Certificate of Need tracking and appeals report, 2017 November 1 - 2017 November 7

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Letters of Intent Fall Batching Cycle Letters of Intent
Expired Letters of Intent New CON Applications
Withdrawn CON Applications Pending Review/Complete Applications Pending Review/ Incomplete Applications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 Notification - Fall Need Projection Analyses
Batching Review Summer Cycle Fall Cycle
Non-Filed or Incomplete Surveys Indigent-Charity Shortfalls
CON Filing Requirements (effective July 18, 2017)
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 LNR Conversion

Office of Health Planning
CERTIFICATE OF NEED
November 1, 2017 November 7, 2017
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

LOI2017058 Emory Saint Joseph's Hospital

Purchase and Installation of Incremental da Vinci XI Robotic System

Received: 10/10/2017

Application must be submitted on: 11/9/2017

Site: 5665 Peachtree Dunwoody Road NE, Atlanta, GA 30342 (Fulton County)

Estimated Cost: $2,435,000

LOI2017059 Northside/Eagles Landing Imaging

Replace CON Approved MRI

Received: 10/13/2017

Application must be submitted on: 11/13/2017

Site: 913 Eagles Landing Pkwy, Stockbridge, GA 30281 (Henry County)

Estimated Cost: $2,500,000

LOI2017060 Emory University Hospital Midtown

Addition of a Fixed Siemens MAGNETOM Skrya 3T MRI

Received: 10/23/2017

Application must be submitted on: 11/22/2017

Site: 550 Peachtree St NE, Atlanta, GA 30308 (Fulton County)

Estimated Cost: $2,200,000

LOI2017061 Cartersville Medical Center

Proposal to Renovate and Expand Emergency Department and Surgical Suite

Received: 10/12/2017

Application must be submitted on: 11/13/2017

Site: 960 Joe Frank Harris Parkway, Cartersville, GA 30120 (Bartow County)

Estimated Cost: $13,900,000

LOI2017062 Emory University Hospital

Renovate Two Inpatient Medical Surgical Units and Lobby Area

Received: 10/26/2017

Application must be submitted on: 11/27/2017

Site: 1364 Clifton Road, Atlanta, GA 30322 (Fulton County)

Estimated Cost: $9,100,000

LOI2017078 The Medical Center, Navicent Health

Proposal to Relocate Beds from the Existing NICU

Received: 10/30/2017

Application must be submitted on: 11/29/2017

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

Estimated Cost: $15,000,000

LOI2017079 Grady Health System

Proposal to Develop an Angio Procedure Room

Received: 10/30/2017

Application must be submitted on: 11/29/2017

Site: 80 Jesse Hill Jr Drive, SE, Atlanta, GA 30303 (Fulton County)

Estimated Cost: $3,600,000

LOI2017080 Gordon Hospital Proposal to Renovate and Expand Hospital Received: 10/30/2017 Application must be submitted on: 11/29/2017 Site: 1035 Red Bud Road, Calhoun, GA 30701 (Gordon County) Estimated Cost: $22,500,000

LOI2017081 Colquitt Regional Medical Center

Acquire a da Vinci XI Surgical System

Received: 10/30/2017

Application must be submitted on: 11/29/2017

Site: 3131 South Main Street, Moultrie, GA 31768 (Columbia County)

Estimated Cost: $2,000,000

LOI2017082 Piedmont Fayette Hospital

Acquire and Install an Additional MRI Unit

Received: 11/1/2017

Application must be submitted on: 12/1/2017

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

Estimated Cost:

$2,000,000

Fall Batching Letters of Intent

Ambulatory Surgery

LOI2017067 Erlanger Health System

Develop a Multi-Specialty ASC - Batching

Received: 10/28/2017

Application must be submitted on: 11/27/2017

Site: 60 Erlanger South Drive, Ringgold, GA 30736 (Catoosa County)

Estimated Cost: $10,000,000

LOI2017074 Optim Surgery Center

Add Additional OR to ASC - Batching

Received: 10/28/2017

Application must be submitted on: 11/27/2017

Site: 210 East DeRenne Avenue, Savannah, GA 31406 (Chatham County)

Estimated Cost: $308,000

Basic Perinatal

LOI2017063 Redmond Regional Medical Center

Develop Basic Level 1 Perinatal Service - Batching

Received: 10/28/2017

Application must be submitted on: 11/27/2017

Site: 501 Redmond Road, NW, Rome, GA 30165 (Floyd County)

Estimated Cost: $20,000,000

LOI2017066 The Medical Center, Navicent Health

Add Ten (10) Level III NICU Beds- Batching

Received: 10/28/2017

Application must be submitted on: 11/27/2017

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

Estimated Cost: $2,000,000

LOI2017069 Piedmont Athens Regional Medical Center

Add Three (3) Level II NICU Beds - Batching

Received: 10/28/2017

Application must be submitted on: 11/27/2017

Site: 1199 Prince Ave, Athens, GA 30606 (Clarke County)

Estimated Cost: $250,000

LOI2017070 Piedmont Athens Regional Medical Center

Add Three (3 ) Level III NICU Beds - Batching

Received: 10/28/2017

Application must be submitted on: 11/27/2017

Site: 1199 Prince Avenue, Athens, GA 30606 (Clarke County)

Estimated Cost: $250,000

LOI2017072 WellStar Douglas Hospital

Establish Level II NICU Service - Batching

Received: 10/28/2017

Application must be submitted on: 11/27/2017

Site: 8954 Hospital Drive, Douglasville, GA 30062 (Douglas County)

Estimated Cost: $503,000

LOI2017073 WellStar Cobb Hospital

Add Level III NICU Beds - Batching

Received: 10/28/2017

Application must be submitted on: 11/27/2017

Site: 8954 Hospital Drive, Austell, GA 30106 (Cobb County)

Estimated Cost: $364,300

LOI2017075 Northside Hospital - Cherokee

Establish Four (4) Beds Level III Service and Expand Women's Center - Batching

Received: 10/28/2017

Application must be submitted on: 11/27/2017

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Site: 450 Northside Cherokee Boulevard, Canton, GA 30115 (Cherokee County) Estimated Cost: $31,000,000

LOI2017076 Emory University Hospital Midtown

Add Six (6) Level III NICU Beds- Batching

Received: 10/28/2017

Application must be submitted on: 11/27/2017

Site: 550 Peachtree Street, NE, Atlanta, GA 30308 (Fulton County)

Estimated Cost: $1,000,000

LOI2017077 Emory University Hospital Midtown

Add Eight (8) Level II NICU Beds - Batching

Received: 10/28/2017

Application must be submitted on: 11/27/2017

Site: 550 Peachtree Street, NE, Atlanta, GA 30308 (Fulton County)

Estimated Cost: $1,000,000

Home Health

LOI2017064 Quality One Home Health Agency, LLC

Establish a Home Health Agency - Batching

Received: 10/28/2017

Application must be submitted on: 11/27/2017

Site: 534 Spring Chase Circle, Stone Mountain, GA 30083 (DeKalb County)

Estimated Cost: $106,000

Rehabilitation

LOI2017065 Miller County Hospital and Miller Nursing Home

Establish Ten (10) Bed Comprehensive Rehabilitation Inpatient Facility - Batching

Received: 10/28/2017

Application must be submitted on: 11/27/2017

Site: 209 N. Cuthbert Street, Colquitt, GA 39837 (Miller County)

Estimated Cost: $900,000

LOI2017071 Encompass Health Rehabilitation Hospital of Henry County Establish a Fifty (50) Bed Comprehensive Rehabilitation Inpatient Facility- Batching Received: 10/28/2017 Application must be submitted on: 11/27/2017 Site: Patrick Henry Parkway north of Jodeco Rd, Stockbridge, GA 30253 (Henry County) Estimated Cost: $31,000,000

Skilled Nursing Care

LOI2017068 Grady County Hospital Authority

Establish 108 Bed Skilled Nursing Facility - Batching

Received: 10/28/2017

Application must be submitted on: 11/27/2017

Site: 1155 5th St SE, Cairo, GA 39828 (Grady County)

Estimated Cost: $24,000,000

Expired Letters of Intent
none

New CON Applications
none

Withdrawn CON Applications
none

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Pending Review/Incomplete Applications
2017-054 WellStar Douglas Hospital Upgrade Rooms and Facilities for Provision of Obstetrics Services Filed: 10/10/2017 Deemed Incomplete: 10/23/2017 Site: 8954 Hospital Drive, Douglasville, GA 30134 (Douglas County) Contact: April Austin, Mgr 470-644-0057 Estimated Cost: $8,608,304
2017-055 WellStar Cobb Hospital Renovate Patient Rooms and Relocate Certain ICU Rooms Filed: 10/10/2017 Deemed Incomplete: 10/23/2017 Site: 3950 Austell Rd SW, Austell, GA 30106 (Cobb County) Contact: April Austin, Mgr 470-644-0057 Estimated Cost: $14,685,000
2017-056 Piedmont Newnan Hospital Proposal to Add 18 Acute Inpatient Beds Filed: 10/16/2017 Deemed Incomplete: 10/30/2017 Site: 745 Poplar Rd, Newnan, GA 30265 (Coweta County) Contact: John Miles, CFO 770-400-1000 Estimated Cost: $8,160,000
2017-057 Comprehensive Care Center at Camp Creek Establishment of Diagnostic Center in MOB at Camp Creek Filed: 10/23/2017 Deemed Incomplete: 11/6/2017 Site: 3896 Princeton Lakes Way, Atlanta, GA 30331 (Fulton County) Contact: Shannon Sale, Sr. VP/Chief Strategy Offcr 404-616-7029 Estimated Cost: $7,345,493
2017-058 Emory Saint Joseph's Hospital Purchase/Install Incremental Outpatient MRI Scanner Filed: 10/25/2017 Deemed Incomplete: 11/6/2017 Site: 5665 Peachtree Dunwoody Road NE, Atlanta, GA 30342 (Fulton County) Contact: Jessica Sheridan, VP, Operations 678-843-7460 Estimated Cost: $2,397,445

Pending Review/Complete Applications

2017-030 Lee County Medical Center

Opposition Filed

Establishment of a 60-Bed, Short-Stay General Hospital Filed: 5/18/2017 Deemed Incomplete: 6/1/2017 Deemed Complete: 7/19/2017 60th Day Deadline: 9/16/2017 Decision Deadline: 11/15/2017 Site: 270 Grand Island Drive, Albany, GA 31707 (Lee County) Contact: G. Edward Alexander, Pres., CEO 615-289-9896 Estimated Cost: $122,238,451

2017-031 Northeast Georgia Medical Center - South Hall Campus
Establishment of Electrophysiology Services Filed: 5/19/2017 Deemed Incomplete: 6/2/2017 Deemed Complete: 7/25/2017 60th Day Deadline: 9/22/2017 Decision Deadline: 11/21/2017 Site: 1400 River Place, Braselton, GA 30517 (Hall County) Contact: Linda Berger, Dir. of Planning 770-219-9000 Estimated Cost: $1,222,945

2017-035 University Hospital Renovation of Hospital's Sixth Floor

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Filed: 6/29/2017 Deemed Incomplete: 7/13/2017 Deemed Complete: 8/22/2017 60th Day Deadline: 10/20/2017 Decision Deadline: 12/19/2017 Site: 1350 Walton Way, Augusta, GA 30901 (Richmond County) Contact: Edward L. Burr, VP, Legal Affairs 706-774-4500 Estimated Cost: $5,108,765

2017-036 Northside Hospital - Cherokee
Two-Story Addition to Main Hospital w/8 Addtl Med/Surg Beds and 2 Shared ORs Filed: 7/3/2017 Deemed Incomplete: 7/17/2017 Deemed Complete: 8/1/2017 60th Day Deadline: 9/29/2017 Decision Deadline: 11/28/2017 Site: 450 Northside-Cherokee Boulevard, Canton, GA 30115 (Cherokee County) Contact: Brian Toporek, Senior Planner 404-851-6821 Estimated Cost: $43,626,834

2017-037 Piedmont Henry Hospital

Opposition Filed

Capital Expenditure to Renovate Space to add a 22-Bed Observation Unit

Filed: 7/3/2017 Deemed Incomplete: 7/13/2017 Deemed Complete: 8/4/2017 60th Day Deadline: 10/2/2017 Decision Deadline: 12/1/2017 Site: 1133 Eagles Landing Parkway, Stockbridge, GA 30281 (Henry County) Contact: Davis Dunbar, Consultant 404-788-3638 Estimated Cost: $6,425,000

2017-038 Emory Saint Joseph's Hospital
Renovation of Medical and Surgical Inpatient Space Filed: 7/7/2017 Deemed Complete: 7/21/2017 60th Day Deadline: 9/18/2017 Decision Deadline: 11/17/2017 Site: 5665 Peachtree Dunwoody Road, NE, Atlanta, GA 30342 (Fulton County) Contact: Robert Limyansky, Partner, Strategy House 770-394-8465 Estimated Cost: $15,834,625

2017-039 Emory University Hospital Midtown
Renovation and Upgrade of Surgical Facilities Filed: 7/7/2017 Deemed Complete: 7/20/2017 60th Day Deadline: 9/17/2017 Decision Deadline: 11/16/2017 Site: 550 Peachtree Street, Atlanta, GA 30308 (Fulton County) Contact: Daniel Beall, Partner, Strategy House 770-394-8465 Estimated Cost: $9,411,247

2017-040 Emory University Hospital Midtown
Renovation and Upgrade of Maternity/Obstetrical/Neonatal Facilities Filed: 7/7/2017 Deemed Complete: 7/20/2017 60th Day Deadline: 9/17/2017 Decision Deadline: 11/16/2017 Site: 550 Peachtree Street, Atlanta, GA 30308 (Fulton County) Contact: Daniel Beall, Partner, Strategy House 770-394-8465 Estimated Cost: $12,025,114

2017-041 St. Joseph's Hospital

Opposition Filed

Development of Hospital-Based Outpatient Surgery Center

Filed: 7/10/2017 Deemed Complete: 7/24/2017 60th Day Deadline: 9/21/2017 Decision Deadline: 11/20/2017 Site: near 1565 Pooler Parkway, Pooler, GA 31322 (Chatham County) Contact: Brad Trower, VP, Business Development 912-819-6000 Estimated Cost: $9,104,603

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2017-042 Northside Hospital - Forsyth
Addition of 20 Inp Acute Care Beds Through Conversion of Existing 20 Observation Beds Filed: 7/10/2017 Deemed Complete: 7/24/2017 60th Day Deadline: 9/21/2017 Decision Deadline: 11/20/2017 Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County) Contact: Brian Toporek, Senior Planner 404-851-6821 Estimated Cost: $0
2017-043 Southeast Georgia Health System, Inc.
Renovation and Expansion to Brunswick Campus Filed: 7/12/2017 Deemed Complete: 7/21/2017 60th Day Deadline: 9/18/2017 Decision Deadline: 11/17/2017 Site: 2415 Parkwood Drive, Brunswick, GA 31520 (Glynn County) Contact: Marjorie Mathieu, Vice President 912-466-7055 Estimated Cost: $123,474,000
2017-044 WellStar West Georgia Medical Center
Acquisition of a da Vinci Robotic Surgery System Filed: 7/12/2017 Deemed Complete: 7/24/2017 60th Day Deadline: 9/21/2017 Decision Deadline: 11/20/2017 Site: 1514 Vernon Road, La Grange, GA 30240 (Troup County) Contact: April Austin, Mgr, Strategic Planning 470-644-0057 Estimated Cost: $1,985,000
2017-045 Emory University Hospital Midtown
Renovation of Woodruff Building 2nd Floor to Establish Inp 25-Bed Medical Surgical Unit Filed: 7/17/2017 Deemed Complete: 7/31/2017 60th Day Deadline: 9/28/2017 Decision Deadline: 11/27/2017 Site: 550 Peachtree Street, NE, Atlanta, GA 30308 (Fulton County) Contact: Daniel Owens, CEO 404-686-2010 Estimated Cost: $9,073,489
2017-046 HealthSouth Walton Rehabilitation Hospital
Renovation of Facility and Addition of Two Private Patient Rooms Filed: 7/31/2017 Deemed Incomplete: 8/14/2017 Deemed Complete: 9/29/2017 60th Day Deadline: 11/27/2017 Decision Deadline: 1/26/2018 Site: 1355 Independence Drive, Augusta, GA 30901 (Richmond County) Contact: Eric Crossan, CEO 706-724-7746 Estimated Cost: $5,985,087
2017-047 Piedmont Henry Hospital
Capital Expenditure to Renovate Space to Establish Interventional Radiology Suite Filed: 8/2/2017 Deemed Incomplete: 8/16/2017 Deemed Complete: 8/24/2017 60th Day Deadline: 10/22/2017 Decision Deadline: 12/21/2017 Site: 1133 Eagles Landing Parkway, Stockbridge, GA 30281 (Henry County) Contact: Wesley James, CFO 678-604-5578 Estimated Cost: $4,511,522
2017-048 Memorial University Medical Center
Acquisition of Memorial University Medical Center Filed: 8/25/2017 Deemed Incomplete: 9/7/2017 Deemed Complete: 9/15/2017 60th Day Deadline: 11/13/2017 Decision Deadline: 1/12/2018 Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County)
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Contact: Joseph R. Ross, Esq. 912-232-7182 Estimated Cost: $430,095,000

2017-049 Grady Memorial Hospital
Development of a Hybrid OR Within Main Surgical Suite on 5th Floor Filed: 8/25/2017 Deemed Incomplete: 9/8/2017 Deemed Complete: 9/26/2017 60th Day Deadline: 11/24/2017 Decision Deadline: 1/23/2018 Site: 80 Jesse Hill Drive SE, Atlanta, GA 30303 (Fulton County) Contact: Shannon Sale, VP, Plan & Bus. Development 404-616-7029 Estimated Cost: $7,365,303

2017-050 Flint River Hospital

Opposition Filed

Add 18 Adult Psych/SA Beds to Existing Program by Conversion of Med/Surg Beds- Batching

Filed: 8/25/2017 Deemed Complete: 8/25/2017 60th Day Deadline: 10/23/2017 Decision Deadline: 12/22/2017 Site: 509 Sumter Street, Montezuma, GA 31063 (Macon County)

Contact: Michael C. Patterson, CEO 478-472-3100 Estimated Cost: $418,356

2017-051 Jenkins County Medical Center
Establish a 10-Bed Inpatient Geriatric Psychiatric Unit by Conversion of Existing Beds - Batching Filed: 8/25/2017 Deemed Complete: 8/25/2017 60th Day Deadline: 10/23/2017 Decision Deadline: 12/22/2017 Site: 931 Winthrope Avenue, Millen, GA 30442 (Jenkins County) Contact: Earl S. Whiteley, Administrator/COO 478-982-4221 Estimated Cost: $1,150,130

2017-052 Oconee Regional Medical Center
Acquisition of Oconee Regional Medical Center Filed: 9/5/2017 Deemed Incomplete: 9/19/2017 Deemed Complete: 9/22/2017 60th Day Deadline: 11/20/2017 Decision Deadline: 1/19/2018 Site: 821 N Cobb Street, Milledgeville, GA 31061 (Baldwin County) Contact: Dawnmarie Matlock, Esq 404-881-4253 Estimated Cost: $50,000

2017-053 Oaks at Limestone
Nursing Home Renovation Expenditures in Excess of 2017 Threshold Amount Filed: 9/18/2017 Deemed Complete: 10/2/2017 60th Day Deadline: 11/30/2017 Decision Deadline: 1/29/2018 Site: 2560 Flintridge Road, Gainesville, GA 30501 (Hall County) Contact: Aneel Gill, Exec. Dir./Planning & Dev. 678-533-6699 Estimated Cost: $8,950,000

Recently Approved Applications
2017-034 American Health Imaging of Cumming Addition of Second MRI Unit Filed: 6/19/2017 Deemed Complete: 6/29/2017 60th Day Deadline: 8/27/2017 Decision Deadline: 10/26/2017 APPROVED: 10/26/2017 Site: 1050 Haw Creek Parkway, Cumming, GA 30041 (Forsyth County) Contact: Stephen Janis, Chief Development Officer 404-296-5887 Estimated Cost: $1,070,000
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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: 4/11/2017.
DET2016-208 Emory University d/b/a Emory University Hospital ("EUH") and ES Rehabilitation, LLC d/b/a Emory Rehabilitation Hospital ("ES Rehab") (collectively, "Requestors") Request for Letter of Determination regarding the reviewability of a proposed relocation, decoupling and transfer of EUH's sixteen (16) comprehensive inpatient physical rehabilitation ("CIPR") beds denied on 2/24/2016. Requestors filed request for Administrative Appeal on 03/16/2017. Hearing Officer is Ellwood F. Oakley III, Esq. Hearing date: 6/15/2017. Hearing Officer grants Motion of Summary Adjudication to Requestors, 8/28/2017. Department requests Commissioner Review, 9/22/2017
Appealed LNRs
LNR-EQT2017014 Excel Radiology, LLC - Savannah Requested Letter of Non-Reviewability ("LNR") with regard to the reviewability of the purchase of a Fixed MRI Unit and CT Scanner. Request was approved, 7/7/2017. St. Joseph's/Candler Health System, Inc. and its two Savannah hospitals (St. Joseph's Hospital, Inc., and Candler Hospital, Inc. (collectively "St. Joseph's/Candler") filed a request for Administrative Appeal Hearing to contest the Department's July 7, 2017 ruling, 8/4/2017. Hearing Officer: William C. Joy, Esq.
LNR-EQT2017015 Excel Radiology, LLC - Brunswick Requested Letter of Non-Reviewability ("LNR") with regard to the reviewability of the purchase of a Fixed MRI Unit and CT Scanner. Request was approved, 7/7/2017. St. Joseph's/Candler Health System, Inc. and its two Savannah hospitals (St. Joseph's Hospital, Inc., and Candler Hospital, Inc. (collectively "St. Joseph's/Candler") filed a request for Administrative Appeal Hearing to contest the Department's July 7, 2017 ruling, 8/4/2017. Hearing Officer: William C. Joy, Esq.
LNR-EQT2017010 Bridgeway Diagnostic Radiology, LLC Requested Letter of Non-Reviewability ("LNR") with regard to the acquisition and operation of certain diagnostic equipment in Columbus, Muscogee County. The Department issued LNR, 8/23/2017. Columbus Diagnostic Imaging Center, LLC ("CDIC") filed a request for Administrative Appeal Hearing, 9/22/2017. Hearing Officer: TBD
LNR-ASC2016025 Georgia Arrhythmia Consultants and Research Institute, LLC ("GACRI") Houston Requested Letter of Non-Reviewability ("LNR") with regard to the reviewability of the establishment of cardiac services in an ambulatory surgery center. Request was denied, 3/8/2017. GACRI filed a request for Administrative Appeal Hearing, 3/31/2017. Hearing Officer: William C. Joy, Esq. Hearing Officer grants Department's Motion for Summary Determination, 7/27/17. GACRI files request for Commissioner Review, 8/28/2017. GACRI files Petition for Judicial Review, 8/25/17. GACRI files voluntary dismissal of judicial review, 10/2/17. Commissioner reverses decision of Hearing Officer and remands to Department for a Hearing, 10/17/17
Appealed CON Projects
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.
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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. Superior Court reversed Department decision, 1/27/17. Superior Court dismissed Department appeal, 9/27/2017. Court of Appeals: Department filed Application for Discretionary Review, 2/27/2017. Application for Discretionary Review granted, 3/16/2017.
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 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: 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. Superior Court Decision: Superior Court reversed Department and denied CON to ASMC, LLC, 2/3/2017. Court of Appeals: Applicant filed for discretionary review, 3/7/2017. Application for Discretionary Review granted 3/27/17.
2015-032 Piedmont Hospital, Inc. (Cobb) Develop a New Non-Special Purpose MRT Service - Batching Agency Decision: Denied, 12/23/2015
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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. Superior Court Decision: Court denies Petitioner's Petition for Judicial Review and affirms the Department's Final Order to award CON to Piedmont, 5/18/2017. Court of Appeals: WellStar Kennestone and WellStar Cobb filed Application for Discretionary Review, 6/19/17.
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. Hearing Decision: Hearing Officer reversed the Department's decision to deny a CON to MeSun Health Services, 4/19/2017. DCH Requests Commissioner Review, 5/19/2017. Commissioner Review Decision: Hearing Officer decision is reversed and CON to MeSun Health Services, Inc. is denied, 7/7/17. MeSun Health Services, Inc filed Petition for Judicial Review; 8/4/17
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 Hearing Decision: Hearing Officer affirmed the Department's decision to award a CON to St. Francis, 4/30/ 2017. MMC requested Commissioner Review, 5/30/2017. Commissioner Review Decision: St. Francis was affirmed by the Commissioner, 6/30/17. MMC filed Petition for Judicial Review, 7/31/17.
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 Kennestone"). Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: 3/27/2017 Hearing Decision: Hearing Officer affirmed the Department's decision to award a CON to EUH-Smyrna, 7/5/17. WellStar Cobb and WellStar Kennestone filed for Commissioner Review, 8/2/2017. Commissioner Review Decision: Affirmed Hearing Officer's decision to award CON to EUH-Smyrna, 8/30/17. Wellstar Cobb and Wellstar Kennestone filed Petition for Judicial Review; 9/29/17.
2017-010 Lakeview Behavioral Health (Gwinnett) 28-Bed Expansion of Existing Psych/Sub Abuse Inpatient Program SSDR 3 -Batching Agency Decision: Approved, 6/26/2017 Appealed By: UHS of SummitRidge, LLC d/b/a SummitRidge Hospital ("SummitRidge"), 7/26/2017 and UHS of Peachford, L.P. d/b/a Peachford Hospital, 7/26/2017. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: 11/13/2017 11/17/2017.
Requests for LNR for Diagnostic or Therapeutic Equipment
LNR-EQT2017034 Hughston Clinic P.C. Capital Lease of Fixed MRI
11

Request received: 7/21/2017

Contact Person: Mark Chapman, CIO 706-494-3400

Determination: Approved

Determination Date: 10/27/2017

LNR-EQT2017035 Ortho Sport & Spine Physicians, LLC Fixed MRI Request received: 7/25/2017 Contact Person: Armin Oskouei, Manager 678-752-7246 Determination: Pending Opposition: St. Joseph's/Candler Health System, Inc.- 8/23/2017; Saint Joseph's Hospital, Inc.8/23/2017; Candler Hospital, Inc.- 8/23/2017

LNR-EQT2017038 Fayette Community Hospital, Inc. d/b/a Piedmont Fayette Hospital

Purchase Fixed MRI

Request received: 8/9/2017

Contact Person: Nathan Nipper, VP/COO 770-804-1013

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

10/27/2017

LNR-EQT2017039 The Longstreet Clinic, P.C.

Purchase Fixed MRI

Request received: 8/18/2017

Contact Person: T. Loren Funk, COO 770-533-6591

Determination: Approved

Determination Date: 10/19/2017

LNR-EQT2017041 The Baxley and Appling County Hospital Authority d/b/a Appling

Leased Fixed MRI

Request received: 9/8/2017

Contact Person: Raymond Leadbetter, CEO 912-367-1272

Determination: Approved

Determination Date: 10/25/2017

LNR-EQT2017042 Bender Orthopaedics & Spine Specialist, LLC

Purchase of Mobile MRI

Request received: 9/13/2017

Contact Person: Jay Bender, Managing Mbr 877-630-5534

Determination: Approved

Determination Date: 10/25/2017

LNR-EQT2017043 The Baxley and Appling Co Hospital Authority dba Appling Healthcare

Purchase of Fixed CT Scanner

Request received: 9/21/2017

Contact Person: Raymond Leadbetter, CEO 912-367-1272

Determination: Approved

Determination Date: 10/25/2017

LNR-EQT2017044 AU Medical Center, Inc. Lease Mobile MRI Request received: 9/25/2017 Contact Person: Jennifer Smith, AVP, Strategic Dev. 706-446-5132 Determination: Pending

LNR-EQT2017045 South Atlanta Neurosurgery, PC Purchase of a New Fixed MRI Request received: 10/4/2017 Contact Person: Nazue Rezai, Manager 770-997-0600 Determination: Pending

LNR-EQT2017046 WellStar Douglas Hospital Purchase of Mobile MRI Request received: 10/5/2017 Contact Person: April Austin, Planning Coordinator 470-644-0057 Determination: Pending
LNR-EQT2017047 Shepard Center Purchase of a Fixed CT Scanner Request received: 10/10/2017
12

Contact Person: Chet Bhasin, COO 404-350-7714 Determination: Pending
LNR-EQT2017048 Open MRI of Brunswick, LLC DBA Gordon MRI and Imaging Purchase of a Fixed CT Scanner Request received: 10/16/2017 Contact Person: Anthony K. Gordon, MD, President 404-275-1396 Determination: Pending
LNR-EQT2017049 T2 Imaging, LLC Purchase of Fixed MRI Request received: 10/16/2017 Contact Person: Bryan Overton, Manager 770-617-1731 Determination: Pending
LNR-EQT2017050 Resurgens Orthopaedics Purchase of Fixed MRI Request received: 10/17/2017 Contact Person: Dr. Douglas W. Lundy, Co-President 404-847-9999 Determination: Pending
LNR-EQT2017051 Medical Center, LLP Purchase of a Fixed MRI Request received: 11/6/2017 Contact Person: Andy Williamson, MD 478-272-5177 Determination: Pending

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

LNR-ASC2017015 Ankle and Foot Associates, LLC

Operation of Physician Owned, Single Specialty ASC

Site: 615 N. Cleveland Ave, Adel, GA 31620

Number of OR's: 2

Specialty: Ankle and Foot Surgical Procedures

Project costs as submitted: $934,000.00

Request received: 9/18/2017

Contact Person: David Murphy, D.P.M 912-283-6471

Determination: Approved

Determination Date: 11/2/2017

LNR-ASC2017016 Allspine Surgery Center 2, LLC

Operation of Physician-Owned, Single Specialty ASC

Site: 1944 Clairmont Rd, Ste 102 Decatur, GA 30033

Number of OR's: 1

Specialty: Neurological Surgery

Project costs as submitted: $576,639.00

Request received: 9/21/2017

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

Determination: Approved

Determination Date: 11/2/2017

LNR-ASC2017017 Alpharetta Eye Surgery Center, LLC

Operattion of Physician-Owned, Single Specialty ASC

Site: 2555 Westside Parkway, Ste 325, Alpharetta, GA 30004

Number of OR's: 2

Specialty: Opthalmology

Project costs as submitted: $1,683,489.00

Request received: 9/22/2017

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

Determination: Approved

Determination Date: 11/7/2017

LNR-ASC2017018 Albany Urology Clinic, PC Operation of Physician Owned, Single Specialty ASC
13

Site: 2400 Osler Court, Albany, GA 31707

Number of OR's: 2

Specialty: Urology

Project costs as submitted: $0.00

Request received: 9/28/2017

Contact Person: Lawrence Meyers, Attorney 404-962-1040

Determination: Pending

LNR-ASC2017019 Barbour Orthopaedics Surgery Center, LLC

Operation of a Physician-Owned Single Speciality ASC

Site: 3300 Northeast Expressway Bldg 7, Atlanta, GA 30341

Number of OR's: 2

Specialty: Orthopaedics

Project costs as submitted: $2,383,843.64

Request received: 10/4/2017

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

Determination: Pending

LNR-ASC2017020 Augusta Plastic Surgery Center, Inc.

Operation of Physician Owned, Single Speciality ASC

Site: 541 Fury's Ferry Road, Martinez, GA 30907

Number of OR's: 2

Specialty: General Plastic Surgery

Project costs as submitted: $0.00

Request received: 10/5/2017

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

Determination: Pending

Requests for Miscellaneous Letters of Determination
DET2017162 RiverWoods Behavioral Health, LLC d/b/a RiverWoods Behavioral Health Ten-Bed Increase Based on Hospital Utilization Request received: 7/18/2017 Contact Person: John B. Warburton, CEO 770-692-3578 Determination: Non-reviewable as proposed Determination Date: 10/19/2017
DET2017164 Archbold Health Services, Inc. d/b/a Archbold Home Health Transfer of CON Approved Home Health Counties Request received: 7/19/2017 Contact Person: W. Clay Campbell, President/CEO 229-228-2230 Determination: Non-reviewable as proposed Determination Date: 10/25/2017
DET2017168 UHS of Laurel Heights, L.P. d/b/a Laurel Heights Hospital Addition of Twelve Beds Request received: 7/26/2017 Contact Person: Patrick McDaniel, CEO/Managing Director 404-888-7876 Determination: Non-reviewable as proposed Determination Date: 10/25/2017
DET2017182 Summit Surgery Center of Jonesboro, LLC CON LNR Exempt Non-Operating Room Environment Request received: 8/14/2017 Contact Person: Keri Laniado, Admin. Asst. 770-710-8919 Determination: Non-reviewable as proposed Determination Date: 10/26/2017
DET2017183 Summit Surgery Center at Buckhead, LLC CON LNR Exempt Non-Operating Room Environment Request received: 8/14/2017 Contact Person: Keri Laniado, Admin. Asst. 770-710-8919 Determination: Non-reviewable as proposed Determination Date: 10/19/2017
DET2017185 Complete Medical Healthcare Corporation CON LNR Exempt Non-Operating Room Environment Request received: 8/17/2017 Contact Person: Shelton D. Brooks, CEO 404-565-0197 Determination: Non-reviewable as proposed Determination Date: 10/12/2017
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DET2017186 Montclair Personal Care Home

Change PCH License to Assisted Living Community

Request received: 8/17/2017

Contact Person: Paul McGough, Managing Director 404-723-4055

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

11/1/2017

DET2017194 Hospital Authority of Columbus, Georgia Relocation of SNF to Replacement Facility with Transfer of Beds Request received: 8/31/2017 Contact Person: Frank Morast, CEO 706-225-1100 Determination: Non-reviewable as proposed Determination Date: 10/23/2017

DET2017196 Old Milton Senior Holding, LLC New Construction Assisted Living and Memory Support Community Request received: 9/7/2017 Contact Person: Angela Stanton, Administrator 678-756-6735 Determination: Non-reviewable as proposed Determination Date: 11/1/2017

DET2017197 Northeast Atlanta Vascular Care, LLC Develop Nonsterile Procedure Rooms to Perform Noncardiac Vascular Sv Request received: 9/8/2017 Contact Person: Lisa McNamara, Exec VP 239-597-2010 Determination: Non-reviewable as proposed Determination Date: 10/16/2017

DET2017198 Scottish Rites Childrens Medical Center Inc dba CHOA at Scottish Rite Replacement of CON Approved MRI Request received: 9/14/2017 Contact Person: David R. Tatum, CPPO 404-785-7519 Determination: Non-reviewable as proposed Determination Date: 10/23/2017

DET2017199 ObGyneBirth Center for Natural Deliveries, Inc. Cost Overrun Below Review Threshold Request received: 9/14/2017 Contact Person: Bolanle A Sogade, MD 478-745-9887 Determination: Pending

DET2017200 North Atlanta Vascular Clinic dba North Atlanta Vascular and Vein Center Convert Existing Physician Office Proceedure Rooms to ASC Request received: 9/22/2017 Contact Person: Uthan Vivek, M.D. 770-771-5260 Determination: Non-reviewable as proposed Determination Date: 10/27/2017
DET2017201 Saint Joseph's Hospital of Atlanta, Inc. Replacement of Cardiac Catherization Lab Request received: 9/27/2017 Contact Person: Heather Dexter, CEO 678-843-4951 Determination: Pending
DET2017202 Windy Hill Podiatry Associates, Inc. Renovation of Space Request received: 10/3/2017 Contact Person: Joseph D. Giovinco, MD/President 770-487-6716 Determination: Pending
DET2017203 WellStar Kennestone Hospital Renovation of Histology Lab-Main Level Hospital Request received: 10/5/2017 Contact Person: April Austin, Manager/ Strategic Planning 470-644-0057 Determination: Pending
DET2017204 WellStar Douglas Hospital Replacement of CON-Approved MRI Scanner Request received: 10/5/2017
15

Contact Person: April Austin, Manager/ Strategic Planning 470-644-0057 Determination: Pending
DET2017205 Numed Inc on behalf of Kaiser Permanente Health Plan Georgia Region Purchase of Additional MRI Request received: 10/6/2017 Contact Person: Jack Allen, SR VP Sals and Marketing 940-365-9777 Determination: Pending
DET2017206 Hospital Authority of Miller County Construction of Shipping and Receiving and Maintenance Facility Request received: 10/13/2017 Contact Person: Robin Rau, CEO 229-758-4949 Determination: Pending
DET2017207 Egleston Childrens Hospital at Emory University Inc., d/b/a Childrens Hospital Replacement of CON Approved MRI Request received: 10/17/2017 Contact Person: David R. Tatum, CPPO 404-785-7556 Determination: Pending
DET2017208 Pain Physicians of Atlanta, LLC Physician Owned Office Based Pain Mgmt ASC Request received: 10/17/2017 Contact Person: M. Shazad Wada, M.D. Managing Partner 404-273-6996 Determination: Pending
DET2017209 The Medical Center of Central Georgia, Inc. d/b/a The Medical Center, Navicent Upgrade CON Approved Vascular Labs 1 and 2 Request received: 10/17/2017 Contact Person: H. Bryan Forlines, AVP 478-633-6966 Determination: Pending
DET2017210 The Aspire at BridgeMill, LLC Development of an Assisted Living Community Request received: 10/19/2017 Contact Person: David R. Hink, Managing Partner 770-598-2616 Determination: Pending
DET2017211 The Mann House Cumming/Forsyth Development of an Assisted Living Community Request received: 10/25/2017 Contact Person: Cherryl Hylton, RN 404-250-9300 Determination: Pending
DET2017212 The Hospital Authority of Valdosta and Lowndes County, Georgia Reopen Inpatient Services at SGMC Smith Campus Request received: 10/26/2017 Contact Person: C. Ross Berry, CEO 229-259-4102 Determination: Pending
DET2017213 Magnolia Senior Living @ Sharpsburg LLC Proposal to Establish a 90 Bed Assisted Living Facility Request received: 10/27/2017 Contact Person: Zhicong Chen, Owner 678-549-2640 Determination: Pending
DET2017214 Magnolia Senior Living @ Canton, LLC Proposal to Establish a 64 Bed Assisted Living Facility Request received: 10/27/2017 Contact Person: Zhicong Chen, Owner 678-549-2640 Determination: Pending
DET2017215 Adventist Health System Georgia, Inc d/b/a Gordon Hospital 16

Add Second Adult Diagnostic Cardiac Catheterization Procedure Room Request received: 10/31/2017 Contact Person: Brandon Nudd, COO 706-879-4795 Determination: Pending
DET2017216 Phoebe Sumter Medical Center, Inc. Development of CON Exempt Medical Office Building Request received: 11/6/2017 Contact Person: Lori Jenkins, Director 229-312-1432 Determination: Pending

Requests for Extended Implementation/Effective Period

2016016 ObGyn Birth Center for Natural Deliveries, Inc. Establish New Freestanding Birth Center in SSDR 6 Request to extend Performance Period Site: 167 Martin Luther King Drive, Forsyth (Monroe) Project Approved: 6/24/2016 Request Received: 9/13/2017 Contact: Everette Jenkins, (678-625-4720) Approved Cost: $615,161 Determination: Pending

2015034 Houston Hospitals, Inc. d/b/a Houston Medical Center

Expansion and Renovation of Laboratory Department

Request to extend Performance Period

Site: 1601 Watson Blvd, Warner Robins (Houston)

Project Approved: 2/26/2016

Request Received: 10/11/2017

Contact: Stephen J. Machen, Administrator (478-322-4831)

Approved Cost: $4,858,530

Determination: Approved, 10/12/2017

Extended Project Completion Date: 6/30//2018

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
2022 Non Special MRT Need Projection Posted 6/26/2017 2022 PET Need Projection Posted 6/26/2017 2022 Ambulatory Surgical Services Need Projection Posted 9/28/2017 2022 Inpatient Physical Rehab Need Projections for Pediatric and Adult Services Posted 9/28/2017 2022 Neonatal Intermediate Care Bed Need Projection Intermediate - Posted 9/28/2017 2022 Neonatal Intensive Care Bed Need Projection Posted 9/28/2017 2021 Obstetric Services Bed Need Projection Posted 9/28/2017 2020 Nursing Home Bed Projections Posted 3/28/2017 2020 Home Health Need Projection Summary for Horizon Year 2020- Posted 9/28/2017 Non-Batched Need Projections 2022 Long Term Care Hospital Beds - 5/27/2017
17

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
Required Annual Surveys are available to individual facilities for completion and submission to the Department at www.georgiahealthdata.info.
A listing of complete and incomplete surveys separated by service and by year may be found at www.GaMap2Care.info.

Indigent and Charity Care Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years
(Commitment status as of 11/7/2017)

Facility Name Ambulatory Laser & Surgery Ctr 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 Georgia Pain Spine Center, LLC Interventional Spine and Pain Management Ambulatory Surgical Center Premier Ambulatory Surgical Center, LLC Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. SurgiCare Gwinnett Georgia Home Health Georgia Home Health Georgia Home Health Island Health Care Island Health Care Staff Builders Home Health Suncrest Home Health Suncrest Home Health

County CLAYTON CLAYTON CLAYTON CLARKE MUSCOGEE Cherokee Bibb COBB COBB Rockdale
Cobb FLOYD FLOYD Chatham Chatham Gwinnett Fulton Fulton Fulton Chatham Chatham Gwinnett Fulton Fulton

Year 2013 2014 2015 2014 2013 2014 2015 2014 2015 2013
2015 2014 2015 2013 2015 2015 2013 2014 2015 2014 2015 2015 2014 2015

Shortfall Due Service 9,122.57 Ambulatory Surgery Center 33,362.50 Ambulatory Surgery Center 17,041.50 Ambulatory Surgery Center 4,439.76 Ambulatory Surgery Center 44,631.52 Ambulatory Surgery Center 39,426.60 Ambulatory Surgery Center 1,039.66 Ambulatory Surgery Center 14,433.70 Ambulatory Surgery Center 24,472.48 Ambulatory Surgery Center 70,825.83 Ambulatory Surgery Center

169,806.56 92,083.32 88,222.50 4,838.07 18,304.24
108,022.10 14,681.28 35,647.87 64,819.82 20,912.29 46,002.33 39,203.62 18,318.91 17,068.27

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

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.

18

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.
Instructions for Organization of Appendices Appendices, in the original application document as well as the copies, must be separated by lettered tabs upon submission with the Office of Health Planning.
For Appendices with multiple documents, each document in that specific appendix must be separated by a light colored dividing sheet containing the name of the document which follows the dividing sheet.
These instructions are listed on Page iv of the CON application form. Compliance with these instructions is required pursuant to Rule 111-2-2-.06(2).
Determining Completeness Please note the completeness requirements for all applications may be found at Rule 111-2-2-.06(5). Expired, deficient, or invalid information will not be accepted as documentation for the purposes of deeming an application complete.
19

SPRING WINTER FALL

Batching Review
The below reviewable CON services are grouped for review into quarterly Batching Cycles. These services and the Batching Cycles are as follows:

Batched Service

Batching Notice

Home Health, Skilled Nursing Facilities, Neonatal Intermediate Care, NICU Services, Ambulatory Surgery,
Inpatient Rehabilitation, Obstetrical Services
PET, Mega Voltage Radiation Therapy, Pediatric Cath/Open Heart, Adult Open Heart,
Psych/Substance Abuse, Birthing Centers

September December

Letter of Intent
October
January

Home Health, Skilled Nursing Facilities, Neonatal Intermediate Care, NICU Services, Ambulatory Surgery,
Inpatient Rehabilitation, Obstetrical Services

March

April

Application Deadline November
February
May

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

June

July

August

SUMMER

Batching Notifications Posted 9/28/2017 on DCH Website
Fall Batching Review Cycle Notifications
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.

Home Health
Skilled Nursing Facilities
Neonatal Intermediate Care Services

Neonatal Intensive Care Unit Services
Ambulatory Surgery
Inpatient Rehabilitation
Obstetrical Services

Need Projections can be found on the "DHP Need Projections" Page
20

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

Batching Notice
(June 26, 2017)

Application Day
(application complete when submitted; review cycle begins same day)
(August 25, 2017: Applications due by 12 noon)

75th Day
(applicant provides
additional information)
(November 7, 2017)

100th Day
(last day for letters of support to be submitted to
Department)
(December 2, 2017)

120th Day
(Department Issues
decision)
(December 22 2017)

Letter of Intent
(July 26, 2017)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(October 23, 2017)

90th Day
(opposition meeting, applicant can attend, opposing party must provide written copy of argument)
(November 22, 2017)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(December 12, 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) 21

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

Batching Notice
(September 28, 2017)

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

75th Day
(applicant provides additional information)
(February 9, 2018)

100th Day
(last day for letters of support to be submitted to
Department)
(March 6, 2018)

120th Day
(Department Issues
decision)
(March 26, 2018)

Letter of Intent
(October 28, 2017)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(January 25, 2018)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(February 24, 2018)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(March 16, 2018)

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)
22

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)

23

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 The Department will no longer require information relating to this topic for Certificate of Need applications.
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.
24

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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