What competitors have filed in your planning district, and what comes next
See the letters of intent with no public notice yet and the requests still waiting on a decision, then filter the file by applicant, parent system and planning district.
- Founding rate
- $500 a year, first five subscribers
- First file
- January 2027, then monthly
- Billing
- Invoiced with the first file. Nothing due before.
Reserve opens a Google Form and takes about a minute. No card, and nothing is due until January 2027.
25+letters of intent not yet public-noticed
25+requests pending as of October 27, 2026
600+requests since 2016
360+approvals with a charity care condition
The job it is built for
Know what competitors are planning in your service area before it reaches public notice, and brief leadership on it.
Letters of intent, notices and decisions post on separate VDH pages, and spotting a competitor's filing means checking each one by hand.
What the file gives you
- Letters of intent with no public notice yet, each matched to the health system behind it.
- Scorecards for 30+ health systems, plus independent applicants: requests, approval rate, capital requested, staff denials and what is pending.
- A monthly list of what changed, filtered to the districts, services or competitors you choose.
Five rows from the file
Real filings with a few of the columns. Every row links to the state's document. Swipe the table sideways to see every column.
| Source | ||||||
|---|---|---|---|---|---|---|
| VA-8830 | Virginia Commonwealth University Health System Authority | New 66-bed general acute care hospital, Chesterfield | PD 15 | $306,206,172 | Conditional approval March 13, 2026. Competed with VA-8831 and VA-8832. | Notice PDF |
| VA-8850 | Reston Radiology Advanced Imaging Centers, LLC | New PET/CT imaging center, Fredericksburg | PD 16 | $3,483,920 | Denied August 20, 2026. Competed with VA-8864. | Notice PDF |
| VA-8848 | Inova Reston MRI Center, LLC | Introduce MRI at an existing imaging center, Fairfax | PD 8 | $2,875,382Sources disagreeThe public notice lists $2,875,382. The staff report lists $3,772,642. The file carries both. | Conditional approval February 16, 2026. | Notice PDF |
| VA-8865 | Riverside Lifelong Health & Rehabilitation Smithfield | Add 26 nursing home beds by relocation, Smithfield | PD 20 | $7,053,440 | Approved April 24, 2026. | Notice PDF |
| VA-8873 | Bon Secours - Hampton Roads Behavioral Health, LLC | New 96-bed inpatient behavioral health hospital, Chesapeake | PD 20 | $103,156,063 | Decision pending Staff recommended conditional approval. Competes with VA-8875. | Notice PDF |
More detail: what is in the file, how it is built, pricing and terms, who makes it.