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] . zg thank you for giving me this opportunity to speak. my name is susan of the when i filled out my card it said "in favor,i am just here to say i wd like to see it done the right way, and that requires a great

deal of thought. i have been under for 37 years. i am starting to loose -- i have been a nurse for 37 years. i am starting to lose track, and while the overall climate and economics of health care have changed tremendously, i see a change in the way business is conducted at our hospital. i have seen on the bargaining team for a couple of years, and i think if you want to work cooperatively, it can be a challenge. we have been without a contract for an unprecedented amount of time, and i think we need to develop a better spirit of cooperation, so nurses are patient advocates, and having a union allows us to be better

patient advocates, and when i started this process, and i was relatively pollyanna. i just want you to be very careful in developing this hospital in the way it will serve san francisco. thank you. [applause] [list of names] >> i am from the san francisco gray panthers. i am very concerned about the threats. i am also concerned about the

loss of skilled nursing, but i am also concerned about loss of patient care. i had to have open heart surgery, and i was really scared. it turns out i got great care, but part of this was because there were enough nurses to take care of me unstable after coming out of the operating room. goothe other thing that was important is that there were enough nurses to ask what was held in a period to ask.

it was adequate staff. it was a huge plus to patient care. you could tell the nurses had power. when they gave medicines, they had us-on, and it said, do not disturb me, i oam concentrating on something important, and it is important because people died in the united states. a hospital i was out was unionize. they do not have a contract. goothis is a question of a patient's quality corridor -- of the patient's quality very good

>> i am a registered nurse. i also live-in in the mission. i feel frightened by the master plan. in tokyo, the earthquake hit my country in march. my brother got stuck for seven hours in the city. my sister witnessed people stranded on the street who could not get medical help. my father survived. the plan does not include s patient pharmacy. goosome residents suffer from lk of medication. many died in japan not because of earthquake or tsunami but because they could not get care

after the disaster. other japanese, and -- as a japanese person seeing my country suffer, i deeply believe that the centralized plan will not serve the region will not save our lives and will be harmful in case of a disaster. we need to serve the growing population and to prepare for the major disaster in the future