The COPN record, sorted
One row per application decided by the Certificate of Need Section since 2016, with the decision, the approved capital cost, the conditions, competing applications, appeals and links to the state's decision letters.
One $500 founding subscription covers North Carolina, Virginia and every state added during your year. Nothing is due until the first file in January 2027.
Competing requests
Develop 164 additional acute care beds
Reviewed in the same Wake County cycle as rival bed and hospital requests from Duke and UNC Health Rex, which were denied.
Each row is one application reviewed by the NC Division of Health Service Regulation (DHSR): the applicant, the facility, the county, proposed and approved capital cost, the filing date and review cycle, competing applications, the decision and its date, conditions, appeals filed, and links to the state's decision letters. The busiest counties are Wake, Mecklenburg, Durham, Guilford.
Decisions back to 2016 come from DHSR's yearly decision tables and letters. Filing dates, proposed costs and review cycles come from the application logs, which are public from 2019 on; the 2016 to 2018 logs are dead links on the state site, and a records request for them went in on October 28, 2026. The state does not post withdrawals.
The same file answers different questions depending on your job. Pick yours.
Advise a hospital, practice or developer client whether to file, oppose a competing request or contest a decision, and back the advice with precedent from the state's own decisions.
See what it doesBuild an application that holds up in staff review: the existing inventory, the comparable projects and the cost benchmarks.
See what it doesKnow what competitors are planning in your service area before it reaches public notice, and brief leadership on it.
See what it doesDecide where to add a scanner, a cath lab, operating rooms or beds, and judge the odds and the timeline before spending on an application.
See what it doesDiligence a provider, a deal or a site whose value depends on a certificate of need.
See what it doesEach project ID links to the state's decision letter.
| Project ID | Applicant | County | Decided | Outcome |
|---|---|---|---|---|
| F-012775-26 | The Presbyterian Hospital and Novant Health, Inc. | Mecklenburg | Sep 28, 2026 | Approved |
| C-012769-26 | Hospice of Henderson County, Inc. | McDowell | Sep 25, 2026 | Denied |
| Q-012771-26 | Liberty Healthcare Properties of Pitt County, LLC. Liberty Commons of Pitt County, LLC | Pitt | Sep 25, 2026 | Denied |
| C-012772-26 | Bristol Hospice-North Carolina, LLC; Bristol Hospice, LLC | McDowell | Sep 25, 2026 | Denied |
| C-012773-26 | VITAS Healthcare Corporation of North Carolina VITAS Healthcare Corporation | McDowell | Sep 25, 2026 | Denied |
| C-012774-26 | AdventHealth Home Health and Hospice, Inc.; Adventist Health System Sunbelt Healthcare Corporation | McDowell | Sep 25, 2026 | Denied |
| F-012776-26 | Belmont Radiation Oncology, LLC and CaroMont Health, Inc. | Gaston | Sep 25, 2026 | Approved |
| C-012777-26 | PruittHealth Hospice, Inc. | McDowell | Sep 25, 2026 | Approved |
| C-012779-26 | Affinity Care Hospice of NC II, LLC | McDowell | Sep 25, 2026 | Denied |
| C-012781-26 | Hospice & Palliative Care Charlotte Region | McDowell | Sep 25, 2026 | Denied |
$500 a year covers North Carolina, Virginia and every state added during your year. Nothing is due until the first file arrives in January 2027.