Certificate-of-need tracking and appeals report [Dec. 11-17, 2013]

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Letters of Intent Expired Letters of Intent

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

Appealed Determ inations
Appealed CON Projects
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

CERTIFICATE OF NEED
De ce mber 11, 2013 Dece mber 17, 2013

Bat ching Notifications - Fall Need Projection Analyses New Batching Review Summer Cycle Fall 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 Open Record Request Form
Special Note

Georgia Department of Community Health Healthcare Facility Regulation Division/ Office of Health Planning 2 Peachtree Street 5th Floor Atlanta, Georgia 30303-3159 (404) 656-0409 (404) 656-0442 Fax www.dch.georgia.gov
www.GaMap2Care.info

Letters of Intent

LOI2013089 Northside Hospital - Forsyth

Renovation of Surgery Department

Received: 12/6/2013

Application must be submitted on: 1/6/2014

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

Estimated Cost: $5,000,000

LOI2013090 Northside Hospital - Forsyth

Expand Medical-S urgical Short Stay Beds by 14 Through Conversion of Observation Beds

Received: 12/6/2013

Application must be submitted on: 1/6/2014

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

Estimated Cost: $0

LOI2013091 Hamilton Medical Center

Renovation and Expansion of MICU

Received: 12/11/2013

Application must be submitted on: 1/10/2014

Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County)

Estimated Cost: $16,000,000

Expired Letters of Intent

LOI2013071 Jimenez Foot, Ankle & Leg Ambulatory Surgery Center Batching

Conversion to a CON-A pproved Single-Specialty Ambulatory Surgery Cent er

Received: 10/30/2013

Application must be submitted by noon on: 12/2/2013

Site: 2175 North Road, Snellville, GA 30078 (Gwinnett County)

Estimated Cost: $100,000

LOI2013072 Ea stside Surgery Center, LLC Batching

Development of a Freestanding Ambulatory Surgery Center

Received: 10/30/2013

Application must be submitted by noon on: 12/2/2013

Site: 1600 Medical Way, Snellville, GA 30078 (Gwinnett County)

Estimated Cost: $10,000,000

LOI2013075 Northeast Georgia Medical Center - South Hall Campus Batching

Development of Basic Perinatal Program

Received: 10/30/2013

Application must be submitted by noon on: 12/2/2013

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

Estimated Cost: $13,995,000

LOI2013078 Medi CareGivers, LLC

Establish a New Home Health Agency for Diabetic Patients Batching

Received: 10/30/2013

Application must be submitted by noon on: 12/2/2013

Site: 1172 Old Salem Road, Conyers, GA 30094 (Rockdale County)

Estimated Cost: $25,500

LOI2013079 Medi CareGivers, LLC

Establish a New Home Health Agency for Ischemic Heart Disease Patients Batching

Received: 10/30/2013

Application must be submitted by noon on: 12/2/2013

Site: 1172 Old Salem Road, Conyers, GA 30094 (Rockdale County)

Estimated Cost: $25,500

LOI2013080 Medi CareGivers, LLC

Establish a New Home Health Agency for Hypertension Patients Batching

Received: 10/30/2013

Application must be submitted by noon on: 12/2/2013

Site: 1172 Old Salem Road, Conyers, GA 30094 (Rockdale County)

Estimated Cost: $25,500

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LOI2013081 Medi CareGivers, LLC

Establish a New Home Health Agency for Spanish Speaking Patients Batching

Received: 10/30/2013

Application must be submitted by noon on: 12/2/2013

Site: 1172 Old Salem Road, Conyers, GA 30094 (Rockdale County)

Estimated Cost: $35,500

LOI2013082 Medi CareGivers, LLC

Establish a New Home Health Agency for Russian Speaking Patients Batching

Received: 10/30/2013

Application must be submitted by noon on: 12/2/2013

Site: 1172 Old Salem Road, Conyers, GA 30094 (Rockdale County)

Estimated Cost: $25,500

New CON Applications

2013-069 Open MRI & Imaging of Conyers, LLC
Reloc ation of Outpatient Imaging Facility Filed: 12/6/2013 Site: 2287 Salem Road, Conyers, GA 30013 (Rockdale County) Contact: Per B. Normark, General Counsel 770 -300-0101 Estimated Cost: $2,500,000

2013-070 Georgia Regents Medical Center Renovation of 7t h Floor South Wing Received: 11/14/2013
Filed: 12/16/2013 Site: 1120 15th Street, Augusta, GA 30912 (Richmond County)

Estimated Cost:

$4,176,888

Pending Review/Incomplete Applications
none
Pending Review/Complete Applications
2013-039 Gwinnett Medical Center - Lawrenceville Acquisition of Interventional Radiology Unit Filed: 7/29/2013 Deemed Incomplete: 8/8/2013 Deemed Complete: 10/3/2013 60th Day Deadline: 12/1/2013 Deci sion Deadline: 1/30/2014 Site: 1000 Medical Center Boulevard, Lawrenceville, GA 30046 (Gwinnett County) Contact: Mark M. Mullin, Director, Planning 678-312-4193 Estimated Cost: $3,492,694
2013-041 Grady Health System Renovation and Expansion of the Emergency Department Filed: 8/26/2013 Deemed Incomplete: 9/3/2013 Deemed Complete: 9/19/2013 60th Day Deadline: 11/17/2013 Deci sion Deadline: 1/16/2014 Site: 80 Jesse Hill Drive SE, Atlanta, GA 30303 (Fulton County) Contact: Samuel L. Williams 404-616-5141 Estimated Cost: $73,994,670
2013-042 Atlanta Birth Center, Inc. Freestanding Birthing Center - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013
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Site: 1451 Northside Drive, Atlanta, GA 30318 (Fult on County) Contact: Victor L. Moldovan, Attorney 404-443-5708 Estimated Cost: $950,000
2013-043 Northea st Georgia Medical Center - South Hall Campus
Megavolt age Radiation Therapy - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 5875 Thompson Mill Road, Hoschton, GA 30548 (Hall County) Contact: Chad T. Bolton, Director of Planning 770-219-6630 Estimated Cost: $10,552,905
2013-044 West Georgia Medical Center, Inc.
PET Scanner Servic es - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 1514 Vernon Road, LaGrange, GA 30240 (Troup County) Contact: Carol Todd, General Couns el 706 -882-1411 Estimated Cost: $115,000
2013-045 Appling Healthcare System
Psych/Substance Abuse Services - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 163 E. Tollison Street, Baxley, GA 31515 (A ppling County) Contact: Robin Crosby, Director of Education/Mark eting 912-367-9841 Estimated Cost: $291,489
2013-046 Greenleaf Center, LLC
Adult Acute Care Psych/Substance Abuse Bed Expansion - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 2209 Pineview Drive, Valdosta, GA 31602 (Lowndes County) Contact: Mike Ham, CEO 229-671-6611 Estimated Cost: $273,335
2013-047 Chatuge Regional Hospital
Psych/Substance Abuse Services - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 110 S. Main Street, Hiawassee, GA 30512 (Towns County) Contact: Michael Gowder, Chief Executive Officer 706 -745-2111 Estimated Cost: $1,224,000
2013-048 Dodge County Hospital Psych/Substance Abuse Services - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 901 Griffin A venue, Eastman, GA 31023 (Dodge County) Contact: Jan Hamrick, CFO 478-448-4050 Estimated Cost: $25,000
2013-050 Ty Cobb Regional Medical Center, LLC
Psych/Substance Abuse Services - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013
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60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 521 Franklin Springs Street, Royston, GA 30662 (Franklin County) Contact: Gregory K. Hearn, Chief Executive Officer 706 -356-7820 Estimated Cost: $2,948,850
2013-051 Newnan Behavioral Hospital Psych/Substance Abuse Services - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 58-60 Hospital Road, Newnan, GA 30263 (Coweta County) Contact: Martina Sze, Vice President 212 -243-5565 Estimated Cost: $6,950,765
2013-052 Northsi de Hospital Renovate/Expand the Surgery Department Filed: 9/3/2013 Deemed Complete: 9/17/2013 60th Day Deadline: 11/15/2013 Deci sion Deadline: 1/14/2014 Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County) Contact: Brian Toporek, Senior Planner 404 -851-6821 Estimated Cost: $10,802,472
2013-053 WellStar Cobb Hospital Renovate Existing Space Filed: 9/3/2013 Deemed Complete: 9/16/2013 60th Day Deadline: 11/14/2013 Deci sion Deadline: 1/13/2014 Site: 3950 Austell Road, Austell, GA 30106 (Cobb County) Contact: April Austin 470-644-0057 Estimated Cost: $5,621,869
2013-054 Gwinnett Medical Center - Lawrenceville da Vinci Robot Surgical System Filed: 9/4/2013 Deemed Incomplete: 9/18/2013 Deemed Complete: 10/3/2013 60th Day Deadline: 12/1/2013 Deci sion Deadline: 1/30/2014 Site: 1000 Medical Center Boulevard, Lawrenceville, GA 30046 (Gwinnett County) Contact: Mark M. Mullin, Director of Planning 678-312-4193 Estimated Cost: $2,100,000
2013-055 Cobb Hospital, Inc. dba WellStar Cobb Hospital Establish a Diagnostic Cent er Filed: 9/16/2013 Deemed Complete: 9/30/2013 60th Day Deadline: 11/28/2013 Deci sion Deadline: 1/27/2014 Site: Winchester Parkway & S. Atlanta Road, Smyrna, GA 30080 (Cobb County) Contact: April Austin, Regulatory Planning Coordinator 470 -644-0057 Estimated Cost: $8,720,573
2013-056 DeKalb Medical at Hillandale CT Scanner Filed: 9/19/2013 Deemed Complete: 10/3/2013 60th Day Deadline: 12/1/2013 Deci sion Deadline: 1/30/2014 Site: 2801 Medical Center Parkway, Lithonia, GA 30058 (DeKalb County) Contact: Donald F. Fears 404-501-5790 Estimated Cost: $2,160,670
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2013-057 Tift Regional Medical Center
Oncology Center Expansion Filed: 9/25/2013 Deemed Complete: 10/8/2013 60th Day Deadline: 12/6/2013 Deci sion Deadline: 2/4/2014 Site: 1632 Madison A venue, Tifton, GA 31794 (Tift County) Contact: Sarah Thompson 229-353-3421 Estimated Cost: $2,854,096
2013-058 Grady Memorial Hospital
Renovation of Existing Space Filed: 10/24/2013 Deemed Incomplete: 11/5/2013 Deemed Complete: 12/2/2013 60th Day Deadline: 1/30/2014 Deci sion Deadline: 3/31/2014 Site: 80 Jesse Hill Drive, Atlanta, GA 30303 (Fulton County) Contact: Samuel L. Williams, VP, Non-Clinical Support Srvcs 404-616-3954 Estimated Cost: $5,413,739
2013-059 Georgia Regents Medical Center Addition of a Third CT Scanner Filed: 11/1/2013 Deemed Complete: 11/18/2013 60th Day Deadline: 1/16/2014 Deci sion Deadline: 3/17/2014 Site: 1120 15th Street, Augusta, GA 30912 (Richmond County) Contact: Daniel Merrell 706-721-6951 Estimated Cost: $3,626,944
2013-060 Memorial Health Universi ty Medical Center
Replacement, Reloc ation, Expansion of 32 -ICU and Step Down Beds Filed: 11/12/2013 Deemed Complete: 11/26/2013 60th Day Deadline: 1/24/2014 Deci sion Deadline: 3/25/2014 Site: 4700 Waters A venue, Savannah, GA 31404 (Chatham County) Contact: Laura Dow, VP, Finance 912-350-8613 Estimated Cost: $9,022,000
2013-061 Atlanta Orthopedic Surgery Center, LLC
Conversion to a CON-A pproved Single-Specialty Ambulatory Surgery Cent er - Batching Filed: 11/29/2013 Deemed Complete: 11/29/2013 60th Day Deadline: 1/27/2014 Deci sion Deadline: 3/28/2014 Site: 3161 Howell Mill Road, Suite 300, Atlanta, GA 30327 (Fulton County) Contact: William T. Marlow, COO 404-352-4200 Estimated Cost: $30,000
2013-062 Dublin Orthopaedics AS C, Inc.
Conversion to a CON-A pproved Single-Specialty Ambulatory Surgery Cent er - Batching Filed: 11/29/2013 Deemed Complete: 11/29/2013 60th Day Deadline: 1/27/2014 Deci sion Deadline: 3/28/2014 Site: 2627 Moon Station Road, Dublin, GA 31021 (Laurens County) Contact: Gayle R. E vans, Consultant 770-794-4944 Estimated Cost: $15,000
2013-063 Northsi de Hospital - Cherokee
Development of a Multi-Specialty Ambulatory Surgery Center - B atching Filed: 11/29/2013 Deemed Complete: 11/29/2013 60th Day Deadline: 1/27/2014 Deci sion Deadline: 3/28/2014 Site: 900 Towne Lake Parkway, Woodstock, GA 30189 (Cherokee County) Contact: Brian J. Toporek, Senior Planner 404 -851-6821
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Estimated Cost: $16,000,000
2013-064 WellStar Kennestone Hospital Development of New Ambulatory Surgery Center - Batching Filed: 11/29/2013 Deemed Complete: 11/29/2013 60th Day Deadline: 1/27/2014 Deci sion Deadline: 3/28/2014 Site: Intersection of Sixes Rd & I-575, Holly Springs, GA 30114 (Cherokee County) Contact: April Austin, Regulatory Planning Coordinator 470 -644-0057 Estimated Cost: $18,000,000
2013-065 Children's Hospital of Georgia Addition of Four Level II Intermediate Care Nursery Beds - Batching Filed: 11/29/2013 Deemed Complete: 11/29/2013 60th Day Deadline: 1/27/2014 Deci sion Deadline: 3/28/2014 Site: 1446 Harper Street, Augusta, GA 30912 (Richmond County) Contact: James Mumford, Administrator 706 -721-5132 Estimated Cost: $500,000
2013-066 Joynus Care, Inc. Establish a New Home Health Agency for Asian Population - Batching Filed: 11/29/2013 Deemed Complete: 11/29/2013 60th Day Deadline: 1/27/2014 Deci sion Deadline: 3/28/2014 Site: To Be Determined, Sandy Springs, GA 30240 (Fulton County) Contact: Chisung Lee 706-443-5184 Estimated Cost: $50,000
2013-067 Me sun Health Services, Inc. Establish New Home Health Agency - Asian Community - Batching Filed: 11/29/2013 Deemed Complete: 11/29/2013 60th Day Deadline: 1/27/2014 Deci sion Deadline: 3/28/2014 Site: 88 Johns on Road, Lawrenceville, GA 30045 (Gwinnett County) Contact: Hans on Kim 256-473-0964 Estimated Cost: $80,000
2013-068 Me sun Health Services, Inc. Establish a New Skilled Nursing Facility for the Asian Community - Batching Filed: 11/29/2013 Deemed Complete: 11/29/2013 60th Day Deadline: 1/27/2014 Deci sion Deadline: 3/28/2014 Site: 88 Johns on Road, Lawrenceville, GA 30045 (Gwinnett County) Contact: Hans on Kim 256-473-0964 Estimated Cost: $7,500,000
Recently Approved Applications
2013-040 The Children's Hospital at The Medical Center Renovation and Expansion of the Pediat ric Nursing Units and Support Space Filed: 7/31/2013 Deemed Complete: 8/13/2013 60th Day Deadline: 10/11/2013 Deci sion Deadline: 12/10/2013 APPROV ED: 12/10/2013 Site: 710 Cent er Street, Columbus, GA 31901 (Muscogee County) Contact: Ryan R. Chandler, President and CEO 706-571-1000 Estimated Cost: $8,517,124
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Recently Denied Applications
none
CON Applications Withdrawn
none
Appealed Determinations
DET2013080 Augusta Hospital, LLC d/b/a Trinity Hospital of Augusta - Richmond Requested Determination to perform cardiac catheterization procedures, 5/15/2013. Determination of "denied" issued on 08/14/2013. Augusta Hospit al, LLC d/b/a Trinity Hospital of Augusta filed request for Administrative Appeal Hearing, 09/12/2013. University Health Services, Inc. filed request to intervene, 9/12/2013. Hearing Officer: William C. Joy, Esq. Hearing Date: December 3 and 4, 2013.
DET2013108 Dublin Endoscopy Center, LLC Laurens Requested Determination regarding conversion to Single Specialty/Limited Purpose ASC, 7/9/2013. Determination of "non-reviewable as proposed" issued on 8/22/2013. Fairview Park Limited Partnership d/b/a Fairview Park Hospital filed request for Administrative Appeal Hearing, 09/23/2013. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Dat e: (Rescheduled to) 1/27/2014 through 1/31/2014.
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 surg ery centers. Department requests, and is granted, extension on Remand decision date, 5/6/2011. On remand, the applic ation for alt ernative review only is denied, 5/16/2011. The original application remains approved, 9/20/2010. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: 8/8/2011 8/11/2011; proposed orders from parties due 9/23/2011. Hearing Decision: Hearing Officer affirms Department decision approving application, 10/20/ 2011. Northside Hospital, Inc. requests Commissioner Review, 11/18/201 1. 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 Kennes tone, 7/30/2012. Court of Appeals: Affirmed Superior Court decision reversing DCH decision to grant a CON to Kennestone, 10/25/ 2013.
2012-037 Doctors Hospital Radiation Oncology Center (Richmond) Megavoltage 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: Melvin Goldstein, Esq. Hearing Date: 6/4/2013 6/6/2013 Hearing Decision: Hearing Officer affirms Department decision approving application, 9/24/ 2013. MCG Healt h, Inc. d/b/a Georgia Regents Medical Center filed an appeal of the Hearing Officer's decision to the Commissioner, 10/24/ 2013. Commi ssioner Review Decision: Affirmed Hearing Officer Decision to award CON to Doctors Hospital of Augusta, 11/22/ 2013.
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2013-001 MRI & Imaging of Dougla sville (Douglas), Approved, 6/3/ 2013 2013-002 MRI & Imaging of Habersham (Habersham), Approved, 6/3/2013 2013-005 MRI & Imaging of Hapeville (Fulton), Approved, 6/12/2013 2013-006 MRI & Imaging of Duluth (Gwinnett), Approved, 6/12/2013 Convert Existing Diagnostic Imaging Facility to a CON DTRC Appealed By: Nort hside Hospital , Inc d/b/a Nort hside Hospital Atlanta, Northside Hospital Cherokee, and Nort hside Hospital Forsyth, 7/1/2013. Hearing Officer: Melvin Goldstein, Esq. Hearing Date: 12/9/2013 12/13/2013 Hearing Decision: Pending
2013-008 Riverside Imaging Specialist, LLC (Bibb) Establish a Freestanding Diagnostic Imaging Center Agency Decision: Approved, 6/20/ 2013. Appealed By: Physicians MRI, Inc. d/b/a Open MRI of Macon (" Open MRI") filed appeal, 7/19/ 2013. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: 11/19/ 2013 11/ 22/2013, 12/19/2013 Hearing Decision: Pending
2013-010 Northside Hospital - Forsyth (Forsyth) Megavolt age Radiation Therapy - Gamma Knife - Batching Agency Decision: Approved, 6/18/ 2013. Appealed By: St. Joseph's Hospital of Atlanta, 7/17/2013; WellStar Kennestone Hospital, 7/17/2013; Piedmont Hospital, Inc,, 7/18/2013. Northside submitted request to intervene, 7/16/2013. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: 10/21-25/2013 and 10/28-29/ 2013 Hearing Decision: Pending
2013-015 MRI & Imaging of NE Georgia (Hall) Replace one of its Existing MRI Scanner Agency Decision: Approved, 8/16/ 2013 Appealed By: Nort hside Hospital, Inc. d/b/a Nort hside Hospital-Atlanta and Northside Hos pitalCherokee ("Northside"), 9/12/2013 Hearing Officer: William C. Joy, Esq. Hearing Date: 2/19/2014 2/21/2014 Hearing Decision: Pending
2013-031 WellStar Kennestone Hospital (Cobb) Establish New Freestanding ASC - Batching Agency Decision: approved, 9/24/2013 Appealed By: Marietta Outpatient Surgery, LTD d/b/a Marietta Surgical Center (MSC), 10/16/ 2013; Cart ers ville Medical Cent er (CMC), 10/16/2013; Northside Hos pital, Inc., d/b/a Northside Hospital - Atlanta, Northside Hospital - Cherokee and Nort hside Alpharetta Surgery Center, (collectively, "Northside" ), 10/18/2013. WellStar Kennestone, Inc., d/b/a WellStar Kennestone Hospital files request to intervene, 10/21/2013. "Northside" withdraws appeal request, 11/4/2013. Hearing Officer: William C. Joy, Esq. Hearing Date: Pending
2013-034 Northside Hospital, Inc. dba Northside Hospital - Forsyth (Forsyth) Establish 4-Bed Level III Neonatal ICU Service - Batching Agency Decision: Approved, 9/24/ 2013 Appealed By: Kennestone Hospital, Inc., d/b/a WellStar Kennestone Hospital ("Kennestone"), 10/21/ 2013. Nort hside Hospital, Inc., d/b/a Northside Hos pit al - Forsyth ("Northside") files request to intervene, 10/15/2013. Kennestone Hospital, Inc. d/b/a WellStar Kennestone Hospital ("Kennestone" ) withdraws appeal request, 11/4/2013.
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Hearing Officer: TB D Hearing Date: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2013025 Medical Center of Central Georgia, Inc.

CT Scanner, Mammography, General X-ray System

Request received: 8/1/2013

Contact Person: H. Bryan Forlines 478-633-6966

Determination: Approved

Determination Date: 12/11/ 2013

Opposition: Hospital Authority of Monroe County- 8/30/ 2013

LNR-EQT2013031 St. Joseph's Hospital, Inc.

(2) Hyperbaric Chamber H-Series; (4) MTI Exam Chair; (1) Tcom Monitor

Request received: 9/27/2013

Contact Person: John Salandi 912-819-7671

Determination: Approved

Determination Date: 11/25/ 2013

LNR-EQT2013032 Athens Orthopedic Clinic, P.A. Purchase of Fixed MRI-Magnatom Essenza 1.5T Request received: 10/24/ 2013 Contact Person: Kayo Elliot, CEO 706-549-1663 Determination: Pending

LNR-EQT2013033 Children's Healthcare of Atlanta at Scottish Rite Scottish Rite Children's Medical Center, Inc. Request received: 10/25/ 2013 Contact Person: David Tat um 404-785-7519 Determination: Pending

LNR-EQT2013034 Doctors Hospi tal of Augusta, LLC dba Doctors Hospital of Augusta

da Vinci Si-e Surgical System with Single Console

Request received: 9/20/2013

Contact Person: Sondra Smith 706-651-6689

Determination: Approved

Determination Date: 11/18/ 2013

LNR-EQT2013035 Fairview Park, Limited Partnership dba Fairview Parik Hospital Fixed CT Scanner Request received: 11/19/ 2013 Contact Person: Ted Short 478-274-3103 Determination: Pending

LNR-EQT2013036 Athens Regional Medical Center, Inc. CT Scanner Request received: 12/9/2013 Contact Person: Dee Burkett, VP, Prof Srvcs 706-475-3637 Determination: Pending

LNR-EQT2013037 Southern Health Center, P.C. Acquisition of MRI & CT Scanner Request received: 12/9/2013 Contact Person: Joyce H. Poag, MD, CEO 678-317-2283 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

10

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 C2013013 Coa stal Pain Center, LLC

Physician-Owned, Single Specialty, Office -Based ASC

Site: 3221 Glynn A venue, Brunswick, Georgia 31520

Number of OR's:

Specialty: Single Specialty - ASC

Project costs a s submitted: $0.00

Request received: 6/24/2013

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

Determination: Approved

Determination

12/9/2013

LNR-AS C2013020 Georgia Interventional Pain, LLC

Physician-Owned, Single Specialty Ambulatory Surgery Center

Site: 455 Philip Boulevard, Building 100, Lawrenceville, GA 30046

Number of OR's: 1

Specialty: Pain Management

Project costs a s submitted: $506,918.00

Request received: 10/7/2013

Contact Person: Joseph R. Ross, Partner 912-232-7182

Determination: Approved

Determination

12/11/ 2013

LNR-AS C2013021 Canton Eye Surgery Center, LLC

Physician-Owned, Single Specialty ASC

Site: MOB 201 Kimberly Way, Sutie 106, Canton, GA 30114

Number of OR's: 1

Specialty: Ophthalmology

Project costs a s submitted: $1,151,937.00

Request received: 10/16/ 2013

Contact Person: Joseph R. Ross, 9121-232-7182

Determination: Pending

LNR-AS C2013022 Glennville Eye Surgery Center, LLC

Physician-Owned, Single Specialty ASC

Site: 4720 Waters A venue, Savannah, GA 31404

Number of OR's: 1

Specialty: Ophthalmology

Project costs a s submitted: $0.00

Request received: 11/5/2013

Contact Person: Kathy Hegan, Practice Adminstrat or 912 -629-5929

Determination: Pending

LNR-AS C2013023 Georgia Skin Cancer & Aesthetic Dermatology, LLC

Physician-Owned Single-Specialty Ambulatory Surgery Center

Site: 1180 Res urgence Drive, Ste 200, Bogart, GA 30622

Number of OR's: 2

Specialty: Dermatological Surgical Procedures

Project costs a s submitted: $0.00

Request received: 11/20/ 2013

Contact Person:

Determination: Pending

LNR-AS C2013024 AHS Surgery Center Canton, LLC

Operation of a Physician-Owned, Single-Specialty ASC

Site: 201 Kimberly Way, Suite 100, Canton, GA 30114

Number of OR's: 1

Specialty: Surgery of hand and related extremities

Project costs a s submitted: $902,637.35

Request received: 12/10/ 2013

Contact Person:

Determination: Pending

LNR-AS C2013025 Urology Surgical Partners, LLC Establishment of Single-Specialty, Joint Venture ASC
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Site: 5673 Peachtree Dunwoody Road, Ste 900, Atlanta, 30342

Number of OR's: 1

Specialty: Urological Surgery and Minor

Project costs a s submitted: $0.00

Request received: 12/12/ 2013

Contact Person: Kathlynn Butler Polvino 404-527-4000

Determination: Pending

Requests for Miscellaneous Letters of Determination
DET2013047 Dkumar LLC dba Atlanta Hand Specialist Scope of services that can be performed in LNR-AS C Request received: 4/16/2013 Contact Person: Viralkumar Patel, M.D. 770-333-7888 Determination: Pending

DET2013136 Athens Regional Medical Center, Inc. Acquisition of DTRC Request received: 8/30/2013 Contact Person: Jeffery C. Baxter 706-475-1195 Determination: Pending

DET2013147 Tenet Healthsystem GB, Inc. d/b/a Atlanta Medical Center Renovations to Comply with Americans with Disabilities Act Request received: 9/11/2013 Contact Person: William T. Moore, CEO 404-265-4210 Determination: Non-reviewable as proposed Determination Date: 11/18/ 2013

DET2013148 The Medical Center Acquisition of Interventional Radiology-Angiography Equipment Request received: 9/13/2013 Contact Person: Ryan R. Chandler, President & CEO 706 -571-1203 Determination: Pending
DET2013151 Doctors Hospital of Augusta, LLC Request Regarding Short Stay Hospital Exemption Request received: 9/20/2013 Contact Person: Douglas B. Welch CEO Determination: Pending Opposition: MCG Health, Inc. d/b/a Georgia Regents Medical Center- 10/18/2013
DET2013153 Southeastern Regional Medical Center, Inc. Additional square footage of hospital Request received: 9/27/2013 Contact Person: David Kent 770-400-6261 Determination: Non-reviewable as proposed Determination Date: 11/27/ 2013

DET2013154 AnMed Health MOB Request received: 9/30/2013 Contact Person: Garrick B. Chidester Determination: Pending

864 -5 12 -11 09

DET2013155 Grady Health System Inpatient Behavioral Health Renovations Request received: 10/1/2013 Contact Person: Samuel L. Williams 404-616-3228 Determination: Non-reviewable as proposed Determination Date: 12/5/2013

DET2013156 Grady Health System Air Handling Unit Replacements Request received: 10/1/2013 Contact Person: Samuel L. Williams 404-616-3228 Determination: Non-reviewable as proposed Determination Date: 12/5/2013

12

DET2013157 The Medical Center, Inc. Doctors Hospital Consolidation with The Medical Center Request received: 10/9/2013 Contact Person: Scott Hill 706-660-6102 Determination: Pending
DET2013158 Scyman Holdings, LLC. Opening of 60 Assisted Living B eds E vans Georgia Request received: 10/11/ 2013 Contact Person: Gail Mills 205-458-5300 Determination: Non-reviewable as proposed Determination Date: 12/11/ 2013
DET2013159 Northside Hospital - Forsyth Nort hside Hospital - Forsyth - Replacement of MRI Unit Request received: 10/15/ 2013 Contact Person: Brian Toporek 404-851-6821 Determination: Pending Opposition: Open MRI & Imaging of N.E. Georgia, LLC- 11/13/2013; Cumming Diagnostic
Imaging, LLC- 11/13/2013
DET2013160 Grady Memorial Hospital Corporation d/ba/ Grady Health System Kitchen Flooring & Utility Upgrades - Grady Health System Request received: 10/15/ 2013 Contact Person: Samuel L. Williams 404-616-5141 Determination: Non-reviewable as proposed Determination Date: 12/11/ 2013
DET2013161 Gwinnett Hospi tal System, Inc. dba Gwinnett Medical Center - Lawrenceville Establish Cardiac Imaging Center Request received: 10/17/ 2013 Contact Person: Mark m. Mullin 678-312-4193 Determination: Pending
DET2013162 MCG Health, Inc. dba Georgia Regents Medical Center Replacement of Imaging Equipment Request received: 10/18/ 2013 Contact Person: Daniel Merrell 706-721-4551 Determination: Pending
DET2013163 MCG Health, Inc. dba Georgia Regents Medical Center Replacement of Computed tomography (CT) Scanner Request received: 10/18/ 2013 Contact Person: Daniel Merrell 706-721-4551 Determination: Pending
DET2013164 North Fulton Medical Center, Inc. dba North Fulton Hospital Construct a Wound Care and Hyperbaric Program Request received: 10/18/ 2013 Contact Person: Deborah C. Keel 770-751-2515 Determination: Pending
DET2013165 Tenet Healthsystem GB, Inc. dba Atlanta Medical Center Purchase of New Siemens Bi-Plane Unit for Cardiac Cat heterization Request received: 10/18/ 2013 Contact Person: William T. Moore 404-265-6515 Determination: Pending

DET2013166 St. Mary's Health Care System, Inc. Update of Two CON Approved MRI Systems Request received: 10/24/ 2013 Contact Person: Jeff Brown, Director, Radiology Srvcs Determination: Pending

706 -389-2305

13

DET2013167 SELE Am bulatory Surgery, LLC Reloc ation of Multi-Specialty ASC Request received: 10/29/ 2013 Contact Person: Michael Kleinpeter 912-644-5370 Determination: Pending Opposition: Georgia Alliance of Community Hospitals, Inc.- 11/27/2013; Saint Joseph's Hospital,
Inc.- 11/27/2013; Candler Hospital, Inc.- 11/27/2013; Saint Joseph's/Candler Health System, Inc.- 11/27/2013; Georgia Hospital Association- 12/2/2013; Memorial Health University Medical Center, Inc.- 12/2/2013
DET2013168 University Health Servies, Inc. dba University Hospital Cardiac Catheterization Lab Replacement Request received: 10/30/ 2013 Contact Person: Edward L. Burr 706-744-8063 Determination: Pending
DET2013169 Tattnall Hospital Compay, LLC dba Optim Surgery Center Neurosurgeon Operating in CON approved Orthopedic ASC Request received: 10/30/ 2013 Contact Person: Michael Kleinpeter 912-644-5370 Determination: Pending Opposition: Saint Joseph's Hospital, Inc.- 12/2/2013; Candler Hospital, Inc.- 12/2/ 2013; Saint
Joseph's/Candler Health System, Inc.- 12/2/2013; Georgia Alliance of Community Hospitals, Inc.- 12/2/2013; Memorial Health Univ Medical Center- 12/2/2013; -
DET2013170 Emory Universi ty d/a Emory University Hospital Acquisition of Health Care Facility Request received: 10/31/ 2013 Contact Person: Toni Wimby 404-686-2809 Determination: Pending
DET2013171 Cedar Springs Health & Rehab Replacement of 116-Bed Skilled Nursing Facility Request received: 11/5/2013 Contact Person: Andrew J. Morris, Member 770-548-9398 Determination: Pending
DET2013172 North Georgia Endoscopy Center, Inc. Sale of Ambulat ory Surgery Center Request received: 11/5/2013 Contact Person: Brian Toporek, Senior Planner 404-851-6821 Determination: Pending
DET2013173 Floyd Healthcare Management, Inc. MOB Request received: 11/12/ 2013 Contact Person: Stephen Weed 706-509-3257 Determination: Pending
DET2013174 CPR FDG Buckhead, LLC Increase Bed Capacity Request received: 11/13/ 2013 Contact Person: Woody DeWees e 404-237-2323 Determination: Pending
DET2013175 Northside Hospital, Inc. Reloc ation of Diagnostic Testing and Rehab Cent er w/in 3 miles Request received: 11/13/ 2013 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2013176 Senior Solutions of Social Circle, LLC Purchase of 124-Bed Personal Care Home
14

Request received: 11/18/ 2013 Contact Person: Dwayne Edwards 770-464-4211 Determination: Pending

DET2013177 Rockdale Healthcare Center Renovations Below Capital Expenditure Thres hold Request received: 11/26/ 2013 Contact Person: Jeremy Spradlin, Dir of IT/ Plant Ops Determination: Pending

678-987-3804

DET2013178 University Health Services, Inc. Renovation of Radiology Department Request received: 12/2/2013 Contact Person: Jackie M. Kendinger, Asst Gnrl Cnsl Determination: Pending

706-774-8044

DET2013179 Hospital Authori ty of Miller County MOB Request received: 12/6/2013 Contact Person: Robin Rau, CEO 229-758-5954 Determination: Pending

DET2013180 Ankle and Foot Centers of Georgia, LLC Shift in Interest Ownership of LNR ASC Request received: 12/6/2013 Contact Person: Joseph Giovinco, DPM, CEO 770-631-5121 Determination: Pending

DET2013181 Gwinnett Medical Center - Lawrenceville Physician On-Call Support Space Request received: 12/6/2013 Contact Person: Mark M. Mullin, Dir P&D 678-312-4193 Determination: Pending
DET2013182 Emory Universi ty Hospital - Executive Park Replacement of CT Scanner Request received: 12/6/2013 Contact Person: Toni Wimby, Assoc Admin 404-686-2809 Determination: Pending

DET2013183 Doctors Hospital Inc. d/b/a Doctors Specialty Hospital Establish Inpatient Hospice Service Request received: 12/9/2013 Contact Person: Tamera Jackson, CEO 706-494-4820 Determination: Pending

DET2013184 Northside Hospital, Inc Capit al Expendit ure for Acquisition of MOB Request received: 12/11/ 2013 Contact Person: Brian Toporek, Sr. Planner Determination: Pending

404 -8 51- 68 21

DET2013185 Decatur PET Imaging/Northside Hospital Reloc ation of CON Approved DTRC Request received: 12/12/ 2013 Contact Person: Brian Toporek, Sr. Planner 404-851-6821 Determination: Pending

DET2013186 Decatur PET Imaging/Northside Hospital Replacement of PE T/CT Unit Request received: 12/12/ 2013 Contact Person: Brian Toporek, Sr. Planner 404-851-6283 Determination: Pending

15

Requests for Extended Implementation/Effective Period

2011062 Open MRI of Georgia, LLC dba MRI & Imaging of North Fulton

Replace MRI and CT Scanners in Roswell

Request to extend Performance Period

Site: 1400 Hembree Road, Roswell

Project Approved: 1/10/2012

Request Received: 11/26/2013

Contact:, Per Normark, VP, General Counsel (678-992-7311)

Approved Cost: $2,247,012

Determination: Approved, 12/2/2013

Extended Mandatory Completion Date: 07/31/2014

Need Projection Analyses Updated 9/30/2013
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
2018 Non-Special MegaVoltage Radiation Therapy (Revised) 7/8/2013 2018 Positron Emission Tomography Services - 7/1/2013 2018 Ambulatory Surgery Center Services - 9/30/ 2013 2016 Home Health Agency Services - 9/30/2013 2018 Inpatient Physical Rehabilitation Services - 9/30/2013 2018 Neonat al Intensive Care Beds - 9/30/2013 2018 Neonat al Intermediate Care Beds - 9/30/2013 2018 Obstetric Services Beds - 9/30/2013 2016 Skilled Nursing Home Beds - 9/30/2013 Non-Batched Need P rojections 2018 Long Term Care Hospital Beds - 10/10/ 2013 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.

16

Non-Filed or Incomplete Office of Health Planning
Facility Surveys for Most Recent 3 Years (Survey Status as of 12/17/2013)
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 Questionnaire and Addenda (Survey Years 2010 thru 2012)

Bacon County Hospital

Bacon

2012

Barrow Regional Medical Center

Barrow

2011

Berrien County Hospital

Berrien

2011

Burke Medical Center

Burke

2011

Burke Medical Center

Burke

2012

Calhoun Memorial Hospital

Calhoun

2012

Candler County Hospital

Candler

2012

Charlton Memorial Hospital

Charlton

2011

Charlton Memorial Hospital

Charlton

2012

Clinch Memorial Hospital

Clinch

2012

Coastal Behavioral Health

Chatham

2012

Coastal Harbor Treatment Center

Chatham

2012

East Georgia Regional Medical Center

Bulloch

2012

Georgia Regional Hospital at Savannah

Chatham

2011

Georgia Regional Hospital at Savannah

Chatham

2012

Georgia Regional Hospital-Atlanta

DeKalb

2011

Georgia Regional Hospital-Atlanta

DeKalb

2012

Irw in County Hospital

Irw in

2012

Mountain Lakes Medical Center

Rabun

2012

Northw est Georgia Regional Hospital

Floyd

2010

Northw est Georgia Regional Hospital

Floyd

2011

Northw est Georgia Regional Hospital

Floyd

2012

Southern Crescent Hospital for Specialty Care

Clayton

2011

Southern Crescent Hospital for Specialty Care

Clayton

2012

Southw est Georgia Regional Medical Center

Randolph

2011

Southw estern State Hospital

Thomas

2012

Stew art Webster Hospital

Stew art

2010

Warm Springs Medical Center

Meriw ether

2012

Youth Villages - Inner Harbour Campus

Douglas

2012

Annual Nursing Home Questionnaire (Survey Years 2009 thru 2011)

Agape Health & Rehab of Moultrie, LLC

Colquitt

2011

Brown's Health & Rehabilitation Center

Bulloch

2011

Folkston Park Care And Rehabilitation Center

Charlton

2011

Golden LivingCenter - Augusta

Richmond

2011

Golden LivingCenter - Decatur Golden LivingCenter - Medical Arts

DeKalb Gw innett

2011 2011

Golden LivingCenter - Northside

Fulton

2011

Goodw ill Nursing Home Inc

Bibb

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

17

Survey Due
3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/11/2011 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/11/2011 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

Northw est Georgia Regional Hospital ICF/MR Oceanside Nursing & Rehab Center Parkside At Hutcheson Medical Center Savannah Beach Nursing & Rehab Center Savannah Square Health Center Scepter Health & Rehab of Snellville, LLC Southland Healthcare And Rehabilitation Center Westminster Commons

Floyd Chatham Walker Chatham Chatham Gw innett Laurens Fulton

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

Hutcheson Medical Center

Catoosa

2010

Hutcheson Medical Center

Catoosa

2011

Freestanding Ambulatory Surgery Services Survey (Survey Years 2010 thru 2012)

Advanced Aesthetics Surgicenter

FAYETTE

2012

Ambulatory Laser & Surgery Ctr

CLAYTON

2010

Ambulatory Laser & Surgery Ctr

CLAYTON

2011

Ambulatory Laser & Surgery Ctr

CLAYTON

2012

American Eye Surgery Center, Inc

CLARKE

2010

Associates Physicians Asc

BIBB

2010

Associates Physicians Asc

BIBB

2011

Associates Physicians Asc

BIBB

2012

Athens Plastic Surgery Center

CLARKE

2011

Athens Plastic Surgery Center

CLARKE

2012

Atlanta West Endoscopy Center, Llc

DOUGLAS

2012

Augusta Ctr For Foot & Ankle

RICHMOND

2012

Augusta Eye Surgery, Llc

RICHMOND

2012

Bow man Pain Management, Pc

BIBB

2012

Brookstone Ambulatory Surgery Center

Muscogee

2012

Children's Healthcare of Atlanta Surgery, Meridian Mark Fulton

2012

Clayton Outpatient Surg Ctr

CLAYTON

2010

Dekalb Endoscopy Center

DEKALB

2011

Eye Surgery Center Of Albany, Llc Foot & Ankle Surgery Ctr, Llc, The

DOUGHERTY MUSCOGEE

2012 2010

Forsyth Surgical Center, Inc.

FORSYTH

2010

Georgia Pain Physicians dba Georgia Surgical Centers of North Georgia Georgia Pain Surg Ctr, Inc

GORDON COBB

2010 2012

Georgia Surgical Centers- South

CLAYTON

2012

Golden Isles Foot Sur Ctr, Inc

GLYNN

2010

Gw innett Center for Outpatient Surgery

Gw innett

2011

Houston Lake Surgery Center

HOUSTON

2012

ISPM ASC AT COVINGTON, LLC

NEWTON

2012

Jimenez Foot, Ankle & Leg Asc

GWINNETT

2011

Midtow n Endoscopy Center, Llc

FUL TON

2012

Midtow n Urology Surgical Center

FUL TON

2011

New ton Ambulatory Surgical Center

NEWTON

2012

North Columbus Surgery Center, LLC

MUSCOGEE

2012

North Georgia Eye Surgery Center, Llc

HALL

2010

North Georgia Institute For Wound Care, Llc

FORSYTH

2010

North Georgia Institute For Wound Care, Llc

FORSYTH

2011

North Georgia Institute For Wound Care, Llc

FORSYTH

2012

Northeast Georgia Urological Surgery Center, Llc

HALL

2011

Northeast Georgia Urological Surgery Center, Llc

HALL

2012

Northside Foot & Ankle Outpat

GWINNETT

2012

18

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 7/1/2011 7/13/2011
3/25/2013 3/11/2011 3/9/2012 3/25/2013 3/11/2011 3/11/2011 3/9/2012 3/25/2013 3/9/2012 3/25/2013 3/25/2013 3/25/2013 3/25/2013 3/25/2013 3/25/2013 3/25/2013 3/11/2011 3/9/2012 3/25/2013 3/11/2011 3/11/2011 3/11/2011
3/25/2013 3/25/2013 3/11/2011 3/9/2012 3/25/2013 3/25/2013 3/9/2012 3/25/2013 3/9/2012 3/25/2013 3/25/2013 3/11/2011 3/11/2011 3/9/2012 3/25/2013 3/9/2012 3/25/2013 3/25/2013

Northw est ENT Surgery Center Pain Care Center of Georgia Pain Clinic Of Aimr, P.c. Pain Specialty Center Of Atl Peach State Surgical Centers, Inc Piedmont Eye Planned Parenthood Reproductive Health Services, Inc. Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Foot And Ankle Surgery Center Savannah Outpatient Foot and Ankle Surgery Center, LLC Southeast Treatment Center, Llc Southeast Treatment Center, Llc Southeast Treatment Center, Llc Surgery Center of Athens Surgery Center of Athens Tifton Endoscopy Center, Inc. Universal Ambulatory Surgery Center, P C Universal Ambulatory Surgery Center, P C Urology Center Of Georgia Llc Urology Center Of Georgia Llc Urology Center Of Georgia Llc Urology Institute Asc, The Valdosta Endoscopy Center, Llc Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery West Paces Ambulatory Surgical Center, LLC Woodhams Laser & Lens Implant

Cherokee Henry FUL TON FUL TON HOUSTON FUL TON Richmond FLOYD FLOYD FLOYD FLOYD Chatham
CAMDEN CAMDEN CAMDEN Clarke Clarke TIFT MUSCOGEE MUSCOGEE BIBB BIBB BIBB THOMAS LOWNDES LOWNDES LOWNDES LOWNDES FUL TON FUL TON

2012 2012 2011 2012 2012 2010 2012 2010 2011 2012 2012 2011
2010 2011 2012 2011 2012 2010 2010 2011 2010 2011 2012 2012 2010 2010 2011 2012 2012 2010

Home Health Agency Survey (Survey Years 2010 thru 2012)

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Central Georgia Home Health, Macon

Bibb

HCMC Home Care

Habersham

Intrepid USA Healthcare Services

Glynn

Medside Home Health Agency

Fulton

Medside Home Health Agency

Fulton

Trinity Home Health

Richmond

Trinity Home Health

Richmond

Visiting Nurses Association of Greater Tift Co

Tif t

2010 2011 2012 2012 2012 2010 2011 2012 2011 2012 2011

Hospital Financial Survey (Survey Years 2009 thru 2011)

Charlton Memorial Hospital

Charlton

Mountain Lakes Medical Center

Rabun

Mountain Lakes Medical Center

Rabun

Youth Villages - Inner Harbour Campus

Douglas

2011 2010 2011 2010

Open Heart Surgery Services Survey (Survey Years 2009 thru 2011)
All surveys filed for most recent 3 years.

Posi tron Emi ssion Tomography Services Survey (Survey Years 2010 thru 2012)
All surveys filed for most recent 3 years.

19

3/25/2013 3/25/2013 3/9/2012 3/25/2013 3/25/2013 3/11/2011 3/25/2013 3/11/2011 3/9/2012 3/25/2013 3/25/2013 3/9/2012
3/11/2011 3/9/2012 3/25/2013 3/9/2012 3/25/2013 3/11/2011 3/11/2011 3/9/2012 3/11/2011 3/9/2012 3/25/2013 3/25/2013 3/11/2011 3/11/2011 3/9/2012 3/25/2013 3/25/2013 3/11/2011
3/11/2011 3/9/2012 3/15/2013 3/15/2013 3/15/2013 3/11/2011 3/9/2012 3/15/2013 3/9/2012 3/15/2013 3/9/2012
7/13/2012 7/8/2011 7/13/2012 7/8/2011

Radiation Therapy Services Survey (Survey Years 2010 thru 2012)

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 12/17/2013)

Facility Name Atlanta Aesthetic and Reconstructive Surgery Center, LLC
Clayton Cataract and Laser Surgery Center Dennis Surgery Center, INC Dublin Endoscopy Center, LLC Foot Surgery Center, The G.I. Endoscopy Center G.I. Endoscopy Center North Georgia Endoscopy Center, Inc North Georgia Endoscopy Center, Inc North Georgia Endoscopy Center, Inc Northlake Endoscopy Center Northw oods Surgery Center, LLC Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. Specialty Surgery Center, Inc. Specialty Surgery Center, Inc. Specialty Surgery Center, Inc. Amicita Home Health, LLC AseraCare Home Health Caresouth Homecare Professionals Caresouth Homecare Professionals - Macon Caresouth Homecare Professionals - Washington Caresouth Homecare Professionals - Washington Floyd HomeCare Gentiva Health Services Gentiva Health Services Gentiva Health Services Gentiva Health Services Gentiva Health Services - Atlanta Gentiva Health Services - Savannah Guardian Home Care of Central Georgia Guardian Home Care of Northeast Georgia Guardian Home Care, LLC Healthfield Home Health of Griffin Healthfield of Southwest Georgia Pediatric Services of America - Norcross United Home Care of Atlanta United Home Care of Cumming United Home Care of North Georgia

County FUL TON

Year Shortfall Due Service

2011

17,310.40 Ambulatory Surgery Center

Clayton Fulton LAURENS COBB CLAYTON CLAYTON CHEROKEE CHEROKEE CHEROKEE DEKALB Forsyth Chatham Chatham Chatham FUL TON FUL TON FUL TON Oconee Fulton Hall Bibb Elbert Elbert Floyd Fulton Bulloch Forsyth Muscogee Fulton Chatham Oconee Hall Fulton Spalding Decatur Gw innett Gw innett Forsyth Hall

2011 2012 2012 2012 2010 2011 2010 2011 2012 2012 2012 2010 2011 2012 2010 2011 2012 2012 2012 2012 2012 2011 2012 2012 2012 2012 2012 2012 2012 2012 2012 2012 2012 2012 2012 2012 2012 2012 2012

66,531.12 11,126.07 49,656.94 9,241.11 75,209.04 10,731.33 26,161.36 27,510.96 20,970.26 24,871.89 73,629.63 25,369.55 27,490.23 29,475.08 9,376.56 4,035.84 46,920.00 13,053.35 42,409.08 49,006.35 2,390.02 98,252.02 77,385.84 24,054.07 145,958.26 24,548.80 18,404.59 13,169.64 28,410.28 13,304.08 41,485.25 49,592.90 123,710.12 33,623.37 23,886.23
228.26 53,604.94 17,580.81 36,025.66

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

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 Stat e-owned hospitals are exempt from the PPA so must still pay shortfalls associated with CON

20

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 activit y 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.
21

New Batching Review
The Department will be transitioning many of the reviewable CON services in to 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 09/30/2013 on DCH Website
Fall Batching Re view Cycle Notifications

Ambulatory Surgery Home Health Agencies Obstetrical Services

Neonatal Intermediate Services Neonatal Intensive Care Services Comprehensive Inpatient Physical Rehabilitation Services Skilled Nursing Facilities/Intermediate Care Facilities

Need Projections can be found on the DHP Need Projections Page

22

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

Batching Notice
(July 1, 2013)

Application Day
(application complete when
submitted; review cycle begins same
day)
( App due by 12 noon August 30, 2013)

75th Day
(applicant provides additional information)
(Nov ember 12, 2013)

100th Day
(last day for letters of support to be submitted to
Department)
(December 7, 2013)

120th Day
(Department Issues
decision)
(December 27, 2013)

Letter of Intent
(July 31, 2013)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(October 28, 2013)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(Nov ember 27, 2013)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(December 17, 2013)

Batching Notice issued 30 days before Letter of Intent Due
Letter of Intent received by Department 30 days before application is submitted
Applications submitted; deemed complete; review cycle begins
60-Day meeting (applicant only); deadline for receipt of opposition letter(s) 75th day applicant provides additional information 90th day Opposi tion Meeting(s) scheduled; applicant can be in attendance; opposing partie s must provide written statement of opposition arguments pre se nted (original and one copy to the Department and one copy to the applicant); pre sentation time will be limited; Department reserves right to make additional inquiries subsequent to 60 -day meeting and following opposition meeting. 100th day Last day for letters of support to be submitted to the Department 110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposi tion due to Department; applicant deadline for providing written response to Department' s inquiries subsequent to opposi tion meeting 120th day Deci sion issued (No di scretion to extend)
23

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

Batching Notice
(September 30, 2013)

Application
Day
(application complete when
submitted; review cycle begins same
day)
(Nov ember 29, 2013: due by 12noon on Rollov er Date December 2, 2013)

75th Day
(applicant provides additional information)
(February 11, 2014)

100th
Day
(last day for letters of support to be submitted to
Department)
(March 8, 2014)

120th Day
(Department Issues
decision)
(March 28, 2014)

Letter of Intent
(October 30, 2013 due by 5pm)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(January 27, 2014)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(February 26, 2014)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(March 18, 2014)

Batching Notice issued 30 days before Letter of Intent Due
Letter of Intent received by Department 30 days before application is submitted
Applications submitted; deemed complete; review cycle begins
60-Day meeting (applicant only); deadline for receipt of opposition letter(s)
75th day applicant provides additional information 90th day Opposi tion Meeting(s) scheduled; applicant can be in attendance; opposing partie s must provide written statement of opposition arguments pre 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)

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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 prior to 75th day)

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 prior to 75th day
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 rese rves 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)

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

Ellwood "Ebb" Oakley (Chair) eoakley@gsu.edu

Melvin M. Goldstein goldatty@bellsouth.net

William "Bill" C. Joy (Vice Chair) wcjoy@bellsouth.net

Legislation - Senate Bill 433
Senate Bill 433 as passed on 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 please 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 Plannin g (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.
Open Record Requests Requests for documents or other information can be obtained using the Open Record Request form found at the following: http://dch.georgia.gov/health-planning-publications-and-data-resources The ORR Form found there can be emailed to HealthPlanningInfo@dch.ga.gov Please also visit www.GaMap2Care.info for healthcare facility and reporting information.
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Special Note Please do not submit Letters of Opposition or Letters of Support prior to the Department's receipt of an actual Certificate of Need application. The Letters of Intent section of the Tracking and Appeals Report provides the date on which the CON Application must be submitted for each potential project. If the CON application is not received on that date, the associated Letter of Intent is considered expired.
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