Use the links below for easy navigation` Letters of Intent Letters of Intent Spr ing Batching Expired Letters of Intent New CON Applications Pending Review /Incom plete Applications Pending Review /Com plete Applications Pending Review /Com plete/Joined Applications Recently Approved Applications Recently Denied Applications Withdraw n CON Applications Appealed LNRs Appealed Determ inations Appealed CON Proje cts CERTIFICATE OF NEED Requests for LNR for Establishment of Physician-Ow ned Am bulatory Surgery Facilities Requests for LNR for Diagnostic or Therapeutic Equipm ent Requests for Miscellaneous Letters of Determ ination Requests for Extended Im plementation/Perform ance Period April 26, 2013 M ay 2, 2013 Bat ching Notifications - Spring Need Projection Analyses New Batching Review Winter cycle Spring Cycle Non- Filed or Incom plete Surveys Indigent-Charity Shortfalls Legislation Affecting CON New CON Filing Requirements (effective July 1, 2008) New Reporting Requirem ents (effective July 1, 2008) Certificate of Need Appeal Panel Contact Inform ation Open Record Request Form 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 LOI2013021 Tattnall Hospital Company, LLC dba Coa stal Imaging Proposed Expansion of Imaging Center with additional MRI Received: 4/12/2013 Application must be submitted on: 5/13/2013 Site: 503 Eisenhower Drive, Savannah, GA 31406 (Chatham County) Estimated Cost: $1,700,000 LOI2013022 Emory Universi ty 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 (DeK alb County) Estimated Cost: $2,400,000 LOI2013023 WellStar Windy Hill Hospital Reloc ate Diagnostic Center Received: 4/25/2013 Application must be submitted on: 5/28/2013 Site: 3747 Ros well Road NE, Marietta, GA 30062 (Cobb County) Estimated Cost: $13,000,000 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-S pecialty 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-S pecialty CON ASC - Batching Received: 4/29/2013 Application must be submitted on: 5/28/2013 Site: 1620 Prince A venue, 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 A venue, 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 2 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 S ervices - 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 A venue, 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 - B atching 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 Southea st Georgia Health System - Camden Campus Reloc ate Skilled Nursing Facility and Addition of 42 Beds - Batching Received: 4/29/2013 Application must be submitted on: 5/28/2013 3 Site: 2000 Dan Proctor Drive, St. Mary's, GA 31558 (Camden County) Estimated Cost: $20,000,000 Expired Letters of Intent none New Applications 2013-019 Johns Creek Diagnostic Center Convert non-CON approved facility to CON DTRC Filed: 4/24/2013 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 Site: 1850 N. Columbus Street, Suite 3, Milledgeville, GA 31061 (B aldwin 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 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 Universi ty Medical Center, Inc. Renovation and Expansion of Emergency Department Filed: 4/25/2013 Site: 4700 Waters A venue, Savannah, GA 31404 (Chatham County) Contact: Laura Dow, Vice President - Fianance 912-350-8613 Estimated Cost: $16,500,000 Pending Review/Incomplete Applications 2013-016 Phoebe Putney Memorial Hospi tal Renovation of Seventh-Floor Filed: 3/13/2013 Deemed Incomplete: 3/27/2013 Site: 417 Third A venue, Albany, GA 31701 (Dougherty County) Contact: Lori Jenkins, Manager of Planning 229 -312-1432 Estimated Cost: $5,107,436 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 4 Deci sion Deadline: 5/6/2013 Site: 1211 West Medical Park Drive, Augusta, GA 30909 (Richmond County) Contact: Klara Joseph, COO 706-364-2603 Estimated Cost: $2,346,770 2012-061 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 2012-065 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 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 5 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 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 6 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 2013-014 Emory University Hospital Construct a new Clinical Tower Filed: 3/1/2013 Deemed Incomplete: 3/15/2013 Deemed Complete: 3/20/2013 60th Day Deadline: 5/18/2013 Deci sion Deadline: 7/17/2013 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 Deci sion Deadline: 8/16/2013 Site: 425 Broad Street, Gaines ville, 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 Deci sion Deadline: 8/8/2013 Site: 1514 Vernon Road, LaGrange, GA 30240 (Troup County) Contact: Carol Todd, General Counsel 706-882-1411 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 Deci sion Deadline: 8/23/2013 Site: 1199 Prince A venue, Athens, GA 30606 (Clarke County) Contact: Jeffrey C. Baxter, Senior VP & Corporate Counsel 706-475-1195 Estimated Cost: $2,186,480 Recently Approved Applications 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 Deemed Complete: 12/17/2012 7 60th Day Deadline: 2/14/2013 Deci sion Deadline: 4/15/2013 APPROV ED: 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 APPROV ED: 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 APPROV ED: 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-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 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; N orthside 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. App lication is 8 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: 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: Pending 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 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: TB D Hearing Date: TB D 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 9 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-EQT2013007 Resurgens, P.C. Fixed MRI Request received: 1/31/2013 Contact Person: Dr. Steven B. Wertheim Determination: Approved 404 -5 31 -84 52 Determination Date: 4/1/2013 LNR-EQT2013008 CPM Imaging, LLC Fixed MRI Request received: 2/6/2013 Contact Person: Mary W. Hardwick 770-948-6824 Determination: Approved Determination Date: 4/2/2013 LNR-EQT2013009 Candler County Hospital Fixed CT Scanner Request received: 2/12/2013 Contact Person: Stephen C. Shepherd 912-685-5741 Determination: Approved Determination Date: 4/9/2013 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: Approved Determination Date: 4/26/2013 LNR-EQT2013011 Thoma sville Orthopedic Center, P.C. Fixed MRI Request received: 3/11/2013 Contact Person: Necia Ross 229-226-9141 Determination: Pending LNR-EQT2013012 Houston Hospital s, Inc. dba Perry Hospi tal 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 Coli seum Medical Center, LLC dba Coliseum Medical Centers da Vinci Si-e Robotic Surgical System 10 Request received: 4/11/2013 Contact Person: David Portwood 478-765-4100 Determination: Pending LNR-EQT2013017 Gwinnett Cardiology Service s, 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 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 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 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: Approved Determination 4/24/2013 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: Approved Determination 4/16/2013 11 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 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: Approved Determination 4/16/2013 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 LNR-AS C2013007 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 a s submitted: $679,030.44 Request received: 4/23/2013 Contact Person: E verette B. Jenkins 678-625-4720 Determination: Pending LNR-AS C2013008 ENTI Surgery Center, LLC Physician Owned, Single Specialty Ambulatory Surgic al Center Site: 1535 East Highway 34, Newnan, GA 30265 Number of OR's: 2 Specialty: Otolaryngology Project costs a s submitted: $2,425,996.40 Request received: 4/23/2013 Contact Person: Robin Beatty 404-725-8786 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 12 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 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 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: Non-reviewable as proposed Determination Date: 4/19/2013 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: Non-reviewable as proposed Determination Date: 4/4/2013 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: Non-reviewable as proposed Determination Date: 4/4/2013 DET2013012 Grady Health System Office Build-Out from Shell Space Request received: 1/31/2013 Contact Person: Samuel 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 CON threshold Request received: 2/8/2013 Contact Person: Chip Davis 478-988-1294 Determination: Non-reviewable as proposed Determination Date: 4/8/2013 DET2013015 The Montclair Personal Care Home Increase in Licensed Bed Capacity Request received: 2/12/2013 13 Contact Person: Paul McGough 404-633-8875 Determination: Non-reviewable as proposed Determination Date: 4/9/2013 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 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: 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: 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: 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 Garrett 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 Opposition: Piedmont Henry Hospit al- 4/3/2013 14 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 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 Dermatologic Surgery, LLC. Renovations of Existing Facility Request received: 3/20/2013 15 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 DET2013040 Augusta Re source s 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 Uni versity, Inc. dba Wesley Woods Add 18 P CH 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 E quipment Request received: 4/9/2013 Contact Person: Debbie Keel 770-751-2515 Determination: Pending DET2013044 Adventi st 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 Coli seum 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 16 DET2013047 Dkumar LLC dba Atlanta Hand Specialist Scope of services that can be performed in LNR-AS C Request received: 4/16/2013 Contact Person: Viralkumar Patel, M.D. 770-333-7888 Determination: Pending DET2013048 Arbor Terrace of East Cobb Increase Number of Personal Care Beds Request received: 4/23/2013 Contact Person: Jerry Novack 646-278-4223 Determination: Pending DET2013049 Landmark Hospital of Savannah LLC Change in defined Location for CO N 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 Egle ston Children's Hospital at Emory University, INC. Bed Capacity Increase Request received: 4/24/2013 Contact Person: David Tat um 404-785-7556 Determination: Pending DET2013052 Scotti sh Rite Children's Medical Center Inc. Bed Capacity Increase Request received: 4/24/2013 Contact Person: David Tat um 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 P CH Request received: 4/24/2013 Contact Person: Patricia Ebert 206-676-5379 Determination: Pending DET2013055 Cobb Hospi tal, Inc. dba WellStar Cobb Hospi tal Development of Medical Office Building Request received: 4/29/2013 Contact Person: Stephen Vault 678-331-6887 Determination: Pending Requests for Extended Implementation/Effective Period 2011050 Heritage Park Healthcare Properties, Inc. d/b/a Heritage Healthcare of Savannah Expansion and Renovation Request to extend Performance Period Site: 12825 White Bluff Road, Savannah Project Approved: 12/29/2011 Request Received: 4/5/2013 17 Contact: Aneel Gill, Health Planner (678-533-6699) Approved Cost: $5,299,903 Determination: Approved, 4/8/2013 Extended Completion Date: 2/3/2014 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 Analyse s and Other Data Resource s Need Projections and Maps for CON Regulated Services 2017 Non-Special MegaVoltage Radiation Therapy - 12/ 20/2012 2017 Positron Emission Tomography Services - 12/20/2012 2017 Ambulatory Surgery Center Services - 3/26/ 2013 2015 Home Health Agency Services - 3/26/2013 2017 Inpatient Physical Rehabilitation Services - 3/28/2013 2017 Neonat al Intensive Care Beds - 3/28/2013 2017 Neonat al Intermediate Care Beds - 3/28/2013 2017 Obstetric Services Beds - 3/28/2013 2015 Skilled Nursing Home Beds - 3/28/2013 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. 18 Non-Filed or Incomplete Division of Health Planning Facility Surveys for Most Recent 3 Years (Survey Status as of 5/2/2013) Survey Completion Status - Survey completion status represents the status of survey filings as of the effective date indicated in each version of the Tracking Report. Surveys filed on the effective date may not be reflected as complete and may be reported as delinquent. Please contact the staff contact indicated in the instruction materials associated with each survey if your facility has filed its survey but continues to be reflected as incomplete. Facility Name Coun ty Survey Year Annual Hospital Questionnaire and Addenda (Survey Years 2010 thru 2012) Appling Hospital Appling 2012 Athens Regional Medical Center Clarke 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 Gw innett Medical Center Gw innett 2012 Gw innett Medical Center - Duluth Gw innett 2012 Houston Medical Center Houston 2012 Hughston Hospital Muscogee 2012 Hutcheson Medical Center Catoosa 2011 Irw in County Hospital Irw in 2012 Jenkins County Hospital Jenkins 2012 Laurel Heights Hospital DeKalb 2012 Liberty Regional Medical Center Liberty 2012 Low er Oconee Community Hospital, Inc. Wheeler 2011 Low er Oconee Community Hospital, Inc. Macon Behavioral Health System Wheeler Bibb 2012 2012 Mountain Lakes Medical Center Rabun 2012 North Georgia Medical Center Gilmer 2012 Northeast Georgia Medical Center Hall 2012 Northw est Georgia Regional Hospital Floyd 2010 Northw est Georgia Regional Hospital Floyd 2011 Northw est Georgia Regional Hospital Floyd 2012 Peachf ord Behavioral Health System of Atlanta DeKalb 2012 Perry Hospital Houston 2012 19 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 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/11/2011 3/9/2012 3/9/2012 3/9/2012 3/9/2012 Phoebe Putney Memorial Hospital Phoebe Sumter Medical Center Piedmont Fayette Hospital Piedmont Hospital Riverw oods Behavioral Health System Rockdale Medical Center Screven County Hospital Southern Crescent Behavioral Hlth System-Anchor Hospital Campus Southern Crescent Behavioral Hlth System-Crescent Pines Campus Southern Crescent Hospital for Specialty Care Southern Crescent Hospital for Specialty Care Southw est Georgia Regional Medical Center Southw estern State Hospital Stew art Webster Hospital SummitRidge Center - Psychiatry & Addictive Medicine The Medical Center Warm Springs Medical Center Wildw ood Lifestyle Center & Hospital Youth Villages - Inner Harbour Campus Youth Villages - Inner Harbour Campus Dougherty Sumter Fayette Fulton Clayton Rockdale Screven Clayton Henry Clayton Clayton Randolph Thomas Stew art Gw innett Muscogee Meriw ether Dade Douglas Douglas 2012 2012 2012 2012 2012 2012 2012 2012 2012 2011 2012 2011 2012 2010 2012 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 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 Lumber City Nursing & Rehabilitation Center Randolph Telf air 2011 2011 Manor Care Rehabilitation Center - Decatur DeKalb 2011 Manor Care Rehabilitation Center - Marietta Cobb 2011 Meadow s Nursing Center Toombs 2011 New London Health Center Gw innett 2011 Northw est Georgia Regional Hospital ICF/MR Floyd 2011 Oceanside Nursing & Rehab Center Chatham 2011 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 20 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/11/2011 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 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 Meadow s 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. Atlanta Eye International Surgery Center FUL TON Fulton DEKALB DEKALB 2011 2012 2012 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 FUL TON 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 RICHMOND 2010 Bow man Pain Management, Pc BIBB 2011 Bow man Pain Management, Pc BIBB 2012 Brunswick Pain Treatment Center, Llc GLYNN 2012 Buckhead Mohs Surgical Center, LLC FUL TON 2010 Buckhead Mohs Surgical Center, LLC FUL TON 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 WHITFIEL D 2010 Center For Spine & Pain Medicine WHITFIEL D 2012 Children's Healthcare of Atlanta Surgery, Meridian Mark Fulton 2012 Clayton Cataract and Laser Surgery Center Clayton 2012 Clayton Outpatient Surg Ctr CLAYTON 2010 Coastal Pain Center, Llc GLYNN 2011 Cobb Foot And Leg Surgical Center, Llc COBB 2011 CPMSC Rosw ell, PC FUL TON 2011 Day Surgery And Recovery Ctr WHITFIEL D 2011 Dennis Surgery Center, Inc. FUL TON 2012 Digestive Healthcare Of Ga Endo Ctr Mountainside PICKENS 2010 Dublin Endoscopy Center, LLC LAURENS 2011 21 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 3/25/2013 3/11/2011 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/25/2013 3/11/2011 3/9/2012 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 Gw innett Center for Outpatient Surgery Gw innett Endoscopy Services - Duluth Gw innett 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 Midtow n Urology Surgical Center New nan 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 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 LAURENS LAURENS BIBB FUL TON FUL TON FUL TON LOWNDES LOWNDES DOUGHERTY HOUSTON HOUSTON MUSCOGEE MUSCOGEE FORSYTH CLAYTON COBB Forsyth GORDON COBB GLYNN Gw innett Gw innett Gw innett HOUSTON GLYNN GLYNN GWINNETT GWINNETT Fulton Fulton Houston Muscogee HENRY BIBB BIBB BIBB COBB FUL TON FUL TON FUL TON COWETA COBB COBB MUSCOGEE CHEROKEE HALL Catoosa FORSYTH FORSYTH FORSYTH GORDON HALL HALL HALL 22 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 2012 2010 2011 2012 2012 2010 2011 2012 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 3/25/2013 3/11/2011 3/9/2012 3/25/2013 3/25/2013 3/11/2011 3/9/2012 3/25/2013 Northside Foot & Ankle O P Sc Northside Foot & Ankle Outpat Northside Surgery Center, Inc. Northside/Dunw oody 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 Rosw ell Center for Foot and Ankle Surgery Samson Pain Center, Pc Samson Pain Center, Pc Samson Pain Center, Pc Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah 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 Seaside Surgical, Llc Southeast Treatment Center, Llc Southeast Treatment Center, Llc Southeast Treatment Center, Llc Spalding Endoscopy Center HALL GWINNETT FUL TON DeKalb CHATHAM CHATHAM Chatham Henry FUL TON FUL TON FUL TON HOUSTON FUL TON Fulton Fulton BIBB BIBB COBB Richmond CHATHAM CHATHAM CHATHAM DOUGHERTY WHITFIEL D NEWTON NEWTON NEWTON GLYNN FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD Fulton CHEROKEE CHEROKEE CHEROKEE Chatham Chatham Chatham Chatham CHATHAM CHATHAM CHATHAM GLYNN GLYNN GLYNN CAMDEN CAMDEN CAMDEN Spalding 23 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 2012 2010 2011 2012 2010 2011 2012 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 3/11/2011 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 3/25/2013 3/11/2011 3/9/2012 3/25/2013 3/11/2011 3/9/2012 3/25/2013 3/25/2013 Summit Endoscopy Center, L L C FAYETTE Surgery Center of Athens Clarke Surgery Center of Athens Clarke Surgery Center of BJI, LLC WAYNE Surgery Center of BJI, LLC WAYNE Surgical Centers of Georgia Bibb Surgical Suite, The FUL TON 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 FUL TON 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 FUL TON 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 Gw innett Visiting Nurses Association of Greater Tift Co Tif t 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 24 2010 2011 2012 2010 2012 2012 2011 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 2011 2010 2011 2011 2010 2011 3/11/2011 3/9/2012 3/25/2013 3/11/2011 3/25/2013 3/25/2013 3/9/2012 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 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) 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 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 5/2/2013) Facility Name Atlanta Aesthetic Surgery Center Clayton Cataract and Laser Surgery Center Clayton Cataract and Laser Surgery Center Clayton Outpatient Surg Ctr Dekalb Endoscopy Center Dennis Surgery Center, INC G.I. Endoscopy Center G.I. Endoscopy Center 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. Northw oods 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. 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 County Fulton Clayton Clayton CLAYTON DEKALB Fulton CLAYTON CLAYTON DEKALB HENRY HENRY NEWTON NEWTON MUSCOGEE CHEROKEE CHEROKEE GORDON GORDON DEKALB HALL HALL GWINNETT GWINNETT FUL TON FUL TON Forsyth CLAYTON Chatham Chatham Chatham FUL TON FUL TON FUL TON Clayton Richmond Muscogee New ton Bibb Low ndes Oconee Fulton Cobb Year 2012 2010 2011 2011 2011 2011 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 2012 2012 2012 2012 2012 2012 2012 2012 2012 25 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 83,031.41 Ambulatory Surgery Center 8,719.02 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 1,140.53 Ambulatory Surgery Center 452.66 Ambulatory Surgery Center 111,704.81 Ambulatory Surgery Center 36,210.08 Home Health Agency 134,881.91 Home Health Agency 22,874.58 Home Health Agency 13,053.35 Home Health Agency 42,409.08 Home Health Agency 14,972.97 Home Health Agency 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 Toombs Hall Bibb Elbert Elbert Douglas Cherokee Floyd Bulloch Forsyth Muscogee Fulton Fulton Chatham Oconee Oconee Hall Hall Fulton Fulton Spalding Decatur Colu mbia Gw innett Bibb DeKalb Cobb Cobb New ton Clayton Hall Hall Franklin Gw innett Forsyth Hall 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 34,351.08 49,006.35 2,390.02 98,252.02 77,385.84 177,365.10 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 18,404.59 13,169.64 145,958.26 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 3,521.43 2,410.49 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 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 26 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 dep artment 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 ser vices, 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. 27 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 bat ching cycle, or other applicable rule, may be filed at any time. Batching Notifications Posted 3/29/2013 on DCH Website Spring Batching Re view Cycle Notifications Ambulatory Surgery Home Health Agencies Obstetrical Services Neonatal Intermediate Services Neonatal Intensive Care Services Comprehensive Inpatient Physical Rehabilitation Services Skilled Nursing Facilities/Intermediate Care Facilities Need Projections can be found on the DHP Need Projections Page 28 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 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) 29 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 (Rollov er 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 sub mitted 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) 30 NON-BATCHED APPLICATIONS: SEQUENCE OF CERTIFICAT E OF NEED APPLICATION REVIEW ACTIVITIES Letter of Intent Ap pli ca tio n deemed complete (re vi e w cycl e begins) 75th Day (applicant provides additional information prior to 75th day) 100th Day (last day for letters of support to be submitted to Department) 120th Day (Department Issues decision) Ap pli ca tio n must be submitted by 3 PM (10 days to review for completeness) 60-Day Meeting (applicant only); deadline for receipt of opposition letter(s) 90th Day (opposition meeting(s) scheduled; applicant can attend, opposing parties must provide written copy of argument) 110th Day (applicant provides amended information; applicant provides response to opposition) 150t h Da y (project can be extended) Letter of Intent received by Department 30 days before application is submitted Application submitted (10 working days to review for completeness). Applications submitted after 3:00 M PM will be considered received on the next business day. Application deemed complete; 120-day review cycle begins 60-day meeting (applicant only); deadline for receipt of opposition letter(s) 75th day - applicant provides additional information prior to 75th day 90th day Opposition Meeting(s) scheduled; applicant can be in attendance; opposing parties must provide written statement of opposition arguments presented (original and one copy to the Department and one copy to the applicant); presentation time will be limited; Department rese rves right to make additional inquiries subsequent to 60-day meeting and following opposition meeting. 100th day Last day for letters of support to be submitted to the Department 110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposition; applicant deadline for providing written response to Department's inquiries subsequent to opposition meeting 120th day Decision issued (Department has discretion to extend to 150th day) 31 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. 32 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. 33