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Public funding of Ravenswood Medical Clinic

From: Jack Hickey, SHD Director <"Jack>
Date: Mon, 4 Jan 2016 16:28:23 -0800

To Menlo Park and East Palo Alto City councils:

Councilmembers, as an elected member of the Sequoia Healthcare District Board of Directors, I am aware of an unsustainable situation which finds my District as the only public agency supporting the Ravenswood Medical Clinic. The appended e-mail contains the relevant information.

A substantial portion of Menlo Park, known as East Menlo Park, does not lie within Sequoia Healthcare District boundaries. Menlo Park benefits from an increased portion of property taxes, in the same way as EPA, which would have gone to SHD,since no taxes are collected for a healthcare district.

Please consider a proportional share of support for Ravenswood. (See pie chart) Or, as an alternative, help me in my quest to expand or dissolve the Sequoia Healthcare District to resolve this unsustainable situation.

Jack Hickey

From: Jack Hickey, SHD Director
Sent: Monday, January 04, 2016 3:49 PM
To: Art Faro
Cc: 'Pamela Kurtzman' ; Lee Michelson ; cmartinez_at_(domainremoved)
Subject: Re: For Jack Hickey

Art, the Zip Code Grouping Rationale (appended below) should be submitted to the Board for approval. I doubt if it would survive. A policy statement establishing benchmarks for percentage of residents served should be developed for Board approval. Consideration should be given to other public agency contributions to grantees who serve a large percentage of non- residents. In the case of Ravenswood, there are none. And, 70% of their clients are EPA residents. Were the City of East Palo Alto, which benefits from extra property tax revenue by virtue of the fact that no taxes are collected for a healthcare district, to contribute a proportional share of Ravenswoods funding, that might validate our support. (See pie chart below)

Sequoia Healthcare District Caring Community Grants
Zip Code Grouping Rationale
Sequoia Healthcare District receives most of our funding from property taxes which come from a defined geographic boundary. Given this, our financial support is limited to serving those residents of our area and the percentage of program support that you receive from us, cannot exceed the percentage of clients that you serve who live in our District.
For example, if our funding represents 20% of your program support, we will calculate what percent of your clients live in our District. If that percent is 20% or more, your application will be within our guidelines. This is especially true if that percentage represents residents served who live in what we call our Zip Code 1 area where all residents live in the District.
If in the above example, only 15% live within Zip Code 1, we would look at the percentage of clients who live in Zip Code area 2 where only a portion of those residents live in the District. We would use more detailed maps to determine where your clients come from to determine if that addition brings us to the 20% threshold.
Your mid-year and end of year reports will ask you to tell us how many clients that you served by zip codes and we ask that you obtain address information when you serve your clients. If your policies do not allow you to do this, then we require a letter or email explaining this, which must be signed by either your Executive Director or Board President, and included with your Letter of Intent.
If your program provides temporary residential services for clients for a period of 6 months or more, we consider those to be SHD residents.

From: Lee Michelsen
Sent: Monday, January 04, 2016 1:02 PM
To: 'Jack Hickey, SHD Director'
Cc: 'Pamela Kurtzman' ; 'ajtr3'
Subject: FW: For Jack Hickey

As per your request we are sending you the packet that will be distributed tomorrow and Thursday. We will also record the session. If you want additional information on this matter or any other matter you will need to follow proper procedures and request through either the Board president or as part of a public records action.


From: Pamela Kurtzman [mailto:pkurtzman_at_(domainremoved)
Sent: Monday, January 04, 2016 12:57 PM
To: Lee Michelson
Subject: For Jack Hickey





Pamela Kurtzman, MPH

Director of Grants and Programs

Sequoia Healthcare District

525 Veterans Boulevard

Redwood City, CA 94063

Office: 650 421-2155 x 203

Cell: 650- 743-2558



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Received on Mon Jan 04 2016 - 16:32:09 PST

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