Friday, February 26, 2016

Sutter Coast 's Critical Access Application Withdrawn!

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A Major Victory But Not an End to the Sutter Conflict

The Past:  On December 5, 2013, the Sutter Coast Hospital Board voted, over my objection, to downsize Sutter Coast to a Critical Access facility.

The Present:  This week, hospital CEO Mitch Hanna confirmed he had sent a request to the State of California, asking to withdraw Sutter Coast's Critical Access application.  Mr. Hanna also confirmed Sutter Coast registered multimillion dollar profits again in 2015, after Sutter's "independent study" and former CEO Linda Horn had foretold of heavy losses through 2018.  As so many in our community have told me, Sutter can cook its books any way they wish, because hospital Board meetings and financial records are kept secret.  At the same time, Sutter Coast is granted a "hardship" tax exemption, claiming they are a charity.

Thanks to your efforts, Sutter's decisions to move hospital ownership out of Del Norte County and to downsize to Critical Access, have been stopped for now. Sutter told us we could not stop them, that we had no voice, that our community just didn't understand.  You proved Sutter wrong.

The immediate threat of Critical Access designation has passed. However, Mr. Hanna made no promises that he would not implement Critical Access in the future.  Here is why I opposed Critical Access:

--huge increases in out of pocket costs to local Medicare patients

--closure of 50% of the acute care hospital beds

--restriction on how long patients may stay in the hospital

--mandatory patient transfers to outside hospitals

--nationwide, Critical Access hospitals have been shown to have higher death rates for patients with pneumonia, heart failure, heart attack, and following elective surgery.

The future:  My next focus will be on Sutter's high charges for care, which result from their statewide monopoly and high income needs of their multimillion dollar executives and attorneys. 

Sutter's high charges drive up your insurance premiums and harm our public employees, teachers, individuals, and small and large businesses.  Statewide, Sutter's charges have been found to be up to 60% over market averages, while its executive pay has skyrocketed. This injustice must end.  

Please send me your thoughts to, and tune in to a recent radio interview on KCIW, available by podcast, tablet, or smartphone at:


Gregory J. Duncan, M.D.
Diplomate, American Board of Orthopedic Surgery

Sunday, February 21, 2016

How Your Healthcare Dollars Are Paying Sutter's Executive Salaries

Introduction by Greg Duncan, M.D.

This newsletter tells the success story of how our community fought Sutter Health's efforts to downsize and take ownership of Sutter Coast Hospital.  Local attorney Bill Gray investigates Sutter's misconduct, exposes the harm Sutter has brought to our community and our state, and offers advice on how to bring justice to Sutter.  To learn more, please stop by my office on 1200 Marshall St., pick up fact sheets on how Sutter is increasing your healthcare costs, and join the more than 4,000 residents who have signed the petition opposing Sutter's plans.  To subscribe to this newsletter, please send me an email at   Read past newsletters at

Most of all, thank you for your support, ideas, and prayers.

Greg Duncan, M.D.
Diplomate, American Board of Orthopedic Surgery
1200 Marshall St., Crescent City, CA  95531
Myth Busting Sutter Health:
Community Benefit or Executive Greed?
by Bill K. Gray, Esq.

(originally published in the Anderson Valley Advertiser:
Sutter Health is a tax exempt public charity.  The tax code requires Sutter to operate solely for community benefit. Indeed, for decades Sutter Health served to manage community owned hospitals which were governed by community Boards of Directors. In 2010, Sutter Health's role changed when it implemented a statewide merger effort to transfer ownership of the community hospitals into large multi-hospital corporations.  Now, Sutter Health controls two massive "Divisions" containing nearly 40 hospitals and surgery centers.  The result?  Sutter Health's monopoly allows it to charge up to 60% more than market rates for healthcare.  Sutter executive salaries more than doubled during its merger.
Who pays Sutter's executives?  You do.  Whether in the form of higher health insurance premiums, lower wages (as more employer dollars are used for employee health insurance), or direct payment of Sutter's inflated charges for care, everyone in California is impacted by Sutter Health's monopoly.
Today, only one Sutter hospital in California remains locally owned--Sutter Coast Hospital ("SCH") in Crescent City.  This article tells the story of how our town fought off Sutter's attempts to transfer hospital ownership outside of our community.  We debunked Sutter's false claims, one by one, until Sutter agreed to leave us out of its two "Divisions."  We know Sutter Health will be back, but for now, SCH is locally owned and governed. 
Sutter employed four tactics in its takeover attempt:
(1)  Threats to close the hospital if the local hospital Board did not comply with Sutter's corporate plans.  For years, Sutter executives claimed SCH needed to transfer ownership to Sutter's regional corporation, and to downsize to a Critical Access facility (which would allow SCH to triple its charges to Medicare), in order to survive.  Sutter's threat to close the region's only hospital nearly worked.  In 2011, the Sutter Coast Hospital Board (which contains three highly compensated Sutter employees) voted to transfer hospital ownership to Sutter's multi-hospital corporation.  But protests from every elected body and thousands of residents, and talk of eminent domain against Sutter by the Del Norte Healthcare District, forced Sutter to put the merger on hold.
(2)  False claims of financial losses.  Former Sutter Coast CEO Linda Horn stated 2008 was the last year Sutter Coast was profitable.  Sutter's paid consultants (the Camden Group) predicted heavy losses from 2014 to 2018 unless the hospital converted to Critical Access. Now we know the truth: Sutter's claims were all myths.
IRS filings confirm Sutter Coast made over $7 million in profits combined in years 2009 and 2010. That's on top of many millions in profits from 1985 through 2008.  Sutter's predictions of losses from 2014 to 2018 are also proving false.  According to current hospital CEO Mitch Hanna, Sutter Coast generated a "healthy profit" in 2014.  How healthy?  $10.8 million in 2014, with similar profits predicted for 2015, when Mr. Hanna's annual salary was $840,000.  So, without downsizing to Critical Access, Sutter Coast's profits and Mr. Hanna's salary both appear quite "healthy."
But what of the health of our community?  In 2014, Sutter Coast transferred 872 patients out of our county for medical care.  Sutter Coast outsourced local hospital jobs to Sutter's regional service center, cut hospital staff, and has become a revolving door for physicians leaving the county.
(3) Secret meetings. Sutter claim:  "We act openly and truthfully in everything we do."  Here are some facts:  Sutter only released "select information" from its self-funded "independent" hospital study. Sutter muted the telephone lines during its internet-only public presentation of the study, so audience members could not hear questions from other participants.  Sutter holds closed Board rooms, dismissed a dissenting Director from the Board room, and censured our local hospital Chief of Staff for allegedly releasing Board meeting minutes, while providing no evidence to support the allegation. 
(4) Broken promises. Sutter, a public benefit company, has hosted no public meetings during their four your conflict with the community.  During a Town Hall meeting on February 17, 2015, Sutter Coast CEO Mitch Hanna, unable to answer many questions from the audience, stated he would return within 30 days to discuss hospital finances. One year later, Mr. Hanna has failed to appear.  Sutter Health executives also ignored official record requests from our city and county leaders. 
Sutter's tax exemption means our county, state and federal governments cannot collect hundreds of millions in yearly tax revenues which "for profit" companies must pay. Does Sutter deserves its tax exempt privilege and above market charges for health care?  You be the judge . . . . .
Sutter's violations of California law are too numerous to detail here.  If you would like to help address Sutter's misconduct and its impact on California healthcare costs, please join Dr. Duncan's team of volunteers by writing him at, and join our city and county leaders, who have already asked Attorney General Kamala Harris to investigate Sutter Health, by writing to:
The Honorable Kamala Harris
Attorney General of California
1300 "I" St.
Sacramento, CA  95814-2919