Request approval of a Resolution to support the growth and long-term sustainability of… conditional use permit
Case 26-0170
Approved 6-0
freeApproved 6-0
Fulton County Meetings
Board of Commissioners, March 18, 2026
Approved: Resolution to advance Phase 3 of Project CARE - new South Fulton hospital, 6-0
5h 34m41,695 words
26 mentionsmotion to approveapprovedFulton County, GA
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What happened
On March 18, 2026, Fulton County approved Resolution to advance Phase 3 of Project CARE - new South Fulton hospital (6-0).
The Fulton County Board of Commissioners approved a resolution (item 26-0156) expressing its intent to advance Phase 3 of Project CARE — a $900 million, 200-bed acute care hospital in Union City/South Fulton, funded $300M county bonds, $300M Grady philanthropy, and $300M Grady de…
Meeting key facts
- Jurisdiction
- Fulton County, GA
- Governing body
- Final authority
- Date
- March 18, 2026
- Decisions
- 22 zoning decisions
- Outcome
- Approved, 6-0
Free sample: decision 1 of 22
Resolution to advance Phase 3 of Project CARE - new South Fulton hospital
Board expressed intent to advance Phase 3 of Project CARE, a $900M, 200-bed (expandable to 400) acute care hospital in Union City/South Fulton, funded $300M county bonds, $300M Grady philanthropy, $300M Grady debt; total ~$1B with medical office building and freestanding ED. Cost overruns to be borne by Grady. Amended to require use of Morehouse School of Medicine and Emory residents/fellows/trainees. Passed 6-0.
- Clinical operations shall incorporate and utilize residents, fellows and trainees from Morehouse School of Medicine graduate medical education programs and Emory
- cost overruns borne by Grady
- authorizes county manager to begin negotiations with Grady and Fulton DeKalb Hospital Authority
The other decisions are listed below. Available full write-ups and conditions are included with Pro.
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Key Decisions (22)
Approved
Resolution to advance Phase 3 of Project CARE - new South Fulton hospital
Vote: 6-03 conditions attached
Other
MARTA quarterly briefing
Approved
IT services contract from executive session
Vote: 5-0
Approved
Request for representation - executive session item six
Vote: 5-0
Approved
Request for representation - executive session item seven
Vote: 5-0
Denied
Request for representation - executive session item eight
Vote: 3-0 (failed)
Approved
Settlement participation agreement - executive session item nine
Vote: 5-0
Other
County operational report presentation
Approved
Issuance of general fund tax anticipation notes
Vote: 6-0
Approved
Equalize 2026 pensioner cost of living adjustment
Vote: 6-0
Approved
Extend ERP software upgrade contract
Vote: 6-0
Approved
Extend contract for computing devices
Vote: 6-0
Approved
Bear Creek Nature Center funding contract
Vote: 6-0
Approved
Arts and culture funding contracts (Chattahoochee Nature Center, Hammonds House, National Black Arts Festival, Art Center)
Vote: 6-0
Approved
Standby water system construction services contract
Vote: 6-0
Approved
North Fulton wastewater O&M contract extension
Vote: 6-02 conditions attached
Approved
Medical examiner remains pickup contract
Vote: 6-0
Tabled
Voter identification public education resolution
Approved
Small business support resolution for South Downtown / World Cup
Vote: 6-0
Tabled
Atlanta Volunteer Lawyers Foundation appropriation
Vote: 5-0 (motion to hold)
Other
2026 legislative session update
Approved
District 4 board appointments to fill vacancy
Vote: 4-01 conditions attached
Full write-ups and conditions for all 22 decisions in Pro.
Development Activity (10)
South Fulton / Union City Acute Care Hospital (Project CARE Phase 3)
Infrastructure
South Fulton Freestanding Emergency Department (Project CARE Phase 1)
Infrastructure
South Fulton Medical Office Building (Project CARE Phase 2)
Commercial
7 additional development records with full detail in Pro.
Market Signals (5)
Infrastructure
MARTA is advancing multiple BRT and rail corridor projects (Rapid…
Commercial Demand
South Downtown Atlanta storefronts remain vacant, prompting a county-funded pop-up…
Infrastructure
Fulton County is investing ~$1B (with Grady) to build a…
2 additional market signals with full detail in Pro.
Agenda results
Each land-use item on the agenda, with its recorded voteRequest approval of Sanitary Sewer System Ownership, Operation, Maintenance, and Repair… subdivision
Case 26-0136
No vote recorded
2260 Old Milton Parkway subdivision
Case 26-0137
No vote recorded
Ono Road subdivision
Case 26-0138
No vote recorded
1580 Mayfield Road subdivision
Case 26-0139
No vote recorded
1580 Mayfield Road subdivision
Case 26-0140
No vote recorded
6000 Jones Road subdivision
Case 26-0141
No vote recorded
Request approval of an Indemnification, Maintenance, and Land Use Agreement for Private… subdivision
Case 26-0142
No vote recorded
More land-use items (2)
2 items with no recorded vote on this agenda
- 5555 Windward Parkway subdivisionCase 26-0143No vote recorded
- 5555 Windward Parkway subdivisionCase 26-0144No vote recorded
Who spoke
58 distinct speakers; 0 identified names.
All speaker roles: 12 Unknown, 3 Clerk, 1 Chair, 5 Commissioner, 22 Public, 9 Staff, 4 Witness, 2 Attorney.
Meeting audio
Listen to the recording and select a timestamp with Pro.
Audio in Pro
Zoning terms (2)
26 recorded timestamps
- motion to approve (21 timestamps)
- approved (5 timestamps)
Decision moments (19)
Ask this meeting anything
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Go deeper on this meeting
22 recorded decisions, 6 conditions across 3 decisions. Available full write-ups are included with Pro for Fulton County.
Full write-up and conditions in Pro
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