Certificate of Need tracking and appeals report, 2018 February 7 - 2018 February 13

Use the links below for easy navigation

Letters of Intent Letters of Intent Winter Batching Cycle
"Revised Application Due Date" New CON Applications
Withdrawn CON Applications Pending Review/Complete CON Applications Pending Review/Incomplete CON Applications
Recently Approved CON Applications Recently Denied CON Applications Appealed CON Projects

Office of Health Planning

Letters of Determination
Requests for Miscellaneous Letters of Determination
Appealed Determinations

LNR Conversion
Requests for LNR for Diagnostic or Therapeutic Equipment
Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities
Appealed LNRs
Requests for Extended Implementation/Performance Period

CERTIFICATE OF NEED
February 7, 2018 February 13, 2018

Batching Notifications - Winter Need Projection Analyses New Batching Review Fall Cycle Winter Cycle
Non-Filed or Incomplete Surveys Indigent-Charity Shortfalls CON Filing Requirements (effective July 18, 2017) Contact Information
Verification of Lawful Presence within U.S. Periodic Reporting Requirements CON Thresholds Open Record Request Form Web Links Certificate of Need Appeal Panel

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
none

Letters of Intent - Winter Batching Cycle

Adult Open Heart Surgery

LOI2018002 Floyd Healthcare Management Inc dba Floyd Medical Center

Development of an Adult Open Heart Surgery Service- Batching

Received: 1/29/2018

Application must be submitted on: 2/26/2018 before noon

Site: 304 Turner McCall Boulevard SW, Rome, GA 30165 (Floyd County)

Estimated Cost: $25,000,000

LOI2018003 Tanner Medical Center

Development of an Adult Open Heart Surgery Service- Batching

Received: 1/29/2018

Application must be submitted on: 2/26/2018 before noon

Site: 705 Dixie Street, Carrollton, GA 30117 (Carroll County)

Estimated Cost: $13,500,000

LOI2018004 Hamilton Medical Center

Development of an Adult Open Heart Surgery Service- Batching

Received: 1/29/2018

Application must be submitted on: 2/26/2018 before noon

Site: 1200 Memorial Drive, Dalton, GA 30270 (Whitfield County)

Estimated Cost: $6,000,000

Megavoltage Radiation Therapy

LOI2018005 CHI Memorial Parkway Cancer Center

Establishment of a New Non-Special Purpose MVRT Service-Batching

Received: 1/29/2018

Application must be submitted on: 2/26/2018 before noon

Site: 4750 Battlefield Parkway, Ringgold, GA 30736 (Catoosa County)

Estimated Cost: $4,000,000

LOI2018006 Chattanooga Hamilton County Hospital Authority dba Erlanger Health System

Establishment of a New Freestanding Non-Special MVRT Service - Batching

Received: 1/29/2018

Application must be submitted on: 2/26/2018 before noon

Site: 975 East Third Street, Chattanooga, TN 37403 (Catoosa County)

Estimated Cost: $9,800,000

Positron Emission Tomography Services

LOI2018007 Union General Hospital Authority dba Union General Hospital Inc

Development of PET Scanner Services HPA 2- Batching

Received: 1/29/2018

Application must be submitted on: 2/26/2018 before noon

Site: 35 Hospital Road, Blairsville, GA 30512 (Union County)

Estimated Cost: $150,000

LOI2018008 Coffee Regional Medical Center Inc Development of PET Scanner Services HPA 13- Batching Received: 1/29/2018 Application must be submitted on: 2/26/2018 before noon Site: 1101 Ocilla Road, Douglas, GA 31534 (Coffee County) Estimated Cost: $25,000

LOI2018009 Peyton Anderson Cancer Center

Development of PET Scanner Service in HPA 6- Batching

Received: 1/29/2018

Application must be submitted on: 2/26/2018 before noon

Site: 800 First Street Suite 170, Macon, GA 31201 (Bibb County)

Estimated Cost: $50,000

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Psychiatric and Substance Abuse Services

LOI2018010 Vest Monroe LLC dba Ridgeview Institute Monroe

18-Bed Expansion of Existing Psych/Sub Abuse Inpatient Program SSDR 5 - Batching

Received: 1/29/2018

Application must be submitted on: 2/26/2018 before noon

Site: 709 Breedlove Dr, Monroe, GA 30655 (Walton County)

Estimated Cost: $250,000

LOI2018011 The Baxley and Appling Co Hospital dba Appling Health Care System

10-Bed Expansion of Existing Psych/Sub Abuse Inpatient Program SSDR 9- Batching

Received: 1/29/2018

Application must be submitted on: 2/26/2018 before noon

Site: 163 East Tollison St, Baxley, GA 31515 (Appling County)

Estimated Cost: $5,000,000

New CON Applications
none
Pending Review/Incomplete Applications
2017-081 MRI Imaging Specialists, Corp Change of Ownership to Non Physician Ownership and Purchase Fixed MRI Filed: 12/21/2017 Deemed Incomplete: 12/27/2017 Site: 6760 Jimmy Carter Boulevard Suite 165, Norcross, GA 30071 (Gwinnett County) Contact: Mike Alatorre, Secretary 786-303-0242 Estimated Cost: $550,000
Pending Review/Complete Applications
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 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
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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) 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: $21,896,000
2017-064 The Medical Center, Navicent Health
Add Ten (10) Level III NICU Beds- Batching Filed: 11/27/2017 Deemed Complete: 11/27/2017
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Opposition Filed

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

Opposition Filed

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 Five (5) 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: 1199 Prince Avenue, Athens, GA 30606 (Clarke County) Contact: Jody Corry, VP 706-475-1195 Estimated Cost: $184,611
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

Opposition Filed

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2017-072 Encompass Health Rehabilitation Hospital of Henry County

Opposition Filed

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
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
2017-077 Colquitt Regional Medical Center
Acquire a da Vinci XI Surgical System Filed: 11/29/2017 Deemed Incomplete: 12/13/2017 Deemed Complete: 12/27/2017 60th Day Deadline: 2/24/2018 Decision Deadline: 4/25/2018 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 Deemed Complete: 1/3/2018 60th Day Deadline: 3/3/2018 Decision Deadline: 5/2/2018 Site: 1255 Highway 54 West, Fayetteville, GA 30214 (Fayette County) Contact: Nathan Nipper, COO 770-804-1013
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Estimated Cost: $2,149,421
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
2017-080 Phoebe Putney Memorial Hospital
Renovate Patient Care Area on the Fifth Floor of the Main Hospital Filed: 12/13/2017 Deemed Complete: 12/27/2017 60th Day Deadline: 2/24/2018 Decision Deadline: 4/25/2018 Site: 147 Third Avenue, Albany, GA 31701 (Dougherty County) Contact: Lori Jenkins, Director 229-312-1000 Estimated Cost: $6,313,983
2018-001 Floyd Healthcare Properties, Inc.; PruittHealth-Rome
Renovation and Expansion to Add over 22,000 Square Feet of Space to the Existing Structure Filed: 1/12/2018 Deemed Incomplete: 1/26/2018 Deemed Complete: 2/2/2018 60th Day Deadline: 4/2/2018 Decision Deadline: 6/1/2018 Site: 2 Three Mile Road, Rome, GA 30165 (Floyd County) Contact: Aneel Gill, Exec. Dir 678-533-6699 Estimated Cost: $8,648,027
2018-002 Childrens Healtcare of Atlanta at Scottish Rite
Addition of Eight (8) Emergency Room Department Bays and Replacement of MRI Filed: 1/16/2018 Deemed Complete: 1/29/2018 60th Day Deadline: 3/29/2018 Decision Deadline: 5/28/2018 Site: 1001 JohnsonFerry Road, NE, Atlanta, GA 30342 (Fulton County) Contact: David R. Tatum, CPPO 404-785-7556 Estimated Cost: $19,275,000
2018-003 Egleston Children's Hospital at Emory University, Inc.
Addition of Thirty-Five (35) Inpatient Beds and Relocation of Nine (9) Observation Beds Filed: 1/16/2018 Deemed Complete: 1/29/2018 60th Day Deadline: 3/29/2018 Decision Deadline: 5/28/2018 Site: 1405 Clifton Road NE, Atlanta, GA 30322 (Fulton County) Contact: David R. Tatum, CPPO 404-785-7556 Estimated Cost: $13,904,373
2018-004 Hamilton Medical Center
Relocation and Expansion of Endoscopy Services Filed: 1/22/2018 Deemed Complete: 2/5/2018 60th Day Deadline: 4/5/2018 Decision Deadline: 6/4/2018 Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County) Contact: Danny Wright, VP 706-272-6656 Estimated Cost: $12,189,868
2018-005 Emory Saint Josephs Hospital
Purchase of a 1.5T MRI Scanner and Construction of a MRI Suite Filed: 1/29/2018 Deemed Complete: 2/9/2018 60th Day Deadline: 4/9/2018 Decision Deadline: 6/8/2018
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Site: 5665 Peachtree Dunwoody Rd NE, Atlanta, GA 30342 (Fulton County) Contact: Jessica Sheridan, VP Operations 678-843-7460 Estimated Cost: $3,467,294

Recently Approved 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 APPROVED: 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 APPROVED: 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 APPROVED: 1/29/2018 Site: 2560 Flintridge Road, Gainesville, GA 30501 (Hall County) Contact: Aneel Gill, Exec. Dir./Planning & Dev. 678-533-6699 Estimated Cost: $8,950,000

Recently Denied Applications
none
CON Applications/Projects Withdrawn
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
Withdrawn: 2/12/2018

Opposition Filed

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

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M. Goldstein, Esq. Hearing date: 4/11/2017. Hearing Officer grants Department Motion for Summary Adjudication and affirms Department determination, 1/19/2018.
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. Emory files petition for Judicial Review, 12/18/17.
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 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.
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.
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2014-019 University Hospital (Columbia) 2014-029 GRHealth Columbia County (Columbia) 2014-030 Doctors Hospital of Augusta (Columbia)
2014-019 Establish a New 100-Bed Short-Stay Acute Care Hospital 2014-029 Establish New 100-Bed Community Teaching Hospital 2014-030 Construction of New Short-Stay General Acute Care Hospital Agency Decision: 2014-019 Denied, 11/26/14; 2014-029 Approved, 11/26/14; 2014-030 Denied, 11/26/14 Appealed: University McDuffie appeals 2014-029 approval,12/22/2014; University Augusta appeals its own denial and appeals 2014-029 approval,12/22/14. Doctors Hospital appeals approval of 2014-029, 12/23/2014. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: 6/18/2015 6/30/2015, 9AM Hearing Decision: Hearing Officer affirmed DCH decision, 9/24/2015. Doctors Hospital requests Commissioner's review, 10/23/2015. Commissioner Review Decision: Affirmed Hearing Officer's decision, 11/23/15. Doctors Hospital of Augusta filed Petition for Judicial Review, 12/23/2015. Superior Court Decision: Superior Court granted Department's Motion to Dismiss Petition for Judicial Review, 4/13/2016. Court of Appeals: Application for Discretionary Review granted on 6/8/2016.
2015-017 ASMC, LLC d/b/a Atlanta Sports Medicine Center (Fulton) Development of Single-Specialty Orthopedic ASC - Batching Agency Decision: Approved, 9/25/2015 Appealed By: Northside Hospital, Inc., d/b/a Northside Hospital - Atlanta, Northside HospitalCherokee, Northside Hospital-Forsyth, and Northside/Alpharetta Surgery Center (collectively "Northside"), 10/14/2015. North Fulton Medical Center, 10/23/2015; Marietta Surgical Center ("MSC") and Atlanta Outpatient Surgery Center ("AOSC"), 10/23/2015. The Emory Clinic, Inc. d/b/a Emory Orthopedic and Spine Physiatry Outpatient Surgery Center ("Emory"), 10/26/2015. The Emory Clinic, Inc. d/b/a Emory Orthopedic and Spine Physiatry Outpatient Surgery Center ("Emory") withdraws appeal request, 1/26/2016. Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: 3/22/2016 3/24/2016 and 3/28/2016 3/31/2016 Hearing Decision: Hearing Officer reverses Department decision to issue CON to ASMC, 6/24/2016. ASMC, LLC, d/b/a Atlanta Sports Medicine Center ("ASMC") requests Commissioner's Review, 7/14/2016. Commissioner Review Decision: Hearing Officer Decision is reversed and award of CON to ASMC is reinstated, 8/22/2016. Northside and WellStar North Fulton filed for Judicial Review, 9/20/2016. Superior Court Decision: Superior Court reversed Department and denied CON to ASMC, LLC, 2/3/2017. Court of Appeals: Applicant filed for discretionary review, 3/7/2017. Application for Discretionary Review granted 3/27/17.
2015-032 Piedmont Hospital, Inc. (Cobb) Develop a New Non-Special Purpose MRT Service - Batching Agency Decision: Denied, 12/23/2015 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.
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. MMC files Application for Discretionary Appeal, 12/21/17. Court of Appeals: Court of Appeals denied Application for Discretionary Appeal, 1/22/18. MCC filed Notice of Intent to Petition for Writ of Certiorari, 1/31/18.
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: Ellwood F. Oakley, III, Esq. Hearing Date: Pending

Requests for LNR for Diagnostic or Therapeutic Equipment

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-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: Approved

Determination Date: 2/9/2018

LNR-EQT2017056 Medcross Imaging, LLC Purchase of a Mobile MRI Request received: 11/30/2017
11

Contact Person: 500.00 Determination: Approved

Determination Date: 2/12/2018

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: Approved

Determination Date: 2/12/2018

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: Approved

Determination Date: 1/30/2018

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: Approved

Determination Date: 2/6/2018

LNR-EQT2017060 MedCross Imaging LLC

Purchase of a Fixed MRI and Fixed CT Scanner

Request received: 12/27/2017

Contact Person: Balu S. Mani, Med Dir. 478-374-4305

Determination: Approved

Determination Date: 2/12/2018

LNR-EQT2018001 Outpatient Imaging, LLC Purchase of a Fixed MRI and CT Scanner Request received: 1/3/2018 Contact Person: John Arnold, Treasurer 770-305-4674 Determination: Pending

LNR-EQT2018002 Allegiance Imaging and Radiology, LLC Purchase of a General Electric GE Signa LX 9.1X Software1.0T MRI Request received: 1/12/2018 Contact Person: Sean Mahan, M.D. Managing Member 407-699-1100 Determination: Pending

LNR-EQT2018003 Synergy Consultants, LLC Operational Lease of MRI, CT Scanner and Development of X-Ray Suite Request received: 1/29/2018 Contact Person: Tracy Bridges, Physician/Owner 229-343-6629 Determination: Pending
LNR-EQT2018004 Piedmont Athens Regional Medical Center, Inc Purchase of a Fixed CT Scanner Request received: 2/5/2018 Contact Person: Jody Corry, SCC 706-475-1195 Determination: Pending
LNR-EQT2018005 Synergy Radiology, LLC Purchase of a Fixed MRI Request received: 2/7/2018 Contact Person: Brad Peters, MD 404-513-3845 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
12

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-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

LNR-ASC2018001 Ankle and Foot Centers of Georgia, LLC

Establishment and Operation of a Single-Specialty Physician Owned ASC

Site: 1975 Beverly Rd, Gainesville, GA 30501

Number of OR's: 1

Specialty: Podiatry

Project costs as submitted: $50,000.00

Request received: 1/16/2018

Contact Person: Victor Moldovan, 404-443-5708

Determination: Pending

LNR-ASC2018002 Surgery Center of Lawrenceville, LLC

Establishment and Operation of a Single Specialty Physician-Owned ASC

Site: 501 Crown Pointe Way, Suite 100 Lawrenceville, GA 30046

Number of OR's: 3

Specialty: Urology

Project costs as submitted: $0.00

Request received: 1/22/2018

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

Determination: Pending

LNR-ASC2018003 The Georgia Center for Plastic and Reconstructive Surgery, P.C.

Relocation of Ambulatory Surgery Center

Site: 6326 Peake Rd Macon, GA 31210

Number of OR's: 2

Specialty: Pkastic and Reconstructive Surgery

Project costs as submitted: $0.00

Request received: 1/22/2018

Contact Person: Joshua R. Groves, M.D. 478-254-6608

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
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
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
13

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: Non-reviewable as proposed Determination Date: 2/5/2018
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
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: Non-reviewable as proposed Determination Date: 1/30/2018
DET2017227 Emory University dba Emory University Hospital Midtown Replacement of CON Approved MRI Request received: 11/30/2017 Contact Person: Daniel Owens, CEO 404-686-2010 Determination: Non-reviewable as proposed Determination Date: 1/26/2018
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: Non-reviewable as proposed Determination Date: 1/26/2018
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: Non-reviewable as proposed Determination Date: 2/9/2018
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: Non-reviewable as proposed Determination Date: 2/9/2018
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: Non-reviewable as proposed Determination Date: 2/9/2018
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: Non-reviewable as proposed Determination Date: 1/19/2018
DET2017237 Oaks Senior Living, LLC Establishment of a 100 Bed Assisted Living Facility Request received: 12/13/2017 Contact Person: Alex Salabarria, CEO 770-888-4683 Determination: Non-reviewable as proposed Determination Date: 1/19/2018
14

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: Non-reviewable as proposed Determination Date: 1/30/2018
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: Non-reviewable as proposed Determination Date: 1/30/2018
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: Non-reviewable as proposed Determination Date: 1/26/2018
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: Non-reviewable as proposed Determination Date: 2/5/2018
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: Non-reviewable as proposed Determination Date: 2/5/2018
DET2017243 Central Georgia PET, LLC Replacement of PET/CT Unit Request received: 12/21/2017 Contact Person: Eddie Coker, Director 478-633-9102 Determination: Non-reviewable as proposed Determination Date: 2/6/2018
DET2017244 Egleston Children's Hospital at Emory University dba CHOA at Egleston Capital Expenditure to Develop a Clinical Research Department Request received: 12/22/2017 Contact Person: David Tatum, CPPO 404-785-7556 Determination: Non-reviewable as proposed Determination Date: 2/6/2018
DET2017245 Union General Hospital, Inc. Conversion of Electronic Health Record System Request received: 12/27/2017 Contact Person: Lewis Kelley, CEO 706-439-6492 Determination: Non-reviewable as proposed Determination Date: 2/7/2018
DET2017246 Select Specialty Hospital-Midtown Atlanta, LLC Consolidation of Hospital Licenses Request received: 12/27/2017 Contact Person: Robert J. Bein, VP 717-972-1125 Determination: Pending
DET2017247 WellStar North Fulton Hospital, Inc. dba WellStar North Fulton Hospital Expansion of Cardiac Catheterization Services Request received: 12/27/2017 Contact Person: April Austin, Strategic Planning Manager 470-644-0057 Determination: Non-reviewable as proposed Determination Date: 2/7/2018
DET2018001 Alliance HealthCare Services Replacement of a Mobile PET/CT Unit Request received: 12/28/2017
15

Contact Person: Andre Kellogg, Sr. Director 770-317-7800 Determination: Non-reviewable as proposed Determination Date: 2/7/2018
16

DET2018002 OBGyne Birth Center for Natural Deliveries, Inc. Relocation of Facility Request received: 1/2/2018 Contact Person: Determination: Pending
DET2018003 Eastside Medical Center, LLC dba Eastside Medical Center Relocation of Ten (10) Medical/Surgical Beds Request received: 1/4/2018 Contact Person: Persaud Rudolph, Director 770-736-2450 Determination: Pending
DET2018004 FDG EC Opco, LLC Development of a One Hundred (100) Bed Assisted Living Community Request received: 1/9/2018 Contact Person: Mark P. Maberry, Executive VP 770-777-9898 Determination: Pending
DET2018005 WellStar Cobb Imaging Center Replacement of CON Approved MRI Request received: 1/10/2018 Contact Person: April Austin, Manager 470-644-0057 Determination: Pending
DET2018006 OrthoAtlanta, LLC Establishment of Non Sterile Surgical Procedure Room Request received: 1/10/2018 Contact Person: Michael Ochal. CEO 770-953-6929 Determination: Pending
DET2018007 Kennestone Hospital, Inc. dba WellStar Kennestone Hospital Replacement of CON Approved Linear Accelerator Request received: 1/19/2018 Contact Person: April Austin, Manager 470-644-0057 Determination: Pending
DET2018008 WellStar North Fulton Hospital, Inc. dba Wellstar North Fulton Hospital Development of a Medical Office Building Request received: 1/19/2018 Contact Person: April Austin, Manager 470-644-0057 Determination: Pending
DET2018009 Atlanta Institute for ENT, P.C. Addition of an Allergist to Clinical Practice Request received: 1/19/2018 Contact Person: Pradeep Sinha, M.D./ President 404-247-1589 Determination: Pending
DET2018010 Harbin Clinic, LLC Replacement of Phillips Achieve 1.5T MRI Scanner Request received: 1/19/2018 Contact Person: Kenna Stock, CEO 706-236-6347 Determination: Pending
DET2018011 Northside Hospital, Inc. Capital Expenditure to Develop a MOB Request received: 1/23/2018 Contact Person: Brian Toporek,Sr. Planner 404-851-6821 Determination: Pending
DET2018012 Village Park at Wills, LLC Development of a One Hundred Fifty Eight (158) Bed ALC Request received: 1/24/2018
17

Contact Person: Tim Gary, Managing Member 678-776-7129 Determination: Pending
DET2018013 Village Park at Paces, LLC Development of a Three Hundred Seven (307) Bed ALC Request received: 1/24/2018 Contact Person: Tim Gary, Managing Member 678-776-7129 Determination: Pending
DET2018014 Hospital Authority of Colquitt County dba Colquitt Regional Medical Center Upgrade Mechanical, Plumbing and Electrical Infrastructure Request received: 2/2/2018 Contact Person: Bill Bishop, CIO 229-891-9337 Determination: Pending
DET2018015 Egleston Childrens Hospital at Emory University dba CHOA at Egleston Addition of Five (5) Level III NICU Beds Request received: 2/2/2018 Contact Person: David R. Tatum, CPPO 404-785-7556 Determination: Pending
DET2018016 Piedmont Athens Regional Medical Center, Inc. Replacement of CT Scanner Request received: 2/5/2018 Contact Person: Jody Corry, SCC 706-475-1195 Determination: Pending
DET2018017 Bayview Nursing Home LLC Renovation of Existing Nursing Facility Request received: 2/5/2018 Contact Person: Chip Davis, CFO 478-988-1294 Determination: Pending
DET2018018 Acts Retirement Life Communities Inc dba Oakbridge Terrace at Lanier Village Addition of Ten (10) Beds in an Assisted Living Facility Request received: 2/7/2018 Contact Person: Pam Kauffman, Administrator 678-450-3005 ext 407 Determination: Pending
DET2018019 Northside Hospital Inc dba Northside Hospital Atlanta Replace CON-Approved Surgical Robot Request received: 2/9/2018 Contact Person: Brian Toporek, Sr. Planner 404-851-6821 Determination: Pending
DET2018020 Northside Hospital, Inc, dba Northside Hospital Cherokee Replace CON Approved Surgical Robot Request received: 2/9/2018 Contact Person: Brian Toporek, Sr. Planner 404-851-6821 Determination: Pending
DET2018021 Bibb ALC, LLC Establishment of an Assisted Living Facility Request received: 2/9/2018 Contact Person: Lorna Viceda, Administrator 904-521-7482 Determination: Pending
DET2018022 Emory University dba Emory University Hospital Midtown Renovation of the Level III NICU Request received: 2/9/2018 Contact Person: Daniel Owens, CEO 404-686-2010 Determination: Pending
18

Requests for Extended Implementation/Effective Period

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: Approved, 1/16/2018

Extended Project Completion Date: 7/1/2018

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: Approved, 1/16/2018

Extended Project Completion Date: 7/1/2018

2015024 St. Mary's Health Care System, Inc.

Renovate Inpatient Operating Rooms & Support Space

Request to extend Completion Date

Site: 1230 Baxter Street, Athens (Clarke)

Project Approved: 12/7/2015

Request Received: 1/22/2018

Contact: D. Montez Carter, President (706-389-3930)

Approved Cost: $6,830,000

Determination: Approved, 1/23/2018

Extended Project Completion Date: 6/1/2018

2016029 Coliseum Medical Center, LLC Establish 5 NICU Beds Level III - Batching Request to Extend Implementation Date Site: 350 Hospital Drive, Macon (Bibb) Project Approved: 9/23/2016 Request Received: 2/1/2018 Contact: Todd Dixon, COO (478-765-4100) Approved Cost: $4,846,454 Determination: Approved, 2/13/2018

Extended Project Implementation Date: 3/14/2019

2016027 Tanner Medical Center, Inc. d/b/a Tanner Medical Center - Higgins

Capital Expenditures to Renovate Surgical Services

Request to Extend Completion Date

Site: 200 Allen Memorial Drive, Bremen (Haralson)

Project Approved: 10/7/2016

Request Received: 2/7/2018

Contact: Chris Bell, VP Facilities/Engineering (770-812-8434)

Approved Cost: $12,141,244

Determination: Approved, 2/9/2018

Extended Project Completion Date: 9/29/2018

Need Projection Analyses Updated 12/28/2017
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 12/28/2017 2022 PET Need Projection Posted 12/28/2017
19

2022 Ambulatory Surgical Services Need Projection Posted 9/28/2017 2022 Inpatient Physical Rehab Need Projections for Pediatric and Adult Services Posted 9/28/2017 2022 Neonatal Intermediate Care Bed Need Projection Intermediate - Posted 9/28/2017 2022 Neonatal Intensive Care Bed Need Projection Posted 9/28/2017 2021 Obstetric Services Bed Need Projection Posted 9/28/2017 2020 Nursing Home Bed Projections Posted 3/28/2017 2020 Home Health Need Projection Summary for Horizon Year 2020- Posted 9/28/2017 Non-Batched Need Projections 2022 Long Term Care Hospital Beds - 5/27/2017 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 2/13/2018)

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

County CLAYTON CLAYTON CLAYTON CLARKE MUSCOGEE Cherokee Bibb COBB COBB Rockdale

Year 2013 2014 2015 2014 2013 2014 2015 2014 2015 2013

Cobb FLOYD FLOYD Chatham Chatham Fulton Fulton Fulton Chatham Chatham

2015 2014 2015 2013 2015 2013 2014 2015 2014 2015
20

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

27,786.30 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

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

Staff Builders Home Health Suncrest Home Health Suncrest Home Health

Gwinnett Fulton Fulton

2015 2014 2015

39,203.62 18,318.91 17,068.27

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.

21

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.
22

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

Batching Notifications Posted 12/28/2017 on DCH Website
Winter 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.

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
23

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

Batching Notice
(December 28, 2017)

Application
Day
(application complete when submitted; review cycle begins same day)
(February 26, 2018 : Applications due by 12noon

75th Day
(applicant provides additional information)
(May 11, 2018)

100th Day
(last day for letters of support to be submitted to
Department)
(June 5, 2018)

120th Day
(Department Issues
decision)
(June 25, 2018)

Letter of Intent
(January 27, 2018)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(April 26, 2018)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(May 26, 2018)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(June 15, 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)

24

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: Application 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)

25

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)

26

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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