Making Good

Together, Changing Lives and Growing Opportunities for Western North Carolina

These are the stories of how Mission Health is continuing our more than 130-year legacy of service and caring. We continue to care for our patients, establish partnerships with neighboring organizations and invest in our communities in remarkable ways. We thank all of our team members and community partners, and look forward to the next 130-plus years of caring for western North Carolina together.

In 2017, Mission Health’s community investments to help serve the needs of the people in the 18 westernmost counties of North Carolina totaled more than $201 million. The stories of these partnerships and community investments rarely make the headline newsfeed, yet they are at the heart of what Mission Health does 24 hours a day, 365 days a year. Our mission – to improve the health of the people of western North Carolina – made by the Ladies of the Flower Mission more than a century ago, continues in new and innovative ways. Health and healing is an ongoing journey. We value your support and partnership as we continue changing lives and growing opportunities.


1: A group of people living in the same place or having a particular characteristic in common.
2: A feeling of fellowship with others, as a result of sharing common attitudes, interests and goals.

Our Community's Health Needs: Numbers to Know

More Than 70 %

During the 2015 Community Health Needs Assessment, more than 70 percent of key stakeholders across the region identified social determinants of health as a “major contributor” to local health issues. (2015 PRC Online Key Informant Survey, Western North Carolina)

Between 20-34 %

In 2017, between 20-34 percent of western North Carolina families were cost-burdened, spending more than 30 percent of their family budget on housing and utilities. (North Carolina Housing Coalition)

More Than 200,000

The food insecurity rate in western North Carolina is 14 percent for the 10th and 11th Congressional Districts, which means that more than 200,000 individuals and roughly 22 percent of the region’s children are food insecure. (Feeding America, 2018)  

Learn more about Our Community’s Health Needs.


Partnerships come in many forms. Some are reflected in the stories and data related to our 2017 Community Investment grants. Other partnerships are within an organization, or between organizations, seeking to shed new light on an old process, or to bring different concepts together in creative and innovative ways.
Our community is a large part of the building of the Mission Hospital for Advanced Medicine with 25 subcontractors and 300 construction workers from the western North Carolina region.
At the end of 2017, the project was supporting 362 jobs, generated $46.9 million of new economic activity and increased tax revenues by $9.7 million in Buncombe County.

Beyond Dollars and Cents

Because of western North Carolina’s demographics and our unique safety-net role, we have more Medicare and Medicaid patients than most other health systems, creating perpetual financial challenges. In 2017 alone, Mission was negatively impacted by numerous financial hits, including:

Additional governmental reimbursement cuts

($6 million)

Drug, supply, wages and other input inflation

($52 million)

Year-to-date charity care higher than forecast

($20 million)

The net result? Mission started $64 million worse off than 2016 – and Mission’s entire 2016 operating margin was $54 million (3.3 percent). Despite those headwinds, Mission has achieved remarkable outcomes:

Approximate achieved/projected savings from Year 1 of outcomes-based innovation collaboration with GE Healthcare

($1.5 million)

Identified and implemented cost reductions / FY17

($66.7 million)

Identified and implemented cost reductions / FY18

($68 million)

The combined members operating margin trend has risen steadily from a negative $16.4 million in FY10 to a projected positive $11.7 million for FY17 – showing improvement of $28.2 million over this time.