Certificate-of-need tracking and appeals report [May 4, 2010]

Letters of Intent Spring Batching 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Applications Withdrawn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
Appealed Determinations
Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities

CERTIFICATE OF NEED

Requests for LNR for Diagnostic or Therapeutic Equipment

April 28, 2010 May 4, 2010

Requests for Miscellaneous Letters of Determination

Requests for Extended Implementation/Performance Period
Need Projection Analyses Non-Filed or Incomplete Surveys
Indigent-Charity Shortfalls

Georgia Department of Community Health Division of Health Planning 2 Peachtree Street 5th Floor Atlanta, Georgia 30303-3159

Legislation Affecting CON
Spring Batching Notifications
New Batching Review Spring Cycle Winter Cycle
New CON Filing Requirements (effective July 1, 2008)
New Reporting Requirements (effective July 1, 2008)

(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
Home Health Rule Change Info

Letters of Intent New! For Letters of Intent
none

Spring Batching Letters of Intent

Ambulatory Surgery

LOI2010023 Children's Healthcare of Atlanta Surgery Center at Meridian Mark Plaza, LLC

BATCHING - Ambulatory Surgery C enter Expansion

Received: 4/24/2010

Application must be submitted on: 5/24/2010

Site: 5445 Meridian Mark Plaza, L.L.C., Atlanta, GA 30329 (Fulton County)

Estimated Cost: $6,500,000

LOI2010024 Northside/Alpharetta Ambulatory Surgery Services

BATCHING - The Development of an Ambulatory Surgery Services

Received: 4/24/2010

Application must be submitted on: 5/24/2010

Site: 3400-A Old Milton Parkway, Alpharetta, GA 30005 (Fulton County)

Estimated Cost: $4,000,000

LOI2010028 WellStar Kennestone at East Cobb

BATCHING - Develop an Ambulatory Surgery Facility in Marietta

Received: 4/24/2010

Application must be submitted on: 5/24/2010

Site: 3624 Providence Road, Marietta, GA 30060 (Cobb County)

Estimated Cost: $45,000,000

Inpatient Physical Rehabilitation

LOI2010020 Southern Crescent Rehabilitation and Retirement Center

BATCHING - Conversion of an Existing 40-Bed TBI Facility to a 54-Bed CIPR Specialty Hospital

Received: 4/24/2010

Application must be submitted on: 5/24/2010

Site: 2125 Highway, McDonough, GA 30253 (Henry County)

Estimated Cost: $1,500,000

Newborn ICU/ Neonatal INT

LOI2010021 Northeast Georgia Medical Center, Inc.

BATCHING - Establish a Neonatal Intensive Care Unit

Received: 4/24/2010

Application must be submitted on: 5/24/2010

Site: 743 Springs Street, N.E., Gainesville, GA 30501 (Hall County)

Estimated Cost: $450,000

LOI2010022 Gordon Hospital

BATCHING - Develop a new 4-Bed Neonatal Intermediate Care or Level II Unit

Received: 4/24/2010

Application must be submitted on: 5/24/2010

Site: 1035 Red Bud Road, Calhoun, GA 30701 (Gordon County)

Estimated Cost: $500,000

LOI2010025 Northside Hospital - Forsyth

BATCHING - Expansion of Neonatal intermediate Care Beds

Received: 4/24/2010

Application must be submitted on: 5/24/2010

Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County)

Estimated Cost: $1,000,000

LOI2010026 Piedmont Fayette Hospital

BATCHING - Develop a Five-Bed Neonatal Intensive Care Unit Service

Received: 4/24/2010

Application must be submitted on: 5/24/2010

Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County)

Estimated Cost:

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LOI2010027 Piedmont Fayette Hospital

BATCHING - Expansion of its Existing Five-Bed Neonatal Intermediate Care Unit

Received: 4/24/2010

Application must be submitted on: 5/24/2010

Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County)

Estimated Cost: $337,155

New Applications
2010-015 AmMed Imaging Center Convert Existing LNR Diagnostic Imaging Center to a CON approved DTRC Filed: 4/30/2010 Site: 34 Upper Riverdale Road, Suite 102, Riverdale, GA 30274 (Clayton County) Contact: Tom Brown, Jr 727-381-0906 Estimated Cost: $191,000
2010-016 Open MRI Centers of Georgia Establish Imaging Center Filed: 4/30/2010 Site: 6584 Professional Place Suite D, Riverdale, GA 30274 (Clayton County) Contact: Tom Brown, Jr. 727-381-0906 Estimated Cost: $304,000
Pending Review/Incomplete Applications
2010-013 Open MRI & Imaging of DeKalb, LLC Replace MRI, CT Scanner and Relocate Facility Filed: 4/1/2010 Deemed Incomplete: 4/15/2010 Site: 2859 North Decatur Road, Decatur, GA 30033 (DeKalb County) Contact: Per B. Normark 678-992-7311 Estimated Cost: $2,854,653
Pending Review/Complete Applications
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 2009-101 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 Acquisition of Da Vinci Si 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
2009-108 East Georgia Regional Medical Center, LLC
Acquisition of da Vinci S Robotic Surgical System Filed: 1/14/2010 Deemed Incomplete: 1/29/2010 Deemed Complete: 3/18/2010 60th Day Deadline: 5/16/2010 Decision Deadline: 7/15/2010 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 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
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
2010-002 Southwest Atlanta HealthCare System, LLC
New Hospital Acute Care Filed: 2/18/2010 Deemed Complete: 5/4/2010 Site: 501 Fairburn Road, Atlanta, GA 30331 (Fulton County) Contact: Michael V. Smith, M.D. 404-880-7953 Estimated Cost: $12,075,637
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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
2010-011 Tanner Medical Center - Carrollton
Renovation, Expansion, and Central Energy Plant Upgrade Filed: 3/12/2010 Deemed Complete: 3/26/2010 60th Day Deadline: 5/24/2010 Decision Deadline: 7/23/2010
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Site: 705 Dixie Street, Carrollton, GA 30117 (Carroll County) Contact: Jeff Jennings, Senior Vice President 770-836-9195 Estimated Cost: $62,665,716
2010-012 Memorial Health University Medical Center DaVinci Si Surgical System Filed: 3/24/2010 Deemed Complete: 4/7/2010 60th Day Deadline: 6/5/2010 Decision Deadline: 8/4/2010 Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Contact: John D. Angstadt 912-350-8386 Estimated Cost: $1,771,950
2010-014 SouthCoast Imaging Center Replace MRI System Filed: 4/2/2010 Deemed Complete: 4/16/2010 60th Day Deadline: 6/14/2010 Decision Deadline: 8/13/2010 Site: 1326 B Eisenhower Drive, Savannah, GA 31406 (Chatham County) Contact: Patricia Shapiro, MD Medical Director 912-691-4210 Estimated Cost: $1,916,621
Pending Review/Complete/Joined Applications
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
2009-088 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 APPROVED: 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
2009-100 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
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Decision Deadline: 4/27/2010 APPROVED: 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
Recently Denied Applications
none
Applications Withdrawn
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 WITHDRAWN: 4/23/2010 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 WITHDRAWN: 4/23/2010 Site: 771 Old Norcross Road, Lawrenceville, GA 30046 (Gwinnett County) Contact: John K. Luke, CEO 678-893-8101 Estimated Cost: $5,673,935
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: Reversed Superior Court Decision, 3/23/2010. Barrow filed petition for Writ of Certiorari to Georgia Supreme Court, 4/9/2010.
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
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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. Georgia Supreme Court denied Petition for Certiorari, 3/29/2010.
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. Bulloch County Superior Court Decision affirms award of CON to Vidalia, 3/22/2010.
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)
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
8

CON to Suncrest, 2/22/2010. The Department requested Commissioner Review of Hearing Officer's decision, 3/23/2010. Interim requested Review of Hearing Officer's decision, 03/24/2010.
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
2009-079 St. Francis Hospital, Inc. (Muscogee) Renovate and Expand by adding a Clinical Tower Agency Decision: Approved, 3/30/2010 Appealed By: Doctors Hospital, 4/21/2010; The Medical Center 4/21/2010 Hearing Officer: TBD Hearing Date: TBD
2009-091 Plastikos Surgical Center (DeKalb) Establish Multi-Specialty ASC - BATCHING Joined (2009-093) Agency Decision: Denied, 3/23/2010 Appealed By: Applicant, 4/20/2010; Request to intervene: Northside Hospital, Inc., d/b/a Northside Hospital, 4/21/2010 and Atlanta Surgery Center, Ltd., d/b/a Atlanta Outpatient Surgery Center, 4/22/2010 Hearing Officer: TBD Hearing Date: TBD
2009-094 St. Francis Hospital (Muscogee) Establish Basic Perinatal Service - BATCHING Agency Decision: Approved, 3/23/2010 Appealed By: Phoebe Sumter Medical Center, 4/21/2010; The Medical Center, 4/21/2010; and Doctors Hospital, 4/21/2010. Hearing Officer: TBD Hearing Date: TBD
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. University Health Services filed Petition for Judicial Review to Superior Court of Fulton County, 3/17/2010.
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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-EQT2010002 Liberty Regional Medical Center

Fixed Digital Mammography

Request received: 1/27/2010

Contact Person: Scott Kroell 912-369-9441

Determination: Approved

Determination Date: 4/5/2010

LNR-EQT2010003 Liberty Regional Medical Center

Fixed R/F Room

Request received: 1/27/2010

Contact Person: Scott Kroell 912-369-9441

Determination: Approved

Determination Date: 4/9/2010

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

LNR-EQT2010009 West Georgia Medical Center, Inc. Fixed CT Scanner Request received: 3/22/2010 Contact Person: Carol Todd 706-845-3703 Determination: Pending

LNR-EQT2010010 Emory University dba Emory University Hospital Fixed Spect Gamma Camera Request received: 2/17/2010 Contact Person: Toni Wimby 404-686-2809 Determination: Pending

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LNR-EQT2010011 Wesley Woods Center of Emory University, Inc. dba Wesley Woods Fixed CT Scanner Request received: 3/29/2010 Contact Person: Toni Wimby 404-686-2809 Determination: Pending
LNR-EQT2010012 Cardiovascular Group, P.C. Physician-Owned Cardiac PET Request received: 3/30/2010 Contact Person: David Donnelly 678-252-3733 Determination: Pending
LNR-EQT2010013 ALARA Imaging, LLC Mobile CT Scanner Request received: 4/1/2010 Contact Person: Latonya Greene 404-214-5012 Determination: Pending
LNR-EQT2010014 Piedmont Hospital, Inc. Electrophysiology Equipment Request received: 4/7/2010 Contact Person: Determination: Pending
LNR-EQT2010015 Peachtree MRI, LLC Mobile MRI Request received: 4/14/2010 Contact Person: Syed I, Niazi 770-822-6174 Determination: Pending
LNR-EQT2010016 Liberty Regional Medical Center Replacement of Fixed CT Scanner Request received: 4/14/2010 Contact Person: Scott Kroell 912-369-9441 Determination: Pending
LNR-EQT2010017 Woodstock Diagnostic Imaging, LLC dba MRI & Imaging of Georgia Fixed CT Scanner Request received: 4/1/9866 Contact Person: Per B. Normark 678-992-7311 Determination: Pending
LNR-EQT2010018 Open MRI of Georgia, Inc. dba MRI & Imaging of Habersham Fixed CT Scanner Request received: 4/27/2010 Contact Person: Pper B. Normark 678-992-7311 Determination: Pending
LNR-EQT2010019 Tenet Healthsystem GB, Inc. dba Atlanta Medical Center Fixed CT Scanner Request received: 4/29/2010 Contact Person: Robert Russell, COO 404-265-4301 Determination: Pending

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

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

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Request received: 1/21/2010

Contact Person: Victor Moldovan 404-443-5500

Determination: Approved

Determination

4/12/2010

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: Approved

Determination

4/21/2010

LNR-ASC2010005 Georgia Neurosurgical Institute Outpatient Surgery Center

Physician-Owned, Single Specialty ASC

Site: 840 Pine Street, Macon, Georgia 31201

Number of OR's: 2

Specialty: Neurosurgery

Project costs as submitted: $1,519,265.71

Request received: 3/18/2010

Contact Person: Brynne R. Goncher 404-504-7658

Determination: Pending

LNR-ASC2010006 Dublin Endoscopy Center

Physician-Owned, Single Specialty ASC

Site: 111 Fairview Park Drive, Dublin, GA 31021

Number of OR's:

Specialty: Gastroenterology

Project costs as submitted: $770,090.97

Request received: 3/24/2010

Contact Person: Gayle Evans 770-794-4944

Determination: Pending

LNR-ASC2010007 Renue Surgery Center of Waycross, LLC

Development and completion of the new ASC and Practice

Site: 1905 Tebeau Street, Waycross, GA 31501

Number of OR's:

Specialty: LNR-ASC

Project costs as submitted: $2,228,803.07

Request received: 4/9/2010

Contact Person: Elizabeth Turk 912-280-9977

Determination: Pending

LNR-ASC2010008 Village Podiatry Group. P.C dba Village Podiatry Centers and Surgery Center of NW Georgia, L.L.C.

Physician-Owned Single Specialty Ambulatory Surgery Treatment Center

Site: 100 Greystone Power Blvd, Dallas, GA 30157 Paulding Co.

Number of OR's: 0

Specialty: Podiatric

Project costs as submitted: $808,204.38

Request received: 4/27/2010

Contact Person: David N. Helfman, DPM, CEO 770-384-0284

Determination: Pending

LNR-ASC2010009 CPMSC Roswell, PC Single-Specialty, Physician-Owned
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Site: 1295 Hembree Road, Suite A101, Roswell, GA 30076

Number of OR's: 1

Specialty: Pain Management

Project costs as submitted: $250,000.00

Request received: 4/29/2010

Contact Person: Robin Beatty 404-725-8786

Determination: Pending

Requests for Miscellaneous Letters of Determination
DET2008112 Southeast Georgia Health System Renovation of Nursing Home Request received: 12/9/2008 Contact Person: Marjorie Mathieu 912-466-7055 Determination: Pending
DET2009143 Chulio Assisted Living, LLC Change of Governing Body Request received: 11/5/2009 Contact Person: 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
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
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: Non-reviewable as proposed Determination Date: 4/12/2010
DET2010010 Alliance Healthcare Services dba Alliance Imaging Mobile PET/CT Services to CON Approved Provider Request received: 2/1/2010 Contact Person: Cindy Smith 678-873-1364 Determination: Non-reviewable as proposed Determination Date: 4/13/2010
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

13

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
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: Non-reviewable as proposed Determination Date: 4/8/2010
DET2010024 West Georgia Medical Center, Inc. Replacement of CT Simulator Request received: 3/22/2010 Contact Person: Carol Todd 706-845-3703 Determination: Pending
DET2010025 Piedmont Hospital, Inc. Utilize Cardiac Cath Rm for Diagnostic & Therapeutic Catheterizations Request received: 3/22/2010
14

Contact Person: Davis Dunbar 404-605-4565 Determination: Pending
DET2010026 Emory University dba Emory University Hospital Change in Magnet Strength and Location of MRI Request received: 3/29/2010 Contact Person: Toni Wimby 404-686-2450 Determination: Pending
DET2010027 Emory University dba Emory University Replacement of CT Scanner Request received: 3/29/2010 Contact Person: Toni Wimby 404-686-2809 Determination: Pending
DET2010028 South Georgia Medical Center SGMC Parking Garage Request received: 3/30/2010 Contact Person: William E. Forbes 229-259-4175 Determination: Pending
DET2010029 Emory University d/b/a Emory University Hospital Midtown Addition of a Cesarean Section Room in Labor and Delivery Request received: 4/5/2010 Contact Person: Jeffrey Baxter, Esq. 404-817-6247 Determination: Pending
DET2010030 Atlanta Medical Center Replace 15-year old MRI System Request received: 4/7/2010 Contact Person: Determination: Pending
DET2010031 Memorial Health University Medical Center, Inc. Temporary Modification of Existing CON, GA 2007-062 for a Fixed PET Request received: 4/16/2010 Contact Person: Connie Burke, RT 912-350-7163 Determination: Pending
DET2010032 Piedmont Hospital, Inc. Conversion of 15 Acute Rehabilitation beds to 15 acute Request received: 4/22/2010 Contact Person: Determination: Pending
DET2010033 Starcrest of Cartersville, Inc. dba Starcrest of Cartersville Replacement of Roof, Outdoor Lighting, Nursing Station Renovations Request received: 4/27/2010 Contact Person: Derrick Wheeler 770-387-0662 Determination: Pending
DET2010034 EHCA Johns Creek, LLC dba Emory Johns Creek Hospital Cytology Room Addition Request received: 5/3/2010 Contact Person: Greg Caples 678-474-7013 Determination: Pending
DET2010035 Kennestone Hospital, Inc. Development of MOB Request received: 5/4/2010 Contact Person: Caroline Aultman 678-331-6885 Determination: Pending
15

DET2010036 Paulding Medical Center, Inc. dba WellStar Paulding Hospital Renovate Existing Space for a Sleep Disorders Center Request received: 5/4/2010 Contact Person: Caroline Aultman 678-331-6885 Determination: Pending

Requests for Extended Implementation/Effective Period

2003126 Kennestone Hospital

New Patient Care Tower/Addition of 140 Acute Care Beds

Request to extend effective period

Site: 677 Church Street, Marietta, GA (Cobb)

Project Approved: 3/19/2004

Request Received: 04/2/2010

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

Approved Cost: $93,460,120

Determination: Approved, 4/9/2010

Extended Completion Date: 3/19/2011

2007023 Senior Health of Georgia, Inc. d/b/a Summit Hospital Construction of a 50-Bed Adult and Geriatric Psychiatric Hospital Request to extend implementation period Site: 1775 East Highway 34, Newnan, GA (Coweta) Project Approved: 7/25/2007 Request Received: 04/16/2010 Contact: Jennifer Malinovsky, Attorney (404) 322-6136 Approved Cost: $10,865,767 Determination: Pending

2006034 Henry Medical Center

Establish Radiation Therapy Services/Purchase Medical Equipment

Request to extend effective period

Site: 1133 Eagle's Landing Parkway, Stockbridge (Henry)

Project Approved: 6/5/2008

Request Received: 04/27/2010

Contact: Charles Scott, President & CEO (678) 604-1001

Approved Cost: $9,282,540

Determination: Approved, 4/29/2010

Extended Completion Date: 10/5/2010

Need Projection Analyses Updated 4/6/2010
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 - 3/22/2010 2012 Home Health Agency Services - 3/22/2010 2014 Inpatient Physical Rehabilitation Services - 3/22/2010 2014 Neonatal Intensive Care Beds - 3/22/2010 2014 Neonatal Intermediate Care Beds - 3/22/2010
16

2014 Obstetric Services Beds - 3/22/2010 2012 Skilled Nursing Home Beds - 3/22/2010 Non-Batched Need Projections 2015 Cardiac Catheterization Labs - Updated 4/6/2010 2015 Long Term Care Hospital Beds - 4/1/2010 2014 Short Stay Hospital Beds Facility-specific projections on an ad hoc basis using 2006 utilization

Non-Filed or Incomplete Division of Health Planning
Facility Surveys for Most Recent 3 Years (Survey Status as of May 4, 2010)
Survey Completion Status - Survey completion status represents the status of survey filings as of the effective date indicated in each version of the Tracking Report. Surveys filed on the effective date may not be reflected as complete and may be reported as delinquent. Please contact the staff contact indicated in the instruction materials associated with each survey if your facility has filed its survey but continues to be reflected as incomplete.

Facility Name

County

Survey Year

Annual Hospital Questionnaire and Addenda (Survey Years 2007 thru 2009)

Central State Hospital - Psychiatric Services Division

Baldwin

2009

Georgia Regional Hospital @ Savannah

Chatham

2007

Georgia Regional Hospital @ Savannah

Chatham

2008

Georgia Regional Hospital at Savannah

Chatham

2009

Grady Memorial Hospital

Fulton

2009

Kindred Hospital-Atlanta

Fulton

2007

Kindred Hospital-Atlanta

Fulton

2008

Kindred Hospital-Atlanta

Fulton

2009

Liberty Regional Medical Center

Liberty

2007

Liberty Regional Medical Center

Liberty

2008

Macon Behavioral Health System

Bibb

2009

McDuffie Regional Medical Center

McDuffie

2009

Northeast Georgia Medical Center

Hall

2009

Northwest Georgia Regional Hospital

Floyd

2008

Phoebe Putney Memorial Hospital

Dougherty

2009

Phoebe Worth Medical Center

Worth

2009

Riverwoods Behavioral Health System

Clayton

2009

Stewart Webster Hospital

Stewart

2007

Stewart Webster Hospital

Stewart

2008

Stewart Webster Hospital

Stewart

2009

Sumter Regional Hospital East

Sumter

2007

Sumter Regional Hospital East

Sumter

2008

Sumter Regional Hospital East

Sumter

2009

The Specialty Hospital

Floyd

2009

Union General Hospital

Union

2008

Union General Hospital

Union

2009

Wayne Memorial Hospital

Wayne

2009

Willingway Hospital

Bulloch

2009

Annual Nursing Home Questionnaire (Survey Years 2007 thru 2009)

Buckhead Health & Rehabilitation

Fulton

2007

Forum Group at Moran Lake Nursing and Rehabiliation Floyd

2007

17

Survey Due
3/12/2010 3/13/2009 9/18/2009 3/12/2010 3/12/2010 3/13/2009 9/18/2009 3/12/2010 3/13/2009 9/18/2009 3/12/2010 3/12/2010 3/12/2010 9/18/2009 3/12/2010 3/12/2010 3/12/2010 3/13/2009 9/18/2009 3/12/2010 3/13/2009 9/18/2009 3/12/2010 3/12/2010 9/18/2009 3/12/2010 3/12/2010 3/12/2010
8/15/2007 8/15/2007

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

Floyd Glynn DeKalb

2007 2007 2008

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

Freestanding Ambulatory Surgery Services Survey (Survey Years 2007 thru

Academy Orthopedics, Llc

FORSYTH

2008

Afa Ambulatory Surgery Center

BIBB

2008

Afa Ambulatory Surgery Center

BIBB

2009

Affinity Outpatient Service

Tift

2007

Affinity Outpatient Service

Tift

2008

Akstein Eye Center, P.c.

CLAYTON

2009

Albany Endoscopy Center

Dougherty

2009

Ambulatory Foot & Leg Surg Ctr

COBB

2008

Ambulatory Laser & Surgery Ctr

CLAYTON

2008

Ambulatory Laser & Surgery Ctr

CLAYTON

2009

Ambulatory Plastic Surgery Center, Inc

MUSCOGEE

2008

Ambulatory Plastic Surgery Center, Inc

MUSCOGEE

2009

Associates Physicians Asc

BIBB

2008

Associates Physicians Asc

BIBB

2009

Athens Plastic Surgery Center

CLARKE

2008

Atlanta Aesthetic Surgery Center

Fulton

2008

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

Fulton DEKALB

2009 2009

Atlanta Eye Surgery Center at Omni West

Fulton

2007

Atlanta Plastic & Reconst Surg

FULTON

2008

Atlanta Plastic & Reconst Surg

FULTON

2009

Atlanta South Endoscopy Center, Llc

CLAYTON

2009

Atlanta West Endoscopy Center, Llc

DOUGLAS

2009

Atlanta Women's Medical Center

Fulton

2007

Augusta Endoscopy Center

COLUMBIA

2009

Bowman Pain Management, Pc

BIBB

2008

Bowman Pain Management, Pc

BIBB

2009

Buckhead Facial Plastic Surgery

FULTON

2008

Center For Pl & Recon Surgery

CLARKE

2008

Center For Pl & Recon Surgery

CLARKE

2009

Center For Plastic Surgery

FULTON

2009

Center For Spine & Pain Medicine

WHITFIELD

2009

Clayton Cataract and Laser Surgery Center

Clayton

2008

Clayton Outpatient Surg Ctr

CLAYTON

2008

Coastal Empire Plastic Surgery

CHATHAM

2009

Cobb Endoscopy Center, Llc

COBB

2008

Cobb Endoscopy Center, Llc

COBB

2009

Coffee County Center For Digestive Disease

COFFEE

2009

Columbus Women's Health Organization, Inc.

Muscogee

2007

Columbus Women's Health Organization, Inc. Dalton Plastic Surgery

Muscogee WHITFIELD

2009 2009

Day Surgery And Recovery Ctr

WHITFIELD

2008

Digestive Healthcare Of Ga Endo Ctr Mountainside

PICKENS

2009

Digestive Healthcare Of Ga Endoscopy Ctr

FULTON

2008

Digestive Healthcare Of Ga Endoscopy Ctr

FULTON

2009

Dublin Eye Surgery Center

LAURENS

2009

18

8/15/2007
8/15/2007
10/31/2008
7/31/2009 7/31/2009 3/12/2010 10/3/2008 7/31/2009 3/12/2010 3/12/2010 7/31/2009 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 7/31/2009 3/12/2010
3/12/2010 10/3/2008 7/31/2009 3/12/2010 3/12/2010 3/12/2010 10/3/2008 3/12/2010 7/31/2009 3/12/2010 7/31/2009 7/31/2009 3/12/2010 3/12/2010 3/12/2010 7/31/2009 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 10/3/2008 3/12/2010 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010

East-West Surgery Center Endoscopy Center, Llc, The Endoscopy Center, Llc, The Endoscopy Consultants, Llc Ent Surgery Center Of Augusta, Llc Ent Surgical Center Ent Surgical Center Eye Associates Surgery Ctr Eye Surgery Center Of Albany, Llc Eyesight's Laser & Surgery Ctr Foot & Ankle Surgery Ctr, Llc, The Foot & Ankle Surgery Ctr, Llc, The Forsyth Surgical Center, Inc. Forsyth Surgical Center, Inc. Friendship Surgery Center Ga Urology, Pa Rockdale Ambulatory Surgery Ctr Gainesville Endoscopy Center, Llc Gainesville Eye Center, Llc Gastrointestinal Endoscopy Of Gwinnett Gdc Endoscopy Center, Llc GEORGIA PAIN SPINE CENTER, LLC GEORGIA RETINA SURGERY CENTER, LLC Georgia Surgical Centers- South Georgia Surgical Ctrs Of N Ga Georgia Surgical Ctrs Of N Ga Gwinnett Center for Outpatient Surgery Gwinnett Endoscopy Center Gwinnett Endoscopy Center Interventional Spine and Pain Management Ambulatory Surgical Center Island Surgery Center, Inc ISPM ASC AT COVINGTON, LLC Jimenez Foot, Ankle & Leg Asc Lawrenceville Surgery Center Lowndes County Ambulatory Surg Macon Pain Center, Pc Metro Atlanta Endoscopy Midtown Endoscopy Center, Llc Midtown Endoscopy Center, Llc Newnan Foot & Ankle Surgery Center, Llc Newnan Foot & Ankle Surgery Center, Llc Newton Ambulatory Surgical Center North Atlanta Endoscopy Center North Atlanta Head & Neck Surgery Center North Atlanta Orthopaedic Surgery Center, LLC North Fulton Diagnostic Gastrointestinal Center North Fulton Diagnostic Gastrointestinal Center North Georgia Endoscopy Center, Inc North Georgia Endoscopy Center, Inc North Georgia Eye Surgery Center, Llc North Georgia Eye Surgery Center, Llc North Georgia Outpatient Surg Northeast Endoscopy Center, Llc Northern Crescent Endoscopy Northern Crescent Endoscopy

Cobb CHATHAM CHATHAM FULTON COLUMBIA CHATHAM CHATHAM LOWNDES DOUGHERTY HOUSTON MUSCOGEE MUSCOGEE FORSYTH FORSYTH HALL ROCKDALE HALL HALL GWINNETT GWINNETT COBB FULTON CLAYTON GORDON GORDON Gwinnett GWINNETT GWINNETT Rockdale
GLYNN NEWTON GWINNETT GWINNETT LOWNDES BIBB FULTON FULTON FULTON COWETA COWETA NEWTON Fulton FULTON Fulton FULTON FULTON CHEROKEE CHEROKEE HALL HALL GORDON GWINNETT FULTON FULTON

19

2009 2008 2009 2008 2009 2008 2009 2009 2008 2008 2008 2009 2008 2009 2008 2008 2009 2009 2008 2009 2009 2009 2008 2008 2009 2009 2008 2009 2009
2009 2009 2009 2008 2008 2009 2008 2008 2009 2008 2009 2009 2009 2009 2009 2008 2009 2008 2009 2008 2009 2009 2009 2008 2009

3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 7/31/2009 7/31/2009 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 7/31/2009 3/12/2010 3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010 7/31/2009 7/31/2009 3/12/2010 3/12/2010 7/31/2009 3/12/2010 3/12/2010
3/12/2010 3/12/2010 3/12/2010 7/31/2009 7/31/2009 3/12/2010 7/31/2009 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010 7/31/2009 3/12/2010

Northside Foot & Ankle Outpat Northview Orthopaedic Surgery Center NORTHWEST ENDOSCOPY CENTER Orthopedic Surgery Center, L.P. Paces Plastic Surgery Center Pain Solutions Treatment Centers Piedmont Eye Plastic Surgery Ctr Land, The Plastic Surgery Ctr Land, The Podiatric Surgi Center Podiatric Surgi Center Pulliam Ambulatory Surg Ctr Pulliam Ambulatory Surg Ctr Renue Surgery Center Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Foot And Ankle Surgery Center ROME ORTHOPAEDIC CLINIC ASC, INC Rome Surgical Center, P C Rome Surgical Center, P C Roswell Center for Foot and Ankle Surgery Samson Pain Center, Pc Samson Pain Center, Pc Savannah Medical Clinic Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Pain Center, Llc Savannah Pain Center, Llc South Georgia Surgery Center South Georgia Surgery Center ( Brunswick ) Southeastern Pain Ambulatory Surgery Center, Llc Southern Bone & Joint, Llc Southern Crescent Endoscopy Southern Crescent Endoscopy Southern Crescent Plastic Surg Southern Crescent Plastic Surg Summit Endoscopy Center, L L C Surgical Centers of Georgia Thomas Eye Surgery Center Universal Ambulatory Surgery Center, P C Urology Center Of Georgia Llc Urology Surgical Partners, Llc Urology Surgical Partners, Llc Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery Wellbrook Endoscopy Center West Georgia Endoscopy Center, Llc West Georgia Endoscopy Center, Llc West Metro Endoscopy Center, Llc West Metro Endoscopy Center, Llc Westside Endoscopy Center, P C Woodhams Laser & Lens Implant Woodstock Endoscopy Ctr, Llc Woodstock Endoscopy Ctr, Llc

GWINNETT LUMPKIN COBB Chatham FULTON BARTOW FULTON CHATHAM CHATHAM DEKALB DEKALB NEWTON NEWTON GLYNN FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD Fulton CHEROKEE CHEROKEE Chatham Chatham
Chatham
CHATHAM CHATHAM Ware GLYNN FULTON COWETA HENRY HENRY HENRY HENRY FAYETTE Bibb FULTON MUSCOGEE BIBB FULTON FULTON LOWNDES LOWNDES ROCKDALE CARROLL CARROLL DOUGLAS DOUGLAS COBB FULTON CHEROKEE CHEROKEE
20

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

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

Home Health Agency Survey (Survey Years 2007 thru 2009)

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Archbold Home Health Services

Thomas

Georgia Home Health Care Agency, Reidsville

Tattnall

Hutcheson Home Health Care

Catoosa

Medside Home Health Agency

Fulton

SunCrest Home Health of Georgia

Spalding

2007 2008 2009 2009 2009 2009 2009 2009

Hospital Financial Survey (Survey Years 2006 thru 2008)

Charlton Memorial Hospital

Charlton

Devereux Georgia Treatment Network

Cobb

Flint River Community Hospital

Macon

Hutcheson Medical Center Jasper Memorial Hospital

Catoosa 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.

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

Bibb

2008

Central Georgia Radiation Oncology Center - Houston Houston

2007

Central Georgia Radiation Oncology Center - Houston Houston

2008

Hutcheson Medical Center

Catoosa

2008

Northeast Georgia Cancer Care

Clarke

2008

10/10/2008 8/7/2009
3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010
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
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 5/4/2010)
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
Atlanta Eye Surgery Center at Omni West Emory Orthopaedic and Spine Physiatry Outpatient Surgery Center
Endoscopy Center of Columbus, LLC Endoscopy Ctr Of Southeast Ga Gainesville Surgery Center Savannah Outpatient Foot and Ankle Surgery Center, LLC
Surgery Center, LLC, The

County
Fulton DeKalb

Year Shortfall Due

2009

1,665.20

2009

244,046.29

Service
Ambulatory Surgery Center Ambulatory Surgery Center

Muscogee TOOMBS Hall Chatham

2009 2009 2009 2008

22,714.61 55,632.65 115,649.77 63,987.36

Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center

Muscogee

2009

21

114,593.31 Ambulatory Surgery Center

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 Covington Amedisys Home Health of Macon Amedisys Home Health of Macon Amedisys Home Health of Valdosta Amedisys Home Health of Valdosta ASAP Healthcare Network Camellia Home Health Camellia Home Health Careone Home Health Services, Inc. (Toombs) Careone Home Health Services, Inc. (Toombs) Caresouth Homecare Professionals Caresouth Homecare Professionals Caresouth Homecare Professionals Caresouth Homecare Professionals Caresouth Homecare Professionals Central Georgia Home Health, Macon Central Home Health Health, Douglasville, an Amedisys Company Central Home Health Health, Douglasville, an Amedisys Company Charlton Visiting Nurses Services Charlton Visiting Nurses Services Chattahoochee Valley Home Health, Chattahoochee Valley Home Health, Chattahoochee Valley Home Health, Community Home Health, an Amedisys Company Community Home Health, an Amedisys Company CSRA Home Health- Columbia, Inc. CSRA Home Health- Columbia, Inc. CSRA Home Health- Columbia, Inc. Englewood Health Systems, Arlington Floyd HomeCare Floyd HomeCare Gentiva Health Services - Atlanta Gentiva Health Services - Atlanta Gentiva Health Services - Atlanta Gentiva Health Services - Savannah 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 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

Franklin Franklin Newton Newton Bibb Bibb Lowndes Lowndes Cobb Cobb Cobb Toombs Toombs Muscogee Elbert Muscogee Elbert Hall Bibb Douglas

2008 2009 2008 2009 2008 2009 2008 2009 2009 2008 2009 2008 2009 2008 2008 2009 2009 2009 2009 2008

Douglas

2009

Brantley Brantley Muscogee Muscogee Muscogee Cherokee Cherokee McDuffie McDuffie McDuffie Calhoun Floyd Floyd Fulton Fulton Fulton Chatham Chatham Chatham Oconee Lowndes Lowndes Oconee Oconee Oconee Hall Hall Hall Fulton Fulton Fulton DeKalb Forsyth Forsyth Spalding

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

22

342,825.43 373,632.70 214,673.39 246,772.54 369,149.60 545,230.14
71,436.47 84,081.95 31,100.53 17,184.35 50,224.82 76,874.74 151,137.99 100,400.27 224,038.55 205,942.65 332,939.80 154,713.07 37,017.26 826,827.27

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 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

985,564.19 Home Health Agency

31,386.02 5,947.12
13,329.80 70,270.61 64,108.57 225,476.08 154,324.72 31,195.10 39,221.83 45,455.44
185.36 88,297.85 119,882.22 125,615.85 94,357.96 85,704.41 32,141.02 41,204.20 64,000.47
4,106.22 3,087.28 3,198.00 80,394.12 123,061.96 132,878.36 68,748.96 109,316.11 170,465.12 184,196.33 312,705.50 371,303.72 36,359.62 64,346.81 82,472.04 11,170.79

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

Healthfield Home Health of Griffin Healthfield Home Health of Griffin Healthfield Home Health, Inc. Healthfield Home Health, Inc. Healthfield Home Health, Inc. Healthfield of Southwest Georgia Muscogee Home Health Agency Ogeechee Home Health Ogeechee Home Health Ogeechee Home Health Southside Healthcare Home Health Southside Healthcare Home Health Southside Medical Home Health Staff Builders Home Health Staff Builders Home Health Three Rivers Home Health of Bibb Three Rivers Home Health of Bibb Three Rivers Home Health, Truetlen Three Rivers Home Health, Truetlen Tugaloo Home Health Agency an Amedisys Tugaloo Home Health Agency an Amedisys Ultra Care of Georgia Ultra Care of Georgia Ultra Care of Georgia United Home Care of Atlanta United Home Care of Atlanta United Home Care of Cumming United Home Care of Cumming United Home Care of North Georgia United Home Care of North Georgia VNA of Southwest Georgia, Inc. VNA of Southwest Georgia, Inc. Focus By the Sea Battlefield Imaging Center

Spalding Spalding Fulton Fulton Fulton Decatur Muscogee Bulloch Bulloch Bulloch DeKalb DeKalb DeKalb Fulton Fulton Bibb Bibb Treutlen Treutlen Hall Hall Muscogee Muscogee Muscogee Gwinnett Gwinnett Forsyth Forsyth Hall Hall Decatur Decatur Glynn Catoosa

2008 2009 2007 2008 2009 2009 2007 2007 2008 2009 2007 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2007 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2006 2008

35,481.79 103,231.57 252,058.52 708,840.78 675,403.05
13,950.61 1,760.14
37,826.03 107,582.54 135,073.96
4,552.32 3,909.18 3,623.40 387,507.97 417,004.04 75,623.21 44,191.80
81.83 256.84 505,269.70 519,291.22 27,315.39 27,746.82 28,636.94 149,965.04 182,712.09 59,747.85 76,728.76 115,987.15 98,479.87 26,842.90 5,649.04 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 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.

Batching Notifications Posted 3/25/2010 on DCH Website
Spring Batching Review Cycle Notifications

Ambulatory Surgery Home Health Agencies
Obstetrical Services

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

25

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

Batching Notice
(March 25, 2010)

Application Day
(application complete when
submitted; review cycle begins same
day)
(due by 12 noon May 24, 2010)

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

100th
Day
(last day for letters of support to be submitted to
Department)
(August 31, 2010)

120th Day
(Department Issues
decision)
(September 20, 2010)

Letter of Intent
(due by 5pm April 24, 2010) (Rollover Date: Tuesday, April 27, 2010)

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

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

110th Day
(applicant provides amended information; applicant provides response to opposition)
(September 10, 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.

Certificate of Need Annual Assessment of Therapeutic Cardiac Catheterization Exemption
30

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