Georgia Certificate of Need projects by service and county
540+ Georgia projects in the file since 2016, grouped by what was requested and where. Counts are taken from the file dated October 29, 2026. 86% of decided projects were approved. The median project took about four months from filing to decision.
By service or type
The fifteen largest groups, using Georgia's own categories where the state prints them.
| Service or type | Rows | Approved | Denied | Pending | Approval rate | Median days to decision |
|---|---|---|---|---|---|---|
| Other | 263 | 197 | 40 | 2 | 83% | 133 |
| Acute care beds | 58 | 49 | 1 | 0 | 98% | 133 |
| Imaging, MRI | 48 | 32 | 11 | 0 | 74% | 133 |
| NICU | 34 | 29 | 3 | 0 | 91% | 119 |
| Psychiatric beds | 31 | 25 | 1 | 0 | 96% | 119 |
| Imaging, PET | 31 | 30 | 0 | 0 | 100% | 119 |
| Radiation therapy | 24 | 12 | 5 | 3 | 71% | 119 |
| Outpatient surgery | 15 | 8 | 2 | 0 | 80% | 119 |
| Imaging, CT | 13 | 10 | 0 | 0 | 100% | 135 |
| Nursing home beds | 10 | 9 | 1 | 0 | 90% | 119 |
| Rehabilitation | 9 | 8 | 1 | 0 | 89% | 119 |
| Acute care hospital | 6 | 4 | 1 | 0 | 80% | 133 |
| Cardiac catheterization | 3 | 2 | 0 | 0 | ||
| Substance abuse | 1 | 0 | 1 | 0 |
By county
The fifteen counties with the most projects.
| County | Rows | Approved | Denied | Pending | Approval rate | Median days to decision |
|---|---|---|---|---|---|---|
| Fulton | 83 | 64 | 9 | 1 | 88% | 133 |
| Gwinnett | 32 | 20 | 8 | 0 | 71% | 119 |
| Hall | 30 | 23 | 4 | 0 | 85% | 119 |
| Chatham | 28 | 19 | 4 | 0 | 83% | 132 |
| Cobb | 25 | 22 | 2 | 0 | 92% | 133 |
| Richmond | 20 | 17 | 3 | 0 | 85% | 135 |
| DeKalb | 17 | 13 | 2 | 0 | 87% | 130 |
| Cherokee | 16 | 13 | 0 | 0 | 100% | 133 |
| Muscogee | 16 | 12 | 3 | 0 | 80% | 133 |
| Forsyth | 15 | 11 | 1 | 0 | 92% | 133 |
| Henry | 13 | 6 | 2 | 0 | 75% | 130 |
| Bibb | 13 | 10 | 1 | 0 | 91% | 119 |
| Clarke | 12 | 10 | 0 | 0 | 100% | 125 |
| Carroll | 12 | 9 | 1 | 0 | 90% | 131 |
| Floyd | 12 | 8 | 3 | 0 | 73% | 130 |
The most recent decisions
| Number | Applicant | Service or type | County | Decided | Outcome |
|---|---|---|---|---|---|
| 2026-017 | Synergy Radiology, LLC d/b/a American Health Imaging of Conyers | Imaging, MRI | Rockdale | Oct 23, 2026 | Denied |
| 2026-018 | M&B Imaging, PC d/b/a American Health Imaging of Gainesville | Imaging, MRI | Hall | Oct 23, 2026 | Denied |
| 2026-010 | Atlanta Wellness Management Center, LLC d/b/a Hope Imaging Center | Other | Gwinnett | Sep 22, 2026 | Denied |
| 2026-013 | Rehabilitation Hospital of Cartersville, LLC | Rehabilitation | Bartow | Sep 17, 2026 | Approved |
| 2026-014 | Candler Hospital, Inc. | NICU | Chatham | Sep 17, 2026 | Approved |
| 2026-015 | Adventist Health System of Georgia, Inc. d/b/a AdventHealth Gordon | NICU | Gordon | Sep 17, 2026 | Approved |
| 2026-007 | Piedmont Henry Hospital, Inc. d/b/a Piedmont Henry Hospital | Other | Henry | Aug 17, 2026 | Approved |
| 2026-006 | Grady Memorial Hospital Corporation d/b/a Grady Health System | Acute care hospital | Fulton | Aug 11, 2026 | Approved |
| 2026-003 | Clear Imaging, LLC | Other | Gwinnett | Jun 23, 2026 | Withdrawn or delayed |
| 2026-002 | John D. Archbold Memorial Hospital, Inc. | Other | Thomas | Jun 4, 2026 | Approved |
| 2025-038 | South Georgia Medical Center, Inc. d/b/a SGMC-Health | NICU | Lowndes | Mar 19, 2026 | Approved |
| 2025-039 | Savannah Health Services, LLC d/b/a Memorial Health University Medical Center | NICU | Chatham | Mar 19, 2026 | Approved |
Numbers link to the state document for that decision where one is posted. Approval rate counts approvals and denials only and is shown where a group has at least five decided projects.
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