010 Site: 204 Village Center Parkway, Stockbridge, GA 30281 (Henry County) Contact: Per B. Normark, Deputy General Counsel 678-992-7311 Estimated Cost: $2,400,000
2009-081 WellStar Kennestone Hospital Acquisition of da Vinci robotic surgery equipment Filed: 10/29/2009 Deemed Complete: 11/10/2009 60th Day Deadline: 1/8/2010 Decision Deadline: 3/9/2010 APPROVED: 3/9/2010 Site: 677 Church Street, Marietta, GA 30060 (Cobb County) Contact: Caroline Aultman 770-792-1542 Estimated Cost: $3,206,000
2009-078 Newton Medical Center Acquisition: da Vinci Si Robotic Surgery System Filed: 10/22/2009 Deemed Incomplete: 11/4/2009 Deemed Complete: 11/17/2009 60th Day Deadline: 1/15/2010 Decision Deadline: 3/16/2010 APPROVED: 3/16/2010 Site: 5126 Hospital Drive, Covington, GA 30014 (Newton County) Contact: Everette B. Jenkins 678-625-4720 Estimated Cost: $1,750,000
Recently Denied Applications
None
Applications Withdrawn
none
Appealed CON Projects
2006-140 Northeast Georgia Medical Center (Hall) Replacement Hospital Facility Agency Decision: Approved, 4/27/2007 Appealed By: Barrow Regional Medical Center, 5/25/2007. Melvin Goldstein was appointed as Hearing Officer on 7/6/2007. Hearing Officer: Melvin Goldstein, Esq. Hearing Date: 9/18-19/2007, 9 a.m. Motion for Summary Determination filed 9/7/2007. Hearing Decision: Hearing Officer affirmed Department approval of CON by Order dated 12/20/2007. Barrow appealed Hearing Officer Decision to Review Board, 1/18/2008. Review Board Decision: Review Board Meeting set for 2/18/2008 at 11a.m. Review Board issued Order affirming Hearing Officer decision, 2/22/2008. Appealed to Superior Court: Barrow filed Petition for Judicial Review in Superior Court of Barrow County, 3/21/2008. Superior Court Decision: Reversed by Superior Court of Barrow County, 12/15/2008. Court of Appeals: Department and NEGA requested appeal of Superior Court Order to Georgia Court of Appeals; Barrow opposed request; Court of Appeals agreed to hear appeal of Superior Court Order, 1/30/2009. Appeals Court Decision: Pending
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
9

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: Richmond County Superior Court denied University & Evans petition for judicial review and affirmed Final Order, 9/30/2009. Appealed to Appeals Court: University and Evans filed application for discretionary appeal to GA Court of Appeals, 10/30/2009. Appeals Court Decision: Application for discretionary appeal denied, 11/23/2009. University and Evans filed petition for writ of certiorari to Georgia Supreme Court, 12/14/2009.
2008-051 Candler Hospital (Chatham) Acquisition of a Fixed PET/CT Scanner Agency Decision: Approved, 10/1/2008 Appealed By: PET Imaging Center of Savannah, LLC d/b/a Trident PET/CT of Savannah, 10/28/2008 Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: May 11, 2009, 9:00 AM, through May 15, 2009, 34th Floor Hearing Decision: Hearing Officer affirmed Department approval, 8/26/2009. Trident requested Commissioner Review of Hearing Officer Decision, 9/24/2009. Commissioner Review: Affirmed Hearing Officer Decision to award CON to Candler, 10/23/2009. Appealed to Superior Court: Trident filed Petition for Judicial Review in Fayette County Superior Court, 11/19/2009. Fayette County Superior Court decision affirms award of CON to Candler Hospital, 3/3/2010.
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: Affirmed Hearing Officer Decision, 10/08/2009. Appealed to Superior Court: South Georgia Center for Cancer Care filed petition for judicial review to Superior Court of Bulloch County, 11/6/2009. Satilla filed Petition for Judicial Review in Fulton County Superior Court, November 6, 2009. Fulton County Superior Court Decision affirms award of CON to Vidalia, 3/2/2010.
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.
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)
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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; Motion Hearing held 9/15/2009. Hearing Decision: Remanded to Department 11/13/2009; Remand decision issued 12/10/2009 affirming award of CON to Interim and affirming denial to Suncrest. Hearing Officer reversed award of CON to Interim and awarded CON to Suncrest, 2/22/2010.
2009-044 Ty Cobb Regional Medical Center, LLC (Franklin) New Hospital Agency Decision: Approved, 11/20/2009 Appealed By: Stephens County Hospital Authority d/b/a Stephens County Hospital, 12/17/2009. Hearing Officer: William C. Joy, Esq. Hearing Date: March 10-12, 2010, 5th Floor Overflow Room
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. Cartersville Medical Center, LLC, appeals approval of 2009-054, 1/15/2010. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: May 10 -14, 2010

Appealed Determinations
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. Hearing Officer reversed award of Determination to Trinity, 12/18/2009. Request for Agency Review by Trinity, 12/30/2009. Agency Review Decision reversed Hearing Officer and reinstated approval, 2/17/2010.

Requests for LNR for Diagnostic or Therapeutic Equipment

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-EQT2010001 RESURGENS, P.C. Fixed MRI Request received: 1/21/2010 Contact Person: Dr. Steven B. Wertheim, Determination: Approved

404-847-9999 Determination Date: 3/10/2010

LNR-EQT2010002 Liberty Regional Medical Center Fixed Digital Mammography

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Request received: 1/27/2010 Contact Person: Scott Kroell 912-369-9441 Determination: Pending
LNR-EQT2010003 Liberty Regional Medical Center Fixed R/F Room Request received: 1/27/2010 Contact Person: Scott Kroell 912-369-9441 Determination: Pending
LNR-EQT2010004 Piedmont Hospital, Inc. Fixed MRI Request received: 2/2/2010 Contact Person: Davis Dunbar 404-605-4565 Determination: Pending
LNR-EQT2010005 George S. Stefanis, M.D., P.C Fixed MRI Request received: 2/4/2010 Contact Person: Leslie Broxton 478-741-3690 Determination: Pending
LNR-EQT2010006 VMW Properties, LLC Fixed CT Scanner Request received: 3/1/2010 Contact Person: Determination: Pending
LNR-EQT2010007 North American Imaging of Buford, LLC Fixed MRI Scanner and Injector Request received: 3/2/2010 Contact Person: Joe C. Rude III M.D. 770-779-0000 Determination: Pending
LNR-EQT2010008 Emory University Hospital Midtown Hybrid CT/Nuclear Camera Request received: 3/15/2010 Contact Person: Toni Wimby 404-686-2809 Determination: Pending

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

LNR-ASC2009018 Pinnacle Orthopaedics & Sports Medicine Specialists, LLC

Single Specialty Ambulatory Surgery

Site: 3672 Marathon Circle, Suite 120, Austell, GA 30106

Number of OR's:

Specialty: Orthopaedic

Project costs as submitted: $0.00

Request received: 11/19/2009

Contact Person: N. Phillip Bennett, MBA CMPE CASC 770-427-5744

Determination: Pending

LNR-ASC2010001 Georgia Spine Surgery Center, LLC

Single Specialty Surgery Center

Site: 1061 Dowdy Road, Athens, Georgia 30306

Number of OR's: 2

Specialty: Neurological

Project costs as submitted: $2,848,439.41

Request received: 1/21/2010

Contact Person: Victor Moldovan 404-443-5500

Determination: Pending

12

LNR-ASC2010002 Athens Endoscope, LLC

Physician-Owned, Single Specialty Ambulatory Surgery Center

Site: 21 Jefferson Place, Suite 2, Athens, GA 30601

Number of OR's:

Specialty: Gastroenterology

Project costs as submitted: $803,784.94

Request received: 1/29/2010

Contact Person: Brynne Goncher 404-233-7000

Determination: Pending

LNR-ASC2010003 Georgia Urology ASC

Establishment of a Physician Owned Single-Specialty ASC

Site: 790 Church Street Extension, Suite 430, Marietta, GA 30078

Number of OR's:

Specialty: Urology

Project costs as submitted: $655,000.00

Request received: 2/17/2010

Contact Person: Jason Shelnutt 404-275-2221

Determination: Pending

LNR-ASC2010004 NASA Surgery Center, L.L.C .

Satellite Office and Ambulatory Surgery Facility

Site: 1100 Johnson Ferry Road, Suite 180, Atlanta, GA 30342

Number of OR's: 2

Specialty: Single Specialty General Surgery

Project costs as submitted: $1,806,099.77

Request received: 2/25/2010

Contact Person: Josh Belinfante 678-701-9381

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

DET2009143 Chulio Assisted Living, LLC Change of Governing Body Request received: 11/5/2009 Contact Person: Determination: Pending
DET2009165 Midtown Urology Surgical Center, Inc. Relocation of Ambulatory Surgery Center Request received: 12/31/2009 Contact Person: Bill Taylor 404-881-0966 Determination: Non-reviewable as proposed Determination Date: 2/17/2010
DET2010001 Union General Hospital, Inc. Replacement of Computerized Tomography Equipment (CT) Request received: 1/6/2010 Contact Person: Rebecca T. Dyer 706-439-6494 Determination: Non-reviewable as proposed Determination Date: 2/17/2010
DET2010002 United Home Care of North Atlanta Transfer Authorized Home Health Agencies Request received: 1/11/2010 Contact Person: Scott Shull 678-533-6623 Determination: Non-reviewable as proposed Determination Date: 3/15/2010
DET2010003 Aniikumar V. Pillai Conversion of an Existing Hotel to a Personal Care Home Request received: 1/12/2010
13

Contact Person: Anilkumar V. Pillai 478-256-4171 Determination: Pending
DET2010004 Piedmont Hospital Relocation of Existing Linear Accelerator Request received: 1/15/2010 Contact Person: Davis Dunbar 404-605-4565 Determination: Non-reviewable as proposed Determination Date: 3/8/2010
DET2010005 Piedmont Hospital, Inc. Replacement of Linear Accelerator Request received: 1/15/2010 Contact Person: Davis Dunbar 404-605-4565 Determination: Non-reviewable as proposed Determination Date: 3/8/2010
DET2010006 Athens Orthopedic Clinic Ambulatory Surgical Center, LLC Renovation and Expansion of LNR-Granted ASC Request received: 1/19/2010 Contact Person: Kayo Elliott 706-549-1663 Determination: Pending
DET2010007 Georgia Neurological Services Determination about Physiatrist Joining Practice Request received: 1/21/2010 Contact Person: Brandt Halbach 706-548-0284 Determination: Pending
DET2010008 Hamilton Medical Center Fixed PET/CT Request received: 1/25/2010 Contact Person: Corey Roy 706-272-6529 Determination: Pending
DET2010009 Northside Hospital dba Northside - Roswell Cancer Center Replacement of Authorized Linear Accelerator Request received: 1/29/2010 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2010010 Alliance Healthcare Services dba Alliance Imaging Moblie PET/CT Services to CON Approved Provider Request received: 2/1/2010 Contact Person: Cindy Smith 678-873-1364 Determination: Pending
DET2010011 Harpers Personal Care Home, Inc. Increase Beds from 24 to 32 Request received: 2/3/2010 Contact Person: Carolyn Harper 706-678-6070 Determination: Pending
DET2010012 Atlanta Association for Convalescent Aged Persons, Inc. Relocation of Nursing Facility Request received: 2/9/2010 Contact Person: Charles Robinson, Jr. 404-794-2477 Determination: Pending
DET2010013 Rockdale Hospital, LLC dba Rockdale Medical Center Renovation of Hospital Space Request received: 2/9/2010 Contact Person: Deborah Armstrong 770-918-3877 Determination: Pending
14

DET2010014 Stockbridge Senior Living Partners, LLC dba Benton Manor of Stockbridge Conversion of Independent Living to Personal Care Home Request received: 2/11/2010 Contact Person: David Winters 678-297-0388 Determination: Pending
DET2010015 Pain Care Center of Georgia, LLC Applicability of Administrative Rule 111-2-1-.01(49) Request received: 2/12/2010 Contact Person: Lindsey Mathes, RN 770-771-6580 Determination: Pending
DET2010016 Northside Hospital, Inc. dba Northside Hospital A Second Adult Diagnostic Cardiac Catheterization Laboratory Request received: 2/16/2010 Contact Person: Brian Toporek 404-851-6283 Determination: Pending
DET2010017 Emory University dba Emory University Hospital Fixed Spect Gamma Camera Request received: 2/17/2010 Contact Person: Toni Wimby 404-686-2809 Determination: Pending
DET2010018 North Atlanta Scan Associates, Inc. Replacement of non-reviewable MR System at Alpharetta Location Request received: 2/22/2010 Contact Person: Determination: Pending
DET2010019 Saint Joseph's Hospital of Atlanta, Inc. Renovation/Replacement of Cardiac Catheterization Laboratory Equipment Request received: 2/22/2010 Contact Person: Determination: Pending
DET2010020 Gwinnett Medical Center - Duluth Addition of an Inpatient Operating Room within Main OR Suite Request received: 2/23/2010 Contact Person: Mark M. Mullin 678-312-4193 Determination: Pending
DET2010021 Regent LSG, LLC Non-Medical Personal Care Home Request received: 2/24/2010 Contact Person: John C. Brandt 612-805-6462 Determination: Pending
DET2010022 Gwinnett Medical Center Renovation for Pediatrics and Physician Support Request received: 3/2/2010 Contact Person: Mark Mullin 678-312-4193 Determination: Pending
DET2010023 Perfect Care, Inc. CCRC Sheltered Nursing Home Bed Service Phase-in Request received: 3/2/2010 Contact Person: Julie G. Harry 229-928-5616 Determination: Pending
15

Requests for Extended Implementation/Effective Period

2008101 Phoebe Putney Memorial Hospital Expansion of Neonatal Intermediate Services Request to extend implementation period Site: 417 Third Avenue, Albany, GA (Dougherty) Project Approved: 3/24/2009 Request Received: 02/18/2010 Contact: Lori Jenkins (229) 312-1432 Approved Cost: $4,000,000 Determination: Approved, 3/1/2010

Extended Implementation Date: 3/24/2011

2008103 Emory University d/b/a Emory Crawford Long Hospital

Expansion of Neonatal Intensive Care Services

Request to extend effective period

Site: 550 Peachtree Street, NE, Atlanta, GA (Fulton)

Project Approved: 3/24/2009

Request Received: 02/24/2010

Contact: Toni Wimby, Assoc. Admin. (404) 686-2450

Approved Cost: $1,694,011

Determination: Approved, 3/2/2010

Extended Completion Date: 3/24/2011

2008127 Griffin Imaging, LLC Replacement of CON-exempt MRI Unit Request to extend effective period Site: 220 Rock Street, Griffin, GA (Spalding) Project Approved: 4/10/2009 Request Received: 03/3/2010 Contact: Joseph A. Paul, President (561) 744-9354 Approved Cost: $2,000,000 Determination: Approved, 3/5/2010

Extended Completion Date: 10/10/2010

2008080 MCG Health, Inc.

Renovation of Second EP Lab and Equipment Purchases

Request to extend effective period Site: 1120 15th Street, Augusta, GA (Richmond)

Project Approved: 12/30/2008

Request Received: 03/8/2010

Contact: Shelia O'Neal, VP, Strategic Support (706) 721-7406

Approved Cost: $6,280,000

Determination: Approved, 3/11/2010

Extended Completion Date: 2/11/2011

2007121 Kennestone Hospital, Inc. d/b/a Atherton Place

Increase Personal Care Home Bed Capacity from 43 to 71

Request to extend effective period

Site: 111 Tower Road, Marietta, GA (Cobb)

Project Approved: 5/8/2008

Request Received: 03/11/2010

Contact: Caroline Aultman, Director, Strategic Planning (678) 331-6885

Approved Cost: $623,225

Determination: Approved, 3/16/2010

Extended Completion Date: 4/12/2011

16

Need Projection Analyses Updated 12/22/2009
Current Status of Official Division of Health Planning Need Projection Analyses and Other Data Resources Need Projections and Maps for CON Regulated Services

2014 Non-Special MegaVoltage Radiation Therapy - 12/22/2009 2014 Positron Emission Tomography Services - 12/22/2009 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 March 16, 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 2006 thru 2008)

Charlton Memorial Hospital

Charlton

2006

Flint River Community Hospital

Macon

2006

Georgia Regional Hospital @ Savannah

Chatham

2006

Georgia Regional Hospital @ Savannah

Chatham

2007

Georgia Regional Hospital @ Savannah

Chatham

2008

Hillside Hospital

Fulton

2006

Kindred Hospital-Atlanta

Fulton

2006

Kindred Hospital-Atlanta

Fulton

2007

Kindred Hospital-Atlanta

Fulton

2008

Liberty Regional Medical Center

Liberty

2007

Liberty Regional Medical Center

Liberty

2008

Lower Oconee Community Hospital Inc.

Wheeler

2006

Mountain Lakes Medical Center

Rabun

2006

Northwest Georgia Regional Hospital

Floyd

2008

Select Specialty Hospital of Augusta

Richmond

2006

17

Survey Due
2/29/2008 2/29/2008 2/29/2008 3/13/2009 9/18/2009 2/29/2008 2/29/2008 3/13/2009 9/18/2009 3/13/2009 9/18/2009 2/29/2008 2/29/2008 9/18/2009 2/29/2008

Southwestern State Hospital Stewart Webster Hospital Stewart Webster Hospital Stewart Webster Hospital Sumter Regional Hospital East Sumter Regional Hospital East Sumter Regional Hospital, Inc. Union General Hospital

Thomas Stewart Stewart Stewart Sumter Sumter Sumter Union

2008 2006 2007 2008 2007 2008 2006 2008

Annual Nursing Home Questionnaire (Survey Years 2007 thru 2009)

Buckhead Health & Rehabilitation

Fulton

2007

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

Floyd Floyd Glynn DeKalb

2007 2007 2007 2008

Cardiac Catheterization Services Survey (Survey Years 2006 thru 2008)
All surveys filed for most recent 3 years.

Freestanding Ambulatory Surgery Services Survey (Survey Years 2006 thru

Academy Orthopedics, Llc

FORSYTH

2008

Afa Ambulatory Surgery Center

BIBB

2008

Affinity Outpatient Service Affinity Outpatient Service

Tift

2007

Tift

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

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

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

2008

18

9/18/2009 2/29/2008 3/13/2009 9/18/2009 3/13/2009 9/18/2009 2/29/2008 9/18/2009
8/15/2007 8/15/2007
8/15/2007
8/15/2007
10/31/2008
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 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 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 Metro Atlanta Endoscopy Midtown Endoscopy Center, Llc 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 Piedmont Eye Plastic Surgery Ctr Land, The Podiatric Surgi Center Premier Surgery Center Pulliam Ambulatory Surg Ctr Rome Endoscopy Ctr Inc, The Rome Foot And Ankle Surgery Center Rome Surgical Center, P 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 FULTON FULTON COWETA Fulton Fulton FULTON CHEROKEE HALL FULTON LUMPKIN FULTON CHATHAM DEKALB Glynn NEWTON FLOYD FLOYD FLOYD CHEROKEE Chatham Chatham
Chatham
CHATHAM Chatham Ware GLYNN FULTON HENRY HENRY Bibb MUSCOGEE BIBB FULTON LOWNDES CARROLL DOUGLAS CHEROKEE

Home Health Agency Survey (Survey Years 2006 thru 2008)

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Southside Healthcare Home Health

DeKalb

Hospital Financial Survey (Survey Years 2006 thru 2008)

Charlton Memorial Hospital

Charlton

Devereux Georgia Treatment Network

Cobb

Flint River Community Hospital

Macon

19

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

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 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 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
4/13/2007 10/10/2008
8/7/2009 4/13/2007
3/14/2008 9/30/2009 3/14/2008

Hutcheson Medical Center Jasper Memorial Hospital Kindred Hospital-Atlanta Liberty Regional Medical Center Lower Oconee Community Hospital Inc. Stewart Webster Hospital Stewart Webster Hospital Taylor Telfair Regional Hospital Taylor Telfair Regional Hospital Trinity Hospital of Augusta Wildwood Lifestyle Center & Hospital Willingway Hospital

Catoosa Jasper Fulton Liberty Wheeler Stewart Stewart Telfair Telfair Richmond Dade Bulloch

2006 2007 2006 2006 2008 2007 2008 2006 2007 2006 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 2006 thru 2008)

Arbor Terrace at Cascade

Fulton

Arbor Terrace at Crabapple

Fulton

Aspen Renaissance on Peachtree - PCH

Fulton

Augusta Gardens Retirement Residence

Richmond

Autumn Breeze PCH

Hall

Autumn Village PCH

Butts

Beacon Pointe

Bibb

Belair at Macon, The

Bibb

Benton House of Dublin

Laurens

Bethel Gardens

Cobb

Brighton Gardens of Vinings

Cobb

Cameron Hall of Ellijay

Gilmer

Campbell-Stone Personal Care Home

Fulton

Campbell-Stone Personal Care Home

Fulton

Carestone at Mount Zion

Clayton

Carestone At Milford Chase PCH

Cobb

Carriage House of Southern Plantation, Inc.

Walton

Cedar Hill Senior Living Community

Polk

Cordelia Manor PCH

Crisp

Country Gardens Assisted Living PCH

Fulton

Country Gardens Assisted Living PCH

Fulton

Country Gardens Assisted Living PCH

Fulton

Country Gardens Senior Living

Gwinnett

Country Gardens Senior Living

Gwinnett

Courtyard Gardens AL & Memory Care Community

Gwinnett

Cypress Court at Decatur

DeKalb

Day Break Village at Kennesaw Dogwood Forest at Eagles Landing

Cobb Henry

Dogwood Forest of Alpharetta

Fulton

Dogwood Forest of Fayetteville

Fayette

Dogwood Forest of Gainesville

Hall

Eden Gardens at East Cobb

Cobb

Edenbrook-Buckhead, LP

Fulton

Elmcroft of Roswell

Fulton

Fairhaven Assisted Living Residence

Glynn

GA Heritage of Brookstone

Cobb

Garrison Home for Personal Care

Henry

Gentilly Gardens of Stateboro

Bulloch

GoldenCrest Assisted Living

Clayton

20

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

3/14/2008 3/27/2009 3/14/2008 3/14/2008 9/30/2009 3/27/2009 9/30/2009 3/14/2008 3/27/2009 3/14/2008 3/14/2008 3/14/2008
6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 8/15/2007 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 8/15/2007 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 9/15/2006 8/15/2007 6/5/2009 9/15/2006 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009

GoldenCrest at Eagle's Landing Governor's Glen Assisted Living Community Grace Assisted Living Home of Douglasville Habersham House-Senior Residence Heritage Hills Alzheimers's Special Care John-Wesley Villas - Chatham Jonesboro Assisted Living Center Lake Pointe AL & Memory Care Community Magnolia Manor of Saint Simons Assisted Living Magnolia Place of Cairo Magnolias, The Mann House, The Mary and Martha's Personal Care Medlock Gardens Merrill Gardens at Dunwoody Merrill Gardens at Roswell Merryvale Personal Care Residence Mews Assisted Living of Social Circle Morningside of Athens Morningside of Conyers Mt Carmel PCH Noble Village Gwinnett LLC Northlake Gardens Oakbridge Terrace at Lanier Village Estates Oaks at Post Road Assisted Living, The Oaks at Riverstone Assisted Living, The Park Regency Peachtree Village Plantation Manor Plantation South - Duluth Plantation South of Dunwoody Premier Memory Care Residence of Cedartown Roman Court Assisted Living Roosevelt Place, The Sandy Springs Assisted L iving Savannah Cottage of Chatham Shadow Moss Plantation Shadow Moss Plantation Shadow Moss Plantation Sheridan Senior Living Silverleaf Alzheimer's Care of Athens Silverleaf Alzheimer's Care of Snellville Somerby of Alpharetta Southern Pines Retirement Community Southern Plantation Spanish Oaks Retreat, Inc Spring Harbor at Green Island Stone Mountain Estates AL & Memory Care Community Summer's Landing Summer's Landing Summer's Landing of Warner Robbins Sunbridge Senior Residence for Griffin Sunrise of Tucker Sunrise Assisted Living of Augusta Sunrise Assisted Living of Dunwoody

Henry Clayton Douglas Chatham Muscogee Chatham Clayton Hart Glynn Grady Rockdale Fulton Walker DeKalb DeKalb Fulton Newton Walton Clarke Rockdale Henry Gwinnett DeKalb Hall Forsyth Cherokee Colquitt Jackson Thomas Gwinnett DeKalb Polk Floyd Meriwether Fulton Chatham Chatham Chatham Chatham Laurens Clarke Gwinnett Fulton Thomas Walton Chatham Muscogee Gwinnett Coffee Toombs Houston Spalding Gwinnett Richmond DeKalb
21

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

6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 9/15/2006 8/15/2007 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 8/15/2007 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009

Sunrise at Ivey Ridge Sunrise at Webb Gin Sunrise of East Cobb Sunrise of West Cobb. Sweetwater Springs Retirement - PCH The Gardens of Roswell Trillium Village Veranda At Hembree Pointe, The Waldrop Assisted Living Waterford Gardens White Oaks at Lanier PCH White Oaks at Lanier PCH White Oaks at Lanier PCH Winnwood Retirement Community

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

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

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 - Bibb Central Georgia Radiation Oncology Center - Houston

Bibb Houston

2008 2007

Central Georgia Radiation Oncology Center - Houston Houston

2008

Hutcheson Medical Center

Catoosa

2008

Northeast Georgia Cancer Care

Clarke

2008

6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 6/5/2009 9/15/2006 8/15/2007 6/5/2009 6/5/2009
1/16/2009
8/7/2009 1/16/2009
8/7/2009 8/7/2009 8/7/2009

Indigent Charity Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years
(Commitment status as of 3/16/2010)
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
Savannah Outpatient Foot and Ankle Surgery Center, LLC Amedisys d/b/a Tugaloo Home Health Agency Amedisys d/b/a Tugaloo Home Health Agency Amedisys Home Health of Covington Amedisys Home Health of Macon Amedisys Home Health of Valdosta Camellia Home Health Careone Home Health Services, Inc. (Toombs) Caresouth Homecare Professionals Caresouth Homecare Professionals Central Home Health Health, Douglasville, an Amedisys Company Charlton Visiting Nurses Services Chattahoochee Valley Home Health, Chattahoochee Valley Home Health, Chattahoochee Valley Home Health, Community Home Health, an Amedisys Company CSRA Home Health- Columbia, Inc. CSRA Home Health- Columbia, Inc. Englewood Health Systems, Arlington Floyd HomeCare Gentiva Health Services - Atlanta Gentiva Health Services - Atlanta

County
Chatham

Year Shortfall Due Service

2008

63,987.36 Ambulatory Surgery Center

Franklin Franklin Newton Bibb Lowndes Cobb Toombs Muscogee Elbert Douglas

2006 2008 2008 2008 2008 2008 2008 2008 2008 2008

24,786.58 342,825.43 214,673.39 369,149.60
71,436.47 17,184.35 76,874.74 100,400.27 224,038.55 826,827.27

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

Brantley Muscogee Muscogee Muscogee Cherokee McDuffie McDuffie Calhoun Floyd Fulton Fulton

2008 2006 2007 2008 2008 2007 2008 2007 2008 2006 2007

22

31,386.02 70,792.71 13,329.80 70,270.61 225,476.08 31,195.10 39,221.83
185.36 88,297.85 151,932.04 125,615.85

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

Gentiva Health Services - Atlanta Gentiva Health Services - Savannah Gentiva Health Services - Savannah Georgia Home Health Services, Inc., High Shoals Georgia Home Health Services, Valdosta Georgia Home Health Services, Valdosta Georgia Home Health Services, Valdosta Guardian Home Care of Central Georgia Guardian Home Care of Central Georgia Guardian Home Care of Central Georgia Guardian Home Care of Northeast Georgia Guardian Home Care of Northeast Georgia Guardian Home Care of Northeast Georgia Guardian Home Care, LLC Guardian Home Care, LLC Guardian Home Care, LLC Healthfield Home Health of Atlanta Healthfield Home Health of Atlanta Healthfield Home Health of Atlanta Healthfield Home Health of Griffin Healthfield Home Health of Griffin Healthfield Home Health of Griffin Healthfield Home Health, Inc. Healthfield Home Health, Inc. Muscogee Home Health Agency Ogeechee Home Health Ogeechee Home Health Southside Healthcare Home Health Southside Healthcare Home Health Staff Builders Home Health Three Rivers Home Health of Bibb Three Rivers Home Health, Truetlen Tugaloo Home Health Agency an Amedisys Ultra Care of Georgia Ultra Care of Georgia United Home Care of Atlanta United Home Care of Cumming United Home Care of North Georgia VNA of Southwest Georgia, Inc. Focus By the Sea Battlefield Imaging Center

Fulton Chatham Chatham Oconee Lowndes Lowndes Lowndes Clarke Oconee Oconee Hall Hall Hall Fulton Fulton Fulton DeKalb DeKalb Forsyth Spalding Spalding Spalding Fulton Fulton Muscogee Bulloch Bulloch DeKalb DeKalb Fulton Bibb Treutlen Hall Muscogee Muscogee Gwinnett Forsyth Hall Decatur Glynn Catoosa

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

94,357.96 32,141.02 41,204.20
4,106.22 98,303.88
3,087.28 3,198.00 67,275.28 80,394.12 123,061.96 43,747.37 68,748.96 109,316.11 118,369.89 184,196.33 312,705.50 47,354.47 36,359.62 64,346.81 23,443.09 11,170.79 35,481.79 252,058.52 708,840.78 1,760.14 37,826.03 107,582.54 4,552.32 3,909.18 387,507.97 75,623.21
81.83 505,269.70
27,315.39 27,746.82 149,965.04 59,747.85 115,987.15 26,842.90 30,995.33 47,397.70

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 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 PET Services

23

NEW CERTIFICATE OF NEED FILING REQUIREMENTS
Notices of Intent
Effective July 1, 2008, O.C.G.A. 31-6-40(b) provides that:
Any person proposing to develop or offer a new institutional health service or health care facility shall, before commencing such activity, submit a letter of intent and an application to the department and obtain a certificate of need in the manner provided in this chapter unless such activity is excluded from the scope of this chapter.
O.C.G.A. 31-6-43(a) further provides that:
At least 30 days prior to submitting an application for a certificate of need for clinical health services, a person shall submit a letter of intent to the department. The department shall provide by rule a process for submitting letters of intent and a mechanism by which applications may be filed to compete with and be reviewed comparatively with proposals described in submitted letters of intent.
All parties interested in applying for a certificate of need for new institutional health services MUST NOW NOTIFY THE DEPARTMENT 30 DAYS PRIOR TO FILING AN APPLICATION of their intent to do so. This notice must be in writing and must contain the following information:
Name and address of legal applicant; Person to whom inquiries may be addressed; Name, address of facility, if different from legal applicant; Proposed Project Site Location; Brief summary description of proposal; Proposed service area; and, Cost of the project.
The Department will not accept any notices of intent submitted by either telephone, facsimile or e-mail pursuant to Rule 111-2-2-.06(5).
Note: The Department will begin implementing the Letter of Intent requirement on July 15, 2008. Beginning with that date, no CON application will be accepted without a previously filed Letter of Intent. The CON application must be submitted no later than 30 days after the Letter of Intent has been received by the Department.
BATCHING REQUIREMENTS
The Department will be promulgating rules for services that will now be batched pursuant to O.C.G.A. 316-43(e) which states:
To allow the opportunity for comparative review of applications, the department may provide by rule for applications for a certificate of need to be submitted on a timetable or batching cycle basis no less often than two times per calendar year for each clinical health service. Applications for services, facilities, or expenditures for which there is no specified batching cycle may be filed at any time.
The requirements for Notices of Intent associated with designated Batching Cycles will be issued at the time of publication of the Batching Notice.
24

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.

25

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)
(due by 12 noon 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)

26

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

Application

Day

(application

complete when

submitted;

Batching Notice

review cycle begins same
day)
(due February 20, 2010

(December 22, 2009) must be received by 12 noon Feb 22, 2010)

75th Day
(applicant provides additional information)
(May 5, 2010)

100th Day
(last day for letters of support to be submitted to Department)
May 30, 2010 (due Tuesday, June 1, 2010)

120th Day
(Department Issues
decision)
(June 19, 2010)

Letter of Intent
(due by 5pm January 21, 2010)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(April 20, 2010)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(May 20, 2010)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(June 9, 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)

27

NON-BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW
ACTIVITIES

Letter of
Intent

Application deemed complete (review cycle begins)

75th Day
(applicant provides additional information)

100th Day
(last day for letters of support to be submitted to Department)

120th
Day
(Department Issues decision)

Application submitted (10 days to review
for completeness)

60-Day
Meeting
(applicant only); deadline for receipt of opposition letter(s)

90th Day
(opposition meeting(s) scheduled; applicant can attend, opposing parties must provide written copy of argument)

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

150th Day
(project can be extended)

Letter of Intent received by Department 30 days before application is submitted
Application submitted (10 working days to review for completeness)
Application deemed complete; 120-day review cycle begins
60-day meeting (applicant only); deadline for receipt of opposition letter(s)
75th day applicant provides additional information
90th day Opposition Meeting(s) scheduled; applicant can be in attendance; opposing parties must provide written statement of opposition arguments presented (original and one copy to the Department and one copy to the applicant); presentation time will be limited; Department reserves right to make additional inquiries subsequent to 60-day meeting and following opposition meeting.
100th day Last day for letters of support to be submitted to the Department
110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposition; applicant deadline for providing written response to Department's inquiries subsequent to opposition meeting
120th day Decision issued (Department has discretion to extend to 150th day)

28

NEW REPORTING REQUIREMENTS
Beginning July 1, 2008, all facilities operating under a previously granted exemption or letter of nonreviewability as provided at O.C.G.A. 31-6-40(c)(2)(A) will be required to:
Provide notice to the department by August 15, 2008, of the following: Name Ownership Location Single Specialty Services provided in the exempt facility
For purposes of complying with this requirement, notice may be sent through the mail, by facsimile, or email. Information will not be accepted by telephone. Please submit this information to:
Georgia Department of Community Health Division of Health Planning c/o Marsha Hopkins, Executive Director 2 Peachtree Street, NW 5th Floor Atlanta, Georgia 30303 Fax Number: 404-656-0654 E-mail address: mhopkins@dch.ga.gov
These facilities will also be required to provide annual reports beginning on January 1, 2009, in accordance with the Department's annual reporting requirements for existing CON-approved facilities and services. Further reporting instructions will be provided by the Department. Noncompliance with this information request may result in a fine as authorized under O.C.G.A. 31-6-70(e)(1).
These reports will not be due to the Department until the survey instrument has been issued. The survey instrument for ambulatory surgery services is now complete. Further information will be forthcoming by mail. The survey instrument for imaging centers is expected to be released on or before July 1, 2009.
LETTERS OF DETERMINATION The Department will require that a determination request be submitted for any proposed activity that may be exempt under O.C.G.A. 31-6. Such requests will be accepted only on the Department's Determination Request form with the required filing fee of $250. Note: Requests for confirmation of the exemptions for a single specialty ambulatory surgical center or a joint venture ambulatory surgical center and equipment below the threshold are considered requests for a Letter of Nonreviewability and require a $500 filing fee.
29

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.
Effective January 2010 all Letters of Intent will be assigned a unique "LOI" Number"(LOI2010###). A Certificate of Need Project number will be assigned upon receipt of the actual CON Application.

30

Certificate of Need Annual Assessment of Therapeutic Cardiac Catheterization Exemption
March 2010 Pursuant to Certificate of Need Rule 111-2-2-.03(24)(b), any hospital approved to perform therapeutic cardiac catheterization procedures as a result of a request for determination submitted between May 1 and May 15 of any calendar after the adoption of this rule, must, between May 1 and May 15, of each subsequent year, submit a request which documents its compliance with the standards of this rule, and the Department must re-affirm the hospital's current compliance in writing in order for the hospital to continue its therapeutic cardiac catheterization program. The Therapeutic Cardiac Catheterization Exemption, Exhibit Five of the Request for Determination form, must be utilized in such request for determination to confirm compliance with the standards of Certificate of Need Rule 1112-2-.03(24)(a). Certificate of Need Rule 111-2-2-.03(24) can be found at the link below. http://rules.sos.state.ga.us/docs/111/2/2/03.pdf A Request for Determination form, inclusive of Exhibit Five, can be found at the link below. http://dch.georgia.gov/vgn/images/portal/cit_1210/59/40/138421436CON_Request_for_Determination_4-142009.doc
31