Certificate-of-need tracking and appeals report [Aug. 12-18, 2015]

Use the links below for easy navigation

Letters of Intent Batching 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Recently Approved Applications Recently Denied Applications Withdrawn Applications Appealed Determinations Appealed LNRs Appealed CON Projects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

August 12, 2015 August 18, 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

LOI2015041 Houston Medical Center

Expansion and Renovation of Laboratory Department

Received: 8/12/2015

Application must be submitted on: 9/11/2015

Site: 1601 Watson Blvd, Warner Robins, GA 31093 (Houston County)

Estimated Cost: $5,900,000

Letters of Intent Summer Batching
Megavoltage Radiation Therapy

LOI2015039 Northside Hospital - Atlanta

Expand Hospital-Based Radiation Therapy Services - Batching

Received: 7/30/2015

Application must be submitted on: 8/31/2015 (by 12 noon)

Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County)

Estimated Cost: $18,000,000

LOI2015040 Piedmont Hospital, Inc.

Develop a New Non-Special Purpose MRT Service - Batching

Received: 7/30/2015

Application must be submitted on: 8/31/2015 (by 12 noon))

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

Estimated Cost: $8,933,408

Positron Emission Tomography Services

LOI2015031 Central Georgia PET, LLC

Addition of Second PET/CT Unit - Batching

Received: 7/30/2015

Application must be submitted on: 8/31/2015 (by 12 noon)

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

Estimated Cost: $2,400,000

LOI2015032 Effingham Health System

CON for Mobile PET Scan Service - Batching

Received: 7/30/2015

Application must be submitted on: 8/31/2015 (by 12 noon)

Site: 459 Hwy 119 South, Springfield, GA 31329 (Effingham County)

Estimated Cost: $15,000

Psychiatric and Substance Abuse Services

LOI2015033 John D. Archbold Memorial Hospital

Reestablish Inpatient Adolescent Psychiatric Program w/ Ten (10) Beds - Batching

Received: 7/30/2015

Application must be submitted on: 8/31/2015 (by 12 noon)

Site: 915 Gordon Avenue, Thomasville, GA 31792 (Thomas County)

Estimated Cost: $50,000

LOI2015034 Veritas Collaborative Georgia, LLC

Establish New Freestanding 50-Bed Acute Care Psychiatric Hospital - Batching

Received: 7/30/2015

Application must be submitted on: 8/31/2015 (by 12 noon)

Site: 1150 Lake Hearn Drive, Atlanta, GA 30342 (Fulton County)

Estimated Cost: $20,000,000

LOI2015035 Greenleaf Center, LLC Add 40 Adult Psychiatric/Substance Beds Batching Received: 7/30/2015 Application must be submitted on: 8/31/2015 (by 12 noon) Site: 2209 Pineview Drive, Valdosta, GA 31602 (Lowndes County) Estimated Cost: $9,516,913
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LOI2015036 Lighthouse Care Center of Augusta

Expand Existing 14-Bed Pediatric Acute Inpatient Psychiatric Unit - Batching

Received: 7/30/2015

Application must be submitted on: 8/31/2015 (by 12 noon)

Site: 3100 Perimeter Parkway, Augusta, GA 30909 (Richmond County)

Estimated Cost: $1,500,000

LOI2015037 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

Received: 7/30/2015

Application must be submitted on: 8/31/2015 (by 12 noon)

Site: 3500 Riverside Drive, Macon, GA 31210 (Bibb County)

Estimated Cost: $3,000,000

LOI2015038 Dorminy Medical Center

Convert 12 Existing Beds Into 12 Adult Acute Psychiatric Beds - Batching

Received: 7/30/2015

Application must be submitted on: 8/31/2015 (by 12 noon)

Site: 200 Perry House Road, PO Box 1447, Fitzgerald, GA 31750 (Ben Hill County)

Estimated Cost: $1,500,000

Expired Letters of Intent
none

New CON Applications
2015-025 Tanner Medical Center - Higgins General Hospital Capital Expenditures to Renovate Surgical Services Filed: 8/14/2015 Site: 200 Allen Memorial Drive, Bremen, GA 30110 (Haralson County) Contact: Chris Bell, Director, Facilities Dev. 770-838-8434 Estimated Cost: $8,453,000

Pending Review/Incomplete Applications

2015-022 Regency Hospital of South Atlanta

Relocation of Regency Hospital of South Atlanta

Filed: 7/27/2015 Deemed Incomplete: 8/10/2015

Site: 1170 Cleveland Avenue, East Point, GA 30344 (Fulton County)

Contact: Brian Williams, VP Business Development 404-304-5061

Estimated Cost:

$4,114,159

Pending Review/Complete Applications
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
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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
2015-015 Cartersville Medical Center
Expansion and Renovation of Intensive Care Unit Filed: 5/14/2015 Deemed Incomplete: 5/29/2015 Deemed Complete: 8/5/2015 60th Day Deadline: 10/3/2015 Decision Deadline: 12/2/2015 Site: 960 Joe Frank Harris Parkway, Cartersville, GA 30120 (Bartow County) Contact: Lori Rakes, Chief Operating Officer 770-387-8181 Estimated Cost: $4,698,472
2015-016 Premier Orthopedics Surgicenter, LLC (Opposition Filed)
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 (Opposition Filed)
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) 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.

(Opposition Filed)

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

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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
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
Recently Approved 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 APPROVED: 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
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 APPROVED: 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
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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 APPROVED: 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
Recently Denied Applications
none
CON Applications Withdrawn by Applicant
none
Appealed Determinations
none
Appealed LNRs
LNR-EQT2013025 Medical Center of Central Georgia Monroe Requested Letter of Non-Reviewability ("LNR") with regard to the acquisition of certain diagnostic equipment, 8/1/2013. The Department issued LNR, 12/11/2013. Hospital Authority of Monroe County Hospital ("MCH") filed a request for Administrative Appeal Hearing, 1/10/2014. Hearing Officer: Melvin M. Goldstein, Esq. Administrative Hearing Date: 11/3/2014 to 11/5/2014, 5th Floor. MCCG granted Summary Adjudication and MCH's Motion to Compel discovery need not be determined in the matter, 11/5/2014. Hospital Authority of Monroe County requested Commissioner Review, 12/5/20214. Commissioner affirms 11/5/2014 Hearing Officer Decision, 12/30/2014. Hospital Authority of Monroe County filed Petition for Judicial Review with the Clerk of the Superior Court of Monroe County, 1/28/2015. Superior Court reversed the Department's grant of a letter of non-reviewability to MCCG, 08/11/2015.
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.
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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 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. HealthSouth filed request for Commissioner Review, 8/13/2015. Commissioner Review Decision: Pending
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: William C. Joy, Esq. Hearing Date: 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: Approved

Determination Date: 7/30/2015

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 Opposition: American Health Imaging, Inc.- 7/31/2015
LNR-EQT2015020 AICA Ortho Spine, LLC Operational Lease of Mobile MRI Request received: 7/17/2015 Contact Person: Joyce Poag, MD 678-819-9500 Determination: 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

LNR-EQT2015023 MedNow Urgent Care Purchase of Fixed CT Scanner Request received: 7/28/2015 Contact Person: Destiny Biggs, Practice Manager 706-922-3669 Determination: Pending

LNR-EQT2015024 Urological Associates of Savannah, P.C. Purchase of Fixed CT Scanner Request received: 8/5/2015 Contact Person: Dawn Garrett, Administrator 912-790-4000 Determination: Pending

8

LNR-EQT2015025 Mayo Clinic Health System in Waycross Purchase of Fixed CT Scanner Request received: 8/13/2015 Contact Person: Cheryl Croft, Associate Administrator 912-287-2500 Determination: Pending
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

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

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: Approved

Determination Date: 7/29/2015

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: Approved

Determination Date: 8/5/2015

LNR-ASC2015017 Apex Medical Surgery Center, LLC

Physician-Owned, Single-Specialty ASC

Site: 1075 Lafayette Parkway, Suite 100-200, LaGrange, 30241

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

LNR-ASC2015019 Pain Consultants at Piedmont, LLC

Physician-Owned, Single Specialty ASC

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

Number of OR's: 2

Specialty: Pain Management

Project costs as submitted: $1,226,579.63

Request received: 8/13/2015

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

Determination: Pending

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Requests for Miscellaneous Letters of Determination
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

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

Contact Person: Sarah Rochman, Associate 305-347-6566

Determination: Denied

Determination Date: 8/4/2015

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

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: Non-reviewable as proposed Determination Date: 7/29/2015

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: Non-reviewable as proposed Determination Date: 7/29/2015
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

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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: Non-reviewable as proposed Determination Date: 7/31/2015
DET2015104 ISPM ASC at Covington, LLC Expansion of Ambulatory Surgery Center Request received: 7/2/2015 Contact Person: Victoria Beck, CFO 404-403-8310 Determination: Non-reviewable as proposed Determination Date: 8/5/2015
DET2015105 Eastside Medical Center, LLC dba Eastside Medical Center Expand Emergency Department Services Request received: 7/2/2015 Contact Person: Callie Andrews, FACHE, COO 770-736-2224 Determination: Pending Opposition: DeKalb Medical Center, Inc.- 8/3/2015
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: Non-reviewable as proposed Determination Date: 8/12/2015
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: Non-reviewable as proposed Determination Date: 8/11/2015
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: Non-reviewable as proposed Determination Date: 8/12/2015
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: Non-reviewable as proposed Determination Date: 8/12/2015
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: Non-reviewable as proposed Determination Date: 8/17/2015
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
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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
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
DET2015119 Roosevelt Warm Springs Specialty Hospitals, Inc. Capital Expenditure Below Threshold Request received: 7/30/2015 Contact Person: Jennifer Smith, Assistant VP, Planning, Design & Determination: Pending
DET2015120 Emory University d/b/a Emory University Hospital Midtown Replacement of Electrophysiology Equipment Request received: 7/30/2015 Contact Person: Toni Wimby, Associate Administrator 404-686-2809 Determination: Pending
DET2015121 Amedisys Georgia, LLC d/b/a Amedisys Home Health of Macon Home Health Transfer of Peach, Houston, Crisp, Dooly & Wilcox Counties Request received: 7/31/2015 Contact Person: Paula Vinson, Regulatory Director 225-299-3548 Determination: Pending
DET2015122 Cobb Hospital, Inc. d/b/a WellStar Cobb Hospital Change in Physical Location Request received: 8/3/2015 Contact Person: April Austin, Regulatory Planning Coordinator 470-644Determination: Pending
DET2015123 Solomon Holdings I - The Triangle, LLC Bed Capacity Change PCH (No Construction Involved) Request received: 8/10/2015 Contact Person: Alfred S. Holbrook III, Chief Manager 678-566-0034 Determination: Pending
12

DET2015124 Prime Care One, LLC Bed Capacity Change PCH (No Construction Involved) Request received: 8/10/2015 Contact Person: Jay L. Hicks, President 317-630-3156 Determination: Pending
DET2015125 Brow Wood Assisted Living Tenant, LLC Development & Construction of a 70 Unit Assisted Living Facility Request received: 8/10/2015 Contact Person: Jeramy Ragsdale, Principal 404-909-8016 Determination: Pending
DET2015126 TMC Atlanta Operations, LLC Assisted Living Community for Private Pay Residents Request received: 8/12/2015 Contact Person: Kevin DiBona, CEO of Member 757-362-3300 Determination: Pending
DET2015127 Harbin Clinic GI, LLC Endoscopy Exemption Request received: 8/12/2015 Contact Person: Kenna Stock, Executive Director 706-236-6347 Determination: Pending
DET2015128 Kennestone Hospital, Inc. d/b/a WellStar Kennestone Hospital Replacement of Existing CON-Approved Cardiac Cath Lab Equipment Request received: 8/12/2015 Contact Person: April Austin, Regulatory Planning Coordinator 470-644Determination: Pending
DET2015129 Kennestone Hospital, Inc. d/b/a WellStar Kennestone Hospital Replacement of CON-Approved Cardiac Cath Lab Equipment Request received: 8/12/2015 Contact Person: April Austin, Regulatory Planning Coordinator 470-644Determination: Pending
DET2015130 Kennestone Hospital, Inc. d/b/a WellStar Kennestone Hospital Replacement of Existing CON-Grandfathered Cardiac Cath Lab Equipment Request received: 8/12/2015 Contact Person: April Austin, Regulatory Planning Coordinator 470-644Determination: Pending
DET2015131 Kennestone Hospital, Inc. d/b/a WellStar Kennestone Hospital Replacement of CON-Approved EP Lab Equipment Request received: 8/12/2015 Contact Person: April Austin, Regulatory Planning Coordinator 470-644Determination: Pending
DET2015132 Kennestone Hospital, Inc. d/b/a WellStar Kennestone Hospital CON-Approved Electrophysiology (EP) Lab Equipment Replacement Request received: 8/12/2015 Contact Person: April Austin, Regulatory Planning Coordinator 470-644Determination: Pending
DET2015133 Hospital Authority of Tift County d/b/a Tift Regional Medical Center Relocation of a Rural Healthcare Facility within the Same County Request received: 8/13/2015 Contact Person: Michael Purvis, CEO 229-896-8077 Determination: Pending
13

Requests for Extended Implementation/Effective Period

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: 7/22/2015

Contact:, Jody J. Corry, VP & Corporate Counsel (706-475-1195)

Approved Cost: $2,186,480

Determination: Approved, 8/13/2015

Extended Completion Date: 02/28/2016

2014016 University Health Services

Renovation of 9th Floor Patient Rooms for Orthopedic Services

Request to extend Effective Period

Site: 1350 Walton Way, Augusta (Richmond County)

Project Approved: 8/18/2014

Request Received: 7/30/2015

Contact:, John W. Kelley, Jr., Director of Projects (706-774-2561)

Approved Cost: $8,360,987

Determination: Approved, 8/13/2015

Extended Completion Date: 10/31/2015

2014015 Shepherd Center

Renovation and Equipment Purchase Exceeding Capital Expenditure Threshold

Request to extend Implementation Period

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

Project Approved: 8/29/2014

Request Received: 8/4/2015

Contact:, Gary Ulicny, President/CEO (404-350-7311)

Approved Cost: $12,763,309

Determination: Approved, 8/13/2015

Extended Implementation Date: 12/29/2015

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
14

Note: Short Stay Hospital Bed Need Projections are facility-specific and completed by DCH on an ad hoc basis upon request.

Non-Filed or Incomplete Office of Health Planning Facility Surveys for Most Recent 3 Years
Survey Completion Status - Survey completion status represents the status of survey filings as of the effective date indicated in each version of the Tracking Report. Surveys filed on the effective date may not be reflected as complete and may be reported as delinquent. Please contact the staff contact indicated in the instruction materials associated with each survey if your facility has filed its survey but continues to be reflected as incomplete.

Facility Name

County

Survey Year

Annual Hospital Questionnaire and Addenda (Survey Years 2012 thru 2014)

Athens Regional Medical Center

Clarke

2014

Bacon County Hospital

Bacon

2012

Bacon County Hospital

Bacon

2013

Bacon County Hospital

Bacon

2014

Barrow Regional Medical Center

Barrow

2014

Bleckley Memorial Hospital

Bleckley

2014

Burke Medical Center

Burke

2012

Calhoun Memorial Hospital

Calhoun

2012

Candler County Hospital

Candler

2012

Candler County Hospital

Candler

2013

Candler County Hospital

Candler

2014

Charlton Memorial Hospital

Charlton

2012

Charlton Memorial Hospital

Charlton

2014

Coastal Behavioral Health

Chatham

2014

Coastal Harbor Treatment Center

Chatham

2014

Columbus Specialty Hospital

Muscogee

2013

Columbus Specialty Hospital

Muscogee

2014

Doctor's Specialty Hospital (Columbus)

Muscogee

2014

East Central Regional Hospital - Augusta Campus

Richmond

2014

Emory University Hospital at Wesley Woods

DeKalb

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

Greenleaf Center

Lowndes

2013

Greenleaf Center

Lowndes

2014

Gwinnett Medical Center

Gwinnett

2014

Gwinnett Medical Center - Duluth

Gwinnett

2014

Irwin County Hospital

Irwin

2012

Irwin County Hospital

Irwin

2013

Irwin County Hospital

Irwin

2014

Jasper Memorial Hospital

Jasper

2014

Kindred Hospital-Atlanta

Fulton

2013

Lakeview Behavioral Health System

Gwinnett

2014

Landmark Hospital of Savannah

Chatham

2014

Memorial Hospital of Bainbridge

Decatur

2014

15

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

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

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 Douglas Douglas

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 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

16

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 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

D Scott Hudgens Center For Skilled Nursing, The Dade Health And Rehab Eastview Nursing Center Eastview Nursing Center Eastview Nursing Center Etowah Landing Etowah Landing Etowah Landing Care And Rehabilitation Center Evergreen Health and Rehabiliation Center Folkston Park Fountainview Center For Alzheimer's Disease, The Fox Glove Center Ga Regional Atlanta LTC Georgia Regional Atlanta ICF/MR Georgia Regional Atlanta ICF/MR Georgia Regional Atlanta ICF/MR Gilmer Nursing Home Gilmer Nursing Home Glenn-Mor Nursing Home Glenn-Mor Nursing Home Golden Living Center - Dunwoody Golden Living Center - Dunwoody Golden Living Center - Dunwoody Golden LivingCenter - Glenwood Golden LivingCenter - Glenwood Goodwill Nursing Home Inc Goodwill Nursing Home Inc Goodwill Nursing Home Inc Grace Healthcare Of Tucker Grace Healthcare Of Tucker Grace Healthcare Of Tucker 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

Gwinnett Dade Bibb Bibb Bibb Floyd Floyd Floyd Floyd Charlton DeKalb Fulton DeKalb DeKalb DeKalb DeKalb Gilmer Gilmer Thomas Thomas Fulton Fulton Fulton DeKalb DeKalb 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

17

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

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 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

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 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

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 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

18

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 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

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 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

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

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

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

Hutcheson Medical Center

Catoosa

2011

Newton Medical Center

Newton

2012

Piedmont Henry Hospital

Henry

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
19

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 9/20/2014 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
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

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

20

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

21

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

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

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
22

2014 2014 2012 2013 2013 2014 2013 2012 2012 2013 2013 2013 2014 2013 2012 2013 2014 2013 2012 2013 2014
2013 2014 2012 2013 2014 2014 2012 2013 2014 2012 2013 2014 2014 2014 2014 2014 2014 2012 2013
2013 2013 2011 2012 2013 2013 2013 2011 2012 2013 2013 2013

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 3/6/2015
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

Youth Villages - Inner Harbour Campus

Douglas

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

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

2012

Hutcheson Medical Center

Catoosa

2013

Hutcheson Medical Center

Catoosa

2014

Meadows Regional Cancer Center

Toombs

2013

Midtown Medical Center

Muscogee

2014

Newton County Radiation Therapy Center

Newton

2014

Northeast Georgia Cancer Care

Clarke

2014

Northeast Georgia Medical Center

Hall

2014

Northeast Georgia Medical Center - Toccoa Cancer Center

Stephens

Oconee Regional Cancer Center

Laurens

2014

Phoebe Putney Memorial Hospital

Dougherty

2014

Piedmont Fayette Hospital

Fayette

2014

Radiotherapy Clinics of Georgia - Decatur

DeKalb

2014

Rockdale County Radiation Therapy Center

Rockdale

2014

Satilla Regional Cancer Treatment Center

Ware

2014

South Georgia Center for Cancer Care

Bulloch

2013

South Georgia Center for Cancer Care

Bulloch

2014

Southeastern Regional Medical Center, Inc

Coweta

2014

Vantage Oncology Cancer Center at Lawrenceville

Gwinnett

2014

Vantage Oncology Center at Blairsville

Union

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

County Gwinnett Cobb Clarke Fulton Hall Muscogee MUSCOGEE

Year 2014 2014 2014 2014 2014 2014 2013

23

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

CPMSC Canton

Cherokee

Emory Aesthetic Center

FULTON

Emory Orthopaedic and Spine Physiatry Outpatient Surgery Center

DeKalb

Foot Surgery Center, The

COBB

GA Urology, PA Cobb Ambulatory Surgery Center

COBB

Gainesville Surgery Center

Hall

Georgia Endoscopy Center, LLC

Fulton

Georgia Neurosurgical Institute Outpatient Surgery Center, LLC

BIBB

Georgia Spine Surgery Center, LLC

CLARKE

Interventional Spine and Pain Management Ambulatory Rockdale Surgical Center

Orthocare Surgery Center, LLC

DOUGHERTY

Peachtree Orthopaedic Surgery Center at Perimeter, LLC Fulton

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

Piedmont Surgery Center

BIBB

Premier Ambulatory Surgical Center, LLC

Cobb

Salubrious ASC

Cherokee

Savannah Outpatient Foot and Ankle Surgery Center, LLCChatham

2014 2013 2014 2014

Savannah Outpatient Foot and Ankle Surgery Center, LLCChatham

2014

Savannah Outpatient Foot and Ankle Surgery Center, LLCChatham

2014

Savannah Outpatient Foot and Ankle Surgery Center, LLCChatham

2014

Savannah Outpatient Foot and Ankle Surgery Center, LLCChatham

2014

Savannah Outpatient Foot and Ankle Surgery Center, LLCChatham

2014

Savannah Outpatient Foot and Ankle Surgery Center, LLCChatham

2014

Savannah Outpatient Foot and Ankle Surgery Center, LLCChatham

2014

Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. South Atlanta Ambulatory Surgical Center Southeast Spine Care and Pain Management Southern Orthopaedic Surg Ctr Of Fayetteville, Llc Southlake Ambulatory Surgery Center, LLP Specialty Surgery Center, Inc. Summerville Surgical Center Surgery Center of Athens Surgery Center, LLC, The 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

Chatham Chatham Henry Chatham FAYETTE Clayton FULTON Richmond Clarke Muscogee Troup Thomas Bibb Newton Bibb Lowndes Oconee Fulton Cobb Cobb Toombs Hall Hall Hall Muscogee Bibb

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

24

39,426.60 82,584.45 359,128.96

Ambulatory Surgery Center Ambulatory Surgery Center 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 Ambulatory Surgery Center 69,461.86 Ambulatory Surgery Center

120,520.03 215,151.02
43.56 2,659.17

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

2,659.17 Ambulatory Surgery Center

2,659.17 Ambulatory Surgery Center

2,659.17 Ambulatory Surgery Center

2,659.17 Ambulatory Surgery Center

2,659.17 Ambulatory Surgery Center

2,659.17 Ambulatory Surgery Center

2,659.17 Ambulatory Surgery Center

29,475.08 4,838.07 7,908.44
48,863.94 240,290.82 124,001.71
46,920.00 4,045.83 6,615.24
18,107.52 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 53,200.53
2,574.95 428.24

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 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

Caresouth Homecare Professionals - Washington Caresouth Homecare Professionals - Washington Caresouth Homecare Professionals - Washington Central Home Health Health, Douglasville, an Amedisys Company 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 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

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

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 2014 2014 2014 2013 2014 2013 2014 2013 2014 2014

77,385.84 64,908.83 113,915.83 201,618.04

Home Health Agency Home Health Agency Home Health Agency Home Health Agency

9,333.37 23,634.87
4,625.56 52,951.40 60,716.91 45,866.53 101,368.76 33,814.44
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 4,844.11 1,742.04 10,525.87 7,657.33 18,318.91 7,253.38 181,929.09 74,146.35 94,213.20 66,820.43 148,069.29 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 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 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 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
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)

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.
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
32

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