Tony Nuñez (contributed)

There’s something powerful about a fresh start—especially when it’s backed by real progress, deep community roots, and a bold vision for the future. 

At our April 18 State of the Hospital event, Watsonville Community Hospital unveiled a new logo symbolizing its transition back to community ownership. The new logo was the clear favorite of eight focus groups, conducted in English, Spanish and Mixteco. People saw the logo as a symbol of a caring, community-focused hospital. To the hospital it symbolizes its dedication to health, quality, compassion, and connection.

Since becoming nonprofit and community-owned, the hospital has made great strides financially and is pressing forward with new initiatives to meet local healthcare needs while building revenue. This is particularly important in a climate where challenges present themselves almost daily—potential cuts to programs like Medi-Cal or medication discount programs for hospitals that serve vulnerable populations will undoubtedly test our resolve.

In 2022 when the Pajaro Valley Health Care District took ownership, the hospital faced a $30 million loss. By 2023, that loss was reduced to $13 million. And in 2024, Watsonville Community Hospital exceeded expectations, closing the year with a loss of just $800,000. 

Even with these improvements in revenue, cash flow remains a challenge. This is reflected in the hospital’s balance sheet, where it still has more outstanding bills than it would like. This is a common issue for independent hospitals that don’t belong to a larger healthcare system. Unlike hospitals in large networks that can tap into shared financial resources and benefit from bulk purchasing and other efficiencies, our hospital must rely solely on its own income. This makes the impact of rising costs, reimbursement changes, or shifts in patient numbers even greater. 

This is the cost of healthcare independence—the ability to focus on the unique needs of our community, advance health equity, and ensure that decisions are made locally. Many in our community have stepped up—through generous donations, voting yes on Measure N in 2023, becoming a volunteer, or by extending credit and support to the hospital—and we remain committed to being responsible stewards of that support as we continue moving forward.

The hospital’s mission goes beyond fiscal responsibility, however, to empowering healthcare decisions locally. With that, the hospital announced several new initiatives at our recent event:

Scaling Up Emergency Care
Thanks to Measure N, the hospital will nearly double the size of its Emergency Room. This year design will begin on a larger, state-of-the-art facility. Once the design phase is complete, the hospital will move forward with construction.

Supporting Cancer Care
With an estimated 40 percent of cancers in U.S. adults being preventable, access to regular screenings is crucial. Investments in digital mammography, CT scanners and MRI technology will improve early detection and bring lifesaving care closer to home.

Elevating Heart Care
Cardiovascular disease is one of the leading causes of death in Santa Cruz County, and many local patients currently have to travel to North Santa Cruz County or the Bay Area for care. New cardiovascular services at the hospital will include screening, diagnostics, and minimally invasive treatments. A new cardiac catheterization lab and advanced imaging will make it easier for patients to get the care they need locally. Initial procedures will begin this month.

Launching Palliative Care
If you’ve ever had a family member with a serious illness, you know what kind of toll it can take not only on them but on the whole family. This new program will offer symptom management, as well as emotional support to patients, families and caregivers from specially trained physicians, nurses, and social workers. Care will be provided in the hospital and during transitions to home or other care environments.

Yes, there are still challenges ahead. We must continue to strengthen finances, listen to our community, improve operations, solidify partnerships with our allies, and prepare for uncertainties. But, importantly, we have a plan. And we have momentum.

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Tony Nuñez is the Chair of the Pajaro Valley Health Care District Board of Directors. He can be reached at [email protected].

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