Inova Health has mounted six legal challenges to the Virginia health commissioner's decision authorizing a 164-bed for-profit hospital in Broadlands, and it has twice sought the intervention of the state Supreme Court. Fearing that a nearby competitor would eat into its caseload, Inova has taken out newspaper ads, saturated the neighborhood with direct mail and gave at least $20,000 to a grass-roots movement that has spoken out against HCA Virginia's plan at public meetings. Loudon County's Board of Supervisors will decide on February 3 whether to allow the HCA Virginia network to build a 24-hour acute care hospital in Broadlands.