North Carolina

Case Study Hospitals
Click on hospital name for summary report

Hospital	Summary
Cleveland Regional Medical Center Shelby, NC	Leased to nonprofit coporation for 11 years with payment funds used for general county needs. No appreciable change in quality or access to care, while public health is supported by $300,000/year stipend to community charity for indigent persons.
Cape Fear Memorial Hospital Wilmington, NC	Sold in 1996 to Columbia/HCA along with creation of large community health (conversion) foundation. There was intense scrutiny by the media and the Attorney General, but no drop in quality or access was reported. Sold again to local hospital, returning control to the community.
Roanoke-Chowan Hospital Ahoskie, NC	Leased to a nearby nonprofit hospital for 23 years with payments invested in improvement programs for the hospital or affiliated medical practices. A foundation was created by the old hospital’s surplus funds for hospital construction or related businesses. No changes in costs or access apparent.
Wake Medical Center Raleigh, NC	Ownership transferred to nonprofit hospital management group with guarantee of continued indigent care. Payment not given to county, but savings from care will be used for general expenditures. Fair market value was probably not reached and access may have dropped for some patients, but quality and satisfaction remains high.

Hospital Conversion in the Carolinas