Use the links below for easy navigation 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Recently Approved Applications DIVISION OF HEALTH PLANNING CERTIFICATE OF NEED Recently Denied Applications Withdrawn CON Applications Appealed Determinations Appealed CON Projects Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities November 23,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 2 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 3 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 4 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 5 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 6 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 7 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. 8 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 9 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 10 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 11 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 24 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 25 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. 26 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 28 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) 29 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) 30 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. 32 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