Certificate of Need tracking and appeals report, 2019 September 18 - 2019 September 24

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Letters of Intent Expired CON Applications
New CON Applications Withdrawn CON Applications

Pending/Complete Applications
Pending Review/Incomplete CON Applications
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 - Summer Need Projection Analyses
New Batching Review Summer Cycle Spring 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

Office of Health Planning
CERTIFICATE OF NEED
September 18, 2019 September 24, 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

LOI2019044 American Health Imaging of Brunswick

Add CT Unit to Existing DTRC in Brunswick.

Received: 8/27/2019

Application must be submitted on: 9/26/2019

Site: 1103 Fountain Lake Drive, Brunswick, GA 31525 (Glynn County)

Estimated Cost: $550,000

LOI2019045 Emory University Hospital

Hospital Renovation Project to relocate and Expand its Heart and Vascular Department

Received: 8/29/2019

Application must be submitted on: 9/30/2019

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

Estimated Cost: $14,000,000

LOI2019046 Vision Imaging Center

Development of a Freestanding Advanced Diagnostic Imaging Center or DTRC

Received: 9/16/2019

Application must be submitted on: 10/16/2019

Site: 2484 East Pinetree Blvd, Thomasville, GA 31792 (Thomas County)

Estimated Cost: $3,853,894

Expired CON Applications

LOI2019042 American Health Imaging of Brunswick

Additional CT unit to Existing Diagnostic Treatment and Rehabilitation Center in Brunswick

Received: 8/19/2019

Application must be submitted on: 9/18/2019

Site: 1103 Fountain Lake Drive, Brunswick, GA 31525 (Glynn County)

Estimated Cost: $550,000

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
2019-032 Landmark Hospital of Savannah Landmark Hospital of Savannah 15-Bed Expansion Filed: 9/16/2019 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 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
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2019-034 American Health Imaging of GALLC dba American Health Imaging of Marietta
Add Second MRI Unit to Existing DTRC in Marietta Filed: 9/18/2019 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
Pending Review/Incomplete Applications
none
Pending Review/Complete Applications
2019-025 Emory University d/b/a Emory University Hospital Midtown Construction of a Cancer Tower on EUHM Campus Filed: 6/3/2019 Deemed Complete: 6/17/2019 60th Day Deadline: 8/15/2019 Decision Deadline: 10/14/2019 Site: 550 Peachtree Street, NE, Atlanta, ga 30308 (Fulton County) Contact: Daniel Owens, CEO 404-686-2010 Estimated Cost: $468,958,000
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 Site: 1200 Memorial Drive, Dalton, GA 30720 (Whitfield County) Contact: Danny Wright, Vice-President 706-272-6656 Estimated Cost: $23,943,381
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 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
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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

Recently Approved Applications

2019-014 Northeast Georgia Medical Center, Inc
Development of a Neuro Biplane Interventional Suite on Main Campus 60th Day Deadline: 7/8/2019 Decision Deadline: 9/6/2019 APPROVED: 9/6/2019 Filed: 3/11/2019 Deemed Incomplete: 3/25/2019 Deemed Complete: 5/10/2019 Site: 743 Spring Street, Gainesville, GA 30501 (Hall County) Contact: Linda Berger, Director of Planning 770-219-6631 Estimated Cost: $7,977,936

2019-018 Dekalb Medical Center, Inc d/b/a Emory Decatur Hospital

Renovation of 3rd Floor

Filed: 4/23/2019

Deemed Complete: 5/7/2019

60th Day Deadline: 7/5/2019

Decision Deadline: 9/3/2019

APPROVED: 9/3/2019

Site: 2701 North Decatur Road, Decatur, GA 30033 (DeKalb County)

Contact: Jennifer Schuck, VPO 404-501-4622

Estimated Cost: $5,232,402

2019-022 Savannah Health Services, LLC d/b/a Memorial Health University Medical Center
Perinatal Service Neonatal Intensive Care- Batching Filed: 5/28/2019 Deemed Complete: 5/28/2019 60th Day Deadline: 7/26/2019 Decision Deadline: 9/24/2019 APPROVED: 9/24/2019 Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Contact: Matthew S. Hasbrouck, COO 912-350-8519 Estimated Cost: $5,000,000

2019-023 Five Points Healthcare of GA, LLC
Home Health Agency- New - Batching Filed: 5/28/2019 Deemed Complete: 5/28/2019 60th Day Deadline: 7/26/2019 Decision Deadline: 9/24/2019 APPROVED: 9/24/2019 Site: 1395 S. Marietta Pkwy SE, Marietta, GA 30067 (Cobb County) Contact: Rob Radics, CEO 404-692-4417 Estimated Cost: $75,000

2019-024 Five Points Healthcare of GA, LLC

OPPOSITION FILED

Home Health Agency- New - Batching
Filed: 5/28/2019 Deemed Complete: 5/28/2019 60th Day Deadline: 7/26/2019 Decision Deadline: 9/24/2019 APPROVED: 9/24/2019 Site: 625 Beaver Ruin Road NW, Lilburn, GA 30047 (Gwinnett County)

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Contact: Rob Radics, CEO 404-692-4417 Estimated Cost: $100,000

Recently Denied Applications

2019-020 BridgeWay Home Health

OPPOSITION FILED

Home Health Agency Expansion- Batching

Filed: 5/28/2019 Deemed Complete: 5/28/2019 60th Day Deadline: 7/26/2019

Decision Deadline: 9/24/2019 DENIED: 9/24/2019

Site: 2800 Highway 138 Ste D, Conyers, GA 30094 (Rockdale County) Contact: Kent Lederman, Consultant 770-506-8136 Estimated Cost: $150,000

2019-021 Quality One Home Health Agency LLC

OPPOSITION FILED

Home Health Agency New - Batching

Filed: 5/28/2019 Deemed Complete: 5/28/2019 60th Day Deadline: 7/26/2019 Decision Deadline: 9/24/2019 DENIED: 9/24/2019 Site: 3500 N. Decatur Rd Ste 106, Scottdale, GA 30079 (DeKalb County) Contact: Deeqa Abdi, President 678-799-4424 Estimated Cost: $35,000

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 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.
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.

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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.
Appealed CON Projects
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 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.
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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.
2017-072 Encompass Health Rehabilitation Hospital of Henry County (Henry) Establish a Fifty (50) Bed Comprehensive Rehabilitation Inpatient Facility- Batching Agency Decision: Denied, 3/26/2018 Appealed By: Encompass Rehabilitation Hospital of Henry County, LLC ("Encompass"), 4/18/2018. Requests to Intervene filed separately by Prime Healthcare Foundation-Southern Regional, LLC ("SRMC"), 4/26/18 (withdrawn, 5/4/2018), and by Southern Crescent Traumatic Brain Injury Center ("SCTBI"), 4/25/18. SCTBI Request to Intervene dismissed, 12/3/18. Hearing Officer: William C. Joy, Esq. Hearing Date: 1/22/2019 Hearing Decision: Hearing Officer issued Order Remanding Appeal to Department of Community Health, 4/1/2019. Hearing Officer's Remand Decision: Reversed Department's decision denying Encompass a CON and granted a CON to Encompass, 5/31/2019. Department requests Commissioner Review, 7/1/2019 Commissioner Review Decision: Department withdrew Request for Commissioner Review, 7/22/2019
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, 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: Pending
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2018-018 Diagnostic Systems, Inc. (Chatham) Replace Existing MRI System Agency Decision: Denied, 8/9/2018 Appealed By: Applicant, 9/6/2018 Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: 1/17/2019 Hearing Decision: Hearing Officer reversed the Department's decision to deny Open MRI a CON, 5/17/2019.
2018-027 American Health Imaging of Georgia LLC d/b/a Marietta Imaging LLC (Cobb) Addition of CT Scanner to Existing OP Imaging Center Agency Decision: Denied, 9/17/2018 Appealed By: Applicant, American Health Imaging of Georgia d/b/a Marietta Imaging, LLC, 10/15/2018 Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: 3/12/2019, 3/14-15/2019 Hearing Decision: Department's decision to deny CON is reversed, 6/21/2019.
2018-033 Grady General Hospital Nursing Home (Grady) Develop a New 75-Bed Skilled Nursing Facility - Batching Agency Decision: Denied, 9/25/2018 Appealed By: John D. Archbold Memorial Hospital, Inc. d/b/a Grady General Hospital ("Grady General"), 10/23/2018 Hearing Officer: William C. Joy, Esq. Hearing Date: 9 AM/5th Floor on 4/15-16/2019, 4/18/2019, (4/19/2019 tentative date) Hearing Decision: The Department's decision to deny the CON was reversed, 7/23/2019. Department requests Commissioner Review, 8/22/2019. Department files withdrawal of its Objections to Hearing Officer's Decision, 8/29/2019.
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: Pending
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
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, 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. 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,
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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, 4/24/2019 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
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 Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: To be re-scheduled
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: Pending
Requests for LNR for Diagnostic or Therapeutic Equipment
LNR-EQT2019029 Tift Regional Health System, Inc. d/b/a Tift Regional Medical Center Purchase Fixed CT Scanner Request received: 6/13/2019 Contact Person: Tracie Grace, Dir. Medical Imaging 229-353-7594
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Determination: Approved

Determination Date: 8/28/2019

LNR-EQT2019031 Tift Regional Health System, Inc d/b/a Tift Regional Medical Center

Purchase Fixed CT Scanner

Request received: 6/25/2019

Contact Person: Tracie Grace, Dir, Med Imaging 229-353-7594

Determination: Approved

Determination Date: 8/28/2019

LNR-EQT2019032 MRI Imaging Specialist, Corp. Lease Fixed MRI Request received: 6/28/2019 Contact Person: Michael Alatorre, CFO 678-969-0904 Determination: Pending

Requests for DET-EQT for Diagnostic or Therapeutic Equipment
DET-EQT2019001 Piedmont Henry Hospital, Inc. Purchase Fixed MRI Request received: 7/2/2019 Contact Person: James Atkins, COO 675-604-5101 Determination: Non-reviewable as proposed Determination Date: 8/30/2019
DET-EQT2019002 Savannah Health Services, LLC d/b/a Memorial Health University Lease Mobile MRI Request received: 7/8/2019 Contact Person: Matthew S. Hasbrouck, COO 912-350-8519 Determination: Non-reviewable as proposed Determination Date: 9/5/2019
DET-EQT2019003 Eastside Medical Center, LLC d/b/a Eastside Medical Center Purchase da Vinci Xi Robotic Surgical System Request received: 7/8/2019 Contact Person: Persaud Rudolph, Dir, Facilities Mgmt 770-736-2450 Determination: Non-reviewable as proposed Determination Date: 9/5/2019
DET-EQT2019004 WellStar Sylvan Grove Hospital, Inc. d/b/a WellStar Sylvan Grove Purchase Fixed CT Scanner Request received: 7/9/2019 Contact Person: April Austin, Mgr., Strategic Planning 470-644-0057 Determination: Non-reviewable as proposed Determination Date: 9/6/2019
DET-EQT2019005 Saint Joseph's Hospital of Atlanta, Inc. Purchase Fixed CT Scanner Request received: 7/9/2019 Contact Person: Kevin Andrews, COO 678-843-4951 Determination: Non-reviewable as proposed Determination Date: 9/6/2019
DET-EQT2019006 Georgia Interventional Medicine, LLC Lease Mobile MRI Request received: 7/11/2019 Contact Person: Robert Burton, M.D. 404-267-5564 Determination: Non-reviewable as proposed Determination Date: 9/9/2019
DET-EQT2019007 Catching Point Physician Center, LLC Lease Fixed MRI and CT Scanner Request received: 7/22/2019 Contact Person: Kevin Lie M.D 216-496-7113 Determination: Non-reviewable as proposed Determination Date: 9/19/2019
DET-EQT2019008 The Hospital Authority of Houston County Robotic Surgical System Request received: 7/24/2019 Contact Person: Stephen J Machen, FACHE Administrator 478-322-4831
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Determination: Non-reviewable as proposed Determination Date: 9/23/2019
DET-EQT2019009 Fayette Community Hospital, Inc. d/b/a Piedmont Fayette Hospital Purchase Fixed CT Scanner Request received: 7/24/2019 Contact Person: Nathan Nipper VP/COO 770-804-1013 Determination: Non-reviewable as proposed Determination Date: 9/20/2019
DET-EQT2019010 Meadows Regional Medical Center, Inc Purchase Fixed MRI Request received: 7/31/2019 Contact Person: Alan Kent President/ CEO 912-535-5827 Determination: Pending
DET-EQT2019011 Candler Hospital , Inc. Fixed Purchase da Vinci Xi Surgical System Request received: 8/12/2019 Contact Person: Brad Trower VP, Business Development 912-819-6557 Determination: Pending
DET-EQT2019012 Synergy Radiology, LLC Purchased Fixed CT Scanner Request received: 8/21/2019 Contact Person: Brad Peters, MD Member 404-513-3842 Determination: Pending
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: Pending
DET-EQT2019016 John D Archbold Memorial Hospital Purchased Fixed De Vinci Xi System Request received: 8/29/2019 Contact Person: James A. Carter Sr., VP/COO 229-551-2676 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 OR's: 1

Specialty: Cardio Electrophysiology ASC

Project costs as submitted: $2,299,903.00

Request received: 11/13/2018

Contact Person: Dr. Sogade 478-322-111

Determination: Pending

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LNR-ASC2019008 Georgia Interventional Pain - F, LLC

Operation of Physician-Owned, Single Specialty ASC

Site: in MOB @ 1357 Hembree Road, Suite 230, Roswell, 30076

Number of OR's: 1

Specialty: Anesthesiology and Pain Management

Project costs as submitted: $547,238.00

Request received: 6/28/2019

Contact Person: Joseph R. Ross, Partner, MM&M, LLP 912-232-7182

Determination: Approved

Determination

9/9/2019

LNR-ASC2019009 Northside Hospital, Inc and Phys Owners of Gwinnett Surgery Center, LLC

Joint Venture ASC

Site: 631 Professional Drive, Suite 390, Lawrenceville, 30046

Number of OR's: 2

Specialty: General Surgery

Project costs as submitted: $0.00

Request received: 7/8/2019

Contact Person: Robert Rozier, Esq. 404-459-0050

Determination: Pending

LNR-ASC2019010 Atlanta Vascular and Vein Center, LLC

Physician-Owned Single-Specialty ASC

Site: 4165 Old Milton Parkway, Suite 150-A 30004

Number of OR's: 1

Specialty: Vascular & Interventional Radiology

Project costs as submitted: $717,745.00

Request received: 7/15/2019

Contact Person: Mary Hardwick 770-871-9619

Determination: Approved

Determination

9/12/2019

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

Physician-Owned Single-Specialty ASC

Site: Lochridge Boulevard, Covington, Georgia

Number of OR's: 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: Pending

LNR-ASC2019012 Signature Surgery Center, LLC

Physician-owned, Single Specialty, Office-Based ASC

Site: 150 Clinic Ave #203, Carrolton, GA 30117

Number of OR's: 1

Specialty: Plastic and Reconstructive Surgery

Project costs as submitted: $520,695.00

Request received: 8/5/2019

Contact Person: Gergory Mackay 404-255-2975

Determination: Pending

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 OR's: 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: Pending

LNR-ASC2019014 Georgia Interventional Pain - G, LLC

Physician-Owned, Single Specialty ASC

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

Number of OR's: 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

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Determination: Pending

Requests for Miscellaneous Letters of Determination

DET2019067 Battlefield Imaging, LLC

Relocation of Facility

Request received: 4/23/2019

Contact Person: Marcia Parker, Director 423-893-7226

Determination: Withdr/Appl Prior to Dec

Date of Withdrawal:

8/28/2019

DET2019076 St. Joseph's Hospital, Inc Replace CON-Grandfathered EP Cardiac Cath Lab Request received: 4/29/2019 Contact Person: Brad Trower, VP 912-819-6557 Determination: Non-reviewable as proposed Determination Date: 8/30/2019

DET2019083 Battlefield Imaging, LLC Relocation of CON-Authorized PET/CT Request received: 5/6/2019 Contact Person: Marcia Parker, Director 423-893-7226 Determination: Pending

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

DET2019131 Digestive Care Endoscopy, LLC Relocation of Endoscopy Center/Addition of 2 Procedure Rooms Request received: 6/27/2019 Contact Person: Dennis Williams, COO 770-227-2222 Determination: Non-reviewable as proposed Determination Date: 8/27/2019

DET2019132 WellStar North Fulton Hospital, Inc. d/b/a WellStar North Fulton Capital Expenditure for Hospital Lobby and Atrium Renovations Request received: 7/2/2019 Contact Person: April Austin, Mgr., Strategic Planning 470-644-0057 Determination: Non-reviewable as proposed Determination Date: 8/30/2019

DET2019133 WellStar Atlanta Medical Center, Inc. d/b/a WellStar Atlanta Medical Center Renovations and Expansion of Emergency Department Trauma Request received: 7/2/2019 Contact Person: April Austin, Mgr., Strategic Planning 470-644-0057 Determination: Non-reviewable as proposed Determination Date: 8/30/2019
DET2019134 The Medical Center of Central Georgia, Inc. d/b/a Navicent Health The Medical Center of Central Georgia, Inc. d/b/a Navicent Health Request received: 6/28/2019 Contact Person: H. Bryan Forlines, Asst VP, Govt Reimburs 478-633-6966 Determination: Non-reviewable as proposed Determination Date: 8/28/2019
DET2019135 Southeast Georgia Health Services, LLC d/b/a Memorial Satilla Health Renovations to Obstetric Services Request received: 7/8/2019 Contact Person: Mark Roberts, COO 912-287-2500 Determination: Non-reviewable as proposed Determination Date: 9/5/2019
DET2019138 Northeast Georgia Medical Center, Inc Replace CON-Authorized MRI Scanner Request received: 7/16/2019 Contact Person: Linda Berger Planning Director 770-219-5437
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Determination: Non-reviewable as proposed Determination Date: 9/13/2019
DET2019139 WellStar North Fulton Hospital, Inc d/b/a WellStar North Fulton Hospital Hospital Women's Center Renovations Request received: 7/18/2019 Contact Person: April Austin Manager Stre 4706440057 Determination: Non-reviewable as proposed Determination Date: 9/16/2019
DET2019140 Oak Pointe Memory Center at Winder, LLC 27 Bed Assisted Living Community Request received: 7/19/2019 Contact Person: Christina Oxford Manger 6782093751 Determination: Non-reviewable as proposed Determination Date: 9/16/2019
DET2019141 Hamilton Medical Center, Inc Replacement of Robotic Surgical System Request received: 7/24/2019 Contact Person: Cathy Ferguson RN,MSN, MBA 706-272-6808 Determination: Non-reviewable as proposed Determination Date: 9/20/2019
DET2019142 AU Medical Center, Inc Replacement of Existing CON Approved EP Lab Request received: 7/26/2019 Contact Person: Jennifer Miller, AVP Strategic Planning Business Determination: Non-reviewable as proposed Determination Date: 9/23/2019
DET2019143 The Emory Clinic, Inc Relocation of CON-Authorized Multi-Specialty ASC Request received: 7/31/2019 Contact Person: Mike Mason VP of Operations 404-778-5639 Determination: Pending
DET2019144 Eastside Medical Center, LLC d/b/a Eastside Medical Center UPS Pharmacy Upgrades Request received: 7/31/2019 Contact Person: Persaud Rudolph Director Facilities Operation 770-736-2450 Determination: Pending
DET2019145 The Emory Clinic, Inc & Midtown Urology, P.C. Purchase of CON-approved Ambulatory Surgery Center Request received: 8/1/2019 Contact Person: Mike Mason VP of TEC Operations 404-778-5639 Determination: Pending
DET2019146 The Medical Center of Central Gerogia, Inc Replacement of Existing CON Approved EP Lab Request received: 8/5/2019 Contact Person: H. Bryan Forlines AVP GOVT Reimbursement 478-633Determination: Pending
DET2019147 East Georgia Regional Medical Center, LLC Renovation of Pharmacy to Comply with US Pharmacopeia Guidelines Request received: 8/5/2019 Contact Person: Stephen Pennington CEO 912-486-1500 Determination: Pending
DET2019148 Douglas Hospital, Inc. d/b/a WellStar Douglas Hospital Relocation of Outpatient Services (Infusion, Orthosport/Cardiac Rehab) Request received: 8/6/2019 Contact Person: April Austin Manager 470-644-0057 Determination: Pending
DET2019149 Battlefield Imaging, LLC Replacement of CON-authorized PET/CT
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Request received: 8/12/2019 Contact Person: Marcia Parker Director of Finance 423-893-7226 Determination: Pending
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: Pending
DET2019151 The Medical Center of Central Georgia, Inc. d/b/a The Medical Center, 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 Replacement of BiPlane Angiography Equipment Request received: 8/16/2019 Contact Person: Matthew S.Hasbrouck Chief Operating Officer 912-350Determination: Pending
DET2019153 Savannah Health Services, LLC d/b/a Memorial Health University Medical Replacement of Cardiac Catheterization Lab Request received: 8/16/2019 Contact Person: Matthew S. Hasbrouck Chief Operating Officer 912-350-7073 Determination: Pending
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: Pending
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: Pending
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: Pending
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: Pending
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: Pending
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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: Pending
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: Pending
DET2019162 Hospital Authority of Colquitt County d/b/a Colquitt Regional Medical Center Renovate IV Compounding Room Request received: 9/3/2019 Contact Person: Greg Johnson VP of Operation 299-890-3547 Determination: Pending
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: Pending
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: Pending
DET2019165 Savannah Health Services, LLC Bed Capacity Increase Request received: 9/9/2019 Contact Person: Matthew S. Hasbrouck Chief Operating Officer 912-350-8519 Determination: Pending
DET2019166 Houston Hospitals, Inc. d/b/a Perry Hospital Relocation of Wound Care Clinic Request received: 9/10/2019 Contact Person: David Campbell Administrator 478-218-1625 Determination: Pending
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
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Contact Person: Paul Perrotti Chief Operating/Chief Strategy Officer 770Determination: Pending
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 SVP Chief Operating/Chief Strategy Officer Determination: Pending DET2019172 Coffee Regional Medical Center USP 800 Pharmacy Upgrades Request received: 9/24/2019 Contact Person: Bennett Floyd, MHA VP, Operations 912-384-1900x5676 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 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: Pending
Need Projection Analyses Posted 6/24/2019
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
2023 Ambulatory Surgical Services Need Projection by HPA Posted 3/29/2019
2023 Inpatient Physical Rehab Need Projections for Pediatric and Adult Services Posted 3/29/2019
2023 Neonatal Intermediate Care Bed Need Projection Posted 3/29/2019
2023 Neonatal Intensive Care Bed Need Projection Posted 3/29/2019
2023 Obstetric Services Bed Need Projection Posted 3/29/2019
2021 Nursing Home Bed Need Projection Posted 3/29/2019
2021 Home Health Agency Services Need Projections Summary - Posted 3/29/2019
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.
17

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 (9/24/2019)

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.

18

CERTIFICATE OF NEED FILING REQUIREMENTS
Letters of Intent
O.C.G.A. 31-6-40(b) provides that:
Any person proposing to develop or offer a new institutional health service or health care facility shall, before commencing such activity, submit a letter of intent and an application to the department and obtain a certificate of need in the manner provided in this chapter unless such activity is excluded from the scope of this chapter.
O.C.G.A. 31-6-43(a) further provides that:
At least 30 days prior to submitting an application for a certificate of need for clinical health services, a person shall submit a letter of intent to the department. The department shall provide by rule a process for submitting letters of intent and a mechanism by which applications may be filed to compete with and be reviewed comparatively with proposals described in submitted letters of intent.
All parties interested in applying for a certificate of need for new institutional health services MUST NOTIFY THE DEPARTMENT 30 DAYS PRIOR TO FILING AN APPLICATION of their intent to do so. This notice must be in writing and must contain the following information:
Name and address of legal applicant; Person to whom inquiries may be addressed; Name, address of facility, if different from legal applicant; Proposed Project Site Location; Brief summary description of proposal; Proposed service area; and, Cost of the project.
The Department will not accept any letters of intent submitted by either telephone, facsimile or e-mail pursuant to Rule 111-2-2-.06(5).
Note: No CON application will be accepted without a previously filed Letter of Intent. The CON application must be submitted no later than 30 days after the Letter of Intent has been received by the Department.
Instructions for Organization of Appendices Appendices, in the original application document as well as the copies, must be separated by lettered tabs upon submission with the Office of Health Planning.
For Appendices with multiple documents, each document in that specific appendix must be separated by a light colored dividing sheet containing the name of the document which follows the dividing sheet.
These instructions are listed on Page iv of the CON application form. Compliance with these instructions is required pursuant to Rule 111-2-2-.06(2).
Determining Completeness Please note the completeness requirements for all applications may be found at Rule 111-2-2-.06(5). Expired, deficient, or invalid information will not be accepted as documentation for the purposes of deeming an application complete.
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Batching Review
The below reviewable CON services are grouped for review into quarterly Batching Cycles. These services and the Batching Cycles are as follows:

FALL

Batched Service

Batching Notice

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

September

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

December

Letter of Intent
October
January

Application Deadline November
February

WINTER

Home Health, Skilled Nursing Facilities, Intermediate

Care Facilities, Perinatal Service, Inpatient Rehabilitation, Ambulatory Surgery

March

April

May

SPRING

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

June

July

August

SUMMER

Batching Notifications Posted 6/24/2019 on DCH Website
Summer 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.

Positron Emission Tomography

Mega Voltage Radiation Therapy

Pediatric Cath/Open Heart

Adult Open Heart

Birthing Centers

Psych/Substance Abuse

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

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

Batching Notice
(June 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)

21

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

Batching Notice
(March 29, 2019)

Application
Day
(application complete when
submitted; review cycle begins same
day) (May 28, 2019: Application due by 12 noon

75th Day
(applicant provides additional information)
(August 10, 2019)

100th Day
(last day for letters of support to be submitted to
Department)
(September 4, 2019)

120th Day
(Department Issues
decision)
(September 24, 2019)

Letter of Intent
(April 28, 2019)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(July 26, 2019)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(August 25, 2019)

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

22

NON-BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW ACTIVITIES

Letter of Intent

Application deemed complete (review cycle begins)

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

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

120th
Day
(Department Issues decision)

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

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

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

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

150th Day
(project can be extended)

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

23

Office of Health Planning Contact Information
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.
24

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

25