The Competitive Edge of a Certificate of Need (CON) for Hospice Services

In 14 states, hospice agencies must secure a Certificate of Need (CON) to expand services. Additionally, many states mandate a CON for each new non-residential hospice bed addition. While this process is complex, winning a CON approval grants significant advantages: 

• Limited Competition: CON licenses give more exclusive operating rights in specific counties or states. 

• High License Value: Without Medicare certification, licenses alone can be worth $1 million or more in certain states. 

• Strategic Sale Opportunities: Holding a CON ensures immediate value if your agency is sold. 

Learn more about our CON Support Services 

Click here

Support You Can Get for Hospice CON Success 

Competition for CON approval is tough. Instead of navigating the process alone, partner with SimiTree’s experienced consultants who have achieved successful outcomes in multiple states. Our services include: 

1. Comprehensive Application Support 

• Data analysis and competition review 

• Preparation of supporting documentation and financial pro formas 

• Assistance with public notifications, letters of intent, and application narratives 

2. Special Considerations Assessment 

• Addressing the needs of underserved populations 

• Demographic and social needs evaluations 

• Access-to-care planning 

3. Public Hearing Preparation 

•  Review of Community Needs and development of Needs campaign 

• Crafting presentations for hearings or public meetings to address concerns 

4. Feasibility Assessments 

• Market need evaluations 

• Financial viability analysis 

• Pre-award budgeting 

5. Expert Testimony and Appeals Support 

• Testimony for hearings 

• Guidance on appeals if needed 

Why Choose SimiTree? 

SimiTree’s CON consultants combine industry expertise, market-specific knowledge, and analytical tools to help agencies navigate every step of the process. From application preparation to public hearings, our team delivers strategies for favorable outcomes. 

Ready to Expand? 

Take the next step with confidence by partnering with SimiTree. 

➡️ Learn more about our CON Support Services 
➡️ Explore our M&A Support Services 

Whether you’re a PE firm, an M&A client, or a large hospice agency with strategic growth plans, SimiTree is your trusted guide for CON success.