Certificate-of-need tracking and appeals report [Jan. 18-24, 2012]

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Letters of Intent

Letters of Intent Winter Batching

Expired Letters of Intent

New Applications

Pending Review/Incomplete Applications Pending Review/Complete Applications
Pending Review/Complete/Joined Applications Recently Approved Applications Recently Denied Applications Withdrawn CON Applications

DIVISION OF HEALTH PLANNING
CERTIFICATE OF NEED

Appealed Determinations

Appealed CON Projects

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

January 18, 2012 January 24, 2012

Requests for LNR for Diagnostic or Therapeutic Equipment

Requests for Miscellaneous Letters of Determination
Requests for Extended Implementation/Performance Period
Batching Notifications Winter
Need Projection Analyses Non-Filed or Incomplete Surveys
Indigent-Charity Shortfalls

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

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

Certificate of Need Appeal Panel Contact Information
What's New with CON ?

Letters of Intent

LOI2011109 Crisp Regional Hospital

Expansion and Renovation of its Emergency Department and 26 Parking Spaces

Received: 12/27/2011

Application must be submitted on: 1/26/2012

Site: 902 N. 7th Street, Cordele, GA 31015 (Crisp County)

Estimated Cost: $6,580,227

LOI2012001 Landmark Hospital of Savannah

50-Bed Freestanding LTAC Hospital

Received: 1/18/2012

Application must be submitted on: 2/17/2012

Site: 1800 E. 63rd Street, Savannah, GA 31404 (Chatham County)

Estimated Cost: $24,000,000

Letters of Intent Winter Batching

Megavoltage Radiation Therapy

LOI2012002 Northside Hospital - Forsyth

Establish a special purpose Megavoltage Radiation Therapy Gamma Knife

Received: 1/23/2012

Application must be submitted on: 2/20/2012

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

Estimated Cost: $8,000,000

Positron Emission Tomography Services

LOI2012003 Piedmont Newnan Hospital

Establish a Fixed-Based PET/CT Scanner

Received: 1/23/2012

Application must be submitted on: 2/20/2012

Site: 20 Francis Way, Sharpsburg, GA 30277 (Coweta County)

Estimated Cost: $2,667,721

LOI2012004 Emory-Adventist Hospital at Smyrna

Establish a Mobile PET/CT Scanner

Received: 1/23/2012

Application must be submitted on: 2/20/2012

Site: 3949 South Cobb Drive, Smyrna, GA 30080 (Cobb County)

Estimated Cost: $30,000

Expired Letters of Intent

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

LOI2011105 Atlanta MRI, LLC

Convert an Existing LNR Mobile Imaging Center to a CON Freestanding Mobile MRI Unit

Received: 11/29/2011

Application must be submitted on: 12/29/2011

Site: 3631 Chamblee-Tucker Road, Atlanta, GA 30341 (DeKalb County)

Estimated Cost: $100,000

New Applications
2012-001 Medical Center of Central Georgia Replace, Upgrade, and Expand Telemetry System throughout the Hospital
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Filed: 1/11/2012 Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: Bryan Forlines 478-633-6966 Estimated Cost: $3,769,252
2012-002 Northside Hospital Acquisition of da Vinci Robotic Surgery System Filed: 1/23/2012 Site: 1000 Johnston Ferry Road, Atlanta, GA 30342 (Fulton County) Contact: Brian Toporek 404-851-6821 Estimated Cost: $3,341,200
2012-003 Northside Hospital Renovation/Expansion of Extended Recovery Unit and Cafeteria Filed: 1/23/2012 Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County) Contact: Brian Toporek 404-851-6821 Estimated Cost: $29,656,290
Pending Review/Incomplete Applications
none
Pending Review/Complete Applications
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, Dir of 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 Acquisition 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
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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 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
2011-070 Phoebe Putney Medical Office Building 1
Renovate space on the first and second floors at the MOB Filed: 10/17/2011 Deemed Incomplete: 10/28/2011 Deemed Complete: 12/1/2011 60th Day Deadline: 1/29/2012 Decision Deadline: 3/29/2012 Site: 2709 Meredyth Drive, Albany, GA 31707 (Dougherty County) Contact: Lori Jenkins, Manager of Planning 229-312-1432 Estimated Cost: $4,350,638
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
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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 Multi-Specialty ASC Filed: 11/22/2011 Deemed Complete: 11/22/2011 60th Day Deadline: 1/20/2012 Decision Deadline: 3/20/2012 Site: 1295 Prince Avenue, Athens, GA 30606 (Clarke County) Contact: Jeffrey C. Baxter 706-475-1195 Estimated Cost: $7,580,000
2011-077 Woodstock Diagnostic Imaging
Convert an Existing LNR to a DTRC Filed: 12/2/2011 Deemed Complete: 12/9/2011 60th Day Deadline: 2/6/2012 Decision Deadline: 4/6/2012 Site: 300 Park Brooke Place, Suite 170, Woodstock, GA 30189 (Cherokee County) Contact: Per Normark 770-300-0101 Estimated Cost: $196,500
2011-078 Statesboro Imaging Center
Conversion of Physician-Owned LNR to a DTRC and MRI Replacement Filed: 12/5/2011 Deemed Complete: 12/9/2011 60th Day Deadline: 2/6/2012 Decision Deadline: 4/6/2012 Site: 8 Lester Road, Statesboro, GA 30458 (Bulloch County) Contact: Tara Jeffers 912-764-5656 Estimated Cost: $1,429,604
2011-079 Houston Medical Center
Expansion and Renovation of Cardiac Catheterization Services Filed: 12/7/2011 Deemed Incomplete: 12/19/2011 Deemed Complete: 1/4/2012 60th Day Deadline: 3/3/2012 Decision Deadline: 5/2/2012 Site: 1601 Watson Boulevard, Warner Robins, GA 31093 (Houston County) Contact: Cary Martin, Chief Executive Order 478-542-5040 Estimated Cost: $8,078,735
2011-080 OMI Diagnostics - Lake Hearn
Conversion to DTRC Filed: 12/14/2011 Deemed Complete: 12/30/2011 60th Day Deadline: 2/27/2012 Decision Deadline: 4/27/2012
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Site: 1100 Lake Hearn Drive, Suite 150, Sandy Springs, GA 30342 (Fulton County) Contact: Thomas Brown, Jr. President 678-802-1464 Estimated Cost: $2,281,056
2011-081 Augusta Open MRI Conversion of Existing LNR to DTRC Filed: 12/14/2011 Deemed Complete: 12/29/2011 60th Day Deadline: 2/26/2012 Decision Deadline: 4/26/2012 Site: 3685 Wheeler Road, Suite 100, Augusta, GA 30909 (Richmond County) Contact: Richard Taylor, CFO 502-403-1534 Estimated Cost: $15,000
2011-082 Northside Hospital - Forsyth Add Interventional Radiology Room Filed: 12/21/2011 Deemed Complete: 1/9/2012 60th Day Deadline: 3/8/2012 Decision Deadline: 5/7/2012 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek, Senior Planner 404-851-6821 Estimated Cost: $2,700,474
Pending Review/Complete/Joined Applications
none
Recently Approved 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 APPROVED: 12/29/2011 Site: 12825 White Bluff Road, Savannah, GA 31419 (Chatham County) Contact: Rachel Lee 770-279-6200 Estimated Cost: $5,299,903
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 APPROVED: 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
2011-061 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 APPROVED: 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
2011-062 MRI & Imaging of North Fulton Replace MRI and CT Scanners in Roswell
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Filed: 8/29/2011 Deemed Complete: 9/13/2011 60th Day Deadline: 11/11/2011 Decision Deadline: 1/10/2012 APPROVED: 1/10/2012 Site: 1400 Hembree Road, Roswell, GA 30076 (Fulton County) Contact: Per B. Normark 678-992-7311 Estimated Cost: $2,247,012
Recently Denied Applications
none
CON Applications Withdrawn
None
Appealed Determinations
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. Oral arguments scheduled for 1/31/2012. Hearing scheduled on 2/23/2012 2/24/2012.
Appealed CON Projects
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 pending. Hearing is now scheduled for March 26 30, 2012.
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: Affirmed Hearing Officer Decision to award CON to WellStar, 1/18/2012.
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.
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Additional Appeals Information: Peachford Behavioral Health System, Northeast Georgia Medical Center and UHS of SummitRidge submitted request for Commissioner Review, 9/26/2011. Commissioner Review Decision: Affirmed Hearing Officer Decision to award CON to Lakeview Behavioral Health System, LLC., 11/21/2011. UHS Peachford and UHS Summit Ridge file Petition for Judicial Review, 12/20/2011. Date set for Lakeview oral argument in Fulton County Superior Court is 4/9/2012. Superior Court Decision: Pending
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 Hearing Decision: Pending
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: Hearing Officer affirms decision to approve CON for Suncrest, 1/11/2012.
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: Ellwood F. Oakley, III, Esq. Hearing Date: 5/16/2012 5/18/2012
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: Melvin Goldstein, Esq. Hearing Date: Pending
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: Ellwood F. Oakley, III, Esq. Hearing Date: 4/17/2012 4/19/2012
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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: William C. Joy, Esq. 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: William C. Joy, Esq. Hearing Date: Pending
2011-055 Ramsay Youth Services of Georgia, Inc. d/b/a Macon Behavioral Health System (Bibb) Add 52 Beds to Psychiatric and Substance Abuse Inpatient Program - Batching Agency Decision: Denied, 12/16/2011 Appealed By: Macon Behavioral Health System, 1/13/2012; Coliseum Medical Center, LLC d/b/a Coliseum Medical Center filed request to intervene, 1/13/2012. Hearing Officer: TBD Hearing Date: Pending
2011-059 Coliseum Medical Center (Bibb) Convert to a Hospital-Based Psychiatric/Substance Abuse Program - Batching Agency Decision: Denied, 12/16/2011 Appealed By: Coliseum Medical Center, LLC d/b/a Coliseum Medical Centers, 1/13/2012 Hearing Officer: TBD Hearing Date: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2011035 DKUMAR,LLC dba Atlanta Hand Specialist

Fixed MRI

Request received: 10/27/2011

Contact Person: Viralkumar Patel, MD 770-333-7888

Determination: Approved

Determination Date: 1/4/2012

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: Approved

Determination Date: 1/24/2012

LNR-EQT2011037 Da Imaging, Inc.

Fixed Radiographic Equipment

Request received: 11/14/2011

Contact Person: Rolando Alvarez 770-656-3959

Determination: Approved

Determination Date: 1/13/2012

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: Approved

Determination Date: 1/23/2012

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LNR-EQT2011040 South Georgia Physicians Group, LLC Fixed MRI Request received: 11/29/2011 Contact Person: Cindy Turner 912-632-8704 Determination: Pending
LNR-EQT2011041 Woodstock MRI and Health Center, LLC Fixed MRI Request received: 11/30/2011 Contact Person: Dr. Sied Takallou 404-428-7000 Determination: Pending
LNR-EQT2011042 Athens Bone & Joint, PC Firxed MRI Request received: 12/12/2011 Contact Person: Amy Gregory 706-583-9000 Determination: Pending
LNR-EQT2011043 Houston Orthopaedic Surgery & Sports Medicine. P.C. CT Scanner Request received: 12/16/2011 Contact Person: Daxes M. Banit 478-319-9102 Determination: Pending
LNR-EQT2011044 L&R Imaging Services Fixed MRI Request received: 12/21/2011 Contact Person: Luis Soledad 770-685-1727 Determination: Pending Opposition: Novant Health Inc., Open MRI & Imaging of DeKalb, LLC- 1/19/2012
LNR-EQT2011045 Piedmont Hospital, Inc. Additional Arms for Existing Robotic Surgical System Request received: 12/22/2011 Contact Person: Davis Dunbar 404-425-1344 Determination: Pending
LNR-EQT2011046 Resurgens, P.C. Fixed MRI Request received: 12/22/2011 Contact Person: Dr. Steven B. Wertheim 404-531-8452 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

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-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

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Determination: Approved

Determination

12/28/2011

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: Approved

Determination

1/4/2012

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

LNR-ASC2011023 Southeast Spine Care and Pain Management, Inc.

Physician-Owned, Single Specialty

Site: 7410 Skidaway Road, Savannah, GA 31406

Number of OR's:

Specialty: Spine Care and Pain Management

Project costs as submitted: $1,895,581.00

Request received: 11/23/2011

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

Determination: Pending

LNR-ASC2011024 Braselton Endoscopy Center, LLC

Physician-Owned, Single Specialty, Ambulatory Surg Center

Site: 5875 Thompson Mill Road, Suite 320, Hoschton, GA 30548-4137

Number of OR's: 2

Specialty: ASC

Project costs as submitted: $1,341,314.00

Request received: 12/6/2011

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

Determination: Pending

LNR-ASC2011025 Spalding Endoscopy Center, LLC

Physician-Owned, Single-Specialty

Site: 226 East College Street, Suite A, Griffin, Ga 30226

Number of OR's: 2

Specialty: GASTROENTEROLOGY

Project costs as submitted: $0.00

Request received: 12/13/2011

Contact Person: Jana C. Baker 404-488-7575 Ext 1110

Determination: Pending

LNR-ASC2012001 Northside Hospital, Inc. - ENT Surgery Center of Atlanta

Establishment of a Single-Specialty, Joint Venture ASC

Site: 5673 Peachtree Dunwoody Road, Suite 945, Atlanta, GA 30342

Number of OR's: 2

Specialty: ENT and Related Plastic-Cosmetic

Project costs as submitted: $0.00

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Request received: 1/12/2012 Contact Person: Kathlynn Butler Polvino 404-527-4000 Determination: Pending
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
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
DET2011130 Jenkins County Hospital Hospital Renovation Request received: 8/1/2011 Contact Person: Michael Kleinpeter 912-644-5370 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: Non-reviewable as proposed Determination Date: 12/28/2011
DET2011171 Piedmont Mountainside Hospital, Inc. Replacement of Existing CT Scanner at Satellite Outpatient Center Request received: 10/21/2011 Contact Person: Davis Dunbar 404-425-1344 Determination: Non-reviewable as proposed Determination Date: 1/12/2012
DET2011172 Piedmont Mountainside Hospital Replacement of Existing CT Scanner Request received: 10/21/2011 Contact Person: Davis Dunbar 404-425-1344 Determination: Non-reviewable as proposed Determination Date: 1/12/2012
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
12

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: Non-reviewable as proposed Determination Date: 1/3/2012 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: Non-reviewable as proposed Determination Date: 1/23/2012

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: Non-reviewable as proposed Determination Date: 1/5/2012

DET2011179 Treutlen County Hospital Authority Capital Expenditure Request received: 11/2/2011 Contact Person: Johnnie Brooks 912-529-4418 Determination: Non-reviewable as proposed Determination Date: 1/9/2012

DET2011180 Cartersville Medical Center Replacement of MRI System Request received: 11/2/2011 Contact Person: Lori Rakes 770-387-8181 Determination: Non-reviewable as proposed

Determination Date: 1/5/2012

DET2011181 Wellstar Kennestone Hospital Replacement of a CT Scanner Request received: 11/3/2011 Contact Person: Steven Vault 648-331-6887 Determination: Non-reviewable as proposed

Determination Date: 1/5/2012

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: Non-reviewable as proposed Determination Date: 1/6/2012

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: Non-reviewable as proposed Determination Date: 1/9/2012

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: Non-reviewable as proposed Determination Date: 1/6/2012
13

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: Non-reviewable as proposed Determination Date: 1/13/2012
DET2011187 Tanner Medical Center,- Villa Rica Replacement of CT Unit Request received: 11/10/2011 Contact Person: David Thornhill 770-836-9195 Determination: Non-reviewable as proposed Determination Date: 1/13/2012
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: Non-reviewable as proposed Determination Date: 1/13/2012
DET2011189 South Georgia Surgery Center, LLC Change of Specialty of Single Specialty ASC Request received: 11/30/2011 Contact Person: Michael james Lupi. D.O. 912-267-9000 Determination: Pending Opposition: Satilla Health Services, Inc. and Satilla Regional Medical Center- 12/29/2011
DET2011190 GGNSC Lawrenceville Relocation of Nursing Facility, Golden Living Request received: 12/2/2011 Contact Person: Determination: Pending
DET2011191 The Emory Clinic, Inc. and Emory University Utility Relocation Project Request received: 12/2/2011 Contact Person: Determination: Pending
DET2011192 Colquitt County Hospital Authority dba Colquitt Regional Medical Center Renovation of Existing Storage Space into an Operating Room Request received: 12/2/2011 Contact Person: James L. Matney 229-890-3532 Determination: Pending
DET2011193 Georgia Home Health Servicesk Inc. Indigent and Charity Care Commitment Reduction Request received: 12/5/2011 Contact Person: Dawn Howard 706-769-7738 Determination: Pending
DET2011194 Cartersville Medical Center, LLC Development of a Five Bed Clinical Decision Unit Request received: 12/5/2011 Contact Person: Lori Rakes, FACHE 770-387-8161 Determination: Pending
DET2011195 Northside Hospital, Inc. dba Northside Hospital Capital Expenditure to Acquire Exiting Medical Office Building Request received: 12/6/2011 Contact Person: Brain toporek 404-851-6821 Determination: Pending
DET2011196 Northside Hospital, Inc. dba Northside Hosspital Capital Expenditure to Develop Medical Office Building
14

Request received: 12/6/2011 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2011197 Northside Hospital, Inc. dba Northside Hospital Capital Expenditures to Acquire Existing Medical Office Building Request received: 12/6/2011 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2011198 Southern Endoscopy Suite LLC Expansion of Existing Facility Request received: 12/6/2011 Contact Person: Scott Schorr MD 678-985-2000 Determination: Pending
DET2011199 Parc at Buckhead Development, LLC Establishment of 40-Bed Personal Care Home Request received: 12/8/2011 Contact Person: Anna F.C. Munoz 414-918-5443 Determination: Pending
DET2011200 The Emory Clinic, Inc. Addition of Non-Operating Room Bronchoscopy Suite at ASC Request received: 12/9/2011 Contact Person: Joseph Dee 404-778-2018 Determination: Pending
DET2011201 Northeast Georgia Health System Inc./Dawson Ventures, LLC Acquisition and Renovation of MOB and Development of Parking Lot Request received: 12/9/2011 Contact Person: Chad T. Bolton 7702196630 Determination: Pending
DET2011202 Stephens County Hospital Authority Expansion of Cardiac/Pulmonary Rehabilitation Space Request received: 12/9/2011 Contact Person: Ed Gambrell 706-282-4250 Determination: Pending
DET2011203 EHCA Eastside, LLC dba Eastside Medical Center Replacement Equipment for Diagnostic Cardiac Cath Lab Request received: 12/13/2011 Contact Person: Dustin A. Greene 770-736-2224 Determination: Pending
DET2011204 Doctors Hospital, Inc, Emergency Department Closure Request received: 12/14/201 Contact Person: Donald Elder 706-660-6342 Determination: Pending
DET2011205 Toombs Nursing Home, LLC Relocation of a Skilled Nursing Facility in Toombs County, GA Request received: 12/14/2011 Contact Person: Kay Frances Gray 478-621-2100 Determination: Non-reviewable as proposed Determination Date: 1/18/2012
DET2011206 EHCA Eastside, LLC dba Eastside Medical Center Addition of Second Diagnostic Cardiac Cath Lab Request received: 12/15/2011 Contact Person: Dustin A. Greene 770-736-2224 Determination: Pending
15

DET2011207 Kennestone Hospital, Inc. dba Wellstar Kennestone Hospital Replace CT Scanner Request received: 12/19/2011 Contact Person: Stephen Vault 678-331-6894 Determination: Pending
DET2011208 Emory University dba Emory University Hospital Replacement of CT Scanner Request received: 12/20/2011 Contact Person: Toni Wimby 404-686-2809 Determination: Pending
DET2011209 Emory University dba Emory University Hospital Replacement of CT Scanner Request received: 12/20/2011 Contact Person: Toni Wimby 404-686-2809 Determination: Pending
DET2011210 Emory University dba Emory University Hospital - Midtown Replacement of MRI Scanner Request received: 12/20/2011 Contact Person: Toni Wimby 404-656-2806 Determination: Pending
DET2012001 Northside Hospital, Inc. dba Northside Hospital Alpharetta Cancer Center Relocation of Existing Healthcare Facility Request received: 1/3/2012 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2012002 Doctors Hospital of Augusta Central Sterile Renovation Request received: 1/10/2011 Contact Person: Heyward Wells 706-651-6156 Determination: Pending
DET2012003 Athens Regional Medical Center Inc. Renovation of Neonatal Intensive Care Unit Request received: 1/6/2012 Contact Person: Jeffrey Baxter 706-475-1195 Determination: Pending
DET2012004 Greenwood Place Retirement Community Increase bed capacity from 24 to 49 Request received: 1/6/2012 Contact Person: John Walker 478-290-2905 Determination: Pending
DET2012005 Macon Northside Hospital dba Coliseum Northside Hospital Conversion of Procedure Room to Class C Operating Room w-Support Space Request received: 1/11/2012 Contact Person: Mike Sherrod 478-757-5990 Determination: Pending
DET2012006 Athens Diagnostic Center Replacement of a LNR approved MRI Unit Request received: 1/12/2011 Contact Person: Richard L. Gray 706-354-1036 Determination: Pending
DET2012007 Gracemont Assistant Living and Memory Care, Inc. Personal Care Home for Private Pay Residents Request received: 1/19/2012
16

Contact Person: Patricia Lindley 770-887-2000 Determination: Pending DET2012008 Summerhill, LLC Increase in Capacity From 24 to 26 Beds Request received: 1/17/2012 Contact Person: William C. Davis, Jr. 478-988-1294 Determination: Pending DET2012009 Glynn-Brunswick Hospital Authority dba Southeast GA Health System Replacement of Existing Cardiac Cath Lab Equipment Request received: 1/23/2012 Contact Person: Marjorie A. Mathieu 912-466-7055 Determination: Pending DET2012010 Brunswick SLP, LLC Construction of Personal Care Home Request received: 1/24/2012 Contact Person: David C. Winters 678-297-0388 Determination: Pending
Need Projection Analyses Updated 12/19/2011
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 - 12/19/2011 2016 Positron Emission Tomography Services - 12/19/2011 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
17

Non-Filed or Incomplete Division of Health Planning
Facility Surveys for Most Recent 3 Years (Survey Status as of January 24, 2012)
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)

Elbert Memorial Hospital

Elbert

2010

Georgia Regional Hospital @ Savannah

Chatham

2008

Georgia Regional Hospital at Savannah

Chatham

2009

Northwest Georgia Regional Hospital

Floyd

2008

Northwest Georgia Regional Hospital

Floyd

2010

Stewart Webster Hospital

Stewart

2008

Stewart Webster Hospital

Stewart

2009

Stewart Webster Hospital

Stewart

2010

Annual Nursing Home Questionnaire (Survey Years 2009 thru 2011)

Agape Health & Rehab of Moultrie, LLC

Colquitt

2011

Azalea Trace Nursing Center Bel Arbor Health & Rehabilitation

Muscogee Bibb

2011 2011

Bell Minor Home, The Brown's Health & Rehabilitation Center

Hall Bulloch

2011 2011

Carrollton Manor, Incorporated Church Home For The Aged College Park Health Care Center

Carroll Houston Fulton

2011 2011 2011

Eastview Nursing Center Emanuel County Nursing Home

Bibb Emanuel

2011 2011

Folkston Park Care And Rehabilitation Center Glendale Nursing Home

Charlton Jefferson

2011 2011

Golden LivingCenter - Augusta Golden LivingCenter - Decatur

Richmond DeKalb

2011 2011

Golden LivingCenter - Medical Arts Golden LivingCenter - Northside

Gwinnett Fulton

2011 2011

Golden LivingCenter - Rome Goodwill Nursing Home Inc Gracewood Development Ctr - ICF/MR

Floyd Bibb Richmond

2011 2011 2011

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

Richmond Muscogee

2011 2011

Hutcheson Medical Center Joe-Anne Burgin Nursing Home

Catoosa Randolph

2011 2011

Lumber City Nursing & Rehabilitation Center Manor Care Rehabilitation Center - Decatur

Telfair DeKalb

2011 2011

Manor Care Rehabilitation Center - Marietta Meadowbrook Health Care
Meadows Nursing Center

Cobb DeKalb
Toombs

2011 2011
2011

Mitchell County Nursing Homes New London Health Center

Mitchell Gwinnett

2011 2011

Northwest Georgia Regional Hospital ICF/MR Oceanside Nursing & Rehab Center Parkside At Hutcheson Medical Center

Floyd Chatham Walker

2011 2011 2011

Pinehill Nursing Center, Inc Pinewood Nursing Center

Dooly Grady

2011 2011

Powder Springs Nursing & Rehabilitation Center

Cobb

2011

18

Survey Due
3/11/2011 9/18/2009 3/12/2010 9/18/2009 3/11/2011 9/18/2009 3/12/2010 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

Savannah Beach Nursing & Rehab Center Savannah Specialty Care Center Savannah Square Health Center Scepter Health & Rehab of Snellville, LLC Southland Healthcare And Rehabilitation Center Twin Oaks Convalescent Center Warm Springs Medical Center Nursing Home Warner Robins Rehabilitation Center Westminster Commons Westview Nursing & Rehabilitation Center

Chatham Chatham Chatham Gwinnett Laurens Bacon Meriwether Houston Fulton Chatham

2011 2011 2011 2011 2011 2011 2011 2011 2011 2011

Cardiac Catheterization Services Survey (Survey Years 2008 thru 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

CLAYTON

2010

Ambulatory Plastic Surgery Center, Inc

MUSCOGEE

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

Atlanta Aesthetic Surgery Center

Fulton

2008

Atlanta Endoscopy Center, Ltd. Atlanta Plastic & Reconst Surg

DEKALB FULTON

2009 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

19

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
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 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

Cliff Valley Clinic Coastal Empire Plastic Surgery Cobb Endoscopy Center, Llc 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 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 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 Newnan Foot & Ankle Surgery Center, Llc Newnan Foot & Ankle Surgery Center, Llc Newnan Foot & Ankle Surgery Center, Llc

DEKALB CHATHAM COBB 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 GWINNETT GORDON
COBB CLAYTON GORDON GORDON GLYNN GLYNN GLYNN NEWTON GWINNETT GWINNETT LOWNDES BIBB BIBB FULTON FULTON COWETA COWETA COWETA

20

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

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

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 Institute For Wound Care, Llc Northeast Endoscopy Center, Llc Northeast Georgia Urological Surgery Center, Llc Northside Foot & Ankle Outpat Northside Surgery Center, Inc. Northview Orthopaedic Surgery Center 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 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 Summit Endoscopy Center, L L C Summit Endoscopy Center, L L C Surgery Center of BJI, LLC 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

CHEROKEE CHEROKEE CHEROKEE HALL HALL FORSYTH GWINNETT HALL GWINNETT FULTON LUMPKIN Chatham FULTON FULTON FULTON Fulton FULTON BIBB COBB CHATHAM CHATHAM CHATHAM DEKALB DEKALB WHITFIELD NEWTON NEWTON NEWTON FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD CHEROKEE CHEROKEE CHEROKEE CHATHAM CHATHAM CHATHAM GLYNN Ware GLYNN CAMDEN FULTON COWETA FAYETTE FAYETTE WAYNE FULTON TIFT MUSCOGEE MUSCOGEE BIBB
21

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

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

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 Westside Endoscopy Center, P C WESTSIDE SURGERY CENTER, LLC (d/b/a ENT of Coffee County) Woodhams Laser & Lens Implant Woodhams Laser & Lens Implant WOOLFSON AMBULATORY SURGERY CENTER, LLC

BIBB CHATHAM FULTON FULTON LOWNDES LOWNDES LOWNDES LOWNDES ROCKDALE NEWTON CARROLL COBB COFFEE
FULTON FULTON FULTON

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

Home Health Agency Survey (Survey Years 2008 thru 2010)

Appalachian Home Health Care

Union

Intrepid USA Healthcare Services

Glynn

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

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

Hutcheson Medical Center

Catoosa

2010

Northeast Georgia Cancer Care

Clarke

2008

South Georgia Center for Cancer Care

Bulloch

2010

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 3/11/2011 3/11/2011 3/12/2010 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
8/7/2009 8/7/2009 4/29/2011 8/7/2009 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 1/24/2012)

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 Gainesville Surgery Center Gwinnett Endoscopy Services - Duluth North Georgia Outpatient Surg Northside Foot & Ankle O P Sc Northside Foot & Ankle Outpat

County
DOUGHERTY Fulton Clayton FULTON CLAYTON Hall Gwinnett GORDON HALL GWINNETT

Year
2010 2009 2010 2010 2010 2010 2010 2010 2010 2010

22

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 226,855.50 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

Orthopedic Surgery Center, L.P. 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 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 Ultra Care of Georgia Battlefield Imaging Center Northlake Cancer Treatment Center

Chatham FULTON Chatham
Chatham Chatham Chatham Ware FULTON Clayton Columbia Muscogee Muscogee FULTON Newton Bibb Lowndes Toombs Douglas
Cherokee McDuffie Muscogee Fulton Chatham Oconee Hall Fulton Forsyth Spalding Fulton Decatur Gwinnett Bibb DeKalb Gwinnett Hall Franklin Muscogee Catoosa DeKalb

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

2,275,498.54 1,203,614.79
63,987.36

Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center

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 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

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
18,900.71 47,397.70 21,700.70

Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency 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

23

NEW CERTIFICATE OF NEED FILING REQUIREMENTS
Notices of Intent
Effective July 1, 2008, O.C.G.A. 31-6-40(b) provides that:
Any person proposing to develop or offer a new institutional health service or health care facility shall, before commencing such activity, submit a letter of intent and an application to the department and obtain a certificate of need in the manner provided in this chapter unless such activity is excluded from the scope of this chapter.
O.C.G.A. 31-6-43(a) further provides that:
At least 30 days prior to submitting an application for a certificate of need for clinical health services, a person shall submit a letter of intent to the department. The department shall provide by rule a process for submitting letters of intent and a mechanism by which applications may be filed to compete with and be reviewed comparatively with proposals described in submitted letters of intent.
All parties interested in applying for a certificate of need for new institutional health services MUST NOW NOTIFY THE DEPARTMENT 30 DAYS PRIOR TO FILING AN APPLICATION of their intent to do so. This notice must be in writing and must contain the following information:
Name and address of legal applicant; Person to whom inquiries may be addressed; Name, address of facility, if different from legal applicant; Proposed Project Site Location; Brief summary description of proposal; Proposed service area; and, Cost of the project.
The Department will not accept any notices of intent submitted by either telephone, facsimile or e-mail pursuant to Rule 111-2-2-.06(5).
Note: The Department will begin implementing the Letter of Intent requirement on July 15, 2008. Beginning with that date, no CON application will be accepted without a previously filed Letter of Intent. The CON application must be submitted no later than 30 days after the Letter of Intent has been received by the Department.
BATCHING REQUIREMENTS
The Department will be promulgating rules for services that will now be batched pursuant to O.C.G.A. 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.
The requirements for Notices of Intent associated with designated Batching Cycles will be issued at the time of publication of the Batching Notice.
24

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.
Batching Notifications Posted 12/22/2011 on DCH Website
Winter Batching Review Cycle Notifications

PET Mega Voltage Radiation Therapy
Pediatric Cath/Open Heart

Adult Open Heart Psych/Substance Abuse Birthing Centers

Need Projections can be found on the DHP Need Projections Page

25

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)

26

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

Batching Notice
(December 22, 2011)

Application Day
(application complete when
submitted; review cycle begins same
day)
(Due by 12 noon February 20, 2012)

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

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

120th Day
(Department Issues
decision)
(June 18, 2012)

Letter of Intent
(January 21, 2012 - Rollover date: due by 5pm January 23, 2011)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(April 19, 2012)

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

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

27

NON-BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW ACTIVITIES

Letter of Intent

Application deemed complete (review cycle begins)

75th Day
(applicant provides additional information)

100th Day
(last day for letters of support to be submitted to Department)

120th
Day
(Department Issues decision)

Application 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)

28

NEW REPORTING REQUIREMENTS
Beginning July 1, 2008, all facilities operating under a previously granted exemption or letter of nonreviewability as provided at O.C.G.A. 31-6-40(c)(2)(A) will be required to:
Provide notice to the department by August 15, 2008, of the following: Name Ownership Location Single Specialty Services provided in the exempt facility
For purposes of complying with this requirement, notice may be sent through the mail, by facsimile, or 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.
29

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

Ellwood "Ebb" Oakley (Chair) 1266 West Paces Ferry Rd., #157 Atlanta, GA 30327 eoakley@gsu.edu

Melvin M. Goldstein 248 Roswell Street Marietta, GA 30060 goldatty@bellsouth.net

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

Legislation - Senate Bill 433
Senate Bill 433 as passed April 4, 2008
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 )
New Requirements for Verification of Lawful Presence within the United States
Effective January 1, 2012 agencies or political subdivisions of the State of Georgia providing or administering a public benefit are required to verify that applicants for a public benefit are in the United States in a lawful manner. See O.C.G.A. 50-36-1(e). Certificates of Need (CON) are considered a public benefit under the new provisions. Therefore, an applicant for a CON must be in compliance with the law for the CON to be awarded.
Effective January 1, 2012 all CON applications must include an original signed and notarized affidavit in accordance with O.C.G.A. 50-36-1(e)(2) as well as a copy of a secure and verifiable document in accordance with O.C.G.A. 50-36-2. A copy of the affidavit along with instructions for submitting the affidavit and secure and verifiable document can be located at the following link or by navigating to the CON Applications and Forms page from the CON Information link from www.dch.georgia.gov.
http://dch.georgia.gov/vgn/images/portal/cit_1210/23/25/180044217HB87_CON_Instructions_1-1-2012.pdf
CONs that are approved and issued after January 1, 2012 for applications that were submitted prior to January 1, 2012 are also subject to these provisions. DCH will contact applicants to provide instruction related to compliance prior to issuing such a CON.

30