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Todd Hemphill

t: 919.783.2958 f: 919.783.1075

Todd Hemphill's health law practice involves representing health care providers, with an emphasis on Certificate of Need law.

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Todd’s practice focuses on health care strategic planning issues, assisting clients in developing health care development strategies under the Certificate of Need law, negotiating health care transactions, and litigating Certificate of Need awards and denials. He also represents health care clients on licensure and certification issues, including appeals challenging certification and licensure survey decisions and penalties.

His clients include hospitals, ambulatory surgery centers, dialysis facilities, diagnostic imaging facilities, nursing home, home health providers, adult care homes, hospice facilities, physician groups, and other health care providers.


Areas of Focus

+Health Care

  • Represents health care providers in the Office of Administrative Hearings, North Carolina Superior Courts, North Carolina Court of Appeals and North Carolina Supreme Court, and various Federal courts regarding Certificate of Need decisions by the North Carolina Department of Health and Human Services
  • Advises health care clients on facility and practice acquisitions, sales, contracts, and leases
  • Represents nursing facilities and adult care homes in appeals challenging federal certification and state licensure survey decisions and penalties
  • Has tried numerous cases in District and Superior Courts and before the North Carolina Office of Administrative Hearings


  • Regularly works with state and federal agency regulators to obtain licensure and certification of clients’ facilities



University of North Carolina, JD, MBA, 1982

Dartmouth College, AB, 1978, cum laude


+Notable Accomplishments

Received the North Carolina Bar Association Health Law Section’s 2019 Distinguished Service Award in recognition of his lifelong achievements and outstanding contributions to health law

Recognized as a Leading Attorney by Chambers USA: America’s Leading Lawyers for Business (Healthcare) 2016-2018

Recognized in The Best Lawyers in America® (Health Care), 2010-2017

AV® Rated, Martindale-Hubbell


+Professional & Community Activities

North Carolina Bar Association, Administrative Law Section: Section Council Member (2004-2006); Article 3 Committee Member (2004-2006); Health Law Section; Council Member (2012 – 2015); Legislative Committee (2012 – 2015); Government and Public Sector Section

North Carolina Society of Health Care Attorneys; Membership & Outreach Committee (2011)

Wake County Bar Association

Dartmouth Lawyers Association

North Carolina State Bar

Chair, Board of Directors of Alliance Medical Ministry

President, Board of Directors of PineCone – the Piedmont Council of Traditional Music

Dartmouth Alumni Council, 2005-2009


+Speaking & Writing

  • NCBA Administrative Law Section Annual Conference 2004, 2008, 2009
  • North Carolina Society of Health Care Attorneys Annual Conference 2009-2010, 2013-2018 (with Matt Fisher)
  • North Carolina Association of Certified Public Accountants Healthcare Industry Conference 2012
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