Constructing the Carolinas

What makes a medical outpatient building different from a regular office building, and why has it stayed so resilient while traditional offices struggled? Host Jed Byrne, Barnhill’s Director of Business Development, sits down with Trey Adams, managing partner at Atlas Stark in Raleigh, to explore medical outpatient buildings (MOBs), the healthcare real estate asset class benefiting from an aging population, a booming Triangle, and reforms to North Carolina’s Certificate of Need laws.

The conversation covers the design details that set MOBs apart, from parking ratios and stretcher-sized elevators to ground-floor imaging and surgery-ready sprinklers, along with why occupancy historically stays above 90%. Adams also explains how healthcare is shifting from hospitals to convenient outpatient settings, how Certificate of Need regulation works, and who invests in these buildings, from private practices and REITs to 1031 exchange buyers.

Adams closes with the biggest risks in medical outpatient development, including overbuilding and a national physician shortage, plus the trends and potential disruptors shaping demand for years to come. Whether you’re a developer, investor, healthcare provider, or contractor, this episode offers a practical look at one of commercial real estate’s most durable asset classes. 

Constructing the Carolinas is brought to you by Barnhill Contracting Company, which has been Constructing the Carolinas since 1949, hosted by Jed Byrne, and produced by Walk West.

Barnhill is HIRING for Professional, Trade, and CDL Opportunities – https://www.barnhillcontracting.com/careers/

Barnhill is HIRING for Professional, Trade, and CDL Opportunities - https://www.barnhillcontracting.com/careers/

Join us on location at the historic Creamery building in Raleigh’s Glenwood South neighborhood for a conversation with Jason Davis, Managing Director at Turnbridge Equities. Host Jed Byrne and Jason discuss the transformation of this iconic 1928 former ice cream factory and the 37-story, 306-unit luxury residential tower currently under construction beside it.  

Jason explains Turnbridge's investment focus on "high-growth knowledge markets" like Raleigh, Austin, and Nashville, which all share a powerful trifecta of major universities, state government seats, and robust job growth. He shares the behind-the-scenes story of putting the Creamery property under contract and closing during the very first week of the COVID-19 pandemic, followed by the multi-year process of rezoning the property from seven to 40 stories while ensuring the historic landmark remained untouched.  

The conversation dives into the harsh realities of commercial development and how to creatively navigate economic turbulence. Jason details how a 45% spike in costs alongside rising interest rates in 2022 forced the team to cut their massive half-billion-dollar dual-tower plan in half. By utilizing an intensive "design-assist" approach in close partnership with Barnhill and key subcontractors, they successfully reverse-engineered the budget to lock in a Guaranteed Maximum Price and keep the project alive. Jason also shares his insights on the future of commercial office spaces, bringing new retail partnerships to Raleigh, and why they are still building a nine-story parking deck despite the removal of city parking minimums.

Constructing the Carolinas is brought to you by Barnhill Contracting Company, which has been Constructing the Carolinas since 1949, hosted by Jed Byrne, and produced by Walk West.

Barnhill is HIRING for Professional, Trade, and CDL Opportunities – https://www.barnhillcontracting.com/careers/

Barnhill is HIRING for Professional, Trade, and CDL Opportunities - https://www.barnhillcontracting.com/careers/

Join us for an engaging conversation about the state of workplace safety in North Carolina with Luke Farley, the state's Commissioner of Labor. As one of only four states to elect its labor commissioner, Commissioner Farley offers a unique perspective on government accountability, famously recognized by his face and signature on over 32,000 elevators and escalators across the state. In this episode, he breaks down how North Carolina recently made a massive 21-spot jump to become the second-safest state in the country for workers.

From the new leading cause of workplace fatalities -"struck-by" accidents - to the undeniable business case for safety, Commissioner Farley shares how a true culture of safety lowers workers' comp insurance rates, boosts employee retention, and prevents costly job site shutdowns. We discuss the critical importance of tracking near misses as learning opportunities, the shift from punitive citations to positive reinforcement like "safety bucks," and the value of true collaboration between the Department of Labor and private industry. The conversation also highlights elite safety initiatives, including the rigorous Carolina STAR Program and Barnhill's unprecedented commitment to hosting two high-impact safety partnerships simultaneously.

Whether you are a commercial builder, a residential contractor, or simply interested in how state agencies partner with businesses to protect millions of employees, this episode offers an inside look at the initiatives keeping North Carolina's workforce safe and the vision for driving the incident rate to zero.

Constructing the Carolinas is brought to you by Barnhill Contracting Company, which has been Constructing the Carolinas since 1949, hosted by Jed Byrne, and produced by Walk West.

Barnhill is HIRING for Professional, Trade, and CDL Opportunities – https://www.barnhillcontracting.com/careers/

Barnhill is HIRING for Professional, Trade, and CDL Opportunities - https://www.barnhillcontracting.com/careers/

Join us for an insightful conversation marking a brand-new chapter of Constructing the Carolinas with our new host, Jed Byrne, Director of Business Development at Barnhill. Recorded on location in Raleigh, Jed explores the transformation of the modern workplace with two leaders behind the Coastal Credit Union headquarters renovation: TJ Wyman, Chief Digital Officer at Coastal Credit Union, and Brooke Funkhouser, Interior Designer and Architect at Ratio Design.

Since its completion, the project has earned multiple industry awards and recognition for its innovative approach to workplace design, adaptive reuse, and collaboration - setting a new benchmark for the modern corporate headquarters.

From pausing a 15-story new build to executing a massive six-story renovation while employees worked inside, our guests share how adaptive design and strong partnerships can completely redefine a corporate headquarters. We discuss the realities of change management when transitioning to hybrid workspace models and "hoteling" desks, the benefits of visually opening buildings to neighborhood amenities, and the critical role of technology in creating spaces where employees can comfortably collaborate.

Whether you’re interested in commercial real estate strategy, the future of workplace design, or the complexities of large-scale corporate renovations, this episode offers an inside look at the decisions shaping modern office spaces across the Carolinas.

Constructing the Carolinas is brought to you by Barnhill Contracting Company, which has been Constructing the Carolinas since 1949, hosted by Jed Byrne, and produced by Walk West.

Barnhill is HIRING for Professional, Trade, and CDL Opportunities: https://www.barnhillcontracting.com/careers/

Join us for an inspiring conversation about the momentum transforming Eastern North Carolina with three leaders at the forefront of the region’s growth: Benton Moss, CEO of Simmons and Harris and host of the Twin County Spotlight podcast; Bob Pike, President & CEO of Carolina’s Gateway Partnership; and Susan Phelps, Economic Development Manager for Nash County.

From downtown revitalizations and workforce housing to megasite development and industrial recruitment, our guests share how collaboration between developers, municipalities, and residents is creating a more connected, competitive, and vibrant region. We discuss the investments attracting both families and businesses, the critical role of infrastructure and workforce development, and the vision for communities where people can live, work, and play.

Whether you’re interested in economic development, commercial real estate, or the future of North Carolina’s growth corridors, this episode offers an inside look at the partnerships and projects shaping the Twin Counties and beyond.

Constructing the Carolinas is brought to you by Barnhill Contracting Company, which has been Constructing the Carolinas since 1949, hosted by Valerie Bono, and produced by Walk West.

Barnhill is HIRING for Professional, Trade, and CDL Opportunities – https://www.barnhillcontracting.com/careers/

Barnhill is HIRING for Professional, Trade, and CDL Opportunities - https://www.barnhillcontracting.com/careers/

Join us as we explore the dynamic world of commercial real estate with Brandt Berry, a Senior Associate at Cushman & Wakefield. Based in Raleigh-Durham, Brandt specializes in the sale of office, industrial, retail, and flex properties across the Triangle region.

In this episode, Brandt shares his journey into commercial real estate and discusses the current trends shaping the market. He emphasizes the critical roles of adaptability and creativity in successfully navigating today's economic landscape.

We'll dive into the nuances of buyer and seller dynamics, explore the increasing popularity of sale-leasebacks, and discuss key considerations for companies planning their next real estate move.

Constructing the Carolinas is brought to you by Barnhill Contracting Company, which has been Constructing the Carolinas since 1949, hosted by Valerie Bono, and produced by Walk West.

Barnhill is HIRING for Professional, Trade, and CDL Opportunities - https://www.barnhillbuilt.com/careers/

Barnhill is HIRING for Professional, Trade, and CDL Opportunities - https://www.barnhillcontracting.com/careers/

Join us for a pivotal episode highlighting a significant leadership transition at Barnhill. After an incredible career that helped shape our operations and culture, we bid a fond farewell to Barry Harden, VP of Operations, as he embarks on a well-deserved retirement. But as one chapter closes, another begins! We’ll introduce and speak with Brad Martin, who’s stepping into Barry’s shoes as the new VP of Operations. This episode not only honors Barry’s remarkable legacy and the profound impact of his mentorship, but also looks forward to the next generation of leadership under Brad. Tune in to hear inspiring stories from Barry’s years at Barnhill and discover Brad’s strategic vision for Barnhill’s continued success!

Barnhill is HIRING for Professional, Trade, and CDL Opportunities - https://www.barnhillcontracting.com/careers/

In this insightful episode, we had the distinct honor of diving into the crucial world of fire safety, emergency response, and disaster preparedness with none other than Chief Brian Taylor, North Carolina State Fire Marshal.

With decades of invaluable experience in the fire service, Chief Taylor has been instrumental in shaping the very regulations that keep our communities safe. He's a driving force behind the support of our local fire departments and the spearheading of training initiatives that equip our first responders for the most demanding situations.

This episode explores several critical areas, including the ongoing challenges of firefighter recruitment and retention, a topic vital to ensuring the continued strength of our emergency services. Chief Taylor also shed light on the groundbreaking development of the North Carolina Emergency Training Center – proudly built by Barnhill - a facility poised to revolutionize how our first responders prepare for the unexpected.

The conversation also delves into the exciting world of fire safety technology and how the latest advancements are directly contributing to saving lives. Beyond immediate fire response, we gained an inside look at the comprehensive strategies North Carolina employs to prepare for and respond to a range of crises, from natural disasters to structural fires and large-scale emergencies.

We also discuss our profound appreciation for the heroes who stand ready to protect us and the tireless work being done behind the scenes to ensure our safety and well-being. It's a conversation that underscores the vital intersection of infrastructure, preparedness, and the unwavering dedication of individuals like Chief Taylor.

Resources & Links:

• Office of State Fire Marshal: https://www.ncosfm.gov/
• NC Emergency Training Center: https://www.ncosfm.gov/nc-emergency-training-center-etc

Constructing the Carolinas is brought to you by Barnhill Contracting Company, which has been Constructing the Carolinas since 1949, hosted by Valerie Bono, and produced by Walk West.

Barnhill is HIRING for Professional, Trade, and CDL Opportunities - https://www.barnhillcontracting.com/careers/

Wake County, experiencing explosive growth over the past decade, and Wendell, a town that has nearly tripled in size in just six years, offer unique perspectives on the challenges and strategies involved in balancing infrastructure, economic development, and community identity

In this episode of Constructing the Carolinas, host Valerie Bono sits down with County Manager of Wake County David Ellis and Town Manager of Wendell Marc Collins, to dive deep into the intricate world of local government growth management.

They’ll discuss:

• The nuances of county and municipal collaboration in managing rapid growth.
• How local leaders balance infrastructure development with preserving community character.
• The importance of strategic planning in navigating explosive expansion.
• The challenges of managing economic development while ensuring sustainable growth.
• Insights into the daily life of a town and county manager.

Resources & Links:

• Wake County Government: wake.gov
• Town of Wendell: townofwendellnc.gov
• Wake County Economic Development: raleigh-wake.org
• Barnhill Contracting Company: barnhillcontracting.com

Constructing the Carolinas is brought to you by Barnhill Contracting Company, which has been Constructing the Carolinas since 1949, hosted by Valerie Bono, and produced by Walk West.

Barnhill is HIRING for Professional, Trade, and CDL Opportunities - https://www.barnhillcontracting.com/careers/

North Carolina’s rural communities are evolving, adapting, and finding new ways to grow. From broadband expansion to small business lending to workforce development, these areas are proving that with the right investment and vision, they can thrive in today’s economy.

In this episode of Constructing the Carolinas, host Valerie Bono sits down with Patrick Woodie, President & CEO of the North Carolina Rural Economic Development Center, to explore the opportunities and challenges facing rural communities today. They discuss:

• How North Carolina’s rural population has shifted over the years and what it means for economic growth
• The biggest factors attracting people to smaller communities post-pandemic
• Why broadband, workforce development, and infrastructure are critical to rural success
• How disaster recovery efforts are rebuilding communities impacted by Hurricane Helene
• The role of community colleges, local businesses, and state policies in strengthening rural economies
• The future of workforce development and why North Carolina needs an Eastern School of Science & Math

If you’re interested in economic development, rural revitalization, or the future of North Carolina’s communities, this is an episode you won’t want to miss.

Resources & Links:

• NC Rural Center: ncruralcenter.org
• Barnhill Contracting Company: barnhillcontracting.com
• NC Rural Summit (March 2025): Check back for registration details at ncruralcenter.org

Constructing the Carolinas is brought to you by Barnhill Contracting Company, which has been Constructing the Carolinas since 1949, hosted by Valerie Bono.

Barnhill is HIRING for Professional, Trade, and CDL Opportunities - https://www.barnhillcontracting.com/careers/