Certificate-of-need tracking and appeals report [Feb. 26-Mar. 4, 2014]

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Letters of Intent Expired Letters of Intent

New CON Applications Pending Review /Incom plete Applications
Pending Review /Com plete Applications Recently Approved Applications Recently Denied Applications Withdraw n CON Applications

Appealed Determ inations Appealed LNRs
Appealed CON Projects

CERTIFICATE OF NEED

Requests for LNR for Establishment of Physician-Ow ned Am bulatory Surgery Facilities
Requests for LNR for Diagnostic or Therapeutic Equipm ent
Requests for Miscellaneous Letters of Determ ination
Requests for Extended Im plementation/Perform ance Period

February 26, 2014 March 4, 2014

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

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

Letters of Intent

LOI2014010 Northside Medical Center

Capit al Expendit ure to Develop 24-Hr Emergency Dept/Expand ICU Capacity

Received: 2/4/2014

Application must be submitted on: 3/6/2014

Site: 100 Frist Court, Columbus, GA 31909 (Muscogee County)

Estimated Cost: $24,000,000

LOI2014011 St. Joseph's Hospi tal

Capit al Expendit ures for Floor Renovations

Received: 2/4/2014

Application must be submitted on: 3/6/2014

Site: 11705 Mercy Blvd., Savannah, GA 31419 (Chatham County)

Estimated Cost: $5,016,700

LOI2014012 Bradley Wellness Center/Hamilton Medical Center

Renovation and Expansion of Wellness Center

Received: 2/25/2014

Application must be submitted on: 3/27/2014

Site: 1225 Broadrick Drive, Dalton, GA 30720 (Whit field County)

Estimated Cost: $4,000,000

LOI2014013 Shepherd Center

Renovation and Equipment Purchase Exceeding Capital Expenditure Threshold

Received: 2/27/2014

Application must be submitted on: 3/31/2014

Site: 2020 Peachtree Road NW, Atlanta, GA 30309 (Fulton County)

Estimated Cost: $12,945,089

Expired Letters of Intent

LOI2014006 The Medical Center of Central Georgia, Inc. - Batching

Addition of 2nd PE T/CT Unit

Received: 1/29/2014

Application must be submitted on: 2/28/2014 by 12:00 noon

Site: 1650 Hardeman A ve., Macon, GA 31201 (Bibb County)

Estimated Cost: $2,400,000

New CON Applications
2014-006 Heritage Healthcare of Savannah Facility Renovation and Expansion with Expenditure Exceeding Threshold Filed: 2/20/2014 Site: 12825 White Bluff Road, Savannah, GA 3141 9 (Chat ham County) Contact: Aneel Gill, Director of Health/Financial Planning 678-533-6699 Estimated Cost: $3,990,273
2014-007 Athens Orthopedic Clinic, PA Conversion of LNR Imaging Center to CON DTRC Filed: 2/20/2014 Site: 1765 Old West Broad Street Suite 200, Athens, GA 30606 (Clarke County) Contact: Kayo Elliott, CEO 706-549-1663 Estimated Cost: $25,000
2014-008 University Hospital Addition of Two Operating Rooms Filed: 2/27/2014 Site: 1350 Walton Way, Augusta, GA 30901 (Richmond County) Contact: Edward L. Burr, VP, Legal A ffairs 706 -774-8063 Estimated Cost: $4,130,000
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Pending Review/Incomplete Applications
2014-005 Albany Diagnostic Center Conversion of LNR Approved DTRC to CON Approved DTRC Filed: 2/7/2014 Deemed Incomplete: 2/21/2014 Site: 2624 Dawson Road, Albany, GA 31707 (Dougherty County) Contact: Grayson Pric e, Manager 706-433-4123 Estimated Cost: $10,000
Pending Review/Complete Applications
2013-058 Grady Memorial Hospital Renovation of Existing Space Filed: 10/24/2013 Deemed Incomplete: 11/5/2013 Deemed Complete: 12/2/2013 60th Day Deadline: 1/30/2014 Deci sion Deadline: 3/31/2014 Site: 80 Jesse Hill Drive, Atlanta, GA 30303 (Fulton County) Contact: Samuel L. Williams, VP, Non-Clinical Support Srvcs 404-616-3954 Estimated Cost: $5,429,739
2013-059 Georgia Regents Medical Center Addition of a Third CT Scanner Filed: 11/1/2013 Deemed Complete: 11/18/2013 60th Day Deadline: 1/16/2014 Deci sion Deadline: 3/17/2014 Site: 1120 15th Street, Augusta, GA 30912 (Richmond County) Contact: Daniel Merrell 706-721-6951 Estimated Cost: $3,626,944
2013-060 Memorial Health Universi ty Medical Center Replacement, Reloc ation, Expansion of 32 -ICU and Step Down Beds Filed: 11/12/2013 Deemed Complete: 11/26/2013 60th Day Deadline: 1/24/2014 Deci sion Deadline: 3/25/2014 Site: 4700 Waters A venue, Savannah, GA 31404 (Chatham County) Contact: Laura Dow, VP, Finance 912-350-8613 Estimated Cost: $9,022,000
2013-061 Atlanta Orthopedic Surgery Center, LLC Conversion to a CON-A pproved Single-Specialty Ambulatory Surgery Cent er - Batching Filed: 11/29/2013 Deemed Complete: 11/29/2013 60th Day Deadline: 1/27/2014 Deci sion Deadline: 3/28/2014 Site: 3161 Howell Mill Road, Suite 300, Atlanta, GA 30327 (Fulton County) Contact: William T. Marlow, COO 404-352-4200 Estimated Cost: $30,000
2013-063 Northsi de Cherokee at Towne Lake Surgery Center Development of a Multi-Specialty Ambulatory Surgery Center - B atching Filed: 11/29/2013 Deemed Complete: 11/29/2013 60th Day Deadline: 1/27/2014 Deci sion Deadline: 3/28/2014 Site: 900 Towne Lake Parkway, Woodstock, GA 30189 (Cherokee County) Contact: Brian J. Toporek, Senior Planner 404 -851-6821 Estimated Cost: $10,326,772
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2013-064 WellStar Kennestone Hospital Development of New Ambulatory Surgery Center - Batching Filed: 11/29/2013 Deemed Complete: 11/29/2013 60th Day Deadline: 1/27/2014 Deci sion Deadline: 3/28/2014 Site: Intersection of Sixes Rd & I-575, Holly Springs, GA 30114 (Cherokee County) Contact: April Austin, Regulatory Planning Coordinator 470-644-0057 Estimated Cost: $16,016,360
2013-065 Children's Hospital of Georgia Addition of Four Level II Intermediate Care Nursery Beds - Batching Filed: 11/29/2013 Deemed Complete: 11/29/2013 60th Day Deadline: 1/27/2014 Deci sion Deadline: 3/28/2014 Site: 1446 Harper Street, Augusta, GA 30912 (Richmond County) Contact: James Mumford, Administrator 706 -721-5132 Estimated Cost: $488,078
2013-066 Joynus Care, Inc. Establish a New Home Health Agency for Asian Population - Batching Filed: 11/29/2013 Deemed Complete: 11/29/2013 60th Day Deadline: 1/27/2014 Deci sion Deadline: 3/28/2014 Site: To Be Determined, Sandy Springs, GA 30240 (Fulton County) Contact: Chisung Lee 706-443-5184 Estimated Cost: $50,000
2013-067 Me sun Health Services, Inc. Establish New Home Health Agency - Asian Community - Batching Filed: 11/29/2013 Deemed Complete: 11/29/2013 60th Day Deadline: 1/27/2014 Deci sion Deadline: 3/28/2014 Site: 88 Johns on Road, Lawrenceville, GA 30045 (Gwinnett County) Contact: Hans on Kim 256-473-0964 Estimated Cost: $80,000
2013-068 Me sun Health Services, Inc. Establish a New Skilled Nursing Facility for the Asian Community - Batching Filed: 11/29/2013 Deemed Complete: 11/29/2013 60th Day Deadline: 1/27/2014 Deci sion Deadline: 3/28/2014 Site: 88 Johns on Road, Lawrenceville, GA 30045 (Gwinnett County) Contact: Hans on Kim 256-473-0964 Estimated Cost: $7,168,000
2013-069 Open MRI & Imaging of Conyers, LLC Conversion to CON Approved DTRC, Equipment Replacement, & Fac ility Relocation Filed: 12/6/2013 Deemed Complete: 12/20/2013 60th Day Deadline: 2/17/2014 Deci sion Deadline: 4/18/2014 Site: 2287 Salem Road, Conyers, GA 30013 (Rockdale County) Contact: Per B. Normark, General Counsel 770 -300-0101 Estimated Cost: $2,408,309
2013-070 Georgia Regents Medical Center Renovation of 7t h Floor South Wing Filed: 12/16/2013 Deemed Complete: 1/2/2014 60th Day Deadline: 3/2/2014 Deci sion Deadline: 5/1/2014 Site: 1120 15th Street, Augusta, GA 30912 (Richmond County)
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Contact: Daniel Merrell, Sr. Project Mgr 706 -721-6951 Estimated Cost: $4,176,888
2014-001 Northsi de Hospital - Forsyth Renovation of Surgery Department Filed: 1/6/2014 Deemed Complete: 1/16/2014 60th Day Deadline: 3/16/2014 Deci sion Deadline: 5/15/2014 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek, Sr. Planner 404-851-6821 Estimated Cost: $6,423,071
2014-002 Northsi de Hospital - Forsyth Expand Medical-S urgical Short Stay Beds by 14 Through Conversion of Observation Beds Filed: 1/6/2014 Deemed Complete: 1/17/2014 60th Day Deadline: 3/17/2014 Deci sion Deadline: 5/16/2014 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek, Sr. Planner 404-851-6821 Estimated Cost: $0
2014-003 Hamilton Medical Center
Renovation and Expansion of Medical Intensive Care Unit (MICU) Filed: 1/10/2014 Deemed Complete: 1/23/2014 60th Day Deadline: 3/23/2014 Deci sion Deadline: 5/22/2014 Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County) Contact: Alison Bonner, Planning Mgr. 706 -272-6589 Estimated Cost: $16,000,000
2014-004 Northsi de Hospital - Cherokee Addition of Sixth Floor to Include 12 New Medical/Surgical Inpatient Beds Filed: 2/5/2014 Deemed Complete: 2/18/2014 60th Day Deadline: 4/18/2014 Deci sion Deadline: 6/17/2014 Site: 201 Hospital Road, Canton, GA 30114 (Cherokee County) Contact: Brian Toporek, Senior Planner 404 -851-6821 Estimated Cost: $15,000,000
2014-009 Emanuel Medical Center Conversion of Beds to Psychiatric Substance Abuse Unit - Batching Filed: 2/28/2014 Deemed Complete: 2/28/2014 60th Day Deadline: 4/28/2014 Deci sion Deadline: 6/27/2014 Site: 117 Kite Road, PO Box 879, Swainsboro, GA 30401 (Emanuel County) Contact: Brian L. Riddle, Sr., CEO 428-289-1374 Estimated Cost: $1,330,555
2014-010 Ve st Monroe, LLC Establishment of a New Psychiatric Hospital - Batching Filed: 2/28/2014 Deemed Complete: 2/28/2014 60th Day Deadline: 4/28/2014 Deci sion Deadline: 6/27/2014 Site: 330 Alcovy Street, Monroe, GA 30655 (Walton County) Contact: Martina Sze, Sr VP, Finance 212-243-5565 Estimated Cost: $17,070,912
2014-011 Georgia Proton Treatment Center Provision of PET-CT Imaging on Site - Batching Filed: 2/28/2014 Deemed Complete: 2/28/2014 60th Day Deadline: 4/28/2014
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Deci sion Deadline: 6/27/2014 Site: 615 Peachtree Street, NE, Atlanta, GA 30308 (Fulton County) Contact: Jeffrey L. Bordok, CEO & President 858 -875-2260 Estimated Cost: $1,958,453
Recently Approved Applications
2013-057 Tift Regional Medical Center Oncology Center Expansion Filed: 9/25/2013 Deemed Complete: 10/8/2013 60th Day Deadline: 12/6/2013 Deci sion Deadline: 2/4/2014 APPROV ED: 2/4/2014 Site: 1632 Madison A venue, Tifton, GA 31794 (Tift County) Contact: Sarah Thompson 229-353-3421 Estimated Cost: $2,854,096
Recently Denied Applications
None
CON Applications Withdrawn
none
Appealed Determinations
DET2013080 Augusta Hospital, LLC d/b/a Trinity Hospital of Augusta - Richmond Requested Determination to perform cardiac catheterization procedures, 5/15/2013. Determination of "denied" issued on 08/14/2013. Augusta Hospit al, LLC d/b/a Trinity Hospital of Augusta filed request for Administrative Appeal Hearing, 09/12/2013. University Health Services, Inc. filed request to intervene, 9/12/2013. Hearing Officer: William C. Joy, Esq. Hearing Date: December 3 and 4, 2013. Hearing Officer affirmed Department's DE T denying the P CI ex emption for Trinity Hospital, 2/19/2014.
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 Dat e: (Rescheduled to) 1/27/2014 and 1/28/2014. 5th Floor.
Appealed LNRs
LNR-EQT2013025 Medical Center of Central Georgia Monroe Requested Letter of Non-Reviewability ("LNR") with regard to the acquisition of cert ain 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.
Appealed CON Projects
2010-025 WellStar Kennestone at East Cobb (Cobb) Development of an Ambulatory Surgery Facility - Batching Agency Decision: Approved, 9/20/2010 Appealed By: St. Joseph's Hospital of Atlanta, 10/ 19/2010; Northside Hospital-Atlanta and Northside Alpharetta Surgery Center, 10/19/2010; Applicant (Kennestone) requests to intervene, 10/19/2010. St. Joseph's Hospital withdrew request for appeal, 1/20/2011. Hearing postponed pending Order from Hearing Offic er. Application is remanded to Department by Hearing Officer, April 6, 2011 for the Department to conduct an additional alt ernative review under the specific review criteria for ambulatory surgery centers. Department requests, and is granted,
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extension on Remand decision date, 5/6/2011. On remand, the applic ation for alt ernative review only is denied, 5/16/2011. The original application remains approved, 9/20/2010. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: 8/8/2011 8/11/2011; proposed orders from parties due 9/23/2011. Hearing Decision: Hearing Officer affirms Department decision approving application, 10/20/ 2011. Northside Hospital, Inc. requests Commissioner Review, 11/18/2011. Commissioner Review Decision: Affirmed Hearing Officer Decision to award CON to WellStar, 1/18/2012. Northside filed petition for judicial review, 2/16/2012. Superior Court Decision: The Superior Court reversed DCH's decision to grant a CON to Kennestone, 7/30/2012. Court of Appeals: Affirmed Superior Court decision reversing DCH decision to grant a CON to Kennestone, 10/25/ 2013. Supreme Court: The Supreme Court granted Certiorari in WellStar Kennestone, 2/24/2014.
2013-001 MRI & Imaging of Dougla sville (Douglas), Approved, 6/3/ 2013 2013-002 MRI & Imaging of Habersham (Habersham), Approved, 6/3/2013 2013-005 MRI & Imaging of Hapeville (Fulton), Approved, 6/12/2013 2013-006 MRI & Imaging of Duluth (Gwinnett), Approved, 6/12/2013 Convert Existing Diagnostic Imaging Facility to a CON DTRC Appealed By: Nort hside Hospital , Inc d/b/a Nort hside Hospital Atlanta, Northside Hospital Cherokee, and Nort hside Hospital Forsyth, 7/1/2013. Hearing Officer: Melvin Goldstein, Esq. Hearing Date: 12/9/2013 12/13/2013 Hearing Decision: Pending
2013-008 Riverside Imaging Specialist, LLC (Bibb) Establish a Freestanding Diagnostic Imaging Center Agency Decision: Approved, 6/20/ 2013. Appealed By: Physicians MRI, Inc. d/b/a Open MRI of Macon (" Open MRI") filed appeal, 7/19/ 2013. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: 11/19/ 2013 11/ 22/2013, 12/19/2013 Hearing Decision: Hearing Officer affirmed Department's decision to award a CON to Riverside Imaging Specialist, 2/27/2014
2013-010 Northside Hospital - Forsyth (Forsyth) Megavolt age Radiation Therapy - Gamma Knife - Batching Agency Decision: Approved, 6/18/ 2013. Appealed By: St. Joseph's Hospital of Atlanta, 7/17/2013; WellStar Kennestone Hospital, 7/17/2013; Piedmont Hospital, Inc,, 7/18/2013. Northside submitted request to intervene, 7/16/2013. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: 10/21-25/2013 and 10/28-29/ 2013 Hearing Decision: Hearing Officer affirmed Department 's decision to award a CON to Northside, 2/20/2014.
2013-015 MRI & Imaging of NE Georgia (Hall) Replace one of its Existing MRI Scanner Agency Decision: Approved, 8/16/ 2013 Appealed By: Nort hside Hospital, Inc. d/b/a Nort hside Hospital-Atlanta and Northside Hos pitalCherokee ("Northside"), 9/12/2013; Northside Hospital, Inc. d/b/a Northside Hospital, Northside Hospit al - Forsyth, and Nort hside Hospital - Cherokee dismisses with prejudice its administrative appeal, 2/11/2014
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; Cart ers ville Medical Cent er (CMC), 10/16/2013; Northside Hos pital, Inc., d/b/a Northside Hospital - Atlanta, Northside Hospital - Cherokee and Nort hside Alpharetta Surgery Cente r, (collectively, "Northside" ), 10/18/2013. WellStar Kennestone, Inc., d/b/a WellStar Kennestone Hospital files request to intervene, 10/21/2013.
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"Northside" withdraws appeal request, 11/4/2013. Hearing Officer: William C. Joy, Esq. Hearing Date: 3/4/2014 @10:00AM through 3/7/2014
2013-043 Northeast Georgia Medical Center - South Hall Campus (Hall) Megavolt age 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 Cent er, Inc. filed an appeal, 1/27/2014; Northeast Georgia Medical Cent er, Inc., filed request to intervene in any appeal, 1/23/2014.
Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: TB D Hearing 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 ("NB H"); 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 Cent er 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. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: 5/12/2014 through 5/ 23/2014, 41st Floor, 9AM Hearing Decision: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2013036 Athens Regional Medical Center, Inc. CT Scanner Request received: 12/9/2013 Contact Person: Dee Burkett, VP, Prof Srvcs 706-475-3637 Determination: Pending

LNR-EQT2013037 Southern Health Center, P.C. Acquisition of MRI & CT Scanner Request received: 12/9/2013 Contact Person: Joyce H. Poag, MD, CEO 678-317-2283 Determination: Pending

LNR-EQT2013038 Orthopedic Center, P.C. d/b/a Optim Orthopedics

CT Scanner Purchase

Request received: 12/19/ 2013

Contact Person: Michael Kleinpeter, CEO 912-644-5370

Determination: Approved

Determination Date: 2/27/2014

LNR-EQT2013039 Northea st Georgia Medical Center, Inc.

Robotic Surgical System

Request received: 12/20/ 2013

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

Determination: Approved

Determination Date: 2/27/2014

LNR-EQT2014001 Southern Health Center, P.C. Fixed Siemens 0.2T Concerto Open MRI and GE HiS peed CT/i Scanner Request received: 1/17/2014

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Contact Person: Joyce H. Poag, MD, CEO 678-317-2283 Determination: Pending

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

LNR-AS C2013022 Glennville Eye Surgery Center, LLC

Physician-Owned, Single Specialty ASC

Site: 4720 Waters A venue, Savannah, GA 31404

Number of OR's: 1

Specialty: Ophthalmology

Project costs a s submitted: $1,343,000.00

Request received: 11/5/2013

Contact Person: Kathy Hegan, Practice Administrat or 912 -629-5929

Determination: Approved

Determination

2/21/2014

LNR-AS C2013023 Georgia Skin Cancer & Aesthetic Dermatology, LLC

Physician-Owned Single-Specialty Ambulatory Surgery Center

Site: 1180 Res urgence Drive, Ste 200, Bogart, GA 30622

Number of OR's: 2

Specialty: Dermatological Surgical Procedures

Project costs a s submitted: $0.00

Request received: 11/20/ 2013

Contact Person:

Determination: Pending

LNR-AS C2013024 AHS Surgery Center Canton, LLC

Operation of a Physician-Owned, Single-Specialty ASC

Site: 201 Kimberly Way, Suite 100, Canton, GA 30114

Number of OR's: 1

Specialty: Surgery of hand and related extremities

Project costs a s submitted: $902,637.35

Request received: 12/10/ 2013

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

Determination: Pending

LNR-AS C2013025 Urology Surgical Partners, LLC

Establishment of Single-Specialty, Joint Venture ASC

Site: 5673 Peachtree Dunwoody Road, Ste 900, Atlanta, 30342

Number of OR's: 1

Specialty: Urological Surgery and Minor

Project costs a s submitted: $0.00

Request received: 12/12/ 2013

Contact Person: Kathlynn Butler Polvino 404-527-4000

Determination: Pending

Opposition: Saint Joseph's Real Estate Management Corporation- 1/13/2014; Saint

Joseph's Hospital of Atlanta, Inc.- 1/13/2014

LNR-AS C2013026 Pain Consultants of Atlanta, LLC

Physician-Owned, Single-Specialty. Office-Based AS C

Site: contiguous to 1800 Peachtree St., NW, Atlanta, GA 30309

Number of OR's: 1

Specialty: Pain Management

Project costs a s submitted: $685,719.00

Request received: 12/31/ 2013

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

Determination: Pending

LNR-AS C2014001 Physi cians Institute for Pain Management ASC, LLC

Single Specialty ASC

Site: 3312 N. Oak Street Extension, Suite F, Valdosta, 31602

Number of OR's: 2

Specialty: Pain Management

Project costs a s submitted: $0.00

Request received: 2/14/2014

Contact Person: Gayle R. E vans, RN, MBA, President 770-794-4944

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Determination: Pending

LNR-AS C2014002 Buford Eye Surgey Center, LLC

Physician-Owned, Single Specialty ASC

Site: 1995 Mall of Georgia Blvd, Suite C, Buford

Number of OR's: 1

Specialty: Ophthalmology Procedures

Project costs a s submitted: $1,162,062.00

Request received: 2/18/2014

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

Determination: Pending

LNR-AS C2014003 AXIS Surgery Center, LLC

Physician-Owned, Single-Specialty ASC

Site: 230 Sheraton Boulevard, Suite B, Macon, GA 31210

Number of OR's: 2

Specialty: Pain Management

Project costs a s submitted: $2,523,771.62

Request received: 3/3/2014

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

Determination: Pending

Requests for Miscellaneous Letters of Determination

DET2013047 Dkumar LLC dba Atlanta Hand Specialist

Scope of services that can be performed in LNR-AS C

Request received: 4/16/2013

Contact Person: Viralkumar Patel, M.D. 770-333-7888

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

3/3/2014

DET2013136 Athens Regional Medical Center, Inc. Acquisition of DTRC Request received: 8/30/2013 Contact Person: Jeffery C. Baxter 706-475-1195 Determination: Pending

DET2013157 The Medical Center, Inc. Doctors Hospital Consolidation with The Medical Center Request received: 10/9/2013 Contact Person: Scott Hill 706-660-6102 Determination: Non-reviewable as proposed Determination Date: 2/25/2014

DET2013159 Northside Hospital - Forsyth Nort hside Hospital - Forsyth - Replacement of MRI Unit Request received: 10/15/ 2013 Contact Person: Brian Toporek 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 2/7/2014 Opposition: Open MRI & Imaging of N.E. Georgia, LLC- 11/13/2013; Cumming Diagnostic
Imaging, LLC- 11/13/2013
DET2013162 MCG Health, Inc. dba Georgia Regents Medical Center Replacement of Imaging Equipment Request received: 10/18/ 2013 Contact Person: Daniel Merrell 706-721-4551 Determination: Non-reviewable as proposed Determination Date: 2/21/2014
DET2013167 SELE Am bulatory Surgery, LLC Reloc ation of Multi-Specialty ASC Request received: 10/29/ 2013 Contact Person: Michael Kleinpeter 912-644-5370 Determination: Pending Opposition: Georgia Alliance of Community Hospitals, Inc.- 11/27/2013; Saint Joseph's Hospital,
Inc.- 11/27/2013; Candler Hospital, Inc.- 11/27/2013; Saint Joseph's/Candler Health
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System, Inc.- 11/27/2013; Georgia Hospital Association- 12/2/2013; Memorial Health University Medical Center, Inc.- 12/2/2013
DET2013168 University Health Services, Inc. dba Universi ty Hospital Cardiac Catheterization Lab Replacement Request received: 10/30/ 2013 Contact Person: Edward L. Burr 706-744-8063 Determination: Non-reviewable as proposed Determination Date: 2/5/2014
DET2013169 Tattnall Hospital Company, LLC dba Optim Surgery Center Neurosurgeon Operating in CON Approved Orthopedic ASC Request received: 10/30/ 2013 Contact Person: Michael Kleinpeter 912-644-5370 Determination: Pending Opposition: Saint Joseph's Hospital, Inc.- 12/2/2013; Candler Hospital, Inc.- 12/2/ 2013; Saint
Joseph's/Candler Health System, Inc.- 12/2/2013; Georgia Alliance of Community Hospitals, Inc.- 12/2/2013; Memorial Health Univ Medical Center- 12/2/2013; -
DET2013178 University Health Services, Inc. Renovation of Radiology Department Request received: 12/2/2013 Contact Person: Jackie M. Kendinger, Asst Gnrl Cnsl 706-774-8044 Determination: Non-reviewable as proposed Determination Date: 2/5/2014
DET2013179 Hospital Authori ty of Miller County MOB Request received: 12/6/2013 Contact Person: Robin Rau, CEO 229-758-5954 Determination: Non-reviewable as proposed Determination Date: 2/20/2014
DET2013181 Gwinnett Medical Center - Lawrenceville Physician On-Call Support Space Request received: 12/6/2013 Contact Person: Mark M. Mullin, Dir P&D 678-312-4193 Determination: Non-reviewable as proposed Determination Date: 2/6/2014
DET2013182 Emory Universi ty Hospital - Executive Park Replacement of CT Scanner Request received: 12/6/2013 Contact Person: Toni Wimby, Assoc Admin 404-686-2809 Determination: Non-reviewable as proposed Determination Date: 2/7/2014
DET2013183 Doctors Hospital Inc. d/b/a Doctors Specialty Hospital Establish Inpatient Hospice Service Request received: 12/9/2013 Contact Person: Tamera Jackson, CEO 706-494-4820 Determination: Non-reviewable as proposed Determination Date: 2/7/2014
DET2013184 Northside Hospital, Inc Capit al Expendit ure for Acquisition of MOB Request received: 12/11/ 2013 Contact Person: Brian Toporek, Sr. Planner 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 2/24/2014
DET2013185 Decatur PET Imaging/Northside Hospital Reloc ation of CON Approved DTRC Request received: 12/12/ 2013 Contact Person: Brian Toporek, Sr. Planner 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 2/25/2014
DET2013186 Decatur PET Imaging/Northside Hospital Replacement of PE T/CT Unit Request received: 12/12/ 2013
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Contact Person: Brian Toporek, Sr. Planner 404-851-6283 Determination: Non-reviewable as proposed Determination Date: 2/25/2014
DET2013187 Rockdale Medical Center Replacement of MRI Unit Request received: 12/17/ 2013 Contact Person: James Atkins, COO 770-918-3755 Determination: Non-reviewable as proposed Determination Date: 2/26/2014
DET2013188 Southern Orthopaedic Surgery Center of Fayetteville, LLC Expansion of LNR issued Single-Specialty ASC Below Thres hold Request received: 12/19/ 2013 Contact Person: Michael Ochal, Development 770-953-6929 Determination: Pending
DET2013189 Grady Memorial Hospital Corp d/b/a Grady Health System Electrical Switchgear Replacement Request received: 12/20/ 2013 Contact Person: Samuel L. Williams, VP, Sppt Srvcs 404-616-0588 Determination: Non-reviewable as proposed Determination Date: 2/27/2014
DET2013190 Grady Memorial Hospital Corp d/b/a Grady Health System Administrative Office Reloc ations Request received: 12/20/ 2013 Contact Person: Samuel L. Williams, VP, Suppt Srvcs 404-616-0588 Determination: Non-reviewable as proposed Determination Date: 2/27/2014
DET2013191 Grady Memorial Hospital Corp d/b/a Grady Health System ICU Vacuum Port Additions Request received: 12/20/ 2013 Contact Person: Samuel L. Williams, VP, Suppt Srvcs 404-616-0588 Determination: Non-reviewable as proposed Determination Date: 2/27/2014
DET2013192 Northeast Georgia Medical Center, Inc. Replacement of Robotic Surgery System Request received: 12/20/ 2013 Contact Person: Chad Bolton, Planning Director 770-219-6630 Determination: Pending
DET2013193 Monroe HMA, LLC d/b/a Clearview Regional Medical Center Acquisition of Imaging Center Under Capit al Expendit ure Threshold Request received: 12/23/ 2013 Contact Person: James Machado, CEO 770-267-1792 Determination: Pending
DET2013194 Monroe HMA, LLC d/b/a Clearview Regional Medical Center Acquisition of Imaging Center Under Capit al Expendit ure Threshold Request received: 12/23/ 2013 Contact Person: James Machado, CEO 770-267-1792 Determination: Pending
DET2013195 The Oaks-Athens Skilled Nursing, LLC Development of CCRC Request received: 12/26/ 2013 Contact Person: Patricia Tanner, Administrator 706-355-7400 Determination: Pending
DET2014001 Hospital Authori ty of Liberty County d/b/a Liberty Regional Medi cal Renovate Existing Space to Support Nuclear Medicine Request received: 1/6/2014 Contact Person: Elise Stafford, CLTCO 912-545-3392 Determination: Pending
12

DET2014002 Northside Hospital, Inc. Capit al Expendit ure to Acquire Existing MOB Request received: 1/7/2014 Contact Person: Brian Toporek, Senior Planner Determination: Pending

404-851-6821

DET2014003 DayBreak Village, LLC Change of Licensed Capacity from 40 to 65 Request received: 1/8/2014 Contact Person: Ben Q. Harbour, Registered Agent/Owner Determination: Pending

770-843-2843

DET2014004 Star Manor Personal Care Home, Inc. Increase in Bed Capacity Request received: 1/27/2014 Contact Person: Janice Hunt, Executive Director 770 -548-5514 Determination: Pending

DET2014005 SunCre st Home Health of Georgia, Inc.- Fayetteville Reduction in HHA I/ C Commitment Request received: 1/31/2014 Contact Person: Maria Miller, Tax Manager 502-891-1180 Determination: Pending
DET2014006 SunCre st Home Health of Georgia, Inc. - Newnan Reduction in HHA I/ C Commitment Request received: 1/31/2014 Contact Person: Maria Miller, Tax Manager 502-891-1180 Determination: Pending
DET2014007 SunCre st Home Health of Georgia, Inc - Gainesville Reduction of HHA I/ C Commitment Request received: 1/31/2014 Contact Person: Maria Miller, Tax Manager 502-891-1180 Determination: Pending
DET2014008 SunCre st Home Health of Georgia, Inc. - Riverdale Reduction of HHA I/ C Commitment Request received: 1/31/2014 Contact Person: Maria Miller, Tax Manager 502-891-1180 Determination: Pending

DET2014009 SunCre st Home Health of Georgia, Inc - Savannah Reduction of HHA I/ C Commitment Request received: 1/31/2014 Contact Person: Maria Miller, Tax Manager 502-891-1180 Determination: Pending
DET2014010 Benton House of Alpharetta PCH Increase in Licensed Beds Request received: 2/3/2014 Contact Person: David C. Winters, Agent 678-297-0388 Determination: Pending
DET2014011 Radiology Associates of Macon, P.C. Reloc ation of Radiation Equipment Request received: 2/3/2014 Contact Person: Greg Cassimus, Administrator 478-751-5869 Determination: Pending
DET2014012 Doctors Hospital of Augusta, LLC d/b/a Doctors Hospital of Augusta Conversion of Cystoscopy Room to a General OR Request received: 2/4/2014

13

Contact Person: Chris Cosby, COO 706-651-6101 Determination: Pending
DET2014013 Northeast Georgia Medical Center, Inc. - Toccoa Campus Replacement of Linear Accelerator Equipment Request received: 2/5/2014 Contact Person: Chad T. Bolton 770-219-6630 Determination: Pending

DET2014014 PET Imaging Center of Gwinnett, LLC and Northside Hospital, Inc. Replacement of CON Authorized Equipment Request received: 2/6/2014 Contact Person: Guy A. Messer/Brian Toporek 770 -692-2371/404-851Determination: Pending

DET2014015 PET Imaging of Gwinnett PET Imaging Center of Gwinnett, LLC and Northside Hos pital, Inc. Request received: 2/6/2014 Contact Person: Guy Messer/Brian Toporek 770-692-2371/404-851-6821 Determination: Pending

DET2014016 MCG Health, Inc. d/b/a Georgia Regents Medical Center Renovation of Non-Clinical Space Request received: 2/7/2014 Contact Person: Daniel Merrell, Project Manager 706-721-4551 Determination: Pending

DET2014017 Gwinnett Hospi tal System, Inc. d/b/a Gwinnett Medical Center Capit al Expendit ure to Expand Imaging Center Request received: 2/7/2014 Contact Person: Mark M. Mullin, Dir., Plan & Dev 678 -312-4193 Determination: Pending

DET2014018 C & A Investment Properties, LLC Construction of adjacent building to PCH Request received: 2/10/2014 Contact Person: Chris Shiflett, Owner 706-581-3011 Determination: Pending

DET2014019 Pruitthealth - Marietta, LLC Below CON Threshold Nursing Facility Renovation Request received: 2/10/2014 Contact Person: Aneel Gill, Dir, Hlth & Fin Plnng 678-533-6699 Determination: Pending

DET2014020 Magnolia Manor of St. Simons Assi sted Living Increase in Capacity Request received: 2/14/2014 Contact Person: Mark R. Todd, President & CEO 229 -294 9352 ext 4053 Determination: Pending

DET2014021 St. Mary's Health Care System, Inc. CHE Trinity Consolidation Transaction Request received: 2/14/2014 Contact Person: Karen Schuller, VP & General Counsel Determination: Pending

706 -389-3942

DET2014022 Thrive Senior Living Development & Construction of 70-Unit Assisted Living Facility Request received: 2/18/2014 Contact Person: Jeramy Ragsdale, Principal 404-909-8016 Determination: Pending

14

DET2014023 John D. Archbold Memorial Hospital Renovation of Outpatient Surgery Area Request received: 2/19/2014 Contact Person: David Smith, Dir. Planning & Construction Determination: Pending

229 -551-2551

DET2014024 Northeast Endoscopy Center, LLC Interpretation of Regulations Request received: 2/20/2014 Contact Person: Patricia Ellington, Administrator 678-879-0999 Determination: Pending

DET2014025 Delmar Gardens of Gwinnett Increase of Occupancy, Assisted Living Community Request received: 2/20/2014 Contact Person: Jennifer L. Thilo, Executive Director Determination: Pending

770-923-3100

DET2014026 Lanier Village Estates - Willow Brooke Court Add 4 Sheltered Beds - CCRC Request received: 2/20/2014 Contact Person: Jeff Rock, Executive Director 678-450-3000 Determination: Pending

DET2014027 Irene Assi sted Care Community New Assisted Living Facility Request received: 2/20/2014 Contact Person: Sandra Lacefield, Director 404-349-3026 Determination: Pending

DET2014028 Atlanta Foot & Leg Clinic, P.A. d/b/a Clayton Outpatient Surgery Center Clayton Outpatient Surgery Center - Outpatient Surgical Privileges Request received: 2/21/2014 Contact Person: Stanley R. Kalish, DPM 678-9619636 Determination: Pending

DET2014029 MCG Health, Inc. d/b/a Georgia Regents Medical Center Replacement of Linear Accelerator Request received: 2/21/2014 Contact Person: Daniel Merrell, Project Manager 706-721-4551 Determination: Pending

DET2014030 Phoebe Putney Health System, Inc. Replacement of Electronic Medical Records System Request received: 2/27/2014 Contact Person: Lori Jenkins, Mgr/Planning & Dev 229-312-1432 Determination: Pending

DET2014031 Harmony Crossi ng Assi sted Living and Memory Care, LLC Licensing of New 60-Bed Assisted Living & Memory Care Facility Request received: 3/3/2014 Contact Person: Raymond E. Kramer, Managing Member 706-224-7585 Determination: Pending

Requests for Extended Implementation/Effective Period
2012062 Emory University d/b/a Emory University Hospital Acquisition of Siemens Magnatom Aera 1.5T MRI Request to extend Implementation Date Site: Winship Cancer Institute, 1365-C Clifton Road, Atlanta Project Approved: 4/15/2013 Request Received: 12/27/2013
15

Contact:, Toni Wimby, Assoc Administrator (404-686-2450) Approved Cost: $3,175,000 Determination: Pending

2012027 Grady Memorial Hospital Corporation d/b/a Grady Health System Renovations: Existing Spaces, Nursing Unit, Physical Plant Replacement Request to extend Mandatory Completion Date Site: 80 Jesse Hill Drive, SE, Atlanta Project Approved: 12/5/2012 Request Received: 1/27/2014 Contact:, Samuel Williams, VP, Non-Clinical Srvcs (404-616-0588) Approved Cost: $17,763,860 Determination: Pending

2012055 Rockdale Hospital, LLC d/b/a Rockdale Medical Center

Establish a 4-Bed Neonatal Intensive (Level III) Care Service

Request to extend Mandatory Completion Date

Site: 1412 Milstead Avenue, Conyers

Project Approved: 3/22/2013

Request Received: 2/17/2014

Contact:, James Atkins,COO, (770-918-3755)

Approved Cost: $532,168

Determination: Approved, 2/18/2014

Extended Completion Date: 9/22/2014

Need Projection Analyses Updated 12/30/2013
Current Status of Official Division of Health Planning Nee d Projection Analyse s and Other Data Resource s
Need Projections and Maps for CON Regulated Services
2018 Non-Special MegaVoltage Radiation Therapy 12/ 30/2013 2018 Positron Emission Tomography Services - 12/30/2013 2018 Ambulatory Surgery Center Services - 9/30/ 2013 2016 Home Health Agency Services - 9/30/2013 2018 Inpatient Physical Rehabilitation Services - 9/30/2013 2018 Neonat al Intensive Care Beds - 9/30/2013 2018 Neonat al Intermediate Care Beds - 9/30/2013 2018 Obstetric Services Beds - 9/30/2013 2016 Skilled Nursing Home Beds - 9/30/2013 Non-Batched Need P rojections 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. Currently, projections can be obtained for 2016 using 20 10 utilization.

16

Non-Filed or Incomplete Office of Health Planning
Facility Surveys for Most Recent 3 Years (Survey Status as of 3/4/2014)
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 dat e may not be reflected as complete and may be reported as delinquent. Please contact the staff contact indicated in the instruction materials associated with each survey if your facility has filed its survey but continues to be reflected as incomplete.

Facility Name

Coun ty

Survey Year

Annual Hospital Que stionnaire and Addenda (Survey Years 2010 thru 2012)

Bacon County Hospital

Bacon

2012

Barrow Regional Medical Center

Barrow

2011

Berrien County Hospital

Berrien

2011

Burke Medical Center

Burke

2011

Burke Medical Center

Burke

2012

Calhoun Memorial Hospital

Calhoun

2012

Candler County Hospital

Candler

2012

Charlton Memorial Hospital

Charlton

2011

Charlton Memorial Hospital

Charlton

2012

Clinch Memorial Hospital

Clinch

2012

Coastal Behavioral Health

Chatham

2012

Coastal Harbor Treatment Center

Chatham

2012

East Georgia Regional Medical Center

Bulloch

2012

Georgia Regional Hospital at Savannah

Chatham

2011

Georgia Regional Hospital at Savannah

Chatham

2012

Georgia Regional Hospital-Atlanta

DeKalb

2011

Georgia Regional Hospital-Atlanta

DeKalb

2012

Irw in County Hospital

Irw in

2012

Mountain Lakes Medical Center

Rabun

2012

Northw est Georgia Regional Hospital

Floyd

2010

Northw est Georgia Regional Hospital

Floyd

2011

Northw est Georgia Regional Hospital

Floyd

2012

Southern Crescent Hospital f or Specialty Care

Clayton

2011

Southern Crescent Hospital for Specialty Care

Clayton

2012

Southw est Georgia Regional Medical Center

Randolph

2011

Southw estern State Hospital

Thomas

2012

Stew art Webster Hospital

Stew art

2010

Warm Springs Medical Center

Meriw ether

2012

Youth Villages - Inner Harbour Campus

Douglas

2012

Annual Nursing Home Questionnaire (Survey Years 2009 thru 2011)

Agape Health & Rehab of Moultrie, LLC

Colquitt

2011

Brown's Health & Rehabilitation Center

Bulloch

2011

Folkston Park Care And Rehabilitation Center

Charlton

2011

Golden LivingCenter - Augusta

Richmond

2011

Golden LivingCenter - Decatur Golden LivingCenter - Medical Arts

DeKalb Gw innett

2011 2011

Golden LivingCenter - Northside

Fulton

2011

Goodw ill Nursing Home Inc

Bibb

2011

Hutcheson Medical Center

Catoosa

2011

Joe-Anne Burgin Nursing Home

Randolph

2011

Lumber City Nursing & Rehabilitation Center

Telf air

2011

Manor Care Rehabilitation Center - Decatur

DeKalb

2011

Manor Care Rehabilitation Center - Marietta

Cobb

2011

Meadow s Nursing Center

Toombs

2011

New London Health Center

Gw innett

2011

17

Survey Due
3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/11/2011 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/9/2012 3/11/2011 3/9/2012 3/9/2012
9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011

Northw est Georgia Regional Hospital ICF/MR Oceanside Nursing & Rehab Center Parkside At Hutcheson Medical Center Savannah Beach Nursing & Rehab Center Savannah Square Health Center Scepter Health & Rehab of Snellville, LLC Southland Healthcare And Rehabilitation Center Westminster Commons

Floyd Chatham Walker Chatham Chatham Gw innett Laurens Fulton

2011 2011 2011 2011 2011 2011 2011 2011

Cardiac Catheterization Services Survey (Survey Years 2009 thru 2011)

Coffee Regional Medical Center

Cof f ee

2011

Hutcheson Medical Center

Catoosa

2010

Hutcheson Medical Center

Catoosa

2011

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

Advanced Aesthetics Surgicenter

FAYETTE

2012

Ambulatory Laser & Surgery Ctr

CLAYTON

2010

Ambulatory Laser & Surgery Ctr

CLAYTON

2011

Ambulatory Laser & Surgery Ctr

CLAYTON

2012

American Eye Surgery Center, Inc

CLARKE

2010

Associates Physicians Asc

BIBB

2010

Associates Physicians Asc

BIBB

2011

Associates Physicians Asc

BIBB

2012

Athens Plastic Surgery Center

CLARKE

2011

Athens Plastic Surgery Center

CLARKE

2012

Atlanta West Endoscopy Center, Llc

DOUGLAS

2012

Augusta Ctr For Foot & Ankle

RICHMOND

2012

Augusta Eye Surgery, Llc

RICHMOND

2012

Bow man Pain Management, Pc

BIBB

2012

Brookstone Ambulatory Surgery Center

Muscogee

2012

Children's Healthcare of Atlanta Surgery, Meridian Mark Fulton

2012

Clayton Outpatient Surg Ctr

CLAYTON

2010

Dekalb Endoscopy Center

DEKALB

2011

Eye Surgery Center Of Albany, Llc Foot & Ankle Surgery Ctr, Llc, The

DOUGHERTY MUSCOGEE

2012 2010

Forsyth Surgical Center, Inc.

FORSYTH

2010

Georgia Pain Physicians dba Georgia Surgical Centers of North Georgia Georgia Pain Surg Ctr, Inc

GORDON COBB

2010 2012

Georgia Surgical Centers- South

CLAYTON

2012

Golden Isles Foot Sur Ctr, Inc

GLYNN

2010

Gw innett Center for Outpatient Surgery

Gw innett

2011

Houston Lake Surgery Center

HOUSTON

2012

ISPM ASC AT COVINGTON, LLC

NEWTON

2012

Jimenez Foot, Ankle & Leg Asc

GWINNETT

2011

Midtow n Endoscopy Center, Llc

FUL TON

2012

Midtow n Urology Surgical Center

FUL TON

2011

New ton Ambulatory Surgical Center

NEWTON

2012

North Columbus Surgery Center, LLC

MUSCOGEE

2012

North Georgia Eye Surgery Center, Llc

HALL

2010

North Georgia Institute For Wound Care, Llc

FORSYTH

2010

North Georgia Institute For Wound Care, Llc

FORSYTH

2011

North Georgia Institute For Wound Care, Llc

FORSYTH

2012

Northeast Georgia Urological Surgery Center, Llc

HALL

2011

Northeast Georgia Urological Surgery Center, Llc

HALL

2012

Northside Foot & Ankle Outpat

GWINNETT

2012

18

9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011
7/13/2011 7/1/2011 7/13/2011
3/25/2013 3/11/2011 3/9/2012 3/25/2013 3/11/2011 3/11/2011 3/9/2012 3/25/2013 3/9/2012 3/25/2013 3/25/2013 3/25/2013 3/25/2013 3/25/2013 3/25/2013 3/25/2013 3/11/2011 3/9/2012 3/25/2013 3/11/2011 3/11/2011 3/11/2011
3/25/2013 3/25/2013 3/11/2011 3/9/2012 3/25/2013 3/25/2013 3/9/2012 3/25/2013 3/9/2012 3/25/2013 3/25/2013 3/11/2011 3/11/2011 3/9/2012 3/25/2013 3/9/2012 3/25/2013 3/25/2013

Northw est ENT Surgery Center Pain Care Center of Georgia Pain Clinic Of Aimr, P.c. Pain Specialty Center Of Atl Peach State Surgical Centers, Inc Piedmont Eye Planned Parenthood Reproductive Health Services, Inc. Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Foot And Ankle Surgery Center Savannah Outpatient Foot and Ankle Surgery Center, LLC Southeast Treatment Center, Llc Southeast Treatment Center, Llc Southeast Treatment Center, Llc Surgery Center of Athens Surgery Center of Athens Tifton Endoscopy Center, Inc. Universal Ambulatory Surgery Center, P C Universal Ambulatory Surgery Center, P C Urology Center Of Georgia Llc Urology Center Of Georgia Llc Urology Center Of Georgia Llc Urology Institute Asc, The Valdosta Endoscopy Center, Llc Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery West Paces Ambulatory Surgical Center, LLC Woodhams Laser & Lens Implant

Cherokee Henry FUL TON FUL TON HOUSTON FUL TON Richmond FLOYD FLOYD FLOYD FLOYD Chatham
CAMDEN CAMDEN CAMDEN Clarke Clarke TIFT MUSCOGEE MUSCOGEE BIBB BIBB BIBB THOMAS LOWNDES LOWNDES LOWNDES LOWNDES FUL TON FUL TON

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

Home Health Agency Survey (Survey Years 2010 thru 2012)

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Central Georgia Home Health, Macon

Bibb

HCMC Home Care

Habersham

Intrepid USA Healthcare Services

Glynn

Medside Home Health Agency

Fulton

Medside Home Health Agency

Fulton

Trinity Home Health

Richmond

Trinity Home Health

Richmond

Visiting Nurses Association of Greater Tift Co

Tif t

2010 2011 2012 2012 2012 2010 2011 2012 2011 2012 2011

Hospital Financial Survey (Survey Years 2009 thru 2011)

Charlton Memorial Hospital

Charlton

Mountain Lakes Medical Center

Rabun

Mountain Lakes Medical Center

Rabun

2011 2010 2011

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

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

Radiation Therapy Services Survey (Survey Years 2010 thru 2012)

Hutcheson Medical Center

Catoosa

2010

19

3/25/2013 3/25/2013 3/9/2012 3/25/2013 3/25/2013 3/11/2011 3/25/2013 3/11/2011 3/9/2012 3/25/2013 3/25/2013 3/9/2012
3/11/2011 3/9/2012 3/25/2013 3/9/2012 3/25/2013 3/11/2011 3/11/2011 3/9/2012 3/11/2011 3/9/2012 3/25/2013 3/25/2013 3/11/2011 3/11/2011 3/9/2012 3/25/2013 3/25/2013 3/11/2011
3/11/2011 3/9/2012 3/15/2013 3/15/2013 3/15/2013 3/11/2011 3/9/2012 3/15/2013 3/9/2012 3/15/2013 3/9/2012
7/13/2012 7/8/2011 7/13/2012
4/29/2011

Indigent and Charity Care Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years (Commitment status as of 3/4/2014)

Facility Name Atlanta Aesthetic and Reconstructive Surgery Center, LLC
Clayton Cataract and Laser Surgery Center Foot Surgery Center, The G.I. Endoscopy Center G.I. Endoscopy Center Northlake Endoscopy Center Northw oods Surgery Center, LLC Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. Specialty Surgery Center, Inc. Specialty Surgery Center, Inc. Specialty Surgery Center, Inc. Caresouth Homecare Professionals Caresouth Homecare Professionals - Macon Caresouth Homecare Professionals - Washington Caresouth Homecare Professionals - Washington

County FUL TON
Clayton COBB CLAYTON CLAYTON DEKALB Forsyth Chatham Chatham Chatham FUL TON FUL TON FUL TON Hall Bibb Elbert Elbert

Year Shortfall Due Service

2011

17,310.40 Ambulatory Surgery Center

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

66,531.12 9,241.11 75,209.04 10,731.33 24,871.89 73,629.63 25,369.55 27,490.23 29,475.08 9,376.56 4,035.84 46,920.00 49,006.35 2,390.02 98,252.02 77,385.84

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

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

20

NEW CERTIFICATE OF NEED FILING REQUIREMENTS
Notices of Intent
Effective July 1, 2008, O.C.G.A. 31-6-40(b) provides that:
Any person proposing to develop or offer a new institutional health service or health care facility shall, before commencing such activity, submit a letter of intent and an applicat ion 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 compe te 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.
21

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

FALL

Batched Service

Batching Notice

Hom e Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Am bulatory Surgery

September

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

December

Letter of Intent
October
January

Application Deadline November
February

WINT ER

Hom e Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Am bulatory Surgery

March

April

May

SPRI NG

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

June

July

August

SUM MER

Letters of Intent for services, facilities, or expenditures for which there is no specified batching cycle, or other applicable rule, may be filed at any time.
Batching Notifications Posted 12/30/2013 on DCH Website
Winter Batching Review Cycle Notifications

PET Birthing Centers

Adult Open Heart Psych/Substance Abuse

Mega Voltage Radiation Therapy

Pediatric Cath/Open Heart

22

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

Batching Notice
(December 30, 2013)

Application Day
(application complete when
submitted; review cycle begins same
day)
(February 28, 2014
Application due by 12 noon.)

75th Day
(applicant provides additional information)
(May 13, 2014)

100th Day
(last day for letters of support to be submitted to
Department)
(June 7, 2014)

120th Day
(Department Issues
decision)
(June 27, 2014)

Letter of Intent
(January 29, 2014)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(April 28, 2014)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(May 28, 2014)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(June 17, 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 Opposi tion Meeting(s) scheduled; applicant can be in attendance; opposing partie s must provide written statement of opposition arguments pre sented (original and one copy to the Department and one copy to the applicant); pre sentation time will be limited; Department reserves right to make additional inquiries subsequent to 60 -day meeting and following opposition meeting. 100th day Last day for letters of support to be submitted to the Department
110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposi tion due to Department; applicant deadline for pro viding written response to Department' s inquiries subsequent to opposi tion meeting 120th day Deci sion issued (No di scretion to extend)

23

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

Batching Notice
(September 30, 2013)

Application Day
(application complete when
submitted; review cycle begins same
day)
(Nov ember 29, 2013: due by 12noon on Rollov er Date December 2, 2013)

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

100th Day
(last day for letters of support to be submitted to
Department)
(March 8, 2014)

120th Day
(Department Issues
decision)
(March 28, 2014)

Letter of Intent
(October 30, 2013 due by 5pm)

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

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

110th Day
(applicant provides amended information; applicant provides response to opposition)
(March 18, 2014)

Batching Notice issued 30 days before Letter of Intent Due
Letter of Intent received by Department 30 days before application is submi tted
Applications submitted; deemed complete; review cycle begins
60-Day meeting (applicant only); deadline for receipt of opposition letter(s) 75th day applicant provides additional information 90th day Opposi tion Meeting(s) scheduled; applicant can be in attendance; opposing partie s must provide written statement of opposition arguments pre sented (original and one copy to the Department and one copy to the applicant); pre sentation time will be limited; Department reserves right to make additional inquiries subsequent to 60 -day meeting and following opposition meeting. 100th day Last day for letters of support to be submitted to the Department 110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposi tion due to Department; applicant deadline for pro viding written response to Department' s inquiries subsequent to opposi tion meeting 120th day Deci sion issued (No di scretion to extend)
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NON-BATCHED APPLICATIONS: SEQUENCE OF CERTIFICAT E OF NEED APPLICATION REVIEW ACTIVITIES

Letter of Intent

Ap pli ca tio n deemed complete (re vi e w cycl e begins)

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

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

120th Day
(Department Issues decision)

Ap pli ca tio n must be
submitted by 3 PM
(10 days to review for completeness)

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

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

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

150t h
Da y
(project can be extended)

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

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NEW REPORTING REQUIREMENTS
Beginning July 1, 2008, all facilities operating under a previously granted exempti on or letter of nonreviewability as provided at O.C.G.A. 31-6-40(c)(2)(A) will be required to:
Provide notice to the department by August 15, 2008, of the following: Name Ownership Location Single Specialty Services provided in the exempt facility
For purposes of complying with this requirement, notice may be sent through the mail, by facsimile, or e -mail. Information will not be accepted by telephone. Please submit this information to:
Georgia Department of Community Health Healthcare Facility Regulation Division c/o Matthew Jarrard 2 Peachtree Street, NW 5th Floor Atlanta, Georgia 30303 Fax Number: 404-656-0654 E-mail address: mjarrard@dch.ga.gov
These facilities will also be required to provide annual reports beginning on January 1, 2009, in accordance with the Department's annual reporting requirements for existing CON-approved facilities and services. Further reporting instructions will be provided by the Department. Noncompliance with this information request may result in a fine as authorized under O.C.G.A. 31-6-70(e)(1).
These reports will not be due to the Department until the survey instrument has been issued. The survey instrument for ambulatory surgery services is now complete. Further information will be forth coming by mail. The survey instrument for imaging centers is expected to be released on or before July 1, 2009.
LETTERS OF DETERMINATION The Department will require that a determination request be submitted for any proposed activity that may be exempt under O.C.G.A. 31-6. Such requests will be accepted only on the Department's Determination Request form with the required filing fee of $250. Note: Requests for confirmation of the exemptions for a single specialty ambulatory surgical center or a joint venture ambulatory surgical center and equipment below the threshold are considered requests for a Letter of Nonreviewability and require a $500 filing fee.
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CERTIFICATE OF NEED APPEAL PANEL
Sw orn by Governor Sonny Perdue on August 20, 2008

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

Melvin M. Goldstein goldatty@bellsouth.net

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

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

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