AdventHealth today expressed gratitude to the people of Western North Carolina following the North Carolina Supreme Court’s decision to decline review of the final appeal related to the State’s approval of AdventHealth’s Certificate of Need for a new hospital in Weaverville.
The Court’s action brings the legal process to a close after three years and allows AdventHealth, a faith-based, not-for-profit, to move forward with construction of the planned 67-bed hospital, expanding access to care for families across Buncombe, Graham, Madison, Yancey and surrounding counties.
This moment reflects years of AdventHealth listening, partnering and building trusting relationships with the communities its team will serve. “We are deeply grateful to the people, leaders and caregivers who have voiced the need for health care choice and competition that is close to home,” shared Daniel Tryon, FACHE, President and CEO for AdventHealth Hendersonville and AdventHealth Polk. “Their support has brought us to this point, and it continues to guide how we move forward.”
While the State approved AdventHealth’s hospital through the state’s Certificate of Need process, construction could not begin while the appeals by HCA/Mission were under review. Major hospital construction requires long-lead planning, including ordering specialized equipment, coordinating materials, and preparing infrastructure. Those steps were on hold until the legal process concluded.
“With this final decision, we are now able to take the next steps toward construction,” Tryon said. “This decision allows us to move forward thoughtfully and responsibly, with a focus on serving patients and families as soon as possible.”
The Supreme Court’s action also comes as the state moves toward a public hearing on Tuesday, December 16, regarding the current 129-bed Certificate of Need application. That review represents the next step in AdventHealth’s ongoing commitment to responsibly expand the scope and scale of care available in Western North Carolina.
In 2024, the State also approved 26 additional inpatient beds for the Weaverville hospital, recognizing the region’s continued growth and increasing need for higher-acuity care. While that approval is currently under appeal, AdventHealth remains committed to the process and to building the capacity and infrastructure required to support more advanced services over time — including the kind of tertiary and trauma-ready care that helps patients receive the right care, at the right time, closer to home.
“Our work has always been about meeting community needs,” Tryon said. “The hospital we are now cleared to build is a foundation — one that supports future growth and helps create more choice in health care for this region. As the CON process continues, our focus remains on expanding access to care that keeps people closer to home and supported throughout their healing journey.”
AdventHealth emphasized that the project represents more than new beds. It reflects a sustained commitment to whole-person care — supporting physical, emotional and spiritual well-being — and to being a trusted partner in the future of health care in Western North Carolina.
Now that the appeals process for the 67-beds has concluded, AdventHealth will move forward with construction planning and continue to share updates as timelines are finalized.