Seton Sale Overcomes Big Hurdle

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Seton Sale Overcomes Big Hurdle

Nearly three months after a bid to acquire Seton Medical Center in Daly City and Seton Coastside in Moss Beach was filed in federal bankruptcy court, Southern California-based KPC Health announced its $610 million bid for four hospitals was approved by U.S. Bankruptcy Court Judge Ernest M. Robles Wednesday, according to a press release issued by KPC Health.

By moving to acquire the two facilities in San Mateo County alongside St. Francis Medical Center in Lynwood, St. Vincent Medical Center in downtown Los Angeles and St. Vincent Dialysis Center, KPC Health’s offer to purchase the financially-challenged facilities formerly operated by Verity Health now awaits approval by California Attorney General Xavier Becerra.

News of the milestone for the two Seton facilities was welcomed by San Mateo County Supervisor David Canepa, who expressed relief that critical services would remain in place at the two health care facilities delivering care to the indigent. Having met with members of KPC Health, Canepa was confident the group will bring an end to the uncertainty that has been looming over the facilities many expected to shutter.

“I think they’re going to bring a tremendous amount of stability to Seton Medical Center that is needed at this time,” he said. “We’ve just saved … a hospital that was on the brink of extinction and … that is … something that should be celebrated.”

The “stalking horse” bid KPC Health filed in January was not exceeded by any other proposed bids and no auction was required for the four Verity Health hospitals. The group’s bid was also approved by Verity Health System’s Board of Directors April 15.

Owner and operator of seven full-service acute care hospitals in Southern California, KPC Health’s integrated health system is set to include 20 facilities across the nation once ongoing acquisitions of hospitals and skilled nursing facilities in Arizona, California, Kansas, Louisiana Mississippi, Texas and Utah are complete, according to the release.

Dr. Kali P. Chaudhuri, chairman of The KPC Group and KPC Health, said the judge’s decision Wednesday marks an important milestone for KPC Health’s bid to acquire the four remaining Verity Health hospitals. Despite an attempt on behalf of Becerra to block the sale of two other hospitals previously operated by Verity Health in San Jose and Gilroy, Santa Clara County’s bid on O’Connor Hospital and Saint Louise Regional Hospital was finalized in March, according to multiple news sources.

“We look forward to working with Verity Health on a successful acquisition and welcoming these important community hospitals into our integrated [health care] system,” Chaudhuri said in the release.

The financial uncertainty looming over the 350-bed Seton Medical Center, Daly City’s largest employer, as well as the 116-bed coastside hospital and skilled nursing facility has weighed heavily for officials, residents and employees of the facilities since Verity Health filed for bankruptcy in August.

County impact

Canepa represents north county’s District 5 on the Board of Supervisors and acknowledged the benefits of the sale for residents living in northern San Mateo County who depend on its services or are among Seton Medical Center’s 1,600 employees. But he also noted the benefits to county taxpayers who could have been on the hook for the hospitals if no buyer stepped forward.

County officials have already contributed some $25 million for patient care and set aside $15 million toward a seismic upgrade project at the Seton Medical Center, and Canepa expected the county to continue to help the hospitals when possible. But he also acknowledged San Mateo County Health officials have projected a structural deficit for County Health’s two-year budget starting in the 2019-20 fiscal year.

Canepa was also optimistic the hospitals would continue to be held to service obligations set by then-attorney general Kamala Harris when the New York hedge fund BlueMountain Capital purchased the six hospitals from the cash-strapped Daughters of Charity in 2015. Aimed at ensuring the safety-net hospitals continue offering services until 2025, the transaction was considered by some to be the largest and most complex nonprofit hospital transaction in California’s history.

Before Santa Clara County’s bid for the San Jose and Gilroy hospitals was approved, Becerra appealed the sale, asking at the time for the existing conditions protecting the health and safety of the hospital community to be preserved. Canepa expected Becerra to determine whether he would approve the sale in the next few weeks.

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KPC Group Gets Court Approval to Acquire Four Verity hospitals

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KPC Group Gets Court Approval to Acquire Four Verity hospitals

A bankruptcy court judge has approved Corona-based KPC Group’s $610-million bid to acquire four of the nonprofit Verity Health System hospitals, including two in Southern California, KPC Group said Wednesday.

Verity’s board of directors had approved KPC Group’s bid Monday, but the state attorney general’s office still must sign off on the acquisition.

The four hospitals included in the KPC Group bid are St. Francis Medical Center in Lynwood, St. Vincent Medical Center and St. Vincent Dialysis Center in Los Angeles, Seton Medical Center in Daly City and Seton Coastside in Moss Beach.

Verity’s six hospitals were originally owned and operated by the Daughters of Charity of St. Vincent de Paul. After years of financial struggles, Integrity Healthcare took over management of the hospitals in 2015.

NantWorks, the Culver City company controlled by Dr. Patrick Soon-Shiong, purchased Integrity in 2017. (Soon-Shiong, a physician and entrepreneur, purchased The Times last year.)

In August, Verity filed for bankruptcy protection, citing mounting losses and debt.

The other two Verity hospitals — O’Connor Hospital in San Jose and St. Louise Regional Hospital in Gilroy — were sold to Santa Clara County in a transaction that closed last month. California Atty. Gen. Xavier Becerra had sought to halt the sale until the county agreed to conditions, such as requirements for job security and treatment of the poor, that were initially imposed by then-Atty. Gen. Kamala Harris in 2015. But in February, a federal judge refused to put a hold on the transaction.

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California company buys Overland Park hospital

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California company buys Overland Park hospital

A California-based hospital operator now owns Promise Hospital of Overland Park after its parent company, Promise Healthcare, filed for Chapter 11 bankruptcy in November.

Strategic Global Management, a for-profit hospital operator run by main investor and orthopedic surgeon Kali Chaundhuri, recently bought the Overland Park facility. Chaundhuri is chairman and founder of the KPC Group of Companies, which includes Strategic Global.

Promise Hospital of Overland Park is a 56-bed, long-term, acute-care hospital at 6509 W. 103 St. Hospital officials said all questions about the transaction should be directed to KPC. It’s unclear what the new management plans for the facility; KPC officials did not respond to a request for comment.

Promise Healthcare, based in Boca Raton, Fla., filed for bankruptcy in November and is selling 14 hospitals and two skilled nursing facilities through U.S. Bankruptcy Court.

The company, now led by a chief restructuring officer, has more than $565 million in debt, plus unpaid interest of $110 million, accrued expenses and accounts payable of $94 million, and capitalized leases of $13 million, according to its motion to obtain a loan to keep its operations ongoing.

Promise Health Care of Overland Park reported declining gross revenue year over year, with $11.25 million in gross revenue from Jan. 1, 2018, to Nov. 4, 2018, compared with gross revenue of $13.99 million the year prior. The hospital also reported $26.39 million in assets and $97.07 million in liabilities at the time of filing. 

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KPC Group Offers $610M For Four Verity Health Hospitals

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KPC Group Offers $610M For Four Verity Health Hospitals

Verity filed a motion Thursday in Los Angeles bankruptcy court to implement a public auction where other buyers could outbid KPC for Francis Medical Center in Lynwood, St. Vincent Medical Center in Los Angeles, Seton Medical Center in Daly City and Seton Coastside in Moss Beach. The winning bid is subject to the approval of the court and the California attorney general, depending on the buyer.

“Verity has remained committed to finding the right buyer to provide uninterrupted service and operations for all employees, physicians and patients, and we will continue that commitment as this process advances,” Rich Adcock, CEO of Verity Health, said in prepared remarks. KPC pledged to keep current employees.

KPC Group, which is the parent company of KPC Healthcare that operates seven hospitals in Southern California, would pay $420 million for St. Francis, $120 million for St. Vincent and $70 million allocated for Seton Medical Center and Seton Coastside, according to bankruptcy filings.

Private investment firm BlueMountain Capital Management bought the six-hospital system spanning Southern and Northern California from the financially encumbered Daughters of Charity Health System in late 2015, when it changed its name to Verity Health. BlueMountain pledged to invest up to $260 million in exchange for a lease on its information technology assets.

Nantworks, led by controversial entrepreneur Dr. Patrick Soon-Shiong, bought its stake in July 2017 and infused another $148 million in capital as Soon-Shiong eyed a testing ground for his precision medicine endeavors.

But Verity filed for bankruptcy in September, overburdened by more than $1 billion in bond debt and unfunded pension liability as well as its aging infrastructure.

The health system has been bleeding about $175 million a year, according to bankruptcy filings. Verity reported a $111.4 million operating loss in 2018, up from a $35.3 million operating loss in 2017.

The health system also aims to sell its other two hospitals, O’Connor Hospital in San Jose and St. Louise Regional Hospital in Gilroy, to the county of Santa Clara for $235 million. But the California attorney general has delayed the deal.

Santa Clara argues that it, as a public entity, doesn’t have to comply with the conditions imposed by the attorney general on the BlueMountain transaction. The attorney general disagrees.

The sticking point is related to assuming pension obligations or collective bargaining agreements, given that the county operates under different statutory requirements.

Notably, Daughters of Charity Health System tried to sell the organization to Prime Healthcare Services before it reached a deal with BlueMountain. But Prime pulled out of the deal because of the attorney general’s “onerous” conditions, the company said.

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