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Staff finds CPMC generally in compliance with development agreement; community demands action on subacute beds and Tenderloin enrollment

San Francisco Planning Commission and Health Commission (joint hearing) · October 3, 2019
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Summary

City staff recommended that the directors of planning and public health find California Pacific Medical Center in compliance for its 2018 development-agreement obligations, citing payments, charity care and LBE targets met. Community members and clinicians pressed commissioners to address a shortage of subacute beds, reported patient deaths after transfers and low Tenderloin Medi-Cal enrollment.

San Francisco planning and health commission staff told a joint hearing on Oct. 3, 2019, that California Pacific Medical Center has generally met its 2018 obligations under its development agreement, but residents, clinicians and union representatives pressed for stronger action on subacute capacity, Tenderloin Medi-Cal enrollment and culturally appropriate services.

Kate Connor of the Planning Department summarized the review required by the CPMC development agreement and said CPMC (Sutter Health) completed its payment obligations with "over $73,000,000." The Department of Public Health reported that CPMC provided about 38,210 unduplicated charity-care or medical patients in 2018 (exceeding the DA baseline of 30,345) and that community-benefit spending was roughly $15,100,000 versus an $8,000,000 DA requirement. DPH also said the Innovation Fund payments required by the DA totaled $8,600,000, with the final payment completed in 2017 and the fund administered by the San Francisco Foundation.

Ken Nim of the Office of Economic and Workforce Development (CityBuild) reviewed labor metrics tied to the project. CityBuild reported cumulative results since the project began in August 2013: roughly 5.6 million work hours, about 1.15 million of those classified as apprentice hours, and approximately 175 apprentices who worked on the project. Nim said CityBuild placed 32 of 38 new entry-level…

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