Certificate-of-need tracking and appeals report [Mar. 28-Apr. 3, 2012]

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Letters of Intent Withdrawn Letters of Intent
Expired Letters of Intent 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Applications Pending Review/Complete/Joined Applications Recently Approved Applications Recently Denied Applications Withdrawn CON Applications

HEALTHCARE FACILITY REGULATION DIVISION
CERTIFICATE OF NEED

Appealed Determinations Appealed CON Projects

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
Batching Notifications - Spring
Need Projection Analyses
New Batching Review Winter Cycle Spring Cycle
Non-Filed or Incomplete Surveys
Indigent-Charity Shortfalls

March 28, 2012 April 3, 2012
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) 656-0654 Fax www.dch.georgia.gov

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 ?

Letters of Intent

LOI2012012 Hamilton Medical Center

Renovation and Expansion of Medical Intensive Care Unit (MICU)

Received: 3/5/2012

Application must be submitted on: 4/4/2012

Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County)

Estimated Cost: $8,030,000

LOI2012013 MRI Imaging Specialist

CT and MRI Unit

Received: 3/20/2012

Application must be submitted on: 4/19/2012

Site: 6760 Jimmy Carter Boulevard, Suite 165, Norcorss, GA 30071 (Gwinnett County)

Estimated Cost: $300,000

Withdrawn Letters of Intent
none

Expired Letters of Intent

LOI2012011 WellStar Kennestone Hospital

Relocation & Expansion of Hospital Central Sterile & Processing Space

Received: 3/2/2012

Application must be submitted on: 4/2/2012

Site: 677 Church Street, Marietta, GA 30060 (Cobb County)

Estimated Cost: $8,500,000

New Applications
2012-010 St. Mary's Hospital Renovate the ER Department at St. Mary's Hospital in Athens, GA Filed: 3/26/2012 Site: 1230 Baxter Street, Athens, GA 30606 (Clarke County) Contact: Richard D. Sanders 404-364-1819 Estimated Cost: $3,500,000
2012-011 Woodstock MRI and Health Center, LLC New DTRC Facility Filed: 3/28/2012 Site: 203 Wood Park Place, Suite A-100, Woodstock, GA 30188 (Cherokee County) Contact: Saied Takallou, Managing Partner 404-428-7000 Estimated Cost: $1,739,807
2012-012 The Medical Center of Central Georgia, Inc. Renovation of 5 East Filed: 3/29/2012 Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: H. Bryan Forlines 478-633-6966 Estimated Cost: $5,383,708
Pending Review/Incomplete Applications
2012-009 OMI Diagnostics - Alpharetta Conversion of a LNR Advance Imaging Center to a DTRC Filed: 3/16/2012 Deemed Incomplete: 3/30/2012 Site: 299 South Main Street, Alpharetta, GA 30004 (Fulton County)
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Contact: Thomas Brown, Jr. 770-664-7777 Estimated Cost: $2,885,672
Pending Review/Complete Applications
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 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
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2012-001 Medical Center of Central Georgia
Replace, Upgrade, and Expand Telemetry System throughout the Hospital Filed: 1/11/2012 Deemed Complete: 1/26/2012 60th Day Deadline: 3/25/2012 Decision Deadline: 5/24/2012 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 Deemed Complete: 2/6/2012 60th Day Deadline: 4/5/2012 Decision Deadline: 6/4/2012 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 Deemed Complete: 2/6/2012 60th Day Deadline: 4/5/2012 Decision Deadline: 6/4/2012 Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County) Contact: Brian Toporek 404-851-6821 Estimated Cost: $29,656,290
2012-004 Crisp Regional Hospital
Expansion and Renovation of Emergency Department and 26 Parking Spaces Filed: 1/26/2012 Deemed Complete: 2/9/2012 60th Day Deadline: 4/8/2012 Decision Deadline: 6/7/2012 Site: 902 N. 7th Street, Cordele, GA 31015 (Crisp County) Contact: Steven l. Gautney, FACHE 229-276-3300 Estimated Cost: $6,580,227
2012-005 Landmark Hospital of Savannah
50-Bed Freestanding LTAC Hospital Filed: 2/17/2012 Deemed Complete: 3/2/2012 60th Day Deadline: 4/30/2012 Decision Deadline: 6/29/2012 Site: 1800 E. 63rd Street, Savannah, GA 31404 (Chatham County) Contact: William Kapp, M.S. Chairman 573-331-8040 Estimated Cost: $19,712,000
2012-006 Piedmont Newnan Hospital
Establish a Fixed-Based PET/CT Scanner Filed: 2/20/2012 Deemed Complete: 2/20/2012 60th Day Deadline: 4/19/2012 Decision Deadline: 6/18/2012 Site: 20 Francis Way, Sharpsburg, GA 30277 (Coweta County) Contact: Davis Dunbar, Manager, Regulatory Affairs 404-425-1344 Estimated Cost: $2,667,721
2012-007 Northside Hospital - Forsyth
Establish a special purpose Megavoltage Radiation Therapy Gamma Knife Filed: 2/20/2012 Deemed Complete: 2/20/2012 60th Day Deadline: 4/19/2012 Decision Deadline: 6/18/2012 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian J. Toporek, Senior Planner 404-851-6283
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Estimated Cost: $8,000,000
2012-008 Southern Medical Imaging at Woodstock Conversion of Existing LNR to CON approved DTRC Filed: 3/5/2012 Deemed Complete: 3/16/2012 60th Day Deadline: 5/14/2012 Decision Deadline: 7/13/2012 Site: 2001 Professional Parkway, Suite 160, Woodstock, GA 30188 (Cherokee County) Contact: William C. Lavely, MD, Managing Member 912-856-4032 Estimated Cost: $0
Recently Approved Applications
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 APPROVED: 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
2011-073 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 APPROVED: 3/20/2012 Site: 1200 Northside Forsyth Drive, Cumming, GA 30341 (Forsyth County) Contact: Brian J. Toporek 404-851-6821 Estimated Cost: $1,000,708
2011-074 Tanner Medical Center - Carrollton Convert Existing 20-Bed Skilled Nursing Unit to a Inpatient Physical Rehabilitation Unit Filed: 11/22/2011 Deemed Complete: 11/22/2011 60th Day Deadline: 1/20/2012 Decision Deadline: 3/20/2012 APPROVED: 3/20/2012 Site: 705 Dixie Street, Carrollton, GA 30117 (Carroll County) Contact: Taylor Powers 770-838-8688 Estimated Cost: $2,094,500
Pending Review/Complete/Joined Applications
none
Recently Denied Applications
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 DENIED: 3/20/2012 Site: 1600 Medical Way, Snellville, GA 30078 (Gwinnett County) Contact: Dustin Greene 770-736-2224
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Estimated Cost: $8,947,391
2011-076 Athens Regional Surgery Center, LLC Establish a Freestanding Multi-Specialty ASC Filed: 11/22/2011 Deemed Complete: 11/22/2011 60th Day Deadline: 1/20/2012 Decision Deadline: 3/20/2012 DENIED: 3/20/2012 Site: 1295 Prince Avenue, Athens, GA 30606 (Clarke County) Contact: Jeffrey C. Baxter 706-475-1195 Estimated Cost: $7,580,000
CON Applications Withdrawn
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 WITHDRAWN: 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
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 for 2/23/2012 2/24/2012. Motion for Summary Adjudication granted in favor of Northside Hospital, Inc., 2/23/2012. Received Request for Agency Review of Hearing Officer's February 23, 2012 Order, 3/19/2012.
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. Phoebe Sumter dismisses its appeal, 1/26/2012.
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.
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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: pending
2010-034 Lakeview Behavioral Health System, LLC (Gwinnett) Establish a 60-bed Acute Care Psychiatric/Substance Abuse Hospital - Batching Agency Decision: Approved, 12/17/2010 Appealed By: Peachford Behavioral Health System, 1/14/2011; Northeast Georgia Medical
Center, 1/14/2011; and UHS of SummitRidge d/b/a SummitRidge Hospital, 1/14/2011. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: June 6 8, 2011 and June 17 - 20, 2011 Hearing Decision: Hearing Officer affirms decision to approve CON for applicant, 8/25/2011. Additional Appeals Information: Peachford Behavioral Health System, Northeast Georgia Medical Center and UHS of SummitRidge submitted request for Commissioner Review, 9/26/2011. 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
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
2011-043 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
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.
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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
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 Hearing Officer: TBD Hearing Date: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment
LNR-EQT2012001 MRI Imaging Specialist X-Ray and mammography Unit Request received: 1/26/2012 Contact Person: Micharl Alatorre 786-303-0242 Determination: Pending

LNR-EQT2012002 University Hospital

Fixed, Single-Modality, Cardiac Positron Emission Tomography Scanner

Request received: 1/31/2012

Contact Person: James R. Davis 706-774-8045

Determination: Approved

Determination Date: 4/2/2012

LNR-EQT2012003 St. Mary's Health Care System, Inc. SIGMA 36 Monoplace Hyperbaric System (2) Request received: 2/13/2012 Contact Person: Determination: Pending

LNR-EQT2012004 Southern Orthopaedic Specialists, LLC FIX MRI Request received: 2/13/2012 Contact Person: Michael Ochal 770-953-6929 Determination: Pending

LNR-EQT2012005 Good Samaritan Hospital, Inc. fka St. Joseph's at East GA, Inc. Fixed CT Scanner Request received: 3/8/2012 Contact Person: D. Montez Carter 706-206-8554 Determination: Pending

LNR-EQT2012006 Harbin Clinic, LLC dba Cartersville Imaging Center Fixed MRI Request received: 3/21/2012 Contact Person: Kenna Stock 706-236-6347 Determination: Pending

LNR-EQT2012007 CPM Imaging, LLC Mobile MRI Request received: 3/19/2012 Contact Person: Rajesh K. Patel, MD 770-948-6824 Determination: Pending

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

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: Denied

Determination

4/3/2012

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

Request received: 1/12/2012

Contact Person: Kathlynn Butler Polvino 404-527-4000

Determination: Pending

Opposition: St. Joseph's Hospital of Atlanta- 2/13/2012; EHCA Johns Creek, LLC d/b/a

Emory Johns Creek Hospital- 2/13/2012

LNR-ASC2012002 Johns Creek Surgery Center, LLC

Joint Venture Ambulatory Surgical Center

Site: EJCH in a MOB: 6300 Hospital Parkway, Suite 150, Johns Creek,

Number of OR's: 2

Specialty: General Surgery

Project costs as submitted: $3,633,418.00

Request received: 2/28/2012

Contact Person: Robert Limyansky 770-394-8465

Determination: Pending

Opposition: Northside Hospital, Inc d/b/a Northside Hospital (NHA), Northside Hospital

Forsyth, Northside Hospital Cherokee (NHC)- 3/29/2012

LNR-ASC2012003 Women's Center for Advanced Surgery, Inc.

Physician-Owned, Sigle Specialty Ambulatory Surgery Center

Site: 1948 Old Ocilla Road, Tifton, GA 31794

Number of OR's: 1

Specialty: Gynecological Procedures

Project costs as submitted: $1,623,245.19

Request received: 3/21/2012

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

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
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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: Withdr/Appl Prior to Dec

Date of Withdrawal:

3/29/2012

DET2011130 Jenkins County Hospital Hospital Renovation Request received: 8/1/2011 Contact Person: Michael Kleinpeter 912-644-5370 Determination: Pending
DET2011173 Roswell Center for Foot and Ankle Surgery, LLC Podiatry Single Specialty ASC Request received: 10/26/2011 Contact Person: Portia Walker 404-257-0611 ext224 Determination: Non-reviewable as proposed Determination Date: 3/15/2012
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
DET2011183 Valdosta Orthopedic Associates, P.C. Continuation of MRI Services Request received: 11/4/2011 Contact Person: Ursuline Sookhoo 229-247-2290 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: Non-reviewable as proposed Determination Date: 3/7/2012
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: Non-reviewable as proposed Determination Date: 3/5/2012
DET2012002 Doctors Hospital of Augusta Central Sterile Renovation Request received: 1/10/2011 Contact Person: Heyward Wells 706-651-6156 Determination: Non-reviewable as proposed Determination Date: 3/12/2012
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: Non-reviewable as proposed Determination Date: 3/7/2012
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: Non-reviewable as proposed Determination Date: 3/5/2012

DET2012005 Macon Northside Hospital dba Coliseum Northside Hospital Conversion of Procedure Room to Class C Operating Room w-Support Space
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Request received: 1/11/2012 Contact Person: Mike Sherrod 478-757-5990 Determination: Non-reviewable as proposed Determination Date: 3/26/2012

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: Non-reviewable as proposed Determination Date: 3/13/2012

DET2012007 Gracemont Assisted Living and Memory Care, Inc. Personal Care Home for Private Pay Residents Request received: 1/19/2012 Contact Person: Patricia Lindley 770-887-2000 Determination: Non-reviewable as proposed Determination Date: 3/19/2012

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: Non-reviewable as proposed Determination Date: 3/16/2012

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: Non-reviewable as proposed Determination Date: 3/29/2012

DET2012010 Brunswick SLP, LLC Construction of Personal Care Home Request received: 1/24/2012 Contact Person: David C. Winters 678-297-0388 Determination: Non-reviewable as proposed Determination Date: 3/26/2012

DET2012011 Heritage Healthcare of Toccoa Renovation of Existing Nursing Facility Request received: 1/25/2012 Contact Person: Aneel Gill 678-533-6699 Determination: Non-reviewable as proposed

Determination Date: 4/3/2012

DET2012012 Tanner Medical Center - Villa Rica Establish Adult Diagnostic Hospital-Based Cardiac Cath Services Request received: 1/24/2012 Contact Person: Taylor Powers 770-838-8688 Determination: Non-reviewable as proposed Determination Date: 3/26/2012

DET2012013 Angels Unaware, Inc. Opening Small Assisted Living Facility Request received: 1/26/2012 Contact Person: Sandy Kimbrough 770-172-9358 Determination: Non-reviewable as proposed Determination Date: 3/27/2012

DET2012014 Piedmont Fayette Hospital Establish Inpatient Hospice Services Request received: 1/30/2012 Contact Person: Davis Dunbar, Manager of Planning 404-425-1344 Determination: Non-reviewable as proposed Determination Date: 3/30/2012
DET2012015 Scott Health and Rehabilitation Replacement of Patient Nurse Call Systems; Painting Exterior Building Request received: 2/1/2012 Contact Person: Kay Gray 478-621-2100 ext 2221 Determination: Pending

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DET2012016 Oconee Health and Rehabilitation Replacement of Chiller; Floor Replacement and Repairs Request received: 2/1/2012 Contact Person: Kay Gray 478-621-2100 ext 2221 Determination: Pending
DET2012017 Orchard Health and Rehabilitation Capital Expenditure below CON Threshold Request received: 2/1/2012 Contact Person: Kay Gray 478-621-2100 Determination: Pending
DET2012018 Lee County Health and Rehabilitation Capital Expenditure below CON Threshold Request received: 2/1/2012 Contact Person: Kay Gray 478-621-2100 ext 2221 Determination: Pending
DET2012019 Heritage Inn of Sandersville Health and Rehab Capital Expenditure below CON Threshold Request received: 2/1/2012 Contact Person: Kay Gray 478-621-2100 ext 2221 Determination: Pending
DET2012020 Lynn Haven Health and Rehabilitation Capital Expenditure below CON threshold Request received: 2/1/2012 Contact Person: Kay Gray 478-621-2100 ext 2221 Determination: Pending
DET2012021 Southeast Treatment Center, LLC Open Existing Unused Procedure Room Request received: 2/2/2012 Contact Person: Diwakar Nagula 912-882-9660 Determination: Pending
DET2012022 Meadows Regional Medical Center, Inc. Establish an Inpatient Dialysis Service Request received: 2/6/2012 Contact Person: J. Alan Kent 912-535-5827 Determination: Pending
DET2012023 Amicita Home Health, LLC Indigent and Charity Care Commitment Conversion Request received: 2/7/2012 Contact Person: Thomas W. Grier 678-492-7828 Determination: Pending
DET2012024 Atlanta Aesthetic Surgery Center Clarification of CON-Approved Procedures Request received: 2/9/2012 Contact Person: Mike Ferrara 404-233-3833 Determination: Pending
DET2012025 Atlanta Outpatient Peachtree Dunwoody Proposed Transfer of Ambulatory Surgery Center Request received: 2/13/2012 Contact Person: Nancy Okula 404-303-9301 Determination: Pending
DET2012026 The Emory Clinic, Inc. and Emory University Construction of an Underground Parking Garage Request received: 2/14/2012
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Contact Person: David Pugh 404-678-2737 Determination: Pending
DET2012027 Alliance Healthcare Services LNR Mobile PET/CT Convert to an Approved CON Request received: 2/14/2012 Contact Person: Jenny Sommerville 770-714-5940 Determination: Pending
DET2012028 Kennestone Hospital, Inc. Use Vascular Lab Rooms for Diagnostic & Therapeutic Catheterizations Request received: 2/14/2012 Contact Person: Caroline C. Aultman 678-331-6885 Determination: Pending
DET2012029 Northeast Georgia Health System, Inc. Construction of Medical Office Building Request received: 2/17/2012 Contact Person: Chad T. Bolton 770-219-6630 Determination: Pending
DET2012030 Cobb Hospital, Inc. dba WellStar Cobb Hospital Renovation of Patient Care Unit Request received: 2/17/2012 Contact Person: Stephen Vault 678-331-6887 Determination: Pending
DET2012031 Grady Memorial Hospital Corporation dba Grady Health System Replace Existing CON-Approved Linear Accelerator Request received: 2/20/2012 Contact Person: Craig Tindall 404-616-3343 Determination: Pending
DET2012032 St. Mary's Health Care System, Inc. Renovation to the Short Stay Outpatient Surgical Prep and Recovery Request received: 2/23/2012 Contact Person: Tom Kruer 706-215-5343 Determination: Pending
DET2012033 Oaks Senior Living, LLC Develop 86 Bed Assisted Living Community: The Oaks at Hampton Request received: 2/24/2012 Contact Person: Alex Salabarria 770-888-4683 Determination: Pending
DET2012034 Alpharetta SLP, LLC Construction of 59 Unit PCH: Benton House of Alpharetta Request received: 2/28/2012 Contact Person: David C. Winters 678-297-0388 Determination: Pending
DET2012035 South Fulton Medical Center Reclassification of Outpatient Radiation Oncology to DTRC Request received: 3/1/2012 Contact Person: James E. Clements 404-466-1100 Determination: Pending
DET2012036 SunCrest Home Health of Georgia, Inc. dba SunCrest Home Health Transfer of Bulloch and Screven Counties Request received: 3/5/2012 Contact Person: Gray Rasmussen 615-712-2229 Determination: Pending
13

DET2012037 North Fulton Medical Center dba North Fulton Hospital Relocate On-campus Pain Clinic & Imaging Equip to MOB below Threshold Request received: 3/6/2012 Contact Person: Teresa C. Urquhart 770-751-2510 Determination: Pending
DET2012038 Saint Joseph's Hospital of Atlanta, Inc. Interior Modifications - Main Hospital Facility Request received: 3/6/2012 Contact Person: Heather Dexter 678-843-4951 Determination: Pending
DET2012039 Sugarloaf Memory Care, LLC Establishment of new Personal Care Home Request received: 3/8/2012 Contact Person: Nicole Haenszel 214-845-4454 Determination: Pending
DET2012040 Health Systems Real Estate, Inc. Relocate 75 SNF Beds Request received: 3/12/2012 Contact Person: Stelling Nelson 478-314-1560 ext 2261 Determination: Pending
DET2012041 Guardians of Hope, LLC dba Ashbrook Village Assisted Living Enlarge Request received: 3/13/2012 Contact Person: Gary M. Tallent 770-459-8061 Determination: Pending
DET2012042 Greene Point Health and Rehabilitation Roof Replacement Request received: 3/15/2012 Contact Person: Kay Gray 478-621-2221 Determination: Pending
DET2012043 MCG Health, Inc. dba Georgia Health Sciences Medical Center Replacement of Peripheral Angiography Equipment & Renovations Request received: 3/20/2012 Contact Person: Phil Howard 706-721-4551 Determination: Pending
DET2012044 Lillian G. Carter Nursing Center dba Lillian G. Carter Health and Laundry Construction/Sewer Connection Request received: 3/19/2012 Contact Person: Kay Gray 478-621-2221 Determination: Pending
DET2012045 Candler County Hospital Authority dba Candler County Hospital Development of Imaging Center Request received: 3/21/2012 Contact Person: Stephen C. Shepherd 912-685-5741 Determination: Pending
DET2012046 Douglas Hospital, Inc. dba WellStar Douglas Hospital Addition of one Therapeutic Cardiac Catheterization Lab Request received: 3/28/2012 Contact Person: Stephen Vault 678-331-6887 Determination: Pending
DET2012047 Fairview Park Hospital Expansion of Adult Cardiac Catheterization Services Request received: 4/2/2012
14

Contact Person: Mario. J. Garner 478-274-3101 Determination: Pending
DET2012048 Good Samaritan Hospital Inc fka St. Joseph's at East Georgia, Inc. Relocation of Hospital Request received: 4/2/2012 Contact Person: D. Montez Carter 706-206-8554 Determination: Pending

Requests for Extended Implementation/Effective Period

2010088 Open MRI of Georgia, LLC d/b/a MRI & Imaging of Johns Creek

Replacement of Existing MRI Scanner

Request to extend Performance Period

Site: 6630 McGinnis Ferry Road, Suite D (Fulton)

Project Approved: 4/27/2011

Request Received: 3/5/2012

Contact: Per Normark, VP, Deputy General Counsel (678) 992-7311

Approved Cost: $1,846,835

Determination: Approved, 3/5/2012

Extended Mandatory Completion Date: 4/27/2013

2010036 HealthMont of Georgia, Inc dba Memorial Hospital of Adel

Establish a New Geri-Psychiatric Program

Request to extend Performance Period

Site: 706 N. Parrish Avenue

Project Approved: 4/27/2011

Request Received: 3/21/2012

Contact: Michael Purvis, CEO (229) 896-8000

Approved Cost: $400,000

Determination: Approved, 3/23/2012

Extended Mandatory Completion Date: 1/27/2013

Need Projection Analyses Updated 03/23/2012
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 - 3/22/2012 2014 Home Health Agency Services - 3/21/2012 2016 Inpatient Physical Rehabilitation Services - 3/22/2012 2016 Neonatal Intensive Care Beds - 3/23/2012 2016 Neonatal Intermediate Care Beds - 3/23/2012 2016 Obstetric Services Beds - 3/23/2012 2014 Skilled Nursing Home Beds - 3/21/2012 Non-Batched Need Projections
15

2015 Cardiac Catheterization Labs - Updated 4/6/2010
2016 Long Term Care Hospital Beds - 5/27/2011
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 2009 utilization.

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

Athens Regional Medical Center

Clarke

2011

Barrow Regional Medical Center

Barrow

2011

Berrien County Hospital

Berrien

2011

Brooks County Hospital

Brooks

2011

Burke Medical Center

Burke

2011

Charlton Memorial Hospital

Charlton

2011

Chestatee Regional Hospital

Lumpkin

2011

Columbus Specialty Hospital

Muscogee

2011

Crisp Regional Hospital

Crisp

2011

Doctors Hospital of Tattnall, The

Tattnall

2011

East Central Regional Hospital - Augusta Campus

Richmond

2011

Emory-Adventist Hospital

Cobb

2011

Flint River Community Hospital

Macon

2011

Georgia Regional Hospital at Savannah

Chatham

2009

Georgia Regional Hospital at Savannah

Chatham

2011

Georgia Regional Hospital-Atlanta

DeKalb

2011

Grady General Hospital

Grady

2011

Grady Memorial Hospital

Fulton

2011

Gwinnett Medical Center

Gwinnett

2011

Gwinnett Medical Center - Duluth

Gwinnett

2011

Hutcheson Medical Center

Catoosa

2011

Irwin County Hospital

Irwin

2011

Jenkins County Hospital

Jenkins

2011

Liberty Regional Medical Center

Liberty

2011

Lower Oconee Community Hospital, Inc.

Wheeler

2011

Macon Behavioral Health System

Bibb

2011

Mitchell County Hospital

Mitchell

2011

Murray Medical Center

Murray

2011

North Georgia Medical Center

Gilmer

2011

Northeast Georgia Medical Center

Hall

2011

Northwest Georgia Regional Hospital

Floyd

2010

Northwest Georgia Regional Hospital

Floyd

2011

Phoebe North

Dougherty

2011

Phoebe Putney Memorial Hospital

Dougherty

2011

Phoebe Sumter Medical Center

Sumter

2011

16

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

Piedmont Hospital Piedmont Newnan Hospital Screven County Hospital Southern Crescent Behavioral Hlth System-Anchor Hospital Campus Southern Crescent Behavioral Hlth System-Crescent Pines Campus Southern Crescent Hospital for Specialty Care Southwest Georgia Regional Medical Center Stewart Webster Hospital Stewart Webster Hospital SummitRidge Center - Psychiatry & Addictive Medicine The Medical Center Triumph - The Specialty Hospital Walton Regional Medical Center WellStar Cobb Hospital WellStar Douglas Hospital WellStar Kennestone Hospital WellStar Paulding Hospital WellStar Windy Hill Hospital Willingway Hospital Wills Memorial Hospital Youth Villages - Inner Harbour Campus

Fulton Coweta Screven Clayton
Henry
Clayton Randolph Stewart Stewart Gwinnett Muscogee Floyd Walton Cobb Douglas Cobb Paulding Cobb Bulloch Wilkes Douglas

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

Church Home For The Aged

Houston

2011

College Park Health Care Center

Fulton

2011

Eastview Nursing Center

Bibb

2011

Emanuel County Nursing Home

Emanuel

2011

Folkston Park Care And Rehabilitation Center

Charlton

2011

Glendale Nursing Home

Jefferson

2011

Golden LivingCenter - Augusta

Richmond

2011

Golden LivingCenter - Decatur

DeKalb

2011

Golden LivingCenter - Medical Arts

Gwinnett

2011

Golden LivingCenter - Northside

Fulton

2011

Golden LivingCenter - Rome

Floyd

2011

Goodwill Nursing Home Inc

Bibb

2011

Gracewood Development Ctr - ICF/MR

Richmond

2011

Gracewood Nursing Facility (Unit 9)

Richmond

2011

Hutcheson Medical Center

Catoosa

2011

Joe-Anne Burgin Nursing Home Lumber City Nursing & Rehabilitation Center

Randolph Telfair

2011 2011

Manor Care Rehabilitation Center - Decatur

DeKalb

2011

Manor Care Rehabilitation Center - Marietta

Cobb

2011

Meadowbrook Health Care

DeKalb

2011

Meadows Nursing Center

Toombs

2011

Mitchell County Nursing Homes

Mitchell

2011

New London Health Center

Gwinnett

2011

Northwest Georgia Regional Hospital ICF/MR

Floyd

2011

Oceanside Nursing & Rehab Center

Chatham

2011

Parkside At Hutcheson Medical Center

Walker

2011

Pinehill Nursing Center, Inc

Dooly

2011

17

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

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

Grady Cobb Chatham Chatham Chatham Gwinnett Laurens Meriwether Houston Fulton Chatham

2011 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)

Advanced Surgery Center Of Georgia

Cherokee

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

BIBB

2009

Associates Physicians Asc

BIBB

2010

Associates Physicians Asc

BIBB

2011

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

CLARKE FULTON
Fulton
DEKALB

2011 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 Surgical Center

FULTON

2010

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

Augusta Endoscopy Center

COLUMBIA

2009

Augusta Endoscopy Center

COLUMBIA

2010

Augusta Endoscopy Center

COLUMBIA

2011

Bowman Pain Management, Pc

BIBB

2009

Bowman Pain Management, Pc

BIBB

2011

Brunswick Pain Treatment Center, Llc

GLYNN

2011

Buckhead Mohs Surgical Center, LLC

FULTON

2010

Buckhead Mohs Surgical Center, LLC

FULTON

2011

Center For Orthopedic Surgery

BARTOW

2011

18

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

Center for Pain Management (The Emory Clinic) Center For Pl & Recon Surgery Center For Pl & Recon Surgery Center For Pl & Recon Surgery Center For Spine & Pain Medicine Center For Spine & Pain Medicine Clayton Outpatient Surg Ctr Cliff Valley Clinic Coastal Empire Plastic Surgery Coastal Pain Center, Llc Cobb Endoscopy Center, Llc Cobb Foot And Leg Surgical Center, Llc Coffee County Center For Digestive Disease Columbus Women's Health Organization, Inc. CPMSC Roswell, PC 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 Emory Clinic Ambulatory Surgery Center Emory Orthopaedic and Spine Physiatry Outpatient Surgery Center 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 Street Ambulatory Surgery Center, Llc 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 Hughston Surgical Center, LLC Island Surgery Center, Inc Island Surgery Center, Inc ISPM ASC AT COVINGTON, LLC

Fulton CLARKE CLARKE CLARKE WHITFIELD WHITFIELD CLAYTON DeKalb CHATHAM GLYNN COBB COBB COFFEE Muscogee FULTON WHITFIELD WHITFIELD FULTON PICKENS PICKENS FULTON LAURENS LAURENS LAURENS DeKalb DeKalb
BIBB CHATHAM FULTON FULTON CHATHAM LOWNDES LOWNDES HOUSTON MUSCOGEE MUSCOGEE BIBB FORSYTH FORSYTH COBB HALL HALL Forsyth GORDON
COBB GORDON GLYNN Gwinnett Gwinnett FLOYD Muscogee GLYNN GLYNN NEWTON
19

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

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

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 Newton Ambulatory Surgical Center 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 Northeast Georgia Urological Surgery Center, Llc Northeast Georgia Urological Surgery Center, Llc Northside Foot & Ankle Outpat Northside Surgery Center, Inc. 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 Ortho Surg Ctr - Woodstock LLC 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 ORTHOPAEDIC CLINIC ASC, INC Rome Surgical Center, P C Rome Surgical Center, P C

GWINNETT GWINNETT Fulton BIBB BIBB BIBB FULTON FULTON COWETA COWETA NEWTON COBB MUSCOGEE CHEROKEE CHEROKEE CHEROKEE HALL HALL Catoosa FORSYTH FORSYTH GWINNETT HALL HALL GWINNETT FULTON FULTON CHATHAM Chatham Chatham FULTON FULTON FULTON FULTON FULTON Fulton Fulton BIBB Cherokee COBB RICHMOND CHATHAM CHATHAM CHATHAM DEKALB WHITFIELD NEWTON NEWTON NEWTON FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD
20

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

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

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 The Emory Clinic - LaGrange Surgery Center Thomas Eye Surgery Center Tifton Endoscopy Center, Inc. Universal Ambulatory Surgery Center, P C Universal Ambulatory Surgery Center, P C Urology Associates Surgery Center, Llc Urology Center Of Georgia Llc Urology Center Of Georgia Llc Urology Surgery Center Of Savannah, Lp Urology Surgical Partners, Llc V.O.A. Ambulatory Surgical Center Valdosta Endoscopy Center, Llc Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery Wellbrook Endoscopy Center Wellbrook Endoscopy Center Wellbrook Endoscopy Center (covington) West Georgia Endoscopy Center, Llc Westside Endoscopy Center, P C 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

FLOYD Fulton CHEROKEE CHEROKEE CHEROKEE Chatham
Chatham
CHATHAM CHATHAM CHATHAM GLYNN GLYNN CAMDEN CAMDEN COWETA FAYETTE FAYETTE Clarke WAYNE Bibb Troup FULTON TIFT MUSCOGEE MUSCOGEE COBB BIBB BIBB CHATHAM FULTON LOWNDES LOWNDES LOWNDES LOWNDES LOWNDES ROCKDALE ROCKDALE NEWTON CARROLL COBB COBB COFFEE
FULTON FULTON FULTON

Home Health Agency Survey (Survey Years 2008 thru 2010)

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Athens Regional Home Health

Clarke

Guardian Home Care of Central Georgia

Oconee

Guardian Home Care of Northeast Georgia

Hall

Guardian Home Care, LLC

Fulton

HCMC Home Care

Habersham

21

2011 2011 2009 2010 2011 2011
2011
2009 2010 2011 2010 2011 2010 2011 2009 2009 2010 2011 2010 2011 2011 2009 2010 2010 2011 2011 2010 2011 2010 2010 2011 2010 2009 2010 2011 2010 2011 2010 2010 2010 2011 2010
2009 2010 2010
2010 2011 2011 2011 2011 2011 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 3/9/2012 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 3/11/2011 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 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012

Interim Healthcare of Atlanta Inc. Intrepid USA Healthcare Services Intrepid USA Healthcare Services Medside Home Health Agency Muscogee Home Health Agency Phoebe Home Care Saint Joseph's Candler Home Healthcare SJC Home Health Services, Inc. Trinity Home Health Visiting Nurses Association of Greater Tift Co WellStar Home Health - Cobb

Fulton Glynn Glynn Fulton Muscogee Dougherty Liberty Chatham Richmond Tift Cobb

2011 2010 2011 2011 2011 2011 2011 2011 2011 2011 2011

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

3/9/2012 3/11/2011
3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012
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 4/3/2012)

Facility Name
Albany Surgery Center, Llp Albany Surgery Center, Llp Atlanta Eye Surgery Center at Omni West Clayton Cataract and Laser 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 Gwinnett Endoscopy Services - Duluth North Fulton Diagnostic Gastrointestinal Center 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 Orthopedic Surgery Center, L.P.

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

Year
2010 2011 2009 2010 2011 2011 2011 2010 2010 2011 2011 2010 2011 2010 2011 2010 2011 2010 2011 2010

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 66,531.12 Ambulatory Surgery Center 44,542.67 Ambulatory Surgery Center 83,031.41 Ambulatory Surgery Center 16,719.75 Ambulatory Surgery Center 75,209.04 Ambulatory Surgery Center 10,731.33 Ambulatory Surgery Center 38,485.44 Ambulatory Surgery Center 29,339.64 Ambulatory Surgery Center 113,688.78 Ambulatory Surgery Center 16,008.93 Ambulatory Surgery Center 26,481.60 Ambulatory Surgery Center 10,443.33 Ambulatory Surgery Center
2,272.71 Ambulatory Surgery Center 19,902.09 Ambulatory Surgery Center
738.00 Ambulatory Surgery Center 2,275,498.54 Ambulatory Surgery Center

22

Renaissance Surgical Centre, LLC 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 of Columbia County Surgery Center of Columbia County Surgery Center, LLC, The Surgery Center, LLC, The Surgical Suite, The Surgical Suite, The Amedisys Home Health of Covington Amedisys Home Health of Covington Amedisys Home Health of Macon Amedisys Home Health of Macon Amedisys Home Health of Valdosta Amedisys Home Health of Valdosta Amicita Home Health, LLC AseraCare Home Health Camellia Home Health Careone Home Health Services, Inc. (Toombs) Careone Home Health Services, Inc. (Toombs) Caresouth Homecare Professionals Caresouth Homecare Professionals Caresouth Homecare Professionals - Macon Caresouth Homecare Professionals - Washington Central Home Health Health, Douglasville, an Amedisys Company Central Home Health Health, Douglasville, an Amedisys Company Charlton Visiting Nurses Services Community Home Health, an Amedisys Company Community Home Health, an Amedisys Company CSRA Home Health- Columbia, Inc. CSRA Home Health- Columbia, Inc. Duluth Medical Services, Inc. Gentiva Health Services Gentiva Health Services Gentiva Health Services Gentiva Health Services Gentiva Health Services - Atlanta Gentiva Health Services - Atlanta Gentiva Health Services - Savannah 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 of Griffin Healthfield Home Health, Inc. Healthfield of Southwest Georgia

BIBB FULTON FULTON Chatham Chatham Chatham Ware FULTON FULTON Clayton Richmond Columbia Columbia Muscogee Muscogee FULTON FULTON Newton Newton Bibb Bibb Lowndes Lowndes Clarke Fulton Cobb Toombs Toombs Muscogee Hall Bibb Elbert Douglas

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

Douglas

2011

Brantley Cherokee Cherokee McDuffie McDuffie Gwinnett Muscogee Muscogee Fulton Forsyth Fulton Fulton Chatham Chatham Oconee Hall Fulton Forsyth Spalding Spalding Fulton Decatur

2011 2010 2011 2010 2011 2011 2010 2011 2011 2011 2010 2011 2010 2011 2010 2010 2010 2010 2010 2011 2010 2010

23

48,039.32 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
583.16 354,974.10 146,286.87 114,593.31 124,405.19
4,689.30 4,650.87 70,112.73 66,918.94 181,236.98 135,975.38 7,553.48 18,345.37 11,286.70 42,334.14 4,905.29 45,926.04 49,029.07 5,272.52 18,319.01
192.42 98,252.02 293,945.93

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

226,677.54 Home Health Agency

334.26 26,255.06
1,045.99 49,172.23 42,725.04
97.10 14,330.10 14,549.95 198,050.36 26,872.15 27,142.14 35,279.68 11,247.67 17,572.55 43,088.86 36,843.59 127,670.73
9,740.23 33,092.06 48,087.67 141,771.40
1,748.86

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 Home Health Agency Home Health Agency Home Health Agency

Healthfield of Southwest Georgia Ogeechee Home Health Pediatric Services of America Pediatric Services of America - Norcross Pediatric Services of America - Norcross Pediatric Services of America, Inc - Bibb Pediatric Services of America, Inc - Bibb Southside Medical Home Health Staff Builders Home Health, an Amedisys Company Suncrest Home Health Suncrest Home Health Tugaloo Home Health Agency - Gainesville Tugaloo Home Health Agency - Gainesville Tugaloo Home Health Agency - Lavonia Tugaloo Home Health Agency - Lavonia Ultra Care of Georgia Ultra Care of Georgia United Home Care of Atlanta United Home Care of Cumming United Home Care of North Georgia Battlefield Imaging Center Northlake Cancer Treatment Center

Decatur Bulloch Columbia Gwinnett Gwinnett Bibb Bibb DeKalb Gwinnett Newton Cobb Hall Hall Franklin Franklin Muscogee Muscogee Gwinnett Forsyth Hall Catoosa DeKalb

2011 2011 2011 2010 2011 2010 2011 2010 2010 2011 2011 2010 2011 2010 2011 2010 2011 2011 2011 2011 2008 2010

17,111.28 6,100.18 53.66 360.68 160.84 276.95 181.74 4,224.15
106,573.04 2,942.44 6,917.49
102,582.06 120,385.36 130,639.50 123,552.32
18,900.71 39,915.68 81,183.25 35,383.16 60,537.58 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 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

24

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.
25

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 3/23/2012 on DCH Website
Spring Batching Review Cycle Notifications

Ambulatory Surgery Home Health Agencies
Obstetrical Services

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

Need Projections can be found on the DHP Need Projections Page

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

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

Batching Notice
(March 23, 2012)

Application Day
(application complete when
submitted; review cycle begins same
day)
(due by 12 noon May 22, 2012)

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

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

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

Letter of Intent
(April 22, 2012 - Rollover date: due by 5pm April 24, 2012)

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

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

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

28

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)

29

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.
30

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.

31