North Carolina
Deadline Arrives for Acute Bed Expansion Plans in North Carolina
Wednesday marks the deadline for health systems to submit proposals for an acute bed expansion in North Carolina.
Four major North Carolina health systems are vying to build or expand hospitals in Buncombe County. AdventHealth, Mission Health, Novant Health and UNC Health have all expressed interest in bids.
Why It Matters
Whichever health system wins the bid will be able to expand its area of care to the region. This area covers 23 counties, including Buncombe, Haywood, Henderson and Jackson. Western North Carolina is a mountain region with a population of about 1.15 million people, accounting for about 11 percent of the state’s total population.
What To Know
The North Carolina Department of Health and Human Services (NCDHHS) included a need for 129 acute care beds in Buncombe County in 2025 in its latest State Medical Facilities Plan (SMFP).
UNC Health told Newsweek on Wednesday that it submitted a plan with the state’s Certificate of Need office to develop UNC Health West Medical Center (UNC Health West), a new, 129-bed community hospital in Buncombe County.
The new facility plan includes emergency care, labor and delivery services, inpatient acute care and adult psychiatry services.
“UNC Health West builds on UNC Health Pardee’s record of public service and proven experience and dedication to the western region and UNC Health’s commitment to the health and wellness of our state, resulting in increased access and improved care for the residents of Buncombe and surrounding counties,” UNC Health told Newsweek.
Novant Health announced in September that it submitted its proposal to build a hospital in western North Carolina.
The plan includes acute care beds, an emergency room, imaging and pharmacy services.
“We remain deeply committed to extending high-quality, compassionate care to Western North Carolina,” a Novant Health spokesperson told Newsweek. “Over the past year, we’ve worked closely with the community and local physicians to grow our specialty care network in the region and have applied for a 34-bed hospital in Buncombe County.”
Novant is based in Winston-Salem and has 19 hospitals and hundreds of outpatient locations and physicians’ clinics in North Carolina and South Carolina.
Mission Health, part of HCA Healthcare, expressed its plan to apply for the 129 beds, confirming the plan to the Asheville Watchdog earlier this month.
AdventHealth has also thrown its hat in the ring. The health system said in July that this expansion “reflects the voices of the community and AdventHealth’s commitment to delivering more access, more choice, and more whole-person care to Western North Carolina.”
“This hospital is more than a location—it is a vision,” Brandon Nudd, president and CEO for AdventHealth Hendersonville and AdventHealth Polk, said in a statement. “It is a promise to Western North Carolina that more not-for-profit, whole-person care is not only coming but also evolving. These additional beds will allow us to meet the growing needs of our region and deliver the high-acuity, compassionate care our communities deserve.”
AdventHealth is also building a hospital in Weaverville, North Carolina. This facility was approved by the NCDHHS in 2022 after the North Carolina State Medical Facilities Plan listed a need for 67 acute care beds to serve Buncombe, Graham, Madison and Yancey Counties.
Mission Health/HCA appealed the decision, leading to a legal battle in 2023 that has delayed the process. In November 2024, AdventHealth announced that the state approved an additional 26 beds for the Weaverville location.
What Happens Next
Per North Carolina’s Certificate of Need (CON) program, the major health construction projects require state approval. DHSR has from 90 to 150 days to review a CON application. Each application is reviewed against the review criteria in the CON Law and any applicable rules adopted by DHSR.
The review process will begin in November.
Newsweek reached out to AdventHealth and Mission Health for comment.
Have an announcement or news to share? Contact the Newsweek Health Care team at health.care@newsweek.com.
North Carolina and NC State, scheduled to meet just once in the men’s basketball regular season for the second consecutive season, are working to schedule a nonconference meeting in Greensboro in December, WRAL has learned.
The Atlantic Coast Conference rivals had played annual games in Raleigh and in Chapel Hill for more than 100 years before last season when the teams met just once in Raleigh. This season, the ACC scheduled just one meeting between the schools in Chapel Hill.
The additional meeting, which is not finalized, would be played Dec. 15 in Greensboro, according to a source.
The 18-team ACC moved from 20 conference games to 18 before last season in an attempt to improve the league’s NCAA Tournament credentials. It worked as the league received eight bids to the NCAA Tournament in 2026, but it also created some scheduling changes, including the elimination of a second game between NC State and UNC in most seasons.
The current conference schedule dictates that each school plays two teams twice (a primary partner and a variable partner), plays 14 teams once and misses one school altogether. In 2026-27, UNC will play Duke (primary) and Louisville (variable) twice and won’t play Clemson. NC State will play Wake Forest (primary) and California (variable) twice and won’t play Syracuse.
Greensboro was the longtime home of the conference office. The ACC men’s basketball tournament has been held at First Horizon Coliseum, formerly the Greensboro Coliseum, 29 times – the most in league history.
For decades, the ACC played a true round robin among its members — a format that became unworkable as the league grew to 12, 15 and, now, 18 basketball-playing schools.
State lawmakers have pursued various measures to force schools in the UNC System to play each other, citing the economic impact of such meetings. North Carolina and NC State are UNC System schools.
A 2024 bill would have required the two ACC schools to play each other and other in-state public universities in football and basketball. A 2025 bill, aimed at potential conference realignment, would have required that NC State and UNC play each annually in football, men’s and women’s basketball, baseball and softball. The Senate’s 2025 budget proposal would have required more basketball games between UNC, NC State and smaller schools across the state. The budget would have added UNC and NC State to the schools that receive annual distributions from sports betting tax revenue.
None of those measures have become law.
NC State and North Carolina have been conference mates since 1911, first in the South Atlantic Intercollegiate Athletic Association, then in the Southern Conference and now the ACC. Both have been members of the ACC since its 1953 founding.
There is some sad news from the North Carolina Wildlife Resources Commission’s popular Barn Owl Live Cam.
Wildlife officials say a Great Horned Owl entered the barn Wednesday around midnight and killed one of the barn owl owlets. Biologists have not been able to determine which owlet was lost.
They have confirmed it was one of the three youngest birds in the nest. The Wildlife Commission says the incident is heartbreaking but also a natural part of life in the wild.
Great Horned Owls are one of the main predators of Barn Owls, and encounters between the two species do happen. The attack was captured on the live camera.
Officials say the video also shows an extremely rare moment when the adult female Barn Owl fought the Great Horned Owl on top of the nest box. Despite the loss, the surviving owlets are expected to continue growing over the coming weeks.
They will lose their fluffy down feathers, begin exploring outside the barn, and continue developing hunting skills.
The Wildlife Commission says some of the young owls could leave the nest as early as July.
After leaving the nest, they usually travel alone and may eventually move hundreds of miles from where they hatched. The Barn Owl Live Cam remains available for the public to watch.
(WLOS) — In a tragic update, one of the baby barn owls being monitored by the North Carolina Wildlife Resources Commission has died after a great horned owl entered the barn and killed the owlet. The barn owlets had attracted worldwide attention through the wildlife commission’s ongoing observation efforts.
Officials with N.C. Wildlife said it is not yet clear which owlet was killed, but confirmed it was one of the three youngest.
The wildlife commission said it captured a photo of the great horned owl and the adult female barn owl fighting on top of the box, calling it an “extremely rare encounter to capture on camera.”
PHOTOS: OWLETS ‘HOO’ GAINED WORLDWIDE FAME ARE GROWING QUICKLY INTO YOUNG ADULTS
The wildlife commission said that while this loss is tragic, it is a common encounter because great horned owls are a top predator of barn owls. Officials also said this will likely not be the last encounter.
Over the next few weeks, the commission said viewers will likely see the remaining owlets start exploring, leaving the barn and learning to hunt. The fledglings may leave the barn as early as July to start hunting on their own, according to the commission.
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