Certificate-of-need tracking and appeals report [Sept. 28-Oct. 4, 2016]

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Letters of Intent Expired Letters of Intent
New CON Applications Withdrawn CON Applications

Pending Review/Incomplete Applications Pending Review/Complete Applications Recently Approved Applications Recently Denied Applications Appealed Determinations Appealed LNRs Appealed CON Projects 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 Batching Notifications - Fall Need Projection Analyses Batching Review Fall Cycle Summer Cycle Non-Filed or Incomplete Surveys Indigent-Charity Shortfalls CON Filing Requirements (effective July 1, 2008) Contact Information Letters of Determination
Periodic Reporting Requirements CON Thresholds
Verification of Lawful Presence within U.S. Open Record Request Form Web Links
Certificate of Need Appeal Panel Periodic Reporting Compliance
LNR Conversion

Office of Health Planning
CERTIFICATE OF NEED
September 28, 2016 October 4, 2016
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

LOI2016066 American Health Imaging of Sandy Springs

Acquisition of Second MRI Unit

Received: 9/7/2016

Application must be submitted on: 10/7/2016

Site: 6095 Barfield Road, Suite 100, Atlanta, GA 30328 (Fulton County)

Estimated Cost: $1,800,000

LOI2016067 Piedmont Fayette Hospital

Renovation of Main Surgical Suite

Received: 9/20/2016

Application must be submitted on: 10/20/2016

Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County)

Estimated Cost: $5,500,000

Expired Letters of Intent

LOI2016064 The Medical Center of Central Georgia

Renovation of Existing Medical/Surgical Floor

Received: 9/1/2016

Application must be submitted on: 10/3/2016

Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County)

Estimated Cost: $7,700,000

LOI2016065 The Medical Center of Central Georgia

Renovation of Existing Surgical Space

Received: 9/1/2016

Application must be submitted on: 10/3/2016

Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County)

Estimated Cost: $7,500,000

Pending Review/Incomplete Applications
2016-056 Columbus Diagnostic Imaging Center North Relocation of Existing Outpatient Imaging Center and Replacement of MRI Unit Filed: 9/19/2016 Deemed Incomplete: 10/3/2016 Site: 7500 Veterans Parkway, Columbus, GA 31909 (Muscogee County) Contact: Joseph A. Paul, President 561-744-9122 Estimated Cost: $1,219,076

CON Applications Withdrawn by Applicant
none
New CON Applications
2016-057 Augusta University Medical Center Relocation and Renovation of Clinical Pathology Program Filed: 9/21/2016 Site: 1120 15th Street, Augusta, GA 30912 (Richmond County) Contact: Tom Dunaway, Dir. of Construction 706-721-6951 Estimated Cost: $7,230,250
2016-058 John D. Archbold Memorial Hospital Replacement/Upgrade of Existing da Vinci Surgical System Filed: 9/26/2016 Site: 915 Gordon Avenue, Thomasville, GA 31792 (Thomas County) Contact: Josh Moore, VP of Operations 229-228-8263 Estimated Cost: $1,733,860
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Pending Review/Complete Applications

2016-027 Tanner Medical Center - Higgins
Capital Expenditures to Renovate Surgical Services Filed: 5/27/2016 Deemed Complete: 6/10/2016 60th Day Deadline: 8/8/2016 Decision Deadline: 10/7/2016 Site: 200 Allen Memorial Drive, Bremen, GA 30110 (Haralson County) Contact: Chris Bell, Director, Facilities Dev. 770-838-8434 Estimated Cost: $12,141,244

2016-032 Riverview Health and Rehabilitation Center, Inc.
Interior and Exterior Replacement and Reconstruction of Existing Facility Filed: 6/3/2016 Deemed Complete: 6/16/2016 60th Day Deadline: 8/14/2016 Decision Deadline: 10/13/2016 Site: 6711 LaRoche Avenue, Savannah, GA 31406 (Chatham County) Contact: J. Hamrick Gnam, President 912-232-1192 Estimated Cost: $13,022,268

2016-033 Northside Hospital - Atlanta
Replacement of Existing Hospital-Based MRI Unit Filed: 6/9/2016 Deemed Complete: 6/22/2016 60th Day Deadline: 8/20/2016 Decision Deadline: 10/19/2016 Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County) Contact: Brian Toporek, Sr. Planner 404-851-6821 Estimated Cost: $2,054,681

2016-034 University Hospital

OPPOSITION WITHDRAWN, 9/9/2016

Renovation and Expansion of Emergency Department
Filed: 6/15/2016 Deemed Complete: 6/29/2016 60th Day Deadline: 8/27/2016 Decision Deadline: 10/26/2016 Site: 1350 Walton Way, Augusta, GA 30901 (Richmond County) Contact: Edward L. Burr, Chief Admin. Officer 706-774-8063 Estimated Cost: $30,000,000

2016-036 Landmark Hospital of Athens
Renovation to Main Lobby and Adjacent Areas Filed: 6/17/2016 Deemed Complete: 7/1/2016 60th Day Deadline: 8/29/2016 Decision Deadline: 10/28/2016 Site: 775 Sunset Drive, Athens, GA 30606 (Clarke County) Contact: Ken Warriner, CFO 239-529-1802 Estimated Cost: $4,060,517
2016-037 Northside Hospital - Cherokee
Replacement of Existing CT and MRI Scanner, Purchase of SPECT Unit Filed: 6/20/2016 Deemed Complete: 7/1/2016 60th Day Deadline: 8/29/2016 Decision Deadline: 10/28/2016 Site: 201 Hospital Road, Canton, GA 30114 (Cherokee County) Contact: Brian Toporek, Sr. Planner 404-851-6821 Estimated Cost: $5,521,440
2016-038 Athens Regional Medical Center at Oconee Health Park
Development of Hospital-Based Outpatient Diagnostic Services Filed: 7/1/2016 Deemed Incomplete: 7/14/2016 Deemed Complete: 9/8/2016 60th Day Deadline: 11/6/2016

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Decision Deadline: 1/5/2017 Site: 1305 Jennings Mill Road, Watkinsville, GA 30677 (Oconee County) Contact: Jody Corry, VP, Corporate Counsel 706-475-1195 Estimated Cost: $10,234,045
2016-039 Tanner Medical Center - Carrollton
Acquisition of Second da Vinci Xi Surgical System Filed: 7/6/2016 Deemed Complete: 7/20/2016 60th Day Deadline: 9/17/2016 Decision Deadline: 11/16/2016 Site: 705 Dixie Street, Carrollton, GA 30117 (Carroll County) Contact: Deborah Matthews, Chief Nursing Officer 770-812-9716 Estimated Cost: $2,696,000
2016-040 Piedmont Newton Hospital
Renovation and Expansion of Emergency Department Filed: 7/25/2016 Deemed Incomplete: 8/4/2016 Deemed Complete: 8/18/2016 60th Day Deadline: 10/16/2016 Decision Deadline: 12/15/2016 Site: 5126 Hospital Drive NE, Covington, GA 30014 (Newton County) Contact: Troy Brooks, CFO 770-385-4426 Estimated Cost: $8,680,000
2016-041 Tift Regional Medical Center
Relocation of Outpatient Rehabilitation Services to Medical Office Building Filed: 7/27/2016 Deemed Complete: 8/10/2016 60th Day Deadline: 10/8/2016 Decision Deadline: 12/7/2016 Site: 2225 US Highway 41, Tifton, GA 31794 (Tift County) Contact: Sarah Thompson, VP of Facilities Mgmt. 229-353-6102 Estimated Cost: $8,653,100
2016-042 Northeast Georgia Medical Center
Replacement and Acquisition of da Vinci Xi Robotic Surgery System Filed: 7/29/2016 Deemed Incomplete: 8/12/2016 Deemed Complete: 8/18/2016 60th Day Deadline: 10/16/2016 Decision Deadline: 12/15/2016 Site: 743 Spring Street, Gainesville, GA 30501 (Hall County) Contact: Linda Berger, Dir. of Planning 770-219-6631 Estimated Cost: $4,045,000
2016-043 Doctors Hospital of Augusta
Expansion and Relocation of Emergency Department Filed: 8/1/2016 Deemed Incomplete: 8/15/2016 Deemed Complete: 8/24/2016 60th Day Deadline: 10/22/2016 Decision Deadline: 12/21/2016 Site: 3651 Wheeler Road, Augusta, GA 30909 (Richmond County) Contact: Chris Cosby, COO 706-651-6101 Estimated Cost: $19,788,000
2016-044 Piedmont Atlanta Hospital
Addition of 114 Short-Stay Inpatient Beds with Construction of Bed Tower Filed: 8/1/2016 Deemed Complete: 8/15/2016 60th Day Deadline: 10/13/2016 Decision Deadline: 12/12/2016 Site: 1968 Peachtree Road NW, Atlanta, GA 30309 (Fulton County) Contact: Sheryl Klink, CFO 404-605-5571 Estimated Cost: $603,000,000
2016-045 Candler Hospital
Acquisition of a da Vinci Xi Surgical System
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Filed: 8/5/2016 Deemed Complete: 8/19/2016 60th Day Deadline: 10/17/2016 Decision Deadline: 12/16/2016 Site: 5353 Reynolds Street, Savannah, GA 31405 (Chatham County) Contact: Brad Trower, VP of Business Development 912-819-6557 Estimated Cost: $2,277,845
2016-046 Saint Joseph's Hospital
Acquisition of a da Vinci Xi Surgical System Filed: 8/5/2016 Deemed Complete: 8/18/2016 60th Day Deadline: 10/16/2016 Decision Deadline: 12/15/2016 Site: 11705 Mercy Boulevard, Savannah, GA 31419 (Chatham County) Contact: Brad Trower, VP, Business Development 912-819-6557 Estimated Cost: $2,277,845
2016-047 Southeastern Regional Medical Center
Expansion of Existing Radiation Therapy Services Filed: 8/29/2016 Deemed Complete: 9/12/2016 60th Day Deadline: 11/10/2016 Decision Deadline: 1/9/2017 Site: 600 Celebrate Life Parkway, Newnan, GA 30265 (Coweta County) Contact: David Kent, COO 770-400-6261 Estimated Cost: $15,300,000
2016-048 Northside Hospital - Atlanta
Acquisition of a da Vinci Xi Robotic Surgical System Filed: 8/29/2016 Deemed Complete: 9/12/2016 60th Day Deadline: 11/10/2016 Decision Deadline: 1/9/2017 Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County) Contact: Brian J. Toporek, Sr. Planner 404-851-6821 Estimated Cost: $2,435,000
2016-049 Emanuel Medical Center
8-Bed Conversion to Existing Psych/Sub Abuse Adult Inpatient Program SSDR 9- Batching Filed: 8/29/2016 Deemed Complete: 8/29/2016 60th Day Deadline: 10/27/2016 Decision Deadline: 12/26/2016 Site: 117 Kite Road, Swainsboro, GA 30401 (Emanuel County) Contact: Damien Scott, COO 478-289-1306 Estimated Cost: $878,200
2016-050 Southern Regional Medical Center
Establish a 16-Bed Geriatric Psychiatric & Substance Abuse Adult Inpatient Program SSDR 3- Batching Filed: 8/29/2016 Deemed Complete: 8/29/2016 60th Day Deadline: 10/27/2016 Decision Deadline: 12/26/2016 Site: 11 Upper Riverdale Road SW, Riverdale, GA 30274 (Clayton County) Contact: Charlotte W. Dupre, CEO 770-909-2594 Estimated Cost: $3,491,790
2016-051 Appling Healthcare System
10-Bed Expansion of Existing Psych/Sub Abuse Adult Inpatient Program SSDR 9-Batching Filed: 8/29/2016 Deemed Complete: 8/29/2016 60th Day Deadline: 10/27/2016 Decision Deadline: 12/26/2016 Site: 163 East Tollison Street, Baxley, GA 31515 (Appling County) Contact: Raymond Leadbetter, Jr. CEO 912-367-9841 Estimated Cost: $2,998,400
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2016-052 Evans Memorial Hospital Establish 10-Bed Adult Geriatric Inpatient Acute Psychiatric Unit SSDR 9-Batching Filed: 8/29/2016 Deemed Complete: 8/29/2016 60th Day Deadline: 10/27/2016 Decision Deadline: 12/26/2016 Site: 200 North River Street, Claxton, GA 30417 (Evans County) Contact: Nikki Nesmith, CEO 912-739-2611 Estimated Cost: $170,300
2016-053 Emory Johns Creek Hospital Development of a Radiology Observational Care and Clinical Decision Unit Filed: 9/12/2016 Deemed Complete: 9/23/2016 60th Day Deadline: 11/21/2016 Decision Deadline: 1/20/2017 Site: 6325 Hospital Parkway, Johns Creek, GA 30097 (Fulton County) Contact: Laurie Hansen, Assoc. Administrator 678-474-7012 Estimated Cost: $11,900,000
2016-054 Northeast Georgia Medical Center Development of an 18-Bed Intermediate Care Medical/Surgical Unit Filed: 9/14/2016 Deemed Complete: 9/28/2016 60th Day Deadline: 11/26/2016 Decision Deadline: 1/25/2017 Site: 743 Spring Street, Gainesville, GA 30501 (Hall County) Contact: Linda Berger, Dir. of Planning 678-897-6630 Estimated Cost: $5,991,281
2016-055 Piedmont Newnan Hospital Renovation of Current Space to Add an Interventional Radiology Room and Cath Lab Filed: 9/19/2016 Deemed Complete: 9/30/2016 60th Day Deadline: 11/28/2016 Decision Deadline: 1/27/2017 Site: 745 Poplar Road, Newnan, GA 30265 (Coweta County) Contact: John Miles, CFO 770-400-1000 Estimated Cost: $4,925,000
Recently Approved Applications
2016-024 University Hospital Addition of a Third MRI Unit Filed: 4/27/2016 Deemed Complete: 5/11/2016 60th Day Deadline: 7/9/2016 Decision Deadline: 9/7/2016 APPROVED: 9/7/2016 Site: 1350 Walton Way, Augusta, GA 30901 (Richmond County) Contact: Edward L. Burr, Chief Admin. Officer 706-774-8063 Estimated Cost: $2,648,480
2016-025 Northside Hospital - Atlanta Campus Expansion, Renovation and Reconfiguration Filed: 5/2/2016 Deemed Complete: 5/16/2016 60th Day Deadline: 7/14/2016 Decision Deadline: 9/12/2016 APPROVED: 9/12/2016 Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County) Contact: Brian J. Toporek, Sr. Planner 404-851-6821 Estimated Cost: $70,599,054
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2016-026 Southeastern Regional Medical Center Purchase of an Additional MRI Scanner Filed: 5/5/2016 Deemed Complete: 5/19/2016 60th Day Deadline: 7/17/2016 Decision Deadline: 9/15/2016 APPROVED: 9/15/2016 Site: 600 Celebrate Life Parkway, Newnan, GA 30265 (Coweta County) Contact: David Kent, COO 770-400-6261 Estimated Cost: $5,313,109
2016-029 Coliseum Medical Centers Establishment of 5 NICU Beds Level III - Batching Filed: 5/28/2016 Deemed Complete: 5/28/2016 60th Day Deadline: 7/26/2016 Decision Deadline: 9/24/2016 APPROVED: 9/23/2016 Site: 350 Hospital Drive, Macon, GA 31217 (Bibb County) Contact: Todd Dixon, COO 478-765-4100 Estimated Cost: $4,846,454
2016-030 Georgia Ophthalmologists, LLC Development of Second Operating Room within New Facility HPA 3 - Batching Filed: 5/28/2016 Deemed Complete: 5/28/2016 60th Day Deadline: 7/26/2016 Decision Deadline: 9/24/2016 APPROVED: 9/23/2016 Site: 4159 Mill Street, Covington, GA 30014 (Newton County) Contact: Stacy Bigles, Practice Administrator 770-786-1234 Estimated Cost: $552,215
2016-031 Landmark Hospital of Savannah Conversion of 25-LTCH Beds into a 25-Bed Skilled Nursing Facility SSDR 12 - Batching Filed: 5/28/2016 Deemed Complete: 5/28/2016 60th Day Deadline: 7/26/2016 Decision Deadline: 9/24/2016 APPROVED: 9/23/2016 Site: 1800 East 63rd Street, Savannah, GA 31404 (Chatham County) Contact: William Kapp, MD, Chairman 573-331-8040 Estimated Cost: $173,434
Recently Denied Applications
none
Appealed Determinations
DET2015205 Piedmont Mountainside Hospital, Inc. Request for Letter of Determination regarding Freestanding Emergency Department. Determination of "non-reviewable as proposed" issued on 05/24/16. City of Ellijay, City of East Ellijay, Greater Gilmer Joint Development Authority, Gilmer County Charter School District, and Gilmer County Board of Commissioners filed requests for Administrative Appeal on 06/22/2016. WellStar Health System, Inc., Kennestone Hospital, Inc. d/b/a WellStar Kennestone Hospital and WellStar Windy Hill Hospital, Douglas Hospital, Inc. d/b/a WellStar Douglas Hospital, Paulding Medical Center, Inc. d/b/a WellStar Paulding Hospital, and Cobb Hospital, Inc. d/b/a WellStar Cobb Hospital filed a request for Administrative Appeal on 06/23/16. Hearing Officer is William C. Joy, Esq.
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Appealed LNRs
LNR-EQT2013025 Medical Center of Central Georgia Monroe Requested Letter of Non-Reviewability ("LNR") with regard to the acquisition of certain diagnostic equipment, 8/1/2013. The Department issued LNR, 12/11/2013. Hospital Authority of Monroe County Hospital ("MCH") filed a request for Administrative Appeal Hearing, 1/10/2014. Hearing Officer: Melvin M. Goldstein, Esq. Administrative Hearing Date: 11/3/2014 to 11/5/2014, 5th Floor. MCCG granted Summary Adjudication and MCH's Motion to Compel discovery need not be determined in the matter, 11/5/2014. Hospital Authority of Monroe County requested Commissioner Review, 12/5/20214. Commissioner affirms 11/5/2014 Hearing Officer Decision, 12/30/2014. Hospital Authority of Monroe County filed Petition for Judicial Review with the Clerk of the Superior Court of Monroe County, 1/28/2015. Superior Court reversed the Department's grant of a letter of non-reviewability to MCCG, 08/11/2015. Application for discretionary appeal, 9/10/2015. Court of Appeals granted Discretionary Review, 10/8/2015.
Appealed CON Projects
2013-031 WellStar Kennestone Hospital (Cobb) Establish New Freestanding ASC - Batching Agency Decision: Approved, 9/24/2013 Appealed By: Marietta Outpatient Surgery, LTD d/b/a Marietta Surgical Center (MSC), 10/16/2013; Cartersville Medical Center (CMC), 10/16/2013; Northside Hospital, Inc., d/b/a Northside Hospital - Atlanta, Northside Hospital - Cherokee and Northside Alpharetta Surgery Center, (collectively, "Northside"), 10/18/2013. WellStar Kennestone, Inc., d/b/a WellStar Kennestone Hospital files request to intervene, 10/21/2013. Northside withdraws appeal request, 11/4/2013. Hearing Officer: William C. Joy, Esq. Hearing Date: 3/4/2014 @10:00AM through 3/7/2014 and 4/3/2014 Hearing Decision: Hearing Officer reverses DCH decision, 7/17/2014.The Department and WellStar Kennestone filed requests for Commissioner Review, 8/18/2014. Commissioner Review Decision: Hearing Officer is reversed and the original decision of the Department to award a CON to Kennestone becomes the final agency decision, 9/15/2014. Marietta Outpatient Surgery, LTD d/b/a Marietta Surgical Center (MSC), and Cartersville Medical Center (CMC) filed petition for judicial review, 10/15/2014. Superior Court Decision: Superior Court reversed and remanded to the Department with instruction to deny Kennestone's CON application, 5/18/2015. Court of Appeals: WellStar Kennestone and the Department each filed an Application for Discretionary Appeal, 06/17/2015. Court of Appeals granted discretionary appeal, 7/8/2015.
2013-051 Newnan Behavioral Hospital (Coweta) Psych/Substance Abuse Services - batching Agency Decision: Denied, 12/27/2013 Appealed By: Vest Newnan, LLC d/b/a Newnan Behavioral Hospital ("NBH"); Southern Crescent Behavioral Health System Crescent Pines Campus and Southern Crescent Behavioral Health System - Anchor Hospital campus have filed requests to intervene in the administrative hearing, 1/9/2014. Tanner Medical Center, Inc. d/b/a Tanner Medical Center Villa Rica ("Tanner") filed a request to intervene,1/16/2014. RiverWoods Behavioral Health, LLC, d/b/a RiverWoods Behavioral Health ("RiverWoods") filed request to intervene in hearing, 1/24/2014. Motion for Summary Adjudication of UHS of Anchor, LP denied, 5/16/2014. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: (Revised) 6/23/2014 to 6/26/2014 and 7/8/2014 to 7/11/2014, 41st Floor, 9AM. Hearing Decision: Hearing Officer affirms DCH decision, 10/16/2014. Vest Newnan, LLC d/b/a Newnan Behavioral Hospital filed requests for Commissioner Review, 11/14/2014. The City of Newnan, Georgia and Coweta County filed request for Commissioner Review, 11/14/2014 Commissioner Review Decision: Affirmed Hearing Officer's 10/16/2014 Decision, 12/12/2014. Vest, LLC d/b/a Newnan Behavioral Hospital, Coweta County and the City of Newnan filed Petition for Judicial Review in the Superior Court of Coweta County on 01/09/2015. Superior Court Decision: Superior Court Reverses Department's decision, 5/20/2015. Court of Appeals: An application for Discretionary Appeal, 06/10/2015. Court of Appeals granted discretionary appeal, 07/08/2015. Court of Appeals affirms decision of DCH to deny CON to Vest, 7/12/2016.
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2014-028 HealthSouth Rehabilitation Hospital of Forsyth County, LLC. (Forsyth) Establish a New 50-Bed Comprehensive Inpatient Physical Rehabilitation Hospital - Batching Agency Decision: Denied, 9/26/2014 Appealed By: Applicant, 10/22/2014. WellStar Kennestone submitted request to intervene, 10/24/2014; WellStar Cobb Hospital submitted request to intervene, 10/24/2014; Northeast Georgia Medical Center submitted request to intervene, 10/24/2014; Gwinnett Medical Center- Duluth, submitted request to intervene, 10/24/2014; North Fulton Hospital submitted request to intervene, 10/24/2014. WellStar Cobb Hospital withdraws request to intervene, 2/12/2015. WellStar Kennestone Hospital withdraws request to intervene, 2/12/2015. Hearing Officer: William C. Joy, Esq. Hearing Date: 3/18/2015 3/26/2015 Hearing Decision: Hearing Officer affirmed DCH decision, 7/14/2015. HealthSouth filed request for Commissioner Review, 8/13/2015. Commissioner Review Decision: Affirmed Hearing Officer's decision, 9/11/2015. HealthSouth Rehabilitation Hospital of Forsyth County, LLC, filed Petition for Judicial Review, 10/12/2015. Superior Court Decision: Superior Court Remands decision to Department for clarification, 4/29/2016. Clarification filed on 6/29/2016.
2014-019 University Hospital (Columbia) 2014-029 GRHealth Columbia County (Columbia) 2014-030 Doctors Hospital of Augusta (Columbia)
2014-019 Establish a New 100-Bed Short-Stay Acute Care Hospital 2014-029 Establish New 100-Bed Community Teaching Hospital 2014-030 Construction of New Short-Stay General Acute Care Hospital Agency Decision: 2014-019 Denied, 11/26/14; 2014-029 Approved, 11/26/14; 2014-030 Denied, 11/26/14 Appealed: University McDuffie appeals 2014-029 approval,12/22/2014; University Augusta appeals its own denial and appeals 2014-029 approval,12/22/14. Doctors Hospital appeals approval of 2014-029, 12/23/2014. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: 6/18/2015 6/30/2015, 9AM Hearing Decision: Hearing Officer affirmed DCH decision, 9/24/2015. Doctors Hospital requests Commissioner's review, 10/23/2015. Commissioner Review Decision: Affirmed Hearing Officer's decision, 11/23/15. Doctors Hospital of Augusta filed Petition for Judicial Review, 12/23/2015. Superior Court Decision: Superior Court granted Department's Motion to Dismiss Petition for Judicial Review, 4/13/2016. Court of Appeals: Application for Discretionary Review granted on 6/8/2016.
2015-011 Cobb Hospital, Inc. d/b/a WellStar Cobb Hospital (Cobb) Develop Outpatient Surgery Center that is Part of a Hospital Agency Decision: Approved, 8/12/2015 Appealed By: Piedmont Hospital, Inc. d/b/a Piedmont Atlanta Hospital ("Piedmont Atlanta") and Piedmont West Ambulatory Surgery Center, LLC ("Piedmont West"; collectively, Piedmont"), 9/9/2015. Cobb Hospital, Inc. d/b/a/ WellStar Cobb Hospital ("WellStar Cobb") files request to intervene, 9/10/2015. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: 2/29/2016 3/2/2016 Hearing Decision: Hearing Officer affirmed DCH decision, 6/23/2016. Piedmont Hospital, Inc. submits request for Commissioner Review, 7/25/2016. Commissioner Review Decision: Affirmed Hearing Officer Decision, 8/19/2016.
2015-017 ASMC, LLC d/b/a Atlanta Sports Medicine Center (Fulton) Development of Single-Specialty Orthopedic ASC - Batching Agency Decision: Approved, 9/25/2015 Appealed By: Northside Hospital, Inc., d/b/a Northside Hospital - Atlanta, Northside HospitalCherokee, Northside Hospital-Forsyth, and Northside/Alpharetta Surgery Center (collectively "Northside"), 10/14/2015. North Fulton Medical Center, 10/23/2015; Marietta Surgical Center ("MSC") and Atlanta Outpatient Surgery Center ("AOSC"), 10/23/2015. The Emory Clinic, Inc. d/b/a Emory Orthopedic and Spine Physiatry Outpatient Surgery Center ("Emory"), 10/26/2015.
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The Emory Clinic, Inc. d/b/a Emory Orthopedic and Spine Physiatry Outpatient Surgery Center ("Emory") withdraws appeal request, 1/26/2016. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: 3/22/2016 3/24/2016 and 3/28/2016 3/31/2016 Hearing Decision: Hearing Officer reverses Department decision to issue CON to ASMC, 6/24/2016. ASMC, LLC, d/b/a Atlanta Sports Medicine Center ("ASMC") requests Commissioner's Review, 7/14/2016. Commissioner Review Decision: Hearing Officer Decision is reversed and award of CON to ASMC is reinstated, 8/22/2016. Northside and WellStar North Fulton filed for Judicial Review, 9/20/2016.
2015-022 Regency Hospital of South Atlanta (Fulton) Relocation of Regency Hospital of South Atlanta Agency Decision: Denied, 1/15/2016 Appealed By: Co-Applicants, Regency Hospital Company of South Atlanta, LLC ("Regency") and Saint Joseph's Hospital of Atlanta, Inc., ("ESJH"), 2/8/2016. Request to intervene filed by Kennestone Hospital, Inc d/b/a WellStar Windy Hill Hospital, 2/11/2016. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: Hearing Officer granted request for continuance, 6/23/2016. Hearing Date TBD
2015-030 Lake Bridge Behavioral Health System f/k/a Macon Behavioral Health System Development of a 25-Bed Acute Inpatient Adult Psych/Sub Abuse Unit - Batching Agency Decision: Denied, 12/23/2015 Appealed By: Ramsay Youth Services of Georgia, Inc. d/b/a Lake Bridge Behavioral Health System, 1/21/2016 Hearing Officer: William C. Joy, Esq. Hearing Date: 5/23/2016, beginning at 10:00, to 5/26/2016, and also on 5/31/2016 Hearing Decision: Hearing Officer affirmed DCH decision, 8/24/2016
2015-032 Piedmont Hospital, Inc. (Cobb) Develop a New Non-Special Purpose MRT Service - Batching Agency Decision: Denied, 12/23/2015 Appealed By: Piedmont Hospital, Inc. d/b/a Piedmont Atlanta Hospital, 1/21/2016 Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: 6/13/2016 6/20/2016 Hearing Decision: Pending
2015-052 Mesun Health Services (Gwinnett) Establish 100-Bed Skilled Nursing Facility for Asian Community - Batching Agency Decision: Denied, 3/25/2016 Appealed By: Mesun Health Services, Inc., 4/21/2016 Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: 11/1/2016 11/3/2016
2016-009 Vest Newnan, LLC d/b/a Newnan Behavioral Hospital (Coweta) Develop 75-Bed Freestanding Psych/Sub Abuse Adult Inpatient Hospital SSDR 4-Batching Agency Decision: approved, 6/24/2016. Appealed By: Tanner Medical Center, Inc. d/b/a Tanner Medical Center Villa Rica ("Tanner"), 7/22/2016. RiverWoods Behavioral Health, LLC ("RiverWoods"), 7/22/2016. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: TBD RiverWoods Behavioral Health, LLC ("RiverWoods") withdraws its request for an initial administrative hearing, 9/16/2016.
2016-011 Tanner Medical Center / Villa Rica (Carroll) 32-Bed Expansion of Existing Psych/Sub Abuse Adult Inpatient Program SSDR 4-Batching Agency Decision: Approved, 6/24/2016
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Appealed By: Vest Newnan, LLC ("Vest Newnan"), 7/21/2016. Tanner Medical Center, Inc. d/b/a Tanner Medical Center - Villa Rica ("Tanner") submits request to intervene in initial administrative Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: TBD
2016-012 Redmond Park Hospital, LLC d/b/a Redmond Regional Medical Center (Floyd) Establish 18-Bed Psychiatric & Substance Abuse Adult Inpatient Program SSDR 1-Batching Agency Decision: denied, 6/24/2016 Appealed By: Redmond Regional Medical Center, 7/7/2016. Request to Intervene in Initial Administrative Appeal Hearing submitted by Floyd Healthcare Management, Inc. d/b/a Floyd Medical Center ("FMC"), 7/22/2016 Hearing Officer: Ellwood F. Oakley, III, Esq. Redmond Regional Medical Center withdraws its appeal of the denial of CON application GA2016012, 9/21/2016.
2016-013 RiverWoods Behavioral Health, LLC d/b/a Lakeview Behavioral Health (Gwinnett) 20-Bed Expansion of Existing Psych/Sub Abuse Adult Inpatient Program SSDR 3-Batching Agency Decision: Approved, 6/24/2016 Appealed By: Vest Monroe, LLC d/b/a Walton Behavioral Hospital ("Vest Monroe"), 7/12/2016. RiverWoods Behavioral Health, LLC d/b/a Lakeview Behavioral Health ("Lakeview"), 7/22/2016. Hearing Officer: William C. Joy, Esq. Hearing Date: 10/26/2016 10/28/2016 Vest Monroe, LLC d/b/a Walton Behavioral Hospital withdraws its request for an initial administrative hearing, 9/16/2016.
2016-017 Saint Francis Hospital (Muscogee) Establish New Special Purpose MRT Service Cyberknife Special Purpose MRT Region 3-Batching Agency Decision: Approved, 6/24/2016 Appealed By: The Medical Center, Inc. d/b/a Midtown Medical Center ("MMC"), 7/22/2016. Request to intervene filed by St. Francis Health, LLC. d/b/a St. Francis Hospital ("St.Francis"), 7/22/2016. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: TBD
Requests for LNR for Diagnostic or Therapeutic Equipment
LNR-EQT2016033 MedCross Imaging, LLC Purchase of a Fixed MRI Unit Request received: 7/22/2016 Contact Person: Pankesh Kadam, CEO 404-405-8711 Determination: Pending Opposition: Northside Hospital, Inc.- 8/22/2016
LNR-EQT2016034 MedCross Imaging, LLC Purchase of a Fixed CT Scanner Request received: 7/22/2016 Contact Person: Pankesh Kadam, CEO 404-405-8711 Determination: Pending Opposition: Northside Hospital, Inc.- 8/22/2016
LNR-EQT2016036 MedCross Imaging, LLC Purchase of Mobile MRI Unit Request received: 8/3/2016 Contact Person: Pankesh Kadam, CEO 404-405-8711 Determination: Pending Opposition: Northside Hospital, Inc.- 8/22/2016
LNR-EQT2016037 Elite Radiology of Georgia, LLC Operational Lease of a Fixed MRI Unit Request received: 8/3/2016 Contact Person: Kevin Johnson, CEO 954-292-9493 Determination: Pending
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Opposition: American Health Imaging, Inc.- 8/30/2016; Northside Hospital, Inc.- 8/31/2016; DeKalb Medical Center, Inc.- 8/31/2016

LNR-EQT2016038 Elite Radiology of Georgia, LLC Operational Lease of a Fixed MRI Unit Request received: 8/3/2016 Contact Person: Kevin Johnson, CEO 954-292-9493 Determination: Pending Opposition: Northside Hospital, Inc.- 8/31/2016

LNR-EQT2016039 Valdosta Medical Clinic, P.C.

Capital Lease of a Fixed CT Scanner

Request received: 8/4/2016

Contact Person: C. Richard Dwozan, Administrator 229-242-8480

Determination: Approved

Determination Date: 9/12/2016

LNR-EQT2016040 Metro Imaging Cumming, LLC Purchase of a Fixed CT Scanner and MRI Unit Request received: 8/17/2016 Contact Person: Jerry O. Smith, MD, Member 706-207-1949 Determination: Pending Opposition: American Health Imaging, Inc.- 8/30/2016; Northside Hospital, Inc.- 9/12/2016
LNR-EQT2016041 Resurgens, P.C. Purchase Fixed GE MRI Request received: 9/2/2016 Contact Person: Dr. Douglas W. Lundy, Co-Pres 678-422-4296 Determination: Pending

LNR-EQT2016042 First Look MRI and Imaging, LLC Purchase of a Fixed MRI Unit Request received: 9/19/2016 Contact Person: Brian P. Gay, M.D, CEO 678-316-2677 Determination: Pending
LNR-EQT2016043 South Atlanta Neurology and Spine Clinic, P.C. Purchase of a Fixed MRI Unit Request received: 9/19/2016 Contact Person: Brice B. Choi, M.D., President 770-507-7359 Determination: Pending
LNR-EQT2016044 Fayette Community Hospital, Inc. d/b/a Piedmont Fayette Hospital Purchase of a Fixed HDR Brachytherapy Afterloader Unit Request received: 9/19/2016 Contact Person: Nathan Nipper, VP, COO 770-804-1013 Determination: Pending
LNR-EQT2016045 Hillcrest Clinic, LLC Operational Lease of a Fixed MRI Unit and CT Scanner Request received: 9/23/2016 Contact Person: Alan Sanders, M.D. 706-897-2037 Determination: Pending

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

LNR-ASC2016009 Atlanta Allergy and Otolaryngology Center, LLC d/b/a Sleep and Sinus Centers of Georgia

Establishment of a Physician-Owned, Single-Specialty ASC

Site: 550 Professional Dr., Ste. 110, Lawrenceville, GA 30046

Number of OR's: 2

Specialty: Otolaryngology

Project costs as submitted: $813,174.00

12

Request received: 5/16/2016

Contact Person: Todd Lindsey, Dir. of ASC Svcs. 770-951-8427

Determination: Approved

Determination Date: 9/20/2016

LNR-ASC2016017 Athens Orthopedic Clinic ASC

Physician-Owned, Single Specialty ASC

Site: in MOB @3440 Highway 81, Suite 100, Loganville

Number of OR's: 2

Specialty: Orthopedic Procedures

Project costs as submitted: $2,629,294.80

Request received: 7/20/2016

Contact Person: Daniel J. Mohan, Partner 404-504-7616

Determination: Approved

Determination Date: 9/15/2016

LNR-ASC2016018 Advanced Neurospine Surgery Center, LLC

Establishment of a Physician-Owned, Single Specialty ASC

Site: 9635 Ventana Way, Suite 202, Johns Creek, GA 30027

Number of OR's: 1

Specialty: Neurological Surgery

Project costs as submitted: $287,623.89

Request received: 8/10/2016

Contact Person: Deepak Jeyaram, Attorney 678-325-3872

Determination: Approved

Determination Date: 10/4/2016

LNR-ASC2016019 Center for Spine Interventions, P.C.

Establishment of a Physician-Owned, Single Specialty ASC

Site: 4450 Calibre Crossing, NW, Suite 1120,

Number of OR's: 1

Specialty: Interventional Pain Medicine

Project costs as submitted: $771,642.00

Request received: 8/22/2016

Contact Person: Mary W. Hardwick 770-871-9619

Determination: Pending

LNR-ASC2016020 Alpharetta Mohs Surgical Center, LLC

Establishment of a Physician-Owned, Single Specialty ASC

Site: 3330 Preston Ridge Road, Suite 260, Alpharetta, GA 30005

Number of OR's: 3

Specialty: Dermatology

Project costs as submitted: $697,311.00

Request received: 8/22/2016

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

Determination: Approved

Determination Date: 9/27/2016

Requests for Miscellaneous Letters of Determination

DET2016060 Floyd Healthcare Management, Inc. d/b/a Floyd Medical Center

Acquisition of 5 Panda iRes Infant Beds

Request received: 4/29/2016

Contact Person: Beth Edwards, Dir. Of Planning 706-509-3257

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

9/7/2016

DET2016123 Grady Memorial Hospital Imaging Equipment Replacements Request received: 6/13/2016 Contact Person: Carlos F. Ruiz, Dir, Fac Mgmt 404-616-0588 Determination: Pending

DET2016140 MedCross Imaging, LLC f/k/a MedCross Imaging, P.C. Addition of Three Locations for Existing Mobile MRI Services Request received: 7/22/2016 Contact Person: Pankesh Kadam, CEO 404-405-8711 Determination: Pending Opposition: Northside Hospital, Inc.- 8/22/2016

13

DET2016142 Hutcheson Medical Center

Reclass/Transfer of ASC and Radiation Therapy Ctr Hutcheson MC

Request received: 7/25/2016

Contact Person: Doug Smith, CFA 704-362-3596

Determination: Denied

Determination Date: 9/28/2016

DET2016143 The Waterford at Oakwood Increase in Bed Capacity Request received: 8/2/2016 Contact Person: Daniel Wolen, Regional Mgr. 770-297-6900 Determination: Non-reviewable as proposed Determination Date: 9/12/2016

DET2016144 Dallas Highway, LLC d/b/a Sterling Estates of West Cobb Establishment of Assisted Living Community Request received: 8/3/2016 Contact Person: Marshall Gill, COO 678-467-7643 Determination: Non-reviewable as proposed Determination Date: 9/12/2016

DET2016145 PT Hills Place Terraces, LLC

Addition of 66-Personal Care Home Beds

Request received: 8/5/2016

Contact Person: Kevin Isakson, Dir. of Sales & Marketing 404-941-1329

Determination: Affirmed

Determination Date: 9/16/2016

DET2016146 PT Hills Place Terraces, LLC Development of 25 New Sheltered Nursing Home Beds Request received: 8/5/2016 Contact Person: Kevin Isakson, Dir. of Sales & Marketing 404-941-1329 Determination: Non-reviewable as proposed Determination Date: 9/16/2016

DET2016147 Kennestone Hospital, Inc. d/b/a WellStar Kennestone Hospital Acquisition of Digital Mammography Units Request received: 8/5/2016 Contact Person: April Austin, Strategic Planning Mgr. 470-644-0057 Determination: Non-reviewable as proposed Determination Date: 9/15/2016

DET2016148 Goodwill Hunting, LLC Renovation and Maintenance of Existing Space Request received: 8/9/2016 Contact Person: Clifford L. Neuman, Mgr. 303-449-2100 Determination: Non-reviewable as proposed Determination Date: 9/16/2016

DET2016149 Tanner Medical Center, Inc d/b/a Tanner Medical Center - Carrollton Confirmation of CON-Authorized Bed Capacity Request received: 8/9/2016 Contact Person: Deborah Matthews, Chief Nursing Officer 770-812-9716 Determination: Non-reviewable as proposed Determination Date: 9/16/2016

DET2016150 Saint Joseph's Hospital, Inc. Addition of One Hospital-Based Cardiac Catheterization Lab Request received: 8/23/2016 Contact Person: Brad Trower, VP of Business Dev. 912-819-6557 Determination: Pending

DET2016151 SCA - Spring Street, LLC Acquistion of Existing Health Care Facility Request received: 8/25/2016 Contact Person: Richard L. Sharff, Jr., VP 205-545-2572 Determination: Pending

DET2016152 University Health Services, Inc. Replacement of CON-Approved da Vinci Surgical System Request received: 8/26/2016

14

Contact Person: Edward L. Burr, Chief Admin. Officer 706-774-8063 Determination: Non-reviewable as proposed Determination Date: 9/29/2016
DET2016153 JWSKI, LLC d/b/a Center for Plastic Surgery, Inc. Relocation of CON-Approved, Single Specialty ASC Request received: 8/26/2016 Contact Person: Sanjeev Kaila, MD, CEO 404-814-0868 Determination: Pending
DET2016154 Arbor Manor Assisted Living Community Establishment of Assisted Living Community Request received: 8/29/2016 Contact Person: Lorna Viceda, Administrator 904-521-7482 Determination: Pending
DET2016155 Coliseum Northside Hospital, LLC d/b/a Coliseum Northside Hospital Replacement of Special Procedures Laboratory Equipment Request received: 8/31/2016 Contact Person: Heath King, CFO 478-765-7000 Determination: Pending
DET2016156 Moultrie Senior Services, LLC d/b/a Legacy Village at Park Regency Increase in Bed Capacity Request received: 9/1/2016 Contact Person: Blake Ray, Spec. Projects Coord. 423-478-8071 Determination: Pending
DET2016157 Georgia Ambulatory Surgery Center, LLC Relocation of a Single Specialty ASC Request received: 9/7/2016 Contact Person: Dorian Jimenez, DPM, Admin. 678-514-0590 Determination: Pending
DET2016158 Rockdale Hospital, LLC d/b/a Rockdale Medical Center Replacement of CON-Approved CT Scanner Request received: 9/9/2016 Contact Person: Clifford Wilson, Asst. Admin. 770-918-3909 Determination: Pending
DET2016159 Fairview Park, Limited Partnership d/b/a Fairview Park Hospital Renovation of Existing Nursery Space Request received: 9/14/2016 Contact Person: Ted Short, CFO 478-274-3103 Determination: Pending
DET2016160 Medical Center of Central Georgia, Inc. d/b/a Medical Center, Navicent Health Replacement of Catheterization Equipment Request received: 9/19/2016 Contact Person: H. Bryan Forlines, AVP of Gov't. Reimbursement 478Determination: Pending
DET2016161 The Center for Digestive and Liver Health, LLC ASC Exemption Request received: 9/20/2016 Contact Person: Lynn Marini, CEO 912-790-2696 Determination: Pending
DET2016162 Noble Village Lilburn, LLC Establishment of Assisted Living Community Request received: 9/21/2016 Contact Person: Wayne S. Morehead, Member 678-641-2284 Determination: Pending
15

DET2016163 Hamilton Medical Center, Inc. Consolidation of Indigent/Charity Care Commitment Request received: 9/22/2016 Contact Person: Joseph L. McGuire, VP, CFO 706-272-6115 Determination: Pending
DET2016164 Hospital Authority of Colquitt County d/b/a Colquitt Regional Medical Center Addition of a 9-Station Infusion Center Request received: 9/22/2016 Contact Person: Greg Johnson, COO, VP of Ops. 229-890-3547 Determination: Pending
DET2016165 Thrive at Frederica Tenant, LLC Establishment of Assisted Living Community Request received: 9/23/2016 Contact Person: John Elliston, VP of Operations 404-909-8016 Determination: Pending
DET2016166 Hamilton Medical Center, Inc. Construction of Medical Office Building Request received: 9/29/2016 Contact Person: Danny Wright, VP 706-272-6656 Determination: Pending
DET2016167 EHCA Johns Creek, LLC d/b/a Emory Johns Creek Hospital Addition of a Second Cardiac Catheterization Laboratory Request received: 10/3/2016 Contact Person: Laurie Hansen, Assoc. Admin. 678-474-7012 Determination: Pending

Requests for Extended Implementation/Effective Period

2014026 Georgia Ambulatory Surgery, LLC f/k/a Jimenez Foot, Ankle & Leg Surgery Center Conversion of LNR-ASC to CON-ASC Request to extend Implementation Date Site: 2175 North Road, Snellville (Gwinnett) Project Approved: 9/26/2014 Request Received: 8/26/2016 Contact: Dorian L. Jimenez, DPM, Administrator (678-514-0590) Approved Cost: $1,762,000 Determination: Pending
2014040 Memorial Health University Medical Center, Inc. Replace, Relocate and Expand Children's Hospital Request to extend Implementation Date Site: 4700 Waters Avenue, Savannah (Chatham) Project Approved: 2/19/2015 Request Received: 9/9/2016 Contact: William Lee, III, Sr. VP, Chief Strategy Officer (912-350-0884) Approved Cost: $28,028,250 Determination: Denied, 9/20/2016

2011056 Georgia Proton Treatment Center, LLC

Proton Therapy Service

Request to extend Completion Date

Site: 615 Peachtree Street, NE, Atlanta (Fulton)

Project Approved: 12/16/2011

Request Received: 9/15/2016

Contact: Ashley G. Preisinger, CFA, President (404-862-4967)

Approved Cost: $225,602,458

Determination: Approved, 9/20/2016

Extended Mandatory Completion Date: 10/16/2017

16

2014034(cost overrun)/2011043 Bostick Nursing Center

Establish a 280-Bed Skilled Nursing Facility

Request to extend Completion Date

Site: 1700 Bostick Circle, Hardwick (Baldwin)

Project Approved: 10/28/2011

Request Received: 9/15/2016

Contact:, Carlo Musso, M.D., President (770-692-4750)

Approved Cost: $7,414,949

Determination: Approved, 9/20/2016

Extended Mandatory Completion Date: 11/15/2016

Need Projection Analyses
Current Status of Official Office of Health Planning Need Projection Analyses and Other Data Resources
Need Projections and Maps for CON Regulated Services
2021 Non Special MRT Need Projection Posted 6/28/2016 Updated 8/2/2016 2021 PET Need Projection Posted 6/28/2016 2021 Amb Surg Need Projection HPA Detail 9/28/2016 Posted 9/29/2016 2021 Rehab Need Projection (9/28/2016) Posted 9/29/2016 2021 Neonatal Need Projection Intermediate (9/28/2016) Posted 9/29/2016 2021 Neonatal Need Projection NICU Detail Posted 9/29/2016 - Updated 9/28/2016 2021 OB Need Projection Detail (9/28/2016) Posted 9/29/2016 2019 NH Need Projection Posted 9/29/2016 - Updated 9/28/2016 2019 Home Health Need Projection - Posted 9/29/2016 - Updated 9/28/2016 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)

Bacon County Hospital

Bacon

2012

Bacon County Hospital

Bacon

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

Fannin Regional Hospital

Fannin

2014

17

Survey Due
3/9/2013 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

Georgia Regional Hospital at Savannah

Chatham

2012

Georgia Regional Hospital at Savannah

Chatham

2013

Georgia Regional Hospital-Atlanta

DeKalb

2012

Georgia Regional Hospital-Atlanta

DeKalb

2014

Irwin County Hospital

Irwin

2012

Irwin County Hospital

Irwin

2013

Irwin County Hospital

Irwin

2014

Landmark Hospital of Savannah

Chatham

2014

Memorial Hospital of Bainbridge

Decatur

2014

North Georgia Medical Center

Gilmer

2013

North Georgia Medical Center

Gilmer

2014

Northwest Georgia Regional Hospital

Floyd

2012

Northwest Georgia Regional Hospital

Floyd

2013

Northwest Georgia Regional Hospital

Floyd

2014

Pioneer Community Hospital of Early

Early

2013

Pioneer Community Hospital of Early

Early

2014

Southern Crescent Hospital for Specialty Care

Clayton

2012

Southern Crescent Hospital for Specialty Care

Clayton

2014

Southwestern State Hospital

Thomas

2012

Warm Springs Medical Center

Meriwether

2012

Wildwood Lifestyle Center & Hospital

Dade

2014

Wills Memorial Hospital

Wilkes

2014

Annual Nursing Home Questionnaire (Survey Years 2012 thru 2014)

Anderson Mill Health and Rehabilitation Center

Cobb

2012

Anderson Mill Health and Rehabilitation Center

Cobb

2013

Anderson Mill Health and Rehabilitation Center

Cobb

2014

Bell Minor Home, The

Hall

2012

Bell Minor Home, The

Hall

2013

Bell Minor Home, The

Hall

2014

Briarcliff Haven Healthcare And Rehabilitation Center DeKalb

2013

Briarcliff Haven Healthcare And Rehabilitation Center DeKalb

2014

Brown's Health & Rehabilitation Center

Bulloch

2012

Brown's Health & Rehabilitation Center

Bulloch

2013

Brown's Health & Rehabilitation Center

Bulloch

2014

Bryant Health And Rehabilitation Center Inc

Bleckley

2013

Bryant Health And Rehabilitation Center Inc

Bleckley

2014

Carl Vinson Skilled Nursing Home

Laurens

2012

Carl Vinson Skilled Nursing Home

Laurens

2013

Carl Vinson Skilled Nursing Home

Laurens

2014

Chatsworth Health Care Center

Murray

2013

Chatsworth Health Care Center

Murray

2014

College Park Health Care Center

Fulton

2012

College Park Health Care Center

Fulton

2014

Cook Senior Living Center

Cook

2012

Dade Health And Rehab

Dade

2014

Eastview Nursing Center

Bibb

2012

Eastview Nursing Center

Bibb

2013

Eastview Nursing Center

Bibb

2014

Etowah Landing

Floyd

2013

Etowah Landing

Floyd

2014

Etowah Landing Care And Rehabilitation Center

Floyd

2012

Fox Glove Center

Fulton

2014

Ga Regional Atlanta LTC

DeKalb

2014

Georgia Regional Atlanta ICF/MR

DeKalb

2012

18

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

Georgia Regional Atlanta ICF/MR Georgia Regional Atlanta ICF/MR Gilmer Nursing Home Gilmer Nursing Home Golden Living Center - Dunwoody Golden Living Center - Dunwoody Golden 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 Heardmont Nursing Home Hill Haven Nursing Home Hill Haven Nursing Home Hutcheson Medical Center Hutcheson Medical Center Hutcheson Medical Center Jeffersonville Health &Rehab Kindred Transitional Care and Rehabilitation - Lafayette Kindred Transitional Care and Rehabilitation - Lafayette Kindred Transitional Care and Rehabilitation - Lafayette LaGrange Nursing & Rehabilitation Center LaGrange Nursing & Rehabilitation Center Legacy Nursing & Rehabilitation Center Legacy Nursing & Rehabilitation Center Life Care Center of Lawrenceville Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Marietta Manor Care Rehabilitation Center - Marietta Manor Care Rehabilitation Center - Marietta Molena Health & Rehab, LLC Nancy Hart Nursing Center Nancy Hart Nursing Center New London Health Center New London Health Center New London Health Center Northwest Georgia Regional Hospital ICF/MR Northwest Georgia Regional Hospital ICF/MR Northwest Georgia Regional Hospital ICF/MR Oceanside Nursing & Rehab Center Palemon Gaskins Memorial Nursing Home Palemon Gaskins Memorial Nursing Home Palemon Gaskins Memorial Nursing Home Parkview Manor Nursing & Rehabilitation Center Pecan Manor-Central State Pecan Manor-Central State Pecan Manor-Central State Phoenix Center - Central State Phoenix Center - Central State

DeKalb DeKalb Gilmer Gilmer Fulton Fulton DeKalb DeKalb Bibb Bibb Bibb DeKalb DeKalb DeKalb Elbert Jackson Jackson Catoosa Catoosa Catoosa Twiggs Fayette Fayette Fayette Troup Troup Fulton Fulton Gwinnett DeKalb DeKalb DeKalb Cobb Cobb Cobb Pike Elbert Elbert Gwinnett Gwinnett Gwinnett Floyd Floyd Floyd Chatham Irwin Irwin Irwin Fulton Baldwin Baldwin Baldwin Baldwin Baldwin

19

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

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

Piedmont Hall ICF/MR - Central State Piedmont Hall ICF/MR - Central State Piedmont Hall ICF/MR - Central State Pinehill Nursing Center, Inc Pinewood Nursing Center 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 Thomson Health And Rehabilitation Tower Road Healthcare and Rehabilitation Center Westminster Commons Westview Nursing & Rehabilitation Center Willowwood Nursing Center Willowwood Nursing Center Woodlands Health Care

Baldwin Baldwin Baldwin Dooly Grady Upson Muscogee Muscogee Thomas Thomas Thomas Gwinnett Chatham Chatham Chatham Chatham Chatham Gwinnett Gwinnett Gwinnett Laurens Laurens Cobb Fulton Fulton Fulton Chatham Laurens McDuffie Cobb Fulton Chatham Hall Hall Liberty

2012 2013 2014 2014 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 2013 2012 2014 2013 2014 2014

Cardiac Catheterization Services Survey (Survey Years 2011 thru 2013)

Coffee Regional Medical Center Hutcheson Medical Center

Coffee Catoosa

2011 2011

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

20

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

Athens Plastic Surgery Center Athens Plastic Surgery Center Athens Plastic Surgery Center Atlanta Endoscopy Center, Ltd. Atlanta Eye International Surgery Center Atlanta Orthopaedic Surgery Center Atlanta Orthopaedic Surgery Center Atlanta Orthopaedic Surgery Center Atlanta South Endoscopy Center, Llc Atlanta Sports Medicine Surgery Center 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 Brookstone Ambulatory Surgery Center Brunswick Pain Treatment Center, Llc Brunswick Pain Treatment Center, Llc Carpus Surgery Center Center For Plastic 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 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 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

CLARKE CLARKE CLARKE DEKALB Fulton Fulton Fulton Fulton CLAYTON FULTON FULTON FULTON DOUGLAS RICHMOND RICHMOND BROOKS BROOKS BIBB Muscogee GLYNN GLYNN Cobb FULTON Fulton Clayton Clayton CHATHAM FLOYD Fulton Fulton LAURENS LAURENS HOUSTON Bibb Bibb Chatham CHATHAM CHATHAM DOUGHERTY DOUGHERTY FULTON CLAYTON HALL HALL HALL FULTON FULTON COBB CLAYTON HOUSTON WARE Fulton NEWTON HALL

21

2012 2013 2014 2013 2014 2013 2013 2014 2013 2014 2013 2014 2012 2012 2013 2013 2014 2012 2012 2013 2014 2014 2014 2012 2013 2014 2014 2014 2013 2014 2013 2014 2013 2013 2014 2014 2014 2014 2012 2014 2014 2014 2013 2014 2014 2013 2014 2012 2012 2012 2013 2014 2012 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 3/25/2013 3/14/2014
3/6/2015 3/6/2015 3/6/2015 3/25/2013 3/14/2014 3/6/2015 3/6/2015 3/6/2015 3/14/2014 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 3/25/2013 3/25/2013 3/25/2013 3/14/2014 3/6/2015 3/25/2013 3/6/2015

Locust Grove Endo Center Marietta Eye Surgery Midtown Urology Surgical Center Neurological Institute Ambulatory Surgery Center, LLC 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

HENRY COBB FULTON Chatham 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

22

2014 2013 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

3/6/2015 3/14/2014
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

Southeast Treatment Center, Llc Southeastern Pain Ambulatory Surgery Center, Llc 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

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

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

Home Health Agency Survey (Survey Years 2012 thru 2014)

Amedisys Home Health of Covington

Newton

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Colquitt Regional Home Care Services

Colquitt

HCMC Home Care

Habersham

Interim Healthcare of Atlanta Inc.

Fulton

Interim Healthcare of Atlanta Inc.

Fulton

Medside Home Health Agency

Fulton

Medside Home Health Agency

Fulton

Medside Home Health Agency

Fulton

Rockdale Medical Center Home Health

Rockdale

Trinity Home Health

Richmond

Trinity Home Health

Richmond

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

Hospital Financial Survey (Survey Years 2011 thru 2013)

Charlton Memorial Hospital

Charlton

2011

Charlton Memorial Hospital

Charlton

2012

Emory Rehabilitation Hospital

DeKalb

2013

Mountain Lakes Medical Center

Rabun

2011

Mountain Lakes Medical Center

Rabun

2012

Pioneer Community Hospital of Early

Early

2013

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

Athens Regional Medical Center

Clarke

2013

Georgia Regents Medical Center

Richmond

2013

South Georgia Medical Center

Lowndes

2013

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

Piedmont Mountainside Medical Center

Pickens

2012

Piedmont Newnan Hospital

Coweta

2012

Southeast Georgia Health System-Camden Campus

Camden

2013

23

3/14/2014 3/6/2015 3/6/2015
3/25/2013 3/14/2014 3/14/2014
3/6/2015 3/14/2014 3/25/2013 3/25/2013 3/14/2014 3/14/2014 3/14/2014
3/6/2015 3/14/2014 3/25/2013 3/14/2014
3/6/2015 3/14/2014 3/25/2013 3/14/2014
3/6/2015
3/14/2014 3/15/2013 3/14/2014
3/6/2015 3/6/2015 3/15/2013 3/14/2014 3/6/2015 3/15/2013 3/14/2014 3/6/2015 3/6/2015 3/15/2013 3/14/2014
7/13/2012 7/26/2013 7/31/2014 7/13/2012 7/26/2013 7/31/2014
5/16/2014

Radiation Therapy Services Survey (Survey Years 2012 thru 2014)

Hutcheson Medical Center

Catoosa

2012

Hutcheson Medical Center

Catoosa

2013

Hutcheson Medical Center

Catoosa

2014

Meadows Regional Cancer Center

Toombs

2013

Northeast Georgia Cancer Care

Clarke

2014

Satilla Regional Cancer Treatment Center

Ware

2014

South Georgia Center for Cancer Care

Bulloch

2013

Vantage Oncology Cancer Center at Lawrenceville

Gwinnett

2014

Vantage Oncology Center at Blairsville

Union

2014

5/17/2013 5/16/2014 5/15/2015 5/16/2014 5/15/2015 5/15/2015 5/16/2014 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 Brookstone Surgical Center, LLC CPMSC Canton GA Urology, PA Cobb Ambulatory Surgery Center Interventional Spine and Pain Management Ambulatory Surgical Center Optim Surgery Center
Orthocare Surgery Center, LLC Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. Urology Specialists Surgery Center Amicita Home Health AseraCare Home Health Georgia Home Health Island Health Care Suncrest Home Health Suncrest Home Health SunCrest Home Health - Chatham PET Imaging Center of Savannah PET Imaging Center of Savannah

County Muscogee Cherokee Cobb Rockdale
Chatham Dougherty Chatham Chatham Bibb Early Fulton Fulton Chatham Newton Fulton Chatham Chatham Chatham

Year 2013 2014 2014 2013
2014 2014 2012 2013 2014 2014 2013 2014 2014 2014 2014 2014 2013 2014

Shortfall Due Service 44,631.52 Ambulatory Surgery Center 39,426.60 Ambulatory Surgery Center 14,433.70 Ambulatory Surgery Center 70,825.83 Ambulatory Surgery Center

2,945,040.80 22,894.00 29,475.08 4,838.07
188,646.10 1,539.66
14,681.28 35,647.87 20,912.29 10,525.87 18,318.91
7,253.38 17,633.10 17,397.30

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 PET Services PET Services

Notes: The provisions of the Provider Payment Act of 2010 exempt eligible hospitals from being required to pay shortfalls associated with CON indigent and charity care commitments while the Act is in force. Critical Access Hospitals, Psychiatric Hospitals, and State-owned hospitals are exempt from the PPA so must still pay shortfalls associated with CON commitments.

24

CERTIFICATE OF NEED FILING REQUIREMENTS
Letters of Intent 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 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 letters of intent submitted by either telephone, facsimile or e-mail pursuant to Rule 111-2-2-.06(5). Note: 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.
25

Batching Review
The below reviewable CON services are grouped for review 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

SUMMER

PET, Mega Voltage Radiation Therapy, Pediatric Cath/Open Heart, Adult Open Heart,
Psych/Substance Abuse, Birthing Centers

June

July

August

The requirements for Letters of Intent associated with designated Batching Cycles will be issued at the time of publication of the Batching Notice.
Letters of Intent for services, facilities, or expenditures for which there is no specified batching cycle, or other applicable rule, may be filed at any time.

Batching Notifications Posted 9/29/2016 on DCH Website
Fall Batching Review Cycle Notifications

Neonatal Intensive Care Services Neonatal Intermediate Care

Obstetrical Services Home Health

Inpatient Physical Rehabilitation

Skilled Nursing Facilities/Intermediate Care Facilities

Ambulatory Surgery
Need Projections can be found on the "DHP Need Projections" Page

26

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

Batching Notice
(June 28, 2016)

Application
Day
(application complete when submitted; review cycle begins same day)
(August 27, 2016: Applications due by 12 noon on Rollover Date, Monday, August 29, 2016)

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

100th Day
(last day for letters of support to be submitted to
Department)
(December 6, 2016)

120th Day
(Department Issues
decision)
(December 26 2016)

Letter of Intent
(July 28, 2016)

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

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

110th Day
(applicant provides amended information; applicant provides response to opposition)
(December 16, 2016)

Batching Notice issued 30 days before Letter of Intent Due
Letter of Intent received by Department 30 days before application is submitted
Applications submitted; deemed complete; review cycle begins
60-Day meeting (applicant only); deadline for receipt of opposition letter(s)
75th day applicant provides additional information
90th day Opposition Meeting(s) scheduled; applicant can be in attendance; opposing parties must provide written statement of opposition arguments presented (original and one copy to the Department and one copy to the applicant); presentation time will be limited; Department reserves right to make additional inquiries subsequent to 60-day meeting and following opposition meeting.
100th day Last day for letters of support to be submitted to the Department
110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposition due to Department; applicant deadline for providing written response to Department's inquiries subsequent to opposition meeting
120th day Decision issued (No discretion to extend) 27

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

Batching Notice
(September 29, 2016)

Application Day
(application complete when
submitted; review cycle begins same
day)
(November 28, 2016: Applications due by 12 noon) )

75th Day
(applicant provides additional information) (February 10, 2017)

100th Day
(last day for letters of support to be submitted to Department)
(March 7, 2017)

120th Day
(Department Issues decision)
(March 27, 2017)

Letter of Intent
(October 29, 2016)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(January 26, 2017)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide written copy of argument)
(February 25, 2017)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(March 17, 2017)

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

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)

29

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 )
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 ("LNR") and require a $500 filing fee.
Periodic Reporting Requirements
From June 1, 2016 until September 15, 2016, the Department, through the Office of Health Planning, is permitting facilities, currently not in compliance with mandated reporting requirements, an opportunity to complete outstanding surveys. Facilities currently not in compliance will receive a Notification of Deficiencies which includes details regarding their outstanding surveys, where surveys may be completed, and contact information for the Department.
To access an outstanding survey, please visit www.georgiahealthdata.info. If you are a facility and are unsure whether you have outstanding surveys, please visit www.georgiamap2care.info
CON Thresholds become effective annually on July 1. The current and effective thresholds can be found on the CON Thresholds page.
http://dch.georgia.gov/con-thresholds
Special Note
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.
Please do not submit Letters of Opposition or Letters of Support prior to the Department's receipt of an actual Certificate of Need application.
30

Requirements for Verification of Lawful Presence within the United States
The Department will no longer require information relating to this topic for Certificate of Need applications.
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
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.
LNR Conversion
As of June 1, 2016, absent the proposed undertaking of a reviewable action necessitating prior CON review and approval, the Department will no longer engage in CON review of facilities in possession of an LNR.

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

31