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Certificate of Public Need

Bon Secours St. Francis Medical Center. Photo by Virginia Business/Kira Jenkins.
Sep 22, 2025

State rejects St. Francis hospital expansion

The Virginia state government has rejected a request from Bon Secours’ St. Francis Medical Center to add 36 medical surgical beds.

Carilion Roanoke Memorial Hospital. Photo courtesy Carilion Clinic.
May 8, 2025

Roanoke’s Carilion gets state OK for kidney transplants

  Carilion Clinic has the state’s blessing to move forward with a kidney transplant program, despite public opposition from competitor UVA Health and a 2024 recommendation from the staff of the Division of Certificate of Public Need (DCOPN) that the Roanoke-based health system’s application be denied. In an email Wednesday, Dr. Karen Shelton, Virginia’s health commissioner,[...]

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