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Cone Health seeks approval for $320 million North Carolina hospital

por Gus Iversen, Editor in Chief | June 19, 2026
Business Affairs
Cone Health has filed a certificate of need application with the North Carolina Division of Health Service Regulation to build a new hospital in Forsyth County.

The project represents a planned investment of approximately $320 million.

According to the application, the hospital would encompass nearly 199,000 square feet and include 56 acute care beds, 18 emergency department bays, 10 observation beds, four procedure rooms built to operating room standards, imaging services, a pharmacy, and intensive care capabilities.
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Cone Health said the facility would complement its existing operations in Kernersville, Winston-Salem, High Point and western Guilford County. The health system has maintained a presence in Forsyth County since opening MedCenter Kernersville in 2008.

The Greensboro, North Carolina-based health system said the proposed facility would be located on Cole Road in southeast Forsyth County, west of the Interstate 74/U.S. Highway 311 interchange with the Northern Beltway.

“The proposed facility will bring the high-quality, value-based care that Cone Health is known for, closer to our neighbors in Winston-Salem, Kernersville and Forsyth County,” said Chris Cornue, chief strategy officer at Cone Health. “We have been a part of Forsyth County since we opened MedCenter Kernersville in 2008. I am excited as we build on that foundation.”

The health system said the hospital's location along major transportation corridors would improve access for residents in eastern Winston-Salem and surrounding communities, including Rural Hall, King and High Point.

The filing comes as healthcare providers across North Carolina pursue certificate of need approvals to expand capacity in growing markets. State regulators allocate new hospital beds based on projected community needs, and providers must obtain approval before constructing new facilities or expanding certain healthcare services.

“We believe in community-centered care,” said Paul Krakovitz, M.D., CEO of Cone Health. “That means being there not only to help people stay well, but also to provide excellent, compassionate care where and when it’s needed most. This community is ready for that next level of care, and Cone Health is proud to deliver it close to home.”

The certificate of need application is subject to review by state regulators.

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