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Recently Approved CON Applications Recently Denied CON Applications Appealed CON Projects Letters of Determination
Requests for Miscellaneous Letters of Determination
Requests for DET-EQT Appealed Determinations
DET Review 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 Batching Notifications Fall Cycle Need Projection Analyses New Batching Review
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Non-Filed or Incomplete Surveys Indigent-Charity Shortfalls CON Filing Requirements (effective July 18, 2017) Contact Information
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Office of Health Planning
CERTIFICATE OF NEED
November 6, 2019 November 12, 2019
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

Fall Batching Cycle - Letters of Intent

Ambulatory Surgery

LOI2019070 Houston ASC, LLC

Development of a Multi-Specialty Freestanding Ambulatory Surgery Facility - Batching

Received: 10/27/2019

Application must be submitted on: 11/26/2019 by 12:00 P.M.

Site: 1601 Watson Boulevard, Warner Robins, GA 31093 (Houston County)

Estimated Cost: $25,000,000

LOI2019071 East Atlanta Eye Surgery Center, LLC

Convert to Single-Specialty ASC- Batching

Received: 10/27/2019

Application must be submitted on: 11/26/2019 by 12:00 P.M.

Site: 550 Professional Drive, Lawrenceville, GA 30046 (Gwinnett County)

Estimated Cost: $40,000

LOI2019072 MSM ASC, LLC

Establish a New Multi-Specialty Ambulatory Surgery Center - Batching

Received: 10/27/2019

Application must be submitted on: 11/26/2019 by 12:00 P.M.

Site: 720 Westview Drive SW, Atlanta, GA 30310 (Fulton County)

Estimated Cost: $26,544,250

Obstetrical Services

LOI2019067 Northside Hospital, Inc Northside Hospital Forsyth

Additional 16 OB beds Pursuant to Need Projected - Batching

Received: 10/27/2019

Application must be submitted on: 11/26/2019 by 12:00 P.M.

Site: 1000 Johnson Ferry Road, Atlanta, GA 30342 (Fulton County)

Estimated Cost: $100,000

LOI2019068 Northeast Georgia Medical Center, Inc

Additional 10 Beds to Existing Service at the South Hall Campus of Northeast GA Medical- Batching

Received: 10/27/2019

Application must be submitted on: 11/26/2019 by 12:00 P.M.

Site: 734 Spring Street, Gainesville, GA 30501 (Hall County)

Estimated Cost: $10,000,000

Home Health

LOI2019064 Quaility One Home Health Agency LLC

New Home Health Services Pursuant to the exceptions to the need Methodology -Batching

Received: 10/27/2019

Application must be submitted on: 11/26/2019 by 12:00 P.M.

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

Estimated Cost: $3,000

LOI2019065 Mesun Health Services, Inc

New Service Home Health Agency Under the Exception for Special Population

Received: 10/27/2019

Application must be submitted on: 11/26/2019 by 12:00 P.M.

Site: 88 Johnson Rd, Lawrenceville, Ga 30045 (Gwinnett County)

Estimated Cost: $1,000,000

LOI2019066 Hospital Authority of Miller County Miller County Hospital& Miller Nursing

New Home Health Services in SSDR 10 -Batching

Received: 10/27/2019

Application must be submitted on: 11/26/2019 by 12:00 P.M.

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

Estimated Cost: $200,000

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Perinatal Services

LOI2019061 Savannah Health Services, LLC Memorial Health University Medical Center

10 Additional Neonatal Intermediate Care Bassinets - Batching

Received: 10/27/2019

Application must be submitted on: 11/26/2019 by 12:00 P.M.

Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County)

Estimated Cost: $8,500,000

LOI2019062 Northeast Georgia Medical Center, Inc

Additional 6 Neonatal Intermediate Care beds-Batching

Received: 10/27/2019

Application must be submitted on: 11/26/2019 by 12:00 P.M.

Site: 743 Spring Street, Gainesville, GA 30501 (Hall County)

Estimated Cost: $20,000,000

LOI2019063 Cartersville Medical Center, LLC

New Service to include 4 Neonatal Intermediate Care Beds - Batching

Received: 10/27/2019

Application must be submitted on: 11/26/2019 by 12:00 P.M.

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

Estimated Cost: $750,000

Skilled Nursing Care

LOI2019069 Correct Life Bostick, LLC dba Bostick Nursing Center

Construction of 150-bed Annex

Received: 10/27/2019

Application must be submitted on: 11/26/2019 by 12:00 P.M.

Site: 3384 Peachtree Road, NE, Atlanta, GA 30326 (Fulton County)

Estimated Cost: $15,000,000

Withdrawn CON Applications
none
New CON Applications
2019-027 Southeastern Regional Medical Center Inc Conversion to a General Cancer Hospital Filed: 7/31/2019 Site: 600 Celebrate Life Parkway, Newnan, GA 30265 (Coweta County) Contact: David Kent CEO 770-400-6261 Estimated Cost: $1,205,289
Pending Review/Incomplete Applications
none

Pending Review/Complete Applications

2019-028 Dodge County Hospital Authority
10-Bed Expansion of Geriatric Psych Unit - Batching Filed: 8/23/2019 Deemed Complete: 8/23/2019 60th Day Deadline: 10/21/2019 Decision Deadline: 12/20/2019 Site: 901 Griffin Ave, Eastman, GA 31023 (Dodge County) Contact: Jan Hamrick CFO 478-448-4050 Estimated Cost: $1,900,420

2019-029 Flint River Hospital Conversion of 18-Short Stay Beds to Adult Psych/Sub Beds - Batching Filed: 8/23/2019 Deemed Complete: 8/23/2019

OPPOSITION FILED

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60th Day Deadline: 10/21/2019 Decision Deadline: 12/20/2019 Site: 509 Sumter Street, Montezuma, GA 31603 (Macon County) Contact: Michael C Paterson 478-472-3100 Estimated Cost: $615,070
2019-030 Colquitt Regional Medical Center
10-Bed Adult Acute Inpatient Psych/Sub Unit for Geriatric Patients - Batching Filed: 8/23/2019 Deemed Complete: 8/23/2019 60th Day Deadline: 10/21/2019 Decision Deadline: 12/20/2019 Site: 3131 South Main Street, Moultrie, GA 31786 (Colquitt County) Contact: Greg K. Johnson, FACHE VP/Operations 229-890-3547 Estimated Cost: $2,517,489
2019-031 Northeast Georgia Medical Center, Inc- South Hall Campus
One Additional Hospital-Based Non-Special Megavoltage Radiation Therapy Unit - Batching Filed: 8/23/2019 Deemed Complete: 8/23/2019 60th Day Deadline: 10/21/2019 Decision Deadline: 12/20/2019 Site: 742 Spring Street, Gainesville, GA 30501 (Hall County) Contact: Linda Berger, Director of Planning 770-219-6631 Estimated Cost: $8,746,282
2019-032 Landmark Hospital of Savannah
Landmark Hospital of Savannah 15-Bed Expansion Filed: 9/16/2019 Deemed Complete: 10/24/2019 60th Day Deadline: 12/22/2019 Decision Deadline: 2/20/2020 Site: 800 E 66th Street, Savannah, GA 31405 (Chatham County) Contact: William Kapp, MD Chairman 912-298-1000 Estimated Cost: $20,000
2019-033 American Health Imaging of Hiram
Additional CT Unit to Existing DTRC in Hiram Filed: 9/18/2019 Deemed Complete: 10/18/2019 60th Day Deadline: 12/16/2019 Decision Deadline: 2/14/2020 Site: 4374 Atlanta Highway Suite 125, Hiram, GA 30141 (Paulding County) Contact: Stephen R. Janis Chief Development Officer 404-296-5887 Estimated Cost: $412,500
2019-034 American Health Imaging of GA, LLC dba American Health Imaging of Marietta
Add Second MRI Unit to Existing DTRC in Marietta Filed: 9/18/2019 Deemed Complete: 10/18/2019 60th Day Deadline: 12/16/2019 Decision Deadline: 2/14/2020 Site: 796 Church Street Suite 100, Marietta, GA 30060 (Cobb County) Contact: Stephen R. Janis Chief Development Officer 404-296-5887 Estimated Cost: $1,225,000
2019-035 American Health Imaging of Brunswick
Add CT Unit to Existing DTRC in Brunswick. Filed: 9/26/2019 Deemed Incomplete: 10/10/2019 Deemed Complete: 10/15/2019 60th Day Deadline: 12/13/2019 Decision Deadline: 2/11/2020 Site: 1103 Fountain Lake Drive, Brunswick, GA 31525 (Glynn County) Contact: Stephen R. Janis Chief Development Officer 404-296-5887 Estimated Cost: $412,500
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2019-036 Emory University Hospital Hospital Renovation to Relocate and Expand Heart and Vascular Department Filed: 9/30/2019 Deemed Complete: 10/11/2019 60th Day Deadline: 12/9/2019 Decision Deadline: 2/7/2020 Site: 1364 Clifton Road, Atlanta, GA 30322 (DeKalb County) Contact: Catherine A.Maloney, FACHE VP of Operations 404-712-5529 Estimated Cost: $14,048,175
2019-037 Vision Imaging Center Development of a Freestanding Advanced Diagnostic Imaging Center or DTRC Filed: 10/16/2019 Deemed Complete: 10/29/2019 60th Day Deadline: 12/27/2019 Decision Deadline: 2/25/2020 Site: 2484 East Pinetree Blvd, Thomasville, GA 31792 (Thomas County) Contact: Brandi W Warren 229-226-8800 Estimated Cost: $3,861,894
2019-038 Northside Hospital Cherokee Short-Stay Hospital Expansion Filed: 10/25/2019 Deemed Complete: 11/7/2019 60th Day Deadline: 1/5/2020 Decision Deadline: 3/5/2020 Site: 450 Northside Cherokee Boulevard, Canton, GA 30115 (Cherokee County) Contact: Brian Toporek Senior Planner 404-851-6821 Estimated Cost: $96,411,771
Recently Approved Applications
2018-027 American Health Imaging of Georgia LLC d/b/a Marietta Imaging LLC Addition of CT Scanner to Existing OP Imaging Center Filed: 4/30/2018 Deemed Incomplete: 5/11/2018 Deemed Complete: 5/21/2018 60th Day Deadline: 7/19/2018 Decision Deadline: 9/17/2018 CON Issued: 8/21/2019 post appeal Site: 796 Church Street, Suite 100, Marietta, GA 30060 (Cobb County) Contact: Stephen Janis, Chief Development Officer 404-296-5887 Estimated Cost: $511,500
2019-026 Hamilton Medical Center, Inc. dba Hamilton Medical Center Renovation/Expansion of Hospital Surgical Suite and Other Functions Filed: 6/24/2019 Deemed Complete: 7/8/2019 60th Day Deadline: 9/5/2019 Decision Deadline: 11/4/2019 APPROVED: 11/4/2019 Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County) Contact: Danny Wright, Vice-President 706-272-6656 Estimated Cost: $23,943,381
Recently Denied Applications
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Appealed Determinations
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
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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.Court grants the Petition for Judicial Review and Reverses the Department's Final Order, 7/26/2018. Department filed Application for Discretionary Appeal with Court of Appeals, 8/24/2018. Court of Appeals reversed the order of the superior court granting Emory's petition for judicial review, 6/28/2019.
DET2019-097 St. Francis Health, LLC Request for Letter of Determination received on 5/14/2019, regarding the proposed relocation of sixteen (16) Adult Psychiatric Beds from the Bradley Center to its Main Campus, denied on 8/9/2019. Requestors filed request for Administrative Appeal on 09/4/2019.
DET2019-084 and DET2019-121 Battlefield Imaging, LLC, Requests for Letters of Determination received on 5/6/2019 and 5/21/2019, respectively, regarding a proposed relocation of diagnostic equipment, both approved 8/12/2019 and 8/23/2019, respectively. CHI Memorial-Georgia, Inc. ("Memorial') filed request for Administrative Appeal on 09/6/2019. Memorial withdrew request for Administrative Appeal on 10/18/2019. Order of Dismissal issued 10/22/19.
DET2019-050 Kennestone Hospital, Inc. d/b/a WellStar Windy Hill ("WellStar Windy Hill") Request for Letter of
Determination received on 3/15/2019, regarding a determination that existing beds would revert back to short-stay beds upon relinquishment of its Medicare certification as a long-term care hospital, denied on 8/21/2019. WellStar Windy Hill filed request for Administrative Appeal on 09/19/2019. Emory University d/b/a Emory University Hospital Smyrna and Saint Joseph's Hospital of Atlanta, Inc. d/b/a Emory Saint Joseph's Hospital (collectively "Emory") filed notice of intent to participate in and intervene in WellStar Windy Hill's administrative hearing, 9/19/2019.
Appealed LNRs
LNR-EQT2018032 Allegiance Imaging and Radiology, LLC Requested Letter of Non-Reviewability ("LNR") with regard to the reviewability of certain diagnostic imaging equipment in Lawrenceville, Gwinnett County. The Request was approved on 10/11/2018. American Health Imaging, Inc., filed a request for Administrative Appeal Hearing to contest the Department's ruling, 11/13/2018. Hearing Officer: L. Lynn Hogue, Ph.D., J.D. Commissioner Review: Allegiance Imaging and Radiology filed Request for Commissioner Review of Denial of Allegiance's Motion to Dismiss, 5/16/2019. Superior Court: Allegiance Imaging and Radiology filed Petition for Interlocutory Judicial Review and Stay of Administrative Proceedings, 5/16/2019. Allegiance Imaging and Radiology, LLC dismisses its Petition for Judicial Review and Stay of Administrative Proceedings, 6/12/2019. AHI's request to dismiss appeal was granted and appeal dismissed, 7/1/2019.
LNR-ASC2017022 Georgia Arrhythmia Consultants and Research Institute, LLC Requested Letter of Non-Reviewability ("LNR") with regard to the establishment of an ambulatory surgery center ("ASC") in Macon, Bibb County. Request was denied 3/6/2018. Georgia Arrhythmia Consultants and Research Institute, LLC ("GACRI") filed a request for Administrative Appeal on 3/29/18. Hearing Officer: William C. Joy, Esq. Hearing Date: 10/29/2018 and 10/30/2018.
LNR-ASC2019009 Northside Hospital, Inc and Phys Owners of Gwinnett Surgery Center, LLC Requested Letter of Non-Reviewability ("LNR") with regard to the establishment of a joint venture ambulatory surgery center ("JV ASC") in Lawrenceville, Gwinnett County. Request was denied 10/7/19. Northside Hospital, Inc. ("Northside") and Northside Gwinnett Surgical Associates, LLC ("NGSA") filed a request for Administrative Appeal on 10/29/19. Hearing Officer: Pending. Hearing Date: Pending
Appealed CON Projects
2014-019 University Hospital (Columbia) 2014-029 GRHealth Columbia County (Columbia) 2014-030 Doctors Hospital of Augusta (Columbia)
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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 filed on 5/13/2016. Application for Discretionary Review granted on 6/8/2016. Court of Appeals reverses ruling of Superior Court, 2/14/2018. Court of Appeals affirms the
Superior Court's decision upholding the Department's decision, 4/30/2019. Doctors Hospital files Notice of Intention
to Petition for Writ of Certiorari, requesting the Supreme Court review the April 30, 2019 court of Appeals decision, 5/10/2019.
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. Superior Court Decision: Superior Court denies WellStar's Petition for Judicial Review, 2/13/2018. Court of Appeals: WellStar Cobb and WellStar Kennestone filed an Application for Discretionary Appeal, 3/16/2018. Affirms the Superior Court's judgment denying WellStar's petition for judicial review, 3/13/2019 WellStar Cobb and WellStar Kennestone (collectively "WellStar") filed Notice of Intention to Petition for Writ of Certiorari, 3/25/2019. WellStar Cobb Hospital and WellStar Kennestone Hospital's Petition for Writ of Certiorari filed in the Georgia Supreme Court, 4/2/2019.
2017-063 Redmond Regional Medical Center (Floyd) Develop Basic Level 1 Perinatal Service - Batching Agency Decision: Approved, 3/26/2018 Appealed By: Floyd Healthcare Management, Inc d/b/a Floyd Medical Center ("FMC"), 4/24/2018 Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: 12/3/2018 Hearing Decision: Hearing Officer affirmed Department's decision to award a CON to Redmond Regional Medical Center, 2/26/19. FMC filed for Commissioner Review, 3/28/2019. Commissioner Review Decision: Commissioner affirmed Hearing Officer's 2/26/2019 decision to award a CON to Redmond, 4/26/2019. FMC filed petition for judicial review, 5/28/2019. Superior Court Decision: Affirms the final decision to award a CON to Redmond, 9/26/2019. Court of Appeals: FMC filed Application for Discretionary Appeal 10/28/19.
2018-008 Floyd Healthcare Management Inc dba Floyd Medical Center (Floyd) 2018-009 Tanner Medical Center Carrollton (Carroll) 2018-010 Hamilton Medical Center (Whitfield)
Development of Adult Open Heart Surgery Service - Batching Agency Decision: 2018-008 Denied, 6/25/2018; 2018-009 Denied, 6/25/2018; 2018-010 Denied, 6/25/2018 Appealed By: 2018-008 Applicant Floyd Healthcare Management, Inc. d/b/a Floyd Medical Center,
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7/24/2018. Redmond Park Hospital, LLC d/b/a Redmond Regional Medical Center files request to intervene in Floyd's administrative appeal, 7/26/2018. 2018-009 Applicant Tanner Medical Center, Inc. d/b/a Tanner Medical Center-Carrollton,"TMC"), 7/23/2018. WellStar Kennestone Hospital ("Kennestone") files request to Intervene, 7/20/2018. 2018-010; Applicant Hamilton Medical Center, 7/24/2018. Hearing Officer: 2018-008, 2018-009 and 2018-010 William C. Joy, Esq. Hearing Officer denied Redmond's request to intervene, 9/27/2018. Commissioner denies Redmond's appeal of Hearing Officer's denial to intervene due to limited review authority, 10/10/2018. Hearing Date: 12/10,11,14/2018; 1/7-11/2019; 2/4-8/2019, 2/11-15/2019; 2/26/2019 Hearing Decision: Hearing Officer affirms Department's decision denying CON Applications for 2018-008 (Floyd Medical Center), 2018-009 (Tanner Medical Center), 2018-010 (Hamilton Medical Center), 8/16/2019. Floyd requests Commissioner review 9/13/2019. Hamilton requests Commissioner review 9/16/2019. Tanner requests Commissioner review 9/16/2019. Redmond files renewed appeal to Commissioner on the denial of its request to Intervene, 9/16/2019 Commissioner Review Decision: On 10/15/19, Commissioner affirmed Hearing Officer's 8/16/19 decision to deny a CON to Floyd; reversed Hearing Officer's 8/16/19 decision to deny a CON to Tanner; reversed Hearing Officer's 8/16/19 decision to deny a CON to Hamilton; denied Redmond Regional Medical Center's Renewed Appeal to Commissioner Berry on the Denial of Its Request to Intervene.
2018-038 Pro Radiology LLC (Fulton) Acquisition of Equipment Above Threshold Agency Decision: Denied, 11/14/2018 Appealed By: Applicant, 12/7/2018 Hearing Officer: Melvin M. Goldstein, Esq Hearing Date: 5/1-2/2019, 9AM/5th Floor Hearing Decision: Department decision to deny Pro Radiology's CON is reversed and it is ordered that DCH issue the CON, 8/20/2019. The Department requests Commissioner Review, 9/19/2019 Commissioner Review Decision: On 10/18/19, Commissioner issued Final Order affirming Hearing Officer's 8/20/19 decision.
2018-058 Northside Hospital Atlanta (Fulton) Establish Hospital-Based Outpatient Surgery Service Agency Decision: Approved, 1/11/2019 Appealed By: WellStar Atlanta Medical Center, Inc. d/b/a WellStar Atlanta Medical Center ("WAMC"), 2/8/2019 and Piedmont Hospital Inc. ("Piedmont"), 2/8/2019.
Hearing Officer: William Joy, Esq. Hearing Date: 8/12-16/2019, 9 AM/5th Floor Hearing Decision: Hearing Officer affirmed the Department's decision dated January 11, 2019, granting Northside's CON application for a hospital-based outpatient surgery service, 11/1/19.
2018-072 Braselton ASC, LLC (Hall) 2018-073 Braselton Surgical Specialist Center, LLC ("BSSC") (Hall) 2018-072 Establish Multi-Specialty Freestanding ASC with Four ORs and Two Procedure Rooms 2018073 Establish Multi-Specialty Freestanding ASC with Three ORs and One Procedure Room Agency Decision: GA2018072 - Approved, 3/25/2019 GA2018073 - Denied, 3/25/2019. Appealed by: Braselton Surgical Specialist Center, LLC ("BSSC"), 4/24/2019; Piedmont Athens Regional Medical Center, Inc.d/b/a Piedmont Athens Regional Medical Center ("Piedmont Athens"), 4/24/2019; Northside Hospital, Inc. d/b/a Northside Hospital Cherokee ("NHC"), 4/24/2019; Northside Hospital, Inc. d/b/a Northside Alpharetta Surgery Center ("NASC"), 4/24/2019. Piedmont Athens withdrew its Appeal of GA2018-072 on 11/7/19. Request to Intervene in 2018-072: Braselton ASC, LLC ("Braselton ASC"), 4/24/2019. 2018-073 denial: Braselton Surgical Specialist Center, LLC ("BSSC") appeals the denial of their application, 2018073, 4/24/2019; Requests to Intervene in 2018-073: Northeast Georgia Medical Center, Inc. d/b/a Northeast Georgia Medical Center -Main Campus ("NGMC-Main Campus"), 4/24/2019; Braselton ASC, LLC ("Braselton ASC"), 4/24/2019; Northeast Georgia Medical Center, Inc. d/b/a Northeast Georgia Medical Center-South Hall Campus ("NGMC-South Hall Campus"), 4/24/2019; NGMC Barrow, LLC d/b/a Northeast Georgia Medical Center-Barrow ("NGMC-Barrow"), 4/24/2019; Piedmont Athens Regional Medical Center, Inc. d/b/a Piedmont Athens Regional Medical Center ("Piedmont Athens"), 4/24/2019. Piedmont Athens withdrew Request to Intervene 11/7/19.
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Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: 12/9/2019, 9:30AM/5th Floor
2018-074 Savannah Health Services, LLC d/b/a Memorial Health University Medical Center (Chatham) Add (expand) 8 Neonatal Intermediate Care Beds to its Existing Services Agency Decision: Denied, 3/25/2019 Appealed By: Savannah Health Services, LLC d/b/a Memorial Health University Medical Center ("Memorial"), 4/23/2019 Candler Hospital, Inc. ("Candler") files request to intervene in Appeal Hearing, 4/24/2019 and withdraws its request to intervene on 8/30/2019. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: 9/23/2019, 5th Floor, 9:30AM Hearing Decision: Pending
2018-075 Savannah Health Services, LLC d/b/a Memorial Health University Medical Center (Chatham) Add (Expand) 9 Neonatal Intensive Care Beds to Existing Services Agency Decision: denied, 3/25/2019 Appealed By: Savannah Health Services, LLC d/b/a Memorial Health University Medical Center ("Memorial"), 4/23/2019. Memorial withdraws its request for appeal, 10/3/2019. Order of Dismissal entered 10/7/2019.
2018-077 Kennestone Hospital, Inc (Cobb) Create a Hybrid Operating Room Agency Decision: Approved, 4/18//2019 Appealed By: Tanner Medical Center, Inc. d/b/a Tanner Medical Center Carrollton ("TMC"), 5/16/2019 Hearing Officer: William Joy, Esq. Hearing Date: 2/24/2020 02/26/2020 9AM, 5th Floor

2019-012 Northside Hospital Cancer Institute Radiation Oncology - Lawrenceville (Gwinnett) Megavoltage Radiation Therapy-Batching Agency Decision: Denied, 6/18/2019 Appealed By: Northside Hospital, Inc., 7/17/2019, Northeast Georgia Medical Center-South Hall files request to intervene in Appeal Hearing, 7/18/2019; Northeast Georgia Medical Center-Main Campus files request to intervene in Appeal Hearing, 7/18/2019; RCOG Cancer Centers, LLC d/b/a Gwinnett County Radiation Oncology CenterLawrenceville files request to intervene in Appeal Hearing, 7/17/2019; RCOG Cancer Centers, LLC d/b/a Gwinnett County Radiation Therapy Center--Snellville files request to intervene in Appeal Hearing, 7/17/2019; Vantage Cancer Centers of Georgia, LLC d/b/a Vantage Oncology Cancer Center at Lawrenceville files request to intervene in Appeal Hearing, 7/17/2019. Hearing Officer: Melvin M. Goldstein, Esq Hearing Date: 4/6/2020-4/9/2020 9 A.M., 5th Floor, additional hearing dates 4/15/2020 and 4/16/2020 if necessary, 41st Floor.

Requests for LNR for Diagnostic or Therapeutic Equipment

LNR-EQT2019032 MRI Imaging Specialist, Corp.

Lease Fixed MRI

Request received: 6/28/2019

Contact Person: Michael Alatorre, CFO 678-969-0904

Determination: Approved

Determination Date: 11/5/2019

Requests for DET-EQT for Diagnostic or Therapeutic Equipment
DET-EQT2019012 Synergy Radiology, LLC Purchased Fixed CT Scanner Request received: 8/21/2019
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Contact Person: Brad Peters, MD Member 404-513-3842 Determination: Non-reviewable as proposed Determination Date: 10/20/2019
DET-EQT2019013 Emory University d/b/a Emory University Hospital Purchased Fixed MRI Request received: 8/22/2019 Contact Person: Bryce Gartland, M.D. CEO 404-686-8500 Determination: Pending
DET-EQT2019014 Fayette Community Hospital, Inc d/b/a Piedmont Fayette Hospital Purchased Fixed CT Scanner Request received: 8/27/2019 Contact Person: Nathan Nipper VP/COO 770-804-1013 Determination: Pending
DET-EQT2019015 Southeast Georgia Health Services, LLC d/b/a Memorial Satilla Health Purchased Fixed Hyperbaric Chamber Request received: 8/28/2019 Contact Person: Mark Roberts COO 912-287-2500 Determination: Non-reviewable as proposed Determination Date: 10/28/2019
DET-EQT2019016 John D Archbold Memorial Hospital Purchased Fixed da Vinci Xi System Request received: 8/29/2019 Contact Person: James A. Carter Sr., VP/COO 229-551-2676 Determination: Non-reviewable as proposed Determination Date: 10/28/2019
DET-EQT2019017 Meadows Regional Medical Center, Inc. Purchased Fixed MRI Request received: 9/25/2019 Contact Person: J. Alan Kent CEO 912-535-5827 Determination: Pending
DET-EQT2019018 Crisp Regional Hospital, Inc Purchased Fixed Hyperbaric Chambers Request received: 9/27/2019 Contact Person: Steven L Gautney CEO 229-276-3300 Determination: Pending
DET-EQT2019019 Tift Regional Health System,Inc d/b/a Southwell Medical Gift Fixed Robotic Surgical System Request received: 9/30/2019 Contact Person: Christopher K. Dorman CEO 229-353-6121 Determination: Pending
DET-EQT2019020 WellStar North Fulton Hospital, Inc. d/b/a WellStar North Fulton Hospital Purchase Fixed Biplane Imaging System Request received: 10/1/2019 Contact Person: April Austin Manger, Strategic Planning 470-644-0057 Determination: Pending
DET-EQT2019021 Georgia Pain and Spine Care Purchased Fixed MRI Request received: 10/4/2019 Contact Person: Jay Rice COO 770-252-7557 Determination: Pending
DET-EQT2019022 Southeast Georgia Health System Capital Lease Fixed daVinci Xi Surgical System Request received: 9/30/2019 Contact Person: Lana Gladhill Director of Surgical Services 912-466-5799 Determination: Pending
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DET-EQT2019023 St. Francis Health,LLC Purchased Fixed Surgical Robot Request received: 10/8/2019 Contact Person: Alan George COO 706-596-4000 Determination: Pending
DET-EQT2019024 Northeast Georgia Medical Center, Inc Purchesaed Fixed Robotic Surgical Equipment Request received: 10/16/2019 Contact Person: Linda Berger Director Planning 770-219-6631 Determination: Pending
DET-EQT2019025 Barbour Orthopaedics & Sports Medicine, PC Capital Lease Fixed MRI Request received: 10/17/2019 Contact Person: Kelly Millerd CEO 404-480-9330 Determination: Pending
DET-EQT2019026 Reagan Medical Center LLC dba Georgia Diagnostic Center Purchase Fixed Magnetic Resonance Imaging Request received: 10/18/2019 Contact Person: Sabrina Boyd Practice Administrator 678-663-6360 Determination: Pending
DET-EQT2019027 EHCA Johns Creek, LLC d/b/a Emory Johns Creek Hospital Purchased Fixed Interventional Radiology Request received: 10/24/2019 Contact Person: Laurie Hansen VP of Operations 678-474-7012 Determination: Pending
DET-EQT2019028 Candler Hospital, Inc Purchased Fixed MRI Request received: 10/30/2019 Contact Person: Brad Trower VP Business Development 912-819-6557 Determination: Pending
DET-EQT2019029 Ortho Sport & Spine Physicians, LLC Purchased Fixed MRI Request received: 11/5/2019 Contact Person: Sean Bajnath Director of Imaging Services 917-678-1088 Determination: Pending
DET-EQT2019030 Phoebe Putney Memorial Hospital, Inc Purchase Fixed Endovascular System Request received: 11/5/2019 Contact Person: Lori Jenkins Director, Strategy & Planning 229-312-1432 Determination: Pending
DET-EQT2019031 EHCA Johns Creek, LLC d/b/a Emory Johns Creek Hospital Capital Lease Fixed Robotic Surgical System Request received: 11/6/2019 Contact Person: Laurie Hansen VP of Operations 678-474-7012 Determination: Pending
DET-EQT2019032 Dekalb Medical Center, Inc d/b/a Emory Decatur Hospital Capital Lease Fixed Robotic Surgery Request received: 11/6/2019 Contact Person: Jennifer Schuck VP of Operations 404-501-4622 Determination: Pending
DET-EQT2019033 Emory University d/b/a Emory University Hospital Midtown Capital Lease Fixed Robotic Surgery Request received: 11/6/2019
11

Contact Person: Daniel Owens CEO 404-686-2010 Determination: Pending
DET-EQT2019034 Emory University d/b/a Emory University Hospital Midtown Capital Lease Fixed Robotic Surgery Request received: 11/6/2019 Contact Person: Daniel Owens CEO 404-686-2010 Determination: Pending
DET-EQT2019035 EHCA Johns Creek, LLC d/b/a Emory Johns Creek Hospital Capital Lease Fixed Robotic Surgical System Request received: 11/6/2019 Contact Person: Laurie Hansen VP of Operations 678-474-7012 Determination: Pending
DET-EQT2019036 Perry Hospital Houston Hospitals, Inc. dba Perry Hospital Request received: 11/8/2019 Contact Person: David Campbell 478-218-1625 Determination: Pending

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

LNR-ASC2018022 Georgia Arrhythmia Consultants & Research Institute, LLC

Single Specialty Cardiology Electrophysiology ASC

Site: 1710 Watson Blvd

Number of ORs: 1

Specialty: Cardio Electrophysiology ASC

Project costs as submitted: $2,299,903.00

Request received: 11/13/2018

Contact Person: Joseph R. Ross 912-232-7182

Determination: Pending

DET-ASC2019011 Women's Center for Advanced Surgery, Inc

Physician-Owned Single-Specialty ASC

Site: Lochridge Boulevard, Covington, Georgia

Number of ORs: 2

Specialty: Gynecology

Project costs as submitted: $2,609,702.28

Request received: 7/15/2019

Contact Person: Joseph R. Ross Partner 912-232-7182

Determination: Approved

Determination Date: 10/15/2019

LNR-ASC2019013 Medici Medical Arts, LLC

Proposed Physician-Owned Office-Based Single Specialty ASC

Site: 2220 Wisteria Drive, Stes 100&101, Snellville, GA

Number of ORs: 2

Specialty: Pain Medicine

Project costs as submitted: $462,035.00

Request received: 8/28/2019

Contact Person: Sonny S. Dosanjh, MD Medical Director/Managing Member

Determination: Approved

Determination Date: 10/25/2019

LNR-ASC2019014 Georgia Interventional Pain - G, LLC

Physician-Owned, Single Specialty ASC

Site: 1504 North Thornton Rd, Suite 104 Dalton, GA 30720

Number of ORs: 1

Specialty: Medical Practice

Project costs as submitted: $522,813.00

Request received: 9/23/2019

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

Determination: Pending

Opposition: Hamilton Medical Center- 10/22/2019

12

LNR-ASC2019015 Piedmont Fayette Hospital /Ortho Atlanta Surg Ctr Of Fayetteville, LLC ("OASCF")

Joint Venture Single-Specialty ASC

Site: 1265 Highway 54 West, Suite 103, Fayetteville 30214

Number of ORs: 3

Specialty: Oprthopedic Procedures

Project costs as submitted: $0.00

Request received: 9/26/2019

Contact Person: Robert C. Threlkeld, Esq. 404-504-7757

Determination: Pending

LNR-ASC2019016 Forsyth Eye Surgery Center

Physician-Owened, Single Specialty ASC

Site: 1034 Haw Creek Circle, Suite 200 Cumming GA 30041

Number of ORs: 3

Specialty: Ophthalmology Procedures

Project costs as submitted: $2,426,502.00

Request received: 9/30/2019

Contact Person: Joseph R. Ross 912-232-7182

Determination: Pending

LNR-ASC2019017 Sleep and Sinus Center ASC, LLC

Proposed Physician-Owned, Single Specialty Ambulatory Surgery

Site:

Number of ORs: 2

Specialty: Otolaryngology

Project costs as submitted: $1,073,868.37

Request received: 10/10/2019

Contact Person: Joseph R. Ross 912-232-7182

Determination: Pending

LNR-ASC2019018 Amin Surgery Center for Women

Request for Single Specialty ASC Surgery Center for Women

Site: 1150 Kirkland Lane, Douglas, GA 31533

Number of ORs: 1

Specialty: Gynecology

Project costs as submitted: $0.00

Request received: 11/1/2019

Contact Person: Gayle R. Evans President

Determination: Pending

Requests for Miscellaneous Letters of Determination
DET2019083 Battlefield Imaging, LLC Relocation of CON-Authorized PET/CT Request received: 5/6/2019 Contact Person: Marcia Parker, Director 423-893-7226 Determination: Non-reviewable as proposed Determination Date: 10/24/2019

DET2019130 South Georgia Endoscopy Center, Inc. Granting of Privileges and Ownership Interest Request received: 6/21/2019 Contact Person: Craig Kubik, M.D., Owner/CFO 912-238-8664 Determination: Pending

DET2019149 Battlefield Imaging, LLC

Replacement of CON-authorized PET/CT

Request received: 8/12/2019

Challenge Received: 9/10/2019

Contact Person: Marcia Parker Director of Finance 423-893-7226

Determination: Non-reviewable as proposed Determination Date: 10/10/2019

DET2019150 Southeast Georgia Health Services, LLC d/b/a Memorial Satilla Health

Relocation of Behavioral Health Service

Request received: 8/14/2019

Contact Person: Mark Roberts Chief Operating Officer 912-287-2500

Determination: Denied

Determination Date: 11/12/2019

13

DET2019151 The Medical Center of Central Georgia, Inc. d/b/a The Medical Center, Navicent Renovate Existing Space to Relocate/Replace Existing ICU beds Request received: 8/15/2019 Contact Person: H. Bryan Forlines AVP Govt Reimbursement 478-633-6966 Determination: Pending
DET2019152 Savannah Health Services, LLC d/b/a Memorial health University Medical Center Replacement of BiPlane Angiography Equipment Request received: 8/16/2019 Contact Person: Matthew S.Hasbrouck COO 912-350-8519 Determination: Non-reviewable as proposed Determination Date: 10/15/2019
DET2019154 UHS of Savannah, LLC d/b/a Coastal Harbor Health System Renovation and Repair of Facility Request received: 8/19/2019 Contact Person: Sally H.Perry CEO 912-354-3911 Determination: Non-reviewable as proposed Determination Date: 10/17/2019
DET2019155 Crisp Regional Hospital , Inc Establish Adult Diagnostic Cardiac Catheterization Services Request received: 8/19/2019 Contact Person: Steven L. Gautney President & CEO 229-276-3300 Determination: Non-reviewable as proposed Determination Date: 10/17/2019
DET2019156 Paulding Medical Center, Inc. d/b/a WellStar Paulding Hospital Relocation of the Cardiovascular Medicine Department Request received: 8/20/2019 Contact Person: April Austin Manager, Strategic Planning 470-644-0057 Determination: Non-reviewable as proposed Determination Date: 10/18/2019
DET2019157 Emory University d/b/a Emory University Hospital Relocation of CON-Authorized CT Scanner Request received: 8/21/2019 Contact Person: Michael W. Barber Director, Outpatient Imaging Services Determination: Non-reviewable as proposed Determination Date: 11/12/2019
DET2019158 Emory University d/b/a Emory University Hospital Replacement of CON-Authorized MRI Request received: 8/21/2019 Contact Person: Michael W. barber Director, Outpatient Imaging Services Determination: Pending
DET2019159 Chatham Orthopaedic ASC, LLC d/b/a Chatham Orthopaedic Surgery Center Renovation Request received: 8/23/2019 Contact Person: Brandon O'Dell CEO 706-338-5626 Determination: Non-reviewable as proposed Determination Date: 10/21/2019
DET2019160 CHI Memorial Hospital- Georgia, Inc Renovations Repair of Space and Relocation Installation of Equipment Request received: 8/23/2019 Contact Person: Andrew McGill SVP, Strategy&Business 423-495-7859 Determination: Non-reviewable as proposed Determination Date: 10/22/2019
DET2019161 John D. Archbold Memorial Hospital Construction of Outpatient Rehabilitation Facility below Threshold Request received: 9/3/2019 Contact Person: James A. Carter COO 229-551-2676 Determination: Non-reviewable as proposed Determination Date: 11/1/2019
DET2019162 Hospital Authority of Colquitt County d/b/a Colquitt Regional Medical Center Renovate IV Compounding Room Request received: 9/3/2019
14

Contact Person: Greg Johnson VP of Operation 299-890-3547 Determination: Non-reviewable as proposed Determination Date: 11/1/2019
DET2019163 Northeast Georgia Medical Center, Inc. Replacement of CON-Authorized Interventional Radiology Equipment Request received: 9/4/2019 Contact Person: Linda Berger Director of Planning 770-219-6631 Determination: Non-reviewable as proposed Determination Date: 11/1/2019
DET2019164 H.G. Davis Enterprises, LLLP Renovation of Existing Nursing Facility Below CON Threshold Request received: 9/9/2019 Contact Person: Aneel Gill Executive Director of Planning and Development Determination: Non-reviewable as proposed Determination Date: 11/7/2019

DET2019165 Savannah Health Services, LLC

Bed Capacity Increase

Request received: 9/9/2019

Challenge Received: 10/8/2019

Contact Person: Matthew S. Hasbrouck Chief Operating Officer 912-350-8519

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

10/30/2019

DET2019166 Houston Hospitals, Inc. d/b/a Perry Hospital Develop New Wound Care Unit Request received: 9/10/2019 Contact Person: David Campbell Administrator 478-218-1625 Determination: Non-reviewable as proposed Determination Date: 11/8/2019

DET2019167 Northside Hospital Inc. d/b/a Northside/ Lawrenceville Imaging Replace CON-approved Diagnostic Imaging Equipment Request received: 9/16/2019 Contact Person: Brian J. Toporek Senior Planner (404)851-6821 Determination: Pending

DET2019168 Grady Memorial Hospital Corporation d/b/a Grady Health System Renovations for a Endoscopy Room Request received: 9/17/2019 Contact Person: Shannon Sale Chief Strategy Officer (404) 616-7029 Determination: Pending

DET2019169 Tift Regional Health System, Inc. d/b/a Tift Regional Medical Center Replacement of CON-approved da Vinci Robtic Surgical System Request received: 9/17/2019 Contact Person: Christopher K. Dorman President and CEO 229-353-6121 Determination: Pending

DET2019170 Tanner Medical Center, Inc d/b/a Tanner Medical Center- Carrollton Below Threshold Capital Expenditure Request received: 9/20/2019 Contact Person: Paul Perrotti, Chief Strategy Offcr 770-812-9580 Determination: Non-reviewable as proposed Determination Date: 11/1/2019

DET2019171 Tanner Medical Center, Inc d/b/a Tanner Medical Center- Villa Rica Below Threshold Capital Expenditure Request received: 9/20/2019 Contact Person: Paul Perrotti, Chief Strategy Offcr 770-812-9580 Determination: Non-reviewable as proposed Determination Date: 11/1/2019

DET2019172 Coffee Regional Medical Center USP 800 Pharmacy Upgrades Request received: 9/24/2019 Contact Person: Bennett Floyd, VP, Operations 912-384-1900 x 5676 Determination: Non-reviewable as proposed Determination Date: 11/1/2019

15

DET2019173 Doctors Hospital of Augusta, LLC d/b/a Doctors Hospital of Augusta USP 800 Pharmacy Upgrades Request received: 9/25/2019 Contact Person: Brad Thompson Director of Facilities 706-533-1061 Determination: Non-reviewable as proposed Determination Date: 11/12/2019
DET2019174 Redmond Regional Medical Center UPS 800 Pharmacy Upgrades Request received: 9/30/2019 Contact Person: Brandon Lindley Director Facilities Operations 706-766-4068 Determination: Non-reviewable as proposed Determination Date: 11/12/2019
DET2019175 Prime Healthcare Foundation- Southern Regional, LLC Replacement of CON-Authorized CT Unit Request received: 9/30/2019 Contact Person: Todd Griffin Director of Plant Operations 770-991-8045 Determination: Pending
DET2019176 Prime Healthcare Foundation- Southern Regional, LLC Replacement of Cath LabTab Request received: 9/30/2019 Contact Person: Todd Griffin Director of Plant Operations 770-991-8045 Determination: Pending
DET2019177 Tanner Medical Center, Inc d/b/a Higgins General Hospital Replacement of CON-Authorized MRI Unit Request received: 10/3/2019 Contact Person: Paul Perrotti SVP Chief Operating Officer 770-812-9580 Determination: Pending
DET2019178 Coliseum Medical Center Pharmacy USP 800 Upgrade Request received: 10/8/2019 Contact Person: John Ware, Dir, Plant Oper. 478-464-1470 Determination: Non-reviewable as proposed Determination Date: 11/8/2019
DET2019179 Lenus In Home Care Become Medicare Providers for Private In-Home Care Request received: 10/8/2019 Contact Person: Phyllis Hammond, Administrator 706-955-8279 Determination: Pending
DET2019180 The Emory Clinic, Inc. Construction of MOB Request received: 10/8/2019 Contact Person: Mike Mason, VP, Operations 404-778-5639 Determination: Non-reviewable as proposed Determination Date: 11/8/2019
DET2019181 American Health Imaging of Newnan, LLC Relocation of DTRC Request received: 10/8/2019 Contact Person: Stephen Janis, Chief Dev Offcr 404-296-5887 Determination: Pending
DET2019182 Northeast Georgia Medical Center, Inc Contruct 24-bed Observation Beds at South Hall Hospital Request received: 10/10/2019 Contact Person: Linda Berger Director of Planning 770-219-6631 Determination: Pending
DET2019183 Gwinnett Medical Investors, LLC Replacement of Porte Cochere Request received: 10/11/2019
16

Contact Person: Cindy S. Cross Vice President 423-473-5867 Determination: Pending
DET2019184 Clinche County Hospital Authority Pharmacy Relocation Request received: 10/15/2019 Contact Person: Angela Ammons CEO 912-487-4348 Determination: Pending
DET2019185 John D. Archbold Memorial Hospital Replacement of Interventional Radiology/Cath Lab Equeipment Request received: 10/15/2019 Contact Person: Ken Booker VP for Clinical Services 229-228-2912 Determination: Pending
DET2019186 John D. Archbold Memorial Hospital Replacement of CON-Approved Linac Request received: 10/15/2019 Contact Person: Ken Brooker VP for Clincal Services 22-228-2912 Determination: Pending
DET2019187 Northside Hospital Inc. d/b/a Northside Hospital Forsyth Capital Expenditure Below Threshold Request received: 10/16/2019 Contact Person: Brian J. Toporek Senior Planner 404-851-6821 Determination: Pending
DET2019188 Paulding Medical Center, Inc d/b/a WellStar Paulding Hospital Creation of a Clinical Decision Unit (CDU) Request received: 10/16/2019 Contact Person: April Austin Manager, Strategic Planning 470-644-0057 Determination: Pending
DET2019189 Douglas Hospital, Inc. d/b/a WellStar Douglas Hospital Expansion of Emergency Department Request received: 10/16/2019 Contact Person: April Austin Manager, Strategic Planning 470-644-0057 Determination: Pending
DET2019190 At Home Senior Living, LLC Assisted Living Community Request received: 10/23/2019 Contact Person: Shanna Dupree Member-Executive Director 478-271-4663 Determination: Pending
DET2019191 The Medical Center of Central georgia, Inc. d/b/a The Medical Center, Navicent Replacement of Existing CON Approved Cath Lab Request received: 10/23/2019 Contact Person: H. Bryan Forlines Avp Govt Relations & Reimbursement Determination: Pending
DET2019192 Coliseum Medical Center Utility Plant Upgrade Request received: 10/25/2019 Contact Person: John Ware Director, Plant Operations 478-297-4710 Determination: Pending
DET2019193 Neurotech, LLC Requesting to operate as an Independent Diag Testing Facility-Amb EEGs Request received: 10/28/2019 Contact Person: Lance Morgan COO 262-875-6573 Determination: Pending
17

DET2019194 AU Medical Center, Inc. Development of and Ambulatory Care Suite Under the Capital Expenditure Request received: 10/29/2019 Contact Person: Jennifer Miller VP Planning & Businsess 706-446-5132 Determination: Pending
DET2019195 AU Medical Center, Inc. Replacement of Existing Grandfathered Linear Accelerator and Vault Request received: 10/29/2019 Contact Person: Jennifer Miller VP Strategic Planning & Business 706-446Determination: Pending
DET2019196 Nothside Hospital, Inc d.b.a Northside Hospital Gwinnett Replace CON-approved Surgical Robot Request received: 10/29/2019 Contact Person: Brian Toporek Senior Planner 404-851-6821 Determination: Pending
DET2019197 Northside Hospital, Inc. d/b/a Northside Hospital Duluth Replace CON-approved Surgical Robot Request received: 10/29/2019 Contact Person: Brian Toporek Senior Planner 404-851-6821 Determination: Pending
DET2019198 Sterling Medical Imaging Specialists, P.C Relocation of CON-Authorized MRI Equipment Request received: 10/29/2019 Contact Person: Toni Cowan Office Administrator 912-355-6736 Determination: Pending
DET2019199 Piedmont Hospital, Inc d/b/a Piedmont Atlanta Hospital Pharmacy Renovation to Comply with U.S. Pharmacopeia Guidelines Request received: 10/31/2019 Contact Person: Christine MacEwen Exec Director Project Mgt 404-425-1307 Determination: Pending
DET2019200 Vantage Oncology, LLC d/b/a Vantage Oncology Cancer Center at Lawrenceville Replacement of CON Approved LINAC Request received: 11/1/2019 Contact Person: Katara Borrero Regional Director of Operations 770-995-2012 Determination: Pending
DET2019201 The Medical Center of Central Georgia, Inc d/b/a The Medical Center, Navicent Relocation of Existing CT Request received: 11/4/2019 Contact Person: H. Bryan Forlines AVP Govt Relations 478-633-6966 Determination: Pending
DET2019202 Fayette Community Hospital, Inc d/b/a Piedmont Fayette Hospital Pharmacy Renovation to Comply with U.S Pharmacopeia Guideliness Request received: 11/5/2019 Contact Person: Christine MacEwen Exec. Director 404-425-1307 Determination: Pending
DET2019203 Piedmont Rockdale Hospital, Inc Pharmcy Renovation to Comply with U.S Pharmacopeia Guidelines Request received: 11/5/2019 Contact Person: Christine MacEwen Exec. Director 404-425-1307 Determination: Pending
DET2019204 Phoebe Putney Memorial Hospital, Inc Consolidation of Outpatient Interventional Radiology Services Main Cam Request received: 11/5/2019
18

Contact Person: Lori Jenkins Director, Strategy & Planning 229-312-1432 Determination: Pending
DET2019205 Phoebe Putney Memorial Hospital, Inc Replacement of CON-Approved Equipment Request received: 11/5/2019 Contact Person: Lori Jenkins Director, Strategy & Planning 229-312-1432 Determination: Pending
DET2019206 Emory University d/b/a Emory University Hospital Replacement of CON-approved da Vinci Si Surgical System Request received: 11/5/2019 Contact Person: Catherine A Maloney, Fache VP of Operations 404-712-5529 Determination: Pending
DET2019207 Emory University d/b/a Emory University Hospital Midtown Replacement of CON-approve da Vinci Surgical System Request received: 11/5/2019 Contact Person: Daniel Owens CEO 404-686-2010 Determination: Pending
DET2019208 Dekalb Medical Center, Inc d.b.a Emory Decatur Hosptial Replacement of a CON-approved da Vinci SI Surgical System Request received: 11/5/2019 Contact Person: Jennifer Schuck VP of Operations 404-501-4622 Determination: Pending
DET2019209 Saint Joseph's Hospital of Atlanta, Inc d/b/a Emory Saint Joseph's Hospital Replacement of CON-approved da Vinci Surgical System Request received: 11/5/2019 Contact Person: Heather Dexter CEO 678-843-7001 Determination: Pending
DET2019210 Saint Joseph's Hospital of Atlanta, Inc d/b/a Emory Saint Joseph's Replacement of CON-approved da Vinci Si Surgical System Request received: 11/5/2019 Contact Person: Heather Dexter CEO 678-843-7001 Determination: Pending
DET2019211 Saint Joseph's Hospital of Atlanta, Inc d/b/a Emory Saint Joseph's Hospital Replacement of CON-approved da Vinci Si Surgical System Request received: 11/5/2019 Contact Person: Heather Dexter CEO 678-843-7001 Determination: Pending
DET2019212 Valdosta Endoscopy Center, LLC Endoscopy Center ASC not Utilizing General or Regional Anesthesia Request received: 11/8/2019 Contact Person: C. Allen Woods JR MD 229-244-1570 Determination: Pending
DET2019213 Lowndes County Ambulatory Surgical Center, Inc Endoscopy Center ASC not Utilizing General or Regional Anesthesia Request received: 11/8/2019 Contact Person: Edward J Fricker, MD 229-242-8480 Determination: Pending
Requests for Extended Implementation/Effective Period
2018037 Egleston Children's Hospital at Emory University, Inc Addition of 116 Short-Stay General Hospital Beds, 7 ORs, 24 Eds, 1 Fluoroscopy Room, 2 MRIs Request to Extend Implementation Date
19

Site: 1600 Tullie Circle, Atlanta (DeKalb)

Project Approved: 11/9/2018

Request Received: 9/23/2019

Contact: David Tatum, Chief Public Policy Officer

Approved Cost: $1,541,138,818

Determination: Approved, 10/3/2019

Extended Implementation Date: 11/9/2020

2015-052 Mesun Health Services Establish 100-Bed Skilled Nursing Facility for Asian Community - Batching Request to Extend Implementation Date Site: 88 Johnson Road, Lawrenceville (Gwinnett) Project Approved: 2/14/2018 Request Received: 10/28/2019 Contact: Hanson Kim Approved Cost: $10,983,626 Determination: Pending

Need Projection Analyses Posted 9/27/2019

Current Status of Official Office of Health Planning Need Projection Analyses and Other Data Resources

Need Projections and Maps for CON Regulated Services
2024 Non Special MRT Need Projection Posted 6/24/2019 2024 PET Need Projection Posted 6/24/2019 2024 Ambulatory Surgical Services Need Projection by HPA Posted 9/27/2019 2024 Rehab Need Projection Posted 9/27/2019 2024 Neonatal Intermediate Care Bed Need Projection Posted 9/27/2019 2024 Neonatal Intensive Care Bed Need Projection Posted 9/27/2019 2024 Obstetric Services Bed Need Projection Posted 9/27/2019 2022 Nursing Home Bed Need Projection Posted 9/27/2019 2022 Home Health Agency Need Projections - Posted 9/27/2019 Non-Batched Need Projections 2023 Long Term Care Hospital Beds - 4/24/2018 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.

20

Indigent and Charity Care Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years (Commitment status as of (11/12/2019)

Facility Name ELO Outpatient Surgery Center GA Urology, PA Cobb Ambulatory Surgery Center Georgia Pain Spine Center, LLC Interventional Spine and Pain Management Ambulatory Surgical Center Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Schulze Surgery Center, Inc. Schulze Surgery Center, Inc. Stephen Lober Plastic Surgery Island Health Care Island Health Care Staff Builders Home Health Suncrest Home Health Suncrest Home Health

County Bibb COBB COBB Rockdale
FLOYD FLOYD Chatham Chatham CLARKE Chatham Chatham Gwinnett Fulton Fulton

Year 2015 2014 2015 2013

Shortfall Due Service 1,039.66 Ambulatory Surgery Center 14,433.70 Ambulatory Surgery Center 24,472.48 Ambulatory Surgery Center 70,825.83 Ambulatory Surgery Center

2014 2015 2013 2015 2014 2014 2015 2015 2014 2015

92,083.32 88,222.50
4,838.07 18,304.24
4,439.76 20,912.29 46,002.33 39,203.62 18,318.91 17,068.27

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

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

Batching Notice
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

SUMMER SPRING WINTER

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

March June

April July

May August

Batching Notifications Posted 9/27/2019 on DCH Website
Fall Batching Review Cycle Notifications
The requirements for Letters of Intent associated with designated Batching Cycles will be issued at the time of publication of the Batching Notice.
Letters of Intent for services, facilities, or expenditures for which there is no specified batching cycle, or other applicable rule, may be filed at any time.

Home Health Ambulatory Surgery Neonatal Intensive Care Neonatal Intermediate Care

Skilled Nursing Facilities/Intermediate Care Facilities
Obstetrical Services
Inpatient Rehabilitation

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

23

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

Batching Notice
(June 24, 2019)

Application Day
(application complete when submitted; review cycle begins same day)
(August 23, 2019 : Applications due by 12noon)

75th Day
(applicant provides additional information)
November 5, 2019)

100th Day
(last day for letters of support to be submitted to
Department)
(November 30, 2019)

120th Day
(Department Issues
decision)
(December 20, 2019)

Letter of Intent
(July 24, 2019)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(October 21, 2019)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(November 20, 2019)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(December 10, 2019)

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 27, 2019)

Application
Day
(application complete when
submitted; review cycle begins same
day) November 26, 2019: Application due by 12 noon

75th Day
(applicant provides additional information)
(February 8, 2020)

100th Day
(last day for letters of support to be submitted to
Department)
(March 4, 2020)

120th Day
(Department Issues
decision)
(March 24, 2020)

Letter of Intent
(October 27, 2019)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(January 24, 2020)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(February 23, 2020)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(March 14, 2020)

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
Stacey Hillock, Esq., Executive Director, Office of Health Planning, Georgia Department of Community Health, 2 Peachtree St., N.W., 5th Floor, Atlanta, GA 30303, (sthillock@dch.ga.gov)
For questions concerning pending Certificate of Need applications please contact Bruce Henderson, Senior Reviewer (bhenderson@dch.ga.gov)
For questions concerning Health Planning surveys and indigent and charity care commitment shortfalls Please contact Steve Cappel, Data Manager (steve.cappel@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 form with the required filing fee of $250. Requests for confirmation of the exemption for equipment below the threshold shall continue to be submitted using the Request for Letter of Non-Reviewability Form until further notice and will also require a $250 filing fee. Note: Requests for confirmation of the exemptions for a single specialty ambulatory surgical center or a joint venture ambulatory surgical center 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.
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Please do not submit Letters of Opposition or Letters of Support prior to the Department's receipt of an actual Certificate of Need application.
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.
DET Review
Pursuant to the Department's adoption of the Facility Guidelines Institute 2018 physical plant updates on April 15, 2018, effective August 1, 2018, the Office of Health Planning will no longer engage in the review or issuance of letters of determination regarding the applicability of the CON laws to those freestanding facilities seeking to perform procedures outside of either an operating room environment or a dedicated non-sterile endoscopy room as they categorically do not meet the definition of a reviewable ambulatory surgical or obstetrical facility.

CERTIFICATE OF NEED APPEAL PANEL
Sworn by Governor Sonny Perdue on August 20, 2008

Melvin M. Goldstein
goldatty@bellsouth.net

William "Bill" C. Joy (Vice Chair)
wcjoy@bellsouth.net

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