we do not represent sutter. we do not represent them legally and we are not taking a position and legally. we do not know the facts. the facts will come out in the judicial system. supervisor campos: i agree with that. we have to allow the court proceedings take place, but we, as policy-makers, are being asked to make important decisions. one of the things that the complaint points out is a certain type of agreement, or agreements, between sutter and the insurance companies -- this is what the complaint says. "contains provisions which prevent health-care insurers, referred to as payers in the agreement, from challenging the reasonableness of the sutter hospital bill." this is accomplished through audit policies. these policies provide that question an opinion regarding medical necessity, reasonable of charges and the propriety of providers's usual and customary practices are beyond the scope of an audit and shall not be part of any audit permitted

to put sutter's plan in perspective it's important to look at what sutter provided before theythe second hospital d a few years after and the stated mission was revolutionary. st. luke's is to be a charitable hospital for the reception of all colors, nationality, and creeds. it used to have 55,000 people a year on an inpatient basis. the treated over 14,000 a year and provided through the thousand dollars. the services were documented in this list from the year 2000 provided as part of the settlement for the anti-trust a lawsuit for undermining st. luke's with illegal business practices. compare this to the original agreements. only in a red that we could keep our mission statement, keep our charity care hospital open, [chime] president olague: your welcome to finish your comment, also. >> i support rebuilding. i have a sustainable as i and later in 7 it is, and the system will architect for the rebuild. with the encouragement of the seventh is the department of the environment, the design teams of shared and pushed each other to create a hospital designs that are sustainable. in my prof

we admitted to those sutter hospitals. the other one that is not on there is the summit medical center in alameda county, which makes up their exclusively consolidated county service. ucsf, mount sinai, and community hospitals -- mount zion. that is how our hospital admissions fell out by affiliation. these are our costs by active employees total hospital costs. it will look at the trend, which is the next slide, overall, kaiser hospital costs have remained at about -- i think i just got ahead of myself -- this is the same, looking at average hospital cost per day, and other comes up the highest. i should say, those are usually out of network. when you are on a vacation and get admitted, that probably would include trauma centers, uc-davis, etc., so that falls in, but our health plans do not negotiate hospital rates with them, so we pay whatever comes up there. again, kaiser is our largest provider of care. the other hospitals charge more, but it makes for a very small percentage of our total amount. sutter is the second h

to put sutter's plan

cpmc is an affiliate of sutter health company, a hospital system that has 25 hospitals in the region, for which premium levels are assessed for san francisco. a number of news articles, many news articles, have cited their pricing power in the region as a major driver of costs, which, of course, are ultimately passed on to the consumer to increase premiums. this is happening at the same time that sutter is actually reporting massive surges in profit, to the tune of $878 million, close to that $1 billion you were referencing before, in 2010. by way of example, an article in bloomberg "businessweek" sizes -- sets prices etc. hospital as the will be 40% to 70% higher than rivals for typical procedures, but also mentions agreements with insurance companies to keep their costs secret to the point where it is difficult if not impossible for us as consumers to compare those costs. the same article revealed that aetna paid cpmc with a midpoint of $4,700 for the procedure -- let's take for example an abdominal ct scan. $4,700 paid compared to $3,200 for the same services at catholic healthcare

we are at 871 sutter st.. there are three are university apartment buildings occupied by young people who have nothing better to do, apparently, then use spray paint cans around the neighborhood. this is manifested the route last five or six months by my neighbors as well. [tone] that relates to graffiti. president chiu: thank you very much, sir. you can continue your conversation with dpw, but thank you for addressing your objection on the record. thank you. next speaker. it is two minutes per speaker, please. >> my building is located on the corner of height and bush. i have the same complaint. continually harassing us putting stuff on our walls and i have to pay extra janitorial costs and purchase special liquid to clean it. we continue doing that and then i don't understand why i'm getting zapped with a fine. i'm requesting to waive the fine. it's bad enough to be harassed by these people, on top of it in this bad economic situation, carry this extra cost and on top of it, we have to come here and waste yo

sir, you have seven minutes. >> i am the owner of ofmmc wine and spirits. 615 sutter street. i was working that day, and i like to go to the bank before it closed. i told my friend just to stand their 15, 20 minutes, i am going to the bank to drop off the change. i said asked for identification for all and tobacco. i went to the back. when i came back, he had the ticket. the problem is we don't make a lot of money from tobacco. if we stop selling tobacco, it would be a problem for the store. especially now, i have a bigger loan. if i don't pay anything, at this a lot of customers. we know we are not supposed to sell to minors and we never do it and we always ask. thank you. commissioner fung: sir, you referenced a letter from the united states marine club? i don't have it. i got out of the other commissioners have it, but i don't have that letter. >> he is very busy and i told him what happened. he told me he would send a letter. that is what happened. most of my customers are from the nine states marine club. vice president garcia: what do you sell? >> liquor, wine, tobacco,

most of this decline could be contributed to the merger between sutter held in the california health system in 1986 and acquisitions by california healthcare west, which i will attempt to show you. what we saw by 1998 is that the three largest corporations controlled 43% of the region's hospital beds, compared with 18% four years earlier. this is what our picture looks like at the moment. catholic healthcare west by st. francis and st. mary's, california pacific medical centers, the old presbyterian hospital's, kaiser hospital. i know this is really breathtakingly exciting. i'm sorry it is so slow. ucsf picked up mount zion. and, of course, san francisco general hospital and chinese hospital. showing up here in a minute. what does it cost? you will have other people talk to you about this. you already cited this i think pretty well known fact that both the most consolidated and most expensive of the counties in our state. again, just to emphasize the point, hospitals are paid $7,349 per patient per day on average compared with los angeles county, not necessarily an inexpensive place

sutter health plans to shut down the hospital saying it loses money. the emergency room serves 25,000 patients a year. doctors, nurses and community members worry that those people could overload nearby hospitals including st. rose, alameda and redden where patients already face long waits to get medical help. >> if you go to eden hospital even now there's a wait for four or five or six hours in the emergency room. >> one proposal to keep san leandro hospital open would have it merge with nearby st. rose and go public. but sutter health is not saying yet if it will accept that offer. >>> muni riders may soon find a little more room while taking trains on one of san francisco's busiest light rail lines. muni wants to add a rush hour express bus to ease overcrowding on the n judah line. that light rail line is called the workhorseful. shuttle about 38,000 passengers between ocean beach and the financial district every day. that's a lot of people out there, sal. how's the commute this morning? >>> get a lot of complaints about that line. >> i bet. >> pam,

to make as someone who just toured the mills peninsula which is going to open this sunday, built by sutter as -- tanned -- and has a very similar aesthetic and the state is actually considering thrage it because they put the -- put the lab and food service in a different building not built to the seismic standards not required of an acute care facility. so there's glitches. when they say there are two separate things they're actually taking parts of the things required to have an acute care hospital hand -- and putting it in the buildings not built to the standards required. the other thing i wanted to mention is perhaps the reason this building is so enormous is they may be doing the same thing they did in burlingame, turning an acute care hospital which was generally double rooms where a nurse would be walking down the haul and have two patients in a room here and here and when she's visiting a patient she's within earshot of three other patients now sutter is going to all single rooms for the patients and the nurses stations have within -- been broken up from having a central nursing st

who took the liberty of making an offensive reference to born a jew response from dr sutter of and in public. in the summer of says first you should apologise to my wife in public but is just refused several came up to him and slapped him in the face although not too hard the man left and officer of gleefully sent a telegram to his relief i slept him. december one thousand nine hundred seventy nine afghanistan. after a special operation to remove the leader of the tsunami soviet troops invaded afghanistan the soviet press would like to call this the international agency several didn't hold back in publicly condemning the action calling its immigration he would not be forgiven for his remarks. were we froze up to the customs keep bridge on her way to work the traffic police cars suddenly felt sorry way. driver or just surprised to turn out and go to the police and all the attackers in the way and friends open up again to make a call and. they showed their rage id carson said that they were from a tier in a district but in fact they were from the g.b. . and the driver experience they wo

. >> reporter: one of the concerns tonight is that sutter health wanting to close san leandro hospital and its emergency department that saved so many people. the community center was packed tonight, hundreds of nurses, doctors and community members helping to save san leandro hospital from being closed. >> that's going to be a couple of thousand patients a month that are going to have to be divided up into other hospitals and ers in the area. that means edon, alameda and the summit. >> reporter: san leandro's er serves about 100,000 patients a year. and some worry that if those hospitals close, they -- >> even know there is a wait for four, five, six hours in the emergency room. >>> a new study has found that in the past 20 years, one quarter of hospital emergencies have closed. everyone as patient visits increase by 30%. ers were more likely to close if they were commercially operated. have low profit margins or serve low numbers of low income patients. >> emergency departments have to see all patients regardless of their ability to pay. but there's no federal mandate to say somebody

they are all happening at 1840 sutter st. at 8:00 in the evening, i believe. it does not have the time on it. as the community is looking at the planet that you had seen at about a year-and-a-half ago. they are booking added and recommending changes. these meetings will be held to get a broader view on the plan. again, june 1, june 27, in july 31. i think scott has something. >> i just wanted to remark on the legislation on the three frontage is sponsored by supervisor mirkarimi became effective. residential units seeking a parking reduction would come to the commission. that has been changed. now residential and commercial parking -- dcr districts -- can be reviewed and reviewed against a set of criteria, and this is under section 307-i. we had a few applications submitted prior to this becoming effective. some of those will not be coming before you because of the legislative change. others will be coming before you because there required conditional use for other aspects. we have a hearing next week and i wanted to inform the commission of the change. >> goo

. >> reporter: one of the concerns tonight is that sutter health wanting to close san leandro hospital and its emergency department that saved so many people. the community center was packed tonight, hundreds of nurses, doctors and community members helping to save san leandro hospital from being closed. >> that's going to be a couple of thousand patients a month that are going to have to be divided up into other hospitals and ers in the area. that means edon, alameda and the summit. >> reporter: san leandro's er serves about 100,000 patients a year. and some worry that if those hospitals close, they -- >> even know there is a wait for four, five, six hours in the emergency room. >>> a new study has found that in the past 20 years, one quarter of hospital emergencies have closed. everyone as patient visits increase by 30%. ers were more likely to close if they were commercially operated. have low profit margins or serve low numbers of low income patients. >> emergency departments have to see all patients regardless of their ability to pay. but there's no federal mandate to say somebody

commissioner sugaya: to follow- up, powell street and sutter walgreens is in the process of restocking and read shelving the back of the store to have food items. >> even sushi? commissioner sugaya: i did not see that yesterday. >> i was going to ask if the city can look into what we can do with that situation. we have seen that a lot with formula retailers from 7-11, retailers going into certain neighborhoods that have a certain number of mom and pop stores or family own groceries. there is a concern that the impact could be great on those kinds of businesses. i was wondering, is it something that we could prohibit from happening? or limit the square footage of certain kinds of food or products? it was raised before. i think we should calendar it. we will calendar it for july 7. >> the question and support of what she was suggesting is as to whether or not the formula retailed needs to redefine or tied up. i do believe that the policy involved, while it is forward- looking policy in protection of the city being small-scale retail, which needs specific protection. you could make that t

it was the sutter hospitals. there were some hospitals down south. it was a small list, but a significant list in the sense that some of those hospitals eliminated were part of large systems. supervisor campos: thank you. >> as i was explaining, we regionally price our contacting agencies. we do that based on the actual cost of the region. i was illustrating the premium for a single party under blue shield axis-plus of the bay area is $675, compared to the same product via los angeles at $428. as the sub costs rolls up to actual premium differentials in terms of how we set premiums for our contract agencies. the state requires a single statewide rate, so you will not see the same phenomenon when we purchased for state assets. we also narrowed our physician networks to 2008. we did that for both the blue shield product as well as the p po. we added blue shield net value and first select. again, we were purchasing physician services based on this cost to quality and have allowed us to said in-house plans with in this product. for the net value product,

>> ordnance amending the san francisco planning code by establishing the presidio-sutter special use district. >> it is wanted to continue this to the call of the chair. supervisor mar: let's open is up to public comment. are there any members of the public like to speak? cnn, public comment is closed. we have a motion to continue to item no. one to call of the chair. -- seeing at 9, public comment is closed. is there any other business before us? meeting adjourned. thank you, everyone. >> thank you. good morning, everybody. thank you for coming today. we are going to highlight once again the importance of san francisco putting local residents back to work and reviving our local economy. as some of you may recall, last september, we announced the city would have its own modified version of the federal jobsnow program. because congress failed to act, the city partnered with local businesses to keep san franciscans working, and we call it jobsnow2. as a result, we have partnered with over 100 businesses and employed over 500 local residents, with 70 of them working in the private secto

>> ordnance amending the san francisco planning code by establishing the presidio-sutter special use district. >> it is wanted to continue this to the call of the chair. supervisor mar: let's open is up to public comment. are there any members of the public like to speak? cnn, public comment is closed. we have a motion to continue to item no. one to call of the chair. -- seeing at 9, public comment is closed. is there any other business before us? meeting adjourned. thank you, everyone. captioned by the national captioning institute --www.ncicap.org-- supervisor chu: hello, and welcome to the regular meeting of the budget and finance committee. we will be joined shortly by supervisor chiu. our klerk today is mr. victor young. mr. young, do we have any announcements today? >> yes, please turn off all cell phones. if you wish to speak during public comment, please submit a speaker card to myself. items that the upon today will appear in the board of supervisors agenda on may 24 unless otherwise stated. supervisor chu: thank you very much. today we have our first day of budget hearings

example from sutter, from steiner to fillmore, there is such a place, garage was turned into a condo. but you go through this archway and it's all part of the garage. then behind it where you can't see it too well from the street, our housing and there's a beautiful courtyard there, wonderful use of it. i think we miss these garages. they give so. texture to the neighborhood. main thing is they were used -- my great grandmother used to reminisce about the stable boy. they were stables in the 19th century. >> thank you. appreciate it. next speaker. >> my name is zack stewart. as americans we do real well with indulgences like -- like derivatives, automobiles, pensions and not so well with restraints, like not filling the bay. in my experience in williamsburg, stanford, university of california, mt. rainier national park and other places is projects that get studied thoroughly always come out better, the ones that are rushed through. historic preservation commission is absolutely essential to taking san francisco, which is tiny and filtering out the developers who want to do something h

they will be on montgomery bush sansom sutter again that's this saturday between 6 a.m. until 8 p.m. we are not hearing about any street closures and people can access the area. just watch out. bay bridge toll plaza so far, so good. we also have bay to break up this sunday. back to you guys. >> thank you. streets will be wild saturday and sunday now. >> you live right downtown in the middle of it. >> i do. i got up this morning, corner of powell and market there were 15 cop cars in front of my house. >> already putting up the barricades and getting ready for it on sunday. not as much drinking but probably some naked people. >> bay to breakers, i mean, come on. >>> we have a sobering message to partiers. this won't be a normal bay to breakers. the changes to this weekend's race. >> how a talking camera is keeping one bay area city safe and the privacy concerns it's now raising. >>> we have a lot of love-hate relationships in the valley. >> plus, facebook not so friendly the nasty pr campaign being waged against its biggest rival. ,,,,,, ,,,, san francisco. a place with na

>> ordnance amending the san francisco planning code by establishing the presidio-sutter special use district. >> it is wanted to continue this to the call of the chair. supervisor mar: let's open is up to public comment. are there any members of the public like to speak? cnn, public comment is closed. we have a motion to continue to item no. one to call of the chair. -- seeing at 9, public comment is closed. is there any other business before us? meeting adjourned. thank you, everyone.

yes, sutter is a valued member, as well as all the rest of the hospitals, but we believe that hospitals will act in the best interest and built and act in accordance to law. we would like to see the facts play out. we are not in a position to make a comment on that particular case. supervisor campos: if you are a consumer watching this hearing and paying attention, can your association guaranteed to those of us who are patients, who are paying for these costs, that those types of agreements are being entered into by hospitals and insurance companies? >> cha is not in a position to make any guarantees on behalf of any hospital. supervisor campos: ok, well, thank you very much. the one thing i would say -- hopefully somebody in the city's attorney's office is watching. we will send a copy to the second amended complaint to them. there are some very serious issues indicated here. if we are talking about the city's costs in the coming year being projected close to half a billion dollars, and these practices are going on, then our city attorney's office needs to be aware and decide if any ac

>> ordnance amending the san francisco planning code by establishing the presidio-sutter special use district. >> it is wanted to continue this to the call of the chair. supervisor mar: let's open is up to public comment. are there any members of the public like to speak? cnn, public comment is closed. we have a motion to continue to item no. one to call of the chair. -- seeing at 9, public comment is closed. is there any other business before us? meeting adjourned. thank you, everyone. >> welcome to culture wire. we will look at the latest and greatest public art project. recently, the airport unveiled the new state of the art terminal. let's take a look. the new terminal service and american airlines and virgin america was designed by a world- renowned architecture's firm. originally built in 1954, the building underwent massive renovation to become the first registered terminal and one of the must modern and sustainable terminals and the united states. the public art program continues its 30-year legacy of integrating art into the airport environment with the addition of five new

placed second tier opposition in iran yet they went through from their quarter final after opponents sutter went out of business. all over in spain barcelona and clinched their third consecutively title this wednesday evening for a win at me table live on take that celebrations were put on ice at least for twenty four hours by rail madrid for know how to win over the f.a. on tuesday was allowed to hold a five point lead for roy out at the top with three games left to play and even before a out kicked off instead they pass a coach at guardiola said he was just concentrating on beating the next opponents. the real winner would really go first we need to win the league and usurpation for instils this lessons we can't deny that it is very close but let's not anticipate things we can't control the outcome of madrid first the script after that it is best to concentrate on how we can defeat. but in england match the city have ensured they will play champions league football next season for the first time after securing at least fourth place in the premier league with a one zero home win over rival

who took the liberty of making an offensive reference to born a jew response from dr sutter of and in public. school summer of said first you should apologise to my wife in public others less refused summer of came up to him and slapped him in the face although not too hard the man left the end of the summer of gleefully such a telegram to his relief ice let him. december nineteen seventy nine afghanistan. after a special operation to remove the leader of his long arm soviet troops invaded afghanistan the soviet press would later called this the international security center of didn't hold back in publicly condemning the action calling its integration he would not be forgiven for his remarks. we drove up to the coastal can skip reach one hundred ways to work the traffic police cars suddenly got a way well driver which surprised it sounds and walked to the police not at all the data closer to the re and from so canals and into medline and. they showed a razor edge and a compass and said that they were from a seal in a district but in fact they were from the k.g.b. . and the driver trai

when andre sutter of was in exile we did our best to preserve his office your rule nobody took his place at table you sign bearing his name was still hung on the door of the study that was attached to the in a side of the door and we separated by the wall got at the song where you stated. no official soviet establishment supposed to enforce the law has taken responsibility for the fact of the ports haitian it is only up to the courts to establish if someone's innocence or to determine the measure of punishment and a trend of imprisonment my case is glaring unlawfulness. meanwhile in gold key all a sucker rolls and bonus potential contacts were under k.g.b. surveillance. when the academic arrived in the city even the manager of the local pharmacy was specially instructed by the k.g.b. on how to behave sack of suddenly show up a state security officer approached me show his id card and instructed me as to how i was to serve sucker of i was warned if he happens to ask for permission to make a phone call i was to tell him that. in one thousand nine hundred eighty resilient and or a smidgen o

from physical and mental disability bases addiction well they're building needs urgent repairs at the sutter has nowhere else to go artistic side of work and has more. they matter a few months ago by new it timid six year old with a developmental disorder and casper by day she is beluga whale is slightly asymmetrical feigns forty minutes in the pool twice a week and one is mother can already see the difference because it's even though i can see that he's opening up to the world he's become more confident and most sociable and it happens without any drawbacks of side effects the ana is one of several thousand children who have received don't think they're a p at the moscow dolphinarium that is until the studio is ordered the dolphins and their trainers all out of this bulls fighting on faith utility bills and crumbling infrastructure so this building wasn't designed to handle large quantities of. the soldiers ravaged structures and the building could collapse like a house of cards at any moment. but still it is indeed in need of repair yet while asking the dolphinariums of a kid to promise th