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.

Notices for Altavita Village

Public Meeting on the Proposed Sale of Altavita Village

The Attorney General is reviewing the proposed sale of substantially all of the assets of Air Force Village West, Inc. d/b/a Altavita Village, a California nonprofit public benefit corporation that owns a continuing care retirement community in Riverside, California that includes a 59 licensed-bed skilled nursing facility. The buyer is Senior Living Riverside, LP, a California limited partnership and an affiliate of Westmont Living, Inc., a California for-profit corporation. The proposed nonprofit transaction is being reviewed as required by Corporations Code sections 5914 et seq. The terms of the proposed transaction are set forth in the written notice to the Attorney General. The written notice is available online at www.kccllc.net/altavita/info/9397 or by a link from Altavita Village’s website at https://livealtavita.org.

The California Attorney General will conduct a public meeting on August 6, 2019, beginning at 10:00 a.m., in the Convocation Room at Altavita Village, 17050 Arnold Drive, Riverside, California, 92518. The purpose of the public meeting is to receive comments on the proposed sale of Altavita Village.

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 S. Spring St., Suite 1702, Los Angeles, CA 90013. The deadline for receipt of written comments is August 7, 2019.

This notice is also available in Spanish.

Proposed Sale

The Attorney General is reviewing the proposed sale of substantially all of the assets of Air Force Village West, Inc. d/b/a Altavita Village, a California nonprofit public benefit corporation that owns a continuing care retirement community in Riverside, California that includes a 59 licensed-bed skilled nursing facility. The Asset Purchase Agreement is between Air Force Village West, Inc. d/b/a Altavita Village and Senior Living Riverside, LP, a California limited partnership and an affiliate of Westmont Living, Inc., a California for-profit corporation. The proposed nonprofit transaction is being reviewed as required by Corporations Code sections 5914 et seq.

The terms of the proposed transaction are set forth in the written notice to the Attorney General. The written notice is available online at www.kccllc.net/altavita/info/9397 or by a link from Altavita Village’s website at https://livealtavita.org. If you would like to request a copy of the written notice on CD, please contact Legal Secretary Aida Paraiso at aida.paraiso@doj.ca.gov or at (213) 269-6488 and provide your name and mailing address. A copy of the written notice is also available at Altavita Village’s Administration Office and Library located at 17050 Arnold Drive, Riverside, California, 92518.

Notices for Verity Health System, St. Francis Medical Center, St. Vincent Medical Center, and Seton Medical Center

Proposed Sale

The Attorney General is reviewing the proposed sale of St. Francis Medical Center, a 314-licensed bed general acute care hospital located in Lynwood, California, St. Vincent Medical Center, a 339-licensed bed general acute care hospital located in Los Angeles, California, Seton Medical Center, a 250-licensed bed general acute care hospital located in Daly City, California and Seton Coastside, a 5-licensed bed general acute care hospital and 116-licensed bed skilled nursing facility, located in Moss Beach, California. The "Asset Purchase Agreement" is among Verity Health System of California, Inc., a California nonprofit public benefit corporation, Verity Holdings, LLC, a California limited liability company, St. Francis Medical Center, a California nonprofit public benefit corporation, St. Vincent Medical Center, a California nonprofit public benefit corporation, St. Vincent Dialysis Center, Inc., a California nonprofit public benefit corporation, and Seton Medical Center, a California nonprofit public benefit corporation, as Sellers, and Strategic Global Management, Inc., a California for-profit corporation as Purchaser. The Sellers have requested that the Attorney General review the submission as both a request for approval of the proposed sale to the Purchaser under California Corporations Code Section 5914, and concurrently, a request to amend the prior Conditions issued by the Attorney General on December 3, 2015 under Title 11, California Code of Regulations, Section 999.5, subdivision (h).

The above description of the notice is also available in other languages

The terms of the proposed sale are set forth in the written notice to the Attorney General. If you would like to request a copy of the written notice 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 notice are also available for review during normal business hours at the following locations:

Notices for Delano Regional Medical Center

The Delano Regional Medical Center Health Care Impact Statement is now available.

Public Meeting on the Proposed Change in Control and Governance of Delano Regional Medical Center

The California Attorney General is reviewing the proposed change in control and governance of Delano Regional Medical Center, a 156-licensed bed general acute care hospital in Delano, California. The “Affiliation Agreement” is between Adventist Health System/West, a California nonprofit religious corporation, and Central California Foundation for Health, a California nonprofit public benefit 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 Delano Regional Medical Center’s website at Delano Regional Medical Center.

The California Attorney General will conduct a public meeting on May 10, 2019, beginning at 11:00 a.m., in the Zacharias Center of the Administration Building at Delano Regional Medical Center located at 1401 Garces Highway, Delano, CA 93215. The purpose of the public meeting is to receive comments on the proposed change in control and governance of Delano Regional Medical Center and to consider the Health Care Impact Statement for Delano Regional Medical Center prepared by consultants engaged by the California Attorney General. Prior to the public meeting, the Health Care Impact Statement will be available on the California Attorney General's website at http://www.oag.ca.gov/charities/nonprofithosp.

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 May 14, 2019.

This notice is also available in Spanish.


Proposed Change in Control and Governance

The Attorney General is reviewing the proposed change in control and governance of Delano Regional Medical Center, a 156-licensed bed general acute care hospital in Delano, California. The “Affiliation Agreement” is between Adventist Health System/West, a California nonprofit religious corporation, and Central California Foundation for Health, a California nonprofit public benefit 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 Delano Regional Medical Center’s website. 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 copy of the written notice is also available at the Administrative Offices at Delano Regional Medical Center located at 1401 Garces Highway, Delano, CA 93215.

Notices of Verity Health System of California, Inc.'s Termination of Health System Management Agreement

The Attorney General has received notice that Verity Health System of California, Inc. seeks to terminate its Health System Management Agreement with Integrity Healthcare, LLC and to directly retain and employ the same individuals currently providing management services. This notice is given pursuant to Condition II of the Attorney General's Decision dated December 3, 2015, conditionally consenting to the proposed change in governance and control of Daughters of Charity Ministry Services Corporation and Daughters of Charity Health System. The termination of the Health System Management Agreement requires 60 days' notice and approval by the Attorney General.

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

The Health Care Impact Statements are now available:

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 Administrative locations unless otherwise indicated:

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

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

Adventist Health Ukiah Valley: 275 Hospital Drive, Ukiah, CA 95482. Contact: (707) 463-7360

Adventist Health Howard Memorial: One Marcela Drive, Willits, CA 95490. Contact: (707) 648-2200, (707) 459-6801

Adventist Health Vallejo: 525 Oregon Street, Vallejo, CA 94590. Contact: (707) 649-4925

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

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

Santa Rosa Memorial Hospital: 1165 Montgomery Drive, Santa Rosa, CA 95405. Contact: (707) 547-5495, (707) 547-5422

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

Public Meeting on the Proposed Change of Control and Governance

The California Attorney General will conduct public meetings concerning the proposed transaction between St. Joseph Health System and Adventist Health System/West. The purpose of the public meetings is to receive comments on the proposed transaction and its affects on the communities served by both health systems, and to consider any Health Care Impact Statement prepared by consultants engaged by the California Attorney General in connection with the California Attorney General's review of this transaction, as required by Corporations Code section 5920 et seq. or to consider prior Conditions issued by the Attorney General. Prior to the public meetings, any Health Care Impact Statement will be available on the California Attorney General's website at http://www.oag.ca.gov/charities/nonprofithosp.

The public meetings are scheduled below:

Humboldt County
St. Joseph Hospital, Eureka, and Redwood Memorial Hospital, Fortuna
June 26, 2019, beginning at 10:00 a.m., at the Wharfinger Building and Eureka Public Marina located at 1 Marina Way, Eureka, California 95501

Lake County
Adventist Health Clearlake
June 27, 2019, beginning at 10:00 a.m., at The Konocti Education Center-Cornelison Event Center located at 15850-A Dam Road Extension, Clearlake, CA 95422

Sonoma County
Santa Rosa Memorial Hospital
June 28, 2019, beginning at 12:00 Noon, at The Finley Community Center located at 2060 W. College Ave., Santa Rosa, California 95401

Solano County
Adventist Health Vallejo
July 1, 2019, beginning at 10:00 a.m., at the North Vallejo Community Center located at 1121 Whitney Avenue, Vallejo, California 94589

Mendocino County
Adventist Health Ukiah Valley, Adventist Health Howard Memorial
July 2, 2019, beginning at 10:00 a.m., at Willits Community Center located at 111 E Commercial St, Willits, CA 95490

Napa County
Adventist Health St. Helena, Queen of the Valley Medical Center
July 3, 2019, beginning at 10:00 a.m., at the Calistoga Community Center located at 1307 Washington St, Calistoga, CA 94515

Prior Attorney General conditions on St. Joseph Hospitals. Queen of the Valley, Redwood Memorial of Fortuna, St. Joseph Hospital of Eureka, Santa Rosa Memorial

This notice is also available in Spanish for each county listed above: Humboldt County, Lake County, Mendocino County, Napa County, Solano County, Sonoma County

This notice is also available in Tagalog for each county listed above: Solano County


Public Meeting in Napa on the Proposed Change of Control and Governance

Napa County

The California Attorney General will conduct a public meeting concerning this proposed transaction on August 2, 2019, beginning at 10:00 a.m., at the City of Napa Council Chambers located at Napa City Hall, 955 School Street, Napa, CA 94559, (707) 257-9503. The purpose of the public meeting is to receive comments on the proposed transaction and its affects on the communities served by Adventist Health St. Helena, and Queen of the Valley Medical Center, and to consider comments on the Health Care Impact Statements prepared by consultants engaged by the California Attorney General in connection with the California Attorney General's review of this transaction, on prior conditions issued by the Attorney General’s office pertaining to Queen of the Valley Medical Center, or consider comments on any other hospital or issue concerning the proposed transaction. The Health Care Impact Statements and prior conditions con found for the following: Queen of the Valley, Redwood Memorial of Fortuna, St. Joseph Hospital of Eureka, and Santa Rosa Memorial.

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) 415-510-3430, or by mailing a copy to Scott Chan, Deputy Attorney General, 455 Golden Gate Avenue, Suite 11000, San Francisco, CA 94102.

This notice is also available in Spanish language.

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