low-income patients in san francisco. but as we can see -- you've seen this chart before. this is the record of the ratio of net patient revenue to charity care provided. cpmc highlighted below is well below the state average, about half the state average. so their claims of providing adequate charity care is extremely false. so the mayor's position is really just to bring cpmc up to the state average in charity care and in medcal, and frankly, the position is that's not enough. average is not enough for this corporation, which is very successful. they can do much more than the average and they're already balking at doing the average amount. so when warren brener got up here to discuss how $2 billion over a 50-year period was ridiculous and outlandish, we say that assertion itself is ridiculous. $2 billion is the amount of

money over 50 years that they should be paying to be adequate ly serving low-income patients as a nonprofit hospital. the $2 billion over 50 years, that figure is somewhat dubious. that's what they should be providing as a nonprofit hospital if they were treating low-income patients on medcal and charity care patients. so i just want to clarify that. the mayor's recommendations were really to bring cpmc up to the state average. that's really -- that's not even enough. we need to go far beyond that. so in addition, i just want to wrap up by reiterating, a community benefits agreement is what the community is asking for. this would really help us go above and beyond the mayor's position. we see it narrowing the development agreement to add an extra layer of enforceability and would allow us to address issues that mayor did not address in his recommendations.

so yesterday, folks, we had a press conference on the steps of staal where we had six -- of city hall where we had six board of supervisors present. so i just want to wrap up by reiterating that. thank you. [applause] president olague: thank you. good timing. we'll hear from the seniors who requested reasonable accommodations. carolina, followed by glar ya salazar and then evangeline. i patrol jies for my pro youns -- i poll jays for my pronunciation or lack thereof, i guess. >> good evening, commissioners, good evening. my name is caroline -- councilmember grigsby: one moment, president olague: if i can ask

all the people standing on this side to come to this side of the room. and there are a few seats. . . . president olague: we have to keep the doorway clear due to we don't want to create a fire hazard, so we have to make sure no one is standing in front of the door. ok. ma'am, you can hold the mic a little closer to you, ma'am. if you can hold the mic a little closer, so we can pick up what you're saying. thank you. >> ok. good evening, commissioners. i am a member of the tenderloin filipino american community association. i've been living in the tenderloin for almost 25 years. today i want to express my

feelings about the mayor's recommendation for pcmc and ignoring the demands of the community. commissioners, we do not need another hospital in our neighborhood if the hospital will not serve our community. what we need is a hospital that serves low-income families as well as the poor people. what we need is a hospital that will welcome the poor, like us. cpmc continues to ignore the community. we are requesting the commissioners to give cpmc what

is due to them, which is to reject this project. it will not only serve the corporate interests for the people like us. thank you very much. [applause] president olague: thank you. >> good evening, commissioners. my name is gloria salazar. i am a member of the tenderloin filipino-american community association. and i've lived in the tenderloin for the past 20 years. i'm here today to say that we're posted to this hospital being built in our neighborhood, because cpmc has continued to ignore the demands of the community and even the recommendations of the mayor.

i'm a senior and i'm on medcal and i know that pcmc accepts very little medcal patients. i cannot agree to this proposal with the development in our neighborhood. but it should also serve our needs. the tenderloin does not want this hospital unless cpmc will open its doors to our community. therefore, i urge the honorable members of this commission not to approve this project without considering the benefit of the community and that cpmc must sign the community agreement. thank you very much. [applause] president olague: thank you. >> good evening, commissioners. i'm evangeline, and i'm a

resident of the tenderloin for the past 22 years and a member of the tenderloin filipino-american community association. i am here today to express my dissatisfaction fort recent actions of cpmc slamming the mayor's recommendations to come up with acceptable development agreements and by continually ignoring the demands of the community for a comprehensive community benefit agreement this arrogance is revolting, considering that cpmc receives property tax exemptions from san francisco every year. as a nonprofit facility. in spite of being the most profitable hospital in the city cpmc needs to pay its pair share. especially people who are medcal recipients.

it's not our choice to be medcal recipients. we are like a product with our own fact tomplete we need development in our community, but i believe that a project like this must also address the needs of our community. we in the tenderloin cannot accept this project unless cpmc gives the community what it needs. we need greater access to care. cpmc should increase affordable access to all kinds of possible care, especially for seniors and low-income families whose only lifeline relies on medical insurance in order to survive. cpmc must also support our community clinic so that we can provide adequate service to the community for the less privileged and the poor people. we want cpmc to address this issue by signing a community benefits agreement that is acceptable to the community. thank you. [applause] president olague: thank you.

laura mae -- i can't pronounce -- what's that? ok. thank you. nella manuel, followed by lorenzo lastana. sorry about that. terrible. i have to practice a little more, i guess. >> good evening. i am a member of the community association. i'm here today to express my opposition about the proposed cmpc hospital. we cannot agree on this hospital being built in our neighborhood if cpmc will just continue to disrespect our community. cpmc is continuing to ignore

the rightful demands of the community and they are even ignoring the recommendation of the mayor. how can they afford this project when they do not intend to open the doors to the community? we want cpmc to sign the community benefit agreement that is acceptable to the community. thank you. [applause] >> good evening, commissioners. i'm nella manuel and also a member of the tenderloin community association and a resident of the tenderloin for 20 years. there is -- the recent actions of cpmc shows they are not participating by continually ignoring the demands of the community does not bode well as a future neighbor in our community. our community needs development and the cpmc hospital is a good

project for us, but if they will not address the community's demands, like access to affordable care, prioritized local hiring, mitigate the traffic congestion that it will create in the neighborhood and contribute affordable housing for the community, how can we support this project? if cpmc is reneging in their social responsibility to help our low-income residents in our city, how can a community approve this hospital when cpmc does not plan to serve the poor? we urge you, honorable commissioners, please, not to approve this project unless they support the community. the tenderloin and the city does not want this hospital unless the cpmc opens its doors to our community.

thank you and good night. [applause] president olague: again, this is the seniors requesting special accommodations. >> good evening, commissioners. my name is lorenzo listana. i am a member of the tender loin filipino-american association and also a residents of the tenderloin. i'm here today to express my opposition about this proposal of the cpmc hospital at van ness. we as san franciscans are paying for cpmc's corporate greed while being the most profitable hospital in san francisco, cpmc is receiving property tax exemptions from san francisco every year. but in terms of services to our low-income families, cpmc is the lowest. as a tenderloin resident, i do not agree to their plan to construct a hospital facility that will not serve ordinary

san franciscans. we urge the honorable members of the commission not to approve this project if cpmc will unfairly treat the poor people of our neighborhood. we cannot agree to a hospital that is not responsive to our needs. we will not allow them to continue to be disrespectful and arrogant by ignoring the community for equity and fair share. we can send our message clear to cpmc that they should be held accountable. we want them to sign a community benefits agreement. thank you. [applause] president olague: that was the only list i had for seniors. i don't know if there are any other seniors who requested reasonable accommodations, but that was the only list i had. yeah. if there are seniors who requested reasonable accommodations, they should come up at this time. and you do have to please make

sure -- it's for seniors. it's for seniors,ee. yeah, or for people who require reasonable accommodations. >> good evening, commissioners. pimm a resident of the tender loin, too. san francisco is recommending that cpmc build the right way. affordable housing groups, neighborhood organizations and state unions representing many thousands of san franciscans. i'm speaking with my minds, voice, about the social and moral responsibilities that cpmc must meet if it seeks to establish dominance of our city's healthcare system for the next 30 years. thank you for listening to us. thank you. good evening. [applause] president olague: if you can continue to come to the mic, but we did receive that request

for reasonable accommodations. it is, again, only for those who qualify for that. if you want to come as a group, you can stands behind the mic together and you'll get the two minutes. thank you. >> good evening. i am a resident of south of market. don't back down. the mayor has taken an important initial step in issuing a recommendation to cpmc. this is just the beginning. the mayor should stick with his position and demand cpmc negotiate with the community. thank you. [applause] president olague: if you can come up to the mic. you can all stand there and one of you can speak on behalf of the group. thank you for doing that. >> good evening, everybody. my name is -- i am with the

chinese association of tender loin and all the members behind me are seniors. they're living in the tenderloin for almost 16 years. they have sent out so many messages to cpmc, but never have feedback. so we feel cpmc is not respecting us, so we don't accept cpmc to have a site in our neighborhood. thank you. [applause] president olague: thank you. i believe i'll start reading now the cards that we have here. mariana faris, followed by joseph flanagan, tony wagner and connie mardikian.

>> mariana had to go to work. president olague: that's fine. >> good afternoon, commissioners. my name is tim brennan. i represent the lost block of st. luke. we have 11 buildings, most of which are two and three-family homes on caesar chavez, guerrero and 27th street immediately adjacent to the proposed st. luke's site. cpmc's plan to move the hospital the lengths of a city block from the corner where it has reasonable buffer from the residential neighborhood right next to existing homes is an unprecedented industrial encroachment on an existing residential neighborhood. there's nothing like it in the city or even anywhere in california that we can find. the plan is in conflict with the existing character and

zoning of the block and proposes to place a massive building with an ambulance entrance and 24-hour loading dock immediately add jate sent to homes. over the last three years the members of the lost block have participated in every public forum we were aware of. we've met with supervisors and submitted written comments. we're not paid to be here. we're here as concerned neighbors deeply affected by the cpmc project. we know nothing about health care or the complex negotiations that go on between cities, labor and corporations, but for over three years we've been caught in a holding pattern unable to go on with our futures. today we spent numerous times with cpmc and made specific proposals on how they might mitigate this project but we have not received any substantive responses. we feel this project could be made accessible to neighbors, but only if they consider reasonable discussions. we ask the commissioners for any help they can give us toward that goal. president olague: thank you.

if there are folks still in the overflow room, there are 20 or so seats available here. so you can come over now. >> good evening, president olague and members of the planning commission, my name is anthony wagner. i'm a retired health care executive. i'm a member of the board of sutters health westbay region of which cpmc is an enat the gral hospital system. for five years i served as the executive administrator of the san francisco community health network, which included san francisco general and laguna hospitals, as well as the 185-bed rehabilitation mental health rehabilitation center on the san francisco general's campus as well as 17 in and outpatient clinics. i also served 10 years as the c.e.o. of laguna honda hospitals and prior to that 15 years as one the senior administrators at ucsf medical

center. finally in my career i served as vice president of the labor management president buell: at kaiser permanente health plan for two years. i currently serve as the chair of the board of the institute on aging of san francisco. having reviewed the analysis, i city's so-called asks which adds $2 billion additional and doubles the cost of constructing the new hospital, as mandated by the state, hospital safety laws. i understand there has to be remediation, but i think it has to be remediation that is fair and that is not this. these additional asks of $2 billion will make the rebuild financially many possible for any hospital system or any hospital. most of us understand that health care delivery and financing is changing and will

continue to change dramatically as national reform is implemented. if cpmc is locked into a structure which mandates inflexible delivery options, both the city and cpmc will be unable to respond to the changing environment. president olague: thank you. >> thank you. president olague: you can speak, thank you. >> thank you. my name is connie mardikian. i wish to share my experience with being involved with st. luke's hospital always as a volunteer. as a reg centered nurse i wanted to make a difference and many of the families in need that st. luke's serves. i started as a member of the junior auxiliary where i helped to raise funds. i can honestly say that i appreciated the mission of the hospital and admired the

physicians, nurses and staff that worked unselfishly -- selflessly to deliver care to those in need of charity care. i became involved in st. luke's hospital foundation. i served as chair and later served as president for one year. i then joined the hospital board of directors. there are many challenging financial times at st. luke's and the cost of providing care to our population became difficult with losses building quickly. for the long-term survival, it was necessary for st. luke's to find some affiliation. i was the head of the board at the time we merged with cpmc. it was a challenging process for all concerned as st. luke's had many immediate needs and the financial projections were staggering. my concern and the concern of those involved from the st. luke's side is what would happen as far as operations. the unique culture of the hospital and the desire to continue the commitment to serving the community. at the time of the merger five of our board members were welcomed on the cpmc hospital board.

we had the chance to participate in decisions being made and to keep our eyes on the st. luke's mission. it was a time of transition with the medical staff, services and administration. cpmc studied the best use of funds for serving the st. luke's community. we evaluated the current and future health care needs for this portion of the city. the results from the study demonstrated a clear need for a new hospital and further development of specific clinics. cpmc has honored its commitment and fully integrated st. luke's into its plan for health care. they have continued to improve the facilities -- thank you. president olague: thank you. please. we can do away with that, ok? no hissing in the audience. thank you very much. ron kauffman, barbara bishop, brian webster. >> president olague,

commissioners and director, to cut to the chase, i spent about half of the last 50 years doing volunteer work in san francisco with very heavy emphasis on public safety and on hospitals, including ucsf, the cancer center on sutter street, the retention of ucsf, which involved about five or six years of work and a committee at san francisco general when rich cordova was there. so i have truly a great concern about the health and welfare of people in san francisco. and i have been on the cpmc board the last 10 years. when that board -- and i'm speaking frankly my own opinion. i don't know if the rest of the board will or won't agree with me. but when we were asked to approve the blue ribbon recommendations, that was $270 million commitment. in addition to $20 million to

$30 million deficit, which we've already absorbed about $100 million at st. luke's, and if you multiply the next four years at another $400 million, i just think that that is an enormous commitment that nobody else -- no other organization in the city would be asked. what was overlooked by the transport people is that cpmc does have an internal transit system of buses that mitigates a great deal of the traffic to the hospitals, including a long-term commitment on 600 off-site parking spaces, which we pay for, to keep the traffic down. it was referenced to profits. those profits are plowed back in. just to keep the equipment up to date on the four campuses is about $60 million a year. so i would leave you with these questions -- why is central van ness avenue --

president olague: thank you, sir. you can leave the questions that you have in writing. >> thank you. president olague: i don't mean to be rude, but if we start a hissing match we'll never get out of here. we never will. >> i do have copies of this statement for the commissioners. my name is barbara bishop. i'm a physician, a family physician at st. luke's. i've been there for 30 years and continue to practice in private practice. i'm here in my capacity as the vice chief of staff of the medical staff and i wanted to read a memo that was sent from dr. ed kursh, our chief of staff. he's, unfortunately, out of town, to warren browner, c.e.o. it says, "we support st. luke's executive committee for the enterprise development plan e.d.p. the st. cluke's executive committee in its meeting of may 26, 2011, reiterated its support of the conclusions of the blue ribbon panel by a

unanimous vote in support of california pacific medical center's enterprise development plan as proposed to the city of san francisco. this includes the rebuild of st. luke's and the construction of the new cathedral hill hospital on van ness avenue. the medical staff was intimately involved in the planning of the clinical services to be offered and is satisfied that the community needs will be met by implementing the e.d.p. the medical executive committee is the voice of the st. luke's hospital medical staff and has been vocal throughout this process. this communication is to reconfirm our support as the e.d.p. moves forward." with a copy to mayor ed lee. i just wanted to say we desperately need a new building and new facilities at st. luke's. the building is aging. the boiler broke. we have many, many problems, and if we don't get something passed soon, i'm afraid that our patients will suffer both from safety issues. i also think our patients

throughout the city should be -- should have the availability of a state-of-the-art earthquake-proof building and i hope that you will consider that. president olague: thank you. dee falk, followed by madeleine yee. lisa penta, and susan blashick. and if you're in the other room, you can start making your way over here. if i've called your name, feel free to come up to the mic. a reminder that there are seats available if you're still in the overflow room. >> thank you, commissioners, for allowing me to speak to you today. my name is madeleine yee. i'm a registered nurse. not a professional speaker as many of the administrators.

i am one of the many employees who are on the front line taking care of our patients. i am here today to encourage the planning commission to mandate sutter and cpmc to sign a community benefits agreement that will guarantee job transfer and property rights for all of their employees of the new hospital. the nurses at st. luke's on the california campus have been without a contract for four years. cpmc have not bargained in good faith. there are working conditions that benefit cpmc only, not the employees. we need a written guarantee from cpmc that will protect our rights. i urge the commissioners to ignore sutter and cpmc's fancy rhetoric and listen to the citizens and workers of san francisco to mandate them to sign a community benefits agreement for equal health care access and workers' rights before any permit approval before this project moves forward. thank you. [applause] .