since the mayor, on may 16, issued in his city ask of cpmc and cpmc responded in writing on june 6 stating that the mayor's request would make the project fiscally impossible and given that that position was reiterated at a planning commission hearing on june 9, there has not yet been any meaningful public update on the status of discussions between the various parties so at this time i think many of us feel that it is timely for the board of supervisors and for the general public to receive one. given that the cpmc proposal is so significant and impacts so many aspects of many areas within san francisco, when supervisor mar requested the matter be heard by committee in the whole, a majority of this committee supported him in that. let me suggest how today's proceeding will go. we'll first hear on an update of the status of negotiations from the city's project manager and various department heads with the latter addressing details around specific issues to their departments and taking questions from members of the board. we will then hear public comment. i know that there are six represent

cpmc provide this for over 30 patients. currently, approximately 62 patients are receiving skilled nursing care at st. luke's. the st. luke's is licensed for 79 skilled nursing beds, the average occupancy rate for 2010 -- excuse me, for 2010, the last year for which there is publicly available data, it is 62 beds and thus the 100 total. cpmc is not proposing to include more in a hospital but will instead add 62 new beds in san francisco. these new beds, these will be new beds, not simply existing beds transferred by another provider for this purpose, and it will thus maintain the overall ability -- availability of skilled nursing. with the exception of those that have medicare and/or private insurance or medi-cal. cpmc under the proposed agreement will create something for the tenderloin resident. many tenderloin residents have complex health-care needs. they may be homeless or be in need of mental health or substance abuse services. this will be designed to help them transition from a hospital and to successfully link them

the first is to ask for a performance bond from cpmc. i know that is heresy from the city attorney's office, but why not? two, in exchange, cpmc turns over the right to the land, and we get equity title. 3, we form a public-private partnership. for all of the developers in the tenderloin area. twitter, the high tech people, and cpmc with the urban development corp. together in partnership with a non- governmental agency, and the effective public participation. we develop the area. we enveloped this and take the ground rents. we put land where it needs to be, for people who need to be there for the 55% of the tenderloin who are not governed by protected or affordable housing. thank you. by the way, it is good to see you up there, ross. supervisor mirkarimi: thank you. >> may i make one more comment in exchange for that? on the overhead, as you well know, it has been proven that there is a possibly very volatile gas pipeline contiguous to the cathedral area. i do not know why we have to have a san bruno type explosion in exchange for a cit

so cpmc

i cannot overemphasize the importance of rebuilding cpmc. our project will double the number of earthquake safe hospital beds in the city, create thousands of jobs and workforce training opportunities, provide our local economy with a $1.9 billion boost without using taxpayer dollars, and improve the neighborhoods around all of our campuses. as you know, our plans include building two state-of-the-art seismically safe hospitals as part of our coordinated city system of care. 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 larshi

we could look actually at what cpmc's dir said would be the net household. -- cpmc's eir said. instead, what we are presented with today in the development agreement proposal is 190 units, barely one-quarter of what the net new need being created by this project is. and i just want to remind folks of the policy of the board of supervisors -- supervisor mirkarimi: thank you. next speaker, please. >> good evening, supervisors. i did not think it would be this late. anyway, i am robin lopez. i work with community relations development with two programs including a construction and training program. these two programs are in addition to the city built program which we have there. some of my clients to get them jobs, we work with removing barriers and getting people employment. back in 2010, they offered us paid internships, something we had not seen from hewlett- packard, who originally funded the program. putting people back to work. people indirectly would not think they would have an opportunity but permission hiring will have an opportunity to our programs and jobs. moving forw

their stickers say "rebuild cpmc." our stickers say "rebuild cpmc." the only difference is we're trying to achieve the correct path, the right way. the community has been trying for two or three years to reach a community benefits agreement with cpmc. we've repeatedly approached them about meeting with the community and it's been -- it's been very difficult and so when hearing a report back from the mayor's negotiating team and thank you all for staying so late, you know, from the community, we understand how difficult it is to negotiate with this entity. they're very resistant to coming to the table. i think it's important to understand that the mayor's staff, if and when they come to an agreement, that it will be through a very large and strong effort but also it will be like moving mountains and that's speaking from experience from the community. and so we hope that when, you know, hopefully if this project, when it reaches the board, you guys can have an extra level of input into the development agreement, especially with regards to meeting the fu

and that gen -- i imagine cpmc and the unions could make that public. it was not negotiated with the city, per se. it was their agreement. supervisor avalos: lastly, we mentioned looking at the work force by trade and we expected to have on the project -- >> the numbers by trade? i can give you that. >> passed a follow-up question? -- may i ask a follow-up question? president chiu: yes. >> why did you choose a number as opposed to a proportion? it seems like a tough number because we are calculating or forecasting. >> in doing this a lot, it could go either way. you could have done 40 or a percentage and came out a little less. we just looked at the numbers and it seemed like doing for the end of being able to roll it over was the better way to go. you could've put a percentage and, i don't know, came out with the data differently. we feel a lot with percentages, sometimes it doesn't give you a bigger number. it just kind of depends. for the purposes of how we got here, looking at the past, the 40 seemed to get us further by the definition that we were

their stickers say "rebuild cpmc." our stickers say "rebuild cpmc." the only difference is we're trying to achieve the correct path, the right way. the community has been trying for two or three years to reach a community benefits agreement with cpmc. we've repeatedly approached them about meeting with the community and it's been -- it's been very difficult and so when hearing a report back from the mayor's negotiating team and thank you all for staying so late, you know, from the community, we understand how difficult it is to negotiate with this entity. they're very resistant to coming to the table. i think it's important to understand that the mayor's staff, if and when

their stickers say "rebuild cpmc." our stickers say "rebuild cpmc." the only difference is we're trying to achieve the correct path, the right way. the community has been trying for two or three years to reach a community benefits agreement a community benefits agreement with

cpmc has been one of our key hospital partners. since inception of their participating with us, 680 low- income and uninsured people have received care. this year, 160 patients have received care. over $1 million in charity care will be provided. the collective community benefit is impressive. it could they do more? should they do more? perhaps yes. certainly more as a community partner we value the participation greatly. >> good evening, supervisors. i am the resident of district 9. we are here tonight representing the academy in the tenderloin. several of you have visited our school and provided over the years. i thank you for that. i support the rebuilding of this and provide a concrete example that the commitment that they have to low income families. our school serves over 200 students in grades 4-8. as the city's only tuition free private school, our successes have been staked -- sustained by partnerships across san francisco. it has been and continues to be at the forefront of our successes and sustainability. the six-person

president chiu: based on what cpmc is doing. >> not so much cpmc, but a health care reform as well. we also have to go from a steeper service were the goal is as many visits as you can to a per-month payment. that is going to change the quality of the direction that will be able to manage. it is a great concern around the country about how health care assistance are going to respond. the hospitals will reconsider the plans of how they will go to health care. they are talking to each other. they are having those conversations, and san francisco general hospital as part of the council to discuss how we are going to do that. i am being approached to look at how we are going to move closer together. president chiu: if this anisn't addressed in public comment, i would like to look at that. supervisor kim: the are many questions on charity care i had as well, and the feel like most of the questions were predominantly already asked, but specifically to the tenderloin, and you anticipate them setting up competing services in the neighborhood? the you perceive that they will work with existi

supervisor wiener: cpmc has that, but we don't have that? >> i don't have it with me, we may have had it at some point, but we can certainly get it from cpmc. supervisor wiener: and the affordable housing money, but will correlate with the breakdown? if it is for moderate, low, very low income, be you believe that the money will correlate to approximately the same percentages? >> without having looked at the numbers, it is difficult for me to answer that question. i will say that the underlying goal of the housing package was primarily to address the inclusion area obligation -- inclusionary obligation. that was the metric that we were designing this rental program, he residential piece of it. supervisor wiener: very low and below. >> that is typically what it would be. supervisor wiener: the you have a hunch or a prediction, that there is going to be a mismatch between the allocation of the affordable housing dollars versus the actual income levels of the employees? >> i can't answer that question. >> is coming from the affordable housing d

in addition, cpmc's bayview child health center will be co-located to provide pediatric services. this is only possible because we have many partners and amazing leaders working together to make this happen. lisa stone pritsker an advocate for most vulnerable children across the city and country, attorney general pamela harris with institutional partners, tipping point community, cpmc and its bayview child health center, stanford's early life stress program, and certainly the city and county of san francisco. and all the agencies that supervisor cohen's office mentioned to you. we've focused on this building because after a long search, looking at more than 20 properties over 14 months, with our realtor, paul pachana from kidder matthews, we have focused on 3450 as being the ideal location to provide accessibility for the community and our partners. we are also right now working with tom elliott and fish, architectural firm to build and child-focused and child-friendly location. we anticipate seeking permits within the next three months. for all of these reasons, i urge you to sup

we have to hold cpmc to a higher standard. they should be providing at least the same care as a hospital. we applaud the health department and the mayor's office for anticipating national health care reform and requiring 10,000 beneficiaries to be enrolled. ironwood director garcia said about the limits of capacity when -- i heard what director garcia said about the limits of capacity. finally, the rebuilding us save lives is 1/3 of the capacity of five hospital. the only hospital with a history of serving low-income patients, yet they will not even agree to maintain the hospital for 20 years. that is unacceptable. we understand this agreement is part of land use, but i hope you will consider health-care implications of what they are proposing and try to make them more accountable to providing equity for san francisco. >> i have a question. i am wondering as a member of the community who have been working to keep st. luke's open, what are your thoughts about this issue of the escape clause that has been mentioned around st. lu

i've been using it for about six years because six years ago i had to start dialysis treatments at cpmcso i'm very dependent on paratransit three times a week, coming and going.. my current driver is brian berquist.; he's just such a friendly, sort of a teddy bear kind of a guy. i don't know what it is about brian, but all of us old ladies want to feed brian. [music] >> hi, my name is fred lein. i'm most proud of driving a ramp taxi since the beginning of the program in 1994. [music] >> fred, you are the absolute best! thank you fred for providing transportation for me and opening up my social life, and taking care of medical appointments, taking care of my mother [music] >> hi, my name is ann bailey and i've driven for luxor for almost five years now. i drove for desoto cab for 10 years prior to that. i drove in 1976 for the old, old yellow cab. this is frances mecchi and i've been driving her for about 11 or 12 years to her alzheimer's day program, which we call the memory club. every day when we drive through the presidio she'll say, "oh goody, you're taking me through the enchanted

>> in addition to the america's cup planning, there is a discussion around the development of cpmc. it would be the largest hospital project our city has seen in decades. it would probably be the largest land use project discussed this year. it is right on the edge of my district. it is seated at the intersection of several separate as oriole -- supervisorial districts. there are issues around displacement, the impact of a large hospital on the surrounding neighborhoods, and whether the size of this hospital and plans in the city wide picture of health care access. i am sure we will have robust discussion about this in the coming months. >> are there any other issues that concern you that we have not discussed? are there any other interests you plan to concentrate on as supervisor? >> one thing every supervisor works on is the relationship between our neighborhoods and city hall. i am blessed in district 3 to have a rich network of neighborhood associations, merchant groups, and nonprofit organizations that i interface with regularly. they often had difficulty navigating city hall.

i worked as an ophthalmologist at cpmc. jeff works as a general and colorectal surgeon and teaches residents at ucsf. many of our colleagues have had to move out of the city. both take emergency calls and when jeff is on call he is on duty from friday night until monday morning. hours are not 95 jobs and living close to the hospital allows us to be available to our patients. having family in our home, our mother, granddad, and his mom, allows us to have the flexibility we need to cover our children and our practices so when we run late, sophia still cared for. my roots are deep alliance and francisco. my grandfather was born here in chinatown and lived here until he passed away at 100. i was able to see him every day going up when he would take the m.u.d. to our home or we would gather for sunday dinner. ift is my connection to my grandfather that made a passionate about doing so. thank you for your time. president miguel: thank you. are there any speakers in favor of the project? >> good evening, commissioners. i am an arc

partnered with the city government in the city's effort to develop a child advocacy center, as well as the cpmcview child health center, which has been doing this work with our kids for the past five years. as we, together, went and looked at where we were going to locate this new center, we looked at over 20 spaces in bayview. seven of those spaces were in the health node. we were looking at the size, obviously, something that accommodate all of the different services. and of course, whether or not it was economically feasible within our budget. there were certainly spaces that would have been more desirable of what we would like, but it did not accommodate either the size of our budget. we also said down and talk with folks at the department of public health about trying to locate a part of the southeast health center redevelopment. we have specific constraints in our funding, thanks to the generous support of the community that raised $4.2 million for this effort. but we have to have our doors open by the end of this year. that was a constraint that there donor put on this funding, or else t