Certificate of Need tracking and appeals report, 2020 August 12 - 2020 August 18

Use the links below for easy navigation

Letters of Intent Letters of Intent - Expired Letters of Intent - Batching

New CON Applications Withdrawn CON Applications Pending/Complete Applications Pending Review/Incomplete CON Applications Recently Approved CON Applications Recently Denied CON Applications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 DET-ASC for Establishment of Physician-Owned Ambulatory Surgery Facilities Appealed LNRs Requests for Extended Implementation/Performance Period Batching Notifications Summer Cycle 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 Certificate of Need Appeal Panel Web Links

Office of Health Planning
CERTIFICATE OF NEED
August 12, 2020 August 18, 2020
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
https://forms.dch.georgia.gov/HFRD/

IMPORTANT NOTICES

Letters of Intent
none

Letters of Intent Batching

Psychiatric and Substance Abuse Services

LOI2020026 Vest Monroe, LLC

Additional 23 Adult Psychiatric/Substance Abuse Beds - Batching

Received: 7/22/2020

Application must be submitted on: 8/21/2020 by 12:00 PM

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

Estimated Cost: $3,000,000

LOI2020027 Riverwoods Behavioral Health

Additional 10 Beds in the Psychiatric/Substance Abuse Hospital - Batching

Received: 7/22/2020

Application must be submitted on: 8/21/2020 by 12:00 PM

Site: 223 Medical Center Drive, Riverdale, GA 30274 (Clayton County)

Estimated Cost: $50,000

LOI2020028 Education System Management, Inc

Seeking PRTF Designation with a Substance Abuse Specialty for Adolescents - Batching

Received: 7/22/2020

Application must be submitted on: 8/21/2020 by 12:00 PM

Site: 125 High 138 SE, Riverdale, GA 30274 (Clayton County)

Estimated Cost: $0

Expired Letters of Intent
none
Withdrawn CON Applications
none
New CON Applications
none

Pending Review/Incomplete Applications
2020-030 HealthSouth Rehabilitation Hospital of Forsyth County Cost Overrun for CON2014-028 Filed: 7/13/2020 Deemed Incomplete: 7/27/2020 Site: 165 Sanders Road, Cumming, GA 30041 (Forsyth County) Contact: Walter C. Smith, Dir. State Regulatory 205-970-7926 Estimated Cost: $33,000,000

Pending Review/Complete Applications

2020-025 United Imaging Center of Buckhead, LLC

OPPOSITION FILED

Proposed Freestanding Advanced Diagnostic Imaging Center in Fulton County

Filed: 5/21/2020 Deemed Incomplete: 6/4/2020 Deemed Complete: 6/18/2020 60th Day Deadline: 8/16/2020 Decision Deadline: 10/15/2020 Site: 2045 Peachtree Road NE Suite T-3, Atlanta, GA (Fulton County) Contact: Kenneth Basille, Managing Member 678-217-7700 Estimated Cost: $126,000

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2020-026 United Imaging Center of Chamblee, LLC

OPPOSITION FILED

Proposed Freestanding Advanced Diagnostic Imaging Center in Cobb County

Filed: 5/21/2020 Deemed Incomplete: 6/4/2020 Deemed Complete: 6/18/2020 60th Day Deadline: 8/16/2020 Decision Deadline: 10/15/2020 Site: 3166 Chestnut Connector Drive, Suite 110, Atlanta, GA 30340 (Fulton County) Contact: Ken Basille Managing Member 770-329-2000 Estimated Cost: $497,800

2020-027 United Imaging Center of Jonesboro, LLC

OPPOSITION FILED

Proposed Freestanding Advanced Diagnostic Imaging Center in Clayton County

Filed: 5/21/2020 Deemed Incomplete: 6/4/2020 Deemed Complete: 6/19/2020 60th Day Deadline: 8/17/2020 Decision Deadline: 10/16/2020 Site: 750 Mount Zion Road, Suite 110, Jonesboro, GA 30236 (Clayton County) Contact: Kenneth Basille, Managing Member 770-329-2000 Estimated Cost: $185,400

2020-028 United Imaging Center of Marietta

OPPOSITION FILED

Proposed Freestanding Advanced Diagnostic Imaging Center in Cobb County, SSDR-3

Filed: 5/21/2020 Deemed Incomplete: 6/4/2020 Deemed Complete: 6/19/2020 60th Day Deadline: 8/17/2020 Decision Deadline: 10/16/2020 Site: 1965 North Park Place SE, Suite 210, Atlanta, GA 30339 (Fulton County) Contact: Ken Basille Managing Member 770-329-2000 Estimated Cost: $186,800

2020-029 South Georgia Medical Center
Expand Hospital Bed Capacity by 45 beds Filed: 6/15/2020 Deemed Complete: 6/29/2020 60th Day Deadline: 8/27/2020 Decision Deadline: 10/26/2020 Site: 2501 North Patterson Street, Valdosta, GA 31602 (Lowndes County) Contact: Ronald E. Dean, President and CEO 229-259-4102 Estimated Cost: $886,645

Recently Approved Applications

2020-020 University Hospital

Establish a Freestanding Emergency Care Facility

OPPOSITION FILED

Filed: 3/4/2020 Deemed Incomplete: 03/17/2020 Deemed Complete: 3/24/2020

60th Day Deadline: 5/22/2020

Decision Deadline: 7/21/2020

APPROVED: 7/21/2020

Site: 4200 University Parkway, Evans, GA 30809 (Columbia County)

Contact: Edward L. Burr, Chief Administrative Officer 706-774-8063

Estimated Cost:

$12,600,000

2020-021 Northeast Georgia Medical Center- Main Campus
Add a Shared Inpatient/Outpatient Endovascular Operating Room Suite Filed: 3/9/2020 Deemed Complete: 3/23/2020 60th Day Deadline: 5/21/2020 Decision Deadline: 7/20/2020 APPROVED: 7/20/2020 Site: 743 Spring Street, Gainesville, GA 30501 (Hall County) Contact: Linda Berger Director of Planning 770-219-6631 Estimated Cost: $9,190,566
2020-022 Cartersville Medical Center, LLC d/b/a Cartersville Medical Center

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CMC Proposes to Expand and add 20 Short-stay General Hospital Beds to its North Tower
Filed: 3/11/2020 Deemed Incomplete: 3/24/2020 Deemed Complete: 3/30/2020 60th Day Deadline: 5/28/2020 Decision Deadline: 7/27/2020 APPROVED: 7/27/2020 Site: 960 Joe Frank Harris Parkway, Cartersville, GA 30120 (Bartow County) Contact: Lori Rakes, COO 770-387-8181 Estimated Cost: $29,797,414

2020-023 AU Medical Center, Inc

OPPOSITION FILED

Establish a Freestanding Emergency Care Facility as a Department of AU Medical Center, Inc

Filed: 3/20/2020

Deemed Complete: 3/31/2020

60th Day Deadline: 5/29/2020

Decision Deadline: 7/28/2020

APPROVED: 7/28/2020

Site: Knob Hill Farm Road and Washington Road, Augusta, GA 30912 (Richmond County)

Contact: Jennifer Miller VP Strategic Planning 706-446-5132

Estimated Cost: $14,975,548

2020-024 Northside Hospital Gwinnett

Additional 27 Emergency Exam Rooms and 30- Bed Observation Unit

Filed: 3/30/2020

Deemed Complete: 4/13/2020

60th Day Deadline: 6/11/2020

Decision Deadline: 8/10/2020

APPROVED: 8/10/2020

Site: 1000 Medical Center Boulevard, Lawrenceville, GA 30046 (Gwinnett County)

Contact: Jeffrey Stofko 678-312-3310

Estimated Cost: $57,000,000

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 regarding the reviewability of a proposed relocation, decoupling and transfer of EUH's sixteen (16) comprehensive inpatient physical rehabilitation ("CIPR") beds. Agency Decision: Denied on 2/24/2016. Appealed: Requestors filed request for Administrative Appeal on 03/16/2017. Hearing Officer: Ellwood F. Oakley III, Esq. Hearing Date: 6/15/2017. Hearing Decision: Hearing Officer grants Motion of Summary Adjudication to Requestors, 8/28/2017. Department requests Commissioner Review, 9/22/2017. Commissioner Review Decision: Commissioner reverses decision of Hearing Officer and grants summary adjudication to Department, 11/16/17. Emory files petition for Judicial Review, 12/18/17. Superior Court Decision: 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: Court of Appeals reversed the order of the superior court granting Emory's petition for judicial review, 6/28/2019. Emory files Petition for Writ of Certiorari in the Georgia Supreme Court, 7/18/2019. The Supreme Court denied the petition for certiorari, 2/28/2020.
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. Agency Decision: Denied on 8/21/2019. Appealed: 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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Hearing Officer: Dr. L. Lynn Hogue Hearing Date: Pending
DET-EQT2020032 CHI Memorial Hospital-Georgia, Inc. ("Memorial") Request for Equipment Letter of Determination received on 4/13/2020, regarding the acquisition of a Siemens Magnetom Aera 1.5T MRI and a Siemens AS64 Eco CT scanner. Agency Decision: Approved on 6/11/2020 Appealed: Battlefield Imaging, LLC ("BI") filed Request for Administrative Appeal on 7/6/2020. BI filed Request for Stay of Determination Pending Administrative Appeal on 7/30/2020. Hearing Officer: Dr. L. Lynn Hogue Hearing Date: Pending
DET2020-113 Adventist Health System Georgia, Inc. d/b/a AdventHealth Gordon ("AdventHealth") Request for Letter of Determination received on 5/13/2020, regarding the performance of therapeutic cardiac catheterization procedures. Agency Decision: Approved on 7/15/2020 Appealed: Hamilton Medical Center, Inc. ("Hamilton") filed Request for Administrative Appeal on 8/13/2020. Hearing Officer: Dr. L. Lynn Hogue Hearing Date: Pending
Appealed LNRs
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. Agency Decision: Request was denied 3/6/2018. Appealed: 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-ASC2018022 Georgia Arrhythmia Consultants & Research Institute, LLC Single Specialty Cardiology Electrophysiology ASC Agency Decision: Request was denied 11/14/2019. Appealed: Georgia Arrhythmia Consultants and Research Institute, LLC ("GACRI") filed a request for Administrative Appeal on 12/6/2019. Hearing Officer: Dr. L. Lynn Hogue, J.D. Hearing Date: 9/15-17/2020, 9:30 A.M. / 5th Floor
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. Agency Decision: Request was denied 10/7/19. Appealed: Northside Hospital, Inc. ("Northside") and Northside Gwinnett Surgical Associates, LLC ("NGSA") filed a request for Administrative Appeal on 10/29/19. DCH filed Motion for Remand, 1/16/2020; Hearing Officer granted DCH's remand motion, 1/28/2020. Remand decision denying request issued on 3/12/2020. Hearing Officer: Dr. L. Lynn Hogue, J.D. Hearing Date: Pending
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
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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. Supreme Court: Petition for Writ of Certiorari granted, judgment of the Court of Appeals vacated, and case remanded for reconsideration, 12/23/19.
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. Supreme Court: Petition for Writ of Certiorari granted, judgment reversed in part, and case remanded with direction, 12/23/19.
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. Court of Appeals denied FMC's Application for Discretionary Appeal 11/21/19. FMC filed Notice of Intention to Petition for Writ of Certiorari in the Georgia Supreme Court, 12/2/19. FMC filed Petition for Writ of Certiorari in Georgia Supreme Court, 12/11/2019. Redmond filed Response in Opposition to FMC's Petition for Certiorari, 12/30/2019.
2018-008 Floyd Healthcare Management Inc dba Floyd Medical Center (Floyd) 2018-009 Tanner Medical Center Carrollton (Carroll) 2018-010 Hamilton Medical Center (Whitfield)
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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 CenterCarrollton,"TMC"), 7/23/2018. WellStar Kennestone Hospital ("Kennestone") files request to Intervene, 7/20/2018. 2018010; 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. Redmond Regional Medical Center filed petitions for judicial review of the Final Order of the Commissioner in project numbers 2018-008, 2018-009, and 2018-010, 11/14/19. Floyd Medical Center filed Petition for Judicial Review of DCH's Final Order denying a CON to Floyd Medical Center for project no. 2018-008, 11/14/19. Redmond Regional Medical Center files Renewed Appeal to Commissioner Berry on Order of Remand, 5/7/2020. In Final Order on Remand, Commissioner ordered that the August 16, 2019, decision of the Hearing Officer to deny a CON to Floyd Healthcare Management, Inc., d/b/a Floyd Medical Center to establish an Adult Open Heart Surgery program is affirmed, 6/30/2020. Superior Court of Fulton County Decision: Grants Hamilton's and the Department's motions to dismiss Redmond's petition for judicial review. Dismissed with prejudice, 3/9/2020. Grants Floyd Medical Center's motion to dismiss Redmond's petition for judicial review. Dismissed with prejudice. 3/9/2020. Grants Tanner's and the Department's motions to dismiss Redmond's petition for judicial review. Dismissed with prejudice, 3/9/2020. Superior Court of Floyd County Decision: On Floyd Medical Center's appeal of the denial of its CON, the court remanded the matter to the Department for complete review of Floyd Medical Center's application, 4/14/2020.
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. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: 12/11/2019, 9:30 A.M. / 41st Floor; 8/24/2020, 9:30 A.M. / 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
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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, 4/24/2018 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: Hearing Officer affirmed the Department's decision to deny a CON to Memorial, 1/7/2020. Savannah Health Services, LLC d/b/a Memorial Health University Medical Center ("Memorial") appeals the Hearing Officer's Decision, 2/5/2020. Commissioner Review Decision: Hearing Officer Decision is Reversed, 3/6/2020.
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 Center-Lawrenceville 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. Northside withdraws appeal of their 6/18/2019 denial, 4/22/2020. Order of dismissal issued by Hearing Officer, 4/22/2020 Hearing Officer: Melvin M. Goldstein, Esq
2019-037 Vision Imaging Center (Thomas) Development of a Freestanding Advanced Diagnostic Imaging Center or DTRC Agency Decision: Approved, 2/25/2020 Appealed By: John D. Archbold Memorial Hospital ("Archbold"), 3/24/2020 Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: 9/1/2020, 10:00 A.M. / Remote Video Conference
2019-045 Cartersville Medical Center, LLC (Bartow) New Service to Include 4 Neonatal Intermediate Care Beds - Batching Agency Decision: Denied, 3/24/2020 Appealed By: Cartersville Medical Center, LLC d/b/a Cartersville Medical Center ("CMC"), 3/26/2020. Floyd Healthcare Management, Inc. d/b/a Floyd Medical Center submitted request to intervene in the hearing, 4/21/2020. Hearing Officer: William C. Joy, Esq. Hearing Date: 9/29/2020-10/2/2020, 9:30 A.M. / 5th Floor
2020-002 Doctors Hospital of Augusta, LLC (Columbia) Construction of Freestanding Emergency Department Agency Decision: Approved, 6/1/2020 Appealed By: AU Medical Center, Inc. ("AUMC"), 6/22/2020; University Health Services, Inc. ("University"), 6/30/2020 Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: Pending
2020-003 Coliseum Medical Centers (Houston) Construction of Freestanding Emergency Department Agency Decision: Approved, 6/9/2020 Appealed By: The Medical Center of Central Georgia, Inc. d/b/a The Medical Center, Navicent Health ("The Medical Center"), 6/25/2020; The Medical Center of Peach County, Inc. d/b/a Medical Center of Peach County, Navicent Health ("Peach"), 6/25/2020; Houston Hospitals, Inc. d/b/a Houston Medical Center ("Houston"), 7/1/2020; Houston Hospitals, Inc. d/b/a Perry Hospital ("Perry Hospital"), 7/1/2020 Hearing Officer: William C. Joy, Esq. Hearing Date: Pending
2020-004 Savannah Health Services, LLC dba Memorial Health University Medical Ctr (Bryan)
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Construction of Freestanding Emergency Department Agency Decision: Approved, 6/11/2020 Appealed By: Candler Hospital, Inc. ("Candler"), 6/25/2020; St. Joseph's Hospital, Inc. ("St. Joseph's"), 6/25/2020; Hospital Authority of Liberty County d/b/a Liberty Regional Medical Center ("Liberty"), 6/26/2020 Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: Pending
2020-005 Savannah Health Services, LLC dba Memorial Health University Medical Ctr (Chatham) Construction of Freestanding Emergency Department Agency Decision: Approved, 6/8/2020 Appealed By: Candler Hospital, Inc. ("Candler"), 6/25/2020; St. Joseph's Hospital, Inc. ("St. Joseph's"), 6/25/2020; Effingham Hospital Inc. ("Effingham"), 6/29/2020 Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: Pending
2020-014 University Cancer & Blood Center, LLC (Clarke) Add a PET/CT Unit to its Oncology Practice in Athens - Batching Agency Decision: Approved, 6/16/2020 Appealed By: Piedmont Athens Regional Medical Center, Inc. ("Piedmont Athens"), 7/14/2020. University Cancer & Blood Center ("UCBC") submitted request to intervene in the hearing, 7/16/2020. Hearing Officer: William C. Joy, Esq. Hearing Date: Pending
2020-015 Northside Hospital Gwinnett (Gwinnett) Establish Hospital-Based Radiation Therapy Services on Campus - Batching Agency Decision: Approved, 6/16/2020 Appealed By: Northeast Georgia Medical Center, Inc. d/b/a Northeast Georgia Medical Center-Main Campus ("NGMCMain Campus"), 7/14/2020; Northeast Georgia Medical Center, Inc. d/b/a Northeast Georgia Medical Center-South Hall Campus ("NGMC-South Hall"), 7/14/2020; RCOG Cancer Centers, LLC d/b/a Gwinnett County Radiation Oncology Center - Lawrenceville ("RCOG-Lawrenceville"), 7/14/2020; RCOG Cancer Centers, LLC d/b/a Gwinnett County Radiation Therapy Center - Snellville ("RCOG-Snellville"), 7/14/2020; Vantage Cancer Centers of Georgia, LLC d/b/a Vantage Oncology Cancer Center at Lawrenceville ("Vantage-Lawrenceville"), 7/14/2020. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: Pending
2020-020 University Hospital (Columbia) Establish a Freestanding Emergency Care Facility Agency Decision: Approved, 7/21/2020 Appealed By: Doctors Hospital of Augusta, LLC d/b/a Doctors Hospital of Augusta ("Doctors"), 8/17/2020. Hearing Officer: Pending Hearing Date: Pending
Requests for DET-EQT for Diagnostic or Therapeutic Equipment
DET-EQT2020037 Macon Orthopaedic and Hand Center, PA Purchase Fixed MRI Request received: 5/8/2020 Contact Person: Victor Moldovan Determination: Pending
DET-EQT2020041 Albany Bone & Joint Clinic, P.C. d/b/a Orthopedic Associates Purchase Fixed MRI Request received: 5/26/2020 Contact Person: Cheryl Boyles 229-903-3450 Determination: Non-reviewable as proposed Determination Date: 7/24/2020
DET-EQT2020042 Upson County Hospital, Inc. Purchase Fixed CT Scanner
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Request received: 6/10/2020 Contact Person: John Williams Determination: Non-reviewable as proposed

Determination Date: 8/10/2020

DET-EQT2020043 Sports Medicine South of Gwinnett, LLC Purchase Fixed MRI Request received: 7/1/2020 Contact Person: Kaylee Rosenberger Determination: Pending

DET-EQT2020044 Scottish Rite Children's Medical Center, Inc. d/b/a Children's Healthcare of Purchase Nuclear Medicine Camera Request received: 7/15/2020 Contact Person: David R. Tatum Determination: Pending
DET-EQT2020045 Ortho Sport and Spine Physicians Purchase Fixed MRI Request received: 7/17/2020 Contact Person: Sean Bajnath Determination: Pending
DET-EQT2020046 The Medical Center, Inc. d/b/a Piedmont Columbus Regional Midtown Purchase Surgical Robot Request received: 7/20/2020 Contact Person: Christine MacEwen Determination: Pending
DET-EQT2020047 Outpatient Imaging, LLC Purchase MRI, CT Scanner, Ultrasound, X-ray Request received: 7/30/2020 Contact Person: John Arnold, M.D. Determination: Pending
DET-EQT2020048 University Health Services, Inc. Purchase Cardiac Cath Lab Equipment Request received: 8/10/2020 Contact Person: Edward Burr Determination: Pending
DET-EQT2020049 Douglas Hornsby, M.D., LLC Lease Fixed MRI Request received: 8/11/2020 Contact Person: Victor Moldovan Determination: Pending
DET-EQT2020050 Douglas Hornsby, M.D., LLC Lease Mobile MRI Request received: 8/11/2020 Contact Person: Victor Moldovan Determination: Pending

Requests for DETASC for Establishment of Physician-Owned Ambulatory Surgery Facilities
(Formerly: Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities)

LNR-ASC2020007 Lunate Surgery Center, LLC

Physician-Owned, Single Specialty ASC

Site: 6115 Peachtree Dunwoody Road Suites 210 and 230 Atlanta, GA 30328

Number of ORs: 1

Specialty: Ambulatory Surgery Center

Project costs as submitted: $728,662

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Request received: 7/1/2020 Contact Person: Joseph R. Ross 912-232-7182 Determination: Pending

LNR-ASC2020008 Georgia Vascular and Vein Center, LLC

Physician-Owned, Single Specialty ASC

Site: 2685 Peachtree Pkwy, Suite 340 Suwanee, GA 30024

Number of ORs: 1

Specialty: Ambulatory Surgery Center

Project costs as submitted: 0

Request received: 7/2/2020

Contact Person: Kathryn MT Platt 404-728-1974

Determination: Pending

Requests for Miscellaneous Letters of Determination

DET2020100 Northside Hospital, Inc. d/b/a Northside Hospital Gwinnett Determination Request to Replace CT Scanner Request received: 5/6/2020 Contact Person: Brian Toporek Determination: Pending

DET2020102 Grady Memorial Hospital Corporation (for Fulton-DeKalb Hospital Aurhority IR Relocation and Equipment Replacement Request received: 5/6/2020 Contact Person: George Smith Determination: Pending

DET2020113 Adventist Health System Georgia, Inc. d/b/a AdventHealth Gordon

PCI Application

Request received: 5/13/2020

Challenge Received: 6/11/2020

Contact Person: Eric Henderson

Determination: Non-reviewable as proposed Determination Date: 7/15/2020

Opposition: Hamilton Medical Center- 6/11/2020

DET2020136 Northside Hospital, Inc. d/b/a Northside Hospital Gwinnett Development of Below Threshold Modular Observation Unit Request received: 5/22/2020 Contact Person: Brian Toporek Determination: Non-reviewable as proposed Determination Date: 7/20/2020

DET2020137 At Home Senior Living of Jesup, LLC Assisted Living Facility Request received: 5/27/2020 Contact Person: Tammy Viviani 478-717-1574 Determination: Non-reviewable as proposed Determination Date: 7/27/2020

DET2020138 Piedmont Hospital Inc., d/b/a Piedmont Atlanta Hospital Organ Recovery Program Request received: 6/1/2020 Contact Person: Christine MacEwen 404-605-2233 Determination: Non-reviewable as proposed Determination Date: 8/11/2020

DET2020139 Southeast Georgia Health System, Inc. d/b/a SGHS-Camden Campus Replacement of mobile PET/CT equipment Request received: 6/1/2020 Contact Person: Kathryn MT Platt (912) 466-7090 Determination: Non-reviewable as proposed Determination Date: 7/30/2020

DET2020140 Solomon - Woodstock, LLC ALC License Request received: 6/1/2020 Contact Person: Fratina Boatman 216-860-6707
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Determination: Non-reviewable as proposed Determination Date: 7/30/2020

DET2020144 PT Hills Place Terraces, LLC 10 PCH Beds Request received: 6/9/2020 Contact Person: Kathryn MT Platt Determination: Non-reviewable as proposed

Determination Date: 8/7/2020

DET2020145 Houston Hospitals, Inc d/b/a Houston Medical Center Houston Medical Center OR Expansion Request received: 6/10/2020 Contact Person: Mindy Hartley Determination: Non-reviewable as proposed Determination Date: 8/10/2020

DET2020147 Numed, Inc. on behalf of Kaiser Permanente Health Plan Georgia Region Addition of a PET/CT System and Services Request received: 6/11/2020 Contact Person: Jack Allen Determination: Non-reviewable as proposed Determination Date: 8/10/2020

DET2020148 Alliance HealthCare Services Replace grandfathered mobile PET/CT Unit Request received: 6/11/2020 Contact Person: Dorothy H. Cornwell Determination: Non-reviewable as proposed

Determination Date: 8/10/2020

DET2020149 ES Rehabilitation, LLC d/b/a Emory Rehabilitation Hospital Increase of Ten Beds Request received: 6/12/2020 Contact Person: Eric Garrard, CEO Determination: Non-reviewable as proposed Determination Date: 8/10/2020

DET2020150 Winthrop Manor Nursing Home, LLC dba Winthrop Health & Rehab Renovation of Skilled Nursing Center Request received: 6/12/2020 Contact Person: Teresa Moody Determination: Non-reviewable as proposed Determination Date: 8/10/2020

DET2020151 Hamilton Medical Center, Inc. Dialysis Determination Request Request received: 6/16/2020 Contact Person: Danny Wright Determination: Non-reviewable as proposed

Determination Date: 8/14/2020

DET2020152 Oaks Senior Living, LLC Manage Assisted Living Community Request received: 6/23/2020 Contact Person: Alex Salabarria Determination: Pending

DET2020153 Oaks Senior Living LLC Manage Assisted Living Community Request received: 6/23/2020 Contact Person: Alex Salabarria Determination: Pending

DET2020154 Parkside Operation LLC New Construction Request received: 6/29/2020 Contact Person: Jason Blalock Determination: Non-reviewable as proposed

Determination Date: 8/18/2020

DET2020155 Hamilton Ambulatory Surgery Center, Inc.

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ASC Boiler System Replacement Request received: 7/1/2020 Contact Person: Danny Wright Determination: Pending
DET2020156 Cedar Communities at Commerce, LLC Bed Increase Request received: 7/1/2020 Contact Person: Charmaine Mech Determination: Pending
DET2020157 Piedmont Hospital Newnan, Inc. d/b/a Piedmont Newnan Hospital CV Services and Physician Office Space Request received: 7/6/2020 Contact Person: Christine MacEwen Determination: Pending
DET2020158 EHCA Johns Creek, LLC d/b/a Emory Johns Creek Hospital Construct four new ICU beds Request received: 7/7/2020 Contact Person: Laurie Hansen Determination: Pending
DET2020159 AU Medical Center, Inc. Replacement of 1.5T MRI Unit Request received: 7/14/2020 Contact Person: Kathryn MT Platt Determination: Pending
DET2020160 AU Medical Center, Inc. Replacement of 3.0T MRI Request received: 7/14/2020 Contact Person: Kathryn MT Platt Determination: Pending
DET2020161 Greene County Health Care, LLC dba Greene Point Health and Rehabilitation Relocate 50 SNF Beds within the Same County Request received: 7/15/2020 Contact Person: Kimberly F. Sheffield Determination: Pending
DET2020162 Candler Hospital, Inc Renovate Cytology Lab Request received: 7/15/2020 Contact Person: Brad Trower Determination: Pending
DET2020163 Wellstar Atlanta Medical Center, Inc. d/b/a Wellstar Atlanta Medical Center Decoupling of Hospital Licenses Request received: 7/15/2020 Contact Person: April Austin Determination: Pending
DET2020164 BUS1818LIG, LLC Establishment of Assisted Living and Memory Care Community Request received: 7/23/2020 Contact Person: Laura Blakeman Determination: Pending
DET2020165 Northside Hospital, Inc. d/b/a Northside Hospital Gwinnett Change Defined Location of CT Service on Primary Campus Request received: 7/23/2020 Contact Person: Brian Toporek
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Determination: Pending
DET2020166 St. Francis Health, LLC d/b/a St. Francis Hospital Replacement of Cardiac Cath Lab Request received: 7/27/2020 Contact Person: Alan George Determination: Pending
DET2020167 American Health Imaging of Georgia, LLC Relocation of Existing Healthcare Facility Request received: 7/31/2020 Contact Person: Stephen Janis Determination: Pending
DET2020168 American Health Imaging of Georgia, LLC Replace CT Acquired Prior to 2008, Below Threshold Request received: 7/31/2020 Contact Person: Stephen Janis Determination: Pending
DET2020169 American Health Imaging of Georgia, LLC Replacement of CON-Approved MRI Unit Request received: 7/31/2020 Contact Person: Stephen Janis Determination: Pending
DET2020170 Adventist Health System, Georgia, INC USP 800 Pharmacy Upgrades Request received: 8/3/2020 Contact Person: Karen Steely Determination: Pending
DET2020171 University Cancer & Blood Center Replacement of Linear Accelerator Request received: 8/3/2020 Contact Person: Kerry Clark Determination: Pending
DET2020172 Piedmont Rockdale Hospital Inc., d/b/a Piedmont Rockdale Hospital Piedmont Rockdale Hospital Bed Expansion Request received: 8/4/2020 Contact Person: Christine MacEwen Determination: Pending
DET2020173 Tift Regional Health System, Inc. d/b/a Southwell Medical Addition of GI/OR Room and New Pre/Post Rooms Request received: 8/6/2020 Contact Person: Alex Le Determination: Pending
DET2020174 Tift Regional Health System, Inc. d/b/a Tift Regional Medical Center Addition of 3rd Adult Cardiac Catheterization Laboratory Request received: 8/7/2020 Contact Person: Alex Le Determination: Pending
Requests for Extended Implementation/Effective Period
2018036 Cartersville Medical Center, LLC d/b/a Cartersville Medical Center Consolidation, Expansion, Renovation of Cardiac Services Request to Extend Completion Date Site: 960 Joe Frank Harris Parkway, Cartersville (Bartow)
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Project Approved: 11/21/2018 Request Received: 6/8/2020 Contact: Lori Rakes, COO (770-387-8181) Approved Cost: $4,054,336 Determination: Approved, 8/6/2020

Extended Mandatory Completion: August 15, 2020

2018066 Doctors Hospital of Augusta Expansion of Joseph M Still Burn Center Request to Extend Completion Date Site: 3651 Wheeler Road, Augusta (Richmond) Project Approved: 3/8/2019 Request Received: 6/16/2020 Contact: Terry T. Treadwell (706-651-6101) Approved Cost: $78,097,000 Determination: Pending

2019003 EHCA Johns Creek, LLC d/b/a Emory Johns Creek Hospital

Renovation and Expansion of Labor and Delivery Area

Request to Extend Completion Date

Site: 6325 Hospital Parkway, Johns Creek (Fulton)

Project Approved: 5/24/2019

Request Received: 6/19/2020

Contact: Laurie Hansen, VP, Operations (678-474-7012)

Approved Cost: $4,500,000

Determination: Approved, 7/22/2020

Extended Mandatory Completion: October 31, 2020

2013037 Devi Manor Home for Life, LLC Development of a 252-bed Skilled Nursing Facility Batching Request to Extend Completion Date Site: 6095 Pine Mountain Road, Bldg 200, Kennesaw (Cobb) Project Approved: 9/24/2013 Request Received: 6/22/2020 Contact: Harshad Patel, PhD, President and CEO (732-319-3055) Approved Cost: $56,531,000 Determination: Pending

2017053 Oaks at Limestone

Nursing Home Renovation Expenditures in Excess of 2017 Threshold Amount

Request to Extend Completion Date

Site: 2560 Flintridge Road, Gainesville (Hall)

Project Approved: 1/29/2018

Request Received: 7/1/2020

Contact: Aneel Gill, Exec. Dir./Planning & Dev. (678-533-6699)

Approved Cost: $8,950,000

Determination: Approved, 7/22/2020

Extended Mandatory Completion: November 1, 2020

2018017 Savannah Health Services, LLC dba Memorial Health University Medical Center Cost Overrun for CON 2014-040 Request to Extend Completion Date Site: 4700 Waters Avenue, Savannah (Chatham) Project Approved: 8/17/2018 Request Received: 7/20/2020 Contact: Matthew Hasbrouck, COO (912-350-8519) Approved Cost: $35,558,878 Determination: Pending

2018064 Savannah Health Services, LLC dba Memorial Health University Medical Center Purchase a 1.5 MRI Unit Request to Extend Completion Date Site: 4700 Waters Avenue, Savannah (Chatham) Project Approved: 3/8/2019 Request Received: 7/20/2020 Contact: Matthew S. Hasbrouck, COO (912-350-8519) Approved Cost: $5,880,900
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Determination: Pending
2017035 University Hospital Renovation of Hospital's Sixth Floor Request to Extend Completion Date Site: 1350 Walton Way, Augusta (Richmond) Project Approved: 12/19/2017 Request Received: 8/14/2020 Contact: Edward L. Burr, VP, Legal Affairs (706-774-4500) Approved Cost: $5,131,973 Determination: Pending
2018053 Stephens County Hospital Establish 12-Bed Acute Adult Psych Program- Batching Request to Extend Completion Date Site: 163 Hospital Drive, Toccoa (Stephens) Project Approved: 12/20/2018 Request Received: 8/17/2020 Contact: Michael Hester, CEO (706-282-5841) Approved Cost: $1,140,000 Determination: Pending
Need Projection Analyses Posted 6/22/2020
Current Status of Official Office of Health Planning Need Projection Analyses and Other Data Resources
Need Projections and Maps for CON Regulated Services
2025 Non-Special MRT Need Projection Posted 6/22/2020
2025 PET Need Projection Posted 6/22/2020
2024 Ambulatory Surgical Services Need Projection by HPA Posted 3/27/2020
2024 Rehab Need Projection Posted 3/27/2020
2024 Neonatal Intermediate Care Bed Need Projection Posted 3/27/2020
2024 Neonatal Intensive Care Bed Need Projection Posted 3/27/2020
2024 Obstetric Services Bed Need Projection Posted 3/27/2020
2022 Nursing Home Bed Need Projection Posted 3/27/2020
2022 Home Health Agency Need Projections - Posted 3/27/2020
Non-Batched Need Projections
2024 Long Term Care Hospital Beds - 8/9/2019
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.
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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 (8/18/2020)

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 1,039.66 14,433.70 24,472.48 70,825.83

Service Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center 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.

17

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). In-person filings are no longer accepted. All forms must be submitted electronically through the Department's website at https://dch.georgia.gov/office-health-planning-applications-and-requests-forms-0.
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
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 6/22/2020 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 MegaVoltage Radiation Therapy

Pediatric Cath/Open Heart Birthing Centers

Adult Open Heart Psych/Substance Abuse

Need Projections can be found on the "OHP Need Projections" Page
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BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW ACTIVITIES
SUMMER CYCLE

Batching Notice
(June 22, 2020)

Application Day
(application complete when submitted; review cycle begins same day)
(August 21, 2020: Application due by 12 noon)

75th Day
(Applicant provides additional (Aiungfoursmt 8a,ti2o0n2)0)
(November 3, 2020)

100th Day
(last day for letters of support to be submitted to Department)
(November 28, 2020)

120th Day
(Department Issues
Decision)
(December 18, 2020)

Letter of
Intent
(July 22, 2020)

60-Day Meeting (applicant
only; opposition
letters due)
(October 19, 2020)

90th Day
(opposition meeting,
applicant can attend,
opposing party must
provide written copy of argument)
(November 18, 2020)

110th Day
(Applicant provides amended information; applicant provides response to opposition)
(December 8, 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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BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW ACTIVITIES
SPRING CYCLE

Batching Notice
(March 27, 2020)

Application Day
(application complete when submitted; review cycle begins same day)
(May 26, 2020: Application due by 12 noon)

75th Day
(Applicant provides additional (Aiungfoursmt 8a,ti2o0n2)0)
(August 8, 2020)

100th Day
(last day for letters of support to be submitted to Department)
(September 2, 2020)

120th Day
(Department Issues
Decision)
(September 22, 2020)

Letter of
Intent
(April 26, 2020)

60-Day Meeting (applicant
only; opposition
letters due)
(July 24, 2020)

90th Day
(opposition meeting,
applicant can attend,
opposing party must
provide written copy of argument)
08/23/2020

110th Day
(Applicant provides amended information; applicant provides response to opposition)
09/12/2020

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 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. 31-6-1 et seq. Such requests will be accepted only on the Department's form with the required filing fee of $250.00. 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 $250.00 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 require a $250.00 filing fee.
Requirements for Verification of Lawful Presence within the United States The Department will no longer require information relating to this topic for Certificate of Need applications.
Periodic Reporting Requirements From June 1, 2016 until September 15, 2016, the Department, through the Office of Health Planning, permitted facilities an opportunity to complete outstanding surveys in order to become compliant. Facilities not in compliance after the September deadline received a Notification of Deficiencies which included details regarding the outstanding surveys, where surveys could be completed, and contact information for the Department. To confirm whether your facility has an outstanding survey please visit www.georgiamap2care.info To complete a survey, please visit www.georgiahealthdata.info.
CON Thresholds become effective annually on July 1. The current and effective thresholds can be found on the CON Thresholds page.
http://dch.georgia.gov/con-thresholds
Special Note
The Letters of Intent section of the Tracking and Appeals Report provides the date on which the CON Application must be submitted for each potential project. If the CON application is not received on that date, the associated Letter of Intent is considered expired.
Please do not submit Letters of Opposition or Letters of Support prior to the Department's receipt of an actual Certificate of Need application. Open Record Requests
23

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 https://forms.dch.georgia.gov/HFRD/ 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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IMPORTANT NOTICE RELATED TO COVID-19 OUTBREAK Effective immediately (March 30, 2020), all Office of Health Planning applications and requests must be submitted electronically through our website. We are no longer accepting in-person filings. If you need to submit a document for which a web form is currently unavailable, please timely mail your submission to:
Department of Community Health Office of Health Planning
2 Peachtree Street, N.W., 5th Floor Atlanta, GA 30303
The above may be accessed here: https://dch.georgia.gov/office-health-planning-applications-and-requestsforms-0
Thank you for your cooperation as we do our part by practicing social distancing during this public health state of emergency.
IMPORTANT NOTICE RELATED TO EXECUTIVE ORDER NO. 03.20.20.02 If you have a request to suspend a provision of O.C.G.A. 31-6-40 pursuant to State of Georgia Executive Order 03.20.20.02, REDUCING REGULATIONS TO ASSIST THE STATE'S RESPONSE TO THE SPREAD OF COVID-19, please complete this from: https://dch.georgia.gov/divisionsoffices/office-health-planning/covid-19-code-section-31-6-40suspension-request-form
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