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Nonprofit Hospital Transaction Notices

California law requires the Attorney General's review and consent for any sale or transfer of a health care facility owned or operated by a nonprofit corporation whose assets are held in public trust. This requirement covers health care facilities that are licensed to provide 24-hour care, such as hospitals and skilled nursing facilities.

The review process includes public meetings and, when necessary, preparation of expert reports. The Attorney General's decision often requires the continuation of existing levels of charity care, continued operation of emergency rooms and other essential services, and other actions necessary to avoid adverse effects on healthcare in the local community.


Notices of nonprofit hospital transactions are posted here during the review process.

Notice of Proposed Change to the Attorney General's Conditions re: the Change in Governance of Saint Agnes Medical Center:

Notice is hereby given that, on October 9, 2014, the Attorney General's Office received a request from Saint Agnes Medical Center to change Condition Six of the Attorney General's Decision. The change proposes to eliminate Saint Agnes Medical Center's obligation to maintain a contract with the County of Fresno to provide crisis psychiatric response services. A copy of Saint Agnes Medical Center request, pdf is now available.

On April 26, 2013, the Attorney General conditionally approved the proposed change of governance of Saint Agnes Medical Center, a 436 licensed bed, acute-care hospital located in Fresno, California. Trinity Health Corporation, an Indiana nonprofit corporation, is the sole corporate member of Saint Agnes Medical Center. Trinity Health Corporation and Catholic Health East, a Pennsylvania nonprofit corporation, entered into a Consolidation Agreement whereby both would have a new sole corporate member, CHE Trinity, Inc., an Indiana nonprofit corporation. A copy of the Attorney General’s Decision, pdf is attached.

Pursuant to Title 11, California Code of Regulations, Section 999.5, subdivision (h)(3), “A public meeting shall be held before the decision is made either at the discretion of the Attorney General or upon the request of any person within 7 days of the public notice.” Persons wishing to request a public meeting must do so by 5:00 p.m. on October 20, 2014. Such a request must be made either by emailing wendi.horwitz@doj.ca.gov or by telephoning Ms. Horwitz at 213-897-2178. The request must include the requestor’s name and a telephone number at which the requestor can be reached during regular business hours.

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Change in Raffle Reporting Requirements

Please note: A single aggregate report for all raffles held during the reporting year is due on or before October 1st. The Nonprofit Raffle Report (Form CT-NRP-2) must be used by all organizations. Precise record-keeping is required as reports that include estimates of proceeds and expenses will not be accepted for filing. Organizations that host raffles as part of a larger fundraising event must maintain a record of raffle proceeds and expenses separate from all other event monies: only raffle proceeds and expenses on Form CT-NRP-2.

Filing a Complaint

Have a complaint against a charity? Please use our complaint form, pdf. Mail the completed form and any attachments to:

  • Registry of Charitable Trusts
  • Office of the Attorney General
  • P.O. Box 903447
  • Sacramento, CA 94203-4470

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