04/29/2026
Dear Reclaim Supporter,
t’s hard to be shocked by much these days, but our team at Reclaim was genuinely floored when we learned of the decision by DHHS to grant 95 new beds to Mission Hospital. Like many of you, we assumed that given the Immediate Jeopardy sanctions and the ongoing patient care problems at Mission, that they had zero chance of being awarded more beds in the 2025 Certificate of Need process.
Before we get into next steps and how we’re fighting this decision, let me recap the CON process and where things currently stand. This article captures all the moving parts in one place.
For 2025, 129 acute care beds were up for grabs with four hospital systems putting in proposals – AdventHealth, Novant, UNC Health and HCA all applied. HCA was granted 95 beds and Novant received its requested 34 beds for a small hospital near the Asheville airport. (Novant’s proposal was only for 34 beds.)
While Advent is shut out, for now, from this round of beds, they have previously been approved for 93 beds and have just broken ground on that hospital in Weaverville. We also know that 92 more beds will become available through another application and approval process taking place this summer and fall.
So how do we take action regarding this outrageous decision by DHHS?
How a hospital can have received four citations for Immediate Jeopardy, and still be under an enforcement action, and be awarded beds is incomprehensible. It cannot be allowed to happen again.
1) Email DHHS Sec. Dev Sangvai and at dev.sangvai@dhhs.nc.gov and let him know this decision is unacceptable.
Our inside sources tell us that Sec. Sangvai did not play a role in or know of this decision in advance. Regardless, the buck stops with him. We now need him to work with the legislature to change the factors used in deciding how the beds are awarded to expressly include quality of care provided, enforcement history, and whether there is a need for increased competition. Ask Sec. Sangvai to ensure that the CON process is amended so that our community is not failed once again.
2) Advent has begun a legal appeal of this decision. We will keep you up to speed on these developments.
Thank you for being part of Reclaim and taking action today.
Thank you,
Reclaim Healthcare WNC
Western North Carolina Deserves Better Healthcare We are RECLAIM HEALTHCARE WNC, a coalition of physicians, nurses, elected officials, clergy, attorneys, business leaders, and community members. We are committed to unwavering support for staff at Mission Health and holding HCA accountable through th...