The agreement is approved by the North Carolina Department of Health and Human Services, Certificate of Need Section. As part of this agreement, Wake Forest University Baptist Medical Center will receive a Certificate of Need (CON) to build a hospital in Advance that would include 50 acute care beds, 10 observation beds, and an out-patient ambulatory care center.

Novant Health will receive a CON to build a 50-bed hospital in Clemmons. Additionally, Wake Forest Baptist may file a new CON application to build a critical access hospital with up to 25 beds in Mocksville to replace the aging Davie County Hospital facility.

The agreement calls for a phased approach to hospital construction, with neither organization being permitted to offer inpatient beds in Clemmons or Advance sooner than seven years from the date of issuance of their respective certificates. Other hospital services, such as outpatient surgery, diagnostic imaging, emergency department services, and others, may be offered sooner.

Novant Health is a not-for-profit integrated group of hospitals and physician practices, caring for patients and communities in North Carolina, Virginia and South Carolina. The Novant Medical Group consists of 1,068 physicians in 344 clinic locations.

Wake Forest University Baptist Medical Center is an academic health system comprised of 1,056 acute care, rehabilitation and long-term care beds.