Certificate-of-need tracking and appeals report [July 11-17, 2012]

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Letters of Intent Withdraw n Letters of Intent
Expired Letters of Intent Expired Letters of Intent- Batching

New CON Applications Pending Review /Incom plete Applications
Pending Review /Com plete Applications Recently Approved Applications Recently Denied Applications Withdraw n CON Applications
Appealed LNRs Appealed CON Projects

CERTIFICATE OF NEED

Requests for LNR for Establishment of Physician-Ow ned Am bulatory Surgery Facilities
Requests for LNR for Diagnostic or Therapeutic Equipm ent
Requests for Miscellaneous Letters of Determ ination
Requests for Extended Im plementation/Perform ance Period

July 11, 2012 July 17, 2012

Batching Notifications - Summer Need Projection Analyses New Batching Review Spring Cycle Summer Cycle
Non- Filed or Incom plete Surveys Indigent-Charity Shortfalls
Legislation Affecting CON New CON Filing Requirements
(effective July 1, 2008) New Reporting Requirem ents
(effective July 1, 2008) Certificate of Need Appeal Panel
Contact Inform ation What's New w ith CON ?

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

Letters of Intent

LOI2012032 Marietta Imaging Center

Conversion of a Letter of Non-Review to a DTRC

Received: 6/21/2012

Application must be submitted on: 7/23/2012

Site: 780 Cant on Road, Sutie 230, Marietta, GA 30060 (Cobb County)

Estimated Cost: $1,158,631

LOI2012033 Grady Memorial Hospital

Renovations: Existing Spaces, Nursing Unit, Physical Plant Replacement

Received: 6/26/2012

Application must be submitted on: 7/26/2012

Site: 80 Jess Hill Drive SE, Atlanta, GA 30303 (Fulton County)

Estimated Cost: $20,054,000

LOI2012034 Memorial Health University Medical Center, Inc.

Renovations of Neonatal - Labor and Delivery

Received: 7/6/2012

Application must be submitted on: 8/6/2012

Site: 4700 Waters A venue, Savannah, GA 31404 (Chatham County)

Estimated Cost: $2,900,000

LOI2012035 The Medical Center of Central Georgia, Inc.

New Seven Story MOB

Received: 7/16/2012

Application must be submitted on: 8/15/2012

Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County)

Estimated Cost: $91,000,000

LOI2012036 Colquitt Regional Medical Center

Hospital Expansion and Renovation

Received: 7/16/2012

Application must be submitted on: 8/15/2012

Site: 3131 South Main Street, Moultrie, GA 31768 (Colquitt Count y)

Estimated Cost: $30,000,000

Withdrawn Letters of Intent
none

Expired Letters of Intent

LOI2012030 MedCross Imaging P.C.

Reloc ate and Upgrade of MRI

Received: 6/7/2012

Application must be submitted on: 7/9/2012

Site: 1522 Rock Quarry Road, Stockbridge, GA 30281 (Henry County)

Estimated Cost: $200,000

New Applications
2012-025 Piedmont Hospital Renovation of the Women's Center - Maternity Services Filed: 7/16/2012 Site: 1968 Peachtree Road, Atlanta, GA 30309 (Fulton County) Contact: Davis Dunbar 404-425-1344 Estimated Cost: $3,233,000

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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
2012-023 Georgia Health Sciences Medical Center Reloc ate and Renovate Existing Space Filed: 6/25/2012 Deemed Incomplete: 7/9/2012 Site: 1120 15th Street, Augusta, GA 30912 (Richmond County) Contact: Daniel Merrell 706-721-6951 Estimated Cost: $10,600,150
2012-024 Memorial Health Universi ty Medical Center, Inc Renovation adding an OR Filed: 6/25/2012 Deemed Incomplete: 7/10/2012 Site: 4700 Waters A venue, Savannah, GA 31404 (Chatham County) Contact: Margaret M. Gill 915-350-3691 Estimated Cost: $8,938,875
Pending Review/Complete Applications
2012-008 Southern Medical Imaging at Woodstock Conversion of Existing LNR to CON approved DTRC Filed: 3/5/2012 Deemed Complete: 3/16/2012 Deemed Complete: 3/16/2012 60th Day Deadline: 5/14/2012 Deci sion Deadline: 7/13/2012 Extended Deadline: 8/12/2012 Site: 2001 Professional Park way, 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 Deci sion 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 E R Department at St. Mary's Hospital in Athens, GA Filed: 3/26/2012 Deemed Complete: 4/9/2012 60th Day Deadline: 6/7/2012 Deci sion 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 Deci sion Deadline: 8/30/2012 Site: 203 Wood Park Place, Suite A-100, Woodstock, GA 30188 (Cherokee County)
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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 Deci sion Deadline: 8/7/2012 Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: H. Bryan Forlines 478-633-6966 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 Deci sion Deadline: 8/28/2012 Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County) Contact: Alison Bonner 706-272-6589 Estimated Cost: $8,030,000
2012-015 WellStar Kennestone Hospital
Cent ral Sterile and P rocessing Relocation and Expansion Filed: 5/3/2012 Deemed Incomplete: 5/17/2012 Deemed Complete: 6/8/2012 60th Day Deadline: 8/6/2012 Deci sion Deadline: 10/5/2012 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 Deemed Complete: 6/6/2012 60th Day Deadline: 8/4/2012 Deci sion Deadline: 10/3/2012 Site: 8954 Hos pital Drive, Douglas ville, GA 30134 (Douglas County) Contact: Stephen Vault 678-331-6887 Estimated Cost: $18,159,889
2012-017 Liberty Regional Medical Center
Renovate and Reconstruct Service Areas Filed: 5/18/2012 Deemed Incomplete: 5/31/2012 Deemed Complete: 6/15/2012 60th Day Deadline: 8/13/2012 Deci sion Deadline: 10/12/2012 Site: 462 E. G. Miles Parkway, Hines ville, GA 31310 (Liberty County) Contact: Elise Stafford 912-545-3392 Estimated Cost: $14,027,875
2012-018 Meredyth Surgery Center
Convert LNR ASC to Limited-P urpose CON ASC Filed: 5/22/2012 Deemed Complete: 5/22/2012 60th Day Deadline: 7/20/2012 Deci sion 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-S pecialty CON ASC Filed: 5/22/2012 Deemed Complete: 5/22/2012 60th Day Deadline: 7/20/212
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Deci sion 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-S pecialty CON ASC Filed: 5/22/2012 Deemed Complete: 5/22/2012 60th Day Deadline: 7/20/2012 Deci sion 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 Thoma sville Surgery Center Inc Convert LNR ASC to Limited-P urpose CON ASC Filed: 5/22/2012 Deemed Complete: 5/22/2012 60th Day Deadline: 7/20/2012 Deci sion Deadline: 9/18/2012 Site: 2282 East Pinetree Boulevard, Suite B, Thom as ville, GA 31792 (Thomas County) Contact: Leslie Harvey 229-228-4988 Estimated Cost: $15,000
2012-022 Emory University Hospital Renovation and Expansion of Surgical Suite Filed: 5/25/2012 Deemed Incomplete: 6/7/2012 Deemed Complete: 6/22/2012 60th Day Deadline: 8/20/2012 Deci sion Deadline: 10/19/2012 Site: 1364 Clifton Road, Atlanta, GA 30322 (DeK alb County) Contact: Toni Wimby, Associate Administrator 404-686-2450 Estimated Cost: $46,000,000
Recently Approved Applications
2012-005 Landmark Hospital of Savannah 50-B ed Freestanding LTAC Hospital Filed: 2/17/2012 Deemed Complete: 3/2/2012 60th Day Deadline: 4/30/2012 Deci sion Deadline: 6/29/2012 APPROV ED: 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 Hospi tal Establish a Fixed-Based PET/ CT Scanner Filed: 2/20/2012 Deemed Complete: 2/20/2012 60th Day Deadline: 4/19/2012 Deci sion Deadline: 6/18/2012 APPROV ED: 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
Recently Denied Applications
none
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CON Applications Withdrawn
none
Appealed LNRs
LNR-AS C2011-021 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 A ppeal Hearing, 05/ 02/ 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. Hearing Decision: Hearing Officer affirmed the Department's decision to award a CON to St. Francis Hospital, 7/1/2012.
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 alt ernative 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 applic ation for alt ernative 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 Lak eview 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.
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Appeals Court: UHS Peachford, LP d/b/a Peachford Behavioral Health System of Atlanta and UHS of SummitRidge, LLC d/b/a SummitRidge Hospit al filed an Application for Discretionary Appeal in the Court of Appeals on May 16, 2012. Appeals Court Decision: Application for Discretionary Appeal denied, 6/5/2012.
2011-027 HealthSouth of Georgia, LLC (Coweta) Develop 50-Bed Comprehensive Inpatient Physical Rehab Hospital (CIPR)-Batching Agency Decision: Denied, 9/19/2011 Appealed By: HealthSouth appealed the denial of their application, 10/14/2011; Southern Regional Health System, Inc. d/b/a Southern Regional Medical Center filed request to intervene, 9/27/2011. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: 5/15/2012 5/18/2012 Hearing Decision: Pending
2011-043 CorrectHealth GDC, LLC (Bostick Nursing Center) (Baldwin) Establish a 280-Bed Skilled Nursing Facility - Batching Agency Decision: Approved, 10/28/2011 Appealed By: Oconee Regional Medical Center, Inc., appealed the approval of CorrectHealth's application, 11/23/ 2011. CorrectHealth GDC, LLC (Bostick Nursing Cent er) filed request to intervene, 11/ 22/2011. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: 4/17/2012 4/19/2012 Hearing Decision: Pending
2011-046 Uni Health Post-Acute Care - Brookhaven (DeKalb) Exception Skilled Nursing - Bariatric - Batching Agency Decision: Denied, 10/28/2011 Appealed By: UniHealt h appealed the denial of their application, 11/23/2011. Appeal withdrawn, 6/5/2012.
2011-048 Heritage Healthcare of Lilburn (Gwinnett) Exception Skilled Nursing - Bariatric - Batching Agency Decision: Denied, 10/28/2011 Appealed By: Herit age appealed the denial of their application, 11/23/2011. Appeal withdrawn, 6/5/ 2012.
2011-055 Ram say Youth Service s 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 Cent er filed request to intervene, 1/13/2012. Appeal withdrawn, 6/20/2012.
2011-059 Coli seum Medical Center (Bibb) Convert to a Hos pital-Based Psychiatric/Substance Abuse Program - Batching Agency Decision: Denied, 12/16/2011 Appealed By: Coliseum Medical Cent er, LLC d/b/a Coliseum Medical Cent ers, 1/13/2012. Appeal wit hdrawn, 6/20/2012.
2011-072 Ea stside Surgery Center, LLC (Gwinnett) Develop a Freestanding Ambulatory Surgery Cent er at Eastside Medical Agency Decision: Denied, 3/20/2012 Appealed By: Eastside Surgery Center, LLC, 4/18/2012. Request to intervene filed by
Nort hside Hospital, Inc., 4/13/2012. Hearing Officer: William C. Joy, Esq. Hearing Date: 9/25/2012 9/27/2012 Hearing Decision: Pending
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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 Cent er, 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 Hearing Decision: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2012006 Harbin Clinic, LLC dba Cartersville Imaging Center

Fixed MRI

Request received: 3/21/2012

Contact Person: Kenna Stock 706-236-6347

Determination: Approved

Determination Date: 6/21/2012

LNR-EQT2012008 Northea st Georgia Otolaryngology

Fixed CT

Request received: 5/4/2012

Contact Person: Paul Garlich 770-536-4353

Determination: Approved

Determination Date: 7/9/2012

LNR-EQT2012009 Valdosta Family Medicine Associates, P.C.

Fixed MRI

Request received: 5/8/2012

Contact Person: Wendy Cain 229-244-1400

Determination: Approved

Determination Date: 7/9/2012

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

LNR-EQT2012012 Amen Clinics, Inc. SPECT Gamma Camera Request received: 6/1/2012 Contact Person: Ronnette Leonard 949-266-3711 Determination: Pending

LNR-EQT2012013 Premier Pain Management, Inc. Fixed MRI Request received: 6/8/2012 Contact Person: Randy Webman 678-209-0585 Determination: Pending

LNR-EQT2012014 Monroe HMA, LLC dba Clearview Regional Medical Center Da Vinci S4 Request received: 6/18/2012 Contact Person: JT Barnhart 770-267-1792 Determination: Pending

LNR-EQT2012015 Athens Orthopedic Clinic PA Fixed MRI Request received: 6/19/2012
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Contact Person: Kayo Elliott 706-549-1663 Determination: Pending
Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities

LNR-AS C2012002 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 a s submitted: $3,633,418.00

Request received: 2/28/2012

Contact Person: Robert Limyansky 770-394-8465

Determination: Approved

Determination

6/21/2012

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

Forsyth, Nort hside Hospital Cherokee (NHC)- 3/ 29/2012; Northside's

withdrawal of opposition received 5/24/2012.-

LNR-AS C2012004 Urosurg, LLC

Single Specialty Urology

Site: 1815 Old Ocilla Road, Tifton, GA 31794

Number of OR's: 2

Specialty: Urology

Project costs a s submitted: $0.00

Request received: 4/10/2012

Contact Person: Gayle R. E vans 770-794-4944

Determination: Approved

Determination

6/29/2012

LNR-AS C2012005 AGA, LLC dba Atlanta Gastroenterology Associates

AGA intends to merge the P ractice with AGA

Site: 1555 Brampton A venue, Statesboro, GA 30458

Number of OR's:

Specialty: Gastroenterology

Project costs a s submitted: $0.00

Request received: 4/10/212

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

Determination: Pending

LNR-AS C2012006 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 a s submitted: $2,031,527.00

Request received: 4/13/2012

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

Determination: Pending

LNR-AS C2012007 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 a s submitted: $4,971,989.22

Request received: 4/24/2012

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

Determination: Approved

Determination

6/29/2012

LNR-AS C2012008 Urology Surgery Center of Albany, LLC

Single Specialty Ambulatory Surgery Center

Site:

Number of OR's: 2

Specialty: Urology

Project costs a s submitted: $0.00

9

Request received: 4/24/2012 Contact Person: Gayle R. E vans 770-794-4944 Determination: Pending

LNR-AS C2012009 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 a s submitted: $1,168,081.00

Request received: 5/4/2012

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

Determination: Approved

Determination

7/9/2012

LNR-AS C2012010 Tiftarea Surgical Partners, LLC

Physician-Owned, Single Specialty Ambulatory Surgery Center

Site: 1610 John Orr Drive, Suite H, Tift on, GA 31794

Number of OR's: 2

Specialty: Orthopaedic Procedures

Project costs a s submitted: $0.00

Request received: 6/13/2012

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

Determination: Pending

LNR-AS C2012011 West Georgia Eye Care Center, P.A.

Physician-owned, Single Specialty Ambulatory Surgery Center

Site: 2616 Warm Springs Road, Columbus, GA 31904

Number of OR's: 2

Specialty: Ophthalmolgy

Project costs a s submitted: $1,674,139.00

Request received: 7/11/2012

Contact Person: Victory Moldovan 404-443-5708

Determination: Pending

Requests for Miscellaneous Letters of Determination
DET2011040 Smith of Georgia, LLC d/b/a Smith Northview Hospital Cardiac Cath Acquisition and Cardiac Cat h Lab and OB Renovation Request received: 4/1/2011 Contact Person: Shamb Purohit 229-671-2002 Determination: Pending
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 Reloc ate 58 SNF Beds Request received: 10/27/ 2011 Contact Person: Stelling Nelson 478-314-1560 ext 2261 Determination: Pending
DET2012037 North Fulton Medical Center dba North Fulton Hospital Reloc ate On-campus Pain Clinic & Imaging Equip to MOB below Threshold Request received: 3/6/2012 Contact Person: Teres a C. Urquhart 770-751-2510 Determination: Pending
DET2012051 Tattnall Hospital Company, LLC dba Optim Imaging Utilization of Imaging Facility Request received: 4/5/2012 Contact Person: Michael Kleinpeter 912-644-5370
10

Determination: Pending

DET2012052 Candler Hospital, Inc. Replace an Existing Linear Accelerator Request received: 4/10/2012 Contact Person: John Salandi 912-819-7671 Determination: Non-reviewable as proposed

Determination Date: 6/18/2012

DET2012053 Gwinnett Hospi tal 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: Non-reviewable as proposed Determination Date: 6/18/2012
DET2012056 Kenne stone Hospital, Inc. dba WellStar Kennestone Hospital Capit al Expendit ure to Develop a Sleep Disorders Center Request received: 4/20/2012 Contact Person: Stephen Vault 678-331-6887 Determination: Non-reviewable as proposed Determination Date: 6/21/2012
DET2012057 Kenne stone Hospital, Inc. dba WellStar Kennestone Hospital Replacement of Linear Accelerator Request received: 4/20/2012 Contact Person: Stephen Vault 678-331-6887 Determination: Non-reviewable as proposed Determination Date: 6/28/2012

DET2012058 Georgia Proton Treatment Center Creation of Holding Company for Approved Applicant Request received: 4/24/2012 Contact Person: Jeffrey L. Bordok 858-875-2260 Determination: Non-reviewable as proposed Determination Date: 7/5/2012
DET2012059 Ivy Springs Manor Tenant LLC 80 Bed Personal Care Home Request received: 4/27/2012 Contact Person: Jeramy Ragsdale 404-654-3565 Determination: Non-reviewable as proposed Determination Date: 6/29/2012
DET2012060 Center for Plastic Surgery, Inc. Confirmation of Transferability of CON-Approved ASC Request received: 5/1/2012 Contact Person: Vincent N. Zubowicz 404-814-1100 Determination: Pending
DET2012061 Northside Hospital Alpharetta Cancer Center Replacement of CON Authorized Equipment Request received: 5/1/2012 Contact Person: Brian Toporek 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 7/5/2012

DET2012062 CareSouth HHA Holdings of Wa shington, LLC dba CareSouth Homecare Reorganization of CareSouth's Washington ser vice 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: Non-reviewable as proposed Determination Date: 7/6/2012
DET2012064 Hamilton Medical Center Therapeutic Cardiac Cath Statutory Exemption
11

Request received: 5/4/2012 Contact Person: Jeff Hughes 706-272-6120 Determination: Pending
DET2012065 Henry Medical Center, Inc. dba Piedmont Henry Hospital 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 Cathet erization Statutory Exemption Request received: 5/9/2012 Contact Person: Terence Van Ark el 706-651-6101 Determination: Pending
DET2012068 Meadows Regional Medical Center, Inc. Therapeutic Cardiac Cathet erization Statutory Exemption Request received: 5/9/2012 Contact Person: Travis Roos e 912-538-5572 Determination: Pending
DET2012069 Cartersville Medical Center, LLC dba Carterville Medical Center Therapeutic Cardiac Cathet erization 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 Cathet erization 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 E vans 706-389-3947 Determination: Pending
DET2012072 Tanner Medical Center, Inc. Therapeutic Cardiac Cathet erization Statutory Exemption Request received: 5/14/2012 Contact Person: LaQuinta Grizzard 770-836-9221 Determination: Pending
DET2012073 EHCA Ea stside, LLC dba Ea stsi de Medical Center Therapeutic Cardiac Cathet erization 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: Non-reviewable as proposed Determination Date: 7/12/2012
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DET2012075 Houston Hospi tals, Inc. dba Houston Medical Center Therapeutic Cardiac Cathet erization Statutory Exemption Request received: 5/14/2012 Contact Person: Cary Martin 478-542-7839 Determination: Pending
DET2012076 DeKalb Medical Center Therapeutic Cardiac Cathet erization Statutory Exemption Request received: 5/14/2012 Contact Person: Don Fears 404-501-5790 Determination: Pending
DET2012077 Southern Regional Health System, Inc. Therapeutic Cardiac Cathet erization 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 Cathet erization 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 Cathet erization 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 Cathet erization 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 Cathet erization 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 Cathet erization Statutory Exemption Request received: 5/15/2012 Contact Person: Stephen Wood 706-509-3257 Determination: Pending
DET2012083 Cobb Hospi tal, Inc. dba WellStar Cobb Hospi tal Therapeutic Cardiac Cathet erization Statutory Exemption Request received: 5/15/2012 Contact Person: Stephen Vault 678-331-6887 Determination: Pending
DET2012084 Dougla s Hospital, Inc. dba WellStar Douglas Hospital Therapeutic Cardiac Cathet erization Statutory Exemption Request received: 5/15/2012 Contact Person: Stephen Vault 678-331-6887 Determination: Pending
DET2012085 Tenet Health System Spalding, Inc. Therapeutic Cardiac Cathet erization Statutory Exemption Request received: 5/15/2012
13

Contact Person: John Quinn 770-229-6469 Determination: Pending

DET2012086 Tenet South Fulton, Inc. dba South Fulton Medical Center Therapeutic Cardiac Cathet erization Statutory Exemption Request received: 5/15/2012 Contact Person: Jeff Stanley 404-466-1114 Determination: Pending

DET2012087 Trinity Hospital of Augusta Therapeutic Cardiac Cathet erization Statutory Exemption Request received: 5/15/2012 Contact Person: Roby n Stowell 706-481-7678 Determination: Pending

DET2012088 Ea st Georgia Regional Medical Center, LLC Therapeutic Cardiac Cathet erization Statutory Exemption Request received: 5/15/2012 Contact Person: Susan Takacs 912-486-1500 Determination: Pending

DET2012089 The Medical Center Therapeutic Cardiac Cathet erization Statutory Exemption Request received: 5/15/2012 Contact Person: Donald Elder 706-660-6342 Determination: Pending Opposition: St. Francis Hospital- 6/14/2012
DET2012090 EHCA Johns Creek, LLC dba Emory Johns Creek Hospital Cons olidate Indigent and Charity Care Commitments Request received: 5/18/2012 Contact Person: R. Craig McCoy 678-474-7003 Determination: Pending

DET2012091 Emory Universi ty dba Emory University Hospital Midtown Cons olidate Indigent and Charity Care Commitments Request received: 5/18/2012 Contact Person: Toni Wimby 404-686-2809 Determination: Pending

DET2012092 Emory Universi ty dba Emory University Hospital

New Hos pital-Wide Commitment

Request received: 5/18/2012

Contact Person: Toni Wimby 404-686-2809

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

6/21/2012

DET2012093 Diagnosti c Services, L.C. dba OMI Diagnostics - Dougla sville Replace Existing MRI Unit Request received: 5/21/2012 Contact Person: Thomas Brown 770-664-7777 E XT 4601 Determination: Pending

DET2012094 Diagnosti c Services, L.C. dba OMI Diagnostic - Douglasville Replace Existing CT Unit Request received: 5/21/2012 Contact Person: Thomas Brown 770-664-7777 E XT 4601 Determination: Pending
DET2012095 Piedmont Newnan Hospital Reloc ation of Wound Care and Hyperbaric Center Request received: 5/24/2012 Contact Person: Davis Dunbar 404-425-1344 Determination: Pending
14

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 Reha bilitation Capit al Expendit ure Below CON Threshold Request received: 5/29/2012 Contact Person: Kay Gray 478-621-2221 Determination: Pending
DET2012101 Medical Center of Central Georgia, Inc. Replacement of da Vinci Robot System Request received: 5/31/2012 Contact Person: H. Bryan Forlines 478-633-6966 Determination: Pending
DET2012102 Grady Memorial Hospital Corporation d/b/a Grady Health System Acquire Replacement Cardiac Catheterization Equipment Request received: 5/31/2012 Contact Person: Taffey L. Bisbee 404-315-9127 Determination: Pending
DET2012103 St. Joseph's Hospi tal, Inc. St. Joseph's Hospital Tower Exterior Skin Replacement Project Request received: 6/5/2012 Contact Person: John Salandi 912-819-7671 Determination: Pending
DET2012104 North side Hospital, Inc. dba Northside Hospital Replace CON approved diagnostic equipment Request received: 6/6/2012 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2012105 MCG Health Inc. dba Georgia Health Science Medical Center Replace Pediatric Cath Lab Equipment Request received: 6/8/2012 Contact Person: Phil Howard 706-721-4551 Determination: Pending
DET2012106 MCG Health, Inc. dba Georgia Health Science Medical Center Replace Electrophysiology Lab Equipment (EP) Request received: 6/8/2012
15

Contact Person: Phil Howard 706-721-4551 Determination: Pending

DET2012107 Piney Grove Ea st Lake LLC Development of New Assisted Living Community Request received: 6/12/2012 Contact Person: Julius Derico 678-637-8280 Determination: Pending

DET2012108 Emory Universi ty dba Emory University Hospital Kitchen Renovation Request received: 6/14/2012 Contact Person: Toni Wimby 404-686-2450 Determination: Pending

DET2012109 Atlanta Birth Center Opening a Birth Center Request received: 6/15/212 Contact Person: Margaret Strickhouser Determination: Pending

404-622-9810

DET2012110 SummitRidge Hospital Addition to 10 beds Request received: 6/18/2012 Contact Person: Margaret Collier 678-442-5900 Determination: Pending

DET2012111 Athens Reg Med Center, Inc. dba Athens Reg Med Center Replacement of Cardiac Cathet erization Laboratory Equipment Request received: 6/20/2012 Contact Person: Jeffrey C. Baxter 706-475-1195 Determination: Pending

DET2012112 Piedmont Hospital, Inc. Establish Inpatient Hospice Service Request received: 6/21/2012 Contact Person: Davis Dunbar 404-425-1344 Determination: Pending
DET2012114 Richmond County Hospital Authority through University McDuffie County Hospital Authority Owned Facility Change of Ownership Request received: 6/29/2012 Contact Person: Kathryn M. T. Platt 404-728-1974 Determination: Pending
DET2012115 Alliance Healthcare Services Replacement of CON-A pproved Diagnostic Equipment Request received: 7/2/2012 Contact Person: Determination: Pending
DET2012116 Gwinnett Hospi tal System, Inc. dba Gwinnett Medical Center - Lawrenceville Addition of Fifth Diagnostic Cardiac Cath Lab Request received: 7/9/2012 Contact Person: Mark M. Mullin 678-312-4193 Determination: Pending
DET2012117 Presbyterian Village, Austell, Inc. Combining of two Licensed Personal Care Homes Request received: 7/12/2012 Contact Person: Gwen C. Hardy 770-819-7004 Determination: Pending

16

DET2012118 Oconee Regional Medical Center Replacement of existing MRI Unit with an Open MRI Unit Request received: 7/12/2012 Contact Person: Alan Horton 478-454-3851 Determination: Pending
DET2012119 The Medical Center, Columbus Specialty Hospital, and Doctors Hospital Reloc ation of LTCH Request received: 7/13/2012 Contact Person: Donald E. Elder 706-660-6342 Determination: Pending
DET2012120 University Health Services, Inc. Replacement of PE T Scanner Request received: 7/17/2012 Contact Person: Jackie M. Kendinger 706-774-8044 Determination: Pending
DET2012121 EHCA Ea stside, LLC dba Ea stsi de Medical Center Add a Shared Operating Room Request received: 7/17/2012 Contact Person: Dustin A. Greene, FACHE 770-736-2224 Determination: Pending

Requests for Extended Implementation/Effective Period

2011016 Newnan Regional Radiation Therapy Center, Inc.

Relocation of DTRC

Request to extend Completion Period

Site: 775 Popular Road

Project Approved: 8/31/2011

Request Received: 6/29/2012

Contact: J. Warner Ray, President (770) 254-9600

Approved Cost: $2,389,637

Determination: Approved, 6/29/2012

Extended Completion Date: 1/29/2014

Need Projection Analyses Updated 06/29/2012
Current Status of Official Division of Health Planning Need Projection Analyse s and Other Data Resource s
Need Projections and Maps for CON Regulated Services
2017 Non-Special MegaVoltage Radiation Therapy - 6/29/2012 2017 Positron Emission Tomography Services - 6/20/2012 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 Neonat al Intensive Care Beds - 3/23/2012 2016 Neonat al Intermediate Care Beds - 3/23/2012 2016 Obstetric Services Beds - 3/23/2012 2014 Skilled Nursing Home Beds - 3/21/2012
17

Non-Batched Need P rojections
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 20 10 utilization.

Non-Filed or Incomplete Division of Health Planning Facility Surveys for Most Recent 3 Years (Survey Status as of 7/17/2012)
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 b e 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

Coun ty

Survey Year

Annual Hospital Que stionnaire and Addenda (Survey Years 2009 thru 2011)

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

Gw innett Medical Center

Gw innett

2011

Hutcheson Medical Center

Catoosa

2011

Irw in County Hospital

Irw in

2011

Low er Oconee Community Hospital, Inc.

Wheeler

2011

Macon Behavioral Health System

Bibb

2011

North Georgia Medical Center

Gilmer

2011

Northeast Georgia Medical Center

Hall

2011

Northw est Georgia Regional Hospital

Floyd

2010

Northw est Georgia Regional Hospital

Floyd

2011

Phoebe Sumter Medical Center

Sumter

2011

Southern Crescent Hospital for Specialty Care

Clayton

2011

Southw est Georgia Regional Medical Center

Randolph

2011

Stew art Webster Hospital

Stew art

2009

Stew art Webster Hospital

Stew art

2010

Tift Regional Medical Center

Tif t

2010

Triumph - The Specialty Hospital

Floyd

2011

Walton Regional Medical Center

Walton

2011

Willingw ay 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 Bell Minor Home, The

Bibb

2011

Hall

2011

18

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 3/11/2011 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

Brown's Health & Rehabilitation Center 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 Goodw ill 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 Meadow brook Health Care Meadow s Nursing Center Mitchell County Nursing Homes New London Health Center Northw est Georgia Regional Hospital ICF/MR Oceanside Nursing & Rehab Center Parkside At Hutcheson Medical Center Pinehill Nursing Center, Inc Pinew ood Nursing Center Pow der 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

Bulloch Carroll Houston Fulton Bibb Emanuel Charlton Jeff ers on Richmond DeKalb Gw innett Fulton Floyd Bibb Richmond Richmond Catoosa Randolph Telf air DeKalb Cobb DeKalb Toombs Mitchell Gw innett Floyd Chatham Walker Dooly Grady Cobb Chatham Chatham Chatham Gw innett Laurens Meriw ether 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 2011

Cardiac Catheterization Services Survey (Survey Years 2008 thru 2010)

Hutcheson Medical Center

Catoosa

2010

Freestanding Ambulatory Surgery Services Survey (Survey Years 2008 thru

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

19

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

American Eye Surgery Center, Inc 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 Bow man Pain Management, Pc Bow man 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 Rosw ell, 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

CLARKE BIBB BIBB BIBB CLARKE FUL TON
Fulton
DEKALB FUL TON CLAYTON CLAYTON CLAYTON FUL TON DOUGLAS DOUGLAS DOUGLAS RICHMOND COL UMB IA COL UMB IA COL UMB IA BIBB BIBB GLYNN FUL TON FUL TON BARTOW CLARKE CLARKE CLARKE WHITFIEL D WHITFIEL D CLAYTON DeKalb CHATHAM GLYNN COBB COBB COFFEE Muscogee FUL TON WHITFIEL D WHITFIEL D FUL TON PICKENS PICKENS FUL TON LAURENS LAURENS LAURENS BIBB CHATHAM FUL TON FUL TON CHATHAM
20

2010 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

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

Eye Associates Surgery Ctr Eye Associates Surgery Ctr Eyesight's Laser & Surgery Ctr Foot & Ankle Surgery Ctr, Llc, The Foot & Ankle Surgery Ctr, Llc, The Forsyth Surgical Center, Inc. Forsyth Surgical Center, Inc. GA Urology, PA Cobb Ambulatory Surgery Center Gainesville Endoscopy Center, Llc Gainesville Eye Center, Llc Georgia Endoscopy Center, LLC Georgia Pain Physicians dba Georgia Surgical Centers of North Georgia GEORGIA PAIN SPINE CENTER, LLC Georgia Surgical Ctrs Of N Ga Golden Isles Foot Sur Ctr, Inc Gw innett Center for Outpatient Surgery Gw innett Endoscopy Services - Duluth Harbin G I, Llc Island Surgery Center, Inc Island Surgery Center, Inc Jimenez Foot, Ankle & Leg Asc Jimenez Foot, Ankle & Leg Asc Johns Creek Othopedic Surgery Center Macon Pain Center, Pc Macon Pain Center, Pc Macon Pain Center, Pc Metro Atlanta Endoscopy Midtow n Urology Surgical Center New nan Foot & Ankle Surgery Center, Llc New nan 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 LOWNDES HOUSTON MUSCOGEE MUSCOGEE FORSYTH FORSYTH COBB HALL HALL Forsyth GORDON
COBB GORDON GLYNN Gw innett Gw innett FLOYD GLYNN GLYNN GWINNETT GWINNETT Fulton BIBB BIBB BIBB FUL TON FUL TON COWETA COWETA COBB MUSCOGEE CHEROKEE CHEROKEE CHEROKEE HALL HALL Catoosa FORSYTH FORSYTH GWINNETT HALL HALL GWINNETT FUL TON CHATHAM Chatham Chatham FUL TON FUL TON FUL TON FUL TON FUL TON Fulton

21

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

3/12/2010 3/9/2012 3/9/2012 3/12/2010 3/11/2011 3/12/2010 3/11/2011 3/11/2011 3/12/2010 3/12/2010 3/9/2012 3/11/2011
3/11/2011 3/12/2010 3/11/2011 3/9/2012 3/9/2012 3/9/2012 3/12/2010 3/11/2011 3/12/2010 3/9/2012 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/11/2011 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/11/2011 3/9/2012 3/12/2010 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 Rosw ell 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 WHITFIEL D 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 FUL TON TIFT MUSCOGEE MUSCOGEE COBB BIBB BIBB CHATHAM FUL TON LOWNDES LOWNDES LOWNDES LOWNDES LOWNDES ROCKDALE ROCKDALE NEWTON
22

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, LL C (d/b/a ENT of Coffee County) Woodhams Laser & Lens Implant
Woodhams Laser & Lens Implant WOOLFSON AMBULATORY SURGERY CENTER, LLC

CARROLL COBB COBB COFFEE
FUL TON FUL TON FUL TON

2010 2010 2011 2010
2009 2010 2010

Home Health Agency Survey (Survey Years 2009 thru 2011)

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

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

Tif t

2010 2011 2011 2011 2011 2011 2010 2011 2011 2011

Hospital Financial Survey (Survey Years 2008 thru 2010)

Devereux Georgia Treatment Netw ork

Cobb

Mountain Lakes Medical Center

Rabun

Stew art Webster Hospital

Stew art

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.

Posi tron Emi ssion 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 7/17/2012)

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 Gw innett Endoscopy Center Gw innett Endoscopy Center Gw innett Endoscopy Center

County

Year

DOUGHERTY 2010

DOUGHERTY 2011

Fulton

2009

Clayton

2010

Clayton

2011

CLAYTON

2011

DEKALB

2011

FUL TON

2010

CLAYTON

2010

CLAYTON

2011

Hall

2011

GWINNETT 2009

GWINNETT 2010

GWINNETT 2011

23

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 280,297.14 Ambulatory Surgery Center 277,941.25 Ambulatory Surgery Center 212,166.57 Ambulatory Surgery Center

Gw innett 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 Northside Surgery Center, Inc. Northside Surgery Center, Inc. Orthopaedic South Surgical Center Orthopaedic South Surgical Center Orthopaedic South Surgical Center Orthopedic Surgery Center, L.P. Paces Plastic Surgery Center Resurgens Surgical Center Resurgens Surgical Center Resurgens Surgical Center Savannah Plastic Surgicenter, Inc. Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. South Georgia Surgery Center Specialty Surgery Center, Inc. Specialty Surgery Center, Inc. Spivey Station Surgery Center Summerville Surgical Center Surgery Center of Columbia County Surgery Center of Columbia County Surgery Center, LLC, The Surgery Center, LLC, The Surgical Suite, The Surgical Suite, The Amicita Home Health, LLC Caresouth Homecare Professionals Caresouth Homecare Professionals - Macon Caresouth Homecare Professionals - Washington 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 Healthfield of Southwest Georgia Ogeechee Home Health Southside Medical Home Health

Gw innett FUL TON

2010 2011

GORDON GORDON HALL HALL

2010 2011 2010 2011

GWINNETT GWINNETT FUL TON

2010 2011 2009

FUL TON

2011

CLAYTON CLAYTON CLAYTON Chatham

2009 2010 2011 2010

FUL TON FUL TON FUL TON

2011 2009 2010

FUL TON Chatham Chatham Chatham

2011 2009 2010 2011

Ware FUL TON

2010 2010

FUL TON Clayton

2011 2010

Richmond Colu mbia Colu mbia Muscogee

2011 2010 2011 2009

Muscogee FUL TON FUL TON

2010 2010 2011

Clarke Muscogee Bibb Elbert

2011 2011 2011 2011

Mc Duf f ie Mc Duf f ie Gw innett Muscogee

2010 2011 2011 2010

Forsyth Fulton Muscogee Fulton

2011 2011 2011 2010

Fulton Chatham Chatham Oconee

2011 2010 2011 2011

Hall Fulton Forsyth

2011 2011 2010

Spalding

2010

Spalding Fulton Decatur

2011 2010 2010

Decatur Bulloch DeKalb

2011 2011 2010

24

29,339.64 31,806.00 16,008.93 26,481.60 10,443.33 2,272.71 19,902.09
738.00 4,466.67 9,470.49 673,595.09 736,036.52 804,390.23 2,275,498.54 67,813.20 1,193,396.65 1,203,614.79 1,375,891.97 36,419.70 25,369.55 27,490.23 11,500.12 9,376.56 4,035.84 55,170.93
583.16 354,974.10 146,286.87 114,593.31 124,405.19
4,689.30 4,650.87 11,286.70 5,272.52
192.42 98,252.02 11,903.41 10,055.68
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 49,938.52 35,797.51 147,847.14 9,740.23 33,092.06 48,087.67 141,771.40 1,748.86 17,111.28 6,100.18 4,224.15

Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency 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

Suncrest Home Health Suncrest Home Health Northlake Cancer Treatment Center

Cobb New ton DeKalb

2011 2011 2010

6,917.49 2,942.44 21,700.70

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

25

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.
26

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

Hom e Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Am bulatory 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

WINT ER

Hom e Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Am bulatory Surge ry

March

April

May

SPRI NG

PET, Mega Voltage Radiation Therapy, Pediatric Cath/Open Heart, Adult Open Heart,
Psych/Substance Abuse, Birthing Centers

June

July

August

SUM MER

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 6/22/2012 on DCH Website
Summer Batching Review Cycle Notifications

PET Mega Voltage Radiation Therapy
Pediatric Cath/Open Heart

Adult Open Heart Psych/Substance Abuse Birthing Centers

Need Projections can be found on the DHP Need Projections Page

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 - Rollov er 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 Opposi tion Meeting(s) scheduled; applicant can be in attendance; opposing partie s must provide written statement of opposition arguments pre se nted (original and one copy to the Department and one copy to the applicant); pre sentation 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 opposi tion due to Department; applicant deadline for providing written response to Department' s inquiries subsequent to opposi tion meeting
120th day Deci sion issued (No di scretion to extend)

28

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

Batching Notice
(June 22, 2012)

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

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

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

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

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

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

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

110th Day
(applicant provides amended information; applicant provides response to opposition)
(December 8, 2012)

Batching Notice issued 30 days before Letter of Intent Due
Letter of Intent received by Department 30 days before application is submitted
Applications submitted; deemed complete; review cycle begins
60-Day meeting (applicant only); deadline for receipt of opposition letter(s)
75th day applicant provides additional information 90th day Opposi tion Meeting(s) scheduled; applicant can be i n attendance; opposing partie s must provide written statement of opposition arguments pre sented (original and one copy to the Department and one copy to the applicant); pre sentation 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 opposi tion due to Department; applicant deadline for pro viding written response to Department' s inquiries subsequent to opposi tion meeting
120th day Deci sion issued (No di scretion to extend)

29

NON-BATCHED APPLICATIONS: SEQUENCE OF CERTIFICAT E OF NEED APPLICATION REVIEW ACTIVITIES

Letter of Intent

Ap pli ca tio n deemed complete (re vi e w cycl e 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)

Ap pli ca tio n 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)

150t h
Da y
(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 inquirie s 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)

30

NEW REPORTING REQUIREMENTS
Beginning July 1, 2008, all facilities operating under a previously granted exempti on 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 forth coming 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.
31

CERTIFICATE OF NEED APPEAL PANEL
Sw orn 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 surve ys, 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 plea se contact Bruce Henderson, Senior Re viewer (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 com pliance 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.

32