New independent monitor finds HCA in potential non-compliance with Mission asset purchase agreement

ASHEVILLE WATCHDOG | Reported by ANDREW R. JONES
July 30, 2024

Affiliated Monitors Inc., the new independent monitor, found that HCA was potentially in non-compliance with the Asset Purchase Agreement in the areas of emergency and oncology services, federal care standards dictated by participation with the U.S. Centers for Medicare & Medicaid Services, and charity care. // Watchdog file photo by Starr Sariego

The following article by Andrew R. Jones appeared in Asheville Watchdog on July 30th, 2024


The new independent monitor of HCA Healthcare’s $1.5 billion purchase of Mission Health has found the Nashville-based company potentially not in compliance with the purchase agreement it entered into in 2019, according to a new report released Tuesday by Dogwood Health Trust.

The 32-page report from Boston-based Affiliated Monitors Inc. detailed three areas where in 2023 HCA potentially did not honor commitments it made five years ago as part of the Asset Purchase Agreement: emergency department and oncology services, non-compliance with federal standards of care dictated by participation with the U.S. Centers for Medicare & Medicaid Services, and charity care. 

The Asset Purchase Agreement, or APA, is a binding document outlining in part how the HCA and Mission would maintain and grow services for 10 years after the sale. 

Dogwood employs Affiliated Monitors, which began its work as independent monitor in April 2024, and released a statement along with the report Tuesday. 

“Dogwood Health Trust provided notice to the North Carolina Attorney General’s Office (AGO) stating that it plans to notify HCA of potential noncompliance with provisions of the Asset Purchase Agreement (APA),” the statement said.

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Asheville Watchdog is a nonprofit news team producing stories that matter to Asheville and Buncombe County. Andrew R. Jones is a Watchdog investigative reporter. Email arjones@avlwatchdog.org.

Asheville Watchdog has been a key resource in helping WNC residents stay up to date on the latest regional healthcare news.

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