COMMUNITY HOSPITAL LONG BEACH

COMMUNITY HOSPITAL LONG BEACH

Technical Assistance Panel Report | FEBRUARY 2021

THE MISSION OF THE URBAN LAND INSTITUTE

Shape the future of the built environment for transformative impact in communities worldwide.

About ULI Technical Assistance Panels

In keeping with the Urban Land Institute mission, Technical Assistance Panels are convened to provide pro-bono planning and development assistance to public officials and local stakeholders of communities and nonprofit organizations who have requested assistance in addressing their land use challenges.

A group of diverse professionals representing the full spectrum of land use and real estate disciplines typically spend one day visiting and analyzing the built environments, identifying specific planning and development issues, and formulating realistic and actionable recommendations to move initiatives forward in a fashion consistent with the applicant's goals and objectives.

TAP Sponsor

Pacific6 Enterprises, Inc.

Technical Assistance Panel

Panel Chair

Ryan Altoon Executive Vice Present, Anderson Pacific

Panel Members

Priyanka Agarwal Urban Designer / Planner, Gensler

M. Ferial Asadies, AIA, ARB (UK), LEED AP Associate, Senior Project Manager (Health)

Aaron Barker Senior Associate, BAE Urban Economics

Craig Beam Senior Advisor to Petra ICS

Peter Becronis Founding Partner, Inception Property Group

Mike Bradford Project Executive, Clark Construction

Nate Cherry Director of Urban Planning, Gensler,

Stan Chiu Director of Healthcare Southwest Region, Gensler

Andrew Fogg Partner, Cox, Castle & Nicholson LLP

Brian Giebink Behavioral Health Planner and Architect, HDR

David Williams Project Manager, Project Management Advisors

Anosha Zanjani Behavioral Health Design Specialist, HDR

ULI Project Staff

Marty Borko Executive Director, ULI Los Angeles

Cyrice Griffith Senior Director, ULI Los Angeles

Lisa Davis Manager, ULI Los Angeles

Sophie Craypo Associate, ULI Los Angeles

James Brasuell Manuscript Editor

John Dlugolecki Report Editor

Stephen Sampson Graphic Designer

CONTENTS

CONTENTS

Executive Summary.............................................5 ULI's Technical Assistance Panels........................9 The Community Hospital of Long Beach.............. 10 Land Use, Design, and Programming Recommendations............................................ 18 Financial Analysis............................................. 26 Implementation and Phasing.............................. 30 Conclusion....................................................... 32 Acknowledgments............................................. 33 About the Panel................................................ 34

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EXECUTIVE SUMMARY

The existing Tower Building (top) and Heritage Buildings are key elements the panel studied as a part of the overall site. 4 | TECHNICAL ASSISTANCE PANEL REPORT

EXECUTIVE SUMMARY

EXECUTIVE SUMMARY

Assignment

The Community Hospital Long Beach (CHLB) campus is an 8.7-acre site centrally located in East Long Beach. The hospital site is owned by the city of Long Beach, and the hospital has relied on the generosity and support of the community throughout its long history, which stretches back to 1924.

CHLB reopened in January 2021 after closing in 2018, receiving transfer patients to relieve the extreme space constraints facing care centers around the region during the COVID-19 pandemic. The implications of the reopening reach far beyond the benefits of new capacity for non-COVID-19 care during the pandemic. CHLB has been welcomed back into a community that values CHLB's emergency department and the more local, intimate setting than is available at other hospitals in the city. Central to this prominence in the community is the Heritage Building, a Mission Revival-style building constructed in the 1920s that will continue to plan a central role in the hospital's future.

The long-term financial viability of CHLB is threatened, however, by a fault system that crosses the site, directly under a number of the buildings on campus. Though currently compliant, many of the buildings on campus do not meet future deadlines for statewide seismic regulations of acute care services. The potential to build or renovate directly above an active fault system is also severely limited by state law.

The capital investment required to retrofit the hospital and the constraints on services that can be located in The capital investment required to retrofit the hospital and the constraints on services that can be located in the future non-compliant buildings on campus have

resulted in multiple openings and closings over the years. The hospital's previous operator, MemorialCare Health System, deemed the site untenable as an acute care facility and discontinued operations in July 2018.

With over 200,000 residents living within three miles of the hospital, including a large number of seniors, further discontinuation of critical care service is an extremely undesirable outcome for the East Long Beach community. The city and the local community have worked hard to find new partners for the site and to provide financial support for the costs of retrofitting existing buildings on campus.

In 2019, the city of Long Beach signed a lease agreement with Molina, Wu, Network (MWN), LLC, paving the way for plans to reopen and develop the campus that culminated at the beginning of 2021. The CHLB Foundation has invested more than $40 million, and the city has allocated $25 million for seismic upgrades--half of the expected necessary investment of $50 million.

Pacific6 Enterprises, Inc. (Pacific6), one of several partners comprising MWN, has engaged the Los Angeles District of the Urban Land Institute in a Technical Assistance Panel (TAP) process to determine the potential of new facilities to house emergency care and critical care services, in addition to determining how to adapt and rehabilitate the existing buildings to provide healthcare services that fit the needs of the East Long Beach community.

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