HomeMy WebLinkAboutStaff Report 12233
City of Palo Alto (ID # 12233)
Finance Committee Staff Report
Report Type: Action Items Meeting Date: 5/4/2021
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Summary Title: Stanford University Medical Fund
Title: Discuss and Accept the Stanford University Medical Fund Report of
Current and Planned Commitments, in Preparation for the Committee's
Review of the FY 2022 Budget
From: City Manager
Lead Department: Administrative Services
RECOMMENDATION
Staff recommends that the Finance Committee review the uses of the Stanford University
Medical Fund and accept this report.
EXECUTIVE SUMMARY
This item provides an update on the uses, planned uses, and available funding remaining in
the Stanford University Medical Center (SUMC) Fund, which was created and funded through
a development agreement with Stanford to mitigate a variety of impacts from the medical
center redevelopment projects. The City Council requested and referred a review of these
funds to the Finance Committee at its January 30, 2021 retreat. This is an informational
report and has been scheduled in order to proactively equip the Committee with the
necessary information to have informed and productive FY 2022 Budget discussions where
adjustments may be made in the context of the many competing priorities the City is faced
with in its allocation of scarce resources. As a one‐time source of funding, clear principles of
spend should follow the important budgeting guiding principle that funds only be spent and
invested in one‐time costs. Staff recommends that the Finance Committee review this status
report and defer any formal allocation of funds to the FY 2022 budget process with the
Committee which is scheduled to being subsequent to this item and occur on May 11th, 12th,
and 25th, 2021.
BACKGROUND
In 2011, the City of Palo Alto entered into a Development Agreement between the City of
Palo Alto and the Stanford University Medical Center Parties (SUMC). Funds received in
Fiscal Year 2012 as part of this agreement were used in Fiscal Years 2013, 2014, and
beyond as outlined in the agreement and approved by the City Council. In Fiscal Year 2018,
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the City received the final payment of $11.8 million, for a total principal amount of $44.3
million over the course of the development agreement. The funds received per the
development agreement are allocated for specific purposes, which include funding for the
2014 City Council-approved Infrastructure Plan. As outlined in the agreement, expenses
and revenues for each category must be accounted for separately. The full text of the
agreement and significant background information can be found in the following
documents:
− City Council adoption of the final SUMC Development Agreement (June 6, 2011,
Staff Report 1339, Action Minutes)
− Ordinance of the Council of the City of Palo Alto Approving a Development
Agreement Between the City of Palo Alto and Stanford Hospital and Clinics; Lucille
Salter Packard Children's Hospital at Stanford; and the Board of Trustees of the
Leland Stanford Junior University (Ordinance 5124)
− The Planning and Development Services Department, formerly the Planning and
Community Environment Department, periodically issues a report of activities
during the prior period for Council review to ensure compliance with the
agreement. The annual report for the 2016‐2017 period is included in CMR 8999,
June 11, 2018.
Historically, the City Council and Committees have provided direction to staff on the
authorization process for use of SUMC funds, including guiding principles for their
expenditure. At a high level, use of these funds should be consistent with 1) City Council
priorities, 2) used for impactful and long‐lasting projects, and 3) primarily focused on
infrastructure.
The development agreement contains provisions for certain expenditures that have been
programmed in prior years, including Project Safety Net and emergency vehicle traffic
signal preemption. The authorization to use SUMC funds:
− For new projects (excluding Health and Safety) is completed as part of the annual
budget process.
− Funding for Health and Safety is to be reviewed and recommended by the Policy &
Services Committee to the City Council for approval. In prior years a joint
Stanford/City Committee was created to advise Community Health and Safety
programs.
At the May 15, 2019 Budget Hearing, the Finance Committee requested additional
information regarding the definitions, restrictions, and current status of the SUMC
development agreement funds. Staff provided follow up to this request during the May 28,
2019 Budget Hearing via an At Places Memorandum. As result of this discussion, the
Finance Committee requested that staff provide additional information related to the
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uncommitted balances in the SUMC Fund, assuming that FY 2020 ‐ 2024 Capital projects
are expended as planned. This information was provided in Staff Report 10419.
As part of the FY 2020 budget process, staff and the Finance Committee agreed to return
to the Finance Committee in the fall to strategize the use of uncommitted funds from the
Stanford University Medical Center (SUMC) development agreement (Staff Report 10643).
This report provide historical context as well as future plans as of this date.
DISCUSSION
At the close of FY 2020, a total of $20.5 million remains of the $44.3 million in direct
payments (plus nearly $4.2 million in interest) with $15.3 million programed for various
capital investments and $6.1 million remaining in unspent and unallocated funds.
Below is a summary table of the different expenditure categories outlined in the
development agreement and the current status of each of those categories. Following the
table is a summary of the expenses to date as well as the planned expenses. In light of the
continuing competing priorities, staff recommends that any recommended changes or
current allocations and future allocations are discussed and executed as part of the FY
2022 annual budget process. As a one‐time source of funding, clear principles of spend
should follow the important budgeting principle that funds only be spent and invested in
one‐time costs. The Finance Committee may review the planned expenses and the
uncommitted balances during the FY 2022 budget hearings, provide feedback on priorities
and goals for future spend within the parameters of the development agreement, and
recommend to the City Council any changes in allocation of these funds in the context of
reviewing the FY 2022 budget in the days following this review.
Stanford University Medical Center (SUMC) Current Fund Status Summary (millions):
Development
Agreement
Expenditure Category
PRINCIPAL
FUNDING
FY 2021
Beginning
Balance
FY 2021
Interest
(EST)
Planned
Commitments
FY 2021
Planned
Commitments
FY 2022-26
NOT
Committed
Community Health and
Safety
4.0 2.9 0.04 0.5 - 2.44
Expansion Cost
Mitigation
2.4 3.0 0.03 0.7 0.5 1.83
Intermodal Transit 2.3 1.3 0.02 - 1.5 (0.18)
Quarry Road Impv.
"Linkages"
0.4 - - - - -
Infrastructure and
Affordable Housing
23.2 10.4 0.14 0.8 8.9 0.84
Climate Change and
Sustainable
Communities
12.0 2.9 0.03 0.4 2.0 0.53
$44.3 $20.5 $0.26 $2.4 $12.9 $5.46
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Details on usage of these funds can be found in the prior staff report as noted above. Below is
a brief description of the planned projects included in FY 2021 through FY 2026 by category.
Community Health and Safety: Funds in this category are intended for use on community‐based
health and wellness programs that benefit residents of the City.
- A transfer from the Stanford University Center Medical Fund of $500,000 was
completed as part of the City Council Community and Economic Recovery workplan to
increase the Building Systems Improvements capital project (PF-01003) for COVID-19
mitigation measures at City Facilities.
Expansion Cost Mitigation: Funds in this category are intended for mitigating unexpected
project impact costs and ensure cost neutrality of the development.
- A transfer from the Stanford University Center Medical Fund of $150,000 was
completed as part of the City Council Community and Economic Recovery workplan to
establish the University Avenue Streetscape Update capital project to cover the costs
of work on University Avenue.
- Funding of $1.0 million is programmed for Railroad Grade Separation (PL-17001) work
associated with the Caltrain crossing and planning in FY 2021 and FY 2022.
Intermodal Transit: Funds in this category are intended to enhance pedestrian and bicycle
connection from the Transit Center to the El Camino/Quarry Road intersection.
- Funding of $1.5 million is programmed to be expended on the Quarry Road
Improvement and Transit Center Access project (PL‐16000) in FY 2024
Quarry Road Improvements: These funds are to be used for improvements to the right‐of‐way
for pedestrian and bicycle connection in the Quarry Road area, such as improvements to the
right‐of‐way to enhance pedestrian and bicycle connection from west side of El Camino to
Welch Road along Quarry Road. As of FY 2019, all of the original $0.4 million allocation have
been spent on design and construction of the temporary bicycle and pedestrian Transit Center
Pathway that was completed in summer 2017 (PL-16000).
Infrastructure and Affordable Housing: Funds are to be used in connection with infrastructure,
sustainable neighborhoods and communities, and affordable housing.
- Funding of $8.9 million is programmed to be expended on the Fire Station 4
Replacement (PE-18004) in FY 2022, FY 2024, and FY 2025. This funding was previously
allocated to the Downtown Parking Garage (PE-15007), however, funding was realigned
between City Council approved 2014 Capital Infrastructure Plan as part of the City
Council approved FY 2021 Adopted CIP due to the significant financial constraints the
COVID-19 pandemic induced.
- Funding of $800,000 is programmed to be expended on the New Public Safety Building
(PE-15001) in FY 2021 of which preliminary construction work is underway.
Climate Change and Sustainable Communities: Funds are to be used for projects and programs
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for a sustainable community, including programs identified in the City’s Climate Action Plan.
- Funding of $2.4 million is programed to be used for the Bicycle and Pedestrian
Transportation Pan Implementation (PL‐04010) capital plan, approved as part of the City
Council approved 2014 Infrastructure Plan in FY 2021 and FY 2022.
Unallocated Funding
The unallocated funding of approximately $5.5 million is primarily in the Community Health and
Safety and the Expansion Cost Mitigation allocations. Likely areas for use, though not an
exclusive or comprehensive list are noted below in general terms:
• Assessment and assistance to community groups and non-profits that support
community health and wellness;
• Capital improvement projects supporting the mitigation of the expansion of the hospital
• Support for City Council unfunded priorities such as City Council’s Sustainability and
Climate Action Plan
As mentioned earlier, as a one‐time source of funding, clear principles of spend should follow
the important budgeting principle that funds only be spent and invested in one‐time costs. In
addition, based on feedback and recommendations from the Committee as part of the budget
process, staff will evaluate in the context of the terms in the development agreement to ensure
compliance.
STAKEHOLDER ENGAGEMENT
Current allocations have been discussed as part of the public annual budget process both the
community, City Council, and standing Finance Committee. Depending on changes to the
allocation of funding staff or allocation of remaining funds, will review to ensure alignment with
requirements under the development agreement for eligibility and required coordination with
appropriate groups.
RESOURCE IMPACT
The action recommended does not have a resource impact, however, realignment of funding
and recommended adjustments may have an impact that requires further evaluation.
ENVIRONMENTAL IMPACT
The action recommended is not a project for the purposes of the California Environmental
Quality Act.