laguna honda hospital is projecting a $3.5 million surplus, the bulk of which is impatient revenues. as you will recall we are similar arrangement at laguna at least did at san francisco jacket were 27 $9 of surplus revenues can be transferred into our electronic health records project. we are expected to make that $7 million in addition to what you see in the surplus, so we are receiving that revenue and we are assuming that a transfer will be made into the project. that $7 million that will reduce the need for new appropriation in the budget year ahead of us. health at home, there is a-i have a error in the salary and fringe benefit line here. the net is a deficit of a little under $1 million. that is a one-time payment that was made for privacy breach penalties for some issues that occurred with protected health information that was compromised in the field. in primary care, we have a slight shortfall in our patient revenues. that is more than offset by savings in salary and fringe benefits could this also is coming down from what we saw in last fiscal year's reports, but there sti

laguna honda hospital is projecting a $3.5 million surplus, the bulk of which is impatient revenues. ou will recall we are similar arrangement at laguna at least did at san francisco jacket were 27 $9 of surplus revenues can be transferred into our electronic health records project. we are expected to make that $7 million in addition to what you see in the surplus, so we are receiving that revenue and we are assuming that a transfer will be made into the project. that $7 million that will reduce the need for new appropriation in the budget year ahead of us. health at home, there is a-i have a error in the salary and fringe benefit line here. the net is a deficit of a little under $1 million. that is a one-time payment that was made for privacy breach penalties for some issues that occurred with protected health information that was compromised in the field. in primary care, we have a slight shortfall in our patient revenues. that is more than offset by savings in salary and fringe benefits could this also is coming down from what we saw in last fiscal year's reports, but there still i

of life options now, solidified as june, 9, 2016, i would assume that at both the general and laguna honda or both, we need to look at policy issues and i just like to ask that one of the jccs that we will be able to review how we might be implementing that and looking at the policies that. >> i got to request that we have it here because it is a jcc. we start here, with that conversation, and then, the jcc can kind of refine some of those so that they are all talking together. as a whole, commissioner and i am sure that some of the other commissioners who are not sitting on the hospital, committees will really like to hear and i believe that our deputy director would be ready to provide for some of that. >> that will be fine, i think that this hearing will be nice. >> absolutely. >> i would agree with the issue that did come before the commission, and certainly, the entire commission would benefit from understanding how we will be implementing it and also be informing the public that way. >> okay. >> the second question is the two tobacco bills and one is at the city level and the tobacco

have a terrific boundary of lincoln bay on the north, 19th on the west and [inaudible] and 5th laguna honda on the east. i played soccer in high school and college and as a teacher in connecticut and florida coached teams there. my children played soccer also. [inaudible] came to speak with the board of directors last month representing brian [inaudible] bring soccer to keza r in san francisco last year [inaudible] we discussed issues including traffic problems and sale and consumption of alcohol and the plans being [inaudible] to deal with these. at the end of the meeting the board includes two former soccer coaches, one person who is a ping-pong player who hates soccer and a person who grew up near kezar and has plent memories the 49ers games there. anyway, i composed and brought the letter at the ends of the meeting when we decide today support the application to the operations committee meeting thursday march 3 and have a copy here today for you as well. >> thank you. >> thank you very much and i come here to ask to give the delta's a chance to play soccer and here and have green here t

of life options now, solidified as june, 9, 2016, i would assume that at both the general and laguna honda or both, we need to look at policy issues and i just like to ask that one of the jccs that we will be able to review how we might be implementing that and looking at the policies that. >> i got to request that we have it here because it is a jcc. we start here, with that conversation, and then, the jcc can kind of refine some of those so that they are all talking together. as a whole, commissioner and i am sure that some of the other commissioners who are not sitting on the hospital, committees will really like to hear and i believe that our deputy director would be ready to provide for some of that. >> that will be fine, i think that this hearing will be nice. >> absolutely. >> i would agree with the issue that did come before the commission, and certainly, the entire commission would benefit from understanding how we will be implementing it and also be informing the public that way. >> okay. >> the second question is the two tobacco bills and one is at the city level and the tobacco

city employee you can be retaliated against and that's okay do my managers did any managers add laguna honda hospital and substantially department of emergency services no, it would be okay to retaliate against me using my first amendment free speech right and you'll be okay with that if one of you don't make that motion to add it - i think you should pull out the red editorial pen and add that g before i windup in front of the board of sups begging them to put it in there so the next judge wilkins didn't have to noted a serious flaw in the city chapter and in your regulations that you write with our red pen can change >> thank you. >> i'll call the question oh, any public comment. >> just one more thing commissioners i'm worried about the preferential fix of having timely investigations that would be an empty procedural represent rationed what is needed a quality review mechanism to insure that an investigation is an investigation whether it is done in thirty or 90 days didn't matter the quality of the work that matters to the chibz and the public also i strongly support amending the whistl

have a terrific boundary of lincoln bay on the north, 19th on the west and [inaudible] and 5th laguna honda on the east. i played soccer in high school and college and as a teacher in connecticut and florida coached teams there. my children played soccer also. [inaudible] came to speak with the board of directors last month representing brian [inaudible] bring soccer to keza r in san francisco last year [inaudible] we discussed issues including traffic problems and sale and consumption of alcohol and the plans being [inaudible] to deal with these. at the end of the meeting the board includes two former soccer coaches, one person who is a ping-pong player who hates soccer and a person who grew up near kezar and has plent memories the 49ers games there. anyway, i composed and brought the letter at the ends of the meeting when we decide today support the application to the operations committee meeting thursday march 3 and have a copy here today for you as well. >> thank you. >> thank you very much and i come here to ask to give the delta's a chance to play soccer and here and have green here t

city employee you can be retaliated against and that's okay do my managers did any managers add laguna hondaospital and substantially department of emergency services no, it would be okay to retaliate against me using my first amendment free speech right and you'll be okay with that if one of you don't make that motion to add it - i think you should pull out the red editorial pen and add that g before i windup in front of the board of sups begging them to put it in there so the next judge wilkins didn't have to noted a serious flaw in the city chapter and in your regulations that you write with our red pen can change >> thank you. >> i'll call the question oh, any public comment. >> just one more thing commissioners i'm worried about the preferential fix of having timely investigations that would be an empty procedural represent rationed what is needed a quality review mechanism to insure that an investigation is an investigation whether it is done in thirty or 90 days didn't matter the quality of the work that matters to the chibz and the public also i strongly support amending the whistle