Certificate-of-need tracking and appeals report [Dec. 17-23, 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Withdrawn Applications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
December 17, 2014 December 23, 2014

Batching Notifications - Winter
Need Projection Analyses New Batching Review Fall Cycle Winter 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

LOI2014067 Floyd Medical Center

Renovate Main Campus Hospital Facility

Received: 12/11/2014

Application must be submitted on: 1/12/2015

Site: 304 Turner McCall Boulevard, Rome, GA 30162 (Floyd County)

Estimated Cost: $18,000,000

Expired Letters of Intent

LOI2014055 Advanced Ambulatory Surgery Center

Develop CON Single Specialty ASC - Batching

Received: 10/30/2014

Application must be submitted on: 12/1/2014

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

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

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

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

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

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

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

Estimated Cost: $300,000

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

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

Estimated Cost: $5,604,000

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New CON Applications
none
Pending Review/Incomplete Applications
2014-052 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 Filed: 12/3/2014 Deemed Incomplete: 12/17/2014 Site: 5665 Peachtree Dunwoody Road, NE, Atlanta, GA 30342 (Fulton County) Contact: Brian Williams, VP Business Development 404-304-5061 Estimated Cost: $4,114,159
Pending Review/Complete Applications
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
2014-039 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)
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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 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
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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

Recently Approved 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 APPROVED: 12/19/2014 Site: 1700 Bostick Circle, Hardwick, GA 31034 (Baldwin County) Contact: Carlo Musso, MD, President 770-692-4750 Estimated Cost: $7,414,949

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

APPROVED: 12/19/2014

Site: 201 Hospital Road, Canton, GA 30114 (Cherokee County)

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

Estimated Cost:

$6,593,223

Recently Denied Applications
none

CON Applications Withdrawn by Applicant
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
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Decision Deadline: 12/26/2014 WITHDRAWN: 12/18/2014 Site: 3000 Hospital Blvd, Roswell, GA 30076 (Fulton County) Contact: Deborah C. Keel, CEO 770-751-2515 Estimated Cost: $3,359,872
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 WITHDRAWN: 12/18/2014 Site: 501 Redmond Road, Rome, GA 30165 (Floyd County) Contact: Jean McDonald, VP for Business Dev. 706-802-3178 Estimated Cost: $3,773,870
Appealed Determinations
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.
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. Hospital Authority of Monroe County requested Commissioner Review, 12/5/20214.
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
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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 Court of Appeals: Application for Discretionary appeal denied, 12/23/2014.
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. RCOG Cancer Centers, LLC dba Gwinnett County Radiation Therapy Centers filed request for Commissioner Review, 12/8/2014. Commissioner Review Decision: Pending
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.
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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: Melvin Goldstein, 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: William C. Joy, Esq. Hearing Date: Pending
2014-019 University Hospital (Columbia) 2014-029 GRHealth Columbia County (Columbia) 2014-030 Doctors Hospital of Augusta (Columbia) 2014-019 Establish a New 100-Bed Short-Stay Acute Care Hospital 2014-029 Establish New 100-Bed Community Teaching Hospital 2014-030 Construction of New Short-Stay General Acute Care Hospital Agency Decision: 2014-019 Denied, 11/26/14; 2014-029 Approved, 11/26/14; 2014-030 Denied, 11/26/14 Appealed By: University McDuffie appeals 2014-029 approval,12/22/2014; University Augusta appeals its own denial and appeals 2014-029 approval,12/22/14. Doctors Hospital appeals approval of 2014-029, 12/23/2014. Hearing Officer: TBD Hearing Date: Pending
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Requests for LNR for Diagnostic or Therapeutic Equipment

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 404-466-

Determination: Approved

Determination Date: 12/11/2014

LNR-EQT2014021 Diagnostic Imaging Specialists, PA

Purchase of Fixed MRI

Request received: 10/17/2014

Contact Person: Fred Downs, Administrator 404-459-8440

Determination: Approved

Determination Date: 12/19/2014

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

LNR-EQT2014026 Synergy Sports Wellness Institute Purchase of Mild Hyperbaric Oxygen Therapy Request received: 12/15/2014 Contact Person: Joan Hatrak, Business Coordinator 678-618-4020 Determination: Pending

LNR-EQT2014027 OrthoAtlanta, LLC Purchase of Fixed MRI Request received: 12/18/2014 Contact Person: Rod G. Meadows 770-957-1199 Determination: Pending

LNR-EQT2014028 Central Georgia Cancer Care, P.C. Capital Lease of Fixed CT Scanner Request received: 12/22/2014 Contact Person: Marty Avera, CFO 478-314-1669 Determination: Pending

LNR-EQT2014029 Radiology Associates of Macon, P.C. Capital Lease of Fixed CT Scanner Request received: 12/22/2014 Contact Person: Greg Cassimus, Administrator 478-751-5869 Determination: Pending

9

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

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: Approved

Determination Date: 12/12/2014

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: Approved

Determination Date: 12/23/2014

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
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: Non-reviewable as proposed Determination Date: 12/9/2014
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
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DET2014153 Good Samaritan Hospital, Inc. Capital Expenditure Below Threshold Request received: 10/3/2014 Contact Person: D. Montez Carter, President Determination: Non-reviewable as proposed

706-453-5060 Determination Date: 12/3/2014

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: Non-reviewable as proposed Determination Date: 12/3/2014

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: Non-reviewable as proposed Determination Date: 12/5/2014

DET2014157 St. Joseph's Hospital, Inc. Add Shared Operating Room Request received: 10/9/2014 Contact Person: Allison Davis, Manager, Strategic Planning 912-819Determination: Non-reviewable as proposed Determination Date: 12/12/2014

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: Non-reviewable as proposed Determination Date: 12/5/2014

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: Non-reviewable as proposed Determination Date: 12/12/2014
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: Non-reviewable as proposed Determination Date: 12/10/2014
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: Non-reviewable as proposed Determination Date: 12/17/2014
DET2014163 Braselton Endoscopy Center, LLC Use and Ownership Request received: 10/17/2014 Contact Person: Dennis Williams, Administrator 678-997-2105 Determination: Non-reviewable as proposed Determination Date: 12/17/2014
DET2014164 Oaks Senior Living, LLC Increase in Beds (86 to 100) for Existing PCH: The Oaks at Braselton Request received: 10/20/2014

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Contact Person: Alex Salabarria, Chief Executive Officer 770-888-4683 Determination: Non-reviewable as proposed Determination Date: 12/5/2014

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

903-875-

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 Determination: Pending

478-

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
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

12

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
DET2014177 ROSA of Georgia, LLC Sale and Acquisition of Radiation Therapy Facility Request received: 12/2/2014 Contact Person: Lawrence Myers, Attorney 404-962-1040 Determination: Pending
DET2014178 MED CROSS IMAGING, LLC f/k/a MEDCROSS IMAGING, P.C. Mobile MRI Services Request received: 12/9/2014 Contact Person: Kuo L. Lee, M.D. 478-737-9292 Determination: Pending
DET2014179 MED CROSS IMAGING, LLC f/k/a MEDCROSS IMAGING, P.C. Mobile MRI Services Request received: 12/9/2014 Contact Person: Kuo L. Lee, M.D. 478-737-9292 Determination: Pending
DET2014180 MED CROSS IMAGING, LLC f/k/a MEDCROSS IMAGING, P.C. Mobile MRI Services Request received: 12/9/2014 Contact Person: Kuo L. Lee, M.D. 478-737-9292 Determination: Pending
DET2014181 Emory Adventist, Inc. Operation of CON Exempt Imaging Center & Urgent Care Center Request received: 12/11/2014 Contact Person: Dennis Kiley, President 770-438-5241 Determination: Pending
DET2014182 Grady Memorial Hospital Corporation (for Fulton-DeKalb Hospital Authority) Air Handler 3 Replacement Request received: 12/12/2014 Contact Person: Samuel L. Williams, VP/Non-Clinical Support Services Determination: Pending
DET2014183 Windward Memory Care, LLC Establishment of New Personal Care Home / Assisted Living Facility Request received: 12/16/2014 Contact Person: Stacie Herlihy, Associate Counsel 214-845-4500 Determination: Pending
DET2014184 Floyd Healthcare Management, Inc. (d/b/a Floyd Medical Center) Addition of One Hospital-Based Cardiac Catheterization Lab Request received: 12/18/2014 Contact Person: Stephen Weed, Director of Planning 706-509-3257 Determination: Pending
DET2014185 Tift County Hospital Authority dba Tift Regional Medical Center Replace Existing Cardiac Catheterization Lab Equipment Request received: 12/22/2014
13

Contact Person: James Nixon, VP Admin & Clinical Services 229-353Determination: Pending
DET2014186 UHS of SummitRidge, LLC dba SummitRidge Hospital Addition of 10 Beds Request received: 12/22/2014 Contact Person: Jeff Pritchard, Chief Executive Officer 678-442-5900 Determination: Pending

Requests for Extended Implementation/Effective Period

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

2013055 Cobb Hospital, Inc dba WellStar Cobb Hospital

Establish Diagnostic Center

Request to extend Implementation Date

Site: Winchester Parkway & S. Atlanta Road, Smyrna

Project Approved: 1/27/2014

Request Received: 12/16/2014

Contact: April Austin, Planning Coordinator (470-644-0057)

Approved Cost: $8,930,573

Determination: Approved, 12/19/2014

Extended Implementation Date: 1/27/2016

Need Projection Analyses Updated 12/23/2014
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 12/23/2014 2019 Positron Emission Tomography Services - 12/23/2014 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

14

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 12/23/2014)
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
15

2011

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

Anderson Mill Health and Rehabilitation Center Anderson Mill Health and Rehabilitation Center 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 - 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 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

Cobb Cobb 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 Gwinnett Fulton Bibb Bibb Bibb DeKalb DeKalb Glynn Hart Elbert Jackson Catoosa Catoosa Randolph Fayette Fayette Troup Fulton Telfair Muscogee DeKalb DeKalb DeKalb Cobb Cobb
16

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

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

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 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 Martinez, The River Towne Center Rose Haven Nursing Facility Rose Haven Nursing Facility 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 Shamrock Nursing & Rehabilitation Center Signature Healthcare of Buckhead Signature Healthcare of Buckhead Southland Healthcare And Rehabilitation Center Southland Healthcare And Rehabilitation Center Tower Road Healthcare and Rehabilitation Center Westminster Commons Westminster Commons Westview Nursing & Rehabilitation Center Willowwood Nursing Center

Cobb Elbert Gwinnett Gwinnett Gwinnett Floyd Floyd Floyd Chatham Irwin Irwin W alker Fulton Baldwin Baldwin Baldwin Baldwin Baldwin Richmond Muscogee Thomas Thomas Chatham Chatham Chatham Chatham Chatham Chatham Gwinnett Gwinnett Gwinnett Laurens Fulton Fulton Laurens Laurens Cobb Fulton Fulton Chatham Hall

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

CLAYTON

2012

17

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

Ambulatory Laser & Surgery Ctr Associates Physicians Asc Associates Physicians Asc Associates Physicians Asc Associates Surgery Center, Inc Athens Plastic Surgery Center Athens Plastic Surgery Center Athens Plastic Surgery Center Atlanta Endoscopy Center, Ltd. Atlanta Orthopaedic Surgery Center Atlanta Orthopaedic Surgery Center Atlanta South Endoscopy Center, Llc Atlanta Surgical Center Atlanta West Endoscopy Center, Llc Augusta Ctr For Foot & Ankle Augusta Urology Surgicenter, Llc Azalea Surgery Center Bowman Pain Management, Pc Brookstone Ambulatory Surgery Center Brunswick Pain Treatment Center, Llc Children's Healthcare of Atlanta Surgery, Meridian Mark Clayton Cataract and Laser Surgery Center Dennis Surgery Center, INC Dublin Orthopaedics Asc, Inc E.n.t. Surg Ctr Of Central Ga ELO Outpatient Surgery Center Eye Surgery Center Of Albany, Llc Gainesville Foot And Ankle Surgery Center, Pc Gastroenterology Endoscopy Ctr, Inc Georgia Opthalmologists, LLC Georgia Pain Surg Ctr, Inc Georgia Pain Surg Ctr, Inc Georgia Surgical Centers- South Georgia Surgical Centers- South Gwinnett Center for Outpatient Surgery Houston Lake Surgery Center Institute For Corrective Surgery of Foot & Ankle, Inc ISPM ASC AT COVINGTON, LLC Marietta Eye Surgery Midtown Urology Surgical Center Newton Ambulatory Surgical Center Newton Ambulatory Surgical Center North Columbus Surgery Center, LLC North Georgia Endoscopy Center, Inc North Georgia Institute For Wound Care, Llc North Georgia Institute For Wound Care, Llc North Georgia Institute For Wound Care, Llc Northeast Georgia Urological Surgery Center, Llc Northeast Georgia Urological Surgery Center, Llc Northeast Georgia Urological Surgery Center, Llc Northside Foot & Ankle O P Sc Northside Foot & Ankle Outpat Northside Foot & Ankle Outpat Northwest ENT Surgery Center Outpatient Ctr For Foot Surg

CLAYTON BIBB BIBB BIBB Bibb CLARKE CLARKE CLARKE DEKALB Fulton Fulton CLAYTON FULTON DOUGLAS RICHMOND RICHMOND BROOKS BIBB Muscogee GLYNN Fulton Clayton Fulton LAURENS HOUSTON Bibb DOUGHERTY HALL FULTON NEWTON COBB COBB CLAYTON CLAYTON Gwinnett HOUSTON WARE NEWTON COBB FULTON NEWTON NEWTON MUSCOGEE CHEROKEE FORSYTH FORSYTH FORSYTH HALL HALL HALL HALL GW INNETT GW INNETT Cherokee SPALDING
18

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

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 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

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

Thomas

Tiftarea Endoscopy Center, Inc

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 Valdosta Foot & Ankle Surgery

LOW NDES LOW NDES

Valdosta Foot & Ankle Surgery

LOW NDES

West Georgia Endoscopy Center, Llc

CARROLL

West Paces Ambulatory Surgical Center, LLC

FULTON

West Paces Ambulatory Surgical Center, LLC

FULTON

Woodhams Laser & Lens Implant

FULTON

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

19

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 2012 2013 2013 2012 2013 2013
2013 2011 2012 2013

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 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

HCMC Home Care Interim Healthcare of Atlanta Inc. Medside Home Health Agency Medside Home Health Agency Medside Home Health Agency Rockdale Medical Center Home Health Trinity Home Health Trinity Home Health Trinity Home Health Visiting Nurses Association of Greater Tift Co

Habersham Fulton Fulton Fulton Fulton Rockdale Richmond Richmond Richmond Tift

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

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

South Georgia Center for Cancer Care

Bulloch

2013

Southeast Georgia Health System-Camden Campus

Camden

2011

Southeastern Regional Medical Center, Inc

Coweta

2012

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

Indigent and Charity Care Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years (Commitment status as of 12/23/2014)

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

20

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

Interventional Spine and Pain Management Ambulatory Surgical Center NASA Surgery Center, LLC Northwoods Surgery Center, LLC Premier Ambulatory Surgical Center, LLC Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. Specialty Surgery Center, Inc. Specialty Surgery Center, Inc. Spivey Station Surgery Center Summerville Surgical Center Surgery Center, LLC, The Amedisys Home Health of Macon Amedisys Home Health of Valdosta Amicita Home Health Amicita Home Health, LLC AseraCare Home Health Camellia Home Health Careone Home Health Services, Inc. (Toombs) Caresouth Homecare Professionals 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

Rockdale
Fulton Forsyth Cobb Chatham Chatham Chatham FULTON FULTON Clayton Richmond Muscogee Bibb Lowndes Early Oconee Fulton Cobb Toombs Hall Hall Bibb Elbert Elbert Elbert Douglas
Brantley Cherokee McDuffie Floyd Oconee Hall Fulton Gwinnett Bibb Cobb Clayton Hall Hall Franklin Hall Catoosa Catoosa Chatham

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

70,825.83 Ambulatory Surgery Center

59,760.72 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 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 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.

21

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.
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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 12/23/2014 on DCH Website
Winter Batching Review Cycle Notifications

PET
Mega Voltage Radiation Therapy
Pediatric Cath/Open Heart

Adult Open Heart
Psych/Substance Abuse
Birthing Centers

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

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

Batching Notice
(December 23, 2014)

Application Day
(application complete when submitted; review cycle begins same day)
(February 21, 2015 : Applications due by 12noon on Rollover Day, February 23, 2015)

75th Day
(applicant provides additional information)
(May 6, 2015)

100th Day
(last day for letters of support to be submitted to
Department)
(May 31, 2015)

120th Day
(Department Issues
decision)
(June 20, 2015)

Letter of Intent
(January 22, 2015)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(April 21, 2015)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(May 21, 2015)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(June 10, 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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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)

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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.
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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
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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
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