Presentation to Hayward Council September 11, 2012 Slide 1 of 29

 Total County population (2011 estimate) : 1,529,875 Slide 2 of 29

 President Nate Miley Fourth District  Supervisor Scott Haggerty First District  Supervisor Richard Valle Second District  Supervisor Wilma Chan Third District  Vice-President Keith Carson Fifth District Slide 3 of 29

 District Two is comprised of Hayward, Union City, Newark, and portions of Fremont and Sunol Diversity  Asian %  Latino %  White %  Black - 7.9%  Other - 7.8% Population: 305,371 Slide 4 of 29

Richard Valle Lori Cox Director LaDonna Harris Acting Chief Probation Officer Demetrious Shaffer Interim Chief Slide 5 of 29

 Appoint county officers and department heads  Create boards and commissions to address county issues  Award contracts for county projects and services  Supervise the operations of departments and exercise executive and administrative authority  Provide local governmental services for unincorporated areas  Act as a pass through for various Federal and State funds to local jurisdictions  Adopt an annual budget Slide 6 of 29

 Fiscal Year Budget $2.6 billion  Over last 20 years cut over $2 billon from budget  Closed $88.1 million budget deficit primarily through Financial Management Reward savings – FMR encourages departments to save for rainy days  Budgeting Best Practices - County has nearly $500 million in reserves (approximately 20%)  Bargaining Units and CBOs sacrifice to help meet cuts Slide 7 of 29 7

 Where do your tax dollars go?  Ongoing uncertainty: Federal and State budgets, retirement and health care costs, realignment of Health and Human Services Schools (41 cents) Cities (18 cents) Redevelopment (13 cents) Special Districts (13 cents) County (15 cents) Slide 8 of 29

Slide 9 of 29 (Adults) Term limits

(Families) Slide 10 of 29

Slide 11 of 29 (Seniors & Disabled Persons)

(Clients not on CalWORKS/GA) Slide 12 of 29

Slide 13 of 29 (MediCal Only)

 Social Services & Senior Services  Health Care Services  Property Assessments & Tax Collector  County Contracting  Registrar of Voters  Flood Control  District Attorney, Public Defender, Probation, Sheriff Slide 14 of 29

 Unemployment Rate above 8%  History of County contracts going north & east  Economy & Property values slowly recovering Slide 15 of 29

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 The highest youth obesity rate in the County  Emergency room visit rates for diabetes and congestive heart failure are the highest in the County. Why? People wait to be really sick.  Second highest rate of under and uninsured in the County  About 17% of Social Services need come from Hayward  Keeping the doors open at St. Rose Slide 17 of 29 17

 Hayward has the 2 nd most MediCal covered persons in county Slide 18 of 30

 Increasing need for food assistance  Under utilized program that can help many families Slide 19 of 29

 Public Private Partnership  Zero waste project in Union City hills around Masonic Homes  Largest oak tree restoration in East Bay  Targeted youth education, employment, and supportive services Slide 20 of 29 20

Math Science Nucleus Slide 21 of 29

A launching and demonstration of the Earth Flow Composter  Date:Friday, October 19, 2012  Time:4:00pm –5:30pm  Place:Masonic Homes of Union City Slide 22 of 29

 Keeping St. Rose as a Community Hospital  The Silva Clinic and its Future  Impact of Kaiser Hospital closure  What are the options? Slide 23 of 29 24

 St. Rose Is An Essential Safety Net Resource  With Closure of Kaiser Hayward, the fifth largest city in the bay area is threatened with not having a 911 Receiving Center (ED).  St Rose Sees a high number of uninsured patients from central and southern Alameda County.  Operational Updates have been provided to BOS at retreat and health committee over the last 18 months. Slide 24 of 29

 The Emergency Room will close!  Pediatrics hospitalization will be moved to Oakland  Business Impacts after Closure?  What is Kaiser Leaving Behind? Slide 25 of 29

 A “Bricks and Mortar” Project  Education  Vocational Training  Community Health Center  Tutoring & Mentoring  District 2 Field Office  Child Care Slide 26 of 29

County Office 1221 Oak Street, Suite 536 Oakland, CA Main (510) Fax (510) District Office Southland Drive, Suite 101 Hayward, CA Main (510) Fax (510) Slide 27 of 29