COPN Atlas

What is in the District of Columbia file

310+ requests from DC Health's State Health Planning and Development Agency, one row each, since 2016. Figures on this page are counted from the file dated October 28, 2026.

By year

Year is the application year where the documents give one, otherwise the decision year.

Outcomes

  • Approved259
  • Denied41
  • Withdrawn or delayed7
  • Partially approved3
  • Not reviewed or other3

Capital cost is stated on 120+ rows. 15+ rows record a disagreement between two state documents, with both values and their sources.

By type

  • Change of control or acquisition68
  • Home health56
  • Primary care37
  • Dialysis23
  • Not stated23
  • Hospital beds or services20
  • Ambulance or EMS15
  • Substance use treatment14
  • Outpatient rehabilitation11
  • Ambulatory surgery10
  • Renovation or capital project8
  • Urgent care8

Coverage, stated plainly

Decisions back to 2016 come from SHPDA's yearly decision tables. Staff reports, capital cost and conditions are in the file mostly from 2021 on, and filing dates start in 2022. A DC FOIA request for the 2016 to 2020 records and the letter of intent log went in on October 28, 2026.

  • Most DC filings are changes of control, home health, primary care, dialysis and ambulance services, so the file keeps SHPDA's own categories.
  • Letters of intent from SHPDA's library for 2025 and 2026 are a separate tab.

See ten real rows

$500 a year covers DC, every other state in the file and each new one as it is added. Nothing is due until the first file in January 2027.