Certificate-of-need tracking and appeals report [Nov. 26-Dec. 2, 2014]

Use the links below for easy navigation

Letters of Intent Expired Letters of Intent
New CON Applications Pending Review/Incomplete Applications
Pending Review/Complete 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Recently Approved Applications Recently Denied Applications Withdrawn Applications Appealed Determinations Appealed LNRs Appealed CON Projects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 26, 2014 December 2, 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

LOI2014055 Advanced Ambulatory Surgery Center

Develop CON Single Specialty ASC - Batching

Received: 10/30/2014

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

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

Estimated Cost: $200,000

LOI2014056 Georgia Surgical Centers, Inc.

Conversion from LNR ASC to CON Single Specialty ASC - Batching

Received: 10/30/2014

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

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

Estimated Cost: $0

LOI2014057 Georgia Surgical Centers, Inc.

Conversion to Single Specialty CON ASC - Batching

Received: 10/30/2014

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

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

Estimated Cost: $0

LOI2014059 Southeast Treatment Center, LLC

Conversion from LNR ASC to CON Single Specialty ASC - Batching

Received: 10/30/2014

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

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

Estimated Cost: $0

LOI2014060 Windward Surgery Center, LLC

Conversion from LNR ASC to CON Single Specialty ASC - Batching

Received: 10/30/2014

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

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

Estimated Cost: $50,000

LOI2014061 Fairview Medical Center

Develop Multi-Specialty Ambulatory Surgery Center - Batching

Received: 10/30/2014

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

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)

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

Estimated Cost: $300,000

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LOI2014063 Surgery Center of Loganville, LLC

Develop Multi-Specialty Ambulatory Surgery Center - Batching

Received: 10/30/2014

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

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

Estimated Cost: $5,604,000

New CON Applications
none
Pending Review/Incomplete Applications
none
Pending Review/Complete Applications
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
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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 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
2014-044 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 Deemed Complete: 12/2/2014 60th Day Deadline: 1/30/2015 Decision Deadline: 3/31/2015 Site: 3651 Wheeler Road, Augusta, GA 30909 (Richmond County) Contact: Chris Cosby, Chief Operating Officer 706-651-6101 Estimated Cost: $8,415,283
2014-045 Egleston Children's Hospital at Emory University, Inc. dba
Addition of a Third MRI Unit
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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
2014-047 Northside Hospital - Forsyth
16 Bed Expansion of Northside Hospital - Forsyth Filed: 11/17/2014 Deemed Complete: 12/1/2014 60th Day Deadline: 1/29/2015 Decision Deadline: 3/30/2015 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 Deemed Complete: 12/1/2014 60th Day Deadline: 1/29/2015 Decision Deadline: 3/30/2015 Site: 201 Hospital Road, Canton, GA 30114 (Cherokee County) Contact: Brian Toporek, Senior Planner 404-851-6821 Estimated Cost: $3,341,300
2014-049 Georgia Advanced Surgery Center for Women, LLC
Conversion to Single Specialty CON ASC - Batching Filed: 11/29/2014 Deemed Complete: 11/29/2014 60th Day Deadline: 1/27/2015 Decision Deadline: 3/28/2015 Site: 958-A Joe Frank Harris Parkway Suite 107, Cartersville, GA 30120 (Bartow County) Contact: Hugo D. Ribot, M.D., Managing Partner 678-605-9399 Estimated Cost: $249,348
2014-050 Athens Regional Medical Center, Inc.
Establish Level III Neonatal Intensive Care Service - Batching Filed: 11/29/2014 Deemed Complete: 11/29/2014 60th Day Deadline: 1/27/2015 Decision Deadline: 3/28/2015 Site: 1199 Prince Avenue, Athens, GA 30606 (Clarke County) Contact: Jody Corry, General Counsel 706-475-1195 Estimated Cost: $738,000
2014-051 Piedmont Newnan Hospital, Inc.
Establish Level III Neonatal Intensive Care Services - Batching Filed: 11/29/2014 Deemed Complete: 11/29/2014 60th Day Deadline: 1/27/2015 Decision Deadline: 3/28/2015 Site: 745 Poplar Road, Newnan, GA 30265 (Coweta County) Contact: Nathan Nipper, Chief Operating Officer 770-400-1013 Estimated Cost: $1,007,780
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Recently Approved Applications
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 APPROVED: 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
2014-031 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
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 APPROVED: 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
Recently Denied 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 DENIED: 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
2014-030 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 DENIED: 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
CON Applications Withdrawn by Applicant
none
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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 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.
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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 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. Northside Hospital filed Application for Discretionary Appeal with Court of Appeals, 11/25/2014
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
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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

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: Ellwood F. Oakley, III, Esq.
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-EQT2014019 Resurgens, P.C. Purchase of Fixed MRI Request received: 9/23/2014

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Contact Person: Dr. Douglas W. Lundy, Co-President 678-422-4296

Determination: Approved

Determination Date: 11/19/2014

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-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: Approved

Determination Date: 11/24/2014

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: Approved

Determination Date: 11/24/2014

LNR-ASC2014022 Southern Orthopaedic and Sports Medicine, P.C. Establishment of a Physician Owned, Single Specialty, ASC
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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
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 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
11

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: Non-reviewable as proposed

229-924-9352, ext 4053 Determination Date: 11/18/2014

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: Non-reviewable as proposed Determination Date: 11/19/2014

DET2014150 Golden Living Refresh Resident Rooms Request received: 9/25/2014 Contact Person: Jeromy Ginn, VP of Construction 469-552-3596 Determination: Non-reviewable as proposed Determination Date: 11/19/2014

DET2014151 Golden Living Interior Renovation of Architectural Finishes Request received: 9/25/2014 Contact Person: Jeromy Ginn, VP of Construction 469-552-3596 Determination: Non-reviewable as proposed Determination Date: 11/19/2014

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 727-520Determination: Non-reviewable as proposed Determination Date: 11/18/2014

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 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 912-819-
12

Determination: Pending 13

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 478Determination: 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
14

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
DET2014171 Houston Hospital, Inc. Relocate Histology Lab to Medical Office Building Near Hospital Campus Request received: 11/18/2014 Contact Person: Stephen Machen, MBA, FACHE, Administrator 478-952Determination: Pending
DET2014172 Imperial Investment of Doraville, Inc. Convert Existing Hotel to Personal Care Home Request received: 11/20/2014 Contact Person: Prasant Desai, Administrator 228-596-2449 Determination: Pending
DET2014173 Cumming Retirement Investors, LLC Construction of Assisted Living Facility Request received: 11/20/2014 Contact Person: Barry Ray, Managing Partner 423-478-8071 Determination: Pending
DET2014174 Grady Memorial Hospital Corporation for Fulton-DeKalb Hospital Authority dba Burn Center Security Upgrades Request received: 11/21/2014 Contact Person: Samuel L. Williams, VP / Non-Clinical Support Services Determination: Pending
DET2014175 Grady Memorial Hospital Corporation for Fulton-DeKalb Hospital Authority dba ICU Door, Window, and Cubicle Curtain Upgrades Request received: 11/21/2014 Contact Person: Samuel L. Williams, VP / Non-Clinical Support Services Determination: Pending
DET2014176 Dermatology Associates of Atlanta, P.C. Confirmation of CON Status of Single Specialty ASC Request received: 11/25/2014 Contact Person: Sharon Williams, Practice Administrator 404-256-4457 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

Extended Completion Date: 3/3/2015

15

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 Implementation Date: 12/27/2015

2013050 Ty Cobb Regional Medical Center, LLC

Psych/Substance Abuse Services

Request to extend Implementation Date

Site: 521 Franklin Springs Street, Royston

Project Approved: 12/27/2013

Request Received: 11/24/2014

Contact: Gregory Hearn, CEO (706-356-7820)

Approved Cost: $2,988,850

Determination: Approved, 12/1/2014

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 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.

16

Non-Filed or Incomplete Office of Health Planning Facility Surveys for Most Recent 3 Years (Survey Status as of 12/2/2014)
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

Kindred Hospital-Atlanta

Fulton

2013

Lighthouse Care Center of Augusta

Richmond

2013

Mountain Lakes Medical Center

Rabun

2012

North Georgia Medical Center

Gilmer

2013

Northwest Georgia Regional Hospital

Floyd

2011

Northwest Georgia Regional Hospital

Floyd

2012

Northwest Georgia Regional Hospital

Floyd

2013

Pioneer Community Hospital of Early

Early

2013

Southeast Georgia Health System-Camden Campus

Camden

2013

Southern Crescent Hospital for Specialty Care

Clayton

2011

Southern Crescent Hospital for Specialty Care

Clayton

2012

Southern Regional Medical Center Southwest Georgia Regional Medical Center

Clayton Randolph

2013 2011

Southwestern State Hospital

Thomas

2012

Warm Springs Medical Center

Meriwether

2012

Youth Villages - Inner Harbour Campus

Douglas

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

17

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 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

Bell Minor Home, The Bell Minor Home, The Briarcliff Haven Healthcare And Rehabilitation Center Brown's Health & Rehabilitation Center Brown's Health & Rehabilitation Center Brown's Health & Rehabilitation Center Bryant Health And Rehabilitation Center Inc Carl Vinson Skilled Nursing Home Carl Vinson Skilled Nursing Home Chatsworth Health Care Center Chatsworth Health Care Center College Park Health Care Center Cook Senior Living Center Eastview Nursing Center Eastview Nursing Center Etowah Landing Etowah Landing Care And Rehabilitation Center Evergreen Health and Rehabiliation Center Folkston Park Care And Rehabilitation Center Georgia Regional Atlanta ICF/MR Georgia Regional Atlanta ICF/MR Gilmer Nursing Home Glenn-Mor Nursing Home Golden Living Center - Dunwoody Golden Living Center - Dunwoody Golden LivingCenter - Augusta Golden LivingCenter - Decatur Golden LivingCenter - Glenwood Golden LivingCenter - Glenwood Golden LivingCenter - Medical Arts Golden LivingCenter - Northside Goodwill Nursing Home Inc Goodwill Nursing Home Inc Goodwill Nursing Home Inc Grace Healthcare Of Tucker 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

Hall Hall DeKalb Bulloch Bulloch Bulloch Bleckley Laurens Laurens Murray Murray Fulton Cook Bibb Bibb Floyd Floyd Floyd Charlton DeKalb DeKalb Gilmer Thomas Fulton Fulton Richmond DeKalb DeKalb DeKalb Gwinnett Fulton Bibb Bibb Bibb DeKalb DeKalb Glynn Hart Elbert Jackson Catoosa Catoosa Randolph Fayette Fayette Chatham Chatham Troup Fulton Telfair Muscogee DeKalb DeKalb DeKalb Cobb
18

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

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 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

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 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

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

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 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 Hutcheson Medical Center

Coffee Catoosa

2011 2010

19

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 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

Hutcheson Medical Center Newton Medical Center Piedmont Henry Hospital

Catoosa Newton Henry

2011 2012 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

ELO Outpatient Surgery Center

Bibb

2013

Eye Surgery Center Of Albany, Llc

DOUGHERTY

2012

Gainesville Foot And Ankle Surgery Center, Pc

HALL

2013

Gastroenterology Endoscopy Ctr, Inc

FULTON

2013

Georgia Opthalmologists, LLC

NEWTON

2013

Georgia Pain Surg Ctr, Inc

COBB

2012

Georgia Pain Surg Ctr, Inc

COBB

2013

Georgia Surgical Centers- South

CLAYTON

2012

Georgia Surgical Centers- South

CLAYTON

2013

Gwinnett Center for Outpatient Surgery

Gwinnett

2011

Houston Lake Surgery Center

HOUSTON

2012

Institute For Corrective Surgery of Foot & Ankle, Inc

WARE

2013

ISPM ASC AT COVINGTON, LLC

NEWTON

2012

Marietta Eye Surgery

COBB

2013

Midtown Urology Surgical Center

FULTON

2011

Newton Ambulatory Surgical Center

NEWTON

2012

Newton Ambulatory Surgical Center

NEWTON

2013

North Columbus Surgery Center, LLC

MUSCOGEE

2012

20

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 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

North Georgia Endoscopy Center, Inc

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

Southeast Treatment Center, Llc

CAMDEN

Southeast Treatment Center, Llc

CAMDEN

Surgery Center of Athens

Clarke

Surgery Center of Athens

Clarke

The Graivier Center

FULTON

Thomasville Surgery Center Tiftarea Endoscopy Center, Inc

Thomas TIFT

Universal Ambulatory Surgery Center, P C

MUSCOGEE

Universal Ambulatory Surgery Center, P C

MUSCOGEE

Urology Associates Surgery Center, Llc

COBB

Urology Center Of Georgia Llc

BIBB

Urology Center Of Georgia Llc

BIBB

Urology Institute Asc, The

THOMAS

Urology Institute Asc, The

THOMAS

Urology Specialists Surgery Center

Bibb

Urology Surgery Center of Albany

Dougherty

Urology Surgery Center Of Savannah, Lp

CHATHAM

Valdosta Foot & Ankle Surgery

LOW NDES

21

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

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 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

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

LOW NDES LOW NDES CARROLL FULTON FULTON FULTON

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

Lighthouse Care Center of Augusta

Richmond

Mountain Lakes Medical Center

Rabun

Mountain Lakes Medical Center

Rabun

Mountain Lakes Medical Center

Rabun

St. Simons-By-The-Sea

Glynn

2011 2012 2012 2010 2011 2012 2012

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

Gwinnett Medical Center

Gwinnett

2010

Gwinnett Medical Center

Gwinnett

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

Piedmont Mountainside Medical Center

Pickens

2012

Piedmont Newnan Hospital

Coweta

2012

Southeast Georgia Health System-Camden Campus

Camden

2013

Southeastern Regional Medical Center, Inc

Coweta

2012

WellStar Douglas Hospital

Douglas

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

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 7/8/2011 7/13/2012 7/26/2013 7/26/2013
7/1/2011 7/13/2011
5/16/2014 5/16/2014 5/17/2013
5/16/2014
5/11/2012 5/17/2013 5/16/2014 5/16/2014 5/16/2014 5/16/2014

22

Indigent and Charity Care Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years (Commitment status as of 12/2/2014)

Facility Name

County

Year

Atlanta Aesthetic and Reconstructive Surgery Center, LLC FULTON

2011

Braselton Endoscopy Center

Hall

2013

Brookstone Ambulatory Surgery Center

Muscogee

2013

Brookstone Surgical Center, LLC

MUSCOGEE 2013

Clayton Cataract and Laser Surgery Center

Clayton

2011

Foot Surgery Center, The

COBB

2012

G.I. Endoscopy Center

CLAYTON

2011

Gastrointestinal Diagnostic Endo Woodstock, LLC

Cherokee

2013

Georgia Spine Surgery Center, LLC

CLARKE

2013

Interventional Spine and Pain Management Ambulatory Rockdale Surgical Center

2013

NASA Surgery Center, LLC

Fulton

2013

Northlake Endoscopy Center

DEKALB

2012

Northwoods Surgery Center, LLC

Forsyth

2012

Premier Ambulatory Surgical Center, LLC

Cobb

2013

Schulze Surgery Center, Inc.

Chatham

2011

Schulze Surgery Center, Inc.

Chatham

2012

Schulze Surgery Center, Inc.

Chatham

2013

Specialty Surgery Center, Inc.

FULTON

2011

Specialty Surgery Center, Inc.

FULTON

2012

Spivey Station Surgery Center

Clayton

2013

Summerville Surgical Center

Richmond

2013

Surgery Center, LLC, The

Muscogee

2013

Amedisys Home Health of Macon

Bibb

2013

Amedisys Home Health of Valdosta

Lowndes

2013

Amicita Home Health

Early

2013

Amicita Home Health, LLC

Oconee

2013

AseraCare Home Health

Fulton

2013

Camellia Home Health

Cobb

2013

Careone Home Health Services, Inc. (Toombs)

Toombs

2013

Caresouth Homecare Professionals

Hall

2012

Caresouth Homecare Professionals

Hall

2013

Caresouth Homecare Professionals - Macon

Bibb

2012

Caresouth Homecare Professionals - Washington

Elbert

2011

Caresouth Homecare Professionals - Washington

Elbert

2012

Caresouth Homecare Professionals - Washington

Elbert

2013

Central Home Health Health, Douglasville, an Amedisys Douglas Company

2013

Charlton Visiting Nurses Services

Brantley

2013

Community Home Health, an Amedisys Company

Cherokee

2013

CSRA Home Health- Columbia, Inc.

McDuffie

2013

Floyd HomeCare

Floyd

2013

Guardian Home Care of Central Georgia

Oconee

2013

Guardian Home Care of Northeast Georgia

Hall

2013

Guardian Home Care, LLC

Fulton

2013

Pediatric Services of America - Norcross

Gwinnett

2013

Pediatric Services of America, Inc - Bibb

Bibb

2013

Suncrest Home Health

Cobb

2013

SunCrest Home Health of Georgia

Clayton

2013

SunCrest Home Health of Georgia

Hall

2013

Tugaloo Home Health Agency - Gainesville

Hall

2013

Tugaloo Home Health Agency - Lavonia

Franklin

2013

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Shortfall Due Service
17,310.40 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 70,825.83 Ambulatory Surgery Center

59,760.72 24,871.89 73,629.63 215,151.02 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 44,575.36 2,390.02 98,252.02 77,385.84 64,908.83 216,570.75

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 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 1,742.04 181,929.09 74,146.35 138,781.42 86,733.42

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

United Home Care of North Georgia Battlefield Imaging Center Battlefield Imaging Center PET Imaging Center of Savannah

Hall Catoosa Catoosa Chatham

2013 2011 2013 2013

8,993.64 27,308.00
3,290.40 17,633.10

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.

24

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.
25

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

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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)

27

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)

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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)

29

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.
30

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
31

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
32