{"id":14083,"date":"2026-09-11T09:37:40","date_gmt":"2026-09-11T17:37:40","guid":{"rendered":"https:\/\/inedc.com\/26\/?p=14083"},"modified":"2026-09-11T09:37:40","modified_gmt":"2026-09-11T17:37:40","slug":"marshall-clarifies-1-25m-seismic-grant","status":"publish","type":"post","link":"https:\/\/inedc.com\/26\/news\/marshall-clarifies-1-25m-seismic-grant\/","title":{"rendered":"Marshall Clarifies $1.25M Seismic Grant"},"content":{"rendered":"

Marshall Medical Center responds to questions about state seismic aid<\/h3>\n

PLACERVILLE, Calif. \u2014<\/strong> Marshall Medical Center Interim Chief Executive Officer Martin Entwistle has responded to questions surrounding the hospital\u2019s state seismic funding, its estimated infrastructure needs and the role Measure S could play in financing future improvements.<\/p>\n

In a letter to the editor, Entwistle said Marshall was awarded $1.25 million<\/strong> through California\u2019s Small and Rural Hospital Relief Program on May 30, 2025, but emphasized that the hospital has not yet received the money.<\/p>\n

The grant includes the $650,000 award referenced in previous coverage<\/strong>, Entwistle said.<\/p>\n

\n

\u201cWe expect to see these funds paid in the next few months, in the form of reimbursements for expenses already paid,\u201d he wrote.<\/p>\n<\/blockquote>\n

California\u2019s Health Care Access and Information department administers the Small and Rural Hospital Relief Program, which provides grants to qualifying small, rural and critical-access hospitals for seismic safety compliance projects. Marshall Medical Center is listed by HCAI as an eligible rural hospital.<\/p>\n

Grant is not the same as $40 million in remaining needs<\/h3>\n

Entwistle said the state grant is significant but represents only a fraction of the hospital\u2019s overall seismic requirements.<\/p>\n

Marshall estimates that $40 million is needed to meet the state\u2019s seismic compliance requirements<\/strong>, while approximately $125 million in total capital<\/strong> is needed for building work, seismic compliance, aging equipment and other infrastructure needs.<\/p>\n

\n

\u201cThe grant funds are certainly a step in a positive direction to help meet our funding needs,\u201d Entwistle wrote, \u201cbut that number still falls significantly short\u201d of the hospital’s projected requirements.<\/p>\n<\/blockquote>\n

California law requires acute-care hospitals to meet specified seismic standards by Jan. 1, 2030<\/strong>, unless an authorized extension applies. HCAI says a hospital meets the 2030 standard when its general acute-care buildings meet specified Structural Performance Category requirements and the required Nonstructural Performance Category 5 standard.<\/p>\n

The state’s current framework also allows qualifying small and rural hospitals to seek a delay of up to three years under AB 869<\/strong>, subject to eligibility requirements and approval by HCAI. HCAI’s guidance says qualifying hospitals may have an approved delay beyond Jan. 1, 2030, with additional requirements governing compliance plans and milestones.<\/p>\n

Marshall says more than $70 million already invested<\/h3>\n

Entwistle disputed any suggestion that Marshall arrived at its current position without making substantial investments in its facilities.<\/p>\n

He said Marshall has spent more than $70 million on work associated with California’s mandated seismic compliance requirements<\/strong>, including construction of the hospital’s South Wing, completed in 2015, as well as engineering, architectural and planning work.<\/p>\n

The hospital’s position is that those investments have been necessary but have not eliminated the remaining seismic and infrastructure requirements.<\/p>\n

Marshall’s argument comes against a broader backdrop of financial pressure on rural hospitals. HCAI describes the state’s Small and Rural Hospital Relief Program as specifically intended to assist hospitals where seismic requirements create a significant financial burden that could threaten access to health care.<\/p>\n

Why Measure S is part of the discussion<\/h3>\n

The financial question is now intertwined with Measure S<\/strong>, which will appear on the Nov. 3, 2026, general election ballot in El Dorado County.<\/p>\n

According to the El Dorado County Elections Department, Measure S would impose a 3\/8-cent countywide sales tax for 30 years<\/strong>, generating approximately $13 million annually<\/strong>. The ballot language identifies hospital facilities, equipment and technology, local emergency-room access, wildfire prevention and rapid 911 emergency response as purposes for the revenue.<\/p>\n

The measure’s proponents, including Marshall, have argued that aging hospital infrastructure and California’s seismic requirements make additional local funding necessary.<\/p>\n

Entwistle said Marshall could continue pursuing other grants and financing if Measure S passes, but he cautioned that there is no guarantee those sources would become available quickly enough to satisfy the 2030 seismic deadline.<\/p>\n

That distinction is important: the $1.25 million state grant and Measure S are not interchangeable sources of money.<\/strong> The state grant is a one-time award tied to eligible seismic-related expenses, according to Marshall’s response, while Measure S would provide a long-term local revenue source for specified purposes.<\/p>\n

The county’s official ballot description says Measure S revenue would remain subject to local controls, while the measure’s campaign materials say spending would be subject to independent oversight and audits.<\/p>\n

Marshall frames hospital as part of county’s emergency network<\/h3>\n

Entwistle also placed the seismic issue in the context of El Dorado County’s broader public safety system.<\/p>\n

He pointed to the county’s wildfire risk and Marshall’s relationships with local fire chiefs, firefighters and wildfire-prevention officials.<\/p>\n

The argument is straightforward: During a major wildfire, vehicle collision, medical emergency or other disaster, local hospital capacity can become a public-safety issue rather than simply a health-care issue.<\/p>\n

Marshall says maintaining local emergency services reduces the need for residents to travel outside the county for care, particularly when time is critical.<\/p>\n

The hospital’s argument also comes as the county prepares to consider how Measure S revenue would be distributed between emergency services and hospital needs.<\/p>\n

The $1.25 million question<\/h3>\n

For residents following the Measure S debate, the most direct answer from Marshall is that the hospital says it did receive a state award \u2014 but has not yet received the cash<\/strong>.<\/p>\n

Marshall says the $1.25 million award was made May 30, 2025, and is expected to be paid as reimbursement for qualifying expenditures.<\/p>\n

The state program itself confirms that Marshall is an eligible rural hospital and that SRHRP grants are intended to support seismic compliance projects.<\/p>\n

The larger financial question remains unresolved.<\/p>\n

Even after accounting for the state grant, Marshall says it faces tens of millions of dollars in seismic work and an estimated $125 million in total capital needs.<\/p>\n

That is the financial gap hospital officials say Measure S is intended to help address.<\/p>\n

A decision now moves to voters<\/h3>\n

Marshall’s request is ultimately a request to El Dorado County voters.<\/p>\n

The hospital says the community helped establish and sustain Marshall more than six decades ago and that local support is again necessary to preserve independent health care in the county.<\/p>\n

\n

\u201cUltimately, the community and Marshall are mutually interdependent,\u201d Entwistle wrote.<\/p>\n<\/blockquote>\n

Marshall was founded in 1959 and remains an independent, nonprofit health-care organization serving El Dorado County. HCAI identifies its main facility at 1100 Marshall Way in Placerville.<\/p>\n

Entwistle’s response makes clear that Marshall views the seismic mandate as only one component of a larger infrastructure challenge involving aging buildings, deferred maintenance, medical equipment and technology.<\/p>\n

For voters, the central question heading toward November is therefore larger than whether Marshall received state assistance.<\/p>\n

It is whether $1.25 million in state aid, more than $70 million already invested by Marshall and other potential funding sources will be enough \u2014 or whether local taxpayers should provide another long-term source of capital through Measure S.<\/strong><\/p>\n

The answer will be decided at the ballot box on Nov. 3, 2026<\/strong>.<\/p>\n

Source note:<\/strong> This report incorporates Martin Entwistle’s letter provided to Placerville NewsWire, California Health Care Access and Information records and the El Dorado County Elections Department’s official Measure S information. Marshall’s $1.25 million award and its statements regarding expenditures and projected capital needs are attributed to Marshall because those figures were provided by the hospital.<\/p>\n","protected":false},"excerpt":{"rendered":"

Marshall Medical Center says it was awarded $1.25 million in state seismic aid \u2014 but the money has not yet been received. Here\u2019s what the hospital says happened and why Measure S remains central to its plans.<\/p>\n","protected":false},"author":1,"featured_media":14084,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"format":"standard","override":[{"template":"7","parallax":"1","layout":"no-sidebar-narrow","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"float","share_float_style":"share-normal","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"1","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","post_reading_time_wpm":"300","post_calculate_word_method":"str_word_count","show_zoom_button":"0","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_popup_post":"1","show_comment_section":"1","number_popup_post":"1","show_author_box":"1","show_post_related":"1","show_inline_post_related":"1"}],"image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post_position":"meta","trending_post_label":"Trending","sponsored_post_label":"Sponsored by","disable_ad":"0","subtitle":"Interim CEO says state funds have not yet arrived as Marshall faces $40 million seismic need and 2030 deadline"},"jnews_primary_category":[],"jnews_social_meta":[],"jnews_override_counter":{"view_counter_number":"0","share_counter_number":"0","like_counter_number":"0","dislike_counter_number":"0"},"footnotes":""},"categories":[3],"tags":[],"class_list":["post-14083","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"yoast_head":"\nMarshall Clarifies $1.25M Seismic Grant - 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