Certificate of Need tracking and appeals report, 2021 January 13 - 2021 January 19

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New CON Applications Withdrawn CON Applications Pending/Complete Applications Pending Review/Incomplete CON Applications Recently Approved CON Applications Recently Denied CON Applications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 Winter Cycle Need Projection Analyses New Batching Review
Winter Cycle Fall 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
IMPORTANT NOTICES

Office of Health Planning
CERTIFICATE OF NEED
January 13, 2021 January 19, 2021
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

Letters of Intent

LOI2020037 Northside Hospital Cherokee

Add Four Shared Operating Rooms

Received: 12/21/2020

Application must be submitted on: 1/20/2021

Site: 201 Hospital Road, Canton, GA 30114 (Cherokee County)

Estimated Cost: $18,000,000

LOI2020038 Townsend Park Health and Rehabilitation

Replacement and Reconstruction of the Existing Center

Received: 12/21/2020

Application must be submitted on: 1/20/2021

Site: 196 N. Dixie Avenue, Cartersville, GA 30120 (Bartow County)

Estimated Cost: $11,677,157

LOI2021001 Piedmont Athens Regional Medical Center

Addition of 68 Inpatient Beds

Received: 1/11/2021

Application must be submitted on: 2/10/2021

Site: 1199 Prince Avenue, Athens, GA 30606 (Clarke County)

Estimated Cost: $38,000,000

Letters of Intent Batching
none

Expired Letters of Intent
none
Withdrawn CON Applications
none
New CON Applications
2021-001 Piedmont Rockdale Hospital Addition of 23 Inpatient Beds Filed: 1/11/2021 Site: 1412 Millstead Avenue, Conyers, GA 30012 (Rockdale County) Contact: Blake Watts, Exec. Dir. Operations 770-918-3755 Estimated Cost: $13,291,416

Pending Review/Incomplete Applications
none

Pending Review/Complete Applications
2020-033 Cartersville Medical Center, LLC d/b/a Cartersville Medical Center Cost Overrun for CON2018-036 Filed: 11/4/2020 Deemed Complete: 11/18/2020 60th Day Deadline: 1/16/2021 Decision Deadline: 3/17/2021 Site: 960 Joe Frank Harris Parkway, Cartersville, GA 30120 (Bartow County) Contact: Lori E. Rakes, FACHE, Chief Operating Officer 770-387-8181 Estimated Cost: $6,075,837
2020-034 Wellstar Kennestone Hospital Expand Neonatal Intensive Care Service (Level III) - Batching
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Filed: 11/17/2020 Deemed Complete: 11/17/2020 60th Day Deadline: 1/15/2021 Decision Deadline: 3/16/2021 Site: 677 Church Street, Marietta, GA 30060 (Cobb County) Contact: April Austin, Manager, Strategic Planning 470-644-0057 Estimated Cost: $264,000
2020-035 Rehabilitation Hospital of Atlanta Establish 40-Bed Freestanding Comprehensive Inpatient Physical Rehabilitation Program - Batching Filed: 11/17/2020 Deemed Complete: 11/17/2020 60th Day Deadline: 1/15/2021 Decision Deadline: 3/16/2021 Site: 1968 Peachtree Road NW, Atlanta, GA 30309 (Fulton County) Contact: Christine Macewen, Executive Director, Corporate D 404-425-1307 Estimated Cost: $22,000,000
2020-036 Rehabilitation Hospital of Columbus Establish a 40-Bed Freestanding Comprehensive Inpatient Physical Rehabilitation Program - Batching Filed: 11/17/2020 Deemed Complete: 11/17/2020 60th Day Deadline: 1/15/2021 Decision Deadline: 3/16/2021 Site: 8301 Veterans Parkway, Columbus, GA 31909 (Muscogee County) Contact: Christine Macewen, Executive Director, Corporate D 404-425-1307 Estimated Cost: $35,000,000
2020-037 American Health Imaging of Savannah CT Scanner Acquisition Filed: 11/18/2020 Deemed Incomplete: 12/1/2020 Deemed Complete: 12/2/2020 60th Day Deadline: 1/30/2021 Decision Deadline: 3/31/2021 Site: 30 Janet Drive, Suite 101, Savannah, GA 31405 (Chatham County) Contact: Stephen Janis, Chief Development Officer 404-296-5887 Estimated Cost: $386,250
2020-038 American Health Imaging Stand Up MRI American Health Imaging Stand Up MRI Filed: 12/9/2020 Deemed Complete: 12/22/2020 60th Day Deadline: 2/19/2021 Decision Deadline: 4/20/2021 Site: 6590 Powers Ferry Road NW, GA 30339 (Fulton County) Contact: Scott W. Arant 404-296-5887 Estimated Cost: $1,318,750
Recently Approved Applications
2020-030 HealthSouth Rehabilitation Hospital of Forsyth County Cost Overrun for CON2014-028 Filed: 7/13/2020 Deemed Incomplete: 7/27/2020 Deemed Complete: 8/24/2020 60th Day Deadline: 10/22/2020 Decision Deadline: 12/21/2020 APPROVED: 12/21/2020 Site: 165 Sanders Road, Cumming, GA 30041 (Forsyth County) Contact: Walter C. Smith, Dir. State Regulatory 205-970-7926 Estimated Cost: $33,000,000
Recently Denied Applications
none
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Appealed Determinations
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. Hearing Officer: Dr. L. Lynn Hogue Hearing Date: N/A Hearing Decision: Hearing Officer denied WellStar Windy Hill's Motion for Summary Adjudication and affirmed the Department's 8/21/2019 determination, 10/2/2020. WellStar Windy Hill requests Commissioner Review, 11/2/2020. Commissioner Review Decision: Affirmed Hearing Officer's 10/2/2020 decision to deny WellStar Windy Hill's Motion for
Summary Adjudication, 12/1/2020. WellStar Windy Hill filed Petition for Judicial Review, 12/31/2020.
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: N/A Hearing Decision: Hearing Officer denied BI's Motion for Summary Adjudication; granted Memorial's Motion for Summary Adjudication; granted the Department's Motion for Summary Adjudication, 11/6/2020. BI requested Commissioner Review, 12/9/2020. Commissioner Review Decision: Affirmed Hearing Officer's 11/6/2020 decision denying BI's Motion for Summary Adjudication, granting the Department's and Memorial's Motions for Summary Adjudication, and affirming the Department's 6/11/2020 determination, 1/5/2021.
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: N/A Hearing Decision: Hearing Officer denied Hamilton's Request for Administrative Appeal; granted AdventHealth's Motion for Summary Adjudication; affirmed the Department's 7/15/2020 determination, 12/10/2020.
DET2020-161 Greene County Health Care, LLC dba Greene Point Health and Rehabilitation Request for Letter of Determination received on 7/15/2020, regarding the relocation of 50 SNF beds within the same county. Agency Decision: Denied on 9/11/2020 Appealed: Greene County Healthcare, LLC d/b/a Greene Point Heath and Rehabilitation filed Request for Administrative Appeal Hearing on 10/19/2020. Hearing Officer: Dr. L. Lynn Hogue Hearing Date: Pending
DET-EQT2020-052 The Multiple Sclerosis Center of Georgia, Inc. Request for Letter of Determination received on 8/24/2020, regarding the acquisition of a GE Healthcare HDXT MRI with a CXK4 magnet. Agency Decision: Denied on 12/16/2020 Appealed: The Multiple Sclerosis Center of Georgia ("MSCG") filed Request for Administrative Appeal Hearing on 1/14/2021. Hearing Officer: Pending Hearing Date: Pending
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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. / Remote Video Conference Hearing Decision: Pending
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 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. Court of Appeals affirms the Superior Court's decision upholding the Department's decision, 8/20/2020. Supreme Court: Petition for Writ of Certiorari granted, judgment of the Court of Appeals vacated, and case remanded for reconsideration, 12/23/19. Doctors Hospital files Petition for Writ of Certiorari, requesting the Supreme Court review the 8/20/2020 Court of Appeals decision, 9/9/2020.
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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. On remand, Court of Appeals affirms the Superior Court's judgment denying Wellstar's petition for judicial review, 10/26/2020. Supreme Court: Petition for Writ of Certiorari granted, judgment reversed in part, and case remanded with direction, 12/23/19.
2018-008 Floyd Healthcare Management Inc dba Floyd Medical Center (Floyd) 2018-009 Tanner Medical Center Carrollton (Carroll) 2018-010 Hamilton Medical Center (Whitfield)
Development of Adult Open Heart Surgery Service - Batching Agency Decision: 2018-008 Denied, 6/25/2018; 2018-009 Denied, 6/25/2018; 2018-010 Denied, 6/25/2018 Appealed By: 2018-008 Applicant Floyd Healthcare Management, Inc. d/b/a Floyd Medical Center, 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: 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: 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. Floyd Medical Center filed Petition for Judicial Review of DCH's Final Order on Remand, 7/30/2020. Superior Court of Floyd County denied Floyd Medical Center's Petition for Judicial Review,10/29/2020. Floyd Medical Center filed Application for Discretionary Appeal in the Georgia Court of Appeals, 11/30/2020.
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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; Continued until further notice
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, 9/2-4/2020, 10:00 A.M.; 9/18/2020, 9 A.M. / Remote Video Conference Hearing Decision: Hearing Officer affirms Department's decision to grant Vision Imaging Center, LLC a CON, 12/28/2020.
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. / Remote Video Conference Hearing Decision: Hearing Officer affirms Department's decision to deny CMC a CON, 1/4/2021.
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: 3/8/2021, 9:00 A.M. / 5th Floor Hearing Decision: Hearing Officer reverses the Department's decision to grant a CON to Doctors Hospital of Augusta, LLC, 12/8/2020. Doctors Hospital of Augusta, LLC d/b/a Doctors Hospital of Augusta ("Doctors") requests Commissioner Review, 12/21/2020. The Department requests Commissioner Review, 1/7/2021.
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.
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Hearing Date: 11/9-10/2020, 11/12-13/2020, 9:30 A.M. / Remote Video Conference Hearing Decision: Pending
2020-004 Savannah Health Services, LLC dba Memorial Health University Medical Ctr (Bryan) 2020-005 Savannah Health Services, LLC dba Memorial Health University Medical Ctr (Chatham) 2020-004 Construction of Freestanding Emergency Department 2020-005 Construction of Freestanding Emergency Department Agency Decision: 2020-004 Approved, 6/11/2020 2020-005 Approved, 6/8/2020 Appealed By: 2020-004 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. 2020-005 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: 1/19-22/2021, 1/25-28/2021, 9:30 A.M. / Remote Video Conference; Continued until further notice
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: 2/9-10,12/2021, 9:30 A.M. / 5th Floor; 2/11/2021, 9:30 A.M. / 41st Floor
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: 12/7-11/2020, 12/14-18/2020, 9:00 A.M. / Remote Video Conference Hearing Decision: 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"), 8/19/2020. AU Medical Center, Inc. ("AUMC"), 8/20/2020. Hearing Officer: William C. Joy, Esq. Hearing Date: 3/22-26/2021, 9:00 A.M. / Remote Video Conference
2020-023 AU Medical Center, Inc. (Richmond) Establish a Freestanding Emergency Care Facility as a Department of AU Medical Center, Inc Agency Decision: Approved, 7/28/2020 Appealed By: Doctors Hospital of Augusta, LLC d/b/a Doctors Hospital of Augusta ("Doctors"), 8/27/2020. University Health Services, Inc. ("University"), 9/3/2020. University McDuffie County Regional Medical Center, Inc. ("UniversityMcDuffie"), 9/3/2020. Hearing Officer: William C. Joy, Esq. Hearing Date: 4/12-16/2021, 9:00 A.M. / Remote Video Conference
2020-025 United Imaging Center of Buckhead, LLC (Fulton) Proposed Freestanding Advanced Diagnostic Imaging Center in Fulton County Agency Decision: Denied, 10/15/2020 Appealed By: United Imaging Centers of Buckhead, LLC d/b/a United Imaging Centers of Buckhead ("UIC Buckhead"),
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11/10/2020. Pro Radiology, LLC ("Pro Radiology") filed Request to Intervene, 11/12/2020. Hearing Officer: Pending Hearing Date: Pending

2020-026 United Imaging Center of Chamblee, LLC (Fulton) Proposed Freestanding Advanced Diagnostic Imaging Center in Cobb County Agency Decision: Denied, 10/15/2020 Appealed By: United Imaging Centers of Chamblee, LLC d/b/a United Imaging Centers of Chamblee ("UIC Chamblee"), 11/10/2020. American Health Imaging of Georgia, LLC d/b/a American Health Imaging of Decatur ("AHI-Decatur") filed Request to Intervene, 11/12/2020. Hearing Officer: Pending Hearing Date: Pending

2020-027 United Imaging Center of Jonesboro, LLC (Clayton) Proposed Freestanding Advanced Diagnostic Imaging Center in Clayton County Agency Decision: Denied, 10/16/2020 Appealed By: United Imaging Centers of Jonesboro, LLC d/b/a United Imaging Centers of Jonesboro ("UIC Jonesboro"), 11/10/2020. American Health Imaging of Georgia, LLC d/b/a American Health Imaging of Fayetteville ("AHI-Fayetteville") filed Request to Intervene, 11/12/2020. Hearing Officer: Pending Hearing Date: Pending

2020-028 United Imaging Center of Marietta (Cobb) Proposed Freestanding Advanced Diagnostic Imaging Center in Cobb County, SSDR-3 Agency Decision: Denied, 10/16/2020 Appealed By: United Imaging Centers of Marietta, LLC d/b/a United Imaging Centers of Marietta ("UIC Marietta"), 11/10/2020. American Health Imaging of Georgia, LLC d/b/a American Health Imaging of Marietta ("AHI-Marietta") filed Request to Intervene, 11/12/2020. Hearing Officer: Pending Hearing Date: Pending

2020-029 South Georgia Medical Center (Lowndes) Expand Hospital Bed Capacity by 45 beds Agency Decision: Denied, 10/26/2020 Appealed By: Hospital Authority of Valdosta and Lowndes County Georgia d/b/a South Georgia Medical Center ("SGMC"), 11/24/2020. 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-EQT2020070 AU Medical Associates, Inc.

Lease Mobile MRI

Request received: 9/30/2020

Contact Person: Kathryn MT Platt

Determination: Denied

Determination Date: 12/28/2020

DET-EQT2020071 Village Podiatry Group, LLC Transfer Fixed MRI Request received: 10/5/2020 Contact Person: Everette B. Jenkins

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Determination: Non-reviewable as proposed Determination Date: 12/31/2020

DET-EQT2020077 Allegiance Imaging and Radiology, LLC

Lease Fixed CT Scanner

Request received: 10/14/2020

Challenge Received: 10/19/2020

Contact Person: Everette B. Jenkins

Determination: Pending

Opposition: American Health Imaging of Georgia, LLC- 10/19/2020

DET-EQT2020081 Grady Health System Purchase Fixed MRI Request received: 10/20/2020 Contact Person: Mike McCarthy Determination: Non-reviewable as proposed

Determination Date: 1/8/2021

DET-EQT2020083 University Health Services, Inc. d/b/a University Hospital

Purchase Radiology Special Procedures Equipment

Request received: 10/20/2020

Contact Person: Edward Burr

Determination: Withdr/Agency Prior to Dec

Date of Withdrawal:

12/21/2020

DET-EQT2020084 Houston Hospitals, Inc. dba Houston Medical Center Purchase da Vinci Xi Single Console System Request received: 10/28/2020 Contact Person: Sean Whilden Determination: Non-reviewable as proposed Determination Date: 12/28/2020

DET-EQT2020085 Columbus Ambulatory Healthcare Services d/b/a Columbus Regional Purchase Fixed CT Scanner Request received: 10/30/2020 Contact Person: Allen Holladay Determination: Pending

DET-EQT2020086 Optim Orthopedics, LLC Purchase Fixed MRI, Fixed CT Scanner Request received: 10/30/2020 Contact Person: Michael Butler Determination: Non-reviewable as proposed

Determination Date: 12/28/2020

DET-EQT2020087 Wellstar North Fulton Hospital, Inc. d/b/a Wellstar North Fulton Hospital Lease Mobile MRI Request received: 11/4/2020 Contact Person: April Austin Determination: Non-reviewable as proposed Determination Date: 1/4/2021

DET-EQT2020088 Piedmont Newton Hospital Inc Purchase Fixed CT Scanner Request received: 11/4/2020 Contact Person: Christine MacEwen Determination: Non-reviewable as proposed Determination Date: 1/4/2021

DET-EQT2020089 Emory University d/b/a Emory University Hospital

Purchase Fixed MRI

Request received: 11/4/2020

Contact Person: Matt Wain

Determination: Withdr/Appl Prior to Dec

Opposition: Northeast Georgia Medical Center, Inc. d/b/a Northeast Georgia Medical Center-Gainesville

and d/b/a Northeast Georgia Medical Center-Braselton ("NGMC")- 12/4/2020

Date of Withdrawal:

12/22/2020

DET-EQT2020090 First Look MRI Alpharetta, LLC Lease Fixed MRI Request received: 11/5/2020
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Contact Person: Brian Gay, MD Determination: Non-reviewable as proposed Determination Date: 1/4/2021

DET-EQT2020091 Georgia Bone and Joint, LLC Purchase Fixed MRI Request received: 11/17/2020 Contact Person: David LaGuardia Determination: Non-reviewable as proposed Determination Date: 1/15/2021

DET-EQT2020092 Medical Center, Navicent Health Purchase Fixed CT Scanner Request received: 11/19/2020 Contact Person: H. Bryan Forlines Determination: Pending

DET-EQT2020093 Ortho Sport and Spine Physicians Purchase Fixed MRI Request received: 11/23/2020 Contact Person: Sean Bajnath Determination: Pending

DET-EQT2020094 Piedmont Hospital, Inc. d/b/a Piedmont Atlanta Hospital Purchase IR Biplane System Request received: 12/7/2020 Contact Person: Christine MacEwen Determination: Pending

DET-EQT2020095 St, Francis Health, LLC Lease Surgical Robot Arm Request received: 12/11/2020 Contact Person: Alan George Determination: Non-reviewable as proposed

Determination Date: 1/14/2021

DET-EQT2020096 Apex Health and Pain LLD dba OrthoPooler Lease Fixed MRI Request received: 12/11/2020 Contact Person: Mike Lofton Determination: Pending

DET-EQT2020097 Emory University d/b/a Emory University Orthpaedics & Spine Hospital Purchase Fixed MRI Request received: 12/22/2020 Contact Person: Matt Wain Determination: Pending

DET-EQT2020098 Hospital Authority of Candler County d/b/a Candler County Hospital Lease Fixed MRI Request received: 12/23/2020 Contact Person: Michael Purvis Determination: Pending

DET-EQT2020099 South Atlanta Radiology Associates Acquire Fixed CT Scanner Request received: 12/28/2020 Contact Person: Amanda Daniel 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)
DET-ASC2020001 Georgia Surgical Center on Peachtree, LLC
11

Joint Venture, Single Specialty ASC

Site: 2061 Peachtree Road, Suite 100 Atlanta, GA 30309

Number of ORs: 2

Specialty: Orthopedics

Project costs as submitted: $0.00

Request received: 11/10/2020

Contact Person: Brynne Goncher

Determination: Approved

Determination Date: 1/8/2021

DET-ASC2020002 Hughston Surgical Center of Valdosta, LLC

Physician-Owned, Single Specialty ASC

Site: 4340 Kings Way, Valdosta, GA 31602

Number of ORs: 2

Specialty: Orthopedics

Project costs as submitted: $4,238,556.47

Request received: 11/11/2020

Contact Person: Victor Moldovan 404-898-8120

Determination: Pending

DET-ASC2020003 Alliance Surgery Center at Peachtree City, LLC

Physician-Owned, Single Specialty ASC

Site: 1975 Highway 54 W, Suite 105 Peachtree City, GA 30269

Number of ORs: 1

Specialty: Pain Medicine

Project costs as submitted: $462,759.00

Request received: 11/16/2020

Contact Person: Victoria Beck 770-929-9033

Determination: Approved

Determination Date: 1/14/2021

DET-ASC2020006 Southeast Eye Laser Surgery Center LLC

Physician-Owned, Single Specialty ASC

Site: 3215 Shrine Road, Suite 8, Brunswick, Georgia 31520

Number of ORs: 3

Specialty: Ophthalmology

Project costs as submitted: $1,733,743.00

Request received: 12/15/2020

Contact Person: Neil Hoffman 404-873-8594

Determination: Pending

DET-ASC2021001 Medici Medical Arts, LLC

Physician-Owned, Single Specialty ASC

Site: 792 Church Street, Marietta, Georgia 30060

Number of ORs: 1

Specialty: Orthopedic Surgery

Project costs as submitted: $611,650.00

Request received: 1/6/2021

Contact Person: Everette B. Jenkins

Determination: Pending

DET-ASC2021002 Medici Medical Arts, LLC

Physician-Owned, Single Specialty ASC

Site: 2220 Wisteria Drive, Snellville, Georgia 30078

Number of ORs: 2

Specialty: Orthopedic Surgery

Project costs as submitted: $0.00

Request received: 1/6/2021

Contact Person: Everette B. Jenkins 678-625-4720

Determination: Pending

DET-ASC2021003 Hamilton Orthopedic Surgery Center, LLC

Joint Venture, Single Specialty ASC

Site: 1104 Professional Boulevard, Dalton, Georgia 30720

Number of ORs: 3

Specialty: Orthopedic Surgery

Project costs as submitted: $6,366,211.00

Request received: 1/7/2021

Contact Person: Jason E. Bring 404-873-8162

Determination: Pending

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Requests for Miscellaneous Letters of Determination
DET2020191 Grady Health System Replacement of Interventional Radiology Equipment Request received: 9/23/2020 Contact Person: Mike McCarthy Determination: Pending
DET2020201 Hospital Authority of Colquitt County d/b/a Colquitt Regional Medical Center Upgrade Nine Rooms on Second Floor and Nursing Station Request received: 10/15/2020 Contact Person: William Bishop Determination: Non-reviewable as proposed Determination Date: 1/7/2021
DET2020204 University Health Services, Inc. d/b/a University Hospital Replacement of Cardiac Cath Lab Equipment Request received: 10/22/2020 Contact Person: Edward L. Burr Determination: Non-reviewable as proposed Determination Date: 12/21/2020
DET2020205 Floyd Healthcare Management Inc., d/b/a Floyd Medical Center Replacement of Automated Dispensing Cabinets Request received: 10/22/2020 Contact Person: Drew Dempsey Determination: Non-reviewable as proposed Determination Date: 12/21/2020
DET2020206 John D. Archbold Memorial Hospital, Inc. d/b/a Grady General Hospital Addition of New Kitchen and Dining Area Request received: 10/23/2020 Contact Person: Crystal Wells, RN, MSN 299-377-0250 Determination: Non-reviewable as proposed Determination Date: 12/23/2020
DET2020207 Piedmont Hospital Inc. d/b/a Piedmont Atlanta Hospital Replacement of CON Authorized PET/CT Scanner Request received: 10/30/2020 Contact Person: Randy Sprinkle Determination: Pending
DET2020208 Coffee Regional Medical Center, Inc. Renovation of Women's Health Services Unit Request received: 11/2/2020 Contact Person: Ben Floyd Determination: Non-reviewable as proposed Determination Date: 12/31/2020
DET2020209 The Medical Center of Central Georgia, Inc. d/b/a The Medical Center, Navicent Below Cost Threshold Upgrade of Existing OR to Hybrid OR Request received: 11/4/2020 Contact Person: Samantha Cordle Determination: Non-reviewable as proposed Determination Date: 1/4/2021
DET2020211 Savannah Health Services, LLC d/b/a Memorial Health University Medical Center 10% Bed Capacity Increase Exemption Request received: 11/13/2020 Contact Person: Matthew S. Hasbrouck Determination: Non-reviewable as proposed Determination Date: 1/11/2021
DET2020212 Savannah Health Services, LLC d/b/a Memorial Health University Medical Center Below Threshold Expenditure - Outpatient Services, Building 100 Request received: 11/13/2020 Contact Person: Matthew S. Hasbrouck Determination: Non-reviewable as proposed Determination Date: 1/11/2021
13

DET2020213 Savannah Health Services, LLC d/b/a Memorial Health University Medical Center Below Threshold Expenditure - Day Surgery Pre-Op Request received: 11/13/2020 Contact Person: Matthew S. Hasbrouck Determination: Non-reviewable as proposed Determination Date: 1/11/2021
DET2020214 Savannah Health Services, LLC d/b/a Memorial Health University Medical Center Below Threshold Expenditure - Orthopedics Inpatient Request received: 11/13/2020 Contact Person: Matthew S. Hasbrouck Determination: Non-reviewable as proposed Determination Date: 1/11/2021
DET2020215 Northside Hospital, Inc. d/b/a Northside Hospital Gwinnett Replacement of Cardiac Cath Lab Equipment Request received: 11/19/2020 Contact Person: Brian Toporek Determination: Non-reviewable as proposed Determination Date: 1/19/2021
DET2020216 Screven County Hospital, LLC d/b/a Optim Medical Center-Screven Renovation of Emergency Department Request received: 11/20/2020 Contact Person: Joseph R. Ross Determination: Pending
DET2020217 Doctors Hospital of Augusta, LLC d/b/a Doctors Hospital of Augusta Replacement of CON-Approved Varian Trilogy Radiation Therapy System Request received: 11/23/2020 Contact Person: Elizabeth Lamb Determination: Pending
DET2020218 Effingham Hospital, Inc. Oncology Renovation Request received: 11/24/2020 Contact Person: Michele Madison Determination: Pending
DET2020219 Effingham Hospital, Inc. Medical Office Building Pediatric Request received: 11/24/2020 Contact Person: Michele Madison Determination: Pending
DET2020220 Effingham Hospital, Inc. LOD for HVAC Upgrade Request received: 11/25/2020 Contact Person: Michele Madison Determination: Pending
DET2020221 Emory University d/b/a Emory University Orthopaedic and Spine Hospital Replacement of CON-Approved MRI Request received: 11/27/2020 Contact Person: Greg Pennington Determination: Pending
DET2020222 RiverWoods Behavioral Health, LLC d/b/a Lakeview Behavioral Health Outpatient & Medical Records Remodeling Request received: 11/30/2020 Contact Person: Adrienne E Marting Determination: Non-reviewable as proposed Determination Date: 12/30/2020
DET2020223 Alliance Surgery Center at Augusta, LLC Expansion of ASC Request received: 12/1/2020
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Contact Person: Wendy Montembeau Determination: Pending
DET2020224 Paulding Medical Center d/b/a Wellstar Paulding Hospital Cardiac Catheterization Lab Upgrades Request received: 12/1/2020 Contact Person: April Austin 470-644-0057 Determination: Pending
DET2020225 Piedmont Henry Hospital, Inc. Inpatient Room Renovations (4th Floor) Request received: 12/3/2020 Contact Person: Christine MacEwen Determination: Pending
DET2020226 Piedmont Hospital Inc. d/b/a Piedmont Atlanta Hospital OR Expansion Request received: 12/7/2020 Contact Person: Christine MacEwen Determination: Pending
DET2020227 Piedmont Henry Hospital, Inc. Minor ED Renovation Request received: 12/7/2020 Contact Person: Christine MacEwen Determination: Pending
DET2020228 Effingham Hospital, Inc. Land Acquisition Request received: 12/8/2020 Contact Person: Michele Madison Determination: Pending
DET2020230 Northside Hospital Inc. d/b/a Northside Hospital Gwinnett Request to Replace MRI Request received: 12/18/2020 Contact Person: Jeffrey Stofko Determination: Pending
DET2020231 Egleston Children's Hospital at Emory University, Inc. Replacement of Two CON-Approved Cardiac Catheterization Lab Units Request received: 12/23/2020 Contact Person: David Fenstermacher Determination: Pending
DET2020232 Northside Hospital, Inc. d/b/a Northside Hospital Cherokee Addition of Adult Diagnostic Cardiac Cath Lab and Equipment Request received: 12/24/2020 Contact Person: Brian Toporek Determination: Pending
DET2020233 Eastside Medical Center, LLC d/b/a Eastside Medical Center Reallocation of Medical/Surgical Beds to Comprehensive Physical Rehabilitation Beds Request received: 12/30/2020 Contact Person: Persaud Rudolph Determination: Pending
DET2020234 Southern Gastroenterology Associates, LLC Convert LNR to DET Request received: 12/2/2020 Contact Person: Victor Moldovan Determination: Pending
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DET2020235 Gastro South, LLC Establishment of Endoscopy Center Request received: 12/8/2020 Contact Person: Victor Moldovan Determination: Pending
DET2021002 Floyd Healthcare Management, Inc., d/b/a Floyd Medical Center Surgery Department Renovations to Support Trauma Service Request received: 1/16/2021 Contact Person: Drew Dempsey Determination: Pending
DET2021003 Floyd Healthcare Management Inc., d/b/a Floyd Medical Center Renovations to Third Floor Hospital Space Request received: 1/16/2021 Contact Person: Drew Dempsey Determination: Pending

Requests for Extended Implementation/Effective Period

2019028 Dodge County Hospital Authority 10-Bed Expansion of Geriatric Psych Unit Batching Request to Extend Performance Period Site: 901 Griffin Ave, Eastman (Dodge) Project Approved: 12/20/2019 Request Received: 11/3/2020 Contact: Jan Hamrick CFO (478-448-4050) Approved Cost: $ 1,900,420 Determination: Approved, 1/6/2021

Extended Mandatory Completion: January 1, 2022

2010047 Eastside Medical Center Renovation and Expansion of Main Hospital Facility Request to Extend Completion Date Site: 1700 Medical Way, Snellville (Gwinnett) Project Approved: 3/4/2011 Request Received: 11/24/2020 Contact: Trent Lind CEO (770-979-0200) Approved Cost: $ 75,336,587 Determination: Pending

2019018 Dekalb Medical Center, Inc d/b/a Emory Decatur Hospital

Renovation of 3rd Floor

Request to Extend Completion Date

Site: 2701 North Decatur Road, Decatur (DeKalb)

Project Approved: 9/3/2019

Request Received: 11/30/2020

Contact: Jennifer Schuck, VPO (404-501-4622)

Approved Cost: $ 5,232,402

Determination: Approved, 1/8/2021

Extended Mandatory Completion: December 31, 2021

2019034 American Health Imaging of GA, LLC dba American Health Imaging of Marietta Add Second MRI Unit to Existing DTRC in Marietta Request to Extend Performance Period Site: 796 Church Street Suite 100, Marietta (Cobb) Project Approved: 2/14/2020 Request Received: 1/4/2021 Contact: Dan Balentine, President (404-297-5202) Approved Cost: $ 1,225,000 Determination: Pending

2019036 Emory University Hospital Hospital Renovation to Relocate and Expand Heart and Vascular Department Request to Extend Performance Period
16

Site: 1364 Clifton Road, Atlanta (DeKalb) Project Approved: 2/7/2020 Request Received: 1/6/2021 Contact: Catherine A. Maloney, FACHE VP, Operations (404-712-5529) Approved Cost: $ 14,048,175 Determination: Pending
2017043 Southeast Georgia Health System, Inc. Renovation and Expansion to Brunswick Campus Request to Extend Completion Date Site: 2415 Parkwood Drive, Brunswick (Glynn) Project Approved: 11/17/2017 Request Received: 1/8/2021 Contact: Tripp Stephens, Vice President (912-466-7055) Approved Cost: $123,474,000 Determination: Pending
Need Projection Analyses Posted 12/18/2020
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 12/18/2020
2025 PET Need Projection Posted 12/18/2020
2025 Ambulatory Surgical Services Need Projection by HPA Posted 9/18/2020
2025 Inpatient Physical Rehabilitation Need Projections Posted 9/18/2020
2025 Neonatal Intermediate Care Bed Need Projection Posted 9/18/2020
2025 Neonatal Intensive Care Bed Need Projection Posted 9/18/2020
2025 Obstetric Services Bed Need Projection Posted 9/18/2020
2023 Nursing Home Bed Need Projection Posted 9/18/2020
2023 Home Health Agency Services Need Projection - Posted 9/18/2020
Non-Batched Need Projections
2024 Long Term Care Hospital Beds - 9/23/2020
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.
Indigent and Charity Care Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 17

Years (Commitment status as of (1/19/2021)

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.

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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 12/18/2020 on DCH Website
Winter Batching Review Cycle Notifications
The requirements for Letters of Intent associated with designated Batching Cycles will be issued at the time of publication of the Batching Notice.
Letters of Intent for services, facilities, or expenditures for which there is no specified batching cycle, or other applicable rule, may be filed at any time.

Positron Emission Tomography Pediatric Cath/Open Heart Birthing Centers

Mega Voltage Radiation Therapy Psych/Substance Abuse Adult Open Heart

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

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

Batching Notice
(December 18, 2020)

Application Day
(application complete when submitted; review cycle begins same day)
(February 16, 2021: Application due by 12 noon)

75th Day
(Applicant provides additional (Aiungfoursmt 8a,ti2o0n2)0)
(May 1, 2021)

100th Day
(last day for letters of support to be submitted to Department)
(May 26, 2021)

120th Day
(Department Issues
Decision)
(June 15, 2021)

Letter of
Intent
(January 17, 2021)

60-Day Meeting
(applicant only;
opposition letters due)
(April 16, 2021)

90th Day
(opposition meeting,
applicant can attend,
opposing party must
provide written copy of argument)
(May 16, 2021)

110th Day
(Applicant provides amended information; applicant provides response to opposition)
(June 5, 2021)

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
FALL CYCLE

Batching Notice
(September 18, 2020)

Application Day
(application complete when submitted; review cycle begins same day)
(November 17, 2020: Application due by 12 noon)

75th Day
(Applicant provides additional (Aiungfoursmt 8a,ti2o0n2)0)
(January 30, 2021)

100th Day
(last day for letters of support to be submitted to Department)
(February 24, 2021)

120th Day
(Department Issues
Decision)
(March 16, 2021)

Letter of
Intent
(October 18, 2020)

60-Day Meeting
(applicant only;
opposition letters due)
(January 15, 2021)

90th Day
(opposition meeting,
applicant can attend,
opposing party must
provide written copy of argument)
(February 14, 2021)

110th Day
(Applicant provides amended information; applicant provides response to opposition)
(March 6, 2021)

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 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. 31-6-1 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 contact Steve Cappel, Data Manager, at steve.cappel@dch.gov. 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.
24

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 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

25

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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