Certificate-of-need tracking and appeals report [July 30-Aug. 5, 2014]

Use the links below for easy navigation

Letters of Intent Summer Batching Letters of Intent
Expired Letters of Intent New CON Applications
Pending Review/Incomplete Applications Pending Review/Complete Applications Pending Review/Complete/Joined Applications Recently Approved Applications Recently Denied Applications Withdrawn CON Applications

Appealed Determinations Appealed LNRs
Appealed CON Projects

CERTIFICATE OF NEED

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

July 30, 2014 August 5, 2014

Batching Notifications - Summer
Need Projection Analyses
New Batching Review Summer Cycle Spring 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

LOI2014033 Bostick Nursing Center, The

Cost Overrun GA2011-043

Received: 7/16/2014

Application must be submitted on: 8/15/2014

Site: 1700 Bostick Circle, Hardwick, GA 31034 (Baldwin County)

Estimated Cost: $7,500,000

LOI2014034 Meadows Regional Medical Center

Expansion of Medical Oncology/Chemotherapy Service

Received: 7/18/2014

Application must be submitted on: 8/18/2014

Site: One Meadows Parkway, Vidalia, GA 30474 (Toombs County)

Estimated Cost: $7,000,000

Letters of Intent Summer Batching

Megavoltage Radiation Therapy

LOI2014039 Northside Hospital - Cherokee

Acquire a Second Linear Accelerator - Batching

Received: 7/29/2014

Application must be submitted on: 8/29/2014 before noon

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

Estimated Cost: $8,000,000

Positron Emission Tomography Services

LOI2014038 The Medical Center of Central Georgia, Inc.

Add a 2nd PET/CT Unit - Batching

Received: 7/29/2014

Application must be submitted on: 8/29/2014 before noon

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

Estimated Cost: $2,400,000

Psychiatric and Substance Abuse Services

LOI2014040 North Fulton Hospital

Develop a 24 Bed Inpatient Psychiatric Unit - Batching

Received: 7/25/2014

Application must be submitted on: 8/29/2014 before noon

Site: 3000 Hospital Blvd, Roswell, GA 30076 (Fulton County)

Estimated Cost: $3,500,000

LOI2014041 Redmond Regional Medical Center

Create a New 31-bed Inpatient General Psychiatric Unit - Batching

Received: 7/30/2014

Application must be submitted on: 8/29/2014 before noon

Site: 501 Redmond Road, Rome, GA 30165 (Floyd County)

Estimated Cost: $4,500,000

Expired Letters of Intent
none
New CON Applications
none
Pending Review/Incomplete Applications
2014-033 Med Cross Imaging, PC Change in Status of Imaging Center from LNR to CON Approved DTRC Filed: 7/18/2014 Deemed Incomplete: 7/31/2014 Site: 4375 Johns Creek Parkway Suite 300, Suwanee, GA 30174 (Gwinnett County) Contact: Kuo L. Lee, MD, Owner 478-374-4305 Estimated Cost: $8,000
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Pending Review/Complete Applications
2014-014 Bradley Wellness Center/Hamilton Medical Center
Renovation and Expansion of Wellness Center Filed: 3/27/2014 Deemed Complete: 4/10/2014 60th Day Deadline: 6/8/2014 Decision Deadline: 8/7/2014 Site: 1225 Broadrick Drive, Dalton, GA 30720 (Whitfield County) Contact: Danny Wright, VP 706-272-6656 Estimated Cost: $4,995,966
2014-015 Shepherd Center
Renovation and Equipment Purchase Exceeding Capital Expenditure Threshold Filed: 3/31/2014 Deemed Incomplete: 4/14/2014 Deemed Complete: 5/2/2014 60th Day Deadline: 6/30/2014 Decision Deadline: 8/29/2014 Site: 2020 Peachtree Road NW, Atlanta, GA 30309 (Fulton County) Contact: Gary R. Ulicny, PhD, President & CEO 404-350-7311 Estimated Cost: $12,763,309
2014-016 University Hospital
Renovation of 9th Floor Patient Rooms for Orthopedic Services Filed: 4/7/2014 Deemed Complete: 4/21/2014 60th Day Deadline: 6/19/2014 Decision Deadline: 8/18/2014 Site: 1350 Walton Way, Augusta, GA 30901 (Richmond County) Contact: Edward L Burr, VP, Legal Affairs 706-774-8063 Estimated Cost: $8,360,987
2014-017 MCG Health Inc dba Georgia Regents Medical Center
Establishment of a Hybrid Operating Room Filed: 4/14/2014 Deemed Incomplete: 4/29/2014 Deemed Complete: 5/20/2014 60th Day Deadline: 7/18/2014 Decision Deadline: 9/16/2014 Site: 1120 15th Street, Augusta, GA 30912 (Richmond County) Contact: Daniel Merrell, Sr. Project Mgr 706-721-4551 Estimated Cost: $13,259,094
2014-018 Ridgeview Institute Inc
Construction of New Building to Accommodate Reconfiguration of Licensed Beds Filed: 4/30/2014 Deemed Complete: 5/14/2014 60th Day Deadline: 7/12/2014 Decision Deadline: 9/10/2014 Site: 3995 South Cobb Drive, Smyrna, GA 30080 (Cobb County) Contact: Robert M. Fink, Esq., Chair, Bd of Dir. 770-434-4567 Estimated Cost: $8,207,890
2014-020 The Medical Center, Inc. dba Midtown Medical Center
Expansion of Neonatal Intensive Care Unit from 28 to 34 beds - Batching Filed: 5/30/2014 Deemed Complete: 5/30/2014 60th Day Deadline: 7/28/2014 Decision Deadline: 9/26/2014 Site: 710 Center Street, Columbus, GA 31901 (Muscogee County) Contact: Ryan R. Chandler, President - CEO 706-571-1203 Estimated Cost: $22,635,476
2014-021 Northside Hospital Cherokee dba Nrthsde Cherokee at Towne Lake Surgery Ctr
Establish a Multi-Specialty Ambulatory Surgery Center - Batching Filed: 5/30/2014 Deemed Complete: 5/30/2014
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60th Day Deadline: 7/28/2014 Decision Deadline: 9/26/2014 Site: 900 Towne Lake Parkway, Woodstock, GA 30189 (Cherokee County) Contact: Brian J. Toporek, Senior Planner 404-851-6821 Estimated Cost: $10,326,772
2014-022 Northeast Georgia Medical Center, Inc.
Develop a Basic Perinatal Program Service at NGMC's South Hall Campus - Batching Filed: 5/30/2014 Deemed Complete: 5/30/2014 60th Day Deadline: 7/28/2014 Decision Deadline: 9/26/2014 Site: 743 Spring Street, Gainesville, GA 30501 (Hall County) Contact: Chad T. Bolton, Director of Planning 770-219-6630 Estimated Cost: $16,217,961
2014-023 Surgery Center of Loganville, LLC
Establish a Multi-Specialty Ambulatory Surgery Center - Batching Filed: 5/30/2014 Deemed Complete: 5/30/2014 60th Day Deadline: 7/28/2014 Decision Deadline: 9/26/2014 Site: 2151 West Spring Street, Monroe, GA 30655 (Walton County) Contact: Victor L. Moldovan, Attorney 404-443-5708 Estimated Cost: $5,064,981
2014-024 Northwest Georgia Orthopedic Surgery Center, LLC
Conversion of LNR-ASC to CON ASC - Batching Filed: 5/30/2014 Deemed Complete: 5/30/2014 60th Day Deadline: 7/28/2014 Decision Deadline: 9/26/2014 Site: 2550 Windy Hill, Marietta, GA 30067 (Cobb County) Contact: Victor L. Moldovan, Attorney 404-443-5708 Estimated Cost: $14,000
2014-025 Windward Surgery Center, LLC
Conversion of LNR-ASC to CON ASC - Batching Filed: 5/30/2014 Deemed Complete: 5/30/2014 60th Day Deadline: 7/28/2014 Decision Deadline: 9/26/2014 Site: 12425 Morris Road - Suite B, Alpharetta, GA 30004 (Fulton County) Contact: Victor Moldovan, Attorney 404-443-5708 Estimated Cost: $9,000
2014-026 Georgia ASC, LLC f/k/a Jimenez Foot, Ankle & Leg Surgery Center
Conversion of LNR-ASC to CON ASC - Batching Filed: 5/30/2014 Deemed Complete: 5/30/2014 60th Day Deadline: 7/28/2014 Decision Deadline: 9/26/2014 Site: 2175 North Road, Snellville, GA 30076 (Gwinnett County) Contact: Dr. Dorian L. Jimenez 770-979-0900 Estimated Cost: $1,762,000
2014-027 Kennestone Hospital, Inc. - WellStar Kennestone Hospital
Establish New Ambulatory Surgery Center - Batching Filed: 5/30/2014 Deemed Complete: 5/30/2014 60th Day Deadline: 7/28/2014 Decision Deadline: 9/26/2014 Site: Intersection Sixes Rd and Interstate 575, Holly Springs, GA 30114 (Cherokee County) Contact: April Austin, Regulatory Planning Coordinator 470-644-0057 Estimated Cost: $16,016,360
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2014-028 HealthSouth Rehabilitation of Hospital of Forsyth County, LLC. Establish a New 50-Bed Comprehensive Inpatient Physical Rehabilitation Hospital - Batching Filed: 5/30/2014 Deemed Complete: 5/30/2014 60th Day Deadline: 7/28/2014 Decision Deadline: 9/26/2014 Site: 1165 Sanders Rd, Cumming, GA 30041 (Forsyth County) Contact: Andy Ward, VP Development 205-970-5753 Estimated Cost: $24,945,525
2014-031 Quinton Memorial Health and Rehabilitation Expansion and Reconstruction of 120-Bed SNF Filed: 6/26/2014 Deemed Complete: 7/9/2014 60th Day Deadline: 9/6/2014 Decision Deadline: 11/5/2014 Site: 1115 Professional Boulevard, Dalton, GA 30720 (Whitfield County) Contact: Scott L. Edens, MS,CNHA, FACHCA 404-378-0910 Estimated Cost: $4,630,000
2014-032 Emory Saint Joseph's Hospital of Atlanta Perioperative and Surgical Services Renovation on Hospital Campus Filed: 7/7/2014 Deemed Incomplete: 7/18/2014 Deemed Complete: 7/24/2014 60th Day Deadline: 9/21/2014 Decision Deadline: 11/20/2014 Site: 5665 Peachtree Dunwoody Road, Atlanta, GA 30342 (Fulton County) Contact: Heather Dexter, VP, Operations 678-843-7001 Estimated Cost: $16,475,000
Pending Review/Complete/Joined Applications
2014-019 University Hospital Establish a New 100-Bed Short-Stay Acute Care Hospital (Joined 29-30) Filed: 5/30/2014 Deemed Complete: 6/13/2014 Joined: 7/1/2014 60th Day Deadline: 8/28/2014 Decision Deadline: 10/27/2014 Site: 447 North Belair Road,, Evans, GA 30809 (Columbia County) Contact: Edward L. Burr, Senior VP 706-774-8063 Estimated Cost: $143,939,379
2014-029 GRHealth Columbia County Establish New 100-Bed Community Teaching Hospital (Joined 19,30) Filed: 6/12/2014 Deemed Complete: 6/26/2014 Joined: 7/1/2014 60th Day Deadline: 8/28/2014 Decision Deadline: 10/27/2014 Site: Lewiston Rd Exit I-20 adj to Steiner Way, Grovetown, GA 30813 (Columbia County) Contact: Susan G. James, Esq. 706-721-5709 Estimated Cost: $194,781,558
2014-030 Doctors Hospital of Augusta, LLC Construction of New Short-Stay General Acute Care Hospital (Joined 19,29) Filed: 6/16/2014 Deemed Complete: 6/30/2014 Joined: 7/1/2014 60th Day Deadline: 8/28/2014 Decision Deadline: 10/27/2014 Site: 745 North Belair Road, Evans, GA 30809 (Columbia County) Contact: Doug Welch, CEO 706-651-2451 Estimated Cost: $140,701,134
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Recently Approved Applications
2014-005 Albany Diagnostic Center Conversion of LNR Approved DTRC to CON Approved DTRC Filed: 2/7/2014 Deemed Incomplete: 2/21/2014 Deemed Complete: 3/10/2014 60th Day Deadline: 5/8/2014 Decision Deadline: 7/7/2014 APPROVED: 7/7/2014 Site: 2624 Dawson Road, Albany, GA 31707 (Dougherty County) Contact: Grayson Price, Manager 706-433-4123 Estimated Cost: $10,000
2014-008 University Hospital Addition of Two Operating Rooms Filed: 2/27/2014 Deemed Incomplete: 3/11/2014 Deemed Complete: 3/21/2014 60th Day Deadline: 5/19/2014 Decision Deadline: 7/18/2014 APPROVED: 7/18/2014 Site: 1350 Walton Way, Augusta, GA 30901 (Richmond County) Contact: Edward L. Burr, VP, Legal Affairs 706-774-8063 Estimated Cost: $4,130,000
2014-012 St. Joseph's Hospital Capital Expenditures for Floor Renovations Filed: 3/6/2014 Deemed Complete: 3/19/2014 60th Day Deadline: 5/17/2014 Decision Deadline: 7/16/2014 APPROVED: 7/16/2014 Site: 11705 Mercy Blvd, Savannah, GA 31419 (Chatham County) Contact: John Salandi, Dir, Strategic Plng & Bus. Dev 912-819-4100 Estimated Cost: $5,804,200
2014-013 Northside Medical Center Capital Expenditure to Develop 24-Hr Emergency Dept/Expand ICU Capacity Filed: 3/6/2014 Deemed Complete: 3/20/2014 60th Day Deadline: 5/18/2014 Decision Deadline: 7/17/2014 APPROVED: 7/17/2014 Site: 100 Frist Court, Columbus, GA 31909 (Muscogee County) Contact: Tamara "Tami" Jackson, FACHE, CEO 406-494-2101 Estimated Cost: $23,944,293
Recently Denied Applications
None
CON Applications Withdrawn by Applicant
None
Appealed Determinations
DET2013108 Dublin Endoscopy Center, LLC Laurens Requested Determination regarding conversion to Single Specialty/Limited Purpose ASC, 7/9/2013. Determination of "non-reviewable as proposed" issued on 8/22/2013. Fairview Park Limited Partnership d/b/a Fairview Park Hospital filed request for Administrative Appeal Hearing, 09/23/2013. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: (Rescheduled to) 1/27/2014 and 1/28/2014. 5th Floor. Hearing Officer affirmed Department's 8/22/2013 Determination, 4/11/2014. Fairview Park Hospital filed request for Commissioner Review, 5/9/2014. Commissioner affirms Hearing Officer decision, 6/10/2014. Appealed to Superior Court, 7/10/2014.
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DET2014029 MCG Health, Inc. d/b/a Georgia Regents Medical Center Requested Determination regarding replacement of grandfathered linear accelerator. Determination of "non-reviewable as proposed" issued on 6/2/2014. Doctors Hospital of Augusta, LLC filed request for Administrative Appeal Hearing, 7/1/2014. Hearing Officer: William Joy, Esq.
DET2014-033 North Albany Medical Center, LLC Requested Determination regarding facility divestiture. Determination of "non-reviewable as proposed" issued on 6/3/2014. Albany-Dougherty County, Phoebe Putney Health System, Inc. and Phoebe Putney Memorial Hospital, Inc. filed request for Administrative Appeal Hearing, 7/2/2014. Hearing Officer: Ellwood Oakley, III, Esq. Oral Arguments Date: 9/8/2014, 5th Floor. Administrative Hearing Date: 9/24/2014, 5th Floor.
Appealed LNRs
LNR-EQT2013025 Medical Center of Central Georgia Monroe Requested Letter of Non-Reviewability ("LNR") with regard to the acquisition of 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.
Appealed CON Projects
2013-001 MRI & Imaging of Douglasville (Douglas), Approved, 6/3/2013 2013-002 MRI & Imaging of Habersham (Habersham), Approved, 6/3/2013 2013-005 MRI & Imaging of Hapeville (Fulton), Approved, 6/12/2013 2013-006 MRI & Imaging of Duluth (Gwinnett), Approved, 6/12/2013 Convert Existing Diagnostic Imaging Facility to a CON DTRC Agency Decision: Approved, 6/2013 Appealed By: Northside Hospital , Inc d/b/a Northside Hospital Atlanta, Northside Hospital Cherokee, and Northside Hospital Forsyth, 7/1/2013. Hearing Officer: Melvin Goldstein, Esq. Hearing Date: 12/9/2013 12/13/2013 Hearing Decision: DCH decisions affirmed by Hearing Officer in 2013-001, 002, 005 and 006, 4/3/2014. Hospital Forsyth and Northside Hospital Cherokee filed request for Commissioner Review, 5/2/2014. Commissioner Review Decision: Hearing Officer's decision affirming DCH's approval becomes the final agency decision, 5/28/2014. Appealed to Superior Court, 6/25/2014. Superior Court Decision: Pending
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
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
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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

2013-051 Newnan Behavioral Hospital (Coweta) Psych/Substance Abuse Services - batching Agency Decision: Denied, 12/27/2013 Appealed By: Vest Newnan, LLC d/b/a Newnan Behavioral Hospital ("NBH"); Southern Crescent Behavioral Health System Crescent Pines Campus and Southern Crescent Behavioral Health System - Anchor Hospital campus have filed requests to intervene in the administrative hearing, 1/9/2014. Tanner Medical Center, Inc. d/b/a Tanner Medical Center Villa Rica ("Tanner") filed a request to intervene,1/16/2014. RiverWoods Behavioral Health, LLC, d/b/a RiverWoods Behavioral Health ("RiverWoods") filed request to intervene in hearing, 1/24/2014. Motion for Summary Adjudication of UHS of Anchor, LP denied, 5/16/2014. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: (Revised) 6/23/2014 to 6/26/2014 and 7/8/2014 to 7/11/2014, 41st Floor, 9AM. Hearing Decision: 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: TBD Hearing Date: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2014007 Southern Orthopaedics and Sports Medicine, PC

Fixed MRI

Request received: 5/19/2014

Contact Person: Gerald Johnson, Ph.D., Practice Admin Offcr 912-265-

Determination: Approved

Determination Date: 7/21/2014

LNR-EQT2014008 The Interventional Spine and Pain Management Center, P. C. Fixed MRI Request received: 5/29/2014 Contact Person: Robin J. Fowler, MD, Owner 404-728-1974 Determination: Pending

LNR-EQT2014009 Good Samaritan Hospital, Inc.

Purchase of Fixed Siemens Symbia S Gamma Camera

Request received: 6/3/2014

Contact Person: D. Montez Carter, President 706-206-8554

Determination: Approved

Determination Date: 8/4/2014

LNR-EQT2014010 Riverside Imaging Specialists, LLC Purchase of Fixed CT Scanner and Fixed MRI Request received: 6/13/2014 Contact Person: Dr. Howard Williams, President 478-745-6747 Determination: Pending

LNR-EQT2014011 Reagan Medical Center, LLC Upgrade Existing CT Scanner Request received: 6/17/2014 Contact Person: Sabrina Boyd, Practice Administrator 678-344-8700 Determination: Pending

LNR-EQT2014012 RAM-CGCC, LLC Purchase Fixed CT Scanner
8

Request received: 7/3/2014 Contact Person: Greg Cassimus, Practice Admin 478-751-5869 Determination: Pending

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

LNR-ASC2014008 CPMSC Canton, LLC

Acquisition of Physician-Owned, Single Specialty ASC

Site: 134 Riverstone Terrace, Suite 102, Canton

Number of OR's: 1

Specialty: Pain Management

Project costs as submitted: $0.00

Request received: 5/29/2014

Contact Person: Kathy Platt 404-728-1974

Determination: Pending

LNR-ASC2014009 CPMSC, Carrollton, LLC

Acquisition of a Physician-Owned, Single Specialty ASC

Site: 812 South Park Street, Suite 5B, Carrollton

Number of OR's: 1

Specialty: Pain Management

Project costs as submitted: $0.00

Request received: 5/29/2014

Contact Person: Robin Fowler, MD, Owner 404-728-1974

Determination: Pending

LNR-ASC2014010 CPM Surgery Center, LLC

Acquisition of a Physician-Owned, Single Specialty ASC

Site: 3870 Medical Park Drive, SW, Austell

Number of OR's: 1

Specialty: Pain Management

Project costs as submitted: $0.00

Request received: 5/29/2014

Contact Person: Robin Fowler, MD, Owner 404-728-1974

Determination: Pending

LNR-ASC2014011 CPM Surgery Center 2, LLC

Acquisition of a Physician-Owned, Single Specialty ASC

Site: 110 Evans Mill Road, Suite 802, Dallas

Number of OR's: 1

Specialty: Pain Management

Project costs as submitted: $0.00

Request received: 5/29/2014

Contact Person: Robin Fowler, MD, Owner 404-728-1974

Determination: Pending

LNR-ASC2014012 CPM Surgery Center 3, LLC

Acquisition of a Physician-Owned, Single Specialty ASC

Site: 3400 Chapel Hill Road, Suite 102, Douglasville

Number of OR's: 1

Specialty: Pain Management

Project costs as submitted: $0.00

Request received: 5/29/2014

Contact Person: Robin Fowler, MD, Owner 404-728-1974

Determination: Pending

LNR-ASC2014013 CPMSC Gwinnett, LLC

Acquisition of a Physician-Owned, Single Specialty ASC

Site: 4799 Sugar Loaf Parkway, Building G, Lawrenceville

Number of OR's: 1

Specialty: Pain Management

Project costs as submitted: $0.00

Request received: 5/29/2014

Contact Person: Robin Fowler, MD, Owner 404-728-1974

Determination: Pending

9

LNR-ASC2014014 CPMSC Roswell, LLC

Acquisition of a Physician-Owned, Single Specialty ASC

Site: 1295 Hembree Rd, Suite A101, Roswell

Number of OR's: 1

Specialty: Pain Management

Project costs as submitted: $0.00

Request received: 5/29/2014

Contact Person: Robin Fowler, MD, Owner 404-728-1974

Determination: Pending

LNR-ASC2014015 River City Rehabilitation & Spine Specialists, P.C.

Development of Physician-Owned, Single-Specialty ASC

Site: 2300 13th Street, Columbus

Number of OR's: 2

Specialty: Pain Management

Project costs as submitted: $929,695.00

Request received: 6/13/2014

Contact Person: Everette Jenkins 678-625-4720

Determination: Pending

LNR-ASC2014016 Carpus Surgery Center, LLC

Single Specialty Ambulatory Surgery Center

Site: 3775 Roswell Road - Suite 275, Marietta, GA 30062

Number of OR's: 1

Specialty: Surgery of Hand/related extremities

Project costs as submitted: $815,437.35

Request received: 7/3/2014

Contact Person: Joseph Ross 912-657-4687

Determination: Pending

LNR-ASC2014017 Spine Center Atlanta Surgery Center, LLC

Establish Physician-Owned, Single Specialty Orthopedic ASC

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

Number of OR's: 4

Specialty: Orthopedics

Project costs as submitted: $0.00

Request received: 7/18/2014

Contact Person: Richard Sanders 404-364-1819

Determination: Pending

LNR-ASC2014018 Gainesville Procedure Center, LLC

Physician-Owned, Single Specialty Ambulatory Surgery Center

Site: 601 Broad Street, Suite B, Gainesville

Number of OR's: 2

Specialty: Anesthesiology/Pain Medicine

Project costs as submitted: $387,140.98

Request received: 8/1/2014

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

Determination: Pending

Requests for Miscellaneous Letters of Determination
DET2013136 Athens Regional Medical Center, Inc. Acquisition of DTRC Request received: 8/30/2013 Contact Person: Jeffery C. Baxter 706-475-1195 Determination: Pending
DET2013167 SELE Ambulatory Surgery, LLC Relocation 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
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; -
DET2014024 Northeast Endoscopy Center, LLC Interpretation of Regulations Request received: 2/20/2014 Contact Person: Patricia Ellington, Administrator 678-879-0999 Determination: Pending
DET2014043 Open MRI & Imaging of Conyers, LLC Modification of CON and Extension of Performance Period Request received: 4/10/2014 Contact Person: Per B. Normark, Secretary 678-992-7311 Determination: Pending Opposition: Northside Hospital, Inc. d/b/a Northside Hospital- 5/9/2014; Northside Hospital -
Forsyth- 5/9/2014; Northside Hospital - Cherokee- 5/9/2014
DET2014050 Coliseum Medical Center LLC dba Coliseum Medical Centers Acquisition of a MOB Request received: 4/29/2014 Contact Person: Charles Briscoe, President/CEO 478-765-4100 Determination: Non-reviewable as proposed Determination Date: 7/22/2014
DET2014054 Meadows Regional Medical Center, Inc. Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/2/2014 Contact Person: Travis Roose, Asst VP, Dir Cardio Srvcs 912-538-5572 Determination: Pending
DET2014055 Muscogee Manor and Rehabilitation Center Relocation of 200-Beds from the Nursing Facility Request received: 5/2/2014 Contact Person: Frank Morast, Pres, HA of Columbus, GA 706-561-3218 Determination: Non-reviewable as proposed Determination Date: 7/7/2014
DET2014056 Hamilton House Nursing and Rehabilitation Center Relocation of Nursing Facility Request received: 5/2/2014 Contact Person: Frank Morast, Pres, HA of Columbus, GA 706-561-3218 Determination: Non-reviewable as proposed Determination Date: 7/7/2014
DET2014057 St. Mary's Health Care System, Inc. Neuroscience Center Renovation Request received: 5/5/2014 Contact Person: Thomas Kruer, Director, Engineering 706-389-2555 Determination: Non-reviewable as proposed Determination Date: 7/7/2014
DET2014058 St. Mary's Health Care System, Inc. Renewal for Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/6/2014 Contact Person: Nina Evans, VP, CNO 706-389-3947 Determination: Pending
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DET2014059 Mayo Clinic Health System in Waycross, Inc f/k/a Satilla Health Services, Inc Continued Provision of Therapeutic Cardiac Catheterization Services Request received: 5/6/2014 Contact Person: Michael Deitschmann, Assoc Admin 912-287-2500 Determination: Pending
DET2014060 Grady Health System Information Desk Remodeling Request received: 5/9/2014 Contact Person: Samuel L. Williams, VP, Supp Srvcs 404-616-0588 Determination: Non-reviewable as proposed Determination Date: 7/7/2014
DET2014061 Houston Hospitals, Inc. d/b/a Houston Medical Center Therapeutic (PCI) Cardiac Catheterization Program Exemption Request received: 5/12/2014 Contact Person: Cary Martin, CEO 478-542-7839 Determination: Pending
DET2014062 St. Francis Hospital, Inc. Conversion Acute Care Rms to LDR Rms and Expenditures below Threshold Request received: 5/12/2014 Contact Person: Matthew A. Moore, Senior VP/CFP 706-596-4160 Determination: Pending Opposition: Columbus Regional Health Care System, Inc.- 6/10/2014; The Medical Center, Inc.
d/b/a Midtown Medical Center- 6/10/2014
DET2014063 Rockdale Hospital, LLC d/b/a Rockdale Medical Center Request for Therapeutic Cardiac Catheterization Exemption Request received: 5/12/2014 Contact Person: Becky Upchurch, Director, Cardio Srvcs 770-918-3917 Determination: Pending
DET2014064 Doctors Hospital of Augusta, LLC d/b/a Doctors Hospital of Augusta Therapeutic Cardiac Catheterization Exemption Request received: 5/12/2014 Contact Person: Chris Cosby, COO 706-651-6101 Determination: Pending
DET2014065 North Fulton Medical Center, Inc. d/b/a North Fulton Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/12/2014 Contact Person: Deborah C. Keel, CEO 770-751-2515 Determination: Pending
DET2014066 Tenet Health System d/b/a Spalding Regional Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/12/2014 Contact Person: John Quinn, CEO 770-229-6469 Determination: Pending
DET2014067 DeKalb Medical Center Continuation of Cardiac Cath Exemption Request received: 5/13/2014 Contact Person: Don Fears, Dir, Reg Relations 404-501-5790 Determination: Pending
DET2014068 Hamilton Medical Center Therapeutic Cardiac Cath Statutory Exemption Request received: 5/13/2014 Contact Person: Jeff Hughes, Director Cardiopulmonary 706-272-6120 Determination: Pending
DET2014069 Tanner Medical Center, Inc. Therapeutic Cardiac Catheterization Statutory Exemption
12

Request received: 5/13/2014 Contact Person: LaQuinta Grizzard, Dir Cardio Srvcs 770-836-9221 Determination: Pending
DET2014070 Tanner Medical Center, Inc. Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2014 Contact Person: LaQuinta Grizzard 770-836-9221 Determination: Pending
DET2014071 Floyd Medical Center Continue Adult Therapeutic CC without onsite Open Heart Surgery Backup Request received: 5/14/2014 Contact Person: Stephen Weed 706-509-3257 Determination: Pending
DET2014072 Piedmont Fayette Hospital Annual Assessment of Therapeutic Cardiac Catheterization Exemption Request received: 5/14/2014 Contact Person: Mary McFarland, Sr. Director, CV Services 770-719-6799 Determination: Pending
DET2014073 Henry Medical Center, Inc. - Piedmont Henry Hospital Annual Assessment of Therapeutic Cardiac Catheterization Exemption Request received: 5/14/2014 Contact Person: Randy Greene, Dir, Business Devlp 678-604-5413 Determination: Pending
DET2014074 The Medical Center, Inc., d/b/a Midtown Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2014 Contact Person: Allen Holladay, Dir Decision Supp Srvcs 706-660-6194 Determination: Pending
DET2014075 EHCA Johns Creek , LLC. d/b/a/ Emory Johns Creek Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2014 Contact Person: Elizabeth Blackwelder, R.N. Dir CC Lab Determination: Pending
DET2014076 Cartersville Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2014 Contact Person: Lori Rakes, FACHE, COO 770-387-8161 Determination: Pending
DET2014077 Eastside Medical Center, LLC d/b/a Eastside Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2014 Contact Person: Callie Andrews, FACHE, COO 770-736-2224 Determination: Pending
DET2014078 Newton Health Systems, Inc. d/b/a Newton Medical Center Provide Adult Therapeutic Cardiac Catheterization Services Request received: 5/15/2014 Contact Person: Troy Brooks, Asst Admin 770-385-4426 Determination: Pending
DET2014079 Northside Hospital, Inc. d/b/a Northside Hospital - Cherokee Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2014 Contact Person: Brian Toporek, Sr. Planner 404-851-6821 Determination: Pending
13

DET2014080 Southern Regional Health System, Inc. Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/201 Contact Person: John McClain, EVP/COO 770-991-8141 Determination: Pending
DET2014081 Augusta Hospital, LLC d/b/a Trinity Hospital of Augusta 2014 Application for Therapeutic Cardiac Catheterization Services Request received: 5/15/2014 Contact Person: Megan Freeman, CNO 706-481-7640 Determination: Pending Opposition: University Health Services, Inc.- 6/13/2014
DET2014082 East Georgia Regional Medical Center, LLC 2014 Renewal Application for Therapeutic Cardiac Catheterization Srvcs Request received: 5/15/2014 Contact Person: Robert Bigley, CEO 912-486-1185 Determination: Pending
DET2014083 Northside Hospital, Inc. d/b/a Northside Hospital Forsyth Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2014 Contact Person: Brian Toporek, Sr. Planner 404-851-6821 Determination: Pending
DET2014084 Northside Hospital, Inc., d/b/a Northside Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2014 Contact Person: Brian Toporek, Sr. Planner 404-851-6821 Determination: Pending
DET2014085 Cobb Hospital, Inc. d/b/a WellStar Cobb Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2014 Contact Person: April Austin, Reg Plan Coord 470-644-0057 Determination: Pending
DET2014086 Douglas Hospital, Inc. d/b/a WellStar Douglas Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2014 Contact Person: Stephen Vault, Dir, Strat Plan 678-331-6887 Determination: Pending
DET2014087 Diagnostic PET, LLC Replacement of CON approved PET/CT Equipment Request received: 5/19/2014 Contact Person: Larry Carpenter, Managing Partner 229-928-7598 Determination: Non-reviewable as proposed Determination Date: 7/10/2014
DET2014088 Peachtree Home Health, LLC Acquisition of Home Health Agency Request received: 5/19/2014 Contact Person: Gary W. Rasmussen, President 770-427-2700 Determination: Non-reviewable as proposed Determination Date: 7/30/2014
DET2014089 Hospital Authority of Liberty County d/b/a Coastal Manor Daybreak Construction of an Adult Day Health Center Request received: 5/19/2014 Contact Person: Elise Stafford, CLTCO 912-545-3392 Determination: Non-reviewable as proposed Determination Date: 7/22/2014
DET2014090 Northside Hospital, Inc. Capital Expenditure to Develop MOB Request received: 5/19/2014
14

Contact Person: Brian Toporek, Senior Planner 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 7/10/2014
DET2014091 Macon Orthopaedic and Hand Center, P.A. d/b/a OrthoGeorgia Merger of Physician Clinics with LNR ASC Request received: 5/19/2014 Contact Person: Bill Lindsey, CEO 478-254-5301 Determination: Pending
DET2014092 Central Georgia MRI, LLC Replace Existing MRI Request received: 5/20/2014 Contact Person: Michael Hajworonsky, AVO Clinical Srvcs 478-633-2635 Determination: Non-reviewable as proposed Determination Date: 7/21/2014
DET2014093 Georgia Magnetic Imaging Center Upgrade Existing MRI Request received: 5/20/2014 Contact Person: MIchael Hajworonsky, AVP Clinical Srvcs 478-633-2635 Determination: Non-reviewable as proposed Determination Date: 7/23/2014
DET2014094 Diagnostic Imaging Services, L.C. and Northside Hospital, Inc. Replacement of CON Authorized Equipment Request received: 5/20/2014 Contact Person: Brian Toporek, Sr. Planner 404-851-6821 Determination: Pending Opposition: Diagnostic Imaging of Atlanta, LLC- 6/19/2014
DET2014095 Diagnostics Imaging Services, L.C. d/b/a OMI Diagnostics - Marietta Replacement of CON Authorized Equipment Request received: 5/20/2014 Contact Person: Brian Toporek, Sr. Planner 404-851-6821 Determination: Pending Opposition: Diagnostic Imaging of Atlanta, LLC- 6/19/2014; Open MRI of Georgia, LLC d/b/a MRI
& Imaging of Douglasville- 6/19/2014
DET2014098 Camellia Walk Assisted Living and Memory Care Increase in Capacity to Camellia Walk AL and Memory Care Request received: 5/29/2014 Contact Person: Blake Breimann, Asst Project Mgr 706-324-4000 Determination: Non-reviewable as proposed Determination Date: 7/29/2014
DET2014099 Northeast Georgia Medical Center, Inc. Replacement of CT Biopsy Scanner Request received: 6/3/2014 Contact Person: Chad T. Bolton, Planning Director 770-219-6630 Determination: Non-reviewable as proposed Determination Date: 8/4/2014
DET2014100 Northeast Georgia Medical Center, Inc. Replace GE .7 Tesla Open MRI Scanner Request received: 6/3/2014 Contact Person: Chad T. Bolton, Planning Director 770-219-6630 Determination: Non-reviewable as proposed Determination Date: 8/4/2014
DET2014101 Northeast Georgia Medical Center, Inc. Replacement of PET CT Scanner Request received: 6/3/2014 Contact Person: Chad T. Bolton, Planning Director 770-219-6630 Determination: Non-reviewable as proposed Determination Date: 8/4/2014
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
15

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
DET2014103 Northside Hospital, Inc. Replacement of CON-Authorized Imaging Equipment Request received: 6/4/2014 Contact Person: Brian J. Toporek, Senior Planner 404-851-6821 Determination: Pending Opposition: Woodstock Diagnostic Imaging, LLC- 6/30/2014
DET2014104 Montclair Personal Care Home, The Increase Licensed Capacity of PCH and Change in Status to ALF Request received: 6/4/2014 Contact Person: Paul McGough, Managing Director 404-633-8875 Determination: Non-reviewable as proposed Determination Date: 8/4/2014
DET2014105 Emory University d/b/a Emory University Hospital Replacement of MRI Scanner Request received: 6/11/2014 Contact Person: Toni Wimby, Assoc. Administrator 404-686-2809 Determination: Pending
DET2014106 The Oaks at Towne Lake Develop New 100-Bed Assisted Living Community Request received: 6/13/2014 Contact Person: Alex Salabarria, CEO 770-888-4683 Determination: Pending
DET2014107 Floyd Healthcare Management, Inc d/b/a Floyd Medical Center Replacement of CON-Approved Diagnostic or Therapeutic Equipment Request received: 6/13/2014 Contact Person: Stephen Weed, Director, Planning 706-509-3257 Determination: Pending
DET2014108 Floyd Healthcare Management, Inc. d/b/a Floyd Medical Center Replacement of CON-Approved Equipment Request received: 6/13/2014 Contact Person: Stephen Weed, Director, Planning 706-509-3257 Determination: Pending
DET2014109 Willow Lake Senior Living New Personal Care Home Community Request received: 6/19/2014 Contact Person: Patricia Lindley, Owner/Director 678-920-8888 Determination: Pending
DET2014110 Memorial Health University Medical Center, Inc./Savannah Rehab Hospital, LLC Separate Licensure Inpatient Rehab Facility;Ownship Transfr/Relocation Request received: 6/19/2014 Contact Person: William Lee, III, Sr. VP, Strategy Offcr 912-350-0884 Determination: Pending
DET2014111 North Georgia Assisted Living And Memory Care Assisted Living Community for Private Pay Residents Request received: 6/23/2014 Contact Person: Dawn Cotter/Mike Ford, Owners 678-414-4642 Determination: Pending
DET2014112 Pioneer Community Hospital of Early Memory Care Unit Renovations Request received: 6/30/2014 Contact Person: Eden Blackwell, Corp. Dir, Compliance 601-849-6440 Determination: Pending
16

DET2014113 Northside Hospital Replacement of CON-Approved DaVinci Surgical Robot Request received: 7/1/2014 Contact Person: Brian Toporek, Senior Planner 404-851-6821 Determination: Pending
DET2014114 Northside Hospital Replacement of CON-Approved DaVinci Surgical Robot Request received: 7/1/2014 Contact Person: Brian Toporek, Senior Planner 404-851-6821 Determination: Pending
DET2014115 The Oaks - Limestone Renovation of Nursing Facility below Threshold Request received: 7/7/2014 Contact Person: Aneel Gil, Dir of Health/Financial Plan. 678-533-6699 Determination: Pending
DET2014116 PruittHealth - Brookhaven Renovation of Nursing Facility below CON Threshold Request received: 7/7/2014 Contact Person: Aneel Gil, Dir of Health/Financial Plan. 678-533-6699 Determination: Pending
DET2014117 PruittHealth - Rome Renovation of Nursing Facility Below CON Threshold Request received: 7/7/2014 Contact Person: Aneel Gil, Dir of Health/Financial Plan. 678-533-6699 Determination: Pending
DET2014118 The Oaks Assisted Living, LLC Development of Assisted Living Facility Request received: 7/7/2014 Contact Person: Aneel Gil, Dir of Health/Financial Plan. 678-533-6699 Determination: Pending
DET2014119 Everette B. Jenkins Develop Physician Office-Based Ortho Surgery Ste Serving Only Self Pay Request received: 7/15/2014 Contact Person: Everette Jenkins 678-625-4721 Determination: Pending
DET2014120 WellStar Cobb Hospital Cobb Hospital, Inc. d/b/a WellStar Cobb Hospital Request received: 7/16/2014 Contact Person: April Austin 470-644-0057 Determination: Pending
DET2014121 Blue Ridge Mountains Assisted Living & Memory Care Blue Ridge Mountains Assisted Living & Memory Care Request received: 7/17/2014 Contact Person: Patricia Lindley 678-920-8888 Determination: Pending
DET2014122 Hamilton Medical Center - Murray/Chatsworth Physician Center Hamilton Medical Center Request received: 7/17/2014 Contact Person: Sandy McKenzie 706-27-6289 Determination: Pending
DET2014123 Benton House of Grayson Construction of New Personal Care Home Request received: 7/22/2014 Contact Person: David C. Winters, Agent 678-297-0388
17

Determination: Pending
DET2014124 Riverside Imaging Specialists LLC Replace Pickard Single Slice CT Machine - No Longer Operational Request received: 7/24/2014 Contact Person: Vera Williams, Marketing Director 478-745-6747 Determination: Pending
DET2014125 Berman Commons Assisted Living and Memory Care Establishment of new Assisted Living Community Request received: 7/25/2014 Contact Person: Jenice Cunningham, Executive Director 404-277-9331 Determination: Pending
DET2014126 Morgan-Peavy Investors, LLC DBA Southern Manor Retirement Inn Addition of 12 resident rooms to existing licensed Personal Care Home Request received: 7/31/2014 Contact Person: Alan Skipper, Managing Member 912-681-2686 Determination: Pending
DET2014127 Floyd Healthcare Management, Inc. (d/b/a Floyd Medical Center) Replacement of End-of-Life Nurse Call System Request received: 8/1/2014 Contact Person: Stephen Weed, Director of Planning 706-509-3257 Determination: Pending

Requests for Extended Implementation/Effective Period

2011051 Paulding Medical Center, Inc. d/b/a WellStar Paulding Hospital

Replacement Hospital

Request to extend Completion Date

Site: 148 Bill Carruth Parkway, Hiram

Project Approved: 12/2/2011

Request Received: 7/16/2014

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

Approved Cost: $123,874,899

Determination: Approved, 7/18/2014

Extended Completion Date: 07/01/2017

2013018 Athens Regional Medical Center, Inc.

Purchase Single Console da Vinci Si Robotic Surgery System

Request to extend Performance Period

Site: 1199 Prince Avenue, Athens

Project Approved: 8/23/2013

Request Received: 7/1/2014

Contact:, Dee Burkett, Vice Pres (706-475-4413)

Approved Cost: $2,186,480

Determination: Approved, 8/5/2014

Extended Completion Date: 08/31/2015

Need Projection Analyses Updated 6/27/2014

Current Status of Official Division of Health Planning Need Projection Analyses and Other Data Resources

Need Projections and Maps for CON Regulated Services

2019 Non-Special MegaVoltage Radiation Therapy 6/27/2014 2019 Positron Emission Tomography Services - 6/27/2014 2018 Ambulatory Surgery Center Services - 3/28/2014

18

2016 Home Health Agency Services - 3/28/2014 2018 Inpatient Physical Rehabilitation Services - 3/28/2014 2018 Neonatal Intensive Care Beds - 3/28/2014 2018 Neonatal Intermediate Care Beds - 3/28/2014 2018 Obstetric Services Beds - 3/28/2014 2016 Skilled Nursing Home Beds - 3/28/2014 Non-Batched Need Projections 2018 Long Term Care Hospital Beds - 10/10/2013 Note: Short Stay Hospital Bed Need Projections are facility-specific and completed by DCH on an ad hoc basis upon request.

Non-Filed or Incomplete Office of Health Planning Facility Surveys for Most Recent 3 Years (Survey Status as of 8/5/2014)
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

19

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

Mountain Lakes Medical Center North Georgia Medical Center Northwest Georgia Regional Hospital Northwest Georgia Regional Hospital Northwest Georgia Regional Hospital Pioneer Community Hospital of Early Saint Francis Hospital Southeast Georgia Health System-Camden Campus Southeastern Regional Medical Center, Inc Southern Crescent Hospital for Specialty Care Southern Crescent Hospital for Specialty Care Southern Regional Medical Center Southwest Georgia Regional Medical Center Southwestern State Hospital Warm Springs Medical Center Youth Villages - Inner Harbour Campus

Rabun Gilmer Floyd Floyd Floyd Early Muscogee Camden Coweta Clayton Clayton Clayton Randolph Thomas Meriwether Douglas

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

Annual Nursing Home Questionnaire (Survey Years 2011 thru 2013)

Agape Health & Rehab of Moultrie, LLC

Colquitt

2011

Agape Health & Rehab of Moultrie, LLC

Colquitt

2013

Anderson Mill Health and Rehabilitation Center

Cobb

2012

Anderson Mill Health and Rehabilitation Center

Cobb

2013

Bell Minor Home, The

Hall

2012

Bell Minor Home, The

Hall

2013

Brian Center Health & Rehabilitation/canton

Cherokee

2013

Briarcliff Haven Healthcare And Rehabilitation Center DeKalb

2013

Brown's Health & Rehabilitation Center

Bulloch

2011

Brown's Health & Rehabilitation Center

Bulloch

2012

Brown's Health & Rehabilitation Center

Bulloch

2013

Bryan County Health & Rehabilitation Center

Bryan

2013

Bryant Health And Rehabilitation Center Inc

Bleckley

2013

Carl Vinson Skilled Nursing Home

Laurens

2012

Carl Vinson Skilled Nursing Home

Laurens

2013

Chatsworth Health Care Center

Murray

2012

Chatsworth Health Care Center

Murray

2013

College Park Health Care Center

Fulton

2012

Cook Senior Living Center

Cook

2012

Countryside Health Center

Haralson

2013

Eastview Nursing Center

Bibb

2012

Eastview Nursing Center

Bibb

2013

Etowah Landing

Floyd

2013

Etowah Landing Care And Rehabilitation Center

Floyd

2012

Evergreen Health and Rehabiliation Center

Floyd

2013

Folkston Park

Charlton

2013

Folkston Park Care And Rehabilitation Center

Charlton

2011

Georgia Regional Atlanta ICF/MR

DeKalb

2012

Georgia Regional Atlanta ICF/MR

DeKalb

2013

Gilmer Nursing Home

Gilmer

2013

Glenn-Mor Nursing Home

Thomas

2012

Golden Living Center - Dunwoody

Fulton

2012

Golden Living Center - Dunwoody

Fulton

2013

Golden LivingCenter - Augusta

Richmond

2011

Golden LivingCenter - Augusta Golden LivingCenter - Decatur

Richmond DeKalb

2013 2011

Golden LivingCenter - Decatur

DeKalb

2013

Golden LivingCenter - Glenwood

DeKalb
20

2012

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

Golden LivingCenter - Glenwood Golden LivingCenter - Medical Arts Golden LivingCenter - Northside Golden LivingCenter - Thomaston Golden LivingCenter - Tifton 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 James B Craig Center Joe-Anne Burgin Nursing Home Kindred Transitional Care and Rehabilitation - Lafayette Kindred Transitional Care and Rehabilitation - Lafayette Kindred Transitional Care and Rehabilitation-Abercorn Kindred Transitional Care and Rehabilitation-Abercorn LaGrange Nursing & Rehabilitation Center Legacy Nursing & Rehabilitation Center Lumber City Nursing & Rehabilitation Center Magnolia Manor Of Columbus Nursing Center - West Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Marietta Manor Care Rehabilitation Center - Marietta Manor Care Rehabilitation Center - Marietta Meadows Nursing Center Meadows Nursing Center Meadows Nursing Center Molena Health & Rehab, LLC Nancy Hart Nursing Center New London Health Center New London Health Center New London Health Center NHC Healthcare Rossville Northwest Georgia Regional Hospital ICF/MR Northwest Georgia Regional Hospital ICF/MR Northwest Georgia Regional Hospital ICF/MR Oceanside Nursing & Rehab Center Palemon Gaskins Memorial Nursing Home Palemon Gaskins Memorial Nursing Home Parkside At Hutcheson Medical Center Parkside At Hutcheson Medical Center 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

DeKalb Gwinnett Fulton Upson Tift Bibb Bibb Bibb DeKalb DeKalb Glynn Hart Elbert Jackson Catoosa Catoosa Baldwin Randolph Fayette Fayette Chatham Chatham Troup Fulton Telfair Muscogee DeKalb DeKalb DeKalb Cobb Cobb Cobb Toombs Toombs Toombs Pike Elbert Gwinnett Gwinnett Gwinnett Walker Floyd Floyd Floyd Chatham Irwin Irwin Walker Walker Walker Fulton Baldwin Baldwin Baldwin Baldwin
21

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

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

Piedmont Hall ICF/MR - Central State Place At Dean's Bridge, The Place At Martinez, The Powder Springs Nursing & Rehabilitation Center Powder Springs Nursing & Rehabilitation Center River Towne Center Rose Haven Nursing Facility Rose Haven Nursing Facility Rosemont At Stone Mountain Sadie G. Mays Health & Rehabilitation Center Sadie G. Mays Health & Rehabilitation Center Savannah Beach Nursing & Rehab Center Savannah Healthcare and Rehabilitation Center Savannah Rehab & NursingCenter Savannah Square Health Center Savannah Square Health Center Savannah Square Health Center Scepter Health & Rehab of Snellville, LLC Scepter Health & Rehab of Snellville, LLC Scepter Health & Rehab of Snellville, LLC Sears Manor Nursing Home Sears Manor Nursing Home Shamrock Nursing & Rehabilitation Center Signature Healthcare of Buckhead Signature Healthcare of Buckhead Southland Healthcare And Rehabilitation Center Southland Healthcare And Rehabilitation Center Tanner Med Center Subacute Care Unit Thomson Health And Rehabilitation Thomson Health And Rehabilitation Tower Road Healthcare and Rehabilitation Center Warner Robins Rehabilitation Center Warner Robins Rehabilitation Center Westminster Commons Westminster Commons Westview Nursing & Rehabilitation Center Willowwood Nursing Center

Baldwin Richmond Richmond Cobb Cobb Muscogee Thomas Thomas DeKalb Fulton Fulton Chatham Chatham Chatham Chatham Chatham Chatham Gwinnett Gwinnett Gwinnett Glynn Glynn Laurens Fulton Fulton Laurens Laurens Carroll McDuffie McDuffie Cobb Houston Houston Fulton Fulton Chatham Hall

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

Ambulatory Laser & Surgery Ctr

CLAYTON

2013

Associates Physicians Asc

BIBB

2011

Associates Physicians Asc

BIBB

2012

Associates Physicians Asc

BIBB

2013

22

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

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 Outpatient Orthopedic Surgery Center, Llc Pain Care Center of Georgia Pain Clinic Of Aimr, P.c. Pain Clinic Of AIMR, P.C.

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 GWINNETT GWINNETT Cherokee SPALDING BULLOCH Henry FULTON FULTON
23

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 2013 2012 2011 2013

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

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

Ware

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

LOWNDES

Valdosta Foot & Ankle Surgery

LOWNDES

Valdosta Foot & Ankle Surgery

LOWNDES

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

Gordon Home Care

Gordon

HCMC Home Care

Habersham

Interim Healthcare of Atlanta Inc.

Fulton

Medside Home Health Agency

Fulton

Medside Home Health Agency

Fulton

24

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 2013 2012 2013 2011 2012

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 3/14/2014 3/15/2013 3/14/2014
3/9/2012 3/15/2013

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

Fulton Rockdale Richmond Richmond Richmond Tift

2013 2013 2011 2012 2013 2011

Hospital Financial Survey (Survey Years 2010 thru 2012

Charlton Memorial Hospital

Charlton

Charlton Memorial Hospital

Charlton

Mountain Lakes Medical Center

Rabun

Mountain Lakes Medical Center

Rabun

Mountain Lakes Medical Center

Rabun

St. Simons-By-The-Sea

Glynn

SummitRidge Center - Psychiatry & Addictive Medicine Gwinnett

2011 2012 2010 2011 2012 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

Rockdale Medical Center

Rockdale

2012

Southeast Georgia Health System-Camden Campus

Camden

2013

Southeastern Regional Medical Center, Inc

Coweta

2012

Southeastern Regional Medical Center, Inc

Coweta

2013

WellStar Douglas Hospital

Douglas

2011

Radiation Therapy Services Survey (Survey Years 2011 thru 2013)

Gordon Hospital

Gordon

2011

Hutcheson Medical Center

Catoosa

2011

Hutcheson Medical Center Hutcheson Medical Center

Catoosa Catoosa

2012 2013

Meadows Regional Cancer Center

Toombs

2013

Oconee Regional Cancer Center

Laurens

2013

Phoebe Putney Memorial Hospital

Dougherty

2013

Piedmont Fayette Hospital

Fayette

2013

Piedmont Hospital

Fulton

2013

Satilla Regional Cancer Treatment Center

Ware

2013

South Georgia Center for Cancer Care

Bulloch

2013

Southeast Georgia Health System-Camden Campus

Camden

2011

Southeastern Regional Medical Center, Inc

Coweta

2012

Southeastern Regional Medical Center, Inc

Coweta

2013

3/14/2014 3/14/2014
3/9/2012 3/15/2013 3/14/2014
3/9/2012
7/13/2012 7/26/2013
7/8/2011 7/13/2012 7/26/2013 7/26/2013 7/26/2013
7/1/2011 7/13/2011
5/16/2014 5/16/2014 5/17/2013
5/16/2014
5/16/2014
5/11/2012 5/17/2013 5/16/2014 5/16/2014 5/16/2014 5/16/2014 5/16/2014 5/16/2014 5/16/2014 5/16/2014
5/16/2014

25

Indigent and Charity Care Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3
Years (Commitment status as of 8/5/2014)

Facility Name

County

Atlanta Aesthetic and Reconstructive Surgery Center, LLCFULTON

Atlanta General and Bariatric Surgery Center

Fulton

Braselton Endoscopy Center

Hall

Brookstone Ambulatory Surgery Center

Muscogee

Brookstone Surgical Center, LLC

MUSCOGEE

Clayton Cataract and Laser Surgery Center

Clayton

Foot Surgery Center, The

COBB

G.I. Endoscopy Center

CLAYTON

Gastrointestinal Diagnostic Endo Woodstock, LLC

Cherokee

Georgia Endoscopy Center, LLC

Fulton

Georgia Spine Surgery Center, LLC

CLARKE

Hemlock Ambulatory Surgery Center, LLC

Bibb

Interventional Spine and Pain Management ASC

Rockdale

NASA Surgery Center, LLC

Fulton

Northlake Endoscopy Center

DEKALB

Northwoods Surgery Center, LLC

Forsyth

Paulsen Street Surgery Center

Chatham

Premier Ambulatory Surgical Center, LLC

Cobb

Schulze Surgery Center, Inc.

Chatham

Schulze Surgery Center, Inc.

Chatham

Schulze Surgery Center, Inc.

Chatham

Specialty Surgery Center, Inc.

FULTON

Specialty Surgery Center, Inc.

FULTON

Spivey Station Surgery Center

Clayton

Summerville Surgical Center

Richmond

Surgery Center, LLC, The

Muscogee

Amedisys Home Health of Macon

Bibb

Amedisys Home Health of Valdosta

Lowndes

Amicita Home Health

Early

Amicita Home Health, LLC

Oconee

AseraCare Home Health

Fulton

Camellia Home Health

Cobb

Careone Home Health Services, Inc. (Toombs)

Toombs

Caresouth Homecare Professionals

Hall

Caresouth Homecare Professionals

Hall

Caresouth Homecare Professionals - Macon

Bibb

Caresouth Homecare Professionals - Washington

Elbert

Caresouth Homecare Professionals - Washington

Elbert

Caresouth Homecare Professionals - Washington

Elbert

Central Home Health Health, Douglasville, an Amedisys Douglas

Charlton Visiting Nurses Services

Brantley

Community Home Health, an Amedisys Company

Cherokee

CSRA Home Health- Columbia, Inc.

McDuffie

Floyd HomeCare

Floyd

Guardian Home Care of Central Georgia

Oconee

Guardian Home Care of Northeast Georgia

Hall

Guardian Home Care, LLC

Fulton

Pediatric Services of America - Norcross

Gwinnett

Pediatric Services of America, Inc - Bibb

Bibb

Suncrest Home Health

Cobb

SunCrest Home Health of Georgia

Clayton

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

26

Shortfall Due Service 17,310.40 Ambulatory Surgery Center 20,131.12 Ambulatory Surgery Center 8,938.98 Ambulatory Surgery Center 6,887.62 Ambulatory Surgery Center 44,631.52 Ambulatory Surgery Center 66,531.12 Ambulatory Surgery Center 9,241.11 Ambulatory Surgery Center 10,731.33 Ambulatory Surgery Center 18,231.16 Ambulatory Surgery Center 114,234.34 Ambulatory Surgery Center 54,819.40 Ambulatory Surgery Center 117,129.32 Ambulatory Surgery Center 70,825.83 Ambulatory Surgery Center 59,760.72 Ambulatory Surgery Center 24,871.89 Ambulatory Surgery Center 73,629.63 Ambulatory Surgery Center 44,792.62 Ambulatory Surgery Center 215,151.02 Ambulatory Surgery Center 27,490.23 Ambulatory Surgery Center 29,475.08 Ambulatory Surgery Center 4,838.07 Ambulatory Surgery Center 4,035.84 Ambulatory Surgery Center 46,920.00 Ambulatory Surgery Center 152,518.08 Ambulatory Surgery Center 4,045.83 Ambulatory Surgery Center 133,920.76 Ambulatory Surgery Center 151,153.09 Home Health Agency 17,463.47 Home Health Agency 4,025.01 Home Health Agency 14,444.12 Home Health Agency 14,681.28 Home Health Agency 25,442.30 Home Health Agency 32,275.93 Home Health Agency 49,006.35 Home Health Agency 44,575.36 Home Health Agency 2,390.02 Home Health Agency 98,252.02 Home Health Agency 77,385.84 Home Health Agency 64,908.83 Home Health Agency 216,570.75 Home Health Agency 9,333.37 Home Health Agency 21,649.12 Home Health Agency 9,685.29 Home Health Agency 29,568.71 Home Health Agency 29,821.19 Home Health Agency 48,026.47 Home Health Agency 116,510.21 Home Health Agency 99.24 Home Health Agency 66.77 Home Health Agency 1,742.04 Home Health Agency 181,929.09 Home Health Agency

SunCrest Home Health of Georgia Tugaloo Home Health Agency - Gainesville Tugaloo Home Health Agency - Lavonia United Home Care of North Georgia Battlefield Imaging Center Battlefield Imaging Center PET Imaging Center of Savannah

Hall Hall Franklin Hall Catoosa Catoosa Chatham

2013 2013 2013 2013 2011 2013 2013

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 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.

27

NEW CERTIFICATE OF NEED FILING REQUIREMENTS
Notices of Intent
Effective July 1, 2008, O.C.G.A. 31-6-40(b) provides that:
Any person proposing to develop or offer a new institutional health service or health care facility shall, before commencing such activity, submit a letter of intent and an application to the department and obtain a certificate of need in the manner provided in this chapter unless such activity is 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.
28

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

SPRING

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 6/30/2014 on DCH Website
Summer 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
29

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

Batching Notice
(June 30, 2014)

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

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

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

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

Letter of Intent
(July 30, 2014)

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

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

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

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

30

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

Batching Notice
(March 31, 2014)

Application Day
(application complete when
submitted; review cycle begins same
day)
(May 30, 2014: due by 12noon)

75th Day
(applicant provides additional information)
(August 12, 2014)

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

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

Letter of Intent
(April 30, 2014)

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

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(August 27, 2014)

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

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

31

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 amended 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)

32

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.
33

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 Please also visit www.GaMap2Care.info for healthcare facility and reporting information.
34

Special Note Please do not submit Letters of Opposition or Letters of Support prior to the Department's receipt of an actual Certificate of Need application. The Letters of Intent section of the Tracking and Appeals Report provides the date on which the CON Application must be submitted for each potential project. If the CON application is not received on that date, the associated Letter of Intent is considered expired. 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
35