Certificate of Need tracking and appeals report, 2021 October 13 - 2021 October 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New CON Applications Withdrawn CON Applications Pending/Complete Applications Pending Review/Incomplete CON Applications Recently Approved CON Applications Recently Denied CON Applications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 Fall Cycle Need Projection Analyses Batching Review
Fall Cycle Summer 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
October 13, 2021 October 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

IMPORTANT NOTICES

Letters of Intent

LOI2021048 Fairview Park, Limited Partnership d/b/a Fairview Park Hospital

Renovate Surgical Suite

Received: 9/29/2021

Application must be submitted on: 10/29/2021

Site: 200 Industrial Boulevard, Dublin, GA 31021-29 (Laurens County)

Estimated Cost: $15,000,000

LOI2021049 Northside Hospital, Inc. d/b/a Northside Hospital - Forsyth

Addition of 26 Short Stay Inpatient Beds

Received: 10/4/2021

Application must be submitted on: 11/3/2021

Site: 1200 Northside Forsyth Drive, Cumming, GA 30041 (Forsyth County)

Estimated Cost: $0

Letters of Intent Batching
none

Expired Letters of Intent
none
Withdrawn CON Applications
2021-035 Piedmont Athens Regional Medical Center Conversion of Cath Lab to EP Lab Filed: 5/26/2021 Deemed Complete: 6/9/2021 60th Day Deadline: 8/7/2021 Decision Deadline: 10/6/2021 WITHDRAWN: 9/22/2021 Site: 1199 Prince Avenue, Athens, GA 30606 (Clarke County) Contact: Jody J. Corry, Senior Corporate Counsel 706-475-1195 Estimated Cost: $2,000,000
New CON Applications
none
Pending Review/Incomplete Applications
none

Pending Review/Complete Applications
2021-037 The A.G. Rhodes Home - Cobb, Inc. Major Renovation Filed: 7/12/2021 Deemed Complete: 7/26/2021 60th Day Deadline: 9/23/2021 Decision Deadline: 11/22/2021 Site: 900 Wylie Road SE, Marietta, GA 30067 (Cobb County) Contact: John Hicks, Director of Capital Projects 404-797-9870 Estimated Cost: $36,238,000
2021-038 Columbus Regional Medical Group Replacement of CT Scanner Filed: 7/29/2021 Deemed Incomplete: 8/12/2021 Deemed Complete: 8/18/2021 60th Day Deadline: 10/16/2021
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Decision Deadline: 12/15/2021 Site: 1538 13th Avenue, Unit A, Columbus, GA 31901 (Muscogee County) Contact: Christine Macewen, Executive Director 470-271-2311 Estimated Cost: $133,600
2021-039 Kennestone Hospital Inc. d/b/a Wellstar Kennestone Hospital
Construct New Bed Tower Filed: 8/2/2021 Deemed Complete: 8/16/2021 60th Day Deadline: 10/14/2021 Decision Deadline: 12/13/2021 Site: 677 Church Street, Marietta, GA 30060 (Cobb County) Contact: April Austin, Manager, Strategic Planning 470-644-0057 Estimated Cost: $263,000,000
2021-040 DeKalb Medical Center, Inc. d/b/a Emory Decatur Hospital
Renovations of Existing CT Room and Replacment of CT Scanner Filed: 8/9/2021 Deemed Complete: 8/20/2021 60th Day Deadline: 10/18/2021 Decision Deadline: 12/17/2021 Site: 2701 North Decatur Road, Decatur, GA 30033 (DeKalb County) Contact: Jennifer Schuck, VP of Operations 404-501-4822 Estimated Cost: $3,764,316
2021-041 Union General Hospital, Inc
Renovate and Expand Hospital Filed: 8/20/2021 Deemed Incomplete: 9/7/2021 Deemed Complete: 9/19/2021 60th Day Deadline: 11/17/2021 Decision Deadline: 1/16/2022 Site: 35 Hospital Road, Blairsville, GA 30512 (Union County) Contact: Kevin Bierschenk, Chief Executive Officer 706-745-2111 Estimated Cost: $58,475,150
2021-042 Northside Hospital Cherokee
Establish Non-Special MegaVoltage Radiation Therapy Service - Batching Filed: 8/27/2021 Deemed Complete: 8/27/2021 60th Day Deadline: 10/25/2021 Decision Deadline: 12/24/2021 Site: Mountainside Village Pkwy, Jasper, GA 30143 (Pickens County) Contact: Brian J. Toporek, Senior Planner 404-851-6821 Estimated Cost: $22,531,795
2021-043 Piedmont Mountainside Hospital, Inc.
Establish Non-Special MegaVoltage Radiation Therapy Service - Batching Filed: 8/27/2021 Deemed Complete: 8/27/2021 60th Day Deadline: 10/25/2021 Decision Deadline: 12/24/2021 Site: 1266 Highway 515 South, Jasper, GA 30143 (Pickens County) Contact: Lindsay Gard, Executive Director/CFO 706-299-5110 Estimated Cost: $15,525,000
2021-044 Augusta Birth Center
Establish Freestanding Birthing Center - Batching Filed: 8/27/2021 Deemed Complete: 8/27/2021 60th Day Deadline: 10/25/2021 Decision Deadline: 12/24/2021 Site: 930 D'Antignac St, Augusta, GA 30901 (Richmond County) Contact: Katie Rose Chubb, Executive Director 706-414-7328 Estimated Cost: $1,470,007
2021-046 Northside Hospital, Inc. d/b/a Northside Hospital Gwinnett
Acquisition of Standalone PET Unit
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Filed: 9/13/2021 Deemed Complete: 9/27/2021 60th Day Deadline: 11/25/2021 Decision Deadline: 1/24/2022 Site: 755 Walther Road, Lawrenceville, GA 30046 (Gwinnett County) Contact: Brian Toporek, Senior Planner 404-851-6821 Estimated Cost: $340,000
2021-048 Grady Memorial Hospital Corporation d/b/a Grady Health System
Cost Overrun for CON Project No. 2018-069 Filed: 9/30/2021 Deemed Incomplete: 10/14/2021 Deemed Complete: 10/14/2021 60th Day Deadline: 12/12/2021 Decision Deadline: 2/10/2022 Site: 80 Gilmer Street, Atlanta, GA 30303 (Fulton County) Contact: Shannon Sale, Chief Strategy Officer 404-616-7029 Estimated Cost: $31,560,145

Recently Approved Applications

2021-026 Eyesight's Laser & Surgery Center
Request to Expand Surgical Capabilities - Batching Filed: 5/24/2021 Deemed Complete: 5/24/2021 60th Day Deadline: 7/22/2021 Decision Deadline: 9/20/2021 APPROVED: 9/20/2021 Site: 220 Corder Road, Warner Robins, GA 31088 (Houston County) Contact: Lisa Barker, RN 478-396-9344 Estimated Cost: $1,000,000
2021-028 Emory Orthopaedic Outpatient Surgery Center
Expansion of Emory Orthopaedic Outpatient Surgery Center - Batching Filed: 5/24/2021 Deemed Complete: 5/24/2021 60th Day Deadline: 7/22/2021 Decision Deadline: 9/20/2021 APPROVED: 9/20/2021 Site: 21 Ortho Lane, Atlanta, GA 30301 (DeKalb County) Contact: Mike Mason Vice President of Operations 404-778-5639 Estimated Cost: $2,750,000
2021-036 Northside Hospital Gwinnett
Construct New Patient Tower Filed: 6/2/2021 Deemed Complete: 6/16/2021 60th Day Deadline: 8/14/2021 Decision Deadline: 10/13/2021 APPROVED: 10/13/2021 Site: 1000 Medical Center Boulevard, Lawrenceville, GA 30045 (Gwinnett County) Contact: Brian Toporek, Senior Planner 404-851-6821 Estimated Cost: $400,000,000

Recently Denied Applications

2021-015 PruittHealth Home Health, Inc. d/b/a PruittHealth @ Home - Gainesville

Home Health Agency- Batching

OPPOSITION FILED

Filed: 5/24/2021 Deemed Complete: 5/24/2021 60th Day Deadline: 7/22/2021 Decision Deadline: 9/20/2021 DENIED: 9/20/2021 Site: 39 Three Rivers Drive NE, Rome, GA 30161 (Floyd County) Contact: Aneel S. Gill, VP of Planning and Development 205-356-7607 Estimated Cost: $43,000

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2021-016 PruittHealth Home Health, Inc. d/b/a PruittHealth @ Home - Gainesville

Home Health Agency- Batching

OPPOSITION FILED

Filed: 5/24/2021 Deemed Complete: 5/24/2021 60th Day Deadline: 7/22/2021 Decision Deadline: 9/20/2021 DENIED: 9/20/2021 Site: 2545 Flintridge Road Suite 110 , Gainesville, GA 30501 (Hall County) Contact: Aneel S. Gill, VP of Planning and Development 205-356-7607 Estimated Cost: $43,000

2021-017 PruittHealth Home Health - South Atlanta Inc. d/b/a PruittHealth @ Home - G

Home Health Agency- Batching

OPPOSITION FILED

Filed: 5/24/2021 Deemed Complete: 5/24/2021 60th Day Deadline: 7/22/2021 Decision Deadline: 9/20/2021 DENIED: 9/20/2021 Site: 147 West Ellis Road , Griffin, GA 30223 (Spalding County) Contact: Aneel S. Gill, VP of Planning and Development 205-356-7607 Estimated Cost: $43,000

2021-021 PruittHealth Home Health, Inc. d/b/a PruittHealth @ Home - Atlanta

Home Health Agency- Batching
Filed: 5/24/2021 Deemed Complete: 5/24/2021 60th Day Deadline: 7/22/2021 Decision Deadline: 9/20/2021 DENIED: 9/20/2021 Site: 349 Resource Parkway , Winder, GA 30680 (Barrow County) Contact: Aneel S. Gill, VP of Planning and Development 205-356-7607 Estimated Cost: $43,000

OPPOSITION FILED

2021-022 PruittHealth Home Health, Inc. d/b/a PruittHealth @ Home - Albany

Home Health Agency- Batching

OPPOSITION FILED

Filed: 5/24/2021 Deemed Complete: 5/24/2021 60th Day Deadline: 7/22/2021 Decision Deadline: 9/20/2021 DENIED: 9/20/2021 Site: 202 North Westover Blvd , Albany, GA 31707 (Dougherty County) Contact: Aneel S. Gill, VP of Planning and Development 205-356-7607 Estimated Cost: $73,000

2021-023 PruittHealth Home Health, Inc. d/b/a PruittHealth @ Home - Vidalia

Home Health Agency- Batching

OPPOSITION FILED

Filed: 5/24/2021 Deemed Complete: 5/24/2021 60th Day Deadline: 7/22/2021 Decision Deadline: 9/20/2021 DENIED: 9/20/2021 Site: 1305 North St E. , Vidalia, GA 30472 (Toombs County) Contact: Aneel S. Gill, VP of Planning and Development 205-356-7607 Estimated Cost: $73,000

2021-024 PruittHealth Home Health, Inc. d/b/a Pruitthealth @ Home - Cordele

Home Health Agency- Batching
Filed: 5/24/2021 Deemed Complete: 5/24/2021 60th Day Deadline: 7/22/2021 Decision Deadline: 9/20/2021 DENIED: 9/20/2021 Site: Cordele, GA (Crisp County) Contact: Aneel S. Gill, VP of Planning and Development 205-356-7607 Estimated Cost: $73,000

OPPOSITION FILED

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2021-025 PruittHealth Home Health, Inc. d/b/a PruittHealth @ Home - Macon

Home Health Agency- Batching

OPPOSITION FILED

Filed: 5/24/2021 Deemed Complete: 5/24/2021 60th Day Deadline: 7/22/2021 Decision Deadline: 9/20/2021 DENIED: 9/20/2021 Site: 660 Lakeside Commons Drive , Macon, GA 31210 (Bibb County) Contact: Aneel S. Gill, VP of Planning and Development 205-356-7607 Estimated Cost: $73,000

2021-032 PruittHealth Home Health, Inc. d/b/a PruittHealth @ Home - Savannah

Home Health Agency- Batching

OPPOSITION FILED

Filed: 5/24/2021 Deemed Complete: 5/24/2021

60th Day Deadline: 7/22/2021

Decision Deadline: 9/20/2021

DENIED: 9/20/2021

Site: 9100 White Bluff Road Suite 303 , Savannah, GA 31406 (Chatham County)

Contact: Aneel S. Gill, VP of Planning and Development 205-356-7607

Estimated Cost: $73,000

2021-033 PruittHealth Home Health, Inc. d/b/a PruittHealth @ Home - Valdosta

Home Health Agency- Batching
Filed: 5/24/2021 Deemed Complete: 5/24/2021 60th Day Deadline: 7/22/2021 Decision Deadline: 9/20/2021 DENIED: 9/20/2021 Site: 312 Canna Drive , Valdosta, GA 31601 (Lowndes County) Contact: Aneel S. Gill, VP of Planning and Development 205-356-7607 Estimated Cost: $73,000

OPPOSITION FILED

2021-034 PruittHealth Home Health, Inc. d/b/a PruittHealth @ Home - Augusta

Home Health Agency- Batching

OPPOSITION FILED

Filed: 5/24/2021 Deemed Complete: 5/24/2021 60th Day Deadline: 7/22/2021 Decision Deadline: 9/20/2021 DENIED: 9/20/2021 Site: 1220 Augusta West Parkway , Augusta, GA 30909 (Richmond County) Contact: Aneel S. Gill, VP of Planning and Development 205-356-7607 Estimated Cost: $73,000

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. Superior Court of Cobb County: Court grants Windy Hill's Petition for Judicial Review and reverses Final Order of the Department, 5/24/21. Emory files application for Discretionary Appeal in the Court of Appeals of Georgia, 6/21/2021. Department files application for Discretionary Appeal in the Court of Appeals of Georgia, 6/23/2021. Court of Appeals: Grants Department's Application for Discretionary Appeal, 7/15/2021.
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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. Hamilton filed a Request for Commissioner Review 1/11/2021. Commissioner Review Decision: Affirms the December 10, 2020 decision of the Hearing Officer denying Hamilton's Request for Appeal, granting Adventist's Motion for Summary Adjudication and affirming the Department's determination letter approving Adventist's request to offer therapeutic cardiac catheterization services, 2/8/2021. Hamilton files Petition for Judicial Review, 3/10/21.
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 files Request for Administrative Appeal Hearing on 10/19/2020. Hearing Officer: Dr. L. Lynn Hogue Hearing Date: Pending Hearing Decision: Hearing Officer denies Greene County Healthcare, LLC d/b/a Greene Point Heath and Rehabilitation's request for oral argument and affirms the Department's denial of DET2020-161, 8/23/2021.
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") files Request for Administrative Appeal Hearing on 1/14/2021. Hearing Officer: Dr. L. Lynn Hogue Hearing Date: Pending
DET-EQT2020-070 AU Medical Associates, Inc. Request for Letter of Determination received on 9/30/2020, regarding the acquisition of a mobile 2005 GE 1.5T Signa Excite MRI. Agency Decision: Denied on 12/28/2020 Appealed: AU Medical Associates, Inc. ("AUMA") files Request for Administrative Appeal Hearing on 1/25/2021. Hearing Officer: Dr. L. Lynn Hogue Hearing Date: Pending Hearing Decision: Hearing Officer denies Motions for Summary Adjudication by both AUMA and the Department and remands the matter for reconsideration, 8/23/2021.
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DET-ASC2021-001 Medici Medical Arts, LLC Request for Letter of Determination received on 1/6/2021, regarding the establishment of a physician-owned, single specialty ASC in Cobb County. Agency Decision: Withdrawn on 5/14/2021 Appealed: Medici Medical Arts, LLC (Medici Surgical Center Cobb, LLC) ("Medici") files Request for Administrative Appeal Hearing on 6/11/2021. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: N/A
DET-ASC2021-002 Medici Medical Arts, LLC Request for Letter of Determination received on 1/6/2021, regarding the establishment of a physician-owned, single specialty ASC in Gwinnett County. Agency Decision: Withdrawn on 5/14/2021 Appealed: Medici Medical Arts, LLC (Medici Surgical Center Gwinnett, LLC) ("Medici") files Request for Administrative Appeal Hearing on 6/11/2021. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: N/A
DET2021-090 Adventist Health System Georgia, Inc. d/b/a AdventHealth Gordon Request for Letter of Determination received on 5/10/2021, regarding the offering of therapeutic cardiac catheterization procedures. Agency Decision: Approved on 7/14/2021 Appealed: Hamilton Medical Center, Inc. ("Hamilton") files Request for Administrative Appeal on 8/11/2021. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: Pending
DET2021-109 Burke County Hospital Authority d/b/a Burke Medical Center Request for Letter of Determination received on 5/14/2021, regarding the offering of therapeutic cardiac catheterization procedures. Agency Decision: Approved on 7/14/2021 Appealed: East Georgia Regional Medical Center, LLC ("East Georgia") files Request for Administrative Appeal on 8/10/2021. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: 11/15/2021, 10:00 A.M. / Remote Video Conference
Appealed LNRs
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: Department's decision to deny GACRI's LNR affirmed, 1/28/21. GACRI files for Commissioner Review, 2/24/2021. Commissioner Review Decision: Affirms Hearing Officer's 1/28/2021 decision to deny GACRI's appeal and affirm the Department's decision to deny GACRI's LNR-ASC request, 3/29/2021. GACRI filed Petition for Judicial Review, 4/27/2021. Superior Court of Fulton County: Denies GACRI's Petition for Judicial Review and affirms the Department's denial of GACRI's LNR request, 9/8/2021.
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.
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Hearing Officer: Dr. L. Lynn Hogue, J.D. Hearing Date: N/A Hearing Decision: Hearing Officer denied Northside and NGSA's application for an LNR, 7/29/2021. Northside and NGSA file for Commissioner Review, 8/27/2021. Commissioner Review Decision: Affirms Hearing Officer's 7/29/2021 decision and denies LNR-ASC2019009, 9/27/2021.
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. Supreme Court denies Doctors Hospital's Petition for Writ of Certiorari, 6/1/2021.
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) 9

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. Redmond files Conditional Application for Discretionary Appeal in the Georgia Court of Appeals, 11/30/2020. Court of Appeals: Denies Floyd Medical Center's Application for Discretionary Appeal, 12/30/2020. Floyd Medical Center files Petition for Writ of Certiorari with the Supreme Court of Georgia, 1/19/2021. Denies Redmond's Application for Discretionary Appeal, 12/30/2020. Redmond files Notice of Intention to Petition for Writ of Certiorari with the Supreme Court of Georgia, 7/9/2021. Redmond withdraws Notice of Intention to Petition for Writ of Certiorari with the Supreme Court of Georgia, 7/21/2021. Supreme Court of Georgia: Denies Floyd Medical Center's Petition for Writ of Certiorari, 7/7/2021.
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 2018-073 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
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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: 6/16-18-2021, 9:00 A.M. / Remote Video Conference Hearing Decision: Pending
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. Archbold files for Commissioner Review, 1/26/2021. Commissioner Review Decision: Affirmed Hearing Officer's 12/28/2020 decision to grant a CON to Vision Imaging Center, LLC, 2/26/2021. Superior Court of Thomas County: Archbold files Petition for Judicial Review, 3/26/2021. Denies Archbold's Petition for Judicial Review and affirms the grant of the CON to Vision Imaging Center, LLC, 8/17/2021. Archbold files Application for Discretionary Appeal in the Georgia Court of Appeals, 9/16/2021. Court of Appeals: Denies Archbold's Application for Discretionary Appeal, 10/13/2021.
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. CMC files for Commissioner Review, 2/3/2021. Commissioner Review Decision: Reverses Hearing Officer's 1/4/2021 decision to deny CMC a CON and grants approval of GA Project CON 20190-045, 3/5/2021. Superior Court of Floyd County: Floyd Healthcare Management, Inc. d/b/a Floyd Medical Center ("FMC") files Petition for Judicial Review of Commissioner's Final Order, 4/2/2021. Grants FMC's Petition for Judicial Review and reverses the Department's Final Order, denying CMC a CON, 9/10/2021. The Department files Application for Discretionary Appeal in the Georgia Court of Appeals, 10/6/2021. Court of Appeals: Pending
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: 3/8-12/2021, 9:30 A.M. / Remote Video Conference 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. Hearing Officer reverses the Department's decision to grant a CON to Doctors Hospital of Augusta, LLC, 6/23/2021. Doctors requests Commissioner Review, 7/23/2021. The Department requests Commissioner Review, 7/23/2021. Commissioner Review Decision: Reverses Hearing Officer's 12/8/2020 decision granting AUMC's Motion for Summary Determination or In The Alternative For Remand; remands the matter to the Department to resume proceedings before a Hearing Officer consistent with the CON Administrative Hearing process, 2/5/2021. Reverses Hearing Officer's 6/23/2021 decision to deny a CON to Doctors and reinstates the Department's approval of CON Project No. GA 2020-002, 8/20/2021. Superior Court of Fulton County: AUMC files Petition for Judicial Review, 9/16/2021.
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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: 11/9-10/2020, 11/12-13/2020, 9:30 A.M. / Remote Video Conference Hearing Decision: Hearing Officer reverses the Department's decision to grant a CON to Coliseum Medical Centers, 2/25/2021. Coliseum Medical Centers files for Commissioner Review, 3/26/2021. The Department requests Commissioner Review, 3/26/2021. Commissioner Review Decision: Reverses Hearing Officer's 2/25/2021 decision to deny a CON to Coliseum Medical Centers and reinstates the Department's approval of CON Project No. GA 2020-003, 4/26/2021. Houston Hospitals, Inc., files Petition for Judicial Review in Superior Court of Houston County, 5/26/2021. The Medical Center of Central Georgia, Inc. files Petition for Judicial Review in Superior Court of Bibb County, 5/26/2021. The Medical Center of Peach County, Inc., files Petition for Judicial Review in Superior Court of Peach County, 5/26/2021. Superior Court of Bibb County: The Medical Center of Central Georgia, Inc. files Notice of Voluntary Dismissal of Petition for Judicial Review, 6/25/2021. Superior Court of Peach County: Denies Department's Motion to Transfer, 7/22/2021. Superior Court of Houston County: Denies Department's Motion to Transfer, 7/31/2021.
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: Opie D. Bowen, Esq. Hearing Date: 1/19-22/2021, 1/25-28/2021, 9:30 A.M. / Remote Video Conference; Continued until further notice Hearing Decision: Hearing Officer grants St. Joseph's/Candler's Motion for Summary Adjudication and reverses DCH's award of CONs to Savannah Health Services, LLC d/b/a Memorial Health University Medical Ctr, 1/26/2021. Savannah Health Services, LLC d/b/a Memorial Health University Medical Ctr files for Commissioner Review, 2/25/2021. Commissioner Review Decision: Reverses Hearing Officer's 1/26/2021 decision granting SJC's Motion for Summary Adjudication; remands the matter to the Department to resume proceedings before a Hearing Officer consistent with the CON Administrative Hearing process, 3/26/2021.
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: 3/3-5/2021, 9:00 A.M. / Remote Video Conference Hearing Decision: Hearing Officer reverses the Department's decision to grant a CON to UCBC, 6/1/2021. UCBC files for Commissioner Review, 7/1/2021. Department files for Commissioner Review, 7/1/2021. Commissioner Review Decision: Reverses Hearing Officer's 6/1/2021 decision to deny a CON to UCBC and reinstates the Department's approval of CON Project No. GA 2020-014, 7/30/2021.
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
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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: Hearing Officer reverses the Department's decision to grant a CON to Northside Hospital Gwinnett, 4/21/2021. Northside Hospital Gwinnett files for Commissioner Review, 5/21/2021. Commissioner Review Decision: Reverses Hearing Officer's 4/21/2021 decision to deny a CON to Northside Hospital Gwinnett and reinstates the Department's approval of CON Project No. GA 2020-015, 6/18/2021. Superior Court of Gwinnett County: Vantage-Lawrenceville, RCOG-Lawrenceville, and RCOG-Snellville file Petition for Judicial Review, 7/16/2021. Superior Court of Hall County: NGMC-Main Campus and NGMC-South Hall file Petition for Judicial Review, 7/16/2021.
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: Opie D Bowen, Esq. Hearing Date: Continued until further notice
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: David C. Will, Esq. Hearing Date: Continued until further notice
2020-025 United Imaging Centers 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"), 11/10/2020. Pro Radiology, LLC ("Pro Radiology") filed Request to Intervene, 11/12/2020. Hearing Officer: D. Wright McLeod, Esq. Hearing Date: 4/19-23/2021, 8:30 A.M. / Remote Video Conference Hearing Decision: Hearing Officer reverses the Department's decision to deny a CON to UIC Buckhead, 8/21/2021. The Department and Pro Radiology file for Commissioner Review, 9/20/2021. Commissioner Review Decision: Pending
2020-026 United Imaging Centers 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: D. Wright McLeod, Esq. Hearing Date: 4/19-23/2021, 8:30 A.M. / Remote Video Conference Hearing Decision: Hearing Officer reverses the Department's decision to deny a CON to UIC Chamblee, 8/16/2021. The Department and AHI-Decatur file for Commissioner Review, 9/15/2021. Commissioner Review Decision: Pending
2020-027 United Imaging Centers 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")
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filed Request to Intervene, 11/12/2020. Hearing Officer: D. Wright McLeod, Esq. Hearing Date: 4/19-23/2021, 8:30 A.M. / Remote Video Conference Hearing Decision: Hearing Officer reverses the Department's decision to deny a CON to UIC Jonesboro, 8/21/2021. The Department and AHI-Fayetteville file for Commissioner Review, 9/20/2021. Commissioner Review Decision: Pending
2020-028 United Imaging Centers of Marietta, LLC (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: D. Wright McLeod, Esq. Hearing Date: 4/19-23/2021, 8:30 A.M. / Remote Video Conference Hearing Decision: Hearing Officer reverses the Department's decision to deny a CON to UIC Marietta, 8/21/2021. The Department and AHI-Marietta file for Commissioner Review, 9/20/2021. Commissioner Review Decision: 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: William C. Joy, Esq. Hearing Date: 5/25-27/2021, 9:00 A.M. / Remote Video Conference Hearing Decision: Hearing Officer reverses the Department's decision to deny a CON to SGMC, 9/1/2021. The Department files for Commissioner Review, 10/1/2021. Commissioner Review Decision: Pending
2020-031 Vest Monroe, LLC (Walton) Additional 23 Adult Psychiatric/Substance Abuse Beds Batching Agency Decision: Approved, 12/18/2020 Appealed By: UHS of Anchor, L.P. d/b/a Southern Crescent Behavioral Health System ("Anchor") and UHS of SummitRidge, LLC d/b/a SummitRidge Hospital ("SummitRidge"), 1/14/2021. Hearing Officer: William D. Taylor, III, Esq. Hearing Date: 5/10-12/2021, 9:00 A.M. / Remote Video Conference Hearing Decision: Hearing Officer affirms Department's decision to grant a CON to Vest Monroe, LLC, 8/30/2021.
2021-008 St. Joseph's/Candler Radiation Oncology - Statesboro (Bulloch) Establish Non-Special MegaVoltage Radiation Therapy Service Batching Agency Decision: Denied, 6/15/2021 Appealed By: SJC Oncology Services-Statesboro, LLC d/b/a St. Joseph's/Candler Radiation Oncology-Statesboro ("SJC-Statesboro"), 7/14/2021. Savannah Health Services, LLC d/b/a Memorial Health University Medical Center ("Memorial") filed Request to Intervene, 6/23/2021. South Georgia Center for Cancer Care, LLC ("SGCCC") filed Request to Intervene, 7/14/2021. Hearing Officer: David C. Will, Esq. Hearing Date: Pending
2021-010 South Georgia Center for Cancer Care (Bulloch) Add Linear Accelerator Batching Agency Decision: Approved, 6/15/2021 Appealed By: Candler Hospital, Inc. ("Candler"), 7/14/2021. South Georgia Center for Cancer Care, LLC ("SGCCC") filed Request to Intervene, 7/14/2021. Hearing Officer: David C. Will, Esq. Hearing Date: Pending
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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-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-EQT2021051 Floyd Healthcare Management, Inc., d/b/a/ Floyd Medical Center Acquisition of Philips Azurion M12 Request received: 7/21/2021 Contact Person: Drew Dempsey Determination: Non-reviewable as proposed Determination Date: 9/20/2021

DET-EQT2021052 Candler Hospital, Inc. CT Acquisition Request received: 7/22/2021 Contact Person: Brad Trower Determination: Non-reviewable as proposed

Determination Date: 9/20/2021

DET-EQT2021053 Floyd Healthcare Management, Inc., d/b/a/ Floyd Medical Center Acquisition of da Vinci Xi Request received: 7/22/2021 Contact Person: Drew Dempsey Determination: Non-reviewable as proposed Determination Date: 9/20/2021

DET-EQT2021054 Northside Hospital, Inc. d/b/a Northside Hospital Gwinnett Retain Below Threshold MRI at NHG Request received: 7/23/2021 Contact Person: Brian Toporek Determination: Non-reviewable as proposed Determination Date: 9/20/2021

DET-EQT2021056 Northside Hospital, Inc. d/b/a Northside Hospital Atlanta Acquisition of da Vinci Surgical Unit Request received: 8/5/2021 Contact Person: Brian Toporek Determination: Non-reviewable as proposed Determination Date: 10/4/2021
DET-EQT2021057 Kennestone Hospital, Inc. d/b/a Wellstar Kennestone Hospital Purchase CT Request received: 8/12/2021 Contact Person: April Austin Determination: Pending
DET-EQT2021058 Scottish Rite Children's Medical Center, Inc. d/b/a Children's Healthcare of Acquisition of Nuclear Medicine SPECT/CT Imaging System Request received: 8/20/2021 Contact Person: David Fenstermacher Determination: Non-reviewable as proposed Determination Date: 10/18/2021
DET-EQT2021059 Barbour Orthopaedics & Spine Fixed MRI Request received: 8/24/2021 Contact Person: Kelly Millerd Determination: Pending
15

DET-EQT2021060 Hospital Authority of Morgan County, Georgia d/b/a Morgan Medical Center CT Scanner Request received: 8/25/2021 Contact Person: Michele Madison Determination: Pending
DET-EQT2021061 Phoebe Worth Medical Center, Inc. Purchase of CT Scanner Request received: 9/1/2021 Contact Person: Lori Jenkins Determination: Pending
DET-EQT2021063 Northside Hospital, Inc. d/b/a Northside Hospital Gwinnett Request to Acquire Da Vinci Surgical Unit Request received: 9/7/2021 Contact Person: Brian Toporek Determination: Pending
DET-EQT2021064 Northside Hospital, Inc. d/b/a Northside Hospital Duluth Request to Acquire Da Vinci Surgical Unit Request received: 9/7/2021 Contact Person: Brian Toporek Determination: Pending
DET-EQT2021065 Northside Hospital, Inc. d/b/a Northside Hospital Forsyth Request to Acquire Da Vinci Surgical Unit Request received: 9/7/2021 Contact Person: Brian Toporek Determination: Pending
DET-EQT2021067 Good Samaritan Hospital, Inc. Acquisition of Diagnostic Imaging (MRI) Equipment Request received: 9/23/2021 Contact Person: Cash Morris Determination: Pending
DET-EQT2021068 Floyd Healthcare Management, Inc., d/b/a/ Floyd Medical Center VELYS Robotic-Assisted Solution Request received: 9/30/2021 Contact Person: Drew Dempsey Determination: Pending
DET-EQT2021069 Emory University d/b/a Emory University Hospital Midtown Acquisition of a CT Scanner Request received: 9/30/2021 Contact Person: Michael Barber Determination: Pending
DET-EQT2021070 Atlanta Heart Specialists, LLC Lease Fixed CT Scanner Request received: 10/6/2021 Contact Person: Preeti Garde Determination: Pending
DET-EQT2021071 Elite Radiology of Georgia, LLC Purchase Fixed MRI Request received: 10/6/2021 Contact Person: Joseph R. Ross Determination: Pending
DET-EQT2021072 Elite Radiology of Georgia, LLC Purchase Fixed MRI Request received: 10/6/2021
16

Contact Person: Joseph R. Ross Determination: Pending
DET-EQT2021073 Saint Joseph's Hospital of Atlanta, Inc Lease da Vinci Xi Dual Console System Request received: 10/6/2021 Contact Person: Kevin Andrews Determination: Pending
DET-EQT2021074 Peachtree Spine and Pain Physicians, LLC d/b/a Peachtree Spine Purchase MRI Unit Under Capital Threshold Request received: 10/14/2021 Contact Person: Jordan M. Johnson 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-ASC2021019 Georgia Urology, P.A.

Georgia Urology Ambulatory Surgery Center - Lawrenceville

Site: 850 Lawrenceville-Suwannee Road, Lawrenceville, GA 30043

Number of OR's: 2

Specialty: Urology

Project costs as submitted: $1,436,250.00

Request received: 7/28/2021

Contact Person: Jason Shelnutt

Determination: Approved

Determination Date: 9/27/2021

DET-ASC2021021 Northeast Atlanta Ear Nose & Throat, P.C.

Physician-Owned, Single-Specialty Ambulatory Surgical Center

Site: 3915 Johns Creek Court, Suite 120, Suwanee, GA 30024

Number of OR's: 1

Specialty: Otolaryngology

Project costs as submitted: $2,755,980.00

Request received: 8/4/2021

Contact Person: Steve Minor

Determination: Approved

Determination Date: 10/4/2021

DET-ASC2021022 Georgia Interverntional Pain - J, LLC

Physician-Owned, Single-Specialty Ambulatory Surgical Center

Site: 830 Eagles Landing Parkway, Suite 205, Stockbridge, GA 30281

Number of OR's: 1

Specialty: Pain Medicine

Project costs as submitted: $842,278.00

Request received: 8/9/2021

Contact Person: Susan C. Atkinson

Determination: Pending

DET-ASC2021023 West Georgia Urology Associates, P.C.

Upgraded Facilities, Construction and Equipment

Site: 150 Clinic Avenue, Suite 202, Carrolton, GA 30117

Number of OR's: 2

Specialty: Urology

Project costs as submitted: $635,000.00

Request received: 8/16/2021

Contact Person: Clifton Richards

Determination: Pending

DET-ASC2021028 ReVive Orthopedics & Spine Center, P.C.

New Surgical Facility

Site: 939 Bob Arnold Boulevard, Suite D, Lithia Springs, GA 30122

Number of OR's: 1

Specialty: Orthopedic Surgery

Project costs as submitted: $1,427,363.00

Request received: 9/14/2021

17

Contact Person: Clifton Richards Determination: Pending

DET-ASC2021030 Marietta Eye Clinic, P.A. d/b/a Marietta Eye Surgery

Ownership Consolidation

Site: 895 Canton Road, Building 200, Suite 300, Marietta, GA 30060

Number of OR's: 5

Specialty: Ophthalmology

Project costs as submitted: $0.00

Request received: 10/15/2021

Contact Person: Chris Thompson

Determination: Pending

Requests for Miscellaneous Letters of Determination

DET2021136 South Georgia Center for Cancer Care, LLC Replace CON Authorized Equipment (CT Simulator) Request received: 6/17/2021 Contact Person: Kathryn MT Platt Determination: Non-reviewable as proposed Determination Date: 10/15/2021

DET2021143 Augusta Plastic Surgery Center INC Change of Ownership Request received: 6/25/2021 Contact Person: Diane Newsome Determination: Non-reviewable as proposed Determination Date: 9/22/2021

DET2021148 Savannah Health Services, LLC d/b/a Memorial Health University Medical Center Replace CON-Approved Cardiac Cath Equipment Request received: 7/1/2021 Contact Person: Laura Dow Determination: Non-reviewable as proposed Determination Date: 9/29/2021

DET2021150 LCMC OPCO, LLC d/b/a Lee County Medical Center

Creation of Holding Company/Membership Interest Transfer

Request received: 7/2/2021

Challenge Received: 7/30/2021

Contact Person: G. Edward Alexander

Determination: Non-reviewable as proposed Determination Date: 8/30/2021

DET2021151 University Extended Care, Inc. d/b/a Amara Healthcare & Rehabilitation Center Relocation of Skilled Nursing Beds Request received: 7/9/2021 Contact Person: Dorothy Cornwell Determination: Pending

DET2021160 University Health Services, Inc. d/b/a University Hospital Capital Expenditure Below Threshold Request received: 7/21/2021 Contact Person: Edward L. Burr Determination: Non-reviewable as proposed Determination Date: 9/20/2021

DET2021161 Saint Joseph's Hospital of Atlanta, Inc IP MRI Request received: 7/21/2021 Contact Person: Jessica Sheridan Determination: Non-reviewable as proposed Determination Date: 9/18/2021

DET2021162 AU Medical Center, Inc. Replacement of CON Approved CT Simulator Request received: 7/26/2021 Contact Person: Kathryn MT Platt Determination: Non-reviewable as proposed

Determination Date: 10/15/2021

DET2021164 Tucker Operating Group LLC 18

New In House Dialysis Unit Request received: 7/27/2021 Contact Person: Alex Rumpler Determination: Non-reviewable as proposed

Determination Date: 9/24/2021

DET2021165 Brickmont West Cobb SPE, LLC Assisted Living and Memory Care Facility Request received: 8/4/2021 Contact Person: Cheryl Kochensparger Determination: Non-reviewable as proposed Determination Date: 10/4/2021

DET2021166 Hospital Authority of Habersham County d/b/a Habersham Medical Center Capital Expenditure Below Threshold Request received: 8/4/2021 Contact Person: Michele Madison Determination: Non-reviewable as proposed Determination Date: 10/4/2021

DET2021167 SNH Georgia Tenant LLC Nursing Home Closure and Exempt Bed Transfer Request received: 8/4/2021 Contact Person: Lisa Newcomb Determination: Pending

DET2021168 Alexander IV, LLC Opening a New Assisted Living Facility Request received: 8/9/2021 Contact Person: Shea Ramsey Determination: Non-reviewable as proposed

Determination Date: 10/7/2021

DET2021169 Northside Hospital, Inc. d/b/a Northside Hospital Gwinnett Acquire Replacement Cardiac Cath Equipment Request received: 8/10/2021 Contact Person: Brian Toporek Determination: Non-reviewable as proposed Determination Date: 10/8/2021

DET2021170 Grady Health System CDU Expansion Request received: 8/12/2021 Contact Person: GEORGE SMITH Determination: Non-reviewable as proposed

Determination Date: 10/18/2021

DET2021171 Woodhams Eye Clinic, P.C. Confirmation of LNR and Physician Ownership Request received: 8/13/2021 Contact Person: Victor Moldovan Determination: Pending

DET2021172 Five Points Healthcare of GA LLC Physical Address Change Request received: 8/18/2021 Contact Person: Crystal.Blackshear@aveanna.com Determination: Non-reviewable as proposed Determination Date: 10/18/2021

DET2021173 Hamilton Medical Center, Inc. Construction of Medical Office Building Request received: 8/19/2021 Contact Person: Sandy McKenzie Determination: Non-reviewable as proposed

Determination Date: 10/18/2021

DET2021174 CareSouth HHA Holdings of Washington, LLC Augusta Relocation Request received: 8/24/2021 Contact Person: Kathy Barrentine
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Determination: Pending
DET2021175 Thomas Eye Surgery Center, LLC Addition of Operating Rooms Request received: 8/25/2021 Contact Person: Rebecca M. Thornhill Determination: Pending
DET2021176 Burke Hospital Company, LLC d/b/a Burke Medical Center Operating Room Bed Conversion Request received: 8/26/2021 Contact Person: Victor Moldovan Determination: Pending
DET2021177 At Home Senior Living of Thomson New Assisted Living Facility Construction Request received: 8/31/2021 Contact Person: Shanna Dupree Determination: Pending
DET2021178 Medical Center of Central Georgia, Inc. d/b/a Medical Center, Navicent Health Renovation of Sterile Processing Department Request received: 8/31/2021 Contact Person: Katherine Bowen Determination: Pending
DET2021179 Taylor Regional Hospital, Inc. Renovation of Emergency Department and Other Hospital Facilities Request received: 9/1/2021 Contact Person: Michele Madison Determination: Pending
DET2021180 Hospital Authority of Bleckley County, Georgia Repair and Renovation of Hospital Facility Request received: 9/1/2021 Contact Person: Michele Madison Determination: Pending
DET2021181 EHCA Johns Creek, LLC d/b/a Emory Johns Creek Hospital Addition of 13 Medical/Surgical Beds - 10% Increase in Bed Capacity Request received: 9/1/2021 Contact Person: Laurie Hansen Determination: Pending
DET2021182 Tanner Medical Center, Inc. d/b/a Tanner Medical Center Carrollton 10% Increase in Bed Capacity Request received: 9/1/2021 Contact Person: Carol Crews Determination: Pending
DET2021183 Tanner Medical Center, Inc. d/b/a Tanner Medical Center - Villa Rica 10% Increase in Bed Capacity Request received: 9/1/2021 Contact Person: Carol Crews Determination: Pending
DET2021184 Medical Center of Central Georgia, Inc. d/b/a Medical Center, Navicent Health Replacement of Surgery Center Generators Request received: 9/2/2021 Contact Person: Katherine Bowen Determination: Pending
DET2021185 Patrick A. Conarro, M.D.
20

Conversion of LNR Authorized Endoscopy ASC to DET Authorized Endoscopy ASC Request received: 9/2/2021 Contact Person: Victor Moldovan Determination: Pending
DET2021186 Northside Hospital, Inc. d/b/a Northside Hospital Cherokee New GI Endoscopy Room Request received: 9/8/2021 Contact Person: Brian Toporek Determination: Pending
DET2021187 Northside Hospital, Inc. d/b/a Northside Hospital Forsyth Adult Diagnostic Cath Request received: 9/9/2021 Contact Person: Brian Toporek Determination: Pending
DET2021188 Fayette Community Hospital, Inc. d/b/a Piedmont Fayette Hospital Bed Expansion Request received: 9/9/2021 Contact Person: Christine MacEwen Determination: Pending
DET2021189 Grady Health System 13C/D Med Behavioral Unit Request received: 9/10/2021 Contact Person: GEORGE SMITH Determination: Pending
DET2021190 Grady Health System 14C/D Mental Health Offices / On-Call Room Relocation / Infrastructure Upgrades for C/D Tower Request received: 9/10/2021 Contact Person: GEORGE SMITH Determination: Pending
DET2021191 Emory Saint Joseph's Hospital of Atlanta, Inc Replacement of CON-Approved Outpatient MRI Equipment Request received: 9/13/2021 Contact Person: Anna Raspino Determination: Pending
DET2021192 Emory University d/b/a Emory University Hospital Midtown Replacement of CON-Authorized Cardiac MRI Unit Request received: 9/13/2021 Contact Person: Shane Arrington Determination: Pending
DET2021193 Phoebe Putney Memorial Hospital, Inc. Replacement of CON-Authorized Tomotherapy NSMRT Unit Request received: 9/15/2021 Contact Person: Lori Jenkins Determination: Pending
DET2021194 Hamilton Medical Center, Inc. MICU Beds Determination Request Request received: 9/17/2021 Contact Person: Danny Wright Determination: Pending
DET2021195 Tift Regional Health System, Inc. Conversion of Existing Cath Lab to Hybrid OR Request received: 9/21/2021 Contact Person: Alex Le
21

Determination: Pending
DET2021196 Piedmont Athens Regional Medical Center, Inc. Cardiac Cath Expansion to Include EP Request received: 9/22/2021 Contact Person: Christine MacEwen Determination: Pending
DET2021197 Northeast Georgia Medical Center, Inc. Development of Medical Office Building Request received: 9/23/2021 Contact Person: Linda Berger Determination: Pending
DET2021198 Tanner Medical Center, Inc. d/b/a Tanner Medical Center Villa Rica Replacement of CON Authorized MRI Equipment Request received: 9/23/2021 Contact Person: David Thornhill Determination: Pending
DET2021199 Good Samaritan Hospital, Inc. Movement of Clinical Health Services on Primary Campus Request received: 9/23/2021 Contact Person: Cash Morris Determination: Pending
DET2021200 Schulze Surgery Center, Inc. Ophthalmology Exemption Request received: 9/24/2021 Contact Person: Carolyn Pierce Determination: Pending
DET2021201 Kennestone Hospital, Inc. d/b/a Wellstar Kennestone Hospital Wellstar Kennestone 10% Additional Capacity Exemption Request received: 9/24/2021 Contact Person: April Austin Determination: Pending
DET2021202 Paulding Medical Center, Inc. d/b/a Wellstar Paulding Hospital Wellstar Paulding 10% Additional Bed Capacity Exemption Request received: 9/24/2021 Contact Person: April Austin Determination: Pending
DET2021203 Douglas Hospital, Inc. d/b/a Wellstar Douglas Hospital Wellstar Douglas 10% Additional Bed Capacity Exemption Request received: 9/24/2021 Contact Person: April Austin Determination: Pending
DET2021204 Beltline Bariatric and Surgical Group, LLC Establishment of Endoscopy Center Request received: 9/24/2021 Contact Person: Joseph R. Ross Determination: Pending
DET2021205 Emory University d/ b/ a/ Emory University Hospital Renovation of EUH Unit 4B North as a Heart and Vascular Observation Unit Request received: 9/24/2021 Contact Person: Catherine Maloney Determination: Pending
DET2021206 Emory University d/b/a Emory University Hospital
22

Perioperative Renovations Request received: 9/24/2021 Contact Person: Catherine Maloney Determination: Pending
DET2021207 Cobb Hospital, Inc. d/b/a Wellstar Cobb Hospital Cardiac Catheterization Lab Renovations Request received: 9/30/2021 Contact Person: April Austin Determination: Pending
DET2021208 Fayette Community Hospital, Inc. d/b/a Piedmont Fayette Hospital Bed Renovation Request received: 9/30/2021 Contact Person: Christine MacEwen Determination: Pending
DET2021209 Oscar Health Plan of Georgia Expansion of Service Area for Georgia Domestic Health Maintenance Organization Request received: 10/1/2021 Contact Person: Alex Cruz Determination: Pending
DET2021210 Atlanta Heart Specialists, LLC Use of LNR Authorized Equipment at a Different Group Office Location Request received: 10/6/2021 Contact Person: Preeti A. Garde Determination: Pending
DET2021211 Northeast Georgia Medical Center, Inc. Replacement of CON Authorized CT Scanner Request received: 10/6/2021 Contact Person: Linda Berger Determination: Pending
DET2021212 Gastrointestinal Diagnostic Endoscopy Woodstock LLC Endoscopy Center Exemption Request Request received: 10/7/2021 Contact Person: Graham Fox Determination: Pending
DET2021213 DeKalb Healthcare Properties, Inc. Renovation of Skilled Nursing Facility Request received: 10/11/2021 Contact Person: Aneel Gill Determination: Pending
DET2021215 Lawrenceville Surgery Center, LLC Conversion of Procedure Room Request received: 10/18/2021 Contact Person: Victor Moldovan Determination: Pending
Requests for Extended Implementation/Effective Period
2020035 Rehabilitation Hospital of Atlanta Establish 40-Bed Freestanding Comprehensive Inpatient Physical Rehabilitation Program Batching Request to Extend Performance Period Site: 1968 Peachtree Road NW, Atlanta (Fulton) Project Approved: 3/16/2021 Request Received: 10/13/2021 Contact: Christine Macewen, Executive Director, Corporate D (404-425-1307)
23

Approved Cost: $21,400,484 Determination: Pending
Need Projection Analyses Posted 9/30/2021
Current Status of Official Office of Health Planning Need Projection Analyses and Other Data Resources Need Projections and Maps for CON Regulated Services 2026 Non-Special MRT Need Projection Posted 6/28/2021 2026 PET Need Projection Posted 6/28/2021 2026 Ambulatory Surgical Services Need Projection by HPA Posted 9/30/2021 2026 Inpatient Physical Rehabilitation Need Projections Posted 9/30/2021 2026 Neonatal Intermediate Care Bed Need Projection Posted 9/30/2021 2026 Neonatal Intensive Care Bed Need Projection Posted 9/30/2021 2026 Obstetric Services Bed Need Projection Posted 9/30/2021 2024 Nursing Home Bed Need Projection Posted 9/30/2021 2024 Home Health Agency Services Need Projection - Posted 9/30/2021 Non-Batched Need Projections 2026 Long Term Care Hospital Beds - 10/6/2021 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 Years (Commitment status as of (10/19/2021)

Facility Name
Apex Medical Surgery Center, LLC ASC of Georgia Dermatologic Surgery Centers, LLC ASC of Georgia Dermatologic Surgery Centers, LLC *Associates Surgery Center, Inc Asuch Surgery Center Atlanta Spine Surgery Center, LLC Brookstone Ambulatory Surgery Center Brookstone Ambulatory Surgery Center Brookstone Ambulatory Surgery Center

County
Troup FULTON FULTON Bibb Cobb Fulton Muscogee Muscogee Muscogee

Year
2020 2018 2020 2020 2018 2019 2018 2019 2020

Shortfall Due
11,890.18 6,924.20
20,921.12 35,090.95
6,963.30 97,455.38 24,770.12 17,302.68 17,170.24

Service
Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center

24

Center For Spine And Pain Medicine, PC Chatham Orthopeadic Surgery Center Clayton Cataract and Laser Surgery Center Cobblestone Surgery Center, Inc Columbus Endoscopy Center, LLC Columbus Endoscopy Center, LLC Foot & Ankle Surgery Ctr, Llc, The G.I. Endoscopy Center GA Urology, PA Cobb Ambulatory Surgery Center GA Urology, PA Cobb Ambulatory Surgery Center Gastro Specialists Endoscopy Center, LLC Georgia Interventional Pain Georgia Urology Ambulatory Surgery Ctr Alpharetta Georgia Urology Ambulatory Surgery Ctr Alpharetta *Macon Outpatient Surgery, LLC *Macon Outpatient Surgery, LLC Northwest Ga Orthopaedic Sc Piedmont Surgery Center Piedmont Surgery Center *Plastic, Head And Neck Surgery Institute, LLC *Plastic, Head And Neck Surgery Institute, LLC *Plastic, Head And Neck Surgery Institute, LLC *Polaris Center For Outpatient Spine Surgery, LLC *Polaris Center For Outpatient Spine Surgery, LLC *Polaris Center For Outpatient Spine Surgery, LLC Ponce De Leon Surgery Center, LLC Premier Ambulatory Surgical Center, LLC *Resurgens East Surgery Center, LLC *Resurgens Surgical Center *Rome Endoscopy Ctr Inc, The *Rome Endoscopy Ctr Inc, The *Rome Endoscopy Ctr Inc, The Roswell Pain Surgical Center, LLC Roswell Pain Surgical Center, LLC Roswell Surgery Center, L.l.c. *Roswell Surgery Center, L.l.c. Salubrious ASC Southern Orthopaedic Surg Ctr Of Fayetteville, LLC Southern Orthopaedic Surg Ctr Of Fayetteville, LLC Stephen Lober Plastic Surgery Surgery Center at Cypress Pointe, LLC Surgery Center of Atlanta Surgery Center of Atlanta The Graivier Center Thomas Eye Surgery Center White Oak Surgery Center Windward Surgery Center LLC Amedisys Home Health of Covington Amedisys Home Health of Covington Amedisys Home Health of Covington Amedisys Home Health of Macon Amedisys Home Health of Macon Amedisys Home Health of Macon Amedisys Home Health of Valdosta Amedisys Home Health of Valdosta Amedisys Home Health of Valdosta BridgeWay Home Health Careone Home Health Services, Inc. (Amedisys)

Hall Chatham Clayton Cobb Muscogee Muscogee MUSCOGEE CLAYTON Cobb Cobb DEKALB Gwinnett Forsyth Forsyth BIBB Bibb COBB BIBB BIBB Fulton Fulton Fulton Fulton Fulton Fulton Fulton Cobb Newton FULTON Floyd Floyd Floyd Cobb Cobb FULTON FULTON Cherokee FAYETTE FAYETTE Clarke Tift Fulton Fulton FULTON FULTON Coweta FULTON Newton Newton Newton Bibb Bibb Bibb Lowndes Lowndes Lowndes DeKalb Toombs

2018 2018 2020 2020 2019 2020 2018 2018 2018 2019 2020 2018 2018 2019 2020 2020 2018 2018 2020 2018 2019 2020 2018 2019 2020 2018 2018 2020 2020 2018 2019 2020 2018 2020 2018 2020 2020 2018 2020 2019 2018 2019 2020 2020 2018 2020 2019 2018 2019 2020 2018 2019 2020 2018 2019 2020 2019 2018
25

101,669.68 23,869.26 20,390.49 5,803.60 86,527.18
149,143.71 6,322.74
27,806.73 15,443.22 11,678.86 10,043.62 61,218.12 17,314.92 18,706.26 1,296,947.60 217,954.38 654,446.86
75.49 21,481.58 28,100.00 407,297.72 55,035.20 129,966.64 195,175.32 141,006.16
52.82 6,380.46 103,342.38 15,555.56 36,659.79 9,284.12 105,085.83
38.20 128.00 455,609.14 171,754.68 6,847.78 39,575.36 274,795.72 6,747.60 28,384.44 738,231.35 574,770.90 11,457.50 284,219.98 218,149.28 2,096.78 72,345.78 88,597.34 41,568.05 166,789.01 186,135.30 192,965.47 23,845.32 34,388.66 39,242.27 4,959.40 31,929.02

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

Careone Home Health Services, Inc. (Amedisys) Careone Home Health Services, Inc. (Amedisys) Central Home Health Health, Douglasville, an Amedisys Company Central Home Health Health, Douglasville, an Amedisys Company
Charlton Visiting Nurses Services Charlton Visiting Nurses Services Charlton Visiting Nurses Services Community Home Health, an Amedisys Company Community Home Health, an Amedisys Company Community Home Health, an Amedisys Company Guardian Home Care of Central Georgia Guardian Home Care of Central Georgia Guardian Home Care of Central Georgia Guardian Home Care of Northeast Georgia, LLC Guardian Home Care of Northeast Georgia, LLC Guardian Home Care of Northeast Georgia, LLC Guardian Home Care, LLC Guardian Home Care, LLC Guardian Home Care, LLC Island Health Care Island Health Care Island Health Care Pediatric Services of America Pediatric Services of America Pediatric Services of America - Norcross Pediatric Services of America - Norcross Pediatric Services of America, Inc - Bibb Pediatric Services of America, Inc - Bibb Piedmont Home Health Pruitt Home Health - Cumming Pruitthealth Home Health - Atlanta Pruitthealth Home Health - Gainesville Staff Builders Home Health Staff Builders Home Health Tugaloo Home Health Agency - Gainesville Tugaloo Home Health Agency - Gainesville Tugaloo Home Health Agency - Gainesville Tugaloo Home Health Agency - Lavonia Tugaloo Home Health Agency - Lavonia Tugaloo Home Health Agency - Lavonia Central Georgia PET, LLC Piedmont Henry Radiation Oncology at Riverdale, LLC

Toombs Toombs Douglas
Douglas
Brantley Brantley Brantley Cherokee Cherokee Cherokee Oconee Oconee Oconee Hall Hall Hall Fulton Fulton Fulton Chatham Chatham Chatham Columbia Columbia Gwinnett Gwinnett Bibb Bibb Clarke Forsyth Gwinnett Hall Gwinnett Gwinnett Hall Hall Hall Franklin Franklin Franklin Bibb Clayton

2019 2020 2018
2019
2018 2019 2020 2018 2019 2020 2018 2019 2020 2018 2019 2020 2018 2019 2020 2018 2019 2020 2018 2019 2018 2019 2018 2019 2019 2020 2020 2020 2018 2019 2018 2019 2020 2018 2019 2020 2019 2019

72,989.17 73,512.23 198,452.08

Home Health Agency Home Health Agency Home Health Agency

238,348.62 Home Health Agency

13,509.80 9,100.02
10,750.67 40,929.59 42,752.69 32,990.59 14,005.19 36,925.98 37,167.55 65,355.87 87,009.07 95,776.95 214,201.47 250,997.91 170,668.38 21,311.81 21,858.57 13,292.40
461.40 279.00 1,291.80 1,294.71 1,382.92 1,587.88 84,390.28 14,453.66 30,141.87 51,656.79 71,585.71 9,051.55 147,387.89 163,158.18 173,452.96 117,178.10 127,104.14 120,352.67 5,983.45 481,172.16

Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency PET Services Radiation Therapy

The Georgia Center for Total Cancer Care at Cowles Clinic

Greene

2018

389,710.57 Radiation Therapy

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. If an administrative hearing has been requested to dispute a shortfall pursuant to the provisions of the Administrative Procedure Act. O.C.G.A. 50-13-1 et seq., information will be provided at https://dch.georgia.gov/meetings-notices as it becomes available.

26

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.
27

Batching Review
The below reviewable CON services are grouped for review into quarterly Batching Cycles. These services and the Batching Cycles are as follows:

FALL

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

Batching Notice
September

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

December

Letter of Intent
October
January

Application Deadline November
February

SUMMER SPRING WINTER

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

March
June

April
July

May
August

Batching Notifications Posted 9/30/2021 on DCH Website
Fall Batching Review Cycle Notifications
The requirements for Letters of Intent associated with designated Batching Cycles will be issued at the time of publication of the Batching Notice.
Letters of Intent for services, facilities, or expenditures for which there is no specified batching cycle, or other applicable rule, may be filed at any time.

Home Health Ambulatory Surgery Neonatal Intensive Care Neonatal Intermediate Care

Skilled Nursing Facilities/Intermediate Care Facilities
Obstetrical Services
Inpatient Rehabilitation

Need Projections can be found on the "OHP Need Projections" Page
28

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

Batching Notice
(September 30, 2021)

Application Day
(application complete when submitted; review cycle begins same day)
(November 29, 2021: Application due by 12 noon)

75th Day
(Applicant provides additional (Aiungfousrmt 8a,t2io0n2)0)
(February 11, 2022)

100th Day
(last day for letters of support to be submitted to Department)
(March 8, 2022)

120th Day
(Department Issues
Decision)
(March 28, 2022)

Letter of
Intent
(October 30, 2021)

60-Day Meeting
(applicant only;
opposition letters due)
(January 27, 2022)

90th Day
(opposition meeting,
applicant can attend,
opposing party must
provide written copy of argument)
(February 26, 2022)

110th Day
(Applicant provides amended information; applicant provides response to opposition)
(March 18, 2022)

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)
29

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

Batching Notice
(June 28, 2021)

Application Day
(application complete when submitted; review cycle begins same day)
(August 27, 2021: Application due by 12 noon)

75th Day
(Applicant provides additional (Aiungfousrmt 8a,t2io0n2)0)
(November 9, 2021)

100th Day
(last day for letters of support to be submitted to Department)
(December 4, 2021)

120th Day
(Department Issues
Decision)
(December 24, 2021)

Letter of
Intent
(July 28, 2021)

60-Day Meeting
(applicant only;
opposition letters due)
(October 25, 2021)

90th Day
(opposition meeting,
applicant can attend,
opposing party must
provide written copy of argument)
(November 24, 2021)

110th Day
(Applicant provides amended information; applicant provides response to opposition)
(December 14, 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)
30

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)

31

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.
32

Open Record Requests
Requests for documents or other information can be obtained using the Open Record Request form found at the following: https://dch.georgia.gov/divisionsoffices/office-health-planning/certificate-need-con The ORR Form found there should 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
Appointed by Governor Brian Kemp

Opie Dean Bowen
(Appointed on December 21, 2020)
Daniel Wright McLeod
(Chair, appointed on November 23, 2020)
David C. Will
(Appointed on May 17, 2021)

William C. Joy
(Reappointed on January 28, 2021)
William Dennis (Trey) Taylor III
(Appointed on November 23, 2020)

33

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-requests-forms-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. 07.22.21.02 If you have a request to suspend a provision of O.C.G.A. 31-6-40 pursuant to State of Georgia Executive Order 07.22.21.02, please complete this from: https://dch.georgia.gov/covid-19-con-form
34

Locations