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Pending Review/Complete/Joined Applications Recently Approved Applications Recently Denied Applications Applications Withdrawn Appealed CON Projects CERTIFICATE OF NEED Appealed Determinations Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities Requests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 February 24, 2010 March 2, 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 LOI2010013 Tanner Medical Center - Carrollton Renovation, Expansion, and Central Energy Plant Upgrade Received: 2/10/2010 Application must be submitted on: 3/12/2010 Site: 705 Dixie Street, Carrollton, GA 30117 (Carroll County) Estimated Cost: $62,700,000 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 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 2010-002 Southwest Atlanta HealthCare System, LLC New Hospital Acute Care Filed: 2/18/2010 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/Incomplete Applications 2009-108 East Georgia Regional Medical Center, LLC 2 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 2009-109 Smith Northview Hospital da Vinci Robotic Surgical System Filed: 1/21/2010 Deemed Incomplete: 2/3/2010 Site: 4280 N. Valdosta Road, Valdosta, GA 31602 (Lowndes County) Contact: James L. Matney 229-671-2002 Estimated Cost: $1,750,000 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 2009-078 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 Site: 5126 Hospital Drive, Covington, GA 30014 (Newton County) Contact: Everette B. Jenkins 678-625-4720 Estimated Cost: $1,750,000 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 2009-080 Open MRI of Georgia, Inc. MRI and CT Scanner Replacement Filed: 10/26/2009 Deemed Complete: 11/6/2009 60th Day Deadline: 1/4/2010 Decision Deadline: 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 Site: 677 Church Street, Marietta, GA 30060 (Cobb County) Contact: Caroline Aultman 770-792-1542 Estimated Cost: $3,206,000 3 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 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 4 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 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 5 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 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 2009-110 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 6 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 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 7 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 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 8 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 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 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. 9 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 Superior Court, 11/19/2009. 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. 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) 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 10 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-EQT2009031 Atlanta Gastroenterology Associates, LLC CT Scanner Request received: 12/22/2009 Contact Person: Kim Beith 404-888-7575 Determination: Approved Determination Date: 2/5/2010 LNR-EQT2010001 RESURGENS, P.C. Fixed MRI Request received: 1/21/2010 Contact Person: Dr. Steven B. Wertheim, Determination: Pending 404-847-9999 LNR-EQT2010002 Liberty Regional Medical Center Fixed Digital Mammography 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 11 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 Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities LNR-ASC2009017 Georgia Pain Management Center, LLC Pain Management Specialists of Atlanta, P.C. Site: 165 North Park Trail, Stockbridge, Georgia Number of OR's: 2 Specialty: Pain Management Project costs as submitted: $1,352,582.00 Request received: 10/16/2009 Contact Person: Edward C. Luke, Jr., Senior Associate 770-951-8427 Determination: Approved Determination 2/1/2010 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 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 12 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 DET2009088 Lenbrook Square Additional Beds Request received: 6/19/2009 Contact Person: Becky Webster 404-404-4440 Determination: Non-reviewable as proposed Determination Date: 2/1/2010 DET2009143 Chulio Assisted Living, LLC Change of Governing Body Request received: 11/5/2009 Contact Person: Determination: Pending DET2009157 West Paces Diagnostic Imaging, Loc Replacement of Health Care Facility's MRI Request received: 12/16/2009 Contact Person: Per B. Normark 678-992-7311 Determination: Non-reviewable as proposed Determination Date: 2/1/2010 DET2009158 West Paces Diagnostic Imaging, LLC Replacement of Health Care Facility's CT Request received: 12/16/2009 Contact Person: Per B. Normark 678-992-7311 Determination: Withdr/Agency Prior to Dec Date of Withdrawal: 2/1/2010 DET2009159 West Paces Diagnostic Imaging, LLC Relocation of Health Care Facility Request received: 12/16/2009 Contact Person: Per B. Normark 678-992-7511 Determination: Withdr/Agency Prior to Dec Date of Withdrawal: 2/1/2010 DET2009162 Upson County Hospital, Inc. dba Upson Regional Medical Center Construction of Medical Office Building Request received: 12/17/2009 Contact Person: David Castleberry 706-647-8111 ext 1112 Determination: Non-reviewable as proposed Determination Date: 2/4/2010 DET2009163 Bacon County Health Services, Inc. Add a Second Endoscopy Room Request received: 12/22/2009 Contact Person: Cindy R. Turner 912-632-8961 Determination: Non-reviewable as proposed Determination Date: 2/5/2010 DET2009164 Hutcheson Medical Center, Inc. Consolidation and Expansion of Wound Care Services 13 Request received: 12/29/2009 Contact Person: Determination: Non-reviewable as proposed Determination Date: 2/8/2010 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: Pending DET2010003 Aniikumar V. Pillai Conversion of an Existing Hotel to a Personal Care Home Request received: 1/12/2010 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: Pending DET2010005 Piedmont Hospital, Inc. Replacement of Linear Accelerator Request received: 1/15/2010 Contact Person: Davis Dunbar 404-605-4565 Determination: Pending 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 14 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 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 15 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 Requests for Extended Implementation/Effective Period 2008023 Glynn Brunswick Memorial Hospital Authority d/b/a Southeast Georgia Health System Renovate and Expand Maternity Care Center Request to extend effective period Site: 2415 Parkwood Drive, Brunswick, GA (Floyd) Project Approved: 7/23/2008 Request Received: 02/5/2010 Contact: Marjorie Mathieu, VP (912) 466-7055 Approved Cost: $6,429,300 Determination: Approved, 2/11/2010 Extended Completion Date: 1/1/2011 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 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 16 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 2, 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 Southwestern State Hospital Thomas 2008 Stewart Webster Hospital Stewart 2006 Stewart Webster Hospital Stewart 2007 Stewart Webster Hospital Stewart 2008 Sumter Regional Hospital East Sumter 2007 Sumter Regional Hospital East Sumter 2008 Sumter Regional Hospital, Inc. Sumter 2006 Union General Hospital Union 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 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 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 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 Ga Urology, Pa Rockdale Ambulatory Surgery Ctr ROCKDALE 2008 Gastrointestinal Endoscopy Of Gwinnett GWINNETT 2008 Georgia Surgical Centers- South CLAYTON 2008 Georgia Surgical Ctrs Of N Ga GORDON 2008 Gwinnett Endoscopy Center GWINNETT 2008 Lawrenceville Surgery Center GWINNETT 2008 Lowndes County Ambulatory Surg LOWNDES 2008 Metro Atlanta Endoscopy FULTON 2008 Midtown Endoscopy Center, Llc FULTON 2008 Newnan Foot & Ankle Surgery Center, Llc COWETA 2008 North Atlanta Endoscopy Center North Atlanta Orthopaedic Surgery Center, LLC Fulton Fulton 2006 2006 North Fulton Diagnostic Gastrointestinal Center FULTON 2008 North Georgia Endoscopy Center, Inc CHEROKEE 2008 18 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 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 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 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 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 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 2006 2007 2008 2006 Hospital Financial Survey (Survey Years 2006 thru 2008) Charlton Memorial Hospital Charlton Devereux Georgia Treatment Network Cobb Flint River Community Hospital Hutcheson Medical Center Macon Catoosa Jasper Memorial Hospital Jasper Kindred Hospital-Atlanta Fulton Liberty Regional Medical Center Liberty Lower Oconee Community Hospital Inc. Wheeler Stewart Webster Hospital Stewart Stewart Webster Hospital Stewart Taylor Telfair Regional Hospital Telfair Taylor Telfair Regional Hospital Telfair Trinity Hospital of Augusta Richmond Wildwood Lifestyle Center & Hospital Dade Willingway Hospital Bulloch 2006 2008 2006 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. 19 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 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 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 GoldenCrest at Eagle's Landing Henry Governor's Glen Assisted Living Community Clayton Grace Assisted Living Home of Douglasville Douglas Habersham House-Senior Residence Chatham Heritage Hills Alzheimers's Special Care Muscogee John-Wesley Villas - Chatham Chatham Jonesboro Assisted Living Center Clayton Lake Pointe AL & Memory Care Community Hart Magnolia Manor of Saint Simons Assisted Living Glynn Magnolia Place of Cairo Grady Magnolias, The Rockdale Mann House, The Fulton Mary and Martha's Personal Care Walker Medlock Gardens DeKalb Merrill Gardens at Dunwoody DeKalb 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 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 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 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 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 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 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 Fulton Gwinnett Cobb Cobb Douglas Fulton Muscogee Fulton Bartow DeKalb Forsyth Forsyth Forsyth Cobb 21 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 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2006 2007 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 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 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 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 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 3/2/2010) 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 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 County Chatham Year Shortfall Due Service 2008 63,987.36 Ambulatory Surgery Center Franklin Franklin Newton Bibb Lowndes Cobb Toombs Elbert Muscogee 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 76,874.74 224,038.55 100,400.27 826,827.27 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 Fulton Chatham Chatham Oconee Lowndes Lowndes Lowndes Clarke Oconee Oconee Hall Hall Hall Fulton 2008 2006 2007 2008 2008 2007 2008 2007 2008 2006 2007 2008 2007 2008 2008 2006 2007 2008 2006 2007 2008 2006 2007 2008 2006 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 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 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 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 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 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 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 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