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About Us

The Independent Monitor is made up of a team of senior experienced healthcare-specialist professionals from

Gibbins Advisors, a consulting firm headquartered in Nashville, Tennessee.


The HCA/Mission Health sale transaction closed on January 31, 2019, and Gibbins Advisors was appointed the

Independent Monitor in October 2019. 

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Our role as Independent Monitor is to help determine on an ongoing basis if HCA, adheres to

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, our work involves the review of analysis of reports and information as well as engagement with the public and community groups. We review HCA's Annual Report and Cap Ex Report ("HCA Reports"), analyze supporting documentation, solicit input from community representatives and the appointed Advisory Boards, incorporate information from the public, conduct site visits, monitor relevant medias, and discuss with Mission Health management. We advise Dogwood Health Trust and six Advisory Boards on HCA's compliance, and share responsibility with Local Advisory Boards to evaluate requests to modify HCA's commitments to local hospitals in certain circumstances. ​

It is important to note that we are completely independent from HCA and Mission Health System.

The Independent Monitor is paid by Dogwood Health Trust.

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Learn more about Our Team, Our Work and the Advisory Board Structure

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