Project Grant CE252559

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS - APPLICANT: COUNTY OF SAN JOAQUIN (SAN JOAQUIN HEALTH CENTERS) ADDRESS: 10100 TRINITY PARKWAY, SUITE 100, STOCKTON, CA 95219 PROJECT DIRECTOR: JHOANNA AMIGABLE CONTACT PHONE NUMBER: (209) 953-3712 EMAIL ADDRESS: JAMIGABLE@SJHEALTH.ORG WEBSITE: WWW.SJHEALTH.ORG GRANT PROGRAM FUNDS REQUESTED: $1,810,929 SAN JOAQUIN HEALTH CENTERS (SJ HEALTH) IS A FQHC LOOK-ALIKE PROVIDING COMPREHENSIVE PRIMARY CARE TO THE RESIDENTS OF CALIFORNIA'S SAN JOAQUIN COUNTY. IT CURRENTLY SERVES APPROXIMATELY 31,000 UNIQUE PATIENTS FROM THROUGHOUT SAN JOAQUIN COUNTY ANNUALLY THROUGH 120,000 VISITS AT SEVEN FIXED SITE HEALTH CENTERS IN THE COUNTY (THREE IN FRENCH CAMP, THREE IN STOCKTON, AND ONE IN MANTECA) AND VIA ONE MOBILE CLINIC TARGETING COMMUNITIES AND POPULATIONS (HOMELESS AND MIGRANT AGRICULTURAL WORKERS) WITH BARRIERS TO ACCESSING HEALTH CARE. SJ HEALTH IS REQUESTING FUNDS TO BUILD OUT AND FULLY EQUIP A HEALTH CENTER IN LODI, CALIFORNIA. LODI IS IN THE NORTHERN END OF SAN JOAQUIN COUNTY. IT IS APPROXIMATELY 15 MILES FROM SJ HEALTH'S STOCKTON SITE, 20 MILES FROM ITS FRENCH CAMP SITE, AND 26 MILES FROM ITS MANTECA SITE. IN SPITE OF THE DISTANCE, APPROXIMATELY 970 UNIQUE PATIENTS FROM LODI AND SURROUNDING AREA ZIP CODES HAVE SOUGHT CARE AT SJ HEALTH HEALTH CENTERS THROUGH APPROXIMATELY 4,400 APPOINTMENTS SINCE JANUARY 1, 2022. THE TWO MEDI-CAL MANAGED CARE PLANS IN SAN JOAQUIN COUNT CURRENTLY HAVE ASSIGNED SJ HEALTH APPROXIMATELY 1,300 PATIENTS FROM THE LODI AREA. IT IS ANTICIPATED THAT A SIGNIFICANT PROPORTION OF SJ HEALTH'S PATIENTS FROM THE LODI AREA WILL CHOOSE TO RECEIVE THEIR CARE AT THE LODI HEALTH CENTER. THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT SJ HEALTH COMMISSIONED AS A COMPONENT OF ITS 2022-2024 STRATEGIC PLANNING IDENTIFIED LODI AS ONE OF THE AREAS OF SAN JOAQUIN COUNTY WITH THE HIGHEST CONCENTRATION OF UNSERVED LOW-INCOME PERSONS. USING HRSA AND OTHER LOCAL COVERAGE DATA SOURCES, IT WAS ESTIMATED THAT THERE ARE AT LEAST 3,500 LOW-INCOME PEOP LE IN LODI WHO COULD REASONABLY BE EXPECTED TO SEEK CARE FROM A NEW HEALTH CENTER. THESE NUMBERS DON'T INCLUDE THOSE ALREADY BEING SEEN BY AND ASSIGNED TO SJ HEALTH. SJ HEALTH WILL LEASE AND CONVERT EXISTING OFFICE OR OTHER COMMERCIAL SPACE OF APPROXIMATELY 6,000 SQUARE FEET IN LODI INTO A COMMUNITY HEALTH CENTER, SPECIFICALLY TARGETING THE RESIDENTS OF LODI AND SURROUNDINGS. THE STILL TO BE IDENTIFIED SPACE WILL BE DESIGNED AND CONFIGURED TO PROVIDE A FULLY ACCESSIBLE COMMUNITY HEALTH CENTER OFFERING PRIMARY CARE SERVICES AS WELL AS OPTOMETRY SERVICES FOR THE FIRST TIME IN SJ HEALTH'S HISTORY. WHEN BUILT OUT, THE FULLY EQUIPPED AND SUPPLIED HEALTH CENTER WILL INCLUDE A WAITING AREA, 14 EXAM ROOMS (TWO FOR OPTOMETRY), ADMINISTRATIVE OFFICES, TWO COUNSELING ROOMS, A MEETING/TRAINING ROOM, A STAFF ROOM, AND RESTROOMS. COMMUNITY PROJECT FUNDING WILL COVER THE COSTS OF CONSTRUCTION/RENOVATION AND PURCHASING AND INSTALLING THE NEEDED MEDICAL/OFFICE EQUIPMENT, FURNISHINGS, IT/TELECOMMUNICATIONS EQUIPMENT, AND OPTOMETRY EQUIPMENT. WITHOUT A SPECIFIC SITE UNDER LEASE YET, SJ HEALTH CURRENTLY ESTIMATES THE LODI HEALTH CENTER PROJECT COST AT $1,999,430.05 BASED ON GUIDANCE FROM ITS ARCHITECT. THIS APPLICATION REQUESTS $1,810,929 IN SUPPORT OF THE TOTAL CONSTRUCTION AND ALLOWABLE MOVEABLE EQUIPMENT COSTS. THE BALANCE OF $188,501.05 WILL BE PAID DIRECTLY BY SJ HEALTH OUT OF FUNDS IN HAND. SJ HEALTH WILL COVER THE OTHER COSTS OF OPENING AND ALL COSTS OF OPERATING THE HEALTH CENTER. WITH TWO FAMILY MEDICINE PHYSICIANS, TWO NURSE PRACTITIONERS, AND AN OPTOMETRIST, THE LODI SITE WILL EVENTUALLY PROVIDE PRIMARY MEDICAL CARE AND OPTOMETRY SERVICES TO APPROXIMATELY 3,200 PATIENTS OF ALL AGES (THROUGH 11,000 VISITS) ANNUALLY. SJ HEALTH PROJECTS THAT THE CLINIC WILL REACH THESE NUMBERS AND BECOME SELF-SUSTAINING BASED ON OPERATING REVENUES WITHIN TWO TO THREE YEARS.