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Fiscal Year 2026 Year in Review

Active LOIs

Database of active Letters of Intent

Contact Information
Certificate of Need Program

CON Mailing Address
P.O. Box 570, 
Jefferson City, MO 65102

CON Program Office
920 Wildwood Drive
Jefferson City, MO 6510

Fax: 573-751-7894

Phone

CON Applications and Non-Applicability Requests Processed

Type of ProjectNumber of Applications/RequestsProposed Capital CostsWith-drawnApprovedApproved for Less or ConditionallyDenied
Equipment56$183,668,11705600
Hospital & LTCH2$57,047,0560200
ICF/SNF6$33,845,9281500
RCF/ALF11$87,097,92101100
2 Categories of Care1$10,844,3660100
Sub-Total76$372,503,38817500
Non-Applicability15$25,075,58901500
Grand Total91$397,578,97719000

Long-Term Care Projects

Project TypesRCF/ALFICF/SNF2 Categories of CareLTCHTOTAL
 Apps & ReqsBedsApps & ReqsBedsApps & ReqsRCF/ALFSNF/ICFApps & ReqsBedsApps & ReqsBeds
Full Applications           
New Facility52563281000008537
Add Beds4683630001108141
Expedited Applications           
Bed Purchase2220000000222
Bed Replacement00000000000
Renovate/ Modernize0000175133001208
Non-Applicability           
10-Bed/10%31253600000848
<$600,0001120176000002196
Non-Substantive00000000000
Total1547812456175133110291,152

Acronym Definitions

  • CON: Certificate of Need
  • RCF: Residential Living Facility
  • ALF: Assisted Living Facility
  • ICF: Intermediate Care Facility
  • SNF: Skilled Nursing Facility
  • LTCH: Long-Term Care Hospital