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. This requirement applies to health care facilities that are licensed to provide 24-hour care, such as general acute care hospitals and skilled nursing facilities. The review process includes a public meeting and, when necessary, preparation of an independent health care impact statement to evaluate whether the transaction may create a significant effect on the availability or accessibility of health care services to the affected community. The Attorney General's decision often requires the continuation of existing levels of charity care and community benefits, emergency services and other essential health care services. The Attorney General is required to consider any factors the Attorney General deems relevant including whether the agreement or transaction is in the public interest, is fair and reasonable to the nonprofit corporation, will result in private inurement, is at fair market value, involves any breach of trust, creates a significant effect on the availability or accessibility of health care services, and creates a significant effect on the availability and accessibility of cultural interests provided by the facility in the affected community. Members of the public, patients, employees, elected officials, health care and legal advocates, and hospital management are encouraged to submit written comments on transactions. Notices of transactions are listed below, including instructions on how to submit written comments to staff and information about a public meeting.

The Attorney General's Offices also receives requests to amend conditions imposed by the Attorney General when granting consent for the sale or transfer of a health care facility. Before approving any request to amend a condition, the Attorney General is required to provide public notice of the proposed request for an amendment and information as to how a member of the public can request a public meeting. In approving a request to amend a condition that relates to the operation of a health care facility, such as required levels of charity care and continuation of essential services, the Attorney General considers the effect of the proposed amendment on the availability or accessibility of health care services to the affected community. Members of the public, patients, employees, elected officials, health care and legal advocates, and hospital management are encouraged to submit written comments on transactions and may also request a public meeting. Notices of current requests to amend a condition are listed below, including instructions on how to submit comments to staff and request a public meeting.


Notices

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

Notice of Proposed Change to the Attorney General's Conditions re: change in control and governance of St. Joseph Health System, and Providence Health & Services

St. Joseph Health System and St. Mary Medical Center's Request for Modification of Condition IX

Notice is hereby given that on June 29, 2018, the Attorney General's Office received a request from St. Joseph Health System and St. Mary Medical Center to modify Condition IX of the Attorney General's Decision. The modification seeks a reduction of St. Mary Medical Center's obligation to provide a certain level of charity care under Condition IX. St. Mary Medical Center's Request to Modify Condition IX, pdf.

On June 21, 2016, the Attorney General conditionally approved the proposed change in governance and control of St. Joseph Health System, a California nonprofit public benefit corporation, and Providence Health & Services, a Washington nonprofit corporation, pursuant to the terms of the Health Services Combination Agreement dated November 23, 2015 and Supplemental Agreement dated September 30, 2015. St. Joseph Health System controls the nonprofit corporations that own and operate St. Mary Medical Center, a 212 licensed bed, general acute-care hospital located in Apple Valley. Attorney General St. Joseph Health System, and Providence Health & Services Conditions pertaining to St. Mary Medical Center, pdf.

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 July 12, 2018. Such a request must be made either by emailing Scott.Chan@doj.ca.gov or by telephoning Deputy Attorney General Scott Chan at (415) 510-3430. The request must include the requestor's name and a telephone number at which the requestor can be reached during regular business hours.

Notice for St. Joseph Health System and Adventist Health System/West

Proposed Change of Control and Governance

The Attorney General is reviewing a proposed transaction between Adventist Health System/West, a California nonprofit religious corporation, doing business as Adventist Health, and St. Joseph Health System, a California nonprofit public benefit corporation. Adventist Health System/West and St. Joseph Health System propose forming a jointly held charitable California limited liability company called ST Network, LLC, to provide healthcare delivery through existing health facilities located in the counties of Humboldt, Lake, Mendocino, Napa, Solano, and Sonoma. Adventist Health System/West is the sole member of each of the corporate health facilities participating in the proposed transaction. St. Joseph Health System is the sole member of St. Joseph Health Northern California, LLC, a charitable California limited liability company, which operates the health facilities participating in the proposed transaction.

Five Adventist Health System/West health facilities will be included in the ST Network, LLC:

  1. Adventist Health Clearlake Hospital, Inc. dba Adventist Health Clear Lake, a 32 licensed bed general acute care hospital, located in Clearlake, CA;
  2. St. Helena Hospital dba Adventist Health St. Helena, a 151 licensed bed general acute care hospital, located in St. Helena, CA;
  3. Ukiah Adventist Hospital dba Adventist Health Ukiah Valley, a 68 licensed bed general acute care hospital, located in Ukiah, CA;
  4. Willits Hospital, Inc. dba Adventist Health Howard Memorial, a 25 licensed bed general acute care hospital, located in Willits, CA; and
  5. St. Helena Hospital dba Adventist Health Vallejo, a 61 licensed bed acute psychiatric hospital, located in Vallejo, CA.

Four St. Joseph Health System health facilities will be included in the ST Network, LLC:

  1. Queen of the Valley Medical Center, a 208 licensed bed general acute care hospital, located in Napa, CA;
  2. Santa Rosa Memorial Hospital, a 329 licensed bed general acute care hospital, located in Santa Rosa, CA;
  3. St. Joseph Hospital, a 153 licensed general acute care hospital, located in Eureka, CA; and
  4. Redwood Memorial Hospital, a 35 licensed bed general acute care hospital, located in Fortuna, CA.

ST Network, LLC is being formed under a Master Formation Agreement between Adventist Health System/West, and St. Joseph Health System. The transaction is being reviewed under the written notice review process pursuant to Corporations Code section 5920 et seq.

The terms of the proposed transaction are set forth in the written notices to the Attorney General from Adventist Health System/West, and St. Joseph Health System. If you would like to request a copy of the written notices on CD, please contact Scott Chan at scott.chan@doj.ca.gov or (415) 510-3430 and provide your name and mailing address. Copies of the written notices are also available for review during normal business hours, Monday through Friday, 8:00 am until 5:00 pm at the following locations:

Adventist Health Clear Lake
15630 18th Avenue
Clear Lake, CA 95422
Copies available in Administration
Contact: (707) 994-6486, ext. 5820

Adventist Health St. Helena
10 Woodland Road
St. Helena, CA 94574
Copies available in Administration
Contact: (707) 963-3611, Ext. 5982

Adventist Health Ukiah Valley
275 Hospital Drive
Ukiah, CA 95482
Copies available in Administration
Contact: (707) 463-7360

Adventist Health Howard Memorial
One Marcela Drive
Willits, CA 95490
Copies available in Administration
Contact: (707) 459-6801

Adventist Health Vallejo
525 Oregon Street
Vallejo, CA 94590
Copies available in Administration
Contact: 707-649-4925

Queen of the Valley Medical Center
1000 Trancas St.
Napa, CA 94558
Copies available at the information desk
Contact: (707) 252-4411, ext. 2011

Redwood Memorial Hospital
3300 Renner Drive
Fortuna, CA 95540
Copies available in Administration
Contact: (707) 725-3361, ext. 4353

Santa Rosa Memorial Hospital
1165 Montgomery Drive
Santa Rosa, CA 95405
Copies available in Administration
Contact: (707) 547-5422

St. Joseph Hospital, Eureka
2700 Dolbeer Street
Eureka, CA 95501
Copies available in Administration
Contact: (707) 269-4223


Copies of the written notices are also available on the following websites:
https://www.adventisthealth.org/pages/sacred-trust-application.aspx
www.AdventistHealthHowardMemorial.org
https://www.adventisthealth.org/sthelena
www.AdventistHealthUkiahValley.org
www.AdventistHealthClearLake.org
www.AdventistHealthVallejo.org
www.AdventistHealth.org
www.stjoehumboldt.org
www.stjosephhealth.org
www.stjoesonoma.org
www.thequeen.org
www.stjhs.org.

Notices for Dignity Health

Public Meeting on the Proposed Change in Control and Governance of California Hospital Medical Center, Northridge Hospital Medical Center, Glendale Memorial Hospital and Health Center, and St. Mary Medical Center

The California Attorney General is reviewing the proposed change in control and governance of Dignity Health, a California nonprofit public benefit corporation. Dignity Health operates and controls 31 hospitals in California, including the following in Los Angeles County: California Hospital Medical Center, Northridge Hospital Medical Center, Glendale Memorial Hospital and Health Center, and St. Mary Medical Center. The “Ministry Alignment Agreement” is between Dignity Health and Catholic Health Initiatives, a Colorado nonprofit corporation. The transaction is being reviewed as required by Corporations Code sections 5920 et seq. The terms of the proposed transaction are set forth in the written notice submitted to the California Attorney General. The written notice is available on Dignity Health’s website at www.dignityhealth.org.

The California Attorney General will conduct a public meeting on August 29, 2018, beginning at 10:00 a.m., in the Auditorium at 300 South Spring Street, Los Angeles, CA 90013. The purpose of the public meeting is to receive comments on the proposed change in control and governance of Dignity Health's hospitals located in Los Angeles County and to consider the Health Care Impact Statement for Dignity Health's hospitals in Los Angeles County prepared by consultants engaged by the California Attorney General. The Health Care Impact Statement is now available.

Persons may and are encouraged to present their views on the proposed transaction at the public meeting or by contacting Wendi A. Horwitz, Deputy Attorney General, by telephone at 213-269-6552, by email at wendi.horwitz@doj.ca.gov, by facsimile at (213) 897-7605, or by mail at 300 South Spring Street, Suite 1702, Los Angeles, CA 90013. The deadline for receipt of written comments is September 27, 2018.

This notice is also available in Arabic, Armenian, Cambodian, Chinese, Farsi, Korean, Russian, Spanish, Tagalog, and Vietnamese.

Public Meeting on the Proposed Change in Control and Governance of Saint Francis Memorial Hospital and St. Mary's Medical Center

The California Attorney General is reviewing the proposed change in control and governance of Dignity Health, a California nonprofit public benefit corporation. Dignity Health operates and controls 31 hospitals in California, including the following in City and County of San Francisco: Saint Francis Memorial Hospital and St. Mary's Medical Center. The "Ministry Alignment Agreement" is between Dignity Health and Catholic Health Initiatives, a Colorado nonprofit corporation. The transaction is being reviewed as required by Corporations Code sections 5920 et seq. The terms of the proposed transaction are set forth in the written notice submitted to the California Attorney General. The written notice is available on Dignity Health's website at www.dignityhealth.org.

The California Attorney General will conduct a public meeting on August 23, 2018, beginning at 10:00 a.m., at Mission Creek, 225 Berry Street, San Francisco, CA 94158. The purpose of the public meeting is to receive comments on the proposed change in control and governance of Dignity Health's hospitals located in City and County of San Francisco and to consider the Health Care Impact Statement for Dignity Health's hospitals in City and County of San Francisco prepared by consultants engaged by the California Attorney General. The Health Care Impact Statement is now available.

Persons may and are encouraged to present their views on the proposed transaction at the public meeting or by contacting Wendi A. Horwitz, Deputy Attorney General, by telephone at 213-269-6552, by email at wendi.horwitz@doj.ca.gov, by facsimile at (213) 897-7605, or by mail at 300 South Spring Street, Suite 1702, Los Angeles, CA 90013. The deadline for receipt of written comments is September 27, 2018.

This notice is also available in Chinese, Vietnamese, and Spanish.

Public Meeting on the Proposed Change in Control and Governance of Mercy General Hospital, Mercy San Juan Medical Center, Mercy Hospital of Folsom, and Methodist Hospital of Sacramento

The California Attorney General is reviewing the proposed change in control and governance of Dignity Health, a California nonprofit public benefit corporation. Dignity Health operates and controls 31 hospitals in California, including the following in Sacramento County: Mercy General Hospital, Mercy San Juan Medical Center, Mercy Hospital of Folsom, and Methodist Hospital of Sacramento. The "Ministry Alignment Agreement" is between Dignity Health and Catholic Health Initiatives, a Colorado nonprofit corporation. The transaction is being reviewed as required by Corporations Code sections 5920 et seq. The terms of the proposed transaction are set forth in the written notice submitted to the California Attorney General. The written notice is available on Dignity Health's website at www.dignityhealth.org.

The California Attorney General will conduct a public meeting on August 24, 2018, beginning at 1:00 p.m., at Sacramento County Board of Supervisors Board Chambers, 700 H Street, Suite 1450, Sacramento, CA 95814. The purpose of the public meeting is to receive comments on the proposed change in control and governance of Dignity Health's hospitals located in Sacramento County and to consider the Health Care Impact Statement for Dignity Health's hospitals in Sacramento County prepared by consultants engaged by the California Attorney General. The Health Care Impact Statement is now available.

Persons may and are encouraged to present their views on the proposed transaction at the public meeting or by contacting Wendi A. Horwitz, Deputy Attorney General, by telephone at 213-269-6552, by email at wendi.horwitz@doj.ca.gov, by facsimile at (213) 897-7605, or by mail at 300 South Spring Street, Suite 1702, Los Angeles, CA 90013. The deadline for receipt of written comments is September 27, 2018.

This notice is also available in Arabic, Chinese, Hmong, Russian, Spanish, and Vietnamese.

Proposed Change in Control and Governance

The Attorney General is reviewing the proposed change in control and governance of Dignity Health, a California nonprofit public benefit corporation. Dignity Health operates and controls 31 hospitals in California. The "Ministry Alignment Agreement" is between Dignity Health and Catholic Health Initiatives, a Colorado nonprofit corporation. The transaction is being reviewed as required by Corporations Code sections 5920 et seq.

The terms of the proposed transaction are set forth in the written notice to the Attorney General. The written notice is available on Dignity Health's website at www.dignityhealth.org. If you would like to request a copy of the written notice on CD, please contact Legal Analyst Maria Elena Hernandez at Mariaelena.Hernandez@doj.ca.gov or (213) 269-6561 and provide your name and mailing address. The written notice also is available at the reception or information desk in each of Dignity Health's hospital's main entrance or lobby area unless otherwise indicated. The address of each of Dignity Health's hospitals in California is set forth below:

Arroyo Grande Community Hospital: 345 S. Halcyon Road, Arroyo Grande, CA 93420

California Hospital Medical Center: 1401 S. Grand Avenue, Los Angeles, CA 90015

Community Hospital of San Bernardino: 1805 Medical Center Drive, San Bernardino, CA 92411

Dominican Hospital: 1555 Soquel Drive, Santa Cruz, CA 95065

French Hospital Medical Center: 1911 Johnson Avenue, San Luis Obispo, CA 93401

Glendale Memorial Hospital and Health Center: 1420 S. Central Avenue, Glendale, CA 91204

Marian Regional Medical Center: 1400 E. Church Street, Santa Maria, CA 93454

Memorial Hospital - Bakersfield: 420 34th Street, Bakersfield, CA 93301

Mercy General Hospital: 4001 J Street, Sacramento, CA 95819

Mercy Hospital Downtown: 2215 Truxtun Avenue, Bakersfield, CA 93301

Mercy Hospital of Folsom: 1650 Creekside Drive, Folsom, CA 95630

Mercy Medical Center Merced: 333 Mercy Avenue, Merced, CA 95340

Mercy Medical Center - Mt. Shasta: 914 Pine Street, Mt. Shasta, CA 96067

Mercy Medical Center - Redding: 2175 Rosaline Avenue, Redding, CA 96001

Mercy San Juan Medical Center: 6501 Coyle Avenue, Carmichael, CA 95608

Mercy Hospital Southwest: 400 Old River Road, Bakersfield, CA 93311

Methodist Hospital of Sacramento: 7500 Hospital Avenue, Sacramento, CA 95823

Northridge Hospital Medical Center: 18300 Roscoe Blvd., Northridge, CA 91328

Saint Francis Memorial Hospital: 900 Hyde Street, San Francisco, CA 94109

Sequoia Hospital: 170 Alameda de las Pulgas, Redwood City, CA 94062

Sierra Nevada Memorial Hospital: 155 Glasson Way, Grass Valley, CA 95945

St. Bernardine Medical Center: 2101 N. Waterman Avenue, San Bernardino, CA 92404

St. Elizabeth Community Hospital: 2550 Sister Mary Columbia Drive, Red Bluff, CA 96080

St. John's Pleasant Valley Hospital: 2309 Antonio Avenue, Camarillo, CA 93010

St. John's Regional Medical Center: 1600 Rose Avenue, Oxnard, CA 93030

St. Joseph's Behavioral Health Center: 2510 N. California Street, Stockton, CA 95204
(A copy is available at St. Joseph's Medical Center at 1800 N. California Street, Stockton, CA 95204.)

St. Joseph's Medical Center: 1800 N. California Street, Stockton, CA 95204

St. Mary Medical Center Long Beach: 1050 Linden Avenue, Long Beach, CA 90813

St. Mary's Medical Center: 450 Stanyan Street, San Francisco, CA 94117

Woodland Memorial Hospital: 1325 Cottonwood Street, Woodland, CA 95695

Notice of Proposed Change to the Attorney General's Conditions re: the Affiliation The Hospital Committee for the Livermore-Pleasanton Areas, doing business as ValleyCare Health System

Public Meeting on The Hospital Committee for the Livermore-Pleasanton Areas', doing business as ValleyCare Health System, Request for Modification of Condition

ValleyCare Health System's Request for Modification of Condition IV(b) Report, pdf is now available

The California Attorney General will conduct a public meeting on August 23, 2018, beginning at 10:00 a.m., at 5565 W. Las Positas, Suite 150, Pleasanton, California 94588. The purpose of the public meeting is to receive comments on ValleyCare Health System's request for modification of Condition IV(b) of the Attorney General's Decision issued on April 7, 2015. The modification seeks to eliminate the requirement to maintain and provide "Acute psychiatric services, including a minimum of 14 beds and geriatric behavioral health services at ValleyCare Memorial Hospital," located in Livermore, California. A copy of the Attorney General's Decision is posted on the Attorney General's website at www.oag.ca.gov/charities/nonprofithosp. Prior to the public meeting, a copy of the Attorney General's health care expert's report for the request for modification will be posted on the Attorney General's website.

Persons may and are encouraged to present their views on the proposed transaction in writing to the California Attorney General's Office electronically via email to scott.chan@doj.ca.gov, via facsimile at (415) 703-5480, or by mailing a copy to Scott Chan, Deputy Attorney General, 455 Golden Gate Avenue, Suite 11000, San Francisco, CA 94102. The deadline for receipt of written comments is August 23, 2018.

The Hospital Committee for the Livermore-Pleasanton Areas's Request for Modification of Condition IV(b)

Notice is hereby given that on December 20, 2017, the Attorney General's Office received a request from The Hospital Committee for the Livermore-Pleasanton Areas to modify Condition IV(b) of the Attorney General's Decision. The modification seeks to eliminate the requirement to maintain and provide "Acute psychiatric services, including a minimum of 14 beds and geriatric behavioral health services at ValleyCare Memorial Hospital," located in Livermore, California. The Hospital Committee for the Livermore-Pleasanton Areas's Request to Modify Condition IV(b), pdf

On April 7, 2015, the Attorney General conditionally approved the proposed change in control and governance of The Hospital Committee for the Livermore-Pleasanton Areas, a nonprofit public benefit corporation, doing business as ValleyCare Health System ("ValleyCare"). ValleyCare owns and operates ValleyCare Medical Center, a 167 licensed bed, general acute-care hospital located in Pleasanton, California, and Valley Memorial Hospital, a 75 licensed bed, general acute-care hospital that includes 26 skilled nursing beds. The new sole corporate member of ValleyCare is Stanford Hospital and Clinics, a California nonprofit public benefit corporation that changed its name to "Stanford Health Care". AG ValleyCare Decision, pdf

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 January 26, 2018. Such a request must be made either by emailing Scott.Chan@doj.ca.gov or by telephoning Deputy Attorney General Scott Chan at 415-703-5652. 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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