Certificate-of-need tracking and appeals report [Oct. 31-Nov. 6, 2012]

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Letters of Intent Letters of Intent Fall Batching
New CON Applications Pending Review/Incomplete Applications
Pending Review/Complete Applications Pending Review/Complete/Joined Applications
Recently Approved Applications Recently Denied Applications Withdrawn CON Applications

Appealed LNRs Appealed CON Projects

CERTIFICATE OF NEED

Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities
Requests for LNR for Diagnostic or Therapeutic Equipment
Requests for Miscellaneous Letters of Determination
Requests for Extended Implementation/Performance Period

October 31, 2012 November 6, 2012

Batching Notifications - Fall Need Projection Analyses New Batching Review Summer Cycle Fall Cycle
Non-Filed or Incomplete Surveys Indigent-Charity Shortfalls
Legislation Affecting CON 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?

Georgia Department of Community Health Healthcare Facility Regulation Division/ Office of Health Planning 2 Peachtree Street 5th Floor Atlanta, Georgia 30303-3159
(404) 656-0655 (404) 656-0442 Fax www.dch.georgia.gov

Letters of Intent

LOI2012059 Tift Regional Medical Center

Tift County Hospital Authority dba Tift Regional Medical Center

Received: 10/9/2012

Application must be submitted on: 11/8/2012

Site: 901 East 18th Street, Tifton,, GA 31793 (Tift County)

Estimated Cost: $2,250,000

LOI2012060 Saint Joseph's Hospital of Atlanta, Inc.

Saint Joseph's Hospital of Atlanta, Inc. (SJHA)

Received: 10/10/2012

Application must be submitted on: 11/9/2012

Site: 5665 Peachtree Dunwoody Road, N.E., Atlanta, GA 30342 (Fulton County)

Estimated Cost: $1,750,000

LOI2012061 Augusta Diagnositc Imaging

Conversion of Existing Approved LNR to CON Approved DTRC

Received: 10/17/2012

Application must be submitted on: 11/16/2012

Site: 1211 West Medical Park Drive, Augusta, GA 30909 (Richmond County)

Estimated Cost: $2,500,000

LOI2012062 Gwinnett Medical Center

Renovate and reconfigure Cardiology and Cardiac Departments and Replace Equipment

Received: 10/22/2012

Application must be submitted on: 11/21/2012

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

Estimated Cost: $12,000,000

LOI2012072 Dougherty County Holdings, LLC

Renovation of the Existing Center

Received: 11/2/2012

Application must be submitted on: 12/3/2012

Site: 223 West 3rd Street, Albany, GA 31701 (Dougherty County)

Estimated Cost: $8,285,651

LOI2012073 Winship Cancer Institute of Emory University

MRI

Received: 11/2/2012

Application must be submitted on: 12/3/2012

Site: 1365 Clifton Road, Atlanta, GA 30322 (DeKalb County)

Estimated Cost: $3,250,000

Letters of Intent Fall Batching

Ambulatory Surgery

LOI2012064 Associates Surgery Center, Inc.

Convert from Physician-Owned, Single Specialty ASC to CON Single Specialty ASC BATCHING

Received: 10/25/2012

Application must be submitted on: 11/26/2012 (Rollover Date)

Site: 864 First Street, Macon, GA 31201 (Bibb County)

Estimated Cost: $30,000

LOI2012065 Neurological Institute Ambulatory Surgery Center, LLC

Convert from a Physician-Owned Single Specialty ASC to CON Single Specialty ASC BATCHING

Received: 10/25/2012

Application must be submitted on: 11/26/2012 (Rollover Date)

Site: 1 Jackson Boulevard, Suite 101, Savannah, GA 31405 (Chatham County)

Estimated Cost: $40,000

LOI2012066 Thomasville Surgery Center, Inc. Convert from Physician-Owned Single Specialty ASC to Single Specialty CON ASC BATCHING Received: 10/25/2012 Application must be submitted on: 11/26/2012 (Rollover Date) Site: 2282 East Pinetree Boulevard, Suite B, Thomasville, GA 31792 (Thomas County) Estimated Cost: $265,000
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LOI2012067 Kennestone Hospital, Inc. Establish a Hospital-based Outpatient Surgery Center BATCHING Received: 10/25/2012 Application must be submitted on: 11/26/2012 (Rollover Date) Site: 145 N. Medical Parkway, Woodstock, GA 30189 (Cherokee County) Estimated Cost: $23,000,000
Newborn ICU/ Neonatal INT
LOI2012068 Memorial Health University Medical Center, Inc. Add Four (4) Neonatal Intermediate Care Bassinets BATCHING Received: 10/25/2012 Application must be submitted on: 11/26/2012 (Rollover Date) Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Estimated Cost: $2,400,000
LOI2012069 The Medical Center, Inc. Add Five (5) Neonatal Intensive Care Beds BATCHING Received: 10/25/2012 Application must be submitted on: 11/26/2012 (Rollover Date) Site: 710 Center Street, Columbus, GA 31901 (Muscogee County) Estimated Cost: $867,720
LOI2012070 Memorial Health University Medical Center, Inc. Add Eight (8) Neonatal Intensive Care Bassinets BATCHING Received: 10/25/2012 Application must be submitted on: 11/26/2012 (Rollover Date) Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Estimated Cost: $1,000,000
LOI2012071 Rockdale Medical Center Establish a Four (4) Bed Neonatal Intensive (Level III) Care Service BATCHING Received: 10/25/2012 Application must be submitted on: 11/26/2012 (Rollover Date) Site: 1412 Milstead Avenue, Conyers, GA 30012 (Rockdale County) Estimated Cost: $600,000
New Applications
none
Pending Review/Incomplete Applications
2012-051 Polk Medical Center, Inc. To Build a Replacement Hospital Filed: 10/5/2012 Deemed Incomplete: 10/22/2012 Site: US 278 and Kelly Road, Cedartown, GA 30125 (Polk County) Contact: Stephen Weed, Director of Planning 706-509-3257 Estimated Cost: $39,767,867
Pending Review/Complete/Joined Applications
2012-043 Doctors Hospital of Augusta, LLC New Off-Site Emergency Facility (Joined 047) Filed: 8/27/2012 Deemed Complete: 9/11/2012 Joined: 10/3/2012 60th Day Deadline: 12/1/2012 Decision Deadline: 1/25/2013 Site: 743 North Belair Road, Evans, GA 30809 (Columbia County) Contact: Dough Welch, CEO 706-651-2451 Estimated Cost: $9,822,715
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2012-047 University Hospital Emergency Department - Evans
Establish a Freestanding Emergency Facility (Joined 43) Filed: 9/17/2012 Deemed Complete: 9/28/2012 Joined: 10/3/2012 60th Day Deadline: 12/1/2012 Decision Deadline: 1/25/2013 Site: 4200 University Parkway, Evans, GA 30809 (Columbia County) Contact: Edward L. Burr, VP of Legal Affairs 706-774-4500 Estimated Cost: $9,670,000
Pending Review/Complete Applications
2012-014 MRI Imaging Specialist
CT and MRI Unit Filed: 4/19/2012 Deemed Incomplete: 5/1/2012 Deemed Complete: 7/16/2012 60th Day Deadline: 9/13/2012 Decision Deadline: 11/12/2012 Site: 6760 Jimmy Carter Boulevard, Suite 165, Norcross, GA 30071 (Gwinnett County) Contact: Michael Alatorre 786-303-0242 Estimated Cost: $268,810
2012-023 Georgia Health Sciences Medical Center
Relocate and Renovate Existing Space Filed: 6/25/2012 Deemed Incomplete: 7/9/2012 Deemed Complete: 8/1/2012 60th Day Deadline: 9/29/2012 Decision Deadline: 11/28/2012 Site: 1120 15th Street, Augusta, GA 30912 (Richmond County) Contact: Daniel Merrell 706-721-6951 Estimated Cost: $10,600,150
2012-024 Memorial Health University Medical Center, Inc
Renovation adding an OR Filed: 6/25/2012 Deemed Incomplete: 7/10/2012 Deemed Complete: 7/20/2012 60th Day Deadline: 9/17/2012 Decision Deadline: 11/16/2012 Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Contact: Margaret M. Gill 915-350-3691 Estimated Cost: $8,938,875
2012-025 Piedmont Hospital
Renovation of the Women's Center - Maternity Services Filed: 7/16/2012 Deemed Complete: 7/30/2012 60th Day Deadline: 9/27/2012 Decision Deadline: 11/26/2012 Site: 1968 Peachtree Road, Atlanta, GA 30309 (Fulton County) Contact: Davis Dunbar 404-425-1344 Estimated Cost: $3,233,000
2012-026 Marietta Imaging Center
Conversion of a Letter of Non-Review to a DTRC Filed: 7/23/2012 Deemed Complete: 8/6/2012 60th Day Deadline: 10/4/2012 Decision Deadline: 12/3/2012 Site: 780 Canton Road, Suite 230, Marietta, GA 30060 (Cobb County) Contact: Michael Evertsen, Co-President 770-792-1234 Estimated Cost: $1,164,631
2012-027 Grady Memorial Hospital
Renovations: Existing Spaces, Nursing Unit, Physical Plant Replacement Filed: 7/26/2012 Deemed Complete: 8/8/2012 60th Day Deadline: 10/6/2012
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Decision Deadline: 12/5/2012 Site: 80 Jesse Hill Drive SE, Atlanta, GA 30303 (Fulton County) Contact: Craig J. Tindall, Sr. V. President, Operation/Fac 404-616-1000 Estimated Cost: $17,763,860
2012-028 Memorial Health University Medical Center, Inc.
Renovations of Neonatal - Labor and Delivery Filed: 8/6/2012 Deemed Complete: 8/20/2012 60th Day Deadline: 10/18/2012 Decision Deadline: 12/17/2012 Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Contact: Laura Dow, VP - Finance 912-350-8613 Estimated Cost: $2,823,000
2012-029 Colquitt Regional Medical Center
Hospital Expansion and Renovation Filed: 8/15/2012 Deemed Complete: 8/29/2012 60th Day Deadline: 10/27/2012 Decision Deadline: 12/26/2012 Site: 3131 South Main Street, Moultrie, GA 31768 (Colquitt County) Contact: James L. Matney, President & Chief Exe Officer 229-890-3570 Estimated Cost: $29,984,469
2012-030 The Medical Center of Central Georgia, Inc.
New Seven Story MOB Filed: 8/15/2012 Deemed Incomplete: 8/29/2012 Deemed Complete: 9/14/2012 60th Day Deadline: 11/12/2012 Decision Deadline: 1/11/2013 Site: 752 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: H. Bryan Forlines 478-633-6966 Estimated Cost: $85,910,931
2012-031 Houston Medical Center
Renovate Physical Plant, Expand Surgery Department Filed: 8/16/2012 Deemed Complete: 8/30/2012 60th Day Deadline: 10/28/2012 Decision Deadline: 12/27/2012 Site: 1601 Watson Boulevard, Warner Robins, GA 31093 (Houston County) Contact: Cathy Martin, CEO 478-542-7839 Estimated Cost: $41,828,435
2012-032 Eastside Medical Center
Constructing a New Off-Site Emergency Facility Filed: 8/20/2012 Deemed Complete: 8/22/2012 60th Day Deadline: 10/20/2012 Decision Deadline: 12/19/2012 Site: 3435 Highway 81 South, Loganville, GA 30052 (Walton County) Contact: Andrew B. Tyrer 770-736-2531 Estimated Cost: $5,240,910
2012-033 Emory-Adventist, Inc. dba Emory-Adventist Hospital
PET Scanner, Mobile Vendor Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 3949 South Cobb Drive, Smyrna, GA 30080 (Cobb County) Contact: Ed Moyer, MBA,RN,CPHQ,LNHA 770-434-0710 Estimated Cost: $48,300
2012-034 Piedmont Mountainside Hospital
PET Scanner Services, Mobile Vendor
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Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 1266 Highway 515 South, Jasper, GA 30143 (Pickens County) Contact: Dais Dunbar 404-425-1344 Estimated Cost: $20,000
2012-035 Piedmont Fayette Hospital
Megavoltage Radiation Therapy, Addition of Second Linear Accelerator Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County) Contact: Davis Dunbar 404-788-3638 Estimated Cost: $7,184,922
2012-036 Northeast Georgia Medical Center - South Hall Campus
Megavoltage Radiation Therapy, Addition of One Linear Accelerator Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 5875 Thompson Mill Road, Hoschton, GA 30548 (Hall County) Contact: Chad T. Bolton 770-219-6630 Estimated Cost: $10,152,399
2012-037 Doctors Hospital Radiation Oncology Center
Megavoltage Radiation Therapy, CyberKnife Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 3625 J. Dewey Gray Circle, Augusta, GA 30909 (Richmond County) Contact: Doug Welch, CEO 706-651-2451 Estimated Cost: $6,218,516
2012-038 Northside Hospital - Forsyth
Megavoltage Radiation Therapy, Gamma Knife Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian J. Toporek 404-851-6821 Estimated Cost: $8,000,000
2012-039 Tanner Medical Center - Villa Rica
Psych/Substance Abuse Services, Add 30 Child/Adolescent Beds Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: Willowbrooke at Tanner, 20 Herrell Road, Villa Rica, GA 30180 (Carroll County) Contact: Wayne Senfeld, ED.S, LPC 770-836-9551 Estimated Cost: $5,804,900
2012-040 Lighthouse Care Center of Augusta
Psych-Substance Abuse Services, Establish 14-bed Pediatric SA Program Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 3100 Perimeter Parkway, Augusta, GA 30909 (Richmond County) Contact: George Boykin - CEO 843-655-5531 Estimated Cost: $912,000
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2012-041 Rockdale Medical Center
PET Scanner Services, Mobile Vendor Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 1412 Milstead Avenue, Conyers, GA 30012 (Rockdale County) Contact: James Atkins 770-918-3877 Estimated Cost: $341,250
2012-042 Laurel Heights Hospital
Psych/Substance Abuse Services, Establish 16-bed Pediatric Acute Program Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 934 Briarcliff Road, NE, Atlanta, GA 30306 (Fulton County) Contact: Gloria Choo 404-888-7876 Estimated Cost: $1,875,815
2012-044 WellStar Kennestone Hospital
Develop an Outpatient Pediatric Diagnostic Center Filed: 8/31/2012 Deemed Complete: 9/17/2012 60th Day Deadline: 11/15/2012 Decision Deadline: 1/14/2013 Site: 1180 NW Ernest Barrett Parkway, Kennesaw, GA 30144 (Cobb County) Contact: Stephen Vault 678-331-6894 Estimated Cost: $12,720,000
2012-045 WellStar Kennestone Hospital
Capital Expenditure To Add an Interventional Suite Filed: 8/31/2012 Deemed Complete: 9/17/2012 60th Day Deadline: 11/15/2012 Decision Deadline: 1/14/2013 Site: 677 Church Street, Marietta, GA 30060 (Cobb County) Contact: Stephen Vault 678-331-6887 Estimated Cost: $4,984,297
2012-046 Decatur Health Imaging
Replace Existing 0.2T MRI Unit with 1.5T Unit Filed: 9/5/2012 Deemed Complete: 9/20/2012 60th Day Deadline: 11/18/2012 Decision Deadline: 1/17/2013 Site: 2774 North Decatur Road, Atlanta, GA 30033 (DeKalb County) Contact: Scott W. Arant, President 404-296-5887 Estimated Cost: $1,677,000
2012-048 Children's at Town Center
Development of an Outpatient Pediatric Imaging Center Filed: 9/19/2012 Deemed Complete: 9/21/2012 60th Day Deadline: 11/19/2012 Decision Deadline: 1/18/2013 Site: 2985 George Busbee Parkway, Kennesaw, GA 30144 (Cobb County) Contact: David R. Tatum, Vice President 404-785-7556 Estimated Cost: $7,000,000
2012-049 Morgan Memorial Hospital
Expansion of Five Beds Filed: 9/21/2012 Deemed Incomplete: 10/3/2012 Deemed Complete: 10/25/2012 60th Day Deadline: 12/23/2012 Decision Deadline: 2/21/2013 Site: 1077 South Main Street, Madison, GA 30650 (Morgan County) Contact: Ralph Castillo, CEO 706-752-2247
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Estimated Cost: $140,000
2012-050 Piedmont Newnan Hospital da Vinci Surgical Robotic System Filed: 9/26/2012 Deemed Complete: 10/10/2012 60th Day Deadline: 12/8/2012 Decision Deadline: 2/6/2013 Site: 745 Poplar Road, Newnan, GA 30263 (Coweta County) Contact: Davis Dunbar, Manager Regulatory Affairs 404-788-3638 Estimated Cost: $2,045,115
Recently Approved Applications
2012-017 Liberty Regional Medical Center Renovate and Reconstruct Service Areas Filed: 5/18/2012 Deemed Incomplete: 5/31/2012 Deemed Complete: 6/15/2012 60th Day Deadline: 8/13/2012 Decision Deadline: 10/12/2012 APPROVED: 10/12/2012 Site: 462 E. G. Miles Parkway, Hinesville, GA 31310 (Liberty County) Contact: Elise Stafford 912-545-3392 Estimated Cost: $14,027,875
2012-022 Emory University Hospital Renovation and Expansion of Surgical Suite Filed: 5/25/2012 Deemed Incomplete: 6/7/2012 Deemed Complete: 6/22/2012 60th Day Deadline: 8/20/2012 Decision Deadline: 10/19/2012 APPROVED: 10/19/2012 Site: 1364 Clifton Road, Atlanta, GA 30322 (DeKalb County) Contact: Toni Wimby, Associate Administrator 404-686-2450 Estimated Cost: $46,000,000
Recently Denied Applications
none
CON Applications Withdrawn
none
Appealed LNRs
LNR-ASC2011-021 Meadows Gynecology Surgery Center, Inc. and Meadows Surgical Arts, Inc. ("Meadows") Requested Letter of Non-Reviewability for the establishment of a Physician-Owned, Single Specialty, Office Based Ambulatory Surgery Center, 11/16/2011. Determination of "denied" issued on ,4/3/2012. Meadows Gynecology Surgery Center, Inc. and Meadows Surgical Arts, Inc. filed request for Administrative Appeal Hearing, 05/02/2012.
Appealed CON Projects
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,
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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. Northside filed petition for judicial review, 2/16/2012. Superior Court Decision: The Superior Court reversed DCH's decision to grant a CON to Kennestone, 7/30/2012. Court of Appeals: granted Kennestone Hospital, Inc. and DCH's Applications for Discretionary Appeal on 09/21/12.
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: 5/15/2012 5/18/2012 Hearing Decision: Hearing Officer reversed Department's decision, 9/5/2012. Department and Southern Regional Medical Center filed request for Commissioner Review, 10/5/2012 Commissioner Review Decision: Pending
2011-076 Athens Regional Surgery Center, LLC (Clarke) Establish a Freestanding Multi-Specialty ASC Agency Decision: denied, 3/20/2012 Appealed By: Athens Regional Surgery Center, LLC, 3/28/2012; St. Mary's Health Care System, Inc. filed request to intervene, 4/25/2012 Hearing Officer: Melvin M Goldstein, Esq. Hearing Date: 10/23/2012 10/25/2012 Hearing Decision: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2012013 Premier Pain Management, Inc.

Fixed MRI

Request received: 6/8/2012

Contact Person: Randy Webman 678-209-0585

Determination: Approved

Determination Date: 10/11/2012

LNR-EQT2012016 Professional Resources Management of Rabun, LLC dba Mountain

Fixed MRI

Request received: 7/23/2012

Contact Person: Vicki Lawrenson

Determination: Approved

Determination Date: 10/10/2012

LNR-EQT2012017 Piedmont Hospital, Inc.

CT Scanner

Request received: 8/13/2012

Contact Person: Davis Dunbar 404-788-3638

Determination: Approved

Determination Date: 10/17/2012

LNR-EQT2012018 Georgia Ear Associates, PC

Fixed CT

Request received: 8/20/2012

Contact Person: M. Miles Goldsmith, MD 912-356-1515

Determination: Approved

Determination Date: 10/26/2012

LNR-EQT2012019 Emory Specialty Associates, LLC Fixed MRI

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Request received: 8/22/2012

Contact Person: Mike Mason 404-778-5639

Determination: Approved

Determination Date: 10/26/2012

LNR-EQT2012020 Good Samaritan Hospital, Inc., fna Saint Joseph's at East Georgia, Mobile MRI Request received: 9/10/2012 Contact Person: D. Montez Carter 706-206-8554 Determination: Pending

LNR-EQT2012021 Emory University dba Emory University Hospital Midtown Fixed MRI and Fixed CT Scanner Request received: 9/27/212 Contact Person: Toni Wimby 404-656-2809 Determination: Pending

LNR-EQT2012022 John D. Archbold Memorial Hospital da Vinci Si-e Surgical System Request received: 10/11/2012 Contact Person: John Fisher 229-228-2880 Determination: Pending

LNR-EQT2012023 Emory University d/b/a Emory University Hospital Midtown Robotic Surgical System Request received: 10/12/2012 Contact Person: Toni Wimby 404-686-2809 Determination: Pending

LNR-EQT2012024 Christopher J. Lee, MD Christopher J. Lee, MD Request received: 10/18/2012 Contact Person: Christopher Lee 770622-4400 Determination: Pending

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

LNR-ASC2012012 Hemlock Ambulatory Surgery Center, LLC

Physician-Owned, Single Specialty Ambulatory Surgery Center

Site: 101 Preston Court, Macon, GA 31210

Number of OR's: 2

Specialty: Pain Management Procedure

Project costs as submitted: $888,317.44

Request received: 8/9/2012

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

Determination: Approved

Determination

10/23/2012

LNR-ASC2012013 Atlanta General and Bariatric Surgery Center, LLC

Development of a Single Specialty General Surgery ASC

Site: 6300 Hospital Parkway, Suite 150, Johns Creek, GA 30097

Number of OR's: 1

Specialty: Bariatric

Project costs as submitted: $2,315,134.00

Request received: 8/17/2012

Contact Person: Michael Miller 404-435-1321

Determination: Pending

LNR-ASC2012014 South Georgia Urology Surgery Center, LLC

Physician-Owned, Single Specialty Ambulatory Surgery Center

Site: 803 North Jackson Street, Albany, Georgia 31701

Number of OR's: 1

Specialty: Urological Procedures

Project costs as submitted: $647,908.78

Request received: 8/28/2012

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Contact Person: Joseph R. Ross, Partner 912-651-8941

Determination: Approved

Determination

11/1/2012

LNR-ASC2012015 Ankle and Foot Centers of Georgia, LLC

New Replacement Medical Office Facility

Site:

Number of OR's:

Specialty: Podiatry

Project costs as submitted: $1,360,500.00

Request received: 8/30/2012

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

Determination: Pending

LNR-ASC2012016 Urological Clinic of Valdosta, P.C.

Single Specialty ASC

Site: 3244 N Oak Street Extension, Valdosta, GA 31605

Number of OR's: 2

Specialty: Urology

Project costs as submitted: $1,361,285.26

Request received: 9/12/2012

Contact Person: Gayle R. Evans, President 770-794-4944

Determination: Pending

LNR-ASC2012017 Georgia Endoscopy Center, LLC

New Construction/Renovation

Site: 3330 Preston Ridge Road, Suite 270, Alpharetta, GA

Number of OR's: 2

Specialty: GEC - Gastroenterologists and

Project costs as submitted: $0.00

Request received: 9/18/2012

Contact Person: Kathryn M. T. Platt 404-728-1974

Determination: Pending

LNR-ASC2012018 Endoscopy Consultants, LLC

Establishment of a Single Specialty (Endoscopy) Joint Venture ASC

Site: 5669 Peachtree Dunwoody Road, Suite 290, Atlanta, GA 30342

Number of OR's: 1

Specialty: Gastroenterologists

Project costs as submitted: $0.00

Request received: 9/18/2012

Contact Person: Kathryn M. T. Platt 404-728-1974

Determination: Pending

LNR-ASC2012019 ISPM ASC at Piedmont, LLC

Physician-Owned Single Specialty ASC

Site: 2061 Peachtree Road NE, Suite 200, Atlanata, GA 30309

Number of OR's: 2

Specialty: Pain Management

Project costs as submitted: $0.00

Request received: 9/21/2012

Contact Person: Stephen Rosenbaum ExDir 404-920-4950

Determination: Pending

LNR-ASC2012020 Urology Specialist Surgery Center, LLC

Physician-Owned, Single Specialty ASC

Site: 5400 Bowman Road, Suite 102, Macon, Georgia 31210

Number of OR's: 2

Specialty: Urology

Project costs as submitted: $5,609,497.27

Request received: 9/24/2012

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

Determination: Pending

LNR-ASC2012021 ASC of Georgia Dermatologic Surgery Centers, LLC

Physician Owned Single Specialty Ambulatory Surgery Center

Site: 5555 Peachtree-Dunwoody Road, Atlanta, GA 30342

Number of OR's:

Specialty: Dermatologic Surgery

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Project costs as submitted: $1,976,565 Request received: 10/9/2012 Contact Person: Joseph R. Ross 912-657-4687 Determination: Pending

LNR-ASC2012022 Hillcrest Surgery Associates, LLC

Hillcrest Surgery Associates

Site: 1110 Hillcrest Parkway Suite D, Dublin, GA 31021

Number of OR's:

Specialty: Physician Owned Single Specialty

Project costs as submitted: $1,126,000.00

Request received: 10/18/2012

Contact Person: Edward Luke 770-951-8427

Determination: Pending

LNR-ASC2012023 White Oak Surgery Center, Inc.

Pain Management

Site: 1665 East Highway 34, Newnan, GA 302065

Number of OR's:

Specialty: Pain Management

Project costs as submitted: $189,000.00

Request received: 10/30/2012

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

Determination: Pending

LNR-ASC2012024 Innovative Pain Management Center, LLC

Physician-owned Single-Specialty ASC

Site: 1300 Upper Hembree Road, Building 100, Suite B

Number of OR's: 1

Specialty: Pain Management

Project costs as submitted: $821,173.00

Request received: 10/31/2012

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

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
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: Non-reviewable as proposed Determination Date: 10/22/2012
DET2012062 CareSouth HHA Holdings of Washington, LLC dba CareSouth Homecare Reorganization of CareSouth's Washington service area Request received: 5/3/2012 Contact Person: Rick W. Griffin 706-854-7460 Determination: Pending
DET2012089 The Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2012 Contact Person: Donald Elder 706-660-6342 Determination: Pending Opposition: St. Francis Hospital- 6/14/2012
DET2012115 Alliance Healthcare Services Replacement of CON-Approved Diagnostic Equipment Request received: 7/2/2012 Contact Person:
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Determination: Non-reviewable as proposed Determination Date: 11/1/2012
DET2012124 Amicita Home Health, LLC Internal Reorganization/Consolidation of Amicita Home Health Agency Request received: 7/26/2012 Contact Person: Kim Herron 478-621-2045 ext 2228 Determination: Non-reviewable as proposed Determination Date: 10/10/2012
DET2012130 EHCA Johns Creek, LLC dba Emory Johns Creek Hospital Relocation of Women's Imaging Services Request received: 8/6/2012 Contact Person: Laurie Hansen 678-474-7012 Determination: Non-reviewable as proposed Determination Date: 10/10/2012
DET2012131 GYN Resources, Inc. Mobile Ambulatory Surgical Treatment Centers Request received: 8/8/2012 Contact Person: Vickey Worthy 404-605-7087 Determination: Pending

DET2012132 SunCrest Home Health of Georgia, Inc. dba SunCrest Home Health Transfer of Franklin County Request received: 8/9/2012 Contact Person: John W. Dant 615-712-2229 Determination: Non-reviewable as proposed Determination Date: 10/12/2012

DET2012133 Lane Dermatology and Dermatologic Surgery, LLC Renovations of Existing Facility Request received: 8/10/2012 Contact Person: Renee Blanton 706-322-1717 Determination: Non-reviewable as proposed Determination Date: 10/15/2012

DET2012134 Doctors Hospital of Augusta, LLC dba Doctors Hospital of Augusta Temporary Lease of Cath Lab Request received: 8/13/2012 Contact Person: Sondra Smith 706-651-6689 Determination: Non-reviewable as proposed Determination Date: 10/16/2012

DET2012135 Candler County Hospital Authority dba Candler County Hospital Facilities Improvement and Equipment Replacement Program Request received: 8/14/2012 Contact Person: Stephen C. Shepherd 912-685-5741 Determination: Non-reviewable as proposed Determination Date: 10/18/2012

DET2012136 SHI Parc at Duluth, LLC Establishment of Personal Care Home Request received: 8/14/2012 Contact Person: Jan Robbs 770-622-6880 Determination: Non-reviewable as proposed

Determination Date: 10/18/2012

DET2012137 John D. Archbold Memorial Hospital, Inc. Construction/Replacement/Consolidation of Physician Specialty Clinic Request received: 8/15/2012 Contact Person: John Fischer 229-228-2880 Determination: Non-reviewable as proposed Determination Date: 10/26/2012

DET2012139 AFA Equipment Corp, LLC Replacement of Open Magnetic Resonance Imaging Machine Request received: 8/21/2012 Contact Person: Jeanne Tucker 912-283-6471 Determination: Pending

DET2012140 Northside Hospital, Inc. dba Northside Hospital - Cherokee Addition of Second Adult Diagnostic Cardiac Cath Lab
13

Request received: 8/23/2012 Contact Person: Brian Toporek 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 10/26/2012
DET2012141 Kennestone Hospital, Inc. dba WellStar Kennestone Hospital Development of Medical Office Building Request received: 8/23/2012 Contact Person: Caroline Aultman 678-331-6885 Determination: Non-reviewable as proposed Determination Date: 10/26/2012

DET2012143 Northside Hospital, Inc. d/b/a Northside Hospital - Forsyth Addition of Third Adult Diagnostic Cardiac Cath Lab Request received: 8/31/2012 Contact Person: Bill Toporek 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 10/26/2012

DET2012144 Augusta Healthcare Properties, Inc. Renovation of Existing Nursing Facility Request received: 8/29/2012 Contact Person: AneelGill 678-533-6699 Determination: Non-reviewable as proposed Determination Date: 10/26/2012

DET2012145 Healthcare Properties Leasing, Inc. dba Augusta Hills, LLC Renovation of Existing Nursing Facility Request received: 8/29/2012 Contact Person: Aneel Gill 678-533-6699 Determination: Non-reviewable as proposed Determination Date: 10/26/2012

DET2012146 upac-Laurel Park, LLC Renovation of Existing Nursing Facility Request received: 8/29/2012 Contact Person: Aneel Gill 678-533-6699 Determination: Non-reviewable as proposed

Determination Date: 10/26/2012

DET2012147 Hilltop Healthcare Properties, Inc. Renovation of Existing Nursing Facility Request received: 8/28/2012 Contact Person: Aneel Gill 678-533-6699 Determination: Non-reviewable as proposed Determination Date: 10/26/2012

DET2012148 Advanced Aesthetics, P.C. Transfer Approved ASC to LNR Holder's Wholly-Owned Subsidiary Request received: 9/4/2012 Contact Person: Diane Rodriguez 770-461-4000 Determination: Pending

DET2012149 Atlanta Center for Medical Research Exempt Clinical Trial Research Facility Request received: 9/4/2012 Contact Person: Determination: Non-reviewable as proposed Determination Date: 10/31/2012

DET2012150 Tenet Healthsystem GB, Inc. and Tenet South Fulton, Inc. Consolidation of Hospital License Request received: 9/5/2012 Contact Person: Dawnmarie Matlock 404-881-4253 Determination: Non-reviewable as proposed Determination Date: 11/2/2012

DET2012151 Meadows Regional Medical Center Construct a 9-bed Observation Unit Request received: 9/6/2012 Contact Person: J. Alan Kent 912-535-5827 Determination: Non-Reviewable as proposed Determination Date:

11/6/2012

14

DET2012152 UHS of Anchor, L.P. dba Anchor Hospital Allow Reduction of Indigent/Charity Care Percentage Request received: 9/10/2012 Contact Person: James Duff, CEO 770-991-6044 Determination: Pending
DET2012153 Magnolia Manor of Macon Assisted Living Change of Capacity Request received: 9/12/2012 Contact Person: Mark Todd 229-924-9352 Ext 4053 Determination: Pending
DET2012154 Magnolia Manor South Change of Capacity Request received: 9/12/2012 Contact Person: Mark Todd 229-924-9352 Ext 4053 Determination: Pending
DET2012155 Elder Hope Fayetteville, LLC Requesting Waiver of CON requirement for Assisted Living Facility Request received: 9/12/2012 Contact Person: George 706-999-1434 Determination: Pending
DET2012156 Greenleaf Center Conversion Request for a Separate Hospital License - Conversion of Two Acute Care Request received: 9/14/2012 Contact Person: Chris Howard 615-861-7303 Determination: Pending
DET2012157 Magnolia Manor on the Coast Increase in Occupancy for Personal Care Home from 24 - 36 beds Request received: 9/18/2012 Contact Person: Michelle Laidler 912-756-4300 Determination: Pending
DET2012158 University McDuffie County Regional Medical Center, Inc. Relocation of Health Care Facility Request received: 9/24/2012 Contact Person: Edward l Burr 706-774-8063 Determination: Pending
DET2012159 Emory University dba Emory University Hospital Replacement of Cardiac Catheterization Equipment Request received: 9/28/2012 Contact Person: Toni Wimby 404-686-2809 Determination: Pending
DET2012160 Hospital Authority of Tift County Consolidation of Hospital Licenses Request received: 10/1/2012 Contact Person: Dennis Crum 229-353-6146 Determination: Pending
DET2012161 Houston Hospitals, Inc. dab Perry Hospital Replace existing fixed based CT unit Request received: 10/3/2012 Contact Person: Tim Sisco 478-542-7837 Determination: Pending
DET2012162 Houston Hospitals, Inc. dba Houston Medical Center Replace existing fixed based CT unit Request received: 10/3/2012
15

Contact Person: Tim Sisco 478-542-7837 Determination: Pending
DET2012163 Emory University dba Emory University Hospital Renovation of the Surgery Department's Resident Area Request received: 10/10/2012 Contact Person: Toni Wimby 404-686-2809 Determination: Pending
DET2012164 Saint Joseph's Hospital of Atlanta Replacement of a CON approved da Vinci robotic system Request received: 10/12/2012 Contact Person: Heather Dexter 678-843-4951 Determination: Pending
DET2012165 Southeastern Regional Medical Center, Inc. Purchase a Da Vinci Vessel Sealer and Stapler Vision Cart System Request received: 10/18/2012 Contact Person: David Kent 770-400-6261 Determination: Pending
DET2012166 MCG Health, Inc. dba Georgia Health Sciences Medical Center Renovation of CMC Children's Research Unit Request received: 10/19/212 Contact Person: Phil Howard 706-721-4551 Determination: Pending
DET2012167 Towne Lake Memory Care, LLC Establishment of New Personal Care Home/Assisted Living Request received: 10/30/2012 Contact Person: Nicole Haenszel 214-845-4454 Determination: Pending
DET2012168 Midtown Urology Surgical Center, Inc. Relocation of Ambulatory Surgery Center within a three-mile radius Request received: 11/1/2012 Contact Person: Barbara Goldsmith 404-881-0966 Ext 101 Determination: Pending
DET2012169 Wynfield Park Health and Rehabilitation Relocate 66 SNF Beds Request received: 11/2/2012 Contact Person: Stelling Nelson 478-314-1560 ext 2261 Determination: Pending
DET2012170 Effingham County Hospital Authority dba Effingham Health System Facilities Renovation and Imaging Project Request received: 11/6/2012 Contact Person: Norma Jean Morgan 912-754-0160 Determination: Pending
Requests for Extended Implementation/Effective Period
2011045 Parkwood Development Center Expanded Skilled Nursing Request to extend Implementation Period Site: 1501 North Lee Street, Valdosta Project Approved: 10/28/2011 Request Received: 9/25/2012 Contact: Aneel Gill, Health Planner (678-533-6699) Approved Cost: $1,993,956 Determination: Pending
16

2010011 Tanner Medical Center, Inc.

Renovation, Expansion, and Central Energy Plant Upgrade

Request to extend Completion Date

Site: 705 Dixie Street, Carrollton

Project Approved: 7/23/2010

Request Received: 10/15/2012

Contact: Larry N. Steed, COO, TMC, Inc. (770-836-9428)

Approved Cost: $62,665,716

Determination: Approved, 10/18/2012

Extended Completion Date: 7/1/2013

Need Projection Analyses Updated 09/25/2012

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

2017 Non-Special MegaVoltage Radiation Therapy - 6/29/2012 2017 Positron Emission Tomography Services - 6/20/2012 2017 Ambulatory Surgery Center Services - 9/21/2012 2015 Home Health Agency Services - 9/24/2012 2017 Inpatient Physical Rehabilitation Services - 9/24/2012 2017 Neonatal Intensive Care Beds - 9/24/2012 2017 Neonatal Intermediate Care Beds - 9/24/2012 2017 Obstetric Services Beds - 9/24/2012 2015 Skilled Nursing Home Beds - 9/24/2012 Non-Batched Need Projections 2015 Cardiac Catheterization Labs - Updated 4/6/2010 2017 Long Term Care Hospital Beds - 7/2/2012 Note: Short Stay Hospital Bed Need Projections are facility-specific and completed by DCH on an ad hoc basis upon request. Currently, projections can be obtained for 2016 using 2010 utilization.

Non-Filed or Incomplete Division of Health Planning Facility Surveys for Most Recent 3 Years (Survey Status as of 11/06/2012)
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 2009 thru 2011)

Barrow Regional Medical Center

Barrow

2011

Berrien County Hospital

Berrien

2011

Burke Medical Center

Burke

2011

Survey Due
3/9/2012 3/9/2012 3/9/2012

17

Charlton Memorial Hospital Chestatee Regional Hospital East Central Regional Hospital - Augusta Campus Flint River Community Hospital Georgia Regional Hospital at Savannah Georgia Regional Hospital at Savannah Georgia Regional Hospital-Atlanta Gwinnett Medical Center Hutcheson Medical Center Lower Oconee Community Hospital, Inc. Northwest Georgia Regional Hospital Northwest Georgia Regional Hospital Southern Crescent Hospital for Specialty Care Southwest Georgia Regional Medical Center Stewart Webster Hospital Stewart Webster Hospital Walton Regional Medical Center Youth Villages - Inner Harbour Campus

Charlton Lumpkin Richmond Macon Chatham Chatham DeKalb Gwinnett Catoosa Wheeler Floyd Floyd Clayton Randolph Stewart Stewart Walton Douglas

2011 2011 2011 2011 2009 2011 2011 2011 2011 2011 2010 2011 2011 2011 2009 2010 2011 2011

Annual Nursing Home Questionnaire (Survey Years 2009 thru 2011)

Agape Health & Rehab of Moultrie, LLC

Colquitt

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

College Park Health Care Center

Fulton

2011

Emanuel County Nursing Home

Emanuel

2011

Folkston Park Care And Rehabilitation Center

Charlton

2011

Golden LivingCenter - Augusta

Richmond

2011

Golden LivingCenter - Decatur

DeKalb

2011

Golden LivingCenter - Medical Arts

Gwinnett

2011

Golden LivingCenter - Northside

Fulton

2011

Goodwill Nursing Home Inc Gracewood Development Ctr - ICF/MR

Bibb Richmond

2011 2011

Gracewood Nursing Facility (Unit 9)

Richmond

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

Meadows Nursing Center

Toombs

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

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

Westminster Commons

Fulton

2011

Westview Nursing & Rehabilitation Center

Chatham

2011

Cardiac Catheterization Services Survey (Survey Years 2009 thru 2011)

Coffee Regional Medical Center

Coffee

2011

18

3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/12/2010 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/11/2011 3/9/2012 3/9/2012 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/9/2012
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
7/13/2011

Gwinnett Medical Center Hutcheson Medical Center Hutcheson Medical Center Mayo Clinic Health System in Waycross Meadows Regional Medical Center Phoebe Putney Memorial Hospital

Gwinnett Catoosa Catoosa Ware Toombs Dougherty

2011 2010 2011 2011 2011 2011

Freestanding Ambulatory Surgery Services Survey (Survey Years 2009 thru 2011)

Afa Ambulatory Surgery Center

BIBB

2009

Afa Ambulatory Surgery Center

BIBB

2010

Afa Ambulatory Surgery Center

BIBB

2011

Akstein Eye Center, P.c.

CLAYTON

2009

Akstein Eye Center, P.c.

CLAYTON

2010

Akstein Eye Center, P.c.

CLAYTON

2011

Ambulatory Foot & Leg Surg Ctr

COBB

2011

Ambulatory Laser & Surgery Ctr

CLAYTON

2009

Ambulatory Laser & Surgery Ctr

CLAYTON

2010

Ambulatory Laser & Surgery Ctr

CLAYTON

2011

Ambulatory Plastic Surgery Center, Inc

MUSCOGEE

2009

American Eye Surgery Center, Inc

CLARKE

2010

Associates Physicians Asc Associates Physicians Asc

BIBB BIBB

2009 2010

Associates Physicians Asc

BIBB

2011

Athens Plastic Surgery Center

CLARKE

2011

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

FULTON Fulton DEKALB

2011 2011 2009

Atlanta Plastic & Reconst Surg

FULTON

2009

Atlanta South Endoscopy Center, Llc

CLAYTON

2009

Atlanta South Endoscopy Center, Llc

CLAYTON

2010

Atlanta South Endoscopy Center, Llc

CLAYTON

2011

Atlanta Sports Medicine Surgery Center

FULTON

2011

Atlanta West Endoscopy Center, Llc

DOUGLAS

2009

Atlanta West Endoscopy Center, Llc

DOUGLAS

2010

Atlanta West Endoscopy Center, Llc

DOUGLAS

2011

Augusta Aesthetic Surgery, Llc

RICHMOND

2010

Bowman Pain Management, Pc

BIBB

2009

Bowman Pain Management, Pc

BIBB

2011

Buckhead Mohs Surgical Center, LLC

FULTON

2010

Buckhead Mohs Surgical Center, LLC

FULTON

2011

Center For Orthopedic Surgery

BARTOW

2011

Center For Pl & Recon Surgery

CLARKE

2009

Center For Pl & Recon Surgery

CLARKE

2010

Center For Pl & Recon Surgery

CLARKE

2011

Center For Spine & Pain Medicine

WHITFIELD

2009

Center For Spine & Pain Medicine

WHITFIELD

2010

Clayton Outpatient Surg Ctr

CLAYTON

2010

Coastal Empire Plastic Surgery

CHATHAM

2009

Coastal Pain Center, Llc

GLYNN

2011

Cobb Endoscopy Center, Llc

COBB

2009

Cobb Foot And Leg Surgical Center, Llc

COBB

2011

Coffee County Center For Digestive Disease

COFFEE

2009

Columbus Women's Health Organization, Inc.

Muscogee

2009

CPMSC Roswell, PC

FULTON

2011

19

7/13/2011 7/1/2011
7/13/2011 7/13/2011 7/13/2011 7/13/2011
3/12/2010 3/11/2011
3/9/2012 3/12/2010 3/11/2011
3/9/2012 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/12/2010 3/11/2011 3/12/2010 3/11/2011 3/9/2012 3/9/2012 3/9/2012
3/9/2012
3/12/2010 3/12/2010 3/12/2010 3/11/2011
3/9/2012 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/11/2011 3/12/2010 3/9/2012 3/11/2011 3/9/2012 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/12/2010 3/11/2011 3/11/2011 3/12/2010 3/9/2012 3/12/2010 3/9/2012 3/12/2010 3/12/2010 3/9/2012

Dalton Plastic Surgery Day Surgery And Recovery Ctr Dennis Surgery Center, Inc. Digestive Healthcare Of Ga Endo Ctr Mountainside Digestive Healthcare Of Ga Endo Ctr Mountainside Digestive Healthcare Of Ga Endoscopy Ctr Dublin Endoscopy Center, LLC Dublin Eye Surgery Center Dublin Orthopaedics Asc, Inc Endoscopy Center Of Middle Georgia, Llc Endoscopy Center, Llc, The Endoscopy Consultants, Llc Endoscopy Consultants, LLC Ent Surgical Center Eye Associates Surgery Ctr Eye Associates Surgery Ctr Eyesight's Laser & Surgery Ctr Foot & Ankle Surgery Ctr, Llc, The Foot & Ankle Surgery Ctr, Llc, The Forsyth Surgical Center, Inc. Forsyth Surgical Center, Inc. GA Urology, PA Cobb Ambulatory Surgery Center Gainesville Endoscopy Center, Llc Gainesville Eye Center, Llc Georgia Endoscopy Center, LLC Georgia Pain Physicians dba Georgia Surgical Centers of North Georgia GEORGIA PAIN SPINE CENTER, LLC Georgia Surgical Ctrs Of N Ga Golden Isles Foot Sur Ctr, Inc Gwinnett Center for Outpatient Surgery Gwinnett Endoscopy Services - Duluth Harbin G I, Llc Island Surgery Center, Inc Island Surgery Center, Inc Jimenez Foot, Ankle & Leg Asc Jimenez Foot, Ankle & Leg Asc Johns Creek Othopedic Surgery Center Macon Pain Center, Pc Macon Pain Center, Pc Macon Pain Center, Pc Metro Atlanta Endoscopy Midtown Urology Surgical Center Newnan Foot & Ankle Surgery Center, Llc Newnan Foot & Ankle Surgery Center, Llc Non-surgical Orthopaedic Pain Center, P C North Columbus Surgery Center, LLC 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 Foot & Ankle Surgery Center North Georgia Institute For Wound Care, Llc North Georgia Institute For Wound Care, Llc Northeast Endoscopy Center, Llc

WHITFIELD WHITFIELD FULTON PICKENS PICKENS FULTON LAURENS LAURENS LAURENS BIBB CHATHAM FULTON FULTON CHATHAM LOWNDES LOWNDES HOUSTON MUSCOGEE MUSCOGEE FORSYTH FORSYTH COBB HALL HALL Forsyth GORDON
COBB GORDON GLYNN Gwinnett Gwinnett FLOYD GLYNN GLYNN GWINNETT GWINNETT Fulton BIBB BIBB BIBB FULTON FULTON COWETA COWETA COBB MUSCOGEE CHEROKEE CHEROKEE CHEROKEE HALL HALL Catoosa FORSYTH FORSYTH GWINNETT
20

2009 2011 2011 2009 2010 2009 2011 2009 2010 2011 2009 2010 2011 2009 2009 2011 2011 2009 2010 2009 2010 2010 2009 2009 2011 2010
2010 2009 2010 2011 2011 2011 2009 2010 2009 2011 2011 2009 2010 2011 2010 2011 2009 2010 2011 2011 2009 2010 2011 2009 2010 2011 2010 2011 2009

3/12/2010 3/9/2012 3/9/2012
3/12/2010 3/11/2011 3/12/2010
3/9/2012 3/12/2010 3/11/2011
3/9/2012 3/12/2010 3/11/2011
3/9/2012 3/12/2010 3/12/2010
3/9/2012 3/9/2012 3/12/2010 3/11/2011 3/12/2010 3/11/2011 3/11/2011 3/12/2010 3/12/2010 3/9/2012 3/11/2011
3/11/2011 3/12/2010 3/11/2011
3/9/2012 3/9/2012 3/9/2012 3/12/2010 3/11/2011 3/12/2010 3/9/2012 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/11/2011 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/11/2011 3/9/2012 3/12/2010

Northeast Georgia Urological Surgery Center, Llc Northeast Georgia Urological Surgery Center, Llc Northside Foot & Ankle Outpat Northside Surgery Center, Inc. Operating Room Services, Llc Orthopedic Surgery Center, L.P. Orthopedic Surgery Center, L.P. Paces Plastic Surgery Center Paces Plastic Surgery Center Pain Clinic Of Aimr, P.c. Pain Clinic Of Aimr, P.c. Peachtree Spine And Pain Physicians Asc, Llc Perimeter Surgery Center of Atlanta Perimeter Surgery Center of Atlanta Piedmont Surgery Center Pinnacle Orthopaedics Surgery Center-Austell, LLC Plastic & Reconstructive Surgery Center, Pc Plastic Surgery Ctr Land, The Plastic Surgery Ctr Land, The Plastic Surgery Ctr Land, The 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 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 Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Pain Center, Llc Savannah Pain Center, Llc Savannah Pain Center, Llc Seaside Surgical, Llc Seaside Surgical, Llc Southeast Treatment Center, Llc Southeast Treatment Center, Llc Southern Bone & Joint, Llc Summit Endoscopy Center, L L C Summit Endoscopy Center, L L C Surgery Center of Athens 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

HALL HALL GWINNETT FULTON CHATHAM Chatham Chatham FULTON FULTON FULTON FULTON FULTON Fulton Fulton BIBB COBB RICHMOND CHATHAM CHATHAM CHATHAM DEKALB WHITFIELD NEWTON NEWTON NEWTON FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD Fulton CHEROKEE CHEROKEE CHEROKEE Chatham
Chatham
CHATHAM CHATHAM CHATHAM GLYNN GLYNN CAMDEN CAMDEN COWETA FAYETTE FAYETTE Clarke WAYNE Bibb FULTON TIFT MUSCOGEE MUSCOGEE
21

2010 2011 2009 2010 2011 2009 2011 2009 2010 2010 2011 2011 2010 2011 2010 2010 2011 2009 2010 2011 2009 2010 2009 2010 2011 2009 2010 2011 2009 2010 2011 2011 2009 2010 2011 2011
2011
2009 2010 2011 2010 2011 2010 2011 2009 2009 2010 2011 2010 2011 2009 2010 2010 2011

3/11/2011 3/9/2012
3/12/2010 3/11/2011
3/9/2012 3/12/2010
3/9/2012 3/12/2010 3/11/2011 3/11/2011
3/9/2012 3/9/2012 3/11/2011 3/9/2012 3/11/2011 3/11/2011 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/12/2010 3/11/2011 3/12/2010 3/11/2011 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/9/2012
3/9/2012
3/12/2010 3/11/2011
3/9/2012 3/11/2011
3/9/2012 3/11/2011
3/9/2012 3/12/2010 3/12/2010 3/11/2011
3/9/2012 3/11/2011
3/9/2012 3/12/2010 3/11/2011 3/11/2011
3/9/2012

Urology Associates Surgery Center, Llc

COBB

Urology Center Of Georgia Llc

BIBB

Urology Center Of Georgia Llc

BIBB

Urology Surgery Center Of Savannah, Lp

CHATHAM

Urology Surgical Partners, Llc

FULTON

V.O.A. Ambulatory Surgical Center

LOWNDES

Valdosta Endoscopy Center, Llc

LOWNDES

Valdosta Foot & Ankle Surgery

LOWNDES

Valdosta Foot & Ankle Surgery

LOWNDES

Valdosta Foot & Ankle Surgery

LOWNDES

Wellbrook Endoscopy Center

ROCKDALE

Wellbrook Endoscopy Center

ROCKDALE

Wellbrook Endoscopy Center (covington)

NEWTON

West Georgia Endoscopy Center, Llc

CARROLL

Westside Endoscopy Center, P C

COBB

Westside Endoscopy Center, P C

COBB

WESTSIDE SURGERY CENTER, LLC (d/b/a ENT of Coffee County) Woodhams Laser & Lens Implant

COFFEE FULTON

Woodhams Laser & Lens Implant

FULTON

WOOLFSON AMBULATORY SURGERY CENTER, LLC FULTON

2011 2010 2011 2010 2010 2011 2010 2009 2010 2011 2010 2011 2010 2010 2010 2011 2010
2009 2010 2010

Home Health Agency Survey (Survey Years 2009 thru 2011)

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Intrepid USA Healthcare Services

Glynn

Medside Home Health Agency

Fulton

Trinity Home Health

Richmond

Visiting Nurses Association of Greater Tift Co

Tift

2010 2011 2010 2011 2011 2011

Hospital Financial Survey (Survey Years 2009 thru 2011

Charlton Memorial Hospital Mountain Lakes Medical Center

Charlton Rabun

Mountain Lakes Medical Center

Rabun

Riverwoods Behavioral Health System

Clayton

Youth Villages - Inner Harbour Campus

Douglas

Youth Villages - Inner Harbour Campus

Douglas

2011 2010 2011 2011 2010 2011

Open Heart Surgery Services Survey (Survey Years 2009 thru 2011)

Gwinnett Medical Center

Gwinnett

2011

Phoebe Putney Memorial Hospital

Dougherty

2011

Positron Emission Tomography Services Survey (Survey Years 2009 thru 2011)

Battlefield Imaging Center

Catoosa

2009

Radiation Therapy Services Survey (Survey Years 2009 thru 2011)

Hutcheson Medical Center

Catoosa

2010

3/9/2012 3/11/2011
3/9/2012 3/11/2011 3/11/2011
3/9/2012 3/11/2011 3/12/2010 3/11/2011
3/9/2012 3/11/2011
3/9/2012 3/11/2011 3/11/2011 3/11/2011
3/9/2012 3/11/2011
3/12/2010 3/11/2011 3/11/2011
3/11/2011 3/9/2012
3/11/2011 3/9/2012 3/9/2012 3/9/2012
7/13/2012 7/8/2011
7/13/2012 7/13/2012
7/8/2011 7/13/2012
7/13/2011 7/13/2011
4/30/2010
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 11/06/2012)

Facility Name Albany Surgery Center, Llp Albany Surgery Center, Llp Atlanta Eye Surgery Center at Omni West Clayton Cataract and Laser Surgery Center

County

Year

DOUGHERTY 2010

DOUGHERTY 2011

Fulton

2009

Clayton

2010

22

Shortfall Due Service 38,801.81 Ambulatory Surgery Center 46,106.54 Ambulatory Surgery Center 1,665.20 Ambulatory Surgery Center 13,418.77 Ambulatory Surgery Center

Clayton Cataract and Laser Surgery Center Clayton Outpatient Surg Ctr Dekalb Endoscopy Center Dennis Surgery Center, Inc. G.I. Endoscopy Center G.I. Endoscopy Center Gainesville Surgery Center Georgia Pain Management Center, LLC Gwinnett Endoscopy Services - Duluth North Georgia Outpatient Surg North Georgia Outpatient Surg Northside Foot & Ankle O P Sc Northside Foot & Ankle O P Sc Northside Foot & Ankle Outpat Northside Foot & Ankle Outpat Northside Surgery Center, Inc. Northside Surgery Center, Inc. Orthopaedic South Surgical Center Orthopaedic South Surgical Center Orthopaedic South Surgical Center Orthopedic Surgery Center, L.P. Paces Plastic Surgery Center Resurgens Surgical Center Resurgens Surgical Center Resurgens Surgical Center Savannah Plastic Surgicenter, Inc. Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. South Georgia Surgery Center Specialty Surgery Center, Inc. Specialty Surgery Center, Inc. Spivey Station Surgery Center Summerville Surgical Center Surgery Center, LLC, The Surgery Center, LLC, The Surgical Suite, The Surgical Suite, The Caresouth Homecare Professionals Caresouth Homecare Professionals - Macon Caresouth Homecare Professionals - Washington CSRA Home Health- Columbia, Inc. CSRA Home Health- Columbia, Inc. Guardian Home Care of Central Georgia Guardian Home Care of Northeast Georgia Guardian Home Care, LLC Southside Medical Home Health Suncrest Home Health Suncrest Home Health

Clayton CLAYTON DEKALB FULTON CLAYTON CLAYTON Hall HENRY Gwinnett GORDON GORDON HALL HALL GWINNETT GWINNETT FULTON FULTON CLAYTON CLAYTON CLAYTON Chatham FULTON FULTON FULTON FULTON Chatham Chatham Chatham Ware FULTON FULTON Clayton Richmond Muscogee Muscogee FULTON FULTON Muscogee Bibb Elbert McDuffie McDuffie Oconee Hall Fulton DeKalb Cobb Newton

2011 2011 2011 2010 2010 2011 2011 2011 2010 2010 2011 2010 2011 2010 2011 2009 2011 2009 2010 2011 2010 2011 2009 2010 2011 2009 2010 2011 2010 2010 2011 2010 2011 2009 2010 2010 2011 2011 2011 2011 2010 2011 2011 2011 2011 2010 2011 2011

66,531.12 44,542.67 83,031.41 16,719.75 75,209.04 10,731.33 38,485.44
4,303.40 29,339.64 16,008.93 26,481.60 10,443.33
2,272.71 19,902.09
738.00 4,466.67 9,470.49 673,595.09 736,036.52 804,390.23 2,275,498.54 67,813.20 1,193,396.65 1,203,614.79 1,375,891.97 36,419.70 25,369.55 27,490.23 11,500.12 9,376.56 4,035.84 55,170.93
583.16 114,593.31 124,405.19
4,689.30 4,650.87 5,272.52
192.42 98,252.02 11,903.41 10,055.68 49,938.52 35,797.51 147,847.14
4,224.15 6,917.49 2,942.44

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

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 9/25/2012 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

Need Projections can be found on the DHP Need Projections Page

25

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

Batching Notice
(June 22, 2012)

Application Day
(application complete when
submitted; review cycle begins same
day)
Due by 12 noon August 21, 2012)

75th Day
(applicant provides additional information)
(November 3, 2012)

100th Day
(last day for letters of support to be submitted to Department)
November 28, 2012

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

Letter of Intent
(July 22, 2012 - Rollover date: due by 5pm July 23, 2012)

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

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(November 18, 2012)

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

26

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

Application

Day

(application

complete when

submitted;

review cycle

Batching

begins same

Notice

day)

(September 25,

2012)

(November 24, 2012; Rollover date App due by 12 noon November 26, 2012)

75th Day
(applicant provides additional information)
(February 6, 2013)

100th Day
(last day for letters of support to be submitted to
Department)
(March 3, 2013)

120th Day
(Department Issues
decision)
(March 22, 2013)

Letter of Intent
(October 25, 2012)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(January 22, 2013)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(February 21, 2013)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(March 13, 2013)

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 Healthcare Facility Regulation Division 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
Office of Health Planning Contact Information
For general questions related to the Office 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