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California State Auditor Logo COMMITMENT • INTEGRITY • LEADERSHIP

Tulare Local Healthcare District
Past Poor Decisions Contributed to the Closure of the Medical Center, and Licensing Issues May Delay Its Reopening

Report Number: 2018-102

Selected Abbreviations Used in This Report

CMS Centers for Medicare and Medicaid Services
EHR electronic health record
HCCA Healthcare Conglomerate Associates
MEC medical executive committee
OSHPD Office of Statewide Health Planning and Development
PRIME program Public Hospital Redesign and Incentives in Medi-Cal program