Mission Health-HCA Deal

Lilly Knoepp

  The independent monitor over HCA continued its tour of Western North Carolina at the Robert Carpenter Community Center in Franklin.

The meeting was held in the middle of a work day, something that frustrated the almost 50 people that gathered in Franklin to ask questions and air their concerns to Gibbins Advisors. Ron Winters is with the independent monitor overseeing HCA. 

 

Lilly Knoepp

The independent monitor hired to ensure HCA Healthcare follows through on agreements it made when purchasing Mission Health held its first public meeting Tuesday evening.  BPR was at the Cashiers-Glenville Rec Center, which was full of concerned residents.

Tom Urban and Ron Winters from Gibbins Advisors lead the discussion. Winters started out with the basics: 

“Let me go into the commitments that HCA made under the asset purchase agreement. There are four big categories: Retaining services at the hospitals…”

Lilly Knoepp

Since Mission Health’s sale to for-profit HCA, the six local legacy foundations have given out about $12 million in grants to 169 organizations. Let's take a deeper look at the foundations and the organizations they funded:  

In the great room of Wildcat Cliffs Country Club in Highlands, representatives from 26 organizations were welcomed by the Highlands-Cashiers Health Foundation: 

“Good evening, it’s such an honor to welcome you all to our inaugural grant awards.”  

Logo Courtesy of Gateway Wellness Foundation

Gateway Wellness Foundation announced it has awarded $550,000 in grant funding to local nonprofits. The legacy foundation is based in Marion. It previously supported Mission Hospital McDowell and now supports Burke, McDowell, Polk, and Rutherford Counties. 

Lilly Knoepp

The independent monitor chosen to oversee HCA Healthcare’s operation of the Mission Health system has scheduled informational sessions across Western North Carolina.  Gibbins Advisors was named the independent monitor at the end of October. Their role as independent monitor was a stipulation of Mission Health’s $1.5 billion sale to the for-profit hospital. The company is tasked with overseeing HCA’s compliance with the obligations it agreed to when it purchased Mission.  

Photo courtesy of Dogwood Health Trust

Dogwood Health Trust has announced that two Buncombe County board members have stepped down in accordance with a deal with the North Carolina Attorney General. 

 

Dogwood Health Trust, the foundation created by Mission Health’s $1.5 billion sale to for-profit  HCA, is following through on Attorney General Josh Stein’s stipulations of the deal. Dogwood agreed to the terms in a commitment letter.

 

Lilly Knoepp

The Nantahala Health Foundation  has awarded its first round of grants. The Macon-County based foundation created out of the sale of Mission Health gave out almost $1.5 million to organizations in five counties and the Qualla Boundary.  Lori Bailey has been the executive director of Nantahala Health since September. 

 

Photo courtesy of Dogwood Health Trust

Dogwood Health Trust has announced a new grant called Immediate Opportunities and Needs (ION). These grants will be one-time funding options for needs ranging from technology to consultants. 

“The work of nonprofit organizations and government agencies is unpredictable – especially when dealing with factors that contribute to the overall health and wellness of people,” said Brian Myers, chief strategy officer for Dogwood Health Trust in a press release. 

 

Courtesy of Dogwood Health Trust

Dogwood Health Trust has announced a fund to help local organizations hire grant writers. 

It’s called the Leverage Fund, explains Antony Chiang, Dogwood’s new CEO.

 

Courtesy of Dogwood Health Trust

North Carolina Attorney General Josh Stein has approved Gibbins Advisors as the independent monitor of HCA Healthcare. The healthcare consulting firm based in White Plains, New York will be responsible for watching over HCA as outlined in the asset purchase agreement with Stein. 

“That commitment to engaging with local communities, along with the monitor’s qualifications, led me to direct my office to consent to the selection of this monitor,” says Stein in a press release. 

Jessi Stone/Smoky Mountain News

Leaders representing local nonprofits and community organizations packed a conference room at Southwestern Community College. Janice Brunmit, Chair of Dogwood Health Trust introduced the new CEO Antony Chaing.

 

Dogwood was established in February when private hospital giant HCA Healthcare bought the non-profit hospital Mission Health for $1.5 billion. The foundation is tasked with allocating profits from that sale to organizations across the 18 counties and the Qualla Boundary. Chaing says the aim is to improve public health. 

 

Lilly Knoepp

  As part of the sale of Mission Health to HCA, the for-profit health system promised to build a new hospital in Macon County.  BPR talked to Angel Medical Center’s CEO about when ground will be broken for the new facility.

A new Angel Medical Center was in the works long before the HCA sale says CEO and CNO Karen Gorby.

Courtesy of Dogwood Health Trust

Dogwood Health Trust, the nonprofit foundation created by the sale of Mission Health to for-profit HCA, has chosen its initial CEO. 

Antony Chiang, president of Empire Health Foundation, has been chosen as the initial CEO of Dogwood.  He has been president of he organization for the last nine years. It is similar to Dogwood but based in Spokane, Washington. 

Photo courtesy of Dogwood Health Trust

Since the sale of Mission Health earlier this year, the foundation tasked with spending the profits of the deal has been quiet.  BPR got an update from the chair of the organization’s board:

Lilly Knoepp

  It’s been almost six months since Mission Health was sold to for-profit HCA Health. North Carolina Attorney General Josh Stein visited two Mission Hospitals this week to see how the aftermath of the sale is transpiring.  BPR caught up with him at Transylvania Regional Hospital in Brevard. 

 

Photo courtesy of NC Rural Center

Jackson County resident and executive director of the Southwestern Commission Sarah Thompson is the newest member of the Dogwood Health Trust Board.  Officially known as the  Southwestern North Carolina Planning and Economic Development Commission, the regional council of government works with the seven westernmost counties on technical, economic and planning resources.   “I think it's an incredible opportunity for all of WNC, and I'm thrilled to be able to bring my perspective on rural community and economic development to the board,” says Thompson in an email.   Thompson is 14th member of

Lilly Knoepp

Governor Roy Cooper wraps up a six-county tour of Western North Carolina on Friday. BPR caught up with him at Erlanger Western Carolina Hospital in Murphy where he was talking Medicaid Expansion.

 

At a roundtable with hospital officials and Murphy community leaders, the governor heard a lot about the need to expand Medicaid - especially for the Western end of the state.  

 

Lilly Knoepp

Nantahala Health Foundation has officially announced its board of directors.

Lilly Knoepp

The Dogwood Health Trust Foundation has officially opened up the search for a CEO.

The organization, which was created by the sale of Mission Health to for-profit HCA Health, has posted a leadership profile on their website with details about applying for the position.

Lilly Knoepp

The Dogwood Health Trust Board has announced Jackie Godlock of Rutherford County will join the board of directors. This brings the total board to 12 including Vice Chair Jack Cecil and Chair Janice Brumit.

Lilly Knoepp

The Dogwood Health Trust Board has announced Jackie Godlock of Rutherford County will join the board of directors. This brings the total board to 12 including Vice Chair Jack Cecil and Chair Janice Brumit.

Lilly Knoepp

The Dogwood Health Trust Board has announced Jackie Godlock of Rutherford County will join the board of directors. This brings the total board to 12 including Vice Chair Jack Cecil and Chair Janice Brumit.

Lilly Knoepp

The sale of Mission Health System to HCA, created the Dogwood Health Trust. Mission Health has also announced the creatation of a foundation to specifically represent the six westernmost counties in NC.

 

Nantahala Health Foundation will represent Cherokee, Clay, Graham, Jackson, Macon, Swain counties and the Qualla Boundary.

Photo courtesy of Great Smokies Health Foundation

  Since the Mission Health-HCA sale officially closed, the charitable foundation created with the proceeds of the sale - Dogwood Health Trust - is now official too.  While it will be the largest such foundation for Western North Carolina, it’s not the first created by the sale of a health system.  

 

Lilly Knoepp

Today, Mission Health System has officially been purchased by for-profit hospital system HCA Healthcare for $1.5 billion dollars. The sale has been in negotiations since March 2018.

“We’re looking forward to investing in western North Carolina and helping ensure Mission Health’s 133-year tradition of caring for communities throughout the region continues for many years,” says Sam Hazen, CEO of HCA Healthcare in a press release.

Lilly Knoepp

 More than 2 million people in North Carolina will be impacted when changes to the state’s Medicaid program take effect.

 

At the end of last year, North Carolina finalized terms to move to a managed-care system for Medicaid in the state. The first regions of North Carolina where those changes will be rolled out will be announced at the beginning of February says Deputy Secretary for North Carolina Medicaid Dave Richards.

 

Matt Bush / Blue Ridge Public Radio

North Carolina attorney general Josh Stein will give his blessing to the proposed sale of Mission Health to HCA.  That means Western North Carolina's major health system will go from a non-profit to a for-profit in the coming months.  But before he gave his approval, Stein announced several changes to the proposed sale contract between the two sides after hearing from concerned community members and groups.  Stein made the announcement Wednesday afternoon in Asheville.

Photo courtesy of Lilly Knoepp

  Last week, Dogwood Health Trust confirmed to BPR it has already started hosting listening sessions in Western North Carolina to learn about the community.

 

While the Mission Health-HCA sale that would create the Dogwood Health Trust is not yet finalized, details are emerging about Dogwood Health Trust’s listening sessions.

 

Lilly Knoepp

The Mission Health-HCA deal is still being reviewed by Attorney General Josh Stein but Dogwood Health Trust - the nonprofit organization that will be formed with the proceeds from the sale - is already speaking to the community about the best ways to help local nonprofits in the region.

Lilly Knoepp

The Dogwood Health Trust Board has confirmed Vivian Bolanos (Henderson County) and Jacquelyn “Jackie” Shropshire Simms (Buncombe County) as new members. This brings the total board to 11 including Vice Chair Jack Cecil and Chair Janice Brumit.

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