Novant Health, which has long aspirations to tap into the Triangle's lucrative health-care market, is making what could be its last stand for a permit to build a 50-bed hospital in Holly Springs.
The Winston-Salem company on Wednesday will ask the N.C. Court of Appeals to allow it to build the hospital instead of allow the permit to go to Raleigh-based Rex Hospital. Oral arguments are set to begin at 1 p.m.
Novant has applied for a state hospital permit in Holly Springs in 2008 and again in 2011, losing both times at the N.C. Department of Health and Human Services.
"Rex's proposal for a Holly Springs Hospital is a virtual copy of Novan't 2008 proposal," Novant says in a court filing. "Rex's position appears to be that Holly Springs only needs a hospital when Rex is the one proposing it."
Novant argues residents would benefit because its hospital would offer price competition in a region dominated by Rex, WakeMed Health and Hospitals, and Duke University facilities.
The losing party in the N.C. Court of Appeals could take the matter to the state Supreme Court but the high court would only be required to accept the case if the appellate decision is split 2-1.