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Sequoia Healthcare District

For your health

Board Meetings




The Regular Meeting of the Board of Directors of Sequoia Healthcare District scheduled for Wednesday, April 5, 2023 has been rescheduled to Tuesday, April 4th.


NOTE: We are currently not offering CPR classes. Please check back soon. In the meantime, we encourage you to visit the American Red Cross website to schedule a training.

Our Mission & Vision

Sequoia Healthcare District is committed to improving the health of District residents by enhancing access to care and promoting wellness through responsible stewardship of District taxpayer dollars.

Our Vision is for all District residents to experience optimal physical and mental health at every stage of life.

We strive to return to the community 100% of the net tax revenue within three years in health-related programs and services.

Making a Difference in our Community

Our district grants and programs directly benefit approximately 60,000 residents per year, or about one out of every 4.5 residents. At Sequoia Healthcare District we value innovation and creative solutions to addressing health issues. We have demonstrated that commitment not only by financially supporting great community health projects and outstanding service providers but by also developing and managing our own signature health programs.

residents served by our district dollars


residents receiving food assistance


Our Core Values: Sequoia CARES


We demonstrate
care by the programs we provide and support



We act as catalysts for developing and implementing innovative and impactful programs


We give due regard for the rights of everyone and uphold the dignity all people deserve


We are committed to improving access to health and wellness services for all residents


We are diligent and ethical in our entrusted role with taxpayer funds


When and why was Sequoia Healthcare District formed?

Sequoia Healthcare District (SHD) was formed in 1946 and was the first healthcare district in California. Its existence was voted in by taxpayers in order to provide a local source of funding to support a community hospital—Sequoia Hospital—to address the growing community’s health needs.

Is the District still affiliated with Sequoia Hospital?

The District has a profit sharing (EBIDA) arrangement with Sequoia Hospital set to expire in 2046. In years that the hospital achieves a certain performance threshold, dollars are generated for the District. Also, the District operated Sequoia Hospital from 1950-1996 and is responsible for pension payments for employees from that period; however, that annual pension amount is reimbursed by the hospital.

What IS a healthcare district?

According to ACHD (Association of California Healthcare Districts), Healthcare Districts are public entities that provide community-based health care services to residents throughout the state. They respond to the needs in their District by providing a range of services, which may include a hospital, clinic, skilled nursing facility or emergency medical services; as well as education and wellness programs.

What are the District’s geographical boundaries?

The District covers central and southern San Mateo County. Specifically this includes the cities of Atherton, Belmont, Redwood City, Portola Valley, San Carlos, Woodside and portions of Menlo Park, Foster City and San Mateo.

How is the Sequoia Healthcare District funded?

The district receives a portion (1.3%) of annual property tax from San Mateo County, specifically from the residential and commercial properties located within District boundaries. There are approximately 230,000 residents in this area.

Who oversees the District’s budget?

Each of California’s Healthcare Districts is governed by a locally elected Board of Directors who are directly accountable to the communities they serve. The District annual budget is approved each June by the Board of Directors and an annual audit is provided by a professional auditing firm. The District maintains reserves that can either be used for special allocations or to pay for administrative and overhead expenses. The District invests a portion of reserve funds in income generating instruments; however, government rules restricts such investments to a very conservative and “risk-free” investment strategy. As the District has adopted a policy of spending 100% of all current tax funds on community health projects over 3 years.

SHD employs professional management staff responsible for the day to day administration of the organization.

Can the District sponsor my organization’s event?

SHD sponsors health and wellness activities and events that are designed to enhance the well-being of its residents. We support educational classes, workshops, seminars and other activities that encourage participation and promote wellness. Preference is given to activities and events that take place within the District’s geographical boundaries. As a general rule we do not sponsor fundraising events. Read our Board Policy No. 23 regarding the sponsorship guidelines.