Peninsula Wellness Community

The PWC is an outward facing intergenerational mixed-use and mixed-income community focused on health, wellness and community connectivity. The District owns approximately 6.42 acres in Burlingame bounded by Mills-Peninsula Medical Center on the east, Trousdale Drive on the north, Marco Polo Way on the west, and the residences along Davis Drive on the south, which comprises the planned site for the PWC.

Peninsula Wellness Map
Senior housing moving ahead in Burlingame (Daily Journal Article)

Peninsula Health Care District

The District is a political subdivision of the State of California as defined in California Health and Safety Code Section 32000. Pursuant to its legislative mandate, the District addresses the health needs of a population within a defined geographic area under the governance of its 5-member locally elected Board. The District is one of 22 independent special districts in San Mateo County and serves residents of San Bruno, Millbrae, Burlingame, Hillsborough, San Mateo and Foster City. The District was established by the voters on December 2, 1947 and has been serving its constituents continually for more than 70 years.

Who Will Own the Project?

The District owns the land and will retain fee simple ownership of the land. The District will ground lease the land to Pacific Medical Buildings (PMB), Generations and MidPen Housing (collectively, “Developer”), experienced real estate development partners who will finance, build, own, manage and operate the components of the PWC. This arrangement is is similar to the existing ground lease and partnership the District has with Sutter Health’s Mills-Peninsula Medical Center.

Project Updates

What is the District’s Vision for the Peninsula Wellness Community?

The PWC will create a new paradigm of “connected aging” that improves lifelong wellness by keeping older adults connected to each other, to the broader community, and to care providers.

It will be a vibrant, health-focused age-restricted community that will include housing for older adults, wellness and clinical health support services, and working spaces for clinicians, professionals and researchers. The plan also provides community-centric public benefits which may include a community cafe, meeting spaces, fitness facilities, publicly-accessible open-spaces and programs for residents and the community to enjoy. The PWC will serve as a catalyst for community and intergenerational connectivity and a model for promoting quality of life in the later years.

Exclusive Negotiating Agreements (ENA)

PWC Exclusive Negotiating Agreement
First Amendment to PWC ENA
Second Amendment to PWC ENA
Amended & Restated PWC ENA
AR ENA Negotiation Period Timeline
SUMMARY of Amended & Restated PWC ENA Key Terms

PDF Exhibits are available at the District office for review.

Project Updates

The city of Burlingame is launching its journey to become recognized by the World Health Organization as an “Age-Friendly City” and our Peninsula Wellness Community is well-positioned to be a major contributor to Burlingame earning that distinction.

What are the essential features of Age-friendly cities? Outdoor spaces, well-paved and car-free pathways; housing that incorporates assistive elements for older adults, easily accessible transportation; events that foster socialization, inclusion, and respect; and, neighborhoods that encourage a sense of community and promote health. For a complete and more detailed list check out this World Health Organization link: Checklist of Essential Features of Age-friendly Cities (PDF 229KB)

We are also pleased to acknowledge that PHCD’s CEO Cheryl Fama has been asked to serve on Mayor Ann O’Brien Keighran’s Task Force heading up the Age-Friendly City project.


Project activities this month have focused on stakeholder outreach, financial analysis, and continued negotiations on an amendment to the original Exclusive Negotiating Agreement related to bringing in Mid-Pen as a developer partner – all of which are impacted in the pandemic environment. An example is the impact on Generations and Mid-Pen as they manage their many senior communities while keeping their residents healthy and safe.

The vision and plan for the use of the land has not changed. We remain committed to regular updates, encourage residents to get on the e-mail list to directly receive all notices, and welcomes comments and questions via the PWC website, and public comments at Board meetings. If you have any inquiries or comments in the meantime, please submit them at the using this Link.

In the meantime, there are several places to find information and updates on the Peninsula Wellness Community:


We are providing this update on the status of our work over the last several months in lieu of the Town Hall originally planned for this Fall. PMB, Generations, MidPen Housing and the Peninsula Health Care District (PHCD) remain committed to moving this important community project forward. The last several months have been challenging as we have all transitioned to working remotely during this global pandemic. In addition, both Generations and MidPen Housing have had the added challenge of continuing to operate their communities while keeping their residents healthy and safe. This has, without a doubt, slowed our progress on the Peninsula Wellness Community.

At the same time, two other factors have delayed our plans for a Town Hall. First, we have been working to finalize the relationship between PHCD and the Developer which is now comprised of three different entities: PMB, Generations and Mid-Pen Housing. Second, the Development Team has been refining the PWC 2.0 Plan to accommodate Sutter Hospital’s tertiary helicopter flight path. We are currently working toward a virtual Town Hall to roll out the PWC 3.0 concept plan and engage public dialogue as soon as the revised plan is ready, likely in early Fall 2022. 

We thank you for your continued interest in this important project and look forward to seeing you at our next Community Meeting on Wednesday, October 12th, 6-8 pm. We solicit your feedback and share our schedule moving forward. If you have any inquiries or comments in the meantime, please submit them using the contact form below.

We look forward to working with you all to build a foundation for our long-term community partnership.

Please check back soon for further updates.

In January 2020, the District, PMB, Generations, and MidPen held a community open house at the Burlingame Main Library to discuss the updated project concept, answer questions, and hear input from the public. 

Download PDF Summary of the Topics and Q&A from the Jan. 2020 Meeting
Download PDF of the PowerPoint Presentation on the PWC Development Process from Jan. 2020
Download PDF of the Community Open House Presentation – Jan 30, 2020

2022 Community Town Hall Meeting Wednesday, October 12th, 6-8 pm
Burlingame Community Center Maker’s Space 1st Floor

Subscribe to receive updates and notices of upcoming meetings.

    Download PWC Community Meeting Flyer – PDF 725KB
    Image of PWC Community Meeting on Oct 12 with Map

    Frequently Asked Questions (FAQs)

    Is the Peninsula Wellness Community going to serve people in the Peninsula Health Care District or people from out of the area?2019-02-09T12:01:54+00:00

    The PWC is intended to serve people throughout the District, which extends from Foster City through San Bruno. District residents will have priority access to the age-restricted residential units.

    Based on our Developer partners’ experience, it is projected that approximately 80% of the PWC residents will come from within the District with most of the other 20% coming from other areas to be closer to adult children and families who reside in our community.

    What is the scope of the Peninsula Wellness Community?2019-02-09T12:05:31+00:00

    The final scope of the Project is still being defined . The vision is for approximately 475 units of age­ restricted housing, the Center for Community Health which is an approximately 100,000 square feet commercial building of which 25,000 – 50,000 will be dedicated to community services/Hub space and significant open space. The program will be refined through community feedback, the City of Burlingame’s entitlement process, and the environmental review process.

    Will there be affordable housing?2019-02-09T12:10:05+00:00

    Yes. The District is committed to including a substantial number of affordable homes in the PWC. A concept plan calling for 182 affordable homes, nearly 40% of the total number of residential units, has been approved. These affordable homes will serve seniors who fall into extremely-low, low, and moderate income levels. After considering multiple possible partners, the Developer has expanded the team to include MidPen Housing, a local, non-profit affordable housing owner and operator.

    MidPen’s mission is to provide safe, affordable housing of high quality to those in need; to establish stability and opportunity in the lives of residents; and to foster diverse communities that allow people from all ethnic, social and economic backgrounds to live in dignity, harmony and mutual respect.

    MidPen Housing is headquartered in Foster City and is one of the nation’s leading non-profit developers, owners, and managers of high-quality affordable housing. In the fifty years since it was founded, MidPen has developed more than 100 communities and 8,500 homes for working and low-income families, seniors, and special needs individuals, working exclusively in the Bay Area in Northern California.

    Over the next 6 months, The Developer will host a series of open houses to introduce their team and the affordable housing concepts to the community. The initial meetings will be to introduce the new development vision and team members, with subsequent meetings focusing more on the design process and ensuring the housing will fit with the surrounding neighborhood.

    How tall are the buildings?2019-02-09T12:15:43+00:00

    The ultimate height of the buildings will be determined as the planning and design of the project progresses. The project will go through the City of Burlingame entitlement process.

    Why is there such a focus on seniors?2019-02-09T12:20:24+00:00

    The population within the District boundaries has proportionally fewer residents under the age of 24 and more adults over the age of 65 than the rest of San Mateo County outside of the District. The location of the land is within close proximity to shopping and general services, public transportation, healthcare services such as medical offices, outpatient and acute care hospital, subacute/rehab care and additional assisted living facilities. The addition of the PWC housing, support services and technology­ enabled independent and assisted living units will provide a comprehensive, older adult-focused community in the center of the District and the heart of the Peninsula as the local “aging” phenomenon continues into the future. By 2030, there will be a 148% increase in the number of San Mateo County residents over age 85. The Baby Boom generation is living much longer than prior generations and redefining what it means to age well. To address this age wave, the District has researched national and international models for “healthy” and “successful” aging and has worked with a range of professionals to assess innovative ways to use its land resources to keep people living more active and healthier lives.

    How is the Peninsula Wellness Community different from the Trousdale and other senior living facilities on Trousdale Drive?2019-02-09T12:25:55+00:00

    The Trousdale and Sunrise assisted living/memory care facilities located across the street from the PWC are State licensed care facilities for higher-acuity seniors who require help with eating, bathing, dressing, toileting, and medications. The PWC will be focused on providing support and services for seniors who are living independently and is intended to serve not only the seniors living on the campus, but also residents living in the surrounding community through its many envisioned community-based benefits and amenities .

    When will the project commence construction and how long will construction take?2019-02-09T12:35:01+00:00

    The District and Developer are proceeding with the planning of the project and the negotiation of a ground lease and related transactional documents pursuant to the Exclusive Negotiating Agreement. Finalizing the terms of the ground lease between the District and the Developer, and completing environmental review and obtaining the necessary entitlements and approvals from the City is projected to take 2 to 3 years before any construction can start. Construction is projected to take 2 to 3 additional years. Therefore, occupancy is approximately 5 years out.

    Where will the residents and commercial tenants park?2019-02-09T12:40:50+00:00

    All parking will be on-site and will be required to comply with zoning and land use criteria established by the City of Burlingame. A Transportation Management Plan will address traffic and parking trends and transportation services such as shuttles, Lyft, and Uber.

    What will happen to Gatepath and the Burlingame School District office?2019-02-09T12:50:35+00:00

    Gatepath will stay in their existing location at 1764 Marco Polo; their preschool and developmental services are consistent with the intergeneration plans for the PWC. The Burlingame School District’s administrative office will stay at its current location as well.

    What is the process for project approvals?2019-02-09T12:55:30+00:00

    The entitlement process will require environmental review in compliance with the California Environmental Quality Act (“CEQA”). Environmental review will include analysis of any potential significant environmental impacts of the project and will cover more than a dozen environmental categories including traffic, noise, hydrology, aesthetics and air quality.

    In addition to the environmental review process, the development of the PWC will require discretionary land use approvals, subdivision mapping, and design review approvals. The land use approvals required for the development of the PWC will be considered by the City of Burlingame following noticed public hearings in accordance with the City’s Municipal Code.

    How will the community be involved in planning the Peninsula Wellness Community?2019-02-09T12:59:09+00:00

    We.are deeply committed to gathering input from all community members and following a robust and transparent public engagement process. Starting in early 2020, we will hold additional public meetings, with an initial reintroduction to the expanded project team, followed by subsequent discussions focused on site design, community amenities, and other areas of interest. The updated concept plan reflects initial feedback we have heard from interested parties, and we look forward to continuing these conversations.

    These discussions are part of our long-term effort to engage the public in the development process. Over the past eight years, the District has engaged a broad range of stakeholders to help inform and shape the planning for the PWC. Involvement opportunities have included town hall meetings, focus groups, stakeholder interviews, social media, direct mailings, newsle tt ers, and a “community dialogue” link on the District website. Regular monthly progress reports are posted as part of the regular Board meeting packet materials that are also available on the website.

    In addition to District outreach, the PWC vision has been presented to the Burlingame Annual Joint Council and Planning Commission four times over its development. Presentations have also been made to the city councils of Burlingame, Millbrae, Hillsborough, San Mateo and Foster City . The comments received through all these activities have been very useful in shaping the programs and services that will be offered and have encouraged a focus on innovation.

    Who will occupy the commercial portion of the Peninsula Wellness Community?2019-02-10T03:46:30+00:00

    The professional office building will provide state-of-the-art working spaces for health and wellness professionals and organizations. Potential uses for the office space include independent physicians, senior support services, therapy facilities, research labs on aging, and other professionals who are contributing to healthy aging.

    Download FAQs Fact Sheet

    Contact Us

    Peninsula Health Care District, 1819 Trousdale Drive, Burlingame, CA 94010 • (650) 697-6900

      Preferred Developer Team

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