Voters in Calaveras County are in favor of their local hospital and its clinics entering a new 30-year lease with Dignity Health, the fifth-largest health system in the nation and the largest hospital provider in California.

The vote was 87.87 percent of voters marked “Yes” on their ballots and 12.13 percent said “No.”

Mark Twain Medical Center is the only hospital in Calaveras County, and with its clinics, is the third-largest employer in the county, according to Randy Smart, the district’s executive director. The hospital and its clinics have more than 300 employees, including 35 doctors, and an annual payroll exceeding $30 million.

The Mark Twain Health Care District board in late January approved the lease with Dignity Health, which has operated the hospital for three decades. The health care district is a public agency and its boundaries include all of Calaveras County.

Contact Guy McCarthy at or 588-4585. Follow him on Twitter at @GuyMcCarthy.