District of Columbia Certificate of Need requests by service
310+ District of Columbia requests in the file since 2016, grouped by what was requested. Counts are taken from the file dated October 29, 2026. 86% of decided requests were approved. The median request took about four months from filing to decision.
By service or type
The fifteen largest groups, using District of Columbia's own categories where the state prints them.
| Service or type | Rows | Approved | Denied | Approval rate | Median days to decision |
|---|---|---|---|---|---|
| Change of control or acquisition | 68 | 61 | 1 | 98% | 58 |
| Home health | 56 | 28 | 27 | 51% | 137 |
| Primary care | 37 | 30 | 5 | 86% | 175 |
| Dialysis | 23 | 20 | 3 | 87% | 90 |
| Not stated | 23 | 23 | 0 | 100% | 91 |
| Hospital beds or services | 20 | 20 | 0 | 100% | 151 |
| Ambulance or EMS | 15 | 10 | 5 | 67% | 92 |
| Substance use treatment | 14 | 13 | 0 | 100% | |
| Outpatient rehabilitation | 11 | 11 | 0 | 100% | |
| Ambulatory surgery | 10 | 10 | 0 | 100% | 135 |
| Renovation or capital project | 8 | 8 | 0 | 100% | |
| Urgent care | 8 | 8 | 0 | 100% | |
| Imaging | 5 | 5 | 0 | 100% | |
| Nursing facility | 4 | 4 | 0 | ||
| Hospice | 4 | 4 | 0 |
The most recent decisions
| Number | Applicant | Service or type | Decided | Outcome |
|---|---|---|---|---|
| DC-2026-0-03 | AMB MIDCO, LLC | Change of control or acquisition | Sep 25, 2026 | Withdrawn or delayed |
| DC-2026-2-08 | Inspire Rehabilitation and Health Center, LLC | Change of control or acquisition | Aug 26, 2026 | Withdrawn or delayed |
| DC-2026-8-03 | Serenity Rehabilitation and Health Center, LLC | Change of control or acquisition | Aug 26, 2026 | Withdrawn or delayed |
| DC-2026-0-01 | Ready Response Medical Transport, LLC | Ambulance or EMS | Aug 19, 2026 | Approved |
| DC-2026-2-02 | Stagecoach Medical Group, PC | Ambulance or EMS | Aug 17, 2026 | Approved |
| DC-2026-1-01 | I-STAT EMS Academy, LLC | Ambulance or EMS | Jul 17, 2026 | Approved |
| DC-2026-2-04 | Stallion Intermediate Corporation | Change of control or acquisition | Jun 29, 2026 | Approved |
| DC-2026-3-01 | Stallion Intermediate Corporation | Change of control or acquisition | Jun 29, 2026 | Approved |
| DC-2026-6-01 | Stallion Intermediate Corporation | Change of control or acquisition | Jun 29, 2026 | Approved |
| DC-2025-2-10 | Bio-Medical Applications d/b/a BMA Dupont Circle | Dialysis | Jun 4, 2026 | Approved |
| DC-2026-7-02 | District Hospital Partners, L.P. | Change of control or acquisition | May 27, 2026 | Approved |
| DC-2026-8-01 | Therapy2000 Acquisition, LLC | Change of control or acquisition | Apr 24, 2026 | Approved |
Numbers link to the state document for that decision where one is posted. Approval rate counts approvals and denials only and is shown where a group has at least five decided requests.
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