Certificate-of-need tracking and appeals report [Nov. 23-29, 2011]

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Letters of Intent

Expired Letters of Intent

New Applications

Pending Review/Incomplete Applications Pending Review/Complete Applications
Pending Review/Complete/Joined Applications Recently Approved Applications

DIVISION OF HEALTH PLANNING
CERTIFICATE OF NEED

Recently Denied Applications Withdrawn CON Applications

Appealed Determinations

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

November 23, 2011 November 29, 2011

Requests for LNR for Diagnostic or Therapeutic Equipment
Requests for Miscellaneous Letters of Determination
Requests for Extended Implementation/Performance Period
Batching Notifications Fall
Need Projection Analyses
Non-Filed or Incomplete Surveys

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

Indigent-Charity Shortfalls

Legislation Affecting CON
New Batching Review Summer Cycle Fall Cycle
New CON Filing Requirements (effective July 1, 2008)
New Reporting Requirements (effective July 1, 2008)

Certificate of Need Appeal Panel Contact Information

Letters of Intent

LOI2011098 Woodstock Diagnostic Imaging

Convert an Existing LNR to a DTRC

Received: 11/2/2011

Application must be submitted on: 12/2/2011

Site: 300 Park Brooke Place, Suite 170, Woodstock, GA 30189 (Cherokee County)

Estimated Cost: $350,000

LOI2011099 Statesboro Imaging Center

Conversion of Physician-owned LNR to a DTRC and MRI replacement

Received: 11/3/2011

Application must be submitted on: 12/5/2011

Site: 8 Lester Road, Statesboro, GA 30458 (Bulloch County)

Estimated Cost: $1,421,604

LOI2011100 Houston Hospital dba Houston Medical Center

Expansion and Renovation of Cardiac Catheterization Services

Received: 11/7/2011

Application must be submitted on: 12/7/2011

Site: 1601 Watson Boulevard, Warner Robins, GA 31093 (Houston County)

Estimated Cost: $8,068,734

LOI2011101 Augusta Open MRI

Conversion of Existing LNR to DTRC

Received: 11/14/2011

Application must be submitted on: 12/14/2011

Site: 3685 Wheeler Road, Suite 100, Augusta, GA 30909 (Richmond County)

Estimated Cost: $15,000

LOI2011102 OMI Diagnostics - Lake Hearn

Conversion to DTRC

Received: 11/14/2011

Application must be submitted on: 12/14/2011

Site: 1100 Lake Hearn Drive, Suite 150, Sandy Springs, GA 00000 (Fulton County)

Estimated Cost: $2,325,906

LOI2011103 Northside Hospital - Forsyth

Add Interventional Radiology Room

Received: 11/21/2011

Application must be submitted on: 12/21/2011

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

Estimated Cost: $2,500,000

LOI2011104 MRI & Imaging of Duluth

Convert an existing LNR DTRC to a CON DTRC

Received: 11/28/2011

Application must be submitted on: 12/28/2011

Site: 10670 Medlock Bridge Road, Duluth, GA 30097 (Gwinnett County)

Estimated Cost: $300,000

Expired Letters of Intent

LOI2011097 Tattnall Hospital Company, LLC

Conversion of four (4) OR Limited-Purpose ASC to a Multi-Specialty ASC

Received: 10/24/2011

Application must be submitted on: 11/22/2011

Site: 210 East DeRenne Avenue, Savannah, GA 31405 (Chatham County)

Estimated Cost: $0

LOI2011095 Tanner Medical Center - Carrollton

Renovate, Modernize and Establish New Level III NICU with 6 Bassinets

Received: 10/24/2011

Application must be submitted on: 11/22/2011

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

Estimated Cost: $0

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New Applications
none
Pending Review/Incomplete Applications
none
Pending Review/Complete Applications
2011-050 Heritage Healthcare of Savannah Expansion and Renovation Filed: 6/20/2011 Deemed Incomplete: 7/5/2011 Deemed Complete: 9/1/2011 60th Day Deadline: 10/30/2011 Decision Deadline: 12/29/2011 Site: 12825 White Bluff Road, Savannah, GA 31419 (Chatham County) Contact: Rachel Lee 770-279-6200 Estimated Cost: $4,608,418
2011-051 WellStar Paulding Hospital Replacement Hospital Filed: 7/29/2011 Deemed Complete: 8/5/2011 60th Day Deadline: 10/3/2011 Decision Deadline: 12/2/2011 Site: 148 Bill Carruth Parkway, Hiram, GA 30141 (Paulding County) Contact: Caroline C. Aultman 678-331-6885 Estimated Cost: $125,000,000
2011-052 Coastal Imaging, LLC Conversion of a Free-Standing LNR to a DTRC Filed: 8/1/2011 Deemed Complete: 8/15/2011 60th Day Deadline: 10/13/2011 Decision Deadline: 12/12/2011 Site: 503 Eisenhower Drive, Savannah, GA 31406 (Chatham County) Contact: Mr. Chris Cribbs, COO 912-429-4343 Estimated Cost: $692,500
2011-053 Tift Regional Medical Center Renovate and Expand Clinical Laboratory and Admin Suite Filed: 8/5/2011 Deemed Incomplete: 8/17/2011 Deemed Complete: 8/30/2011 60th Day Deadline: 10/28/2011 Decision Deadline: 12/27/2011 Site: 901 East 18th Street, Tifton, GA 31793 (Tift County) Contact: Sarah Thompson, VP Operations 229-353-3421 Estimated Cost: $11,289,397
2011-054 Cartersville Medical Center Expansion and Renovation of the Hospital Filed: 8/15/2011 Deemed Incomplete: 8/29/2011 Deemed Complete: 9/21/2011 60th Day Deadline: 11/19/2011 Decision Deadline: 1/18/2012 Site: 960 Joe Frank Harris Parkway, Cartersville, GA 30120 (Bartow County) Contact: Lori Rakes, Chief Operating Officer 770-387-8181 Estimated Cost: $23,132,451
2011-055 Macon Behavioral Health System Add 52 Beds to Psychiatric and Substance Abuse Inpatient Program - Batching
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Filed: 8/21/2011 Deemed Complete: 8/21/2011 60th Day Deadline: 10/19/2011 Decision Deadline: 12/18/2011 Site: 3500 Riverside Drive, Macon, GA 31210 (Bibb County) Contact: James Newton, CEO 478-477-3829 Estimated Cost: $3,203,625
2011-056 Georgia Proton Treatment Center, LLC
Proton Therapy Service - Batching Filed: 8/21/2011 Deemed Complete: 8/21/2011 60th Day Deadline: 10/19/2011 Decision Deadline: 12/18/2011 Site: 615 Peachtee Street NE, Atlanta, GA 30308 (Fulton County) Contact: Jeff Bordok 858-875-2261 Estimated Cost: $225,602,458
2011-057 Northside Hospital - Forsyth
Fixed PET/CT Unit - Batching Filed: 8/21/2011 Deemed Complete: 8/21/2011 60th Day Deadline: 10/19/2011 Decision Deadline: 12/18/2011 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek 404-851-6821 Estimated Cost: $4,543,120
2011-058 WellStar Douglas Hospital
Mobile PET/CT Service - Batching Filed: 8/21/2011 Deemed Complete: 8/21/2011 60th Day Deadline: 10/19/2011 Decision Deadline: 12/18/2011 Site: 8954 Hospital Drive, Douglasville, GA 30134 (Douglas County) Contact: Stephen Vault, Strategic Planning Coordinator 678-331-6887 Estimated Cost: $55,000
2011-059 Coliseum Medical Center
Convert to a Hospital-Based Psychiatric/Substance Abuse Program - Batching Filed: 8/21/2011 Deemed Complete: 8/21/2011 60th Day Deadline: 10/19/2011 Decision Deadline: 12/18/2011 Site: 350 Hospital Drive, Macon, GA 31217 (Bibb County) Contact: James W. Eyler, CEO 478-464-4811 Estimated Cost: $37,900
2011-060 Trinity Hospital of Augusta
Add New Adult Psychiatric/Substance Abuse Inpatient Program - Batching Filed: 8/21/2011 Deemed Complete: 8/21/2011 60th Day Deadline: 10/19/2011 Decision Deadline: 12/18/2011 Site: 2260 Wrightsboro Road, Augusta, GA 30904 (Richmond County) Contact: Mr. Chris Cosby 706-481-7401 Estimated Cost: $2,049,000
2011-061 West Cobb Health Imaging
Replace and Relocate an MRI Unit Filed: 8/24/2011 Deemed Incomplete: 9/9/2011 Deemed Complete: 9/23/2011 60th Day Deadline: 11/21/2011 Decision Deadline: 1/20/2012 Site: 2615 East West Connector, SW, Suite 118, Austell, GA 30106 (Cobb County) Contact: Stephen R. Janis 404-296-5887 Estimated Cost: $1,297,874
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2011-062 MRI & Imaging of North Fulton
Replace MRI and CT Scanners in Roswell Filed: 8/29/2011 Deemed Complete: 9/13/2011 60th Day Deadline: 11/11/2011 Decision Deadline: 1/10/2012 Site: 1400 Hembree Road, Roswell, GA 30076 (Fulton County) Contact: Per B. Normark 678-992-7311 Estimated Cost: $2,247,012
2011-063 WellStar Kennestone Hospital
Capital Expenditure for Construction and Renovation Filed: 9/16/2011 Deemed Incomplete: 9/30/2011 Deemed Complete: 10/7/2011 60th Day Deadline: 12/5/2011 Decision Deadline: 2/3/2012 Site: 677 Church Street, Marietta, GA 30060 (Cobb County) Contact: Caroline C. Aultman, Dirof Strategic Planning 770-956-7827 Estimated Cost: $24,830,000
2011-064 Colquitt Regional Medical Center
Construct a Freestanding Physical Rehabilitation Facility Filed: 9/19/2011 Deemed Incomplete: 10/3/2011 Deemed Complete: 10/21/2011 60th Day Deadline: 12/19/2011 Decision Deadline: 2/17/2012 Site: 3131 South Main Street, Moultrie, GA 31768 (Colquitt County) Contact: Greg K. Johnson, VP Professional Service 229-890-3547 Estimated Cost: $2,906,891
2011-065 Northside Hospital - Forsyth
Replacement of da Vinci Robotic Surgery System Filed: 9/23/2011 Deemed Complete: 10/7/2011 60th Day Deadline: 12/5/2011 Decision Deadline: 2/3/2012 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek 404-851-6821 Estimated Cost: $1,706,000
2011-066 Northside Hospital, Inc. dba Northside Hospital - Cherokee
Replacement of da Vinci Robotic Surgery System Filed: 9/23/2011 Deemed Complete: 10/6/2011 60th Day Deadline: 12/4/2011 Decision Deadline: 2/2/2012 Site: 201 Hospital Road, Canton, GA 30342 (Cherokee County) Contact: Brian Toporek 404-851-6821 Estimated Cost: $1,706,000
2011-067 Piedmont Mountainside Hospital
Renovation and Expansion of ER and Support Space Filed: 9/29/2011 Deemed Complete: 10/13/2011 60th Day Deadline: 12/11/2011 Decision Deadline: 2/9/2012 Site: 1266 Highway 515 South, Jasper, GA 30143 (Pickens County) Contact: Davis Dunbar 404-425-1344 Estimated Cost: $10,472,292
2011-068 Royston Diagnostic Center, LLC
Convert LNR-Approved Imaging Center to a Freestanding DTRC & Replace CT Unit Filed: 10/3/2011 Deemed Complete: 10/18/2011 60th Day Deadline: 12/16/2011 Decision Deadline: 2/14/2012 Site: 930 Franklin Springs Street, Royston, GA 30662 (Franklin County) Contact: Richard L. Gray 706-433-0631
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Estimated Cost: $240,430
2011-069 Emory University dba Emory University Hospital Midtown
Purchase MRI Filed: 10/13/2011 Deemed Complete: 10/24/2011 60th Day Deadline: 12/22/2011 Decision Deadline: 2/20/2012 Site: 550 Peachtree Street, NE, Atlanta, GA 30308 (Fulton County) Contact: Toni Wimby, Associate Admin 404-686-2450 Estimated Cost: $3,064,022
2011-071 Emory University Hospital
Renovation and Expansion of its Clinical Laboratory Filed: 10/17/2011 Deemed Complete: 10/28/2011 60th Day Deadline: 12/26/2011 Decision Deadline: 2/24/2012 Site: 1364 Clifton Road, Atlanta, GA 30322 (DeKalb County) Contact: Toni Wimby, Associate Administrator 404-686-2450 Estimated Cost: $29,400,000
2011-072 Eastside Surgery Center, LLC
Develop a Freestanding Ambulatory Surgery Center At Eastside Medical Filed: 11/22/2011 Deemed Complete: 11/22/2011 60th Day Deadline: 1/20/2012 Decision Deadline: 3/20/2012 Site: 1600 Medical Way, Snellville, GA 30078 (Gwinnett County) Contact: Dustin Greene 770-736-2224 Estimated Cost: $8,947,391
2011-073 Northside Hospital - Forsyth
Expand its Level II NICU service by 5 bassinets Filed: 11/22/2011 Deemed Complete: 11/22/2011 60th Day Deadline: 1/20/2012 Decision Deadline: 3/20/2012 Site: 1200 Northside Forsyth Drive, Cumming, GA 30341 (Forsyth County) Contact: Brian J. Toporek 404-851-6821 Estimated Cost: $1,000,708
2011-074 Tanner Medical Center - Carrollton
Convert Existing 20-Bed Skilled Nursing Unit to a Inpatient Physical Rehabilitation Unit Filed: 11/22/2011 Deemed Complete: 11/22/2011 60th Day Deadline: 1/20/2012 Decision Deadline: 3/20/2012 Site: 705 Dixie Street, Carrollton, GA 30117 (Carroll County) Contact: Taylor Powers 770-838-8688 Estimated Cost: $2,094,500
2011-075 Pain Care Center of Georgia, LLC
Conversion of a Physician-Owned Office-Based Single-Specialty ASC to a CON-Authorized ASC Filed: 11/22/2011 Deemed Complete: 11/22/2011 60th Day Deadline: 1/20/2012 Decision Deadline: 3/20/2012 Site: 1365 Rock Quarry Road, Suite 301, Stockbridge, GA 30281 (Henry County) Contact: Lindsey Mathes, MSN, RN 770-771-6582 Estimated Cost: $700,780
2011-076 Athens Regional Surgery Center, LLC
Establish a separately licensed, freestanding Multi-Purpose ASC Filed: 11/22/2011 Deemed Complete: 11/22/2011 60th Day Deadline: 1/20/2012 Decision Deadline: 3/20/2012
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Site: 1295 Prince Avenue, Athens, GA 30606 (Clarke County) Contact: Jeffrey C. Baxter 706-475-1195 Estimated Cost: $7,580,000
Pending Review/Complete/Joined Applications
none
Recently Approved Applications
2011-037 Northside Hospital - Forsyth 13 Bed Expansion Filed: 6/24/2011 Deemed Complete: 7/8/2011 60th Day Deadline: 9/5/2011 Decision Deadline: 11/4/2011 APPROVED: 11/3/2011 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek 404-851-6821 Estimated Cost: $0
2011-038 The Medical Center of Central Georgia Four Story MOB Filed: 6/27/2011 Deemed Complete: 7/12/2011 60th Day Deadline: 9/9/2011 Decision Deadline: 11/8/2011 APPROVED: 11/8/2011 Site: 800 First Street, Macon, GA 31201 (Bibb County) Contact: H. Bryan Forlines, Reimbursement Director 478-633-6966 Estimated Cost: $18,390,000
Recently Denied Applications
none
CON Applications Withdrawn
None
Appealed Determinations
DET2011076 EHCA Eastside, LLC ("Eastside") d/b/a Eastside Medical Center Gwinnett Requested determination seeking approval to offer therapeutic cardiac catheterization procedures, 5/13/2011. Denied, 7/15/2011. Eastside filed request for Administrative Appeal Hearing, 8/12/2011. Hearing Officer, Clifford Weiss, Esq., orders matter remanded to DCH, 11/9/2011. Remand Decision, 11/28/2011, "non-reviewable as proposed."
DET2011133 Northside Hospital, Inc. d/b/a Northside Hospital Cherokee Requested determination regarding relocation of Healthcare facility within 3 miles, 8/3/2011. Determination of "nonreviewable as proposed" issued on 10/19/2011. WellStar Health System, Inc. and Kennestone Hospital, Inc. (collectively "WellStar") filed request for Administrative Appeal Hearing, 11/17/2011.
Appealed CON Projects
2008-081 Palmyra Medical Center (Dougherty) Develop Basic Perinatal Services
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Agency Decision: Approved, 1/9/2009 Appealed By: Phoebe Putney Memorial Hospital, 2/6/2009 and Phoebe Sumter Medical Center, 2/6/2009 Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: July 13, 2009, 12:00PM, 34th Floor Hearing Decision: Hearing Officer affirmed award of CON to Palmyra, 10/18/2009; Phoebe Putney and Sumter Regional request Commissioner Review, 11/17/2009. Commissioner Review Decision: due 12/20/2009. Affirmed Hearing Officer Decision to award CON to Palmyra, 12/18/2009; Phoebe Putney Memorial Hospital filed Petition for Judicial Review in Dougherty County Superior Court, 1/19/2010; Phoebe Sumter Medical Center filed Petition for Judicial Review in Sumter County Superior Court, 1/19/2010. Superior Court of Sumter County Decision: CON reversed in part and affirmed in part, 6/9/2010. Superior Court of Dougherty County Decision: CON reversed, 6/22/2010. 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. Appeals Court Decision: Affirms DCH's original decision to grant CON to Palmyra reversing the Sumter and Dougherty Superior Courts' decisions reversing DCH's grant of a CON to Palmyra Hospital for new perinatal services, 7/5/2011. Additional Appeals Information: Phoebe and Phoebe Sumter file petition for writ of certiorari from Court of Appeals' decision to Supreme Court, 7/25/2011. DCH and Palmyra Hospital file responses to petition, 8/15/2011. The Supreme Court denied the petition for Certiorari, 11/7/2011.
2009-094 St. Francis Hospital (Muscogee) Establish Basic Perinatal Service - BATCHING Agency Decision: Approved, 3/23/2010 Appealed By: Phoebe Sumter Medical Center, 4/21/2010; The Medical Center, 4/21/2010; and Doctors Hospital, 4/21/2010. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: Hearing stayed pending final resolution of appellate procedures for CON2008-081, pursuant to 9/25/2010 Consent Order. The Supreme Court denied the petition for Certiorari in the case for CON2008081, 11/7/2011, therefore, Hearing Date for 2009-094 now pending.
2010-025 WellStar Kennestone at East Cobb (Cobb) Development of an Ambulatory Surgery Facility - Batching Agency Decision: Approved, 9/20/2010 Appealed By: St. Joseph's Hospital of Atlanta, 10/19/2010; Northside Hospital-Atlanta and Northside Alpharetta Surgery Center, 10/19/2010; Applicant (Kennestone) requests to intervene, 10/19/2010. St. Joseph's Hospital withdrew request for appeal, 1/20/2011. Hearing postponed pending Order from Hearing Officer. Application is remanded to Department by Hearing Officer, April 6, 2011 for the Department to conduct an additional alternative review under the specific review criteria for ambulatory surgery centers. Department requests, and is granted, extension on Remand decision date, 5/6/2011. On remand, the application for alternative review only is denied, 5/16/2011. The original application remains approved, 9/20/2010. Hearing Officer: Ellwood Oakley, III, Esq.
Hearing Date: 8/8/2011 8/11/2011; proposed orders from parties due 9/23/2011. Hearing Decision: Hearing Officer affirms Department decision approving application, 10/20/ 2011. Northside Hospital, Inc. requests Commissioner Review, 11/18/2011.
Commissioner Review Decision: Pending
2010-034 Lakeview Behavioral Health System, LLC (Gwinnett) Establish a 60-bed Acute Care Psychiatric/Substance Abuse Hospital - Batching Agency Decision: Approved, 12/17/2010 Appealed By: Peachford Behavioral Health System, 1/14/2011; Northeast Georgia Medical
Center, 1/14/2011; and UHS of SummitRidge d/b/a SummitRidge Hospital, 1/14/2011. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: June 6 8, 2011 and June 17 - 20, 2011 Hearing Decision: Hearing Officer affirms decision to approve CON for applicant, 8/25/2011. Additional Appeals Information: Peachford Behavioral Health System, Northeast Georgia Medical Center and UHS of SummitRidge submitted request for Commissioner Review, 9/26/2011.
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Commissioner Review Decision: Affirmed Hearing Officer Decision to award CON to Lakeview Behavioral Health System, LLC., 11/21/2011.
2010-049 Southern Crescent Rehabilitation Center (Henry) Inpatient Physical Rehabilitation Hospital SSDR 1 - Batching Agency Decision: Denied, 3/22/2011. Appealed By: Southern Crescent Rehabilitation & Retirement Community, 4/20/2011 appeals the denial of their application; Southern Regional Health System, Inc. d/b/a Southern Regional Medical Center requests intervention, 4/15/2011. Hearing Officer: William C. Joy, Esq. Hearing Date: 11/2/2011 11/4/2011
2010-053 V.O.A. Ambulatory Surgical Center, Inc. (Lowndes) Convert to CON Single Specialty Orthopedic ASC - Batching Agency Decision: Denied, 3/22/2011 Appealed By: V.O.A. Ambulatory Surgery Center, Inc. appeals the denial of their application, 4/15/2011. Hearing Officer: Ellwood F. Oakley, III Esq. Hearing Date: 8/29/2011; proposed orders from parties due 10/7/2011. Hearing Decision: Hearing Officer affirms Department's denial of application, 11/4/2011.
2010-058 Amicita Home Health, LLC (Bryan) 2010-059 Bayada Nurses, Inc (Chatham) 2010-060 BCH Home Care Services, LLC 2010-061 CareSouth HHA Holdings of Savannah, LLC (Chatham) 2010-062 Suncrest Home Health (Chatham) 2010-063 United Home Care of Savannah (Chatham)
2010-058 Expand Home Health Agency SSDR 12 - Batching 2010-059 - 2010063 New Home Health Agency Agency Decision: 2010060, 2010061, 2010063 - Denied, 3/22/2011; 2010062, Approved, 3/22/2011 Appealed By: CareSouth HHA Holdings of Savannah, LLC d/b/a CareSouth Homecare
Professionals appeals the denial of its application and also appeals the approval of Suncrest's application, 4/21/2011; United Home Care, Inc. d/b/a United Home Care of Savannah appeals the approval of Suncrest's application, 4/20/2011. United Home Care of Savannah also requests to intervene in any appeals filed in connection with the approval of Suncrest 2010062. Additional Appeal Information: CareSouth withdrew appeal, 10/6/2011. Hearing Officer: Melvin Goldstein, Esq. Hearing Date: 10/20/2011 10/21/2011 Hearing Decision: Pending
2011-027 HealthSouth of Georgia, LLC (Coweta) Develop 50-Bed Comprehensive Inpatient Physical Rehab Hospital (CIPR)-Batching Agency Decision: Denied, 9/19/2011 Appealed By: HealthSouth appealed the denial of their application, 10/14/2011; Southern Regional Health System, Inc. d/b/a Southern Regional Medical Center filed request to intervene, 9/27/2011. Hearing Officer: TBD Hearing Date: Pending
2011-029 Cartersville Medical Center, LLC d/b/a Cartersville Medical Center (Bartow) Development of Neonatal Intermediate Care Service Batching Agency Decision: Denied, 9/19/2011 Appealed By: Cartersville Medical Center, LLC d/b/a Cartersville Medical Center appealed the denial of their application, 10/11/2011; Floyd Healthcare Management, Inc. d/b/a Floyd Medical Center filed request to intervene, 10/13/2011. Hearing Officer: TBD Hearing Date: Pending
2011-040 The Senior Care Center - St. Mary's (Camden) Exception Skilled Nursing - Gero-Psychiatric/High-Tech/Medically Complex Patients Agency Decision: Denied, 10/28/2011
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Appealed By: Applicant, 11/18/2011. Appeal withdrawn, 11/21/2011
2011-043 CorrectHealth GDC, LLC (Bostick Nursing Center) (Baldwin) Establish a 280-Bed Skilled Nursing Facility - Batching Agency Decision: Approved, 10/28/2011 Appealed By: Oconee Regional Medical Center, Inc., appealed the approval of CorrectHealth's application, 11/23/2011. CorrectHealth GDC, LLC (Bostick Nursing Center) filed request to intervene, 11/22/2011. Hearing Officer: TBD Hearing Date: Pending
2011-046 UniHealth Post-Acute Care - Brookhaven (DeKalb) Exception Skilled Nursing - Bariatric - Batching Agency Decision: Denied, 10/28/2011 Appealed By: UniHealth appealed the denial of their application, 11/23/2011. Hearing Officer: TBD Hearing Date: Pending
2011-048 Heritage Healthcare of Lilburn (Gwinnett) Exception Skilled Nursing - Bariatric - Batching Agency Decision: Denied, 10/28/2011 Appealed By: Heritage appealed the denial of their application, 11/23/2011. Hearing Officer: TBD Hearing Date: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2011018 Southern Molecular Imaging, LLC

Fixed MRI

Request received: 6/29/2011

Contact Person: William C. Lavely, MD 770-28-9291

Determination: Approved

Determination Date: 11/22/2011

LNR-EQT2011026 Ankle & Foot Centers of Georgia, LLC

Fixed MRI

Request received: 8/22/2011

Contact Person: Daren Mitchell 678-561-9927

Determination: Approved

Determination Date: 10/31/2011

LNR-EQT2011027 Piedmont Mountainside Hospital, Inc.

Hyperbaric System

Request received: 8/25/2011

Contact Person: Davis Dunbar 404-425-1344

Determination: Approved

Determination Date: 10/31/2011

LNR-EQT2011028 Ankle & Foot Centers of Georgia, LLC

Acquisition of MRI System

Request received: 8/26/2011

Contact Person: Daren Mitchell, CFO 678-561-9927

Determination: Approved

Determination Date: 10/31/2011

LNR-EQT2011029 Ankle & Foot Centers of Georgia, LLC

Acquisition of MRI System

Request received: 8/26/2011

Contact Person: Daren Mitchell, CFO 678-561-9927

Determination: Approved

Determination Date: 10/31/2011

LNR-EQT2011030 EHCA Johns Creek, LLC dba Emory Johns Creek Hospital Robotic Surgical System Request received: 8/29/2011 Contact Person: R. Craig McCoy 678-474-7003
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Determination: Approved

Determination Date: 11/2/2011

LNR-EQT2011031 Athens Neurological Associates, P.C.

Fixed MRI

Request received: 8/30/2011

Contact Person: Glinny Hunsinger 706-353-0606 Ext 205

Determination: Approved

Determination Date: 11/9/2011

LNR-EQT2011032 Fayette Community Hospital, Inc. dba Piedmont Fayette Hospital

Purchase Fixed Hyperbaric Systems (2)

Request received: 9/14/2011

Contact Person: Davis Dunbar 404-425-1344

Determination: Approved

Determination Date: 11/14/2011

LNR-EQT2011033 Glynn-Brunswick Hospital Authority dba Southeast Georgia Health da Vinci Robotic Surgical Device Request received: 9/26/2011 Contact Person: Carlton DeVooght 912-466-3269 Determination: Pending

LNR-EQT2011034 The Medical Center, Inc. Fixed, da Vinci Surgical System Request received: 10/13/2011 Contact Person: Donald Elder 706-660-6342 Determination: Pending
LNR-EQT2011035 DKUMAR,LLC dba Atlanta Hand Specialist Fixed MRI Request received: 10/27/2011 Contact Person: Viralkumar Patel, MD 770-333-7888 Determination: Pending
LNR-EQT2011036 Orthopedic Center. P.C. dba Optim Orthopedics Fixed CT Scanner Request received: 10/31/2011 Contact Person: Michael Kleinpeter 912-644-5370 Determination: Pending
LNR-EQT2011037 Da Imaging, Inc. Fixed Radiographic Equipment Request received: 11/14/2011 Contact Person: Rolando Alvarez 770-656-3959 Determination: Pending
LNR-EQT2011038 Cartersville Medical Center LLC dba Cartersville Medical Center Barchytherapy System Request received: 11/22/2011 Contact Person: Lori E. Rakes, FACHE 770-387-8181 Determination: Pending
LNR-EQT2011039 Georgia Sports Medicine and Orthopedic Clinic. PC Fixed MRI Request received: 11/23/2011 Contact Person: Drew Dorminey 229-387-1185 Determination: Pending

Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities
LNR-ASC2011016 North Atlanta Eye Surgery Center, LLC Physician-Owned, Single Specialty Ambulatory Surgery Center
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Site: 1515 Haw Creek Circle, Unit 1202, Cumming, GA 30041

Number of OR's: 2

Specialty: Ophthalmology

Project costs as submitted: $452,087.00

Request received: 8/18/2011

Contact Person: Joseph Ross 000-00-0000

Determination: Pending

LNR-ASC2011017 Northwest ENT Surgery Center, LLC

Develop Two (2) Room Outpatient Surgery Center

Site: 960 Woodstock Parkway, Woodstock, GA 30188-4866

Number of OR's: 2

Specialty: ENT

Project costs as submitted: $1,249,982.99

Request received: 10/17/2011

Contact Person: Joseph R. Ross 912-657-4687

Determination: Pending

LNR-ASC2011018 North Georgia Eye Surgery Center

Relocate Existing ASC

Site:

Number of OR's: 2

Specialty: Eye

Project costs as submitted: $3,562,549.00

Request received: 10/21/2011

Contact Person: Edward Luke, Jr 770-957-8427

Determination: Pending

LNR-ASC2011019 Paulsen Street Surgery Center, LLC

Develop a Single-Specialty Joint Venture Venture ASC

Site: 4700 Waters Avenue, Savannah,

Number of OR's: 4

Specialty: Orthopaedic Surgery

Project costs as submitted: $2,717,570.00

Request received: 10/25/2011

Contact Person: Robert Limyansky 770-394-8465

Determination: Pending

LNR-ASC2011020 Southeastern Orthopaedics

Establishment of a Physician-Owned, Single Specialty ASC

Site: 100 Doctors Drive, Suite 103, Douglas, GA 31533

Number of OR's: 1

Specialty: Orthopaedics

Project costs as submitted: $1,031,167.10

Request received: 10/28/2011

Contact Person: Kendra Streat 912-383-9789

Determination: Pending

LNR-ASC2011021 Meadows Gynecology Surgery Center, Inc.

PO Single Specialty ASC - Owner Dual Board Certified GYN and Plastics

Site: 30931 Highway 441 South, Commerce, GA

Number of OR's: 1

Specialty: Gynecology

Project costs as submitted: $1,252,318.00

Request received: 11/16/2011

Contact Person: Jill M. Shotzberger 404-995-6792

Determination: Pending

LNR-ASC2011022 Eye Surgery Center of Albany, LLC

Acquisition of 100% of Stock

Site: 2308 Palmyra Road, Albany, GA

Number of OR's:

Specialty: Ophthalmology

Project costs as submitted: $0.00

Request received: 11/18/2011

Contact Person:

Determination: Pending

12

Requests for Miscellaneous Letters of Determination
DET2011040 Smith of Georgia, LLC d/b/a Smith Northview Hospital Cardiac Cath Acquisition and Cardiac Cath Lab and OB Renovation Request received: 4/1/2011 Contact Person: Shamb Purohit 229-671-2002 Determination: Pending
DET2011060 MCG Health, Inc. Replacement of Siemens 1.5T MRI Request received: 5/6/2011 Contact Person: Shelia O'Neal 706-721-7406 Determination: Pending
DET2011067 Toccoa Healthcare Properties, Inc. Heritage Healthcare of Toccoa LLC Renovation of existing Nursing Facility below CON threshold Request received: 5/11/2011 Contact Person: Rachel Lee 678-533-6386 Determination: Pending

DET2011110 Northeast Georgia Medical Center, Inc. Renovate Inpatient Hospital Space Request received: 7/1/2011 Contact Person: Chad T. Bolton 770-219-6630 Determination: Pending

DET2011111 Northeast Georgia Medical Center Relocate Skilled Nursing Facility within the same County Request received: 7/5/2011 Contact Person: Chad T. Bolton 770-219-6630 Determination: Pending

DET2011112 Pioneer Community Hospital of Early, LLC

Re-Opening of Existing Surgical Department

Request received: 7/6/2011

Contact Person: Eden Blackwell 601-849-6440 ext 325

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

11/7/2011

DET2011120 Tenet Healthsystem GB, Inc. dba Atlanta Medical Center Relocate 12 Rehab Beds ; Convert Adult CP Unit to MedSurg Unit Request received: 7/22/2011 Contact Person: Robert Russell 404-265-4301 Determination: Non-reviewable as proposed Determination Date: 11/3/2011

DET2011126 Annandale at Suwanee, Inc. dba Annandale Village Construct a New PCH Facility Request received: 7/29/2011 Contact Person: Adam Pomeranz 770-932-4863 Determination: Non-reviewable as proposed Determination Date: 10/31/2011

DET2011129 Tattnall Hospital Company, LLC dba The Doctors Hospital of Tattnall Expansion of Surgical Facilities Request received: 8/1/2011 Contact Person: Michael Kleinpeter 912-644-5370 Determination: Non-reviewable as proposed Determination Date: 11/9/2011 Opposition: East Georgia Regional Medical Center, LLC- 8/31/2011
DET2011130 Jenkins County Hospital Hospital Renovation Request received: 8/1/2011 Contact Person: Michael Kleinpeter 912-644-5370 Determination: Pending

13

DET2011131 Tattnall Hospital Company, LLC dba The Doctors Hospital of Tattnall Medical Office Building Request received: 8/1/2011 Contact Person: Michael Kleinpeter 912-644-5370 Determination: Non-reviewable as proposed Determination Date: 11/9/2011 Opposition: East Georgia Regional Medical Center- 8/31/2011
DET2011134 Emory University dba Emory University Hospital Addition of Hospital Diagnostic Cardiac Catheterization Lab Request received: 8/3/2011 Contact Person: Toni Wimby 404-656-2450 Determination: Non-reviewable as proposed Determination Date: 11/15/2011
DET2011138 Radiology Associates of Macon, P.C. dba Central GA Radiation Oncology Upgrade and Addition to Varian 21 EX, #2446 Request received: 8/11/2011 Contact Person: Greg Cassimus 478-751-5869 Determination: Non-reviewable as proposed Determination Date: 11/3/2011
DET2011139 Hamilton Medical Center Upgrade of Chiller and Cooling Tower Request received: 8/29/2011 Contact Person: Jeffrey D. Myers 706-226-3003 Determination: Non-reviewable as proposed Determination Date: 11/2/2011
DET2011140 John D. Archbold Memorial Hospital Additional Interventional Cardiology/Radiology Lab Request received: 8/29/2011 Contact Person: Ken Brooker 229-228-2880 Determination: Non-reviewable as proposed Determination Date: 11/4/2011
DET2011142 Center for Podiatry Care P.C. dba Aiyan Diabetes Center Purchase CON-Approved ASC Request received: 8/31/2011 Contact Person: Janaki Nadarajah, C.P.M 706-868-0319 Determination: Pending
DET2011144 Douglas Hospital, Inc. dba WellStar Douglas Hospital Renovate Existing Hospital Space for an Inpatient Operating Room Request received: 9/1/2011 Contact Person: Stephen Vault 678-331-6887 Determination: Non-reviewable as proposed Determination Date: 11/9/2011
DET2011145 Gwinnett Hospital System, Inc. dba Gwinnett Medical Center - Lawrenceville Renovation of ICU Request received: 9/2/2011 Contact Person: Mark M. Mullins 678-312-4193 Determination: Pending
DET2011146 Tift County Hospital Authority dba Tift Regional Medical Center Development of a six-bed observation unit (non-licensed beds) Request received: 9/2/2011 Contact Person: Sarah Thompson 229-353-6102 Determination: Non-reviewable as proposed Determination Date: 11/10/2011
DET2011149 Altamaha Healthcare Center Roof Restoration and Fire Alarm Sprinkler System Request received: 9/14/2011 Contact Person: Deborah Sapp 912-427-7792 Determination: Non-reviewable as proposed Determination Date: 11/14/2011
DET2011150 The Emory Clinic, Inc. Reconfigure driveway, valet arrival/dropoff zones Request received: 9/16/2011
14

Contact Person: Mike Mason 404-778-5639 Determination: Non-reviewable as proposed Determination Date: 11/16/2011
DET2011151 Diagnostic Services, L.C. dba OMI Diagnostics - Douglasville Relocation of an Existing Freestanding Diagnostic Imaging Center Request received: 9/22/2011 Contact Person: Thomas Brown 678-802-1464 ext 11 Determination: Pending
DET2011152 Diagnostic Services, L.C. dba OMI Diagnositcs - Douglasville Replace Existing MRI Unit Request received: 9/22/2011 Contact Person: Thomas Brown 678-802-1464 ext 11 Determination: Pending
DET2011153 Diagnostic Services, L.C. dba OMI Diagnostics - Douglasville Replace Existing CT Unit Request received: 9/22/2011 Contact Person: Thomas Brown 678-802-1464 ext 11 Determination: Pending
DET2011154 Redmond Park Hospital, LLC dba Redmond Regional Medical Center Replacement of EP Laboratory Request received: 9/23/2011 Contact Person: Carlton Ulmer 706-802-3011 Determination: Pending
DET2011155 Saint Joseph's at East Georgia, Inc. Acquisition of Critical Access Hospital Request received: 9/23/2011 Contact Person: D. Montez Cater 706-206-8554 Determination: Non-reviewable as proposed Determination Date: 11/15/2011
DET2011156 Gwinnett Center for Outpatient Surgery Open Existing Unused Procedure Room Request received: 9/27/2011 Contact Person: N. Phillip Bennett, MBA CMPE CASC 770-979-8200 Determination: Pending
DET2011157 DeKalb Medical Center Replacement of CT Scanner Request received: 10/5/2011 Contact Person: Don Fears 404-501-5790 Determination: Pending
DET2011158 DeKalb Medical Center Replacement of MRI Request received: 10/5/2011 Contact Person: Don Fears 404-501-5790 Determination: Pending
DET2011159 Delmar Garden of Gwinnett Increase Number of Licensed Personal Care Home Beds Request received: 10/6/2011 Contact Person: Jennifer Thilo 770-923-3100 Determination: Pending
DET2011160 AmMed Holdings, Inc. dba Open MRI Centers of GA & AmMed Imag Replace Existing CON approved MRI system Request received: 10/6/2011 Contact Person: Thomas Brown 678-802-1464 Ext 11 Determination: Pending
15

DET2011161 Open MRI Centers of Georgia Merger and Consolidation of two separate DTRC's Request received: 10/6/2011 Contact Person: Thomas Brown 678-802-1464 Ext 11 Determination: Pending
DET2011162 Diagnostic Clinic of Athens, LLC dba Athens Diagnostic Center Replacement of a LNR Approved CT Unit Request received: 10/7/2011 Contact Person: Richard L. Gray 706-354-1039 Determination: Pending
DET2011163 St. Mary's Health Care System, Inc. Addition of one Therapeutic Cardiac Catheterization Request received: 10/11/2011 Contact Person: Nina Evans 706-389-3947 Determination: Pending
DET2011164 Georgia Health Science Health System, fka MCG Health, Inc. Replacement of Da Vinci Robot Surgical System Request received: 10/12/2011 Contact Person: Sheila O'Neal 706-721-3952 Determination: Pending
DET2011165 Piedmont Mountainside Hospital, Inc. Exemption for Adult Diagnostic Cardiac Catheterization Service Request received: 10/13/2011 Contact Person: Davis Dunbar 404-425-1344 Determination: Pending
DET2011166 Dogwood Forest of Marietta Increase of Licensed Bed Capacity Request received: 10/17/2011 Contact Person: Kia Crawford 678-566-0034 Determination: Pending
DET2011167 Phoebe Putney Memorial Hospital Replacement of MRI Request received: 10/18/2011 Contact Person: Lori Jenkins 229-312-1432 Determination: Pending
DET2011168 Vidalia Regional Cancer Center, LLC Modification of Approved Project GA2008068 Request received: 10/18/2011 Contact Person: Howard Holman 912-538-5889 Determination: Pending
DET2011169 Gwinnett Hospital System, Inc. dba Gwinnett Med Center - Lawrenceville Nuclear Medicine Camera Replacement Request received: 10/19/2011 Contact Person: Mark M. Mullin 678-312-4193 Determination: Pending
DET2011170 Polk Medical Center Transfer of Lease of Polk Medical Center Request received: 10/19/2011 Contact Person: Harold Wyatt, Jr. 706-748-1232 Determination: Pending
DET2011171 Piedmont Mountainside Hospital, Inc. Replacement of Existing CT Scanner at Satellite Outpatient Center Request received: 10/21/2011
16

Contact Person: Davis Dunbar 404-425-1344 Determination: Pending
DET2011172 Piedmont Mountainside Hospital Replacement of Existing CT Scanner Request received: 10/21/2011 Contact Person: Davis Dunbar 404-425-1344 Determination: Pending
DET2011173 Roswell Center for Foot and Ankle Surgery, LLC Podiatry Single Specialty ASC Request received: 10/26/2011 Contact Person: Portia Walker 404-257-0611 ext224 Determination: Pending
DET2011174 Stevens Park Health and Rehabilitation Center Relocate 58 SNF Beds Request received: 10/27/2011 Contact Person: Stelling Nelson 478-314-1560 ext 2261 Determination: Pending
DET2011175 Newnan Health and Rehabilitation Relocate 66 SNF Beds Request received: 10/27/2011 Contact Person: Stelling Nelson 478-314-1560 ext2261 Determination: Pending
DET2011176 UHS of Anchor, L.P. dba Anchor Hospital Add 11 Beds Under the Exemption Request received: 10/28/2011 Contact Person: Jennifer Morgan 770-991-6044 Determination: Pending Opposition: Acadia RiverWoods, LLC d/b/a RiverWoods Behavioral Health System- 11/28/2011
DET2011177 UHS of Anchor, L.P. dba Anchor Hospital Relocate Outpatient Partial Hospitalization Program Request received: 10/28/2011 Contact Person: Jennifer Morgan 770-991-6044 Determination: Pending
DET2011178 Endoscopy Center of Columbus, LLC Proposed Renovation of two (2) Class A Endoscopy Procedure Rooms Request received: 11/1/2011 Contact Person: Jean Patterson, RN, CGRN 706-641-6900 Determination: Pending
DET2011179 Treutlen County Hospital Authority Capital Expenditure Request received: 11/2/2011 Contact Person: Johnnie Brooks 912-529-4418 Determination: Pending
DET2011180 Cartersville Medical Center Replacement of MRI System Request received: 11/2/2011 Contact Person: Lori Rakes 770-387-8181 Determination: Pending
DET2011181 Wellstar Kennestone Hospital Replacement of a CT Scanner Request received: 11/3/2011 Contact Person: Steven Vault 648-331-6887 Determination: Pending
17

DET2011182 UniHealth Post-Acute Care - Lanier, LLC Renovation of existing Nursing Facility Request received: 11/4/2011 Contact Person: Aneel Gill 678-533-6699 Determination: Pending
DET2011183 Valdosta Orthopedic Associates, P.C. Continuation of MRI Services Request received: 11/4/2011 Contact Person: Ursuline Sookhoo 229-247-2290 Determination: Pending
DET2011184 Northside Hospital, Inc. dba Northside-Dunwoody Cancer Center Relocation of Existing Healthcare Facility from Dekalb to Fulton Request received: 11/4/2011 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2011185 C & A Investment Properties, LLC dba Tranquility of Dalton Construction of a Personal Care Home Request received: 11/8/2011 Contact Person: Chris Sheflett 706-581-3011 Determination: Pending
DET2011186 Bulloch County LTC, LLC dba Eagle Health and Rehabilitation Capital Expenditure Below CON Threshold Request received: 11/9/2011 Contact Person: Kay Gray 478-621-2221 Determination: Pending
DET2011187 Tanner Medical Center,- Villa Rica Replacement of CT Unit Request received: 11/10/2011 Contact Person: David Thornhill 770-836-9195 Determination: Pending
DET2011188 Henry Medical Center, Inc. Expand Adult Cardiac Catheterization Services from two to three rooms Request received: 11/16/2011 Contact Person: Charles F. Scott 678-604-1001 Determination: Pending

Requests for Extended Implementation/Effective Period

2010040 Flint River Hospital Establish a New 12-Bed Inpatient Geriatric Psych Unit Request to extend Implementation Date Site: 509 Sumter Street, Montezuma (Macon) Project Approved: 12/17/2010 Request Received: 10/31/2011 Contact: Philip Eastman, III, VP (770) 904-6731 Approved Cost: $200,000 Determination: Approved, 11/1/2011

Extended Mandatory Implementation Date: 9/17/2012

2010037 North Georgia Medical Center Add 10-Bed Senior Mental Health (Adult Psych) Program/Facility Renovations Request to extend Implementation Date Site: 1362 South Main Street, Ellijay (Gilmer) Project Approved: 12/17/2010 Request Received: 11/16/2011 Contact: Jeff Dunn, CEO (706) 540-4716
18

Approved Cost: $14,760,164 Determination: Approved, 11/17/2011

Extended Mandatory Implementation Date: 12/17/2012

2010021 Children's Healthcare of Atlanta Surgery Center at Meridian Mark Plaza, LLC

Ambulatory Surgery Center Expansion

Request to extend Completion Date

Site: 5445 Meridian Mark Road, Atlanta (Fulton)

Project Approved: 9/20/2010

Request Received: 11/18/2011

Contact: David Tatum, Chief Public Policy Officer (404) 785-7556

Approved Cost: $6,244,007

Determination: Approved, 11/18/2011

Extended Mandatory Completion Date: 1/30/2012

Need Projection Analyses Updated 9/23/2011
Current Status of Official Division of Health Planning Need Projection Analyses and Other Data Resources
Need Projections and Maps for CON Regulated Services

2016 Non-Special MegaVoltage Radiation Therapy - 6/21/2011 2016 Positron Emission Tomography Services - 6/22/2011 2016 Ambulatory Surgery Center Services - 9/23/2011 2014 Home Health Agency Services - 9/23/2011 2016 Inpatient Physical Rehabilitation Services - 9/23/2011 2016 Neonatal Intensive Care Beds - 9/23/2011 2016 Neonatal Intermediate Care Beds - 9/23/2011 2016 Obstetric Services Beds - 9/23/2011 2014 Skilled Nursing Home Beds - 9/23/2011 Non-Batched Need Projections 2015 Cardiac Catheterization Labs - Updated 4/6/2010 2016 Long Term Care Hospital Beds - 5/27/2011 2016 Short Stay Hospital Beds Facility-specific projections on an ad hoc basis using 2009 utilization

Non-Filed or Incomplete Division of Health Planning
Facility Surveys for Most Recent 3 Years (Survey Status as of November 29, 2011)
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 2008 thru 2010)

Bacon County Hospital

Bacon

2010

Burke Medical Center

Burke

2010

Crisp Regional Hospital

Crisp

2010

Dorminy Medical Center

Ben Hill

2010

Elbert Memorial Hospital

Elbert

2010

19

Survey Due
3/11/2011 3/11/2011 3/11/2011 3/11/2011 3/11/2011

Georgia Regional Hospital @ Savannah Georgia Regional Hospital at Savannah Liberty Regional Medical Center Northwest Georgia Regional Hospital Northwest Georgia Regional Hospital Stewart Webster Hospital Stewart Webster Hospital Stewart Webster Hospital Union General Hospital

Chatham Chatham Liberty Floyd Floyd Stewart Stewart Stewart Union

2008 2009 2010 2008 2010 2008 2009 2010 2010

Annual Nursing Home Questionnaire (Survey Years 2009 thru 2011)

Agape Health & Rehab of Moultrie, LLC

Colquitt

2011

Azalea Trace Nursing Center

Muscogee

2011

Bel Arbor Health & Rehabilitation

Bibb

2011

Bell Minor Home, The

Hall

2011

Brown's Health & Rehabilitation Center

Bulloch

2011

Carrollton Manor, Incorporated

Carroll

2011

Church Home For The Aged

Houston

2011

College Park Health Care Center

Fulton

2011

Eastview Nursing Center

Bibb

2011

Emanuel County Nursing Home

Emanuel

2011

Folkston Park Care And Rehabilitation Center

Charlton

2011

Glendale Nursing Home

Jefferson

2011

Golden LivingCenter - Augusta

Richmond

2011

Golden LivingCenter - Decatur

DeKalb

2011

Golden LivingCenter - Medical Arts

Gwinnett

2011

Golden LivingCenter - Northside

Fulton

2011

Golden LivingCenter - Rome

Floyd

2011

Goodwill Nursing Home Inc

Bibb

2011

Gracewood Development Ctr - ICF/MR

Richmond

2011

Gracewood Nursing Facility (Unit 9) Hamilton House Nursing And Rehabilitation Center

Richmond Muscogee

2011 2011

Hutcheson Medical Center

Catoosa

2011

Joe-Anne Burgin Nursing Home

Randolph

2011

Lumber City Nursing & Rehabilitation Center

Telfair

2011

Manor Care Rehabilitation Center - Decatur

DeKalb

2011

Manor Care Rehabilitation Center - Marietta

Cobb

2011

Meadowbrook Health Care

DeKalb

2011

Meadows Nursing Center

Toombs

2011

Mitchell County Nursing Homes

Mitchell

2011

New London Health Center

Gwinnett

2011

Northwest Georgia Regional Hospital ICF/MR

Floyd

2011

Oceanside Nursing & Rehab Center

Chatham

2011

Parkside At Hutcheson Medical Center

Walker

2011

Pinehill Nursing Center, Inc

Dooly

2011

Pinewood Nursing Center

Grady

2011

Powder Springs Nursing & Rehabilitation Center

Cobb

2011

Savannah Beach Nursing & Rehab Center

Chatham

2011

Savannah Specialty Care Center

Chatham

2011

Savannah Square Health Center

Chatham

2011

Scepter Health & Rehab of Snellville, LLC

Gwinnett

2011

Southland Healthcare And Rehabilitation Center

Laurens

2011

Twin Oaks Convalescent Center

Bacon

2011

Warm Springs Medical Center Nursing Home

Meriwether

2011

Warner Robins Rehabilitation Center

Houston

2011

20

9/18/2009 3/12/2010 3/11/2011 9/18/2009 3/11/2011 9/18/2009 3/12/2010 3/11/2011 3/11/2011
9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011

Westminster Commons Westview Nursing & Rehabilitation Center

Fulton Chatham

2011 2011

Cardiac Catheterization Services Survey (Survey Years 2008 thru 2010)

Cardiovascular Services of Atlanta, LLC

Fulton

2010

Grady Memorial Hospital

Fulton

2010

Hutcheson Medical Center

Catoosa

2010

Freestanding Ambulatory Surgery Services Survey (Survey Years 2008 thru 2010)

Academy Orthopedics, Llc

FORSYTH

2008

Afa Ambulatory Surgery Center

BIBB

2008

Afa Ambulatory Surgery Center

BIBB

2009

Afa Ambulatory Surgery Center

BIBB

2010

Affinity Outpatient Service

Tift

2008

Akstein Eye Center, P.c.

CLAYTON

2009

Akstein Eye Center, P.c.

CLAYTON

2010

Ambulatory Foot & Leg Surg Ctr

COBB

2008

Ambulatory Laser & Surgery Ctr

CLAYTON

2008

Ambulatory Laser & Surgery Ctr

CLAYTON

2009

Ambulatory Laser & Surgery Ctr Ambulatory Plastic Surgery Center, Inc

CLAYTON MUSCOGEE

2010 2008

Ambulatory Plastic Surgery Center, Inc

MUSCOGEE

2009

American Eye Surgery Center, Inc

CLARKE

2010

Associates Physicians Asc

BIBB

2008

Associates Physicians Asc

BIBB

2009

Associates Physicians Asc

BIBB

2010

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

2010 2009

Atlanta Plastic & Reconst Surg

FULTON

2008

Atlanta Plastic & Reconst Surg

FULTON

2009

Atlanta South Endoscopy Center, Llc

CLAYTON

2009

Atlanta South Endoscopy Center, Llc

CLAYTON

2010

Atlanta Surgical Center

FULTON

2010

Atlanta West Endoscopy Center, Llc

DOUGLAS

2009

Atlanta West Endoscopy Center, Llc

DOUGLAS

2010

Augusta Aesthetic Surgery, Llc

RICHMOND

2010

Augusta Endoscopy Center

COLUMBIA

2009

Augusta Endoscopy Center

COLUMBIA

2010

Bowman Pain Management, Pc

BIBB

2008

Bowman Pain Management, Pc

BIBB

2009

Buckhead Facial Plastic Surgery

FULTON

2008

Buckhead Mohs Surgical Center, LLC

FULTON

2010

Center For Pl & Recon Surgery

CLARKE

2008

Center For Pl & Recon Surgery

CLARKE

2009

Center For Pl & Recon Surgery

CLARKE

2010

Center For Spine & Pain Medicine

WHITFIELD

2009

Center For Spine & Pain Medicine

WHITFIELD

2010

Clayton Cataract and Laser Surgery Center

Clayton

2008

Clayton Outpatient Surg Ctr

CLAYTON

2008

Clayton Outpatient Surg Ctr

CLAYTON

2010

Cliff Valley Clinic

DEKALB

2010

Coastal Empire Plastic Surgery

CHATHAM

2009

Cobb Endoscopy Center, Llc

COBB

2008

21

9/16/2011 9/16/2011
7/1/2011 7/1/2011 7/1/2011
7/31/2009 7/31/2009 3/12/2010 3/11/2011 7/31/2009 3/12/2010 3/11/2011 7/31/2009 7/31/2009 3/12/2010 3/11/2011 7/31/2009 3/12/2010 3/11/2011 7/31/2009 3/12/2010 3/11/2011 7/31/2009 7/31/2009 3/11/2011
3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/11/2011 3/11/2011 3/12/2010 3/11/2011 3/11/2011 3/12/2010 3/11/2011 7/31/2009 3/12/2010 7/31/2009 3/11/2011 7/31/2009 3/12/2010 3/11/2011 3/12/2010 3/11/2011 7/31/2009 7/31/2009 3/11/2011 3/11/2011 3/12/2010 7/31/2009

Cobb Endoscopy Center, Llc Coffee County Center For Digestive Disease 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 Endo Ctr Mountainside Digestive Healthcare Of Ga Endoscopy Ctr Digestive Healthcare Of Ga Endoscopy Ctr Dublin Eye Surgery Center Dublin Orthopaedics Asc, Inc Endoscopy Center, Llc, The Endoscopy Center, Llc, The Endoscopy Consultants, Llc Endoscopy Consultants, 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 Foot & Ankle Surgery Ctr, Llc, The Forsyth Surgical Center, Inc. Forsyth Surgical Center, Inc. Forsyth Surgical Center, Inc. Friendship Surgery Center GA Urology, PA Cobb Ambulatory Surgery Center Ga Urology, Pa Rockdale Ambulatory Surgery Ctr Gainesville Endoscopy Center, Llc Gainesville Eye Center, Llc Gainesville Surgery Center Gastrointestinal Endoscopy Of Gwinnett Georgia Pain Physicians dba Georgia Surgical Centers of North Georgia GEORGIA PAIN SPINE CENTER, LLC Georgia Surgical Centers- South Georgia Surgical Ctrs Of N Ga Georgia Surgical Ctrs Of N Ga Golden Isles Foot Sur Ctr, Inc Gwinnett Endoscopy Center Island Surgery Center, Inc 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 Macon Pain Center, Pc Metro Atlanta Endoscopy Metro Atlanta Endoscopy Midtown Endoscopy Center, Llc Newnan Foot & Ankle Surgery Center, Llc Newnan Foot & Ankle Surgery Center, Llc Newnan Foot & Ankle Surgery Center, Llc North Fulton Diagnostic Gastrointestinal Center

COBB COFFEE Muscogee WHITFIELD WHITFIELD PICKENS PICKENS FULTON FULTON LAURENS LAURENS CHATHAM CHATHAM FULTON FULTON CHATHAM CHATHAM LOWNDES DOUGHERTY HOUSTON MUSCOGEE MUSCOGEE MUSCOGEE FORSYTH FORSYTH FORSYTH HALL COBB ROCKDALE HALL HALL Hall GWINNETT GORDON
COBB CLAYTON GORDON GORDON GLYNN GWINNETT GLYNN GLYNN NEWTON GWINNETT GWINNETT LOWNDES BIBB BIBB FULTON FULTON FULTON COWETA COWETA COWETA FULTON
22

2009 2009 2009 2009 2008 2009 2010 2008 2009 2009 2010 2008 2009 2008 2010 2008 2009 2009 2008 2008 2008 2009 2010 2008 2009 2010 2008 2010 2008 2009 2009 2010 2008 2010
2010 2008 2008 2009 2010 2008 2009 2010 2010 2009 2008 2008 2009 2010 2008 2010 2008 2008 2009 2010 2008

3/12/2010 3/12/2010 3/12/2010 3/12/2010 7/31/2009 3/12/2010 3/11/2011 7/31/2009 3/12/2010 3/12/2010 3/11/2011 7/31/2009 3/12/2010 7/31/2009 3/11/2011 7/31/2009 3/12/2010 3/12/2010 7/31/2009 7/31/2009 7/31/2009 3/12/2010 3/11/2011 7/31/2009 3/12/2010 3/11/2011 7/31/2009 3/11/2011 7/31/2009 3/12/2010 3/12/2010 3/11/2011 7/31/2009 3/11/2011
3/11/2011 7/31/2009 7/31/2009 3/12/2010 3/11/2011 7/31/2009 3/12/2010 3/11/2011 3/11/2011 3/12/2010 7/31/2009 7/31/2009 3/12/2010 3/11/2011 7/31/2009 3/11/2011 7/31/2009 7/31/2009 3/12/2010 3/11/2011 7/31/2009

North Fulton Diagnostic Gastrointestinal Center North Georgia Endoscopy Center, Inc North Georgia Endoscopy Center, Inc North Georgia Endoscopy Center, Inc North Georgia Eye Surgery Center, Llc North Georgia Eye Surgery Center, Llc North Georgia Eye Surgery Center, Llc North Georgia Foot & Ankle Surgery Center North Georgia Institute For Wound Care, Llc Northeast Endoscopy Center, Llc Northeast Georgia Urological Surgery Center, Llc Northern Crescent Endoscopy Northside Foot & Ankle Outpat Northside Surgery Center, Inc. Northside Women's Clinic Northview Orthopaedic Surgery Center NORTHWEST ENDOSCOPY CENTER Orthopedic Surgery Center, L.P. Orthopedic Surgery Center, L.P. Paces Plastic Surgery Center Paces Plastic Surgery Center Pain Clinic Of Aimr, P.c. Perimeter Surgery Center of Atlanta Piedmont Eye Piedmont Surgery Center Pinnacle Orthopaedics Surgery Center-Austell, LLC Plastic Surgery Ctr Land, The Plastic Surgery Ctr Land, The Plastic Surgery Ctr Land, The Podiatric Surgi Center Podiatric Surgi Center Professional Eye Surgery Ctr Pulliam Ambulatory Surg Ctr Pulliam Ambulatory Surg Ctr Pulliam Ambulatory Surg Ctr Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Foot And Ankle Surgery Center Rome Surgical Center, P C Rome Surgical Center, P C Rome Surgical Center, P C Roswell Center for Foot and Ankle Surgery Samson Pain Center, Pc Samson Pain Center, Pc Samson Pain Center, Pc Savannah Pain Center, Llc Savannah Pain Center, Llc Savannah Pain Center, Llc Seaside Surgical, Llc South Georgia Surgery Center South Georgia Surgery Center ( Brunswick ) Southeast Treatment Center, Llc Southeastern Pain Ambulatory Surgery Center, Llc Southern Bone & Joint, Llc

FULTON CHEROKEE CHEROKEE CHEROKEE HALL HALL HALL Catoosa FORSYTH GWINNETT HALL FULTON GWINNETT FULTON DeKalb LUMPKIN COBB Chatham Chatham FULTON FULTON FULTON Fulton FULTON BIBB COBB CHATHAM CHATHAM CHATHAM DEKALB DEKALB WHITFIELD NEWTON NEWTON NEWTON FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD Fulton CHEROKEE CHEROKEE CHEROKEE CHATHAM CHATHAM CHATHAM GLYNN Ware GLYNN CAMDEN FULTON COWETA
23

2009 2008 2009 2010 2008 2009 2010 2010 2010 2009 2010 2008 2009 2010 2010 2008 2009 2009 2010 2009 2010 2010 2010 2008 2010 2010 2008 2009 2010 2008 2009 2010 2008 2009 2010 2008 2009 2010 2008 2008 2009 2010 2010 2008 2009 2010 2008 2009 2010 2010 2008 2008 2010 2008 2009

3/12/2010 7/31/2009 3/12/2010 3/11/2011 7/31/2009 3/12/2010 3/11/2011 3/11/2011 3/11/2011 3/12/2010 3/11/2011 7/31/2009 3/12/2010 3/11/2011 3/11/2011 7/31/2009 3/12/2010 3/12/2010 3/11/2011 3/12/2010 3/11/2011 3/11/2011 3/11/2011 7/31/2009 3/11/2011 3/11/2011 7/31/2009 3/12/2010 3/11/2011 7/31/2009 3/12/2010 3/11/2011 7/31/2009 3/12/2010 3/11/2011 7/31/2009 3/12/2010 3/11/2011 7/31/2009 7/31/2009 3/12/2010 3/11/2011 3/11/2011 7/31/2009 3/12/2010 3/11/2011 7/31/2009 3/12/2010 3/11/2011 3/11/2011 7/31/2009 7/31/2009 3/11/2011 7/31/2009 3/12/2010

Southern Crescent Endoscopy Summit Endoscopy Center, L L C Summit Endoscopy Center, L L C Surgery Center of BJI, LLC Surgical Centers of Georgia Thomas Eye Surgery Center Tifton Endoscopy Center, Inc. Universal Ambulatory Surgery Center, P C Universal Ambulatory Surgery Center, P C Urology Center Of Georgia Llc Urology Center Of Georgia Llc Urology Surgery Center Of Savannah, Lp Urology Surgical Partners, Llc Urology Surgical Partners, Llc Valdosta Endoscopy Center, Llc Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery Wellbrook Endoscopy Center Wellbrook Endoscopy Center (covington) West Georgia Endoscopy Center, Llc West Metro Endoscopy Center, Llc Westside Endoscopy Center, P C WESTSIDE SURGERY CENTER, LLC (d/b/a ENT of Coffee County) Woodhams Laser & Lens Implant Woodhams Laser & Lens Implant Woodstock Endoscopy Ctr, Llc WOOLFSON AMBULATORY SURGERY CENTER, LLC

HENRY FAYETTE FAYETTE WAYNE Bibb FULTON TIFT MUSCOGEE MUSCOGEE BIBB BIBB CHATHAM FULTON FULTON LOWNDES LOWNDES LOWNDES LOWNDES ROCKDALE NEWTON CARROLL DOUGLAS COBB COFFEE
FULTON FULTON CHEROKEE FULTON

2008 2009 2010 2010 2010 2009 2010 2008 2010 2008 2010 2010 2008 2010 2010 2008 2009 2010 2010 2010 2010 2008 2010 2010
2009 2010 2008 2010

Home Health Agency Survey (Survey Years 2008 thru 2010)

Appalachian Home Health Care

Union

AseraCare Home Health

DeKalb

CareOne Health Services

DeKalb

Intrepid USA Healthcare Services

Glynn

2010 2010 2010 2010

Hospital Financial Survey (Survey Years 2008 thru 2010)

Devereux Georgia Treatment Network

Cobb

Mountain Lakes Medical Center

Rabun

Stewart Webster Hospital

Stewart

Youth Villages - Inner Harbour Campus

Douglas

2008 2010 2008 2010

Open Heart Surgery Services Survey (Survey Years 2008 thru 2010)
All surveys filed for most recent 3 years.

Positron Emission Tomography Services Survey (Survey Years 2008 thru 2010)

Battlefield Imaging Center

Catoosa

2009

Battlefield Imaging Center

Catoosa

2010

Radiation Therapy Services Survey (Survey Years 2008 thru 2010)

Central Georgia Radiation Oncology Center - Bibb

Bibb

2008

Central Georgia Radiation Oncology Center - Houston Houston

2008

Columbus Radiation Oncology

Muscogee

2010

Hutcheson Medical Center

Catoosa

2010

Northeast Georgia Cancer Care

Clarke

2008

Northeast Georgia Medical Center

Hall

2010

Oconee Regional Cancer Center

Laurens

2010

Satilla Regional Cancer Treatment Center

Ware

2010

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7/31/2009 3/12/2010 3/11/2011 3/11/2011 3/11/2011 3/12/2010 3/11/2011 7/31/2009 3/11/2011 7/31/2009 3/11/2011 3/11/2011 7/31/2009 3/11/2011 3/11/2011 7/31/2009 3/12/2010 3/11/2011 3/11/2011 3/11/2011 3/11/2011 7/31/2009 3/11/2011 3/11/2011
3/12/2010 3/11/2011 7/31/2009 3/11/2011
3/11/2011 3/11/2011 3/11/2011 3/11/2011
9/30/2009 7/8/2011
9/30/2009 7/8/2011
4/30/2010 4/29/2011
8/7/2009 8/7/2009 4/29/2011 4/29/2011 8/7/2009 4/29/2011 4/29/2011 4/29/2011

South Georgia Center for Cancer Care Toccoa Cancer Center

Bulloch Stephens

2010 2010

4/29/2011 4/29/2011

Indigent and Charity Care Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3
Years (Commitment status as of 11/29/2011)

Facility Name
Albany Surgery Center, Llp Atlanta Eye Surgery Center at Omni West Clayton Cataract and Laser Surgery Center Dennis Surgery Center, Inc. G.I. Endoscopy Center Gwinnett Endoscopy Services - Duluth North Georgia Outpatient Surg Northside Foot & Ankle O P Sc Northside Foot & Ankle Outpat Resurgens Surgical Center Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Plastic Surgicenter, Inc. Savannah Plastic Surgicenter, Inc. Schulze Surgery Center, Inc. South Georgia Surgery Center Specialty Surgery Center, Inc. Spivey Station Surgery Center Surgery Center of Columbia County Surgery Center, LLC, The Surgery Center, LLC, The Surgical Suite, The Amedisys Home Health of Covington Amedisys Home Health of Macon Amedisys Home Health of Valdosta AseraCare Home Health AseraCare Home Health Careone Home Health Services, Inc. (Toombs) Central Home Health Health, Douglasville, an Amedisys Company Community Home Health, an Amedisys Company CSRA Home Health- Columbia, Inc. Gentiva Health Services Gentiva Health Services - Atlanta Gentiva Health Services - Savannah Guardian Home Care of Central Georgia Guardian Home Care of Northeast Georgia Guardian Home Care, LLC Healthfield Home Health of Atlanta Healthfield Home Health of Griffin Healthfield Home Health, Inc. Healthfield of Southwest Georgia Pediatric Services of America - Norcross Pediatric Services of America, Inc - Bibb Southside Medical Home Health Staff Builders Home Health, an Amedisys Company Tugaloo Home Health Agency - Gainesville Tugaloo Home Health Agency - Lavonia

County
DOUGHERTY Fulton Clayton FULTON CLAYTON Gwinnett GORDON HALL GWINNETT FULTON Chatham

Year
2010 2009 2010 2010 2010 2010 2010 2010 2010 2010 2008

Shortfall Due Service
38,801.81 Ambulatory Surgery Center 1,665.20 Ambulatory Surgery Center
13,418.77 Ambulatory Surgery Center 16,719.75 Ambulatory Surgery Center 75,209.04 Ambulatory Surgery Center 29,339.64 Ambulatory Surgery Center 16,008.93 Ambulatory Surgery Center 10,443.33 Ambulatory Surgery Center 19,902.09 Ambulatory Surgery Center 1,203,614.79 Ambulatory Surgery Center 63,987.36 Ambulatory Surgery Center

Chatham Chatham Chatham Ware FULTON Clayton Columbia Muscogee Muscogee FULTON Newton Bibb Lowndes DeKalb DeKalb Toombs Douglas

2008 2009 2010 2010 2010 2010 2010 2009 2010 2010 2010 2010 2010 2008 2009 2010 2010

44,959.32 36,419.70 25,369.55 11,500.12
9,376.56 55,170.93 354,974.10 114,593.31 124,405.19
4,689.30 70,112.73 181,236.98
7,553.48 123.78
1,732.59 45,926.04 293,945.93

Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency

Cherokee McDuffie Muscogee Fulton Chatham Oconee Hall Fulton Forsyth Spalding Fulton Decatur Gwinnett Bibb DeKalb Gwinnett Hall Franklin

2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010
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26,255.06 49,172.23 14,330.10 27,142.14 11,247.67 43,088.86 36,843.59 127,670.73
9,740.23 33,092.06 141,771.40
1,748.86 360.68 276.95
4,224.15 106,573.04 102,582.06 130,639.50

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

Ultra Care of Georgia Battlefield Imaging Center Northlake Cancer Treatment Center

Muscogee Catoosa DeKalb

2010 2008 2010

18,900.71 47,397.70 21,700.70

Home Health Agency PET Services Radiation Therapy

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

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. 31-643(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.
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The requirements for Notices of Intent associated with designated Batching Cycles will be issued at the time of publication of the Batching Notice.
27

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:

FALL

Batched Service

Batching Notice

Home Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Ambulatory Surgery

September

PET, Mega Voltage Radiation Therapy, Pediatric Cath/Open Heart, Adult Open Heart,
Psych/Substance Abuse, Birthing Centers

December

Letter of Intent
October
January

Application Deadline November
February

WINTER

Home Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Ambulatory Surgery

March

April

May

SPRING

PET, Mega Voltage Radiation Therapy, Pediatric Cath/Open Heart, Adult Open Heart,
Psych/Substance Abuse, Birthing Centers

June

July

August

SUMMER

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.

Fall Batching Notifications Posted 9/23/2011 on DCH Website
Fall Batching Review Cycle Notifications

Ambulatory Surgery Home Health Agencies
Obstetrical Services

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

Need Projections can be found on the DHP Need Projections Page

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

Batching Notice
(June 22, 2011)

Application Day
(application complete when
submitted; review cycle begins same
day)
August 21, 2011 (Rollover date: due by 12 noon August 22, 2011)

75th Day
(applicant provides additional information)
(November 3, 2011)

100th Day
(last day for letters of support to be submitted to Department)
November 28, 2011

120th Day
(Department Issues
decision)
(December 18, 2011)

Letter of Intent
(due by 5pm July 22, 2011)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(October 19, 2011)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(November 18, 2011)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(December 8, 2011)

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)

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

Batching Notice
(September 23, 2011)

Application Day
(application complete when
submitted; review cycle begins same
day)
(due by 12 noon November 22, 2011)

75th Day
(applicant provides additional information)
(February 4, 2012)

100th
Day
(last day for letters of support to be submitted to
Department)
(February 29, 2012)

120th Day
(Department Issues
decision)
(March 20, 2012)

Letter of Intent
(October 23, 2011 - Rollover date: due by 5pm October 24, 2011)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(January 20, 2012)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(February 19, 2012)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(March 10, 2012)

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)

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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 must be
submitted by 3 PM
(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). Applications submitted after 3:00 M PM will be considered received on the next business day.
Application deemed complete; 120-day review cycle begins
60-day meeting (applicant only); deadline for receipt of opposition letter(s)
75th day applicant provides additional information
90th day Opposition Meeting(s) scheduled; applicant can be in attendance; opposing parties must provide written statement of opposition arguments presented (original and one copy to the Department and one copy to the applicant); presentation time will be limited; Department reserves right to make additional inquiries subsequent to 60-day meeting and following opposition meeting.
100th day Last day for letters of support to be submitted to the Department
110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposition; applicant deadline for providing written response to Department's inquiries subsequent to opposition meeting
120th day Decision issued (Department has discretion to extend to 150th day)

31

NEW REPORTING REQUIREMENTS
Beginning July 1, 2008, all facilities operating under a previously granted exemption or letter of nonreviewability as provided at O.C.G.A. 31-6-40(c)(2)(A) will be required to:
Provide notice to the department by August 15, 2008, of the following: Name Ownership Location Single Specialty Services provided in the exempt facility
For purposes of complying with this requirement, notice may be sent through the mail, by facsimile, or e-mail. Information will not be accepted by telephone. Please submit this information to:
Georgia Department of Community Health Division of Health Planning c/o Matthew Jarrard 2 Peachtree Street, NW 5th Floor Atlanta, Georgia 30303 Fax Number: 404-656-0654 E-mail address: mjarrard@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.
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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
Division of Health Planning Contact Information
For general questions related to the Division of Health Planning, questions concerning Health Planning surveys, indigent and charity care commitment shortfalls, and all other matters please contact Matthew Jarrard, Director (mjarrard@dch.ga.gov)
For questions concerning pending Certificate of Need applications please contact Bruce Henderson, Senior Reviewer (bhenderson@dch.ga.gov)
For LNR/DET letters and for CON related matters please contact Roxana Tatman, Legal Director, Health Planning (rtatman@dch.ga.gov )

33