st. luke's move. i don't know if that would get us close enough. >> what he identified in the rotation were three, relatively-speaking approximately 800 populations. that is the puzzle move. >> no. chairman mcdonnell: thank you. mrs. mondejar. -- m's melara. i am not interested in changing our decision we made last time, primarily we made it very deliberately. when the community comes tonight and says you took away this piece, they were not taking into consideration what it would cost elsewhere in their district. we moved something in their district, and next week the people will come back saying you shouldn't have done that. so let's leave it where it is. so no, no, no. chairman mcdonnell: thank you. that's clear. mr. leigh? >> can i ask a question? does the second move require moving st. luke's? chairman mcdonnell: no. the intent is to keep st. luke's in district nine. it has no -- nothing to do with st. luke's present site at all, period. >> i would actually be open to looking at it. chairman mcdon

st. luke's open. there is no doubt that st. luke's would be just a memory if cpmc had not stepped in and made the commitment to embrace it as a campus. i am so proud that a new 21st century st. luke's is part of the plan before you. together with the new building and the new campus, it makes the future of health care look brighter for the whole of our city. i have lived for 37 years within a block and a half of two separate cpmc campuses. i was in my current home during the rebuilding in the 1980's. i've always found the hospital campus is to be good neighbors. not only am i a volunteer, but also have been blessed with the care of cpmc's physicians and will always be grateful that they were there for me. without them, i would not be standing here speaking to you today. thank you. >> good afternoon, commissiers. i am a registered nurse at the california campus. nurses have spoken out to you and other elected officials before and informed you of cpmc's failure to bart -- barter in good faith. nurses have been without contracts for

st. luke's. >> hi, president fong, members of the commission. i'm betty employed at st. luke's for 12 years now and on behalf of my co-workers, we ask you to please prove the building of st. luke's because of the jobs that the hospital will give us to support our families and the benefit this hospital will give to the community. we also urge you to vote yes for the safety of the patients and the employees due to the fear of the earthquake calamity anytime. we thank cpmc for taking over st. luke's campus because cpmc give us good benefits and for agreeing to give us our jobs in the new hospitals. thank you. >> good afternoon and thank you, commissioners, for allowing everyone to speak here today. my name is rick oherro. i'm the owner of a contracting business, we're a local union business, local contractor here in san francisco for the last 57 years. of all of the contractors in the land, cpmc and sutter chose us to joint venture six years ago to form a partnership to bring this facility to life. i have never seen an owner so patient with the process in my life. so many of

st. luke's established cpmc on the st. luke's campus. the blue-ribbon panel was challenged to create a viable plan for blue-ribbon care and outpatient services. the blue ribbon panel on the future of st. luke's hospital includes 11 recommendations. among those recommendations that i knew it acute-care hospital should be rebuilt on the campus, that the size of the hospital should be it corporate to the planned improvements, and it should represent the commitment to excellence in health care. the house passed or recommend -- a resolution based on the recommendation. the health commission has two additional resolutions related to cpmc. i to thousand nine, it supported the rebuilding of -- in 2009, is supported the rebuilding cpmc facilities. replacing skilled nursing facility beds that are not included in the plans of the hospital, and supplementing the recommendations of the blue- ribbon panel. in accordance with this, the health commission also established a task force on cpmc's master plan. agreements resulted in a third commission resol

st. luke's hospital. i lived in mission. st. luke's hospital receives patients with psychiatric disorders almost every day. they often stake -- they often stay for a week or more. those patients cannot be transferred because of no bed or a patient is not qualified. i worked at st. luke's for four years and i have never seen any psychiatric patients to be transferred to cpmc. they wait for a few days to be transferred to st. francis. even if 1% of psychiatric patients require psychiatric care, in reality, due to complex economical issues, homelessness, or financial insurance problems, many patients come to hospital with serious need of psychiatric care. i do not believe cpmc plans will help this major issue in san francisco. when japan was hit by an earthquake, many streets were blocked because houses collapsed. this caused serious traffic congestion in major arteries. my brother was stuck in the car for seven hours. cpmc can present all these transportation plans, but there is no guarantee that this will work. people still suffer

st. luke's. as a member of that community, i was fortunate to have access to health care in close proximity to where i live. i as well as many residents and patience, would be pleased to see this hospital get a much- needed to upgrade. campus neighborhoods surrounding will benefit from the new facilities. all the while, cpmc has promised to continue providing exceptional health care to all its patients. the construction of these projects are critical because they will benefit the work force, families, the local economy, and our future generations to come. voting yes assures people will have jobs and a safe place to go when they are in need of medical care. i thank you for your time and i ask that you please vote yes today. thank you. president fong: thank you. >> thank you, president long and commissioners, for the opportunity to speak with you again today. my name is michael and i am the executive director of compassionate care. we are a hospice that has been in said for cisco and has served mor

st. luke's process for over six years. that started with the save at st. luke's movement, went on to the blue ribbon panel, and finally to today's deliberations. so today i want to speak to you about what i know best, which is not building buildings, but what goes inside the building, the delivery of health care, and what this project means to the physicians and patients of st. luke's hospital. i will be brief. the first is the association of st. luke's with cpmc has expanded our ability to provide health care at every level. we have a first-class medical staff, and the staff has been recognized as one of only 410 in the nation to have excellence and quality and patient safety. this is from the joint commission on accreditation and was given to us this year. everyone knows we are the safety net for san francisco general hospital, and that results in taking care some of the sickest patients in the city. our ability to do so is enhanced by the association with cpmc. when we have a critical case meeting advanced care, we no longer have to call other medical ce

st. luke's. two at cathedrals. and one at the davies campus. st. luke's campus, cpmc proposes to construct a new five-story, 80 bed full-service acute-care hospital. located to the west of the existing hospital tower, over the surface parking lot, and a portion of san jose avenue. the existing hospital will be able to remain in operation during construction. adjacent, there will be a new pedestrian pathway and plaza connecting 27 to cesar chavez, a portion shown on the graphic. once the new hospital is operating, the existing hospital will be demolished. after is demolished, cpmc will construct a new five-story medical office building at the corner of cesar chavez and valencia. on the west side of the van ness, between geary and post, cpmc proposes construction of a new 555 bed full-service acute- care hospital. 15 stories and approximately 265 feet tall. across the street, the east side of the van ness, cmc proposes construction of a new nine- story, approximately 130-foot tall medical office building. the two new buildings will be connected underg

st. luke's hospital. on the motion to recommend approval to the board of supervisors for the planning code text and map amendments for the st. luke's commissioner antonini: campus antoniniaywe. commissioner borden: aye. commissioner miguel: aye. commissioner moore: aye. commissioner sugaya: aye. president fong: aye. >> that passes unanimously. item 2f, the request for a conditional use authorization with amended conditions to include demand management. this one is for st. luke's hospital. on that motion -- commissioner antonini: aye. commissioner borden: aye. commissioner miguel: aye. commissioner moore: aye. commissioner sugaya: aye. president fong: aye. >> that motion passes unanimously. item 2g, request for development authorization for the st. luke's hospital campus. commissioner antonini: aye. commissioner borden: aye. commissioner miguel: aye. commissioner moore: aye. commissioner sugaya: aye. president fong: aye. >> that motion passed unanimously. item 2h, consideration of a motion for the general

st. luke's in cathedral hill -- duplicates services at st. luke's and cathedral, does not have opposed acute facility, as limited a variety of services, and fails in the eir to properly consider alternatives that could provide greater access to services with your negative environmental impacts. cpmc sutter promises to provide its fair share of charity care and commits itself to spent a dollar amount under the project that is less than it currently spends on such care. cpmc sutter promises to produce it in the health plans, but it allows it to charge the city and workers higher prices than other providers for health services when using out of network providers in particular. it promises to improve clinical outcomes but fails to offer a compelling case for the superiority of the proposed project over other alternatives, particularly because the alternatives considered are too narrowly cpmc defined narrowly sutter promises to provide information necessary to evaluate this project, but consider, a beat -- you are being asked to approve a wholesale

st. luke's. the argument that you cannot pull all of your police stations or fire departments north of market remains as valid now as it did when the blue ribbon panel concluded the need to rebuild st. luke's. the bay area is due for major earthquake. we must have redundancy of health care access points. please strike out the prerogative in determining the operating commitments based upon two consecutive years of less than 1% operating margin revenue. st. luke's provides emergency services for orthopedic injuries without the ability of a cast cart orcas technician to facilitate the care. this would easily -- this would be easy to remedy the administrators if the administrators have the will. if you break your arm and go to st. luke's, they can give you a splint, but no cast. without a nearby skilled nursing community, care by physicians and needed family contact with the patient is sacrificed. this must adequately be addressed. finally, psychiatric illnesses is an enormous problem in our society.

st. luke's. this -- it took a huge community effort and the appointment of a blue-ribbon committee to get them to accept the fact that they wanted st. luke's to stay open or we would have a new hospital under this particular arrangement. then what has happened is that st. luke's becomes a stepchild of the entire organization and is not an integral part of the health system cpmc within -- part of the health system within cpmc. it of -- it would be part of the total health system package and if you wanted to apply the 1%, and say they could start to close things at the cathedral hill campus incidents such -- shutting down st. luke's, that is my fundamental problem. without the development agreement, i cannot initiate. commissioner moore: a wide to take a second attack -- i wanted to take a second tack. the majority of points remained -- raised by commissioner borden and miguel i do not want to repeat. the implied commitment is like a one legged stool. why would you build an expensive facility with

st. luke's. and whether or not pediatrics is going to be at that hospital. >> i believe that pediatrics is one of the specialties listed in the services. the center of excellence in community health is a prevention focused disease -- prevention focused center. is outpatient focus. it will have an advisor board so it can be nimble and change with the needs of the community. to help people manage chronic disease. commissioner borden: actual specialists? when i think of centers for excellence, i thought there would be specialists or certain kinds of doctors or medical groups associated with it. is that true? commissioner bordthat was one o a center of excellence has certain elements that are agreed upon and this is focused on chronic disease control and management. >> around it to the medical practice, we might want to spell those out. it is just a thought. we have talked about how that would be a good program given that babies are born in that section of the program. >> in the body of the developme

st. luke's. in the future, please help us with an prescription to analyze and restudy now -- how to replay with a process which is sadly missing four are heavily populated residential neighborhood whose resources are being shifted unequally to a single overbuild hospital. when there is a more equitable way to reduce the harm. >> the people whose names we have called, if they're not in the room, the president can start calling out names. quex have not called her name. i have 200 tricky cards here -- 250 cards here. i do not believe you received that. >> all the special accommodations with col. -- we have called. >> henry webb, angelita fisher, corandia guerro, telphonso -- have a call your name? -- have i called your name? ok. i will go to general public comment. why don't we let up on this side? i call your name, line up on your right side of the room and prepare to speak. marquez helton. mike -- scott, and other speakers. thank you. i am a student here on behalf of the city academy. i've the sup

st. luke's. and whether or not pediatrics is going to be at that hospital. >> i believe that pediatrics is one of the specialties listed in the services. the center of excellence in community health is a prevention focused disease

st. luke's. our clients in the tenderloin are looking forward to a new hospital at cathedral held. -- cathedral killed. the community has waited long enough. -- cathedral hill. the community has waited long enough. i stand by the mayor to rebuild cpmc and move forward. thank you for your time. >> good afternoon. thank you, commissioners. i am here in support of the rebuild project for cpmc. i am a san francisco native. i have been a nurse now for 26 years. 18 of those years, as a representative nurse on the california campus. the last six, as a clinical nursing manager. about six years ago, i went to a very difficult divorce. my take away, the key, was the concept of reasonableness. is my decision reasonable? am i being unreasonable? how do i act reasonably? a blue-ribbon panel was convened several years ago in order to assist in finding reasonable. i am an outpatient manager and i am very proud of that. outpatient services are integral to the health of society. including women and children. it i

st. luke's hospital. i am happy to hear that there is an agreement that is acceptable by both the mayor's office -- it is a compromise that we should support so that the project can finally proceed. i think the work force, one of the provisions to provide a $2 million for the work force is very important to create jobs and improve the economy. self-help runs the china stop one-stop. we see hundreds of job-seekers that have very little english speaking capability. they still need jobs. i am excited to be involved in that workforce condition that will help create a lot of these job training staff and employment opportunities. we urge you to support the project so that we will see both hospitals in a relatively short period of time. >> thank you. >> good afternoon, mr. president. commissioners. my name is thomas simpson. i am the artistic director of an arts organization. a big part of our mission is to use the arts to focus on issues that are important to our community. specifically the african- american co

st. luke's by saying secure the future for st. luke's. how is that possible with only 80 beds? we asked you revisit alternative 3a as the most appropriate basis for the project. it is also the best option to meet the whole city is in need -- city's need. thank you. commissioner fong: thank you. i called everyone's name here, right? >> commissioners, thank you for this chance for the community to address you. my name is alex, and i am here because i support 3a because st. luke's is so important to our community. i remember that six was the place to go if you had no option. many uninsured and underinsured people could go there if they had no other options. over the years, cpmc has been making it harder and harder to get care. i support expanding st. luke's is part of the plan for the vital services for low-income residents of the south side of the city. we have seen in our society what happens when people are underrepresented and they get affected by so many cuts. please, i am asking for you to see this side of the people in need. i, myself, have been going to general for service

st. luke's hospital. as a nurse and resident of san francisco, i see a clear need. st. luke's no longer has a si psych until. because of lack of psychiatric facilities, non-psych nurses have to take care of such patients, which was not always safe. my co-worker was attacked by a patient who was confused. this happens because psychiatric patients did not have a proper care. with this agreement, we continue to be exposing such danger. the patients do not have sufficient psychiatric care. when a hospital is not for profit, i do not see any reason why cpmc does not continue care. concerning an increasing senior population, we will need more nursing facilities. thank you. >> good afternoon. thank you, commissioners. i have been in a labor union, local 261, for over 30 years. i worked 30 years in construction all over the city. i have been on historical landmark projects. the palace hotel. the one where i want to remind you of is the vision. in the 1980's, we had a vision of the ballpark. i heard the opposition. what a magnificent place. the one thing working 30 years, the vis

tidwell, let's go to the st. luke. >> i need an upgrade. chairman mcdonnell: by that clock, we will take a break for ms. tidwell, and we will res chairman mcdonnell: we will resume now our mapping discussion. ms. tidwell, are you prepared to make a proposal relative to st. luke area? >> yes, if we could look at that area on the map. it is currently in district nine. if you could help me remember -- the one block? >> not the one block. i did not have a recollection as to having st. luke's in nine . i am not interested in it always having been in nine. i am interested in the public testimony and the reason for it being in nine. >> it is part of the community of interest. it is what was in the boundaries of the recognized neighborhood of the mission district. >> chairman mcdonnell: there wasn't a lot of compelling reasons for or against it. it is one of those institutions that has always been there, and so there wasn't ever a question of moving it. therefore, not a pot of public comment one way or the other -- a lot of public comment one way o

st. luke's hospital. that is why we have gotten to this point in the hospital. and st. uke's needs cpmc. cpmc has committed to building as a new hospital. we need the institutional master plan to progress. right now, we're seeing tangible light at the end of the tunnel for our survival in the mission and our continued success. so we look forward to further in this process and hoping that this process continues expediently. thank you. >> thank you. >> mr. president, if that concludes the presentation, we should take a 15-minute block of time at this point. there is no standing in this room during this hearing. we have overflow on at the first floor. if you cannot find a seat at this time, please go to the first floor. thank you. the 15-minute block of time -- >> good morning, commissioners. my name is rachel. i am here with my colleagues at the san franciscans for health care, housing, jobs, and justice, a coalition of over 50 community and labor organizations, community members, and health care advocates across the city working to ensure that whatever course is set by th

st. luke's. many of our members use st. luke's at some of the neighborhoods, and some of the neighborhoods that this serves, and as another speaker said, 10 years and even 20 years of a guarantee is really a very short time, in terms of how this agreement will impact the city over the next 50 years. we would like to have assurances that this will be viable in serving the community not only for ourselves but for our children and grandchildren. thank you. >> charles range, maria powers, david kingo, brenda storey, -- >> good afternoon. i represent dr. eugene gainesland, who served this community for 35 years. he is a member of the organizing committee and referred patients to st. luke's when this have the full complement of services. babies are 2.5% more likely to die. this accounts for more children than any other zip code. the mission and the excelsior district also have similar numbers. the demands -- on obgyn's and pediatrics may increase to 1400 yearly. diversting psych, occupational medicine and surgery 08 -- this is kep

st. luke's. chairman mcdonnell: mr. schreiber? >> my answer is still no, but if other task force members present compelling ropes, my vote is no right now. chairman mcdonnell: thank you so much. i am going to marry you off to someone before these are over. ms. mondejar. >> no. chairman mcdonnell: no, never? >> no to this proposal. chairman mcdonnell: thank you. ms. lam, for clarification, the stoney ford for stony brook move for the 9-11 border would go into --

st. luke's. why did they get $90 million in tax breaks each year if not to maintain charity care? they claim they will increase charity care, but how? they are downsizing at st. luke's, chasing a longstanding doctors out of practice or into the foundation model with exorbitant rent hikes and their foundation practices turn away patients from groups such as health the san francisco and medicale. one of our doctors, they refuse to show hurt the only empty office space they knew she could afford. that suite is still empty today. how is it that st. luke's provides more -- claims to be able to provide more charity care with your beds? -- fewer beds? even if they maintain the same level, their plan will provide care for 1000 fewer charity care patients per year. they use their abusive market monopoly to charge 37% higher rates across the board than other northern california hospitals. according to the uc hastings school of law, they still operate at an annual overall average profit of $148 million. yet