Maynard
Healthcare
BUILDING THE FUTURE OF HEALTHCARE FACILITIES
T. A. Loving Company is a privately held corporation founded in 1925 and headquartered in Goldsboro, North Carolina. Now in its fourth generation of family ownership, the company maintains steady leadership and a long-standing commitment to delivering high-quality construction projects across the state.
T. A. Loving is deeply invested in healthcare construction. We bring more than experience— we bring a partnership mindset that puts our owners first. Our investment in people, project systems, and training equips us to meet the unique challenges of healthcare construction. Our team is experienced, responsive, and ready to deliver.
OUR EXPERIENCE INCLUDES
• Children’s Hospital/Pediatric Care Services
• Oncology Centers
• Patient Towers
• Operating Rooms
• Behavioral Health
• Medical Office Buildings/
• Ambulatory Care Centers
• Imaging and Radiology
• Safety and Compliance (ICRA/ILSM)
• Owner Equipmnent Integration
• Critical Infrastructure Upgrades
• Central Energy Plants
• Central Sterile Departments
• Pharmacies and Compounding Rooms
Surgery Addition & Renovation
Carteret Health Care
This six-phase project combined new construction and renovations to expand surgical capacity, upgrade infrastructure, and improve hospital operations.
Phase One included 12,240 SF of surgical addition along with site and infrastructure upgrades completed under an aggressive schedule.
Scope highlights
• New south loading dock and improvements to the existing north dock
• Surgical addition with interior renovations to support new spaces
• Central energy plant addition and new chiller pad
• Relocated trash compactor and reworked service alley
• Installation of two custom air handlers (AHU #1 serving the new addition; AHU #2 prepped for future renovations)
Phases Two through Six encompassed 24,000 SF of renovations within the existing hospital, upgrading clinical and support areas while maintaining operations in active patient environments. Work was carefully sequenced to minimize disruption to patients and staff, including off-shift construction, strict infection control measures, and detailed coordination for system shutdowns and tie-ins.
Scope highlights
• New cystoscopy and bronchoscopy rooms
• PACU and prep/recovery rooms
• Equipment storage areas
• Male and female locker rooms
• Staff and physician lounges
• Offices and support spaces
• Installation of custom AHU #3 serving remaining renovated areas
LOCATION
Morehead City, NC
COMPLETION
2023
DELIVERY METHOD
CM at-Risk
SIZE
12,300 SF Addition
20,800 SF Renovation
COST
$24,437,987
Clayton Campus
UNC Health Johnston
T. A. Loving has constructed the entire Clayton Campus for UNC Health Johnston
Phase I: Outpatient Hospital a 57,000 SF facility with an ER, two operating rooms, outpatient surgery, trauma rooms, and PACU.
MOB #1: A three-story facility that provides office and administrative space as well as a new Linear Accelerator.
Phase II: Bed Tower A three-story 58,000 SF bed tower providing treatment space, patient rooms, pharmacy, MRI suite, OR, PACU, exam rooms, lobby and atrium space.
MOB #2 Ambulatory Surgery Center: A two-story 26,000 SF medical office building which includes a new ambulatory surgery center and primary care physicians’ office and space for future growth in patient care within the building and within the site development.
Current Projects
Bed Tower Addition: This three-phase project will expand the Women’s Center and Patient Tower, along with surgery, central sterile processing, and central plant upgrades, adding new patient rooms, C-section suites, and a 14-bed labor and delivery unit. The phased approach will expand capacity, improve care coordination, and enhance the overall patient and family experience.
Emergency Department and Lab Expansion: Phased construction will expand and renovate approximately 7,000 SF of emergency care and laboratory spaces while maintaining hospital operations.
LOCATION
Clayton, NC
COMPLETION
2008–current
DELIVERY METHOD
CM at-Risk
SIZE
169,000 SF Campus Total COST
$137,192,095
Current Projects
SIZE
Approx. 100,000 SF
COST
Est. $82,000,000
SIZE
Approx. 7,000 SF
COST
Est. $11,000,000
Above: UNC Health Johnston Clayton Campus
Maynard Children’s Hospital
at ECU Health Medical Center
Maynard Children’s Hospital serves children across 29 eastern North Carolina counties. The project added 78,000 square feet of new construction on the ECU Health Medical Center campus to create a dedicated children’s hospital that includes patient rooms, radiology labs, specialized units for neonatal and pediatric intensive care, general pediatrics, rehabilitation, children’s emergency services, and clinical support spaces. An additional 15,000 SF of renovations within the existing medical center connected the new facility to hospital infrastructure and circulation, ensuring seamless operations across departments. Advanced mechanical and electrical systems provide power and redundancy for the hospital.
Designed with young patients in mind, the facility incorporates ocean-themed interiors, interactive play areas, a teen lounge, and an outdoor healing garden. The construction team managed complex system connections and finish work to meet infection-control and safety standards while creating an environment that balances clinical precision with a calming experience for children and families.
LOCATION
Greenville, NC
COMPLETION
2013
DELIVERY METHOD
CM at-Risk
SIZE
78,000 SF Addition
15,000 SF Renovation
COST AT COMPLETION
$33,500,000
2025 EQUIVALENT
$55,358,750
Above: Maynard Children’s Hospital at ECU Health Medical Center in Greenville, NC
ECU Health Cancer CareEddie & Jo Allison Smith Tower
ECU Health Medical Center
The Eddie and Jo Allison Smith Tower at ECU Health is a six-story Cancer Care Tower that advances comprehensive oncology treatment for patients across eastern North Carolina. The facility unites radiation oncology, medical oncology, and infusion services in one integrated setting with 96 patient rooms, 60 infusion bays, 58 outpatient clinics, 12 exam rooms, five radiation-therapy vaults, two linear accelerators, and a CyberKnife suite. Support areas include a clean lab, dedicated pharmacy, and healing gardens designed to promote patient recovery.
The building’s design enhances collaboration among clinical specialists and creates an efficient care environment that shortens travel distances for patients between diagnostic and treatment areas. Crews installed auger-cast piles to reduce noise and vibration on the active medical campus and used a structural steel frame with 90 percent moment-welded connections to ensure long-term stability. The tower connects to an existing tunnel and utility plant expanded with two generators, a boiler, and a chiller to strengthen infrastructure and support advanced clinical technology. The project also included 15,000 SF of interior renovations linking new and existing hospital systems.
LOCATION
Greenville, NC
COMPLETION
2018
DELIVERY METHOD
CM at-Risk
SIZE
417,770 SF
COST AT COMPLETION
$137,200,000
2025 EQUIVALENT
$198,802,800
Above: ECU Health Cancer Care - Eddie & Jo Allison Smith Tower in Greenville, NC
East Carolina Heart Institute
ECU Health Medical Center
This six-story cardiovascular hospital expanded and modernized cardiac care across eastern North Carolina. T. A. Loving coordinated building envelope design, complex MEP and medical-gas systems, and multiple tie-ins to the existing hospital. Built on an active medical campus, the project required exceptional planning and collaboration to minimize disruption to ongoing patient care and hospital operations. The facility includes 168 patient rooms, six operating rooms, cath and vascular labs, a cardiac observation unit, ambulatory surgery center, PACU, radiology and imaging suites, and a full-service cafeteria. Work also involved selective renovations within the existing hospital to connect utilities and improve circulation between new and existing care areas.
A below-grade utility corridor was constructed adjacent to the active roadway, linking the tower to the central energy plant through phased night work and close coordination to maintain full hospital access and operations.
LOCATION
Greenville, NC
COMPLETION
2009
DELIVERY METHOD
CM at-Risk
SIZE
375,000 SF
COST AT COMPLETION
$114,000,000
2025 EQUIVALENT
$208,494,600
Surgical Addition & Renovation
UNC Health Wayne
The UNC Health Wayne Surgery Addition & Renovation was a 101,000 SF project with a 42,459 SF addition and a 58,636 SF renovation. Ten operating rooms (ORs) and 52 pre-post operation rooms were added. This first phase of construction included new site utilities, parking lots, sidewalks, and electrical nodes.
The second phase consisted of the demolition of the existing PACU and operating rooms. The construction of four ORs and the central sterile storage unit happened while surgeries were still active in the hospital. The old day-surgery, reception area, existing ORs, staff areas, and pre-anesthesia testing rooms got demolished. All new staff support areas came out of this phase.
The third phase included the demolition of previous spaces. New reception, waiting areas, surgery support, decontamination, clean holding, and equipment replaced the previous areas.
The fourth and final phase focused on demolishing the central sterile area. The new central sterile offices, prep pack, and clean supply rooms were installed.
During construction, T. A. Loving carefully phased work to minimize the impact of construction on daily operations in the hospital. Our efforts included phased construction, off-shift work, and infection-control measures throughout the work zones.
LOCATION Goldsboro, NC
COMPLETION
2020
DELIVERY METHOD
CM at-Risk
SIZE
42,459 SF Addition
58,636 SF Renovation
COST
$30,534,742
2025 EQUIVALENT
$42,137,942
Oncology Addition & Renovation
Carteret Health Care
The goal of the expansion is to ensure Carteret Health can treat more patients locally, preventing them from needing to travel hours away to receive care.
“If you have to travel an hour and a half, two and a half hours (after radiation or an oncology infusion) that’s a huge burden on you and your support person. Being able to handle that here is, to me, a huge asset to the community and the patients we serve.” —Kyle Marek
The Carteret Health Care Oncology project includes a 34,200 SF addition focused on radiation oncology treatment areas. The 20,400 SF addition of first floor of the two-story addition will include two linear accelerator vaults, a CT Simulator, examination bays, offices, and support spaces. The second-floor addition of 13,800 SF will include a large boardroom and other conference spaces, and the new mechanical electrical equipment.
Following Phase 1, Phases 2–4 will focus on renovations inside the existing facility. Patient, visitor and staff spaces will be modified and our construction team will place a heavy emphasis on Infection Control Procedures. Daily monitoring and documentation will ensure that we are working in a manner to limit exposure for the building occupants.
The renovation of 8,100 SF in the Pavilion will accommodate the enlarging medical oncology unit. The renovated area will create five additional infusion bays, exam rooms, patient check-in functions, provider offices and other support functions. Carteret will also have enough space for another four to five medical oncology providers.
LOCATION
Morehead City, NC
COMPLETION
Est. 2026
DELIVERY METHOD CM at-Risk
SIZE
156,600 SF
COST
$32,658,538
Emergency Department Expansion & Renovation
UNC Health Wayne
This project expanded and modernized the hospital’s Emergency Department with 32,400 SF of new construction and 20,000 SF of renovations. The facility now includes 42 universal treatment rooms—four major, four trauma, two isolation, and a behavioral health holding unit—along with new triage, waiting, imaging, and surveillance rooms with integrated security monitoring. A new main entry and covered ambulance drop-off improve access and circulation, while the relocated helipad enhances emergency transport efficiency.
The single-story steel addition with a precast enclosure was designed to accommodate emergency and imaging growth for the next 15 years, creating a patient-centered environment that supports staff workflow, operational flexibility, and public accessibility.
LOCATION
Goldsboro, NC
COMPLETION
2012
DELIVERY METHOD
Design-Bid-Build
SIZE
54,400 SF
COST AT COMPLETiON
$11,367,690
2025 EQUIVALENT
$19,162,515
Above: Johnston Endoscopy Center in Clayton, NC
Johnston Endoscopy Center
Delivered through a joint venture between AMSURG and UNC Health Johnston, this two-story outpatient facility broadens regional access to endoscopic and surgical care. The building combines an ambulatory surgery center, physician offices, and shell space reserved for future services. Construction occurred on an active medical campus, requiring careful staging, safety controls, and continuous communication with hospital operations. The new center improves patient flow, adds procedural capacity, and supports the health system’s commitment to community-based care..
Raleigh Endoscopy Center
To expand outpatient gastrointestinal services in southern Wake County, this project converted existing shell space into a 9,000-SF ambulatory surgery center. The upfit provides three procedure rooms with infrastructure for a fourth, along with pre- and post-operative areas and staff support spaces. Construction integrated new mechanical, electrical, and plumbing systems and coordinated carefully with ongoing site activity. The completed center increases capacity for same-day procedures and gives providers a flexible, efficient space for patient care.
Raleigh Main Endoscopy Center
Cedar Point Medical Office Building
Carteret Health Care
LOCATION Clayton, NC
COMPLETION March 2023
METHOD
at-Risk
at-Risk
LOCATION Raleigh, NC COMPLETION Est. 2026
This 23,000 SF build-out transformed four floors of shell space into a modern ambulatory surgery center for AMSURG and its partners. Six procedure rooms, preand post-operative bays, and clinical support areas were constructed with durable finishes and integrated building systems. Work was performed within an active healthcare complex, demanding detailed phasing and infection-control measures to protect adjacent operations. The new facility enhances outpatient surgical efficiency and provides a high-quality environment for patients and staff. LOCATION Cedar Point, NC COMPLETION Est. 2027 DELIVERY METHOD
The project includes construction of a two-story, 41,500-SF medical office building in Cedar Point. The first floor will feature imaging and urgent care departments, with shelled space for a future ambulatory surgery center. General exam rooms, clinical support areas, and administrative offices will occupy the second floor. Site improvements—including parking, stormwater systems, and a septic field—will be completed within a single construction phase to support efficient delivery and long-term facility performance.
Emergency Department Renovation
ECU Health Beaufort
Constructed in four major phases, this project modernized hospital infrastructure and expanded emergency care capacity while keeping the facility fully operational. Work included a new fuel farm, central energy plant with dual 2,500 kW generators, a new Emergency Department, and complete renovation of the existing one. More than 200 risk plans covering over 325 shutdowns were developed and coordinated with hospital staff to protect patients and maintain safety. Through careful sequencing and continuous collaboration, the project enhanced reliability, improved energy efficiency, and delivered a modern emergency care environment with minimal disruption to hospital operations.
Outer Banks Health Hospital
This Design-Build healthcare campus delivered an 82,070 SF hospital and an adjacent 33,796 SF medical office building serving the Outer Banks community. The three-story hospital included diagnostic, treatment, and inpatient areas designed for long-term resilience in a coastal environment. Design-build collaboration with the owner and design team guided budgeting, constructability, and value analysis, reducing project costs by nearly $3 million and accelerating completion by six months. The facility continues to enhance regional access to high-quality care while demonstrating efficiency and lasting performance. LOCATION Washington, NC
$19,301,232
LOCATION Nags Head, NC
Pediatric ICU Refurbishment
Maynard Children’s Hospital at ECU Health Medical Center
This renovation modernized the Pediatric Intensive Care Unit at Maynard Children’s Hospital into a family-centered, technology-rich environment. Work included complete demolition, new room configurations, upgraded finishes, and installation of mechanical, electrical, plumbing, fire alarm, and nurse call systems. Custom millwork, sliding ICU doors, and high-performance surfaces enhance safety and infection control. Located directly above the active Labor and Delivery Unit, the project required precise phasing and temporary access systems to maintain hospital operations throughout construction.
Garner Healthplex
WakeMed
This 55,000 SF outpatient facility expands WakeMed’s emergency and outpatient services into southeastern Wake County, offering 24/7 emergency care, laboratory, and imaging capabilities in a patient-centered environment. The project included complete site development, off-site utility improvements, and construction of the building core and shell, along with tenant upfits for the Emergency Department and supporting clinical areas. Delivered through the Construction Manager at Risk method, the facility was built to hospital-grade standards and designed for long-term operational flexibility and reliability.
Central Generator Plant Phase I
Electrical Modernizations Phase 2
UNC Hospitals
“The T. A. Loving team’s proactive approach and mastery of complex infrastructure has supported the broader mission of UNC Health, including reliable power for the new North Carolina Surgical Hospital and other critical facilities.” —Cleopatrice Robinson, Senior Project Manager, Real Estate Development & Facilities at UNC Health
Phase I: This 18,200-square-foot plant provides emergency power to UNC Medical Center, including the Surgical Tower. It houses eight generators supplying 24 megawatts of backup power and includes upgrades to the electrical distribution system. Designed with visual sensitivity, the building envelope incorporates insulated metal panels, louvers, perforated metal, slat-wall systems, glazing, and lighting. The facility ensures reliable energy delivery during outages and meets modern healthcare infrastructure and compliance standards.
Phase II expanded the system’s emergency power capacity with four additional generators, a prefabricated E-House, and new switchgear. It included significant underground electrical upgrades and installation of a 60,000-gallon fuel tank. Work also involved transfer switches, new fuel piping, and replacement of 375 feet of 24-inch water line coordinated with the campus water tower cleaning. The improvements enhance the medical campus’s resilience and ensure reliable energy continuity for critical healthcare operations.
LOCATION
Chapel Hill, NC
COMPLETION
Phase I: 2022
Phase II: Currently under construction
DELIVERY METHOD
CM at-Risk
SIZE
18,200 SF
COST
Phase I: $39,304,000
Phase II: $31,160,310
Infrastructure Upgrades
Onslow Memorial Hospital
This project upgrades Onslow Memorial Hospital’s Central Utility Plant and Air Handling Unit to enhance efficiency, reliability, and code compliance. Work includes constructing an addition to the existing plant to house new generators, switchboards, a chiller, and a cooling tower, along with major HVAC and pump system replacements. Temporary systems maintained continuous operation throughout construction. The upgrades improve energy performance, strengthen emergency power reliability, and ensure the hospital’s critical infrastructure supports uninterrupted patient care and future capacity demands.
Emergency Power Upgrade
UNC Health Lenoir
To strengthen system reliability and emergency preparedness, this project upgraded UNC Health Lenoir’s backup power infrastructure. A new generator plant houses two primary generators with connections to the hospital’s existing emergency systems. Temporary power systems maintained full operational capability throughout construction. The work improves system redundancy, ensures uninterrupted service during outages, and provides long-term capacity for future campus demands.
LOCATION
Jacksonville, NC
LOCATION Kinston, NC
