COPN Atlas

What is in the North Carolina file

1,600+ applications from the North Carolina Division of Health Service Regulation, 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

  • Approved1,380
  • Denied270
  • Unknown22

Capital cost is stated on 1,600+ rows. 55+ rows record a disagreement between two state documents, with both values and their sources.

By type

  • Dialysis550
  • Diagnostic imaging MRI128
  • Outpatient surgery114
  • Nursing home beds108
  • Acute care beds96
  • Other or not stated73
  • Adult care home beds69
  • Operating rooms69
  • Diagnostic imaging PET51
  • Cost overrun or change of scope50
  • Acute care hospital43
  • Diagnostic center40

By county

  • Wake249
  • Mecklenburg227
  • Durham83
  • Guilford81
  • Forsyth72
  • New Hanover60
  • Buncombe56
  • Cumberland51

Coverage, stated plainly

Decisions back to 2016 come from DHSR's yearly decision tables and letters. Filing dates and proposed costs come from the application logs, public from 2019 on; a records request for the 2016 to 2018 logs went in on October 28, 2026. The state does not post withdrawals.

  • Approved means the state's conditional approval; the conditions are on each row.
  • Dialysis, home health and hospice filings keep the state's own type where they have no match in the Virginia categories.

See ten real rows

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