The financial disclosures come three months after the county declared a state of emergency, which expanded its authority to fight the crisis.

The Registered Nurses Professional Association says the deal will close the pay gap between county and private health facilities.

A total of $90 million in equipment and facility improvements have occurred or are taking place, the county reported.

The $8.1 billion 2019-20 spending plan is nearly 16 percent bigger than last year’s, largely because the county acquired three new hospitals.

New labor conflicts have intensified an already boiling controversy over Santa Clara county’s purchase of two failing hospitals.

The California Department of Justice is trying to block the sale of O’Connor and St Louise hospitals to Santa Clara County.