forward the hearing that my hope is that we can come back in a few months to hear on progress. >> so we have a motion to continue to the call of the chair and if we can do that without objection, thank you to the mta and to all of the residents who came and smoke spoke on this item. >> if you could call item three. hearing on the status of sutter/california pacific medical center (cpmc) cathedral hill development agreement (da) and construction project, including updates from sutter/cpmc and key city departments on da commitments implemented thus far, and a schedule of future commitments, as well as an update on project construction and hospital plannin. >> great, thank you very much. and this is an item that i introduced and i want to thank, supervisor farrell and mar for co-sponsoring the hearing request. as you know a lot of works that

gone into this project and one of the success storis in terms of the different sides of an issue coming together and working collaboratively to find a solution, that everyone could agree upon. and i know that i am very proud of the work that went into this settlement. and we simply wanted to take this opportunity to hear a status report on where the project is, but we are going to hear from a number of city agencies, that are responsible for oversight of the development agreement, and of the project itself. i also want to welcome cpmc, sutter who are present, and i see mike cohail who was instrumental in getting to a resolution and so i want to thank him for being here. and i do want to give sutter an opportunity to say something and it can be at the beginning of the presentation, or we can wait until that we hear from

the various agencies. and maybe we should proceed along those lines. and so with that, why don't i call upon the mayor's office of workforce and economic development and thank you for being here and thank you for the very key role that you played in making this deal, possible. >> all right, good morning, supervisors. and with your permission, i will go ahead and give a brief update and maybe have him speak right after me. >> okay. >> so i will do a brief run through of the status update. we have representatives from all of the city agents here to answer the questions on their areas of expertise, starting with construction. a little bit hard to read, but the upshot is that the construction schedule is the same as it was when we were before you to approve the project, and it is looking like the saint lukes hospital will be opening in late 2019, early 2020, the van ness and geary campus and the hill will be more like the mid 2019 and so

that is the construction schedule, currently and just to remind you that we spent the time working out the process which means that within 150 days and this is a pretty clear graphic that shows it and 150 days of cpnc's fiscal year end which is the calendar year end, they owe us a report and all of the activity and compliance with the healthcare parts of the development agreement. that report is made public and there is a 30 day public comment period and then the planning department and the health department have 45 days, to evaluate on the completeness of the response and as well as reporting to the city and to the board and everyone else, on the city's activities and expending the funds that they have given us, and after that period, the planning director is responsible for giving us a certificate of compliance, and if you believe that there is

compliance, and then also a unique provision if there was a special monitor who takes a look at that certificate of compliance and to the board whether or not he agrees that indeed everyone is in compliance and then at that point, the board has the option wish to call a hearing and talk about any of these things. >> on the monetary payments, this is hard to read, but the upshot of this is that this is the same that you saw when you approved the project. and we have in our hands, some cpmc, the first two installments and the first was on the effective date of it and it was due on the effective date of the agreement, and that was a little over 11 million dollars and the second installment was due when the agreement was what was called finally granted so when all of the appeal periods had ended and that was over 14 million dollars and that was received on the december 8th and then that establishes a payment date, in subsequent years on

december 8th, of future enstalements which are 14 million dollars for the next three years, and then, 7.1 million dollars in the last year. and that makes up the entire financial obligation and so all of the checks that have and were supposed to have been written from the city so far, have been received by the city, and moving to healthcare, i will try to summarize this, and in the healthcare innovation fund which was part of the agreement that we worked out has received 3.5 million dollars from cpmc, i apologize and i should have filled this in out of a total of 8.6 million dollars and so we have 3.5, with the san francisco foupd daysing out of a total of 8.6, and the first round of funding, out of this fund was prioritized for the health reform readiness for the community len%backer clinics and i will just pause and i will not read you all of this but, we have a variety of dollar amounts going to the

different clinics as you can see on the screen and we can get into more details on that if you want. and i will go down to the bottom of the slide, and say that pending approval of a business plan that is described here, the clinics will be invited to apply for the remaining 2 million dollars set acid for the clinic readiness and so the first round of funding is around the clinic readiness for healthcare reform and the second is around the mental health services and so far we have had one grant of 280,000 dollars, to the progress foundation for the dora street urgent clinic. >> and moving to housing. >> yes? >> a question on that. >> in terms of the remaining of the mental health, money, and how do people know that this is available? >> could i defer that question to miss chawa. >> you will probably have other questions for her too, she will handle that one.

>> moving to housing. mayor's office of housing. has received to date, 9.1 million dollars for affordable housing in general in the city. and 1.4 million, to replace or as compensation for the residential units that were displaced by the cathedral hill medical office building and 2.7 million dollars to replace residential hotel units in terms of how this funding has been expended 8 million of the 9.1 million is programmed for the predevelopment cost on the housing authorities, portfolio and the remaining, several what the number is the remaining 26 million dollars coming in, for affordable housing is not programmed yet by the mayor's office of housing. >> and moving to the workforce piece, on there, is a fund established in the san

francisco foundation which will have three million deposited into it over the next three years, i want to correct, or augment the second butt bullet, and that there is five years and the fund will target educational institutions and non-profits with the existing of working in the several communities, and the workforce fund committee and so the committee of folks that will make the decision of disbursing the money and includes, cpmc of the representative of the cities and the foundation, and the foundation is the final say and makes all of disbursements upon the approval of the trustees and this committee has met twice in the fall of 2013 and will meet in march of this year, and moving to the first source construction, the goal of the project, are 50 percent hiring and the local hire and

entry level positions and 21 percent, of the projected number of hours for them and apprentices and 30 percent over all trade hours for the san francisco residents. and in terms of current performance, 100 percent of entry level have occurred, and 26.5 of the hours and 36.16 present of over all trade hours in san francisco. and on end use. and the goal is 40 percent of available entry level positions going to san franciscans. and the current stats are, 17 positions have been submitted since december of 2013 and hiring is pending and we have the staff to elaborate, should you wish. >> on transportation, and on the several things here, going to van ness and geary br2 projects 2.1 has been received

by mta. >> there are 17 positions that are in or profiting right now and do you know what percentage those are local hires? >> so, i would defer that to our workforce staff, if you would like them to answer now or wait until i am done. >> i think that later. >> we will put that on the list of questions to have answered. and for the transportation, the brt project is getting 5 million and got 2.1 million from cpmc and mta said that brt should be operating by the time that the hospital is opened. the transit impact fee that comes into the projects mta is expecting 6.5 million in the years 2015 through 17. and mta expects to use these, these moneys to enhance the money on the lines, impact on the project including the jackson and the 19 polk and the

49 van ness, and there were 400,000 for the bike projects that has been received. we have not figured out where the money will go and they are determining where to use those funds and the same is true is there is a pot of funding for the campus and for the enforcement and the traffic safety around the campus and mta is working with the stake holders to determine how to use those funds specifically. employees will have available to me a cliper card at 50 percent discount and that will

be in place fairly soon. >> and lastly the garage, sees that there is part of development agreement, a fee placed on entry and the garages and the estimate of the revenue is $300,000 per year and that will not start coming in until the garages open and the hospitals open and that mta is available to the mta for the general transportation purposes. there was a pot of fupd funding and we have got already, 1.6 million of the total of this funding, 800,000 has been programmed for economic development, and in terms of receipt maining funding, the remaining is working on the tender loin, and is working for

that remaining 3.45 million and to come up with a scope of work for lighting and they are providing inkind help to us and we have the effect of 3.35 million available for this because they will help us out with the staffing and things like that and we will work on the preliminary engineering for lighting in the tender loin. is due to begin this year, that is the end of my presentation, i know that we have questions for the workforce staff and for the public health staff and so, would you like them? >> thank you for being here and welcome back. >> hike, the president of center health west bay and

cpmc, and cam has outlined the progress that we have made to date, so far, everything remains. i hate to say these words, on schedule, and on budget. >> our relationship with oshcod and that is something that this committee neither this committee or the county could have any impact on but essentially they have become front and center on the critical path for the project, and they will have to due to the significant changes that we made in the saint lukes plan they will to approve a new set of drawings for saint lukes, and then, as construction has begun, at cathedral hill and they will have ongoing

inspection responsibilities. our responsibility and their responsibility to make sure that the projects move along as quickly as possible. and as i said, that is going quite well and as they have experienced in other projects that often, ends up being a problem, so we want to get out in front of it, if i may, just the hodge pogde process and, do you have a sense of how long that may take? or is it just unknown at this point? >> it is actually in the schedule, and one of the changes that we have made, within the last several years, is permitting us to deliver the construction documents in stages as opposed to the previous ml which was to complete everything and then submit it, we have actually

submitted the structural drawings for saint lukes. >> great. >> thank you very much. >> thank you. >> thank you very much. >> and why don't we now, >> i guess that we could take any order, but i see that, boeses who is the chief financial e she is not here >> she is to leave, but jerry robins could answer that or those questions from mta. >> if we could hear from mr. robins? >> i think that he would just like to hang out. and keep testifying. >> yes. >> and good morning, again, jerry robins sustainable streets division, sfmta and as mr. rich, identified, we have received approximately 3.5 million dollars in payments for the various transportation improvements including 2.1 million for the van ness plus, rapid transit contribution and so we have received all payments to us at this point.

>> if you are split in how the bus rapid transit is split or is it just one general pot of money for both. >> i believe that it is the one pot, by i am not positive of that. >> thank you. >> why don't we hear from our department. >> good morning. >> good morning. >> you asked about the remainer of the mental health funding and we had discussed a two million dollars allocation from the mental health fund, and we, or the funding will be allocated as the additional payments to the innovation fund comes into the san francisco foundation, and the reason, that we or the first allocation included 280,000 to mental

health is because, we had prioritized the development of the independent physician organization and the management organization for the tender loin provider with the first allocation and we took whatever was remaining from that and second, to fund and they will be funded in the future. >> okay, great, thank you very much. >> i wanted to just generally, how do you think that it heats up in terms of the healthcare piece of the development agreement and the project? >> so, as mr. rich reported earlier, we don't have that is not due until may 31, but there has been progress and we worked with the cpmc to do a independent assessment, of the unduplicated medicad and charity patient and it

confirmed, that the average of the three year period that the da requires is 30445 and that was confirmed by the independent audit. and we also have worked with them closely on the innovation. and working to get funding out as quickly as possible from that fund. >> the patients have to verify that? >> that is great. >> could you just comment a little bit on sort of how you intend to monitor the requirement around the serving of 5400 new medical, beneficiaries. >> certainly, the way that we had looked at the base line commitment was to look at the capitation report and so the requirement, requires the 5400 beneficiary be participants of

cap taited managed care and san francisco health plan is the partner for that and so we will compare the san francisco healthcare enrollment from the base line date to the new date, to determine the 5400. >> and do you have, or could you comment a little bit sort of on how you intend to approach and making sure that we have the right service mix, both at saint lukes and cathedral hill? >> well, the list of services that are required at saint lukes are included specifically in the development agreement. and so, that will be part of what is reported in the healthcare obligation and of course that will not be required until saint lukes is built. >> and do you have a better sense in terms of what is planned for saint lukes in terms of what that service mix is going to look like at this point? >> only what is in the development agreement only the specifically specialties in patient and the outpatient and the centers that were identified there as well.

>> okay. >> any concerns that you have >> not at this point. >> colleagues do we have any questions for the department of public health? >> why don't we ask planning. >> good morning, thank you for being here. >> good morning, i don't have any updates for you because i have no obligations due to planning and post approval and they have moved forward or we have moved forward with approving the demolition permits and it is quite obvious from the construction going on right now but as far as we are concerned everything is on schedule and our environmental planning decision has been following the mitigation measures which they are in compliance with. >> what is the next step with the action of the planning moving forward. >> it is the receipt of their sort of their follow up, and

blanking on the word, status update that will be submitted to us in the end of may and it will be reviewing for our next objective. >> okay. >> great. >> thank you very much. >> actually, i just wanted to just ask about the community out reach part of planning and i am wondering how, not only cathedral hill but also the tender loin residents are included in the planning for the various impacts of the project. how are we doing through the planning? >> they are related to various invier mental impacts and so there is no specific out reach for that and perhaps we will recognize the approval that were required for sort of community visioning groups, to

be established relative to the various campuses. and those are, the planning department are not involved in those, and it was required that the cpc was responsible for establishing those and they have not begun those, as far as i am aware but they are not required to establish those yet. >> and then, which department over sees to make sure that they are going to engage the neighborhoods in that visioning process, which department is over that? >> it will be the planning department, since it is a condition of approval. >> so we will machine that in the same way that we will regulate any other for compliance. >> and from the development agreement and do you know whether that process is supposed to start and insure that that is doing that community engagement? >> i don't have that information off of the top of my head, but we are, i believe that it is out from needing to begin those processes. >> thank you. >> if i may, with respect to the planning and as i understand it, the planning is the development agreement? >> yes. >> and so, can you just in a

general way, sort of explain sort of what your role is and your level of involvement. >> we are the primary receiver of the compliance report that occurs, but as written in the development agreement, or the delegation and we did not think it was appropriate to review the healthcare requirements and we do defer the responsibilities out to the other city agencies. but we are at the end of the day, main coordinating agency working with the oewd to insure the total compliance.

>> make sure that you are involved in the various pieces of it because the va gives you that oversight responsibility. >> sure and, we are hopeful that with these annual compliance checks that that will absolutely get tied in, that is where our role really is, solidified is making sure on an annual basis that they are in compliance and it is not

the most sufficient use of our staff times and have the folks that are not experts in health involved in the day-to-day discussions with the health department for example, and the workforce piece but at a high level we are staying engaged in the city counter parts to make sure that all of the components are being met and all of the obligations. >> and it would be good to have the information about when that visioning process will start by cpmc and just to have more of this specifics of when it is supposed to start. >> okay. >> sure. >> those will be due in may or june of this year. >> so that sounds like it is really soon. and cpmc is responsible for that >> yeah. >> and then, planning overseas to make sure that they are doing that. >> we are not directly involved in those visioning sessions but we will make sure that they will meet the requirement

outlined in the condition of approval. >> okay. >> and related to the role of oversight, could you talk a little bit about what kind of community out reach planning is planning or has done to insure compliance with the various parts of the agreement? >> we have not done any to date since the adoption of it and there was a lot of out reach, done in advance of the da being finalized. but, we have notified it and a need to do specific out reach for any specific component to date. so, and we have not done any. >> and i would actually ask the planning to think about how they could engage the community and the various aspects, you know, to the extent that you are the over seer of the compliance and i think that doing the out reach around the various areas, will be helpful and whether it is healthcare and workforce, and traffic, and transportation, and i think that i think that to insure

compliance, that there has to be engagement of the community. >> and so, i would ask that you would think about what that out reach strategy looks like. >> sure, we can go ahead and take a look at that with our city, and family agencies. >> great, thank you very much. colleagues any other questions? >> wonderful. and thank you again to cpmc, and suter to all of the city agencis that have presented. why don't we now open it up to public comment. and i have a number of speaker cards here. calvin welch, and emily, lee, and patty lee, mary subuchi and danny lamb and, willie wo ng. amid, and if you could line up to your right is our left, thank you very much. >> thank you.

>> we have been asked here to three basic reasons and the coalition is very mindful that or about a year and a half ago, this project was dead in the water, and that the efforts on the part of the mayor's office and oewd to reach some sort of an agreement, had basically failed over the issue of saint lukes hospital, and at that point, we came to the board, and asked the board to become involved, made some suggestions, and so the suggestions were accepted. and we moved on to create the development agreement, that we see today.

we have a continuing interest, to the coalition of san franciscans for healthcare, and housing, and jobs, and justice. and made up of some 60 community based organizations and coalitions of organizations. to meet the three main, if you will objectives, of our program for this development, the first is following up on the innovative solutions, that this board and cpmc came to end of the development agreement, around employment training and placement, and around healthcare and around the creation of a new saint lukes hospital. and our difficulty is in meeting those three objectives, the role of city departments has been extraordinary passive, basically waiting for checks