Concord / Pleasant Hill Health Care District
ABOUT THE DISTRICT
The Mt. Diablo Health Care District, previously known as the Concord Hospital District, was formed in 1948, with voters approving the District formation and a special parcel tax to build the Mt. Diablo Medical Center. When initially formed, the District’s boundaries included the cities of Clayton (portions), Martinez, Lafayette (portions), Concord, and Pleasant Hill (portions), along with the unincorporated communities of Clyde and Pacheco.
In April 2012, at the request of the Local Agency Formation Commission (LAFCO), the City of Concord submitted an application and operational plan, proposing the establishment of the Mt. Diablo Health Care District (MDHCD) as a subsidiary district of the City of Concord, with the Concord City Council serving as the MDHCD Board. On August 8, 2012, LAFCO approved the requested reorganization. The Board was directed to continue to provide health care services pursuant to the Health and Safety Code throughout the District's new jurisdictional boundary comprising the exterior boundaries of the cities of Concord and Pleasant Hill, including unincorporated islands and pockets within the respective cities' boundaries.
On July 9, 2013, the Board approved Resolution No. 13-006, changing the District’s name to Concord/Pleasant Hill Health Care District (CPHHCD) to better reflect the boundaries of the District.
Community Benefit Agreement
In 1996, District voters approved a Community Benefit Agreement (CBA) the CPPHCD and John Muir Medical Center (John Muir Health). Under the terms of the CBA, CPHHCD transferred all rights and title in the Mt. Diablo Medical Center to John Muir Health, including land, buildings and equipment, in exchange for certain assurances regarding healthcare services and funding to be provided within the District.
Under the CBA, John Muir Health is required to operate and maintain the Mt. Diablo Medical Center for the benefit of the communities served by the District. John Muir is also required to contribute One Million Dollars per year to a Community Benefit Corporation, known as the John Muir/Mt. Diablo Community Health Fund (CHF), to provide monetary funding to programs and events that address health issues and promote a healthy community. Pursuant to the CBA, John Muir Health is also required to provide $25,000 per year to CPHHCD for administrative activities.
The CBA is effective until December 31, 2049, and may automatically renew for three additional successive 50-year terms unless terminated in accordance with the terms of the agreement.
John Muir Health Board
Under the existing bylaws of the John Muir/Mt. Diablo Community Health Fund, five members of the Board are appointed by John Muir Health, three members are appointed by the Concord City Council and two are appointed by the Pleasant Hill City Council. For additional information regarding the Board: https://www.johnmuirhealth.com/about-john-muir-health/community-commitment/community-health-fund/who-we-are.html
Contra Costa Local Agency Formation Commission
In 2011, the Contra Costa Local Agency Formation Commission (“Contra Costa LAFCO”) proceeded with a special study relating to governance options for the MDHCD. LAFCO encouraged the City of Concord to apply to convert the MDHCD into a subsidiary district governed by the City. The Commission noted that the advantages associated with a reorganization included: 1) ongoing allocation of property tax revenues directed at meeting the health care needs of the community; and 2) continued existence of MDHCD as a health care district and separate legal entity in order to preserve the provisions contained in the Community Benefit Agreement.
Municipal Service Reviews (MSRs) were added to LAFCO's mandate with the passage of the Cortese-Knox-Hertzberg (CKH) Local Government Reorganization Act of 2000 (Government Code § 56000 et seq). An MSR is a comprehensive study designed to better inform LAFCO, local agencies, and the community about the provision of municipal services. Service reviews capture and analyze information about the governance structures and efficiencies of service providers and identify opportunities for greater coordination and cooperation between providers.
For additional information regarding MSR’s completed by Contra Costa LAFCO: http://contracostalafco.org/agencies/municipal-service-reviews
CPHHCD Grant Committee
The CPHHCD Grant Committee is comprised of seven members: five Concord residents appointed by Concord City Council and two Pleasant Hill residents appointed by the Pleasant Hill City Council, roughly representing the population distribution between the two cities. The Committee reviews applications using established evaluation criteria, hears presentations from applicants and makes annual funding recommendations to the CPHHCD Board for the ongoing allocation of property tax revenues to local nonprofits and agencies to provide a variety of community health programs to at-risk populations. These programs promote healthy eating and good nutrition, homeless services, mental and physical health and support for victims of domestic violence. The City of Concord Housing Manager serves as liaison and support to the Grant Committee.
CPHHCD Board agendas/actions
Actions requested of the CPHHCD are included on City Council meeting agendas as necessary under "City Council sitting as the Concord/Pleasant Hill Health Care District."
Funding is provided for a two-year cycle followed by a three-year cycle. In the first year, a specific grant amount is awarded. Second and third year funding is based on fund availability and grantee performance. Contracts are issued on an annual basis and adjusted proportionally among all grantees for fluctuations in funding. The benefit of this methodology of funding is that it provides a level of certainty to grant recipients.
Applications are submitted electronically through the City Data Services database. Funded subrecipients submit a half-year report for the period July 1 – December 31, and a year-end report for the period January 1 – June 30, along with a sources and uses report and backup documentation for expenditures. Reports are reviewed by City staff to ensure that programmatic goals are met and funds are expended appropriately. Staff also monitors funded programs periodically.
The current funding cycle runs through June 30 2023. The kickoff for the next three-year cycle (2023/24, 2024/25 & 2025/26) will be held in late Fall, 2022. To be added to the interested parties list and to be advised of the kickoff meeting for the next funding cycle, please email Cathy Gaughan at Cathy.Gaughan@cityofconcord.org.
CPHHCD FINANCIAL REPORTS
Audits of CPHHCD accounts: http://www.cityofconcord.org/268/Financial-Reports
Annual Financial Reports to the Controller: http://www.cityofconcord.org/241/Financial-Documents-Publications
Compliance Reports: http://www.cityofconcord.org/266/Compliance-Reports