A 2018 memo, obtained via a public records request from the N.C. Attorney General’s office, says the “deck had been stacked” in favor of selling Mission Health to HCA by then-CEO Dr. Ronald A. Paulus.

A 2018 memo, obtained via a public records request from the N.C. Attorney General’s office, says the “deck had been stacked” in favor of selling Mission Health to HCA by then-CEO Dr. Ronald A. Paulus.
Years from now, the decision in 2018 by the directors of Mission Health to sell to HCA Healthcare might be seen as a brilliant strategic maneuver, one that guaranteed affordable, high-quality healthcare for future generations of western North Carolinians. This was, and still is, the position of the directors and executives who pushed the deal.
The news stunned Asheville and Western North Carolina, where Mission Health System Inc. was the area’s largest employer, its main healthcare provider, and a long-time source of civic pride. Seemingly out of the blue, Mission’s directors publicly announced on March 21, 2018, that they had voted to sell the 133-year-old nonprofit to HCA Healthcare.
Earlier this summer, Kenilworth residents followed up on a complaint first sent to the city of Asheville in September 2017. They allege that changes Mission has made to address their noise concerns haven’t eliminated the problem — and that the health system wasn’t acting in good faith when it entered into discussions with the community.