Mission has said repeatedly that if/when HCA completes the acquisition, part of the agreement will be that it won’t close hospitals or services within a certain period of time (mostly 10 years or 5 years, depending on which hospitals we’re talking about). The purchase agreement, however, seems to contain provisions that would allow an appointed committee to change those terms after the purchase. If the intent was to ensure hospitals stay open for some length of time under HCA ownership, why include that provision?

Mission has said repeatedly that if/when HCA completes the acquisition, part of the agreement will be that it won’t close hospitals or services within a certain period of time (mostly 10 years or 5 years, depending on which hospitals we’re talking about). The purchase agreement, however, seems to contain provisions that would allow an appointed committee to change those terms after the purchase. If the intent was to ensure hospitals stay open for some length of time under HCA ownership, why include that provision?

 Healthcare is an ever-changing industry with new advancements and treatments constantly being developed. At times, certain services may need to be changed, added or discontinued in order to continue providing the highest quality of care close to home for patients. Imagine for moment that a cure for a particular disease is found. In that circumstance, the historical service to treat that disease would then appropriately be discontinued. The role of the local advisory boards will be to review and approve any modifications. Each local advisory board, and only the local advisory board, will have the authority to approve or “veto” variations from the post-closing covenants applicable to its hospital.