for search capacity needed to respond to large-scale disasters. the hospital needs to add a sixth floor just to fit into what cpmc has already committed to and handle restoration of needed services. instead, recent cpmc physician rent hikes threatened at the month eagle medical building are chasing doctors away, especially those who wish to remain independent of sutter medical foundation. several doctors who have joined the foundation report that once their practices under sutter under the healthy san francisco plan were being turned away. in terms of medical planning facility distribution counts, the patients who come to st. luke's are least able to afford a car. it is three bus lines away from any. st. luke's is the only hospital south of market from san francisco general.

we wouldn't put all five stations -- fire stations north of market. we want a full complement of hospital services for 370,000 people who live south of market . regarding the proposal to build a, quote, center of excellence for diabetic care, you can't exclude vascular surgery, renal, dialysis and wound care when claiming to specialize in treating seniors. with the federal government proposing to turn medicare into a voucher system and the state cutting back on medical reimbursements, the burden on the county is going to increase. we can't afford to have sutter, one of the largest property owners in the city, paying no property tax while eliminating services. sutter made $878 million profits last year. they have the money to propose a 555-bed hospital in a high-income part of the city.

this is the year of a 2001 services list that st. luke's used to provide and which sutter agreed to maintain which came out of bankrupting st. luke's by cpmc and the law firm. this needs to be a starting point. the planning commission must ensure st. luke's 137-year-old continuance. inadequate st. luke's is poor urban planning. we oppose any planning commission approval of this l.r.d.p. inequitable. president olague: thank you, sir. and you can submit anything in writing that you are unable to express. thank you. [applause] we'll hear from the good

neighbors coalition at this time. >> thank you, commissioners. gloria 134i9 on behalf of california nurses association. i was here at the last meeting and i committed comments -- president olague: you're part of the good neighbors coalition. >> yes, they asked me to speak. california nurses is a good neighbor. as you know -- i don't think there's any question in the room that proposed cathedral hill campus is inconsistent with the general plan as proposed and the v-nap, the van ness area plan. but those particular plans are essential to the van ness corridor in terms of both uses and scale. these plans call for a mix of residential and supportive commercial uses. they're properly scaled for the existing corridor. and the planning success of those two plans has yielded a mix of residential and supportive commercial uses in this very diverse and thriving polk street and tenderloin neighborhoods. the proposed cathedral campus

would be a huge departure in both scale and use for the vision set forth in those plans. the e.i.r. proposed a major general plan amendment that would carve a new subarea 4. the medical use district would include both cathedral hill and the new m.o.b. the carveout would create an incompatible island in the middle of the van ness core core that would overwhelm and destroy both the fabric and the use of these existing neighborhoods. and to carve out the massive campus would put tremendous pressure on the neighborhood to convert small existing pedestrians-friendly services, affordable housing to uses that would have to cater to the hospital and the m.o.b. the city may go ahead and decide to amend the general plan, however, any proposed land use inconsistencies would have to be resolved according

to proposition m principles. and for the v-nap, the city must preserve and enhance existing neighborhoods serving retail uses, future opportunities for resident employment in and ownership of neighborhood and businesses, existing housing and neighborhood character, and the city's supply of affordable housing. those are all required under prop m and the new commuter traffic cannot impede muni. we've heard a little bit about that earlier tonight. right now there's no way to reconcile the proposed cathedral hill with the above named policies. i didn't hear anything tonight that is ambitious enough to resolve those differences. the plan to consolidate the services into one 555-bed mega hospital and m.o.b. on one tiny parcel in the city in one of the most diverse and congested

areas is just untenable. at project completion patients in the city's southeast quadrant would have to travel to other sections of the city for specialized care, while residents and businesses close to cathedral hill will be burdened for a campus too large for the site in terms of land use, traffic, transit and just pure neighborhood character. thank you. president olague: thank you. [applause] >> hello, commissioners. my name is sandra manning. i'm a resident of the tenderloin and i'm a tenant organizer from the central city s.r.o. collaborative. we, as the tenants in the tenderloin, are asking cpmc, they should provide services and community support that justify its nonprofit status. what is the point of building

this hospital when you will not serve the people in the community? all we are asking, cpmc -- if you want to build this hospital in our neighborhood, you must open the door to us for equitable health care for all of us. before you serve us, listen to the community. thank you. [applause] >> good evening, commissioners. my name is angel ca and i'm part of the good neighbor coalition. the mayor's proposed condition for development agreement is -- establishes a good starting point for improvements of the cpmc project. therefore, we are disappointed to hear that cpmc feels it's too much, when they are the largest health care industry in the bay area. we think equally that in order

for this project to serve san francisco's best interests, cpmc can and must do more to address those issues and others outside the scope of the mayor's proposal. that is why we're calling on cpmc to negotiate a community benefits agreement directly with san francisco stakeholders that builds on and extends beyond the mayor's proposed conditions. why do we need a development agreement and a community benefits agreement? well, cpmc's long history of disregarding workers' interests and reneging on its commitment to the community should establish a community project a top priority. it will add an additional layer of enforcements and accountability directly to the community. as you know, the city does not have enforcement mechanisms. this is the first time that the city's actually going to have a big health industry in san

francisco. therefore, the future of our health care, our neighborhoods and the future of good permanent jobs for thousands of workers, most of whom are women of color and immigrants, depend upon it. cpmc's poised to play the dominant role in san francisco's healthcare system for the next 30 years. we really got to think about long term of san francisco's health care. the best way to guarantee that san francisco's needs are met is tone sure that both a strong development agreement and a community benefits agreement are in place, so we hope that you will consider that development agreement is set in place before moving forward with this project. [applause] >> good evening, commissioners. i'm going to use this projector here, if this works. so my name is steve rue. i'm also with the good neighbor coalition. so, again, i want to reiterate

our position that we are pushing for a community benefits agreement in addition to a development agreement. and i just want to start by clarifying some interference over the past week or so since the mayor's position has come out. cpmc is one of the most profitable health care providers in san francisco. in 2009 their profits were at $188 million. they're year after year one the most successful, most profitable hospitals in san francisco, and they are by no means short of profit. so for cpmc to come up here and cry foul, to cry poor, is somewhat misleading. in addition, let's not forget these folks are a nonprofit. they don't pay property tax to

you, the city. in exchange, they're expected to provide charity care or reasonable service to 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