COPN Atlas

Every Virginia COPN decision since 2016, with the staff recommendation beside it

When staff recommended denial, the Commissioner approved about 7 in 10 of those requests anyway. The file shows both, with links to the staff report and the decision letter.

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. The sample comes back as an Excel file within one business day.

About 7 in 10staff denials approved by the Commissioner
40+recent rows where state documents disagree, with both values
600+requests since 2016
25+pending as of October 27, 2026

The job it is built for

Advise a hospital, practice or developer client whether to file, oppose a competing request or contest a decision, and back the advice with Virginia precedent.

Decisions are posted by certificate number and staff reports separately, so a precedent set means opening PDFs one at a time.

What the file gives you

  • Every decision since 2016 beside the DCOPN staff recommendation. When staff recommended denial, the Commissioner approved about 7 in 10 of those requests anyway.
  • The State Medical Facilities Plan sections staff found not met, with their reasons, from recent staff reports, and the Commissioner's reason wherever the decision departs from staff.
  • The five closest decided precedents for each pending request and letter of intent, same service line and planning district first.
  • A calendar of filing deadlines, review cycles and expected decision dates, as a tab and as a calendar file.

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: Virginia Department of Health public notices, DCOPN staff reports and Commissioner case decisions, retrieved October 27, 2026.
Source
VA-8830Virginia Commonwealth University Health System AuthorityNew 66-bed general acute care hospital, ChesterfieldPD 15$306,206,172Conditional approval
March 13, 2026. Competed with VA-8831 and VA-8832.
Notice PDF
VA-8850Reston Radiology Advanced Imaging Centers, LLCNew PET/CT imaging center, FredericksburgPD 16$3,483,920Denied
August 20, 2026. Competed with VA-8864.
Notice PDF
VA-8848Inova Reston MRI Center, LLCIntroduce MRI at an existing imaging center, FairfaxPD 8$2,875,382
Sources 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-8865Riverside Lifelong Health & Rehabilitation SmithfieldAdd 26 nursing home beds by relocation, SmithfieldPD 20$7,053,440Approved
April 24, 2026.
Notice PDF
VA-8873Bon Secours - Hampton Roads Behavioral Health, LLCNew 96-bed inpatient behavioral health hospital, ChesapeakePD 20$103,156,063Decision 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.