Hospital Conversions

Pursuant to Conn. Gen. Stat. 19a-486 et seq., the Office of the Attorney General is responsible for reviewing proposed transfers of assets or operations of nonprofit hospitals to for-profit entities within the State of Connecticut. The Attorney General's review and approval is required whenever a nonprofit hospital enters into an agreement to transfer a material amount of its assets or operations to a for-profit entity. These reviews are conducted jointly with the Department of Public Health, Office of Health Care Access.

The Nonprofit Hospital Conversion Act is found in Chapter 368v and sections 19a-486 through 19a-486h of the Connecticut General Statutes.

The Office of the Attorney General is currently reviewing two(2) non-profit hospital conversions:

Eastern Connecticut Health Network, Inc. (ECHN)

Currently our Office is reviewing the proposed transfer of certain assets from Eastern Connecticut Health Network, Inc. and its affiliated entities (collectively, "ECHN") to Prospect Medical Holdings, Inc., a California based healthcare services company.

The following are documents from this review process.

Post Decision Documents

Conversion Documents

• Letter re ECHN PMH Closing Date (2016-07-21)
• Notice of Closing Date (2016-08-17)
• CSMS Survey Letter (2016-09-08)
• PMH re CA DPH Survey Letter (2016-09-12)
• Prospect ECHN Asset Purchase Agreement Executed (2016-08-24)

Public Comments

• N/A

Pre Decision Documents

Conversion Documents

• Request for Determination (2015-07-16)
• Application Form (2015-08-06)
• ECHN Request to Extend Application Submission Deadline (2015-10-01)
• Prospect Medical Request to Extend Application Submission Deadline (2015-10-01)
• Response to Extension Request (2015-10-02)
• Conversion Application (2015-10-13) [117MB]
• Exhibit Q16-2 Acquisition of Equipment (MMH) (2015-10-13)
• Exhibit Q16-2 Acquisition of Equipment (RGH Off Site) (2015-10-13)
• Exhibit Q16-2 Acquisition of Equipment (RGH) (2015-10-13)
• Financial Worksheet C (2015-10-13)
• Prospect-ECHN 1st Completeness Letter (2015-10-30)
• Prospect-ECHN 2nd Completeness Letter (2015-11-12)
• Prospect Response to Completeness Letters (2015-11-23) [60MB]
• Prospect-ECHN 3rd Completeness Letter (2015-12-11)
• Prospect-ECHN Response to 3rd Completeness Letter with exhibits (2015-12-24)
• ECHN - Final Completeness Letter (2016-01-13)
• ECHN - Order of Administrative Notice (2016-01-20)
• Revised Scheduling Agreement (2016-02-18)
• Letter regarding Notice of Public Hearing (2016-02-19)
• Request for Prefiled Testimony and Issues (2016-02-24)
• 2nd Request for Prefiled Testimony & Issues - for Rescheduled Hearing dates (2016-03-10)
• Notice Re Change of Date of Public Hearing (2016-03-10)
• Conversion Application Supplemental Information (2016-03-28)
• Prospect Supplemental Material (2016-03-28)
• ECHN-Prospect Medical Public Hearing Transcripts - Manchester (2016-03-29)
• ECHN-Prospect Medical Public Hearing Transcripts - Vernon (2016-03-30)
• Prospect Medical - List of requested Late Files (2016-03-30)
• Late Files (2016-04-20)
• Letter forwarded from Prospect Medical re Restore Deemed Status (2016-05-10)
• Late File #20 (2016-05-16)
• 2nd scheduling letter (2016-05-19)
• Proposed Final Decision (2016-05-25)
• Proposed Final Decision EXHIBIT A (2016-05-25)
• PMH COMMENTS re Proposed Final Decision of AGO(REDLINE) (2016-06-03)
• PMH COMMENTS re Proposed Final Decision of OHCA(REDLINE) (2016-06-03)
• AG-OHCA letter re Close of Record (2016-06-09)
• AG Final Decision (2016-06-10)
• AG Final Decision EXHIBIT A (2016-06-10)
• Corrected Final Decision (2016-07-01)

Public Comments

• ECHN Public Comment - Loalbo (2016-04-04)
• Letter Vernon Mayor - request re informal participant (2016-03-04)
• Tyler - Journal Inquirer Article (2016-03-29)
• Comments submitted at Manc Hearing (2016-03-29)

Greater Waterbury Health Network, Inc. (The Waterbury Hospital)

Currently our Office is reviewing the proposed transfer of certain assets from Greater Waterbury Health Network, Inc. and its affiliated entities (collectively, "GWHN") to Prospect Medical Holdings, Inc., a California based healthcare services company.

The following are documents from this review process.

Post Decision Documents

Conversion Documents

• Notice of Closing Date (2016-08-17)
• CSMS Survey Letter (2016-09-08)
• PMH re CA DPH Survey Letter (2016-09-12)
• Asset Purchase Agreement (No Schedules) (2016-09-27)

Public Comments

• N/A

Pre Decision Documents

Conversion Documents

• Request for Determination (2015-07-16)
• Application Form (2015-08-06)
• GWHN Request to Extend Application Submission Deadline (2015-10-02)
• Prospect Medical Request to extend Application Submission Deadline (2015-10-02)
• Response to Extension Request (2015-10-02)
• Conversion Application (2015-10-28)
• Exhibits to Conversion Application (2015-10-28) [62MB]
• Prospect-Waterbury 1st Completeness letter (2015-11-17)
• Prospect-Waterbury Response to 1st Completeness letter (2015-12-24)
• Prospect-Waterbury 2nd Completeness Letter (2016-01-12)
• GWHN - Order of Administrative Notice (2016-01-20)
• Prospect-Waterbury Response to 2nd Completeness Letter (2016-02-16)
• Letter regarding Application - Deemed Complete (2016-03-04)
• GWHN - Notice of Public Hearing (2016-04-08)
• GWHN - Letter re Notice of Public Hearing (2016-04-08)
• GWHN Prospect Final Pre-File Testimony (2016-04-27)
• Public Hearing Transcript (2016-05-03)
• Revised Scheduling Agreement (2016-05-06)
• Letter forwarded from Prospect Medical re Restore Deemed Status (2016-05-10)
• 2nd scheduling letter (2016-05-19)
• Late Files 1 and 5 (2016-05-24)
• Late File Exhibits 2, 3, 4, 6 and 7 (2016-05-27)
• Amendment No. 5 to Letter of Intent (2016-06-23)
• OAG Proposed Final Decision (2016-06-24)
• OAG Proposed Final Decision EXHIBIT A (2016-06-24)
• Comments re Proposed Final Decision (2016-07-01)
• OAG Final Decision - Signed (2016-07-15)
• OAG Final Decision - Exhibit A (2016-07-15)

Public Comments

• Letters in support of GWHN-Prospect transaction forwarded by GWHN (2016-05-03) [11MB]
• James Rawlings - NAACP (2016-05-03)
• Universal Health Care Foundation of CT (2016-05-03)
• Lynn Tripp (2016-05-05)
• Anonymous (2016-05-05)
• Stay Well Health Center (2016-05-03)
• Community Benefits Agreement letter Waterbury Hospital (2016-03-23)
• Community United NVP (2016-05-11)
• Waterbury Hospital Community Benefits (2016-05-11)
• NAACP (2016-05-20)
• Naugatuck Valley Project Clergy Letter 2016 (2016-05-31)
• Stay Well Health Center (2016-06-16)