VVCH Hearing

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ATTORNEY GENERAL'S PUBLIC HEARING

RE SALE OF VICTOR VALLEY COMMUNITY HOSPITAL (VVCH)
HELD WEDNESDAY, AUGUST 17, 2011
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Reporter's transcript of public hearing
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proceedings, taken on behalf of the Attorney General, at
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Victorville City Hall, Council Chambers, 14343 Civic
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Drive, Victorville, commencing at 3:01 p.m., Wednesday,
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August 17, 2011, before Diana L. Porter, Certified
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Shorthand Reporter No. 12729.
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PUBLIC HEARING PROCEEDINGS
APPEARANCES:
HEARING OFFICER:
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WENDI A. HORWITZ
Deputy Attorney General
State of California
Department of Justice
Office of the Attorney General
300 South Spring Street, Suite 5000
Los Angeles, California 90013
(213)897-2178
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ALSO PRESENT:
AND VARIOUS MEMBERS OF THE AUDIENCE
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INDEX
EXAMINATION BY
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BY CATHERINE M. PELLEY ...............................19
BY MIKE SARRAO .......................................23
BY DANIEL VILLAROSA ..................................35
BY SUMAN THAWKER .....................................37
BY VICTOR SABO, MD ...................................38
BY DR. ERIC HANSEN ...................................39
BY GURPAL PHAGUDA ....................................43
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BY DR. MAKALA REDDY ..................................45
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BY DR. RAKESH GROVER .................................48
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BY DR. VIJAY ARORA ...................................49
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BY DR. BRADLEY GILBERT ...............................52
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BY ADAM WEISBERG .....................................54
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BY LISA DEMIDOVICH ...................................63
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BY HELEN BOUMAN ......................................68
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BY MAYOR RYAN McEACHRON ..............................69
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BY WILLIAM THOMAS ....................................72
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BY CARL TATE .........................................80
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BY MICHELLE SPEARS ...................................83
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BY RUSS BLEWETT ......................................84
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BY DR. JOSEPH MORRIS .................................88
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BY DR. PATRICIA LUTHER ...............................90
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BY ARDIS KULYAS ......................................92
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INDEX (cont.)
EXAMINATION BY
PAGE
BY MARK KULYAS .......................................97
BY HESPERIA COUNCIL MEMBER THURSTON SMITH ...........101
BY LIONEL DEW .......................................103
BY JOSEPH BRADY .....................................104
BY CAROL KOELLE .....................................108
BY KEN ANDERSON .....................................110
BY JOE RANGE ........................................113
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BY DAWN SIKES .......................................117
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BY VAL CHRISTENSEN ..................................119
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BY REBECCA TENNISON .................................124
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BY BLAIR BRYSON .....................................126
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BY MICHAEL FELDMAN ..................................130
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BY PETER MORT .......................................142
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BY JOHN PETTY .......................................152
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BY MARTHA BRODIE ....................................156
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BY PAUL RUSS ........................................161
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BY SHERRY HALL ......................................164
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BY DIANA PASILLAS ...................................165
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BY PAT AGUIRRE ......................................169
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BY GREG ZUMBRUNN ....................................173
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BY VALERIE JOHNSON ..................................176
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BY STEVEN SCHWARTZ ..................................178
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INDEX (cont.)
EXAMINATION BY
PAGE
BY CHARLES SLYNGSTAD ................................179
BY SUZANNE RICHARDS .................................188
BY LEX REDDY ........................................191
BY HECTOR GONZALEZ ..................................199
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EXHIBITS
EXHIBIT
Exhibit 1
DESCRIPTION
LETTERS SUBMITTED AT HEARING
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VICTORVILLE, CALIFORNIA; WEDNESDAY, AUGUST 17, 2011
3:01 P.M.
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HEARING OFFICER:
Hello, everybody.
take a seat so we can get started, please.
Hi, everybody.
So glad to see everybody here
today.
General for the State of California.
Can you
My name is Wendi Horwitz.
I'm a Deputy Attorney
The purpose of today's meeting is to receive
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comments about the proposed transaction between the
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Seller, Victor Valley Community Hospital, a California
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Nonprofit Public Benefit Corporation, and the Buyers,
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Prime Healthcare Services Foundation, Inc., and PHSF
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Victor Valley, LLC, both of which are organized
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exclusively for charitable purposes under Internal
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Revenue Code Section 501C3.
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buyers and sellers will be making brief presentations.
Representatives from the
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As you can see to my right here, we have a
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court reporter who will be preparing a transcript of
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today's meeting.
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to ensure that we have a complete record of what
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everyone has to say.
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complied with when the court reporter is used.
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Use of a court reporter is necessary
There are a few rules that must be
First, before speaking, please say and spell

your last name for the reporter.
Each speaker must
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speak audibly and not too fast so that the court
reporter can record what you say.
Also, the court reporter can only record one
speaker at a time, so it is not helpful for two people
to talk at once.
If you have a prepared comment, please provide
the court reporter with a copy as well.
have a prepared statement and you're reading something
like I am right now, you tend to speak quickly and it's
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Often, when you
difficult for her to get down everything that you say.
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My office -- there's two cameras over here to
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my right.
My office has granted a request from the
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Center for Investigative Reporting to videotape today's
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public meeting.
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right and its microphone is at the podium.
The Center has set up its camera to my
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Is that right?
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THE VIDEOGRAPHER:
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HEARING OFFICER:
Yes.
And also, we have another
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individual who wanted to record today.
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The Foundation wanted to also record today's public
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meeting.
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the right here.
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That's fine.
So just so you know, there are two cameras to
In addition, there is a -- there is a
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telephone connection that is hooked up with all of the
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microphones today, and an individual from my office --
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his name is Travis La Blanc [phonetic]; he's a special
assistant to the Attorney General.
line, listening to today's comments.
He'll be on the
The service area and patients for this
facility, Victor Valley Community Hospital, includes a
Spanish-speaking population.
translator today.
Spanish-language translator to ask if anyone needs the
translator's services.
We've arranged for a
At this time, I would like the
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(Interpreter addressed the audience
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in Spanish.)
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HEARING OFFICER:
Okay.
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THE INTERPRETER:
No one has raised their
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HEARING OFFICER:
Okay.
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In addition, we have prepared sign-up sheets
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hand.
Thank you very much.
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in English and Spanish for anyone who would like to
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speak.
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the back of the room, Billy right here, who -- and I
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would like to encourage everyone to keep their comments
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to no more than five minutes.
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people who would like to speak today.
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Be sure to hand them to -- I've got a helper in
We have a number of
Unless there's any questions about the
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procedure, I would like to discuss the Attorney
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General's role in reviewing this transaction.
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Victor Valley Community Hospital owns and
operates a general acute care hospital licensed for a
101 beds, that includes an emergency department with 13
beds or treatment bays.
California, and operates the Victor Valley Community
Hospital, Women's Health Center, and Outpatient Imaging
as well.
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It's located in Victorville,
Under Corporations Code Section 5920 et seq.,

Victor Valley Community Hospital filed a notice and a
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request for the Attorney General's approval of the
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proposed sale of this facility.
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governing the proposed transaction include an Asset Sale
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Agreement for the transfer of assets and an interim
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management and lease-back agreement under which the
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Buyers would manage the Hospital for a period of time.
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The key agreements
The main provisions of the Asset Sale
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Agreement are Buyers will purchase the Hospital, real
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property, and personal property associated with its
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buildings, including equipment, associated intangible
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assets and accounts receivable, and the Victor Valley
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Community Hospital Women's Health Center.
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Excluded assets are cash and investments held
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by Victor Valley Community Hospital, including any
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charitable funds.
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The purchase price is $35 million.
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This
amount does not include the additional $25 million of
capital improvements, equipment, information technology,
infrastructure improvements, and for working capital,
with at least $15 million of that going for capital
improvements, equipment, information technology, and
infrastructure improvement at Victor Valley Community
Hospital.
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Buyers will retain all current members of

Victor Valley Community Hospital's medical staff in good
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standing and offer employment to substantially all
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current Hospital employees at benefit levels that are
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not less favorable than those provided to similarly
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situated employees of Buyers.
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salaries will be the same as well.
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And as I recall, the
Buyers have agreed to operate the Hospital as
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an acute-care hospital and continue to provide
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emergency, obstetrical, and pediatric services.
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Buyers have agreed to continue to provide
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charity care and community benefits at historical
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levels.
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Buyers will form a local governing board.
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Now, by statute, the Attorney General must
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review and consent to any transfer of control or
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ownership of a general acute-care hospital from a
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nonprofit corporation to either a for-profit entity or a
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nonprofit entity as we have here.
The Attorney General has three options in
acting upon this notice.
First, to approve, disapprove,
or approve with conditions.
required by law to consider a number of issues before
deciding among these options.
technical, legal matters to the broad question of
whether the transaction is in the public interest.
The Attorney General is
These issues range from
Ordinarily, the most significant question is
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whether the proposed transaction will adversely affect
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the availability and accessibility of healthcare
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services in the affected community.
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Now, with respect to this most significant
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question, we have a Healthcare Impact Report that was
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prepared by Medical Development Specialists for the
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Attorney General, and copies are available out on the
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desk.
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which I'll announce later.
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copies available if anyone needs one.
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the AG's Website is
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www.ag.ca.gov/charities/nonprofithosp, so it's
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N-O-N-P-R-O-F-I-T-H-O-S-P -- dot-php.
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all the notices for the Victor Valley transaction as
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well as the Healthcare Impact Report.
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If you -- you can also get it on our Website,

But it's also -- there are
On our Website,
And you will see
I --
The report describes the possibility effects
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that the proposed transaction may have on the
accessibility and availability of healthcare services in
the area served by the Hospital.
We have Phil Dalton who's to my left.
He is
the president of Medical Development Specialists, and
he's here to speak about the report and conclusions.
We invite you to comment on the report or any
other issue that you may have concerning the proposed
transaction.
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As far as a schedule goes, it is anticipated
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that the Attorney General will issue her decision on or
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before August 30th.
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Website, the same Website I gave you before,
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www.ag.ca.gov/charities/nonprofithosp.
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It will be posted again on the AG's
Let me just give you a brief summary of the
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conduct of the meeting today so that everybody knows how
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this goes if you weren't here before.
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Mr. Dalton's presentation, we will a brief presentation
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from the representative from the Seller as well as from
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the Buyer.
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signed up on the list or not -- I want to call anybody
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that works at the Hospital, any employees or doctors
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that have a time constraint that they need to -- you
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know, if they're starting work at 5:00 o'clock at the
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Hospital, I want those folks, whether you've done a
After
Then, I will call anyone who, whether you
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sign-up sheet or you've called me ahead of time, I would
like you -- and I'll let you know.
first, but you're going to need to come up to the podium
because I don't know who you are.
up and line up at the podium and we'll have you folks
testify -- or not testify, but comment first.
But I will call you
But you can just come
Now, there's one option that I want to offer
people.
If anyone has contacted me prior to today and
asked me to speak and they would like to remain
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anonymous, I would like -- so anybody who sent me
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an e-mail, who -- phone call, anyone who asked to be on
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the list before today, if anybody wants to be anonymous,
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I would like you just to come forward really quickly and
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let me know that and I will just use a different name or
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a different -- or a number or some other kind of
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reference if you would prefer that.
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just need some way to call you up to the podium.
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And that way, I
So just want to take a minute.
Is there
anybody who would like to remain anonymous?

Okay.
Okay.
That's fine.
If somebody
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changes their mind -- we're going to be taking a break.
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Our court reporter really just transcribes for about an
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hour and then she needs to just take a short break, so
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we will be taking breaks.
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people on the list, but I wanted to give anyone that
So I'm going to call the
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option.
will be calling people by whatever name or alternative
name that you've used on the sheet.
And the option was on the sheet as well, so I
Okay.
First -- oh, just in case anybody's
curious, this is a colleague of mine.
Cantori [phonetic].
and she's here to observe what happens at one of these
public meetings today.
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Her name is Jamie
She's a Deputy Attorney General,
So, Phil, go ahead.

MR. DALTON:
Thank you.
Thank you.
Good afternoon.
MDS
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is a healthcare policy and planning consultant for --
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that was retained to examine the effect of the
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acquisition by Prime Healthcare Services Foundation,
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Inc., of Victor Valley Community Hospital on the
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availability and accessibility of healthcare services.
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In this regard, we reviewed various
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transaction documents, Hospital data, state data, and
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conducted interviews of different Hospital and community
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representatives.
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available on the California Attorney General Website on
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August 5th, 2011, and as Wendi mentioned, copies are
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available in the back of the room.
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The results or analyses were made
Victor Valley Community Hospital, as Wendi
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mentioned, is licensed for 101 beds and has a range of
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services available that are typical for a small
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community hospital and also has pediatric services, a
neonatal intensive care unit, and a cardiac
catheterization lab.
sees about 32,000 emergency visits per year.
Valley admits about 6,700 patients a year, and runs an
average daily census of about 58 patients.
delivers about 1700 babies per year.
active medical staff of over 100 physicians and over 550
Hospital employees.
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Victor Valley Community Hospital

Victor
The Hospital
It also has an
Victor Valley Community Hospital is very
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important to the community.
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shortage of hospital beds, and both St. Mary Medical
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Center and Desert Valley Hospital are the only two other
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hospitals in the immediate area and they run at higher
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occupancy.
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healthcare services out of the area at other facilities,
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many of which are located down the hill in San
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Bernardino.
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The High Desert has a
Also, many parents from the area receive
Both St. Mary Medical Center and Desert Valley
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Hospital have expansive -- have expansion plans to add
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beds to their hospitals.
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Medical Center has a plan to establish a new hospital
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along the freeway, but this is not to open until plan
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date of the 2016.
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And additionally, St. Mary
Victor Valley Community Hospital is viewed as
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especially important for providing emergency services,
obstetrical services, pediatric services.
important in terms of the community of patients that it
provides services to, and these include Inland Empire
Health Plan, Medi-cal and Medicare, commercial
insurance, and uninsured patients.
Valley Community Hospital, many patients would have
difficulty accessing healthcare services and the other
hospitals in the area, which are running higher
It is also
Without Victor
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occupancy, would also be impacted without Victor Valley
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Community Hospital.
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services out of the area without the availability of
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Victor Valley Community Hospital.
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Many people would be forced to get
One important mention is that our analysis of
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the impact of this sales transaction, and our impact
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analysis is focused on this sales transaction, is
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considered in light of a few important premises and
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these include:
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Number 1, that Victor Valley Community
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Hospital has struggled financially to survive for years
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and has not made needed capital investments and, last
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year, filed for bankruptcy protection.
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Number 2, it was the reasonable conclusion of
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the board management and its advisers that without a
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sales transaction, the Hospital would be required to
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close.
Victor Valley Community Hospital's recent
ability to continue to operate has been based on special
funds that have been made available by a state federal
government for distressed hospitals and those serving
uninsured and Medi-cal patients.
temporary solution and cannot be counted on to continue
in the future.
These funds are a
The Purchaser has made certain guarantees, and
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we, MDS, have also made certain recommendations for the
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continuation of services, and we believe that many of
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these recommendations and the guarantees which pertain
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to continuing services charity care, the maintenance of
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IEHP contracts and other items are important to minimize
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the potential negative impacts of the transaction.
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While there is a possibility of negatively
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impacting access for managed care patients, St. Mary
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Medical Center contracts with most of the same managed
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care companies that contract currently with Victor
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Valley Community Hospital.
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In summary, and in conclusion, we believe that
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the negative impacts of this -- potential negative
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impacts from this transaction would be much less than if
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the Hospital were to close, and we recommend that if the
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Attorney General approves the transaction, that our
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recommendations be accepted in order to minimize the
potential negative impacts.
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HEARING OFFICER:
Cathy,
why don't we have you go first.
CATHERINE M. PELLEY:
HEARING OFFICER:
Okay.
Cathy Pelley, she's the CEO
of Victor Valley Community Hospital and well-respected
member of the community.
COMMENTS BY CATHERINE M. PELLEY
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Good afternoon.
My name
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is Catherine, C-A-T-H-E-R-I-N-E, M, Pelley, P as in
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Patrick, E-L-L-E-Y.
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I am the chief executive officer of Victor
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tell you my contract as head of the Hospital expires
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next month on September 30th, and I will retire on
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September 30th.
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Buyer, Prime Healthcare Services Foundation, if the sale
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of Victor Valley to Prime is approved by the Attorney
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General.
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I feel it's important to
I am not going to be an employee of the
I would also like to add my thanks to the
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Attorney General in making such a careful analysis and
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doing it more than once.
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you've had to consider all the views of the interested
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parties and all of the documents submitted, so thank you
I really do appreciate that
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very much.
It has always been the goal of the board and
the management of Victor Valley Community Hospital to
protect this asset for the community so that the people
of the High Desert would have access to medical care.
The fact that the area is woefully under-bedded just
makes this more important.
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Victor Valley Community Hospital's plant is 45

years old.
Maintaining it is very costly.
Equipment
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needs are substantial, and it's very clear that there's
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not enough revenue to sustain the business or to upgrade
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it.
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bankruptcy protection last year under Chapter 11, and
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our operations simply are not improving from a financial
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point of view.
The subsequent cash-flow crisis led us into
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I believe that this transaction should be
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approved because Prime will not delay a closing of the
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purchase and will bring the funds necessary for plant
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and equipment needs.
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open, the 101 beds are available for the community, and
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millions of dollars will be invested in the Hospital by
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Prime.
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in the High Desert, where unemployment is still
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extremely high.
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The sale keeps the Hospital doors
Approval of this transaction also protects jobs
Prime will continue to provide services that
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the area needs, including the emergency department,
obstetrics, pediatrics, women's services.
also enter into a new contract with Inland Empire Health
Plan, or IEHP, which provides for the many Medi-Cal
patients in the area.
together comprise more than 70 percent of the our
patient population.
of patients who are covered by other insurances.
Prime will
Medi-Cal, Medicare, charity care,
We just don't get many admissions
Although there have been a lot of statements
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made against Prime, many of which are unsubstantiated, I
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want to say for the record that when Victor Valley
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Community Hospital over the years, and most especially
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over the two and a half years that I have been the
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CEO -- whenever we have needed help for patients,
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whether it was pharmaceuticals, equipment, tests,
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whatever, Prime Healthcare Services, Desert Valley
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Hospital never said no to a patient need when other
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hospitals in the area did.
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unselfish in that regard, and to me that shows that the
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best interest of the community and the patients is
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foremost for them.
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They have always been
The Hospital must have a closed sale because
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we are under a September 1st deadline by the Federal
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Centers for Medicare and Medicaid Services, or CMS.
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says that it will revoke our certificate to operate the
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CMS
laboratory.
do not have a deal that CMS thinks is substantially
likely to close very soon, then CMS will not extend the
deadline on the revoking of the CLIA certificate.
cannot treat patients in a hospital without a
laboratory.
It's referred to as CLIA, C-L-I-A.
If we
You
While some have told the Attorney General's
office that this issue is a red herring and that it
would be very easy to outsource the laboratory, I'm here
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to tell you that's not an option.
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two and a half years.
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passes after the CLIA deadline, if we do not have a
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commitment from CMS to extend that deadline, in my
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capacity as chief executive officer of the Hospital, I
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will begin the procedure to close the Hospital.
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notify the California Department of Public Health.
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I've been trying for
And so if more than one day
I will
The approval of the California Attorney
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General will serve the community, the patients, the
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employees, the medical staff, and very well it will
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continue the access to healthcare that will save lives
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in this High Desert.
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favor of Prime as soon as you can.
Please approve the sale in the
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HEARING OFFICER:
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Mike Sarrao.
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Great.
Thank you, Cathy.
COMMENTS BY MIKE SARRAO
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MICHAEL SARRAO:
Good afternoon.
My name is
Michael Sarrao, and I serve as the -HEARING OFFICER:
Mike, can we have you spell
your last name for the court reporter?
MICHAEL SARRAO:
I serve as the secretary and treasurer of the
Prime Healthcare Services Foundation, and I'll also act
as an attorney for the Foundation.
on behalf of the Foundation regarding its proposed
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Sure, S-A-R-R-A-O.
I'm speaking today
purchase of Victor Valley Community Hospital.

DEPOSITION OFFICER:
microphone up?
Can you move the
Thank you.
MICHAEL SARRAO:
A little background.
Prime
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Healthcare Services Foundation is a 501(c)(3) nonprofit
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public charity that was formed in 2006.
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has more than $100 million in assets and is governed by
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a board of directors consisting of Dr. Prem Reddy,
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Dr. Kavitha Reddy Bhatia, a board-certified pediatrician
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who grew up in the High Desert, retired Chino Police
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Chief Eugene Hernandez, Montclair City Councilman
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William Ruh, and David Thorson, a community leader from
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the San Fernando Valley.
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Ruh, and Mr. Thorson are all independent members of the
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board which means that the majority of the board are
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independent directors.
The Foundation
Chief Hernandez, Councilman
Each of these individuals is
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highly qualified and has a long track record of being
involved in the community.
So there is no confusion, Prem Reddy, Prem
Reddy's family, Desert Valley Hospital, and Prime
Healthcare Services, Inc., have no ownership interest in
the Foundation and do not stand to profit from the
Foundation acquiring Victor Valley Community Hospital.
Rather, the Foundation is a community asset and its
assets would be distributed to other charities in
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accordance with federal and state law if it ever ceased
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to exist.
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The Foundation owns two nonprofit hospitals,
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Encino Hospital Medical Center and Montclair Hospital
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Medical Center.
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that was donated to the Foundation December 2009 by
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Prime Healthcare Services, and Montclair Hospital is a
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102-bed hospital that was donated to the Foundation this
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past December 2010 by Prime Healthcare Services.
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Encino Hospital is a 151-bed hospital
The Foundation has formed PHSF Victor Valley,
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LLC, a nonprofit entity that is 100 percent owned by the
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Foundation to be the licensed operator of the Hospital.
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It is fairly typical for a subsidiary to be formed like
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PHSF Victor Valley was in the case of hospital
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acquisitions.
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Victor Valley and will ensure that the commitments the
The Foundation stands behind be PHSF
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Foundation has made to the Victor Valley Community
Hospital are fulfilled.
PHSF Victor Valley will be managed by a
three-person board of managers, of which two of the
three will be independent members.
candidates to serve on this board, the board of the
directors of the Foundation will serve as the board of
managers.
While we seek
As many members of the audience know,
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Dr. Reddy and his family have lived and worked in the
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High Desert for the past 30 years and are deeply
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committed to the success of the High Desert and
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healthcare in the High Desert.
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Over the years, Dr. Reddy and his family, the
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Dr. Prem Reddy Foundation, a separate nonprofit entity
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formed by Dr. Reddy and his family back in 1991, and the
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Prime Healthcare services Foundation have provided a
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substantial amount of support to the High Desert,
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including:
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Donations of more than $2 million to Victor

Valley Community College;
Providing college scholarships to hundreds of
23
deserving students from the High Desert so that they can
24
pursue education and healthcare.
25
primarily based on financial need and play important
These scholarships are
25
role in helping students attend college each year.
than 40 students received scholarships this past year;
More
Operating a community medical library in
Victorville that provides education classes to residents
each year;
Opening a senior wellness center at Jess Ranch
in Hesperia that more than 500 seniors visit a month to
knit, garden, exercise, and where they also have access
to health screenings and education programs.
10
Under the terms of the Asset Sale Agreement
11
and the conditions we expect the Attorney General to
12
impose as part of the sale, the Foundation has made the
13
following commitments to Victor Valley Community
14
Hospital:
15
The Foundation will keep Victor Valley
16
Community Hospital open as a nonprofit hospital.
17
note that other buyers wanted to make Victor Valley a
18
for-profit hospital;
19
I will
The Foundation will offer employment to
20
substantially all of Victor Valley's current employees;
21
The Foundation will invest at least
22
$25 million into Victor Valley for things such as a new
23
computer system and new medical equipment, and we expect
24
to spend at least 15 million over the first three years;
25
The Foundation will provide charity care at
26
the same or greater levels than those historically
provided at Victor Valley.
charity care will increase due to improved efficiencies
in the emergency department;
We expect the levels of
The Foundation will maintain all essential
services, including emergency services, medical/surgical
services, labor and delivery, and pediatrics;
8
9
The Foundation will form a local governing

board for Victor Valley which will include members of
10
the medical staff and local community members.
11
forward to receiving input from Victor Valley's current
12
board regarding potential candidates for the local
13
governing board;
14
We look
The Foundation will recognize the independent
15
medical staff of Victor Valley, which means that all
16
physicians with privileges at the time the sale closes
17
will have the same privileges after the sale;
18
19
20
The Foundation will maintain the services

offered by the Women's Health Center;
The Foundation will contract with IEHP for
21
five years so that IEHP members can continue to receive
22
care at Victor Valley.
23
contract with IEHP yesterday;
24
25
PHSF Victor Valley signed a
The Foundation will maintain contracts with

the County of San Bernardino.
27
In addition to what may be required under the
Asset Sale Agreement and the Attorney General
conditions, the Foundation also wants to start a number
of initiatives at Victor Valley that will benefit the
community.
These initiatives include:

Increasing efficiencies in the emergency
department so that the time a patient must wait to see a
physician is decreased and the overall time patients
spend in the emergency department is decreased.
Since
10
our emergency departments operate more efficiently, more
11
patients can be seen each and every day than in other
12
hospitals, which is particularly important in terms of
13
access to care as many individuals are forced to seek
14
care in emergency departments due to a lack of
15
insurance;
16
Improving Victor Valley's scores on Medicare
17
Core Measures, which are quality-of-care indicators
18
measured by Medicare;
19
20
21
Developing outreach and education programs

with local schools and community organizations;
And working with the County of San Bernardino
22
to see whether Victor Valley could be a hub for the
23
County's medically indigent adult program so that
24
patients do not have to travel down the Cajon Pass to
25
receive care.
28
I also want to provide some background
regarding Prime Healthcare.
Above all else, Prime
Healthcare is committed to providing quality healthcare
and has received numerous awards over the past few years
recognizing these efforts, including being ranked as a
top-ten health system in the nation in a major study.
Prime Healthcare was the only for-profit system to be
ranked among the top ten and the only system west of the
Mississippi to be ranked above the top ten.
According
10
to this study, 47,000 Medicare patients would be saved
11
each year, and more than 92,000 patient complications
12
could be avoided if all hospitals provided the same
13
level of care we provide.
14
Desert Valley Hospital has been ranked as a
15
Top 100 Hospital in the Nation five different times --
16
in 2004, 2005, 2007, 2008, and 2009.
17
Medical Center has been ranked as a Top 100 Hospital in
18
the Nation in 2008 and 2010.
19
Center has been ranked as a Top 100 Hospital in the
20
Nation in 2009.
21
West Anaheim
Montclair Hospital Medical
In addition to providing quality care, Prime
22
Healthcare is committing to -- committed to providing
23
access to care to all members of the community.
24
Hospitals operated by Prime Healthcare and the
25
Foundation regularly provide more charity care than
29
other for-profit and nonprofit hospitals, and these
hospitals provided more than $180 million in charity
care in 2009 alone.
Regarding contracts with HMOs and insurance
companies, Prime Healthcare hospitals contract with them
if the rates are fair and reasonable.
Desert Valley Hospital maintains contracts with at least
18 different HMOs or insurance companies, and several
other Prime Healthcare hospitals maintain contracts with
10
11
For example,
various HMOs and insurance companies.

The Foundation is happy to speak with any HMO
12
or insurance company regarding contracts at Victor
13
Valley so long as they offer rates that are fair and
14
reasonable and do not lead to millions of dollars in
15
losses like those set by Victor Valley in 2009 with
16
respect to managed care business.
17
for Victor Valley to lose so much money in favor of
18
these HMOs and insurance companies.
19
It is simply unfair
On a related note, some of you may have seen
20
or heard the campaign one particular union SEIU-UHW has
21
embarked upon the slander Prime Healthcare with
22
misstatements, distortions, and outrageously false
23
allegations.
24
misguided effort into perspective.
25
Let me make several points to put that
SEIU-UHW does not represent a single employee
30
at either Victor Valley Community Hospital or Desert
Valley Hospital.
doctor who actually diagnoses the patients.
doctors, not hospitals, are the ones who practice
medicine.
SEIU-UHW does not represent a single

Remember,
SEIU-UHW's claims about blood infections or
sepsis, malnutrition, ER admission rates, and Medicare
fraud are nothing more than false and fraudulent
propaganda put out by SEIU to harm Prime Healthcare.
10
Joint Commission or HFAP, two Medicare
11
accreditation organizations, surveyed ten of Prime
12
Healthcare's hospitals, including Desert Valley
13
Hospital, and found no evidence to support SEIU's
14
allegations regarding blood infections.
15
SEIU-UHW, which simply relied on distorted statistics,
16
these accreditation organizations reviewed actual
17
patient records.
18
And unlike
SEIU-UHW has ignored the embarrassing fact
19
that there are other hospitals in Southern California,
20
at which SEIU has contracts, which have set the senior
21
rates similar to those at Prime Healthcare Hospitals.
22
In response to SEIU-UHW's allegation regarding
23
malnutrition rates at Prime Healthcare Hospitals, Joint
24
Commission, a Medicare accreditation organization,
25
conducted a review of the allegations and found no
31
evidence to support the allegations.
SEIU has also ignored the fact that a hospital
a which SEIU has a contract has the highest malnutrition
rate in the state of California.
SEIU's claims about admission rates of Prime
Healthcare Hospitals failed to indicate that there are
more than 142 hospitals in California with admission
rates above the state average, including several
hospitals which have higher admission rates than Prime
10
11
Healthcare hospitals.
SEIU-UHW has also claimed that Prime
12
Healthcare is the subject of an investigation by
13
Medicare's Office of Inspector General, that California
14
Department of Public Health will not issue a hospital
15
license to Prime Healthcare, and that the Attorney
16
General will not approve the sale of Victor Valley
17
Community Hospital.
18
These are also false statements.
Medicare's attorney stated in bankruptcy court
19
on July 12th that there's nothing that prevents Prime
20
Healthcare from participating Medicare.
21
CDPH, the California Department of Public
22
Healthcare, has actually encouraged Prime Healthcare to
23
submit an application for a hospital license for Victor
24
Valley and has not indicated that it will not issue a
25
hospital license to Prime Healthcare.
32
There may also be parties with vested economic
interests who stand up today and complain that the
Foundation will cancel all of the HMO and insurance
company contracts.
many of these parties have a financial interest in these
very same contracts and that these HMOs and insurance
companies paid such low rates to Victor valley that it
lost millions of dollars each year providing care to HMO
patients.
It is important to remember that
It is also important to remember that
10
patients can seek emergency care at Victor Valley or any
11
other hospital regardless of whether or not their HMO or
12
insurance company has a contract with Victor Valley.
13
There may also be some parties who stand up
14
today and say that they are interested in acquiring
15
Victor Valley and should be given the opportunity to bid
16
for the Hospital.
17
have you been?
To any such comments, we say where
18
Victor Valley held an extensive due diligence,
19
bidding, and auction process almost a year ago and there
20
were only two bidders who actually participated in the
21
auction:
22
Valley Hospital Acquisition.
23
Acquisition won the auction and was given more than six
24
months to close the transaction, but did not close the
25
transaction for whatever reason.
The Foundation and the for-profit Victor

Victor Valley Hospital
It's a bit late for
33
these bidders to now say they're interested.
United States Bankruptcy Judge Catherine Bauer
-- excuse me -- already heard these same comments and
rejected them when she approved the sale of Victor
Valley to the Foundation on July 12th, 2011.
Prime Healthcare Services Foundation is ready,
willing, and able to acquire the assets of Victor Valley
Community Hospital and looks forward to operating the
Hospital as a first-class community hospital which
10
provides quality healthcare to all members of the
11
community.
12
Thank you.
HEARING OFFICER:
Thank you.
Mike, can you --
13
and also, Cathy -- can you make sure that you give the
14
reporter a copy your comments there?
15
MICHAEL SARRAO:
16
HEARING OFFICER:
17
MICHAEL SARRAO:
19
HEARING OFFICER:
21
Perfect, perfect.
Thank you.
Okay.
Is there anyone
who -- I just want to -Before I get to my list, is there anyone
22
who -- I have one doctor, Villarosa, Daniel.
23
mispronouncing it.
24
and Dr. -- oh, okay.
25
Thank
you.
18
20
I already did.
I may be
Why don't come on up, and Dr. Reddy
And if there's anyone else who's working at
34
the hospital, just go ahead and just line up.
again, I only want one of you to speak at a time.
if anyone who works at the hospital, who's going to
start on a shift at 5:00 o'clock -- employees, doctors,
anyone else who works at the hospital -- just please
come up and line up and let me just hear from you first.
And then, I'm going to get to the list of people who
asked to speak today.
And
But
But again, I want you to say and spell your
10
last name so the court reporter can get your name.
11
Thank you.
12
COMMENTS BY DANIEL VILLAROSA
13
DANIEL VILLAROSA:
My name is Daniel
14
Villarosa, V as in Victor, I-L-L-A-R-O-S-A.
15
the OBGYNs who work at the hospital and vice chief of
16
staff at Victor Valley Hospital.
17
I'm one of
And I wanted to point out that the hospital is
18
running at a deficit.
However, the -- they do provide a
19
lot of free charity care for the hospital.
20
inappropriate -- I mean, in- -- disproportionate share
21
of self pay, which means no pays to the hospital.
22
in other hospitals, these patients are quickly shuffled
23
out of the hospital, because we get them; that's how we
24
know.
25
Valley, but both hospitals, they end up somehow at
They have
And
And I'm not going to say specifically Desert
35
Victor Valley.
And I also know that whenever we try to look
into a HMO contract to book patients at Desert Valley,
even though they take so many HMO patients, we never
seem to be able to book any patients over there.
always send them to either Victor Valley or St. Mary's
Hospital.
lot of (unintelligible) patients.
They
I don't -- I've never heard of them taking a
I've heard they've canceled most of their
10
contracts.
11
right to run their business as they run their business.
12
But I know that a lot of the patients we try to book for
13
HMO patients, we end up having Victor Valley or
14
St. Mary's.
15
And I understand that, you know, they have a
So that's from a practical point of view, so
16
that -- I don't know what their arrangements are, their
17
legal agreements are.
18
happening usually when we try to book patients.
19
20
But that's what I know ends up
HEARING OFFICER:
Okay.
Is there anything
further?
21
DANIEL VILLAROSA:
22
really wanted to point out.
23
HEARING OFFICER:
24
for coming.
25
Doctor.
No.
I think that's all I
Well, thank you very much
I appreciate it very much.
36
Thank you,
COMMENTS BY SUMAN THAWKER
SUMAN THAWKER:
Thawker, S-U-M-A-N, T-H-A-W-K-E-R.
rheumatologist, and I've been in this community for more
than 25 years.
the community for all these years, I'm quite cognizant
of the healthcare requirements and needs of this
community.
My name is it Dr. Suman

I'm a practicing
I raised my family here.
And being in
All the three hospitals are running at full
10
capacity, and Desert Valley and St. Mary both have opted
11
and have decided to add more beds.
12
closure of a hospital would really be a catastrophe to
13
the healthcare needs of our society.
14
So to consider a
From some of the information that I saw, the
15
accusation that the hospitals by law are not allowed to
16
put the diagnosis or recommendation to the doctors.
17
It's the hospital physician's, admitting physician's
18
duty and requirement to write the diagnosis.
19
whole accusation that the Prime Care is putting the
20
diagnosis is totally incorrect.
21
So the
It seems the whole discussion right now is
22
based more on the control of the personnel and the
23
healthcare environment rather than medicine, rather
24
than, you know, worrying about the healthcare
25
requirements of our community.
37
On a personal note, I do know -- I have known
Dr. Reddy for more than 26 years.
physician.
devoted a lot of his time, money, energy, and his
resources to the well-being of this community.
would hope and implore that all these issues are taken
into account before you make any decisions.
He's been a very good friend, and he has
HEARING OFFICER:
He's an excellent
So I
Thank you.
COMMENTS BY VICTOR SABO, MD
10
VICTOR SABO, MD:
Thank you.
My name is
11
Victor Sabo, S-A-B-O, MD, Chief of Staff at the Desert
12
Valley Hospital.
13
Healthcare Foundation acquiring Victor Valley Community
14
Hospital.
15
I am in support of the Prime
I have been on staff of Victor Valley
16
Community Hospital since 197- -- since 1988.
17
built my practice from the ground up by taking call at
18
Victor Valley Community Hospital in the emergency room
19
starting back in September 1988.
20
I have
This community needs Victor Valley Community
21
Hospital to continue to serve and keep up with the
22
growing demands of the increased population of the High
23
Desert.
24
25
I am also the medical director of Desert

Knolls Convalescent Hospital, a skilled nursing facility
38
one block away from the Victor Valley Community
Hospital, which fills the emergent needs of the patients
of that facility.
The three emergency rooms in the High Desert
currently deal with a high volume of patients.
of a facility would be devastating to the residents of
the High Desert, including the seniors in these nursing
homes.
The loss
As Chief of Staff at Desert Valley Hospital,
10
I've had the privilege of working with the medical staff
11
and have intimate knowledge of the data which reflects
12
only the highest standards of care being delivered to
13
our patients.
14
wish to create doubt and mistrust are false and
15
shouldn't be believed.
16
course of action for delivery of care, and the
17
individual making these allegations -- the individuals
18
that make these allegations do not understand how
19
medical care is delivered within a Hospital.
20
21
22
23
24
25
Allegations being made by those who only
As physicians, we determine the
HEARING OFFICER:
Great.
Thank you.
Thank you very much,
Dr. Sabo.
Hi.
COMMENTS BY DR. ERIC HANSEN
DR. ERIC HANSEN:
Hello.
Dr. Eric Hansen,
family medicine doctor in Hesperia for the last nine
39
years.
E-R-I-C.
It's spelled H-A-N-S-E-N; first name is Eric,
I'm in agreement with my colleagues as far as
the need for this hospital.
if this hospital was lost, and I think that everyone
realizes that.
It would be a huge travesty
I think it's important to -- and it maybe
could have been even more important to hear in the
openings about the other offers that are on the table
10
regarding the hospital, because it's kind of presented
11
initially that this hospital will close if this deal
12
does not go through.
13
been on the table, and it might have been, and could
14
still be, important for everyone here to -- to have a
15
little bit background on that.
16
There are other deals that have
The major concern for myself, and there may be
17
some conflict of interest because I have a large
18
population in my practice of HMO patients.
19
large population in the High Desert.
20
well, I actually don't have the statistics on the amount
21
of HMO admissions to Victor Valley Community Hospital
22
compared to private insurance admissions, but I know
23
that my HMO patients have been impacted directly by the
24
way the business model is run through the Desert Valley
25
Hospital.
There is a
I know that --
So my concerns with Prime Health taking over
40
a second hospital and potentially monopolizing the High
Desert, it's a major concern.
The case in point is that when my HMO
patients, on more than one occasion, have shown up in
the emergency room, I was not contacted when I had
privileges at Desert Valley Hospital.
come to me after follow-up and wonder why I didn't come
see them and that they were told by the ER doctor that I
had been paged and I never called back.
The patient would
And hopefully,
10
this, you know, is -- that's hearsay, nevertheless, but
11
this was something that prompted me to cancel my
12
privileges and not renew them through that hospital,
13
because this happened more than one time and these
14
patients were admitted through their hospital list
15
service, not to any knowledge of my own, and studies
16
were ordered and done that had been done elsewhere, and
17
only I had that information because I was the treating
18
physician, but was left out of the loop.
19
So if this is a way that this practice could
20
occur through Victor Valley Hospital, now I'm very
21
concerned about my patients, the utilization of
22
healthcare in general, not to mention the potential
23
problem with not contracting with the HMO or medical
24
groups that these HMO patients are -- are ensured by.
25
HEARING OFFICER:
Now, which HMO groups are
41
you talking about?
Can you just give me a couple names?
DR. ERIC HANSEN:
Well, there's -- I know even
some private PPOs.
But the HMO group through Choice
Medical Group, for instance.
HEARING OFFICER:
Okay.
Choice.
DR. ERIC HANSEN:
Yeah.
Which is a large
Okay.
medical group in the High Desert;
HEARING OFFICER:
Right.
DR. ERIC HANSEN:
And so these -- these
10
patients, if they're not seen at this hospital under a
11
contracted rate, there's essentially no limit on what
12
can be billed for services without a contracted rate.
13
So I know that the initial impact report
14
stated that most physicians agree, but I know I was not
15
asked.
16
directly impacted that have a high quantity of HMO
17
patients in their practice that would also be directly
18
impacted as far as where they would be able to go to do
19
surgical procedures as outpatients, things that are
20
negotiated basically on contracted rates.
21
would basically overburden St. Mary's Hospital,
22
potentially, because they would be, then, the only
23
hospital left in the High Desert that potentially is
24
contracted with that medical group, for instance.
25
I know probably 60 other doctors that would be
So this is a major issue.
And that
And yet, I
42
understand the emotional aspect of the hospital could
close.
with that entirely.
option unless there was some stipulation put in about
potentially contracting with all parties and not
necessarily having a monopoly and control over that
entire aspect of patients that are treated, because it's
a large population.
sure it can be found.
10
This is -- we can't lose the hospital.
But definitely, this isn't the only
I don't have the numbers, but I'm

So it's just an important aspect
you need to be aware of.
11
12
I agree
HEARING OFFICER:
very much.
13
Great.
Thank you
I appreciate it.
DR. ERIC HANSEN:
14
Okay.
Thank you.
COMMENTS BY GURPAL PHAGUDA
15
DR. GURPAL PHAGUDA:
Dr. Gurpal.
First name
16
is G-U-R-P-A-L; last name is Phaguda, P-H-A-G-U-D-A.
17
I'm also a family physician practicing in this area for
18
the last 18 years, and I want to support everything
19
Dr. Hansen has said.
20
physician, all the things he said, I do want to support
21
that.
22
Being a private-practice
As physicians, we don't want Victor Valley
23
Hospital to close.
That's why we supported, uh,
24
Dr. Kali Chaudhuri coming in nine months ago.
25
that hospital to stay open; no question about that.
43
We want
Our main request to the Attorney General's
office is that allow our HMO patients admission
opportunity to that hospital.
problem -- at least, I don't have a problem with
Dr. Prem Reddy or Prime Care.
when it's time for contracting that our HMO patients do
have an opportunity to come to that hospital.
8
9
We don't have a
I just want to make sure
The attorney who spoke for Prime Care mentions

that they'll accept, look into reasonable rates, but
10
that's a very open statement.
11
much.
12
think any HMO or IPA or a group is going to ask for
13
unreasonable rates, but it needs to be something that
14
the Attorney General needs to put some provisions that
15
would assist the groups to allow their HMO patients
16
access to that hospital.
17
It doesn't really say
And I think it needs to be reasonable.
I don't
So again, I want to stress as physicians,
18
there's no doctor in the High Desert who wants Victor
19
Valley Hospital to close.
20
in this community.
21
unfortunately, HMO is here to stay.
22
here, and we have a large HMO market in this community.
23
So our concern is that if you have a monopoly
Our patients -- we need beds
Our emphasis is fortunately, or

That market is
24
of a business practice -- I mean, Dr. Reddy's open to do
25
whatever he prefers.
It's his hospital at Prime Care
44
and -- but my request is that the kind of care and the
kind of business model that is practiced at Victor
Valley Hospital should be open to HMO patients and not
have restrictions where patients don't have access to
that Hospital.
6
7
HEARING OFFICER:
10
It looks like a Dr. Reddy, Mekala Reddy.

great, and if there's anybody else.
Oh,
Other than that,
I'm going to start with my list.
11
COMMENTS BY DR. MAKALA REDDY
12
DR. MAKALA REDDY:
13
HEARING OFFICER:
14
appreciate it.
8
9
Thank you.
I'm Dr. Makala Reddy.

Again, could you spell your
last name for the record, please.
15
DR. MAKALA REDDY:
Reddy, I don't need to
16
spell out; right?
Last name, Makala, M-A-K-A-L-A.
I've
17
been in this community almost 30 years.
18
for -- 30 years ago here when there was an air force
19
base.
20
this is a good place to settle down and practice, and
21
I've been practicing every since.
I started
And then, after I finished my term, I decided
22
I know Prime Care.
Before it was Prime Care,
23
it was Desert Valley Medical Group, Desert Valley
24
Hospital.
25
few other physicians who started the whole group, that
And, in fact, me and Dr. Reddy, along with a
45
was almost 28 years ago.
separated and we are in separate group, and I have my
own practice since then.
For various reasons, we got
What is happening right now is before, we had
three hospitals.
choice.
(Unintelligible.)
DEPOSITION OFFICER:
DR. MAKALA REDDY:
Patients have good
I'm sorry.
Parents also had a good
choice to go to various hospitals.
With the hospital
10
turmoil of Victor Valley Hospital, now it's being taken
11
over, possibly taken over by Prime Care.
12
a creating a lot of anxiety among the physicians.
13
reason being the model Desert Valley -- I'm sorry --
14
Prime Care that they've chosen has been a little bit of
15
problem for us.
16
That, kind of
The
We have another hospital that is Desert Valley
17
Hospital.
18
the contract, keep the emergency room open, and whoever
19
comes, uh, that has private insurance, you bill them at
20
full rate and make good profit.
21
who need elective procedures, because they don't have a
22
contract with that insurance, they cannot go there.
23
In town, what I hear is that they cancel all
HEARING OFFICER:
Whereas with patient
Sir, could you -- I'm sorry.
24
Could you just talk a little bit closer to the
25
microphone?
Why don't you just pull it down a little
46
bit closer to you.
she can hear you.
That way, everyone can hear you, and

Thank you.
DR. MAKALA REDDY:
Whereas Victor Valley
Hospital has been treating almost every possible
insurance, all the Medi-Cal, HMOs -- that is, IEHP
Advantage, Molina.
in town does not accept Medi-Cal [phonetic], Molina, or
Advantage.
providing the care for the poorest of the poor.
Even St. Mary Hospital that we have
10
So it's only hospital that has been
Patients -- I can speak about the surgical
11
aspect because I'm in that area.
12
cancers, colon cancers, they can't go any other place
13
with Advantage or Molina.
14
Valley Hospital.
15
People with the breast
They can only go to Victor
So with their track record of the Prime Care,
16
there's a huge concern.
What will happen with these
17
people?
18
Los Angeles, is 40, 50 miles.
19
even find a car to bring the patient to the hospital or
20
the doctor's office.
21
gasoline prices going up is a huge problem.
The nearest hospital down below, that is in
22
So many times, they can't
And driving that far down with the
So my opinion to you is if there's a third
23
player in the ballgame, you should consider it very
24
seriously.
25
Thank you.
HEARING OFFICER:
47
COMMENTS BY DR. RAKESH GROVER
RAKESH GROVER:
Good afternoon.
Rakesh Grover.
the last name is Grover, G-R-O-V-E-R.
I'll spell it.
My name is
It's R-A-K-E-S-H, and
I'm the chairperson of the Department of
Surgery at Victor Valley Hospital.
I am also a
chairperson of various committees functioning at base
levels.
Committee that's the highest branch in the hospital for
And I'm also part of the Medical Executive
10
conducting physician affairs.
I also had the privilege
11
of being the past president of the Indian American
12
Cultural Society in the High Desert.
13
practice of 15 years in the department of surgery in
14
this wonderful High Desert community.
And I have been in
15
I wish to thank you, allowing us to give this
16
opportunity and to be able to come here and express our
17
concerns.
18
It's a deep concern we have for the healthcare
19
delivery here in the High Desert.
20
to do good things.
21
have gone through tough times, and this is one such.
22
We all like good --
We all would want to, um -- we all
It is indeed a test of our prudence to
23
exercise non-biased judgement in a very cool manner for
24
the benefit of this community, that this community so
25
richly deserves.
We owe it to this community.
48
A decision that is made without exploring
other viable options that are available would not be
appropriate.
we owe it to them.
It is our general responsibility, and
I have been a member of this community.
I am
part of this community.
And it is a deep concern that I
have that the healthcare delivery not be disrupted or
all viable options be please be explored.
vital that this hospital stays open.
It is very
All my respectable
10
colleagues across the board have expressed those views
11
and agree with all of those, especially Eric Hanson, who
12
very ably spoke.
13
you very much for your attention.
14
15
Please, please listen to us.
HEARING OFFICER:
Thank you very much, Dr.
Grover.
16
So you're a doctor?
17
DR. VIJAY ARORA:
Yes.
18
HEARING OFFICER:
Okay.
19
other doctors?
20
last one.
21
we're gonna get to the list.
22
Okay.
Great.
Great.
Is there any
This is going to be our
We're going to take a short break, and then

Okay?
Okay.
Thank you.
COMMENTS BY DR. VIJAY ARORA
23
DR. VIJAY ARORA:
Doctor Vijay Arora.
24
HEARING OFFICER:
Yeah.
25
Thank
mic.
You need to move the
Thank you.
49
DR. VIJAY ARORA:
My name is Dr. Vijay Arora.
First name is Vijay, V as in Victor, I-J-A-Y; last name,
Arora, A-R-O-R-A.
I'm an OBGYN physician in private practice in
the High Desert for more than 25 years.
Dr. Tucker, consider Dr. Prem Reddy and several of the
senior members of his group to be very close friends.
8
9
I, just like
I would like to talk about the impact report

that you said at the very beginning was a very important
10
piece of evidence to consider.
11
doctors listed in that impact report, in a meeting with
12
you have basically expressed very serious reservations
13
about the possible disruption of care.
14
your office to take that seriously.
15
office to look at every and all other option that may be
16
available.
17
best care and the most accessible care to our patients.
18
The vast majority of
I would like
I would like your
Our goal as physicians is to provide the
It was stated by the consultant earlier that
19
recommendations could be made about keeping certain
20
departments open and mandating those -- that those
21
departments stay open.
22
alone does not allow access to the patients on an
23
elective basis.
24
the emergency room.
25
obligate hospitals to provide care, but at what cost?
Keeping the departments open
Patients can certainly come in through

There are federal laws that
50
Several of my colleagues have mentioned HMOs,
and I reiterate that fact very strongly, but we also
have to consider several PPOs.
Blue Cross of California.
California.
care to about 70 million people in the United States.
There is Aetna; the only hospital that has a contract in
the High Desert currently is Victor Valley Hospital.
Several of the state employees, school teachers, highway
Number one in those is
We have Blue Shield of
There is United Healthcare that renders
10
patrolmen, police officers -- a vast majority of those
11
people have these particular insurances that I just
12
listed.
13
It would be my humble request to you to look
14
at all, every option and, number two, require, make it
15
an absolute requirement of whoever acquires this
16
valuable asset for the community to continue to provide
17
the same level of care across the board, including PPOs,
18
including HMOs.
19
make contracts more competitive if they have to be,
20
because we certainly do not want the hospital to lose
21
any revenue.
Of course, in the process, trying to
22
HEARING OFFICER:
23
Okay.
We're going to just take a quick
24
five-minute break.
25
Thank you.
We're going to start back at 4:10.
51
(A recess was taken.)
HEARING OFFICER:
Okay.
First person we're
going to be calling today -- let me grab my list -- is
Dr. Gilbert.
heard from Dr. Sabo.
have you come up, and Lisa from UNAC, we're going to
have you come up.
And after Dr. Gilbert -- oh, we already

And then, Adam, we're going to
COMMENTS BY DR. BRADLEY GILBERT
DR. BRADLEY GILBERT:
Thank you.
My name is
10
Dr. Bradley Gilbert, B-R-A-D-L-E-Y-G-I-L-B-E-R-T, and I
11
am the CEO of Inland Empire Health Plan, or IEHP.
12
IEHP is a not-for-profit health plan that
13
serves over 515,000 individuals in our two counties,
14
including over 60,000 members in the High Desert.
15
of our members are low-income, vulnerable families,
16
adults, and children.
17
members that we serve.
18
All
Those are the only type of
Victor Valley, as clearly documented in the
19
MDS is report, is a critical hospital in the High Desert
20
and, in particular, is a critical hospital for
21
low-income, vulnerable families and children served by
22
IEHP.
23
We have had a 15-year relationship.
We are
24
coming up on our 15th anniversary on September 1st.
25
started on September 1st, 1996.
We
And that entire time,
52
we've had a relationship with Victor Valley Community
Hospital.
renovate their emergency department.
paid for three months in last year, when the budget
wasn't passed by the State, we continued to pay them
regardless of the fact that we were not being paid.
our relationship with them has been good, it's been
strong, and it's been ongoing.
We have supported them.
We helped them
When we weren't
So
I think people have said it very clearly, that
10
survival of this hospital is absolutely critical for the
11
community.
12
the MDS report that were previously included in the AG
13
conditions, that include the maintaining of services,
14
the critical services to Victor Valley provides, and,
15
most importantly for IEHP, the maintaining of a contract
16
with Inland Empire Health Plan so that our members can
17
get the service that they need.
18
We spongily support the recommendations in
We have reached an agreement as Mr. Strow
19
[phonetic] said.
We have reached an agreement with the
20
potential buyer, and we think that agreement will
21
support the hospital going forward.
22
continuing to work with the new buyer for our patients
23
and the doctors that serve them in the community.
24
HEARING OFFICER:
25
DR. BRADLEY GILBERT:
We look forward to
Great.
Thank you.
53
1
2
3
HEARING OFFICER:
Dr. Gilbert.
Adam, and then after Adam, Lisa, if you could
come up too.
it seems to go faster.
Thank you very much,
If we just have a couple people like that,
Again, I want to tell everyone, you know, try
to keep your comments three to five minutes.
appreciate it.
going to try to keep everyone at three to five because
10
we to have a whole lot of people not only on the list,
11
but as well on the sign-up sheets.
12
13
14
Adam may go a little longer, but I'm
Thank you.
Adam.
COMMENTS BY ADAM WEISBERG
ADAM WEISBERG:
I'm Adam Weisberg.
That's
15
W-E-I, S as in Sam, B as in boy, E-R-G.
16
analyst and researcher with Service Employees
17
International Union -- United Healthcare Workers West.
18
I want to address briefly -- and I've got quasi-prepared
19
remarks, so I'll have to try to e-mail you some of the
20
text if you miss anything.
21
And I am a data
I want to address briefly some of the issues
22
that were raised by the Seller and prospective buyer.
23
The first is around the CLIA license issue.
24
accept that as a serious question, the agreement that
25
the Hospital hammered out with CMS extending the
54
So while I
deadline to September 1st also requires CMS -- requires
CMS to extend the deadline further for cause.
Obviously, if the Attorney General were to deny this
sale, that would be cause.
Victor Valley Community Hospital, because, you know,
clearly, they've been doing what they're supposed to do
in trying to find a buyer for this hospital.
8
9
It wouldn't be any fault of
The second issue I want to address is

around -- that came up in the earlier remarks is around
10
the board of Prime Healthcare Services Foundation and
11
the decision making of that nonprofit organization to
12
invest in Victor Valley Community Hospital.
13
until very recently, did not have three independent
14
members or Dr. Reddy's daughter on -- on it.
15
does.
16
clearly came far, far before then.
17
decision -- it cannot be reasonably stated that decision
18
was made without -- you know, entirely by independent
19
individuals.
20
That board,
It now
But the decision to purchase Victor Valley

And so the
Certainly, Prime does stand to gain through
21
the purchase of Victor Valley Community Hospital.
22
will dominate the market.
23
ability to negotiate contracts should they decide to do
24
that.
25
They
They will have tremendous
So on to the prepared remarks.
55
In deciding
whether to let Prime buy Victor Valley, the Attorney
General must consider whether the sale is in the public
interest.
4
5
HEARING OFFICER:
going to read.
6
7
Thank you.
ADAM WEISBERG:
We believe it's not, and I
want to brief you on the reasons why not.
8
9
Adam, go slowly if you're
Prime's business practices are controversial

and they're damaging.
Prime's chairman has referred to
10
the emergency room as a gold mine according to sworn
11
testimony.
12
The company refuses to bargain contracts with
13
insurers.
14
patients facing an emergency by requiring their insurers
15
to pay out-of-network emergency rooms usual and
16
customary charges.
17
turned this law into a cynical business model to extract
18
as much profit as possible from an emergency when an
19
insured patient enters the emergency room.
20
Why is that?
Because California law protects
What Prime has done is they've
Once in the hospital, patients are billed for
21
extraordinarily serious conditions at extraordinary
22
rates.
23
life-threatening blood infection.
24
seniors who get it do not survive.
25
well under the Medicare system.
Septicemia is an example.
Septicemia is a
Around 20 percent of
It also pays very
Whatever the reason,
56
five of the six hospitals with the highest rates of
septicemia in the United States of America were operated
by Prime Healthcare in 2008.
operated 7 out of the top 12.
3,000 hospitals, and at the time Prime only operated 13
U.S. Hospitals.
In 2009, Prime again

This was out of around
California's Department of Public Health
recently looked at a sample of septicemia charts at
Prime hospitals, and some -- some of the septicemia
10
patients did not even have a fever or get antibiotics.
11
Others had urinary tract infections.
12
Another example is severe malnutrition.
We
13
just got 2010 numbers on this, and what you're looking
14
at here are the 12 highest hospitals with the highest --
15
are the 12 hospitals with the highest rates of severe
16
malnutrition in the state of California.
17
yellow are operated by Prime.
18
highest 12.
These are numbers that come from OSHBID
19
[phonetic].
Again, Medicare generally pays more for
20
people whose care is complicated by severe malnutrition.
21
It can mean thousands of dollars per hospital stay.
22
The ones in
That's 10 out of the
If you look at these numbers, we're talking
23
about a 31 percent rate of severe malnutrition at Shasta
24
Regional Medical Center; 17 percent, Huntington Beach
25
Hospital; 16 percent at West Anaheim Medical Center;
57
12.6 percent of seniors at Paradise Valley; 11 percent
of seniors at Centinella; 11 percent of seniors at
Desert Valley.
California, and they're all operated by Prime
Healthcare.
Those are the top six in the state of
They're just the numbers.
Even though Prime tells Medicare its patients
are extremely sick, managed care plans like Kaiser and
Heritage, as well as former employees and physicians
have alleged that Prime actually admits patients who do
10
not even need to be admitted.
11
allegedly admitting patients who could be treated in the
12
emergency room and then sent home.
13
back that up.
14
In other words, Prime is
The numbers seem to
We've got another chart here, and what this
15
chart shows is all 94 health systems in the United
16
States of America that had at least 10,000 general
17
medical claims that they billed Medicare for in 2009.
18
So each of those X's is a health system, plus the
19
circle.
20
it's Prime.
21
have are the number of stays, the number of hospital
22
stays that are very, very short, two days or less.
23
The circle is the same as the others except

On the Y axis, going up and down, what you
The green line is the national median.
24
can see that Prime is very far above the national
25
median.
You
They have, you know, a very large number of
58
short stays.
There's probably five or so health systems
in the U.S. out of 94 that had more short stays.
But then, on going from left to right there on
the X axis, what you're looking at is the severity level
that Prime is billing Medicare for for its general
medical care.
apples to -- compare hospitals apples to apples, what
we're looking at are not the surgeries, but the medical
care, and we're taking out burn centers, um, HIV, um,
So in order to compare apples, oranges --
10
cancer and other highly specialized areas that each
11
hospital doesn't have.
12
medical care.
13
years and did not create for this purpose.
That's all your just general
It's a metric that we've used for many
14
The -- if you look, Prime has -- while it has
15
a very large number of short stays, it's severity level
16
is where -- it would be off the chart if you drew the
17
chart, you know, without Prime, far, far higher than all
18
of those other systems in the United States.
19
Mayo Clinic, the Cleveland clinic.
20
severe patients than them according to their Medicare
21
bills.
22
is obtaining and draining out of the healthcare system.
23
That's the
Prime has a far more
So all this adds up to a lot of money that Prime
California Watch estimates that the extra
24
admissions from the emergency room may have cost
25
taxpayers over $200 million.
Then, there's what it --
59
then, there's the cost to insure patients.
don't -- to my knowledge, no one has been able to
calculate that number.
money that they're able to get by billing Medicare on
the inpatient side for such severe illnesses.
can get a sense of that amount from this chart.
And I
In addition, there's the extra
And you
So what you're looking at here are, again, the
same health systems, all 94 in the country that had at
least 10,000 qualifying inpatient stays, so general
10
medical care.
And Prime is four standard deviations
11
above the mean in what it gets paid per the case -- four
12
standard deviations above the mean.
13
higher than about two; again, Mayo Clinic, Cleveland
14
Clinic, all these folks.
15
when you add this up, we're talking about 50 million or
16
so dollars over two years.
17
concerning thing about this is in addition to the
18
potential for excess admissions, which you would expect
19
to reduce in -- result in lower community stays, we're
20
seeing higher community stays.
21
community stays when we look at the length of the stay.
22
And one of the things that would happen if, in fact,
23
Prime were saying that their patients are significantly
24
sicker than they really are is that their outcomes, the
25
patients' outcomes would be much better than Prime says
Nobody else is
That's for every case.
And
And, you know, the more
Now, we see the lower
60
they are, you know, than they would be.
So, for example, if you have septicemia,
you're a senior, there's about a 20 percent chance
you're going to die.
chance.
fantastic.
less likely to die.
know, a possible reason for the high scores under
Thompson Lawyers rating, so they have to rely, when they
Right?
At Prime, there's a 13 percent
So it makes your quality look
If you're not really that sick, you're much

And that is the -- that is, you
10
do their risk adjustment, on what people are billing
11
Medicare.
12
I just want to mention one more thing.
A new
13
issue was reported on the Riverside Press Enterprise
14
just yesterday, and that was fundamentally about the
15
governance of Prime Healthcare Services Foundation,
16
which is the nonprofit arm that's trying to buy Victor
17
Valley.
18
the iceberg and that issues at Prime's nonprofit may
19
extend well beyond this story.
20
We're concerned that this might be the tip of
For example, why does Prime want to put its
21
nonprofit direct -- why does Prime want to put its
22
nonprofits in direct competition with its for-profits?
23
Victor Valley is the nearest competitor to Prime's
24
for-profit Desert Valley Hospital, and this fits a
25
pattern.
Prime has two other nonprofits, and each is
61
located within five miles of a Prime-owned for-profit
hospital.
This would be the third.
setting themselves up as the nearest competitor to a
Prime for-profit hospital.
indication that Prime's nonprofit organization is being
used to benefit the for-profit operations in a
competitive environment for the for-profit, and that
would be a serious violation of public trust.
10
So they've got two nonprofits right now.

And in each case, they're
We think this is a strong
In closing, this sale is not in the public
11
interest.
12
protect patients in an emergency to maximize its
13
profits, it is not in the public interest to allow that
14
model to grow.
15
If a health system is abusing laws meant to
If a health system is falsely documenting or
16
coding care at the expense of taxpayers and seniors, it
17
is not in the public interest to reward that kind of
18
behavior.
19
If a health system is admitting patients who
20
do not need to be admitted, even making some of them
21
feel ted, which is what the report says -- it's not our
22
report -- it is not in the public interest to expand
23
that model.
24
25
And now, Prime's tax-exempt foundation may be

involved in, you know, this scheme that's in the paper
62
yesterday.
We're citizens and we're caregivers.
We're
union members.
Democrats, and every one of us is a human being and
human beings get sick.
We're taxpayers, Republicans and
You know, my brother's actually in the
hospital.
He's fine, but you remember that moment when
who's going to take care of the kids.
your family and you got to trust certain institutions,
You got to trust
10
and you've got to be able to trust the hospital that
11
your family member gets rushed to.
12
Prime.
13
the problem.
We can't.
14
15
And, you know, fundamentally that's
Please defend the public interests and block

the sale.
Thank you.
16
HEARING OFFICER:
17
Lisa.
18
19
20
And you can't trust
Thank you.
And then, after Lisa is going to be
Helen Bowman.
COMMENTS BY LISA DEMIDOVICH
LISA DEMIDOVICH:
Good afternoon.
My name is
21
Lisa Demidovich, D-E-M-I-D-O-V-I-C-H.
And I'm from
22
United Nurses Association of California, Union of
23
Healthcare Professionals.
24
AFSCME, and AFL-CIO.
25
speak here today.
We're affiliated with NUHHCE,
Thank you for the opportunity to
63
UNAC/UHCP is a labor organization that
represents more than 20,000 healthcare professionals
throughout Southern California, including the registered
nurses at the Prime-Healthcare-Services-owned facilities
Garden Grove Hospital and Chino Valley Medical center.
I have come to Victorville today to voice
UNAC/UHCP's opposition to the proposed sale.
Based on
our experience of Prime Healthcare Services in Garden
Grove and Chino, we strongly urge the Attorney General
10
to not approve the proposed sale of Victor Valley
11
Community Hospital because it is not in the public
12
interest for the healthcare professionals, patients, and
13
citizens of Victorville and the surrounding area.
14
UNAC/UHCP has represented the RNs of Garden
15
Grove since 1981 and has had collective bargaining
16
agreements, CBAs, with them since that time.
17
CBA expired on September 30th, 2010.
18
negotiations began well in advance of the expiration
19
date, a new contract was not reached until July of this
20
year because Prime's negotiators proposed massive cuts
21
for RNs in benefits and other packages, particularly for
22
the most experienced RNs who had served the hospital for
23
20 years or more.
24
given by income downturns, but, rather, to further
25
increase profits to grow the Prime empire at the expense
The last
And although
Such aggressive proposed cuts are not
64
of the Garden Grove community.
Garden Grove, will explain more about her experience
next.
Helen Bowman, an RN at
The Chino Valley RNs, in a secret-ballot
National-Labor-Relation-Board-conducted election in
April 2010, voted overwhelmingly for representation by
UNAC/UHCP, but Prime has ignored that decision and,
instead, has entered into a four-front legal battle in
an effort to avoid its legal obligation to bargain with
10
11
the registered nurses.

First, Prime filed meritless objections to the
12
election, which the National Labor Relations Board
13
rejected in January 2011 when it certified UNAC/UHCP as
14
a representative.
15
16
The NRLB's certification --
HEARING OFFICER:
Lisa, can I just get you to
talk a little bit slower?
17
LISA DEMIDOVICH:
Sure.
18
HEARING OFFICER:
Thanks.
19
LISA DEMIDOVICH:
The NLRB's certification is
20
attached to these comments as Exhibit 1, and the NRLB's
21
published decision finding that Chino Valley has
22
unlawfully refused to bargain with UNAC/UHCP is attached
23
as Exhibit 2.
24
25
Prime is now challenging the NRLB's unanimous

decision in the U.S. Court of Appeals for the D.C.
65
Circuit.
Second, shortly after the election, Prime
engaged in egregious unfair labor practices, including
termination of a lead organizer who's an RN at the
hospital for many years, widespread discipline, threats,
surveillance, and taking away benefits as it had
threatened to do during it's aggressive anti-union
campaign.
After a neutral investigation, the NRLB
10
decided to prosecute these violations, and a six-day
11
hearing occurred in June of 2011 where the NRLB
12
presented evidence of the violations.
13
favorable decision finding the unfair labor practices
14
were committed to be issued soon.
15
We expect a
Third, the National Labor Relations Board in
16
Washington, D.C., believed that these unfair labor
17
practices were so egregious that it sought the
18
extraordinary remedy of injunctive relief while the
19
underlying hearing and appeal occurred.
20
this in context, in 2010, of the more than 23,500
21
unfair-labor-practice charges that were filed in
22
America, the NRLB sought this remedy in only 23 of those
23
case.
24
immediate reinstatement of the terminated union
25
supporter and remediation of the other
Just to put
The issue of injunctive relief here requires
66
unfair-labor-practice violations and is currently before
the United States Court of Appeal for the Ninth Circuit.
The fourth front of this legal attack on
representation was in response to UNAC/UHCP's peaceful,
informational visits to the hospital lobby, where candle
and jewelry sales occurred.
remove our representatives, but the police sergeant
refused, stating that union representatives have a right
to be present.
Prime called the police to
Prime then filed a trespass lawsuit in
10
San Bernardino Superior Court.
11
currently stayed by the court.
12
That lawsuit is
These legal actions are expensive and divert
13
resources that could be spent on patient care to lawyers
14
located throughout the country.
15
confident that the law will prevail and Prime will be
16
forced to comply with its legal duties to negotiate with
17
the employees' chosen representative, but at what cost
18
to the community.
19
In the end, we're
If the Attorney General approves the sale of
20
Victor Valley Community Hospital to Prime Healthcare
21
Services Foundation, Prime will similarly fight the
22
wishes of its Victor Valley staff if they vote to
23
organize, taking hundreds of thousands of dollars,
24
possibly millions of dollars, away from Victorville to
25
pay for out-of-town lawyers to fight their right to
67
organize.
working conditions intolerable for the experienced staff
at Victor Valley so that Prime can bring in cheaper
replacements, thereby depriving the Victorville
community of the quality patient care on which it
depends and current employees of their income that is
spent at local businesses.
8
9
Without representation, Prime would also make
Notably, Prime Healthcare Services Foundation

has not committed to keeping all employees, but, rather,
10
substantially all, an unspecified amount, and that is
11
only at the time of purchase.
12
commitment for even a month later, two months later, or
13
a year down the road.
It's not an ongoing
14
Selling Victor Valley Community Hospital to
15
Prime is decidedly not in the public interest, and we
16
strongly urge the Attorney General to not approve the
17
prosed sale.
Thank you.
18
HEARING OFFICER:
19
Helen.
20
21
22
And then after Helen is going to be
the mayor and then Bill Thomas after that.

COMMENTS BY HELEN BOUMAN
HELEN BOUMAN:
Good afternoon.
23
Helen Bouman, B-O-U-M-A-N.
24
Garden Grove Hospital.
25
My name is
I'm a registered nurse at
I've been there 12 years.
Prime bought the hospital in July of 2008.
68
Excuse me.
the hospital, several physicians left, not wanting to be
associated with that facility for that -- for the reason
that Prime owned it.
And the day that he took over ownership of
Also, we have nurses that had come from other
hospitals that Prime had bought, particularly Huntington
Beach and west Anaheim.
They didn't want to work for him.
When he took over, they left.
In our recent round of negotiations, it was
10
earlier stated by Lisa that there was proposed cut that
11
would significantly impact nurses that had been there
12
for a long time, more than 20 years.
13
We've got multiple new hires which causes
14
concern with the skill mix on our units, and he's hiring
15
new grads at a significantly lower rate than what is in
16
the community.
17
then they leave as soon as they get their experience.
18
They don't want to stay.
19
20
HEARING OFFICER:
much for coming.
21
22
23
24
25
They stay there for about a year and
That's all I have.

All right.
Thank you very
I appreciate it.
And then, after the mayor is Bill Thomas and

Carl Tate?
COMMENTS BY MAYOR RYAN McEACHRON
MAYOR RYAN McEACHRON:
My name is Ryan McEachron.
Well, good afternoon.
That's M-C-E-A-C-H-R-O-N.
69
I'm the mayor of this great City of Victorville, and
welcome to you and your colleagues here.
You know, after hearing those recent comments,
it's almost as if you should not approve this and Cathy
Pelley should shut down the hospital.
mayor of this city, that is completely unacceptable.
That hospital needs to stay open, and the only way it
will stay open is if the Attorney General approves this
sale.
10
But to me, as the
We've been through this for the last eight
11
months, it seems like.
And the previous bidder was
12
given the opportunity to close; they did not.
13
know that Prime Healthcare will close, and they'll do it
14
quickly.
And we do
15
So my -- my two issues are this.
The jobs
16
that would be lost should you not approve this sale,
17
it's in excess of 500 and could possibly be more,
18
because I know with Prime Healthcare's commitment,
19
Dr. Reddy's commitment to this community, everyone in
20
this room knows that Dr. Reddy's committed to this
21
community.
22
he's -- and he's done a lot for this community and many
23
will speak to that here today.
24
500 higher and better-paying jobs in Victorville, so
25
that's number one.
He's been here for over 30 years, and
But we cannot lose over
70
Number two, we cannot be without this
facility, not just for Victorville.
It is our community
hospital.
half a century.
the entire Victor Valley would suffer at the loss of
beds here in the High Desert.
Valley Hospital is currently expanding and should see
their expansion come to a completion here in the very
near future, St. Mary Medical Center and the St. Joseph
It's been our community hospital for over

But if we were to lose that hospital,
And although Desert
10
Health System is looking to build a Victorville campus
11
and add another hundred-plus beds to the Victor Valley,
12
it's still not enough for what we need here in the High
13
Desert.
14
So I agree with Mr. Dalton and his report and
15
what -- what they're -- what he's asking the Attorney
16
General to consider as certain requirements set forth
17
for the purchase of the hospital.
18
Attorney General's approval of this purchase, the
19
hospital will shut down.
20
several years.
21
shut it down.
22
But without the
I've known Cathy Pelley for
She is a woman of her word.
She will
So that is unacceptable to me as the mayor of
23
this city.
I need that facility open.
I need the jobs.
24
I need the healthcare provided to the citizens of the
25
Victor Valley, the city of Victorville.
71
And, uh, I just
urge the Attorney General to approve the sale.
you.
HEARING OFFICER:
Bill and then Carl Tate after that.
Bill, if you can just come up too, so we don't
6
7
8
9
Great.
Thank
have any lull, I would appreciate it.

COMMENTS BY WILLIAM THOMAS
WILLIAM THOMAS:
Thomas, T-H-O-M-A-S.
Thank you, Wendi.
William
I'm the executive vice president
10
and general counsel of two organizations:
11
Hospital acquisition, Inc., and Victor Valley Hospital
12
Real Estate, LLC.
13
talk to them -- about them collectively as VVHA and see
14
if we can keep the acronym straight, because we also
15
have VVCH for Victor Valley Community Hospital.
16
Victor Valley
As I'm describing these, I'm going to
I've been listening to the proceedings here,
17
and listened to the honorable mayor and I -- but I
18
was -- and I've listened to Cathy Pelley.
19
what I was hearing loud and clear was if we don't sell
20
to Prime, the hospital will close.
And I thought
21
Phil, I think that was what you said, that it
22
was better to sell to Prime than to close the hospital.
23
That's the MDS conclusion in its report.
24
25
And then, the second thing I think that

Ms. Pelley said was, in a nice way, that Dr. Chaudhuri,
72
VVHA, you've had your opportunity to close and you
didn't, so we need to move on.
both of those subjects in my -- in my remarks.
So I'd like to address
First, let's talk about the hospital closing.
I heard Dr. Eric Hansen, Dr. Arora, Dr. Grover.
were raising what I thought was a very intelligent
remark, is -- is that the alternative, that if we don't
sell to Prime the hospital closes?
They
Uh, I would like the record to be very clear
10
that there is an alternative, probably more than one
11
alternative, but certainly the alternative of selling to
12
VVHA.
13
I've provided documents to counsel to -- to Victor
14
15
virtually non-contingent offer.
16
so there's no execution risk.
17
respects to get Victor Valley Community Hospital out of
18
bankruptcy.
19
Prime transaction.
20
offer in -- in a minute, but I just want to be very
21
clear that we have put on the table for the Hospital's
22
consideration a alternative that is fully financed,
23
non-contingent, a done deal, essentially.
24
no reason to believe that we -- that if Prime is not
25
approved that this transaction cannot go down very
I've filed papers with the Attorney General.
The VVHA has made a

It is fully financed,
It is sufficient in all
So it is a viable alternative to, uh, the

I'll get into the details about that
73
So there is
quickly.
by the Attorney General, with conditions, and we're
prepared to accept those conditions for closing.
As you know, VVHA had previously been approved
So let's back up for just a moment.
As
everybody knows, VVHA was in contract to -- to buy these
assets.
did have Attorney General approval with conditions.
what happened?
didn't close by June 1st, which was the deadline set by
We did have a bankruptcy court approval.
We
So
That was back in November, and the deal
10
the Attorney General, and transaction never happened.
11
Well, was that because VVHA got cold feet, decided to
12
delay, didn't have the money?
13
all that?
14
What -- what was behind
We have a dispute with the Victor Valley
15
Hospital on the reasons why we didn't close.
However, I
16
would -- and I'm not going to sit here and debate in
17
this forum who's right or who's wrong about our dispute.
18
But what is undisputed -- what is undisputed with
19
respect to this -- this transaction is that after --
20
shortly after we went into contract, Medicare violations
21
came to light, which Victor Valley Community Hospital
22
took six months to -- to resolve.
23
not have met the closing conditions until the end of May
24
at the earliest.
25
was in any position to close this transaction before
They literally could
There was no way that Victor Valley
74
the -- the end of May.
There are other issues on the
table that we have between -- between ourselves.
should be very clear that the allegation that somehow
our -- our situation was a delay in the transaction is
simply not sported by the evidence.
of money, well over a million dollars in trying to close
this transaction; enormous effort trying to deal with
issues that arose post -- post closing that were
challenging to -- to both ourselves and -- and to the
But it
We have spent a ton
10
Seller.
We did everything possible to get this done.
11
We're still fighting to get this deal closed.
12
So the allegation that somehow these people
13
came in and just, you know, fell apart, didn't close,
14
that is obviously false and we're here to put our new
15
offer on the table.
16
It's -- they --
The Hospital's had it since August 2nd.
17
just heard a couple days ago from their counsel that
18
they will consider it at the end of the month.
19
like to see them consider it sooner.
20
in the world why it -- it shouldn't be in the best
21
interest of the Seller to lock in a -- a no-contingent
22
backup offer, fully financed, so that if Prime will not
23
or cannot close, they -- the Hospital can move on with a
24
successful transaction.
25
I would
There's no reason
Let me move on to the offer itself.
75
It's
$30 million.
that -- that Prime is asking for.
the same contract that has been previously approved by
the Attorney General in the bankruptcy court.
waiving all of the issues that were obstacles to closing
in -- in the past.
that were previously imposed upon us by the Attorney
General.
the cash necessary to close the transaction so there can
10
11
We're not asking for the $3 million credit

We've modeled it on
We're
We've accepted all the conditions
And most importantly, we've offered to escrow
be no doubt about the execution risk.
It's a done deal.
So we would like the Hospital to -- to
12
consider that -- that transaction.
13
their fiduciary duty to do so.
14
proceeding, we would like the Attorney General to be --
15
to have this on the record, because it's not in the --
16
to some degree, this offer developed after the impact
17
report, so I want -- I want to be fair to Phil and MDS.
18
But to frame the issue as you don't sell to Prime, the
19
hospital closes is -- is -- is just not fair.
20
unfair characterization of the situation.
21
We think it's in
But clearly, in this
It's an
Also, I would like to point out that if we
22
were to buy, we -- I'll just point out a few
23
large-picture things about the -- about us versus Prime.
24
When we were in contract, we had agreed to maintain and
25
improve the hospital.
We had agreed to open access.
76
We
had agreed to assume and maintain the managed care
contracts.
arrangement with IEHP.
overwhelming support of the medical staff.
physicians wrote letters of support of our -- of our
deal.
We worked out a mutually acceptable

And most importantly, we had the
Eighty-seven
So how do you make a hospital successful if
you don't have your doctors behind them?
We were the
ones that had the very strong support of the majority of
10
the medical staff in the -- and the medical groups.
11
Prime, in comparison, is under state and federal
12
investigation, has a record of canceling the managed
13
care contracts.
14
heard, in the area.
15
that it will tend to lessen competition.
16
moves to a monopoly or not, I don't know, but it will
17
certainly lessen competition, which is one of the
18
elements that the AG is supposed to take into
19
consideration.
20
opposed by most of the medical staff and most of the
21
medical groups.
22
It already owns a hospital, as you've

So it's obvious, it's common sense
Whether it
But again, most importantly, it is
You heard here today by several doctors that
23
have come forth to echo their opposition.
24
have in the Attorney General's files over 40 letters
25
from respected members, senior leadership of the -- of
77
I know you
Victor Valley Community Hospital medical staff opposing
the sale.
So the doctors do not want the Prime deal.

And let me finally make a mention about CLIA.
I love Cathy Pelley, but I respectfully disagree with
her about whether it's a red herring or not.
were in contract, this CLIA issue was clearly something
that the government was going to work with us.
many discussions with the government where the last
thing they wanted to do was close down the hospital.
When we
We had
10
They were always cooperative to try to work with a bona
11
fide buyer to make sure that this transitioned properly.
12
That's what the government attorneys told the bankruptcy
13
judge on July 12th.
14
General to pick up the phone, call Seth Shapiro
15
[phonetic] at the Department of Justice, just verify for
16
yourself whether or not they are willing to -- to be
17
cooperative.
18
that the government -- the last thing they want to do is
19
shut down a hospital.
20
That was certainly the way they dealt with us.
21
And I certainly invite the Attorney
I think that's -- you're going to find
They want to smooth transition.
And again, when we were in contract, the --
22
the backup plan was always to outsource.
23
I'm surprised to hear that outsourcing is not an option.
24
25
So, you know,
Well, again, we don't have to speculate.

Let's -- let's call, uh, Lab Corp. [phonetic].
78
Let's
call Quest to see if they can outsource the lab under
these circumstance.
So I think there's investigation that can be
done on both those points that make it not a matter of
debate, but the Attorney General can determine for
themselves with firsthand evidence from the Department
of Justice and from the independent lab corporations
whether or not there is a solution to the -- to the CLIA
situation.
I respectfully believe that that is a
10
absolute red herring.
11
that you don't have to consider Prime on the merits.
12
Don't do that for heaven sakes.
13
do is be panicked by the circumstance that we're going
14
to close if we don't take the Prime offer.
15
ridiculous.
16
There's $10 million in the bank for this hospital.
17
There is no absolute deadline here that we need to work
18
against.
19
It's just added pressure to say
What you really need to
It's
Take our offer, look at other alternatives.
So we would respectfully request that the --
20
after review of all these matters, that the Attorney
21
General deny the Prime application.
22
HEARING OFFICER:
23
Carl Tate.
24
25
Thank you.
And after Carl is going to be
Michelle Spears and then Mayor Blewett.

COMMENTS BY CARL TATE
79
CARL TATE:
Thank you, Ms. Horwitz.
My name
is Carl Tate, T-A-T-E.
Valley Crest Residential Care in Apple Valley.
I'm the executive director of
And before I continue with my prepared
remarks, I wasn't going to say anything personal, but I
was shocked beyond belief after hearing the gentleman
representing the union speak on many things medical.
spent my entire life since 1960 in the healthcare field.
I have run skilled nursing homes, acute psychiatric
10
hospitals, acute general hospitals on both local and
11
regional basis, and semi-retired when I decided to get
12
back into the healthcare field and take care of seniors
13
with Alzheimer's disease.
14
shocked me was when he was harping on malnutrition in an
15
acute hospital.
16
But one thing that really
I, unfortunately, but fortunately for me,
17
spent three days at Desert Valley Hospital about three
18
years ago with a kidney stone, and I can tell you the
19
food was good and you cannot become malnourished in two
20
or three days, which is the average length of stay.
21
have to be mal-nurtured -- malnourished at the time of
22
admission, because you can't gain wait, you can't lose
23
weight in two or three days.
24
25
Now, on with my prepared remarks.
You
I want to
thank you for giving me a few minutes to speak in favor
80
of Victor Valley Community Hospital being purchased by
Prime Healthcare Services Foundation.
facility I run, is a 64-bed residential care facility
licensed by the State of California, Department of
Social Services to care for 64 seniors who have suffered
from Alzheimer's disease or related dementia.
Valley Crest, the
Valley Crest has a longstanding relationship
with Victor Valley Community Hospital.
And since their
filing for bankruptcy last year, I've been very
10
concerned that due to their continuing financial
11
problems that they might have to close.
12
Mr. Horwitz, we cannot afford to lose the 101
13
licensed beds that Victor Valley Community Hospital
14
currently has.
15
have less than 50 percent of the recommended beds per
16
thousand residents that the federal health system's
17
agency uses for planning purposes, which is
18
approximately two beds per thousand residents.
19
close to 400,000 residents in the High Desert, we should
20
have around 800 beds, but yet we have less than 400
21
beds.
22
a devastating effect on our healthcare delivery system
23
and the ability of Valley Crest to obtain the type of
24
acute care our residents sometimes need.
25
Our High Desert communities currently
With
So the loss of 25 percent of the beds would have
After several failed attempts by -- excuse
81
me -- by Victor Valley Community Hospital's management
to find the qualifying buyer, they now have an accepted
offer from Prime Healthcare Services Foundation.
believe if this sale is approved by your office, it will
ensure that Victor Valley Community Hospital will be
able to provide Valley Crest with the level of care
we've long come to expect for our residents.
purchase will also be of great benefit to the growing
population to the Victor Valley as well as the dedicated
This
10
employees and medical staff at Victor Valley Community
11
Hospital.
12
Excuse me.
The pages are stuck.
During the past few years, Dr. Prem Reddy,
13
Prime Healthcare Services, and the Prime Healthcare
14
Foundation have developed a nationally recognized
15
reputation for being able to turn failing hospitals into
16
valuable community assets that provide a high level of
17
quality care.
18
the same thing for Victor Valley Community Hospital,
19
making it a win-win situation for all concerned.
20
you.
21
22
23
24
25
I see no reason why they cannot be -- do
HEARING OFFICER:
you mind leaving a copy.
Michelle Spears.
Thank
Would
Thank you.
And then after Michelle,
we'll have Mayor Blewett.

COMMENTS BY MICHELLE SPEARS
82
MICHELLE SPEARS:
Hi, my name is Michelle
Spears, S-P-E-A-R-S.
Chamber recognizes the health education outreach that
Desert Valley Hospital and Dr. Prem Reddy and the
Foundation have provided to the community and is willing
to invest in an -- institutions that struggled in order
to enhance and expand those services.
The chamber, the Victorville
I've served as the president and CEO of the
Victorville Chamber of Commerce for over 21 and a half
10
years and have seen firsthand Desert Valley Hospital's
11
commitment to supporting local charities, providing
12
scholarships to students interested in medical careers,
13
financial support to our local community college in the
14
health sciences department, and much more.
15
residents and businesses have benefited from their
16
commitment to promote the well-being of our community.
17
Our
If Victor Valley Community Hospital closes, it
18
will adversely affect the local community because of
19
loss of jobs, which primarily are local residents.
20
it closes, it will cause -- place undue burden on our
21
overcrowded other two hospitals and the ERs in the High
22
Desert.
23
already underserved for our population.
24
much for your time.
25
If
The number of beds in the High Desert is
HEARING OFFICER:
Thank you very
83
Okay.
And after Mayor Blewett, then we're gonna have
Dr. Morris and Dr. (unintelligible).
COMMENTS BY MAYOR PRO TEM RUSS BLEWETT
MAYOR PRO TEM RUSS BLEWETT:
Hello, Russ
Blewett, B-L-E-W-E-T-T.
High Desert.
going to get a little bit pointed a little later,
because anybody that knows me knows that's my style.
I'm going to go after a couple people in a little bit.
10
First of all, welcome to the
We're grateful to have you here.
I'm
But first of all, I want to start off with
11
something nice.
12
from Hesperia High School, and I came up here.
13
live up here at the time; I lived down the hill.
14
went to the graduation at Hesperia High School, and the
15
man that paid for that graduation was Dr. Prem Reddy.
16
And I didn't know Prem Reddy.
17
a funny hat, and he's -- he paid $10,000 so those kids
18
could have a graduation.
19
having a tough time now, they were having a very tough
20
time then.
21
1992, I had a grandson that graduated

I didn't
And I
He was a little man with
Because as the schools are
This man, since that time, has put millions of
22
dollars into this desert, into helping people.
The word
23
Hesperia stands for star of the desert.
24
is a real star of this desert.
25
we could clone him and put it into a lot of other
Dr. Prem Reddy
I wish we had -- I wish
84
1
2
people's lives.
Hospitals -- I've been in many hospitals,
unfortunately, some for myself.
relatives that live up here in the High Desert, and I
had a wife that was ill for some time.
I've been in hospitals a long time.
I have over 30
So believe me,
There's two things that impress me in life:
Efficiency and effectiveness.
Valley Hospital, and by the way, I don't think anybody
10
11
12
13
14
I myself was in Desert
would say that I'm malnourished.

(Laughter and applause.)
Because I'm truly not.
And actually, the food
was pretty good there.

Let me address -- let me address this issue in
15
the hospitals of the infection rate.
2002, I was in a
16
unionized hospital, I might add, where I was given MRSA,
17
and I darn near died.
18
very fortunate to emerge alive.
19
going to, but I surprised everybody -- much to some
20
people's sadness.
I spent 90 days in ICU and was

They thought I was not
21
But let me tell you something.
When I was --
22
when I checked into Desert Valley Hospital for the
23
seven -- for my seven days that I stayed there -- I had
24
to -- believe it or not, I had a foot problem.
25
they checked me for MRSA.
They checked me.
85
Anyway,
But when I
went into that hospital and they found out that I had
had it and they put me -- and they quarantined me.
was literally quarantined for seven days, which was kind
of good, actually.
But the one thing it learned, because when I'm
in a place for any length of time, the one thing I do, I
get bored, and the one thing that I do is I start
looking at how well it's run.
a very, very well-run hospital.
Desert Valley Hospital is

I was very impressed
10
with how they run.
11
people in the audience know that I'm not exactly easy to
12
please.
13
And I'm a very -- some of these
But I want to talk about something that's very
14
important to this High Desert, and it's really
15
important.
16
not being used at Victor Valley Hospital.
17
Hospital is building, and I believe it's an additional
18
60 beds.
19
There's basically a 60-bed deficiency that's

Desert Valley
Well, let me tell you what's happened up here
20
and the reason why I want Dr. Reddy to keep this
21
hospital and get it going because I know he'll make it
22
operate and operate well.
23
city of Hesperia alone operates four paramedic
24
ambulances in our City at all times.
25
to a hospital with a patient, they -- our paramedics
We have a major problem.
The
Well, when they go
86
have to stay with that patient until they get a bed.
costs us hundreds of thousands of dollars in downtime
because they have to stay at the hospital because there
isn't adequate beds in the High Desert.
imperative -- and not only that, it puts my citizens in
my community at risk.
It
This is an
So I think it's in the best interest for
less -- let's make this thing happen.
Dr. Reddy in that hospital.
Let's get
10
And by the way, the way you solve an escrow --
11
this gentleman that just talked about it -- is you close
12
it on time.
I've done hundreds of millions of dollars
13
in escrows.
And when they don't close on time, there's
14
usually a reason, and the reason usually is the buyer.
15
The other thing is with Dr. Reddy, he will
16
bring unemployment in this desert down.
17
18 percent unemployment rate up here.
18
devastating to peoples and their lives.
19
Dr. Reddy, he will hire local people, as he's done, and
20
that will help this community, not just Hesperia, but
21
the entire Victor Valley.
22
us.
That is
And if we have
It is a real imperative to
And thank you for your time.
23
HEARING OFFICER:
24
Dr. Morris and Dr. Luther.
25
We have an
Okay.
Do we have Ardis Kulyas?
87
Okay.
Oh, sorry.
1
2
mispronounced that.
Oh, sorry.
3
4
Go ahead.
COMMENTS BY DR. JOSEPH MORRIS

DR. JOSEPH MORRIS:
Hi, I'm Dr. Morris,
Joseph, M-O-R-R-I-S.
College Nursing Program, and Allied Health chair -- I'm
sorry -- director.
8
9
And I represent Victor Valley
Over the past 30 years, Victor Valley Nursing

Program has maintained an excellent reputation in the
10
community and continues to produce skilled and qualified
11
registered nursing and healthcare providers throughout
12
the high desert and Inland Empire.
13
Victor Valley College Nursing Program has graduated and
14
produced more than 2500 registered nurses.
15
As of today, the
Desert Valley Hospital was first approved by
16
the Board of Registered Nursing on August 4th, 1995.
17
For the past 16 years, Victor Valley College has
18
fostered a close relationship with assigning student
19
nurses to Desert Valley Hospital for their clinical
20
experience.
21
In 2003, Dr. Prem Reddy's School of Health
22
Science was established due to the gracious
23
contributions of $1 million to the nursing and allied
24
health programs.
25
Dr. Reddy were used to provide equipment, staff,
The funds that were donated by
88
development, and remodeling of the nursing program and
paramedic, respiratory therapy, and other allied health
programs.
In fact, in May of this year, the school of
nursing was recently surveyed by the Board of Registered
Nursing for reaccreditation, and one of the Board of
Registered Nurses' recommendations were that we replace
old equipment with new equipment.
of Dr. Reddy, the school is scheduled to receive new
And with the support
10
medical equipment, including high fidelity simulation
11
mannequins, which were featured in the recent desert
12
valley -- I'm sorry -- Daily Press.
13
So throughout the years, the partnership with
14
Desert Valley Hospital and Prime are thankful for their
15
support and has been significant support in the students
16
at Victor Valley College and the college program of
17
nursing.
18
student enrollment and scholarships, including 68
19
students in the partnership weekend program in the
20
nursing program.
21
particularly the nursing program, also benefit from the
22
student workers program.
23
program, which is a co-op ed program, the student nurses
24
are paid a stipend which also allowed them have
25
increased clinical experience.
Their support has allowed for increased
Students enrolled in the college,
Through the student workers
89
In addition to the financial support, Victor
Valley College has maintained an excellent working
relationship with the staff at Desert Valley Hospital.
The nursing staff at the hospital also work as
instructors at the college, which provides a very
effective and positive advisory counsel relationship.
So with that being said, Victor Valley Nursing
Program and the Allied Health Program supports the
purchase of the Victor Valley Hospital which will allow
10
the college to continue to train nurses and future
11
allied health professionals.
Thank you.
12
HEARING OFFICER:
13
We've got Dr. Patricia Luther.
14
15
16
17
Great.
Thank you.
COMMENTS BY DR. PATRICIA LUTHER

DR. PATRICIA LUTHER:
Yes, your Honor,
Patricia Luther, L-U-T-H-E-R.

Thank you for the opportunities to speak today
18
on behalf of Victor Valley Community College.
19
been the -- I've been employed at the college for 21
20
years, 12 years as the director of the nursing and now
21
I'm the dean of Health Sciences/Public Safety.
22
And I've
I cannot say enough about the support that we
23
have been given by Dr. Prem Reddy over the last 16 years
24
since he has become a member of our advisory and is a
25
member of our clinical placement places.
90
We really
appreciate everything he has come forward with.
you know, your Honor, at this time, when the budgets for
the community colleges are being cut severely by the
state, I don't know what we would do without the kind of
support he has given us, mostly the sole support from
our community, to continue to increase the quality of
the registered nurses.
8
9
And as,
I want to just reiterate -- I don't want to

reiterate everything that Dr. Morris has said, but I
10
really, strongly support everything that he has put
11
forward on what we have seen from the support that he
12
has given us.
13
And just as an example of that, also, that I
14
truly believe that he'll continue to support this
15
community because he supported hundreds of our students
16
with hundreds of thousands of dollars.
17
the foster care program at Victor Valley was really
18
going to be discontinued, he stepped forward and
19
provided a place for these parents to learn how to
20
become foster parents.
21
outside of the health community where he has really led
22
the way for us.
23
And he's -- when
And that's just another example
I -- I just want to let you know that he has
24
lived up to his commitment after he committed a
25
hundred -- $1 million to the college, and we still bear
91
the name of Dr. Prem Reddy's School of Health Sciences,
and we look forward to continuing support --
gazuntite -- in the future.
Honor.
HEARING OFFICER:
Okay.
you.
Thank you, your
And why don't we have Mark come after
That would be fine.
COMMENTS BY ARDIS KULYAS
9
10
Okay.
ARDIS KULYAS:
Sure.
Hi, my name is Ardis
Kulyas, K-U-L-Y-A-S.
11
DEPOSITION OFFICER:
Spell your first name.
12
ARDIS KULYAS:
13
I'm totally new to this.
Oh, A-R-D-I-S.
First time I've ever
14
done it.
15
opposed to Prime Healthcare's purchasing another
16
hospital.
17
dollar and not for the patient.
18
there and charged a quarter of a million dollars for 12
19
days, a quarter of a million.
20
I just want to let everyone know I am totally
Their hospitals are you run for the almighty
Prime Healthcare will not contract with
21
insurance companies.
22
She was not an HMO.
23
24
25
My daughter was held
My daughter had Blue Cross PPO.
Prem Reddy is stated to be worth 300 million.

I can see why.
He also removes anything that is profitable
92
from his hospitals like chemotherapy because it does not
make him any money.
Prime Healthcare has been found guilty by the
Medical Board of misdiagnosing.
seen here today, they're also being checked for
malnutrition issue.
full that way, when you keep patients there for no
reasons.
And as you stated --
Well, you can keep your beds really
My daughter could have been diagnosed with
10
leukemia right away, but one -- by one simple test.
11
test was done after seven days they let her lay there.
12
Okay?
13
nothing to do that test.
14
in the bill $144,834, because they charge over $20,000 a
15
day for ICU.
16
That test was done right in the ICU room.
Okay.
The
Took
For seven days, that cost her
Then, they refused for a transfer to
17
get her out of there to go to a chemotherapy hospital to
18
get treatment for her cancer.
19
Okay.
Also, they state in the medical reports
20
that I've gotten from the hospital they checked with
21
seven hospitals to find a transfer for her.
22
all seven of those hospitals.
23
me they had no contact with them.
24
from the hospital, from Verdugo Hills, where they said
25
they had absolutely no call from Desert Hospital --
I contacted
Several of them have told

I have a paper here
93
Desert Valley Hospital, trying to get her a cancer room.
On my cell phone, I wasn't able to get it in writing,
but I have an answer from City of Hope.
Desert Valley Hospital never tried to contact them in
February to transfer my daughter.
day, it's probably more profitable to keep her there.
And do I have this paper if you'd like to have a copy of
it.
telephone if you'd like to listen to it.
Okay.
10
11
They said
At $20,000-plus a
It was the City of Hope that I have on the
HEARING OFFICER:
That's okay.
I'll take your
word for it, ma'am.
12
ARDIS KULYAS:
13
million dollars.
14
you, if I may.
They say pictures are worth a
I have pictures I'd like to present to
15
HEARING OFFICER:
16
ARDIS KULYAS:
Sure.
Okay.
As you can see in these
17
pictures, I've covered up my daughter's private areas.
18
The first pictures that are marked "A" are my daughter's
19
pictures after two days in a regular room at Desert
20
Valley Hospital.
21
found out that she had leukemia.
22
with no care.
23
there.
24
home, get clothes, because I was going to follow her to
25
the hospital where she was going to be transferred.
She was removed from an ICU after they

She laid in that room,
Her throat was closing up on her.
I was
I left the hospital for only three hours to go
94
I told them she needed to go back into ICU and
that her throat was closing up on her.
said I was wrong.
asked the nurse to call the doctor.
ushered out of the daughter's -- out of my daughter's
room by a security guards, told I could not stay in my
daughter's room.
8
9
The head nurse
Vickie kept getting worse, and I

I was un- --
The second set of pictures marked "B" were

taken at Scripps Hospital in La Jolla, where I finally
10
found a transfer for my daughter.
11
ICU at Desert Valley Hospital, this is what she still
12
looked like.
13
show that this was not their negligence, this was done
14
from the previous hospital, the abuse and neglect of my
15
daughter.
16
After three days in
Of course, Scripps took these pictures to
Dr. Nanda [phonetic] assured me that she had
17
75 to 80 percent chance of survival, but they let my
18
daughter die.
19
doctor that I asked her to call.
20
came to see her, but I can't prove that yet.
21
yet because they're withholding the documents from that
22
day.
23
the day they let my daughter's throat close up and put
24
her back in the ICU.
They can't coincidently find the
25
records of that day.
They're hiding this.
I don't believe the nurse ever called the

I don't think he ever
And I say
I have all the records from the hospital except
95
They're
1
2
hiding it to cover their guilt.

You -- if you allow Prime Healthcare to
purchase Victor Valley Hospital, then all ambulance as
well as most doctors will have to send their patients to
one of their hospitals where there is no insurance
contracts, where there is no value of human life, and no
one warns you what will happen when you go there.
are the only two hospitals in Victorville.
These
I hear the Mayor say that they've been through
10
this for months.
11
losing my daughter, and my suffering's just started, so
12
their few months doesn't mean a lot to me.
13
I have suffered six months after
I keep hearing everybody saying he gave this
14
money, he gave that money, he did this and he did that,
15
and he gave hundreds here and thousands there.
16
sounds to me like you're buying friends.
17
you've earned enemies.
18
someone gives away millions of dollars when their
19
hospitals do what they're doing to our loved ones?
20
Okay.
It
Oh, I think
Is this a compliment, that
I'm asking that you please stop the
21
sale, prevent others from suffering the loss of a child.
22
My daughter's death was caused by the doctors, the
23
nurses, and the staff.
24
ask you to please deny them to buy another hospital and
25
ruin more lives.
Her leukemia was curable.
Thank you.
96
And I
1
2
HEARING OFFICER:
appreciate it very much.
(Applause.)
COMMENTS BY MARK KULYAS
MARK KULYAS:
Hi, my name is Mark Kulyas, and
I'm here today because my sister was intentionally
murdered at Desert Valley Hospital for financial gain.
8
9
Everybody keeps talking about, you know, money

this, money this, I gave money here, he gave money
10
there.
Why -- if he's such a good doctor, Prem Reddy,
11
why isn't he taking the money to putting it into the
12
hospitals to save our loved one's life?
13
What he did is my sister was in ICU for seven
14
days.
They finally diagnosed with her with an acute
15
leukemia.
16
acute leukemia -- every doctor knows that the word acute
17
means severe, short course, and you need to get somebody
18
medical chemotherapy immediately.
19
They take her out of ICU the very day that they find out
20
she has an acute leukemia.
What doctor does that?
21
put her in a regular room.
My mom is begging Dr. Jose
22
Lewis Naranja [phonetic] that my sister's throat is
23
closing up, she can't breathe.
24
looks at my mother in the face and says, "What do you
25
want me to do, throw somebody else's daughter on the
The very day they find out that she has an
What do they do?
They
And Lewis Jose Naranja
97
floor so your daughter can have a bed," and then strolls
off down the hall.
here?
No.
That's the kind of hospital we have
What -The deciding factor you see here is money.
These people live in very rich houses and it's all about
money.
money, money, money.
all the evidence that they intentionally murdered my
sister for profit.
10
That's all we talked about in the beginning, is

I have a full book here showing
When Monday came, when -- when they had my mom
11
thrown out of the hospital by a security guard, when my
12
mom's asking for help, my sister's asking for help, that
13
her throat is closing up and she can't breathe, they
14
throw my mom out of the hospital by a security lard --
15
yard -- guard and let my -- let my sister suffocate for
16
seven hours, until they return her to ICU.
17
they call my mom on the phone down in the parking lot,
18
because that's where she was waiting after being thrown
19
out, and -- excuse me -- and then they -- then they call
20
her up and, say oh, you're daughter's asking for her.
21
Well, she goes up there.
22
lifeless and they have to intubate her to save her life.
23
And then
My daughter -- my sister is
And here's a real kicker.
She had a transfer
24
for UC Irvine for chemotherapy to save her life on
25
Monday.
You want to know what they did on Monday?
98
You
want to know what Ver Cumar Nanda [phonetic] did and
Lewis Jose Naranja did and Oliver Sabo, who spoke here
today did?
gain.
that's dying a transfer to a hospital, for financial
gain.
Thursday and they shipped her down to Scripps La Jolla
and refused a helicopter.
They refused her transfer for financial
You tell me what doctor refuses an acute patient
And then, they held her hostage in ICU until
This isn't a hospital.
What you're hearing
10
from these doctors -- they don't care about people's
11
lives.
12
All you're hearing is about money.

My sister's dead.
She lost her life.
She
13
paid for her own medical insurance, her own PPO.
14
submitted all this evidence to the California Medical
15
Board.
16
standard of care in your community.
17
talk to Camilla D. Harris and explain to her that this
18
is a corrupt organization with money.
19
Medical Board is a corrupt organization.
20
money.
21
being protected.
22
for.
23
ones?
24
about money -- oh, it's going to give jobs here and jobs
25
here and jobs here.
You know what they told me?
Oh, that's the

So I need you to
The California
It's all about
The evidence you submit -- our citizens are not

They're not -- they're not being cared
Do you have family members?
Do you have loved
Do you have brothers and sisters?
All this talk
How about the death of somebody for
99
money?
Healthcare is about.
money.
That's what it's about.
That's what Prime
That's what Prem Reddy is about --
You can't deny refusing somebody's transfer to
hold them hostage in ICU.
none whatsoever.
There's no medical excuse,
And I would like you to sit down with
Camilla D. Harris and read this book with her and ask if
this is how your loved one would want to be treated, and
10
then maybe you can form some type of organization that's
11
beyond the California Medical Board.
12
Medical Board is a bunch of doctors overseeing doctors.
13
They all admit here that they're all friends.
14
course, they're all friends, because they all live in
15
rich mansions -- that's why -- over the blood of our
16
loved ones.
17
The California
Well, of
That's how they're doing it.
So I beg you, do not sell this hospital,
18
because these are death camps.
These are not -- these
19
are not doctors that are trying to save lives, when you
20
have a doctor that says I don't care and walks down the
21
hall.
22
of paper that says help me, help me, please help me.
23
Somebody's thrown my mom out of the hospital with a
24
security guard, let me sister lie in her own urine, and
25
suffocate for seven hours.
My sister had to sit and write a note on a piece
I can just imagine the
100
horror that she felt while she layed there.
Prem Reddy is corrupt and these doctors are
corrupt.
please, would you take this to Camilla D. Harris and set
up some type of overseeing agent that's not doctors
overseeing doctors?
And I beg of you not to let this happen.
8
9
Sure.
Do you have anything
Mark, is there anything else?
MARK KULYAS:
10
11
Would you please do that for us?
HEARING OFFICER:
else to say?
No, thank you.
HEARING OFFICER:
Okay.
Great.
to take a break right now for ten minutes.
12
(A recess was taken.)
13
HEARING OFFICER:
Okay.
We're going
Thank you.
We're going to go
14
back on the record.
15
we're going to have Lionel Dew and Joseph Brady.
16
And
We've got Thurston Smith, and then
COMMENTS BY HESPERIA COUNCIL MEMBER THURSTON SMITH
17
HESPERIA COUNCIL MEMBER THURSTON SMITH:
18
afternoon.
19
Hesperia City Council member.
20
the governing board for Desert Valley Hospital.
21
lived in a High Desert for over 22 years, and I've seen
22
the growth and the economic shift over the years in the
23
High Desert.
24
25
My name is Thurston Smith, S-M-I-T-H.
Good
I'm a
I am -- currently sit on
I've
If Victor Valley Community Hospital were to

close, it would be detrimental as to -- as to the
101
economy and to the construction industry that pretty
much goes with the High Desert, almost as bad as George
Air Force Base in the '90s to this economy.
would severely impact the service sector of the service
products that the hospitals buy in the local community,
not to mention the employees and their families.
The closure
As a business owner myself, I feel that it
would be a benefit for Victor Valley Community Hospital
to have a local owner that understands the need of our
10
community.
11
in turning around bankrupt and distressed hospitals, and
12
the Victor Valley certainly has had its challenges in
13
need and infusion of both experience and investment that
14
they would bring to the table.
15
shot in the arm that this hospital needs to be viable
16
and support the growing needs of the Victor Valley.
17
Prime Healthcare has a proven track record
Basically, it would be a
Having served on the board of Victor Valley
18
Hospital for over three years, I have witnessed
19
firsthand the commitment to quality and health
20
education, the outreach services that they provide to
21
our community.
22
donations to charitable causes, but resources that give
23
back and help our community's health.
24
much.
25
This is extended only through the
HEARING OFFICER:
Thank you very
Thank you.
102
Okay.
Next we're going to have Lionel Dew.

COMMENTS BY LIONEL DEW
LIONEL DEW:
having this hearing.
D-E-W.
Good evening.
Thank you for
My name is Lionel Dew.
That's
As a civic leader of the Victor Valley, I'm in
favor of the purchase of the Victor Valley Community
Hospital by Prem -- by Prime Healthcare Services for the
following reasons.
It is essential that the Victor
10
Valley maintain three viable, vibrant inpatient medical
11
facilities.
12
record of success.
13
and is noted for high-quality care and services.
14
Healthcare provides opportunities for employment and is
15
considerably generous in charities.
16
Victor Valley Community Hospital remains local.
17
opportunity to preserve the rich history of both
18
intuition is important.
19
Prime Healthcare has a tremendous track

Prime Healthcare is viable, stable,
Prime
Ownership for
The
My view of the transaction between Prime
20
Healthcare Services and Victor Valley, it's less than an
21
acquisition but is more of a partnership that has the
22
confidence of the community and the confidence of
23
patients.
Thank you.
24
HEARING OFFICER:
Thank you.
25
And next we're going to have Joe Brady, and
103
then would Carol Koelle -- Koelle come up also.
you.
COMMENTS BY JOSEPH BRADY
JOSEPH BRADY:
Joseph Brady.
Companies.
7
8
My name is
I'm the president of the BRADCO
Could you spell your last
name, sir?
JOSEPH BRADY:
Oh, Brady, just like "The Brady
Bunch."
11
12
Good evening.
HEARING OFFICER:
9
10
Thank
HEARING OFFICER:
Thank you.
Yes, I am hold
enough to know about "The Brady Bunch."
13
JOSEPH BRADY:
Some in here are not hold
14
enough to remember those days.
15
he's left -- or I don't know if Ryan got a chance to
16
watch that show.
17
I think our mayor --
I also publish the BRADCO High Desert Report.
18
I'm president of the Brad- -- the Barstow Real Estate
19
Group and Alliance Management.
20
I'm pleased to stand before you tonight,
21
endorsing the efforts of Prime Healthcare Services
22
Foundation and PHSF in their acquisition of the
23
hospital.
24
May 13th of 1988, and only during a short period of my
25
tenure was Victor Valley Hospital a viable hospital.
I've been in the High Desert since
104
Since Dr. Benjamin Nepomuceno retired, Victor Valley
Hospital's continued to struggle not only financially,
but, I believe, overwhelmed with an increased amount of
social problems that the High Desert has seen, as
evidenced by our high unemployment.
to stand and correct my good friend and Mayor Pro Tem
Russ Blewett.
actually he about 25.7 percent.
favorite paper, The Daily Press, evidenced that our
He says 18 percent.
I stand to -- wish
We believe it's
And last week, our
10
welfare and food stamp rate is now about 35 percent per
11
capita for the High Desert region.
12
It is unfortunate after -- after the
13
bankruptcy court approved an auction on November 5th,
14
2010, (unintelligible) medical group -- and I know a
15
good group -- for profit, was selected for the proposed
16
purchase of the hospital but was not able to close.
17
my business, because I'm in the real estate business, I
18
understand deposits and I understand when you're
19
supposed to close, and if you don't close, unfortunately
20
you don't close.
21
you have a refundable or nonrefundable deposit up, when
22
it's nonrefundable, if you don't close, you don't close
23
and usually in our instances you lose those deposits,
24
and those are unfortunate.
25
In
And unfortunately in my business, when
I've been a resident and a business leader in
105
the High Desert for a long period, long before Prime --
Prime Healthcare Services was created under the
leadership of Dr. Reddy and his family.
Dr. Reddy.
issues to improve the High Desert economy.
of the day, there's not one person in the medical
industry that has done more for the High Desert region
in trying to improve the economy in a way of grand
scholarships, donations, forward thinking as Dr. Prem
10
I've known
I've worked with Dr. Reddy on multiple

At the end
Reddy and his team have done.
11
Victor Valley Community Hospital needs a local
12
owner who will make Victor Valley Community Hospital his
13
ultimate legacy, not only in a local owner, but a
14
committed owner.
15
a business person that understands the community and its
16
finances.
17
this hospital to make a return on his investment.
18
local businessman, recognizing the long history of
19
Victor Valley Hospital's financial problems, investing
20
the type of money that will be required to bring this
21
facility to the standards that Dr. Prem Reddy and his
22
associates require will never yield any type of return.
23
I basically think it's a bad investment if you're
24
looking at it from a monetary standpoint.
25
business standpoint, it's a bad deal for Dr. Reddy to
Victor Valley Community Hospital needs
I can assure you that he is not purchasing
106
As a
From a
invest, and Dr. Reddy's not investing in this facility
to make a quick buck.
legacy.
I believe this will be his
While I believe that Dr. Reddy and his family
are extremely proud of what they've attained in the
creation of Prime Healthcare Services Foundation, and
Victor Valley Community Hospital's close to his home, it
will ultimately be the biggest challenge that he will
face as chairman of Prime Healthcare Services and Prime
10
Healthcare Services Foundation.
11
It's hard for me to believe as a High Desert
12
businessman that there will be any groups that would
13
oppose a financial injection of money, time, energy, and
14
dedication to improving Victor Valley Community
15
Hospital.
16
those unions that would like to become a part of Reddy's
17
hospitals.
18
it is from the Attorney General to independently make
19
decisions out of the political realm, not to look at
20
those who have made political contributions to the
21
Attorney General's office, but to do what the citizens
22
of the Victor Valley need -- a doctor, a philanthropist,
23
a businessman, and a visionary that wants to make Victor
24
Valley Community Hospital the Victor Valley's hospital.
25
The issues should not be about Dr. Reddy or
It should be about the right and what right
I'd like to close and say this.
107
I've seen a
lot of old friends from the medical industry here
tonight, and some of them we've done business with and
some we haven't.
a -- have a profound hit to possibly our bottom line for
making this endorsement.
of the day that our hospital, that the medical industry
come together, because at the end of the day, we are one
and what we do sends, I think, a strong message to
everybody in this valley.
And I'm sure my comments will have
I would hope that at the end
Thank you.
10
HEARING OFFICER:
11
Okay.
12
And then, after Carol is going
to be Loise Sanders and then Ken Anderson.
13
COMMENTS BY CAROL KOELLE
14
15
Carol.
CAROL KOELLE:
Good evening.
I was going to
say good afternoon, but it's a little late now.
16
DEPOSITION OFFICER:
17
CAROL KOELLE:
Move the microphone down.
My name is Carol Koelle; last
18
name, K-O-E-L-L-E.
I am a registered nurse of 17 years
19
and a charge nurse on an 81-bed cardiac unit at
20
St. Bernardine's Hospital in San Bernardino.
21
on the board of directors for the California Nurses
22
Association, National Nurses United, and affiliated with
23
the AFL-CIO, who represent 180,000 nurses across our
24
nation.
25
is where I receive my medical care.
I am also
However, I live here in the High Desert.
This
I'm very, very
108
concerned about the quality of medical care that we have
locally.
Twelve years ago in Long Beach, I lost my
father to a staff infection at the hands of medicine and
a lack of services provide for him.
despite my pleading and protesting to those directly
responsible for his well-being.
hospital to Prem Reddy, while he is under investigation
for Medicare and Medi-Cal fraud, whether it's true or
This happened
I believe selling the
10
it's not, and with the incidents of cited infections
11
that he has in these hospitals, would put the community
12
in the same peril that my dad -- my dad faced.
13
this hospital gives Mr. Reddy a near monopoly, leaving
14
St. Mary's as the only other choice, which already has
15
its ER overcrowded, in large part due to local -- locals
16
avoiding Desert Valley Hospital, with its poor
17
reputation.
18
Selling
As a patient advocate, I have spoken to dozen
19
of Desert Valley nurses regarding patient safety
20
conditions and their facility.
21
22
HEARING OFFICER:
Carol, can I just have you
slow down --
23
CAROL KOELLE:
24
HEARING OFFICER:
25
Their hands --
Oh, sorry.
-- because you're reading,
and the court reporter's trying to take it all down.
109
CAROL KOELLE:
HEARING OFFICER:
passion.
slower.
That's good.
I'll give it to you.
Okay.
And I know you have a lot of
I like that.
Just a little bit
So --
CAROL KOELLE:
Anyway, let's go back.
Spoken to dozens of these nurses.
Their hands
are tied, their voices silenced by the intimidation if
they attempt to suggest improvements.
friendly or cooperative work environment.
This is not a
I personally
10
know three nurses who have been fired for being vocal.
11
I would much rather know that the new potential owner of
12
Victor Valley Hospital puts patients ahead of profit.
13
believe that Victor Valley Hospital must stay open, but
14
there must be choices in the High Desert.
15
(Applause.)
16
HEARING OFFICER:
17
Okay.
18
going to have Joe Range.
19
20
Okay.
How about Ken Anderson.
Loise, are you here?
And after Ken, we're
COMMENTS BY KEN ANDERSON

KEN ANDERSON:
Good afternoon.
My name is Ken
21
Anderson, A-N-D-E-R-S-O-N.
I'm a district
22
representative for California Senator Sharon Runner.
23
have a letter in her behalf, dated August 16th,
24
addressed to the Attorney General, and it's addressed to
25
the Attorney General Harris.
It says:
110
"As you are aware, on July 5th, 2011,
the Victor Valley Community Hospital and
Prime Healthcare Services Foundation
entered into an agreement to allow the
Foundation to acquire Victor Valley
Community Hospital and to continue to
operate as a nonprofit hospital.
"The Foundation, a nonprofit public
charity founded by High Desert residents
10
Dr. Prem Reddy, owns and operates two
11
other nonprofit hospitals, Encino Hospital
12
Medical Center and Montclair Hospital
13
Medical Center, a Top 100 Hospital in the
14
Nation in 2009, and is governed by an
15
independent board of directors.
16
Healthcare services, Inc., Desert Valley
17
Hospital, and Dr. Prem Reddy have no
18
ownership interest in the Foundation.
19
Prime
"I fully support this agreement
20
be- -- because as one of the Victor
21
Valley's two nonprofit hospitals, Victor
22
Valley Community Hospital provides
23
much-needed emergency, surgical, obst- --"
24
I knew I was gonna do that.
25
HEARING OFFICER:
Obstetrical?
111
-- "obstetrical" -- thank you -- "and
pediatric services to the area residents.
Unfortunately, the growing Victor Valley
has an alarming low 1:1 ratio of beds per
thousand people within its service area
compared with the state average of 2:1.
In real numbers, the Victor Valley has
three hospitals with a combined of 378
beds.
Victor Valley Community Hospital
10
represents 27 percent of the region's beds
11
and accepts patients from all income
12
levels.
13
insufficient medical access and a high
14
unemployment rate, it is critically
15
important that this hospital remain in
16
full operation.
17
In a community suffering from
"As the state senator representing
18
the Victor Valley, I urge you to approve
19
the sale of Victor Valley Community
20
Hospital to the Foundation on
21
August 17th because the Foundation has
22
proven it has successfully run other
23
nonprofit hospitals in accordance with
24
conditions imposed by the Attorney
25
General.
I must also point out that the
112
opponents have put out inac- -- inad- --
inaccurate and misleading information
regarding Prime Healthcare Services and
Prime Healthcare Services Foundation that
has created concern over this sale.
However, not approving the sale of Victor
Valley Community Hospital will do great
disservice to the residents of the Victor
Valley who rely heavily on the services
10
provided by this hospital.
11
"Sincerely, Sharon Runner, Senator,
12
17th district."
13
HEARING OFFICER:
14
Great.
Thank you.
you leave us a copy of that letter, please?
15
KEN ANDERSON:
16
HEARING OFFICER:
17
after Joe is going to be Dawn Sikes.
18
Yes, I did.
JOE RANGE:
20
HEARING OFFICER:
22
Okay.
Joe Range, and then
COMMENTS BY JOE RANGE
19
21
Could
sir.
I don't have any prepared remarks.

No worries on that account,
Speak your heart.

JOE RANGE:
That's what I'm going to do.
23
a businessman.
24
October 17th -- October 21st of 1989.
25
in its 40th year.
I'm
I've been in the valley here since

My corporation's
That's not important here, but that
113
just means I have access to a lot of people, a lot of
people have access to me.
folks that need -- that have needs, and they have used
the facilities that are here in the valley.
that you run into many times, and in my own case, myself
and my wife have ended up staying in the aisles on a
bed, on a gurney, waiting for a room.
an overriding need for these beds, and I think that
the -- the problems that have been brought up today can
We have employees.
We have
The problem
I think there's
10
be mitigated, that those are things that are operational
11
things that can make things better.
12
What we're talking about is people.
We're not
13
talking about machines.
14
businesses.
15
talking about is people.
16
need to be able to address those needs, and hospitals
17
have a large responsibility in making that happen.
18
We're not talking about
We're not talking about -- what we're

And people have the needs and
Now, this takes me to the next point.
I am
19
currently vice president of the governing board of
20
Victor Valley College.
21
speak here earlier about our current students in our
22
nursing program.
23
and you'll forgive me for bragging.
24
generally graduate in the top -- top of the class.
25
deliver between 40 and 60 a year.
You heard some of our folks
We have a fantastic nursing program,

Our nurses
We
That's not a lot, but
114
those 40 and 60 are -- are vitally needed.
responsibility for our school, our Victor Valley
College, our medical component, which -- which is
nursing, we have to draw on the staffs of the hospitals.
And so we do have contracts with all of the hospitals to
provide employees that are going to go to school and
come out with their degree for nursing.
an interworking relationship with all the hospitals and,
in particular, Dr. Prem Reddy.
10
And the
And so we have
Dr. Prem Reddy has given our school
11
$1 million.
I was there when it happened.
I was
12
serving on the Foundation board at the time as president
13
of that board at that time.
14
board.
15
governing board member as vice president.
I'm now emeritus on that
I'm currently serving, as I said, as a trustee,
16
It's very important that we keep in mind that
17
these students need to get this education, need to get
18
this training, and then they need to be able to go
19
someplace.
20
begin to apply their trade.
21
important component, and that's what I say, when we talk
22
about people, we're talking about young people entering
23
the profession.
24
25
They need to be able to go to a hospital and

And that is the most
I've heard all kind of comments about

administrative problems and other folks who have special
115
interests in -- in -- in the programs and the way things
are administered and that sort of thing.
like to remind people it's all about people and that
when you go to a hospital, you have only one concern and
that is you want to be taken care of.
doesn't happen, and that's really unfortunate.
need to redouble our efforts and produce the kinds of
nurses from our school that will do better in the future
based on the learning and the experience they're going
I would just
And sometimes it
But we
10
to get from these hospitals and, in particular, Dr. Prem
11
Reddy's Victor Valley Hospital.
12
So with that, I can go on about other things.
13
But I think it's most important that we have 15,000
14
students at our school and us, like everybody else, is
15
faced with these money problems, but we have to go on.
16
And by the same token, this hospital needs to stay open.
17
It can not lapse.
18
to go.
19
that it must stay open.
20
a governing board member of the college, we need a place
21
for our students to go.
22
and thank you for listening.
23
24
25
There needs to be a place for people
And we want to -- well, my personal feeling is

From the -- from my position as
And so with that, I'll close
HEARING OFFICER:
Appreciate it.
COMMENTS BY DAWN SIKES
116
DAWN SIKES:
Good evening.
My name is Dawn
Sikes, D-A-W-N-S-I-K-E-S.
County Supervisor Brad Mitzelfelt, and I'll be reading a
letter prepared by the Supervisor.
I'm district director for
"As First District Supervisor, I am
writing to express my support for the
Office of the Attorney General in its
process to find a qualified buyer for
Victor Valley Community Hospital in order
10
to keep this critical medical facility
11
operating.
12
"The impact of closing Victor Valley
13
Community Hospital would be catastrophic
14
for the community's economic and medical
15
health.
16
"Closure of the hospital would cause
17
a severe economic impact on the High
18
Desert, which has already been hard hit by
19
the recession.
20
San Bernardino County suffers from an
21
unemployment rate of more than 17 percent,
22
with one local city at 21.3 percent, which
23
is almost twice the state average.
24
25
The High Desert of
"Victor Valley Community Hospital is

one of the area's largest employers.
117
Closure would put 400 employees out of
work, leaving them without a stable source
of income.
suffer from the loss in business generated
by the hospital.
Many local vendors would also
"As widespread as the negative
economic impacts of the closure would be,
the medical impacts are of even greater
concern.
The High Desert is already a
10
community underserved by medical
11
facilities.
12
Valley Community Hospital includes a large
13
uninsured and underinsured population.
14
Many of these citizens rely solely on the
15
services provide by Victor Valley
16
Community Hospital.
17
to close, other regional hospitals would
18
be overburdened with the resulting influx
19
of patients.
20
have to travel down the Cajon Pass to the
21
already overcrowded county hospital in
22
Colton, Arrowhead Regional Medical Center.
23
The result would be more people with less
24
access to quality medical care.
25
The region served by Victor
If the hospital were
Some of these patients would
"I do not want to see anyone in our
118
community, from seniors to expectant
mothers, suffer simply because we allow
this vital facility to close.
"Signed, Brad Mitzelfelt,
Vice-Chairman, Board of Supervisors,
San Bernardino County."
HEARING OFFICER:
DAWN SIKES:
HEARING OFFICER:
10
Thank you.
Thank you.
After Val, we're going to
have Rebecca Tennison and then Blair Bryson.
11
12
All right.
COMMENTS BY VAL CHRISTENSEN

VAL CHRISTENSEN:
Thank you.
My name is Val,
13
V-A-L, Christensen, C-H-R-I-S-T-E-N-S-E-N.
14
have the honor of the serving as president of the Victor
15
Valley College Foundation.
16
I'm sorry.
Currently, I
I have some notes, but I can't
17
imagine what it would be like to lose your child.
18
really didn't mean to be emotional.
19
my notes, you know.
20
And I
I must deviate from
And in May of 2009, my daughter, a mature
21
mother with two children, was in the hospital in
22
question here.
23
"Mr. Christensen, you need to make plans because your
24
daughter's probably not going to live the week."
25
forgotten about that until just a few minutes ago, and I
And the doctor came to us and said,
119
I had
feel myself trembling and shaking.
I just --
HEARING OFFICER:
Take your time.
Okay?
VAL CHRISTENSEN:
I just can't tell you how
that affected me.
The doctor went away that day, and I
know he spent the rest of the studying and learning
about diabetes.
told me my daughter was a brittle diabetic and that her
chances of survival were very slim.
hours, he learned something that I -- I don't know what
He came back six hours later, and he
But after those six
10
he did, but I know he changed her treatment.
11
weighed 90 pounds that day.
12
she weighs 130 pounds, and she's 37-year-old mother of
13
two.
14
you don't.
I will tell that you today
I'm thankful that I have my daughter.
15
She
I'm sorry
I've known Prem Reddy for maybe 30 years.
16
I've been in Apple Valley and Victorville area since
17
1962, probably longer than anyone in the room, I
18
suspect, probably older than anyone in the room.
19
my walker aside to talk to you.
20
I put
And I apologize for being emotional, but I --
21
thinking about my daughter and that day, it was a hard
22
day for our family.
23
party with her Monday night.
24
25
It's not today.
We had a birthday
How great it was.
I say I've known Dr. Reddy for a long time and

I have.
And I know that in his heart, I know that he
120
does not serve our community for capital gain.
that he cares about people.
I know that to be true.
loss, you feel that something's different than that.
You want to think that maybe money is the motivator.
honestly can't say, and I believe in my heart that
that's not the case with the Dr. Prem Reddy that I know.
I've been to his home.
gracious and kind people that think about serving our
10
11
I know
I know him personally, and
I know that when there's a
I've met his family.
Very
community.
I know that if you're a graduate of Victor
12
Valley College Nursing, you go to the head of the class
13
when it comes time to get a job.
14
that program and, yes, we've talked about money a lot
15
here today and a lot of that money has come from
16
Dr. Prem Reddy.
17
scholarships; a great many of them are.
18
facilities they use, somebody paid for, and that money,
19
a lot of that money came from Dr. Prem Reddy and I'm
20
thankful for that.
21
Victor Valley College and you ask anybody what are we
22
famous for, we're famous for graduating top nurses.
23
as I say, they go to the head of the class when it comes
24
time to get a job anyplace.
25
It takes money to run
Those nurses that graduate are on

But the
I'm thankful that when you say
And
I know that Dr. Reddy has employed hundreds of
121
people locally; and across the nation, I have no idea,
but many.
statistics in our town.
beds.
stay open.
And I know and you've heard the unemployment

You know that we can't lose the
You know that Victor Valley Hospital needs to
I once served as a -- on an advisory counsel
to Victor Valley Hospital several years ago, when
Dr. Nepomuceno owned the hospital or operated the
hospital.
I was here before the hospital was built,
10
when it was the Presbyterian hospital and that hospital
11
failed and closed for several months before a group of
12
doctors bought it and put it back into operation.
13
seen a lot happen to Victor Valley Hospital over the
14
years, for sure.
15
I've
You know, there seems to be in our nation
16
today, unfortunately, a feeling that we need to penalize
17
success, as though someone that has achieved success
18
have done it off the backs of the poor and the
19
downtrodden and their employees and that sort of thing.
20
And I say that is a lot of bunk.
21
successful in the medical field or in the real estate
22
business or in the motor home business or any business
23
you're in -- you become successful by serving people.
24
That's how you become successful, by performing great
25
service to people.
I believe you become
I say you become successful by
122
employing the top people you can get your hands on.
If
you're going to expand your business and expand your
hospitals or whatever business you're in, you need top
people or you can't grow your business.
again, associated with some of the professionals at some
of these hospitals, and I believe they are some of the
top people in our area, and I think that's the goal of
the people here, Prime Healthcare.
exact name.
I've been,
I don't know the
I'm sorry.
10
HEARING OFFICER:
That's all right.
11
VAL CHRISTENSEN:
That they try to have the
12
top people.
13
years, certainly more than thousands.
14
ex-employees don't think the best of me.
15
customers really like me, and I think that's because I
16
expect my employees to be the very best they can be at
17
all times.
18
incomp- -- employees that are incompetent.
19
sometimes, those kinds of employees can leave and have
20
something negative to say about you.
21
question of that.
22
And I've employed a lot of people over the

I know some of my
But my
I will not tolerate mediocre performance or

And
There's no
Prem Reddy lives in the community, invests in
23
the community, employs people in the community, trains
24
people in the community, donates to charities in the
25
community, and contributes to the community.
123
I think
that it would be a great thing to have our hospital
owned by a local instead of somebody from out of town.
3
4
And I would give you these, but they're not

what I said.
Thank you.
HEARING OFFICER:
Okay.
Rebecca Tennison.
And after remember
Rebecca is going to be Blair Bryson and then Michael
(unintelligible).
just hang on.
10
We're going to get to you too, so
COMMENTS BY REBECCA TENNISON
11
REBECCA TENNISON:
Good evening.
My name is
12
Rebecca Tennison, T-E-N-N-I-S-O-N.
13
Valley field representative for State Assemblyman Steve
14
Knight.
15
the Attorney General.
16
I'm the Victor
I will read a letter from the Assemblyman to
"As the Assemblyman of the Victor
17
Valley, I have been following events
18
relative to Victor Valley Community
19
Hospital with great interest as many of my
20
constituents rely on Victor Valley
21
Community Hospital for healthcare
22
services.
23
"The Victor Valley residents need
24
reliable healthcare facilities, and
25
without Victor Valley Community Hospital
124
the options become increasingly scarce.
"Prime Healthcare has rescued many
hospitals in financial distress, in
bankruptcy, and on the verge of closure
and turned them into successful community
hospitals.
intervention, most of these hospitals
would have closed.
Without Prime Healthcare's
"In these times of high unemployment
10
and uncertainty in healthcare, the High
11
Desert needs to maintain good-paying jobs
12
and quality health facilities.
13
marketplace, we need to support those who
14
are willing to take on risks and invest in
15
their community.
16
administration of the hospital would be a
17
welcome addition to the Victor Valley.
18
In this
The stable
"I support ensuring that my
19
constituents have access to their
20
healthcare needs, which includes Victor
21
22
Healthcare seems to hold the most promise
23
in keeping the facility open and
24
functioning to meet the needs of our
25
communities."
Prime
125
Thank you.
HEARING OFFICER:
you give a copy to my court reporter?
4
5
Okay.
Blair.
Did
Thank you.
And then after Blair is going
to be Michael Fermin and Vicky Cabriales.
COMMENTS BY BLAIR BRYSON
BLAIR BRYSON:
B-R-Y-S-O-N.
Group.
Hello.
I'm Blair Bryson,
I'm the administrator for Choice Medical
As I stand here today, I've got to say Choice
10
Medical Group has been a long time supporter of Victor
11
Valley Hospital, charitable -- and the charitable
12
contributions in patients that are submitted -- admitted
13
to the hospital, services that are performed at the
14
hospital, in many ways Choice Medical Group has
15
supported Victor Valley Hospital over the years.
16
But today, I think I'm really representing not
17
Choice Medical Group.
I'm representing 23,000 of our
18
fellow citizens here in the High Desert.
19
one element that I haven't heard much about.
20
heard about all the access that's important to the
21
underserved class, which certainly is important.
22
the 23,000 patients that we have, we are dictated by the
23
health plan where those patients will go.
24
plans tell us where they have contracts for those
25
patients to go to the hospital, and that's where those
126
They're the
We've
But
So the health
1
2
patients have to go.

We've talked about the fact that if Victor
Valley Hospital were to close, it eliminates 25 percent
of the beds in the valley.
no contracts for the HMOs, then there are -- there's a
de facto elimination of 25 percent of the beds for the
commercial members, for these HMO members.
8
9
Well, de facto, if there are
I know HMO does not have a positive

connotation, so we're not really talking about HMOs.
10
Who are the member of the HMOs?
11
through their employer, sign up for the insurance that
12
they can best afford through their employer, and they've
13
chosen the various health plans in the HMO industry.
14
They are people who,
We've already been contacted by HMOs asking us
15
where are we going to send our patients if -- if this
16
deal goes through as it's currently instituted.
17
answer is, well, I heard from MDS the answer is they can
18
go to St. Mary's because St. Mary's has the contracts.
19
But we've already heard that St. Mary's does not have
20
capacity for additional members, to see that many
21
additional patients.
22
go down the hill.
23
So where will they go?
And the
They will
We have almost 5,000 senior patients.
Will we
24
send them down the hill, in a car.
When their family
25
members are in the hospital, will they have to go down
127
the hill to visit their members -- their patients in the
hospital?
contracts to us our extended or made available.
So it's a vital concern that the HMO
I understand that there's concern about rates.
I heard that it was implied by Mr. Strow [phonetic] that
these health -- these HMO contracts were causing
millions of dollars in losses to the hospital.
an accountant, and when I see in the MDS report that
90 percent of the admissions are for Medi-Cal and
But I'm
10
indigent, I don't -- I'm not sure how I can understand
11
how 10 percent of the admissions could be costing the
12
millions of dollars of losses.
13
14
In the -- in the MDS report, under one of the

conditions, potential conditions, Number 7, it says:
15
"Purchaser should negotiate a
16
contract with IEHP effective at the time
17
of closing date and maintain said contract
18
least for five years on similar terms and
19
conditions as other similarly situated
20
hospitals."
21
Well, we know why that's important, because so
22
many members go to -- IEHP members go to the Victor
23
Valley Hospital.
24
accomplished.
25
have that -- the new buyer be mandated to follow similar
And I applaud that that's been
I'm very happy about that.
128
But why not
language where they would have to affect contracts with
the HMO contracts at terms and conditions as other
similarly situated hospitals?
of the hospitals in southern California have contracts
with the HMOs?
are considered to be fair.
has rates with most of the commercial contracts, HMO
contracts, so it must be possible.
How can it be that most
So it must be possible to get rates that

Our own St. Mary's Hospital
If we don't, we put our members at risk.
Yes,
10
there is access for emergency services.
11
access without any idea or control of what the price of
12
that access would be, it is not really access.
13
without commercial contracts, we know where the health
14
plans will tell us that we have to send our patients,
15
and many times that will be down the hill.
16
But if there's
So
We've heard a lot of people here talk about
17
how important it is to keep services, keep business,
18
keep jobs up here.
19
Hospital does not have HMO contracts, many of tho- --
20
many of that business-related -- that relates to the
21
care of those members will be done down the hill, and
22
those dollars and services will happen down in
23
San Bernardino County or Los Angeles.
24
25
We agree.
But if Victor Valley
So in short, I ask you that you will consider

the fact that there is a need for our commercial
129
members.
have representation, need to be -- have access to
services in this valley just like the other people who
currently access Victor Valley Hospital.
buyer -- they agreed to that stipulation, that the HMO
contracts can be extended.
a condition also for the sale of the hospital, that the
new buyer will seek to negotiate HMO contracts at rates
similar to other hospitals in this area.
10
11
12
13
They're not nameless.
HEARING OFFICER:
The other
So I ask that you make that
Thank you.
Appreciate it.
Michael Feldman.
And after Michael is going
to be Vicky Cabriales and then Peter Moore.
14
15
Our HMO members need to
COMMENTS BY MICHAEL FELDMAN

MICHAEL FELDMAN:
I'll move that microphone a
16
lot further down.
17
now evening, Ms. Horwitz, Ms. Cantoni, Mr. Dalton, and
18
Special Assistant Attorney General La Blanc, if you're
19
still with us.
20
My apologizes.
Good evening.
It is
And I assume he is.
Last, I should actually say hello to my high
21
school American history professor or teacher, Terry
22
Kurtz, who's actually manning a camera.
23
me -- tell you what roots I have in this community, too.
24
My name is Michael Fermin, and I'm a
25
It should tell
Supervising Deputy District Attorney for the County of
130
San Bernardino.
I'm the supervisor over the special
units division of the county, handling matters like
consumer protection, environmental crime, major fraud
prosecutions.
Tell me if I'm going too fast.
DEPOSITION OFFICER:
there you go.
8
9
10
Just keep that mic --
MICHAEL FELDMAN:
Okay.
Child abduction, cold
case homicide, and asset forfeiture (inaudible) among

others.
11
I've been a board member of Victor Valley
12
Community Hospital on and off since 1997, and I was
13
actually present and on the board of directors back in
14
1998, very much like the situation we have today, when
15
there was an asset purchase sale agreement between
16
Victor Valley Community Hospital and Community Health
17
Systems.
18
$53 million and went to $40 million.
19
February of 1999.
20
Cathy Pelley was there too, then at St. Mary's.
21
like this one, I endorse that transaction.
22
And it was initially negotiated for

And this was in
And at that public hearing, actually,

Much
Many things have returned from those days.
23
Mr. Dalton, then, I think, with the Camden Group,
24
actually wrote the health impact statement back in 1998.
25
At the time, it was not you, Ms. Horwitz.
131
And I'll say
it's Horwitz because I've heard people mispronouncing it
and it bothers me.
3
4
I appreciate
MICHAEL FELDMAN:
It's H-O-R-W-I-T-Z, and I
get that.
7
8
Thank you.
that.
5
6
HEARING OFFICER:
It was actually, then, Attorney -- Deputy

Attorney General Chester --
HEARING OFFICER:
Ed Horn, yeah.
10
MICHAEL FELDMAN:
-- who is now a
11
Los Angeles Superior Court judge.
12
At that time, the Attorney General's office
13
placed a condition on the sale and that condition was to
14
have $5 million in charity care as a requirement in
15
perpetuity.
16
don't have that, in large part because those are the
17
nearly impossible for people to buy on -- buy into.
18
We've noticed that transactions since then
Now, I bring that up not because I'm critical
19
of what Chet did, what the Attorney General's office
20
did, not at all.
21
permits that, especially in situations like that one.
22
It was a transfer from a not-for-profit to a profit
23
hospital.
24
healthcare deserve such oversight.
25
that it was for the best of the community that you did
Certainly, your authority by law
And their obligation to the community and its

In fact, I thought
132
that, and I don't have a problem with it.
bring it up is because it gives some context to where we
are today.
But why I
While I wasn't interviewed for its most -- his
most recent health impact report, I was one who served
the community's interests back then.
chairman who was selected after it was aborted to try to
pick up the pieces, and then, again, I was brought back
on the board sometime later.
10
And I was the
But through those processes, there are several
11
observations I needed to make that I think will be
12
helpful to explain why I do support the sale as I did --
13
deja vu all over again.
14
this year.
15
I think it was in February of
Back in 1998, Mr. Dalton pointed out several
16
key factors, and I quote actually from that report.
17
One, the hospital needs to increase census.
18
needs to increase patient flow within the hospital.
19
Three, it has to acquire modernized equipment.
20
has to get physician support.
21
historical mistakes.
22
Two, it
Four, it
Five, it can't repeat
Very telling statements from 1998.
It was a
23
hospital at the time that just got out of bankruptcy,
24
involved with litigation with, ironically enough,
25
Dr. Reddy.
It was a hospital that had a lot of
133
regulatory issues involving the Attorney General's
office, concerns that -- that were brought to light.
And I thought that those key factors are important
because it gives context to some of the things that we
are trying to do not to make historical mistakes in the
past.
I come not just as someone who sat on the
board.
My mother is a physician who still practices.
And I don't think there's any other physician in this
10
room that you've heard to or any other that you will
11
hear from that is exclusively and has always been
12
exclusively a medical staff member of Victor Valley
13
Community Hospital alone.
14
last remaining family members who actually gives a care
15
about the community.
16
hospital.
17
my mom to finish rounds.
18
there as a short order cook and I sat on its board.
19
I am one of Dr. Nepomuceno's
I am someone who grew up in that
I played ball at its front while waiting for

I volunteered there.
I worked
And many problems that Mr. Dalton saw back in
20
1998 exist today, and a lot of the comments that we
21
heard don't necessarily address those things.
22
about payer-mix concerns.
23
Mr. Dalton pointed out in his report.
24
the fact that now, some 13 years later, it is now a
25
45-year-old plant that is in need of repair, that
We heard
It's one of the things

He talked about
134
there's reductions in reimbursement rates.
Reimbursement rates from HMOs, I might add.
I must at this moment at least take some
exception to Mr. Bryson's -- the prior speaker's
comments.
that to be an intriguing argument when he quoted from
Mr. Dalton's report that in reviewing the hospital
financials, you saw that 90 percent was Medi-Cal or
Medicare only -- at least that's what he said -- and
He talked about access to healthcare.
I find
10
10 percent were HMO.
11
as true, and we know that the hospital isn't at full
12
capacity and St. Mary's is, then why is the hospital
13
only having 10 percent of its population, if we believe
14
that to be the case, simply HMO?
Is there really an
15
access problem in that instance?
I don't think so.
16
They made a choice to go to other places.
17
Well, if we were at to take that
In his most recent evaluation, Mr. Dalton has
18
done an exceptional job pointing out some of the
19
advantages and some significant concerns.
20
today to urge approval of this sale for three reasons.
21
First and most directly, without that sale, the hospital
22
will lose its CLIA license -- and by CLIA, I'm referring
23
to the Clinical Laboratory Improvement Amendments
24
certificate -- and it will no longer be able to
25
participate in the Medicare or Medi-Cal program.
135
But I do come
That's
what losing that license means.
out on page 54 of his report, the hospital will be
forced to close.
As Mr. Dalton pointed
We heard that from Ms. Pelley.
I don't believe that it would be time.
As a
board member making -- being part of the body that
endorsed this decision, I don't think it would be a time
to find a proposed buyer anywhere near the price that
the Attorney General's office, that the bankruptcy court
has authorized.
If you remember, the last time we did
10
this dance it took ten months and it didn't complete
11
until Mr. Thomas.
12
loquitur, it speaks for itself.
13
But unlike that prior transaction, Prime Care has
14
stepped in very quickly.
15
disaster from happening.
16
My comment to simply res ipsa

It didn't complete.
It has tried to prevent this
And I think you, Deputy Attorney General
17
Horwitz -- as a board member, I know you're familiar
18
with the steps that are required to complete this
19
transaction.
20
considerations when we were to doing this earlier in the
21
year.
22
work the first time, and it didn't.
23
blame on you.
24
there.
25
You made a lot of concessions and
You made a lot of great steps to try to make it

And I don't put
We know you worked hard at it.
We were
We were part of that negotiation team.

I take exception to Mr. Thomas characterizing
136
it as the Hospital's fault.
I sat there month after
month after November, listening to being nickel and
dimed about every little thing, and I think you know
that.
it went.
contracts with the other HMOs.
things that the bankruptcy court wanted.
inaccurate to imply that they were ready it close,
because the fact of the matter is, Deputy Attorney
I know the bankruptcy court knows that's the way

They weren't prepared.
They didn't have

They didn't have the
10
General Horwitz, that's what you wanted.
11
wanted as a board.
12
wanted.
13
That is
That's what we
That's what we thought the community
It didn't happen.
What they say is let's challenge CLIA.
14
Perhaps, like other deadlines that we're supposed to
15
happen on June 1st, let's not take the government
16
seriously when they make deadlines.
17
Mr. Thomas was getting at.
18
he can do that.
19
that.
20
certainly, as a board member of that hospital, I am not
21
inclined to challenge CMS and question if, when they say
22
you will close, you will close.
23
greatest breach of fiduciary duty.
24
that should I do that is difficult.
25
And that would only require additional investigation by
I think that's what
In his position, I -- maybe
As a prosecutor, I'm not inclined to do
I know you're not as a government official.
And
That would be the

And for him to imply
It's impossible.
137
your office for my breach of fiduciary duty, and I chose
not to do that.
Since 1998, when the emergence of hospitals
from bank- -- the emergence of this hospital from
bankruptcy in the mid-1990s, we have struggled to exist.
You heard Doctor -- or Mr. Brady tell you about that.
Long-term viability of stand-alone hospitals
like Victor Valley Community Hospital's seriously in
doubt.
Not just Mr. Dalton knows the reality, economic
10
reality as an expert in that field.
11
Magazine, in September of 2007, Ryan Gish -- that's
12
G-I-S-H -- and Kit Kamholz -- and that's
13
K-A-M-H-O-L-Z -- forecasted the viability of stand-alone
14
hospitals in the future.
15
hospitals -- that 45 percent of the hospitals in 2004
16
were part of a larger organization.
17
it grew to 55 percent.
18
But in Trustee
They noted that stand-alone
And the next year,
And it's even greater today.
In 2009, 85 percent of the hospital mergers
19
around the United States involved the consolidation of a
20
stand-alone hospital into a larger entity.
21
expert after expert have cautioned board members of
22
stand-alone hospitals that their days are numbered.
23
Why?
24
unresolved regulatory issues from the 1980s, reductions
25
in reimbursement rates, as Mr. Dalton has pointed out,
Expert after
For us as Victor Valley Community Hospital,
138
compliance issues not just with the lab, but medical
staff, nursing ratios, pyramids.
about the economy.
regulations, have made it difficult, if not impossible,
for any stand-alone hospital to survive.
addressed that.
something that concerned me and I know many of my
colleagues who voted in favor of this sale.
Poors released a report last year showing the very bleak
Others have commented
All of those, and increasing
No one has
And that, as a board member, is
Standard &
10
economic picture for a stand-alone institution.
11
By approving this sale, Victor Valley
12
Community Hospital will be part of a large and
13
financially strong healthcare system.
14
commitment by the purchaser to enhance the facility.
15
You've discussed it yourself.
16
conditions, to modernize it and to keep jobs.
17
addition to that, they have promised $25 million
18
separate from the purchase price to make improvements to
19
the facility.
20
date.
21
available, I think you know the truth about that, Deputy
22
Attorney General Horwitz.
23
There's a
You've put it in your

In
Not a single suitor has done that to
And to say that there are other options
We were not silent when we declared
24
bankruptcy.
25
public.
We did not keep it under the rug.
It was
You have been present at those discussions.
139
We
have made all of our financials available to anyone of
interest.
incredible.
community, and that's what the board is discharged with
a duty to do.
To say that we limited it to anyone is

We were looking for what's best for the
Through this sale, modernization will bring
more confidence to this hospital.
There will be
opportunities for economies of scale with a larger
organization and opportunities to provide more services
10
to the community.
11
Desert Valley doesn't do as well as us.
12
things that we don't do as well as Desert Valley does.
13
Our hope is to create, I think -- at least I should say
14
not ours.
15
excellence, to provide more services so that we can have
16
enhancement of services.
17
good synergy and that makes economic sense in this
18
economically depressed community.
19
There are things that we do that

There are
Theirs, I think, is to create centers of
And I think that that is a
Finally, I would be remiss if I didn't mention
20
Prime Care itself.
Their principal, Dr. Reddy, is
21
himself a community member and you've heard the
22
extensive history of altruism.
23
bold enough to step into this breach with Victor Valley
24
Community Hospital, he has done so under your scrutiny
25
in other transactions that were reviewed by your office.
But not only has he been
140
Paradise Valley in Sherman Oaks come to mind, hospitals
that were steeped in a tradition altruistic caring and
community involvement.
they were on the verge of collapse.
were reviewed and authorized by you and your office.
And, Ms. Horwitz, how did they perform?
grade then?
keeping the promises they made to you and to their
employees and the community.
And also, before Prime Care,

Their accusations
What was their
They have a record with those hospitals of
That is something they
10
have to document with you, and you have that before you.
11
And not only did they do it in the time frame that you
12
had requested, they had done it beforehand.
13
you have experienced that personally.
14
restrictions and regulations, and I know that they've
15
met them.
16
had to come to the difficult decision in late June.
17
I hope it's not lost on you, and I hope that that has
18
some impact on your decision.
19
21
time, a mortal enemy of my family.
22
inheritance went his way.
25
And
I don't speak here because of some closeness I

have with Dr. Reddy.
24
You have placed
And this was not lost on the board when we
20
23
I know that
We're colleagues.
He was, at one
$5 million of my
(Laughter.)
If there was someone who would have a reason
and an ax to grind, I guess it would be me.
141
But I have
a greater duty.
As I do as an officer for the State of
California, the County of San Bernardino, and as an
elected board member, I have a duty to this community
and I feel good about that transaction.
the right thing.
consideration in that.
opportunity to speak to you.
And I hope that you take serious

And I thank you for the
HEARING OFFICER:
Okay.
Thank you.
We have Vicky Cabriales.
10
Vicky?
11
Peter is Eric Jenson.
12
No.
I think it's
How about Peter Mort.
Are you here,
And then, after
COMMENTS BY PETER MORT
13
PETER MORT:
Good evening.
Yes, my name is
14
Peter Mort, spelled M-O-R-T.
15
behalf of Victor Valley Hospital Acquisition, as you
16
know now, an alternative bidder to this transaction.
17
I appear this evening on
The notice and impact report prepared by
18
Medical Development Specialists are both designed to
19
inform the Attorney General and the public of the
20
possible effects that the proposed transaction may have
21
on the delivery, accessibility, availability, and
22
availability of healthcare services in this service
23
area.
24
Attorney General to decide whether this transaction is
25
in the public interest.
Using that information, it is incumbent upon the
Before making that decision,
142
the Attorney General is required to consider whether
sufficient information or data has been provided by the
applicant to evaluate adequately the agreement or
transaction or the effects hereon -- herein -- here of
public.
Regulations.
authority to request at any time additional information
that it might need to render its decision.
That is Section 995, subsection F7 of Code of
In fact, the Attorney General has the
And my point this evening will be that indeed
10
you need additional information.
11
impact report failed to provide the Attorney General
12
with information which will enable you to conclude that
13
this transaction is indeed in the best interest of the
14
public.
15
The notice in the
The notice and impact report failed to
16
adequately address at least three issues.
First, it
17
failed to directly address how the relationship between
18
Prime Healthcare Services, Inc., and Prime Healthcare
19
Services Foundation might impact the delivery and
20
availability of the medical services to the Victorville
21
community.
22
how PHS's control of two of the three hospitals in the
23
community will impact competition.
24
to address how PHS Foundation likely cancellation of
25
both managed care contracts and other insurance
Secondly, the application fails to explain
Third, they failed
143
contracts will impact the citizens of this community.
Stated otherwise, the issue that has been
discussed here this evening again and again is that the
hospital should not close.
adequately addressed is whether or not the hospital
should be closed to some.
of the cancellation of these contracts, you are
acknowledging that there will be the closure of this
hospital to some people, just not to others.
10
But what has never been
Without added consideration
That has
not been evaluated.
11
Let me address these issues.
Of critical
12
importance to the Attorney General's evaluation of this
13
transaction is the understanding of who the buyer really
14
is.
15
the fact of kind of the history and the goodwill and all
16
these things going on with PHS and that the Attorney
17
General has already had the opportunity to it review
18
transactions concerning Prime Healthcare Services.
19
in fact, it's not Prime Healthcare Services that is the
20
buyer.
21
before the Attorney General.
22
currently owns did not come before the Attorney General
23
for approval, because they were donated by a for-profit
24
entity to a not-for-profit entity and were not reviewed
25
and ruled upon.
Now, it has been, just a moment ago, addressed to
It is the Foundation.
But,
And that has never been

The two hospitals that it
This is actually the first opportunity
144
that you have to address PHS Foundation -- that is, this
particular buyer.
unintentionally, a blurring of the lines between what is
PHS and what is PHS Foundation.
And their has been, perhaps
The impact report and other available
information reveal that PHS Foundation is run as part of
an overall network of PHS.
Website for PHS, you'll see all these hospitals listed
without distinction.
Indeed, if you look at the
If you look at the section
10
required under 995D9 of the notice, Prem Reddy is listed
11
as the sole director of the Foundation, and we know he
12
is the director of the PHS.
13
president, and Michael Sarrao, the secretary and
14
treasury of both the Foundation and of PHS.
15
Likewise, Dr. Reddy is the
We've heard recently that a new board has been
16
proposed and is being added to the Foundation.
17
not disclosed is that if you look at the bylaws of the
18
Foundation under Section 2.2, you will find that
19
notwithstanding any other members being appointed, no
20
decision may be made unless Dr. Reddy is personally in
21
the majority of that decision.
22
So this board which has recently been added nonetheless
23
will be powerless in the face of Dr. Reddy's discretion
24
and what he wishes to do.
25
What was
He controls the vote.
The recent addition of this board also gives
145
rise to another issue.
Under the statute, the Attorney
General's required to take a look at the issue of both
inuring and self-dealing, and that has been done with
respect to the nonprofit seller.
application nor in the report has there been any
discussion of the nonprofit buyer.
General, indeed, has both authority and responsibility
for reviewing that entity and whether or not this
transaction is in the best interest and could, in fact,
10
inure to the benefit or self-dealing as between PHS and
11
the PHS Foundation, the nonprofit.
But neither in the
The Attorney
12
This confusion between PHS and PHS Foundation
13
is also contained within the report, the impact report.
14
For example, the blurring of these lines creates some
15
issues on the financials.
16
under the key statistics regarding PHS Foundation, MDS
17
suggests that the PHS Foundation had a net income last
18
year of 10.6 million based upon financials from the
19
hospitals in Encino and Montclair.
20
states that the income for these two hospitals was,
21
quote, up 104 percent from 2009.
22
incorrect.
23
hospitals, but the data that is being provided is for
24
four years -- two years for Encino, two years Montclair.
25
The two years for Montclair, during that period of time,
When I look at the report
The report then
But these numbers are
At the end of 2010, they may have owned two
146
the Foundation didn't own those hospitals.
The Encino
Hospital is only owned for one of those two years.
three of the four years for financial data being
referenced as being the financial data of PHS Foundation
are, in fact, financial data for PHS.
needs to be straightened out and evaluated.
one backs out those other years, it is not that they had
a 10-million-dollar profit; but, in fact, you look at
Encino's performance in that one period, and you find
So
This confusion
In fact, if
10
that their income -- net income went down from
11
4.6 million to a little under 3 million, for a reduction
12
of about 35 percent.
13
The issue here is not whether this is good
14
business for PHS, whether or not their financials are
15
good.
16
properly evaluated for this buyer, the Foundation.
17
The issue is whether or not this is being
In California Code of Regulations Section
18
99E3, requires the notice to address that possible
19
(unintelligible) and self-dealing.
20
specifically says as for any nonprofit corporation
21
involved in the transaction.
22
you to review that regulation.
23
about the applicant or it will talk about the transferee
24
to distinguish between those parties.
25
doesn't do that.
And the section
I would -- I would invite

Elsewhere, it will talk
But here, it
It speaks only to the issue of any
147
nonprofit.
anywhere with respect to Foundation.
There has been no analysis whatsoever
I think it's particularly important here where
this relationship between the Buyer and PHS, a
for-profit and a not-for-profit are so intertwined.
example, we know that there has been a positive issue
that has been presented that, quote, the Buyer here is
going to make contributions in the future of $25 million
for improvements to this facility, an honorable thing
For
10
indeed.
But what is not revealed is how this is it
11
going to incur -- or occur, pardon me.
12
in fact, additional funding coming from PHS, recognizing
13
that in the past all funds to PHS Foundation has come
14
from either PHS or Dr. Reddy?
15
this additional funding to flow?
16
are going to be occurring?
17
between these two entities and agreements between the
18
two which need to be disclosed, which need to be
19
evaluated for you to have a proper evaluation of whether
20
or not this is in the public interest.
21
will, that there are such agreements.
22
this point because nothing's been disclosed.
23
there are, the ability for PHS, given its
24
cross-directorship, cross-officership, and any financial
25
arrangements between PHS and PHS Foundation really means
Will there be,
Are there agreements for

Are there loans that
Are there relationships
Imagine, if you
We don't know at
148
But if
that this Foundation will be directly controlled by not
its board, but by PHS, something which needs to be
evaluated.
If, in fact, there is this control, then a
second issue is presented, about whether or not it is in
the public's interest that two of the three hospitals in
this community are, in fact, under the control of one
board, one set of officers.
In the Attorney General's requirement to
10
consider, it says that the Attorney General shall
11
consider whether the effect of the agreement or
12
transaction may be substantially -- or could be
13
substantially to lessen competition or tend to create a
14
monopoly.
15
evaluation by the impact report nor in the notice
16
application which has addressed the issue of that
17
section, except on behalf of the seller -- pardon me,
18
except on behalf of the following comment that, quote,
19
there's no Hard Scott Rodino [phonetic] filing.
20
the beginning and the end of the analysis of
21
competition.
22
for this transaction.
There's actually been nothing in either the
That's
No Hard Scott Radino filing is required
23
So we do not have the information available to
24
the Attorney General, to the public to evaluate what the
25
real impact on competition will be, because no analysis
149
has been done, no information has been forthcoming.
The last issue, I touched on briefly already,
but let me just mention it again and that is the
cancellation of contracts.
to whether it is the practice of PHS to cancel
contracts.
others, particularly the Nursing Association, they refer
to one of the other hospitals that they were involved
in, which was Garden Grove.
It's no longer an issue as
10
As I was listening to the comments of
So I looked up the counter-data for Garden
11
Grove.
12
acquisition of that hospital by PHS, the encounter data
13
for the emergency room show that 54.18 percent of those
14
people entering the emergency room were under HMO
15
contracts.
16
2.82 percent of those people were now HMO admittees.
17
vast number of people were simply no longer going to
18
that hospital.
19
essentially, when they have this business plan of going
20
into the emergency room, people learned to go elsewhere
21
or they go without services.
22
In 2005, the period of time prior to the
Following the acquisition by PHS,
HMOs had been locked out.
And even
Centinella Hospital is the another one where
23
these contracts were canceled.
It started in '05.
24
Before the acquisition by PHS, over 30 percent were
25
HMOs.
After the acquisition by PHS, less than
150
7 percent.
So there's not a question here of whether
there is a practice of canceling the contracts.
And in
this particular instance, at the time that the report
was done, it was noted that they would have the
opportunity to be using the bankruptcy system whereby it
would be the rejection of the contracts.
happen.
contracts were canceled.
That could
We now know that, in fact, all of those

They've been rejected by the
10
debtor to free up the buyer to negotiate whatever new
11
contract it wants to.
12
they recently concluded one with IEHP.
13
not with Choice.
14
is, in fact, a pattern and practice which will show that
15
there will be a significant number of people who will
16
not receive services from this hospital if, in fact, you
17
allow this transaction to go forward.
18
Now, it his good to hear that

But they have
They have not with others.
So there
So let me just conclude by saying again there
19
is no one in this room who wants this hospital to close.
20
But there is a group in this hospital -- in this
21
auditorium today that would close this hospital to a
22
significant number of the members of this community.
23
There is an alternative plan.
24
buyer which has not been considered, that would, in
25
fact, allow for service to all of its community.
There is an alternative
151
would endorse what everybody said.
hospital.
Don't close the
Don't close it to anyone.
HEARING OFFICER:
Eric Jenson, are you here?
Diana, do you need a break?
We'll, okay.
that signed up.
Thank you.
Thank you.
I'm going to call from folks
Is John Petty here?

COMMENTS BY JOHN PETTY
JOHN PETTY:
Thank you, Ms. Horwitz.
John
10
Petty, J-O-H-N-P-E-T-T-Y.
11
I've sat here today, listening to this testimony, that
12
as someone who purports to be a committed member of this
13
community is not here.
14
I think it's interesting as
Where is Dr. Prem Reddy today?
In full disclosure, I represent Dr. Kali
15
Chaudhuri.
16
drove a hundred miles to be here.
17
cut short a trip to India to come back to be here today.
18
Dr. Chaudhuri was here for three hours.
He
In fact, he actually
And my colleagues, Mr. Mort and Mr. Thomas,
19
have indicated that there is an alternative on the
20
table.
21
over the County of San Bernardino, and there's a cloud
22
with this hospital.
23
that the last thing that this community needs is a
24
furthering, a darkening of that cloud.
25
It's no secret that there is a cloud hanging
It's a dark cloud.
I would suggest
One the things that has been discussed here
152
today has been information provided by a periodical
called "California Watch."
record, if I may approach, a series of -- a series of
five articles that have been developed over the last
several months.
investigative journalism that I've seen in quite some
time.
else that you've heard here today, because I suppose you
could say that we all have, you know, dogs in this
I'd like to submit for the
In my opinion, it's some of the best
Don't believe the SCIU.
Don't believe anybody
10
fight.
11
actually, more than one, actually, more than two -- have
12
taken a look at this, taken a look at this transaction,
13
taken a look at Dr. Reddy, and developed a series of
14
articles that, I think, are fairly irrefutable.
15
16
17
But an independent investigative journalist --
If the question is what is motivation of Prime

Healthcare in acquiring this hospital, I think -And, Ms. Horwitz, you -- you indicated before
18
to another speaker, you know, come up here and speak
19
your heart.
20
watching you here today, this is not a fait accompli.
21
This is not a proforma exercise.
22
hear from this community and want to here other
23
viewpoints.
24
25
And I appreciated that.
I can tell from
You genuinely want to
I was most struck by the series of articles,

and I'm sure you've read this before; but if you
153
haven't, I want to repeat it.
Where it's not somebody
that's having hearsay evidence, it's a quote from
Dr. Reddy, who is on the stand.
attorney in a case in San Bernardino Superior Court,
during the period of time when he was actually in the
emergency room at one of the hospitals that he acquired,
did he not say, "This is a gold mine," while holding up
a series of patient files, indicating higher Medicare
reimbursements.
When asked by an
"This is a gold mine," an impromptu
10
statement by someone who owned the hospital, actually
11
shuffling patients in and out of an emergency room.
12
What does that tell you about how this
13
hospital's going to be run?
14
indicated that competition something -- or lack thereof
15
is something that has not been properly addressed.
16
My colleague, Mr. Mort,
Mr. Dalton, I -- I went through your report.
17
With all due respect, there was a short paragraph on any
18
kind of pending investigation on Mr. -- on Dr. Reddy and
19
Prime Healthcare and almost nothing on the competitive
20
issue of if Dr. Reddy gets control of Victor Valley
21
Hospital.
22
investigated.
23
Those are key elements that need to be
And I think when the Attorney General does its
24
proper due diligence of this transaction, in light of,
25
hopefully, the testimony that's been provided here
154
today, it will conclude that the other alternative on
the table is a better alternative.
Community Hospital cannot stand another cloud.
Victor Valley
And I was particularly moved by the testimony
of -- I want to make sure I pronounce it right -- Kulyas
and her son Mark.
And the statement that has stuck with me after
listening to the people that were paid to appear here
for Dr. Reddy today, and that is the friends have been
10
purchased; the enemies have been earned.
11
HEARING OFFICER:
12
Thank you.
(Applause.)
13
HEARING OFFICER:
14
DEPOSITION OFFICER:
15
HEARING OFFICER:
16
UNIDENTIFIED MAN:
18
HEARING OFFICER:
19
interpreter, are you?
20
okay.
I didn't hear you.
Oh, okay.
Why don't you
Okay.
The interpreter?
Oh, you're not the
No, she already left.
Sharon Magma, Magama.
22
Martha Brodie.
23
Mary-Ellen Olivas is here.
24
wait behind her.
25
(Unintelligible.)
just make a quick announcement, and then you can go.
17
21
Thank you.
Great.
Okay.
That's
How about
And after Martha, if

Please just come on up and
COMMENTS BY MARTHA BRODIE
155
MARTHA BRODIE:
HEARING OFFICER:
MARTHA BRODIE:
HEARING OFFICER:
MARTHA BRODIE:
M-A-R-T-H-A.
R-O-D-I-E.
10
Good evening?
We spoke before.
I --
Martha, can you say and
spell your first name?
Good evening.
My first name is Martha,
My last name is Brodie, B as in boy,
HEARING OFFICER:
MARTHA BRODIE:
Great, thank you.

I am not only a 27-year
11
resident of the High Desert, I am the director of
12
business development for Homestead Senior Care.
13
provide nonmedical care for seniors in their home.
14
the cofounder of the High Desert Senior Forum for the
15
High Desert.
16
board for Victor Valley Community Hospital.
17
We
I am
And I'm also a member of the Foundation
First, I want you to know, and I want it on
18
the record, I was not paid or asked by Prime Care or by
19
Victor Valley Community Hospital to speak today.
20
you to know I'm first going to speak to you on a
21
personal level, and I'm going to try and keep my
22
emotions in check.
23
I want
Three years ago, um, my father became ill and
24
we called 911.
And, um, he has Kaiser Permanente.
25
if you know anything about Kaiser Permanente, they only
156
And
have a clinic here in the High Desert.
sick and you're a patient of theirs, they're contracted
with St. Mary's in Apple Valley.
So if you get
And when we called the paramedics, at the time
my dad was 80 years old, and I'm his power of attorney
for medical.
waiting time at St. Mary, and it was six hours and I was
not going to have an 80-year-old senior, my father lay
on a gurney and wait to be seen by a doctor.
Um, I asked the paramedics what was the
I made the
10
choice to take my father to Desert Valley on Thursday
11
night.
12
out of area and you're out of hospital, you have to get
13
permission.
14
Kaiser approved him to stay there for -- through the
15
weekend, because my dad was not stable enough to be
16
moved.
17
person, everybody just assumes that it's because of who
18
I am.
Well, those people didn't know who I was from
19
Adam.
And my dad got excellent care at Desert Valley
20
Hospital.
And anyone who knows the HMO industry and you're
And, um, my dad had a heart condition, and
And because I'm such a community involved
21
And not too many people know this, but I want
22
you to know this.
Two and a half years ago, I collapsed
23
at home.
24
San Bernardino County Fire Department, and he was there
25
when I collapsed.
And my son-in-law's a paramedic, fireman for
And he told the paramedics, after my
157
husband had called them and they worked on me, to take
me to Victor Valley Hospital because that's my hospital
of choice.
choice, and I have an HMO and I pay dearly for that
coverage through my employer.
On my insurance card, that is my hospital of
That was a Monday morning at 7:00 o'clock.
And my husband is my power of attorney and made all the
decisions on my care.
Wednesday afternoon, and my husband told me, "Your
And when I woke up, it was
10
picture doesn't hang on a wall here as being on the
11
Foundation board and none of these nurses knew who you
12
were and you got phenomenal care."
13
14
So I've had the experience of both hospitals.

That's my personal story.
15
My professional interest here is the seniors
16
that I represent in this community for the last 27
17
years.
18
for them because there are a lot of seniors out there
19
that can't speak for themselves because they don't know
20
the system or where to go or what to do or what to ask
21
for and that's why I'm proud of who I am and what I do
22
in this community.
23
And I'm a senior myself, and I am an advocate
And I stood before you I don't know how many
24
months ago, saying let's approve and sell this hospital
25
and let's move on.
Because, like some people say, you
158
know, kind of irritating me when you said there's a
black cloud hanging over this High Desert.
to know something.
Foundation of Victor Valley Community Hospital, and
people like me raised a lot of money for that hospital,
and a lot of doctors from every medical group gave
donations to that hospital.
this High Desert.
we're tired and we're tired of asking and it's just --
10
I want you
I worked very hard for the
There's no black cloud in
There's just a little confusion.
And
it's --
11
Every community leader in this High Desert
12
spoke here today.
13
time to move on.
14
together for our people that need it, for the seniors
15
that need it, for the children that need it.
16
move on.
17
We're -- it's time to be over.
It's
It's time to put this hospital back
And let's
Let's sell this hospital.

I don't want to be here three or six months
18
from now going through the same thing.
19
community leader.
20
help people.
21
because the last sale didn't go through for whatever
22
reason.
23
as a community leader -- and I speak for a lot of
24
people -- we just want it to be over with.
25
sale of this hospital to go through in 13 or 14 days.
I'm an advocate.
I don't.
I'm a
I'm supposed to
I shouldn't be here again all evening
And I didn't ask.
I'm just -- I'm done.
159
And
We want the
I
want my dear friend Cathy Pelley to retire, enjoy life.
I do, Cathy.
MARTHA BRODIE:
I know.
We're tired.
I want to
continue to be involved in this hospital.
All I ask you
is to, in 13 days, please don't tell all of us in the
High Desert that there is no sale.
hospital.
in the community like myself, we want to raise money for
We need to sell this
We need to rebuild this hospital.
And people
10
those less fortunate and continue to do what we do in
11
this High Desert.
12
again.
13
14
HEARING OFFICER:
Is Mary-Ellen here, Mary-Ellen Olivas?

How about Dr. Mamo?
17
18
Appreciate it.
15
16
And I thank you for your time once
Okay.
Paul Russ?
Gill -UNIDENTIFIED WOMAN:
20
HEARING OFFICER:
21
UNIDENTIFIED WOMAN:
22
HEARING OFFICER:
24
25
Great.
Just before you start speed, Paul, is Sherry
19
23
Okay.
Hall.
Hall?
H-A-L-L.
Okay.
Great.
Sherry, why
don't you just come forward.

Paul, please say and spell your name.
COMMENTS BY PAUL
160
PAUL RUSS:
Good evening.
My name is Paul
Russ.
The last name is spelled R-U-S-S, as in Sam Sam.
I don't have any prepared remarks today either, but I'm
going to come up here and speak from my heart.
I've been a resident of the High Desert since
1988.
I am a member of the Hesperia Planning
Commission, and I'm a senior vice president and regional
manager for American Security Bank bank up here.
spend a lot of my time in community banking and being a
So I
10
businessman up here.
11
Dr. Reddy his first loan in a nonmedical venture
12
20-something years ago to buy an Arco, of all things.
13
That was back when a million dollars was a million
14
dollars.
15
As a matter of fact, I made
So I've had a business and personal
16
relationship with Dr. Reddy and Prime Healthcare for
17
many years, and I would speak in favor of this.
18
can tell you, as a cancer survivor myself and someone
19
that's unfortunately had many other medical illnesses
20
throughout my life, the local access and local care is
21
very important to me and my family.
And I
22
Now, a lot of things have been said here today
23
and tonight, a lot of cons, a lot of pros, substantially
24
more pros, I think, than con.
25
you could translate that throughout the community.
And I think that would --
161
A couple things.
One is when you look at the
employment, that the impact in employment, this hospital
cannot close.
you had an alternative, whatever that one was, it cannot
close.
was the impact of jobs.
500 jobs if that happens, and that -- that would be
devastating.
which I am a trained economist by trade also, it would
Whether it's Prime Care that buys it or
One of the things that was discussed here today

Well, yeah, we're going to lose
But one of the theories in economics, of
10
tell that you in private sector, when you're looking at
11
jobs like this, not only will you lose those jobs,
12
there's a multiple effect.
13
sector here, you could probably estimate that that's
14
about seven times.
So if you look at that, that's an --
15
not only 500 jobs.
You're probably looking at an
16
additional 3500.
17
hospital ended up closing, you're probably looking at
18
4,000 job in all of Victor Valley and community, which
19
would be absolutely devastating for us up here.
20
you believe Mr. Russ Blewett or Councilman Russ or Joe
21
Brady, is it 18 or 25?
22
on top of that.
23
could be the nail in the coffin for this beautiful area.
24
So we don't want to -- we cannot allow that to happen.
25
And probably in the private
So this is probably -- if that
Whether
Regardless, you add 4,000 people
And a couple others like that.
That
The other thing I'd like to talk to you about
162
is that I kind of notice, listening through all this
stuff here and listening to all the comments, SCIU that
came up with these numbers and the old adage "Numbers
don't lie, but those that figure to do" comes to my mind
on that, because they just don't logically add up.
Okay?
they made over $200 million for diagnoses on one area,
and they made 50 million on another from the diagnoses
and -- well, another gentleman came up here and said,
And one of the things here is they said, well,
10
well, their company only made $10 million.
Well,
11
logically, looking at that, without digging into any of
12
the numbers -- and you have all the numbers; you can
13
probably look at that -- that would mean if you took
14
that money out that he actually lost over 200 million in
15
operations because they didn't have that extra money.
16
He only made ten -- it's just not a credible case.
17
Maybe you have one case and they extrapolate it out and
18
came up with some ridiculous number.
19
actually look at the numbers, logically they can't
20
happen.
21
about something, I think you as an attorney would
22
probably say they would discredit and throw out all that
23
information because they have a vested interest in the
24
outcome.
25
sceptical eye and implore the Attorney General to ignore
But if you
And if one says something that is incorrect
So I would look at that with a little
163
all that information from the SCIU.
Again, I'd like to thank you.
It looks like,
again just coming into this process, looking at it, that
you spent many hours, you and your staff and the state
and buyer, seller, community.
really put your heart and soul, from your report, what
you've done, into this and I'm sure that you will come
up with the proper decision.
community, if anything is said from here today, it would
And it looks like you've
And I think that the
10
be to do that, and this area cannot lose that hospital.
11
It would just be devastating.
12
and have a good evening.
13
HEARING OFFICER:
14
Okay.
Sherry.
here?
16
you just come on up here.
How about Diana Basiles?
17
21
Okay.
Diana, why don't
COMMENTS BY SHERRY HALL
18
20
Thank you.
And then, is Joseph Monte
15
19
So thank you very much
SHERRY HALL:
Thank you for my -- taking my
comments.
HEARING OFFICER:
Could you spell and -- say
and spell your last name.
22
SHERRY HALL:
I'm Sherry Hall, H-A-L-L.
I'm a
23
High Desert homeowner.
24
Desert for over 21 years.
25
San Bernardino County with too many public officials and
My family has lived in the High

We have a problem in
164
institutions that we just can't trust.
time I open my paper, another County official is under
indictment for something, and we just get used to it.
It seems every
When it comes to a hospital, this problem gets
real personal.
I'm expecting my first baby this
February.
Desert Valley that they send their pregnant women
through the ER to give birth, and that probably means
automatic c-sections.
I've heard over at Death Valley -- I mean
That's really scary.
There are
10
sick people there.
11
looks like the procedures aren't necessary, but they are
12
risky.
13
Also, these -- you know, these -- it
There are other buyers in this area.
There
14
are other buyers that would like the chance to purchase
15
this hospital.
16
They'd like to step up.
And I just want to say that my baby and I, we
17
are not a gold mine.
18
care.
19
20
21
22
We are people and we need good
So thank you for taking my comments.

HEARING OFFICER:
Appreciate it.
COMMENTS BY DIANA PASILLAS
DIANA PASILLAS:
Good evening.
I'm Diana
23
Pasillas, D-I-A-N-A-P-A-S-I-L-L-A-S.
Before I go, my
24
condolences to the family and the people here that have
25
lost loved ones, especially to cancer, because I too
165
know what it's like to lose a loved one or a good
friend.
So God bless.
I currently hold the position of manager of
provider and public relations for Choice Medical Group
up here in the High Desert.
today as a long-time citizen of this community.
been a resident of the High Desert since 1960, when my
dad was transferred out here to the then-George Air
Force Base and where he retired and then further retired
10
However, I'm really here

I've
from a large school district up here.
11
Growing up here, I went to high school, went
12
on to Victor Valley College, and went on with my career,
13
my degree and, um, have always worked in healthcare.
14
family and I have maintained residences up here in the
15
High Desert since that time, when my dad originally
16
moved here in the '60s, and my family and I have all
17
personally received medical services from Victor Valley
18
Community Hospital.
19
My
Most recently, I received an incisional biopsy
20
and a lumpectomy surgery for treatment of breast cancer
21
in 2004 at Victor Valley Community Hospital and followed
22
with more treatment from a local oncologist,
23
Dr. Vernanda, and radiation oncologist here in the High
24
Desert.
25
coordination of care that I received.
And I'm proud to say that the quality and the

I am a survivor,
166
although the journey was scary.
With that said, I'm very passionate about
healthcare.
working in contracting, in marketing, and knowing how
the system does work, we do have some great positions up
here in the High Desert, a lot that are very dedicated
to this community, not only from Desert Valley Hospital,
but to Victor Valley Community Hospital and St. Mary
Medical Center, and I've worked with all of them.
10
Being in the healthcare delivery system and
My background has always been in managed
11
healthcare marketing, and I have maintained employment
12
in this local medical community since 1985.
I formerly
13
worked at Victor Valley Community Hospital.
I've also
14
worked for the City of Victorville, where we're standing
15
here today, in addition to owning and operating my own
16
healthcare consulting business where I helped set up
17
physician offices and got them going on their
18
independent way.
19
My passion for these local physicians and
20
their affiliated medical groups and their patients is
21
very strong.
22
well-being as well.
23
Victor Valley Community Hospital via their physician's
24
care through many of the independent medical groups up
25
here.
I'm very committed to the success of their

Many of our local residents utilize
The coordination of care between the physicians
167
and the hospitals is so important for the positive
outcome of the health of the patient, and I'm living
proof of that.
One last concern is our seniors and the access
that they have to care as well.
My father, who I
mentioned earlier, who brought us here to this High
Desert community, was battling lung cancer a couple of
years ago and received his treatment through one of our
local oncologists and received some care here at Victor
10
Valley Community Hospital as well.
11
it.
12
you know, he's living proof that the care was very good
13
and he's living on.
14
do, because he has macular degeneration disease -- he
15
can't drive at night.
16
distances.
17
he stayed in this community, because the community did
18
provide good healthcare.
19
He's over it.
Luckily, he battled
He's not yet out of the clear, but
However, what I don't want him to
He can't really drive long
So he has to have care local, and that's why
So in closing, as a citizen of this community,
20
my concern is not necessarily who the buyer is, but,
21
more importantly, that continued access to care and a
22
continued commitment of this hospital to its existing
23
carriers, meaning the health plans, much less the needs
24
of the patients.
25
local residents via their health plan carriers and the
Therefore, I'm requesting that the
168
local physicians continue to have access to Victor
HEARING OFFICER:
have any written statement?
DIANA PASILLAS:
I've been writing.
listening so -HEARING OFFICER:
Okay.
Zumbrunn here?
Could you hand it to my -You know what?
Okay.
Pat Aguirre.
12
DEPOSITION OFFICER:
Yeah.
COMMENTS BY PAT AGUIRRE
14
PAT AGUIRRE:
Hello.
My name is Pat Aguirre,
and that's A-G-U-I-R-R-E.
16
17
And is Gregory
Great.
Are you okay, Diana.
15
It's all --
That's okay.
11
13
Do
I've been writing as I've been
10
Thank you.
HEARING OFFICER:
Sorry for the
mispronunciation.
18
PAT AGUIRRE:
I'm currently -- currently an
19
employee at Encino Hospital, which is a Prime facility
20
and has been mentioned here quite a few times as being a
21
nonprofit.
22
experienced since becoming a Prime employee.
I'd like to talk to you about what I have
23
I've been in healthcare for about 35 years,
24
and I work at a -- I've worked as Encino Hospital for
25
about 13 years.
169
1
2
3
4
5
HEARING OFFICER:
And what do you do at the
hospital?
PAT AGUIRRE:
I am a phlebotomus, and before I
was a phlebotomus, I was a lab technician.

What I have scene since, um, July 2008, uh,
are just closures, closures and more closures.
to Lex Reddy about this a couple months ago when he came
to our hospital.
saw many physicians.
When Encino Hospital became Prime, we

We had, um -- we were known for
10
doing hips and knee surgeries.
11
a medical floor.
12
was always and still is full.
13
floor that is pretty full.
14
were known for our ortho work.
15
we had quite a bit.
16
I spoke
We had a surgical floor,
We had a sniff [phonetic] unit that

We had mental healthcare
And we had a rehab.
But we
And we had surgeons and
What has since happened is that we lost our
17
surgeons and, because we don't have many surgeons now,
18
we lost our surgical floor.
19
healing, they would go to a rehab floor where we had an
20
excellent physical therapy department and would get them
21
up walking right a away.
22
nor do we have many physical therapists anymore.
And when our patients were
We don't have the rehab floor,
23
I've seen changes in the employees or, I
24
should say, the change in what employees are paid.
25
it worries me because you get people who -- you get
170
Um,
employees who are right out of school, that don't really
have experience and are kind of learning on the job.
That affects healthcare.
Um, I've seen, um, people have come -- I work
in the laboratories.
So what I've seen directly is
patients are coming to the laboratory who used to come
once a month.
facilities, especially like Cedar-Sinai or other
facilities, but they lived in Encino, and they would
10
come to Encino Hospital to have their lab work done.
11
Well, they came to us and said I'm sorry; what used to
12
cost $50 of a co-pay is now costing me $500 because my
13
insurance carrier no longer allows me to come here
14
because insurances have been cut.
15
carrier contracts have been cut.
16
people in the community.
17
about this.
18
when they become ill in -- more ill than they have been
19
before, say, someone from the mental health unit or
20
someone from our lung care unit, they're taken right
21
away to the emergency room instead of going to the
22
intensive care, instead of going to a medical floor.
23
They're taken to an emergency room where they're given a
24
battery of tests that could also be done in the
25
intensive care.
They may have been patients from other
Carriers have -That has affected
I see and I -- and I wonder
I'm not a nurse, but I see patients who,
But there's a little sidestep, a little
171
extra trip to the ER.
Um, all of these things that I'm saying from
what I have seen.
prepared notes.
employees come to work every day, asking what is the
census?
our hospital is officially -- has a 150 beds.
patients.
You know, I hear from employees in the cafeteria, "I
10
11
I'm trying to -- I don't have any
But I -- I see, you know, my fellow
How many people do we have?
I heard today that

We see 50
We get really worried when we see 49, 48, 47.
only had to make 27 meals."
It's --
And I've heard people here today say I don't
12
want to see this hospital close.
But yet for many
13
people who had different insurances, our hospital is
14
closed to them, and that will happen here.
15
people who have insurances other than Prime or who are
16
not Medicare, Medi-Cal, this hospital will be closed to
17
them, so will all the other Prime facility.
18
will impact the community.
19
when you're -- when Prime employees are hired at way
20
below market level.
21
come from the San Fernando Valley.
22
that went from being a per-diem employee, making a
23
certain amount of money, and now want to become a
24
full-time employee and cut from $42 to $26.
25
outrageous -- and almost had their homes lost.
For those
And that
It impacts the community
And they have done studies on -- I

I've seen employees
172
That is
That
affects employees, what they can spend in this
community, and how they live.
this room laugh in that employee's face.
I'm sorry for this.
HEARING OFFICER:
And I have seen people in
It's okay.
Don't worry
about it.
PAT AGUIRRE:
As a healthcare worker, I see
myself as a patient advocate, because many of the
patients we see in our facility, they don't have a
10
voice.
11
Many of us -- you know, I hear all these things about
12
Generation X and we're all getting older and there's
13
going to be a tremendous burden on the healthcare
14
facilities.
15
in -- sometime in our lives.
16
get the kind of care that we need, and not the care of
17
care that your daughter got.
18
19
20
21
I have spoken up for patients and been ignored.
But we're all going to be at a hospital
HEARING OFFICER:
I hope that each of us can
Thank you.
COMMENTS BY GREG ZUMBRUNN

GREG ZUMBRUNN:
Good evening.
(Applause.)
22
GREG ZUMBRUNN:
My name is Greg Zumbrunn.
23
DEPOSITION OFFICER:
24
HEARING OFFICER:
25
definitely spell that one.
I'm sorry.
You're going to have to
173
GREG ZUMBRUNN:
Z-U-M-B-R-U-N-N.
I -- I'm not
an advocate for or against Prem Reddy.
successful businessman.
just been a resident of the Victor Valley for 37 years.
Two of my three children were born at Victor Valley
Hospital.
He's a
I admire him for that.
And I'm concerned about this sale.
I've
I'm
concerned mostly about not profit.
I don't think
it's -- our only choices here are whether the hospital
10
stays open or whether it's -- closes.
11
unanimous we want it to stay open.
12
I think we're
But what I'm concerned about is diversity.
13
We're looking at, now, two of the three hospitals that
14
are going to be controlled by, if not exactly the same
15
entity -- although there's some confusion.
16
references to, well, it's not actually going to be owned
17
by Prem Reddy as if that's a selling point.
18
throughout these proceedings and in the press, then it's
19
also -- and it seems to be a selling point.
20
controlled by that.
21
going to have the shared philosophy.
22
about the lack of access for my family, for my friends,
23
for my neighbors and having that philosophy control two
24
of the three hospitals up here.
25
about the lack of diversity, the lack of contracts that
I see
But then,
It is
But nevertheless, I think we're

And I am concerned
Um, I -- I'm concerned
174
this hospital and its management will have to honor.
And as a resident here, I've been here 37
years.
I plan on being here another 37 years.
to make sure that there is access and even the best, uh,
and most well-intentioned person, if they are
controlling and have a virtual monopoly on basically all
of the western High Desert here, Victor Valley as well
as Desert Valley, that is of great concern to me.
I want
I would ask that this committee particularly
10
evaluate the other alternative so that we have the
11
diversity of three different philosophies in the High
12
Desert.
13
access to contracts that benefit all members of the
14
community.
Give the people here a choice so that we have
15
HEARING OFFICER:
16
You know what?
17

I think we have one other
person.
18
DEPOSITION OFFICER:
19
HEARING OFFICER:
20
So we're almost done.
Is
that all right?
21
DEPOSITION OFFICER:
22
HEARING OFFICER:
23
Okay.
you here?
That's fine.
Okay.
Valerie Johnson, are
(Inaudible) she's out there.
24
And just as a quick note, is there anyone else
25
who wants to speak, who didn't fill out a sign-up sheet?
175
Oh, yeah, there's -- I've got -- actually, you know
what?
take a super short break.
more.
Let's hear from Valerie.
We're going to just
I got a couple of people
I forgot about that.
Go ahead, Valerie, and then we're going to
just take, really, like, five minutes.
going to finish up hopefully by eight o'clock tonight.
Go ahead, Valerie.
And then we're
I want to hear from you.
COMMENTS BY VALERIE JOHNSON
10
VALERIE JOHNSON:
Okay.
11
It's V-A-L-E-R-I-E-J-O-H-N-S-O-N.
12
way I appear.
13
here.
I'm Valerie Johnson.

And I'm sorry for the
I didn't know we were going to comment
14
HEARING OFFICER:
No worries.
15
VALERIE JOHNSON:
But we actually -- I
16
actually e-mailed your office, too, about this.
17
But I've been a resident here in Victorville
18
for 26 years.
My husband and I are homeowners here.
My
19
husband is a teacher for Victor Elementary School
20
District.
21
we're on Blue Shield contracts.
22
you're Blue Shield.
23
severely limit where we can go.
24
to be funneled into St. Mary's, which we know they can't
25
take the overflow.
And for all of the teachers in our district,

So if you're not HMO,
And this sale to Dr. Reddy will

I mean, we're all going
They're already overcrowded there.
176
So this really affects us.
not positive, but other school districts must have the
same issue up here, with having contracts that won't
be -- that will be canceled for them too as well.
And also, I'm sure -- I'm
So, I mean, as far as money goes, it's sounds
like a lot of people here are talking about the money
aspect of it.
money aspect of it, we would have to take our business
down the hill, you know, if we can't find our healthcare
10
But even if you think about just the
services up here.
11
And then, just on a personal note about Victor
12
Valley, my last child was born there and I almost died
13
having here.
14
doctors there that were able to quickly get me into
15
surgery and get the care I needed, I wouldn't even be
16
here today.
17
hospital.
18
told, for the sale.
19
be sold.
20
seems to be the worst option, and we want another
21
option.
And if it weren't for that hospital and my
So I just wanted to say it's a great
And this is not the only option, we've been

I mean, obviously we know it has to
But is this the only option?
No.
So this
And that's it.
22
HEARING OFFICER:
23
Okay.
Okay.
Great.
Thank you.
We're going to go ahead and go through.
24
Chung, did you want to say something?
25
UNIDENTIFIED MAN:
Yeah, come on up.
Is that okay with you?
177
HEARING OFFICER:
Yeah.
COMMENTS BY STEVEN SCHWARTZ
STEVEN SCHWARTZ:
Hi.
My name is Steven
Schwartz.
Danning, Gill, Diamond & Kollitz.
Schwartz, S-C-H-W-A-R-T-Z.
S-T-E-V-E-N.
creditors holding unsecured claims in the Victor Valley
bankruptcy case.
10
I'm an attorney with the Law Office of

My last name is
First name is Steven,
I represent the official committee of
One of the important considerations in
11
approval of a bankruptcy sale is the benefit to the
12
unsecured creditors in the bankruptcy estate.
13
Dr. Reddy's company, at the initiation of the bankruptcy
14
proceeding, was the stalking-horse bidder, and was
15
involved in an auction sale and was outbid by VVHA, whom
16
you've heard from in various iterations here today.
17
Now,
That deal, the winning bid was to provide a
18
full payment to the unsecured creditors of this estate.
19
And after six months of negotiation and frustration,
20
VVHA failed to close and it looked like all hope was
21
lost for my constituents.
22
stuck with the transaction and offered to continue as
23
the backup bid for $35 million, which will provide a
24
significant distribution to the unsecured creditors.
25
Now, VVHA had the opportunity to close, but it failed to
And Dr. Reddy, to his credit,
178
do so.
We believe that doctor -- Dr. Reddy has shown
integrity in sticking with the transaction and providing
something significant to creditors, many of which will
continue to do business with the hospital and provide
jobs and money into the local economy.
VVHA now comes here and advocates to buy the hospital
for $7 million less than it bargained for, doing so on
the backs of the unsecured creditors and wiping out any
By contrast,
10
hope of a significant distribution in this bankruptcy
11
case.
12
13
The committee supports the sale and recommends

the approval.
Thank you.
14
HEARING OFFICER:
15
Charlie?
16
Thank you.
COMMENTS BY CHARLES SLYNGSTAD
17
CHARLES SLYNGSTAD:
Thank you.
Last name is Slyngstad.
My name is
18
Charles.
It's spelled
19
S-L-Y-N-G-S-T-A-D.
20
Community Hospital and have been for 16 years.
21
worked on its behalf on various matters adverse to the
22
Buyer in this transaction.
23
Buyer, but Dr. Reddy and his profit company.
24
speak only because certain matters have been stated by
25
lawyers that need a response on behalf of the Hospital.
I'm an attorney for Victor Valley

I have
Actually the -- not the
179
And I
And I will be short because I have noted that the
lawyers talk the longest, so I'm going to be short.
I need to specifically address the CLIA
certificate as a matter of record.
of the Centers for Medicare and Medicaid Services is
that it will not, quote, unreasonably refuse to extend,
unquote, the revocation of the CLIA certificate, quote,
for good cause, unquote.
what Mr. Weisberg, I believe, said when he spoke earlier
10
The legal obligation
It is not any clause, which is
today.
11
When the prior transaction failed to close on
12
May 31, we did not hear from the Federal Centers for
13
Medicare and Medicaid services about the CLIA
14
certificate for approximately five full weeks, while we
15
wondered whether or not that certificate was going to --
16
at that time, subject to a future revocation date,
17
whether that certificate would be extended or would not.
18
So when Ms. Pelley speaks of jeopardy to the hospital
19
based upon the CLIA certificate's status, that is real
20
jeopardy.
21
because we have made all of those phone calls through
22
the chief financial officer and the chief executive
23
officer of the hospital to try to get the outside
24
laboratories to take over those functions and they will
25
not do so.
It is not something that can be outsourced,
Outsourcing is not an option.
180
And when
Mr. Thomas said it was one during the VVHA sale
transaction earlier that failed, he misspoke.
There are no promises to extend that
certificate, and Mr. Seth Shapiro's statement from the
Department of Justice in Washington is not a promise
that is enforceable, as Mr. Shapiro will probably tell
you against the interests of his client, the Centers for
Medicare and Medicaid Services.
can speak on its behalf through it's representatives,
10
Only that organization
and they are only committed to what's in writing.
11
That writing came as a result of an
12
administrative law judge's decision nearly over a year
13
ago now, and CMS did not seek that decision by the ALJ
14
judge simply for the sake of letting it be a piece of
15
paper that they will extend forever.
16
The alternatives we have if we do not close
17
are to go and take what is, in effect, the Victor Valley
18
Hospital Assoc- -- Hospital Acquisition offer that, as
19
Mr. Schwartz just said, is $7 million less.
20
just $7 million less, but it is also far inferior.
21
It is not
The transaction with Prime is for $35 million,
22
subject to a potential credit of approximately
23
$3 million.
24
$100,000.
25
from the supplemental payment due in another week under
As of today, that credit is less than
So unless we get a lot of reimbursement money
181
the 2010 supplemental payment program, or unless we get
money from SB90 before August 31, which is not
anticipated, that's -- money is due in September, we
will have a credit of, in all likelihood, less than
$500,000.
this transaction is far and above the best transaction
for the board of the directors of the comm- -- of the
Victor Valley Community Hospital to accept.
And as I say now, it's less than 100,000.
So
If the transaction goes through, I have heard
10
now, late, various statements made about monopolization.
11
Those statements are substantially uninformed, but
12
they're substantially voiced by Victor Valley Hospital
13
Acquisition, which has its own interest in mentioning
14
them.
15
application to your office for approval of this sale did
16
not address enough the issue of lessening the
17
competition because it only referred to the Hard Scott
18
Rodino Act.
19
same disclosure was made to your office in November of
20
2010 in connection with Victor Valley Hospital
21
Acquisition's submission.
22
further examination or explanation then, but they do now
23
because it's in their interest.
I noticed Mr. Mort spoke about how the
That comment was never made when the exact
They didn't think it needed
24
But if one looks at simply a straightforward
25
comparison of the numbers of beds, if this transaction
182
goes through, there will be 184 beds between Desert
Valley Hospital and the acquired Victor Valley Community
Hospital.
have more than 50 percent of the market for beds.
St. Mary's will still have 187 beds and will
And I apologize to people who have spoken
personally of interactions with the hospital on a
personal note, because from Victor Valley Community
Hospital's point of view, all we're left with at the end
of the day is money.
So I know we affect patients'
10
lives in healthcare.
But, really, as the seller, we end
11
up with cash, and that's the fact of it.
12
not lessen competition in this marketplace.
13
But we will
And to the argument that we will lessen
14
competition because HMO contracts will either not be
15
renewed or entered into by the Prime Healthcare Services
16
Foundation organization, I just have a simple question.
17
Where were these doctors, the HMOs, and the PPOs for the
18
last dozens of years?
19
years for this facility?
20
patients.
21
had been or there would be a monopolization.
Where were they the last five

They weren't admitting
Dr. Eric Hansen spoke and stated how there
22
(Interruption by cell phone.)
23
HEARING OFFICER:
24
25
Can you hang on one second?
I'm sorry.
CHARLES SLYNGSTAD:
Sure.
Do you wish to take
183
that call?
2
3
HEARING OFFICER:
Sorry.
I couldn't find my
phone.
CHARLES SLYNGSTAD:
HEARING OFFICER:
CHARLES SLYNGSTAD:
Are you okay?

Yeah.
No, I'm fine.
I just need to make a
remark that Dr. Eric Hansen made the monopolization
remark about how this would impact Choice Medical Group.
He admitted three inpatients in 2009 to Victor Valley
10
Community Hospital, four in 2010, and one this year.
11
Dr. Gurpal Phaguda also spoke that he agreed
12
with Dr. Hansen.
13
patients in 2010, and four this year.
14
again:
15
He admitted no patients in 2009, no

So I have to ask
Where have they been?

The commercial members of these HMOs and PPOs
16
may or may have not access as members of their group,
17
but they will still have access to medical care in the
18
community and from Victor Valley Community Hospital.
19
may have a different interaction with them commercially,
20
but those members have not been coming to this hospital.
21
They just haven't been there.
22
It
We are largely supportive of the Medi-Cal and
23
Medicare and charity care in this community, and that is
24
the fact of it.
25
substantially the HMOs and Choice Medical Group and the
So we are not going to impact
184
others.
What it will cause them to do is go back to
St. Mary's, which is where they came from when this came
to Victor Valley.
Finally, to Victor Valley Hospital
Acquisition, I heard I forget which representative say
their interests have not been considered, and I just had
to smile the smile only someone who went through seven,
eight months of trying to deal with them to get them to
close the transaction kind of can have.
All of their
10
interests have been considered throughout these
11
proceedings, and they did not close when they had the
12
ability to close.
13
know you know, Ms. Horwitz, throughout those many months
14
and their price kept dropping.
15
and then was readjusted downward so that it ended up
16
that we ended up having to agree to loan them $6 million
17
to try to make the sale close, and they still didn't
18
close.
19
They kept negotiating, as -- as I
It started at 37 million
Shortly after the transaction, Mr. Thomas
20
stated the Medicare problems came to light, and that is
21
not a correct statement.
22
close on December 31.
23
continuance and would not close it on December 31.
24
extended it to February 28.
25
Medicare approximately a couple of weeks before that
The transaction was due to
On December 18, they requested a

We
The issues came up with
185
closing date, which we then extended to the end of
April.
problems, not the six-month period that I heard at least
Mr. Thomas and perhaps one other speaker for Victor
Valley Hospital Acquisition refer to.
those under a 4.5-million-dollar agreement to pay the
Centers for Medicare and Medicaid Services upon the
closing of this transaction.
We resolved within 60 days all of our regulatory
And we resolved
They had until June 1 to finally close after
10
the regulatory issues were resolved.
11
to the moments before that closing, a week before --
12
they still had no deals with Heritage, no deals with
13
IEHP, no deals with Choice, and no deals with the
14
Centers for Medicare and Medicaid Services on the terms
15
of taking over the Medicare Provider Agreement, all of
16
which was brinksmanship by them to drive the price down
17
and threaten not to close.
18
issues.
19
And they still, up
They came up with many
And when you hear, now, statements by
20
Mr. Moore that there's some kind of information needed,
21
that there's some kind of confusion that he might have,
22
they are doing what they did for seven months.
23
making up more issues to delay the sale transaction at
24
the risk of this community hospital's existence, whether
25
that's from the CLIA closure or because of the
186
They are
diminishing balance of funds.
approximately $8 million and its declining balance of
cash left.
We had, I believe it was,
There's no question, and we're not trying to
hide, Dr. Reddy -- Prem Reddy's relationship to Prime
Healthcare Services foundation or to Prime Healthcare.
But I can trust that the Attorney General's office, in
the oversight of this transaction, if it's approved over
the next five years, will have all of the capability to
10
acquire information regarding the relationship between
11
the for-profit Desert Valley Hospital and the
12
not-for-profit Victor Valley hospital, or Victor Valley
13
Community Hospital or whatever it is named after close.
14
But you should not allow someone who didn't
15
close the transaction after seven months come in and say
16
that there's an alternative, that they are it, and that
17
they have not be considered as an alternative.
18
using the allegations against Prime, and their comments
19
and criticisms of the application or the healthcare
20
impact report here in this case as a cover to try to
21
drop the price to 7 million -- by $7 million to
22
$30 million, resulting in net benefit to the
23
not-for-profit funds of Victor Valley Community Hospital
24
of close to $5 million in less money derived from that
25
alternative.
187
They are
And the board, when considering that
alternative or part of it, because they kept changing it
and they still do up to this date -- the board, when it
considered whether to approve this sale transaction,
fully considered the Victor Valley Hospital Acquisition
agreement, and one from DeanCo [Phonetic] as well, that
resulted in a substantial difference in price.
unfortunately, that price is all we're left with, and
those $5 million will help get all of our creditors
And
10
paid.
11
Centers for Medicare and Medicaid Services, which goes
12
back, in some measure and some way, to the benefit of
13
the community.
14
It will help get the settlement paid to the
And we urge to you to approve the sale.
HEARING OFFICER:
15
Thank you.
COMMENTS BY SUZANNE RICHARDS
16
SUZANNE RICHARDS:
Good evening.
17
for giving me this opportunity to speak.
18
Suzanne Richards, S-U-Z-A-N-N-E, Richards,
19
R-I-C-H-A-R-D-S.
Thank you
20
21
My name is
First, I would like to offer my condolences to

both of you.
22
The word cancer --
MARK KULYAS:
No, it's not cancer.
My sister
23
was intentionally murdered for financial gain, not
24
cancer.
25
HEARING OFFICER:
Okay.
Ma'am, really, just
188
stick with me here.
SUZANNE RICHARDS:
HEARING OFFICER:
SUZANNE RICHARDS:
Go ahead.
Great.
Okay.
You go ahead.
Mr. Dalton, I've
heard a couple of times that they felt the report was
lacking in a few areas.
reports, and I just want to say I think you did a very
thorough job, and MDS has always done an excellent job.
I've seen several of your
Little bit about myself.
10
nurse.
11
care unit.
12
statistics.
I am a registered
13
I worked a majority of my time in the intensive

And I do have a master's degree in
One of the things I just wanted to bring to
14
the attention of the Attorney General is statisticians
15
are not doctors.
16
medians and draw inferences and conclusions off of them.
17
You should have confidence intervals.
18
P-values, and you need to do more digging.
19
just take a percentage and draw an inference and
20
compare.
21
need to be controlled for when you want to make
22
comparisons.
23
We know you can't take means and
You should have
There's a lot of bias in that.
You can't
Many variables
Other things I wanted to mention.
As you're
24
aware, there are many places that hospitals have to
25
report statistics.
The National Health and Safety
189
Network, which will record all of our infections.
has core measures.
CMS
They have hospitalcompare.org.
A few things about the -- the reports with
CDPH.
They didn't have infection-control issues on
them.
They were looking at the doctors' diagnoses.
would like the SCIU to take a look at the hospitals that
had higher values than Prime did, because they didn't
look at those and the hospitals that the SCIU
represents.
10
Let's see here.
We have many agencies that do
11
review our hospitals.
12
joint commission.
13
our hospitals and with HFAP, the Health Facilities
14
Accreditation Program.
15
we did have them come out.
16
reviewed, and they didn't find deficiencies in these
17
areas.
18
We
We are fully accredited by the
We are fully accredited at three of
When these allegations occurred,

Ten of our hospitals were
We -- we just want to state that when you say
19
that the state is investigating, the state is
20
investigating because they are required to investigate
21
every anonymous complaint.
22
complaint is made to the state, it does cost a lot of
23
taxpayer dollars.
And every time an anonymous
That's my comments.
Thank you.
24
HEARING OFFICER:
Thank you.
25
Lex, and then we have one last person after
190
1
2
3
Lex.
COMMENTS BY LEX REDDY
LEX REDDY:
Ms. Horwitz, Ms. Cantori, and
Mr. Dalton, thank you all for being in my community too.
I've lived here for 27 years.
L-E-X; last name, Reddy, R-E-D-D-Y.
My name is Lex Reddy,
I am the president and chief executive officer
for Prime Healthcare Services and the one that will be
involved, if this transaction gets approved, in the
10
transition process of making sure that Victor Valley
11
Community Hospital complies and stands up to all of the
12
regulations that your offices will be imposing on us.
13
While I do believe in the process and I do
14
believe in what you have to do to go through the
15
approval criteria required, I would like to emphasize
16
that we at Prime Healthcare are willing to live with any
17
decision you make.
18
Approval, denial is in your hands.
One thing that's very important for us is that
19
this hospital stays open.
As most of you have gone
20
through this process, we were not the selected bidder to
21
buy the facility.
22
vote of Victor Valley to make the right decision in its
23
best financial interests.
24
re-approached by the board was because of the failure of
25
the previous transaction.
We gracefully exited.
We wanted the
The reason we were asked or
Why are we involved in it
191
when we have heard time and time again, when 80 to
90 percent of the business is uncompensated Medi-Cal,
Medicare?
Why are we still interested in it?

I think someone asked a question where is
Dr. Reddy?
lives, breathes in this community.
He doesn't have to be physically here.
He
I take a lot of passion in this community,
along with him, because he cares for the community.
did we decide to keep it as a not-for-profit?
Why
Because
10
we want the oversight.
11
community understands that we're here to keep it open,
12
make sure we keep our commitments in this community
13
which are monitored.
14
We want to make sure that the
All the charitable work that Dr. Reddy has
15
done in this community, all of the not-for-profit work
16
that the Foundations do are all done below, in a very
17
what I call hidden way because there are things that you
18
don't need to keep bragging about.
19
home.
20
you are saving the lives of so many people that depend
21
on this facility.
22
having worked with him for 26 years, his heart is here,
23
wondering what's happening to that hospital and what's
24
happening in the process.
25
This is his community.
Charity begins at
It's not a charity when
He is in this room.
I know for sure,
It's not about Dr. Reddy.
What they have done in this process is
192
belittle the 9,000 employees that work for this
institution.
every single facility, doing the work.
employees that contribute to the success or the failure
of our institutions.
Dr. Reddy does not sit and be there at

It's my 9,000
And at the end of the day, the buck does stop
with Dr. Reddy because he takes the responsibility of
making sure these facilities are kept open, deal with
all of the -- for example, lack of a better word, the
10
trash that is thrown at us, because we have to respond
11
to regulatory agencies whom we keep in high regard.
12
I want to make sure that this community
13
understands we stood by the board of Victor Valley
14
Community Hospital to do what is right by the board for
15
Victor Valley.
16
sit here and listen to Mr. Fermin say the same thing,
17
whom I've seen and has been my competitor for the long
18
time, sitting on the board of Victor Valley, pay
19
comments and commend us for what we are here for.
20
There's nothing much grateful for me to
On the other issue of all these physicians
21
that have come by and said they don't have access,
22
there's not one physician that Prime has terminated from
23
its medical staff.
24
body.
25
Medical staff is an independent
Physicians can come and practice.

I heard one of these physicians talk about not
193
getting access to services at Desert Valley.
physician has never made an attempt.
That
All the physicians in this community know me.
They know I've lived here for 27 years, been accessible
to them.
Valley, or St. Mary was never an issue.
physicians that have complained about we're are the
managers of Victor Valley Community Hospital, for lack
of a better word.
10
Whether they practice at Desert Valley, Victor

All these
The community does not understand the
intricacies of what has gone on behind the scenes.
11
I'm not going to stand here and talk for four
12
or five hours, defending every single issue that has
13
been brought up.
14
know better.
They have taken advantage of this facility
15
financially.
They have brought it to the state of
16
affairs in which it is today.
And all I can say is these physicians
17
And what Prime or Dr. Reddy is trying to do is
18
leave a mark of keeping a hospital -- community hospital
19
opened so the community take care of the indigents.
20
provide the highest amount of charity care even though
21
we are for-profit hospital like everybody contends us to
22
be.
23
OSHWA [phonetic], CMS, and all of the reports that we
24
file like every other hospital on a day-to-day basis.
25
And that data is available in public records of
We
So if profit was the motive, we would have
194
kept it as a for-profit entity and left it that way.
It's not.
to be a community asset.
every year we are [phonetic] converting hospitals to
not-for-profit, not for any other reason.
require your oversight, regulatory agency's oversights.
And I know how strict you are about monitoring all of
this covenants and how you expect us to file reports on
an annual basis to make sure you're monitoring us and
10
We want it to be not-for-profit.
We want it
We want to make sure that
They all
respond to every issue you receive.
11
So I want to reassure, without going through
12
the whole history of what, where healthcare is headed,
13
that these physicians -- I respect them.
14
physicians for a reason.
15
and talk about Victor Valley, it really saddens me
16
because these are the very same physicians who have been
17
brought into this community by Victor Valley Hospital
18
and, to some extent, the previous founder,
19
Dr. Nepomuceno, and they have brought this hospital to
20
this state of affairs.
21
community and keep it open.
22
They are
But when they stand up here
And we do want to serve this
And the last, but not the least important,
23
point I want to make sure we talk about this the lot of
24
other vested, interested parties who keep here accusing
25
us of all of the allegations about septicemia,
195
malnutrition.
have 9,000 employees that participate, right from a
janitor who's very important for us from the
infection-control process, all the way up to the nurse
and to the CEO of the facility, that runs these
facilitates.
on a day-to-day basis.
holidays and weekends and visit the patients and the
families as much as we could.
10
I'm not a physician.
All I know is I
And believe me, all of them, I work with

I was at all my 14 hospitals on
Not me, all my executives
do that.
11
I want to reassure that quality is taken for
12
granted by us at Prime, because that's what we expect to
13
provide.
14
that happen, we are not God to help everybody do the
15
right thing at all times.
16
that aren't in our controls.
17
highest quality of care.
18
in the Nation is Prime.
19
The Top 100 Hospitals are all quality indicators.
20
mean, these are all the data that's available.
21
As much as there are some negative outcomes
There are certain outcomes

But we do provide the
The Top 10 Healthcare System

Nobody west of Mississippi.
I
And someone said that Victor Valley's -- is
22
all indigent care, nobody's going to care for the
23
indigent.
24
by this community.
25
right -- if the process is approved.
We will care for them.
We are going to stand
Dr. Reddy has made a commitment,

Of course, we
196
don't take anything for granted.
If you approve the
sale to Prime Healthcare Foundation, on day one you will
start seeing the changes we need to make.
keep our commitments, not just in terms of the financial
commitment, but in terms of the quality of care to make
it a Top 100 hospitals [sic] if we can.
goes a lot of effort, a lot of resources, and to
maintain staff we have.
does not have consistency of staff, and there is no
And we will
But with that
Victor Valley, for example,
10
continuity of care because they depend on registries,
11
per diems, because of the financial situation they're
12
in.
13
to work in this community.
14
Yes, we would be trying to recruit full-time staff
I have seen some of the community leaders whom
15
I have witnessed and have -- some of them have been my
16
role models in this community, of how they have been
17
successful.
18
They care for this hospital.
19
board of Victor Valley Community Hospital, not Desert
20
Valley, and they're the ones that want to make sure that
21
this hospital is kept open.
22
members of this community.
23
Like they said, they have been successful.

They have been on the
And these are longstanding
And one last point I wanted to mention,
24
talking about the employees.
25
responsibility.
Employees are my
We have made a commitment to retain
197
substantially all of the employees.
the assurance we are not going to reduce what they're
making as of today.
We have given you
We have given you that assurance.
As far as the benefits goes, nobody's involved
other than me.
better benefits than what they have.
changes, but for the betterment of the employees.
the employees have to give us a chance to go in and
present, which will be done after the transaction is
10
I have a plan.
We are going to provide

There will be some
And
done.
11
So for everyone to speak on behalf of what
12
Prime is going to do, what Prime is not going to do is
13
not fair.
14
[phonetic] distressed hospitals that we have bought.
15
And with your oversight and guidance on the two
16
hospitals, the Sherman Oaks Hospital and Paradise Valley
17
Hospital, we have proved that we do stand by our
18
commitments.
19
The history has proven itself with the 40
So I would like you to keep those factors in
20
mind and make the decision appropriate.
21
the doctors said, I hope you will be making a non-biased
22
judgement in a cool manner that best serves the
23
community needs.
24
25
And as one of
HEARING OFFICER:
just have one last speaker, Hector Gonzales.
198
We
COMMENTS BY HECTOR GONZALEZ
HECTOR GONZALEZ:
My
name is Hector Gonzalez, G-O-N-Z-A-L-E-Z.
lifelong resident of the High Desert.
you know I was here before any of the hospitals were
built.
So looking at me,
I'm a pastor at God's Garden Church.
DEPOSITION OFFICER:
HECTOR GONZALEZ:
I'm a
I'm sorry?
I am the pastor of God's
Garden Church and a volunteer chaplin at Desert Valley
10
Medical.
11
called to visit patients at our local hospitals at all
12
hours of the day and night.
13
we have here in the High Desert.
14
hospitals opened and operating, and we must operate in a
15
safe -- in a safe and professional manner.
16
As a pastor and as a chaplin, I have been
I see the great need that

We need to keep our
And I have personally witnessed the workers
17
and the staff at Desert Valley Medical.
18
estimation, they are truly committed, dedicated, and
19
professional in every sense of the word.
20
is why Desert Valley Medical has been ranked as one of
21
the Top 100 Hospitals in the Nation by Thompsons Routers
22
[phonetic] in five of the past seven years.
23
And in my
I believe this
I come to voice my support for Prime
24
Healthcare in their effort to purchase Victor Valley
25
Hospital.
The might be some who will voice their
199
opposition to this purchase, but I've done some
research, and I want to say that I would hate to think
that a decision could be made in support of a union
whose own president once proudly stated and I quote, "If
we can use -- if we can't use the power of persuasion,
we will use the persuasion of power."
voice my support for Prime Healthcare in their effort to
purchase Victor Valley Hospital.
Again, I come to
Thank you --
HEARING OFFICER:
Thank you.
10
HECTOR GONZALEZ:
-- and god bless you.
11
HEARING OFFICER:
Is there anybody else who
12
would like to speak, who didn't fill out a sign-up
13
sheet?
14
Okay.
Well, this will conclude our public
15
meeting.
16
than noon tomorrow.
17
wendi.horwitz@doj.ca.gov, and my facsimile number is
18
(213)897-7605.
19
Any written comments must be received no later

My e-mail address is
I want to thank everybody for coming tonight
20
and giving me your comments and attending today's
21
meeting.
Thank you.
22
(The hearing concluded at
23
8:02 p.m.)
24
-oOo-
25
200

August 17, 2011
Attorney General Public Meeting

[phonetic] (18)
32:7
9:1;15:6;47:7;53:19; 15 (2)
57:19;78:15,25;95:16;
26:24;48:13
97:22;99:1;128:5;
15,000
(1)
$1 (3)
149:19;170:11;188:6;
116:13
88:23;91:25;115:11
194:23;195:4;198:14; 150 (1)
$10 (2)
199:22
172:7
79:16;163:10
[sic]
(1)
151-bed
(1)
$10,000 (1)
197:6
24:14
84:17
15th (1)
$100 (1)
52:24
0
23:16
15-year (1)
$100,000 (1)
52:23
05 (1)
181:24
16
(4)
150:23
$144,834 (1)
57:25;88:17;90:23;
93:14
179:20
1
$15 (1)
16th
(1)
11:4
110:23
1
(3)
$180 (1)
17 (4)
17:19;65:20;186:9
30:2
7:1;57:24;108:18;
1:1 (1)
$2 (1)
117:21
112:4
25:20
1700 (1)
10 (5)
$20,000 (1)
16:7
57:17;128:11;135:10,
93:14
17th
(3)
13;196:17
$20,000-plus (1)
112:21;113:12,24
10,000
(2)
94:5
18 (6)
58:16;60:9
$200 (2)
30:8;43:18;87:17;
10.6
(1)
59:25;163:7
105:7;162:21;185:22
146:18
$25 (4)
180,000 (1)
100 (9)
11:1;26:22;139:17;
108:23
16:8;24:20;29:15,17,
148:8
184
(1)
19;111:13;196:19;
$26 (1)
183:1
197:6;199:21
172:24
187 (1)
100,000 (1)
$3 (2)
183:3
182:5
76:1;181:23
1960
(2)
101
(4)
$30 (2)
80:8;166:7
10:3;15:24;20:20;
76:1;187:22
1962 (1)
81:12
$35 (3)
120:17
102-bed
(1)
10:25;178:23;181:21
197- (1)
24:17
$40 (1)
38:16
104 (1)
131:18
1980s
(1)
146:21
$42 (1)
138:24
10-million-dollar
(1)
172:24
1981 (1)
147:8
$5 (4)
64:15
11 (3)
132:14;141:21;
1985
(1)
20:13;58:1,2
187:24;188:9
167:12
12 (7)
$50 (1)
57:4,14,15,18;68:24; 1988 (4)
171:12
38:16,19;104:24;
90:20;92:18
$500 (1)
161:6
12.6 (1)
171:12
1989 (1)
58:1
$500,000 (1)
113:24
12th (3)
182:5
1991
(1)
32:19;34:5;78:13
$53 (1)
25:16
13 (7)
131:18
1992 (1)
10:3;57:5;61:4;
$6 (1)
84:11
134:24;159:25;160:6;
185:16
1995 (1)
169:25
$7 (4)
88:16
130 (1)
179:8;181:19,20;
1996
(1)
120:12
187:21
52:25
13th
(1)
$8 (1)
1997 (1)
104:24
187:2
131:12
14 (2)
1998
(6)
159:25;196:7
[
131:14,24;133:15,22;
142 (1)
Min-U-Script
134:20;138:3
113:24
1999 (1)
22 (1)
131:19
101:21
1st (6)
23 (1)
21:23;52:24,25;55:1;
66:22
74:9;137:15
23,000 (2)
126:17,22
2
23,500 (1)
66:20
25 (6)
2 (2)
37:5;50:5;81:21;
17:23;65:23
127:3,6;162:21
2.2 (1)
25.7 (1)
145:18
105:8
2.82 (1)
2500 (1)
150:16
88:14
2:1 (1)
26 (3)
112:6
38:2;176:18;192:22
20 (4)
27 (5)
56:23;61:3;64:23;
112:10;158:16;
69:12
172:10;191:5;194:4
20,000 (1)
27-year (1)
64:2
156:10
200 (1)
28 (2)
163:14
46:1;185:24
2002 (1)
2nd (1)
85:15
75:16
2003 (1)
88:21
3
2004 (3)
29:16;138:15;166:21
2005 (2)
3 (1)
29:16;150:11
147:11
2006 (1)
3,000 (1)
23:15
57:5
2007 (2)
3:01 (1)
29:16;138:11
7:2
2008 (5)
30 (8)
29:16,18;57:3;68:25;
25:11;45:17,18;70:21;
170:5
85:3;88:8;120:15;
2009 (13)
150:24
24:15;29:16,20;30:3, 300 (1)
15;57:3;58:17;111:14;
92:23
119:20;138:18;146:21; 30th (4)
184:9,12
13:12;19:16,17;64:17
2010 (12)
31 (5)
24:18;29:18;57:13;
57:23;180:12;182:2;
64:17;65:6;66:20;
185:22,23
105:14;146:22;182:1, 32,000 (1)
20;184:10,13
16:4
2011 (6)
35 (3)
7:1;15:21;34:5;65:13;
66:11;111:1
2016 (1)
16:24
20-something (1)
161:12
21 (3)
83:9;90:19;164:24
21.3 (1)
117:22
213897-7605 (1)
200:18
21st (1)
Barkley Court Reporters
105:10;147:12;169:23
3500 (1)
162:16
37 (4)
174:4;175:2,3;185:14
378 (1)
112:8
37-year-old (1)
120:12
4
4,000 (2)
(1) $1 - 4,000

August 17, 2011

162:18,21
4.5-million-dollar (1)
186:6
4.6 (1)
147:11
4:10 (1)
51:24
40 (6)
26:2;47:18;77:24;
114:25;115:1;198:13
400 (2)
81:20;118:1
400,000 (1)
81:19
40th (1)
113:25
45 (2)
20:8;138:15
45-year-old (1)
134:25
47 (1)
172:8
47,000 (1)
29:10
48 (1)
172:8
49 (1)
172:8
4th (1)
88:16
accomplished (1)
128:24
accordance (2)
24:10;112:23
6,700 (1)
According (3)
16:5
29:9;56:10;59:20
60 (5)
account
(2)
42:15;86:18;114:25;
A
38:7;113:20
115:1;186:2
accountant (1)
60,000 (1)
128:8
abduction
(1)
52:14
accounts
(1)
131:8
60-bed (1)
10:20
ability (5)
86:15
accreditation (4)
18:3;55:23;81:23;
60s (1)
31:11,16,24;190:14
148:23;185:12
166:16
accredited (2)
able (16)
64 (1)
190:11,12
34:7;36:5;42:18;
81:5
accusation
(2)
48:16;60:2,4;63:10;
64-bed (1)
37:15,19
82:6,15;94:2;105:16;
81:3
accusations (1)
114:16;115:18,19;
68 (1)
141:4
135:24;177:14
89:18
accusing (1)
ably (1)
195:24
49:12
7
achieved (1)
aborted (1)
122:17
133:7
7 (4)
acknowledging
(1)
Above
(7)
57:4;128:14;151:1;
144:8
29:2,9;32:8;58:24;
187:21
acquire (4)
60:11,12;182:6
7:00 (1)
34:7;111:5;133:19;
absolute
(3)
158:6
187:10
51:15;79:10,17
70 (2)
acquired (2)
absolutely (3)
21:6;51:6
154:6;183:2
53:10;93:25;162:19
75 (1)
acquires
(1)
5
abuse
(1)
95:17
51:15
95:14
acquiring (4)
abusing (1)
5,000 (1)
8
24:7;33:14;38:13;
127:23
62:11
153:16
5:00 (2)
accept (5)
8:02 (1)
13:24;35:4
44:9;47:7;54:24;74:3; acquisition (16)
200:23
15:13;33:22,23;72:11;
182:8
50 (6)
80 (3)
103:21;104:22;142:15;
47:18;60:15;81:15;
acceptable
(1)
95:17;157:5;192:1
150:12,15,24,25;181:18;
163:8;172:7;183:4
77:2
800 (1)
182:13;185:5;186:5;
500 (5)
accepted
(3)
81:20
188:5
19:1;76:6;82:2
26:7;70:17,24;162:7, 80-year-old (1)
acquisitions (1)
15
accepts (1)
157:8
24:24
501C3 (2)
112:11
81-bed (1)
Acquisition's
(1)
7:16;23:14
access
(35)
108:19
182:21
515,000 (1)
18:17;20:5;22:20;
85 (1)
26:8;28:13;29:23;44:16; acronym (1)
52:13
138:18
72:14
54 (1)
45:4;50:22;76:25;
across
(4)
136:2
112:13;114:1,2;118:24;
9
49:10;51:17;108:23;
54.18 (1)
125:19;126:20;129:10,
122:1
11,12,12;130:2,4;135:5,
150:13
9,000 (3)
act
(2)
55 (1)
15;161:20;168:4,21;
193:1,3;196:2
23:7;182:18
138:17
169:1;174:22;175:4,13;
90 (5)
550 (1)
184:16,17;193:21;194:1 acting (1)
85:17;120:11;128:9;
12:3
accessibility
(4)
16:8
135:8;192:2
action
(1)
58 (1)
12:11;13:2;15:15;
90s (1)
39:16
16:6
142:21
102:3
actions (1)
5920 (1)
accessible (2)
911 (1)
67:12
50:17;194:4
10:8
156:24
active (1)
5th (3)
accessing (1)
92,000 (1)
16:8
15:21;105:13;111:1
17:8
29:11
actual
(1)
accompli
(1)
94 (3)
31:16
153:20
58:15;59:2;60:8
Min-U-Script
995 (1)
143:5
995D9 (1)
145:10
99E3 (1)
147:18
actually (31)
31:3;32:22;33:20;
40:20;58:9;63:6;85:12;
86:4;105:8;130:20,22;
131:13,19,24;132:7;
133:16;134:14;144:25;
149:14;152:16;153:11,
11;154:5,10;163:14,19;
174:16;176:1,15,16;
179:22
acute (10)
10:2;80:9,10,15;
81:24;97:14,16,16,20;
99:4
acute-care (2)
11:16,24
adage (1)
163:3
Adam (11)
52:5;54:3,3,8,12,13,
14,14;56:4,6;157:19
add (9)
16:20;19:21;37:11;
60:15;71:11;85:16;
135:2;162:21;163:5
added (4)
79:10;144:6;145:16,
22
addition (11)
8:23;9:16;28:1;29:21;
60:3,17;90:1;125:17;
139:17;145:25;167:15
additional (10)
11:1;86:17;127:20,21;
137:25;143:7,10;148:12,
15;162:16
additionally (1)
16:21
address (17)
54:18,21;55:8;73:2;
85:14,14;114:16;
134:21;143:16,17,24;
144:11;145:1;147:18;
180:3;182:16;200:16
addressed (8)
9:10;110:24,24;139:6;
144:5,14;149:16;154:15
adds (1)
59:21
adequate (1)
87:4
adequately (3)
143:3,16;144:5
adjustment (1)
61:10
administered (1)
116:2
administration (1)
125:16
administrative (2)
115:25;181:12
administrator (1)
126:8
(2) 4.5-million-dollar - administrator

August 17, 2011

admire (1)
174:3
admission (6)
31:7;32:5,7,9;44:2;
80:22
admissions (7)
21:7;40:21,22;59:24;
60:18;128:9,11
admit (1)
100:13
admits (2)
16:5;58:9
admitted (6)
41:14;58:10;62:20;
126:12;184:9,12
admittees (1)
150:16
admitting (4)
37:17;58:11;62:19;
183:19
adult (1)
28:23
adults (1)
52:16
advance (1)
64:18
Advantage (4)
47:6,8,13;194:14
advantages (1)
135:19
adverse (1)
179:21
adversely (2)
12:10;83:18
advisers (1)
17:24
advisory (3)
90:6,24;122:6
advocate (5)
109:18;158:17;
159:19;173:8;174:2
advocates (1)
179:7
Aetna (1)
51:7
affairs (3)
48:10;194:16;195:20
affect (4)
12:10;83:18;129:1;
183:9
affected (3)
12:12;120:4;171:15
affects (3)
171:3;173:1;177:1
affiliated (3)
63:23;108:22;167:20
afford (2)
81:12;127:12
AFL-CIO (2)
63:24;108:23
AFSCME (1)
63:24
afternoon (11)
Min-U-Script
15:10;19:10;23:1;
48:2;63:20;68:22;69:24;
101:18;108:15;110:20;
158:9
AG (2)
53:12;77:18
again (27)
13:12;35:2,9;44:17;
45:13;54:6;57:3,19;
60:7,13;77:19;78:21,24;
123:5;133:8,13;144:3,3;
150:3;151:18;159:20;
160:12;164:2,3;184:14;
192:1;200:6
against (5)
21:10;79:18;174:2;
181:7;187:18
agencies (2)
190:10;193:11
agency (1)
81:17
agency's (1)
195:6
agent (1)
101:5
aggressive (2)
64:23;66:7
ago (17)
33:19;43:24;45:18;
46:1;75:17;80:18;109:3;
119:25;122:7;144:14;
156:23;157:22;158:24;
114:6
alarming (1)
112:4
alive (1)
85:18
ALJ (1)
181:13
allegation (3)
31:22;75:3,12
allegations (10)
30:23;31:14,25;32:1;
39:13,17,18;187:18;
190:14;195:25
alleged (1)
58:9
allegedly (1)
58:11
Alliance (1)
104:19
Allied (5)
88:6,23;89:2;90:8,11
allow (12)
44:2,15;50:22;62:13;
90:9;96:2;111:4;119:2;
151:17,25;162:24;
187:14
allowed (3)
37:15;89:17,24
allowing (1)
48:15
allows (1)
171:13
almighty (1)
92:16
almost (12)
33:19;45:17;46:1;
161:12;168:8;170:7;
181:13
agree (6)
42:14;43:2;49:11;
71:14;129:18;185:16
47:4;70:4;102:2;117:23;
agreed (7)
127:23;154:19;172:25;
11:15,18;76:24,25;
175:19;177:12
77:1;130:5;184:11
alone (4)
Agreement (18)
30:3;50:22;86:23;
10:13,14,17;26:10;
134:13
28:2;40:3;53:18,19,20; along (3)
54:24;111:4,19;131:15;
16:23;45:24;192:8
143:3;149:11;186:6,15; alternative (19)
188:6
15:2;73:7,10,11,11,18,
agreements (6)
22;142:16;151:23,23;
10:11;36:17;64:16;
152:19;155:1,2;162:4;
148:14,17,21
175:10;187:16,17,25;
AG's (2)
188:2
12:20;13:12
alternatives (2)
Aguirre (7)
79:15;181:16
169:9,13,14,14,18; Although (5)
170:3;173:7
21:9;64:17;71:6;
A-G-U-I-R-R-E (1)
167:1;174:15
169:15
altruism (1)
ahead (10)
140:22
14:1;15:9;35:1;88:2; altruistic (1)
110:12;176:5,8;177:23;
141:2
189:2,3
always (10)
air (3)
20:2;21:18;36:6;
45:18;102:3;166:8
78:10,22;134:11;
aisles (1)
166:13;167:10;170:12;
189:8
Alzheimer's (2)
80:13;81:6
ambulance (1)
96:3
ambulances (1)
86:24
Amendments (1)
135:23
America (3)
57:2;58:16;66:22
American (3)
48:11;130:21;161:8
among (4)
appeal (2)
66:19;67:2
Appeals (1)
65:25
appear (3)
142:14;155:8;176:12
applaud (1)
128:23
applause (5)
85:11;97:3;110:15;
155:12;173:21
Apple (3)
80:3;120:16;157:3
apples (4)
12:6;29:8;46:12;131:9
59:6,7,7,7
amount (8)
applicant (2)
11:1;25:18;40:20;
143:3;147:23
60:6;68:10;105:3;
application (7)
172:23;194:20
32:23;79:21;143:21;
Anaheim (3)
146:5;149:16;182:15;
29:16;57:25;69:7
187:19
analyses (1)
apply (1)
15:19
115:20
analysis (6)
appointed (1)
17:14,16;19:22;148:1;
145:19
149:20,25
appreciate (14)
analyst (1)
19:23;36:24;43:12;
54:16
45:7;54:8;69:20;72:6;
Anderson (6)
91:1;97:2;116:24;
108:12;110:17,19,20,
130:11;132:3;160:14;
21;113:15
165:20
A-N-D-E-R-S-O-N (1) appreciated (1)
110:21
153:19
Angeles (3)
approach (1)
47:18;129:23;132:11
153:3
anniversary (1)
appropriate (2)
52:24
49:3;198:20
announce (1)
approval (13)
12:18
10:10;20:22;22:17;
announcement (1)
71:18;74:6,7;135:20;
155:16
144:23;178:11;179:13;
annual (1)
182:15;191:15,17
195:9
approve (14)
anonymous (5)
12:3,4;22:21;32:16;
14:10,12,19;190:21,21
64:10;68:16;70:4,16;
antibiotics (1)
72:1;112:18;158:24;
57:10
188:4,13;197:1
anticipated (2)
approved (13)
13:10;182:3
19:19;20:17;34:4;
anti-union (1)
73:25;74:1;76:3;82:4;
66:7
88:15;105:13;157:14;
anxiety (1)
187:8;191:9;196:25
46:12
approves (3)
anymore (1)
18:25;67:19;70:8
170:22
approving (2)
anyplace (1)
113:6;139:11
121:24
approximately (5)
apart (1)
81:18;180:14;181:22;
75:13
185:25;187:2
apologize (2)
April (2)
120:20;183:5
65:6;186:2
apologizes (1)
Arco (1)
130:16
161:12
(3) admire - Arco

August 17, 2011

Ardis (7)
87:25;92:8,9,9,12;
94:12,16
A-R-D-I-S (1)
92:12
area (26)
9:4;13:3;16:14,15,16;
17:9,12;20:6;21:1,5,18;
43:17;47:11;64:13;
77:14;112:2,5;120:16;
123:7;130:9;142:23;
157:12;162:23;163:7;
164:10;165:13
areas (4)
59:10;94:17;189:6;
190:17
area's (1)
117:25
argument (2)
135:6;183:13
arm (2)
61:16;102:15
ARORA (8)
49:17,22,23,23;50:1,1,
3;73:5
A-R-O-R-A (1)
50:3
arose (1)
75:8
around (8)
54:23;55:9,9;56:23;
57:4;81:20;102:11;
138:19
arranged (1)
9:6
arrangement (1)
77:3
arrangements (2)
36:16;148:25
Arrowhead (1)
118:22
articles (3)
153:4,14,24
aside (1)
120:19
aspect (6)
43:1,7,9;47:11;177:7,
8
Assemblyman (3)
124:13,14,16
Asset (10)
10:12,16;20:4;24:8;
Assoc- (1)
181:18
associated (4)
10:18,19;69:3;123:5
associates (1)
106:22
Association (3)
63:22;108:22;150:7
assume (2)
77:1;130:19
assumes (1)
157:17
assurance (2)
198:2,3
assure (1)
106:16
assured (1)
95:16
attached (2)
65:20,22
attack (1)
67:3
attained (1)
107:5
attempt (2)
110:8;194:2
attempts (1)
81:25
attend (1)
26:1
attending (1)
200:20
attention (2)
49:13;189:14
Attorney (86)
7:7;9:2,24;10:10;
9:10;25:9;86:11
auditorium (1)
151:21
AUGUST (8)
7:1;13:12;15:21;
75:16;88:16;110:23;
112:21;182:2
authority (3)
132:20;143:7;146:7
authorized (2)
136:9;141:5
automatic (1)
165:9
availability (7)
12:11;13:2;15:15;
17:12;142:21,22;143:20
available (16)
12:16,19;15:20,22,25;
18:4;20:20;49:2;50:16;
128:3;139:21;140:1;
145:5;149:23;194:22;
11:22;12:2,4,16;13:11;
15:6,20;18:25;19:19,22;
22:7,17;23:8;26:11;
28:2;32:15,18;44:1,8,14;
55:3;56:1;64:9;67:19;
68:16;70:8;71:15,18;
72:1;73:12;74:2,7,10;
196:20
average (5)
16:6;32:8;80:20;
112:6;117:23
avoid (1)
65:9
avoided (1)
29:12
avoiding (1)
109:16
awards (1)
29:4
aware (3)
43:10;111:1;189:24
away (8)
39:1;66:6;67:24;
93:10;96:18;120:4;
170:21;171:21
ax (1)
141:25
axis (2)
58:20;59:4
34:2;73:18;74:6;76:4;
78:12;81:9;105:13;
125:4;133:23;136:8;
179:10
bargain (3)
56:12;65:9,22
bargained (1)
179:8
bargaining (1)
64:15
Barstow (1)
104:18
base (4)
45:19;48:7;102:3;
166:9
based (7)
18:3;25:25;37:22;
64:7;116:9;146:18;
180:19
basically (7)
117:7;124:15;130:18, babies (1)

25;132:7,8,12,19;134:1;
16:7
136:8,16;137:9;139:22; baby (2)
142:19,24;143:1,6,11;
165:5,16
26:10;28:2;51:16;131:9,
15;195:3
assets (8)
10:13,20,22;23:16;
24:9;34:7;74:6;82:16
assigning (1)
88:18
assist (1)
44:15
assistant (2)
9:2;130:18
178:4;179:19;187:7;
74:4,8;80:12;95:1,24;
189:14
101:14;102:23;110:5;
attorneys (1)
120:6;122:12;131:13,
78:12
24;133:6,8,15;134:19;
auction (5)
152:17;159:13;161:13;
33:19,21,23;105:13;
185:1;188:12
178:15
background (4)
audibly (1)
23:13;29:1;40:15;
8:1
167:10
audience (3)
backs (3)
107:16;122:20,23,24,25;
125:1;171:18;172:23
becoming (1)
169:22
bed (3)
87:1;98:1;114:7
beds (32)
10:3,4;15:24;16:12,
21;20:20;37:11;44:19;
71:6,11;81:13,15,18,20,
21,21;83:22;86:18;87:4;
93:6;112:4,9,10;114:8;
141:12
beg (2)
100:17;101:3
began (1)
64:18
begging (1)
97:21
begin (2)
22:15;115:20
beginning (3)
50:9;98:6;149:20
begins (1)
192:18
behalf (10)
23:9;90:18;110:23;
142:15;149:17,18;
179:21,25;181:9;198:11
42:20,21;50:12;86:15; behavior (1)

102:14;106:23;175:6
62:18
79:5,20;107:18,21;
110:24,25;112:24;
111:20
Beach (3)
57:24;69:7;109:3
bear (1)
91:25
beautiful (1)
162:23
became (2)
156:23;170:8
become (11)
80:19;90:24;91:20;
122:4;127:4,6;172:7;
137:4,7;138:5;139:24;
182:25;183:1,3,4
151:6;178:9,11,12,13; beforehand (1)
76:4,7,14;77:24;78:13;
144:12,16,21,22;146:1, back (28)

6;149:9,10,24;154:4,23;
9:19;15:22;25:16;
157:5;158:7;163:21,25;
38:19;41:9;51:24;58:13;
Min-U-Script
122:18;147:7;179:9
backup (3)
75:22;78:22;178:23
bad (3)
102:2;106:23,25
balance (2)
187:1,2
ball (1)
134:16
ballgame (1)
47:23
bank (3)
79:16;161:8,8
bank- (1)
138:4
banking (1)
161:9
bankrupt (1)
102:11
bankruptcy (23)
17:22;20:13;32:18;
Basiles (1)
164:15
basis (5)
50:23;80:11;194:24;
195:9;196:7
battery (1)
171:24
battle (1)
65:8
battled (1)
168:10
battling (1)
168:7
Bauer (1)
34:2
bays (1)
10:4
be- (1)
behind (5)
24:24;74:12;77:8;
155:24;194:10
beings (1)
63:5
belief (1)
80:6
belittle (1)
193:1
below (3)
47:17;172:20;192:16
Benefit (13)
7:12;11:11;28:4;
48:24;62:7;82:8;89:21;
102:8;146:10;175:13;
178:11;187:22;188:12
benefited (1)
83:15
(4) Ardis - benefited

August 17, 2011

benefits (5)
11:19;64:21;66:6;
198:4,6
Benjamin (1)
105:1
Bernardine's (1)
108:20
Bernardino (14)
16:18;27:25;28:21;
67:10;108:20;117:20;
119:6;129:23;131:1;
142:2;152:21;154:4;
157:24;164:25
best (16)
21:20;50:17;75:20;
47:1;65:16;84:7,9;
110:3;170:15;189:9
black (2)
159:2,7
Blair (7)
142:18;143:25;145:14; Brodie (8)

146:2,7;158:13;188:21
155:22,25;156:1,3,6,7,
119:10;124:7;126:4,4, bothers (1)
6,7,7
blame (1)
136:23
Blanc (2)
9:1;130:18
bleak (1)
139:9
bless (2)
166:2;200:10
87:7;123:14,16;127:12; Blewett (8)
132:25;140:3;143:13;
79:24;82:24;84:1,3,4,
146:9;153:5;175:4;
5;105:7;162:20
182:6;191:23;198:22 B-L-E-W-E-T-T (1)
better (9)
84:5
60:25;72:22;114:11; block (2)
116:8;155:2;193:9;
39:1;63:14
194:9,14;198:6
blood (4)
betterment (1)
31:6,14;56:23;100:15
198:7
Blue (5)
better-paying (1)
51:4,4;92:21;176:21,
70:24
22
beyond (3)
blurring (2)
61:19;80:6;100:11
145:3;146:14
Bhatia (1)
board (67)
23:18
11:21;17:24;20:2;
bias (1)
23:17,24,24;25:4,6,6,7;
189:20
27:9,12,13;49:10;51:17;
bid (3)
55:10,12;65:12;66:15;
33:15;178:17,23
88:16;89:5,6;93:4;
bidder (4)
99:15,19;100:11,12;
70:11;142:16;178:14;
101:20;102:17;108:21;
191:20
111:15;114:19;115:12,
bidders (2)
13,14,15;116:20;119:5;
33:20;34:1
131:11,13;133:9;134:8,
bidding (1)
18;136:5,17;137:11,20;
33:19
138:21;139:6;140:4;
biggest (1)
141:15;142:3;145:15,22,
107:8
25;149:2,8;156:16;
bill (6)
158:11;182:7;188:1,3;
46:19;68:20;69:21;
191:24;193:13,14,18;
72:4,5;93:14
197:19
billed (3)
board-certified (1)
42:12;56:20;58:17
23:18
billing (3)
body (2)
59:5;60:4;61:10
136:5;193:24
bills (1)
bold (1)
59:21
140:23
Billy (1)
bona (1)
9:19
78:10
biopsy (1)
book (6)
166:19
36:3,5,12,18;98:7;
birth (1)
100:8
165:8
bored (1)
birthday (1)
86:7
120:22
born (2)
bit (11)
174:5;177:12
33:25;40:15;46:14,24; both (18)
Min-U-Script
7:14;16:12,19;35:25;
120:7
37:10;73:3;75:9;79:4; broad (1)
80:10;102:13;103:17;
12:7
132:2
bottom (1)
108:4
bought (4)
68:25;69:6;122:12;
198:14
BOUMAN (3)
68:21,22,23
B-O-U-M-A-N (1)
68:23
Bowman (2)
63:18;65:1
boy (2)
54:15;156:7
Brad (2)
117:3;119:4
Brad- (1)
104:18
BRADCO (2)
104:5,17
BRADLEY (4)
52:8,9,10;53:25
B-R-A-D-L-E-Y-G-I-L-B-E-R-T (1)
52:10
Brady (12)
101:15;103:25;104:3,
4,5,9,9,9,12,13;138:6;
162:21
bragging (2)
114:23;192:18
branch (1)
48:9
breach (3)
137:23;138:1;140:23
break (7)
14:21,23;49:20;51:24;
101:11;152:5;176:3
breaks (1)
14:24
breast (2)
47:11;166:20
breathe (2)
97:23;98:13
breathes (1)
192:6
brief (4)
7:17;13:15,18;56:7
briefly (3)
54:18,21;150:2
bring (10)
20:18;47:19;68:3;
10;160:4
brothers (1)
99:23
brother's (1)
63:6
brought (8)
114:9;133:8;134:2;
168:6;194:13,15;195:17,
132:17,17;161:12;
179:7;191:21
Buyer (27)
13:20;19:18;53:20,22;
54:22;55:7;78:11;82:2;
87:14;117:8;128:25;
130:5,8;136:7;144:13,
20;145:2;146:6;147:16;
148:4,7;151:10,24;
164:5;168:20;179:22,23
Buyers (12)
7:12,17;10:15,17;
11:8,13,15,18,21;26:17;
19
Bryson (5)
165:13,14
buying (1)
119:10;124:7;126:6,7,
96:16
7
buys (1)
B-R-Y-S-O-N (1)
162:3
126:8
bylaws (1)
Bryson's (1)
145:17
135:4
buck (2)
C
107:2;193:6
budget (1)
Cabriales (3)
53:4
126:5;130:13;142:9
budgets (1)
cafeteria (1)
91:2
172:9
build (1)
Cajon (2)
71:10
28:24;118:20
building (1)
calculate (1)
86:17
60:3
buildings (1)
CALIFORNIA (31)
10:19
7:1,8,11;10:5;15:20;
built (3)
22:16,17;31:19;32:4,7,
38:17;122:9;199:6
13,21;51:4,5;56:13;
bunch (3)
57:16;58:4;59:23;63:22;
100:12;104:10,12
64:3;81:4;99:14,18;
bunk (1)
100:11,11;108:21;
122:20
110:22;129:4;142:2;
burden (2)
147:17;153:2
83:20;173:13
California's (1)
burn (1)
57:7
59:9
call (18)
business (33)
13:20,21;14:2,11,17,
20:11;30:16;36:11,11;
40:24;44:24;45:2;56:8,
17;102:7;105:17,17,20,
24;38:17;78:14,25;79:1;
93:25;95:4,19;98:17,19;
152:6;184:1;192:17
25;106:15,25;108:2; called (9)
118:4;122:22,22,22;
14:1;41:9;67:6;95:18;
123:2,3,4;129:17;
153:2;156:24;157:4;
147:14;150:19;156:12;
158:1;199:11
161:15;167:16;177:8; calling (2)
179:5;192:2
15:2;52:3
businesses (3)
calls (1)
68:7;83:15;114:14
180:21
businessman (6)
Camden (1)
106:18;107:12,23;
131:23
87:16;102:14;106:20;
113:23;161:10;174:3 came (21)
132:18;133:2;140:6; business-related (1)
55:9,16;74:21;75:13;
189:13
129:20
84:12;95:20;98:10;
brinksmanship (1)
buy (11)
119:22;120:6;121:19;
186:16
56:1;61:16;74:5;
163:3,9,18;170:7;
brittle (1)
76:22;96:24;102:5;
171:11;181:11;185:2,2,
(5) benefits - came

August 17, 2011

20,24;186:17
camera (2)
8:14;130:22
cameras (2)
8:11,21
Camilla (3)
99:17;100:8;101:4
campaign (2)
30:20;66:8
camps (1)
100:18
campus (1)
71:10
Can (78)
7:4,5,18;8:2,3;12:17;
14:4;22:22;23:3,11;
25:23;27:21;28:11;
33:10;34:12,13;35:10;
135:12
capita (1)
105:11
capital (5)
11:2,3,4;17:21;121:1
car (2)
47:19;127:24
card (1)
158:3
cardiac (2)
16:2;108:19
care (115)
10:2;11:19;16:2;
18:13,17,19;20:5;21:5;
26:25;27:3,22;28:13,14,
25;29:13,21,23,25;30:3,
16;33:8,10;35:19;37:19;
39:12,16,19;44:5,8,25;
42:1,12;43:9;47:1,2,10,
45:1,22,22;46:11,14;
13;50:23;53:16;57:21;
58:24;60:6;65:15;68:3;
72:5,14;75:23;76:9;
79:1,3,5;80:18;92:24;
47:9,15;50:13,17,17,25;
93:6;94:16;98:1;100:10,
25;106:16;109:21;
114:9,11;116:12,17;
51:6,17;57:20;58:7;
59:6,9,12;60:10;62:16;
63:8;67:13;68:5;77:1,
13;80:3,12;81:3,5,24;
82:6,17;91:17;94:22;
99:10,16;100:20;
128:10;129:3;130:6;
103:13;108:25;109:1;
116:5;118:24;129:21;
137:18;140:15;153:19;
132:14;134:14;136:13;
155:16;156:4;161:18;
163:12;173:1,15;
176:23;180:20;181:9;
183:23;185:9;187:7;
193:24;194:13;197:6;
200:5
cancel (4)
33:3;41:11;46:17;
150:5
canceled (4)
36:9;150:23;151:9;
177:4
canceling (2)
77:12;151:3
cancellation (3)
143:24;144:7;150:4
cancer (10)
59:10;93:18;94:1;
161:18;165:25;166:20;
168:7;188:21,22,24
cancers (2)
47:12,12
candidates (2)
25:6;27:12
candle (1)
67:5
Cantoni (1)
130:17
Cantori (2)
15:6;191:3
capability (1)
187:9
capacity (4)
22:14;37:10;127:20;
140:20;141:3;143:25;
156:12,13,18;157:19;
123:1,16,19;127:12,17;
Min-U-Script
158:8,12;161:20;162:3;
165:18;166:25;167:24,
25;168:5,9,12,16,21;
171:20,22,25;173:16,16,
17;177:15;184:17,23;
189:11;194:19,20;
196:17,22,22,23;197:5,
10,18
cared (1)
99:21
career (1)
166:12
careers (1)
83:12
careful (1)
19:22
caregivers (1)
63:2
cares (2)
121:2;192:8
caring (1)
141:2
Carl (7)
69:22;72:4;79:23,23,
25;80:1,2
Carol (11)
104:1;108:11,11,13,
14,17,17;109:21,23;
110:1,5
carrier (2)
171:13,15
carriers (3)
168:23,25;171:14
Centinella (2)
case (17)
58:2;150:22
15:4;24:23;41:3;
century (1)
60:11,14;62:3;66:23;
71:4
114:5;121:7;131:9; CEO (5)
135:14;154:4;163:16,
19:6;21:14;52:11;
17;178:9;179:11;187:20
83:8;196:5
cash (4)
certain (8)
10:22;76:9;183:11;
18:9,10;50:19;63:9;
187:3
71:16;172:23;179:24;
cash-flow (1)
196:15
20:12
certainly (12)
catastrophe (1)
50:23;51:20;55:20;
37:12
73:11;77:17;78:13,20;
catastrophic (1)
102:12;123:13;126:21;
117:13
132:20;137:20
CATHERINE (6)
certificate (9)
19:5,9,10,11;34:2;
21:25;22:4;135:24;
160:3
180:4,7,14,15,17;181:4
C-A-T-H-E-R-I-N-E (1) certificate's (1)
19:11
180:19
catheterization (1)
certification (2)
16:3
65:14,19
Cathy (11)
certified (1)
19:3,6;22:23;34:13;
65:13
70:4;71:19;72:18;78:4; chair (1)
131:20;160:1,2
88:6
cause (6)
chairman (3)
55:2,4;83:20;117:16;
56:9;107:9;133:7
180:8;185:1
chairperson (2)
caused (1)
48:5,7
96:22
challenge (3)
causes (2)
107:8;137:13,21
69:13;102:22
challenges (1)
causing (1)
102:12
128:6
challenging (2)
cautioned (1)
65:24;75:9
138:21
chamber (3)
CBA (1)
83:2,3,9
64:17
chance (6)
CBAs (1)
61:3,5;95:17;104:15;
64:16
165:14;198:8
CDPH (2)
chances (1)
32:21;190:4
120:8
ceased (1)
change (1)
24:10
170:24
Cedar-Sinai (1)
changed (1)
171:8
120:10
cell (2)
changes (4)
94:2;183:22
14:21;170:23;197:3;
census (3)
198:7
16:6;133:17;172:6
changing (1)
Center (22)
188:2
8:13,14;10:6,21;
chaplin (2)
16:13,19,22;18:18;
199:9,10
24:13,14;26:6;27:19; Chapter (1)
29:17,19;57:24,25;64:5;
20:13
71:9;111:12,13;118:22; characterization (1)
167:9
76:20
Centers (9)
characterizing (1)
21:24;59:9;140:14;
136:25
180:5,12;181:7;186:7, charge (2)
14;188:11
93:14;108:19
charged (1)
92:18
charges (2)
56:16;66:21
charitable (6)
7:15;10:24;102:22;
126:11,11;192:14
charities (4)
24:9;83:11;103:15;
123:24
charity (15)
11:19;18:13;21:5;
23:15;26:25;27:3;29:25;
30:2;35:19;111:9;
132:14;184:23;192:18,
19;194:20
CHARLES (6)
179:16,17,18;183:25;
184:4,6
Charlie (1)
179:15
chart (5)
58:14,15;59:16,17;
60:6
charts (1)
57:8
Chaudhuri (4)
43:24;72:25;152:15,
15
cheaper (1)
68:3
check (1)
156:22
checked (5)
85:22,25,25;93:5,20
chemotherapy (4)
93:1,17;97:18;98:24
Chester (1)
132:8
Chet (1)
132:19
chief (10)
19:13;22:14;23:20,22;
35:15;38:11;39:9;
180:22,22;191:7
child (4)
96:21;119:17;131:8;
177:12
children (5)
52:16,21;119:21;
159:15;174:5
Chino (5)
23:19;64:5,9;65:4,21
Choice (19)
42:3,5;46:6,9;109:14;
126:8,9,14,17;135:16;
151:13;157:10;158:3,4;
166:4;175:12;184:8,25;
186:13
choices (2)
110:14;174:9
chose (1)
138:1
(6) camera - chose

August 17, 2011

chosen (3)
46:14;67:17;127:13
CHRISTENSEN (6)
119:11,12,13,23;
120:3;123:11
88:19;89:25;90:25;
135:23
clone (1)
84:25
close (72)
C-H-R-I-S-T-E-N-S-E-N (1)
18:1,24;22:3,15;
119:13
33:24,24;40:11;43:2,23;
Chung (1)
44:19;50:7;70:12,13;
177:24
72:20,22;73:1;74:9,15,
Church (2)
25;75:6,13,23;76:9;
199:6,9
78:9;79:14;81:11,19;
circle (2)
87:11,13;88:18;95:23;
58:19,19
101:25;105:16,19,19,20,
Circuit (2)
22,22;107:7,25;116:21;
66:1;67:2
118:17;119:3;127:3;
circumstance (2)
136:3;137:8,22,22;
79:2,13
144:4;151:19,21;152:1,
cited (1)
2;162:3,5;172:12;
109:10
178:20,25;180:11;
citizen (2)
181:16;185:9,11,12,17,
166:6;168:19
18,22,23;186:9,17;
citizens (9)
187:13,15,24
63:2;64:13;71:24;
closed (7)
87:5;99:20;107:21;
21:22;75:11;122:11;
118:14;126:18;144:1
125:8;144:6;172:14,16
City (12)
closeness (1)
23:20;70:1,6;71:23,
141:19
25;86:23,24;94:3,8; closer (2)
101:19;117:22;167:14
46:24;47:1
civic (1)
closes (6)
103:6
27:16;73:8;76:19;
claimed (1)
83:17,20;174:10
32:11
closing (18)
claims (4)
20:17;62:10;73:4;
31:6;32:5;58:17;178:8
74:3,23;75:8;76:5;
class (4)
94:22;95:2;97:23;98:13;
114:24;121:12,23;
117:12;128:17;162:17;
126:21
168:19;186:1,8,11
classes (1)
closure (8)
26:4
37:12;102:3;117:16;
clause (1)
118:1,7;125:4;144:8;
180:8
186:25
clear (6)
closures (3)
20:10;72:19;73:9,21;
170:6,6,6
75:3;168:11
clothes (1)
clearly (6)
94:24
52:18;53:9;55:6,16; cloud (7)
76:13;78:6
152:20,21,22,24;
Cleveland (2)
155:3;159:2,7
59:19;60:13
CMS (12)
CLIA (15)
21:24,24;22:2,3,13;
22:1,4,12;54:23;78:3,
54:25;55:1,2;137:21;
6;79:8;135:22,22;
181:13;190:1;194:23
137:13;180:3,7,13,19; Code (4)
186:25
7:16;10:8;143:5;
C-L-I-A (1)
147:17
22:1
coding (1)
client (1)
62:16
181:7
coffin (1)
clinic (5)
162:23
59:19,19;60:13,14;
cofounder (1)
157:1
156:14
clinical (4)
cognizant (1)
Min-U-Script
37:6
coincidently (1)
95:24
cold (2)
74:11;131:8
collapse (1)
141:4
collapsed (2)
157:22,25
colleague (2)
15:5;154:13
colleagues (7)
169:13;173:19;176:9;
178:2;179:16;187:18;
188:15;190:23;191:2;
106:11,12,14,15;107:7,
193:19;199:1;200:15,20
117:9,13,24;118:10,12,
Commerce (1)
83:9
commercial (6)
17:5;127:7;129:7,13,
25;184:15
commercially (1)
184:19
Commission (4)
40:3;49:10;51:1;70:2;
31:10,24;161:7;
139:8;141:20;152:18
190:12
collective (1)
commitment (13)
64:15
22:13;68:12;70:18,19;
collectively (1)
83:11,16;91:24;102:19;
72:13
139:14;168:22;196:24;
College (23)
197:5,25
25:21,22;26:1;83:13; commitments (5)
88:6,13,17;89:16,16,20;
24:25;26:13;192:12;
90:2,5,10,18,19;91:25;
197:4;198:18
114:20;115:3;116:20; committed (12)
119:15;121:12,21;
25:12;29:3,22;66:14;
166:12
68:9;70:20;91:24;
colleges (1)
106:14;152:12;167:21;
91:3
181:10;199:18
colon (1)
Committee (4)
47:12
48:9;175:9;178:7;
Colton (1)
179:12
118:22
committees (1)
combined (1)
48:7
112:8
committing (1)
coming (9)
29:22
36:24;43:24;52:24; common (1)
69:20;148:12;164:3;
77:14
171:6;184:20;200:19 communities (2)
comm- (1)
81:14;125:25
182:7
Community (271)
commend (1)
7:11;9:5;10:1,5,9,21,
193:19
23;11:6,9,19;12:12;
comment (7)
15:14,18,23;16:1,3,10,
8:6;13:7;14:6;136:11;
149:18;176:12;182:18
commented (1)
139:2
comments (70)
7:10;9:3,20;19:9;
22:25;33:16;34:3,14;
11,25;17:3,7,11,13,19;
18:2,20;19:7,8,14;20:3,
4,8,20;21:12,20;22:18;
23:10,21;24:2,7,8;25:1,
21;26:3,13,16;27:10;
28:5,20;29:23;31:1;
14,24;109:11;111:2,6,
22;112:9,12,19;113:7;
16;119:1;121:1,10;
123:22,23,23,24,25,25;
124:18,21,25;125:5,15,
21;130:23;131:12,16,16;
132:23,25;134:13,15;
137:11;138:8,23;
139:12;140:4,10,18,21,
24;141:3,9;142:3;
143:21,23;144:1;149:7;
151:22,25;152:13,23;
153:22;155:3;156:16,
19;157:16;158:16,22;
159:4,11,19,23;160:9;
161:9,25;162:18;164:5,
9;166:6,18,21;167:7,8,
12,13,23;168:7,10,17,17,
19;169:2;171:16;
172:18,18;173:2;
175:14;179:20;182:8;
183:2,7;184:10,18,18,
23;186:24;187:13,23;
188:13;191:4,11;192:6,
7,8,11,12,15,19;193:12,
14;194:3,8,9,18,19;
195:3,17,21;196:24;
197:13,14,16,19,22;
198:23
community's (3)
102:23;117:14;133:6
companies (8)
18:19;30:5,8,10,18;
33:7;92:21;104:6
company (7)
30:12;33:4,12;56:12;
163:10;178:13;179:23
compare (3)
59:6,7;189:20
compared (2)
40:22;112:6
comparison (2)
77:11;182:25
comparisons (1)
189:22
competition (11)
61:22;77:15,17;
143:23;149:13,21,25;
43:14;45:11;48:1;49:22;
32:17;34:8,9,11;37:4,6,
8,25;38:5,13,16,18,20,
20;39:1;40:21;44:20,22;
52:8;54:7,13;63:19;
45:17;48:14,24,24,25;
65:20;68:21;69:23;70:3;
49:5,6;51:16;53:1,11,23; competitive (3)

55:5,12,21;60:19,20,21;
51:19;62:8;154:19
35:12;37:1;38:9;39:23;
72:7;79:25;82:25;84:3;
88:3;90:14;92:8;97:4;
101:16;103:2;104:3;
108:3,13;110:19;
113:18;115:24;116:25;
119:11;124:10;126:6;
130:14;134:20;135:5;
142:12;150:6;152:8;
155:25;160:25;163:2;
164:17,19;165:18,21;
154:14;182:17;183:12,
14
64:11;65:1;67:18,20; competitor (3)

61:23;62:4;193:17
complain (1)
17;74:21;78:1;81:1,8,
33:2
13;82:1,5,10,16,18;83:5, complained (1)
13,16,17,18;87:6,20;
194:7
88:10;90:18;91:3,6,15, complaint (2)
21;99:16;101:24;102:5,
190:21,22
8,10,21;103:7,16,22; complete (4)
68:5,14;69:16;70:19,21,
22;71:2,3;72:15;73:14,
(7) chosen - complete

August 17, 2011

7:21;136:10,12,18
completely (1)
70:6
completion (1)
71:8
compliance (1)
139:1
complicated (1)
57:20
complications (1)
29:11
complied (1)
7:23
complies (1)
191:11
compliment (1)
96:17
comply (1)
67:16
component (2)
115:3,21
comprise (1)
21:6
computer (1)
26:23
con (1)
161:24
concern (15)
40:16;41:2;44:23;
conduct (1)
13:16
conducted (2)
15:18;31:25
conducting (1)
48:10
confidence (4)
103:22,22;140:7;
189:17
confident (1)
67:15
conflict (1)
40:17
confusion (6)
24:3;146:12;147:5;
159:8;174:15;186:21
connection (2)
8:24;182:20
connotation (1)
127:9
cons (1)
161:23
consent (1)
11:23
consider (17)
12:5;19:24;37:11;
47:23;50:6,10;51:3;
56:2;71:16;75:18,19;
76:12;79:11;129:24;
47:16;48:18;49:6;69:14;
143:1;149:10,11
113:5;116:4;118:9;
considerably (1)
128:2,4;168:4,20;175:8
103:15
concerned (11)
consideration (4)
41:21;61:17;81:10;
73:22;77:19;142:6;
82:19;109:1;139:7;
144:6
174:7,8,12,21,24
considerations (2)
concerning (3)
136:20;178:10
13:8;60:17;144:18
considered (8)
concerns (5)
17:17;129:6;151:24;
40:25;48:17;134:2,22;
185:6,10;187:17;188:4,5
135:19
considering (1)
concessions (1)
188:1
136:19
consistency (1)
conclude (4)
197:9
143:12;151:18;155:1; consisting (1)
200:14
23:17
concluded (2)
consolidation (1)
151:12;200:22
138:19
conclusion (3)
constituents (3)
17:23;18:21;72:23
124:20;125:19;178:21
conclusions (2)
constraint (1)
13:6;189:16
13:23
condition (4)
construction (1)
130:7;132:13,13;
102:1
157:13
consultant (2)
conditions (18)
15:11;50:18
12:4;26:11;28:3;
consulting (1)
53:13;56:21;68:2;74:2,
167:16
3,7,23;76:6;109:20; consumer (1)
112:24;128:14,14,19;
131:3
129:2;139:16
contact (2)
condolences (2)
93:23;94:4
165:24;188:20
contacted (4)
Min-U-Script
14:8;41:5;93:21;
127:14
contained (1)
146:13
contends (1)
194:21
context (3)
66:20;133:2;134:4
continuance (1)
185:23
continuation (1)
18:11
continue (19)
11:16,18;18:3,7;
20:25;22:20;27:21;
controlled (4)
149:1;174:14,20;
189:21
controlling (1)
175:6
controls (2)
145:21;196:16
controversial (1)
56:8
Convalescent (1)
38:25
converting (1)
195:4
cook (1)
134:18
38:21;51:16;80:4;90:10; cool (2)
91:6,14;111:6;160:5,10;
48:23;198:22
169:1;178:22;179:5 co-op (1)
continued (4)
89:23
53:5;105:2;168:21,22 cooperative (3)
continues (1)
78:10,17;110:9
88:10
coordination (2)
continuing (4)
166:25;167:25
18:13;53:22;81:10; co-pay (1)
92:2
171:12
continuity (1)
copies (3)
197:10
12:16,19;15:21
contract (24)
copy (6)
18:19;19:15;21:3;
8:7;34:14;82:22;94:7;
27:20,23;30:5;32:3;
113:14;126:3
33:12;36:3;46:18,22; Core (2)
51:7;53:15;64:19;74:5,
28:17;190:2
20;76:3,24;78:6,21; Corp (1)
92:20;128:16,17;151:11
78:25
contracted (5)
Corporation (3)
42:11,12,20,24;157:2
7:12;11:25;147:20
contracting (4)
Corporations (2)
41:23;43:5;44:6;167:4
10:8;79:7
contracts (49)
corporation's (1)
18:14,18;27:24;30:4,
113:24
7,9,12;31:20;33:4,6; corrupt (4)
36:10;51:19;55:23;
99:18,19;101:2,3
56:12;77:2,13;96:6; cost (7)
115:5;126:24;127:5,18;
50:25;59:24;60:1;
128:3,6;129:1,2,4,7,8,13,
67:17;93:13;171:12;
19;130:6,8;137:6;
190:22
143:25;144:1,7;150:4,6, costing (2)
15,23;151:3,7,9;171:15;
128:11;171:12
174:25;175:13;176:21; costly (1)
177:3;183:14
20:9
contrast (1)
costs (1)
179:6
87:2
contribute (1)
COUNCIL (3)
193:4
101:16,17,19
contributes (1)
Councilman (3)
123:25
23:20,22;162:20
contributions (4)
counsel (5)
88:23;107:20;126:12;
72:10;73:13;75:17;
148:8
90:6;122:6
control (9)
counted (1)
11:23;37:22;43:6;
18:7
129:11;143:22;149:4,7; counter-data (1)
154:20;174:23
150:10
counties (1)
52:13
country (2)
60:8;67:14
County (14)
27:25;28:21;117:3,20;
118:21;119:6;129:23;
130:25;131:2;142:2;
152:21;157:24;164:25;
165:2
County's (1)
28:23
couple (11)
42:1;54:4;75:17;84:9;
162:1,22;168:7;170:7;
176:3;185:25;189:5
course (6)
39:16;51:18;95:12;
97:17;100:14;196:25
court (24)
7:19,20,23;8:1,3,7;
14:22;23:4;32:18;35:10;
65:25;67:2,10,11;74:6;
76:4;105:13;109:25;
126:3;132:11;136:8;
137:4,7;154:4
covenants (1)
195:8
cover (2)
96:1;187:20
coverage (1)
158:5
covered (2)
21:8;94:17
create (5)
39:14;59:13;140:13,
14;149:13
created (2)
106:2;113:5
creates (1)
146:14
creating (1)
46:12
creation (1)
107:6
credible (1)
163:16
credit (5)
76:1;178:21;181:22,
23;182:4
creditors (7)
178:8,12,18,24;179:4,
9;188:9
Crest (5)
80:3;81:2,7,23;82:6
crime (1)
131:3
crisis (1)
20:12
criteria (1)
191:15
critical (7)
52:19,20;53:10,14;
(8) completely - critical

August 17, 2011

117:10;132:18;144:11
critically (1)
112:14
criticisms (1)
187:19
Cross (2)
51:4;92:21
cross-directorship (1)
148:24
cross-officership (1)
148:24
c-sections (1)
165:9
Cultural (1)
48:12
Cumar (1)
99:1
curable (1)
96:23
curious (1)
15:5
current (6)
11:8,11;26:20;27:11;
68:6;114:21
currently (18)
18:19;39:5;51:8;67:1,
11;71:7;81:14,14;
36:21
Danning (1)
178:5
dark (1)
152:22
darkening (1)
152:24
darn (1)
85:17
data (12)
15:17,17;39:11;54:15;
143:2;146:23;147:3,4,5;
150:12;194:22;196:20
date (7)
16:24;64:19;128:17;
139:20;180:16;186:1;
188:3
dated (1)
110:23
daughter (17)
55:14;92:17,21;93:9;
94:5;95:10,15,18;96:11;
97:25;98:1,21;119:20;
73:23;74:8;75:7,11;
76:10;77:6;78:2;106:25;
127:16;178:17;185:8;
193:8
deals (5)
40:12;186:12,12,13,13
dealt (1)
78:20
dean (1)
90:21
DeanCo (1)
188:6
dear (1)
160:1
dearly (1)
158:4
death (4)
96:22;99:25;100:18;
165:6
debate (2)
74:16;79:5
debtor (1)
151:10
December (5)
120:7,13,21;173:17
daughter's (9)
24:15,18;185:22,22,23
94:17,18;95:5,5,7,23; decide (3)
96:22;98:20;119:24
55:23;142:24;192:9
101:19;114:19;115:14; David (1)
decided (5)
119:13;127:16;130:4;
23:21
37:11;45:19;66:10;
144:22;166:3;169:18,18 Dawn (5)
74:11;80:11
customary (1)
113:17;116:25;117:1, decidedly (1)
56:16
1;119:8
68:15
customers (1)
D-A-W-N-S-I-K-E-S (1) deciding (3)
123:15
117:2
12:6;55:25;98:4
cut (6)
day (22)
decision (24)
69:10;91:3;152:17;
22:11;28:11;69:1;
13:11;49:1;55:11,15,
171:14,15;172:24
93:15;94:6;95:22,23,25;
17,17;65:7,21,25;66:13;
cuts (2)
97:15,19;106:6;108:6,7;
136:6;141:16,18;
64:20,23
120:4,11,21,22;172:5;
142:25;143:8;145:20,
cynical (1)
183:9;193:6;197:2;
21;164:8;181:12,13;
56:17
199:12
191:17,22;198:20;200:3
days (20)
decisions (3)
58:22;75:17;80:17,20,
38:7;107:19;158:8
D
23;85:17,23;86:3;92:19; declared (1)
93:11,13;94:19;95:10;
139:23
dad (8)
97:14;104:14;131:22; declining (1)
109:12,12;157:5,13,
138:22;159:25;160:6;
187:2
15,19;166:8,15
186:2
decreased (2)
daily (3)
day-to-day (2)
28:8,9
16:6;89:12;105:9
194:24;196:7
dedicated (3)
Dalton (15)
DC (2)
82:9;167:6;199:18
13:4;15:10;71:14;
65:25;66:16
dedication (1)
130:17;131:23;133:15;
de (2)
107:14
134:19,23;135:17;
127:4,6
deep (2)
136:1;138:9,25;154:16;
dead (1)
48:18;49:6
189:4;191:4
99:12
deeply (1)
Dalton's (2)
deadline (8)
25:11
13:18;135:7
21:23;22:4,12,13;
defend (1)
damaging (1)
55:1,2;74:9;79:17
63:14
56:9
deadlines (2)
defending (1)
dance (1)
137:14,16
194:12
136:10
deal (15)
deficiencies (1)
Daniel (5)
22:2;39:5;40:11;
190:16
34:22;35:12,13,13;
Min-U-Script
deficiency (1)
86:15
deficit (1)
35:18
definitely (2)
43:3;173:25
degeneration (1)
168:14
degree (4)
76:16;115:7;166:13;
189:11
deja (1)
133:13
delay (4)
20:17;74:12;75:4;
186:23
deliver (1)
114:25
delivered (2)
39:12,19
delivers (1)
16:7
delivery (8)
27:7;39:16;48:19;
49:7;81:22;142:21;
143:19;167:3
demands (1)
38:22
dementia (1)
81:6
DEMIDOVICH (5)
63:19,20,21;65:17,19
D-E-M-I-D-O-V-I-C-H (1)
63:21
Democrats (1)
63:4
denial (1)
191:17
deny (4)
55:3;79:21;96:24;
100:4
department (19)
140:18
depriving (1)
68:4
Deputy (7)
7:7;15:6;130:25;
132:7;136:16;137:9;
139:21
derived (1)
187:24
describes (1)
12:25
describing (1)
72:12
Desert (141)
16:11,13,19;20:5,23;
21:16;22:21;23:19;24:4;
25:11,12,13,18,23;
29:14;30:7;31:1,12;
35:24;36:3;37:10;38:11,
23,24;39:4,7,9;40:19,24;
41:2,6;42:7,23;44:18;
45:23,23;46:13,16;
48:12,14,19;50:5;51:8;
52:14,19;58:3;61:24;
71:6,6,13;80:17;81:14,
19;83:4,10,22,22;84:6,
22,23,24;85:4,8,22;86:8,
14,16;87:4,16;88:12,15,
19;89:11,14;90:3;93:25;
94:1,4,19;95:11;97:7;
101:20,21,23;102:2;
104:17,23;105:4,11;
106:1,5,7;107:11;
108:24;109:16,19;
110:14;111:9,16;117:18,
19;118:9;125:11;
126:18;140:11,12;
156:11,14,15;157:1,10,
19;159:2,8,11;160:7,11;
161:5;164:23,24;165:7;
166:5,7,15,24;167:6,7;
10:3;21:1;22:16;27:4;
168:7;175:7,8,12;183:1;
187:11;194:1,5;197:19;
28:7,9;32:14,21;48:5,13;
199:4,9,13,17,20
53:3;57:7;78:15;79:6; deserve (1)
81:4;83:14;157:24;
170:20;181:5
departments (5)
28:10,14;50:20,21,21
depend (2)
192:20;197:10
depends (1)
68:6
deposit (1)
105:21
DEPOSITION (11)
23:11;46:7;92:11;
132:24
deserves (1)
48:25
deserving (1)
25:23
designed (1)
142:18
desk (1)
12:17
despite (1)
109:6
details (1)
108:16;131:6;155:14;
73:19
169:12;173:23;175:18, determine (2)
21;199:7
39:15;79:5
deposits (2)
detrimental (1)
105:18,23
101:25
depressed (1)
devastating (6)
(9) critically - devastating

August 17, 2011

39:6;81:22;87:18;
162:8,19;164:11
developed (4)
76:16;82:14;153:4,13
Developing (1)
28:19
Development (5)
12:15;13:5;89:1;
142:18;156:12
deviate (1)
119:18
deviations (2)
60:10,12
devoted (1)
38:4
Dew (5)
101:15;103:1,2,3,4
D-E-W (1)
103:5
diabetes (1)
120:6
diabetic (1)
120:7
diagnosed (2)
93:9;97:14
diagnoses (4)
31:3;163:7,8;190:5
diagnosis (3)
37:16,18,20
Diamond (1)
178:5
Diana (8)
152:5;164:15,15;
30:22
distress (1)
125:3
40:23;42:16,17;109:6; distressed (3)
135:21;143:17;149:1;
18:5;102:11;198:14
171:5
distributed (1)
director (8)
24:9
38:24;80:2;88:7;
distribution (2)
90:20;117:2;145:11,12;
178:24;179:10
156:11
district (8)
directors (7)
110:21;113:12;117:2,
23:17,25;25:7;108:21;
5;130:25;166:10;
111:15;131:13;182:7
176:20,20
disagree (1)
districts (1)
78:4
177:2
disapprove (1)
diversity (3)
12:3
174:12,25;175:11
disaster (1)
divert (1)
136:15
67:12
discharged (1)
division (1)
140:4
131:2
discipline (1)
doctor (21)
66:5
31:3;34:22;36:25;
disclosed (3)
39:25;41:8;44:18;49:16,
145:17;148:18,22
23;95:4,19;97:10,16,20;
disclosure (2)
99:4;100:20;107:22;
152:14;182:19
119:22;120:4;138:6;
discontinued (1)
157:9;179:2
91:18
doctors (26)
discredit (1)
13:22;31:4;35:4;
163:22
37:16;42:15;49:19;
discretion (1)
50:11;53:23;77:8,22;
145:23
78:2;96:4,22;99:10;
165:21,22,22;169:5,11 discuss (1)
100:12,12,19;101:2,5,6;
D-I-A-N-A-P-A-S-I-L-L-A-S (1)
9:24
122:12;159:6;177:14;
165:23
discussed (4)
183:17;189:15;198:21
dictated (1)
139:15;144:3;152:25; doctor's (1)
126:22
162:5
47:20
die (3)
discussion (2)
doctors' (1)
61:4,7;95:18
37:21;146:6
190:5
died (2)
discussions (2)
document (1)
85:17;177:12
78:8;139:25
141:10
diems (1)
disease (3)
documented (1)
197:11
80:13;81:6;168:14
52:18
difference (1)
disproportionate (1) documenting (1)
188:7
35:20
62:15
different (9)
dispute (2)
documents (4)
14:14,15;15:18;29:15;
74:14,17
15:17;19:25;73:13;
30:8;121:4;172:13;
disrupted (1)
95:21
175:11;184:19
49:7
dogs (1)
difficult (4)
disruption (1)
153:9
8:10;137:24;139:4;
50:13
dollar (1)
141:16
disservice (1)
92:17
difficulty (1)
113:8
dollars (21)
17:8
distances (1)
20:21;30:14;33:8;
digging (2)
168:16
57:21;60:16;67:23,24;
163:11;189:18
distinction (1)
75:6;84:22;87:2,12;
diligence (2)
145:9
91:16;92:18;94:13;
33:18;154:24
distinguish (1)
96:18;128:7,12;129:22;
dimed (1)
147:24
161:13,14;190:23
137:3
distorted (1)
dominate (1)
diminishing (1)
31:15
55:22
187:1
distortions (1)
donated (4)
Min-U-Script
direct (2)
61:21,22
directly (8)
24:15,17;88:24;
144:23
donates (1)
123:24
Donations (4)
25:20;102:22;106:9;
159:7
done (40)
13:25;41:16,16;56:16;
70:22;73:23;75:10;
76:10;79:4;87:12,19;
97:21;105:1;106:3,4,4,9,
21,25;107:1,4,15;
111:10,17;115:9,10;
116:10;120:24;121:7,16,
19,25;122:8;133:25;
134:13;140:20;141:20;
145:12,20,23;148:14;
152:13,14,15;153:13;
154:3,18,20;155:9;
160:16;161:11,16;
166:23;176:22;178:13,
106:7,10;108:2;122:18;
129:21;135:18;139:19;
21;179:2,23;183:20;
184:7,11,12;187:5;
192:5,14,24;193:2,7;
140:24;141:12;146:3;
194:17;195:19;196:24
92:14;93:11,12;95:13;
150:1;151:5;159:22; draining (1)

164:7;171:10,24;
59:22
172:20;175:19;189:8; draw (3)
192:15,16,25;198:9,10;
115:4;189:16,19
200:1
drew (1)
doors (1)
59:16
20:19
drive (3)
dot-php (1)
168:15,15;186:16
12:22
driving (1)
doubt (3)
47:20
39:14;76:10;138:9
drop (1)
down (36)
187:21
8:10;16:17;28:24;
dropping (1)
45:20;46:25;47:17,20;
185:14
58:20;68:13;70:5;71:19, drove (1)
21;73:25;78:9,19;84:13;
152:16
87:16;98:2,17;99:7; due (11)
100:7,20;108:16;109:22,
27:3;28:14;33:18;
25;118:20;127:22,24,25;
81:10;88:22;109:15;
129:15,21,22;130:16;
154:17,24;181:25;
147:10;177:9;186:16
182:3;185:21
downtime (1)
during (6)
87:2
66:7;82:12;104:24;
downtrodden (1)
146:25;154:5;181:1
122:19
duties (1)
downturns (1)
67:16
64:24
duty (7)
downward (1)
37:18;76:13;137:23;
185:15
138:1;140:5;142:1,3
dozen (1)
dying (1)
109:18
99:5
dozens (2)
110:6;183:18
E
Dr (141)
23:17,18;25:10,14,15, earlier (8)
16;34:23,24;37:2;38:2;
50:18;55:9;69:10;
39:21,23,24,24;42:2,6,9;
114:21;136:20;168:6;
43:13,15,15,19,24;44:5,
180:9;181:2
24;45:8,11,12,12,15,24; earliest (1)
74:24
17,22,23;50:1,1,6,6; earned (2)
52:4,4,5,8,9,10;53:25;
96:17;155:10
54:2;55:14;70:19,20; easy (2)
72:25;73:5,5,5;82:12;
22:9;86:11
83:4;84:2,2,15,23;86:20; echo (1)
87:9,15,19,24,24;88:3,4,
77:23
4,21,25;89:9;90:13,14, economic (8)
15,23;91:9;92:1;95:16;
33:1;101:22;117:14,
46:8;47:3;48:1;49:14,
(10) developed - economic

August 17, 2011

17;118:7;138:9;139:10;
140:17
economically (1)
140:18
economics (1)
162:8
economies (1)
140:8
economist (1)
162:9
economy (6)
102:1,3;106:5,8;
139:3;179:6
ed (2)
89:23;132:9
education (7)
25:24;26:4,9;28:19;
83:3;102:20;115:17
effect (5)
15:12;81:22;149:11;
162:12;181:17
effective (2)
90:6;128:16
effectiveness (1)
85:8
effects (3)
12:25;142:20;143:4
efficiencies (2)
27:3;28:6
Efficiency (1)
85:8
efficiently (1)
28:10
effort (6)
30:24;65:9;75:7;
197:7;199:24;200:7
efforts (3)
29:5;104:21;116:7
egregious (2)
66:3,17
eight (3)
70:10;176:7;185:8
Eighty-seven (1)
77:4
either (7)
11:25;31:1;36:6;
148:14;149:14;161:3;
183:14
elected (1)
142:3
election (3)
65:5,12;66:2
elective (2)
46:21;50:23
element (1)
126:19
Elementary (1)
176:19
elements (2)
77:18;154:21
eliminates (1)
127:3
elimination (1)
Min-U-Script
127:6
E-L-L-E-Y (1)
19:12
else (11)
29:2;34:25;35:5;45:9;
60:12;101:8,8;116:14;
153:8;175:24;200:11
7,8
employee's (1)
173:3
employees' (1)
67:17
employer (3)
127:11,12;158:5
employers (1)
117:25
employing (1)
123:1
employment (6)
11:10;26:19;103:14;
162:2,2;167:11
employs (1)
123:23
enable (1)
143:12
Encino (11)
24:13,14;111:11;
else's (1)
97:25
elsewhere (3)
41:16;147:22;150:20
e-mail (3)
14:11;54:19;200:16
e-mailed (1)
176:16
embarked (1)
30:21
embarrassing (1)
31:18
emerge (1)
85:18
146:19,24;147:1;169:19,
emergence (2)
24;170:8;171:9,10
138:3,4
Encino's (1)
emergency (35)
147:9
10:3;11:17;16:4;17:1; encounter (1)
21:1;27:4,6;28:6,9,10,
150:12
14;33:10;38:18;39:4; encourage (1)
41:5;46:18;50:24;53:3;
9:20
56:10,14,15,18,19; encouraged (1)
58:12;59:24;62:12;
32:22
111:23;129:10;150:13, end (15)
14,20;154:6,11;171:21,
35:25;36:13;67:14;
23
74:23;75:1,18;106:5;
emergent (1)
108:5,7;146:22;149:20;
39:2
183:8,10;186:1;193:6
emeritus (1)
ended (4)
115:13
114:6;162:17;185:15,
emotional (3)
16
43:1;119:18;120:20 endorse (2)
emotions (1)
131:21;152:1
156:22
endorsed (1)
emphasis (1)
136:6
44:20
endorsement (1)
emphasize (1)
108:5
191:15
endorsing (1)
Empire (6)
104:21
17:4;21:3;52:11;
ends (1)
53:16;64:25;88:12
36:17
employed (3)
enemies (2)
90:19;121:25;123:12
96:17;155:10
employee (6)
enemy (1)
19:17;30:25;169:19,
141:21
22;172:22,24
energy (2)
employees (38)
38:4;107:13
11:11,13;13:22;16:9; enforceable (1)
22:19;26:20;35:4;51:9;
181:6
54:16;58:8;68:6,9;
engaged (1)
82:10;102:6;114:2;
66:3
115:6;118:1;122:19; English (1)
123:16,18,19;141:9;
9:17
170:23,24;171:1;172:5, enhance (2)
9,19,21;173:1;193:1,4;
83:7;139:14
196:2;197:24,24;198:1, enhancement (1)
140:16
enjoy (1)
160:1
enormous (1)
75:7
enough (9)
20:11;71:12;90:22;
104:12,14;133:24;
76:8;87:10
escrows (1)
87:13
especially (6)
17:1;21:12;49:11;
132:21;165:25;171:8
essential (2)
27:5;103:9
140:23;157:15;182:16 essentially (3)
enrolled (1)
42:11;73:23;150:19
89:20
establish (1)
enrollment (1)
16:22
89:18
established (1)
ensure (3)
88:22
7:21;24:25;82:5
Estate (6)
ensured (1)
72:12;104:18;105:17;
41:24
122:21;178:12,18
ensuring (1)
estimate (1)
125:18
162:13
enter (1)
estimates (1)
21:3
59:23
entered (3)
estimation (1)
65:8;111:4;183:15
199:18
entering (2)
et (1)
115:22;150:14
10:8
Enterprise (1)
Eugene (1)
61:13
23:20
enters (1)
evaluate (3)
56:19
143:3;149:24;175:10
entire (5)
evaluated (5)
43:7;52:25;71:5;80:8;
144:10;147:6,16;
87:21
148:19;149:3
entirely (2)
evaluation (4)
43:3;55:18
135:17;144:12;
entities (1)
148:19;149:15
148:17
even (17)
entity (10)
36:4;40:8;42:2;47:6,
11:25;12:1;24:20;
19;57:10;58:6,10;62:20;
25:15;138:20;144:24,
68:12;118:8;138:17;
24;146:8;174:15;195:1
environment (3)
37:23;62:8;110:9
environmental (1)
131:3
equipment (12)
10:19;11:2,5;20:9,19;
21:15;26:23;88:25;89:8,
8,10;133:19
ER (5)
31:7;41:8;109:15;
165:8;172:1
E-R-G (1)
54:15
ERIC (14)
39:23,24,24;40:1;
150:18;175:4;177:7,15;
194:20
evening (19)
103:3;104:4;108:14;
117:1;124:11;130:16,
17;142:13,14;143:9;
144:3;156:1,2;159:20;
161:1;164:12;165:22;
173:20;188:16
events (1)
124:17
everybody (15)
7:4,6,6;13:16;74:5;
85:19;96:13;97:8;108:9;
116:14;152:1;157:17;
194:21;196:14;200:19
42:2,6,9;43:13;49:11; everyone (10)
73:5;142:11;152:4;
183:20;184:7
E-R-I-C (1)
40:2
ERs (1)
83:21
escrow (2)
7:22;9:20;40:5,14;
47:1;54:6,9;70:19;
92:14;198:11
evidence (10)
31:13;32:1;50:10;
66:12;75:5;79:6;98:8;
99:14,20;154:2
(11) economically - evidence

August 17, 2011

evidenced (2)
105:5,9
exact (2)
123:9;182:18
exactly (2)
86:11;174:14
examination (1)
182:22
examine (1)
15:12
example (11)
30:6;56:22;57:12;
61:2,20;91:13,20;
146:14;148:6;193:9;
197:8
excellence (1)
140:15
excellent (6)
38:2;88:9;90:2;
157:19;170:20;189:8
except (4)
58:19;95:22;149:17,
18
exception (2)
135:4;136:25
exceptional (1)
135:18
excess (2)
60:18;70:17
Excluded (1)
10:22
exclusively (3)
7:15;134:11,12
excuse (6)
34:3;69:1;81:25;
82:11;98:19;100:5
execution (2)
73:16;76:10
executive (7)
19:13;22:14;48:8;
expansive (1)
16:20
expect (9)
26:11,23;27:2;60:18;
66:12;82:7;123:16;
195:8;196:12
expectant (1)
119:1
expecting (1)
165:5
expense (2)
62:16;64:25
expensive (1)
67:12
experience (9)
64:8;65:2;69:17;
88:20;89:25;102:13;
116:9;158:13;171:2
experienced (4)
64:22;68:2;141:13;
169:22
expert (4)
138:10,20,21,21
expiration (1)
64:18
expired (1)
64:17
expires (1)
19:15
explain (4)
65:2;99:17;133:12;
143:21
explanation (1)
182:22
explored (1)
49:8
exploring (1)
49:1
express (2)
48:16;117:6
72:9;80:2;180:22;191:7 expressed (2)
executives (1)
49:10;50:12
196:9
extend (7)
ex-employees (1)
22:3,13;55:2;61:19;
123:14
180:6;181:3,15
exercise (3)
extended (6)
26:8;48:23;153:21
102:21;128:3;130:6;
Exhibit (2)
180:17;185:24;186:1
65:20,23
extending (1)
exist (3)
54:25
24:11;134:20;138:5 extensive (2)
existence (1)
33:18;140:22
186:24
extent (1)
existing (1)
195:18
168:22
extra (4)
exited (1)
59:23;60:3;163:15;
191:21
172:1
expand (4)
extract (1)
62:22;83:7;123:2,2
56:17
expanding (1)
extraordinarily (1)
71:7
56:21
expansion (2)
extraordinary (2)
16:20;71:8
56:21;66:18
Min-U-Script
extrapolate (1)
163:17
extremely (3)
20:24;58:7;107:5
eye (1)
163:25
30:6,13;76:17,19;
129:6;198:13
fairly (2)
24:22;153:14
fait (1)
153:20
false (5)
F
30:22;31:8;32:17;
39:14;75:14
falsely (1)
F7 (1)
62:15
143:5
familiar (1)
face (4)
136:17
97:24;107:9;145:23;
families (4)
173:3
52:15,21;102:6;196:9
faced (2)
family (23)
109:12;116:15
24:4;25:10,14,16;
facilitates (1)
37:5;39:25;43:17;63:9,
196:6
11;99:22;106:3;107:4;
facilities (13)
120:22;121:8;127:24;
16:16;64:4;103:11;
114:4;118:11;121:18;
134:14;141:21;161:21;
164:23;165:24;166:14,
124:24;125:12;171:8,9;
16;174:22
173:14;190:13;193:8
famous (2)
facility (28)
121:22,22
9:5;10:11;38:25;39:3,
6;69:3;71:2,23;81:3,3; fantastic (2)
61:6;114:22
106:21;107:1;109:20;
117:10;119:3;125:23; far (14)
13:10;40:3;42:18;
139:14,19;148:9;
169:19;172:17;173:9;
47:20;55:16,16;58:24;
183:19;191:21;192:21;
59:17,17,19;177:5;
181:20;182:6;198:4
fast (2)
8:1;131:5
faster (1)
54:5
father (5)
109:4;156:23;157:8,
10;168:5
fault (2)
55:4;137:1
favor (6)
22:22;30:17;80:25;
103:7;139:8;161:17
favorable (2)
11:12;66:13
favorite (1)
105:9
featured (1)
89:11
February (5)
94:5;131:19;133:13;
165:6;185:24
federal (7)
18:4;21:23;24:10;
50:24;77:11;81:16;
180:12
feel (6)
19:14;62:21;102:7;
120:1;121:4;142:4
feeling (2)
116:18;122:16
feet (1)
193:3;194:14;196:5
facing (1)
56:14
facsimile (1)
200:17
fact (31)
20:6;31:18;32:2;
45:24;51:2;53:6;60:22;
89:4;127:2;129:25;
132:24;134:24;137:9;
143:6;144:15,19;146:9;
147:5,6,8;148:12;149:4,
7;151:8,14,16,25;
152:16;161:10;183:11;
184:24
facto (2)
127:4,6
factor (1)
98:4
factors (3)
133:16;134:3;198:19
failed (11)
32:6;81:25;122:11;
143:11,15,17,23;178:20,
25;180:11;181:2
failing (1)
82:15
fails (1)
143:21
failure (2)
191:24;193:4
fair (6)
74:11
Feldman (6)
130:12,14,15;131:8;
132:5,10
fell (1)
75:13
fellow (2)
126:18;172:4
felt (2)
101:1;189:5
Fermin (3)
126:5;130:24;193:16
Fernando (2)
23:22;172:21
fever (1)
57:10
few (12)
7:22;17:17;29:4;
45:25;76:22;80:25;
82:12;96:12;119:25;
169:20;189:6;190:3
fide (1)
78:11
fidelity (1)
89:10
fiduciary (3)
76:13;137:23;138:1
field (5)
80:8,12;122:21;
124:13;138:10
fight (3)
67:21,25;153:10
fighting (1)
75:11
figure (1)
163:4
file (2)
194:24;195:8
filed (6)
10:9;17:22;65:11;
66:21;67:9;73:12
files (2)
77:24;154:8
filing (3)
81:9;149:19,21
fill (2)
175:25;200:12
fills (1)
39:2
finally (6)
78:3;95:9;97:14;
140:19;185:4;186:9
financed (3)
73:15,22;75:22
finances (1)
106:16
financial (21)
20:14;25:25;33:5;
81:10;83:13;90:1;97:7;
99:3,5;106:19;107:13;
125:3;147:3,4,5;148:24;
180:22;188:23;191:23;
197:4,11
(12) evidenced - financial

August 17, 2011

financially (4)
17:20;105:2;139:13;
194:15
financials (5)
135:8;140:1;146:15,
18;147:14
find (16)
47:19;55:7;78:17;
82:2;93:21;95:24;97:15,
19;117:8;135:5;136:7;
145:18;147:9;177:9;
184:2;190:16
finding (2)
65:21;66:13
fine (6)
8:19;14:20;63:7;92:7;
175:21;184:5
finish (2)
134:17;176:7
finished (1)
45:19
Fire (1)
157:24
fired (1)
110:10
fireman (1)
157:23
First (34)
7:24;12:3;14:3,6;15:4;
19:4;26:24;35:6;40:1;
43:15;50:2;52:2;54:23;
65:11;73:4;84:5,10;
88:15;92:11,13;94:18;
117:5;135:21;136:22;
143:16;144:25;156:5,6,
17,20;161:11;165:5;
178:6;188:20
first-class (1)
34:9
firsthand (3)
79:6;83:10;102:19
fits (1)
61:24
five (17)
9:21;27:21;29:15;
54:7,9;57:1;59:1;62:1;
128:18;133:20;153:4;
176:6;180:14;183:18;
187:9;194:12;199:22
five-minute (1)
51:24
floor (8)
98:1;170:10,11,13,18,
19,21;171:22
flow (2)
133:18;148:15
focused (1)
17:16
folks (7)
13:25;14:5;60:14;
followed (1)
166:21
following (5)
26:13;103:9;124:17;
149:18;150:15
follow-up (1)
41:7
food (3)
80:19;85:12;105:10
foot (1)
85:24
force (3)
45:18;102:3;166:9
forced (4)
17:11;28:13;67:16;
136:3
forecasted (1)
138:13
foremost (1)
21:21
forever (1)
181:15
forfeiture (1)
131:9
forget (1)
185:5
forgive (1)
114:23
forgot (1)
176:4
forgotten (1)
119:25
form (3)
11:21;27:8;100:10
formed (4)
91:17,20
fostered (1)
88:18
found (7)
31:13,25;43:9;86:1;
93:3;94:21;95:10
Foundation (89)
7:13;8:20;15:13;
112:25;117:7;124:15;
130:18;132:8;136:16;
37:9;46:20;93:7;98:7;
112:16;135:11;152:14;
170:12,13;178:18;
180:14
full-time (2)
172:24;197:12
19:18;23:7,8,9,14,15; fully (7)
24:6,7,8,12,15,17,19,21,
73:15,22;75:22;
24;25:1,7,15,17;26:12,
111:19;188:5;190:11,12
15,19,21,25;27:5,8,14, functioning (2)
18,20,24;28:3;29:25;
48:7;125:24
30:11;33:3,21;34:5,6; functions (1)
38:13;55:10;61:15;
180:24
62:24;67:21;68:8;81:2; fundamentally (2)
61:14;63:12
funding (2)
112:20,21;113:4;
148:12,15
115:12;119:15;143:19, funds (8)
24;144:20;145:1,4,6,11,
10:24;18:4,6;20:18;
82:3,14;83:5;104:22;
107:6,10;111:3,5,8,18;
14,16,18;146:11,12,16,
88:24;148:13;187:1,23
17;147:1,4,16;148:2,13, funneled (1)
25;149:1;156:15;
176:24
158:11;159:4;183:16; funny (1)
187:6;197:2
Foundations (1)
192:16
founded (1)
111:9
founder (1)
195:18
four (9)
60:10,11;86:23;
84:17
further (6)
36:20;55:2;64:24;
130:16;166:9;182:22
furthering (1)
152:24
future (8)
18:8;71:9;90:10;92:3;
116:8;138:14;148:8;
180:16
133:19;146:24;147:3;
184:10,13;194:11
four-front (1)
65:8
fourth (1)
67:3
frame (2)
76:18;141:11
30:1;33:21;61:24;62:1, fraud (3)
5,7,8;144:23;148:5;
31:8;109:9;131:3
187:11;194:21;195:1 fraudulent (1)
for-profits (1)
31:8
61:22
free (2)
forth (2)
35:19;151:10
71:16;77:23
freeway (1)
forthcoming (1)
16:23
150:1
friend (4)
fortunate (2)
38:3;105:6;160:1;
85:18;160:10
166:2
fortunately (2)
friendly (1)
44:20;80:16
110:9
forum (2)
friends (7)
74:17;156:14
50:7;96:16;100:13,14;
forward (12)
108:1;155:9;174:22
14:13;27:11;34:8;
front (2)
53:21,21;91:1,11,18;
67:3;134:16
114:3,20;115:25;152:6
92:2;106:9;151:17; frustration (1)
follow (2)
160:23
178:19
94:24;128:25
foster (2)
fulfilled (1)
Min-U-Script
25:2
full (11)
23:15;24:19,22;25:16
former (1)
58:8
formerly (1)
167:12
for-profit (15)
11:25;26:18;29:7;
G
gain (7)
55:20;80:22;97:7;
99:4,6;121:1;188:23
garden (11)
26:8;64:5,8,14;65:1,2;
137:10;139:22;142:19,
24;143:1,6,11;144:17,
21,22;146:7;149:10,24;
154:23;163:25;189:14
generally (2)
57:19;114:24
General's (15)
9:25;10:10;22:7;44:1;
71:18;77:24;107:21;
132:12,19;134:1;136:8;
144:12;146:2;149:9;
187:7
generated (1)
118:4
Generation (1)
173:12
generous (1)
103:15
gentleman (3)
80:6;87:11;163:9
genuinely (1)
153:21
George (1)
102:2
gets (5)
60:11;63:11;154:20;
165:4;191:9
Gilbert (7)
52:4,4,8,9,10;53:25;
54:2
Gill (2)
160:18;178:5
Gish (1)
138:11
G-I-S-H (1)
138:12
given (13)
33:15,23;64:24;70:12;
85:16;90:23;91:5,12;
115:10;148:23;171:23;
198:1,3
68:24;150:9,10;199:6,9 gives (6)
gasoline (1)
47:21
gave (7)
13:13;96:13,14,15;
97:9,9;159:6
gazuntite (1)
92:3
General (71)
7:8;9:2;10:2;11:22,24;
12:2,4,16;13:11;15:6,20;
18:25;19:20,22;22:18;
26:11;28:2;32:13,16;
41:22;44:14;49:3;55:3;
56:2;58:16;59:5,11;
96:18;109:13;133:2;
134:4,14;145:25
giving (3)
80:25;188:17;200:20
glad (1)
7:6
goal (3)
20:2;50:16;123:7
God (3)
166:2;196:14;200:10
God's (2)
199:6,8
goes (11)
13:10,17;98:21;102:2;
127:16;177:5;182:9;
183:1;188:11;197:7;
198:4
73:12;74:2,7,10;76:4,8,
14;78:14;79:5,21;80:10; gold (4)
56:10;154:7,9;165:17
107:18;110:24,25;
60:9;64:9;67:19;68:16;
70:8;71:16;72:1,10;
(13) financially - gold

August 17, 2011

gonna (3)
Great (31)
49:21;84:1;111:24
22:23;39:20;43:11;
Gonzales (1)
45:9;49:18,19;53:24;
198:25
70:1;72:3;82:8;90:12;
GONZALEZ (5)
101:10;113:7,13;
199:1,2,3,8;200:10
120:23;121:17;122:24;
G-O-N-Z-A-L-E-Z (1)
124:1,19;136:21;
199:3
155:22;156:9;160:16,
good (50)
22;167:5;169:10;175:8;
11:9;15:10;19:10;
177:16,22;189:3;199:12
23:1;38:3;45:20;46:5,8, greater (4)
20;48:2,19,20;53:7;
27:1;118:8;138:17;
63:20;68:22;69:24;
142:1
80:19;85:13;86:4;97:10; greatest (1)
101:17;103:3;104:4;
137:23
105:6,15;108:14,15; green (1)
110:3,20;117:1;124:11;
58:23
130:16;140:17;142:4, GREG (5)
13;147:13,15;151:11;
173:19,20,22,22;174:1
156:1,2;161:1;164:12; Gregory (1)
165:17,22;166:1;168:12,
169:9
18;173:20;180:8;188:16 grew (3)
good-paying (1)
23:19;134:15;138:17
125:11
grind (1)
goodwill (1)
141:25
144:15
ground (1)
governance (1)
38:17
61:15
group (24)
governed (2)
42:3,4,7,24;44:12;
23:16;111:14
45:23,25;46:2;50:7;
governing (8)
104:19;105:14,15;
10:12;11:21;27:8,13;
122:11;126:9,10,14,17;
guilty (1)
93:3
gurney (2)
114:7;157:9
GURPAL (4)
43:14,15,15;184:11
G-U-R-P-A-L (1)
43:16
harping (1)
80:14
Harris (4)
99:17;100:8;101:4;
110:25
hat (1)
84:17
hate (1)
200:2
head (4)
19:15;95:2;121:12,23
hear (17)
35:6;40:8;46:17;47:1,
2;78:23;96:9;134:11;
151:11;153:22;155:14;
172:9;173:11;176:2,8;
180:12;186:19
heard (37)
30:20;34:3;36:7,9;
52:5;73:5;75:17;77:14,
22;114:20;115:24;
122:2;126:19,20;127:17,
19;128:5;129:16;132:1;
headed (1)
half (5)
195:12
134:10,21,21;136:3;
21:13;22:11;71:4;
healing (1)
138:6;140:21;145:15;
83:9;157:22
170:19
153:8;165:6;172:6,11;
hall (8)
178:16;182:9;185:5;
98:2;100:21;160:19, Health (52)
10:6,21;17:5;21:3;
186:3;189:5;192:1;
20;164:17,18,22,22
22:16;26:9;27:19;29:6;
193:25
H-A-L-L (2)
32:14;40:25;52:11,12; HEARING (122)
160:21;164:22
53:16;57:7;58:15,18;
7:4;8:18;9:12,15;19:3,
hammered (1)
59:1;60:8;62:11,15,19;
6;22:23;23:3;34:12,16,
54:25
71:10;81:16;83:3,14;
19;36:19,23;38:8;39:20;
hand (3)
88:6,21,24;89:2;90:8,11,
41:25;42:5,8;43:11;
9:14,18;169:4
21;91:21;92:1;102:19,
45:6,13;46:23;47:25;
handling (1)
23;117:15;125:12;
49:14,18,24;51:22;52:2;
131:2
126:23,23;127:13;
53:24;54:1;56:4;63:16;
hands (5)
128:6;129:13;131:16,
65:15,18;66:11,19;
109:4,20;110:6;123:1;
24;133:5;168:2,23,25;
68:18;69:19;70:3;72:3,
191:17
171:19;189:25;190:13
19;79:22;80:6;82:21;
hang (3)
83:25;87:23;90:12;92:5;
124:9;158:10;183:23 Healthcare (135)
7:13;12:11,14,24;
94:10,15;96:13;97:1;
hanging (2)
13:2;15:11,13,15;16:16;
99:9,11;101:7,10,13;
152:20;159:2
101:20;114:19;115:15;
131:23;151:20;159:6; HANSEN (12)
17:8;19:18;21:16;22:20;
102:25;103:4,24;104:7,
116:20
166:4;184:8,16,25
23:7,14;24:5,16,18;
11;108:10;109:21,24;
39:23,24,24;42:2,6,9;
government (7)
groups (8)
25:13,17,24;29:2,3,3,7,
110:2,16;111:25;113:13,
43:13,19;73:5;183:20;
18:5;78:7,8,12,18;
41:24,25;44:15;77:10,
22,24;30:5,9,21;31:9,21,
16,20;116:23;119:7,9;
184:7,12
137:15,19
21;107:12;167:20,24 H-A-N-S-E-N (1)
23;32:6,10,12,15,20,22,
120:2;123:10;124:5;
grab (1)
Grove (8)
22,25;34:6,10;37:7,13,
126:2;130:10;131:19;
40:1
52:3
64:5,9,15;65:1,2;
23,24;38:13;41:22;
132:3,9;142:8;152:3;
Hanson (1)
gracefully (1)
68:24;150:9,11
48:18;49:7;51:5;54:17;
155:11,13,15,18;156:2,
49:11
191:21
GROVER (6)
55:10;57:3;58:5;59:22;
4,9;160:13,20,22;
happen (16)
gracious (2)
48:1,2,3,4;49:15;73:5
61:15;63:23;64:2,8,12;
164:13,20;165:19;169:3,
47:16;60:22;87:8;
88:22;121:9
G-R-O-V-E-R (1)
67:20;68:8;70:13;71:24;
8,16;170:1;173:5,18,24;
96:7;101:3;114:17;
grade (1)
48:4
80:8,12;81:2,22;82:3,13,
175:15,19,22;176:14;
116:6;122:13;129:22;
141:7
grow (3)
13;88:11;92:20;93:3;
177:22;178:1;179:14;
137:12,15;151:8;
grads (1)
62:14;64:25;123:4
96:2;100:2;102:10;
183:23;184:2,5;188:14,
162:24;163:20;172:14;
69:15
growing (5)
103:8,11,12,14,20;
25;189:3;190:24;
196:14
graduate (3)
38:22;82:8;102:16; happened (7)
104:21;106:2;107:6,9,
198:24;200:9,11,22
114:24;121:11,16
112:3;166:11
10;111:3,16;113:3,4; hearsay (2)
41:13;74:8,10;86:19;
graduated (2)
growth (1)
123:8;124:21,24;125:2,
41:10;154:2
109:5;115:11;170:16
84:11;88:13
101:22
10,20,22;132:24;135:5; heart (8)
happening (5)
graduating (1)
guarantees (2)
139:13;142:22;143:18,
113:21;120:25;121:6;
36:18;46:4;136:15;
121:22
18:9,12
18;144:18,19;153:16;
153:19;157:13;161:4;
192:23,24
graduation (3)
guard (3)
154:19;161:16;166:13;
164:6;192:22
happens (2)
84:14,15,18
98:11,15;100:24
167:3,3,11,16;168:18; heaven (1)
15:7;162:7
grand (1)
guards (1)
169:23;170:12;171:3;
79:12
happy (2)
106:8
95:6
173:7,13;177:9;183:10, heavily (1)
30:11;128:24
grandson (1)
guess (1)
15;187:6,6,19;191:8,16;
113:9
hard (8)
84:11
141:25
195:12;196:17;197:2; Hector (6)
107:11;117:18;
granted (3)
guidance (1)
199:24;200:7
198:25;199:1,2,3,8;
120:21;136:23;149:19,
8:12;196:12;197:1
198:15
Healthcare's (4)
200:10
21;159:3;182:17
grateful (2)
guilt (1)
31:12;70:18;92:15; held (4)
harm (1)
84:6;193:15
96:1
125:6
10:22;33:18;92:17;
31:9
Min-U-Script
(14) gonna - held

August 17, 2011

99:6
118:9;125:9,10;126:18;
Helen (7)
130:20;156:11,14,15;
63:18;65:1;68:19,19,
157:1;159:2,8,11;160:7,
21,22,23
11;161:5;164:23,23;
helicopter (1)
166:5,7,11,15,23;167:6;
99:8
168:6;175:7,11;193:11;
Hello (6)
199:4,13
7:4;39:24;84:4;126:7; higher (9)
130:20;169:14
16:14;17:9;32:9;
help (12)
59:17;60:13,20;70:24;
21:14;87:20;98:12,12;
154:8;190:7
100:22,22,22;102:23; highest (10)
159:20;188:9,10;196:14
helped (2)
53:2;167:16
helper (1)
9:18
helpful (2)
8:4;133:12
helping (2)
26:1;84:22
herein (1)
143:4
hereon (1)
143:4
here's (1)
98:23
Heritage (2)
58:8;186:12
Hernandez (2)
23:20,22
herring (3)
22:8;78:5;79:10
Hesperia (11)
26:7;39:25;84:12,14,
23;86:23;87:20;101:16,
17,19;161:6
HFAP (2)
31:10;190:13
Hi (7)
7:6;39:22;83:1;88:4;
92:9;97:5;178:3
hidden (1)
192:17
hide (1)
187:5
hiding (2)
95:25;96:1
High (91)
16:11;20:5,23,24;
22:21;23:19;25:11,12,
13,18,23;38:22;39:4,5,7;
40:19;41:1;42:7,16,23;
44:18;48:12,14,19;50:5;
51:8;52:14,19;61:8;
71:6,12;81:14,19;82:16;
17,21,23;25:2;26:14,16,
14;129:5;135:2;137:6;
16,18;29:14,15,17,18,
19,24;170:2,8,8;171:10;
172:7,12,13,16;173:14;
150:18,25;183:17;
184:15,25
hold (5)
100:5;104:11,13;
125:22;166:3
holding (2)
154:7;178:8
holidays (1)
196:8
home (8)
32:3;39:12;48:9;57:1,
58:12;94:24;107:7;
14,14,15,18;194:20;
121:8;122:22;156:13;
196:17
157:23;192:19
highly (2)
homeowner (1)
24:1;59:10
164:23
high-quality (1)
homeowners (1)
103:13
176:18
highway (1)
homes (3)
51:9
39:8;80:9;172:25
hill (8)
Homestead (1)
16:17;84:13;127:22,
156:12
24;128:1;129:15,21; homicide (1)
177:9
131:9
Hills (1)
honestly (1)
93:24
121:6
himself (1)
Honor (5)
140:21
90:15;91:2;92:4;
hips (1)
119:14;175:1
170:10
honorable (2)
hire (1)
72:17;148:9
87:19
hooked (1)
hired (1)
8:24
172:19
hope (12)
hires (1)
38:6;94:3,8;108:5;
69:13
140:13;141:17,17;
hiring (1)
142:5;173:15;178:20;
69:14
179:10;198:21
historical (3)
hopefully (3)
11:19;133:21;134:5
41:9;154:25;176:7
historically (1)
Horn (1)
27:1
132:9
history (7)
horror (1)
103:17;106:18;
101:1
130:21;140:22;144:15; Horwitz (14)
195:12;198:13
7:7;80:1;81:12;
hit (2)
130:17;131:25;132:1;
108:4;117:18
136:17;137:10;139:22;
HIV (1)
141:6;152:9;153:17;
59:9
185:13;191:3
HMO (43)
H-O-R-W-I-T-Z (1)
30:11;33:3,8,11;36:3,
132:5
4,13;40:18,21,23;41:3, Hospital (472)
23,24,25;42:3,16;44:2,6,
12,15,21,22;45:3;92:22;
83:21,22;84:6,12,14;
127:7,8,13;128:2,6;
85:4;86:14;87:4;88:12;
89:10;101:21,23;102:2;
104:17,23;105:4,5,11;
129:2,7,19;130:1,5,8;
135:10,14;150:14,16;
157:11;158:4;176:21;
106:1,5,7;107:11;
183:14
108:24;110:14;111:9; HMOs (20)
112:13;117:17,19;
30:4,8,10,18;33:6;
Min-U-Script
47:5;51:1,18;127:5,9,10,
7:11;9:5;10:1,2,6,9,15,
17,21,23;11:7,11,15,16,
24;13:3,22,25;15:14,17,
18,23;16:1,3,6,9,10,12,
13,20,22,25;17:7,11,13,
20,25;18:20,24;19:7,14,
15;20:3,19,21;21:12,17,
22;22:5,14,15;23:10;
24:4,7,13,13,14,14,16,
19;30:7;31:1,2,13;32:2,
174:6,9;175:1;177:13,
14,17,23,25;33:11,16,22,
22;34:8,9,9;35:1,3,5,15,
180:18,23;181:18,18;
16,17,19,21,23;36:7;
182:8,12,20;183:2,3,6;
37:12,17;38:12,14,16,
184:10,18,20;185:4;
17;179:5,7,20,25;
18,21,25;39:2,9,19;40:4,
186:5;187:11,12,13,23;
5,10,11,21,25;41:1,6,12,
188:5;191:11,19;
14,20;42:10,21,23;43:1,
192:23;193:14;194:8,18,
2,23,25;44:3,7,16,19,25;
18,21,24;195:17,19;
45:3,5,24;46:9,10,16,17;
197:18,19,21;198:16,17;
47:4,6,8,14,17,19;48:6,
199:25;200:8
9;49:9;51:7,8,20;52:19, hospitalcompareorg (1)
20;53:2,10,21;54:25;
190:2
55:5,7,12,21;56:20; hospitals (114)
57:21,25;58:21;59:11;
16:14,21;17:9;18:5;
61:24;62:2,5;63:7,10;
21:18;24:12;28:12;
64:5,11,22;66:5;67:5,20;
29:12,24;30:1,2,5,9;
68:14,24,25;69:2;70:5,7;
71:3,3,4,7,17,19;72:11,
11,15,20,22;73:4,8,14,
17;74:15,21;75:23;
76:11,19,25;77:7,13;
31:4,12,19,21,23;32:6,7,
9,10;35:22,25;37:9,15;
46:5,9;50:25;57:1,5,6,9,
14,15;59:7;69:6;80:10,
10;82:15;83:21;85:2,2,6,
78:1,9,19;79:16;80:15,
15;92:16;93:1,21,22;
17;81:1,8,13;82:5,11,18;
83:4,17;85:9,16,22;86:1,
8,9,16,17,21,25;87:3,9;
88:15,19;89:14;90:3,4,9;
96:5,8,19;97:12;102:5,
92:16;93:17,20,24,25;
116:10;118:17;123:3,6;
125:3,6,7;128:20;129:3,
94:1,4,20,23,25;95:9,11,
14,22;96:3,24;97:7;98:2,
11,14;99:5,9;100:17,23;
101:20,24;102:8,15,18;
103:8,16;104:23,25,25;
105:16;106:11,12,14,17;
107:15,24,24;108:6,20;
109:8,13,16;110:12,13;
11;107:17;109:11;
111:11,21;112:8,23;
114:16;115:4,5,8;
4;130:9;138:3,7,14,15,
15,22;141:1,7;143:22;
144:21;145:8;146:19,20,
23;147:1;149:6;150:8;
154:6;158:13;168:1;
174:13,24;189:24;190:6,
8,11,13,15;195:4;196:7,
111:2,6,7,11,12,13,17,
19;197:6;198:14,16;
22;112:9,15,20;113:7,
199:5,11,14,21
10;115:19;116:4,11,16; Hospital's (15)
117:9,13,16,24;118:5,
11:9;18:2;20:8;73:21;
12,16,16,21;119:21;
75:16;82:1;83:10;105:2;
106:19;107:7;137:1;
138:8;154:13;183:8;
186:24
127:3,25;128:2,7,23; hostage (2)
129:6,19;130:4,7;
99:6;100:5
131:12,16;132:23;
hour (1)
133:17,18,23,25;134:13,
14:23
16;135:7,11,12,21; hours (10)
136:2;137:20;138:4,18,
94:23;98:16;100:25;
122:4,7,8,9,9,10,10,13;
124:1,19,21,25;125:16,
21;126:11,13,14,15,25;
20,23;139:5,12;140:7,
120:6,9;152:15;157:7;
24;142:15;144:4,5,9;
164:4;194:12;199:12
147:2;150:12,18,22; houses (1)
151:16,19,20,21;152:2,
98:5
22;153:16;154:10,21; hub (1)
155:3;156:16,19;157:12,
28:22
20;158:2,2,3,24;159:4,5, huge (3)
7,13,16,25;160:5,8,8;
40:4;47:16,21
162:2,17;164:10;165:4, human (3)
15;166:18,21;167:7,8,
63:4,5;96:6
13,23;168:10,22;169:2, humble (1)
(15) Helen - humble

August 17, 2011

51:13
impacts (7)
hundred (2)
18:15,22,23;19:2;
91:25;152:16
118:7,8;172:18
hundred-plus (1)
imperative (2)
71:11
87:5,21
hundreds (8)
implied (1)
25:22;67:23;87:2,12;
128:5
91:15,16;96:15;121:25 implore (2)
Huntington (2)
38:6;163:25
57:24;69:6
imply (2)
husband (5)
137:8,23
158:1,7,9;176:18,19 importance (1)
144:12
important (37)
I
16:11;17:1,3,14,17;
18:14;19:14;20:7;25:25;
iceberg (1)
28:12;33:4,9;40:7,8,14;
61:18
43:9;50:9;86:14,15;
ICU (12)
103:18;112:15;113:25;
85:17;93:12,15;94:20;
115:16,21;116:13;
95:1,11,24;97:13,19;
126:20,21;128:21;
98:16;99:6;100:5
129:17;134:3;148:3;
idea (2)
161:21;168:1;178:10;
122:1;129:11
191:18;195:22;196:3
IEHP (15)
18:14;21:4;27:20,21, importantly (5)
53:15;76:8;77:3,19;
23;47:5;52:11,12,22;
168:21
53:15;77:3;128:16,22;
impose (1)
151:12;186:13
26:12
ignore (1)
imposed (2)
163:25
76:7;112:24
ignored (4)
imposing (1)
31:18;32:2;65:7;
191:12
173:10
impossible (3)
I-J-A-Y (1)
132:17;137:24;139:4
50:2
impress (1)
ill (4)
85:7
85:5;156:23;171:18,
impressed (1)
18
86:9
I-L-L-A-R-O-S-A (1)
impromptu (1)
35:14
154:9
illnesses (2)
improve (3)
60:5;161:19
76:25;106:5,8
imagine (3)
100:25;119:17;148:20 improved (1)
27:3
Imaging (1)
improvement (2)
10:6
11:6;135:23
immediate (2)
improvements (6)
16:14;66:24
11:2,3,5;110:8;
immediately (1)
139:18;148:9
97:18
improving (3)
Impact (31)
20:14;28:16;107:14
12:14,24;17:15,15;
42:13;50:8,11;69:11; in- (1)
35:20
76:16;102:4;117:12,17;
131:24;133:5;141:18; inac- (1)
113:1
142:17;143:11,15,19,23;
144:1;145:5;146:13; inaccurate (2)
113:2;137:8
149:15,25;162:2,6;
172:18;184:8,24;187:20 inad- (1)
113:1
impacted (4)
17:10;40:23;42:16,18 inappropriate (1)
35:20
impacting (1)
inaudible (2)
18:17
Min-U-Script
131:9;175:23
Inc (6)
7:13;15:14;24:5;
72:11;111:16;143:18
incidents (1)
109:10
incisional (1)
166:19
inclined (2)
137:18,21
include (7)
10:12;11:1;17:4,18;
27:9;28:5;53:13
included (1)
53:12
includes (4)
9:5;10:3;118:12;
125:20
including (16)
10:19,23;21:1;25:19;
27:6;29:5;31:12;32:8;
39:7;51:17,18;52:14;
64:3;66:3;89:10,18
income (8)
64:24;68:6;112:11;
118:3;146:17,20;147:10,
10
incomp- (1)
123:18
incompetent (1)
123:18
incorrect (3)
37:20;146:22;163:20
increase (5)
27:3;64:25;91:6;
133:17,18
increased (4)
38:22;89:17,25;105:3
Increasing (2)
28:6;139:3
increasingly (1)
125:1
incredible (1)
140:3
incumbent (1)
142:23
incur (1)
148:11
indeed (6)
48:22;143:9,13;145:7;
146:7;148:10
independent (12)
23:23,25;25:5;27:14;
55:13,18;79:7;111:15;
153:10;167:18,24;
193:23
independently (1)
107:18
India (1)
152:17
Indian (1)
48:11
indicate (1)
32:6
indicated (4)
28:4,5
injection (1)
32:24;152:19;153:17;
107:13
154:14
injunctive (2)
indicating (1)
66:18,23
154:8
Inland (5)
indication (1)
17:4;21:3;52:11;
62:6
53:16;88:12
indicators (2)
inpatient (3)
28:17;196:19
60:5,9;103:10
indictment (1)
inpatients (1)
165:3
184:9
indigent (4)
input (1)
28:23;128:10;196:22,
27:11
23
Inspector (1)
indigents (1)
32:13
194:19
instance (4)
individual (3)
42:4,24;135:15;151:4
8:19,25;39:17
instances (1)
individuals (5)
105:23
23:25;28:13;39:17; instead (4)
52:13;55:19
65:8;124:2;171:21,22
industry (6)
instituted (1)
102:1;106:7;108:1,6;
127:16
127:13;157:11
institution (2)
infection (3)
139:10;193:2
56:23;85:15;109:4
institutions (4)
infection-control (2)
63:9;83:6;165:1;193:5
190:4;196:4
instructors (1)
infections (5)
90:5
31:6,14;57:11;109:10; insufficient (1)
190:1
112:13
inference (1)
insurance (21)
189:19
17:6;28:15;30:4,8,10,
inferences (1)
12,18;33:3,6,12;40:22;
189:16
46:19,22;47:5;92:21;
inferior (1)
96:5;99:13;127:11;
181:20
143:25;158:3;171:13
influx (1)
insurances (5)
118:18
21:8;51:11;171:14;
inform (1)
172:13,15
142:19
insure (1)
information (18)
60:1
11:2,5;37:14;41:17; insured (1)
113:2;142:23;143:2,7,
56:19
10,12;145:6;149:23; insurers (2)
150:1;153:1;163:23;
56:13,14
164:1;186:20;187:10 intangible (1)
informational (1)
10:19
67:5
integrity (1)
infrastructure (2)
179:3
11:3,6
intelligent (1)
infusion (1)
73:6
102:13
intensive (4)
inheritance (1)
16:2;171:22,25;
141:22
189:10
initial (1)
intentionally (3)
42:13
97:6;98:8;188:23
initially (2)
interaction (1)
40:11;131:17
184:19
initiation (1)
interactions (1)
178:13
183:6
initiatives (2)
interest (26)
(16) hundred - interest

August 17, 2011

12:8;21:20;24:5;33:5; intuition (1)
103:18
22;64:12;68:15;75:21; inure (1)
87:7;111:18;124:19;
146:10
140:2;142:25;143:13; inuring (1)
146:9;148:20;149:6;
146:3
158:15;163:23;182:13, invest (5)
23
26:21;55:12;83:6;
interested (6)
107:1;125:14
19:24;33:14;34:1;
invested (1)
83:12;192:3;195:24
20:21
interesting (1)
investigate (1)
152:10
190:20
interests (8)
investigated (1)
33:2;63:14;116:1;
154:22
133:6;181:7;185:6,10; investigating (2)
191:23
190:19,20
interim (1)
investigation (7)
10:13
32:12;66:9;77:12;
Internal (1)
79:3;109:8;137:25;
7:15
154:18
International (1)
Investigative (3)
54:17
8:13;153:6,10
Interpreter (4)
investing (2)
9:10,13;155:17,19
106:19;107:1
Interruption (1)
investment (3)
183:22
102:13;106:17,23
intertwined (1)
investments (2)
148:5
10:22;17:21
intervals (1)
invests (1)
189:17
123:22
intervention (1)
invite (3)
125:7
13:7;78:13;147:21
interviewed (1)
involved (12)
133:4
24:2;62:25;133:24;
interviews (1)
138:19;147:21;150:8;
15:18
157:16;160:5;178:15;
interworking (1)
191:9,25;198:4
115:8
involvement (1)
intimate (1)
141:3
39:11
involving (1)
intimidation (1)
134:1
110:7
IPA (1)
into (37)
44:12
20:12;21:3;26:22;
ipsa (1)
30:24;36:3;38:7;44:9;
136:11
56:17;65:8;73:19;74:20; ironically (1)
77:18;80:12;82:15;
133:24
84:22,22,25;85:22;86:1; irrefutable (1)
95:1;97:11;111:4;114:5;
153:14
122:12;125:5;132:17; irritating (1)
138:20;140:23;150:20;
159:1
163:11;164:3,7;176:24; Irvine (1)
177:14;179:6;183:15;
98:24
195:17
issue (32)
intolerable (1)
13:8,11;22:8;32:14,
68:2
24;42:25;54:23;55:8;
intricacies (1)
61:13;66:23;76:18;78:6;
194:10
85:14;93:6;144:2;146:1,
intriguing (1)
2;147:13,15,25;148:6;
135:6
149:5,16;150:2,4;
intubate (1)
154:20;177:3;182:16;
98:22
193:20;194:6,12;195:10
40:17;56:3;62:11,13,17,
Min-U-Script
issued (1)
167:1
66:14
Judge (4)
issues (22)
34:2;78:13;132:11;
12:5,6;38:6;54:21;
181:14
61:18;70:15;75:1,8; judgement (2)
76:5;106:5;107:15;
48:23;198:22
134:1;138:24;139:1; judge's (1)
143:16;144:11;146:15;
181:12
185:24;186:10,18,23; July (7)
190:4
32:19;34:5;64:19;
items (1)
68:25;78:13;111:1;
18:14
170:5
iterations (1)
June (5)
178:16
66:11;74:9;137:15;
141:16;186:9
J
Justice (3)
78:15;79:7;181:5
Jamie (1)
K
15:5
janitor (1)
196:3
Kaiser (4)
January (1)
58:7;156:24,25;
65:13
157:14
Jenson (2)
Kali (2)
142:11;152:4
43:24;152:14
jeopardy (2)
Kamholz (1)
180:18,20
138:12
Jess (1)
K-A-M-H-O-L-Z (1)
26:6
138:13
jewelry (1)
Kavitha (1)
67:6
23:18
job (7)
keep (31)
121:13,24;135:18;
9:20;26:15;38:21;
162:18;171:2;189:8,8
46:18;54:7,9;72:14;
jobs (17)
86:20;93:6,7;94:6;
20:22;70:15,24;71:23;
83:19;99:24,24,25;
125:11;129:18;139:16;
162:6,7,11,11,15;179:6
163:1;171:2;173:16;
185:9;186:20,21
kinds (2)
116:7;123:19
Kit (1)
138:12
knee (1)
170:10
knew (2)
111:24;158:11
Knight (1)
124:14
knit (1)
26:8
Knolls (1)
38:25
knowing (1)
167:4
knowledge (3)
39:11;41:15;60:2
known (7)
38:1;71:19;106:3;
120:15,24;170:9,14
knows (9)
13:16;70:20;74:5;
84:8,8;97:16;137:4;
138:9;157:11
Koelle (9)
104:1,1;108:13,14,17,
17;109:23;110:1,5
K-O-E-L-L-E (1)
108:18
Kollitz (1)
178:5
96:13;115:16;117:10;
129:17,17,18;131:6; Kulyas (13)
87:25;92:8,9,10,12;
139:16,24;156:21;192:9,
11,12,18;193:11;195:21,
Joe (8)
24;197:4;198:19;199:13
103:25;110:18;
keeping (6)
113:16,17,18,19,22;
50:19,21;68:9;125:23;
162:20
141:8;194:18
John (4)
keeps (2)
152:7,8,9,9
20:19;97:8
J-O-H-N-P-E-T-T-Y (1) Ken (7)
152:10
108:12;110:17,17,19,
Johnson (5)
20,20;113:15
175:22;176:9,10,10,15 kept (7)
Joint (3)
95:3;185:12,14;188:2;
31:10,23;190:12
193:8;195:1;197:21
Jolla (2)
key (5)
95:9;99:7
10:11;133:16;134:3;
Jose (3)
146:16;154:21
97:21,23;99:2
kicker (1)
Joseph (11)
98:23
71:9;88:3,4,5;101:15; kidney (1)
104:3,4,5,9,13;164:14
80:18
journalism (1)
kids (2)
153:6
63:8;84:17
journalist (1)
kind (20)
153:10
14:15;40:10;45:1,2;
journey (1)
46:11;62:17;86:3;91:4;
98:2;115:24;121:9;
144:15;154:18;159:1;
94:12,16;97:4,5,5;101:9;
155:5;188:22
K-U-L-Y-A-S (1)
92:10
Kurtz (1)
130:22
L
La (4)
9:1;95:9;99:7;130:18
lab (7)
16:3;78:25;79:1,7;
139:1;170:4;171:10
labor (7)
27:7;64:1;65:12;66:3,
13,15,16
laboratories (2)
171:5;180:24
laboratory (5)
22:1,6,9;135:23;171:6
lack (8)
28:14;109:5;154:14;
174:22,25,25;193:9;
194:8
(17) interested - lack

August 17, 2011

lacking (1)
189:6
laid (1)
94:21
language (1)
129:1
lapse (1)
116:17
lard (1)
98:14
large (13)
40:17,19;42:6;43:8;
44:22;58:25;59:15;
101:1
lead (2)
30:14;66:4
leader (6)
23:21;103:6;105:25;
159:11,19,23
leaders (1)
197:14
leadership (2)
77:25;106:3
learn (1)
91:19
learned (3)
109:15;114:17;118:12;
86:5;120:9;150:20
132:16;139:12;166:10 learning (3)
largely (1)
116:9;120:5;171:2
184:22
lease-back (1)
large-picture (1)
10:14
76:23
least (14)
larger (3)
11:4;26:21,24;30:7;
138:16,20;140:8
44:4;58:16;60:9;128:18;
largest (1)
135:3,9;140:13;143:16;
117:25
186:3;195:22
last (47)
leave (4)
7:25;17:21;20:13;
69:17;113:14;123:19;
23:4;35:10;39:25;43:16,
194:18
18;45:14,16;48:4;49:20; leaving (3)
50:2;53:4;64:16;70:10;
82:22;109:13;118:2
78:8,18;81:9;90:23; led (2)
104:7;105:8;108:17;
20:12;91:21
130:20;134:14;136:9; left (13)
139:9;146:17;150:2;
13:4;41:18;42:23;
152:23;153:4;156:7;
59:3;69:2,7;94:23;
158:16;159:21;161:2;
104:15;155:19;183:8;
164:21;168:4;177:12;
187:3;188:8;195:1
178:5;179:18;183:18, legacy (2)
18;190:25;191:6;
106:13;107:3
195:22;197:23;198:25 legal (8)
late (4)
12:7;36:17;65:8,9;
33:25;108:15;141:16;
67:3,12,16;180:4
182:10
length (3)
later (8)
60:21;80:20;86:6
12:18;68:12,12;84:7; less (19)
120:6;133:9;134:24;
11:12;18:23;58:22;
200:15
61:7;81:15,20;87:8;
laugh (1)
103:20;118:23;150:25;
173:3
160:10;168:23;179:8;
Laughter (2)
181:19,20,23;182:4,5;
85:11;141:23
187:24
law (9)
lessen (5)
12:5;24:10;37:15;
77:15,17;149:13;
56:13,17;67:15;132:20;
183:12,13
178:4;181:12
lessening (1)
laws (2)
182:16
50:24;62:11
letter (4)
lawsuit (2)
110:23;113:14;117:4;
67:9,10
124:14
Lawyers (5)
letters (2)
61:9;67:13,25;179:25;
77:5,24
180:2
letting (1)
lay (2)
181:14
93:11;157:8
leukemia (6)
layed (1)
93:10;94:21;96:23;
Min-U-Script
97:15,16,20
50:11;51:12;145:8,10
level (8)
listen (3)
29:13;51:17;59:4,15;
49:12;94:9;193:16
82:6,16;156:21;172:20 listened (2)
levels (6)
72:17,18
11:11,20;27:1,2;48:8; listening (10)
112:12
9:3;72:16;116:22;
Lewis (3)
137:2;150:6;152:11;
97:22,23;99:2
155:8;163:1,2;169:7
Lex (6)
literally (2)
170:7;190:25;191:1,2,
74:22;86:3
3,5
litigation (1)
L-E-X (1)
133:24
191:6
little (20)
library (1)
23:13;40:15;46:14,24,
26:3
25;54:8;65:16;84:7,7,9,
license (6)
16;108:15;110:3;137:3;
32:15,23,25;54:23;
147:11;159:8;163:24;
135:22;136:1
171:25,25;189:9
licensed (5)
live (8)
10:2;15:24;24:21;
84:13;85:4;98:5;
81:4,13
100:14;108:24;119:24;
lie (2)
173:2;191:16
100:24;163:4
lived (8)
life (9)
25:10;84:13;91:24;
80:8;85:7;96:6;97:12;
98:22,24;99:12;160:1;
161:20
lifeless (1)
98:22
lifelong (1)
199:4
life-threatening (1)
56:23
light (5)
17:17;74:21;134:2;
154:24;185:20
likelihood (1)
182:4
likely (3)
22:3;61:7;143:24
Likewise (1)
145:12
limit (2)
42:11;176:23
limited (1)
140:2
line (6)
9:3;14:5;35:1,6;58:23;
108:4
lines (2)
145:3;146:14
Lionel (5)
101:15;103:1,2,3,4
Lisa (11)
52:6;54:3;63:17,17,
19,20,21;65:15,17,19;
69:10
list (10)
13:21;14:12,25;34:21;
35:7;41:14;45:10;49:21;
52:3;54:10
listed (4)
101:21;164:23;171:9;
163:5,11,19
Loise (2)
108:12;110:16
long (13)
24:1;30:13;69:12;
82:7;85:6;106:1,1,18;
109:3;120:24;126:10;
168:15;193:17
longer (6)
54:8;120:17;135:24;
150:4,17;171:13
longest (1)
180:2
longstanding (2)
81:7;197:21
Long-term (1)
138:7
long-time (1)
166:6
look (29)
27:10;36:2;44:9;
50:15;51:13;53:21;
57:22;59:14;60:21;61:5;
79:15;92:2;107:19;
145:7,9,17;146:2,15;
147:8;153:12,12,13;
191:5;194:4
162:1,14;163:13,19,24;
lives (11)
190:6,8
22:20;85:1;87:18;
looked (4)
96:25;99:11;100:19;
57:8;95:12;150:10;
123:22;173:15;183:10;
178:20
192:6,20
looking (16)
living (3)
57:13;59:4,8;60:7;
168:2,12,13
71:10;86:8;106:24;
LLC (3)
140:3;162:10,15,17;
7:14;24:20;72:12
163:11;164:3;174:13;
loan (2)
190:5;199:4
161:11;185:16
looks (7)
loans (1)
34:8;45:8;97:24;
148:15
164:2,5;165:11;182:24
lobby (1)
loop (1)
67:5
41:18
local (34)
loquitur (1)
11:21;27:8,10,12;
136:12
28:20;68:7;80:10;83:11, Los (3)
13,18,19;87:19;102:5,9;
47:18;129:23;132:11
103:16;106:11,13,18; lose (15)
109:15;117:22;118:3;
30:17;43:2;51:20;
124:2;161:20,20;
70:23;71:4;80:22;81:12;
166:22;167:12,19,22;
105:23;119:17;122:3;
168:9,16,25;169:1;
135:22;162:6,11;
179:6;199:11
164:10;166:1
locally (2)
losing (2)
109:2;122:1
96:11;136:1
locals (1)
loss (7)
109:15
39:5;71:5;81:21;
located (4)
83:19;96:21;118:4;
10:4;16:17;62:1;67:14
121:4
lock (1)
losses (3)
75:21
30:15;128:7,12
locked (1)
lost (13)
150:18
33:8;40:5;70:16;
logically (3)
99:12;109:3;141:15,17;
(18) lacking - lost

August 17, 2011

163:14;165:25;170:16,
18;172:25;178:21
lot (46)
21:9;35:19;36:8,12;
38:4;46:12;54:10;59:21;
70:22;84:25;96:12;
98:17;108:1;110:2;
114:1,1,25;121:14,15,
19;122:13,20;123:12;
129:16;130:16;133:25;
134:20;136:19,21;
158:18;159:5,6,23;
161:9,22,23,23;167:6;
177:6;181:24;189:20;
190:22;192:7;195:23;
197:7,7
loud (1)
72:19
love (1)
78:4
loved (7)
96:19;97:12;99:22;
88:9;90:2;166:14;
167:11
Maintaining (3)
20:9;53:13,15
maintains (1)
30:7
maintenance (1)
18:13
major (6)
29:6;40:16;41:2;
42:25;86:22;131:3
majority (6)
23:24;50:10;51:10;
77:9;145:21;189:10
MAKALA (7)
45:11,12,12,15,16;
46:8;47:3
M-A-K-A-L-A (1)
45:16
makes (3)
20:7;61:5;140:17
making (16)
7:17;19:22;39:17;
55:11;62:20;82:19;
108:5;114:17;136:5;
mansions (1)
100:15
many (57)
16:15,17;17:7,11;
18:11;21:4,7,10;25:9;
14;121:17;122:2;
124:19;125:2;126:14;
127:20;128:22;129:15,
19,20;131:22;134:19;
139:7;157:21;158:23;
161:17,19;164:4,25;
167:22,24;170:9,17,22;
Min-U-Script
12;60:10;64:5;71:9;
77:4,10,10,20,21;78:1;
94:14;104:24;119:20;
80:7;82:10;83:12;89:10;
93:4,19;97:18;99:13,14,
19;100:5,11,12;103:10;
142:20;145:20;146:22;
40:7;100:10;120:15;
121:5;137:17;163:17
Mayo (2)
59:19;60:13
mayor (16)
68:20;69:21,23,24;
70:1,6;71:22;72:17;
172:6,12;173:8,11;
179:4;185:13;186:17;
189:20,24;190:10;
192:20
Mark (9)
79:24;82:24;84:1,3,4;
96:9;104:14;105:6
McEACHRON (3)
69:23,24,25
M-C-E-A-C-H-R-O-N (1)
92:6;97:4,5,5;101:8,9;
69:25
155:6;188:22;194:18 MD (3)
38:9,10,11
MDS (11)
15:10;18:10;52:19;
53:12;72:23;76:17;
127:17;128:8,13;
146:16;189:8
meals (1)
172:10
mean (13)
35:20;44:24;57:21;
105:14;106:6;108:1,6,
25;109:1;111:12,13;
112:13;115:3;117:10,
14;118:8,10,22,24;
122:21;126:8,10,14,17;
134:12;139:1;142:18;
143:20;157:6;159:6;
161:19;166:4,17;167:9,
12,20,24;170:11;171:22;
184:8,17,25;193:23,23;
199:10,17,20
Medi-cal (13)
17:5;18:6;21:4,5;47:5,
7;109:9;128:9;135:8,25;
172:16;184:22;192:2
medical/surgical (1)
27:6
medically (1)
28:23
Medicare (35)
17:5;21:5,24;28:16,
18;29:10;31:7,10,24;
32:20;56:25;57:19;58:6,
17;59:5,20;60:4;61:11;
74:20;109:9;135:9,25;
154:8;172:16;180:5,13;
60:11,12;96:12;119:18;
181:8;184:23;185:20,
163:13;165:6;176:23;
25;186:7,14,15;188:11;
177:5,18;196:20
meaning (1)
168:23
means (9)
23:24;27:15;35:21;
97:17;114:1;136:1;
148:25;165:8;189:15
meant (1)
62:11
measure (1)
188:12
measured (1)
28:18
Measures (2)
28:17;190:2
median (2)
58:23,25
medians (1)
189:16
Medicaid (7)
21:24;180:5,13;181:8;
186:7,14;188:11
medical (100)
57:24,25;58:17;59:6,8,
62:24;74:23;75:1;89:4;
28:13;33:5;36:4;47:18;
149:12;153:3;171:7;
59:12;66:5;70:22;78:8;
180:12;184:16,16,19
80:7;85:2;114:5;118:3, maybe (6)
marked (2)
94:18;95:8
market (5)
142:25;172:22;186:23;
44:21,22;55:22;
191:10;193:8;198:3,21
172:20;183:4
malnourished (3)
marketing (2)
80:19,21;85:10
167:4,11
mal-nurtured (1)
marketplace (2)
80:21
125:13;183:12
malnutrition (10)
Martha (10)
31:7,23;32:3;57:12,
155:22,22,25;156:1,3,
16,20,23;80:14;93:6;
4,6,6,10;160:4
196:1
M-A-R-T-H-A (1)
Mamo (1)
156:7
160:16
Mary (10)
man (5)
16:12,19,21;18:17;
84:15,16,21;155:17;
37:10;47:6;71:9;157:7;
177:25
167:8;194:6
manage (1)
Mary-Ellen (3)
10:15
155:23;160:15,15
managed (9)
Mary's (14)
M
18:17,18;25:3;30:16;
36:6,14;42:21;109:14;
58:7;77:1,12;143:25;
127:18,18,19;129:6;
ma'am (2)
167:10
131:20;135:12;157:3;
94:11;188:25
management (6)
176:24;183:3;185:2
machines (1)
10:14;17:24;20:3;
massive (1)
114:13
82:1;104:19;175:1
64:20
macular (1)
manager (2)
master's (1)
168:14
161:8;166:3
189:11
Magama (1)
managers (3)
matter (4)
155:21
25:4,8;194:8
79:4;137:9;161:10;
Magazine (1)
mandated (1)
180:4
138:11
128:25
matters (5)
Magma (1)
mandating (1)
12:7;79:20;131:2;
155:21
50:20
179:21,24
main (2)
mannequins (1)
mature (1)
10:16;44:1
89:11
119:20
maintain (10)
manner (3)
maximize (1)
27:5,18,24;30:9;
48:23;198:22;199:15
62:12
76:24;77:1;103:10;
may (29)
125:11;128:17;197:8 manning (1)
130:22
13:1,8;28:1;30:19;
maintained (4)
100:9,16;165:25;166:1
low (2)
33:7;112:4
lower (3)
60:19,20;69:15
low-income (2)
52:15,21
Luckily (1)
168:10
lull (1)
72:6
lumpectomy (1)
166:20
lung (2)
168:7;171:20
Luther (5)
87:24;90:13,14,15,16
L-U-T-H-E-R (1)
90:16
33:1,13;34:22;40:16;
50:15;54:8;59:24;61:18;
11:9;12:15;13:5;16:8,
12,19,22;18:18;20:5;
192:3
Medicare's (2)
32:13,18
medicine (4)
31:5;37:23;39:25;
109:4
mediocre (1)
123:17
meet (1)
125:24
meeting (8)
7:9,20;8:14,21;13:16;
50:11;200:15,21
meetings (1)
15:8
Mekala (1)
45:8
member (22)
19:8;49:5;63:11;
90:24,25;101:16,17,19;
115:15;116:20;127:10;
131:11;134:12;136:5,
17;137:20;139:6;
140:21;142:3;152:12;
156:15;161:6
22:19;24:13,14;26:3,23; members (38)
27:10,15;29:17,18;
11:8;23:23;25:5,9;
38:24;39:10,19;41:23;
42:4,7,24;45:23;48:8;
27:9,10,21;29:23;34:10;
50:7;52:14,15,17;53:16;
(19) lot - members

August 17, 2011

18;132:14;139:17;
55:14;63:3;77:25;99:22;
127:7,7,20,25;128:1,22,
141:21;146:18;147:11,
22;129:9,21;130:1,1;
11;148:8;161:13,13;
134:14;138:21;145:19;
151:22;175:13;184:15,
16,20;197:22
mental (2)
170:12;171:19
mention (9)
17:14;41:22;61:12;
78:3;102:6;140:19;
150:3;189:23;197:23
mentioned (5)
15:21,24;51:1;168:6;
169:20
mentioning (1)
182:13
mentions (1)
44:8
mergers (1)
138:18
meritless (1)
65:11
merits (1)
79:11
message (1)
108:8
met (3)
74:23;121:8;141:15
metric (1)
59:12
mic (2)
49:25;131:6
MICHAEL (17)
23:1,2,5,13;34:15,18;
124:7;126:5;130:12,12,
14,15,24;131:8;132:5,
10;145:13
Michelle (6)
79:24;82:23,23,25;
83:1,1
microphone (5)
8:15;23:12;46:25;
108:16;130:15
microphones (1)
8:25
mid-1990s (1)
138:5
might (9)
40:13;61:17;81:11;
85:16;135:2;143:8,19;
186:21;199:25
Mike (4)
22:24,25;23:3;34:12
miles (3)
47:18;62:1;152:16
million (51)
10:25;11:1,4;23:16;
25:20;26:22,24;30:2;
51:6;59:25;60:15;75:6;
76:1,1;79:16;88:23;
91:25;92:18,19,23;
94:13;115:11;131:18,
Min-U-Script
163:7,8,10,14;178:23;
179:8;181:19,20,21,23;
185:14,16;187:2,21,21,
22,24;188:9
millions (9)
20:21;30:14;33:8;
67:24;84:21;87:12;
96:18;128:7,12
mind (6)
14:21;82:22;115:16;
141:1;163:4;198:20
mine (5)
15:5;56:10;154:7,9;
165:17
minimize (2)
18:14;19:1
minute (2)
14:18;73:20
minutes (6)
9:21;54:7;80:25;
101:11;119:25;176:6
misdiagnosing (1)
93:4
misguided (1)
30:24
misleading (1)
113:2
mispronounced (1)
88:1
mispronouncing (2)
34:23;132:1
mispronunciation (1)
169:17
miss (1)
54:20
Mississippi (2)
29:9;196:18
misspoke (1)
181:2
misstatements (1)
30:22
mistakes (2)
133:21;134:5
mistrust (1)
39:14
mitigated (1)
114:10
Mitzelfelt (2)
117:3;119:4
mix (1)
69:14
model (6)
40:24;45:2;46:13;
56:17;62:14,23
modeled (1)
76:2
models (1)
197:16
modernization (1)
140:6
modernize (1)
139:16
modernized (1)
133:19
Molina (3)
47:6,7,13
mom (6)
97:21;98:10,14,17;
100:23;134:17
moment (4)
63:7;74:4;135:3;
144:14
moments (1)
186:11
mom's (1)
98:12
Monday (5)
98:10,25,25;120:23;
158:6
monetary (1)
106:24
money (48)
30:17;38:4;59:21;
22:11;23:16;25:20;26:1,
7;28:10,10;29:11,25;
30:2;31:8;32:7;33:23;
37:4,11,22;38:2;40:8;
41:4,13;50:5;51:19;
57:19;59:2,19;60:16;
61:12;64:2,23;65:2;
66:20;69:12;70:17;
96:14,14;97:8,9,9,9,11;
24;100:1,3;106:20;
107:13;116:15;121:5,13,
14,15,18,19;159:5;
160:9;163:14,15;
172:23;177:5,6,8;179:6;
181:24;182:2,3;183:9;
187:24
monitored (1)
192:13
monitoring (2)
195:7,9
monopolization (3)
182:10;183:21;184:7
monopolizing (1)
41:1
monopoly (6)
43:6;44:23;77:16;
109:13;149:14;175:6
Montclair (8)
23:20;24:13,16;29:18;
111:12;146:19,24,25
Monte (1)
164:14
month (7)
19:16;26:7;68:12;
75:18;137:1,2;171:7
months (20)
33:24;43:24;53:4;
68:12;70:11;74:22;
96:10,10,12;122:11;
136:10;153:5;158:24;
159:17;170:7;178:19;
185:8,13;186:22;187:15
Moore (2)
130:13;186:20
more (61)
9:21;19:23;20:7;21:6;
9:15;18:23;19:3;20:1;
30:17;36:23,24;38:8;
39:20;43:12;44:11;45:6;
73:10;83:14;88:14;94:6;
47:25;49:13,14;51:21,
22;54:1;56:18;60:25;
61:6;68:18;69:20;72:3;
79:22;82:21;83:14,24,
25;85:19;87:23;92:5;
96:25;103:21;106:7;
97:1,2;102:2,24;108:10;
117:21;118:23;123:13;
140:7,9,15;153:11,11;
161:24;166:22;168:21;
126:2,19;130:10;131:14,
170:6;171:18;176:4;
183:4;186:23;189:18
morning (1)
158:6
Morris (6)
84:2;87:24;88:3,4,4;
91:9
M-O-R-R-I-S (1)
88:5
Mort (7)
60:4;74:12;75:6;93:2;
142:10,12,13,14;
98:4,6,7,7,7;99:11,18,20,
much (59)
110:11;116:23;124:5;
20;160:13;164:11;
165:19;168:23;169:3;
173:18;175:14,15;
193:15;196:9,13;198:23,
24;199:2
much-needed (1)
111:23
multiple (3)
69:13;106:4;162:12
murdered (3)
97:7;98:8;188:23
must (17)
152:18;154:13;182:14
7:22,25;11:22;21:22;
M-O-R-T (1)
28:7;56:2;110:13,14;
142:14
112:25;116:19;119:18;
mortal (1)
129:5,8;135:3;177:2;
141:21
199:14;200:15
most (29)
mutually (1)
12:9,13;18:18;21:12;
77:2
36:9;42:14;50:17;53:15; myself (11)
64:22;76:8;77:3,19,20,
40:16;85:3,8;102:7;
20;96:4;115:20;116:13;
114:5;120:1;158:17;
125:7,22;129:3,7;133:4,
160:9;161:18;173:8;
5;135:17,21;153:24;
189:9
166:19;175:5;191:19
mostly (2)
N
91:5;174:8
mother (4)
nail (1)
97:24;119:21;120:12;
162:23
134:8
name (66)
mothers (1)
7:7,25;9:1;14:14;15:2,
119:2
3,5;19:10;23:1,4;35:10,
motivation (1)
10,13;37:2;38:10;40:1;
153:15
43:15,16;45:14,16;48:2,
motivator (1)
4;50:1,2,2;52:9;63:20;
121:5
68:22;69:25;80:1;83:1;
motive (1)
92:1,9,11;97:5;101:18;
194:25
103:4;104:4,8;108:17,
motor (1)
18;110:20;117:1;
122:22
119:12;123:9;124:11;
move (10)
130:24;142:13;156:5,6,
23:11;49:24;73:2;
7;160:24;161:1,2;
75:23,25;108:16;
164:21;169:14;173:22;
130:15;158:25;159:13,
178:3,5,6;179:17,18;
16
188:17;191:5,6;199:3
moved (3)
named (1)
155:4;157:16;166:16
187:13
moves (1)
nameless (1)
77:16
130:1
MRSA (2)
names (1)
85:16,25
42:1
(20) mental - names

August 17, 2011

Nanda (2)
95:16;99:1
Naranja (3)
97:22,23;99:2
nation (10)
29:6,15,18,20;108:24;
111:14;122:1,15;
196:18;199:21
national (6)
58:23,24;65:12;66:15;
108:22;189:25
National-Labor-Relation-Board-conducted (1)
65:5
nationally (1)
82:14
near (4)
71:9;85:17;109:13;
136:7
nearest (3)
47:17;61:23;62:4
nearly (2)
132:17;181:12
necessarily (3)
43:6;134:21;168:20
necessary (4)
7:20;20:18;76:9;
165:11
need (67)
13:23;14:3,17;21:17;
25:25;40:4;43:10;44:19;
45:15;46:21;49:24;
53:17;58:10;62:20;
71:12,23,23,24;73:2;
79:12,17;81:24;97:17;
99:16;102:9,13;107:22;
114:3,8,16;115:17,17,
18,19;116:7,20;119:23;
122:16;123:3;124:23;
125:13;129:25;130:1,2;
134:25;143:8,10;148:18,
18;152:5;154:21;
159:14,15,15;160:7,8;
165:17;173:16;179:25;
180:3;184:6;189:18,21;
192:18;197:3;199:12,13
needed (8)
17:21;21:14;95:1;
115:1;133:11;177:15;
182:21;186:20
needs (34)
9:8;12:19;14:23;
20:10,19;21:1;37:7,13;
38:20;39:2;44:11,13,14;
70:7;102:15,16;106:11,
14;114:3,15,16;116:16,
17;122:4;125:11,20,24;
133:17,18;147:6;149:2;
152:23;168:23;198:23
negative (7)
18:15,22,22;19:2;
118:6;123:20;196:13
negatively (1)
18:16
Min-U-Script
neglect (1)
95:14
negligence (1)
95:13
negotiate (5)
55:23;67:16;128:15;
130:8;151:10
negotiated (2)
42:20;131:17
negotiating (1)
185:12
negotiation (2)
136:24;178:19
negotiations (2)
64:18;69:9
negotiators (1)
64:20
neighbors (1)
174:23
neither (1)
146:4
neonatal (1)
16:2
Nepomuceno (3)
105:1;122:8;195:19
Nepomuceno's (1)
134:13
net (3)
non-biased (2)
48:23;198:21
non-contingent (2)
73:15,23
none (2)
100:6;158:11
nonetheless (1)
145:22
nonmedical (2)
156:13;161:11
Nonprofit (25)
7:12;11:25;12:1;
NUHHCE (1)
63:23
number (22)
9:21;12:5;14:15;
17:19,23;28:3;51:3,14;
58:21,21,25;59:15;60:3;
70:25;71:1;83:22;
128:14;150:17;151:15,
22;163:18;200:17
numbered (1)
138:22
numbers (14)
23:14;24:12,20;25:15;
43:8;57:13,18,22;
58:5,12;112:7;146:21;
18,21;62:6;111:7,8,11,
163:3,3,12,12,19;182:25
21;112:23;146:4,6,11; numerous (1)
26:16;30:1;55:11;61:16,
147:20;148:1;169:21
N-O-N-P-R-O-F-I-T-H-O-S-P (1)
29:4
nurse (9)
68:23;95:2,4,18;
108:18,19;171:17;
189:10;196:4
Nurses (22)
63:22;64:4;65:10;
66:11,19;67:6;190:14
occurring (1)
148:16
o'clock (4)
13:24;35:4;158:6;
176:7
October (2)
69:5,11;88:14,19;89:23;
113:24,24
90:10;91:7;96:23;
off (6)
108:21,22,23;109:19;
59:16;84:10;98:2;
12:22
nonprofits (3)
61:22,25;62:2
nonrefundable (2)
105:21,22
noon (1)
200:16
nor (3)
146:5;149:15;170:22
110:6,10;114:23;116:8;
Notably (1)
121:16,22;158:11
146:17;147:10;187:22
68:8
Nurses' (1)
network (2)
note (7)
89:7
145:7;190:1
26:17;30:19;38:1;
nursing (25)
neutral (1)
100:21;175:24;177:11;
38:25;39:7;80:9;88:6,
66:9
183:7
8,11,13,16,23;89:1,5,6,
nevertheless (2)
noted (4)
17,20,21;90:4,7,20;
41:10;174:20
103:13;138:14;151:5;
114:22,22;115:4,7;
new (18)
180:1
121:12;139:2;150:7
16:22;21:3;26:22,23; notes (3)
53:22;61:12;64:19;
119:16,19;172:4
O
69:13,15;75:14;89:8,9; not-for-profit (10)
92:13;110:11;128:25;
52:12;132:22;144:24; Oaks (2)
130:8;145:15;151:10
148:5;187:12,23;192:9,
141:1;198:16
next (7)
15;195:2,5
OBGYN (1)
19:16;65:3;103:1,25; nothing's (1)
50:4
114:18;138:16;187:9
148:22
OBGYNs (1)
nice (2)
notice (9)
35:15
72:25;84:11
10:9;12:3;142:17;
objections (1)
nickel (1)
143:10,15;145:10;
65:11
137:2
147:18;149:15;163:1 obligate (1)
night (4)
noticed (2)
50:25
120:23;157:11;
132:15;182:14
obligation (3)
168:15;199:12
notices (1)
65:9;132:23;180:4
nine (2)
12:23
observations (1)
39:25;43:24
notify (1)
133:11
Ninth (1)
22:16
observe (1)
67:2
notwithstanding (1)
15:7
NLRB's (1)
145:19
obst- (1)
65:19
November (4)
111:23
Nobody (2)
74:8;105:13;137:2; obstacles (1)
60:12;196:18
182:19
76:5
nobody's (2)
NRLB (3)
obstetrical (4)
196:22;198:4
66:9,11,22
11:17;17:2;111:25;
no-contingent (1)
NRLB's (3)
112:1
75:21
65:14,20,24
obstetrics (1)
21:2
obtain (1)
81:23
obtaining (1)
59:22
obvious (1)
77:14
Obviously (3)
55:3;75:14;177:18
occasion (1)
41:4
occupancy (2)
16:15;17:10
occur (2)
41:20;148:11
occurred (4)
122:18;131:12;189:16
offer (15)
11:10;14:7;26:19;
30:13;73:15,20;75:15,
22,25;76:16;79:14,15;
82:3;181:18;188:20
offered (3)
27:19;76:8;178:22
offers (1)
40:9
office (24)
8:11,12,25;22:8;
32:13;44:2;47:20;50:14,
15;82:4;107:21;117:7;
132:12,19;134:2;136:8;
138:1;140:25;141:5;
176:16;178:4;182:15,
19;187:7
OFFICER (128)
7:4;8:18;9:12,15;19:3,
6,13;22:14,23;23:3,11;
34:12,16,19;36:19,23;
38:8;39:20;41:25;42:5,
8;43:11;45:6,13;46:7,
23;47:25;49:14,18,24;
51:22;52:2;53:24;54:1;
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(21) Nanda - OFFICER

August 17, 2011

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Opening (1)
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Outpatient (1)
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Ordinarily (1)
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Others (10)
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(22) officers - paged

August 17, 2011

pages (1)
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panicked (1)
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paper (7)
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Paradise (3)
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paragraph (1)
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paramedics (4)
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Pass (2)
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Petty (4)
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PHAGUDA (4)
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P-H-A-G-U-D-A (1)
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philanthropist (1)
plan (14)
(23) pages - plan

August 17, 2011

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prevents (1)
practiced (1)
32:19
45:2
previous (4)
practices (5)
70:11;95:14;191:25;
56:8;66:3,13,17;134:8
195:18
practicing (3)
previously (4)
37:3;43:17;45:21
53:12;74:1;76:3,7
prefer (1)
price (9)
14:16
10:25;129:11;136:7;
prefers (1)
139:18;185:14;186:16;
44:25
187:21;188:7,8
pregnant (1)
prices (1)
165:7
47:21
Prem (37)
primarily (2)
23:17;24:3,3;25:15;
25:25;83:19
44:5;50:6;82:12;83:4; Prime (177)
84:15,16,23;88:21;
7:13;15:13;19:18,19;
90:23;92:1,23;97:10;
20:17,22,25;21:2,10,16;
46:11,14;47:15;55:10,
114:9;115:25;116:15;
20;56:1,16;57:3,3,5,9,
134:19;185:20;186:3
17;58:4,6,9,10,20,24; procedure (2)
59:5,14,17,19,21;60:10,
9:24;22:15
23,25;61:4,15,20,21,25; procedures (3)
62:5;63:12;64:8,25;
42:19;46:21;165:11
65:7,11,24;66:2;67:6,9, proceeding (2)

15,20,21;68:1,3,8,15,25;
76:14;178:14
69:4,6;70:13,18;72:20, proceedings (3)
22;73:8,19,24;75:22;
72:16;174:18;185:11
76:2,18,23;77:11;78:2; process (11)

79:11,14,21;81:2;82:3,
33:19;51:18;117:8;
13,13;89:14;92:15,20;
164:3;191:10,13,20;
93:3;96:2;100:1;102:10;
103:8,11,12,13,19;
104:21;106:1,2;107:6,9,
9;111:3,15;113:3,4;
123:8;125:2,6,21;
136:13;140:20;141:3;
143:18,18;144:18,19;
153:15;154:19;156:18;
161:16;162:3;169:19,
22;170:8;172:15,17,19;
181:21;183:15;187:5,6,
18;190:7;191:8,16;
193:22;194:17;196:12,
18;197:2;198:12,12;
199:23;200:7
Prime-Healthcare-Services-owned (1)
64:4
Prime-owned (1)
62:1
Prime's (7)
56:8,9;61:18,23;62:6,
24;64:20
principal (1)
140:20
prior (5)
14:8;135:4;136:13;
150:11;180:11
private (7)
40:22;42:3;46:19;
50:4;94:17;162:10,12
private-practice (1)
43:19
privilege (2)
39:10;48:10
privileges (4)
27:16,17;41:6,12
PRO (3)
84:3,4;105:6
probably (16)
42:15;59:1;73:10;
192:24,25;196:4,25
processes (1)
133:10
produce (2)
88:10;116:7
produced (1)
88:14
products (1)
102:5
profession (1)
115:23
professional (3)
158:15;199:15,19
Professionals (5)
63:23;64:2,12;90:11;
123:5
professor (1)
130:21
profit (11)
24:6;46:20;56:18;
98:9;105:15;110:12;
132:22;147:8;174:8;
179:23;194:25
profitable (2)
92:25;94:6
profits (2)
62:13;64:25
proforma (1)
153:21
profound (1)
108:4
program (21)
28:23;88:6,9,13;89:1,
16,19,20,21,22,23,23;
90:8,8;91:17;114:22,22;
121:14;135:25;182:1;
190:14
programs (5)
26:9;28:19;88:24;
89:3;116:1
94:6;119:24;120:17,18; promise (2)
162:12,13,15,16,17;
125:22;181:5
163:13,22;165:8;181:6 promised (1)
problem (13)
139:17
(24) planning - promised

August 17, 2011

promises (2)
141:8;181:3
promote (1)
83:16
prompted (1)
41:11
pronounce (1)
155:5
proof (2)
168:3,12
propaganda (1)
31:9
proper (3)
148:19;154:24;164:8
properly (3)
78:11;147:16;154:15
property (2)
10:18,18
proposed (16)
7:10;10:11,12;12:10;
25:24
put (26)
30:23;31:9;37:16;
29:12;30:2;71:24;73:13;
43:4;44:14;61:20,21;
83:5;91:19;113:10;
66:19;73:21;75:14;
143:2;146:23;153:1;
84:21,25;86:2;91:10;
154:25
95:23;97:21;109:11;
provider (2)
113:1;118:1;120:18;
166:4;186:15
122:12;129:9;136:22;
providers (1)
139:15;159:13;164:6
88:11
puts (2)
provides (8)
87:5;110:12
17:4;21:4;26:4;34:10; putting (2)
53:14;90:5;103:14;
37:19;97:11
111:22
P-values (1)
providing (9)
189:18
17:1;25:22;29:3,21, pyramids (1)
22;33:8;47:9;83:11;
139:2
179:3
provisions (2)
Q
13:1,8;23:9;64:7,10,20,
10:16;44:14
23;69:10;105:15;136:7; prudence (1)
qualified (3)
142:20;145:16
48:22
24:1;88:10;117:8
pros (2)
psychiatric (1)
qualifying (2)
161:23,24
80:9
60:9;82:2
prosecute (1)
Public (32)
quality (16)
66:10
7:12;8:14,20;12:8;
29:3,21;34:10;61:5;
prosecutions (1)
15:8;22:16;23:15;32:14,
68:5;82:17;91:6;102:19;
131:4
21;56:2;57:7;62:9,10,13,
109:1;118:24;125:12;
prosecutor (1)
17,22;63:14;64:11;
166:24;196:11,17,19;
137:18
68:15;111:8;131:19;
197:5
prosed (1)
139:25;142:19,25;143:5, quality-of-care (1)
68:17
14;148:20;149:24;
28:17
prospective (1)
164:25;166:4;194:22; quantity (1)
54:22
200:14
42:16
protect (2)
public's (1)
quarantined (2)
20:4;62:12
149:6
86:2,3
protected (1)
publish (1)
quarter (2)
99:21
104:17
92:18,19
protection (3)
published (1)
quasi-prepared (1)
17:22;20:13;131:3
65:21
54:18
protects (2)
pull (1)
Quest (1)
20:22;56:13
46:25
79:1
protesting (1)
purchase (20)
quick (4)
109:6
10:17,25;20:18;23:10;
51:23;107:2;155:16;
proud (3)
55:15,21;68:11;71:17,
175:24
107:5;158:21;166:24
18;82:8;90:9;96:3;
quickly (7)
proudly (1)
103:7;105:16;131:15;
8:9;14:13;35:22;
200:4
139:18;165:14;199:24;
70:14;74:1;136:14;
prove (1)
200:1,8
177:14
95:20
purchased (2)
quite (4)
proved (1)
81:1;155:10
37:6;153:6;169:20;
198:17
Purchaser (3)
170:15
proven (3)
18:9;128:15;139:14 quote (8)
102:10;112:22;198:13 purchasing (2)
133:16;146:21;148:7;
provide (31)
92:15;106:16
149:18;154:2;180:6,7;
8:6;11:16,18;20:25; purports (1)
200:4
26:25;29:1,13,25;35:18;
152:12
quoted (1)
50:16,25;51:16;82:6,16; purpose (2)
135:6
88:25;102:20;109:5;
7:9;59:13
115:6;118:15;140:9,15; purposes (2)
R
143:11;156:13;168:18;
7:15;81:17
178:17,23;179:5;
pursue (1)
radiation (1)
Min-U-Script
194:20;196:13,16;198:5
provided (14)
11:12;25:17;27:2;
166:23
Radino (1)
149:21
raise (1)
160:9
raised (4)
really (36)
14:13,22;19:23;36:22;
37:12;44:10;60:24;61:6;
79:12;80:13;86:14;
90:25;91:10,17,21;93:6;
9:13;37:5;54:22;159:5
raising (1)
73:6
RAKESH (3)
48:1,2,3
R-A-K-E-S-H (1)
48:3
Ranch (1)
26:6
range (7)
12:6;15:24;110:18;
113:16,18,19,22
ranked (7)
29:5,8,9,14,17,19;
199:20
rate (11)
32:4;42:11,12;46:20;
57:23;69:15;85:15;
116:6;119:18;123:15;
126:16;127:9;129:12;
135:14;144:13;148:25;
164:6;165:9;166:5;
168:15;171:1;172:8;
176:6;177:1;183:10;
188:25;195:15
realm (1)
107:19
re-approached (1)
191:24
reason (16)
33:25;46:13;56:25;
61:8;69:3;73:24;75:19;
82:17;86:20;87:14,14;
141:24;159:22;191:23;
195:5,14
reasonable (5)
17:23;30:6,14;44:9,11
87:17;105:10;112:14; reasonably (1)
117:21
55:17
rates (22)
reasons (6)
30:6,13;31:7,21,23;
46:1;56:7;74:15;93:8;
32:5,8,9;33:7;42:20;
103:9;135:20
44:9,13;56:22;57:1,15; reassure (2)
128:4;129:5,7;130:8;
195:11;196:11
135:1,2;138:25
Rebecca (6)
Rather (6)
119:10;124:6,7,10,11,
24:8;37:23,23;64:24;
12
68:9;110:11
rebuild (1)
rating (1)
160:8
61:9
recall (1)
ratio (1)
11:13
112:4
receivable (1)
ratios (1)
10:20
139:2
receive (8)
reaccreditation (1)
7:9;16:15;27:21;
89:6
28:25;89:9;108:25;
reached (3)
151:16;195:10
53:18,19;64:19
received (8)
read (4)
26:2;29:4;166:17,19,
56:5;100:8;124:14;
25;168:8,9;200:15
153:25
receiving (1)
reading (3)
27:11
8:8;109:24;117:3
recent (7)
readjusted (1)
18:2;69:9;70:3;89:11;
185:15
133:5;135:17;145:25
ready (2)
recently (7)
34:6;137:8
55:13;57:8;89:5;
real (12)
145:15,22;151:12;
10:17;72:12;84:24;
166:19
87:21;98:23;104:18; recess (2)
105:17;112:7;122:21;
52:1;101:12
149:25;165:5;180:19 recession (1)
reality (2)
117:19
138:9,10
recognize (1)
realizes (1)
27:14
40:6
recognized (1)
(25) promises - recognized

August 17, 2011

82:14
recognizes (1)
83:3
recognizing (3)
29:5;106:18;148:12
recommend (1)
18:24
recommendation (1)
37:16
recommendations (6)
18:10,12;19:1;50:19;
53:11;89:7
recommended (1)
81:15
recommends (1)
179:12
record (20)
7:21;8:2,3,19,20;
147:11
reductions (2)
135:1;138:24
refer (2)
150:7;186:5
reference (1)
14:16
referenced (1)
147:4
references (1)
174:16
referred (3)
22:1;56:9;182:17
referring (1)
135:22
reflects (1)
39:11
refundable (1)
21:11;24:1;45:14;47:15;
105:21
73:9;76:15;77:12;
refuse (1)
101:14;102:10;103:12;
180:6
141:7;153:3;156:18; refused (5)
180:4;190:1
65:22;67:8;93:16;
records (4)
99:3,8
31:17;95:22,25;
refuses (2)
194:22
56:12;99:4
recruit (1)
refusing (1)
197:12
100:4
red (3)
regard (3)
22:8;78:5;79:10
15:16;21:19;193:11
Reddy (92)
regarding (12)
23:17,18;24:3;25:10,
23:9;27:12;29:2;30:4,
14,15,16;34:23;38:2;
12;31:14,22;40:10;
44:5;45:8,8,11,12,12,15,
109:19;113:3;146:16;
15,24;46:8;47:3;50:6;
187:10
170:13,19,21
reimbursement (4)
135:1,2;138:25;
181:24
reimbursements (1)
154:9
reinstatement (1)
66:24
reiterate (3)
51:2;91:8,9
rejected (3)
34:4;65:13;151:9
rejection (1)
151:7
related (2)
30:19;81:6
relates (1)
129:20
Relations (3)
65:12;66:15;166:4
relationship (13)
52:23;53:1,7;81:7;
88:18;90:3,6;115:8;
82:12;83:4;84:15,16,23; regardless (3)

86:20;87:9,15,19;88:25;
33:11;53:6;162:21
89:9;90:23;92:23;97:10; region (3)
100:2;101:2;106:3,4,4,
10,21,25;107:4,15;
109:8,13;111:10,17;
115:9,10;120:15,24;
121:7,16,19,25;123:22;
133:25;140:20;141:20;
145:10,12,20;148:14;
152:13;153:13;154:3,18,
20;155:9;161:11,16;
105:11;106:7;118:11
Regional (5)
57:24;80:11;118:17,
22;161:7
region's (1)
112:10
registered (11)
64:3;65:10;68:23;
88:11,14,16;89:5,7;91:7;
170:7;174:2,17;176:22;
108:18;189:9
178:21;179:2,23;187:5; registries (1)
191:2,3,5,6;192:5,14,24;
197:10
193:2,7;194:17;196:24 regular (2)
R-E-D-D-Y (1)
191:6
Reddy's (13)
24:4;44:24;55:14;
70:19,20;88:21;92:1;
107:1,16;116:11;
145:23;178:13;187:5
redouble (1)
116:7
reduce (2)
60:19;198:2
reduction (1)
Min-U-Script
94:19;97:21
regularly (1)
29:25
regulation (1)
147:22
regulations (5)
139:4;141:14;143:6;
147:17;191:12
regulatory (6)
134:1;138:24;186:2,
10;193:11;195:6
rehab (3)
140:19
remodeling (1)
89:1
remove (1)
67:7
removed (1)
94:20
removes (1)
92:25
render (1)
143:8
renders (1)
51:5
renew (1)
41:12
renewed (1)
183:15
renovate (1)
53:3
repair (1)
134:25
repeat (2)
133:20;154:1
143:17;148:4;161:16; replace (1)
187:5,10
89:7
relationships (1)
replacements (1)
148:16
68:4
relative (1)
Report (40)
124:18
12:14,24,25;13:6,7;
relatives (1)
42:13;50:8,11;52:19;
85:4
53:12;62:21,22;71:14;
released (1)
72:23;76:17;104:17;
139:9
128:8,13;133:5,16;
reliable (1)
134:23;135:7;136:2;
124:24
139:9;142:17;143:11,
relied (1)
15;145:5;146:5,13,13,
31:15
15,19;149:15;151:4;
relief (2)
154:16;164:6;187:20;
66:18,23
189:5,25
rely (4)
reported (1)
61:9;113:9;118:14;
61:13
124:20
reporter (12)
remain (3)
7:19,20,23,25;8:2,3,7;
14:9,19;112:15
14:22;23:4;34:14;35:10;
remaining (1)
126:3
134:14
reporter's (1)
remains (1)
109:25
103:16
Reporting (1)
remark (3)
8:13
73:7;184:7,8
reports (5)
remarks (8)
93:19;189:7;190:3;
54:19;55:9,25;73:3;
194:23;195:8
80:5,24;113:19;161:3 represent (7)
remediation (1)
30:25;31:2;88:5;
66:25
108:23;152:14;158:16;
remedy (2)
178:7
66:18,22
representation (4)
Remember (7)
65:6;67:4;68:1;130:2
31:3;33:4,9;63:7;
representative (6)
104:14;124:6;136:9
13:19;65:14;67:17;
remind (1)
110:22;124:13;185:5
116:3
Representatives (5)
remiss (1)
7:16;15:19;67:7,8;
181:9
represented (1)
64:14
representing (4)
80:7;112:17;126:16,
17
represents (3)
64:2;112:10;190:9
Republicans (1)
63:3
reputation (3)
82:15;88:9;109:17
request (7)
8:12;10:10;44:1;45:1;
51:13;79:19;143:7
requested (2)
141:12;185:22
requesting (1)
168:24
require (4)
51:14;106:22;137:25;
195:6
required (11)
12:5;17:25;28:1;
106:20;136:18;143:1;
145:10;146:2;149:21;
190:20;191:15
requirement (4)
37:18;51:15;132:14;
149:9
requirements (3)
37:7,25;71:16
requires (4)
55:1,1;66:23;147:18
requiring (1)
56:14
res (1)
136:11
rescued (1)
125:2
research (1)
200:2
researcher (1)
54:16
reservations (1)
50:12
residences (1)
166:14
resident (8)
105:25;156:11;161:5;
166:7;174:4;175:2;
176:17;199:4
Residential (2)
80:3;81:3
residents (15)
26:4;39:6;81:16,18,
19,24;82:7;83:15,19;
111:9;112:2;113:8;
124:23;167:22;168:25
resolve (1)
74:22
resolved (3)
186:2,5,10
(26) recognizes - resolved

August 17, 2011

resources (4)
38:5;67:13;102:22;
197:7
respect (7)
12:13;30:16;74:19;
146:4;148:2;154:17;
195:13
respectable (1)
49:9
respected (1)
77:25
respectfully (3)
78:4;79:9,19
respects (1)
73:17
respiratory (1)
89:2
respond (2)
193:10;195:10
response (3)
31:22;67:4;179:25
responsibility (6)
49:3;114:17;115:2;
146:7;193:7;197:25
responsible (1)
109:7
rest (1)
120:5
restrictions (2)
45:4;141:14
result (3)
60:19;118:23;181:11
resulted (1)
188:7
resulting (2)
118:18;187:22
results (1)
15:19
retain (2)
11:8;197:25
retained (1)
15:12
retire (2)
19:16;160:1
retired (4)
23:19;105:1;166:9,9
return (3)
98:16;106:17,22
returned (1)
131:22
reveal (1)
145:6
revealed (1)
148:10
Revenue (3)
7:16;20:11;51:21
review (6)
11:23;31:25;79:20;
144:17;147:22;190:11
reviewed (6)
15:16;31:16;140:25;
141:5;144:24;190:16
reviewing (3)
Min-U-Script
9:25;135:7;146:8
revocation (2)
180:7,16
revoke (1)
21:25
revoking (1)
22:4
reward (1)
62:17
rheumatologist (1)
37:4
rich (3)
98:5;100:15;103:17
RICHARDS (6)
188:15,16,18,18;
189:2,4
R-I-C-H-A-R-D-S (1)
188:19
richly (1)
48:25
ridiculous (2)
79:15;163:18
right (37)
7:18;8:9,12,15,16,22;
151:19;154:6,11;171:21,
23;173:3;192:21
rooms (2)
39:4;56:15
roots (1)
130:23
round (1)
69:9
rounds (1)
134:17
Routers (1)
199:21
rug (1)
139:24
Ruh (2)
23:21,23
ruin (1)
96:25
ruled (1)
144:25
rules (1)
7:22
run (14)
9:19;36:11;37:21;42:8;
45:16;46:4;59:3;61:5;
62:2;67:8,25;69:19;
74:17;93:10,12;101:11;
107:17,17;119:7;
123:10;142:5;155:5;
170:21;171:1,20;
175:20;191:22;193:14;
196:2,15,25
rise (1)
146:1
risk (6)
61:10;73:16;76:10;
87:6;129:9;186:24
risks (1)
125:14
risky (1)
165:12
Riverside (1)
61:13
RN (2)
65:1;66:4
RNs (4)
64:14,21,22;65:4
road (1)
68:13
R-O-D-I-E (1)
156:8
Rodino (2)
149:19;182:18
role (3)
9:25;26:1;197:16
room (32)
9:19;15:22;38:18;
41:5;46:18;50:24;56:10,
19;58:12;59:24;70:20;
93:12;94:1,19,21;95:6,7;
97:21;114:7;120:17,18;
134:10;150:13,14,20;
79:12
salaries (1)
11:14
sale (56)
10:11,12,16;19:18;
20:19;21:22;22:21;
26:10,12;27:16,17;28:2;
32:16;34:4;55:4;56:2;
62:10;63:15;64:7,10;
67:19;68:17;70:9,16;
72:1;78:2;82:4;96:21;
112:19;113:5,6;130:7;
131:15;132:13;133:12;
135:20,21;139:8,11;
140:6;159:21,25;160:7;
174:7;176:22;177:18;
178:11,15;179:12;
181:1;182:15;185:17;
186:23;188:4,13;197:2
sales (4)
17:15,16,25;67:6
Sam (3)
54:15;161:2,2
16:14;36:11,11;40:24; same (21)
80:9;81:3;86:8,10;
11:14;13:13;18:18;
92:16;112:22;114:5;
27:1,17;29:12;33:6;
121:13;145:6;154:13
34:3;51:17;58:19;60:8;
Runner (2)
76:3;82:18;109:12;
110:22;113:11
116:16;159:18;174:14;
running (3)
177:3;182:19;193:16;
17:9;35:18;37:9
195:16
runs (2)
sample (1)
16:5;196:5
57:8
rushed (1)
San (16)
63:11
16:17;23:22;27:25;
RUSS (9)
28:21;67:10;108:20;
84:3,4,4;105:7;
117:20;119:6;129:23;
160:16;161:1,2;162:20,
131:1;142:2;152:21;
20
154:4;157:24;164:25;
R-U-S-S (1)
172:21
161:2
Sanders (1)
RYAN (5)
108:12
69:23,24,25;104:15; Sarrao (9)
138:11
22:24,25;23:1,2,5,13;
34:15,18;145:13
S
S-A-R-R-A-O (1)
23:5
sat (4)
SABO (6)
134:7,18;137:1;
38:9,10,11;39:21;
152:11
52:5;99:2
save (5)
S-A-B-O (1)
22:20;97:12;98:22,24;
38:11
100:19
saddens (1)
saved (1)
195:15
29:10
sadness (1)
saving (1)
85:20
192:20
safe (2)
saw (4)
199:15,15
37:14;134:19;135:8;
Safety (3)
170:9
90:21;109:19;189:25
saying (5)
sake (1)
60:23;96:13;151:18;
181:14
158:24;172:2
sakes (1)
SB90 (1)
182:2
scale (1)
140:8
scarce (1)
125:1
scary (2)
165:9;167:1
scene (1)
170:5
scenes (1)
194:10
sceptical (1)
163:25
schedule (1)
13:10
scheduled (1)
89:9
scheme (1)
62:25
scholarships (7)
25:22,24;26:2;83:12;
89:18;106:9;121:17
school (18)
51:9;84:12,14;88:21;
89:4,9;92:1;115:2,6,10;
116:8,14;130:21;166:10,
11;171:1;176:19;177:2
schools (2)
28:20;84:18
SCHWARTZ (5)
178:2,3,4,6;181:19
S-C-H-W-A-R-T-Z (1)
178:6
Science (1)
88:22
sciences (2)
83:14;92:1
Sciences/Public (1)
90:21
SCIU (5)
153:7;163:2;164:1;
190:6,8
scores (2)
28:16;61:8
Scott (3)
149:19,21;182:17
screenings (1)
26:9
Scripps (3)
95:9,12;99:7
scrutiny (1)
140:24
seat (1)
7:5
second (7)
41:1;55:8;66:2;72:24;
95:8;149:5;183:23
Secondly (1)
143:21
secret (1)
152:20
secretary (2)
(27) resources - secretary

August 17, 2011

23:6;145:13
secret-ballot (1)
65:4
Section (8)
7:16;10:8;143:5;
145:9,18;147:17,19;
149:17
sector (3)
102:4;162:10,13
security (5)
95:6;98:11,14;100:24;
161:8
seeing (2)
60:20;197:3
seek (5)
25:5;28:13;33:10;
130:8;181:13
seem (2)
36:5;58:12
seems (8)
37:21;54:5;70:11;
122:15;125:22;165:1;
174:19;177:20
sees (1)
16:4
SEIU (4)
31:9,20;32:2,3
SEIU's (2)
31:13;32:5
SEIU-UHW (6)
30:20,25;31:2,15,18;
32:11
SEIU-UHW's (2)
31:6,22
selected (3)
105:15;133:7;191:20
self (1)
35:21
self-dealing (3)
146:3,10;147:19
sell (8)
72:19,22;73:8;76:18;
100:17;158:24;159:16;
160:7
Seller (9)
7:11;13:19;54:22;
75:10,21;146:4;149:17;
164:5;183:10
sellers (1)
7:17
Selling (6)
68:14;73:11;109:7,12;
174:17,19
semi-retired (1)
80:11
Senator (3)
110:22;112:17;113:11
send (6)
36:6;96:4;127:15,24;
129:14;165:7
sends (1)
108:8
senior (11)
Min-U-Script
26:6;31:20;50:7;61:3;
77:25;127:23;156:12,
20;104:21;106:2;107:6, sheets (2)
14;157:8;158:17;161:7
112:2;113:3,4,9;118:15;
seniors (15)
26:7;39:7;56:24;58:1,
2,2;62:16;80:12;81:5;
119:1;156:13;158:15,
18;159:14;168:4
sense (4)
60:6;77:14;140:17;
199:19
sent (2)
14:10;58:12
separate (3)
25:15;46:2;139:18
separated (1)
46:2
sepsis (1)
31:7
September (10)
9,10;109:5;111:3,16;
124:22;126:13;129:10,
17,22;130:3;140:9,15,
16;142:22;143:18,19,20;
144:18,19;150:21;
151:16;166:17;177:10;
180:5,13;181:8;183:15;
186:7,14;187:6;188:11;
191:8;194:1
serving (6)
18:5;115:12,14;
119:14;121:9;122:23
set (9)
8:14;30:15;31:20;
71:16;74:9;95:8;101:4;
149:8;167:16
Seth (2)
78:14;181:4
19:16,17;21:23;38:19; setting (1)
52:24,25;55:1;64:17;
62:4
138:11;182:3
settle (1)
Septicemia (7)
45:20
56:22,22;57:2,8,9;
settlement (1)
61:2;195:25
188:10
seq (1)
seven (15)
10:8
85:23,23;86:3;93:11,
sergeant (1)
13,21,22;97:13;98:16;
67:7
100:25;162:14;185:7;
series (5)
186:22;187:15;199:22
153:3,3,13,24;154:8 several (18)
serious (5)
30:8,23;32:8;50:6;
50:12;54:24;56:21;
51:1,3,9;69:2;71:20;
62:9;142:5
77:22;81:25;93:22;
seriously (4)
122:7,11;133:10,15;
47:24;50:14;137:16;
153:5;189:6
138:8
severe (8)
serve (10)
57:12,15,20,23;59:20;
22:18;23:2,6;25:6,7;
60:5;97:17;117:17
38:21;52:17;53:23; severely (3)
121:1;195:20
91:3;102:4;176:23
served (8)
severity (2)
13:3;52:21;64:22;
59:4,15
83:8;102:17;118:11; shaking (1)
122:6;133:5
120:1
serves (2)
shall (1)
52:13;198:22
149:10
service (10)
Shapiro (2)
9:4;41:15;53:17;
78:14;181:6
54:16;102:4,4;112:5; Shapiro's (1)
122:25;142:22;151:25
181:4
Services (93)
share (1)
7:13;9:9;11:17;12:12;
35:20
13:2;15:13,15,25;16:1, shared (1)
16;17:1,2,2,4,8,12;
174:21
18:11,13;19:18;20:25; Sharon (3)
21:2,16,24;23:7,14;24:5,
110:22;113:11;155:21
16,18;25:17;27:6,6,7,18; Shasta (1)
57:23
55:10;61:15;64:8;67:21; sheet (5)
68:8;81:2,5;82:3,13;
14:1;15:1,3;175:25;
83:7;102:20;103:8,13,
200:13
34:6;42:12;53:13,14;
9:16;54:11
Sherman (2)
141:1;198:16
Sherry (7)
160:17,22;164:14,17,
18,22,22
Shield (3)
51:4;176:21,22
shift (2)
35:4;101:22
shipped (1)
99:7
shocked (2)
80:6,14
short (15)
14:23;49:20;58:22;
175:25;200:12
Sikes (5)
113:17;116:25;117:1,
2;119:8
silenced (1)
110:7
silent (1)
139:23
similar (4)
31:21;128:18,25;
130:9
similarly (4)
11:12;67:21;128:19;
129:3
simple (2)
93:10;183:16
simply (10)
59:1,2,15;97:17;104:24;
20:14;30:16;31:15;
129:24;134:18;152:17;
75:5;119:2;135:14;
154:17;176:3;180:1,2
shortage (1)
16:12
shortly (3)
66:2;74:20;185:19
shot (1)
102:15
show (4)
95:13;104:16;150:13;
151:14
showing (2)
98:7;139:9
shown (2)
41:4;179:2
shows (2)
21:19;58:15
shuffled (1)
35:22
shuffling (1)
154:11
shut (4)
70:5;71:19,21;78:19
sick (5)
58:7;61:6;63:5;157:2;
165:10
sicker (1)
60:24
side (1)
60:5
sidestep (1)
171:25
sign (1)
127:11
signed (4)
13:21;27:22;119:4;
152:7
significant (9)
12:9,13;89:15;135:19;
151:15,22;178:24;179:4,
10
significantly (3)
60:23;69:11,15
sign-up (5)
9:16;14:1;54:11;
136:11;150:17;181:14;
182:24
simulation (1)
89:10
Sincerely (1)
113:11
single (5)
30:25;31:2;139:19;
193:3;194:12
sister (8)
97:6,13;98:9,15,21;
100:21,24;188:22
sisters (1)
99:23
sister's (3)
97:22;98:12;99:12
sit (6)
74:16;100:7,21;
101:19;193:2,16
sitting (1)
193:18
situated (3)
11:13;128:19;129:3
situation (6)
75:4;76:20;79:9;
82:19;131:14;197:11
situations (1)
132:21
six (10)
33:23;57:1;58:3;
74:22;96:10;120:6,8;
157:7;159:17;178:19
six-day (1)
66:10
six-month (1)
186:3
skill (1)
69:14
skilled (3)
38:25;80:9;88:10
slander (1)
30:21
slim (1)
120:8
(28) secret-ballot - slim

August 17, 2011

slow (1)
22:3,22;66:14;69:17
109:22
sooner (1)
slower (2)
75:19
65:16;110:4
sorry (19)
slowly (1)
46:7,13,23;87:25;
56:4
88:2,7;89:12;109:23;
SLYNGSTAD (6)
119:16;120:13;123:9;
179:16,17,18;183:25;
169:16;171:11;173:4,
184:4,6
23;176:11;183:24;
S-L-Y-N-G-S-T-A-D (1)
184:2;199:7
179:19
sort (2)
small (1)
116:2;122:19
15:25
sought (2)
smile (2)
66:17,22
185:7,7
soul (1)
Smith (4)
164:6
101:14,16,17,18
sounds (2)
S-M-I-T-H (1)
96:16;177:5
101:18
source (1)
smooth (1)
118:2
78:19
Southern (3)
sniff (1)
31:19;64:3;129:4
170:11
Spanish (2)
Social (2)
9:11,17
81:5;105:4
Spanish-language (1)
society (2)
9:8
37:13;48:12
Spanish-speaking (1)
sold (1)
9:6
177:19
speak (32)
sole (2)
8:1,9;9:18,22;13:6;
91:5;145:11
14:9;30:11;35:2,8;
solely (1)
47:10;63:25;70:23;80:7,
118:14
25;90:17;113:21;
solution (2)
114:21;141:19;142:7;
18:7;79:8
153:18;156:19,20;
solve (1)
158:19;159:23;161:4,
87:10
17;175:25;179:24;
somebody (7)
181:9;188:17;198:11;
14:20;97:17,25;99:25;
200:12
121:18;124:2;154:1 speaker (5)
somebody's (2)
7:25;8:4;153:18;
100:4,23
186:4;198:25
somehow (3)
speaker's (1)
35:25;75:3,12
135:4
someone (14)
speaking (2)
96:18;122:17;134:7,
7:24;23:8
15;141:24;152:12;
speaks (3)
speed (1)
160:17
spell (13)
7:24;23:3;35:9;45:13,
16;48:3;92:11;104:7;
156:5;160:24;164:20,
21;173:25
spelled (4)
40:1;142:14;161:2;
179:18
spend (4)
26:24;28:9;161:9;
173:1
spent (8)
67:13;68:7;75:5;80:8,
17;85:17;120:5;164:4
spoke (10)
44:8;49:12;99:2;
156:3;159:12;170:6;
180:9;182:14;183:20;
184:11
spoken (4)
Min-U-Script
S-P-E-A-R-S (1)
83:2
special (5)
9:1;18:3;115:25;
130:18;131:1
Specialists (3)
12:15;13:5;142:18
specialized (1)
59:10
specifically (3)
35:24;147:20;180:3
speculate (1)
78:24
7:8;15:17;18:4;24:10;
109:18;110:6;173:10;
32:4,8;51:9;53:5;57:16;
183:5
58:3;77:11;81:4;91:4;
spongily (1)
93:19;112:6,17;117:23;
53:11
124:13;142:1;164:4;
sported (1)
190:18,19,19,22;194:15;
75:5
195:20
St (26)
stated (12)
16:12,19,21;18:17;
32:18;42:14;50:18;
36:6,14;37:10;42:21;
55:17;69:10;92:23;93:4;
47:6;71:9,9;108:20;
144:2;179:24;183:20;
109:14;127:18,18,19;
185:20;200:4
129:6;131:20;135:12; statement (8)
157:3,7;167:8;176:24;
8:8;44:10;131:24;
183:3;185:2;194:6
154:10;155:7;169:4;
stable (4)
181:4;185:21
103:12;118:2;125:15; statements (6)
157:15
21:9;32:17;133:22;
staff (31)
182:10,11;186:19
11:9;16:8;22:19;
States (8)
27:10,15;35:16;38:11,
15;39:9,10;67:22;68:2;
77:4,10,20;78:1;82:10;
88:25;90:3,4;96:23;
109:4;134:12;139:2;
164:4;193:23,23;197:8,
154:10;161:18;171:19,
136:12;147:25;180:18
9,12;199:17
20;185:7;187:14;192:4; Spears (5)
staffs (1)
196:21
79:24;82:23,25;83:1,2
115:4
someplace (1)
115:19
something's (1)
121:4
sometime (2)
133:9;173:15
sometimes (3)
81:24;116:5;123:19
son (1)
155:6
son-in-law's (1)
157:23
soon (4)
60:10,12;99:16;139:8 staying (1)
standards (2)
39:12;106:21
standing (2)
11:10;167:14
standpoint (2)
106:24,25
stands (3)
24:24;84:23;191:11
star (2)
84:23,24
start (8)
28:3;35:4;45:10;
51:24;84:10;86:7;
160:17;197:3
started (7)
7:5;45:17,25;52:25;
96:11;150:23;185:14
starting (2)
13:24;38:19
State (26)
stalking-horse (1)
178:14
stamp (1)
105:10
stand (14)
24:6;33:2,13;55:20;
104:20;105:5,6;126:9;
154:3;155:3;194:11;
195:14;196:23;198:17
stand-alone (7)
138:7,13,14,20,22;
139:5,10
standard (4)
114:6
stays (12)
49:9;58:21,22;59:1,2,
15;60:9,19,20,21;
174:10;191:19
steeped (1)
141:2
step (2)
140:23;165:15
stepped (2)
91:18;136:14
steps (2)
136:18,21
Steve (1)
124:13
STEVEN (4)
178:2,3,3,6
S-T-E-V-E-N (1)
178:7
stick (1)
189:1
sticking (1)
179:3
still (16)
20:23;40:14;71:12;
75:11;91:25;95:11;
130:19;134:8;170:12;
183:3;184:17;185:17;
186:10,12;188:3;192:3
stipend (1)
89:24
stipulation (2)
43:4;130:5
stone (1)
80:18
stood (2)
158:23;193:13
stop (2)
96:20;193:6
story (2)
34:2;51:6;57:2;58:16;
61:19;158:14
59:18;67:2;138:19; straight (1)
146:20
72:14
stating (1)
straightened (1)
67:8
147:6
statisticians (1)
straightforward (1)
189:14
182:24
statistics (6)
stress (1)
31:15;40:20;122:3;
44:17
146:16;189:12,25
strict (1)
status (1)
195:7
180:19
strolls (1)
statute (2)
98:1
11:22;146:1
strong (6)
stay (19)
53:8;62:5;77:9;108:8;
43:25;44:21;50:21;
139:13;167:21
57:21;60:21;69:16,18; strongly (4)
70:7,8;80:20;87:1,3;
51:2;64:9;68:16;91:10
95:6;110:13;116:16,19; Strow (2)
122:5;157:14;174:11
53:18;128:5
stayed (3)
struck (1)
67:11;85:23;168:17
153:24
(29) slow - struck

August 17, 2011

struggle (1)
105:2
struggled (3)
17:20;83:6;138:5
stuck (3)
82:11;155:7;178:22
student (5)
88:18;89:18,22,22,23
students (12)
25:23;26:1,2;83:12;
89:15,19,20;91:15;
suffers (1)
117:20
sufficient (2)
73:16;143:2
suffocate (2)
98:15;100:25
suggest (2)
110:8;152:22
suggests (1)
146:17
suitor (1)
114:21;115:17;116:14,
139:19
21
SUMAN (3)
studies (2)
37:1,2,2
41:15;172:20
S-U-M-A-N (1)
study (2)
37:3
29:6,10
summary (2)
studying (1)
13:15;18:21
120:5
super (1)
stuff (1)
176:3
163:2
Superior (3)
style (1)
67:10;132:11;154:4
84:8
Supervising (1)
subject (3)
130:25
32:12;180:16;181:22 Supervisor (4)
subjects (1)
117:3,4,5;131:1
73:3
Supervisors (1)
submission (1)
119:5
182:21
supplemental (2)
submit (3)
181:25;182:1
32:23;99:20;153:2
support (34)
submitted (3)
25:18;31:13;32:1;
19:25;99:14;126:12
38:12;43:18,20;53:11,
subsection (1)
21;77:4,5,9;83:13;89:8,
143:5
15,15,17;90:1,22;91:5,5,
subsequent (1)
10,11,14;92:2;102:16;
20:12
111:19;117:6;125:13,
subsidiary (1)
18;133:12,20;199:23;
24:22
200:3,7
substantial (3)
supported (4)
20:10;25:18;188:7
43:23;53:2;91:15;
substantially (11)
126:15
11:10;22:2;26:20;
supporter (2)
68:10;149:12,13;
66:25;126:10
161:23;182:11,12;
supporting (1)
184:25;198:1
83:11
success (6)
supportive (1)
25:12;103:12;122:17,
184:22
17;167:21;193:4
supports (2)
successful (10)
90:8;179:12
75:24;77:7;122:21,23, suppose (1)
24,25;125:5;174:3;
153:8
197:17,17
supposed (5)
successfully (1)
55:6;77:18;105:19;
112:22
137:14;159:19
suffer (3)
sure (29)
71:5;118:4;119:2
9:18;23:5;34:13;43:9;
suffered (2)
44:5;65:17;78:11;92:9;
81:5;96:10
94:15;101:7;108:3;
suffering (2)
122:14;128:10;153:25;
96:21;112:12
155:5;164:7;175:4;
suffering's (1)
177:1;183:25;191:10;
96:11
192:10,12,21;193:8,12;
Min-U-Script
195:3,9,23;197:20
surgeons (3)
170:14,17,17
surgeries (2)
59:8;170:10
Surgery (4)
48:6,13;166:20;
177:15
surgical (5)
42:19;47:10;111:23;
170:10,18
surprised (2)
78:23;85:19
surrounding (1)
64:13
surveillance (1)
66:6
surveyed (2)
31:11;89:5
survival (3)
53:10;95:17;120:8
survive (3)
17:20;56:24;139:5
survivor (2)
161:18;166:25
suspect (1)
120:18
sustain (1)
20:11
SUZANNE (5)
188:15,16,18;189:2,4
S-U-Z-A-N-N-E (1)
188:18
sworn (1)
56:10
synergy (1)
140:17
system (18)
26:23;29:6,7,8;56:25;
58:18;59:22;62:11,15,
19;71:10;81:22;139:13;
151:6;158:20;167:3,5;
196:17
systems (5)
58:15;59:1,18;60:8;
131:17
system's (1)
81:16
87:11;98:6;121:14;
127:2;134:23;135:5
talking (13)
42:1;57:22;60:15;
Terry (1)
130:21
test (5)
48:22;93:10,11,12,13
97:8;114:12,13,13,14, testify (2)
15;115:22;127:9;177:6;
14:6,6
197:24
testimony (4)
Tate (6)
56:11;152:11;154:25;
69:22;72:4;79:23,25;
155:4
80:1,2
tests (2)
T-A-T-E (1)
21:15;171:24
80:2
thankful (4)
tax-exempt (1)
89:14;120:13;121:20,
62:24
20
taxpayer (1)
thanks (2)
190:23
19:21;65:18
taxpayers (3)
THAWKER (3)
59:25;62:16;63:3
37:1,2,3
teacher (2)
T-H-A-W-K-E-R (1)
130:21;176:19
37:3
teachers (2)
Theirs (2)
51:9;176:20
140:14;157:2
team (2)
then-George (1)
106:10;136:24
166:8
technical (1)
theories (1)
12:7
162:8
technician (1)
therapists (1)
170:4
170:22
technology (2)
therapy (2)
11:2,5
89:2;170:20
ted (1)
thereby (1)
62:21
68:4
telephone (2)
Therefore (1)
8:24;94:9
168:24
telling (1)
thereof (1)
133:22
154:14
tells (1)
thinking (2)
58:6
106:9;120:21
TEM (3)
third (4)
84:3,4;105:6
47:22;62:3;66:15;
temporary (1)
143:23
18:7
tho- (1)
ten (7)
129:19
29:8,9;31:11;101:11; Thomas (12)
136:10;163:16;190:15
tend (3)
8:9;77:15;149:13
Tennison (5)
68:20;69:21;72:7,8,9;
136:11,25;137:17;
152:18;181:1;185:19;
186:4
119:10;124:6,10,11,12 T-H-O-M-A-S (1)
T
table (8)
40:9,13;73:21;75:2,
15;102:14;152:20;155:2
talk (21)
8:5;46:24;50:8;65:16;
72:13;73:4;86:13;99:17,
23;115:21;120:19;
129:16;147:22,23;
162:25;169:21;180:2;
193:25;194:11;195:15,
T-E-N-N-I-S-O-N (1)
124:12
tenure (1)
104:25
term (1)
45:19
terminated (2)
66:24;193:22
termination (1)
66:4
terms (8)
17:3;26:10;28:12;
23
talked (6)
72:9
Thompson (1)
61:9
Thompsons (1)
199:21
thorough (1)
189:8
Thorson (2)
23:21,23
though (4)
36:4;58:6;122:17;
194:20
128:18;129:2;186:14; thought (6)
197:4,5
72:18;73:6;85:18;
(30) struggle - thought

August 17, 2011

132:24;134:3;137:11
thousand (3)
81:16,18;112:5
thousands (6)
57:21;67:23;87:2;
91:16;96:15;123:13
threaten (1)
186:17
threatened (1)
66:7
threats (1)
66:5
three (35)
12:2;25:5;26:24;37:9;
39:4;46:5;53:4;54:7,9;
55:13;80:17,17,20,23;
94:23;95:10;102:18;
103:10;110:10;112:8;
133:19;135:20;143:16,
22;147:3;149:6;152:15;
156:23;159:17;174:5,13,
24;175:11;184:9;190:12
three-person (1)
25:4
throat (5)
94:22;95:2,23;97:22;
98:13
throughout (9)
64:3;67:14;88:11;
89:13;161:20,25;
174:18;185:10,13
throw (3)
97:25;98:14;163:22
thrown (4)
98:11,18;100:23;
193:10
Thursday (2)
99:7;157:10
Thurston (4)
101:14,16,17,18
tied (1)
110:7
times (12)
29:15;47:18;48:21;
86:24;114:5;123:17;
125:9;129:15;162:14;
169:20;189:5;196:15
tip (1)
61:17
tired (3)
159:9,9;160:4
today (60)
7:7;8:19,25;9:7,22;
13:16;14:8,12;15:8;
23:8;33:2,14;35:8;52:3;
63:25;64:6;70:23;77:22;
88:12;90:17;93:5;97:6;
99:3;114:9;120:11,22;
121:15;122:16;126:9,
16;131:14;133:3;
134:20;135:20;138:17;
151:21;152:11,13,17;
153:1,8,20;155:1,9;
Min-U-Script
156:19;159:12;161:3, transaction (68)

120:1
22;162:5;164:9;166:6;
7:10;9:25;10:12;12:8, tremendous (3)
167:15;172:6,11;
177:16;178:16;180:10;
181:23;194:16;198:3
today's (6)
7:9,20;8:13,20;9:3;
200:20
together (3)
21:6;108:7;159:14
token (1)
116:16
told (11)
22:7;41:8;78:12;
93:22;95:1,6;99:15;
120:7;157:25;158:9;
177:18
tolerate (1)
123:17
tomorrow (1)
200:16
ton (1)
75:5
tonight (5)
104:20;108:2;161:23;
15:25;24:22
10,23;13:1,9;15:17;
55:22;103:11;173:13
17:15,16,25;18:15,23, trespass (1)
25;20:16,22;33:24,25;
67:9
UC (1)
73:19,25;74:10,19,25; tried (2)
98:24
75:4,7,24;76:9,12;
103:19;131:21;136:13,
19;142:4,16,20,24;
143:4,13;144:13;146:9;
147:21;149:12,22;
151:17;153:12;154:24;
178:22;179:3,22;
180:11;181:2,21;182:6,
6,9,25;185:9,19,21;
186:8,23;187:8,15;
188:4;191:9,25;198:9
transactions (3)
132:15;140:25;144:18
transcribes (1)
14:22
transcript (1)
7:19
transfer (11)
10:13;11:23;93:16,21;
94:4;136:14
trip (2)
152:17;172:1
true (3)
109:9;121:3;135:11
truly (3)
85:12;91:14;199:18
trust (7)
62:9;63:8,9,10,11;
165:1;187:7
trustee (2)
115:14;138:10
truth (1)
139:21
try (14)
36:2,12,18;54:6,9,19;
78:10;123:11;133:7;
uh (8)
43:23;46:19;71:25;
73:9,18;78:25;170:5;
175:4
ultimate (1)
106:13
ultimately (1)
107:8
um (15)
48:20;59:9,9;156:23,
24;157:6,13;166:13;
170:5,9,24;171:4,4;
172:2;174:24
un- (1)
95:4
UNAC (1)
52:6
136:21;156:21;180:23; UNAC/UHCP (5)
185:17;187:20
64:1,14;65:7,13,22
trying (16)
UNAC/UHCP's (2)
22:10;51:18;55:7;
64:7;67:4
61:16;75:6,7;94:1;
unacceptable (2)
100:19;106:8;109:25;
70:6;71:22
134:5;172:3;185:8; unanimous (2)
187:4;194:17;197:12
65:24;174:11
Tucker (1)
uncertainty (1)
50:6
125:10
turmoil (1)
uncompensated (1)
46:10
192:2
turn (1)
under (27)
82:15
7:15;10:8,14;20:13;
turned (2)
21:23;26:10;28:1;42:10;
56:17;125:5
56:25;61:8;77:11;79:1;
turning (1)
106:2;109:8;128:13;
102:11
139:24;140:24;145:10,
Twelve (1)
18;146:1,16;147:11;
109:3
149:7;150:14;165:2;
twice (1)
181:25;186:6
117:23
under-bedded (1)
two (50)
20:6
8:4,11,21;16:13;
underinsured (1)
21:13;22:11;24:12;25:4;
118:13
31:10;33:20;51:14; underlying (1)
52:13;58:22;60:13,16;
66:19
61:25;62:2;68:12;70:15; underserved (3)
71:1;72:10;80:19,23;
83:23;118:10;126:21
81:18;83:21;85:7;94:19; understands (4)
176:7;200:19
94:5;95:10;98:23;99:3,
took (7)
5;100:4;132:22
69:1,7;74:22;93:12; transferee (1)
95:12;136:10;163:13
147:23
top (20)
transferred (2)
29:8,9,15,17,19;57:4;
94:25;166:8
58:3;111:13;114:24,24; transition (2)
121:22;123:1,3,7,12;
78:19;191:10
162:22;196:17,19;
transitioned (1)
197:6;199:21
78:11
top-ten (1)
translate (1)
29:6
161:25
totally (3)
translator (2)
37:20;92:13,14
9:7,8
touched (1)
translator's (1)
150:2
9:9
tough (3)
trash (1)
48:21;84:19,19
193:10
town (4)
travel (2)
46:17;47:7;122:3;
28:24;118:20
124:2
travesty (1)
track (4)
40:4
24:1;47:15;102:10; Travis (1)
103:11
9:1
tract (1)
treasurer (1)
57:11
23:6
trade (2)
treasury (1)
115:20;162:9
145:14
tradition (1)
treat (1)
96:8;111:10,21;119:21;
102:9;106:15;192:11;
141:2
22:5
120:13;133:17;143:22;
193:13
train (1)
treated (3)
144:21;146:20,22,24,24, undisputed (2)
90:10
43:7;58:11;100:9
25;147:2;148:17,18;
74:18,18
trained (1)
treating (2)
149:6;153:11;157:22; undue (1)
162:9
41:17;47:4
174:5,13,23;198:15
83:20
training (1)
treatment (6)
type (6)
unemployment (8)
115:18
10:4;93:18;120:10;
52:16;81:23;100:10;
20:23;87:16,17;105:5;
trains (1)
166:20,22;168:8
101:5;106:20,22
112:14;117:21;122:2;
123:23
trembling (1)
typical (2)
125:9
(31) thousand - unemployment

August 17, 2011

unfair (5)
30:16;66:3,13,16;
76:20
unfair-labor-practice (2)
66:21;67:1
unfortunate (3)
105:12,24;116:6
unfortunately (9)
44:21;80:16;85:3;
105:19,20;112:3;
122:16;161:19;188:8
UNIDENTIFIED (4)
155:17;160:19,21;
177:25
uninformed (1)
182:11
uninsured (3)
17:6;18:6;118:13
unintelligible (7)
36:8;46:5;84:2;
105:14;124:8;147:19;
155:13
unintentionally (1)
145:3
union (8)
30:20;54:17;63:3,22;
66:24;67:8;80:7;200:3
unionized (1)
85:16
unions (1)
107:16
unit (6)
16:2;108:19;170:11;
171:19,20;189:11
United (11)
34:2;51:5,6;54:17;
up (106)
5,17;23:12,19;33:2,13;
52:6,7,24;54:4;55:9;
126:5;130:13;142:9,
10
174:4,5;175:7,8;177:12; Victor (260)
178:8;179:19;181:17;
7:11,14;9:5;10:1,5,9,
182:8,12,20;183:2,2,7;
20,23;11:6,9;12:23;
17,21;167:7,8,13,23;
168:10;169:2;172:21;
123:11
58:13,20;59:21;60:15; V-A-L (1)

62:4;72:5;74:4;78:14;
119:13
84:12,13;85:4;86:19; Valerie (8)
87:17;91:24;94:17,22;
175:22;176:2,5,8,9,10,
184:9,18;185:3,4;186:5;
187:11,12,12,23;188:5;
191:10,22;193:13,15,18;
95:2,23;97:23;98:13,20,
194:1,5,6,8;195:15,17;
10,15
21;101:5;104:1;105:21; V-A-L-E-R-I-E-J-O-H-N-S-O-N (1)
197:8,19,20;198:16;
114:6,9;127:11;129:18;
199:9,17,20,24;200:8
176:11
132:18;133:2,8;134:15; Valley (328)
Valley's (6)
146:21;150:10;151:10;
26:20;27:11;28:16;
7:11,14;9:5;10:1,5,9,
152:7;153:18;154:7;
20,23;11:6,9;12:23;
155:23;158:8;161:4,8,
10;162:17,19;163:3,5,9,
18;164:8,16;165:15;
166:5,10,11,14;167:5,
16,24;170:21;173:10;
174:24;176:7;177:3,10,
24;183:11;185:15,16,24;
186:10,17,23;188:3;
191:11;194:13;195:14;
196:4
upgrade (1)
20:11
upon (8)
12:3;30:21;76:7;
142:23;144:25;146:18;
180:19;186:7
urge (6)
64:9;68:16;72:1;
112:18;135:20;188:13
15:14,23;16:3,5,10,13,
19,25;17:7,10,13,19;
18:2,20;19:7,14,19;20:3,
8;21:11,16;23:10,22;
24:4,7,19,23,25;25:1,3,
21;26:13,15,17,22;27:2,
9,15,22,22;28:4,22;
29:14;30:7,13,15,17;
31:1,2,12;32:16,24;33:7,
10,12,15,18,22,22;34:5,
7;35:16,25;36:1,3,6,13;
37:10;38:12,13,15,18,
20;39:1,9;40:21,24;41:6,
20;43:22;44:19;45:3,23,
23;46:10,13,16;47:3,14;
48:6;51:8;52:18;53:1,
14;55:5,12,15,21;56:1;
58:1,3;61:17,23,24;64:5,
10;65:4,21;67:20,22;
68:3,14;71:5,7,11,25;
72:10,11,15;73:14,17;
74:14,21,24;78:1;80:3,3,
17;81:1,2,7,8,13,23;
82:1,5,6,9,10,18;83:4,10,
17;85:9,22;86:8,16,16;
87:21;88:5,8,13,15,17,
19;89:12,14,16;90:2,3,7,
9,18;91:17;94:1,4,20;
95:11;96:3;97:7;101:20,
24;102:8,12,16,17;
103:6,7,10,16,20;
104:25;105:1;106:11,12,
14,19;107:7,14,22,24;
108:9;109:16,19;110:12,
13;111:2,5,16,22;112:3,
7,9,18,19;113:7,9,23;
114:4,20;115:2;116:11;
117:9,12,24;118:12,15;
119:15;120:16;121:12,
21;122:4,7,13;124:13,
17,18,20,23,25;125:17,
21;126:11,15;127:3,4;
128:23;129:18;130:3,4;
131:11,16;134:12;138:8,
23;139:11;140:11,12,23;
141:1;142:15;154:20;
155:2;156:16,19;157:3,
95:3
162:18;165:6,7;166:12, Vicky (4)
34:23;35:1,6,6,25;36:13, Val (6)

17;38:17,21;41:4;47:21;
119:9,11,12,12;120:3;
urinary (1)
57:2;58:15;59:18;63:22;
57:11
67:2;108:22;138:19 urine (1)
units (2)
100:24
69:14;131:2
Use (6)
unlawfully (1)
7:20;14:14;121:18;
65:22
200:5,5,6
Unless (5)
used (10)
9:23;43:4;145:20;
7:23;15:3;59:12;62:7;
181:24;182:1
86:16;88:25;114:3;
unlike (2)
165:3;171:6,11
31:14;136:13
uses (1)
unquote (2)
81:17
180:7,8
ushered (1)
unreasonable (1)
95:5
44:13
Using (3)
unreasonably (1)
142:23;151:6;187:18
180:6
usual (1)
unresolved (1)
56:15
138:24
usually (4)
unsecured (5)
36:18;87:14,14;
178:8,12,18,24;179:9
105:23
unselfish (1)
utilization (1)
21:19
41:21
unspecified (1)
utilize (1)
68:10
167:22
unsubstantiated (1)
21:10
Min-U-Script
10,19;158:2;159:4;
8:14,24;13:21;14:3,5,
107:24;111:21;196:21
15:14,23;16:3,4,10,25;
17:6,10,13,19;18:2,19;
19:7,13,19;20:3,8;21:11;
23:10;24:7,19,23,25;
25:1,3,20;26:13,15,17,
20,22;27:2,9,11,15,22,
22;28:4,16,22;30:12,15,
17;31:1;32:16,23;33:7,
10,12,15,18,21,22;34:4,
7;35:14,16;36:1,6,13;
38:9,10,11,13,15,18,20;
valuable (2)
51:16;82:16
value (1)
39:1;40:21;41:20;43:22;
96:6
44:18;45:2;46:10;47:3,
values (1)
13;48:6;50:2;51:8;
190:7
52:18;53:1,14;55:5,12,
variables (1)
15,21;56:1;61:16,23;
189:20
64:10;67:20,22;68:3,14;
various (9)
71:5,11,25;72:10,11,15;
15:16;30:10;46:1,9;
73:13,17;74:14,21,24;
48:7;127:13;178:16;
78:1;81:1,8,13;82:1,5,9,
179:21;182:10
10,18;83:17;86:16;
vast (3)
87:21;88:5,8,13,17;
50:10;51:10;150:17
89:16;90:1,7,9,18;91:17;
vendors (1)
96:3;101:24;102:8,12,
118:3
16,17;103:6,7,9,16,20;
venture (1)
104:25;105:1;106:11,12,
161:11
14,19;107:7,14,22,23,
Ver (1)
24;110:12,13;111:2,5,
99:1
20,21;112:3,7,9,18,19;
Verdugo (1)
113:6,8;114:20;115:2;
93:24
116:11;117:9,12,24;
verge (2)
118:11,15;119:14;
125:4;141:4
121:11,21;122:4,7,13;
verify (1)
124:12,16,18,20,23,25;
78:15
125:17,20;126:10,15;
Vernanda (1)
127:2;128:22;129:18;
166:23
130:4;131:11,16;
versus (1)
134:12;138:8,23;
76:23
139:11;140:23;142:15;
vested (3)
154:20;155:2;156:16,
33:1;163:23;195:24
19;158:2;159:4;162:18;
via (2)
166:12,17,21;167:8,13,
167:23;168:25
23;168:9;169:1;174:4,5;
viability (2)
175:7;176:19;177:11;
138:7,13
178:8;179:19;181:17;
viable (7)
182:8,12,20;183:2,7;
49:2,8;73:18;102:15;
184:9,18;185:3,4;186:4;
103:10,12;104:25
187:12,12,23;188:5;
vibrant (1)
191:10,22;193:13,15,18;
103:10
194:5,8;195:15,17;
vice (5)
196:21;197:8,19;
35:15;72:9;114:19;
199:24;200:8
115:15;161:7
VICTORVILLE (19)
Vice-Chairman (1)
7:1;10:4;26:4;64:6,13;
119:5
67:24;68:4;70:1,24;
Vickie (1)
71:2,10,25;83:2,9;96:8;
(32) unfair - VICTORVILLE

August 17, 2011

120:16;143:20;167:14; VVCH (1)
weighed (1)
120:11
weighs (1)
120:12
74:1,5,11;178:15,20,25; weight (1)
179:7;181:1
80:23
WEISBERG (5)
W
54:13,14,14;56:6;
180:9
welcome (3)
wait (4)
70:2;84:5;125:17
28:7;80:22;155:24;
welfare (1)
157:9
105:10
waiting (4)
98:18;114:7;134:16; well-being (4)
38:5;83:16;109:7;
157:7
167:22
waiving (1)
49:17,22,23,23;50:1,1,
well-intentioned (1)
76:5
2
175:5
walker (1)
Villarosa (5)
wellness (1)
120:19
34:22;35:12,13,14;
26:6
walking (1)
36:21
well-respected (1)
170:21
violation (1)
19:7
walks (1)
62:9
well-run (1)
100:20
violations (4)
86:9
wall (1)
66:10,12;67:1;74:20
Wendi (4)
158:10
virtual (1)
7:7;15:21,23;72:8
wants (7)
175:6
wendihorwitz@dojcagov (1)
14:12;28:3;44:18;
virtually (1)
200:17
107:23;151:11,19;
73:15
weren't (5)
175:25
visionary (1)
13:17;53:3;137:5;
warns (1)
107:23
177:13;183:19
96:7
visit (4)
west (6)
Washington (2)
26:7;128:1;196:8;
29:8,16;54:17;57:25;
66:16;181:5
199:11
69:7;196:18
Watch (3)
visits (2)
59:23;104:16;153:2 western (1)
16:4;67:5
175:7
watching (1)
vital (3)
what's (5)
153:20
49:9;119:3;128:2
86:19;140:3;181:10;
way (25)
vitally (1)
192:23,23
14:16,17;40:24;41:19;
115:1
47:1;70:7;72:25;74:24; whatsoever (2)
vocal (1)
100:6;148:1
78:20;85:9;87:10,10;
110:10
91:22;93:7;106:8;116:1; whenever (2)
voice (5)
21:14;36:2
137:4;141:22;167:18;
64:6;173:10;199:23,
172:19;176:12;188:12; Whereas (2)
25;200:7
46:20;47:3
192:17;195:1;196:4
voiced (1)
whereby (1)
ways (1)
182:12
151:6
126:14
voices (1)
whole (5)
Website (7)
110:7
37:19,21;45:25;54:10;
12:17,19,20;13:13,13;
volume (1)
195:12
15:20;145:8
39:5
who's (9)
WEDNESDAY (2)
volunteer (1)
13:4;34:25;35:3;63:8;
7:1;158:9
199:9
66:4;74:17,17;130:22;
week (4)
volunteered (1)
196:3
105:8;119:24;181:25;
134:17
whose (2)
186:11
vote (3)
57:20;200:4
weekend (2)
67:22;145:21;191:22
widespread (2)
89:19;157:15
voted (2)
66:5;118:6
weekends (1)
65:6;139:8
wife (2)
196:8
vu (1)
85:5;114:6
weeks (2)
133:13
William (4)
180:14;185:25
vulnerable (2)
23:21;72:7,8,8
W-E-I (1)
52:15,21
willing (5)
54:15
176:17
VIDEOGRAPHER (1)
8:17
videotape (1)
8:13
view (4)
20:15;36:15;103:19;
183:8
viewed (1)
16:25
viewpoints (1)
153:23
views (2)
19:24;49:10
VIJAY (7)
Min-U-Script
72:15
VVHA (12)
72:13;73:1,12,14;
34:7;78:16;83:5;
125:14;191:16
winning (1)
178:17
win-win (1)
82:19
wiping (1)
179:9
wish (6)
25:10;77:2;106:4;
134:17;136:23;158:1;
159:3;166:13;167:9,13,
14;169:24;179:21;
189:10;192:22
worker (1)
173:7
Workers (4)
54:17;89:22,22;
39:14;48:15;84:24,24;
199:16
105:5;183:25
working (7)
wishes (2)
11:3;28:21;34:25;
67:22;145:24
39:10;68:2;90:2;167:4
withholding (1)
works (3)
95:21
13:22;35:3,5
within (6)
world (1)
39:19;62:1;112:5;
75:20
133:18;146:13;186:2 worried (1)
Without (24)
172:8
17:6,10,12,24;22:5; worries (3)
42:12;49:1;55:18;59:17;
113:20;170:25;176:14
68:1;71:1,17;91:4;
worry (1)
118:2;124:25;125:6;
173:5
129:11,13;135:21;
worrying (1)
144:6;145:9;150:21;
37:24
163:11;195:11
worse (1)
witnessed (3)
95:3
102:18;197:15;199:16 worst (1)
woefully (1)
177:20
20:6
worth (2)
woke (1)
92:23;94:12
158:8
write (2)
woman (3)
37:18;100:21
71:20;160:19,21
writing (6)
women (1)
94:2;117:6;169:6,6;
165:7
181:10,11
Women's (4)
written (2)
10:6,21;21:2;27:19
169:4;200:15
won (1)
wrong (2)
33:23
74:17;95:3
wonder (2)
wrote (2)
41:7;171:16
77:5;131:24
wondered (1)
wwwagcagov/charities/nonprofithosp (2)
180:15
12:21;13:14
wonderful (1)
48:14
X
wondering (1)
192:23
X's (1)
word (8)
58:18
71:20;84:22;94:11;
97:16;188:21;193:9;
Y
194:9;199:19
words (1)
yard (1)
58:10
98:15
work (23)
year (28)
13:24;35:15;53:22;
16:4,5,7;17:22;20:13;
69:8;78:7,10;79:17;
26:1,2,5;29:11;33:8,19;
90:4;110:9;118:2;
53:4;64:20;68:13;69:16;
136:22;167:5;169:24;
81:9;89:4;113:25;
170:14;171:4,10;172:5;
192:14,15;193:1,3;
196:6;197:13
worked (15)
114:25;133:14;136:21;
138:16;139:9;146:18;
181:12;184:10,13;195:4
years (78)
(33) VIDEOGRAPHER - years

August 17, 2011

17:20;20:9;21:12,13;
22:11;25:11,14;26:24;
27:21;29:4;37:5,6;38:2;
40:1;43:18;45:17,18;
46:1;48:13;50:5;59:13;
60:16;64:23;66:5;68:24;
69:12;70:21;71:20;
80:18;82:12;83:10;88:8,
17;89:13;90:20,20,23;
101:21,22;102:18;
108:18;109:3;120:15;
122:7,14;123:13;
126:15;128:18;134:24;
146:24,24,24,25;147:2,
3,7;156:23;157:5,22;
158:17;161:12,17;
164:24;168:8;169:23,
25;174:4;175:3,3;
176:18;179:20;183:18,
19;187:9;191:5;192:22;
194:4;199:22
yellow (1)
57:17
yesterday (3)
27:23;61:14;63:1
yield (1)
106:22
young (1)
115:22
Z
Zumbrunn (6)
169:10;173:19,20,22,
22;174:1
Z-U-M-B-R-U-N-N (1)
174:1
Min-U-Script
(34) yellow - Z-U-M-B-R-U-N-N

VVCH Hearing

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VVCH Hearing

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1

ATTORNEY GENERAL'S PUBLIC HEARING

Reporter's transcript of public hearing

proceedings, taken on behalf of the Attorney General, at

Victorville City Hall, Council Chambers, 14343 Civic

Drive, Victorville, commencing at 3:01 p.m., Wednesday,

August 17, 2011, before Diana L. Porter, Certified

Shorthand Reporter No. 12729.

BY CATHERINE M. PELLEY ...............................19

BY MIKE SARRAO .......................................23

BY DANIEL VILLAROSA ..................................35

BY SUMAN THAWKER .....................................37

BY VICTOR SABO, MD ...................................38

BY DR. ERIC HANSEN ...................................39

BY GURPAL PHAGUDA ....................................43

BY DR. MAKALA REDDY ..................................45

BY DR. RAKESH GROVER .................................48

BY DR. VIJAY ARORA ...................................49

BY DR. BRADLEY GILBERT ...............................52

BY ADAM WEISBERG .....................................54

BY LISA DEMIDOVICH ...................................63

BY HELEN BOUMAN ......................................68

BY MAYOR RYAN McEACHRON ..............................69

BY WILLIAM THOMAS ....................................72

BY CARL TATE .........................................80

BY MICHELLE SPEARS ...................................83

BY RUSS BLEWETT ......................................84

BY DR. JOSEPH MORRIS .................................88

BY DR. PATRICIA LUTHER ...............................90

BY ARDIS KULYAS ......................................92

BY MARK KULYAS .......................................97

BY HESPERIA COUNCIL MEMBER THURSTON SMITH ...........101

BY LIONEL DEW .......................................103

BY JOSEPH BRADY .....................................104

BY CAROL KOELLE .....................................108

BY KEN ANDERSON .....................................110

BY JOE RANGE ........................................113

BY DAWN SIKES .......................................117

BY VAL CHRISTENSEN ..................................119

BY REBECCA TENNISON .................................124

BY BLAIR BRYSON .....................................126

BY MICHAEL FELDMAN ..................................130

BY PETER MORT .......................................142

BY JOHN PETTY .......................................152

BY MARTHA BRODIE ....................................156

BY PAUL RUSS ........................................161

BY SHERRY HALL ......................................164

BY DIANA PASILLAS ...................................165

BY PAT AGUIRRE ......................................169

BY GREG ZUMBRUNN ....................................173

BY VALERIE JOHNSON ..................................176

BY STEVEN SCHWARTZ ..................................178

BY CHARLES SLYNGSTAD ................................179

BY SUZANNE RICHARDS .................................188

BY LEX REDDY ........................................191

BY HECTOR GONZALEZ ..................................199

VICTORVILLE, CALIFORNIA; WEDNESDAY, AUGUST 17, 2011

take a seat so we can get started, please.

So glad to see everybody here

General for the State of California.

My name is Wendi Horwitz.

I'm a Deputy Attorney