Certificate of Need tracking and appeals report, 2017 July 19 - 2017 July 25

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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Withdrawn CON Applications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 Notifications - Summer
Need Projection Analyses
Batching Review Spring Cycle
Summer Cycle
Non-Filed or Incomplete Surveys
Indigent-Charity Shortfalls

Office of Health Planning
CERTIFICATE OF NEED
July 19, 2017 July 25, 2017

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

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

LOI2017043 HealthSouth Walton Rehabilitation Hospital

Renovation of Facility and Addition of Two Private Patient Rooms

Received: 6/30/2017

Application must be submitted on: 7/31/2017

Site: 1355 Independence Drive, Augusta, GA 30901 (Richmond County)

Estimated Cost: $6,000,000

LOI2017046 Piedmont Henry Hospital

Capital Expenditure to Renovate Space to Establish Interventional Radiology Suite

Received: 7/3/2017

Application must be submitted on: 8/2/2017

Site: 1133 Eagles Landing Parkway, Stockbridge, GA 30281 (Henry County)

Estimated Cost: $4,486,522

LOI2017044 Oconee Regional Medical Center

Acquisition of Assets of Oconee Regional Medical Center

Received: 7/6/2017

Application must be submitted on: 8/7/2017

Site: 821 N. Cobb Street, Milledgeville, GA 31061 (Baldwin County)

Estimated Cost: $12,200,000

LOI2017045 MRI Imaging Specialist Corp

Establish New MRI Service

Received: 7/12/2017

Application must be submitted on: 8/11/2017

Site: 6568 B Tara Boulevard, Jonesboro, GA 30236 (Clayton County)

Estimated Cost: $380,000

Expired Letters of Intent
none

New CON Applications
2017-043 Southeast Georgia Health System, Inc. Renovation and Expansion to Brunswick Campus Filed: 7/12/2017 Site: 2415 Parkwood Drive, Brunswick, GA 31520 (Glynn County) Contact: Marjorie Mathieu, Vice President 912-466-7055 Estimated Cost: $123,474,000
2017-045 Emory University Hospital Midtown Renovation of Woodruff Building 2nd Floor to Establish Inp 25-Bed Medical Surgical Unit Filed: 7/17/2017 Site: 550 Peachtree Street, NE, Atlanta, GA 30308 (Fulton County) Contact: Daniel Owens, CEO 404-686-2010 Estimated Cost: $9,073,489
Withdrawn CON Applications
2017-011 Flint River Hospital 18-Bed Expansion of Existing Psych/Sub Abuse Inpatient Program SSDR 8 - Batching Filed: 2/27/2017 Deemed Complete: 2/27/2017 60th Day Deadline: 4/27/2017 Decision Deadline: 6/26/2017 WITHDRAWN: 6/26/2017 Site: 509 Sumter Street, Montezuma, GA 31063 (Macon County) Contact: Michael Patterson, CEO 478-472-3100 Estimated Cost: $418,356
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2017-013 Redmond Regional Medical Center
Establish a 24-Bed Adult Psych/Sub Abuse Inpatient Program SSDR 1 - Batching Filed: 2/27/2017 Deemed Complete: 2/27/2017 60th Day Deadline: 4/27/2017 Decision Deadline: 6/26/2017 WITHDRAWN: 6/26/2017 Site: 501 Redmond Road, Rome, GA 30165 (Floyd County) Contact: John Quinlivan, CEO 706-802-3012 Estimated Cost: $4,800,000

Pending Review/Incomplete Applications
2017-035 University Hospital
Renovation of Hospital's Sixth Floor Filed: 6/29/2017 Deemed Incomplete: 7/13/2017 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 OR Filed: 7/3/2017 Deemed Incomplete: 7/17/2017 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
Capital Expenditure to Renovate Space to add a 22-Bed Observation Unit Filed: 7/3/2017 Deemed Incomplete: 7/13/2017 Site: 1133 Eagles Landing Parkway, Stockbridge, GA 30281 (Henry County) Contact: Davis Dunbar, Consultant 404-788-3638 Estimated Cost: $6,425,000

Pending Review/Complete Applications

2017-017 Hamilton Medical Center
Renovation of Multiple Nursing Units Filed: 3/17/2017 Deemed Complete: 3/31/2017 60th Day Deadline: 5/29/2017 Decision Deadline: 7/28/2017 Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County) Contact: Danny Wright, VP 706-272-6656 Estimated Cost: $11,603,000

2017-020 Redmond Regional Medical Center
Acquisition of a 3.0T MRI Unit Filed: 3/23/2017 Deemed Complete: 4/6/2017 60th Day Deadline: 6/4/2017 Decision Deadline: 8/3/2017 Site: 501 Redmond Road, Rome, GA 30165 (Floyd County) Contact: Joseph Gleason, VP of Bus. Dev. 706-802-3745 Estimated Cost: $2,653,873

2017-021 Doctors Hospital of Augusta

Acquisition of a da Vinci Xi Robotic Surgical System

Filed: 3/27/2017

Deemed Complete: 4/10/2017

60th Day Deadline: 6/8/2017

Decision Deadline: 8/7/2017

Site: 3651 Wheeler Road, Augusta, GA 30909 (Richmond County)

Contact: Sondra Smith, VP of Strategy & Bus. Dev. 706-651-6689

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Estimated Cost: $1,522,800

2017-022 Northside Hospital - Atlanta
Renovation and Expansion of Pathology and Clinical Laboratory Filed: 4/3/2017 Deemed Complete: 4/17/2017 60th Day Deadline: 6/15/2017 Decision Deadline: 8/14/2017 Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County) Contact: Brian Toporek, Sr. Planner 404-851-6821 Estimated Cost: $8,673,309

2017-023 Piedmont Atlanta Hospital
Capital Expenditure to Renovate ORs and Replace Audio-Visual Equipment Filed: 4/3/2017 Deemed Complete: 4/17/2017 60th Day Deadline: 6/15/2017 Decision Deadline: 8/14/2017 Site: 1968 Peachtree Road, Atlanta, GA 30309 (Fulton County) Contact: Sheryl Klink, CFO 404-605-2233 Estimated Cost: $7,525,000

2017-024 Piedmont Atlanta Hospital
Capital Expenditure to Renovate Women's Services Department Filed: 4/3/2017 Deemed Complete: 4/17/2017 60th Day Deadline: 6/15/2017 Decision Deadline: 8/14/2017 Site: 1968 Peachtree Road, Atlanta, GA 30309 (Fulton County) Contact: Sheryl Klink, CFO 404-605-2233 Estimated Cost: $4,525,000

2017-025 Northside Hospital Atlanta

Opposition Withdrawn

Establishment of a Comprehensive Imaging Center

Filed: 4/5/2017 Deemed Complete: 4/19/2017 60th Day Deadline: 6/17/2017 Decision Deadline: 8/16/2017 Site: 1110 West Peachtree Street, Atlanta, GA 30309 (Fulton County) Contact: Brian Toporek, Sr. Planner 404-851-6821 Estimated Cost: $10,639,780

2017-026 Doctors Hospital of Augusta
Expansion of Advanced Burn / Wound Center Filed: 4/13/2017 Deemed Incomplete: 4/27/2017 Deemed Complete: 5/25/2017 60th Day Deadline: 7/23/2017 Decision Deadline: 9/21/2017 Site: 3651 Wheeler Road, Augusta, GA 30909 (Richmond County) Contact: Chris Cosby, COO 706-651-6101 Estimated Cost: $8,081,000

2017-027 American Health Imaging of Macon

Opposition Filed

Development of a Multi-Modality Imaging Center

Filed: 4/17/2017 Deemed Incomplete: 4/28/2017 Deemed Complete: 5/17/2017 60th Day Deadline: 7/15/2017 Decision Deadline: 9/13/2017 Site: 712 Riverside Drive, Macon, GA 31201 (Bibb County) Contact: Scott Arant, Pres., CEO 404-296-5887 Estimated Cost: $2,293,068

2017-028 WellStar Kennestone Hospital
Acquisition of a da Vinci Xi Robotic Surgical System Filed: 5/17/2017 Deemed Incomplete: 5/31/2017 Deemed Complete: 6/8/2017 60th Day Deadline: 8/6/2017 Decision Deadline: 10/5/2017
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Site: 677 Church Street, Marietta, GA 30060 (Cobb County) Contact: April Austin, Strategic Planning Mgr. 470-644-0057 Estimated Cost: $1,985,000
2017-029 WellStar Atlanta Medical Center - South Campus
Replacement of a da Vinci Si-e Robotic Surgical System Filed: 5/17/2017 Deemed Incomplete: 5/31/2017 Deemed Complete: 6/8/2017 60th Day Deadline: 8/6/2017 Decision Deadline: 10/5/2017 Site: 1170 Cleveland Avenue, East Point, GA 30344 (Fulton County) Contact: April Austin, Strategic Planning Mgr. 470-644-0057 Estimated Cost: $1,985,000
2017-030 Lee County Medical Center
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
2017-032 Hamilton Medical Center
Consolidation of Outpatient Cancer Services Filed: 5/19/2017 Deemed Complete: 6/2/2017 60th Day Deadline: 7/31/2017 Decision Deadline: 9/29/2017 Site: 1217 Memorial Drive, Dalton, GA 30720 (Whitfield County) Contact: Sandy McKenzie, COO, Exec. VP 706-272-6000 Estimated Cost: $44,837,194
2017-033 Optim Surgery Center
Convert Existing Procedure Room into Additional OR - Batching Filed: 5/30/2017 Deemed Complete: 5/30/2017 60th Day Deadline: 7/28/2017 Decision Deadline: 9/26/2017 Site: 210 East DeRenne Avenue, Savannah, GA 31405 (Chatham County) Contact: David Castleberry, CEO 912-644-5370 Estimated Cost: $681,648
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 Site: 1050 Haw Creek Parkway, Cumming, GA 30041 (Forsyth County) Contact: Stephen Janis, Chief Development Officer 404-296-5887 Estimated Cost: $1,070,000
2017-038 Emory Saint Joseph's Hospital
Renovation of Medical and Surgical Inpatient Space Filed: 7/7/2017 Deemed Complete: 7/21/2017
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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 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
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
2017-044 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
Recently Approved Applications
2017-006 Northside Hospital - Cherokee 13-Bed Expansion of Medical / Surgical Hospital Beds Filed: 2/13/2017 Deemed Incomplete: 2/27/2017 Deemed Complete: 3/15/2017 60th Day Deadline: 5/13/2017 Decision Deadline: 7/12/2017
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APPROVED: 7/12/2017 Site: 450 Northside Cherokee Boulevard, Canton, GA 30115 (Cherokee County) Contact: Brian Toporek, Sr. Planner 404-851-6821 Estimated Cost: $1,497,000
2017-007 WellStar Cobb Hospital
Acquisition of a da Vinci Xi Robotic Surgical System Filed: 2/13/2017 Deemed Complete: 2/27/2017 60th Day Deadline: 4/27/2017 Decision Deadline: 6/26/2017 APPROVED: 6/26/2017 Site: 3950 Austell Road, Austell, GA 30106 (Cobb County) Contact: April Austin, Strategic Planning Mgr. 470-644-0057 Estimated Cost: $1,985,000
2017-008 WellStar Kennestone Hospital
Relocation and Expansion of Emergency Department Filed: 2/17/2017 Deemed Complete: 3/3/2017 60th Day Deadline: 5/1/2017 Decision Deadline: 6/30/2017 APPROVED: 6/30/2017 Site: 677 Church Street, Marietta, GA 30060 (Cobb County) Contact: April Austin, Strategic Planning Mgr. 470-644-0057 Estimated Cost: $169,477,447
2017-009 Redmond Regional Medical Center
Renovation and Expansion of Surgery Department Filed: 2/17/2017 Deemed Complete: 3/3/2017 60th Day Deadline: 5/1/2017 Decision Deadline: 6/30/2017 APPROVED: 6/30/2017 Site: 501 Redmond Road, Rome, GA 30165 (Floyd County) Contact: Joseph Gleason, VP of Business Dev. 706-802-3745 Estimated Cost: $13,903,200
2017-010 Lakeview Behavioral Health
28-Bed Expansion of Existing Psych/Sub Abuse Inpatient Program SSDR 3 -Batching Filed: 2/27/2017 Deemed Complete: 2/27/2017 60th Day Deadline: 4/27/2017 Decision Deadline: 6/26/2017 APPROVED: 6/26/2017 Site: 1 Technology Parkway South, Norcross, GA 30092 (Gwinnett County) Contact: Carmen Kramer, CEO 678-713-2511 Estimated Cost: $12,420,165
2017-012 Upson Regional Medical Center
Establish an 18-Bed Adult Psych/Sub Abuse Inpatient Program SSDR 4 - Batching Filed: 2/27/2017 Deemed Complete: 2/27/2017 60th Day Deadline: 4/27/2017 Decision Deadline: 6/26/2017 APPROVED: 6/26/2017 Site: 801 West Gordon Street, Thomaston, GA 30286 (Upson County) Contact: Tripp Penn, CEO 706-647-8111 Estimated Cost: $4,000,000
2017-014 Piedmont Henry Hospital
Development of PET Scanner Services HPA 3 - Batching Filed: 2/27/2017 Deemed Complete: 2/27/2017 60th Day Deadline: 4/27/2017 Decision Deadline: 6/26/2017 APPROVED: 6/26/2017
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Site: 1133 Eagles Landing Parkway, Stockbridge, GA 30281 (Henry County) Contact: James Atkins, COO 678-604-5578 Estimated Cost: $79,650
2017-015 Hiram Imaging Replacement of MRI Unit Filed: 2/27/2017 Deemed Complete: 3/13/2017 60th Day Deadline: 5/11/2017 Decision Deadline: 7/10/2017 APPROVED: 7/10/2017 Site: 4374 Atlanta Highway Suite 125, Hiram, GA 30141 (Paulding County) Contact: Michael Chaliff, M.D., Member 404-459-8440 Estimated Cost: $1,632,960
2017-016 Marietta Imaging Replacement of MRI Unit Filed: 2/27/2017 Deemed Complete: 3/13/2017 60th Day Deadline: 5/11/2017 Decision Deadline: 7/10/2017 APPROVED: 7/10/2017 Site: 796 Church Street Suite 100, Marietta, GA 30060 (Cobb County) Contact: Michael Chaliff, M.D., Member 404-459-8440 Estimated Cost: $1,632,950
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.
Appealed LNRs
LNR-EQT2013025 Medical Center of Central Georgia Monroe Requested Letter of Non-Reviewability ("LNR") with regard to the acquisition of certain diagnostic equipment, 8/1/2013. The Department issued LNR, 12/11/2013. Hospital Authority of Monroe County Hospital ("MCH") filed a request for Administrative Appeal Hearing, 1/10/2014. Hearing Officer: Melvin M. Goldstein, Esq. Administrative Hearing Date: 11/3/2014 to 11/5/2014, 5th Floor. MCCG granted Summary Adjudication and MCH's Motion to Compel discovery need not be determined in the matter, 11/5/2014. Hospital Authority of Monroe County requested Commissioner Review, 12/5/20214. Commissioner affirms 11/5/2014 Hearing Officer Decision, 12/30/2014. Hospital Authority of Monroe County filed Petition for Judicial Review with the Clerk of the Superior Court of Monroe County, 1/28/2015. Superior Court reversed the Department's grant of a letter of non-reviewability to MCCG, 08/11/2015. Application for discretionary appeal, 9/10/2015. Court of Appeals granted Discretionary Review, 10/8/2015. Court of Appeals reversed Superior Court decision to deny the LNR, 3/7/17.
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 Date: TBD
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Appealed CON Projects
2013-031 WellStar Kennestone Hospital (Cobb) Establish New Freestanding ASC - Batching Agency Decision: Approved, 9/24/2013 Appealed By: Marietta Outpatient Surgery, LTD d/b/a Marietta Surgical Center (MSC), 10/16/2013; Cartersville Medical Center (CMC), 10/16/2013; Northside Hospital, Inc., d/b/a Northside Hospital - Atlanta, Northside Hospital - Cherokee and Northside Alpharetta Surgery Center, (collectively, "Northside"), 10/18/2013. WellStar Kennestone, Inc., d/b/a WellStar Kennestone Hospital files request to intervene, 10/21/2013. Northside withdraws appeal request, 11/4/2013. Hearing Officer: William C. Joy, Esq. Hearing Date: 3/4/2014 @10:00AM through 3/7/2014 and 4/3/2014 Hearing Decision: Hearing Officer reverses DCH decision, 7/17/2014.The Department and WellStar Kennestone filed requests for Commissioner Review, 8/18/2014. Commissioner Review Decision: Hearing Officer is reversed and the original decision of the Department to award a CON to Kennestone becomes the final agency decision, 9/15/2014. Marietta Outpatient Surgery, LTD d/b/a Marietta Surgical Center (MSC), and Cartersville Medical Center (CMC) filed petition for judicial review, 10/15/2014. Superior Court Decision: Superior Court reversed and remanded to the Department with instruction to deny Kennestone's CON application, 5/18/2015. Court of Appeals: WellStar Kennestone and the Department each filed an Application for Discretionary Appeal, 06/17/2015. Court of Appeals granted discretionary appeal, 7/8/2015. Court of Appeals vacates judgement of Superior Court, 3/16/ 2017.
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. 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.
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.
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
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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

2016-019 Emory University Hospital Smyrna (Cobb) Renovation & Upgrade to Current Hospital Facilities Agency Decision: Approved, 8/4/2016 Appealed By: Cobb Hospital, Inc. d/b/a WellStar Cobb Hospital ("WellStar Cobb"), 9/2/2016 and Kennestone Hospital, Inc. d/b/a WellStar Kennestone Hospital ("WellStar
Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: 3/27/2017 Hearing Decision: Hearing Officer affirmed the Department's decision to award a CON to EUH-Smyrna, 7/5/17.

Requests for LNR for Diagnostic or Therapeutic Equipment
LNR-EQT2017003 Tift County Hospital Authority d/b/a Tift Regional Medical Center Purchase of Nuclear SPECT / CT Scanner Request received: 1/23/2017 Contact Person: Tracie Grace, Dir. of Med. Imaging 229-353-7594 Determination: Pending

LNR-EQT2017004 Tift County Hospital Authority d/b/a Tift Regional Medical Center Purchase of a Fixed CT Scanner Request received: 1/23/2017 Contact Person: Tracie Grace, Dir. of Med. Imaging 229-353-7594 Determination: Pending

LNR-EQT2017010 Bridgeway Diagnostics Radiology, LLC Capital Lease of a Fixed MRI Unit Request received: 2/21/2017 Contact Person: Jason Hoover, Managing Member 334-408-2854 Determination: Pending Opposition: Columbus Regional Health System, Inc.- 3/22/2017; The Medical Center, Inc. d/b/a Midtown Medical Center- 3/22/2017; Hughston Hospital, Inc. d/b/a Northside Medical Center- 3/22/2017; Columbus Diagnostic Imaging Center, LLC- 3/22/2017

LNR-EQT2017014 Excel Radiology, LLC

Purchase of a Fixed MRI Unit and CT Scanner

Request received: 3/23/2017

Contact Person: Kevin Jones, M.D., Member 904-728-8825

Determination: Approved

Determination Date: 7/7/2017

Opposition: St. Joseph's/Candler Health System, Inc.- 4/21/2017; Saint Joseph's Hospital, Inc.-

4/21/2017; Candler Hospital, Inc.- 4/21/2017; Memorial Health, Inc.- 4/25/2017

LNR-EQT2017015 Excel Radiology, LLC

Purchase of a Fixed MRI Unit and CT Scanner

Request received: 3/23/2017

Contact Person: Kevin Jones, M.D., Member 904-728-8825

Determination: Approved

Determination Date: 7/7/2017

Opposition: St. Joseph's/Candler Health System, Inc.- 4/21/2017; Saint Joseph's Hospital, Inc.-

4/21/2017; Candler Hospital, Inc.- 4/21/2017

LNR-EQT2017023 M&B Imaging, LLC

Purchase Fixed MRI Scanner and Fixed CT Scanner

Request received: 5/8/2017

Contact Person: David Owens, MD, Member 404-314-8224

Determination: Approved

Determination Date: 7/19/2017

11

LNR-EQT2017024 First Look MRI and Imaging, LLC

Purchase Fixed MRI

Request received: 5/25/2017

Contact Person: Brian P. Gay, M.D., CEO 678-316-2677

Determination: Approved

Determination Date: 6/30/2017

LNR-EQT2017025 AICA Ortho Spine, P.C. Purchase Fixed MRI Request received: 6/2/2017 Contact Person: Keri Laniado, Admin Assistant 770-710-8919 Determination: Pending

LNR-EQT2017026 The Medical Center of Central Georgia, Inc.

Purchase Second Console for Xi Surgical Robot

Request received: 5/26/2017

Contact Person: Bryan Forlines, Govt Rel & Rmbrsmnt 478-633-6966

Determination: Approved

Determination Date: 7/3/2017

LNR-EQT2017027 WellStar Spalding Regional Hospital, Inc d/b/a WellStar Spalding Regional Operational Lease of Mobile MRI Request received: 6/14/2017 Contact Person: April Austin, Mgr, Planning 470-644-0057 Determination: Pending

LNR-EQT2017028 M & B Imaging, LLC

Purchase Fixed MRI and Fixed CT Scanner

Request received: 6/16/2017

Contact Person: David Owens, MD 404-314-8224

Determination: Approved

Determination Date: 7/21/2017

LNR-EQT2017029 T2 Imaging, LLC

Purchase Fixed MRI

Request received: 6/16/2017

Contact Person: John Arnold, M.D., Manager 404-876-8119

Determination: Approved

Determination Date: 7/21/2017

LNR-EQT2017030 Piedmont Newton Hospital, Inc. Purchase Fixed CT Scanner Request received: 7/5/2017 Contact Person: Randy Sprinkle, Exec Dir Imaging 404-605-3324 Determination: Pending

LNR-EQT2017031 Coliseum Northside Hospital, LLC d/b/a Coliseum Northside Hospital Purchase da Vinci Xi Surgical System Request received: 7/5/2017 Contact Person: Patricia D'Errico, COO 478-757-5990 Determination: Pending

LNR-EQT2017032 Tift County Hospital Authority d/b/a Tift Regional Medical Center Purchase Fixed MRI Request received: 7/7/2017 Contact Person: Christopher Dorman, President & COO 229-353-6121 Determination: Pending

LNR-EQT2017033 Cardiac Imaging, Inc. Purchase PET - Mobile Cardiac Request received: 7/21/2017 Contact Person: Rick Nassenstein, CFO 800-998-2035 Determination: Pending

LNR-EQT2017034 Hughston Clinic P.C. Capital Lease of Fixed MRI Request received: 7/21/2017

12

Contact Person: Mark Chapman, CIO 706-494-3400 Determination: Pending
LNR-EQT2017035 Ortho Sport & Spine Physicians, LLC Fixed MRI Request received: 7/25/2017 Contact Person: Armin Oskouei, Manager 678-752-7246 Determination: Pending

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

LNR-ASC2017007 Laser Spine & Pain Centers, LLC

Establish Physician-Owned Single-Specialty Pain Mgmt ASC

Site: 403 Permian Way, Ste C, Villa Rica

Number of OR's: 1

Specialty: Pain Management

Project costs as submitted: $480,690.00

Request received: 3/27/2017

Contact Person: Matthew P. Lazarus 770-612-9200

Determination: Pending

LNR-ASC2017008 Plastic Surgery Group of Atlanta, P.C.

Establishment of a Physician-Owned, Single Specialty ASC

Site: 755 Mount Vernon Highway, Suite 250, Atlanta, GA 30328

Number of OR's: 1

Specialty: Plastic and Reconstructive Surgery

Project costs as submitted: $0.00

Request received: 4/11/2017

Contact Person: Tammy Parker, Practice Mgr. 770-599-5441

Determination: Pending

LNR-ASC2017010 Medici Medical Arts, LLC

Satellite Office - Physician-Owned Ambulatory Surgery Center

Site: 792 Church Street Extension, Ste 105, Marietta

Number of OR's: 1

Specialty: Pain Management

Project costs as submitted: $356,068.00

Request received: 6/1/2017

Contact Person: Everette Jenkins 678-625-4720

Determination: Approved

Determination Date: 7/11/2017

LNR-ASC2017011 Georgia Cataract and Eye Specialty Center, LLC

Establish Single-Specialty, Physician-Owned ASC - Ophthalmology

Site: 158 Clinic Avenue, Carrollton, 30117

Number of OR's: 2

Specialty: Ophthalmology

Project costs as submitted: $750,000.00

Request received: 6/8/2017

Contact Person: Victor Moldovan 404-443-5500

Determination: Pending

LNR-ASC2017012 The Graivier Center, P.C.

Physician-Owned, Single-Specialty Office-Based ASC

Site: 3333 Old Milton Parkway, Suites 260/575, Alpharetta

Number of OR's: 2

Specialty: Plastic Surgery

Project costs as submitted: $2,069,769.23

Request received: 6/12/2017

Contact Person: Everette Jenkins 678-625-4720

Determination: Pending

Requests for Miscellaneous Letters of Determination
DET2016191 Peachtree Spine and Pain Physicians ASC, LLC d/b/a Optimum Surgery Center 13

Facility Reclassification Request received: 11/9/2016 Contact Person: Jeffrey Grossman, M.D., President 404-843-3323 Determination: Non-reviewable as proposed Determination Date: 7/7/2017

DET2017047 Georgia Surgical Centers, Inc./IDC Ventures, LLC Acquisition of Stock, Assets/Right to Operate GA Surgical Center, Inc. Request received: 4/6/2017 Contact Person: Brad West, Mgr 210-268-7770 Determination: Pending

DET2017048 South Atlanta MUA Center, LLC Operation of Chiropractic Clinic Request received: 4/6/2017 Contact Person: Stephen Cooper, Executive Director 404-461-9011 Determination: Non-reviewable as proposed Determination Date: 6/30/2017

DET2017050 Children's Healthcare of Atlanta at Scottish Rite Capital Expenditure/Establish New Location/Sports Med Srvcs Request received: 4/7/2017 Contact Person: David Tatum, Chief Public Policy Offr 404-785-7556 Determination: Pending

DET2017051 Children's Healthcare of Atlanta at Scottish Rite Capital Expenditure/Establish New Location/Orthotics/Prosthetics Request received: 4/7/2017 Contact Person: David Tatum, Chief Public Policy Offr 404-785-7556 Determination: Pending

DET2017052 Children's Healthcare of Atlanta at Scottish Rite Capital Expenditure/Establish New Location/Outpatient Rehab Srvs Request received: 4/7/2017 Contact Person: David Tatum, Chief Public Policy Offr 404-785-7556 Determination: Pending

DET2017067 The Medical Center, Inc. d/b/a Midtown Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/2/2017 Contact Person: Allen Holladay, VP, Finance 706-660-6194 Determination: Non-reviewable as proposed Determination Date: 7/13/2017

DET2017068 Northeast Georgia Medical Center, Inc. Estab Adult Therapeutic Card Cath w/o Onsite Open Heart Surg Backup Request received: 5/3/2017 Contact Person: Linda Berger, Planning Director 770-219-6631 Determination: Non-reviewable as proposed Determination Date: 7/13/2017

DET2017070 St. Mary's Health Care System, Inc. Cardiac Catheterization Statutory Exemption Renewal Request received: 5/4/2017 Contact Person: Titus Gambrell, Interim VP/CNO 706-389-3947 Determination: Non-reviewable as proposed Determination Date:

7/13/2017

DET2017071 Prime Healthcare Foundation - Southern Regional, LLC Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/5/2017 Contact Person: Charlotte Dupre, CEO 770-909-2594 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017072 Hamilton Medical Center Therapeutic Cardiac Cath Statutory Exemption Request received: 5/9/2017
14

Contact Person: Jeff Hughes, Director, Cardiopulmonary 706-272-6120 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017073 Meadows Regional Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/9/2017 Contact Person: Travis Roose, Asst VP of Cardio Srvcs 912-538-5572 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017074 Rockdale Medical Center Therapeutic Cardiac Catheterization Exemption Request received: 5/10/2017 Contact Person: Blake Watts, COO 770-918-3755 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017075 Doctors Hospital of Augusta Therapeutic Cardiac Catheterization Exemption Request received: 5/10/2017 Contact Person: Cynthia Greene, Dir, Cardio Srvcs 706-651-2729 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017076 Cartersville Medical Center Therapeutic Cardiac Catheterization Exemption Request received: 5/10/2017 Contact Person: Lori Rakes, FACHE, COO 770-387-8161 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017078 Eastside Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/11/2017 Contact Person: Grace Anderson, Admin Dir, Cardiac 770-736-2379 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017079 DeKalb Medical Center Continuation of Therapeutic Cardiac Cath Exemption Request received: 5/11/2017 Contact Person: Joel Schuessler, VP Legal Srvcs & CCO 404-501-3473 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017080 Health Interventional Pain Management, LLC Phys Offc-Bsd Pain Mgmt AS Ste- Only Minimal/Conscious Sedation Used Request received: 5/12/2017 Contact Person: Mathew Diduro, D.C, Administrator 404-402-1903 Determination: Non-reviewable as proposed Determination Date: 7/17/2017
DET2017081 Floyd Medical Center Continue Adult Therap. Card Cath w/o onsite Open Heart Surg Backup Request received: 5/12/2017 Contact Person: Drew Dempsey, Dir, Plan & Business Intell 706-509-3257 Determination: Non-reviewable as proposed Determination Date: 7/20/2017
DET2017082 Piedmont Henry Hospital Annual Assessment of Therapeutic Cardiac Cath Exemption Request received: 5/12/2017 Contact Person: Randy Greene, Director, Business Dev 678-604-5413 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017083 Houston Medical Center Review Exemption to Continue Therapeutic Cardiac Cath Request received: 5/12/2017 Contact Person: Charles Briscoe, VP-COO 478-542-7750 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
15

DET2017084 Northside Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/12/2017 Contact Person: Brian Toporek, Senior Planner 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017085 Nothside Hospital - Cherokee Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/12/2017 Contact Person: Brian Toporek, Senior Planner 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017086 Northside Hospital - Forsyth Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/12/2017 Contact Person: Brian Toporek, Senior Planner 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017087 Tanner Medical Center - Villa Rica Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/12/2017 Contact Person: LaQuinta Grizzard, Dir, Cardio Srvcs 770-836-9221 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017088 Tanner Medical Center - Carrollton Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/12/2017 Contact Person: LaQuinta Grizzard, Dir, Cardio Srvcs 770-836-9221 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017089 Southeast Georgia Health Services, LLC d/b/a Memorial Satilla Health Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/12/2017 Contact Person: Holli H. Sweat, CNO/Interim COO 912-287-2500 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017090 Piedmont Fayette Hospital Annual Assessment of Therapeutic Cardiac Catheterization Exemption Request received: 5/15/2017 Contact Person: Mary McFarland, Sr. Dir, CV Srvcs 770-719-6799 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017091 Piedmont Newnan Hospital Request for Therapeutic Cardiac Catheterization Exemption Request received: 5/15/2017 Contact Person: John Miles, CFO 770-400-1000 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017092 Piedmont Newton Hospital Request for Therapeutic Cardiac Catheterization Exemption Request received: 5/15/2017 Contact Person: Troy Brooks, CFO 770-385-4426 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017093 Emory Johns Creek Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2017 Contact Person: Heather Redrick, CNO 678-474-7000 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017094 Trinity Hospital of Augusta Renewal App - Therapeutic Cardiac Catheterization Services Request received: 5/15/2017
16

Contact Person: Paula Wade, Chief Quality Offcr 706-481-7401 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017095 East Georgia Regional Medical Center Renewal - Therapeutic Cardiac Catheterization Exemption Request received: 5/15/2017 Contact Person: V. Paul Theriot, CEO 912-486-1500 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017096 WellStar Paulding Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2017 Contact Person: April Austin, Mgr, Strategic Plan 470-644-0057 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017097 WellStar Spalding Regional Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2017 Contact Person: April Austin, Mgr, Strategic Plan 470-644-0057 Determination: Pending
DET2017098 WellStar Cobb Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2017 Contact Person: April Austin, Mgr, Strategic Plan 470-644-0057 Determination: Non-reviewable as proposed Determination Date: 7/13/2017

DET2017099 WellStar Atlanta Medical Center Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2017 Contact Person: April Austin, Mgr, Strategic Plan 470-644-0057 Determination: Pending

DET2017100 WellStar North Fulton Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2017 Contact Person: April Austin, Mgr, Strategic Plan 470-644-0057 Determination: Non-reviewable as proposed Determination Date: 7/13/2017

DET2017101 WellStar Douglas Hospital Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2017 Contact Person: April Austin, Mgr, Strategic Plan 470-644-0057 Determination: Non-reviewable as proposed Determination Date: 7/13/2017

DET2017102 Atlas Surgery Center, LLC

Relocation of CON Approved Single-Specialty ASC

Request received: 5/16/2017

Contact Person: Keri Laniado, Admin. Asst. 770-710-8919

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

6/28/2017

DET2017103 East Atlanta Gastroenterology Associates, P.C./Wellbrook Endoscopy Center, Endoscopy Center Request received: 5/17/2017 Contact Person: David N. Socoloff, CFO 770-922-0505 Determination: Non-reviewable as proposed Determination Date: 6/27/2017

DET2017104 East Atlanta Gastroenterology Associates, P.C/ Wellbrook Endoscopy Center Endoscopy Center Request received: 5/17/2017 Contact Person: David N. Socoloff, CFO 770-922-0505 Determination: Non-reviewable as proposed Determination Date: 6/27/2017

17

DET2017106 Phoebe Putney Memorial Hospital, Inc. Replacement of CON-Authorized Angiography Equipment Request received: 5/19/2017 Contact Person: Lori Jenkins, Director, Strategy-Planning 229-312-1432 Determination: Non-reviewable as proposed Determination Date: 6/27/2017
DET2017107 Magnolia Manor, Inc. Renovation of Existing Physical Structure Request received: 5/23/2017 Contact Person: Mark R. Todd, President & CEO 229-924-9352 Determination: Non-reviewable as proposed Determination Date: 6/28/2017
DET2017108 Roswell Center for Foot & Ankle Surgery, LLC Provision of Ortho Surgeon Comparable Podiatric Ankle/ Foot Surg Srvcs Request received: 5/24/2017 Contact Person: Portia Walker, Dir, Ancillary Srvcs 770-384-0284 Determination: Non-reviewable as proposed Determination Date: 7/7/2017
DET2017109 CareSouth HHA Holdings of Washington, LLC dba /Encompass Home Health of Exempt Acquisition of Home Health Agency Request received: 5/24/2017 Contact Person: Sean Gaffney, General Counseol 214-239-6597 Determination: Pending
DET2017110 Gwinnett Hospital System, Inc. dba Gwinnett Medical Center Renovation of Additional Office Space at Hamilton Mill Request received: 5/26/2017 Contact Person: Michael C. Boblitz, VP, Plan. & Bus. Dev. 678-312-4329 Determination: Non-reviewable as proposed Determination Date: 6/28/2017
DET2017111 Children's Healthcare of Atlanta Capital Expenditure to Develop MOB and Associated Parking Request received: 5/26/2017 Contact Person: David Tatum, Chief Public Policy Officer 404-785-7556 Determination: Non-reviewable as proposed Determination Date: 6/28/2017
DET2017112 Veritas Collaborative Georgia, LLC d/b/a Veritas Collaborative Confirmation of Permissible Site Change for CON Approved Project Request received: 6/1/2017 Contact Person: Stacie McEntyre, President & CEO 919-908-9730 Determination: Non-reviewable as proposed Determination Date: 7/7/2017
DET2017113 Youth Villages, Inc. Conversion of Group Home Beds to PRTF License Request received: 6/2/2017 Contact Person: Tanya L. Anderson, Executive Director 770-852-6238 Determination: Non-reviewable as proposed Determination Date: 7/7/2017
DET2017114 Cobb Hospital, Inc. d/b/a WellStar Cobb Hospital Capital Expenditure to Consolidate Infusion Centers Request received: 6/2/2017 Contact Person: April Austin, Mgr, Strategic Planning 470-644-0057 Determination: Non-reviewable as proposed Determination Date: 7/11/2017
DET2017115 University Health Services, Inc. Consolidation of University Hospital Facilities Request received: 6/5/2017 Contact Person: Edward L. Burr, Chief Admin. Officer 706-774-8063 Determination: Non-reviewable as proposed Determination Date: 7/11/2017
DET2017116 Piedmont Henry Hospital, Inc. Replace Cardiac Cath Lab Equipment Request received: 6/6/2017
18

Contact Person: Sherry Henderson, CFO 678-604-5414 Determination: Non-reviewable as proposed Determination Date: 7/12/2017
DET2017117 Northside Hospital, Inc. d/b/a Northside/Midtown Imaging Replace CON-Approved Diagnostic Imaging Equipment Request received: 6/7/2017 Contact Person: Brian Toporek, Senior Planner 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 7/12/2017
DET2017118 Northside Hospital, Inc. d/b/a Northside/Midtown Imaging Relocation of Existing Imaging Equipment Request received: 6/7/2017 Contact Person: Brian Toporek, Senior Planner 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 7/12/2017
DET2017119 Northeast Georgia Medical Center Barrow Replacement of CON-Authorized CT Scanner Request received: 6/7/2017 Contact Person: Linda Berger, Director, Planning 770-219-6631 Determination: Non-reviewable as proposed Determination Date: 7/12/2017
DET2017120 Alliance HealthCare Services Mobile PET/CT Unit for CON-Approved Georgia Providers Request received: 6/7/2017 Contact Person: Andre Kellogg, Sr., Dir of Operations 770-317-7800 Determination: Non-reviewable as proposed Determination Date: 7/17/2017
DET2017121 Windsor Lodge Assisted Living and Memory Care Community - Jasper Request received: 6/8/2017 Contact Person: Jack Hereth, Managing Member 404-425-4996 Determination: Non-reviewable as proposed Determination Date: 7/13/2017
DET2017122 Summit Surgery Center of Jonesboro, LLC CON LNR Exempt Non-Operating Room Environment Request received: 6/8/2017 Contact Person: Keri Laniado, Admin Asst 770-710-8919 Determination: Pending
DET2017123 Summit Surgery Center of Buckhead, LLC CON LNR Exempt Non-Operating Room Environment Request received: 6/8/2017 Contact Person: Keri Laniado, Admin Asst 770-710-8919 Determination: Pending
DET2017124 Summit Surgery Center of Marietta, LLC CON LNR Exempt Non-Operating Room Environment Request received: 6/8/2017 Contact Person: Keri Laniado, Admin Asst. 770-710-8919 Determination: Pending
DET2017125 Summit Surgery Center of Chamblee, LLC CON LNR Exempt Non-Operating Room Environment Request received: 6/8/2017 Contact Person: Keri Laniado, Admin. Asst. 770-710-8919 Determination: Pending
DET2017126 Monarch House Assisted Living Community Assisted Living Community for Private Pay Residents Request received: 6/8/2017 Contact Person: Victor J. Young, Owner 404-433-4113 Determination: Pending
19

DET2017127 Emory University d/b/a Emory University Hospital Midtown CIU, CDU and Observation Unit Consolidation Request received: 6/8/2017 Contact Person: Daniel Owens, CEO 404-686-2010 Determination: Pending
DET2017128 Emory University d/b/a Emory University Hospital Midtown Renovation of Unit 72 Request received: 6/8/2017 Contact Person: Daniel Owens, CEO 404-686-2010 Determination: Pending
DET2017129 Emory University d/b/a Emory University Hospital Midtown Construct a Parking Deck Request received: 6/8/2017 Contact Person: Daniel Owens, CEO 404-686-2010 Determination: Non-reviewable as proposed Determination Date: 7/20/2017
DET2017130 Grady Memorial Hospital Corporation d/b/a Grady Health System Administrative Office Remodeling - Radiation Oncology Center Request received: 6/9/2017 Contact Person: Carlos Ruiz, VP, Sppt Srvcs 404-616-0588 Determination: Non-reviewable as proposed Determination Date: 7/20/2017
DET2017132 Emory University Hospital d/b/a Emory University Hospital Midtown Renovation of Medical Library, Physician Dining, Library, Classrooms Request received: 6/9/2017 Contact Person: Daniel Owens, CEO 404-686-2010 Determination: Pending
DET2017133 Southeast Georgia Health System Replace Existing Cyberknife Request received: 6/13/2017 Contact Person: Christy Jordan, General Counsel 912-466-3268 Determination: Non-reviewable as proposed Determination Date: 7/20/2017
DET2017134 Emory University Hospital Replacement of Linear Accelerator Request received: 6/16/2017 Contact Person: Kelli Gress, Clinical Admin 404-778-3892 Determination: Pending
DET2017135 Greene County LTC, LLC Relocate 21 SNF Beds Within the Same County Request received: 6/16/2017 Contact Person: Teresa Moody, President 478-621-2040 Determination: Pending
DET2017136 Health Systems Real Estate, Inc. Capital Expenditure Below CON Threshold Request received: 6/16/2017 Contact Person: Teresa Moody, President 478-621-2040 Determination: Pending
DET2017137 Saint Joseph's Hospital of Atlanta, Inc. Replacement of Cath Lab Request received: 6/19/2017 Contact Person: Heather Dexter, CEO 678-843-4951 Determination: Pending
DET2017138 CareSouth HHA Holdings of South Carolina, LLC and Ware Visiting Nurses Exempt Acquisition of Home Health Agency Request received: 6/21/2017
20

Contact Person: Sean Gaffney, General Counsel 214-239-6597 Determination: Pending
DET2017139 Newnan Endoscopy Center, LLC Development of New 2-Room Endoscopy Center Request received: 6/21/2017 Contact Person: Michael Lazarus, Mgr, Practice Intgrtn 404-888-7575 Determination: Pending
DET2017140 Hospital Authority of Valdosta and Lowndes County/SGMC-Lanier Campus Demolition of Old Nursing Home and Construction of New Cafeteria Request received: 6/22/2017 Contact Person: C. Ross Berry, CEO 229-259-4102 Determination: Pending
DET2017141 The Arbor Company, LLC Personal Care Home License Expanded from 49 to 75 Request received: 6/26/2017 Contact Person: Jerry Rick, Executive Director 770-632-5823 Determination: Pending
DET2017142 Saint Joseph's Hospital of Atlanta, Inc. Replacement of CT Scanner Request received: 6/26/2017 Contact Person: Jessica Sheridan, VP, Operations 678-843-7460 Determination: Pending
DET2017143 East Georgia Regional Medical Center, LLC Replacement of MRI Request received: 6/27/2017 Contact Person: V. Paul Theriot, CEO 912-486-1500 Determination: Pending
DET2017144 East Georgia Regional Medical Center, LLC Renovation of Outpatient Imaging Center Request received: 6/27/2017 Contact Person: V. Paul Theriot, CEO 912-486-1500 Determination: Pending
DET2017145 Pediatric GI Endoscopy Center, LLC Endoscopy Center Request received: 6/27/2017 Contact Person: Michael Lazarus, Mgr, Practice Intgrtn 404-888-7575 Determination: Pending
DET2017146 Roderique Surgi-Center, Inc. Relocation of CON-Approved Single-Specialty ASC Request received: 7/3/2017 Contact Person: Keri Laniado, Admin. Asst. 770-710-8919 Determination: Pending
DET2017147 Piedmont Newnan Hospital, Inc. d/b/a Piedmont Newnan Hospital Construct Conference Room and Biomedical Storage Space Request received: 7/3/2017 Contact Person: Lindsay Cooper, Director of Planning 770-400-2374 Determination: Pending
DET2017148 Fellowship Home at Cotton Hill, Inc. Licensure for Newly Renovated Assisted Living Community Request received: 7/5/2017 Contact Person: G. John LaHood, President 229-300-3193 Determination: Pending
21

DET2017149 Lennox Specialty Group, LLC Conversion - Physian Office-Based Ambulatory Pain Mgmt Procedure Suite Request received: 7/5/2017 Contact Person: Fitz N. Harper, Jr., M.D 404-267-5564 Determination: Pending
DET2017150 Tift County Hospital Authority d/b/a Tift Regional Medical Center Outpatient Imaging Center Renovation Request received: 7/7/2017 Contact Person: Christopher Dorman, President & CEO 229-353-6121 Determination: Pending
DET2017151 Piedmont Henry Hospital Replace MRI Request received: 7/7/2017 Contact Person: James Atkins, CFO 678-604-5101 Determination: Pending
DET2017152 Northside Hospital, Inc. d/b/a Northside Eagles Landing Imaging Replace CON-Approved Diagnostic Imaging Equipment Request received: 7/7/2017 Contact Person: Brian J. Toporek, Senior P:lanner 404-851-6821 Determination: Pending
DET2017153 Orchard at Brookhaven, LLC Development of Assisted Living Facility Request received: 7/10/2017 Contact Person: Arkadiy Yakubov, Managing Member 404-649-4454 Determination: Pending
DET2017154 Phoebe Putney Memorial Hospital, Inc./Healthfield of Southwest Georgia Request to Transfer Home Health Counties Request received: 7/11/2017 Contact Person: Lori Jenkins, Dir, Strategy & Planning 229-312-1432 Determination: Pending
DET2017155 Chattahoochee Valley Home Health, Inc. d/ba/ Gentiva Health Services Request to Transfer Home Health Counties Request received: 7/11/2017 Contact Person: David Bufford, Sr. Dir. Operations Cnsl 502-596-7785 Determination: Pending
DET2017156 Center for Spine and Pain Medicine, P.C. Physician Office-Based AS Suite - Pain Mgmt - ASC Request received: 7/11/2017 Contact Person: Suleman Sohani, Practice Administrator 706-279-2635 Determination: Pending
DET2017157 Saint Joseph's Hospital of Atlanta, Inc. Replacement of MRI Scanner Request received: 7/14/2017 Contact Person: Jessica Sheridan, VP, Operations 678-843-7460 Determination: Pending
DET2017158 Northside Hospital, Inc d/b/a MRI & Imaging of Habersham Replace CON-Approved Diagnostic Imaging Equipment Request received: 7/14/2017 Contact Person: Brian Toporek, Senior Planner 404-851-6821 Determination: Pending
DET2017159 NEWCO GI, LLC d/b/a GI North Develop New Doctor's Office-Based Endoscopy Center - IV Sedation Only Request received: 7/17/2017
22

Contact Person: Leslie Perry, Practice Administrator 404-446-0600 Determination: Pending
DET2017160 Doctors Hospital of Augusta, LLC d/b/a Doctors Hospital of Augusta C-Section Delivery and Recovery Renovation Request received: 7/17/2017 Contact Person: Sondra Smith, VP, Strategic Plan.& Dev. 706-651-6689 Determination: Pending
DET2017161 Piedmont Newnan Hospital, Inc. Exempt Replacement of Linear Accelerator and Related Construction Request received: 7/17/2017 Contact Person: Michael Robinson, CEO 770-400-2323 Determination: Pending
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: Pending
DET2017163 Polaris Spine & Neurosurgery Center, P.C. Use of Physician as a Surgical Assistant in Single-Specialty ASC Request received: 7/18/2017 Contact Person: Joy Taylor, Practice Administrator 404-256-2633 Determination: Pending
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: Pending
DET2017165 Alpharetta Project, LLC and Validus Senior Living REIT Investment New Assisted Living Facility Request received: 7/21/2017 Contact Person: Mark Bouldin, Owner 727-592-8889 Determination: Pending
DET2017166 Delmar Gardens of Smyrna Increase in Capacity for Personal Care Home Request received: 7/21/2017 Contact Person: Dawn St. Fleur, Executive Director 770-432-4444 Determination: Pending
Requests for Extended Implementation/Effective Period
2015002 Rockdale Hospital, LLC d/b/a Rockdale Medical Center Add 23 Short-Stay General Acute Care Beds/Renovation of Two Floors Request to extend Performance Period Site: 1412 Milstead Ave NE, Conyers (Rockdale) Project Approved: 6/22/2015 Request Received: 5/22/2017 Contact:, Blake Watts, COO (770-918-3755) Approved Cost: $13,000,000 Determination: Denied, 7/24/2017
2015008 Jefferson Hospital 10-Bed Geriatric Psych Distinct Part Unit Request to extend Completion Date Site: 1067 Peachtree Street, Louisville (Jefferson) Project Approved: 6/19/2015
23

Request Received: 5/26/2017 Contact: Louis Semrad, CEO (478-625-7000) Approved Cost: $377,739 Determination: Approved, 6/27/2017

Extended Project Completion Date: 6/30/2018

2016002 Eastside Medical Center, LLC Development of Outpatient Imaging Center Request to extend Performance Period Site: 1700 Medical Way, Snellville (Gwinnett) Project Approved: 6/28/2016 Request Received: 5/30/2017 Contact: Trent Lind, CEO (779-979-0200) Approved Cost: $3,393,421 Determination: Approved, 6/27/2017

Extended Project Implementation Date: 6/28/2018

2015042 Scottish Rite Children's Medical Center d/b/a Children's Healthcare of Atlanta at Scottish Rite

Addition of 46 Inpatient & 14 Observation Beds

Request to extend Performance Period

Site: 1001 Johnson Ferry Rd, NE (Fulton)

Project Approved: 2/25/2016

Request Received: 6/21/2017

Contact: David Tatum, Chief Public Policy Officer (404-785-7556)

Approved Cost: $52,097,893

Determination: Approved, 6/27/2017

Extended Project Completion Date: 2/21/2018

2011056 Georgia Proton Treatment Center, LLC Proton Therapy Service Request to extend Performance Period Site: 615 Peachtree Street NE, Atlanta (Fulton) Project Approved: 12/16/2011 Request Received: 6/28/2017 Contact: Ashley Preisinger, CFA (404-862-4967) Approved Cost: $225,602,458 Determination: Approved, 7/3/2017

Extended Project Completion Date: 10/16/2018

2013055 Cobb Hospital, Inc d/b/a WellStar Cobb Hospital

Establish a Diagnostic Center

Request to extend Performance Period

Site: Winchester Pkwy & S. Atlanta Rd, Smyrna (Cobb)

Project Approved: 1/27/2014

Request Received: 6/29/2017

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

Approved Cost: $8,930,573

Determination: Approved, 7/11/2017

Extended Project Completion Date: 11/1/2017

2016020 Coliseum Medical Center, LLC d/b/a Coliseum Medical Centers

Renovation and Expansion of Current Emergency Department

Request to extend Implementation Date

Site: 350 Hospital Drive, Macon (Bibb)

Project Approved: 8/8/2016

Request Received: 7/7/2017

Contact: Todd Dixon, COO (478-765-4100)

Approved Cost: $7,114,321

Determination: Approved, 7/10/2017

Extended Project Implementation Date: 10/8/2017

2016023 Memorial Health University Medical Center, Inc. Acquisition of a da Vinci Xi Surgical System Request to extend Performance Period Site: 4700 Waters Avenue, Savannah (Chatham) Project Approved: 8/24/2016 Request Received: 7/24/2017
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Contact: Kerry Watson, Interim CEO (912-350-8000) Approved Cost: $2,600,120 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 2021 Ambulatory Surgical Services Need Projection Posted 3/31/2017 2021 Inpatient Physical Rehab Need Projections for Pediatric and Adult Services Posted 3/31/2017 2021 Neonatal Intermediate Care Bed Need Projection Intermediate - Posted 3/31/2017 2021 Neonatal Intensive Care Bed Need Projection Posted 3/31/2017 2021 Obstetric Services Bed Need Projection Posted 3/31/2017 2019 Nursing Home Bed Projections Posted 3/31/2017 2019 Home Health Need Projection Summary for Horizon- Posted 3/31/2017 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 7/25/2017)

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

County

Year

CLAYTON

2013

CLAYTON

2014

CLAYTON

2015

CLARKE

2014

MUSCOGEE 2013

Cherokee

2014

Bibb

2015

COBB

2014

COBB

2015

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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

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

Rockdale
Cobb FLOYD FLOYD Chatham Chatham Gwinnett Fulton Fulton Fulton Chatham Chatham Gwinnett Fulton Fulton

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

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.

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).

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

FALL

Batched Service

Batching Notice

Home Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Ambulatory Surgery

September

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

December

Letter of Intent
October
January

Application Deadline November
February

WINTER

Home Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Ambulatory Surgery

March

April

May

SPRING

SUMMER

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

June

July

August

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

Batching Notifications Posted 6/26/2017 on DCH Website
Summer Batching Review Cycle Notifications

PET
Mega Voltage Radiation Therapy
Pediatric Cath/Open Heart

Adult Open Heart
Psych/Substance Abuse
Birthing Centers

Need Projections can be found on the "DHP Need Projections" Page
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BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW ACTIVITIES
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) 29

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

Batching Notice
(March 31, 2017)

Application
Day
(application complete when
submitted; review cycle begins same
day) (May 30, 2017: Applications due by 12 noon)

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

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

120th Day
(Department Issues
decision)
(September 26, 2017)

Letter of Intent
(April 30, 2017)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(July 28, 2017)

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

110th Day
(applicant provides amended information; applicant provides response to opposition)
(September 16, 2017)

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

Letter of Intent

Application deemed complete (review cycle begins)

75th Day
(applicant provides additional information prior to 75th day)

100th Day
(last day for letters of support to be submitted to Department)

120th
Day
(Department Issues decision)

Application must be
submitted by 3 PM
(10 days to review for completeness)

60-Day
Meeting
(applicant only); deadline for receipt of opposition letter(s)

90th Day
(opposition meeting(s) scheduled; applicant can attend, opposing parties must provide written copy of argument)

110th Day
(applicant provides amended information; applicant provides response to opposition)

150th Day
(project can be extended)

Letter of Intent received by Department 30 days before application is submitted
Application submitted (10 working days to review for completeness). Applications submitted after 3:00 M PM will be considered received on the next business day.
Application deemed complete; 120-day review cycle begins
60-day meeting (applicant only); deadline for receipt of opposition letter(s)
75th day - applicant provides additional information prior to 75th day
90th day Opposition Meeting(s) scheduled; applicant can be in attendance; opposing parties must provide written statement of opposition arguments presented (original and one copy to the Department and one copy to the applicant); presentation time will be limited; Department reserves right to make additional inquiries subsequent to 60-day meeting and following opposition meeting.
100th day Last day for letters of support to be submitted to the Department
110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposition; applicant deadline for providing written response to Department's inquiries subsequent to opposition meeting
120th day Decision issued (Department has discretion to extend to 150th day)

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Office of Health Planning Contact Information
For general questions related to the Office of Health Planning, questions concerning Health Planning surveys, indigent and charity care commitment shortfalls, and all other matters please contact Rachel L. King, J.D., Executive Director (rking1@dch.ga.gov)
For questions concerning pending Certificate of Need applications please contact Bruce Henderson, Senior Reviewer (bhenderson@dch.ga.gov)
For LNR/DET letters and for CON related matters please contact Roxana Tatman, Legal Director, Health Planning (rtatman@dch.ga.gov )
Letters of Determination
The Department will require that a determination request be submitted for any proposed activity that may be exempt under O.C.G.A. 31-6. Such requests will be accepted only on the Department's Determination Request form with the required filing fee of $250. Note: Requests for confirmation of the exemptions for a single specialty ambulatory surgical center or a joint venture ambulatory surgical center and equipment below the threshold are considered requests for a Letter of Nonreviewability ("LNR") and require a $500 filing fee.
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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