luke's, to maintain st. luke's as an essential and vital part of the san francisco safety net health-care system and to ensure that medical responses provided are responsive to community needs and designed to provide long-term viability, so it requires, among other things, st. luke's to remain in operation for it least 20 years. access for charity care, to assure that health-care services are available for the most abominable san francisco population, this development agreement increases access to services for the low-income population. community benefits was also an area, to support low-income populations in the communities surrounding the cathedral hill and st. luke's campuses and maintain existing longstanding community partnerships. at this point, i would like to turn this over to my deputy, who probably will be much more specific with the details on the health-care elements of the proposed development agreement. >> good evening, supervisors. thank you, director garcia. i am the deputy director of health

st. olaf christmas festival in minnesota, and the world-renowned st. olaf choir. also, the ancient christian practice of contemplation, discovering union with god. >> as god's creation, you can't be separate from god. # plus, the hanukkah miracle of lights. >> major funding for religion and ethics news weekly is provided by the lily endowment, an indianapolis-based private family foundation dedicated to the founders and christian religion, community development and education. additional funding also provided by mutual of america. design suggesting customized individual and group retirement products. that's why we are your retirement company. the estate of william j carter and the jane henson foundation and the corporation for public broadcast suggesting. welcome, i'm bob abernethy. it's good to have you with us. the war in iraq was declared officially over this week. president obama traveled to fort bragg in north carolina to thank the troops for their service and sacrifices. he promised

st. luke's hospital as well as the renovation of the campus. we support them taking on the project and will upgrade the city's health care to make sure san francisco residents will receive state of the art care. a sister to sister program. they have helped us provide breast health outreach and comprehensive diagnostic and treatment services for our clients, free of charge. it is our firm belief that preventive care is essential for health and that all patients deserve excellent health care regardless of their income or background. the proposed hospital at van ness and geary and at st. luke 's will be good. an integrated system of winning the highest quality patient care. the project will also create jobs and provide benefits that will be felt in not only nearby neighborhoods but the rock the city. connor house is proud to support the rebuilding and urge you to move forward with this project without further delay. thank you. supervisor mirkarimi: thank you. next speaker, please. >> i have

st. luke's, and i am involved with the coalition. i think one of the things that i want to leave you with here, with all of the years we up and struggling with this matter, cpmc is a non-profit. they are a 501(c)(3), and for that privilege, they pay no taxes. they are supposed to do the charity care, and we have struggled for years around this. in the last two years, they have made improvements, as director garcia has defined it to you, and what i agree with in terms of director garcia's direction was the health care reform, was that we have to go towards equity instead of trying to have fights about charity care all of the time. we need to go with the medi-cal 10,000 gigajoule more transparency around that than you do about chasing every once tail around charity care. but with medi-cal, as soon as you talk about save lives, and you say, ok, they are going to have an 80-bed hospital, where are those lines going to go? san francisco general. san francisco general is going to come here and

in 2008, the blue-ribbon panel on the future of st. luke's was established to advise on planning efforts for the campus at st. luke's. the blue-ribbon panel was charged to create a viable plan for acute care hospitals and outpatient services on the st. luke's campus. the panel comprised of 31 members of the community, which held 10 meetings and two public forums over five months. their work resulted in the blue ribbon panel report on the future of st. luke's hospital and included 11 recommendations. among the recommendations in the panel report, it included that a new acute hospitals should be rebuilt on 6 campus, that the size of the hospital should be appropriate and that the service mix should include standards of excellence in communities and senior health. on october 7, 2008, the health commission then passed a resolution endorsing the panel's recommendation. the help commission past two additional resolutions related to the rebuild of cpmc. in 2009, they supported the rebuild of the cpmc to have the best possible health plan of t

this included agreeing to operate st. louis for a minimum of 20 years, increasing the cpmc share of metical -- medical. and implementing the recommendations of the blue- ribbon panel. in accordance with the resolution, but also established a task force on the institutional master plan to discuss the progress towards the discuss the progress towards the filling these eig

this included agreeing to operate st. louis for a minimum of 20 years, increasing the cpmc share of metical -- medical. and implementing the recommendations of the blue- ribbon panel. in accordance with the resolution, but also established a task force on the institutional master plan to discuss the progress towards the filling these eight recommendations. agreements reached and the task force -- with the task force led to a third resolution passed in march 2010. it memorialized agreements reached between dph and cpmc on those. it set specific goals for each

i would start with st. luke's and the importance of st. luke's to the mission and southeast area. and looking at that in terms of having a commitment for a 20- year commitment. the capital investments they are making, we believe it is a 20- year investment. to that extent, i think st. luke's is really important. the other issue that is really important, we try to construct a new medicare health program, particularly because it is moving to a neighborhood. it took us a lot of conversation to discuss how we would ensure that the st. louis was not the only health care provider in the system. and also incorporated too important community clinics within that period. we also want to have another one in the tenderloin area. that is a new service, a new way of providing care and they will have benefits. it was a very important constructs that we created to insure that patients would be able to take advantage of the program. the other was the fact that working internally in terms of its discharge, many times the discharges from the hospital's heart difficult and you kind of lose their comm

at our st. luke's campus, we're going to build a $275 million full service hospital with an expanded e.r., new neuroscience institute at davies and at van ness and geary we're going to build a new hospital and emergency room to provide in had-patient medical and specialist care right in the heart of this city. and as been true for 150 years and we hope will be true for another 150 years, our facilities will literally be open who lives, works and visits in san francisco. thank you. president chiu: thank you. next speaker. >> good evening, good night almost. i'm pea larshiavo. i'm from the nurse's association. thank you for sticking it out. this is such an important issue for our nurses and community coalition we are here in solidarity with today. just a couple of important points and to follow up on what steve wu said earlier, again, we support rebuilding cpmc the right way. we very much support jobs and jobs for san franciscans. but they're talking about 40 jobs a year. i mean, all of the folks

i live in st. mary's park for 10 years. i live in st. mary's park for 10 years. i have had at&t for 15 or 16 years. i have never had any problems. the city of san francisco built the playground for the kids and the children. so many children play there. i do not think it is good for the children. i need your help. thank you. >> thank you. next speaker. >> i purchased my house in july of last year. had i known we would have this tower, i would not have purchased it. i have great service. i have no complaints or problems. i asked you to deny at&t the tower. >> members of the board of supervisors, i am the director of san francisco open government. i listened very carefully to the speakers to come up here. it is their right to speak to you to ask you for consideration. i have heard a lot of things here. we can get into technicalities. the federal government says that there is no danger. my father was a real-estate broker in florida for 40 years. when a person is buying a home, there is a significant portion of the population that decide that there -- this is somethi

mary's county south of lexington park down toward st. george island and st. mary city. be on the lookout for heavy rain in the next bit. most of the rain pulling off the western shore of the bay headed out over on the eastern shore. a couple dying sprinkles as you get up into upper loudoun county. can't rule out the chance for a few more raindrops but not the intensity we had earlier in the day. that will be welcome news. the last of the raindrops will be out here long before midnight tonight. big range of temperatures. 37 in martinsburg. 57 in st. mary's county right now. colder air will win this battle. no doubt about it. everyone in the thir30s to get day started tomorrow. highs tomorrow in the 40s. windchills holding near the freezing mark all tomorrow afternoon. bundle up. >> thanks, chuck. >>> one of my favorite words in the dictionary is plethora. that's what you have to choose from for these plays of the week, wouldn't you say? >> plethora of plays. you are right. this week was a good week. hard to believe one more week in the nfl regular season and then it's pl

st. francis reported $174 million in net revenue and is home to 366 ben and staffs 355. we felt providing an absolute numbers would not provide an accurate comparison with other hospitals in said francisco. instead we looked at it as a function in order to make a fair comparison accounting for a relative size. we thought it was accurate and adopted by the industry. i am available for any questions many of the supervisors may have as far as more details on the report. >> you have a question? >> if you could say a little bit about how you obtained this information. is this readily available? how did that come about? >> all of this is part of the public domain all of this was obtained from the report as well as through the state of california website, financial reporting data they keep for every hospital, and we also use forms that charitable organizations submit to the irs, so all of this is in the public domain. most of it is on internet. if not, hard copies are obtainable. >> one question

as part of this partnership, st. luke's has provided many presentations for our clients and many of our activities. we have collaborated with them at many health fairs. many of the clients have benefited from their charitable programs. they were a strong supporter when they opened our child care facility in the bayview district. i grew up in san francisco, and as far as i can remember, st. luke's has always been the backyard harsco. -- hospital. i am happy to have an earthquake safe building like this in our backyard. this is though this project can be done immediately. thank you. good night. president chiu: thank you. next speaker. >> my name is -- i am a project engineer. the general contractor that was hired. i am a graduate of the training program. i am for 30 years in san francisco resident. i have a degree in landscape architecture and have years of experience. i lost my job when the recession hit. i spent 18let me tell you what n experience that was. i sent out hundreds of reza mays. i applied for hundreds of

it was comfortable, easy to get to from st. louis. >> going back to the fact that you grew up being shy, when did you begin to get rid of that? >> when i was a cadet in the rotc, because you are put into leadership roles early, and when you go to your advanced course between your junior and senior year, i went to fort lewis, about a 6-3 period, and you are rotated in various leadership roles, so you were going to be the platoon sergeant for the day, and you're going to be responsible for getting our people from point a to point b all day long and being accountable for them, and keeping a schedule, so you have to stand up in the front of the room and assert yourself and gain control over that group and capture their attention, so you are just compelled to. >> in your speech -- by the way, what was the crowd you were speaking to back in early november, sponsored by "time" magazine and aarp? what were you there to talk about? >> to talk about how the american dream for me was very real and to talk to some of the young people in th

but i think it was gender related too. >> east st. louis has lost a ton of population over the years. what was it like living there? how long did you live there? >> we moved there, i was in about second grade, about 8 years old. i lived there through high school my grandmother lived there until she passed away in just the past few years. i saw it change from a fairly diverse city, though not necessarily balanced in terms of the government and jobs, to one that's about 98% african-american today. and in that time, of course, a lot of businesses left, the main street that used to be a bustling place on a saturday, i think it's mostly boarded up now, very little commercial activity there anymore, at one point there was a study that about 5% or more of the population was on public assistance. it's prime real estate for development, it's going to turn around, it's got enormous potential that i think is untapped. >> when you lived in east st. louis, illinois, you went to the high school, catholic high school, in st. louis. >> yes. >> how di

the st. lawrence was not the boundary. was this ill-defined, very fine story by alan taylor who has written a lot about this, people with different kinds of allegiances and loyalties. one thing i should point out the great war path--a commercial group. if you are a canadian looking to the west looking along the st. lawrence to france, we're very much connected, the americans are very connected to the system, people with mixed -- the interesting story is vermont which is a tepid space that new yorkers think belong to them but the settlers of vermont the bridge the getting grants from a mill operator from the governor of new hampshire, a lot an interesting story. does have time to do that now. >> two concluding remarks. i forgot to bring it up here. i just want to say thank you. a person trying to go out the door but don't. the students here all know her as program coordinator at the strategic studies program. not only did she orchestrate this whole event and take everything. she is really taken care of me for years and year

can you tell us more about san francisco history here at the st. francis? >> sure. st. francis demonstrates well the evolution of elevated technology. and substantially damaged the 1906 earthquake and rebuilt in 1907 or 1908, and extend it again in 1913. then a new tower was added in 1932, so there is all sorts of elevator technology you can see at the st. francis that very much represents the building history of san francisco. >> i understand there is a really old elevator still operating here. >> that is right, the elevator installed in the 1913 expansion. we can go look at that. >> let's go take a look. here we are in a spectacular st. francis lobby. here is the clock. when people say "meet me at the clock in the st. francis." let's look at that elevator. >> ok, let's do it. >> here we are in the elevator installed as part of the expansion, and this is the way it was originally installed about 100 years ago. it has a manual switch just like elevators did back then, and it runs on dc power. this was from a time before elevators ran on ac power. >> when did they switch

i would start with st. luke's and the importance of st. luke's to the mission and southeast area. and looking at that in terms of having a commitment for a 20- year commitment. the capital investments they are making, we believe it is a 20- year investment. to that extent, i think st. luke's is really important. the other issue that is really important, we try to construct a new medicare health program, particularly because it is moving to a neighborhood. it took us a lot of conversation to discuss how we would ensure that the st. louis was not the only health care provider in the system. and also incorporated too important community clinics within that period

i am here to attest to the fact of what the st. luke's emergency is like and how difficult it has been. you hear them alk about how much they care and how much money they're going to put in. my mother was taken care of their twice. she almost died there twice. they did everything that they possibly could. even though the place was packed. i think that action speaks louder than words. this is nothing more than a for- profit, instead of building a hospital that wants to take care people needs to take care of its staff that works there. they can rebuild it the right way and having the truth come out and be able to be done right. thank you. >> good evening, president and members of the board of supervisors. i am with family support services. this was founded nearly 25 years ago at general hospital. it has grown to six locations around the city. we have had a long partnership. many of our clients' children are born there. many are medical members. they go there because they can find doctors that speak their language. they need to be on

st. anthony's has been a wonderful partner. i was here on these steps with st. anthony's a few months ago as they were exhibiting their love for the city. i know they have a tough time with all the lines increasing on a weekly basis. i want to introduce the director of the st. anthony's foundation. [applause] >> we are honored to be a partner with the city and with all san franciscans. it has been a hard time. we just got our numbers in. last month, we saw a number of -- another 15% increase in the number of guests coming to our dining room. we're seeing an increase in the technology lab. we're able to meet the needs that grow because of the generosity of san francisco. we know the weather turns colder. we know the economy is still slow and many people still suffer. the other thing i see on a daily basis is hope. when san franciscans and people all over the bay area continue to come together, there is a lot of abundance. there's a great generosity. like the mayor and others, we come together. we may be volunteering, donating food or cash. it really helps. in giv