In 2004, Doctors Medical Center in San Pablo faced a financial crisis. The government entity responsible for the hospital, the West Contra Costa Healthcare District (WCCHD), asked voters to agree to pay extra property taxes to keep it open.
In a special election held in June of that year, West County voters were asked to weigh in on Measure D, which read as follows:
To prevent the life threatening shut-down of the West Contra Costa Healthcare District's only full service emergency room, which serves all West County residents, and prevent the closure of this community's local hospital so that victims of heart attacks, strokes, car accidents, bums, toxic chemical releases and other medical emergencies receive rapid response medical care, shall an annual special property tax be authorized with all revenue staying in our community for local emergency and healthcare services and facilities?
The special tax, known as a parcel tax, ranged from $52 for a single-family home to $1040 for a large apartment building. The full text of the measure included in the voter pamphlet distributed ahead of the election stated:
The purpose of this parcel tax will be to ensure continued local access to emergency room care, acute hospital care and other medical services for residents of the District and visitors to the area. The revenues raised by this special tax will only be used to defray operating expenses, capital improvement expenditures and debt repayment to accomplish the foregoing purposes.
And added:
A citizens oversight committee appointed by the Board will review and report on the expenditure of tax revenues.
Voters passed the measure, and the hospital remained open, but its financial problems continued. In 2006, WCCHD declared bankruptcy. But even discharging its debts did not provide long-term relief.
Doctors Medical Center closed in April 2016. The building was subsequently demolished and the site is now a casino parking lot. The emergency room and acute care the hospital provided were no longer available to West County residents, who were now obliged to go to Kaiser Richmond Medical Center or other facilities for care.
Yet, the Measure D parcel tax, purportedly levied to provide urgent medical, remains on homeowners’ property tax bills. Each year Contra Costa County, which took over WCCHD, collects about $5.5 million in Measure D parcel taxes. This is in addition to a similar amount of money that has historically been allocated to WCCHD from the basic 1 percent property tax we all pay.
So where does this tax money go? The biggest cost the district faces is principal and interest on its municipal bonds. The district’s current bond matures in 2042, after the Board of Supervisors decided to roll over the debt in 2021. Total principal and interest is about $3.15 million per year.
The second biggest expense is pension benefits earned by former hospital employees. As of the last financial report, there were 108 retirees and survivors. Their benefits totaled $842,193 (averaging less than $8000 per beneficiary) for the year ended June 30, 2023. The County is making extra contributions into the pension fund to pay future benefits, but these appear to be excessive.
Finally, the County is using the tax money to pay administrative expenses and to make grants for health-related issues. The most recent grant was to the West County PLAYS program which subsidizes rental fees youth sports clubs pay to use facilities at West Contra County Unified School District. While subsidizing youth sports sounds like a good thing, it has little to do with the emergency room and acute care facilities voters agreed to fund when they voted for Measure D over two decades ago.
At CoCoTax, we believe the Measure D parcel tax should be terminated as soon as possible. While bondholders and pension beneficiaries have legitimate interests, it is not clear to us that their concerns eclipse those of homeowners, most of whom are getting zero value for the parcel taxes they have been paying.
If Supervisors cannot see their way to formally liquidating WCCHD and ending the Measure D parcel tax, they could at least reconvene the Citizens Bond Oversight Committee included in the measure. This way residents can ensure that the tax revenue provides appropriate community benefits until it is no longer needed.