A Community Education Partnership UIW School of Osteopathic Medicine at Fox Tech August 28, 2013 Dr. Sylvester Perez Dr. Lou Agnese Superintendent President and CEO San Antonio ISD University of the Incarnate Word August 28, 2013 Syl and Lou, Centro Partnership welcomes this opportunity to present our recommendation for the University of the Incarnate Word and San Antonio ISD to lead a Community Education Partnership (CEP); anchored by UIW’s School of Osteopathic Medicine at Fox Tech. Our vision is for the CEP and the school to be a magnet that brings together students, educators, the health care industry and the public sector to find solutions to today’s education and health care challenges in our community. Collaboration between SAISD and UIW will drive the success of this vision, and: • Help UIW and SAISD advance their respective educational missions • Deliver fair value to SAISD for its land holdings and provide sustainable education and career development support for SAISD students and faculty • Provide UIW with a platform at a location in the heart of UIW’s student base and at the core of the downtown medical district to build upon its successful health degree programs • Anchor complementary development in downtown San Antonio’s Northwest Quadrant Through a formal Education Partnership Agreement, SAISD and UIW can formulate an action plan to unite SAISD’s health magnet program with UIW’s health-related degree programs. The collaborative effort is the educational foundation, but we also need a physical foundation. To achieve that end, Centro has identified needed infrastructure improvements that will require public sector support. We have also identified state programs that could support education initiatives. Before we collectively pursue public sector support, we need to confirm your commitment to our proposed site. We respectfully request that you do so by signing the enclosed non-binding Letter of Intent, which spells out the deal points outlined in our recommendation. In closing, let us say that it’s been a pleasure to work with you and your leadership teams. We congratulate you both on your willingness to explore a partnership that can have a real impact -- from increasing the number of health care providers to expanding opportunities for students and faculty. As you begin to put your partnership plans in place, please let us know how we can be helpful. Sincerely, Pat DiGiovanni Don Frost President and CEO Volunteer Chairman table of coNTents I. Executive Summary ................................................................................................................5 II. The Need ...................................................................................................................................7 III. Community Education Partnership ............................................................................. 15 The Concept .............................................................................................................. 15 The Location & Site Plan ........................................................................................ 20 The Value Equation ................................................................................................. 37 IV. The History ........................................................................................................................... 41 University of the Incarnate Word ....................................................................... 41 San Antonio Independent School District...................................................... 42 V. Downtown San Antonio ................................................................................................... 45 VI. Next Steps ............................................................................................................................ 49 EXECUTIVE summaRY I UIW School of Osteopathic Medicine at Fox Tech Throughout South Texas, there is a growing demand for health care services, but a shortage of providers across the professional spectrum. With a growing population and insurance mandates linked to the Affordable Care Act, the demand for services will grow exponentially. for the Hispanic community, which historically has been underserved and underrepresented in health care, the situation is particularly bleak. San Antonio needs to recruit, educate and retain talented students who share a passion to serve in health care professions. The city benefits from two educational institutions, the University of the Incarnate Word and the San Antonio Independent School District, that are committed to health-related education programs that can help close the talent gap. San Antonio also offers something that students may not find in other professions -- an excellent job market in San Antonio’s fast-growing health and bioscience industry. These positive factors, coupled with UIW’s plans to launch a School of Osteopathic Medicine and SAISD’s desire to expand its health magnet program, create a great opportunity to fill the pipeline of health career candidates. Centro Partnership’s vision is to leverage these assets to launch a Community Education Partnership (CEP) -- an initiative to bring together students, educators, health care professionals and businesses and the public sector to: • Enhance, integrate and sustain the health-related educational opportunities necessary to prepare and grow the health care work force in San Antonio. • Bridge K-12 with higher education to create a K-16 system that forms the building blocks to opportunity and success. • Retain home grown talent and brainpower to serve the needs of San Antonio and surrounding areas. Built at the right location, the UIW School of Osteopathic Medicine can form the CEP’s foundation. Centro Partnership believes that the best location is in downtown San Antonio. Our recommended site, adjacent to the Fox Tech Campus, is: • In the heart of the city. • At the core of a population base that statistics show is underserved and underrepresented in health care. 5 • Centrally located between multiple health care service providers and prospective partners. • Adjacent to a health careers magnet school that has great potential for growth. At the Fox Tech site, UIW’s School of Osteopathic Medicine becomes an anchor that will symbolize progress towards Mayor Castro's "Decade of Downtown" vision. The focus of our recommendation, however, is not downtown development. It’s not about a real estate transaction, even though one between SAISD and UIW is required. IT IS ABOUT the ability of the Community Education Partnership to meet a significant community need through investment of money, time and talent. UIW plans to invest nearly $50 million to launch the medical school, $5 million to support a parking garage, $1.5 million to enhance SAISD’s health magnet program, and an estimated $17 million (over 25 years) in grants to SAISD students and faculty. UIW will also invest its people to support an Education Partnership with SAISD. UIW’s return on investment is access to 3 acres of valuable SAISD land, to key clinical partners in the downtown medical district, to a pipeline of SAISD students and faculty, and to donors that will see value in the CEP platform. SAISD will invest roughly 3 acres of land appraised at more than $3 million. It also has invested $7.5 million to upgrade the Fox Tech Campus. It is committing its people to support the Education Partnership. SAISD’s return on investment (cash payment, net land value appreciation and student and faculty grant awards) totals nearly $24 million over 25 years ($18M in today’s dollars.) The public sector has the opportunity to invest $11.9 million in infrastructure improvements and another $800,000 in incentives to support the UIW Medical School and the CEP. The return on investment for San Antonio and nearby or surrounding communities is higher-performing students, a talent pool of prospective health care professionals, two vibrant educational institutions in UIW and SAISD and a healthier community. 6 THe neeD II Health Care and Education You must never so much think as whether you like it or not, whether it is bearable or not; you must never think of anything except the need, and how to meet it. - Clara Barton Founder American Red Cross This quote from the founder of the American Red Cross, speaks to the heart of what it takes to meet need. Complain and your complaint will still echo tomorrow. Wish for change and your wish will remain just that, a wish. But focus on the need, act on your ideas, and that need may very well be fulfilled. Of course, the health care and educational needs of San Antonio and South Texas will not magically be met by our proposed Community Education Partnership. There will still be a shortage of health care professionals. There will still be population segments underserved and underrepresented in the health care arena. There will still be schools that struggle to raise a banner of success in student and teacher performance. But we can set the example that shared focus, collaborative action and time can make a positive impact. The reality is that the needs are significant. THE NEED FOR HEALTH CARE PROFESSIONALS Today, there is a shortage in the United States of 9,000 Primary care Doctors. Health care leaders predict that the shortage could grow to more than 65,000 doctors in as little as 15 years. (source: The New York Times) • Texas ranks 47th in the U.S. in the ratio of primary care doctors to population base (source: Houston Chronicle) • Bexar county,