Certificate-of-need tracking and appeals report [July 28, 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Recently Approved Applications Recently Denied Applications Withdrawn Applications Appealed Determinations Appealed LNRs Appealed CON Projects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 - Summer Need Projection Analyses New Batching Review Spring Cycle Summer Cycle
Non-Filed or Incomplete Surveys Indigent-Charity Shortfalls Legislation Affecting CON
New CON Filing Requirements (effective July 1, 2008)
New Reporting Requirements (effective July 1, 2008)
Certificate of Need Appeal Panel Contact Information
Open Record Request Form Special Note
New CON Thresholds
N e w ! Web Links

July 22, 2015 July 28, 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

LOI2015030 Tanner Medical Center - Higgins

Capital Expenditures to Renovate Surgical Services

Received: 7/15/2015

Application must be submitted on: 8/14/2015

Site: 200 Allen Memorial Drive, Bremen, GA 30110 (Haralson County)

Estimated Cost: $9,000,000

Expired Letters of Intent
none

New CON Applications

2015-022 Regency Hospital of South Atlanta

Relocation of Regency Hospital of South Atlanta

Filed: 7/27/2015

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 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 Site: 1230 Baxter Street, Athens, GA 30606 (Clarke County) Contact: Ellena A. Evans, Chief Nursing Officer 706-389-3947 Estimated Cost: $6,830,000

Pending Review/Incomplete Applications
2015-015 Cartersville Medical Center Expansion and Renovation of Intensive Care Unit Filed: 5/14/2015 Deemed Incomplete: 5/29/2015 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

Pending Review/Complete Applications
2015-005 Piedmont Fayette Hospital Addition of Third, Fourth, and Fifth Floors Filed: 2/20/2015 Deemed Incomplete: 3/6/2015 Deemed Complete: 4/8/2015 60th Day Deadline: 6/6/2015 Decision Deadline: 8/5/2015 Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County) Contact: Samuel Williamson, Director, Finance 770-719-6006 Estimated Cost: $35,317,386
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2015-010 Piedmont Henry Hospital
Renovation and Expansion of Emergency Department Filed: 3/11/2015 Deemed Incomplete: 3/25/2015 Deemed Complete: 4/13/2015 60th Day Deadline: 6/11/2015 Decision Deadline: 8/10/2015 Site: 1133 Eagles Landing Parkway, Stockbridge, GA 30281 (Henry County) Contact: Jeffery Cooper, VP & Chief Operating Officer 678-604-5577 Estimated Cost: $2,883,122
2015-011 Cobb Hospital, Inc. d/b/a WellStar Cobb Hospital
Develop Outpatient Surgery Center That Is Part Of A Hospital Filed: 4/1/2015 Deemed Complete: 4/15/2015 60th Day Deadline: 6/13/2015 Decision Deadline: 8/12/2015 Site: 3950 Austell Road, Austell, GA 30106 (Cobb County) Contact: April Austin, Regulatory Planning Coordinator 470-644-0057 Estimated Cost: $24,544,213
2015-012 Northside Hospital - Alpharetta
Capital Expenditure to Replace MRI Filed: 4/2/2015 Deemed Incomplete: 4/16/2015 Deemed Complete: 4/28/2015 60th Day Deadline: 6/26/2015 Decision Deadline: 8/25/2015 Site: 3400 Old Milton Pwky, Bldg C, Ste 100, Alpharetta, GA 30005 (Fulton County) Contact: Brian Toporek, Senior Planner 404-851-6821 Estimated Cost: $3,084,393
2015-013 Dunwoody Imaging, LLC
Facility Conversion CON Filed: 4/10/2015 Deemed Complete: 4/24/2015 60th Day Deadline: 6/22/2015 Decision Deadline: 8/21/2015 Site: 6095 Barfield Road, Sandy Springs, GA 30328 (Fulton County) Contact: Anthony Gordon, MD, Manager 770-451-4040 Estimated Cost: $2,158,156
2015-014 Northside Hospital - Forsyth
Acquisition of a da Vinci Robotic Surgery System Filed: 4/16/2015 Deemed Complete: 4/30/2015 60th Day Deadline: 6/28/2015 Decision Deadline: 8/27/2015 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek, Senior Planner 404-851-6821 Estimated Cost: $2,244,000
2015-016 Premier Orthopedics Surgicenter, LLC
Convert LNR-ASC to CON ASC - Batching Filed: 5/30/2015 Deemed Complete: 5/30/2015 60th Day Deadline: 7/28/2015 Decision Deadline: 9/26/2015 Site: 2405 Osler Court, Albany, GA 31707 (Dougherty County) Contact: Mark McElfresh, Administrator 229-435-1458 Estimated Cost: $1,099,559
2015-017 ASMC, LLC d/b/a Atlanta Sports Medicine Center
Development of Multi-Specialty Ambulatory Surgery Center - Batching Filed: 5/30/2015 Deemed Complete: 5/30/2015 60th Day Deadline: 7/28/2015 Decision Deadline: 9/26/2015 Site: Morris Road and Old Morris Road, Alpharetta, GA 30004 (Fulton County)
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Contact: Victor Moldovan, Legal Counsel 404-443-5708 Estimated Cost: $12,453,405
2015-018 Southeast Treatment Center, LLC
Conversion to CON Single Specialty ASC - Batching Filed: 5/30/2015 Deemed Complete: 5/30/2015 60th Day Deadline: 7/28/2015 Decision Deadline: 9/26/2015 Site: 88-C Lindsey Lane, Kingsland, GA 31548 (Camden County) Contact: John T. Whaley, CEO 770-850-8464 Estimated Cost: $50,000
2015-019 Candler Hospital, Inc.
Establish a 6-bed Neonatal Intensive (Level III) Care Service - Batching Filed: 5/30/2015 Deemed Complete: 5/30/2015 60th Day Deadline: 7/28/2015 Decision Deadline: 9/26/2015 Site: 5353 Reynolds Street, Savannah, GA 31405 (Chatham County) Contact: Brad Trower, VP, Business Development 770-819-6557 Estimated Cost: $2,823,419
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 Site: 11705 Mercy Boulevard, Savannah, GA 31419 (Chatham County) Contact: Brad Trower, VP, Business Development 912-819-6557 Estimated Cost: $18,048,000
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
Recently Approved Applications
2015-003 Grady Memorial Hospital Corporation d/b/a Grady Health System
Renovation of Women's and Infants' Center Filed: 2/17/2015 Deemed Incomplete: 3/3/2015 Deemed Complete: 3/4/2015 60th Day Deadline: 5/2/2015 Decision Deadline: 7/1/2015 APPROVED: 6/30/2015 Site: 80 Jesse Hill Drive, SE, Atlanta, GA 30303 (Fulton County) Contact: Stephen Vault, Director, Planning 404-616-8470 Estimated Cost: $19,998,000
2015-004 Northeast Georgia Medical Center
Purchase of Robotic Surgical System Filed: 2/19/2015 Deemed Complete: 3/4/2015 60th Day Deadline: 5/2/2015 Decision Deadline: 7/1/2015 APPROVED: 6/30/2015 Site: 1400 River Place, Braselton, GA 30517 (Hall County) Contact: Chad Bolton, Director of Planning 678-897-6630 Estimated Cost: $1,975,000
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2015-009 Doctors Hospital of Augusta, LLC

Renovate & Expand 28-bed Inpatient Rehabilitation Service

Filed: 3/6/2015 Deemed Complete: 3/20/2015

60th Day Deadline: 5/18/2015

Decision Deadline: 7/17/2015

APPROVED: 7/17/2015

Site: 3651 Wheeler Road, Augusta, GA 30909 (Richmond County)

Contact: Chris Cosby, Chief Operating Officer 706-651-6101

Estimated Cost:

$7,794,862

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.
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
5

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 of Hospital of Forsyth County, LLC. (Forsyth) Establish a New 50-Bed Comprehensive Inpatient Physical Rehabilitation Hospital - Batching Agency Decision: Denied, 9/26/2014 Appealed By: Applicant, 10/22/2014. WellStar Kennestone submitted request to intervene, 10/24/2014; WellStar Cobb Hospital submitted request to intervene, 10/24/2014; Northeast Georgia Medical Center submitted request to intervene, 10/24/2014; Gwinnett Medical Center- Duluth, submitted request to intervene, 10/24/2014; North Fulton Hospital submitted request to intervene, 10/24/2014. 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.
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: Pending
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: TBD
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Requests for LNR for Diagnostic or Therapeutic Equipment
LNR-EQT2015013 Macon Orthopaedics and Hand, PA d/b/a OrthoGeorgia Capital Lease of Fixed MRI Request received: 5/20/2015 Contact Person: Bill Lindsey, CEO 478-254-5301 Determination: Pending

LNR-EQT2015014 OrthoAtlanta, LLC

Operational Lease of Fixed MRI

Request received: 5/29/2015

Contact Person: Michael Ochal, VP Development 770-953-6929

Determination: Approved

Determination Date: 7/9/2015

LNR-EQT2015015 Adventist Health System Georgia, Inc. dba Gordon Hospital

Purchase of Da Vinci Robotic Surgery System

Request received: 6/5/2015

Contact Person: Brandon Nudd, VP Chief Operating Officer 706-879-

Determination: Approved

Determination Date: 7/13/2015

LNR-EQT2015016 Fairview Park Hospital

da Vinci Robotic Surgical System

Request received: 6/22/2015

Contact Person: Don Avery, CEO 478-274-3101

Determination: Approved

Determination Date: 7/28/2015

LNR-EQT2015017 Kindred Hospitals Limited Partnership dba Kindred Hospital Atlanta

Purchase of Fixed CT Scanner

Request received: 6/24/2015

Contact Person: Barbara Lankford, Senior Market Planner 502-596-7801

Determination: Approved

Determination Date: 7/28/2015

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: Pending

LNR-EQT2015019 Elite Radiology of Georgia, LLC Operational Lease of Fixed MRI Request received: 7/1/2015 Contact Person: Chintan Desai, M.D., CEO 813-995-1256 Determination: Pending

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: Pending

LNR-EQT2015021 Pinnacle Orthopaedics & Sports Medicine Specialists, LLC Purchase of Fixed MRI Request received: 7/21/2015 Contact Person: Donna L. Fisher, CAO 770-429-7741 Determination: Pending

LNR-EQT2015022 Valdosta Family Medicine Associates, P.C. Operational Lease of Fixed CT Scanner Request received: 7/24/2015 Contact Person: Wendy Cain, Office Manager 229-244-1400 Determination: Pending

7

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

LNR-ASC2015011 Athens Digestive Endoscopy, LLC

Physician-Owned, Single Specialty ASC

Site: 1360 Caduceus Way, Bldg 300, Ste C, Watkinsville

Number of OR's: 2

Specialty: Gastroenterology/Endoscopic

Project costs as submitted: $2,153,050.00

Request received: 5/15/2015

Contact Person: Rusty Ross, Esq 912-651-8941

Determination: Approved

Determination Date: 7/17/2015

LNR-ASC2015012 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: Orthopedics

Project costs as submitted: $1,243,548.60

Request received: 5/20/2015

Contact Person: DJ Jeyaram 678-325-3872

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

7/13/2015

LNR-ASC2015013 Ponce de Leon Surgery Center, LLC

Single Specialty Ambulatory Surgery Center

Site: 552 Ponce de Leon Ave NE, Atlanta, GA 30308

Number of OR's: 2

Specialty: Pain Management

Project costs as submitted: $219,600.00

Request received: 5/20/2015

Contact Person: Minal Patel, CEO 404-228-5027

Determination: Approved

Determination Date: 7/8/2015

LNR-ASC2015014 Georgia Bone and Joint Surgeons, P.C.

Physician-Owned, Single Specialty ASC

Site: 15 Medical Drive, Suite 201, Cartersville, GA 30121

Number of OR's: 2

Specialty: Orthopedic Surgery

Project costs as submitted: $2,736,284.00

Request received: 5/28/2015

Contact Person: Everette B. Jenkins 678-625-4720

Determination: Approved

Determination Date: 7/10/2015

LNR-ASC2015015 ENT of South Georgia Surgery Center

Single Specialty Ambulatory Surgery Center

Site: 2910 N. Patterson Street, Valdosta, GA 31602

Number of OR's: 2

Specialty: ENT Surgical Procedures

Project costs as submitted: $0.00

Request received: 6/8/2015

Contact Person: Gayle Evans, RN MBA CNOR CASC 770-794-4944

Determination: Pending

LNR-ASC2015016 Advanced Gynecologic Surgery Center, LLC

Operation of Physician-Owned, Single Specialty ASC

Site: 1000 Hawthorne Avenue, Suite V, Athens, GA 30606

Number of OR's: 1

Specialty: Obstetrics and gynecology

Project costs as submitted: $491,402.55

Request received: 6/23/2015

Contact Person: Joseph Ross, Partner 912-232-7182

Determination: Pending

LNR-ASC2015017 Apex Medical Surgery Center, LLC Physician-Owned, Single-Specialty ASC Site: 1075 Lafayette Parkway, Suite 100-200, LaGrange, 30241
8

Number of OR's: 1

Specialty: Pain Management

Project costs as submitted: $2,649,531.00

Request received: 7/20/2015

Contact Person: Davin Mitchell, MD 706-501-9789

Determination: Pending

LNR-ASC2015018 West Paces Surgery Center, LLC

Development of Single Specialty ASC

Site: 3200 Downwood Circle, Suite 400, Atlanta, GA 30327

Number of OR's: 2

Specialty: Orthopedic Surgery

Project costs as submitted: $2,503,922.00

Request received: 7/23/2015

Contact Person: David G. Carter, Attorney 404-872-5959

Determination: Pending

Requests for Miscellaneous Letters of Determination
DET2015051 North Fulton Medical Center, Inc. d/b/a North Fulton Hospital Annual Assessment of Therapeutic Cardiac Catheterization Exemption Request received: 5/1/2015 Contact Person: Deborah C. Keel, CEO 770-751-2515 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015053 Meadows Regional Medical Center, Inc. Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/1/2015 Contact Person: Travis Roose, Asst. VP, CV Srvcs 912-538-5572 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015054 Augusta Endoscopy Center, LLC Expansion of Existing Space Request received: 5/5/2015 Contact Person: Gayle R. Evans, Consultant 770-794-4944 Determination: Non-reviewable as proposed Determination Date: 7/16/2015
DET2015055 Mayo Clinic Health System in Waycross, Inc. f/k/a Satilla Health Services, Inc. Cardiac Catheterization Services Request received: 5/5/2015 Contact Person: Michael Deitschmann, Assoc Admin 912-287-2500 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015057 Emory University d/b/a Emory University Hospital Hospital Floor Renovation Request received: 5/6/2015 Contact Person: Jeffrey C. Baxter, Assoc General Counsel 404-727-4975 Determination: Pending
DET2015058 St. Mary's Health Care System, Inc. Renewal for Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/6/2015 Contact Person: Nina Evans, VP, Chief Nursing Officer 706-389-3947 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015059 Floyd Healthcare Mgmt, Inc. d/b/a Floyd Medical Center Continue Adult Cardiac Catheterization Request received: 5/11/2015 Contact Person: Stephen Weed, Director of Planning 706-509-3257 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015060 DeKalb Medical Center Continuation of Cardiac Cath Exemption Request received: 5/12/2015
9

Contact Person: Don Fears, Director, Regulatory Relations 404-501-5790 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015061 Perimeter Center for Outpatient Surgery, L.P. Sale of Interest in Ambulatory Surgery Center Request received: 5/13/2015 Contact Person: Bryant Smith, Sr, Dir., New Bus.Dev. 770-551-9944 Determination: Non-reviewable as proposed Determination Date: 7/17/2015
DET2015062 The Medical Center, Inc. d/b/a Midtown Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/13/2015 Contact Person: Allen Holladay, Dir, Suppt Srvcs 706-660-6194 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015063 Hamilton Medical Center Therapeutic Cardiac Cath Statutory Exemption Request received: 5/14/2015 Contact Person: Jeff Hughes, Director Cardiopulmonary 706-272-6120 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015064 Tanner Medical Center, Inc. Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2015 Contact Person: LaQuinta Grizzard, Dir, CV Srvcs 770-836-9221 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015065 Tanner Medical Center, Inc - Villa Rica Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2015 Contact Person: LaQuinta Grizzard, Dir, CV Srvcs 770-836-9221 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015066 Northside Hospital, Inc., d/b/a Northside Hospital -Forsyth Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2015 Contact Person: Brian Toporek, Senior Planner 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015067 Northside Hospital, Inc d/b/a Northside Hospital - Cherokee Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2015 Contact Person: Brian Toporek, Senior Planner 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015068 Northside Hospital, Inc d/b/a Northside Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2015 Contact Person: Brian Toporek, Senior Planner 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015069 Cartersville Medical Center, LLC d/b/a Cartersville Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2015 Contact Person: Lori Rakes, FACHE, COO 770-387-8161 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015070 Doctors Hospital of Augusta Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2015 Contact Person: Dan Beall 770-394-8465 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
10

DET2015071 Rockdale Hospital, LLC d/b/a Rockdale Medical Center Request for Therapeutic Cardiac Catheterization Exemption Request received: 5/14/2015 Contact Person: James Atkins, COO 770-918-3755 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015072 Fayette Community Hospital, Inc d/b/a Piedmont Fayette Hospital Annual Assessment of Therapeutic Cardiac Catheterization Exemption Request received: 5/14/2015 Contact Person: Mary McFarland, Sr. Dir, CV Srvcs 770-719-6799 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015073 Henry Medical Center, Inc. d/b/a Piedmont Henry Hospital Annual Assessment of Therapeutic Cardiac Catheterization Exemption Request received: 5/14/2015 Contact Person: Randy Greene, Director Business Dev 678-604-5413 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015074 Douglas Hospital, Inc. d/b/a WellStar Douglas Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2015 Contact Person: Stephen Vault, Director, Strategic Planning 678-331-6887 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015075 Cobb Hospital, Inc. d/b/a WellStar Cobb Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/14/2015 Contact Person: April Austin, Regulatory Planning 470-644-0057 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015076 East Georgia Regional Medical Center, LLC 2015 Renewal Application Therapeutic Cardiac Catheterization Services Request received: 5/15/2015 Contact Person: Robert Bigley, CEO 912-486-1185 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015077 Houston Hospitals, Inc d/b/a Houston Medical Center Request to Continue Cardiac Catheterization Program Request received: 5/15/2015 Contact Person: Cary Martin, CEO 478-542-7839 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015078 EHCA Johns Creek, LLC d/b/a Emory Johns Creek Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2015 Contact Person: Heather Redrick, CNO 678-474-7000 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015079 Southern Regional Health System, Inc. Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2015 Contact Person: John McLain, EVP/CEO 770-909-2597 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015080 Eastside Medical Center, LLC d/b/a Eastside Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2015 Contact Person: Callie Andrews, FACHE 770-736-2224 Determination: Non-reviewable as proposed Determination Date: 7/15/2015
DET2015083 Peachtree Spine & Pain Physicians ASC, LLC d/b/a Optimum Surgery Center Use & Ownership of a Physician-Owned Non-Invasive Pain Mgt Ctr Request received: 5/22/2015
11

Contact Person: Sarah Rochman, Associate 305-347-6566 Determination: Pending
DET2015084 The Orchard at Tucker, LLC Development of an Assisted Living Facility Request received: 5/27/2015 Contact Person: Arkadiy Yakubov, Managing Member 404-388-5871 Determination: Non-reviewable as proposed Determination Date: 6/30/2015
DET2015085 EC Martinez Operations, LLC Increase in Licensed Capacity for Assisted Living Community Request received: 5/28/2015 Contact Person: Robin Barber, VP 502-753-6004 Determination: Non-reviewable as proposed Determination Date: 6/30/2015
DET2015086 Roosevelt Warm Springs Specialty Hospitals, Inc. Upgrades to IT and Communications Systems Request received: 5/28/2015 Contact Person: Jennifer Smith, Asst VP, PDC 706-721-4551 Determination: Non-reviewable as proposed Determination Date: 7/7/2015
DET2015087 Roosevelt Warm Springs Specialty Hospitals, Inc. Renovations to Remedy Life Safety & Fire Code Related Issues Request received: 5/28/2015 Contact Person: Jennifer Smith, Asst VP, PDC 706-721-4551 Determination: Non-reviewable as proposed Determination Date: 7/7/2015
DET2015088 Roosevelt Warm Springs Specialty Hospitals, Inc. Capital Expenditure Below Threshold Request received: 5/28/2015 Contact Person: Jennifer Smith, Asst VP, PDC 706-721-4551 Determination: Pending
DET2015089 Roosevelt Warm Springs Specialty Hospitals, Inc. Renovations to Parking and Drive Way Areas Request received: 5/28/2015 Contact Person: Jennifer Smith, Asst VP, PDC 706-721-4551 Determination: Non-reviewable as proposed Determination Date: 7/7/2015
DET2015090 Roosevelt Warm Springs Specialty Hospitals, Inc. Remedy Americans w/ Dis Act Compliance & Infection Ctrl Issues Request received: 5/28/2015 Contact Person: Jennifer Smith, Asst VP, PDC 706-721-4551 Determination: Non-reviewable as proposed Determination Date: 7/7/2015
DET2015091 Kennestone Hospital, Inc. d/b/a WellStar Windy Hill Hospital Upgrade the Existing MRI Request received: 6/3/2015 Contact Person: April Austin, Regulatory Planning Coordinator 470-644Determination: Non-reviewable as proposed Determination Date: 7/10/2015
DET2015092 The Emory Clinic, Inc. Renovation of the ASC's Endoscopy Area Request received: 6/3/2015 Contact Person: W. Mike Mason, VP of Operations 404-778-5639 Determination: Non-reviewable as proposed Determination Date: 7/10/2015
DET2015093 The Hospital Authority of Valdosta - Lowndes County, Georgia Relocate Three (3) Shared Operating Rooms Request received: 6/4/2015 Contact Person: Randy Sauls, CEO 229-259-4102 Determination: Non-reviewable as proposed Determination Date: 7/7/2015
12

DET2015094 W.R. Retirement LLC, d/b/a Summer's Landing of Warner Robins Increased Capacity to Accommodate Couples Request received: 6/5/2015 Contact Person: Kim Pitsenbarger, Executive Director 478-328-3800 Determination: Non-reviewable as proposed Determination Date: 7/10/2015
DET2015095 Church Home Rehabilitation & Healthcare, LLC dba Church Home Addition of Patient Rooms & Other Space Request received: 6/8/2015 Contact Person: Elwood Collier, Treasurer 904-613-4156 Determination: Non-reviewable as proposed Determination Date: 7/14/2015
DET2015096 Tanner Medical Center, Inc. d/b/a Tanner Medical Center Villa Rica Central Energy Plant Improvements Request received: 6/12/2015 Contact Person: Chris Bell, Dir Facilities Dev 770-838-8434 Determination: Non-reviewable as proposed Determination Date: 7/21/2015
DET2015097 Hamilton Medical Center, Inc. Renovation of Medical/Surgical Nursing Unit Request received: 6/17/2015 Contact Person: Gary L. Howard, Senior VP & CFO 706-226-3003 Determination: Non-reviewable as proposed Determination Date: 7/23/2015
DET2015098 Piedmont Hospital, Inc. d/b/a Piedmont Atlanta Hospital Install Audio/Visual Equipment in Two Dedicated Inpatient ORs Request received: 6/19/2015 Contact Person: Ed Lovern, COO 404-605-5865 Determination: Pending
DET2015099 Piedmont Hospital, Inc. d/b/a Piedmont Atlanta Hospital Renovate Central Sterile Department Request received: 6/19/2015 Contact Person: Ed Lovern, COO 404-605-5865 Determination: Pending
DET2015100 Provident Group - Canton Cove Properties, LLC Construction of Assisted Living Community Request received: 6/19/2015 Contact Person: Debra W. Lockwood, President of Managing Member Determination: Non-reviewable as proposed Determination Date: 7/23/2015
DET2015101 Provident Group - Creekside Properties, LLC Construction of Assisted Living Community Request received: 6/19/2015 Contact Person: Debra W. Lockwood, President of Managing Member Determination: Non-reviewable as proposed Determination Date: 7/23/2015
DET2015102 Tanner Medical Center, Inc. Replace CON-Approved Diagnostic Imaging Equipment Request received: 6/19/2015 Contact Person: David Thornhill, Director of Medical Imaging 770-836Determination: Non-reviewable as proposed Determination Date: 7/24/2015
DET2015103 The Hospital Authority of Valdosta and Lowndes County, Georgia Consolidate All Emergency Services On To Main Campus Request received: 6/25/2015 Contact Person: Randy Sauls, CEO 229-259-4102 Determination: Pending
DET2015104 ISPM ASC at Covington, LLC Expansion of Ambulatory Surgery Center Request received: 7/2/2015
13

Contact Person: Victoria Beck, CFO 404-403-8310 Determination: Pending
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
DET2015106 Atlanta Heart Specialists, LLC Devel of Endovascular Treatment Ctr & Purchase & Use of a C-Arm Unit Request received: 7/6/2015 Contact Person: David H. Song, MD, FACC, Member 770-638-1400 Determination: Pending
DET2015107 Evans Care Group, LLC New Alzheimer's Special Care Center Request received: 7/8/2015 Contact Person: Charmene Hernandez, Finance Manager 360-254-9442 Determination: Pending
DET2015108 Saint Joseph's Hospital of Atlanta, Inc. Replacement of Cath Lab Request received: 7/8/2015 Contact Person: Heather Dexter, COO 678-843-4951 Determination: Pending
DET2015109 Saint Joseph's Hospital of Atlanta, Inc. Replacement of Interventional Radiology Lab w/ Relocated Eqpt Request received: 7/8/2015 Contact Person: Heather Dexter, COO 678-843-4951 Determination: Pending
DET2015110 The Aspire Hamilton Mill, LLC Development of an Assisted Living Community Request received: 7/13/2015 Contact Person: David R. Hink, Managing Partner 770-598-2616 Determination: Pending
DET2015111 Digestive Care Endoscopy, LLC Endoscopy Regulation Determination Request received: 7/14/2015 Contact Person: Dennis Williams, Practice Administrator 770-227-2222 Determination: Pending
DET2015112 Sunrise Johns Creek GA Senior Living, LLC Bed Capacity Change Only (No Construction Involved) Request received: 7/16/2015 Contact Person: Edward A. Frantz, VP & Secretary of Manager 703-273Determination: Pending
DET2015113 Doctors Hospital of Augusta, LLC dba Doctors Hospital of Augusta Develop a 4-bed Pediatric Intensive Care Unit (PICU) Request received: 7/17/2015 Contact Person: Chris Cosby, COO 706-651-6101 Determination: Pending
DET2015114 Northside Hospital, Inc. Capital Expenditure to Develop MOB Request received: 7/20/2015 Contact Person: Brian Toporek, Senior Planner 404-851-6821 Determination: Pending
14

DET2015115 Village Park of Alpharetta, LLC Development of Assisted Living Facility Request received: 7/21/2015 Contact Person: Tim Gary, Managing Member 678-776-7129 Determination: Pending
DET2015116 Fellowship Home of Nashville, Inc. Combine Two Licensed PCH's w/ 24 Beds Each Into One PCH w/ 48 Beds Request received: 7/21/2015 Contact Person: John LaHood, Owner 229-244-9200 Determination: Pending
DET2015117 Fairview Park, Limited Partnership dba Fairview Park Hospital Replacement of Operating Suite's Air Handling Units ("AHU") Request received: 7/23/2015 Contact Person: Ted Short, CFO 478-274-3103 Determination: Pending
DET2015118 Park Springs, LLC Add Assisted Living Beds Request received: 7/27/2015 Contact Person: Brian Thomas 678-684-3260 Determination: Pending

Requests for Extended Implementation/Effective Period

2011002 Open MRI & Imaging of Conyers, LLC

Replace MRI Scanner

Request to extend Effective Period

Site: 2287 Salem Road, Conyers (Rockdale County)

Project Approved: 7/1/2011

Request Received: 6/30/2015

Contact:, Per Normark, VP, General Counsel (678-992-7311)

Approved Cost: $2,468,827

Determination: Approved, 7/6/2015

Extended Completion Date: 5/30/2016

2013018 Athens Regional Medical Center Purchase Single Console da Vinci Si Robotic Surgery System Request to extend Effective Period Site: 1199 Prince Avenue, Athens (Clarke County) Project Approved: 8/23/2013 Request Received: 7/1/2015 Contact:, Jody J. Corry, VP & Corporate Counsel (706-475-1195) Approved Cost: $2,186,480 Determination: Denied, 7/10/2015

2014006 Heritage Healthcare of Savannah

Facility Renovation and Expansion with Expenditure Exceeding Threshold

Request to extend Effective Period

Site: 12825 White Bluff Road (Chatham)

Project Approved: 7/3/2014

Request Received: 7/13/2015

Contact:, Aneel Gill, Director, Health& Financial Planning

Approved Cost: $3,990,273

Determination: Approved, 7/14/2015

Extended Completion Date: 12/15/2015

2013018 Athens Regional Medical Center Purchase Single Console da Vinci Si Robotic Surgery System Request to extend Effective Period Site: 1199 Prince Avenue, Athens (Clarke County) Project Approved: 8/23/2013
15

Request Received: 7/22/2015 Contact:, Jody J. Corry, VP & Corporate Counsel (706-475-1195) Approved Cost: $2,186,480 Determination: Pending
Need Projection Analyses Updated 6/26/2015
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 2019 Ambulatory Surgery Center Services - 3/27/2015 2017 Home Health Agency Services - 3/27/2015 2019 Inpatient Physical Rehabilitation Services - 3/27/2015 2019 Neonatal Intensive Care Beds - 3/27/2015 2019 Neonatal Intermediate Care Beds - 3/27/2015 2019 Obstetric Services Beds - 3/27/2015 2017 Skilled Nursing Home Beds - 3/30/2015 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

16

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

Candler County Hospital Charlton Memorial Hospital Charlton Memorial Hospital Coastal Behavioral Health Coastal Harbor Treatment Center Columbus Specialty Hospital Columbus Specialty Hospital Doctor's Specialty Hospital (Columbus) East Central Regional Hospital - Augusta Campus Emory University Hospital at Wesley Woods 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 Greenleaf Center Greenleaf Center Gwinnett Medical Center Gwinnett Medical Center - Duluth Irwin County Hospital Irwin County Hospital Irwin County Hospital Jasper Memorial Hospital Kindred Hospital-Atlanta Lakeview Behavioral Health System Landmark Hospital of Savannah Memorial Hospital of Bainbridge Midtown Medical Center Mountain Lakes Medical Center Mountain Lakes Medical Center North Georgia Medical Center North Georgia Medical Center Northeast Georgia Medical Center Northside 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 Riverwoods Behavioral Health System 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

Candler Charlton Charlton Chatham Chatham Muscogee Muscogee Muscogee Richmond DeKalb Evans Fannin Chatham Chatham Chatham DeKalb DeKalb Lowndes Lowndes Gwinnett Gwinnett Irwin Irwin Irwin Jasper Fulton Gwinnett Chatham Decatur Muscogee Rabun Rabun Gilmer Gilmer Hall Muscogee Floyd Floyd Floyd Sumter Early Early Putnam Clayton Camden Clayton Clayton Clayton Clayton Thomas Franklin Meriwether Dade Wilkes
17

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

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

Youth Villages - Inner Harbour Campus Youth Villages - Inner Harbour Campus

Douglas Douglas

2013 2014

Annual Nursing Home Questionnaire (Survey Years 2012 thru 2014)

Agape Health & Rehab of Moultrie, LLC

Colquitt

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

Bryan County Health & Rehabilitation Center

Bryan

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

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

D Scott Hudgens Center For Skilled Nursing, The

Gwinnett

2014

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

Folkston Park

Charlton

2014

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

Glenn-Mor Nursing Home

Thomas

2012

Glenn-Mor Nursing Home

Thomas

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

18

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

Goodwill Nursing Home Inc Goodwill Nursing Home Inc Goodwill Nursing Home Inc Grace Healthcare Of Tucker Grace Healthcare Of Tucker Grace Healthcare Of Tucker Gracemore Nursing And Rehab Gracemore Nursing And Rehab Habersham Home 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 Kentwood Nursing Facility 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 Life Care Center Of Gwinnett Life Care Center of Lawrenceville Lumber City Nursing & Rehabilitation Center Magnolia Manor Of Columbus Nursing Center - West Magnolia Manor Of Columbus Nursing Center - West Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Marietta Manor Care Rehabilitation Center - Marietta Manor Care Rehabilitation Center - Marietta Medical Management Health And Rehabilitation Center Mitchell County Nursing Homes 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

Bibb Bibb Bibb DeKalb DeKalb DeKalb Glynn Glynn Habersham Hart Elbert Elbert Jackson Jackson Catoosa Catoosa Catoosa Twiggs Richmond Fayette Fayette Fayette Troup Troup Bibb Fulton Fulton Ben Hill Gwinnett Gwinnett Telfair Muscogee Muscogee DeKalb DeKalb DeKalb Cobb Cobb Cobb Bibb Mitchell Pike Elbert Elbert Gwinnett Gwinnett Gwinnett Floyd Floyd Floyd Chatham Baldwin Irwin Irwin

19

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

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

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 Porter Field Health & Rehabilitation Center, LLC 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 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 Southland Healthcare And Rehabilitation Center Tattnall Healthcare Center Thomson Health And Rehabilitation Tower Road Healthcare and Rehabilitation Center Twin Oaks Convalescent Center Vero Health and Rehab of Wadley Westminster Commons Westview Nursing & Rehabilitation Center Westview Nursing & Rehabilitation Center Willowwood Nursing Center Willowwood Nursing Center Woodlands Health Care

Irwin Fulton Baldwin Baldwin Baldwin Mitchell Baldwin Baldwin Baldwin Baldwin Baldwin Carroll Dooly Grady Richmond Bibb Upson Muscogee Muscogee Thomas Thomas Thomas Gwinnett Chatham Chatham Chatham Chatham Chatham Gwinnett Gwinnett Gwinnett Laurens Laurens Cobb Fulton Fulton Fulton Chatham Laurens Laurens Tattnall McDuffie Cobb Bacon Jefferson Fulton Chatham Chatham Hall Hall Liberty

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

Cardiac Catheterization Services Survey (Survey Years 2011 thru 2013)

Coffee Regional Medical Center

Coffee

2011

Hutcheson Medical Center

Catoosa

2010

20

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 9/20/2014 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 9/20/2014 9/20/2012 9/20/2013 9/20/2014 9/20/2014 9/20/2013 9/20/2014 9/20/2014 9/20/2014 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
7/13/2011 7/1/2011

Hutcheson Medical Center Newton Medical Center Piedmont Henry Hospital

Catoosa Newton Henry

2011 2012 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

Brunswick Pain Treatment Center, Llc

GLYNN

2013

Brunswick Pain Treatment Center, Llc

GLYNN

2014

Carpus Surgery Center

Cobb

2014

Carrollton Orthopaedic Surgery Center, Llc

CARROLL

2014

Center For Plastic Surgery

FULTON

2014

Center For Reconstructive Surgery

Fulton

2014

Center For Reconstructive Surgery

Fulton

2014

Children's Healthcare of Atlanta Surgery, Meridian Mark Fulton

2012

Clayton Cataract and Laser Surgery Center

Clayton

2013

Clayton Cataract and Laser Surgery Center

Clayton

2014

Coastal Empire Plastic Surgery

CHATHAM

2014

Coosa Procedure Center, Llc

FLOYD

2014

DeKalb Center for Foot and Ankle Surgery, LLC

DeKalb

2014

Dennis Surgery Center, INC

Fulton

2013

Dennis Surgery Center, INC

Fulton

2014

21

7/13/2011 7/19/2013 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 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

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 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

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 HALL HALL HALL GWINNETT GWINNETT FULTON Cherokee Chatham BULLOCH BULLOCH Henry FULTON FULTON FULTON Chatham

22

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

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 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

Peach State Surgical Centers, Inc

HOUSTON

Peach State Surgical Centers, Inc

HOUSTON

Peach State Surgical Centers, Inc

HOUSTON

Perimeter Surgery Center of Atlanta

Fulton

Perimeter Surgery Center of Atlanta

Fulton

Planned Parenthood Reproductive Health Services, Inc. Richmond

Planned Parenthood Reproductive Health Services, Inc. Richmond

Plastic & Reconstructive Surgery Center, Pc

RICHMOND

Plastic & Reconstructive Surgery Center, Pc

RICHMOND

Plastic Surgery Ctr Land, The

CHATHAM

Plastic Surgery Ctr Land, The

CHATHAM

Premier Surgery Center

Glynn

Renue Surgery Center of Waycross, LLC

Ware

Rome Endoscopy Ctr Inc, The

FLOYD

Rome Endoscopy Ctr Inc, The

FLOYD

Rome Endoscopy Ctr Inc, The

FLOYD

Rome Foot And Ankle Surgery Center

FLOYD

Rome Foot And Ankle Surgery Center

FLOYD

Rome Foot And Ankle Surgery Center

FLOYD

Rome Surgical Center, P C

FLOYD

Rome Surgical Center, P C

FLOYD

Samson Pain Center, Pc

CHEROKEE

Savannah Outpatient Foot and Ankle Surgery Center, LLC Chatham

Savannah Outpatient Foot and Ankle Surgery Center, LLC Chatham

Schulze Surgery Center, Inc.

Chatham

Seaside Surgical, Llc

GLYNN

Skin Cancer Specialists Surgery Center

Cobb

South Georgia Endoscopy Center

WARE

South Georgia Surgery Center (Brunswick)

GLYNN

Southeast Treatment Center, Llc

CAMDEN

Southeast Treatment Center, Llc

CAMDEN

Southeastern Pain Ambulatory Surgery Center, Llc

FULTON

Southern Crescent Plastic Surg

HENRY

Summerville Surgical Center

Richmond

Surgery Center of Athens

Clarke

The Graivier Center

FULTON

Tiftarea Endoscopy Center, Inc

TIFT

Tiftarea Endoscopy Center, Inc

TIFT

Urology Associates Surgery Center, Llc

COBB

Urology Center Of Georgia Llc

BIBB

Urology Institute Asc, The

THOMAS

Urology Institute Asc, The

THOMAS

Urology Specialists Surgery Center

Bibb

Urology Surgery Center of Albany

Dougherty

Urology Surgery Center of Albany

Dougherty

Urology Surgery Center Of Savannah, Lp

CHATHAM

Valdosta Foot & Ankle Surgery

LOWNDES

Valdosta Foot & Ankle Surgery

LOWNDES

Valdosta Foot & Ankle Surgery

LOWNDES

West Georgia Endoscopy Center, Llc

CARROLL

West Paces Ambulatory Surgical Center, LLC

FULTON

West Paces Ambulatory Surgical Center, LLC

FULTON

West Paces Ambulatory Surgical Center, LLC

FULTON

23

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

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 3/6/2015 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 3/6/2015 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 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

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

Phoebe Home Care

Dougherty

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 2014 2012 2013

Hospital Financial Survey (Survey Years 2011 thru 2013)

Bacon County Hospital

Bacon

Candler County Hospital

Candler

Charlton Memorial Hospital

Charlton

Charlton Memorial Hospital

Charlton

Elbert Memorial Hospital

Elbert

Emory Rehabilitation Hospital

DeKalb

Landmark Hospital of Athens

Clarke

Mountain Lakes Medical Center

Rabun

Mountain Lakes Medical Center

Rabun

Mountain Lakes Medical Center

Rabun

Pioneer Community Hospital of Early

Early

Riverwoods Behavioral Health System

Clayton

Youth Villages - Inner Harbour Campus

Douglas

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

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

Gwinnett Medical Center

Gwinnett

2010

Gwinnett Medical Center

Gwinnett

2011

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

Gwinnett Medical Center

Gwinnett

2014

Midtown Medical Center

Muscogee

2014

Northeast Georgia Medical Center

Hall

2014

Piedmont Hospital

Fulton

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)

Athens Regional Medical Center

Clarke

2014

Gwinnett County Radiation Oncology Center-Lawrenceville

Gwinnett

Gwinnett County Radiation Therapy Center-Snellville

Gwinnett

2014

Hutcheson Medical Center

Catoosa
24

2012

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 3/6/2015 3/15/2013 3/14/2014
7/31/2014 7/31/2014 7/13/2012 7/26/2013 7/31/2014 7/31/2014 7/31/2014 7/13/2012 7/26/2013 7/31/2014 7/31/2014 7/31/2014 7/31/2014
7/1/2011 7/13/2011
5/15/2015 5/17/2013 5/15/2015 5/15/2015 5/15/2015 5/15/2015 5/15/2015
5/16/2014
5/15/2015 2014 5/15/2015
5/15/2015 5/17/2013

Hutcheson Medical Center Hutcheson Medical Center Meadows Regional Cancer Center Midtown Medical Center Newton County Radiation Therapy Center Northeast Georgia Cancer Care Northeast Georgia Medical Center Northeast Georgia MC - Toccoa Cancer Center Oconee Regional Cancer Center Phoebe Putney Memorial Hospital Piedmont Fayette Hospital Radiotherapy Clinics of Georgia - Decatur Rockdale County Radiation Therapy Center Satilla Regional Cancer Treatment Center South Georgia Center for Cancer Care South Georgia Center for Cancer Care Southeastern Regional Medical Center, Inc Vantage Oncology Cancer Center at Lawrenceville Vantage Oncology Center at Blairsville

Catoosa Catoosa Toombs Muscogee Newton Clarke Hall Stephens Laurens Dougherty Fayette DeKalb Rockdale Ware Bulloch Bulloch Coweta Gwinnett Union

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

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 5/15/2015 5/15/2015 5/16/2014 5/15/2015 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 Advanced Urology Surgery Center Asuch Surgery Center Athens Orthopedic Clinic Ambulatory Surg Ctr, Llc Atlanta General and Bariatric Surgery Center Braselton Endoscopy Center Brookstone Ambulatory Surgery Center Brookstone Surgical Center, LLC CPMSC Canton Emory Aesthetic Center Emory Orthopaedic and Spine Physiatry Outpatient Surgery Center Foot Surgery Center, The GA Urology, PA Cobb Ambulatory Surgery Center Gainesville Surgery Center Georgia Endoscopy Center, LLC Georgia Neurosurgical Institute Outpatient Surgery Center, LLC
Georgia Spine Surgery Center, LLC Interventional Spine and Pain Management Ambulatory Surgical Center
Orthocare Surgery Center, LLC Peachtree Orthopaedic Surgery Cntr at Perimeter, LLC Piedmont Surgery Center Premier Ambulatory Surgical Center, LLC Salubrious ASC 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

County Gwinnett Cobb Clarke Fulton Hall Muscogee MUSCOGEE Cherokee FULTON DeKalb

Year 2014 2014 2014 2014 2014 2014 2013 2014 2014 2014

COBB COBB Hall Fulton BIBB

2014 2014 2014 2014 2014

CLARKE Rockdale

2013 2013

DOUGHERTY Fulton BIBB Cobb Cherokee Chatham Chatham Henry Chatham FAYETTE

2014 2013 2014 2013 2014 2012 2013 2014 2014 2014

25

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 82,584.45 Ambulatory Surgery Center 359,128.96 Ambulatory Surgery Center

379.40 14,433.70 1,124,417.48 119,783.32 320,223.20

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

54,819.40 Ambulatory Surgery Center 70,825.83 Ambulatory Surgery Center

58,758.00 69,461.86 120,520.03 215,151.02
43.56 29,475.08
4,838.07 7,908.44 48,863.94 240,290.82

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

Southlake Ambulatory Surgery Center, LLP Specialty Surgery Center, Inc. Summerville Surgical Center Surgery Center of Athens Surgery Center, LLC, The The Emory Clinic - LaGrange Surgery Center Thomasville Surgery Center Urology Specialists Surgery Center Amedisys Home Health of Covington Amedisys Home Health of Macon Amedisys Home Health of Valdosta Amicita Home Health, LLC AseraCare Home Health Camellia Home Health Camellia Home Health Careone Home Health Services, Inc. (Toombs) 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 Central Home Health, Douglasville Charlton Visiting Nurses Services Community Home Health, an Amedisys Company 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 Staff Builders Home Health 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

Clayton FULTON Richmond Clarke Muscogee Troup Thomas Bibb Newton Bibb Lowndes Oconee Fulton Cobb Cobb Toombs Hall Hall Muscogee Hall Bibb Elbert Elbert Elbert Douglas Brantley Cherokee McDuffie Floyd Muscogee Decatur Bulloch Fayette Forsyth Fulton Chatham Fulton Oconee Oconee Hall Hall Fulton Fulton Fulton Chatham Columbia Gwinnett Bibb Gwinnett Cobb Newton Fulton Cobb Chatham Hall Clayton Clayton Hall

2014 2012 2013 2014 2014 2014 2014 2014 2014 2014 2014 2014 2013 2013 2014 2014 2012 2013 2014 2014 2014 2012 2013 2014 2014 2013 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2013 2014 2013 2014 2013 2014 2014 2014 2014 2014 2014 2014 2013 2014 2014 2014 2014 2013 2013 2014 2014
26

124,001.71 46,920.00 4,045.83 6,615.24 18,107.52 47,469.18
200,786.91 188,646.10
34,070.26 120,359.85
13,111.20 4,271.98
14,681.28 25,442.30 15,026.90 25,925.84 49,006.35 44,575.36
2,574.95 53,200.53
428.24 77,385.84 64,908.83 113,915.83 201,618.04
9,333.37 23,634.87
4,625.56 52,951.40
8,157.38 45,866.53 60,716.91 101,368.76 33,814.44 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 4,844.11 1,742.04 10,525.87 18,318.91 7,657.33 7,253.38 74,146.35 181,929.09 94,213.20 66,820.43

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 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

Tugaloo Home Health Agency - Gainesville Tugaloo Home Health Agency - Lavonia 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

Hall Franklin Gwinnett Hall Hall Catoosa Catoosa Chatham Chatham Greene

2014 2014 2014 2013 2014 2013 2014 2013 2014 2014

148,069.29 94,692.33 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 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 6/30/2015 on DCH Website
Summer Batching Review Cycle Notifications

PET
Mega Voltage Radiation Therapy
Pediatric Cath/Open Heart

Adult Open Heart
Psych/Substance Abuse
Birthing Centers

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

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

Batching Notice
(June 30 , 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
SPRING CYCLE

Batching Notice
(March 31, 2015)

Application

Day

(application

complete when submitted;

75th Day

review cycle

(applicant

begins same

provides

day)

additional

(May 30, 2015: Applications due by

information)

12noon on Rollover Day, June 1, 2015) (August 12, 2015)

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

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

Letter of Intent
(April 30, 2015)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(July 28, 2015)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(August 27, 2015)

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

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.
Open Record Requests
Requests for documents or other information can be obtained using the Open Record Request form found at the following: http://dch.georgia.gov/health-planning-publications-and-data-resources The ORR Form found there can be emailed to HealthPlanningInfo@dch.ga.gov
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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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