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17 Struggling California Hospitals Accept Millions in Interest-Free Loans
3 California Hospitals Declared Bankruptcy This Year. Health Chains Could Keep Them Alive
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"content": "\u003cp>Seventeen \u003ca href=\"https://hcai.ca.gov/california-announces-300-million-in-financial-support-for-community-hospitals-across-the-state/\">financially distressed California hospitals\u003c/a> — including three that filed for bankruptcy earlier this year — will receive close to $300 million in interest-free loans, state officials announced Thursday.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">Madera Community Hospital\u003c/a>, which closed its doors in January, stands to receive the biggest chunk, $52 million. The money comes from the Distressed Hospital Loan Program, which the Legislature created to support rural and independent hospitals that faced financial challenges coming out of the COVID-19 pandemic.\u003c/p>\n\u003cp>The Madera hospital had requested $80 million, but the money it received is expected to be enough to fund a reopening for the rural hospital about 25 miles north of Fresno.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Adventist Health, which operates hospitals in four West Coast states, last month announced a proposal to take over Madera’s operations through a management agreement, contingent on it receiving the state funds. In a letter outlining its terms, Adventist \u003ca href=\"https://calmatters.org/wp-content/uploads/2023/08/Madera-LOI-20230727-final.pdf\">projected needing $55 million to reopen (PDF)\u003c/a> and another $30 million to sustain operations in the second year.[aside postID=news_11958245 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/08/033023_Hollister_Hospital_LV_CM_01-1020x680.jpg']Madera will initially receive $2 million to cover immediate operating costs. Officials at Adventist Health and Madera Community will have to submit a “comprehensive hospital turnaround plan” and, if approved, will then become eligible to receive the remaining $50 million.\u003c/p>\n\u003cp>“This financial assistance is an important step in the right direction to help Madera Community Hospital reopen its doors to the community. We have more work to do, but I’m proud to have led this effort,” said Assemblymember Esmeralda Soria, a Fresno Democrat whose district includes Madera and who authored legislation that led to the loan program.\u003c/p>\n\u003cp>Adventist Health in a written statement said it is working with “community partners and stakeholders in developing a thoughtful, comprehensive hospital turnaround plan.”\u003c/p>\n\u003cp>Beverly Hospital, located east of Los Angeles, will receive $5 million to cover operations while it is in bankruptcy. The hospital applied for $35 million, but it is now set to be bought by Adventist Health White Memorial. A bankruptcy judge last week approved \u003ca href=\"https://oag.ca.gov/system/files/media/bh-638.pdf\">Adventist’s $39 million purchase of Beverly (PDF)\u003c/a>.[pullquote size=\"medium\" align=\"right\" citation=\"State Treasurer Fiona Ma\"]‘The hospitals approved for this program have shown a detailed plan for financial recovery and these funds will help them keep the doors open so they can keep serving their communities.’[/pullquote]Another bankrupt hospital, Hazel Hawkins Memorial, will receive the $10 million it requested. It’s the only source of emergency care in San Benito County, a rural community east of Monterey.\u003c/p>\n\u003cp>“The hospitals approved for this program have shown a detailed plan for financial recovery and these funds will help them keep the doors open so they can keep serving their communities,” said State Treasurer Fiona Ma, whose office is helping administer the funds. Ma said her team has already begun providing instructions and assistance to the awarded hospitals.\u003c/p>\n\u003ch2>Biggest loans to distressed hospitals\u003c/h2>\n\u003cp>The Department of Health Care Access and Information reviewed applications and selected hospitals for the program. Thirty hospitals applied for loans.\u003c/p>\n\u003cp>Other hospitals that will receive significant funding include the following:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.tricitymed.org/wp-content/uploads/2023/07/agenda-packet.Special-Meeting-7.27.23.pdf\">Tri-City Medical Center (PDF)\u003c/a> in San Diego will receive $33.2 million. The hospital recently announced plans to suspend its labor and delivery services amid “financial losses.”\u003c/li>\n\u003cli>\u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">Kaweah Delta Health Care District\u003c/a> in Visalia will get a $20.8 million loan. This hospital laid off 130 employees late last year.\u003c/li>\n\u003cli>\u003ca href=\"https://inewsource.org/2023/02/07/el-centro-hospital-financial-problems/\">El Centro Regional Medical Center\u003c/a> in Imperial County, which in January closed its maternity ward, will receive $28 million.\u003c/li>\n\u003cli>\u003ca href=\"https://pmhd.org/\">Pioneers Memorial Healthcare District\u003c/a>, Imperial County’s only other hospital, also is set to receive $28 million.\u003c/li>\n\u003cli>\u003ca href=\"https://www.dameronhospital.org/\">Dameron Hospital\u003c/a> in Stockton, now also being managed by Adventist Health, will be loaned $29 million.\u003c/li>\n\u003c/ul>\n\u003ch2>Vulnerable California hospitals\u003c/h2>\n\u003cp>Most California hospitals are part of large networks that can navigate turbulent financial periods. A number of community and independent hospitals have struggled for years, especially after the peak of the pandemic. Some recently reduced services or laid off staff.[aside label='More on Health Care' tag='health-care']Hospitals have pointed to a number of factors for their distressed state — increased labor costs, and inadequate reimbursement from public insurance programs, Medicare and Medi-Cal, and in \u003ca href=\"https://fresnoland.org/2023/03/01/reimbursements-rates-madera-hospital-closure/\">some cases private insurance.\u003c/a>\u003c/p>\n\u003cp>Some hospitals began to ask the state for help late last year, but the closure of Madera Community Hospital prompted more urgency from lawmakers. It shut its doors after Trinity Health, a large Catholic health system, pulled out of negotiations to purchase the hospital.\u003c/p>\n\u003cp>Madera Community Hospital in the San Joaquin Valley was the only general acute care hospital in the county of about 160,000 people. The closest emergency rooms are about \u003ca href=\"https://www.fresnobee.com/news/local/article272712840.html\">30 and 40 minutes drive away in Fresno and Merced\u003c/a>.\u003c/p>\n\u003cp>The Distressed Hospital Loan Program closes at the end of 2031. Hospitals will get an 18-month grace period and then will have to repay loans over a six-year period.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Seventeen \u003ca href=\"https://hcai.ca.gov/california-announces-300-million-in-financial-support-for-community-hospitals-across-the-state/\">financially distressed California hospitals\u003c/a> — including three that filed for bankruptcy earlier this year — will receive close to $300 million in interest-free loans, state officials announced Thursday.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">Madera Community Hospital\u003c/a>, which closed its doors in January, stands to receive the biggest chunk, $52 million. The money comes from the Distressed Hospital Loan Program, which the Legislature created to support rural and independent hospitals that faced financial challenges coming out of the COVID-19 pandemic.\u003c/p>\n\u003cp>The Madera hospital had requested $80 million, but the money it received is expected to be enough to fund a reopening for the rural hospital about 25 miles north of Fresno.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Adventist Health, which operates hospitals in four West Coast states, last month announced a proposal to take over Madera’s operations through a management agreement, contingent on it receiving the state funds. In a letter outlining its terms, Adventist \u003ca href=\"https://calmatters.org/wp-content/uploads/2023/08/Madera-LOI-20230727-final.pdf\">projected needing $55 million to reopen (PDF)\u003c/a> and another $30 million to sustain operations in the second year.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Madera will initially receive $2 million to cover immediate operating costs. Officials at Adventist Health and Madera Community will have to submit a “comprehensive hospital turnaround plan” and, if approved, will then become eligible to receive the remaining $50 million.\u003c/p>\n\u003cp>“This financial assistance is an important step in the right direction to help Madera Community Hospital reopen its doors to the community. We have more work to do, but I’m proud to have led this effort,” said Assemblymember Esmeralda Soria, a Fresno Democrat whose district includes Madera and who authored legislation that led to the loan program.\u003c/p>\n\u003cp>Adventist Health in a written statement said it is working with “community partners and stakeholders in developing a thoughtful, comprehensive hospital turnaround plan.”\u003c/p>\n\u003cp>Beverly Hospital, located east of Los Angeles, will receive $5 million to cover operations while it is in bankruptcy. The hospital applied for $35 million, but it is now set to be bought by Adventist Health White Memorial. A bankruptcy judge last week approved \u003ca href=\"https://oag.ca.gov/system/files/media/bh-638.pdf\">Adventist’s $39 million purchase of Beverly (PDF)\u003c/a>.\u003c/p>\u003c/div>",
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"content": "‘The hospitals approved for this program have shown a detailed plan for financial recovery and these funds will help them keep the doors open so they can keep serving their communities.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Another bankrupt hospital, Hazel Hawkins Memorial, will receive the $10 million it requested. It’s the only source of emergency care in San Benito County, a rural community east of Monterey.\u003c/p>\n\u003cp>“The hospitals approved for this program have shown a detailed plan for financial recovery and these funds will help them keep the doors open so they can keep serving their communities,” said State Treasurer Fiona Ma, whose office is helping administer the funds. Ma said her team has already begun providing instructions and assistance to the awarded hospitals.\u003c/p>\n\u003ch2>Biggest loans to distressed hospitals\u003c/h2>\n\u003cp>The Department of Health Care Access and Information reviewed applications and selected hospitals for the program. Thirty hospitals applied for loans.\u003c/p>\n\u003cp>Other hospitals that will receive significant funding include the following:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.tricitymed.org/wp-content/uploads/2023/07/agenda-packet.Special-Meeting-7.27.23.pdf\">Tri-City Medical Center (PDF)\u003c/a> in San Diego will receive $33.2 million. The hospital recently announced plans to suspend its labor and delivery services amid “financial losses.”\u003c/li>\n\u003cli>\u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">Kaweah Delta Health Care District\u003c/a> in Visalia will get a $20.8 million loan. This hospital laid off 130 employees late last year.\u003c/li>\n\u003cli>\u003ca href=\"https://inewsource.org/2023/02/07/el-centro-hospital-financial-problems/\">El Centro Regional Medical Center\u003c/a> in Imperial County, which in January closed its maternity ward, will receive $28 million.\u003c/li>\n\u003cli>\u003ca href=\"https://pmhd.org/\">Pioneers Memorial Healthcare District\u003c/a>, Imperial County’s only other hospital, also is set to receive $28 million.\u003c/li>\n\u003cli>\u003ca href=\"https://www.dameronhospital.org/\">Dameron Hospital\u003c/a> in Stockton, now also being managed by Adventist Health, will be loaned $29 million.\u003c/li>\n\u003c/ul>\n\u003ch2>Vulnerable California hospitals\u003c/h2>\n\u003cp>Most California hospitals are part of large networks that can navigate turbulent financial periods. A number of community and independent hospitals have struggled for years, especially after the peak of the pandemic. Some recently reduced services or laid off staff.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Hospitals have pointed to a number of factors for their distressed state — increased labor costs, and inadequate reimbursement from public insurance programs, Medicare and Medi-Cal, and in \u003ca href=\"https://fresnoland.org/2023/03/01/reimbursements-rates-madera-hospital-closure/\">some cases private insurance.\u003c/a>\u003c/p>\n\u003cp>Some hospitals began to ask the state for help late last year, but the closure of Madera Community Hospital prompted more urgency from lawmakers. It shut its doors after Trinity Health, a large Catholic health system, pulled out of negotiations to purchase the hospital.\u003c/p>\n\u003cp>Madera Community Hospital in the San Joaquin Valley was the only general acute care hospital in the county of about 160,000 people. The closest emergency rooms are about \u003ca href=\"https://www.fresnobee.com/news/local/article272712840.html\">30 and 40 minutes drive away in Fresno and Merced\u003c/a>.\u003c/p>\n\u003cp>The Distressed Hospital Loan Program closes at the end of 2031. Hospitals will get an 18-month grace period and then will have to repay loans over a six-year period.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>Lea esta historia en \u003ca href=\"https://calmatters.org/calmatters-en-espanol/2023/08/tres-hospitales-de-california-se-declararon-en-bancarrota-este-ano-y-las-cadenas-de-servicios-de-salud-podrian-mantenerlos-con-vida/\">español\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>Three California hospitals that declared bankruptcy earlier this year are hashing out deals that could bring back or save much-needed health-care services for their communities.\u003c/p>\n\u003cp>Defunct Madera Community Hospital in the San Joaquin Valley, cash-strapped Beverly Community Hospital east of Los Angeles and Hazel Hawkins Memorial Hospital in rural San Benito County are trying to clinch lifelines in deals with health chains that have a reputation for revitalizing distressed hospitals.\u003c/p>\n\u003cp>The proposals are far from the finish line, but they present a glimpse of hope for residents who face longer journeys to emergency rooms and increased risk when local medical centers close. Two of the three — Madera Community and Hazel Hawkins — are the only hospitals in their counties.\u003c/p>\n\u003cp>“This is really great news. There will be a number of stages, and the first stage is for [partnering chains] to indicate their interest,” said state Sen. Anna Caballero, a Democrat whose district includes Madera and San Benito counties. “Now there’s a lot of work that has to happen in a very quick period of time.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Madera Community, which shut down at the start of the year, is trying to secure a management agreement with Adventist Health, \u003ca href=\"https://www.definitivehc.com/resources/healthcare-insights/top-largest-california-health-systems-number-beds#:~:text=Which%20health%20systems%20have%20the,the%20top%20of%20our%20list.\">the seventh largest health system\u003c/a> in the state. As proposed, Adventist would take over operations of \u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">the closed hospital\u003c/a> and its affiliated rural clinics. If all goes according to plan, Madera Community could reopen in six-to-nine months.\u003c/p>\n\u003cp>Adventist Health is also a candidate to buy Beverly Community Hospital in the city of Montebello outside of Los Angeles. That hospital has to secure a deal ahead of a key bankruptcy court deadline this week.\u003c/p>\n\u003cp>Meanwhile, Hazel Hawkins Memorial Hospital in Hollister recently announced a proposed “lease to own” partnership with American Advanced Management, a company that operates six other California hospitals.\u003c/p>\n\u003cp>The three are among a handful of hospitals that in the past year or so publicly announced their financial troubles. The state responded this spring with a \u003ca href=\"https://calmatters.org/health/2023/05/hospital-closures-california-2/\">$300 million interest-free loan program\u003c/a> that can provide emergency funds to hospitals. The state is expected to distribute the money later this month. The three bankrupt hospitals have already asked for $125 million.\u003c/p>\n\u003ch2>Saving Madera Community Hospital\u003c/h2>\n\u003cp>The proposed partnership in Madera is largely dependent on Madera Community securing an $80 million loan from the state’s \u003ca href=\"https://hcai.ca.gov/construction-finance/distressed-hospital-loan-program/\">Distressed Hospital Loan Program\u003c/a>.\u003c/p>\n\u003cp>Karen Paolinelli, chief executive of Madera Community Hospital, told CalMatters that while she recognizes the requested amount is substantial, her hospital is the only one that is currently closed. “It is very expensive to reopen a hospital,” she said. “We don’t want to just reopen, we want to be sustainable; we don’t want to be back here in a couple of years.”[pullquote size=\"medium\" align=\"right\" citation=\"Karen Paolinelli, chief executive of Madera Community Hospital\"]‘We don’t want to just reopen, we want to be sustainable; we don’t want to be back here in a couple of years.’[/pullquote]Madera is also awaiting \u003ca href=\"https://sd14.senate.ca.gov/news/press-release/caballero-bigelow-land-budget-deal-madera-hospital-allowing-it-continue-provide\">another $5 million in state funding\u003c/a> that was granted in last year’s budget but placed on hold when the hospital closed.\u003c/p>\n\u003cp>In a \u003ca href=\"https://calmatters.org/wp-content/uploads/2023/08/Madera-LOI-20230727-final.pdf\">letter outlining its terms (PDF)\u003c/a>, Adventist Health said it will require at least $55 million to fund staffing, supplies, maintenance, training and services in the first year, and another $30 million in the second year. Madera Community Hospital would have to pay Adventist a management fee.\u003c/p>\n\u003cp>In exchange, the health system would provide its management expertise and personnel to support Madera’s reopening. According to the proposal, Adventist would have the option to purchase the hospital after three years.\u003c/p>\n\u003cfigure id=\"attachment_11958264\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11958264\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-800x533.jpeg\" alt=\"Empty building covered with a tarp.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-800x533.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-1020x680.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-160x107.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-1536x1024.jpeg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-1920x1280.jpeg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM.jpeg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Outlines of the Madera Community Hospital sign being covered by a tarp at the Emergency Room entrance of the hospital on Jan. 2, 2023. Madera County Sheriff Tyson Pogue announced a state of emergency for the county when the hospital shut its doors due to bankruptcy. \u003ccite>(Larry Valenzuela, CalMatters/CatchLight Local)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Paolinelli said a management agreement is the hospital’s best bet at reopening. It has not found a buyer for a straightforward sale. Paolinelli said she has not discussed with Adventist whether she will stay on as head of the hospital.\u003c/p>\n\u003cp>Adventist Health has experience reopening closed hospitals. For example, five years ago Adventist reopened and rebranded what was once known as \u003ca href=\"https://www.visaliatimesdelta.com/story/news/2019/04/30/tulare-regional-medical-center-no-more-adventist-makes-official/3621956002/\">Tulare Regional Medical Center\u003c/a>. That hospital is now Adventist Health Tulare.\u003c/p>\n\u003ch2>Obstacles to Beverly hospital’s sale\u003c/h2>\n\u003cp>Beverly Community, a 202-bed hospital in Montebello east of Los Angeles, filed for bankruptcy in April. It \u003ca href=\"https://beverly.org/public-notice-march-16-2023/\">suspended a number of services\u003c/a> by June, including maternity, pediatric and outpatient radiology.\u003c/p>\n\u003cp>The Attorney General’s office last month announced the conditional approval of the hospital’s sale to a Glendale-based chain called American Healthcare Systems. That proposed deal is quickly dissolving.\u003c/p>\n\u003cp>According to bankruptcy court documents, bondholders raised concerns about American Healthcare Systems’ ability to support the hospital financially. Recent filings show that Beverly Hospital is now exploring an alternative transaction with Adventist Health.\u003c/p>\n\u003cp>“Given Beverly Hospital’s critically low cash position and as of now uncertainty about state funding (from loan program), the bid from Adventist Health represents Beverly’s greatest chance of continuing to serve the community it has served for the past 75 years,” said Justin Bernbrock, a lawyer for Beverly Hospital.\u003c/p>\n\u003cp>This month will be key for the hospital. Beverly is losing about $5 million a month and projects to run out of cash by September, court documents show. The hospital applied for $35 million from the Distressed Hospital Loan Program.\u003c/p>\n\u003cp>On Thursday, the hospital is due to present a deal proposal to a bankruptcy court judge.\u003c/p>\n\u003ch2>Hazel Hawkins takes first step with potential partner\u003c/h2>\n\u003cp>The 25-bed Hazel Hawkins Memorial Hospital is San Benito County’s sole hospital. After months of looking for potential partners, management at Hazel Hawkins recently announced that it received a “letter of intent” from Modesto-based American Advanced Management.\u003c/p>\n\u003cp>The small chain is a private, for-profit company that operates six other hospitals in the state. It’s proposing to lease Hazel Hawkins \u003ca href=\"https://www.hazelhawkins.com/documents/content/8.7.23-SBHCD-Board-of-Directors-Special-Meeting.pdf\">for five-to-10 years (PDF)\u003c/a> before having the option to purchase the hospital.\u003c/p>\n\u003cp>American Advanced Management has taken over a handful of distressed or closed hospitals in rural parts of the state, \u003ca href=\"https://americanam.org/locations/\">according to its website\u003c/a>. These include Coalinga Regional Medical Center, Glenn Medical Center and Colusa Medical Center.\u003c/p>\n\u003cp>Hazel Hawkins is part of a publicly governed health care district, and the deal would need to be approved by the district’s board and by county voters.[aside tag=\"hospital\" label=\"More Related Stories\"]Hospital leaders sought a partner that, among other things, “possessed the resources to guarantee a continuum of care delivery for the future needs of our county,” Mary Casillas, interim CEO at Hazel Hawkins, said in a statement.\u003c/p>\n\u003cp>Hazel Hawkins declared a fiscal crisis late last year, and in May filed for Chapter 9 bankruptcy, but has continued to provide services. Last month, the hospital \u003ca href=\"https://www.hazelhawkins.com/documents/content/7.27.23-SBHCD-Board-of-Directors-Meeting.pdf\">applied for $10 million (PDF)\u003c/a> from the state’s Distressed Hospital Loan Program. If the hospital is approved for this loan, it would be in addition to a separate $3 million loan it received from the state in January.\u003c/p>\n\u003cp>In its May bankruptcy filings, the hospital said it expected to run out of cash in November 2024. At least one group, the California Nurses Association, has questioned whether the hospital filed for bankruptcy prematurely. The nurses union said it has asked the hospital to explain how it calculates its projections but has not received answers.\u003c/p>\n\u003cp>According to its financial statements, the hospital reported earnings of just over \u003ca href=\"https://siera.hcai.ca.gov/ProfileCharacteristics.aspx\">$2 million in calendar year 2022\u003c/a>.\u003c/p>\n\u003cp>The union represents about 120 nurses at Hazel Hawkins. Filing for bankruptcy, according to the union, has prompted nurses to leave for jobs in other hospitals, leaving staff there shorthanded.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit \u003ca href=\"http://www.chcf.org/\">www.chcf.org\u003c/a> to learn more.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Lea esta historia en \u003ca href=\"https://calmatters.org/calmatters-en-espanol/2023/08/tres-hospitales-de-california-se-declararon-en-bancarrota-este-ano-y-las-cadenas-de-servicios-de-salud-podrian-mantenerlos-con-vida/\">español\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>Three California hospitals that declared bankruptcy earlier this year are hashing out deals that could bring back or save much-needed health-care services for their communities.\u003c/p>\n\u003cp>Defunct Madera Community Hospital in the San Joaquin Valley, cash-strapped Beverly Community Hospital east of Los Angeles and Hazel Hawkins Memorial Hospital in rural San Benito County are trying to clinch lifelines in deals with health chains that have a reputation for revitalizing distressed hospitals.\u003c/p>\n\u003cp>The proposals are far from the finish line, but they present a glimpse of hope for residents who face longer journeys to emergency rooms and increased risk when local medical centers close. Two of the three — Madera Community and Hazel Hawkins — are the only hospitals in their counties.\u003c/p>\n\u003cp>“This is really great news. There will be a number of stages, and the first stage is for [partnering chains] to indicate their interest,” said state Sen. Anna Caballero, a Democrat whose district includes Madera and San Benito counties. “Now there’s a lot of work that has to happen in a very quick period of time.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Madera Community, which shut down at the start of the year, is trying to secure a management agreement with Adventist Health, \u003ca href=\"https://www.definitivehc.com/resources/healthcare-insights/top-largest-california-health-systems-number-beds#:~:text=Which%20health%20systems%20have%20the,the%20top%20of%20our%20list.\">the seventh largest health system\u003c/a> in the state. As proposed, Adventist would take over operations of \u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">the closed hospital\u003c/a> and its affiliated rural clinics. If all goes according to plan, Madera Community could reopen in six-to-nine months.\u003c/p>\n\u003cp>Adventist Health is also a candidate to buy Beverly Community Hospital in the city of Montebello outside of Los Angeles. That hospital has to secure a deal ahead of a key bankruptcy court deadline this week.\u003c/p>\n\u003cp>Meanwhile, Hazel Hawkins Memorial Hospital in Hollister recently announced a proposed “lease to own” partnership with American Advanced Management, a company that operates six other California hospitals.\u003c/p>\n\u003cp>The three are among a handful of hospitals that in the past year or so publicly announced their financial troubles. The state responded this spring with a \u003ca href=\"https://calmatters.org/health/2023/05/hospital-closures-california-2/\">$300 million interest-free loan program\u003c/a> that can provide emergency funds to hospitals. The state is expected to distribute the money later this month. The three bankrupt hospitals have already asked for $125 million.\u003c/p>\n\u003ch2>Saving Madera Community Hospital\u003c/h2>\n\u003cp>The proposed partnership in Madera is largely dependent on Madera Community securing an $80 million loan from the state’s \u003ca href=\"https://hcai.ca.gov/construction-finance/distressed-hospital-loan-program/\">Distressed Hospital Loan Program\u003c/a>.\u003c/p>\n\u003cp>Karen Paolinelli, chief executive of Madera Community Hospital, told CalMatters that while she recognizes the requested amount is substantial, her hospital is the only one that is currently closed. “It is very expensive to reopen a hospital,” she said. “We don’t want to just reopen, we want to be sustainable; we don’t want to be back here in a couple of years.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Madera is also awaiting \u003ca href=\"https://sd14.senate.ca.gov/news/press-release/caballero-bigelow-land-budget-deal-madera-hospital-allowing-it-continue-provide\">another $5 million in state funding\u003c/a> that was granted in last year’s budget but placed on hold when the hospital closed.\u003c/p>\n\u003cp>In a \u003ca href=\"https://calmatters.org/wp-content/uploads/2023/08/Madera-LOI-20230727-final.pdf\">letter outlining its terms (PDF)\u003c/a>, Adventist Health said it will require at least $55 million to fund staffing, supplies, maintenance, training and services in the first year, and another $30 million in the second year. Madera Community Hospital would have to pay Adventist a management fee.\u003c/p>\n\u003cp>In exchange, the health system would provide its management expertise and personnel to support Madera’s reopening. According to the proposal, Adventist would have the option to purchase the hospital after three years.\u003c/p>\n\u003cfigure id=\"attachment_11958264\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11958264\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-800x533.jpeg\" alt=\"Empty building covered with a tarp.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-800x533.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-1020x680.jpeg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-160x107.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-1536x1024.jpeg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM-1920x1280.jpeg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/010423-MaderCommnityHospital-LV_08-CM.jpeg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Outlines of the Madera Community Hospital sign being covered by a tarp at the Emergency Room entrance of the hospital on Jan. 2, 2023. Madera County Sheriff Tyson Pogue announced a state of emergency for the county when the hospital shut its doors due to bankruptcy. \u003ccite>(Larry Valenzuela, CalMatters/CatchLight Local)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Paolinelli said a management agreement is the hospital’s best bet at reopening. It has not found a buyer for a straightforward sale. Paolinelli said she has not discussed with Adventist whether she will stay on as head of the hospital.\u003c/p>\n\u003cp>Adventist Health has experience reopening closed hospitals. For example, five years ago Adventist reopened and rebranded what was once known as \u003ca href=\"https://www.visaliatimesdelta.com/story/news/2019/04/30/tulare-regional-medical-center-no-more-adventist-makes-official/3621956002/\">Tulare Regional Medical Center\u003c/a>. That hospital is now Adventist Health Tulare.\u003c/p>\n\u003ch2>Obstacles to Beverly hospital’s sale\u003c/h2>\n\u003cp>Beverly Community, a 202-bed hospital in Montebello east of Los Angeles, filed for bankruptcy in April. It \u003ca href=\"https://beverly.org/public-notice-march-16-2023/\">suspended a number of services\u003c/a> by June, including maternity, pediatric and outpatient radiology.\u003c/p>\n\u003cp>The Attorney General’s office last month announced the conditional approval of the hospital’s sale to a Glendale-based chain called American Healthcare Systems. That proposed deal is quickly dissolving.\u003c/p>\n\u003cp>According to bankruptcy court documents, bondholders raised concerns about American Healthcare Systems’ ability to support the hospital financially. Recent filings show that Beverly Hospital is now exploring an alternative transaction with Adventist Health.\u003c/p>\n\u003cp>“Given Beverly Hospital’s critically low cash position and as of now uncertainty about state funding (from loan program), the bid from Adventist Health represents Beverly’s greatest chance of continuing to serve the community it has served for the past 75 years,” said Justin Bernbrock, a lawyer for Beverly Hospital.\u003c/p>\n\u003cp>This month will be key for the hospital. Beverly is losing about $5 million a month and projects to run out of cash by September, court documents show. The hospital applied for $35 million from the Distressed Hospital Loan Program.\u003c/p>\n\u003cp>On Thursday, the hospital is due to present a deal proposal to a bankruptcy court judge.\u003c/p>\n\u003ch2>Hazel Hawkins takes first step with potential partner\u003c/h2>\n\u003cp>The 25-bed Hazel Hawkins Memorial Hospital is San Benito County’s sole hospital. After months of looking for potential partners, management at Hazel Hawkins recently announced that it received a “letter of intent” from Modesto-based American Advanced Management.\u003c/p>\n\u003cp>The small chain is a private, for-profit company that operates six other hospitals in the state. It’s proposing to lease Hazel Hawkins \u003ca href=\"https://www.hazelhawkins.com/documents/content/8.7.23-SBHCD-Board-of-Directors-Special-Meeting.pdf\">for five-to-10 years (PDF)\u003c/a> before having the option to purchase the hospital.\u003c/p>\n\u003cp>American Advanced Management has taken over a handful of distressed or closed hospitals in rural parts of the state, \u003ca href=\"https://americanam.org/locations/\">according to its website\u003c/a>. These include Coalinga Regional Medical Center, Glenn Medical Center and Colusa Medical Center.\u003c/p>\n\u003cp>Hazel Hawkins is part of a publicly governed health care district, and the deal would need to be approved by the district’s board and by county voters.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Hospital leaders sought a partner that, among other things, “possessed the resources to guarantee a continuum of care delivery for the future needs of our county,” Mary Casillas, interim CEO at Hazel Hawkins, said in a statement.\u003c/p>\n\u003cp>Hazel Hawkins declared a fiscal crisis late last year, and in May filed for Chapter 9 bankruptcy, but has continued to provide services. Last month, the hospital \u003ca href=\"https://www.hazelhawkins.com/documents/content/7.27.23-SBHCD-Board-of-Directors-Meeting.pdf\">applied for $10 million (PDF)\u003c/a> from the state’s Distressed Hospital Loan Program. If the hospital is approved for this loan, it would be in addition to a separate $3 million loan it received from the state in January.\u003c/p>\n\u003cp>In its May bankruptcy filings, the hospital said it expected to run out of cash in November 2024. At least one group, the California Nurses Association, has questioned whether the hospital filed for bankruptcy prematurely. The nurses union said it has asked the hospital to explain how it calculates its projections but has not received answers.\u003c/p>\n\u003cp>According to its financial statements, the hospital reported earnings of just over \u003ca href=\"https://siera.hcai.ca.gov/ProfileCharacteristics.aspx\">$2 million in calendar year 2022\u003c/a>.\u003c/p>\n\u003cp>The union represents about 120 nurses at Hazel Hawkins. Filing for bankruptcy, according to the union, has prompted nurses to leave for jobs in other hospitals, leaving staff there shorthanded.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Supported by the California Health Care Foundation (CHCF), which works to ensure that people have access to the care they need, when they need it, at a price they can afford. Visit \u003ca href=\"http://www.chcf.org/\">www.chcf.org\u003c/a> to learn more.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"radiolab": {
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"reveal": {
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"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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},
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"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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