doors to the community. how can we support this project when cpmc has a record in supporting our community? what we need is equal access to affordable health care. we need cpmc to support the community. a community will not support this project if it does not serve the poor. i urge the commissioners not to approve this project unless cpmc agrees to sign a community benefit agreement. thank you very much. dori jimenez. >> good evening, commissioners.

i am here today to express my position about the proposed cpmc hospital. our community lacks access to affordable health care. we're not sure that cpmc can do this. it has a very poor record in serving the poor. the tenderloin needs a hospital that provides hospital care for our residents that are not available or accessible in this community. our community needs access to affordable care. our community cannot support this project unless it serves the poor. what we need is a project that is responsive to our needs. according to the department of public health, charity care report of 2009, cpmc's ratio of

arity care, the patient revenue is very low, less than 1%. compared to the state average, it is 1.75%. what will happen to the elderly who really need help? we, the community members, we deserve to be happy, healthy, and live longer so we can enjoy life with our family in our society. thank you very much. >> i will show you real quick.

>> good evening, commissioners. i have lived in tenderloin for almost 25 years. i want to express my opposition to the proposal of cpmc hospital. they do not plan to serve low- income patients. we in the community cannot accept this project, cpmc serves our needs. cpmc should increase access to all kinds of hospital care. it should be for seniors and low-income families. they should increase access to health care. if cpmc continues to operate for

low-income families, it will be better. thank you, your honor. >> [reading names] >> good evening, commissioners. i live in the tenderloin. i'm here to express my opposition to cpmc hospital that does not serve the community. in the tenderloin, lots of seniors and low-income people use medi-cal. less than 10% patients seen were under medi-cal. how can the community approve this hospital when they do not also, i understand that cpmc is a non-profit organization.

that exempts them from paying taxes. they're one of the most profitable hospitals in the state. cpmc charges the most money for their services compared to other hospitals in san francisco. how can they be a nonprofit? what we need is a project that is responsive to our needs. the tenderloin has the most real health care problems in the city. in 2007, more than twice the numbers of patients from knob hill were seen a than patients from the tenderloin. this does not make sense for us. the tenderloin has the highest need for health care in the city. we urged the commissioners not to approve this project without the community support. the tenderloin does not want this hospital unless cpmc opens

its doors to our community. thank you. president olague: thank you. please come up to the mic if your name was called, in whatever order. >> good evening, commissioners. i am a senior living in the tenderloin area for 25 years. i am here tonight to express my deep concern about the proposed cathedral hill hospital. we need a hospital that provides quality care and services to ensure that seniors and all people with disabilities and low-income families will have

equal opportunities in health care. at this point, it is unclear that cpmc will accommodate seniors and low-income families from tenderloin, especially. we want to make sure that medi- cal patients can use this cpmc facility. the tenderloin and central city residents will not support this project unless cpmc addresses

our concerns. this will be no project without community support. thank you. >> thank you. >> good evening, commissioners. i am a resident of tenderloin. i am here today to express my opposition about the proposed cpmc cathedral hill hospital. the proposed hospital must also serve the needs of the poorer because it is a non-profit. the ratio of charity care to patients is very low at .94%.

i realize -- rely on my medi- cal. i went to cpmc emergency room to find a doctor specialist for my sickness. they found out i was on medi-cal and told me to go back to my primary care doctor. no wonder cpmc has the lowest ratio, less than 10%. how can they explain this to the poor people like us, if they are in non-profit? the tenderloin community does not want this hospital on the cpmc provides their share of medi-cal care. we need a hospital that will except seniors and low-income families.

we want to make sure that medi- cal patients can avail love the cpmc facilities. our community will not support this project, cpmc addresses our concerns. we demand that cpmc signed a benefit agreement for our community. thank you. >> thank you. [reading names] [tone] >> hello. good evening, commissioners. i volunteer for a senior center. i am a resident for more than 10 years. cpmc's new hospital is not here to serve the community. it is for profit. i am an uninsured patient

dependent on free clinics and charity care. i would not receive this care from cpmc. i'm sure of that. cpmc provides little charity care, despite making some much in profit. -- so much in profit. we do not need hospital in the tenderloin that does not serve tenderloin people. what we need are more community- based clinics that are dedicated to serving our diverse population. centralizing hospital service does not make sense.

hospital like cpmc are known to be hospital for the rich only, and for high profit. this will have an adverse affect of marginalizing the residents. lastly, hospital that does not cater to economic realities of this population's constituency must rely on medi-cal programs will not serve the public. [tone] president olague: thank you. after the final bell, the two minutes are up. >> [reading names]

>> good evening, commissioners. my name is gloria and i have lived in the tenderloin, for the past 20 years -- tenderloin for the past 20 years. i am here today to lead to know that i am concerned about cpmc's plans for the hospital. i am a senior and under medi- cal. i rely on health services for low-income. cpmc plans to make this new luxury hospital and it gives me great concern. first of all, i will not be able to use the new cpmc hospital. currently, cpmc --

secondly, i would like to see my doctor. i feel that i deserve a hospital with quality health services. great health care is not just for the rich. cpmc -- please do not approve this project without a complete plan for serving low-income patients like me. thank you very much. >> lorenzo. >> and good evening, commissioners. my name is lorenzo. my family lives in the

tenderloin for six years already. i am here tonight to express my opposition about the proposed cpmc hospital. cpmc said a while ago it has poor performance when it comes to serving our residents. it has served more people outside of san francisco. cpmc is one of the most profitable hospitals in san francisco, earning millions of dollars, but has the worst record in providing charity care, despite being a nonprofit hospital. cpmc's ratio is below the state average. in the pay your profile, it attests to this disparity. how can us, the residents,

support this project, when cpmc, for the record, does not serve us? cpmc should keep act -- keep equal access to us, to the poro. the tenderloin community does not want this project, cpmc will open its doors to us. all of you, honorable commissioners, we ask that you reject this project unless they support us. thank you. >> [reading names]

>> my name is sue. i work in tenderloin community. tonight, we come here. we hope cpmc will provide the circus for the low-income families -- provide the service for the low-income families. cpmc supports us, we would like to support cpmc. have a site in the tenderloin community. thank you. >> thank you for coming out, everyone. president olague: did you all want to stand up? >> thank you. our next speaker is paul.

>> good evening, commissioners. my name is paul. i am of ukrainian descent. i am a resident here, of the city and county of san francisco. i'm a client of jobs that cpmc has offered me. they offered me the services for free. i merely have to go to their door. i open it. considering they have offered me plenty of opportunities more than i have asked for, as well as what i have asked for, i support this expansion of cpmc. i support the new location. it could be a new location for

myself and anyone in the surrounding areas. it could be convenient. more convenient. i do support the expansion of cpmc in this way. it can expand all the trades simply building it, the medical facilities, the services that i have gotten, they have given the opportunities and let me too many doors, but i opened the myself. most of the time, that is what most of the world as told to do. we leave you to the door and you open it. that is the way my opportunities have come to me.

i do support that in that you move forward with the expansion of cpmc. thank you very much. >> we have another senior. [reading names] >> good evening, commissioners. my name is denise. i'm a resident of the tenderloin. i have lived there for the past 23 years. at last's september's planning commission meeting, i stood here and voice my concerns about the cpmc project.

as a community member, i did not believe that the cathedral hill hospital would benefit the tenderloin. since last september, i have seen changes made by cpmc. the community has many serious concerns that need to be addressed. we do not want to see this project bill, cpmc will agree to serve the community -- project built unless the cpmc will agree to serve the community. they must provide charity care to our community. cpmc service provider it tomedi- cal patience is proportionately low compared to other san francisco hospitals. according to theimp in 2007 -- the imp in 2007, twice as many patients were seen from knob hill as opposed to the

tenderloin. i am a low-income tenderloin patient with many severe health problems. i suffer from diabetes with multiple health conditions and also a e manyye probl -- also many i problems -- eye problems. i do not want to see a project to build without community support. thank you. >> good evening, commissioners. thank you for allowing me to speak to you. [tone] [laughter] there we are. last year, i spoke to you and i did so against my dr.'s advice.

i had just come out of the hospital. i am in great shape now. i care for the most vulnerable people in our city. i believe that the proposal to rebuild think luke's hospital is appropriately sized. i listen. i am not a health care expert, but i am a lerarner. a technologically advanced hospital is the very best way to provide care today and in the future. i believe we have found that for st. luke's.

it is my concern for my city that we have seismic beds. one is that they might fall down. five is services continue. the building may stand, but the services may be disrupted. we need those. i think it is right. i speak as a community leader. i think it is right that people push against cpmc on charity care. it was the st. luke's doctors and nurses that led the push against cpmc originally. i believe that was correct. st. luke's provides a great deal of charity care. we need to keep it in the city for our people. st. luke's has improved and cpmc

is improving charity care. thank you very much. president olague: maybe you heard your name. >> thank you, presidents, and members of the health and planning commission. my name is kenneth. i'm the medical director of nebraska medical services. it is a non-profit organization. a lot of them do only have medi- cal. we have four clinics in san francisco. it is my pleasure to offer support for the rebuild. contrary to the testimony, which portray a very different picture of what i know of cpmc, cpmc has been a good neighbor to our

community and our patients. we have received numerous donations and grants from cpmc to help us take care of patients who have never had access. we are the home to a quarter of healthy san francisco patients in the city of san francisco. cpmc provide the emergency and in-patient care for our health feet san francisco patients -- healthy san francisco patient. a number of people who are only on medi-cal are delivered on an annual basis. close to 100 receive a free care at cpmc. cpmc has made efforts to hire more bilingual staff and translators so patients can go comfortable. they provide culturally sensitive selection for our

patients. on behalf of the community, we support rebuilding cpmc. we ask that you will do the same without delay. thank you. >> good evening, commissioners. i am dean of our school of public health at berkeley and had the pleasure of cochairing the blue ribbon commission with bishop anders. i am pleased to be in front of you again and speaking in support of the plan. it is the kind of integrated system of care that this city needs and that this country needs, particularly in this time, in the challenges we face. there has been considerable community input. i think what you have heard tonight is right on target. the citizens have spoken in terms of the need for charity

care. hopefully, health reform holds up and we will have more citizens in this city have some health insurance coverage, and can get the care they need from st. luke's. i follow cpmc's response to the blue ribbon committee's recommendations. i am pleased to say that they have largely been responsive. they are putting two and $50 million into the facility and they are going to do it with a -- $250 million into the facility and they're going to do it as part of an integrated system. i personally have worked with the president in reforming our nation's health care system and creating the integrated delivery system that cpmc is planning for the city of san francisco. in conclusion, i want to urge your very careful and continued support of this project. i'm sure as it goes along, it

may be able to be improved upon. we should certainly do that. thank you very much. >> as we call your name, please be ready to speak. [reading names] >> my name is jessica and i have been a nurse for 33 years at california pacific medical center, 25 years in labor and delivery. cpmc is planning a huge structure in a higher-density area. this area already has many large hospitals, as was discussed. this will overwhelm an already highly congested area. in my 40 years as a nurse, i have never worked