Buncombe County, North Carolina, October 17, 2025
Four major hospital systems are competing for state approval to expand their services in Buncombe County, North Carolina. The competition is driven by the need to enhance healthcare access, as regional demands for medical services continue to grow. These expansions aim to provide better care options for the community and address urgent healthcare needs in the area.
Asheville, North Carolina: Four Hospital Systems Compete for Expansion Approval
Asheville, North Carolina – Four major hospital systems are competing for state approval to expand their services in Buncombe County, aiming to add up to 129 acute-care beds to meet the growing healthcare needs of the region.
Applicants and Proposals
The contenders are:
- Mission Health System: Seeking to add 129 beds to its existing facilities.
- AdventHealth: Proposing to expand its new medical center in Weaverville, with plans to add 93 beds, and has applied for an additional 129 beds.
- Novant Health: Applying for 34 beds to build a new hospital on Long Shoals Road in Asheville.
- UNC Health Pardee: Seeking to build a new 129-bed community hospital in Buncombe County.
Regulatory Process
Under North Carolina’s Certificate of Need (CON) law, healthcare providers must obtain state approval before expanding services or facilities. The Department of Health and Human Services will review these applications, with decisions expected by November 1.
Background
The competition follows previous expansion efforts in the region. In 2022, AdventHealth was approved to add 67 beds to its Weaverville facility, a decision contested by Mission Health. In 2024, AdventHealth sought an additional 26 beds, further intensifying the competition.
The outcome of this latest round of applications will significantly impact the healthcare landscape in Buncombe County and the surrounding areas.
FAQ
What is the Certificate of Need (CON) process?
The CON process requires healthcare providers to obtain state approval before expanding services or facilities, ensuring that new developments meet the community’s needs and avoid unnecessary duplication of services.
When will the state decide on the hospital expansion applications?
The Department of Health and Human Services is expected to review and make decisions on the applications by November 1.
How many beds are being proposed for expansion?
A total of up to 129 acute-care beds are being proposed across the four hospital systems.
What areas will the expanded hospitals serve?
The expanded facilities are intended to serve residents of Buncombe, Graham, Madison, and Yancey counties.
How will the expansion affect healthcare competition in the region?
The expansion could lead to increased competition among healthcare providers, potentially improving service quality and access for patients in the region.
Key Features of the Hospital Expansion Competition
| Feature | Details |
|---|---|
| Number of Beds Proposed | Up to 129 acute-care beds |
| Hospital Systems Involved | Mission Health System, AdventHealth, Novant Health, UNC Health Pardee |
| Application Deadline | October 15 |
| Review Decision Date | November 1 |
| Serving Areas | Buncombe, Graham, Madison, and Yancey counties |
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Author: Construction NC News
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.
