Certificate-of-need tracking and appeals report [Aug. 1-7, 2012]

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Withdrawn Letters of Intent Expired Letters of Intent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Pending Review/Complete Applications Recently Approved Applications Recently Denied Applications Withdrawn CON Applications

CERTIFICATE OF NEED

Appealed LNRs Appealed CON Projects

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

August 1, 2012 August 7, 2012

Batching Notifications - Summer Need Projection Analyses New Batching Review Spring Cycle Summer Cycle
Non-Filed or Incomplete Surveys Indigent-Charity Shortfalls
Legislation Affecting CON New CON Filing Requirements
(effective July 1, 2008) New Reporting Requirements
(effective July 1, 2008) Certificate of Need Appeal Panel
Contact Information What's New with CON ?

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

Letters of Intent

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 County)

Estimated Cost: $30,000,000

LOI2012037 Houston Medical Center

Renovate Physical Plant, Expand Surgery Department

Received: 7/17/2012

Application must be submitted on: 8/16/2012

Site: 1601 Watson Boulevard, Warner Robins, GA 31093 (Houston County)

Estimated Cost: $41,828,435

LOI2012038 Eastside Medical Center

Constructing a new Emergency Facility

Received: 7/20/2012

Application must be submitted on: 8/20/2012

Site: 3435 Highway 81 South, Loganville, GA 30052 (Gwinnett County)

Estimated Cost: $3,000,000

LOI2012050 Doctors Hospital of Augusta, LLC

New Off-site Emergency Facility

Received: 7/26/2012

Application must be submitted on: 8/27/2012

Site: 743 North Belair Road, Evans, GA 30809 (Columbia County)

Estimated Cost: $9,800,000

LOI2012051 WellStar Kennestone

Develop an Outpatient Diagnostic Center

Received: 8/1/2012

Application must be submitted on: 8/31/2012

Site: 1180 NW Ernest Barrett Parkway, Kennesaw, GA 30144 (Cobb County)

Estimated Cost: $12,720,000

LOI2012052 WellStar Kennestone Hospital

Capital Expenditure Add an Intervential Suite

Received: 8/1/2012

Application must be submitted on: 8/31/2012

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

Estimated Cost: $4,600,000

LOI2012053 Decatur Health Imaging

Replace Existing 0.2T MRI Unit with 1.5T Unit

Received: 8/6/2012

Application must be submitted on: 9/5/2012

Site: 2774 North Decatur Road, Atlanta, GA 30033 (DeKalb County)

Estimated Cost: $1,250,000

Letters of Intent Summer Batching

Megavoltage Radiation Therapy

LOI2012039 Doctors Hospital of Augusta

Megavoltage Radiation Therapy, CyberKnife

Received: 7/23/2012

Application must be submitted on: 8/21/2012

Site: 3651 Wheeler Road, Augusta, GA 30909 (Richmond County)

Estimated Cost: $6,300,000

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LOI2012040 Coliseum Park Cancer Treatment Center

Megavoltage Radiation Therapy, CyberKnife

Received: 7/23/2012

Application must be submitted on: 8/21/2012

Site: 308 Coliseum Drive, Macon, GA 31217 (Bibb County)

Estimated Cost: $8,000,000

LOI2012041 Northside Hospital - Forsyth

Megavoltage Radiation Therapy, Gamma Knife

Received: 7/23/2012

Application must be submitted on: 8/21/2012

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

Estimated Cost: $8,000,000

LOI2012042 Northeast Georgia Medical Center - South Hall Campus

Megavoltage Radiation Therapy, Addition of One Linear Accelerator

Received: 7/23/2012

Application must be submitted on: 8/21/2012

Site: 5875 Thompson Mill Road, Hoschton, GA 30548 (Hall County)

Estimated Cost: $9,600,000

LOI2012043 Piedmont Fayette Hospital

Megavoltage Radiation Therapy, Addition of Second Linear Accelerator

Received: 7/23/2012

Application must be submitted on: 8/21/2012

Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County)

Estimated Cost: $7,240,000

Positron Emission Tomography Services

LOI2012044 Emory-Adventist, Inc. dba Emory-Adventist Hospital

PET Scanner, Mobile Vendor

Received: 7/23/2012

Application must be submitted on: 8/21/2012

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

Estimated Cost: $60,000

LOI2012045 Piedmont Mountainside Hospital

PET Scanner Services, Mobile Vendor

Received: 7/23/2012

Application must be submitted on: 8/21/2012

Site: 1266 Highway 515 South, Jasper, GA 30143 (Pickens County)

Estimated Cost: $20,000

LOI2012046 Rockdale Medical Center

PET Scanner Services, Mobile Vendor

Received: 7/23/2012

Application must be submitted on: 8/21/2012

Site: 1412 Milstead Avenue, Conyers, GA 30012 (Rockdale County)

Estimated Cost: $385,000

Psychiatric and Substance Abuse Services

LOI2012047 Laurel Heights Hospital

Psych/Substance Abuse Services, Establish 16-bed Pediatric Acute Program

Received: 7/23/2012

Application must be submitted on: 8/21/2012

Site: 934 Briarcliff Road, NE, Atlanta, GA 30306 (Fulton County)

Estimated Cost: $1,500,000

LOI2012048 Lighthouse Care Center of Augusta

Psych/Substance Abuse Services, Establish 14-bed Pediatric Substance Abuse Program

Received: 7/23/2012

Application must be submitted on: 8/21/2012

Site: 3100 Perimeter Parkway, Augusta, GA 30909 (Richmond County)

Estimated Cost: $912,000

LOI2012049 Willowbrooke at Tanner Psych/Substance Abuse Services, Add 30 Child/Adolescent Beds
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Received: 7/23/2012

Application must be submitted on: 8/21/2012

Site: 20 Herrell Road, Villa Rica, GA 30180 (Carroll County)

Estimated Cost: $6,000,000

Withdrawn Letters of Intent
none

Expired Letters of Intent

LOI2012030 MedCross Imaging P.C.

Relocate 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

2012-027 Grady Memorial Hospital Renovations: Existing Spaces, Nursing Unit, Physical Plant Replacement Filed: 7/26/2012 Site: 80 Jess Hill Drive SE, Atlanta, GA 30303 (Fulton County) Contact: Craig J. Tindall, Sr. V. President, Operation/Fac 404-616-1000 Estimated Cost: $17,763,860
2012-028 Memorial Health University Medical Center, Inc. Renovations of Neonatal - Labor and Delivery Filed: 8/6/2012 Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Contact: Laura Dow, VP - Finance 912-350-8613 Estimated Cost: $2,823,000
Pending Review/Incomplete Applications
none
Pending Review/Complete Applications
2012-009 OMI Diagnostics - Alpharetta Conversion of a LNR Advance Imaging Center to a DTRC Filed: 3/16/2012 Deemed Incomplete: 3/30/2012 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
2012-011 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

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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
2012-014 MRI Imaging Specialist
CT and MRI Unit Filed: 4/19/2012 Deemed Incomplete: 5/1/2012 Deemed Complete: 7/16/2012 60th Day Deadline: 9/13/2012 Decision Deadline: 11/12/2012 Site: 6760 Jimmy Carter Boulevard, Suite 165, Norcross, GA 30071 (Gwinnett County) Contact: Michael Alatorre 786-303-0242 Estimated Cost: $268,810
2012-015 WellStar Kennestone Hospital
Central Sterile and Processing Relocation and Expansion Filed: 5/3/2012 Deemed Incomplete: 5/17/2012 Deemed Complete: 6/8/2012 60th Day Deadline: 8/6/2012 Decision 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 Decision Deadline: 10/3/2012 Site: 8954 Hospital Drive, Douglasville, 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 Decision Deadline: 10/12/2012 Site: 462 E. G. Miles Parkway, Hinesville, GA 31310 (Liberty County) Contact: Elise Stafford 912-545-3392 Estimated Cost: $14,027,875
2012-018 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 Fowler 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
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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
2012-022 Emory University Hospital
Renovation and Expansion of Surgical Suite Filed: 5/25/2012 Deemed Incomplete: 6/7/2012 Deemed Complete: 6/22/2012 60th Day Deadline: 8/20/2012 Decision Deadline: 10/19/2012 Site: 1364 Clifton Road, Atlanta, GA 30322 (DeKalb County) Contact: Toni Wimby, Associate Administrator 404-686-2450 Estimated Cost: $46,000,000
2012-023 Georgia Health Sciences Medical Center
Relocate and Renovate Existing Space Filed: 6/25/2012 Deemed Incomplete: 7/9/2012 Deemed Complete: 8/1/2012 60th Day Deadline: 9/29/2012 Decision Deadline: 11/28/2012 Site: 1120 15th Street, Augusta, GA 30912 (Richmond County) Contact: Daniel Merrell 706-721-6951 Estimated Cost: $10,600,150
2012-024 Memorial Health University Medical Center, Inc
Renovation adding an OR Filed: 6/25/2012 Deemed Incomplete: 7/10/2012 Deemed Complete: 7/20/2012 60th Day Deadline: 9/17/2012 Decision Deadline: 11/16/2012 Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Contact: Margaret M. Gill 915-350-3691 Estimated Cost: $8,938,875
2012-025 Piedmont Hospital
Renovation of the Women's Center - Maternity Services Filed: 7/16/2012 Deemed Complete: 7/30/2012 60th Day Deadline: 9/27/2012 Decision Deadline: 11/26/2012 Site: 1968 Peachtree Road, Atlanta, GA 30309 (Fulton County) Contact: Davis Dunbar 404-425-1344 Estimated Cost: $3,233,000
2012-026 Marietta Imaging Center
Conversion of a Letter of Non-Review to a DTRC Filed: 7/23/2012 Deemed Complete: 8/6/2012 60th Day Deadline: 10/4/2012 Decision Deadline: 12/3/2012
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Site: 780 Canton Road, Sutie 230, Marietta, GA 30060 (Cobb County) Contact: Michael Evertsen, Co-President 770-792-1234 Estimated Cost: $1,164,631
Recently Approved 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 Decision Deadline: 7/13/2012 Extended Deadline: 8/12/2012 APPROVED: 7/20/2012 Site: 2001 Professional Parkway, Suite 160, Woodstock, GA 30188 (Cherokee County) Contact: William C. Lavely, MD, Managing Member 912-856-4032 Estimated Cost: $0
2012-010 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 APPROVED: 8/6/2012 Site: 1230 Baxter Street, Athens, GA 30606 (Clarke County) Contact: Richard D. Sanders 404-364-1819 Estimated Cost: $3,500,000
2012-012 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 APPROVED: 8/7/2012 Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: H. Bryan Forlines 478-633-6966 Estimated Cost: $5,383,708
Recently Denied Applications
none
CON Applications Withdrawn
none
Appealed LNRs
LNR-ASC2011-021 Meadows Gynecology Surgery Center, Inc. and Meadows Surgical Arts, Inc. ("Meadows") Requested Letter of Non-Reviewability for the establishment of a Physician-Owned, Single Specialty, Office Based Ambulatory Surgery Center, 11/16/2011. Determination of "denied" issued on ,4/3/2012. Meadows Gynecology Surgery Center, Inc. and Meadows Surgical Arts, Inc. filed request for Administrative Appeal Hearing, 05/02/2012.
Appealed CON Projects
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.
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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 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: The Superior Court reversed DCH's decision to grant a CON to Kennestone, 7/30/2012.
2010-034 Lakeview Behavioral Health System, LLC (Gwinnett) Establish a 60-bed Acute Care Psychiatric/Substance Abuse Hospital - Batching Agency Decision: Approved, 12/17/2010 Appealed By: Peachford Behavioral Health System, 1/14/2011; Northeast Georgia Medical
Center, 1/14/2011; and UHS of SummitRidge d/b/a SummitRidge Hospital, 1/14/2011. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: June 6 8, 2011 and June 17 - 20, 2011 Hearing Decision: Hearing Officer affirms decision to approve CON for applicant, 8/25/2011. 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: 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 Center) filed request to intervene, 11/22/2011. Hearing Officer: Ellwood F. Oakley, III, Esq.
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Hearing Date: 4/17/2012 4/19/2012 Hearing Decision: Hearing Officer affirms Department decision approving application, 7/17/2012.
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. 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: Heritage appealed the denial of their application, 11/23/2011. Appeal withdrawn, 6/5/2012.
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. Appeal withdrawn, 6/20/2012.
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. Appeal withdrawn, 6/20/2012.
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. Appeal withdrawn 7/27/2012.
2011-076 Athens Regional Surgery Center, LLC (Clarke) Establish a Freestanding Multi-Specialty ASC Agency Decision: denied, 3/20/2012 Appealed By: Athens Regional Surgery Center, LLC, 3/28/2012; St. Mary's Health Care System, Inc. filed request to intervene, 4/25/2012 Hearing Officer: Melvin M Goldstein, Esq. Hearing Date: 10/22/2012 10/24/2012 Hearing Decision: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2012008 Northeast 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

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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: Approved

Determination Date: 7/25/2012

LNR-EQT2012011 Ankle & Foot Centers of Georgia, LLC

Fixed MRI

Request received: 5/22/2012

Contact Person: Simone Davis 770-632-2044

Determination: Approved

Determination Date: 7/25/2012

LNR-EQT2012012 Amen Clinics, Inc.

SPECT Gamma Camera

Request received: 6/1/2012

Contact Person: Ronnette Leonard 949-266-3711

Determination: Approved

Determination Date: 7/25/2012

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 Contact Person: Kayo Elliott 706-549-1663 Determination: Pending

LNR-EQT2012016 Professional Resources Management of Rabun, LLC dba Mountain Fixed MRI Request received: 7/23/2012 Contact Person: Vicki Lawrenson Determination: Pending

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

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. Moldovan 404-443-5500

Determination: Approved

Determination

7/27/2012

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

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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: Approved

Determination

7/24/2012

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: Approved

Determination

7/9/2012

LNR-ASC2012010 Tiftarea Surgical Partners, LLC

Physician-Owned, Single Specialty Ambulatory Surgery Center

Site: 1610 John Orr Drive, Suite H, Tifton, GA 31794

Number of OR's: 2

Specialty: Orthopaedic Procedures

Project costs as submitted: $0.00

Request received: 6/13/2012

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

Determination: Pending

LNR-ASC2012011 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 as 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 Cath 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 Relocate 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 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
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DET2012051 Tattnall Hospital Company, LLC dba Optim Imaging Utilization of Imaging Facility Request received: 4/5/2012 Contact Person: Michael Kleinpeter 912-644-5370 Determination: Pending

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: Non-reviewable as proposed Determination Date: 7/30/2012

DET2012062 CareSouth HHA Holdings of Washington, LLC dba CareSouth Homecare Reorganization of CareSouth's Washington service area Request received: 5/3/2012 Contact Person: Rick W. Griffin 706-854-7460 Determination: Pending

DET2012064 Hamilton Medical Center Therapeutic Cardiac Cath Statutory Exemption Request received: 5/4/2012 Contact Person: Jeff Hughes 706-272-6120 Determination: Non-reviewable as proposed

Determination Date: 7/18/2012

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: Non-reviewable as proposed Determination Date: 7/18/2012

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: Non-reviewable as proposed Determination Date: 7/18/2012
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: Non-reviewable as proposed Determination Date: 7/18/2012
DET2012068 Meadows Regional Medical Center, Inc. Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/9/2012 Contact Person: Travis Roose 912-538-5572 Determination: Non-reviewable as proposed Determination Date: 7/18/2012
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: Non-reviewable as proposed Determination Date: 7/18/2012
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: Non-reviewable as proposed Determination Date: 7/18/2012
DET2012071 St. Mary's Health Care System, Inc. Renewal for Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/11/2012
12

Contact Person: Nina Evans 706-389-3947 Determination: Non-reviewable as proposed Determination Date: 7/18/2012
DET2012072 Tanner Medical Center, Inc. Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2012 Contact Person: LaQuinta Grizzard 770-836-9221 Determination: Non-reviewable as proposed Determination Date: 7/18/2012
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: Non-reviewable as proposed Determination Date: 7/18/2012
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
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: Non-reviewable as proposed Determination Date: 7/18/2012
DET2012076 DeKalb Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2012 Contact Person: Don Fears 404-501-5790 Determination: Non-reviewable as proposed Determination Date: 7/18/2012
DET2012077 Southern Regional Health System, Inc. Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2012 Contact Person: John McClain 770-991-8141 Determination: Non-reviewable as proposed Determination Date: 7/18/2012
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: Non-reviewable as proposed Determination Date: 7/18/2012
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: Non-reviewable as proposed Determination Date: 7/18/2012
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: Non-reviewable as proposed Determination Date: 7/18/2012
DET2012081 Mayo Clinic Health System in Waycross, Inc. Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2012 Contact Person: Windell R. Smith 912-287-2500 Determination: Non-reviewable as proposed Determination Date: 7/18/2012
13

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: Non-reviewable as proposed Determination Date: 7/18/2012
DET2012083 Cobb Hospital, Inc. dba WellStar Cobb Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2012 Contact Person: Stephen Vault 678-331-6887 Determination: Non-reviewable as proposed Determination Date: 7/18/2012
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: Non-reviewable as proposed Determination Date: 7/18/2012
DET2012085 Tenet Health System Spalding, Inc. Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2012 Contact Person: John Quinn 770-229-6469 Determination: Non-reviewable as proposed Determination Date: 7/18/2012
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: Non-reviewable as proposed Determination Date: 7/18/2012
DET2012087 Trinity Hospital of Augusta Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2012 Contact Person: Robyn Stowell 706-481-7678 Determination: Non-reviewable as proposed Determination Date: 7/18/2012
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: Non-reviewable as proposed Determination Date: 7/18/2012
DET2012089 The Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2012 Contact Person: Donald Elder 706-660-6342 Determination: Pending Opposition: St. Francis Hospital- 6/14/2012
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: Non-reviewable as proposed Determination Date: 7/25/2012
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: Non-reviewable as proposed Determination Date: 7/25/2012
DET2012093 Diagnostic Services, L.C. dba OMI Diagnostics - Douglasville Replace Existing MRI Unit Request received: 5/21/2012
14

Contact Person: Thomas Brown 770-664-7777 EXT 4601 Determination: Non-reviewable as proposed Determination Date: 7/30/2012
DET2012094 Diagnostic Services, L.C. dba OMI Diagnostic - Douglasville Replace Existing CT Unit Request received: 5/21/2012 Contact Person: Thomas Brown 770-664-7777 EXT 4601 Determination: Non-reviewable as proposed Determination Date: 7/30/2012
DET2012095 Piedmont Newnan Hospital Relocation of Wound Care and Hyperbaric Center Request received: 5/24/2012 Contact Person: Davis Dunbar 404-425-1344 Determination: Non-reviewable as proposed Determination Date: 7/30/2012
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: Non-reviewable as proposed Determination Date: 7/24/2012
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: Non-reviewable as proposed Determination Date: 8/2/2012
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: Non-reviewable as proposed Determination Date: 7/23/2012
DET2012100 Bulloch 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: Non-reviewable as proposed Determination Date: 8/2/2012
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: Non-reviewable as proposed Determination Date: 8/2/2012
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 Hospital, 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 Northside Hospital, Inc. dba Northside Hospital Replace CON approved diagnostic equipment Request received: 6/6/2012 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
15

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

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

DET2012108 Emory University 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 404-622-9810

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

7/25/2012

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 Catheterization 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-Approved Diagnostic Equipment Request received: 7/2/2012 Contact Person: Determination: Pending

16

DET2012116 Gwinnett Hospital 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: Withdr/Appl Prior to Dec

Date of Withdrawal:

7/23/2012

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 Relocation of LTCH Request received: 7/13/2012 Contact Person: Donald E. Elder 706-660-6342 Determination: Pending

DET2012120 University Health Services, Inc. Replacement of PET Scanner Request received: 7/17/2012 Contact Person: Jackie M. Kendinger 706-774-8044 Determination: Pending

DET2012121 EHCA Eastside, LLC dba Eastside Medical Center Add a Shared Operating Room Request received: 7/17/2012 Contact Person: Dustin A. Greene, FACHE 770-736-2224 Determination: Pending

DET2012122 Athens Eye Surgery Center, LLC ASC LNR Transfer of Membership Interest to Medical Practice Request received: 7/20/2012 Contact Person: Bonnie Butler 706-549-9993 Determination: Pending

DET2012123 Covenant Woods Retirement Investors, LLC Increase from 29 to 40 bed Capacity Request received: 7/23/2012 Contact Person: Cindy S. Cross 423-473-5867 Determination: Pending
DET2012124 Amicita Home Health, LLC Internal Reorganization and Consolidation of Amicita Home Health Agenc Request received: 7/26/2012 Contact Person: Kim Herron 478-621-2045 ext 2228 Determination: Pending
DET2012125 Kelly Foundation for Senior Living New Assisted Living Facility Request received: 7/27/2012 Contact Person: Joseph Zachariah Kelly 770-646-7777 Determination: Pending
DET2012126 Doctors Hospital, Inc. Joint Venture Surgery Center Request received: 7/27/2012
17

Contact Person: Donald E. Elder 706-660-6342 Determination: Pending
DET2012127 Eye Partners, P.C. Expansion of Facility Request received: 8/1/2012 Contact Person: Robert Dienethal 229-435-8799 Determination: Pending
DET2012128 Paces Plastic Surgery Center, Inc. Confirmation from DCH that it holds a Valid and Effective CON Request received: 8/2/2012 Contact Person: T. Roderick Hester, M.D. 404-351-0051 Determination: Pending
DET2012129 Candler County Hospital Authority dba Candler County Hospital Development of MOB Request received: 8/3/2102 Contact Person: Stephen C. Shepherd 912-685-5741 Determination: Pending
DET2012130 EHCA Johns Creek, LLC dba Emory Johns Creek Hospital Relocation of Women's Imaging Services Request received: 8/6/2012 Contact Person: Laurie Hansen 678-474-7012 Determination: Pending
Requests for Extended Implementation/Effective Period
2011034 Hamilton Medical Center Establish Level III NICU Services Request to extend Implementation Period Site: 1200 Memorial Drive Project Approved: 9/19/2011 Request Received: 8/7/2012 Contact: Jeff Myers (706) 272-6411 Approved Cost: $2,000,000 Determination: Pending
Need Projection Analyses Updated 06/29/2012
Current Status of Official Division of Health Planning Need Projection Analyses and Other Data Resources
Need Projections and Maps for CON Regulated Services
2017 Non-Special MegaVoltage Radiation Therapy - 6/29/2012
2017 Positron Emission Tomography Services - 6/20/2012
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
18

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.

Non-Filed or Incomplete Division of Health Planning
Facility Surveys for Most Recent 3 Years (Survey Status as of 8/7/2012)
Survey Completion Status - Survey completion status represents the status of survey filings as of the effective date indicated in each version of the Tracking Report. Surveys filed on the effective date may not be reflected as complete and may be reported as delinquent. Please contact the staff contact indicated in the instruction materials associated with each survey if your facility has filed its survey but continues to be reflected as incomplete.

Facility Name

County

Survey Year

Annual Hospital Questionnaire and Addenda (Survey Years 2009 thru 2011)

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

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

Gwinnett Medical Center

Gwinnett

2011

Hutcheson Medical Center

Catoosa

2011

Irwin County Hospital

Irwin

2011

Lower Oconee Community Hospital, Inc.

Wheeler

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 Sumter Medical Center

Sumter

2011

Southern Crescent Hospital for Specialty Care

Clayton

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

Floyd

2011

Walton Regional Medical Center

Walton

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

19

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

Bel Arbor Health & Rehabilitation Bell Minor Home, The 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 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

Bibb Hall Bulloch 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 2011 2011 2011

Cardiac Catheterization Services Survey (Survey Years 2009 thru 2011)

Athens Regional Medical Center

Clarke

2011

Coffee Regional Medical Center

Coffee

2011

Floyd Medical Center

Floyd

2011

Gwinnett Medical Center

Gwinnett

2011

Hutcheson Medical Center Hutcheson Medical Center

Catoosa Catoosa

2010 2011

Mayo Clinic Health System in Waycross

Ware

2011

Meadows Regional Medical Center

Toombs

2011

Northeast Georgia Medical Center

Hall

2011

Phoebe Putney Memorial Hospital

Dougherty

2011

University Hospital

Richmond

2011

20

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 9/16/2011 9/16/2011
7/13/2011 7/13/2011 7/13/2011 7/13/2011
7/1/2011 7/13/2011 7/13/2011 7/13/2011 7/13/2011 7/13/2011 7/13/2011

Freestanding Ambulatory Surgery Services Survey (Survey Years 2009 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

Associates Physicians Asc

BIBB

2009

Associates Physicians Asc

BIBB

2010

Associates Physicians Asc

BIBB

2011

Athens Plastic Surgery Center

CLARKE

2011

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

FULTON Fulton DEKALB

2011 2011 2009

Atlanta Plastic & Reconst Surg

FULTON

2009

Atlanta South Endoscopy Center, Llc

CLAYTON

2009

Atlanta South Endoscopy Center, Llc

CLAYTON

2010

Atlanta South Endoscopy Center, Llc

CLAYTON

2011

Atlanta Sports Medicine Surgery Center

FULTON

2011

Atlanta West Endoscopy Center, Llc

DOUGLAS

2009

Atlanta West Endoscopy Center, Llc

DOUGLAS

2010

Atlanta West Endoscopy Center, Llc

DOUGLAS

2011

Augusta Aesthetic Surgery, Llc

RICHMOND

2010

Augusta Endoscopy Center

COLUMBIA

2009

Augusta Endoscopy Center

COLUMBIA

2010

Augusta Endoscopy Center

COLUMBIA

2011

Bowman Pain Management, Pc

BIBB

2009

Bowman Pain Management, Pc

BIBB

2011

Brunswick Pain Treatment Center, Llc Buckhead Mohs Surgical Center, LLC

GLYNN FULTON

2011 2010

Buckhead Mohs Surgical Center, LLC

FULTON

2011

Center For Orthopedic Surgery

BARTOW

2011

Center For Pl & Recon Surgery

CLARKE

2009

Center For Pl & Recon Surgery

CLARKE

2010

Center For Pl & Recon Surgery

CLARKE

2011

Center For Spine & Pain Medicine

WHITFIELD

2009

Center For Spine & Pain Medicine

WHITFIELD

2010

Clayton Outpatient Surg Ctr

CLAYTON

2010

Coastal Empire Plastic Surgery

CHATHAM

2009

Coastal Pain Center, Llc

GLYNN

2011

Cobb Endoscopy Center, Llc

COBB

2009

Cobb Foot And Leg Surgical Center, Llc

COBB

2011

Coffee County Center For Digestive Disease

COFFEE

2009

Columbus Women's Health Organization, Inc.

Muscogee

2009

CPMSC Roswell, PC

FULTON

2011

Dalton Plastic Surgery

WHITFIELD

2009

Day Surgery And Recovery Ctr

WHITFIELD

2011

21

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

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

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

22

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

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

Northeast Georgia Urological Surgery Center, Llc Northside Foot & Ankle Outpat Northside Surgery Center, Inc. Operating Room Services, Llc Orthopedic Surgery Center, L.P. Orthopedic Surgery Center, L.P. Paces Plastic Surgery Center Paces Plastic Surgery Center Pain Clinic Of Aimr, P.c. Pain Clinic Of Aimr, P.c. Peachtree Spine And Pain Physicians Asc, Llc Perimeter Surgery Center of Atlanta Perimeter Surgery Center of Atlanta Piedmont Surgery Center Pinnacle Orthopaedics Surgery Center-Austell, LLC Plastic & Reconstructive Surgery Center, Pc Plastic Surgery Ctr Land, The Plastic Surgery Ctr Land, The Plastic Surgery Ctr Land, The Podiatric Surgi Center Professional Eye Surgery Ctr Pulliam Ambulatory Surg Ctr Pulliam Ambulatory Surg Ctr Pulliam Ambulatory Surg Ctr Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Surgical Center, P C Rome Surgical Center, P C Rome Surgical Center, P C Roswell Center for Foot and Ankle Surgery Samson Pain Center, Pc Samson Pain Center, Pc Samson Pain Center, Pc Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Pain Center, Llc Savannah Pain Center, Llc Savannah Pain Center, Llc Seaside Surgical, Llc Seaside Surgical, Llc Southeast Treatment Center, Llc Southeast Treatment Center, Llc Southern Bone & Joint, Llc Summit Endoscopy Center, L L C Summit Endoscopy Center, L L C Surgery Center of Athens Surgery Center of BJI, LLC Surgical Centers of Georgia Thomas Eye Surgery Center Tifton Endoscopy Center, Inc. Universal Ambulatory Surgery Center, P C Universal Ambulatory Surgery Center, P C Urology Associates Surgery Center, Llc

HALL GWINNETT FULTON CHATHAM Chatham Chatham FULTON FULTON FULTON FULTON FULTON Fulton Fulton BIBB COBB RICHMOND CHATHAM CHATHAM CHATHAM DEKALB WHITFIELD NEWTON NEWTON NEWTON FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD Fulton CHEROKEE CHEROKEE CHEROKEE Chatham
Chatham
CHATHAM CHATHAM CHATHAM GLYNN GLYNN CAMDEN CAMDEN COWETA FAYETTE FAYETTE Clarke WAYNE Bibb FULTON TIFT MUSCOGEE MUSCOGEE COBB
23

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

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

Urology Center Of Georgia Llc

BIBB

Urology Center Of Georgia Llc

BIBB

Urology Surgery Center Of Savannah, Lp Urology Surgical Partners, Llc

CHATHAM FULTON

V.O.A. Ambulatory Surgical Center

LOWNDES

Valdosta Endoscopy Center, Llc

LOWNDES

Valdosta Foot & Ankle Surgery

LOWNDES

Valdosta Foot & Ankle Surgery

LOWNDES

Valdosta Foot & Ankle Surgery

LOWNDES

Wellbrook Endoscopy Center

ROCKDALE

Wellbrook Endoscopy Center

ROCKDALE

Wellbrook Endoscopy Center (covington)

NEWTON

West Georgia Endoscopy Center, Llc

CARROLL

Westside Endoscopy Center, P C

COBB

Westside Endoscopy Center, P C

COBB

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

COFFEE FULTON

Woodhams Laser & Lens Implant

FULTON

WOOLFSON AMBULATORY SURGERY CENTER, LLC FULTON

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

Home Health Agency Survey (Survey Years 2009 thru 2011)

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Intrepid USA Healthcare Services

Glynn

Medside Home Health Agency

Fulton

Trinity Home Health

Richmond

Visiting Nurses Association of Greater Tift Co

Tift

2010 2011 2010 2011 2011 2011

Hospital Financial Survey (Survey Years 2009 thru 2011

Athens Regional Medical Center

Clarke

2011

Burke Medical Center

Burke

2011

Charlton Memorial Hospital

Charlton

2011

Devereux Georgia Treatment Network

Cobb

2011

Jenkins County Hospital

Jenkins

2011

Landmark Hospital of Athens

Clarke

2011

Mountain Lakes Medical Center

Rabun

2010

Mountain Lakes Medical Center

Rabun

2011

North Georgia Medical Center

Gilmer

2011

Northridge Medical Center

Jackson

2011

Phoebe North

Dougherty

2011

Riverwoods Behavioral Health System

Clayton

2011

Screven County Hospital

Screven

2011

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

Clayton Clayton

2011 2011

St. Simons-By-The-Sea

Glynn

2011

Youth Villages - Inner Harbour Campus

Douglas

2010

Youth Villages - Inner Harbour Campus

Douglas

2011

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

Athens Regional Medical Center

Clarke

2011

Gwinnett Medical Center

Gwinnett

2011

Northeast Georgia Medical Center

Hall

2011

Phoebe Putney Memorial Hospital

Dougherty

2011

University Hospital

Richmond

2011

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

24

3/11/2011 3/9/2012
3/11/2011 3/11/2011
3/9/2012 3/11/2011 3/12/2010 3/11/2011
3/9/2012 3/11/2011
3/9/2012 3/11/2011 3/11/2011 3/11/2011
3/9/2012 3/11/2011
3/12/2010 3/11/2011 3/11/2011
3/11/2011 3/9/2012
3/11/2011 3/9/2012 3/9/2012 3/9/2012
7/13/2012 7/13/2012 7/13/2012 7/13/2012 7/13/2012 7/13/2012
7/8/2011 7/13/2012 7/13/2012 7/13/2012 7/13/2012 7/13/2012 7/13/2012 7/13/2012
7/13/2012 7/13/2012
7/8/2011 7/13/2012
7/13/2011 7/13/2011 7/13/2011 7/13/2011 7/13/2011

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

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 8/7/2012)

Facility Name Albany Surgery Center, Llp Albany Surgery Center, Llp Atlanta Eye Surgery Center at Omni West Clayton Cataract and Laser Surgery Center Clayton Cataract and Laser Surgery Center Clayton Outpatient Surg Ctr Dekalb Endoscopy Center Dennis Surgery Center, Inc. G.I. Endoscopy Center G.I. Endoscopy Center Gainesville Surgery Center Gwinnett Endoscopy Center Gwinnett Endoscopy Center Gwinnett Endoscopy Center Gwinnett Endoscopy Services - Duluth North Georgia Outpatient Surg North Georgia Outpatient Surg Northside Foot & Ankle O P Sc Northside Foot & Ankle O P Sc Northside Foot & Ankle Outpat Northside Foot & Ankle Outpat Northside Surgery Center, Inc. Northside Surgery Center, Inc. Orthopaedic South Surgical Center Orthopaedic South Surgical Center Orthopaedic South Surgical Center Orthopedic Surgery Center, L.P. Paces Plastic Surgery Center Resurgens Surgical Center Resurgens Surgical Center Resurgens Surgical Center Savannah Plastic Surgicenter, Inc. Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. South Georgia Surgery Center Specialty Surgery Center, Inc. Specialty Surgery Center, Inc. Spivey Station Surgery Center Summerville Surgical Center Surgery Center of Columbia County Surgery Center of Columbia County Surgery Center, LLC, The Surgery Center, LLC, The Surgical Suite, The Surgical Suite, The

County DOUGHERTY DOUGHERTY Fulton Clayton Clayton CLAYTON DEKALB FULTON CLAYTON CLAYTON Hall GWINNETT GWINNETT GWINNETT Gwinnett GORDON GORDON HALL HALL GWINNETT GWINNETT FULTON FULTON CLAYTON CLAYTON CLAYTON Chatham FULTON FULTON FULTON FULTON Chatham Chatham Chatham Ware FULTON FULTON Clayton Richmond Columbia Columbia Muscogee Muscogee FULTON FULTON

Year 2010 2011 2009 2010 2011 2011 2011 2010 2010 2011 2011 2009 2010 2011 2010 2010 2011 2010 2011 2010 2011 2009 2011 2009 2010 2011 2010 2011 2009 2010 2011 2009 2010 2011 2010 2010 2011 2010 2011 2010 2011 2009 2010 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 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 29,339.64 Ambulatory Surgery Center 16,008.93 Ambulatory Surgery Center 26,481.60 Ambulatory Surgery Center 10,443.33 Ambulatory Surgery Center 2,272.71 Ambulatory Surgery Center 19,902.09 Ambulatory Surgery Center 738.00 Ambulatory Surgery Center 4,466.67 Ambulatory Surgery Center 9,470.49 Ambulatory Surgery Center 673,595.09 Ambulatory Surgery Center 736,036.52 Ambulatory Surgery Center 804,390.23 Ambulatory Surgery Center
2,275,498.54 Ambulatory Surgery Center 67,813.20 Ambulatory Surgery Center
1,193,396.65 Ambulatory Surgery Center 1,203,614.79 Ambulatory Surgery Center 1,375,891.97 Ambulatory Surgery Center
36,419.70 Ambulatory Surgery Center 25,369.55 Ambulatory Surgery Center 27,490.23 Ambulatory Surgery Center 11,500.12 Ambulatory Surgery Center
9,376.56 Ambulatory Surgery Center 4,035.84 Ambulatory Surgery Center 55,170.93 Ambulatory Surgery Center
583.16 Ambulatory Surgery Center 354,974.10 Ambulatory Surgery Center 146,286.87 Ambulatory Surgery Center 114,593.31 Ambulatory Surgery Center 124,405.19 Ambulatory Surgery Center
4,689.30 Ambulatory Surgery Center 4,650.87 Ambulatory Surgery Center

25

Caresouth Homecare Professionals Caresouth Homecare Professionals - Macon Caresouth Homecare Professionals - Washington CSRA Home Health- Columbia, Inc. CSRA Home Health- Columbia, Inc. Guardian Home Care of Central Georgia Guardian Home Care of Northeast Georgia Guardian Home Care, LLC Southside Medical Home Health Suncrest Home Health Suncrest Home Health Northlake Cancer Treatment Center

Muscogee Bibb Elbert McDuffie McDuffie Oconee Hall Fulton DeKalb Cobb Newton DeKalb

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

5,272.52 192.42
98,252.02 11,903.41 10,055.68 49,938.52 35,797.51 147,847.14
4,224.15 6,917.49 2,942.44 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 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

26

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.
27

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 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

28

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)

29

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

Batching Notice
(June 22, 2012)

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

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

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

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

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

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

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

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

Batching Notice issued 30 days before Letter of Intent Due
Letter of Intent received by Department 30 days before application is submitted
Applications submitted; deemed complete; review cycle begins
60-Day meeting (applicant only); deadline for receipt of opposition letter(s)
75th day applicant provides additional information
90th day Opposition Meeting(s) scheduled; applicant can be in attendance; opposing parties must provide written statement of opposition arguments presented (original and one copy to the Department and one copy to the applicant); presentation time will be limited; Department reserves right to make additional inquiries subsequent to 60-day meeting and following opposition meeting.
100th day Last day for letters of support to be submitted to the Department
110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposition due to Department; applicant deadline for providing written response to Department's inquiries subsequent to opposition meeting
120th day Decision issued (No discretion to extend)

30

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)

31

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.
32

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.

33