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.
![Dr. Ronald Paulus](https://mountainx.com/wp-content/uploads/2022/03/DOG-Mission-Paulus-330x227.jpg)
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.
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.