The hospital has the only emergency room in northern
The state attorney general office plans a public meeting at
Comments must be emailed by
State attorney generals are empowered to review mergers and challenge agreements that may substantially lessen competition.
Last year, the hospital tallied 11,000 inpatient discharges, 3,100 cardiac cath procedures, 828 births and 51,000 visits to the emergency room at
Dominican represents a small part of a
The deal is expected to close by the end of the year.
The two organizations say they share a vision for themselves and the health care industry and serve complementary communities.
"From everything I've heard about
Dignity plans to put 12 of its non-Catholic hospitals into a new nonprofit, Integrated Healthcare Operations, where they will not have to adhere to "ethical religious directives," which prohibit in-vitro fertilizations and elective abortions and sterilizations.
Dominican, founded in 1941 in
Dominican reported an operating profit margin of 12.2 percent last year compared to 2.7 percent for hospitals statewide in 2016, according to the attorney general's report.
Medicare is Dominican's largest source of revenue,
Last year's bad debt rate was 1 percent, compared to .8 percent for hospitals statewide in 2016. Bad debt is when a patient is unwilling to pay.
Dominican's charity care and bad debt combined totaled 5.2 percent in 2013 compared to 3.9 percent statewide, but as of 2016, Dominican's ratio was 1.2 percent compared to 1.8 percent statewide.
Charity care includes emergency room visits and inpatient and outpatient care.
Dominican's charity care charges shrank from
Community benefit services totaled
The report said no reductions in non-executive employees were expected at Dominican, but a medical transcriptionist told the Sentinel the team of 10 was laid off in early September.
The merger agreement would continue women's health services, Medicare and MediCal commitments and county contracts for five years, charity care and community benefits program commitments for six years.
Collective bargaining agreements with the
The attorney general recommends status quo for the 20 rehab beds, 14 neonatal intensive care beds, 11 perinatal beds, 10 intensive care beds, eight pediatric beds and six coronary beds.
Another recommendation is to require for five years community benefit services of at least
The attorney general specifically calls for funding the psychiatric resource team, emergency pediatrics, the mobile health van, grants to nonprofits and the sexual assault response team for at least five years.
The report did not mention the recently renovated rehab center at
"We will be monitoring this closely and holding them accountable to that commitment," he said.
Service FY2015 FY2016 FY2017
Inpatient discharges 10,404 11,333 11,039
Cardiac cath procedures 2,454 2,852 3,107
Emergency visits 47,770 58,141 51,454
Births 839 900 828
Occupancy 60% 67% 64%
Dominican 2017 finances
DOMINICAN COMMUNITY BENEFIT SERVICES 2017
Low-income housing subsidy, Oaks:
Social worker referrals for low-income patients:
ER psychiatric resource team:
Mobile health van:
Donations, community organizations:
Community health fairs:
Postpartum support group:
Organic garden produce donated:
Sports events paramedics:
Nadherny-Calciano youth symposium:
County sexual assault response team:
Poisonous mushroom protocol research:
Community benefit staff & operations:
Source: Attorney General impact statement
Editor's note: This story has been updated to correct the date of the community meeting.
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