Certificate of Need
What the new State Medical Facilities Plan means for 2026
The annual plan reshapes which projects are reviewable. Here is how to read this year's need determinations before you file.
Read insightInsights
Reading the regulatory landscape.
Perspectives on the strategic, regulatory, and facility decisions that shape healthcare — from the desks of the people who advise on them.
- Rural Health
Planning access where the market won't build it
Rural service-line decisions don't follow urban math. A framework for sizing demand and making the case for care closer to home.
Read insight - Strategy
Service-line strategy when capital is tight
How systems are sequencing investments, defending margin, and choosing which lines to grow when every dollar is contested.
Read insight - Facility Planning
Programming for procedural growth without overbuilding
A disciplined approach to sizing OR, endoscopy, and cath lab capacity that scales with real demand.
Read insight - Community Health
Turning a CHNA into a real implementation strategy
Moving beyond compliance — how the assessment can direct where a nonprofit hospital actually invests.
Read insight - Public Sector
What state health agencies get wrong about need forecasts
Common gaps in need methodology, and how to build a defensible forecast under public scrutiny.
Read insight
Let's talk
Turn a complex healthcare challenge into a clear plan.
Whether you're weighing a new service line, preparing a Certificate of Need, planning a facility investment, or aligning leadership on direction — we can help you see the path forward.
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