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Deadline Arrives for Acute Bed Expansion Plans in North Carolina

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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).  

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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.  

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“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.” 

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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.

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Have an announcement or news to share? Contact the Newsweek Health Care team at health.care@newsweek.com.



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North Carolina confirms 5th measles case as South Carolina’s outbreak surges

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North Carolina confirms 5th measles case as South Carolina’s outbreak surges


As of Friday, Jan. 9, there are a total of 310 measles cases in South Carolina, mostly in Spartanburg County, including 99 new cases since Tuesday, according to S.C. health officials.

North Carolina is also dealing with measles, with a case recently confirmed on Friday in Rutherford County. This raises the state’s total to five cases since late December, according to the North Carolina Department of Health and Human Services (NCDHHS).

While the number of measles cases in western North Carolina is in single digits, health officials are warning the public about just how quickly and easily it can spread, along with several other illnesses.

Health officials continue to remain focused on stopping it from spreading.

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NEW MEASLES CASE CONFIRMED IN RUTHERFORD COUNTY; 5TH CASE IN NORTH CAROLINA SINCE DECEMBER

“Currently, we do not have a community spread of measles in Buncombe County. The cases that we’ve had have been connected to the South Carolina outbreak that is right across the state line,” said Buncombe County Public Health Director Dr. Ellis Matheson.

The measles case in Polk County, confirmed on Dec. 31, 2025, was the first in N.C. believed to be linked to the S.C. outbreak, after an unvaccinated child traveled to Spartanburg County, as News 13 previously reported. The next three WNC measles occurrences, which NCDHHS announced on Jan. 6, were siblings in Buncombe County who also traveled to Spartanburg County.

Measles continues to be an issue in North Carolina.

JAN. 6, 2026 – A flyer in Buncombe County warning of illness symptoms amid three confirmed measles cases in the county. (Photo credit: WLOS Staff)

In Friday’s case update, Matheson said if you feel like you’ve been exposed and are already experiencing symptoms, let the clinic or hospital know before coming in.

“Please call ahead so that we can really reduce any potential exposures to possible measles,” Matheson said.

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If you haven’t been vaccinated but have been exposed, Dr. Matheson added that even if you aren’t experiencing symptoms, you’re being asked to quarantine for 21 days from the date of exposure.

NC HEALTH OFFICIALS URGE VACCINES AMID MEASLES AND RESPIRATORY ILLNESS SURGE

She’s also encouraging those who were exposed to measles on January 4 between 2 a.m. and 6:30 a.m. at Mission Hospital’s Emergency Department waiting room to contact them right away.

“We are in general seeing community spread of both varicella and whooping cough,” Matheson said.

As for chickenpox, outbreaks have not spread to additional schools, but community spread has continued, including an outbreak at Fairview Elementary School, which is why she’s encouraging everyone to take steps in prevention.

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“So once again, I would just strongly encourage that people are making sure that they are up to date on recommended vaccines for everything that we have vaccines for,” Matheson said.

Buncombe County health officials are holding free vaccine clinics every week. For more information or if you want to book ahead, call (828) 250-6100.



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North Carolina, Bill Belichick officially name Bobby Petrino offensive coordinator

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North Carolina, Bill Belichick officially name Bobby Petrino offensive coordinator


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Bill Belichick is adding an experienced offensive coordinator to his coaching staff at North Carolina football for the 2026 college football season.

On Friday, Jan. 9, the Tar Heels announced the hiring of Bobby Petrino as the offensive coordinator. Petrino spent the last two seasons with Arkansas as the offensive coordinator and was promoted to interim head coach following the firing of Sam Pittman.

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Belichick and the Tar Heels opted to part ways with former offensive coordinator Freddie Kitchens on Dec. 12, after one season.

“We are fortunate to add an elite coaching talent in Bobby to our staff,” Belichick said in a statement. “He brings an extensive background and a proven record of success on offense at every level of football. Bobby has consistently built great offenses everywhere he has been, and we look forward to having him work with our program.”

UNC finished 2025 as one of the worst offenses in college football. Out of 136 FBS teams, the Tar Heels finished No. 131 in total offense and No. 121 in scoring offense (19.3).

Petrino brings previous head coaching experience to Belichick’s staff, with stops at Louisville (2003-06), the Atlanta Falcons (2007), Arkansas (2008-11), Western Kentucky (2013), Louisville (2014-18) and Missouri State (2020-22).

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With the Cardinals, Petrino coached 2016 Heisman Trophy winner and two-time ACC Player of the Year Lamar Jackson. Last season, the Razorbacks ranked 19th nationally in total offense with 454.8 yards per game.

“I’m extremely excited to join Coach Belichick and the Carolina football program,” Petrino said. “This is an incredible opportunity to work with one of the best at a storied institution. I cannot wait to get started in Chapel Hill alongside this coaching staff and student-athletes.”



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North Carolina Democrats, Republicans share takes on deadly ICE shooting in Minneapolis

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North Carolina Democrats, Republicans share takes on deadly ICE shooting in Minneapolis


RALEIGH, N.C. (WNCN) — North Carolina political leaders disagree heavily on what happened during a deadly-ICE involved shooting in Minnesota and what should happen next.

Several videos immediately circulated depicting the moment when Renee Good was shot in her vehicle by an ICE agent. Democrats and Republicans dispute what the video actually shows.

“I’m horrified and I’m disgusted,” Democratic state Sen. Sophia Chitlik said.

Chitlik represents Durham where immigration enforcement agents had a large presence a few weeks ago. She stated the video shows why she and some of her constituents don’t want the agents back.

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“Get out,” she said. “We do not want ICE and CBP in our community. Not only do citizens and constituents not want them here, law enforcement doesn’t want them here. Our sheriff’s office, our police department, is very focused on keeping people safe, which is why crime is down. We manage public safety here.”

Matt Mercer, the communications director for the North Carolina Republican Party, stated the video shows the ICE agent acting in self-defense.

“I think what you see is the video speaks for itself,” Mercer said. “You had a federal agent acting in self-defense after potentially being rammed by someone in a vehicle, which is unfortunate. You just hate to see what happened.”

Chitlik disputes the notion that the ICE agent acted in self-defense, saying, “It’s not true. The video shows that it’s not true. [Good] was trying to back up, not move forward, trying to leave the situation. They aggressively pursued her.”

Republicans continue to back the federal agents in Minnesota and across the country, arguing it’s what millions of Americans voted for.

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“It’s already shown a lot of progress,” Mercer said. “You’ve had over two million illegals deported or self-deported from our country, which is exactly what President [Donald] Trump campaigned on.”

Some Democrats say immigration enforcement agents don’t make communities safer and instead incite violence fear.

“ICE is not here to keep us safe,” Chitlik said. “ICE is here to police us. ICE is here as an agent of fascism in our cities. They are not welcome here.”

Republicans say the immigration agents aren’t the ones raising tensions.

“Anytime you see people using an iPhone app and saying there’s ICE [in the area], it’s intentionally provoking and stoking tensions,” Mercer said. “You’d like to see people using their right to protest in a way that’s not obstructing the mission these hardworking officers are doing every day.”

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CBS 17 has not heard of any plans for the immigration agents to return to North Carolina.



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