Certificate-of-need tracking and appeals report [Aug. 31-30, 2013]

Use the links below for easy navigation

Letters of Intent Expired Letters of Intent Expired Letter of Intent Summ er Batching
New CON Applications Pending Review /Incom plete Applications
Pending Review /Com plete Applications Recently Approved Applications Recently Denied Applications Withdraw n CON Applications

Appealed Determ inations Appealed CON Projects

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

August 21, 2013 August 30, 2013

Bat ching Notifications - Sum mer Need Projection Analyses New Batching Review Spr ing Cycle Summer Cycle
Non- Filed or Incom plete Surveys
Indigent-Charity Shortfalls
Legislation Affecting CON New CON Filing Requirements
(effective July 1, 2008) New Reporting Requirem ents
(effective July 1, 2008) Certificate of Need Appeal Panel
Contact Inform ation Open Record Request Form
Special Note

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

Letters of Intent

LOI2013060 WellStar Cobb Hospi tal

Renovate Existing Space

Received: 8/2/2013

Application must be submitted on: 9/3/2013

Site: 3950 Austell Road, Austell, GA 30106 (Cobb County)

Estimated Cost: $6,000,000

LOI2013061 Northside Hospital

Renovate/Expand the Surgery Department

Received: 8/2/2013

Application must be submitted on: 9/3/2013

Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County)

Estimated Cost: $10,000,000

LOI2013062 Gwinnett Medical Center - Lawrenceville

da Vinci robot Surgic al System

Received: 8/5/2013

Application must be submitted on: 9/4/2013

Site: 1000 Medical Center Boulevard, Lawrenceville, GA 30046 (Gwinnett County)

Estimated Cost: $2,100,000

LOI2013063 Cobb Hospi tal, Inc. dba WellStar Cobb Hospi tal

Establish a Diagnostic Cent er

Received: 8/15/2013

Application must be submitted on: 9/16/2013

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

Estimated Cost: $8,000,000

LOI2013064 DeKalb Medical at Hillandale

CT Scanner

Received: 8/20/2013

Application must be submitted on: 9/19/2013

Site: 2801 Medical Center Parkway, Lithonia, GA 30058 (DeKalb County)

Estimated Cost: $2,140,000

Expired Letters of Intent
none
Expired Letters of Intent Summer Batching

LOI2013047 Emory Johns Creek Hospital

Megavolt age Radiation Therapy

Received: 7/31/2013

Application must be submitted on: 8/30/2013

Site: 6335 Hos pital Parkway, Johns Creek, GA 30097 (Fulton County)

Estimated Cost: $17,000,000

LOI2013056 Walton Behavioral Hospital

Psych/Substance Abuse Services

Received: 7/31/2013

Application must be submitted on: 8/30/2013

Site: 330 Alcovy Street, Monroe, GA 30655 (Walton County)

Estimated Cost: $15,500,000

LOI2013057 Newnan Psychiatric Hospital, LLC

Psych/Substance Abuse Services

Received: 7/31/2013

Application must be submitted on: 8/30/2013

Site: 58 Hospital Road, Newnan, GA 30263 (Cowet a County)

Estimated Cost: $15,000,000

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New CON Applications

2013-041 Grady Health System

Renovation and Expansion of the Emergency Department

Filed: 8/26/2013

Site: 80 Jesse Hill Drive SE, Atlanta, GA 30303 (Fulton County) Contact: Samuel L. Williams 404-616-5141

Estimated Cost:

$73,994,670

Pending Review/Incomplete Applications

2013-039 Gwinnett Medical Center - Lawrenceville
Acquisition of Interventional Radiology Unit Filed: 7/29/2013 Deemed Incomplete: 8/8/2013 Site: 1000 Medical Center Boulevard, Lawrenceville, GA 30046 (Gwinnett County) Contact: Mark M. Mullin, Director, Planning 678-312-4193 Estimated Cost: $3,492,694

Pending Review/Complete Applications

2013-016 Phoebe Putney Memorial Hospi tal Renovation of Seventh-Floor Filed: 3/13/2013 Deemed Incomplete: 3/27/2013 Deemed Complete: 5/21/2013 60th Day Deadline: 7/19/2013 Deci sion Deadline: 9/17/2013 Site: 417 Third A venue, Albany, GA 31701 (Dougherty County) Contact: Lori Jenkins, Manager of Planning 229 -312-1432 Estimated Cost: $5,107,436
2013-022 Memorial Health Universi ty Medical Center, Inc.
Renovation and Expansion of Emergency Department Filed: 4/25/2013 Deemed Complete: 5/8/2013 60th Day Deadline: 7/6/2013 Deci sion Deadline: 9/4/2013 Site: 4700 Waters A venue, Savannah, GA 31404 (Chatham County) Contact: Laura Dow, Vice President - Finance 912-350-8613 Estimated Cost: $16,472,750
2013-023 Coastal Imaging Proposed Expansion of Imaging Center with additional MRI Filed: 5/13/2013 Deemed Incomplete: 5/28/2013 Deemed Complete: 7/2/2013 60th Day Deadline: 8/30/2013 Deci sion Deadline: 10/29/2013 Site: 503 Eisenhower Drive, Savannah, GA 31406 (Chatham County) Contact: Chris Cribbs, Practice Manager 912-429-4343 Estimated Cost: $1,698,722
2013-024 Emory University Hospital
Acquisition of da Vinci Si Dual Console Robotic Surgery System Filed: 5/20/2013 Deemed Incomplete: 5/31/2013 Deemed Complete: 6/6/2013 60th Day Deadline: 8/4/2013 Deci sion Deadline: 10/3/2013 Site: 1364 Clifton Road, Atlanta, GA 30322 (DeK alb County) Contact: Bryce Gartland, MD, FHM, VP, Operations 404-686-8500 Estimated Cost: $2,304,517
2013-025 St. Mary's Senior Care Center
Reloc ate Skilled Nursing Facility and Addition of 42 Beds - Batching
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Filed: 5/28/2013 Deemed Complete: 5/28/2013 60th Day Deadline: 7/26/2013 Deci sion Deadline: 9/24/2013 Site: 2000 Dan Proctor Drive, Saint Marys, GA 31558 (Camden County) Contact: Marjorie Mat hieu, Vice President 912 -466-7055 Estimated Cost: $21,889,580
2013-026 WellStar Windy Hill Hospi tal
Reloc ate Diagnostic Imaging Center Filed: 5/28/2013 Deemed Incomplete: 6/11/2013 Deemed Complete: 6/14/2013 60th Day Deadline: 8/12/2013 Deci sion Deadline: 10/11/2013 Site: 2540 Windy Hill Road, Marietta, GA 30067 (Cobb County) Contact: April Austin 678-331-6862 Estimated Cost: $12,701,517
2013-027 Coosa Procedure Center
Convert LNR to Single Specialty CON - Batching Filed: 5/28/2013 Deemed Complete: 5/28/2013 60th Day Deadline: 7/26/2013 Deci sion Deadline: 9/24/2013 Site: 18 Riverbend Drive, Suite 120, Rome, GA 30161 (Floyd County) Contact: Steve Weidler 706-436-0952 Estimated Cost: $10,000
2013-029 Northea st Georgia Procedure Center, LLC Convert LNR ASC to Single-S pecialty CON ASC - Batching Filed: 5/28/2013 Deemed Complete: 5/28/2013 60th Day Deadline: 7/26/2013 Deci sion Deadline: 9/24/2013 Site: 1620 Prince A venue, Athens, GA 30606 (Clarke County) Contact: Steve Weidler 706-436-0952 Estimated Cost: $10,000
2013-030 WellStar Cobb Hospital, Inc.
Establish New Freestanding ASC - Batching Filed: 5/28/2013 Deemed Complete: 5/28/2013 60th Day Deadline: 7/26/2013 Deci sion Deadline: 9/24/2013 Site: Winchester Parkway & S. ATL Road, Smyrna, GA 30080 (Cobb County) Contact: Stephen Vault, Director, Strategic Planning 678 -331-6887 Estimated Cost: $16,296,862
2013-031 WellStar Kennestone Hospital
Establish New Freestanding ASC - Batching Filed: 5/28/2013 Deemed Complete: 5/28/2013 60th Day Deadline: 7/26/2013 Deci sion Deadline: 9/24/2013 Site: 4550 Cobb Parkway NW, Acworth, GA 30101 (Cobb County) Contact: Stephen Vault 678-331-6887 Estimated Cost: $16,296,862
2013-032 Northea st Georgia Medical Center
Establish Basic Perinatal Services - Batching Filed: 5/28/2013 Deemed Complete: 5/28/2013 60th Day Deadline: 7/26/2013 Deci sion Deadline: 9/24/2013 Site: 5875 Thompson Mill Road, Hoschton, GA 30548 (Hall County) Contact: Chad T. Bolton 678-897-6630 Estimated Cost: $15,213,236
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2013-033 Spalding Regional Medical Center
Add Two (2) Neonatal Level II Beds - Batching Filed: 5/28/2013 Deemed Complete: 5/28/2013 60th Day Deadline: 7/26/2013 Deci sion Deadline: 9/24/2013 Site: 601 South 8th Street, Griffin, GA 30224 (Spalding County) Contact: John Quinn 770-229-6469 Estimated Cost: $80,000
2013-034 Northsi de Hospital, Inc. dba Northside Hospital - Forsyth Establish 4-Bed Level III Neonatal ICU Service - Batching Filed: 5/28/2013 Deemed Complete: 5/28/2013 60th Day Deadline: 7/26/2013 Deci sion Deadline: 9/24/2013 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian J. Toporek, Senior Planner 404-851-6821 Estimated Cost: $1,961,956
2013-035 Piedmont Fayette Hospital
Expand Level III Neonatal Intensive Care S ervices - Batching Filed: 5/28/2013 Deemed Complete: 5/28/2013 60th Day Deadline: 7/26/2013 Deci sion Deadline: 9/24/2013 Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County) Contact: Davis Dunbar 404-788-3638 Estimated Cost: $1,315,405
2013-036 HealthSouth Rehabilitation Hospital of North Atlanta, LLC
Establish a 60-bed Comprehensive Inpatient Physical Rehabilitation Hospital - B atching Filed: 5/28/2013 Deemed Complete: 5/28/2013 60th Day Deadline: 7/26/2013 Deci sion Deadline: 9/24/2013 Site: Edison Drive a quarter miles S. Windward, Alpharetta, dr 30005 (Fulton County) Contact: Andy Ward, VP Development 205 -970-5753 Estimated Cost: $26,926,161
2013-037 Devi Manor Home for Life, LLC
Development of a 252-bed Skilled Nursing Facility - Batching Filed: 5/28/2013 Deemed Complete: 5/28/2013 60th Day Deadline: 7/26/2013 Deci sion Deadline: 9/24/2013 Site: 6095 Pine Mountain Road, Kennesaw, GA 30152 (Cobb County) Contact: Hars had Pat el, President CEO 732-319-3055 Estimated Cost: $56,531,000
2013-038 Gordon Hospital
Proposed Major Hospital Expansion and Renovation Project Filed: 6/5/2013 Deemed Incomplete: 6/19/2013 Deemed Complete: 7/16/2013 60th Day Deadline: 9/13/2013 Deci sion Deadline: 11/12/2013 Site: 1035 Red Bud Road, Calhoun, GA 30701 (Gordon County) Contact: Pete Weber, President/ CEO 706-879-4710 Estimated Cost: $37,200,000
2013-040 The Children's Hospital at The Medical Center
Renovation and Expansion of the Pediat ric Nursing Units and Support Space Filed: 7/31/2013 Deemed Complete: 8/13/2013 60th Day Deadline: 10/11/2013 Deci sion Deadline: 12/10/2013 Site: 710 Cent er Street, Columbus, GA 31901 (Muscogee County)
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Contact: Ryan R. Chandler, President and CEO 706-571-1000 Estimated Cost: $8,517,124
2013-042 Atlanta Birth Center, Inc.
Freestanding Birthing Center - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 1451 Northside Drive, Atlanta, GA 30318 (Fult on County) Contact: Victor L. Moldovan, Attorney 404 -443-5708 Estimated Cost: $950,000
2013-043 Northea st Georgia Medical Center - South Hall Campus
Megavolt age Radiation Therapy - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 5875 Thompson Mill Road, Hoschton, GA 30548 (Hall County) Contact: Chad T. Bolton, Director of Planning 7 70-219-6630 Estimated Cost: $10,552,905
2013-044 West Georgia Medical Center, Inc.
PET Scanner Servic es - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 1514 Vernon Road, LaGrange, GA 30240 (Troup County) Contact: Carol Todd, General Couns el 706 -882-1411 Estimated Cost: $115,000
2013-045 Appling Healthcare System
Psych/Substance Abuse Services - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 163 E. Tollison Street, Baxley, GA 31515 (A ppling County) Contact: Robin Crosby, Director of Education/Mark eting 912-367-9841 Estimated Cost: $291,489
2013-046 Greenleaf Center, LLC Adult Acute Care Psych/Substance Abuse Bed Expansion - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 2209 Pineview Drive, Valdosta, GA 31602 (Lowndes County) Contact: Mike Ham, CEO 229-671-6611 Estimated Cost: $273,335
2013-047 Chatuge Regional Hospital
Psych/Substance Abuse Services - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 110 S. Main Street, Hiawassee, GA 30512 (Towns County) Contact: Michael Gowder, Chief Executive Officer 706 -745-2111 Estimated Cost: $1,224,000
2013-048 Dodge County Hospital
Psych/Substance Abuse Services - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013
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Deci sion Deadline: 12/27/2013 Site: 901 Griffin A venue, Eastman, GA 31023 (Dodge County) Contact: Jan Hamrick, CFO 478-448-4050 Estimated Cost: $25,000
2013-049 Donalsonville Hospital Psych/Substance Abuse Services - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 102 Hospital Circle, Donalsonville, GA 39845 (S eminole County) Contact: Robin Gage, Senior Consult ant 512 -371-8001 Estimated Cost: $845,634
2013-050 Ty Cobb Regional Medical Center, LLC Psych/Substance Abuse Services - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 521 Franklin Springs Street, Royston, GA 30662 (Franklin County) Contact: Gregory K. Hearn, Chief Executive Officer 706 -356-7820 Estimated Cost: $2,948,850
2013-051 Newnan Behavioral Hospital Psych/Substance Abuse Services - batching Filed: 8/30/2013 Deemed Complete: 8/30/2013 60th Day Deadline: 10/28/2013 Deci sion Deadline: 12/27/2013 Site: 58-60 Hospital Road, Newnan, GA 30263 (Coweta County) Contact: Martina Sze, Vice President 212 -243-5565 Estimated Cost: $6,950,765
Recently Approved Applications
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 Deci sion Deadline: 7/31/2013 APPROV ED: 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 Deci sion Deadline: 8/16/2013 APPROV ED: 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
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Deci sion Deadline: 8/8/2013 APPROV ED: 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 APPROV ED: 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 Denied Applications
none
CON Applications Withdrawn
2013-028 Dublin Endoscopy Center Convert LNR ASC to Single-S pecialty CON ASC - Batching Filed: 5/28/2013 Deemed Complete: 5/28/2013 60th Day Deadline: 7/26/2013 Deci sion Deadline: 9/24/2013 WITHDRAWN: 8/23/2013 Site: 111 Fairview Park Drive, Dublin, GA 31021 (Laurens County) Contact: Ellen K. Barr 478-296-6211 Estimated Cost: $40,000
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. Hearing Officer, Ellwood Oakley, III, Esq., issued an Order granting Meadows Regional Cancer Center, LLC's and the Department's Motions for Summary Adjudication, 06/19/13.
Appealed CON Projects
2010-025 WellStar Kennestone at East Cobb (Cobb) Development of an Ambulatory Surgery Facility - Batching Agency Decision: Approved, 9/20/2010 Appealed By: St. Joseph's Hospital of Atlanta, 10/ 19/2010; Northside Hospital-Atlanta and Northside Alpharetta Surgery Center, 10/19/2010; Applicant (Kennestone) requests to intervene, 10/19/2010. St. Joseph's Hospital withdrew request for appeal, 1/20/2011. Hearing postponed pending Order from Hearing Officer. Application is remanded to Department by Hearing Officer, April 6, 2011 for the Department to conduct an additional alt ernative review under the specific review criteria for ambulatory surgery centers. Department requests, and is granted, extension on Remand decision date, 5/6/2011. On remand, the applic ation for alt ernative review only is denied, 5/16/2011. The original application remains appro ved, 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.
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Superior Court Decision: The Superior Court reversed DCH's decision to grant a CON to Kennestone, 7/30/2012. Court of Appeals: 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

2012-058 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 Coliseum Same Day Surgery Center dismisses its appeal, 8/12/2013.

2013-001 MRI & Imaging of Dougla sville (Douglas), Approved, 6/3/ 2013 2013-002 MRI & Imaging of Habersham (Habersham), Approved, 6/3/2013 2013-005 MRI & Imaging of Hapeville (Fulton), Approved, 6/12/2013 2013-006 MRI & Imaging of Duluth (Gwinnett), Approved, 6/12/2013 Convert Existing Diagnostic Imaging Facility to a CON DTRC Appealed By: Nort hside Hospital , Inc d/b/a Nort hside Hospital Atlanta, Northside Hospital Cherokee, and Nort hside Hospital Forsyth, 7/1/2013. Hearing Officer: Melvin Goldstein, Esq. Hearing Date: TB D Hearing Decision: Pending
2013-008 Riverside Imaging Specialist, LLC (Bibb) Establish a Freestanding Diagnostic Imaging Center Agency Decision: Approved, 6/20/ 2013. Appealed By: Physicians MRI, Inc. d/b/a Open MRI of Macon (" Open MRI") filed appeal, 7/19/ 2013. Hearing Officer: TB D Hearing Date: TB D Hearing Decision: Pending
2013-010 Northside Hospital - Forsyth (Forsyth) Megavolt age Radiation Therapy - Gamma Knife - Batching Agency Decision: approved, 6/18/2013. Appealed By: St. Joseph's Hospital of Atlanta, 7/17/2013; WellStar Kennestone Hospital,
7/17/2013; Piedmont Hospital, Inc,, 7/18/2013. Northside submitted request to Intervene, 7/16/2013. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: TB D Hearing Decision: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2013022 Gwinnett Hospital System, Inc. dba Gwinnett Medical Center -

Fixed CT Scanner

Request received: 5/24/2013

Contact Person: Mark M. Mullin 678-312-4193

Determination: Approved

Determination Date: 7/30/2013

LNR-EQT2013023 The Medical Center of Peach County, Inc. Fixed CT Scanner Request received: 5/28/2013
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Contact Person: H. Bryan Forlines 478-633-6966

Determination: Approved

Determination Date: 7/30/2013

LNR-EQT2013024 Floyd Healthcare Management, Inc. dba Floyd Medical Center Fixed MRI and Fixed CT Scanner Request received: 7/31/2013 Contact Person: Stephen Weed 706-509-3257 Determination: Pending

LNR-EQT2013025 Medical Center of Central Georgia, Inc. CT Scanner, Mammography, General X-ray System Request received: 8/1/2013 Contact Person: H. Bryan Forlines 478-633-6966 Determination: Pending

LNR-EQT2013026 Orthopaedic & Spine Surgery at Atlanta, LLC Fixed MRI Request received: 8/8/2013 Contact Person: William T. Marlow, COO 404-352-4200 Determination: Pending

LNR-EQT2013027 Adventi st Health System Georgia, Inc. dba Gordon Hospital Fixed CT Scanner Request received: 8/9/2013 Contact Person: Steve M. Hannah 706-879-4795 Determination: Pending

LNR-EQT2013028 Emory University dba Emory University Hospital Fixed CT Request received: 8/9/2013 Contact Person: Toni Wimby 404-686-2809 Determination: Pending

LNR-EQT2013029 Peachtree Spine & Pain Physicians, Inc. Magnetic Resonance Imaging (MRI) Services Request received: 8/29/2013 Contact Person: John Guz owski, CFO 404-851-8000 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 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 C2013009 Skin Cancer Specialists, P.C. Reloc ate its Dermat ology Practice
10

Site: 835 Cogburn A venue, Marietta, GA 30060

Number of OR's: 1

Specialty: Dermatology

Project costs a s submitted: $0.00

Request received: 5/7/2013

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

Determination: Pending

LNR-AS C2013010 Salubrious ASC, LLC

Construct New AS C

Site: 240 Herit age Walk, Woodstock, GA 30188-3875

Number of OR's: 1

Specialty: Pain Management

Project costs a s submitted: $329,600.00

Request received: 5/14/2013

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

Determination: Approved

Determination

7/30/2013

LNR-AS C2013011 Pain Care, LLC - Medical Practice

Physician-Owned, Single Specialty, Office -Based ASC

Site: 2401 Newnan Crossing Blvd., Suite 130, Newnan, Georgia 30265

Number of OR's:

Specialty: Pain Center

Project costs a s submitted: $675,754.00

Request received: 6/5/2013

Contact Person: Lindsey A. Mathes, MSN, RN, CASC

Determination: Pending

LNR-AS C2013012 AOS Surgery Center

Physician-Owned, Single Specialty, Office -Based ASC

Site: 3650 J. Dewey Gray Circle, Augusta, GA 30909

Number of OR's:

Specialty: Single Specialty - ASC

Project costs a s submitted: $0.00

Request received: 6/21/2013

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

Determination: Pending

LNR-AS C2013013 Coa stal Pain Center, LLC

Physician-Owned, Single Specialty, Office -Based ASC

Site: 3221 Glynn A venue, Brunswick, Georgia 31520

Number of OR's:

Specialty: Single Specialty - ASC

Project costs a s submitted: $0.00

Request received: 6/24/2013

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

Determination: Pending

LNR-AS C2013014 SurgiCare Gwinnett, LLC

Physician-owned, Single Specialty Ambulatory Surgery Center

Site: 367 Athens Highway, Suite 100B, Loganville, GA 30052

Number of OR's: 2

Specialty: General Surgery procedures

Project costs a s submitted: $0.00

Request received: 7/2/2013

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

Determination: Pending

LNR-AS C2013015 Atlanta Gastroenterology Associates, LLC and Woodstock

Endoscopy Center, LLC

Reloc ate Single Specialty Ambulatory Surgery Center

Site: 900 Towne Lake Campus

Number of OR's: 3

Specialty: Gastroenterology Associates, LLC

Project costs a s submitted: $1,097,634.09

Request received: 7/12/2013

Contact Person: Michael Lazarus 404-888-7575 ext 1128

Determination: Pending

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Opposition: GI Specialists of Georgia, PC and GI Endoscopy Center-Woodstock, LLC-

LNR-AS C2013016 Georgia Plastic & Reconstructive Surgery, P.C.

Physician-Owned, Single Specialty, Office -Based ASC

Site: 2285 Asquith A venue, Marietta, GA 30106

Number of OR's: 2

Specialty: Plastic and Reconstructive Surgery

Project costs a s submitted: $1,248,727.00

Request received: 7/22/2013

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

Determination: Pending

LNR-AS C2013017 Comprehensive Pain Management, P.C.

Physician-Owned, Single Specialty Ambulatory Surgery Center

Site: 134 Riverstone Terrace, Suite 102, Canton, GA 30114

Number of OR's: 1

Specialty: Pain Management

Project costs a s submitted: $526,103.08

Request received: 7/24/2013

Contact Person: Mary Hardwick 770-948-6824

Determination: Pending

LNR-AS C2013018 North Atlanta Spine and Pain Care, LLC

Physician-owned, Single Specialty, Office-based ASC

Site: 1121 Johnson Ferry Road, Suite 400, Marietta, GA

Number of OR's: 1

Specialty: Spine and Pain

Project costs a s submitted: $602,271.00

Request received: 7/29/2013

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

Determination: Pending

LNR-AS C2013019 South Atlanta Ear, Nose and Throat, P.C.

Single Specialty Amb Surgery Center

Site: 830 Eagles Landing Park way, Stockbridge,

Number of OR's: 2

Specialty: Otolaryngology

Project costs a s submitted: $2,363,002.40

Request received: 8/6/2013

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

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: Withdr/Agency Prior to Dec

Date of Withdrawal:

8/13/2013

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: Withdr/Appl Prior to Dec

Date of Withdrawal:

8/14/2013

DET2012131 GYN Resource s, Inc.

Mobile Ambulatory Surgical Treatment Centers

Request received: 8/8/2012

Contact Person: Vickey Worthy 404-605-7087

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

8/14/2013

12

DET2012183 Southern Regional Health System, Inc, Combine Hospital Permit Request received: 11/20/ 2012 Contact Person: James E. Crissey 770-991-9000 Determination: Pending
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
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: Non-reviewable as proposed Determination Date: 8/26/2013 Opposition: Piedmont Henry Hospit al- 4/3/2013
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
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
DET2013056 Fayette Community Hospital, Inc. dba Piedmont Fayette Hospital Therapeutic Cardiac Cathet erization Exemption Request received: 5/7/2013 Contact Person: Davis Dunbar 404-788-3638 Determination: Non-reviewable as proposed Determination Date: 8/14/2013
DET2013059 Henry Medical Center, Inc. dba Piedmont Henry Hospital Therapeutic Cardiac Cathet erization Exemption Request received: 5/9/2013 Contact Person: Davis Dunbar, Manager Reg Affairs 404-788-3638 Determination: Non-reviewable as proposed Determination Date: 8/14/2013
DET2013060 St. Mary's Health Care System, Inc. Therapeutic Cardiac Cathet erization Exemption Request received: 5/10/2013 Contact Person: Nina E vans, V.P. Chief Nursing Officer 706 -389-3231 Determination: Non-reviewable as proposed Determination Date: 8/14/2013
DET2013061 North Fulton Medical Center, Inc. dba North Fulton Hospital Therapeutic Cardiac Cathet erization Exemption Request received: 5/10/2013 Contact Person: Deborah C. Keel, CEO 770-781-2515 Determination: Non-reviewable as proposed Determination Date: 8/14/2013
DET2013062 Tenet Health System Spalding, Inc. Therapeutic Cardiac Cathet erization Exemption Request received: 5/10/2013 Contact Person: John Quinn, CE O 770-229-6469 Determination: Non-reviewable as proposed Determination Date: 8/14/2013
DET2013063 Meadows Regional Medical Cent Therapeutic Cardiac Cathet erization Exemption Request received: 5/10/2013
13

Contact Person: Travis Roos e, Assist VP Dir of CardCath Ser 912 -538Determination: Non-reviewable as proposed Determination Date: 8/14/2013
DET2013064 Doctors Hospital of Augusta, LLC dba Doctors Hospital of Augusta Therapeutic Cardiac Cathet erization Exemption Request received: 5/10/2013 Contact Person: Chris Cosby, COO 706-651-6101 Determination: Non-reviewable as proposed Determination Date: 8/14/2013 Opposition: University Health Services, Inc. d/b/a University Hospital - 6/7/2013
DET2013066 Northside Hospital, Inc. dba Northside Hospital -Cherokee Therapeutic Cardiac Cathet erization Exemption Request received: 5/13/2013 Contact Person: Brian Toporek, Sr Planner 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 8/14/2013
DET2013067 Tanner Medical Center Therapeutic Cardiac Cathet erization Exemption Request received: 5/13/2013 Contact Person: LaQuinta Grizzard 770-836-9221 Determination: Non-reviewable as proposed Determination Date: 8/14/2013
DET2013069 Northside Hospital, Inc. dba Northside Hospital Therapeutic Cardiac Cathet erization Exemption Request received: 5/13/2013 Contact Person: Brian Toporek 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 8/14/2013
DET2013070 Northside Hospital, Inc. dba Northside Hospital -Forsyth Therapeutic Cardiac Cathet erization Exemption Request received: 5/13/2013 Contact Person: Brian Toporek 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 8/14/2013

DET2013071 Hamilton Medical Center Therapeutic Cardiac Cathet erization Exemption Request received: 5/13/2013 Contact Person: Jeff Hughes 706-272-6120 Determination: Non-reviewable as proposed

Determination Date: 8/14/2013

DET2013072 Ea stside Medical Center, LLC dba Eastside Medical Center Therapeutic Cardiac Cathet erization Exemption Request received: 5/14/2013 Contact Person: Callie Andrews, FACHE 770-736-2224 Determination: Non-reviewable as proposed Determination Date: 8/14/2013

DET2013073 Southern Regional Health System, Inc. Therapeutic Cardiac Cathet erization Exemption Request received: 5/14/2013 Contact Person: John McClain 770-991-8141 Determination: Non-reviewable as proposed Determination Date: 8/14/2013

DET2013074 Floyd Healthcare Management, Inc. dba Floyd Medical Center Therapeutic Cardiac Cathet erization Exemption Request received: 5/14/2013 Contact Person: Stephen Weed, Director of Planning 706 -509-3257 Determination: Non-reviewable as proposed Determination Date: 8/14/2013

DET2013075 Houston Hospi tal, Inc. dba Houston Medical Center Therapeutic Cardiac Cathet erization Exemption Request received: 5/14/2013 Contact Person: Cary Martin CE O 478-542-7839 Determination: Non-reviewable as proposed Determination Date: 8/14/2013

14

DET2013076 The Medical Center, Inc. Therapeutic Cardiac Cathet erization Exemption Request received: 5/14/2013 Contact Person: Allen Holladay, Dir Decision Support Services 706 -660Determination: Non-reviewable as proposed Determination Date: 8/14/2013
DET2013077 Mayo Clinic Health System in Waycross, Inc. fka Satilla Health Services, Therapeutic Cardiac Cathet erization Exemption Request received: 5/14/2013 Contact Person: Windell R. Smith, COO 912-287-2500 Determination: Non-reviewable as proposed Determination Date: 8/14/2013
DET2013078 DeKalb Medical Center Therapeutic Cardiac Cathet erization Exemption Request received: 5/15/2013 Contact Person: Don Fears, Dir of Regulatory Relations 404 -501-5790 Determination: Non-reviewable as proposed Determination Date: 8/14/2013
DET2013079 Ea st Georgia Regional Medical Center, LLC Therapeutic Cardiac Cathet erization Exemption Request received: 5/15/2013 Contact Person: Leanne Binkley 912-486-1505 Determination: Non-reviewable as proposed Determination Date: 8/14/2013

DET2013080 Trinity Hospital of Augusta

Therapeutic Cardiac Cathet erization Exemption

Request received: 5/15/2013

Contact Person: Roby n Stovall 706-481-7678

Determination: Denied

Determination Date: 8/14/2013

Opposition: University Health Services, Inc. d/b/a University Hospital - 6/7/2013

DET2013081 Cartersville Medical Center, LlC dba Cartersville Medical Center Therapeutic Cardiac Cathet erization Exemption Request received: 5/15/2013 Contact Person: Lori Rakes, FACHE 770-387-8161 Determination: Non-reviewable as proposed Determination Date: 8/14/2013

DET2013082 EHCA Johns Creek, LLC dba Emory Johns Creek Hospital Therapeutic Cardiac Cathet erization Exemption Request received: 5/15/2013 Contact Person: Elizabeth Blackwelder, R.N. Not@this.time Determination: Non-reviewable as proposed Determination Date: 8/14/2013

DET2013083 Dougla sville Hospital, Inc. dba WellStar Douglas Hospital Therapeutic Cardiac Cathet erization Exemption Request received: 5/15/2013 Contact Person: Stephen Vault, Dir of Strategic Planning 678 -331-6887 Determination: Non-reviewable as proposed Determination Date: 8/14/2013

DET2013084 Cobb Hospi tal, Inc. dba WellStar Cobb Hospital Therapeutic Cardiac Cathet erization Exemption Request received: 5/15/2013 Contact Person: Stephen Vault 678-331-6887 Determination: Non-reviewable as proposed Determination Date: 8/14/2013

DET2013089 Oakview Nursing and Rehabilitation, LLC dab Oakview Health and Capit al Expendit ure Below CON Threshold Request received: 5/28/2013 Contact Person: Kay Gray 478-621-2221 Determination: Non-reviewable as proposed Determination Date: 7/31/2013

DET2013090 DeKalb Gastroenterology Associates III, LLC Limited Purpose Ambulatory Surgery Center Request received: 5/28/2013
15

Contact Person: Mark Stern, M.D. 404-299-1679 Determination: Non-reviewable as proposed Determination Date: 8/5/2013

DET2013091 MCG Health Inc, dba Georgia regents Medical Center Replacement of Computed Tomography Request received: 6/4/2013 Contact Person: Daniel Merrell, Project Manager 706-721-4551 Determination: Non-reviewable as proposed Determination Date: 8/5/2013

DET2013093 GI Diagnostic Endoscopy - Woodstock, LLC

Addition of Pre-Op/Post-Op Bays

Request received: 6/7/2013

Contact Person: N. Phillip Bennett, MBA CMPE CASC 678-819-4295

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

8/21/2013

DET2013094 GI Diagnostic Endoscopy - Woodstock, LLC

Additional Procedure Room

Request received: 6/7/2013

Contact Person: N. Phillip Bennett, MBA CMPE CASC 678-819-4295

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

8/21/2013

DET2013095 Mayo Clinic Health System in Waycross, Inc. fka Satilla Health Services, Replacement of CON-A pproved MRI Unit Request received: 6/10/2013 Contact Person: Windell R. Smith 912-287-2500 Determination: Pending

DET2013096 Piedmont Hospital, Inc. Replacement of MRI Unit Request received: 6/11/2013 Contact Person: Davis Dunbar 404-788-3638 Determination: Non-reviewable as proposed Determination Date: 8/13/2013

DET2013097 Doctors Hospital of Augusta, LLC dba Doctors Hospital of Augusta Addition of a Second Diagnostic Cardiac Catheterization Lab Request received: 6/11/2013 Contact Person: Chris Crosby 706-651-6101 Determination: Pending

DET2013098 Doctors Hospital of Augusta, LLC dba Doctors Hospital of Augusta Reloc ation of the Cardiac Catheterization Laborat ory Request received: 6/11/2013 Contact Person: Chris Cosby 706-651-6101 Determination: Pending

DET2013099 Brunswick Endoscopy Center, LLC Acquisition of Bruns wick Endoscopy Center Request received: 6/14/2013 Contact Person: Huitt Mattox, MD 912-267-0058 Determination: Pending

DET2013100 The Medical Center, Inc. - Columbus Regional Healthcare System Cons olidation of Existing Radiation Therapy Services Request received: 6/13/2013 Contact Person: Scott Hill, Chief Operating Officer 706-660-6102 Determination: Pending

DET2013102 North Cre scent Surgery Center, LLC Expansion of ASC Ancillary Space Request received: 6/19/2013 Contact Person: Jo O'Neal 770-360-9916 Determination: Pending
16

DET2013103 St. Joseph's Hospi tal, Inc. St. Joseph's Hospital, Inc. - Replace An Existing CON Approved MRI Request received: 6/24/2013 Contact Person: John Salandi 912-819-7671 Determination: Pending
DET2013104 Guardians of Hope, LLC Ashbrook Village Senior Living Community Assisted Living Permit Request received: 6/27/2013 Contact Person: Gary M. Tallent 770-459-8061 Determination: Pending
DET2013105 AEW/SHI Parc at Piedmont, LLC Increase to 27 occupancy, 10% increase Request received: 7/3/2013 Contact Person: Jennifer George 770-565-8828 Determination: Pending
DET2013106 The Emory Clinic, Inc. Acquisition of Health Care Facility Request received: 7/3/2013 Contact Person: W. Michael Mason 404-778-5639 Determination: Pending
DET2013107 Magnolia Senior Living, LLC Construction of a new Pers onal Care Home with 39 beds in 24 rooms Request received: 7/9/2013 Contact Person: Zhicong Chen 678-549-2640 Determination: Pending
DET2013108 Dublin Endoscopy Center, LLC Conversion to Single Specialty/Limited Purpose ASC Request received: 7/9/2013 Contact Person: Ellen K. Barr 478-296-6211 Determination: Non-reviewable as proposed Determination Date: 8/22/2013 Opposition: Fairview Park Limited Partnership d/b/a Fairview Park Hospital - 8/8/2013
DET2013109 The Medical Center, Inc. Renovation and Acquisition Request received: 7/10/2013 Contact Person: Ryan R. Chandler 706-571-1203 Determination: Pending
DET2013110 Hamilton Medical Center, Inc. Cystoscopy Room Repairs/Upgrade Request received: 7/11/2013 Contact Person: Alison Bonner 706-272-6589 Determination: Pending
DET2013111 Physicians MRI, Inc dba Open MRI of Macon Replacement of Existing MRI Unit, Request received: 7/9/2013 Contact Person: Dr. Peter Holliday 478-474-4019 Determination: Pending
DET2013112 Putnam County Health Care, LLC dba Eatonton Health and Rehabilitation Capit al Expendit ure Request received: 7/12/2013 Contact Person: Kay Gray 478-621-2221 Determination: Pending
17

DET2013113 Fayette Co Nursing Home, LLC dba Southland Health & Rehab Capit al Expendit ure Request received: 7/12/2013 Contact Person: Kay Gray 478-621-2221 Determination: Pending

DET2013114 Pioneer Community Hospi tal of Early Offering of Endoscopy Request received: 7/15/2013 Contact Person: Greg Havard 229-724-4211 Determination: Pending

DET2013115 Medical Center of Central Georgia, Inc. Modify CON 2010030 Request received: 7/17/2013 Contact Person: H. Bryan Forlines 478-633-6966 Determination: Pending

DET2013116 WellStar Kennestone Hospital Development of MOB Request received: 7/17/2013 Contact Person: April Austin 678-331-6862 Determination: Pending

DET2013117 Southeast Spine Center, LLC LNR Approve Entity Operated Under Separate Entity Request received: 7/18/2013 Contact Person: Marlys Boyer 912-233-6811 Determination: Pending

DET2013118 Grady Health System Impatient Pharmacy Renovations Request received: 7/24/2013 Contact Person: Samuel L. Williams Determination: Pending

404-616-3228

DET2013119 Insignia Senior Living Development of New Assisted Living Community Request received: 7/24/2013 Contact Person: Ramsey Jennings 770-649-0807 Determination: Pending

DET2013120 Jodanel Properties, LLC & Baldwin Jones Main, LLP 58 Bed S NF Relocation Request received: 7/26/2013 Contact Person: Edward C. Nelson 478-986-0140 Determination: Pending

DET2013121 Jodanel Properties, LLC & Baldwin Jones Main, LLP Reloc ation of 27 S NF Beds Request received: 7/24/2013 Contact Person: Edward C. Nelson 478-986-0140 Determination: Pending

DET2013122 Floyd Healthcare Management, Inc. dba Floyd Medical Center Elevator Upgrade to Comply with Safety Code Requirements Request received: 7/24/2013 Contact Person: Stephen Weed 706-509-3257 Determination: Pending
DET2013123 Paulding Medical Center, Inc. dba WellStar Paulding Hospital Initiation of Hospital Bas ed Adult Catheterization S ervices Request received: 7/26/2013

18

Contact Person: April Austin 470-644-0057 Determination: Pending
DET2013124 Tift County Hospital Authori ty dba Tift Regional Medical Center Creation of Three Breast Exam Room within Radiology Department Request received: 7/30/2013 Contact Person: Sarah S. Thompson 229-353-6102 Determination: Pending
DET2013125 Piedmont Henry Hospital, Inc. Shared Use Operating Rooms Request received: 7/31/2013 Contact Person: Eric W. Littlefield, Esq. 404-425-7352 Determination: Pending
DET2013126 DeKalb Medical Center, Inc. Replacement of CON approved da Vinci Surgical System Request received: 8/2/2013 Contact Person: Don Fears, Dir of Regulatory & Government Relations Determination: Pending
DET2013127 Amedi sys Georgia, LLC dba Amedisys Home Health of Macon Trans fer of Lee County Request received: 8/2/2013 Contact Person: Gusti McGee, Director, Regulatory Dept 225 -292-2031 Determination: Pending
DET2013128 St. Ives Assi sted Living - Delaware, LLC Increase in Capacity Request received: 8/5/2013 Contact Person: Eric Hadley, EVP 843-296-3985 Determination: Pending
DET2013129 The Emory Clinic, Inc. Reloc ation of Health Care Facility Request received: 8/8/2013 Contact Person: W. Michael Mason 404-778-5639 Determination: Pending
DET2013130 Piedmont Mountainside Hospital, Inc. Establish Inpatient Hospice Request received: 8/13/2013 Contact Person: Davis Dunbar 404-788-3638 Determination: Pending
DET2013131 Atlanta Jone sboro, LLC New Assisted Living Facility Licensure Request received: 8/15/2013 Contact Person: Jared Tracy 435-512-0529 Determination: Pending
DET2013132 The Medical Center, Inc. Addition of One Cardiac Cat heterization Lab Request received: 8/16/2013 Contact Person: Ryan R. Chandler 706-571-1203 Determination: Pending
DET2013133 Eagle Crest Venture s, LLC Creating an Alzheimer's Unit Utilizing Existing Beds Request received: 8/20/2013 Contact Person: Terry Carter 678-612-4545 Determination: Pending
DET2013134 Ea st Georgia Regional Medical Center, LLC 19

Addition of off-site Endoscopy rooms Request received: 8/28/2013 Contact Person: Leanne Binkley 912-486-1505 Determination: Pending
DET2013135 Royston Diagnosti c Center Replacement of CON approved GE Ovation MRI w/a Magnetom MRI Request received: 8/29/2013 Contact Person: Grayson Pric e 706-433-4123 Determination: Pending

Requests for Extended Implementation/Effective Period

2012010 St. Mary's Hospital

Renovate the ER Department at St. Mary's Hospital, Athens

Request to extend Performance Period

Site: 1230 Baxter Street

Project Approved: 8/6/2012

Request Received: 7/29/2013

Contact:, Ellena Evans, Chief Nursing Officer (706-389-3238)

Approved Cost: $3,500,000

Determination: Approved, 7/30/2013

Extended Completion Date: 12/11/2013

2011039 PAP of Georgia

Exception Skilled Nursing Complex/Technology Dependent Children 18 Under

Request to extend Implementation Period

Site: 5620 Glenridge Drive, Atlanta

Project Approved: 10/28/2011

Request Received: 8/28/2013

Contact:, Gregory Hook, Chief Compliance Officer (212-802-7609)

Approved Cost: $7,301,064

Determination: Approved, 8/29/2013

Extended Implementation Date: 10/28/2014

Need Projection Analyses Updated 7/1/2013
Current Status of Official Division of Health Planning Need Projection Analyse s and Other Data Resource s
Need Projections and Maps for CON Regulated Services
2018 Non-Special MegaVoltage Radiation Therapy (Revised) 7/8/2013 2018 Positron Emission Tomography Services - 7/1/2013 2017 Ambulatory Surgery Center Services - 3/29/ 2013 2015 Home Health Agency Services - 3/29/2013 2017 Inpatient Physical Rehabilitation Services - 3/29/2013 2017 Neonat al Intensive Care Beds - 3/29/2013 2017 Neonat al Intermediate Care Beds - 3/29/2013 2017 Obstetric Services Beds - 3/29/2013 2015 Skilled Nursing Home Beds - 3/29/2013 Non-Batched Need P rojections

20

2015 Cardiac Catheterization Labs - Updated 4/6/2010
2017 Long Term Care Hospital Beds - 7/2/2012
Note: Short Stay Hospital Bed Need Projections are facility -specific and completed by DCH on an ad hoc basis upon request. Currently, projections can be obtained for 2016 using 20 10 utilization.

Non-Filed or Incomplete Office of Health Planning Facility Surveys for Most Recent 3 Years (Survey Status as of 8/30/2013)
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 ins truction materials associated with each survey if your facility has filed its survey but continues to be reflected as incomplete.

Facility Name

Coun ty

Survey Year

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

Bacon County Hospital

Bacon

2012

Barrow Regional Medical Center

Barrow

2011

Berrien County Hospital

Berrien

2011

Burke Medical Center

Burke

2011

Burke Medical Center

Burke

2012

Calhoun Memorial Hospital

Calhoun

2012

Candler County Hospital

Candler

2012

Charlton Memorial Hospital

Charlton

2011

Charlton Memorial Hospital

Charlton

2012

Clinch Memorial Hospital

Clinch

2012

Coastal Behavioral Health

Chatham

2012

Coastal Harbor Treatment Center

Chatham

2012

East Georgia Regional Medical Center

Bulloch

2012

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

Irw in County Hospital

Irw in

2012

Mountain Lakes Medical Center

Rabun

2012

Northw est Georgia Regional Hospital

Floyd

2010

Northw est Georgia Regional Hospital

Floyd

2011

Northw est Georgia Regional Hospital

Floyd

2012

Rockdale Medical Center

Rockdale

2012

Screven County Hospital

Screven

2012

Southern Crescent Hospital for Specialty Care

Clayton

2011

Southern Crescent Hospital for Specialty Care

Clayton

2012

Southw est Georgia Regional Medical Center

Randolph

2011

Southw estern State Hospital

Thomas

2012

Stew art Webster Hospital

Stew art

2010

SummitRidge Center - Psychiatry & Addictive Medicine Gw innett

2012

Warm Springs Medical Center

Meriw ether

2012

Youth Villages - Inner Harbour Campus Youth Villages - Inner Harbour Campus

Douglas Douglas

2011 2012

Annual Nursing Home Questionnaire (Survey Years 2009 thru 2011) 21

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 3/11/2011 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/11/2011 3/9/2012 3/9/2012 3/9/2012 3/9/2012

Agape Health & Rehab of Moultrie, LLC Bell Minor Home, The Brown's Health & Rehabilitation Center Emanuel County Nursing Home Folkston Park Care And Rehabilitation Center Golden LivingCenter - Augusta Golden LivingCenter - Decatur Golden LivingCenter - Medical Arts Golden LivingCenter - Northside Goodw ill Nursing Home Inc Hutcheson Medical Center Joe-Anne Burgin Nursing Home Lumber City Nursing & Rehabilitation Center Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Marietta Meadow s Nursing Center New London Health Center Northw est Georgia Regional Hospital ICF/MR Oceanside Nursing & Rehab Center Parkside At Hutcheson Medical Center Savannah Beach Nursing & Rehab Center Savannah Specialty Care Center Savannah Square Health Center Scepter Health & Rehab of Snellville, LLC Southland Healthcare And Rehabilitation Center Westminster Commons

Colquitt Hall Bulloch Emanuel Charlton Richmond DeKalb Gw innett Fulton Bibb Catoosa Randolph Telf air DeKalb Cobb Toombs Gw innett Floyd Chatham Walker Chatham Chatham Chatham Gw innett Laurens Fulton

2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011

Cardiac Catheterization Services Survey (Survey Years 2009 thru 2011)

Coffee Regional Medical Center

Cof f ee

2011

Hutcheson Medical Center

Catoosa

2010

Hutcheson Medical Center

Catoosa

2011

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

Advanced Aesthetics Surgicenter

FAYETTE

2012

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 Ambulatory Laser & Surgery Ctr

CLAYTON CLAYTON

2010 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.

FUL TON 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

22

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 7/1/2011 7/13/2011
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

Atlanta South Endoscopy Center, Llc Atlanta South Endoscopy Center, Llc Atlanta Sports Medicine Surgery Center Atlanta West Endoscopy Center, Llc Atlanta West Endoscopy Center, Llc Atlanta West Endoscopy Center, Llc Augusta Aesthetic Surgery, Llc Bow man Pain Management, Pc Bow man Pain Management, Pc Brookstone Ambulatory Surgery Center Brunswick Pain Treatment Center, Llc Center For Pl & Recon Surgery Center For Pl & Recon Surgery Center For Pl & Recon Surgery Center For Spine & Pain Medicine Center For Spine & Pain Medicine Children's Healthcare of Atlanta Surgery, Meridian Mark Clayton Cataract and Laser Surgery Center Clayton Outpatient Surg Ctr Coastal Pain Center, Llc Cobb Foot And Leg Surgical Center, Llc Day Surgery And Recovery Ctr 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 Gastrointestinal Diagnostic Endo Woodstock, 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

CLAYTON CLAYTON FUL TON DOUGLAS DOUGLAS DOUGLAS RICHMOND BIBB BIBB Muscogee GLYNN CLARKE CLARKE CLARKE WHITFIEL D WHITFIEL D Fulton Clayton CLAYTON GLYNN COBB WHITFIEL D PICKENS LAURENS LAURENS BIBB FUL TON FUL TON FUL TON LOWNDES LOWNDES DOUGHERTY HOUSTON HOUSTON MUSCOGEE MUSCOGEE FORSYTH CLAYTON Cherokee GORDON
COBB GLYNN Gw innett Gw innett Gw innett HOUSTON GLYNN GLYNN GWINNETT GWINNETT Fulton Fulton Houston Muscogee

23

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

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 3/25/2013 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 3/11/2011 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 3/25/2013 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

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 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 Northside Foot & Ankle Outpat Northside Surgery Center, Inc. Operating Room Services, Llc Operating Room Services, Llc 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 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 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

HENRY BIBB BIBB BIBB COBB FUL TON FUL TON FUL TON COWETA COBB HALL Catoosa FORSYTH FORSYTH FORSYTH GORDON HALL HALL HALL GWINNETT FUL TON CHATHAM CHATHAM Henry FUL TON FUL TON FUL TON HOUSTON FUL TON Fulton Fulton BIBB BIBB Richmond CHATHAM CHATHAM CHATHAM DOUGHERTY WHITFIEL D NEWTON NEWTON NEWTON FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD Fulton CHEROKEE CHEROKEE CHEROKEE Chatham

24

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

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

Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Pain Center, Llc

Chatham CHATHAM

Savannah Pain Center, Llc

CHATHAM

Savannah Pain Center, Llc

CHATHAM

Seaside Surgical, Llc

GLYNN

Seaside Surgical, Llc

GLYNN

Seaside Surgical, Llc

GLYNN

Southeast Treatment Center, Llc Southeast Treatment Center, Llc

CAMDEN CAMDEN

Southeast Treatment Center, Llc

CAMDEN

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

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

Woodhams Laser & Lens Implant

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 Trinity Home Health

Fulton Richmond

Trinity Home Health

Richmond

Visiting Nurse Health Systems, Metro Atlanta

Gw innett

Visiting Nurses Association of Greater Tift Co

Tif t

25

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

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 3/11/2011 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 3/9/2012 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

Youth Villages - Inner Harbour Campus

Douglas

2011 2010 2011 2010

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

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

Radiation Therapy Services Survey (Survey Years 2010 thru 2012 )

Hutcheson Medical Center

Catoosa

2010

7/13/2012 7/8/2011 7/13/2012 7/8/2011
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 8/30/2013)

Facility Name Atlanta Aesthetic Surgery Center Clayton Cataract and Laser Surgery Center Clayton Cataract and Laser Surgery Center Clayton Outpatient Surg Ctr Dennis Surgery Center, INC G.I. Endoscopy Center G.I. Endoscopy Center North Columbus Surgery Center, LLC North Georgia Endoscopy Center, Inc North Georgia Endoscopy Center, Inc North Georgia Endoscopy Center, Inc North Georgia Outpatient Surg North Georgia Outpatient Surg Northlake Endoscopy Center Northside Surgery Center, Inc. Northside Surgery Center, Inc. Northw oods Surgery Center, LLC Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. Specialty Surgery Center, Inc. Specialty Surgery Center, Inc. Specialty Surgery Center, Inc. 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

County Fulton Clayton Clayton CLAYTON Fulton CLAYTON CLAYTON MUSCOGEE CHEROKEE CHEROKEE CHEROKEE GORDON GORDON DEKALB FUL TON FUL TON Forsyth Chatham Chatham Chatham FUL TON FUL TON FUL TON Clayton Richmond Muscogee New ton Bibb Low ndes Oconee Fulton Cobb Toombs Hall Bibb Elbert

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

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 11,126.07 Ambulatory Surgery Center 75,209.04 Ambulatory Surgery Center 10,731.33 Ambulatory Surgery Center
195,621.52 Ambulatory Surgery Center 26,161.36 Ambulatory Surgery Center 27,510.96 Ambulatory Surgery Center 24,298.87 Ambulatory Surgery Center 16,008.93 Ambulatory Surgery Center 26,481.60 Ambulatory Surgery Center 24,871.89 Ambulatory Surgery Center 9,470.49 Ambulatory Surgery Center 9,829.02 Ambulatory Surgery Center 73,629.63 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 34,351.08 Home Health Agency 49,006.35 Home Health Agency 2,390.02 Home Health Agency 98,252.02 Home Health Agency

26

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 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

Elbert Douglas
Cherokee Floyd Bulloch Forsyth Fulton Muscogee Fulton Chatham Oconee Oconee Hall Hall Fulton Fulton Spalding Decatur Colu mbia Gw innett Bibb DeKalb Hall Franklin Gw innett Forsyth Hall

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

77,385.84 Home Health Agency 177,365.10 Home Health Agency

940.90 24,054.07 24,548.80 18,404.59 145,958.26 13,169.64 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 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

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 e xcluded 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 qua rterly 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 specifie d batching cycle, or other applicable rule, may be filed at any time.
Batching Notifications Posted 7/1/2013 on DCH Website
Summer Batching Review Cycle Notifications

PET (Revised) Mega Voltage Radiation Therapy
Pediatric Cath/Open Heart

Adult Open Heart Psych/Substance Abuse Birthing Centers

Need Projections can be found on the DHP Need Projections Page

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 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 providing written response to Department' s inquiries subsequent to opposi tion meeting
120th day Deci sion issued (No di scretion to extend)

30

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

Batching Notice
(July 1, 2013)

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

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

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

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

Letter of Intent
(July 31, 2013)

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

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

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

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

31

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)

32

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.
33

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

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

Melvin M. Goldstein goldatty@bellsouth.net

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

Legislation - Senate Bill 433
Senate Bill 433 as passed on April 4, 2008

Office of Health Planning Contact Information
For general questions related to the Office of Health Planning, questions concerning Health Planning surve ys, indigent and charity care commitment shortfalls, and all other matters please contact Matthew Jarrard, Director (mjarrard@dch.ga.gov)
For questions concerning pending Certificate of Need applications please contact Bruce Henderson, Senior Re viewer (bhenderson@dch.ga.gov)
For LNR/DET letters and for CON related matters please contact Roxana Tatman, Legal Director, Health Plannin g (rtatman@dch.ga.gov )
New Requirements for Verification of Lawful Presence within the United States
Effective January 1, 2012 agencies or political subdivisions of the State of Georgia providing or administering a public benefit are required to verify that applicants for a public benefit are in the United States in a lawful manner. See O.C.G.A. 50-36-1(e). Certificates of Need (CON) are considered a public benefit under the new provisions. Therefore, an applicant for a CON must be in compliance with the law for the CON to be awarded.
Effective January 1, 2012 all CON applications must include an original signed and notarized affidavit in accordance with O.C.G.A. 50-36-1(e)(2) as well as a copy of a secure and verifiable document in accordance with O.C.G.A. 50-36-2. A copy of the affidavit along with instructions for submitting the affidavit and secure and verifiable document can be located at the following link or by navigating to the CON Applications and Forms page from the CON Information link from www.dch.georgia.gov.
http://dch.georgia.gov/vgn/images/portal/cit_1210/23/25/180044217HB87_CON_Instructions_1-1-2012.pdf
CONs that are approved and issued after January 1, 2012 for applications that were submitted prior to January 1, 2012 are also subject to these provisions. DCH will contact applicants to provide instruction related to compliance prior to issuing such a CON.
Open Record Requests Requests for documents or other information can be obtained using the Open Record Request form found at the following: http://dch.georgia.gov/health-planning-publications-and-data-resources The ORR Form found there can be emailed to HealthPlanningInfo@dch.ga.gov Please also visit www.GaMap2Care.info for healthcare facility and reporting information.
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