Mission Health Announces Plan To Ensure Long-Term, World-Class Care For Residents of Western North Carolina

Proposed joining of Mission Health with HCA Healthcare includes creation of new foundation with a dedicated focus on improving health

ASHEVILLE, NC (March 21, 2018) — Mission Health’s Board of Directors today announced that it has signed a Letter of Intent (LOI) to enter into exclusive discussions to join HCA Healthcare, a Nashville, Tennessee-based company founded 50 years ago by two physicians. The Board’s unanimous decision to execute the LOI with HCA Healthcare reflects its long-term vision and commitment to preserve and expand Mission Health’s world-class quality of care within a rapidly consolidating healthcare industry.

HCA Healthcare is one of the nation’s leading providers of healthcare services and uses its extensive resources to strengthen hospitals, deliver patient-focused care and improve the practice of medicine. The LOI is an important, proactive step to ensure Mission Health remains well-positioned to continue to meet the unique needs of western North Carolina as the healthcare environment continues to evolve. A key component of the proposed agreement is the establishment of a new foundation that would provide substantial annual investments dedicated to improving the health and well-being of the citizens of western North Carolina. In addition, as part of HCA Healthcare, Mission Health is expected to generate millions of dollars in tax revenues for the area.

“The Board, all of whom are community members who care deeply about ensuring access to high quality care for the people of western North Carolina for generations to come, is confident that HCA Healthcare is the right and best choice for Mission’s team members and providers, its patients and the communities we are privileged to serve,” said Mission Health Board Chair John R. Ball, MD. “We are extremely excited about this unprecedented opportunity to create an even stronger cornerstone of value, access and quality.”

“HCA Healthcare is a leading healthcare operator that offers advantages on a scale that would be difficult, if not impossible, to achieve otherwise,” Dr. Ball said. “As important, the newlyformed foundation will be life-changing for the residents of our region, providing tens of millions of dollars annually in new support for the most vulnerable.”“Mission Health has a more than 130-year tradition of caring for communities throughout western North Carolina, and we are excited to formalize discussions with them about how we can help continue their impressive legacy,” said Milton Johnson, HCA Healthcare’s chairman and CEO. “As a healthcare provider founded by physicians 50 years ago, we appreciate the way Mission Health has served western North Carolina with a level of excellence that has earned national recognition as one of the top 15 healthcare systems in the country. We appreciate the opportunity to discuss becoming an integral part of their community.”

In making the announcement, Mission Health’s Board Vice Chair, John W. Garrett, MD, noted that even though HCA Healthcare is one of the nation’s leading health system operators, it does not currently have operations in North Carolina. “HCA Healthcare is attracted to Mission Health for many reasons, including the reputation of Mission Health clinicians and broader team to deliver best-in-class care and patient outcomes and our shared commitment to innovation. When combined with the ability of the newly formed foundation to enhance access in underserved communities and to invest in solving some of healthcare’s most complex and intractable problems – health risks that are beyond the reach of traditional medicine – it’s an ideal opportunity for our community,” said Dr. Garrett.

“HCA Healthcare appreciates that Mission Health has the capacity to continue its work alone, and yet we both recognize that meeting our core missions could be achieved more effectively together. It is a tribute to the Mission Health Board and team that we are in such a position of strength that we can make the best choice for our people, our patients and our communities,” said Mission Health President and CEO Ronald A. Paulus, MD.

“We are excited to be considering joining HCA Healthcare and benefitting from its caliber and exceptional capabilities in research, clinical trials, data analytics, graduate medical education and more. We believe that HCA Healthcare uniquely provides the experience, scale and resources that will enable Mission Health to enhance and expand our services in western North Carolina,” said Dr. Paulus. “In return, joining HCA Healthcare would allow Mission Health to share our quality and clinical outcome best practices with the broader HCA Healthcare family to the benefit of communities across the nation.”

“It is important to us that HCA Healthcare expresses a commitment to supporting our clinical best practices and our communities’ values,” Dr. Paulus added. “The recognition HCA Healthcare continues to earn for being one of the world’s most ethical companies is compelling.” For the past nine years, HCA Healthcare has been ranked as one of the World’s Most Ethical Companies by the world leader in business ethics, the Ethisphere Institute.

Mission Health is the only health system in North Carolina to be named one of the nation’s Top 15 Health Systems by Truven Health Analytics, an IBM Company, and the only health system in the nation to be named a Top 15 Health System in five of six years.

The transaction contemplated by the LOI is subject to the negotiation of a definitive agreement and applicable regulatory approval.

To learn more and stay informed, the public is invited to visit missionhealthforward.org.

ABOUT MISSION HEALTH
Mission Health, based in Asheville, North Carolina, is the state’s sixth-largest health system. For the fifth time in the past six years, Mission Health has been named one of the nation’s Top 15 Health Systems by Truven Health Analytics, an IBM Company and part of IBM Watson Health in 2017. We are the only health system in North Carolina to achieve this recognition. Mission Health operates six hospitals, numerous outpatient and surgery centers, post-acute care provider CarePartners, long-term acute care provider Asheville Specialty Hospital, and the region’s only dedicated Level II trauma center. With approximately 12,000 team members and 2,000 volunteers, Mission Health is dedicated to improving the health and wellness of the people of western North Carolina. For more information, please visit mission-health.org or @MissionHealthNC.

ABOUT HCA HEALTHCARE
(NYSE: HCA), Nashville-based HCA Healthcare is one of the nation’s leading providers of healthcare services, operating 179 locally managed hospitals and approximately 1,800 outpatient facilities, including surgery centers, freestanding ERs, urgent care centers and physician clinics, in 20 states and the United Kingdom. With its founding in 1968, HCA Healthcare created a new model for hospital care in the United States, using combined resources to strengthen hospitals, deliver patient-focused care and improve the practice of medicine. HCA Healthcare has conducted a number of clinical studies, including one that demonstrated that full-term delivery is healthier than early elective delivery of babies and another that identified a clinical protocol that can reduce bloodstream infections in ICU patients by 44 percent. HCA Healthcare is a learning healthcare system that uses its more than 27 million annual patient encounters to advance science, improve patient care and save lives. Please click here to connect with HCA Healthcare on social media.

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