Certificate-of-need tracking and appeals report [Nov. 14-18, 2014]

Use the links below for easy navigation

Letters of Intent Fall Batching Letters of Intent
Expired Letters of Intent
New CON Applications Pending Review/Incomplete Applications
Pending Review/Complete Applications Pending Review/Complete/Joined Applications Recently Approved Applications Recently Denied Applications Withdrawn Applications Appealed Determinations Appealed LNRs Appealed CON Projects
Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities
Requests for LNR for Diagnostic or Therapeutic Equipment
Requests for Miscellaneous Letters of Determination
Requests for Extended Implementation/Performance Period

CERTIFICATE OF NEED
November 14, 2014 November 18, 2014

Batching Notifications - Fall Need Projection Analyses
New Batching Review Summer Cycle Fall Cycle
Non-Filed or Incomplete Surveys Indigent-Charity Shortfalls
Legislation Affecting CON
New CON Filing Requirements (effective July 1, 2008)
New Reporting Requirements (effective July 1, 2008)
Certificate of Need Appeal Panel Contact Information
Open Record Request Form
Special Note
New CON Thresholds

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

LOI2014066 Saint Joseph's Hospital of Atlanta, Inc. dba Emory Saint Joseph's Hospital

Relocation of Regency Hospital of South Atlanta from AMC - South Campus to ESJH

Received: 11/3/2014

Application must be submitted on: 12/3/2014

Site: 5665 Peachtree Dunwoody Road, NE, Atlanta, GA 30342 (Fulton County)

Estimated Cost: $4,500,000

Expired Letters of Intent

LOI2014052 Open MRI & Imaging of Albany, LLC

Establish an Outpatient Imaging Facility

Received: 10/3/2014

Application must be submitted on: 11/3/2014

Site: 2601 Stuart Avenue, Albany, GA 31707 (Dougherty County)

Estimated Cost: $2,250,000

Fall Batching - Letters of Intent

Ambulatory Surgery

LOI2014055 Advanced Ambulatory Surgery Center

Single Specialty Pain Management Surgery Center - Batching

Received: 10/30/2014

Application must be submitted on: 12/1/2014 (Rollover Date) by noon

Site: 12389 Crabapple Road, Alpharetta, GA 30004 (Fulton County)

Estimated Cost: $200,000

LOI2014056 Georgia Surgical Center, Inc.

Conversion from LNR ASC Status to CON Single Specialty ASC - Batching

Received: 10/30/2014

Application must be submitted on: 12/1/2014 (Rollover Date) by noon

Site: 2550 Windy Hill Rd, Marietta, GA 30067 (Cobb County)

Estimated Cost: $0

LOI2014057 Georgia Surgical Centers, Inc.

Single Specialty ASC to CON Single Specialty ASC - Batching

Received: 10/30/2014

Application must be submitted on: 12/1/2014 (Rollover Date) by noon

Site: 541 Forest Parkway, Suite 14, Forest Park, GA 30297 (Clayton County)

Estimated Cost: $0

LOI2014058 Georgia Advanced Surgery Center for Women, LLC

Conversion of a CON ASC LNR Facility to a CON Approved Single Specialty OB/GYN ASC -

Received: 10/30/2014

Application must be submitted on: 12/1/2014 (Rollover Date) by noon

Site: 958-A Joe Frank Harris Parkway Suite 107, Cartersville, GA 30120 (Bartow County)

Estimated Cost: $500,000

LOI2014059 Southeast Treatment Center, LLC

Conversion from LNR Status to CON Single Specialty ASC - Batching

Received: 10/30/2014

Application must be submitted on: 12/1/2014 (Rollover Date) by noon

Site: 88-C Lindsey Lane, Kingsland, GA 31548 (Camden County)

Estimated Cost: $0

LOI2014060 Windward Surgery Center, LLC

Convert ASC from an LNR ASC to a CON ASC - Batching

Received: 10/30/2014

Application must be submitted on: 12/1/2014 (Rollover Date) by noon

Site: 12425 Morris Road, Suite B, Alpharetta, GA 30005 (Fulton County)

Estimated Cost: $50,000

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LOI2014061 Fairview Medical Center

Development of Multi-Specialty Ambulatory Surgery Center - Batching

Received: 10/30/2014

Application must be submitted on: 12/1/2014 (Rollover Date) by noon

Site: West Panola Road at Fairview, Ellenwood, GA 30294 (Henry County)

Estimated Cost: $14,000,000

LOI2014062 Premier Orthopedics Surgicenter, LLC

Convert LNR ASC to Multi-Specialty CON ASC - Batching

Received: 10/30/2014

Application must be submitted on: 12/1/2014 (Rollover Date) by noon

Site: 2405 Osler Court, Albany, GA 31707 (Dougherty County)

Estimated Cost: $300,000

LOI2014063 Surgery Center of Loganville, LLC

New Freestanding Multi-Specialty Ambulatory Surgery Center

Received: 10/30/2014

Application must be submitted on: 12/1/2014 (Rollover Date) by noon

Site: 3869 Georgia 81, Loganville, GA 30052 (Walton County)

Estimated Cost: $5,604,000

Newborn ICU/ Neonatal INT

LOI2014064 Athens Regional Medical Center, Inc.

Open New Level III Neonatal Intensive Care Service - Batching

Received: 10/30/2014

Application must be submitted on: 12/1/2014 (Rollover Date) by noon

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

Estimated Cost: $577,000

LOI2014065 Piedmont Newnan Hospital, Inc.

Establish Level III Neonatal Intensive Care Services - Batching

Received: 10/30/2014

Application must be submitted on: 12/1/2014 (Rollover Date) by noon

Site: 745 Poplar Road, Newnan, GA 30265 (Coweta County)

Estimated Cost: $800,000

New CON Applications

2014-047 Northside Hospital - Forsyth
16 Bed Expansion of Northside Hospital - Forsyth Filed: 11/17/2014 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek, Senior Planner 404-851-6821 Estimated Cost: $44,624,831
2014-048 Northside Hospital - Cherokee
9 Bed Expansion of Northside Hospital - Cherokee Filed: 11/17/2014 Site: 201 Hospital Road, Canton, GA 30114 (Cherokee County) Contact: Brian Toporek, Senior Planner 404-851-6821 Estimated Cost: $3,341,300

Pending Review/Incomplete Applications
2014-044 Doctors Hospital of Augusta, LLC d/b/a Doctors Hospital of Augusta Renovate and Expand Surgical Services Department Filed: 10/16/2014 Deemed Incomplete: 10/27/2014 Site: 3651 Wheeler Road, Augusta, GA 30909 (Richmond County) Contact: Chris Cosby, Chief Operating Officer 706-651-6101 Estimated Cost: $8,415,283

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Pending Review/Complete Applications
2014-032 Emory Saint Joseph's Hospital of Atlanta
Perioperative and Surgical Services Renovation on Hospital Campus Filed: 7/7/2014 Deemed Incomplete: 7/18/2014 Deemed Complete: 7/24/2014 60th Day Deadline: 9/21/2014 Decision Deadline: 11/20/2014 Site: 5665 Peachtree Dunwoody Road, Atlanta, GA 30342 (Fulton County) Contact: Heather Dexter, VP, Operations 678-843-7001 Estimated Cost: $16,475,000
2014-034 Bostick Nursing Center, The
Cost Overrun GA2011-043 Filed: 8/15/2014 Deemed Complete: 8/29/2014 60th Day Deadline: 10/27/2014 Decision Deadline: 12/26/2014 Site: 1700 Bostick Circle, Hardwick, GA 31034 (Baldwin County) Contact: Carlo Musso, MD, President 770-692-4750 Estimated Cost: $7,414,949
2014-035 Meadows Regional Medical Center
Expansion of Medical Oncology/Chemotherapy Service Filed: 8/18/2014 Deemed Incomplete: 9/2/2014 Deemed Complete: 9/23/2014 60th Day Deadline: 11/21/2014 Decision Deadline: 1/20/2015 Site: One Meadows Parkway, Vidalia, GA 30474 (Toombs County) Contact: J. Alan Kent, President and CEO 912-535-5827 Estimated Cost: $8,383,480
2014-036 North Fulton Hospital
Develop a 24 Bed Inpatient Psychiatric Unit - Batching Filed: 8/29/2014 Deemed Complete: 8/29/2014 60th Day Deadline: 10/27/2014 Decision Deadline: 12/26/2014 Site: 3000 Hospital Blvd, Roswell, GA 30076 (Fulton County) Contact: Deborah C. Keel, CEO 770-751-2515 Estimated Cost: $3,359,872
2014-037 Northside Hospital - Cherokee
Acquire a Second Linear Accelerator - Batching Filed: 8/29/2014 Deemed Complete: 8/29/2014 60th Day Deadline: 10/27/2014 Decision Deadline: 12/26/2014 Site: 201 Hospital Road, Canton, GA 30114 (Cherokee County) Contact: Brian J. Toporek, Senior Planner 404-851-6821 Estimated Cost: $6,593,223
2014-038 Redmond Regional Medical Center
Create a New 31-bed Inpatient General Psychiatric Unit - Batching Filed: 8/29/2014 Deemed Complete: 8/29/2014 60th Day Deadline: 10/27/2014 Decision Deadline: 12/26/2014 Site: 501 Redmond Road, Rome, GA 30165 (Floyd County) Contact: Jean McDonald, VP for Business Dev. 706-802-3178 Estimated Cost: $3,773,870
2014-039 Northside Hospital Inc d/b/a Northside Hospital - Cherokee
Acquisition of da Vinci Robotic Surgery System Northside Hospital-Cherokee Filed: 9/15/2014 Deemed Complete: 9/29/2014 60th Day Deadline: 11/27/2014
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Decision Deadline: 1/26/2015 Site: 201 Hospital Road, Canton, GA 30114 (Cherokee County) Contact: Brian Toporek, Senior Planner 404-851-6821 Estimated Cost: $2,512,865
2014-040 Memorial Health University Medical Center, Inc.
Replace, Relocate and Expand Children's Hospital Filed: 9/19/2014 Deemed Incomplete: 10/3/2014 Deemed Complete: 10/23/2014 60th Day Deadline: 12/21/2014 Decision Deadline: 2/19/2015 Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Contact: William Lee, Sr VP & Chief Strategy Officer 912-350-0884 Estimated Cost: $28,028,250
2014-041 Piedmont Fayette Hospital
Renovate & Expand Emergency Department & Acute Space Filed: 9/29/2014 Deemed Complete: 10/14/2014 60th Day Deadline: 12/12/2014 Decision Deadline: 2/10/2015 Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County) Contact: Tracey Coker, VP, Clinical and Support Services 770-719-7077 Estimated Cost: $21,961,600
2014-042 Townsend Park Health & Rehabilitation LLC dba Townsend Park Health & Rehab
Replacement and Reconstruction of Existing Center Filed: 10/3/2014 Deemed Complete: 10/17/2014 60th Day Deadline: 12/15/2014 Decision Deadline: 2/13/2015 Site: 196 N. Dixie Avenue, Cartersville, GA 30120 (Bartow County) Contact: Stelling Nelson, Authorized Rep. 478-314-1560 Estimated Cost: $10,015,895
2014-043 Coffee County Nursing Home, LLC dba Shady Acres Health and Rehabilitation
Replacement & Reconstruction of Existing Center Filed: 10/3/2014 Deemed Complete: 10/17/2014 60th Day Deadline: 12/15/2014 Decision Deadline: 2/13/2015 Site: 1310 West Gordon Street, Douglas, GA 31533 (Coffee County) Contact: Stelling Nelson, Authorized Rep. 478-314-1560 Estimated Cost: $9,000,000

2014-045 Egleston Children's Hospital at Emory University, Inc. dba
Addition of a Third MRI Unit Filed: 10/17/2014 Deemed Incomplete: 10/28/2014 Deemed Complete: 11/4/2014 60th Day Deadline: 1/2/2015 Decision Deadline: 3/3/2015 Site: 1405 Clifton Road, NE, Atlanta, GA 30322 (DeKalb County) Contact: David R. Tatum, Vice President 404-785-7556 Estimated Cost: $3,600,000

2014-046 Northside Hospital, Inc. d/b/a Northside Hospital - Forsyth

Capital Expenditure to Add Shared Operating Rooms - Northside Hospital - Forsyth

Filed: 10/31/2014 Deemed Complete: 11/14/2014

60th Day Deadline: 1/12/2015

Decision Deadline: 3/13/2015

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

Contact: Brian Toporek, Senior Planner 404-851-6821

Estimated Cost:

$9,029,000

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Pending Review/Complete/Joined Applications
2014-019 University Hospital Establish a New 100-Bed Short-Stay Acute Care Hospital (Joined 29-30) Filed: 5/30/2014 Deemed Complete: 6/13/2014 Joined: 7/1/2014 60th Day Deadline: 8/28/2014 Decision Deadline: 10/27/2014 Extended Deadline: 11/26/2014 Site: 447 North Belair Road,, Evans, GA 30809 (Columbia County) Contact: Edward L. Burr, Senior VP 706-774-8063 Estimated Cost: $143,939,379
2014-029 GRHealth Columbia County Establish New 100-Bed Community Teaching Hospital (Joined 19,30) Filed: 6/12/2014 Deemed Complete: 6/26/2014 Joined: 7/1/2014 60th Day Deadline: 8/28/2014 Decision Deadline: 10/27/2014 Extended Deadline: 11/26/2014 Site: Lewiston Rd Exit I-20 adj to Steiner Way, Grovetown, GA 30813 (Columbia County) Contact: Susan G. James, Esq. 706-721-5709 Estimated Cost: $194,781,558
2014-030 Doctors Hospital of Augusta, LLC Construction of New Short-Stay General Acute Care Hospital (Joined 19,29) Filed: 6/16/2014 Deemed Complete: 6/30/2014 Joined: 7/1/2014 60th Day Deadline: 8/28/2014 Decision Deadline: 10/27/2014 Extended Deadline: 11/26/2014 Site: 745 North Belair Road, Evans, GA 30809 (Columbia County) Contact: Doug Welch, CEO 706-651-2451 Estimated Cost: $140,701,134
Recently Approved Applications
2014-031 Quinton Memorial Health and Rehabilitation Expansion and Reconstruction of 120-Bed SNF Filed: 6/26/2014 Deemed Complete: 7/9/2014 60th Day Deadline: 9/6/2014 Decision Deadline: 11/5/2014 APPROVED: 11/5/2014 Site: 1115 Professional Boulevard, Dalton, GA 30720 (Whitfield County) Contact: Scott L. Edens, MS,CNHA, FACHCA 706-281-4328 Estimated Cost: $4,630,000
Recently Denied Applications
none
CON Applications Withdrawn by Applicant
none
Appealed Determinations
DET2013108 Dublin Endoscopy Center, LLC Laurens Requested Determination regarding conversion to Single Specialty/Limited Purpose ASC, 7/9/2013. Determination of "non-reviewable as proposed" issued on 8/22/2013. Fairview Park Limited Partnership d/b/a Fairview Park Hospital filed request for Administrative Appeal Hearing, 09/23/2013. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: (Rescheduled to) 1/27/2014 and 1/28/2014. 5th Floor. Hearing Officer affirmed Department's 8/22/2013 Determination, 4/11/2014. Fairview Park Hospital filed request for Commissioner Review, 5/9/2014. Commissioner
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affirms Hearing Officer decision, 6/10/2014. Appealed to Superior Court, 7/10/2014. Hearing on Petitioner Fairview Park Limited Partnership d/b/a Fairview Park's Petition for Judicial Review, Wednesday, 10/1/2014, 2:00pm. Superior Court Decision: Superior Court Judge Cynthia Wright affirms Department's decision, 10/07/14.
DET2014-033 North Albany Medical Center, LLC Requested Determination regarding facility divestiture. Determination of "non-reviewable as proposed" issued on 6/3/2014. Albany-Dougherty County, Phoebe Putney Health System, Inc. and Phoebe Putney Memorial Hospital, Inc. filed request for Administrative Appeal Hearing, 7/2/2014. Hearing Officer: Ellwood Oakley, III, Esq. Oral Arguments Date: 9/8/2014, 5th Floor. Hearing Officer issued Order Granting Summary Adjudication to the Hospital Authority of Albany-Dougherty County and the Phoebe Entities, reversing DCH's determination and denying DCH's Motion for Partial Summary Adjudication and North Albany's Motion for Summary adjudication, 10/2/2014.
DET2014043 Open MRI & Imaging of Conyers, LLC Request for Letter of Determination regarding Modification of CON and Extension of Performance Period. Determination of "non-reviewable as proposed" issued on 08/13/14. Northside Hospital, Inc. d/b/a Northside Hospital, Northside Hospital Forsyth, and Northside Hospital filed request for Administrative Appeal Hearing, 09/12/14. Hearing Officer William Joy, Esq.
DET2014062 St. Francis Hospital, Inc. Request for Letter of Determination regarding Conversion Acute Care Rooms to LDR Rooms and Expenditures below Threshold. Determination of "non-reviewable as proposed" issued on 08/14/14. Columbus Regional Health Care System, Inc. and The Medical Center, Inc. d/b/a Midtown Medical Center filed request for Administrative Appeal Hearing on 09/12/14. Hearing Officer William Joy, Esq. . Columbus Regional Health Care System, Inc. and The Medical Center, Inc. d/b/a Midtown Medical Center dismiss administrative appeal 11/10/14.
DET2014094 Diagnostic Imaging Services, L.C. and Northside Hospital, Inc. Request for Letter of Determination regarding the Replacement of CON-Authorized Equipment. Determination of "non-reviewable as proposed" issued on 08/13/14. Diagnostic Imaging of Atlanta, LLC filed request for Administrative Appeal Hearing, 09/11/14. Hearing Officer William Joy, Esq.
DET2014095 Diagnostics Imaging Services, L.C. d/b/a OMI Diagnostics - Marietta Request for Letter of Determination regarding Replacement of CON-Authorized Equipment. Determination of "nonreviewable as proposed" issued on 08/13/14. Diagnostic Imaging of Atlanta, LLC filed request for Administrative Appeal Hearing, 09/11/14. Hearing Officer William Joy, Esq.
DET2014103 Northside Hospital, Inc. Request for Letter of Determination regarding Replacement of CON-Authorized Imaging Equipment. Determination of "non-reviewable as proposed" issued on 08/20/14. Woodstock Diagnostic Imaging, LLC filed request for Administrative Appeal Hearing, 09/11/14. Hearing Officer William Joy, Esq.
Appealed LNRs
LNR-EQT2013025 Medical Center of Central Georgia Monroe Requested Letter of Non-Reviewability ("LNR") with regard to the acquisition of certain diagnostic equipment, 8/1/2013. The Department issued LNR, 12/11/2013. Hospital Authority of Monroe County Hospital ("MCH") filed a request for Administrative Appeal Hearing, 1/10/2014. Hearing Officer: Melvin M. Goldstein, Esq. Administrative Hearing Date: 11/3/2014 to 11/5/2014, 5th Floor. MCCG granted Summary Adjudication and MCH's Motion to Compel discovery need not be determined in the matter, 11/5/2014.
Appealed CON Projects
2013-001 MRI & Imaging of Douglasville (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 Agency Decision: Approved, 6/2013 Appealed By: Northside Hospital , Inc d/b/a Northside Hospital Atlanta, Northside Hospital Cherokee, and
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Northside Hospital Forsyth, 7/1/2013. Hearing Officer: Melvin Goldstein, Esq. Hearing Date: 12/9/2013 12/13/2013 Hearing Decision: DCH decisions affirmed by Hearing Officer in 2013-001, 002, 005 and 006, 4/3/2014. Hospital Forsyth and Northside Hospital Cherokee filed request for Commissioner Review, 5/2/2014. Commissioner Review Decision: Hearing Officer's decision affirming DCH's approval becomes the final agency decision, 5/28/2014. Appealed to Superior Court, 6/25/2014. Superior Court Decision: Superior Court Judge affirmed Departments decision 10/27/14.
2013-031 WellStar Kennestone Hospital (Cobb) Establish New Freestanding ASC - Batching Agency Decision: Approved, 9/24/2013 Appealed By: Marietta Outpatient Surgery, LTD d/b/a Marietta Surgical Center (MSC), 10/16/2013; Cartersville Medical Center (CMC), 10/16/2013; Northside Hospital, Inc., d/b/a Northside Hospital - Atlanta, Northside Hospital - Cherokee and Northside Alpharetta Surgery Center, (collectively, "Northside"), 10/18/2013. WellStar Kennestone, Inc., d/b/a WellStar Kennestone Hospital files request to intervene, 10/21/2013. "Northside" withdraws appeal request, 11/4/2013. Hearing Officer: William C. Joy, Esq. Hearing Date: 3/4/2014 @10:00AM through 3/7/2014 and 4/3/2014 Hearing Decision: Hearing Officer reverses DCH decision, 7/17/2014.The Department and WellStar Kennestone filed requests for Commissioner Review, 8/18/2014. Commissioner Review Decision: Hearing Officer is reversed and the original decision of the Department to award a CON to Kennestone becomes the final agency decision, 9/15/2014. Marietta Outpatient Surgery, LTD d/b/a Marietta Surgical Center (MSC), and Cartersville Medical Center (CMC) filed petition for judicial review, 10/15/2014. Superior Court Decision: Pending
2013-043 Northeast Georgia Medical Center - South Hall Campus (Hall) Megavoltage Radiation Therapy - batching Agency Decision: Approved, 12/27/2013 Appealed By: RCOG Cancer Centers, LLC d/b/a Gwinnett County Radiation Therapy CenterLawrenceville ("RCOG-Lawrenceville") filed an appeal,1/24/2014; RCOG-Snellville filed an appeal, 1/24/2014; East Georgia Radiation Holding Company, LLC and University Cancer & Blood Center, LLC (f/k/a Northeast Georgia Cancer Care, LLC) together "East Georgia", filed an appeal, 1/24/2014; Athens Regional Medical Center, Inc. filed an appeal, 1/27/2014; Northeast Georgia Medical Center, Inc., filed request to intervene in any appeal, 1/23/2014.
Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: 7/21/2014 through 7/25/2014 Hearing Decision: Department's decision is affirmed by Hearing Officer, 11/7/2014.
2013-051 Newnan Behavioral Hospital (Coweta) Psych/Substance Abuse Services - batching Agency Decision: Denied, 12/27/2013 Appealed By: Vest Newnan, LLC d/b/a Newnan Behavioral Hospital ("NBH"); Southern Crescent Behavioral Health System Crescent Pines Campus and Southern Crescent Behavioral Health System - Anchor Hospital campus have filed requests to intervene in the administrative hearing, 1/9/2014. Tanner Medical Center, Inc. d/b/a Tanner Medical Center Villa Rica ("Tanner") filed a request to intervene,1/16/2014. RiverWoods Behavioral Health, LLC, d/b/a RiverWoods Behavioral Health ("RiverWoods") filed request to intervene in hearing, 1/24/2014. Motion for Summary Adjudication of UHS of Anchor, LP denied, 5/16/2014. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: (Revised) 6/23/2014 to 6/26/2014 and 7/8/2014 to 7/11/2014, 41st Floor, 9AM. Hearing Decision: Hearing Officer affirms DCH decision, 10/16/2014. Vest Newnan, LLC d/b/a Newnan Behavioral Hospital filed requests for Commissioner Review, 11/14/2014. The City of Newnan, Georgia and Coweta County filed request for Commissioner Review, 11/14/2014 Commissioner Review Decision: Pending
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2014-010 Vest Monroe, LLC (Walton) Establishment of a New Psychiatric Hospital - Batching Agency Decision: Approved, 6/27/2014 Appealed By: UHS of SummitRidge, LLC d/b/a SummitRidge Hospital ("SummitRidge"), 7/25/2014; Eastside Medical Center, 7/25/2014. Hearing Officer: William C. Joy, Esq
Hearing Date: 11/17/2014 to 11/21/2014 Hearing Decision: Pending
2014-013 Northside Medical Center (Muscogee) Capital Expenditure to Develop 24-Hr Emergency Dept/Expand ICU Capacity Agency Decision: Approved, 7/17/2014 Appealed By: St. Francis Hospital, Inc. ("St. Francis"), 8/15/2014 Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: 1/12/2015 to 1/15/2015.

2014-021 Northside Hospital Cherokee dba Nrthsde Cherokee at Towne Lake Surgery Ctr (Cherokee)
Establish a Multi-Specialty Ambulatory Surgery Center - Batching Agency Decision: Approved, 9/26/2014 Appealed By: Kennestone Hospital, Inc. d/b/a WellStar Kennestone Hospital, 10/24/2014; Northside Hospital Cherokee files request to intervene, 10/22/2014. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: Pending

2014-028 HealthSouth Rehabilitation of Hospital of Forsyth County, LLC. (Forsyth) Establish a New 50-Bed Comprehensive Inpatient Physical Rehabilitation Hospital - Batching Agency Decision: Denied, 9/26/2014 Appealed By: Applicant, 10,22,2014. WellStar Kennestone submitted request to intervene, 10/24/2014; WellStar Cobb Hospital submitted request to intervene, 10/24/2014; Northeast Georgia Medical Center submitted request to intervene, 10/24/2014; Gwinnett Medical Center- Duluth, submitted request to intervene, 10/24/2014; North Fulton Hospital submitted request to intervene, 10/24/2014.
Hearing Officer: TBD Hearing Date: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2014012 RAM-CGCC, LLC

Purchase Fixed CT Scanner

Request received: 7/3/2014

Contact Person: Greg Cassimus, Practice Admin

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

11/4/2014

478-751-5869

LNR-EQT2014015 Doctors Hospital of Augusta, LLC

Purchase of CT Scanner

Request received: 8/21/2014

Contact Person: Chris Cosby, Chief Operating Officer 706-651-6101

Determination: Approved

Determination Date: 10/21/2014

LNR-EQT2014016 Northeast Georgia Medical Center, Inc.

Purchase of Second CT Scanner for Emergency Department

Request received: 8/26/2014

Contact Person: Chad T. Bolton, Director of Planning 770-219-6630

Determination: Approved

Determination Date: 10/22/2014

LNR-EQT2014017 Medical Center of Central Georgia, Inc. Purchase of MRI Request received: 8/26/2014 Contact Person: H. Bryan Forlines, AVP Government Relations and Determination: Withdr/Appl Prior to Dec
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Date of Withdrawal:

10/28/2014

LNR-EQT2014018 South Atlanta Neurology & Pain Center, P.C.

Purchase of Replacement MRI

Request received: 9/3/2014

Contact Person: Brice B. Choi, M.D., President 770-507-7359

Determination: Approved

Determination Date: 10/23/2014

LNR-EQT2014019 Resurgens, P.C. Purchase of Fixed MRI Request received: 9/23/2014 Contact Person: Dr. Douglas W. Lundy, Co-President Determination: Pending

678-422-4296

LNR-EQT2014020 Tenet Healthsystem GB, Inc. d/b/a Atlanta Medical Center Transfer of Da Vinci Robotic Surgery Unit Request received: 10/8/2014 Contact Person: Daniel Jackson, Chief Administrative Officer 404-466Determination: Pending

LNR-EQT2014021 Diagnostic Imaging Specialists, PA Purchase of Fixed MRI Request received: 10/17/2014 Contact Person: Fred Downs, Administrator 404-459-8440 Determination: Pending

LNR-EQT2014022 Hospital Authority of Tift County d/b/a Tift Regional Medical Center Operational Lease of Hyperbaric Oxygen Therapy Chambers Request received: 10/29/2014 Contact Person: James Nixon, VP, Administrative & Clinical Services 229Determination: Pending

LNR-EQT2014023 Peachtree Neurosurgery Associates, LLC Purchase of Fixed MRI Request received: 11/5/2014 Contact Person: Joy Taylor, Practice Administrator 404-256-2633 Determination: Pending
LNR-EQT2014024 Diagnostic Imaging Specialists, PA Purchase of Fixed MRI Request received: 11/12/2014 Contact Person: Fred Downs, Administrator 404-459-8440 Determination: Pending
LNR-EQT2014025 OrthoAtlanta, LLC Purchase of Fixed MRI Request received: 11/12/2014 Contact Person: Michael Ochal, VP Development 770-953-6929 Determination: Pending

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

LNR-ASC2014017 Spine Center Atlanta Surgery Center, LLC

Establish Physician-Owned, Single Specialty Orthopedic ASC

Site: 3161 Howell Mill Rd, Suite 300, Atlanta 30327

Number of OR's: 4

Specialty: Orthopedics

Project costs as submitted: $0.00

Request received: 7/18/2014

Contact Person: Richard Sanders 404-364-1819

Determination: Approved

Determination Date: 10/22/2014

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LNR-ASC2014019 NEXus of Albany Surgery Center, LLC

Physician-Owned, Single Specialty Ambulatory Surgery Center

Site: 2810 Meredyth Drive, Suite 101, Albany, Dougherty County, GA

Number of OR's: 1

Specialty: Anesthesiology and Pain Medicine

Project costs as submitted: $1,553,839.76

Request received: 8/13/2014

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

Determination: Approved

Determination Date: 10/20/2014

LNR-ASC2014020 OrthoAtlanta, LLC

Acquisition of an Existing Single Specialty Ambulatory Surgery Center

Site: 3672 Marathon Circle, Suite 120, Austell, GA 30106

Number of OR's: 2

Specialty: Orthopaedics

Project costs as submitted: $1,567,578.00

Request received: 9/19/2014

Contact Person: Michael Ochal 770-953-6929

Determination: Pending

LNR-ASC2014021 Peachtree Neurosurgery, P.C.

Creation of Physician-Owned, Single Specialty ASC

Site: 1150E Hammond Drive, Suite 600, Atlanta, GA 30328

Number of OR's: 2

Specialty: Neurosurgery

Project costs as submitted: $0.00

Request received: 9/26/2014

Contact Person: Max R. Steuer, M.D. 404-256-2633

Determination: Pending

LNR-ASC2014022 Southern Orthopaedic and Sports Medicine, P.C.

Establishment of a Physician Owned, Single Specialty, ASC

Site: 3243 Glynn Avenue, Brunswick, GA 31520

Number of OR's: 2

Specialty: Orthopaedic Surgery

Project costs as submitted: $1,688,240.00

Request received: 9/26/2014

Contact Person: Gerald Johnson, Practice Administrative Officer 912-265-

Determination: Pending

LNR-ASC2014023 Southeastern Pain Ambulatory Surgery Center, LLC

Relocation of Physician-Owned Single Specialty ASC

Site: 1150 Hammond Drive, Building E, Suite 50, Atlanta, GA 30328

Number of OR's: 2

Specialty: Pain Management

Project costs as submitted: $884,830.20

Request received: 10/21/2014

Contact Person: Daniel J. Mohan, Partner 404-504-7616

Determination: Pending

Requests for Miscellaneous Letters of Determination
DET2014102 Open MRI & Imaging of Conyers, LLC Relocation of Under the Threshold Diagnostic Equipment Request received: 6/3/2014 Contact Person: Per B. Normark, Secretary 678-992-7311 Determination: Pending Opposition: Northside Hospital, Inc. d/b/a Northside Hospital- 7/2/2014; Northside Hospital -
Forsyth- 7/2/2014; Northside Hospital - Cherokee- 7/2/2014
DET2014132 Tanner Medical Center, Inc. d/b/a Tanner Medical Center/Carrollton Replace CON-Approved Diagnostic Imaging Equipment Request received: 8/15/2014 Contact Person: David Thornhill, Director of Medical Imaging 770-836Determination: Non-reviewable as proposed Determination Date: 10/20/2014

11

DET2014133 Coastal Health Centers, Inc., property owner of Summerhill Senior Living Renovation of Existing Nursing Facility Below CON Threshold Request received: 8/18/2014 Contact Person: Chip Davis, CFO 478-988-1294 Determination: Non-reviewable as proposed Determination Date: 10/21/2014
DET2014134 Hospital Authority of Colquitt County d/b/a Colquitt Regional Medical Replacement of Cardiac Cath Lab Imaging Equipment Request received: 8/18/2014 Contact Person: David Wm. Spence, Director of Imaging Services 229Determination: Non-reviewable as proposed Determination Date: 10/21/2014
DET2014135 Memorial Health University Medical Center, Inc. Relocation and Replacement of One NS-MRT Linear Accelerator Request received: 8/18/2014 Contact Person: William Lee, III, Senior VP & Chief Strategy Officer 912Determination: Non-reviewable as proposed Determination Date: 10/29/2014
DET2014137 Northeast Georgia Medical Center, Inc. Establish Two (2) Hospital-Based Diagnostic Cardiac Cath Labs Request received: 8/26/2014 Contact Person: Chad T. Bolton, Planning Director 770-219-6630 Determination: Non-reviewable as proposed Determination Date: 10/22/2014
DET2014138 CSRA Home Health Agency-Columbia, Inc. Request to Transfer Home Health Counties Request received: 8/27/2014 Contact Person: Scott Bradford, Administrator/CEO 706-595-9688 Determination: Non-reviewable as proposed Determination Date: 10/29/2014
DET2014139 Gaines Properties, LLC Expansion of 16 Beds, w/ Common Areas, to Existing Personal Care Home Request received: 8/28/2014 Contact Person: Daniel Day, Owner/Administrator 770-424-1414 Determination: Non-reviewable as proposed Determination Date: 10/23/2014
DET2014141 RiverWoods Behavioral Health (Riverwoods) Increase in Bed Capacity Based on Hospital Utilization Request received: 9/8/2014 Contact Person: Matthew Winchester, CEO 770-692-3578 Determination: Non-reviewable as proposed Determination Date: 11/3/2014
DET2014142 Athens Regional Medical Center, Inc. d/b/a Athens Regional Medical Center Replacement of Cardiac Cath Lab Equipment Request received: 9/8/2014 Contact Person: Jody Corry, Esq., General Counsel 706-475-1195 Determination: Non-reviewable as proposed Determination Date: 11/7/2014
DET2014143 Kennestone Hospital, Inc. d/b/a Atherton Place Increase Capacity of PCH Beds Request received: 9/11/2014 Contact Person: April Austin, Regulatory Planning Coordinator 470-644Determination: Non-reviewable as proposed Determination Date: 11/3/2014
DET2014144 Sunny Grove, LLC Increase Capacity of a Personal Care Home Request received: 9/12/2014 Contact Person: Glen Walters, Managing Partner 770-468-5845 Determination: Non-reviewable as proposed Determination Date: 11/3/2014
DET2014145 Tanner Medical Center, Inc. Replace CON-Approved Diagnostic Equipment Request received: 9/15/2014 Contact Person: William Hines, Executive Vice President 770-812-5304
12

Determination: Non-reviewable as proposed Determination Date: 11/13/2014
DET2014146 Northeast Georgia Medical Center, Inc. Replace 64 Slice CT Scanner at the Main Campus Request received: 9/16/2014 Contact Person: Chad T. Bolton, Planning Director 770-219-6630 Determination: Pending
DET2014147 Tattnall Hospital Company, LLC d/b/a Optim Surgery Center Expansion of Post Surgical Space in CON Approved Orthopedic ASC Request received: 9/22/2014 Contact Person: Michael Kleinpeter, Chief Executive Officer 912-644-5370 Determination: Pending Opposition: The Georgia Alliance of Community Hospitals, Inc.- 10/20/2014

DET2014148 Magnolia Manor of St. Mary's Change of Capacity Request received: 9/23/2014 Contact Person: Mark Todd, President & CEO Determination: Pending

229-924-9352, ext 4053

DET2014149 Hughston Hospital, Inc. d/b/a Northside Medical Center Renovate Existing Space Adjacent to the Surgery Department Request received: 9/25/2014 Contact Person: Tamara Jackson, CEO 706-494-4399 Determination: Pending

DET2014150 Golden Living Refresh Resident Rooms Request received: 9/25/2014 Contact Person: Jeromy Ginn, VP of Construction 469-552-3596 Determination: Pending

DET2014151 Golden Living Interior Renovation of Architectural Finishes Request received: 9/25/2014 Contact Person: Jeromy Ginn, VP of Construction 469-552-3596 Determination: Pending

DET2014152 GA ALF Holdings, LLC Opening of Assisted Living Community - Bristol Village Request received: 9/30/2014 Contact Person: Dr. Prem R. Shah, M.D., Managing Member Determination: Pending

727-520-

DET2014153 Good Samaritan Hospital, Inc. Capital Expenditure Below Threshold Request received: 10/3/2014 Contact Person: D. Montez Carter, President Determination: Pending

706-453-5060

DET2014154 Tenet Healthsystem GB, Inc. d/b/a Atlanta Medical Center Replacement of CON Approved MRI Equipment Request received: 10/6/2014 Contact Person: Daniel Jackson, Chief Administrative Officer 404-466Determination: Pending

DET2014155 Coffee Regional Medical Center, Inc. Relocate & Replace Equipment for Existing Diagnostic Catheterization Request received: 10/7/2014 Contact Person: Vicki Lewis, CEO 912-383-5620 Determination: Pending

DET2014156 RiverWoods Behavioral Health, LLC d/b/a Lakeview Behavioral Health 13

Increase in Bed Capacity Based on Hospital Utilization Request received: 10/8/2014 Contact Person: Vernelle Nunn, CEO 770-692-3578 Determination: Pending

DET2014157 St. Joseph's Hospital, Inc. Add Shared Operating Room Request received: 10/9/2014 Contact Person: Allison Davis, Manager, Strategic Planning Determination: Pending

912-819-

DET2014158 Grady Memorial Hospital Corp. (Fulton-DeKalb Hospital Authority d/b/a Grady Cancer Center Outpatient Pharmacy USP Compliance Request received: 10/9/2014 Contact Person: Samuel L. Williams, VP, Non-Clinical Support Services Determination: Pending

DET2014159 Westside Endoscopy Center, P.C. Use & Ownership of a Physician-Owned Center Specializing in Endoscopy Request received: 10/10/2014 Contact Person: Devon Spencer, Administrator 770-941-4810 Determination: Pending

DET2014160 Southeastern Regional Medical Center, Inc. Medical Office Building Request received: 10/15/2014 Contact Person: David Kent, Senior Vice President 770-400-6261 Determination: Pending

DET2014161 Kennestone Hospital, Inc. d/b/a WellStar Kennestone Hospital Enhancement of Existing Inpatient Surgery Service Request received: 10/15/2014 Contact Person: April Austin, Regulatory Planning Coordinator 470-644Determination: Pending

DET2014162 Gainesville Endoscopy Center, LLC Use and Ownership Request received: 10/17/2014 Contact Person: Dennis Williams, Administrator 678-997-2105 Determination: Pending

DET2014163 Braselton Endoscopy Center, LLC Use and Ownership Request received: 10/17/2014 Contact Person: Dennis Williams, Administrator 678-997-2105 Determination: Pending

DET2014164 Oaks Senior Living, LLC Increase in Beds (86 to 100) for Existing PCH: The Oaks at Braselton Request received: 10/20/2014 Contact Person: Alex Salabarria, Chief Executive Officer 770-888-4683 Determination: Pending

DET2014165 Covenant Dove Healthcare of Macon, LLC New Emergency Generator Request received: 10/20/2014 Contact Person: Andy Garrett Shafer, Director of Construction 903-875Determination: Pending

DET2014166 Houston Hospitals, Inc. Relocation of Four Bed Inpatient Dialysis Unit Request received: 10/23/2014 Contact Person: Melinda Hartley, VP Patient Care Services/CNO 478-

14

Determination: Pending

DET2014167 Northside Hospital, Inc. d/b/a Northside Hospital - Forsyth Capital Expenditures to Develop Medical Office Building Request received: 10/29/2014 Contact Person: Brian Toporek, Senior Planner 404-851-6821 Determination: Pending
DET2014168 Gwinnett Hospital System, Inc. d/b/a Gwinnett Medical Center - Lawrenceville Addition of Cardiac Imaging Service Location Request received: 11/7/2014 Contact Person: Mark M. Mullin, Director, Planning and Development Determination: Pending
DET2014169 Women's Center for Advanced Surgery, Inc. ASC LNR Transfer of Membership Interest to Medical Practice Request received: 11/12/2014 Contact Person: Sherri Simmons, Practice Manager 229-402-0304 Determination: Pending
DET2014170 RiverWoods Behavioral Health, LLC d/b/a Lakeview Behavioral Health Construct and Equip Gymnasium Request received: 11/14/2014 Contact Person: Vernelle Nunn, CEO 770-692-3578 Determination: Pending

Requests for Extended Implementation/Effective Period

2012037 Doctors Hospital of Augusta Megavoltage Radiation Therapy, Cyberknife Request to extend Completion Date Site: 3651 Wheeler Road, Augusta Project Approved: 11/22/2013 Request Received: 10/31/2014 Contact: Doug Welch, CEO (706-651-6008) Approved Cost: $6,218,516 Determination: Approved, 11/3/2014
2013042 Atlanta Birth Center, Inc. Freestanding Birthing Center Request to extend Implementation Date Site: 345 Boulevard, 1st Floor, Atlanta Project Approved: 12/27/2013 Request Received: 11/13/2014 Contact: Victor Moldovan, (404-443-5708) Approved Cost: $950,000 Determination: Approved, 11/14/2014

Extended Completion Date: 3/3/2015 Extended Implementation Date: 12/27/2015

Need Projection Analyses Updated 9/30/2014
Current Status of Official Division of Health Planning Need Projection Analyses and Other Data Resources Need Projections and Maps for CON Regulated Services 2019 Non-Special MegaVoltage Radiation Therapy 6/27/2014 2019 Positron Emission Tomography Services - 6/27/2014

15

2019 Ambulatory Surgery Center Services - 9/26/2014 2017 Home Health Agency Services - 9/26/2014 2019 Inpatient Physical Rehabilitation Services - 9/26/2014 2019 Neonatal Intensive Care Beds - 9/26/2014 2019 Neonatal Intermediate Care Beds - 9/26/2014 2019 Obstetric Services Beds - 9/26/2014 2017 Skilled Nursing Home Beds - 9/26/2014 Non-Batched Need Projections 2018 Long Term Care Hospital Beds - 10/10/2013 Note: Short Stay Hospital Bed Need Projections are facility-specific and completed by DCH on an ad hoc basis upon request.

Non-Filed or Incomplete Office of Health Planning Facility Surveys for Most Recent 3 Years (Survey Status as of 11/18/2014)
Survey Completion Status - Survey completion status represents the status of survey filings as of the effective date indicated in each version of the Tracking Report. Surveys filed on the effective date may not be reflected as complete and may be reported as delinquent. Please contact the staff contact indicated in the instruction materials associated with each survey if your facility has filed its survey but continues to be reflected as incomplete.

Facility Name

County

Survey Year

Annual Hospital Questionnaire and Addenda (Survey Years 2011 thru 2013)

Appling Hospital

Appling

2013

Bacon County Hospital

Bacon

2012

Bacon County Hospital

Bacon

2013

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

Candler County Hospital

Candler

2013

Charlton Memorial Hospital

Charlton

2011

Charlton Memorial Hospital

Charlton

2012

Coastal Behavioral Health

Chatham

2012

Coastal Behavioral Health

Chatham

2013

Coastal Harbor Treatment Center

Chatham

2012

Coastal Harbor Treatment Center

Chatham

2013

Columbus Specialty Hospital

Muscogee

2013

Georgia Regional Hospital at Savannah

Chatham

2011

Georgia Regional Hospital at Savannah

Chatham

2012

Georgia Regional Hospital at Savannah

Chatham

2013

Georgia Regional Hospital-Atlanta

DeKalb

2011

Georgia Regional Hospital-Atlanta

DeKalb

2012

Greenleaf Center

Lowndes

2013

Irwin County Hospital

Irwin

2012

Irwin County Hospital

Irwin

2013

16

Survey Due
3/14/2014 3/9/2013
3/14/2014 3/9/2012 3/9/2012 3/9/2013 3/9/2013 3/9/2013
3/14/2014 3/9/2012 3/9/2013 3/9/2013
3/14/2014 3/9/2013
3/14/2014 3/14/2014
3/9/2012 3/9/2013 3/14/2014 3/9/2012 3/9/2013 3/14/2014 3/9/2013 3/14/2014

Kindred Hospital-Atlanta Lighthouse Care Center of Augusta Mountain Lakes Medical Center North Georgia Medical Center Northwest Georgia Regional Hospital Northwest Georgia Regional Hospital Northwest Georgia Regional Hospital Pioneer Community Hospital of Early Southeast Georgia Health System-Camden Campus Southern Crescent Hospital for Specialty Care Southern Crescent Hospital for Specialty Care Southern Regional Medical Center Southwest Georgia Regional Medical Center Southwestern State Hospital Warm Springs Medical Center Youth Villages - Inner Harbour Campus

Fulton Richmond Rabun Gilmer Floyd Floyd Floyd Early Camden Clayton Clayton Clayton Randolph Thomas Meriwether Douglas

2013 2013 2012 2013 2011 2012 2013 2013 2013 2011 2012 2013 2011 2012 2012 2013

Annual Nursing Home Questionnaire (Survey Years 2011 thru 2013)

Agape Health & Rehab of Moultrie, LLC

Colquitt

2011

Anderson Mill Health and Rehabilitation Center

Cobb

2012

Anderson Mill Health and Rehabilitation Center

Cobb

2013

Bell Minor Home, The

Hall

2012

Bell Minor Home, The

Hall

2013

Briarcliff Haven Healthcare And Rehabilitation Center

DeKalb

2013

Brown's Health & Rehabilitation Center

Bulloch

2011

Brown's Health & Rehabilitation Center

Bulloch

2012

Brown's Health & Rehabilitation Center

Bulloch

2013

Bryant Health And Rehabilitation Center Inc

Bleckley

2013

Carl Vinson Skilled Nursing Home

Laurens

2012

Carl Vinson Skilled Nursing Home

Laurens

2013

Chatsworth Health Care Center

Murray

2012

Chatsworth Health Care Center

Murray

2013

College Park Health Care Center

Fulton

2012

Cook Senior Living Center

Cook

2012

Eastview Nursing Center

Bibb

2012

Eastview Nursing Center

Bibb

2013

Etowah Landing

Floyd

2013

Etowah Landing Care And Rehabilitation Center

Floyd

2012

Evergreen Health and Rehabiliation Center

Floyd

2013

Folkston Park Care And Rehabilitation Center

Charlton

2011

Georgia Regional Atlanta ICF/MR

DeKalb

2012

Georgia Regional Atlanta ICF/MR

DeKalb

2013

Gilmer Nursing Home

Gilmer

2013

Glenn-Mor Nursing Home

Thomas

2012

Golden Living Center - Dunwoody

Fulton

2012

Golden Living Center - Dunwoody

Fulton

2013

Golden LivingCenter - Augusta

Richmond

2011

Golden LivingCenter - Decatur

DeKalb

2011

Golden LivingCenter - Glenwood

DeKalb

2012

Golden LivingCenter - Glenwood

DeKalb

2013

Golden LivingCenter - Medical Arts

Gwinnett

2011

Golden LivingCenter - Northside

Fulton

2011

Goodwill Nursing Home Inc

Bibb

2011

Goodwill Nursing Home Inc

Bibb

2012

Goodwill Nursing Home Inc Grace Healthcare Of Tucker

Bibb DeKalb
17

2013 2012

3/14/2014 3/14/2014
3/9/2013 3/14/2014
3/9/2012 3/9/2013 3/14/2014 3/14/2014 3/14/2014 3/9/2012 3/9/2013 3/14/2014 3/9/2012 3/9/2013 3/9/2013 3/14/2014
9/16/2011 9/20/2012 9/20/2013 9/20/2012 9/20/2013 9/20/2013 9/16/2011 9/20/2012 9/20/2013 9/20/2013 9/20/2012 9/20/2013 9/20/2012 9/20/2013 9/20/2012 9/20/2012 9/20/2012 9/20/2013 9/20/2013 9/20/2012 9/20/2013 9/16/2011 9/20/2012 9/20/2013 9/20/2013 9/20/2012 9/20/2012 9/20/2013 9/16/2011 9/16/2011 9/20/2012 9/20/2013 9/16/2011 9/16/2011 9/16/2011 9/20/2012 9/20/2013 9/20/2012

Grace Healthcare Of Tucker Gracemore Nursing And Rehab Hart Care Center Heardmont Nursing Home Hill Haven Nursing Home Hutcheson Medical Center Hutcheson Medical Center Joe-Anne Burgin Nursing Home Kindred Transitional Care and Rehabilitation - Lafayette Kindred Transitional Care and Rehabilitation - Lafayette Kindred Transitional Care and Rehabilitation-Abercorn Kindred Transitional Care and Rehabilitation-Abercorn LaGrange Nursing & Rehabilitation Center Legacy Nursing & Rehabilitation Center Lumber City Nursing & Rehabilitation Center Magnolia Manor Of Columbus Nursing Center - West Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Marietta Manor Care Rehabilitation Center - Marietta Manor Care Rehabilitation Center - Marietta Nancy Hart Nursing Center New London Health Center New London Health Center New London Health Center Northwest Georgia Regional Hospital ICF/MR Northwest Georgia Regional Hospital ICF/MR Northwest Georgia Regional Hospital ICF/MR Oceanside Nursing & Rehab Center Palemon Gaskins Memorial Nursing Home Palemon Gaskins Memorial Nursing Home Parkside At Hutcheson Medical Center Parkside At Hutcheson Medical Center Parkview Manor Nursing & Rehabilitation Center Pecan Manor-Central State Pecan Manor-Central State Phoenix Center - Central State Piedmont Hall ICF/MR - Central State Piedmont Hall ICF/MR - Central State Place At Dean's Bridge, The Place At Martinez, The Powder Springs Nursing & Rehabilitation Center Powder Springs Nursing & Rehabilitation Center River Towne Center Rose Haven Nursing Facility Rose Haven Nursing Facility Sadie G. Mays Health & Rehabilitation Center Savannah Beach Nursing & Rehab Center Savannah Healthcare and Rehabilitation Center Savannah Rehab & NursingCenter Savannah Square Health Center Savannah Square Health Center Savannah Square Health Center Scepter Health & Rehab of Snellville, LLC

DeKalb Glynn Hart Elbert Jackson Catoosa Catoosa Randolph Fayette Fayette Chatham Chatham Troup Fulton Telfair Muscogee DeKalb DeKalb DeKalb Cobb Cobb Cobb Elbert Gwinnett Gwinnett Gwinnett Floyd Floyd Floyd Chatham Irwin Irwin W alker W alker Fulton Baldwin Baldwin Baldwin Baldwin Baldwin Richmond Richmond Cobb Cobb Muscogee Thomas Thomas Fulton Chatham Chatham Chatham Chatham Chatham Chatham Gwinnett
18

2013 2013 2013 2013 2013 2012 2013 2011 2012 2013 2012 2013 2013 2013 2011 2013 2011 2012 2013 2011 2012 2013 2013 2011 2012 2013 2011 2012 2013 2011 2012 2013 2011 2012 2012 2012 2013 2013 2012 2013 2013 2012 2012 2013 2013 2012 2013 2012 2011 2013 2012 2011 2012 2013 2011

9/20/2013 9/20/2013 9/20/2013 9/20/2013 9/20/2013 9/20/2012 9/20/2013 9/16/2011 9/20/2012 9/20/2013 9/20/2012 9/20/2013 9/20/2013 9/20/2013 9/16/2011 9/20/2013 9/16/2011 9/20/2012 9/20/2013 9/16/2011 9/20/2012 9/20/2013 9/20/2013 9/16/2011 9/20/2012 9/20/2013 9/16/2011 9/20/2012 9/20/2013 9/16/2011 9/20/2012 9/20/2013 9/16/2011 9/20/2012 9/20/2012 9/20/2012 9/20/2013 9/20/2013 9/20/2012 9/20/2013 9/20/2013 9/20/2012 9/20/2012 9/20/2013 9/20/2013 9/20/2012 9/20/2013 9/20/2012 9/16/2011 9/20/2013 9/20/2012 9/16/2011 9/20/2012 9/20/2013 9/16/2011

Scepter Health & Rehab of Snellville, LLC Scepter Health & Rehab of Snellville, LLC Sears Manor Nursing Home Shamrock Nursing & Rehabilitation Center Signature Healthcare of Buckhead Signature Healthcare of Buckhead Southland Healthcare And Rehabilitation Center Southland Healthcare And Rehabilitation Center Thomson Health And Rehabilitation Thomson Health And Rehabilitation Tower Road Healthcare and Rehabilitation Center Warner Robins Rehabilitation Center Westminster Commons Westminster Commons Westview Nursing & Rehabilitation Center Willowwood Nursing Center

Gwinnett Gwinnett Glynn Laurens Fulton Fulton Laurens Laurens McDuffie McDuffie Cobb Houston Fulton Fulton Chatham Hall

2012 2013 2012 2013 2012 2013 2011 2013 2012 2013 2013 2012 2011 2012 2013 2013

Cardiac Catheterization Services Survey (Survey Years 2010 thru 2012)

Coffee Regional Medical Center

Coffee

2011

Hutcheson Medical Center

Catoosa

2010

Hutcheson Medical Center

Catoosa

2011

Newton Medical Center

Newton

2012

Piedmont Henry Hospital

Henry

2012

Freestanding Ambulatory Surgery Services Survey (Survey Years 2011 thru 2013)

Advanced Aesthetics Surgicenter

FAYETTE

2012

Afa Ambulatory Surgery Center

BIBB

2013

Akstein Eye Center, P.c.

CLAYTON

2013

ALPHARETTA HEAD AND NECK SURGERY CENTER FULTON

2013

Ambulatory Laser & Surgery Ctr

CLAYTON

2011

Ambulatory Laser & Surgery Ctr Ambulatory Laser & Surgery Ctr

CLAYTON CLAYTON

2012 2013

Associates Physicians Asc

BIBB

2011

Associates Physicians Asc

BIBB

2012

Associates Physicians Asc

BIBB

2013

Associates Surgery Center, Inc

Bibb

2013

Athens Plastic Surgery Center

CLARKE

2011

Athens Plastic Surgery Center

CLARKE

2012

Athens Plastic Surgery Center

CLARKE

2013

Atlanta Endoscopy Center, Ltd.

DEKALB

2013

Atlanta Orthopaedic Surgery Center

Fulton

2013

Atlanta Orthopaedic Surgery Center

Fulton

2013

Atlanta South Endoscopy Center, Llc

CLAYTON

2013

Atlanta Surgical Center

FULTON

2013

Atlanta West Endoscopy Center, Llc

DOUGLAS

2012

Augusta Ctr For Foot & Ankle

RICHMOND

2012

Augusta Urology Surgicenter, Llc

RICHMOND

2013

Azalea Surgery Center

BROOKS

2013

Bowman Pain Management, Pc

BIBB

2012

Brookstone Ambulatory Surgery Center

Muscogee

2012

Brunswick Pain Treatment Center, Llc

GLYNN

2013

Children's Healthcare of Atlanta Surgery, Meridian Mark Fulton

2012

Clayton Cataract and Laser Surgery Center

Clayton

2013

Dennis Surgery Center, INC

Fulton

2013

Dublin Orthopaedics Asc, Inc

LAURENS

2013

E.n.t. Surg Ctr Of Central Ga

HOUSTON

2013

19

9/20/2012 9/20/2013 9/20/2012 9/20/2013 9/20/2012 9/20/2013 9/16/2011 9/20/2013 9/20/2012 9/20/2013 9/20/2013 9/20/2012 9/16/2011 9/20/2012 9/20/2013 9/20/2013
7/13/2011 7/1/2011
7/13/2011 7/19/2013 7/19/2013
3/25/2013 3/14/2014 3/14/2014 3/14/2014
3/9/2012 3/25/2013 3/14/2014
3/9/2012 3/25/2013 3/14/2014 3/14/2014
3/9/2012 3/25/2013 3/14/2014 3/14/2014 3/14/2014 3/14/2014 3/14/2014 3/14/2014 3/25/2013 3/25/2013 3/14/2014 3/14/2014 3/25/2013 3/25/2013 3/14/2014 3/25/2013 3/14/2014 3/14/2014 3/14/2014 3/14/2014

ELO Outpatient Surgery Center

Bibb

Eye Surgery Center Of Albany, Llc

DOUGHERTY

Gainesville Foot And Ankle Surgery Center, Pc

HALL

Gastroenterology Endoscopy Ctr, Inc

FULTON

Georgia Opthalmologists, LLC

NEWTON

Georgia Pain Surg Ctr, Inc

COBB

Georgia Pain Surg Ctr, Inc

COBB

Georgia Surgical Centers- South

CLAYTON

Georgia Surgical Centers- South

CLAYTON

Gwinnett Center for Outpatient Surgery

Gwinnett

Houston Lake Surgery Center

HOUSTON

Institute For Corrective Surgery of Foot & Ankle, Inc

WARE

ISPM ASC AT COVINGTON, LLC

NEWTON

Marietta Eye Surgery

COBB

Midtown Urology Surgical Center

FULTON

Newton Ambulatory Surgical Center

NEWTON

Newton Ambulatory Surgical Center

NEWTON

North Columbus Surgery Center, LLC North Georgia Endoscopy Center, Inc

MUSCOGEE CHEROKEE

North Georgia Institute For Wound Care, Llc

FORSYTH

North Georgia Institute For Wound Care, Llc

FORSYTH

North Georgia Institute For Wound Care, Llc

FORSYTH

Northeast Georgia Urological Surgery Center, Llc

HALL

Northeast Georgia Urological Surgery Center, Llc

HALL

Northeast Georgia Urological Surgery Center, Llc

HALL

Northside Foot & Ankle O P Sc

HALL

Northside Foot & Ankle Outpat

GW INNETT

Northside Foot & Ankle Outpat

GW INNETT

Northwest ENT Surgery Center

Cherokee

Outpatient Ctr For Foot Surg

SPALDING

Outpatient Orthopedic Surgery Center, Llc

BULLOCH

Pain Care Center of Georgia

Henry

Pain Clinic Of Aimr, P.c.

FULTON

Pain Clinic Of AIMR, P.C.

FULTON

Pain Specialty Center Of Atl

FULTON

Pain Specialty Center Of Atl

FULTON

Peach State Surgical Centers, Inc

HOUSTON

Peach State Surgical Centers, Inc

HOUSTON

Peachtree Orthopaedic Surgery Center at Perimeter, LLC Fulton

Perimeter Surgery Center of Atlanta

Fulton

Planned Parenthood Reproductive Health Services, Inc. Richmond

Planned Parenthood Reproductive Health Services, Inc. Richmond

Plastic & Reconstructive Surgery Center, Pc

RICHMOND

Plastic Surgery Ctr Land, The

CHATHAM

Renue Surgery Center of Waycross, LLC

W are

Rome Endoscopy Ctr Inc, The

FLOYD

Rome Endoscopy Ctr Inc, The

FLOYD

Rome Endoscopy Ctr Inc, The

FLOYD

Rome Foot And Ankle Surgery Center

FLOYD

Rome Foot And Ankle Surgery Center

FLOYD

Rome Surgical Center, P C

FLOYD

Savannah Outpatient Foot and Ankle Surgery Center, LLC Chatham

South Georgia Endoscopy Center

WARE

South Georgia Surgery Center (Brunswick)

GLYNN

Southeast Treatment Center, Llc

CAMDEN

20

2013 2012 2013 2013 2013 2012 2013 2012 2013 2011 2012 2013 2012 2013 2011 2012 2013 2012 2013 2011 2012 2013 2011 2012 2013 2013 2012 2013 2012 2013 2013 2012 2011 2013 2012 2013 2012 2013 2013 2013 2012 2013 2013 2013 2013 2011 2012 2013 2012 2013 2013 2011 2013 2013 2011

3/14/2014 3/25/2013 3/14/2014 3/14/2014 3/14/2014 3/25/2013 3/14/2014 3/25/2013 3/14/2014
3/9/2012 3/25/2013 3/14/2014 3/25/2013 3/14/2014
3/9/2012 3/25/2013 3/14/2014 3/25/2013 3/14/2014
3/9/2012 3/25/2013 3/14/2014
3/9/2012 3/25/2013 3/14/2014 3/14/2014 3/25/2013 3/14/2014 3/25/2013 3/14/2014 3/14/2014 3/25/2013
3/9/2012 3/14/2014 3/25/2013 3/14/2014 3/25/2013 3/14/2014 3/14/2014 3/14/2014 3/25/2013 3/14/2014 3/14/2014 3/14/2014 3/14/2014
3/9/2012 3/25/2013 3/14/2014 3/25/2013 3/14/2014 3/14/2014
3/9/2012 3/14/2014 3/14/2014
3/9/2012

Southeast Treatment Center, Llc Southeast Treatment Center, Llc Surgery Center of Athens Surgery Center of Athens The Graivier Center Thomasville Surgery Center Tiftarea Endoscopy Center, Inc Universal Ambulatory Surgery Center, P C Universal Ambulatory Surgery Center, P C Urology Associates Surgery Center, Llc Urology Center Of Georgia Llc Urology Center Of Georgia Llc Urology Institute Asc, The Urology Institute Asc, The Urology Specialists Surgery Center Urology Surgery Center of Albany Urology Surgery Center Of Savannah, Lp Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery West Georgia Endoscopy Center, Llc West Paces Ambulatory Surgical Center, LLC West Paces Ambulatory Surgical Center, LLC Woodhams Laser & Lens Implant

CAMDEN CAMDEN Clarke Clarke FULTON Thomas TIFT MUSCOGEE MUSCOGEE COBB BIBB BIBB THOMAS THOMAS Bibb Dougherty CHATHAM LOW NDES LOW NDES LOW NDES CARROLL FULTON FULTON FULTON

2012 2013 2011 2012 2013 2013 2013 2011 2013 2013 2011 2012 2012 2013 2013 2013 2013 2011 2012 2013 2013 2012 2013 2013

Home Health Agency Survey (Survey Years 2011 thru 2013)

Amedisys Home Health of Covington

Newton

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

HCMC Home Care

Habersham

Interim Healthcare of Atlanta Inc.

Fulton

Medside Home Health Agency

Fulton

Medside Home Health Agency

Fulton

Medside Home Health Agency

Fulton

Rockdale Medical Center Home Health

Rockdale

Trinity Home Health

Richmond

Trinity Home Health

Richmond

Trinity Home Health

Richmond

Visiting Nurses Association of Greater Tift Co

Tift

2013 2011 2012 2013 2012 2013 2011 2012 2013 2013 2011 2012 2013 2011

Hospital Financial Survey (Survey Years 2010 thru 2012)

Charlton Memorial Hospital

Charlton

Charlton Memorial Hospital

Charlton

Mountain Lakes Medical Center

Rabun

Mountain Lakes Medical Center

Rabun

Mountain Lakes Medical Center

Rabun

St. Simons-By-The-Sea

Glynn

2011 2012 2010 2011 2012 2012

Open Heart Surgery Services Survey (Survey Years 2010 thru 2012)

Gwinnett Medical Center Gwinnett Medical Center

Gwinnett Gwinnett

2010 2011

Positron Emission Tomography Services Survey (Survey Years 2011 thru 2013)

Appling Hospital

Appling

2013

Athens Regional Medical Center

Clarke

2013

Emory-Adventist Hospital

Cobb

2012

21

3/25/2013 3/14/2014
3/9/2012 3/25/2013 3/14/2014 3/14/2014 3/14/2014
3/9/2012 3/14/2014 3/14/2014
3/9/2012 3/25/2013 3/25/2013 3/14/2014 3/14/2014 3/14/2014 3/14/2014
3/9/2012 3/25/2013 3/14/2014 3/14/2014 3/25/2013 3/14/2014 3/14/2014
3/14/2014 3/9/2012
3/15/2013 3/14/2014 3/15/2013 3/14/2014
3/9/2012 3/15/2013 3/14/2014 3/14/2014
3/9/2012 3/15/2013 3/14/2014
3/9/2012
7/13/2012 7/26/2013
7/8/2011 7/13/2012 7/26/2013 7/26/2013
7/1/2011 7/13/2011
5/16/2014 5/16/2014 5/17/2013

Piedmont Mountainside Medical Center Piedmont Newnan Hospital Southeast Georgia Health System-Camden Campus Southeastern Regional Medical Center, Inc WellStar Douglas Hospital

Pickens Coweta Camden Coweta Douglas

2012 2012 2013 2012 2011

Radiation Therapy Services Survey (Survey Years 2011 thru 2013)

Hutcheson Medical Center

Catoosa

2011

Hutcheson Medical Center

Catoosa

2012

Hutcheson Medical Center

Catoosa

2013

Meadows Regional Cancer Center

Toombs

2013

Satilla Regional Cancer Treatment Center

W are

2013

South Georgia Center for Cancer Care

Bulloch

2013

Southeast Georgia Health System-Camden Campus

Camden

2011

Southeastern Regional Medical Center, Inc

Coweta

2012

5/16/2014
5/11/2012 5/17/2013 5/16/2014 5/16/2014 5/16/2014 5/16/2014

Indigent and Charity Care Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years (Commitment status as of 11/18/2014)

Facility Name

County

Atlanta Aesthetic and Reconstructive Surgery Center, LLC FULTON

Atlanta General and Bariatric Surgery Center

Fulton

Braselton Endoscopy Center

Hall

Brookstone Ambulatory Surgery Center

Muscogee

Brookstone Surgical Center, LLC

MUSCOGEE

Clayton Cataract and Laser Surgery Center

Clayton

Foot Surgery Center, The

COBB

G.I. Endoscopy Center

CLAYTON

Gastrointestinal Diagnostic Endo Woodstock, LLC

Cherokee

Georgia Spine Surgery Center, LLC

CLARKE

Hemlock Ambulatory Surgery Center, LLC

Bibb

Interventional Spine and Pain Management Ambulatory Rockdale Surgical Center

NASA Surgery Center, LLC

Fulton

Northlake Endoscopy Center

DEKALB

Northwoods Surgery Center, LLC

Forsyth

Paulsen Street Surgery Center

Chatham

Premier Ambulatory Surgical Center, LLC

Cobb

Schulze Surgery Center, Inc.

Chatham

Schulze Surgery Center, Inc.

Chatham

Schulze Surgery Center, Inc.

Chatham

Specialty Surgery Center, Inc.

FULTON

Specialty Surgery Center, Inc.

FULTON

Spivey Station Surgery Center

Clayton

Summerville Surgical Center

Richmond

Surgery Center, LLC, The

Muscogee

Amedisys Home Health of Macon

Bibb

Amedisys Home Health of Valdosta

Lowndes

Amicita Home Health

Early

Amicita Home Health, LLC

Oconee

AseraCare Home Health

Fulton

Camellia Home Health

Cobb

Careone Home Health Services, Inc. (Toombs)

Toombs

Caresouth Homecare Professionals

Hall

Year
2011 2013 2013 2013 2013 2011 2012 2011 2013 2013 2013 2013
2013 2012 2012 2013 2013 2011 2012 2013 2011 2012 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 2012

Shortfall Due Service
17,310.40 Ambulatory Surgery Center 20,131.12 Ambulatory Surgery Center
8,938.98 Ambulatory Surgery Center 6,887.62 Ambulatory Surgery Center 44,631.52 Ambulatory Surgery Center 66,531.12 Ambulatory Surgery Center 9,241.11 Ambulatory Surgery Center 10,731.33 Ambulatory Surgery Center 18,231.16 Ambulatory Surgery Center 54,819.40 Ambulatory Surgery Center 117,129.32 Ambulatory Surgery Center 70,825.83 Ambulatory Surgery Center

59,760.72 24,871.89 73,629.63 44,792.62 215,151.02 27,490.23 29,475.08
4,838.07 4,035.84 46,920.00 152,518.08 4,045.83 133,920.76 151,153.09 17,463.47 4,025.01 14,444.12 14,681.28 25,442.30 32,275.93 49,006.35

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

22

Caresouth Homecare Professionals Caresouth Homecare Professionals - Macon Caresouth Homecare Professionals - Washington Caresouth Homecare Professionals - Washington Caresouth Homecare Professionals - Washington Central Home Health Health, Douglasville, an Amedisys Company Charlton Visiting Nurses Services Community Home Health, an Amedisys Company CSRA Home Health- Columbia, Inc. Floyd HomeCare Guardian Home Care of Central Georgia Guardian Home Care of Northeast Georgia Guardian Home Care, LLC Pediatric Services of America - Norcross Pediatric Services of America, Inc - Bibb 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 North Georgia Battlefield Imaging Center Battlefield Imaging Center PET Imaging Center of Savannah

Hall Bibb Elbert Elbert Elbert Douglas
Brantley Cherokee McDuffie Floyd Oconee Hall Fulton Gwinnett Bibb Cobb Hall Clayton Hall Franklin Hall Catoosa Catoosa Chatham

2013 2012 2011 2012 2013 2013
2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 2011 2013 2013

44,575.36 2,390.02
98,252.02 77,385.84 64,908.83 216,570.75

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

9,333.37 21,649.12
9,685.29 29,568.71 29,821.19 48,026.47 116,510.21
99.24 66.77 1,742.04 74,146.35 181,929.09 138,781.42 86,733.42 8,993.64 27,308.00 3,290.40 17,633.10

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 PET Services PET Services PET Services

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 commitments.

23

CERTIFICATE OF NEED FILING REQUIREMENTS
Notices of Intent
Effective July 1, 2008, O.C.G.A. 31-6-40(b) provides that:
Any person proposing to develop or offer a new institutional health service or health care facility shall, before commencing such activity, submit a letter of intent and an application to the department and obtain a certificate of need in the manner provided in this chapter unless such activity is excluded from the scope of this chapter.
O.C.G.A. 31-6-43(a) further provides that:
At least 30 days prior to submitting an application for a certificate of need for clinical health services, a person shall submit a letter of intent to the department. The department shall provide by rule a process for submitting letters of intent and a mechanism by which applications may be filed to compete with and be reviewed comparatively with proposals described in submitted letters of intent.
All parties interested in applying for a certificate of need for new institutional health services MUST NOW NOTIFY THE DEPARTMENT 30 DAYS PRIOR TO FILING AN APPLICATION of their intent to do so. This notice must be in writing and must contain the following information:
Name and address of legal applicant; Person to whom inquiries may be addressed; Name, address of facility, if different from legal applicant; Proposed Project Site Location; Brief summary description of proposal; Proposed service area; and, Cost of the project.
The Department will not accept any notices of intent submitted by either telephone, facsimile or e-mail pursuant to Rule 111-2-2-.06(5).
Note: The Department will begin implementing the Letter of Intent requirement on July 15, 2008. Beginning with that date, no CON application will be accepted without a previously filed Letter of Intent. The CON application must be submitted no later than 30 days after the Letter of Intent has been received by the Department.
BATCHING REQUIREMENTS
The Department will be promulgating rules for services that will now be batched pursuant to O.C.G.A. 31-643(e) which states:
To allow the opportunity for comparative review of applications, the department may provide by rule for applications for a certificate of need to be submitted on a timetable or batching cycle basis no less often than two times per calendar year for each clinical health service. Applications for services, facilities, or expenditures for which there is no specified batching cycle may be filed at any time.
The requirements for Notices of Intent associated with designated Batching Cycles will be issued at the time of publication of the Batching Notice.
24

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

FALL

Batched Service

Batching Notice

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

September

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

December

Letter of Intent
October
January

Application Deadline November
February

WINTER

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

March

April

May

SPRIN G

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

June

July

August

SUMMER

Letters of Intent for services, facilities, or expenditures for which there is no specified batching cycle, or other applicable rule, may be filed at any time.
Batching Notifications Posted 9/30/2014 on DCH Website
Fall Batching Review Cycle Notifications

Neonatal Intensive Care Services
Neonatal Intermediate Care Services
Inpatient Physical Rehabilitation
Ambulatory Surgery

Obstetrical Services
Home Health
Skilled Nursing Facilities/Intermediate Care Facilities

Need Projections can be found on the "DHP Need Projections" Page

25

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

Batching Notice
(June 30, 2014)

Application Day
(application complete when
submitted; review cycle begins same
day)
(August 29, 2014 Application due by 12 noon.)

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

100th Day
(last day for letters of support to be submitted to
Department)
(December 6, 2014)

120th Day
(Department Issues
decision)
(December 26, 2014)

Letter of Intent
(July 30, 2014)

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

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

110th Day
(applicant provides amended information; applicant provides response to opposition)
(December 16, 2014)

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

26

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

Batching Notice
(September 30, 2014)

Application
Day
(application complete when
submitted; review cycle begins same
day) (November 29, 2014 : Applications due by 12noon on Rollover Day, December 1, 2014)

75th Day
(applicant provides additional information)
(February 11, 2015)

100th Day
(last day for letters of support to be submitted to
Department)
(March 8, 2015)

120th Day
(Department Issues
decision)
(March 28, 2015)

Letter of Intent
(October 30, 2014)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(January 27, 2015)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(February 26, 2015)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(March 18, 2015)

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

27

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

Letter of Intent

Application deemed complete (review cycle begins)

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

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

120th Day
(Department Issues decision)

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

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

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

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

150th Day
(project can be extended)

Letter of Intent received by Department 30 days before application is submitted
Application submitted (10 working days to review for completeness). Applications submitted after 3:00 M PM will be considered received on the next business day.
Application deemed complete; 120-day review cycle begins
60-day meeting (applicant only); deadline for receipt of opposition letter(s)
75th day - applicant provides additional information prior to 75th day
90th day Opposition Meeting(s) scheduled; applicant can be in attendance; opposing parties must provide written statement of opposition arguments presented (original and one copy to the Department and one copy to the applicant); presentation time will be limited; Department reserves right to make additional inquiries subsequent to 60-day meeting and following opposition meeting.
100th day Last day for letters of support to be submitted to the Department
110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposition; applicant deadline for providing written response to Department's inquiries subsequent to opposition meeting
120th day Decision issued (Department has discretion to extend to 150th day)

28

NEW REPORTING REQUIREMENTS
Beginning July 1, 2008, all facilities operating under a previously granted exemption or letter of nonreviewability as provided at O.C.G.A. 31-6-40(c)(2)(A) will be required to:
Provide notice to the department by August 15, 2008, of the following: Name Ownership Location Single Specialty Services provided in the exempt facility
For purposes of complying with this requirement, notice may be sent through the mail, by facsimile, or e-mail. Information will not be accepted by telephone. Please submit this information to:
Georgia Department of Community Health Healthcare Facility Regulation Division c/o Matthew Jarrard 2 Peachtree Street, NW 5th Floor Atlanta, Georgia 30303 Fax Number: 404-656-0654 E-mail address: mjarrard@dch.ga.gov
These facilities will also be required to provide annual reports beginning on January 1, 2009, in accordance with the Department's annual reporting requirements for existing CON-approved facilities and services. Further reporting instructions will be provided by the Department. Noncompliance with this information request may result in a fine as authorized under O.C.G.A. 31-6-70(e)(1).
These reports will not be due to the Department until the survey instrument has been issued. The survey instrument for ambulatory surgery services is now complete. Further information will be forthcoming by mail. The survey instrument for imaging centers is expected to be released on or before July 1, 2009.
LETTERS OF DETERMINATION The Department will require that a determination request be submitted for any proposed activity that may be exempt under O.C.G.A. 31-6. Such requests will be accepted only on the Department's Determination Request form with the required filing fee of $250. Note: Requests for confirmation of the exemptions for a single specialty ambulatory surgical center or a joint venture ambulatory surgical center and equipment below the threshold are considered requests for a Letter of Nonreviewability and require a $500 filing fee.
29

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

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

Melvin M. Goldstein goldatty@bellsouth.net

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

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

Office of Health Planning Contact Information
For general questions related to the Office of Health Planning, questions concerning Health Planning surveys, indigent and charity care commitment shortfalls, and all other matters please contact Matthew Jarrard, Director (mjarrard@dch.ga.gov)
For questions concerning pending Certificate of Need applications please contact Bruce Henderson, Senior Reviewer (bhenderson@dch.ga.gov)
For LNR/DET letters and for CON related matters please contact Roxana Tatman, Legal Director, Health Planning (rtatman@dch.ga.gov )
New Requirements for Verification of Lawful Presence within the United States
Effective January 1, 2012 agencies or political subdivisions of the State of Georgia providing or administering a public benefit are required to verify that applicants for a public benefit are in the United States in a lawful manner. See O.C.G.A. 50-36-1(e). Certificates of Need (CON) are considered a public benefit under the new provisions. Therefore, an applicant for a CON must be in compliance with the law for the CON to be awarded.
Effective January 1, 2012 all CON applications must include an original signed and notarized affidavit in accordance with O.C.G.A. 50-36-1(e)(2) as well as a copy of a secure and verifiable document in accordance with O.C.G.A. 50-36-2. A copy of the affidavit along with instructions for submitting the affidavit and secure and verifiable document can be located at the following link or by navigating to the CON Applications and Forms page from the CON Information link from www.dch.georgia.gov.
http://dch.georgia.gov/vgn/images/portal/cit_1210/23/25/180044217HB87_CON_Instructions_1-1-2012.pdf
CONs that are approved and issued after January 1, 2012 for applications that were submitted prior to January 1, 2012 are also subject to these provisions. DCH will contact applicants to provide instruction related to compliance prior to issuing such a CON.
Open Record Requests
Requests for documents or other information can be obtained using the Open Record Request form found at the following: http://dch.georgia.gov/health-planning-publications-and-data-resources The ORR Form found there can be emailed to HealthPlanningInfo@dch.ga.gov
30

Please also visit www.GaMap2Care.info for healthcare facility and reporting information. 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. New CON Thresholds become effective 7/1/2014. The new thresholds can be found on the CON Thresholds page. http://dch.georgia.gov/con-thresholds
31