Have there been any discussions with the state Department of Justice or HCA about changes to the purchase agreement to address community concerns about protection of services, local ability to buy a hospital, the degree to which the Dogwood board is reflective of western North Carolina and an outside entity’s ability to enforce provisions, as outlined in the other questions?

Have there been any discussions with the state Department of Justice or HCA about changes to the purchase agreement to address community concerns about protection of services, local ability to buy a hospital, the degree to which the Dogwood board is reflective of western North Carolina and an outside entity’s ability to enforce provisions, as outlined in the other questions?

On an ongoing basis since March 2018, Mission has provided all of the information that the Attorney General’s office has requested in a timely and complete manner. We will continue to do so as we work with the Attorney General and HCA Healthcare to close the transaction.  Also, both Mission and Dogwood have had, and will continue to have, discussions with interested parties about thoughts and concerns.

That said, the agreement between Mission Health and HCA Healthcare is complex and interrelated.  Changing any one part would result in the need to change numerous others.  The Mission Health Board of Directors followed an extremely thoughtful, deliberate and evidenced-based process with nationally recognized external advisors to reach its decision.  In doing so, it recognized that no outcome would or could ever fully satisfy everyone, particularly those with only a limited understanding of the transaction.  As a result, it focused on ensuring that the community receives the maximum benefits, recognizing that trade-offs always exist in any transaction.