Healthcare Insights

Most common types of hospital certificates of need

The District of Columbia and many states in the U.S. require certificates of need (CONs) for the approval of healthcare capital expenditures and projects. These programs aim to control healthcare costs by ensuring new expenses fit community and healthcare system needs.

Is there a hospital certificate of need database?

In the Definitive Healthcare HospitalView product, we collect CONs by monitoring the websites of the 36 states/federal jurisdictions with participating programs. Since 2019, more than 8,700 healthcare CONs have been recorded.

To provide insight into the types of capital projects that hospitals are undertaking, we ranked the most frequent categories for healthcare CONs between January 2019 and December 2023.

Top 10 most common hospital CON categories

CON CategoryPercent of CONs 2019-2023Explore dataset
Change in ownership/stock/management21.80%Explore
Hospital/facility renovation19.90%Explore
Equipment new/replace19.30%Explore
Certify new unit/service11.50%Explore
Change in beds status/number/classification10.20%Explore
New hospital/unit6.90%Explore
Certify/change service5.60%Explore
Hospital/facility relocation3.50%Explore
Transfer equipment0.90%Explore
Hospital/facility closure0.40%Explore

Fig. 1 Data is from the Definitive Healthcare HospitalView product. CONs and hospital purchasing data are from a variety of sources and updated daily. Accessed January 2023.

What is the most common type of certificate of need?

Changes in ownership, stocks, or management CONs for healthcare organizations are the most common with more than 21% of records tracked between January 2019 and December 2023. These CONs cover network affiliation changes and funding news.

Hospital and facility renovations are the second most common certificate of need type and track construction projects. The remaining top categories with more than 5% of certificates of need between January 2019 and December 2023 include:

Real estate and construction companies that help with healthcare project planning use contextualized data from HospitalView to understand geographical demographics, analyze clinical trends, and target healthcare systems planning to build new facilities.

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Healthcare Insights are developed with healthcare commercial intelligence from the Definitive Healthcare platform. Want even more insights? Start a free trial now and get access to the latest healthcare commercial intelligence on hospitals, physicians, and other healthcare providers.