You've Found Us

Looking for a law firm with a focus on client care?

you’ve found us

SOME OF LIFE’S BIGGEST MOMENTS HAPPEN WITHIN HOSPITAL WALLS. Our job is to help our clients ensure they can be there for their patients during those moments. We help our clients in planning responses to new challenges on or over the horizon, and we are with them in responding to crises. In every aspect of our work, our goal is to help our clients develop practical, responsive, and forward-looking strategies in a competitive and heavily regulated industry. We care for our clients so they can care for their patients.

CHARLOTTE | RALEIGH | ROCKY MOUNT | SOUTHERN PINES © 2020 Poyner Spruill LLP | www.poynerspruill.com | All rights reserved. ur annual list of North Carolina’s best hospitals examines medical center coming in at No. 10 are separated by just five data compiled from several sources to determine which points; the separation between No. 1 and No. 20 was just medical centers provide the best care for their patients. 16 points. We start by developing a comprehensive list of the Despite attempts to be as thorough as possible, our meth- state’s top-performing general acute care, adult hospitals with odology can skew in favor of larger institutions, which earn 50 or more beds. more points based on national awards and performance rank- The rankings are calculated using more than 25 metrics, in- ings. Smaller hospitals tend to come up short, largely because cluding information provided by the U.S. Centers for Medicare some procedures aren’t performed often enough during the & Medicaid Services. We look at patient-satisfaction surveys, year to be considered, resulting in insufficient data. as well as infection, readmission and death rates for common Other factors such as health care system consolidation had procedures. Other factors include safety report cards by the an impact on this year’s rankings. Washington, D.C.-based nonprofit The Leapfrog Group, dis- The federal data and Blue Cross and Blue Shield of North tinction awards from insurer Blue Cross and Blue Shield and Carolina insurance distinctions were compiled in December national performance ratings from U.S. News & World Report. 2019. Leapfrog safety scores and U.S. News & World Report Taking so much data into consideration makes the rank- rankings were updated in January. ings particularly tight. This year, the overall winner and the — Harrison Miller

MARCH 2020 47 The healthier your heart is, the more you can get out of life. More laughter. More adventure. And more moments with the people you love. Atrium Health Sanger Heart & Vascular Institute brings you unparalleled expertise and treatments for every heart-related condition – all to give you more of what you want out of life. NORTH CAROLINA’S BEST HOSPITALS

MISSION HOSPITAL ASHEVILLE A perennial top performer led the way during its first year owned by Nashville, Tenn.-based HCA HealthCare, the biggest U.S. hospital operator. Management turnover followed the $1.5 billion sale that closed in February 2019 with Greg Lowe moving from HCA’s Richmond, Va., market to become president of a new N.C. division and Chad Patrick becoming CEO for the flagship. Mission was one of four N.C. hospitals named to IBM Watson Health’s list of the 50 top cardiovascular hospitals. Under terms of Mission’s sale, the Nashville-based Gibbins Advisors consulting firm was BEDS: 730 hired to monitor HCA’s compliance with agreements it made in the transaction. Those 2019 RANK: 3 commitments include replacing the hospital in Franklin, adding a 120-bed behavioral health center in Asheville and investing $232 million in existing sites. Gibbins reports to CEO: Dogwood Health Trust, a nonprofit foundation created by the Mission Health sale. CHAD PATRICK

MOSES CONE HOSPITAL 1 GREENSBORO Greensboro’s dominant hospital opened its $100 million Women & Children’s Center in late February, replacing the nearly 30-year-old Women’s Hospital. Nurses and patients helped design the space, which has its own entrance and 45 private rooms for neonatal babies. Industry groups again recognized Cone for various innovations, including programs to serve recent immigrants; partnering with Guilford (TIE) County on a mental health crisis center; and starting a unit to support new health care ventures. Parent Cone Health reached a new shared-services agreement with Atrium Health that BEDS: 529 loosens ties between the two systems, including moving CEO Akin off the Charlotte- 2019 RANK: 1 based group’s payroll. The system posts annual revenue topping $2 billion and employs about 12,000. PRESIDENT: TERRY AKIN UNC REX HEALTHCARE RALEIGH The division of Chapel Hill-based UNC Health plans to open five urgent-care centers in Wake County this year after renaming its nine UNC Rex locations as UNC Urgent Care. Last March, UNC Rex broke ground on a seven-story, 50-bed hospital in Holly Springs scheduled to be completed in 2021. It will offer an emergency department, labor and delivery services, and operating rooms for various surgeries. Next year, UNC Rex will open a four-story, $65 million cancer center on its west Raleigh (TIE) campus. Demand is expected to continue to increase as the region’s population grows and ages. BEDS: 660 UNC Rex Healthcare faces strong rivals in WakeMed and Duke University Health to expand and lure new customers in the Raleigh metro area, which grew by 20% between 2019 RANK: 1 2010-18 with more than 225,000 new residents, according to U.S. Census Bureau estimates. PRESIDENT: ERNIE BOVIO CAROLINAEAST MEDICAL CENTER NEW BERN In January, the Craven County hospital opened the $38 million State Employees Credit Union Comprehensive Cancer Center, an 80,000-square-foot site. An adjacent $22 million diagnostic center is opening in March, a partnership with UNC Health Care to offer expanded cancer care services. The not-for-profit hospital’s cardiovascular care center was the state’s first to achieve an excellence accreditation (TIE) from the American Heart Association. The locally controlled hospital system had net operating revenue of $427 million in the 2019 fiscal year. That makes it the smallest hospital among the 10 highest-ranking on BEDS: 350 this list. Leggett has worked for the system for 30 years, including 12 as CEO. 2019 RANK: 5 PRESIDENT/CEO: RAYMOND LEGGETT III

MARCH 2019 49 MISSION: TO DELIVER THE BEST CARE WITH THE MOST CARE

For 134 years, Mission Health has been there for you — building new hospitals for each generation. Now Mission is investing in cutting-edge technology and design — to maximize your comfort and create an environment where you and your family can relax and focus on what really matters. The new Mission Hospital North Tower. Built for you.

missionhealth.org

MISSION: You NORTH CAROLINA’S BEST HOSPITALS

DUKE UNIVERSITY HOSPITAL DURHAM Ranked among the top U.S. research hospitals, its affiliated medical school was awarded $385 million in grants from the National Institutes of Health in 2018 — the ninth most of any university. Duke University Hospital surgeons made history by completing the nation’s first “donation after circulatory death” adult heart transplant, a procedure performed after the heart stops beating. It’s one of five centers (TIE) in the U.S. approved for the surgery. An 11-story tower in Durham is expected to open next year with adaptable beds to serve neurosciences, and solid organ and bone mar- BEDS: 957 row transplants, with four floors dedicated to children’s inpatient services. 2019 RANK: 7 The Durham hospital has the most beds of the Triangle-area hospitals and leads in outpatient visits with 1.08 million, while UNC Hospitals has the most admissions. UNC PRESIDENT: Rex Healthcare ranks second in outpatient visits. While dominant in Durham County, it’s THOMAS OWENS making a push into western Wake to complement its north Raleigh hospital.

FIRSTHEALTH MOORE REGIONAL HOSPITAL 2 PINEHURST In December, FirstHealth launched FirstHealth On the Go, a virtual care app that lets patients connect digitally with board-certified doctors 24 hours a day. FirstHealth says On the Go will help fill coverage gaps via virtual visits and (TIE) online prescription refills. Next year, the not-for-profit authority will break ground on a four-story, $60 million cancer center on its main campus with completion expected in November 2022. In February, FirstHealth opened a Heart Failure Clinic in Pinehurst. BEDS: 390 In July, Mickey Foster replaced retiring CEO David Kilarski, who had headed parent 2019 RANK: 11 FirstHealth of the Carolinas since 2011. Foster, 47, had been senior vice president at Greensboro-based Cone Health. The system has nearly 5,000 employees and is licensed CEO: for four hospitals with 610 beds. MICKEY FOSTER ATRIUM HEALTH CAROLINAS MEDICAL CENTER 3 CHARLOTTE The flagship hospital of the state’s biggest health care system could add a medical school to its offerings, pending regulatory approval of a partnership agreement with Winston-Salem-based Wake Forest Baptist Health and Wake Forest University. Later this year, Atrium expects to open a nearby building for its Sanger Heart & Vascular Institute (TIE) and another one for neurology and digestive health specialists. It’s part of a $1 billion capital budget disclosed in June 2018 that is sparking expansion across the Charlotte metro region. BEDS: 907 Atrium also has big growth plans outside the Queen City. Like other N.C. systems, It has shown interest in Wilmington’s New Hanover Regional Medical Center, which is considering 2019 RANK: 8 a potential ownership change. Atrium expects to close its $650 million agreement with Rome, Ga.’s Floyd Health System, gaining another Peach State foothold after the 2019 PRESIDENT, CENTRAL purchase of Macon, Ga.’s biggest hospital network. DIVISION: VICKI BLOCK

DUKE REGIONAL HOSPITAL DURHAM Undergoing its largest expansion since opening in 1976, the Duke University- owned hospital is investing $102.4 million to expand its emergency department and add a behavioral health unit. With completion set for next year, the emergency department expansion will add 13 new private rooms, bringing the total to 49, and double its clinical decision unit capacity to 12 private rooms. The 112,000-square-foot (TIE) behavioral health center will help consolidate services from both Duke Regional and Duke University hospitals, provide a 42-bed private inpatient unit, and create an emergency department. BEDS: 369 In December, the hospital named Dr. Adia Ross as chief medical director, succeeding Dr. 2019 RANK: 14 Barbara Griffith, who had served in the post since 2012. Ross has held various other key medical posts within the Duke system. PRESIDENT: KATIE GALBRAITH

MARCH 2020 51 Expert Care in the Heart of North Carolina

164-170-20

At Reid Heart Center and in our clinics throughout the Sandhills, FirstHealth cardiologists and cardiothoracic surgeons are committed to providing cutting-edge heart care. Whether it’s open heart surgery, or the latest in minimally invasive or robotic procedures, we put our hearts into healing yours.

To learn more about the advancements in heart care at FirstHealth, visit www.ﬁrsthealth.org/heartadvancements. NORTH CAROLINA’S BEST HOSPITALS UNC HOSPITALS CHAPEL HILL As part of UNC Health’s plans to build more than 1 million square feet of new space in the Triangle by 2022, UNC Hospitals kicked off construction on a seven-story, $290 million surgical tower that will be the largest building on the UNC Medical Campus when it opens in 2022. The system also will begin construction on a second patient tower in Hillsborough for the UNC Rehabilitation Hospital, which is moving from Chapel Hill along with 50 new acute-care beds. Also opening this year will (TIE) be the six-story UNC Eastowne Medical Office Building in Chapel Hill to house specialty practices such as cardiology, endocrinology, hematology and more. In January, UNC BEDS: 929 Health cut the ribbon on its Panther Creek medical building in Cary, which offers surgical and imaging services and various specialty practices. 2019 RANK: 9 Last June, the system-operated N.C. Children’s Hospital suspended complex pediatric PRESIDENT: heart surgeries after a New York Times investigation revealed high mortality rates from ANET HADAR the medical center’s procedures in 2016 and 2017. State and federal officials reviewed the hospital and found it compliant with regulations, and an advisory board cleared it to resume heart surgeries in September.

NOVANT HEALTH FORSYTH MEDICAL CENTER 4 WINSTON-SALEM The Winston-Salem hospital jumped in the rankings more than any other hospital. It announced a $181 million capital project that includes a first phase of improved patient rooms, expanded women’s and children’s services, and the design of a future critical care tower. It is the north tower’s first major upgrade since 2007. In October, the hospital opened a dedicated obstetrics emergency department, providing full-service maternity, emergency labor and child delivery services. BEDS: 921 Novant Health has about 29,000 workers and operates 640 locations in four states. It 2019 RANK: 19 dominates the western Triad’s health care market along with rival Wake Forest Baptist Health, which is planning a partnership with Charlotte-based Atrium Health. It is also PRESIDENT/COO: competes with Atrium in the Charlotte metro area. CHAD SETLIFF

NEW HANOVER REGIONAL NOVANT HEALTH MEDICAL CENTER MATTHEWS MEDICAL CENTER WILMINGTON MATTHEWS BEDS: 146 | 2019 RANK: 17 | PRESIDENT/COO: ROLAND BIBEAU BEDS: 769 | 2019 RANK: 18 | PRESIDENT/CEO: JOHN GIZDIC

NOVANT HEALTH PRES- CAPE FEAR VALLEY BYTERIAN MEDICAL CENTER MEDICAL CENTER CHARLOTTE FAYETTEVILLE (TIE) (TIE) BEDS: 597 | 2019 RANK: 14 | PRESIDENT/COO: PAULA VINCENT BEDS: 666 | 2019 RANK: 14 | CEO: MICHAEL NAGOWSKI

ATRIUM HEALTH WAKE FOREST BAPTIST CABARRUS MEDICAL CENTER CONCORD WINSTON-SALEM (TIE) (TIE) BEDS: 457 | 2019 RANK: 6 | PRESIDENT: PHYLLIS WINGATE BEDS: 885 | 2019 RANK: 9 | CEO: JULIE ANN FREISCHLAG

CAROMONT REGIONAL WAKE FOREST BAPTIST HEALTH MEDICAL CENTER HIGH POINT REGIONAL MEDICAL CENTER HIGH POINT GASTONIA (TIE) BEDS: 769 | 2019 RANK: 4 | PRESIDENT/CEO: CHRIS PEEK BEDS: 351 | 2019 RANK: 13 | CEO: JAMES HOEKSTRA

MARCH 2020 53 Where Compassion Meets Innovation. It’s not a slogan. It’s our promise to you.

It’s our patients telling us compassion sets our health system apart, along with delivering outstanding medical expertise, nationally recognized for quality, safety, and patient satisfaction.

It’s being North Carolina’s first and only five-time Magnet® designated hospital for nursing excellence.

It’s healthcare done differently. Experience Catawba.

CatawbaValleyHealth.org Follow us on Facebook and Instagram NORTH CAROLINA’S BEST HOSPITALS

1 Includes The Moses Cone Hospital (529 beds), Wesley Long (Greensboro, 204 beds) and Annie 3 Includes Atrium Health Carolinas Medical Center (907 beds) Atrium Health Mercy (173 beds) Penn Hospital (Reidsville, 110 beds) 4 Includes Novant Health Forsyth (921 beds) Kernersville Medical Center (50 beds) 2 Includes FirstHealth Moore Regional (Pinehurst, 402 beds) FirstHealth (Richmond, 99 beds)

These are the top acute-care hospitals in the state with 50 or more beds based on the percentage of patients who would recommend the hospital to others, as of December 2019. The ranking is based on the Hospital Consumer Assessment of Healthcare Providers and Systems, a survey completed by adult hospital patients between 48 hours and six weeks after discharge. The North Carolina average is 70%, while the national average is 72%.

PATIENT PICKS CITY % 11 Duke Regional Hospital Durham 77 1 Wake Forest Baptist Health - Davie Medical Center Mocksville 94 11 Novant Health Forsyth Medical Center Winston-Salem 77 2 Duke University Hospital Durham 85 11 Pardee UNC Health Care Hendersonville 77 2 UNC Rex Healthcare Raleigh 85 11 Wake Forest Baptist Medical Center Winston-Salem 77 4 FirstHealth Moore Regional Hospital Pinehurst 84 11 WakeMed Cary Hospital Cary 77 4 UNC Hospitals Chapel Hill 84 18 Atrium Health Lincoln Lincolnton 76 6 Catawba Valley Medical Center Hickory 82 18 Carteret Health Care Morehead City 76 7 AdventHealth Hendersonville Hendersonville 81 18 Johnston Health Smithfield 76 8 New Hanover Regional Medical Center Wilmington 79 18 Mission Hospital Asheville 76 8 WakeMed Raleigh Campus Raleigh 79 18 The Moses Cone Hospital Greensboro 76 10 CarolinaEast Medical Center New Bern 78 18 Vidant Edgecombe Tarboro 76 11 Cone Health Greensboro 77 26 Atrium Health Pineville Pineville 75 11 Duke Raleigh Hospital Raleigh 77 26 Atrium Health Carolinas Medical Center Charlotte 75

MARCH 2020 55 BLUE CROSS AND BLUE SHIELD OF N.C.

THE STATE’S LARGEST HEALTH INSURER RECOGNIZES HOSPITALS FOR THEIR QUALITY OF CARE IN CERTAIN SPECIALTIES, BASED ON CRITERIA INCLUDING PATIENT SAFETY AND RESULTS AND INPUT FROM THE MEDICAL COMMUNITY. THE HOSPITALS LISTED HERE WERE DESIGNATED AS BLUE DISTINCTION CENTERS AS OF EARLY JANUARY. Alamance Regional Medical Center CaroMont Regional Medical Center Johnston Health - Smithfield Knee/hip replacements Knee/hip replacements Maternity care Maternity care Maternity care Spine surgery Lake Normal Regional Medical Center Atrium Health Cabarrus Bariatric surgery: Comprehensive center Bariatric surgery: Comprehensive center Caldwell UNC Health Care Maternity care Cardiac care Maternity care Maternity care Mission Hospital Catawba Valley Medical Center Bariatric surgery: Comprehensive center Atrium Health Carolinas Medical Center Maternity care Maternity care Maternity care Spine surgery Adult liver (deceased donor) transplants Duke Raleigh Hospital Moses Cone Hospital Adult bone marrow/STEM cell transplants Knee/hip replacements Cardiac care Spine surgery Knee/hip replacements Spine surgery Atrium Health Cleveland Maternity care Duke Regional Hospital Bariatric surgery: Comprehensive center New Hanover Regional Medical Center Cardiac care Bariatric surgery: Comprehensive center Atrium Health Mercy Knee/hip replacements Knee/hip replacements Bariatric surgery: Comprehensive center Maternity care Spine surgery

Atrium Health Pineville Duke University Hospital Novant Health Forsyth Medical Center Maternity care Cardiac care Knee/hip replacements Knee/hip replacements Maternity care Adult lung transplants Atrium Health Stanly Adult liver (deceased donor) transplants Maternity care Adult bone marrow/STEM cell transplants Novant Health Kernersville Adult pancreas transplants Bariatric surgery: Comprehensive center Atrum Health Union FirstHealth Moore Regional Maternity care Novant Health Matthews Bariatric surgery: Comprehensive center Maternity care Cardiac care Atrium Health Unviersity City Maternity care Maternity care Novant Health Presbyterian Medical Center FRYE Regional Medical Center Bariatric surgery: Comprehensive center Cardiac care Cape Fear Valley Medical Center Bariatric surgery: Comprehensive center Spine surgery Bariatric surgery: Comprehensive center Knee/hip replacements Spine surgery Novant Health Rowan Medical Center Carteret Health Care Halifax Regional Medical Center Bariatric surgery: Comprehensive center Bariatric surgery: Comprehensive center Knee/hip replacements Maternity care Maternity care Spine surgery CarolinaEast Medical Center Iredell Health System Cardiac care Maternity care Knee/hip replacements

56 BUSINESS NORTH CAROLINA NORTH CAROLINA’S BEST HOSPITALS

Novant Health Thomasville Medical Adult liver (deceased donor) transplants Wake Forest Baptist Medical Center Center Adult bone marrow/STEM cell Adult pancreas transplants Maternity care Adult bone marrow/STEM cell transplants Nash UNC Health Care Adult heart transplants Bariatric surgery: Comprehensive center Onslow Memorial Hospital Bariatric surgery: Comprehensive center Maternity care Knee/hip replacements Maternity care WakeMed Cary Hospital Bariatric surgery: Comprehensive center Pardee UNC Health Care UNC REX Healthcare Knee/hip replacements Knee/hip replacements Maternity care Spine surgery Spine surgery Knee/hip replacements Rutherford Regional Medical Center Cardiac care Bariatric surgery: Comprehensive center WakeMed Raleigh Campus Knee/hip replacements Knee/hip replacements Vidant Medical Center Maternity care Scotland Memorial Hospital Spine surgery Bariatric surgery: Comprehensive center Maternity care Wayne UNC Health Care Wake Forest Baptist Health - High Point UNC Hospitals Medical Center Maternity care Bariatric surgery: Comprehensive center Knee/hip replacements Cardiac care Maternity care Wesley Long Hospital Knee/hip replacements Spine surgery Maternity care Bariatric surgery: Comprehensive center Spine surgery Knee/hip replacements Adult lung transplants Adult heart transplants

Bariatric Surgery Can TRANSFORM Your Life. The National Institutes of Health recognize bariatric surgery as the only effective treatment for long-term weight loss for those who are severely overweight. What’s more, it has been shown to improve or resolve many obesity-related conditions: type 2 diabetes, high blood pressure, high cholesterol, sleep apnea, polycystic ovarian syndrome, osteoarthritis and stress incontinence.

www.capefearvalley.com/bariatric U.S. NEWS & WORLD REPORT Hospitals listed here are ranked regionally or TOP-PERFORMING nationally by U.S. News & World Report, which assesses performance in various adult specialties TAR HEEL and selected lower-acuity procedures that require a reduced level of care. Patient survival is weighted heaviest, while safety, staffing and other factors HOSPITALS are also considered.

Nationally ranked National rank # High performing in this specialty or procedure ABDOMINALAORTIC AORTIC ANEURYSM VALVECANCER SURGERY REPAIRCARDIOLOGYCHRONIC / HEART OBSTRUCTIVE SURGERYCOLON PULMONARYCANCERDIABETES SURGERY DISEASE / EAR,ENDOCRINOLOGY NOSE ANDGASTROENTEROLOGY THROATGERIATRICS / GI GYNECOLOGYSURGERY HEART BYPASSHEART SURGERY FAILUREHIP REPLACEMENTKNEE REPLACEMENTLUNG CANCERNEPHROLOGY SURGERYNEUROLOGYOPTHALMOLOGY / NEUROSURGERYORTHOPEDICSPULMONOLOGYRHEUMATOLOGYUROLOGY

Alamance Regional Medical Center Burlington •

Atrium Health Carolinas Medical Center Charlotte ••••••••••••

Atrium Health Cabarrus Concord ••

Atrium Health Pineville Charlotte •••

Atrium Health Union Monroe •

Cape Fear Valley Medical Center Fayetteville •••

CarolinaEast Medical Center New Bern •••••

CaroMont Regional Medical Center Gastonia ••••

Duke Raleigh Hospital Raleigh •••

Duke Regional Hospital Durham ••••• •

Duke University Hospital Durham •• 40 23 •• 45 •••••• 21 23 7 25 42 11 41

FirstHealth Moore Regional Hospital Pinehurst ••••••••

Frye Regional Medical Center Hickory ••

Iredell Health System Statesville ••

Johnston Health Smithfield ••

Mission Hospital Asheville •••••••••

Cone Health - The Moses Cone Hospital Greensboro •••••••• 46

Nash UNC Health Care Rocky Mount •

New Hanover Regional Medical Center Wilmington ••••••

Novant Health Forsyth Winston- Medical Center Salem •••• source: U.S. News & World Report’s Best Hospitals (2019-20), based on American Hospital Association data, Medicare data and physician surveys

58 BUSINESS NORTH CAROLINA NORTH CAROLINA’S BEST HOSPITALS

ABDOMINAL AORTICAORTIC ANEURYSM VALVECANCER SURGERY REPAIRCARDIOLOGYCHRONIC / HEART OBSTRUCTIVE SURGERYCOLON PULMONARYCANCERDIABETES SURGERY DISEASE / EAR,ENDOCRINOLOGY NOSE ANDGASTROENTEROLOGY THROATGERIATRICS / GI GYNECOLOGYSURGERY HEART BYPASSHEART SURGERY FAILUREHIP REPLACEMENTKNEE REPLACEMENTLUNG CANCERNEPHROLOGY SURGERYNEUROLOGYOPTHALMOLOGY / NEUROSURGERYORTHOPEDICSPULMONOLOGYRHEUMATOLOGYUROLOGY Novant Health Matthews Medical Center Matthews • Novant Health Presbyterian Medical Charlotte ••••• Center Southeastern Health Lumberton ••

UNC Rex Healthcare Raleigh •••••••••

UNC Hospitals Chapel Hill • 27 •• 16 42 29 ••• 29 ••

Vidant Medical Center Greenville •••• 37 49 ••• •• Wake Forest Baptist Health - High Point High Point •• Medical Center Wake Forest Baptist Winston- Medical Center Salem •••••••••••

WakeMed Raleigh Campus Raleigh •••••

Compassion runs deep