Health Care
Our office plays an important role in ensuring that quality health care is accessible and affordable for all Rhode Islanders.
From serving as a regulatory authority in major hospital transactions to advocating on behalf of all Rhode Islanders, the Office continues to make important strides when it comes to expanding our role in health care.
Here are a few recent highlights:
- We put affordability front and center when insurance companies pushed to increase insurance rates during the middle of a massive public health crisis.
- We worked to ensure that vaccine distribution was guided by public health and done in accordance with the guidelines provided by the CDC, and that entities charged with vaccine administration did so in an equitable and transparent manner.
- We took steps to build a top-notch healthcare team in the Office to execute our crucial role under the Hospital Conversions Act (HCA) as one of the main regulators of potential hospital mergers in the state.
- We introduced legislation passed by the General Assembly that strengthened the Office’s oversight role under the HCA by adding antitrust review, extending the monitoring period after a transaction, increasing the monetary fine for violations, and simplifying the judicial review process.
A Way Forward
On May 28, 2025, Attorney General Peter F. Neronha announced a series of health care-related initiatives aimed at providing immediate relief and long-term solutions for Rhode Island’s failing health care system. These initiatives include legal action, legislation, regulatory action, collaborations for further policy development, and planning for a new health care agency.
Read the press release here.
Visit an interactive website that is dedicated as a guide through the Office’s action to address the crisis in Rhode Island’s health care system here. This site will be updated to reflect future actions and outcomes.
Attorney General approves sale of hospitals to Centurion Foundation with significant conditions to protect delivery of health care for Rhode Islanders
On June 20, 2024, Attorney General Peter F. Neronha announced that his Office has issued a decision, pursuant to its authority under Rhode Island’s Hospital Conversions Act (HCA), to conditionally approve a transaction that would allow a change in ownership of a health care system that includes two local safety net hospitals, Roger Williams Medical Center and Our Lady of Fatima Hospital, from Prospect Medical Holdings to The Centurion Foundation.
RIAG and RIDOH make public The Centurion Foundation HCA application
On January 29, 2024, Attorney General Neronha and the Rhode Island Department of Health (RIDOH) released the Initial Hospital Conversion application submitted to the State for the proposed sale of Roger Williams Medical Center and Our Lady of Fatima Hospital. The application and confidentiality review can be found below.
Application Confidentiality Review
Public Comments Batch One - received 2/8/2024-2/20/2024
Public Comments Batch Two - received 2/21/2024-3/8/2024
Public Comments Batch Three - received 3/8/2024-4/2/2024
Supplemental Questions and Answers - First Round
Supplemental Questions and Answers - Second Round
Attorney General Neronha and the Rhode Island Department of Health (RIDOH) will hold two public meetings on the proposed sale of Roger Williams Medical Center and Our Lady of Fatima Hospital. Each meeting will take place from 4 to 6 p.m. in room 110 of Alger Hall at Rhode Island College, located at 600 Mount Pleasant Ave. in Providence. A virtual option is also available for both.
Meeting 1: Tuesday, March 19, 2024 (Video Recording)
Meeting 2: Tuesday, March 26, 2024 (Video Recording)
The Rhode Island Office of Attorney General reviews proposed hospital conversions pursuant to the Hospital Conversions Act, R.I. Gen. Laws § 23-17.14, et. seq.
Hospital Conversion or Merger Initial Application
Please call the Office of the Health Care Advocate at (401) 274-4400 for more information.
Rhode Island Law permits parties subject to the HCA to withhold proprietary business information as confidential, subject to review by the Office of the Attorney General. If parties request certain information remain confidential, our Office will perform a detailed review of their request to determine if they are entitled by law to withhold that information. If parties do not request non-disclosure, our Office will not review for confidentiality. If parties disagree with our Office’s determination, they may seek court review.
Centurion Foundation and Prospect Medical Holdings (CharterCARE)
Application Confidentiality Review
AG Decision Denying Merger Application
AG Presentation Outlining Decision
Find application here under Recent HCA Reviews
Audio from January 20, 2022 Public Comment Meeting
Transcript of January 20, 2022 Public Comment Meeting
Audio from January 26, 2022 Public Comment Meeting
Transcript of January 26, 2022 Public Comment Meeting
Access Public Written Comments here
Yale-New Haven Health Services and L+M Corporation (Westerly Hospital)
Public Exhibits
Additional Public Exhibits
Landmark/Prime
Chamber Inc.; Ivy Holdings Inc.; Ivy Intermediate Holdings, Inc.; Prospect Medical Holdings, Inc.; Prospect East Holdings, Inc.; Prospect East Hospital Advisory Services, LLC; Prospect CharterCARE, LLC; Prospect CharterCARE SJHSRI, LLC; Prospect CharterCA
Public Exhibits
Confidential Exhibits Deemed Public
Supplemental submission 8/11/20
First Set of Supplemental Questions and Responses
Second Set of Supplemental Questions and Responses
Third Set of Supplemental Questions and Responses
Fourth Set of Supplemental Questions and Responses
Fifth Set of Supplemental Questions and Responses
Statements under oath transcripts and related confidentiality determinations
Chamber Inc.; Ivy Holdings Inc.; Ivy Intermediate Holdings, Inc.; Prospect Medical Holdings, Inc.; Prospect East Holdings, Inc.; Prospect East Hospital Advisory Services, LLC; Prospect CharterCARE, LLC; Prospect CharterCARE SJHSRI, LLC; Prospect CharterCA.
Rhode Island Law permits parties subject to the HCA to withhold proprietary business information as confidential, subject to review by the Office of the Attorney General. If parties request certain information remain confidential, our Office will perform a detailed review of their request to determine if they are entitled by law to withhold that information. If parties do not request non-disclosure, our Office will not review for confidentiality. If parties disagree with our Office’s determination, they may seek court review.
Final RIAG Chamber Ivy Report for QE 09 30 2022 - Redacted
Final RIAG Chamber Ivy Report for QE 06 30 2022 - Redacted
Final RIAG Chamber Ivy Report for QE 03 31 2022 - Redacted
Final RIAG Chamber Ivy Report for QE 12 31 2021 - Redacted
Final RIAG Chamber Ivy Report for QE 09 30 2021 - Redacted
Final RIAG Chamber Ivy Report for YE 09 30 2021 - Redacted
Final RIAG Chamber Ivy Report for YE 09 30 2022 - Redacted
Final RIAG Chamber Ivy Report for YE 12 31 2022 - Redacted
Final RIAG Chamber Ivy Report for YE 03 31 2023 - Redacted
Final RIAG Chamber Ivy Report for YE 06 30 2023 - Redacted
Information submitted to the Office of the Attorney General under the Hospital Conversions Act as part of an application or ongoing monitoring is subject to a detailed confidentiality review by the Office before being publicly released. Reviews are conducted on an individualized basis, taking into account the context, facts, and circumstances of each transaction or monitoring. The Attorney General and Transacting Parties have agreed to make the information in the below documents public without redaction, notwithstanding the fact that, in some instances, documents could have been maintained as confidential.
RIAG Chamber Ivy CAPEX reduction report 10.18.21
- Guidance to Rhode Island Nursing Homes, Assisted Living Facilities, and Other Long-Term Care Residential Facilities: This guidance advises that pandemic stimulus payments provided pursuant to the CARES Act to residents of long-term care facilities are the property of residents only.