>> [speaking spanish] >> can you translate in english? >> thank you. >> i am a patient of the hospital. it is important for the community to rebuild st. luke's.

we need the resources. the latino community. i asked for the approval of this project as soon as possible. supervisor mar: thank you very much, next speaker. >> good afternoon. local 261 in san francisco. i am here to talk in favor of this project. i do not have to tell you about how much -- this is not only about union members. anybody related to construction, you know. people are suffering, losing houses, not able to provide for

the families, things like that. for our union, and many other unions, this project is the only way of survival. every little bit helps. this project needs to be approved. there is a lot of disagreement about this and that, but a lot of things can be worked out. it is important to mention that

cpmc -- it provides service to 70% of our members. it is working both ways. thank you very much. supervisor mar: thank you for testifying today. thank you. >> ron smith with the hospital council. we represent all the hospitals in san francisco. for the sake of all hospitals, every hospital supports the rebuild of cpmc. it is our largest hospital. we do not understand how residents will be cared for without cpmc. i want to bring up another issue. why every hospital is rushing to

rebuild right now is we are worried. the earthquake is coming, it could be tonight, it could be five years from now, but a delay in two weeks in approval could mean nothing. or it could be that the big one hits and that hospital has to care for many of the people of san francisco. we have to have all of our hospitals open as soon as possible. let me quickly go to the point that san francisco hospitals employ 99 -- are responsible for over 99,000 jobs. we bring an $11.3 billion into the city. that is almost twice what tourism does. when the economy was tanking, hospitals increased employment by 10%.

we are a steady employer for the city. we have 22% higher salary than any other business. we are not -- we hire far more women. we are vital to the city. but more important, and think about any kind of delay. it may mean nothing. if the earthquake comes and we have not rebuilt our hospitals, we will be in big trouble. thank you so much. supervisor mar: next speaker. >> i am presenting on behalf of dr. john. i am attending cycle -- i am attending psychiatrist. the city is ramming through the development agreement by jobs,

jobs, jobs. public services are being slashed. if they are not willing to care for which ever patients walk in their door, they should be supplying much more generous set aside. in proposing to build two new general hospitals with more than 550 beds but no acute site facilities, they are expecting patience to be handled elsewhere. elsewhere means the streets or the county jail. the city is reassigning the nurse practitioner that held a critical function of transferring patients out of pysch emergency. these transfers are essential for patient care. this nurse practitioner manages madd's for 26 patients -- meds

for 26 patients. these patients have been case managed by a social worker and the nurse practitioner. many of these are banned from other clinics. there is no provision for any replacement for her position. with the support of -- the state board of equalization to hold a hearing into the tax-exempt status of nonprofit hospitals next week. we work with the california nurses association to keep the hospital open. the people of san francisco expect no less from their representatives. thank you very much. please support the california nurses association. supervisor mar: i will make sure we follow up with the assemblywoman's office.

>> thank you. >> i will be speaking on behalf of dr. robert buckley. i have been an attending psychiatrist with the emergency services unit for the past 22 years. i am also a member of the physicians organizing committee. we state that the development agreement are paving -- is not adequate. especially in regards to those suffering an epidemic of homelessness and mental illness. under this agreement, cpmc is is giving card launched to build 635 in new -- carte blanche to build 635 new beds.

ptsd patients are committing suicide in record numbers. administrators -- the psychiatrist it called to the emergency units to consult on the mental health needs of patients. beyond any dollar value, it is critical to care for the patients because mental health care and medical help care are so closely intertwined. -- health care are so closely intertwined. they say it is too late to reinstate the 32 bed at st. luke's because they have already submitted the plants. -- plans.

this board must use its power. supervisor mar: thank you very much. i am going to call several more names. [reading names] >> good afternoon. i have worked for san francisco contractors for over 20 years. i am the director of workforce development. we are the prime contractor for the proposed cpmc hospital. we are committed to creating opportunities for san francisco's work force and local businesses. we have created on parallel collaborative partnerships.

we have brought hands-on training class to the students. plumbing, sheet metal, sprinklers, drywall, and electrical. at the construction training program, we have developed and teach with their volunteers a 12-week construction curriculum. we are privileged to spend fridays with the students. over the past year and a half, we have posted 14 internships for san francisco residence. we are committed to the mayor's summer jobs program and are hosting 6 san francisco president in -- resident interns.

our administrative hiring goals are 50%. for full-time entry-level positions, 100%. interns, 88%. we are committed to bringing san francisco contractors on to our project. we have spent time entering and assisting our partners. supervisor mar: what is that the goal? this is the local businesses. >> 14%. compared to san francisco general, which is at 7%. we are about sustainability and stability. there is -- they are the cornerstones of what we're trying to accomplish with our workforce programs. you're looking for people to establish careers and construction. i'd just touched the surface of what we have committed to as a contractor.

this is my full-time job for the duration of the project. every day, our team has the privilege of working with san francisco residents and businesses. we look forward to doing that more. supervisor mar: do you think 14 or 15% of local businesses is enough? from many communities testifying, they feel that is way too low. i would like that response. >> 14% -- if you look across the projects happening right now, 14% would be the highest goal there is. i know that sf general is 7%. i am not sure what lennar's goal is. we started at 7% also. we realized that in order to get where we wanted to, 14% + very

ambitious. supervisor mar: i think we need to do a better than not, but i will look at the numbers. next speaker. >> thank you, board of supervisors. i am a project coordinator for the general contractor on this project. i work on the st. luke's project. i have been a resident in san francisco for 11 years. i support cpmc's rebuild. it means i will have a job to provide for my children. this project will bring jobs that will generate income for families. it will boost the local economy will providing a seismically state of the art facility. cpmc serves one-third of san franciscans. it is important that we invest in rebuilding the facilities.

in doing so, you are considering -- you are ensuring that there will be adequate coverage for the long and short term health care needs of the people. it would be ideal to give up most of the jobs to residents. it is not realistic. bitchin' not bwith such educati, this city may not be producing a large pool of employees. we must keep in mind that job placement is established on the basis of qualification and education, not geography. cpmc has committed to employing residents, but we should not decide that we want to have qualified people, regardless of residency, serving our community. san francisco needs this project and ask that you support the rebuilt today. supervisor mar: please respect

the speakers. i will call a few more names. [reading names] next speaker. >> do i have to say my name? supervisor mar: you are not required to. >> we must not contaminate our health care system by transforming into a platform for international relations. the only way to prevent this from happening is to enforce the 50% local hire. i am not just talking about jobs in construction. we need to invest in education. another demand, a 50% of the work must be allocated to communities of color that are plagued by poverty. additional funding must be set aside for workforce development. we must not become victims of

predatory privatizing. the value of the community college education and the quality of community-based health care will be depreciated. we want jobs beyond construction. i am requesting we develop an memorandum of understanding between cpmc and city college. city college has enough scholarships -- we have ekg technicians, x-ray technicians. it seems as if cpmc, it degenerates $600 billion in profit per year. -- it generates $600 billion in

profit per year. if you are serving one-third of san francisco's population, do not let be the reason you disserve the other two-thirds by taking up the city's time and resources and energy. san francisco spent six but $7 billion a year. that is their budget. -- $6.7 billion a year. that is their budget. i hope you got the point. we will be back. supervisor mar: thank you. next speaker. >> good afternoon. i am one of the members of the filipino senior resource center. i am also the president of the filipino based support group.

i am also a survivor of breast cancer. i am here today to support the cpmc project because we are -- for this community. thank you very much. supervisor mar: next speaker. >> good afternoon, supervisors. i am with the south of market community in action network. we are raising this concern not because they are against development and not because we do not want a new hospital, we are raising this concern to ensure accountability, respect the rights of existing and new workers, and to have a healthy future for san francisco. that is quite a community benefit agreement is important to have between cpmc and the

community and labor. just how -- just like how the community and labor worked with the board of supervisors. we see that cpmc should not be exempted from that. they are going to be the largest nonprofit health facility and the city does not have the oversight nor the monetary mechanism to ensure the critical issues we are raising and the demand we are raising will be commanded by cpmc. a cba will be the right solution to have. we hope he will ask cpmc to meet with us to ensure we work with them to have a good cba for the future of san francisco. supervisor mar: next speaker. >> good afternoon, board of supervisors. i am the executive director of

the filipino senior research center. i am here with a group who are recipients of other programs. we support cpmc for their project. they are partnering to help the south of market area. with their problems regarding jobs, health, mammograms. they are providing transportation. cpmc is giving back to the community. they have already started back. if they are -- we will be referring many clients to get a job. thank you so much. supervisor mar: next speaker.

>> i am also speaking on behalf -- [inaudible] walking down sixth street, you can imagine what i was doing walking down six street. and then we had bad earthquake. after that earthquake, it became a big demand to retrofit, tried to make things safe. it was such a demand they started hiring local people. i worked -- first, i was able to get into the trade duty. the iron workers allowed me to become a member. i became a welder. i welded on this very building here. i just left a job or their building. this was 15 years ago. i raised two kids. my daughter, i put her through

nursing school. i borrowed money from my daughter, that was a beautiful thing. she does not have any kids, she move to los angeles because she wanted to be an actress. u.s. policymakers are in a position to -- you as policy makers are in a position to do the same thing. you can help -- i worked on the fire department freer four blocks from my house. people from my neighborhood block by just because they could see me, the local guy working on the building. i had kids in the neighborhood. my nephew just got out of jail. he spent about six years in jail. he said he was tired of that kind of life. he learned how to weld in

prison. he got in the ironworkers union. he is working. supervisor mar: thank you. next speaker. >> good afternoon, supervisors. i am working at st. luke's hospital for 20 years as a housekeeper. when i started, -- cpmc came over to take over st. luke's. we feel very comfortable and secure with job security. we urge the supervisors to get

an approval for the building because st. luke's needs to rebuild. right now, the management has always -- why we have to spend that money to and not rebuild the whole building? that is why we are here. thank you very much. supervisor mar: i am going to call a few more names. [reading names] >> good afternoon. i am the community to help program manager at cpmc and i support be rebuilt. -- i support the rebuild. i am a patient at cpmc. i am a two-time breast cancer survivor. not even that is my reason for the support of a seismically safe hospital.

cpmc was responsible for taking care of my daughter. she delivered two lovely little girls. they are now five and three years old. they have their care at cpmc and they deserve a seismically safe, culturally appropriate, and sensitive arean for their care. i am the proud grandmother of six grandchildren. i want to be able to work, i want to be able to be safe, i want employees, doctors, patients, nurses, visitors to enjoy private rooms when they come to us for their care. i want them to be able to look out the window. i think we have waited long enough to approve this program.

to approve this rebuild. i think the sooner we can get people working and more residents of san francisco knowing that they will have a hospital that will survive an earthquake when it comes, it will give this a little peace of mind to know that you support this rebuilt and will do this as quickly as possible. thank you. supervisor mar: next speaker. >> over 10 years ago, i was the executive architect for this project. since that time, i have been an independent consultant working with california health care foundation and others. i was responsible for the selection of the cathedral hill hotel side and i support rebuilding cpmc. it is important to understand the significance of these locations. first is the ability of cpmc to construct new state of the art

buildings. separate from daily operations. existing buildings must be maintained to support ongoing patient care. major earthquakes have occurred around the pacific gramm. it is critically important that are most vulnerable people and the health care professionals be housed in six buildings. constructing these new buildings will fulfilled cpmc's commitment to community safety. the accountable care organization approach proposed by the new affordable care act locate services for the sickest patients at centralized centers. the success of their transplant services improve with higher patient volumes. the location relies on one of the best served transit corners. st. luke's centers of excellence

that focuses on senior and community health. st. luke's will have the same private patient room size and amenities. i strongly support the mayor's agreement with cpmc to build two more state of the art seismically safe hospitals. supervisor mar: thank you, next speaker. >> good afternoon, members of the board of supervisors. i am the executive director of compassionate care. i support the rebuilding of cpmc. for 25 years, we have been providing hospice and medical respite care to very low end, san franciscans with advanced aids. what you may not know is