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Chair reports new hospital beds approved and upcoming board vacancies

Buncombe County Department of Health and Human Services Board · April 24, 2026

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Summary

The board chair told the Buncombe County HHS board that recent Certificate of Need decisions will add providers in the county: AdventHealth approved for 93 beds in Weaverville, HCA Mission awarded 95 acute beds, and Novant will build a 34‑bed specialty hospital; the chair also announced upcoming board seat openings and an upcoming search for a physician position.

In the chairperson's report, the board was briefed on recent Certificate of Need (CON) developments affecting hospital capacity in Buncombe County.

The chair said AdventHealth was approved for 93 community beds and has broken ground on a community hospital in Weaverville. HCA Mission was awarded 95 acute beds that the system can staff (no new construction required). Novant was approved to build a 34‑bed specialty care hospital focused on cancer and specialty services.

"So as of today, we will have three different hospital systems now actively providing care in Buncombe County," the chair said, noting the potential for increased access but also that staffing and service mix will determine how capacity is actually used.

The chair also reminded the board of upcoming governance changes: the chair’s four‑year term ends in June, the board will open recruitment for a physician seat (a psychiatrist, which may be an MD or DO), an engineer seat, and potentially additional community member positions with expertise in housing. Members were asked to suggest candidates and consider nominations when the recruitment opens.

The board discussed ongoing budget work with county commissioners and the need to follow how hospital expansions and staffing plans play out in the community.