A Wake County community forum examined the proposed WakeMed-Atrium Health combination, with speakers pressing for disclosure, local oversight and clear protections for care and workers. Residents, health-care advocates and local officials gathered Monday for a community forum on the proposed combination of WakeMed and Atrium Health.

Supporters of the proposal have described a planned $2 billion investment, but the complete transaction agreement had not been released to the public. Speakers raised questions about whether Wake County would retain meaningful control over WakeMed, how governance would change and what commitments would protect access to care.

Participants also asked about workforce effects, pricing, services and whether financial promises would be enforceable after a transaction closes. Only a limited group of county commissioners and attorneys had reviewed the private agreement, according to ABC11's report.

Wake County commissioners delayed a vote for at least 90 days in May, and no immediate new vote date was announced at the forum.

WakeMed operates hospitals and outpatient services across the county and has a public-service role that makes county oversight different from an ordinary private-company transaction. Large health-system combinations can change governance, contracting, capital spending and service distribution even when facilities retain their existing names.

A promised investment figure does not by itself specify timing, permitted uses, enforcement, ownership or the amount that represents new spending rather than planned maintenance. As of the edition cutoff, The confidential agreement prevented an independent comparison of public claims with binding terms. The next scheduled factual records include release of the agreement and an independent financial or legal review and the county commission's next hearing and vote schedule.