COPN Atlas

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Delaware Certificate of Public Review filings in one sortable file

Every Delaware Certificate of Public Review application since January 2016, from notice of intent to Board vote, with the state's monthly reports linked on each row and the cost each project carried at every step.

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Notice
Application
Board vote
DelawareDE-2019-01Denied

Denied, twice

Beebe Healthcare

Freestanding emergency department in central Sussex County

WhereGeorgetown
ServiceEmergency department
January 2019 report$15 million
August 2019 report$20 to 23 million
  1. HearingMay 16, 2019
  2. Board voteAug 15, 2019
  3. ReconsideredDec 12, 2019

Heard with Bayhealth's Sussex County emergency department, which was withdrawn the day before the vote. The reasons recorded for the denial and the Board vote are on the row.

Real rows from the file
80+applications since 2016, one row each
70+approved
2denied
7in the pipeline now

Questions the file answers

Each row is one Certificate of Public Review application to the Delaware Health Resources Board (HRB): the applicant, the project, the town, the estimated cost at each step, the notice of intent, completeness and hearing dates, the Board's vote and its date, opposition on file, and links to every monthly report that mentions it. The busiest service lines are outpatient surgery, PET imaging, nursing home beds and rehabilitation. The busiest places are Newark, Wilmington, Milford and Dover.

  • What has a competitor filed in my area?Filter by applicant or health system and area.
  • Who is about to file, and what is still waiting on a decision?The Pipeline tab lists 7 open applications and letters of intent, as of October 29, 2026.
  • How often does the state say no?2 of 70+ decided applications were denied since 2016. Filter by service to see where denials cluster.
  • Who opposed a project, and did it matter?20+ rows name the interested or opposing parties, next to the decision.
  • What did comparable projects cost?Sort 75+ applications with a stated capital cost by service and year.
  • Where do the state's documents conflict?30+ rows keep both values and name the document behind each.

Who it's for

The same file answers different questions depending on your job. Pick yours.

Law firms and health regulatory counsel

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.

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CON and health planning consultants

Build an application that holds up in staff review: the existing inventory, the comparable projects and the cost benchmarks.

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Hospital strategy and planning teams

Know what competitors are planning in your service area before it reaches public notice, and brief leadership on it.

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Imaging, surgery, cardiology and post-acute operators

Decide where to add a scanner, a cath lab, operating rooms or beds, and judge the odds and the timeline before spending on an application.

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Investors, lenders and healthcare real estate

Diligence a provider, a deal or a site whose value depends on a certificate of need.

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Five rows from the file

The five most recent decisions, with a few of the columns. Each application number links to the HRB report that records its decision or its latest step.

See coverage and the numbers
ApplicationApplicantPlaceDecidedOutcome
DE-2026-08ChristianaCare (ChristianaCare Cardiovascular Center Newark joint venture)NewarkAug 25, 2026Approved
DE-2026-11NemoursWilmingtonJul 21, 2026Approved
DE-2026-03ChristianaCareNewarkJun 25, 2026Approved
DE-2026-04TidalHealth NanticokeMillsboroJun 25, 2026Approved
DE-2026-01University of Pennsylvania HealthWilmingtonApr 23, 2026Approved

The 10-row sample has every column.

How the subscription works

  1. Reserve now, pay nothing.The form takes a minute. I confirm by email within one business day.
  2. First file in January 2027.The full file and an invoice for $500, payable by check or ACH. If the file does not match this site's description and I cannot fix it within 15 days of your notice, you do not pay.
  3. A new file every month.New filings and decisions added, with changed rows marked.

Pricing and terms

Built from the state's own documents

The file covers 81 applications: 78 filed from January 2016 through September 2026, plus 3 filed in 2015 and decided in 2016. Dates and costs come from the HRB's monthly activity reports; the 2015 to 2019 reports, which the state no longer posts, were read from Internet Archive copies. Review committee recommendations, Board votes, hearing participants and conditions come from 145 sets of Board, committee and hearing minutes and 178 agendas on the state's public meetings site. A few meetings have no posted minutes, and the file says which. Sixteen notices of intent that never became applications are listed separately.

  • The Board approves almost everything: of 74 closed applications, 71 were approved, 2 denied and 1 withdrawn. The denials were Beebe Healthcare's Georgetown freestanding emergency department in 2019 and a Community Dental Partners application in October 2025, for lack of funding.
  • The state's own Application Decisions table disagrees with its monthly reports on 11 projects and leaves out four 2025 approvals. The file keeps both figures and names each source.
  • Each review committee's recommendation and each Board vote come from the Board's minutes, linked on the row. The Board overruled its committee once: Bayhealth Harbeson in 2020, approved 7 to 1 after a 2 to 1 committee recommendation to deny.

How the Delaware file is built · Finding Delaware filings

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One subscription covers every state in the file. Nothing is due until the first file arrives in January 2027, and you can cancel before then at no cost.

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