COPN Atlas

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What is in the file

600+ requests, one row each, plus a pipeline of letters of intent and an analytics tab. Requests noticed from August 2024 on are compiled from all three state documents; earlier requests back to January 2016 come from VDH's own request log. Delivered as an Excel workbook and a CSV file. Figures on this page are counted from the file dated October 27, 2026.

Requests by year of application

Year is the date VDH received the application, or the notice date where no application date is recorded. This year runs through the September 2026 cycle.

When staff say no

When DCOPN staff recommended denial and the request went on to a decision, the Commissioner approved about 7 in 10 of them anyway, often after an informal fact-finding conference. When staff recommended approval, the Commissioner almost always agreed.

  • Staff denial, approved54
  • Staff denial, denied22

The analytics tab breaks this out by year, service line and planning district, and shows which approvals carry a charity care condition.

By service line

  • Imaging, CT121
  • Imaging, MRI96
  • Outpatient surgery92
  • Imaging, PET66
  • Nursing home beds39
  • Cardiac catheterization38
  • Radiation therapy35
  • Acute care beds29
  • Psychiatric beds25
  • Rehabilitation23
  • Other17
  • NICU11
  • Substance abuse8
  • Lithotripsy5
  • Acute care hospital3

Busiest planning districts

  • PD 8154
  • PD 15123
  • PD 2098
  • PD 2144
  • PD 528
  • PD 1627

PD 8 is Northern Virginia, PD 15 is the Richmond region and PD 20 is Hampton Roads. Planning district is listed as the state's documents give it.

The ten most recent public notices

All ten were filed September 10, 2026 in the September 2026 Batch Cycle B. They show what a row looks like before the staff report and decision are posted. Swipe the table sideways to see every column.

Ten most recent requests in the file, as of October 27, 2026. "None stated" means the public notice gives no capital cost.
Filed Status Source
VA-8915Doctors' Hospital of Williamsburg d/b/a Riverside Doctors' Hospital of WilliamsburgIntroduce one cardiac catheterization services with one cardiac catheterization lab at the existing hospital within PD 21Williamsburg, PD 21$2,250,000September 10, 2026PendingNotice PDF
VA-8914Chesapeake Heart and Vascular Center, LLCEstablish cardiac catheterization services with one cardiac catheterization lab within PD 20Chesapeake, PD 20$4,803,540September 10, 2026PendingNotice PDF
VA-8913Harbour View Medical Center d/b/a Bon Secours Harbour View Medical CenterEstablish cardiac catheterization services with one cardiac catheterization lab within PD 20Suffolk, PD 20$15,092,218September 10, 2026PendingNotice PDF
VA-8912Riverside Regional Medical CenterAdd one cardiac catheterization lab at the existing hospital within PD 21Newport News, PD 21$40,000September 10, 2026PendingNotice PDF
VA-8911Virginia Hospital Center d/b/a VHC HealthAdd four (4) general purpose operating roomsArlington$11,422,458September 10, 2026PendingNotice PDF
VA-8910Bon Secours Mary Immaculate HospitalAdd one cardiac catheterization lab at the existing hospital within PD 21Newport News, PD 21$5,468,304September 10, 2026PendingNotice PDF
VA-8909Hanover Cardiac ASC, LLCEstablish cardiac catheterization services with one cardiac catheterization lab within PD 20Chesapeake, PD 20$4,693,354September 10, 2026PendingNotice PDF
VA-8908Eye Surgery Center of Virginia, LLCEstablish an outpatient surgical hospital with two operating rooms within PD 10Charlottesville, Albemarle County, PD 10$7,760,418September 10, 2026PendingNotice PDF
VA-8907Virginia Commonwealth University Health System AuthorityAdd one operating room within PD 15Richmond, PD 15$447,938September 10, 2026PendingNotice PDF
VA-8906NOVA Heart & Rhythm Center, LLCEstablish an outpatient surgical hospital with one (1) operating room and one (1) Cardiac Catheterization LaboratoryWoodbridge$5,108,118September 10, 2026PendingNotice PDF

Coming next: letters of intent

A letter of intent reaches DCOPN one to three months before the public notice. These have no notice yet. The twelve newest are shown, and the pipeline tab has all of them. Swipe the table sideways to see every column.

Source: VDH letters of intent page, retrieved October 27, 2026.
Project Source
VA-8938October 23, 2026IFRC, LLC (Inova partnership)Relocate and replace 1 existing CT scanner from Annandale to Fairfax (inventory neutral)PD 8LOI PDF
VA-8937October 22, 2026Stafford Hospital, LLCAdd 1 linear accelerator and introduce HDR brachytherapyPD 16LOI PDF
VA-8936September 21, 2026MAHA Clinic, LLC (Hillsboro Predictive Rural Health Clinic)Introduce mobile MRI servicesPD 8LOI PDF
VA-8935September 4, 2026Tyson's Corner Diagnostic Imaging, LLCAdd 1 fixed MRI at its existing locationPD 8LOI PDF
VA-8925September 1, 2026Children's Hospital d/b/a Children's National HospitalEstablish a specialized center for MRI with 1 fixed MRIPD 8LOI PDF
VA-8926September 1, 2026Carilion New River Valley Medical CenterEstablish a specialized center for CT by relocating 1 CT scannerPD 4LOI PDF
VA-8927September 1, 2026Virginia Imaging Services, Inc.Introduce MRI at an existing diagnostic imaging facility with 1 MRIPD 8LOI PDF
VA-8928September 1, 2026Holston Medical Group, P.C.Establish CT and MRI services at its medical office buildingPD 3LOI PDF
VA-8929September 1, 2026Columbia/HCA John Randolph, Inc. d/b/a TriCities HospitalEstablish a specialized center for CT with 1 CT scannerPD 19LOI PDF
VA-8930September 1, 2026Chippenham & Johnston-Willis Hospitals, Inc.Add 1 CT scanner at Johnston-Willis HospitalPD 15LOI PDF
VA-8931September 1, 2026Pulaski Community Hospital, Inc.Establish a specialized center for CT with 1 CT scannerPD 3LOI PDF
VA-8932September 1, 2026Reston Radiology Advanced Imaging Centers, LLCEstablish a specialized center for PET/CT with 1 PET/CT scannerPD 16LOI PDF

What happened after the filing

For every pending request and every 2026 decision, the file adds independent research from outside VDH: local news, health-system announcements, local government records and court filings, each with its source. Some have findings about the project itself; others carry background on the applicant or site. Three examples:

VA-8830, Appealed by competitor, litigation pending

Richmond BizSense reported the 7220 Beach Road hospital at about $306 million and 203,000 square feet, with completion expected by late May 2030, next to a $90 million VCU medical office and surgery building under construction. Bon Secours filed notices of appeal on April 10, 2026 and then challenged the approval in Chesterfield Circuit Court in early May 2026. VCU Health and HCA filed motions to dismiss in early June 2026; no ruling was found.

Sources: richmondbizsense.com, richmondbizsense.com, virginiabusiness.com, richmondbizsense.com

VA-8892, Site identified, completion expected 2028

Richmond BizSense reported on 2026-10-02 that VCU Health plans a one-CT imaging site in about 2,200 square feet of leased space in the Patient First building at 12 N. Thompson St. in Carytown. State filings put the cost above $3 million, and completion is expected in 2028. Patient First, whose affiliated LLC owns the building, said its own operations will not change.

Sources: richmondbizsense.com

VA-8824, Approved, completion targeted Feb 2027

Richmond BizSense reported on March 9, 2026 that the hospital at 2200 Edward Holland Drive in Henrico plans a 16-bed medical rehabilitation unit, after an August 2025 amendment cut the request from 25 beds. The roughly $10 million project, paid from the operator's reserves, would bring the facility to 76 beds and is expected to finish by February 2027. About 40 staff would be added.

Sources: richmondbizsense.com

When the state's documents disagree

About 3 in 10 recent rows carry at least one conflict between the public notice, the staff report and the decision. The file shows both values and the document each came from. For example:

VA-8848, capital cost

The public notice gives $2,875,382. The staff report gives $3,772,642.

VA-8887, planning district

The notice places the Wytheville project in PD 8. The staff report places it in PD 3.

VA-8883, request number

The notice text reads VA-8889. The file name and the staff report both say VA-8883.

The columns in the CSV

  • Request number
  • ApplicantThe legal entity named on the filing
  • Parent health systemWhere the documents name one
  • Project description
  • Location
  • Planning district and health planning region
  • Service line and service detail
  • Capital cost and its basisAs stated in the public notice
  • Staff report capital costWhere it differs from the notice
  • Filing date and application received date
  • Batch review cycle
  • Competing requestsOther requests reviewed in the same cycle
  • Joint staff reportRequests covered by the same report
  • Staff report date and DCOPN recommendation
  • Commissioner's decision, date and certificate number
  • DiscrepanciesEvery conflict, with both values
  • Source linksNotice, staff report and decision PDFs
  • Regional agency recommendationWhere VDH's log records one
  • Outcome and Commissioner versus staffNormalized for filtering and counts
  • Days from application to decision
  • Charity care conditionAs recorded for approved projects
  • Independent researchSignal, notes and source links
  • Record depth and source notesWhich documents each row is built from

See every column on ten rows

The 10-row sample uses the same workbook format subscribers receive.

Reserve a subscriptionDownload the 10-row sample

No card and nothing due until January 2027.