Certificate-of-need tracking and appeals report [May 25-29, 2012]

Use the links below for easy navigation

Letters of Intent Withdrawn Letters of Intent
Expired Letters of Intent Expired Letters of Intent- Batching

New CON Applications Pending Review/Incomplete Applications
Pending Review/Complete Applications Recently Approved Applications Recently Denied Applications Withdrawn CON Applications
Appealed Determinations 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
Batching Notifications - Spring
Need Projection Analyses
New Batching Review Winter Cycle Spring Cycle
Non-Filed or Incomplete Surveys
Indigent-Charity Shortfalls

May 25, 2012 May 29, 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

LOI2012028 Georgia Health Sciences Medical Center,

Relocate and Renovate Existing Space

Received: 5/24/2012

Application must be submitted on: 6/25/2012

Site: 1120 15th Street, Augusta, GA 309012 (Richmond County)

Estimated Cost: $10,600,150

Withdrawn Letters of Intent
none

Expired Letters of Intent
None

Expired Letters of Intent - Batching

LOI2012020 Associates Surgery Center

Convert LNR ASC to a Limited-Purpose CON ASC

Received: 4/24/2012

Application must be submitted on: 5/22/2012

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

Estimated Cost: $0

LOI2012025 West Paces Ambulatory Surgical Center, LLC

Convert from LNR to Single-Specialty CON ASC and Relocate

Received: 4/24/2012

Application must be submitted on: 5/22/2012

Site: 2061 Peachtree Road, Atlanta, GA 30309 (Fulton County)

Estimated Cost: $650,000

LOI2012026 West Paces Ambulatory Surgical Center, LLC

Convert LNR to a Single-Specialty CON ASC and Relocate

Received: 4/24/2012

Application must be submitted on: 5/22/2012

Site: 2233 Peachtree Road, Atlanta, GA 30309 (Fulton County)

Estimated Cost: $1,500,000

LOI2012019 Village at Sixes Ridge

Establish a 40 Bed Inpatient Physical Rehabilitation Hospital

Received: 4/24/2012

Application must be submitted on: 5/22/2012

Site: Sixes Road, Canton, GA 30114 (Cherokee County)

Estimated Cost: $6,100,000

LOI2012018 Village at Sixes Ridge

Establish a 120 Bed Skilled Nursing Facility for private pay patients

Received: 4/24/2012

Application must be submitted on: 5/22/2012

Site: Sixes Road, Canton, GA 30114 (Cherokee County)

Estimated Cost: $18,200,000

New Applications
2012-017 Liberty Regional Medical Center Renovate and Reconstruct Service Areas Filed: 5/18/2012 Site: 462 E. G. Miles Parkway, Hinesville, GA 31310 (Liberty County) Contact: Elise Stafford 912-545-3392 Estimated Cost: $14,027,875
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2012-022 Emory University Hospital Renovation and Expansion of Surgical Suite Filed: 5/25/2012 Site: 1364 Clifton Road, Atlanta, GA 30322 (DeKalb County) Contact: Toni Wimby, Associate Administrator 404-686-2450 Estimated Cost: $46,000,000
Pending Review/Incomplete Applications
2012-014 MRI Imaging Specialist CT and MRI Unit Filed: 4/19/2012 Deemed Incomplete: 5/1/2012 Site: 6760 Jimmy Carter Boulevard, Suite 165, Norcross, GA 30071 (Gwinnett County) Contact: Michael Alatorre 786-303-0242 Estimated Cost: $268,810
2012-015 WellStar Kennestone Hospital Central Sterile and Processing Relocation and Expansion Filed: 5/3/2012 Deemed Incomplete: 5/17/2012 Site: 677 Church Street, Marietta, GA 30060 (Cobb County) Contact: Stephen W. Vault 770-792-7600 Estimated Cost: $8,280,000
2012-016 WellStar Douglas Hospital ICU and Emergency Department Renovation Filed: 5/7/2012 Deemed Incomplete: 5/17/2012 Site: 8954 Hospital Drive, Douglasville, GA 30134 (Douglas County) Contact: Stephen Vault 678-331-6887 Estimated Cost: $18,159,889
Pending Review/Complete Applications
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
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2012-005 Landmark Hospital of Savannah
50-Bed Freestanding LTAC Hospital Filed: 2/17/2012 Deemed Complete: 3/2/2012 Deemed Complete: 5/23/2012 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
2012-008 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
2012-009 OMI Diagnostics - Alpharetta
Conversion of a LNR Advance Imaging Center to a DTRC Filed: 3/16/2012 Deemed Incomplete: 3/30/2012 Deemed Complete: 5/23/2012 60th Day Deadline: 7/21/2012 Decision Deadline: 9/19/2012 Site: 299 South Main Street, Alpharetta, GA 30004 (Fulton County) Contact: Thomas Brown, Jr. 770-664-7777 Estimated Cost: $2,885,672
2012-010 St. Mary's Hospital
Renovate the ER Department at St. Mary's Hospital in Athens, GA Filed: 3/26/2012 Deemed Complete: 4/9/2012 60th Day Deadline: 6/7/2012 Decision Deadline: 8/6/2012 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 Deemed Incomplete: 4/10/2012 Deemed Complete: 5/3/2012 60th Day Deadline: 7/1/2012 Decision Deadline: 8/30/2012 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 Deemed Complete: 4/10/2012 60th Day Deadline: 6/8/2012 Decision Deadline: 8/7/2012 Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: H. Bryan Forlines 478-633-6966
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Estimated Cost: $5,383,708
2012-013 Hamilton Medical Center Renovation and Expansion of Medical Intensive Care Unit (MICU) Filed: 4/4/2012 Deemed Incomplete: 4/18/2012 Deemed Complete: 5/1/2012 60th Day Deadline: 6/29/2012 Decision Deadline: 8/28/2012 Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County) Contact: Alison Bonner 706-272-6589 Estimated Cost: $8,030,000
2012-018 Meredyth Surgery Center Convert LNR ASC to Limited-Purpose CON ASC Filed: 5/22/2012 Deemed Complete: 5/22/2012 60th Day Deadline: 7/20/2012 Decision Deadline: 9/18/2012 Site: 2709 Meredyth Drive, Suite 210, Albany, GA 31707 (Dougherty County) Contact: Tina Flowler 229-878-0974 Estimated Cost: $15,000
2012-019 Neurological Institute Ambulatory Surgery Center, LLC Convert LNR ASC to a Single-Specialty CON ASC Filed: 5/22/2012 Deemed Complete: 5/22/2012 60th Day Deadline: 7/20/212 Decision Deadline: 9/18/212 Site: 4 Jackson Boulevard, Savannah, GA 31405 (Chatham County) Contact: Randolph C. Bishop MD 912-355-1010 Estimated Cost: $50,000
2012-020 Pain Care Center Of Georgia, LLC Convert LNR ASC to a Single-Specialty CON ASC Filed: 5/22/2012 Deemed Complete: 5/22/2012 60th Day Deadline: 7/20/2012 Decision Deadline: 9/18/2012 Site: 1365 Rock Quarry Road, Suite 301, Stockbridge, GA 30281 (Henry County) Contact: Lindsey Mathes, MSN, RN 770-771-6582 Estimated Cost: $688,780
2012-021 Thomasville Surgery Center Inc Convert LNR ASC to Limited-Purpose CON ASC Filed: 5/22/2012 Deemed Complete: 5/22/2012 60th Day Deadline: 7/20/2012 Decision Deadline: 9/18/2012 Site: 2282 East Pinetree Boulevard, Suite B, Thomasville, GA 31792 (Thomas County) Contact: Leslie Harvey 229-228-4988 Estimated Cost: $15,000
Recently Approved Applications
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 APPROVED: 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
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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 APPROVED: 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
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 APPROVED: 5/24/2012 Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: Bryan Forlines 478-633-6966 Estimated Cost: $3,769,252
Recently Denied Applications
none
CON Applications Withdrawn
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 WITHDRAWN: 5/4/2012 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian J. Toporek, Senior Planner 404-851-6283 Estimated Cost: $8,000,000
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. Commissioner Review upheld Hearing Officer's February 23, 2012 Order, 4/27/2012.
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
2009-094 St. Francis Hospital (Muscogee) Establish Basic Perinatal Service - BATCHING
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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. Hearing Decision: Pending
2010-025 WellStar Kennestone at East Cobb (Cobb) Development of an Ambulatory Surgery Facility - Batching Agency Decision: Approved, 9/20/2010 Appealed By: St. Joseph's Hospital of Atlanta, 10/19/2010; Northside Hospital-Atlanta and Northside Alpharetta Surgery Center, 10/19/2010; Applicant (Kennestone) requests to intervene, 10/19/2010. St. Joseph's Hospital withdrew request for appeal, 1/20/2011. Hearing postponed pending Order from Hearing Officer. Application is remanded to Department by Hearing Officer, April 6, 2011 for the Department to conduct an additional alternative review under the specific review criteria for ambulatory surgery centers. Department requests, and is granted, extension on Remand decision date, 5/6/2011. On remand, the application for alternative review only is denied, 5/16/2011. The original application remains approved, 9/20/2010. Hearing Officer: Ellwood Oakley, III, Esq.
Hearing Date: 8/8/2011 8/11/2011; proposed orders from parties due 9/23/2011. Hearing Decision: Hearing Officer affirms Department decision approving application, 10/20/ 2011. Northside Hospital, Inc. requests Commissioner Review, 11/18/2011.
Commissioner Review Decision: 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: UHS's petition for judicial review denied. DCH decision affirmed 4/13/2012. Appeals Court: UHS Peachford, LP d/b/a Peachford Behavioral Health System of Atlanta and UHS of SummitRidge, LLC d/b/a SummitRidge Hospital filed an Application for Discretionary Appeal in the Court of Appeals on May 16, 2012. Appeals 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: 5/15/2012 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.
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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: 6/26/2012 6/29/2012
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: 6/26/2012 6/29/2012
2011-055 Ramsay Youth Services of Georgia, Inc. d/b/a Macon Behavioral Health System (Bibb) Add 52 Beds to Psychiatric and Substance Abuse Inpatient Program - Batching Agency Decision: Denied, 12/16/2011 Appealed By: Macon Behavioral Health System, 1/13/2012; Coliseum Medical Center, LLC d/b/a Coliseum Medical Center filed request to intervene, 1/13/2012. Hearing Officer: William C. Joy, Esq. Hearing Date: 7/18/2012 7/20/2012
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: William C. Joy, Esq. Hearing Date: 7/18/2012 7/20/2012

2011-072 Eastside Surgery Center, LLC (Gwinnett) Develop a Freestanding Ambulatory Surgery Center at Eastside Medical Agency Decision: Denied, 3/20/2012 Appealed By: Eastside Surgery Center, LLC, 4/18/2012. Request to intervene filed by
Northside Hospital, Inc., 4/13/2012. Hearing Officer: William C. Joy, Esq. Hearing Date: TBD

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: 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: Approved

Determination Date: 4/30/2012

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
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Determination: Approved

Determination Date: 5/8/2012

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

LNR-EQT2012008 Northeast Georgia Otolaryngology Fixed CT Request received: 5/4/2012 Contact Person: Paul Garlich 770-536-4353 Determination: Pending

LNR-EQT2012009 Valdosta Family Medicine Associates, P.C. Fixed MRI Request received: 5/8/2012 Contact Person: Wendy Cain 229-244-1400 Determination: Pending

LNR-EQT2012010 Marietta Neurology and Headache Center, P.C. Fixed MRI Request received: 5/21/2012 Contact Person: Joseph Hormes, MD 770-422-3602 Determination: Pending

LNR-EQT2012011 Ankle & Foot Centers of Georgia, LLC Fixed MRI Request received: 5/22/2012 Contact Person: Simone Davis 770-632-2044 Determination: Pending

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

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; Northside's

withdrawal of opposition received 5/24/2012.-

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

Physician-Owned, Single-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: Approved

Determination

5/29/2012

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LNR-ASC2012004 Urosurg, LLC

Single Specialty Urology

Site: 1815 Old Ocilla Road, Tifton, GA 31794

Number of OR's: 2

Specialty: Urology

Project costs as submitted: $0.00

Request received: 4/10/2012

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

Determination: Pending

LNR-ASC2012005 AGA, LLC dba Atlanta Gastroenterology Associates

AGA intends to merge the Practice with AGA

Site: 1555 Brampton Avenue, Statesboro, GA 30458

Number of OR's:

Specialty: Gastroenterology

Project costs as submitted: $0.00

Request received: 4/10/212

Contact Person: Victor L. Moldvan 404-443-5500

Determination: Pending

LNR-ASC2012006 Georgia Hand, Shoulder & Elbow, P.C.

Establishment of a Single Specialty Ambulatory Surgical Center

Site: 2061 Peachtree Road, Atlanta, GA 30309

Number of OR's: 2

Specialty: Hand, Shoulder & Elbow

Project costs as submitted: $2,031,527.00

Request received: 4/13/2012

Contact Person: Michele P. Madison 404-233-7000

Determination: Pending

LNR-ASC2012007 ELO Outpatient Surgery Center, LLC

Develop and Operate a Physician-Owned, Single Specialty ASC

Site: 4050 Riverside Drive, Suite 300, Macon, GA 31210

Number of OR's: 2

Specialty: Gynecological Procedures

Project costs as submitted: $4,971,989.22

Request received: 4/24/2012

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

Determination: Pending

LNR-ASC2012008 Urology Surgery Center of Albany, LLC

Single Specialty Ambulatory Surgery Center

Site:

Number of OR's: 2

Specialty: Urology

Project costs as submitted: $0.00

Request received: 4/24/2012

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

Determination: Pending

LNR-ASC2012009 Premier Ambulatory Surgical Center, LLC

Development of a Single Specialty

Site: 211 Chicopee Drive, Marietta, GA 30060

Number of OR's: 2

Specialty: neurological surgery

Project costs as submitted: $1,168,081.00

Request received: 5/4/2012

Contact Person: Michael C. Miller 404-435-1321

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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DET2011130 Jenkins County Hospital Hospital Renovation Request received: 8/1/2011 Contact Person: Michael Kleinpeter 912-644-5370 Determination: Pending
DET2011174 Stevens Park Health and Rehabilitation Center Relocate 58 SNF Beds Request received: 10/27/2011 Contact Person: Stelling Nelson 478-314-1560 ext 2261 Determination: Pending
DET2011183 Valdosta Orthopedic Associates, P.C. Continuation of MRI Services Request received: 11/4/2011 Contact Person: Ursuline Sookhoo 229-247-2290 Determination: Non-reviewable as proposed Determination Date: 4/30/2012
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: Non-reviewable as proposed Determination Date: 5/17/2012
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: Non-reviewable as proposed Determination Date: 5/17/2012
DET2012017 Orchard Health and Rehabilitation Capital Expenditure below CON Threshold Request received: 2/1/2012 Contact Person: Kay Gray 478-621-2100 Determination: Non-reviewable as proposed Determination Date: 5/17/2012
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: Non-reviewable as proposed Determination Date: 5/17/2012
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: Non-reviewable as proposed Determination Date: 5/17/2012
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: Non-reviewable as proposed Determination Date: 5/17/2012
DET2012025 Atlanta Outpatient Peachtree Dunwoody Proposed Transfer of Ambulatory Surgery Center Request received: 2/13/2012 Contact Person: Nancy Okula 404-303-9301 Determination: Non-reviewable as proposed Determination Date: 5/24/2012
DET2012030 Cobb Hospital, Inc. dba WellStar Cobb Hospital Renovation of Patient Care Unit Request received: 2/17/2012
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Contact Person: Stephen Vault 678-331-6887 Determination: Non-reviewable as proposed Determination Date: 4/30/2012
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: Non-reviewable as proposed Determination Date: 4/30/2012
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: Non-reviewable as proposed Determination Date: 5/1/2012
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: Non-reviewable as proposed Determination Date: 5/1/2012
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: Non-reviewable as proposed Determination Date: 5/1/2012
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: Non-reviewable as proposed Determination Date: 5/8/2012
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: Non-reviewable as proposed Determination Date: 5/8/2012
DET2012039 Sugarloaf Memory Care, LLC Establishment of new Personal Care Home Request received: 3/8/2012 Contact Person: Nicole Haenszel 214-845-4454 Determination: Non-reviewable as proposed Determination Date: 5/8/2012
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: Non-reviewable as proposed Determination Date: 5/15/2012
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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: Non-reviewable as proposed Determination Date: 5/14/2012
DET2012042 Greene Point Health and Rehabilitation Roof Replacement Request received: 3/15/2012 Contact Person: Kay Gray 478-621-2221 Determination: Non-reviewable as proposed Determination Date: 5/14/2012
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: Non-reviewable as proposed Determination Date: 5/29/2012
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: Non-reviewable as proposed Determination Date: 5/21/2012
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: Non-reviewable as proposed Determination Date: 5/24/2012
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 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
DET2012049 Gwinnett Retirement Operations, LLC Increase in Licensed Beds 75 to 85 Request received: 4/3/2012 Contact Person: Cindy S. Cross 423-473-5867 Determination: Pending
DET2012050 Avalon Health Care Center, LLC dba Avalon Health and Rehab Center Capital Expenditure Below CON Threshold Request received: 4/3/2012 Contact Person: Kay Gray 478-621-2221 Determination: Pending
DET2012051 Tattnall Hospital Company, LLC dba Optim Imaging Utilization of Imaging Facility Request received: 4/5/2012
13

Contact Person: Michael Kleinpeter 912-644-5370 Determination: Pending
DET2012052 Candler Hospital, Inc. Replace an Existing Linear Accelerator Request received: 4/10/2012 Contact Person: John Salandi 912-819-7671 Determination: Pending
DET2012053 Gwinnett Hospital System, Inc. dba Gwinnett Medical Center - Duluth Equipment Replacement - Surgical Robot Request received: 4/12/2012 Contact Person: Mark M. Mullin 678-312-4193 Determination: Pending
DET2012054 Athens Heritage Properties, Inc. Renovation of existing Nursing Facility below CON threshold Request received: 4/13/2012 Contact Person: Aneel Gill 678-533-6699 Determination: Pending
DET2012055 North Macon Healthcare Properties, Inc. Renovation of existing Nursing Facility below CON threshold Request received: 4/13/2012 Contact Person: Aneel Gill 678-533-6699 Determination: Pending
DET2012056 Kennestone Hospital, Inc. dba Wellstar Kennestone Hospital Capital Expenditure to Develop a Sleep Disorders Center Request received: 4/20/2012 Contact Person: Stephen Vault 678-331-6887 Determination: Pending
DET2012057 Kennestone Hospital, Inc. dba Wellstar Kennestone Hospital Replacement of Linear Accelerator Request received: 4/20/2012 Contact Person: Stephen Vault 678-331-6887 Determination: Pending
DET2012058 Georgia Proton Treatment Center Creation of Holding Company for Approvaed Applicant Request received: 4/24/2012 Contact Person: Jeffrey L. Bordok 858-875-2260 Determination: Pending
DET2012059 Ivy Springs Manor Tenant LLC 80 Bed Personal Care Home Request received: 4/27/2012 Contact Person: Jeramy Ragsdale 404-654-3565 Determination: Pending
DET2012060 Center for Plastic Surgery, Inc. Confirmation of Transferability of CON-Approvec ASC Request received: 5/1/2012 Contact Person: Vincent N. Zubowicz 404-814-1100 Determination: Pending
DET2012061 Northside Hospital Alparetta Cancer Center Replacement of CON authorized equipment Request received: 5/1/2012 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
14

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
DET2012063 Northside Hospital, Inc. dba Northside Hospital-Forsyth MOB Request received: 5/4/2012 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2012064 Hamilton Medical Center Therapeutic Cardiac Cath Statutory Exemption Request received: 5/4/2012 Contact Person: Jeff Hughes 706-272-6120 Determination: Pending
DET2012065 Henry Medical Center, Inc. dba Piedmont Henry Hosptial Annual Assessment of Therapeutic Cardiac Catheterization Exemption Request received: 5/9/2012 Contact Person: Davis Dunbar 404-425-1344 Determination: Pending
DET2012066 Fayette Community Hospital, Inc. dba Piedmont Fayette Hospital Annual Assessment of Therapeutic Cardiac Catheterization Exemption Request received: 5/9/2012 Contact Person: Davis Dunbar 404-425-1344 Determination: Pending
DET2012067 Doctors Hospital of Augusta, LLC dba Doctors Hospital of Augusta Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/9/2012 Contact Person: Terence Van Arkel 706-651-6101 Determination: Pending
DET2012068 Meadows Regional Medical Center, Inc. Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/9/2012 Contact Person: Travis Roose 912-538-5572 Determination: Pending
DET2012069 Cartersville Medical Center, LLC dba Carterville Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/9/2012 Contact Person: Lori Rakes, 770-387- 8161 Determination: Pending
DET2012070 EHCA Johns Creek, LLC dba Emory Johns Creek Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/9/2012 Contact Person: Marilyn Margolis Determination: Pending
DET2012071 St. Mary's Health Care System, Inc. Renewal for Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/11/2012 Contact Person: Nina Evans 706-389-3947 Determination: Pending
DET2012072 Tanner Medical Center, Inc. Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2012
15

Contact Person: LaQuinta Grizzard 770-836-9221 Determination: Pending
DET2012073 EHCA Eastside, LLC dba Eastside Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2012 Contact Person: Dustin A. Greene 770-736-2224 Determination: Pending
DET2012074 Quality Senior Services, LLC Construction of New Assisted Living Community Request received: 5/12/2012 Contact Person: Jason Gibson 423-653-8512 Determination: Pending
DET2012075 Houston Hospitals, Inc. dba Houston Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2012 Contact Person: Cary Martin 478-542-7839 Determination: Pending
DET2012076 Dekalb Medical Cetner Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2012 Contact Person: Don Fears 404-501-5790 Determination: Pending
DET2012077 Southern Regional Health System, Inc. Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2012 Contact Person: John McClain 770-991-8141 Determination: Pending
DET2012078 Northside Hospital, Inc. dba Northside Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2012 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2012079 Northside Hospital, Inc. dba Northside Hospital - Forsyth Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2012 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2012080 Northside Hospital , Inc. dba Norhside Hospital - Cherokee Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2012 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2012081 Mayo Clinic Health System dba Satilla Health Services, Inc. Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2012 Contact Person: Windell R. Smith 912-287-2500 Determination: Pending
DET2012082 Floyd Healthcare Management, Inc. dba Floyd Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2012 Contact Person: Stephen Wood 706-509-3257 Determination: Pending
16

DET2012083 Cobb Hospital, Inc. dba WellStar Cobb Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/212 Contact Person: Stephen Volt 678-331-6887 Determination: Pending
DET2012084 Douglas Hospital, Inc. dba WellStar Douglas Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2012 Contact Person: Stephen Vault 678-331-6887 Determination: Pending
DET2012085 Tenet Health System Spalding, Inc. Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2012 Contact Person: John Quinn 770-229-6469 Determination: Pending
DET2012086 Tenet South Fulton, Inc. dba South Fulton Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2012 Contact Person: jeff Stanley 404-466-1114 Determination: Pending
DET2012087 Trinity Hospital of Augusta Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2012 Contact Person: Robyn Stowell 706-481-7678 Determination: Pending
DET2012088 East Georgia Regional Medical Center, LLC Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2012 Contact Person: Susan Takacs 912-486-1500 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
DET2012090 EHCA Johns Creek, LLC dba Emory Johns Creek Hospital Consolidate Indigent and Charity Care Commitments Request received: 5/18/2012 Contact Person: R. Craig McCoy 678-474-7003 Determination: Pending
DET2012091 Emory University dba Emory University Hospital Midtown Consolidate Indigent and Charity Care Commitments Request received: 5/18/2012 Contact Person: Toni Wimby 404-686-2809 Determination: Pending
DET2012092 Emory University dba Emory University Hosptial New Hospital-Wide Commitment Request received: 5/18/2012 Contact Person: Toni Wimby 404-686-2809 Determination: Pending
DET2012093 Diagnostic Services, L.C. dba OMI Diagnostics - Douglasville Replace Existing MRI Unit Request received: 5/21/2012
17

Contact Person: Thomas Brown 770-664-7777 EXT 4601 Determination: Pending
DET2012094 Diagnositc Services, L.C. dba OMI Diagnostics - Douglasville Replace Existing CT Unit Request received: 5/21/2012 Contact Person: Thomas Brown 770-664-7777 EXT 4601 Determination: Pending
DET2012095 Piedmont Newnan Hospital Relocation of Wound Care and Hyberbaric Center Request received: 5/24/2012 Contact Person: Davis Dunbar 404-425-1344 Determination: Pending
DET2012096 Phoebe Putney Memorial Hospital, Inc. Lease of Phoebe North and Consolidation with Phoebe Putney Mem Hosp Request received: 5/25/2012 Contact Person: Lori Jenkins 229-312-1432 Determination: Pending
DET2012097 Clearview Reg Med Center (formerly Walton Regional) Modification of CON Project GA 2007035 Request received: 5/25/2012 Contact Person: 770-267-1793 Jon-Paul Croom Determination: Pending
DET2012098 Northside Hospital, Inc. dba Northside Hospital Addition of Third Adult Diagnostic Cardiac Cath Lab Request received: 5/25/2012 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2012099 Northside Hospital, Inc. and Duke Realty Limited Partnership Expenditures for MOB and Parking Request received: 5/29/2012 Contact Person: Kathlynn Butler Polvino 404-527-8140 Determination: Pending
DET2012100 Bullock County LTC, dba Eagle Health and Rehabilitation Capital Expenditure Below CON Threshold Request received: 5/29/2012 Contact Person: Kay Gray 478-621-2221 Determination: Pending

Requests for Extended Implementation/Effective Period

2011010 Macon County Medical Center, Inc. Flint River Specialty Hospital, LLC

Convert 20 Acute Care Beds to Establish Long-term Acute Care Services

Request to extend Implementation Period

Site: 509 Sumter Street, Montezuma

Project Approved: 8/8/2011

Request Received: 4/12/2012

Contact: Philip H. Eastman, III (770) 904- 6731

Approved Cost: $51,000

Determination: Approved, 4/30/2012

Extended Mandatory Implementation Date: 8/8/2013

2011002 Open MRI & Imaging of Conyers, LLC Replace Existing MRI Scanner Request to extend Implementation Period Site: 2287 Salem Road, Conyers
18

Project Approved: 7/1/2011

Request Received: 5/3/2012

Contact: Per B. Normark, VP, Dep Gen Counsel (678) 992-7311

Approved Cost: $2,468,827

Determination: Approved, 5/4/2012

Extended Mandatory Implementation Date: 6/30/2013

2009005 Flint River Recovery Center for Children and Adolescents New Freestanding Pediatric Behavioral Health Facility Request to extend Implementation Period Site: 1939 McAdams Road, Albany Project Approved: 6/19/2009 Request Received: 5/4/2012 Contact: Mills Rooks, Managing Member (843) 476-7164 Approved Cost: $21,325,525 Determination: Denied, 5/7/2012

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 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 2010 utilization.

19

Non-Filed or Incomplete Division of Health Planning
Facility Surveys for Most Recent 3 Years (Survey Status as of May 29, 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

Burke Medical Center

Burke

2011

Charlton Memorial Hospital

Charlton

2011

Chestatee Regional Hospital

Lumpkin

2011

Columbus Specialty Hospital

Muscogee

2011

East Central Regional Hospital - Augusta Campus

Richmond

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

Liberty Regional Medical Center

Liberty

2011

Lower Oconee Community Hospital, Inc.

Wheeler

2011

Macon Behavioral Health System

Bibb

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

Southern Crescent Behavioral Hlth System-Anchor Hospital Campus Southern Crescent Behavioral Hlth System-Crescent Pines Campus Southern Crescent Hospital for Specialty Care

Clayton Henry Clayton

2011 2011 2011

Southwest Georgia Regional Medical Center

Randolph

2011

Stewart Webster Hospital

Stewart

2009

Stewart Webster Hospital

Stewart

2010

Tift Regional Medical Center

Tift

2010

Triumph - The Specialty Hospital Walton Regional Medical Center

Floyd Walton

2011 2011

Willingway Hospital

Bulloch

2011

Youth Villages - Inner Harbour Campus

Douglas

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

20

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 3/12/2010 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 3/11/2011 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012
3/9/2012
3/9/2012 3/9/2012 3/12/2010 3/11/2011 3/11/2011 3/9/2012 3/9/2012 3/9/2012 3/9/2012
9/16/2011 9/16/2011 9/16/2011 9/16/2011

Carrollton Manor, Incorporated Church Home For The Aged College Park Health Care Center Eastview Nursing Center Emanuel County Nursing Home Folkston Park Care And Rehabilitation Center Glendale Nursing Home Golden LivingCenter - Augusta Golden LivingCenter - Decatur Golden LivingCenter - Medical Arts Golden LivingCenter - Northside Golden LivingCenter - Rome Goodwill Nursing Home Inc Gracewood Development Ctr - ICF/MR Gracewood Nursing Facility (Unit 9) Hutcheson Medical Center Joe-Anne Burgin Nursing Home Lumber City Nursing & Rehabilitation Center Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Marietta Meadowbrook Health Care Meadows Nursing Center Mitchell County Nursing Homes New London Health Center Northwest Georgia Regional Hospital ICF/MR Oceanside Nursing & Rehab Center Parkside At Hutcheson Medical Center Pinehill Nursing Center, Inc 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 Westminster Commons Westview Nursing & Rehabilitation Center

Carroll Houston Fulton Bibb Emanuel Charlton Jefferson Richmond DeKalb Gwinnett Fulton Floyd Bibb Richmond Richmond Catoosa Randolph Telfair DeKalb Cobb DeKalb Toombs Mitchell Gwinnett Floyd Chatham Walker Dooly Grady Cobb Chatham Chatham Chatham Gwinnett Laurens Meriwether Fulton Chatham

2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 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 2011)

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

21

9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011
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

Associates Physicians Asc Associates Physicians Asc Associates Physicians Asc Athens Plastic Surgery Center Atlanta Aesthetic and Reconstructive Surgery Center, LLC Atlanta Center for Reconstructive Foot and Ankle Surgery Atlanta Endoscopy Center, Ltd. Atlanta Plastic & Reconst Surg Atlanta South Endoscopy Center, Llc Atlanta South Endoscopy Center, Llc Atlanta South Endoscopy Center, Llc Atlanta Sports Medicine Surgery Center Atlanta West Endoscopy Center, Llc Atlanta West Endoscopy Center, Llc Atlanta West Endoscopy Center, Llc Augusta Aesthetic Surgery, Llc Augusta Endoscopy Center Augusta Endoscopy Center Augusta Endoscopy Center Bowman Pain Management, Pc Bowman Pain Management, Pc Brunswick Pain Treatment Center, Llc Buckhead Mohs Surgical Center, LLC Buckhead Mohs Surgical Center, LLC Center For Orthopedic Surgery 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 Endoscopy Center Of Middle Georgia, Llc Endoscopy Center, Llc, The Endoscopy Consultants, Llc Endoscopy Consultants, LLC Ent Surgical Center Eye Associates Surgery Ctr

BIBB BIBB BIBB CLARKE FULTON
Fulton
DEKALB FULTON CLAYTON CLAYTON CLAYTON FULTON DOUGLAS DOUGLAS DOUGLAS RICHMOND COLUMBIA COLUMBIA COLUMBIA BIBB BIBB GLYNN FULTON FULTON BARTOW CLARKE CLARKE CLARKE WHITFIELD WHITFIELD CLAYTON DeKalb CHATHAM GLYNN COBB COBB COFFEE Muscogee FULTON WHITFIELD WHITFIELD FULTON PICKENS PICKENS FULTON LAURENS LAURENS LAURENS BIBB CHATHAM FULTON FULTON CHATHAM LOWNDES
22

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

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

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 Hughston Surgical Center, 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 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

LOWNDES HOUSTON MUSCOGEE MUSCOGEE FORSYTH FORSYTH COBB HALL HALL Forsyth GORDON
COBB GORDON GLYNN Gwinnett Gwinnett FLOYD Muscogee GLYNN GLYNN GWINNETT GWINNETT Fulton BIBB BIBB BIBB FULTON FULTON COWETA COWETA COBB MUSCOGEE CHEROKEE CHEROKEE CHEROKEE HALL HALL Catoosa FORSYTH FORSYTH GWINNETT HALL HALL GWINNETT FULTON CHATHAM Chatham Chatham FULTON FULTON FULTON FULTON FULTON Fulton
23

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

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 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)

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 COBB BIBB BIBB CHATHAM FULTON LOWNDES LOWNDES LOWNDES LOWNDES LOWNDES ROCKDALE ROCKDALE NEWTON
24

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

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 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

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

CARROLL COBB COBB COFFEE
FULTON FULTON FULTON

2010 2010 2011 2010
2009 2010 2010

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

Intrepid USA Healthcare Services

Glynn

Medside Home Health Agency

Fulton

Trinity Home Health

Richmond

Visiting Nurses Association of Greater Tift Co

Tift

2010 2011 2011 2011 2011 2011 2010 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 2009 thru 2011)

Battlefield Imaging Center

Catoosa

2009

Radiation Therapy Services Survey (Survey Years 2009 thru 2011)

Hutcheson Medical Center

Catoosa

2010

South Georgia Center for Cancer Care

Bulloch

2010

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
3/11/2011 3/9/2012 3/9/2012 3/9/2012
9/30/2009 7/8/2011
9/30/2009 7/8/2011
4/30/2010
4/29/2011 4/29/2011

Indigent and Charity Care Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3
Years (Commitment status as of 5/29/2012)

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. Emory Orthopaedic and Spine Physiatry Outpatient Surgery Center G.I. Endoscopy Center G.I. Endoscopy Center Gainesville Surgery Center Gwinnett Endoscopy Services - Duluth

County
DOUGHERTY DOUGHERTY Fulton Clayton Clayton CLAYTON DEKALB FULTON DeKalb

Year
2010 2011 2009 2010 2011 2011 2011 2010 2011

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 235,663.55 Ambulatory Surgery Center

CLAYTON CLAYTON Hall Gwinnett

2010 2011 2011 2010

25

75,209.04 10,731.33 38,485.44 29,339.64

Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center

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. 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

FULTON GORDON GORDON HALL HALL GWINNETT GWINNETT Chatham 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 Hall Muscogee Bibb Elbert Douglas

2011 2010 2011 2010 2011 2010 2011 2010 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 Forsyth Fulton Muscogee Fulton Fulton Chatham Chatham Oconee

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

26

31,806.00 16,008.93 26,481.60 10,443.33
2,272.71 19,902.09
738.00 2,275,498.54 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 18,319.01 5,272.52
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 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 26,872.15 198,050.36 14,549.95 27,142.14 35,279.68 11,247.67 17,572.55 43,088.86

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

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 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 Northlake Cancer Treatment Center

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

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

36,843.59 127,670.73
9,740.23 33,092.06 48,087.67 141,771.40
1,748.86 17,111.28
6,100.18 53.66
360.68 160.84 276.95 181.74 4,224.15 106,573.04 6,917.49 2,942.44 102,582.06 120,385.36 130,639.50 123,552.32 18,900.71 39,915.68 81,183.25 35,383.16 60,537.58 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 Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency 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

27

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.
28

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 - Revised

Need Projections can be found on the DHP Need Projections Page

29

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)

30

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)

31

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)

32

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.
33

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.

34