Certificate of Need tracking and appeals report, 2017 December 20 - 2017 December 27

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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New CON Applications Withdrawn CON Applications Pending Review/Complete Applications Pending Review/ Incomplete Applications Recently Approved Applications Recently Denied Applications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
December 20, 2017 December 27, 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

LOI2017088 Floyd Healthcare Properties, Inc.; PruittHealth-Rome

Renovation and Expansion to Add over 22,000 Square Feet of Space to the Existing Structure

Received: 12/13/2017

Application must be submitted on: 1/12/2018

Site: 2 Three Mile Road, Rome, GA 30165 (Floyd County)

Estimated Cost: $9,000,000

LOI2017089 Childrens Healtcare of Atlanta at Scottish Rite

Addition of Eight (8) Emergency Room Department Bays and Replacement of MRI

Received: 12/15/2017

Application must be submitted on: 1/15/2018

Site: 1001 JohnsonFerry Road, NE, Atlanta, GA 30342 (Fulton County)

Estimated Cost: $20,000,000

LOI2017090 Egleston Children's Hospital at Emory University, Inc.

Addition of Thirty-Five (35) Inpatient Beds and Relocation of Nine (9) Observation Beds

Received: 12/15/2017

Application must be submitted on: 1/15/2018

Site: 1405 Clifton Road NE, Atlanta, GA 30322 (Fulton County)

Estimated Cost: $14,100,000

LOI2017091 Hamilton Medical Center

Relocation and Expansion of Endoscopy Services

Received: 12/21/2017

Application must be submitted on: 1/22/2018

Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County)

Estimated Cost: $14,000,000

Expired Letters of Intent

LOI2017084 Floyd Healthcare Properties, Inc.; PruittHealth-Rome

Renovation and Expansion to Add over 22,000 Square Feet of Space to the Existing Structure

Received: 11/13/2017

Application must be submitted on: 12/13/2017

Site: 2 Three Mile Road, Rome, GA 30165 (Floyd County)

Estimated Cost: $9,000,000

New CON Applications
2017-080 Phoebe Putney Memorial Hospital Renovate Patient Care Area on the Fifth Floor of the Main Hospital Filed: 12/13/2017 Site: 147 Third Avenue, Albany, GA 31701 (Dougherty County) Contact: Lori Jenkins, Director 229-312-1000 Estimated Cost: $6,313,983
2017-081 MRI Imaging Specialists, Corp Change of Ownership to Non Physician Ownership and Purchase Fixed MRI Filed: 12/21/2017 Site: 6760 Jimmy Carter Boulevard Suite 165, Norcross, GA 30071 (Gwinnett County) Contact: Mike Alatorre, Secretary 786-303-0242 Estimated Cost: $550,000
Withdrawn CON Applications
none

Pending Review/Incomplete Applications
2017-077 Colquitt Regional Medical Center 2

Acquire a da Vinci XI Surgical System Filed: 11/29/2017 Deemed Incomplete: 12/13/2017 Site: 3131 South Main Street, Moultrie, GA 31768 (Columbia County) Contact: Greg K. Johnson, FACHE/VP of Operations 229-890-3547 Estimated Cost: $1,985,000
2017-078 Piedmont Fayette Hospital Acquire and Install an Additional MRI Unit Filed: 12/1/2017 Deemed Incomplete: 12/13/2017 Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County) Contact: Nathan Nipper, COO 770-804-1013 Estimated Cost: $2,149,421
Pending Review/Complete Applications
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
2017-049 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
2017-053 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
2017-054 WellStar Douglas Hospital Upgrade Rooms and Facilities for Provision of Obstetrics Services Filed: 10/10/2017 Deemed Incomplete: 10/23/2017 Deemed Complete: 11/6/2017 60th Day Deadline: 1/4/2018 Decision Deadline: 3/5/2018 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 Deemed Complete: 11/6/2017 60th Day Deadline: 1/4/2018 Decision Deadline: 3/5/2018 Site: 3950 Austell Rd SW, Austell, GA 30106 (Cobb County) Contact: April Austin, Mgr 470-644-0057 Estimated Cost: $14,685,000
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2017-056 Piedmont Newnan Hospital
Proposal to Add 18 Acute Inpatient Beds Filed: 10/16/2017 Deemed Incomplete: 10/30/2017 Deemed Complete: 11/20/2017 60th Day Deadline: 1/18/2018 Decision Deadline: 3/19/2018 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 Deemed Complete: 11/14/2017 60th Day Deadline: 1/12/2018 Decision Deadline: 3/13/2018 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 Deemed Complete: 11/9/2017 60th Day Deadline: 1/7/2018 Decision Deadline: 3/8/2018 Site: 5665 Peachtree Dunwoody Road NE, Atlanta, GA 30342 (Fulton County) Contact: Jessica Sheridan, VP, Operations 678-843-7460 Estimated Cost: $2,397,445
2017-059 Emory Saint Joseph's Hospital
Purchase and Installation of Incremental DaVinci XI Robotic System Filed: 11/9/2017 Deemed Complete: 11/16/2017 60th Day Deadline: 1/14/2018 Decision Deadline: 3/15/2018 Site: 5665 Peachtree Dunwoody Road NE, Atlanta, GA 30342 (Fulton County) Contact: Heather Dexter, COO 678-843-7001 Estimated Cost: $2,435,000
2017-060 Northside Hospital
Acquisition of a 3T Siemens Magnetom Verio MRI System Filed: 11/13/2017 Deemed Complete: 11/27/2017 60th Day Deadline: 1/25/2018 Decision Deadline: 3/26/2018 Site: 913 Eagles Landing Pkwy, Stockbridge, GA 30281 (Henry County) Contact: William J. Brathwaite, Planning Analyst 404-845-5140 Estimated Cost: $1,822,096
2017-061 Cartersville Medical Center
Renovate and Expand Emergency Department and Surgical Suite Filed: 11/13/2017 Deemed Complete: 11/27/2017 60th Day Deadline: 1/25/2018 Decision Deadline: 3/26/2018 Site: 960 Joe Frank Harris Parkway, Cartersville, GA 30120 (Bartow County) Contact: Lori Rakes, FACHE/COO 770-387-8181 Estimated Cost: $13,879,000
2017-062 Emory University Hospital
Renovate Two Inpatient Medical Surgical Units and Lobby Area Filed: 11/27/2017 Deemed Complete: 12/8/2017 60th Day Deadline: 2/5/2018 Decision Deadline: 4/6/2018 Site: 1364 Clifton Road, Atlanta, GA 30322 (Fulton County)
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Contact: Catherine A Maloney, FACHE 404-712-5529 Estimated Cost: $9,112,549
2017-063 Redmond Regional Medical Center
Develop Basic Level 1 Perinatal Service - Batching Filed: 11/27/2017 Deemed Complete: 11/27/2017 60th Day Deadline: 1/25/2018 Decision Deadline: 3/26/2018 Site: 501 Redmond Road, NW, Rome, GA 30165 (Floyd County) Contact: Joseph Gleason, VP Business Development 706-802-3745 Estimated Cost: $21,876,000
2017-064 The Medical Center, Navicent Health
Add Ten (10) Level III NICU Beds- Batching Filed: 11/27/2017 Deemed Complete: 11/27/2017 60th Day Deadline: 1/25/2018 Decision Deadline: 3/26/2018 Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: H. Bryan Forlines, AVP 478-633-6966 Estimated Cost: $1,477,665
2017-065 Northside Hospital - Cherokee
Establish Four (4) Bed Level III NICU Service and Expand Women's Center - Batching Filed: 11/27/2017 Deemed Complete: 11/27/2017 60th Day Deadline: 1/25/2018 Decision Deadline: 3/26/2018 Site: 450 Northside Cherokee Boulevard, Canton, GA 30115 (Cherokee County) Contact: Brian Toporek, Senior Planner 404-851-6821 Estimated Cost: $30,166,650
2017-066 Optim Surgery Center
Add Additional OR to ASC - Batching Filed: 11/27/2017 Deemed Complete: 11/27/2017 60th Day Deadline: 1/25/2018 Decision Deadline: 3/26/2018 Site: 210 East DeRenne Avenue, Savannah, GA 31406 (Chatham County) Contact: David Castleberry, CEO 912-644-5370 Estimated Cost: $425,645
2017-067 Erlanger Health System
Develop a Multi-Speciality ASC - Batching Filed: 11/27/2017 Deemed Complete: 11/27/2017 60th Day Deadline: 1/25/2018 Decision Deadline: 3/26/2018 Site: 60 Erlanger South Drive, Ringgold, GA 30736 (Catoosa County) Contact: Joseph Winick, Lead Exec 423-778-8088 Estimated Cost: $9,770,574
2017-068 WellStar Cobb Hospital
Add Ten (10) Level III NICU Beds - Batching Filed: 11/27/2017 Deemed Complete: 11/27/2017 60th Day Deadline: 1/25/2018 Decision Deadline: 3/26/2018 Site: 8954 Hospital Drive, Austell, GA 30106 (Cobb County) Contact: April Austin, Mgr, Strategic Planning 470-644-0057 Estimated Cost: $406,373
2017-069 Piedmont Athens Regional Medical Center
Add Three (3) Level III NICU Beds - Batching Filed: 11/27/2017 Deemed Complete: 11/27/2017 60th Day Deadline: 1/25/2018
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Decision Deadline: 3/26/2018 Site: 1199 Prince Avenue, Athens, GA 30606 (Clarke County) Contact: Jody Corry, VP 706-475-1195 Estimated Cost: $125,359
2017-070 WellStar Douglas Hospital
Establish Four (4) Bed Level II NICU Service - Batching Filed: 11/27/2017 Deemed Complete: 11/27/2017 60th Day Deadline: 1/25/2018 Decision Deadline: 3/26/2018 Site: 8954 Hospital Drive, Douglasville, GA 30062 (Douglas County) Contact: April Austin, Mgr, Strategic Planning 470-644-0057 Estimated Cost: $502,444
2017-071 Emory University Hospital Midtown
Add Six (6) Level III NICU Beds- Batching Filed: 11/27/2017 Deemed Complete: 11/27/2017 60th Day Deadline: 1/25/2018 Decision Deadline: 3/26/2018 Site: 550 Peachtree Street, NE, Atlanta, GA 30308 (Fulton County) Contact: Daniel Owens, CEO 404-686-2010 Estimated Cost: $957,963
2017-072 Encompass Health Rehabilitation Hospital of Henry County
Establish a Fifty (50) Bed Comprehensive Rehabilitation Inpatient Facility- Batching Filed: 11/27/2017 Deemed Complete: 11/27/2017 60th Day Deadline: 1/25/2018 Decision Deadline: 3/26/2018 Site: Patrick Henry Parkway north of Jodeco Rd, Stockbridge, GA 30253 (Henry County) Contact: Melanie Lewis 205-552-3871 Estimated Cost: $22,249,089
2017-073 Emory University Hospital Midtown
Add Eight (8) Level II NICU Beds - Batching Filed: 11/27/2017 Deemed Complete: 11/27/2017 60th Day Deadline: 1/25/2018 Decision Deadline: 3/26/2018 Site: 550 Peachtree Street, NE, Atlanta, GA 30308 (Fulton County) Contact: Daniel Owens, CEO 404-686-2010 Estimated Cost: $1,101,162
2017-074 Gordon Hospital
Renovate and Expand Hospital Filed: 11/29/2017 Deemed Complete: 12/13/2017 60th Day Deadline: 2/10/2018 Decision Deadline: 4/11/2018 Site: 1035 Red Bud Road, Calhoun, GA 30701 (Gordon County) Contact: Brandon Nudd, FACHE/COO 706-879-4795 Estimated Cost: $22,729,738
2017-075 The Medical Center, Navicent Health
Consolidation and Relocation of Children's Hospital Filed: 11/29/2017 Deemed Complete: 12/13/2017 60th Day Deadline: 2/10/2018 Decision Deadline: 4/11/2018 Site: 777 Hemlock St, Macon, GA 31201 (Bibb County) Contact: H. Bryan Forlines, AVP 678-633-6966 Estimated Cost: $14,673,816
2017-076 Grady Health System
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Develop an Angio Procedure Room Filed: 11/29/2017 Deemed Incomplete: 12/13/2017 Deemed Complete: 12/19/2017 60th Day Deadline: 2/16/2018 Decision Deadline: 4/17/2018 Site: 80 Jesse Hill Jr Drive, SE, Atlanta, GA 30303 (Fulton County) Contact: Shannon Sale, Sr. VP/CSO 404-616-7029 Estimated Cost: $3,580,500
2017-079 Northeast Georgia Medical Center, Inc.
Renovation and Development of Observation Unit Filed: 12/8/2017 Deemed Complete: 12/22/2017 60th Day Deadline: 2/19/2018 Decision Deadline: 4/20/2018 Site: 743 Spring Street, Gainesville, GA 30501 (Hall County) Contact: Linda Berger, Director of Planning 770-219-6631 Estimated Cost: $6,475,000
Recently Approved Applications
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 APPROVED: 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
2017-035 University Hospital
Renovation of Hospital's Sixth Floor 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 APPROVED: 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
2017-037 Piedmont Henry Hospital
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 APPROVED: 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
2017-047 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 APPROVED: 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
2017-050 Flint River Hospital
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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 APPROVED: 12/20/2017 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 APPROVED: 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 APPROVED: 12/5/2017 Site: 821 N Cobb Street, Milledgeville, GA 31061 (Baldwin County) Contact: Dawnmarie Matlock, Esq 404-881-4253 Estimated Cost: $50,000
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: 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. Commissioner reverses decision of Hearing Officer and grants summary adjudication to Department, 11/16/17.
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
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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: L. Lynn Hogue, Esq.
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. GACRI withdrew from proceeding, 11/29/17.
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. 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.
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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 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 Superior Court Decision: Superior Court reverses Department and orders CON to be issued to MeSun Health Services, Inc., 12/13/17.
2016-017 Saint Francis Hospital (Muscogee) Establish New Special Purpose MRT Service Cyberknife Special Purpose MRT Region 3-Batching
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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 Hearing Decision: Pending
2017-030 Lee County Medical Center (Lee) Establishment of a 60-Bed, Short-Stay General Hospital Agency Decision: Approved, 11/15/2017 Appealed By: Crisp Regional Hospital, Inc. d/b/a Crisp Regional Hospital ("Crisp"), 12/13/2017. Lee County Medical Center ("LCMC") filed request to intervene in any appeal filed, 12/13/2017. Dougherty County, 12/14/2017. Georgia Alliance of Community Hospitals ("GACH"), 12/14/2017. Hearing Officer: TBD Hearing Date: Pending
Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2017035 Ortho Sport & Spine Physicians, LLC

Fixed MRI

Request received: 7/25/2017

Contact Person: Armin Oskouei, Manager 678-752-7246

Determination: Approved

Determination Date: 12/21/2017

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-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: Approved

Determination Date: 11/22/2017

LNR-EQT2017047 Shepherd Center Purchase of a Fixed CT Scanner
11

Request received: 10/10/2017

Contact Person: Chet Bhasin, COO 404-350-7714

Determination: Approved

Determination Date: 11/30/2017

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: Approved

Determination Date: 11/29/2017

LNR-EQT2017049 T2 Imaging, LLC

Purchase of Fixed MRI

Request received: 10/16/2017

Contact Person: Bryan Overton, Manager 770-617-1731

Determination: Approved

Determination Date: 12/1/2017

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

LNR-EQT2017052 Wellstar North Fulton Hospital Inc dba Wellstar North Fulton Hospital

Purchase of a Da Vinci X Surgical System

Request received: 11/13/2017

Contact Person: April Austin, Manager 470-644-0057

Determination: Approved

Determination Date: 12/18/2017

LNR-EQT2017053 Bender Orthopaedics & Spine Specialist, LLC Purchase of a Fixed MRI Request received: 11/29/2017 Contact Person: Jay Bender, Managing Member 877-630-5534 Determination: Pending

LNR-EQT2017054 Douglas Hospital, Inc. dba WellStar Douglas Hospital Purchase of a Used Mobile Da Vinci Si Surgical System Request received: 11/29/2017 Contact Person: April Austin, RPC 470-644-0057 Determination: Pending
LNR-EQT2017055 Medcross Imaging, LLC Purchase of a Fixed MRI and CT Scanner Request received: 11/30/2017 Contact Person: Balu S. Mani, M.D. 478-374-4305 Determination: Pending
LNR-EQT2017056 Medcross Imaging, LLC Purchase of a Mobile MRI Request received: 11/30/2017 Contact Person: 500.00 Determination: Pending
LNR-EQT2017057 Medcross Imaging, LLC Purchase of Mobile MRI Request received: 12/7/2017 Contact Person: Balu S. Mani, M.D. 478-374-4305 Determination: Pending
12

LNR-EQT2017058 Piedmont Hospital, Inc. dba Piedmont Atlanta Hospital Purchase of a Fixed MRI, CT Scanner and Digital Radiographic System Request received: 12/11/2017 Contact Person: Randy Sprinkle, Exec. Dir. Imaging 404-605-3324 Determination: Pending
LNR-EQT2017059 Urology Of Greater Atlanta, LLC Purchase of a Fixed General Electric Lightspeed 16 CT Scanner Request received: 12/20/2017 Contact Person: Cheris L. Craig, CAO 770-474-5281 Determination: Pending
Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities

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

LNR-ASC2017021 Chatham Orthopaedic ASC, LLC dba Chatham Orthopaedic Surgery Center

Establishment of a Physician Owned Single Specialty ASC

Site: 4425 Paulsen Street, Savannah, Georgia 31405

Number of OR's: 4

Specialty: Orthopedic Surgery

Project costs as submitted: $1,532,004.80

Request received: 11/30/2017

Contact Person: Paul G. Justice, Attorney 404-954-5000

Determination: Pending

LNR-ASC2017022 Georgia Arrhythmia Consultants and Research Institute, LLC

Operation of a Physician Owned Single Specialty ASC

Site: 1716 Watson Blvd., Warner Robins, GA 31093

Number of OR's: 1

Specialty: Cardiac Electrophysiology

Project costs as submitted: $2,299,903.00

Request received: 12/15/2017

Contact Person: Felix Sogade Managing Member 478-755-1560

Determination: Pending

Requests for Miscellaneous Letters of Determination

DET2017199 ObGyne Birth 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
DET2017201 Saint Joseph's Hospital of Atlanta, Inc. Replacement of Cardiac Catheterization Lab Request received: 9/27/2017 Contact Person: Heather Dexter, CEO 678-843-4951 Determination: Non-reviewable as proposed Determination Date: 11/22/2017
DET2017206 Hospital Authority of Miller County
13

Construction of Shipping and Receiving and Maintenance Facility Request received: 10/13/2017 Contact Person: Robin Rau, CEO 229-758-4949 Determination: Non-reviewable as proposed Determination Date: 11/22/2017
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: Non-reviewable as proposed Determination Date: 12/11/2017
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: Non-reviewable as proposed Determination Date: 11/30/2017
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: Non-reviewable as proposed Determination Date: 12/7/2017
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: Non-reviewable as proposed Determination Date: 12/1/2017
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: Non-reviewable as proposed Determination Date: 12/15/2017
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: Non-reviewable as proposed Determination Date: 12/1/2017
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: Non-reviewable as proposed Determination Date: 12/1/2017
DET2017215 Adventist Health System Georgia, Inc d/b/a Gordon Hospital Add Second Adult Diagnostic Cardiac Catheterization Procedure Room Request received: 10/31/2017 Contact Person: Brandon Nudd, COO 706-879-4795 Determination: Non-reviewable as proposed Determination Date: 12/7/2017
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
14

Determination: Non-reviewable as proposed Determination Date: 12/11/2017
DET2017217 Bridgemill Senior Center, LLC Establishment of a 100 Bed Assisted Living Facility Request received: 11/8/2017 Contact Person: William B. Creekmore, Manager 770-318-5412 Determination: Non-reviewable as proposed Determination Date: 12/12/2017
DET2017218 Alliance HealthCare Services Addition of a Mobile PET/CT Unit Request received: 11/13/2017 Contact Person: Andre Kellogg, Sr., MPA 770-317-7800 Determination: Non-reviewable as proposed Determination Date: 12/15/2017
DET2017219 The Center for Spine & Pain Medicine, P.C. Convert Existing Plant Space into a Single Procedure Room ASC Request received: 11/14/2017 Contact Person: Shahid Sohani, Manager 678-450-1222 Determination: Pending
DET2017220 Hospital Authority of Tift County dba Tift Regional Medical Center Relocation of a Rural Healthcare Facility Within the Same County Request received: 11/14/2017 Contact Person: Michael Purvis, CEO 229-896-8077 Determination: Pending
DET2017221 Georgia Urology Relocation of Physician Office Based Single Specialty ASC Request received: 11/20/2017 Contact Person: Jason Shellmutt, CEO 404-275-2221 Determination: Pending
DET2017222 University Health Services, Inc. Replacement of the Roof for the Summerville Location Request received: 11/21/2017 Contact Person: Edward L. Burr, CAO 706-774-8063 Determination: Pending
DET2017223 The Hospital Authority of Valdosta and Lowndes County Georgia dba South Construction of Physician Offices in a Medical Office Building Request received: 11/22/2017 Contact Person: C. Ross Berry, CEO 229-433-1000 Determination: Pending
DET2017224 Grady Health System Replacement of CON Approved PET/CT Scanner Request received: 11/29/2017 Contact Person: Carlos Ruiz, VP/Support Services 404-616-0588 Determination: Pending
DET2017225 Northside Hospital Inc. and AOA-AMC, LLC Replacement of CON Approved Diagnostic Imaging Equipment Request received: 11/27/2017 Contact Person: Brian Toporek, Sr. Planner 404-851-6821 Determination: Pending
DET2017226 Cobb Hospital, Inc. dba WellStar Cobb Hospital Replacement of CON Approved Da Vinci Surgical System Request received: 11/29/2017 Contact Person: Aptil Austin, RPC 470-644-0057 Determination: Pending
DET2017227 Emory University dba Emory University Hospital Midtown
15

Replacement of CON Approved MRI Request received: 11/30/2017 Contact Person: Daniel Owens, CEO 404-686-2010 Determination: Pending

DET2017228 Medcross Imaging, LLC

Additional Site to Mobile MRI Network

Request received: 11/30/2017

Contact Person: Balu S. Mani, M.D. 478-374-4305

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

12/6/2017

DET2017229 Medcross Imaging, LLC

Additional Site In Riverdale to Mobile MRI Network

Request received: 11/30/2017

Contact Person: Balu Mani, M.D. 478-374-4305

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

12/6/2017

DET2017230 Southeast Georgia Health System Relocation of Pediatric Unit Request received: 12/5/2017 Contact Person: Marjorie Mathieu, VP 912-466-7055 Determination: Pending

DET2017231 SHP V Johns Creek, LLC Increase in Capacity for an Assisted Living Facility Request received: 12/6/2017 Contact Person: Beth Richardson, Exec. Dir. 770-790-0891 Determination: Pending

DET2017232 West Georgia Medical Center, Inc. dba WellStar West Georgia Medical Center Replacement of Mobile PET/CT Vender and Equipment Request received: 12/6/2017 Contact Person: April Austin, Mgr 470-644-0057 Determination: Pending

DET2017233 WellStar Spaulding Regional Hospital, Inc. dba WellStar Spaulding Regional Replacement of Mobile PET/CT Vendor and Equipment Request received: 12/6/2017 Contact Person: April Austin, Mgr 470-644-0057 Determination: Pending

DET2017234 WellStar North Fulton Hospital, Inc. dba WellStar North Fulton Hospital Replacement of Existing Mobile PET/CT Vendor and Equipment Request received: 12/6/2017 Contact Person: April Austin, Mgr 470-644-0057 Determination: Pending
DET2017235 Union County Hospital Authority dba Union General Hospital, Inc. Development of a Medical Office Building Request received: 12/8/2017 Contact Person: Lewis Kelley, CEO 706-439-6492 Determination: Pending
DET2017236 Piedmont Hospital, Inc. dba Piedmont Atlanta Hospital Replacement of Telemetry System Request received: 12/11/2017 Contact Person: Sheryl Klink, CFO 404-605-2233 Determination: Pending
DET2017237 Oaks Senior Living, LLC Establishment of a 100 Bed Assisted Living Facility Request received: 12/13/2017
16

Contact Person: Alex Salabarria, CEO 770-888-4683 Determination: Pending
DET2017238 Northside Hospital, Inc. dba Northside/Fayetteville Imaging Relocation of Existing CON Approved Healthcare Facility Request received: 12/13/2017 Contact Person: Brian Toporek, Sr. Planner 404-851-6821 Determination: Pending
DET2017239 Old Milton Senior Holding, LLC Establishment of an Eighty Eight (88) Bed Assisted Living Community Request received: 12/15/2017 Contact Person: Thomas Johnsrud, Administrator 470-359-5200 Determination: Pending
DET2017240 SHP V Hamilton Mill, LLC Increase Capacity from 101 to 125 Beds Request received: 12/15/2017 Contact Person: Melinda Kelly, Exec Director 770-999-0421 Determination: Pending
DET2017241 Emory University dba Emory University Hospital Replacement of S Robot with an Xi Robot Request received: 12/19/2017 Contact Person: Zeljka Matasic, Director 404-712-4446 Determination: Pending
DET2017242 East Georgia Regional Medical Center, LLC Relocation of Outpatient Rehab and Gastroenterology Clinic Request received: 12/20/2017 Contact Person: V. Paul Theriot, CEO 912-486-1500 Determination: Pending
DET2017243 Central Georgia PET, LLC Replacement of PET/CT Unit Request received: 12/21/2017 Contact Person: Eddie Coker, Director 478-633-9102 Determination: Pending
DET2017244 Egleston Children's Hospital at Emory University dba Children's Heathcare of Capital Expenditure to Develop a Clinical Research Department Request received: 12/22/2017 Contact Person: David Tatum, CPPO 404-785-7556 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: Approved, 12/18/2017

Extended Project Completion Date: 1/1/2019

2016046 Saint Joseph's Hospital, Inc. Acquisition of a da Vinci Xi Robotic Surgical System Request to extend Performance Period Site: 11705 Mercy Boulevard, Savannah (Chatham) Project Approved: 12/15/2016
17

Request Received: 11/14/2017 Contact: Brad Trower, VP, Business Development (912-819-6557) Approved Cost: $2,277,845 Determination: Approved, 12/5/2017 Extended Project Completion Date: 10/1/2018

2010047 Emory Eastside Medical Center

Renovation and Expansion of Main Hospital Facility

Request to extend Performance Period

Site: 1700 Medical Way, Snellville (Gwinnett)

Project Approved: 3/4/2011

Request Received: 11/20/2017

Contact: Trent Lind, CEO (770-979-0200)

Approved Cost: $75,336,587

Determination: Approved, 12/5/2017

Extended Project Completion Date: 12/31/2018

2014026 Georgia Ambulatory Surgery Center, LLC

Conversion of LNR-ASC to CON ASC - Batching

Request to extend Performance Period

Site: 2200 Wisteria Place, Suite 100 Snellville (Gwinnett)

Project Approved: 9/26/2014

Request Received: 12/15/2017

Contact: Dorian L. Jimenez, DPM (678-395-3628)

Approved Cost: $1,762,000

Determination: Approved, 12/18/2017

Extended Project Completion Date: 4/15/2018

2015039 Grady Memorial Hospital d/b/a Grady Health System Renovation/Relocation/Expansion of Marcus Stroke & Neuroscience Center Request to extend Performance Period Site: 80 Jesse Hill, Drive, SE, Atlanta (Fulton) Project Approved: 5/27/2016 Request Received: 12/18/2017 Contact: Stephen Smith, Dir, Fac. Mgmt (404-616-3872) Approved Cost: $7,962,903 Determination: Pending

2016003 Grady Memorial Hospital d/b/a Grady Health System Renovation of Existing Space Request to extend Performance Period Site: 80 Jesse Hill, Drive, SE, Atlanta (Fulton) Project Approved: 5/27/2016 Request Received: 12/18/2017 Contact: Stephen Smith, Dir, Fac. Mgmt (404-616-3872) Approved Cost: $19,440,714 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
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
18

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
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 12/27/2017)

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. 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 Fulton Fulton Fulton Chatham Chatham Gwinnett Fulton Fulton

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

19

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.
20

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
21

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) 22

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)
23

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)

24

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.
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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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