Certificate-of-need tracking and appeals report [May 8-14, 2013]

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Letters of Intent Letters of Intent Spring Batching
Expired Letters of Intent New CON Applications
Pending Review/Incomplete Applications Pending Review/Complete Applications Recently Approved Applications Recently Denied Applications Withdrawn CON Applications

Appealed LNRs Appealed Determinations
Appealed CON Projects

CERTIFICATE OF NEED

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

May 8, 2013 May 14, 2013

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

LOI2013022 Emory University Hospital

Acquisition of da Vinci Si Dual Console Robotic Surgery System

Received: 4/19/2013

Application must be submitted on: 5/20/2013

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

Estimated Cost: $2,400,000

LOI2013023 WellStar Windy Hill Hospital

Relocate Diagnostic Center

Received: 4/25/2013

Application must be submitted on: 5/28/2013

Site: 3747 Roswell Road NE, Marietta, GA 30062 (Cobb County)

Estimated Cost: $13,000,000

LOI2013039 Gordon Hospital

Proposed Major Hospital Expansion and Renovation Project

Received: 5/6/2013

Application must be submitted on: 6/5/2013

Site: 1035 Red Bud Road, Calhoun, GA 30701 (Gordon County)

Estimated Cost: $37,200,000

Letters of Intent Spring Batching Cycle

Ambulatory Surgery

LOI2013024 Coosa Procedure Center

Covert LNR to Single Specialty CON - Batching

Received: 4/29/2013

Application must be submitted on: 5/28/2013

Site: 18 Riverbend Drive, Suite 120, Rome, GA 30161 (Floyd County)

Estimated Cost: $10,000

LOI2013025 Dublin Endoscopy Center

Convert LNR ASC to Single-Specialty CON ASC - Batching

Received: 4/29/2013

Application must be submitted on: 5/28/2013

Site: 111 Fairview Park Drive, Dublin, GA 31021 (Laurens County)

Estimated Cost: $3,000,000

LOI2013026 Northeast Georgia Procedure Center, LLC

Convert LNR ASC to Single-Specialty CON ASC - Batching

Received: 4/29/2013

Application must be submitted on: 5/28/2013

Site: 1620 Prince Avenue, Athens, GA 30606 (Clarke County)

Estimated Cost: $10,000

LOI2013027 Athens Regional Surgery Center, LLC

Establish New Freestanding ASC - Batching

Received: 4/29/2013

Application must be submitted on: 5/28/2013

Site: 1199 Prince Avenue, Athens, GA 30606a (Clarke County)

Estimated Cost: $10,000,000

LOI2013028 Cobb Hospital, Inc.

Establish New Freestanding ASC - Batching

Received: 4/29/2013

Application must be submitted on: 5/28/2013

Site: Winchester Parkway & S. ATL Road, Smyrna, GA 30080 (Cobb County)

Estimated Cost: $18,000,000

LOI2013029 WellStar Kennestone Hospital

Establish New Freestanding ASC - Batching

Received: 4/29/2013

Application must be submitted on: 5/28/2013

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

Estimated Cost: $18,000,000

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Newborn ICU/ Neonatal INT

LOI2013030 Northeast Georgia Medical Center

Establish Basic Perinatal Services - Batching

Received: 4/29/2013

Application must be submitted on: 5/28/2013

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

Estimated Cost: $13,785,000

LOI2013031 Children's Hospital of Georgia

Add Four (4) Neonatal Level II Beds - Batching

Received: 4/29/2013

Application must be submitted on: 5/28/2013

Site: 1446 Harper Street, Augusta, GA 30912 (Richmond County)

Estimated Cost: $150,000

LOI2013032 Spalding Regional Medical Center

Add Two (2) Neonatal Level II Beds - Batching

Received: 4/29/2013

Application must be submitted on: 5/28/2013

Site: 601 South 8th Street, Griffin, GA 30224 (Spalding County)

Estimated Cost: $75,000

LOI2013033 Northside Hospital, Inc. dba Northside Hospital - Forsyth

Establish 4-Bed Level III Neonatal ICU Service - Batching

Received: 4/29/2013

Application must be submitted on: 5/28/2013

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

Estimated Cost: $1,000,000

LOI2013034 Piedmont Fayette Hospital

Expand Level III Neonatal Intensive Care Services - Batching

Received: 4/29/2013

Application must be submitted on: 5/28/2013

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

Estimated Cost: $1,200,000

Psychiatric and Substance Abuse Services

LOI2013035 Dodge County Hospital

Establish a 12-bed Geriatric Psychiatry Unit - Batching

Received: 4/29/2013

Application must be submitted on: 5/28/2013

Site: 901 Griffin Avenue, Eastman, GA 31023 (Dodge County)

Estimated Cost: $0

Rehabilitation

LOI2013036 HealthSouth Rehabilitation Hospital of North Atlanta, LLC

Establish a 60-bed Comprehensive Inpatient Physical Rehabilitation Hospital - Batching

Received: 4/29/2013

Application must be submitted on: 5/28/2013

Site: Alpharetta, GA 30005 (Fulton County)

Estimated Cost: $27,000,000

Skilled Nursing Care

LOI2013037 Devi Manor Home for Life, LLC

Development of a 252-bed Skilled Nursing Facility - Batching

Received: 4/29/2013

Application must be submitted on: 5/28/2013

Site: 6095 Pine Mountain Road, Kennesaw, GA 30152 (Cobb County)

Estimated Cost: $43,250,000

LOI2013038 Southeast Georgia Health System - Camden Campus

Relocate Skilled Nursing Facility and Addition of 42 Beds - Batching

Received: 4/29/2013

Application must be submitted on: 5/28/2013

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Site: 2000 Dan Proctor Drive, St. Mary's, GA 31558 (Camden County) Estimated Cost: $20,000,000
Expired Letters of Intent
none
New Applications
2013-023 Coastal Imaging Proposed Expansion of Imaging Center with additional MRI Filed: 5/13/2013 Site: 503 Eisenhower Drive, Savannah, GA 31406 (Chatham County) Contact: Chris Cribbs, Practice Manager 912-429-4343 Estimated Cost: $1,698,722
Pending Review/Incomplete Applications
2013-016 Phoebe Putney Memorial Hospital Renovation of Seventh-Floor Filed: 3/13/2013 Deemed Incomplete: 3/27/2013 Site: 417 Third Avenue, Albany, GA 31701 (Dougherty County) Contact: Lori Jenkins, Manager of Planning 229-312-1432 Estimated Cost: $5,107,436
Pending Review/Complete Applications
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 Decision 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 Decision Deadline: 6/3/2013 Site: 6095 Professional Parkway, Suite 101B, Douglasville, 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 60th Day Deadline: 4/4/2013 Decision Deadline: 6/3/2013 Site: 638 Historic Highway 441 North, Suite D, Demorest, GA 30535 (Habersham County) Contact: Per B. Normark 770-300-0101 Estimated Cost: $0
2013-003 Northwest 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
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60th Day Deadline: 4/14/2013 Decision 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 Decision 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 Decision Deadline: 6/12/2013 Site: 535 North Central Avenue, 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 Decision 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 Decision 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 Riverside Imaging Specialist, LLC
Establish a Freestanding Diagnostic Imaging Center Filed: 2/6/2013 Deemed Complete: 2/21/2013 60th Day Deadline: 4/21/2013 Decision 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
2013-009 Emory University dba Emory University Hospital Acquisition of a CT Scanner Filed: 2/14/2013 Deemed Complete: 2/28/2013 60th Day Deadline: 4/28/2013 Decision Deadline: 6/27/2013 Site: 1364 Clifton Road, Atlanta, GA 30322 (DeKalb County) Contact: Toni Wimby, Associate Administrator 404-686-2450 Estimated Cost: $1,589,957
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2013-010 Northside Hospital - Forsyth
Megavoltage Radiation Therapy - Gamma Knife - Batching Filed: 2/19/2013 Deemed Complete: 2/19/2013 60th Day Deadline: 4/19/2013 Decision 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 Decision Deadline: 6/18/2013 Site: 2000 Dan Proctor Drive, St. Mary's, GA 31558 (Camden County) Contact: Marjorie Mathieu, 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 Decision Deadline: 6/18/2013 Site: 1170 Cleveland Avenue, 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 Decision 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
2013-014 Emory University Hospital
Construct a new Clinical Tower Filed: 3/1/2013 Deemed Incomplete: 3/20/2013 Deemed Complete: 4/3/2013 60th Day Deadline: 6/1/2013 Decision Deadline: 7/31/2013 Site: 1365 Clifton Road, Atlanta, GA 30322 (DeKalb County) 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 Deemed Complete: 4/19/2013 60th Day Deadline: 6/17/2013 Decision Deadline: 8/16/2013 Site: 425 Broad Street, Gainesville, GA 30501 (Hall County) Contact: Per B. Normark 678-992-7311 Estimated Cost: $2,211,513
2013-017 West Georgia Medical Center, Inc.
Purchase an MRI Unit and Replace the Existing Mobile MRI Filed: 3/25/2013 Deemed Incomplete: 4/4/2013 Deemed Complete: 4/11/2013 60th Day Deadline: 6/9/2013 Decision Deadline: 8/8/2013 Site: 1514 Vernon Road, LaGrange, GA 30240 (Troup County) Contact: Carol Todd, General Counsel 706-882-1411
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Estimated Cost: $2,413,263
2013-018 Athens Regional Medical Center Single Console da Vinci Si Robotic Surgery System Filed: 4/12/2013 Deemed Complete: 4/26/2013 60th Day Deadline: 6/24/2013 Decision Deadline: 8/23/2013 Site: 1199 Prince Avenue, Athens, GA 30606 (Clarke County) Contact: Jeffrey C. Baxter, Senior VP & Corporate Counsel 706-475-1195 Estimated Cost: $2,186,480
2013-019 Johns Creek Diagnostic Center Convert non-CON approved facility to CON DTRC Filed: 4/24/2013 Deemed Complete: 5/6/2013 60th Day Deadline: 7/4/2013 Decision Deadline: 9/2/2013 Site: 6920 McGinnis Ferry Road, Suite 300, Suwanee, GA 30024 (Forsyth County) Contact: Joseph A. Paul, President 561-744-9122 Estimated Cost: $1,591,586
2013-020 Open MRI of Milledgeville, LLC Convert LNR approved facility to CON DTRC Filed: 4/24/2013 Deemed Complete: 5/8/2013 60th Day Deadline: 7/6/2013 Decision Deadline: 9/4/2013 Site: 1850 N. Columbus Street, Suite 3, Milledgeville, GA 31061 (Baldwin County) Contact: Joseph A. Paul, President 561-744-9122 Estimated Cost: $1,308,681
2013-021 Regional Open MRI, LLC Convert LNR approved facility to CON DTRC Filed: 4/24/2013 Deemed Complete: 5/8/2013 60th Day Deadline: 7/6/2013 Decision Deadline: 9/4/2013 Site: 1014 Augusta Road SE, Suite 1, Thomson, GA 30824 (McDuffie County) Contact: Joseph A. Paul, President 561-744-9122 Estimated Cost: $307,947
2013-022 Memorial Health University Medical Center, Inc. Renovation and Expansion of Emergency Department Filed: 4/25/2013 Deemed Complete: 5/8/2013 60th Day Deadline: 7/6/2013 Decision Deadline: 9/4/2013 Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Contact: Laura Dow, Vice President - Fianance 912-350-8613 Estimated Cost: $16,472,750
Recently Approved 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 Decision Deadline: 5/6/2013 APPROVED: 5/6/2013 Site: 1211 West Medical Park Drive, Augusta, GA 30909 (Richmond County) Contact: Klara Joseph, COO 706-364-2603 Estimated Cost: $2,346,770
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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 Decision Deadline: 5/7/2013 APPROVED: 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 Magnatom Aera 1.5T MRI Filed: 12/3/2012 Deemed Complete: 12/17/2012 Deemed Complete: 12/17/2012 60th Day Deadline: 2/14/2013 Decision Deadline: 4/15/2013 APPROVED: 4/15/2013 Site: 1365-C Clifton Road, Atlanta, GA 30322 (DeKalb County) Contact: Toni Wimby, Associate Administrator 404-686-2450 Estimated Cost: $3,175,000
2012-063 Northside Hospital - Forsyth 16 Bed Expansion Filed: 12/13/2012 Deemed Complete: 12/31/2012 60th Day Deadline: 2/28/2013 Decision Deadline: 4/29/2013 APPROVED: 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 Center Filed: 12/13/2012 Deemed Complete: 12/31/2012 60th Day Deadline: 2/28/2013 Decision Deadline: 4/29/2013 APPROVED: 4/29/2013 Site: 677 Church Street, Marietta, GA 30060 (Cobb County) Contact: Caroline C. Aultman 678-331-6887 Estimated Cost: $6,785,000
Recently Denied Applications
none
CON Applications Withdrawn
None
Appealed LNRs
LNR-ASC2011-021 Meadows Gynecology Surgery Center, Inc. and Meadows Surgical Arts, Inc. ("Meadows") Requested Letter of Non-Reviewability for the establishment of a Physician-Owned, Single Specialty, Office Based Ambulatory Surgery Center, 11/16/2011. Determination of "denied" issued on ,4/3/2012. Meadows Gynecology Surgery Center, Inc. and Meadows Surgical Arts, Inc. filed request for Administrative Appeal Hearing, 05/02/2012. Administrative Hearing Date: To be Determined.
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Appealed Determinations
DET2012181 Meadows Regional Cancer Center, LLC - Toombs Requested Determination for modification of approved Certificate of Need project, 11/15/2012. Determination of "non-reviewable as proposed" issued on 2/25/2013. Satilla Regional Cancer Treatment Center, LLC ("Satilla") and Statesboro Cancer Care, LLC d/b/a South Georgia Center ("South Georgia") collectively filed request for Administrative Appeal Hearing, 3/26/2013.
Appealed CON Projects
2010-025 WellStar Kennestone at East Cobb (Cobb) Development of an Ambulatory Surgery Facility - Batching Agency Decision: Approved, 9/20/2010 Appealed By: St. Joseph's Hospital of Atlanta, 10/19/2010; Northside Hospital-Atlanta and Northside Alpharetta Surgery Center, 10/19/2010; Applicant (Kennestone) requests to intervene, 10/19/2010. St. Joseph's Hospital withdrew request for appeal, 1/20/2011. Hearing postponed pending Order from Hearing Officer. Application is remanded to Department by Hearing Officer, April 6, 2011 for the Department to conduct an additional alternative review under the specific review criteria for ambulatory surgery centers. Department requests, and is granted, extension on Remand decision date, 5/6/2011. On remand, the application for alternative review only is denied, 5/16/2011. The original application remains approved, 9/20/2010. Hearing Officer: Ellwood Oakley, III, Esq.
Hearing Date: 8/8/2011 8/11/2011; proposed orders from parties due 9/23/2011. Hearing Decision: Hearing Officer affirms Department decision approving application, 10/20/ 2011. Northside 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: Decision pending
2011-027 HealthSouth of Georgia, LLC (Coweta) Develop 50-Bed Comprehensive Inpatient Physical Rehab Hospital (CIPR)-Batching Agency Decision: Denied, 9/19/2011 Appealed By: HealthSouth appealed the denial of their application, 10/14/2011; Southern Regional Health System, Inc. d/b/a Southern Regional Medical Center filed request to intervene, 9/27/2011. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: 5/15/2012 5/18/2012 Hearing Decision: Hearing Officer reversed Department's decision, 9/5/2012. Department and Southern Regional Medical Center filed request for Commissioner Review, 10/5/2012 Commissioner Review Decision: Commissioner Review affirms Hearing Officer decision,12/18/2012. Southern Regional Medical Center (SRMC) filed petition for judicial review, 1/18/2013. Superior Court Decision: Appeal withdrawn by voluntary dismissal, 5/8/2013.
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: 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
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request to intervene in the Doctors (2012043) appeal, 2/22/2013. Applicants Doctors Hospital of Augusta, LLC and University Health Services, Inc withdrew their appeals, 4/5/2013.
2012-058 Associates Surgery Center, Inc. (Bibb) Convert from PO Single Specialty ASC to CON Single Specialty ASC BATCHING Agency Decision: approved, 3/22/2013 Appealed By: Coliseum Same Day Surgery Center filed appeal of decision, 4/19/2013 Hearing Officer: Ellwood Oakley, Esq. Hearing Date: TBD Hearing Decision: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment
LNR-EQT2012032 Ankle and Foot Associates, LLC Fixed MRI Request received: 12/26/2012 Contact Person: Jeanne Tucker 912-283-6471 Determination: Pending

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: Approved

Determination Date: 4/19/2013

LNR-EQT2013010 Orthopaedic & Sports Medicine Associates, P.C.

Fixed MRI

Request received: 2/15/2013

Contact Person: James F. Hammesfahr, MD 770-565-0011

Determination: Approved

Determination Date: 4/26/2013

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

LNR-EQT2013012 Houston Hospitals, Inc. dba Perry Hospital Mobile MRI Request received: 3/28/2013 Contact Person: Tim Sisco 478-542-7837 Determination: Pending

LNR-EQT2013013 University Cardiology Associates, LLC Fixed, Single-modality, Cardiac PET Scanner Request received: 4/4/2013 Contact Person: Dan Basso 706-774-2581 Determination: Pending

LNR-EQT2013014 Piedmont Medical Care Corporation Fixed CT Scanner Request received: 4/8/2013 Contact Person: Jay D. Mitchell 404-425-1333 Determination: Pending

LNR-EQT2013015 Piedmont Medical Care Corporation Fixed CT Request received: 4/8/2013 Contact Person: Jay D. Mitchell 404-425-1333 Determination: Pending

LNR-EQT2013016 Coliseum Medical Center, LLC dba Coliseum Medical Centers da Vinci Si-e Robotic Surgical System Request received: 4/11/2013
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Contact Person: David Portwood 478-765-4100 Determination: Pending
LNR-EQT2013017 Gwinnett Cardiology Services, LLC Physician Practice Cardiac PET Request received: 4/23/2013 Contact Person: Mark M. Mullin 678-312-4193 Determination: Pending
LNR-EQT2013018 Reagan Medical Center, LLC Fixed MRI and Fixed CT Scanner Request received: 4/23/2013 Contact Person: Sabrina Boyd 678-344-8700 Determination: Pending
LNR-EQT2013019 Atlanta Institute for ENT CT Scanner Fixed Request received: 5/1/2013 Contact Person: Pradeep Sinha 404-257-1589 Determination: Pending
LNR-EQT2013020 OrthoAtlanta, LLC Fixed MRI Request received: 5/2/2013 Contact Person: Michael Ochal 770-953-6929 Determination: Pending

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

LNR-ASC2012022 Hillcrest Surgery Associates, LLC

Hillcrest Surgery Associates

Site: 1110 Hillcrest Parkway Suite D, Dublin, GA 31021

Number of OR's:

Specialty: Physician Owned Single Specialty

Project costs as submitted: $1,126,000.00

Request received: 10/18/2012

Contact Person: Edward Luke 770-951-8427

Determination: Pending

LNR-ASC2012026 Georgia Pain Management ASC, LLC

Single Specialty Ambulatory Surgery Center

Site: 530 Spring Street, Gainesville, GA 30501

Number of OR's: 1

Specialty: Pain Management

Project costs as submitted: $76,000.00

Request received: 12/13/2012

Contact Person: Kathryn Herndon 770-503-7222

Determination: Pending

LNR-ASC2013001 Thomas 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 as submitted: $0.00

Request received: 1/16/2013

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

Determination: Approved

Determination

4/24/2013

LNR-ASC2013002 Advanced Urology Institute of Georgia, P.C.

Physician Single Specialty Treatment Center

Site: 1557 Janmar Road, Snellville, 30078

Number of OR's: 2

Specialty: Urology

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Project costs as submitted: $1,791,600.00

Request received: 1/25/2013

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

Determination: Approved

Determination

4/16/2013

LNR-ASC2013003 Colon & Digestive Health Specialists, LLC

Physician-Owned Single-Special Ambulatory Surgery Center

Site: Tract Two Norton Road, Conyers, GA 30012

Number of OR's: 3

Specialty: Gastroenterology

Project costs as submitted: $2,207,591.00

Request received: 2/26/2013

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

Determination: Approved

Determination

5/3/2013

LNR-ASC2013004 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 as submitted: $259,110.98

Request received: 1/9/2013

Contact Person: Stephen Rosenbaum 404-920-4950

Determination: Approved

Determination

4/16/2013

LNR-ASC2013005 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 as submitted: $1,278,635.00

Request received: 3/15/2013

Contact Person: Josh Belinfante 678-701-9374

Determination: Pending

LNR-ASC2013006 Center for Spine Interventions ASC 1, LLC

Physician-Owned, Single-Specialty Ambulatory Surgery Center

Site: 4586 Timber Ridge Drive, Suite 141, Douglasville, GA 30135

Number of OR's: 1

Specialty: Physiatry, Anesthesiology and Pain

Project costs as submitted: $905,210.93

Request received: 3/15/2013

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

Determination: Pending

LNR-ASC2013007 Village Podiatry Group, LLC

Physician Single Specialty Ambulatory Surgery Treatment Center

Site: 792 Church Street Extension, Suite 101, Marietta, GA 30060

Number of OR's: 2

Specialty: Podiatry

Project costs as submitted: $679,030.44

Request received: 4/23/2013

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

Determination: Pending

LNR-ASC2013008 ENTI Surgery Center, LLC

Physician Owned, Single Specialty Ambulatory Surgical Center

Site: 1535 East Highway 34, Newnan, GA 30265

Number of OR's: 2

Specialty: Otolaryngology

Project costs as submitted: $2,425,996.40

Request received: 4/23/2013

Contact Person: Robin Beatty 404-725-8786

Determination: Pending

LNR-ASC2013009 Skin Caner Specialists, P.C. Relocate its Dermatogy practice
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Site: 835 Cogburn Avenue, Marietta, GA 30060

Number of OR's: 1

Specialty: Dermatology

Project costs as submitted: $0.00

Request received: 5/7/2013

Contact Person: Mark Chastain, MD 770-422-5557

Determination: Pending

Requests for Miscellaneous Letters of Determination
DET2011040 Smith of Georgia, LLC d/b/a Smith Northview Hospital Cardiac Cath Acquisition and Cardiac Cath Lab and OB Renovation Request received: 4/1/2011 Contact Person: Shamb Purohit 229-671-2002 Determination: Pending
DET2012062 CareSouth HHA Holdings of Washington, LLC dba CareSouth Homecare Reorganization of CareSouth's Washington service area Request received: 5/3/2012 Contact Person: Rick W. Griffin 706-854-7460 Determination: Pending
DET2012131 GYN Resources, 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
DET2012183 Southern Regional Health System, Inc, Combine Hospital Permit Request received: 11/20/2012 Contact Person: James E. Crissey 770-991-9000 Determination: Pending
DET2013009 Kennestone Hospital, Inc. Transfer of Ownership of East Cobb Imaging Center Request received: 1/28/2013 Contact Person: Stephen Vault 678-331-6887 Determination: Non-reviewable as proposed Determination Date: 4/19/2013
DET2013012 Grady Health System Office Build-Out from Shell Space Request received: 1/31/2013 Contact Person: Samuel L. Williams 404-616-3228 Determination: Pending
DET2013013 North Fulton medical Center, Inc. dba North Fulton Hospital Relocation of Hospital-Based ORs Request received: 2/1/2013 Contact Person: Debbie Keel 770-751-2515 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: Non-reviewable as proposed Determination Date: 4/26/2013
13

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: Non-reviewable as proposed Determination Date: 4/26/2013
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: Non-reviewable as proposed Determination Date: 4/26/2013
DET2013019 Heavenly Living Center Increase Living Space from 24 to 42 Request received: 2/25/2013 Contact Person: Hamid Nikfarjam 770-726-9630 Determination: Non-reviewable as proposed Determination Date: 5/2/2013
DET2013020 Diagnostic Services, L.C. dba OMI Diagnostic - Marietta Relocation 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: Non-reviewable as proposed Determination Date: 4/29/2013
DET2013022 Phoebe Putney Health System, Inc. Development of Medical Office Building Request received: 3/1/2013 Contact Person: Lori Jenkins 229-312-1432 Determination: Non-reviewable as proposed Determination Date: 5/3/2013
DET2013023 Fountain Crest at Lake Oconee, LLC Establishment of a Personal Care Home Request received: 3/4/2013 Contact Person: Michael C. Harris 706-868-9299 Determination: Non-reviewable as proposed Determination Date: 5/3/2013
DET2013024 Scepter Health and Rehab of Snellville, LLC New Emergency Generator Request received: 3/4/2013 Contact Person: Andy Garrett Shafer 903-875-5096 Determination: Non-reviewable as proposed Determination Date: 5/6/2013
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 Opposition: Piedmont Henry Hospital- 4/3/2013
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: Non-reviewable as proposed Determination Date: 5/7/2013
DET2013027 DeKalb Medical Center Exemption for Adult Cardiac Catheterization Laboratory Request received: 3/8/2013
14

Contact Person: Don Fears 404-501-5790 Determination: Non-reviewable as proposed Determination Date: 5/6/2013
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: Non-reviewable as proposed Determination Date: 5/13/2013
DET2013029 Gwinnett Hospital System, Inc. dba Gwinnett Medical Center - Lawrenceville CT Unit Replacement Request received: 3/12/2013 Contact Person: Mark M. Mullins 678-312-4193 Determination: Pending
DET2013030 Tift County Hospital Authority 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 Transfer 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 Authority of Wayne County Transfer 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 Authority of Wayne County Transfer 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 University dba Emory University Hospital Relocate the Care Initiation Unit (CIU) Request received: 3/19/2013 Contact Person: Toni Wimby 404-686-2809 Determination: Pending
DET2013036 Lane Dermatology and Dermatologic 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
15

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
DET2013040 Augusta Resources Center on Aging, Inc. dba Brandon Wilde Change from PCH to Assisted Living and Expansion from 40 to 65 beds Request received: 4/2/2013 Contact Person: Richard J. Kisner 706-868-3560 Determination: Pending
DET2013041 Wesley Woods Center of Emory University, Inc. dba Wesley Woods Add 18 PCH Beds Request received: 4/4/2013 Contact Person: Terry Barcoft 404-728-6210 Determination: Pending
DET2013042 Tattnall Hospital Company, LLC dba Optim Surgery Center Podiatric Surgeon Request received: 4/8/2013 Contact Person: Michael Kleinpeter 912-644-5370 Determination: Pending
DET2013043 North Fulton Medical Center, Inc. dba North Fulton Hospital Replace Cardiac Cath Equipment Request received: 4/9/2013 Contact Person: Debbie Keel 770-751-2515 Determination: Pending
DET2013044 Adventist Health System of Georgia, Inc. dba Gordon Hospital Reduction I HHA CON Indigent/Charity Care Commitment Request received: 4/9/2013 Contact Person: Cory Reeves 706-879-4711 Determination: Pending
DET2013045 Coliseum Medical Center, LLC dba Coliseum Medical Center Replacement of a da Vinci Robotic Surgical System Request received: 4/11/2013 Contact Person: David Portwood 478-765-4100 Determination: Pending
DET2013046 Towne Club PCH License Expanded from 41 to 49 Request received: 4/12/2013 Contact Person: Gretchen Vogel 770-632-5823 Determination: Pending
DET2013047 Dkumar LLC dba Atlanta Hand Specialist Scope of services that can be performed in LNR-ASC Request received: 4/16/2013 Contact Person: Viralkumar Patel, M.D. 770-333-7888 Determination: Pending
DET2013048 Arbor Terrace of East Cobb Increase Number of Personal Care Beds Request received: 4/23/2013
16

Contact Person: Jerry Novack 646-278-4223 Determination: Pending
DET2013049 Landmark Hospital of Savannah LLC Change in defined Location for CON Approved Project Request received: 4/23/2013 Contact Person: Willam Kapp, M.D. 573-331-8040 Determination: Pending
DET2013050 Clearview Physicians Center 1, LLC Development of Medical Office Building Request received: 4/23/2013 Contact Person: Lawrenceville L. Unger 404-436-3060 Determination: Pending
DET2013051 Egleston Children's Hospital at Emory University, INC. Bed Capacity Increase Request received: 4/24/2013 Contact Person: David Tatum 404-785-7556 Determination: Pending
DET2013052 Scottish Rite Children's Medical Center Inc. Bed Capacity Increase Request received: 4/24/2013 Contact Person: David Tatum 404-785-7556 Determination: Pending
DET2013053 Laurel Baye Healthcare of Macon, LLC Addition of 20 private beds Request received: 4/24/2013 Contact Person: Dennis W. Wheeler 843-216-6800 Determination: Pending
DET2013054 MH RDM Operating LLC Establish a non-Medicaid Certified PCH Request received: 4/24/2013 Contact Person: Patricia Ebert 206-676-5379 Determination: Pending
DET2013055 Cobb Hospital, Inc. dba WellStar Cobb Hospital Development of Medical Office Building Request received: 4/29/2013 Contact Person: Stephen Vault 678-331-6887 Determination: Pending
DET2013056 Fayette Community Hospital, Inc. dba Piedmont Fayette Hospital Therapeutic Cardiac Catheterization Exemption Request received: 5/7/2013 Contact Person: Davis Dunbar 404-788-3638 Determination: Pending
DET2013057 PS Atlanta, Inc. dba The Cottage at Plantation South Consolidation of Existing Personal Care Home Request received: 5/8/2013 Contact Person: Bonnie Williamson 727-215-8090 Determination: Pending
DET2013058 Chris Brogdon 24 bed Personal Care Home Request received: 5/9/2013 Contact Person: Chris Brogdon 404-386-4293 Determination: Pending
17

DET2013059 Henry Medical Center, Inc. dba Piedmont Henry Hospital Therapeutic Cardiac Catheterization Exemption Request received: 5/9/2013 Contact Person: Davis Dunar, Manager Reg Affairs 404-788-3638 Determination: Pending
DET2013060 St. Mary's Health Care System, Inc. Therapeutic Cardiac Catheterization Exemption Request received: 5/10/2013 Contact Person: Nina Evans, V.P. Chief Nursing Officer 706-389-3231 Determination: Pending
DET2013061 North Fulton Medical Center, Inc. dba North Fulton Hospital Therapeutic Cardiac Catheterization Exemption Request received: 5/10/2013 Contact Person: Deborah C. Keel, CEO 770-781-2515 Determination: Pending
DET2013062 Tenet Health System Spalding, Inc. Therapeutic Cardiac Catheterization Exemption Request received: 5/10/2013 Contact Person: John Quinn, CEO 770-229-6469 Determination: Pending
DET2013063 Meadows Regional Medical Cent Therapeutic Cardiac Catheterization Exemption Request received: 5/10/2013 Contact Person: Travis Roose, Assist VP Dir of CardCath Ser 912-538Determination: Pending
DET2013064 Doctors Hospital of Augusta, LLC dba Doctors Hosptial of Augusta Therapeutic Cardiac Catheterization Exemption Request received: 5/10/2013 Contact Person: Chris Cosby, COO 706-651-6101 Determination: Pending
DET2013065 Southeastern Regional Medical Center, Inc. Parking Lot Expansion Request received: 5/10/2013 Contact Person: David Kent, Sr. VP of Opps 770-400-6261 Determination: Pending
DET2013066 Northside Hospital, Inc. dba Northside Hospital-Cherokee Therapeutic Cardiac Catheterization Exemption Request received: 5/13/2013 Contact Person: Brian Toporek, Sr Planner 404-851-6821 Determination: Pending
DET2013067 Tanner Medical Center Therapeutic Cardiac Catheterization Exemption Request received: 5/13/2013 Contact Person: LaQuinta Grizzard 770-836-9221 Determination: Pending
DET2013068 Northeast Georgia Medical Center, Inc. Replacement of Existing Linear Accelerator Equipment Request received: 5/13/2013 Contact Person: Chad T. Bolton 770-219-6630 Determination: Pending
DET2013069 Northside Hospital, Inc. dba Northside Hospital Therapeutic Cardiac Catheterization Exemption Request received: 5/13/2013
18

Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2013070 Northside Hospital, Inc. dba Northside Hospital-Forsyth Therapeutic Cardiac Catheterization Exemption Request received: 5/13/2013 Contact Person: Brian Toporek 404-851-6821 Determination: Pending
DET2013071 Hamilton Medical Center Therapeutic Cardiac Catheterization Exemption Request received: 5/13/2013 Contact Person: Jeff Hughes 706-272-6120 Determination: Pending
DET2013072 Eastside Medical Center, LLC dba Eastside Medical Center Therapeutic Cardiac Catheterization Exemption Request received: 5/14/2013 Contact Person: Callie Andrews, FACHE 770-736-2224 Determination: Pending
DET2013073 Southern Regional Health System, Inc. Therapeutic Cardiac Catheterization Exemption Request received: 5/14/2013 Contact Person: John McClain 770-991-8141 Determination: Pending

Requests for Extended Implementation/Effective Period

2010089 Paulding Medical Center, Inc. d/b/a WellStar Paulding Hospital

New MOB Outpatient Imaging Expansion and Develop Urgent Care Center

Request to extend Performance Period

Site: 148 Bill Carruth Parkway

Project Approved: 5/17/2011

Request Received: 4/18/2013

Contact: Stephen Vault, Director, Strategic Planning (678-331-6887)

Approved Cost: $15,917,269

Determination: Approved, 4/18/2013

Extended Completion Date: 7/1/2014

2011079 Houston Medical Center

Expansion and Renovation of Cardiac Catheterization Services

Request to extend Performance Period

Site: 1601 Watson Boulevard, Warner Robins

Project Approved: 5/2/2012

Request Received: 4/25/2013

Contact: Cary Martin, CEO (478-542-7839)

Approved Cost: $8,078,735

Determination: Approved, 4/26/2013

Extended Completion Date: 5/31/2014

Need Projection Analyses Updated 3/29/2013
Current Status of Official Division of Health Planning Need Projection Analyses and Other Data Resources
Need Projections and Maps for CON Regulated Services
2017 Non-Special MegaVoltage Radiation Therapy - 12/20/2012 2017 Positron Emission Tomography Services - 12/20/2012 2017 Ambulatory Surgery Center Services - 3/26/2013
19

2015 Home Health Agency Services - 3/26/2013 2017 Inpatient Physical Rehabilitation Services - 3/28/2013 2017 Neonatal Intensive Care Beds - 3/28/2013 2017 Neonatal Intermediate Care Beds - 3/28/2013 2017 Obstetric Services Beds - 3/28/2013 2015 Skilled Nursing Home Beds - 3/28/2013 Non-Batched Need Projections 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 2010 utilization.

Non-Filed or Incomplete Division of Health Planning Facility Surveys for Most Recent 3 Years (Survey Status as of 5/14/2013)
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

County

Survey Year

Annual Hospital Questionnaire and Addenda (Survey Years 2010 thru 2012)

Bacon County Hospital

Bacon

2012

Barrow Regional Medical Center

Barrow

2011

Barrow Regional Medical Center

Barrow

2012

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

Doctor's Hospital (Columbus)

Muscogee

2012

Doctors Hospital of Tattnall, The

Tattnall

2012

East Central Regional Hospital - Augusta Campus

Richmond

2011

East Georgia Regional Medical Center

Bulloch

2012

Flint River Community Hospital

Macon

2011

Flint River Community Hospital

Macon

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

Gwinnett Medical Center

Gwinnett

2012

20

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 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012

Gwinnett Medical Center - Duluth Houston Medical Center Hughston Hospital Hutcheson Medical Center Irwin County Hospital Jenkins County Hospital Laurel Heights Hospital Lower Oconee Community Hospital, Inc. Macon Behavioral Health System Mountain Lakes Medical Center Northeast Georgia Medical Center Northwest Georgia Regional Hospital Northwest Georgia Regional Hospital Northwest Georgia Regional Hospital Peachford Behavioral Health System of Atlanta Perry Hospital Piedmont Fayette Hospital Piedmont Hospital Riverwoods Behavioral Health System Rockdale Medical Center Screven County Hospital Southern Crescent Hospital for Specialty Care Southern Crescent Hospital for Specialty Care Southwest Georgia Regional Medical Center Southwestern State Hospital Stewart Webster Hospital SummitRidge Center - Psychiatry & Addictive Medicine The Medical Center Warm Springs Medical Center Youth Villages - Inner Harbour Campus Youth Villages - Inner Harbour Campus

Gwinnett Houston Muscogee Catoosa Irwin Jenkins DeKalb Wheeler Bibb Rabun Hall Floyd Floyd Floyd DeKalb Houston Fayette Fulton Clayton Rockdale Screven Clayton Clayton Randolph Thomas Stewart Gwinnett Muscogee Meriwether Douglas Douglas

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

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

Gwinnett

2011

Golden LivingCenter - Northside

Fulton

2011

Goodwill Nursing Home Inc

Bibb

2011

Hutcheson Medical Center

Catoosa

2011

Joe-Anne Burgin Nursing Home

Randolph

2011

Lumber City Nursing & Rehabilitation Center

Telfair

2011

Manor Care Rehabilitation Center - Decatur

DeKalb

2011

Manor Care Rehabilitation Center - Marietta

Cobb

2011

Meadows Nursing Center

Toombs

2011

New London Health Center

Gwinnett

2011

Northwest 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 Savannah Square Health Center

Chatham Chatham
21

2011 2011

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 3/9/2012 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
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

Scepter Health & Rehab of Snellville, LLC Southland Healthcare And Rehabilitation Center Westminster Commons

Gwinnett Laurens Fulton

2011 2011 2011

Cardiac Catheterization Services Survey (Survey Years 2009 thru 2011)

Coffee Regional Medical Center

Coffee

2011

Gwinnett Medical Center

Gwinnett

2011

Hutcheson Medical Center

Catoosa

2010

Hutcheson Medical Center

Catoosa

2011

Mayo Clinic Health System in Waycross

Ware

2011

Meadows Regional Medical Center

Toombs

2011

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

Advanced Aesthetics Surgicenter

FAYETTE

2012

Advanced Surgery Center Of Georgia

Cherokee

2012

Afa Ambulatory Surgery Center

BIBB

2010

Afa Ambulatory Surgery Center

BIBB

2011

Afa Ambulatory Surgery Center

BIBB

2012

Akstein Eye Center, P.c.

CLAYTON

2010

Akstein Eye Center, P.c.

CLAYTON

2011

Akstein Eye Center, P.c.

CLAYTON

2012

Ambulatory Foot & Leg Surg Ctr

COBB

2011

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

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

FULTON Fulton DEKALB

2011 2012 2012

Atlanta Eye International Surgery Center

DEKALB

2012

Atlanta Orthopaedic Surgery Center

Fulton

2012

Atlanta South Endoscopy Center, Llc

CLAYTON

2010

Atlanta South Endoscopy Center, Llc

CLAYTON

2011

Atlanta South Endoscopy Center, Llc

CLAYTON

2012

Atlanta Sports Medicine Surgery Center

FULTON

2011

Atlanta West Endoscopy Center, Llc

DOUGLAS

2010

Atlanta West Endoscopy Center, Llc

DOUGLAS

2011

Atlanta West Endoscopy Center, Llc

DOUGLAS

2012

Augusta Aesthetic Surgery, Llc Bowman Pain Management, Pc

RICHMOND BIBB

2010 2011

Bowman Pain Management, Pc

BIBB

2012

Brunswick Pain Treatment Center, Llc

GLYNN

2012

Buckhead Mohs Surgical Center, LLC

FULTON

2010

Buckhead Mohs Surgical Center, LLC

FULTON

2011

Center For Orthopedic Surgery

BARTOW

2012

Center For Pl & Recon Surgery

CLARKE

2010

Center For Pl & Recon Surgery

CLARKE

2011

Center For Pl & Recon Surgery

CLARKE

2012

Center For Spine & Pain Medicine

WHITFIELD

2010

Center For Spine & Pain Medicine

WHITFIELD

2012

Children's Healthcare of Atlanta Surgery, Meridian Mark Fulton

2012

22

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
3/25/2013 3/25/2013 3/11/2011
3/9/2012 3/25/2013 3/11/2011
3/9/2012 3/25/2013
3/9/2012 3/11/2011
3/9/2012 3/25/2013 3/11/2011 3/11/2011
3/9/2012 3/25/2013
3/9/2012 3/9/2012
3/25/2013
3/25/2013 3/25/2013 3/25/2013 3/11/2011
3/9/2012 3/25/2013
3/9/2012 3/11/2011
3/9/2012 3/25/2013 3/11/2011
3/9/2012 3/25/2013 3/25/2013 3/11/2011
3/9/2012 3/25/2013 3/11/2011
3/9/2012 3/25/2013 3/11/2011 3/25/2013 3/25/2013

Clayton Cataract and Laser Surgery Center Clayton Outpatient Surg Ctr Coastal Pain Center, Llc Cobb Foot And Leg Surgical Center, Llc CPMSC Roswell, PC Day Surgery And Recovery Ctr Dennis Surgery Center, Inc. Digestive Healthcare Of Ga Endo Ctr Mountainside Dublin Orthopaedics Asc, Inc Dublin Orthopaedics Asc, Inc Endoscopy Center Of Middle Georgia, Llc Endoscopy Consultants, Llc Endoscopy Consultants, LLC Endoscopy Consultants, LLC Eye Associates Surgery Ctr Eye Associates Surgery Ctr Eye Surgery Center Of Albany, Llc Eyesight's Laser & Surgery Ctr Eyesight's Laser & Surgery Ctr Foot & Ankle Surgery Ctr, Llc, The Foot & Ankle Surgery Ctr, Llc, The Forsyth Surgical Center, Inc. G.I. Endoscopy Center GA Urology, PA Cobb Ambulatory Surgery Center Georgia Endoscopy Center, LLC Georgia Pain Physicians dba Georgia Surgical Centers of North Georgia GEORGIA PAIN SPINE CENTER, LLC Golden Isles Foot Sur Ctr, Inc Gwinnett Center for Outpatient Surgery Gwinnett Endoscopy Services - Duluth Gwinnett Endoscopy Services - Duluth Houston Lake Surgery Center Island Surgery Center, Inc Island Surgery Center, Inc Jimenez Foot, Ankle & Leg Asc Jimenez Foot, Ankle & Leg Asc Johns Creek Othopedic Surgery Center Johns Creek Othopedic Surgery Center Lakeview Surgery Center Lane Dermatologic Surgery Center, LLC Locust Grove Endo Center Macon Pain Center, Pc Macon Pain Center, Pc Macon Pain Center, Pc Marietta Eye Surgery Metro Atlanta Endoscopy Metro Atlanta Endoscopy Midtown Urology Surgical Center Newnan Foot & Ankle Surgery Center, Llc Non-surgical Orthopaedic Pain Center, P C Non-surgical Orthopaedic Pain Center, P C North Columbus Surgery Center, LLC North Georgia Endoscopy Center, Inc North Georgia Eye Surgery Center, Llc

Clayton CLAYTON GLYNN COBB FULTON WHITFIELD FULTON PICKENS LAURENS LAURENS BIBB FULTON FULTON FULTON LOWNDES LOWNDES DOUGHERTY HOUSTON HOUSTON MUSCOGEE MUSCOGEE FORSYTH CLAYTON COBB Forsyth GORDON
COBB GLYNN Gwinnett Gwinnett Gwinnett HOUSTON GLYNN GLYNN GWINNETT GWINNETT Fulton Fulton Houston Muscogee HENRY BIBB BIBB BIBB COBB FULTON FULTON FULTON COWETA COBB COBB MUSCOGEE CHEROKEE HALL

23

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

3/25/2013 3/11/2011
3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/25/2013 3/11/2011 3/11/2011 3/25/2013 3/9/2012 3/11/2011 3/9/2012 3/25/2013 3/9/2012 3/25/2013 3/25/2013 3/9/2012 3/25/2013 3/11/2011 3/25/2013 3/11/2011 3/25/2013 3/11/2011 3/9/2012 3/11/2011
3/11/2011 3/11/2011
3/9/2012 3/9/2012 3/25/2013 3/25/2013 3/11/2011 3/25/2013 3/9/2012 3/25/2013 3/9/2012 3/25/2013 3/25/2013 3/25/2013 3/25/2013 3/11/2011 3/9/2012 3/25/2013 3/25/2013 3/11/2011 3/25/2013 3/9/2012 3/11/2011 3/9/2012 3/25/2013 3/9/2012 3/25/2013 3/11/2011

North Georgia Foot & Ankle Surgery Center North Georgia Institute For Wound Care, Llc North Georgia Institute For Wound Care, Llc North Georgia Institute For Wound Care, Llc North Georgia Outpatient Surg Northeast Georgia Urological Surgery Center, Llc Northeast Georgia Urological Surgery Center, Llc Northeast Georgia Urological Surgery Center, Llc Northside Foot & Ankle O P Sc Northside Foot & Ankle Outpat Northside Surgery Center, Inc. Northside/Dunwoody Surgical Center Operating Room Services, Llc Operating Room Services, Llc Orthopedic Surgery Center, L.P. Pain Care Center of Georgia Pain Clinic Of Aimr, P.c. Pain Clinic Of Aimr, P.c. Pain Clinic Of Aimr, P.c. Peach State Surgical Centers, Inc Peachtree Spine And Pain Physicians Asc, Llc Perimeter Surgery Center of Atlanta Perimeter Surgery Center of Atlanta Piedmont Surgery Center Piedmont Surgery Center Pinnacle Orthopaedics Surgery Center-Austell, LLC Planned Parenthood Reproductive Health Services, Inc. Plastic Surgery Ctr Land, The Plastic Surgery Ctr Land, The Plastic Surgery Ctr Land, The Premier Orthopedic Surgicenter Professional Eye Surgery Ctr Pulliam Ambulatory Surg Ctr Pulliam Ambulatory Surg Ctr Pulliam Ambulatory Surg Ctr Renue Surgery Center Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Foot And Ankle Surgery Center Rome Surgical Center, P C Rome Surgical Center, P C Rome Surgical Center, P C Roswell Center for Foot and Ankle Surgery Samson Pain Center, Pc Samson Pain Center, Pc Samson Pain Center, Pc Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Pain Center, Llc Savannah Pain Center, Llc

Catoosa FORSYTH FORSYTH FORSYTH GORDON HALL HALL HALL HALL GWINNETT FULTON DeKalb CHATHAM CHATHAM Chatham Henry FULTON FULTON FULTON HOUSTON FULTON Fulton Fulton BIBB BIBB COBB Richmond CHATHAM CHATHAM CHATHAM DOUGHERTY WHITFIELD NEWTON NEWTON NEWTON GLYNN FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD Fulton CHEROKEE CHEROKEE CHEROKEE Chatham
Chatham
Chatham
Chatham
CHATHAM CHATHAM

24

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

3/25/2013 3/11/2011
3/9/2012 3/25/2013 3/25/2013 3/11/2011
3/9/2012 3/25/2013 3/25/2013 3/25/2013 3/11/2011 3/25/2013
3/9/2012 3/25/2013
3/9/2012 3/25/2013 3/11/2011
3/9/2012 3/25/2013 3/25/2013
3/9/2012 3/11/2011
3/9/2012 3/11/2011 3/25/2013 3/11/2011 3/25/2013 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
3/9/2012 3/25/2013 3/25/2013 3/11/2011
3/9/2012 3/25/2013 3/25/2013 3/11/2011
3/9/2012 3/25/2013
3/9/2012
3/9/2012
3/25/2013
3/25/2013
3/11/2011 3/9/2012

Savannah Pain Center, Llc

CHATHAM

Seaside Surgical, Llc

GLYNN

Seaside Surgical, Llc

GLYNN

Seaside Surgical, Llc

GLYNN

Southeast Treatment Center, Llc

CAMDEN

Southeast Treatment Center, Llc

CAMDEN

Southeast Treatment Center, Llc

CAMDEN

Spalding Endoscopy Center

Spalding

Summit Endoscopy Center, L L C

FAYETTE

Surgery Center of Athens Surgery Center of Athens

Clarke Clarke

Surgery Center of BJI, LLC

WAYNE

Surgery Center of BJI, LLC

WAYNE

Surgical Centers of Georgia

Bibb

Tifton Endoscopy Center, Inc.

TIFT

Universal Ambulatory Surgery Center, P C

MUSCOGEE

Universal Ambulatory Surgery Center, P C

MUSCOGEE

Universal Ambulatory Surgery Center, P C

MUSCOGEE

Urology Associates Surgery Center, Llc

COBB

Urology Associates Surgery Center, Llc

COBB

Urology Center Of Georgia Llc

BIBB

Urology Center Of Georgia Llc

BIBB

Urology Center Of Georgia Llc

BIBB

Urology Institute Asc, The

THOMAS

Urology Surgery Center Of Savannah, Lp

CHATHAM

Urology Surgical Partners, Llc

FULTON

V.O.A. Ambulatory Surgical Center

LOWNDES

Valdosta Endoscopy Center, Llc

LOWNDES

Valdosta Foot & Ankle Surgery

LOWNDES

Valdosta Foot & Ankle Surgery

LOWNDES

Valdosta Foot & Ankle Surgery

LOWNDES

Wellbrook Endoscopy Center

ROCKDALE

Wellbrook Endoscopy Center

ROCKDALE

Wellbrook Endoscopy Center (covington)

NEWTON

Wellbrook Endoscopy Center (covington)

NEWTON

Westside Endoscopy Center, P C

COBB

Westside Endoscopy Center, P C

COBB

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

COFFEE FULTON

WOOLFSON AMBULATORY SURGERY CENTER, LLC FULTON

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 Nurse Health Systems, Metro Atlanta Visiting Nurses Association of Greater Tift Co

Gwinnett Tift

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

25

3/25/2013 3/11/2011
3/9/2012 3/25/2013 3/11/2011
3/9/2012 3/25/2013 3/25/2013 3/11/2011
3/9/2012 3/25/2013 3/11/2011 3/25/2013 3/25/2013 3/11/2011 3/11/2011
3/9/2012 3/25/2013
3/9/2012 3/25/2013 3/11/2011
3/9/2012 3/25/2013 3/25/2013 3/11/2011 3/11/2011
3/9/2012 3/11/2011 3/11/2011
3/9/2012 3/25/2013 3/11/2011
3/9/2012 3/11/2011 3/25/2013 3/11/2011
3/9/2012 3/11/2011
3/11/2011 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 3/15/2013
3/9/2012

Hospital Financial Survey (Survey Years 2009 thru 2011

Charlton Memorial Hospital

Charlton

Mountain Lakes Medical Center

Rabun

Mountain Lakes Medical Center

Rabun

Riverwoods Behavioral Health System

Clayton

Youth Villages - Inner Harbour Campus

Douglas

Youth Villages - Inner Harbour Campus

Douglas

2011 2010 2011 2011 2010 2011

7/13/2012 7/8/2011
7/13/2012 7/13/2012
7/8/2011 7/13/2012

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

Gwinnett Medical Center

Gwinnett

2011

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

Battlefield Imaging Center

Catoosa

2009

Radiation Therapy Services Survey (Survey Years 2009 thru 2011)

Hutcheson Medical Center

Catoosa

2010

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 5/14/2013)

Facility Name Atlanta Aesthetic Surgery Center Clayton Cataract and Laser Surgery Center Clayton Cataract and Laser Surgery Center Clayton Outpatient Surg Ctr Dublin Endoscopy Center, LLC G.I. Endoscopy Center G.I. Endoscopy Center Gastro Specialists Endoscopy Center, LLC Georgia Pain Management Center, LLC Georgia Pain Management Center, LLC ISPM ASC AT COVINGTON, LLC ISPM ASC AT COVINGTON, LLC North Columbus Surgery Center, LLC North Georgia Endoscopy Center, Inc North Georgia Endoscopy Center, Inc North Georgia Outpatient Surg North Georgia Outpatient Surg Northlake Endoscopy Center Northside Foot & Ankle O P Sc Northside Foot & Ankle O P Sc Northside Foot & Ankle Outpat Northside Foot & Ankle Outpat Northside Surgery Center, Inc. Northside Surgery Center, Inc. Northwoods Surgery Center, LLC Orthopaedic South Surgical Center Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. Specialty Surgery Center, Inc. Specialty Surgery Center, Inc. Specialty Surgery Center, Inc.

County Fulton Clayton Clayton CLAYTON LAURENS CLAYTON CLAYTON DEKALB HENRY HENRY NEWTON NEWTON MUSCOGEE CHEROKEE CHEROKEE GORDON GORDON DEKALB HALL HALL GWINNETT GWINNETT FULTON FULTON Forsyth CLAYTON Chatham Chatham Chatham FULTON FULTON FULTON

Year 2012 2010 2011 2011 2012 2010 2011 2011 2011 2012 2010 2011 2012 2010 2011 2010 2011 2012 2010 2011 2010 2011 2011 2012 2012 2012 2010 2011 2012 2010 2011 2012

Shortfall Due Service 4,745.25 Ambulatory Surgery Center 13,418.77 Ambulatory Surgery Center 66,531.12 Ambulatory Surgery Center 44,542.67 Ambulatory Surgery Center 89,868.32 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 15,628.20 Ambulatory Surgery Center 7,283.28 Ambulatory Surgery Center 45,344.20 Ambulatory Surgery Center
195,621.52 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 24,871.89 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 9,470.49 Ambulatory Surgery Center 9,829.02 Ambulatory Surgery Center 73,629.63 Ambulatory Surgery Center
709,062.12 Ambulatory Surgery Center 25,369.55 Ambulatory Surgery Center 27,490.23 Ambulatory Surgery Center 29,475.08 Ambulatory Surgery Center 9,376.56 Ambulatory Surgery Center 4,035.84 Ambulatory Surgery Center 46,920.00 Ambulatory Surgery Center

26

Spivey Station Surgery Center Summerville Surgical Center Surgery Center, LLC, The Amedisys Home Health of Covington Amedisys Home Health of Macon Amedisys Home Health of Valdosta Amicita Home Health, LLC AseraCare Home Health Camellia Home Health Careone Home Health Services, Inc. (Toombs) Caresouth Homecare Professionals Caresouth Homecare Professionals - Macon Caresouth Homecare Professionals - Washington Caresouth Homecare Professionals - Washington Central Home Health Health, Douglasville, an Amedisys Company Community Home Health, an Amedisys Company 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 Central Georgia Guardian Home Care of Northeast Georgia Guardian Home Care of Northeast Georgia Guardian Home Care, LLC Guardian Home Care, LLC Healthfield Home Health of Griffin Healthfield of Southwest Georgia Pediatric Services of America Pediatric Services of America - Norcross Pediatric Services of America, Inc - Bibb Southside Medical Home Health Suncrest Home Health Suncrest Home Health Suncrest Home Health SunCrest Home Health of Georgia SunCrest Home Health of Georgia Tugaloo Home Health Agency - Gainesville Tugaloo Home Health Agency - Lavonia United Home Care of Atlanta United Home Care of Cumming United Home Care of North Georgia

Clayton Richmond Muscogee Newton Bibb Lowndes Oconee Fulton Cobb Toombs Hall Bibb Elbert Elbert Douglas
Cherokee Floyd Bulloch Muscogee Forsyth Fulton Fulton Chatham Oconee Oconee Hall Hall Fulton Fulton Spalding Decatur Columbia Gwinnett Bibb DeKalb Cobb Newton Cobb Clayton Hall Hall Franklin Gwinnett Forsyth Hall

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

1,140.53 452.66
111,704.81 36,210.08
134,881.91 22,874.58 13,053.35 42,409.08 14,972.97 34,351.08 49,006.35 2,390.02 98,252.02 77,385.84
177,365.10

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

940.90 24,054.07 24,548.80 13,169.64 18,404.59 145,958.26 28,410.28 13,304.08 49,938.52 41,485.25 35,797.51 49,592.90 147,847.14 123,710.12 33,623.37 23,886.23
36.10 228.26 133.38 4,224.15 6,917.49 2,410.49 3,521.43 23,014.96 38,325.05 88,198.15 115,384.84 53,604.94 17,580.81 36,025.66

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 Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency

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

27

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.
28

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

FALL

Batched Service

Batching Notice

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

September

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

December

Letter of Intent
October
January

Application Deadline November
February

WINTER

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

March

April

May

SPRING

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

June

July

August

SUMMER

Letters of Intent for services, facilities, or expenditures for which there is no specified batching cycle, or other applicable rule, may be filed at any time.
Batching Notifications Posted 3/29/2013 on DCH Website
Spring Batching Review 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
29

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

30

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

Batching Notice
(March 29, 2013)

Application Day
(application complete when
submitted; review cycle begins same
day)
May 28, 2013 applications due by 12 noon)

75th Day
(applicant provides additional information)
(August 10, 2013)

100th Day
(last day for letters of support to be submitted to
Department)
(September 4, 2013)

120th Day
(Department Issues
decision)
(September 24, 2013)

Letter of Intent
April 28, 2013 (Rollover Day April 29, 2013 LOI due by 5PM)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(July 26, 2013)

90th Day
(oppositio n meeting, applicant
can attend, opposing party must provide written copy of argument)
(August 25, 2013)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(September 14, 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 Opposition Meeting(s) scheduled; applicant can be in attendance; opposing parties must provide written statement of opposition arguments presented (original and one copy to the Department and one copy to the applicant); presentation time will be limited; Department reserves right to make additional inquiries subsequent to 60-day meeting and following opposition meeting.
100th day Last day for letters of support to be submitted to the Department
110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposition due to Department; applicant deadline for providing written response to Department's inquiries subsequent to opposition meeting
120th day Decision issued (No discretion to extend)

31

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

Letter of Intent

Application deemed complete (review cycle begins)

75th Day
(applicant provides additional information prior to 75th day)

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

120th
Day
(Department Issues decision)

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

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

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

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

150th Day
(project can be extended)

Letter of Intent received by Department 30 days before application is submitted
Application submitted (10 working days to review for completeness). Applications submitted after 3:00 M PM will be considered received on the next business day.
Application deemed complete; 120-day review cycle begins
60-day meeting (applicant only); deadline for receipt of opposition letter(s)
75th day - applicant provides additional information 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 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)

32

NEW REPORTING REQUIREMENTS
Beginning July 1, 2008, all facilities operating under a previously granted exemption or letter of nonreviewability as provided at O.C.G.A. 31-6-40(c)(2)(A) will be required to:
Provide notice to the department by August 15, 2008, of the following: Name Ownership Location Single Specialty Services provided in the exempt facility
For purposes of complying with this requirement, notice may be sent through the mail, by facsimile, or e-mail. Information will not be accepted by telephone. Please submit this information to:
Georgia Department of Community Health Healthcare Facility Regulation Division c/o Matthew Jarrard 2 Peachtree Street, NW 5th Floor Atlanta, Georgia 30303 Fax Number: 404-656-0654 E-mail address: mjarrard@dch.ga.gov
These facilities will also be required to provide annual reports beginning on January 1, 2009, in accordance with the Department's annual reporting requirements for existing CON-approved facilities and services. Further reporting instructions will be provided by the Department. Noncompliance with this information request may result in a fine as authorized under O.C.G.A. 31-6-70(e)(1).
These reports will not be due to the Department until the survey instrument has been issued. The survey instrument for ambulatory surgery services is now complete. Further information will be forthcoming by mail. The survey instrument for imaging centers is expected to be released on or before July 1, 2009.
LETTERS OF DETERMINATION The Department will require that a determination request be submitted for any proposed activity that may be exempt under O.C.G.A. 31-6. Such requests will be accepted only on the Department's Determination Request form with the required filing fee of $250. Note: Requests for confirmation of the exemptions for a single specialty ambulatory surgical center or a joint venture ambulatory surgical center and equipment below the threshold are considered requests for a Letter of Nonreviewability and require a $500 filing fee.
33

CERTIFICATE OF NEED APPEAL PANEL
Sworn 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 surveys, indigent and charity care commitment shortfalls, and all other matters please contact Matthew Jarrard, Director (mjarrard@dch.ga.gov)
For questions concerning pending Certificate of Need applications please contact Bruce Henderson, Senior Reviewer (bhenderson@dch.ga.gov)
For LNR/DET letters and for CON related matters please contact Roxana Tatman, Legal Director, Health Planning (rtatman@dch.ga.gov )
New Requirements for Verification of Lawful Presence within the United States
Effective January 1, 2012 agencies or political subdivisions of the State of Georgia providing or administering a public benefit are required to verify that applicants for a public benefit are in the United States in a lawful manner. See O.C.G.A. 50-36-1(e). Certificates of Need (CON) are considered a public benefit under the new provisions. Therefore, an applicant for a CON must be in compliance with the law for the CON to be awarded.
Effective January 1, 2012 all CON applications must include an original signed and notarized affidavit in accordance with O.C.G.A. 50-36-1(e)(2) as well as a copy of a secure and verifiable document in accordance with O.C.G.A. 50-36-2. A copy of the affidavit along with instructions for submitting the affidavit and secure and verifiable document can be located at the following link or by navigating to the CON Applications and Forms page from the CON Information link from www.dch.georgia.gov.
http://dch.georgia.gov/vgn/images/portal/cit_1210/23/25/180044217HB87_CON_Instructions_1-1-2012.pdf
CONs that are approved and issued after January 1, 2012 for applications that were submitted prior to January 1, 2012 are also subject to these provisions. DCH will contact applicants to provide instruction related to compliance prior to issuing such a CON.
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.
34

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.
35