STUDY SESSION BEACH CITIES HEALTH DISTRICT January 24, 2024 5:00 PM

to Communications, Vanessa, Noel, Martha, Jane, Michelle, info, Eleanor, cityclerk, cityclerk, executiveoffice, Holly

BCHD's future actions are primarily OUTSIDE the District's resident base. allcove Beach Cities has a 91% non-resident service area, namely LA County SPA8. That includes 1.4M people and about 250,000 15-25 year olds. Of that, only 9% are taxpayer-residents who reside in the District.

Furthermore, BCHD is donating the 1/2 acre lot with an approximate annual lease value of $250K per year to all Beach Cities. The math is quite simple. 91% of $250K for the next 30 years is $6.8M in current dollars. Obviously that is expected to escalate, as well the land value. BCHD is obligated the District taxpayers to support the allcove facility for 30 years as a result of taking the roughly $6M state grant. In short, 91% of the benefit of allcove goes to NON-RESIDENTS. And if it doesn't, then BCHD is failing to faithfully execute the SPA8 service area contract it executed.

PACE has existing national statistics collected by the National PACE Assoc. Only 1 in 1000 seniors is a PACE enrollee. 99% of enrollees have Medicaid and 91% have both Medicaid and Medicare. There are 16000 seniors in the 3 beach cities, meaning that only 16 resident taxpayers will benefit from PACE and 95% of the PACE's 400 projected enrollees (per Cain estimates) will be NON-RESIDENTS.

The most recent public study, BCHD's MDS study demonstrates in Exhibit 3-3 that 80% of the RCFE tenants will be NON-RESIDENTS. That is clearly demonstrated by the ZIP CODE ANALYSIS of MDS. PMB and BCHD continue to operate in the shadows and have provided NO public information update.

A grave concern is that affordability of the RCFE. The estimates that were provided by Cain based on PMB's proposal showed an average monthly cost of $11,311 as the result of a weighted average analysis of the number of units and the cost of units. That was prior to the run up in inflation and interest rates. It seems likely that the cost will skyrocket for tenants, and that the moderate income areas of the District will be SHUT OUT by non-residents.

BCHD and it's SUPERMAJORITY NON-RESIDENT future services MUST BE STOPPED.

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