Click on a specific area of interest to see all documents related to that topic.
Transcripts and depositions from the TRMC MEC lawsuit have found a new home: click here to view.
Looking for board meetings? We’ve moved them over to their own page — click here: TLHCD Board Meetings.
Documents relating to the failed Measure I bond initiative and the prior TLHCD bond have moved over to their own page; click here to view.
TLHCD-SIHD Line of Credit
Line of Credit Promissory Note — March 25, 2016
http://www.documentcloud.org/documents/3259083-Line-of-Credit-Promissory-Note-March-25-2016.html
Line of Credit Promissory Note — First Amendment, July 8, 2016
http://www.documentcloud.org/documents/3259084-Line-of-Credit-Promissory-Amendment-July-8-2016.html
Lawsuits Against TLHCD
TLHCD & HCCA Management Agreements
Below are documents mentioned in “Deal Gives HCCA Right to Buy Tulare Regional Medical Center,” published in the April 21st Valley Voice. The documents are labeled and available to be downloaded, printed, and viewed in full-screen.
HCCA & Southern Inyo Management Services Agreement
May 29, 2014 — Management Services Agreement between HealthCare Conglomerate Associates and Tulare Regional Medical Center
May 29, 2014 — First Amendment to Management Services Agreement
http://www.documentcloud.org/documents/3013870-First-Amendment-to-Management-Services-Agreement.html
May 29, 2014 — Interim Joint Operating Agreement between HealthCare Conglomerate Associates, LLC and Tulare Regional Medical Center
http://www.documentcloud.org/documents/3013871-Interim-Joint-Operating-Agreement-between.html
May 29, 2014 — Joint Operating Agreement between HealthCare Conglomerate Associates, LLC and Tulare Regional Medical Center
http://www.documentcloud.org/documents/3013872-Joint-Operating-Agreement-between-Healthcare.html
May 29, 2014 — Option Agreement between HealthCare Conglomerate Associates, LLC and Tulare Regional Medical Center
June 18, 2014 — Memorandum of Option Agreement
http://www.documentcloud.org/documents/3013868-Memorandum-of-Option-Agreement-between.html
August 25, 2014 — First Amendment to Option Agreement
http://www.documentcloud.org/documents/3013870-First-Amendment-to-Management-Services-Agreement.html
September 24, 2014 — Second Amendment to Option Agreement
http://www.documentcloud.org/documents/3013887-Second-Amendment-to-Option-Agreement-between.html
December 3, 2014 — Summary of Management and Joint Operating Agreements between Tulare Regional Medical Center (“TRMC”) and HealthCare Conglomerate Associates (“HCCA”)
Grand Jury Response
TLHCD Response — Valley Voice PRA Request for Financial, Bond Oversight, and other data
Former Board Members’ Response to TRMC’s “Sins of the Fathers”
May 31, 2016 — Tulare Regional Medical Center Response to the Tower of Shame Grand Jury Report
March 24, 2016 — Tower of Shame Grand Jury report
Bond Oversight Committee
Bond Oversight Committee Minutes — we will soon organize these by year for easier viewing
Miscellaneous Documents
Tulare Local Healthcare District Board Bylaws, Adopted 05/2013
Year ending June 30, 2015 — Independent (Financial) Auditor’s Report performed by Armanino Consulting
August 24, 2015 — Chico State Economic Development Study, the Economic and Fiscal Impacts of the Tulare Regional Medical Center
January 29, 2016 — Letter from California Medical Association & Tulare County Medical Association