Kennestone Hospital applied to establish an ambulatory surgery service in East Cobb County. The Georgia Department of Community Health treated the proposed service as part of a hospital under its Certificate of Need regulation, which exempted it from more stringent service-specific review. Northside Hospital challenged the approval, arguing that the regulation’s provision for case-by-case determinations in other hospital situations was unconstitutionally vague. The superior court agreed, and the Court of Appeals affirmed. In the consolidated appeal, the Supreme Court of Georgia reversed, holding that the regulation was not facially vague because its specific location and permit provisions, read with the statutory framework, gave context to the case-by-case standard. The Court explained that the Department could determine whether a service was sufficiently connected to a hospital, considering its location in relation to the hospital and whether it would be included in the hospital’s permit. The Court limited its ruling to the facial vagueness challenge and did not decide whether the Department abused its discretion in approving Kennestone’s application. The judgment in Kennestone’s appeal was reversed; Justice Blackwell did not participate, and the remaining participating Justices concurred.