Certificate-of-need tracking and appeals report [Sept. 21, 2010]

Letters of Intent Expired Letters of Intent Summer Batching Expired Letters of Intent
New Applications Pending Review/Incomplete Applications

DIVISION OF HEALTH PLANNING

Pending Review/Complete Applications

Pending Review/Complete/Joined Applications Applications Withdrawn by Applicant

Recently Approved Applications Recently Denied Applications

CERTIFICATE OF NEED

Appealed CON Projects

Appealed Home Health Shortfall Assessments
Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities

September 15, 2010 September 21, 2010

Requests for LNR for Diagnostic or Therapeutic Equipment

Requests for Miscellaneous Letters of Determination
Requests for Extended Implementation/Performance Period
Need Projection Analyses
Non-Filed or Incomplete Surveys
Indigent-Charity Shortfalls
Legislation Affecting CON
Summer Batching Notifications
New Batching Review Spring Cycle
Summer Cycle
New CON Filing Requirements (effective July 1, 2008)
New Reporting Requirements (effective July 1, 2008)

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

Certificate of Need Appeal Panel New Procedure for Requesting Extensions

Letters of Intent

LOI2010048 Bacon County Hospital

CT Scanner

Received: 8/25/2010

Application must be submitted on: 9/24/2010

Site: 302 South Wayne Street, Alma, GA 31510 (Bacon County)

Estimated Cost: $2,000,000

LOI2010049 Gwinnett Medical Center

Renovate South Tower - Lawrenceville

Received: 9/16/2010

Application must be submitted on: 10/18/2010

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

Estimated Cost: $12,000,000

LOI2010050 South Georgia Medical Center

Acquisition of da Vinci Si Surgical System

Received: 9/17/2010

Application must be submitted on: 10/18/2010

Site: 2501 North Patterson Street, Valdosta, GA 31602 (Lowndes County)

Estimated Cost: $2,273,860

Expired Letters of Intent

LOI2010046 Open MRI & Imaging of Macon

Relocate Existing Facility and Replace MRI & CT Scanners

Received: 8/3/2010

Application must be submitted on: 9/2/2010

Site: 6055 Lakeside Commons Drive, Suite 210, Macon, GA 31219 (Bibb County)

Estimated Cost:

$3,929,000

Summer Batching - Expired Letters of Intent

LOI2010038 SRHS and Clayton County Hospital Authority

BATCHING - Establish Adult Open Heart Services

Received: 7/22/2010

Application must be submitted on: 8/23/2010

Site: 11 Upper Riverdale Road, SW, Riverdale, GA 30274 (Clayton County)

Estimated Cost: $3,100,000

New Applications

2010-041 Gwinnett Physicians Center

Breast Health Imaging Center

Filed: 9/13/2010

Site: 631 Professional Boulevard, Lawrenceville, GA 30046 (Gwinnett County)

Contact: Mark M. Mullin 678-312-4193

Estimated Cost:

$4,976,170

Applications Withdrawn by Applicant

2010-017 Gordon Hospital

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

Filed: 5/24/2010 Deemed Complete: 5/24/2010

60th Day Deadline: 7/22/2010

Decision Deadline: 9/20/2010

WITHDRAWN: 9/17/2010

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

Contact: Sam Huenergardt 706-602-7800

Estimated Cost:

$220,000

2

2010-018 Southern Crescent Rehabilitation and Retirement Center BATCHING - Conversion of an Existing 40-Bed TBI Facility to a 54-Bed CIPR Specialty Hospital Filed: 5/24/2010 Deemed Complete: 5/24/2010 60th Day Deadline: 7/22/2010 Decision Deadline: 9/20/2010 WITHDRAWN: 9/13/2010 Site: 2125 Highway, McDonough, GA 30253 (Henry County) Contact: Omar El Sawi, President 678-565-7710 Estimated Cost: $2,720,494
Pending Review/Incomplete Applications
None
Pending Review/Complete Applications
2010-002 Southwest Atlanta HealthCare System, LLC New Hospital Acute Care Filed: 2/18/2010 Deemed Incomplete: 3/4/2010 Deemed Complete: 5/4/2010 60th Day Deadline: 7/2/2010 Decision Deadline: 8/31/2010 Extended Deadline: 9/30/2010 Site: 501 Fairburn Road, Atlanta, GA 30331 (Fulton County) Contact: Michael V. Smith, M.D. 404-880-7953 Estimated Cost: $32,592,409
2010-016 Open MRI Centers of Georgia Establish An Imaging Center Filed: 4/30/2010 Deemed Incomplete: 5/14/2010 Deemed Complete: 6/4/2010 60th Day Deadline: 8/2/2010 Decision Deadline: 10/1/2010 Site: 6584 Professional Place Suite D, Riverdale, GA 30274 (Clayton County) Contact: Tom Brown, Jr. 727-381-0906 Estimated Cost: $304,000
2010-026 John D Archbold Memorial Hospital dba Grady General Hospital Install an in-house MRI unit and refurbished CT-Scanner Filed: 6/7/2010 Deemed Incomplete: 6/21/2010 Deemed Complete: 8/13/2010 60th Day Deadline: 10/11/2010 Decision Deadline: 12/10/2010 Site: 1155 5th Street SE, Cairo, GA 31728 (Grady County) Contact: LaDon Toole, Administrator 229-377-0251 Estimated Cost: $4,508,026
2010-027 Northside Hospital - Forsyth A Hospital Renovation and Expansion Filed: 6/7/2010 Deemed Complete: 6/21/2010 60th Day Deadline: 8/19/2010 Decision Deadline: 10/18/2010 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek 404-851-6821 Estimated Cost: $50,997,526
2010-028 The Medical Center of Central Georgia Convert Office Space to 30 Acute Care Rooms and Supporting Space Filed: 6/23/2010 Deemed Incomplete: 7/8/2010 Deemed Complete: 7/27/2010 60th Day Deadline: 9/24/2010 Decision Deadline: 11/23/2010 Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: H. Bryan Forlines 478-633-6966
3

Estimated Cost: $7,970,490
2010-029 Tift County Hospital Authority dba Tift Regional Medial Center
Purchase of a da Vinci Surgical System Filed: 6/23/2010 Deemed Complete: 7/8/2010 60th Day Deadline: 9/5/2010 Decision Deadline: 11/4/2010 Site: 901 East 18th Street, Tifton, GA 31793 (Tift County) Contact: Claire Byrnes, Administrative Extern 229-353-3421 Estimated Cost: $2,287,600
2010-030 Memorial Health University Medical Center, Inc.
Replacement and Relocation of the Children Hospital Filed: 6/23/2010 Deemed Incomplete: 7/6/2010 Deemed Complete: 7/12/2010 60th Day Deadline: 9/9/2010 Decision Deadline: 11/8/2010 Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Contact: Margaret Gill, Sr V P & COO 912-350-7073 Estimated Cost: $22,622,600
2010-031 Children's Healthcare of Atlanta at Forsyth
Establish Pediatric Ambulatory Destination Center Filed: 7/5/2010 Deemed Complete: 7/19/2010 60th Day Deadline: 9/16/2010 Decision Deadline: 11/15/2010 Site: 410 Peachtree Parkway, Suite 300, Cumming, GA 30041 (Forsyth County) Contact: David R. Tatum, VP & Chief Public Policy Officer 404-785-7556 Estimated Cost: $5,698,612
2010-032 Southeast Georgia Health System
Renovation of a Nursing Unit Filed: 7/26/2010 Deemed Incomplete: 8/9/2010 Deemed Complete: 8/24/2010 60th Day Deadline: 10/22/2010 Decision Deadline: 12/21/2010 Site: 2415 Parkwood Drive, Brunswick, GA 31520 (Glynn County) Contact: Marjorie A. Mathieu, FACHE 912-466-7090 Estimated Cost: $10,900,000
2010-033 MCG Health, Inc.
Renovate Bone Marrow Transplant Unit Filed: 7/26/2010 Deemed Complete: 8/9/2010 Deemed Complete: 8/9/2010 60th Day Deadline: 10/7/2010 Decision Deadline: 12/6/2010 Site: 1120 15th Street, 5th Floor, HPA-7, Augusta, GA 30912 (Richmond County) Contact: Sheila O'Neal, VP Strategic Support & Philanthropy 706-721-7406 Estimated Cost: $6,017,138
2010-034 Lakeview Behavioral Health System, LLC
BATCHING - Establish a 60-bed Acute Care Psychiatric/Substance Abuse Hospital. Filed: 8/21/2010 Deemed Complete: 8/21/2010 60th Day Deadline: 10/19/2010 Decision Deadline: 12/18/2010 Site: 1 Technology Parkway, Norcross, GA 30092 (Gwinnett County) Contact: R. Kirk Kureska 770-991-8500 Estimated Cost: $12,971,000
2010-035 Emory Eastside Medical Center
BATCHING - Mobile PET Services Filed: 8/21/2010 Deemed Complete: 8/21/2010 60th Day Deadline: 10/19/2010 Decision Deadline: 12/18/2010
4

Site: 1700 Medical Way, Snellville, GA 20078 (Gwinnett County) Contact: Dustin Greene, COO 770-736-2224 Estimated Cost: $27,035
2010-036 Memorial Hospital of Adel
BATCHING - Establish a New Geri-Psychiatric Program Filed: 8/21/2010 Deemed Complete: 8/21/2010 60th Day Deadline: 10/19/2010 Decision Deadline: 12/18/2010 Site: 706 N. Parrish Avenue, Adel, GA 31620 (Cook County) Contact: Beth Ryther 229-896-8042 Estimated Cost: $400,000
2010-037 North Georgia Medical Center
BATCHING - Add 10-Bed Senior Mental Health (Adult Psych) Program/Facility Renovations Filed: 8/21/2010 Deemed Complete: 8/21/2010 60th Day Deadline: 10/19/2010 Decision Deadline: 12/18/2010 Site: 1362 South Main Street, Ellijay, GA 30540 (Gilmer County) Contact: Jeffrey Dunn, CEO 706-276-4741 Estimated Cost: $14,760,164
2010-038 Cancer Treatment Center at Union General
BATCHING - Add Second MV Rad Ther Unit/Purchase Digital Linear Accelerator Filed: 8/21/2010 Deemed Complete: 8/21/2010 60th Day Deadline: 10/19/2010 Decision Deadline: 12/18/2010 Site: 308 Deep South Farm Road, Blairsville, GA 30512 (Fannin County) Contact: Dale McCord, MD, Manager 770-255-7409 Estimated Cost: $6,100,000
2010-039 Emory Johns Creek Hospital
BATCHING - Establish a Cancer Center, Radiation Therapy Services Filed: 8/21/2010 Deemed Complete: 8/21/2010 60th Day Deadline: 10/19/2010 Decision Deadline: 12/18/2010 Site: 6325 Hospital Parkway, Johns Creek, GA 30097 (Fulton County) Contact: John Quinlivan, Jr. CEO 678-474-7000 Estimated Cost: $15,000,000
2010-040 Flint River Hospital
BATCHING - Establish a New 12-Bed Inpatient Geriatric Psychiatric Unit Filed: 8/21/2010 Deemed Complete: 8/21/2010 60th Day Deadline: 10/19/2010 Decision Deadline: 12/18/2010 Site: 509 Sumter Street, Montezuma, GA 31063 (Macon County) Contact: Frank Schupp, CEO 478-472-3246 Estimated Cost: $200,000

Pending Review/Complete/Joined Applications
none

Recently Approved 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 60th Day Deadline: 7/12/2010

Deemed Complete: 5/14/2010

5

Decision Deadline: 9/10/2010 APPROVED: 9/10/2010 Site: 2859 North Decatur Road, Decatur, GA 30033 (DeKalb County) Contact: Per B. Normark 678-992-7311 Estimated Cost: $2,854,653
2010-015 AmMed Imaging Center
Convert Existing LNR Diagnostic Imaging Center to a CON approved DTRC Filed: 4/30/2010 Deemed Complete: 5/14/2010 60th Day Deadline: 7/12/2010 Decision Deadline: 9/10/2010 APPROVED: 9/9/2010 Site: 34 Upper Riverdale Road, Suite 102, Riverdale, GA 30274 (Clayton County) Contact: Tom Brown, Jr 727-381-0906 Estimated Cost: $191,000
2010-019 Piedmont Fayette Hospital
BATCHING - Expansion of 5-Bed Neonatal Intermediate Care Unit Filed: 5/24/2010 Deemed Complete: 5/24/2010 60th Day Deadline: 7/22/2010 Decision Deadline: 9/20/2010 APPROVED: 9/20/2010 Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County) Contact: Davis Dunbar 404-605-4565 Estimated Cost: $472,211
2010-020 Piedmont Fayette Hospital
BATCHING - Establish a 5-Bed Neonatal Intensive Care Unit Filed: 5/24/2010 Deemed Complete: 5/24/2010 Joined: 5/24/2010 60th Day Deadline: 7/22/2010 Decision Deadline: 9/20/2010 APPROVED: 9/20/2010 Site: 1255 Highway 54 West, Fayetteville, GA 30215 (Fayette County) Contact: Davis Dunbar, Manager Regulatory Affairs 404-656-4565 Estimated Cost: $260,541
2010-021 Children's Healthcare of Atlanta Surgery Center at Meridian Mark Plaza, LLC
BATCHING - Ambulatory Surgery Center Expansion Joined (023 and 025) Filed: 5/24/2010 Deemed Complete: 5/24/2010 Joined: 5/24/2010 60th Day Deadline: 7/22/2010 Decision Deadline: 9/20/2010 APPROVED: 9/20/2010 Site: 5445 Meridian Mark Plaza, L.L.C., Atlanta, GA 30329 (Fulton County) Contact: David Tatum, Chief Public Policy Officer 404-785-7556 Estimated Cost: $6,244,007
2010-022 Northside Hospital - Forsyth
BATCHING - Expansion of Neonatal intermediate Care Beds Filed: 5/24/2010 Deemed Complete: 5/24/2010 60th Day Deadline: 7/22/2010 Decision Deadline: 9/20/2010 APPROVED: 9/20/2010 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek 404-851-6821 Estimated Cost: $1,292,000
2010-023 Northside/Alpharetta Ambulatory Surgery Services
BATCHING - The Development of an Ambulatory Surgery Services - Joined (021 and 025) Filed: 5/24/2010 Deemed Complete: 5/24/2010 Joined: 5/24/2010 60th Day Deadline: 7/22/2010
6

Decision Deadline: 9/20/2010 APPROVED: 9/20/2010 Site: 3400-A Old Milton Parkway, Alpharetta, GA 30005 (Fulton County) Contact: Brian Toporek, Senior Planner 404-851-6821 Estimated Cost: $4,300,391
2010-024 Northeast Georgia Medical Center, Inc.
BATCHING - Establish a Neonatal Intensive Care Unit Joined (020) Filed: 5/24/2010 Deemed Complete: 5/24/2010 Joined: 5/24/2010 60th Day Deadline: 7/22/2010 Decision Deadline: 9/20/2010 APPROVED: 9/20/2010 Site: 743 Springs Street NE, Gainesville, GA 30501 (Hall County) Contact: Chad Bolton, Director of Planning 770-219-6630 Estimated Cost: $416,500
2010-025 WellStar Kennestone at East Cobb
BATCHING - Development an Ambulatory Surgery Facility Joined (021 and 023) Filed: 5/24/2010 Deemed Complete: 5/24/2010 Joined: 5/24/2010 60th Day Deadline: 7/22/2010 Decision Deadline: 9/20/2010 APPROVED: 9/20/2010 Site: 3624 Providence Road, Marietta, GA 30060 (Cobb County) Contact: Caroline Aultman, Director, Strategic Planning 678-331-6885 Estimated Cost: $21,624,000
Recently Denied Applications
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: Reversed Superior Court Decision, 3/23/2010. Barrow filed petition for Writ of Certiorari to Georgia Supreme Court, 4/9/2010. Georgia Supreme Court denied petition for Writ of Certiorari, 9/7/2010.
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,
7

1/19/2010; Phoebe Sumter Medical Center filed Petition for Judicial Review in Sumter County Superior Court, 1/19/2010. Superior Court of Sumter County Decision: CON reversed in part and affirmed in part, 6/9/2010. Superior Court of Dougherty County Decision: CON reversed, 6/22/2010. Georgia Court of Appeals: Palmyra makes application to Georgia Court of Appeals for discretionary appeal of Sumter County Superior Court Decision, 7/9/10; and, Dougherty County Superior Court decision, 7/28/10; DCH makes application to Georgia Court of Appeals for discretionary appeal of Sumter County Superior Court Decision, 7/9/10; and, Dougherty County Superior Court decision, 7/22/10; Phoebe Sumter and Phoebe Putney opposed request. Georgia Court of Appeals grants both Palmyra and DCH applications for discretionary appeal of Sumter and Dougherty Superior Court decisions, 8/2/10. Hearing date: TBD
2009-054 Adventist Health System of Georgia d/b/a Gordon Hospital (Gordon) 2009-056 ROSA of Georgia, LLC d/b/a Georgia Center for Total Cancer Care of Jasper (Pickens) 2009-073 Physician Oncology Services, LP d/b/a Gilmer County Comprehensive Cancer Treatment Center (Gilmer)
A New Non-Special Mega Voltage Radiation Therapy Service SSDR 1 Agency Decision: 12/18/2009: Approved 2009-054; Denied 2009-056; Denied 2009-073. Appealed By: ROSA of Georgia, LLC, appeals approval of 2009-054, appeals own denial, and requests intervention, 1/14/2010; Physician Oncology Services, LP, appeals approval of 2009-054, appeals own denial, and requests intervention, 1/19/2010; Physician Oncology Services withdrew request for appeal, 6/3/2010. Cartersville Medical Center, LLC, appeals approval of 2009-054, 1/15/2010. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: 8/26/2010 Hearing Decision: Remand Order issued, 5/3/2010. Remand decision issued affirming award of CON to Gordon Hospital and denial of CON to ROSA of Georgia, LLC and Physician Oncology Services, LP., 5/18/2010.
2009-079 St. Francis Hospital, Inc. (Muscogee) Renovate and Expand by adding a Clinical Tower Agency Decision: Approved, 3/30/2010 Appealed By: Doctors Hospital, 4/21/2010; The Medical Center 4/21/2010 Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: 9/27/2010
2009-094 St. Francis Hospital (Muscogee) Establish Basic Perinatal Service - BATCHING Agency Decision: Approved, 3/23/2010 Appealed By: Phoebe Sumter Medical Center, 4/21/2010; The Medical Center, 4/21/2010; and Doctors Hospital, 4/21/2010. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: 9/27/2010

Appealed Home Health Shortfall Assessments

OTH2010006 CareSouth Homecare Professionals

Administrative Appeal of Shortfall - HHA044, Hall

Request received: 5/17/2010

Contact Person: John Ray 404-892-3600

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

8/25/2010

OTH2010007 Caresouth Homecare Professionals

Administrative Appeal of Shortfall - Washington - HHA024, Elbert

Request received: 5/17/2010

Contact Person: John Ray, Jr. 404-892-3600

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

8/25/2010

OTH2010013 Ogeechee Home Health Administrative Appeal of Shortfall - HHA048, Bulloch Request received: 5/27/2010

8

Contact Person: Shayna Bowen 404-443-5732 Determination: Pending
OTH2010014 Gentiva Health Services - Savannah Administrative Appeal of Shortfall - HHA077, Chatham Request received: 5/27/2010 Contact Person: Shayna Bowen 404-443-5732 Determination: Pending
OTH2010015 Gentiva Health Services - Atlanta Administrative Appeal of Shortfall - HHA110, Fulton Request received: 5/27/2010 Contact Person: Shayna Bowen 404-443-5732 Determination: Pending
OTH2010016 Healthfield Home Health, Inc. Administrative Appeal of Shortfall - HHA042, Fulton Request received: 5/27/2010 Contact Person: Shayna Bowen 404-443-5732 Determination: Pending
OTH2010017 Healthfield Home Health of Atlanta Administrative Appeal of Shortfall - HHA140, Forsyth Request received: 5/27/2010 Contact Person: Shayna Bowen 404-443-5732 Determination: Pending
OTH2010018 Healthfield of Southwest Georgia Administrative Appeal of Shortfall - HHA148, Decatur Request received: 5/27/2010 Contact Person: Shayna Bowen 404-443-5732 Determination: Pending
OTH2010019 Healthfield Home Health of Griffin Administrative Appeal of Shortfall - HHA142, Spalding Request received: 5/27/2010 Contact Person: Shayna Bowen 404-443-5732 Determination: Pending
OTH2010020 Chattahoochee Valley Home Health Administrative Appeal of Shortfall - HHA019, Muscogee Request received: 5/27/2010 Contact Person: Shayna Bowen 404-443-5732 Determination: Pending
OTH2010021 Guardian Home Care of Northeast Georgia Administrative Appeal of Shortfall - HHA144, Hall Request received: 5/27/2010 Contact Person: Shayna Bowen 404-443-5732 Determination: Pending
OTH2010022 Guardian Home Care, LLC Administrative Appeal of Shortfall - HHA138, Fulton Request received: 5/27/2010 Contact Person: Shayna Bowen 404-443-5732 Determination: Pending
OTH2010023 Guardian Home Care of Central Georgia Administrative Appeal of Shortfall - HHA146, Oconee Request received: 5/27/2010 Contact Person: Shayna Bowen 404-443-5732 Determination: Pending
9

OTH2010024 Visiting Nurses Association of Southwest Georgia Administrative Appeal of Shortfall - HHA068, Decatur Request received: 5/27/2010 Contact Person: Shayna Bowen 404-443-5732 Determination: Pending

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-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-EQT2010017 Woodstock Diagnostic Imaging, LLC dba MRI & Imaging of Georgia Fixed CT Scanner Request received: 4/27/2010 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: Per 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: Approved

Determination Date: 9/1/2010

LNR-EQT2010021 Atlanta Heart Specialist, LLC

Physician-Owned Cardiac Fixed PET

Request received: 5/13/2010

Contact Person: Ryan Paul, 770-638-1400

Determination: Approved

Determination Date: 9/1/2010

LNR-EQT2010023 Lagniappe, LLC dba Southern Pain Institute Ambulatory Surgery Mobile C-Arm Request received: 5/25/2010 Contact Person: Anthony T. Clavo, M.D. 770-632-3730 Determination: Pending

LNR-EQT2010024 Adventist Health System Georgia, Inc. dba Gordon Hospital Hyperbaric Oxygen Chambers (2) Request received: 5/27/2010 Contact Person: Todd Harrison 706-602-7800 ext 2113 Determination: Pending

10

LNR-EQT2010025 Satilla Health Services, Inc. dba Satilla Regional Medical Center

Fixed CT Scanner

Request received: 5/28/2010

Contact Person: Windell R. Smith 912-287-2500

Determination: Approved

Determination Date: 9/7/2010

LNR-EQT2010026 Pinnacle Orthopaedics and Sports Medicine Specialists, LLC Fixed MRI Request received: 6/1/2010 Contact Person: Donna Fisher 770-429-7741 Determination: Pending

LNR-EQT2010028 Piedmont Mountainside Hospital, Inc. Fixed MRI Request received: 6/21/2010 Contact Person: Davis Dunbar 404-605-4565 Determination: Pending

LNR-EQT2010029 Evans Memorial Hospital Fixed MRI Request received: 6/29/2010 Contact Person: Tammie Eason 912-739-5010 Determination: Pending

LNR-EQT2010030 Resurgens P.C. Douglasville MRI Install Fixed MRI Unit Request received: 7/1/2010 Contact Person: Steven B Wertheim 404-847-9999 Determination: Pending
LNR-EQT2010031 Chatham Orthopaedic Associates, PA Fixed MRI Request received: 7/13/2010 Contact Person: Dan Delaney 912-355-6615 Determination: Pending
LNR-EQT2010032 Orthopedic Center, P.C. dba Southeaster Orthopedic Center Therapeutic Equipment to Operate a Fixed MRI System Request received: 7/26/2010 Contact Person: Michael Kleinpeter 912-644-5370 Determination: Pending
LNR-EQT2010033 Gastrointestinal Diseases, Inc. Fixed CT Scanner Request received: 7/30/2010 Contact Person: Pravinchandra H. Patel 706-641-6900 Determination: Pending
LNR-EQT2010034 Southern Heart Specialists, P.C. Fixed PET Request received: 8/4/2010 Contact Person: Ellie H. Mays 770-991-2100 Determination: Pending
LNR-EQT2010035 Columbus Cardiology Associates, P.C. Physician-Owned Cardiac PET Request received: 8/5/2010 Contact Person: Anna Sears 706-323-5552 Determination: Pending
LNR-EQT2010036 Open MRI & Imaging of Snellville, LLC dba MRI & Imaging of Georgia Fixed CT Scanner Request received: 8/10/2010
11

Contact Person: Per B. Normark 678-992-7311 Determination: Pending
LNR-EQT2010037 Cardiovascular Associates of Augusta, P.A. Physician-Owned Cardiac PET Request received: 8/10/2010 Contact Person: Steven R. Davidson 706-724-8611 Determination: Pending
LNR-EQT2010038 Diagnostic Imaging of Atlanta, LLC Fixed MRI Request received: 8/30/2010 Contact Person: Per B. Normark 678-992-7311 Determination: Pending
LNR-EQT2010039 Diagnostic Imaging of Atlanta, LLC Replacement of Health Care Facility's CT Request received: 8/30/2010 Contact Person: Per B. Normark 678-992-7311 Determination: Pending
LNR-EQT2010040 Diagnostic Imaging of Atlanta, LLC Replacement of Health Care Facility's MRI Request received: 8/30/2010 Contact Person: Per B. Normark 678-992-7311 Determination: Pending
LNR-EQT2010041 Athens Heart Center, P.C. Dedicated Cardiac PET Imaging Request received: 9/9/2010 Contact Person: Andrew Payne 706-208-9700 Determination: Pending
LNR-EQT2010042 Reed Imaging Services, LLC Fixed CT Scanner Request received: 9/14/2010 Contact Person: Michael Reed 678-605-9009 Determination: Pending

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

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

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

12

LNR-ASC2010010 Pinnacle Orthopedics & Sports Medicine S specialists, LLC

Single Specialty Ambulatory Surgery Center

Site: 1505 Stonebridge Parkway, Suite 101, Woodstock, GA 30189

Number of OR's: 1

Specialty: Orthopedics & Sports Medicine

Project costs as submitted: $0.00

Request received: 6/2/2010

Contact Person: N. Phillip Bennett 770-427-5744 ext222

Determination: Pending

LNR-ASC2010011 Philip F. Macon Center For Orthopedic Medicine

Physician Single Specialty Ambulatory Surgery Treatment Center

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

Number of OR's: 1

Specialty: Pain Orthopedic Medicine

Project costs as submitted: $289,104.51

Request received: 6/24/2010

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

Determination: Pending

LNR-ASC2010012 Lakeview Surgery Center, LLC

Physician-Owned, Single, Specialty Ambulatory Surgery Center

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

Number of OR's: 2

Specialty: Pain Management Procedures

Project costs as submitted: $449,942.48

Request received: 7/8/2010

Contact Person: Bryanne Goncher 404-504-7658

Determination: Pending

LNR-ASC2010013 North Columbus Surgery Center

Physician-Owned ASC

Site: 7351 Old Moon Road, Columbus, GA 31909

Number of OR's: 2

Specialty: Pain Management

Project costs as submitted: $248,649.98

Request received: 7/16/2010

Contact Person: Brynne Goncher 404-233-7000

Determination: Pending

LNR-ASC2010014 Peachtree Orthopaedic Surgery Center at Perimeter, LLC

Physician-Owned, Single Specialty Ambulatory Surgery, LLC

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

Number of OR's: 2

Specialty: Orthopaedic

Project costs as submitted: $2,456,458.57

Request received: 7/21/2010

Contact Person: Robert Limyansky 770-394-8465

Determination: Pending

LNR-ASC2010015 RLS Med-Support, Inc.

Relocation of the Atlanta Eye International Surgery Center, Inc.

Site: 1415 Howell Mill Road, Atlanta, GA

Number of OR's: 2

Specialty: Eye Surgery

Project costs as submitted: $0.00

Request received: 7/23/2010

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

Determination: Pending

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

Physician-Owned Single-Specialty

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

Number of OR's: 2

Specialty: Pain Medicine

Project costs as submitted: $597,727.10

Request received: 7/30/2010

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

13

Determination: Pending

LNR-ASC2010017 Gastroenterology Consultants, P.C.

Physician-Owned, Single Specialty Ambulatory Surgery Center

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

Number of OR's: 2

Specialty: Gastroenterology

Project costs as submitted: $1,510,319.00

Request received: 9/8/2010

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

Determination: Pending

LNR-ASC2010018 Gwinnett Surgical Associates, LLP

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

Site: 631 Professional Drive, Lawrenceville, GA

Number of OR's: 2

Specialty: General Surgery

Project costs as submitted: $984,500.00

Request received: 9/9/2010

Contact Person:

Determination: Pending

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
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
DET2010037 CareSouth HHA Holdings of Washington, LLC HHA Indigent and Charity Care Commitment Conversion Request received: 5/5/2010 Contact Person: Kelly Tripp 706-854-7428 Determination: Non-reviewable as proposed Determination Date: 9/13/2010
DET2010038 CareSouth HHA Holdings of Gainesville, LLC HHA Indigent and Charity Care Commitment Conversion Request received: 5/5/2010 Contact Person: Kelly Tripp 706-854-7428 Determination: Non-reviewable as proposed Determination Date: 9/13/2010
DET2010039 CareSouth HHA Holdings of Columbus, LLC HHA Indigent and Charity Care Commitment Conversion Request received: 5/5/2010 Contact Person: Kelly Tripp 706-854-7428 Determination: Non-reviewable as proposed Determination Date: 9/13/2010

DET2010045 Gwinnett Hospital System, Inc. dba Gwinnett Medical Center - Lawrenceville Replacement of Existing Cardiac Catheterization Equipment Request received: 5/7/2010 Contact Person: Mark Mullin 678-312-4193 Determination: Pending
DET2010046 Athens Healthcare Properties, Inc., Heritage Healthcare of Athens, LLC Transfer and Relocation of Nursing Facility Beds Request received: 5/7/2010 Contact Person: Sarah Haislip 678-533-6485

14

Determination: Pending
DET2010047 Magnolia Manor of Columbus Nursing Center West Repair and reinforce foundation under large section of west wall Request received: 5/10/2010 Contact Person: Jerry Vick 229-931-5907 Determination: Pending
DET2010049 Fayette Community Hospital, Inc. dba Piedmont Fayette Hospital Add 14 Beds to Maximum Bed Capacity of 143 Request received: 5/11/2010 Contact Person: Davis Dunbar 404-605-4565 Determination: Pending
DET2010050 Fayette Community Hospital, Inc. dba Piedmont Fayette Hospital Expand Adult Cardiac Catheterization Service Request received: 5/11/2010 Contact Person: Davis Dunbar 404-605-4565 Determination: Pending
DET2010051 Fayette Community Hospital, Inc. dba Piedmont Fayette Hospital Conversion and Construction of Space adjacent to the ER Department Request received: 5/11/2010 Contact Person: Davis Dunbar 404-605-4565 Determination: Pending
DET2010054 GBH/LTA, LLC dba Morningside Assisted Living of Macon Increase to the licensed capacity of Personal Care Home from 47 to 54 Request received: 5/11/2010 Contact Person: Douglas Hood 617-796-8181 Determination: Non-reviewable as proposed Determination Date: 8/27/2010
DET2010059 DeKalb Medical Center Replacement of CT Scanner Request received: 5/13/2010 Contact Person: Don Fears 404-501-5790 Determination: Pending
DET2010079 Somerby Peachtree City PCH LLC Establishment a 121 Bed Personal Care Home Request received: 5/17/2010 Contact Person: Michael Mays 205-776-6000 Determination: Pending
DET2010081 Central Georgia Home Health Reduce Indigent and Charity Care Commitment to 1% Request received: 5/18/2010 Contact Person: H. Bryan Forlines 478-633-6966 Determination: Pending
DET2010082 Numed Inc. on behalf of Kaiser Permanente Health Plan Georgia Region 16-Slice CT Scanner Request received: 5/19/2010 Contact Person: Jack Allen 940-365-9777 Determination: Pending
DET2010083 BCH Medical Investors LLC dba Berrien County Hospital Renovation of Medical Surgical and Other Areas within Hospital Request received: 5/19/2010 Contact Person: Martha Phillips CPS 229-543-7318 Determination: Pending
15

DET2010089 CSRA Home Health Agency-Columbia, Inc. Indigent and Charity Care Commitment Conversion Request received: 5/24/2010 Contact Person: Scott Bradford 706-678-3172 Determination: Non-reviewable as proposed Determination Date: 8/23/2010
DET2010095 Southern Regional Health System, Inc. dba Southern Regional Medical Replacement of Authorized MRI Unit Request received: 5/24/2010 Contact Person: Michael Miller 770-991-8141 Determination: Pending
DET2010096 STC Healthcare of Atlanta, In. dba Interim Healthcare of Atlanta, Inc Indigent and Charity Care Commitment Conversion Request received: 5/25/2010 Contact Person: Lisa Rainey 404-856-6130 Determination: Pending
DET2010101 Ultra Care Of Georgia, Inc. Indigent and Charity Care Commitment Conversion Request received: 5/26/2010 Contact Person: Jason Morris 985-809-1113 Determination: Non-reviewable as proposed Determination Date: 8/23/2010
DET2010106 Visiting Nurses Association of Southwest Georgia, Inc. Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: Amy Ferry, RN 229-246-6462 Determination: Pending
DET2010107 Guardian Home Care of Northeast Georgia Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: Duff Whitaker 615-371-1904 Determination: Pending
DET2010108 Guardian Home Care, LLC Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: Duff Whitaker 615-371-1904 Determination: Pending
DET2010109 Guardian Home Care of Central Georgia Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: Duff Whitaker 615-371-1904 Determination: Pending
DET2010110 Ogeechee Home Health Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: JoAnne Little 770-951-6426 Determination: Pending
DET2010111 Healthfield Home Health of Griffin Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: JoAnne Little 770-951-6426 Determination: Pending
DET2010112 Chattahoochee Valley Home Health Indigent and Charity Care Commitment Conversion Request received: 5/27/2010
16

Contact Person: JoAnne Little 770-951-6426 Determination: Pending
DET2010113 Gentiva Health Services - Atlanta Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: JoAnne Little 770-951-6426 Determination: Pending
DET2010114 Healthfield of Southwest Georgia Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: JoAnne Little 770-951-6426 Determination: Pending
DET2010115 Healthfield Home Health of Atlanta Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: JoAnne Little 770-951-6426 Determination: Pending
DET2010116 Gentiva Health Serivces - Savannah Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: JoAnne Little 770-951-6426 Determination: Pending
DET2010117 Healthfield Home Health, Inc. Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: JoAnne Little 770-951-6426 Determination: Pending
DET2010119 CareOne Health Services, LLC Indigent and Charity Care Commitment Conversion Request received: 5/27/2010 Contact Person: Determination: Pending
DET2010120 SunCrest Home Health of Georgia, Inc. Indigent and Charity Care Commitment Conversion Request received: 6/1/2010 Contact Person: Gary Rasmussen 770-971-5808 ext 16 Determination: Pending
DET2010122 Georgia Home Health Services, Inc. Indigent and Charity Care Commitment Conversion Request received: 6/1/2010 Contact Person: Dawn Howard 706-769-8835 Determination: Pending
DET2010123 Gwinnett County Radiation Therapy Center - Snellville Relocation of previously approved Linear Accelerator within three mile Request received: 6/8/2010 Contact Person: ColleenSimon 770-391-4309 Determination: Pending
DET2010124 Emory University dba Emory University Orthopaedic and Spine Hospital Renovation of the Forth Floor Request received: 6/9/2010 Contact Person: Toni Wimby 404-686-2450 Determination: Pending
17

DET2010126 MCG Health, Inc. Replacement of Three Mammography Equipment Request received: 6/10/2010 Contact Person: Sheila O'Neal 706-721-7406 Determination: Pending
DET2010127 Gwinnett Hospital System dba Gwinnett Medical Center - Lawrenceville Transfer of Nuclear Imaging Unit Request received: 6/14/2010 Contact Person: Mark M. Mullin 678-312-4193 Determination: Pending
DET2010128 Tift County Hospital Authority dba Tift Regional Medial Center Expansion of Adult Cardiac Catheterization Services Request received: 6/18/2010 Contact Person: Sara S. Thompson 229-353-6102 Determination: Pending
DET2010129 Emory University dba Emory University Hospital Midtown-VistaCare USA, Establish an Inpatient Hospice Service Request received: 6/21/2010 Contact Person: Toni Wimby 404-686-2809 Determination: Non-reviewable as proposed Determination Date: 8/25/2010
DET2010130 Emory University dba Emory University Hospital-Vista Care USA, Inc. Establish an Inpatient Hospice Services Request received: 6/21/2010 Contact Person: Toni Wimby 404-686-2809 Determination: Non-reviewable as proposed Determination Date: 8/25/2010
DET2010131 Zebulon Road Properties, LLC Relocation of Bel Arbor Health and Rehabilitation Request received: 6/21/2010 Contact Person: Stelling Nelson 478-314-1560 Determination: Pending
DET2010132 Gary Holding Group, LLC Construction and Operation of Non-Medical Assisted Living Facility Request received: 6/21/2010 Contact Person: Mark Gary 678-473-0262 Determination: Pending
DET2010133 Miller Co. Hospital Authority dba Miller County Hospital and Nursing Hospital and Adjoining SNF - Compliance Actions Request received: 6/23/2010 Contact Person: Robin A. Rau 229-758-5954 Determination: Pending
DET2010134 Miller County Hospital Authority dba Miller County Hospital and Nursing Repair of Existing Hospital and Adjoining SNF Request received: 6/23/2010 Contact Person: Robin A. Rau 229-758-5854 Determination: Pending
DET2010135 Medical Center of Central Georgia, Inc. Utilize Vascular Lab Rooms for Diagnostic & Therapeutic Cath Request received: 6/23/2010 Contact Person: H. Bryan Forlines 478-633-6966 Determination: Pending
DET2010136 RCOG Cancer Centers, LLC and Dr. Leela Maxa Utilization of Existing Health Care Facilities Request received: 6/23/2010
18

Contact Person: Chris Male 404-873-8724 Determination: Pending
DET2010137 Saint Joseph's Hospital of Atlanta, Inc. Operating Suite Renovations Request received: 6/29/2010 Contact Person: Health Dexter 678-843-7001 Determination: Pending
DET2010138 Alliance Healthcare Services Replacement of Mobile PET/CT unit Request received: 7/6/2010 Contact Person: Cindy Smith 678-873-1364 Determination: Pending
DET2010139 Dr. Bruce Salzberg Medical Practice Locum Tenens Services Request received: 7/9/2010 Contact Person: Bruce Salzberg, MD 678-957-0057 Determination: Pending
DET2010140 MCG Health, Inc. Renovation of MCGHealth Children's Medical Center Request received: 7/14/2010 Contact Person: Sheila O'Neal 706-721-7406 Determination: Pending
DET2010141 MCG Health, Inc. Construction of Women's Health Center Request received: 7/14/2010 Contact Person: Sheila O'Neal 706-721-7506 Determination: Pending
DET2010142 Hillside, Inc. Increase Beds by Converting Staff Beds to Residential Beds Request received: 7/15/2010 Contact Person: Teresa Stoker 404-564-0660 Determination: Pending
DET2010143 Piedmont Hospital, Inc. 48 Addition of Acute Care Beds Request received: 7/16/2010 Contact Person: Davis Dunbar 404-605-4565 Determination: Pending
DET2010144 Bethany Home, Inc. dba Bethany Nursing Center of Millen Replacement of Fire Alarm Panel for 100 Bed Facility Request received: 7/16/2010 Contact Person: Becky Livingston, Esq. 912-764-7960 Determination: Pending
DET2010145 Peachbelt Properties, Inc. Relocation of Nursing Facility Peachbelt Health and Rehabilitation Request received: 7/21/2010 Contact Person: Debbie Meade 478-328-3800 Determination: Pending
DET2010146 Elberta Convalescent Home, Inc. Relocation of Nursing Facility Elberta Health Care Request received: 7/21/2010 Contact Person: Debbie Meade 478-328-3800 Determination: Pending
19

DET2010147 K. Scott Malone Introduction of Orthobiologic Procedures in ASC settings Request received: 8/2/2010 Contact Person: K. Scott Malone, MD 478-953-4563 Determination: Pending

DET2010148 Athens Surgical Center, LLC Change of Location Request received: 8/9/2010 Contact Person: Tom Scott 615-579-1177 Determination: Pending

DET2010149 Emory University Hospital Midtown Replacement of CT Scanner Request received: 8/16/2010 Contact Person: Tim Wimby 404-686-2806 Determination: Pending

DET2010150 Emory University Hospital Midtown Replacement of Interventional Radiology Suite Request received: 8/16/2010 Contact Person: Toni Wimby 404-686-2809 Determination: Pending

DET2010151 Piedmont Hospital, Inc. Conversion of 13 Med/Surg Beds to 13 Intensive Care Request received: 8/20/2010 Contact Person: Davis Dunbar 404-605-4565 Determination: Pending

DET2010152 MCG Health Critical Care Center Replacement of Neuroangiography Equipment Request received: 8/23/2010 Contact Person: Sheila O'Neal, VP Strategic Support/Philantropy Determination: Pending

706-

DET2010153 Heritage Healthcare of Moultrie, LLC Remodel at Heritage Healthcare of Moultrie Request received: 8/23/2010 Contact Person: Jonell Hollis, Director of Corporate Services Determination: Pending

678-533-

DET2010154 Wood Dale Health and Rehabilitation Central Bathing Spa Renovation Request received: 8/24/2010 Contact Person: Stelling Nelson, HSRE-President 478-314-1560 ext 2261 Determination: Pending
DET2010155 Newnan Regional Radiation Therapy Center, Inc. Relocation of Health Care Facility Request received: 9/2/2010 Contact Person: J. Warner Ray, M.D. 770-994-1650 Determination: Pending

DET2010156 the Marshes of Skidaway, LLC CCRC Conversion of Personal Care Home to Sheltered Nursing Home Beds Request received: 9/8/2010 Contact Person: Russell Peterson 912-598-9845 Determination: Pending
DET2010157 Gwinnett Medical Center Imaging Center at Hamilton Mill Consolidate Indigent and Charity Care Commitments Request received: 9/8/2010

20

Contact Person: Mark M. Mullin 678-312-4193 Determination: Pending

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

229-423-5621

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

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

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

Requests for Extended Implementation/Effective Period

2008042 The Medical College of Georgia Physician Practice Group Foundation Construct Ambulatory Surgery Center Request to extend implementation period Site: Intersection of Knob Hill and Washington (Columbia) Project Approved: 9/19/2008 Request Received: 08/19/2010 Contact: Robert Threlkeld, Esq. (404) 504-7757 Approved Cost: $34,693,165 Determination: Pending

2008032 Zebulon Road Properties, LLC Replacement of 131-Bed Skilled Nursing Facility (SNF) Request to extend Implementation Period Site: 3468 Napier Ave., Macon (Bibb) Project Approved: 6/26/2008 Request Received: 08/24/2010 Contact: Stelling Nelson (478) 314-1560 x2261 Approved Cost: $23,193,249 Determination: Approved, 8/24/2010

Extended Implementation Date: 12/26/2010

2006047 Kennestone Hospital, Inc. d/b/a WellStar Kennestone Hospital

New Outpatient Facility and Expansion of Services

Request to extend Implementation Period

Site: Intersection of Hwy 41 & Awtrey Church Rd, Acworth (Cobb)

Project Approved: 9/29/2006

Request Received: 08/27/2010

Contact: Caroline Aultman (678) 331- 6885

Approved Cost: $14,144,602

Determination: Approved, 8/30/2010

Extended Implementation Date: 9/29/2011

2008064 Meadows Regional Medical Center, Inc. Construction of 61-Bed Replacement Hospital
21

Request to extend Performance Period

Site: Hwy 280/Harris Industrial Boulevard, Vidalia (Toombs)

Project Approved: 11/10/2008

Request Received: 09/1/2010

Contact: J. Alan Kent, (912) 537- 8921

Approved Cost: $82,881,305

Determination: Approved, 9/2/2010

Extended Completion Date: 7/9/2011

Need Projection Analyses Updated 6/18/2010
Current Status of Official Division of Health Planning Need Projection Analyses and Other Data Resources Need Projections and Maps for CON Regulated Services

2015 Non-Special MegaVoltage Radiation Therapy - 6/18/2010 2015 Positron Emission Tomography Services - 6/16/2010 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 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 September 21, 2010)
Survey Completion Status - Survey completion status represents the status of survey filings as of the effective date indicated in each version of the Tracking Report. Surveys filed on the effective date may not be reflected as complete and may be reported as delinquent. Please contact the staff contact indicated in the instruction materials associated with each survey if your facility has filed its survey but continues to be reflected as incomplete.

Facility Name

County

Survey Year

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

Georgia Regional Hospital @ Savannah

Chatham

2007

Georgia Regional Hospital @ Savannah

Chatham

2008

Georgia Regional Hospital at Savannah

Chatham

2009

Kindred Hospital-Atlanta

Fulton

2007

Liberty Regional Medical Center

Liberty

2007

Northwest Georgia Regional Hospital

Floyd

2008

Stewart Webster Hospital

Stewart

2007

Stewart Webster Hospital

Stewart

2008

22

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

Stewart Webster Hospital Sumter Regional Hospital East Sumter Regional Hospital East Union General Hospital Union General Hospital Wayne Memorial Hospital

Stewart Sumter Sumter Union Union Wayne

2009 2007 2009 2008 2009 2009

Annual Nursing Home Questionnaire (Survey Years 2007 thru 2009)

Buckhead Health & Rehabilitation

Fulton

2007

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

Floyd Floyd Glynn DeKalb

2007 2007 2007 2008

Cardiac Catheterization Services Survey (Survey Years 2007 thru 2009)

Grady Memorial Hospital

Fulton

2009

Northeast Georgia Medical Center

Hall

2009

Phoebe Putney Memorial Hospital

Dougherty

2009

Freestanding Ambulatory Surgery Services Survey (Survey Years 2007 thru

Academy Orthopedics, Llc

FORSYTH

2008

Afa Ambulatory Surgery Center

BIBB

2008

Afa Ambulatory Surgery Center

BIBB

2009

Affinity Outpatient Service

Tift

2007

Affinity Outpatient Service

Tift

2008

Akstein Eye Center, P.c.

CLAYTON

2009

Ambulatory Foot & Leg Surg Ctr

COBB

2008

Ambulatory Laser & Surgery Ctr

CLAYTON

2008

Ambulatory Laser & Surgery Ctr

CLAYTON

2009

Ambulatory Plastic Surgery Center, Inc Ambulatory Plastic Surgery Center, Inc

MUSCOGEE MUSCOGEE

2008 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 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

23

3/12/2010 3/13/2009 3/12/2010 9/18/2009 3/12/2010 3/12/2010
8/15/2007 8/15/2007
8/15/2007
8/15/2007
10/31/2008
7/2/2010 7/2/2010 7/2/2010
7/31/2009 7/31/2009 3/12/2010 10/3/2008 7/31/2009 3/12/2010 7/31/2009 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 7/31/2009 3/12/2010
3/12/2010 10/3/2008 7/31/2009 3/12/2010 3/12/2010 3/12/2010 10/3/2008 3/12/2010 7/31/2009 3/12/2010 7/31/2009 7/31/2009 3/12/2010 3/12/2010 7/31/2009 7/31/2009 3/12/2010 7/31/2009 3/12/2010

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

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

24

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

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

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

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

Home Health Agency Survey (Survey Years 2007 thru 2009)

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Hospital Financial Survey (Survey Years 2007 thru 2009)

Devereux Georgia Treatment Network

Cobb

Devereux Georgia Treatment Network

Cobb

Jasper Memorial Hospital

Jasper

25

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

3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010 7/31/2009 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 7/31/2009 3/12/2010 7/31/2009 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 3/12/2010 3/12/2010 7/31/2009 7/31/2009 7/31/2009 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009
10/10/2008 8/7/2009
3/12/2010
9/30/2009 8/6/2010
3/27/2009

Lower Oconee Community Hospital Inc. Mountain Lakes Medical Center Phoebe Sumter Medical Center South Fulton Medical Center Stewart Webster Hospital Stewart Webster Hospital Taylor Telfair Regional Hospital The Specialty Hospital Youth Villages - Inner Harbour Campus

Wheeler Rabun Sumter Fulton Stewart Stewart Telfair Floyd Douglas

2008 2009 2009 2009 2007 2008 2007 2009 2009

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

Positron Emission Tomography Services Survey (Survey Years 2007 thru 2009)

Battlefield Imaging Center

Catoosa

2007

Battlefield Imaging Center

Catoosa

2009

Radiation Therapy Services Survey (Survey Years 2007 thru 2009)

Central Georgia Radiation Oncology Center - Bibb

Bibb

2008

Central Georgia Radiation Oncology Center - Bibb

Bibb

2009

Central Georgia Radiation Oncology Center - Houston Houston

2007

Central Georgia Radiation Oncology Center - Houston Houston

2008

Central Georgia Radiation Oncology Center - Houston Houston

2009

Grady Memorial Hospital

Fulton

2009

Northeast Georgia Cancer Care

Clarke

2008

Northeast Georgia Cancer Care

Clarke

2009

9/30/2009 8/6/2010 8/6/2010 8/6/2010
3/27/2009 9/30/2009 3/27/2009
8/6/2010 8/6/2010
1/16/2009 4/30/2010
8/7/2009 4/30/2010 1/16/2009
8/7/2009 4/30/2010 4/30/2010
8/7/2009 4/30/2010

Indigent and Charity Care Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years (Commitment status as of 9/21/2010)

Facility Name
Atlanta Eye Surgery Center at Omni West Endoscopy Center of Columbus, LLC Endoscopy Ctr Of Southeast Ga Gainesville Surgery Center Savannah Outpatient Foot and Ankle Surgery Center, LLC Surgery Center, LLC, The Physician's Cath Lab, LLC St Mary's Hospital ASAP Healthcare Network Chattahoochee Valley Home Health, Chattahoochee Valley Home Health, Chattahoochee Valley Home Health, CSRA Home Health- Columbia, Inc. CSRA Home Health- Columbia, Inc. CSRA Home Health- Columbia, Inc. 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 Healthfield Home Health of Atlanta

County
Fulton Muscogee TOOMBS Hall Chatham

Year
2009 2009 2009 2009 2008

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

Muscogee Fulton Clarke Cobb Muscogee Muscogee Muscogee McDuffie McDuffie McDuffie Fulton Fulton Fulton Chatham Chatham Chatham Oconee DeKalb

2009 2009 2009 2009 2007 2008 2009 2007 2008 2009 2007 2008 2009 2007 2008 2009 2008 2007
26

114,593.31 59,703.72
156,012.87 31,100.53 13,329.80 70,270.61 64,108.57 31,195.10 39,221.83 45,455.44
125,615.85 94,357.96 85,704.41 32,141.02 41,204.20 64,000.47 4,106.22 36,359.62

Ambulatory Surgery Center Cardiac Catheterization Cardiac Catheterization Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency

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. Healthfield Home Health, Inc. Healthfield of Southwest Georgia Ogeechee Home Health Ogeechee Home Health Ogeechee Home Health SunCrest Home Health of Georgia Regency Hospital of Central Georgia Battlefield Imaging Center Decatur Health Imaging, LLC DeKalb Medical Center

Forsyth Forsyth Spalding Spalding Spalding Fulton Fulton Fulton Decatur Bulloch Bulloch Bulloch Spalding Bibb Catoosa DeKalb DeKalb

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

64,346.81 82,472.04 11,170.79 35,481.79 103,231.57 252,058.52 708,840.78 675,403.05 13,950.61 37,826.03 107,582.54 135,073.96 62,617.95 1,097,055.00 47,397.70
6.45 75,345.65

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 PET Services PET Services

27

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.
28

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 6/22/2010 on DCH Website
Summer Batching Review Cycle Notifications

PET Mega Voltage Radiation Therapy
Pediatric Cath/Open Heart

Adult Open Heart Psych/Substance Abuse Birthing Centers

29

BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW ACTIVITIES

Batching Notice
(March 25, 2010)

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

SPRING CYCLE

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)
30

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

Batching Notice
(June 22, 2010)

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

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

100th

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

120th Day
(Department Issues
decision)

(December 18, 2010)

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

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

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

110th Day
(applicant provides amended information; applicant provides response to opposition)
(December 8, 2010)

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

31

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)

32

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.
33

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

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

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

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

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

34