999.

5(d)(10)
Description of the applicants efforts to inform local governmental entities, professional staff
and employees of the health facility, and the general public of the proposed transaction. This
description shall include any comments or reaction to this effort.
DCHS made the announcement to its internal and external stakeholders on July 17, 2015 that it
had selected BlueMountain Capital Management to replace DCHS governance of our hospitals
and medical foundation.
DCHS and Hospital board members and leadership throughout the Hospitals, DCHS Medical
Foundation, DCHS System Office and Caritas Business Services are provided a communication
timeline, talking points, press release and FAQ prior to the internal and external announcement
so they are prepared in advance. The communication timeline is extensive and includes a list of
audiences who must be made aware of the transaction.
The DCHS communications team advises and partners with DCHS leadership, legal counsel and
consultants (the Transaction Team) to provide periodic communications to employees,
physicians, board members, donors and the public. The following provides a detailed summary
of those efforts.
Reactions to the ongoing bidding process and communications efforts regarding the process,
including the recent announcement of BlueMountain, have been very positive and many
questions have been posed by staff, physicians and the media, including questions related to the
transaction with BlueMountain, pensions, potential layoffs, union contracts, and more.
Associates and physicians in general feel very informed and have myriad opportunities to ask
questions and voice their concerns.
The DCHS Corporate Office and each hospital have provided communications in the following
ways:
DCHS Corporate Office
Monthly DCHS Board of Director meetings with presentations from Transaction Team
leaders and DCHS CEO.
Press release announcing the sale was posted on DCHS website July 17, 2015. Facebook
pages for all the hospitals also announced the transaction.
News articles were shared with leadership throughout DCHS following the public
announcement on July 17.
DCHS Corporate Communications leads the media relations efforts, proactively reaching
out to reporters with any new information and responding immediately to reporter
requests for interviews.
Transaction FAQs and talking points are provided and will be updated for leadership and
board members as the process moves forward toward close.
Monthly updates to all leadership in the hospitals and medical foundation;
letters/memos/phone calls to external stakeholders.

All Hands emails are periodically sent from the DCHS CEO to all associates and
physicians throughout DCHS, providing regular updates on the transaction process.
Each hospital, Caritas Business Services and the DCHS Medical Foundation continued
with regular communication updates to associates, physicians, and volunteers through
various channels including in person meetings, department staff meetings, associate and
physician newsletters, executive rounding, CEO blogs, donor communications, Facebook
postings and website postings.
Members of Houlihan Lokey and senior leadership have attended meetings with
leadership of each of DCHSs primary unions (SEIU, CNA and UNAC) on a regular
basis to share information about the transaction process.
Weekly meetings with all CEOs and the Transaction Team.
Regular communications between the Daughters of Charity and local Bishops and other
Catholic leaders.
System Office town halls are offered for associates in the System Office and Caritas
Business Services.
News articles are disseminated to leaders as they appear in the newspapers.
Corporate Communications assists the CEO and Daughters of Charity in responding to
letters from interest groups and individual community members inquiring or commenting
on DCHS.

OConnor Hospital

CEO meets with physician and associate leadership monthly regarding the DCHS sale
transaction.
For physicians, CEO has provided updates at quarterly physician staff meetings, monthly
Medical Executive Committee meetings, and special meetings such as meetings with
hospital-based physicians.
Periodic updates are provided in the weekly associate electronic newsletter and physician
electronic newsletter at OConnor Hospital.
Questions regarding the DCHS sale transaction are addressed by senior leadership during
associate and executive rounding. CEO also addresses questions asked by physicians
having lunch in the physician lounge area.
CEO publishes a weekly blog and has responded to comments or questions about the sale
transaction by associates through her blog and subsequently at her forums.
Monthly updates are provided at hospital board meetings. The CEO has asked board
members to contact her directly with any questions or rumors they may have heard.
Updates are provided to key stakeholders in the community by the CEO and Public
Relations.
Unions are kept informed by HR and the CEO
A mailing is planned for active donors to the OConnor Hospital Foundation, informing
them of the transaction.

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The OConnor Hospital website and Facebook page are kept updated with information
regarding the transaction and process.

Seton Medical Center and Seton Coastside

CEO outreach to physicians includes regular transaction updates provided at the Medical
Executive Committee monthly meetings; quarterly general medical staff meetings; and
meetings with hospital based physicians.
CEO communications directly with associates includes quarterly associate forums,
monthly leadership meetings, and CEO attendance at departmental staff meetings and
huddles (clinical and non-clinical)
Volunteer communications includes letter and verbal updates to volunteer services
associates.
Members of the senior leadership team and leadership team conduct weekly rounding
with associates and answer any transaction related questions during that time.
The Seton Medical Center website and Facebook page are kept updated with information
regarding the process and transaction.
Seton external outreach includes:
o California Legislature:
Senator Jerry Hills office
Senator Mark Lenos office
Assemblymember Kevin Mullins office
Assemblymember Phil Tings office
o Congressional Representatives:
Congresswoman Jackie Speiers office
o City Councils:
City of Daly City: City Manager and Mayor
Town of Colma: City Manager and Mayor
Mayor of San Bruno
Vice Mayor of Brisbane
Mayor of South San Francisco
Mayor of Pacifica
Mayor of Half Moon Bay
o San Mateo County Board of Supervisors and County Officials:
CEO meets individually with supervisors to keep them informed about activities at SMC
and general information about the purchase of the health system and hospitals.
CEO, Health Plan of San Mateo
Executive Director, Hospital Consortium of San Mateo County

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o Chamber of Commerce:
Brisbane Chamber of Commerce
Daly City-Colma Chamber of Commerce
Half Moon Bay Coastside Chamber of Commerce
Pacifica Chamber of Commerce
South San Francisco Chamber of Commerce

Foundations: Communications directly to the Doelger Charitable Trust

Community-Based Organizations: A variety of community-based organizations are kept
updated. These are organizations who have received sponsorship for Seton and Seton
Coastside in prior years.
The Seton Medical Center Foundation Board of Directors has been kept informed of the
process and provided verbal and written updates.
Skilled nursing and sub-acute residents are kept updated and will be sent a copy of the
public notice.
Donors are updated via acknowledgment letters and on the website.
Community Advisory Committee members are provided updates on the transaction.

Saint Louise Regional Hospital

CEO conducted forums announcing the transaction. These forums included a Q and A
session at the end of the announcement.
An email publicizing these forums was sent to all associates and physicians and was
posted throughout the hospital.
CEO invited direct communication with associates through suggestion boxes or via email. Her e-address was provided.
For physicians, at the Medical Executive Committee meeting, held 7/22/15, the CEO
addressed physicians, answering their questions.
CAO (Chief Administrative Officer) at Saint Louise Regional Hospital provides updates
at physician department meetings regarding hospitals matters, including the DCHS
transaction.
Questions regarding the DCHS transaction are addressed by senior leadership during
associate rounding.
CEO publishes a regular blog and responds to comments posted.
CEO has asked board members to contact her directly with any questions or rumors they
may have heard.
Regarding donors, the Board of Trustees of the philanthropic Foundation has regular
meetings. When an immediate update is needed, members of the Board are called.
The Saint Louise website and Facebook page are kept updated with information
regarding the transaction.
St. Francis Medical Center
Updates on the process are a standing agenda item for the Executive Session of the
Board, which meets monthly.

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CEO provides weekly updates to SFMCs senior leadership team.

DCHS updates are provided by CEO at monthly Leadership meetings. Leadership team is
asked to cascade information to staff.
DCHS announcements/updates are sent to all associates via email, and cascaded to staff.
CEO leads Associate Forums regarding the transaction and timing.
DCHS Updates and President/CEO messages on the hospital focus and goals during the
transitional period are included in the weekly Associate Newsletter.
Medical Executive Committee: Monthly updates are provided to physician leaders,
similar to what is shared at the Board of Directors meetings.
CEO provides updates and answers questions from physicians at the Quarterly General
Medical Staff meetings.
Administrative Reports including transaction updates are given at medical staff
committee (department and division) meetings of the medical staff.
DCHS Updates and Chief of Staff and/or President/CEO messages on the hospital focus
and goals during the transitional period are included in the quarterly Medical Staff
Newsletter.
Quarterly St. Francis Foundation Board of Trustee Meetings include updates by the CEO,
and also on the Trustee teleconferences scheduled between each quarterly meeting.
Potential donors are notified upon submission of grants. Updates are provided upon grant
renewals and during grantor site visits.
Director of Volunteer Services provides monthly updates following Leadership Meeting
updates.
The St. Francis website and Facebook page are kept updated regarding the process and
transaction.

SFMC external outreach includes:

Los Angeles County Board of Supervisors
Los Angeles County Dept. of Health Services/Surrounding Hospitals
City of Lynwood
Health Plan Partners/Medical Groups
CEO provides updates at Joint Operating Committee meetings with AppleCare,
OmniCare, Altamed, and Angeles IPA. CEO has communication with LA Care,
HealthNet, Blue Cross, and Blue Shield.
Hospital Assn. of So Cal / PEACH and other partner organizations
St. Vincent Medical Center
CEO has and will communicate with City Council members and other partner
organizations regarding the transaction.
CEO has and will meet with local Health Provider Groups such as Regal, Seoul Medical
Group, KAMG, and others to provide updates on the process.
CEO leads weekly director stand up meetings with updates and directors disseminate
the information to their staff members.
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CEO provides updates at monthly physician staff meetings, monthly Medical Executive
Committee, and special meetings such as meetings with hospital-based physicians.
CEO leads quarterly associate forums and monthly Directors/Managers meetings where
updates on the DCHS transaction are provided and information is cascaded to staff.
All current and prospective donors receive updates upon request.
St. Vincent Foundation board members are provided regular updates.
News articles are disseminated to staff and physicians.
St. Vincent Medical Center website and Facebook page are kept updated with
information regarding the process.

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