Voters Tuesday rejected a $45 million bond referendum for the Sonoma Valley Health Care District. The measure garnered support from 62% of voters, but it needed a two-thirds majority to pass.

It was the hospital’s second defeat at the polls in two years. In 2006, voters rejected a $148 million debt offering.

The health care district planned to use the $45 million to renovate its Sonoma Valley Hospital to meet California seismic regulations. It also hoped to buy land for construction of a new hospital that would have cost $237 million and required another bond election.

Neighbors opposed the construction of a large new hospital. Hospital officials haven’t yet decided how to proceed.

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