Certificate-of-need tracking and appeals report [Jan. 18-24, 2017]

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Letters of Intent Expired Letters of Intent
New CON Applications

Pending Review/Incomplete Applications Pending Review/Complete Applications Recently Approved Applications Recently Denied Applications 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 - Winter Need Projection Analyses Batching Review Fall Cycle Winter 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
January 18, 2017 January 24, 2017
Compiled by Doris Berry
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

LOI2017001 Piedmont Atlanta Hospital

Capital Expenditure to Relocate 12 ICU Beds

Received: 1/9/2017

Application must be submitted on: 2/8/2017

Site: 1968 Peachtree Road, Atlanta, GA 30309 (Fulton County)

Estimated Cost: $10,800,000

LOI2017002 WellStar Cobb Hospital

Acquisition of a da Vinci Xi Robotic Surgical System

Received: 1/12/2017

Application must be submitted on: 2/13/2017

Site: 3950 Austell Road, Austell, GA 30106 (Cobb County)

Estimated Cost: $2,000,000

LOI2017003 Northside Hospital - Cherokee 13-Bed Expansion of Medical / Surgical Hospital Beds Received: 1/13/2017 Application must be submitted on: 2/13/2017 Site: 201 Hospital Road, Canton, GA 30114 (Cherokee County) Estimated Cost: $1,700,000

LOI2017004 WellStar Kennestone Hospital

Relocation and Expansion of Emergency Department

Received: 1/18/2017

Application must be submitted on: 2/17/2017

Site: 677 Church Street, Marietta, GA 30060 (Cobb County)

Estimated Cost: $160,000,000

Expired Letters of Intent

LOI2016086 WellStar Kennestone Hospital

Relocation and Expansion of Emergency Department

Received: 12/19/2016

Application must be submitted on: 1/18/2017

Site: 677 Church Street, Marietta, GA 30060 (Cobb County)

Estimated Cost: $160,000,000

LOI2016088 Hiram Imaging

Replacement of MRI Unit

Received: 12/23/2016

Application must be submitted on: 1/23/2017

Site: 4374 Atlanta Highway Suite 125, Hiram, GA 30141 (Paulding County)

Estimated Cost: $1,650,000

LOI2016089 Marietta Imaging

Replacement of MRI Unit

Received: 12/23/2016

Application must be submitted on: 1/23/2017

Site: 796 Church Street Suite 100, Marietta, GA 30060 (Cobb County)

Estimated Cost: $1,650,000

Pending Review/Incomplete Applications
2016-070 WellStar Kennestone Hospital Acquisition of a Biplane Angiography Unit Filed: 12/19/2016 Deemed Incomplete: 1/3/2017 Site: 677 Church Street, Marietta, GA 30060 (Cobb County) Contact: April Austin, Strategic Planning Mgr. 470-644-0057 Estimated Cost: $4,816,061

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New CON Applications
2017-001 Eastside Medical Center Expansion of Surgery Department Filed: 1/11/2017 Site: 1700 Medical Way, Snellville, GA 30078 (Gwinnett County) Contact: Chad Lockhart, COO 770-736-2224 Estimated Cost: $4,562,435
2017-002 WellStar Douglas Hospital Acquisition of a da Vinci Xi Robotic Surgical System Filed: 1/12/2017 Site: 8954 Hospital Drive, Douglasville, GA 30134 (Douglas County) Contact: April Austin, Strategic Planning Mgr. 470-644-0057 Estimated Cost: $2,139,000
2017-003 Northside Hospital - Forsyth Capital Expenditures for Build-Out of Outpatient Departments and Services Filed: 1/16/2017 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek, Sr. Planner 404-851-6821 Estimated Cost: $13,047,819
2017-004 Piedmont Athens Regional Medical Center at Oconee Health Center Development of Hospital-Based Outpatient Services Filed: 1/23/2017 Site: 1305 Jennings Mill Road, Watkinsville, GA 30677 (Oconee County) Contact: Jody Corry, VP, Corp. Counsel 706-475-1195 Estimated Cost: $10,234,045
Pending Review/Complete Applications
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
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 Deemed Complete: 11/14/2016 60th Day Deadline: 1/12/2017 Decision Deadline: 3/13/2017 Site: 7500 Veterans Parkway, Columbus, GA 31909 (Muscogee County) Contact: Joseph A. Paul, President 561-744-9122 Estimated Cost: $1,219,076
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2016-057 Augusta University Medical Center
Relocation and Renovation of Clinical Pathology Program Filed: 9/21/2016 Deemed Incomplete: 10/5/2016 Deemed Complete: 11/22/2016 60th Day Deadline: 1/20/2017 Decision Deadline: 3/21/2017 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 Deemed Incomplete: 10/7/2016 Deemed Complete: 10/31/2016 60th Day Deadline: 12/29/2016 Decision Deadline: 2/27/2017 Site: 915 Gordon Avenue, Thomasville, GA 31792 (Thomas County) Contact: Josh Moore, VP of Operations 229-228-8263 Estimated Cost: $1,733,860

2016-059 American Health Imaging of Sandy Springs

OPPOSITION FILED

Acquisition of Second MRI Unit

Filed: 10/7/2016 Deemed Complete: 10/21/2016 60th Day Deadline: 12/19/2016 Decision Deadline: 2/17/2017 Site: 6095 Barfield Road, Suite 100, Atlanta, GA 30328 (Fulton County) Contact: Scott W. Arant, President & CEO 404-296-5887 Estimated Cost: $2,013,598

2016-060 Midtown Medical Center

Renovation and Expansion of Space for Existing Cancer Center

Filed: 11/14/2016

Deemed Complete: 11/28/2016

60th Day Deadline: 1/26/2017

Decision Deadline: 3/27/2017

Site: 710 Center Street, Columbus, GA 31901 (Muscogee County)

Contact: Bill Tustin, VP of Oncology Svcs. 706-320-8716

Estimated Cost: $24,838,810

2016-061 Piedmont Fayette Hospital
Establishment of EP Services and the Acquisition of Electrophysiology Equipment Filed: 11/16/2016 Deemed Complete: 11/30/2016 60th Day Deadline: 1/28/2017 Decision Deadline: 3/29/2017 Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County) Contact: Samuel Williamson, Dir. of Finance 770-719-6006 Estimated Cost: $2,046,317

2016-062 Piedmont Fayette Hospital
Renovation of Main Surgical Suite and Addition of Two Shared Operating Rooms Filed: 11/16/2016 Deemed Complete: 11/30/2016 60th Day Deadline: 1/28/2017 Decision Deadline: 3/29/2017 Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County) Contact: Samuel Williamson, Dir. of Finance 770-719-6006 Estimated Cost: $5,525,000

2016-063 Northeast Georgia Medical Center - South Hall Campus
Renovation of Existing Space, Development of 24-Bed Observational Unit and Staff Parking Lot Filed: 11/17/2016 Deemed Complete: 12/1/2016 60th Day Deadline: 1/29/2017 Decision Deadline: 3/30/2017 Site: 1400 River Place, Braselton, GA 30517 (Hall County)

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Contact: Linda Berger, Dir. of Planning 770-219-6631 Estimated Cost: $35,000,000
2016-064 Phoebe Putney Memorial Hospital - Main Campus Acquisition of a da Vinci Xi Surgical System Filed: 11/18/2016 Deemed Complete: 12/2/2016 60th Day Deadline: 1/30/2017 Decision Deadline: 3/31/2017 Site: 417 Third Avenue, Albany, GA 31701 (Dougherty County) Contact: Lori Jenkins, Dir. of Strategy/Planning 229-312-1432 Estimated Cost: $2,626,000
2016-065 Mayo Clinic Health System - Waycross Acquisition of Mayo Clinic Health System - Waycross Filed: 11/18/2016 Deemed Incomplete: 12/1/2016 60th Day Deadline: 2/4/2017 Decision Deadline: 4/5/2017 Site: 1900 Tebeau Street, Waycross, GA 31501 (Ware County) Contact: Gregg Gerken, VP 615-344-2031 Estimated Cost: $60,000,000
2016066 Piedmont Athens Regional Medical Center 3-Bed Expansion of Neonatal Intermediate Nursey Program SSDR 5 - Batching Filed: 11/28/2016 Deemed Complete: 11/28/2016 60th Day Deadline: 1/26/2017 Decision Deadline: 3/27/2017 Site: 1199 Prince Avenue, Athens, GA 30606 (Clarke County) Contact: Davis Dunbar, Consultant 404-788-3638 Estimated Cost: $150,000
2016-067 Northside Hospital - Forsyth 37-Bed Expansion of Short-Stay General Hospital Beds & Cafeteria Renovation Filed: 12/5/2016 Deemed Complete: 12/16/2016 60th Day Deadline: 2/13/2017 Decision Deadline: 4/14/2017 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek, Sr. Planner 404-851-6821 Estimated Cost: $8,435,602
2016-068 The Medical Center of Central Georgia Renovation and Expansion of the Children's Hospital Building Filed: 12/7/2016 Deemed Complete: 12/19/2016 60th Day Deadline: 2/16/2017 Decision Deadline: 4/17/2017 Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: H. Bryan Forlines, AVP of Gov't. Reimb. 478-633-6966 Estimated Cost: $64,997,348
2016-069 Northside Hospital - Atlanta Addition of 32 Medical/Surgical Inpatient Beds Filed: 12/15/2016 Deemed Complete: 12/29/2016 60th Day Deadline: 2/26/2017 Decision Deadline: 4/27/2017 Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County) Contact: Brian Toporek, Sr. Planner 404-851-6821 Estimated Cost: $0
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Recently Approved Applications
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 APPROVED: 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
2016-053 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 APPROVED: 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
Recently Denied Applications
none
Appealed Determinations
DET2016-142 Hutcheson Medical Center, Inc. Request for Letter of Determination regarding reclassification of facility denied on 09/28/16. Requestors filed request for Administrative Appeal on 10/13/16. Hearing Officer is Melvin M. Goldstein, Esq. Hearing date TBD
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.
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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.
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.
2015-017 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 Hospital-
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Cherokee, 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: 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.
2015-032 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: Hearing Officer reversed Department decision to deny CON to Piedmont, 10/10/2016; Opposition parties Kennestone Hospital, Inc., d/b/a WellStar Kennestone Hospital, WellStar Hospital Career Center, LLC, and DCH Request Commissioner Review, 11/9/2016. Commissioner Review Decision: Affirmed Hearing Officer's decision, 12/9/2016. Kennestone Hospital, Inc. filed Petition for Judicial Review, 1/9/2017.
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; Continued to 1/9/2017.
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: 2/15/2017 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 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, 7/22/2016 Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: 2/13/2017
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: 1/17/2017
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2016-019 Emory University Hospital Smyrna (Cobb) Renovation & Upgrade to Current Hospital Facilities Agency Decision: Approved, 8/4/2016 Appealed By: Cobb Hospital, Inc. d/b/a WellStar Cobb Hospital ("WellStar Cobb"), 9/2/2016 and Kennestone Hospital, Inc. d/b/a WellStar Kennestone Hospital ("WellStar Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: 3/27/2017
2016-029 Coliseum Medical Centers (Bibb) Establishment of 5 NICU Beds Level III - Batching Agency Decision: Approved, 9/23/2016 Appealed By: Medical Center of Central Georgia, Inc. d/b/a The Medical Center, Navicent Health ("Navicent"), 10/21/2016 Hearing Officer: William C. Joy, Esq. Hearing Date: 4/18/2017 4/21/2017
2016-050 Southern Regional Medical Center (Clayton) Establish a 16-Bed Geriatric Psychiatric & Substance Abuse Adult Inpatient Program SSDR 3Agency Decision: Approved, 12/21/2016 Appealed By: RiverWoods Behavioral Health, LLC ("RiverWoods"), 1/20/2017 Hearing Officer: TBD Hearing Date: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2016051 Onsite Radiologist, LLC

Purchase of a Fixed MRI Unit and CT Scanner

Request received: 11/16/2016

Contact Person: Munira Charania, M.D. 312-929-8662

Determination: Approved

Determination Date: 12/29/2016

LNR-EQT2016053 Barbour Orthopaedics and Sports Medicine, PC

Capital Lease of a Fixed MRI Unit

Request received: 11/30/2016

Contact Person: Kelly Millerd, CEO 404-480-9330

Determination: Approved

Determination Date: 1/11/2017

LNR-EQT2016054 Coliseum Northside Hospital, LLC d/b/a Coliseum Northside Hospital

Purchase of a Fixed CT Scanner

Request received: 12/8/2016

Contact Person: Heath King, CFO 478-464-8140

Determination: Approved

Determination Date: 1/17/2017

LNR-EQT2016055 West Georgia Medical Center, Inc. d/b/a WellStar West Georgia Medical

Purchase of a Fixed CT Scanner

Request received: 12/13/2016

Contact Person: April Austin, Strategic Planning Mgr. 470-644-0057

Determination: Denied

Determination Date: 1/19/2017

LNR-EQT2016056 Southeastern Regional Medical Center, Inc. Purchase of a Mobile CT Scanner Request received: 12/19/2016 Contact Person: David Kent, COO 770-400-6261 Determination: Pending

LNR-EQT2016057 Outpatient Imaging, LLC Purchase of a Fixed MRI Unit Request received: 12/19/2016 Contact Person: John Arnold, M.D., Treasurer 770-305-4674 Determination: Pending

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LNR-EQT2016058 Coliseum Northside Hospital, LLC d/b/a Coliseum Northside Hospital Purchase of a Mobile Angiography System Request received: 12/19/2016 Contact Person: Heath King, CFO 478-464-8140 Determination: Pending

LNR-EQT2017001 Pro Radiology, LLC Purchase of a Fixed MRI Unit and CT Scanner Request received: 1/9/2017 Contact Person: Darr McKeown, M.D., Member 404-606-3313 Determination: Pending
LNR-EQT2017002 West Georgia Medical Center, Inc. d/b/a WellStar West Georgia Medical Purchase of Interventional Radiology / Angiography Equipment Request received: 1/18/2017 Contact Person: April Austin, Strategic Planning Mgr. 470-644-0057 Determination: Pending

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

LNR-ASC2016023 Georgia Dermatologic Surgery Centers, LLC

Reissue of Previous LNR to Establish a Physician-Owned ASC

Site: 5555 Peachtree-Dunwoody Rd., Ste. 220, Atlanta, GA 30342

Number of OR's: 2

Specialty: Dermatology

Project costs as submitted: $5,000.00

Request received: 11/8/2016

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

Determination: Approved

Determination Date: 12/28/2016

LNR-ASC2016024 Pain Consultants of Atlanta Interventional Spine at Fayetteville, LLC

Establishment of a Physician-Owned, Single Specialty ASC

Site: 1233 Highway 54 West, Ste. 200, Fayetteville, GA 30214

Number of OR's: 1

Specialty: Pain Management

Project costs as submitted: $1,657,991.00

Request received: 11/9/2016

Contact Person: Mary Jayne Huddleston, Administrator 404-351-7654

Determination: Approved

Determination Date: 12/28/2016

LNR-ASC2016025 Georgia Arrhythmia Consultants and Research Institute, LLC

Establishment of a Physician-Owned, Single Specialty ASC

Site: 1716 Watson Blvd. Warner Robins, GA 31093

Number of OR's: 1

Specialty: Heart Rhythm Management

Project costs as submitted: $1,758,526.00

Request received: 12/1/2016

Contact Person: Kendle Busbee, RN 478-322-1101

Determination: Pending

LNR-ASC2016026 ObGyne Consultants

Establishment of a Physician-Owned, Single Specialty ASC

Site: 1712 Watson Blvd., Warner Robins, GA 31093

Number of OR's: 1

Specialty: Obstetrics and Gynecology

Project costs as submitted: $1,157,684.00

Request received: 12/13/2016

Contact Person: Bolanle Sogade, M.D., Owner 478-322-1103

Determination: Pending

LNR-ASC2016027 Georgia Urology ASC - Cumming Establishment of a Physician-Owned, Single Specialty ASC
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Site: 4150 Deputy Bill Cantrell Memorial Rd., Cumming, GA 30040

Number of OR's: 1

Specialty: Urology

Project costs as submitted: $918,500.00

Request received: 12/21/2016

Contact Person: Jason Shelnutt, CEO 404-275-2221

Determination: Pending

LNR-ASC2017001 Center for Spine Interventions ASC 2

Establishment of a Physician-Owned, Single Specialty ASC

Site: 2713 Marietta Highway, Building 2, Suite 224, Dallas, GA 30157

Number of OR's: 1

Specialty: Interventional Pain Management

Project costs as submitted: $750,590.88

Request received: 1/5/2017

Contact Person: Mary Hardwick, Member 770-871-9619

Determination: Pending

LNR-ASC2017002 Georgia Spine and Orthopaedics ASC

Establishment of a Physician-Owned, Single Specialty ASC

Site: 11650 Alpharetta Highway, Roswell, GA 30076

Number of OR's: 2

Specialty: Orthopaedic Surgery

Project costs as submitted: $1,681,494.00

Request received: 1/6/2017

Contact Person: Erik Bendiks, M.D., Owner 404-644-2700

Determination: Pending

Requests for Miscellaneous Letters of Determination
DET2016175 HealthSouth Walton Rehabilitation Hospital, LLC Increase in Bed Capacity Request received: 10/20/2016 Contact Person: Walter Smith, Dir. of State Reg. Affairs 205-970-7926 Determination: Non-reviewable as proposed Determination Date: 1/11/2017
DET2016188 Tift County Hospital Authority d/b/a Tift Regional Medical Center Expansion of Surgery Department Request received: 11/7/2016 Contact Person: Christopher K. Dorman, Sr. VP, COO 229-353-6121 Determination: Pending
DET2016190 Northeast Georgia Medical Center, Inc. Addition of Computer Information Systems Request received: 11/9/2016 Contact Person: Linda Berger, Dir. of Planning 770-219-6631 Determination: Pending
DET2016191 Peachtree Spine and Pain Physicians ASC, LLC d/b/a Optimum Surgery Center Facility Reclassification Request received: 11/9/2016 Contact Person: Jeffrey Grossman, M.D., President 404-843-3323 Determination: Pending
DET2016195 Consultative Gastroenterology Relinquishment of Current LNR Request received: 11/17/2016 Contact Person: Gary Richter, M.D., Medical Dir. 404-881-8800 Determination: Non-reviewable as proposed Determination Date: 1/18/2017
DET2016196 Gwinnett Hospital System, Inc. d/b/a Gwinnett Medical Center - Lawrenceville Establishment of a Mental Health Holding Unit Request received: 11/22/2016 Contact Person: Michael Boblitz, VP of Bus. Development 678-312-4329 Determination: Non-reviewable as proposed Determination Date: 12/30/2016
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DET2016197 Coliseum Northside Hospital, LLC d/b/a Coliseum Northside Hospital Expansion and Renovation of Emergency Department Request received: 11/22/2016 Contact Person: Heath King, CFO 478-464-8140 Determination: Non-reviewable as proposed Determination Date: 12/29/2016
DET2016198 AU Medical Center, Inc. Consolidation of Indigent/Charity Care Commitment Request received: 11/23/2016 Contact Person: Jennifer Smith, Asst. VP 706-721-4552 Determination: Non-reviewable as proposed Determination Date: 12/29/2016
DET2016199 Northwest Atlanta Vascular Care, LLC ASC Exemption Request received: 11/28/2016 Contact Person: Lisa McNamara, Exec. VP 239-597-2010 Determination: Pending
DET2016200 Macon Vascular Care, LLC ASC Exemption Request received: 11/28/2016 Contact Person: Lisa McNamara, Exec. VP 239-597-2010 Determination: Pending
DET2016201 Mentor ABI, LLC d/b/a NeuroRestorative Georgia Harison Heights Conversion of TBI Facility into a Personal Care Home Request received: 12/2/2016 Contact Person: Jackie Zdenek, Dir. of QI 813-781-1694 Determination: Non-reviewable as proposed Determination Date: 1/19/2017
DET2016202 Mentor ABI, LLC d/b/a NeuroRestorative Georgia Harison Heights Conversion of 20 PCH Beds into 20 TBI Beds Request received: 12/2/2016 Contact Person: Jackie Zdenek, Dir. of QI 813-781-1694 Determination: Non-reviewable as proposed Determination Date: 1/19/2017
DET2016203 Dallas Memory Care, LLC Establishment of an Assisted Living Community Request received: 12/7/2016 Contact Person: Jerry Jaques, Manager 386-774-8878 Determination: Non-reviewable as proposed Determination Date: 1/12/2017
DET2016204 Breast Care Specialists, LLC Replacement of CON-Approved MRI Unit Request received: 12/8/2016 Contact Person: Cynthia Boszilkov, Practice Admin. 404-255-8086 x 2210 Determination: Non-reviewable as proposed Determination Date: 1/12/2017
DET2016205 Georgia Proton Treatment Center, LLC Purchase of Membership Interest in Subsidiary Request received: 12/13/2016 Contact Person: Ashley Preisinger, CFA, Pres. 404-862-4967 Determination: Non-reviewable as proposed Determination Date: 1/18/2017
DET2016206 The Hospital Authority of Valdosta and Lowndes County Reopening of Emergency Department Request received: 12/15/2016 Contact Person: Raymond Snead, Jr., CEO 229-259-4102 Determination: Non-reviewable as proposed Determination Date: 1/23/2017
DET2016207 Trinity Life Management, LLC d/b/a Dogwood Forest of Grayson Establishment of Assisted Living Community Request received: 12/16/2016
12

Contact Person: Jeanette Yosanovich, Development Asst. 678-367-8516 Determination: Non-reviewable as proposed Determination Date: 1/20/2017
DET2016208 Emory University d/b/a Emory University Hospital Transfer of Licensure, Relocation of Inpatient Beds Request received: 12/16/2016 Contact Person: Ashley Hoffman, Assoc. Gen. Counsel 404-727-6011 Determination: Pending
DET2016209 The Emory Clinic, Inc. Transfer of Megavoltage Radiation Therapy Units Request received: 12/16/2016 Contact Person: Jeffrey Baxter, Chief Counsel 404-727-4974 Determination: Pending
DET2016210 SJC Properties, Inc. Development of a Medical Office Building Request received: 12/22/2016 Contact Person: Brad Trower, VP of Bus. Developm't 912-819-6557 Determination: Pending
DET2016211 Dominion Senior Living of Sandy Springs, LLC Establishment of an Assisted Living Community Request received: 12/29/2016 Contact Person: Ronnie Shakir, Jr., Exec. Dir. 470-535-7155 Determination: Pending
DET2016212 The Glen at Lake Oconee Village Establishment of an Assisted Living Community Request received: 12/29/2016 Contact Person: F. Robert DeWald, Pres. 770-324-5588 Determination: Pending
DET2016213 Regional Open MRI, LLC Relocation of CON-Approved MRI Unit Request received: 12/30/2016 Contact Person: Joseph A. Paul, Pres. 561-744-9122 Determination: Pending
DET2017001 Southeastern Regional Medical Center, Inc. Build Out of Medical Office Building Request received: 1/5/2017 Contact Person: David Kent, COO 700-400-6261 Determination: Pending
DET2017002 Tranquil Gardens Assisted Living and Memory Care Establishment of an Assisted Living Community Request received: 1/6/2017 Contact Person: M. Janice Stewart, President 770-479-9945 Determination: Pending
DET2017003 Sports and Spine Institute, LLC ASC Exemption Request received: 1/9/2017 Contact Person: Amrish Patel, M.D., Owner 678-866-3646 Determination: Pending
DET2017004 Lake Joy Assisted Living and Memory Care Establishment of an Assisted Living Community Request received: 1/10/2017 Contact Person: Deepak Patel, Member 912-293-6558 Determination: Pending
13

DET2017005 Piedmont Newton Hospital, Inc. Replacement of CON-Approved Cardiac Catheterization Equipment Request received: 1/9/2017 Contact Person: Troy Brooks, CFO 770-385-4426 Determination: Pending
DET2017006 Magnolia Senior Living at Sugar Hill, LLC Establishment of an Assisted Living Community Request received: 1/13/2017 Contact Person: Zhicong Chen, Owner 678-549-2640 Determination: Pending
DET2017007 ACTS Retirement - Life Communities, Inc. d/b/a OakBridge Terrace at Lanier Increase in Bed Capacity Request received: 1/17/2017 Contact Person: Susan Ahern, Corp. Dir. of Finance 215-661-8330 Determination: Pending
DET2017008 Southeastern Regional Medical Center, Inc. Replacement of CON-Approved Linear Accelerator Request received: 1/18/2017 Contact Person: David Kent, COO 700-400-6261 Determination: Pending
DET2017009 Gibson Rest and Convalescent Home, Inc. Expansion of Therapy, Patient Records Storage and Staff Offices Request received: 1/18/2017 Contact Person: Traci Todd, Secretary 706-598-3851 Determination: Pending
DET2017010 Egleston Children's Hospital at Emory University, Inc. Replacement of CON-Approved CT Scanner Request received: 1/20/2017 Contact Person: David Tatum, Chief Public Policy Officer 404-785-7556 Determination: Pending

Requests for Extended Implementation/Effective Period

2013037 Devi Manor Home for Life, LLC

Development of a 252-bed Skilled Nursing Facility

Request to extend Completion Date

Site: 6095 Pine Mountain Road, Building 200 (Cobb)

Project Approved: 9/24/2013

Request Received: 12/23/2016

Contact: Harshad Patel, Phd, CEO (732-319-3055)

Approved Cost: $56,531,000

Determination: Approved, 1/23/2017

Extended Mandatory Completion Date: 1/31/2018

2015038 The Hospital Authority of Valdosta and Lowndes County d/b/a South Georgia Medical Center

Construction of Hybrid Operating Room

Request to extend Implementation Date

Site: 2501 North Patterson Street, Valdosta (Lowndes)

Project Approved: 2/3/2016

Request Received: 1/11/2017

Contact: Raymond A. Snead, Jr., CEO (229-259-4102)

Approved Cost: $6,292,265

Determination: Approved, 1/17/2017

Extended Mandatory Implementation Date: 2/2/2018

2014017 MCG Health, Inc. d/b/a Georgia Regents Medical Center Establishment of a Hybrid Operating Room Request to extend Completion Date Site: 1120 15th Street, Augusta (Richmond) Project Approved: 9/16/2014
14

Request Received: 1/12/2017

Contact: Jon Graybeal, Senior Project Manager (706-721-7221)

Approved Cost: $13,259,094

Determination: Approved, 1/17/2017

Extended Mandatory Completion Date: 2/15/2018

2015007 Jeff Davis County Hospital Authority d/b/a Jeff Davis Hospital Construction of a 10-Bed Inpatient Adult Psychiatric Unit Request to extend Implementation Date Site: 163 South Tallahassee Street, Hazelhurst (Jeff Davis) Project Approved: 6/19/2015 Request Received: 1/23/2017 Contact: Tammy Mims, CEO (912-375-7781 x200) Approved Cost: $2,483,082 Determination: Pending

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 12/29/2016 2021 PET Need Projection Posted 12/29/2016 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 2021 OB Need Projection Detail (9/28/2016) Posted 9/29/2016 2019 NH Need Projection Posted 9/29/2016 2019 Home Health Need Projection - Posted 9/29/2016 Non-Batched Need Projections 2021 Long Term Care Hospital Beds - 11/15/2016 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

Burke Medical Center

Burke

2012

15

Survey Due
3/9/2013 3/9/2013

Calhoun Memorial Hospital

Calhoun

2012

Candler County Hospital

Candler

2012

Charlton Memorial Hospital

Charlton

2012

Charlton Memorial Hospital

Charlton

2014

Georgia Regional Hospital at Savannah

Chatham

2012

Georgia Regional Hospital at Savannah

Chatham

2013

Georgia Regional Hospital-Atlanta

DeKalb

2012

Landmark Hospital of Savannah

Chatham

2014

Memorial Hospital of Bainbridge

Decatur

2014

Northwest Georgia Regional Hospital

Floyd

2012

Northwest Georgia Regional Hospital

Floyd

2013

Northwest Georgia Regional Hospital

Floyd

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

Annual Nursing Home Questionnaire (Survey Years 2012 thru 2014)

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

2013

Brown's Health & Rehabilitation Center

Bulloch

2014

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

Cook Senior Living Center

Cook

2012

Eastview Nursing Center

Bibb

2012

Eastview Nursing Center

Bibb

2014

Etowah Landing

Floyd

2013

Etowah Landing

Floyd

2014

Etowah Landing Care And Rehabilitation Center

Floyd

2012

Ga Regional Atlanta LTC

DeKalb

2014

Gilmer Nursing Home

Gilmer

2014

Golden Living Center - Dunwoody

Fulton

2013

Golden Living Center - Dunwoody

Fulton

2014

Golden LivingCenter - Glenwood

DeKalb

2013

Golden LivingCenter - Glenwood

DeKalb

2014

Goodwill Nursing Home Inc

Bibb

2012

Goodwill Nursing Home Inc

Bibb

2013

Goodwill Nursing Home Inc

Bibb

2014

Grace Healthcare Of Tucker

DeKalb

2012

Grace Healthcare Of Tucker

DeKalb

2013

Grace Healthcare Of Tucker

DeKalb

2014

Heardmont Nursing Home

Elbert

2014

Hill Haven Nursing Home

Jackson

2013

16

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

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 LaGrange Nursing & Rehabilitation Center LaGrange Nursing & Rehabilitation Center Legacy Nursing & Rehabilitation Center Legacy Nursing & Rehabilitation Center 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 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 Pinehill Nursing Center, Inc Pinewood Nursing 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

Jackson Catoosa Catoosa Catoosa Twiggs Fayette Fayette Troup Troup Fulton Fulton DeKalb DeKalb DeKalb Cobb Cobb Cobb Pike Elbert Elbert Gwinnett Gwinnett Gwinnett Floyd Floyd Floyd Irwin Irwin Fulton Baldwin Baldwin Baldwin Baldwin Baldwin Dooly Grady Muscogee Thomas Thomas Thomas Gwinnett Chatham Chatham Chatham Chatham Chatham Gwinnett Gwinnett Gwinnett Laurens Laurens Cobb Fulton Fulton

17

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

Signature Healthcare of Savannah

Chatham

2014

Southland Healthcare And Rehabilitation Center

Laurens

2013

Thomson Health And Rehabilitation

McDuffie

2014

Tower Road Healthcare and Rehabilitation Center

Cobb

2013

Westminster Commons

Fulton

2012

Westview Nursing & Rehabilitation Center

Chatham

2014

Willowwood Nursing Center

Hall

2013

Willowwood Nursing Center

Hall

2014

Cardiac Catheterization Services Survey (Survey Years 2011 thru 2013)

Coffee Regional Medical Center

Coffee

2011

Hutcheson Medical Center

Catoosa

2011

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

Advanced Aesthetics Surgicenter

FAYETTE

2012

ALPHARETTA HEAD AND NECK SURGERY CENTER FULTON

2013

Ambulatory Laser & Surgery Ctr

CLAYTON

2012

Ambulatory Plastic Surgery Center, Inc

MUSCOGEE

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

Atlanta Eye International Surgery Center

Fulton

2014

Atlanta Sports Medicine Surgery Center

FULTON

2014

Atlanta West Endoscopy Center, Llc

DOUGLAS

2012

Augusta Ctr For Foot & Ankle

RICHMOND

2012

Bowman Pain Management, Pc

BIBB

2012

Carpus Surgery Center

Cobb

2014

Children's Healthcare of Atlanta Surgery, Meridian Mark Fulton

2012

Coastal Empire Plastic Surgery

CHATHAM

2014

Coosa Procedure Center, Llc

FLOYD

2014

Dublin Orthopaedics Asc, Inc

LAURENS

2013

Dublin Orthopaedics Asc, Inc

LAURENS

2014

E.n.t. Surg Ctr Of Central Ga

HOUSTON

2013

Endoscopy Ctr Of Coastal Ga

CHATHAM

2014

ENT Surgical Center

CHATHAM

2014

Eye Surgery Center Of Albany, Llc

DOUGHERTY

2012

Eye Surgery Center Of Albany, Llc

DOUGHERTY

2014

G.I. Endoscopy Center

CLAYTON

2014

Gainesville Urology Asc, Llc

HALL

2014

Gastroenterology Endoscopy Ctr, Inc

FULTON

2013

Gastroenterology Endoscopy Ctr, Inc

FULTON

2014

Houston Lake Surgery Center

HOUSTON

2012

Institute For Corrective Surgery of Foot & Ankle, Inc

WARE

2013

ISPM ASC at Camp Creek

Fulton

2014

ISPM ASC AT COVINGTON, LLC

NEWTON

2012

Limestone Surgery Center, LLC

HALL

2014

Locust Grove Endo Center

HENRY

2014

Marietta Eye Surgery

COBB

2013

Neurological Institute Ambulatory Surgery Center, LLC Chatham

2014

Northeast Georgia Urological Surgery Center, Llc

HALL

2012

Northeast Georgia Urological Surgery Center, Llc

HALL

2013

Northside Foot & Ankle Outpat

GWINNETT

2012

18

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

Northside Surgery Center, Inc.

FULTON

Northwest ENT Surgery Center

Cherokee

Pain Care Center of Georgia

Henry

Peach State Surgical Centers, Inc

HOUSTON

Peach State Surgical Centers, Inc

HOUSTON

Peach State Surgical Centers, Inc

HOUSTON

Perimeter Surgery Center of Atlanta

Fulton

Rome Endoscopy Ctr Inc, The

FLOYD

Rome Endoscopy Ctr Inc, The

FLOYD

Samson Pain Center, Pc

CHEROKEE

Seaside Surgical, Llc

GLYNN

Skin Cancer Specialists Surgery Center

Cobb

Southeast Treatment Center, Llc

CAMDEN

Southeastern Pain Ambulatory Surgery Center, Llc

FULTON

Surgery Center of Athens

Clarke

Urology Associates Surgery Center, Llc

COBB

Urology Institute Asc, The

THOMAS

Urology Specialists Surgery Center

Bibb

Urology Surgery Center of Albany

Dougherty

Urology Surgery Center Of Savannah, Lp

CHATHAM

Valdosta Foot & Ankle Surgery

LOWNDES

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

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

Trinity Home Health

Richmond

Trinity Home Health

Richmond

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

Hospital Financial Survey (Survey Years 2011 thru 2013)

Charlton Memorial Hospital

Charlton

2011

Charlton Memorial Hospital

Charlton

2012

Mountain Lakes Medical Center

Rabun

2011

Mountain Lakes Medical Center

Rabun

2012

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

South Georgia Medical Center

Lowndes

2013

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

0

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

3/6/2015 3/25/2013 3/25/2013 3/25/2013 3/14/2014
3/6/2015 3/6/2015 3/25/2013 3/14/2014 3/6/2015 3/6/2015 3/6/2015 3/25/2013 3/6/2015 3/25/2013 3/14/2014 3/25/2013 3/14/2014 3/6/2015 3/14/2014 3/25/2013
3/14/2014 3/15/2013 3/14/2014 3/15/2013 3/14/2014
3/6/2015 3/15/2013 3/14/2014 3/15/2013 3/14/2014
7/13/2012 7/26/2013 7/13/2012 7/26/2013
5/17/2013 5/16/2014 5/15/2015 5/16/2014

Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years (Commitment status as of 1/24/2017)

Facility Name Ambulatory Laser & Surgery Ctr

County

Year

CLAYTON

2013

19

Shortfall Due Service 132,254.31 Ambulatory Surgery Center

Ambulatory Laser & Surgery Ctr Ambulatory Laser & Surgery Ctr Athens Plastic Surgery Center Brookstone Surgical Center, LLC CPMSC Canton ELO Outpatient Surgery Center GA Urology, PA Cobb Ambulatory Surgery Center Gainesville Surgery Center Georgia Endoscopy Center, LLC GEORGIA PAIN SPINE CENTER, LLC Interventional Spine and Pain Management Ambulatory Surgical Center NASA Surgery Center, LLC Optim Surgery Center Optim Surgery Center Outpatient Ctr For Foot Surg Paulsen Street Surgery Center Paulsen Street Surgery Center Physicians Institute of Pain Management ASC Pinnacle Ortho Surg Ctr - Woodstock LLC Premier Ambulatory Surgical Center, LLC Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. Spivey Station Surgery Center SurgiCare Gwinnett Urology Specialists Surgery Center Amedisys Home Health of Covington Amedisys Home Health of Macon Amedisys Home Health of Valdosta Careone Home Health Services, Inc. (Amedisys) Central Home Health Health, Douglasville, an Amedisys Company Community Home Health, an Amedisys Company CSRA Home Health Home Health Agency - Columbia Gentiva Health Services Gentiva Health Services Gentiva Health Services Gentiva Health Services Gentiva Health Services Gentiva Health Services - Atlanta Gentiva Health Services - Savannah Georgia Home Health Georgia Home Health Georgia Home Health Healthfield Home Health/Gentiva Health Services Island Health Care Island Health Care Staff Builders Home Health Suncrest Home Health Suncrest Home Health Suncrest Home Health Suncrest Home Health Suncrest Home Health SunCrest Home Health - Chatham SunCrest Home Health of Georgia SunCrest Home Health of Georgia

CLAYTON CLAYTON CLARKE MUSCOGEE Cherokee Bibb COBB Hall Fulton COBB Rockdale
Fulton Chatham Chatham SPALDING Chatham Chatham Lowndes Cherokee Cobb FLOYD FLOYD Chatham Chatham Clayton Gwinnett Bibb Newton Bibb Lowndes Toombs Douglas
Cherokee McDuffie Forsyth Muscogee Fayette Decatur Bulloch Fulton Chatham Fulton Fulton Fulton Fulton Chatham Chatham Gwinnett Newton Fulton Cobb Newton Fulton Chatham Clayton Hall

2014 2015 2014 2013 2014 2015 2014 2015 2015 2015 2013
2015 2014 2015 2015 2014 2015 2015 2015 2015 2014 2015 2013 2015 2015 2015 2014 2015 2015 2015 2015 2015
2015 2015 2015 2015 2015 2015 2015 2015 2015 2013 2014 2015 2015 2014 2015 2015 2014 2014 2015 2015 2015 2014 2015 2015

20

113,972.52 105,380.82
4,439.76 44,631.52 39,426.60
1,039.66 14,433.70 35,107.66 114,428.90 24,472.48 70,825.83

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

83,402.00 2,945,040.80 3,245,330.82
8,338.89 10,610.74 24,877.12
3,484.76 12,407.84 169,806.56 92,083.32 88,222.50
4,838.07 18,304.24 96,073.10 108,022.10 188,646.10 72,593.62 145,668.38 20,875.53 41,672.95 251,562.66

Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency

36,298.18 22,074.55 11,083.45 24,031.39 77,698.95 72,357.12 94,007.34 65,052.58 25,421.88 14,681.28 35,647.87 64,819.82 26,929.33 20,912.29 46,002.33 39,203.62 10,525.87 18,318.91
8,127.77 8,164.54 17,068.27 3,626.69 25,441.78 17,619.84

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

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

Hall Franklin

2015 2015

191,076.74 Home Health Agency 111,037.57 Home Health Agency

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.

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.

21

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 12/29/2016 on DCH Website
Winter Batching Review Cycle Notifications

PET
Mega Voltage Radiation Therapy
Pediatric Cath/Open Heart

Adult Open Heart Psych/Substance Abuse Birthing Centers

Need Projections can be found on the "DHP Need Projections" Page
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BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW ACTIVITIES
WINTER CYCLE

Batching Notice
(December 29, 2016)

Application Day
(application complete when submitted; review cycle begins same day)
(February 27, 2017: Applications due by 12 noon)

75th Day
(applicant provides
additional information)
(May 12, 2017)

100th Day
(last day for letters of support to be submitted to
Department)
(June 6, 2017)

120th Day
(Department Issues
decision)
(June 26 2017)

Letter of Intent
(January 28, 2017)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(April 27, 2017)

90th Day
(opposition meeting, applicant can attend, opposing party must provide written copy of argument)
(May 27, 2017)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(June 16, 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) 23

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)
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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)

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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, permitted facilities an opportunity to complete outstanding surveys in order to become compliant. Facilities not in compliance after the September deadline received a Notification of Deficiencies which included details regarding the outstanding surveys, where surveys could be completed, and contact information for the Department. To confirm whether your facility has an outstanding survey please visit www.georgiamap2care.info To complete a survey, please visit www.georgiahealthdata.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.
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.
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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

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