Certificate-of-need tracking and appeals report [Apr. 27-May 3, 2016]

Use the links below for easy navigation

Letters of Intent Letters of Intent Spring Batching
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Applications Pending Review/Complete Applications Recently Approved Applications Recently Denied Applications Withdrawn Applications Appealed Determinations Appealed LNRs Appealed CON Projects Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities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 - Spring Need Projection Analyses Batching Review Spring Cycle Winter Cycle
Non-Filed or Incomplete Surveys Indigent-Charity Shortfalls
CON Filing Requirements (effective July 1, 2008)
Contact Information Letters of Determination Verification of Lawful Presence within U.S. Periodic Reporting Requirements
CON Thresholds Open Record Request Form
Web Links Certificate of Need Appeal Panel

Office of Health Planning
CERTIFICATE OF NEED
April 27, 2016 May 3, 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

LOI2016025 Southeastern Regional Medical Center

Purchase of an Additional MRI Scanner

Received: 4/5/2016

Application must be submitted on: 5/5/2016

Site: 600 Celebrate Life Parkway, Newnan, GA 30265 (Coweta County)

Estimated Cost: $5,313,109

LOI2016026 Tanner Medical Center - Higgins

Capital Expenditures to Renovate Surgical Services

Received: 4/27/2016

Application must be submitted on: 5/27/2016

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

Estimated Cost: $12,000,000

Spring Batching Letters of Intent

Ambulatory Surgery

LOI2016027 Fairview Corners Ambulatory Surgery Center

Establishment of a Four Operating Room Ambulatory Surgery Center - Batching

Received: 4/28/2016

Application must be submitted on: 5/30/2016 (Rollover Date)

Site: Fairview Road, Ellenwood, GA 30294 (Henry County)

Estimated Cost: $8,000,000

LOI2016028 Georgia Ophthalmologists

Development of Second Operating Room within New Facility HPA 3 - Batching

Received: 4/28/2016

Application must be submitted on: 5/30/2016 (Rollover Date)

Site: 4159 Mill Street, Covington, GA 30014 (Newton County)

Estimated Cost: $1,000,000

LOI2016029 MHSVI

Conversion of Pre-existing OR's / Pre & Post Op Bays into an Outpatient Surgery Center - Batching

Received: 4/28/2016

Application must be submitted on: 5/30/2016 (Rollover Date)

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

Estimated Cost: $6,200,000

Newborn ICU/ Neonatal INT

LOI2016031 Coliseum Medical Centers

Establishment of 10 NICU Beds Level III - Batching

Received: 4/28/2016

Application must be submitted on: 5/30/2016 (Rollover Date)

Site: 350 Hospital Drive, Macon, GA 31217 (Bibb County)

Estimated Cost: $2,500,000

Skilled Nursing Care

LOI2016030 Landmark Hospital of Savannah

Conversion of 25-LTCH Beds into a 25-Bed Skilled Nursing Facility SSDR 12 - Batching

Received: 4/28/2016

Application must be submitted on: 5/30/2016 (Rollover Date)

Site: 1800 East 63rd Street, Savannah, GA 31404 (Chatham County)

Estimated Cost: $100,000

Expired Letters of Intent

LOI2016023 Emory Johns Creek Hospital

Development of a Clinical Decision & Radiology Observational Care Unit

Received: 3/31/2016

Application must be submitted on: 5/2/2016

Site: 6325 Hospital Parkway, Johns Creek, GA 30097 (Fulton County)

2

Estimated Cost: $14,000,000
New CON Applications
2016024 University Hospital Addition of a Third MRI Unit Filed: 4/27/2016 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 Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County) Contact: Brian J. Toporek, Sr. Planner 404-851-6821 Estimated Cost: $70,599,054
Pending Review/Incomplete Applications
none
Pending Review/Complete Applications
2015-060 Hamilton Medical Center Consolidation of OP Cancer Services into Single Facility on Campus Filed: 12/21/2015 Deemed Complete: 1/6/2016 60th Day Deadline: 3/5/2016 Decision Deadline: 5/4/2016 Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County) Contact: Gary L. Howard, Sr. VP, CFO 706-226-3003 Estimated Cost: $30,000,000
2015-061 Floyd Medical Center Hospital Three Phase Construction and Renovation Filed: 12/28/2015 Deemed Complete: 1/11/2016 60th Day Deadline: 3/10/2016 Decision Deadline: 5/9/2016 Site: 304 Turner McCall Boulevard, Rome, GA 30162 (Floyd County) Contact: Matt Gorman, Administrator 770-748-2500 Estimated Cost: $6,229,420
2016-001 Piedmont Atlanta Hospital Renovation of Heart Failure Clinic Filed: 1/1/2016 Deemed Complete: 1/15/2016 60th Day Deadline: 3/14/2016 Decision Deadline: 5/13/2016 Site: 1968 Peachtree Road NW, Atlanta, GA 30309 (Fulton County) Contact: Sheryl Klink, CFO 404-605-2233 Estimated Cost: $4,414,430
2016-002 Eastside Imaging Center Development of Outpatient Imaging Center Filed: 1/1/2016 Deemed Incomplete: 1/15/2016 Deemed Complete: 3/1/2016 60th Day Deadline: 4/29/2016 Decision Deadline: 6/28/2016 Site: 3991 Highway 78, Snellville, GA 30039 (Gwinnett County) Contact: Callie Andrews, FACHE, COO 770-736-2224
3

Estimated Cost: $3,393,421
2016-003 Grady Memorial Hospital
Renovation of Existing Space Filed: 1/18/2016 Deemed Complete: 2/1/2016 60th Day Deadline: 3/31/2016 Decision Deadline: 5/30/2016 Site: 80 Jesse Hill Drive SE, Atlanta, GA 30303 (Fulton County) Contact: Shannon Sale, Sr. VP, Planning and Bus Dev 404-616-7029 Estimated Cost: $19,440,714
2016-004 Northeast Georgia Medical Center Inc
Addition of Fifth Cardiac Catheterization Lab on Main Campus Filed: 1/20/2016 Deemed Complete: 2/3/2016 60th Day Deadline: 4/2/2016 Decision Deadline: 6/1/2016 Site: 743 Spring Street, Gainesville, GA 30501 (Hall County) Contact: Linda Berger, Director of Planning 770-535-3553 Estimated Cost: $1,836,404
2016-005 Columbus Diagnostic Imaging Center LLC
Development of Single Modality (MRI) Imaging Center Filed: 1/20/2016 Deemed Incomplete: 2/3/2016 Deemed Complete: 2/24/2016 60th Day Deadline: 4/23/2016 Decision Deadline: 6/22/2016 Site: 7500 Veterans Parkway, Columbus, GA 31909 (Muscogee County) Contact: Joseph A. Paul, President 561-744-9122 Estimated Cost: $1,226,726

2016-006 Georgia Regents Medical Center
Renovation of Existing Clinical Space Filed: 2/10/2016 Deemed Incomplete: 2/24/2016 Deemed Complete: 3/9/2016 60th Day Deadline: 5/7/2016 Decision Deadline: 7/6/2016 Site: 1120 15th Street BC-1112, Augusta, GA 30912 (Richmond County) Contact: Jon Graybeal, Project Manager 706-721-7221 Estimated Cost: $4,133,279

2016-007 Dorminy Medical Center

OPPOSITION FILED

Establish a 12-Bed Psychiatric & Substance Abuse Adult Inpatient Program SSDR 11-Batching
Filed: 2/26/2016 Deemed Complete: 2/26/2016 60th Day Deadline: 4/25/2016 Decision Deadline: 6/24/2016 Site: 200 Perry House Road, Fitzgerald, GA 31750 (Ben Hill County) Contact: Paige Wynn, CFO 229-424-7170 Estimated Cost: $1,591,857

2016-008 Donalsonville Hospital, Inc.
Establish a 20-Bed Psychiatric & Substance Abuse Adult Inpatient Program SSDR 10-Batching Filed: 2/26/2016 Deemed Complete: 2/26/2016 60th Day Deadline: 4/25/2016 Decision Deadline: 6/24/2016 Site: 102 Hospital Circle, Donalsonville, GA 39845 (Seminole County) Contact: Charles H. Orrick, Administrator 229-524-5217 Estimated Cost: $1,678,575

2016-009 Newnan Behavioral Hospital

OPPOSITION FILED

Develop an 75-Bed Freestanding Psych/Sub Abuse Adult Inpatient Hospital SSDR 4-Batching Filed: 2/26/2016 Deemed Complete: 2/26/2016 60th Day Deadline: 4/25/2016 Decision Deadline: 6/24/2016

4

Site: 58-60 Hospital Road, Newnan, GA 30263 (Coweta County) Contact: Martina Sze, Exec. VP 212-243-5565 Estimated Cost: $18,058,248

2016-010 Contemporary Midwife. LLC

OPPOSITION FILED

Establish New Freestanding Birth Center SSDR 12-Batching
Filed: 2/26/2016 Deemed Complete: 2/26/2016 60th Day Deadline: 4/25/2016 Decision Deadline: 6/24/2016 Site: 500 Georgia Avenue, Woodbine, GA 31569 (Camden County) Contact: Joann Smith, DNP CNM Owner 912-510-6100 Estimated Cost: $60,000

2016-011 Tanner Medical Center / Villa Rica

OPPOSITION FILED

32-Bed Expansion of Existing Psych/Sub Abuse Adult Inpatient Program SSDR 4-Batching
Filed: 2/26/2016 Deemed Complete: 2/26/2016 60th Day Deadline: 4/25/2016 Decision Deadline: 6/24/2016 Site: 601 Dallas Highway, Villa Rica, GA 30180 (Carroll County) Contact: Paula Gresham, Administrator 770-812-3277 Estimated Cost: $90,000

2016-012 Redmond Regional Medical Center

OPPOSITION FILED

Establish 18-Bed Psychiatric & Substance Abuse Adult Inpatient Program SSDR 1-Batching
Filed: 2/26/2016 Deemed Complete: 2/26/2016 60th Day Deadline: 4/25/2016 Decision Deadline: 6/24/2016 Site: 501 Redmond Road NW, Rome, GA 30165 (Floyd County) Contact: Jean McDonald, VP of Business Dev. 706-802-3178 Estimated Cost: $2,299,663

2016-013 Lakeview Behavioral Health

OPPOSITION FILED

20-Bed Expansion of Existing Psych/Sub Abuse Adult Inpatient Program SSDR 3-Batching
Filed: 2/26/2016 Deemed Complete: 2/26/2016 60th Day Deadline: 4/25/2016 Decision Deadline: 6/24/2016 Site: 1 Technology Parkway S, Norcross, GA 30092 (Gwinnett County) Contact: Carmen Kramer, MS CRC LPC COO 678-713-2511 Estimated Cost: $235,347

2016-014 Northridge Medical Center

OPPOSITION FILED

8-Bed Expansion of Existing Senior Mental Health Program SSDR 5-Batching
Filed: 2/26/2016 Deemed Complete: 2/26/2016 60th Day Deadline: 4/25/2016 Decision Deadline: 6/24/2016 Site: 70 Medical Drive, Commerce, GA 30529 (Jackson County) Contact: Larry Ebert, CEO 706-335-1101 Estimated Cost: $1,490,919

2016-015 Greenleaf Center, LLC

OPPOSITION FILED

30-Bed Expansion of Existing Psych/Sub Abuse Adult Inpatient Program SSDR 11-Batching
Filed: 2/26/2016 Deemed Complete: 2/26/2016 60th Day Deadline: 4/25/2016 Decision Deadline: 6/24/2016 Site: 2209 Pineview Drive, Valdosta, GA 31602 (Lowndes County) Contact: Stephen Register, CEO 229-671-6601 Estimated Cost: $8,245,200

2016-016 OBGYNE Birth Center for Natural Deliveries, Inc. Establish a New Freestanding Birth Center SSDR 6-Batching

5

Filed: 2/26/2016 Deemed Complete: 2/26/2016 60th Day Deadline: 4/25/2016 Decision Deadline: 6/24/2016 Site: 167 Martin Luther King Drive, Forsyth, GA 31209 (Monroe County) Contact: Bolanle A. Sogade, MD CEO 478-745-3014 Estimated Cost: $615,161

2016-017 Saint Francis Hospital

OPPOSITION FILED

Establish New Special Purpose MRT Service Cyberknife Special Purpose MRT Region 3-Batching
Filed: 2/26/2016 Deemed Complete: 2/26/2016 60th Day Deadline: 4/25/2016 Decision Deadline: 6/24/2016 Site: 2122 Manchester Expressway, Columbus, GA 31904 (Muscogee County) Contact: David Koontz, CEO 706-596-4007 Estimated Cost: $7,565,526

2016-018 Tift Regional Medical Center
Cost Overrun 2013-057/Renovation & Expansion of the Medical Oncology/Hematology Center Filed: 3/7/2016 Deemed Complete: 3/21/2016 60th Day Deadline: 5/19/2016 Decision Deadline: 7/18/2016 Site: 901East 18th Street, Tifton, GA 31793 (Tift County) Contact: Sarah Thompson, VP of Facility Mgmt. 229-353-6102 Estimated Cost: $497,175

2016-019 Emory University Hospital Smyrna Renovation & Upgrade to Current Hospital Facilities Filed: 3/21/2016 Deemed Incomplete: 3/31/2016 Deemed Complete: 4/7/2016 60th Day Deadline: 6/5/2016 Decision Deadline: 8/4/2016 Site: 3949 South Cobb Drive, Smyrna, GA 30080 (Cobb County) Contact: Daniel Owens, CEO 404-686-2010 Estimated Cost: $33,830,003
2016-020 Coliseum Medical Centers
Renovation & Expansion of Current Emergency Department Filed: 3/28/2016 Deemed Complete: 4/11/2016 60th Day Deadline: 6/9/2016 Decision Deadline: 8/8/2016 Site: 350 Hospital Drive, Macon, GA 31217 (Bibb County) Contact: Todd Dixon, COO 478-765-4100 Estimated Cost: $7,114,321
2016-021 Tanner Medical Center-Villa Rica
Hospital Renovation, Expansion & Central Energy Plant Improvements Filed: 3/31/2016 Deemed Complete: 4/14/2016 60th Day Deadline: 6/12/2016 Decision Deadline: 8/11/2016 Site: 601 Dallas Highway, Villa Rica, GA 30180 (Carroll County) Contact: Bonnie K. Boles, VP, Administrator 770-456-3161 Estimated Cost: $37,010,000
2016-022 Piedmont Fayette Hospital
Addition of 32 Acute, Medical/Surgical Inpatient Beds Filed: 4/13/2016 Deemed Complete: 4/27/2016 60th Day Deadline: 6/25/2016 Decision Deadline: 8/24/2016 Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County) Contact: Sam Williamson, Director of Finance 770-719-6006 Estimated Cost: $11,800,000

6

2016-023 Memorial Health University Medical Center Acquisition of a da Vinci Xi Surgical System Filed: 4/14/2016 Deemed Complete: 4/27/2016 60th Day Deadline: 6/25/2016 Decision Deadline: 8/24/2016 Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Contact: Mary Chatman, PhD, COO, CNO 912-350-8812 Estimated Cost: $2,600,120
Recently Approved Applications
2015-049 Fairview Park Hospital Acquisition of da Vinci Xi Surgical System Filed: 11/2/2015 Deemed Incomplete: 11/17/2015 Deemed Complete: 12/21/2015 60th Day Deadline: 2/18/2016 Decision Deadline: 4/18/2016 APPROVED: 4/18/2016 Site: 200 Industrial Boulevard, Dublin, GA 31020 (Laurens County) Contact: Ted Short, CFO 478-274-3103 Estimated Cost: $2,024,253
Recently Denied Applications
none
CON Applications/Projects Withdrawn by Applicant
none
Appealed Determinations
none
Appealed LNRs
LNR-EQT2013025 Medical Center of Central Georgia Monroe Requested Letter of Non-Reviewability ("LNR") with regard to the acquisition of certain diagnostic equipment, 8/1/2013. The Department issued LNR, 12/11/2013. Hospital Authority of Monroe County Hospital ("MCH") filed a request for Administrative Appeal Hearing, 1/10/2014. Hearing Officer: Melvin M. Goldstein, Esq. Administrative Hearing Date: 11/3/2014 to 11/5/2014, 5th Floor. MCCG granted Summary Adjudication and MCH's Motion to Compel discovery need not be determined in the matter, 11/5/2014. Hospital Authority of Monroe County requested Commissioner Review, 12/5/20214. Commissioner affirms 11/5/2014 Hearing Officer Decision, 12/30/2014. Hospital Authority of Monroe County filed Petition for Judicial Review with the Clerk of the Superior Court of Monroe County, 1/28/2015. Superior Court reversed the Department's grant of a letter of non-reviewability to MCCG, 08/11/2015. Application for discretionary appeal, 9/10/2015. Court of Appeals granted Discretionary Review, 10/8/2015.
Appealed CON Projects
2013-031 WellStar Kennestone Hospital (Cobb) Establish New Freestanding ASC - Batching Agency Decision: Approved, 9/24/2013 Appealed By: Marietta Outpatient Surgery, LTD d/b/a Marietta Surgical Center (MSC), 10/16/2013; Cartersville Medical Center (CMC), 10/16/2013; Northside Hospital, Inc., d/b/a Northside Hospital - Atlanta, Northside Hospital - Cherokee and Northside Alpharetta Surgery Center, (collectively, "Northside"), 10/18/2013. WellStar Kennestone, Inc., d/b/a WellStar Kennestone Hospital files request to intervene, 10/21/2013.
7

Northside withdraws appeal request, 11/4/2013. Hearing Officer: William C. Joy, Esq. Hearing Date: 3/4/2014 @10:00AM through 3/7/2014 and 4/3/2014 Hearing Decision: Hearing Officer reverses DCH decision, 7/17/2014.The Department and WellStar Kennestone filed requests for Commissioner Review, 8/18/2014. Commissioner Review Decision: Hearing Officer is reversed and the original decision of the Department to award a CON to Kennestone becomes the final agency decision, 9/15/2014. Marietta Outpatient Surgery, LTD d/b/a Marietta Surgical Center (MSC), and Cartersville Medical Center (CMC) filed petition for judicial review, 10/15/2014. Superior Court Decision: Superior Court reversed and remanded to the Department with instruction to deny Kennestone's CON application, 5/18/2015. Court of Appeals: WellStar Kennestone and the Department each filed an Application for Discretionary Appeal, 06/17/2015. Court of Appeals granted discretionary appeal, 7/8/2015.
2013-051 Newnan Behavioral Hospital (Coweta) Psych/Substance Abuse Services - batching Agency Decision: Denied, 12/27/2013 Appealed By: Vest Newnan, LLC d/b/a Newnan Behavioral Hospital ("NBH"); Southern Crescent Behavioral Health System Crescent Pines Campus and Southern Crescent Behavioral Health System - Anchor Hospital campus have filed requests to intervene in the administrative hearing, 1/9/2014. Tanner Medical Center, Inc. d/b/a Tanner Medical Center Villa Rica ("Tanner") filed a request to intervene,1/16/2014. RiverWoods Behavioral Health, LLC, d/b/a RiverWoods Behavioral Health ("RiverWoods") filed request to intervene in hearing, 1/24/2014. Motion for Summary Adjudication of UHS of Anchor, LP denied, 5/16/2014. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: (Revised) 6/23/2014 to 6/26/2014 and 7/8/2014 to 7/11/2014, 41st Floor, 9AM. Hearing Decision: Hearing Officer affirms DCH decision, 10/16/2014. Vest Newnan, LLC d/b/a Newnan Behavioral Hospital filed requests for Commissioner Review, 11/14/2014. The City of Newnan, Georgia and Coweta County filed request for Commissioner Review, 11/14/2014 Commissioner Review Decision: Affirmed Hearing Officer's 10/16/2014 Decision, 12/12/2014. Vest, LLC d/b/a Newnan Behavioral Hospital, Coweta County and the City of Newnan filed Petition for Judicial Review in the Superior Court of Coweta County on 01/09/2015. Superior Court Decision: Superior Court Reverses Department's decision, 5/20/2015. Court of Appeals: An application for Discretionary Appeal, 06/10/2015. Court of Appeals granted discretionary appeal, 07/08/2015.
2014-028 HealthSouth Rehabilitation Hospital of Forsyth County, LLC. (Forsyth) Establish a New 50-Bed Comprehensive Inpatient Physical Rehabilitation Hospital - Batching Agency Decision: Denied, 9/26/2014 Appealed By: Applicant, 10/22/2014. WellStar Kennestone submitted request to intervene, 10/24/2014; WellStar Cobb Hospital submitted request to intervene, 10/24/2014; Northeast Georgia Medical Center submitted request to intervene, 10/24/2014; Gwinnett Medical Center- Duluth, submitted request to intervene, 10/24/2014; North Fulton Hospital submitted request to intervene, 10/24/2014. WellStar Cobb Hospital withdraws 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, 4/26/2016.
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
8

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, 4/11/2016.
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: Pending
2015-017 ASMC, LLC d/b/a Atlanta Sports Medicine Center (Fulton) Development of Single-Specialty Orthopedic ASC - Batching Agency Decision: Approved, 9/25/2015 Appealed By: Northside Hospital, Inc., d/b/a Northside Hospital - Atlanta, Northside HospitalCherokee, Northside Hospital-Forsyth, and Northside/Alpharetta Surgery Center (collectively "Northside"), 10/14/2015. North Fulton Medical Center, 10/23/2015; Marietta Surgical Center ("MSC") and Atlanta Outpatient Surgery Center ("AOSC"), 10/23/2015. The Emory Clinic, Inc. d/b/a Emory Orthopedic and Spine Physiatry Outpatient Surgery Center ("Emory"), 10/26/2015. 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: Pending
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: 7/13/2016, 10:00AM, Room 34.262
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: Pending
2015-032 Piedmont Hospital, Inc. (Cobb) Develop a New Non-Special Purpose MRT Service - Batching Agency Decision: Denied, 12/23/2015
9

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 6/17/2016
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: TBD

Requests for LNR for Diagnostic or Therapeutic Equipment
LNR-EQT2016003 Johns Creek Imaging, LLC Purchase of MRI & CT Scanner Request received: 1/21/2016 Contact Person: Scott Hill, CFO 770-952-8899 Determination: Pending Opposition: Northside Hospital, Inc. d/b/a Northside Hospital, Northside Hospital-Forsyth, and
Northside Hospital-Cherokee- 2/19/2016

LNR-EQT2016004 Savannah Imaging, LLC Purchase of Fixed MRI Request received: 1/21/2016 Contact Person: Scott Hill, CFO 770-952-8899 Determination: Pending Opposition: St. Joseph's/Candler Health System, Inc- 2/19/2016; Saint Joseph's Hospital, Inc.2/19/2016; Candler Hospital, Inc.- 2/19/2016; Northside Hospital, Inc. d/b/a Northside Hospital, Northside Hospital-Forsyth, and Northside Hospital-Cherokee- 2/19/2016;
Memorial Health, Inc.- 2/22/2016

LNR-EQT2016008 Reading Rads, LLC

Capital Lease of a Fixed CT and MRI Scanner

Request received: 2/2/2016

Contact Person: Judith Cohen, MD (404) 375-1875

Determination: Approved

Determination Date: 4/5/2016

LNR-EQT2016009 Hospital Authority of Putnam County d/b/a Putnam General Hospital

Operational Lease of a Mobile MRI Scanner

Request received: 2/3/2016

Contact Person: H. Bryan Forlines, AVP of Gov't Relations (478) 633-6966

Determination: Approved

Determination Date: 3/29/2016

LNR-EQT2016010 The Medical Center of Peach County, Inc. d/b/a Medical Center of Peach

Operational Lease of a Mobile MRI Scanner

Request received: 2/3/2016

Contact Person: H. Bryan Forlines, AVP of Gov't Relations (478) 633-6966

Determination: Approved

Determination Date: 3/29/2016

LNR-EQT2016014 Piedmont Henry Hospital, Inc.

Purchase of a Fixed CT Scanner

Request received: 2/25/2016

Contact Person: Randy Sprinkle, Exec. Dir. Imaging (404) 605-3324

Determination: Approved

Determination Date: 3/29/2016

LNR-EQT2016015 The Medical Center of Central Georgia, Inc. d/b/a Navicent Health Purchase of a da Vinci Surgical Robot Request received: 3/21/2016 Contact Person: H. Bryan Forlines, AVP of Gov't Relations 478-633-6966 Determination: Pending

10

LNR-EQT2016016 Medical Center of Central Georgia

Capital Lease of a Spinal Implant Navigation System

Request received: 3/29/2016

Contact Person: H. Bryan Forlines, AVP of Gov't Reimbursement 478-633-

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

4/26/2016

LNR-EQT2016017 Atlanta Heart Specialists, LLC Operational Lease of a Fixed CT Scanner Request received: 4/5/2016 Contact Person: David H. Song, MD, FACC, Member 770-638-1400 Determination: Pending
LNR-EQT2016018 DeKalb MRI, LLC Capital Lease of a Fixed MRI Scanner Request received: 4/18/2016 Contact Person: Robert P. Eichelberger, M.D., Pres. 205-991-1830 Determination: Pending
LNR-EQT2016019 Pro Radiology, LLC Purchase of a Fixed MRI and CT Scanner Request received: 4/22/2016 Contact Person: Darr McKeown, MD, Member 404-606-3313 Determination: Pending
LNR-EQT2016020 Metro Imaging Buford, LLC Purchase of a Fixed MRI and CT Scanner Request received: 4/22/2016 Contact Person: Jerry O. Smith, MD, Member 706-207-1949 Determination: Pending

LNR-EQT2016021 Piedmont Hospital, Inc. d/b/a Piedmont Atlanta Hospital Purchase of a Fixed CT Scanner Request received: 4/27/2016 Contact Person: Randy Sprinkle, Exec. Dir. of Imaging 404-605-3324 Determination: Pending
LNR-EQT2016022 Piedmont Newnan Hospital, Inc. d/b/a Piedmont Newnan Hospital Purchase of a Fixed CT Scanner Request received: 4/27/2016 Contact Person: Vicki Kaiser, Exec. Dir. 770-400-1012 Determination: Pending

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

LNR-ASC2016003 Georgia Interventional Pain - B, LLC

Establishment of a One-Room Outpatient Surgery Center

Site: 1255 Friendship Rd. Ste. 120 Braselton, GA 30157

Number of OR's: 1

Specialty: Anesthesiology & Pain Mgmt.

Project costs as submitted: $517,438.00

Request received: 2/26/2016

Contact Person: Joseph Ross, Attorney (912) 232-7182

Determination: Approved

Determination Date: 4/20/2016

LNR-ASC2016004 Aesthetic & Laser Boutique, Inc. d/b/a Boutte' Contour Surgery & Skin

Conversion of Existing Floor Space into OR and Procedure Room

Site: 4650 Stone Mountain Hwy. Lilburn, GA 30047

Number of OR's: 1

Specialty: Dermatology

Project costs as submitted: $807,655.00

11

Request received: 3/8/2016 Contact Person: Windell C. Davis-Boutte', MD, Owner 678-344-2450 Determination: Pending

LNR-ASC2016005 Center for Spine and Pain Medicine, P.C.

Establishment of a Pain Management Surgery Suite

Site: 3625 Braselton Highwy Ste. 201 Dacula, GA 30019

Number of OR's: 1

Specialty: Pain Management

Project costs as submitted: $331,150.00

Request received: 3/16/2016

Contact Person: Suleman Sohani, Administrator 912-681-6944

Determination: Approved

Determination Date: 4/29/2016

LNR-ASC2016006 Cataract and Laser Surgery Center of South Georgia, PC

Establishment of an Office-Based Ambulatory Surgery Center

Site: 4120-B North Valdosta Rd. Valdosta, GA 31602

Number of OR's: 2

Specialty: Ophthalmology

Project costs as submitted: $2,475,600.00

Request received: 4/21/2016

Contact Person: Alan G. Peaslee, OD, Practice Administrator 229-244-2068

Determination: Pending

Requests for Miscellaneous Letters of Determination
DET2015205 Piedmont Mountainside Hospital, Inc. Freestanding Emergency Department Request received: 12/28/2015 Contact Person: Denise Ray, CEO 404-233-7000 Determination: Pending Opposition: Whitepath Fabtech- 1/22/2016; City of Ellijay- 1/26/2016; City of East Ellijay1/26/2016; Development Authority of Gilmer County- 1/26/2016; Gilmer County Charter Schools- 1/26/2016; Gilmer County Board of Commissioners- 1/26/2016; Margie Case- 1/26/2016; Joene S. DePlancke- 1/26/2016; Dianne Fowler- 1/26/2016; Amy Hensley- 1/26/2016; David L. Meadows- 1/26/2016; Glenda Warwick- 1/26/2016; Randall E. Durden- 1/26/2016; 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, etc.- 1/27/2016
DET2016002 Golden Crest Corporation Increase in Capacity Personal Care Home Request received: 1/8/2016 Contact Person: Shauna Maddox, Executive Director 770-389-3118 Determination: Non-reviewable as proposed Determination Date: 4/29/2016
DET2016003 Golden Crest Assisted Living Change of Occupancy Request received: 1/8/2016 Contact Person: Kimberly Campbell, Asst Director 770-961-2200 Determination: Non-reviewable as proposed Determination Date: 4/29/2016
DET2016016 Gateway Gardens Assisted Living & Memory Care Development of an Assisted Living Community Request received: 2/8/2016 Contact Person: Rich Combs, Partner (770) 330-9851 Determination: Pending
DET2016021 Oconee County Holdings, LLC Expansion of Storage & Office Spaces into Existing Area Request received: 2/15/2016 Contact Person: Teresa Moody, President-HSRE (478) 621-2227 Determination: Pending

12

DET2016030 Medical Center of Central Georgia, Inc. d/b/a/ Navicent Health Replacement of CON-Approved da Vinci Surgical Robot Request received: 2/24/2016 Contact Person: Bryan Forlines, AVP of Gov't Relations (478) 633-6966 Determination: Non-reviewable as proposed Determination Date: 3/31/2016
DET2016031 Piedmont Hospital, Inc. d/b/a Piedmont Atlanta Hospital Renovation of Interventional Radiology Space Request received: 2/25/2016 Contact Person: Ed Lovern, COO (404) 605-5865 Determination: Non-reviewable as proposed Determination Date: 4/4/2016
DET2016032 Midtown Endoscopy Center, LLC Endoscopy Exemption Request received: 2/26/2016 Contact Person: Michael Lazarus, Mgr. (404) 888-7575 x 1128 Determination: Non-reviewable as proposed Determination Date: 4/5/2016
DET2016033 Atlanta South Endoscopy Center, LLC Endoscopy Exemption Request received: 2/26/2016 Contact Person: Ralph Lyons, M.D, Mgr. (678) 904-0098 Determination: Non-reviewable as proposed Determination Date: 4/5/2016
DET2016034 Brookdale Management-II, LLC Establishment of Assisted Living Community Request received: 3/1/2016 Contact Person: Amy Galati, Paralegal (414) 918-5441 Determination: Non-reviewable as proposed Determination Date: 4/7/2016
DET2016035 Fayette Community Hospital, Inc. d/b/a Piedmont Fayette Hospital Replacement of Cardiac Catheterization Equipment Request received: 3/7/2016 Contact Person: Nathan Nipper, VP, COO (770) 804-1013 Determination: Non-reviewable as proposed Determination Date: 4/13/2016
DET2016036 Emory University d/b/a Emory University Hospital Midtown Relocation of Core Laboratory Request received: 3/8/2016 Contact Person: Erin Hendrick, COO 404-686-8903 Determination: Non-reviewable as proposed Determination Date: 4/14/2016
DET2016037 Emory University d/b/a Emory University Hospital Midtown Renovation of Pharmacy Request received: 3/8/2016 Contact Person: Erin Hendrick, COO 404-686-8903 Determination: Non-reviewable as proposed Determination Date: 4/14/2016
DET2016038 Floyd Healthcare Management, Inc. d/b/a Floyd Medical Center Purchase & Installation of ER Bar Code Meds Administration System Request received: 3/9/2016 Contact Person: Beth Edwards, Dir. of Planning 770-509-3257 Determination: Non-reviewable as proposed Determination Date: 4/14/2016
DET2016039 Gastroenterology Associates of Gainesville, P.C. Regulatory Reclassification of Existing Endoscopy Center Request received: 3/14/2016 Contact Person: Tammy Berry, CPC, Administrator 678-997-2105 Determination: Pending
DET2016040 Phoebe Putney Memorial Hospital, Inc. d/b/a Phoebe Home Care Scope of Home Health Services Request received: 3/16/2016
13

Contact Person: Lori Jenkins, Dir. of Strategy & Planning 229-312-1432 Determination: Pending
DET2016041 American Health Imaging of Georgia, LLC d/b/a American Health Imaging of Relocation of Existing CON-Approved Facility Request received: 3/16/2016 Contact Person: Stephen Janis, Chief Development Officer 404-296-5887 Determination: Non-reviewable as proposed Determination Date: 4/26/2016
DET2016042 American Health Imaging of Georgia, LLC d/b/a American Health Imaging of Replacement of MRI Unit Request received: 3/16/2016 Contact Person: Stephen Janis, Chief Development Officer 404-296-5887 Determination: Non-reviewable as proposed Determination Date: 4/26/2016
DET2016043 American Health Imaging of Georgia, LLC d/b/a American Health Imaging of Replacement of CT Scanner Request received: 3/16/2016 Contact Person: Stephen Janis, Chief Development Officer 404-296-5887 Determination: Non-reviewable as proposed Determination Date: 4/26/2016
DET2016044 Hamilton Medical Center, Inc. Renovation of Support Core Area Request received: 3/18/2016 Contact Person: Gary L. Howard, Sr. VP & CFO 706-226-3003 Determination: Non-reviewable as proposed Determination Date: 4/29/2016
DET2016045 Georgia Pain Physicians, P.C. Transfer of Stock from Outgoing Physician to Another Physician Request received: 3/24/2016 Contact Person: John T. Whaley, CEO 770-635-3956 Determination: Pending
DET2016046 Grady Memorial Hospital Corporation d/b/a Grady Health Systems Multiple Minor Renovation Projects Request received: 3/24/2016 Contact Person: Carlos Ruiz, Interim VP of Support Services 404-616-5141 Determination: Pending
DET2016047 Floyd Healthcare Management, Inc. d/b/a Floyd Medical Center Replacement of Existing Facility's Chiller Request received: 3/25/2016 Contact Person: Beth Edwards, Dir. of Planning 706-509-3257 Determination: Non-reviewable as proposed Determination Date: 5/2/2016
DET2016048 Georgia Pain Physicians, P.C. d/b/a Georgia Surgical Center South Confirmation of a Grandfathered CON for Facility Request received: 3/29/2016 Contact Person: John T. Whaley, CEO 770-635-3956 Determination: Pending
DET2016049 Cartersville Medical Center, LLC Replacement of Linear Accelerator Request received: 3/31/2016 Contact Person: Lori E. Rakes, FACHE, COO 770-387-8181 Determination: Pending
DET2016050 Thrive Senior Living, LLC Development of a Multi-Story Assisted Living Facility Request received: 4/1/2016 Contact Person: John M. Elliston, VP of Operations 404-909-8016 Determination: Pending
DET2016051 The Shepherd Center, Inc. 14

Relocation of Existing Services Request received: 4/1/2016 Contact Person: Gary R. Ulicny, PhD, Pres. & CEO 404-350-7311 Determination: Pending
DET2016052 Southeastern Regional Medical Center, Inc. Development of a 10-Bed Clinical Decision / Observational Unit Request received: 4/5/2016 Contact Person: David Kent, COO 700-400-6261 Determination: Pending
DET2016053 Onyx Imaging, LLC Acquisition of a Refurbished, Fixed MRI System Request received: 4/8/2016 Contact Person: Carmen Baker, Managing Member 678-625-4720 Determination: Pending
DET2016054 Newnan Senior Housing, LLC Development of an Assisted Living Facility Request received: 4/18/2016 Contact Person: Victor J. Young, Manager 404-433-4113 Determination: Pending
DET2016055 Adventist Health System Georgia, Inc. d/b/a Gordon Hospital Renovation and Expansion of One General Operating Room Request received: 4/26/2016 Contact Person: Will Sullivan, Facilities Director 706-602-7800 ext 2188 Determination: Pending
DET2016056 Piedmont Hospital, Inc. d/b/a Piedmont Atlanta Hospital Addition of 9 Inpatient Beds and Relocation of Dialysis Clinic Request received: 4/27/2016 Contact Person: Ed Lovern, COO 404-605-5865 Determination: Pending
DET2016057 Emory University d/b/a Emory University Hospital Amendment of Hospital Construction Project to Reconfigure Beds Request received: 4/27/2016 Contact Person: Jeffrey C. Baxter, Assoc. General Counsel 404-727-4974 Determination: Pending
DET2016058 Tift County Hospital Authority d/b/a Tift Regional Medical Center Construction of a Medical Office Building Request received: 4/28/2016 Contact Person: Sarah S. Thompson, VP of Facility Mgmt 229-353-6102 Determination: Pending
DET2016059 Ashton Gardens, Inc. Conversion of an Independent Living Facility into a Personal Care Home Request received: 4/28/2016 Contact Person: Curtis McGill, Owner 770-842-5439 Determination: Pending
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: Pending
DET2016061 North Fulton Medical Center, Inc. d/b/a North Fulton Hospital Annual Assessment of Therapeutic Cardiac Catheterization Exemption Request received: 5/2/2016 Contact Person: Deborah C. Keel, CEO 770-751-2515
15

Determination: Pending

Requests for Extended Implementation/Effective Period
2014013 Hughston Hospital Inc d/b/a Northside Medical Center Develop 24-Hr Emergency Dept/Expand ICU Capacity Request to extend Implementation Date Site: 100 Frist Court, Columbus (Muscogee) Project Approved: 7/17/2014 Request Received: 4/13/2016 Contact:, Stan Hickson, President (706-494-2101) Approved Cost: $23,944,293 Determination: Denied, 4/27/2016

2014051 Piedmont Newnan Hospital, Inc. Establish Level III Neonatal Intensive Care Services Request to extend Completion Date Site: 745 Poplar Road, Newnan (Coweta) Project Approved: 3/27/2015 Request Received: 4/21/2016 Contact:, Davis Dunbar, Consultant (404-788-3638) Approved Cost: $1,007,780 Determination: Approved, 4/27/2016

Mandatory Completion Date: 5/31/2016

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
2020 Amb Surg Need Projection HPA Detail March 28, 2016 Posted 3/29/2016 2020 Rehab Need Projection Posted 3/29/2016 2020 Neonatal Need Projection Intermediate Detail Posted 3/29/2016 Updated 4/4/2016 2020 Neonatal Need Projection NICU Detail Posted 3/29/2016 - Updated 4/4/2016 2020 OB Need Projection Detail Posted 3/29/2016 2018 NH Need Projection Posted 3/29/2016 - Updated 4/4/2016 2016 Home Health Need Projection - Posted 3/29/2016 - Updated 4/4/2016 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.
16

Facility Name

County

Survey Year

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

Bacon County Hospital Bacon County Hospital

Bacon Bacon

2012 2013

Bacon County Hospital Burke Medical Center Calhoun Memorial Hospital Candler County Hospital

Bacon Burke Calhoun Candler

2014 2012 2012 2012

Candler County Hospital Candler County Hospital Charlton Memorial Hospital Charlton Memorial Hospital Columbus Specialty Hospital

Candler Candler Charlton Charlton Muscogee

2013 2014 2012 2014 2013

Columbus Specialty Hospital Evans Memorial Hospital Fannin Regional Hospital Georgia Regional Hospital at Savannah Georgia Regional Hospital at Savannah

Muscogee Evans Fannin Chatham Chatham

2014 2014 2014 2012 2013

Georgia Regional Hospital at Savannah Georgia Regional Hospital-Atlanta Georgia Regional Hospital-Atlanta Irwin County Hospital

Chatham DeKalb DeKalb Irwin

2014 2012 2014 2012

Irwin County Hospital Irwin County Hospital Landmark Hospital of Savannah Memorial Hospital of Bainbridge Mountain Lakes Medical Center

Irwin Irwin Chatham Decatur Rabun

2013 2014 2014 2014 2012

North Georgia Medical Center North Georgia Medical Center Northwest Georgia Regional Hospital Northwest Georgia Regional Hospital

Gilmer Gilmer Floyd Floyd

2013 2014 2012 2013

Northwest Georgia Regional Hospital Pioneer Community Hospital of Early Pioneer Community Hospital of Early Southeast Georgia Health System-Camden Campus Southern Crescent Hospital for Specialty Care Southern Crescent Hospital for Specialty Care Southwestern State Hospital Ty Cobb Regional Medical Center Warm Springs Medical Center Wildwood Lifestyle Center & Hospital

Floyd Early Early Camden Clayton Clayton Thomas Franklin Meriwether Dade

2014 2013 2014 2013 2012 2014 2012 2014 2012 2014

Wills Memorial Hospital Youth Villages - Inner Harbour Campus

Wilkes Douglas

2014 2013

Annual Nursing Home Questionnaire (Survey Years 2012 thru 2014)

Anderson Mill Health and Rehabilitation Center Anderson Mill Health and Rehabilitation Center Anderson Mill Health and Rehabilitation Center Bell Minor Home, The Bell Minor Home, The

Cobb Cobb Cobb Hall Hall

2012 2013 2014 2012 2013

Bell Minor Home, The Briarcliff Haven Healthcare And Rehabilitation Center Briarcliff Haven Healthcare And Rehabilitation Center Brown's Health & Rehabilitation Center

Hall DeKalb DeKalb Bulloch

2014 2013 2014 2012

Brown's Health & Rehabilitation Center

Bulloch

2013

17

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

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

Bulloch Bleckley Bleckley Laurens Laurens Laurens Murray Murray Murray Fulton Fulton Cook Dade Bibb Bibb Bibb Floyd Floyd Floyd Floyd DeKalb Fulton DeKalb DeKalb DeKalb DeKalb Gilmer Gilmer Fulton Fulton Fulton DeKalb DeKalb Bibb Bibb Bibb DeKalb DeKalb DeKalb Hart Elbert Elbert Jackson Jackson Catoosa Catoosa Catoosa Twiggs Fayette Fayette Fayette Troup Troup Fulton

18

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

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

Legacy Nursing & Rehabilitation Center Life Care Center of Lawrenceville Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Decatur Manor Care Rehabilitation Center - Marietta Manor Care Rehabilitation Center - Marietta Manor Care Rehabilitation Center - Marietta Medical Management Health And Rehabilitation Center Molena Health & Rehab, LLC Nancy Hart Nursing Center Nancy Hart Nursing Center New London Health Center New London Health Center New London Health Center Northwest Georgia Regional Hospital ICF/MR Northwest Georgia Regional Hospital ICF/MR Northwest Georgia Regional Hospital ICF/MR Oceanside Nursing & Rehab Center Palemon Gaskins Memorial Nursing Home Palemon Gaskins Memorial Nursing Home Palemon Gaskins Memorial Nursing Home Parkview Manor Nursing & Rehabilitation Center Pecan Manor-Central State Pecan Manor-Central State Pecan Manor-Central State Phoenix Center - Central State Phoenix Center - Central State Piedmont Hall ICF/MR - Central State Piedmont Hall ICF/MR - Central State Piedmont Hall ICF/MR - Central State Pine Knoll Nursing & Rehab Center Pinehill Nursing Center, Inc Pinewood Nursing Center Place At Martinez, The Providence Healthcare of Thomaston River Towne Center River Towne Center Rose Haven Nursing Facility Rose Haven Nursing Facility Rose Haven Nursing Facility Salude - The Art of Recovery 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

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

19

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

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

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

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

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

Cardiac Catheterization Services Survey (Survey Years 2011 thru 2013)

Coffee Regional Medical Center Hutcheson Medical Center

Coffee Catoosa

2011 2011

Newton Medical Center

Newton

2012

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

Advanced Aesthetics Surgicenter

FAYETTE

2012

Afa Ambulatory Surgery Center

BIBB

2013

Afa Ambulatory Surgery Center

BIBB

2014

Akstein Eye Center, P.c.

CLAYTON

2013

ALPHARETTA HEAD AND NECK SURGERY CENTER FULTON

2013

Ambulatory Laser & Surgery Ctr

CLAYTON

2012

Ambulatory Laser & Surgery Ctr

CLAYTON

2013

Ambulatory Laser & Surgery Ctr

CLAYTON

2014

Ambulatory Plastic Surgery Center, Inc

MUSCOGEE

2014

AOS Surgery Center

Richmond

2014

AOS Surgery Center

Richmond

2014

Associates Physicians Asc

BIBB

2012

Associates Physicians Asc

BIBB

2013

Associates Physicians Asc

BIBB

2014

Associates Surgery Center, Inc

Bibb

2013

Athens Plastic Surgery Center

CLARKE

2012

Athens Plastic Surgery Center

CLARKE

2013

Athens Plastic Surgery Center

CLARKE

2014

Atlanta Endoscopy Center, Ltd.

DEKALB

2013

Atlanta Eye International Surgery Center

Fulton

2014

Atlanta Orthopaedic Surgery Center

Fulton

2013

Atlanta Orthopaedic Surgery Center

Fulton

2013

Atlanta Orthopaedic Surgery Center

Fulton

2014

Atlanta South Endoscopy Center, Llc

CLAYTON

2013

Atlanta Sports Medicine Surgery Center

FULTON

2014

Atlanta Surgical Center

FULTON

2013

Atlanta Surgical Center

FULTON

2014

Atlanta West Endoscopy Center, Llc

DOUGLAS

2012

Augusta Ctr For Foot & Ankle

RICHMOND

2012

Augusta Urology Surgicenter, Llc

RICHMOND

2013

Azalea Surgery Center

BROOKS

2013

Azalea Surgery Center

BROOKS

2014

Bowman Pain Management, Pc

BIBB

2012

Brookstone Ambulatory Surgery Center

Muscogee

2012

Brunswick Pain Treatment Center, Llc

GLYNN

2013

Brunswick Pain Treatment Center, Llc

GLYNN

2014

Carpus Surgery Center

Cobb

2014

20

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

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 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 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

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 NEWTON COBB CLAYTON HOUSTON WARE Fulton NEWTON HALL HENRY COBB FULTON Chatham NEWTON NEWTON NEWTON MUSCOGEE FORSYTH FORSYTH FORSYTH HALL HALL HALL HALL GWINNETT GWINNETT FULTON Cherokee Chatham BULLOCH

21

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

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

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 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

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

22

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

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

West Paces Ambulatory Surgical Center, LLC

FULTON

2014

Home Health Agency Survey (Survey Years 2012 thru 2014)

Amedisys Home Health of Covington

Newton

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Colquitt Regional Home Care Services

Colquitt

HCMC Home Care

Habersham

Interim Healthcare of Atlanta Inc.

Fulton

Interim Healthcare of Atlanta Inc.

Fulton

Medside Home Health Agency

Fulton

Medside Home Health Agency

Fulton

Medside Home Health Agency

Fulton

Rockdale Medical Center Home Health

Rockdale

Trinity Home Health

Richmond

Trinity Home Health

Richmond

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

Hospital Financial Survey (Survey Years 2011 thru 2013)

Bacon County Hospital

Bacon

Charlton Memorial Hospital

Charlton

Charlton Memorial Hospital

Charlton

Emory Rehabilitation Hospital

DeKalb

Mountain Lakes Medical Center

Rabun

Mountain Lakes Medical Center

Rabun

Mountain Lakes Medical Center

Rabun

Pioneer Community Hospital of Early

Early

Youth Villages - Inner Harbour Campus

Douglas

2013 2011 2012 2013 2011 2012 2013 2013 2013

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

Athens Regional Medical Center

Clarke

2013

Georgia Regents Medical Center

Richmond

2013

Gwinnett Medical Center

Gwinnett

2011

Gwinnett Medical Center

Gwinnett

2013

South Georgia Medical Center

Lowndes

2013

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

Emory-Adventist Hospital

Cobb

2014

Piedmont Mountainside Medical Center

Pickens

2012

Piedmont Newnan Hospital

Coweta

2012

Southeast Georgia Health System-Camden Campus

Camden

2013

Radiation Therapy Services Survey (Survey Years 2012 thru 2014)

Hutcheson Medical Center

Catoosa

2012

Hutcheson Medical Center

Catoosa

2013

Hutcheson Medical Center

Catoosa

2014

Meadows Regional Cancer Center

Toombs

2013

Northeast Georgia Cancer Care

Clarke

2014

Satilla Regional Cancer Treatment Center

Ware

2014

South Georgia Center for Cancer Care

Bulloch

2013

South Georgia Center for Cancer Care

Bulloch

2014

Vantage Oncology Cancer Center at Lawrenceville

Gwinnett

2014

Vantage Oncology Center at Blairsville

Union

2014

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

Indigent and Charity Care Shortfalls

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

23

Facility Name Brookstone Surgical Center, LLC CPMSC Canton GA Urology, PA Cobb Ambulatory Surgery Center Georgia Opthalmologists, LLC Georgia Opthalmologists, LLC Interventional Spine and Pain Management Ambulatory Surgical Center Orthocare Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Cntr, LLC Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. Southlake Ambulatory Surgery Center, LLP Urology Specialists Surgery Center AseraCare Home Health CSRA Home Health Home Health Agency - Columbia 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 Newton Newton Rockdale
Dougherty Chatham Chatham Chatham Clayton Bibb Fulton McDuffie Fulton Chatham Newton Fulton Chatham Chatham Chatham

Year 2013 2014 2014 2013 2014 2013

Shortfall Due Service 44,631.52 Ambulatory Surgery Center 39,426.60 Ambulatory Surgery Center 14,433.70 Ambulatory Surgery Center 63,752.30 Ambulatory Surgery Center 46,839.54 Ambulatory Surgery Center 70,825.83 Ambulatory Surgery Center

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

22,894.00 2,659.17
29,475.08 4,838.07
124,001.71 188,646.10
14,681.28 4,625.56
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 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 3/29/2016 on DCH Website
Spring Batching Review Cycle Notifications

Ambulatory Surgery Home Health
Obstetrical Services

Neonatal Intermediate Care Services
Neonatal Intensive Care Services
Inpatient Physical Rehabilitation Skilled Nursing Facilities/Intermediate Care Facilities

Need Projections can be found on the "DHP Need Projections" Page
26

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

Batching Notice
(December 28, 2015)

Application
Day
(application complete when submitted; review cycle begins same day)
(February 26, 2016 : Applications due by 12noon

75th Day
(applicant provides additional information)
(May 10, 2016)

100th Day
(last day for letters of support to be submitted to
Department)
(June 4, 2016)

120th Day
(Department Issues
decision)
(June 24, 2016)

Letter of Intent
(January 27, 2016)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(April 25, 2016)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(May 25, 2016)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(June 14, 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
SPRING CYCLE

Batching Notice
(March 29, 2016)

Application
Day
(application complete when
submitted; review cycle begins same
day) (May 28, 2016: Applications due by 12 noon on Rollover Date, Tuesday, May 31, 2016)

75th Day
(applicant provides additional information)
(August 10, 2016)

100th Day
(last day for letters of support to be submitted to
Department)
(September 4, 2016)

120th Day
(Department Issues
decision)
(September 24, 2016)

Letter of Intent
(April 28, 2016)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(July 26, 2016)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(August 25, 2016)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(September 14, 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)
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.
Requirements for Verification of Lawful Presence within the United States
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.
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. 50-362. 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
Periodic Reporting Requirements
Health Planning Survey Notification letters for those facilities required to complete the Annual Hospital Questionnaire, the Free-Standing Ambulatory Surgery Center, and Home Health Services annual surveys were issued on January 25, 2016. Letters for those facilities required to complete the Radiation Therapy Services Survey and the Positron Emission Tomography Services Survey were issued on April 8, 2016.
If a letter is not received, please contact the Department. Please visit http://dch.georgia.gov/healthplanning-surveys to view the 2016 Health Planning Survey Schedule and to access the Survey Log In page.
CON Thresholds become effective annually on July 1. The current and effective thresholds can be found on the CON Thresholds page.
30

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.
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.

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