Certificate-of-need tracking and appeals report [Mar. 20-26, 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 Pending Review /Com plete/Joined Applications
Recently Approved Applications Recently Denied Applications Withdraw n CON Applications

Appealed LNRs 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
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 Open Record Request For m

CERTIFICATE OF NEED
M arch 20, 2013 M arch 26, 2013
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

LOI2013016 Athens Regional Medical Center

Single Console daVinci Si Robotic Surgery System

Received: 3/13/2013

Application must be submitted on: 4/12/2013

Site: 1199 Prince A venue, Athens, GA 30606 (Clarke County)

Estimated Cost: $2,250,000

Expired Letters of Intent
none

New Applications
2013-016 Phoebe Putney Memorial Hospi tal Renovation of Seventh-Floor Filed: 3/13/2013 Site: 7TH Third A venue, Albany, GA 31701 (Dougherty County) Contact: Lori Jenkins, Manager of Planning 229-312-1432 Estimated Cost: $5,107,436
2013-017 West Georgia Medical Center, Inc. Purchase an MRI Unit and Replace the Existing Mobile MRI Filed: 3/25/2013 Site: 1514 Vernon Road, LaGrange, GA 30240 (Troup County) Contact: Carol Todd, General Counsel 706-882-1411 Estimated Cost: $2,413,263
Pending Review/Incomplete Applications
2013-014 Emory University Hospital Construct a new Clinical Tower Filed: 3/1/2013 Deemed Incomplete: 3/15/2013 Site: 1365 Clifton Road, Atlanta, GA 30322 (DeKalb C ounty) Contact: Toni Wimby 404-686-2450 Estimated Cost: $312,030,000
2013-015 MRI & Imaging of NE Georgia Replace one of its Existing MRI Scanner Filed: 3/4/2013 Deemed Incomplete: 3/12/2013 Site: 425 Broad Street, Gaines ville, GA 30501 (Hall County ) Contact: Per B. Normark 678-992-7311 Estimated Cost: $2,211,513
Pending Review/Complete/Joined Applications
none
Pending Review/Complete Applications
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
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Site: 1211 West Medical Park Drive, Augusta, GA 30909 (Richmond County) Contact: Klara Joseph, COO 706-364-2603 Estimated Cost: $2,346,770
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
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
2012-065 Cartersville Medical Center
New Off-Site Emergency Facility Filed: 12/13/2012 Deemed Incomplete: 12/19/2012 Deemed Complete: 2/19/2013 60th Day Deadline: 4/19/2013 Deci sion Deadline: 6/18/2013 Site: Cherokee Village East, Acworth, GA 30102 (Cherokee County) Contact: Lori E. Rakes, COO 770-387-8181 Estimated Cost: $9,267,743
2013-001 MRI & Imaging of Douglasville Convert Existing Diagnostic Imaging Facility to a CON DTRC Filed: 1/7/2013 Deemed Incomplete: 1/18/2013 Deemed Complete: 2/4/2013 60th Day Deadline: 4/4/2013 Deci sion Deadline: 6/3/2013 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 Incomplete: 1/18/2013 Deemed Complete: 2/4/2013
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60th Day Deadline: 4/4/2013 Deci sion Deadline: 6/3/2013 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 Deemed Complete: 2/14/2013 60th Day Deadline: 4/14/2013 Deci sion Deadline: 6/13/2013 Site: 4460 Austell Road, Austell, GA 30106 (Cobb County) Contact: Robert Bashuk, MD 770-941-4716 Estimated Cost: $15,000
2013-004 Piedmont Atlanta Hospital Acquisition of Third Robotic Surgery Center Filed: 1/18/2013 Deemed Complete: 1/31/2013 60th Day Deadline: 3/31/2013 Deci sion Deadline: 5/30/2013 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 Deemed Incomplete: 1/31/2013 Deemed Complete: 2/13/2013 60th Day Deadline: 4/13/2013 Deci sion Deadline: 6/12/2013 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 Duluth Convert Existing Diagnostic Imaging to a CON DTRC Filed: 1/22/2013 Deemed Incomplete: 1/31/2013 Deemed Complete: 2/13/2013 60th Day Deadline: 4/13/2013 Deci sion Deadline: 6/12/2013 Site: 10670-A Medlock Bridge Road, Duluth, GA 30097 (Gwinnett County) Contact: Per B. Normark 770-300-0101 Estimated Cost: $0
2013-007 Piedmont Atlanta Hospital Renovate an Existing ICU Filed: 1/28/2013 Deemed Complete: 2/11/2013 60th Day Deadline: 4/11/2013 Deci sion Deadline: 6/10/2013 Site: 1968 Peachtree Road, NW, Atlanta, GA 30309 (Fulton County) Contact: Davis Dunbar 404-788-3638 Estimated Cost: $8,917,000
2013-008 Ri verside Imaging Specialist, LLC Establish a Freestanding Diagnostic Imaging Center Filed: 2/6/2013 Deemed Complete: 2/21/2013 60th Day Deadline: 4/21/2013 Deci sion Deadline: 6/20/2013 Site: 2140 Riverside Drive, Macon, GA 31204 (Bibb County) Contact: Howard Williams III, MD DABPM 404 -538-7246 Estimated Cost: $1,416,400
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2013-009 Emory University dba Emory University Hospi tal Acquisition of a CT Scanner Filed: 2/14/2013 Deemed Complete: 2/28/2013 60th Day Deadline: 4/28/2013 Deci sion Deadline: 6/27/2013 Site: 1364 Clifton Road, Atlanta, GA 30322 (DeK alb County) Contact: Toni Wimby, Associate Administrator 404-686-2450 Estimated Cost: $1,589,957
2013-010 Northsi de Hospital - Forsyth Megavolt age Radiation Therapy - Gamma Knife - Batching Filed: 2/19/2013 Deemed Complete: 2/19/2013 60th Day Deadline: 4/19/2013 Deci sion Deadline: 6/18/2013 Site: 1200 Northside Hospital Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian J. Toporek 404-851-6821 Estimated Cost: $8,163,620
2013-011 Southeast Georgia Health System Camden Campus PET/CT Services - Mobile - Batching Filed: 2/19/2013 Deemed Complete: 2/19/2013 60th Day Deadline: 4/19/2013 Deci sion Deadline: 6/18/2013 Site: 2000 Dan Proctor Drive, St. Mary's, GA 31558 (Camden County) Contact: Marjorie Mat hieu, Vice President 912 -466-7055 Estimated Cost: $154,227
2013-012 Atlanta Medical Center (AMC - South Campus) Add 15 Geriatric Psychiatric Beds - Batching Filed: 2/19/2013 Deemed Complete: 2/19/2013 60th Day Deadline: 4/19/2013 Deci sion Deadline: 6/18/2013 Site: 1170 Cleveland A venue, East Point, GA 30344 (Fulton County) Contact: Todd Goodall, Chief Business Development Officer 404 -265-4202 Estimated Cost: $524,089
2013-013 North Georgia Medical Center Add 10-bed Senior Mental Health Program - Batching Filed: 2/19/2013 Deemed Complete: 2/19/2013 60th Day Deadline: 4/19/2013 Deci sion Deadline: 6/18/2013 Site: 1362 South Main Street, Ellijay, GA 30540 (Gilmer County) Contact: Debbie Self, Chief Financial Officer 706 -276-4741 Estimated Cost: $370,000
Recently Approved Applications
2012-051 Polk Medical Center, Inc. To Build a Replacement Hospital Filed: 10/5/2012 Deemed Incomplete: 10/22/2012 Deemed Complete: 11/8/2012 60th Day Deadline: 1/6/2013 Deci sion Deadline: 3/7/2013 APPROV ED: 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
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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 APPROV ED: 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
2012-054 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: 3/23/2013 APPROV ED: 3/22/2013 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 APPROV ED: 3/22/2013 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 BATCH ING Filed: 11/24/2012 Deemed Complete: 11/24/2012 60th Day Deadline: 1/22/2013 Deci sion Deadline: 3/23/2013 APPROV ED: 3/22/2013 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 Filed: 11/24/2012 Deemed Complete: 11/24/2012 60th Day Deadline: 1/22/2013 Deci sion Deadline: 3/22/2013 APPROV ED: 3/22/2013 Site: 710 Cent er Street, Columbus, GA 31901 (Muscogee 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 APPROV ED: 3/22/2013 Site: 864 First Street, Macon, GA 31201 (Bibb County) Contact: Dr. J. Gregory Jones 478-741-6522 Estimated Cost: $30,000
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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 APPROV ED: 3/22/2013 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 APPROV ED: 3/22/2013 Site: 2282 East Pinetree Boulevard, Suite B, Thomas ville, GA 31792 (Thomas County) Contact: Leslie Harvey, RN 229-228-4988 Estimated Cost: $15,000
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 remand, the applic ation for alt ernative review only is denied, 5/16/2011. The original application remains approved, 9/20/2010. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: 8/8/2011 8/11/2011; proposed orders from parties due 9/23/2011. Hearing Decision: Hearing Officer affirms Department decision approving application, 10/20/ 2011. Northside Hospital, Inc. requests Commissioner Review, 11/18/2011. Commissioner Review Decision: Affirmed Hearing Officer Decision to award CON to WellStar, 1/18/2012. Northside filed petition for judicial review, 2/16/2012. Superior Court Decision: 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.
2011-027 HealthSouth of Georgia, LLC (Coweta) Develop 50-Bed Comprehensive Inpatient Physical Rehab Hospital (CIPR)-Batching Agency Decision: Denied, 9/19/2011
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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 Eastside Medical Center (Walton) 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. Eastside Medical Center withdrew appeal, 3/12/2013.

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: TBD Hearing Decision: Pending
2012-043 Doctors Hospital of Augusta, LLC (Columbia) 2012-047 University Health Services, Inc. (Richmond)
New Off-Site Emergency Facility Agency Decision: GA2012043 denied, 1/25/2013 - GA2012047 denied, 1/25/2013 Appealed By: Doctors (2012043) appealed the denial of their application with request to intervene in the University (2012047) appeal, 2/21/2013. University (2012047) appealed the denial of their application with request to intervene in the Doctors (2012043) appeal, 2/22/2013. Hearing Officer: TBD Hearing Date: TBD Hearing Decision: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment

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: Approved

Determination Date: 3/5/2013

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: Approved

Determination Date: 3/5/2013

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: Approved

Determination Date: 3/11/2013

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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: Approved

Determination Date: 3/11/2013

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: Approved

Determination Date: 3/13/2013

LNR-EQT2013005 Kennestone Hospital, Inc. dba WellStar Windy Hill Hospital Fixed CT, Mammography, Ultrasound, Bone Density, Diagnostic Radiology Request received: 1/25/2013 Contact Person: Stephen Vault 678-331-6887 Determination: Pending

LNR-EQT2013006 Urology Specialists of Georgia, P.C. Fixed CT Scanner Request received: 1/25/2013 Contact Person: Joshua A. Perkel, M.D. 478-745-6576 Determination: Pending

LNR-EQT2013007 Resurgens, P.C. Fixed MRI Request received: 1/31/2013 Contact Person: Dr. Steven B. Wertheim Determination: Pending

404 -5 31 -84 52

LNR-EQT2013008 CPM Imaging, LLC Fixed MRI Request received: 2/6/2013 Contact Person: Mary W. Hardwick 770-948-6824 Determination: Pending

LNR-EQT2013009 Candler County Hospital Fixed CT Scanner Request received: 2/12/2013 Contact Person: Stephen C. Shepherd 912-685-5741 Determination: Pending

LNR-EQT2013010 Orthopaedic & Sports Medicine Associate s, P.C. Fixed MRI Request received: 2/15/2013 Contact Person: James F. Hammes fahr, MD 770-565-0011 Determination: Pending

LNR-EQT2013011 Thoma sville Orthopedic Center, P.C. Fixed MRI Request received: 3/11/2013 Contact Person: Necia Ross 229-226-9141 Determination: Pending

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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 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: Approved

Determination

2/26/2013

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 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: Approved

Determination

3/22/2013

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

LNR-AS C2013002 Advanced Urology Institute of Georgia, P.C.

Physician Single Specialty Treatment Cent er

Site: 1557 Janmar Road, Snellville, 30078

Number of OR's: 2

Specialty: Urology

Project costs a s submitted: $1,791,600.00

Request received: 1/25/2013

Contact Person: Dr. Jitesh V. Patel 678-344-8900

Determination: Pending

LNR-AS C2013003 Colon & Dige stive Health Specialists, LLC

Physician-Owned Single-Special Ambulatory Surgery Center

Site: Tract Two Nort on Road, Conyers, GA 30012

Number of OR's: 3

Specialty: Gastroenterology

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Project costs a s submitted: $2,207,591.00 Request received: 2/26/2013 Contact Person: E verette G. Jenkins 678-625-4720 Determination: Pending

LNR-AS C2013004 The Interventional Spine and Pain Management Center, PC

Physician-Owned Single-Specialty ASC

Site: 3885 Princeton Lakes Way, Suite 400, Atlanta, GA 30331

Number of OR's: 2

Specialty: Pain Management

Project costs a s submitted: $259,110.98

Request received: 1/9/2013

Contact Person: Stephen Ros enbaum 404-920-4950

Determination: Pending

LNR-AS C2013005 Peachtree Buckhead Surgery Center, LLC

Physician-Owned Single Specialty Ambulatory Surgery Center

Site: 2061 Peachtree Road, Suite 300, Atlanta, GA 30309

Number of OR's: 2

Specialty: General Surgery

Project costs a s submitted: $1,278,635.00

Request received: 3/15/2013

Contact Person: Josh Belinfante 678-701-9374

Determination: Pending

LNR-AS C2013006 Center for Spine Interventions AS C 1, LLC

Physician-Owned, Single-Specialty Ambulatory Surgery Center

Site: 4586 Timber Ridge Drive, Suite 141, Douglas ville, GA 30135

Number of OR's: 1

Specialty: Physiatry, Anesthesiology and Pain

Project costs a s submitted: $905,210.93

Request received: 3/15/2013

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

Determination: Pending

Requests for Miscellaneous Letters of Determination
DET2011040 Smith of Georgia, LLC d/b/a Smith Northview Hospital Cardiac Cath Acquisition and Cardiac Cat h Lab and OB Renovation Request received: 4/1/2011 Contact Person: Shamb Purohit 229-671-2002 Determination: Pending
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
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
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Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

3/14/2013

DET2012181 Meadows Regional Cancer Center, LLC Replacement of Linear Accelerator Request received: 11/15/ 2012 Contact Person: Howard Holman 912-538-5889 Determination: Non-reviewable as proposed Determination Date: 2/25/2013 Opposition: Satilla Regional Cancer Treatment Center- ; South Georgia Cent er- 12/14/2012

DET2012183 Southern Regional Health System, Inc, Combine Hospital Permit Request received: 11/20/ 2012 Contact Person: James E. Crissey 770-991-9000 Determination: Pending

DET2012198 Coli seum Medical Center, LLC dba Coliseum Medical Centers Renovation Expansion and Relocating Cardiac Cath Service with EP Request received: 12/14/ 2012 Contact Person: David Portwood 478-765-4100 Determination: Non-reviewable as proposed Determination Date: 2/27/2013

DET2012199 Coli seum Medical Center, LLC dba Coliseum Medical Centers Laboratory for Adult Cath Service Request received: 12/14/ 2012 Contact Person: David Portwood 478-765-4100 Determination: Non-reviewable as proposed Determination Date: 2/27/2013

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: Non-reviewable as proposed Determination Date: 2/27/2013

DET2012201 Med Cross Imaging P.C. Mobile MRI Services Request received: 12/17/ 2012 Contact Person: Kuo L. Lee, MD 478-7337-9292 Determination: Non-reviewable as proposed Determination Date: 3/1/2013

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: Non-reviewable as proposed Determination Date: 3/1/2013

DET2012203 Assi sted Living at Cedarcrest Assisted Living Community for Privat e Pay Residents Request received: 12/17/ 2012 Contact Person: Craig Thomas/Mike McMahan 678 -618-1022 Determination: Non-reviewable as proposed Determination Date: 2/27/2013

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: Non-reviewable as proposed Determination Date: 2/28/2013
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: Non-reviewable as proposed Determination Date: 3/1/2013

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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: Non-reviewable as proposed Determination Date: 3/1/2013
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: Non-reviewable as proposed Determination Date: 3/4/2013
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: Non-reviewable as proposed Determination Date: 3/5/2013
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: Non-reviewable as proposed Determination Date: 3/5/2013
DET2013002 Piedmont Hospital, Ind. dba Piedmont Atlanta Hospi tal Renovation of the McDonnell Outpatient Surgery Center Request received: 1/3/2013 Contact Person: Davis Dunbar 404-788-3638 Determination: Non-reviewable as proposed Determination Date: 3/7/2013
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: Non-reviewable as proposed Determination Date: 3/19/2013
DET2013004 Phoebe Putney Health System, Inc. Development of Medical Office Building Request received: 1/4/2013 Contact Person: Lori Jenkins 229-312-1432 Determination: Non-reviewable as proposed Determination Date: 3/7/2013
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: Non-reviewable as proposed Determination Date: 3/20/2013
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: Non-reviewable as proposed Determination Date: 3/13/2013
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: Non-reviewable as proposed Determination Date: 3/20/2013
DET2013008 Northside Hospital, Inc. dba Northside Hospital - Forsyth Replace CON approved Radiology Equipment Request received: 1/18/2013
13

Contact Person: Brian Toporek 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 3/25/2013

DET2013009 Kenne stone Hospital, Inc. Trans fer of Owners hip of East Cobb Imaging Center Request received: 1/28/2013 Contact Person: Stephen Vault 678-331-6887 Determination: Pending

DET2013010 The Emory Clinic, Inc. Addition of two proc edure rooms Request received: 1/29/2013 Contact Person: W. Wilkes Mason 404-778-5639 Determination: Pending

DET2013011 Emory Orthopaedic & Spine Physiatry Outpatient Surgery Center Addition of two proc edure rooms Request received: 1/29/2013 Contact Person: W. Mike Mason 404-778-5639 Determination: Pending

DET2013012 Grady Health System Office Build-Out from Shell Space Request received: 1/31/2013 Contact Person: Sameul L. Williams Determination: Pending

404-616-3228

DET2013013 North Fulton medical Center, Inc. dba North Fulton Hospital Reloc ation of Hospital-B ased ORs Request received: 2/1/2013 Contact Person: Debbie Keel 770-751-2515 Determination: Pending

DET2013014 Summerhill Elderliving Home and Care Renovation of existing Nursing Facility below CO N threshold Request received: 2/8/2013 Contact Person: Chip Davis 478-988-1294 Determination: Pending
DET2013015 The Montclair Personal Care Home Increase in Licensed Bed Capacity Request received: 2/12/2013 Contact Person: Paul McGough 404-633-8875 Determination: Pending
DET2013016 Floyd Healthcare Management, Inc. dba Floyd Medical Center Addition and Replacement of Computer Information System Request received: 2/15/2013 Contact Person: Stephen Weed 706-509-3257 Determination: Pending
DET2013017 Floyd Healthcare Management, Inc. dba Floyd Medical Center Addition and Replacement of Computer or Information System Request received: 2/15/2013 Contact Person: Stephen Weed 706-509-3257 Determination: Pending
DET2013018 Henry Medical Center, Inc. dba Piedmont Henry Hospital Establish Inpatient Hospice Services Request received: 2/19/2013 Contact Person: Davis Dunbar 404-788-3638 Determination: Pending

14

DET2013019 Heavenly Living Center Increase Living Space from 24 to 42 Request received: 2/25/2013 Contact Person: Hamid Nikfarjam 770-726-9630 Determination: Pending
DET2013020 Diagnosti c Services, L.C. dba OMI Diagnostic - Marietta Reloc ation of DTRC with MRI Replacement Request received: 2/22/2013 Contact Person: Thomas Brown 770-664-7777 Ext 4601 Determination: Pending
DET2013021 Wesley Woods Long Term Hospital, Inc. Add 10 hospital Beds Request received: 2/25/2013 Contact Person: William Such 404-728-6315 Determination: Pending
DET2013022 Phoebe Putney Health System, Inc. Development of Medical Office Building Request received: 3/1/2013 Contact Person: Lori Jenkins 229-312-1432 Determination: Pending
DET2013023 Fountain Cre st at Lake Oconee, LLC Establishment of a Personal Care Home Request received: 3/4/2013 Contact Person: Michael C. Harris 706-868-9299 Determination: Pending
DET2013024 Scepter Health and Rehab of Snellville, LLC New Emergency Generator Request received: 3/4/2013 Contact Person: Andy Grarrett Shafer 903-875-5096 Determination: Pending
DET2013025 South Atlanta Medical Clinic, P.C. CON ASC LNR Endoscopy Center Conversion to Single Specialty/Limited Request received: 3/4/2013 Contact Person: Jay R. Prakash, M.D. 770-692-0100 Determination: Pending
DET2013026 RCOG Cancer Centers, LLC dba Radiotherapy Clinics of Georgia Replacement of a Linear Accelerator Request received: 3/8/2013 Contact Person: Joe Chang, VP, Controller 310-335-4011 Determination: Pending
DET2013027 DeKalb Medical Center Exemption for Adult Cardiac Cathet erization Laboratory Request received: 3/8/2013 Contact Person: Don Fears 404-501-5790 Determination: Pending
DET2013028 Floyd Healthcare Management, Inc. dba Floyd Medical Center Fire Alarm System Upgrade Request received: 3/8/2013 Contact Person: Stephen Weed 706-509-3257 Determination: Pending
DET2013029 Gwinnett Hospi tal System, Inc. dba Gwinnett Medical Center - Lawrenceville CT Unit Replacement Request received: 3/12/2013
15

Contact Person: Mark M. Mullins 678-312-4193 Determination: Pending
DET2013030 Tift County Hospital Authori ty dba Tift Regional Medical Center Enlargement of Two Endoscopy Procedure Rooms Request received: 3/13/2013 Contact Person: Sarah S. Thompson 229-353-6102 Determination: Pending
DET2013031 Wayne County. Health Department, Hospital Authority of Wayne County Trans fer of Home Health Agency County Request received: 3/15/2013 Contact Person: Rosemarie D. Parks, MD, MPH 912-285-6002 Determination: Pending
DET2013032 Wayne County. Health Department, Hospital Authori ty of Wayne County Trans fer of Home Health Agency Counties Request received: 3/15/2013 Contact Person: Rosemarie D. Parks, MD, MPH 912-285-6002 Determination: Pending
DET2013033 Wayne County. Health Department, Hospital Authori ty of Wayne County Trans fer of Home Health Agency Counties Request received: 3/15/2013 Contact Person: Rosemarie D. Parks, MD, MPH 912-285-6002 Determination: Pending
DET2013034 CHMG of Griffin, LLC Fayette County Become Parent Site, Spalding County Becomes Branch Site Request received: 3/18/2013 Contact Person: Donna van der Does 913-814-2831 Determination: Pending
DET2013035 Emory Universi ty dba Emory University Hospital Reloc ate the Care Initiation Unit (CIU) Request received: 3/19/2013 Contact Person: Toni Wimby 404-686-2809 Determination: Pending
DET2013036 Lane Dermatology and De rmatologic Surgery, LLC. Renovations of Existing Facility Request received: 3/20/2013 Contact Person: Renee Blanton 706-322-1717 Determination: Pending
DET2013037 Bacon County Health Services, Inc. dba Bacon County Hospital Upgrade the existing MRI Request received: 3/20/2013 Contact Person: Cindy R. Tuner 912-632-8961 ext 1017 Determination: Pending
DET2013038 Athens Orthopedic Clinic, P.A. Fixed MRI Request received: 3/21/2013 Contact Person: Kayo Elliott 706-549-1663 Determination: Pending
DET2013039 Northeast Georgia Medical Center, Inc. Replace Existing CON-Approved Cardiac Cath Lab on Main Campus Request received: 3/22/2013 Contact Person: Chad T. Bolton 770-219-6630 Determination: Pending
16

Requests for Extended Implementation/Effective Period

2010088 Open MRI of Georgia, LLC

Replacement of MRI Scanner

Request to extend Performance Period

Site: 6630 McGinnis Ferry Road, Suite D, Johns Creek

Project Approved: 4/27/2011

Request Received: 3/12/2013

Contact: Per Normark, VP, Deputy GC (678-992-7311)

Approved Cost: $1,846,835

Determination: Approved, 3/14/2013

Extended Completion Date: 4/27/2014

Need Projection Analyses Updated 12/21/2012
Current Status of Official Division of Health Planning Need Projection Analyse s and Other Data Re source 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.

Non-Filed or Incomplete Division of Health Planning Facility Surveys for Most Recent 3 Years (Survey Status as of 3/26/2013)
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 eff ective 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

17

Survey Due
3/9/2012 3/9/2012

Burke Medical Center Charlton Memorial Hospital East Central Regional Hospital - Augusta Campus Flint River Community Hospital Georgia Regional Hospital at Savannah Georgia Regional Hospital at Savannah Georgia Regional Hospital-Atlanta Hutcheson Medical Center Low er Oconee Community Hospital, Inc. Northw est Georgia Regional Hospital Northw est Georgia Regional Hospital Southern Crescent Hospital for Specialty Care Southw est Georgia Regional Medical Center Stew art Webster Hospital Stew art Webster Hospital Youth Villages - Inner Harbour Campus

Burke Charlton Richmond Macon Chatham Chatham DeKalb Catoosa Wheeler Floyd Floyd Clayton Randolph Stew art Stew art Douglas

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

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

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 New London Health Center

Toombs Gw innett

2011 2011

Northw est Georgia Regional Hospital ICF/MR

Floyd

2011

Oceanside Nursing & Rehab Center

Chatham

2011

Parkside At Hutcheson Medical Center

Walker

2011

Savannah Beach Nursing & Rehab Center

Chatham

2011

Savannah Specialty Care Center

Chatham

2011

Savannah Square Health Center

Chatham

2011

Scepter Health & Rehab of Snellville, LLC

Gw innett

2011

Southland Healthcare And Rehabilitation Center

Laurens

2011

Westminster Commons

Fulton

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

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

Afa Ambulatory Surgery Center

BIBB

2009

Afa Ambulatory Surgery Center

BIBB

2010

18

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

Afa Ambulatory Surgery Center Akstein Eye Center, P.c. Akstein Eye Center, P.c. Akstein Eye Center, P.c. Ambulatory Foot & Leg Surg Ctr Ambulatory Laser & Surgery Ctr Ambulatory Laser & Surgery Ctr Ambulatory Laser & Surgery Ctr Ambulatory Plastic Surgery Center, Inc American Eye Surgery Center, Inc Associates Physicians Asc Associates Physicians Asc Associates Physicians Asc Athens Plastic Surgery Center Atlanta Aesthetic and Reconstructive Surgery Center, LLC Atlanta Endoscopy Center, Ltd. Atlanta Plastic & Reconst Surg Atlanta South Endoscopy Center, Llc Atlanta South Endoscopy Center, Llc Atlanta South Endoscopy Center, Llc Atlanta Sports Medicine Surgery Center Atlanta West Endoscopy Center, Llc Atlanta West Endoscopy Center, Llc Atlanta West Endoscopy Center, Llc Augusta Aesthetic Surgery, Llc Bow man Pain Management, Pc Buckhead Mohs Surgical Center, LLC Buckhead Mohs Surgical Center, LLC Center For Orthopedic Surgery Center For Pl & Recon Surgery Center For Pl & Recon Surgery Center For Pl & Recon Surgery Center For Spine & Pain Medicine Center For Spine & Pain Medicine Clayton Outpatient Surg Ctr Coastal Empire Plastic Surgery Coastal Pain Center, Llc Cobb Endoscopy Center, Llc Cobb Foot And Leg Surgical Center, Llc Coffee County Center For Digestive Disease Columbus Women's Health Organization, Inc. CPMSC Rosw ell, PC Dalton Plastic Surgery Day Surgery And Recovery Ctr 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

BIBB CLAYTON CLAYTON CLAYTON COBB CLAYTON CLAYTON CLAYTON MUSCOGEE CLARKE BIBB BIBB BIBB CLARKE FUL TON
DEKALB FUL TON CLAYTON CLAYTON CLAYTON FUL TON DOUGLAS DOUGLAS DOUGLAS RICHMOND BIBB FUL TON FUL TON BARTOW CLARKE CLARKE CLARKE WHITFIEL D WHITFIEL D CLAYTON CHATHAM GLYNN COBB COBB COFFEE Muscogee FUL TON WHITFIEL D WHITFIEL D PICKENS PICKENS FUL TON LAURENS LAURENS LAURENS BIBB CHATHAM FUL TON FUL TON
19

2011 2009 2010 2011 2011 2009 2010 2011 2009 2010 2009 2010 2011 2011 2011
2009 2009 2009 2010 2011 2011 2009 2010 2011 2010 2011 2010 2011 2011 2009 2010 2011 2009 2010 2010 2009 2011 2009 2011 2009 2009 2011 2009 2011 2009 2010 2009 2011 2009 2010 2011 2009 2010 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
3/12/2010 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 3/9/2012 3/11/2011 3/9/2012 3/9/2012 3/12/2010 3/11/2011 3/9/2012 3/12/2010 3/11/2011 3/11/2011 3/12/2010 3/9/2012 3/12/2010 3/9/2012 3/12/2010 3/12/2010 3/9/2012 3/12/2010 3/9/2012 3/12/2010 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

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 New nan Foot & Ankle Surgery Center, Llc Non-surgical Orthopaedic Pain Center, P C North Columbus Surgery Center, LLC North Georgia Eye Surgery Center, Llc North Georgia Eye Surgery Center, Llc 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. 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

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 COWETA COBB MUSCOGEE HALL HALL FORSYTH FORSYTH GWINNETT HALL HALL GWINNETT FUL TON CHATHAM Chatham Chatham FUL TON FUL TON FUL TON Fulton Fulton BIBB COBB RICHMOND CHATHAM

20

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

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

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 Samson Pain Center, Pc Samson Pain Center, Pc Samson Pain Center, Pc Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Pain Center, Llc Savannah Pain Center, Llc Savannah Pain Center, Llc Seaside Surgical, Llc Seaside Surgical, Llc Southeast Treatment Center, Llc Southeast Treatment Center, Llc Southern Bone & Joint, Llc Summit Endoscopy Center, L L C Summit Endoscopy Center, L L C Surgery Center of Athens Surgery Center of BJI, LLC 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

CHATHAM CHATHAM DEKALB WHITFIEL D NEWTON NEWTON NEWTON FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD CHEROKEE CHEROKEE CHEROKEE Chatham
Chatham
CHATHAM CHATHAM CHATHAM GLYNN GLYNN CAMDEN CAMDEN COWETA FAYETTE FAYETTE Clarke WAYNE 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
21

2010 2011 2009 2010 2009 2010 2011 2009 2010 2011 2009 2010 2011 2009 2010 2011 2011
2011
2009 2010 2011 2010 2011 2010 2011 2009 2009 2010 2011 2010 2009 2010 2010 2011 2011 2010 2011 2010 2010 2011 2010 2009 2010 2011 2010 2011 2010 2010 2010 2011 2010
2009 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 3/12/2010 3/11/2011 3/9/2012 3/9/2012
3/9/2012
3/12/2010 3/11/2011 3/9/2012 3/11/2011 3/9/2012 3/11/2011 3/9/2012 3/12/2010 3/12/2010 3/11/2011 3/9/2012 3/11/2011 3/12/2010 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

WOOLFSON AMBULATORY SURGERY CENTER, LLC FULTON

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

Rabun

Mountain Lakes Medical Center

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

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

Battlefield Imaging Center

Catoosa

2009

Radiation Therapy Services Survey (Survey Years 2009 thru 2011)

Hutcheson Medical Center

Catoosa

2010

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
4/30/2010
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 3/26/2013)

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 Dennis Surgery Center, Inc. G.I. Endoscopy Center G.I. Endoscopy Center Gastro Specialists Endoscopy Center, LLC Georgia Pain Management Center, LLC ISPM ASC AT COVINGTON, LLC ISPM ASC AT COVINGTON, LLC North Georgia Endoscopy Center, Inc North Georgia Endoscopy Center, Inc 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

County DOUGHERTY DOUGHERTY Fulton Clayton Clayton CLAYTON DEKALB Fulton FUL TON CLAYTON CLAYTON DEKALB HENRY NEWTON NEWTON CHEROKEE CHEROKEE GORDON GORDON HALL HALL GWINNETT GWINNETT

Year 2010 2011 2009 2010 2011 2011 2011 2011 2010 2010 2011 2011 2011 2010 2011 2010 2011 2010 2011 2010 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 8,719.02 Ambulatory Surgery Center 9,677.25 Ambulatory Surgery Center 75,209.04 Ambulatory Surgery Center 10,731.33 Ambulatory Surgery Center 19,883.76 Ambulatory Surgery Center 4,303.40 Ambulatory Surgery Center 7,283.28 Ambulatory Surgery Center 45,344.20 Ambulatory Surgery Center 26,161.36 Ambulatory Surgery Center 27,510.96 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

22

Northside Surgery Center, Inc. Northside Surgery Center, Inc. Savannah Plastic Surgicenter, Inc. Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. South Georgia Surgery Center Specialty Surgery Center, Inc. Specialty Surgery Center, Inc. Summerville Surgical Center Surgical Suite, The Surgical Suite, The Caresouth Homecare Professionals Caresouth Homecare Professionals - Washington Guardian Home Care of Central Georgia Guardian Home Care of Northeast Georgia Guardian Home Care, LLC Southside Medical Home Health Suncrest Home Health

FUL TON FUL TON Chatham Chatham Chatham Ware FUL TON FUL TON Richmond FUL TON FUL TON Muscogee Elbert Oconee Hall Fulton DeKalb Cobb

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

4,466.67 9,470.49 36,419.70 25,369.55 27,490.23 2,928.20 9,376.56 4,035.84
583.16 4,689.30 4,650.87 5,272.52 98,252.02 49,938.52 35,797.51 147,847.14 4,224.15 6,917.49

Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center 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 comm itments 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

23

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.
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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 Review Cycle Notifications

PET Mega Voltage Radiation Therapy
Pediatric Cath/Open Heart

Adult Open Heart Psych/Substance Abuse Birthing Centers

Need Projections can be found on the DHP Need Projections Page

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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 appli cation 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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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)

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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)

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)

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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 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 Planning (rtatman@dch.ga.gov )
New Requirements for Verification of Lawful Presence within the United States
Effective January 1, 2012 agencies or political subdivisions of the State of Georgia providing or administering a public benefit are required to verify that applicants for a public benefit are in the United States in a lawful manner. See O.C.G.A. 50-36-1(e). Certificates of Need (CON) are considered a public benefit under the new provisions. Therefore, an applicant for a CON must be in compliance with the law for the CON to be awarded.
Effective January 1, 2012 all CON applications must include an original signed and notarized affidavit in accordance with O.C.G.A. 50-36-1(e)(2) as well as a copy of a secure and verifiable document in accordance with O.C.G.A. 50-36-2. A copy of the affidavit along with instructions for submitting the affidavit and secure and verifiable document can be located at the following link or by navigating to the CON Applications and Forms page from the CON Information link from www.dch.georgia.gov.
http://dch.georgia.gov/vgn/images/portal/cit_1210/23/25/180044217HB87_CON_Instructions_1-1-2012.pdf
CONs that are approved and issued after January 1, 2012 for applications that were submitted prior to January 1, 2012 are also subject to these provisions. DCH will contact applicants to provide instruction related to compliance prior to issuing such a CON.
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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