©2020 by Gibbins Advisors.

Layers of ridges of the Blue Ridge Mount


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 goal 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, and join us at one of our upcoming community meetings.  



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


What Issues Do We Monitor?



Latest News and Information

Overlook at Blue Ridge Mountains.jpg