The move reflects a broader trend in health care, as large hospital systems in North Carolina and nationwide grow and consolidate their power. By aligning with Carolina NeuroSurgery & Spine, Atrium “gets all the downstream referrals: rehab, vascular surgery, oncology, etc.,” Hanis said. Atrium’s deal with Carolina NeuroSurgery & Spine is unusual in that it does not appear to be a straight-up acquisition. Patients at Carolina NeuroSurgery & Spine will be able to see their same doctors in the same locations, the release said. This article is part of a partnership between The Charlotte Ledger and North Carolina Health News to produce original health care reporting.