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HCA potentially not in compliance with purchase deal for NC hospital group

By Carolina Public Press  
   July 30, 2025

For the second year running, HCA is potentially not in compliance with its 2019 purchase agreement for the Asheville-based Mission Health hospital system. The repeated compliance issues raise questions about whether HCA is fulfilling its promise to maintain health care services for Western North Carolina residents. HCA purchased Mission Health, the region's largest hospital system, for $1.5 billion in 2019. In allowing the acquisition, the attorney general's office placed key stipulations on the purchase, to which HCA agreed. 

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