Certificate-of-need tracking and appeals report [Sept. 5-11, 2012]

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Letters of Intent Withdrawn Letters of Intent Expired Letters of Intent- Batching

New CON Applications Pending Review/Incomplete Applications
Pending Review/Complete Applications Recently Approved Applications Recently Denied Applications Withdrawn CON Applications
Appealed LNRs Appealed CON Projects

CERTIFICATE OF NEED

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

September 5, 2012 September 11, 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

LOI2012054 Children's at Town Center

Development of an Outpatient Pediatric Imaging Center

Received: 8/20/2012

Application must be submitted on: 9/19/2012

Site: 2985 George Busbee Parkway, Kennesaw, GA 30144 (Cobb County)

Estimated Cost: $6,000,000

LOI2012055 University Hospital Emergency Department - Evans

Establish a Freestanding Emergency Facility

Received: 8/17/2012

Application must be submitted on: 9/17/2012

Site: 4200 University Parkway, Evans, GA 30809 (Columbia County)

Estimated Cost: $9,670,000

LOI2012056 Morgan Memorial Hospital

Expansion of Five Beds

Received: 8/22/2012

Application must be submitted on: 9/21/2012

Site: 1077 South Main Street, Madison, GA 30650 (Morgan County)

Estimated Cost: $200,000

LOI2012057 Piedmont Newnan Hospital

da Vinci Surgical Robotic System

Received: 8/27/2012

Application must be submitted on: 9/26/2012

Site: 745 Poplar Road, Newnan, GA 30263 (Coweta County)

Estimated Cost: $2,500,000

LOI2012058 Polk Medical Center, Inc.

To Build a Replacement Hospital

Received: 9/5/2012

Application must be submitted on: 10/5/2012

Site: US 278 and Kelly Road, Cedartown, GA 30125 (Polk County)

Estimated Cost: $39,767,867

Withdrawn Letters of Intent
None

Expired Letters of Intent - Batching

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

New Applications
2012-044 WellStar Kennestone Develop an Outpatient Diagnostic Center Filed: 8/31/2012 Site: 1180 NW Ernest Barrett Parkway, Kennesaw, GA 30144 (Cobb County) Contact: Stephen Vault 678-331-6894 Estimated Cost: $12,720,000
2012-045 WellStar Kennestone Hospital Capital Expenditure To Add an Interventional Suite Filed: 8/31/2012 Site: 677 Church Street, Marietta, GA 30060 (Cobb County) Contact: Stephen Vault 678-331-6887
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Estimated Cost: $4,984,297
2012-046 Decatur Health Imaging Replace Existing 0.2T MRI Unit with 1.5T Unit Filed: 9/5/2012 Site: 2774 North Decatur Road, Atlanta, GA 30033 (DeKalb County) Contact: Scott W. Arant, President 404-296-5887 Estimated Cost: $1,677,000
Pending Review/Incomplete Applications
2012-030 The Medical Center of Central Georgia, Inc. New Seven Story MOB Filed: 8/15/2012 Deemed Incomplete: 8/29/2012 Site: 752 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: H. Bryan Forlines 478-633-6966 Estimated Cost: $85,910,931
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
2012-014 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
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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 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
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2012-024 Memorial Health University Medical Center, Inc
Renovation adding an OR Filed: 6/25/2012 Deemed Incomplete: 7/10/2012 Deemed Complete: 7/20/2012 60th Day Deadline: 9/17/2012 Decision Deadline: 11/16/2012 Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Contact: Margaret M. Gill 915-350-3691 Estimated Cost: $8,938,875
2012-025 Piedmont Hospital
Renovation of the Women's Center - Maternity Services Filed: 7/16/2012 Deemed Complete: 7/30/2012 60th Day Deadline: 9/27/2012 Decision Deadline: 11/26/2012 Site: 1968 Peachtree Road, Atlanta, GA 30309 (Fulton County) Contact: Davis Dunbar 404-425-1344 Estimated Cost: $3,233,000
2012-026 Marietta Imaging Center
Conversion of a Letter of Non-Review to a DTRC Filed: 7/23/2012 Deemed Complete: 8/6/2012 60th Day Deadline: 10/4/2012 Decision Deadline: 12/3/2012 Site: 780 Canton Road, Suite 230, Marietta, GA 30060 (Cobb County) Contact: Michael Evertsen, Co-President 770-792-1234 Estimated Cost: $1,164,631
2012-027 Grady Memorial Hospital
Renovations: Existing Spaces, Nursing Unit, Physical Plant Replacement Filed: 7/26/2012 Deemed Complete: 8/8/2012 60th Day Deadline: 10/6/2012 Decision Deadline: 12/5/2012 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 Deemed Complete: 8/20/2012 60th Day Deadline: 10/18/2012 Decision Deadline: 12/17/2012 Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Contact: Laura Dow, VP - Finance 912-350-8613 Estimated Cost: $2,823,000
2012-029 Colquitt Regional Medical Center
Hospital Expansion and Renovation Filed: 8/15/2012 Deemed Complete: 8/29/2012 60th Day Deadline: 10/27/2012 Decision Deadline: 12/26/2012 Site: 3131 South Main Street, Moultrie, GA 31768 (Colquitt County) Contact: James L. Matney, President & Chief Exe Officer 229-890-3570 Estimated Cost: $29,984,469
2012-031 Houston Medical Center
Renovate Physical Plant, Expand Surgery Department Filed: 8/16/2012 Deemed Complete: 8/30/2012 60th Day Deadline: 10/28/2012 Decision Deadline: 12/27/2012 Site: 1601 Watson Boulevard, Warner Robins, GA 31093 (Houston County) Contact: Cathy Martin, CEO 478-542-7839
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Estimated Cost: $41,828,435
2012-032 Eastside Medical Center
Constructing a New Off-Site Emergency Facility Filed: 8/20/2012 Deemed Complete: 8/22/2012 60th Day Deadline: 10/20/2012 Decision Deadline: 12/19/2012 Site: 3435 Highway 81 South, Loganville, GA 30052 (Gwinnett County) Contact: Andrew B. Tyrer 770-736-2531 Estimated Cost: $5,240,910
2012-033 Emory-Adventist, Inc. dba Emory-Adventist Hospital
PET Scanner, Mobile Vendor Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 3949 South Cobb Drive, Smyrna, GA 30080 (Cobb County) Contact: Ed Moyer, MBA,RN,CPHQ,LNHA 770-434-0710 Estimated Cost: $48,300
2012-034 Piedmont Mountainside Hospital
PET Scanner Services, Mobile Vendor Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 1266 Highway 515 South, Jasper, GA 30143 (Pickens County) Contact: Dais Dunbar 404-425-1344 Estimated Cost: $20,000
2012-035 Piedmont Fayette Hospital
Megavoltage Radiation Therapy, Addition of Second Linear Accelerator Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County) Contact: Davis Dunbar 404-788-3638 Estimated Cost: $7,184,922
2012-036 Northeast Georgia Medical Center - South Hall Campus
Megavoltage Radiation Therapy, Addition of One Linear Accelerator Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 5875 Thompson Mill Road, Hoschton, GA 30548 (Hall County) Contact: Chad T. Bolton 770-219-6630 Estimated Cost: $10,152,399
2012-037 Doctors Hospital Radiation Oncology Center
Megavoltage Radiation Therapy, CyberKnife Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 3625 J. Dewey Gray Circle, Augusta, GA 30909 (Richmond County) Contact: Doug Welch, CEO 706-651-2451 Estimated Cost: $6,218,516
2012-038 Northside Hospital - Forsyth
Megavoltage Radiation Therapy, Gamma Knife Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012
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Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian J. Toporek 404-851-6821 Estimated Cost: $8,000,000
2012-039 Tanner Medical Center - Villa Rica
Psych/Substance Abuse Services, Add 30 Child/Adolescent Beds Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: Willowbrooke at Tanner, 20 Herrell Road, Villa Rica, GA 30180 (Carroll County) Contact: Wayne Senfeld, ED.S, LPC 770-836-9551 Estimated Cost: $5,804,900
2012-040 Lighthouse Care Center of Augusta
Psych-Substance Abuse Services, Establish 14-bed Pediatric SA Program Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 3100 Perimeter Parkway, Augusta, GA 30909 (Richmond County) Contact: George Boykin - CEO 843-655-5531 Estimated Cost: $912,000
2012-041 Rockdale Medical Center
PET Scanner Services, Mobile Vendor Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 1412 Milstead Avenue, Conyers, GA 30012 (Rockdale County) Contact: James Atkins 770-918-3877 Estimated Cost: $341,250
2012-042 Laurel Heights Hospital
Psych/Substance Abuse Services, Establish 16-bed Pediatric Acute Program Filed: 8/21/2012 Deemed Complete: 8/21/2012 60th Day Deadline: 10/19/2012 Decision Deadline: 12/18/2012 Site: 934 Briarcliff Road, NE, Atlanta, GA 30306 (Fulton County) Contact: Gloria Choo 404-888-7876 Estimated Cost: $1,875,815
2012-043 Doctors Hospital of Augusta, LLC
New Off-Site Emergency Facility Filed: 8/27/2012 Deemed Complete: 9/11/2012 60th Day Deadline: 11/9/2012 Decision Deadline: 1/8/2013 Site: 743 North Belair Road, Evans, GA 30809 (Columbia County) Contact: Dough Welch, CEO 706-651-2451 Estimated Cost: $9,822,715
Recently Approved Applications
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
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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
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 APPROVED: 8/28/2012 Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County) Contact: Alison Bonner 706-272-6589 Estimated Cost: $8,030,000
Recently Denied Applications
none
CON Applications Withdrawn
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 WITHDRAWN: 8/29/2012 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
Appealed LNRs
LNR-ASC2011-021 Meadows Gynecology Surgery Center, Inc. and Meadows Surgical Arts, Inc. ("Meadows") Requested Letter of Non-Reviewability for the establishment of a Physician-Owned, Single Specialty, Office Based Ambulatory Surgery Center, 11/16/2011. Determination of "denied" issued on ,4/3/2012. Meadows Gynecology Surgery Center, Inc. and Meadows Surgical Arts, Inc. filed request for Administrative Appeal Hearing, 05/02/2012.
Appealed CON Projects
2010-025 WellStar Kennestone at East Cobb (Cobb) Development of an Ambulatory Surgery Facility - Batching Agency Decision: Approved, 9/20/2010 Appealed By: St. Joseph's Hospital of Atlanta, 10/19/2010; Northside Hospital-Atlanta and Northside Alpharetta Surgery Center, 10/19/2010; Applicant (Kennestone) requests to intervene, 10/19/2010. St. Joseph's Hospital withdrew request for appeal, 1/20/2011. Hearing postponed pending Order from Hearing Officer. Application is remanded to Department by Hearing Officer, April 6, 2011 for the Department to conduct an additional alternative review under the specific review criteria for ambulatory surgery centers. Department requests, and is granted, 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
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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.

2011-027 HealthSouth of Georgia, LLC (Coweta) Develop 50-Bed Comprehensive Inpatient Physical Rehab Hospital (CIPR)-Batching Agency Decision: Denied, 9/19/2011 Appealed By: HealthSouth appealed the denial of their application, 10/14/2011; Southern Regional Health System, Inc. d/b/a Southern Regional Medical Center filed request to intervene, 9/27/2011.
Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: 5/15/2012 5/18/2012 Hearing Decision: Hearing Officer reversed Department's decision, 9/5/2012.

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-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: Approved

Determination Date: 8/27/2012

LNR-EQT2012015 Athens Orthopedic Clinic PA

Fixed MRI

Request received: 6/19/2012

Contact Person: Kayo Elliott 706-549-1663

Determination: Approved

Determination Date: 8/30/2012

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

LNR-EQT2012017 Piedmont Hospital, Inc. CT Scanner Request received: 8/13/2012 Contact Person: Davis Dunbar 404-788-3638 Determination: Pending

LNR-EQT2012018 Georgia Ear Associates, PC Fixed CT Request received: 8/20/2012 Contact Person: M. Miles Goldsmith, MD 912-356-1515 Determination: Pending
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LNR-EQT2012019 Emory Specialty Associates, LLC Fixed MRI Request received: 8/22/2012 Contact Person: Mike Mason 404-778-5639 Determination: Pending
LNR-EQT2012020 Good Samaritan Hospital, Inc., fna saint Joseph's at East Georgia, Mobile MRI Request received: 9/10/2012 Contact Person: D. Montez Carter 706-206-8554 Determination: Pending

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

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

Establishment of a Single Specialty Ambulatory Surgical Center

Site: 2061 Peachtree Road, Atlanta, GA 30309

Number of OR's: 2

Specialty: Hand, Shoulder & Elbow

Project costs as submitted: $2,031,527.00

Request received: 4/13/2012

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

Determination: Pending

LNR-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: Approved

Determination

8/23/2012

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: Ophthalmology

Project costs as submitted: $1,674,139.00

Request received: 7/11/2012

Contact Person: Victor Moldovan 404-443-5708

Determination: Pending

LNR-ASC2012012 Hemlock Ambulatory Surgery Center, LLC

Physician-Owned, Single Specialty Ambulatory Surgery Center

Site: 101 Preston Court, Macon, GA 31210

Number of OR's: 2

Specialty: Pain Management Procedure

Project costs as submitted: $888,317.44

Request received: 8/9/2012

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

Determination: Pending

LNR-ASC2012013 Atlanta General and Bariatric Surgery Center, LLC

Development of a Single Specialty General Surgery ASC

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

Number of OR's: 1

Specialty: Bariatric

Project costs as submitted: $2,315,134.00

Request received: 8/17/2012

Contact Person: Michael Miller 404-435-1321

Determination: Pending

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LNR-ASC2012014 South Georgia Urology Surgery Center, LLC

Physician-Owned, Single Specialty Ambulatory Surgery Center

Site: 803 North Jackson Street, Albany, Georgia 31701

Number of OR's: 1

Specialty: Urological Procedures

Project costs as submitted: $647,908.78

Request received: 8/28/2012

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

Determination: Pending

LNR-ASC2012015 Ankle and Foot Centers of Georgia, LLC

New Replacement Medical Office Facility

Site:

Number of OR's:

Specialty: Podiatry

Project costs as submitted: $1,360,500.00

Request received: 8/30/2012

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

Determination: Pending

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: Non-reviewable as proposed Determination Date: 8/21/2012
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: Non-reviewable as proposed Determination Date: 8/14/2012
DET2012062 CareSouth HHA Holdings of Washington, LLC dba CareSouth Homecare Reorganization of CareSouth's Washington service area Request received: 5/3/2012 Contact Person: Rick W. Griffin 706-854-7460 Determination: Pending
DET2012089 The Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2012 Contact Person: Donald Elder 706-660-6342 Determination: Pending Opposition: St. Francis Hospital- 6/14/2012

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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: Non-reviewable as proposed Determination Date: 8/23/2012
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: Non-reviewable as proposed Determination Date: 8/14/2012
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: Non-reviewable as proposed Determination Date: 8/15/2012
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: Non-reviewable as proposed Determination Date: 8/15/2012
DET2012108 Emory University dba Emory University Hospital Kitchen Renovation Request received: 6/14/2012 Contact Person: Toni Wimby 404-686-2450 Determination: Non-reviewable as proposed Determination Date: 8/24/2012
DET2012110 Summit Ridge Hospital Addition to 10 beds Request received: 6/18/2012 Contact Person: Margaret Collier 678-442-5900 Determination: Non-reviewable as proposed Determination Date: 8/27/2012
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: Non-reviewable as proposed Determination Date: 8/30/2012
DET2012112 Piedmont Hospital, Inc. Establish Inpatient Hospice Service Request received: 6/21/2012 Contact Person: Davis Dunbar 404-425-1344 Determination: Non-reviewable as proposed Determination Date: 8/30/2012
DET2012113 Spanish Oaks Retreat, Inc. Spanish Oaks of Bellville Request received: 6/29/2012 Contact Person: Keith F. Munger 912-356-1313 Determination: Non-reviewable as proposed Determination Date: 9/5/2012
DET2012115 Alliance Healthcare Services Replacement of CON-Approved Diagnostic Equipment Request received: 7/2/2012 Contact Person: Determination: Pending
DET2012116 Gwinnett Hospital System, Inc. dba Gwinnett Medical Center - Lawrenceville Addition of Fifth Diagnostic Cardiac Cath Lab Request received: 7/9/2012
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Contact Person: Mark M. Mullin 678-312-4193 Determination: Pending
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/Consolidation of Amicita Home Health Agency 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 Contact Person: Donald E. Elder 706-660-6342 Determination: Pending Opposition: St. Francis Hospital, Inc.- 8/24/2012
DET2012127 Eye Partners, P.C. Expansion of Facility Request received: 8/1/2012 Contact Person: Robert Dienethal 229-435-8799 Determination: Pending
13

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
DET2012131 GYN Resources, Inc. Mobile Ambulatory Surgical Treatment Centers Request received: 8/8/2012 Contact Person: Vickey Worthy 404-605-7087 Determination: Pending
DET2012132 SunCrest Home Health of Georgia, Inc. dba SunCrest Home Health Transfer of Franklin County Request received: 8/9/2012 Contact Person: John W. Dant 615-712-2229 Determination: Pending
DET2012133 Lane Dermatology and Dermatologic Surgery, LLC Renovations of Existing Facility Request received: 8/10/2012 Contact Person: Renee Blanton 706-322-1717 Determination: Pending
DET2012134 Doctors Hospital of Augusta, LLC dba Doctors Hospital of Augusta Temporary Lease of Cath Lab Request received: 8/13/2012 Contact Person: Sondra Smith 706-651-6689 Determination: Pending
DET2012135 Candler County Hospital Authority dba Candler County Hospital Facilities Improvement and Equipment Replacement Program Request received: 8/14/2012 Contact Person: Stephen C. Shepherd 912-685-5741 Determination: Pending
DET2012136 SHI Parc at Duluth, LLC Establishment of Personal Care Home Request received: 8/14/2012 Contact Person: Jan Robbs 770-622-6880 Determination: Pending
DET2012137 John D. Archbold Memorial Hospital, Inc. Construction/Replacement/Consolidation of Physician Specialty Clinic Request received: 8/15/2012 Contact Person: John Fischer 229-228-2880 Determination: Pending
DET2012138 Duke Realty North Fulton Development, LLC MOB on North Fulton Hospital Campus Request received: 8/16/2012
14

Contact Person: Del Mar Taylor 317-808-6913 Determination: Pending
DET2012139 AFA Equipment Corp, LLC Replacement of Open Magnetic Resonance Imaging Machine Request received: 8/21/2012 Contact Person: Jeanne Tucker 912-283-6471 Determination: Pending
DET2012140 Northside Hospital, Inc. dba Northside Hospital - Cherokee Addition of Second Adult Diagnostic Cardiac Cath Lab Request received: 8/23/2012 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2012141 Kennestone Hospital, Inc. dba WellStar Kennestone Hospital Development of Medical Office Building Request received: 8/23/2012 Contact Person: Caroline Aultman 678-331-6885 Determination: Pending
DET2012142 Gwinnett Medical Center - Lawrenceville CT Unit Replacement Request received: 8/24/2012 Contact Person: Mark M. Mullin 678-312-4193 Determination: Pending
DET2012143 Northside Hospital, Inc. d/b/a Northside Hospital - Forsyth Addition of Third Adult Diagnostic Cardiac Cath Lab Request received: 8/31/2012 Contact Person: Bill Toporek 404-851-6821 Determination: Pending
DET2012144 Augusta Healthcare Properties, Inc. Renovation of Existing Nursing Facility Request received: 8/29/2012 Contact Person: Aneel Gill 678-533-6699 Determination: Pending
DET2012145 Healthcare Properties Leasing, Inc. dba Augusta Hills, LLC Renovation of Existing Nursing Facility Request received: 8/29/2012 Contact Person: Aneel Gill 678-533-6699 Determination: Pending
DET2012146 upac-Laurel Park, LLC Renovation of Existing Nursing Facility Request received: 8/29/2012 Contact Person: Aneel Gill 678-533-6699 Determination: Pending
DET2012147 Hilltop Healthcare Properties, Inc. Renovation of Existing Nursing Facility Request received: 8/28/2012 Contact Person: Aneel Gill 678-533-6699 Determination: Pending
DET2012148 Advanced Aesthetics, P.C. Transfer Approved ASC to LNR Holder's Wholly-Owned Subsidiary Request received: 9/4/2012 Contact Person: Diane Rodriguez 770-461-4000 Determination: Pending
15

DET2012149 Atlanta Center for Medical Research Exempt Clinical Trial Research Facility Request received: 9/4/2012 Contact Person: Determination: Pending
DET2012150 Tenet Healthsystem GB, Inc. and Tenet South Fulton, Inc. Consolidation of Hospital License Request received: 9/5/2012 Contact Person: Dawnmarie Matlock 404-881-4253 Determination: Pending
DET2012151 Meadows Regional Medical Center Construct a 9-bed Observation Unit Request received: 9/6/2012 Contact Person: J. Alan Kent 912-535-5827 Determination: Pending
DET2012152 UHS of Anchor, L.P. dba Anchor Hospital Allow Reduction of Indigent/Charity Care Percentage Request received: 9/10/2012 Contact Person: James Duff, CEO 770-991-6044 Determination: Pending

Requests for Extended Implementation/Effective Period

2011028 Floyd Healthcare, Inc. d/b/a Floyd Medical Center

Establish Level III NICU Services

Request to extend Performance Period

Site: 304 Turner McCall Boulevard, Rome

Project Approved: 9/19/2011

Request Received: 8/15/2012

Contact: Stephen Weed, DOP (706) 509-3257

Approved Cost: $779,980

Determination: Approved, 8/20/2012

Extended Implementation Date: 2/18/2013

2011036 Miller County Hospital/Miller Nursing Home Mechanical Ventilator Request to extend Implementation Period Site: 209 N. Cuthbert Street, Colquitt Project Approved: 10/28/2011 Request Received: 8/30/2012 Contact: Robin Rau, CEO, (229-758-5954) Approved Cost: $496,676 Determination: Approved, 9/10/2012

Extended Implementation Date: 10/28/2013

2011039 PAP of Georgia

Skilled Nursing Complex/Technology Dependent Children 18 Under

Request to extend Implementation Period

Site: 5620 Glenridge Drive, Atlanta

Project Approved: 10/28/2011

Request Received: 8/30/2012

Contact: Gregory Hook, Chief Compliance Officer, (908-236-8712)

Approved Cost: $7,301,064

Determination: Approved, 9/7/2012

Extended Implementation Date: 10/28/2013

2011020 West Cobb Health Imaging Add CT Scanner Request to extend Effective Period Site: 3824 Austell Rd, Marietta Project Approved: 10/13/2011 Request Received: 9/4/2012 Contact: Robert Limyansky, Partner (770-394-8465 x120)
16

Approved Cost: $523,000 Determination: Approved, 9/6/2012

Extended Completion Date: 1/13/2013

2011021 American Health Imaging, Inc Mobile Service Provider

Purchase Dedicated Mobile Breast MRI Unit

Request to extend Effective Period

Site: 2200 Century Parkway, NE, Suite 600, Atlanta

Project Approved: 10/3/2011

Request Received: 9/4/2012

Contact: Robert Limyansky, Partner (770-394-8465 x120)

Approved Cost: $1,838,000

Determination: Approved, 9/6/2012

Extended Completion Date: 10/31/2013

2011035 Scottish Rite Children's Medical Center, Inc. Expansion and Renovation of its Clinical Laboratory Request to extend Completion Date Site: 1001 Johnson Ferry Road, NE, Atlanta Project Approved: 10/12/2011 Request Received: 9/11/2012 Contact: David Tatum, VP & Chief-Public Policy (404-785-7556) Approved Cost: $4,818,000 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 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.

17

Non-Filed or Incomplete Division of Health Planning Facility Surveys for Most Recent 3 Years (Survey Status as of 9/11/2012)
Survey Completion Status - Survey completion status represents the status of survey filings as of the effective date indicated in each version of the Tracking Report. Surveys filed on the effective date may not be reflected as complete and may be reported as delinquent. Please contact the staff contact indicated in the instruction materials associated with each survey if your facility has filed its survey but continues to be reflected as incomplete.

Facility Name

County

Survey Year

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

Barrow Regional Medical Center

Barrow

2011

Berrien County Hospital

Berrien

2011

Burke Medical Center

Burke

2011

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

Lower Oconee Community Hospital, Inc.

Wheeler

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

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 Bel Arbor Health & Rehabilitation

Colquitt Bibb

2011 2011

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

Hall Bulloch Carroll Houston Fulton Bibb Emanuel Charlton Jefferson Richmond

2011 2011 2011 2011 2011 2011 2011 2011 2011 2011

Golden LivingCenter - Decatur Golden LivingCenter - Medical Arts Golden LivingCenter - Northside Golden LivingCenter - Rome Goodwill Nursing Home Inc Gracewood Development Ctr - ICF/MR

DeKalb Gwinnett Fulton Floyd Bibb Richmond

2011 2011 2011 2011 2011 2011

Gracewood Nursing Facility (Unit 9) Hutcheson Medical Center Joe-Anne Burgin Nursing Home

Richmond Catoosa Randolph

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

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

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

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

Catoosa

2010

Hutcheson Medical Center

Catoosa

2011

Mayo Clinic Health System in Waycross

Ware

2011

Meadows Regional Medical Center

Toombs

2011

Phoebe Putney Memorial Hospital

Dougherty

2011

University Hospital

Richmond

2011

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

Afa Ambulatory Surgery Center

BIBB

2009

Afa Ambulatory Surgery Center

BIBB

2010

Afa Ambulatory Surgery Center

BIBB

2011

Akstein Eye Center, P.c.

CLAYTON

2009

Akstein Eye Center, P.c.

CLAYTON

2010

Akstein Eye Center, P.c.

CLAYTON

2011

Ambulatory Foot & Leg Surg Ctr

COBB

2011

Ambulatory Laser & Surgery Ctr

CLAYTON

2009

Ambulatory Laser & Surgery Ctr

CLAYTON

2010

Ambulatory Laser & Surgery Ctr

CLAYTON

2011

Ambulatory Plastic Surgery Center, Inc

MUSCOGEE

2009

American Eye Surgery Center, Inc

CLARKE

2010

Associates Physicians Asc

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

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
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
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

Atlanta South Endoscopy Center, Llc Atlanta South Endoscopy Center, Llc Atlanta South Endoscopy Center, Llc Atlanta Sports Medicine Surgery Center Atlanta West Endoscopy Center, Llc Atlanta West Endoscopy Center, Llc Atlanta West Endoscopy Center, Llc Augusta Aesthetic Surgery, Llc Augusta Endoscopy Center Augusta Endoscopy Center Augusta Endoscopy Center Bowman Pain Management, Pc Bowman Pain Management, Pc 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 Coastal Empire Plastic Surgery Coastal Pain Center, Llc Cobb Endoscopy Center, Llc Cobb Foot And Leg Surgical Center, Llc Coffee County Center For Digestive Disease Columbus Women's Health Organization, Inc. CPMSC Roswell, PC Dalton Plastic Surgery Day Surgery And Recovery Ctr Dennis Surgery Center, Inc. Digestive Healthcare Of Ga Endo Ctr Mountainside Digestive Healthcare Of Ga Endo Ctr Mountainside Digestive Healthcare Of Ga Endoscopy Ctr Dublin Endoscopy Center, LLC Dublin Eye Surgery Center Dublin Orthopaedics Asc, Inc Endoscopy Center Of Middle Georgia, Llc Endoscopy Center, Llc, The Endoscopy Consultants, Llc Endoscopy Consultants, LLC Ent Surgical Center Eye Associates Surgery Ctr 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

CLAYTON CLAYTON CLAYTON FULTON DOUGLAS DOUGLAS DOUGLAS RICHMOND COLUMBIA COLUMBIA COLUMBIA BIBB BIBB FULTON FULTON BARTOW CLARKE CLARKE CLARKE WHITFIELD WHITFIELD CLAYTON CHATHAM GLYNN COBB COBB COFFEE Muscogee FULTON WHITFIELD WHITFIELD FULTON PICKENS PICKENS FULTON LAURENS LAURENS LAURENS BIBB CHATHAM FULTON FULTON CHATHAM LOWNDES LOWNDES HOUSTON MUSCOGEE MUSCOGEE FORSYTH FORSYTH COBB HALL HALL Forsyth GORDON
20

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

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 3/11/2011 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 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

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 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

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 HALL GWINNETT FULTON CHATHAM Chatham Chatham FULTON FULTON FULTON FULTON FULTON Fulton Fulton BIBB COBB RICHMOND CHATHAM CHATHAM CHATHAM DEKALB WHITFIELD NEWTON NEWTON NEWTON
21

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 2011 2010 2010 2011 2009 2010 2011 2009 2010 2009 2010 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 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

Rome Endoscopy Ctr Inc, The

FLOYD

Rome Endoscopy Ctr Inc, The

FLOYD

Rome Endoscopy Ctr Inc, The

FLOYD

Rome Surgical Center, P C

FLOYD

Rome Surgical Center, P C

FLOYD

Rome Surgical Center, P C

FLOYD

Roswell Center for Foot and Ankle Surgery

Fulton

Samson Pain Center, Pc

CHEROKEE

Samson Pain Center, Pc

CHEROKEE

Samson Pain Center, Pc

CHEROKEE

Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Pain Center, Llc

Chatham Chatham CHATHAM

Savannah Pain Center, Llc

CHATHAM

Savannah Pain Center, Llc

CHATHAM

Seaside Surgical, Llc

GLYNN

Seaside Surgical, Llc

GLYNN

Southeast Treatment Center, Llc

CAMDEN

Southeast Treatment Center, Llc

CAMDEN

Southern Bone & Joint, Llc

COWETA

Summit Endoscopy Center, L L C

FAYETTE

Summit Endoscopy Center, L L C

FAYETTE

Surgery Center of Athens

Clarke

Surgery Center of BJI, LLC

WAYNE

Surgical Centers of Georgia

Bibb

Thomas Eye Surgery Center

FULTON

Tifton Endoscopy Center, Inc.

TIFT

Universal Ambulatory Surgery Center, P C

MUSCOGEE

Universal Ambulatory Surgery Center, P C

MUSCOGEE

Urology Associates Surgery Center, Llc

COBB

Urology Center Of Georgia Llc

BIBB

Urology Center Of Georgia Llc

BIBB

Urology Surgery Center Of Savannah, Lp

CHATHAM

Urology Surgical Partners, Llc

FULTON

V.O.A. Ambulatory Surgical Center

LOWNDES

Valdosta Endoscopy Center, Llc

LOWNDES

Valdosta Foot & Ankle Surgery

LOWNDES

Valdosta Foot & Ankle Surgery

LOWNDES

Valdosta Foot & Ankle Surgery

LOWNDES

Wellbrook Endoscopy Center

ROCKDALE

Wellbrook Endoscopy Center Wellbrook Endoscopy Center (covington)

ROCKDALE 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

Home Health Agency Survey (Survey Years 2009 thru 2011)

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Intrepid USA Healthcare Services

Glynn

22

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 2010 2010 2011 2010
2009 2010 2010
2010 2011 2010

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 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

Medside Home Health Agency Trinity Home Health Visiting Nurses Association of Greater Tift Co

Fulton Richmond Tift

2011 2011 2011

Hospital Financial Survey (Survey Years 2009 thru 2011)

Burke Medical Center

Burke

Charlton Memorial Hospital

Charlton

Mountain Lakes Medical Center

Rabun

Mountain Lakes Medical Center

Rabun

Northridge Medical Center

Jackson

Riverwoods Behavioral Health System

Clayton

Youth Villages - Inner Harbour Campus

Douglas

Youth Villages - Inner Harbour Campus

Douglas

2011 2011 2010 2011 2011 2011 2010 2011

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

Athens Regional Medical Center

Clarke

2011

Gwinnett Medical Center

Gwinnett

2011

Phoebe Putney Memorial Hospital

Dougherty

2011

University Hospital

Richmond

2011

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

Battlefield Imaging Center

Catoosa

2009

Radiation Therapy Services Survey (Survey Years 2009 thru 2011)

Hutcheson Medical Center

Catoosa

2010

South Georgia Center for Cancer Care

Bulloch

2010

3/9/2012 3/9/2012 3/9/2012
7/13/2012 7/13/2012
7/8/2011 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
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 9/11/2012)

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 Georgia Pain Management Center, LLC 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

County

Year

DOUGHERTY 2010

DOUGHERTY 2011

Fulton

2009

Clayton

2010

Clayton

2011

CLAYTON

2011

DEKALB

2011

FULTON

2010

CLAYTON

2010

CLAYTON

2011

Hall

2011

HENRY

2011

GWINNETT 2009

GWINNETT 2010

GWINNETT 2011

Gwinnett

2010

GORDON

2010

GORDON

2011

HALL

2010

HALL

2011

GWINNETT 2010

GWINNETT 2011

FULTON

2009

FULTON

2011

CLAYTON

2009

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 4,303.40 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

Orthopaedic South Surgical Center Orthopaedic South Surgical Center Orthopedic Surgery Center, L.P. Paces Plastic Surgery Center Resurgens Surgical Center Resurgens Surgical Center Resurgens Surgical Center Savannah Plastic Surgicenter, Inc. Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. South Georgia Surgery Center Specialty Surgery Center, Inc. Specialty Surgery Center, Inc. Spivey Station Surgery Center Summerville Surgical Center Surgery Center, LLC, The Surgery Center, LLC, The Surgical Suite, The Surgical Suite, The Caresouth Homecare Professionals Caresouth Homecare Professionals - Macon Caresouth Homecare Professionals - Washington CSRA Home Health- Columbia, Inc. CSRA Home Health- Columbia, Inc. Guardian Home Care of Central Georgia Guardian Home Care of Northeast Georgia Guardian Home Care, LLC Southside Medical Home Health Suncrest Home Health Suncrest Home Health

CLAYTON CLAYTON Chatham FULTON FULTON FULTON FULTON Chatham Chatham Chatham Ware FULTON FULTON Clayton Richmond Muscogee Muscogee FULTON FULTON Muscogee Bibb Elbert McDuffie McDuffie Oconee Hall Fulton DeKalb Newton Cobb

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

736,036.52 804,390.23 2,275,498.54
67,813.20 1,193,396.65 1,203,614.79 1,375,891.97
36,419.70 25,369.55 27,490.23 11,500.12
9,376.56 4,035.84 55,170.93
583.16 114,593.31 124,405.19
4,689.30 4,650.87 5,272.52
192.42 98,252.02 11,903.41 10,055.68 49,938.52 35,797.51 147,847.14
4,224.15 2,942.44 6,917.49

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

Notes: The provisions of the Provider Payment Act of 2010 exempt eligible hospitals from being required to pay shortfalls associated with CON indigent and charity care commitments while the Act is in force. Critical Access Hospitals, Psychiatric Hospitals, and State-owned hospitals are exempt from the PPA so must still pay shortfalls associated with CON

24

NEW CERTIFICATE OF NEED FILING REQUIREMENTS
Notices of Intent
Effective July 1, 2008, O.C.G.A. 31-6-40(b) provides that:
Any person proposing to develop or offer a new institutional health service or health care facility shall, before commencing such activity, submit a letter of intent and an application to the department and obtain a certificate of need in the manner provided in this chapter unless such activity is excluded from the scope of this chapter.
O.C.G.A. 31-6-43(a) further provides that:
At least 30 days prior to submitting an application for a certificate of need for clinical health services, a person shall submit a letter of intent to the department. The department shall provide by rule a process for submitting letters of intent and a mechanism by which applications may be filed to compete with and be reviewed comparatively with proposals described in submitted letters of intent.
All parties interested in applying for a certificate of need for new institutional health services MUST NOW NOTIFY THE DEPARTMENT 30 DAYS PRIOR TO FILING AN APPLICATION of their intent to do so. This notice must be in writing and must contain the following information:
Name and address of legal applicant; Person to whom inquiries may be addressed; Name, address of facility, if different from legal applicant; Proposed Project Site Location; Brief summary description of proposal; Proposed service area; and, Cost of the project.
The Department will not accept any notices of intent submitted by either telephone, facsimile or e-mail pursuant to Rule 111-2-2-.06(5).
Note: The Department will begin implementing the Letter of Intent requirement on July 15, 2008. Beginning with that date, no CON application will be accepted without a previously filed Letter of Intent. The CON application must be submitted no later than 30 days after the Letter of Intent has been received by the Department.
BATCHING REQUIREMENTS
The Department will be promulgating rules for services that will now be batched pursuant to O.C.G.A. 31-643(e) which states:
To allow the opportunity for comparative review of applications, the department may provide by rule for applications for a certificate of need to be submitted on a timetable or batching cycle basis no less often than two times per calendar year for each clinical health service. Applications for services, facilities, or expenditures for which there is no specified batching cycle may be filed at any time.
The requirements for Notices of Intent associated with designated Batching Cycles will be issued at the time of publication of the Batching Notice.
25

New Batching Review
The Department will be transitioning many of the reviewable CON services into quarterly Batching Cycles. These services and the Batching Cycles are as follows:

FALL

Batched Service

Batching Notice

Home Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Ambulatory Surgery

September

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

December

Letter of Intent
October
January

Application Deadline November
February

WINTER

Home Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Ambulatory Surgery

March

April

May

SPRING

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

June

July

August

SUMMER

Letters of Intent for services, facilities, or expenditures for which there is no specified batching cycle, or other applicable rule, may be filed at any time.

Batching Notifications Posted 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

26

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)

27

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)

28

NON-BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW ACTIVITIES

Letter of Intent

Application deemed complete (review cycle begins)

75th Day
(applicant provides additional information)

100th Day
(last day for letters of support to be submitted to Department)

120th
Day
(Department Issues decision)

Application must be
submitted by 3 PM
(10 days to review for completeness)

60-Day
Meeting
(applicant only); deadline for receipt of opposition letter(s)

90th Day
(opposition meeting(s) scheduled; applicant can attend, opposing parties must provide written copy of argument)

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

150th Day
(project can be extended)

Letter of Intent received by Department 30 days before application is submitted
Application submitted (10 working days to review for completeness). Applications submitted after 3:00 M PM will be considered received on the next business day.
Application deemed complete; 120-day review cycle begins
60-day meeting (applicant only); deadline for receipt of opposition letter(s)
75th day applicant provides additional information
90th day Opposition Meeting(s) scheduled; applicant can be in attendance; opposing parties must provide written statement of opposition arguments presented (original and one copy to the Department and one copy to the applicant); presentation time will be limited; Department reserves right to make additional inquiries subsequent to 60-day meeting and following opposition meeting.
100th day Last day for letters of support to be submitted to the Department
110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposition; applicant deadline for providing written response to Department's inquiries subsequent to opposition meeting
120th day Decision issued (Department has discretion to extend to 150th day)

29

NEW REPORTING REQUIREMENTS
Beginning July 1, 2008, all facilities operating under a previously granted exemption or letter of nonreviewability as provided at O.C.G.A. 31-6-40(c)(2)(A) will be required to:
Provide notice to the department by August 15, 2008, of the following: Name Ownership Location Single Specialty Services provided in the exempt facility
For purposes of complying with this requirement, notice may be sent through the mail, by facsimile, or e-mail. Information will not be accepted by telephone. Please submit this information to:
Georgia Department of Community Health Healthcare Facility Regulation Division c/o Matthew Jarrard 2 Peachtree Street, NW 5th Floor Atlanta, Georgia 30303 Fax Number: 404-656-0654 E-mail address: mjarrard@dch.ga.gov
These facilities will also be required to provide annual reports beginning on January 1, 2009, in accordance with the Department's annual reporting requirements for existing CON-approved facilities and services. Further reporting instructions will be provided by the Department. Noncompliance with this information request may result in a fine as authorized under O.C.G.A. 31-6-70(e)(1).
These reports will not be due to the Department until the survey instrument has been issued. The survey instrument for ambulatory surgery services is now complete. Further information will be forthcoming by mail. The survey instrument for imaging centers is expected to be released on or before July 1, 2009.
LETTERS OF DETERMINATION The Department will require that a determination request be submitted for any proposed activity that may be exempt under O.C.G.A. 31-6. Such requests will be accepted only on the Department's Determination Request form with the required filing fee of $250. Note: Requests for confirmation of the exemptions for a single specialty ambulatory surgical center or a joint venture ambulatory surgical center and equipment below the threshold are considered requests for a Letter of Nonreviewability and require a $500 filing fee.
30

CERTIFICATE OF NEED APPEAL PANEL
Sworn by Governor Sonny Perdue on August 20, 2008

Ellwood "Ebb" Oakley (Chair) 1266 West Paces Ferry Rd., #157 Atlanta, GA 30327 eoakley@gsu.edu

Melvin M. Goldstein 248 Roswell Street Marietta, GA 30060 goldatty@bellsouth.net

William "Bill" C. Joy (Vice Chair) 5349 Rosser Road
Stone Mountain, GA 30087 wcjoy@bellsouth.net

Legislation - Senate Bill 433
Senate Bill 433 as passed April 4, 2008
Office of Health Planning Contact Information
For general questions related to the Office of Health Planning, questions concerning Health Planning surveys, indigent and charity care commitment shortfalls, and all other matters please contact Matthew Jarrard, Director (mjarrard@dch.ga.gov)
For questions concerning pending Certificate of Need applications please contact Bruce Henderson, Senior Reviewer (bhenderson@dch.ga.gov)
For LNR/DET letters and for CON related matters please contact Roxana Tatman, Legal Director, Health Planning (rtatman@dch.ga.gov )
New Requirements for Verification of Lawful Presence within the United States
Effective January 1, 2012 agencies or political subdivisions of the State of Georgia providing or administering a public benefit are required to verify that applicants for a public benefit are in the United States in a lawful manner. See O.C.G.A. 50-36-1(e). Certificates of Need (CON) are considered a public benefit under the new provisions. Therefore, an applicant for a CON must be in compliance with the law for the CON to be awarded.
Effective January 1, 2012 all CON applications must include an original signed and notarized affidavit in accordance with O.C.G.A. 50-36-1(e)(2) as well as a copy of a secure and verifiable document in accordance with O.C.G.A. 50-36-2. A copy of the affidavit along with instructions for submitting the affidavit and secure and verifiable document can be located at the following link or by navigating to the CON Applications and Forms page from the CON Information link from www.dch.georgia.gov.
http://dch.georgia.gov/vgn/images/portal/cit_1210/23/25/180044217HB87_CON_Instructions_1-1-2012.pdf
CONs that are approved and issued after January 1, 2012 for applications that were submitted prior to January 1, 2012 are also subject to these provisions. DCH will contact applicants to provide instruction related to compliance prior to issuing such a CON.

31