New York Certificate of Need applications by service and county
6,000+ New York applications in the file since 2016, grouped by what was requested and where. Counts are taken from the file dated October 29, 2026. 100% of decided applications were approved. The median application took about three months from filing to decision.
By service or type
The fifteen largest groups, using New York's own categories where the state prints them.
| Service or type | Rows | Approved | Denied | Pending | Approval rate | Median days to decision |
|---|---|---|---|---|---|---|
| Hospital | 2,799 | 2,637 | 0 | 55 | 100% | 80 |
| Diagnostic and Treatment Center | 1,657 | 1,501 | 1 | 50 | 100% | 104 |
| Licensed Home Care Services Agency | 846 | 260 | 0 | 233 | 100% | 342 |
| Residential Health Care Facility | 679 | 525 | 0 | 58 | 100% | 154 |
| Certified Home Health Agency | 76 | 54 | 0 | 12 | 100% | 168 |
| Hospice | 19 | 16 | 0 | 0 | 100% | 135 |
| Midwifery Birth Center | 4 | 1 | 1 | 0 |
By county
The fifteen counties with the most applications.
| County | Rows | Approved | Denied | Pending | Approval rate | Median days to decision |
|---|---|---|---|---|---|---|
| Kings | 744 | 527 | 0 | 68 | 100% | 127 |
| New York | 706 | 601 | 0 | 32 | 100% | 98 |
| Queens | 450 | 318 | 0 | 54 | 100% | 120 |
| Nassau | 385 | 307 | 0 | 34 | 100% | 102 |
| Bronx | 377 | 324 | 0 | 20 | 100% | 114 |
| Suffolk | 375 | 307 | 0 | 21 | 100% | 109 |
| Westchester | 348 | 295 | 1 | 25 | 100% | 98 |
| Monroe | 330 | 301 | 0 | 16 | 100% | 76 |
| Erie | 279 | 235 | 1 | 19 | 100% | 103 |
| Onondaga | 154 | 132 | 0 | 9 | 100% | 103 |
| Rockland | 124 | 104 | 0 | 7 | 100% | 106 |
| Albany | 121 | 100 | 0 | 10 | 100% | 101 |
| Richmond | 102 | 81 | 0 | 6 | 100% | 108 |
| Orange | 97 | 86 | 0 | 3 | 100% | 88 |
| Dutchess | 91 | 83 | 0 | 3 | 100% | 105 |
The most recent decisions
| Number | Applicant | Service or type | County | Decided | Outcome |
|---|---|---|---|---|---|
| 262016 | Fifth Avenue Surgery Center, LLC | Diagnostic and Treatment Center | New York | Oct 26, 2026 | Approved |
| 251292 | Sisters of Charity Hospital of Buffalo New York Inc | Hospital | Erie | Oct 23, 2026 | Approved |
| 252041 | Mercy Hospital of Buffalo Inc | Hospital | Erie | Oct 23, 2026 | Approved |
| 262043 | Samaritan Hospital of Troy, NY Inc | Hospital | Rensselaer | Oct 23, 2026 | Approved |
| 262124 | MVHS, Inc. | Hospital | Madison | Oct 23, 2026 | Approved |
| 261282 | L'Refuah Medical & Rehabilitation Center,Inc | Diagnostic and Treatment Center | Kings | Oct 21, 2026 | Approved |
| 261234 | Liberty Resources, Inc. | Diagnostic and Treatment Center | Oswego | Oct 20, 2026 | Approved |
| 261276 | Suffolk Surgery Center, LLC | Diagnostic and Treatment Center | Suffolk | Oct 15, 2026 | Approved |
| 262120 | Monroe County | Residential Health Care Facility | Monroe | Oct 14, 2026 | Approved |
| 251218 | Montefiore Medical Center | Hospital | Bronx | Oct 9, 2026 | Approved |
| 262114 | Refuah Health Center | Diagnostic and Treatment Center | Sullivan | Oct 9, 2026 | Approved |
| 261236 | Church Home of the Protestant Episcopal Church | Residential Health Care Facility | Monroe | Oct 6, 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 applications.
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