Certificate-of-need tracking and appeals report [Nov. 25-Dec. 1, 2015]

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Letters of Intent Expired Letters of Intent
New CON Applications Pending Review/Incomplete Applications
Pending Review/Complete Applications

Recently Approved Applications Recently Denied Applications Withdrawn Applications Appealed Determinations Appealed LNRs Appealed CON Projects

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
N e w ! Web Links

November 25, 2015 December 1, 2015
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

LOI2015072 Memorial University Medical Center

Acquisition of a Hospital

Received: 11/6/2015

Application must be submitted on: 12/7/2015

Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County)

Estimated Cost: $0.00

LOI2015073 Hamilton Medical Center

Consolidation of OP Cancer Services into Single Facility on Campus

Received: 11/19/2015

Application must be submitted on: 12/21/2015

Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County)

Estimated Cost:

$30,000,000

LOI2015074 Floyd Medical Center

Hospital Three Phase Construction and Renovation

Received: 11/25/2015

Application must be submitted on: 12/28/2015

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

Estimated Cost: $6,253,231

Expired Letters of Intent

LOI2015066 Serenity Gardens for Veterans

Establish Skilled Nursing Facility in Chatham County for Veterans - Batching

Received: 10/30/2015

Application must be submitted on: (Rollover Date) 11/30/2015 by 12PM

Site: 0 Bloomingdale Rd., Pooler, GA 31322 (Chatham County)

Estimated Cost: $20,000,000

LOI2015065 Annandale Village

Construct 32-Bed Addition to Skilled Nursing Facility - Batching

Received: 10/30/2015

Application must be submitted on: (Rollover Date) 11/30/2015 by 12PM

Site: 350 Annandale Road, Suwanee, GA 30024 (Gwinnett County)

Estimated Cost: $3,200,000

New CON Applications
None

Pending Review/Incomplete Applications

2015-049 Fairview Park Hospital

Acquisition of da Vinci Xi Surgical System

Filed: 11/2/2015

Deemed Incomplete: 11/17/2015

Site: 200 Industrial Boulevard, Dublin, GA 31020 (Laurens County)

Contact: Ted Short, CFO 478-274-3103

Estimated Cost: $2,024,253

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)
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Contact: Lori Rakes, Chief Operating Officer 770-387-8181 Estimated Cost: $4,698,472
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 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

OPPOSITION FILED

Establish New Freestanding 50-Bed Acute Care Psychiatric Hospital - Batching Filed: 8/29/2015 Deemed Complete: 8/29/2015

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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

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: $1,617,263

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

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

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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) 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
2015-041 American Health Imaging of Lawrenceville
Addition of Second MRI Unit Filed: 10/5/2015 Deemed Incomplete: 10/20/2015 Deemed Complete: 11/13/2015 60th Day Deadline: 1/11/2016 Decision Deadline: 3/11/2016
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Site: 481 West Pike Street, Lawrenceville, GA 30046 (Gwinnett County) Contact: Scott W. Arant, President & CEO 404-296-5887 Estimated Cost: $1,389,000
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
2015-047 Southern Regional Medical Center
Proposal to Acquire the Assets of the Hospital from SRHS Out of Bankruptcy Filed: 10/26/2015 Deemed Incomplete: 11/9/2015 Deemed Complete: 11/17/2015 60th Day Deadline: 1/15/2016 Decision Deadline: 3/15/2016 Site: 11 Upper Riverdale Road, SW, Riverdale, GA 30274 (Clayton County) Contact: Troy Schell, General Counsel 909-235-4311 Estimated Cost: $18,750,000
2015-048 Gwinnett Medical Center - Lawrenceville
Renovation and Expansion of Surgical Suite Filed: 10/30/2015 Deemed Complete: 11/16/2015
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60th Day Deadline: 1/14/2016 Decision Deadline: 3/14/2016 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
2015-050 Northeast Georgia Medical Center - South Hall Campus
Development of 4-Bed Neonatal Intermediate Beds - Batching Filed: 11/29/2015 Deemed Complete: 11/29/2015 60th Day Deadline: 1/27/2016 Decision Deadline: 3/27/2016 Site: 1400 River Place, Braselton, GA 30517 (Hall County) Contact: Chad T. Bolton, Director of Planning 770-219-6630 Estimated Cost: $2,500,000
2015-051 Three Rivers Home Health
Expansion of Home Health Agency SSDR 7 - Batching Filed: 11/29/2015 Deemed Complete: 11/29/2015 60th Day Deadline: 1/27/2016 Decision Deadline: 3/27/2016 Site: 1760 Bass Road, Suite 103, Macon, GA 31210 (Bibb County) Contact: Hal M. Smith, Jr., Administrator 478-374-3468 Estimated Cost: $10,000
2015-052 Mesun Health Services
Establish 100-Bed Skilled Nursing Facility for Asian Community - Batching Filed: 11/29/2015 Deemed Complete: 11/29/2015 60th Day Deadline: 1/27/2016 Decision Deadline: 3/27/2016 Site: 88 Johnson Road, Lawrenceville, GA 30045 (Gwinnett County) Contact: Hanson Kim 256-473-0964 Estimated Cost: $10,983,626
2015-053 Miller County Hospital and Nursing Home
Skilled Nursing Facility Addition of 24-Beds for Dialysis Patients - Batching Filed: 11/29/2015 Deemed Complete: 11/29/2015 60th Day Deadline: 1/27/2016 Decision Deadline: 3/27/2016 Site: 209 North Cuthbert Street, Colquitt, GA 39837 (Miller County) Contact: Robin Rau, CEO 229-758-5954 Estimated Cost: $1,984,900
2015-054 King David Community Center of Atlanta, Inc.
Establish Home Health Agency - Exception SSDR 3 - Batching Filed: 11/29/2015 Deemed Complete: 11/29/2015 60th Day Deadline: 1/27/2016 Decision Deadline: 3/27/2016 Site: 5054 Singleton Road, Norcross, GA 30093 (Gwinnett County) Contact: Richard Sanders, Attorney-in-Fact 404-364-1819 Estimated Cost: $56,000
2015-055 Piedmont Newton Hospital
Addition of Two (2) Neonatal Intermediate Beds - Batching Filed: 11/29/2015 Deemed Complete: 11/29/2015 60th Day Deadline: 1/27/2016 Decision Deadline: 3/27/2016 Site: 5126 Hospital Drive NE, Covington, GA 30014 (Newton County) Contact: Davis Dunbar, Consultant 404-788-3638 Estimated Cost: $120,859
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2015-056 Memorial Health University Medical Center, Inc Addition of Eight (8) Neonatal ICU beds - Batching Filed: 11/29/2015 Deemed Complete: 11/29/2015 60th Day Deadline: 1/27/2016 Decision Deadline: 3/27/2016 Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Contact: William Lee, III, MBA/MHA, Sr VP, Chief Strategy 912-350-0884 Estimated Cost: $2,136,715
2015-057 Joynus Care, Inc Establish Home Health Agency - Exception SSDR 3 - Batching Filed: 11/29/2015 Deemed Complete: 11/29/2015 60th Day Deadline: 1/27/2016 Decision Deadline: 3/27/2016 Site: To Be Determined, Duluth, GA 30136 (Gwinnett County) Contact: Marcia Morgan Parker, RN, MSN, Administrator 678-248-5832 Estimated Cost: $55,000
2015-058 Tanner Medical Center - Carrollton Development of 4-Bed Neonatal ICU - Batching Filed: 11/29/2015 Deemed Complete: 11/29/2015 60th Day Deadline: 1/27/2016 Decision Deadline: 3/27/2016 Site: 705 Dixie Street, Carrollton, GA 30117 (Carroll County) Contact: Kathlynn Butler Polvino, Esq. 404-256-6685 Estimated Cost: $29,394,715
Recently Approved Applications
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 APPROVED: 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
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
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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 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
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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: Affirmed Hearing Officer's decision, 11/23/15.
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: Pending
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: 3/21/2015, 9:00AM.
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Requests for LNR for Diagnostic or Therapeutic Equipment
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-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: Approved

Determination Date: 11/5/2015

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: Approved

Determination Date: 11/5/2015

LNR-EQT2015036 Donalsonville Hospital, Inc.

Purchase CT Scanner - Fixed

Request received: 10/5/2015

Contact Person: Charles H. Orrick, Administrator 229-524-5217

Determination: Approved

Determination Date: 11/10/2015

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: Approved

Determination Date: 11/25/2015

LNR-EQT2015038 Screven County Hospital

Purchase Fixed CT Scanner

Request received: 10/14/2015

Contact Person: Robert Sellers, CEO 912-564-7426

Determination: Approved

Determination Date: 11/18/2015

LNR-EQT2015039 Jenkins County Hospital

Purchase CT Unit

Request received: 10/14/2015

Contact Person: Robert Sellers, CEO 478-982-4221

Determination: Approved

Determination Date: 11/18/2015

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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: Approved

Determination Date: 11/23/2015

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 PlanCoordinator 470-644-0057 Determination: Pending

LNR-EQT2015043 Columbus Diagnostic Imaging Center Purchase of Fixed MRI Request received: 11/13/2015 Contact Person: Joseph A. Paul, President 561-744-9122 Determination: Pending

LNR-EQT2015044 Burke County Hospital d/b/a Burke Medical Center Lease Fixed GE Optima CT660 Scanner Request received: 11/20/2015 Contact Person: Karen H. O'Neal, CEO 706-437-2650 Determination: Pending

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

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-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: Approved

Determination Date: 11/30/2015

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

12

LNR-ASC2015027 Radius Surgery Center, LLC

Operation of a Physician-Owned, Single-Specialty ASC

Site: 600 Professional Drive, Stes 100/150, Lawrenceville 30046

Number of OR's: 1

Specialty: Hand Surgery/Related Extremities

Project costs as submitted: $716,487.35

Request received: 11/6/2015

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

Determination: Pending

LNR-ASC2015028 Gastroenterology Institute, P. C.

Relocation of Gastroenterology Practice as Single-Specialty ASC

Site: 140 Henry Boulevard, Lot B, Statesboro 30458

Number of OR's: 2

Specialty: Gastroenterology

Project costs as submitted: $1,950,075.00

Request received: 11/16/2015

Contact Person: Joseph M. Hathaway, MD 912-681-6944

Determination: Pending

LNR-ASC2015029 Colon & Digestive Health Specialists, LLC

Office-Based Single Specialty ASC

Site: 1367 Norton Road, NE, Land Lot 318, Dist 16, Conyers

Number of OR's: 2

Specialty: Gastroenterology

Project costs as submitted: $1,316,527.00

Request received: 11/23/2015

Contact Person: Everett Jenkins, Consultant 678-625-4720

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: Non-reviewable as proposed Determination Date: 11/9/2015 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: Non-reviewable as proposed Determination Date: 11/9/2015
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: Non-reviewable as proposed Determination Date: 11/6/2015
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
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: Non-reviewable as proposed Determination Date: 11/6/2015
DET2015162 Fairview Park, Limited Partnership dba Fairview Park Hospital Develop a Wound Care Center (HOSP)
13

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: Non-reviewable as proposed Determination Date: 11/4/2015
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: Non-reviewable as proposed Determination Date: 11/4/2015
DET2015165 New Oconee Holdings, LLC Development of MOB Request received: 10/7/2015 Contact Person: Joe Joseph, Representative 706-521-0274 Determination: Non-reviewable as proposed Determination Date: 11/12/2015
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: Non-reviewable as proposed Determination Date: 11/17/2015
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: Non-reviewable as proposed Determination Date: 11/30/2015
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
14

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 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, Regulatory Planning Coordinator 470-644Determination: Pending
DET2015179 St. Mary's Health Care System, Inc. Hospice House Renovation Project Request received: 11/5/2015 Contact Person: Tom Kruer, Director of Engineering 706-389-2555 Determination: Pending
DET2015180 Southeastern Regional Medical Center, Inc. Parking Lot Expansion Request received: 11/6/2015 Contact Person: David Kent, COO 770-400-6261 Determination: Pending
DET2015181 Southeastern Regional Medical Center, Inc. Dining Hall Expansion Request received: 11/6/2015 Contact Person: David Kent, COO 770-400-6261 Determination: Pending
DET2015182 Cobb Hospital, Inc. d/b/a WellStar Cobb Hospital Replacement of Existing CT Scanner Request received: 11/12/2015 Contact Person: April Austin, Reg Plan Crdntr 470-644-0057 Determination: Pending
DET2015183 Phoenix Senior Living, LLC Construction of New Assisted Living Community Request received: 11/12/2015
15

Contact Person: Yolanda Hunter, Director, Operations 678-214-2902 Determination: Pending DET2015184 Professional Resource Mgmt of Rabun LLC d/b/a Mountain Lakes Medical Relocation of Hospital Request received: 11/13/2015 Contact Person: Joseph Forese, DC, MD, CEO 706-782-0400 Determination: Pending DET2015185 Phoebe Putney Memorial Hospital, Inc. Replacement of Existing Linear Accelerator Request received: 11/13/2015 Contact Person: Lori Jenkins, Dir. Strategy/Planning 229-312-1432 Determination: Pending DET2015186 Phoebe Putney Memorial Hospital, Inc. Replacement of Existing Linear Accelerator Request received: 11/13/2015 Contact Person: Lori Jenkins, Dir., Strategy/Planning 229-312-1432 Determination: Pending
DET2015187 Emory University d/b/a Emory Orthopedic and Spine Hospital Post Anesthesia Care Unit ("PACU") Renovation Request received: 11/19/2015 Contact Person: Ashley F. Hoffman, Assoc. General Cnsl 404-727-3529 Determination: Pending
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.
16

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)

Bacon County Hospital

Bacon

2012

Bacon County Hospital

Bacon

2013

Bacon County Hospital

Bacon

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

East Central Regional Hospital - Augusta Campus

Richmond

2014

Evans Memorial Hospital

Evans

2014

Fannin Regional Hospital

Fannin

2014

Georgia Regional Hospital at Savannah

Chatham

2012

Georgia Regional Hospital at Savannah

Chatham

2013

Georgia Regional Hospital at Savannah

Chatham

2014

Georgia Regional Hospital-Atlanta

DeKalb

2012

Georgia Regional Hospital-Atlanta

DeKalb

2014

Irwin County Hospital

Irwin

2012

Irwin County Hospital

Irwin

2013

Irwin County Hospital

Irwin

2014

Landmark Hospital of Savannah

Chatham

2014

Memorial Hospital of Bainbridge

Decatur

2014

Mountain Lakes Medical Center

Rabun

2012

Mountain Lakes Medical Center

Rabun

2014

North Georgia Medical Center

Gilmer

2013

North Georgia Medical Center

Gilmer

2014

Northwest Georgia Regional Hospital

Floyd

2012

Northwest Georgia Regional Hospital

Floyd

2013

Northwest Georgia Regional Hospital

Floyd

2014

Pioneer Community Hospital of Early

Early

2013

Pioneer Community Hospital of Early

Early

2014

Southeast Georgia Health System-Camden Campus

Camden

2013

Southern Crescent Hospital for Specialty Care

Clayton

2012

Southern Crescent Hospital for Specialty Care

Clayton

2014

Southwestern State Hospital

Thomas

2012

Ty Cobb Regional Medical Center

Franklin

2014

Warm Springs Medical Center

Meriwether

2012

Wildwood Lifestyle Center & Hospital

Dade

2014

Wills Memorial Hospital

Wilkes

2014

Youth Villages - Inner Harbour Campus

Douglas

2013

Youth Villages - Inner Harbour Campus

Douglas

2014

17

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

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

Carl Vinson Skilled Nursing Home

Laurens

2012

Carl Vinson Skilled Nursing Home

Laurens

2013

Carl Vinson Skilled Nursing Home

Laurens

2014

Chatsworth Health Care Center

Murray

2012

Chatsworth Health Care Center

Murray

2013

Chatsworth Health Care Center

Murray

2014

College Park Health Care Center

Fulton

2012

College Park Health Care Center

Fulton

2014

Cook Senior Living Center

Cook

2012

Dade Health And Rehab

Dade

2014

Eastview Nursing Center

Bibb

2012

Eastview Nursing Center

Bibb

2013

Eastview Nursing Center

Bibb

2014

Etowah Landing

Floyd

2013

Etowah Landing

Floyd

2014

Etowah Landing Care And Rehabilitation Center

Floyd

2012

Evergreen Health and Rehabiliation Center

Floyd

2013

Fountainview Center For Alzheimer's Disease, The

DeKalb

2014

Fox Glove Center

Fulton

2014

Ga Regional Atlanta LTC

DeKalb

2014

Georgia Regional Atlanta ICF/MR

DeKalb

2012

Georgia Regional Atlanta ICF/MR

DeKalb

2013

Georgia Regional Atlanta ICF/MR

DeKalb

2014

Gilmer Nursing Home

Gilmer

2013

Gilmer Nursing Home

Gilmer

2014

Golden Living Center - Dunwoody

Fulton

2012

Golden Living Center - Dunwoody

Fulton

2013

Golden Living Center - Dunwoody

Fulton

2014

Golden LivingCenter - Glenwood

DeKalb

2013

Golden LivingCenter - Glenwood

DeKalb

2014

Goodwill Nursing Home Inc

Bibb

2012

Goodwill Nursing Home Inc

Bibb

2013

Goodwill Nursing Home Inc

Bibb

2014

Grace Healthcare Of Tucker

DeKalb

2012

Grace Healthcare Of Tucker

DeKalb

2013

Grace Healthcare Of Tucker

DeKalb

2014

Hart Care Center

Hart

2013

Heardmont Nursing Home

Elbert

2013

Heardmont Nursing Home

Elbert

2014

18

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 9/20/2012 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 9/20/2012 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

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 Legacy Nursing & Rehabilitation Center Legacy Nursing & Rehabilitation Center 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 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 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

Jackson Jackson Catoosa Catoosa Catoosa Twiggs Fayette Fayette Fayette Troup Troup Fulton Fulton Gwinnett DeKalb DeKalb DeKalb Cobb Cobb Cobb Bibb Pike Elbert Elbert Gwinnett Gwinnett Gwinnett Floyd Floyd Floyd Chatham Irwin Irwin Irwin Fulton Baldwin Baldwin Baldwin Baldwin Baldwin Baldwin Baldwin Baldwin Carroll Dooly Grady Richmond Upson Muscogee Muscogee Thomas Thomas Thomas Gwinnett

19

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

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 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

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

2013 2012 2012 2013 2014 2012 2013 2014 2013 2014 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

20

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 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

Atlanta Surgical Center Atlanta Surgical Center Atlanta West Endoscopy Center, Llc Augusta Ctr For Foot & Ankle Augusta Urology Surgicenter, Llc Azalea Surgery Center Azalea Surgery Center Bowman Pain Management, Pc Bowman Pain Management, Pc Brookstone Ambulatory Surgery Center 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

FULTON FULTON DOUGLAS RICHMOND RICHMOND BROOKS BROOKS BIBB BIBB Muscogee 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

21

2013 2014 2012 2012 2013 2013 2014 2012 2014 2012 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

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 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

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 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

Chatham Coweta NEWTON NEWTON NEWTON MUSCOGEE FORSYTH FORSYTH FORSYTH HALL 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

22

2014 2014 2012 2013 2014 2012 2012 2013 2014 2012 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

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 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

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 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

HENRY Richmond Clarke FULTON TIFT TIFT COBB BIBB THOMAS THOMAS Bibb Dougherty Dougherty CHATHAM LOWNDES LOWNDES LOWNDES CARROLL FULTON FULTON FULTON

2014 2014 2012 2013 2013 2014 2013 2012 2012 2013 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

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

Trinity Home Health

Richmond

Trinity Home Health

Richmond

2013 2012 2013 2014 2014 2012 2013 2014 2012 2013 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

23

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 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 3/15/2013 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 3/15/2013 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

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

Emory-Adventist Hospital

Cobb

2014

Northeast Georgia Medical Center

Hall

2014

Piedmont Mountainside Medical Center

Pickens

2012

Piedmont Newnan Hospital

Coweta

2012

Southeast Georgia Health System-Camden Campus

Camden

2013

Radiation Therapy Services Survey (Survey Years 2012 thru 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

Northeast Georgia Cancer Care

Clarke

2014

Oconee Regional Cancer Center

Laurens

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

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

Year

Advanced Urology Surgery Center

Gwinnett

2014

Asuch Surgery Center Athens Orthopedic Clinic Ambulatory Surg Ctr, Llc Atlanta General and Bariatric Surgery Center

Cobb Clarke Fulton

2014 2014 2014

Brookstone Ambulatory Surgery Center Brookstone Surgical Center, LLC CPMSC Canton

Muscogee MUSCOGEE Cherokee

2014 2013 2014

Foot Surgery Center, The

COBB

2014

GA Urology, PA Cobb Ambulatory Surgery Center Gainesville Surgery Center Georgia Endoscopy Center, LLC

COBB Hall Fulton

2014 2014 2014

Georgia Neurosurgical Institute Outpatient Surgery Center, LLC

BIBB

2014

Georgia Spine Surgery Center, LLC

CLARKE

2013

Interventional Spine and Pain Management Ambulatory Rockdale Surgical Center

2013

Orthocare Surgery Center, LLC

DOUGHERTY

Peachtree Orthopaedic Surgery Center at Perimeter, LLC Fulton

Piedmont Surgery Center

BIBB

2014 2013 2014

Savannah Outpatient Foot and Ankle Surgery Cntr, LLC Schulze Surgery Center, Inc. Schulze Surgery Center, Inc.

Chatham Chatham Chatham

2014 2012 2013

South Atlanta Ambulatory Surgical Center Southeast Spine Care and Pain Management Southern Orthopaedic Surg Ctr Of Fayetteville, Llc

Henry Chatham FAYETTE

2014 2014 2014

Southlake Ambulatory Surgery Center, LLP Specialty Surgery Center, Inc. Surgery Center, LLC, The

Clayton FULTON Muscogee

2014 2012 2014

24

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 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 69,461.86 120,520.03
2,659.17 29,475.08
4,838.07 7,908.44 48,863.94 240,290.82 124,001.71 46,920.00 18,107.52

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

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 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 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

Thomas Bibb Oconee Fulton Cobb Cobb Hall Hall Hall Muscogee Bibb Elbert Elbert Elbert McDuffie Floyd Fayette Forsyth Bulloch Decatur Muscogee Fulton Chatham Fulton Oconee Oconee Hall Hall Fulton Fulton Fulton Chatham Columbia Gwinnett Bibb Cobb Newton Fulton Cobb Chatham Clayton Hall Hall Clayton Gwinnett Hall Hall Catoosa Catoosa Chatham Chatham Greene

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

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
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 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

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 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.

25

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.
26

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
27

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)

28

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)

29

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)

30

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.
31

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.

32

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.
33