Certificate-of-need tracking and appeals report [Oct. 28-Nov. 3, 2015]

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OFFICE OF HEALTH PLANNING

Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities
Requests for LNR for Diagnostic or Therapeutic Equipment
Requests for Miscellaneous Letters of Determination
Requests for Extended Implementation/Performance Period

CERTIFICATE OF NEED

Batching Notifications-Fall Need Projection Analyses
New Batching Review Summer Cycle Fall Cycle
Non-Filed or Incomplete Surveys Indigent-Charity Shortfalls Legislation Affecting CON CON Filing Requirements (effective July 1, 2008) Reporting Requirements (effective July 1, 2008)
Certificate of Need Appeal Panel Contact Information
Open Record Request Form Special Note
New CON Thresholds
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October 28, 2015 November 3, 2015
Prepared by Doris Berry, Operations Analyst AL
Georgia Department of Community Health 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
none

Expired Letters of Intent

LOI2015051 West Georgia Medical Center

Acquire Control of West Georgia Medical Center

Received: 9/16/2015

Application must be submitted on: 10/16/2015

Site: 1514 Vernon Road, LaGrange, GA 30240 (Troup County)

Estimated Cost: $2,000

LOI2015052 Sylvan Grove Hospital

Acquisition of Sylvan Grove Hospital through Asset Purchase and Lease

Received: 9/16/2015

Application must be submitted on: 10/16/2015

Site: 1050 McDonough Road, Jackson, GA 30233 (Butts County)

Estimated Cost: $10,400,000

LOI2015056 American Health Imaging of Johns Creek

Initiation of 1.5T MRI Services

Received: 9/18/2015

Application must be submitted on: 10/19/2015

Site: 4245 Johns Creek Pkwy, Suite A, Suwanee, GA 30024 (Forsyth County)

Estimated Cost: $1,700,000

New CON Applications
2015-047 Southern Regional Medical Center
Proposal to Acquire the Assets of the Hospital from SRHS Out of Bankruptcy Filed: 10/26/2015 Site: 11 Upper Riverdale Road, SW, Riverdale, GA 30274 (Clayton County) Contact: James G. Adams, Chairman of Board 000-000-0000 Estimated Cost: $18,750,000
2015-048 Gwinnett Medical Center - Lawrenceville
Renovation and Expansion of Surgical Suite Filed: 10/30/2015 Site: 1000 Medical Center Boulevard, Lawrenceville, GA 30046 (Gwinnett County) Contact: Michael C. Boblitz, VP, Plan & Bus 678-312-1000 Estimated Cost: $7,774,000
2015-049 Fairview Park Hospital
Acquisition of da Vinci Xi Surgical System Filed: 11/2/2015 Site: 200 Industrial Boulevard, Dublin, GA 31020 (Laurens County) Contact: Ted Short, CFO 478-274-3103 Estimated Cost: $2,024,253

Pending Review/Incomplete Applications
2015-041 American Health Imaging of Lawrenceville Addition of Second MRI Unit Filed: 10/5/2015 Deemed Incomplete: 10/20/2015 Site: 481 West Pike Street, Lawrenceville, GA 30046 (Gwinnett County) Contact: Scott W. Arant, President & CEO 404-296-5887 Estimated Cost: $1,389,000

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Pending Review/Complete Applications
2015-015 Cartersville Medical Center
Expansion and Renovation of Intensive Care Unit Filed: 5/14/2015 Deemed Incomplete: 5/29/2015 Deemed Complete: 8/5/2015 60th Day Deadline: 10/3/2015 Decision Deadline: 12/2/2015 Site: 960 Joe Frank Harris Parkway, Cartersville, GA 30120 (Bartow County) Contact: Lori Rakes, Chief Operating Officer 770-387-8181 Estimated Cost: $4,698,472
2015-021 Emory University Hospital Midtown
Addition of 20 Medical/Surgical Beds Filed: 7/10/2015 Deemed Complete: 7/24/2015 60th Day Deadline: 9/21/2015 Decision Deadline: 11/20/2015 Site: 550 Peachtree Street, NE, Atlanta, GA 30308 (Fulton County) Contact: Erin Hendrick, COO 404-686-8903 Estimated Cost: $7,928,000
2015-022 Regency Hospital of South Atlanta
Relocation of Regency Hospital of South Atlanta Filed: 7/27/2015 Deemed Incomplete: 8/10/2015 Deemed Complete: 9/21/2015 60th Day Deadline: 11/19/2015 Decision Deadline: 1/18/2016 Site: 1170 Cleveland Avenue, East Point, GA 30344 (Fulton County) Contact: Brian Williams, VP Business Development 404-304-5061 Estimated Cost: $4,114,159
2015-023 Medica Imaging, LLC
Conversion from LNR DTRC to CON-Approved DTRC Filed: 7/27/2015 Deemed Complete: 8/10/2015 60th Day Deadline: 10/8/2015 Decision Deadline: 12/7/2015 Site: 925 Sanders Road, Suite B, Cumming, GA 30041 (Forsyth County) Contact: Scott E. Hill, CFO 770-952-8899 Estimated Cost: $829,000
2015-024 St. Mary's Hospital
Renovate Inpatient Operating Rooms & Support Space Filed: 7/27/2015 Deemed Complete: 8/10/2015 60th Day Deadline: 10/8/2015 Decision Deadline: 12/7/2015 Site: 1230 Baxter Street, Athens, GA 30606 (Clarke County) Contact: Ellena A. Evans, Chief Nursing Officer 706-389-3947 Estimated Cost: $6,830,000
2015-025 Tanner Medical Center - Higgins General Hospital
Capital Expenditures to Renovate Surgical Services Filed: 8/14/2015 Deemed Incomplete: 8/27/2015 Deemed Complete: 9/1/2015 60th Day Deadline: 10/30/2015 Decision Deadline: 12/29/2015 Site: 200 Allen Memorial Drive, Bremen, GA 30110 (Haralson County) Contact: Chris Bell, Director, Facilities Dev. 770-838-8434 Estimated Cost: $8,453,000
2015-026 Effingham Health System
CON for Mobile PET Scan Service - Batching Filed: 8/29/2015 Deemed Complete: 8/29/2015 60th Day Deadline: 10/27/2015
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Decision Deadline: 12/26/2015 Site: 459 Hwy 119 South, Springfield, GA 31329 (Effingham County) Contact: Tammy P. Mims, COO 912-754-0463 Estimated Cost: $15,000
2015-027 John D. Archbold Memorial Hospital
Reestablish Inpatient Adolescent Psychiatric Program w/ Eight (8) Beds - Batching Filed: 8/29/2015 Deemed Complete: 8/29/2015 60th Day Deadline: 10/27/2015 Decision Deadline: 12/26/2015 Site: 915 Gordon Avenue, Thomasville, GA 31792 (Thomas County) Contact: J. Perry Mustian, President/CEO 229-228-2880 Estimated Cost: $101,809
2015-028 Veritas Collaborative Georgia, LLC
Establish New Freestanding 50-Bed Acute Care Psychiatric Hospital Batching Filed: 8/29/2015 Deemed Complete: 8/29/2015 60th Day Deadline: 10/27/2015 Decision Deadline: 12/26/2015 Site: 1150 Lake Hearn Drive, Atlanta, GA 30342 (Fulton County) Contact: Stacie McEntyre, President & CEO 919-908-9730 Estimated Cost: $17,088,835

OPPOSITION FILED

2015-029 Greenleaf Center, LLC

Add 40 Adult Psychiatric/Substance Beds Batching

OPPOSITION FILED

Filed: 8/29/2015 Deemed Complete: 8/29/2015

60th Day Deadline: 10/27/2015

Decision Deadline: 12/26/2015

Site: 2209 Pineview Drive, Valdosta, GA 31602 (Lowndes County)

Contact: Stephen Register, CEO 229-671-6601

Estimated Cost: $10,983,289

2015-030 Lake Bridge Behavioral Health System f/k/a Macon Behavioral Health System
Development of a 25-Bed Acute Inpatient Adult Psych/Sub Abuse Unit Batching Filed: 8/29/2015 Deemed Complete: 8/29/2015 60th Day Deadline: 10/27/2015 Decision Deadline: 12/26/2015 Site: 3500 Riverside Drive, Macon, GA 31210 (Bibb County) Contact: James Eyler, CEO 478-477-3829 Estimated Cost: $3,326,207

OPPOSITION FILED

2015-031 Northside Hospital - Atlanta
Expand Hospital-Based Radiation Therapy Services Batching Filed: 8/29/2015 Deemed Complete: 8/29/2015 60th Day Deadline: 10/27/2015 Decision Deadline: 12/26/2015 Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County) Contact: Brian J. Toporek, Senior Planner 404-851-6821 Estimated Cost: $18,458,097

OPPOSITION FILED

2015-032 Piedmont Hospital, Inc.

Develop a New Non-Special Purpose MRT Service Batching

OPPOSITION FILED

Filed: 8/29/2015 Deemed Complete: 8/29/2015

60th Day Deadline: 10/27/2015

Decision Deadline: 12/26/2015

Site: 3525 Busbee Drive, NW, Kennesaw, GA 30144 (Cobb County)

Contact: John W. Goodman, Exec Dir, Oncology Services 404-425-7922

Estimated Cost: $9,350,363

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2015-033 Decatur Health Imaging
Addition of Third MRI Unit (DTRC) Filed: 9/3/2015 Deemed Complete: 9/17/2015 60th Day Deadline: 11/15/2015 Decision Deadline: 1/14/2016 Site: 2774 North Decatur Road, Decatur, GA 30033 (DeKalb County) Contact: Scott W. Arant, President & CEO 404-296-5887 Estimated Cost: $1,278,553
2015-034 Houston Medical Center
Expansion and Renovation of Laboratory Department Filed: 9/11/2015 Deemed Incomplete: 9/25/2015 Deemed Complete: 10/30/2015 60th Day Deadline: 12/28/2015 Decision Deadline: 2/26/2016 Site: 1601 Watson Blvd, Warner Robins, GA 31093 (Houston County) Contact: Stephen J. Machen, MBA, FACHE, Administrator 478-542-7839 Estimated Cost: $4,858,530
2015-035 Emory Johns Creek Hospital
Purchase MRI Unit & Construct Two-Story Addition to House MRI Filed: 9/17/2015 Deemed Complete: 10/1/2015 60th Day Deadline: 11/29/2015 Decision Deadline: 1/28/2016 Site: 6325 Hospital Parkway, Johns Creek, GA 30097 (Fulton County) Contact: Laurie Hansen, Associate Administrator 678-474-7012 Estimated Cost: $4,172,929
2015-036 Athens Diagnostic Center
Convert LNR-Approved DTRC to CON-Approved DTRC Filed: 9/21/2015 Deemed Complete: 10/5/2015 60th Day Deadline: 12/3/2015 Decision Deadline: 2/1/2016 Site: 1063 Baxter Street, Athens, GA 30606 (Clarke County) Contact: Walter G. Price, Vice President 706-433-4123 Estimated Cost: $981,358
2015-037 East Georgia Regional Medical Center, LLC
Capital Expenditure for Renovation of Emergency Department Filed: 9/21/2015 Deemed Complete: 10/5/2015 60th Day Deadline: 12/3/2015 Decision Deadline: 2/1/2016 Site: 1499 Fair Road, Statesboro, GA 30458 (Bulloch County) Contact: Bob Bigley, CEO 912-486-1000 Estimated Cost: $12,502,325
2015-038 South Georgia Medical Center
Construction of Hybrid Operating Room Filed: 9/23/2015 Deemed Incomplete: 10/7/2015 Deemed Complete: 10/7/2015 60th Day Deadline: 12/5/2015 Decision Deadline: 2/3/2016 Site: 2501 North Patterson Street, Valdosta, GA 31602 (Lowndes County) Contact: Raymond A. Snead, Interim CEO 229-259-4102 Estimated Cost: $6,292,265
2015-039 Grady Memorial Hospital
Relocation/Renovation/Expansion of the Marcus Stroke & Neuroscience Center Filed: 9/24/2015 Deemed Complete: 10/8/2015 60th Day Deadline: 12/6/2015 Decision Deadline: 2/4/2016 Site: 80 Jesse Hill Drive, SE, Atlanta, GA 30303 (Fulton County)
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Contact: Stephen Vault, Director, Planning & Business Devel 404-616-8470 Estimated Cost: $7,962,903
2015-040 Northside Hospital - Cherokee Capital Expenditure to Replace Hospital-Based MRI Unit Filed: 10/1/2015 Deemed Complete: 10/16/2015 60th Day Deadline: 12/14/2015 Decision Deadline: 2/12/2016 Site: 720 Transit Avenue, Bldg 200, Suite 102, Canton, GA 30114 (Cherokee County) Contact: Brian Toporek, Senior Planner 404-851-6821 Estimated Cost: $2,400,000
2015-042 Children's Healthcare of Atlanta at Scottish Rite Addition of 46 Inpatient & 14 Observation Beds Filed: 10/15/2015 Deemed Incomplete: 10/29/2015 Deemed Complete: 10/29/2015 60th Day Deadline: 12/27/2015 Decision Deadline: 2/25/2016 Site: 1001 Johnson Ferry Rd, NE, Atlanta, GA 30342 (Fulton County) Contact: David R. Tatum, Chief Public Policy Officer 404-785-7556 Estimated Cost: $52,097,893
2015-043 American Health Imaging of Stockbridge Initiation of 1.5T MRI Service Filed: 10/19/2015 Deemed Complete: 10/30/2015 60th Day Deadline: 12/28/2015 Decision Deadline: 2/26/2016 Site: 1040 Eagles Landing Parkway, Ste 102/103, Stockbridge, GA 30281 (Henry County) Contact: Scott W. Arant, President & CEO 404-296-5887 Estimated Cost: $1,736,254
2015-044 American Health Imaging of Douglasville Initiation of 1.5T MRI Services Filed: 10/19/2015 Deemed Complete: 10/30/2015 60th Day Deadline: 12/28/2015 Decision Deadline: 2/26/2016 Site: 8855 Hospital Drive, 1st Floor, Douglasville, GA 30134 (Douglas County) Contact: Scott W. Arant, President & CEO 404-296-5887 Estimated Cost: $1,368,554
2015-045 American Health Imaging of Buckhead Initiation of 1.5T MRI Services Filed: 10/19/2015 Deemed Complete: 10/30/2015 60th Day Deadline: 12/28/2015 Decision Deadline: 2/26/2016 Site: 60 Peachtree Park Drive, NE, Atlanta, GA 30345 (Fulton County) Contact: Scott W. Arant, President & CEO 404-296-5887 Estimated Cost: $1,753,054
2015-046 American Health Imaging of Conyers Initiation of 1.5T MRI Services Filed: 10/19/2015 Deemed Complete: 10/30/2015 60th Day Deadline: 12/28/2015 Decision Deadline: 2/26/2016 Site: 1501 Milstead Road, Suite 140, Conyers, GA 30012 (Rockdale County) Contact: Scott W. Arant, President & CEO 404-296-5887 Estimated Cost: $1,700,654
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Recently Approved Applications
2015-020 St. Joseph's Hospital, Inc. Renovation and Expansion of Emergency Department Filed: 6/15/2015 Deemed Complete: 6/29/2015 60th Day Deadline: 8/27/2015 Decision Deadline: 10/26/2015 APPROVED: 10/26/2015 Site: 11705 Mercy Boulevard, Savannah, GA 31419 (Chatham County) Contact: Brad Trower, VP, Business Development 912-819-6557 Estimated Cost: $18,048,000
Recently Denied Applications
none
CON Applications Withdrawn by Applicant
none
Appealed Determinations
none
Appealed LNRs
LNR-EQT2013025 Medical Center of Central Georgia Monroe Requested Letter of Non-Reviewability ("LNR") with regard to the acquisition of certain diagnostic equipment, 8/1/2013. The Department issued LNR, 12/11/2013. Hospital Authority of Monroe County Hospital ("MCH") filed a request for Administrative Appeal Hearing, 1/10/2014. Hearing Officer: Melvin M. Goldstein, Esq. Administrative Hearing Date: 11/3/2014 to 11/5/2014, 5th Floor. MCCG granted Summary Adjudication and MCH's Motion to Compel discovery need not be determined in the matter, 11/5/2014. Hospital Authority of Monroe County requested Commissioner Review, 12/5/20214. Commissioner affirms 11/5/2014 Hearing Officer Decision, 12/30/2014. Hospital Authority of Monroe County filed Petition for Judicial Review with the Clerk of the Superior Court of Monroe County, 1/28/2015. Superior Court reversed the Department's grant of a letter of non-reviewability to MCCG, 08/11/2015. Application for discretionary appeal, 9/10/2015. Court of Appeals granted Discretionary Review, 10/8/2015.
Appealed CON Projects
2013-031 WellStar Kennestone Hospital (Cobb) Establish New Freestanding ASC - Batching Agency Decision: Approved, 9/24/2013 Appealed By: Marietta Outpatient Surgery, LTD d/b/a Marietta Surgical Center (MSC), 10/16/2013; Cartersville Medical Center (CMC), 10/16/2013; Northside Hospital, Inc., d/b/a Northside Hospital - Atlanta, Northside Hospital - Cherokee and Northside Alpharetta Surgery Center, (collectively, "Northside"), 10/18/2013. WellStar Kennestone, Inc., d/b/a WellStar Kennestone Hospital files request to intervene, 10/21/2013. Northside withdraws appeal request, 11/4/2013. Hearing Officer: William C. Joy, Esq. Hearing Date: 3/4/2014 @10:00AM through 3/7/2014 and 4/3/2014 Hearing Decision: Hearing Officer reverses DCH decision, 7/17/2014.The Department and WellStar Kennestone filed requests for Commissioner Review, 8/18/2014. Commissioner Review Decision: Hearing Officer is reversed and the original decision of the Department to award a CON to Kennestone becomes the final agency decision, 9/15/2014. Marietta Outpatient Surgery, LTD d/b/a Marietta Surgical Center (MSC), and Cartersville Medical Center (CMC) filed petition for judicial review, 10/15/2014. Superior Court Decision: Superior Court reversed and remanded to the Department with instruction to deny
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Kennestone's CON application, 5/18/2015. Court of Appeals: WellStar Kennestone and the Department each filed an Application for Discretionary Appeal, 06/17/2015. Court of Appeals granted discretionary appeal, 7/8/2015.
2013-051 Newnan Behavioral Hospital (Coweta) Psych/Substance Abuse Services - batching Agency Decision: Denied, 12/27/2013 Appealed By: Vest Newnan, LLC d/b/a Newnan Behavioral Hospital ("NBH"); Southern Crescent Behavioral Health System Crescent Pines Campus and Southern Crescent Behavioral Health System - Anchor Hospital campus have filed requests to intervene in the administrative hearing, 1/9/2014. Tanner Medical Center, Inc. d/b/a Tanner Medical Center Villa Rica ("Tanner") filed a request to intervene,1/16/2014. RiverWoods Behavioral Health, LLC, d/b/a RiverWoods Behavioral Health ("RiverWoods") filed request to intervene in hearing, 1/24/2014. Motion for Summary Adjudication of UHS of Anchor, LP denied, 5/16/2014. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: (Revised) 6/23/2014 to 6/26/2014 and 7/8/2014 to 7/11/2014, 41st Floor, 9AM. Hearing Decision: Hearing Officer affirms DCH decision, 10/16/2014. Vest Newnan, LLC d/b/a Newnan Behavioral Hospital filed requests for Commissioner Review, 11/14/2014. The City of Newnan, Georgia and Coweta County filed request for Commissioner Review, 11/14/2014 Commissioner Review Decision: Affirmed Hearing Officer's 10/16/2014 Decision, 12/12/2014. Vest, LLC d/b/a Newnan Behavioral Hospital, Coweta County and the City of Newnan filed Petition for Judicial Review in the Superior Court of Coweta County on 01/09/2015. Superior Court Decision: Superior Court Reverses Department's decision, 5/20/2015. Court of Appeals: An application for Discretionary Appeal, 06/10/2015. Court of Appeals granted discretionary appeal, 07/08/2015.
2014-028 HealthSouth Rehabilitation Hospital of Forsyth County, LLC. (Forsyth) Establish a New 50-Bed Comprehensive Inpatient Physical Rehabilitation Hospital - Batching Agency Decision: Denied, 9/26/2014 Appealed By: Applicant, 10/22/2014. WellStar Kennestone submitted request to intervene, 10/24/2014; WellStar Cobb Hospital submitted request to intervene, 10/24/2014; Northeast Georgia Medical Center submitted request to intervene, 10/24/2014; Gwinnett Medical Center- Duluth, submitted request to intervene, 10/24/2014; North Fulton Hospital submitted request to intervene, 10/24/2014. WellStar Cobb Hospital withdraws request to intervene, 2/12/2015. WellStar Kennestone Hospital withdraws request to intervene, 2/12/2015. Hearing Officer: William C. Joy, Esq. Hearing Date: 3/18/2015 3/26/2015 Hearing Decision: Hearing Officer affirmed DCH decision, 7/14/2015. HealthSouth filed request for Commissioner Review, 8/13/2015. Commissioner Review Decision: Affirmed Hearing Officer's decision, 9/11/2015. HealthSouth Rehabilitation Hospital of Forsyth County, LLC, filed Petition for Judicial Review, 10/12/2015.
2014-019 University Hospital (Columbia) 2014-029 GRHealth Columbia County (Columbia) 2014-030 Doctors Hospital of Augusta (Columbia) 2014-019 Establish a New 100-Bed Short-Stay Acute Care Hospital 2014-029 Establish New 100-Bed Community Teaching Hospital 2014-030 Construction of New Short-Stay General Acute Care Hospital Agency Decision: 2014-019 Denied, 11/26/14; 2014-029 Approved, 11/26/14; 2014-030 Denied, 11/26/14 Appealed: University McDuffie appeals 2014-029 approval,12/22/2014; University Augusta appeals its own denial and appeals 2014-029 approval,12/22/14. Doctors Hospital appeals approval of 2014-029, 12/23/2014. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: 6/18/2015 6/30/2015, 9AM Hearing Decision: Hearing Officer affirmed DCH decision, 9/24/2015. Doctors Hospital requests Commissioner's review, 10/23/2015. Commissioner Review Decision: Pending
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2015-007 Jeff Davis County Hospital Authority (Jeff Davis) Construction of a 10 Bed Inpatient Adult Psychiatric Unit - Batching Agency Decision: Approved, 6/19/2015 Appealed By: Baxley and Appling County Hospital Authority d/b/a Appling Health System
("Appling"), 7/16/2015 Hearing Officer: William C. Joy, Esq.
Hearing Date: 11/3/2015 11/6/2015

2015-011 Cobb Hospital, Inc. d/b/a WellStar Cobb Hospital (Cobb) Develop Outpatient Surgery Center That Is Part Of A Hospital Agency Decision: Approved, 8/12/2015 Appealed By: Piedmont Hospital, Inc. d/b/a Piedmont Atlanta Hospital ("Piedmont Atlanta") and Piedmont West Ambulatory Surgery Center, LLC ("Piedmont West"; collectively, Piedmont"), 9/9/2015. Cobb Hospital, Inc. d/b/a/ WellStar Cobb Hospital ("WellStar Cobb") files request to intervene, 9/10/2015.
Hearing Officer: Melvin M. Goldstein, Esq.
Hearing Date: TBD

2015-017 ASMC, LLC d/b/a Atlanta Sports Medicine Center (Fulton) Development of Single-Specialty Orthopedic ASC - Batching Agency Decision: Approved, 9/25/2015 Appealed By: Northside Hospital, Inc., d/b/a Northside Hospital - Atlanta, Northside HospitalCherokee, Northside Hospital-Forsyth, and Northside/Alpharetta Surgery Center (collectively "Northside"), 10/14/2015. North Fulton Medical Center, 10/23/2015; Marietta Surgical Center ("MSC") and Atlanta Outpatient Surgery Center ("AOSC"), 10/23/2015. The Emory Clinic, Inc. d/b/a Emory Orthopedic and Spine Physiatry Outpatient Surgery Center ("Emory"), 10/26/2015.
Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2015018 Medical Center of Central Georgia, Inc.

Operational Lease of Mobile MRI

Request received: 6/30/2015

Contact Person: H. Bryan Forlines, AVP Government Relations &

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

10/19/2015

LNR-EQT2015020 AICA Ortho Spine, LLC

Operational Lease of Mobile MRI

Request received: 7/17/2015

Contact Person: Joyce Poag, MD 678-819-9500

Determination: Approved

Determination Date: 10/26/2015

LNR-EQT2015026 MedCross Imaging, LLC Purchase of Fixed MRI (DTRC) Request received: 8/17/2015 Contact Person: Pankesh Kadam, CEO 478-374-4305 Determination: Pending

LNR-EQT2015028 Orthopaedic & Spine Surgery of Atlanta, LLC Purchase of Fixed MRI Request received: 9/2/2015 Contact Person: William T. Marlow, COO 404-352-4200 Determination: Pending

LNR-EQT2015029 Douglas Hospital, Inc. dba WellStar Douglas Hospital Purchase of Mammography System (HOSP) Request received: 9/10/2015 Contact Person: April Austin, Reg Plan Coordinator 470-644-0057

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Determination: Approved

Determination Date: 10/15/2015

LNR-EQT2015030 Valdosta Orthopedic Associates, P.C.

Purchase Fixed MRI

Request received: 9/14/2015

Contact Person: Leonard Carter, Practice Administrator 229-244-2688

Determination: Approved

Determination Date: 10/19/2015

LNR-EQT2015031 Phoebe Worth Medical Center

Purchase of Fixed CT Scanner

Request received: 9/18/2015

Contact Person: Lori Jenkins, Director, Strategy & Planning 229-312-1432

Determination: Approved

Determination Date: 10/26/2015

LNR-EQT2015032 Fairview Park, Limited Partnership dba Fairview Park Hospital

Purchase of Hyperbaric Chamber (HOSP)

Request received: 9/25/2015

Contact Person: Ted Short, CFO 478-274-3103

Determination: Approved

Determination Date: 11/2/2015

LNR-EQT2015033 Doctors Hospital of Augusta, LLC

Operational Lease of Mobile MRI (HOSP)

Request received: 9/25/2015

Contact Person: Chris Cosby, COO 706-651-6101

Determination: Approved

Determination Date: 11/2/2015

LNR-EQT2015034 Mayo Clinic Health System in Waycross Purchase of Fixed CT Scanner (HOSP) Request received: 9/30/2015 Contact Person: Cheryl Croft, Associate Administrator 912-287-2500 Determination: Pending
LNR-EQT2015035 South Atlanta Radiology Associates Purchase of Fixed CT Scanner (DTRC) Request received: 9/30/2015 Contact Person: Balu S Mani, MD, CEO 770-991-1010 Determination: Pending
LNR-EQT2015036 Donalsonville Hospital, Inc. Purchase CT Scanner - Fixed Request received: 10/5/2015 Contact Person: Charles H. Orrick, Administrator 229-524-5217 Determination: Pending
LNR-EQT2015037 Southeastern Regional Medical Center, Inc. Acquisition of Allura Xper FD20 Xray Imaging System Request received: 10/5/2015 Contact Person: David Kent, COO 770-400-6261 Determination: Pending
LNR-EQT2015038 Screven County Hospital Purchase Fixed CT Scanner Request received: 10/14/2015 Contact Person: Robert Sellers, CEO 912-564-7426 Determination: Pending
LNR-EQT2015039 Jenkins County Hospital Purchase CT Unit Request received: 10/14/2015 Contact Person: Robert Sellers, CEO 478-982-4221 Determination: Pending

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LNR-EQT2015040 Emory University d/b/a Emory University Hospital Midtown Relocate and Replace Fixed MRI and Relocate Fixed CT Scanner Request received: 10/16/2015 Contact Person: Toni Wimby, Assoc Admin 404-686-2809 Determination: Pending
LNR-EQT2015041 AICA Ortho Spine, PC Lease Mobile Profile III 0.2T Scanner Request received: 10/28/2015 Contact Person: Joyce Poag, MD 678-819-9500 Determination: Pending
LNR-EQT2015042 Douglas Hospital, Inc., d/b/a WellStar Douglas Hospital Purchase Hyperbaric Chambers Request received: 10/30/2015 Contact Person: April Austin, Reg Plan Coordinator 470-644-0057 Determination: Pending

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

LNR-ASC2015019 Pain Consultants at Piedmont, LLC

Physician-Owned, Single Specialty ASC

Site: 1050 Eagles Landing Parkway, Suite 300-B, Stockbridge, GA 30281

Number of OR's: 2

Specialty: Pain Management

Project costs as submitted: $1,226,579.63

Request received: 8/13/2015

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

Determination: Approved

Determination Date: 10/21/2015

LNR-ASC2015020 Alliance Surgery Center of Augusta, LLC

Physician-Owned Single Specialty ASC

Site: 1367 Interstate Parkway, Augusta, GA 30909

Number of OR's: 1

Specialty: Pain management

Project costs as submitted: $523,786.98

Request received: 8/19/2015

Contact Person: Victoria Beck, CFO 404-403-8310

Determination: Pending

LNR-ASC2015021 Advanced Urology Institute of Georgia, PC d/b/a Advanced Urology of

Johns Creek

Physician-Owned Office-Based Single Specialty ASC

Site: 10730 Medlock Bridge Road, Johns Creek, GA 30097

Number of OR's: 2

Specialty: Urology

Project costs as submitted: $466,685.00

Request received: 8/24/2015

Contact Person: Sara Weaver, Practice Administrator 678-344-8900

Determination: Approved

Determination Date: 10/7/2015

LNR-ASC2015022 Orthopedic Surgery Center of Sandy Springs, LLC

Physician-Owned, Single Specialty ASC

Site: 5788 Roswell Road, Suite 100, Atlanta, GA 30328

Number of OR's: 2

Specialty: Orthopedic procedures

Project costs as submitted: $1,243,548.60

Request received: 9/2/2015

Contact Person: DJ Jeyaram 678-325-3872

Determination: Approved

Determination Date: 10/13/2015

LNR-ASC2015023 NASA Surgery Center, LLC Conversion of Physician-Owned Single Splty ASC to Joint Venture ASC Site: 1100 Johnson Ferry Rd, Building 2, Suite 470, Sandy Springs, GA
11

Number of OR's: 2

Specialty: General surgical procedures

Project costs as submitted: $0.00

Request received: 9/21/2015

Contact Person: Kathlynn Butler Polvino 404-256-6685

Determination: Approved

Determination Date: 10/29/2015

LNR-ASC2015024 John's Creek Procedure Center, LLC

Operation of Physician-Owned, Single Specialty ASC

Site: 6920 McGinnis Ferry Road, Suite 360A, Suwanee, Gwinnett County,

Number of OR's: 2

Specialty: Anesthesiology & Pain Medicine

Project costs as submitted: $757,782.45

Request received: 9/24/2015

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

Determination: Approved

Determination Date: 10/29/2015

LNR-ASC2015025 Gwinnett Surgery Center, LLC

Establishment of Single-Specialty, Joint Venture Amb Surg Facility

Site: 631 Professional Drive, Suite 390, Lawrenceville 30046

Number of OR's: 2

Specialty: General Surgery

Project costs as submitted: $0.00

Request received: 10/16/2015

Contact Person: Michael Barry, Esq. 404-873-8698

Determination: Pending

LNR-ASC2015026 West Georgia Endoscopy Center, LLC and Tanner Medical Center, Inc.

Establishment of Single-Specialty Joint Venture ASC

Site: 160 Clinic Avenue, Carrollton, 30117

Number of OR's: 2

Specialty: Gastroenterology Procedures

Project costs as submitted: $0.00

Request received: 10/30/2015

Contact Person: Steven T. Minor, Esq. 770-841-2854

Determination: Pending

Requests for Miscellaneous Letters of Determination
DET2015105 Eastside Medical Center, LLC dba Eastside Medical Center Expand Emergency Department Services Request received: 7/2/2015 Contact Person: Callie Andrews, FACHE, COO 770-736-2224 Determination: Pending Opposition: DeKalb Medical Center, Inc.- 8/3/2015
DET2015135 Piedmont Hospital, Inc. d/b/a Piedmont Atlanta Hospital Conversion of Free-Standing ASC to Hospital-Based ASC (HOSP) Request received: 8/18/2015 Contact Person: Tom Arnold, CFO 404-605-2233 Determination: Pending
DET2015141 Douglas Hospital, Inc d/b/a WellStar Douglas Hospital Capital Expenditure to Renovate Existing Space for Hyperbaric Program Request received: 8/28/2015 Contact Person: April Austin, Reg Plan Coordinator 470-644-0057 Determination: Pending
DET2015142 Cobb Hospital, Inc d/b/a WellStar Cobb Hospital Capital Expenditure Renovate Space for Hyperbaric & Wound Care Program Request received: 8/28/2015 Contact Person: April Austin, Reg Plan Coordinator 470-644-0057 Determination: Pending
DET2015143 Doctors Hospital of Augusta, LLC d/b/a Doctors Hospital of Augusta Replacement of CON-approved Special Procedures Equipment (HOSP)
12

Request received: 8/28/2015 Contact Person: Chris Cosby, COO 706-651-6101 Determination: Non-reviewable as proposed Determination Date: 10/7/2015
DET2015144 Woodstock Endoscopy Center, LLC Endoscopy Exemption (ASC) Request received: 8/28/2015 Contact Person: Michael Lazarus, Mgr. Practice Intgrtn 404-888-7575 Determination: Non-reviewable as proposed Determination Date: 10/8/2015
DET2015145 Northern Crescent Endoscopy Suite LLC Endoscopy Exemption (ASC) Request received: 8/28/2015 Contact Person: Michael Lazarus, Mgr, Practice, Intgr 404-888-7575 Determination: Non-reviewable as proposed Determination Date: 10/8/2015
DET2015146 Panola Endoscopy Center, LLC Endoscopy Exemption (ASC) Request received: 8/28/2015 Contact Person: Michael Lazarus, Mgr, Practice Intgr 404-888-7575 Determination: Non-reviewable as proposed Determination Date: 10/8/2015
DET2015147 John D. Archbold Memorial Hospital Renovation of Four (4) ED Exam Rooms (HOSP) Request received: 8/31/2015 Contact Person: J. Perry Mustian, President/CEO N/A Determination: Non-reviewable as proposed Determination Date: 10/9/2015
DET2015148 Lanier Lodge Assisted Living and Memory Care Assisted Living Community for Private Pay Residents Request received: 9/1/2015 Contact Person: Mike Pascoe, Partner 770-366-6600 Determination: Non-reviewable as proposed Determination Date: 10/21/2015
DET2015149 Emory University d/b/a Emory University Hospital Hospital Floor Renovation Request received: 9/3/2015 Contact Person: Jeffrey C. Baxter, Assoc Gen Counsel 404-727-4974 Determination: Non-reviewable as proposed Determination Date: 10/13/2015
DET2015150 Emory University d/b/a Emory University Hospital Hospital Floor Renovation Request received: 9/3/2015 Contact Person: Jeffrey C. Baxter, Assoc Gen Counsel 404-727-4974 Determination: Non-reviewable as proposed Determination Date: 10/13/2015
DET2015151 St. Joseph's Hospital of Atlanta, Inc. Replacement of Linear Accelerator #2 (HOSP) Request received: 9/3/2015 Contact Person: Heather Dexter, COO 678-843-4951 Determination: Non-reviewable as proposed Determination Date: 10/15/2015
DET2015152 Saint Joseph's Hospital of Atlanta, Inc. Replacement of Linear Accelerator #1 (HOSP) Request received: 9/3/2015 Contact Person: Heather Dexter, COO 678-843-4951 Determination: Non-reviewable as proposed Determination Date: 10/15/2015
DET2015153 Tift County Hospital Authority dba Tift Regional Medical Center Construction of Medical Office Building (HOSP) Request received: 9/9/2015 Contact Person: Sarah S. Thompson, VP Facility Mgmt 229-353-6102 Determination: Non-reviewable as proposed Determination Date: 10/21/2015
13

DET2015154 Decatur SLP, LLC Construction of a New Personal Care Home Request received: 9/9/2015 Contact Person: David C. Winters, Agent 678-297-0388 Determination: Non-reviewable as proposed Determination Date: 10/14/2015

DET2015155 Camellia Place of Woodstock, LLC Establish a New Assisted Living Community (PCH) Request received: 9/15/2015 Contact Person: Lauren A. Clifton, Managing Member 404-889-7834 Determination: Non-reviewable as proposed Determination Date: 10/19/2015

DET2015156 Emory University dba Emory University Hospital Midtown

Transfer of CT Scanner (HOSP)

Request received: 9/16/2015

Contact Person: Toni Wimby, Associate Administrator 404-686-2809

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

10/23/2015

DET2015157 Hospital Authority of Miller County Renovation of Existing Space to Add in Remaining CON Aprvd Beds (PCH) Request received: 9/16/2015 Contact Person: Robin Rau, CEO 229-758-4949 Determination: Non-reviewable as proposed Determination Date: 10/26/2015
DET2015158 Harbor at Harmony Crossing Assisted Living & Memory Care, LLC Add 15 Beds to Existing 60 Beds for Total of 75 Licensed Beds (PCH) Request received: 9/17/2015 Contact Person: Ray Kramer, Managing Member 706-224-7585 Determination: Non-reviewable as proposed Determination Date: 10/21/2015
DET2015159 Bethany Assisted Living, Inc. dba The Lodge at Bethany Construction of a New 48 Unit Assisted Living (PCH) Request received: 9/17/2015 Contact Person: Becky D. Livingston, CEO 912-764-7960 Determination: Non-reviewable as proposed Determination Date: 10/21/2015
DET2015160 Candler Hospital, Inc. Replacement of CON-Approved MRI Request received: 9/21/2015 Contact Person: Brad Tower, VP Business Development 912-819-6557 Determination: Non-reviewable as proposed Determination Date: 10/26/2015
DET2015161 Piedmont Hospital, Inc. d/b/a Piedmont Atlanta Hospital Replace Electrophysiology Equipment Request received: 9/23/2015 Contact Person: Ed Lovern, COO 404-605-5865 Determination: Pending
DET2015162 Fairview Park, Limited Partnership dba Fairview Park Hospital Develop a Wound Care Center (HOSP) Request received: 9/25/2015 Contact Person: Ted Short, CFO 478-274-3103 Determination: Non-reviewable as proposed Determination Date: 11/2/2015
DET2015163 Southeast Georgia Health System - Brunswick Campus Addition of a Second Hospital-Based Cardiac Cath Lab (HOSP) Request received: 9/29/2015 Contact Person: Marjorie A. Mathieu, VP 912-466-7055 Determination: Pending

14

DET2015164 Gwinnett Hospital System, Inc. dba Gwinnett Medical Center - Lawrenceville Emergency Department Front End Renovation (HOSP) Request received: 9/30/2015 Contact Person: Michael C. Boblitz, VP, Planning & Bus. Development Determination: Pending
DET2015165 New Oconee Holdings, LLC Development of MOB Request received: 10/7/2015 Contact Person: Joe Joseph, Representative 706-521-0274 Determination: Pending
DET2015166 Egleston Children's Hospital at Emory University, Inc d/b/a Children' Addition of One (1) Inpatient/Shared Operating Room Request received: 10/14/2015 Contact Person: David Tatum, Chief Public Policy Off 404-785-7556 Determination: Pending
DET2015167 Woolfson Ambulatory Surgery Center ASC Transition Request received: 10/19/2015 Contact Person: Deepak Jeyaram, Esq. 678-325-3872 Determination: Pending
DET2015168 Southeast Eye Professionals, LLC Proposed Group Practice Request received: 10/19/2015 Contact Person: Deepak Jeyaram, Esq. 678-325-3872 Determination: Pending
DET2015169 Generous Caregiving, LLC Personal Care Home Capacity Increase from 6 to 12 Request received: 10/21/2015 Contact Person: Mariana Cristea. Manager Determination: Pending
DET2015170 Brick Glen Milton, LLC Licensure of an Assisted Living Community Request received: 10/26/2015 Contact Person: David M. Vickers, Sr., Manager 404-625-3242 Determination: Pending
DET2015171 Park Springs, LLC Addition of Six Memory Care Beds Request received: 10/26/2015 Contact Person: Brian Thomas 678-684-3260 Determination: Pending
DET2015172 Park Springs, LLC Add Six Sheltered Nursing Home Beds Request received: 10/26/2015 Contact Person: Brian Thomas 678-684-3040 Determination: Pending
DET2015173 Hall County Endoscopy Center, LLC Establish Endoscopy Center Request received: 10/26/2015 Contact Person: Michael Lazarus, Mgr., Practice Intgrtn 404-888-7575 Determination: Pending
DET2015174 Northside Hospital Increase in Bed Capacity by 10% Request received: 10/27/2015
15

Contact Person: Brian Toporek, Sr. Planner 404-851-6821 Determination: Pending
DET2015175 Atlanta Birth Center, Inc d/b/a Atlanta Birth Center Relocate GA 2013-012 Atlanta Birth Center from Original Site Request received: 10/27/2015 Contact Person: Anjli Aurora Hinman, Executive Director 770-846-3593 Determination: Pending
DET2015176 Clearview Physicians Center 2, LLC Development of Medical Office Building Request received: 10/28/2015 Contact Person: Lawrence L. Unger, Managing Partner 404-436-3060 Determination: Pending
DET2015177 Medical Center of Central Georgia Replacement of da Vinci Surgical Robot Request received: 10/29/2015 Contact Person: H. Bryan Forlines, AVP Govt Reimbrsmnt 478-633-6966 Determination: Pending
DET2015178 WellStar Kennestone Hospital Capital Expenditure/ Renovate Space for Comprehensive Care Clinic Request received: 10/30/2015 Contact Person: April Austin, Reg Plan Coordinator 470-644-0057 Determination: Pending

Requests for Extended Implementation/Effective Period

2014031 HLTC, Inc. d/b/a Quinton Memorial Health and Rehabilitation Expansion and Reconstruction of 120-Bed SNF Request to extend Implementation Period Site: 1115 Professional Boulevard, Dalton (Whitfield) Project Approved: 11/5/2014 Request Received: 9/25/2015 Contact:, Scott Edens, Regional VP (706-281-4328, ext 2334) Approved Cost: $4,630,000 Determination: Denied, 10/8/2015

2012064 Kennestone Hospital, Inc. dba WellStar Kennestone Hospital

Renovate Cancer Support Center

Request to extend Completion Period

Site: 677 Church Street, Marietta (Cobb)

Project Approved: 4/29/2013

Request Received: 10/2/2015

Contact:, April Austin, Regulatory Plan Coord (470-644-0057)

Approved Cost: $6,785,000

Determination: Approved, 10/6/2015

Extended Completion Date: 2/1/2016

2014042 Townsend Park Health & Rehabilitation LLC dba Townsend Park Health & Rehab Replacement and Reconstruction of Existing Center Request to extend Implementation Date Site: 196 N. Dixie Avenue, Cartersville (Bartow) Project Approved: 2/13/2015 Request Received: 10/20/2015 Contact:, Stelling Nelson, Authorized Rep (478-986-7484) Approved Cost: $10,015,895 Determination: Pending

16

Need Projection Analyses Updated 9/30/2015
Current Status of Official Office of Health Planning Need Projection Analyses and Other Data Resources
Need Projections and Maps for CON Regulated Services
2020 Non-Special MegaVoltage Radiation Therapy 6/26/2015 2020 Positron Emission Tomography Services - 6/26/2015 2020 Ambulatory Surgery Center Services - 9/30/2015 2018 Home Health Agency Services - 9/30/2015 2020 Inpatient Physical Rehabilitation Services - 9/30/2015 2020 Neonatal Intensive Care Beds - 09/25/2015 2020 Neonatal Intermediate Care Beds - 9/30/2015 2020 Obstetric Services Beds - 9/30/2015 2018 Skilled Nursing Home Beds - 9/30/2015 Non-Batched Need Projections 2019 Long Term Care Hospital Beds - 2/17/2015 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 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 2012 thru 2014)

Athens Regional Medical Center

Clarke

2014

Bacon County Hospital

Bacon

2012

Bacon County Hospital

Bacon

2013

Bacon County Hospital

Bacon

2014

Barrow Regional Medical Center

Barrow

2014

Bleckley Memorial Hospital

Bleckley

2014

Burke Medical Center

Burke

2012

Calhoun Memorial Hospital

Calhoun

2012

Candler County Hospital

Candler

2012

Candler County Hospital

Candler

2013

Candler County Hospital

Candler

2014

Charlton Memorial Hospital

Charlton

2012

Charlton Memorial Hospital

Charlton

2014

Columbus Specialty Hospital

Muscogee

2013

Columbus Specialty Hospital

Muscogee

2014

17

Survey Due
3/6/2015 3/9/2013 3/14/2014 3/6/2015 3/6/2015 3/6/2015 3/9/2013 3/9/2013 3/9/2013 3/14/2014 3/6/2015 3/9/2013 3/6/2015 3/14/2014 3/6/2015

East Central Regional Hospital - Augusta Campus Evans Memorial Hospital Fannin Regional Hospital Georgia Regional Hospital at Savannah Georgia Regional Hospital at Savannah Georgia Regional Hospital at Savannah Georgia Regional Hospital-Atlanta Georgia Regional Hospital-Atlanta Irwin County Hospital Irwin County Hospital Irwin County Hospital Landmark Hospital of Savannah Memorial Hospital of Bainbridge Mountain Lakes Medical Center Mountain Lakes Medical Center North Georgia Medical Center North Georgia Medical Center Northeast Georgia Medical Center Northwest Georgia Regional Hospital Northwest Georgia Regional Hospital Northwest Georgia Regional Hospital Phoebe Sumter Medical Center Pioneer Community Hospital of Early Pioneer Community Hospital of Early Putnam General Hospital Southeast Georgia Health System-Camden Campus Southern Crescent Hospital for Specialty Care Southern Crescent Hospital for Specialty Care Southern Regional Medical Center Southern Regional Medical Center Southwestern State Hospital Ty Cobb Regional Medical Center Warm Springs Medical Center Wildwood Lifestyle Center & Hospital Wills Memorial Hospital Youth Villages - Inner Harbour Campus Youth Villages - Inner Harbour Campus

Richmond Evans Fannin Chatham Chatham Chatham DeKalb DeKalb Irwin Irwin Irwin Chatham Decatur Rabun Rabun Gilmer Gilmer Hall Floyd Floyd Floyd Sumter Early Early Putnam Camden Clayton Clayton Clayton Clayton Thomas Franklin Meriwether Dade Wilkes Douglas Douglas

2014 2014 2014 2012 2013 2014 2012 2014 2012 2013 2014 2014 2014 2012 2014 2013 2014 2014 2012 2013 2014 2014 2013 2014 2014 2013 2012 2014 2013 2014 2012 2014 2012 2014 2014 2013 2014

Annual Nursing Home Questionnaire (Survey Years 2012 thru 2014)

Anderson Mill Health and Rehabilitation Center

Cobb

2012

Anderson Mill Health and Rehabilitation Center

Cobb

2013

Anderson Mill Health and Rehabilitation Center

Cobb

2014

Bell Minor Home, The

Hall

2012

Bell Minor Home, The

Hall

2013

Bell Minor Home, The

Hall

2014

Brian Center Health & Rehabilitation/canton

Cherokee

2014

Briarcliff Haven Healthcare And Rehabilitation Center DeKalb

2013

Briarcliff Haven Healthcare And Rehabilitation Center DeKalb

2014

Brown's Health & Rehabilitation Center

Bulloch

2012

Brown's Health & Rehabilitation Center

Bulloch

2013

Brown's Health & Rehabilitation Center

Bulloch

2014

Bryant Health And Rehabilitation Center Inc

Bleckley

2013

Bryant Health And Rehabilitation Center Inc

Bleckley

2014

Canton Nursing Center

Cherokee

2014

Carl Vinson Skilled Nursing Home

Laurens

2012

18

3/6/2015 3/6/2015 3/6/2015 3/9/2013 3/14/2014 3/6/2015 3/9/2013 3/6/2015 3/9/2013 3/14/2014 3/6/2015 3/6/2015 3/6/2015 3/9/2013 3/6/2015 3/14/2014 3/6/2015 3/6/2015 3/9/2013 3/14/2014 3/6/2015 3/6/2015 3/14/2014 3/6/2015 3/6/2015 3/14/2014 3/9/2013 3/6/2015 3/14/2014 3/6/2015 3/9/2013 3/6/2015 3/9/2013 3/6/2015 3/6/2015 3/14/2014 3/6/2015
9/20/2012 9/20/2013 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2014 9/20/2013 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2013 9/20/2014 9/20/2014 9/20/2012

Carl Vinson Skilled Nursing Home Carl Vinson Skilled Nursing Home Chatsworth Health Care Center Chatsworth Health Care Center Chatsworth Health Care Center College Park Health Care Center College Park Health Care Center Cook Senior Living Center D Scott Hudgens Center For Skilled Nursing, The Dade Health And Rehab Eastview Nursing Center Eastview Nursing Center Eastview Nursing Center Etowah Landing Etowah Landing Etowah Landing Care And Rehabilitation Center Evergreen Health and Rehabiliation Center Fountainview Center For Alzheimer's Disease, The Fox Glove Center Ga Regional Atlanta LTC Georgia Regional Atlanta ICF/MR Georgia Regional Atlanta ICF/MR Georgia Regional Atlanta ICF/MR Gilmer Nursing Home Gilmer Nursing Home Golden Living Center - Dunwoody Golden Living Center - Dunwoody Golden Living Center - Dunwoody Golden LivingCenter - Glenwood Golden LivingCenter - Glenwood Goodwill Nursing Home Inc Goodwill Nursing Home Inc Goodwill Nursing Home Inc Grace Healthcare Of Tucker Grace Healthcare Of Tucker Grace Healthcare Of Tucker Hart Care Center Heardmont Nursing Home Heardmont Nursing Home Hill Haven Nursing Home Hill Haven Nursing Home Hutcheson Medical Center Hutcheson Medical Center Hutcheson Medical Center Jeffersonville Health &Rehab Kindred Transitional Care and Rehabilitation - Lafayette Kindred Transitional Care and Rehabilitation - Lafayette Kindred Transitional Care and Rehabilitation - Lafayette LaGrange Nursing & Rehabilitation Center LaGrange Nursing & Rehabilitation Center Laurel Baye Healthcare Of Macon Legacy Nursing & Rehabilitation Center Legacy Nursing & Rehabilitation Center Life Care Center

Laurens Laurens Murray Murray Murray Fulton Fulton Cook Gwinnett Dade Bibb Bibb Bibb Floyd Floyd Floyd Floyd DeKalb Fulton DeKalb DeKalb DeKalb DeKalb Gilmer Gilmer Fulton Fulton Fulton DeKalb DeKalb Bibb Bibb Bibb DeKalb DeKalb DeKalb Hart Elbert Elbert Jackson Jackson Catoosa Catoosa Catoosa Twiggs Fayette Fayette Fayette Troup Troup Bibb Fulton Fulton Ben Hill

19

2013 2014 2012 2013 2014 2012 2014 2012 2014 2014 2012 2013 2014 2013 2014 2012 2013 2014 2014 2014 2012 2013 2014 2013 2014 2012 2013 2014 2013 2014 2012 2013 2014 2012 2013 2014 2013 2013 2014 2013 2014 2012 2013 2014 2014 2012 2013 2014 2013 2014 2014 2013 2014 2014

9/20/2013 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2012 9/20/2014 9/20/2012 9/20/2014 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2013 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2014 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2013 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2013 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2013 9/20/2013 9/20/2014 9/20/2013 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2013 9/20/2014 9/20/2014 9/20/2013 9/20/2014 9/20/2014

Life Care Center Of Gwinnett Life Care Center of Lawrenceville 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 Medical Management Health And Rehabilitation Center Molena Health & Rehab, LLC Nancy Hart Nursing Center Nancy Hart Nursing Center New London Health Center New London Health Center New London Health Center Northwest Georgia Regional Hospital ICF/MR Northwest Georgia Regional Hospital ICF/MR Northwest Georgia Regional Hospital ICF/MR Oceanside Nursing & Rehab Center Oconee Reg Medical Center Skilled Nursing Unit Palemon Gaskins Memorial Nursing Home Palemon Gaskins Memorial Nursing Home Palemon Gaskins Memorial Nursing Home Parkview Manor Nursing & Rehabilitation Center Pecan Manor-Central State Pecan Manor-Central State Pecan Manor-Central State Pelham Parkway Nursing Home Phoenix Center - Central State Phoenix Center - Central State Piedmont Hall ICF/MR - Central State Piedmont Hall ICF/MR - Central State Piedmont Hall ICF/MR - Central State Pine Knoll Nursing & Rehab Center Pinehill Nursing Center, Inc Pinewood Nursing Center Place At Martinez, The Providence Healthcare of Thomaston River Towne Center River Towne Center Rose Haven Nursing Facility Rose Haven Nursing Facility Rose Haven Nursing Facility Salude - The Art of Recovery Savannah Healthcare and Rehabilitation Center Savannah Rehab & NursingCenter Savannah Square Health Center Savannah Square Health Center Savannah Square Health Center Scepter Health & Rehab of Snellville, LLC Scepter Health & Rehab of Snellville, LLC Scepter Health & Rehab of Snellville, LLC Shamrock Nursing & Rehabilitation Center Shamrock Nursing & Rehabilitation Center

Gwinnett Gwinnett DeKalb DeKalb DeKalb Cobb Cobb Cobb Bibb Pike Elbert Elbert Gwinnett Gwinnett Gwinnett Floyd Floyd Floyd Chatham Baldwin Irwin Irwin Irwin Fulton Baldwin Baldwin Baldwin Mitchell Baldwin Baldwin Baldwin Baldwin Baldwin Carroll Dooly Grady Richmond Upson Muscogee Muscogee Thomas Thomas Thomas Gwinnett Chatham Chatham Chatham Chatham Chatham Gwinnett Gwinnett Gwinnett Laurens Laurens

20

2014 2014 2012 2013 2014 2012 2013 2014 2014 2014 2013 2014 2012 2013 2014 2012 2013 2014 2014 2014 2012 2013 2014 2012 2012 2013 2014 2014 2013 2014 2012 2013 2014 2014 2014 2014 2012 2014 2013 2014 2012 2013 2014 2014 2013 2012 2012 2013 2014 2012 2013 2014 2013 2014

9/20/2014 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2014 9/20/2014 9/20/2013 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2014 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2012 9/20/2012 9/20/2013 9/20/2014 9/20/2014 9/20/2013 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2014 9/20/2014 9/20/2014 9/20/2012 9/20/2014 9/20/2013 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2014 9/20/2013 9/20/2012 9/20/2012 9/20/2013 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2013 9/20/2014

Signature Healthcare at Tower Road Signature Healthcare of Buckhead Signature Healthcare of Buckhead Signature Healthcare of Buckhead Signature Healthcare of Savannah Southland Healthcare And Rehabilitation Center Tattnall Healthcare Center Thomson Health And Rehabilitation Tower Road Healthcare and Rehabilitation Center Westminster Commons Westview Nursing & Rehabilitation Center Willowwood Nursing Center Willowwood Nursing Center Woodlands Health Care

Cobb Fulton Fulton Fulton Chatham Laurens Tattnall McDuffie Cobb Fulton Chatham Hall Hall Liberty

2014 2012 2013 2014 2014 2013 2014 2014 2013 2012 2014 2013 2014 2014

Cardiac Catheterization Services Survey (Survey Years 2011 thru 2013)

Coffee Regional Medical Center

Coffee

2011

Hutcheson Medical Center

Catoosa

2011

Newton Medical Center

Newton

2012

Freestanding Ambulatory Surgery Services Survey (Survey Years 2012 thru 2014)

Advanced Aesthetics Surgicenter

FAYETTE

2012

Afa Ambulatory Surgery Center

BIBB

2013

Afa Ambulatory Surgery Center

BIBB

2014

Akstein Eye Center, P.c.

CLAYTON

2013

ALPHARETTA HEAD AND NECK SURGERY CENTER FULTON

2013

Ambulatory Laser & Surgery Ctr

CLAYTON

2012

Ambulatory Laser & Surgery Ctr

CLAYTON

2013

Ambulatory Laser & Surgery Ctr

CLAYTON

2014

Ambulatory Plastic Surgery Center, Inc

MUSCOGEE

2014

AOS Surgery Center

Richmond

2014

AOS Surgery Center

Richmond

2014

Associates Physicians Asc

BIBB

2012

Associates Physicians Asc

BIBB

2013

Associates Physicians Asc

BIBB

2014

Associates Surgery Center, Inc

Bibb

2013

Athens Plastic Surgery Center

CLARKE

2012

Athens Plastic Surgery Center

CLARKE

2013

Athens Plastic Surgery Center

CLARKE

2014

Atlanta Endoscopy Center, Ltd.

DEKALB

2013

Atlanta Eye International Surgery Center

Fulton

2014

Atlanta Orthopaedic Surgery Center

Fulton

2013

Atlanta Orthopaedic Surgery Center

Fulton

2013

Atlanta Orthopaedic Surgery Center

Fulton

2014

Atlanta South Endoscopy Center, Llc

CLAYTON

2013

Atlanta Sports Medicine Surgery Center

FULTON

2014

Atlanta Surgical Center

FULTON

2013

Atlanta Surgical Center

FULTON

2014

Atlanta West Endoscopy Center, Llc

DOUGLAS

2012

Augusta Ctr For Foot & Ankle

RICHMOND

2012

Augusta Urology Surgicenter, Llc

RICHMOND

2013

Azalea Surgery Center

BROOKS

2013

Azalea Surgery Center

BROOKS

2014

Bowman Pain Management, Pc

BIBB

2012

Bowman Pain Management, Pc

BIBB

2014

Brookstone Ambulatory Surgery Center

Muscogee

2012

21

9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2014 9/20/2013 9/20/2014 9/20/2014 9/20/2013 9/20/2012 9/20/2014 9/20/2013 9/20/2014 9/20/2014
7/13/2011 7/13/2011 7/19/2013
3/25/2013 3/14/2014
3/6/2015 3/14/2014 3/14/2014 3/25/2013 3/14/2014
3/6/2015 3/6/2015 3/6/2015 3/6/2015 3/25/2013 3/14/2014 3/6/2015 3/14/2014 3/25/2013 3/14/2014 3/6/2015 3/14/2014 3/6/2015 3/14/2014 3/14/2014 3/6/2015 3/14/2014 3/6/2015 3/14/2014 3/6/2015 3/25/2013 3/25/2013 3/14/2014 3/14/2014 3/6/2015 3/25/2013 3/6/2015 3/25/2013

Brunswick Pain Treatment Center, Llc Brunswick Pain Treatment Center, Llc Carpus Surgery Center Carrollton Orthopaedic Surgery Center, Llc Center For Plastic Surgery Center For Reconstructive Surgery Center For Reconstructive Surgery Children's Healthcare of Atlanta Surgery, Meridian Mark Clayton Cataract and Laser Surgery Center Clayton Cataract and Laser Surgery Center Coastal Empire Plastic Surgery Coosa Procedure Center, Llc DeKalb Center for Foot and Ankle Surgery, LLC Dennis Surgery Center, INC Dennis Surgery Center, INC Dublin Orthopaedics Asc, Inc Dublin Orthopaedics Asc, Inc E.n.t. Surg Ctr Of Central Ga ELO Outpatient Surgery Center ELO Outpatient Surgery Center Endoscopy Center, LlLC The Endoscopy Ctr Of Coastal Ga ENT Surgical Center Eye Surgery Center Of Albany, Llc Eye Surgery Center Of Albany, Llc EYE SURGERY CENTER OF GEORGIA, LLC G.I. Endoscopy Center Gainesville Foot And Ankle Surgery Center, Pc Gainesville Foot And Ankle Surgery Center, Pc Gainesville Urology Asc, Llc Gastroenterology Endoscopy Ctr, Inc Gastroenterology Endoscopy Ctr, Inc Georgia Opthalmologists, LLC Georgia Pain Surg Ctr, Inc Georgia Surgical Centers- South Houston Lake Surgery Center Institute For Corrective Surgery of Foot & Ankle, Inc ISPM ASC at Camp Creek ISPM ASC AT COVINGTON, LLC Limestone Surgery Center, LLC Locust Grove Endo Center Lowndes County Ambulatory Surg Marietta Eye Surgery Midtown Urology Surgical Center Neurological Institute Ambulatory Surgery Center, LLC Newnan Center for Foot and Ankle Surgery Newton Ambulatory Surgical Center Newton Ambulatory Surgical Center Newton Ambulatory Surgical Center North Columbus Surgery Center, LLC 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

GLYNN GLYNN Cobb CARROLL FULTON Fulton Fulton Fulton Clayton Clayton CHATHAM FLOYD DeKalb Fulton Fulton LAURENS LAURENS HOUSTON Bibb Bibb Chatham CHATHAM CHATHAM DOUGHERTY DOUGHERTY FULTON CLAYTON HALL HALL HALL FULTON FULTON NEWTON COBB CLAYTON HOUSTON WARE Fulton NEWTON HALL HENRY LOWNDES COBB FULTON Chatham Coweta NEWTON NEWTON NEWTON MUSCOGEE FORSYTH FORSYTH FORSYTH HALL

22

2013 2014 2014 2014 2014 2014 2014 2012 2013 2014 2014 2014 2014 2013 2014 2013 2014 2013 2013 2014 2014 2014 2014 2012 2014 2014 2014 2013 2014 2014 2013 2014 2014 2012 2012 2012 2013 2014 2012 2014 2014 2014 2013 2014 2014 2014 2012 2013 2014 2012 2012 2013 2014 2012

3/14/2014 3/6/2015 3/6/2015 3/6/2015 3/6/2015 3/6/2015 3/6/2015
3/25/2013 3/14/2014
3/6/2015 3/6/2015 3/6/2015 3/6/2015 3/14/2014 3/6/2015 3/14/2014 3/6/2015 3/14/2014 3/14/2014 3/6/2015 3/6/2015 3/6/2015 3/6/2015 3/25/2013 3/6/2015 3/6/2015 3/6/2015 3/14/2014 3/6/2015 3/6/2015 3/14/2014 3/6/2015 3/6/2015 3/25/2013 3/25/2013 3/25/2013 3/14/2014 3/6/2015 3/25/2013 3/6/2015 3/6/2015 3/6/2015 3/14/2014 3/6/2015 3/6/2015 3/6/2015 3/25/2013 3/14/2014 3/6/2015 3/25/2013 3/25/2013 3/14/2014 3/6/2015 3/25/2013

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 Northside Surgery Center, Inc. Northwest ENT Surgery Center Optim Surgery Center Outpatient Orthopedic Surgery Center, Llc Outpatient Orthopedic Surgery Center, Llc Pain Care Center of Georgia Pain Clinic Of AIMR, P.C. Pain Specialty Center Of Atl Pain Specialty Center Of Atl Paulsen Street Surgery Center Peach State Surgical Centers, Inc Peach State Surgical Centers, Inc Peach State Surgical Centers, Inc Perimeter Surgery Center of Atlanta Perimeter Surgery Center of Atlanta Planned Parenthood Reproductive Health Services, Inc. Planned Parenthood Reproductive Health Services, Inc. Plastic & Reconstructive Surgery Center, Pc Plastic & Reconstructive Surgery Center, Pc Plastic Surgery Ctr Land, The Premier Surgery Center Renue Surgery Center of Waycross, LLC Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Foot And Ankle Surgery Center Rome Foot And Ankle Surgery Center Rome Foot And Ankle Surgery Center Rome Surgical Center, P C Rome Surgical Center, P C Samson Pain Center, Pc Schulze Surgery Center, Inc. Seaside Surgical, Llc Skin Cancer Specialists Surgery Center South Georgia Endoscopy Center South Georgia Surgery Center (Brunswick) Southeast Treatment Center, Llc Southeast Treatment Center, Llc Southeastern Pain Ambulatory Surgery Center, Llc Southern Crescent Plastic Surg Summerville Surgical Center Surgery Center of Athens The Graivier Center Tiftarea Endoscopy Center, Inc Tiftarea Endoscopy Center, Inc Urology Associates Surgery Center, Llc Urology Center Of Georgia Llc Urology Institute Asc, The Urology Institute Asc, The

HALL HALL HALL GWINNETT GWINNETT FULTON Cherokee Chatham BULLOCH BULLOCH Henry FULTON FULTON FULTON Chatham HOUSTON HOUSTON HOUSTON Fulton Fulton Richmond Richmond RICHMOND RICHMOND CHATHAM Glynn Ware FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD CHEROKEE Chatham GLYNN Cobb WARE GLYNN CAMDEN CAMDEN FULTON HENRY Richmond Clarke FULTON TIFT TIFT COBB BIBB THOMAS THOMAS

23

2013 2014 2013 2012 2013 2014 2012 2014 2013 2014 2012 2013 2012 2013 2014 2012 2013 2014 2013 2014 2012 2013 2013 2014 2013 2014 2013 2012 2013 2014 2012 2013 2014 2013 2014 2014 2014 2014 2014 2013 2013 2012 2013 2014 2014 2014 2012 2013 2013 2014 2013 2012 2012 2013

3/14/2014 3/6/2015
3/14/2014 3/25/2013 3/14/2014
3/6/2015 3/25/2013
3/6/2015 3/14/2014
3/6/2015 3/25/2013 3/14/2014 3/25/2013 3/14/2014
3/6/2015 3/25/2013 3/14/2014
3/6/2015 3/14/2014
3/6/2015 3/25/2013 3/14/2014 3/14/2014
3/6/2015 3/14/2014
3/6/2015 3/14/2014 3/25/2013 3/14/2014
3/6/2015 3/25/2013 3/14/2014
3/6/2015 3/14/2014
3/6/2015 3/6/2015 3/6/2015 3/6/2015 3/6/2015 3/14/2014 3/14/2014 3/25/2013 3/14/2014 3/6/2015 3/6/2015 3/6/2015 3/25/2013 3/14/2014 3/14/2014 3/6/2015 3/14/2014 3/25/2013 3/25/2013 3/14/2014

Urology Specialists Surgery Center Urology Surgery Center of Albany Urology Surgery Center of Albany Urology Surgery Center Of Savannah, Lp Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery West Georgia Endoscopy Center, Llc West Paces Ambulatory Surgical Center, LLC West Paces Ambulatory Surgical Center, LLC West Paces Ambulatory Surgical Center, LLC

Bibb Dougherty Dougherty CHATHAM LOWNDES LOWNDES LOWNDES CARROLL FULTON FULTON FULTON

2013 2013 2014 2013 2012 2013 2014 2013 2012 2013 2014

Home Health Agency Survey (Survey Years 2012 thru 2014)

Amedisys Home Health of Covington

Newton

Amicita Home Health

Early

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Colquitt Regional Home Care Services

Colquitt

HCMC Home Care

Habersham

Interim Healthcare of Atlanta Inc.

Fulton

Interim Healthcare of Atlanta Inc.

Fulton

Medside Home Health Agency

Fulton

Medside Home Health Agency

Fulton

Medside Home Health Agency

Fulton

Rockdale Medical Center Home Health

Rockdale

Three Rivers Home Health

Toombs

Three Rivers Home Health of Bibb

Bibb

Three Rivers of Dodge

Dodge

Trinity Home Health

Richmond

Trinity Home Health

Richmond

2013 2014 2012 2013 2014 2014 2012 2013 2014 2012 2013 2014 2014 2014 2014 2014 2012 2013

Hospital Financial Survey (Survey Years 2011 thru 2013)

Bacon County Hospital

Bacon

Charlton Memorial Hospital

Charlton

Charlton Memorial Hospital

Charlton

Emory Rehabilitation Hospital

DeKalb

Mountain Lakes Medical Center

Rabun

Mountain Lakes Medical Center

Rabun

Mountain Lakes Medical Center

Rabun

Pioneer Community Hospital of Early

Early

Youth Villages - Inner Harbour Campus

Douglas

2013 2011 2012 2013 2011 2012 2013 2013 2013

Open Heart Surgery Services Survey (Survey Years 2011 thru 2013)

Athens Regional Medical Center

Clarke

2013

Georgia Regents Medical Center

Richmond

2013

Gwinnett Medical Center

Gwinnett

2011

Gwinnett Medical Center

Gwinnett

2013

South Georgia Medical Center

Lowndes

2013

Positron Emission Tomography Services Survey (Survey Years 2012 thru 2014)

Athens Regional Medical Center

Clarke

2014

Emory-Adventist Hospital

Cobb

2012

Emory-Adventist Hospital

Cobb

2014

Northeast Georgia Medical Center

Hall

2014

Piedmont Mountainside Medical Center

Pickens

2012

Piedmont Newnan Hospital

Coweta

2012

24

3/14/2014 3/14/2014
3/6/2015 3/14/2014 3/25/2013 3/14/2014
3/6/2015 3/14/2014 3/25/2013 3/14/2014
3/6/2015
3/14/2014 3/6/2015
3/15/2013 3/14/2014
3/6/2015 3/6/2015 3/15/2013 3/14/2014 3/6/2015 3/15/2013 3/14/2014 3/6/2015 3/6/2015 3/6/2015 3/6/2015 3/6/2015 3/15/2013 3/14/2014
7/31/2014 7/13/2012 7/26/2013 7/31/2014 7/13/2012 7/26/2013 7/31/2014 7/31/2014 7/31/2014
7/13/2011
5/15/2015 5/17/2013 5/15/2015 5/15/2015

Southeast Georgia Health System-Camden Campus

Camden

2013

Radiation Therapy Services Survey (Survey Years 2012 thru 2014)

Gwinnett County Radiation Oncology Center-Lville

Gwinnett

2014

Gwinnett County Radiation Therapy Center-Snellville

Gwinnett

2014

Hutcheson Medical Center

Catoosa

2012

Hutcheson Medical Center

Catoosa

2013

Hutcheson Medical Center

Catoosa

2014

Meadows Regional Cancer Center

Toombs

2013

Midtown Medical Center

Muscogee

2014

Newton County Radiation Therapy Center

Newton

2014

Northeast Georgia Cancer Care

Clarke

2014

Northeast Georgia Medical Center

Hall

2014

Northeast Georgia Medical Center - Toccoa Cancer Cnter Stephens

2014

Oconee Regional Cancer Center

Laurens

2014

Radiotherapy Clinics of Georgia - Decatur

DeKalb

2014

Rockdale County Radiation Therapy Center

Rockdale

2014

Satilla Regional Cancer Treatment Center

Ware

2014

South Georgia Center for Cancer Care

Bulloch

2013

South Georgia Center for Cancer Care

Bulloch

2014

Vantage Oncology Cancer Center at Lawrenceville

Gwinnett

2014

Vantage Oncology Center at Blairsville

Union

2014

5/16/2014
5/15/2015 5/15/2015 5/17/2013 5/16/2014 5/15/2015 5/16/2014 5/15/2015 5/15/2015 5/15/2015 5/15/2015 5/15/2015 5/15/2015 5/15/2015 5/15/2015 5/15/2015 5/16/2014 5/15/2015 5/15/2015 5/15/2015

Indigent and Charity Care Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years

Facility Name

County

Advanced Urology Surgery Center

Gwinnett

Asuch Surgery Center

Cobb

Athens Orthopedic Clinic Ambulatory Surg Ctr, Llc

Clarke

Atlanta General and Bariatric Surgery Center

Fulton

Braselton Endoscopy Center

Hall

Brookstone Ambulatory Surgery Center

Muscogee

Brookstone Surgical Center, LLC

MUSCOGEE

CPMSC Canton

Cherokee

Foot Surgery Center, The

COBB

GA Urology, PA Cobb Ambulatory Surgery Center

COBB

Gainesville Surgery Center

Hall

Georgia Endoscopy Center, LLC

Fulton

Georgia Neurosurgical Institute Outpatient Surgery Center, LLC

BIBB

Georgia Spine Surgery Center, LLC

CLARKE

Interventional Spine and Pain Management Ambulatory Rockdale Surgical Center

Orthocare Surgery Center, LLC

DOUGHERTY

Peachtree Orthopaedic Surgery Center at Perimeter, LLC Fulton

Year 2014 2014 2014 2014 2014 2014 2013 2014 2014 2014 2014 2014 2014
2013 2013
2014 2013

Shortfall Due Service 368,280.62 Ambulatory Surgery Center 485.00 Ambulatory Surgery Center
1,928,582.20 Ambulatory Surgery Center 4,846.18 Ambulatory Surgery Center
31,488.12 Ambulatory Surgery Center 9,861.34 Ambulatory Surgery Center
44,631.52 Ambulatory Surgery Center 39,426.60 Ambulatory Surgery Center
379.40 Ambulatory Surgery Center 14,433.70 Ambulatory Surgery Center 1,124,417.48 Ambulatory Surgery Center 119,783.32 Ambulatory Surgery Center 320,223.20 Ambulatory Surgery Center
54,819.40 Ambulatory Surgery Center 70,825.83 Ambulatory Surgery Center
58,758.00 Ambulatory Surgery Center 69,461.86 Ambulatory Surgery Center

Piedmont Surgery Center Premier Ambulatory Surgical Center, LLC Salubrious ASC Savannah Outpatient Foot and Ankle Surgery Cntr, LLC

BIBB Cobb Cherokee Chatham

2014 2013 2014 2014

120,520.03 215,151.02
43.56 2,659.17

Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center

Savannah Outpatient Foot and Ankle Surgery Cntr, LLC Chatham

2014

2,659.17 Ambulatory Surgery Center

Savannah Outpatient Foot and Ankle Surgery Cntr, LLC Chatham

2014

2,659.17 Ambulatory Surgery Center

25

Savannah Outpatient Foot and Ankle Surgery Cntr, LLC Chatham

2014

Savannah Outpatient Foot and Ankle Surgery Cntr, LLC Chatham

2014

Savannah Outpatient Foot and Ankle Surgery Cntr, LLC Chatham

2014

Savannah Outpatient Foot and Ankle Surgery Cntr, LLC Chatham

2014

Savannah Outpatient Foot and Ankle Surgery Cntr, LLC Chatham

2014

Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. South Atlanta Ambulatory Surgical Center Southeast Spine Care and Pain Management Southern Orthopaedic Surg Ctr Of Fayetteville, Llc Southlake Ambulatory Surgery Center, LLP Specialty Surgery Center, Inc. Summerville Surgical Center Surgery Center of Athens Surgery Center, LLC, The Thomasville Surgery Center Urology Specialists Surgery Center Amicita Home Health, LLC AseraCare Home Health Camellia Home Health Camellia Home Health Caresouth Homecare Professionals Caresouth Homecare Professionals Caresouth Homecare Professionals Caresouth Homecare Professionals Caresouth Homecare Professionals - Macon Caresouth Homecare Professionals - Washington Caresouth Homecare Professionals - Washington Caresouth Homecare Professionals - Washington Charlton Visiting Nurses Services CSRA Home Health Home Health Agency - Columbia Floyd HomeCare Gentiva Health Services Gentiva Health Services Gentiva Health Services Gentiva Health Services Gentiva Health Services Gentiva Health Services - Atlanta Gentiva Health Services - Savannah Georgia Home Health Guardian Home Care of Central Georgia Guardian Home Care of Central Georgia Guardian Home Care of Northeast Georgia Guardian Home Care of Northeast Georgia Guardian Home Care, LLC Guardian Home Care, LLC Healthfield Home Health/Gentiva Health Services Island Health Care Pediatric Services of America Pediatric Services of America - Norcross Pediatric Services of America, Inc - Bibb Suncrest Home Health Suncrest Home Health Suncrest Home Health

Chatham Chatham Henry Chatham FAYETTE Clayton FULTON Richmond Clarke Muscogee Thomas Bibb Oconee Fulton Cobb Cobb Hall Hall Hall Muscogee Bibb Elbert Elbert Elbert Brantley McDuffie Floyd Fayette Forsyth Bulloch Decatur Muscogee Fulton Chatham Fulton Oconee Oconee Hall Hall Fulton Fulton Fulton Chatham Columbia Gwinnett Bibb Cobb Newton Fulton

2012 2013 2014 2014 2014 2014 2012 2013 2014 2014 2014 2014 2014 2013 2013 2014 2012 2013 2014 2014 2014 2012 2013 2014 2013 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2013 2014 2013 2014 2013 2014 2014 2014 2014 2014 2014 2013 2014 2014

26

2,659.17 Ambulatory Surgery Center

2,659.17 Ambulatory Surgery Center

2,659.17 Ambulatory Surgery Center

2,659.17 Ambulatory Surgery Center

2,659.17 Ambulatory Surgery Center

29,475.08 4,838.07 7,908.44
48,863.94 240,290.82 124,001.71
46,920.00 4,045.83 6,615.24
18,107.52 200,786.91 188,646.10
4,271.98 14,681.28 25,442.30 15,026.90 49,006.35 44,575.36 53,200.53
2,574.95 428.24
77,385.84 64,908.83 113,915.83
9,333.37 4,625.56 52,951.40 101,368.76 33,814.44 60,716.91 45,866.53 8,157.38 44,132.16 23,357.62 35,647.87 29,821.19 27,547.35 48,026.47 57,203.22 116,510.21 128,019.18 72,047.66 20,912.29
21.00 66.17 33.24 1,742.04 10,525.87 18,318.91

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

Suncrest Home Health SunCrest Home Health - Chatham SunCrest Home Health of Georgia SunCrest Home Health of Georgia SunCrest Home Health of Georgia SunCrest Home Health of Georgia United Home Care of Atlanta United Home Care of North Georgia United Home Care of North Georgia Battlefield Imaging Center Battlefield Imaging Center PET Imaging Center of Savannah PET Imaging Center of Savannah The Georgia Center for Total Cancer Care at Cowles Clinic

Cobb Chatham Clayton Hall Hall Clayton Gwinnett Hall Hall Catoosa Catoosa Chatham Chatham Greene

2014 2014 2013 2013 2014 2014 2014 2013 2014 2013 2014 2013 2014 2014

7,657.33 7,253.38 181,929.09 74,146.35 66,820.43 94,213.20 37,037.15 8,993.64 20,742.49 3,290.40 2,814.75 17,633.10 17,397.30 62,312.48

Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency PET Services PET Services PET Services PET Services Radiation Therapy

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

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 9/30/2015 on DCH Website
Fall Batching Review Cycle Notifications

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

Obstetrical Services
Home Health
Skilled Nursing Facilities/Intermediate Care Facilities

Need Projections can be found on the "DHP Need Projections" Page
29

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

Batching Notice
(June 30 , 2015)

Application
Day
(application complete when submitted; review cycle begins same day)
(August 29, 2015: Applications due by 12noon on Rollover Day, August 31, 2015)

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

100th Day
(last day for letters of support to be submitted to
Department)
(December 6, 2015)

120th Day
(Department Issues
decision)
(December 26, 2015)

Letter of Intent
(July 30, 2015)

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

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

110th Day
(applicant provides amended information; applicant provides response to opposition)
(December 16, 2015)

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

30

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

Batching Notice
(September 30, 2015)

Application
Day
(application complete when
submitted; review cycle begins same
day) (November 29, 2015: Application due on Rollover Day - November 30, 2015 by 12pm.

75th Day
(applicant provides additional information)
(February 11, 2016)

100th Day
(last day for letters of support to be submitted to
Department)
(March 7, 2016)

120th Day
(Department Issues
decision)
(March 27, 2016)

Letter of Intent
(October 30, 2015)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(January 27, 2016)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(February 26, 2016)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(March 17, 2016)

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 Office of Health Planning c/o Rachel L. King, J.D., Executive Director 2 Peachtree Street, NW 5th Floor Atlanta, Georgia 30303 Fax Number: 404-656-0654 E-mail address: rking1@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 Rachel L. King, J.D., Executive Director (rking1@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.

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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 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 7/1/2015. The new thresholds can be found on the CON Thresholds page. http://dch.georgia.gov/con-thresholds Web Links Please access copies of available Health Planning decisions and documents at the following web address: https://weblink.dch.georgia.gov/WebLink8/Browse.aspx?startid=63&dbid=1 Please also visit www.GaMap2Care.info for healthcare facility and reporting information.
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