st. luke's. -- and consider the future of st. luke's. the panel recommended that st. luke's be rebuilt as a full- service hospital and the board approved this. >> i have spent a good deal of my non work time attempting to ensure that the hospital i which i worked for 26 years, st. luke's, remains a viable acute- care facility in this city. i am an emergency room nurse and i continue to fight for st. luke's that will be vibrant and viable over the years. once we were a thriving acute- care hospital, we now function at a fraction of the size to use to be. what has happened is the starting of a hospital and there is no logical conclusion that the starvation will lead to its demise. the record at st. luke's shows there must be an agreement to halt the service cutbacks and elimination. if, as stated in the original proposal, there needs to exist and acute-care hospital in the southeast sector of the city. what services are concentrated at what locations have ramifications for a host of other treatments. the domino effect of the shedding of one type of service will negativel

st. luke's. the next several slides provide information about the specific provisions designed to do just this. the development agreement requires that cpmc construct a new hospital on the st. louis campus and operated for 20 years. construction of st. luke's would be simultaneous with the construction of the new cathedral hill and cpmc would be required to open st. luke's prior to opening cathedral hill. the development agreement includes several provisions to ensure the programming at st. luke's meets the needs of the surrounding communities. for the duration of the 20-year operating commitment, st. vix will provide specific services on site -- st. luke's will provide specific services on the campus. it would require that st. luke's be operated as a full-service general acute-care hospital with an emergency room. st. louis will have a number of inpatients and outpatients specialty services and emergency room, which will be 50% bigger than the existing emergency room. they shall house two centers

st. luke's, and if anything, st. luke's needs to be bigger and even more viable, which goes to where the eir is flawed. the project objectives are way too high in a stamp that medical services need to be centralized, and this is a false, i think, assumption. number two, and never looked at alternatives, and st. luke's needs to be bigger and more robust. it is currently in the development agreement that it is set up to fail. now, when we did our survey of the excelsior and the chinese residents live in there, one out of four were uninsured, and a lot of them travel 60 minutes to get to any health care services, and some people say they'd like going to chinatown, that is great, but let's make that a choice. let's make sure people have health care access in the southeast for all san franciscans. thank you. at supervisor: thank you. next speaker. >> i retired last november. this hospital has always been the on mounted orphan. only under these damages for noncompetitive practices that they agreed to bring st. luke's into i

st. luke's. this was already under way, and the skeletonized hospital without even a pediatric ward planned. st. luke's was supposed to be a spoke serving the hub, to use their analogy. st. luke's has served this community for 131 years as the only other hospital beside san francisco general. we are not talking about rebuilding another mcdonald's. this is vital to the health care infrastructure for san francisco for perhaps the next 100 plus years, to have an emergency room capable of handling the unexpected. the reason for the rebuilding is seismic safety. we know from other expert testimony that loss of a hospital eir substantially increases morbidity and mortality, for all nearby communities where the wait times increase. think about the stroke victims, your child of an attack or your heart attack. unviable st. luke's is needed at san francisco. it is better that they admit a need for new management rather than close saint wheat. please forget the profit driven point of a 1% margin. should not

st. luke's, and if anything, st. luke's needs to be bigger and even more viable, which goes to where the eir is flawed. the project objectives are way too high in a stamp that medical services need to be centralized, and this is a false,

st. luke's.nk you for your time. chairperson mar: i am going to call a few more names. james wilder, angela farresino, diane allegre, clark reyes, gina lynn luna,r iborra, and reverend don fawkes. next speaker. >> good afternoon, supervisors. my name is amy kelly. i40 member of the first unitarian universalist church at the corner of franklin and theory. -- and geary. i have been laid to church because of traffic jams at 10:30 a.m. on sunday morning. it gets worse from there. it is always crowded. there is very little give for emergency vehicles. we heard earlier that the emergency entrance to the hospital will be on franklin, as will be the delivery. we know that big delivery trucks do not just turn in. they turn wide. they back up. sometimes, they back out. that will cause a great deal more congestion. we run a program at our church which brings 100 children from the tenderloin every day for an after-school program, which has benefited not only them, but the schools. they come across west van n

st. luke's. they have been talking about how much money as opposed to how many patients can be treated or how many lives can no longer be saved by this proposal. as a bedside manners, i see greater need for inpatient psychiatric care and skilled nursing facilities. this proposal does not meet the current and future needs of san francisco. we nurses put our best effort to save lives and help the patients. this is the bare minimum for the community and the patients, especially considering their not-for-profit status. it should not be accepted in the field of health care because this is a matter of life. with many of the japanese hurt in the earthquake last year, i am terrified. traffic was completely halted. my brother was stranded for seven hours just to go a few hours. my father could not come home due to no train running. many seniors lost their lives not because of the earthquake but because of the access to health care after. the residents of south of market. i believe we need a bigger st. luk

st. luke's hospital.her than cpmc that would consider operating it, because it is not economically viable. if cpmc needs to reduce number of beds to operate the hospital, that is a sacrifice we must make. the supervisor of elections coming up on november 6, is it wise to leave behind a legacy of being the biggest job killers in the history of san francisco? make the right choice, both for yourselves and the people of the city. chairperson mar: i am going to call a few more names. jed crawford, amy kelly, tom radulovich, angie brown, geoff rey garner. >> my name is jeffrey. i am a principal with a transportation planning company in san francisco. we were consultants to cpmc in developing the transportation program. i have three points. this is the right location for a major medical facility. they do generate a large number of motor vehicle, transit, and pedestrian trips. other than the market street corridor, there is no better location anywhere in san francisco for minimizing the impact of those trips tha

st. luke's. where they can go. before you do anything, please reconsider, think about, are you going to support the cpmc or the people in south market for several generations? and they rely on st. luke's. thank you very much. >> thanks. next speaker? >> good evening fe, a supervisor is. my name is laura scott. i are member of the cathedral hill neighbors association. i am a retired city planner and i am active in the labor movement in san francisco. i believe this eir does not give you as decisionmakers at a quick, accurate information on which to base a development agreement -- acequate, accurate information. and the project approvals for this project. experts city staff also lacked the needed staff, and i am sorry to say the neutrality they should have in this project. putting new as the decisionmakers between iraq and a hard place. -- a arock and a hard place. i urge you to demand what you need and do not yet certified the eir. thank you. >> thank you. next speaker. >> i'm a lifelong union mem

st. luke's. it is an incredibly important hospital in san francisco. i do not think any of us can discount how important the future and stability of that hospital is. everyone on the board of supervisors agrees and shares this as a priority. i just want to thank you for alerting us and continuing to work on ensuring that if we move forward, the stability of st. luke's and the future of st. luke's is insured and that development agreement. i just wanted to say that i was very appreciative of our committee members on that day for standing up strongly and loudly on behalf of our community, particularly our most vulnerable communities. in terms of wanting to ensure that it is available and we do get to see any projection numbers that there is no way we can make a decision on this deal without having the full sets of data and information available. i was out of town when there was a whistle-blower clique of what could be those numbers. -- leak of what could be those numbers. i was very disappointed to

st. luke's campus.ll have an emergency entrance to the hospital 25 feet from our front doors. and despite that, we favor the hospital being built for the sake of san francisco. >> good afternoon, supervisors. think you for the opportunity to speak to you. a cut this issue is impacting our health rates for city and county employees and retirees. and the impact the house bill rates have on that. in the interest of transparency, i have been on the health service board since 1987, the longest serving commissioner on that board. one of the first things i learned when i followed this information as much as i could possibly do for over 20 years, the fact that whether it was stanford hospital, a presbyterian hospital, cornell in its latest iteration, a member of that system, the specific hospital network has been the highest cost hospital in san francisco. in all of our networks for what ever we have had and also across the board in any of the hmos that belonged to the system. that specific cost of that size of

st. luke's. if we only have 80 beds from st. luke's, it is meant to fail. that means -- that really scares me. i think about earthquakes and other things like that. if all the hospitals in existence are within a mile of each other, and there is only st. luke's and san francisco general. it is going to be very hard for of honorable -- for our vulnerable to get help. the other thing that bothers me is when people have loved ones and are needing care and they have to take many buses to get their combat such as from the bayview. if st. -- minibuses to get there, such as from the baby. it does not seem very wise to me. i would urge that the board think about this. supervisor mar: i am going to call a few more names. [reading names] next speaker. >> thank you for hearing this matter again today. i am with the construction employers association. we represent over 100 union building contractors in northern california. several of which are located here within san francisco and many of which are performing work here in san francisco. what i would like to talk about a

st. luke's st. luke' -- at st. luke's together, i cannot tell you what my team has gone through, both at st. luke's and california campuses. i encourage you, i implore you to reject the appeal, except the eir. if you choose not to do that, decide to keep the dialogue open and continue this for tubing weeks. >> my name is rick stevens, recently hired as the new chief administrative officer for st. luke's. one attraction was the rebuild of an aging building not seismically safe. being part of the construction team, i can tell you we are building a better st. luke's. it will aid in the healing process of patients and families. the new facility is being built to support current services provided such as an er which will be state of the art. x-ray, pharmacy, and intensive care units, infectious disease, appellative care, and more. i see that the hospital needs to be rebuilt for the citizens south of market. it is vital for san francisco. further delays puts the hospital at risk. let's not wait for the state to close st.

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 longevity has a health-care provider, they have been operating in the black the whol

st. luke's. i practice family medicine at st. luke's hospital for over 30 years. i am also the chair of family medicine for the pacific and davies campuses. we provide care to hundreds of thousands of san franciscans. we need to continue to recruit new primary care physicians who are in short supply across the country as well as the up-and- coming specialists. across all of our campuses, we have an aging physician group, and while all of the hospitals in california are mandated to retrofits or rebuilt, it is very difficult to recruit physicians to a hospital that is not state of the art, as we have heard. at st. luke's, we do have a medical staff that is state of the art. we are dedicated to continuing of st. luke's mission. over the past six years, we have fought to keep st. luke's hospital open, and it was acknowledged that seen as a valued an important community aspect. but it has been deemed unsafe and likely unable to be retrofitted. our only hope of maintaining a vibrant and thriving medica

st. luke's -- when the st. luke's campus is closed?e people having to take three or four buss connections to get out here. we also need to make sure we get more affordable housing for all people in san francisco. late -- there will be less funds available for down payments. that money should be available for everyone. $14 million available, but what the cpmc kids is not right. cú=we have to make sure that we demand more money for housing and rental ownership -- rental units, not just homeownership, because it is extremely difficult to be a homeowner in san francisco. thank you. also, if i may, i never a letter from one of the residence. next. >> thank you for allowing me to speak. i did bring some back up, but they had to leave. i brought 10 of my staff, with our executivep,

st. luke's. they are closing a hospital because of its failure to meet its 1% and operating expenses as expected. we really have to keep st. luke's open. a further comment. there was an expert -- chairperson mar: thank you for your support. next speaker. >> thank you, members of the board. my name is jeff garner. i am president of the van ness corridor association. we support cpmc's plan to rebuild. when we moved in, there was a parking garage adjacent to our building. it would shut down, due to tax evasion and fraud. it was unsafe, and secure, and uncared-for. my family and i parked there with little complaint, because it was closest to our apartment and church. cpmc purchased the building, and overnight, new lights were installed, with motion sensors, a new paint. signs were updated. safety took a front seat. a new parking system was implemented. things were handled decently and fairly. immediately, we felt secure and safe in our parking garage. cpmc# and favor of our community just because of

st. luke's. i would like to see a proposal that makes sense for san francisco go forward and we will do everything we can to make sure that such a proposal takes place and that the cpmc proposal is one that receives attention and we try to make sure we get approval of a project as proposed by cpmc with the modifications needed to make it right for san francisco. we are committed to that. your respective of that issue, of what happens or it does not happen, i think it is important for us to reaffirm our commitment to make sure that st. luke's hospital remains open regardless of what happens with any one project. [applause] i know there are many strong views on different sides of what has been presented, but if there is one thing that everyone agrees on, st. luke's means so much for san francisco and we need to make a commitment to make sure that it is rebuilt and that remains open. my resolution recognizes the importance of st. luke's hospital and emergency room for the southeastern neighborhoods

st. luke's. g-- to rob the city. i will focus a little beyond on st. luke's. and we are already strainedoing business, and i am having faculty go to st. luke's to treat some of the patients, so i see this as a beginning step in the traditional direction in the care of the mentally ill. >> good evening, supervisors. but i would like to thank you for this opportunity. i am the founder and president of the national coalition of the black women of san francisco chapter of the re of san franci. give we represent over 53 chapters in the district of columbia. we are an advocacy organization, and we advocate for women and girls and empowerment of women. i would like to support cpmu, because they saw the south as a partner. -- they saw us us a partner. good it was revealed african- american women were dying of breast cancer. they could have swept it under the rug, but they did not. they decided to seek us out of a women's organization so they could locate where men and girls buying of -- dying at a young age to conduct mammograms, which stated. thank you for this oppor

st. luke's. i made one phone call to the breast cancer support very dark, and the only thing they ask is to give us a date, because i wanted to know why they were providing the breast cancer support to the community and they were not providing the breast cancer support to the omi, so that was one phone call but was provided, and they have been supporting us for the last three years, and we plan to expand in our community, so when you make the decision, i would like you to remember you are making decisions on when it comes to the health of the elderly. >> good afternoon, members of the board of supervisors. i am here to support cpmc. there is a lot of things they have done the public is not aware of. in the past years they allocated funds to specialty care. i am a member of the consortium. gcpmc awarded funds to provide specialty care's common and we serve about 7000 patients. 81% of those patients has insurance, so i am really supported a large number in need. i am here to express appreciation to

st. luke's. other hospitals are concentrated within 1 mile of each other. ke, it would be nearly impossible for many of the san francisco poor people to get to medical care. st. louis gave great charity care for many poor for over one century one kind by the epically church. sutter hewalth try to close st. luke's shortly after purchasing it. this was instead of keeping it over at least five as promised to the state attorney general. now, they are proposing only 80 beds at st. luke's, which will make it less viable as a hospital and has close some units also at st. luke's. @'s proposal makes it more likely that st. luke's will not survive. they are proposing no psychiatric beds in their new hospital at van ness. they should at least be required to restore the 32 mental health beds at the rebuilt st. luke's or put at least 30 to psychiatric beds in to the new hospital on van ness. and most importantly, the supervisors should challenge the not-for-profit status of them. they pay salaries annually, and there ceo gets over $4 million annually. they are paying suc

st. luke's and the alternative 3a+ st. luke's, was analysis done know what the different traffic impact would be a long season champ says in those various scenarios? >> let me invite my colleagues to speak to that. >> without the project, there are six intersections that currently operate. i will run through them and what i will run through them and what that means for the alternatives.

st. luke's and the alternative 3a+ st. luke's, was analysis done know what the different traffic impact would be a long season champ says in those various scenarios? >> let me invite my colleagues to speak to that. >> without the project, there are six intersections that currently operate. i will run through them and what that means for the alternatives. we have cesar chavez, 27, and south manas. all of those operate with or without the project. with the analysis, we looked at those intersections and the others that were operating in found that the contributions to those intersections would not be significant and it is generally based on a 5% contribution that is failing. and then if we look at alternative 3a, that adds to the development as well as to the beds at the hospital. when we look at those contributions, we found that those contributions would not be a significant contribution. it did not identify any additional or significant impacts. for alternative 3a+, which is not addressed specifically since it nearly double

st. luke's. in the proposal that you approved at the planning commission, there is a carved out that would allow cpmc to get out of its obligation to operate st. luke's for 20 years. there is information that we learned that makes it clear that, in fact, if the project to approve went forward as it is, that it is highly likely they would close st. luke's in a matter of years, after it reopened. i am wondering what your thoughts are, what your thinking was. something happened here in the vetting of this project, that we would get to a point where the intended outcome of protecting the operations at st. luke's, based on the information we have, was not being done. commissioner antonini: during the time we heard the vetting, they presented the trigger point as being very remote, almost not a possibility. many people testified to that. not just the project sponsor. that being said, this is a very important issue. i can appreciate it from both views -- as a private individual, a business owner in heal

st. luke's down. and part of what i have that a concern is we have had many successful companies in san francisco, in california, in the united states has had exactly this track record. this is below this 1%, and yet they proceed. i think we are all concerned about is within a short period of time, this allows st. luke's and what they represent to the city to not be operational, so this is an important question. frankly, this is our obligation. this is what we are supposed to do. for one, i am going to need to see this information. i hope we have the time to make sure that this happens. we need to do this together. >> -- supervisor mar: thank you. supervisor cohen. supervisor cohen: thank you. have you begun the renegotiation process? >> yes, absolutely. as soon as within a day or so of seeing the new numbers. supervisor cohen: yes, sir, and what day was that? >> i believe it was 12 days ago. supervisor cohen: 12 days ago. i think what is important to the members here is backed cpmc has an interesting

st. luke's. as they go through a process of figuring out whati think it is , irrespective of what this board does, that we are once again on record reaffirming our commitment. this resolution resolve's the board of supervisors once again affirms that st. luke's is a critical part of san francisco's health care system, that the board is committed to ensuring it is rebuilt as a seismically safe and financially viable hospital. i want to thank the co-sponsors for this resolution, supervisor cohen, treasurer olague, supervisor chiu, and supervisor avalos. >> thank you, supervisor. supervisor mar: i have several items. first, i am pleased to say i have been working with the coalition of public health organizations, also supported by the department of public health, to create smoke-free street festivals and public spaces in the san francisco. this legislation would prohibit smoking at certain outdoor events. second-hand smoke is responsible for as many as 73,000 deaths among nonsmokers each year in the

st. luke's, would continue to be offered there.pervisor campos: the whole point is not to cast judgment. it is not that we are making judgments on individual issues. we're trying to look at the full scope of the analysis and the adequacy of the analysis. bair appreciate the fact they're using some of the same methodology and approaches that haveyb4ws been used in other projects. one thing that is definitely different is that i do not remember seeing a project that makes assumptions about public transit ridership on a survey that is 11 years old. there are some differences. i think it is important to understand that it is not about making a value judge that. it is simply understanding the level and extent of the analysis. president chiu: i had a couple of thoughts. while i do understand that the same methodology is used for different eir is, this is a unique project. this is a project at a particular case at a particular time. before tomorrow's eir hearing, if you look at the expert testimony that is laid out in the appeal itself, t

st. luke's. not to demonize anyone, but this is an era where a billionaire can buy an island and then sue his neighbors to cut their trees down so that he can have a better view of the race. this says so far proven unwilling to make sure they can have this commensurate with their $90 million in tax breaks. in 2001, cpmc made agreements to maintain the hospital at the levels it required that -- acquired it at. that is where we had a neonatal intensive care unit, a casting room, many more surgery lofts, etc., and now after a decade of dismantling, we are facing a reduction down to 80 beds, and they are looking to close the hospital after only two years. that has no business being there. they cut mental-health services and laid off front-line employees who are underserved. we need community benefits in order to -- thank you. supervisor mar: thank you. next speaker. >> my name is tatiana. regretfully, one doctor is not able to be here, but i am here to speak on his behalf. supervisor mar: so any obje

st. luke's operating margin did not apply cpmc to shutter st. luke's. it just gives them that opportunity, but they would not have to do that. also, if i remember right, there's no reason they could not sell that to another party. is that correct? >> the first one is correct. that was in my notes. the second one -- that is also correct. thank you. commissioner moore: could i ask, when you talk about new and modern buildings, what kind of building type are you referring to? i have a hard time believing every residential building would be subject to this requirement? it raises all kinds of issues of public health and accessibility, security, etc. >> at this point, i just have a short summary, which up provided. it does not give me more detail about the types of buildings. i could give the details to the commission. commissioner moore: ok. the other question is, regarding the housing trust fund.

st. luke's. cpmc knows that the success of the cathedral is based on how successful and how committed they are to running the st. luke's hospital. give them a chance to prove they are a good medical center for all of us. many of us are patients. my whole family uses the cpmc. we have good memories of the hospital. the staff are always courteous incompetent. i think we know this is a good project. if cpmc should walk away or the board of supervisors are not willing to compromise, and it is going to be a big loss for all of us. please support the eir. >> good evening, president chiu. i am a patient-relations coordinator at cpmc and a resident of san francisco. i support cpmc's plan to build a earthquake-sake hospitals. i have been unemployed for 15 years and look forward to many more to come. i urge you not just as an employee so i will have a job but as a citizen of san francisco who wants this new hospital for my family and friends when we need care. the approval has been delayed for too long. it

st. luke's operating margin did not apply cpmc to shutter st. luke's. it just gives them that opportunity, but they would not have to do that. also, if i remember right, there's no reason they could not sell that to another party. is that correct? >> the first one is correct. that was in my notes. the second one -- that is also correct. thank you. commissioner moore: could i ask, when you talk about new and modern buildis,