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http://media.charlotteobserver.com/smedia/2012/04/18/10/20/11D3xI.St.138.jpg|433Hugh Tilson, center, a lobbyist for the North Carolina Hospital Association, shakes hands with Ronald Paulus, President and CEO of Mission Health in Asheville, and Rowena Timms, after a Certificate of Public Advantage (COPA) hearing in front of the House Select Committee on Certificate of Need Process and Related Hospital Issues at the Legislative Office Building in Raleigh on Wednesday, February 15, 2012. Tilson is the senior vice president for advocacy at the NCHA. Shawn Rocco - srocco@newsobserver.com
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http://media.charlotteobserver.com/smedia/2012/04/18/10/20/1lCEei.St.138.jpg|435Gov. Bev Perdue arrives Thursday, February 16, 2012, during the annual NCHA Winter Membership Meeting at the Embassy Suites in Cary. Hugh Tilson, left, a lobbyist for the North Carolina Hospital Association, walks behind the governor. Shawn Rocco - srocco@newsobserver.com - tlong@newsobserver.com
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http://media.charlotteobserver.com/smedia/2012/04/18/10/20/g6aEZ.St.138.jpg|416Hugh Tilson, center, a lobbyist for the North Carolina Hospital Association, listens to arguments being made during a Certificate of Public Advantage (COPA) hearing in front of the House Select Committee on Certificate of Need Process and Related Hospital Issues at the Legislative Office Building in Raleigh on Wednesday, February 15, 2012. Tilson is the senior vice president for advocacy at the NCHA. Shawn Rocco - srocco@newsobserver.com
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http://media.charlotteobserver.com/smedia/2012/04/18/10/20/SHrcE.St.138.jpg|420Hugh Tilson, right, a lobbyist for the North Carolina Hospital Association speaks with Rep. John Torbett, chairman of the House Select Committee on Certificate of Need Process and Related Hospital Issues, after a Certificate of Public Advantage (COPA) hearing at the Legislative Office Building in Raleigh on Wednesday, February 15, 2012. Tilson is the senior vice president for advocacy at the NCHA. Shawn Rocco - srocco@newsobserver.com
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http://media.charlotteobserver.com/smedia/2012/04/18/10/20/JKFbJ.St.138.jpg|423Hugh Tilson, right, a lobbyist for the North Carolina Hospital Association speaks with Paul Vick, associate vice president for government relations for Duke Medicine, after a Certificate of Public Advantage (COPA) hearing in front of the House Select Committee on Certificate of Need Process and Related Hospital Issues at the Legislative Office Building in Raleigh on Wednesday, February 15, 2012. Tilson is the senior vice president for advocacy at the NCHA. Shawn Rocco - srocco@newsobserver.com
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http://media.charlotteobserver.com/smedia/2012/04/18/10/20/35QE0.St.138.jpg|471Adam Searing, center, leaves an appropriations meeting at the Legislative Office Building in Raleigh on Tuesday, June 2, 2009. Searing is a health care lobbyist for the N.C. Justice Center. He's fought for consumer rights and has helped implement expansions of the state Medicaid program. Shawn Rocco - srocco@newsobserver.com
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