2021 Annual Cancer Report - FirstHealth of the Carolinas

The Dream Has Begun

2021 Annual Cancer Report

As we all continue to navigate life around the pandemic, it’s an honor to once again present the FirstHealth of the Carolinas Cancer Report. We have had an incredible year, and I am thrilled to highlight the work of our entire team.

Our primary goal remains the same. We want to provide exceptional, compassionate cancer care close to the communities we serve, making the entire experience – from diagnosis to treatment and into recovery–seamless.

Throughout the year, our team of oncologists, surgeons, radiologists, nurse navigators and support staff have continued to work heroically to deliver high-quality care. I’m honored to call them teammates.

While 2020 was a year of “beginnings” for our Comprehensive Cancer Center, 2021 brought us one step closer to serving patients in a brand-new way.

We broke ground on our four-story, 120,000-square-foot building in May, bringing together members of our community and our cancer care team for a wonderful celebration of what’s ahead. Foundation of FirstHealth Chairman Art Medeiros said it well on that warm day in May: the center is our community’s commitment to a line in the sand that we will fight cancer.

We WILL fight cancer in all its forms, and our state-of-the-art facility will help us do it better than we ever have.

In addition to a wide array of treatment facilities, the new center will house palliative care services, research and clinical trials, navigation and support services for patients and caregivers, nutrition services and a dedicated wellness center. An outdoor healing garden will offer a place for patients and their families to connect and relax.

Our team has been inspired to see the ongoing construction progress, and we can’t wait to share more throughout 2022 as we approach our grand opening.

I hope you enjoy reading more about what our Cancer Care team has done in 2021, and I hope the following pages will lift your hopes for the future of what we can accomplish together. Sincerely,

Laura Kuzma Administrative Director, Oncology Services and Clinical Trials Moore Regional Hospital FirstHealth of the Carolinas

1 | The Dream Has Begun

Letter from Leadership

2021 Cancer Annual Report | 2

About Us Just before the Great Depression began, the doors opened to a 33-bed hospital in Pinehurst. The mission was clear – it would tirelessly serve the people of Moore County.

Ever since, hard work and unwavering optimism turned Moore County Hospital into FirstHealth of the Carolinas, a regional medical network that serves 15 counties throughout the Sandhills.

FirstHealth is a private, not-for-profit health care network that employs 5,000 people, operates four hospitals and dozens of clinics across the Sandhills.

FirstHealth serves patients in dozens of specialty areas, from Cancer Services to Primary Care. Our facilities also include inpatient and outpatient rehabilitation, a hospice and palliative care program, a home care program, community outreach programs, behavioral services, fitness facilities,

convenient care practices, a hospitality house, EMS and critical care transport services. In 1929 and today, FirstHealth’s organizational culture is guided by a commitment to patient safety, quality and performance excellence. We work each day to care for the whole patient and provide quality health care in all the communities we serve – especially for people in need.

Our purpose is to care for people.

Jeffery Acker, M.D. – Chair Radiation Oncology

Dan Barnes, D.O. Administration

Megan DiFurio, M.D. Pathology

Soledad Griffin, M.D. Radiology

Joshua Jeanty, M.D.Pathology

Stephen King, M.D.Radiation Oncology

Cliff Kitchen, M.D.Thoracic Surgery

Charles Kuzma, M.D.Medical Oncology

Sushma Patel, M.D.Radiation Oncology

Robert Pohlmeyer, M.D.Medical Oncology

Michael Pritchett, D.O.Pulmonology

Thomas Richard, M.D.Medical Oncology

Robert Sponzo, M.D. Medical Director

Michael Sundborg, M.D.Gynecology Oncology

Reid Vegeler, M.D.Colorectal Surgery

David Warden, M.D.Radiology

Designated Physicians

Barry Baber, R.N.Oncology Nursing

David Botnick, DPTRehabilitation

Jill Botnick, PTRehabilitation Susan Bazinet, FNP-CGenetics Program

Ashley Carpenter, R.D.Dietitian

Kim Cobb, R.N.Nurse Navigator

Amanda Ebersole, R.N.Nurse Navigator

Roxanne ElliottCommunity Outreach Coordinator

Tiffany FountainAmerican Cancer Society

Taylor Galford, R.N.Gynecologic Oncology

Lisa Ganem, RTRCancer Registrar, Cancer Registry Quality Coordinator

Rachel Gayles, CTRCancer Registry

Lisa HoganClinical Data Coordinator

Paige Howard, CTRCancer Conference Coordinator

Rev. Dr. Beverly JessupPastoral Care

Deana Kearns, R.N.Corporate Education

Gretchen KellyCorporate Communications

Laura Kuzma, MSWAdministrative Director, Oncology Services

Lynn Lanier, R.N.Nurse Navigator

Tara LedfordCorporate Communications

Adara Maness, PA-CGynecologic Oncology

Pam Mason, R.N.Clinical Trials

Brittany McArnManager, Financial Navigation

Cindy McDonald, R.N.Quality Improvement Coordinator

Cindy McDuffie, R.D.Dietitian

Nikki McLendon, CTRCancer Conference Coordinator

Thomas Morris, RPhPharmacy

Denise RamseyProvider Quality Coordinator

Heidi Regan, R.N.Quality Improvement Coordinator

Skyler Rogers, FNP-CPalliative Care

Christy Romine, R.N.Radiation Oncology Nursing

Carolyn Ryner, R.N.Oncology Nursing

Linda Stout Community Outreach Coordinator

Fallon WadeFinancial Navigator

Jennifer Wellman, R.N.Nurse Navigator

Alicia WilkersonClinical Data Coordinator

Julie Williams, Ph.D.Clinical Trials Coordinator

Deborah Yarborough, BSWSocial Worker

Designated Non-Physicians


FirstHealth Cancer Program Committee

Cancer continues to loom large across all the communities FirstHealth serves, but in 2021, a big dream began to take physical shape in our system’s efforts to change the face of cancer care in the Sandhills.

After years of planning, FirstHealth broke ground in May on its four-story, 120,000-square-foot Comprehensive Cancer Center. FirstHealth’s cancer treatment hub is scheduled to open to patients in early 2023 and will fundamentally alter how our system treats cancer patients and their families – from diagnosis to treatment and into survivorship.

Following a groundbreaking ceremony on a bright, sunny morning, construction crews worked quickly clearing trees and breaking up concrete in what used to be the Greer parking lot across from FirstHealth’s Outpatient Center.

Within weeks, the foundation of the new center began to take shape, and by November steel beams were climbing into the Pinehurst sky. Laura Kuzma, MSW, Administrative Director of Oncology Services, said 2021 has

been full of excitement because the cancer services team knows how close they are to treating patients in a state-of-the-art facility.

“We are already committed to being with our patients every step of the way, ensuring that they don’t go through their

treatment alone,” she said. “But it’s exciting to know that we are one step closer each day to bringing all of our care team together under one roof.”

In addition to state-of-the-art treatment facilities, the new center will house palliative care services, research and clinical trials, navigation and support services for patients and caregivers, nutrition services and a dedicated wellness center. A healing garden outside the building will offer a place for

patients and their families to connect and relax.

Cancer treatment in the new center could involve patients and their caregivers visiting a chapel or taking part in a yoga class. The combination of support services and treatment will improve FirstHealth’s ability to provide

comprehensive care and bring it all together under one roof.

The construction project is funded in part by The Foundation of FirstHealth’s Building the Dream Campaign. Art Medeiros, Chairman of the Foundation, said the center represents the

“community’s commitment to a line in the sand that we will fight cancer.”

“I believe we are building a haven of hope, a haven of healing and a haven of help,” Medeiros said.

“When we say Comprehensive Cancer Center, we aren’t leaving things out. This facility will allow us to provide top-notch care for our patients and their caretakers.”

From the Ground Up: Building the Dream


Building Better Results


Treatment of gynecologic cancers is crossing into a “new frontier,” and FirstHealth of the Carolinas is working to lead the way. Board-certified gynecologic oncologist Michael Sundborg, M.D., says he’s never seen anything like it in his 30-year career.

“The changes happening now are exponentially increasing and advancing, and it’s because of the breakthroughs in understanding the molecular nature of cancer,” he said.

For patients, the advances in research and treatment allow Dr. Sundborg and other cancer doctors to attack cancers with directed therapies better suitedto attack cancer cells. Doctors

are now treating certain ovarian cancer with PARP inhibitors, which essentially prevent cancer cells from repairing themselves, causing them to die. Sundborg said PARP inhibitors are just one example of how far treatment has come in the last few years.

“With cancer treatment, genetic testing has become paramount for personalized cancer care. We’re discovering molecular targets, and we’re able to develop special medicine that can attack cancer cells directly by damaging its DNA or other components,” Sundborg said.

Sundborg also noted that advancements in one cancer specialty are also making their way into other malignancies,

another improvement in the way patients receive treatment. FirstHealth also continues to advance gynecologic cancer treatment through a robust clinical trials program.

Last year, FirstHealth enrolled the first patient worldwide in a trial testing the efficacy and safety of immune therapies designed to battle cervical cancer. FirstHealth was among 70 sites expected to participate in the trial, including about 50 in the United States.

Sundborg said he’s excited for collaboration to grow inside the walls of FirstHealth’s new Comprehensive Cancer Center, which is scheduled to open in 2023.

FirstHealth Leading the Way During Pivotal Time in Gynecologic Cancer Research, Treatment


Radiation therapy treatment and technologies have come a long way in recent years, and FirstHealth remains committed to providing state-of-the-art care to its patients.

Linear accelerators (often shortened to LINAC) are an essential tool in radiation therapy to treat oncology patients, and when the Comprehensive Cancer Center opens in 2023 FirstHealth will use two new LINAC machines to deliver the best care to patients.

LINAC works by providing high energy x-rays (electrons and photons) that are shaped to conform to the size and shape of a patient’s tumor. The radiation is used to destroy cancerous cells, and it is delivered in the shape of the tumor to hopefully eliminate damage to the healthy tissues surrounding it.

As essential as a linear accelerator is to radiation oncology, it is equally as difficult and hard to replace when it wears out, which is what happened at Moore Regional Hospital as we are preparing for the new Cancer Center.

Thanks to the generous donations and forethought of the Heinz and Givens families, the North Fund and unrestricted reserves, the Foundation of FirstHealth was available to support the purchase of a linear accelerator through a 3.5 million distribution.

The process of replacing an old LINAC created scheduling challenges, but the Cancer Care team treated patients from the early morning hours until the late evening to avoid care disruptions.

Cancer Center will Include State-of-the-Art LINAC Machines

LINAC Vault


Building Better Patient

Experience


Medical OncologistMatthew Karpenko, D.O.

Matthew Karpenko, D.O. joined Pinehurst Medical Clinic and the Cancer Care team at FirstHealth that includes additional oncologists, physician assistants, nurse practitioners, oncology nurse navigators and clinical trials professionals.

“I decided to join FirstHealth and Pinehurst Medical Clinic for many reasons, but the first is the commitment to excellent and compassionate care. I want to work with a team of highly educated and experienced physicians to deliver the highest quality of care to my patients,” Karpenko said.

Karpenko has worked in oncology for 25 years and earned his Doctor of Osteopathic Medicine from Lake Eerie College in 2002. He also completed an oncology and hematology fellowship at Ohio State University.

Oncology Nurse PractitionerSarah Pearce, DNP

Sarah Pearce, DNP joined Pinehurst Medical Clinic’s oncology team and works closely with medical oncologist Thomas Richard, M.D.

“I appreciate FirstHealth and Pinehurst Medical Clinic’s commitment to provide exemplary care to patients within the community they live,” Pearce said. “I’m excited to partner and work toward this goal of quality care.”

Richard, who joined FirstHealth and Pinehurst Medical Clinic in 2019, said he is thrilled to have Pearce join the team.

“Our team is growing fast, and it’s great to have Sarah come on board during this time,” he said. “With the Cancer Center now under construction, we are moving into the next phase of caring for cancer in the Sandhills. I can’t wait to see how Sarah will contribute to our efforts.”

FirstHealth Welcomes New Providers


FirstHealth Welcomes New Providers continued Gynecologic Oncology Physician AssistantKristen Burton, PA-C

FirstHealth of the Carolinas welcomed a new certified physician assistant in Kristen Burton, PA-C.

Burton joined Michael Sundborg, M.D., the area’s first gynecologic oncologist, Brian Burgess, D.O., Ph.D., and Adara Maness, PA-C, at FirstHealth Gynecologic Oncology. The practice offers a full scope of gynecologic cancer care including diagnosis, surgery, medical oncology, surveillance and supportive care.

Burton said she is excited to join the practice and looks most forward to developing relationships with her patients and supporting them through their cancer journey from start to finish.

“I believe that women are the strongest people on the planet, and because of that, I have always been interested in women’s health,” she said. “In gynecologic oncology, these women are warriors, and I am honored to be able to help them through their journey. My goal is to create a strong and trusting relationship with every single patient and to ensure they receive the best care possible.”

Prior to joining FirstHealth Gynecologic Oncology, Burton served as a physician assistant at Fort Bragg’s Womack Army Medical Center.


Early Involvement is Key for Oncology Navigators; Team Continues Growth Nurse navigators are an indispensable piece of FirstHealth’s comprehensive approach to cancer care. From diagnosis through treatment and into survivorship, our navigators are a constant source of support for patients and families. They strive to connect with patients as soon as possible in their cancer journey in order to answer questions, coordinate care, and connect patients with a wide range of resources. They monitor pathology reports and work closely with surgeons and

oncologists to get involved early in the process. FirstHealth will be adding a second breast cancer navigator to the team in January of 2022, allowing for more outreach and support to patients throughout the FirstHealth service area.”

“Our navigators continue to connect with patients as soon as they can in their cancer journey,” Laura Kuzma said. “They monitor pathology reports and work closely with general surgeons to get involved early in the process.

Those early stages are often the most unsettling and scary for patients, so having these navigators to guide the way makes a huge difference.” The typical caseload for a nurse navigator is about 250 patients, and FirstHealth’s breast cancer navigator has about 400 patients. Kuzma said FirstHealth will be adding a second breast cancer navigator to the team late in 2021, allowing for more outreach to clinics and FirstHealth hospitals in Richmond and Montgomery counties.


Patient Growth Continues Across FirstHealth Service Area FirstHealth’s Cancer Services team is committed to providing high-quality, compassionate care, and in 2021 we have treated more patients than ever before.

Total patient growth for the oncology clinic is about 8.5% in the last year. In certain parts of FirstHealth’s service area, like Sanford, growth is closer to 20%.

“Our area is growing quickly, but unfortunately, so too are our cancer rates,” Laura Kuzma said. “Our team of oncologists, surgeons, radiologists, nurse navigators and support staff are working hard to put patients first and make sure each patient and their family receives the care and support they deserve.”

Because of the growth in patients, FirstHealth’s Cancer Services team has added another physician and two additional physician assistants. The nurse navigation team is also growing to ensure that patients and families can focus on healing rather than the stress that comes with a cancer diagnosis.


Breast Cancer Leadership Program


Your FirstHealth Breast Cancer Journey

Suspicious finding on mammogram,

breast changes, or palpable mass on

physical exam

Additional imaging tests:Mammogram, Ultrasound, MRI

Cancer suspected Biopsy: Fine needle,

core needle, surgical, stererotactic or MRI-

guided

Pathology Report

Cancer Center Consultation:Oncotype testing, genetic testing if appropriate

Possible treatment combinations

Radiation Treatment2-6 weeks typically

Radiation tmt only

Systemic TherapyChemotherapy, Immunotherapy or Targeted therapy (3 – 12 months)Hormone therapy (up to 10 years)

Systemic tmt only

No Yes

EchocardiogramPort Placement

Labs

EchocardiogramPort Placement

Labs

Systemic treatment followed by radiation

Consultation with Medical Oncologist

Pre-surgical (neoadjuvant) systemic therapy

Possible genetic testing

Palliative or symptom control and comfort care – can be alone or in

conjunction with other treatments

Multi-Disciplinary Conference Presentation:Surgeon, Medical Oncologist, Radiation Oncologist,

Pathologist, Radiologist, Clinical TrialsOccurs every 1st and 3rd week so may happen before or after surgery

Consultation with SurgeonDiscuss surgical options and other considerations such as genetic

testing. Possible referral to Medical Oncologist to determine if treatment is needed before surgery.

SurgeryTypes: lumpectomy,

unilateral mastectomy, bilateral mastectomy,

reconstruction surgery

Is treatment necessary before

surgery?

FirstHealth’s Cancer Services team is always looking for new and innovative ways to deliver care, with the focus on patient experience and outcomes. The desire to innovate led to a new approach in 2021 with the creation of a breast leadership program committee, that was designed to identify road blocks in breast cancer care and discover better ways to help patients and families.

This multidisciplinary group includes physicians from surgery, medical oncology, radiation oncology, pathology, and radiology as well as the breast nurse navigator. At the beginning of the year, the team began meeting regularly to ensure that care teams work efficiently.

Laura Kuzma said the group comes together to listen first and then act.

“We want to be able to hear from others on our team about what we can all do better. I was so impressed in these meetings as issues were discussed and resolved. We developed a patient journey map, enhanced radiology reporting, and improved timely neoadjuvant care.” she said. “More than anything, it was just a wonderful experience to have people willing to roll up their sleeves and work together to make our program better.”

Building Hope


Drive-Thru Party: 2021 Cancer Survivors Day Cancer affects everyone. Nearly 17 million people are living with and beyond cancer in the United States, and there are more than 43 million cancer survivors across the globe.

FirstHealth of the Carolinas is committed to offering high-quality cancer care and recognizing the brave fighters who are taking on the disease each day.

In June, cancer survivors throughout the Sandhills decorated their cars and drove to Pinehurst to participate and celebrate the 34th annual National Cancer Survivors Day.

The drive-thru event featured plenty of smiles, cheering and giveaways after a virtual event the year prior.

“We were so thrilled to honor cancer survivors and their

families, and this year was especially unique as we held a drive-thru event,” Laura Kuzma said.

“We wanted survivors to see the site of our future Comprehensive Cancer Center as a reminder that FirstHealth is in the fight with them and committed to battling cancer.”


Stories of Hope: Jenni Abbott Jenni Abbott’s Facebook profile says, “Wife, Mom, Christ-Follower. Lover of Books, Music, Food and Fun.” In early February 2021, the Southern Pines resident added “Breast Cancer Warrior” to her list of roles and accomplishments – and took her friends and family on a virtual breast cancer journey with her.

Jenni graciously agreed for FirstHealth of the Carolinas, where she is a patient, to chronicle her journey through a re-creation of her social media posts during Breast Cancer Awareness Month. She offered raw insights about her experience, but always infused

optimism and faith.

In December 2020, Jenni went to Pinehurst Radiology for her annual mammogram. No big deal, she thought. However, the mammogram quickly advanced into an ultrasound, which quickly advanced into a discussion with a surgeon about a breast biopsy. Jenni was stunned. “Breast cancer was the farthest thing from my mind,” she said. “I was a healthy and active 40-year-old.”

On January 8, 2021, Jenni and husband Sidney met with her oncologist and learned her diagnosis, stage 2 invasive ductal carcinoma (IDC). The most

common type of breast cancer, IDC starts in the milk ducts and invades the surrounding tissue. In some cases, cancer may spread, or metastasize, to other parts of the body through the lymphatic system and bloodstream.

IDC can have four types of treatments – chemotherapy, immunotherapy, radiation and anti-hormone therapy. Jenni’s case called for all four. “I’ve never done anything small in my life,” Jenni said. “As always, go big or go home.”

Read Jenni’s inspiring words at www.FirstHealth.org/Jenni


Philanthropy Helps Carthage Woman Beat Breast Cancer Joanne Cook has never been quick to visit the doctor. She never really felt like she needed to. That changed in 2019, when the 75-year-old from Carthage found a lump in her breast. She met with her primary care physician and was soon referred to FirstHealth Cancer Care Services.

Cook had breast cancer, and within weeks she had undergone a lumpectomy to remove the cancerous tissue.

“Dr. David Grantham and the surgery team were wonderful, but they weren’t the only ones,” Cook said.

“Everyone I dealt with throughout the process was such a blessing to me, and they continued to show up for me despite all the challenges with COVID-19.”

On top of chemotherapy and radiation treatments that would last throughout 2020, Cook faced an additional stressor because of the costs of her care. FirstHealth’s cancer team helped with that,

too, setting Cook up with an Oncology Nurse Navigator to guide her through financial assistance options.

Nurse navigator Lynn Lanier, MSN, R.N., helped find various resources to assist with Cook’s mounting bills, including the

Pretty in Pink Foundation based in Raleigh, N.C., which helped cover medical bills. The Cancer CARE Fund, supported by the Foundation of FirstHealth, was able to assist with the purchase

of medication and gas for transportation.

“I have a single income, and it’s one small check each month,” Cook said. “Without the help of the Foundation of FirstHealth and Pretty in Pink, I would have had to say no to receiving the care that has me here today. I am so grateful that God placed my care team in my life.”

Following her treatment, Cook’s current prognosis is good. She had a clean mammogram in September 2021 and will return for additional screenings in the spring.


FirstHealth Patient Beats Stage 3 Breast Cancer, Encourages Others Elizabeth Stewart was recently retired and adapting to a new pace of life, with her only child away at college, when she found a lump in her breast.

The 53-year-old resident of McColl, S.C., scheduled a checkup with her nurse practitioner and, after a same-day ultrasound and mammogram, was diagnosed with stage 3 breast cancer that had spread to her lymph nodes. That was last September, and Stewart has since gone through two rounds of chemotherapy, radiation and a left mastectomy, all with a warrior’s spirit.

“I fell apart when I was diagnosed,” she said. “I didn’t think I was strong enough to go through treatment. I convinced myself I was going to die until I told my husband and daughter. Seeing how my diagnosis impacted them and their lives made me mad and that’s when the tide turned. I decided to attack cancer rather than let it attack me.”

Her primary care provider referred her to FirstHealth of the Carolinas for treatment, and the first step in Stewart’s fight plan was to meet with Pinehurst Surgical Clinic surgeon Raymond

Washington, M.D., who works with FirstHealth, for a breast surgery consultation. She was open to all suggestions, if it meant being rid of cancer, and appreciated his transparency about her options.

Her next appointment was with Thomas Richard, M.D., a medical oncologist and hematologist with FirstHealth, who Stewart said made her feel immediately comfortable and explained all procedures step by step.

In April, she had a left mastectomy, performed by Dr. Washington, followed by radiation and Xeloda chemotherapy pills. Although she had painful burns near the

end of radiation, due to intensely treating aggressive cancer, Stewart said the radiation oncologists met with her frequently and ensured it was safe to continue treatment. Stewart now continues to take Xeloda and said her body has recovered well from the intense medications. Her care team

continues to meet and offer support when needed.

“The whole team has continued to treat me throughout the process, which is amazing,” she said. “They didn’t just hand me off to someone else. They communicate regularly about my case and I think it has provided me with the best care I could’ve received.”


Pinehurst Caddy Navigates Colorectal Cancer, Recommends Screening to Others John Sodoma has walked a lot of miles in his career - it comes with the territory when you work in the golf industry. For the past decade, Sodoma has helped golfers navigate one of the best courses in the country as a caddy at the Pinehurst Resort. His days were filled with plenty of steps and often included more than one bag. Last spring, Sodoma said he started noticing problems with his energy levels.

Walking 18 holes wasn’t as easy as it had always been. Sodoma, 51, went to see his primary care physician, who recommended he get a colonoscopy. Soon after, Sodoma found himself taking advice from others – a large group of multi-talented physicians, nurses and staff who make up the FirstHealth Cancer Services team.

“They found a lime-sized tumor in my lower intestine, and I had surgery to remove it,” Sodoma said.

Along the way, Sodoma, who moved to Pinehurst from Philadelphia, became close with

surgeon Ray Washington, M.D., and medical oncologist Charles Kuzma, M.D. The bond over sports helped.

“Dr. Washington was my surgeon and Dr. Kuzma was my oncologist, and we hit it off immediately. Dr. Washington went to St. Joseph’s University, and Dr. Kuzma went to St. Joseph’s and Temple University, so they were both Eagles fans,” Sodoma said.

Like Sodoma might help a golfer looking for a way out of a bunker,

Washington, Kuzma and the Cancer Services team helped craft his surgical plan and post-procedure treatment plan to beat

colorectal cancer. “They were always available and made sure to explain things to me in ways I could understand. Every person in that building is amazing and treated me with the utmost care and understanding,” Sodoma said. “After my surgery, once I started preventive chemotherapy treatments, every person treated me like I was the only one there. Every infusion nurse was amazing. I can’t imagine what they see every day, and then they stay the way they are. It’s baffling, but they do it.

Following his recovery from cancer and a hip replacement, Sodoma is no longer caddying, but he said he’s still playing golf and working again. He’s also encouraging others to get routine screenings like colonoscopies, especially if they are dealing with any symptoms of colorectal cancer.


Southern Pines Man Beats Lung CancerIt’s not uncommon for men to ignore medical symptoms. William Lawrence, a 50-year-old from Southern Pines, says he’s among the group who might normally avoid the doctor’s office, but in the fall of 2019, he knew he needed medical care.

“I had some symptoms for a while. I would cough, and sometimes I would spit up blood, and my back was sore to the point that I couldn’t sit comfortably in a chair,” he said. “This went on for months, and medicine was not helping, so finally I came to Moore Regional Hospital to get checked out. I was afraid, but I was concerned because I wasn’t getting better.” A devastating diagnosis came

quickly – Lawrence had stage 3 lung cancer in the form of a softball-sized tumor.

“They ended up diagnosing me with lung cancer, emphysema and walking pneumonia,” he said. “I didn’t think it was cancer, but it was.”

Lawrence began radiation treatments immediately and was quickly referred to FirstHealth Cancer Services, where he worked with an entire team of oncology experts to develop his long-term treatment plan. After radiation Lawrence would also undergo chemotherapy.

Throughout his entire treatment plan, Lawrence said the cancer

team was with him every step of the way, including in 2020 when he had to have additional surgery when his cancer returned.

“They were all great. The best. I wouldn’t have wanted to go anywhere else,” he said. “Everyone always talks about driving up the road to get care in the Triangle, but we have incredible medical experts right here in Moore County. Why would I drive up there? My team at FirstHealth believed they could defeat it and they did. I’m so thankful.”

Lawrence said he’s encouraged others in his life not to avoid trips to the doctor.



Quality Measures

The Commission on Cancer Accreditation is the gold standard for cancer programs, defining practices and programs deemed to be necessary for optimal patient outcomes. FirstHealth of the Carolinas has been continuously accredited by the Commission on Cancer since 1995 and is committed to the high standard of quality for this accreditation.

One gauge of quality is the Cancer Program Practice Profile Reports. FirstHealth is measured as well as compared to other Commission on Cancer facilities. We are proud to meet the percentages for the selected measures as well as trend higher than all Commission on Cancer facilities in North Carolina.

2019 Data: Commission on Cancer Practice Program Profile Reports (2019 is most recent data available)

Cancer Select Measures Measure CoC Std / % 2019

GI Select Measures-Colon At least 12 regional lymph nodes are removed 12RLN 85% 88% and pathologically examined for resected colon cancer (Quality Improvement)

Adjuvant chemotherapy is recommended, or ACT Quality 100% administered within 4 months (120 days) of diagnosis Improvement for patients under the age of 80 with AJCC stage III (lymph node positive) colon cancer (Accountability)

Select Measures-Rectum Preoperative chemo and radiation are administered RECRTCT 85% 100% for clinical AJCC T3N0, T4N0, or Stage III; or Postoperative chemo and radiation are administered within 180 days of diagnosis for clinical AJCC T1-2N0 with pathologic AJCC T3N0, T4N0, or Stage III; or treatment is recommended; for patients under the age of 80 receiving resection for rectal cancer (Quality Improvement)

Lung Select Measures Systemic chemotherapy administered or recommended LCT Quality 100% for pre or postoperatively resected NSCLC Improvement

Radiation therapy completed within 60 days of initiation LNoSurg Quality 93% of radiation among women diagnosed with any stage of Improvement cervical cancer (Surveillance)

Cancer Registry: By the Numbers


Cancer Select Measures Measure CoC Std / % 2019

Breast Select Measures Radiation is administered within 1 year (365 days) BCSRT 4.4 / 90% 96% of diagnosis for women under the age of 70 receiving breast conservation surgery for breast cancer (Accountability)

Tamoxifen or third generation aromatase inhibitor is HT 4.4 / 90% 98% recommended or administered within 1 year (365 days) of diagnosis for women with AJCC T1c or stage IB-III hormone receptor positive breast cancer (Accountability)

Image or palpation-guided needle biopsy to the nBx 4.5 / 80% 100% primary site is performed to establish diagnosis of breast cancer (Quality Improvement)

Breast conservation surgery rate for women with BCS Quality 68% AJCC clinical stage 0, I, or II breast cancer (Surveillance) Improvement

Cancer Registry: By the Numbers continued


Diagnosis by Vital Status, Gender, Class and Stage - SEER Diagnostic Groups_______________________________________________________________________________________________________________________________________________Diagnostic Site Vital Status Class Case Gender STAGE (Analytic Cases) _______________________________________________________________________________________________________________________________________________ Alive Dead ANA NON M F 0 I II III IV NA Unk Total % Total_______________________________________________________________________________________________________________________________________________ Oral Cavity, Pharynx 25 1 26 0 21 5 0 7 3 3 7 3 3 26 1.75Lip 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00Tongue 4 0 4 0 4 0 0 1 0 1 2 0 0 4 0.27Salivary Gland 1 0 1 0 1 0 0 0 0 0 0 0 1 1 0.07Floor of Mouth 1 0 1 0 1 0 0 0 0 0 1 0 0 1 0.07Gum, Other Mouth 2 0 2 0 0 2 0 0 0 0 1 0 1 2 0.13Tonsil 7 0 7 0 6 1 0 4 1 1 0 1 0 7 0.47Nasopharynx 1 0 1 0 0 1 0 1 0 0 0 0 0 1 0.07Oropharynx 4 1 5 0 4 1 0 1 2 0 1 0 1 5 0.34Hypopharynx 4 0 4 0 4 0 0 0 0 1 2 1 0 4 0.27Other Oral Cavity and Pharynx 1 0 1 0 1 0 0 0 0 0 0 1 0 1 0.07_______________________________________________________________________________________________________________________________________________ Digestive System 170 60 230 0 136 94 1 27 31 55 72 4 40 230 15.46Esophagus 15 4 19 0 16 3 0 0 0 8 5 1 5 19 1.28Stomach 11 5 16 0 13 3 0 3 2 2 5 0 4 16 1.08Small Intestine 5 1 6 0 4 2 0 0 0 1 1 1 3 6 0.40Colon, Rectum, Anus 96 24 120 0 66 54 1 16 22 38 27 0 16 120 8.06 Colon Excluding Rectum 61 18 79 0 41 38 1 12 14 24 18 0 10 79 5.31 Cecum 8 4 12 0 6 6 1 2 1 3 3 0 2 12 0.81 Appendix 2 0 2 0 2 0 0 0 1 1 0 0 0 2 0.13 Ascending Colon 18 4 22 0 8 14 0 4 7 8 2 0 1 22 1.48 Hepatic Flexure 2 1 3 0 2 1 0 0 1 1 0 0 1 3 0.20 Transverse Colon 7 5 12 0 7 5 0 3 2 2 4 0 1 12 0.81 Splenic Flexure 1 0 1 0 1 0 0 0 0 0 0 0 1 1 0.07 Descending Colon 3 0 3 0 3 0 0 2 1 0 0 0 0 3 0.20 Sigmoid Colon 17 3 20 0 10 10 0 1 1 9 6 0 3 20 1.34 Large Intestine, NOS 3 1 4 0 2 2 0 0 0 0 3 0 1 4 0.27 Rectosigmoid, Rectum, Anus 35 6 41 0 25 16 0 4 8 14 9 0 6 41 2.76 Rectosigmoid Junction 7 0 7 0 5 2 0 1 0 4 1 0 1 7 0.47 Rectum 20 5 25 0 16 9 0 2 3 7 8 0 5 25 1.68 Anus, Anal Canal, Anorectum 8 1 9 0 4 5 0 1 5 3 0 0 0 9 0.60Liver, Gallbladder, Intrahep Bile Duct 18 5 23 0 11 12 0 3 3 1 6 2 8 23 1.55 Liver 7 2 9 0 6 3 0 2 3 0 1 0 3 9 0.60 Gallbladder 3 1 4 0 0 4 0 0 0 0 4 0 0 4 0.27 Intrahepatic Bile Duct 4 1 5 0 2 3 0 1 0 1 0 2 1 5 0.34 Other Biliary 4 1 5 0 3 2 0 0 0 0 1 0 4 5 0.34



_______________________________________________________________________________________________________________________________________________Diagnostic Site Vital Status Class Case Gender STAGE (Analytic Cases) _______________________________________________________________________________________________________________________________________________ Alive Dead ANA NON M F 0 I II III IV NA Unk Total % Total_______________________________________________________________________________________________________________________________________________ Pancreas 25 21 46 0 26 20 0 5 4 5 28 0 4 46 3.09Retroperitoneum 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00Peritoneum, Omentum, Mesentery 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00Other Digestive Organs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00_______________________________________________________________________________________________________________________________________________ Respiratory System 224 84 308 0 162 146 0 113 32 52 89 10 12 308 20.70Nose, Nasal Cavity, Middle Ear 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00Larynx 13 1 14 0 11 3 0 3 4 3 3 0 1 14 0.94Pleura 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00Lung and Bronchus 211 83 294 0 151 143 0 110 28 49 86 10 11 294 19.76 Non-Small Cell 177 50 227 0 113 114 0 102 23 33 53 9 7 227 15.26 Small Cell 25 20 45 0 22 23 0 2 4 13 25 0 1 45 3.02 Other Lung 9 13 22 0 16 6 0 6 1 3 8 1 3 22 1.48Trachea 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00Mediastinum, Other Resp. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00_______________________________________________________________________________________________________________________________________________ Bones, Joints 2 0 2 0 1 1 0 0 0 0 0 2 0 2 0.13_______________________________________________________________________________________________________________________________________________ Soft Tissue Including Heart 12 2 14 0 8 6 0 1 0 1 2 5 5 14 0.94_______________________________________________________________________________________________________________________________________________ Skin 11 1 12 0 6 6 0 3 2 1 3 1 2 12 0.81Skin: Melanoma 10 1 11 0 6 5 0 3 2 1 3 0 2 11 0.74Skin: Other Non-Epithelial 1 0 1 0 0 1 0 0 0 0 0 1 0 1 0.07Epithelial Skin: 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00_______________________________________________________________________________________________________________________________________________ Breast 258 3 261 0 1 260 15 156 40 14 9 3 24 261 17.54Female Breast 257 3 260 0 0 260 15 156 39 14 9 3 24 260 17.47Male Breast 1 0 1 0 1 0 0 0 1 0 0 0 0 1 0.07_______________________________________________________________________________________________________________________________________________ Female Genital System 94 6 100 0 0 100 0 49 7 17 10 3 14 100 6.72Cervix Uteri 9 0 9 0 0 9 0 5 1 2 1 0 0 9 0.60Corpus, Uterus: NOS 50 2 52 0 0 52 0 34 3 6 4 0 5 52 3.49 Corpus Uteri 50 2 52 0 0 52 0 34 3 6 4 0 5 52 3.49 Uterus: NOS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00Ovary 22 0 22 0 0 22 0 9 2 7 1 0 3 22 1.48Vagina 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00Vulva 5 1 6 0 0 6 0 1 1 0 2 0 2 6 0.40Other Female Genital Organs 8 3 11 0 0 11 0 0 0 2 2 3 4 11 0.74


_______________________________________________________________________________________________________________________________________________Diagnostic Site Vital Status Class Case Gender STAGE (Analytic Cases) _______________________________________________________________________________________________________________________________________________ Alive Dead ANA NON M F 0 I II III IV NA Unk Total % Total_______________________________________________________________________________________________________________________________________________ Male Genital System 131 1 132 0 132 0 0 10 63 44 11 0 4 132 8.87Prostate 129 1 130 0 130 0 0 8 63 44 11 0 4 130 8.74Testis 2 0 2 0 2 0 0 2 0 0 0 0 0 2 0.13Penis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00Other Male Genital Organs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00______________________________________________________________________________________________________________________________________________ Urinary System 116 12 128 0 82 46 37 32 15 12 10 1 21 128 8.60Urinary Bladder 72 6 78 0 54 24 36 9 12 5 3 0 13 78 5.24Kidney 40 4 44 0 23 21 0 23 3 6 5 0 7 44 2.96Renal Pelvis 2 2 4 0 4 0 0 0 0 1 2 0 1 4 0.27Ureter 1 0 1 0 1 0 1 0 0 0 0 0 0 1 0.07Other Urinary Organs 1 0 1 0 0 1 0 0 0 0 0 1 0 1 0.07_______________________________________________________________________________________________________________________________________________ Eye, Orbit 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00Eye, Orbit: Non-Melanoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00Eye, Orbit: Melanoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00_______________________________________________________________________________________________________________________________________________ Brain, Other Nervous System 44 5 49 0 17 32 0 0 0 0 0 49 0 49 3.29Brain: Malignant 5 4 9 0 5 4 0 0 0 0 0 9 0 9 0.60Cranial Nerves, Other Nervous System 2 0 2 0 1 1 0 0 0 0 0 2 0 2 0.13Brain-CNS: Benign, Borderline 37 1 38 0 11 27 0 0 0 0 0 38 0 38 2.55______________________________________________________________________________________________________________________________________________ Endocrine System 50 0 50 0 15 35 0 26 4 1 1 13 5 50 3.36Thyroid 35 0 35 0 9 26 0 26 4 1 0 0 4 35 2.35Thymus 1 0 1 0 1 0 0 0 0 0 1 0 0 1 0.07Adrenal Gland 1 0 1 0 0 1 0 0 0 0 0 0 1 1 0.07Other Endocrine 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00Endocrine: Benign, Borderline 13 0 13 0 5 8 0 0 0 0 0 13 0 13 0.87______________________________________________________________________________________________________________________________________________ Lymphoma 45 5 50 0 29 21 0 7 8 11 10 1 13 50 3.36Hodgkin Lymphoma 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0.07 Hodgkin - Nodal 1 0 1 0 0 1 0 0 1 0 0 0 0 1 0.07 Hodgkin - Extranodal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00Non-Hodgkin Lymphoma 44 5 49 0 29 20 0 7 7 11 10 1 13 49 3.29 NHL - Nodal 33 3 36 0 21 15 0 4 5 11 5 0 11 36 2.42 NHL - Extranodal 11 2 13 0 8 5 0 3 2 0 5 1 2 13 0.87______________________________________________________________________________________________________________________________________________ Myeloma 26 1 27 0 12 15 0 0 0 0 0 26 1 27 1.81





_______________________________________________________________________________________________________________________________________________Diagnostic Site Vital Status Class Case Gender STAGE (Analytic Cases) _______________________________________________________________________________________________________________________________________________ Alive Dead ANA NON M F 0 I II III IV NA Unk Total % Total_______________________________________________________________________________________________________________________________________________ Leukemia 33 5 38 0 20 18 0 0 0 0 4 21 13 38 2.55 Lymphocytic Leukemia 17 1 18 0 8 10 0 0 0 0 3 2 13 18 1.21 Acute Lymphocytic Leukemia 1 0 1 0 0 1 0 0 0 0 0 1 0 1 0.07 Chronic Lymphocytic Leukemia 15 1 16 0 8 8 0 0 0 0 3 0 13 16 1.08 Other Lymphocytic Leukemia 1 0 1 0 0 1 0 0 0 0 0 1 0 1 0.07Non-LymphocyticLeukemia 15 3 18 0 11 7 0 0 0 0 0 18 0 18 1.21 Acute Myeloid Leukemia 7 2 9 0 5 4 0 0 0 0 0 9 0 9 0.60 Acute Monocytic Leukemia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00 Chronic Myeloid Leukemia 7 1 8 0 5 3 0 0 0 0 0 8 0 8 0.54 Other Myeloid- Monocytic 1 0 1 0 1 0 0 0 0 0 0 1 0 1 0.07Other Leukemia 1 1 2 0 1 1 0 0 0 0 1 1 0 2 0.13 Other Acute Leukemia 0 1 1 0 1 0 0 0 0 0 0 1 0 1 0.07 Aleukemic, Subleukemic, NOS 1 0 1 0 0 1 0 0 0 0 1 0 0 1 0.07______________________________________________________________________________________________________________________________________________ Mesothelioma 1 1 2 0 1 1 0 0 0 0 1 1 0 2 0.13_______________________________________________________________________________________________________________________________________________ Kaposi Sarcoma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.00_______________________________________________________________________________________________________________________________________________ Miscellaneous 45 13 58 0 26 32 0 0 0 0 0 58 0 58 3.90_______________________________________________________________________________________________________________________________________________ Other: Benign, Borderline 1 0 1 0 1 0 0 0 0 0 0 0 1 1 0.07_______________________________________________________________________________________________________________________________________________ Totals 1288 200 1488 0 670 818 53 431 205 211 229 201 158 1488 100.00_______________________________________________________________________________________________________________________________________________

Our Locations


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FirstHealth Radiation Oncology155 Memorial Drive • P.O. Box 3000

Pinehurst, NC 28374(910) 715-1056

FirstHealth Outpatient Cancer Center

220 Page Road North • P.O. Box 3000Pinehurst, NC 28374

(910) 715-3500 or (910) 715-8684

FirstHealth Moore Regional Hospital - Hoke

6408 Fayetteville Road • Raeford, NC 28376(910) 715-3500

FirstHealth Sanford Hematology Oncology

A Department of Moore Regional Hospital1212 Central Drive, Suite 201

Sanford, NC 27330(919) 775-8183

Parking is available in the Cancer Center Parking Deck. Follow signs to Radiation Oncology Department.


Supporting Cancer Patients and Services

The Foundation of FirstHealth provides opportunities for the community to support Cancer Services in many ways – from direct patient support through the Cancer CARE Fund, to supporting cancer nurse navigators, to scholarships for mammograms for the uninsured or underinsured.

Our community has consistently demonstrated its resolve to provide the financial support necessary to ensure the delivery of superior health care. In fact, one of the abiding strengths of our health care system is its long-standing and successful partnership with the communities it serves.

The following benefactors have generously supported The Foundation of FirstHealth for cancer services and programs from October 1, 2020 through September 30, 2021.

Mr. and Mrs. James H. AbbottDr. Jeffrey C. Acker and Dr. Lynda M. AckerMr. and Mrs. Paul AdamsMr. and Mrs. David G. AinslieMr. and Mrs. David V. AllardMr. and Mrs. Franklin R. AllenMrs. Joan W. AltmanMr. and Mrs. Carl AndersMs. Ann B. AndersonMr. and Mrs. John C. AndrewsMr. and Mrs. Dan R. AngusMrs. Margaret AshleyDr. Constance W. AtwellDr. and Mrs. H. Vann AustinMr. Robert B. BahnerMr. and Mrs. Grant L. BaileyMsgt. (Ret) Margaret A. BakerMr. and Mrs. Lowell BakkenMr. and Mrs. Duane H. BarlowDr. and Mrs. Daniel R. BarnesMr. and Mrs. George S. BarnhartMr. and Mrs. George BarrMr. and Mrs. Michael BarryMr. and Mrs. Thomas J. BarryDr. and Mrs. Michael J. BartissGeorge W. and Ruth R. Baxter FoundationMrs. Susan K. BeatyMrs. Nan B. BeckmanMr. and Mrs. Thomas F. BeddowMr. and Mrs. Robert A. BehnkeMr. and Mrs. Harold W. BellMr. Kenneth R. BellMs. Dawn M. BenderMr. and Mrs. Thomas D. BeneckMr. and Mrs. Charles W. BenjaminMr. and Mrs. Russell E. Bennett, Jr.Mr. and Mrs. Alexander T. Beranek

Mrs. Sharon R. BerkshireMs. Letty Bertha and Ms. Judith H. PundMr. and Mrs. Daniel F. BiedigerMr. and Mrs. John R. BiggarMr. and Mrs. David L. BirkhauserMr. and Mrs. Frank BishopMr. and Mrs. Robert W. BlackwellMr. and Mrs. W. Sherwood BlackwoodMr. and Mrs. Frederick H. BlayneyMrs. Judith A. BlockMr. and Mrs. Warren L. BoardMr. W. Kenneth BostickMr. Glenn N. BowerMr. and Mrs. Wayne R. Boyles, IIIThe Boys’ Latin School of MarylandMs. Cathy BradyMr. and Mrs. Frank L. BrewerMr. and Mrs. Gary E. BrobstMr. and Mrs. Stuart BrothersMrs. Rebecca M. BrownMr. and Mrs. Phillip W. BrownMr. and Mrs. John P. Bruun- AndersonMs. Elise BryieMr. and Mrs. Thomas J. BuckleyMr. William A. Bullard and Mrs. Ann B. LongMr. and Mrs. James H. BulthuisMr. and Mrs. Lawrence S. BurnatMr. and Mrs. Alton D. BurnsMr. and Mrs. William H. ButcherMr. and Mrs. Rick D. CagleMs. Diana CagleMr. and Mrs. John M. CainMr. and Mrs. Brian T. CanfieldC. Cups CupcakeryMrs. Donna L. Cappiello

Mrs. Susan J. CapstickDr. and Mrs. Edward D. CareyMr. and Mrs. Frank CarpentierMr. and Mrs. Tom CarrMs. Judy C. CaseyMr. and Mrs. Jeffrey A. CaseyMr. and Mrs. Richard D. Chapman, Jr.Ms. Paulette L. ChisesiLt. General and Mrs. George R. ChristmasMr. and Mrs. Robert P. ChuderewiczMs. Cheryl D. ClarkMrs. Margaret M. ClarkMr. and Mrs. William B. Clement, Jr.Ms. M. Louise CliffordMr. and Mrs. Brian R. ClodfelterMr. and Mrs. Robert E. CoatesMr. and Mrs. Edward L. CockmanMr. and Mrs. Darrell L. ColeThe Cole FoundationMr. and Mrs. Frederick J. ConnerMr. and Mrs. Bruce A. ConnorsColonel and Mrs. Peyton E. CookMr. and Mrs. Daniel L. CorganMr. and Mrs. Robert B. CormierMr. and Mrs. Patrick A. CorsoDr. Edwin B. CottrellMr. and Mrs. Elmer C. CountrymanRepresentative and Mrs. A. L. CoxMs. Fran M. CramblittMr. Barden CulbrethMs. Kendall CumbeeMr. Richard L. CurlDr. and Mrs. Joseph CurrieMr. and Mrs. Eric G. DahlbergMs. Yvonne S. Dale

Mr. and Mrs. Albert L. DanielsMr. and Mrs. Walter A. Danker, Jr.Mr. and Mrs. Robert E. DantzerDr. and Dr. Jack R. DaunerMarjorie B. DavisMrs. Nancy J. DavisMr. and Mrs. Richard J. De ParisMr. and Mrs. Alex Del BuenoMr. and Mrs. Jody DemyanDr. and Mrs. Scott J. DenardoMr. and Mrs. David L. DennyMr. and Mrs. Richard J. DerlethMr. and Mrs. Tim DespainMr. and Mrs. Jon B. DeVaultDr. Christoph R. Diasio and Ms. Christine DeandeneauMr. and Mrs. Dennis V. DiDonatoMr. David B. DillehuntMr. and Mrs. Darryl DillenbackMrs. Linda DokichMr. and Mrs. Thomas J. DuffyMrs. Barbara M. DvorozniakMr. and Mrs. William R. EastmanMrs. Judith S. EaterDr. and Mrs. T. Arthur EdgertonDr. and Mrs. Michael D. EdwardsMr. and Mrs. Vernon G. ElhartMr. and Mrs. Thomas ElkinsDr. and Mrs. M. Nixon EllisMr. and Mrs. Richard EllisonMr. Anthony Elms and Ms. Joyce ReehlingMr. and Mrs. A. C. EngelfriedMr. and Mrs. William L. EngelsonMrs. Mary P. EnrothEPICMr. and Mrs. Carroll M. ErdmanMr. and Mrs. Dale EricksonMr. and Mrs. Gary W. Evans

The Foundation of FirstHealth


The Foundation of FirstHealth continued

Mr. and Mrs. Sylvester L. Everhart, Jr.Mr. and Mrs. Richard J. FabianMr. and Mrs. John FabianiMr. and Mrs. Wade Faircloth, Jr.Fairfield County Chapter of the LinksDr. and Mrs. Robert J. Fallon, Jr.Mr. and Mrs. Allen FassettMr. and Mrs. Phillip R. FaulkMr. Robert A. Fazio, Jr.Mr. and Mrs. Frederick G. FeraresMr. John N. FinnertyMr. and Mrs. Craig FischerMr. and Mrs. Jeff I. FitchMr. and Mrs. William C. Fitzgerald, IIIMr. and Mrs. Bruce H. FitzpatrickMr. and Mrs. John A. FlackMr. and Mrs. Stephen C. FloydMr. and Mrs. Dennis FogleMrs. Carolyn A. FollansbeeMr. and Mrs. Mickey W. FosterMr. and Mrs. Michael E. FowleyMr. and Mrs. Robert E. FrankeMr. and Mrs. David FunkMr. and Mrs. Alfred J. GabarraMs. Annette M. GalbreithMr. and Mrs. Thom B. GaluskyMr. Vincent P. GambleMrs. Barbara GannettMrs. Lola J. GarbarinoMs. Glenda GarfieldRussell W. GarmanGarner Law Firm, PLLCMr. and Mrs. Donald G. GarrattMr. and Mrs. Michael G. GarrisonMs. Signe S. GatesMr. and Mrs. Kenneth GaudreaultMr. and Mrs. Robert GellerGemma Gallery, Inc.Mr. and Mrs. David M. GibbonsMr. and Mrs. Jeffrey R. GilbertMs. Agnes GiocondaGlendon Independent Christian ChurchMs. Leah GluskoterDr. and Mrs. Daniel T. GoodberryMr. Kenneth L. Goodman and Dr. Cindy S. GoodmanMrs. Connie G. GoodrumMrs. Michele C. GowanMr. and Mrs. Billy GrahamMr. and Mrs. Carl W. GraningMr. and Mrs. Pliney O. GreeneMr. and Mrs. Glenn GreenwoodMr. and Mrs. Richard R. Grieshaber

Dr. Soledad C. Griffin and Dr. Neil B. GriffinMrs. Yolande D. GriffinMr. and Mrs. Ira D. Hall Mr. and Mrs. Robert T. HallMr. Christopher Hamilton Mr. and Mrs. Donald L. HamiltonMr. and Mrs. James HanszMr. and Mrs. Rodney HardyMrs. Eleanor HarganMr. and Mrs. Douglas B. HarperMr. Michael A. Harrell and Dr. Sharon N. HarrellMr. and Mrs. Thomas A. HarrellMs. Amy T. HartMrs. Judith P. HarteMr. and Mrs. John R. Hatcher, Jr.Mrs. Solita A. HawesMr. and Mrs. Frederick F. HealyMrs. Joyce HearnRobert A. Hebert, Sr.Mr. and Mrs. James H. HeiseyMr. and Mrs. James W. HemingwayMr. and Mrs. Edgar P. Herrington, IIIMr. and Mrs. Richard A. HildebrandMr. and Mrs. James J. HilderbrandMr. and Mrs. James A. HillMr. and Mrs. George O. Hillard, IIIMrs. Marjorie R. HiltonMr. and Mrs. S. Edwards HinesMr. and Mrs. Donald C. HiscottMr. and Mrs. Michael V. HmelMr. Frederick H. Hoffecker and Ms. Elizabeth PolstonMrs. Robbie HollidayDr. and Mrs. Scott A. HollrahMr. and Mrs. Peter E. HolmesMr. and Mrs. William HomaMr. and Mrs. Arthur F. HopperMr. Andrew HoranMr. and Mrs. Wright HorneDr. and Mrs. Eugene F. HowdenMrs. Anne M. HuberthDr. and Mrs. William B. HudginsMr. and Mrs. Yates HusseyMr. and Mrs. Peter A. ImpastatoThe Insurance Center/ The MGN CompanyiS designMr. and Mrs. Terry IsaacsMr. and Mrs. John JacksonMr. and Mrs. John J. JacksonMr. Eugene W. JacobsColonel and Mrs. Gerard R. Jacobsen

Mr. and Mrs. Ralph JacobsonMs. Judith JamesMr. and Mrs. John R. Jeffreys, Jr.Mr. and Mrs. James H. JenkinsMr. and Mrs. Marvin JenningsDr. Rene Jennings-WhiteDr. and Mrs. Jason JerryMrs. Kathryn E. JohnsonMr. and Mrs. Roger W. JohnsonMr. and Mrs. Toby JohnsonMrs. Catherine L. JonesMrs. Dickey V. JonesJean C. JonesMrs. Ellen JordanDr. Allen M. Joseph and Dr. Tania PaulMr. and Mrs. Daniel J. JoslinMs. Melissa JusticeMr. and Mrs. Charles J. KachelMr. Roger P. KarcisMr. and Mrs. Peter C. KeeganMrs. Linda K. KeenerMr. and Mrs. James G. Keffer, Jr.Mr. and Mrs. Carter KellerMrs. Judith B. KelleyColonel Ret. and Mrs. Carl D. KellyDr. Todd L. KellyMrs. Nancy M. KendrickMr. and Mrs. William C. KennedyMrs. Barbara P. KennedyMr. and Mrs. Theodore W. KennyMrs. Paula KeoghMr. and Mrs. George A. KesslerMs. Shelley C. KeyesMr. and Mrs. Bruce KeyserMr. Adam P. KikerDr. and Mrs. Philip M. KirolMr. and Mrs. Carl J. KlammerMrs. Karyn L. KlineMr. Joseph E. KlingMr. and Mrs. Donald R. KoezeMrs. Judith A. KrallDr. and Mrs. Gary A. KrasickyMr. Kurt Kreuger and Ms. Barbara A. KeatingMr. and Mrs. Michael J. KroesMrs. Gloria M. KrugDr. and Mrs. Paul J. KuzmaMrs. Kathleen LaBareMrs. Paula LacyMr. James R. Lacy and Mrs. Claire H. Carver-LacyMr. and Mrs. Terrance L. LambertMs. Ann M. LaneMr. and Mrs. Arthur R. LannonDr. and Mrs. James R. LarsonBrigadier General and Mrs. Peter W. Lash

Mr. Terry L. LauerDr. Olujide G. Lawal and Dr. Ganiat A. LawalMr. and Mrs. H. Carnie LawsonMr. Richard M. Johnson and Mrs. Cinnamon LeBlancMs. Jean LeeMr. and Mrs. Douglas K. LeidyMs. Sandra LentzMr. and Mrs. Harry E. LenzDr. and Mrs. William J. LeonardMr. and Mrs. Louis R. LeonciniMr. and Mrs. Robert E. LevinMr. and Mrs. Gary W. LewisMr. William LightMs. Patricia G. LittleMr. and Mrs. Arnold LocklearMrs. Juanita R. LomaxMr. and Mrs. Robert LovellMr. and Mrs. Tonie B. LovinMrs. Jane F. LoweMr. and Mrs. John W. Lowry, Jr.Mr. and Mrs. CJ Lucey-MazzalupoMr. Timothy LynchMr. and Mrs. D. Kirk LynchMr. and Mrs. Peter C. MaceMr. and Mrs. Leo E. MagieraMr. and Mrs. John J. MahanMr. and Mrs. Paul W. MaksimowMrs. Maureen M. MaloneMs. Sherri L. MangumMr. and Mrs. Glenn R. ManichMrs. Ann ManovskyMr. Rogelio MarbanMr. Timothy V. MarchamMrs. Elizabeth A. MargulisDr. and Mrs. James T. MarinoMr. and Mrs. Francis X. MarkiMr. and Mrs. Nick C. MarraleMr. and Mrs. Carl MartinDr. and Mrs. David F. MartinMr. and Mrs. Harold W. Marvin, IIIMrs. Winifred A. MastandreaMr. John M. MayDr. Carolyn H. MaynorMr. and Mrs. Carlton L. McCallumMr. Clarence H. McCaskill, Jr.Colonel Ret. Newton F. McCurdey, Jr.Mr. and Mrs. Roy E. McDonald, Jr.Mr. and Mrs. Neill A. McDonald, IIIMs. Patricia E. McDonaldMr. and Mrs. Thomas McElreathDr. and Mrs. Wyman T. McGuirtMr. and Mrs. Terry J. McGushinMrs. Melissa D. McIntyreMr. and Mrs. Donald R. McKay



Mr. and Mrs. Claudie N. McLaughlinMrs. Frances H. McLeanMs. Doris Y. McMullanMr. and Mrs. Phil McNairDr. and Mrs. John L. McNeill, Jr.Mrs. Joan G. MeadeMr. Arthur P. Medeiros, Jr.Mr. and Mrs. James MelliosMr. and Mrs. Jim L. MengesMr. Joseph T. MerryMrs. June A. MetroMr. and Mrs. Paul E. MichelichMr. and Mrs. Charles V. MinichielloMrs. Millicent MoatsMr. and Mrs. Fred B. Monroe, Jr.Mrs. Doris O. MonroeMr. and Mrs. William H. MontgomeryMr. Jimmie I. MoonMr. Daniel MooreDr. and Mrs. Jeffrey MorganMr. and Mrs. Colen L. MorrisonMs. Sherry L. MortensonMr. and Mrs. Bill MosesMr. and Mrs. Gary F. MottAmy T. Moubry, DDSMr. and Mrs. Craig MoultonMountaire Farms of North CarolinaMr. and Mrs. G. Thomas MoynihanMs. Elizabeth MozMr. and Mrs. Anthony MundayMr. and Mrs. David P. MungoMr. Leonard MurryMr. and Mrs. Thomas J. NaccaMs. Victoria Wood NagleMrs. Janet M. NelsonMr. and Mrs. Vince NelsonMr. and Mrs. Larry T. NewmanMr. and Mrs. Robert A. NicholsMr. and Mrs. David G. NiedermaierMrs. Dorothy E. NintzelMrs. Christa NormanMr. and Mrs. Philip S. NotestineMr. and Mrs. Jan NovakMr. and Mrs. Charles NovitskyMr. and Mrs. Duane L. NusbaumMr. James E. ObiMr. and Mrs. Gregory G. O’BrienMr. and Mrs. James E. O’BrienMr. and Mrs. Patrick T. O’BrienMr. and Mrs. William O’BrienMrs. Joan M. O’Brien

Dr. and Mrs. Daniel J. O’Connor, Jr.Mr. and Mrs. Thomas O’DayMr. and Mrs. Michael O. OkoroaforMr. Roberto OquendoMr. and Mrs. Phillip M. O’QuinnMr. and Mrs. Bruce W. OsborneMrs. Marilyn G. OttoMrs. Anne OverstreetMrs. Margaret R. OwenMr. and Mrs. Thomas D. OwenDr. and Mrs. E. Harwell PalmerMr. and Mrs. Thomas PalmquistMr. and Mrs. Richard ParkerMr. and Mrs. Art ParkerMrs. Sandra ParksMs. Paula ParrishMr. and Mrs. David PaulinMr. and Mrs. Royce M. PeeleMr. and Mrs. Anthony PetricolaMr. and Mrs. Christian PhilipMrs. Mary R. PhillipsMr. and Mrs. Thomas F. PhillipsMs. Helen C. PhillipsMr. and Mrs. Edward B. PieczynskiMs. Kathleen R. Pierce and Ms. Denise M. RahmeyerMs. Josie M. PigfordMr. and Mrs. Dwight A. PikePinewild Azalea LeaguePinewild Women’s Golf AssociationMr. and Mrs. Kenneth L. PitzerMr. and Mrs. Alexander H. PorterMr. and Mrs. Donald E. PowerMr. and Mrs. Anthony C. PriceMr. and Mrs. Craig E. PryorMr. and Mrs. James A. PryorMs. Nancy A. PulliamMrs. Katherine B. PyneQuality Care PharmacyMr. and Mrs. Frank R. Quis, Jr.Ms. Karen RameyMr. and Mrs. Robert L. RaneyMr. and Mrs. Richard A. RantalaDr. and Mrs. Stewart F. RasmussenMr. James W. Ray, Sr.Ms. Maria ReamerMr. and Mrs. Gordon RednourMr. and Mrs. F. William ReichartMr. and Mrs. William E. ReidMr. James E. Reid and Ms. Kathy HiltonMr. and Mrs. Bob C. Reutter

Mr. and Mrs. Ronald L. ReynoldsMr. and Mrs. William G. ReynoldsMr. Myron K. Rice, Jr.Mr. and Mrs. R. Timothy RiceMr. and Mrs. Max RickerMr. and Mrs. Charles O. RiversMr. James RoachMr. Michael Robeano and Dr. Karen C. RobeanoDr. John P. Roberson and Dr. Michelle G. RobersonDr. and Mrs. John W. RobertsMr. and Mrs. Joseph A. RobinsonMr. and Mrs. Anthony Rocco, Jr.Ms. Leslie RolfeMs. Carol RosenbergMr. and Mrs. Stephen H. RossMr. and Mrs. Anthony J. RothwellMr. and Mrs. Lawrence F. RotondoMr. and Mrs. Sean M. RowandMr. and Mrs. John A. RowerdinkDr. and Mrs. Michael C. RowlandMs. Regina RubeoMr. and Mrs. Paul RudovskyLt. General (Ret.) and Mrs. Jerry R. RutherfordDr. and Mrs. Samuel G. Ryan, Jr.Mr. Don Foyston and Mrs. Penelope D. SalleyMr. and Mrs. Martin J. SamchalkDr. Bailey SandersSandhills Emergency PhysiciansMr. and Mrs. Leo A. SantowassoMr. and Mrs. John R. SappMr. and Mrs. James W. SaundersMrs. Irene SauterMs. Deborah L. SawyerMr. and Mrs. John L. SchmittMr. and Mrs. Donald F. SchneiderMr. and Mrs. James C. SchneiderMr. and Mrs. George R. SchneiterMrs. Cheryll L. SchrammMr. Ronald H. SchuchMrs. Darlene R. SchultzMr. and Mrs. Bernard J. SchultzMr. and Mrs. Harvey Schultz, Jr.Mr. and Mrs. Arnold W. SchwartzMr. and Mrs. Allan K. ScoinsMr. and Mrs. Albert C. ScottMr. and Mrs. Thomas ScottSEIDr. and Mrs. William L. SeidenstickerMr. and Mrs. James M. SellgrenMrs. Donna H. SennettMs. Tabbatha Shamburger

Dr. John D. Shepherd and Dr. Jenifir J. BrunoMrs. Arvilla SheronMr. and Mrs. John ShinnMr. and Mrs. Joel ShribergMr. and Mrs. Allen E. SimmsMr. and Mrs. Rocco J. SimoneMr. and Mrs. Robert B. SimpsonMr. Bob SingletaryMr. and Mrs. James D. SlateMr. and Mrs. James V. SlavinMr. and Mrs. Denis A. SmetanaMr. and Mrs. Steven D. Smith, Jr.Ms. Lisa SmithMrs. Ellen SmithMr. and Mrs. Brian J. SmithMrs. Rebecca R. SmithMr. Maurice V. SmithMr. and Mrs. Robert B. SmithMr. Robert H. SmithMr. and Mrs. William SmithMrs. Maureen SnowdenMrs. Bette Sue W. SolakianSouthern Pines Rotary ClubSouthern Pines Women’s Health CenterMs. Carole SouthonMr. and Mrs. Francis SpadolaMr. and Mrs. John H. SpanglerMr. and Mrs. Charles E. SparacinoMr. and Mrs. David StackhouseMrs. Sankie StaleyMs. Adara StarrMrs. Marie SteensenMr. and Mrs. Richard L. SteereMr. Don SteinMs. Heidi A. SteinmanMrs. Justine M. StevensDr. and Mrs. William L. StewartMr. and Mrs. Charles E. StockhamThe Douglas W. Stockham Family FoundationMs. Jodi M. StrangeMr. and Mrs. John W. StrohmengerMrs. Svea E. StrongMr. and Mrs. Randy SullivanMrs. Mary Lou SutterMr. and Mrs. Oliver H. Sweeney, Jr.Mr. and Mrs. Timothy D. SykoraMr. Ernesto Tamez and Amy Goff TamezDr. and Mrs. James A. TartMr. and Mrs. Edward H. TateosianLt. Colonel Kevin R. Taylor and Dr. Heather A. Taylor


Mr. and Mrs. Wayne M. TeemsMr. and Mrs. Edward TepperMr. David TerrellMr. and Mrs. Richard L. ThackerMs. Alice S. ThomasMr. and Mrs. Michael ThomasonDr. and Mrs. David C. ThorntonMs. Anne ThrowerMr. and Mrs. Robert S. TiltonMrs. Laura TomanelliDr. Glen A. Toomayan and Dr. Shannon KozlowiczMs. Emily TrautmannMs. Judith L. TrevarrowMs. Audrey TuckMr. and Mrs. Stuart A. TuffnellMr. and Mrs. Carl W. TurnipseedMrs. Lorraine A. TweedMr. and Mrs. Walter R. Uihlein

Mr. James J. Ulrich and Mrs. Susan K. Holmgren-UlrichMrs. Susan UlrichMr. and Mrs. Peter J. VanicaDr. and Mrs. Reid C. VegelerMr. and Mrs. Thomas J. VicenikVillage YogaMr. and Mrs. James S. VincentMr. and Mrs. Mark J. VoetschMr. and Mrs. Harry J. VogtMr. and Mrs. Eric Von SalzenMr. Daniel Waggoner and Ms. Katharine D. KennedyMs. Sara WagnerMr. and Mrs. Bobby WallaceMr. and Mrs. John M. WaltersMr. and Ms. Tom WaltersMrs. Cynthia S. Ward

Mr. and Mrs. James A. WardMr. and Mrs. Lester L. WardMrs. Mary M. WardMrs. Claudia A. WatsonMr. and Mrs. Robert P. WattMr. and Mrs. George C. WatterworthMr. and Mrs. Iain WebberMr. and Mrs. Robert F. WeberMr. and Mrs. Edward J. WeilerRichard S. WeinbergMr. and Mrs. Eric W. WeissDr. Laura L. WellenerMr. and Mrs. James M. WellerDr. and Mrs. Rodney D. WellingJack WieseMr. and Mrs. Rich WilkinsMrs. Carla Y. WilliamsMs. Marylynn A. Williams

Mr. Robert F. Williams, Jr. Ms. Barbara B. WilsonMr. and Mrs. Jack C. WilsonMr. and Mrs. Richard L. WinkleyMr. and Mrs. David A. Womble, Jr.Mr. and Mrs. Robert B. WoodMr. and Mrs. J.R. WoodardMs. Sonia I. WriglesworthMr. and Mrs. Andrew C. WurstMr. and Mrs. James V. YoungMr. Richard McHenry and Ms. Rose YoungMr. and Mrs. Perry YoungbloodMr. and Mrs. Alexander YueMrs. Veda L. YunckMr. Thomas M. ZaleskiMr. and Mrs. Thomas M. ZelinskiMr. Pete Zeuli

1881-060-21

2021 Annual Cancer Report - FirstHealth of the Carolinas

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Transcript of 2021 Annual Cancer Report - FirstHealth of the Carolinas