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City report: CPMC exceeded community‑benefit targets but charity‑care fell in 2020

January 20, 2022 | San Francisco City, San Francisco County, California


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City report: CPMC exceeded community‑benefit targets but charity‑care fell in 2020
San Francisco’s Department of Public Health and Planning staff presented quantitative compliance details for California Pacific Medical Center under its development agreement.

Gretchen Polley (DPH) said the DA sets baseline healthcare commitments including charity care and community benefit. DPH reported CPMC provided approximately 35,246 unduplicated charity‑care or medical patients in 2019 and 28,900 in 2020. The DA permits using a two‑year rolling average to address year‑to‑year shortfalls; DPH indicated that, applying that rule, CPMC is technically compliant for 2020.

On community benefit, DPH reported CPMC exceeded the DA’s $8,000,000 minimum by providing about $13.6 million in 2019 and $15.1 million in 2020. Deloitte performed third‑party verification of charity care and community‑benefit reporting, according to the presentation. DPH also described the $8.6 million Innovation Fund (funded across four years) and said CPMC completed payments in 2017; remaining awards in 2020 totaled approximately $840,000 for language and vocational services targeted to communities affected by COVID.

Commissioners asked for additional, verifiable details where community advocates allege discrepancies in how services are delivered. DPH and staff committed to continued engagement with CPMC and to provide further detail to commissions as requested.

Ending: Staff recommended the directors find CPMC in compliance for the 2019–2020 reporting years; a third‑party monitor will review that finding and advise the Board of Supervisors.

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