The COPN record, sorted
Every CON application, exemption and reviewability ruling at the West Virginia Health Care Authority since January 2016, one row per file number, with the HCA decision document, findings and conditions where the decision states them, hearings and opposition, letters of intent and the court record where a ruling was appealed.
Reserving takes about a minute. No card, and nothing is due until January 2027. Prefer to see it first? Book a 15-minute walkthrough on Zoom, Teams or Webex.
Denied, then appealed
Relocate and build a new 29-bed acute care hospital
A later HCA ruling that the move needed no CON was reversed by the Supreme Court of Appeals on November 13, 2025. The file follows the appeals.
Each row is one file number at the West Virginia Health Care Authority (HCA): the applicant, the project, the county, the capital expenditure, the filing type, received, complete and decision dates, the statutory findings where printed, affected parties, appeals, and links to the HCA report it came from. The busiest counties are Kanawha, Cabell, Raleigh and Wood.
The same file answers different questions depending on your job. Pick yours.
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.
See what it doesBuild an application that holds up in staff review: the existing inventory, the comparable projects and the cost benchmarks.
See what it doesKnow what competitors are planning in your service area before it reaches public notice, and brief leadership on it.
See what it doesDecide where to add a scanner, a cath lab, operating rooms or beds, and judge the odds and the timeline before spending on an application.
See what it doesDiligence a provider, a deal or a site whose value depends on a certificate of need.
See what it doesThe five most recent decisions, with a few of the columns. Each file number links to the HCA report, or the court record, it came from.
| File number | Applicant | County | Decided | Outcome |
|---|---|---|---|---|
| 26-2-13639-P | Boone Memorial Hospital, Inc. | Oct 26, 2026 | Withdrawn or delayed | |
| 26-7-13792-X | Safe Space Therapy, LLC | Oct 26, 2026 | Approved | |
| 26-8-13789-X | Jacob's Ladder at Brrokside Farm, LLC | Oct 26, 2026 | Approved | |
| 26-9-13799-X | PursueCare and XRHealth | Oct 26, 2026 | Approved | |
| 26-10-13803-X | Westbrook Health Services | Oct 26, 2026 | Approved |
The 10-row sample has every column.
2,922 HCA files from January 2016 through October 2026: 528 CON applications, 1,636 exemption applications, 730 requests for a determination of reviewability and 28 more of mixed type. 2017 to 2022 come from the HCA annual case-file reports; 2016 and 2023 on come from the HCA's public document archive, which holds the case files and 578 weekly HCA newsletters. Each row links the HCA decision where one is posted, and findings and conditions are read from 449 CON decisions. Exemption and reviewability outcomes come from the newsletter or receipt letter, not from reading each decision.
How the West Virginia file is built · Finding West Virginia filings
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