Asheville, North Carolina, October 16, 2025
In Asheville, four major hospital systems are vying for healthcare expansion projects, including new clinics and facilities. As the demand for healthcare rises in western North Carolina, these providers are engaged in a competitive race for market share. 828 News Now dives into the details of this rivalry which is set to significantly impact the healthcare landscape in the area.
Asheville, North Carolina: Four Hospital Systems Compete for Expansion Projects
Asheville, North Carolina – In the past 48 hours, four major hospital systems have announced plans to expand their facilities in the Asheville area, intensifying competition to meet the growing healthcare demands of western North Carolina.
AdventHealth’s Expansion Plans
AdventHealth has acquired approximately 25 acres of land in Buncombe County, near Weaverville, to build a new 67-bed acute care hospital. The proposed facility will include a surgery suite, a 12-bed emergency department, a 13-bed maternity unit, and a 12-bed intensive care unit. AdventHealth has also applied for an additional 26 acute care beds, bringing the total to 93 beds.
Novant Health’s Proposal
Novant Health intends to build a 26-bed cancer-focused hospital in Buncombe County. The proposed Novant Health Asheville Medical Center would be located on 24 acres at 455 Long Shoals Road. Novant Health has also expanded its presence in the region by opening new specialty clinics and planning a medical plaza in South Asheville.
Mission Health’s Application
Mission Health has applied to add 26 acute care beds to its existing facilities in Buncombe County. The proposed expansion aims to address the high demand for services, including intensive care and adult medical and surgical beds. Mission Health plans to complete the addition by 2025.
UNC Health and Pardee’s Initiative
UNC Health and UNC Health Pardee have announced their intention to build a 129-bed hospital in Buncombe County. The application is part of the state’s Certificate of Need process, which requires healthcare providers to obtain approval before building new facilities or adding beds. The proposed facility aims to increase access and improve care in the rapidly growing region.
Background Context
The Certificate of Need (CON) process is a state-mandated program that requires healthcare providers to obtain approval before constructing new facilities, adding beds, or purchasing large medical equipment. This process is designed to prevent unnecessary duplication of services and control healthcare costs. The recent surge in hospital expansion applications reflects the increasing demand for healthcare services in the Asheville area.
Conclusion
The competition among AdventHealth, Novant Health, Mission Health, and UNC Health underscores the growing need for expanded healthcare facilities in Asheville. As these hospital systems vie for approval, the outcome will significantly impact the region’s healthcare landscape in the coming years.
FAQ
What is the Certificate of Need (CON) process?
The Certificate of Need (CON) process is a state-mandated program that requires healthcare providers to obtain approval before constructing new facilities, adding beds, or purchasing large medical equipment. This process is designed to prevent unnecessary duplication of services and control healthcare costs.
Which hospital systems are competing for expansion in Asheville?
The four major hospital systems competing for expansion projects in Asheville are AdventHealth, Novant Health, Mission Health, and UNC Health.
What are the proposed expansions by AdventHealth?
AdventHealth plans to build a new 67-bed acute care hospital in Buncombe County, near Weaverville, and has applied for an additional 26 acute care beds, bringing the total to 93 beds. The proposed facility will include a surgery suite, a 12-bed emergency department, a 13-bed maternity unit, and a 12-bed intensive care unit.
What is Novant Health’s proposal for Asheville?
Novant Health intends to build a 26-bed cancer-focused hospital in Buncombe County, located on 24 acres at 455 Long Shoals Road. Novant Health has also expanded its presence in the region by opening new specialty clinics and planning a medical plaza in South Asheville.
What is Mission Health’s application for expansion?
Mission Health has applied to add 26 acute care beds to its existing facilities in Buncombe County. The proposed expansion aims to address the high demand for services, including intensive care and adult medical and surgical beds, with completion planned by 2025.
What is UNC Health and Pardee’s initiative in Asheville?
UNC Health and UNC Health Pardee have announced their intention to build a 129-bed hospital in Buncombe County. The application is part of the state’s Certificate of Need process, aiming to increase access and improve care in the rapidly growing region.
Key Features of the Hospital Expansion Projects
| Hospital System | Proposed Facility | Location | Number of Beds | Additional Features | Proposed Completion Date |
|---|---|---|---|---|---|
| AdventHealth | 67-bed acute care hospital | Buncombe County, near Weaverville | 67 beds (with application for additional 26 beds) | Surgery suite, 12-bed emergency department, 13-bed maternity unit, 12-bed intensive care unit | Not specified |
| Novant Health | 26-bed cancer-focused hospital | Buncombe County, 455 Long Shoals Road | 26 beds | New specialty clinics, medical plaza in South Asheville | Not specified |
| Mission Health | Expansion of existing facilities | Buncombe County | 26 additional acute care beds | Address high demand for intensive care and adult medical and surgical beds | 2025 |
| UNC Health and Pardee | 129-bed hospital | Buncombe County | 129 beds | Increase access and improve care in the region | Not specified |
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Author: Construction NC News
NORTH CAROLINA STAFF WRITER The NORTH CAROLINA STAFF WRITER represents the experienced team at constructionncnews.com, your go-to source for actionable local news and information in North Carolina and beyond. Specializing in "news you can use," we cover essential topics like product reviews for personal and business needs, local business directories, politics, real estate trends, neighborhood insights, and state news affecting the area—with deep expertise drawn from years of dedicated reporting and strong community input, including local press releases and business updates. We deliver top reporting on high-value events such as the North Carolina Build Expo, major infrastructure projects, and advancements in construction technology showcases. Our coverage extends to key organizations like the Associated Builders and Contractors of the Carolinas and the North Carolina Home Builders Association, plus leading businesses in construction and legal services that power the local economy such as CMiC Global and Womble Bond Dickinson LLP. As part of the broader network, including constructioncanews.com, constructionnynews.com, and constructiontxnews.com, we provide comprehensive, credible insights into the dynamic construction landscape across multiple states.
