Layers of ridges of the Blue Ridge Mount

ALERT: HCA has released its Amended and Restated Cap Ex Report Pursuant to Section 7.14 of the Purchase Agreement. The report can be read by clicking this link.

ALERT: HCA has released its first Annual Report pursuant to Section 7.17 of the Purchase Agreement and Cap Ex Report Pursuant to Section 7.14 of the Purchase Agreement. The report can be read by clicking this link.

NOW POSTED: Transcripts from the Independent Monitor's seven community meetings are available to download at this link.



Gibbins Advisors is the appointed Independent Monitor for Mission Health System.

We are independent from HCA and Mission Health System.

As part of HCA’s acquisition of Mission Health System in January 2019, the contract required HCA to make certain commitments to ensure the people of Western North Carolina continued to have access to high quality health care.

Our role as Independent Monitor is to help determine on an ongoing basis if HCA, as required in its agreement, executes its commitments which include, but are not limited to: keeping major Mission Health facilities open, continuing to provide certain key services, continuing policies for uninsured and charity care, and making significant capital investment in promised projects and programs. 

As Independent Monitor, we will review HCA’s annual reports and evaluate HCA’s compliance with its ongoing commitments under the purchase agreement by various forms of monitoring including site visits, discussions with HCA managers and receiving comments and input from the public. We will advise Dogwood Health Trust and six advisory boards on HCA’s compliance, and will share responsibility with local advisory boards to evaluate requests to modify HCA’s commitments to local hospitals in certain limited circumstances.

Your voice is very important to our work., and we encourage you to contact us with any feedback - please fill out the form below.

To learn more about the team, visit the Gibbins Advisors team page.



Please contact us with any concerns or questions using the email below or form to the right.


What Issues Do We Monitor and How Are They Governed?

Community Meeting Transcripts

The Independent Monitor led seven community meetings in January and February of 2020. These events were transcribed and the content was shared with HCA.

Transcriptions include only public comments by community attendees and are available below. The Independent Monitor's presentation from the events can be viewed here.

Completed Community Meetings

  • Mitchell County Meeting (Blue Ridge Regional Hospital)
    Auditorium, Burnsville Town Center
  • McDowell County Meeting (Mission Hospital McDowell)
    Marion Community Building
  • Transylvania County Meeting (Transylvania Regional Hospital)
    Unitarian Universalists of Transylvania
  • Buncombe County Meeting (Mission Hospital)
    Mountain Area Health Education Center
  • Macon County Meeting (Angel Medical Center)
    Robert C. Carpenter Room, Macon County
  • Highlands Meeting (Highlands-Cashiers Hospital)
    Highlands Civic Center Meeting Room
  • Cashiers Meeting (Highlands-Cashiers Hospital)
    Cashiers/Glenville Recreation Center


Latest News and Information

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