The Daily Dig
Novant Health has received approval from the North Carolina Department of Health and Human Services to construct two new healthcare facilities in Brunswick County. The first is a 20-bed hospital in Leland. The second is a freestanding emergency department in Carolina Shores.
The Leland facility, to be called Novant Health Leland Medical Center, will be built along U.S. 74/76 near the Compass Pointe community. The hospital will include a 24/7 emergency department, imaging services, 10 observation beds, and five procedure rooms.
The freestanding ED in Carolina Shores is a separate build, extending emergency access further into the county and giving residents a closer option when time is critical.
The projects come as Brunswick County continues to outpace the rest of the state in population growth, a dynamic that has been straining available healthcare infrastructure. Novant is simultaneously expanding services at its existing Brunswick Medical Center campus in Bolivia, adding an enlarged MRI facility and a cardiac catheterization lab.
That cath lab will allow patients to receive interventional cardiology procedures, including stent placements, without leaving the county. An ambulatory surgery center in the Leland area is also expected to open this year.
Project Snapshot:
Health System: Novant Health
Facilities Approved: Novant Health Leland Medical Center (hospital) + Freestanding Emergency Department
Hospital Location: U.S. 74/76, Leland, N.C. (near Compass Pointe community)
Freestanding ED Location: Carolina Shores, N.C.
Approving Authority: North Carolina Dept. of Health and Human Services
County: Brunswick County, N.C.
Hospital Bed Count: 20 beds
Additional Hospital Scope: 24/7 ED, imaging services, 10 observation beds, 5 procedure rooms
Concurrent Expansion (Bolivia Campus): MRI expansion + cardiac catheterization lab
Ambulatory Surgery Center: Leland area, opening this year
Sector: Healthcare / Medical Construction
Project Status: State approval received, construction planning phase
TheJobWalk Thoughts
Two standalone healthcare facilities going up simultaneously in the same county means parallel procurement and subcontractor demand across MEP, medical gas, imaging infrastructure, and specialty interior buildout.
GCs and subs operating in the Wilmington area market should be positioning now. These projects won't be the only work moving in Brunswick County, and crews will get stretched.
The cath lab addition in Bolivia is worth noting for specialty contractors. Cardiac cath labs carry tight mechanical and shielding requirements. That's a focused, high value scope for the right trade partners, not a commodity job.



