Sentara Norfolk General Hospital (SNGH) is a large academic hospital, which serves as the primary teaching institution for the adjacent Eastern Virginia Medical School. Located in Norfolk, Virginia, in the Ghent neighborhood and adjacent to Downtown, the hospital serves as the Hampton Roads regions only Level I trauma center. The hospital is interconnected to the Sentara Heart Hospital, however, it is considered a separate institution. Together with the adjacent Childrens Hospital of the Kings Daughters, Eastern Virginia Medical School and the Norfolk Department of Health, the Eastern Virginia Medical Center is the largest conglomerate center for health in Hampton Roads. For a time, the U.S. News & World Report rated it the best in Virginia. In 2016, SNGH is tied with VCU Medical Center ranked as #2 while University of Virginia Health System ranked first. In 1888 the forerunner to Norfolk General, the 25-bed Retreat for the Sick, was opened in downtown Norfolk. At this time there were fewer than 200 hospitals in the entire country. In 1892 the Retreat for the Sick opened the first nursing school in Norfolk. The hospital moved to a new location in 1896 and was renamed Norfolk Protestant Hospital in 1898. The hospital moved again in 1903 and witnessed a fire in 1906, though no lives were lost. Norfolk Protestant was renamed Norfolk General in the 1930s and the first open-heart surgery in Virginia was performed there in 1967. In 1981 Elizabeth Carr was born at the hospital, becoming Americas first in-vitro fertilization baby. The first heart transplant performed in Hampton Roads occurred at the hospital in 1989.