Letters of Intent

Welcome to the Letters of Intent (LOI) page for the
Division of Certificate of Public Need (DCOPN)

This site will provide links to all active Letters of Intent for DCOPN projects and will be updated as changes arise.  LOI’s will be removed from this list after the earlier of 12 months, when a COPN application is accepted for review or when the LOI is withdrawn/rescinded by the applicant.

All inquiries regarding Certificate of Public Need should be directed to copn@vdh.virginia.gov.

Batch Group A
VA-8866 LOI Inova Health Care Services dba Inova Loudoun Hospital – 11-21-25
8898 UVA health Culpeper LOI- 6-1-26

Batch Group B
VA-8861 LOI.The Loudoun Center for Plastic Surg.Est 2 OR OSH(9.30.25)
VA-8867 Heart and Vascular Group ASC LOI Cath Lab
8868 LOI – Winchester Medical Center
8869 LOI – VHC Arlington Health Sysytem
8871_LOI UVA Medical Center 12-30-25
8872 LOI Hanover Cardiac ASC LLC Goochland 12-30-25
8874 Edin Surgery Center LOI- (September 2026 B cycle)
8899 Inova LOI 07-01-26
8900 Sentara LOI 07-01-26
8901 Children’s National LOI 7-2-26
8902 HCA Health Services of Virginia, Inc. LOI 7-2-26
8904 LOI_SHRC_ASC_OR_v2_July2026 7-2-26
8905 LOI_Discovery_ASC_OR_v2_July2026_7-2-26
8906 LOI_NOVA_ASC_OR_Cath_v2_July2026 7-2-26
8907 LOI – VCU Health 7-2-26
8908 Eye Surgery Center of Virginia LLC LOI, 07.02.26
8909 LOI Hanover Cardiac ASC 7-2-2026
8910 Bon Secours LOI 7-2-26
8911 VHC LOI 7-2-26
8912 LOI RRMC 7-10-26
8913 LOI Harbour View 7-10-26
8914 LOI Chesapeake Heart and Vascular Center, LLC 7-10-268915 LOI 7-13-26
8915 LOI 7-13-26

Batch Group C
8873 LOI Bon Secours Hampton Roads Behavioral Health 1-23-26
8875 LOI – Bon Secours Portsmouth Behavioral Health – 01-30-26

Batch Group D
VA-8819 LOI.Mehdi Taghipour MD.Establish a Center for Imaging services with one fixed CT and one fixed MRI scanner.(2.28.25)
VA-8852 LOI. Sentara Leigh Hospital. Addition of a fixed MRI by conversion of a mobile site.(9-2-25)
VA-8858 LOI.Align Radiology.Establish a Center for CT and MRI services.(9.2.25)
8876 LOI Heart and Vascular Specialist-02-13-26
8877 LOI Centra Health 02-20-26
8878 LOI Carient Heart & Vascular, LLC. 02-2-2026
8880 Inova Letter of Intent 2-26-26
8881 Inova Letter of Intent 2-26-26
8882 Inova Letter of Intent 2-26-26
8883 LOI Carilion Giles Community Hospital 02-26-26
8884 LOI Carilion Franklin Memorial Hospital 02-26-26
8885 James River Letter of Intent 2-27-26
8886-Insight Health Corp – Letter of Intent – Feb 27 2026
8887 LOI Wythe County Community Hospital 02-27-26
8888 LOI James River Cardiology 3-1-26
8889 LOI IFRC 3-2-26
8890 LOI IRMC 3-2-26
8891 LOI VCU Health System Authority 3-02-26
8892 LOI VCU Health System Authority 3-02-26

Batch Group E

Batch Group F
VA-8850 LOI.Reston Radiology Advance Imaing Centers.Establish a specialized center for PETCT imaging.(8.29.25)
VA-8855 LOI.Virginia Hospital Center Arlington Health System Introduce PETCT in existing medical care facility.(9.2.25)
VA-8859 LOI.HCA Health Services of Virginia Inc.Establish a Center for CT Imaging.(9-8-25)
VA-8860 LOI.CJW Hospitals.Establish a Center for CT Imaging.(9-8-25)
VA-8862 LOI.Advanced Health Care and Wellness Establish a PETCT Center for Cardiac Imaging(10-17-25)
VA-8863 LOI. CMC Add 1 Linear Accelerator.(10-29-25)
8864 LOI. Hematology-Oncology Assoc. of Fredricksburg 10-31-25
8879 LOI The Centers for Advanced Urology- 02-24-26
8893 LOI Carient Heart & Vascular, LLC 4-28-26
8894 Inova LOI 4-30-26
8895 LOI UVAMC 05-01-26
8896 LOI Chippenham & Johnston-Willis Hospitals 05-01-26

Batch Group G
VA-8865 LOI. Riverside Lifelong Health 11-3-25
8870 LOI Loudoun VA PropCo  12-30-25
8903 LOI Avery Point 7-2-26