luke's, davies, california pacific, and a proposed cathedral hill facility. despite the huge scope of this eir, over the last three years, hundreds of people have turned out to speak on this project. all of their comments have revolving around two issues in this document. the first is the 555-bed hospital and office building to be situated at the corner of gary. it is too large for the site. the second issue is the eir proposes the downside st. luke's at -- to a point the hospital will not be viable for the purpose it serves in the southeast quadrant of the city. supervisor campos spoke eloquently on that issue earlier. virtually all the public opposition centers on these two issues, and all the significant impact in the eir, have to do with the ceqa violations and the size and location of the cathedral hill facility. i will talk about traffic, transit, and housing impacts at cathedral hill. for traffic, a wonkey issue, they used the peak hour factor in their software. they used it to hide the true traffic impact. at intersections such as eighth and market, t

for the sake of equity, california pacific medical center stepped up to help pay for the internships. california medical center allows the students to understand the diversity house of place in the work health-care field and the working environment by teaching the kids ideal's like cultural contentmpetence. i am very grateful for the support they have given. >> thank you. >> i am a certified rehab nurse. i work of the center for 25 years before they close it. since then, i have been working at an outpatient center. i am here to talk about the broken promises on a peninsula. community education has been cut, metabolic programs, a cardiac rehab is being considered, pharmacy, outpatient sites, of congestive heart so your, narrow psychology, fitness center, but they were able to open a small center adjacent to the new hospital. in august, 2009, are acute center received notice that our unit would soon close your eg. they would close the only unit in the county if you're a goo. there was no reason they had to keep open vicos it was for service those. -- because it was for services. patient

. >> item #5317 is a legislation package related to the california pacific medical center, including ordinances and resolutions amending the planning code map, changing the official sidewalks and improving a street encroachment, development agreement. supervisor mar: thank you. colleagues, these items have been called together and this is the second of four of our hearings on the project at four cathedral hill by the california pacific medical center. we have a number of speakers on this item and a lot of members from the public. we will do our best to listen to everyone. at the end of the hearing today, we cannot take action on these items because there is an appeal on the environmental impact report that is scheduled for july 17. we will not be taking action on these items and we will likely be continuing these items until our next hearing that is happening in a week. i expect that there will be rich discussion on the health care focus in this hearing today. i want to list the people that will be speaking before inviting the first speaker up here. we will be hearing a number of spe

. >> during a time of the transition when california pacific health bought st. luke's, i was asked because i was pastor of the church over close proximity to st. luke's to be a liaison person between that sutter and the community. i attended many town hall meetings to see what hockey denizens of bayview hunters point feelings were. all of the in-house wanted to the st. luke's hospital to remain the same. i certainly could understand the sentiments and because as you know, south of market -- [unintelligible] i went back and took the information to the ceo, asked him why it they can't remain the same. he said, because he would love to do that. because the hospital had been operating in the red over how many millions of dollars it was a year, no business can stay in business that way, and if we operate the same way, we will go out of business also. so they reduced down to 80 beds. in my opinion, her 80 beds are better than no beds. i say that because the california pacific can't do it, and not know any other hospital in san francisco that can do it. because of the

the reason we support california pacific medical center is a reach out to us. they helped us to teach about prostate cancer, breast cancer, which was very high in the bayview district of san francisco, so we have developed with some of system who -- a fitness center in the church. that is why we support this eir. thank you for your attention. >> good evening, supervisors. i am a lifelong resident. i have one member ray when i was 3 years old. i was playing in the park. here we are 23 years later, and how many earthquake-safe hospital beds to we have in the city? zero. that is a shame. a recent poll said 70% of san franciscans want this to go through. they asked their appellant to stand up and say who is against the eir. now i asked hours. -- ours. this is your 70%. put these people back to work, and for once, put their safety as your top priority. me and please approve this eir. >> good evening board of supervisors, members. my name is steve and i am the executive director at the senior center in the heart of the japan town. i come to you as the executive direc

california pacific medical center is rated 49. sixth in the bay area. we have heard the nurse is criticize the other hospital but from the point of view of u.s. news in world report is a legitimate objective. while it might not be the only legitimate objective, and why there might not be literature to support that, literature follows upon facts. i support the preservation of this as much as anyone. my grandmother worked here. seven of my eight siblings were born here and i live in the excelsior district. she is correct that to require the resizing of the hospitals relative to one another would result in a delay of years for the project. and she is correct in saying that the traffic impact on st. luke's would be severe and if it is correct that the impact of the campus would be on housing in the tenderloin, it should be correct that the -- it would be that way in the mission. i asked you to approve the eir and reject the appeal. >> my name is bruce and i am a small business owner of a construction company. i am proud to tell you that last year i hired 87

the public that this particular agenda item is the appeal of the final eir for the proposed california pacific medical center long-range plan. the planning commission certified the eri on april 26, 2012. the eir vacation is not an action to approve or disapprove the project and a vote to uphold the certification does not bind any subsequent votes or disapprove or modify the project. the question therefore is, adequacy of the environmental document according to -- not merits of the project itself. once it is certified, the board will have the opportunity subsequently to consider other aspects of the project beyond environmental effects. this includes considering the development agreement. we know that a number of people disagree with some of our conclusions. disagreement and difference of opinions presented in the comments and responses document and that you heard from the public yesterday and today are sincere. the eir is not required to resolve those disagreements but to inform you about them and come to a reasonable conclusion supported by evidence. thie eir reports on all of these disagreem

. >> seguirá el acuerdo con california pacif. >> en las próximas elecciones de noviembre, se ven lasrga de buscar a latinos para votar. >> hay independientes o sin partidos. >> en arizona están registrado cómo independientes . >> a los inmigrantes les preocupa la policía migratoria, así que si los demócrata no hacen algo, perderia . >> estamos defendiendo las posiciones que reflejan los valores de la comunidad latina . >> mucha gente del partido republicano esta opuesta a las ventajas de los inmigrantes . >> para traer a los independientes, deben enfocarse a la reforma migratoria . >> un juego con sal y hielo puede poner en peligro a su hijo. >> ayuda a los dueños de casa con una protección ante embargos hipotecaris . >> atención padres, dar una palmadita al niño, puede causar un daño grave . >> . >> (♪ ♪) . >> mucha atención un peligro juego esta presente, el reto de la sal y el hielo una mala práctica que deja quemaduras en la pie . >> la idea es tomar un bloque de hielo y echar sal, aguantando el ardor. >> tiene que ser sensitivo. >> un niño de 12 años, retó a su gemelo y terminó

infrastructure that creates jobs including park merced, treasure island, the central subway expansion, a california pacific medical center, a california high-speed rail, and certainly, america's cup. just like the chamber did 75 years ago at this meeting, we advocated for the building of a world-class sprinter -- bridge. in recent months the foundation program helped launch bio sf, to attract science to the city. goothey have now recruited 13 chinese companies since its debut. thank you to the entire staff. the chamber supported small business growth for our members and provided 250 opportunities for member companies to connect, build relationships, and transact business. our community partners are collaborating more affectively today than ever before to help and build a vibrant economy for 2012 and for decades to come. today at the annual meeting, we are proud to present our new directors for 2012 and recognize the leadership and contributions of the board. let's recognize all of the board directors that have joined us today. please them for a round of applause -- please stand for a round of applause. tha

development hearing took place on july 9 and the director of health services system explained that california pacific medical center refusal to charge out of network patients the same rate as hss in network patients will undermine the competing accountable care organizations. the director also explained the building of a competing aco's is one of the main strategies to control health-care costs for the entire city. my question is, what is your strategy for controlling these costs in light of their unwillingness to follow other nonprofit hospitals and charge the same rate for in and out of network patients? >> thank you for that question. because -- mayor lee: thank you for that question. because there is an item about that on the agenda, per board rules i am not able to speak completely to that, but however, given the importance of this matter, i wanted to provide a general response to honor the substance of the question. the city is the largest employer in the county and ranks high. because we are a combined city and county, we have more employees than other cities. meaning we are providing high- qu

. >> affirming the final environmental impact for the california pacific medical center's long-range development plan. item 15 is reversing the planning commission certification. 16 is a motion directing the preparation of findings. president chiu: given the information we received yesterday from planning and the questions raised at the july 17 er appeal, could i get a motion to appeal -- continue to november 20? seconded by supervisor 0 lobby. can we take that without objection? these items will continue to november 20. as i believe you know, i am pleased to report that cpmc sutter has agreed to engage a mediator as we move on discussions on their long range of development plan. supervisor avaloscampos: we look forward to negotiating good faith. this is a good step in the right direction. it is important that a mediator be selected as soon as possible and depending on the progress made, additional action may be needed at some point. my hope is the parties can proceed in an expeditious way. a mediator can be selected as soon as possible. thank you. president chiu: why don't we call i

million and in that same article, according to their investigations, this was transferred out of california pacific medical. are you familiar with that? >> i am not familiar with those numbers. the question on if they continue to operate this rests on as they are meeting financial performances. would it be relevant to know if the money was being transferred out of cbmc into sutter? >> our job is to make an ironclad agreement that lets the hospital do what we wanted to do. i am not qualified to talk. the sutter representative is here. >> i want to know what you know. the focus is making sure we have an ironclad agreement. they say money was transferred out of one hospital into the sutter system. are you confident the agreement right now is iron-clad to prevent money transferred into sutter? >> we have a provision in the agreement, item seven. they are not prohibited to move funds around. they count any funds to the sutter parent. let me try -- greg can help. we did not address the ability to move funds around. but they can take the funds and move them up. this is not permitted in the development. >>

a whistle blower has produced documents that seems to be a loop hole to allow california pacific to close a number of hospitals elsewhere in the city. jana katsuyama is live with a look at those documents and what cpmc has to say about them. >> that's right, gasia. supervisor david chu said a whistle blower gave him these documents yesterday which shows that cpmc withheld this information from the city during negotiations. a cpmc spokesman says that's not true and these documents are literally garbage. outside the hospital, the rebuilding of a new seismicically sound structure as part of the mandate. a deal between the operator, cpmc to rebuild saint luke's hospital and build a new hospital on van ness. the deal says cpmc can operate st. lukes for 20 years. a trigger allowed them to close saint lukes if operating margins year to year fell to 1%. today, a san francisco supervisor says a whistleblower stepped forward with documents showing a drop in the margins chshgs they failed to disclose to the mayor. >> it shows it could be closed anytime after 2018. >> reporter: the supervisor and the

this on van ness, we have been discussing the california pacific medical center. right now, it is rife with politics, corrupt politics. we had a counsel from the center come here to this podium and tell our legislative members, are so-called representatives that they were not privy to certain financial documents and reports, and helping them. we want to know what's going on with that hospital and what's going to happen nothing much is happening. nothing much is happening because of funding. you have a developer -- don't waste your money -- spend it on traffic lights on san bruno. don't waste your money on an eir that's not going to go anywhere and don't make statements if you don't know who's going to be the developer. as to that community meetings that you want more information about hunters point, time is running out so i will stop here. supervisor campos: next speaker, please. >> good morning, commissioners. i'm a member of the citizens advisory committee for the transportation authority. regarding one item the executive director brought up, the item about 19th

infrastructure that creates jobs including park merced, treasure island, the central subway expansion, a california pacific medical center, a california high-speed rail, and certainly, america's cup. just like the chamber did 75 years ago at this meeting, we advocated for the building of a world-class sprinter -- bridge. in recent months the foundation program helped launch bio sf, to attract science to the city. goothey have now recruited 13 chinese companies since its debut. thank you to the entire staff

sir san francisco mission district is slated for a new 300 million dollar campus paid for by california pacific medical center that also plans to spend 2 and a half billion building another hospital on van ness. the city approval is contingent on cal pacific keeping saint luke open for at least 20 years. c p.m. c is balking at making an iron clad agreement. >> i'm not willing to sign an agreement that will tie the hands of the ceo at the facility in the year 2030 or 2 2035. >>reporter: controversy erupted when the president of the board of supervisors received documents he called disturbing. that appeared to indicate cal pacific might try to pull the plug early on saint luke. >> they promised years ago and continue to say to this very day they plan to keep saint luke open. unfortunately the financial documents that we have which are the only documents that layout c p.m. c finance suggest otherwise. >>reporter: an agreement c p.m. c negotiated with the city now seems in jeopardy. chief of staff at saint luke blames the politicians. >> would i like to see people put their politics aside and stop

california pacific wants to build a new hospital, but first the city wants a firm conmentth that it will keep open the san lucas for the next 20 years. they said that it would as long as it meets a profit margin. saint lukes is expected to be operating at a loss at 2018. >>> the republicans say that they don't want to raise taxes on the middle class, then i don't want to. so we will agree to extend the tax cut for the middle class. let's agree to do what we agree on, right? >> the president today among people that are benefiting from the tax cut. middle class families will see the taxes increase by an average of $2200. mitt say that is the tax cut should be extended for all house holds and those that make a quarter million dollars a year. his campaign said that the announcement will mean a tax increase for millions of family and businesses. the dowow fell. >>> previous forecast call for just a slight decline. it's an unforseen change in business conditions at home and abroad. >>> well, after seven decades in business they are driving offer into the sun set. the used cars is set to close

legislation package related to the california pacific medical center, cathedral hill and at st. albans campuses. -- and st. luke's campuses. changing the official sidewalk list and approving a street encroachment, plans -- land transfer agreement, and development agreement. supervisor mar: i know we have a number of people from the public who would like to speak. before that, we have presentations from city departments. before the office of economic and workforce development and the department of public health and department of public help speak, we will be followed by a presentation by kathrin dodd, our director of health and human services in the city. we are calling all these items together. this is the third of four major hearings on this item. the third hearing today, we were scheduled to discuss a number of items from housing to traffic impacts to neighborhood impacts. but because of the different developments that occurred at the last hearing, we are going to focus on the health care aspects. the office of economic development and stakeholders agreed upon this that we wil

. >>> development deal for california pacific medical center to build two new hospitals in san francisco could be in jeopardy by documents provided by anonymous whistle-blower. several supervisors unveiled leaked documents yesterday that shows the finances could go in negative numbers as soon as 2018 that could get the hospital out of its contract and the site could close. the board president says a vote will be delayed until an independent audit can be done. >>> 4:36. winds may have played a role in toppling a large tree in san francisco the tree came within inches of smashing a scooter and landing on a truck. drivers were to steer clear of the hazard which blocked all northbound lanes near page street around 7:00 last night nobody was hurt sky 7 hd was overhead yesterday soon after lights went out in a san lorenzo neighborhood this happened on 159th avenue it took pg&e crews to restore power to 500 customers. pg&e says winds may have been a factor in bringing down the power line. on the east coast, wide area affected. >> here we had the breaking nev9v overnight with the san francisco f

and clean the california pacific medical center and this hospital, we think it is a positive health care is ready for san francisco. thank you. supervisor mar: thank you. next speaker. >> hello, my name is john. there are providers to offer news sensitive medical equipment as part of the care to patients. i have been part of the mitigation for the better part of the last two years, and i am here to voice our support for the project. but through our discussion, they have worked to mitigate issues as well as the operational phase to assure as little disruption as possible for our tenants and the patients, and this includes noise, dampening, monitoring, dust mitigation, parking, and traffic control measures. so we therefore look forward to having cpmc as our new neighbors. thank you. supervisor mar: thank you. next speaker. a at >> i have been an employee for 13 years at a at st. luke's hospital as a certified nursing assistant. i support this plan, with the janitors and the housekeepers and others. our jobs. please, your consideration, so we can continue taking care of our patients. cpmc i

to tell you that our support -- the funding for this particular program is coming from the california pacific medical center, who we've had a very, very good relationship with regarding disaster preparedness. and i gave all of you copies of the save the date card. if you want to pop your heads in, there's a registration card there. i'm sure that there will be enough food for everyone. >> thank you, michael. we're going to make this a regular feature of disaster council, where we let our community partners share what's going on next -- i guess july is our next council meeting. we're going to ask alessaadamo if she wants to come forward and share with us. last meeting we had the american red cross. so we will continue to do this. and we also -- and i didn't want to put the city administrator, kelly, on -- i didn't want to put her on the spot today, so we're starting it at our next meeting. but as a regular agenda item, we are going to have updates from the lifelines council, because the lifelines council meets about a week before disaster council, so it seems like a natural that we would get up

i would like to say to you that being on the other side of the bench, a retired from the california pacific medical center in november. in early 2012, i was diagnosed with breast cancer. the difference for me at that time was that i felt myself and uninsured women, and so it really came home to me. what do you do? i knew the staff, and i would like to say that -- supervisor mar: thank you. thank you. i appreciate it. thank you. next speaker. >> good evening, honorable supervisors. i am -- a practicing physician ensure of madison of cpmc. i have had the pleasure -- i am a practicing physician and the chair of madison -- medicine at cpmc. i have been working to help ensure we expand our reach to provide services to all of the communities that need us. we have protest money that our facilities are unsafe, and not equipped to provide medical care, and all of those things are true. as a practicing physician, it is clear to me that the respect for what our patients deserve is very challenged in our environment. however, as others have, i would like to speak to the medical basis for this. our staf

this had been negotiated between the mayor's office and california pacific over a long time. the mayor's office felt comfortable that they had the assurances. maybe that is not the case. i think maybe we have to get rid of the trigger and have something that assures the continued presence of the hospital. supervisor campos: the mayor's recommendation was based on projections that were given to them by cpmc. did you look at those while verifying it was a remote possibility? commissioner antonini: that was the way it read to me. i read all the material. it looked that way, having read it, and having talked to outside sources. i talked to other people in the health care field. they seemed to verify that this sounded like a pretty safe thing. that being said, there are concerns being raised now. i think that whether or not these concerns are substantial or realistic, we still have to be sure. the community wants st. luke's. it might be one of the most profitable parts of their system. it would still serve the people of the neighborhood extremely well. i think it is really importa

hewlett- packard has done an aging -- an amazing job in helping us put this together, along with california pacific medical center, harris corporation. i do not want to offend anybody, but they're all in the program. i want to thank you so much. fleet week is very expensive to put on. we pay for things like the fuel for the air show. we pay for the transportation. we pay for the restrooms, trash disposal, and all those kinds of things. the sponsors have been terrific in helping us out. i do want to tell you that this is an important event to me personally, because i in my previous life, i was commanding the first marine division in april of 1992. we had been to the gulf war. we had been in all these parades. we were fat, dumb, and happy down at camp pendleton. and then in april of 1992, the results of the rodney king trial were announced. as a result of the result of the trial, we had the largest riot history. we had 300 people killed, 3000 people wounded. and we found ourselves, two days later, with the first win division in the seventh infantry division in los angeles to quell the riots. and we d

we have a portion of the california pacific medical center. we had much of this development that we were seeing coming out of the east side of the city, putting a tremendous amount of strain in workload upon the staff that i have that has to do a tremendous amount of research and outreach so that we can best represent the needs of our districts surrounding these major development plans. i really do want to respect the work of the aids that i have. i think that is being included in the budget is a level of respect in conferring to the staff but i know work way over 40 hours per week already and are paid part-time. i want to say that this is where constituents are different. i have not had one day in office where someone has not ask for either housing or a job. i know that that is not a credible threat city, i think that we ask a tremendous amount from the office that we do. i wanted to point out that in relationship, many of our sister cities are far more under- staffed. boston has four legislative aides and los angeles, although they do repres

if you are not familiar, we currently have a california campus and a pacific campus, and the plan is to build a bigger campus and consolidate those services into one larger hospital at the old cathedral hill spa on van ness, and that is going to have a huge impact, both in terms of the neighborhood in district 2, not only the new campus, but what happens to the pacific and california campus. also, is a huge job creator. we're making sure to do it in a way to we have every constituent buy into the project, create a ton of new jobs, and move forward with a health care system that benefits all of us. otherwise, some of the other issues coming up -- francisco reservoir in russian hill is going to be an issue that comes up. we have a huge project on doyle drive that is getting finished in the next couple of years. we need to make sure we wanted to the impacts. it is going to be a big deal. after leaving here, i am going down there with the mayor and the head of our department of transportation to really make sure we understand exactly what is happening at this point in time in the project