Certificate-of-need tracking and appeals report [Jan. 16-24, 2013]

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Letters of Intent Letters of Intent Winter Batching
Expired Letters of Intent New CON Applications
Pending Review /Incom plete Applications Pending Review /Com plete Applications
Pending Review /Com plete/Joined Applications Recently Approved Applications Recently Denied Applications Withdraw n CON Applications

Appealed LNRs Appealed CON Projects

CERTIFICATE OF NEED

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

January 16, 2013 January 24, 2013

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

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

Letters of Intent

LOI2012083 Piedmont Atlanta Hospital

Renovate an Existing ICU

Received: 12/27/2012

Application must be submitted on: 1/28/2013

Site: 1968 Peachtree Road, NW, Atlanta, GA 30309 (Fulton County)

Estimated Cost: $8,900,000

LOI2013001 Riverside Imaging Specialist, LLC

Establish a Freestanding Diagnostic Imaging Center

Received: 1/7/2013

Application must be submitted on: 2/6/2013

Site: 2140 Riverside Drive, Macon, GA 31204 (Bibb County)

Estimated Cost: $1,000,000

LOI2013002 Kennestone Hospital, Inc. dba WellStar Kennestone

A New Emergency Facility

Received: 1/11/2013

Application must be submitted on: 2/11/2013

Site: 4550 Cobb Parkway NW, Acworth, GA 30101 (Cobb County)

Estimated Cost: $18,000,000

LOI2013003 Kennestone Hospital, Inc. dba WellStar Kennestone

A New Emergency Facility

Received: 1/11/2013

Application must be submitted on: 2/11/2013

Site: Intersection of Sixes Road & I-575, Holly Springs, GA 30114 (Cherokee County)

Estimated Cost: $21,000,000

LOI2013004 Emory Universi ty dba Emory University Hospital

Emory University dba Emory University Hospital

Received: 1/15/2013

Application must be submitted on: 2/14/2013

Site: 1364 Clifton Road, Atlanta, GA 30322 (DeK alb County)

Estimated Cost: $1,500,000

Letters of Intent Winter Batching

Megavoltage Radiation Therapy

LOI2013005 Northside Hospital - Cherokee

Megavolt age Radiation Therapy - Linear Accelerator

Received: 1/22/2013

Application must be submitted on: 2/19/2013

Site: 201 Hospital Road, Canton, GA 30114 (Cheroke e County)

Estimated Cost: $8,200,000

LOI2013006 Coli seum Park Cancer Treatment Center

Megavolt age Radiation Therapy - CyberKnife

Received: 1/22/2013

Application must be submitted on: 2/19/2013

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

Estimated Cost: $8,000,000

LOI2013007 Northside Hospital - Forsyth

Megavolt age Radiation Therapy - Gamma Knife

Received: 1/22/2013

Application must be submitted on: 2/19/2013

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

Estimated Cost: $8,000,000

Positron Emission Tomography Services

LOI2013008 Southea st Georgia Health System Camden Campus

PET/CT Services - Mobile

Received: 1/22/2013

Application must be submitted on: 2/19/2013

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Site: 2000 Dan Proctor Drive, St. Mary's, GA 31558 (Camden County) Estimated Cost: $160,000

Psychiatric and Substance Abuse Services

LOI2013009 AMC - South Campus

Add 15 Geriatric Psychiatric Beds

Received: 1/22/2013

Application must be submitted on: 2/19/2013

Site: 1170 Cleveland A venue, East Point, GA 30344 (Fulton County)

Estimated Cost: $900,000

LOI2013010 North Georgia Medical Center

Add 10-bed Senior Mental Health program.

Received: 1/22/2013

Application must be submitted on: 2/19/2013

Site: 1362 South Main Street, Ellijay, GA 30540 (Gilmer County)

Estimated Cost: $350,000

LOI2013011 FRN Georgia New 20-bed Residential Psychiatric Facility

Received: 1/22/2013

Application must be submitted on: 2/19/2013

Site: 310 Black Bear Ridge, Sautee, GA 30571 (White County)

Estimated Cost: $4,200,000

Expired Letters of Intent
None

New Applications

2013-004 Piedmont Atlanta Hospital
Acquisition of Third Robotic Surgery Center Filed: 1/18/2013 Site: 1968 Peachtree Road, NW, Atlanta, GA 30309 (Fulton County) Contact: Davis Dunbar 404-788-3638 Estimated Cost: $1,777,000
2013-005 MRI & Imaging of Hapeville
Convert Existing Diagnostic Imaging Facility to a CON DTRC Filed: 1/22/2013 Site: 535 Nort h Central A venue, Hapeville, GA 30354 (Fulton County) Contact: Per B. Normark 770-300-0101 Estimated Cost: $0

2013-006 Open MRI of Georgia, LLC dba MRI & Imaging of Dul uth

Convert Existing Diagnostic Imaging to a CON DTRC

Filed: 1/22/2013

Site: 10670-A Medlock Bridge Road, Duluth, GA 30097 (Gwinnett County)

Contact: Per B. Normark 770-300-0101

Estimated Cost:

$0

Pending Review/Incomplete Applications

2012-065 Cartersville Medical Center New Emergency Facility Filed: 12/13/2012 Deemed Incomplete: 12/19/2012 Site: Cherokee Village East, Acworth, GA 30102 (Cherokee County) Contact: Lori E. Rakes, COO 770-387-8181 Estimated Cost: $9,267,743
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2013-001 MRI & Imaging of Douglasville Convert Existing Diagnostic Imaging Facility to a CON DTRC Filed: 1/7/2013 Deemed Incomplete: 1/18/2013 Site: 6095 Professional Park way, Suite 101B, Douglas ville, GA 30134 (Douglas County) Contact: Per B. Normark 770-330-0101 Estimated Cost: $0
2013-002 MRI & Imaging of Habersham Convert Existing Diagnostic Imaging Facility to a CON DTRC in Habersham Filed: 1/7/2013 Deemed Incomple te: 1/18/2013 Site: 638 Historic Highway 441 Nort h, Suite D, Demorest, GA 30535 (Habersham County) Contact: Per B. Normark 770-300-0101 Estimated Cost: $0
2013-003 Northwe st Imaging, LLC Convert one (1) existing MRI unit LNR-DTRC to a CON-approved DTRC Filed: 1/7/2013 Deemed Incomplete: 1/22/2013 Site: 4460 Austell Road, Austell, GA 30106 (Cobb County) Contact: Robert Bashuk, MD 770-941-4716 Estimated Cost: $15,000
Pending Review/Complete/Joined Applications
2012-043 Doctors Hospital of Augusta, LLC New Off-Site Emergency Facility (Joined 047) Filed: 8/27/2012 Deemed Complete: 9/11/2012 Joined: 10/3/2012 60th Day Deadline: 12/1/2012 Deci sion Deadline: 1/25/2013 Site: 743 Nort h Belair Road, E vans, GA 30809 (Columbia County) Contact: Dough Welch, CEO 706-651-2451 Estimated Cost: $9,822,715
2012-047 University Hospital Emergency Department - Evans Establish a Freestanding Emergency Facility (Joined 43) Filed: 9/17/2012 Deemed Complete: 9/28/2012 Joined: 10/3/2012 60th Day Deadline: 12/1/2012 Deci sion Deadline: 1/25/2013 Site: 4200 University Parkway, E vans, GA 30809 (Columbia County) Contact: Edward L. Burr, VP of Legal A ffairs 706-774-4500 Estimated Cost: $9,670,000
Pending Review/Complete Applications
2012-049 Morgan Memorial Hospital Expansion of Five Beds Filed: 9/21/2012 Deemed Incomplete: 10/3/2012 Deemed Complete: 10/25/2012 60th Day Deadline: 12/23/2012 Deci sion Deadline: 2/21/2013 Site: 1077 South Main Street, Madison, GA 30650 (Morgan County) Contact: Ralph Castillo, CEO 706-752-2247 Estimated Cost: $140,000
2012-050 Piedmont Newnan Hospi tal da Vinci Surgical Robotic System Filed: 9/26/2012 Deemed Complete: 10/10/2012 60th Day Deadline: 12/8/2012 Deci sion Deadline: 2/6/2013
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Site: 745 Poplar Road, Newnan, GA 30263 (Coweta County) Contact: Davis Dunbar, Manager Regulatory Affairs 404 -788-3638 Estimated Cost: $2,045,115
2012-051 Polk Medical Center, Inc. To Build a Replacement Hospital Filed: 10/5/2012 Deemed Incomplete: 10/22/2012 Deemed Comple te: 11/8/2012 60th Day Deadline: 1/6/2013 Deci sion Deadline: 3/7/2013 Site: US 278 and Kelly Road, Cedart own, GA 30125 (P olk County) Contact: Stephen Weed, Director of Planning 706 -509-3257 Estimated Cost: $39,767,867
2012-052 Saint Joseph's Hospi tal of Atlanta, Inc. Replacement of a Previously LNR-approved da Vinci S Robotic Surgical System Filed: 11/9/2012 Deemed Complete: 11/26/2012 60th Day Deadline: 1/24/2013 Deci sion Deadline: 3/25/2013 Site: 5665 Peachtree Dunwoody Road, NE, Atlanta, GA 30342 (Fulton County) Contact: Heat her Dexter, VP Planning 678-843-7001 Estimated Cost: $1,830,000
2012-053 Augusta Diagnostic Imaging Conversion of Existing Approved LNR to CON Approved DTRC Filed: 11/16/2012 Deemed Incomplete: 12/4/2012 Deemed Complete: 1/7/2013 60th Day Deadline: 3/7/2013 Deci sion Deadline: 5/6/2013 Site: 1211 West Medical Park Drive, Augusta, GA 30909 (Richmond County) Contact: Klara Joseph, COO 706-364-2603 Estimated Cost: $2,346,770
2012-054 Memorial Health Universi ty Medical Center, Inc. Add Four (4) Neonatal Intermediate Care Bassinets BATCHING Filed: 11/24/2012 Deemed Complete: 11/24/2012 60th Day Deadline: 1/22/2013 Deci sion Deadline: 3/23/2013Opposition Meeting: 1/18/ 2013
Site: 4700 Waters A venue, Savannah, GA 31404 (Chatham County) Contact: Laura Dow 912-350-8613 Estimated Cost: $2,249,500
2012-055 Rockdale Medical Center Establish a Four (4) Bed Neonatal Intensive (Level III) Care Service BA TCHING Filed: 11/24/2012 Deemed Complete: 11/24/2012 60th Day Deadline: 1/22/2013 Deci sion Deadline: 3/23/2013 Site: 1412 Milstead A venue, Conyers, GA 30012 (Rockdale County) Contact: James Atkins 770-918-3755 Estimated Cost: $532,168
2012-056 Memorial Health Universi ty Medical Center, Inc. Add Eight (8) Neonatal Intensive Care Bassinets BATCHING Filed: 11/24/2012 Deemed Complete: 11/24/2012 60th Day Deadline: 1/22/2013 Deci sion Deadline: 3/23/2013 Site: 4700 Waters A venue, Savannah, GA 31404 (Chatham County) Contact: Laura Dow 912-350-8613 Estimated Cost: $1,645,500
2012-057 The Medical Center, Inc. Add Five (5) Neonatal Intensive Care Beds BATCHING
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Filed: 11/24/2012 Deemed Complete: 11/24/2012 60th Day Deadline: 1/22/2013 Deci sion Deadline: 3/23/2013 Site: 710 Cent er Street, Columbus, GA 31901 (Muscog ee County) Contact: Donald E. Elder 706-660-6342 Estimated Cost: $867,720
2012-058 Associates Surgery Center, Inc.
Convert from PO Single Specialty ASC to CON Single Specialty ASC BATCHING Filed: 11/24/2012 Deemed Complete: 11/24/2012 60th Day Deadline: 1/22/2013 Deci sion Deadline: 3/23/2013 Site: 864 First Street, Macon, GA 31201 (Bibb County) Contact: Dr. J. Gregory Jones 478-741-6522 Estimated Cost: $30,000
2012-059 Neurological Institute Ambulatory Surgery Center, LLC
Convert from a PO Single Specialty ASC to CON Single Specialty ASC BA TCHING Filed: 11/24/2012 Deemed Complete: 11/24/2012 60th Day Deadline: 1/22/2013 Deci sion Deadline: 3/23/2013 Site: 1 Jackson Boulevard, Suite 101, Savannah, GA 31405 (Chatham County) Contact: Randolph C. Bishop, M.D. 912-355-1010 Estimated Cost: $50,000
2012-060 Thoma sville Surgery Center, Inc.
Convert from PO Single Specialty ASC to Single Specialty CON ASC BATCHING Filed: 11/24/2012 Deemed Complete: 11/24/2012 60th Day Deadline: 1/22/2013 Deci sion Deadline: 3/23/2013 Site: 2282 East Pinetree Boulevard, Suite B, Thomas ville, GA 31792 (Thomas County) Contact: Leslie Harvey, RN 229-228-4988 Estimated Cost: $15,000
2012-061 Wynfield Park Health & Rehabilitation
Renovation of the Existing Center Filed: 12/3/2012 Deemed Incomplete: 12/17/2012 Deemed Complete: 1/8/2013 60th Day Deadline: 3/8/2013 Deci sion Deadline: 5/7/2013 Site: 223 West 3rd Street, Albany, GA 31701 (Dougherty County) Contact: Stelling Nelson 478-986-7484 Estimated Cost: $8,285,651
2012-062 Winship Cancer Institute of Emory University
Acquisition of Siemens Magnat om Aera 1.5T MRI Filed: 12/3/2012 Deemed Complete: 12/17/2012 60th Day Deadline: 2/14/2013 Deci sion Deadline: 4/15/2013 Site: 1365-C Clifton Road, Atlanta, GA 30322 (DeK alb County) Contact: Toni Wimby, Associate Administrator 404-686-2450 Estimated Cost: $3,175,000
2012-063 Northsi de Hospital - Forsyth 16 Bed Expansion Filed: 12/13/2012 Deemed Complete: 12/31/2012 60th Day Deadline: 2/28/2013 Deci sion Deadline: 4/29/2013 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek, Senior Planner 404-851-6821 Estimated Cost: $0
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2012-064 WellStar Kennestone Hospital Renovate Cancer Support Cent er Filed: 12/13/2012 Deemed Complete: 12/31/2012 60th Day Deadline: 2/28/2013 Deci sion Deadline: 4/29/2013 Site: 677 Church Street, Marietta, GA 30060 (Cobb County) Contact: Caroline C. Aultman 678-331-6887 Estimated Cost: $6,785,000
Recently Approved Applications
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 Deci sion Deadline: 12/26/2012 APPROV ED: 12/26/2012 Site: 3131 South Main Street, Moultrie, GA 31768 (Colq uitt County) Contact: James L. Matney, President & Chief Exe Officer 229 -890-3570 Estimated Cost: $29,984,469
2012-030 The Medical Center of Central Georgia, Inc. New Seven Story MOB Filed: 8/15/2012 Deemed Incomplete: 8/29/2012 Deemed Complete: 9/14/2012 60th Day Deadline: 11/12/2012 Deci sion Deadline: 1/11/2013 APPROV ED: 1/11/2013 Site: 752 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: H. Bryan Forlines 478-633-6966 Estimated Cost: $85,910,931
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 Deci sion Deadline: 12/27/2012 APPROV ED: 12/27/2012 Site: 1601 Watson Boulevard, Warner Robins, GA 31093 (Houston County) Contact: Cathy Martin, CEO 478-542-7839 Estimated Cost: $41,828,435
2012-044 WellStar Kennestone Hospital Develop an Outpatient Pediatric Diagnostic Center Filed: 8/31/2012 Deemed Complete: 9/17/2012 60th Day Deadline: 11/15/2012 Deci sion Deadline: 1/14/2013 APPROV ED: 1/14/2013 Site: 1180 NW Ernest Barrett Parkway, Kennes aw, GA 30144 (Cobb County) Contact: Stephen Vault 678-331-6894 Estimated Cost: $12,720,000
2012-045 WellStar Kennestone Hospital Capit al Expendit ure To Add an Interventional Suite Filed: 8/31/2012 Deemed Complete: 9/17/2012 60th Day Deadline: 11/15/2012 Deci sion Deadline: 1/14/2013 APPROV ED: 1/14/2013 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 Deemed Complete: 9/20/2012 60th Day Deadline: 11/18/2012 Deci sion Deadline: 1/17/2013 APPROV ED: 1/17/2013 Site: 2774 North Decatur Road, Atlanta, GA 30033 (DeKalb County) Contact: Scott W. Arant, President 404-296-5887 Estimated Cost: $1,677,000
2012-048 Children's at Town Center Development of an Out patient Pediatric Imaging Center Filed: 9/19/2012 Deemed Complete: 9/21/2012 60th Day Deadline: 11/19/2012 Deci sion Deadline: 1/18/2013 APPROV ED: 1/18/2013 Site: 2985 George Busbee Park way, Kennesaw, GA 30144 (Cobb County) Contact: David R. Tat um, Vice President 404-785-7556 Estimated Cost: $7,000,000
Recently Denied Applications
none
CON Applications Withdrawn
none
Appealed LNRs
LNR-AS C2011-021 Meadows Gynecology Surgery Center, Inc. and Meadows Surgical Arts, Inc. ("Meadows" ) Requested Letter of Non-Reviewability for the establishment of a Physician-Owned, Single Specialty, Office Based Ambulatory Surgery Center, 11/16/ 2011. Determination of "denied" issued on ,4/3/2012. Meadows Gynecology Surgery Center, Inc. and Meadows Surgical Arts, Inc. filed request for Administrative A ppeal Hearing, 05/ 02/ 2012. Administrative Hearing Date: To be Determined.
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 alt ernative review under the specific review criteria for ambulatory surgery centers. Department requests, and is granted, extension on Remand decision date, 5/6/2011. On rem and, the applic ation for alt ernative review only is denied, 5/16/2011. The original application remains approved, 9/20/2010. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: 8/8/2011 8/11/2011; proposed orders from parties due 9/23/2011. Hearing Decision: Hearing Officer affirms Department decision approving application, 10/20/ 2011. Northside Hospital, Inc. requests Commissioner Review, 11/18/2011. Commissioner Review Decision: Affirmed Hearing Officer Decision to award CON to WellStar, 1/18/2012. Northside filed petition for judicial review, 2/16/2012. Superior Court Decision: The Superior Court reversed DCH's decision to grant a CON to Kennestone, 7/30/2012. Court of Appeals: granted Kennestone Hospital, Inc. and DCH's Applications for Discretionary Appeal on 09/21/ 12.
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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. Department and Southern Regional Medical Center filed request for Commissioner Review, 10/5/2012 Commissioner Review Decision: Commissioner Review affirms Hearing Officer decision,12/18/2012. Southern Regional Medical Center (SRMC) filed petition for judicial review, 1/18/2013. Superior Court Decision: Pending

2012-032 Ea stside Medical Center (Walton) Constructing a New Off-Site Emergency Facility Agency Decision: Denied, 12/19/2012 Appealed By: Eastside Medical Center, 1/15/2013; Clearview Regional Medical Center files request to intervene in appeal, 1/16/2013. Hearing Officer: TB D Hearing Date: TB D Hearing Decision: Pending

2012-037 Doctors Hospital Radiation Oncology Center (Richmond) Megavolt age Radiation Therapy, CyberKnife Agency Decision: Approved, 12/18/2012 Appealed By: Georgia Health Science Medical Center, 1/16/2013; Doctors Hospital of Augusta files request to intervene in appeal, 1/15/2013. Hearing Officer: TB D Hearing Date: TB D Hearing Decision: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2012025 Emory University dba Emory University Hospital Midtown

Fixed CT Scanner

Request received: 11/9/2012

Contact Person: Toni Wimby 404-686-2809

Determination: Approved

Determination Date: 1/22/2013

LNR-EQT2012026 Valdosta Family Medicine Associates, P.C.

Fixed CT Scanner

Request received: 11/15/ 2012

Contact Person: Wendy Cain 229-244-1400

Determination: Approved

Determination Date: 1/22/2013

LNR-EQT2012027 Meadows Regional Medical Center

Fixed MRI; Fixed CT Scanner and Nuclear Camera

Request received: 11/16/ 2012

Contact Person: Howard Holman 912-538-5889

Determination: Approved

Determination Date: 1/11/2013

LNR-EQT2012028 MRI Imaging Specialist Fixed MRI and CT Scanner Request received: 12/4/2012 Contact Person: Michael Alatorre 786-303-0242 Determination: Pending

LNR-EQT2012029 EHCA Johns Creeks, LLC dba Emory Johns Creek Hospital Robotic Surgery System
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Request received: 12/14/ 2012 Contact Person: R. Craig McCoy 678-474-7003 Determination: Pending
LNR-EQT2012030 Dalton Diagnostic Associates, L.P. Fixed MRI Request received: 12/19/ 2012 Contact Person: John C. Church, M.D. 706-278-9729 Determination: Pending
LNR-EQT2012031 Medical Center of Central Georgia, Inc DaVinci Surgical Robot Request received: 12/21/ 2012 Contact Person: H. Bryan Forlines 478-633-6966 Determination: Pending
LNR-EQT2012032 Ankle and Foot Associates, LLC Fixed MRI Request received: 12/26/ 2012 Contact Person: Jeanne Tucker 912-283-6471 Determination: Pending
LNR-EQT2013001 EHCA Johns Creek, LLC dba Emory Johns Creek Hospital Fixed CT Scanner Request received: 1/4/2013 Contact Person: Laurie Hansen 678-474-7012 Determination: Pending
LNR-EQT2013002 Houston Hospital, Inc. d/b/a Perry Hospi tal Fixed CT Scanner Request received: 1/8/2013 Contact Person: Tim Sisco 478-542-7837 Determination: Pending
LNR-EQT2013003 ISPM ASC at Camp Creek, LLC C-Arm Request received: 1/9/2013 Contact Person: Stephen Rosenbaum Determination: Pending
LNR-EQT2013004 Bone & Joint Institute of South Georgia, P.C. Fixed MRI Request received: 1/16/2013 Contact Person: J. Lex Kenerly, III, M.D. 912-427-0800 Determination: Pending

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

LNR-AS C2012022 Hillcre st Surgery Associate s, LLC

Hillcrest Surgery Associates

Site: 1110 Hillcrest Park way Suite D, Dublin, GA 31021

Number of OR's:

Specialty: Physician Owned Single Specialty

Project costs a s submitted: $1,126,000.00

Request received: 10/18/ 2012

Contact Person: Edward Luke 770-951-8427

Determination: Pending

LNR-AS C2012023 White Oak Surgery Center, Inc. Pain Management Site: 1665 East Highway 34, Newnan, GA 302065
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Number of OR's:

Specialty: Pain Management

Project costs a s submitted: $189,000.00

Request received: 10/30/ 2012

Contact Person: Edward C. Luke, Jr. 770-951-8427

Determination: Pending

LNR-AS C2012024 Innovative Pain Management Center, LLC

Physician-owned Single-Specialty ASC

Site: 1300 Upper Hembree Road, Building 100, Suite B

Number of OR's: 1

Specialty: Pain Management

Project costs a s submitted: $821,173.00

Request received: 10/31/ 2012

Contact Person: Edward C. Luke, Jr. 770-951-8427

Determination: Approved

Determination

1/10/2013

LNR-AS C2012025 Georgia Pain Physicians, P.C.

Physician-Owned, Office-B ased Single Specialty ASC

Site: 88-C Lindsey Lane, Kingsland, Camden County, GA 31548

Number of OR's:

Specialty: Pain

Project costs a s submitted: $0.00

Request received: 11/30/ 2012

Contact Person: Kristie E. Piasta 404-504-7649

Determination: Pending

LNR-AS C2012026 Georgia Pain Management ASC, LLC

Single Specialty Ambulatory Surgery Cent er

Site: 530 Spring Street, Gaines ville, GA 30501

Number of OR's: 1

Specialty: Pain Management

Project costs a s submitted: $76,000.00

Request received: 12/13/ 2012

Contact Person: Kathryn Herndon 770-503-7222

Determination: Pending

LNR-AS C2012027 Southern Surgery Center, LLC

Physician-Owed, Single Specialty ASC

Site: 401 West Fourt h A venue, Albany, GA 31701

Number of OR's: 3

Specialty: General Surgical Procedures

Project costs a s submitted: $0.00

Request received: 12/12/ 2012

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

Determination: Pending

LNR-AS C2012028 Panola Endoscopy Center, LLC.

Single Specialty Ambulatory Surgery Center

Site: 5403 Hillandale Park Court, Suite B, Lithonia 30058

Number of OR's: 2

Specialty: Gastroenterology

Project costs a s submitted: $0.00

Request received: 12/26/ 2012

Contact Person: Victor L. Moldovan 404-443-5708

Determination: Pending

LNR-AS C2013001 Thoma s Eye Surgery Center, LLC

Single Specialty Ambulatory Surgery Center

Site: 5874 Peachtree Dunwoody Road, 4th Floor, Atlanta, GA

Number of OR's: 2

Specialty: Ophthalmology

Project costs a s submitted: $0.00

Request received: 1/16/2013

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

Determination: Pending

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Requests for Miscellaneous Letters of Determination
DET2011040 Smith of Georgia, LLC d/b/a Smith Northview Hospital Cardiac Cath Acquisition and Cardiac Cat h Lab and OB Renovation Request received: 4/1/2011 Contact Person: Shamb Purohit 229-671-2002 Determination: Pending
DET2012062 CareSouth HHA Holdings of Wa shington, 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 Cathet erization Statutory Exemption Request received: 5/15/2012 Contact Person: Donald Elder 706-660-6342 Determination: Pending Opposition: St. Francis Hospital- 6/14/2012
DET2012131 GYN Resource s, Inc. Mobile Ambulatory Surgical Treatment Centers Request received: 8/8/2012 Contact Person: Vickey Worthy 404-605-7087 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
DET2012161 Houston Hospi tals, Inc. dab Perry Hospital Replace existing fixed based CT unit Request received: 10/3/2012 Contact Person: Tim Sisco 478-542-7837 Determination: Pending
DET2012165 Southeastern Regional Medical Center, Inc. Purchase a da Vinci Vessel Sealer and Stapler Vision Cart System Request received: 10/18/ 2012 Contact Person: David Kent 770-400-6261 Determination: Pending
DET2012167 Towne Lake Memory Care, LLC Establishment of New Pers onal Care Home/Assisted Living Request received: 10/30/ 2012 Contact Person: Nicole Haenszel 214-845-4454 Determination: Non-reviewable as proposed Determination Date: 12/27/ 2012
DET2012169 Wynfield Park Health and Rehabilitation Reloc ate 66 SNF Beds Request received: 11/2/2012 Contact Person: Stelling Nelson 478-314-1560 ext 2261 Determination: Pending
DET2012170 Effingham County Hospital Authority dba Effingham Health System Facilities Renovation and Imaging Project Request received: 11/6/2012 Contact Person: Norma Jean Morgan 912-754-0160 Determination: Non-reviewable as proposed Determination Date: 1/14/2013
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DET2012171 Universal Health Services, Inc. dba UHS of Savannah, LLC Cons olidation of Hos pital License Request received: 11/6/2012 Contact Person: Ray Heckerman 912-354-3911 Determination: Non-reviewable as proposed Determination Date: 1/8/2013
DET2012172 Ea st Georgia Regional Medical Center Addition of Vascular Lab to Existing Hospital Request received: 11/9/2012 Contact Person: Bob Bigley 912-486-1000 Determination: Non-reviewable as proposed Determination Date: 1/14/2013
DET2012173 Grady Memorial Hospital Corporation dba Grady Health System Hemodialysis Unit Renovations Request received: 11/13/ 2012 Contact Person: Craig Tindall 404-616-5141 Determination: Non-reviewable as proposed Determination Date: 1/14/2013
DET2012174 Grady Memorial Hospital Corporation, dba Grady Health System Clinical Engineering Department Remodeling Request received: 11/13/ 2012 Contact Person: Craig J. Tindall 404-616-5141 Determination: Non-reviewable as proposed Determination Date: 1/14/2013
DET2012175 Muscogee Manor & Rehabilitation Center Reloc ation of 90 Beds Request received: 11/13/ 2012 Contact Person: Frank Morast 706-561-3218 Determination: Non-reviewable as proposed Determination Date: 1/23/2013

DET2012176 Azalea Trace Nursing Center Reloc ation of the Nursing Center Request received: 11/13/ 2012 Contact Person: Frank Morast 706-561-3218 Determination: Non-reviewable as proposed

Determination Date: 1/23/2013

DET2012177 Kenne stone Hospital, Inc. dba WellStar Kennestone Hospital Capit al Expendit ure Below Threshold Request received: 11/13/ 2012 Contact Person: Stephen Vault 678-331-6887 Determination: Non-reviewable as proposed Determination Date: 1/14/2013

DET2012178 Riverwood Retirement Life Community Expansion of PCH from 75 to 100 beds Request received: 11/13/ 212 Contact Person: Jason Gibson 423-653-8512 Determination: Non-reviewable as proposed Determination Date: 1/15/2013

DET2012179 University Hospital Replacement of CT Scanner Request received: 11/14/ 2012 Contact Person: Jackie M. Kendinger 706-774-8044 Determination: Non-reviewable as proposed Determination Date: 1/23/2013

DET2012181 Meadows Regional Cancer Center, LLC Replacement of Linear Accelerator Request received: 11/15/ 2012 Contact Person: Howard Holman 912-538-5889 Determination: Pending Opposition: Satilla Regional Cancer Treatment Center- ; South Georgia Cent er- 12/14/2012
DET2012182 John D. Archbold Memorial Hospital Replacement of MRI Scanner Request received: 11/20/ 2012
13

Contact Person: Ken Brooker 229-228-2880 Determination: Non-reviewable as proposed Determination Date: 1/23/2013
DET2012183 South Regional Health System, Inc, Combine Hospital Permit Request received: 11/20/ 2012 Contact Person: James E. Crissey 770-991-9000 Determination: Pending
DET2012184 Gwinnett Hospi tal System, Inc. dba Gwinnett Medical Center - Lawrenceville Replacement of CON - Authorized Equipment Request received: 11/21/ 2012 Contact Person: Mark M. Mullin 678-312-4193 Determination: Pending
DET2012185 Emory Universi ty dba Emory University Orthopedic & Spine Hospital Addition of a 7th Shared Operating Room Request received: 11/21/ 2012 Contact Person: June Connor, MN,RN,NE-B C 404-656-8925 Determination: Non-reviewable as proposed Determination Date: 1/24/2013
DET2012186 Houston Hospi tal, Inc. dba Houston Medical Center Replace existing Adult Diagnostic Cardiac Cat heterization Equipment Request received: 11/26/ 2012 Contact Person: Tim Sisco 478-542-7837 Determination: Pending
DET2012187 Medical Center of Central Georgia, Inc. Construction of New Medical Office Building Request received: 11/26/ 2012 Contact Person: H. Bryan Forlines 478-633-6966 Determination: Pending
DET2012188 Central Georgia PET, LLC Reloc ate PT/ CT Equipment on Campus Request received: 11/26/ 2012 Contact Person: H. Bryan Forlines 478-633-6966 Determination: Pending
DET2012189 Tifton County Hospital Authority Replacement of Computed Tomography Scanner Request received: 11/30/ 2012 Contact Person: Tracie Grace 229-353-7594 Determination: Pending
DET2012190 Northside Hospital, Inc. Capit al Expendit ures to Acquire Existing MOB Request received: 11/30/ 2012 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2012191 Northside Hospital, Inc. Capit al Expendit ures to Acquire Existing MOB Request received: 11/30/ 2012 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2012192 Floyd Healthcare Management, Inc. dba Floyd Medical Center Acquisition of Computer/Information Systems Request received: 12/5/2012 Contact Person: Stephen Weed 706-509-3257 Determination: Pending
14

DET2012193 Floyd Healthcare Management, Inc. dba Floyd Medical Center Renovate Inpatient Bathrooms Request received: 12/5/2012 Contact Person: Stephen Weed 706-509-3257 Determination: Pending
DET2012194 Floyd Healthcare Management, Inc. dba Floyd Medical Center Renovate Public Bathrooms Request received: 12/5/2012 Contact Person: Stephen Weed 706-509-3257 Determination: Pending
DET2012195 Magnolia Manor of St. Mary's Change of Capacity Request received: 12/12/ 2012 Contact Person: Mark Todd 229-924-9352 Ext 4053 Determination: Pending
DET2012196 Piedmont Hospital, Inc. Replacement of Gamma Knife Request received: 12/13/ 2012 Contact Person: Davis Dunbar 404-788-3638 Determination: Pending
DET2012197 Foundations Recovery Network Establish a Residential Substance Abuse Treatment Center Request received: 12/17/ 2012 Contact Person: Richard Rogers 615-345-3204 Determination: Pending
DET2012198 Coli seum Medical Center, LLC dba Coliseum Medical Centers Expansion and Relocation of Electrophysiology (EP) Service Request received: 12/14/ 2012 Contact Person: David Portwood 478-765-4100 Determination: Pending
DET2012199 Coli seum Medical Center, LLC dba Coliseum Medical Centers Addition of an Electrophysiology (EP) Laborat ory Request received: 12/14/ 2012 Contact Person: David Portwood 478-765-4100 Determination: Pending
DET2012200 MCG Health, Inc. dba Georgia Health Sciences Medical Center Replacement of Adult Cath Lab Equipment & Renovations Request received: 12/17/ 2012 Contact Person: Phil Howard 706-721-4551 Determination: Pending
DET2012201 Med Cross Imaging P.C. Mobile MRI Services Request received: 12/17/ 2012 Contact Person: Kuo L. Lee, MD 478-7337-9292 Determination: Pending
DET2012202 Med Cross Imaging P.C. Mobile MRI Services Request received: 12/17/ 2012 Contact Person: Kuo L. Lee, M.D. 478-737-9292 Determination: Pending
DET2012203 Assi sted Living at Cedarcrest Assisted Living Community for Privat e Pay Residents Request received: 12/17/ 2012
15

Contact Person: Craig Thomas/Mike McMahan 678 -618-1022 Determination: Pending
DET2012204 Doctors Hospital of Augusta, LLC Convert Radiology Room Into Emergency Treatment Room Request received: 12/18/ 2012 Contact Person: Chris Cosby 706-651-6101 Determination: Pending
DET2012205 Piedmont Hospital, Inc. dba Piedmont Atlanta Hospital Renovation Emergency Department Triage/Waiting/Reception area Request received: 12/19/ 2012 Contact Person: Davis Dunbar 404-788-3638 Determination: Pending
DET2012206 Piedmont Hospital, Inc. dba Piedmont Atlanta Hospital Renovation of Coronary Care Unit on Third Floor Request received: 12/19/ 2012 Contact Person: Davis Dunbar 404-788-3638 Determination: Pending
DET2012207 Gwinnett Hospi tal System, Inc. dba Gwinnett Medical Center Renovation of Diagnostic Cardiology Department Request received: 12/21/ 2012 Contact Person: Mark M. Mullin 678-312-4193 Determination: Pending
DET2012208 Floyd Healthcare Management, Inc. dba Floyd Medical Center Replacement of CON Approved Hospit al Based MRI Request received: 12/21/ 2012 Contact Person: Stephen Weed 706-509-3257 Determination: Pending
DET2013001 St. Mary's Health Care System, Inc. Addition of Sterile Processing Area Request received: 1/2/2013 Contact Person: Nina E vans 706-389-3947 Determination: Pending
DET2013002 Piedmont Hospital, Ind. Dba Piedmont Atlanta Hospital Renovation of the McDonnell Outpatient Surgery Center Request received: 1/3/2013 Contact Person: Davis Dunbar 404-788-3638 Determination: Pending
DET2013003 Hidden Lake Assi sted Living & Memory Care Assisted Living Community for Privat e Pay Residents Request received: 1/4/2013 Contact Person: John M. Pascoe/Brian P. Sticker 770-366-6600 Determination: Pending
DET2013004 Phoebe Putney Health System, Inc. Development of Medical Office Building Request received: 1/4/2013 Contact Person: Lori Jenkins 229-312-1432 Determination: Pending
DET2013005 Diagnosti c Services, L.C. dba OMI Diagnostics - Alpharetta Reloc ation of DTRC and replacement of one existing MRI Unit Request received: 1/9/2013 Contact Person: Thomas Brown 770-664-7777 ext 4601 Determination: Pending
16

DET2013006 HLTC, Inc dba Quinton Memorial and Rehabilitation Capit al Expendit ure Below CON Threshold Request received: 1/15/2013 Contact Person: Dennis Stout 706-226-4642 Determination: Pending DET2013007 Fayette Community Hospital, Inc. dba Piedmont Fayette Hospital Increase in Bed Capacity Request received: 1/17/2013 Contact Person: Davis Dunbar 404-788-3638 Determination: Pending DET2013008 Northside Hospital, Inc. dba Northside Hospital - Forsyth Replace CON approved Radiology Equipment Request received: 1/18/2013 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
Requests for Extended Implementation/Effective Period
none
Need Projection Analyses Updated 12/21/2012
Current Status of Official Division of Health Planning Need Projection Analyse s and Other Data Resource s
Need Projections and Maps for CON Regulated Services
2017 Non-Special MegaVoltage Radiation Therapy - 12/ 20/2012 2017 Positron Emission Tomography Services - 12/20/2012 2017 Ambulatory Surgery Center Services - 9/21/ 2012 2015 Home Health Agency Services - 9/24/2012 2017 Inpatient Physical Rehabilitation Services - 9/24/2012 2017 Neonat al Intensive Care Beds - 9/24/2012 2017 Neonat al Intermediate Care Beds - 9/24/2012 2017 Obstetric Services Beds - 9/24/2012 2015 Skilled Nursing Home Beds - 9/24/2012 Non-Batched Need P rojections 2015 Cardiac Catheterization Labs - Updated 4/6/2010 2017 Long Term Care Hospital Beds - 7/2/2012 Note: Short Stay Hospital Bed Need Projections are facility -specific and completed by DCH on an ad hoc basis upon request. Currently, projections can be obtained for 2016 using 20 10 utilization.
17

Non-Filed or Incomplete Division of Health Planning
Facility Surveys for Most Recent 3 Years (Survey Status as of 1/24/2013)
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

Coun ty

Survey Year

Annual Hospital Que stionnaire 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

Gw innett Medical Center

Gw innett

2011

Hutcheson Medical Center

Catoosa

2011

Low er Oconee Community Hospital, Inc.

Wheeler

2011

Northw est Georgia Regional Hospital

Floyd

2010

Northw est Georgia Regional Hospital

Floyd

2011

Southern Crescent Hospital for Specialty Care

Clayton

2011

Southw est Georgia Regional Medical Center

Randolph

2011

Stew art Webster Hospital

Stew art

2009

Stew art Webster Hospital

Stew art

2010

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

Bell Minor Home, The

Hall

2011

Brown's Health & Rehabilitation Center

Bulloch

2011

Carrollton Manor, Incorporated

Carroll

2011

College Park Health Care Center

Fulton

2011

Emanuel County Nursing Home

Emanuel

2011

Folkston Park Care And Rehabilitation Center

Charlton

2011

Golden LivingCenter - Augusta

Richmond

2011

Golden LivingCenter - Decatur

DeKalb

2011

Golden LivingCenter - Medical Arts

Gw innett

2011

Golden LivingCenter - Northside

Fulton

2011

Goodw ill Nursing Home Inc

Bibb

2011

Gracewood Development Ctr - ICF/MR Gracewood Nursing Facility (Unit 9)

Richmond Richmond

2011 2011

Hutcheson Medical Center

Catoosa

2011

Joe-Anne Burgin Nursing Home

Randolph

2011

Lumber City Nursing & Rehabilitation Center

Telf air

2011

Manor Care Rehabilitation Center - Decatur

DeKalb

2011

Manor Care Rehabilitation Center - Marietta

Cobb

2011

Meadow s Nursing Center

Toombs

2011

New London Health Center

Gw innett

2011

Northw est Georgia Regional Hospital ICF/MR

Floyd

2011

Oceanside Nursing & Rehab Center

Chatham

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

Parkside At Hutcheson Medical Center Pow der Springs Nursing & Rehabilitation Center Savannah Beach Nursing & Rehab Center Savannah Specialty Care Center Savannah Square Health Center Scepter Health & Rehab of Snellville, LLC Southland Healthcare And Rehabilitation Center Westminster Commons Westview Nursing & Rehabilitation Center

Walker Cobb Chatham Chatham Chatham Gw innett Laurens Fulton Chatham

2011 2011 2011 2011 2011 2011 2011 2011 2011

Cardiac Catheterization Services Survey (Survey Years 2009 thru 2011)

Coffee Regional Medical Center

Cof f ee

2011

Gw innett Medical Center

Gw innett

2011

Hutcheson Medical Center

Catoosa

2010

Hutcheson Medical Center

Catoosa

2011

Mayo Clinic Health System in Waycross

Ware

2011

Meadow s Regional Medical Center

Toombs

2011

Phoebe Putney Memorial Hospital

Dougherty

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 Associates Physicians Asc

BIBB BIBB

2010 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.

FUL TON Fulton DEKALB

2011 2011 2009

Atlanta Plastic & Reconst Surg

FUL TON

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

FUL TON

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

Bow man Pain Management, Pc

BIBB

2009

Bow man Pain Management, Pc

BIBB

2011

Buckhead Mohs Surgical Center, LLC

FUL TON

2010

Buckhead Mohs Surgical Center, LLC

FUL TON

2011

Center For Orthopedic Surgery

BARTOW

2011

Center For Pl & Recon Surgery

CLARKE

2009

Center For Pl & Recon Surgery

CLARKE

2010

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
7/13/2011 7/13/2011 7/1/2011 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 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 3/9/2012 3/11/2011 3/9/2012 3/9/2012 3/12/2010 3/11/2011

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 Rosw ell, PC Dalton Plastic Surgery Day Surgery And Recovery Ctr Dennis Surgery Center, Inc. Digestive Healthcare Of Ga Endo Ctr Mountainside Digestive Healthcare Of Ga Endo Ctr Mountainside Digestive Healthcare Of Ga Endoscopy Ctr Dublin Endoscopy Center, LLC Dublin Eye Surgery Center Dublin Orthopaedics Asc, Inc Endoscopy Center Of Middle Georgia, Llc Endoscopy Center, Llc, The Endoscopy Consultants, Llc Endoscopy Consultants, LLC Ent Surgical Center Eye Associates Surgery Ctr Eye Associates Surgery Ctr Eyesight's Laser & Surgery Ctr Foot & Ankle Surgery Ctr, Llc, The Foot & Ankle Surgery Ctr, Llc, The Forsyth Surgical Center, Inc. Forsyth Surgical Center, Inc. GA Urology, PA Cobb Ambulatory Surgery Center Gainesville Endoscopy Center, Llc Gainesville Eye Center, Llc Georgia Endoscopy Center, LLC Georgia Pain Physicians dba Georgia Surgical Centers of North Georgia GEORGIA PAIN SPINE CENTER, LLC Georgia Surgical Ctrs Of N Ga Golden Isles Foot Sur Ctr, Inc Gw innett Center for Outpatient Surgery Gw innett Endoscopy Services - Duluth Harbin G I, Llc Island Surgery Center, Inc Island Surgery Center, Inc Jimenez Foot, Ankle & Leg Asc Jimenez Foot, Ankle & Leg Asc Johns Creek Othopedic Surgery Center Macon Pain Center, Pc Macon Pain Center, Pc Macon Pain Center, Pc Metro Atlanta Endoscopy Midtow n Urology Surgical Center New nan Foot & Ankle Surgery Center, Llc

CLARKE WHITFIEL D WHITFIEL D CLAYTON CHATHAM GLYNN COBB COBB COFFEE Muscogee FUL TON WHITFIEL D WHITFIEL D FUL TON PICKENS PICKENS FUL TON LAURENS LAURENS LAURENS BIBB CHATHAM FUL TON FUL TON CHATHAM LOWNDES LOWNDES HOUSTON MUSCOGEE MUSCOGEE FORSYTH FORSYTH COBB HALL HALL Forsyth GORDON
COBB GORDON GLYNN Gw innett Gw innett FLOYD GLYNN GLYNN GWINNETT GWINNETT Fulton BIBB BIBB BIBB FUL TON FUL TON COWETA

20

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

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
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

New nan Foot & Ankle Surgery Center, Llc Non-surgical Orthopaedic Pain Center, P C North Columbus Surgery Center, LLC North Georgia Endoscopy Center, Inc North Georgia Endoscopy Center, Inc North Georgia Endoscopy Center, Inc North Georgia Eye Surgery Center, Llc North Georgia Eye Surgery Center, Llc North Georgia Foot & Ankle Surgery Center North Georgia Institute For Wound Care, Llc North Georgia Institute For Wound Care, Llc Northeast Endoscopy Center, Llc Northeast Georgia Urological Surgery Center, Llc Northeast Georgia Urological Surgery Center, Llc Northside Foot & Ankle Outpat Northside Surgery Center, Inc. Operating Room Services, Llc Orthopedic Surgery Center, L.P. Orthopedic Surgery Center, L.P. Paces Plastic Surgery Center Paces Plastic Surgery Center Pain Clinic Of Aimr, P.c. Pain Clinic Of Aimr, P.c. Peachtree Spine And Pain Physicians Asc, Llc Perimeter Surgery Center of Atlanta Perimeter Surgery Center of Atlanta Piedmont Surgery Center Pinnacle Orthopaedics Surgery Center-Austell, LLC Plastic & Reconstructive Surgery Center, Pc Plastic Surgery Ctr Land, The Plastic Surgery Ctr Land, The Plastic Surgery Ctr Land, The Podiatric Surgi Center Professional Eye Surgery Ctr Pulliam Ambulatory Surg Ctr Pulliam Ambulatory Surg Ctr Pulliam Ambulatory Surg Ctr Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Surgical Center, P C Rome Surgical Center, P C Rome Surgical Center, P C Rosw ell Center for Foot and Ankle Surgery Samson Pain Center, Pc Samson Pain Center, Pc Samson Pain Center, Pc Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Pain Center, Llc Savannah Pain Center, Llc Savannah Pain Center, Llc Seaside Surgical, Llc Seaside Surgical, Llc

COWETA COBB MUSCOGEE CHEROKEE CHEROKEE CHEROKEE HALL HALL Catoosa FORSYTH FORSYTH GWINNETT HALL HALL GWINNETT FUL TON CHATHAM Chatham Chatham FUL TON FUL TON FUL TON FUL TON FUL TON Fulton Fulton BIBB COBB RICHMOND CHATHAM CHATHAM CHATHAM DEKALB WHITFIEL D NEWTON NEWTON NEWTON FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD Fulton CHEROKEE CHEROKEE CHEROKEE Chatham
Chatham
CHATHAM CHATHAM CHATHAM GLYNN GLYNN
21

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

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 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

Southeast Treatment Center, Llc Southeast Treatment Center, Llc Southern Bone & Joint, Llc Summit Endoscopy Center, L L C Summit Endoscopy Center, L L C Surgery Center of Athens Surgery Center of BJI, LLC Surgical Centers of Georgia Thomas Eye Surgery Center Tifton Endoscopy Center, Inc. Universal Ambulatory Surgery Center, P C Universal Ambulatory Surgery Center, P C Urology Associates Surgery Center, Llc Urology Center Of Georgia Llc Urology Center Of Georgia Llc Urology Surgery Center Of Savannah, Lp Urology Surgical Partners, Llc V.O.A. Ambulatory Surgical Center Valdosta Endoscopy Center, Llc Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery Wellbrook Endoscopy Center Wellbrook Endoscopy Center Wellbrook Endoscopy Center (covington) West Georgia Endoscopy Center, Llc Westside Endoscopy Center, P C Westside Endoscopy Center, P C WESTSIDE SURGERY CENTER, LL C (d/b/a ENT of Coffee County) Woodhams Laser & Lens Implant Woodhams Laser & Lens Implant WOOLFSON AMBULATORY SURGERY CENTER, LLC

CAMDEN CAMDEN COWETA FAYETTE FAYETTE Clarke WAYNE Bibb FUL TON TIFT MUSCOGEE MUSCOGEE COBB BIBB BIBB CHATHAM FUL TON LOWNDES LOWNDES LOWNDES LOWNDES LOWNDES ROCKDALE ROCKDALE NEWTON CARROLL COBB COBB COFFEE
FUL TON FUL TON FUL TON

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

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

Tif t

2010 2011 2010 2011 2011 2011

Hospital Financial Survey (Survey Years 2009 thru 2011

Charlton Memorial Hospital

Charlton

Mountain Lakes Medical Center Mountain Lakes Medical Center

Rabun Rabun

Riverw oods Behavioral Health System

Clayton

Youth Villages - Inner Harbour Campus

Douglas

Youth Villages - Inner Harbour Campus

Douglas

2011
2010 2011 2011
2010 2011

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

Gw innett Medical Center

Gw innett

2011

Phoebe Putney Memorial Hospital

Dougherty

2011

Posi tron Emi ssion Tomography Services Survey (Survey Years 2009 thru 2011)

Battlefield Imaging Center

Catoosa

2009

22

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 3/9/2012 3/9/2012 3/9/2012
7/13/2012 7/8/2011 7/13/2012 7/13/2012 7/8/2011 7/13/2012
7/13/2011 7/13/2011
4/30/2010

Radiation Therapy Services Survey (Survey Years 2009 thru 2011)

Hutcheson Medical Center

Catoosa

2010

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 1/24/2013)

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 Gw innett 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, 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.

County DOUGHERTY DOUGHERTY Fulton Clayton Clayton CLAYTON DEKALB FUL TON CLAYTON CLAYTON Hall HENRY Gw innett GORDON GORDON HALL HALL GWINNETT GWINNETT FUL TON FUL TON CLAYTON CLAYTON CLAYTON Chatham FUL TON FUL TON FUL TON FUL TON Chatham Chatham Chatham Ware FUL TON FUL TON Clayton Richmond Muscogee Muscogee FUL TON FUL TON Muscogee Bibb Elbert Mc Duf f ie Mc Duf f ie

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

Shortfall Due Service 38,801.81 Ambulatory Surgery Center 46,106.54 Ambulatory Surgery Center 1,665.20 Ambulatory Surgery Center 13,418.77 Ambulatory Surgery Center 66,531.12 Ambulatory Surgery Center 44,542.67 Ambulatory Surgery Center 83,031.41 Ambulatory Surgery Center 16,719.75 Ambulatory Surgery Center 75,209.04 Ambulatory Surgery Center 10,731.33 Ambulatory Surgery Center 38,485.44 Ambulatory Surgery Center 4,303.40 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 114,593.31 Ambulatory Surgery Center 124,405.19 Ambulatory Surgery Center
4,689.30 Ambulatory Surgery Center 4,650.87 Ambulatory Surgery Center 5,272.52 Home Health Agency
192.42 Home Health Agency 98,252.02 Home Health Agency 11,903.41 Home Health Agency 10,055.68 Home Health Agency

23

Guardian Home Care of Central Georgia Guardian Home Care of Northeast Georgia Guardian Home Care, LLC Southside Medical Home Health Suncrest Home Health

Oconee Hall Fulton DeKalb Cobb

2011 2011 2011 2010 2011

49,938.52 35,797.51 147,847.14 4,224.15 6,917.49

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

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

September

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

December

Letter of Intent
October
January

Application Deadline November
February

WINT ER

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

March

April

May

SPRI NG

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

June

July

August

SUM MER

Letters of Intent for services, facilities, or expenditures for which there is no specified batching cycle, or other applicable rule, may be filed at any time.
Batching Notifications Posted 12/21/2012 on DCH Website
Winter Batching Re view 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
FALL CYCLE

Application

Day

(application

complete when

submitted;

review cycle

Batching

begins same

Notice

day)

(Nov ember 24, 2012; Rollov er date

(September 25, 2012) App due by 12 noon Nov ember 26, 2012)

75th Day
(applicant provides additional information)
(February 6, 2013)

100th
Day
(last day for letters of support to be submitted to
Department)
(March 3, 2013)

120th Day
(Department Issues
decision)
(March 22, 2013)

Letter of Intent
(October 25, 2012)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(January 22, 2013)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(February 21, 2013)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(March 13, 2013)

Batching Notice issued 30 days before Letter of Intent Due
Letter of Intent received by Department 30 days before a pplication is submitted
Applications submitted; deemed complete; review cycle begins
60-Day meeting (applicant only); deadline for receipt of opposition letter(s)
75th day applicant provides additional information 90th day Opposi tion Meeting(s) scheduled; applicant can be in attendance; opposing partie s must provide written statement of opposition arguments pre sented (original and one copy to the Department and one copy to the applicant); pre sentation time will be limited; Department reserves right to make additional inquiries subsequent to 60 -day meeting and following opposition meeting.
100th day Last day for letters of support to be submitted to the Department
110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposi tion due to Department; applicant deadline for pro viding written response to Department' s inquiries subsequent to opposi tion meeting
120th day Deci sion issued (No di scretion to extend)

27

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

Batching Notice
(December 21, 2012)

Application Day
(application complete when
submitted; review cycle begins same
day)
Due by 12 noon February 19, 2013)

75th Day
(applicant provides additional information)
(May 4, 2013)

100th Day
(last day for letters of support to be submitted to Department)
May 29, 2013

120th Day
(Department Issues
decision)
(June 18, 2013)

Letter of Intent
( Due by 5pm January 22, 2013)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(April 19, 2013)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(May 19, 2013)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(June 8, 2013)

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

28

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

Letter of Intent

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

75th Day
(applicant provides additional information)

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

120th
Day
(Department Issues decision)

Ap pli ca tio n must be
submitted by 3 PM
(10 days to review for completeness)

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

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

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

150t h
Da y
(project can be extended)

Letter of Intent received by Department 30 days before application is submitted
Application submitted (10 working days to review for completeness). Applications submitted after 3:00 M PM will be considered received on the next business day.
Application deemed complete; 120-day review cycle begins
60-day meeting (applicant only); deadline for receipt of opposition letter(s)
75th day applicant provides additional information
90th day Opposition Meeting(s) scheduled; applicant can be in a ttendance; 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 exempti on or letter of nonreviewability as provided at O.C.G.A. 31-6-40(c)(2)(A) will be required to:
Provide notice to the department by August 15, 2008, of the following: Name Ownership Location Single Specialty Services provided in the exempt facility
For purposes of complying with this requirement, notice may be sent through the mail, by facsimile, or e -mail. Information will not be accepted by telephone. Please submit this information to:
Georgia Department of Community Health Healthcare Facility Regulation Division c/o Matthew Jarrard 2 Peachtree Street, NW 5th Floor Atlanta, Georgia 30303 Fax Number: 404-656-0654 E-mail address: mjarrard@dch.ga.gov
These facilities will also be required to provide annual reports beginning on January 1, 2009, in accordance with the Department's annual reporting requirements for existing CON-approved facilities and services. Further reporting instructions will be provided by the Department. Noncompliance with this information request may result in a fine as authorized under O.C.G.A. 31-6-70(e)(1).
These reports will not be due to the Department until the survey instrument has been issued. The survey instrument for ambulatory surgery services is now complete. Further information will be forth coming by mail. The survey instrument for imaging centers is expected to be released on or before July 1, 2009.
LETTERS OF DETERMINATION The Department will require that a determination request be submitted for any proposed activity that may be exempt under O.C.G.A. 31-6. Such requests will be accepted only on the Department's Determination Request form with the required filing fee of $250. Note: Requests for confirmation of the exemptions for a single specialty ambulatory surgical center or a joint venture ambulatory surgical center and equipment below the threshold are considered requests for a Letter of Nonreviewability and require a $500 filing fee.
30

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

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

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

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

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

31