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SR 12-06-2016 8A Ci ty Council Report City Council Meeting : December 6, 2016 Age nda Item: 8.A 1 of 42 To: Mayor and City Council From: David Martin, Director, Planning and Community Development , Planning & Community Development, City Planning Subject: Providence Saint John’s Health Center Development Agreement Amendment Float -Up Discussion Recommended A ction It is recommended that the Council: 1. Discuss the Applicant’s proposed Development Agreement Amendment request to allow Planning Commission, or City Council on appeal, to exercise its discretion, pursuant to SMMC Section 9.37.090, to provide extend ed expiration dates for one or more of the eight originally -proposed Development Review Permits for Phase Two buildings. The proposed expiration date for each building would range between 21 and 233 months based on the five phases of development proposed f or the Phase Two project. 2. Discuss whether the Applicant’s vested rights should be extended, and if so, to what extent. 3. Discuss the staff -proposed procedural amendment to the Development Agreement to establish an alternate framework for Phase Two ve sted rights and a phasing plan. 4. Discuss whether to consider project alternatives through project negotiations and/or environmental review. This could include potential changes to the total overall floor area for Phase Two, the allocation of floor area between approved uses, the size/scale of one or more buildings, the circulation/access plan, and trip reduction measures required with the project. 5. Identify what, if any, additional objectives, including desired community benefits, the City should inc lude in its negotiations with the Applicant. Executive Summary The Applicant, Providence Health & Services (“Providence”), proposes a second amendment to its previously -approved Development Agreement with the City of Santa Monica for Phase Two Development at the Providence Saint John’s Health Center campus (“PSJHC” or “Health Center”) located at 2121 Santa Monica Boulevard. The 2 of 42 original Development Agreement was executed in July 1998 with a 55 -year term to guide phased reconstruction and future development of Saint John’s Health Center after the 1940s -built hospital sustained substantial damage from the 1994 Northridge earthquake. The Development Agreement authorized vested rights for two phases of development on Saint John’s -owned property. Phase One de velopment consisted primarily of rebuilding core hospital facilities and creating a new plaza on Santa Monica Boulevard and was substantively completed in 2013. The Development Agreement established the parameters for Phase One rebuilding and required an a nnual community benefit plan for the 55 -year term of the Agreement. A first amendment to the Development Agreement was approved by the City Council in 2011 principally to address how Phase One parking would be provided by the Health Center. Providence has proposed Phase Two development in accordance with the vested rights for up to 799,000 SF of floor area and permitted uses authorized by the Development Agreement. The Phase Two project is located on Applicant -owned parcels on both sides of Santa Monica B oulevard and proposes a health care campus to expand the services currently provided by the hospital’s diagnostic and treatment center, in -patient suites, an emergency department, and a medical research facility (John Wayne Cancer Institute and Research Ce nter). North Campus development would occur on three sites: two building sites are located on the east and west sides of the existing Entry Plaza, and one building site is located mid -block along 20 th Street between Santa Monica Boulevard and Arizona Avenu e. South Campus development would occur on five sites where the current John Wayne Cancer Institute and two surface parking lots are located south of Santa Monica Boulevard. Consistent with the procedural requirements for Phase Two development set forth in the Development Agreement, a proposed Master Plan to guide the development of the Health Center’s South Campus was submitted by Providence in February 2015. Development Review Permit applications for the eight originally -proposed Phase Two buildings lo cated on both the North and South Campuses were filed in March 2015. All of these required applications (“Phase Two Project” or “Phase Two”) were submitted and deemed complete prior to the July 9, 2015 Phase Two Vesting Deadline established by the Developm ent Agreement. Phase Two applications were submitted following completion of Phase One reconstruction of the diagnostic and treatment center and in -patient suites, and construction of the new Entry Plaza on Santa Monica Boulevard. Providence is proposing an amendment to the Development Agreement that would allow the Planning Commission, or City Council on appeal, to exercise its discretion, pursuant to Santa Monica Municipal Code (SMMC) Section 9.37.090, to extend the expiration dates for each of the eigh t Development Review Permits in five phases, over a twenty year period. As discussed more fully in this report, the Applicant has made this request because it is unable to construct the entire Phase Two Project within the timeframes currently provided by t he Development Agreement. Providence has also stated that this amendment is necessary because it must maintain current Health 3 of 42 Center operations and provide required parking through the duration of Phase Two construction, and it would allow Providence to f ocus on priority elements of the Phase Two Project in the near -term, while having assurance that longer -term future development at the Health Center can occur in response to changing community health care needs. While the Applicant has requested a narro w amendment allowing the extension of the vesting schedule under the Development Agreement, the City Attorney's office has advised that the Planning Commission and City Council may retain full discretion over an amended vesting schedule and may seek addit ional community benefits in consideration for any amendment to the Development Agreement, given that if no amendment were authorized, the Applicant's existing vested rights would terminate if not exercised in accordance with the existing schedules in the D evelopment Agreement. The heart of the issue before the Council is whether to move forward with a time extension for Phase Two and, if so, what, if any, other elements of the existing Development Agreement should be renegotiated. Both the Planning Commi ssion and City staff offer recommendations to the Council, as discussed below. Council, of course, understands the balance of interests involved. On the one hand, long -term planning for providing health care in today’s changing landscape requires a level of predictability and flexibility for an institution like Providence Saint John’s Health Center to survive in a competitive marketplace and continue its legacy of service to the community. Of equal importance are the interests of affected residents and b usinesses in the area impacted by the growth and daily operations of a major institution like the Health Center. In contrast to UCLA Medical Center, which as a state agency is essentially exempt from local land use regulation, Providence Saint John’s Heal th Center must navigate the challenges of serving its core mission, being a good neighbor, and collaborating with the City on orderly long -range planning. The Applicant’s Development Agreement amendment proposal was presented to the Planning Commission on April 27, 2016. After an extensive discussion, the Planning Commission supported staff’s recommended procedures as a substitute for the Applicant’s proposal and provided feedback on a host of project components including site planning and design, circula tion, mix of uses, parking, and the requested extension of time to build out Phase Two project over an extended period. Accordingly, this report recommends Council authorize staff to initiate negotiations with the Applicant in conjunction with the reques t for an extension of time to complete the Phase Two Project, subject to the Development Agreement amendments described herein to establish the following:  Phase Two Project Master Plan – Currently, the Development Agreement specifies that the Planning Com mission takes action on a South Campus Master Plan – for South Campus development sites only – with Council review only on an appeal of the Commission’s action. Staff believes that it would be prudent for the Council to consider a procedural amendment that would establish Council’s 4 of 42 authority to review and take action on a comprehensive Phase Two Project Master Plan not only because of the large scope of development contemplated, but also because of the traffic circulation changes and integration of the Nort h and South Campuses contemplated by the Phase Two Project as a whole. This change would comport with the quasi -legislative character of the a master plan and would require that all Phase Two development, on both the north and south campuses, be consistent with the Phase Two Project Master Plan.  Comprehensive Phasing Plan – As part of the Master Plan, staff recommends establishment of a Phase Two Project Phasing Plan to provide a framework for comprehensive and integrated review of the Phase Two Project, a nd orderly build -out of the project beyond the timeframes currently authorized by the Development Agreement. This approach would provide a timeline and framework for phased review for each of the Phase Two buildings and a schedule of performance for assoc iated infrastructure, community benefits, and site features over an approximately 20 year period. With this recommended approach, the Applicant would not be required to obtain Development Review Permit approval of all of its proposed development within th e timeframe currently necessitated by the existing vesting deadlines in the Development Agreement. In light of the Planning Commission’s recent feedback and staff’s recommendations, the project description provided in this report reflects several modifi cations to the order in which certain improvements would be constructed, revisions to the parking structure proposed on the north campus, and the addition of two small café buildings on the north and south campus plazas. The greater level of detail and b ackground discussion provided in this report regarding the Development Agreement and the Applicant’s Phase Two proposal has been provided to help inform Council’s evaluation of the potential benefits, challenges, and trade -offs associated with the Applican t’s request for an extension of time to build out the Phase Two Project. More specifically, this report provides the following information: 1. Summary of Phase One Project pursuant to 1998 Development Agreement 2. Phase Two Project Description for Applicant’s South Campus Master Plan & North Campus sites 3. Applicant -proposed phasing plan and amendment request (Attachment “C”) 4. Proposed procedural amendment to establish Council review of a Phase Two Master Plan 5. Conceptual discussion of an amendment to establish a framework for Phase Two vested rights and a comprehensive Phase Two Project Phasing Plan 5 of 42 6. Summary of the April 27, 2016 Planning Commission discussion 7. Potential community benefits, in addition to current requirements 8. Next steps Additionally, summary des cription of current Phase Two procedural requirements established by the 1998 Development Agreement is included as background information in Attachment “A” to this staff report. Staff recommends that the Council focus on several key issue areas during i ts preliminary discussion of the Applicant’s request for an extension of time to build out the Phase Two Project: 1. Discuss the Applicant’s proposed Development Agreement Amendment request to allow Planning Commission, or City Council on appeal, to exercis e its discretion, pursuant to SMMC Section 9.37.090, to provide extended expiration dates for one or more of the eight originally -proposed Development Review Permits for Phase Two buildings. The proposed expiration date for each building would range betwee n 21 and 233 months based on the five phases of development proposed for the Phase Two project. 2. Discuss whether the Applicant’s vested rights should be extended, and if so, to what extent. 3. Discuss the staff -proposed procedural amendment to the Developmen t Agreement to establish an alternate framework for Phase Two vested rights and a phasing plan. 4. Discuss whether to consider project alternatives through project negotiations and/or environmental review. This could include potential changes to the total ov erall floor area for Phase Two, the allocation of floor area between approved uses, the size/scale of one or more buildings, the circulation/access plan, and trip reduction measures required with the project. 5. Identify what, if any, additional objectives, including desired community benefits, the City should include in its negotiations with the Applicant. Project / Site Information Providence Saint John’s Health Center is located along Santa Monica Boulevard between 20 th Street and 23 rd Street. The faci lity’s North Campus is located between Santa Monica Boulevard and Arizona Avenue with the main hospital on Santa Monica Boulevard and the emergency department entrance on Arizona Avenue. The South Campus is located between Santa Monica Boulevard and Broad way and includes the 6 of 42 John Wayne Cancer Institute, and the Health Center’s MRI building and surface parking lots. Site information and photos are provided on the following pages. Providence SJHC along Santa Monica Boulevard / 23 rd Street / Arizona Avenue Providence SJHC Phase Two North Campus Sites 7 of 42 Background Providence Saint John’s Health Center is a non -profit hospital and health care facility t hat was originally built in 1942 on Santa Monica Boulevard between 20 th and 23 rd Streets in the Mid -City neighborhood. After sustaining significant damage in the 1994 Northridge Earthquake, a plan for phased reconstruction and expansion of the hospital’s North and South Campuses was authorized in July 1998 with approval of a Development Agreement between the City and the Sisters of Charity of Leavenworth on behalf of Saint John’s Health Center. Zoning District: HMU (Healthcare Mixed -Use District) Providence Sa int John’s Health Center North and South Campuses LUCE: Healthcare District Existing On -Site Improvements: (A) Providence Saint John’s Health Center & Entry Plaza – 2121 Santa Monica Blvd (1942 / 201 3) ~475,000 SF (B) Providence Saint John’s Child & Family Development Center – 1339 20 th Street (1961) ~34,670 SF (C) Commercial building (vacant) – 2221 Santa Monica Blvd (1970) ~10,551 SF (D) John Wayne Cancer Institute and Research Center – 2200 Santa M onica Blvd (1951) ~55,055 SF (E) 10 -unit apartment building (vacant) – 1417 21 st Street (1948) (F) MRI Building (G) Surface parking lots Rent Control: Ten rent -controlled units (vacant) Adjacent Zoning Districts and Land Uses: R2, R4, M UB, HMU, MUBL, GC: Medical office & services, single - & multi -family residential, assisted living, commercial, institutional, creative office & studios B A C D E G G G F = Phase Two development sites 8 of 42 The 55 -year term of the Development Agreement ends on July 9 , 2053. The First Amendment to the Development Agreement was authorized by Council in 2011, in large part, to modify the way the Health Center would be required to provide parking for the Phase One project. Phase One Development The Development Agreement granted approval for construction of new hospital facilities in two phases. The Phase One Project consisted of vested rights, subject to extension, for the construction of a new 475,000 SF hospital consisting of the following components:  Below -grade cent ral plant  Inpatient Center (205,000 SF and a maximum height of 75 feet)  Outpatient and Diagnostic & Treatment Center (265,000 SF and a maximum height of 58 feet) with an emergency department and North Lawn  Main Entry Plaza on Santa Monica Boulevard Phase One Community Benefit Summary As part of the original Development Agreement approved in July 1998, and the first amendment to the Development Agreement approved in June 2011, a number of substantial community benefits were negotiated for inclusion in the project; these include the following one -time and ongoing programs, contributions, and facilities: One -time:  North Lawn: 41,000 SF outdoor area with landscaping and walkways.  Off -site Traffic Mitigation Improvements : one -time payment of a minimum of $332,000 in fees to the City to construct improvements.  Off -Site Public Works Improvements: one -time payment of $641,000 in fees to the City to construct sidewalks, curbs, streetlights, and street paving in the project area.  Off -Site Transit Improveme nts: $100,000 contribution for Memorial Park light rail station upgrades (required by First Amendment). 9 of 42 Ongoing:  Child Care Program: provide a minimum of 49 full -day child care for employees and the community. 21 of these spaces must be for infant/tod dler care.  Transportation Demand Management Program: employee trip reduction program enhancements (required by First Amendment).  Light Rail Shuttle: 15 -month requirement to operate shuttle to/from Memorial Park light rail station starting within six mont hs of the Expo light rail opening unless duplicative public transit service is provided by the City (required by First Amendment). Beginning in Spring 2016, PSJHC started funding a Big Blue Bus Transit Pass Program for all Health Center employees and i ts contract employees. The program provides them with unlimited Big Blue Bus use. This Service Agreement funds a service enhancement along Big Blue Bus routes 41 and 42 by establishing a 15 -minute frequency during peak hours along the route that includes s ervice to the Health Center.  Neighborhood protection measures: eleven requirements including establishing a community Ombudsperson, providing a reduced valet rate for parking 90 minutes or less, one -time payment of $30,000 for installation of a crosswalk at 21 st Street/Arizona Avenue, and one -time payment of $15,000 for a pedestrian safety study (required by First Amendment).  Annual Community Benefit Program : CA State required plan for non -profit hospitals to support the health and well -being of Santa Mo nica residents and the community and also required by the 1998 Development Agreement for the full 55 -year term of the Agreement. The City established the annual Community Benefit Program as a requirement of the original Development Agreement to ensure that if the Health Center is sold to a for -profit entity during the 55 -year term of the Agreement, the new owner would be required to provide the community benefit program on an annual basis for the full 55 -year term.  Santa Monica Community Access Plan: The S anta Monica Community Access Plan is a required component of the annual Community Benefit Program, per the Development Agreement. It identifies local recipient agencies, dollar value, and level of service provided to non -profits and the Santa Monica -Malibu Unified School District. The plan also documents the charitable medical and mental health services, free health education, and preventive health services provided to the local community. 10 of 42 Minimum $732,000 dollar value subject to 1.5% compounded annual adj ustment. During calendar year 2014, health services valued at $5,876,605 were provided where a total of $928,897 was required. Phase One Construction Milestones Significant construction milestones for Phase One included completion of the in -patient suites in 2005, completion of the diagnostic and treatment center in 2009, and demolition of the south and east wings of the original hospital building in 2010. Today’s North Campus, comprised primarily of the in -patient suites, diagnostic and treatment center, and emergency department is smaller in size and number of licensed beds in comparison to the pre -1994 hospital facility:  1994 hospital pre -earthquake: 662,000 SF and 501 licensed hospital beds  2013 hospital redeveloped: 475,000 SF and 265 licensed hospital beds As noted above, the City Council approved a first amendment to the Development Agreement in July 2011 primarily to modify the Health Center’s Phase One parking obligations. In lieu of constructing the originally -approved North Campus subter ranean parking garage, the amendment requires the Health Center to provide at all times on - and off -site parking to meet the peak parking demand of its various user groups (visitors, patients, physicians, scientists, and staff). The amendment also requir es the Health Center to provide at all times parking that is functionally equivalent to the previously -approved 443 -space garage (i.e., owned spaces or spaces subject to specific lease terms). The amendment further requires implementation of an annual park ing management plan and authorized changes to the design of the Entry Plaza that is accessed from Santa Monica Boulevard. Following approval of the First Amendment to the Development Agreement, the new Entry Plaza on Santa Monica Boulevard was constructe d and it opened for use as the primary entrance to the Health Center in October 2013. The opening of this feature marked the substantive completion of the Phase One Project authorized by the Development Agreement. 11 of 42 Providence Health and Services assumed f ull sponsorship of Saint John’s Health Center from the Sisters of Charity of Leavenworth in January 2014. The transfer of sponsorship was completed as Phase One construction was nearing completion. Providence is now the sole sponsor of Saint John’s Health Center, the John Wayne Cancer Institute, and all clinics and centers associated with the Health Center that has a total of approximately 1,700 employees. City staff worked with Providence during its due diligence review and sponsorship transition to clari fy the requirements of the Development Agreement and provide a detailed overview of the key issues and community concerns that were associated with Phase One development and the First Amendment. Phase Two Development Process Development Agreement Section 3.8 specifies that there is a 17 -year vested rights term for Phase Two (i.e., until July 2015), subject to extension and requirements for timely submittal of certain applications to maintain these vested rights beyond the July 2015 vesting deadline. The purpose of Phase Two is to implement a second development plan with sufficient floor area for health care -related uses, open space, and parking as outlined in the Agreement. The Development Agreement includes maximum floor area (i.e., square footage) and permitted uses that Providence has a vested right to develop on each of the three North Campus Designated Areas slated for Phase Two development. Maximum allowable building heights ranging from 70 -95 feet and required building setbacks are also identified for these three North Campus sites. For the South Campus, the Development Agreement provides a vested right to develop a maximum total floor area and a vested right to develop permitted uses, subject to City approval of a Master Plan for the South Campus . In addition to the Master Plan requirement for the South Campus, all Phase Two buildings require City review and approval of Development Review Permit applications. Further, the Agreement specifies that South Campus buildings cannot be approved unles s the Master Plan for the South Campus has also been approved. 12 of 42 North Campus development is currently not a required component of the Master Plan and approval of North Campus Development Review Permits does not currently require prior or concurrent Master Plan approval. Consistent with Development Agreement requirements, applications for a South Campus Master Plan and eight Development Review Permits for all Phase Two buildings were timely submitted prior to the Phase Two vesting deadline in July 2015. These applications were submitted February 5, 2015 and March 31, 2015, respectively. The Development Agreement Amendment application was also submitted to the City on March 31, 2015. All applications submitted in conjunction with Phase Two development wer e reviewed by City staff and deemed complete on June 5, 2015. Attachment “A” to this report provides a summary chart of Development Agreement Milestones from 1998 to 2015. Environmental review pursuant to the California Environmental Quality Act (CEQ A) is required for all Phase Two development. Environmental documentation will be prepared and then reviewed during future public hearings when the Master Plan, Development Review Permits, and Development Agreement Amendment are formally considered by Plan ning Commission and City Council. Discussion Project Description and Phase Two Vested Rights The parameters of the Phase Two project were developed following a needs assessment process conducted by Providence after assuming sponsorship of the Health Cent er in 2014 and have been revised based on outreach with community members, early review with City staff, and following Planning Commission’s April 27 th preliminary discussion of the proposed amendments and project concept. The Applicant has stated that th e Phase Two Project incorporates the research, recommendations and priorities gathered from Providence’s executive team, physicians, clinicians, staff, administrators, and community health care service providers – and 13 of 42 focuses on developing a state -of -the -a rt medical care and research center in the community building that features a new medical research facility for the John Wayne Cancer Institute, expanding ambulatory and acute care services, and supporting health and wellness education in the community. The project also includes a new and expanded Child and Family Development Center and new visitor housing. Finally, the Development Agreement requires replacement of the existing ten units of multi -family housing existing on the site. The Applicant proposes that two of the ten units would be deed -restricted affordable. The vacant apartment building to be removed is located behind the John Wayne Cancer Institute with frontage along 21 st Street. With respect to Phase Two Project community benefits, the 1998 Development Agreement requires continuation of all Phase One community benefits, along with the following:  An amended Community Access Plan to ensure that a reasonable number of Santa Monica residents who are unable to afford fees and memberships will ha ve access to Phase Two’s community -oriented facilities.  Minimum 35% open space on the South Campus.  An expanded Phase One child care program to address the child care needs generated by the Phase Two development. While the 1998 Development Agreement do es not require Phase Two North Campus buildings to be incorporated in the Master Plan for the South Campus, and approval of the Master Plan is also not a prerequisite for review or approval of North Campus buildings, the Applicant has studied both campuses and proposed a Master Plan that functionally integrates the Phase Two building sites on the North and South Campuses as shown in Figure 1. 14 of 42 View from Inside the Education & Conference Center (Building S4) (left); North Campus Parking Structure (Building 2I) (right) 15 of 42 More specifically, Phase Two integrates health care -related uses, buildings, open space, parking resourc es, circulation, and consistent architectural design across the North and South Campuses. Along with an overview of the Proposed Phase Two Project, the following section provides a summary of the vested uses and floor area authorized by the Development Agr eement for Providence Saint John’s Health Center. The Development Agreement authorizes a total Vested Floor Area for Phase Two development equal to 744,000 SF above -grade and an additional 55,000 SF below grade. This floor area is divided between the Nor th and South Campuses. Figure 1 identifies all of the proposed Phase Two sites on the North and South Campuses with the aggregate vested floor area authorized by the Development Agreement as well as the maximum building heights/stories identified in the Ag reement as development standards for the North Campus. Figure 1: Providence SJHC Phase Two Development Sites and Vested Floor Area Maximum Vested Floo r Area Phase Two 799,000 SF 16 of 42 North Campus Buildings The Development Agreement identifies three specific development sites on the North Campus and maximum building heights and stories for each, in addition to maximum allowable floor area. This is in contrast to the South Campus where specific development sites and building heights/stories were not specified in the Development Agreement. The total Vested Floor Area for North Campus Phase Two development is 347,000 SF of above -grade floor area and 55,000 SF of below -grade floor area (402,500 SF total). The Applicant is currently proposing three main North Campus buildings, plus the café, with up to a total of 343,500 SF of above -grade floor area and approximately 26,000 SF of b elow -grade floor area:  North Campus Building 2I – North Campus Parking Structure  North Campus Building 2C – West Ambulatory & Acute Care Building  North Campus Building 2D/2E – East Ambulatory & Acute Care Building  North Campus Building at Entry Plaza – C afé Kiosk In response to City staff’s comments provided to the Applicant regarding necessary intersection and circulation improvements along Santa Monica Boulevard, the Applicant has further studied the 2C and 2D/E development sites since Planning Commiss ion’s review in April and revised the proposal. North Campus sites 2C and 2D/2E are identified in the third and fifth phases of development and are now proposed with less floor area than permitted and with building heights consistent the Development Agreem ent. The Applicant has also included in the current submittal a 1,500 SF café that would be located at the existing Mullin Plaza in order to in order to create a pedestrian -oriented amenity in the open plaza area. As more study and refinement of north c ampus circulation improvements is conducted, further evaluation of programmatic needs and 17 of 42 north campus building floor plates will be completed by the Applicant during the review process. South Campus Buildings The Phase Two South Campus Master Plan Area has a total land area of 225,550 SF (approximately 5.17 acres). Land area includes Providence -owned sites on both sides of 21 st Street between Santa Monica Boulevard to the north and Broadway to the south. The Master Plan incorporates proposed five build ings on the South Campus. The Development Agreement authorize 396,500 SF of Vested Floor Area plus 10 units of replacement multi -family housing. There is a minimum 35% open space requirement for the South Campus. The Master Plan includes 396,500 SF of floo r area and provides the 10 replacement units and the 35% open space required. Since the Planning Commission’s discussion in April, the Applicant has incorporated a small, 900 SF café that would be located in the open space area/plaza on the South Campus:  South Campus Building S2 – Multi -Family Replacement Housing  South Campus Building S3 – West Ambulatory Care & Research Building  South Campus Building S1 – Child & Family Development Center  South Campus Building S4 – East Ambulatory Care & Research Bu ilding / Education / Conference Center  South Campus Building S5 – Visitor Housing  South Campus Building S6 – Café at South Campus Plaza Attachment “B” to this report provides more specific information about each of the Phase Two buildings on the North and South Campuses, including proposed floor area, building height, and uses. 18 of 42 The two following tables provide a summary of proposed Phase Two floor area compared to the vested floor area authorized by the Development Agreement and, for reference, to the floor area permitted by the current Zoning Ordinance for a Tier 2 project in the Healthcare Mixed -Use District (SMMC Section 9.13.030). Note that the Development Agreement allows North Campus floor area to be reallocate d between the three North Campus sites, subject to approval of Development Review Permits for each building. Figure 2: Providence SJHC Phase Two Development Sites 19 of 42 Table 1: Providence SJHC Vested Floor Area vs. Proposed Phase Two Project Phasing Plan Stage Development Agreement Vested Floor Area P hase Two Project Proposed Floor Area 2I North Campus Parking Structure 2C West Ambulatory Care & Research Building 2D/E East Ambulatory Care & Acute Care Building (** includes 157,000 SF of above -grade parking instead of other permitted, medical -related uses) North Campus Total Stage B Stage C Stage E 137,500 SF above -grade 120,000 SF above -grade 30,000 SF below -grade 90,000 SF above -grade 25,000 SF below -grade 347,500 SF above -grade 55,000 SF below -grade 402,500 SF T otal 160,000 SF** above -grade 112,000 SF above -grade 6,000 SF below -grade 70,000 SF above -grade 20,000 SF below -grade 343,500 SF above -grade ** 26,000 SF below -grade 369,500 SF Total S3 West Ambulatory Care & Research Building S2 Multi -Family Housing S1 Child & Family Development Center S4 Ambulatory Care & Research Building / Education / Conf. Center S5 Visitor Housing S6 Plaza Café South Campus Total Stage A Stage A Stage A Stage D Stage D Stage D 10 u nits up to 100 units 396,500 SF 123,000 SF 10 units / 17,000 SF 34,500 SF 199,300 SF 30 units / 38,000 SF 900 SF 396,500 SF Phase Two Project Total 744,000 SF above -grade 55,000 SF below -grade 799,000 SF Tot al 740,000 SF above -grade 26,000 SF below -grade 766,000 SF Total** - 96,525 SF (demo existing buildings) 669,475 SF Total (net new) 20 of 42 Table 2: Providence SJHC Comparison of Above -Grade Floor Area 2015 Zoning Ordinance Healthcare Mixed -Us e District Tier 2 (2.5 FAR) Maximum Above -Grade Floor Area 1998 Development Agreement Vested Above -Grade Floor Area Proposed Phase Two Project Proposed Above -Grade Floor Area South Campus (225,500 SF parcel area) 563,750 SF 396,500 SF 396,500 SF North Campus 2I (45,000 SF parcel area) 2C (37,000 SF parcel area) 2D/2E (39,000 SF parcel area) 112,500 SF 92,500 SF 97,500 SF 137,500 SF 120,000 SF 90,000 SF 160,000 SF 112,000 SF 70,000 SF Phase Two Above -Grade Floor Area 866,250 SF (2.5 FAR @ Tier 2) 744,000 SF (2.15 FAR) 741,687 SF (2.14 FAR) Phase Two Circulation and Access Providence has proposed a Master Plan and Phase Two project that introduces substantive changes to the street network in and around the Health Center. The plan includes three new streets; partial closure and modifications to 21 st Street (existing); a new walk -street adjacent to the proposed Saint John’s Square; and modifications to the existing Nor th Campus Entry Plaza that provides access to the main hospital. North Campus Entry Plaza Modifications In response to comments from City staff and Planning Commission, Providence is proposing to modify the existing ingress and egress driveways from the Entry Plaza on the North Campus along Santa Monica Boulevard to align with the proposed, new 20 th Place and 22 nd Street on the South Campus. The original Master Plan submittal maintained the existing North Campus Entry Plaza in its current configuration. 21 of 42 With two new streets proposed on the South Campus, the original design included a series of five T -intersections on Santa Monica Boulevard between 20 th and 23 rd Streets. This design resulted in three of these five intersections having un -signalized turn pockets. Accordingly, staff recommended that the Applicant re -study the Santa Monica Boulevard corridor to resolve these circulation conflict points. Figure 3: Original Phase Two Circulation Plan (March 2015) 22 of 42 The Applicant’s revised circulation plan proposes to widen the footprint of the existing Entry Plaza on the North Campus so its existing signalized ingress and egress driveways on Santa Monica Boulevard would align with the new 20 th Place to the west to the new 22 nd Street to the east. This revised design is superior as it cre ates only two four -way intersections between 20 th and 23 rd Streets and allows vehicles and pedestrians to cross more safely at two consolidated and signalized intersections on Santa Monica Boulevard. This revised Entry Plaza design would require an Amendme nt Figure 4: Revised Phase Two Circulation Plan (December 2016) 23 of 42 to the Development Agreement to memorialize the change to the Entry Plaza site plan that was previously approved in 2011. The Master Plan proposes an enclosed pedestrian bridge across Santa Monica Boulevard at the third floor of the proposed West Ambul atory Care Building and Research Center (S3) to the North Campus building on the west side of the Entry Plaza (2C). The Applicant has proposed this primarily for patients needing transportation between the treatment areas on the North and South Campuses. C ity staff has expressed concern about the pedestrian bridge across Santa Monica Boulevard from an urban design standpoint as it increases the perceived scale of the project and may draw pedestrians away from the street level. Two tunnels underneath Santa Monica Boulevard are also proposed as part of the last phase of development to connect the North and South Campus subterranean garages. Project components that involve vacating a street, tunneling beneath public streets, potential relocation of existing p ublic utilities, and use of air space over public property and/or subterranean easements under public property will also need separate Council action which has its own procedural requirements and timelines. Phase Two Parking In conjunction with its Maste r Plan and Phase Two Project, Providence has proposed a phased parking plan designed to meet the peak parking demand for the entire Health Center at each stage of Phase Two development and at the completion of the project. This approach has also been propo sed in an effort to provide a long -term, on -site solution to the Health Center’s Phase One parking demand that is currently accommodated on surface parking lots at the North Campus Entry Plaza and on two South Campus development sites, and by leasing space s from private parties at nearby parking facilities. Based on a parking demand analysis prepared by Walker Parking Consultants and submitted with the Master Plan and Phase Two Development Review Permit applications, and in response to City staff an Plann ing Commissio n comments, Providence SJHC is currently proposing approximately 2,750 parking spaces at completion of Phase Two buildout. This total parking supply would include the 24 of 42 requirements for Phase One and Phase Two development at the completion of th e project:  Approximately 1,550 spaces located in two South Campus subterranean garages.  Approximately 400 spaces split between North Campus sites 2C and 2D/2E.  Approximately 774 spaces in the North Campus Parking Structure on 20 th Street  Approximatel y 30 existing Phase One parking spaces will remain on the North Campus, including at the Emergency Department on Arizona Avenue. The North Campus Parking Structure is proposed to be constructed as the second phase of development in order to provide a c ritical and early supply of spaces to meet the Health Center’s Phase One parking obligation as South Campus surface parking lots are removed during phased construction. There are several factors that support the location of a parking garage on site 2I. The location of the proposed garage mid -block on 20 th Street preserves the efficiency of Santa Monica Boulevard between the North and South Campuses. There is also direct freeway access from eastbound I -10 and to westbound I -10. However, there are several constraints associated with the garage’s mid -block 20 th Street location that could affect its functionality. The new structure is currently planned for up to 774 spaces in a five -story above -grade structure with four levels of subterranean parking. This structure is proposed for Health Center employee parking only. The proposed parking supply in this garage represents a reduction in one level/story of above -grade (the original proposal included up to 893 spaces). Staff will continue to discuss the parkin g plan with the Applicant to determine if this is an appropriate location for required Phase Two parking or whether the applicant’s supply reduction is sufficient to address concerns about the functionality of the garage, 25 of 42 while still providing sufficient p arking to meet project demand. Applicant’s Request for Extension of Time The following section provides a discussion of Providence’s request for an extended phasing period to build out the Phase Two Project. Development Agree ment Section 3.8.2 states that vested rights for a proposed building that includes floor area for which Saint John’s has a vested right shall continue to apply beyond the July 9, 2015 Phase Two Vesting Deadline in the event that 1) a Development Review Per mit Application for the proposed building has been filed and deemed complete by the City prior to the Phase Two Vesting Deadline and Saint John’s diligently pursues process of the application, or 2) a Development Review Permit for the proposed building has been approved prior to the Phase Two Vesting Deadline. ~774 spaces ~200 spaces ~200 spaces ~1,550 spaces Figure 5: Proposed South Campus Master Plan / Phase Two Parking Plan 26 of 42 Development Agreement Section 3.8.3 establishes limits on the Providence’s vested rights for buildings beyond the Phase Two Vesting Deadline pursuant to Section 3.8.2. In summary, Providence has eig hteen (18) months following issuance of the Development Review Permit for a Phase Two building to obtain all required building approvals from the State of California (OSHPD) for a hospital building – or obtain a building permit from the City for a non -hosp ital building. The Development Agreement also establishes the timeframe to exercise rights and complete construction of a Phase Two building before the building permit expires. This is set forth in Exhibit “F” to the Development Agreement and pursuant to SMMC Section 8.04.0202.030 (code in effect at the time of Development Agreement approval). This timeline to exercise rights and complete construction before the building permit expires would be approximately five years. Providence has requested a Develop ment Agreement Amendment to allow additional time to build out Phase Two development in five sequential phases over an approximately twenty -three -year period. The Applicant’s originally -proposed amendment to the Development Agreement (Attachment “C”) would authorize Planning Commission, or Council on appeal, to exercise its discretion to provide expiration dates that vary between 21 and 233 months following final City approval of Development Review Permits for each of the eight Phase Two buildings. The Ap plicant has stated that allowing phased construction of the Phase Two Project over an extended period is critical for several reasons. Specifically, an extended phasing period would allow Providence Saint John’s Health Center to:  Implement a state -of -the -art medical care and research center in the community;  Remain fully operational during construction (main hospital);  Maintain sufficient parking for all Health Center uses during and after construction; 27 of 42  Minimize construction impacts on neighboring reside nts and businesses;  Maintain certainty regarding vested rights and procedural requirements for Phase Two in order to provide sufficient time to fundraise and finance construction; and  Provide flexibility to reevaluate priorities in the future based on its assessment of community needs and the changing demands of health care and medical research. Moreover, the Applicant has stated that it is unable to meet the schedules currently required in the Development Agreement for the entire Phase Two Project. In i ts submittals for the Master Plan and Development Agreement Amendment applications, Providence has emphasized the three most important programmatic items proposed in early stages of Phase Two: on -site parking, replacement of the John Wayne Cancer Institute , and a new home for the expanded day care facility. Development of additional on -site parking early in Phase Two is important because the Applicant must provide adequate parking to meet all Phase One parking obligations at all times. Most of the South Ca mpus sites are currently developed with surface parking that is required for Phase One and will be removed in order to accommodate the new Phase Two construction. The only Phase Two site not currently developed with required parking for Phase One is site 2I, where the existing Child and Family Development Center is located. Providence has underscored the importance of timely replacement of the John Wayne Cancer Institute because the existing facilities are out -of -date and cannot efficiently accommodate t he newest technologies for cancer research. Providence views the John Wayne Cancer Institute as a critical component of its vision for the Phase Two Project and Master Plan. Figure 6 provides a graphic representation of Phase Two and the development sites for each of the five proposed phases (Stages A -E). 28 of 42 Amendments for Extension of Time & Phased Construction As part of the City’s preliminary review of the Applicant’s Development Agreement amendment to allow for an extended per iod to complete phased construction of Phase Two, several key issues are identified for further discussion and direction from Council. Specifically, staff recommends two Development Agreement amendments. This framework was discussed at the Planning Commiss ion on April 27, 2016 and recommended by the Commission as the preferred mechanism for structuring review of all north and south campus improvements: Figure 6: Phase Two Development in Five Stages (A -E) 29 of 42  A procedural amendment to provide Council approval authority over a Phase Two Project Master Plan and re quire that all Phase Two development be in accordance with the Master Plan; and  An amendment to establish a comprehensive Phasing Plan that provides structured and substantive review of individual buildings at specified milestones – instead of reviewing the currently -pending Development Review Permits for buildings nearly 20 years in advance of construction, as currently proposed by the Applicant’s amendment. Procedural Amendment – Council Review of a Phase Two Project Master Plan Currently, the Develop ment Agreement specifies that Planning Commission takes action on the South Campus Master Plan application and that action is subject to Council appeal. Staff recommends initiation of a procedural amendment to the Development Agreement to authorize Council review and approval of a comprehensive Phase Two Project Master Plan after receiving a formal recommendation from the Planning Commission. This amendment would structure review so both the Planning Commission and Council serve in their traditional quasi -l egislative role when reviewing land use plans to establish rules for development of parcels within a specific geographic area (i.e., community and neighborhood plans, specific plans). The amendment would also require that all Phase Two development be in ac cordance with the approved Master Plan. This procedural amendment would need to occur before the formal approval of the Phase Two Project Master Plan. In order to effectuate this procedural amendment, staff proposes to amend the Development Agreement to state that the Master Plan requirement shall apply to all vested Phase Two uses and floor area on the north and south campuses – and to all other associated project improvements – instead of requiring the Master Plan for only south campus development as cu rrently required. There would be a number of text revisions associated with this procedural amendment to ensure internal consistency. However, in concept, the amendment would address several key provisions in order to secure the associated physical infrast ructure, community and project benefits, and 30 of 42 urban design improvements that would be required as part of a master plan process of this magnitude. More specifically, the procedural amendment would establish the basic parameters guiding the development of the north and south campus Phase Two building sites, including, without limitation to: (a) building placement, (b) building height for all buildings, (c) setbacks for all buildings, (d) stepbacks for all buildings, (e) parking (both subterranean and above -grade), (f) location of uses, (g) vehicular and pedestrian circulation, (h) open space and landscape elements, and (i) phasing and timing of all improvements associated with Phase Two development (collectively, the “Phase Two Master Plan Elements”). This procedural amendment would also establish that prior to City Council’s review and action on the Phase Two Project Master Plan, a public hearing will be held so the Planning Commission can make its formal recommendations to City Council. Consistent with cu rrent language in Section 3.6.6 of Development Agreement, the procedural amendment would continue to affirm that the City Council shall have full discretion to approve, conditionally approve, or deny the proposed Phase Two Master Plan and the Phase Two Mas ter Plan Elements. In exercising its discretion over the proposed Phase Two Master Plan, the Council should consider whether to reaffirm the Phase Two Vested Uses and Vested Floor Area as set forth in Section 3.7 of the original Development Agreement or w hether to reevaluate the Phase Two Vested Uses and Vested Floor Area through this amendment process. Framework for a Comprehensive Phase Two Project Master Plan and Phasing Plan The following is a conceptual discussion of the recommended amendments to p rovide Providence with the additional time needed for Phase Two build -out while protecting the community and City’s interest in promoting comprehensive and orderly development of the Phase Two Project. More specifically, the recommended amendments would b e drafted to establish a comprehensive Master Plan and Phasing Plan with consideration given to the following: 31 of 42 1. Evaluate whether a reduction or modification of the Vested floor Area or Vested Uses currently provided by the original Development Agreement i s warranted, in particular for building(s) identified by the Applicant as being a lesser priority and/or designated to later phases of development. 2. Establish a Phasing Plan for orderly build -out of the Phase Two Project over an extended period, beyond the timeframes currently authorized by the Development Agreement. 3. Provide for comprehensive and integrated review of all Phase Two building sites in the Master Plan. 4. Ensure that physical improvements, operational requirements, and community & project benefit obligations are incorporated in the Phase Two Project Phasing Plan and performance of such measures is linked to project milestones in the Master Plan and, as appropriate, in the conditions of approval for the associated Development Review Permits for individual buildings. 5. Ensure that vested rights for the Applicant’s first -level priorities for Phase Two are addressed clearly in the Phasing Plan. Examples of first -level priorities include rebuilding the John Wayne Cancer Research Institute and the Child & Family Development Center, and accommodating new parking spaces early in Phase Two in a manner that facilitates orderly development of the Health Center in subsequent stages of development. 6. Establish a schedule for formal review of the ten Dev elopment Review Permits (including the two cafés) following approval of the Phase Two Project Master Plan. For example, it may make sense to authorize review of the first four Development Review Permits concurrently with final review of the Phase Two Maste r Plan. Three additional project milestones could be formulated based on construction of the four remaining Phase Two buildings associated with Stages C, D, and E. 32 of 42 7. Establish a schedule of performance in the Phase Two Project Master Plan to authorize fu ture review of Development Review Permits for buildings in the latter phases of development. Development Review Permit submittal or building permit issuance deadlines could also be established for these subsequent buildings and their associated development phase. For example, the Applicant schedule states that construction would begin for the West Ambulatory Care Building (2C) on the North Campus approximately 9.5 years after initial approval of the Master Plan. The Phase Two Project Phasing Plan could r equire the Applicant to submit, and have deemed complete, the Development Review Permit application for Building 2C as a 10 -year milestone from approval of the Master Plan. This would allow building mass, design, programmatic needs, and other requirements of the permit to be reviewed in the future – and with the benefit of an assessment of health care and community priorities at a period in time closer to implementation. 8. Prioritize the infrastructure, circulation, and open space improvements and link t hem clearly to a schedule of performance in the final Phase Two Project Phasing Plan to ensure the Health Center will function optimally, in the event that certain phases of development are not pursued in the future. 9. Require preparation of new empirical parking demand analyses at specified stages of the Phase Two build -out after new buildings, uses, and parking resources have been constructed. This would allow for a reassessment of parking requirements for the next stage(s) of construction and determine how user group (patient/visitor and employee) travel behavior has changed over time due to increased access to public transit in the area, increased reliance on alternate modes of transportation, and continued implementation of Transportation Demand Manage ment Programs at the Health Center and Citywide. If direction is provided to staff to pursue this alternative review framework for the Phase Two Project, Council would need to first approve the procedural amendment authorizing its own action on the Pha se Two Master Plan in a separate public hearing. The 33 of 42 substantive amendment would be reviewed concurrently during future public hearings for the proposed Phase Two Master Plan. With consideration of the points outlined above, a Phase Two Project Phasing Plan could be developed and authorized with Council approval in conjunction with comprehensive Master Plan. This approach would allow Providence to build out the project over an extended time -period and allow the City to structure a review process with a s chedule of performance for important plan components such as infrastructure, circulation improvements, and community and project benefits over the course of the phasing plan. Moreover, the proposed amendment would structure the review of the Phase Two Pr oject Master Plan and the associated Development Review Permits so that important regulatory review decisions are made timely and with the expectation that more context - responsive buildings and improvements will be implemented over the proposed 20 -year lif e of the Phase Two Project. The following is an preliminary conceptual framework for this approach. Note that the timeframes and stages are provided for illustrative purposes only, to show one example of a review process that is based on a 20 -year build ou t as currently contemplated by the Applicant.  April – December 2016 o PSJHC Phase Two Development Agreement Amendment float -up discussions at Planning Commission and City Council  Winter -Spring 2017 o Planning Commission recommendation on procedural amendmen t authorizing Council review of Phase Two Project Master Plan o Council action on procedural amendment authorizing Council review of Phase Two Project Master Plan o Begin environmental analysis for Phase Two Project Master Plan o Architectural Review Board float -up  Spring -Summer 2018 o Planning Commission recommendation on Phase Two Project Master Plan, Phasing Plan, and associated Development Agreement Amendments [phase one north campus site plan/circulation revisions, etc.] o EIR recommendation  Fall 2018 – Winter 2019 34 of 42 o Council action on Phase Two Project Master Plan, Phasing Plan, and associated Development Agreement Amendments [phase one north campus revisions, etc.] o EIR review and certification o Planning Commission review and approval of Development Review Permits for Stage A and Stage B buildings (multi -family housing, child & family development center, John Wayne Cancer Institute, North Campus Parking Structure )  Summer 2019 o Architectural Review Board for Stage A and Stage B buildings o Plan check Figure 7 shown belo w outlines the steps that would follow Council action on the Phase Two Project Master Plan and associated Phasing Plan: Figure 7: Conceptual Diagram of Staff’s Proposed Amendment: Phase Two Review Process – note: buildings and stag es provided for illustrative purposes only – DR Permit review by Planning Commission allows parking analysis and assessment of programmatic needs to be conducted at specific times during the phased build -out of the project. 35 of 42 Public Objectives/Proposed Community Benefits The Development Agreement for Providence Saint John’s Health Cente r includes a requirement for Phase One and Phase Two community benefit programs. As presented earlier in this report, Phase One community benefits are provided through implementation of an annual Community Benefit Program and Community Access Plan that re quires provision of in -kind and cash support to organizations, and direct medical services to support community health in Santa Monica and beyond in the Health Center’s broader service area. Providence is obligated to implement these requirements for the l ife of the 55 -year term of the Agreement that ends in 2053. The Development Agreement specifies several community benefit requirements associated with Phase Two development that build on the programs established through the Phase One Program:  An amende d Community Access Plan to ensure that a reasonable number of Santa Monica residents who are unable to afford fees and memberships will have access to Phase Two’s community -oriented facilities.  Minimum 35% open space on the South Campus.  An expanded chil d care program provided as part of Phase One to address child care needs generated by the Phase Two development. Staff is seeking feedback and direction from Council the community and project benefits that should be considered during negotiations with the Applicant. Feedback and potential community benefit recommendations will also be sought from the City’s Social Services Commission and Child Care Task Force later in the review process. In the meantime, staff suggests community benefit negotiations w ith the Applicant include, at a minimum, discussions on the following: Child and Family Services Identify ways to increase support for child and family services in the community and at the Health Center campus. This is an area where Providence and Saint John’s Health Center has expertise, a track record for providing child and mental health services and supporting local non -profit providers in the community. 36 of 42 In conjunction with the proposed Development Agreement Amendment, staff will look for ways to P rovidence can increase support for area service providers/partners and potentially provide an increase in the capacity of and services provide by the new Child & Family Development Center that will replace the existing center located on 20 th Street. This c ould include reviewing the physical size/floor area of the Child & Family Development Center building and by evaluating programs providing services and support for:  Therapeutic care/services/preschool  Family support programs  Mental health services  Home visits for families with infants  Support for health care in schools Child Care Center (a component of the Child & Family Development Center) Review the physical size of the Child Care Center, amount of floor area, and amount of open space dedicated to child care in conjunction with the existing community benefit requirement to reassess its Childcare Program to meet the child needs generated from the Phase Two Project. This parallel effort to assess the child care demands associated with the proposed Ph ase Two Project is underway; the Applicant team selected a City -approved child care consultant who is preparing a child care needs assessment study for the Phase Two Project. The results of this study will be provided during formal review of the Master Pl an. Exceptional Architecture, Sustainability and Environmental Design Provide a high level of architectural design throughout the Phase Two Project; provide certification under one or more of the following LEED ratings systems categories:  LEED Healthc are 37 of 42  LEED for Neighborhood Development  LEED for New Construction  LEED for New Homes Consideration should be given for superior energy and water conservation elements to be integrated into the design for the Phase Two buildings that may be unrelated to a rating system. The Applicant has developed a series of sustainability goals and objectives as part of the proposed Master Plan for the South Campus and for the North Campus sites. Greater achievement on sustainability and environmental design goals, inc luding LEED certification, will be negotiated as part of the Phase Two Project with consideration given to the specific physical and programmatic needs of medical care and research buildings. Staff will also evaluate where greater achievement can be obtain ed in other portions of the Health Center campus and/or other building types (i.e., child care, residential buildings). Monetary Contributions Finally, staff would recommend that a monetary contribution be negotiated as part of the Development Agreement Amendment to support transportation and circulation enhancements:  Big Blue Bus Contribution to support improvements in and around the Healthcare District.  Transportation Management Organization (TMO) Contribution to support continued outreach and develo pment of the Citywide TMO and its work focused on the Healthcare District.  Monetary contribution to support expanded transportation -related improvements and/or transportation -related improvements that are funded and implemented by Providence. 38 of 42 Planning C ommission Discussion The Planning Commission held a preliminary float -up discussion on April 27, 2016 to review and provide feedback on the Applicant’s proposed Development Agreement amendments and staff’s recommendation for structuring the review of the P hase Two Project. The Commission provided recommendations on the Applicant’s proposed amendments and expressed support for staff’s substitute amendments presented in this report. More specifically, staff’s proposal was preferred because it provides the Ci ty with the ability to evaluate, plan, and regulate the north and south campuses comprehensively through Council approval of a Phase Two Master Plan. The Commission also supported staff’s proposed review framework because it could provide for staggered rev iew and assessment of parking needs, programmatic priorities, and other site design and infrastructure elements at future stages of development – instead of reviewing and approving all eight main buildings in the beginning of the phased build out. As det ailed more fully in Attachment “D”, Planning Commissioners and members of the community who spoke at the Planning Commission meeting also provided a range of comments on site planning, preferred uses, urban design, the construction period, and potential co mmunity benefits for consideration during the City review process. After staff receives Council direction on how to proceed with the Applicant’s request for an extension of time to build out the Phase Two Project, these comments will be reviewed carefully once staff begins internal review of the project and negotiations with the Applicant. Community Meeting The Applicant conducted a community meeting on July 30, 2015 to provide an overview of the Phase Two Project, Master Plan for the South Campus, and proposed Development Agreement Amendment, and to gather ea rly feedback on the proposal. The Applicant has also conducted smaller outreach meetings with various stakeholders and groups, including residents and the Board of Directors from the Geneva Plaza, residents from a neighboring condominium building on the east side of the South 39 of 42 Campus, and with Santa Monica Mid -City Neighbors on several occasions and most recently on November 15, 2016. The list of comments and questions raised at the July 30, 2015 c ommunity meeting is provided as Attachment “E” to this staff report and is expanded on in the Planning Commission and Community Members’ comments from the April 27, 2016 meeting (Attachment “D”). In general, community members have been gathering informatio n on the scope of the project and seeking clarification on particular aspects of the project and the time extension requested to build the project in phases. Some of the common issues raised include the following and are also detailed more fully as part o f Attachment “D”: Parking and Access  Will there be enough parking spaces provided with the new project?  How much will it cost to park at the project site and will drivers with disabled placards be allowed to park at a reduced price or for free in the ne w garages?  How will impacts to street parking be addressed with the new parking garages?  Will there be changes made to parking meter restrictions on Broadway and Santa Monica Boulevard?  Request was made for a dedicated passenger loading zone and ten m etered spaces converted to permit -only parking along 21 st Street to serve Geneva Plaza residents, visitors, and caregivers.  Concerns were expressed that the proposed 2,880 parking spaces would be either too few or too many parking spaces for the site.  R esidents who live closest to the South Campus have reviewed and asked questions about the new street plan; residents want to make sure safe and convenient access is provided to Broadway. 40 of 42  Concern has been expressed about traffic impacts on Broadway.  Sup port was provided for the idea of opening up the block and creating access between Broadway and Santa Monica Boulevard. Building Design, Site Plan, Construction, and General Comments  Several questions have been raised about various building heights and n umber of stories, the height of the pedestrian bridge over Santa Monica Boulevard, and the use/access plan for open spaces areas.  Request the Health Center be respectful of neighbors during the construction period and not block driveway and please observ e construction hours.  Questions were raised about the length of time for constructing the first phase of development and clarification on the overall timeline for build -out.  Compliment provided on the architectural design and open space plan.  Question raised about the potential for new jobs associated with the Phase Two project.  Community benefits should be reevaluated carefully and consider the immediate neighborhood, build on the Health Center’s existing programs, and strengthen existing and create new partnerships with other non -profit community service providers. Next Steps Council will need to provide direction on whether to pursue the procedural amendment authorizing Council action on a Phase Two Project Master Plan and whether there is inter est in the amendment addressing an extended timeframe to complete Phase Two development through establishment of a comprehensive Phase Two Project Phasing Plan. The information gathered through this preliminary discussion will also help inform the scope of the project that will be studied as part of the project’s environmental review 41 of 42 pursuant to the California Environmental Quality Act (CEQA), and establish whether an amendment may be necessary to the Hospital Area Specific Plan (last revised in 1998). If direction is provided to pursue both amendments, then public hearings would be scheduled for the procedural amendment by the second quarter of 2017. The substantive amendment addressing an extended timeframe for the Phase Two Project build -out would be re viewed concurrently with future public hearings for the proposed Phase Two Master Plan and Phasing Plan for South Campus and North Campus development sites. Fiscal Impacts and Budget Actions There is no immediate financial impact or budget action as a r esult of the recommended action. Prepared By: Roxanne Tanemori, Principal Planner Approved Forwarded to Council Attachments: A. Process Chart: Development Agreement Milestones: 1998 -2015; Current Phase Two Project Procedures, 1998 Development Agreem ent B. Summary of Proposed Phase Two Buildings, North and South Campus C. Applicant’s Proposed Process Flow Chart and Development Agreement Amendment Request 42 of 42 D. April 27, 206 Planning Commission Meeting Summary: Community Member and Commissioner Comments E. July 30, 2 015 Community Meeting Summary F. Applicant’s Project Plans G. Written Comments H. Written Comments   Attachment “A” Development Agreement Milestones: 1998-2015 Development  Agreement  Milestones  1998  ‐2015 Feb/March   2015 •Phase  Two  Applications  Submitted  to  the  City  – •South  Campus  Master  Plan  Application •Eight  (8) Development  Review  (DR) Permit  Applications, one  for  each  building •Development  Agreement  Amendment  for  extended  time  to  build  out  Phase  Two June  5,  2015 •South  Campus  Master  Plan  Application  & DR  Permit  Applications  deemed  complete  prior   to  Phase  Two  Vesting  Deadline July  8,  2015 •Phase  Two  Vesting  Deadline   •Applicant  retains  Vested  Rights  to  Floor  Area  and  Uses  beyond  Phase  Two  Vesting   Deadline  ‐subject  to  timelines  and  procedures  set  forth  in  Development  Agreement   Section  3.8   [Please  see  discussion  of  Applicant’s  phasing  plan  for  more  details.] July  2011  •First  Amendment  to  Development  Agreement  approved  –Phase  One  parking   October   2013 •Phase  One  construction  substantially  completed January   2014 •Phase  One  Vesting  Deadline  –previously  extended  to  December  31, 2012  by  First   Amendment  to  the  Development  Agreement. Subsequent  administrative  extension   granted  to  January  31, 2014  by  the  Director  of  Planning  for  completion  of  the  Entry  Plaza,  as  authorized  by  the  First  Amendment   •Saint  John’s  Health  Center  Development  Agreement  approved •10 ‐year  Phase  One  Vesting  Deadline •17 ‐year  Phase  Two  Vesting  Deadline July  8,  1998     2 of 17 Process Chart: Current Phase Two Project Procedur es, 1998 Development Agreement Phase  Two  Process  – S outh  Campus  Master  Plan  & Development  Review  Permits                As  Currently  Established  by  the  1998  Development  Agreement        3 of 17 Attachment “B” Summary of Proposed Phase Two Buildings: North & South Campuses North Campus Buildings North Campus Building 2I – North Campus Parking Structure  Development Agreement De velopment Standard: Max. 68 feet tall, six stories  Development Agreement Vested Floor Area: 137,500 SF above-grade  Uses: Approximately 774 employee parki ng spaces and ground floor commercial  Height: 56 feet tall/five stories wit h four levels of subterranean parking  Floor Area: 157,000 SF above-grade floor area for parking and 3,000 SF for ground floor commercial North Campus Building 2C – West Ambulatory & Acute Care Building  Development Agreement Development St andard: Max. 95 feet tall, six stories  Development Agreement Vested Floor Area: 112,000 SF above-grade and 30,000 SF below grade  Uses: Hospital/Health Care uses: ambulator y care & acute care (inpatient beds)  Height: 95 feet tall/five stories with up to four levels of below-grade parking  Floor Area: Approximately 112,000 SF above-grade and 6,000 SF below-grade  Upper-Level Connections: Upper-level br idge connection to the existing Howard Keck Diagnostic and Treatment Center North Campus Building 2D/2E – East Ambulatory & Acute Care Building  Development Agreement De velopment Standard: Max. 75 feet tall, five stories  Development Agreement Vested Floor Area: 90,000 SF above-grade and 25,000 SF below-grade  Uses: Hospital/Health Care uses  Height: 75 feet tall/five stories with up to four levels of below-grade parking  Floor Area: 70,000 SF above-grade and 20,000 SF below-grade  Upper-Level Connection: bridge connec tion to Diagnostic and Treatment Center     4 of 17 North Campus Building at En try Plaza – Café Kiosk  Up to 1,500 SF South Campus Buildings South Campus Building S2 – Mult i-Family Replacement Housing  Uses: 10-unit 2bd/1bath multi-family housin g, two of which are deed-restricted affordable; 800 SF Neighborhood Commercial use  Height: 36 feet tall/three stories  Floor Area: 17,000 SF  Parking: Two levels of subterranean parking South Campus Building S3 – West Am bulatory Care & Research Building  Uses: Hospital/Health Care, Medical Research, Health Related Services  Height: 89 feet tall/five stories  Floor Area: 123,000 SF  Parking: Four levels of subterranean parking garage South Campus Building S1 – Child & Family Development Center  Uses: Child & Family Development Center (CFDC) and Day Care uses  Height: 47 feet tall/three stories  Floor Area: 34,500 SF  Parking: Four levels of subte rranean parking in shared garage. South Campus Building S4 – East Am bulatory Care & Research Building / Education / Conference Center  Uses: Education and Conference Center , Hospital/Health Care, Health and Wellness Center, and Health Related Services.  Height: 105 feet tall/six stories  Floor Area: 199,300 SF  Parking: Four levels of subterranean parking     5 of 17 South Campus Building S5 – Visitor Housing  Uses: 30 units of Visitor Housing  Height: 73 feet tall/six stories  Floor Area: 38,000 SF  Parking: Four levels of subterranean parking South Campus Building S6 – Café at South Campus Plaza  Height: one-story  Floor Area: 900 SF     6 of 18 Attachment “C” Applicant’s Originally-Propo sed Process Flow Chart and Development Agreement Amendment Request Applicant’s Originally-Proposed Development Agreement Amendment The Development Agreement provides that Providence’s vested rights for any Phase Two Building(s) would terminate within 18 months following final approval of the associated Development Review Permit for t he building(s) unless a building permit has been issued for the building(s). Assumi ng the Master Plan and all eight pending Development Review Permits are revi ewed and approved t ogether, it would be necessary to go through plan check and obtain building permits for all eight buildings within 18 months of the date of Deve lopment Review Permit approval. The Providence SJHC Phase Two Illustrative Phasing Plan – Applicant’s Original Submittal Note: Based on the Applicant’s original proposal – each building permit would be obtained before construction commences; the construction period for each building is listed in each ‘arrow’ icon (in months)     7 of 18 Development Agreement also establishes the timeframe to exercise rights and complete construction of a Phase Two building before t he building permit expires. As previously noted, this timeline to exerci se rights and complete construction before the building permit expires would be approximately five years; however, the Applicant has already stated that it cannot meet this deadline. Providence thus proposes to amend the Development Agreement in the following manner: Section 3.8.3: The vested rights of Saint John’s wit h respect to any Proposed Building which are extended beyond the Phase Two Vesting Deadline pursuant to Section 3.8.2 shall terminate as to such Proposed Building: Section 3.8.3(a): With re spect to any Hospital Building over which OSHPD has jurisdiction, in the event that within eighteen (18) months following issuance of the Development Review Permit for t he Proposed Building a ll required building approvals have not been issued by OSHP D for the Proposed Building on or before the Development Review Permit ’s expiration for the Proposed Building consistent with SMMC Section 9.37.090. Section 3.8.3(b): With respect to any Proposed Buil ding other than a Hospital Building, in the event that within eighteen (18) months following issuance of the Development Review Permit a building per mit is not obtained by Saint John’s for the Proposed Building on or before the Deve lopment Review Permit’s expiration for the Proposed Building consist ent with SMMC Section 9.37.090. Staff notes that Secti on 3.8.1(b) of the Development Ag reement provides that, as a part of its approval of the Mast er Plan pursuant to Section 3.6 of the Agreement, the Planning Commission, or Council on appeal, may elect in its sole and absolute discretion to extend the Phase Two Vesting Deadline for one or more buildings, uses, and improvements on the South Campus. The Agreement also states that any such extension approved by the Planning Commission or Council on appeal shall not require an amendment to the Deve lopment Agreement. This provision of the Devel opment Agreement would allow t he Applicant to present its proposed Phasing Plan for the South Campus as a component of the required Master Plan and seek a discretionary extension of the overall Phase Two Vesting Deadline for the five South Campus buildings. However, this potential extension of the overall Phase     8 of 18 Conceptual  Flowchart  of  Applicant’s  Proposed  Phase  Two  Review  Process   3 rd quarter   2018 •City  Council  Action  on  Applicant’s  Development  Agreement  Amendment •EIR  certification 1 st quarter   2019 •Planning  Commission  Action  on  Master  Plan  for  South  Campus •Planning  Commission  Action  on  all  ten  Development  Review  Permits  for  Phase  Two   Buildings 2022  –2042 •Applicant  obtains  Building  Permits  in  sequence  for  Phase  Two  Buildings: •South  Campus  Building  S2……………......................45  months  from  DR  Permit  approval •South  Campus  Building  S3…………....................…..54  months  from  DR  Permit  approval •South  Campus  Building  S1………....................……..54  months  from  DR  Permit  approval •North  Campus  Building  2I…....................……………78  months  from  DR  Permit  approval •North  Campus  Building  2C……....................………111  months  from  DR  Permit  approval •South  Campus  Building  S4  & plaza  cafe……………159  months  from  DR  Permit  approval •South  Campus  Building  S5…….......................……225  months  from  DR  Permit  approval •North  Campus  Building  2D/2E  & plaza  cafe....…240  months  from  DR  Permit  approval April  & Dec   2016   •Providence  SJHC  Development  Agreement  Amendment  preliminary/float ‐up  discussions •Planning  Commission  –recommendation  to  Council •City  Council  –direction  on  Applicant’s  proposed  Amendment 2017 •Begin  Phase  Two  Project  EIR  analysis •Architectural  Review  Board  Float ‐up 1 st ‐2 nd quarter  2018 •Planning  Commission  ‐recommendation  to  Council  on  Applicant’s  Development   Agreement  Amendment •EIR  recommendation Two Vesting Deadline (i.e., to July 2039) would only apply to the South Campus buildings. Therefore, pursuant to this sect ion of the Development Agreement, the North Campus Parking Structure and two development sites on either side of the Entry Plaza would still require an amendm ent to the proposed Deve lopment Agreement to be constructed per the Applicant ’s proposed phasing plan.     10 of 18 Attachment “D” April 27, 206 Planning Commission Meeting Summary: Community Member and Commissioner Comments Providence Saint John’s Health Center Phase Two Development Agreement Amendment ‘Float-Up’ Discussion Community Members’ Comments  Would like to see more human-scale buildings and reduced square footage in exchange for more time to construct Phase Two.  Project needs to have defined buildi ng permit deadlines and not provide for open-ended development.  Too much construction is proposed overall.  No more than 15 years should be provided for Phase Two.  Likes recent changes to multi-family housing building to protect the adjacent residential building.  Passenger loading zone, EMT parki ng spaces, and permit parking needed at Geneva Towers.  Concerned about traffic congestion: Sant a Monica and Cloverfield Boulevards, and Broadway.  Site plan’s partial closure of 21 st Street negates the cr eation of the two new streets.  Residents in the neighborhood would like a free shuttle running every 10 minutes from the 17 th Street Expo Station to health center and beyond.  Health center should provide free par king for visitors/patients with handicap placards.  Child care drop-off area is needed at new building.  Hopes the project will bring new jobs to Santa Monica.  More mental health services should be provided by PSJHC – specifically more care provided for patients s ubject to ‘5150’ holds.  Concerned about ‘medical tourism’ and PSJHC’s Community Benefit plan does not accurately report benefit s provided to the community.  Project should include more deed-restricted affordable housing.  Focus additional support on child devel opment – more than infant and toddler care.  Weekday construction hours should be limited; weekends restricted.  PSJHC met with adjacent neighbors to ex plain project and were open addressing residents’ concerns (from adjacent condominium building).     11 of 18  PSJHC is a community asset and has had a positive impact on many lives, therefore the project should move forward.  The John Wayne Cancer Institute is an im portant center but the building is old and needs to be replaced.  PSJHC’s mission is community-based & community-oriented; the project will continue this work.  PSJHC is a community benefit in and of it self; their recent work with the Big Blue Bus is positive and the pr oject should be supported.  PSJHC has been a community partner to n on-profits for many years; the Phase Two Project would be posit ive for Santa Monica.  Support expressed for the Phase Two goal of providing bike facilities on both north and south campus.  PSJHC supports community partners and those who provide to poor/vulnerable populations. It is difficult to find space to hold community meetings right now and it will be a community benefit to have a conf erence center available to non-profit groups.  In the original development, there was lo ts of controversy over parking, but the Phase Two Project will provide si gnificantly more parking.  Early childhood care for infants and t oddlers should be a priority community benefit. Planning Commissioners’ Comments Project Concept, Site Planning/Urban Desi gn, and Request for Extension of Time  Staff alternative to DA Amendment is preferred because provides the City the ability to look at north and south campuses together.  The proposed DA Amendment takes an in cremental approach to the Phase Two project, which is appropriate. Support for Council approval of the master plan.  Consolidate construction periods to r educe impacts; construction mitigation and management will be necessary.  When will open space public improvem ents be established in the project timeline? They are important and need to be guaranteed.  Traditional park area is needed, the regular type that is open and spacious on the south campus.  Open space must be active and allow re sidents the ability to use the space.  Buildings feel large/massive – can new buildings be broken down in size and designed to feel less imposing?  Design of new buildings is too simila r; differentiated architecture with a less institutional feeli ng is preferred.  Design new buildings will all four building elevations in mind; no inward facing buildings.     12 of 18  Retail and neighborhood-serv ing frontage is preferred at the plaza along Santa Monica Boulevard.  Consolidating phases for fewer cons truction periods should be studied.  Streets, open space, circulation element s, and parking need to be detailed in a phased plan.  Active pedestrian uses are necessary along Santa Monica Boulevard and on Broadway.  Pedestrian connections are needed between the north and south campuses.  Santa Monica Boulevard should rema in open and safe; no alternative paving patterns/materials; crosswalks should be safe.  Existing north campus plaza – and the proposed south campus plaza are imposing.  Pedestrian bridge over Santa Monica B oulevard must be we ll-designed or it will not be acceptable.  Study whether there is a way to create a walk-through from Arizona Avenue/21 st Street to Santa Monica Boulevard/21 st street.  Affordable senior housing needs to be explored for project – along with an increase in the total number of units proposed. The EIR for the project should study more units.  Project needs a stronger housing com ponent and should be studied in the EIR to preserve options.  Workforce/staff housing should be considered on the north campus site instead of the parking structure. This woul d serve reduce single-vehicle trips.  Project must commit to a high level of LEED certification – including LEED for healthcare at platinum level or higher.  Is 30 units of guest/visitor housing enough? Should there be more included in Phase Two?  Can the guest/visitor housing be located on the upper floors of the North Campus above-grade parking structur e? It might improve its appearance and create more open space at the south end of Broadway [s hifting housing from south campus to north campus].  High quality open space is necessary – it must be the best and useful to surrounding area.  Reassess open space plan – make it mo re useful, Useable, and functional.  Less development intensity at Broadway is positive.  Supportive of staff’s recommended appr oach to Phase Two Master Plan and structure for revi ewing DR permits.  Medical needs will increase in the future; more folks visiting the site causes friction with neighbors. Bring the best of w hat is provided by Providence to the Master Plan. Create an open campus and bri ng the community into the facility.  Changing health care needs – flexibility is key!  Make campus and buildings ‘open ’ to community and its neighbors. Circulation & Parking     13 of 18  Concerned about the charac ter and quality of the new streets – make sure new streets don’t feel like the ‘backside’ of a large institution. Street design and building design need to be integrated.  Complete streets are needed for this project to accommodate all forms of mobility.  Can the parking provided in the Nort h Campus structure be provided in a different way/area? Is the structure needed for another reason besides providing parking for the early development phases?  North campus parking structure may be problematic – how it functions in its location and whether it disp laces other above-grade uses.  It is frustrating to consi der that the earlier DA amendmen t to forgo construction of the north campus subterranean parking st ructure – could be necessitating the construction on an above-grade stru cture with Phase Two.  More bicycle parking and rideshare spaces – above code necessity and in many locations.  TDM program improvement s are imperative – AVR must increase. A TDM program coordinator could focus on communi ty building for all mobility options.  Community benefits are the most important aspect of this request to extend the timeframe: preventative care and we llness services are needed – community wide.  Roadway, circulation, and entry plaza loop widening must be done earlier in the project.  Pedestrian bridge over Santa Moni ca Boulevard is not necessary.  Broadway should be protect ed from traffic impacts.  Parking structure would be acc eptable with ground floor retail.  Very large parking supply – managing cars and traffic is part of Providence’s challenge. Community Benefits  Based on feedback from residents, what types of mental health services can Providence provide without going beyond its area of expertise?  Community benefits should be based on Providence’s areas of expertise and should include toddler and childcare.  The health center is a community benef it – however, traffic improvements and expansion of the communi ty benefits are needed.  Providence should continue it work in schools and by providing community mental health services.  Consider ways to work with Geneva Plaz a to provide more senior housing for them in exchange for access to at-grade parking spaces.  More community benefits are needed: co mmunity health, well-being, preventative care, and local services.     14 of 18  Community space and conference room s would be a substantial community benefit if access to these new spaces if free of charge or very low cost.  Reach out to McKinley Elementary to s upport Safe Routes to School program.  Reach out to two middle schools and hi gh schools regarding professions in the health care.  Free parking should be provided for t hose visitors with disabled placards.  Provide free Expo line shuttle in area.  Increase infant and toddler care se rvices on site and in the community.  Provide more deed-restricted affordable housing.  TDM plan for health center needs to be enhanced significantly.     14 of 17 Attachment “E” Summary of July 30, 2015 Community Meeting     15 of 17     16 of 17     17 of 17 Attachment “F” Applicant’s Project Plans PROVIDENCE SAINT JOHN’S HEALTH CENTER PHASE TWO CITY COUNCIL FLOAT-UP SUBMITTAL November 3, 2016 architecture and planning Table of Contents 1. Background 2. Development Agreement 3. Comparison of Saint John’s Pre-1994 Earthquake Peak vs. Providence Saint John’s Today 4. Phase Two Proposal 5. Development Agreement Vested Uses 6. Community Benefits 7. Vision and Planning 8. Phase Two Program Goals 9. Site Context in Relationship to Transportation Options 10. Planning Principles: Urban Context, Integration and Circulation 11. Planning Principles: Enhanced Open Spaces and Connectivity 12. Planning Principles: Functional Zoning and Site Diagram of New/Relocated Program Elements 13. South Campus Master Plan and Phase Two North Campus Buildings: Original Submittal 14. Revised Plan for Phase Two Prior to Planning Commission Float-up 15. Current Plan for Phase Two 16. Open Space Diagram 17. Building Floor Areas 18. Phase Two Compared with 2015 Zoning Ordinance and Net Growth 19. Building Heights 20. Building Setbacks 21. Parking 22. Phase Two New Streets and Vehicular Circulation 23. Phase Two Originally Proposed Streets and Vehicular Circulation 24. Phase Two Bike Circulation 25. Phase Two Proposal and Developemnt Agreement Consistency 26. Phase Two Implementation 27. Phase Two Implementation continued 28. Structure of Phase Two Entitlements 29. Selected Renderings BACKGROUND Providence Saint John’s Health Center Founded in 1939 by the Sisters of Charity of Leavenworth (“Sisters”) and opened in 1942, Providence Saint John’s Health Center (“Providence Saint John’s”) has developed a national reputation as an outstanding center for health and healing. Through the dedication and collaborative efforts of community friends, patrons, physicians, nurses, staff and volunteers, Providence Saint John’s has continued the world-class tradition established by the Sisters of providing breakthrough medicine in an environment of inspired healing. With approximately 1,700 employees, the 265-bed facility is recognized nationwide for its quality care. Providence Saint John’s has been named among America’s 50 Best Hospitals for the past eight years by Healthgrades, a leading consumer ratings agency. Additionally, for more than 30 years, the physicians and scientists at the John Wayne Cancer Institute have made groundbreaking discoveries that have fundamentally changed the way cancer is detected, diagnosed, and treated. In addition to cancer care, Providence Saint John’s is widely known for excellence in women’s health, orthopedics, neuroscience, and cardiology. Providence Health & Services became the sponsor of Providence Saint John’s in 2014 and has continued its commitment to meet the healthcare needs of the community and provide leading-edge medicine with unwavering compassion and personalized care. Providence Saint John’s Mission Statement is: “As people of Providence, we reveal God’s love for all, especially the poor and vulnerable through our compassionate service.” In July 2016, Providence Saint John’s was certified and accredited as a specialized stroke treatment center, the only one serving Santa Monica and surrounding communities. This is significant for local residents because if recognized and treated quickly, a stroke can be stopped with clot-busting medication or a procedure to open a blocked artery. Since 2010 paramedics have been required to transport suspected stroke victims to the nearest certified stroke center, which until July 2016 was in Westwood. Providence Saint John’s is very proud to offer the best possible expert care to stroke patients, close to home. SI M P L I C I T Y CH A R I T Y HUMILITY Mission As people of Providence, we reveal God’s love for all, especially the poor and vulnerable, through our compassionate service. Vision Together, we answer the call of every person we serve: Know me, care for me, ease my way.® CORE VALUES: RESPECT COMPASSION JUSTICE EXCELLENCE STEWARDSHIP Figure 1.1 Providence Saint John’s Mission Statement and Vision 1 2 DEVELOPMENT AGREEMENT Development Agreement with the City of Santa Monica Saint John’s suffered significant damage in the Northridge Earthquake in 1994. Saint John’s was forced to close for about nine months as temporary seismic repairs were undertaken. Shortly after the earthquake, Saint John’s commenced a master planning process to achieve two objectives: (a) rebuild its core hospital facilities consistent with augmented State seismic requirements (Phase One), and (b) augment its health care services to address the Santa Monica area’s 21st century health care needs (Phase Two). This planning effort led Saint John’s to file a Development Agreement (“DA”) application with the City in 1996. After a two plus year public process, the Santa Monica City Council approved a DA for the Saint John’s campus in June 1998. In 2011, the City of Santa Monica approved an amendment to the DA. Phase One development and construction was completed in early 2014. In March 2014, Providence Health & Services assumed sponsorship of Saint John’s Health Center. Shortly thereafter, Providence Saint John’s commenced its planning efforts for Phase Two. Existing Providence Saint John’s Health Center Facilities Figure 2.1 shows the Phase One and Phase Two development sites governed by the DA and the existing facilities located on these sites. Overall Site Context Providence Saint John’s is located in an area bounded by Arizona Avenue to the north, Broadway to the south, 20th Street to the west, and 23rd Street to the east. The site is bisected by Santa Monica Boulevard into the North Campus and South Campus. The area is well served by major streets such as Santa Monica Boulevard and Wilshire Boulevard, and the Interstate 10 Freeway, with a variety of public means of transportation. The new and extended Expo Light Rail, with stations close by at 17th Street and Colorado Avenue and Bergamot, are already having a positive impact. New bicycle sharing stations and the existing nearby bike routes add to transportation options. 2 1 s t S t . 2 0 t h S t . 2 3 r d S t . S a n t a M o n i c a B l v d . B r o a d w a y A r i z o n a A v e . CSS Inpatient Suites Howard Keck Diagnostic & Treatment Child & Family Development Center John Wayne Cancer Institute & Research Center MRI Figure 2.1 PSJHC Campus Site and DA Background 3 Saint John’s Core Hospital Facilities Pre-1994 Earthquake • 501 Licensed Beds • 662,000 square feet Saint John’s Current Core Hospital Facilities (Phase One) • 265 Licensed Beds • 475,000 square feet Figure 3.1 Saint John’s Core Hospital Facilities Pre-1994 Earthquake COMPARISON OF SAINT JOHN’S PRE-1994 EARTHQUAKE PEAK vs. PROVIDENCE SAINT JOHN’S TODAY Saint John’s Core Hospital Facilities Pre-1994 Earthquake In 1942, Saint John’s opened at its present location, on the north side of Santa Monica Boulevard between 20th and 23rd Streets, as a non-profit Catholic hospital. Saint John’s expanded during the next five decades as the Santa Monica area and its health care needs grew. At Saint John’s peak size prior to the 1994 Northridge Earthquake, its core hospital facilities contained 662,000 square feet of floor area and 501 licensed beds. On January 17, 1994, the Northridge earthquake with a magnitude of 6.7 followed with two 6.0 aftershocks caused extensive damage to Saint John’s buildings. Saint John’s was closed for 9 months before it was structurally- retro-fitted to temporarily provide healthcare services. One of the wings was deemed unsafe and had to be demolished. Saint John’s Current Core Hospital Facilities (Phase One) With respect to Phase One, the DA grants Saint John’s the right to demolish most of its then-existing facilities north of Santa Monica Boulevard and replace them with a new Central Plant, Inpatient Suites, and Diagnostic and Treatment Center. Today the completed Phase One facility has 265 licensed beds with a total floor area of 475,000 square feet. 4 Area 2D/2B 90,000 SF; 5FL, 75’ Area 2C 120,000 SF; 6FL, 95’ Area 2I 137,500 SF; 6FL, 70’ MAXIMUM VESTED FLOOR AREA NORTH CAMPUS = 347,500 SF Above Grade MAXIMUM VESTED FLOOR AREA SOUTH CAMPUS = 396,500 SF Above Grade 35% Open Space NORTH CAMPUS: Ability to shift floor areas among North Campus sites MAXIMUM VESTED ABOVE GROUND FLOOR AREA TOTAL 744,000 SF Figure 4.1 Site Plan of properties relating to Phase Two of the Development Agreement PHASE TWO PROPOSAL Saint John’s Core Hospital Facilities Pre-1994 Earthquake Figure 4.1 shows a site plan of the properties that are included in the Phase Two portion of the DA and a summary of the vested floor areas for each Phase Two area. The DA’s Phase Two provisions establish height standards for the three North Campus sites, vested floor areas for the North Campus sites and vested floor area for the South Campus as a whole, as well as a framework with respect to the South Campus governing its planning, uses, and the scale of development. More specifically, the DA provides Providence Saint John’s with vested rights for floor area (DA §3.7.3(a)-(b)), uses (DA § 3.7.2(a)), housing units (DA § 3.7.2(b)), subterranean parking (DA § 3.7.2(c)), and the construction of overpasses and an underground tunnel on the Saint John’s campus (DA § 3.7.2(d)). The South Campus aggregate vested floor area is 396,500 sf (DA Section 3.7.3(b)). As shown on Figure 4.1, the DA vests 347,500 sf of above-grade floor area and 55,000 sf of below-grade area on the North Campus (DA Section 3.7.3(a)). The DA requires that the South Campus be comprehensively planned by Providence Saint John’s and approved by the City through a South Campus Master Plan that includes height, parking, uses and phasing/timing. The DA further provides that the South Campus must contain a minimum of 35% open space. The DA provides the City with discretion to approve the South Campus Master Plan, but such discretion may not impair Providence Saint John’s vested uses or vested floor area. In April 2016, City Staff recommended and the Planning Commission unanimously supported several changes to the Phase Two procedures outlined in the DA: 1. Expanding the boundaries of the Master Plan to include all Phase Two sites, both North Campus and South Campus. This would require the Master Plan to be approved prior to approval of any Phase Two building whereas currently the DA allows for the North Campus sites to be reviewed independently of any Master Plan. 2. Requiring City Council approval, rather than Planning Commission approval only, of the Master Plan. Currently, the Planning Commission has the approval authority over both the Master Plan and the development review permits for the individual buildings (subject to City Council review on appeal). 3. Extending the vested rights for the proposed Phase Two buildings as part of the review of the Master Plan and deferring City review of the Development Review Permits for the buildings until closer in time to their construction rather than approving all Phase Two buildings concurrently with the Master Plan. 5 DEVELOPMENT AGREEMENT VESTED USES The uses vested by the DA include the permitted uses listed in Figure 5.1. The DA includes a total maximum vested square footage of floor area for each of the Phase Two permitted uses (DA Section 3.7.2(a)-(b)). Figure 5.2 lists these maximums. The maximums are inclusive of both the North Campus and the South Campus Phase Two development. DA Vested Floor Area By Use Hospital / Health Care 354,000 s.f. Medical Research Facilities 140,000 s.f. Health & Wellness Center 90,000 s.f. Education & Conference Center 70,000 s.f. Child & Family Development Center 50,000 s.f. Health-Related Services 40,000 s.f. Day Care 25,000 s.f. Restaurants 10,000 s.f. Bank 5,000 s.f. Neighborhood Commercial Uses 5,000 s.f. Multi-Family Housing 10 units Visitor Housing 100 units * Any Floor Area of Medical Office reduces the 354,000 s.f. of Vested Uses for Hospital/Health Care. Figure 5.2 DA Maximum Vested Floor Areas for Permitted Uses Figure 5.1 DA Permitted Uses HOSPITAL/HEALTH CARE HEALTH & WELLNESS CHILD & FAMILY DEVELOPMENT CENTER HEALTH-RELATED SERVICES, NEIGHBORHOOD COMMERCIAL MEDICAL RESEARCH PARKING EDUCATION & CONFERENCE CENTER VISITOR AND MULTI-FAMILY REPLACEMENT HOUSING 6 COMMUNITY BENEFITS The DA provides for an ongoing community benefits program for the entire term of the DA (i.e. until 2053). Specifically, DA Section 1.7 requires Providence Saint John’s to “provide and financially support community programs and services and regularly assess those programs to ensure that it maintains a community benefits program that is responsive to community needs.” The community benefits required by the DA include the following: • A comprehensive needs assessment every three years to assess the health care needs of the community. • An annual Community Benefit Plan which includes a Santa Monica Community Access Plan. • An annual monetary obligation for the Santa Monica Community Access Plan. • An updated Santa Monica Community Access Plan for Phase Two. • The provision of childcare services and an expansion of those services for Phase Two. • Requirement to replace 10 units of existing and unoccupied multi-family housing, including two deed-restricted affordable units if the existing 10 unit multi-family housing building at 1417-1423 21st Street is removed. In 2015, Providence Saint John’s Total Community Benefits as reported to the State were valued at $77.7 Million. The portion directly benefiting Santa Monica residents and non-profits, the Santa Monica Community Access Plan, had a value of $19.3 Million in 2015. This included: $16.4 million in charitable medical and mental health services based on referrals from local non-profits, $688,900 toward community services that promote health education and preventative health service, $514,000 in charitable medical and mental health services based on referrals from the Santa Monica- Malibu Unified School District and the Child and Family Development Center, $55,000 to the Santa Monica-Malibu Unified School District for their school nurse program, and $1.6 Million to local non-profit organizations, including WISE, Westside Family Health Center, OPCC, St. Joseph Center, St. Anne’s School, Upward Bound House, Boys & Girls Clubs of Santa Monica, Step Up on Second, Meals on Wheels West, Venice Family Clinic, and Pico Youth & Family Center. In 2015, Providence Saint John’s child care center, Early Childhood Directions, served 31 Providence Saint John’s families and 32 community families by providing care to 41 preschoolers, 13 toddlers, and 9 infants. Figure 6.1 Community Benefits 7 Figure 7.3 Planning and consulting team working with Providence Saint John’s Figure 7.1 Visioning session VISION AND PLANNING The vision for Providence Saint John’s Phase Two planning was developed through an intensive needs assessment process and within the framework of the DA. After completion of Phase One and the change in sponsorship in 2014, Providence Saint John’s commenced an intensive planning and needs assessment effort involving leadership, physicians, clinicians, staff, and Providence Saint John’s Board and Foundation members. The plan for Phase Two is a culmination of the research, recommendations, and priorities identified by Providence Saint John’s, including those from the Community Needs Assessment. The elements of this plan represent the consensus of services and programs that are needed at Providence Saint John’s to sustain and enhance its healthcare role going forward and are consistent with the general framework outlined in the 1998 DA. The planning and consulting team working with Providence Saint John’s conducted interviews with a number of researchers and investigators associated with the existing John Wayne Cancer Institute in order to better understand current research initiatives and new research activities. Site visits were also made to several hospital and research-oriented sites to evaluate new research programs being considered at Providence Saint John’s. The internal planning and Community Needs Assessment identified a need for greater emphasis on health and wellness. Phase Two will expand Providence Saint John’s capacities in outpatient and ambulatory care programs and other related health and wellness programs. The ultimate goal of Phase Two is to create a more balanced range of healthcare services that builds upon the existing excellence of programs already offered, while expanding programs that focus on health, wellness, prevention, and education. To gain new insights into clinical programs, the Providence Saint John’s team also conducted numerous interviews with physicians and other clinical staff at Providence Saint John’s and at other Providence facilities to better anticipate functional, space, and technology needs in the future. Figures 7.1-7.3 show the planning and consulting team conducting a visioning session with Providence Saint John’s administrative leadership, physicians, staff, and Board members to identify the most effective and appropriate role of the Health Center. Similar workshop sessions were held with researchers and scientists at the John Wayne Cancer Institute to identify the trends and direction for medical research and cancer care. Figure 7.2 Visioning session 8 PHASE TWO PROGRAM GOALS Cancer Research and Education - John Wayne Cancer Institute Founded in 1981, and globally recognized, John Wayne Cancer Institute at Providence Saint John’s is a cancer research institute dedicated to the understanding, innovative treatment, and diagnosis of cancer in order to eliminate patient suffering and prolong survival. Providence Saint John’s and John Wayne Cancer Institute oncology team members have discovered some of the world’s leading cancer breakthroughs such as sentinel node biopsy, minimally invasive brain surgery, first use of cryotherapy for pancreatic cancer, Molecular Diagnostic Techniques and others. The current John Wayne Cancer Institute space, facilities, and building infrastructure are obsolete and inefficiently configured. The major challenge is the age and physical limitations of the facilities, which is making it difficult to retain and recruit scientists, clinicians, and investigators, and conduct research in a contemporary setting. For example, there is insufficient wet and dry lab space, thus limiting the ability to grow programs and accommodate new technology. John Wayne Cancer Institute’s future focus will be more clinical and therapeutic – bringing new diagnostic and treatment opportunities to Providence Saint John’s. A significant increase in research space and infrastructure is needed to: • Expand research programs beyond cancer to develop diagnostic tools for patients with cardiovascular, brain and pituitary and degenerative disorders. • Develop therapies to treat patients by engineering their own immune cells to fight cancer or regenerate tissue such as cartilage. Working with the patients’ cells will require an FDA regulated, specially designed, cell processing facility. The current John Wayne Cancer Institute cannot accommodate a facility of this type. • Add and appropriately house faculty, research assistants, and fellows/post- doctoral scholars needed to support growing research programs. • Accommodate state-of-the-art laboratory instrumentation with modern utilities to provide the appropriate degree of containment to protect specimens, staff and the environment. • Create an Immune Monitoring Core to provide the latest technology and expertise to assist researchers in designing and performing different types of immune assays in the course of a clinical study. • Develop a Research Sequencing Core with the latest high throughout sequencers and robotic technologies to diagnose diseases at the genomic level. • Include Bioinformatics servers and workstations to evaluate the large amount of data produced by the sequencers and flow cytometers. • Centralize Clinical Trials, Regulatory Compliance and other specialized support for all of Providence Saint John’s as part of John Wayne Cancer Institute. Patient encounters with research RNs will remain with the clinics. • Develop a Histology Core to promote safe working conditions in managing fresh and fixed tissue. • Receive specimens centrally for secure patient tracking. • Improve Specimen Repository to create more efficient and secure storage. In addition to a new home for the John Wayne Cancer Center, the following program goals were identified for Phase Two: Health & Wellness & Ambulatory Care : Phase Two’s focus is on new and expanded facilities for Health and Wellness, including ambulatory care in the following areas: • Cardiovascular • Women and Children • Neuroscience • Cancer • Sports Medicine and Physical Therapy • Joint Replacement and Sports Medicine • Surgery • Molecular Pathology, Histology and Cytology Education and Conferencing : Phase Two includes uses that support medical, patient, and community health educational events in order to achieve the goal of a well-informed patient and community population. Associated with Phase Two’s education component is an Education and Conference Center. This will provide Providence Saint John’s health care providers with an interactive environment to learn, practice and develop new techniques and technologies. Child Care : The DA requires an expanded child care facility as part of Phase Two, guided by a City-approved child care needs assessment study. Acute Care : Phase Two also accommodates additional acute care facilities, including providing space for possible additional hospital beds for Medical/ Surgical and Intensive Care Unit departments. Campus Visitors : Phase Two planning identified a need for visitor housing to meet the needs of patients and their families, visiting health care providers, visiting researchers and scientists, and other campus visitors. Replacement Housing : The plan for Phase Two replaces an existing vacant 10-unit apartment building located at 1417-1423 21st Street on the South Campus consistent with the DA’s requirement. Figure 8.1 Dedication to research & education Figure 8.2 Providence Portland Cancer Research Center Courtesy of ZGF Architects LLP; Eckert & Eckert 9 SITE CONTEXT IN RELATIONSHIP TO TRANSPORTATION OPTIONS Access & Transportation Providence Saint John’s is located in an area well served by major streets such as Santa Monica and Wilshire Boulevards, the Interstate 10 Freeway, as well as public transportation alternatives including the Expo light rail, with two stations close by (at 17th Street/Colorado Avenue and 26th Street/Olympic Boulevard), and major bus lines. The Expo light rail stops are both within a 10-minute walking radius as shown in Figure 9.1. In addition, bike lanes and bike share stations are located within close proximity to the Providence Saint John’s campus. Figure 9.1 Vicinity Plan of Providence Saint John’s showing walking radius and the Expo light rail line Bicycle Lanes Bike Sharing Station Expo Light Rail Station 161102 UPDATE Expo Light Rail Route Walking distance from center of PSJHC @ 1 mile per 20 minutes (264 feet per minute) Site Analysis 17 TH STREET EXPO LIGHT RAIL STATION 26 TH / BERGAMOT EXPO LIGHT RAIL STATION B 2.5 min (600 ft)(1200 ft)(1800 ft)(2400 ft)5 min 7.5 min 10 min b b b Colorado PL. Arizona Ave. Santa Monica Blvd. Broadway 17 t h S t . 20 t h S t . 23 r d S t . 26 t h S t . Cl o v e r f i e l d B l v d . Wilshire Blvd. Colorado Blvd. WaterGarden Sony INTERSTATE 10 FREEWAY 10 PLANNING PRINCIPLES: URBAN CONTEXT, INTEGRATION, AND CIRCULATION The plan for Phase Two is informed by a range of local, urban and environmental issues, including the existing Providence Saint John’s Phase One facilities and adjacent buildings and uses, and climate conditions. The plan for Phase Two responds to the facility and healthcare needs of Providence Saint John’s and the community, while integrating the new facilities into the surrounding urban fabric of Santa Monica, through open space, landscaping, and sustainability concepts. From an urban planning perspective, the planning team felt it was important to break up the superblock length that exists on the South Campus and introduce two new streets to better reflect the surrounding street grid and to enhance circulation in the area. ARIZONA AVENUE BROADWAY 20 T H S T R E E T 23 R D S T R E E T SCHADER CL O V E R F I E L D B L V D . SCALE : 1"=50'-0" 0'50'100'200' SCALE : 1"=50'-0" 0'50'100'200' 21 S T S T R E E T SANTA MONICA BLVD Existing Site PROVIDENCE SAINT JOHN’S HEALTH CENTER PARKING STRUCTURE PARKING STRUCTURE VERIZON MEDICAL OFFICES MEDICAL OFFICES MEDICAL OFFICES MEDICAL OFFICES MEDICAL/ MIXED USE RESIDENTIAL RESIDENTIAL CONDOMINIUM Santa Monica Blvd Broadway Arizona A ve Schader 20 t h S t . 21 s t S t . 23 r d S t . Cl o v e r f i e l d B l v d 23 r d S t . Providence Saint John ’s Health Center Parking Structure Parking Structure V erizon Condominium Residential Residential Medical O f fices Medical O f fices Medical O f fices Medical/ Mixed Use Medical O f fices New 20th Place New 22nd Street Li v in g Street Figure 10.1 Neighborhood Grid: Existing Figure 10.2 Neighborhood Grid: Proposed Increasing Visual Connectivity and Circulation Figure 10.1 shows the existing neighborhood grid in a superblock from 21st Street to 23rd Street. Figure 10.2 shows how the plan for Phase Two breaks up the superblock from 21st Street to 23rd Street by introducing two new north-south streets, 20th Place and 22nd Street, between Santa Monica Boulevard and Broadway. These new streets will accommodate vehicles, bicycles, and pedestrians and will bring the South Campus into closer alignment with the surrounding neighborhood grid. The two new streets will also enhance visual connectivity and circulation in the area. As a result of input from City Staff and unanimous direction from the Planning Commission, the North Campus driveways onto Santa Monica Boulevard will be relocated to align with the two new streets. See Figure 15.1 on Page 15. This will further aid with circulation and connectivity. 11 PLANNING PRINCIPLES: ENHANCED OPEN SPACES AND CONNECTIVITY Open Space The DA requires a minimum of 35% open space for the South Campus. For this approximately 5-acre area, Providence Saint John’s will provide almost 2 acres of open space for use by its staff, patients, neighbors and visitors. In accordance with DA Section 3.6.1, the open space area calculation does not include paved parking areas, driveways, or new roadways provided on Providence Saint John’s campus. An important Phase Two design goal is to create strong open spaces that enhance the pedestrian experience and encourage Providence Saint John’s users and visitors to utilize and enjoy the outdoor areas. Saint John’s Square at the heart of the South Campus extends the pedestrian zone from an expanded and redesigned Mullin Plaza across to the other side of the street. A Wellness Walk weaves the various open spaces on both campuses together and will, with wellness as a goal, encourage visitors, patients, and staff to walk and enjoy the outdoors. The plan for Phase Two includes the following open space concepts: Inviting Pedestrian Realm An attractive series of open spaces are created throughout the site to encourage the campus to be a primarily pedestrian zone. It will also give a green landscaped surrounding to the new buildings. Vehicular circulation and access to parking are provided in an efficient system on the periphery of the campus and away from the main pedestrian areas on two new streets: 20th Place and 22nd Street, as shown in Figure 11.1. As indicated earlier, as a result of input from City Staff and unanimous direction from the Planning Commission, the North Campus driveways onto Santa Monica Boulevard will be relocated to align with the two new streets. See Figure 15.1 on Page 15. In addition to improving vehicular circulation, this creates a larger Mullin Plaza on the North Campus and an opportunity to redesign this space to increase its use by Providence Saint John’s users and the community. Existing traffic signals on Santa Monica Boulevard will be relocated to align with these new intersections. Wellness Walk A “Wellness Walk” is configured to connect the various open spaces together and provide opportunities for health and fitness activities throughout the campus. The Walk is activated by programming elements such as PAR exercise stations, pavilions, and activities related to health and wellness. Central Urban Plaza –Saint John’s Square The concept is organized around a large central plaza, the new Saint John’s Square, on the South Campus opposite the larger and re-envisioned Mullin Plaza on the North Campus. These open spaces, combined with new neighborhood serving retail uses in and around Saint John’s Square, will activate Santa Monica Boulevard and help create a sense of place in this area of the City. Santa Monica Blvd Broadway Arizona Ave Schader Cl o v e r f i e l d B l v d 23 r d S t . Parking Structure Parking Structure Verizon Condominium Residential 2001 2021 2020 Medical/ Mixed Use 1301 Providence Saint John’s Health Center Residential 20 t h S t . 23 r d S t . 21 s t S t . 20 t h P l . Saint John’s Way 22 n d S t . S 2I North Lawn 2C 2D/2E S3 S4 S1 S5 S2 Existing Mullin Plaza Saint John’s Square South Lawn North Lawn Wellness Walk Existing North Campus Open Space South Campus Open Space and Landscape Enhanced Pedestrian Connectivity Phase 2 South Campus Phase 2 North Campus Living Street A pedestrian-oriented “Living Street” concept is incorporated to link the overall site from the North Campus Mullin Plaza to Broadway on the south, defining lively gathering spaces. The existing 21st Street is proposed to be dedicated to pedestrians north of the existing apartment buildings (1417- 1423 21st Street) in order to reinforce a vibrant pedestrian environment and protect the residents on 21st Street from cut-through vehicular traffic. Garden Areas The garden areas, including the landscaped gardens between the East Ambulatory Care & Research Building (S4) and Visitor Housing Building (S5) and the South Garden along Broadway, are planted green spaces with quieter open spaces for more passive recreation opportunities to reflect the more residential context, including the existing Geneva Plaza building and the existing residential buildings to the east as well as the new Visitor Housing building (S5) and Multi-Family Replacement Housing building (S2). Figure 11.1 Open Spaces and Connectivity 12 PLANNING PRINCIPLES: Functional Zoning Functional zones of new uses are based on a healthcare “acuity level” of required adjacency to the existing medical services in the North Campus— hospital uses have a high healthcare acuity level and are closely integrated with the existing hospital buildings; medium acuity is oriented towards ambulatory care, research-oriented programs, education and conference capabilities, and community uses/housing with the lowest levels of healthcare focus are furthest away along Broadway. See Figure 12.1. Figure 12.1 Functional Zoning Santa Monica Blvd Broadway Arizona A ve Schader Cl o v e r f i e l d B l v d 23 r d S t . Parking Structure Parking Structure V erizon Condominium Residential Medical Offices Medical/ Mixed Use 1301 Medical Offices g S S S S o on-Shio n g e e e e r f o c S c S c Sci e n Geneva Plaza 20 t h S t . 23 r d S t . 21 s t S t . 20 t h P l . Saint John ’s W ay 22 n d S t . S Sa i nt J ohn ’s W CARE Santa Monica Blvd & CARE Existing Mullin Plaza Saint John ’s Square North Lawn Phase 2 South Campus Phase 2 North Campus Medical Offices Providence Saint John’s Health Center Acuity Level ACUTE CARE AMBULATORY & RESEARCH EDUCATION & CONFERENCE CENTER CHILD & FAMILY DEVELOPMENT CENTER PATIENT & FAMILY VISITOR HOUSING REPLACEMENT CENTER Figure 12.2 Site Diagram of New Program Elements CFDC JWCI Residential Bank MRI Santa Monica Blvd Broadway Arizona Ave Schader 20 t h S t . 21 s t S t . 23 r d S t . Cl o v e r f i e l d B l v d 23 r d S t . Providence Saint John’s Health Center Parking Structure Parking Structure Verizon Condominium Residential Residential Medical Offices Medical Offices Medical Offices Medical/ Mixed Use Medical Offices MULLIN PLAZA Residential Geneva Plaza Santa Monica Blvd Broadway Arizona Ave Schader Cl o v e r f i e l d B l v d 23 r d S t . 20 t h S t . 23 r d S t . 21 s t S t . 20 t h P l . 22 n d S t . JOHN WAYNE CANCER INSTITUTE / AMBULATORY CARE PARKING/ ACTIVATED USES CONFERENCE CENTER MULTI - FAMILY HOUSING VISITOR HOUSING AMBULATORY/ ACUTE CARE HEALTH & WELLNESS MEDICAL RESEARCH MEDICAL RESEARCH AMBULATORY/ ACUTE CARE AMBULATORY CARE/ Saint John’s Square Phase 2 South Campus Phase 2 North Campus CHILD & FAMILY DEVELOPMENT CENTER Site Diagram of New/Relocated Program Elements The plan for Phase Two developed from the open space, circulation, and functional zoning principles described on the prior pages. The result is that new facilities for ambulatory care, which are more institutional in nature with higher heights and larger floor plates to efficiently accommodate the health care uses, are located toward Santa Monica Boulevard closest to the existing Phase One hospital facilities on the North Campus and other existing medical buildings. The new Education & Conference Center, health and wellness uses, and additional medical research uses are sited in the middle of the South Campus. The uses that can be accommodated in buildings with a more residential feel and form are located in the southern portion of the South Campus near Broadway. These buildings include the new Child & Family Development Center which also includes the child care center, as well as visitor housing and 10 units of replacement multi-family housing. See Figure 12.2. The two new streets allow circulation and visual permeability between the North and South Campuses. The open spaces connected by the Wellness Walk weave through the Phase Two and existing Phase One sites creating an integrated campus. As a result of input from City Staff and unanimous direction from the Planning Commission, the North Campus driveways onto Santa Monica Boulevard will be relocated to align with the two new streets. See Figure 15.1 on Page 15. 13 2I Parking Structure - Employee Parking 2D/E East Ambulatory & Acute Care Building - Women’s & Pediatrics Clinics - Short Stay Units 2C West Ambulatory Care Building - Imaging - Cardiovascular S4 East Ambulatory & Research Building / Education & Conference Center - Health &Wellness - Sports Medicine - Education & Conference Facilities S3 West Ambulatory & Research Building - JWCI Research - Immunology - Neuroscience S5 Visitor Housing - 40 Units S1 Child & Family Development Center - Day Care - Behavioral Science S2 Multifamily Housing - 10 Units SOUTH CAMPUS MASTER PLAN AND PHASE TWO NORTH CAMPUS BUILDINGS: ORIGINAL SUBMITTAL Figure 13.1 shows the original Phase Two proposal, which includes eight new buildings: five on the South Campus and three on the North Campus. South Campus • Child & Family Development Center (S1) • 10-unit Multi-Family Replacement Housing Building (S2) • West Ambulatory Care & Research Building (S3) which will house programs including: • New home for the John Wayne Cancer Institute • Immunology • Neuroscience • East Ambulatory & Research Building/Education & Conference Center (S4) which will house programs including: • Health & Wellness • Sports Medicine • Education & Conference Facilities • 40-unit Visitor Housing Building (S5) North Campus • Parking Structure (2I), which will have: • Activated uses on the ground floor • West Ambulatory Care Building (2C) which will house programs including: • Imaging • Cardiovascular • East Ambulatory & Acute Care Building (2D/E) which will house programs including: • Women’s & Pediatrics Clinics • Short Stay Units The proposal originally filed with the City proposed that the 10-unit Multi- Family Replacement Housing (S2) and Visitor Housing (S5) would be setback from Broadway to create a garden area along Broadway. Many community members suggested that these buildings be pushed closer to Broadway to provide more activation along Broadway and create greater setbacks/open space to the north of these buildings adjacent to the existing residential buildings (Geneva Plaza and the existing 1440 23rd Street condominium building). The original proposal included two new streets on the South Campus (20th Place and 22nd Street) to connect Broadway to Santa Monica Boulevard, but these streets did not align with the existing North Campus driveway intersections because changes to the North Campus requires an amendment to the DA. This plan created four intersections, including two unsignalized intersections, between 20th Street and 23rd Street. City Staff had traffic and safety concerns with this aspect of the proposal. Figure 13.1 Phase Two Plan with Uses 14 50’100’200’ 2C 2D/E LOBBY LOBBY Providence Saint John’s Health Center Medical Office Medical Office Medical Office Medical Office Parking Structure Residential LOBBY LOBBY S3 S1 S5 S2 S3 2I S4 S4 SERVICE & LOADING SERVICE & LOADING EDUCATION & CONFERENCE CENTER CHILD & FAMILY DEVELOPMENT CENTER PARKING/ ACTIVATED USES VISITOR HOUSING MULTI-FAMILY HOUSING S1 S5 S2 S3 2I S4 23 r d S t r e e t 20 t h S t r e e t Santa Monica Blvd Pr o p o s e d N e w 2 2 n d S t r e e t T w o W a y Pr o p o s e d N e w 2 0 t h P l a c e Tw o W a y Tw o W a y On e W a y 21 s t S t r e e t Arizona Ave. Cl o v e r f i e l d B l v d . 23 r d S t . On e W a y Schader Broadway Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 2D/E East Ambulatory & Acute Care Building - ICU Beds - Pathology 2I Parking Structure - Employee Parking S4 East Ambulatory & Research Building / Education & Conference Center - Health &Wellness - Sports Medicine - Education & Conference Facilities 2C West Ambulatory & Acute Care Building - Med/Surg Beds - ICU Beds S5 Visitor Housing - 30 Units S3 West Ambulatory & Research Building - JWCI Research - Immunology - Neuroscience S2 Multifamily Housing - 10 Units S1 Child & Family Develop - ment Center - Day Care - Behavioral Science REVISED PLAN FOR PHASE TWO PRIOR TO PLANNING COMMISSION FLOAT- UP Providence Saint John’s filed a revised plan in response to comments received from City Staff and community members about the original South Campus Master Plan and Phase Two North Campus buildings. Figure 14.1 shows the revised plan, which included the following modifications from the original submittal: • The 10-unit Multi-Family Replacement Housing (S2) was shifted closer to Broadway. This shift provides an urban edge along Broadway, rather than open space, to better activate the street. This shift also provides a greater setback and more open space between the existing 1440 23rd Street residential building and the proposed Replacement Multi-Family Housing (S2). • The Visitor Housing Building (S5) was shifted closer to Broadway. This shift provides an urban edge along Broadway, rather than open space, to better activate the street. This shift also provides a greater setback and more open space between the existing Geneva Plaza residential building and the proposed Visitor Housing (S5) building. • The North Campus driveways and signals were relocated along Santa Monica Boulevard to align with the new 20th Place and 22nd Street on the South Campus. With this change, there will continue to be only two intersections between 20th Street and 23rd Street along Santa Monica Boulevard (rather than the four intersections previously proposed) and there will not be any un-signalized T-intersections. The existing traffic signals on this stretch of Santa Monica Boulevard will be moved to align with the new intersections. • Given that the North Campus driveways are being widened onto the Phase Two Sites 2C and 2D/E, the building footprints for these buildings were removed because the buildings needed to be redesigned to fit their reconfigured areas. Instead, the buildable areas on these sites (as well as Site 2I) were outlined on the revised Plan submitted to the Planning Commission.Figure 14.1 Site Diagram of New Program Elements 15 50’100’200’ 2C 2D/E LOBBY LOBBY Providence Saint John’s Health Center Medical Office Medical Office Medical Office Medical Office Parking Structure Residential LOBBY LOBBY S3 S1 S5 S2 S3 2I S4 S4 SERVICE & LOADING SERVICE & LOADING EDUCATION & CONFERENCE CENTER CHILD & FAMILY DEVELOPMENT CENTER PARKING/ ACTIVATED USES VISITOR HOUSING MULTI-FAMILY HOUSING S1 S5 S2 S3 2I S4 23 r d S t r e e t 20 t h S t r e e t Santa Monica Blvd Pr o p o s e d N e w 2 2 n d S t r e e t T w o W a y Pr o p o s e d N e w 2 0 t h P l a c e Tw o W a y Tw o W a y On e W a y 21 s t S t r e e t Arizona Ave. Cl o v e r f i e l d B l v d . 23 r d S t . On e W a y Schader Broadway Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 2C 2D/E 2D/E East Ambulatory & Acute Care Building - ICU Beds - Pathology 2I Parking Structure - Employee Parking S4 East Ambulatory & Research Building / Education & Conference Center - Health &Wellness - Sports Medicine - Education & Conference Facilities 2C West Ambulatory & Acute Care Building - Med/Surg Beds - ICU Beds S5 Visitor Housing - Up to 34 Units S3 West Ambulatory & Research Building - JWCI Research - Immunology - Neuroscience S2 Multifamily Housing - 10 Units S1 Child & Family Develop - ment Center - Day Care - Behavioral Science CURRENT PLAN FOR PHASE TWO After the Planning Commission float-up, Providence Saint John’s filed a revised plan in response to comments received from Planning Commission, City Staff and community members during the Planning Commission Float-Up process. Figure 15.1 shows the revised plan, which includes the following modifications from the pre-Planning Commission submittal: • In order to align the North Campus Santa Monica Boulevard driveways with the new 20th Place and 22nd Street consistent with City Staff and Planning Commission direction, changes to the West Ambulatory & Acute Care Building (2C) and East Ambulatory & Acute Care Building (2D/E) were required: • The east ingress driveway on the North Campus was moved to the east to align with the new 22nd Street. This reduces the land area on Site 2D/E for the new East Ambulatory & Acute Care Building (2D/E). As a result, the building footprint for the East Ambulatory & Acute Care Building (2D/E) was significantly reduced. • The relocation of the east ingress driveway enlarges the Mullin Plaza area and creates the opportunity to redesign this plaza to make it more inviting and active. • Due to the loss of Hospital/Health Care area in the East Ambulatory & Acute Care Building (2D/E), the West Ambulatory & Acute Care Building (2C) was redesigned to accommodate future acute care (inpatient beds) whereas it had previously contemplated use for ambulatory uses only. One story was added to this building resulting in a 5-story building for Hospital/Health Care uses. The building’s height is consistent with the maximum height allowed by the DA for this site (6 stories, 95 feet) and fits within the context, including the medical office buildings to the west along Santa Monica Boulevard which are about 84 feet and 168 feet in height and the Providence Saint John’s existing Howard Keck Diagnostic & Treatment Center which is approximately 92 feet in height. • City Staff and the Planning Commission expressed concern about the amount of parking being proposed in the above and below-grade parking structure on the North Campus Site 2I. Originally 893 parking spaces were proposed in the structure. After the Planning Commission float-up, Providence Saint John’s project team, including Walker Parking Consultants, reviewed in detail (a) Providence Saint John’s overall parking supply and demand and (b) the stage-by-stage parking supply and demand. The review revealed that Providence Saint John’s could reduce the above-grade parking structure by one level (eliminating 119 spaces) and still meet its peak parking demand. Providence Saint John’s has revised the Phase Two Plan to include this change, which reduces the parking structure by one floor (from 6 levels to 5 above-grade). This results in a total of 774 parking spaces now proposed on Site 2I. Providence Saint John’s traffic consultant, Linscott, Law & Greenspan, Engineers has preliminarily evaluated the parking garage and associated traffic impacts and has concluded that 20th Street can accommodate this volume of parking with several modifications to the striping on the roadways and by dedicating most of the parking to employee parking. City Staff and their traffic consultant will evaluate this as part of the environmental review process. Figure 15.1 Site Diagram of New Program Elements • As a result of the change of the West Ambulatory & Acute Care Building (2C) on the North Campus to provide the opportunity for acute care and in further reviewing the timing for the various proposed infrastructure improvements in relation to the phasing/staging of the new buildings, Providence Saint John’s determined that it would be beneficial to move up the West Ambulatory & Acute Care Building (2C) on the North Campus earlier in the staging. From a programmatic and functional standpoint, this allows convenient access and efficiencies between the John Wayne Cancer Institute and the inpatient cancer treatment facilities to be available sooner. And, from a campus and City planning perspective it allows the west side of the campus to be completed earlier. This minimizes impacts on Santa Monica Boulevard, allows moving one of the traffic signals on Santa Monica Boulevard earlier in the phasing, and allows for the vacation of the northern portion of 21st Street earlier to prevent cut-through traffic on this street which includes access for Providence Saint John’s residential neighbors. The vacated portion of 21st Street will then be converted to a “Living Street” to encourage pedestrian activity and to help frame this western edge of the campus. The revised staging/phasing plan is included as Figure 26.1 on Page 26. • In response to input from the Planning Commission about the publicly- accessibly open spaces, Providence is proposing two small cafes - one in the expanded North Campus Mullin Plaza and one in the South Campus Saint John’s Square to encourage use of the open spaces and enhance the pedestrian experience. 16 OPEN SPACE DIAGRAM During the Planning Commission float-up process, questions were asked about the anticipated uses and programming for the various existing and proposed open spaces on Providence Saint John’s Campus. Figure 16.1 to the left explains the preliminary concepts for potential uses and programming of each open space. Outdoor  Spaces  with  Programmatic  Elements North  Courtyard •Staff  Meetings •Coffee/Lunch  Area •Seating/Reading North  Garden •Wellness  Walk •Strolling •Seating/Reading •Meditation 23 rd St. Garden •Viewing  Garden •Wellness  Walk Jimmy  Stewart   Rose  Garden •Viewing   •Strolling Sunken  Gardens •Viewing Mullin  Plaza •Event  Space •Musical  Event(s) •Sheltered  Space •Food  Trucks •Wellness  Walk •Family  Waiting •Seating/Reading •Coffee/Lunch  Area •Coffee  Kiosk Saint  John’s  Square •Event  Space •Coffee/Lunch  Area •Wellness  Walk •Family  Waiting •Outdoor  Classes •Health  Fairs   •Farmer’s  Market Woodland  Garden •Quiet  Seating/Reading •Reflection •Coffee/Lunch  Area •Wellness  Walk  with   Exercise  Station(s) Sun  Garden •Wellness  Walk  with Exercise  Stations •Coffee/Lunch  Area •Seating/Reading •Gathering  Space •Strolling •Viewing •Picnic  Area •Outdoor  Movies Multi ‐Family  Housing   •Picnic  Area •Seating/Reading •Free  play •Dog  walking Visitor  Housing   •Coffee/Lunch/Dining   •Seating/Reading South  Garden •Wellness  Walk  with Exercise  Stations •Strolling •Coffee/Lunch  Area •Seating/Reading •Viewing CFDC  Daycare •Secure  Playground CFDC  Behavioral   Science  Center •Entry  Courtyard •Meeting/Waiting  Area 2 3 1 2 4 3 4 6 5 7 6 5 5 8 7 9 9 10 10 11 11 1 14 12 12 13 13 14 1 8 Wellness  Walk Wellness Walk North Courtyard - Staff Meetings - Coffee/Lunch Area - Seating/Reading North Garden - Wellness Walk - Strolling - Seating/Reading - Meditation 23rd St. Garden - Viewing Garden - Wellness Walk Jimmy Stewart Rose Garden - Viewing - Strolling Sunken Gardens - Viewing Mullin Plaza - Event Space - Musical Event(s) - Sheltered Space - Food Trucks - Wellness Walk - Family Waiting - Seating/Reading - Coffee/Lunch Area - Coffee Kiosk Saint John’s Square - Event Space - Coffee/Lunch Area - Wellness Walk - Family Waiting - Outdoor Classes - Health Fairs - Farmer’s Market Woodland Garden - Quiet Seating/Reading - Reflection - Coffee/Lunch Area - Wellness Walk with Exercise Station(s) Sun Garden - Wellness Walk with Exercise Stations - Coffee/Lunch Area - Seating/Reading - Gathering Space - Strolling - Viewing - Picnic Area - Outdoor Movies Multi -Family Housing - Picnic Area - Seating/Reading - Free play - Dog walking Visitor Housing - Coffee/Lunch/Dining - Seating/Reading South Garden - Wellness Walk with Exercise Stations - Strolling - Coffee/Lunch Area - Seating/Reading - Viewing CFDC Daycare - Secure Playground CFDC Behavioral Science Center - Entry Courtyard - Meeting/Waiting Area 1 3 4 2 5 6 7 8 10 11 9 12 13 14 17 PHASE TWO DA FLOOR AREA COMPLIANCE BY BUILDING Building Name Building Floor Area Vested per DA Proposed Phase Two Maximum Building Floor Area S1 Child & Family Development Center 396,500 sf total on the South Campus plus 10 units of Multifamily Replacement Housing 34,500 sf S2 Multifamily Housing 10 units plus 800 sf Neighborhood Commercial Uses S3 West Ambulatory Care & Research Building 123,000 sf S4 Education/Confere nce Center and East Ambulatory Care & Research Building 199,300 sf S5 Visitor Housing 38,000 sf S6 Saint John’s Café 900 sf South Campus Total 396,500 sf (DA Section 3.7.3(b)) 396,500 sf 2C West Ambulatory Care Building - North Campus 120,000 sf* above -grade 30,000 sf below -grade (DA §3.7.3(a)) 112,000 sf above -grade 6,000 sf below -grade 2D /E East Ambulatory and Acute Care Building - North Campus 90,000 sf* above -grade 25,000 sf below -grade (DA §3.7.3(a)) 70,000 sf above grade 20,000 sf below grade 2I Parking Structure 137,500 sf* above -grade, see compliance with North Campus total. (DA §3.7.3(a)) 160,000 sf above -grade (including 157,000 sf above - grade parking) Mullin Plaza Café 1,500 sf North Campus Total 347,500 sf above -grade 55,000 sf below -grade (DA §3.7.3(a)) 343,500 sf above grade 26,000 sf below grade Phase Two Total 744,000 sf above -grade 55,000 sf below -grade (DA §3.4.1) 740,000 sf above grade 26,000 sf below grade Figure 17.1 Phase Two DA Floor Area Compliance by Building BUILDING FLOOR AREAS The proposed heights and densities for the Phase Two buildings are consistent with the DA provisions governing Phase Two’s size and scale. Specifically: • A total of 396,500 square feet of floor area is proposed on the South Campus in six buildings. This is consistent with the DA’s vested floor area for the South Campus of 396,500 square feet. (See DA Section 3.7.3(b)) • A total of 343,500 square feet of above-grade floor area, including 157,000 square feet of above-grade parking, and 26,000 square feet of below-grade area is proposed on the North Campus in four buildings. This is significantly less than the DA’s cumulative vested floor area for the North Campus sites of 347,500 square feet of above-grade floor area and 55,000 square feet of below-grade floor area. (See DA Section 3.7.3(a).) For the North Campus, the DA specifies floor areas for each site and provides the City with discretion to allow a shifting of floor area between the three sites. Per DA Section 3.7.3(a), Providence Saint John’s is proposing to shift vested floor area from the 2C and 2D/E sites (the sites adjacent to Santa Monica Boulevard) to the 2I site (on 20th Street). Figure 17.1 shows the proposed floor areas of the 10 buildings and the DA vested floor areas for each building. * Per DA Section 3.7.3(a), the overall above-grade square footage on the North Campus Phase Two sites is 347,500 sf and the City may approve shifting floor area between the North Campus Phase Two sites. 18 PHASE TWO COMPARED WITH 2015 ZONING ORDINANCE AND NET GROWTH Providence Saint John’s Phase Two gross development totals 740,000 square feet of above-grade floor area, including 157,000 square feet of above-grade parking, on 346,500 square feet of land area. This is an approximately 2.14 FAR. By comparison, the 2015 Zoning Ordinance allows a Tier 2 FAR of 2.5 (a total of 866,250 square feet) in the Mixed-Use Healthcare District where the Phase Two sites are located. Thus, the proposed floor area for Phase Two is significantly smaller than what would be allowed if Providence Saint John’s were to proceed under the 2015 Zoning Ordinance. 2015 Zoning Ordinance Phase Two DA Vested Above- Grade Floor Area Phase Two Proposed Above-Grade Floor Area Building Square Footage 866,250 744,000 740,000 Land Area 346,500 346,500 346,500 FAR 2.5 2.15 2.14 Figure 18.1 FAR Comparison PROVIDENCE SAINT JOHN’S NET GROWTH With Phase Two fully-implemented, Providence Saint John’s cumulative development since approval of the 1998 DA (both Phases One and Two) would total a net increase of 299,475 square feet of above-grade floor area (not including above-grade parking) in comparison to Providence Saint John’s prior to the Northridge Earthquake. This would be about 6,500-7,000 square feet of additional floor area per year, on average, from DA approval in 1998 until Phase Two is completed in 2040-2045. The chart in Figure 18.2 shows the net decrease in Phase One floor area, the increase in floor area resulting from implementation of the proposed plan for Phase Two, and the overall net growth of Phase One and Phase Two combined.Figure 18.2 Net Growth NET INCREASE IN ABOVE-GRADE NON-PARKING FLOOR AREA: COMBINED PHASE ONE AND TWO Phase One -187,000 sf Phase Two 486,475 sf Net Increase Combined Phase One and Phase Two 299,475 sf NET FLOOR AREA DECREASE OF PHASE ONE Saint John’s Core Hospital Facilities Peak Pre-1994 Earthquake 662,000 sf 501 Licensed Beds Existing Improvements on Phase Two Sites to be Demolished 475,000 265 Licensed Beds Net Increase Phase Two Program Area -187,000 sf -236 Licensed Beds NET FLOOR AREA INCREASE OF PHASE TWO ABOVE-GRADE NON-PARKING FLOOR AREA Phase Two Existing Improvements -96,525 sf (51,055 sf on South Campus and 45,470 sf on North Campus) Phase Two New Above-Grade Floor Area 740,000 sf Phase Two Above-Grade Parking (Non Program Floor Area)-157,000 sf Net Increase Phase Two 486,475 sf 19 50’100’200’ 2C 2D/E LOBBY LOBBY Providence Saint John’s Health Center Medical Office Medical Office Medical Office Medical Office Parking Structure Residential LOBBY LOBBY S3 S1 S5 S2 S3 2I S4 S4 SERVICE & LOADING SERVICE & LOADING EDUCATION & CONFERENCE CENTER CHILD & FAMILY DEVELOPMENT CENTER PARKING/ ACTIVATED USES VISITOR HOUSING MULTI-FAMILY HOUSING S1 S5 S2 S3 2I S4 23 r d S t r e e t 20 t h S t r e e t Santa Monica Blvd Pr o p o s e d N e w 2 2 n d S t r e e t T w o W a y Pr o p o s e d N e w 2 0 t h P l a c e Tw o W a y Tw o W a y On e W a y 21 s t S t r e e t Arizona Ave. Cl o v e r f i e l d B l v d . 23 r d S t . On e W a y Schader Broadway Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y 2C 2D/E 2D/E East Ambulatory & Acute Care Building Maximum height: 4 stories, 75 ft 2I Parking Structure 5 Fl, 56 ft S4 East Ambulatory & Research Building / Education & Conference Center 6 Fl, 105ft 2C West Ambulatory Building Maximum height: 5 stories, 95 ft S5 Visitor Housing 6 Fl, 73 ft S3 West Ambulatory & Research Building 5 Fl. 89 ft S2 Multifamily Housing 3 Fl, 36 ft S1 Child & Family Develop - ment Center 3 Fl, 47ft BUILDING HEIGHTS The Phase Two buildings, shown in Figure 19.1, include varied building heights to intentionally respond to climatic and adjacent conditions including solar orientation, shadowing and neighborhood uses. In addition, the heights are reflective of accommodating the floor area needed to achieve Providence Saint John’s Phase Two planning objectives. The DA specifies height limits for the North Campus Phase Two sites (see below). For the South Campus, the DA provides that the heights are to be established in the Master Plan and requires that the South Campus contain a minimum of 35% open space. The heights shown do not include projections for roof elements, including mechanical equipment, exhaust pipes, elevator overrides, HVAC and other equipment. Such projections will be limited to the extent reasonably necessary, screened appropriately, and setback from edges of the roofs to the extent possible. The heights shown on North Campus Phase Two sites reflect the revisions to the buildings after the Planning Commission float-up. The heights are consistent with the maximums allowed by the DA for the North Campus sites as shown. North Campus Site Max. Height Per DA Proposed Height 2C - West Ambulatory & Acute Care Building 95 feet (6 stories) 95 feet (5 stories) 2D/E - East West Am - bulatory & Acute Care Building 75 feet (5 stories) 75 feet (4 stories) 2I - Parking Structure 68 feet (6 stories) 56 feet (5 stories) Figure 19.1 Phase Two Planning, Number of Floors & Building Heights 86’ 168’ 84’ 110’ 40’ 70’ 84’ 42’ 43’ 92’ 20 Mullin Plaza West Ambulatory Care & Research Building Education/ Confrence Center & East Ambulatory Care & Research Building Child & Family Development Center Visitor Housing Multifamily Housing West Ambulatory & Acute Care Building East Ambulatory & Acute Care Building Parking/ Activated Uses S1 S2 S3 S4 S5 Santa Monica Blvd 2D/E 2C 2I 150' min 11 0 ' m i n 15 ' m i n 120'min. 15’ min setback between curb and building 20 ' m i n 20’min.30' min 30' min 30' min 30'min 40' min 10' 5’ 5’5’ 30 ' mi n 20' min 40' min 6' min 6' min 20' min 20' min 6' min 20' min 20' min Figure 20.1 Minimum Distances and Setbacks North Campus Section 3.5.3 of the DA establishes the following setbacks for the North Campus Phase Two sites: • West Ambulatory/Acute Care Building (2C) • Minimum of 6 feet from the property line along Santa Monica Boulevard • Minimum of 20 feet from the east side of the existing 2001/2021 Santa Monica Boulevard parking garage • East Ambulatory/Acute Care Building (2D/E) • Minimum of 6 feet from the property line along Santa Monica Boulevard • Minimum of 20 feet from the property line along 23rd Street • Minimum of 40 feet from the Chan Soon-Siong Inpatient Center for Life Sciences Building • Parking/Activated Ground Floor Uses (2I) • Minimum of 6 feet from the property line along 20th Street • Minimum of 20 feet from the north side of the 2001 Santa Monica Boulevard building • Minimum of 20 feet from the east side of the 2001/2021 Santa Monica Boulevard parking garage, • Minimum of 20 feet from the south side of the 1301 Arizona building South Campus Per Section 3.6.1 of the DA, Providence Saint John’s is proposing the following minimum setbacks for the South Campus: • Along Santa Monica Boulevard and Broadway: Minimum of 15 feet from the curb. • Adjacent to existing residential uses: • Between the Education & Conference Center & East Ambulatory Care & Research Building (S4) and the existing multi-family residential building located at 1427 and 1433 21st Street: Minimum of 30 feet from the property line. • Between the Multi-Family Replacement Housing Building (S2) and the existing multi-family residential building located at 1440 23rd Street: Minimum of 20 feet from the property line. • Between the Visitor Housing Building (S5) and the existing senior housing building located at 1441 21st Street (Geneva Plaza): Minimum of 10 feet from the property line. • Between the Education & Conference Center & East Ambulatory Care & Research Building (S4) and the Visitor Housing Building (S5): Minimum of 120 feet. • This area (the Sun Garden) will be reserved as publicly-accessible open space. • Along the south side of Santa Monica Boulevard, a publicly-accessible open space is proposed between/in front of the West Ambulatory Care & Research Building (S3) and the Education & Conference Center & East Ambulatory Care & Research Building (S4): Minimum of 150 feet (west to east) by a minimum of 110 feet (north to south) except that a small café/ retail building (maximum 900 square feet of floor area), a structure with a canopy for shade, and a mechanical air intake may be located in this area. • This area (Saint John’s Square) will be reserved as publicly-accessible open space. BUILDING SETBACKS The plan for Phase Two provides minimum building setbacks. These have been established with the goals of providing appropriate setbacks to existing and new buildings, defining and strengthening the sequence of open spaces, and ensuring adequate space for the landscape and hardscape elements between buildings. Figure 20.1 illustrates the proposed minimum distances from property lines and between the proposed buildings on the South Campus and the setbacks required in the DA for the North Campus. Subterranean parking basements and utilities may extend to the property line and are not subject to any setbacks. 21 120’60’240’0’ PARKING FOOT PRINT SUBTERRANEAN PARKING CONNECTION PARKING ACCESS/ EXIT 20 t h S t . Santa Monica Blvd. 23 r d S t . 23 r d S t . Schader Dr. On e w a y One way 23 r d S t . 22 n d S t . 21 s t S t . Arizona Ave. Broadway SAINT JOHN'S PROVIDENCE HEALTH CENTER 21 s t S t . MOB MOB MOB VERIZON BUILDING MOB RESIDENTIAL RESIDENTIAL CONDOMINIUMS MEDICAL/ MIXED USE MOB Pr o p o s e d T w o w a y Saint John’s Way Pr o p o s e d T w o w a y PROPOSED/MOVED TRAFFIC LIGHTS EXISTING TRAFFIC LIGHTS Left Turn Only No Enter To Schader Dr. NO ENTRY SIGN Figure 21.1 New Parking PARKING Providence Saint John’s has taken a holistic approach to planning and designing Phase Two parking. The proposed Phase Two parking solution is comprehensive. It addresses both Phase One and Phase Two parking demand. Upon completion of Phase Two, parking for Providence Saint John’s various user groups (including both Phases One and Two) will be provided on-site and Providence Saint John’s will no longer need to rely on off-site leased parking. The solution includes parking beneath all Phase Two buildings. On one site, Site 2I (North Campus), a new parking structure will provide both below and above grade parking. Currently, the South Campus is dominated by surface parking lots that are utilized to satisfy (along with other owned and leased parking) Providence Saint John’s parking needs for both the North and South campuses. Thus, in order to provide parking in an early stage and allow redevelopment of the South Campus, the proposed above and below grade parking structure on Site 2I is necessary. Per DA Section 3.9.2, Providence Saint John’s retained Walker Parking Consultants to prepare a parking study to ensure that Providence Saint John’s provides sufficient parking for all Phase Two buildings and uses. Because the parking supply for Phase One and Phase Two will be shared, the parking study analyzes the peak parking demand from both Phase One and Phase Two combined assuming full occupancy. The two new north-south streets on the South Campus (20th Place and 22nd Street) will provide access to ramps for underground parking under the South Campus. The plan for Phase Two locates access to off-street parking facilities strategically to optimize visibility, minimize vehicles circling around the area, minimize potential conflicts between pedestrians and vehicles and allow free-flow pedestrian entry from the streets. The plan for Phase Two provides vehicular parking in the following locations: • Up to 5 levels of underground parking under the South Campus, including the northern portion of 21st Street proposed for vacation, • Up to 4 levels of underground parking and 5 levels of above ground parking on North Campus Site 2l, • Up to 4 levels of underground parking on North Campus Site 2C, • Up to 4 levels of underground parking on North Campus Site 2D/E, and • Separate semi-subterranean/subterranean parking for the 10-unit Multi-Family Replacement Housing Building. Bicycle parking is provided per Figure 24.1 on page 24. Providence Saint John’s has filed a preliminary parking demand study covering both Phase One and full Phase Two build-out. Because Phase Two will be implemented over a long period of time in several stages, City Staff and the Planning Commission recommended that Providence Saint John’s should prepare updated parking demand studies from time to time (specifically, after completion of Stage B of Phase Two) to collect empirical data on the use of the then-existing parking and assess the impact of TDM strategies and other future developments (the increase of ridesharing, etc.) on parking demand. These parking demand studies would be subject to review and approval by the City. These studies, as approved by the City, would guide Providence Saint John’s parking requirements for the later stages of Phase Two. Figure 21.1 illustrates the parking areas. Special attention has been made to identify parking structure entry and exit paths that work well with existing public streets, new streets being developed by Providence Saint John’s, and major intersections. The goal is to incorporate parking solutions that minimize impacts on the residents near the campus. 22 23 r d St . One way 22 n d St . 21 s t St . Mullin Plaza S S S S EX EX 100’50’200’0’ PHASE II UPPER LEVEL BUILDING LOCATIONS FIRE TRUCK / EMERGENCY ACCESS NEW STREETS PHASE II GROUND LEVEL BUILDING LOCATIONS PROPERTY LINE SOUTH CAMPUS BUILDABLE AREA NORTH CAMPUS BRIDGE NO THROUGH STREET NEW TRAFFIC LIGHTS EXISTING TRAFFIC LIGHTS RELOCATED TRAFFIC LIGHTS STOP SIGN AT INTERSECTION NO ENTRY SIGN S EXISTING DEDICATED BIKE LANE EXISTING SHARED BIKE LANE PASSENGER LOADING/ UNLOADING S S S X BELOW GRADE ENTRY/ EXIT BELOW GRADE ENTRY/ EXIT NO ENTRY OR EXIT FROM SCHADER DR. X Providence Saint John’s Health Center Providence Saint John’s Health Center Medical Oce Medical Oce Medical Oce Medical Oce Parking Structure Residential Verizon 20 t h P l a c e 22 n d S t . On e w a y 2 1 s t S t . Ne w T w o W a y Ne w T w o W a y Saint John’s Way X Th r o u g h E m e r g e n c y Ac c e s s O n l y S1 S2 S3 S4 S5 23 r d S t r e e t 20 t h S t r e e t Santa Monica Blvd Broadway Arizona Schader Dr. 23 r d S t r e e t Cl o v e r e l d B l v d . 2D/E 2C 2I 20 t h S t . Santa Monica Blvd. 23rd St. 23 r d S t . Schader Dr. On e w a y One way 23 r d S t . 22nd St.21st St.Arizona Ave. Broadway MOB MOB MOB VERIZON BUILDING MOB SENIOR HOUSING RENTAL HOUSING CONDOMINIUMS MOB Mullin Plaza S S S S S S S Th r o u g h E m e r g e n c y Ac c e s s O n l y 2I 2C 2D/E S1 S2 S3 S4 S5 X BELOW GRADE ENTRY/ EXIT BELOW GRADE ENTRY/ EXIT NO ENTRY OR EXIT FROM SCHADER DR. PROVIDENCE SAINT JOHN’S HEALTH CENTER 20 t h P l a c e 22 n d S t . On e w a y 2 1 s t S t . Ne w T w o W a y Ne w T w o W a y Saint John’s Way DRAFT DIAGRAM-SOUTH CAMPUS MASTER PLAN Revised Figure 5.5a New Streets 100’50’200’0’ SOUTH CAMPUS UPPER LEVEL BUILDING LOCATIONS FIRE TRUCK / EMERGENCY ACCESS NEW STREETS SOUTH CAMPUS GROUND LEVEL BUILDING LOCATIONS PROPERTY LINE SOUTH CAMPUS BUILDABLE AREA NORTH CAMPUS BRIDGE NEW TRAFFIC LIGHTS METERED STREET PARKING COMMERCIAL LOADING/ UNLOADING PASSENGER LOADING/UNDLOADING EXISTING TRAFFIC LIGHTS RELOCATED TRAFFIC LIGHTS STOP SIGN AT INTERSECTION NO ENTRY SIGN NO THROUGH STREET S X PHASE TWO NEW STREETS & VEHICULAR CIRCULATION Figure 22.1 shows the vehicular circulation details for the revised plan for Phase Two. Proposed New 20th Place and 22nd Street Providence Saint John’s proposes two new north-south streets through the South Campus (20th Place and 22nd Street) to augment vehicle, pedestrian and bicycle circulation in the area by providing two new connections between Santa Monica Boulevard and Broadway. Both new streets will be two-way streets. The new streets provide access to Providence Saint John’s South Campus without the need for driveways directly from Santa Monica Boulevard or Broadway. The two new streets also provide areas for loading (passenger and service) and metered street parking. Additionally, the two new streets will be used to access below- grade parking on the South Campus. Proposed Revised 21st Street As the new 20th Place and 22nd Street will become the priority connections between Santa Monica Boulevard and Broadway on the South Campus, 21st Street (which is in the middle of the South Campus) will change to be primarily for local access for the residential buildings on the east side of 21st Street. The northern portion of 21st Street is proposed to be vacated and become part of Saint John’s Square with vehicle access limited to emergency (first responder) vehicles. The remaining portion of 21st Street is proposed to be one way north bound to serve the residential buildings on the east side of 21st Street. Proposed New Saint John’s Way As 21st Street is proposed to change to a one-way northbound street with its northern portion being vacated, Saint John’s Way is created to provide the residential properties on 21st Street access to Broadway and Santa Monica Boulevard via 20th Place which will allow for both northbound and southbound traffic. Figure 22.1 New Streets 20 t h S t . Santa Monica Blvd. 23 r d S t . 23 r d S t . Schader Dr. On e w a y One way 23 r d S t . 22 n d S t . 21 s t S t . Arizona Ave. Broadway MOB MOB MOB VERIZON BUILDING MOB SENIOR HOUSING RENTAL HOUSING CONDOMINIUMS MOB Mullin Plaza S S S S S S S Th r o u g h E m e r g e n c y Ac c e s s O n l y 2I 2C 2D/E S1 S2 S3 S4 S5 X BELOW GRADE ENTRY/ EXIT BELOW GRADE ENTRY/ EXIT NO ENTRY OR EXIT FROM SCHADER DR. PROVIDENCE SAINT JOHN’S HEALTH CENTER 20 t h P l a c e 22 n d S t . On e w a y 2 1 s t S t . Ne w T w o W a y Ne w T w o W a y Saint John’s Way DRAFT DIAGRAM-SOUTH CAMPUS MASTER PLAN Revised Figure 5.5a New Streets 100’50’200’0’ SOUTH CAMPUS UPPER LEVEL BUILDING LOCATIONS FIRE TRUCK / EMERGENCY ACCESS NEW STREETS SOUTH CAMPUS GROUND LEVEL BUILDING LOCATIONS PROPERTY LINE SOUTH CAMPUS BUILDABLE AREA NORTH CAMPUS BRIDGE NEW TRAFFIC LIGHTS METERED STREET PARKING COMMERCIAL LOADING/ UNLOADING PASSENGER LOADING/UNDLOADING EXISTING TRAFFIC LIGHTS RELOCATED TRAFFIC LIGHTS STOP SIGN AT INTERSECTION NO ENTRY SIGN NO THROUGH STREET S X 20 t h S t . Santa Monica Blvd. 23 r d S t . 23 r d S t . Schader Dr. On e w a y One way 23 r d S t . 22 n d S t . 21 s t S t . Arizona Ave. Broadway MOB MOB MOB VERIZON BUILDING MOB SENIOR HOUSING RENTAL HOUSING CONDOMINIUMS MOB Mullin Plaza S S S S S S S Th r o u g h E m e r g e n c y Ac c e s s O n l y 2I 2C 2D/E S1 S2 S3 S4 S5 X BELOW GRADE ENTRY/ EXIT BELOW GRADE ENTRY/ EXIT NO ENTRY OR EXIT FROM SCHADER DR. PROVIDENCE SAINT JOHN’S HEALTH CENTER 20 t h P l a c e 22 n d S t . On e w a y 2 1 s t S t . Ne w T w o W a y Ne w T w o W a y Saint John’s Way DRAFT DIAGRAM-SOUTH CAMPUS MASTER PLAN Revised Figure 5.5a New Streets 100’50’200’0’ SOUTH CAMPUS UPPER LEVEL BUILDING LOCATIONS FIRE TRUCK / EMERGENCY ACCESS NEW STREETS SOUTH CAMPUS GROUND LEVEL BUILDING LOCATIONS PROPERTY LINE SOUTH CAMPUS BUILDABLE AREA NORTH CAMPUS BRIDGE NEW TRAFFIC LIGHTS METERED STREET PARKING COMMERCIAL LOADING/ UNLOADING PASSENGER LOADING/UNDLOADING EXISTING TRAFFIC LIGHTS RELOCATED TRAFFIC LIGHTS STOP SIGN AT INTERSECTION NO ENTRY SIGN NO THROUGH STREET S X 23 PHASE TWO ORIGINALLY PROPOSED STREETS AND VEHICULAR CIRCULATION The original plan proposed by Providence Saint John’s did not include any changes to the North Campus Entry Plaza and driveways from Santa Monica Boulevard (because this area is not part of Phase Two per the DA). This plan resulted in two new unsignalized “T”-intersections being created along Santa Monica Boulevard at 20th Place and 22nd Street and a total of four intersections between 20th Street and 23rd Street. City Staff expressed concern about the number of intersections in this area of Santa Monica Boulevard and potential conflicts between the new unsignalized “T”- intersections and the existing signalized intersections. As discuss previously, the plan was revised to align the North Campus driveways with the new 20th Place and 22nd Street. This revised circulation plan was unanimously supported by the Planning Commission. The original plan also proposed a large setback along Broadway for the Multi-Family Replacement Housing (S2) and Visitor Housing (S5) buildings. Providence Saint John’s heard from various community members that these buildings should be placed closer to Broadway (while still providing a wider sidewalk on Broadway) to provide more street activation and be compatible with the new Zoning Ordinance’s build-to-line standards for other buildings located on the boulevards. Providence Saint John’s also heard from immediate residential neighbors requesting a greater setback between the residential buildings to the north and the new buildings in order to create greater open space opportunities between these buildings. These revisions to the plan were positively received by both City Staff and the Planning Commission. Figure 23.1 Previous Streets and Vehicular Circulation Santa Monica Blvd. Schader Dr.One way Arizona Ave. Broadway MOB MOB MOB VERIZON BUILDING MOB SENIOR HOUSING RENTAL HOUSING CONDOMINIUMS MOB Mullin Plaza S S S S S S S Th r o u g h E m e r g e n c y Ac c e s s O n l y 2I 2C 2D/E S1 S2 S3 S4 S5 X B B BELOW GRADE ENTRY/ EXIT BELOW GRADE ENTRY/ EXIT NO ENTRY OR EXIT FROM SCHADER DR. B B B B B PROVIDENCE SAINT JOHN’S HEALTH CENTER 20 t h S t . 23 r d S t . 23 r d S t . On e w a y 23 r d S t . 22 n d S t . 21 s t S t . 20 t h P l a c e 22 n d S t . On e w a y 2 1 s t S t . Ne w T w o W a y Ne w T w o W a y Saint John’s Way DRAFT DIAGRAM-SOUTH CAMPUS MASTER PLAN Revised Figure 5.5b Bike Circulation 100’50’200’0’ SOUTH CAMPUS UPPER LEVEL BUILDING LOCATIONS FIRE TRUCK / EMERGENCY ACCESS NEW STREETS SOUTH CAMPUS GROUND LEVEL BUILDING LOCATIONS PROPERTY LINE SOUTH CAMPUS BUILDABLE AREA NORTH CAMPUS BRIDGE NO THROUGH STREET X NEW TRAFFIC LIGHTS EXISTING TRAFFIC LIGHTS RELOCATED TRAFFIC LIGHTS STOP SIGN AT INTERSECTION NO ENTRY SIGN S EXISTING DEDICATED BIKE LANE EXISTING SHARED BIKE LANE NEW CLASS 2 SHORT TERM BIKE PARKING PROPOSED SHARED BIKE LANE B BIKE SHARING STATION/ BIKE HUB EXISTING BIKE PARKING NEW CLASS 1 LONG TERM BIKE PARKING b EX B b b EX EX B B B 24 23 r d St . On e w a y One way 22 n d St . 21 s t St . Mullin Plaza S S S S 2I b b EX EX 100’50’200’0’ SOUTH CAMPUS UPPER LEVEL BUILDING LOCATIONS FIRE TRUCK / EMERGENCY ACCESS NEW STREETS SOUTH CAMPUS GROUND LEVEL BUILDING LOCATIONS PROPERTY LINE SOUTH CAMPUS BUILDABLE AREA NORTH CAMPUS BRIDGE NO THROUGH STREET NEW TRAFFIC LIGHTS EXISTING TRAFFIC LIGHTS RELOCATED TRAFFIC LIGHTS STOP SIGN AT INTERSECTION NO ENTRY SIGN S EXISTING DEDICATED BIKE LANE EXISTING SHARED BIKE LANE NEW CLASS 2 SHORT TERM BIKE PARKING PROPOSED SHARED BIKE LANE B BIKE SHARING STATION/ BIKE HUB EXISTING BIKE PARKING NEW CLASS 1 LONG TERM BIKE PARKING b EX B S S S 2I P ARKING/ A C TI V A TED USES X BELOW GRADE ENTRY/ EXIT BELOW GRADE ENTRY/ EXIT NO ENTRY OR EXIT FROM SCHADER DR. X Providence Saint John’s Health Center Providence Saint John’s Health Center Medical Oce Medical Oce Medical Oce Medical Oce Parking Structure Residential Verizon 20 t h P l a c e 22 n d S t . On e w a y 2 1 s t S t . Ne w T w o W a y Ne w T w o W a y Saint John’s Way S Th r o u g h E m e r g e n c y Ac c e s s O n l y S1 S2 S3 S4 S5 B B B B B B B B B B 23 r d S t r e e t 20 t h S t r e e t Santa Monica Blvd Broadway Arizona Schader Dr. 23 r d S t r e e t Cl o v e r e l d B l v d . 2D/E 2C 2I PHASE TWO BIKE CIRCULATION Figure 24.1 shows the bicycle circulation details for the revised plan for Phase Two as well as the proposed and existing bicycle parking locations. Providence Saint John’s proposes that all new streets (20th Place, 22nd Street, and Saint John’s Way) will be shared for bicycles to allow easy access to and from the Broadway Class II bicycle lanes and the proposed and existing bicycle parking locations on the Providence Saint John’s campus. Figure 24.1 Bike Circulation Santa Monica Blvd. Schader Dr.One way Arizona Ave. Broadway MOB MOB MOB VERIZON BUILDING MOB SENIOR HOUSING RENTAL HOUSING CONDOMINIUMS MOB Mullin Plaza S S S S S S S Th r o u g h E m e r g e n c y Ac c e s s O n l y 2I 2C 2D/E S1 S2 S3 S4 S5 X B B BELOW GRADE ENTRY/ EXIT BELOW GRADE ENTRY/ EXIT NO ENTRY OR EXIT FROM SCHADER DR. B B B B B PROVIDENCE SAINT JOHN’S HEALTH CENTER 20 t h S t . 23rd St. 23 r d S t . On e w a y 23 r d S t . 22nd St.21st St. 20 t h P l a c e 22 n d S t . On e w a y 2 1 s t S t . Ne w T w o W a y Ne w T w o W a y Saint John’s Way DRAFT DIAGRAM-SOUTH CAMPUS MASTER PLAN Revised Figure 5.5b Bike Circulation 100’50’200’0’ SOUTH CAMPUS UPPER LEVEL BUILDING LOCATIONS FIRE TRUCK / EMERGENCY ACCESS NEW STREETS SOUTH CAMPUS GROUND LEVEL BUILDING LOCATIONS PROPERTY LINE SOUTH CAMPUS BUILDABLE AREA NORTH CAMPUS BRIDGE NO THROUGH STREET X NEW TRAFFIC LIGHTS EXISTING TRAFFIC LIGHTS RELOCATED TRAFFIC LIGHTS STOP SIGN AT INTERSECTION NO ENTRY SIGN S EXISTING DEDICATED BIKE LANE EXISTING SHARED BIKE LANE NEW CLASS 2 SHORT TERM BIKE PARKING PROPOSED SHARED BIKE LANE B BIKE SHARING STATION/ BIKE HUB EXISTING BIKE PARKING NEW CLASS 1 LONG TERM BIKE PARKING b EX B b b EX EX B B B Santa Monica Blvd. Schader Dr.One way Arizona Ave. Broadway MOB MOB MOB VERIZON BUILDING MOB SENIOR HOUSING RENTAL HOUSING CONDOMINIUMS MOB Mullin Plaza S S S S S S S Th r o u g h E m e r g e n c y Ac c e s s O n l y 2I 2C 2D/E S1 S2 S3 S4 S5 X B B BELOW GRADE ENTRY/ EXIT BELOW GRADE ENTRY/ EXIT NO ENTRY OR EXIT FROM SCHADER DR. B B B B B PROVIDENCE SAINT JOHN’S HEALTH CENTER 20 t h S t . 23 r d S t . 23 r d S t . On e w a y 23 r d S t . 22 n d S t . 21 s t S t . 20 t h P l a c e 22 n d S t . On e w a y 2 1 s t S t . Ne w T w o W a y Ne w T w o W a y Saint John’s Way DRAFT DIAGRAM-SOUTH CAMPUS MASTER PLAN Revised Figure 5.5b Bike Circulation 100’50’200’0’ SOUTH CAMPUS UPPER LEVEL BUILDING LOCATIONS FIRE TRUCK / EMERGENCY ACCESS NEW STREETS SOUTH CAMPUS GROUND LEVEL BUILDING LOCATIONS PROPERTY LINE SOUTH CAMPUS BUILDABLE AREA NORTH CAMPUS BRIDGE NO THROUGH STREET X NEW TRAFFIC LIGHTS EXISTING TRAFFIC LIGHTS RELOCATED TRAFFIC LIGHTS STOP SIGN AT INTERSECTION NO ENTRY SIGN S EXISTING DEDICATED BIKE LANE EXISTING SHARED BIKE LANE NEW CLASS 2 SHORT TERM BIKE PARKING PROPOSED SHARED BIKE LANE B BIKE SHARING STATION/ BIKE HUB EXISTING BIKE PARKING NEW CLASS 1 LONG TERM BIKE PARKING b EX B b b EX EX B B B Santa Monica Blvd. Schader Dr.One way Arizona Ave. Broadway MOB MOB MOB VERIZON BUILDING MOB SENIOR HOUSING RENTAL HOUSING CONDOMINIUMS MOB Mullin Plaza S S S S S S S Th r o u g h E m e r g e n c y Ac c e s s O n l y 2I 2C 2D/E S1 S2 S3 S4 S5 X B B BELOW GRADE ENTRY/ EXIT BELOW GRADE ENTRY/ EXIT NO ENTRY OR EXIT FROM SCHADER DR. B B B B B PROVIDENCE SAINT JOHN’S HEALTH CENTER 20 t h S t . 23rd St. 23 r d S t . On e w a y 23 r d S t . 22nd St.21st St. 20 t h P l a c e 22 n d S t . On e w a y 2 1 s t S t . Ne w T w o W a y Ne w T w o W a y Saint John’s Way DRAFT DIAGRAM-SOUTH CAMPUS MASTER PLAN Revised Figure 5.5b Bike Circulation 100’50’200’0’ SOUTH CAMPUS UPPER LEVEL BUILDING LOCATIONS FIRE TRUCK / EMERGENCY ACCESS NEW STREETS SOUTH CAMPUS GROUND LEVEL BUILDING LOCATIONS PROPERTY LINE SOUTH CAMPUS BUILDABLE AREA NORTH CAMPUS BRIDGE NO THROUGH STREET X NEW TRAFFIC LIGHTS EXISTING TRAFFIC LIGHTS RELOCATED TRAFFIC LIGHTS STOP SIGN AT INTERSECTION NO ENTRY SIGN S EXISTING DEDICATED BIKE LANE EXISTING SHARED BIKE LANE NEW CLASS 2 SHORT TERM BIKE PARKING PROPOSED SHARED BIKE LANE B BIKE SHARING STATION/ BIKE HUB EXISTING BIKE PARKING NEW CLASS 1 LONG TERM BIKE PARKING b EX B b b EX EX B B B Santa Monica Blvd. Schader Dr.One way Arizona Ave. Broadway MOB MOB MOB VERIZON BUILDING MOB SENIOR HOUSING RENTAL HOUSING CONDOMINIUMS MOB Mullin Plaza S S S S S S S Th r o u g h E m e r g e n c y Ac c e s s O n l y 2I 2C 2D/E S1 S2 S3 S4 S5 X B B BELOW GRADE ENTRY/ EXIT BELOW GRADE ENTRY/ EXIT NO ENTRY OR EXIT FROM SCHADER DR. B B B B B PROVIDENCE SAINT JOHN’S HEALTH CENTER 20 t h S t . 23 r d S t . 23 r d S t . On e w a y 23 r d S t . 22 n d S t . 21 s t S t . 20 t h P l a c e 22 n d S t . On e w a y 2 1 s t S t . Ne w T w o W a y Ne w T w o W a y Saint John’s Way DRAFT DIAGRAM-SOUTH CAMPUS MASTER PLAN Revised Figure 5.5b Bike Circulation 100’50’200’0’ SOUTH CAMPUS UPPER LEVEL BUILDING LOCATIONS FIRE TRUCK / EMERGENCY ACCESS NEW STREETS SOUTH CAMPUS GROUND LEVEL BUILDING LOCATIONS PROPERTY LINE SOUTH CAMPUS BUILDABLE AREA NORTH CAMPUS BRIDGE NO THROUGH STREET X NEW TRAFFIC LIGHTS EXISTING TRAFFIC LIGHTS RELOCATED TRAFFIC LIGHTS STOP SIGN AT INTERSECTION NO ENTRY SIGN S EXISTING DEDICATED BIKE LANE EXISTING SHARED BIKE LANE NEW CLASS 2 SHORT TERM BIKE PARKING PROPOSED SHARED BIKE LANE B BIKE SHARING STATION/ BIKE HUB EXISTING BIKE PARKING NEW CLASS 1 LONG TERM BIKE PARKING b EX B b b EX EX B B B 25 PHASE TWO PROPOSAL AND DEVELOPMENT AGREEMENT CONSISTENCY Providence Saint John’s plan for Phase Two is consistent with the DA provisions governing Phase Two’s size, scale, and uses. Figure 25.1 shows compliance of the Phase Two proposed buildings with the DA vested uses by use. As demonstrated in Figure 25.1, the Phase Two floor area will be primarily devoted to Hospital/Health Care uses, Medical Research, Education & Conference Facilities, and Health & Wellness Center uses. The other uses, including the Child and Family Development Center, Day Care, Replacement Housing, Visitor Housing and Neighborhood Commercial uses, provide convenient services for Providence Saint John’s employees, visitors, and patients as well as neighboring residents that aid in creating a more sustainable and walkable environment. Figure 25.2 shows the proposed maximum floor area of each Vested Use for each particular building. For some buildings, the sum of the maximum floor areas for the Vested Uses within the building exceed the overall building floor area in order to allow flexibility between the Vested Uses. And, as shown in Figure 25.1, Providence Saint John’s is also proposing flexibility between the location of certain Vested Uses within Phase Two; however, the cumulative floor area of each Vested Use will remain consistent with the maximums set forth in the 1998 DA. Figure 25.1 Phase Two DA Compliance by Use Figure 25.2 Phase Two Uses by Building 1 PHASE TWO DA COMPLIANCE BY USE Vested Use Max. Floor Area/Units Per DA Proposed Max. Phase Two Floor Area Hospital/ Health Care 354,000 sf 354,000 sf* total (S3, S4, 2C and 2D/E) Medical Research Facilities 140,000 sf 140,000 sf (S3 and S4 ) Health & Wellness Center 90,000 sf 35,000 sf (S4) Education & Conference Center 70,000 sf 60,000 sf (S4) Child & Family Development Center 50,000 sf 25,500 sf (S1) Health Related Services 40,000 sf 26,00 0 sf total** (S3, S4, 2C and 2I) Day care 25,000 sf 15 ,000 sf (S1) Restaurants 10,000 sf 10,000 sf ** (S3, S4, 2C , 2D/E , Saint John’s Café and Mullin Plaza Café ) Neighborhood Commercial Uses 5,000 sf 5 ,000 sf ** (S2, S3, S4, 2C, 2D/E, Saint John’s Café and Mullin Plaza Café) Visitor Housing 100 units 30 -34 units (S5) Multi -Family Replacement Housing 10 units 10 units (S2) PHASE TWO USE BY BUILDING Building Name Types of DA Vested Uses in Building Max . Floor Area/ Units per Use Max. Floor Area /Building S1 Child & Family Development Center Child & Family Development Center 25,500 sf 34,500 sf Day Care 15 ,000 sf S2 Multifamily Housing Multifamily Housing 10 units 10 units plus 800 sf commercial Neighborhood Commercial Uses 800 sf S3 West Ambulatory Care & Research Building - South Campus Hospital/Health Care 65,000 sf 123,000 sf Medical Research Facilities (JWCI) 115,000 sf Restaurant or Neighborhood Commercial Uses or Health Related Services 5,000 sf S4 Education & Conference Center and East Ambulatory Care & Research Building - South Campus Education & Conference Center 60,000 sf 199,300 sf Hospital/Health Care 120,00 0 sf Health & Wellness Center 35 ,000 sf Medical Research Facilities 50,000 sf Health -Related Services Restaurant or Neighborhood Commercial Uses 10,000 sf S5 Visitor Housing Visitor Housing 30 -34 units 38,000 sf S6 Saint John’s Café Restaurant or Neighborhood Commercial Uses 900 sf 900 sf 2C West Ambulatory & Acute Care Building - North Campus Hospital/Health Care 115 ,000 sf * 112 ,000 sf above - grade 6,000 sf below - grade* Health -Related Services Restaurant or Neighborhood Commercial Uses 5,000 sf 2D /E East Ambulatory & Acute Care Building - North Campus Hospital/Health Care 90,000 sf** 7 0,000 sf above -grade 20,000 sf below - grade** 2I Parking Structure Parking 157 ,000 sf 160,000 sf Health -Related Services 3 ,000 sf Mul l in Plaza Café R estaurant or Neighborhood Commercial Uses 1,500 sf 1,500 sf * 350,000 sf of Hospital/Health Care use includes 26,000 sf of below-grade space on Site 2C and 2/E. ** Ground floor space in S3, S4, 2C and 2D/E is flexible between Health Related Services, Neighborhood Commercial Uses and Restaurant. Thus, the maximum potential square footage for each vested use is shown in this chart. * Includes 2,200 sf pedestrian walkway across SM Boulevard connecing 2C to S3, 2,000 sf pedestrian walkway connecting 2C to the existing Howard Keck Diagnostic & Treatment Center, and 3,000 sf subterranean connec - tion between 2C and the existing Howard Keck Diagnostic & Treatment Center. ** Includes 3,000 sf pedestrian walkway connecting 2D/E to the existing Chan Soon-Shiong Center for Life Sciences and 650 sf subterranean con - nection between 2D/E and the existing Chan Soon-Shiong Center. 26 PHASE TWO IMPLEMENTATION Implementation Concepts Providence Saint John’s has developed an implementation plan which will allow the Health Center to remain fully operational and maintain sufficient parking to satisfy peak parking demands at all times. As such, Phase Two will be implemented in stages with the following key goals guiding the sequencing of the various stages: • Minimizing construction impacts on neighboring residents and businesses by allowing for staging on Providence Saint John’s-owned properties to the extent possible. • Maximizing the amount of Providence Saint John’s-owned parking that is available during each stage of construction and ensuring Providence Saint John’s provides sufficient parking for its various users throughout implementation of the plan. • Allowing the existing Child & Family Development Center and John Wayne Cancer Institute (which are both located on Phase Two development sites and are being replaced as part of Phase Two) to remain in operation until their new facilities on the South Campus are completed. • Ensuring that the main hospital buildings on the North Campus (Howard Keck Diagnostic Center and the Chan Soon-Shiong Center for Life Sciences) remain fully operational and accessible through all stages of construction. • Prioritizing construction of the replacement multi-family housing. • Ensuring sufficient time to raise the charitable funds needed to build each of the Phase Two buildings General Phasing Implementing a plan in stages allows for a sequential development in construction that eases congestion in the neighborhood and to the site by both pedestrians and vehicles, as demonstrated through Figure 26.1 The plan stages addressed in this section describe individual stages and sub-stages, and also identify how each stage will impact the site, access to and from the site and the area, open space, parking, and program development. B C A A D E 2I PARKING 2C AMBULATORY/ ACUTE CARE S3 WEST AMBULATORY CARE & RESEARCH S4 EDUCATION & CONFERENCE CENTER / EAST AMBULATORY CARE & RESEARCH S1 CFDC S2 MULTI- FAMILY HOUSING S5 VISITORS HOUSING 2D/E AMBULATORY/ ACUTE CARE Figure 26.1 Phase Two Implementation 27 PHASE TWO IMPLEMENTATION cont. Implementation Stages Presented below is a summation of the main stages of Phase Two implementation. The land areas and buildings included in each stage are shown in Figure 26.1. Stage A (S2 Multi-Family Replacement Housing, S1 Child and Family Development Center and S3 West Ambulatory Care & Research Building): Includes the following: • Removal of a portion of parking Lot H which sits on Site S2, where the replacement multi-family housing will be located. • Construction of the 10 units of Replacement Multi-Family housing, Site S2, and the associated open space. • Creation of the southern portion of the new street called 22nd Street that connects to Broadway. • Demolition of the existing MRI building located on Site S3. • Removal of the existing surface parking lot located on Sites S1 and S3. • Demolition of the existing multi-family housing building on the S4 site in order to accommodate temporary/interim construction staging on this site. • Construction of the east subterranean parking structure below Sites S1 and S3. • Creation of the new street called 20th Place and the new street called Saint John’s Way. • Construction of the new Child & Family Development Center (S1). • Construction of the West Ambulatory Care & Research Building (which will house the John Wayne Cancer Institute), Site S3. • Vacation of the northern portion of 21st Street. • Relocation of the west North Campus driveway to/from Santa Monica Boulevard to align with the new 20th Place. Stage B (2I North Campus Parking Structure): Includes the following: • Demolition of the existing Child & Family Development Center on North Campus Site 2I. • Construction of the new Parking Structure on North Campus Site 2I. • Demolition of the existing John Wayne Cancer Institute to create additional temporary interim surface parking/staging area. Stage C (2C West Ambulatory & Acute Care Building): Includes the following: • Removal of the existing surface parking lot (West Lot) on the 2C site. • Development of the West Ambulatory & Acute Care Building on the North Campus (2C), including an above-grade pedestrian walkway and a below- grade subterranean connection between 2C and the existing Howard Keck Diagnostic & Treatment Center. • Construction of the vehicular tunnel beneath Santa Monica Boulevard connecting the subterranean parking structure below Site 2C with the subterranean parking beneath the West Ambulatory Care & Research Building (S3). • Construction of the pedestrian bridge over Santa Monica Boulevard for patient and medical personnel use that will connect the West Ambulatory Care & Research Building on the South Campus (Site S3) and the West Ambulatory & Acute Care Building on the North Campus (Site 2C). Stage D (S4 East Ambulatory Care & Research Building/ Education & Conference Center, S5 Visitor Housing and S6 Café): Includes the following: • Removal of the existing surface parking lot located on Sites S4 and S5 and removal of the temporary interim surface parking lot/staging area on the site of the old John Wayne Cancer Institute and multi-family housing buildings. • Construction of the East Ambulatory Care & Research Building/ Education & Conference Center (S4) and Saint John’s Square, and the small café within Saint John’s Square (S6). • Construction of the Visitor housing (S5), Sun Garden between S4 and S5, and South Garden along Broadway. • Creation of the northern portion of 22nd Street to connect to Santa Monica Boulevard. • Relocation of the east North Campus driveway to/from Santa Monica Boulevard to align with the new 22nd Street Stage E (2D/E East Ambulatory & Acute Care Building and Mullin Plaza Café): Includes the following: • Demolition of the existing 2221 Santa Monica Boulevard Building (occupied by Saint John’s Foundation). • Development of the East Ambulatory/Acute Care Building (2D/2E), including an above-grade pedestrian walkway and a below-grade subterranean connection between 2D/E and the existing Chan Soon- Shiong Center for Life Sciences, the revised Mullin Plaza, and the small café within Mullin Plaza. • Construction of the vehicular tunnel beneath Santa Monica Boulevard connecting the subterranean parking below 2D/2E with the subterranean parking beneath the East Ambulatory Care & Research Building/Education & Conference Center (S4). 28 STRUCTURE OF PHASE TWO ENTITLEMENTS Providence Saint John’s Proposed Approach Per the Development Agreement Consistent with the DA, Providence Saint John’s originally filed a South Campus Master Plan and eight Development Review Permits (one for each Phase Two building) in Spring 2015. The DA allows for concurrent decisions on the South Campus Master Plan and eight Development Review Permits for the Phase Two buildings. The DA also allows for the North Campus Phase Two buildings to be brought forward separately in advance of any South Campus planning. Under the DA, both the South Campus Master Plan and Development Review Permits are decided on by the Planning Commission (with the City Council having appellate jurisdiction). With each Development Review Permit application, Providence Saint John’s requested a specific outside time period by which Providence Saint John’s would have to obtain a building permit for each building. These time periods ranged from 21 months for the Replacement Multi-Family Housing building (S2) to 233 months for the East Ambulatory and Acute Care Building - North Campus (2D/E). Providence Saint John’s believes that, consistent with both the 1988 Zoning Ordinance and the new 2015 Zoning Ordinance, the DA allows the Planning Commission (and City Council on appeal) discretion to provide an extended time limit to obtain a building permit in the Development Review Permit for each Phase Two building including on the North Campus. However, the City Attorney’s Office determined that a DA Amendment was necessary to allow for Providence Saint John’s proposed build-out schedule with respect to the three new North Campus buildings because while the DA explicitly allows the City to provide for an extended time period for South Campus Master Plan implementation, the DA does not explicitly provide this discretion for the North Campus buildings. Providence Saint John’s proposed DA Amendment would make this discretion explicit in the DA for both the North and South Campus Phase Two buildings. City Staff’s and Planning Commission’s Recommended Alternative Approach At the Planning Commission float-up hearing, City Staff recommended and the Planning Commission unanimously supported an alternative approach to the Phase Two entitlement structure. Specifically: • They recommended a procedural change to require a comprehensive Phase Two Master Plan (rather than a South Campus Master Plan) that would be approved by the City Council (rather than Planning Commission). • Rather than having all Development Review Permits reviewed concurrently with the Master Plan (and allowing the North Campus Phase Two buildings to be approved separately in advance of South Campus planning), City Staff and the Planning Commission recommended that the Phase Two Master Plan must be reviewed and decided upon first. • The Planning Commission and City Staff recommended that the Phase Two Master Plan would set milestones for when revised Development Review Permits for each Phase Two building consistent with the Phase Two Master Plan must be filed and deemed complete. The Planning Commission indicated that they felt it was important to review the Development Review Permits for the specific buildings closer in time to when the buildings would be constructed rather than approving the Development Review Permits upfront and having longer time periods to obtain a building permit. Providence Saint John’s is supportive of this revised approach so long as (a) the key development standards for each of the Phase Two buildings are vested in the Phase Two Master Plan and (b) the time to file each of the Development Review Permits is sufficient to accommodate the sequencing needed to allow the Health Center to remain fully operational with sufficient parking throughout Phase Two implementation, to accommodate the sequencing needed to allow the programs that are being replaced in new Phase Two building to remain in occupancy at their existing locations until the new Phase Two buildings are open and operating, to raise the charitable dollars needed for each of the Phase Two buildings, and to accommodate potential fundraising or construction delays in earlier stages/phases. Figure 28.1 shows the time Providence Saint John’s has determined is necessary to file deemed complete applications for each of the ten (10) proposed Phase Two buildings based on the alternative entitlements structure recommended by City Staff and the Planning Commission. Extension of Vested Rights Approach Stages A : 1 year from approval of Phase Two Master Plan to have deemed completed amended DRP application s consistent with Master Plan  Child and Family Development Center (S1)  West Ambulatory Care and Research Building/JWCI (S3)  Multi -Family Replacement Housing (S2) Stages B : 4 years from approval of Phase Two Master Plan to have deemed completed amended DRP application consistent with Master Plan  2I Parking Garage (2I) Stage C : 7 years from approval of Ph ase Two Master Plan to have deemed completed revised DRP application consistent with Master Plan  West Ambulatory and Acute Care Building (2C ) (possibly OSHPD building) Stage D (part 1): 11 years from approval of Phase Two Master Plan to have deemed completed revised DRP application consistent with Master Plan  Education & Conference Center/East Ambulatory Care and Research Building (S4)  Saint John’s Café (S6) Stages D (part 2) and E : 17 years from approval of Phase Two Master Plan to have deemed completed revised DRP applications consistent with Master Plan  Visitor Housing (S5 )  East Ambulatory and Acute Care Building (2D/E) (possibly OSHPD building)  Mullin Plaza Café Figure 28.1 Extension of Vested Rights Approach 29 RENDERINGS The following pages contain renderings of preliminary concept ideas for some of the Phase Two building types to provide the City Council, City Staff and members of the public with a general idea of what the Phase Two buildings and associated open spaces could look like. However, each of the Phase Two buildings will be designed closer in time to when each amended Development Review Permit is deemed complete with the City. Each of the Phase Two buildings and open spaces will undergo review by both the Planning Commission and Architectural Review Board prior to approval. RENDERIN G 1 Figure 30.1 Ground-level view from Mullin Plaza looking southeast across Santa Monica Boulevard toward Saint John’s Square, with the Education & Conference Center in the middle, between the East and West Ambulatory Care & Research Buildings Figure 31.1 Ground-level view from Mullin Plaza looking south toward Saint John’s Square and South Campus, with the pedestrian bridge over Santa Monica Boulevard RENDERIN G 3 Figure 32.1 Ground-level view from Saint John’s Square looking north toward Mullin Plaza and the North Campus, with the East Ambulatory Care & Research Building in the right foreground Figure 33.1 Ground-level view from the lobby of the Education & Conference Center, looking northwest toward Saint John’s Square, Mullin Plaza and the North Campus Figure 34.1 Ground-level view at Broadway looking west, with the Multifamily and Visitor Housing in the right foreground, and the Child & Family Development Center in the left background Figure 35.1 Ground-level view looking east at the Visitor Housing in the right foreground and the Multifamily Housing in the left background Figure 36.1 Ground-level view of the intersection of Broadway and the new 22nd Street looking north at the Multifamily Housing Figure 37.1 View of proposed parking structure along 20th Street on the North Campus. (Rendering shows original proposed height with 6 above-grade stories, revised Phase Two proposal is to reduce the height to 5 above-grade stories.) (310)656-4311 December 2, 2016 VIA E-MAIL Santa Monica City Council 1685 Main Street, Room 102 Santa Monica, CA 90401 Re: Providence Saint John’s Phase Two Float-Up Hearing Hearing Date: December 6, 2016 Agenda Item No. 8-A Our Client: Providence Saint John’s Health Center Our File No. 22238.001 Dear Councilmembers: I am writing on behalf of Providen ce Saint John’s Health Center (“Providence Saint John’s”) in response to the Staff Report for your Decembe r 6 th float-up hearing on Providence Saint John’s Phase Two plan. The Staff Report (page 40) asks the City Council to provide dir ection on whether to pursue the following amendments to Providence Saint John’s D evelopment Agreement (“DA”): (a) City Sta ff’s recommended amendment to m aterially change the Providence Saint John’s Phase Tw o entitlements process and (b) an amendment to allow for a longer time horizon to implement the Phase Two deve lopment. We urge you to provide City Staff with direct ion to move forward with these DA amendments and to initiate the time-consuming environmental review process for th e Phase Two plan. Providence Saint John’s Phase Tw o applications have been pendin g for almost two years now, and it is critical to move these applications forwar d in order to realize the important health care uses and community benefits included in t he plan. Although Staff’s rest ructured entitlements process for Phase Two is significantly more burdensome, time-consuming and costly for Providence Saint John’s, the reasons underlying Staff’s recommended appr oach are sound. And, the Pl anning Commission supported Staff’s recommended appr oach at their float-up hearin g in April. Thus, if the City Council decides to move forward on the basis of Staff’s re commendation, Providence Saint John’s will c ooperate with the understanding t hat Providence Saint John’s DA vesting protections fo r uses and floor area will rema in in effect and the Phase Two plan will provide Providenc e Saint John’s with sufficient t ime to implement the plan. plarmore@hlkklaw.com Item 8-A 12/06/2016 1 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 2 This letter provides you with in formation concerning Providence Saint John’s including with respect to: its h istory, its DA with the City, the health care planning that informs the Phase Two plan, key components of the Phase Two plan, and how the Phase Two plan compares to the DA and the 2015 Zoning Ordinance . Attached is Providence Saint John’s submittal package for your December 6 th float-up hearing, which contains a more in depth treatment of the Phase Two plan. I. BACKGROUND A. Providence Saint John’s History. Founded in 1939 by the Sisters of Charity of Leavenworth and op ened in 1942, Providence Saint John’s has ear ned a national reputation as an outstanding center for health and healing. With approxim ately 1,700 employees, the 26 5-bed facility is recognized nationwide for its high quality care. Providence Sa int John’s Health Center has been recognized by leading cons umer rating agency Healthgrades for being one of the 50 Best Hospitals in Americ a and ranking in the top percent age for key clinical services, including Cardiac Care , Joint Replacement, Gastrointe stinal Care, Neurosurgery, and Patient Safety. Additionally, for more than 30 years the physicians and scienti sts at the John Wayne Cancer Institute have ma de ground breaking discoveries in Santa Monica that have fundamentally changed the way cancer is detected, diagnose d and treated. In addition to cancer care, Providence Saint John’s is widely known for excellence in women’s health, orthopedics, neuroscience and cardiology. In 2014, Providence Health & Servi ces became the sponsor of Providence Saint John’s and has continued its commit ment to meet the health care needs of the community.1 Since its founding in 1939, Pro vidence Saint John’s has remai ned a non- profit health center in Santa Monica. B. Overall Site Context. Providence Saint John’s is located in an area bounded by Arizon a Avenue to the north, Broadway to the south, 20t h Street to the west and 23rd Street to the east. The site is bisected by Santa Monica Boulevard into the North Campu s and South Campus. 1 In addition, earlier this year P rovidence Health & Services an d St. Joseph’s Health created a new parent c ompany, Providence St. Joseph’s He alth, a not-for-profit health and social services system. Item 8-A 12/06/2016 2 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 3 Figure 2.1 in the float-up submi ttal materials highlights the P rovidence Saint John’s campus. C. Providence Saint John’s Devel opment Agreement With The City. Saint John’s suffered signific ant damage in the Northridge Eart hquake in 1994. After closing for nine months as temporary seismic repairs were completed, Saint John’s commenced a master planning process to achieve two objec tives: (1) rebuild its core hospital facilities consis tent with augmented State seismi c requirements (Phase One); and (2) augment its health c are services to address the Santa Monica area’s 21st Century health care needs (Phase Two). This planning effort led Saint J ohn’s to file a DA application with the City in 1996. After a two-plus year public pro cess, the Santa Monica City Cou ncil approved a DA for the Saint John’s campus in June 1998. In 2011, the City of San ta Monica approved an amendment to the DA. Phase One construction was comp leted in early 2014. When Provi dence Health and Services assumed sponsorsh ip of the health center, Providen ce Saint John’s began working on the Phase Two planning process. Per the DA, in early Spring 2015, Providence Saint John’s filed its applications for Phase Two. These applications included a South Campus Master Plan Application and eight Devel opment Review Permit (“DRP”) applications. Pro vidence Saint John’s applicati ons were deemed complete in June 2015, prior to the DA’s Phase Two vesting dead line. D. The Development Agreem ent And Phase Two. The DA’s Phase Two provisions e stablish vested floor areas, hei ght standards, and setbacks for the three North Campus sites and vested floor area for the South Campus as a whole. The DA vests 347,500 sf of above-grade floo r area and 55,000 sf of below-grade area on the North Campus (DA Section 3.7.3(a)). The South Campus aggregate vested floor area is 396 ,500 sf (DA Section 3.7.3(b)). In addition, the DA provides vesti ng protection for certain Pha se Two uses. This protection includes various hos pital and health care uses, heal th and wellness uses, education and conference facilitie s, visitor housing, replaceme nt multi-family housing units, and parking. For the North Campus Phase Two si tes, the DA allows Development Review Permits (“DRPs”) for these bui ldings to be brought forward inde pendently from any Phase Two master planning process. Item 8-A 12/06/2016 3 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 4 For the South Campus, the DA requi res that the South Campus be comprehensively planned by Providence Saint John’s and approved by the City through a South Campus Master Plan tha t includes height, parking, uses and phasing/timing. The DA also provides that the So uth Campus must contain a minim um of 35% open space. The DA allows for the S outh Campus Master Plan and DRPs for South Campus Phase Two buildings to be approved concurrently by the Planning Commission. The DA further provides that the City may not impair Providence Saint John’s vested uses or vested floor area in approving the South Campus Master Plan or any DRPs for any Phase Two buildings. E. The DA and Community Benefits. The DA requires Prov idence Saint John’s to m aintain an ongoing community benefits program for the entire te rm of the DA (i.e., until 205 3). These ongoing community benefits include the following:  A comprehensive needs assessment e very three years to assess t he health care needs of the community.  An annual Community Benefit Plan which includes a Santa Monica Community Access Plan.  An annual monetary obligation for the Santa Monica Community A ccess Plan.  An updated and expanded Santa M onica Community Access Plan for Phase Two.  The provision of childcare services and an expansion of those services for Phase Two.  35% open space on the South Campus.  A requirement to replace 10 uni ts of existing and unoccupied m ulti-family housing if the existing 10-unit mul ti-family housing building a t 1417-1423 21st Street is removed. Two of the units are required to be de ed- restricted affordable units.  A Transportation Demand Managem ent Plan and Parking Management Plan. Item 8-A 12/06/2016 4 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 5  A Neighborhood Protection Plan that includes various neighborh ood protection measures developed in response to input at the commu nity meeting and other informal i nput during the 2011 DA Amendment. Since the DA was originally ado pted in 1998, Providence Saint J ohn’s has provided substantially more community benefits than required by the DA. In 2015, Providence Saint John’s total Co mmunity Benefits as reported to the State were valued at $77.7 million. The portion directly benefiti ng Santa Monica residents and non-profits, the Santa Monica Community Acce ss Plan, had a value of $19.3 mi llion. In 2015, Providence Saint John’s child care center, Early Child hood Directions, served 31 Providence Saint John’s families and 32 community fam ilies by providing care to 41 preschoolers, 13 toddlers, and 9 infants. II. PROVIDENCE SAINT JOHN’S PLAN FOR PHASE TWO A. Phase Two Vision And Planning. The plan for Phase Two is a cul mination of the research, recomm endations, and priorities identified by Provi dence Saint John’s, including those from a Community Needs Assessment. The internal planning and Co mmunity Needs Assessment identified a need for greater emphasis on health and we llness as well as replacement facilities for the John Wayne Cancer Institute and Child and Family Development Center. Phase Two will expand Providence Saint John’s c apacities in outpatient and ambulatory care programs and other related healt h and wellness programs. The ultimate goal of Phase Two is to create a broader and more balanc ed range of health care service s that builds upon the existing excellence of programs already offered, while expandin g programs that focus on health, wellness, prevention, and education. B. The Phase Two Plan. Providence Saint John’s Phase Two plan, as reflected in its pen ding applications (and as modified based upon inpu t from City Staff, the communit y and the Planning Commission), is explained fully in Providence Saint John’s floa t-up materials and the Staff Report. This letter highl ights key features of Providenc e Saint John’s plan for Phase Two. Briefly: 1. DA Consistency: Providence Saint John’s Phase Two plan is f ully consistent with the DA with respect to floor area, uses and open space. T he only areas of Item 8-A 12/06/2016 5 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 6 difference are with respect to tim ing for the North Campus buildings (Providence Saint John’s is seeking to build the No rth Campus buildings more slowly, which the City Attorney believes triggers the need for a DA amendment) and cha nges made in response to City/community inpu t with respect to circulation an d the structure of Phase Two entitlements. 2. Phase Two Size And Scale: In considering City Staff’s discu ssion item about project alternatives and potential changes to the total overall floor area of Phase Two, we ask that you consider the following: a. Less Development Than Allowed by Zoning. Providence Saint John’s Phase Two plan contemplat es an overall 2.14 FAR (740,000 square feet), which is signifi cantly less development than is a llowed by the new Zoning Ordinance (2.5 FAR or 866,250 square feet) in the absence of the DA. b. Meeting Identified Needs. Each and every building in Phase Two has been designed to accommodat e a key health care need, supporting need, DA-requirement, o r urban planning need (e.g., neighborhood-serving uses) identified during the early Phase Tw o planning process. c. Reducing Vested Development. Providence Saint John’s is not asking for any more floor area than is vested in the 1998 DA. Instead, Providence Saint John’s is proposing to relinquish so me of its vested floor area -- 4,000 square feet entirely (i.e., t hat will not be built) and 157,000 square fee t to be devoted to above-grade parking rather than for additional program uses. d. Modest Net Program Increase. The Phase Two plan sets forth the parameters and vested rights for Providence Saint John’s campus development for the next 20-25 years. Phase Two, when fully bu ilt, will increase Providence Sain t John’s net floor area (not including above-grade parking) in comparison to its pre-earthquake size b y slightly less than 300,000 square feet over a 40-45 year period , or about 7,500 square feet per year on average. e. EIR Will Study Reduced Density Alternatives. Providence Saint John’s recognizes that the City, a s part of the EIR for Phase T wo, will study reduced density alter natives notwithstanding Provide nce Item 8-A 12/06/2016 6 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 7 Saint John’s vested floor area and vested uses as established i n the DA. 3. Parking: Providence Saint John’s plan for Phase Two assures all of Providence Saint John’s parking needs will be accommodated on-c ampus in parking facilities owned by Providence Saint John’s. a. The Phase Two plan includes a commitment to (a) phasing out reliance on leased parking and replacing it w ith on-site parking that will be shared between the various Phase One and Two uses and (b) conducting p arking demand studies with updated empiri cal data as part of the DRP p rocess for the individual Phase Two buildings to best ensure Providenc e Saint John’s is meeting but not exceed ing its peak parking demand. b. All Phase Two buildings inc lude subterranean parking. And P rovidence Saint John’s is committed to build ing a new parking structure e arly in Phase Two as a means of “front loading” parking and ensuring Pr ovidence Saint John’s has sufficient parki ng at all times during Phase T wo development. Please note that P rovidence Saint John’s is givin g up valuable vested floor area to p rovide this parking structure be cause it is essential to allowing the health center to remain in operation throughout all stages of Phase Two implementati on and minimizing impacts on ar ea residents and businesses. 4. Publicly-Accessible Open Spaces: Providence Saint John’s plan for Phase Two includes publicly-accessibl e open spaces strategically loca ted throughout the campus, with proposed uses desi gned to activate the open spaces consistent with their hospital/health care setting. In addition, the existing North Campus Entry Plaza on the north side of Santa Monica Boule vard (Phase One) will be enlarg ed and redesigned to facilitate greater use. And, the various open spaces will be l inked by a pedestrian “wellness walk,” which is intended to further encourage activit y in the planned open spaces. Open spaces, particularl y on the South Campus, have al so been designed to create desirable buffer zones from existing residential buildin gs. 5. Mobility: Phase Two includes s ignificant mobi lity improveme nts for pedestrians, bicycles and vehicles that will benefit the surrou nding community. These include widened sidewa lks along Broadway and Santa Monica Boule vard and two new (north/south) streets connecting Santa Monica Boulevard and Bro adway: 20th Place and 22nd Street, which will be ac cessible to bicycles as well a s vehicles. These new streets will be created on existing Providence Saint John’s property and are not included within the 35% open space calculations for the South C ampus. The North Item 8-A 12/06/2016 7 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 8 Campus Entry Plaza will be modi fied to align with these two new streets. And bicycle parking will be scattered thr oughout the campus to accommodate bicycle users. 6. Community Benefits: Phase Two will include expanded communi ty benefits and child care services as pro vided in the DA. Providence Sain t John’s understands that the Phase Two process will include further discussion of community benefits. In providing guidance for this discussion, we ask the City Council to consider the following: a. Providence Saint John’s is a non-profit community-based heal th care provider. Providence Saint John’s health care and related serv ices, including those planned for Phas e Two, are a community benefit. b. The DA contains a community benefit requirement that far exc eeds the community benefit requirements imposed on other projects. c. The only DA change being reque sted by Providence Saint John’s is the right to build Phase Two more s lowly. Providence Saint John’s is not seeking any changes in its Phase Two floor area or uses as cont emplated in the DA. To the contrary, Pro vidence Saint John’s proposes t o build substantially less program floor a rea in Phase Two than the DA allows. 7. Phase Two Timeline: Providenc e Saint John’s is proposing to build Phase Two in stages with up to 17 y ears to file amended DRPs for the final Phase Two buildings. While all of the Phase Two buildings are high prior ity, including those in the latter stages which have import ant uses such as additional in-p atient beds, the time periods to file amended DRPs for the various Phase Two building s reflect the urgent need to replace the John Wayne C ancer Institute as well as logi stical reasons. For example, the Child and Family D evelopment Center is prioritized in an early stage because (a) additional capacity for child care spaces is requir ed by the DA to accommodate the child care needs of Phase Two employees and (b) the site of the existing Child and Family Dev elopment Center is needed for the early parking structure to allow redevelopment of the re st of the campus. The extended timetable to implement Phase Two will allow Providence Saint John’s to stay in operati on at all times during Phase Two construction, conti nue to provide sufficient parking to meet its parking needs, maximize on-site staging and minimize negative impacts o n neighbors, and have sufficient time to raise the very substantial charitable dollar s needed to fund Phase Two. III. CITY STAFF’S PROPOSED ST RUCTURE FOR ENTITLEMENTS As the Staff Report indicates, S taff is recommending a signific antly different structure for Providence Saint J ohn’s Phase Two entitlements in comparison to the Item 8-A 12/06/2016 8 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 9 approach taken in Providence Sain t John’s pending applications (which generally follows the structure set forth in the DA). A key decision for the City Council in your float-up hearing is to provide direction with respect to the structure of Phase Two entitlements. Although Staff’s recommended approac h has disadvantages for Providence Saint John’s, at the same time P rovidence Saint John’s recogniz es the public benefits of Staff’s approach and appreciates the Planning Commission’s unan imous support for this approach. Accordingly, Providence Saint John’s is prepare d to move forward with its Phase Two entitlements on t he basis recommended by City Sta ff (and the Planning Commission). The essential features of Staff ’s alternative Phase Two entitle ment structure are:  The DA’s requirement for a South Campus Master Plan (which doe s not include the Phase Two properties north of Santa Monica Boulevar d) would be replaced with a Phase Two Master Plan encompassing all of Ph ase Two (both north and south o f Santa Monica Boulevard).  The DA would be modified to r equire approval of the Phase Two Master Plan first, followed by review of the individual Development Review Permits (“DRP”) for Phase Two bu ildings in closer proximity to when each building will be constructed. The Phase Two Master Plan would set milestones for when revised DRPs for each Phase Two building mu st be filed and deemed complete. (Note: As mentioned above, the DA c urrently allows Providence Saint John’s to process DRPs for North Campus buildings without a master plan and allows Providence Saint Joh n’s to process DRPs for South Campus bui ldings concurrently with the S outh Campus Master Plan.)  The City Council (not the Plann ing Commission) would be the Ci ty’s decision-making body for the Phase Two Master Plan. Regardless of the Phase Two entit lement structure, per the DA Providence Saint John’s needs continuing legal assu rance that its vested uses an d vested floor area will be respected and not impaired. Suc h assurance is essential for Providence Saint John’s to move forward with Phase Two entitlements, which will include a very costly and time-consuming environmental impact report to holistically review the Phase Two project. The City cannot accompli sh its public infrastructure or other planning objectives for the Providence Saint John’s ca mpus in the absence of Provid ence Saint John’s being assured in the Phase Two Ma ster Plan that it will be able to complete construction Item 8-A 12/06/2016 9 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 10 of its Phase Two buildings as pl anned within a workable timetab le. And such assurance will ensure that the City and co mmunity receive the very substa ntial benefits that Providence Saint John will prov ide as part of Phase Two. IV. CONCLUSION Based upon the foregoing, we respectfully ask the City Council to direct City Staff to move forward with City’s St aff’s recommended procedural DA a mendment and a DA amendment to allow for an extended timeframe to complete Phase Two development through a comprehensive phasing pl an. Above all, it is essenti al that the City Council promptly authorize your Staff to process Providence Saint John’s Phase Two entitlements including an EIR. Providence Saint John’s will ap preciate your support in moving forward as expeditiously as possible with the Phase Two entitlement process. Sincerely, Paula J. Larmore CMH:akp Enclosure cc: Rick Cole Elaine Polachek David Martin Jing Yeo Roxanne Tanemori Marsha Jones Moutrie Susan Y. Cola Marcel Loh Item 8-A 12/06/2016 10 Item 8-A 12/06/2016 Item 8-A 12/06/2016 11 Item 8-A 12/06/2016 Maryanne  Solomon   1217  23 rd  St.   Santa  Monica,  CA  90404   maryanneso@mac.com   310 -­‐829 -­‐7218     RE:  St.  John’s  Hospital  Agenda  Item  8A.     Comments:   • The  City  should  hire  an  outside  experienced  land -­‐use  lawyer  to  look  at  all  the  agreements   between  the  City  and  St.  Johns  to  see  if  there  are  obligations  St.  Johns  has  that  are  not  being   enforced  or  where  they  may  not  be  in  compliance  (this  is  important  because  of  the  dispute   over  the  City  and  St.  John’s  understanding  about  the  parking  garage  that  St.  John’s  didn’t   build  when  it  rebuilt  the  hosp ital);   • The  City  should  also  review  in  detail  the  community  benefit  information  and  statistics  that   St.  Johns  says  it  has  provided  to  Santa  Monica  over  the  years,  including  the  #  of  patients   that  are  SM  residents  year -­‐by -­‐year  in  comparison  to  all  patients  treated  and  the  claimed   economic  value  of  community  benefits  to  residents  and  local  nonprofits  and  everyone  else   they  have  served;   • As  to  the  underground  parking  garage,  this  is  still  a  sore  point  because  now  St.  John’s  wants   to  build  a  large,  above -­‐ground  p arking  structure  on  20 th  Street,  which  will  displace  an   existing  child  care  facility,  disrupt  the  neighborhood  and  probably  increase  the  traffic   congestion  on  20 th  Street  that  would  not  be  the  case  if  St.  John’s  had  built  the  underground   garage  it  was  supp osed  to  build  for  the  main  hospital;   • What  additional  community  benefits  are  being  offered  for  building  the  above-­‐ground   garage  and  are  they  sufficient?   • Why  isn’t  St.  John’s  building  work  force  housing  when  it  raised  the  problems  it  was  having   recruiting  nu rses  and  other  hospital  personnel  as  a  major  issue  when  it  participated  in  the   City’s  workforce  housing  task  force?  (And  how  many  nurses  and  employees  currently  live   in  Santa  Monica  and  how  many  commute  now?)   • The  true  phasing  of  “Phase  2”  needs  to  be  bette r  explained  as  to  all  the  impacts,  including   the  short -­‐term  construction  and  traffic  impacts  on  the  surrounding  neighborhood  because   both  the  north  and  south  sides  of  Santa  Monica  Blvd  would  be  under  construction  as  part  of   that  “one”  phase.    In  reality  ho w  many  phases  or  sub-­‐phases  are  there?   • When  will  St.  Johns  provide  a  traffic  study  analyzing  all  of  the  traffic  impacts  anticipated   from  each  part  of  Phase  2  to  determine  if  the  project  is  too  much?   • Is  St.  John’s  meeting  its  traffic  mitigations  now  under  its  agreements  with  the  City  and  if   not,  what  will  it  do  and  when  to  meet  the  targets?   • If  Phase  2  (all  8  buildings  are  approved  and  built)  what  is  the  expected  increase  in  patients   from  inside  and  outside  of  Santa  Monica,  and  the  increase  in  hospital  employees  from   inside  and  outside  of  Santa  Monica?       Item 8-A 12/06/2016 12 Item 8-A 12/06/2016 1 Vernice Hankins From:Council Mailbox Sent:Monday, December 05, 2016 3:46 PM To:councilmtgitems; Elaine Polachek; David Martin Subject:FW: 12/6/2016 Agenda item 8.A.: Provi dence St. John’s HC DA Amendment     From: Nancy  Morse  [mailto:nancym@netzero.net]   Sent: Monday, December  05, 2016  3:44  PM   To: Tony  Vazquez  <Tony.Vazquez@SMGOV.NET>; Kevin  McKeown  Fwd  <kevin@mckeown.net>; Gleam  Davis   <Gleam.Davis@SMGOV.NET>; Pam  OConnor  <Pam.OConnor@SMGOV.NET>; Sue  Himmelrich   <Sue.Himmelrich@SMGOV.NET>; Terry  O’Day  <Terry.Oday@smgov.net>; Ted  Winterer  <Ted.Winterer@SMGOV.NET>;  Council  Mailbox  <Council.Mailbox@SMGOV.NET>; Clerk  Mailbox  <Clerk.Mailbox@SMGOV.NET>; Rick  Cole   <Rick.Cole@SMGOV.NET>  Subject: 12/6/2016  Agenda  item  8.A.: Providence  St. John’s  HC  DA  Amendment   To City Council, City Manager From: Nancy M. Morse Subject: 12/6/16 Agenda Item 8.A. Providence Sain t John’s Health Center Development Agreement Amendment Float-Up Discussion Here are some of my disjointed thoughts for your consideration. The terms ‘neighborhood’ and ‘neighbors’ need to refer to both residents and businesse s, tenants and owners, as all will be impacted. Community Benefits: 1) A crosswalk on Arizona at 22nd St. across from the emergency room. 2) Street lights on Broadway are in the plans, this is good. If this is not approved, then light ed crosswalks are a must. Currently it is hazardous fo r pedestrians to cross Broadway at the intersections in this area. 3) Expansion of the current in-patient homeless referral program to include the healthy homeless. 4) Santa Monica needs mental health facilities for all ages. 5) An annual meeting for residents a nd/or neighborhoods to discuss issues arising from St. John’s operational activities. This requirement is in add ition to the request for project updates. And this should last for a long as the development agreement is in effect, or longer. Construction thoughts: Construction should be done with minimal disturba nce to neighborhood (recognizi ng that disturbance will occur). Item 8-A 12/06/2016 13 Item 8-A 12/06/2016 2 St. John’s needs to provide parking for construction workers so they don’t take up parking spaces used by residents and business customers and em ployees, such as street parking. Material deliveries should not bl ock streets, driveways, etc. Neighbors should be notified neighbors wh en off-hour construction pe rmits are issued. This is so they can plan for noise, and so they don’t contact city to report permitted noise as violations. Requirement that during construction St. John’s hold a community meeting regularly to update the community of progress, changes, etc. These m eetings should be no longer than 6 mont hs apart. These meetings should be held in a place that has easy access and good parking. Design Changes: The North Campus Mullin Plaza appears to me to be a cement desert. I would like to see it redesigned into something friendlier for sitt ing, lounging and relaxing. Realigning the North Campus driveways to match th e new proposed streets and moving the streetlights accordingly makes good sense. I am pleased to hear the hospital is pl anning for the ability to add more inpa tient beds, as I think there may be a need as population increases. I am also pleased to know that St. Jo hn’s plans to put in adequate parking. I would hope it would be more than adequate. Sum: St. John’s hospital was not a good neighbor during the Nort h Campus construction. There have been changes to the hospital philosophy and staffing since then and comm unity relationships have improved. I hope this will continue in the future. Sincerely, Nancy M. Morse Item 8-A 12/06/2016 14 Item 8-A 12/06/2016 Item 8-A 12/06/2016 15 Item 8-A 12/06/2016 1 Vernice Hankins From:Council Mailbox Sent:Monday, December 05, 2016 3:59 PM To:councilmtgitems Subject:FW: Santa Monica City Coucil 12/6/16 : ST JOHNS FLOAT-UP Importance:High     ‐‐‐‐‐Original  Message ‐‐‐‐‐  From: Catherine  Eldridge  [mailto:Catherine@WestsideRC.org]   Sent: Friday, December  02, 2016  7:14  PM   To: lindsay.baker@providence.org   Cc: Council  Mailbox  <Council.Mailbox@SMGOV.NET>; Sue  Himmelrich  (sue.himmelrich@gmail.com)  <sue.himmelrich@gmail.com>; Kevin  McKeown  Fwd  <kevin@mckeown.net>; Ted  Winterer   <Ted.Winterer@SMGOV.NET>; Tony  Vazquez  <Tony.Vazquez@SMGOV.NET>; David  Martin   <David.Martin@SMGOV.NET>; Rick  Cole  <Rick.Cole@SMGOV.NET>  Subject: Santa  Monica  City  Coucil  12/6/16  : ST  JOHNS  FLOAT ‐UP   Importance: High     12.2.16     RE  ST  JO HN  'S  FLOAT  UP  FEEDBACK/MITIGATION     Attached  you  will  find  a  mitigation  plan  which  I  would  like  to  have  included  in  all  future  discussions  of  the  St  John's   Hospital  planning  process.    Although  the  hospital  currently  has  an  annual  meeting  with  residents, with  further  development  and  over  a  longer   period  of  time, the  need  for  an  increase  in  number, scope  of  such  meetings  will  necessarily  increase.  Additionally, given   the  size  of  this  project, a  more  extensive, formalized  "Good  Neighbor  Plan" actually  included  in  the  finalized  City   agreement  should  be  considered.    Please  consider  the  following  as  a  formal  request  for  such  a  plan  and  one  that  in cludes  the  following  elements  as  a   minimum  consideration:    Catherine  Eldridge   PNA  board  member   SoMC  Neighbors  Board  Member/ PNA  Liaison     ‐‐‐‐‐Original  Message ‐‐‐‐‐  From: Catherine  Eldridge   Sent: Friday, December  02, 2016  11:15  AM   To: 'Stacy  Dalgleish'; Stefani  Uhler; SMMCN  Email  address; John  C. Smith; Catherine  Huh; Andy  Hoyer; Ellen  Hannan;  Catherine  Eld ridge; Nick  Boles; Nancy  Coleman; Elizabeth  Van  Denburgh; Nancy  Morse; Mary  Marlow   Subject: RE: St  Johns  float ‐up  community  benefits  next  week   Importance: High     12/2/16   RE:  ST  JOHNS   Item 8-A 12/06/2016 16 Item 8-A 12/06/2016 2   Built  in  requirement  to  have  an  ASSIGNED  PROJECT   employee  / community  mediator  for  public  and  NEIGHBORS  to   contact  regarding  project  related  issues  at  St  John's.    Project  Employee  requirement  for   accountability   to  a  Project  assigned  CITY  OF  SANTA  MONICA  employee.     A  public  /neighborhood  feedback  meeting  requirement  EVERY  6  MONTHS.  NOT  HELD   at  the  hospital  (due  to  parking   limitations ) but  rather  IN  THE  COMMUNITY.  City  wide  notification.     CITY  requirement  to  keep  a  publically   accessible  written  public  record  of  all  received  comments/issues  occurring  via   these  venues.  The  follow  up  actions  taken.  the  outcomes.     Comment  record   inclusion  in  currently  occurring  annual  DA  agreement  compliance  re p ort  produced  by  City  for  City   Council  / public  review  .    AFTER  project  completion   annual  meeting  requirement  for  Neighborhood(s) / Residents  to  discuss  issues  arising  from  St   John's  operational  activities.  On ‐going  Employee  mediator  assignment  for  community  contact.  Written  Records  with   public  access. 10 ‐15  year  agreement  /DA  (?) mandated  requirement.  City  supervision  of  GO OD  NEIGHBO R  AGREEMENT   and    direct  participation  with  regard  to  annual  meeting.    Catherine  Eldridge   Midcity  Board  Member/PNA  Liaison   PNA  Board  Member     ‐‐‐‐‐Original  Message ‐‐‐‐‐  From: Stacy  Dalgleish  [mailto:sdalgleish@mac.com]  Sent: Friday, December  02, 2016  4:28  AM   To: Stefani  Uhler; SMMCN  Email  address; John  C. Smith; Catherine  Huh; Andy  Hoye r; Ellen  Ha nnan; Catherine  Eldridge;  Catherine  Eldridge; Stacy  Dalgleish; Nick  Boles; Nancy  Coleman; Elizabeth  Van  Denburgh; Nancy  Morse; Mary  Marlow   Subject: St  Johns  float ‐up  community  benefits  next  week      I  want  St  John's  to  make  Broadway  and  Santa  Monica  Blvds  their  community  Beautification  project. There  are  19  empty   tree  wells  along  Broadway. And  another  20  that  were  filled  in  with  concrete. The irs  is  a  very  lo ng  term  job  subjecting  the   neighbors  and  businesses  in  the  area  to  bear  the  burden  of  dirt, dust, vehicular  and  pedestrian  traffic.  These  streets  need  simple  attractive  neighborhood  friendly  attributes. Trees  and  benches  bring  this  instantly.  A  viewing  area  for  folks  to  watch  the  development  as  it  progresses.  Think  about  staging  the  build ‐out  to  give  something  attractive  and  concrete  before  and  after  construction  of  each  new   area.  Sufficient  drop  ‐ off  zones  could  be  located  in  these  areas. Safe  Drop  off  zones  are  a  very  large  concern  fo r  loved  ones.  A  tap  card  to  use  for  lines  in  and  out  of  the  area.  A  jitney  that  went  down  Broadway  from  Centinela  to  11th  street  every  half  hour.  Working  with  Beautify  Earth  and  Beautify  Broadway  to  turn  all  available  walls  into  murals.  Expansion  of  the  current  in  ‐patient  hom e less  referral  program  to  include  the  healthy  homeless.  Occupational  therapy  for  the  poor  and  elderly.  As  always, we  need  mental  health  facilities  for  18 ‐30  years  of  age  in  in ‐patient  and  out ‐patient.    Thank  you  very  much.  Stacy     Sent  from  my  iPhone     ________________________________  Item 8-A 12/06/2016 17 Item 8-A 12/06/2016 3   This  email  and  any  files  transmitted  with  it  are  confidential  and  intended  solely  for  the  use  of  the  individual  or  entity  to   whom  they  are  addressed. If  you  are  not  the  named  addressee  you  should  not  disseminate, distribute  or  copy  this  e ‐ mail. Please  notify  the  sender  immediately  by  e ‐mail  if  you  have  rece i ved  this  e ‐mail  by  mistake  and  delete  this  e ‐mail   from  your  system. If  you  are  not  the  intended  recipient  you  are  notified  that  disclosing, copying, distributing  or  taking   any  action  in  reliance  on  the  contents  of  this  information  is  strictly  prohibited.  Item 8-A 12/06/2016 18 Item 8-A 12/06/2016 1 Vernice Hankins From:Nancy Morse <nancym@netzero.net> Sent:Monday, December 05, 2016 4:02 PM To:councilmtgitems Subject:Fwd: 12/6/2016 Agenda item 8.A.: Prov idence St. John’s HC DA Amendment -------- Forwarded Message -------- Sub j ect: 12/6/2016 Agenda item 8.A.: Provide nce St. John’s HC DA Amendment Date: Mon, 5 Dec 2016 15:44:14 -0800 From: N ancy Morse <nancym@netzero.net> To: tony.vazquez@smgov.net , kevin@mckeown.net , gleam.davis@smgov.net , pam.oconnor@smgov.net , sue.himmelrich@smgov.net , terry.oday@smgov.net , ted.winterer@smgov.net , council@smgov.net , clerk@smgov.net , rick.cole@smgov.net To City Council, City Manager From: Nancy M. Morse Subject: 12/6/16 Agenda Item 8.A. Providence Sain t John’s Health Center Development Agreement Amendment Float-Up Discussion Here are some of my disjointed thoughts for your consideration. The terms ‘neighborhood’ and ‘neighbors’ need to refer to both residents and businesse s, tenants and owners, as all will be impacted. Community Benefits: 1) A crosswalk on Arizona at 22nd St. across from the emergency room. 2) Street lights on Broadway are in the plans, this is good. If this is not approved, then light ed crosswalks are a must. Currently it is hazardous fo r pedestrians to cross Broadway at the intersections in this area. 3) Expansion of the current in-patient homeless referral program to include the healthy homeless. 4) Santa Monica needs mental health facilities for all ages. 5) An annual meeting for residents a nd/or neighborhoods to discuss issues arising from St. John’s operational activities. This requirement is in add ition to the request for project updates. And this should last for a long as the development agreement is in effect, or longer. Construction thoughts: Construction should be done with minimal disturba nce to neighborhood (recognizi ng that disturbance will occur). St. John’s needs to provide parking for construction workers so they don’t take up parking spaces used by Item 8-A 12/06/2016 19 Item 8-A 12/06/2016 2 residents and business customers and em ployees, such as street parking. Material deliveries should not bl ock streets, driveways, etc. Neighbors should be notified neighbors wh en off-hour construction pe rmits are issued. This is so they can plan for noise, and so they don’t contact city to report permitted noise as violations. Requirement that during construction St. John’s hold a community meeting regularly to update the community of progress, changes, etc. These m eetings should be no longer than 6 mont hs apart. These meetings should be held in a place that has easy access and good parking. Design Changes: The North Campus Mullin Plaza appears to me to be a cement desert. I would like to see it redesigned into something friendlier for sitt ing, lounging and relaxing. Realigning the North Campus driveways to match th e new proposed streets and moving the streetlights accordingly makes good sense. I am pleased to hear the hospital is pl anning for the ability to add more inpa tient beds, as I think there may be a need as population increases. I am also pleased to know that St. Jo hn’s plans to put in adequate parking. I would hope it would be more than adequate. Sum: St. John’s hospital was not a good neighbor during the Nort h Campus construction. There have been changes to the hospital philosophy and staffing since then and comm unity relationships have improved. I hope this will continue in the future. Sincerely, Nancy M. Morse Item 8-A 12/06/2016 20 Item 8-A 12/06/2016 1 Vernice Hankins From:Mari Ostendorf <jimandmari@me.com> Sent:Monday, December 05, 2016 8:36 PM To:Council Mailbox Cc:santamonicamidcityneighbors dalgleish; Tony Vazquez; Rick Cole; Mari Ostendorf; Clerk Mailbox Subject:Item 8.A. St. John's Phase 2 - MidCity Resident Input Dear Santa Monica City Council, Thank you for taking the time to read this email, which I submit as a 13 year resident and homeowner in Santa Monica's Mid City neighborhood, with two young children in our neighborhood school, McKinley Elementary, at 2401 Santa Monica Boulevard. McKinley is the only SMMUSD school directly adjacent to a 4-lane highway (Hwy 2/Santa Monica Blvd), one block from the St. Johns/Providence campus. This multi-year proj ect will place an excessive amount of add itional heavy-vehicle traffic during the construction phase, not to mention the additional traffic brought to the location ongoing/post completion. I believe that our school community, students, parents, guardians, and family members, will be greatly impacted by this project . We are a very pedestrian-friendly school with many of our children (preschool to grade 5) walking, biking, skateboarding and scoot ing to and from school, some of them unaccompanied. With this in mind, I am requesting City Council to strongly co nsider the following, while working with SMMUSD, City of Santa Monica, MidCity Neighbors, and St. Johns/Providence:  Increased "School Zone" signage in VERY PROMINENT locations along Santa Monica Blvd and adjacent roads/intersections  Permanent East/West bound "Your Speed Is" signage to run 24/7 along Santa Monica Blvd well before entering the school zone  Guarenteed and dedicated Crossing Guards (AM and PM) at Cloverfield and Santa Monica Blvd  Guarenteed and dedicated Crossing Guards (AM and PM) at 26th and Santa Monica Blvd  Retain Crossing Guards at Chelsea and Santa Monica Blvd, and Chelsea and Arizona  Bollards along Santa Monica Blvd from Chelsea to Cloverfield  Sound-proofing of "relocatable classrooms" and main building classrooms that face Santa Monica Blvd  Regularly scheduled meetings (every 6 months for duration of program, commencing immediately) with McKinley Community members, including parents, at the school if possible o If meetings are at St. Johns/Providence, schedule both AM and PM sessions, with childcare and providing refreshments to accommodate working parents o Provide free BBB passes or alternate transportation to the m eetings, for families without personal vehicles or those reliant on public transportation  Regularly scheduled, open meetings with school site administrators and SMMUSD personnel for community input pertaining to project  Encourage low-emmision construction vehicles  Ensure construction vehicles, including cement trucks, are not "i dling" along the streets as th ey "wait" for the "6AM start day. This was an issue for neighbors near the Expo Line with trucks queuing up and loudly idling.  Guarenteed on-site parking at St. John/Providence facilities  Encourage St. Johns/Providence to provide on-site ChildCare facility  Encourage St. Johns/Provident to provide on-site, satellite Boys & Girls Club open to Mid City neighborhood.  Provide an on-site community library to mitigate the fact that Mid City does not have a public library  Ensure there is NO disruption to the BBB schedule, especially #1  Provide a dedicated resource for community communication I greatly appreciate your commitment to the safety of our children and the improvement of our Mid City neighborhood. Item 8-A 12/06/2016 21 Item 8-A 12/06/2016 2 Regards, Mari Ostendorf Item 8-A 12/06/2016 22 Item 8-A 12/06/2016 Santa Monica City Council December 6, 2016 Item 8A - St. John's/Providence Development Agreement Nancy Coleman, Social Services Commission Member, NOMA Board Member, speaking as an individual who lives at 349 Euclid St. St. John's Providence Hospital is a general hospital seeking to become a world class Specialty Hospital as it expands to more than 800,000 sq. ft. with a significant impact on the community. Santa Monica is likely to become a center for Medical Tourism as the facilities become more accom plished through research and patient services. This expansion will have through all of its stages have a huge impact on Santa Monica and its residents. St. John's must make a contribution to the City of Santa Monica and those who live here. The community benefits must meet the significant health and medical needs of City residents. The Staff Report asks that the Social Services Commission weigh in on this issue. The Commission began a discussion of this at it’s monthly meeting last night and will continue if that is the desire of the Council. The benefits must be quantifiable, reported by St. John's/Providence, with the concurrence of the community organizations where referrals may have originated. The current state of the statistics is confusing, does not Item 8-A 12/06/2016 23 Item 8-A 12/06/2016 differentiate between a single service, and a set of services that one or many individuals might have received. These must be unduplicated counts. The annual compliance reports do not differentiate between "grant funds received", matching dollars to obtain the funding, and charity dollars provided to community organization "partners". These benefits must go beyond what is required by federal, state, and local law/regulations but must meet the needs of children, youth, adults and seniors. 20% of Santa Monica residents live at or below the poverty level, and while the Affordable Care Act provides health coverage for this population others remain with poor heath services. St John's previous "community benefits have been both overstating and incorrectl y stating their community benefits. This is especially true of the cost of Medicare patients and what is reimbursed from Medicare and what is called $38,444, 645 in unreimbursed Medicare costs. This is also support equal to $11,873,016. This is neither attributed to Santa Monica residents or is it fa ir to call these community benefits. We would like to see a serious focus on community benefits for Santa Monica residents with a 4 prong focus: 1) mental health care across all age groups both out -patient a nd in -patient; 2) substantial wellness programs such as for children to combat obesity and diabetes; adult health and wellness programs for school age children and adults as well as health screenings for aging in place seniors; Item 8-A 12/06/2016 24 Item 8-A 12/06/2016 3) care that is provided to Santa Monica residents that St John's/Providence provides specific dollar amounts and services provided not put in a lump sum; and 4) One third of the childcare slots for Santa Monica residents who are not employees of Saint John's and whose economic situation is low income. In addition, we would ask that the conference center being built be available for free at least four times a month for community groups to use. Also, we'd like to ensure that the traffic and parking are mitigated substantially and that mitigation is measurable and enforceable over the life of the development agreement/drps i.e., the shuttle from Memorial station shouldn't be for 15 months but should be for the 55 years or greater when the amendment is finalized. Finally, as St Jo hn's Providence continues to become a more specialized hospital i.e., cancer related based on their focus on John Wayne Cancer Center and they will focus on this and draw people nationally and internationally it is expected. This expansion of their specia lties MUST NOT DILUTE the QUALITY AND QUANTITY of general health care they provide for the City with respect to their acute care facilities e.g, emergency room. Do not cut out general health care by providing simply "sweet care" for the specialties. Item 8-A 12/06/2016 25 Item 8-A 12/06/2016 1 TO: Mayor Vazquez and City Council Members FROM: Elizabeth Van Denburgh, Wilmont resident City Council, December 6, Agenda 8A – Providence St. John Health Center (PSJHC)Development Agreement Amendment Float-up Discussion – Items 4 and 5 Dear Mayor Vazquez and City Council Members, If the approval of extension of Phase Two building for PSJHC is considered I request the following items for strong consideration and direction to staff and Planning Commission during discussion of items 4 and 5 (as specified for discussion by staff) during Agenda 8A review on December 6, 2016. Item 4 – Discuss whether to consider project alternatives through project negotiations and/or environmental review. This could include potential changes to the total overall floor area for Phase Two, the allocation of floor area between approved uses, the size/scale of one or more buildings, the circulation/access plan, and trip reduction measures required with the project.  For local residents, passenger loading zone with cut-outs and permit parking is needed at Geneva Towers  Broadway is a safer and well traveled bike street. How do we keep it that way with Phase 2?  Convenient and safe child-care drop off capability at child care facility  Require that Providence St. John add permanent capabilities to provide psychiatric emergency room services and an inpatient psychiatric unit to support Santa Monica needs with respect to residents and their families and the homeless population of the City.  Compare and contrast services provided by UCLA vs. St. John to ensure we do not duplicate or over invest in assets, capabilities and capacity that is provided by the other facility.  Detailed definition and design document about how humans (patients, employees, visitors) move from building to building for safety, ease of access and consistency of design for patients, visitors and employees with review and mandatory update from City Planning on humans flow among the buildings of the PSJ Health Center.  Detailed definition and design document about how streets, circulation elements, parking (how many space and sq. ft. underground vs. in buildings) and alternative transportation means e.g., bicycles, Uber/Lyft, taxi, car share, drop-off and pickup ability, bus and skate boarding will ensure safety and effective movement of patients, residents, care givers and employees into and out of the PSJ Health Center Mid-City neighborhood. o This document will need to support the LUCE goal of no new net PM trips. This document will be reviewed and with mandatory update from City Planning on how non- pedestrian movement will occur with respect to entering, unloading of passengers, parking of vehicles and leaving, loading of passengers and movement of vehicles, buses, taxis, car share, Uber/Lyft and skateboards from the PSJ Health Center.  As part of the alternative transportation design, the Expo provides potential for alternative transportation but must consider how to support employees, patients, care-givers and residents via a free shuttle to ensure a smooth, efficient and effective “last mile” to the PSJ HC neighborhood. This could be a key component of a Transportation Demand Management (TDM) plan. Item 8-A 12/06/2016 26 Item 8-A 12/06/2016 2  Detailed definition and design document regarding how open space will be incorporated into the PSJHC site. It should be useable, make it useful for employees, patients, care-givers and residents, and functional. Leverage the well-being survey to identify specific needs for City and neighborhood  Have PSJHC and City staff present these plans for review, comment and feedback for how the City and Mid-City Neighborhood will be impacted at the intra-building pedestrian experience (including crossing streets and bridges) and transportation to and from the Health Center. Item 5 – Identify what, if any, additional objectives, including desired community benefits, the City should include in its negotiations with the Applicant.  Phase 2 does not have any community benefits associated with it; the SJHC was given a waiver on the required parking that it never built, PSJHC continues to communicate medicare and medical offsets as community benefits which they are not and lack of clarity regarding reporting they are building multi-family house but it is replacement housing not new multi-family housing. Additional and real community benefits need to be received for a Phase 2 extension. The original DA was negligent in the delivery of community benefits to a highly impacted neighborhood with the highest intensity of transportation and parking - medical usage.  Definition, design, development and support of a psychiatric emergency room and inpatient psychiatric unit. This will benefit the community, our first responders and our homeless population. First-responders can take ‘5150’ holds to a local hospital vs. County Hospital or Harbor providing ability to support this need in our neighborhood. A psychiatric unit will provide for residents and their families to have mental health support in our City. Mental health is one of our biggest health issues at this moment in our times; we need to be proactive and support an unmet need in the City.  Childcare facility should not only provide for PSJHC employees’ children but residents’ children as well with special support for MidCity Neighbors’ children. We need to be crystal clear about what children are to fill the childcare facility and ensure that residents’ receive a significant community benefit through support of childcare for residents’ children.  Ensure that medicare and medical offsets are eliminated as consideration as “community benefits” from PSJHC.  Support a free shuttle from Expo for PSJHC for patients, employees, visitors, care-givers and residents to ensure we achieve our no net PM car trips LUCE goal.  Access to community rooms with easy scheduling would be appreciated Item 8-A 12/06/2016 27 Item 8-A 12/06/2016 Board Members, Cont. Susan Inwood Wells Fargo Advisors, LLC Jeff Jarow PAR Commercial Real Estate Brokerage Jeff Klocke Pacific Park on the Santa Monica Pier Mitchell Kraus Capital Intelli gence Associates Tim Kusserow Carlthorp School Leonard “Len” Lanzi Los Angeles Venture Association Paula Larmore Harding Larmore Kutcher & Kozal, LLP Jeff Lasky Hudson Pacific Properties, Inc. Matt Lavin Worthe Real Estate Group Richard Lawrence Nat ional Bank of California Paul Leclerc Le Meridien Delfina Gary Loeb Chezgal Merchandising Creations Marcel Loh St John’s Health Center Providence Brian Mac Mahon Expert Dojo Ellis O’Connor MSD Hospitality Fai rmont Miramar Hotel & Bungalows Susan Gabr iel Potter Bob Gabriel Insurance Nat Trives Coalition for Engaged Educations Juan Viramontes Georgian Hotel John Warfel Metropolitan Pacific Adam Weiss Cornerstone OnDemand, December 6 , 2016 Santa Monica City Council 1685 Main Street, Room 102 Santa Mon ica, CA 90401 Re: Item 8 -A: Providence Saint John’s Health Center Development Agreement Amendment Float -Up Discussion Dear City Councilmembers , The Santa Monica Chamber of Commerce is proud to support Providence Saint John’s as it commences the second phase of its redevelopment and expansion plan. Providence Saint John’s has been an important member of the Santa Monica community for 74 years and has provided healthcare to generations of Santa Monica residents. Phase Two will allow Providence Saint J ohn’s to continue their valuable work serving the Santa Monica Community. In addition to providing an array of healthcare services, Providence Saint John’s will continue to provide substantial community benefits to Santa Monica residents. As one of the City’s largest employers, Providence Saint John’s is an engine of our local economy. Phase Two will provide new jobs and contribute to economic growth in the City. For these reasons, we encourage you to authorize Staff to proceed with the City’s comprehe nsive review process for Phase Two. On behalf of the Santa Monica Chamber of Commerce, we thank you for considering our comments. Sincerely, Laurel Rosen Pres ident / CEO Chair Yesenia Monsour Kaiser Permanente Chair Elect West Hooker Locanda del Lago Past C hair Julia Ladd Santa Monica Place Chief Financial Officer Dave Nelson Tegner -Miller Insuran ce Brokers Vice Chair Barbara Bishop BBPR, Inc. Vice Chair Richard Chacker Perry’s at the Beach Vice Chair Justin Grant Morley Builders Vice Chair Pat McRoskey The Water Garden Vice Chair Scott Schonfeld Linwood Ventures Board Members Daniel Abra mson RAND Corporation Matthew Allnatt Jonathan Club Alisha Auringer L A carGuy Ted Braun UCLA Health Calvin Cheong Cooley, LLC Julia Cooksey Frontier Communications Kiersten Elliott Santa Monica College Michael Gruning Pence Hawthorn Mike Harriel So uthern California Gas Company Colby Goff Rustic Canyon Family Item 8-A 12/06/2016 28 Item 8-A 12/06/2016 1 Vernice Hankins From:danilobach <danilobach@aol.com> Sent:Tuesday, December 06, 2016 1:14 PM To:Council Mailbox; councilmtgitems Subject:City Council meeting, agenda Item 8-A Dear Mayor Vazquez and Council Members, Though not a resident of the immediate neighborhood that's home to Providence/St. John's, I am a resident of the city and along with my family a grateful beneficiary of the services S t. John's has long provided. As such, I urge the Council in consideration of the extension for the hosp ital's Phase 2 plan to call for 1) the addition by the hospital of a sorely-needed psychiatric emergency room and inpatient psychiatric unit; 2) wellness programs for children extending through their school years to combat childhood diabetes and obesity; 3) health screenings for at-risk seniors; and 4) inclusion of qualifying low-income Santa Monica households in any child care facility that may be built by the hospital. Sincerely, Danilo Bach Item 8-A 12/06/2016 29 Item 8-A 12/06/2016 December 5, 2016 Re: Santa Monica City Council December 6, 2016 Item 8.A. St. John’s Phase 2 Responses from Mid City Residents Dear City Council, Last week we asked for input from residents regarding St. John’s Phase 2 and the request for extension. I have included the original request, followed by the responses to-date. Thank you for your consideration of their concerns. Stacy Dalgleish President Santa Monica Mid City Neighbors St. John's Hospital will be rebuilding and adding to the existing facility located in our Mid City neighborhood between Broadway and Arizona and 20th Street to 23rd Street. Currently the project entails approximately 800,000 square feet and 19 years to build. The project comes before City Council this Tuesday, December 6, 2016. St. John's is asking for a time extension for project completion. Please share your thoughts, suggestions, concerns, requests and ideas regarding community benefits and the request for extension.  Santa Monica Mid City Neighbors Board of Directors is seeking your input.  Thank you very much for your community involvement.  Responses: Longtime Resident #1 : Make sure that ‘neighborhood’ and ‘neighbors’ refer to both residents and businesses, not just owners. Need to provide parking for construction workers so they don’t take up parking spaces used by residents and business customers and employees, such as street parking. Material deliveries should not block streets, driveways, etc. Notify neighbors when off-hour construction permits are issued. During construction hold a community meeting regularly (every 6 months) to update the community of progress, changes, etc. Page Construction should be done with minimal disturbance to neighborhood (recognizing that disturbance will occur) Possibly o nly 1 street light is planned for Broadway. They might consider crosswalks at other locations, especially if the city does not allow the street light. Now it is hazardous for people crossing Broadway. A crosswalk on Arizona at 22nd St , across from the emergency room. The need for inpatient mental health for ages 18-30; preferably for all ages. Longtime Resident #2: I am opposed to the time extension strongly.  It gives them more time to build a project that is too big to start with.  If they can't get it done they have to come back at that time and we will have a better idea of community benefits needed .  Let ’s not be fooled by an EIR report. They are now required by the State Attorney General to fund a Mental Health Plan.  So that is not a community benefit.  It is a mandate as part of their merger with St Josephs. We need to be part of the process and will not be lied to any longer with small cons like their landscape park which they have to do anyway. Longtime Resident #3: Built-in requirement to have an ASSIGNED PROJECT  employee / community mediator for public and NEIGHBORS to contact regarding project related issues. Project Employee requirement for  accountability  to a Project assigned CITY OF SANTA MONICA employee. A public /neighborhood feedback meeting requirement EVERY 6 MONTHS. NOT HELD  at the hospital (due to parking limitations) but rather IN THE COMMUNITY.  City wide notification. CITY requirement to keep a written accessible public record of all public comments/ issues occurring via these venues.  The follow up actions taken.  the outcomes. AFTER project annual meeting requirement for Neighborhood(s) / Residents to discuss issues arising from St John's operational activities.  On-going Employee mediator assignment for community contact.  Written Records with public access. 10-15 year agreement /DA (?) mandated requirement.  City supervision of GOOD NEIGHBOR AGREEMENT and direct participation with regard to annual meeting. Page MITIGATION is not a Community Benefit Longtime Resident #4 : •The City should hire an outside experienced land-use lawyer to look at all the agreements between the City and St. Johns to see if there are obligations St. Johns has that are not being enforced or where they may not be in compliance (this is important because of the dispute over the City and St. John’s understanding about the parking garage that St. John’s didn’t build when it rebuilt the hospital); •The City should also review in detail the community benefit information and statistics that St. Johns says it has provided to Santa Monica over the years, including the # of patients that are SM residents year-by-year in comparison to all patients treated and the claimed economic value of community benefits to residents and local nonprofits and everyone else they have served; •As to the underground parking garage, this is still a sore point because now St. John’s wants to build a large, above-ground parking structure on 20 th Street, which will displace an existing child care facility, disrupt the neighborhood and probably increase the traffic congestion on 20 th Street that would not be the case if St. John’s had built the underground garage it was supposed to build for the main hospital; •What additional community benefits are being offered for building the above-ground garage and are they sufficient? •Why isn’t St. John’s building work force housing when it raised the problems it was having recruiting nurses and other hospital personnel as a major issue when it participated in the City’s workforce housing task force? (And how many nurses and employees currently live in Santa Monica and how many commute now?) •The true phasing of “Phase 2” needs to be better explained as to all the impacts, including the short-term construction and traffic impacts on the surrounding neighborhood because both the north and south sides of Santa Monica Blvd would be under construction as part of that “one” phase. In reality how many phases or sub-phases are there? •When will St. Johns provide a traffic study analyzing all of the traffic impacts anticipated from each part of Phase 2 to determine if the project is too much? Page •Is St. John’s meeting its traffic mitigations now under its agreements with the City and if not, what will it do and when to meet the targets? •If Phase 2 (all 8 buildings are approved and built) what is the expected increase in patients from inside and outside of Santa Monica, and the increase in hospital employees from inside and outside of Santa Monica? Individual comments from other Residents: McKinley Elementary School is located two blocks from St. John’s Hospital and as such is negatively impacted by increased traffic. Reaching out to the school, discovering their needs, the specific impact on the school by the hospital, and working to fund improvements would be very beneficial. Theirs is a very long-term job subjecting the neighbors and businesses in the area to bear the burden of dirt, dust, vehicular and pedestrian traffic. These streets need simple attractive neighborhood friendly attributes. Trees, wide sidewalks and benches bring this instantly. A viewing area for folks to watch the development as it progresses. Think about staging the build-out to give something attractive and concrete before and after construction of each new area. Sufficient drop-off zones could be located in these areas. Safe drop-off zones are a very large concern for loved ones. A free tap card to use for lines in and out of the area. A jitney down Broadway from Centinela to 11th street every half hour. Working with Beautify Earth and Beautify Broadway to turn all available walls into murals.   Expansion of the current in-patient homeless referral program to include the healthy homeless. Occupational therapy for the poor and elderly. As always, we need mental health facilities for 18-30 years of age in in-patient and out- patient. Page 1 Vernice Hankins From:Council Mailbox Sent:Tuesday, December 06, 2016 2:16 PM To:councilmtgitems Subject:FW: City Council meeting, Agenda Item 8-A     From: Stacy  Dalgleish  [mailto:sdalgleish@mac.com]   Sent: Tuesday, December  06, 2016  2:14  PM   To: Council  Mailbox  <Council.Mailbox@SMGOV.NET>; Tony  Vazquez  <Tony.Vazquez@SMGOV.NET>; Kevin  McKeown   Fwd  <kevin@mckeown.net>; Gleam  Davis  <Gleam.Davis@SMGOV.NET>; Pam  OConnor  <Pam.OConnor@SMGOV.NET>;  Sue  Himmelrich  <Sue.Himmelrich@SMGOV.NET>; Terry  O’Day  <Terry.Oday@smgov.net>; Ted  Winterer   <Ted.Winterer@SMGOV.NET>  Cc: Rick  Cole  <Rick.Cole@SMGOV.NET>; Clerk  Mailbox  <Clerk.Mailbox@SMGOV.NET>  Subject: City  Council  meeting, Agenda  Item  8 ‐A   Dear City Council, I write regarding Phase 2 of St. John’s Hospital. I live in the Mid City area of Santa Monica which contains the Health Care District and the Auto Sales District. As you know St. John’s Hospital is comi ng before you requesting an extension to their 19 year build-out period. At 63 years of age, 19 vs 30 years of build-out is not my most pressing concern. However, I do feel a responsibility to my neighborhood and the future quality of life therein and ask that you take livability factors into consideration. Construction on 20th Street and Broadway will be intense. Our neighborhood already accepts the bulk of incoming traffic between the hospitals and Santa Monica College. In addition, the area contained by 20th to Cloverfield and Broadway to Colorado (the DMV area) will be intensely de veloped over the next two decades and as you recall, Broadway and Colorado were left with Ti er 3 in the LUCE even as it was removed from other areas. This area will be come an "activity center”. St. John’s Hospital will have a strong presence on Broa dway. I would like to see this interface given as much consideration as the Santa Monica Bl vd.-facing side. This should include deep sidewalks, buildings moved away from those sidewalks, beautifully maintained plan tings, and artwork – an entrance that is not just the “back-side" of the project but another entrance. St. J ohn’s is in a perfect positi on to set the stage for a revitalized Broadway. I invite you to visit and see how it is currently ma intained. You will understand why this is of concern. Finally, a concern we continue to address is the need for a dedicated psychi atric emergency room along with an inpatient psychiatric unit. We are hopefu l that continued requests by the community for such will be successful. Many residents have written their specifi c concerns and suggestions. I have se nt these to you separately. In this email, I ask that you carefully consider the impact of an 800,000 square foot constr uction project on an already intensely used area, one that is considered home to many. Thank you very much. Item 8-A 12/06/2016 34 Item 8-A 12/06/2016 2 Respectfully, Stacy Stacy Dalgleish 1437 24th Street Santa Monica 90404 310-701-9876 Item 8-A 12/06/2016 35 Item 8-A 12/06/2016 December 5, 2016 Re: Santa Monica City Council December 6, 2016 Item 8.A. St. John’s Phase 2 Responses from Mid City Residents Dear City Council, Last week we asked for input from residents regarding St. John’s Phase 2 and the request for extension. I have included the original request, followed by the responses to-date. Thank you for your consideration of their concerns. Stacy Dalgleish President Santa Monica Mid City Neighbors St. John's Hospital will be rebuilding and adding to the existing facility located in our Mid City neighborhood between Broadway and Arizona and 20th Street to 23rd Street. Currently the project entails approximately 800,000 square feet and 19 years to build. The project comes before City Council this Tuesday, December 6, 2016. St. John's is asking for a time extension for project completion. Please share your thoughts, suggestions, concerns, requests and ideas regarding community benefits and the request for extension.  Santa Monica Mid City Neighbors Board of Directors is seeking your input.  Thank you very much for your community involvement.  Responses: Longtime Resident #1 : Make sure that ‘neighborhood’ and ‘neighbors’ refer to both residents and businesses, not just owners. Need to provide parking for construction workers so they don’t take up parking spaces used by residents and business customers and employees, such as street parking. Material deliveries should not block streets, driveways, etc. Notify neighbors when off-hour construction permits are issued. During construction hold a community meeting regularly (every 6 months) to update the community of progress, changes, etc. Page Construction should be done with minimal disturbance to neighborhood (recognizing that disturbance will occur) Possibly o nly 1 street light is planned for Broadway. They might consider crosswalks at other locations, especially if the city does not allow the street light. Now it is hazardous for people crossing Broadway. A crosswalk on Arizona at 22nd St , across from the emergency room. The need for inpatient mental health for ages 18-30; preferably for all ages. Longtime Resident #2: I am opposed to the time extension strongly.  It gives them more time to build a project that is too big to start with.  If they can't get it done they have to come back at that time and we will have a better idea of community benefits needed .  Let ’s not be fooled by an EIR report. They are now required by the State Attorney General to fund a Mental Health Plan.  So that is not a community benefit.  It is a mandate as part of their merger with St Josephs. We need to be part of the process and will not be lied to any longer with small cons like their landscape park which they have to do anyway. Longtime Resident #3: Built-in requirement to have an ASSIGNED PROJECT  employee / community mediator for public and NEIGHBORS to contact regarding project related issues. Project Employee requirement for  accountability  to a Project assigned CITY OF SANTA MONICA employee. A public /neighborhood feedback meeting requirement EVERY 6 MONTHS. NOT HELD  at the hospital (due to parking limitations) but rather IN THE COMMUNITY.  City wide notification. CITY requirement to keep a written accessible public record of all public comments/ issues occurring via these venues.  The follow up actions taken.  the outcomes. AFTER project annual meeting requirement for Neighborhood(s) / Residents to discuss issues arising from St John's operational activities.  On-going Employee mediator assignment for community contact.  Written Records with public access. 10-15 year agreement /DA (?) mandated requirement.  City supervision of GOOD NEIGHBOR AGREEMENT and direct participation with regard to annual meeting. Page MITIGATION is not a Community Benefit Longtime Resident #4 : •The City should hire an outside experienced land-use lawyer to look at all the agreements between the City and St. Johns to see if there are obligations St. Johns has that are not being enforced or where they may not be in compliance (this is important because of the dispute over the City and St. John’s understanding about the parking garage that St. John’s didn’t build when it rebuilt the hospital); •The City should also review in detail the community benefit information and statistics that St. Johns says it has provided to Santa Monica over the years, including the # of patients that are SM residents year-by-year in comparison to all patients treated and the claimed economic value of community benefits to residents and local nonprofits and everyone else they have served; •As to the underground parking garage, this is still a sore point because now St. John’s wants to build a large, above-ground parking structure on 20 th Street, which will displace an existing child care facility, disrupt the neighborhood and probably increase the traffic congestion on 20 th Street that would not be the case if St. John’s had built the underground garage it was supposed to build for the main hospital; •What additional community benefits are being offered for building the above-ground garage and are they sufficient? •Why isn’t St. John’s building work force housing when it raised the problems it was having recruiting nurses and other hospital personnel as a major issue when it participated in the City’s workforce housing task force? (And how many nurses and employees currently live in Santa Monica and how many commute now?) •The true phasing of “Phase 2” needs to be better explained as to all the impacts, including the short-term construction and traffic impacts on the surrounding neighborhood because both the north and south sides of Santa Monica Blvd would be under construction as part of that “one” phase. In reality how many phases or sub-phases are there? •When will St. Johns provide a traffic study analyzing all of the traffic impacts anticipated from each part of Phase 2 to determine if the project is too much? Page •Is St. John’s meeting its traffic mitigations now under its agreements with the City and if not, what will it do and when to meet the targets? •If Phase 2 (all 8 buildings are approved and built) what is the expected increase in patients from inside and outside of Santa Monica, and the increase in hospital employees from inside and outside of Santa Monica? Individual comments from other Residents: McKinley Elementary School is located two blocks from St. John’s Hospital and as such is negatively impacted by increased traffic. Reaching out to the school, discovering their needs, the specific impact on the school by the hospital, and working to fund improvements would be very beneficial. Theirs is a very long-term job subjecting the neighbors and businesses in the area to bear the burden of dirt, dust, vehicular and pedestrian traffic. These streets need simple attractive neighborhood friendly attributes. Trees, wide sidewalks and benches bring this instantly. A viewing area for folks to watch the development as it progresses. Think about staging the build-out to give something attractive and concrete before and after construction of each new area. Sufficient drop-off zones could be located in these areas. Safe drop-off zones are a very large concern for loved ones. A free tap card to use for lines in and out of the area. A jitney down Broadway from Centinela to 11th street every half hour. Working with Beautify Earth and Beautify Broadway to turn all available walls into murals.   Expansion of the current in-patient homeless referral program to include the healthy homeless. Occupational therapy for the poor and elderly. As always, we need mental health facilities for 18-30 years of age in in-patient and out- patient. Page 1 Vernice Hankins From:Council Mailbox Sent:Tuesday, December 06, 2016 2:19 PM To:Tony Vazquez; Ted Winterer; Pam OConnor; Sue Himmelrich; Gleam Davis; Terry O’Day; Kevin McKeown Fwd Cc:councilmtgitems; Elaine Polachek; David Martin Subject:FW: community benefit from PSJHC for extending to Phase 2 Council ‐    Please  see  the  below  email  re: St. John's.    Thank  you,    Stephanie     ‐‐‐‐‐Original  Message ‐‐‐‐‐  From: Jodi  Summers  [mailto:jodi@jodisummers.com]   Sent: Tuesday, December  06, 2016  11:38  AM   To: Council  Mailbox  <Council.Mailbox@SMGOV.NET>  Subject: community  benefit  from  PSJHC  for  extending  to  Phase  2     Good  day  Council,    The  residents  of  Santa  Monica  consider  one  of  th e  most  important  community  benefits  that  PSJHC  should  provide  to   enable  its  time  extension  for  Phase   2  is  the  addition  and  capability  of  an  psychiatric  emergency  room  and  an  inpatient  psychiatric  unit.  We  believe  the  lack   of  mental  health  capability  in  Santa  Monica  needs  to  be  addressed  and  is  a  critical  ne ed  of  the  City.    Thank  you,  Jodi  Summers   Ocean  Park  Association       Item 8-A 12/06/2016 40 Item 8-A 12/06/2016 1 Vernice Hankins From:Council Mailbox Sent:Tuesday, December 06, 2016 2:19 PM To:Tony Vazquez; Ted Winterer; Pam OConnor; Sue Himmelrich; Gleam Davis; Terry O’Day; Kevin McKeown Fwd Cc:councilmtgitems; David Martin; Elaine Polachek Subject:FW: St John Providence Hospital Council ‐    Please  see  the  below  email  re: St. John's.    Thank  you,    Stephanie     ‐‐‐‐‐Original  Message ‐‐‐‐‐  From: Stefani  Kong  Uhler  [mailto:stefaniuhler@gmail.com]   Sent: Tuesday, December  06, 2016  11:23  AM   To: Council  Mailbox  <Council.Mailbox@SMGOV.NET>  Subject: St  John  Providence  Hospital     Dear  City  Council  and  Planning  Commissioners  of  the  City  of  Santa  Monica,    The  residents  of  Santa  Mo nica  consider  one  of  the  most  important  community  benefits  that  PSJHC  should  provide  to   enable  its  time  extension  for  Phase  2  is  the  addition  and  capability  of  an  psychiatric  emergency  room  and  an  inpatient   psychiatric  unit.  We  believe  the  lack  of  mental  health  capability  in  Santa  Monica  needs  to  be  addressed  and  is  a  criti cal   need  of  the  City.    Thank  you     Best  regards,  Stefani  Uhler   Santa  Monica  Mid  City  Neighbors  Board  Member  and  resident        Sent  from  Stefani's   iPhone   Item 8-A 12/06/2016 41 Item 8-A 12/06/2016 1 TO: Mayor Vazquez and City Council Members FROM: Elizabeth Van Denburgh, Wilmont resident City Council, December 6, Agenda 8A – Providence St. John Health Center (PSJHC)Development Agreement Amendment Float-up Discussion – Items 4 and 5 Dear Mayor Vazquez and City Council Members, If the approval of extension of Phase Two building for PSJHC is considered I request the following items for strong consideration and direction to staff and Planning Commission during discussion of items 4 and 5 (as specified for discussion by staff) during Agenda 8A review on December 6, 2016. Item 4 – Discuss whether to consider project alternatives through project negotiations and/or environmental review. This could include potential changes to the total overall floor area for Phase Two, the allocation of floor area between approved uses, the size/scale of one or more buildings, the circulation/access plan, and trip reduction measures required with the project.  For local residents, passenger loading zone with cut-outs and permit parking is needed at Geneva Towers  Broadway is a safer and well traveled bike street. How do we keep it that way with Phase 2?  Convenient and safe child-care drop off capability at child care facility  Require that Providence St. John add permanent capabilities to provide psychiatric emergency room services and an inpatient psychiatric unit to support Santa Monica needs with respect to residents and their families and the homeless population of the City.  Compare and contrast services provided by UCLA vs. St. John to ensure we do not duplicate or over invest in assets, capabilities and capacity that is provided by the other facility.  Detailed definition and design document about how humans (patients, employees, visitors) move from building to building for safety, ease of access and consistency of design for patients, visitors and employees with review and mandatory update from City Planning on humans flow among the buildings of the PSJ Health Center.  Detailed definition and design document about how streets, circulation elements, parking (how many space and sq. ft. underground vs. in buildings) and alternative transportation means e.g., bicycles, Uber/Lyft, taxi, car share, drop-off and pickup ability, bus and skate boarding will ensure safety and effective movement of patients, residents, care givers and employees into and out of the PSJ Health Center Mid-City neighborhood. o This document will need to support the LUCE goal of no new net PM trips. This document will be reviewed and with mandatory update from City Planning on how non- pedestrian movement will occur with respect to entering, unloading of passengers, parking of vehicles and leaving, loading of passengers and movement of vehicles, buses, taxis, car share, Uber/Lyft and skateboards from the PSJ Health Center.  As part of the alternative transportation design, the Expo provides potential for alternative transportation but must consider how to support employees, patients, care-givers and residents via a free shuttle to ensure a smooth, efficient and effective “last mile” to the PSJ HC neighborhood. This could be a key component of a Transportation Demand Management (TDM) plan. Item 8-A 12/06/2016 42 Item 8-A 12/06/2016 2  Detailed definition and design document regarding how open space will be incorporated into the PSJHC site. It should be useable, make it useful for employees, patients, care-givers and residents, and functional. Leverage the well-being survey to identify specific needs for City and neighborhood  Have PSJHC and City staff present these plans for review, comment and feedback for how the City and Mid-City Neighborhood will be impacted at the intra-building pedestrian experience (including crossing streets and bridges) and transportation to and from the Health Center. Item 5 – Identify what, if any, additional objectives, including desired community benefits, the City should include in its negotiations with the Applicant.  Phase 2 does not have any community benefits associated with it; the SJHC was given a waiver on the required parking that it never built, PSJHC continues to communicate medicare and medical offsets as community benefits which they are not and lack of clarity regarding reporting they are building multi-family house but it is replacement housing not new multi-family housing. Additional and real community benefits need to be received for a Phase 2 extension. The original DA was negligent in the delivery of community benefits to a highly impacted neighborhood with the highest intensity of transportation and parking - medical usage.  Definition, design, development and support of a psychiatric emergency room and inpatient psychiatric unit. This will benefit the community, our first responders and our homeless population. First-responders can take ‘5150’ holds to a local hospital vs. County Hospital or Harbor providing ability to support this need in our neighborhood. A psychiatric unit will provide for residents and their families to have mental health support in our City. Mental health is one of our biggest health issues at this moment in our times; we need to be proactive and support an unmet need in the City.  Childcare facility should not only provide for PSJHC employees’ children but residents’ children as well with special support for MidCity Neighbors’ children. We need to be crystal clear about what children are to fill the childcare facility and ensure that residents’ receive a significant community benefit through support of childcare for residents’ children.  Ensure that medicare and medical offsets are eliminated as consideration as “community benefits” from PSJHC.  Support a free shuttle from Expo for PSJHC for patients, employees, visitors, care-givers and residents to ensure we achieve our no net PM car trips LUCE goal.  Access to community rooms with easy scheduling would be appreciated Item 8-A 12/06/2016 43 Item 8-A 12/06/2016 Valerie Griffin Santa Monica, CA 90403 December 6, 2016 Re: City Council 12/6/2016, 8A, Sain t John’s Health Center Float-Up My first cancer death occurred on Christmas Eve when I was 7. My father’s favorite sister, Joyce, died that day of a brain tumor. My Chr istmas present from her was under the tree. In my family, we opened one present on Christmas Eve. I chose hers. Of all the presents I’ve ever received, that one has most influenced my life. It was my first cookbook, the “Betty Crocker Cookbook for Boys and Girls.” Whenev er I'm in my kitchen, she’s with me. I wish I’d gotten to know her as an adult. We’ve all been affected by cancer–personally or through family, friends, colleagues, or others. The John Wayne Cancer Institute at Saint John’s is a world-class cancer research and treatment center. Treatments developed there can and do flow outward to serve an expanding community. The Health Center also includes a wide range of other excellent medical services. To retain this level of service, a health center must continue to evolve. This proposal starts with a good basic site pl an with essential items in place. Individual components will require further design and ne gotiation over decades. The lengthy time frame allows integration of changes to techno logy, treatment options, and transportation needs. With this plan, and careful stewardship by all stakeholders, Saint John’s Health Center will continue to be part of the world-class me dical care available to all members of our community. You know about the Cancer Moonshot. Let’s make sure Santa Monica helps launch it! Valerie Griffin valeriegryphon@gmail.com Item 8-A 12/06/2016 44 Item 8-A 12/06/2016 1 Vernice Hankins From:Council Mailbox Sent:Tuesday, December 06, 2016 2:30 PM To:Tony Vazquez; Ted Winterer; Pam OConnor; Sue Himmelrich; Gleam Davis; Terry O’Day; Kevin McKeown Fwd Cc:councilmtgitems; Elaine Polachek; David Martin Subject:FW: Item 8.A. St. John's Phase 2 - MidCity Resident Input Council ‐    Please  see  the  below  email  re: St. John’s.    Thank  you,    Stephanie       From: Mari  Ostendorf  [mailto:jimandmari@me.com]   Sent: Monday, December  05, 2016  8:36  PM   To: Council  Mailbox  <Council.Mailbox@SMGOV.NET>  Cc: santamonicamidcityneighbors  dalgleish  <SantaMonicaMidCityNeighbors@gmail.com>; Tony  Vazquez   <Tony.Vazquez@SMGOV.NET>; Rick  Cole  <Rick.Cole@SMGOV.NET>; Mari  Ostendorf  <jimandmari@me.com>; Clerk   Mailbox  <Clerk.Mailbox@SMGOV.NET>  Subject: Item  8.A. St. John's  Phase  2  ‐ MidCity  Resident  Input   Dear Santa Monica City Council, Thank you for taking the time to read this email, which I submit as a 13 year resident and homeowner in Santa Monica's Mid City neighborhood, with two young children in our neighborhood school, McKinley Elementary, at 2401 Santa Monica Boulevard. McKinley is the only SMMUSD school directly adjacent to a 4-lane highway (Hwy 2/Santa Monica Blvd), one block from the St. Johns/Providence campus. This multi-year pr oject will place an excessive amount of ad ditional heavy-vehicle traffic during the construction phase, not to mention the additional traffic brought to the location ongoing/post completion. I believe that our school community, students, parents, guardians, and family members, will be greatly impacted by this project . We are a very pedestrian-friendly school with many of our children (preschool to grade 5) walking, biking, skateboarding and scoot ing to and from school, some of them unaccompanied. With this in mind, I am requesting City Council to strongly co nsider the following, while working with SMMUSD, City of Santa Monica, MidCity Neighbors, and St. Johns/Providence:  Increased "School Zone" signage in VERY PROMINENT locations along Santa Monica Blvd and adjacent roads/intersections  Permanent East/West bound "Your Speed Is" signage to run 24/7 along Santa Monica Blvd well before entering the school zone  Guarenteed and dedicated Crossing Guards (AM and PM) at Cloverfield and Santa Monica Blvd  Guarenteed and dedicated Crossing Guards (AM and PM) at 26th and Santa Monica Blvd  Retain Crossing Guards at Chelsea and Santa Monica Blvd, and Chelsea and Arizona  Bollards along Santa Monica Blvd from Chelsea to Cloverfield  Sound-proofing of "relocatable classrooms" and main building classrooms that face Santa Monica Blvd Item 8-A 12/06/2016 45 Item 8-A 12/06/2016 2  Regularly scheduled meetings (every 6 months for duration of program, commencing immediately) with McKinley Community members, including parents, at the school if possible o If meetings are at St. Johns/Providence, schedule both AM and PM sessions, with childcare and providing refreshments to accommodate working parents o Provide free BBB passes or alternate transportation to the m eetings, for families without personal vehicles or those reliant on public transportation  Regularly scheduled, open meetings with school site administrators and SMMUSD personnel for community input pertaining to project  Encourage low-emmision construction vehicles  Ensure construction vehicles, including cement trucks, are not "i dling" along the streets as th ey "wait" for the "6AM start day. This was an issue for neighbors near the Expo Line with trucks queuing up and loudly idling.  Guarenteed on-site parking at St. John/Providence facilities  Encourage St. Johns/Providence to provide on-site ChildCare facility  Encourage St. Johns/Provident to provide on-site, satellite Boys & Girls Club open to Mid City neighborhood.  Provide an on-site community library to mitigate the fact that Mid City does not have a public library  Ensure there is NO disruption to the BBB schedule, especially #1  Provide a dedicated resource for community communication I greatly appreciate your commitment to the safety of our children and the improvement of our Mid City neighborhood. Regards, Mari Ostendorf Item 8-A 12/06/2016 46 Item 8-A 12/06/2016 1 Vernice Hankins From:Stacy Dalgleish <sdalgleish@mac.com> Sent:Tuesday, December 06, 2016 2:14 PM To:Council Mailbox; Tony Vazquez; Kevin McKeow n Fwd; Gleam Davis; Pam OConnor; Sue Himmelrich; Terry O’Day; Ted Winterer Cc:Rick Cole; Clerk Mailbox Subject:City Council meeting, Agenda Item 8-A Dear City Council, I write regarding Phase 2 of St. John’s Hospital. I live in the Mid City area of Santa Monica which contains the Health Care District and the Auto Sales District. As you know St. John’s Hospital is comi ng before you requesting an extension to their 19 year build-out period. At 63 years of age, 19 vs 30 years of build-out is not my most pressing concern. However, I do feel a responsibility to my neighborhood and the future quality of life therein and ask that you take livability factors into consideration. Construction on 20th Street and Broadway will be intense. Our neighborhood already accepts the bulk of incoming traffic between the hospitals and Santa Monica College. In addition, the area contained by 20th to Cloverfield and Broadway to Colorado (the DMV area) will be intensely de veloped over the next two decades and as you recall, Broadway and Colorado were left with Ti er 3 in the LUCE even as it was removed from other areas. This area will be come an "activity center”. St. John’s Hospital will have a strong presence on Broa dway. I would like to see this interface given as much consideration as the Santa Monica Bl vd.-facing side. This should include deep sidewalks, buildings moved away from those sidewalks, beautifully maintained plan tings, and artwork – an entrance that is not just the “back-side" of the project but another entrance. St. J ohn’s is in a perfect positi on to set the stage for a revitalized Broadway. I invite you to visit and see how it is currently ma intained. You will understand why this is of concern. Finally, a concern we continue to address is the need for a dedicated psychi atric emergency room along with an inpatient psychiatric unit. We are hopefu l that continued requests by the community for such will be successful. Many residents have written their specifi c concerns and suggestions. I have se nt these to you separately. In this email, I ask that you carefully consider the impact of an 800,000 square foot constr uction project on an already intensely used area, one that is considered home to many. Thank you very much. Respectfully, Stacy Stacy Dalgleish 1437 24th Street Santa Monica 90404 310-701-9876 Item 8-A 12/06/2016 47 Item 8-A 12/06/2016 1 Vernice Hankins From:Stacy Dalgleish <sdalgleish@mac.com> Sent:Tuesday, December 06, 2016 2:20 PM To:Elizabeth Van Denburgh Cc:Council Mailbox; Tricia Crane; Danilo Bach; Andrew Gledhill; Zina and William Josephs; Laurence Eubank; Clerk Mailbox; Marsha Moutrie; Rick Cole; Amy N. Anderson; Mario Fonda-Bernardi; Nina Fresco; jenniferfkennedy@gmail.com; leslielambert92 @gmail.com; Richard McKinnon; parryplan@gmail.com; Matt Hall; cristopher Subject:Re: City Council 12-6-16 Agenda 8A - PSJHC Phase 2 Extension - Proj. Alts. & Comm. Benefits Attachments:CityCouncil-12-6-16-Agenda8A-PSJHC-Phase2.pdf Thank you Elizabeth. As always a well-research ed well-written missive. Stacy On Dec 6, 2016, at 10:55 AM, Elizabeth Van Denburgh <emvandenburgh@gmail.com > wrote: To: Mayor  Vazquez  and  City  Council  Members From:  Elizabeth  Van  Denburgh, Wilmont  resident Subject: City  Council, December  6, Agenda  8A  – Providence  St. John  Health  Center   (PSJHC)Development  Agreement  Amendment  Float ‐up  Discussion  – Items  4  and  5  (Project   Alternatives  and  Community  Benefits) Dear  Mayor  Vazquez  and  City  Council  Members, If  the  approval  of  extension  of  Phas e  Two  building  for  PSJHC  is  considered  I  request  the   following  items  for  strong  consideration  and  direction  to  staff  and  Planning  Commission  during   discussion  of  items  4  and  5  (as  specified  for  discussion  by  staff) during  Agenda  8A  review  on   December  6, 2016. Item  4  – Discuss  whether  to  consider  project  alternatives  through  project  negotiations  and/or   environmental  review.  This  could  include  potential  changes  to  the  total  overall  floor  area  for   Phase  Two, the  allocation  of  floor  area  between  approved  uses, the  size/scale  of  one  or  more   buildings, the  circulation/access  plan, and  trip  reduction  measures  required  with  the  project.  For  local  residents,  passenger  loading  zone  with  cut ‐outs  and  permit  parking  is   needed  at  Geneva  Towers  Broadway  is  a  safer  and  well  traveled  bike  street.  How  do  we  keep  it  that  way  with   Phase  2?  Convenient  and  safe  child ‐care  drop  off  capability  at  child  care  facility  Require  that  Providence  St. John  add  permanent  capabilities  to  provide  psychiatric   emergency  room  services  and  an  inpatient  psychiatric  unit  to  support  Santa  Monica   needs  with  respect  to  residents  and  their  families  and  the  homeless  population  of  the   City. Item 8-A 12/06/2016 48 Item 8-A 12/06/2016 2  Compare  and  contrast  services  provided  by  UCLA  vs. St. John  to  ensure  we  do  not   duplicate  or  over  invest  in  assets, capabilities  and  capacity  that  is  provided  by  the  other   facility.  Detailed  definition  and  design  document  about  how  humans  (patients, employees,  visitors) move  from  building  to  building  for  safety, ease  of  access  and  consistency  of   design  for  patients, visitors  and  employees  with  review  and  mandatory  update  from  City   Planning  on  humans  flow  among  the  buildings  of  the  PSJ  Health  Center.  Detailed  definition  and  design  document  about  how  streets, circulation  elements,  parking  (how  many  space  and  sq. ft. underground  vs. in  buildings) and  alternative   transportation  means  e.g., bicycles, Uber/Lyft, taxi, car  share, drop ‐off  and  pickup   ability, bus  and  skate  boarding  will  ensure  safety  and  effective  movement  of  patients,  residents, care  givers  and  employees  into  and  out  of  th e  PSJ  Health  Center  Mid ‐City   neighborhood.  o  This  document  will  need  to  support  the  LUCE  goal  of  no  new  net  PM   trips.  This  document  will  be  reviewed  and  with  mandatory  update  from  City   Planning  on  how  non ‐pedestrian  movement  will  occur  with  respect  to  entering,  unloading  of  passengers, parking  of  vehicles  and  leaving, loading  of  passengers   and  movement  of  vehicles, buses, taxis, car  share, Uber/Lyft  and  skateboards   from  the  PSJ  Health  Ce nter.    As  part  of  the  alternative  transportation  design, the  Expo  provides  potential  for   alternative  transportation  but  must  consider  how  to  support  employees, patients, care ‐ givers  and  residents  via  a  free  shuttle  to  ensure  a  smooth, efficient  and  effective  “last   mile” to  the  PSJ  HC  neighborhood.   This  could  be  a  key  component  of  a  Transportation   Demand  Management  (TDM) plan.  Detailed  definition  and  design  document  regarding  how  open  space  will  be   incorporated  into  the  PSJHC  site.  It  should  be  useable, make  it  useful  for  employees,  patients, care ‐givers  and  residents, and  functional.  Leverage  the  well ‐being  survey  to   identify  specific  needs  for  City  and  neighborhood  Have  PSJHC  and  City  staff  present  these  plans  for  review, comment  and  feedback   for  how  the  City  and  Mid ‐City  Neighborhood  will  be  impacted  at  the  intra ‐building   pedestrian  experience  (including  crossing  streets  and  bridges) and  transportation  to  and   from  the  Health  Center. Item  5  – Identify  what, if  any, additional  objectives, including  desired  community  benefits,  the  City  should  include  in  its  negotiations  with  the  Applicant.  Phase  2  does  not  have  any  community  benefits  associated  with  it; the  SJHC  was   given  a  waiver  on  the  required  parking  that  it  never  built, PSJHC  continues  to   communicate  medicare  and  medical  offsets  as  community  benefits  which  they  are  not   and  lack  of  clarity  regarding  reporting  they  are  building  multi ‐family  house  but  it  is   replacemen t  housing  not  new  multi ‐family  housing.  Additional  and  real  community   benefits  need  to  be  received  for  a  Phase  2  extension.  The  original  DA  was  negligent  in   the  delivery  of  community  benefits  to  a  highly  impacted  neighborhood  with  the   highest  intensity  of  transportation  and  parking  ‐ medical  usage.  Definition, design, development  and  support  of  a  psychiatric  emergency  room  and   inpatient  psychiatric  unit.  This  will  benefit  the  community, our  first  responders  and  our   homeless  population.  First ‐responders  can  take  ‘5150’ holds  to  a  local  hospital  vs.  County  Hospital  or  Harbor  providing  ability  to  support  this  need  in  our  neighborhood.  A   psychiatric  unit  will  provi de  for  residents  and  their  families  to  have  mental  health   Item 8-A 12/06/2016 49 Item 8-A 12/06/2016 3 support  in  our  City.  Mental  health  is  one  of  our  biggest  health  issues  at  this  moment  in   our  times; we  need  to  be  proactive  and  support  an  unmet  need  in  the  City.  Childcare  facility  should  not  only  provide  for  PSJHC  employees’ children  but   residents’ children  as  well  with  special  support  for  MidCity  Neighbors’ children.  We   need  to  be  crystal  clear  about  what  children  are  to  fill  the  childcare  facility  and  ensure   that  residents’ receive  a  significant  community  benefit  through  support  of  childcare  for   residents’ children.    Ensure  that  medicare  and  medical  offsets  are  eliminated  as  consideration  as   “community  benefits” from  PSJHC.  Support  a  free  shuttle  from  Expo  for  PSJHC  for  patients, employees, visitors, care ‐ givers  and  residents  to  ensure  we  achieve  our  no  net  PM  car  trips  LUCE  goal.  Access  to  community  rooms  with  easy  scheduling  would  be  appreciated I've  attached  a  PDF  of  this  letter  to  my  email. Item 8-A 12/06/2016 50 Item 8-A 12/06/2016 (310)656-4311 December 2, 2016 VIA E-MAIL Santa Monica City Council 1685 Main Street, Room 102 Santa Monica, CA 90401 Re: Providence Saint John’s Phase Two Float-Up Hearing Hearing Date: December 6, 2016 Agenda Item No. 8-A Our Client: Providence Saint John’s Health Center Our File No. 22238.001 Dear Councilmembers: I am writing on behalf of Providen ce Saint John’s Health Center (“Providence Saint John’s”) in response to the Staff Report for your Decembe r 6 th float-up hearing on Providence Saint John’s Phase Two plan. The Staff Report (page 40) asks the City Council to provide dir ection on whether to pursue the following amendments to Providence Saint John’s D evelopment Agreement (“DA”): (a) City Sta ff’s recommended amendment to m aterially change the Providence Saint John’s Phase Tw o entitlements process and (b) an amendment to allow for a longer time horizon to implement the Phase Two deve lopment. We urge you to provide City Staff with direct ion to move forward with these DA amendments and to initiate the time-consuming environmental review process for th e Phase Two plan. Providence Saint John’s Phase Tw o applications have been pendin g for almost two years now, and it is critical to move these applications forwar d in order to realize the important health care uses and community benefits included in t he plan. Although Staff’s rest ructured entitlements process for Phase Two is significantly more burdensome, time-consuming and costly for Providence Saint John’s, the reasons underlying Staff’s recommended appr oach are sound. And, the Pl anning Commission supported Staff’s recommended appr oach at their float-up hearin g in April. Thus, if the City Council decides to move forward on the basis of Staff’s re commendation, Providence Saint John’s will c ooperate with the understanding t hat Providence Saint John’s DA vesting protections fo r uses and floor area will rema in in effect and the Phase Two plan will provide Providenc e Saint John’s with sufficient t ime to implement the plan. plarmore@hlkklaw.com Item 8-A 12/06/2016 1 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 2 This letter provides you with in formation concerning Providence Saint John’s including with respect to: its h istory, its DA with the City, the health care planning that informs the Phase Two plan, key components of the Phase Two plan, and how the Phase Two plan compares to the DA and the 2015 Zoning Ordinance . Attached is Providence Saint John’s submittal package for your December 6 th float-up hearing, which contains a more in depth treatment of the Phase Two plan. I. BACKGROUND A. Providence Saint John’s History. Founded in 1939 by the Sisters of Charity of Leavenworth and op ened in 1942, Providence Saint John’s has ear ned a national reputation as an outstanding center for health and healing. With approxim ately 1,700 employees, the 26 5-bed facility is recognized nationwide for its high quality care. Providence Sa int John’s Health Center has been recognized by leading cons umer rating agency Healthgrades for being one of the 50 Best Hospitals in Americ a and ranking in the top percent age for key clinical services, including Cardiac Care , Joint Replacement, Gastrointe stinal Care, Neurosurgery, and Patient Safety. Additionally, for more than 30 years the physicians and scienti sts at the John Wayne Cancer Institute have ma de ground breaking discoveries in Santa Monica that have fundamentally changed the way cancer is detected, diagnose d and treated. In addition to cancer care, Providence Saint John’s is widely known for excellence in women’s health, orthopedics, neuroscience and cardiology. In 2014, Providence Health & Servi ces became the sponsor of Providence Saint John’s and has continued its commit ment to meet the health care needs of the community.1 Since its founding in 1939, Pro vidence Saint John’s has remai ned a non- profit health center in Santa Monica. B. Overall Site Context. Providence Saint John’s is located in an area bounded by Arizon a Avenue to the north, Broadway to the south, 20t h Street to the west and 23rd Street to the east. The site is bisected by Santa Monica Boulevard into the North Campu s and South Campus. 1 In addition, earlier this year P rovidence Health & Services an d St. Joseph’s Health created a new parent c ompany, Providence St. Joseph’s He alth, a not-for-profit health and social services system. Item 8-A 12/06/2016 2 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 3 Figure 2.1 in the float-up submi ttal materials highlights the P rovidence Saint John’s campus. C. Providence Saint John’s Devel opment Agreement With The City. Saint John’s suffered signific ant damage in the Northridge Eart hquake in 1994. After closing for nine months as temporary seismic repairs were completed, Saint John’s commenced a master planning process to achieve two objec tives: (1) rebuild its core hospital facilities consis tent with augmented State seismi c requirements (Phase One); and (2) augment its health c are services to address the Santa Monica area’s 21st Century health care needs (Phase Two). This planning effort led Saint J ohn’s to file a DA application with the City in 1996. After a two-plus year public pro cess, the Santa Monica City Cou ncil approved a DA for the Saint John’s campus in June 1998. In 2011, the City of San ta Monica approved an amendment to the DA. Phase One construction was comp leted in early 2014. When Provi dence Health and Services assumed sponsorsh ip of the health center, Providen ce Saint John’s began working on the Phase Two planning process. Per the DA, in early Spring 2015, Providence Saint John’s filed its applications for Phase Two. These applications included a South Campus Master Plan Application and eight Devel opment Review Permit (“DRP”) applications. Pro vidence Saint John’s applicati ons were deemed complete in June 2015, prior to the DA’s Phase Two vesting dead line. D. The Development Agreem ent And Phase Two. The DA’s Phase Two provisions e stablish vested floor areas, hei ght standards, and setbacks for the three North Campus sites and vested floor area for the South Campus as a whole. The DA vests 347,500 sf of above-grade floo r area and 55,000 sf of below-grade area on the North Campus (DA Section 3.7.3(a)). The South Campus aggregate vested floor area is 396 ,500 sf (DA Section 3.7.3(b)). In addition, the DA provides vesti ng protection for certain Pha se Two uses. This protection includes various hos pital and health care uses, heal th and wellness uses, education and conference facilitie s, visitor housing, replaceme nt multi-family housing units, and parking. For the North Campus Phase Two si tes, the DA allows Development Review Permits (“DRPs”) for these bui ldings to be brought forward inde pendently from any Phase Two master planning process. Item 8-A 12/06/2016 3 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 4 For the South Campus, the DA requi res that the South Campus be comprehensively planned by Providence Saint John’s and approved by the City through a South Campus Master Plan tha t includes height, parking, uses and phasing/timing. The DA also provides that the So uth Campus must contain a minim um of 35% open space. The DA allows for the S outh Campus Master Plan and DRPs for South Campus Phase Two buildings to be approved concurrently by the Planning Commission. The DA further provides that the City may not impair Providence Saint John’s vested uses or vested floor area in approving the South Campus Master Plan or any DRPs for any Phase Two buildings. E. The DA and Community Benefits. The DA requires Prov idence Saint John’s to m aintain an ongoing community benefits program for the entire te rm of the DA (i.e., until 205 3). These ongoing community benefits include the following:  A comprehensive needs assessment e very three years to assess t he health care needs of the community.  An annual Community Benefit Plan which includes a Santa Monica Community Access Plan.  An annual monetary obligation for the Santa Monica Community A ccess Plan.  An updated and expanded Santa M onica Community Access Plan for Phase Two.  The provision of childcare services and an expansion of those services for Phase Two.  35% open space on the South Campus.  A requirement to replace 10 uni ts of existing and unoccupied m ulti-family housing if the existing 10-unit mul ti-family housing building a t 1417-1423 21st Street is removed. Two of the units are required to be de ed- restricted affordable units.  A Transportation Demand Managem ent Plan and Parking Management Plan. Item 8-A 12/06/2016 4 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 5  A Neighborhood Protection Plan that includes various neighborh ood protection measures developed in response to input at the commu nity meeting and other informal i nput during the 2011 DA Amendment. Since the DA was originally ado pted in 1998, Providence Saint J ohn’s has provided substantially more community benefits than required by the DA. In 2015, Providence Saint John’s total Co mmunity Benefits as reported to the State were valued at $77.7 million. The portion directly benefiti ng Santa Monica residents and non-profits, the Santa Monica Community Acce ss Plan, had a value of $19.3 mi llion. In 2015, Providence Saint John’s child care center, Early Child hood Directions, served 31 Providence Saint John’s families and 32 community fam ilies by providing care to 41 preschoolers, 13 toddlers, and 9 infants. II. PROVIDENCE SAINT JOHN’S PLAN FOR PHASE TWO A. Phase Two Vision And Planning. The plan for Phase Two is a cul mination of the research, recomm endations, and priorities identified by Provi dence Saint John’s, including those from a Community Needs Assessment. The internal planning and Co mmunity Needs Assessment identified a need for greater emphasis on health and we llness as well as replacement facilities for the John Wayne Cancer Institute and Child and Family Development Center. Phase Two will expand Providence Saint John’s c apacities in outpatient and ambulatory care programs and other related healt h and wellness programs. The ultimate goal of Phase Two is to create a broader and more balanc ed range of health care service s that builds upon the existing excellence of programs already offered, while expandin g programs that focus on health, wellness, prevention, and education. B. The Phase Two Plan. Providence Saint John’s Phase Two plan, as reflected in its pen ding applications (and as modified based upon inpu t from City Staff, the communit y and the Planning Commission), is explained fully in Providence Saint John’s floa t-up materials and the Staff Report. This letter highl ights key features of Providenc e Saint John’s plan for Phase Two. Briefly: 1. DA Consistency: Providence Saint John’s Phase Two plan is f ully consistent with the DA with respect to floor area, uses and open space. T he only areas of Item 8-A 12/06/2016 5 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 6 difference are with respect to tim ing for the North Campus buildings (Providence Saint John’s is seeking to build the No rth Campus buildings more slowly, which the City Attorney believes triggers the need for a DA amendment) and cha nges made in response to City/community inpu t with respect to circulation an d the structure of Phase Two entitlements. 2. Phase Two Size And Scale: In considering City Staff’s discu ssion item about project alternatives and potential changes to the total overall floor area of Phase Two, we ask that you consider the following: a. Less Development Than Allowed by Zoning. Providence Saint John’s Phase Two plan contemplat es an overall 2.14 FAR (740,000 square feet), which is signifi cantly less development than is a llowed by the new Zoning Ordinance (2.5 FAR or 866,250 square feet) in the absence of the DA. b. Meeting Identified Needs. Each and every building in Phase Two has been designed to accommodat e a key health care need, supporting need, DA-requirement, o r urban planning need (e.g., neighborhood-serving uses) identified during the early Phase Tw o planning process. c. Reducing Vested Development. Providence Saint John’s is not asking for any more floor area than is vested in the 1998 DA. Instead, Providence Saint John’s is proposing to relinquish so me of its vested floor area -- 4,000 square feet entirely (i.e., t hat will not be built) and 157,000 square fee t to be devoted to above-grade parking rather than for additional program uses. d. Modest Net Program Increase. The Phase Two plan sets forth the parameters and vested rights for Providence Saint John’s campus development for the next 20-25 years. Phase Two, when fully bu ilt, will increase Providence Sain t John’s net floor area (not including above-grade parking) in comparison to its pre-earthquake size b y slightly less than 300,000 square feet over a 40-45 year period , or about 7,500 square feet per year on average. e. EIR Will Study Reduced Density Alternatives. Providence Saint John’s recognizes that the City, a s part of the EIR for Phase T wo, will study reduced density alter natives notwithstanding Provide nce Item 8-A 12/06/2016 6 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 7 Saint John’s vested floor area and vested uses as established i n the DA. 3. Parking: Providence Saint John’s plan for Phase Two assures all of Providence Saint John’s parking needs will be accommodated on-c ampus in parking facilities owned by Providence Saint John’s. a. The Phase Two plan includes a commitment to (a) phasing out reliance on leased parking and replacing it w ith on-site parking that will be shared between the various Phase One and Two uses and (b) conducting p arking demand studies with updated empiri cal data as part of the DRP p rocess for the individual Phase Two buildings to best ensure Providenc e Saint John’s is meeting but not exceed ing its peak parking demand. b. All Phase Two buildings inc lude subterranean parking. And P rovidence Saint John’s is committed to build ing a new parking structure e arly in Phase Two as a means of “front loading” parking and ensuring Pr ovidence Saint John’s has sufficient parki ng at all times during Phase T wo development. Please note that P rovidence Saint John’s is givin g up valuable vested floor area to p rovide this parking structure be cause it is essential to allowing the health center to remain in operation throughout all stages of Phase Two implementati on and minimizing impacts on ar ea residents and businesses. 4. Publicly-Accessible Open Spaces: Providence Saint John’s plan for Phase Two includes publicly-accessibl e open spaces strategically loca ted throughout the campus, with proposed uses desi gned to activate the open spaces consistent with their hospital/health care setting. In addition, the existing North Campus Entry Plaza on the north side of Santa Monica Boule vard (Phase One) will be enlarg ed and redesigned to facilitate greater use. And, the various open spaces will be l inked by a pedestrian “wellness walk,” which is intended to further encourage activit y in the planned open spaces. Open spaces, particularl y on the South Campus, have al so been designed to create desirable buffer zones from existing residential buildin gs. 5. Mobility: Phase Two includes s ignificant mobi lity improveme nts for pedestrians, bicycles and vehicles that will benefit the surrou nding community. These include widened sidewa lks along Broadway and Santa Monica Boule vard and two new (north/south) streets connecting Santa Monica Boulevard and Bro adway: 20th Place and 22nd Street, which will be ac cessible to bicycles as well a s vehicles. These new streets will be created on existing Providence Saint John’s property and are not included within the 35% open space calculations for the South C ampus. The North Item 8-A 12/06/2016 7 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 8 Campus Entry Plaza will be modi fied to align with these two new streets. And bicycle parking will be scattered thr oughout the campus to accommodate bicycle users. 6. Community Benefits: Phase Two will include expanded communi ty benefits and child care services as pro vided in the DA. Providence Sain t John’s understands that the Phase Two process will include further discussion of community benefits. In providing guidance for this discussion, we ask the City Council to consider the following: a. Providence Saint John’s is a non-profit community-based heal th care provider. Providence Saint John’s health care and related serv ices, including those planned for Phas e Two, are a community benefit. b. The DA contains a community benefit requirement that far exc eeds the community benefit requirements imposed on other projects. c. The only DA change being reque sted by Providence Saint John’s is the right to build Phase Two more s lowly. Providence Saint John’s is not seeking any changes in its Phase Two floor area or uses as cont emplated in the DA. To the contrary, Pro vidence Saint John’s proposes t o build substantially less program floor a rea in Phase Two than the DA allows. 7. Phase Two Timeline: Providenc e Saint John’s is proposing to build Phase Two in stages with up to 17 y ears to file amended DRPs for the final Phase Two buildings. While all of the Phase Two buildings are high prior ity, including those in the latter stages which have import ant uses such as additional in-p atient beds, the time periods to file amended DRPs for the various Phase Two building s reflect the urgent need to replace the John Wayne C ancer Institute as well as logi stical reasons. For example, the Child and Family D evelopment Center is prioritized in an early stage because (a) additional capacity for child care spaces is requir ed by the DA to accommodate the child care needs of Phase Two employees and (b) the site of the existing Child and Family Dev elopment Center is needed for the early parking structure to allow redevelopment of the re st of the campus. The extended timetable to implement Phase Two will allow Providence Saint John’s to stay in operati on at all times during Phase Two construction, conti nue to provide sufficient parking to meet its parking needs, maximize on-site staging and minimize negative impacts o n neighbors, and have sufficient time to raise the very substantial charitable dollar s needed to fund Phase Two. III. CITY STAFF’S PROPOSED ST RUCTURE FOR ENTITLEMENTS As the Staff Report indicates, S taff is recommending a signific antly different structure for Providence Saint J ohn’s Phase Two entitlements in comparison to the Item 8-A 12/06/2016 8 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 9 approach taken in Providence Sain t John’s pending applications (which generally follows the structure set forth in the DA). A key decision for the City Council in your float-up hearing is to provide direction with respect to the structure of Phase Two entitlements. Although Staff’s recommended approac h has disadvantages for Providence Saint John’s, at the same time P rovidence Saint John’s recogniz es the public benefits of Staff’s approach and appreciates the Planning Commission’s unan imous support for this approach. Accordingly, Providence Saint John’s is prepare d to move forward with its Phase Two entitlements on t he basis recommended by City Sta ff (and the Planning Commission). The essential features of Staff ’s alternative Phase Two entitle ment structure are:  The DA’s requirement for a South Campus Master Plan (which doe s not include the Phase Two properties north of Santa Monica Boulevar d) would be replaced with a Phase Two Master Plan encompassing all of Ph ase Two (both north and south o f Santa Monica Boulevard).  The DA would be modified to r equire approval of the Phase Two Master Plan first, followed by review of the individual Development Review Permits (“DRP”) for Phase Two bu ildings in closer proximity to when each building will be constructed. The Phase Two Master Plan would set milestones for when revised DRPs for each Phase Two building mu st be filed and deemed complete. (Note: As mentioned above, the DA c urrently allows Providence Saint John’s to process DRPs for North Campus buildings without a master plan and allows Providence Saint Joh n’s to process DRPs for South Campus bui ldings concurrently with the S outh Campus Master Plan.)  The City Council (not the Plann ing Commission) would be the Ci ty’s decision-making body for the Phase Two Master Plan. Regardless of the Phase Two entit lement structure, per the DA Providence Saint John’s needs continuing legal assu rance that its vested uses an d vested floor area will be respected and not impaired. Suc h assurance is essential for Providence Saint John’s to move forward with Phase Two entitlements, which will include a very costly and time-consuming environmental impact report to holistically review the Phase Two project. The City cannot accompli sh its public infrastructure or other planning objectives for the Providence Saint John’s ca mpus in the absence of Provid ence Saint John’s being assured in the Phase Two Ma ster Plan that it will be able to complete construction Item 8-A 12/06/2016 9 Item 8-A 12/06/2016 Santa Monica City Council December 2, 2016 Page 10 of its Phase Two buildings as pl anned within a workable timetab le. And such assurance will ensure that the City and co mmunity receive the very substa ntial benefits that Providence Saint John will prov ide as part of Phase Two. IV. CONCLUSION Based upon the foregoing, we respectfully ask the City Council to direct City Staff to move forward with City’s St aff’s recommended procedural DA a mendment and a DA amendment to allow for an extended timeframe to complete Phase Two development through a comprehensive phasing pl an. Above all, it is essenti al that the City Council promptly authorize your Staff to process Providence Saint John’s Phase Two entitlements including an EIR. Providence Saint John’s will ap preciate your support in moving forward as expeditiously as possible with the Phase Two entitlement process. Sincerely, Paula J. Larmore CMH:akp Enclosure cc: Rick Cole Elaine Polachek David Martin Jing Yeo Roxanne Tanemori Marsha Jones Moutrie Susan Y. Cola Marcel Loh Item 8-A 12/06/2016 10 Item 8-A 12/06/2016 Item 8-A 12/06/2016 11 Item 8-A 12/06/2016 Maryanne  Solomon   1217  23 rd  St.   Santa  Monica,  CA  90404   maryanneso@mac.com   310 -­‐829 -­‐7218     RE:  St.  John’s  Hospital  Agenda  Item  8A.     Comments:   • The  City  should  hire  an  outside  experienced  land -­‐use  lawyer  to  look  at  all  the  agreements   between  the  City  and  St.  Johns  to  see  if  there  are  obligations  St.  Johns  has  that  are  not  being   enforced  or  where  they  may  not  be  in  compliance  (this  is  important  because  of  the  dispute   over  the  City  and  St.  John’s  understanding  about  the  parking  garage  that  St.  John’s  didn’t   build  when  it  rebuilt  the  hosp ital);   • The  City  should  also  review  in  detail  the  community  benefit  information  and  statistics  that   St.  Johns  says  it  has  provided  to  Santa  Monica  over  the  years,  including  the  #  of  patients   that  are  SM  residents  year -­‐by -­‐year  in  comparison  to  all  patients  treated  and  the  claimed   economic  value  of  community  benefits  to  residents  and  local  nonprofits  and  everyone  else   they  have  served;   • As  to  the  underground  parking  garage,  this  is  still  a  sore  point  because  now  St.  John’s  wants   to  build  a  large,  above -­‐ground  p arking  structure  on  20 th  Street,  which  will  displace  an   existing  child  care  facility,  disrupt  the  neighborhood  and  probably  increase  the  traffic   congestion  on  20 th  Street  that  would  not  be  the  case  if  St.  John’s  had  built  the  underground   garage  it  was  supp osed  to  build  for  the  main  hospital;   • What  additional  community  benefits  are  being  offered  for  building  the  above-­‐ground   garage  and  are  they  sufficient?   • Why  isn’t  St.  John’s  building  work  force  housing  when  it  raised  the  problems  it  was  having   recruiting  nu rses  and  other  hospital  personnel  as  a  major  issue  when  it  participated  in  the   City’s  workforce  housing  task  force?  (And  how  many  nurses  and  employees  currently  live   in  Santa  Monica  and  how  many  commute  now?)   • The  true  phasing  of  “Phase  2”  needs  to  be  bette r  explained  as  to  all  the  impacts,  including   the  short -­‐term  construction  and  traffic  impacts  on  the  surrounding  neighborhood  because   both  the  north  and  south  sides  of  Santa  Monica  Blvd  would  be  under  construction  as  part  of   that  “one”  phase.    In  reality  ho w  many  phases  or  sub-­‐phases  are  there?   • When  will  St.  Johns  provide  a  traffic  study  analyzing  all  of  the  traffic  impacts  anticipated   from  each  part  of  Phase  2  to  determine  if  the  project  is  too  much?   • Is  St.  John’s  meeting  its  traffic  mitigations  now  under  its  agreements  with  the  City  and  if   not,  what  will  it  do  and  when  to  meet  the  targets?   • If  Phase  2  (all  8  buildings  are  approved  and  built)  what  is  the  expected  increase  in  patients   from  inside  and  outside  of  Santa  Monica,  and  the  increase  in  hospital  employees  from   inside  and  outside  of  Santa  Monica?       Item 8-A 12/06/2016 12 Item 8-A 12/06/2016 1 Vernice Hankins From:Council Mailbox Sent:Monday, December 05, 2016 3:46 PM To:councilmtgitems; Elaine Polachek; David Martin Subject:FW: 12/6/2016 Agenda item 8.A.: Provi dence St. John’s HC DA Amendment     From: Nancy  Morse  [mailto:nancym@netzero.net]   Sent: Monday, December  05, 2016  3:44  PM   To: Tony  Vazquez  <Tony.Vazquez@SMGOV.NET>; Kevin  McKeown  Fwd  <kevin@mckeown.net>; Gleam  Davis   <Gleam.Davis@SMGOV.NET>; Pam  OConnor  <Pam.OConnor@SMGOV.NET>; Sue  Himmelrich   <Sue.Himmelrich@SMGOV.NET>; Terry  O’Day  <Terry.Oday@smgov.net>; Ted  Winterer  <Ted.Winterer@SMGOV.NET>;  Council  Mailbox  <Council.Mailbox@SMGOV.NET>; Clerk  Mailbox  <Clerk.Mailbox@SMGOV.NET>; Rick  Cole   <Rick.Cole@SMGOV.NET>  Subject: 12/6/2016  Agenda  item  8.A.: Providence  St. John’s  HC  DA  Amendment   To City Council, City Manager From: Nancy M. Morse Subject: 12/6/16 Agenda Item 8.A. Providence Sain t John’s Health Center Development Agreement Amendment Float-Up Discussion Here are some of my disjointed thoughts for your consideration. The terms ‘neighborhood’ and ‘neighbors’ need to refer to both residents and businesse s, tenants and owners, as all will be impacted. Community Benefits: 1) A crosswalk on Arizona at 22nd St. across from the emergency room. 2) Street lights on Broadway are in the plans, this is good. If this is not approved, then light ed crosswalks are a must. Currently it is hazardous fo r pedestrians to cross Broadway at the intersections in this area. 3) Expansion of the current in-patient homeless referral program to include the healthy homeless. 4) Santa Monica needs mental health facilities for all ages. 5) An annual meeting for residents a nd/or neighborhoods to discuss issues arising from St. John’s operational activities. This requirement is in add ition to the request for project updates. And this should last for a long as the development agreement is in effect, or longer. Construction thoughts: Construction should be done with minimal disturba nce to neighborhood (recognizi ng that disturbance will occur). Item 8-A 12/06/2016 13 Item 8-A 12/06/2016 2 St. John’s needs to provide parking for construction workers so they don’t take up parking spaces used by residents and business customers and em ployees, such as street parking. Material deliveries should not bl ock streets, driveways, etc. Neighbors should be notified neighbors wh en off-hour construction pe rmits are issued. This is so they can plan for noise, and so they don’t contact city to report permitted noise as violations. Requirement that during construction St. John’s hold a community meeting regularly to update the community of progress, changes, etc. These m eetings should be no longer than 6 mont hs apart. These meetings should be held in a place that has easy access and good parking. Design Changes: The North Campus Mullin Plaza appears to me to be a cement desert. I would like to see it redesigned into something friendlier for sitt ing, lounging and relaxing. Realigning the North Campus driveways to match th e new proposed streets and moving the streetlights accordingly makes good sense. I am pleased to hear the hospital is pl anning for the ability to add more inpa tient beds, as I think there may be a need as population increases. I am also pleased to know that St. Jo hn’s plans to put in adequate parking. I would hope it would be more than adequate. Sum: St. John’s hospital was not a good neighbor during the Nort h Campus construction. There have been changes to the hospital philosophy and staffing since then and comm unity relationships have improved. I hope this will continue in the future. Sincerely, Nancy M. Morse Item 8-A 12/06/2016 14 Item 8-A 12/06/2016 Item 8-A 12/06/2016 15 Item 8-A 12/06/2016 1 Vernice Hankins From:Council Mailbox Sent:Monday, December 05, 2016 3:59 PM To:councilmtgitems Subject:FW: Santa Monica City Coucil 12/6/16 : ST JOHNS FLOAT-UP Importance:High     ‐‐‐‐‐Original  Message ‐‐‐‐‐  From: Catherine  Eldridge  [mailto:Catherine@WestsideRC.org]   Sent: Friday, December  02, 2016  7:14  PM   To: lindsay.baker@providence.org   Cc: Council  Mailbox  <Council.Mailbox@SMGOV.NET>; Sue  Himmelrich  (sue.himmelrich@gmail.com)  <sue.himmelrich@gmail.com>; Kevin  McKeown  Fwd  <kevin@mckeown.net>; Ted  Winterer   <Ted.Winterer@SMGOV.NET>; Tony  Vazquez  <Tony.Vazquez@SMGOV.NET>; David  Martin   <David.Martin@SMGOV.NET>; Rick  Cole  <Rick.Cole@SMGOV.NET>  Subject: Santa  Monica  City  Coucil  12/6/16  : ST  JOHNS  FLOAT ‐UP   Importance: High     12.2.16     RE  ST  JO HN  'S  FLOAT  UP  FEEDBACK/MITIGATION     Attached  you  will  find  a  mitigation  plan  which  I  would  like  to  have  included  in  all  future  discussions  of  the  St  John's   Hospital  planning  process.    Although  the  hospital  currently  has  an  annual  meeting  with  residents, with  further  development  and  over  a  longer   period  of  time, the  need  for  an  increase  in  number, scope  of  such  meetings  will  necessarily  increase.  Additionally, given   the  size  of  this  project, a  more  extensive, formalized  "Good  Neighbor  Plan" actually  included  in  the  finalized  City   agreement  should  be  considered.    Please  consider  the  following  as  a  formal  request  for  such  a  plan  and  one  that  in cludes  the  following  elements  as  a   minimum  consideration:    Catherine  Eldridge   PNA  board  member   SoMC  Neighbors  Board  Member/ PNA  Liaison     ‐‐‐‐‐Original  Message ‐‐‐‐‐  From: Catherine  Eldridge   Sent: Friday, December  02, 2016  11:15  AM   To: 'Stacy  Dalgleish'; Stefani  Uhler; SMMCN  Email  address; John  C. Smith; Catherine  Huh; Andy  Hoyer; Ellen  Hannan;  Catherine  Eld ridge; Nick  Boles; Nancy  Coleman; Elizabeth  Van  Denburgh; Nancy  Morse; Mary  Marlow   Subject: RE: St  Johns  float ‐up  community  benefits  next  week   Importance: High     12/2/16   RE:  ST  JOHNS   Item 8-A 12/06/2016 16 Item 8-A 12/06/2016 2   Built  in  requirement  to  have  an  ASSIGNED  PROJECT   employee  / community  mediator  for  public  and  NEIGHBORS  to   contact  regarding  project  related  issues  at  St  John's.    Project  Employee  requirement  for   accountability   to  a  Project  assigned  CITY  OF  SANTA  MONICA  employee.     A  public  /neighborhood  feedback  meeting  requirement  EVERY  6  MONTHS.  NOT  HELD   at  the  hospital  (due  to  parking   limitations ) but  rather  IN  THE  COMMUNITY.  City  wide  notification.     CITY  requirement  to  keep  a  publically   accessible  written  public  record  of  all  received  comments/issues  occurring  via   these  venues.  The  follow  up  actions  taken.  the  outcomes.     Comment  record   inclusion  in  currently  occurring  annual  DA  agreement  compliance  re p ort  produced  by  City  for  City   Council  / public  review  .    AFTER  project  completion   annual  meeting  requirement  for  Neighborhood(s) / Residents  to  discuss  issues  arising  from  St   John's  operational  activities.  On ‐going  Employee  mediator  assignment  for  community  contact.  Written  Records  with   public  access. 10 ‐15  year  agreement  /DA  (?) mandated  requirement.  City  supervision  of  GO OD  NEIGHBO R  AGREEMENT   and    direct  participation  with  regard  to  annual  meeting.    Catherine  Eldridge   Midcity  Board  Member/PNA  Liaison   PNA  Board  Member     ‐‐‐‐‐Original  Message ‐‐‐‐‐  From: Stacy  Dalgleish  [mailto:sdalgleish@mac.com]  Sent: Friday, December  02, 2016  4:28  AM   To: Stefani  Uhler; SMMCN  Email  address; John  C. Smith; Catherine  Huh; Andy  Hoye r; Ellen  Ha nnan; Catherine  Eldridge;  Catherine  Eldridge; Stacy  Dalgleish; Nick  Boles; Nancy  Coleman; Elizabeth  Van  Denburgh; Nancy  Morse; Mary  Marlow   Subject: St  Johns  float ‐up  community  benefits  next  week      I  want  St  John's  to  make  Broadway  and  Santa  Monica  Blvds  their  community  Beautification  project. There  are  19  empty   tree  wells  along  Broadway. And  another  20  that  were  filled  in  with  concrete. The irs  is  a  very  lo ng  term  job  subjecting  the   neighbors  and  businesses  in  the  area  to  bear  the  burden  of  dirt, dust, vehicular  and  pedestrian  traffic.  These  streets  need  simple  attractive  neighborhood  friendly  attributes. Trees  and  benches  bring  this  instantly.  A  viewing  area  for  folks  to  watch  the  development  as  it  progresses.  Think  about  staging  the  build ‐out  to  give  something  attractive  and  concrete  before  and  after  construction  of  each  new   area.  Sufficient  drop  ‐ off  zones  could  be  located  in  these  areas. Safe  Drop  off  zones  are  a  very  large  concern  fo r  loved  ones.  A  tap  card  to  use  for  lines  in  and  out  of  the  area.  A  jitney  that  went  down  Broadway  from  Centinela  to  11th  street  every  half  hour.  Working  with  Beautify  Earth  and  Beautify  Broadway  to  turn  all  available  walls  into  murals.  Expansion  of  the  current  in  ‐patient  hom e less  referral  program  to  include  the  healthy  homeless.  Occupational  therapy  for  the  poor  and  elderly.  As  always, we  need  mental  health  facilities  for  18 ‐30  years  of  age  in  in ‐patient  and  out ‐patient.    Thank  you  very  much.  Stacy     Sent  from  my  iPhone     ________________________________  Item 8-A 12/06/2016 17 Item 8-A 12/06/2016 3   This  email  and  any  files  transmitted  with  it  are  confidential  and  intended  solely  for  the  use  of  the  individual  or  entity  to   whom  they  are  addressed. If  you  are  not  the  named  addressee  you  should  not  disseminate, distribute  or  copy  this  e ‐ mail. Please  notify  the  sender  immediately  by  e ‐mail  if  you  have  rece i ved  this  e ‐mail  by  mistake  and  delete  this  e ‐mail   from  your  system. If  you  are  not  the  intended  recipient  you  are  notified  that  disclosing, copying, distributing  or  taking   any  action  in  reliance  on  the  contents  of  this  information  is  strictly  prohibited.  Item 8-A 12/06/2016 18 Item 8-A 12/06/2016 1 Vernice Hankins From:Nancy Morse <nancym@netzero.net> Sent:Monday, December 05, 2016 4:02 PM To:councilmtgitems Subject:Fwd: 12/6/2016 Agenda item 8.A.: Prov idence St. John’s HC DA Amendment -------- Forwarded Message -------- Sub j ect: 12/6/2016 Agenda item 8.A.: Provide nce St. John’s HC DA Amendment Date: Mon, 5 Dec 2016 15:44:14 -0800 From: N ancy Morse <nancym@netzero.net> To: tony.vazquez@smgov.net , kevin@mckeown.net , gleam.davis@smgov.net , pam.oconnor@smgov.net , sue.himmelrich@smgov.net , terry.oday@smgov.net , ted.winterer@smgov.net , council@smgov.net , clerk@smgov.net , rick.cole@smgov.net To City Council, City Manager From: Nancy M. Morse Subject: 12/6/16 Agenda Item 8.A. Providence Sain t John’s Health Center Development Agreement Amendment Float-Up Discussion Here are some of my disjointed thoughts for your consideration. The terms ‘neighborhood’ and ‘neighbors’ need to refer to both residents and businesse s, tenants and owners, as all will be impacted. Community Benefits: 1) A crosswalk on Arizona at 22nd St. across from the emergency room. 2) Street lights on Broadway are in the plans, this is good. If this is not approved, then light ed crosswalks are a must. Currently it is hazardous fo r pedestrians to cross Broadway at the intersections in this area. 3) Expansion of the current in-patient homeless referral program to include the healthy homeless. 4) Santa Monica needs mental health facilities for all ages. 5) An annual meeting for residents a nd/or neighborhoods to discuss issues arising from St. John’s operational activities. This requirement is in add ition to the request for project updates. And this should last for a long as the development agreement is in effect, or longer. Construction thoughts: Construction should be done with minimal disturba nce to neighborhood (recognizi ng that disturbance will occur). St. John’s needs to provide parking for construction workers so they don’t take up parking spaces used by Item 8-A 12/06/2016 19 Item 8-A 12/06/2016 2 residents and business customers and em ployees, such as street parking. Material deliveries should not bl ock streets, driveways, etc. Neighbors should be notified neighbors wh en off-hour construction pe rmits are issued. This is so they can plan for noise, and so they don’t contact city to report permitted noise as violations. Requirement that during construction St. John’s hold a community meeting regularly to update the community of progress, changes, etc. These m eetings should be no longer than 6 mont hs apart. These meetings should be held in a place that has easy access and good parking. Design Changes: The North Campus Mullin Plaza appears to me to be a cement desert. I would like to see it redesigned into something friendlier for sitt ing, lounging and relaxing. Realigning the North Campus driveways to match th e new proposed streets and moving the streetlights accordingly makes good sense. I am pleased to hear the hospital is pl anning for the ability to add more inpa tient beds, as I think there may be a need as population increases. I am also pleased to know that St. Jo hn’s plans to put in adequate parking. I would hope it would be more than adequate. Sum: St. John’s hospital was not a good neighbor during the Nort h Campus construction. There have been changes to the hospital philosophy and staffing since then and comm unity relationships have improved. I hope this will continue in the future. Sincerely, Nancy M. Morse Item 8-A 12/06/2016 20 Item 8-A 12/06/2016 1 Vernice Hankins From:Mari Ostendorf <jimandmari@me.com> Sent:Monday, December 05, 2016 8:36 PM To:Council Mailbox Cc:santamonicamidcityneighbors dalgleish; Tony Vazquez; Rick Cole; Mari Ostendorf; Clerk Mailbox Subject:Item 8.A. St. John's Phase 2 - MidCity Resident Input Dear Santa Monica City Council, Thank you for taking the time to read this email, which I submit as a 13 year resident and homeowner in Santa Monica's Mid City neighborhood, with two young children in our neighborhood school, McKinley Elementary, at 2401 Santa Monica Boulevard. McKinley is the only SMMUSD school directly adjacent to a 4-lane highway (Hwy 2/Santa Monica Blvd), one block from the St. Johns/Providence campus. This multi-year proj ect will place an excessive amount of add itional heavy-vehicle traffic during the construction phase, not to mention the additional traffic brought to the location ongoing/post completion. I believe that our school community, students, parents, guardians, and family members, will be greatly impacted by this project . We are a very pedestrian-friendly school with many of our children (preschool to grade 5) walking, biking, skateboarding and scoot ing to and from school, some of them unaccompanied. With this in mind, I am requesting City Council to strongly co nsider the following, while working with SMMUSD, City of Santa Monica, MidCity Neighbors, and St. Johns/Providence:  Increased "School Zone" signage in VERY PROMINENT locations along Santa Monica Blvd and adjacent roads/intersections  Permanent East/West bound "Your Speed Is" signage to run 24/7 along Santa Monica Blvd well before entering the school zone  Guarenteed and dedicated Crossing Guards (AM and PM) at Cloverfield and Santa Monica Blvd  Guarenteed and dedicated Crossing Guards (AM and PM) at 26th and Santa Monica Blvd  Retain Crossing Guards at Chelsea and Santa Monica Blvd, and Chelsea and Arizona  Bollards along Santa Monica Blvd from Chelsea to Cloverfield  Sound-proofing of "relocatable classrooms" and main building classrooms that face Santa Monica Blvd  Regularly scheduled meetings (every 6 months for duration of program, commencing immediately) with McKinley Community members, including parents, at the school if possible o If meetings are at St. Johns/Providence, schedule both AM and PM sessions, with childcare and providing refreshments to accommodate working parents o Provide free BBB passes or alternate transportation to the m eetings, for families without personal vehicles or those reliant on public transportation  Regularly scheduled, open meetings with school site administrators and SMMUSD personnel for community input pertaining to project  Encourage low-emmision construction vehicles  Ensure construction vehicles, including cement trucks, are not "i dling" along the streets as th ey "wait" for the "6AM start day. This was an issue for neighbors near the Expo Line with trucks queuing up and loudly idling.  Guarenteed on-site parking at St. John/Providence facilities  Encourage St. Johns/Providence to provide on-site ChildCare facility  Encourage St. Johns/Provident to provide on-site, satellite Boys & Girls Club open to Mid City neighborhood.  Provide an on-site community library to mitigate the fact that Mid City does not have a public library  Ensure there is NO disruption to the BBB schedule, especially #1  Provide a dedicated resource for community communication I greatly appreciate your commitment to the safety of our children and the improvement of our Mid City neighborhood. Item 8-A 12/06/2016 21 Item 8-A 12/06/2016 2 Regards, Mari Ostendorf Item 8-A 12/06/2016 22 Item 8-A 12/06/2016 Santa Monica City Council December 6, 2016 Item 8A - St. John's/Providence Development Agreement Nancy Coleman, Social Services Commission Member, NOMA Board Member, speaking as an individual who lives at 349 Euclid St. St. John's Providence Hospital is a general hospital seeking to become a world class Specialty Hospital as it expands to more than 800,000 sq. ft. with a significant impact on the community. Santa Monica is likely to become a center for Medical Tourism as the facilities become more accom plished through research and patient services. This expansion will have through all of its stages have a huge impact on Santa Monica and its residents. St. John's must make a contribution to the City of Santa Monica and those who live here. The community benefits must meet the significant health and medical needs of City residents. The Staff Report asks that the Social Services Commission weigh in on this issue. The Commission began a discussion of this at it’s monthly meeting last night and will continue if that is the desire of the Council. The benefits must be quantifiable, reported by St. John's/Providence, with the concurrence of the community organizations where referrals may have originated. The current state of the statistics is confusing, does not Item 8-A 12/06/2016 23 Item 8-A 12/06/2016 differentiate between a single service, and a set of services that one or many individuals might have received. These must be unduplicated counts. The annual compliance reports do not differentiate between "grant funds received", matching dollars to obtain the funding, and charity dollars provided to community organization "partners". These benefits must go beyond what is required by federal, state, and local law/regulations but must meet the needs of children, youth, adults and seniors. 20% of Santa Monica residents live at or below the poverty level, and while the Affordable Care Act provides health coverage for this population others remain with poor heath services. St John's previous "community benefits have been both overstating and incorrectl y stating their community benefits. This is especially true of the cost of Medicare patients and what is reimbursed from Medicare and what is called $38,444, 645 in unreimbursed Medicare costs. This is also support equal to $11,873,016. This is neither attributed to Santa Monica residents or is it fa ir to call these community benefits. We would like to see a serious focus on community benefits for Santa Monica residents with a 4 prong focus: 1) mental health care across all age groups both out -patient a nd in -patient; 2) substantial wellness programs such as for children to combat obesity and diabetes; adult health and wellness programs for school age children and adults as well as health screenings for aging in place seniors; Item 8-A 12/06/2016 24 Item 8-A 12/06/2016 3) care that is provided to Santa Monica residents that St John's/Providence provides specific dollar amounts and services provided not put in a lump sum; and 4) One third of the childcare slots for Santa Monica residents who are not employees of Saint John's and whose economic situation is low income. In addition, we would ask that the conference center being built be available for free at least four times a month for community groups to use. Also, we'd like to ensure that the traffic and parking are mitigated substantially and that mitigation is measurable and enforceable over the life of the development agreement/drps i.e., the shuttle from Memorial station shouldn't be for 15 months but should be for the 55 years or greater when the amendment is finalized. Finally, as St Jo hn's Providence continues to become a more specialized hospital i.e., cancer related based on their focus on John Wayne Cancer Center and they will focus on this and draw people nationally and internationally it is expected. This expansion of their specia lties MUST NOT DILUTE the QUALITY AND QUANTITY of general health care they provide for the City with respect to their acute care facilities e.g, emergency room. Do not cut out general health care by providing simply "sweet care" for the specialties. Item 8-A 12/06/2016 25 Item 8-A 12/06/2016 1 TO: Mayor Vazquez and City Council Members FROM: Elizabeth Van Denburgh, Wilmont resident City Council, December 6, Agenda 8A – Providence St. John Health Center (PSJHC)Development Agreement Amendment Float-up Discussion – Items 4 and 5 Dear Mayor Vazquez and City Council Members, If the approval of extension of Phase Two building for PSJHC is considered I request the following items for strong consideration and direction to staff and Planning Commission during discussion of items 4 and 5 (as specified for discussion by staff) during Agenda 8A review on December 6, 2016. Item 4 – Discuss whether to consider project alternatives through project negotiations and/or environmental review. This could include potential changes to the total overall floor area for Phase Two, the allocation of floor area between approved uses, the size/scale of one or more buildings, the circulation/access plan, and trip reduction measures required with the project.  For local residents, passenger loading zone with cut-outs and permit parking is needed at Geneva Towers  Broadway is a safer and well traveled bike street. How do we keep it that way with Phase 2?  Convenient and safe child-care drop off capability at child care facility  Require that Providence St. John add permanent capabilities to provide psychiatric emergency room services and an inpatient psychiatric unit to support Santa Monica needs with respect to residents and their families and the homeless population of the City.  Compare and contrast services provided by UCLA vs. St. John to ensure we do not duplicate or over invest in assets, capabilities and capacity that is provided by the other facility.  Detailed definition and design document about how humans (patients, employees, visitors) move from building to building for safety, ease of access and consistency of design for patients, visitors and employees with review and mandatory update from City Planning on humans flow among the buildings of the PSJ Health Center.  Detailed definition and design document about how streets, circulation elements, parking (how many space and sq. ft. underground vs. in buildings) and alternative transportation means e.g., bicycles, Uber/Lyft, taxi, car share, drop-off and pickup ability, bus and skate boarding will ensure safety and effective movement of patients, residents, care givers and employees into and out of the PSJ Health Center Mid-City neighborhood. o This document will need to support the LUCE goal of no new net PM trips. This document will be reviewed and with mandatory update from City Planning on how non- pedestrian movement will occur with respect to entering, unloading of passengers, parking of vehicles and leaving, loading of passengers and movement of vehicles, buses, taxis, car share, Uber/Lyft and skateboards from the PSJ Health Center.  As part of the alternative transportation design, the Expo provides potential for alternative transportation but must consider how to support employees, patients, care-givers and residents via a free shuttle to ensure a smooth, efficient and effective “last mile” to the PSJ HC neighborhood. This could be a key component of a Transportation Demand Management (TDM) plan. Item 8-A 12/06/2016 26 Item 8-A 12/06/2016 2  Detailed definition and design document regarding how open space will be incorporated into the PSJHC site. It should be useable, make it useful for employees, patients, care-givers and residents, and functional. Leverage the well-being survey to identify specific needs for City and neighborhood  Have PSJHC and City staff present these plans for review, comment and feedback for how the City and Mid-City Neighborhood will be impacted at the intra-building pedestrian experience (including crossing streets and bridges) and transportation to and from the Health Center. Item 5 – Identify what, if any, additional objectives, including desired community benefits, the City should include in its negotiations with the Applicant.  Phase 2 does not have any community benefits associated with it; the SJHC was given a waiver on the required parking that it never built, PSJHC continues to communicate medicare and medical offsets as community benefits which they are not and lack of clarity regarding reporting they are building multi-family house but it is replacement housing not new multi-family housing. Additional and real community benefits need to be received for a Phase 2 extension. The original DA was negligent in the delivery of community benefits to a highly impacted neighborhood with the highest intensity of transportation and parking - medical usage.  Definition, design, development and support of a psychiatric emergency room and inpatient psychiatric unit. This will benefit the community, our first responders and our homeless population. First-responders can take ‘5150’ holds to a local hospital vs. County Hospital or Harbor providing ability to support this need in our neighborhood. A psychiatric unit will provide for residents and their families to have mental health support in our City. Mental health is one of our biggest health issues at this moment in our times; we need to be proactive and support an unmet need in the City.  Childcare facility should not only provide for PSJHC employees’ children but residents’ children as well with special support for MidCity Neighbors’ children. We need to be crystal clear about what children are to fill the childcare facility and ensure that residents’ receive a significant community benefit through support of childcare for residents’ children.  Ensure that medicare and medical offsets are eliminated as consideration as “community benefits” from PSJHC.  Support a free shuttle from Expo for PSJHC for patients, employees, visitors, care-givers and residents to ensure we achieve our no net PM car trips LUCE goal.  Access to community rooms with easy scheduling would be appreciated Item 8-A 12/06/2016 27 Item 8-A 12/06/2016 Board Members, Cont. Susan Inwood Wells Fargo Advisors, LLC Jeff Jarow PAR Commercial Real Estate Brokerage Jeff Klocke Pacific Park on the Santa Monica Pier Mitchell Kraus Capital Intelli gence Associates Tim Kusserow Carlthorp School Leonard “Len” Lanzi Los Angeles Venture Association Paula Larmore Harding Larmore Kutcher & Kozal, LLP Jeff Lasky Hudson Pacific Properties, Inc. Matt Lavin Worthe Real Estate Group Richard Lawrence Nat ional Bank of California Paul Leclerc Le Meridien Delfina Gary Loeb Chezgal Merchandising Creations Marcel Loh St John’s Health Center Providence Brian Mac Mahon Expert Dojo Ellis O’Connor MSD Hospitality Fai rmont Miramar Hotel & Bungalows Susan Gabr iel Potter Bob Gabriel Insurance Nat Trives Coalition for Engaged Educations Juan Viramontes Georgian Hotel John Warfel Metropolitan Pacific Adam Weiss Cornerstone OnDemand, December 6 , 2016 Santa Monica City Council 1685 Main Street, Room 102 Santa Mon ica, CA 90401 Re: Item 8 -A: Providence Saint John’s Health Center Development Agreement Amendment Float -Up Discussion Dear City Councilmembers , The Santa Monica Chamber of Commerce is proud to support Providence Saint John’s as it commences the second phase of its redevelopment and expansion plan. Providence Saint John’s has been an important member of the Santa Monica community for 74 years and has provided healthcare to generations of Santa Monica residents. Phase Two will allow Providence Saint J ohn’s to continue their valuable work serving the Santa Monica Community. In addition to providing an array of healthcare services, Providence Saint John’s will continue to provide substantial community benefits to Santa Monica residents. As one of the City’s largest employers, Providence Saint John’s is an engine of our local economy. Phase Two will provide new jobs and contribute to economic growth in the City. For these reasons, we encourage you to authorize Staff to proceed with the City’s comprehe nsive review process for Phase Two. On behalf of the Santa Monica Chamber of Commerce, we thank you for considering our comments. Sincerely, Laurel Rosen Pres ident / CEO Chair Yesenia Monsour Kaiser Permanente Chair Elect West Hooker Locanda del Lago Past C hair Julia Ladd Santa Monica Place Chief Financial Officer Dave Nelson Tegner -Miller Insuran ce Brokers Vice Chair Barbara Bishop BBPR, Inc. Vice Chair Richard Chacker Perry’s at the Beach Vice Chair Justin Grant Morley Builders Vice Chair Pat McRoskey The Water Garden Vice Chair Scott Schonfeld Linwood Ventures Board Members Daniel Abra mson RAND Corporation Matthew Allnatt Jonathan Club Alisha Auringer L A carGuy Ted Braun UCLA Health Calvin Cheong Cooley, LLC Julia Cooksey Frontier Communications Kiersten Elliott Santa Monica College Michael Gruning Pence Hawthorn Mike Harriel So uthern California Gas Company Colby Goff Rustic Canyon Family Item 8-A 12/06/2016 28 Item 8-A 12/06/2016 1 Vernice Hankins From:danilobach <danilobach@aol.com> Sent:Tuesday, December 06, 2016 1:14 PM To:Council Mailbox; councilmtgitems Subject:City Council meeting, agenda Item 8-A Dear Mayor Vazquez and Council Members, Though not a resident of the immediate neighborhood that's home to Providence/St. John's, I am a resident of the city and along with my family a grateful beneficiary of the services S t. John's has long provided. As such, I urge the Council in consideration of the extension for the hosp ital's Phase 2 plan to call for 1) the addition by the hospital of a sorely-needed psychiatric emergency room and inpatient psychiatric unit; 2) wellness programs for children extending through their school years to combat childhood diabetes and obesity; 3) health screenings for at-risk seniors; and 4) inclusion of qualifying low-income Santa Monica households in any child care facility that may be built by the hospital. Sincerely, Danilo Bach Item 8-A 12/06/2016 29 Item 8-A 12/06/2016 December 5, 2016 Re: Santa Monica City Council December 6, 2016 Item 8.A. St. John’s Phase 2 Responses from Mid City Residents Dear City Council, Last week we asked for input from residents regarding St. John’s Phase 2 and the request for extension. I have included the original request, followed by the responses to-date. Thank you for your consideration of their concerns. Stacy Dalgleish President Santa Monica Mid City Neighbors St. John's Hospital will be rebuilding and adding to the existing facility located in our Mid City neighborhood between Broadway and Arizona and 20th Street to 23rd Street. Currently the project entails approximately 800,000 square feet and 19 years to build. The project comes before City Council this Tuesday, December 6, 2016. St. John's is asking for a time extension for project completion. Please share your thoughts, suggestions, concerns, requests and ideas regarding community benefits and the request for extension.  Santa Monica Mid City Neighbors Board of Directors is seeking your input.  Thank you very much for your community involvement.  Responses: Longtime Resident #1 : Make sure that ‘neighborhood’ and ‘neighbors’ refer to both residents and businesses, not just owners. Need to provide parking for construction workers so they don’t take up parking spaces used by residents and business customers and employees, such as street parking. Material deliveries should not block streets, driveways, etc. Notify neighbors when off-hour construction permits are issued. During construction hold a community meeting regularly (every 6 months) to update the community of progress, changes, etc. Page Construction should be done with minimal disturbance to neighborhood (recognizing that disturbance will occur) Possibly o nly 1 street light is planned for Broadway. They might consider crosswalks at other locations, especially if the city does not allow the street light. Now it is hazardous for people crossing Broadway. A crosswalk on Arizona at 22nd St , across from the emergency room. The need for inpatient mental health for ages 18-30; preferably for all ages. Longtime Resident #2: I am opposed to the time extension strongly.  It gives them more time to build a project that is too big to start with.  If they can't get it done they have to come back at that time and we will have a better idea of community benefits needed .  Let ’s not be fooled by an EIR report. They are now required by the State Attorney General to fund a Mental Health Plan.  So that is not a community benefit.  It is a mandate as part of their merger with St Josephs. We need to be part of the process and will not be lied to any longer with small cons like their landscape park which they have to do anyway. Longtime Resident #3: Built-in requirement to have an ASSIGNED PROJECT  employee / community mediator for public and NEIGHBORS to contact regarding project related issues. Project Employee requirement for  accountability  to a Project assigned CITY OF SANTA MONICA employee. A public /neighborhood feedback meeting requirement EVERY 6 MONTHS. NOT HELD  at the hospital (due to parking limitations) but rather IN THE COMMUNITY.  City wide notification. CITY requirement to keep a written accessible public record of all public comments/ issues occurring via these venues.  The follow up actions taken.  the outcomes. AFTER project annual meeting requirement for Neighborhood(s) / Residents to discuss issues arising from St John's operational activities.  On-going Employee mediator assignment for community contact.  Written Records with public access. 10-15 year agreement /DA (?) mandated requirement.  City supervision of GOOD NEIGHBOR AGREEMENT and direct participation with regard to annual meeting. Page MITIGATION is not a Community Benefit Longtime Resident #4 : •The City should hire an outside experienced land-use lawyer to look at all the agreements between the City and St. Johns to see if there are obligations St. Johns has that are not being enforced or where they may not be in compliance (this is important because of the dispute over the City and St. John’s understanding about the parking garage that St. John’s didn’t build when it rebuilt the hospital); •The City should also review in detail the community benefit information and statistics that St. Johns says it has provided to Santa Monica over the years, including the # of patients that are SM residents year-by-year in comparison to all patients treated and the claimed economic value of community benefits to residents and local nonprofits and everyone else they have served; •As to the underground parking garage, this is still a sore point because now St. John’s wants to build a large, above-ground parking structure on 20 th Street, which will displace an existing child care facility, disrupt the neighborhood and probably increase the traffic congestion on 20 th Street that would not be the case if St. John’s had built the underground garage it was supposed to build for the main hospital; •What additional community benefits are being offered for building the above-ground garage and are they sufficient? •Why isn’t St. John’s building work force housing when it raised the problems it was having recruiting nurses and other hospital personnel as a major issue when it participated in the City’s workforce housing task force? (And how many nurses and employees currently live in Santa Monica and how many commute now?) •The true phasing of “Phase 2” needs to be better explained as to all the impacts, including the short-term construction and traffic impacts on the surrounding neighborhood because both the north and south sides of Santa Monica Blvd would be under construction as part of that “one” phase. In reality how many phases or sub-phases are there? •When will St. Johns provide a traffic study analyzing all of the traffic impacts anticipated from each part of Phase 2 to determine if the project is too much? Page •Is St. John’s meeting its traffic mitigations now under its agreements with the City and if not, what will it do and when to meet the targets? •If Phase 2 (all 8 buildings are approved and built) what is the expected increase in patients from inside and outside of Santa Monica, and the increase in hospital employees from inside and outside of Santa Monica? Individual comments from other Residents: McKinley Elementary School is located two blocks from St. John’s Hospital and as such is negatively impacted by increased traffic. Reaching out to the school, discovering their needs, the specific impact on the school by the hospital, and working to fund improvements would be very beneficial. Theirs is a very long-term job subjecting the neighbors and businesses in the area to bear the burden of dirt, dust, vehicular and pedestrian traffic. These streets need simple attractive neighborhood friendly attributes. Trees, wide sidewalks and benches bring this instantly. A viewing area for folks to watch the development as it progresses. Think about staging the build-out to give something attractive and concrete before and after construction of each new area. Sufficient drop-off zones could be located in these areas. Safe drop-off zones are a very large concern for loved ones. A free tap card to use for lines in and out of the area. A jitney down Broadway from Centinela to 11th street every half hour. Working with Beautify Earth and Beautify Broadway to turn all available walls into murals.   Expansion of the current in-patient homeless referral program to include the healthy homeless. Occupational therapy for the poor and elderly. As always, we need mental health facilities for 18-30 years of age in in-patient and out- patient. Page 1 Vernice Hankins From:Council Mailbox Sent:Tuesday, December 06, 2016 2:16 PM To:councilmtgitems Subject:FW: City Council meeting, Agenda Item 8-A     From: Stacy  Dalgleish  [mailto:sdalgleish@mac.com]   Sent: Tuesday, December  06, 2016  2:14  PM   To: Council  Mailbox  <Council.Mailbox@SMGOV.NET>; Tony  Vazquez  <Tony.Vazquez@SMGOV.NET>; Kevin  McKeown   Fwd  <kevin@mckeown.net>; Gleam  Davis  <Gleam.Davis@SMGOV.NET>; Pam  OConnor  <Pam.OConnor@SMGOV.NET>;  Sue  Himmelrich  <Sue.Himmelrich@SMGOV.NET>; Terry  O’Day  <Terry.Oday@smgov.net>; Ted  Winterer   <Ted.Winterer@SMGOV.NET>  Cc: Rick  Cole  <Rick.Cole@SMGOV.NET>; Clerk  Mailbox  <Clerk.Mailbox@SMGOV.NET>  Subject: City  Council  meeting, Agenda  Item  8 ‐A   Dear City Council, I write regarding Phase 2 of St. John’s Hospital. I live in the Mid City area of Santa Monica which contains the Health Care District and the Auto Sales District. As you know St. John’s Hospital is comi ng before you requesting an extension to their 19 year build-out period. At 63 years of age, 19 vs 30 years of build-out is not my most pressing concern. However, I do feel a responsibility to my neighborhood and the future quality of life therein and ask that you take livability factors into consideration. Construction on 20th Street and Broadway will be intense. Our neighborhood already accepts the bulk of incoming traffic between the hospitals and Santa Monica College. In addition, the area contained by 20th to Cloverfield and Broadway to Colorado (the DMV area) will be intensely de veloped over the next two decades and as you recall, Broadway and Colorado were left with Ti er 3 in the LUCE even as it was removed from other areas. This area will be come an "activity center”. St. John’s Hospital will have a strong presence on Broa dway. I would like to see this interface given as much consideration as the Santa Monica Bl vd.-facing side. This should include deep sidewalks, buildings moved away from those sidewalks, beautifully maintained plan tings, and artwork – an entrance that is not just the “back-side" of the project but another entrance. St. J ohn’s is in a perfect positi on to set the stage for a revitalized Broadway. I invite you to visit and see how it is currently ma intained. You will understand why this is of concern. Finally, a concern we continue to address is the need for a dedicated psychi atric emergency room along with an inpatient psychiatric unit. We are hopefu l that continued requests by the community for such will be successful. Many residents have written their specifi c concerns and suggestions. I have se nt these to you separately. In this email, I ask that you carefully consider the impact of an 800,000 square foot constr uction project on an already intensely used area, one that is considered home to many. Thank you very much. Item 8-A 12/06/2016 34 Item 8-A 12/06/2016 2 Respectfully, Stacy Stacy Dalgleish 1437 24th Street Santa Monica 90404 310-701-9876 Item 8-A 12/06/2016 35 Item 8-A 12/06/2016 December 5, 2016 Re: Santa Monica City Council December 6, 2016 Item 8.A. St. John’s Phase 2 Responses from Mid City Residents Dear City Council, Last week we asked for input from residents regarding St. John’s Phase 2 and the request for extension. I have included the original request, followed by the responses to-date. Thank you for your consideration of their concerns. Stacy Dalgleish President Santa Monica Mid City Neighbors St. John's Hospital will be rebuilding and adding to the existing facility located in our Mid City neighborhood between Broadway and Arizona and 20th Street to 23rd Street. Currently the project entails approximately 800,000 square feet and 19 years to build. The project comes before City Council this Tuesday, December 6, 2016. St. John's is asking for a time extension for project completion. Please share your thoughts, suggestions, concerns, requests and ideas regarding community benefits and the request for extension.  Santa Monica Mid City Neighbors Board of Directors is seeking your input.  Thank you very much for your community involvement.  Responses: Longtime Resident #1 : Make sure that ‘neighborhood’ and ‘neighbors’ refer to both residents and businesses, not just owners. Need to provide parking for construction workers so they don’t take up parking spaces used by residents and business customers and employees, such as street parking. Material deliveries should not block streets, driveways, etc. Notify neighbors when off-hour construction permits are issued. During construction hold a community meeting regularly (every 6 months) to update the community of progress, changes, etc. Page Construction should be done with minimal disturbance to neighborhood (recognizing that disturbance will occur) Possibly o nly 1 street light is planned for Broadway. They might consider crosswalks at other locations, especially if the city does not allow the street light. Now it is hazardous for people crossing Broadway. A crosswalk on Arizona at 22nd St , across from the emergency room. The need for inpatient mental health for ages 18-30; preferably for all ages. Longtime Resident #2: I am opposed to the time extension strongly.  It gives them more time to build a project that is too big to start with.  If they can't get it done they have to come back at that time and we will have a better idea of community benefits needed .  Let ’s not be fooled by an EIR report. They are now required by the State Attorney General to fund a Mental Health Plan.  So that is not a community benefit.  It is a mandate as part of their merger with St Josephs. We need to be part of the process and will not be lied to any longer with small cons like their landscape park which they have to do anyway. Longtime Resident #3: Built-in requirement to have an ASSIGNED PROJECT  employee / community mediator for public and NEIGHBORS to contact regarding project related issues. Project Employee requirement for  accountability  to a Project assigned CITY OF SANTA MONICA employee. A public /neighborhood feedback meeting requirement EVERY 6 MONTHS. NOT HELD  at the hospital (due to parking limitations) but rather IN THE COMMUNITY.  City wide notification. CITY requirement to keep a written accessible public record of all public comments/ issues occurring via these venues.  The follow up actions taken.  the outcomes. AFTER project annual meeting requirement for Neighborhood(s) / Residents to discuss issues arising from St John's operational activities.  On-going Employee mediator assignment for community contact.  Written Records with public access. 10-15 year agreement /DA (?) mandated requirement.  City supervision of GOOD NEIGHBOR AGREEMENT and direct participation with regard to annual meeting. Page MITIGATION is not a Community Benefit Longtime Resident #4 : •The City should hire an outside experienced land-use lawyer to look at all the agreements between the City and St. Johns to see if there are obligations St. Johns has that are not being enforced or where they may not be in compliance (this is important because of the dispute over the City and St. John’s understanding about the parking garage that St. John’s didn’t build when it rebuilt the hospital); •The City should also review in detail the community benefit information and statistics that St. Johns says it has provided to Santa Monica over the years, including the # of patients that are SM residents year-by-year in comparison to all patients treated and the claimed economic value of community benefits to residents and local nonprofits and everyone else they have served; •As to the underground parking garage, this is still a sore point because now St. John’s wants to build a large, above-ground parking structure on 20 th Street, which will displace an existing child care facility, disrupt the neighborhood and probably increase the traffic congestion on 20 th Street that would not be the case if St. John’s had built the underground garage it was supposed to build for the main hospital; •What additional community benefits are being offered for building the above-ground garage and are they sufficient? •Why isn’t St. John’s building work force housing when it raised the problems it was having recruiting nurses and other hospital personnel as a major issue when it participated in the City’s workforce housing task force? (And how many nurses and employees currently live in Santa Monica and how many commute now?) •The true phasing of “Phase 2” needs to be better explained as to all the impacts, including the short-term construction and traffic impacts on the surrounding neighborhood because both the north and south sides of Santa Monica Blvd would be under construction as part of that “one” phase. In reality how many phases or sub-phases are there? •When will St. Johns provide a traffic study analyzing all of the traffic impacts anticipated from each part of Phase 2 to determine if the project is too much? Page •Is St. John’s meeting its traffic mitigations now under its agreements with the City and if not, what will it do and when to meet the targets? •If Phase 2 (all 8 buildings are approved and built) what is the expected increase in patients from inside and outside of Santa Monica, and the increase in hospital employees from inside and outside of Santa Monica? Individual comments from other Residents: McKinley Elementary School is located two blocks from St. John’s Hospital and as such is negatively impacted by increased traffic. Reaching out to the school, discovering their needs, the specific impact on the school by the hospital, and working to fund improvements would be very beneficial. Theirs is a very long-term job subjecting the neighbors and businesses in the area to bear the burden of dirt, dust, vehicular and pedestrian traffic. These streets need simple attractive neighborhood friendly attributes. Trees, wide sidewalks and benches bring this instantly. A viewing area for folks to watch the development as it progresses. Think about staging the build-out to give something attractive and concrete before and after construction of each new area. Sufficient drop-off zones could be located in these areas. Safe drop-off zones are a very large concern for loved ones. A free tap card to use for lines in and out of the area. A jitney down Broadway from Centinela to 11th street every half hour. Working with Beautify Earth and Beautify Broadway to turn all available walls into murals.   Expansion of the current in-patient homeless referral program to include the healthy homeless. Occupational therapy for the poor and elderly. As always, we need mental health facilities for 18-30 years of age in in-patient and out- patient. Page 1 Vernice Hankins From:Council Mailbox Sent:Tuesday, December 06, 2016 2:19 PM To:Tony Vazquez; Ted Winterer; Pam OConnor; Sue Himmelrich; Gleam Davis; Terry O’Day; Kevin McKeown Fwd Cc:councilmtgitems; Elaine Polachek; David Martin Subject:FW: community benefit from PSJHC for extending to Phase 2 Council ‐    Please  see  the  below  email  re: St. John's.    Thank  you,    Stephanie     ‐‐‐‐‐Original  Message ‐‐‐‐‐  From: Jodi  Summers  [mailto:jodi@jodisummers.com]   Sent: Tuesday, December  06, 2016  11:38  AM   To: Council  Mailbox  <Council.Mailbox@SMGOV.NET>  Subject: community  benefit  from  PSJHC  for  extending  to  Phase  2     Good  day  Council,    The  residents  of  Santa  Monica  consider  one  of  th e  most  important  community  benefits  that  PSJHC  should  provide  to   enable  its  time  extension  for  Phase   2  is  the  addition  and  capability  of  an  psychiatric  emergency  room  and  an  inpatient  psychiatric  unit.  We  believe  the  lack   of  mental  health  capability  in  Santa  Monica  needs  to  be  addressed  and  is  a  critical  ne ed  of  the  City.    Thank  you,  Jodi  Summers   Ocean  Park  Association       Item 8-A 12/06/2016 40 Item 8-A 12/06/2016 1 Vernice Hankins From:Council Mailbox Sent:Tuesday, December 06, 2016 2:19 PM To:Tony Vazquez; Ted Winterer; Pam OConnor; Sue Himmelrich; Gleam Davis; Terry O’Day; Kevin McKeown Fwd Cc:councilmtgitems; David Martin; Elaine Polachek Subject:FW: St John Providence Hospital Council ‐    Please  see  the  below  email  re: St. John's.    Thank  you,    Stephanie     ‐‐‐‐‐Original  Message ‐‐‐‐‐  From: Stefani  Kong  Uhler  [mailto:stefaniuhler@gmail.com]   Sent: Tuesday, December  06, 2016  11:23  AM   To: Council  Mailbox  <Council.Mailbox@SMGOV.NET>  Subject: St  John  Providence  Hospital     Dear  City  Council  and  Planning  Commissioners  of  the  City  of  Santa  Monica,    The  residents  of  Santa  Mo nica  consider  one  of  the  most  important  community  benefits  that  PSJHC  should  provide  to   enable  its  time  extension  for  Phase  2  is  the  addition  and  capability  of  an  psychiatric  emergency  room  and  an  inpatient   psychiatric  unit.  We  believe  the  lack  of  mental  health  capability  in  Santa  Monica  needs  to  be  addressed  and  is  a  criti cal   need  of  the  City.    Thank  you     Best  regards,  Stefani  Uhler   Santa  Monica  Mid  City  Neighbors  Board  Member  and  resident        Sent  from  Stefani's   iPhone   Item 8-A 12/06/2016 41 Item 8-A 12/06/2016 1 TO: Mayor Vazquez and City Council Members FROM: Elizabeth Van Denburgh, Wilmont resident City Council, December 6, Agenda 8A – Providence St. John Health Center (PSJHC)Development Agreement Amendment Float-up Discussion – Items 4 and 5 Dear Mayor Vazquez and City Council Members, If the approval of extension of Phase Two building for PSJHC is considered I request the following items for strong consideration and direction to staff and Planning Commission during discussion of items 4 and 5 (as specified for discussion by staff) during Agenda 8A review on December 6, 2016. Item 4 – Discuss whether to consider project alternatives through project negotiations and/or environmental review. This could include potential changes to the total overall floor area for Phase Two, the allocation of floor area between approved uses, the size/scale of one or more buildings, the circulation/access plan, and trip reduction measures required with the project.  For local residents, passenger loading zone with cut-outs and permit parking is needed at Geneva Towers  Broadway is a safer and well traveled bike street. How do we keep it that way with Phase 2?  Convenient and safe child-care drop off capability at child care facility  Require that Providence St. John add permanent capabilities to provide psychiatric emergency room services and an inpatient psychiatric unit to support Santa Monica needs with respect to residents and their families and the homeless population of the City.  Compare and contrast services provided by UCLA vs. St. John to ensure we do not duplicate or over invest in assets, capabilities and capacity that is provided by the other facility.  Detailed definition and design document about how humans (patients, employees, visitors) move from building to building for safety, ease of access and consistency of design for patients, visitors and employees with review and mandatory update from City Planning on humans flow among the buildings of the PSJ Health Center.  Detailed definition and design document about how streets, circulation elements, parking (how many space and sq. ft. underground vs. in buildings) and alternative transportation means e.g., bicycles, Uber/Lyft, taxi, car share, drop-off and pickup ability, bus and skate boarding will ensure safety and effective movement of patients, residents, care givers and employees into and out of the PSJ Health Center Mid-City neighborhood. o This document will need to support the LUCE goal of no new net PM trips. This document will be reviewed and with mandatory update from City Planning on how non- pedestrian movement will occur with respect to entering, unloading of passengers, parking of vehicles and leaving, loading of passengers and movement of vehicles, buses, taxis, car share, Uber/Lyft and skateboards from the PSJ Health Center.  As part of the alternative transportation design, the Expo provides potential for alternative transportation but must consider how to support employees, patients, care-givers and residents via a free shuttle to ensure a smooth, efficient and effective “last mile” to the PSJ HC neighborhood. This could be a key component of a Transportation Demand Management (TDM) plan. Item 8-A 12/06/2016 42 Item 8-A 12/06/2016 2  Detailed definition and design document regarding how open space will be incorporated into the PSJHC site. It should be useable, make it useful for employees, patients, care-givers and residents, and functional. Leverage the well-being survey to identify specific needs for City and neighborhood  Have PSJHC and City staff present these plans for review, comment and feedback for how the City and Mid-City Neighborhood will be impacted at the intra-building pedestrian experience (including crossing streets and bridges) and transportation to and from the Health Center. Item 5 – Identify what, if any, additional objectives, including desired community benefits, the City should include in its negotiations with the Applicant.  Phase 2 does not have any community benefits associated with it; the SJHC was given a waiver on the required parking that it never built, PSJHC continues to communicate medicare and medical offsets as community benefits which they are not and lack of clarity regarding reporting they are building multi-family house but it is replacement housing not new multi-family housing. Additional and real community benefits need to be received for a Phase 2 extension. The original DA was negligent in the delivery of community benefits to a highly impacted neighborhood with the highest intensity of transportation and parking - medical usage.  Definition, design, development and support of a psychiatric emergency room and inpatient psychiatric unit. This will benefit the community, our first responders and our homeless population. First-responders can take ‘5150’ holds to a local hospital vs. County Hospital or Harbor providing ability to support this need in our neighborhood. A psychiatric unit will provide for residents and their families to have mental health support in our City. Mental health is one of our biggest health issues at this moment in our times; we need to be proactive and support an unmet need in the City.  Childcare facility should not only provide for PSJHC employees’ children but residents’ children as well with special support for MidCity Neighbors’ children. We need to be crystal clear about what children are to fill the childcare facility and ensure that residents’ receive a significant community benefit through support of childcare for residents’ children.  Ensure that medicare and medical offsets are eliminated as consideration as “community benefits” from PSJHC.  Support a free shuttle from Expo for PSJHC for patients, employees, visitors, care-givers and residents to ensure we achieve our no net PM car trips LUCE goal.  Access to community rooms with easy scheduling would be appreciated Item 8-A 12/06/2016 43 Item 8-A 12/06/2016 Valerie Griffin Santa Monica, CA 90403 December 6, 2016 Re: City Council 12/6/2016, 8A, Sain t John’s Health Center Float-Up My first cancer death occurred on Christmas Eve when I was 7. My father’s favorite sister, Joyce, died that day of a brain tumor. My Chr istmas present from her was under the tree. In my family, we opened one present on Christmas Eve. I chose hers. Of all the presents I’ve ever received, that one has most influenced my life. It was my first cookbook, the “Betty Crocker Cookbook for Boys and Girls.” Whenev er I'm in my kitchen, she’s with me. I wish I’d gotten to know her as an adult. We’ve all been affected by cancer–personally or through family, friends, colleagues, or others. The John Wayne Cancer Institute at Saint John’s is a world-class cancer research and treatment center. Treatments developed there can and do flow outward to serve an expanding community. The Health Center also includes a wide range of other excellent medical services. To retain this level of service, a health center must continue to evolve. This proposal starts with a good basic site pl an with essential items in place. Individual components will require further design and ne gotiation over decades. The lengthy time frame allows integration of changes to techno logy, treatment options, and transportation needs. With this plan, and careful stewardship by all stakeholders, Saint John’s Health Center will continue to be part of the world-class me dical care available to all members of our community. You know about the Cancer Moonshot. Let’s make sure Santa Monica helps launch it! Valerie Griffin valeriegryphon@gmail.com Item 8-A 12/06/2016 44 Item 8-A 12/06/2016 1 Vernice Hankins From:Council Mailbox Sent:Tuesday, December 06, 2016 2:30 PM To:Tony Vazquez; Ted Winterer; Pam OConnor; Sue Himmelrich; Gleam Davis; Terry O’Day; Kevin McKeown Fwd Cc:councilmtgitems; Elaine Polachek; David Martin Subject:FW: Item 8.A. St. John's Phase 2 - MidCity Resident Input Council ‐    Please  see  the  below  email  re: St. John’s.    Thank  you,    Stephanie       From: Mari  Ostendorf  [mailto:jimandmari@me.com]   Sent: Monday, December  05, 2016  8:36  PM   To: Council  Mailbox  <Council.Mailbox@SMGOV.NET>  Cc: santamonicamidcityneighbors  dalgleish  <SantaMonicaMidCityNeighbors@gmail.com>; Tony  Vazquez   <Tony.Vazquez@SMGOV.NET>; Rick  Cole  <Rick.Cole@SMGOV.NET>; Mari  Ostendorf  <jimandmari@me.com>; Clerk   Mailbox  <Clerk.Mailbox@SMGOV.NET>  Subject: Item  8.A. St. John's  Phase  2  ‐ MidCity  Resident  Input   Dear Santa Monica City Council, Thank you for taking the time to read this email, which I submit as a 13 year resident and homeowner in Santa Monica's Mid City neighborhood, with two young children in our neighborhood school, McKinley Elementary, at 2401 Santa Monica Boulevard. McKinley is the only SMMUSD school directly adjacent to a 4-lane highway (Hwy 2/Santa Monica Blvd), one block from the St. Johns/Providence campus. This multi-year pr oject will place an excessive amount of ad ditional heavy-vehicle traffic during the construction phase, not to mention the additional traffic brought to the location ongoing/post completion. I believe that our school community, students, parents, guardians, and family members, will be greatly impacted by this project . We are a very pedestrian-friendly school with many of our children (preschool to grade 5) walking, biking, skateboarding and scoot ing to and from school, some of them unaccompanied. With this in mind, I am requesting City Council to strongly co nsider the following, while working with SMMUSD, City of Santa Monica, MidCity Neighbors, and St. Johns/Providence:  Increased "School Zone" signage in VERY PROMINENT locations along Santa Monica Blvd and adjacent roads/intersections  Permanent East/West bound "Your Speed Is" signage to run 24/7 along Santa Monica Blvd well before entering the school zone  Guarenteed and dedicated Crossing Guards (AM and PM) at Cloverfield and Santa Monica Blvd  Guarenteed and dedicated Crossing Guards (AM and PM) at 26th and Santa Monica Blvd  Retain Crossing Guards at Chelsea and Santa Monica Blvd, and Chelsea and Arizona  Bollards along Santa Monica Blvd from Chelsea to Cloverfield  Sound-proofing of "relocatable classrooms" and main building classrooms that face Santa Monica Blvd Item 8-A 12/06/2016 45 Item 8-A 12/06/2016 2  Regularly scheduled meetings (every 6 months for duration of program, commencing immediately) with McKinley Community members, including parents, at the school if possible o If meetings are at St. Johns/Providence, schedule both AM and PM sessions, with childcare and providing refreshments to accommodate working parents o Provide free BBB passes or alternate transportation to the m eetings, for families without personal vehicles or those reliant on public transportation  Regularly scheduled, open meetings with school site administrators and SMMUSD personnel for community input pertaining to project  Encourage low-emmision construction vehicles  Ensure construction vehicles, including cement trucks, are not "i dling" along the streets as th ey "wait" for the "6AM start day. This was an issue for neighbors near the Expo Line with trucks queuing up and loudly idling.  Guarenteed on-site parking at St. John/Providence facilities  Encourage St. Johns/Providence to provide on-site ChildCare facility  Encourage St. Johns/Provident to provide on-site, satellite Boys & Girls Club open to Mid City neighborhood.  Provide an on-site community library to mitigate the fact that Mid City does not have a public library  Ensure there is NO disruption to the BBB schedule, especially #1  Provide a dedicated resource for community communication I greatly appreciate your commitment to the safety of our children and the improvement of our Mid City neighborhood. Regards, Mari Ostendorf Item 8-A 12/06/2016 46 Item 8-A 12/06/2016 1 Vernice Hankins From:Stacy Dalgleish <sdalgleish@mac.com> Sent:Tuesday, December 06, 2016 2:14 PM To:Council Mailbox; Tony Vazquez; Kevin McKeow n Fwd; Gleam Davis; Pam OConnor; Sue Himmelrich; Terry O’Day; Ted Winterer Cc:Rick Cole; Clerk Mailbox Subject:City Council meeting, Agenda Item 8-A Dear City Council, I write regarding Phase 2 of St. John’s Hospital. I live in the Mid City area of Santa Monica which contains the Health Care District and the Auto Sales District. As you know St. John’s Hospital is comi ng before you requesting an extension to their 19 year build-out period. At 63 years of age, 19 vs 30 years of build-out is not my most pressing concern. However, I do feel a responsibility to my neighborhood and the future quality of life therein and ask that you take livability factors into consideration. Construction on 20th Street and Broadway will be intense. Our neighborhood already accepts the bulk of incoming traffic between the hospitals and Santa Monica College. In addition, the area contained by 20th to Cloverfield and Broadway to Colorado (the DMV area) will be intensely de veloped over the next two decades and as you recall, Broadway and Colorado were left with Ti er 3 in the LUCE even as it was removed from other areas. This area will be come an "activity center”. St. John’s Hospital will have a strong presence on Broa dway. I would like to see this interface given as much consideration as the Santa Monica Bl vd.-facing side. This should include deep sidewalks, buildings moved away from those sidewalks, beautifully maintained plan tings, and artwork – an entrance that is not just the “back-side" of the project but another entrance. St. J ohn’s is in a perfect positi on to set the stage for a revitalized Broadway. I invite you to visit and see how it is currently ma intained. You will understand why this is of concern. Finally, a concern we continue to address is the need for a dedicated psychi atric emergency room along with an inpatient psychiatric unit. We are hopefu l that continued requests by the community for such will be successful. Many residents have written their specifi c concerns and suggestions. I have se nt these to you separately. In this email, I ask that you carefully consider the impact of an 800,000 square foot constr uction project on an already intensely used area, one that is considered home to many. Thank you very much. Respectfully, Stacy Stacy Dalgleish 1437 24th Street Santa Monica 90404 310-701-9876 Item 8-A 12/06/2016 47 Item 8-A 12/06/2016 1 Vernice Hankins From:Stacy Dalgleish <sdalgleish@mac.com> Sent:Tuesday, December 06, 2016 2:20 PM To:Elizabeth Van Denburgh Cc:Council Mailbox; Tricia Crane; Danilo Bach; Andrew Gledhill; Zina and William Josephs; Laurence Eubank; Clerk Mailbox; Marsha Moutrie; Rick Cole; Amy N. Anderson; Mario Fonda-Bernardi; Nina Fresco; jenniferfkennedy@gmail.com; leslielambert92 @gmail.com; Richard McKinnon; parryplan@gmail.com; Matt Hall; cristopher Subject:Re: City Council 12-6-16 Agenda 8A - PSJHC Phase 2 Extension - Proj. Alts. & Comm. Benefits Attachments:CityCouncil-12-6-16-Agenda8A-PSJHC-Phase2.pdf Thank you Elizabeth. As always a well-research ed well-written missive. Stacy On Dec 6, 2016, at 10:55 AM, Elizabeth Van Denburgh <emvandenburgh@gmail.com > wrote: To: Mayor  Vazquez  and  City  Council  Members From:  Elizabeth  Van  Denburgh, Wilmont  resident Subject: City  Council, December  6, Agenda  8A  – Providence  St. John  Health  Center   (PSJHC)Development  Agreement  Amendment  Float ‐up  Discussion  – Items  4  and  5  (Project   Alternatives  and  Community  Benefits) Dear  Mayor  Vazquez  and  City  Council  Members, If  the  approval  of  extension  of  Phas e  Two  building  for  PSJHC  is  considered  I  request  the   following  items  for  strong  consideration  and  direction  to  staff  and  Planning  Commission  during   discussion  of  items  4  and  5  (as  specified  for  discussion  by  staff) during  Agenda  8A  review  on   December  6, 2016. Item  4  – Discuss  whether  to  consider  project  alternatives  through  project  negotiations  and/or   environmental  review.  This  could  include  potential  changes  to  the  total  overall  floor  area  for   Phase  Two, the  allocation  of  floor  area  between  approved  uses, the  size/scale  of  one  or  more   buildings, the  circulation/access  plan, and  trip  reduction  measures  required  with  the  project.  For  local  residents,  passenger  loading  zone  with  cut ‐outs  and  permit  parking  is   needed  at  Geneva  Towers  Broadway  is  a  safer  and  well  traveled  bike  street.  How  do  we  keep  it  that  way  with   Phase  2?  Convenient  and  safe  child ‐care  drop  off  capability  at  child  care  facility  Require  that  Providence  St. John  add  permanent  capabilities  to  provide  psychiatric   emergency  room  services  and  an  inpatient  psychiatric  unit  to  support  Santa  Monica   needs  with  respect  to  residents  and  their  families  and  the  homeless  population  of  the   City. Item 8-A 12/06/2016 48 Item 8-A 12/06/2016 2  Compare  and  contrast  services  provided  by  UCLA  vs. St. John  to  ensure  we  do  not   duplicate  or  over  invest  in  assets, capabilities  and  capacity  that  is  provided  by  the  other   facility.  Detailed  definition  and  design  document  about  how  humans  (patients, employees,  visitors) move  from  building  to  building  for  safety, ease  of  access  and  consistency  of   design  for  patients, visitors  and  employees  with  review  and  mandatory  update  from  City   Planning  on  humans  flow  among  the  buildings  of  the  PSJ  Health  Center.  Detailed  definition  and  design  document  about  how  streets, circulation  elements,  parking  (how  many  space  and  sq. ft. underground  vs. in  buildings) and  alternative   transportation  means  e.g., bicycles, Uber/Lyft, taxi, car  share, drop ‐off  and  pickup   ability, bus  and  skate  boarding  will  ensure  safety  and  effective  movement  of  patients,  residents, care  givers  and  employees  into  and  out  of  th e  PSJ  Health  Center  Mid ‐City   neighborhood.  o  This  document  will  need  to  support  the  LUCE  goal  of  no  new  net  PM   trips.  This  document  will  be  reviewed  and  with  mandatory  update  from  City   Planning  on  how  non ‐pedestrian  movement  will  occur  with  respect  to  entering,  unloading  of  passengers, parking  of  vehicles  and  leaving, loading  of  passengers   and  movement  of  vehicles, buses, taxis, car  share, Uber/Lyft  and  skateboards   from  the  PSJ  Health  Ce nter.    As  part  of  the  alternative  transportation  design, the  Expo  provides  potential  for   alternative  transportation  but  must  consider  how  to  support  employees, patients, care ‐ givers  and  residents  via  a  free  shuttle  to  ensure  a  smooth, efficient  and  effective  “last   mile” to  the  PSJ  HC  neighborhood.   This  could  be  a  key  component  of  a  Transportation   Demand  Management  (TDM) plan.  Detailed  definition  and  design  document  regarding  how  open  space  will  be   incorporated  into  the  PSJHC  site.  It  should  be  useable, make  it  useful  for  employees,  patients, care ‐givers  and  residents, and  functional.  Leverage  the  well ‐being  survey  to   identify  specific  needs  for  City  and  neighborhood  Have  PSJHC  and  City  staff  present  these  plans  for  review, comment  and  feedback   for  how  the  City  and  Mid ‐City  Neighborhood  will  be  impacted  at  the  intra ‐building   pedestrian  experience  (including  crossing  streets  and  bridges) and  transportation  to  and   from  the  Health  Center. Item  5  – Identify  what, if  any, additional  objectives, including  desired  community  benefits,  the  City  should  include  in  its  negotiations  with  the  Applicant.  Phase  2  does  not  have  any  community  benefits  associated  with  it; the  SJHC  was   given  a  waiver  on  the  required  parking  that  it  never  built, PSJHC  continues  to   communicate  medicare  and  medical  offsets  as  community  benefits  which  they  are  not   and  lack  of  clarity  regarding  reporting  they  are  building  multi ‐family  house  but  it  is   replacemen t  housing  not  new  multi ‐family  housing.  Additional  and  real  community   benefits  need  to  be  received  for  a  Phase  2  extension.  The  original  DA  was  negligent  in   the  delivery  of  community  benefits  to  a  highly  impacted  neighborhood  with  the   highest  intensity  of  transportation  and  parking  ‐ medical  usage.  Definition, design, development  and  support  of  a  psychiatric  emergency  room  and   inpatient  psychiatric  unit.  This  will  benefit  the  community, our  first  responders  and  our   homeless  population.  First ‐responders  can  take  ‘5150’ holds  to  a  local  hospital  vs.  County  Hospital  or  Harbor  providing  ability  to  support  this  need  in  our  neighborhood.  A   psychiatric  unit  will  provi de  for  residents  and  their  families  to  have  mental  health   Item 8-A 12/06/2016 49 Item 8-A 12/06/2016 3 support  in  our  City.  Mental  health  is  one  of  our  biggest  health  issues  at  this  moment  in   our  times; we  need  to  be  proactive  and  support  an  unmet  need  in  the  City.  Childcare  facility  should  not  only  provide  for  PSJHC  employees’ children  but   residents’ children  as  well  with  special  support  for  MidCity  Neighbors’ children.  We   need  to  be  crystal  clear  about  what  children  are  to  fill  the  childcare  facility  and  ensure   that  residents’ receive  a  significant  community  benefit  through  support  of  childcare  for   residents’ children.    Ensure  that  medicare  and  medical  offsets  are  eliminated  as  consideration  as   “community  benefits” from  PSJHC.  Support  a  free  shuttle  from  Expo  for  PSJHC  for  patients, employees, visitors, care ‐ givers  and  residents  to  ensure  we  achieve  our  no  net  PM  car  trips  LUCE  goal.  Access  to  community  rooms  with  easy  scheduling  would  be  appreciated I've  attached  a  PDF  of  this  letter  to  my  email. Item 8-A 12/06/2016 50 Item 8-A 12/06/2016 2635 23 rd Street Apartment A Santa Monica, CA 90405 JOANNE LEAVITT November 30, 2016 M ayor Vazquez Councilmembers Davis, Himmelrich, McKeown, O ’Connor, O ’Day and Winterer : R e: Item 8 -A I am unable to attend the December 6 City Council float -up hearing on the Providence Saint John’s Phase Two P lan , so I am submitting my comments in writing. I had the opportunity to review the plan with the project team earlier this year, and have reviewed the current Staff Re port. If I may, I would like share some thoughts on the matter before you on Tuesday evening. 1) P hase Two is a long -range , forward -looking plan. When built out, the facilities of Phase Two will be serving the healthcare needs of Millennials , their children, and , we with any luck , their elderly parents (and everyone in -between). Healthcare is a key component of a sustainable , resilient community. I applaud the vision and determination of a non -profit institution that is willing to do t he heavy lifting of fundraising, design ing and building on behalf of our community. 2) I support Staff ’s concept of assessing and approving the Phase Two Plan first, and, down the road, g ranting Development Review Permits to individual facility buildings. Healthcare needs continue to evolve , and this approach will, I believe, benefit Saint John ’s. 3) Good urban planning is one o f our community’s cherished values. It is my impression that the Phase Two Plan , as conceived, blends well into the surrounding community . This is especially evident on its Broadway edge, where the health center ’s smaller -scale repl acement housing, CFDC and visitor housing elements are proposed. The visitor housing element is especially interesting, one that reflects Saint John’s recognition that treatment of serious illness can be extremely challenging for patients and their familie s and family support often encourages healing. Practical, secure and beautiful open space will help crea te a link to Mid City and create a sense of place for everyone living near, or visiting, Providence Saint John ’s campus . 4) Last but not least, I am confident that Providence Saint John’s continuing role as a resource for the young and vulnerable will be carefully evaluated by the health center , early childhood -related organizatio ns and city staff as the P hase Two plan unfolds. The project team is engaged and willing to listen to community guidance on program s serving early childhood needs – on and off their campus. Under its P rovidence ’s sponsorship, Saint John’s is addressing the currently healthcare needs of our community in an exemplary way, and planning carefully for our future. I urge you to consider the plan carefully and move Phase Two into the environmental review process.. Sincerely, JOANNE LEAVITT 1 Vernice Hankins From:Stefani Kong Uhler <stefaniuhler@gmail.com> Sent:Tuesday, December 06, 2016 4:08 PM To:Council Mailbox; Tony Vazquez; Gleam Davis; Ted Winterer; Pam OConnor; Terry O’Day Cc:Clerk Mailbox; Rick Cole; David Martin Subject:Re: City Council meeting, Agenda Item 8-A To: Santa Monica City Council <council@smgov.net Cc: rick.cole@smgov.net , City Clerk <clerk@smgov.net > Dear City Council, I write regarding Phase 2 of St. John’s Hospital. I live in the Mid City area of Santa Monica which contains the Health Care District and the Au to Sales District. As you know St. John’s Hospital is coming before you requesting an extension to their 19 year build-out period. At 60 years of age, 19 vs 30 years of bu ild-out is not my most pressing concern. However, I do feel a responsibility to my neighborhood and the future quality of life therein and ask that you take liva bility factors into consideration. Construction on 20th Street and Broadw ay will be intense. Our neighborhood already accepts the bulk of incoming tr affic between the hospitals and Santa Monica College. In addition, the area c ontained by 20th to Cloverfield and Broadway to Colorado (the DMV area) will be intensely developed over the next two decades and as you recall, Broadway a nd Colorado were left with Tier 3 in the LUCE even as it was removed from other areas. This area will be come an "activity center”. St. John’s Hospital will have a strong pr esence on Broadway. I would like to see this interface given as much considerati on as the Santa Monica Blvd.-facing side. This should include deep sidewalks, build ings moved away from those sidewalks, beautifully maintained plantings, and artw ork – an entrance that is not just the “back-side" of the project but another entr ance. St. John’s is in a perfect position to set the stage for a revitalized Broadwa y. I invite you to visit and see how it is currently maintained. You will unders tand why this is of concern. Finally, a concern we continue to address is the need for a dedicated psychiatric emergency room along with an inpatient psychiatric unit. We are hopeful that continued requests by the community for such will be successful. Many residents have written their specific concerns and suggestions. I have sent these to you separately. In th is email, I ask that you car efully consider the impact 2 of an 800,000 square foot construction proj ect on an already intensely used area, one that is considered home to many. Thank you very much. Respectfully, Stefani Stefani Kong Uhler 1438 12th Street Santa Monica 90401 310-801-7353 1 TO: Mayor Vazquez and City Council Members FROM: Elizabeth Van Denburgh, Wilmont resident City Council, December 6, Agenda 8A – Providence St. John Health Center (PSJHC)Development Agreement Amendment Float-up Discussion – Items 4 and 5 Dear Mayor Vazquez and City Council Members, If the approval of extension of Phase Two building for PSJHC is considered I request the following items for strong consideration and direction to staff and Planning Commission during discussion of items 4 and 5 (as specified for discussion by staff) during Agenda 8A review on December 6, 2016. Item 4 – Discuss whether to consider project alternatives through project negotiations and/or environmental review. This could include potential changes to the total overall floor area for Phase Two, the allocation of floor area between approved uses, the size/scale of one or more buildings, the circulation/access plan, and trip reduction measures required with the project.  For local residents, passenger loading zone with cut-outs and permit parking is needed at Geneva Towers  Broadway is a safer and well traveled bike street. How do we keep it that way with Phase 2?  Convenient and safe child-care drop off capability at child care facility  Require that Providence St. John add permanent capabilities to provide psychiatric emergency room services and an inpatient psychiatric unit to support Santa Monica needs with respect to residents and their families and the homeless population of the City.  Compare and contrast services provided by UCLA vs. St. John to ensure we do not duplicate or over invest in assets, capabilities and capacity that is provided by the other facility.  Detailed definition and design document about how humans (patients, employees, visitors) move from building to building for safety, ease of access and consistency of design for patients, visitors and employees with review and mandatory update from City Planning on humans flow among the buildings of the PSJ Health Center.  Detailed definition and design document about how streets, circulation elements, parking (how many space and sq. ft. underground vs. in buildings) and alternative transportation means e.g., bicycles, Uber/Lyft, taxi, car share, drop-off and pickup ability, bus and skate boarding will ensure safety and effective movement of patients, residents, care givers and employees into and out of the PSJ Health Center Mid-City neighborhood. o This document will need to support the LUCE goal of no new net PM trips. This document will be reviewed and with mandatory update from City Planning on how non- pedestrian movement will occur with respect to entering, unloading of passengers, parking of vehicles and leaving, loading of passengers and movement of vehicles, buses, taxis, car share, Uber/Lyft and skateboards from the PSJ Health Center.  As part of the alternative transportation design, the Expo provides potential for alternative transportation but must consider how to support employees, patients, care-givers and residents via a free shuttle to ensure a smooth, efficient and effective “last mile” to the PSJ HC neighborhood. This could be a key component of a Transportation Demand Management (TDM) plan. 2  Detailed definition and design document regarding how open space will be incorporated into the PSJHC site. It should be useable, make it useful for employees, patients, care-givers and residents, and functional. Leverage the well-being survey to identify specific needs for City and neighborhood  Have PSJHC and City staff present these plans for review, comment and feedback for how the City and Mid-City Neighborhood will be impacted at the intra-building pedestrian experience (including crossing streets and bridges) and transportation to and from the Health Center. Item 5 – Identify what, if any, additional objectives, including desired community benefits, the City should include in its negotiations with the Applicant.  Phase 2 does not have any community benefits associated with it; the SJHC was given a waiver on the required parking that it never built, PSJHC continues to communicate medicare and medical offsets as community benefits which they are not and lack of clarity regarding reporting they are building multi-family house but it is replacement housing not new multi-family housing. Additional and real community benefits need to be received for a Phase 2 extension. The original DA was negligent in the delivery of community benefits to a highly impacted neighborhood with the highest intensity of transportation and parking - medical usage.  Definition, design, development and support of a psychiatric emergency room and inpatient psychiatric unit. This will benefit the community, our first responders and our homeless population. First-responders can take ‘5150’ holds to a local hospital vs. County Hospital or Harbor providing ability to support this need in our neighborhood. A psychiatric unit will provide for residents and their families to have mental health support in our City. Mental health is one of our biggest health issues at this moment in our times; we need to be proactive and support an unmet need in the City.  Childcare facility should not only provide for PSJHC employees’ children but residents’ children as well with special support for MidCity Neighbors’ children. We need to be crystal clear about what children are to fill the childcare facility and ensure that residents’ receive a significant community benefit through support of childcare for residents’ children.  Ensure that medicare and medical offsets are eliminated as consideration as “community benefits” from PSJHC.  Support a free shuttle from Expo for PSJHC for patients, employees, visitors, care-givers and residents to ensure we achieve our no net PM car trips LUCE goal.  Access to community rooms with easy scheduling would be appreciated 1 Vernice Hankins From:Daniel Galamba <galambadb@hotmail.com> Sent:Wednesday, December 07, 2016 6:00 AM To:councilmtgitems Subject:Providence Saint John's Health Center De velopment Agreement Amendment Float-Up Discussion Attachments:St John.docx I  was  not  able  to  finish  my  comments  to  the  City  Council  last  night, December  6, 2016  starting  at  S5  Visitor  Housing   building. . .  I  wish  for  these  written  comments  to  be  given  to  the  City  Council.  Thank  you.  Dr  Daniel  Galamba     ________________________________________    St  John's  Health  Center  Discussion  with  City  Council  December  6, 2016     If  Development  Agreement  is  to  be  renegotiated  should  be  on  basis  that  community  can  live  with   1998  Agreement  done  after  1994  earthquake.  Concessions  made  to  keep  St  John's  solvent.  St  John's  solvent  now, no   danger  of  going  under   799,000  square  feet  larger  than  Hines  Project  that  ultimately  rejected  after  referendum.  799,000  square  feet  way  too   large  and  area  can't  support  it  St  John's  should  have  human  sized  buildings  similar  to  those  of  Cottage  Hospital  in  Santa   Barbara  rather  than  UCLA  Medical  Center  in  Westwood.  This  really  to  advantage  of  St  John's, their  patients, staff  and   our  community.  Also  patients  prefer  St  John's  to  UCLA  Medical  Center  because  St  John's  more  human  scaled  with  better  personal  service     Choke  points  exist  in  traffic  at  Santa  Monica  Bl  and  Cloverfield  as  well  as  Broadway  and  Cloverfield  During  rush  hour   traffic  bumper  to  bumper  on  Broadway  between  Cloverfield  and  20th  St  if  not  beyond.  Also  case  on  Cloverfield  from   Santa  Monica  Bl  to  freeway  and  on  20th  St  from  Santa  Monica  Bl  to  Olympic  Can't  handle  traffic  and  congestion  we  have   already  let  alone  additional  traffic  that  800,000  square  feet  of  development  will  create.  This  one  of  the  main  reasons   why  Hines  Project  was  eventually  rejected     St  John's  wants  20  year  blank  check  to  complete  construction  of  buildings.  Anything  can  happen  over  20  years.  Situation  now  quite  different  than  in  1996.  Situation  probably  will  be  quite   different  20  years  from  now  Individual  building  approval  should  be  done  as  need  arises  over  20  years  using  current   standard  approval  process ‐obtain  Development  Review  Permit  for  each  building, then  obtain  a  building  permit  for  that   building  within  18  months  after  the  Development  Review  Permit  and  then  completion  of  that  building  within  5  years   after  building  permit ‐but  no  open  ended  blank  checks  good  for  20  years  Planning  Commission  also  supported  this   approach     S5  Visitor  Housing  building  on  Broadway  is  proposed  as  6  stories, 73  feet  high.  Not  consistent  with  S2  Multifamily   Housing  building  and  S1  Child  and  Family  Development  Center  both  of  which  are  3  stories.  Broadway  is  a  small  street   with  one  lane  of  traffic  in  each  direction.  6  story  building  on  Broadway  not  compatible  with  neighborhood.  Request  S5   Visitor  Housing  Building  also  be  3  stories, 36  feet  high     Closing  off  existing  21st  St  to  thru  traffic  defeats  the  purpose  of  adding  2  new  streets ‐20th  Place  and  22nd  St.  Therefore   keep  21st  St  open  to  thru  traffic     St  John's  proposes  that  only  2  of  their  10  replacement  housing  units  be  deed ‐restricted, violates  the  30% rule.  Make  3   of  the  10  units  deed ‐restricted   2