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[00:00:01]

GOOD AFTERNOON, EVERYONE.

[1. Call to Order NOTICE OF OPTION TO RECESS INTO EXECUTIVE SESSION Pursuant to A.R.S. §38-431.02, notice is hereby given to the members of the Commission and to the general public that, at this regular meeting, the Commission may vote to go into executive session, which will not be open to the public, for legal advice and discussion with the City’s attorneys for legal advice on any item listed on the following agenda, pursuant to A.R.S. §38-431.03(A)(3).]

I WOULD LIKE TO CALL THE PLANNING AND ZONING COMMISSION MEETING.

WEDNESDAY, NOVEMBER 9TH, 2022.

TO ORDER. AND IF WE COULD HAVE A CALL TO ORDER.

[2. Roll Call NOTE: One or more Commission Members may be in attendance telephonically or by other technological means. MARIE JONES, CHAIR CAROLE MANDINO, VICE CHAIR DR. RICARDO GUTHRIE BOB HARRIS, III MARY NORTON DR. ALEX MARTINEZ LLOYD PAUL ]

SO. NOTICE OF THE OPTION TO RECESS INTO EXECUTIVE SESSION PURSUANT TO ARS 38 431.02. NOTICE IS HEREBY GIVEN TO THE MEMBERS OF THE COMMISSION AND TO THE GENERAL PUBLIC THAT AT THIS REGULAR MEETING, THE COMMISSION MAY VOTE TO GO INTO EXECUTIVE SESSION, WHICH WILL NOT BE OPEN TO THE PUBLIC.

FOR LEGAL ADVICE AND DISCUSSION WITH THE COUNTY ATTORNEY OR THE CITY'S ATTORNEY.

FOR LEGAL ADVICE ON ANY ITEM LISTED ON THE FOLLOWING AGENDA PURSUANT TO ARS 38431.03 AC. AND THEN I ALSO WANTED TO LET YOU KNOW THAT IF YOU WOULD LIKE TO SPEAK ON OUR TOPIC LATER ON ABOUT THE THE NORTHERN ARIZONA HEALTH CARE HOSPITAL CAMPUS, IF YOU WOULD FILL OUT A SPEAKER CARD.

I BELIEVE THEY'RE LOCATED ON THE BACK TABLE AND THE BACK OF THE ROOM.

AND THEN IF YOU COULD GIVE IT TO BECKY WHEN YOU'RE DONE, BECKY, IF YOU RAISE YOUR HAND SO THEY KNOW WHO YOU ARE, YOU'LL WILL BE TAKING COMMENTS.

ONCE WE GET TO THAT ITEM.

BUT IF YOU WANT TO GO AHEAD AND PREPARE YOUR COMMENTS OR YOUR SPEAKER'S CARD TO GIVE TO HER, YOU'LL HAVE 3 MINUTES FOR A COMMENT AND WE WILL BE LIMITING YOU TO THAT 3 MINUTES.

FOR THOSE OF YOU WHO ARE ON TEAMS. YOU'LL BASICALLY BE MUTED AFTER 3 MINUTES.

AND FOR THOSE OF YOU WHO ARE IN PERSON, YOU'LL SEE THE TIMER.

I SEE THE TIMER.

SO YOU'LL KNOW WHEN YOUR 3 MINUTES IS UP AND THEN WE'LL ASK YOU TO LEAVE AT THAT THREE MINUTE INTERVAL.

SO. AT THIS TIME ANY MEMBER OF THE PUBLIC MAY ADDRESS THE COMMISSION ON ANY SUBJECT WITHIN THEIR JURISDICTION THAT IS NOT SCHEDULED BEFORE THE COMMISSION TODAY.

SO DUE TO OPEN MEETING LAWS, THE COMMISSION CANNOT DISCUSS OR ACT ON ITEMS PRESENTED DURING THIS PORTION OF THE AGENDA AND TO ADDRESS THE COMMISSION ON AN ITEM THAT IS ON THE AGENDA.

PLEASE WAIT UNTIL WE CALL FOR PUBLIC COMMENT AT THAT TIME THAT THE ITEM IS HEARD.

DOES ANYBODY HAVE ANY PUBLIC COMMENT ON ITEMS THAT ARE NOT ON THE AGENDA TODAY? OK SEEING NONE AND NOT SEEING ANY HANDS RAISED ON TEAMS.

[4. APPROVAL OF MINUTES Approval of the minutes from the regular meeting on Wednesday, October 26, 2022.]

I WILL GO INTO APPROVAL OF THE MINUTES OF THE REGULAR MEETING ON WEDNESDAY, OCTOBER 26TH, 2022.

ALL OF YOU SHOULD HAVE RECEIVED THE MINUTES.

IS THERE A MOTION TO ACCEPT THESE MINUTES? I'LL MOVE TO APPROVE THE MINUTES FROM OCTOBER 26TH.

OKAY. MARY MADE THE MOTION IS THERE A SECOND.

I'LL SECOND IT. THANK YOU.

AND ALEX MARTINEZ MADE THE SECOND.

ALL IN FAVOR.

PLEASE SAY AYE, AYE.

ALL OPPOSED.

ANY OPPOSED.

THE MINUTES HAVE BEEN APPROVED.

[A. PZ-21-00126: Northern Az Healthcare Hospital Campus A Minor Flagstaff Regional Plan 2030 Amendment request, by Northern Arizona Healthcare (NAH) Corporation, to change the place type designation within a future suburban activity center (S16) from neighborhood scale to regional scale on Maps 21, 22, and 24; move the center point of a future suburban activity center (S16) north and east on Maps 21, 22, and 24; change the area type designation on Map 21 and 22 from Area in White to Existing Employment for approximately 28 acres; and realign a future circulation road corridor on Map 25 on property located at 1120 W. Purple Sage Trail. This Minor Regional Plan Amendment request is the precursor to two other entitlement cases including a new Specific Plan and a Concept Zoning Map Amendment. STAFF RECOMMENDED ACTION: Staff recommends the Planning and Zoning Commission forward the Minor Flagstaff Regional Plan 2030 Amendment to the City Council with a recommendation for approval in accordance with the findings.]

SO NOW WE'LL GO INTO THE PUBLIC HEARING, WHICH IS ON PZ 21-00126.

NORTHERN ARIZONA HEALTH CARE HOSPITAL CAMPUS.

AND I'LL ASK A STAFF MEMBER TO PLEASE PRESENT.

THANK YOU SO MUCH, CHAIRMAN AND COMMISSIONERS.

MY NAME IS TIFFANY ANTOL, THE ZONING CODE MANAGER WITH THE CITY OF FLAGSTAFF.

[00:05:02]

AND TONIGHT I'M HERE TO PRESENT THE NORTHERN ARIZONA HEALTH CARE HEALTH VILLAGE MINOR REGIONAL PLAN AMENDMENT.

AND I APOLOGIZE THAT THIS IS THE WORDIEST PRESENTATION YOU'LL SEE FOR ME AND DEVOID OF PICTURES, BUT YOU'LL UNDERSTAND WHY SOON.

SO THIS IS A REQUEST FOR A MINOR AMENDMENT TO THE FLAGSTAFF REGIONAL PLAN BY NORTHERN ARIZONA HEALTH CARE CORPORATION.

AND THERE ARE FOUR COMPONENTS OF THIS REQUEST.

THE FIRST PORTION OF THIS REQUEST IS TO CHANGE THE PLACE TYPE DESIGNATION WITHIN A FUTURE SUBURBAN ACTIVITY CENTER FROM NEIGHBORHOOD SCALE TO REGIONAL SCALE, TO MOVE THE CENTER POINT OF A FUTURE SUBURBAN ACTIVITY CENTER NORTH AND EAST ON MAPS WITHIN THE REGIONAL PLAN AND TO CHANGE THE AREA TYPE DESIGNATION FROM AREA IN WHITE, AS WELL AS EXISTING RURAL AND FUTURE SUBURBAN TO EXISTING EMPLOYMENT, AND REALIGN A FUTURE CIRCULATION ROAD CORRIDOR WITHIN THE PLANNING AREA.

THIS MINOR REGIONAL PLAN AMENDMENT REQUEST IS THE PRECURSOR TO TWO OTHER ENTITLEMENT CASES, INCLUDING A NEW SPECIFIC PLAN AND A CONCEPT ZONING MAP AMENDMENT.

SO THE ONE THING THAT I WOULD TELL YOU TONIGHT IS, IS THAT A MINOR REGIONAL PLAN AMENDMENT IN AND OF ITSELF IS NOT PROJECT SPECIFIC.

WE WILL BE LOOKING AT THIS TO SEE IF THE REQUESTS TO AMEND THE REGIONAL PLAN ARE IN ALIGNMENT WITH THE CURRENT VISION WITHIN OUR REGIONAL PLAN AND ARE CONSISTENT WITH THE GOALS AND POLICIES OF OUR REGIONAL PLAN.

IT ISN'T, HOWEVER, IMPOSSIBLE TO DIVORCE THIS CONVERSATION FROM WHAT THE PROPOSED FUTURE DEVELOPMENT IS OR WHAT THIS REGIONAL PLAN AMENDMENT WILL SUPPORT. SO YOU'RE LIABLE TO HEAR A LOT ABOUT THE PROJECT TONIGHT.

YOU'RE LIABLE TO HEAR A LOT OF CONCERNS AND HOPES AND DREAMS FOR THIS PROJECT.

BUT THIS PROJECT WILL BE COMING FORWARD TO YOU IN SEPARATE APPLICATIONS.

THE REGIONAL PLAN ITSELF DOES NOT GRANT THE ENTITLEMENTS.

THE ZONING ON THE PROPERTY WILL REMAIN THE SAME.

SO I JUST WANTED TO ASSURE YOU OF THAT.

AND LASTLY, IF THIS MINOR REGIONAL PLAN AMENDMENT IS APPROVED AND SAY THE ENTITLEMENT CASES DO NOT MOVE FORWARD, WE ARE IN THE PROCESS OF MOVING FORWARD WITH A REGIONAL PLAN UPDATE.

SO THAT DOCUMENT DOES NEED TO BE UPDATED EVERY TEN YEARS.

IT WAS LAST APPROVED IN 2013, SO IT IS DUE.

IT'S TIME FOR REVIEW AND ANALYSIS AND SO THERE'S AMPLE TIME TO ADDRESS IF THE ENTITLEMENT CASES DO NOT MOVE FORWARD WITH THIS PROJECT, IF THESE MINOR REGIONAL PLAN AMENDMENTS WERE THE RIGHT MOST APPROPRIATE THING FOR THE REGIONAL PLAN.

SO WITH THAT, I WILL GIVE YOU A SYNOPSIS OF THE SITE AND A LITTLE BIT ABOUT THE PROJECT.

SO THE SUBJECT PROPERTY IS APPROXIMATELY 172 ACRES.

AND IT RIGHT NOW IS 17 DIFFERENT PARCELS OF LAND.

MOST OF THE SITE IS VACANT, BUT SOME OF THESE WERE DEVELOPED WITH SINGLE FAMILY RESIDENTIAL HOMES.

SINCE THE PROPERTY IS IS ZONED IN THE RURAL RESIDENTIAL ESTATE, RESIDENTIAL AND A SMALL, LITTLE TINY PIECE IS SINGLE FAMILY RESIDENTIAL.

SO THE PROPOSED DEVELOPMENT THAT YOU'RE LIKELY TO SEE MOVE FORWARD IN THOSE ENTITLEMENT CASES IS APPROXIMATELY 1.26 MILLION SQUARE FEET OF HOSPITAL AND MEDICAL OFFICES, ABOUT 315 RESIDENTIAL DWELLING UNITS AS PART OF A MIXED USE DEVELOPMENT.

APPROXIMATELY 290,000 SQUARE FEET OF NONRESIDENTIAL USES, INCLUDING RETAIL AND LODGING.

APPROXIMATELY 250,000 SQUARE FEET OF RESEARCH AND DEVELOPMENT USES, INCLUDING LIGHT MANUFACTURING AND OTHER RELATED USES, THINGS YOU WOULD FIND WITHIN A BUSINESS PARK. AND APPROXIMATELY 31.2 ACRES OF DESIGNATED OPEN SPACE.

I WOULD JUST REMEMBER THAT ALL OF THESE NUMBERS ARE APPROXIMATE.

THEY'RE STILL IN FLUX AND COULD CHANGE BY THE TIME WE GET TO THE ENTITLEMENT CASE.

BUT YOU'LL SEE HERE ON THE MAP WHERE THE PROPERTY IS LOCATED AND THE 17 PARCELS THAT WE'RE TALKING ABOUT, IT IS JUST NORTH OF THE FORT TUTHILL RECREATION AREA.

IT IS ACROSS I-17 FROM PONDEROSA TRAILS.

IT IS TO THE SOUTH OF AN UNINCORPORATED COMMUNITY KNOWN AS MT.

DALE AND A LARGE SINGLE FAMILY RESIDENTIAL NEIGHBORHOOD KNOWN AS UNIVERSITY HEIGHTS.

THE SURROUNDING PROPERTY FURTHER TO THE WEST IS GENERALLY LARGE, LOT SINGLE FAMILY RESIDENTIAL ALSO WITHIN THE ESTATE, RESIDENTIAL AND RURAL RESIDENTIAL. THERE IS A LARGE PARCEL IN BETWEEN THE SUBJECT SITE AND MOUNTAIN DALE THAT DOES HAVE SINGLE FAMILY RESIDENTIAL ZONING.

[00:10:03]

SUBDIVISION PLAT WAS PROPOSED THERE MANY YEARS AGO, ABOUT NINE OR TEN YEARS AGO, AND TO DATE THAT SUBDIVISION HAS NOT MOVED FORWARD.

SO IN TALKING ABOUT THE PLAN AMENDMENT, WE NEED TO TALK ABOUT WHAT ALL OF THESE THINGS MEAN, THE PLACE TYPES, ALL THIS GOOD STUFF.

SO THE THE FUTURE GROWTH ILLUSTRATION MAPS, WHICH ARE REALLY MAPS 21 AND 22, ONE IS AT A CITY SCALE AND ONE IS AT A REGIONAL SCALE.

THEY HAVE TWO TYPES OF LAND USE DESIGNATION.

THESE INCLUDE AREA TYPES WHICH DESCRIBE THE PLACEMAKING CONTEXT OF URBAN, SUBURBAN, RURAL OR EMPLOYMENT, AND THEN THE PLACE TYPES SUCH AS ACTIVITY CENTERS, CORRIDORS AND NEIGHBORHOODS, WHICH PROVIDE THE FRAMEWORK FOR THE DENSITY, INTENSITIES AND MIX OF USES WITHIN THE AREA TYPES. THIS APPLICATION PROPOSES TO CHANGE THE PLACE TYPE OF A FUTURE SUBURBAN ACTIVITY CENTER, WHICH IS LABELED ON ALL OF THE MAPS S16 FROM A NEIGHBORHOOD SCALE TO A REGIONAL SCALE, AND TO RELOCATE THE CENTER POINT OF THE SAME ACTIVITY CENTER OVER THE PROJECT SITE.

SO YOU CAN SEE BOTH OF THESE THINGS HAPPENING ON THIS MAP, AND I'LL JUST DESCRIBE THEM BECAUSE I KNOW THE LEGEND IS VERY SMALL.

UP HERE IS THE EXISTING REGIONAL PLAN MAP.

THE BLACK CIRCLE ON THIS SIGNIFIES THAT IT IS A NEIGHBORHOOD SCALE REGIONAL ACTIVITY CENTER.

SO ON THE PROPOSED MAP, THAT CIRCLE CHANGES TO RED, WHICH CLARIFIES THAT IT WOULD BE REGIONAL.

THE CENTER POINT OF THIS ACTIVITY CENTER ALSO MOVES AND IT MOVES TO LOCATE ITSELF DIRECTLY OVER WHAT WOULD BE THE PRIMARY POINT OF THIS DEVELOPMENT, WHICH IS THE HOSPITAL ITSELF, BUT STILL IN ALIGNMENT WITH ONE OF THE OTHER MAP, ONE OF THE OTHER MAP AMENDMENTS THAT'S PROPOSED, WHICH IS A REALIGNMENT OF THE PROPOSED ROAD NETWORK, WHICH I'LL GET TO IN A MINUTE.

ACTIVITY CENTERS ARE MIXED USE AREAS WHERE THERE IS A CONCENTRATION OF COMMERCIAL AND OTHER LAND USES TYPICALLY DEFINED BY A PEDESTRIAN SHED.

SO THINK OF THAT CENTER DOT AS THE ACTIVITY CENTER.

THE ROUND CIRCLE IS THAT PEDESTRIAN SHED, WHICH IS GENERALLY ABOUT A QUARTER MILE.

THE SUBURBAN ACTIVITY CENTER, CAN SERVE A REGIONAL OR NEIGHBORHOOD SCALE.

THE ACTIVITY CENTER FOR THIS SITE IS CURRENTLY IDENTIFIED AS NEIGHBORHOOD SCALE.

NEIGHBORHOOD SUBURBAN ACTIVITY CENTERS ARE INTENDED TO BE SMALLER, MIXED USE CENTERS AT THE INTERSECTION OF COLLECTOR STREETS AND NEIGHBORHOOD ACCESS ROADS, PROVIDING CONNECTIONS TO LOCAL GOODS AND SERVICES, PUBLIC SPACES, TRANSIT AND THE FOOTS TRAIL.

REGIONAL SUBURBAN ACTIVITY CENTERS ARE LARGER MIXED USE CENTERS AT INTERSECTIONS OF ARTERIAL ROADS AND COLLECTOR STREETS WITH ACCESS TO LARGE RESIDENTIAL DEVELOPMENTS, INCLUDING ENTERTAINMENT AND CULTURAL AMENITIES, PUBLIC SPACES AND TRANSIT WITH AN INFINITE EMPHASIS ON BOTH RESIDENTS AND VISITORS.

SO WHAT'S THE BIG CHANGE THERE? THEY'RE BOTH MIXED USE ACTIVITY CENTERS.

ONE IS AT THE CENTER OF SMALLER ROADS AND ONE IS AT THE CENTER OF ARTERIAL AND COLLECTOR ROADS.

THIS EXISTING ACTIVITY CENTER HAS ALWAYS BEEN PROPOSED AT THE INTERSECTION OF TWO ARTERIAL ROADWAYS.

BUT IT WAS DEEMED AND CONSIDERED TO BE A NEIGHBORHOOD ACTIVITY CENTER.

LARGELY BECAUSE THIS IS A FUTURE AREA FOR DEVELOPMENT.

SORT OF UNKNOWN, ALTHOUGH WE'VE HAD PAST DEVELOPMENT PROPOSALS FOR THIS AREA.

AND THAT'S WHERE THIS PARTICULAR ROAD ALIGNMENT COMES FROM.

OUR PREVIOUS DEVELOPMENT PROPOSALS THAT WERE PRIMARILY RESIDENTIAL IN NATURE.

SO IN ADDITION.

THIS ACTIVITY OR IN ADDITION, THIS APPLICATION PROPOSES TO CHANGE THE AREA TYPE OF AREAS IN WHITE, RETAIN THEIR EXISTING ENTITLEMENTS.

THAT'S A PRETTY INTERESTING TITLE FOR A LAND USE CATEGORY.

ESSENTIALLY, THIS LAND USE CATEGORY WAS PRIMARILY APPLIED TO PUBLIC LANDS, LANDS THAT WE WEREN'T REALLY SURE STATE FEDERAL.

BUT IN THE THE LAND USE MAP IS NOT 100% VERY SPECIFIC.

THEY ARE LARGER BLOBS.

IT'S NOT MEANT TO BE A ZONING MAP.

IT WAS MEANT TO HAVE BLURRED BOUNDARIES.

SO THAT AREA IN WHITE COULD BE SORT OF AN EXTENSION OF THE FACT THAT IT'S ADJACENT TO A REGIONAL PARK.

AND THAT COULD BE ONE OF THE REASONS WHEN LOOKING AT AN AREA THAT IS CONSIDERED TO BE AREA IN WHITE, NO MATTER WHAT WE'RE LOOKING.

AND IF THERE IS AN ENTITLEMENT CASE PROPOSED, WE ARE LOOKING AT DOING A REGIONAL PLAN AMENDMENT TO ACCOMMODATE A SPECIFIC LAND USE CATEGORY WITH IT.

[00:15:04]

SO IN THIS CASE, THE REQUEST IS TO CHANGE THE AREA IN WHITE AND A SMALL PORTION OF WHAT IS LISTED AS EXISTING RURAL AND FUTURE SUBURBAN TO EMPLOYMENT.

THAT EMPLOYMENT CATEGORY IS ONE OF THE MORE PROTECTED CATEGORIES WITHIN THE REGIONAL PLAN.

IT IS ALSO BEEN ONE OF THE CATEGORIES THAT WE'VE SEEN A LARGE REDUCTION IN PRIMARILY TO SUPPORT OPEN SPACE ON MCMILLEN MESA.

BUT IT IS A CATEGORY WE HAVE LOST OVER TIME.

AND SO THIS WOULD ADD BACK ACREAGE INTO THAT EMPLOYMENT CATEGORY.

FOR THAT AREA WITH THE SITE REMAINING EXISTING RURAL AND FUTURE SUBURBAN FUTURE APPLICATIONS FOR THE SPECIFIC PLAN AND THE ZONING MAP AMENDMENT WILL BE EVALUATED UNDER THE SUBURBAN AND REGIONAL ACTIVITY CENTER GOALS AND POLICIES FOR PLAN CONFORMANCE.

SO WHEN, WHEN AND AFTER THIS, IF THIS IS APPROVED TONIGHT, WHEN THE ENTITLEMENT CASES MOVE FORWARD, THEY WILL BE EVALUATED BASED ON THE GOALS AND POLICIES OF EACH OF THE AREA TYPES WITHIN THIS ACREAGE.

AND LASTLY, THE APPLICATION PROPOSES TO REALIGN A FUTURE TRANSPORTATION CORRIDOR.

THE CURRENT MAP 25 WITHIN THE REGIONAL PLAN SHOWS A REALIGNMENT OF THE EXISTING BEULAH BOULEVARD FROM ITS CURRENT LOCATION ADJACENT TO INTERSTATE 17, FURTHER WEST ALONG THE EASTERN BOUNDARY OF FORT TUTHILL.

SO THAT IS THIS BLUE LINE HERE THAT YOU'RE SEEING ON THE EXISTING MAP.

THIS IS OUR EXISTING REGIONAL PLAN MAP.

SO THE PRIMARY PURPOSE FOR THAT, FOR THAT RELOCATION OF MOVING BEULAH BOULEVARD AWAY FROM I-17 WAS SPECIFICALLY BECAUSE THE BELIEF WAS THAT THAT'S WHAT WAS NECESSARY IN ORDER TO ACCOMMODATE THIS CROSSING OF I-17 BECAUSE OF TOPOGRAPHY. THE APPLICANT HAS WORKED WITH STAFF, AND WE ARE STILL IN THE PROCESS OF FIGURING OUT ALL OF THE EXACT DIMENSIONS.

BUT WE FEEL FAIRLY CONFIDENT THAT WITH THE PROPOSED ROAD NETWORK REALIGNMENT, WHICH KEEPS BEULAH IN ITS CURRENT CONFIGURATION AND CREATES A NEW COLLECTOR ROAD THROUGH THEIR SITE, THAT THE UNDERPASS AND IN THIS CASE WE'RE LOOKING AT AN UNDERPASS INSTEAD OF AN OVERPASS, COULD STILL ACTUALLY BE ACCOMMODATED WITH LEAVING BEULAH IN ITS CURRENT CONFIGURATION.

SO BEULAH WOULD REMAIN A NEW COLLECTOR ROAD IS ADDED TO THE LOCATION AND IT ACTUALLY WOULD HAVE TWO ROAD NAMES.

THIS BLUE LINE BASICALLY BECOMES THE EXTENSION OF WOODY MOUNTAIN ROAD.

OKAY, SO OVER HERE, THIS IS WOODY MOUNTAIN ROAD, THE INTERSECTION OF WOODY MOUNTAIN ROAD AND BEULAH.

NOW, WHAT YOU HAVE IS THE INTERSECTION OF WOODY MOUNTAIN ROAD AND BEULAH CLOSER TO I-17.

SO THE FINDINGS, THE PLANNING AND ZONING COMMISSION SHALL FIND THAT THE PROPOSED MINOR REGIONAL PLAN AMENDMENT MEETS THE REQUIREMENTS OF THE GENERAL PLAN AND SUBDIVISION CODE.

AND IN CONSIDERING THE REQUEST FOR AN AMENDMENT TO THE PLAN, THE GOALS AND POLICIES BE CONSIDERED TO ENSURE THAT THE REQUESTED CHANGE TO THE FUTURE GROWTH ILLUSTRATION IS IN CONFORMANCE WITH THE OVERALL VISION OF THE REGIONAL PLAN.

GENERAL PLANS ARE NOT STATIC DOCUMENTS.

THEY RECOGNIZE GROWTH AS A DYNAMIC PROCESS, WHICH MAY REQUIRE REVISIONS TO THE PLAN AS CIRCUMSTANCES OR CHANGES WARRANT.

SO THE ONE THING THAT I WANT TO BE CLEAR ABOUT IN THE DISCUSSION OF THE REGIONAL PLAN, AND I HAVE THE VISION UP HERE, IS IS THAT THE GOALS AND POLICIES PICKED AND PROVIDED ARE REALLY SPECIFIC TO THESE PARTICULAR REQUESTS AND CHANGES IN TERMS OF THE ACTIVITY CENTER, THE PLACE TYPE AND THE AREA TYPE AND IN TERMS OF RELOCATION OF THE ROAD.

SO THIS IS NOT THE FULL REGIONAL PLAN ANALYSIS FOR THE ENTITLEMENT CASE FOR THE HOSPITAL.

BELIEVE ME, THAT WILL BE MUCH MORE BROAD AND LENGTHY.

SO I JUST WE WANTED TO GIVE YOU THAT HIGHLIGHT OF, AGAIN, NOT NOT MAKING THIS DECISION BASED ON WHAT THAT FUTURE ENTITLEMENT CASES, EVEN THOUGH I KNOW ALL OF THE SECRETS AND I'M NOT SHARING THEM WITH YOU.

BUT, YOU KNOW, SO AGAIN, THE POLICY ANALYSIS ON THIS IS REALLY FOCUSING ON THESE VERY SPECIFIC CHANGES.

AND IF THESE ARE APPROPRIATE CHANGES BASED ON OUR CURRENT GOALS AND POLICIES WITHIN THE REGIONAL PLAN.

SO THE REGIONAL PLANNING GOALS AND POLICIES RELATED TO ACTIVITY CENTERS INCLUDE SUPPORT FOR WELL-DESIGNED CENTERS WITH A VARIETY OF USES.

DEVELOPMENT RELATED TO THE APPROPRIATE CONTEXT OF THE AREA TYPE THE URBAN, SUBURBAN OR RURAL, AND THAT THE CENTER AND CORRIDOR BE DEVELOPED IN RELATION TO THE REGIONAL OR

[00:20:06]

NEIGHBORHOOD SCALE. THE FUTURE ACTIVITY CENTER MEETS MANY OF THE FEATURES THAT RELATE TO REGIONAL SCALE DEVELOPMENT, SUCH AS BEING LOCATED AT THE INTERSECTION OF ARTERIAL ROADWAYS. SO THE REGIONAL, THE ACTIVITY CENTER ITSELF DICTATES THAT DENSITY AND INTENSITY OF USE.

IT CALLS FOR HIGHER FLOOR AREA RATIOS, BASICALLY A MORE INTENSE DEVELOPMENT WITHIN THAT REGIONAL CORE.

IT'S NOT HUGELY DIFFERENT FROM NEIGHBORHOOD, BUT IS IS STILL IT'S DEFINITELY MORE INTENSE AND IS DEFINITELY MEANT TO BE A REGIONAL ATTRACTION.

IT'S MEANT TO HOUSE OR FACILITATE A REGIONAL DEVELOPMENT.

A REGIONAL ACTIVITY CENTER MAKES SENSE AT THIS LOCATION ALSO BECAUSE IT IS ADJACENT TO ANOTHER REGIONAL FACILITY, WHICH IS THE FORT TUTHILL PARK.

SO THERE ARE NUMEROUS REASONS WHY ACCOMMODATING A REGIONAL ACTIVITY CENTER IS APPROPRIATE.

AGAIN, THE ARTERIAL ROADWAYS AND THEN ALSO MOVING THAT ACTIVITY CENTER CLOSER TO THOSE ARTERIAL ROADWAYS FURTHER AWAY FROM RURAL RESIDENTIAL NEIGHBORHOODS.

ALSO, THERE HAVE BEEN NO PRIVATE DEVELOPMENT REQUESTS TO MODIFY A FUTURE ACTIVITY CENTER SINCE THE REGIONAL PLAN WAS ADOPTED.

SO THE MIX OF LAND USE ZONING TYPES WITHIN DESIGNATED ACTIVITY CENTERS HAS CHANGED LITTLE FROM YEAR TO YEAR, SO THERE'S NOT A LOT TO PRESENT TO YOU.

WHAT THAT MEANS IS SARAH AND HER TEAM HAVE PRIMARILY GOTTEN IT RIGHT IN TERMS OF THE ACTIVITY CENTERS TO DATE.

YOU KNOW, WE'VE BEEN ABLE TO WORK WITH THEM, BUT IN A LOT OF WAYS, WITH THESE FUTURE ACTIVITY CENTERS, WHEN YOU REALLY GET INTO THE DEPTHS OF THE REGIONAL PLAN, IT TALKS ABOUT SPECIFIC PLANNING FOR THESE ACTIVITY CENTERS, WHICH IS EXACTLY WHAT THE NEXT ENTITLEMENT CASE IS FOR THIS PARTICULAR SITE.

SO IT LETS US GET INTO THOSE REAL FINE POINT DETAILS OF HOW TO DEVELOP THIS ACTIVITY CENTER.

SINCE 2014, THE BALANCE OF ZONING HAS CHANGED IN THE FOLLOWING WAYS.

COMMERCIAL ZONING HAS INCREASED BY 50 ACRES, PUBLIC OPEN SPACE, ZONING BY 42 ACRES AND RESIDENTIAL BY 291.

TRANSECT ZONES AND HAVE INCREASED BY 3 ACRES.

INDUSTRIAL SPACE HAS DECREASED BY 56 ACRES.

MUCH OF THIS CHANGE HAS BEEN THE RESULT OF TWO SPECIFIC PLANS, AND THAT'S SPECIFIC TO ACTIVITY CENTERS, AND THAT CAME FROM THE SOUTH SIDE AND THE HIGH OCCUPANCY HOUSING PLANS, BOTH WHICH RECALIBRATED THE LOCATION OF ACTIVITY CENTERS AND THEIR MIX OF USES.

SO THOSE ACTIVITY CENTERS ARE PRIMARILY FOCUSED IN AND AROUND OUR HISTORIC DOWNTOWN AND OUR SOUTHSIDE NEIGHBORHOODS.

THIS DIDN'T HAVE THE SAME LEVEL OF FOCUS ON THESE FUTURE ACTIVITY CENTERS THAT HAVE STILL YET TO BE PLANNED FOR.

FUTURE CHANGES TO ACTIVITY CENTERS ARE, LIKE I SAID, STILL EXPECTED WITH CURRENT WORK, FOCUSING ON INTERPRETING THE SPECIFIC LAND PARCELS THAT ARE SHOULD BE INCLUDED WITHIN THOSE ACTIVITY CENTERS.

THIS WORK MAY INCREASE THE TOTAL LAND AREA DESIGNATED AS PART OF AN ACTIVITY CENTER.

SO, YOU KNOW, JUST LIKE THE WORLD ISN'T FLAT, THE EARTH ISN'T FLAT, AND ACTIVITY CENTER ISN'T MEANT TO ALWAYS BE CONTAINED WITHIN REALLY THAT QUARTER MILE PEDESTRIAN SHED.

I THINK SARAH WOULD AGREE THAT ACTIVITY CENTERS ARE REALLY MEANT TO BE SORT OF FLUID.

AND THIS SPECIFIC PLAN FOR THIS PARTICULAR ACTIVITY CENTER WILL GO A LONG WAY TOWARDS HELPING US FIGURE OUT WHAT WILL BE THE COMPATIBLE USES WITHIN THAT PEDESTRIAN SHED, MAKING SURE WE GET THE RIGHT LEVEL OF DENSITY AND INTENSITY, AND THEN WORKING WITH THE SURROUNDING LAND USES AS IT MOVES OUTSIDE OF THAT PEDESTRIAN SHED.

SO THE RELOCATION OF THIS ACTIVITY CENTER HAS THE POTENTIAL TO ADD ABOUT 63 ACRES OF COMMERCIAL SPACE AND 35 ACRES OF PUBLIC SPACE.

IF A ZONING MAP AMENDMENT IS APPROVED, AS WELL AS THE 28 ACRES OF RESEARCH AND DEVELOPMENT, WHICH IS ONE OF THE CATEGORIES INDUSTRIAL THAT WE'VE LOST THE MOST OF.

OOPS. SO THERE WE GO.

THAT 28 ACRES ARE PROPOSED TO HAVE THEIR AREA TYPE CHANGE TO EMPLOYMENT.

AND SINCE THE RE ADOPTION OF THE REGIONAL PLAN, THERE'S ONLY BEEN ONE AMENDMENT INCREASING THE EMPLOYMENT AREA TYPE, WHICH YOU JUST DID EARLIER, I THINK IT WAS THIS YEAR.

I THINK IT WAS STILL THIS YEAR THAT WE DID FOR RESTORATION SOILS TO ADD HEAVY INDUSTRIAL ZONING.

SO OUTSIDE OF THAT SMALL MINOR PLAN AMENDMENT, WE'VE DONE LITTLE TO ADD MORE EMPLOYMENT CATEGORY.

THE SITE IS ALSO WELL SERVED BY AN INTERCHANGE, IS ALSO WITHIN CLOSE PROXIMITY TO THE AIRPORT, MAKING IT A GOOD

[00:25:01]

LOCATION FOR AN EMPLOYMENT AREA.

AND LASTLY, THE PROPOSED AMENDMENT IS SUPPORTED BY SEVERAL GOALS AND POLICIES WITHIN THE PLAN, AND THE PROPOSED LOCATION IS AN IDEAL CANDIDATE.

SO THE ROAD NETWORK ILLUSTRATION SHOWS BEULAH BOULEVARD MOVED WEST OF ITS CURRENT LOCATION TO ACCOMMODATE THAT FUTURE UNDERPASS ACROSS I-17.

THIS UNDERPASS IS IMPORTANT FOR THE FUTURE TRANSPORTATION NETWORK BECAUSE IT WOULD HELP REDUCE TRIPS AT THE AIRPORT TRAFFIC INTERCHANGE AS WELL AS LAKE MARY ROAD AND BEULAH BOULEVARD, AND WILL ASSIST WITH LOWERING VEHICLE MILES.

VEHICLE MILES TRAVELED WITHIN FLAGSTAFF, WHICH DOES MOVE TOWARDS OUR CARBON NEUTRALITY GOALS AS WELL.

THE APPLICANT IS NOT ANTICIPATING CONSTRUCTING THIS UNDERPASS.

WE ARE NOT ANTICIPATING IT TO BE PART OF THEIR MITIGATION AT ALL.

IT IS DEFINITELY SOMETHING THAT IS MUCH FURTHER IN THE FUTURE.

BUT BUT LEAVING THE POSSIBILITY OPEN AND MAKING SURE THAT AS WE'RE INVESTING MONEY AND PUTTING MONEY IN CONSIDERABLE AMOUNT OF INFRASTRUCTURE, THAT WE'RE MAINTAINING THAT POSSIBILITY.

SO THE INTERSECTION OF BEULAH BOULEVARD AND PURPLE SAGE WILL BE CONDITIONED WITH ANY SUBSEQUENT SUBSEQUENT ENTITLEMENT CASE TO BE DESIGNED AND CONSTRUCTED TO ACCOMMODATE A FUTURE UNDERPASS ACROSS I-17.

SO WHAT DOES THIS MEAN? IT MEANS LIKELY THAT THAT INTERSECTION IS GOING TO COME LOWER.

SO RIGHT NOW, WE'RE IT FEELS LIKE THE ROAD IS MOVING SORT OF AT A LEVEL LINE.

IT IS GOING TO DROP THAT INTERSECTION DOWN SO THAT IT DOESN'T MAKE IT FINANCIALLY INFEASIBLE TO BUILD THAT UNDERPASS IN THE FUTURE.

AND THE CITIZEN PARTICIPATION PLAN.

SO THE APPLICANT HAS HELD THEY'VE HAD THEIR THREE REQUIRED NEIGHBORHOOD MEETINGS, BUT THE APPLICANT HAS HELD LOTS OF NEIGHBORHOOD MEETINGS AND THEY'VE BEEN TO LOTS OF MEETINGS AND THE LIST IS VERY LONG.

MOST OF THOSE MEETINGS HAVE REALLY FOCUSED ON THE ENTITLEMENT CASES THAT ARE FOLLOWING THAT SPECIFIC PLAN AND THE REZONING, BECAUSE THAT'S WHERE MOST OF THE INTENTION LIES IS IN TERMS OF WHAT THE DEVELOPMENT ACTUALLY IS RATHER THAN THE MINOR REGIONAL PLAN AMENDMENT.

I WOULD SAY THAT TONIGHT I'VE GOTTEN TWO EMAILS FOR THE COMMISSION AND SO AFTER THE APPLICANT HAS HAD THEIR TIME TO PRESENT AND IT'S PART OF THE PUBLIC COMMENT, I WOULD LIKE TO READ THOSE EMAILS TO YOU AND I'LL CHECK AND MAKE SURE I HAVEN'T GOTTEN ANYTHING ELSE.

BUT JUST SO YOU KNOW, IN TERMS OF ALL OF THESE MEETINGS AND THEY WERE VERY WELL ATTENDED BETWEEN 100 AND 154 ATTENDEES, LOTS OF GREAT QUESTIONS. PEOPLE ARE VERY ATTUNED TO THIS PROJECT.

THE COMMON THEMES OF SUPPORT INCLUDED ECONOMIC DEVELOPMENT IMPACTS, BETTER ACCESS TO CARE AND NEW CLINICAL SERVICES, AND THE OVERALL HEALTH AND WELLNESS VISION.

THE COMMON THEMES OF CONCERN INCLUDED TRANSIT AND BUS SERVICE, ACCESS TO THE NEW CAMPUS, TRAFFIC RE-USE OF THE EXISTING NAH CAMPUS HELICOPTER, AMBULANCE NOISE AND BUILDING HEIGHT, WHICH WILL ALL BE AMAZING TOPICS THAT YOU'LL GET TO TACKLE IN THE COMING MONTHS, BECAUSE I THINK IT WILL BE MONTHS, A COUPLE OF MONTHS WHEN THIS THE REST OF THIS CASE IS COMING TO YOU.

AND I THINK THE GREAT THING ABOUT YOU ALL GETTING THIS PERSPECTIVE FIRST, IT REALLY ALLOWS YOU THE TIME TO TO DELVE INTO JUST THIS PARTICULAR TOPIC AND SEE IF THIS REGIONAL PLAN IS RIGHT.

AND THEN I THINK IT HELPS NAH UNDERSTAND HOW THE COMMUNITY IS FEELING ABOUT THIS PROJECT, WHAT THE COMMISSION AND THE CITY COUNCIL ARE WEIGHING IN ON AS AS THIS ENTITLEMENT CASE IS MOVING FORWARD.

SO WITH THAT, STAFF BELIEVES THAT THE PROPOSED AMENDMENTS TO THE REGIONAL PLAN ARE SUPPORTABLE UNDER THE GOALS AND POLICIES AND GUIDELINES OF THE FLAGSTAFF REGIONAL PLAN AND WOULD RECOMMEND THE PLANNING AND ZONING COMMISSION FORWARD A RECOMMENDATION OF APPROVAL OF THE PROPOSED AMENDMENT TO CITY COUNCIL.

JUST AS A POINT OF NOTICE THIS ITEM WILL MOVE FORWARD TO THE CITY COUNCIL ON DECEMBER 6TH WILL ALSO BE A PUBLIC HEARING ITEM. SO WITH THAT, I'D LOVE TO HAND OVER THE MIC TO THE APPLICANT BECAUSE I KNOW THAT THEY HAVE INFORMATION TO SHARE WITH YOU AS WELL.

SO. TIFFANY.

YES, THANK YOU. I DON'T KNOW IF YOU WOULD WANT TO TAKE ANY QUESTIONS RIGHT NOW FROM COMMISSIONERS.

I AM HAPPY TO TAKE QUESTIONS NOW.

SO DO ANY COMMISSIONERS HAVE QUESTIONS THAT THEY'D LIKE TO ASK TIFFANY? YES, COMMISSIONER.

TIFFANY WE'RE TALKING ABOUT INFRASTRUCTURE AND THE ROADS COMING INTO THE HOSPITAL AREA.

OKAY. IS THAT GOING TO BE HELP SUBSIDIZE BY THE HEALTH CARE REQUEST CHANGE OR IS THAT GOING TO BE FOOTED BY THE TAXPAYER? THANK YOU SO MUCH, CHAIRMAN AND COMMISSIONER MARTINEZ.

AT THIS POINT IN TIME, WE ARE WORKING THROUGH THE TRAFFIC MITIGATION REQUIREMENTS.

IT IS LIABLE THAT WHEN YOU SEE THE ENTITLEMENT CASES THAT WE ARE GOING TO DO THE ENTITLEMENT, THE REZONING OF THIS IN PHASES, AND A LARGE

[00:30:06]

PART OF THAT WILL BE BECAUSE OF INFRASTRUCTURE MITIGATION AND THE COSTS OF THAT MITIGATION.

SO WE'RE CURRENTLY WORKING WITH NAH TO RESOLVE WHAT RESOURCES CAN BE ALLOCATED, HOW WE CAN WORK TOGETHER, HOW WE CAN TEAM UP TO WORK ON GRANTS IF POSSIBLE.

BUT IT IS ULTIMATELY CITY STAFF GOAL TO ENSURE THAT ALL IMPACTS ARE REASONABLY MITIGATED .

AND THE COST.

I DON'T HAVE THE ANSWER TO THAT QUESTION YET, AND IT'S STILL A TOPIC WE'RE WORKING ON.

AND WE'LL HAVE THE BEST POSSIBLE ANSWER WHEN WE COME BACK WITH THE ENTITLEMENT CASE.

SO THE ANSWER IS FLUID.

THE ANSWER IS VERY FLUID.

SO, MARY.

I JUST WANTED TO KIND OF TAG ON TO WHAT HE HAD ASKED.

SO IN THE ORIGINAL, THE WAY BEULAH IS RIGHT NOW, IT WOULD GO THROUGH THEIR SITE.

SO IF THEY WERE TO DEVELOP IT, IT'S IT'S AN ON SITE INFRASTRUCTURE NEED BY MOVING BEULAH OR LEAVING BEULAH WHERE IT IS NOW, IT NOW BECOMES OFF SITE TO THE APPLICANT. BUT PRETTY MUCH THE RESPONSIBILITY OF THE CITY AS WHAT WE JUST DISCUSSED.

SO THAT WAS SOMETHING YEAH, THAT I TOO WAS TUNED INTO.

THANK YOU SO MUCH. AND CHAIRMAN AND COMMISSIONER NORTON, JUST SO YOU KNOW THAT THERE IS A PORTION OF BEULAH THAT WILL FRONT.

SO THE MAIN ENTRANCE TO THE HOSPITAL SITE WILL BE DIRECTLY OFF OF BEULAH.

SO I WOULD CONSIDER THAT TO BE ON SITE SORT OF.

BUT THERE IS A LARGE PORTION OF BEULAH THAT IS OFF SITE THAT WE ABSOLUTELY NEED TO LOOK AT IN TERMS OF WHAT THE IMPACTS WILL BE OF THE INCREASED TRAFFIC ON BEULAH.

UM, THANK YOU.

AND THEN I WANTED TO JUST ALLUDE TO SOMETHING OR TOUCH ON SOMETHING THAT YOU ALLUDED TO AT THE BEGINNING.

YOU SAID THAT IF THE FUTURE ENTITLEMENT CASES DIDN'T PROCEED, THAT WHEN THE 2045 REGIONAL PLAN WAS UPDATED, DID I UNDERSTAND IT RIGHT, THAT MAYBE THESE SORTS OF CHANGES OR READJUSTMENTS TO THESE MAPS WOULD BE CONSIDERED FOR THAT ANYWAY? IT IS POSSIBLE.

I MEAN, ONE OF THE THINGS THAT WE TALKED ABOUT EARLY ON WAS PUTTING THIS PARTICULAR PROPOSAL WITHIN A DIFFERENT LAND USE CATEGORY ALTOGETHER.

THAT LAND USE CATEGORY WOULD HAVE REQUIRED A MAJOR REGIONAL PLAN AMENDMENT.

IT WOULD HAVE PUT IT IN THE SAME LAND USE CATEGORY AS NAU.

MAY STILL LOOK AT DOING THAT WHEN THE REGIONAL PLAN COMES ALONG, EVEN WITH THESE CHANGES AS THEY'RE PROPOSED.

BUT THERE WILL BE A LARGER ASSESSMENT WHEN WE GET TO THAT.

MAJOR REGIONAL PLAN AMENDMENTS AT THE TIME WERE MUCH MORE DIFFICULT BECAUSE THEY COULD ONLY BE HEARD DURING SPECIFIC TIMES OF THE YEAR AND THAT HAS ALSO SINCE CHANGED.

WE RECENTLY SAW A CODE AMENDMENT AS WELL IN REGARDS TO THAT, BUT WE CAN'T PROCESS AN ENTITLEMENT CASE ALONG WITH A MAJOR REGIONAL PLAN AMENDMENT.

SO, YOU KNOW, IN WORKING WITH THE APPLICANT IN LIGHT OF THEIR TIME FRAMES, THIS WAS REALLY THE BEST AVENUE.

BUT YES, I THINK THAT THERE WILL BE AN ANALYSIS OF THE SITE AND THE LOCATION AND WHAT WILL BE THE BEST, MOST APPROPRIATE LAND USE CATEGORY TO PUT IT IN.

OKAY. SO IT WAS PURPOSEFUL THAT THIS GOT BROKEN OUT TO BE ITS OWN PUBLIC HEARING.

I HAD LISTENED TO TWO OF THE NAH COMMUNITY PRESENTATIONS AS WELL AS THE DISCUSSION DURING THE COUNCIL BUDGET RETREAT.

AND OF COURSE IT'S SEEN THAT TIMELINE.

AND WHAT WAS THE ULTIMATE GOAL TO GET THIS ALL SORT OF SNAPPED UP BY THE END OF THE YEAR.

SO WHAT HAS HAPPENED SINCE THAT BUDGET RETREAT THAT HAS SORT OF SLOWED THIS DOWN AND PULLED THESE APART A LITTLE BIT? IS IT BECAUSE THERE'S JUST CONTINUED WORK ON THE TRAFFIC ANALYSIS AND ALL OF THOSE OTHER HOT TOPICS THAT WERE DISCUSSED? THANK YOU, CHAIRMAN AND COMMISSIONER NORTON.

YES, ESSENTIALLY THAT'S THE SHORT AND QUICK ANSWER.

YOU KNOW, THE THE TIMELINE WAS ALWAYS PRETTY TIGHT TO BEGIN WITH.

AND I THINK WE ALL WANT TO MOVE FORWARD WITH OUR BEST POSSIBLE FOOT FORWARD.

SO GETTING GETTING, MAKING SURE THAT WE RESOLVE COMMUNITY CONCERNS, MAKING SURE THAT WE'RE MOVING FORWARD WITH THE BEST PROJECT, WITH THE BEST MITIGATION, AND THAT WE HAVE THE ANSWERS TO ALL OF THE QUESTIONS WE'RE GOING TO TRY.

WE LIKE TO THINK THAT WE CAN, BUT ESSENTIALLY, YES, SO WE'RE REGROUPING WE'RE TAKING A DIFFERENT APPROACH, BUT WE'RE DIGGING IN DEEP ON THE OUTSTANDING ISSUES. ANY OTHER QUESTIONS FROM OTHER COMMISSIONERS? SO. OH, YES, I HAVE ONE.

COMMISSIONER MANDINO? YES, THIS IS COMMISSIONER GUTHRIE.

[00:35:08]

PUBLIC LAND AND COMMERCIAL USAGE AND EMPLOYMENT.

I'M JUST WONDERING WHAT WHAT WOULD YOU SAY IS THE BIG DIFFERENCE BETWEEN A NEIGHBORHOOD ACTIVITY CENTER AND A REGIONAL ACTIVITY CENTER? IF IT SEEMS THAT IT SEEMS TO TAKE UP THE SAME AMOUNT OF SPACE? DOES ONE PROVIDE MORE OPPORTUNITIES FOR INCREASING EMPLOYMENT OR ACTIVITIES, OR IS IT JUST THESE ARE JUST NAMES THAT HAVE BEEN CARRIED OVER FROM THE PAST? I'M TRYING TO FIGURE OUT THE DIFFERENCE BETWEEN A REGIONAL VERSUS A NEIGHBORHOOD ACTIVITY CENTER.

SURE. SO THE NEIGHBORHOOD ACTIVITY CENTER IS REALLY MEANT TO HAVE A LEVEL OF DENSITY AND INTENSITY OF USES THAT WOULD SUPPORT A SURROUNDING LARGER RESIDENTIAL NEIGHBORHOOD.

SO THINK OF CANYON DEL RIO.

MANY OF YOU MIGHT HAVE SEEN THAT IT'S A DEVELOPMENT OFF OF FORE STREET, BUT WHEN YOU'RE LOOKING AT A LARGER DEVELOPMENT, WHAT A NEIGHBORHOOD ACTIVITY CENTER WOULD LIKELY DO IS PROVIDE SHOPPING AND SOME EMPLOYMENT SERVICES USES.

BUT THINGS THAT ARE MEANT TO SERVE THAT IMMEDIATE SURROUNDING AREA WHERE REGIONAL ACTIVITY CENTER REALLY IS FOCUSED ON FOCUSING ON PROVIDING AN INTENSITY AND DENSITY OF USES, BOTH PRIMARY AND SUPPORTING THAT ARE ATTRACTING FOLKS FROM OUTSIDE OF THAT LOCALIZED GENERAL AREA.

SO AGAIN, THAT'S WHY REGIONAL ACTIVITY CENTERS FOCUS ON ARTERIAL ROADS, BECAUSE ARTERIAL ROADS ARE MORE REGIONAL TRANSPORTATION ROADS, WHEREAS THOSE SMALLER COLLECTOR OR RESIDENTIAL ROADS ARE JUST SERVING MORE OF A NEIGHBORHOOD FEATURE.

DOES THAT ANSWER YOUR QUESTION? OH YEAH, THAT'S VERY GOOD. THAT'S WHAT I WAS GOING WITH.

SO WITHOUT GIVING AWAY ALL THE SECRETS THAT YOU HOLD WITHIN YOUR CARDS, IT'S POSSIBLE THAT REGIONAL USAGES COULD COULD LINK TO OTHER NEIGHBORHOODS LIKE IN PONDEROSA OR UNIVERSITY HEIGHTS OR OTHER PARTS OF THE CITY.

OR IS THAT JUST TOO BIG OF A REGIONAL THOUGHT AT THIS POINT? NO, I MEAN, THAT'S EXACTLY THE POINT AND PURPOSE OF THIS.

I MEAN, WE'VE SPENT A LOT OF TIME WITH THE HOSPITAL.

I KNOW WHERE THE MAJORITY OF THEIR EMPLOYEES LIVE.

A LOT OF THEIR EMPLOYEES HAPPEN TO LIVE IN PONDEROSA TRAILS.

THE HOSPITAL RIGHT NOW IS NOT JUST A REGIONAL FACILITY FOR FLAGSTAFF.

I'M SURE THE HOSPITAL WILL TELL YOU FLAGSTAFF IS A SMALL PORT.

IT'S NOT A SMALL IT'S IT'S A GOOD SIZED PORTION OF THEIR SERVICES, BUT THEY SERVE THE LARGER NORTHERN ARIZONA ENVIRONMENT AND THEY ARE THE LOCAL LEVEL ONE TRAUMA CENTER FOR OUR COMMUNITY AND FOR NORTHERN ARIZONA AS A WHOLE.

OH, THANK YOU.

THANK YOU, TIFFANY. THAT'S EXACTLY WHAT I WAS TRYING TO GET AT IT.

IN TERMS OF REGIONAL HAVING MORE ABILITIES TO LINK TO LARGER COMMUNITIES THAT ARE NOT BOUNDED BY THE HOSPITAL.

I THINK THAT'S THAT ANSWERS ALL MY QUESTIONS.

THANK YOU. THANK YOU.

THANK YOU. ARE THERE ANY OTHER QUESTIONS? I. I DO HAVE A QUESTION, SO GO AHEAD.

I'D JUST LIKE TO REQUEST THAT THAT PARTICIPANTS THAT AREN'T SPEAKING TURN THEIR CAMERA OFF AND IT'LL JUST HELP US BE ABLE TO SEE THE PRESENTATIONS BETTER AND HEAR THE PEOPLE.

SO THANK YOU.

SO I'M LIKE TRYING TO, IN MY MIND, THINK ABOUT.

THIS NEW LOCATION AND HOW IT WILL AFFECT TRAFFIC IS A CONCERN OF MINE ON BEULAH BOULEVARD, ESPECIALLY DURING THE TIMES WHERE FORT TUTHILL IS GETTING LARGE USAGE.

LET'S TALK THE COUNTY FAIR.

LAST TIME I WENT TO THE FAIR, WHEN I LEFT, THERE WAS PROBABLY CARS LINED UP FOR A MILE ON BEULAH BOULEVARD WAITING TO GET INTO THE COUNTY FAIR.

AND THAT CONCERNS ME THAT IT WOULD BE THE MAIN THOROUGH WAY TO THE HOSPITAL AND PEOPLE NOT BEING ABLE TO GET IN TO THE HOSPITAL. AND WE KNOW THAT CURRENTLY WE HAVE HIGHWAY 180 THAT DURING THE WINTER GETS CHOKED UP AND PEOPLE AREN'T EMERGENCY SERVICES AREN'T ABLE TO GET IN AND OUT [INAUDIBLE].

HOW IS THAT BEING ADDRESSED? SURE. THANK YOU, CHAIRMAN.

THE TOPIC IS IS A BIG PART OF THE CONVERSATION.

BUT WE WE DO KNOW THAT ABSOLUTELY THERE WILL NEED TO BE IMPROVEMENTS TO BEULAH BOULEVARD IN ORDER TO ACCOMMODATE.

[00:40:06]

SO THE PROBLEM GETS RESOLVED IN MULTIPLE WAYS.

THERE ARE ACTUAL PHYSICAL INFRASTRUCTURE IMPROVEMENTS.

BEULAH IS AN ARTERIAL ROAD, BUT IT'S NOT BUILT TO THAT ARTERIAL ROAD STANDARD.

SO, YOU KNOW, THINK OF AN ARTERIAL ROAD LIKE BUTLER OR MILTON.

YOU'RE GOING TO BE LOOKING AT A FOUR LANE LOW, FOUR LANE ROAD CENTER TURN LANE.

SO, YOU KNOW, CERTAINLY THOSE IMPROVEMENTS ARE GOING TO NEED TO HAPPEN.

IT'S THE EXTENT OF THOSE IMPROVEMENTS AND FROM WHAT PLACE TO WHAT PLACE AND WHO'S WHO'S RESPONSIBLE FOR WHAT.

THERE'S ALSO A LARGE PERCENT YOU KNOW, THERE'S ALSO THE MULTIMODAL TRANSPORTATION COMPONENT OF THAT AS WELL.

SO THERE'S INFRASTRUCTURE NECESSARY FOR THAT.

AND WE ARE ALSO WORKING WITH MOUNTAIN LINE TO ENSURE THAT WE CAN ALSO GET TRANSIT TO THE SITE AS WELL AND LOOKING AT DIFFERENT ALTERNATIVES AS WELL. ALL OF THOSE THINGS WORK TOGETHER.

SO THAT'S THE INFRASTRUCTURE COMPONENT.

BUT KNOWING THAT FORT TUTHILL IS A REGIONAL PARK AND THAT HAS EVENTS, I MEAN IT HAS JUST ITS NORMAL, REGULAR EVERYDAY THING.

BUT I MEAN, I'VE BEEN TO FORT TUTHILL FOR A RACE ONLY TO FIND THAT THERE'S ALSO A GUN SHOW, THAT THERE'S ALSO THERE'S FOUR OR FIVE DIFFERENT EVENTS. THEN YOU'VE ALSO GOT FLAGSTAFF EXTREME.

THERE'S JUST NORMAL, BUT THEN THERE'S ALSO THEIR EVENTS AND THE AMPHITHEATER.

ONE OF THE THINGS THAT ALSO WORKS THROUGH THAT PROCESS IS HOW YOU HANDLE THOSE EVENTS, HOW YOU HAVE ADDITIONAL TRAFFIC CONTROLS IN PLACE. SO SOMETIMES AT EVENTS IT REQUIRES AN ADDITIONAL LEVEL OF PUBLIC SAFETY STAFF.

DIFFERENT WAYS TO MOVE TRAFFIC THROUGHOUT THE SITE, DIFFERENT ACCESS POINTS.

AND SO WE AGAIN ARE STILL WORKING THROUGH THOSE DETAILS ARE VERY IMPORTANT.

NAH I KNOW IS ALSO WORKING CLOSELY WITH THE COUNTY AND IS TRYING TO CONSULT WITH THEM.

WE'VE DEFINITELY KEPT THE COUNTY PARKS DEPARTMENT AND WE HAVE RECEIVED DETAILED COMMENTS FROM THEM.

A LOT OF THOSE DETAILED COMMENTS ARE HELPING US WORK THROUGH THAT ENTITLEMENT CASE.

IT WILL FIGURE IT WILL HELP US TO ASSESS.

WHAT I WOULD TELL YOU, THOUGH, IS, IS THAT IN TERMS OF THIS APPLICATION, THE COUNTY WAS SUPPORTIVE OF NOT PUSHING BEULAH BOULEVARD CLOSER TO THEIR BOUNDARY. THEY DO APPRECIATE BEULAH BOULEVARD BEING SO THAT WAS ONE PLACE WHERE WE WERE DEFINITELY IN AGREEMENT AND SO WE DIDN'T FEEL AS CONCERNED YET MOVING FORWARD, JUST THIS PART OF THE APPLICATION.

AND COMMISSIONER NORTON, I JUST WANTED TO ADD ON TO THAT.

SO I KNOW WE'RE GETTING A LITTLE FURTHER AHEAD OF OURSELVES THAN, YOU KNOW, WHAT WE'RE SUPPOSED TO BE CONCENTRATING ON TONIGHT.

HOWEVER, AT WHAT POINT DURING THE ENTITLEMENT PHASE IS THAT THE SPECIFIC PLAN, THE CONTEXT ZONING MAP OR THE DEVELOPMENT AGREEMENT THAT THOSE DETAILS FOR BEULAH AND ITS IMPROVEMENT AND EXPANSION GET CONCRETE COMMITMENT? ALL THREE OF THOSE.

AND OUR GOAL IS TO BRING YOU ENOUGH OF THAT BECAUSE YOU DON'T APPROVE THE DEVELOPMENT AGREEMENT.

BUT OUR POINT IS TO BRING YOU ENOUGH OF WHAT THOSE DEAL POINTS IN THE DEVELOPMENT AGREEMENT THAT YOU CAN MAKE THE BEST POSSIBLE DECISION ON THE FINDINGS FOR THE SPECIFIC PLAN AND THE REZONING.

BUT IT'S REALLY TIED TO THE ALL THREE OF THOSE.

ALL RIGHT. THANK YOU.

THANK YOU. ANY OTHER COMMISSIONERS WITH QUESTIONS? AND IF NOT, I JUST WANT TO REMIND THE PUBLIC AGAIN THAT IF YOU WANT TO FILL OUT A SPEAKER CARD, IF YOU WANT TO MAKE PUBLIC COMMENTS, PLEASE FILL OUT A SPEAKER CARD NOW AND HAND IT TO BECKY, WHO'S IN THE FRONT OF THE ROOM SO THAT WE CAN TAKE YOUR COMMENTS AT THAT POINT.

AND NOW I WILL WELCOME THE STAFF FROM NAH IF PLEASE INTRODUCE YOURSELVES.

SURE. THANK YOU, MADAM CHAIRMAN AND COMMISSIONERS, MY NAME IS JOSH TINGLE.

I'M THE ACTING CHIEF EXECUTIVE OFFICER FOR NORTHERN ARIZONA HEALTH CARE.

I'M JOINED WITH STEVE ICE, WHO IS OUR VICE PRESIDENT OF CONSTRUCTION AND REAL ESTATE DEVELOPMENT.

WE'RE GOING TO GO THROUGH A SHORT PRESENTATION.

I'LL SAY A COUPLE OF WORDS.

STEVE WILL BE THE BOOK MAJORITY OF THE PRESENTATION AND HOPEFULLY ANSWER A LOT OF THE QUESTIONS THAT YOU GUYS ALREADY HAVE.

SO A LITTLE BIT ABOUT NORTHERN ARIZONA HEALTH CARE.

AS YOU MAY KNOW, WE'RE A NOT FOR PROFIT HEALTH CARE SYSTEM OR WE'RE GOVERNED BY A VOLUNTEER BOARD AND WE EXIST TO SERVE THE NEEDS OF THE COMMUNITY.

WE HAVE ABOUT ABOUT 3,000 EMPLOYEES THAT SERVE OUR COMMUNITY, ROUGHLY 50,000 SQUARE MILES OF SERVICE AREA, AND ABOUT A MILLION PEOPLE IN THAT AREA. ABOUT 60% OF THE PATIENTS THAT WE TAKE CARE AT FLAGSTAFF MEDICAL CENTER ACTUALLY COME FROM OUTSIDE THE CITY OF FLAGSTAFF.

AND WE SERVE AS THE TERTIARY REGIONAL REFERRAL CENTER FOR MUCH OF NORTHERN ARIZONA.

[00:45:01]

SO WHEN TIFFANY WAS TALKING, WE ARE THE ONLY LEVEL ONE TRAUMA CENTER NORTH OF MARICOPA COUNTY.

THERE ARE 13 LEVEL ONE TRAUMA CENTERS IN THE STATE OF ARIZONA.

11 OF THOSE EXIST IN THE PHENIX METROPOLITAN AREA.

ONE IS IN TUCSON AND ONE IS IN FLAGSTAFF.

AND ALL THE REVENUE THAT WE MAKE, EVEN THOUGH THAT'S BEEN EXTREMELY CHALLENGING OVER THE LAST COUPLE OF YEARS, AS I'M SURE YOU CAN READ IN THE PAPER, WE REINVEST THAT IN OUR FACILITIES, OUR STAFF AND BRINGING SERVICES TO THE REGION.

AND OUR ERS ARE OPEN AS WELL AS OUR HOSPITAL TO SERVE ANY PATIENT, REGARDLESS OF THEIR ABILITY OR CAPABILITY TO PAY.

SO HOW DO WE SERVE THE COMMUNITY? ABOUT 25% OF THE PATIENTS THAT WE SERVICE COME FROM THROUGHOUT THE REGION ARE FINANCIALLY DISADVANTAGED.

WE HAVE A REGION, AS I SAID, ABOUT 50,000 SQUARE MILES.

WE ARE THE SOLE COMMUNITY PROVIDER FOR NORTHERN ARIZONA HEALTH CARE AND AT ANY GIVEN TIME, ABOUT A THIRD OF OUR BEDS ARE OCCUPIED BY MEMBERS OF TRIBAL NATIONS.

WE PROVIDED ABOUT $125 MILLION IN CHARITY CARE FOR PATIENTS WHO WOULD NOT HAVE BEEN ABLE TO AFFORD THOSE SERVICES IN FISCAL YEAR 2021.

THANKS. GOOD EVENING.

THANK YOU FOR HAVING US TONIGHT.

AND STEVE ICE, VICE PRESIDENT OF CONSTRUCTION AND REAL ESTATE DEVELOPMENT FOR NORTHERN ARIZONA HEALTH CARE.

SO SINCE IT'S OUR FIRST TIME FORMALLY MEETING WITH THE COMMISSION, WE THOUGHT WE'D GIVE A LITTLE BIT OF BACKGROUND AND CONTEXT ON THE COMPANY ITSELF, BUT ALSO A LITTLE BIT OF BACKGROUND CONTEXT ON WHAT WE'RE DEALING WITH WITH OUR EXISTING CAMPUS AND TALK A LITTLE BIT ABOUT WHAT THE NEEDS ARE FOR WHY WE'RE BRINGING THESE APPLICATIONS FORWARD AND WHY WE THINK THEY'RE THE RIGHT THING TO DO FOR THE COMMUNITY.

SO FMC, WHICH HAS BEEN THERE FOR SOME TIME NOW, HAS SERVED THIS COMMUNITY VERY WELL FOR A LONG TIME.

BUT THE REALITY OF THE EXISTING CAMPUS IS WE'VE OUTGROWN OUR EXISTING CAMPUS.

FROM A METRICS PERSPECTIVE, WHEN YOU LOOK AT HEALTH CARE PLANNING AND PROGRAMING, WE CURRENTLY SIT AT ABOUT 25% BELOW STANDARDS FOR ONE OF THE MAIN DRIVERS WE USE FOR HEALTH CARE PROGRAMING IS GROSS SQUARE FEET PER BED.

WE SIT 25% UNDER NATIONAL STANDARDS FOR GROSS SQUARE FEET PER BED.

HOW THAT MANIFESTS ITSELF ON A DAY TO DAY BASIS IN A HOSPITAL IS WE DON'T HAVE APPROPRIATE ROOM FOR STORAGE.

WE DON'T HAVE APPROPRIATE ROOM FOR GROWTH OF SUPPORT SERVICES AS THE REGION AND OUR POPULATION CONTINUES TO GROW.

SO THINGS LIKE OUR LAB AND OUR PHARMACY OPERATING ROOM EMERGENCY DEPARTMENT DO NOT HAVE THE CAPACITY TO GROW ON OUR EXISTING CAMPUS.

WE HAVE INPATIENT BEDS THAT SPAN FIVE DIFFERENT BUILDINGS.

IT COMPLICATES WAYFINDING.

IF ANY OF YOU HAVE BEEN TO OUR CAMPUS, IT'S NOT THE EASIEST HOSPITAL TO NAVIGATE.

IT'S AN EXTREMELY INEFFICIENT PLACE FOR OUR CLINICAL STAFF TO WORK AND TAKE CARE OF OUR PATIENTS.

THE BUILDINGS BEEN ADDED ON TO, AS YOU CAN SEE FROM THE AERIAL FOR DECADES NOW, AND THEY'VE MADE DO AS BEST AS THEY COULD WITH THE EXISTING CONSTRAINTS OF BEING SURROUNDED BY MAJOR STREETS IN ALL DIRECTIONS AND THEN HAVING A MAJOR STREET THAT BISECTS OUR CAMPUS IN BEAVER, WHICH IS REALLY LED TO THE CAMPUS BECOMING VERY HORIZONTAL AND VERY INEFFICIENT FROM FROM A STAFFING AND PATIENT PERSPECTIVE, WE DON'T CURRENTLY HAVE ENOUGH PARKING ON CAMPUS.

PARKING HAS BEEN A CHALLENGE NOW ON CAMPUS FOR YEARS, AND THAT'S WITH THE EXISTING VOLUMES THAT WE CURRENTLY SUPPORT.

IF WE WERE TO TRY AND GROW ON CAMPUS, THAT PARKING PROBLEM WOULD ONLY CONTINUE TO COMPOUND ITSELF.

AND I THINK THIS LAST POINT ON THIS SLIDE IS MAYBE THE MOST IMPORTANT AND SOMETHING THAT WE DON'T VOCALIZE MUCH.

BUT IN THE PAST YEAR WE'VE HAD TO DEFER 5,600 PATIENTS FROM OUR HOSPITAL WITH 55% OF THOSE PATIENTS BEING FROM FACILITIES ON TRIBAL LANDS.

SO ABOUT 15 PATIENTS A DAY GET DEFERRED FROM THE REGION TO EITHER LAS VEGAS OR PHENIX, WHICH IMPACTS NOT ONLY THEIR CARE BUT IMPACTS THEM FROM A FINANCIAL PERSPECTIVE AS THEY HAVE TO TRAVEL FOR THAT CARE.

THE MAJORITY OF OUR DEFERRALS ARE NOT DUE TO PATIENT ACUITY, MEANING THAT WE, BECAUSE OF THE TYPE OF FACILITY WE ARE, BECAUSE WE PROVIDE TERTIARY CARE AND LEVEL ONE TRAUMA CENTER, WE CAN TAKE CARE OF THE PATIENTS IF WE HAD THE SPACE TO TAKE CARE OF THE PATIENTS.

BUT WE DON'T CURRENTLY HAVE THAT SPACE.

AND AS TIFFANY HAD MENTIONED, AS THE CITY OF FLAGSTAFF GROWS, BUT ALSO THE NORTHERN ARIZONA REGION CONTINUES TO GROW, WE ARE TRYING TO PLAN FOR THE FUTURE FOR DECADES TO COME FOR THAT REGIONAL GROWTH.

SO THIS IS JUST A LITTLE BIT MORE OF A GRANULAR LOOK AT KIND OF WHAT SOME OF OUR CLINICAL STAFF DEAL WITH ON A DAY TO DAY BASIS.

THAT DRAWING IN THAT YOU SEE IN THE MIDDLE OF THIS PAGE, WHICH IS THAT LARGER BLUE SQUARE IN THE MIDDLE THAT IS IN A CURRENT ARIZONA DEPARTMENT OF HEALTH SERVICES MINIMUM CODE, ICU ROOM.

SO IF YOU WERE TO BUILD A HOSPITAL IN THE STATE OF ARIZONA, THE MINIMUM CODE REQUIREMENTS TO BUILD AN ICU ROOM ARE THE SIZE OF THAT BLUE BOX, THAT RED BOX THAT'S DRAWN OVER IT IS THE CURRENT SIZE OF THE INTENSIVE CARE UNIT ROOMS AT FLAGSTAFF MEDICAL CENTER.

SO YOU CAN SEE WE'RE QUITE UNDERSIZED, WE'RE QUITE UNDERSIZED THROUGHOUT THE ENTIRE FACILITY.

[00:50:05]

BUT INTENSIVE CARE BEING ONE OF THOSE AREAS THAT MOST IMPACTS CLINICAL CARE AND PATIENTS WHERE WHERE WE SEE THAT REALLY KIND OF MANIFESTS ITSELF ON A DAY TO DAY BASIS IS WE LOSE SPACE IN THE ROOM TO BE ABLE TO TREAT PATIENTS AT BOTH THE HEAD AND THE FOOT OF OUR PATIENTS.

SO YOU CAN SEE THAT RED SQUARE IN THE DRAWING.

THERE'S QUITE A FEW FEET BETWEEN THE RED SQUARE AND WHERE THE WALL WOULD BE IN A NEWER PATIENT ROOM.

THAT RECTANGLE UP AT THE TOP OF THE ROOM IS INTENDED TO BE A SLEEPER SOFA FOR FAMILIES TO BE ABLE TO VISIT WITH THEIR PATIENTS, WITH THEIR FAMILY MEMBERS.

AND RIGHT NOW, WE DON'T HAVE THAT ABILITY FOR FAMILIES TO REALLY PARTICIPATE IN THAT RECOVERY PROCESS.

AS A MATTER OF FACT, IN OUR INTENSIVE CARE UNIT NOW SPECIFICALLY, WE ACTUALLY EVEN HAVE TO REMODEL THE WAITING ROOM INTO STORAGE BECAUSE WE COULDN'T MEET JOINT COMMISSION REQUIREMENTS FOR STORAGE ON THE UNIT.

SO WE HAD TO PUSH WAITING OUT OF THE DEPARTMENT EVEN AND BACK OUT INTO THE HOSPITAL MAIN WAITING AREA.

SO OTHER KIND OF JUST DAY TO DAY THINGS OF NOT HAVING DIRECT SUNLIGHT FOR SOME OF OUR PATIENT ROOMS, WHICH IS NOW CODE MANDATED IN NEWER ROOMS. AND THEN SOME OF THE CHALLENGES THAT WE SAW DURING COVID WITH AIR EXCHANGES AND BE ABLE TO REACT TO THE PANDEMIC.

SO WHAT IS THAT? WHAT IS OUR PLAN? SO OUR PLAN AND WE'RE GOING TO TALK IN A LITTLE BIT MORE DETAIL THAN THAN TIFFANY WAS ABLE TO TALK ABOUT.

YOU'LL SEE MUCH MORE IN FUTURE APPLICATIONS.

BUT WE THOUGHT IT WAS IT WAS BEST TO GIVE YOU SOME UNDERSTANDING OF WHAT THE PROJECT PARAMETERS ARE GOING TO BE IN THE FUTURE.

WE ARE MAKING OUR LARGEST EVER INVESTMENT FROM A CAPITAL PERSPECTIVE INTO THE REGION NAH HEALTH AND WELLNESS VILLAGE.

IT IS ANCHORED BY THE HOSPITAL WHICH YOU SEE IN PURPLE IN THE MIDDLE OF THE SCREEN.

THAT IS THE REPLACEMENT HOSPITAL, A PROPOSED REPLACEMENT HOSPITAL FOR FLAGSTAFF MEDICAL CENTER, AS WELL AS A NEW AMBULATORY CARE CENTER.

ONE OF THE THINGS WE DON'T HAVE THE CAPACITY FOR IN OUR EXISTING CAMPUS IS A STRUCTURED AMBULATORY OUTPATIENT PROGRAM.

SO IN THE LAST DECADE OR SO, WE'VE SEEN HEALTH CARE MOVE TO AN OUTPATIENT SETTING WHENEVER POSSIBLE.

PATIENTS PREFER IT PROVIDES BETTER CLINICAL OUTCOMES IN SOME CASES, REDUCES THE COST OF CARE TO THE PATIENT TO BE ABLE TO DO WHAT PROCEDURES WE CAN IN AN OUTPATIENT SETTING INSTEAD OF AN INPATIENT SETTING.

SO WE ARE BUILDING A COMBINED AMBULATORY CARE CENTER, WHICH WILL HAVE PRIMARY CARE CAPABILITIES, SPECIALTY CARE CAPABILITIES, ALONG WITH OUTPATIENT PROCEDURAL SURGICAL AND IMAGING CAPABILITIES.

SO IN ADDITION TO THAT, YOU SEE THE MIXED USE HOUSING PROPOSED DEVELOPMENT, WHICH IS TO THE RIGHT IN THIS DRAWING, BUT IS IS NORTH IN REAL LIFE ALONG WITH SOME MIXED USE RETAIL AND THEN EVENTUALLY A RESEARCH AND INNOVATION CORRIDOR DOWN ON THE BOTTOM.

AND WE'LL TALK IN A LITTLE BIT ABOUT HOW THIS SUPPORTS NOT ONLY THE SOCIAL DETRIMENTS OF HEALTH, BUT ALSO SUPPORTS THE POLICIES AND GOALS OUTLINED IN THE REGIONAL PLAN.

THIS WILL BE THE LAST YOU'LL HAVE TO HEAR FROM ME.

SO ONE OF THE QUESTIONS WE GET OFTEN IS, WELL, WHY NOT JUST BUILD THE HOSPITAL ON THE AMBULATORY CAMPUS? WHY DO YOU NEED TO DO A VILLAGE? AND REALLY, THAT SPEAKS TO THE SOCIAL DETERMINANTS OF HEALTH.

WE KNOW NOW MORE THAN WE'VE EVER KNOWN BEFORE THE LIFESTYLE BEHAVIOR, ALONG WITH ECONOMIC, ENVIRONMENTAL AND SOCIAL GRADIENTS, FORM OUR OVERALL SOCIAL DETERMINANTS OF HEALTH. AND SO THE VISION FOR THE BROADER VILLAGE IS TO ACTUALLY CREATE A WELLNESS ENVIRONMENT FOR THE REGION.

SO IN THE EVENT THAT YOU HAVE TO COME SEE US, AS WE JUST TALKED ABOUT A LOT OF PATIENTS, DO WE BELIEVE THAT BEING ABLE TO DETERMINE THOSE SOCIAL DETERMINANTS AND CHANGE PEOPLE'S LIFESTYLES AS WE CAN DO ON A HEALTH AND WELLNESS VILLAGE WILL ACTUALLY BE BETTER FOR THE OVERALL HEALTH AND WELLNESS OF ALL OF NORTHERN ARIZONA.

THANKS. SO JOSH MENTIONED THE ADDRESSING THE DETRIMENTS OF HEALTH FACTORS.

AND JUST WANTED TO POINT OUT FROM A MAP PERSPECTIVE HOW WE'RE PLANNING ON DOING THAT.

RIGHT. SO THOSE THOSE FIVE DETERMINANTS OF HEALTH, NEIGHBORHOOD AND BUILT ENVIRONMENT.

AND YOU'LL YOU'LL NOTICE IN THE COMING SLIDES THAT NOT ONLY DO THESE ADDRESS THE SOCIAL DETRIMENTS OF HEALTH, BUT THEY ALSO PLAY RIGHT INTO SOME OF THE POLICIES AND GOALS THAT ARE IN FLAGSTAFF'S CURRENT REGIONAL PLAN.

SO NEIGHBORHOOD AND BUILT ENVIRONMENT, HAVING THAT MIXED USE ABILITY TO HAVE LIVING ON THIS HEALTH CARE CAMPUS, HEALTH CARE AND QUALITY IN OUR HOSPITAL AND AMBULATORY CARE CENTER, SOCIAL AND COMMUNITY CONTEXT, WE ARE RESERVING 22 ACRES OF OUR PROPERTY DIRECTLY TO THE WEST OF THE HOSPITAL TO BE AN UNTOUCHED WELLNESS RETREAT THAT WILL BE CONNECTED IN WITH THE FOOT TRAIL SYSTEM AND BE A PUBLIC AMENITY TO BE USED NOT ONLY BY OUR STAFF AND PATIENTS AND VISITORS, BUT BUT BY THE PUBLIC IN GENERAL, AND THEN EDUCATION, ACCESS AND QUALITY.

SO AS WE CONTINUE ON OUR JOURNEY FROM AN EDUCATION PERSPECTIVE, THIS IS THE AREA WHERE WE'LL NOT ONLY HAVE SOME HEALTH FOCUSED RETAIL AND RESTAURANT, BUT ALSO WANT TO GET DEEPER INTO SIMULATION TRAINING, NURSE PHYSICIAN TRAINING.

I'VE ALREADY STARTED SOME DISCUSSION WITH WITH NAU ABOUT PARTNERING ON A NURSE SIMULATION TRAINING FACILITY FOR THIS CAMPUS AND BRINGING THAT

[00:55:08]

EDUCATION AND QUALITY OF CARE TO THE COMMUNITY, AND THEN ECONOMIC STABILITY CONTINUING ON OUR PATH FORWARD FROM AN ECONOMIC DEVELOPMENT PERSPECTIVE AND A JOB GROWTH PERSPECTIVE IN THAT RESEARCH AND INNOVATION CORRIDOR ON THE SOUTH END OF OUR CAMPUS.

SO THESE NEXT COUPLE OF SLIDES, I'M NOT GOING TO READ THROUGH EVERY ONE OF THESE, BUT WE WANTED TO KIND OF PULL OUT SOME OF THE HEADERS FROM THE POLICY GUIDELINES THAT TIFFANY TOUCHED ON DURING HER PRESENTATION AND KIND OF SPECIFICALLY TALK ABOUT HOW WE ARE FULFILLING THOSE THOSE GOALS.

SO INCREASING THE VARIETY OF HOUSING OPTIONS AND EXPANDING OPPORTUNITIES FOR EMPLOYMENT AND NEIGHBORHOOD SHOPPING WITHIN ALL SUBURBAN NEIGHBORHOODS.

SO WE DO PLAN ON HAVING THIS MIXED USE DEVELOPMENT WITH NOT ONLY HOUSING BUT EMPLOYMENT AND HEALTH FOCUSED GROCER, RESTAURANT, RETAIL, ETC.

BALANCING HOUSING AND EMPLOYMENT LAND USES WITH THE PRESERVATION AND PROTECTION OF OUR UNIQUE NATURAL AND CULTURAL SETTING.

SO AGAIN, PROVIDING HOUSING ON THE CAMPUS, PROVIDING EMPLOYMENT OPPORTUNITY ON THE CAMPUS, BUT ALSO RESERVING THAT 22 ACRES OF WELLNESS RETREAT TO BALANCE THAT WITH OUR NATURAL SETTING.

TRANSPORTATION, IMPROVING MOBILITY AND ACCESS THROUGH THE REGION.

SO WE TALKED A LITTLE BIT ABOUT OUR ROAD ALIGNMENT AND HOW WE PLAN ON OUR ROAD ALIGNMENT, HAVING THE UNDERPASS FROM THE 17 AND EVENTUALLY CONNECTING INTO WOODY MOUNTAIN ROAD. AND WE FEEL THE ROAD NETWORK THAT WE'RE PROPOSING THROUGH THIS AMENDMENT HITS THE MARK ON THIS ACCESS THROUGHOUT THE REGION, ALONG WITH ESTABLISHING A FUNCTIONAL, SAFE AND ESTHETIC HIERARCHY OF ROADS AND STREETS FOR THE COMMUNITY TO GROW IN AN INTELLIGENT FASHION.

NEIGHBORHOODS, HOUSING, AND URBAN CONSERVATION.

SO MAKING AVAILABLE A VARIETY OF HOUSING TYPES AT DIFFERENT PRICE POINTS TO PROVIDE HOUSING OPPORTUNITIES FOR ALL ECONOMIC SECTORS.

SO ADDING 325 UNITS OF HOUSING INTO THE CITY'S VOLUME BENEFITS THE HOUSING CRISIS THAT FLAGSTAFF HAS DECLARED SOME YEARS BACK.

WE HAVE ALSO AND YOU'LL SEE THIS IN THE DEVELOPMENT AGREEMENT IN THE FUTURE, COMMITTED TO 10% OF LOW INCOME HOUSING THROUGHOUT OUR PROJECT.

AND THEN ECONOMIC DEVELOPMENT, SUPPORTING AND ENCOURAGING AN EXCELLENT EDUCATION SYSTEM THAT PROMOTES CRITICAL THINKING AND JOB TRAINING AT ALL LEVELS.

SO THIS IS OUR ABILITY TO NOT ONLY PROVIDE GREAT CARE TO THE COMMUNITY AND THE REGION AS WE ALREADY DO, BUT IT'S A CHANCE FOR US TO TO GROW WITH THE REGION. IT'S ALSO A CHANCE FOR US TO BOLSTER SOME OF OUR TECHNOLOGY MOVING FORWARD, TO PROVIDE SOME TECHNOLOGY AND IN SOME CASES SOME LEVELS OF CARE THAT WE CURRENTLY DON'T HAVE THE ROOM AND CAPACITY FOR.

BUT AS WE CONTINUE TO KIND OF GROW IN OUR IN OUR RESEARCH AND EDUCATION AND THEN PROMOTING THE CONTINUED PHYSICAL AND ECONOMIC VIABILITY OF THE REGION'S COMMERCIAL DISTRICTS BY FOCUSING INVESTMENT ON EXISTING AND NEW ACTIVITY CENTERS.

SO AS WAS MENTIONED IN THE EARLIER PRESENTATION, THIS IS AN EXISTING ACTIVITY CENTER AND WE ARE ASKING TO CHANGE THE INTENSITY OF IT.

BUT WE DO FEEL WE'RE PROMOTING THAT ECONOMIC VIABILITY.

AND HERE'S A SLIDE THAT WE PUT TOGETHER THROUGH OUR ECONOMIC IMPACT REPORT.

WE DID DO A THIRD PARTY ECONOMIC IMPACT REPORT AS PART OF OUR ORIGINAL APPLICATION TO THE CITY THAT SHOWS AT THE FULL BUILDOUT OF THE HEALTH AND WELLNESS VILLAGE, WHICH WE ESTIMATE TO BE SOMETIME AROUND 2045, THAT WE WILL BE DIRECTLY INJECTING $387 MILLION WORTH OF ECONOMIC BENEFIT INTO THE COMMUNITY IN THE REGION. OVER 10,000 JOBS DIRECTLY CREATED FROM FROM THE CONSTRUCTION TRADES THROUGH THE CONSTRUCTION OF THE ENTIRE HEALTH CARE VILLAGE.

$6.7 MILLION OF CONSTRUCTION RELATED SALES TAX PAID DIRECTLY TO THE CITY OF FLAGSTAFF TO HELP WITH SOME OF THESE INFRASTRUCTURE CHALLENGES THAT WE'RE DISCUSSING.

AND $1.5 MILLION OF ANNUAL TAXES PAID DIRECTLY TO THE CITY OF FLAGSTAFF OVER THE LIFETIME OF THE PROJECT AND IN PERPETUITY.

SO WITH THAT, THAT IS OUR PART OF THE PRESENTATION AND WE OPEN TO ANY QUESTIONS.

THANK YOU BOTH FOR THE PRESENTATION.

I'M GOING TO GO TO COMMISSIONERS AND ASK IF YOU HAVE ANY QUESTIONS.

COMMISSIONER NORTON.

ON THE HOUSING, THE 10% LOW INCOME HOUSING.

WAS THAT A NEW ADDITION TO YOUR OFFERING? I DON'T RECALL HEARING ABOUT THAT ON THE OTHER PRESENTATION.

I THINK IT'S BEEN MAYBE TWO MONTHS OR SO SINCE WE COMMITTED TO THAT.

AND AGAIN, IT HASN'T BEEN FORMALLY COMMITTED TO BECAUSE THAT'LL BE SIGNED ON THROUGH THE DEVELOPMENT AGREEMENT.

BUT THAT IS WHAT WE'RE CURRENTLY PROPOSING IN THE DEVELOPMENT AGREEMENT DRAFTS THAT WE PUT THROUGH TO THE CITY.

AND IS THAT A CERTAIN AT A CERTAIN AMI THAT YOU'RE COMMITTING TO FOR LOW INCOME? WELL, RIGHT NOW, AS WE UNDERSTAND IT, THE CITY LOOKS AT AMI BETWEEN 80 AND 125%.

SO I THINK WE WOULD WORK WITH THEM IN THE HOUSING COMMISSION TO UNDERSTAND WHAT THE RIGHT MIX OF HITTING THE TARGET THROUGH THAT AMI IS.

AND HAVE YOU CONSIDERED A YOU KNOW, IN YOUR I ASSUME THERE WOULD BE CCMRS OF SOME SORT LIMITING SHORT TERM RENTALS ON MEETINGS.

[01:00:02]

SO THAT I UNDERSTAND THAT YOU WOULD, YOU KNOW, WANT TO HAVE SOME AVAILABILITY TO DO SO FOR TRAVELING HEALTH CARE PROVIDERS AND PEOPLE THERE FOR LONG TERM CARE.

BUT I CERTAINLY WOULDN'T WANT TO SEE THIS HOUSING GO TO, YOU KNOW, THAT TYPE OF USAGE.

WE HAVE, I THINK THAT'S A GREAT POINT, COMMISSIONER, AND I THINK THAT IS SOMETHING THAT WE WOULD ABSOLUTELY BE WILLING TO COMMIT TO.

YOU ARE CORRECT. WE DO WANT TO RESERVE SOME SMALL PORTION OF IT FOR OUR OWN TRAVELING STAFF.

THAT IS PART OF THE HEALTH CARE BUSINESS.

BUT I THINK THAT'S ABSOLUTELY SOMETHING THAT WE WOULD BE AGREEABLE TO.

THANK YOU, COMMISSIONER MARTINEZ.

YOU MENTIONED NEW CLINICAL SERVICES.

CAN YOU JUST EXPAND ON THAT, ARE YOU TALKING ABOUT, IMAGING? YEAH, WE'VE KIND OF ALREADY EVIDENCED THAT WE JUST HIRED DR.

JEREMY PAYNE, WHO'S A PRETTY WELL KNOWN STROKE NEUROLOGIST [INAUDIBLE] BUILDING OUT COMPREHENSIVE STROKE SERVICES, HIS ONE WOUND AND HYPERBARIC THERAPY FOR COMPLEX WOUND RECONSTRUCTION.

BUILDING OUT BETTER ONCOLOGICAL SERVICES ARE JUST A COUPLE TO NAME A FEW.

CERTAINLY IMAGING WOULD BE A PORTION OF THAT CAMPUS AS WELL.

SO THIS WOULD PROBABLY SAVE TIME FOR A RESIDENCE AND INSTEAD HAD TO BE REFERRED DOWN TO PHENIX, TO [INAUDIBLE] OR SOMEBODY ELSE LIKE THAT.

YEAH. OBVIOUSLY, FROM OUR DEFERRAL DATA, AS YOU SEE, YOU KNOW, THAT'S A LOT OF PATIENTS.

I'VE WORKED IN THE PHENIX AREA AND CERTAINLY THAT IS EXTREMELY CHALLENGING, ESPECIALLY FOR THOSE ECONOMIC DISADVANTAGED PATIENTS TO GO SEE THEM.

SO WE DO NEED TO CREATE MORE ACCESS IN THE REGION, NOT ONLY IN FLAGSTAFF BUT ALSO IN OUR VERDE VALLEY AREA.

THIS IS ONE OF THOSE AREAS TO DO THAT.

WE TALK QUITE A BIT ABOUT PRIMARY, SECONDARY AND TERTIARY LEVEL CARE, AS I'M SURE YOU'RE AWARE OF.

OUR VISION IS THAT PRIMARY SERVICES NEED TO BE CLOSE TO PATIENTS, SO PRIMARY CARE, INTERNAL MEDICINE, IMAGING LAB, ETC.

AND AS YOU KIND OF MOVE UP THAT LADDER, WHAT WE'RE REALLY PROPOSING HERE IS THE ABILITY AND CONTINUED CAPABILITY TO BE ABLE TO DELIVER TERTIARY LEVEL CARE TO THE REGION, WHICH IS REALLY WHEN YOU THINK ABOUT OPEN HEART SURGERY, VASCULAR SURGERY, LEVEL ONE, TRAUMA SERVICES.

SO HEAVEN FORBID ANYONE HERE GET IN A CAR ACCIDENT OR FALL OR TRIP AND HAVE A SIGNIFICANT INJURY, AS I'M SURE YOU KNOW, MINUTES MEAN LIVES. WE DO THAT WITH A NETWORK OF ABOUT TEN AIRCRAFT ACROSS THE REGION.

AND AGAIN, THEY FLY TO THE CENTER.

WITHOUT THIS FUTURE DEVELOPMENT, WE DO RISK HAVING THAT CONTINUED LEVEL OF SERVICE.

THANK YOU. THANK YOU.

OTHER COMMISSIONERS HAVE QUESTIONS.

SO ALEX, IF YOU'LL CALL ON THEM.

I BELIEVE MARIE WAS FIRST.

THANK YOU. I MAINLY HAVE A COMMENT.

I'M JUST REALLY APPRECIATIVE THAT YOU HAVE THE APPLICANT AND STAFF CITY STAFF HAVE MANAGED TO BREAK THIS APPLICATION DOWN.

I'VE ALSO BEEN FOLLOWING THE PUBLIC HEARINGS AND BUDGET RETREATS AND THE INFORMATION ABOUT THIS PROJECT COMING FORWARD, AND I WAS FEELING PRETTY CONCERNED ABOUT HEARING THE WHOLE THING AT ONE TIME.

AND THIS IS HELPFUL TO BREAK THIS DOWN.

SO THAT'S ALL I JUST WANTED TO COMMENT ON THAT FOR NOW.

THANK YOU, MARIE. AND RICARDO HAD A COMMENT.

BUT BEFORE YOU SPEAK, I WANT TO ASSURE PEOPLE WHO ARE ONLINE IN THE VIRTUAL MEETING THAT WILL GET TO PUBLIC COMMENT AS WELL.

SO IF YOU COULD JUST SIT TIGHT AND WAIT FOR THE COMMISSIONERS TO ASK QUESTIONS AND THEN WE'LL START CALLING ON THEM.

COMMISSIONER GUTHRIE.

OH, VERY GOOD. THANK YOU.

I AGREE ALSO THAT IT'S BEEN VERY HELPFUL TO BREAK THIS OUT SO PEOPLE CAN SEE EACH COMPONENT AS IT COMES ONLINE.

I'M MOST APPRECIATIVE OF THAT.

MY I GUESS, COMMENT AND THEN QUESTION.

I HAD WORKED WITH SOME OF THE DOCTORS IN THE AREA, DENTISTS AND PHYSICIANS, AND THERE'S ONE NAME, DR.

CHIP THOMAS, WHO'S BEEN WORKING OUT ON THE RESERVATION.

HE ACTUALLY IS A VISUAL ARTIST AS WELL AS A AS A PHYSICIAN WHO WAS TRAINED AT A HISTORICALLY BLACK INSTITUTION NAMED MEHARRY COLLEGE.

AND AND I ASKED HIM, I SAID, WELL, WHAT IS IT ABOUT BEING IN THE HEALTH CARE ENVIRONMENT THAT LEADS YOU TO TAKE UP ART AND DO MURALS? AND HE SAID, WELL, IT'S THE SAME.

WE'RE TRYING TO SERVE PEOPLE TO AFFECT THE SOCIAL DETERMINANTS OF HEALTH.

AND SO MY MY QUESTION IS YOU.

WHAT TYPE OF WORK? I DIDN'T REALLY QUITE HEAR THIS, BUT WHAT TYPE OF WORK DO YOU DO TO ADDRESS RACISM AS A PUBLIC HEALTH PROBLEM AS PART OF THE MEDICAL COMMUNITY? I SEE THE FIVE DETERMINANTS OF HEALTH, BUT I HAVEN'T REALLY SEEN THE CULTURALLY RESPONSIVE, I DON'T KNOW MEDICAL SERVICE THAT YOU'D EXPECT FOR

[01:05:01]

INDIGENOUS, BLACK, HISPANIC AND AND OTHER GROUPS THAT ARE NOW THE MAJORITY REALLY IN THE IN OUR SERVICE COMMUNITY AND MOST DEEPLY AFFECTED BY PANDEMICS AND AND COVID AND THE OTHER SOCIALLY BORNE DISEASES THAT WOULD IMPACT OUR FUTURE MEDICAL COMMUNITY. AND IT WAS JUST LIKE A COMMENT OR A QUESTION TO YOU.

BUT HAVE YOU CONSIDERED WHAT IS THE THE OUTPUT FOR CONNECTING TO HISTORICALLY BLACK COLLEGES OR INDIGENOUS COMMUNITIES THAT HAVE MEDICAL AND HEALTH CLINICAL PROFESSIONALS WHO COULD COME TO THE MOUNTAIN TO BE PART OF THIS NEW INITIATIVE? I HOPE THAT MAKES SENSE.

YEAH, I'M NOT AWARE THAT WE'VE DONE THAT WITH HISTORICALLY BLACK COLLEGES, BUT WE CERTAINLY WORK VERY CLOSELY WITH TRIBAL NATIONS AND UNDERSTANDING HOW WE CAN BETTER SERVE THEM. AS I MENTIONED BEFORE, ABOUT A THIRD OF ANY OF THE PATIENTS AT ANY GIVEN TIME IN THE HOSPITAL ARE FROM THAT THOSE THOSE TRIBAL NATIONS.

WE ARE ALSO WORKING ON A MORE ROBUST DIVERSITY EQUITY AND INCLUSION PROGRAM AS AN ORGANIZATION.

AGAIN, WE DO MAKE UP OUR DIVERSITY, EQUITY AND INCLUSION AS AN ORGANIZATION REPRESENTS THE AREA PRETTY CLOSELY.

BUT TO YOUR POINT WHERE WE'RE WORKING ON THOSE PROGRAMS MOVING FORWARD.

THANK YOU. THANK YOU.

I WOULD JUST SUGGEST THAT YOU MAKE THAT MORE PROMINENT IF YOU'RE TALKING ABOUT THE SOCIAL DETERMINANTS OF HEALTH FOR THOSE UNDERSERVED COMMUNITIES.

IT'S NOT JUST US GOING INTO THE MEDICAL ROOM, BUT ACTUALLY SEEING PEOPLE WHO ARE SERVING US AND UNDERSTANDING WHERE WE ARE.

THANK YOU. THANK YOU.

THANK YOU. ANY OTHER QUESTIONS FROM COMMISSIONERS? COMMISSIONER NORTON.

JUST ONE OTHER QUESTION, AND I KNOW THIS CAME UP DURING THE COUNCIL BUDGET RETREAT.

AS FAR AS ENERGY EFFICIENCY, WHEN BUILDING A NEW CAMPUS LIKE THIS.

IS THERE BEEN ANY FOCUS ON BUILDING TOWARDS NET ZERO GOALS OR EFFORTS? YEAH. SO WE DID TALK ABOUT THIS A LITTLE BIT AT THE RETREAT.

WE ARE VERY FOCUSED ON ENERGY EFFICIENCY, NET ZERO, HEALTH CARE CONSTRUCTION, INPATIENT HEALTH CARE CONSTRUCTION IS SOMETHING THAT IS EXTREMELY DIFFICULT JUST WHEN YOU BASE IT OFF OF SOME OF THE PARAMETERS AND CODES THAT WE HAVE TO MEET FOR THINGS LIKE TEMPERATURE AND HUMIDITY AND SOME OF THE THINGS THAT WE NEED THAT FROM A MIX OF OF GAS AND ELECTRICAL POWER.

WE ARE FOCUSED, HOWEVER, ON ENERGY EFFICIENCY AS OF RIGHT NOW, AND WE HAVE A LOT OF WORK TO DO.

RIGHT. WE'RE STILL KIND OF IN THIS ZONING PIECE OF WORK, BUT WE ARE ALSO KIND OF GOING THROUGH A DESIGN AND ENGINEERING PROCESS.

AND AS WE SIT RIGHT NOW, WE ARE ABOVE ENERGY STAR 75, WHICH IS THE 77TH PERCENTILE.

I THINK WE WERE SITTING RIGHT AT ABOUT 80 OR 81 FROM A PERCENTILE PERSPECTIVE FROM OUR ENERGY MODELING.

SO MORE ENERGY EFFICIENT THAN 80% OF THE HOSPITALS ACROSS THE COUNTRY.

AND I THINK MORE IMPORTANTLY SPECIFICALLY FOR THE CITY OF FLAGSTAFF, OUR INITIAL CALCULATIONS SHOW OF 50% REDUCTION IN ENERGY UTILIZATION FROM OUR EXISTING CAMPUS TO OUR NEW CAMPUS, EVEN THOUGH WE'RE GROWING IN SIZE.

THANK YOU. SO.

I'M TRYING TO THINK I HAVE A QUESTION, BUT I DON'T KNOW HOW TO.

ASK IT. I KNOW THERE'S A LOT OF NAH BUILDINGS AROUND TOWN AND IN FACT, SOME IN THE COUNTY AREA.

I THINK SO.

YOU KNOW, I LIVE ON THE EAST SIDE OF TOWN AND I HEAR DURING THE SUMMER, SOMETIMES DURING THE WINTER.

HELICOPTERS GOING OVER.

I KNOW THEY'RE GOING TO GET ACCIDENT PATIENTS AND TAKE THEM TO THE HOSPITAL.

THAT'S YOU KNOW, THEY'RE EITHER HIKING UP [INAUDIBLE] NOW THEN AND SOMETHING'S HAPPENED HERE, THE HELICOPTERS THERE.

BUT THEN I HEAR THE HELICOPTERS THAT ARE ON A FRIDAY, SATURDAY NIGHT, GOING TO THE HOSPITAL.

I GUESS MY QUESTION IS, YOU KNOW, HOW MUCH COMES FROM THE DIFFERENT AREAS AND WHERE WHERE WHERE DOES IT COME FROM AND HOW HOW DOES RELOCATING SERVE THAT POPULATION BEST? YEAH, THAT'S A GREAT QUESTION.

ACTUALLY, MOST OF THE AIR TRAFFIC THAT ENDS UP WE HAD AN UNFORTUNATE INCIDENT A NUMBER OF YEARS AGO BEFORE I CAME ON THE MCMILLAN MESA.

AND WHILE THAT WAS EXTREMELY DIFFICULT FOR EACH AND EVERY ONE OF US AND IS STILL VERY HEARTFELT WITHIN GUARDIAN AIR TRANSPORT THAT WE OWN AND OPERATE AS A DEPARTMENT OF FLAGSTAFF MEDICAL CENTER.

SOME REALLY GOOD THINGS CAME OUT OF THAT ACCIDENT, AS ALL AVIATION DOES.

SO WE'RE NOW CURRENTLY DIRECTED BY THE AIRPORT, BY AIR TRAFFIC CONTROL.

SO EVERY ONE OF OUR FLIGHTS IS ACTUALLY DIRECTED BY AIR TRAFFIC CONTROL.

AS I MENTIONED BEFORE, WE DO HAVE BASES ACROSS THE REGION.

OUR CURRENT BASE IS ACTUALLY AT FLAGSTAFF OR EXCUSE ME, THE AIRPORT, AND THAT'S OUR FLAGSTAFF BASE.

[01:10:01]

WE HAVE ONE IN [INAUDIBLE].

WE HAVE ONE OUT ON THE RESERVATION IN TUBA CITY.

WE HAVE ONE IN KINGMAN AND WE HAVE ONE DOWN IN THE COTTONWOOD AREA.

SO IT DEPENDS.

BUT MOST OF THE TRANSFER TRAFFIC COMES FROM OUTLYING FACILITIES THAT DO NOT HAVE THE CAPABILITIES TO CARE FOR THOSE PATIENTS.

I CAN GIVE YOU THE EXACT BREAKDOWN, BUT FROM A TRAFFIC AND FLIGHT PATTERN, WHAT YOU'RE GOING TO SEE IS THE STUFF COMING FROM THE NORTH AND EAST.

I GUESS I FAIL TO MENTION WE HAVE ONE IN WINSLOW TWO, BUT THE NORTH AND EAST ARE PROBABLY GOING TO IMPACT OVER THE CITY MORE.

THE SOUTH, THE SOUTH AND WEST.

WINDS PROBABLY NOT, NOT AS MUCH, BUT MOST OF THE TRAFFIC DOES COME FROM OUTLYING FACILITIES THAT DON'T HAVE CAPABILITY.

SO LET ME GET THIS.

SO CURRENTLY THEY FLY THEY LAND AT FMC, IS THAT CORRECT? SO THAT'S A MULTIFACTORIAL ANSWER.

SO WE TRY MOST OF THE TIME.

ONE OF THE BENEFITS OF A NEW FACILITY IS, AS MANY OF YOU KNOW, WE LIVE AT HIGH ELEVATION AND IT CAN SOMETIMES GET WARM HERE IN THE SUMMER.

AND SO WHEN WE HAVE HIGH HEAT, HIGH ELEVATIONS, SOMETIMES THERE, IT'S CHALLENGING TO LIFT OFF OF THE PAD AT FMC BECAUSE WE CAN'T GET ENOUGH LIFT.

WE'VE INVESTED SEVERAL MILLION DOLLARS IN EACH OF OUR AIRCRAFT TO PUT LARGER MOTORS IN THEM TO HELP, AND WE PUT THOSE AT OUR HIGH ELEVATION AREAS.

BUT SOMETIMES WE LAND AT THE AIRPORT WITH A PATIENT THAT WE CAN'T LAND AT THE HOSPITAL, AND THEN WE PUT THEM IN AN AMBULANCE AND WE TRY TO DRIVE THEM THROUGH MILTON TRAFFIC TO GET THEM TO CARE. SO TWO THINGS BENEFIT US.

THERE IS ONE, WE CAN CONSTRUCT A LITTLE BIT LARGER PAD SO WE CAN GET MORE LITTLE RUNNING TAKE OFF, WHICH WILL ALLOW US TO LAND MORE FREQUENTLY THERE.

ADDITIONALLY, WE ALREADY LAND AT THE AIRPORT WHERE THERE'S LOTS OF OPEN SPACE SO WE CAN LAND AT THE AIRPORT AND BRING THEM OVER VIA AMBULANCE, WHICH IS FASTER SERVICE.

OKAY, SO THOSE OF US THAT ALREADY HEAR THE HELICOPTERS, WE'LL STILL HEAR THEM.

BUT, YOU KNOW, MAYBE IT'S A LITTLE BIT DIFFERENT FLIGHT PATH.

YEAH. SO.

OKAY. AND BELIEVE ME, I WAS HERE WHEN I DROVE BY THAT ACCIDENT RIGHT AFTER IT HAPPENED.

SO IT WAS VERY TRAUMATIC.

YES. WE HAVE ANOTHER COMMISSIONER WITH A QUESTION.

THANK YOU. YES, COMMISSIONER PAUL.

YEAH. THANKS.

AND THANK YOU ALL FOR THE ILLUMINATING PRESENTATIONS.

I WAS WONDERING, IT'S BEEN KIND OF MENTIONED GENERALLY A FEW TIMES OF EFFICACY, EFFECTIVELY RUNNING OUT OF SPACE, BE IT ACTUAL PATIENT CARE AREAS, PARKING AREAS.

I WAS WONDERING IF SOMEONE COULD JUST GIVE.

I REALIZE THAT THE DESIGN IS, OF COURSE, STILL IN PROGRESS, BUT TARGET BENCHMARKS FOR EITHER PERCENTAGES OF INCREASE OR PROJECTIONS FOR THAT WOULD BE GREAT JUST FOR KIND OF BIG PICTURE CLARITY.

AND ALSO, IF SOMEONE COULD SPEAK TO WHETHER THERE IS ANY CURRENTLY UNDEVELOPED LAND MORE CLOSELY ADJACENT TO THE HOSPITAL OWNED BY FMC THAT HAS BEEN LOOKED AT FOR DEVELOPMENT AS WELL.

I'M THINKING SPECIFICALLY OF THE AREA SOUTH OF THE EXISTING SUMMIT SURGERY CENTER ON FOREST AND TURQUOISE.

SO ANYWAY, JUST A BIG PICTURE QUESTIONS.

I KNOW NOT PERHAPS DIRECTLY RELATED TO THE EXACT TOPIC OF DISCUSSION, BUT JUST SINCE THOSE TOPICS HAVE BEEN BROUGHT UP A TIME OR TWO, I WANTED TO ASK.

THANK YOU. YEP.

THANK YOU, COMMISSIONER. I'LL TRY AND ANSWER AS BEST I CAN.

SO A COUPLE OF THINGS ABOUT THE EXISTING HOSPITAL WHERE WE ARE A LICENSED 240 BED HOSPITAL RIGHT NOW.

WE WE REALLY CANNOT OPERATE AS A 240 BED HOSPITAL.

HOWEVER, 66 OF OUR BEDS AND I NEGLECTED TO MENTION THIS DURING THE PRESENTATION.

66 OF OUR BEDS ARE CURRENTLY DOUBLE OCCUPANCY.

DOUBLE OCCUPANCY IS NOT REALLY A STANDARD ANYMORE IN HEALTH CARE.

WE DO OPERATE THEM AS DOUBLE OCCUPANCY WHENEVER POSSIBLE.

HOWEVER, THERE ARE MULTIPLE FACTORS THAT PRECLUDE US FROM BEING ABLE TO USE THEM ALL THE TIME AS DOUBLE OCCUPANCY ROOMS. TB RULE OUT SAME SEX ROOMMATE, ETC.

IT'S A DIFFICULT SITUATION.

SO WE NEVER REALLY GET TO OPERATE AS A 240 BED HOSPITAL.

SO THE NEW FACILITY WILL OPEN AS A 274 BED FACILITY.

SO 34 BED INCREMENTAL ADD PROBABLY REALLY MORE LIKE 50 BED INCREMENTAL ADD.

WHEN YOU LOOK AT THE INEFFICIENCIES OF THE DOUBLE OCCUPANCY ROOMS, WE WILL BE ALL SINGLE OCCUPANCY, PRIVATE ROOMS, PRIVATE RESTROOMS IN OUR NEW FACILITY, WHICH IS A MUCH MORE MODERN VERSION OF INPATIENT HEALTH CARE.

SO QUITE A BIT OF GROWTH ON DAY ONE FROM AN INPATIENT PERSPECTIVE.

THE THE PROPOSED PHASE ONE STRUCTURE ALSO HAS SHELF SPACE THAT COULD ADD 44 MORE BEDS TO THE FACILITY WITHOUT GROWING THE FOOTPRINT OR SQUARE FOOTAGE OF THE FACILITY.

SO IT'S ONE SHELL FLOOR AND ONE KIND OF SHELLED IN.

I DON'T KNOW THE BEST WAY TO EXPLAIN IT, BUT WE'RE USING THE SLOPE OF THE BACK SLOPE OF THE WEST SIDE TO KIND OF BUILD ALMOST LIKE A WALKOUT BASEMENT THAT COULD BE SHELLED IN FOR

[01:15:04]

AN ADDITIONAL 20 BEDS AND THEN FURTHER DOWN THE ROAD, IF THE REGION CONTINUES TO GROW, WE DO SHOW CAPACITY FOR ONE MORE LEG OF OUR BED TOWER.

SO ALL OF THE SQUARE FOOTAGE IS THAT TIFFANI HAD MENTIONED IN HER PRESENTATION.

ALL WERE THE END RESULT OF CONSTRUCTION, NOT THE PHASE ONE CONSTRUCTION.

SO IN ADDITION TO THAT, THEY'LL ALSO BE THE GROWTH OF ALL OF THE SUPPORT NETWORKS AROUND THAT, LIKE SURGERY, LARGER LAB, PHARMACY, ETC..

AND THEN WE'LL ALSO BE GROWING OUR EMERGENCY DEPARTMENT.

OUR EMERGENCY DEPARTMENT ALMOST DOUBLES IN SIZE FROM A SQUARE FOOTAGE PERSPECTIVE.

AND WE'RE ALSO ADDING A MUCH MORE FLEXIBLE DESIGN INTO OUR EMERGENCY DEPARTMENT THAT SHOULD HELP PATIENTS GET IN AND OUT FASTER AND SHOULD GIVE US THE ABILITY TO FLEX UP AND DOWN FROM A STAFFING PERSPECTIVE AS OUR VOLUMES GO UP AND DOWN TO THE SECOND QUESTION.

OH, AND RIGHT UP.

SO WE CURRENTLY DON'T HAVE OBSERVATION BEDS SO QUICKLY.

WHAT OBSERVATION BEDS ARE THERE PATIENTS WHO AREN'T TECHNICALLY INPATIENTS IN THE HOSPITAL? THEY STAY WITH US LESS THAN 48 HOURS.

THEY'RE PUT IN WHAT'S CALLED OBSERVATION STATUS.

WE ARE BUILDING A DEDICATED OBSERVATION UNIT WHICH WILL NOT ONLY HELP OFFLOAD ED VOLUMES AND SPEED UP PATIENTS ABILITIES TO GET INTO THE ED, BUT ALSO KEEP OUR BED COUNT AVAILABLE FOR US TO BE ABLE TO GROW WITH THE REGION.

RIGHT NOW, OUR OBSERVATION PATIENTS TAKE UP INPATIENT BEDS IN THAT 240 BED LICENSED HOSPITAL WE HAVE RIGHT NOW.

TO THE SECOND QUESTION ABOUT LAND.

WE DID LOOK AT THE LAND.

WE DO OWN THE PROPERTY WEST OF SAN FRANCISCO.

SO SOUTH OF SUMMIT CENTER, OUR NAYYAR PROPERTY, IT IS TWO THINGS.

ONE, IT'D BE VERY DIFFICULT TO BUILD HEALTH CARE ON IF ANY OF YOU FAMILIAR WITH THAT PIECE OF PROPERTY IT IS HAS THE WASH THAT RUNS RIGHT THROUGH IT.

THERE IS QUITE A GRADE DROP FROM OUR FACILITY DOWN TO THAT PART OF THE FACILITY AND ONE OF THE SLIDES WE TOUCHED ON EARLIER WHERE WE TALKED ABOUT THE THE HORIZONTAL NATURE OF THE EXISTING HOSPITAL AND WHAT THAT LEADS TO FROM AN INEFFICIENCY PERSPECTIVE FOR PATIENT CARE.

AND OUR STAFF, WHERE WE ALREADY HAVE 900 FOOT PUSHES.

SO WE HAVE PATIENTS THAT GO RIGHT NOW 900 FEET HORIZONTALLY FROM ONE SIDE OF OUR CAMPUS TO THE OTHER, JUST TO GET TO AN ELEVATOR SO THAT THEY CAN GET DOWN TO IMAGING OR SURGERY THAT WOULD ONLY FURTHER BRING THAT HORIZONTAL ELEMENT IN IF WE CONTINUE TO GO EAST WITH OUR BUILDING.

ARE THERE ANY OTHER QUESTIONS FROM COMMISSIONERS? THANK YOU FOR THAT ANSWER.

THAT WAS VERY HELPFUL.

THE ONLY OTHER THING I HAD BEEN WONDERING ABOUT WAS PARKING WAS MENTIONED AS A CONSTRAINING FACTOR.

IS THERE A ROUGH ESTIMATE OF SPACE COUNT AND OR INCREASE FOR THE NEW CAMPUS? YEAH, I THINK I THINK WE'RE SOMEWHERE AROUND 2300 PARKING SPACES PROPOSED FOR THE NEW CAMPUS.

THE MAJORITY OF THOSE PARKING SPACES ARE DIRECTLY RELATED TO A PARKING GARAGE.

SO WE WILL HAVE A PARKING STRUCTURE SO IT WON'T BE ALL SURFACE PARKING.

AND THE CORRELATION OF PARKING FROM NEW CAMPUS TO EXISTING CAMPUS ISN'T EXACTLY A FAIR EQUATION BECAUSE WE DON'T HAVE A CONSOLIDATED AMBULATORY PLATFORM LIKE WE WILL IN THE NEW CAMPUS.

AND THAT AMBULATORY PLATFORM PUTS A LOT MORE PARKING ONTO THE CAMPUS THAN WHAT OUR CURRENT ONE DOES.

SO IT WOULD CHANGE THE RATIOS.

SO WE DON'T HAVE AN OUTPATIENT CLINIC BUILDING ON OUR EXISTING CAMPUS OR NOT.

ONE OF THE SIZE AND SCALE THAT WE'RE ABOUT TO BUILD.

WE DO HAVE THE PSOB BUILDING ON CAMPUS, WHICH IS ABOUT 60,000 SQUARE FEET.

OUR AMBULATORY CARE CENTER IS GOING TO BE ABOUT 185,000 SQUARE FEET.

SO THAT INTENSITY OF MEDICAL OFFICE BUILDING IS GOING TO CHANGE THE RATIO OF PARKING.

BUT WE HAVE GONE THROUGH PARKING CALCULATIONS NOT JUST FROM A CITY GUIDELINE PERSPECTIVE, BUT WE'VE ACTUALLY LOOKED AT IT FROM A HEALTH CARE PERSPECTIVE TO MAKE SURE THAT WE COULD PARK IT FOR OUR STAFF AND PATIENTS.

SO. WHAT IS YOUR CURRENT PARKING? I THINK IT'S LIKE AND YOU SAY, HOW MANY WILL BE AT THE NEW? 2300.

2300. AND IS THERE CAPACITY FOR THAT IF YOU CONTINUE TO GROW AND ADD ON TO THE HOSPITAL THAT COULD BE ADDED ON? AND YOU HAVE. YEAH, WE HAVE WE HAVE THE FUTURE GROWTH OF THE HOSPITAL, EVERYTHING OUT TO WHAT WE THINK IS 2050 ACTUALLY PROGRAMED INTO THE BUILDING SO THAT IT'S AS EASY AS POSSIBLE FROM A CONSTRUCTION PERSPECTIVE.

BUT WE'VE ENGINEERED IN THOSE ADVANCEMENTS IN THE FUTURE FROM A SITE PERSPECTIVE, FROM CIVIL PERSPECTIVE, AND THEN ALSO ON THE MECHANICAL AND ELECTRICAL AND PLUMBING SIDE SO THAT WE CAN GROW IN AN INTELLIGENT FASHION.

ALL RIGHT. THANK YOU.

ARE THERE ANY OTHER QUESTIONS FROM COMMISSIONERS?

[01:20:05]

AND IF NOT, I WOULD OPEN THIS UP TO PUBLIC COMMENT.

DO WE HAVE ANY PUBLIC COMMENT? WE WERE FIRST GOING TO GO TO COMMENTS ONLINE.

SO THOSE WHO ARE ON TEAMS, PLEASE RAISE YOUR HAND IF YOU HAVE ANY COMMENTS ON TEAMS. ALSO, I WOULD ASK THE PUBLIC BEFORE YOU COMMENT TO STATE YOUR NAME AND ADDRESS.

AND REMEMBER, YOU ONLY HAVE 3 MINUTES.

SO ARE YOU SEEING ANY PUBLIC HANDS RAISED? YES. SO FIRST I SEE TERESA, STACY, RYAN, AND THEN WHILE YOU START THE TIMER WHEN.

YEAH. HELLO? ALL RIGHT. CAN YOU HEAR ME? BARELY, IF YOU CAN SPEAK A LITTLE LOUDER.

ALL RIGHT. I AM TERESA STACY RYAN AT 1235 WEST COCHRAN AVENUE.

I AM PERSONALLY OPEN TO THE NEW NAH DEVELOPMENT.

I LIVE IN MOUNTAIN DALE, AND THE TIMING COULDN'T BE BETTER FOR ME IN THIS STAGE OF LIFE.

I AND MY FAMILY HAVE LIVED IN MOUNTAIN DELL FOR 30 YEARS.

I WORKED IN THE ORIGINAL FMC CAMPUS FROM 1982 TO 1986 AND AGAIN IN THE NEW CAMPUS IN 1990.

I AM WELL AWARE OF THE VALUABLE SERVICES NAH PROVIDES.

LEAVING THE DELL HAS ALWAYS BEEN A CHALLENGE EVERY TIME, SIMPLY DUE TO THE 270 DEGREE HEAD TURN REQUIRED TO SEE WHAT IS COMING FROM THE SOUTH ON BEULAH BOULEVARD, AS WELL AS KNOWING WHAT IS COMING AT YOU FROM THE NORTH.

[INAUDIBLE] ACTIVITIES LEAVE YOU SITTING AT THE INTERSECTION FOR A LENGTHY PERIOD OF TIME UNTIL YOU GET THAT BREAK TO MOVE OUT.

TOWARDS SEASON, ESPECIALLY THE WEEKENDS THROUGHOUT THE YEAR, WINTER AND SUMMER AS THE HIGH POINTS ALSO LEAVE YOU WAITING FOR A LENGTHY PERIOD OF TIME.

ALL OF THIS IS HAPPENING WHERE PEOPLE ARE SUPPOSED TO SLOW FROM THEIR 55 TO 65 MILE AN HOUR SPEED DOWN TO A RESIDENTIAL AREA SPEED RIGHT AT THE POINT WHERE MOUNTAIN DALE ROAD MEETS BEULAH.

AGAIN, I AM PERSONALLY OPEN AND SUPPORTIVE TO THE NEW AGE DEVELOPMENT, BUT IT SHOULD BE OBVIOUS THAT IF CURRENT ROAD ACTIVITY AS WE LEAVE THE DELL IS THE CHALLENGE THIS LEVEL OF INTRODUCED ACTIVITY DICTATES IT'S TIME TO ADDRESS THE SAFETY OF LEAVING OUR COMMUNITY.

I MIGHT ALSO ADD THAT THE ONE ENTRANCE EXIT OF MOUNTAIN DALE ROAD ONTO BEULAH IS THE ONLY VEHICLE ACCESS TO AND FROM THE DELL.

I WAS REMINDED OF THIS AT THE BEGINNING OF THE SUMMER WHEN THE FIRST NEIGHBOR AT THE ENTRANCE TO MT.

BELL HAD A FIRE AT THEIR RESIDENCE.

AS WE WATCHED THE EMERGENCY VEHICLES COME TO THEIR AID, WE REALIZE THAT IF THIS FIRE STARTED TO MOVE INTO OUR BOWL SHAPED COMMUNITY, OUR ONLY EXIT FROM MOUNTAIN DALE WOULD BE BY FOOT OUT INTO THE FOREST THAT SURROUNDS US OR UP THE PATH TO DE MIGUEL.

WHILE I AM NOT ASKING FOR THAT SOLUTION HERE, I AM ASKING THE PROACTIVE ACTION BE TAKEN TO ADDRESS THE EXIT FROM MOUNTAIN DALE. PROACTIVE.

RECONFIGURATION OF THE INTERSECTION IS TO BE AT A 90 DEGREE ANGLE TO BEULAH.

THE YIELD TO A ROUNDABOUT IS ALSO CALLED FOR AT A MINIMUM, THIS SEEMS TO BE THE NEWEST SOLUTION IN THE FLAGSTAFF AREA.

EVEN SMALL ONES IN NEIGHBORHOODS SUCH AS THAT ON SCHWEITZER CANYON ROAD, SOMETHING TO DEAL WITH THE CRAZINESS AS PEOPLE ARE SUPPOSED TO SLOW FROM 55 TO 65 MILE AN HOUR SPEED DOWN TO A RESIDENTIAL AREA SPEED RIGHT AT THE POINT WHERE MOUNTAIN DALE ROAD MEETS BEULAH.

TERESA. YEAH.

THANK YOU VERY MUCH. YOUR YOUR TIME HAS EXPIRED, SO THANK YOU VERY MUCH.

OKAY. THANK YOU FOR THE OPPORTUNITY.

YOU'RE WELCOME.

OUR NEXT SPEAKER.

NEXT, WE HAVE ALEXANDER F SHANKIN.

SORRY, I'M REALLY BAD AT PRONUNCIATION.

YOU GOT IT. YOU GOT IT.

THANK YOU. SO, YES, I'M ALEX SHANKIN.

I LIVE AT 54 WEST NICE TRAIL HERE IN PONDEROSA TRAILS.

LIKE THE LAST SPEAKER, I'M VERY OPEN TO HAVING THIS DEVELOPMENT AND I THINK IT COULD BRING A LOT OF POSITIVES.

I THINK THAT THE NEGATIVES, HOWEVER, DO HAVE TO BE DEALT WITH IN ORDER TO MAKE THIS.

I MEAN, INSTEAD OF A WASH FOR THE COMMUNITY, HOW ABOUT THINKING OF IT AS AN ACTUAL REAL BENEFIT FOR THE QUALITY OF LIFE OF THE SURROUNDING COMMUNITIES

[01:25:06]

. RIGHT NOW THERE'S ALREADY SIGNIFICANT TRAFFIC NOISE FROM THE INTERSTATES.

AMBULANCE NOISE WILL ADD TO IT.

AND THIS IS ALREADY BEEN RAISED AS ONE ISSUE, I DIDN'T REALIZE, BUT THE AMBULANCES FROM THE AIRPORT NOW THAT WE JUST HEARD ABOUT COULD ADD TO THAT.

SO I'M REALLY LOOKING FORWARD TO A NOISE MITIGATION STUDY.

I'M CURIOUS AS TO WHEN THOSE WILL OCCUR AND WHEN THE COMMUNITY WILL HAVE ACCESS TO THE RESULTS AND HAVE A MEETING ABOUT THEM WHERE WE CAN REALLY DIG INTO THEM AND HAVE OUR VOICES HEARD IN A MEANINGFUL WAY.

I'M CURIOUS ABOUT THE BIKE CHANGES.

IT MENTIONED IT WILL CONNECT WITH THE FUTS.

IT'S ALREADY DIFFICULT TO GET ACROSS THE ROADS COMING FROM PONDEROSA TRAILS ACROSS THE BOULEVARD TO GET ON TO FUTS THERE.

AND I'M WONDERING IF THIS UNDERPASS AND SO ON IF BIKING HAS BEEN CONSIDERED.

AFTER ALL, THIS IS A HEALTH RELATED DEVELOPMENT, ISN'T IT? FINALLY, THERE HAVE BEEN SOME LETTERS I NOTICED IN THE ARCHIVE RELATING TO THE DISCHARGE OF HOMELESS FOLKS, FOLKS WHO HAVE NO TRANSPORT AND SO ON, AND I'D LIKE TO KNOW WHAT THE PLANS ARE FOR THAT.

WE DON'T WANT THE COMMUNITIES AROUND, SO APPARENTLY COMMUNITIES AROUND THE CURRENT SITE DO SUFFER FROM THIS SOMETIMES.

AND IT'D BE NICE TO KNOW NOT JUST FOR THE BENEFIT OF THE COMMUNITIES, BUT FOR THESE PEOPLE THEMSELVES, WHAT FACILITIES ARE GOING TO BE PUT TOGETHER TO HELP THEM AND NOT JUST PUSH THEM OUT ONTO THE STREET? FINALLY, YOU MENTIONED THIS HORIZONTALITY ISSUE IN THE CURRENT SITE.

DOES THAT IMPLY GROWING BUILDINGS TALL? AND I'M REALLY WORRIED THAT THESE WILL OBSTRUCT NATURAL VIEWS AND BE A BIT OF AN EYESORE.

SO I'M CONCERNED ABOUT THAT AND I'D LOVE TO HEAR SOMETHING ABOUT THAT.

AND IN GENERAL, I'D LIKE TO KNOW MORE ABOUT THE TIMELINE OF COMMUNITY INTERACTION.

AND WHEN WE REALLY GET TO SAY SOMETHING ABOUT OUR ISSUES WITH THIS.

THANK YOU. THANK YOU VERY MUCH.

IS THERE OTHER COMMENTS FROM THE PUBLIC ON TEAMS? I'M NOT SEEING ANYONE.

SO I WOULD LIKE TO CALL WHITNEY CUNNINGHAM FORWARD.

AND IF YOU'D PLEASE WATCH THE TIMER.

AND FOR THE RECORD, STATE YOUR ADDRESS.

AS WELL. MY NAME IS WHITNEY.

IN FLAGSTAFF, DEAR COMMISSIONERS, WE TOGETHER WITH OUR PARENTS, VAN AND CAROL ODEGAARD, MAY BE THE CLOSEST RESIDENTIAL NEIGHBORS TO NORTHERN ARIZONA HEALTH CARE'S PROPOSED NEW HOSPITAL AND HEALTH VILLAGE.

OUR PROPERTIES BORDER THE HOSPITAL'S PROPERTY, AND WE ALL AGREED TO MOVE FROM OUR OLD HOMES TO MAKE ROOM FOR THE PROJECT.

THIS MEANT OUR PARENTS MOVING FROM THE HOME THEY BUILT IN THE 1980S AND WHERE THEY RAISED THEIR FAMILY, INCLUDING CHARLEY.

NEEDLESS TO SAY, IT WAS A DIFFICULT AND EMOTIONAL DECISION FOR ALL OF US.

IT WAS ALSO AN IMPORTANT DECISION.

FOR DECADES, CAROL ODEGAARD WORKED AS A NURSE AT FLAGSTAFF MEDICAL CENTER.

DURING HER YEARS THERE, WE ALL CAME TO RESPECT THE MISSION OF THE HOSPITAL AND THE NEED FOR QUALITY MEDICAL CARE IN OUR TOWN.

WE WANT AND OUR TOWN DESERVES THE HIGHEST QUALITY OF MEDICAL CARE, WHICH THE OLD HOSPITAL FACILITY IS NO LONGER ABLE TO PROVIDE.

WE UNDERSTAND IT NEEDS TO MOVE.

AND WHILE IT MEANT THAT WE ALSO HAD TO MOVE, WE WELCOME THE NEW HOSPITAL TO THIS AREA.

WHERE WE LIVE HAS FOR MANY YEARS BEEN PLANNED AS A GROWTH AREA FOR FLAGSTAFF.

DURING CHARLIE'S YEARS SERVING ON CITY COUNCIL, WE WERE VERY AWARE OF THESE PLANS.

AND WHILE THE NEW HOSPITAL WILL BE A REGIONAL INSTEAD OF A NEIGHBORHOOD USE, THIS CHANGE IS CONSISTENT WITH WHAT IS ALREADY HERE, A REGIONAL COUNTY PARK AND A REGIONAL AIRPORT AND BUSINESS PARK JUST ACROSS THE FREEWAY.

THERE MAY BE NO PERFECT LOCATION FOR A NEW HOSPITAL IN FLAGSTAFF, BUT THIS IS A PRETTY GOOD ONE.

[01:30:05]

NOW IT IS YOUR TURN AS COMMISSIONERS TO MAKE THE IMPORTANT DECISION FOR FLAGSTAFF, AS WE HAD TO DO FOR OUR FAMILIES.

WE HOPE AND TRUST THAT YOU WILL APPROVE THE MINOR REGIONAL PLAN AMENDMENT AND ALLOW NAH'S PROJECT TO CONTINUE MOVING FORWARD.

SINCERELY, CHARLEY ODEGAARD AND LINDA ODEGAARD.

THANK YOU. THANK YOU.

I WILL NEXT CALL UPON CHRISTINA RAINSFORD.

I AM CHRISTINA RAINSFORD.

I RESIDE WITH MY HUSBAND AT 1425 WEST COCHRANE AVENUE IN MOUNTAIN DALE.

WE HAVE BEEN RESIDENTS OF THAT NEIGHBORHOOD FOR OVER 40 YEARS.

AND WHILE I APPRECIATE THAT THIS IS PRIVATE PROPERTY THAT FMC OR NHA ACTUALLY OWNS, AND THEY SHOULD, AS ANY PRIVATE PROPERTY OWNER, BE ABLE TO DEVELOP IT THE WAY THAT THEY SEE FIT.

MY CONCERN IS WITH THIS MINOR AMENDMENT THAT IT MAY BE WITH THE CHANGE FROM IT BEING A NEIGHBORHOOD ACTIVITY CENTER TO IT BEING A SUBURBAN ACTIVITY CENTER.

THAT WOULD THE REGIONAL PLAN, AS IT IS ALREADY SET, THAT TINY BIT OF A CHANGE MIGHT LEAD INTO A GREATER CREEP THAT IMPACTS THE PRIVATE PROPERTIES THAT SURROUND THE AREA THAT IS BEING PROPOSED.

AND IN THAT WHEN I SEE THAT ONE PART OF NIH IS SLIDES WHERE IT AGAIN REPEATS THAT THE REGIONAL PLAN PART OF IT IS FOCUSING AND MAINTAINING A RURAL COMPONENT TO WHAT EXISTS IN THAT CURRENT REGIONAL PLAN.

I'M CONCERNED THAT PART, THE FOCUS IN THE MAINTAINING OF THE REGIONAL.

THE RURAL PART OF IT IS GOING TO BE LOST IF THIS MINOR AMENDMENT IS APPROVED.

AND I WOULD LIKE TO END WHERE IT DOES SAY.

IN PART OF THE AMENDMENT REQUEST, WHERE IT DOES SAY THAT IN CASE OF ANY CONFLICT BETWEEN FUTURE GROWTH ILLUSTRATION AND THE REGIONAL PLAN OF TWENTY-THIRTIES GOALS AND POLICIES, THE GOALS AND POLICIES WILL PREVAIL.

AND MY CONCERN IS THAT SOME OF THOSE DO HAVE CONFLICT AND THEY'RE GOING TO BE LOST WITH THE CREEP OF THE OF THE NEW NAH.

I HOPE THAT IT BUILDS THERE.

I HOPE THAT IT IS VERY PRODUCTIVE.

YOU, ANY OF US CAN SEE WHERE IT'S NEEDED FOR THE EXPANSION OF THE HOSPITAL.

MY CONCERN IS HOW MUCH AROUND THAT EXPANSION OF THE HOSPITAL IS GOING TO IMPACT ALL THE PRIVATE PROPERTIES AND THE VISION AND GOALS OF THE 2030 PLAN. AND I APPRECIATE YOU HEARING MY VOICE.

THANK YOU VERY MUCH.

NEXT, I'D LIKE TO CALL ON SEAN RYAN.

I THANK YOU FOR THE OPPORTUNITY TO SPEAK.

MY NAME IS SHAWN RYAN, AND I RESIDE AT 1190 WEST COX AVENUE, WHICH IS IN MOUNTAIN DALE NEIGHBORHOOD.

THERE ARE MANY THINGS THAT HAVE COME UP TONIGHT THAT ARE CERTAINLY ON MY LIST OF THINGS THAT I'M CONCERNED ABOUT OR CURIOUS ABOUT WITH THIS DEVELOPMENT AND SHIFT.

IN GENERAL, I'M DEFINITELY A FAN OF REGIONAL PLANNING.

BUT WHEN WE GET INTO REGIONAL PLANNING, I DO APPRECIATE THE COUNTY AND THE CITY ARE TRYING TO COORDINATE TOGETHER.

BUT THAT CAN OFTEN BE AT A GENERALISTIC LEVEL.

AND WHEN WE REALLY GET INTO THE DETAILS, THERE ARE A LOT OF QUESTIONS THAT EMERGE AND CONCERNS THAT CAN COME OUT OF THAT.

SO ONE THING WE HEARD IS WITH THIS MODIFICATION RECOMMENDED TONIGHT TO GO FROM A NEIGHBORHOOD TO A REGIONAL PLAN.

PART OF THE REASONING THERE IS THAT THE CITY HAS DECIDED TO TAKE AWAY SOME OF THE INDUSTRIAL AREAS AND EMPLOYMENT CENTERS IN THE CENTER OF THE CITY AND ESSENTIALLY HAS FOUND THIS AS A SOLUTION TO BUMP THOSE OUT TO THESE AREAS.

I DEFINITELY LIKE THE IDEA OF WORKING TOWARDS A GREATER GOOD AND A LARGER PLAN TOWARDS WHAT WE'RE DOING.

BUT IT'S REALLY IMPORTANT THEN TO CONSIDER WHAT THE IMPACTS OF THOSE SHIFTS LOOK LIKE.

I'M IN THE MOUNTAIN DALE NEIGHBORHOOD, ONE OF THE NEIGHBORHOODS THAT ARE MOST CLOSELY RELATED TO THIS PROPOSED DEVELOPMENT AND SHIFT.

THIS SHIFT AWAY FROM A NEIGHBORHOOD CENTER TO A REGIONAL CENTER ESSENTIALLY HAS BEEN DEPICTED AS SOMETHING THAT WILL THEN LEAD TO LARGER SCALE ROADS, HIGHER LEVELS OF TRAFFIC.

[01:35:01]

THOSE COME WITH THINGS LIKE ADDITIONAL NOISE.

AND YET WE DON'T SEE THE DETAILS OF THE TRAFFIC STUDIES OR THE PIECES THAT HAVE BEEN PRESENTED WITH THIS SHIFT TO REALLY SEE HOW THAT MIGHT IMPACT THE NEIGHBORHOOD.

ALONG THOSE LINES, NEIGHBORS HAVE EXPRESSED MANY CONCERNS THAT HAVE ALREADY BEEN MENTIONED, THE NOISE, THE TRAFFIC, OTHER THINGS LIKE THAT.

I DO APPRECIATE THAT NAH HAS HAD MANY COMMUNITY MEETINGS THAT HAVE ADDRESSED SOME OF THE ISSUES, INCLUDING IN THEIR PRESENTATION TONIGHT.

HOWEVER, WE DO SEE THOSE KINDS OF IMPACTS.

ONE THING I REALLY WANT TO POINT OUT IS WHAT WAS MENTIONED AS A SAFETY ISSUE WITH THE ROAD ALIGNMENT AND TRAFFIC ACCESS IN THE MOUTAIN DALE NEIGHBORHOOD. THIS IS SOMETHING THAT'S ALREADY AN UNSAFE SITUATION.

THE DATA THAT'S BEEN PRESENTED SO FAR, WE KNOW AS RESIDENTS IS INACCURATE.

THERE HAVE BEEN AT LEAST TWO FATALITIES AT THAT INTERSECTION IN ADDITION TO OTHER ACCIDENTS THAT WAS NOT REPRESENTED IN INITIAL DATA THAT WAS PRESENTED.

AND SO WE REALLY FEEL THERE ARE MORE DETAILS NEEDED.

AND ADDRESSING SOME OF THOSE POTENTIALLY NEGATIVE IMPACTS OF THIS SHIFT TO A REGIONAL CENTER ARE SOMETHING THAT WE'D LIKE TO SEE A SHIFT FOR.

IN THE END, WE'D LIKE TO SEE GREAT REGIONAL PLANNING, BUT DOING REGIONAL PLANNING DOESN'T HAVE TO COME AT THE EXPENSE OF JUST ONE GROUP.

IF IT'S DONE IN A GREAT WAY THAT HELPS ADDRESS OR MITIGATE SOME OF THESE IMPACTS.

SO I WOULD SAY IT SEEMS PREMATURE.

SORRY FOR THE BEEP. I WOULD SAY SHIFTING THE PLAN MAY BE PREMATURE, BUT THANK YOU FOR YOUR TIME.

THANK YOU VERY MUCH.

LAURIE ANNA HARRISON.

WHO I MISTOOK FOR MARY.

MARY? YES.

IN THE PARKING LOT. HELLO.

GOOD EVENING. MY NAME IS LORI ANNA HARRISON.

I LIVE AT 1326 NORTH INDIAN VALLEY, WAY IN CONTINENTAL COUNTRY CLUB.

I AM A NATIVE OF FLAGSTAFF AND I WAS ACTUALLY BORN AT FLAGSTAFF MEDICAL CENTER, SO I'M A BIG FAN OF NAH AND THE PLANNED NEW PROPOSED VILLAGE.

MOSTLY BECAUSE MY GRANDMOTHER, SHE LIVES IN UNIVERSITY HEIGHTS RIGHT THERE, BUT SHE'S BEEN IN AND OUT OF THE HOSPITAL, I WOULD SAY AT LEAST FIVE TIMES SINCE LAST SEPTEMBER WHEN SHE FIRST GOT COVID, I WAS THERE WITH HER MULTIPLE DIFFERENT TIMES GETTING THE ER FOLKS.

WELL, ANYWAYS, THE MEDICAL PROFESSIONALS CAME TO THE HOME AND PICKED HER UP AND TOOK HER THERE.

SHE RECEIVED EXCELLENT CARE AND I WOULD HATE FOR HER OR ANYBODY IN HER CONDITION TO BE ONE OF THOSE 15 THAT DIDN'T HAVE A SPOT IN THE HOSPITAL AND THAT WAS KIND OF DETERRED OR TURNED AWAY.

SO I'M JUST A BIG ADVOCATE OF THAT NEW VILLAGE, AND I HOPE THAT FOLKS HERE IN FLAGSTAFF AND BEYOND NORTHERN ARIZONA RECEIVE THAT TRAUMA ONE CENTER CARE THAT WE'VE GROWN TO LOVE AND APPRECIATE HERE IN FLAGSTAFF.

THANK YOU SO MUCH.

THANK YOU VERY MUCH.

AND THE LAST CARD I HAVE, UNLESS ANYBODY RUSHES ONE UP TO BECKY, IS FROM GAIL JACKSON.

GOOD EVENING, PLANNING AND ZONING COMMISSIONERS.

MY NAME IS GAIL JACKSON.

I'M THE PRESIDENT AND CEO OF ECONA, THE ECONOMIC COLLABORATIVE OF NORTHERN ARIZONA, WHERE THE PREMIER REGIONAL ECONOMIC DEVELOPMENT ORGANIZATION FOR THE REGION.

AND I'M HERE TONIGHT AND I APOLOGIZE.

MY VOICE IS CRACKING.

I AM HERE TONIGHT TO STRONGLY SUPPORT THE MINOR REGIONAL PLAN AMENDMENT TO THE FLAGSTAFF REGIONAL PLAN FOR NORTHERN ARIZONA HEALTH CARE.

A NEW EMPLOYMENT DISTRICT IS GREATLY NEEDED WITHIN THE CITY OF FLAGSTAFF LIMITS, AND THE LAST EIGHT YEARS WE'VE LOST KEY EMPLOYMENT AREAS SUCH AS THE 35 ACRES ON MCMILLAN MESA.

THAT LAND WAS DESIGNATED FOR RESEARCH AND INNOVATION JOBS AND IS NO LONGER AVAILABLE.

EXCUSE ME. WE'VE ALSO LOST INDUSTRIAL LAND.

SO THE ADDITION OF THIS MAKING THIS MINOR PLAN AMENDMENT WOULD BE GREAT FOR BRINGING SOME OF THAT LIGHT INDUSTRIAL WORK BACK.

BIOSCIENCE RESEARCH AND DEVELOPMENT JOBS ARE A GREAT FIT FOR OUR REGION.

THEY'RE THEY'RE LOW IMPACT, THEY'RE HIGH WAGE THAT WE DESPERATELY NEED IN FLAGSTAFF, IN NORTHERN ARIZONA, TO COMPETE WITH THE HIGH COST OF LIVING AND OUR HOUSING PRICES. AND THEN IN THE LAST TWO MONTHS, WE HAVE RECEIVED FOUR INQUIRIES FROM BUSINESSES NEEDING 30 ACRES OR LESS OF SPACE THAT DOESN'T CURRENTLY EXIST RIGHT NOW.

SO IF THIS AMENDMENT WERE MADE, THIS WOULD PROVIDE AN OPPORTUNITY FOR NEW BUSINESSES ENTERING OUR REGION.

THE ADDITION OF NEW SPACE WOULD ALSO PROVIDE AN OPPORTUNITY FOR EMPLOYEES THAT CURRENTLY EXIST HERE AND WANT TO CONSIDER EXPANSION.

[01:40:04]

THIS IS SOMETHING THAT ALSO DID NOT EXIST AND NOW WILL GIVE BUSINESSES THE AVAILABILITY TO EXPAND THEIR OPERATIONS.

THE NORTHERN ARIZONA HEALTH CARE WELLNESS VILLAGE IS SUPPORTED BY MANY OF OUR PARTNERS, SPECIFICALLY OUR SMALLER COMMUNITIES.

THEY RECOGNIZE THE IMPORTANCE OF QUALITY HEALTH CARE NOT ONLY FOR THEIR RESIDENTS, BUT THE 6 MILLION VISITORS THAT VISIT THROUGH OUR REGION.

THE EXPANSION OF NORTHERN ARIZONA HEALTH CARE'S WELLNESS VILLAGE IS CRITICAL TO THE VITALITY OF OUR REGION.

WITHOUT QUALITY, MODERNIZED HEALTH CARE, IT JEOPARDIZES OUR OPPORTUNITIES FOR FUTURE BUSINESS ATTRACTION EFFORTS.

WHEN WE RECRUIT AND WE COURT POTENTIAL NEW BUSINESSES, NOT ONLY DO THEY WANT TO KNOW THE ACCESS TO THE EDUCATION THAT WE HAVE AVAILABLE, BUT THEY ALSO WANT TO KNOW THAT WE HAVE A STRONG HEALTH CARE SYSTEM.

SHOULD YOU APPROVE THE MINING OR REGIONAL AMENDMENT? IT WILL ALSO OPEN THE DOOR TO ASSISTING WITH TRAILING SPOUSES THAT MIGHT NEED JOBS AS WELL.

ACCORDING TO A RECENT REPORT BY THE AMERICAN HOSPITAL ASSOCIATION ON THE ECONOMIC CONTRIBUTIONS TO HOSPITALS, THE REPORT ESTIMATES THAT FOR EVERY DOLLAR SPENT BY A HOSPITAL, IT SUPPORTS $2.30 OF ADDITIONAL BUSINESS ACTIVITY WITHIN THE REGION.

AND FOR RURAL COMMUNITIES, IT'S EVEN HIGHER.

I WANT TO THANK NORTHERN ARIZONA HEALTH CARE FOR CONTINUING TO INVEST IN OUR REGION AND SERVING OUR GROWING POPULATION.

AND I URGE YOU TO APPROVE THIS MINOR AMENDMENT.

THANK YOU. AM I ALLOWED TO ASK A QUESTION TO A SPEAKER? SO I DO HAVE A QUESTION FOR YOU.

YOU ALLUDED TO THAT SOME OF YOUR THIS WOULD BE OPPORTUNITY FOR BUSINESSES AND SOME OTHER ACTIVITY.

IS THAT IN LOOKING AT WHAT MIGHT BE VACATED OR IS THAT LOOKING AT THE NEW CENTER ITSELF? THAT'S LOOKING AT THE TIME EXCUSE ME, IF THAT'S WHAT THE 28 ACRES THAT THE HOSPITAL HAS PROPOSED FOR THE RESEARCH AND INNOVATION ON THE SOUTH END OF PARCEL.

YEAH. OKAY.

SO THAT WASN'T TAKING INTO ACCOUNT WHAT THEY MAY BE VACATING.

THAT MIGHT BE A NEW INVESTMENT.

YEAH, NEW. OKAY.

THANK YOU. THANK YOU.

AND. IS IT? MATHIS. RUPP RUPP.

WELL, DID I? SORRY. GOOD EVENING.

MATHIAS RUPP, 27, EAST SEPARATION CANYON TRAIL.

I HAPPEN TO LIVE IN PONDEROSA TRAILS.

I'M A HOMEOWNER OVER THERE.

I ALSO HAPPEN TO BE A HEALTH CARE PROVIDER AND HAVE HAD THE PRIVILEGE OF WORKING AT FLAGSTAFF MEDICAL CENTER.

NOT NECESSARILY FOR NORTHERN ARIZONA HEALTH CARE, BUT ACTUALLY AS A PROVIDER INSIDE INSIDE THEIR SYSTEM.

I SUBSEQUENTLY HAVE NOW A PROVIDER FOR THE NAVAJO NATION AND WORK IN TUBA CITY.

AND SO I SEE THE REFERRALS THAT LEAVE TUBA CITY AND COME DOWN TO THE FACILITY HERE.

GENERALLY SPEAKING, I WOULD SAY THAT I AM IN FAVOR OF THIS FACILITY BEING BUILT AND MOVING FORWARD.

HOWEVER, I HAVE SOME CONCERNS THAT I'D LIKE TO SEE ADDRESSED.

BECAUSE I'VE WORKED INSIDE THEIR SYSTEM, I HAVE SEEN THE WAY THIS ADMINISTRATION AND THE LEADERSHIP IN THIS ORGANIZATION, THE WAY THEY APPROACH PEOPLE WHO HAVE CONCERNS AND PEOPLE WHO ARE OBJECTING TO DIFFERENT IDEAS AND THE WAY THINGS MOVE FORWARD.

I'VE BEEN DISAPPOINTED OVER THE YEARS TO SEE THE WAY THAT THEY TAKE A TAKE IT OR LEAVE IT APPROACH, AND I'D LIKE TO SEE THAT REMEDIED IN OUR COMMUNITY.

I'VE ALSO ATTENDED THE MEETINGS THAT HAVE BEEN MADE AVAILABLE TO THE PUBLIC, AND I HAVE NOTICED THAT MOST OF THESE MEETINGS APPEAR STAGED WHERE QUESTIONS ARE BEING ADDRESSED ONLY IF THEY'RE FAVORABLE TO NAH.

AND I'D LIKE TO SEE THE COMMUNITY BE LISTENED TO WITH MORE ATTENTIVE EFFORT.

SECONDLY, MY OTHER CONCERN, AND I'VE HEARD THIS AMONGST MY NEIGHBORS AND FRIENDS, THAT THERE IS A CONSENSUS IN THE COMMUNITY THAT NAH IS PREPARING FOR AND ULTIMATELY PLANNING TO SELL TO BETTER HEALTH CARE.

AND THERE IS A CONCERN THAT THIS COMMUNITY WILL LOSE WHAT WE HAVE, WHICH IS A PRECIOUS RESOURCE IN THE FORM OF NAH.

IT'S A COMMUNITY HOSPITAL.

WE APPRECIATE THAT.

AND OUR HOPE IS THAT IT WILL CONTINUE TO BE SUCH.

THE CONCERN IS THAT IF IT BECOMES A BANNER FACILITY, THAT THAT FLAGSTAFF WILL CONTINUE TO LOSE WHAT MAKES FLAGSTAFF GREAT? MY LAST CONCERN IS AS A PROVIDER OUT IN AND ON THE NAVAJO NATION.

I'D LIKE TO SEE THIS CAMPUS INCLUDE A [INAUDIBLE] FOR OUR INDIGENOUS COMMUNITIES SO THAT THEY CAN HAVE A PLACE TO FEEL SAFE AND HAVE A PLACE TO FOCUS ON THEIR HEALING. THANK YOU FOR YOUR TIME.

THANK YOU. AND I'M JUST GOING TO ASK IF THERE'S ANY OTHER COMMENTS ONLINE.

NO HANDS RAISED.

[01:45:01]

ANY OTHER COMMISSIONERS HAVE ANY COMMENTS OR QUESTIONS AT THIS POINT? COMMISSIONER MARTINEZ.

LET'S THANK EVERYBODY WHO MADE THE PRESENTATIONS AND PROVIDE INFORMATION IN THE COMMUNITY COMMENTS.

THANK YOU VERY MUCH. THANK YOU.

I WILL DITTO THAT.

I DID WANT TO. I HAVE ONE LETTER I'VE BEEN TRYING TO FOLLOW.

OKAY. I ACTUALLY RECEIVED TWO LETTERS, BUT I BELIEVE ONE OF THOSE LETTERS WAS THE SPEAKER HERE TONIGHT.

OKAY. SO I'M GOING TO GO AHEAD AND READ A LETTER FROM RUTH ENGLER.

I STRONGLY OPPOSE CHANGING FLAGSTAFF'S REGIONAL PLAN FOR THE PROPOSED NEW REGIONAL HOSPITAL AND ASSOCIATED DEVELOPMENT THAT IS BEING FOISTED UPON THE RESIDENTS LIVING AND OR WORKING IN PROXIMITY TO FORT HILL.

THE IMPACT OF CHANGING THE REGIONAL PLAN WILL BRING ABOUT UNSUSTAINABLE LONG TERM GROWTH THAT IS DETRIMENTAL TO RESIDENTS, FORESTS AND WILDLIFE IN THE AREA.

CHANGING THE REGIONAL PLAN LATER WILL WITH LATER APPROVAL FOR THE PLACEMENT OF A REGIONAL HOSPITAL, AMBULATORY CARE FACILITY, MEDICAL VILLAGE AND MIXED COMMERCIAL AND RETAIL DEVELOPMENT IN THE FORT TUTHILL AREA WOULD BE A BETRAYAL OF FLAGSTAFF'S RESIDENTS AND OUR COMMITMENT TO ENVIRONMENTAL STEWARDSHIP AND RURAL LIFESTYLE. CHANGING THE REGIONAL PLAN WILL CAUSE AN EXPANSION OF DISRUPTIVE INFRASTRUCTURE, ROADWAYS, TRAFFIC AND TRAFFIC ACCIDENTS, AIR AND NOISE POLLUTION, AS WELL AS THE DESTRUCTION OF WILDLIFE HABITAT.

IMPORTANTLY TO THIS REQUEST, THERE IS NO NEED FOR NOR IS THERE THE POPULATION DENSITY NECESSARY TO SUPPORT THIS PROJECT.

THIS PROJECT IS THE PUBLIC'S RIGHT TO REJECT.

THE CITY OF FLAGSTAFF, SHOULD NOT, THROUGH ITS POLICIES, ENCOURAGE ADDITIONAL POPULATION GROWTH, PARTICULARLY THROUGH A BUILD IT AND THEY WILL COME SCHEME.

CHANGING THE REGIONAL PLAN IS PROPOSED WILL BE A CONTINUATION OF OVERDEVELOPMENT IN THE CITY, MOST REPREHENSIBLY NOTICEABLE ALONG MILTON ROAD.

IF YOU TRULY BELIEVE THAT THIS IS A NECESSARY PROJECT, A PROPOSITION I STRONGLY DISAGREE WITH, THEN EAST FLAGSTAFF HAS THE OPEN SPACE WITH NO NATURAL PONDEROSA PINE FORESTS, WITH THE INFRASTRUCTURE AND TRAFFIC ROADWAY ACCESS THAT IS IN NEED OF REDEVELOPMENT.

PLACE THIS HORRIFIC BEHEMOTH DESCRIBED AS A NEW STATE OF THE ART DEVELOPMENT IF YOU DEEM IT CRITICAL IN EAST FLAGSTAFF AS A REDEVELOPMENT PROJECT.

IN CLOSING AND STATING ONCE AGAIN, I'M STRONGLY OPPOSED TO THE PROPOSED CHANGE TO THE CITY'S REGIONAL PLAN, AT WHAT COST DOES THE CITY SACRIFICE OUR LAND FORCE, WILDLIFE AND QUALITY OF LIFE? RUTH ENGLER 1365 WEST COCHRANE AVENUE.

THANK YOU. ALL RIGHT, SO.

COMMISSIONERS. DO WE HAVE A MOTION? COMMISSIONER MARTINEZ.

YES COMMISSIONER MANDINO.

I MOVE THAT P AND Z-21-00126 MINOR REGIONAL PLAN AMENDMENT REQUESTS BY NORTHERN ARIZONA CARE CORPORATION BE FORWARDED TO THE CITY COUNCIL WITH A RECOMMENDATION FOR APPROVAL IN ACCORDANCE WITH THE FINDINGS.

IS THERE A SECOND TO THAT MOTION? I'LL SECOND THAT.

OKAY. AND THAT WAS SECONDED BY COMMISSIONER NORTON.

ANY DISCUSSION ON THE MOTION.

COMMISSIONER NORTON.

I JUST WANTED TO MAKE A COUPLE OF COMMENTS.

YOU KNOW, IN MY OBSERVATIONS ON BEING ON THIS COMMISSION, YOU KNOW, THE LOSS OF SOME OF THE ZONING THAT WE'VE SEEN, I'M PLEASED TO SEE THIS BE RETURNED IN THIS PROJECT.

I APPRECIATE THAT THIS IS A GREAT LOCATION FOR A REGIONAL HOSPITAL AND THAT WE NEED TO REMEMBER THAT IT DOES SERVE SUCH A LARGE AREA.

I KNOW WHEN I RELOCATED HERE THAT THERE WAS A HOSPITAL WITH A TRAUMA ONE LEVEL OF SERVICE WAS SOMETHING THAT WAS IMPORTANT TO MY FAMILY.

I DO THINK IT'S THIS IS A REASONABLE AMENDMENT AND ADJUSTMENT TO GO FROM NEIGHBORHOOD SUBURBAN TO REGIONAL SUBURBAN.

AND I JUST HOPE THAT, YOU KNOW, NIH IS HAS HEARD THE CONCERNS AND AND OBVIOUSLY, YOU KNOW, THE UNRESOLVED ISSUES THAT HAVE BEEN HAVE COME UP FROM THE COMMUNITY AS WELL AS THE CITY COUNCIL MEMBERS.

I KNOW THOSE ARE STILL UNDER DISCUSSION.

THE HOT TOPICS TO ME ARE, YOU KNOW, THAT ROADWAY DESIGN, PARTICULARLY BUELAH, THE HOUSING FACTOR THAT I TALKED ABOUT EARLIER, AND THEN, OF COURSE, THE CONCERNS THAT HAVE BEEN BROUGHT UP BY THE COMMUNITY.

I KNOW THEY TALKED ABOUT THE TRAFFIC IMPACT ANALYSIS AND WHAT A BROAD REACH IT ENCOMPASSED, THAT IT EVEN WENT OUT TO COUNTRY CLUB.

AND I JUST HOPE I DIDN'T HEAR ANY DETAILS ABOUT HOW IT TOOK INTO ACCOUNT THE MOUNTAIN DALE COMMUNITY.

BUT I HOPE THAT'S BEING ADDRESSED AS WELL AS, YOU KNOW, THE DISCHARGE OF OF PATIENTS THAT HAVE NOWHERE TO GO OR THE INTOXICATED

[01:50:08]

PATIENTS THAT ARE DELIVERED TO THE HOSPITAL.

SO I JUST HOPE THAT NIH HAS HEARD ALL THOSE CONCERNS AND THAT I'M IN FAVOR AND EXCITED ABOUT THIS PROJECT.

THANKS. ANY OTHER DISCUSSION FROM COMMISSIONERS? YES. COMMISSIONER GUTHRIE.

YES, I, I APPRECIATE ALL THE COMMENTS AND ALSO THE PRESENTATION, ESPECIALLY THE INPUT FROM THE COMMUNITIES THAT ARE AFFECTED. I THINK VOTING ON THE MINOR PLAN CHANGE IS A NECESSITY AT THIS POINT, WITH THE HOPES THAT THE ADDITIONAL EMPHASES AND DETAILS CAN BE WORKED OUT AT EACH POINT.

I AGREE. IT'S A HUGE, HUGE THING TO TRY TO SWALLOW IN ONE GULP, AND I DON'T THINK THAT'S WHAT WE'RE BEING ASKED TO DO.

I THINK THE IDEA OF GROWING A WORLD CLASS MEDICAL FACILITY IS ABSOLUTELY ESSENTIAL.

WHETHER WE STAY AT 80,000 OR GROW TO 100 AND 110,000.

THERE SIMPLY IS NO WAY THAT YOU CAN JUSTIFY HAVING AN OUTDATED MEDICAL CENTER HERE.

AND I THINK A MINOR PLAN CHANGE THAT ADDRESSES THE REGIONAL QUALITY OF WHAT WE HAVE REALLY BECOME IS VERY IMPORTANT.

NOW, I SAY THAT WITH ALL THE CAVEATS THAT WHAT DOES IT MEAN TO HAVE QUALITY CARE? WHAT DOES IT MEAN TO HAVE CULTURALLY RESPONSIVE CARE? ALL THAT IS TO BE CONSIDERED.

THAT'S NOT WHAT'S ON THE AGENDA TODAY.

I DO THINK THE MINOR CHANGE FROM A NEIGHBORHOOD ACTIVITY CENTER TO A REGIONAL ACTIVITY CENTER AND A NOD TOWARDS THE ENTITLEMENTS AND A QUESTION ABOUT TRAFFIC, ETC., ETC., ETC., WILL HAVE TO COME IN TIME.

BUT FOR THE DAY I WOULD SUPPORT THE MINOR AMENDMENTS AS IT STANDS, AND WE'LL WATCH VERY CAREFULLY HOW MUCH MORE WE HAVE TO SWALLOW OF THIS BIG PLAN, BECAUSE I THINK THERE ARE SOME SOME CONCERNS THAT ARE QUITE LEGITIMATE.

BUT AGAIN, THEY WILL BALANCE THOSE OFF OF HOW CAN YOU HAVE A A MEDICAL FACILITY THAT CAN'T SERVE THE EXISTING POPULATION? I DON'T THINK THAT REALLY IS I DON'T THINK THAT'S WHERE WE WANT TO GO.

SO THANK YOU ALL FOR LISTENING.

THANK YOU, COMMISSIONER GUTHRIE.

AND CHAIR JONES.

THANK YOU. I JUST WANTED TO COMMENT ON WHY IT IS THAT I AM IN SUPPORT OF THIS MINOR REGIONAL PLAN AMENDMENT.

I DO SEE IT AS BEING MAKING SENSE IN TERMS OF THE OTHER, NOT JUST FOR THE PROPOSED HOSPITAL, BUT THE FACT THAT THERE IS A REGIONAL PARK THERE AND AN AIRPORT.

AND FOR THIS AREA, I DON'T SEE IT AS I DO SEE IT AS BEING CONSISTENT.

I AM LOOKING FORWARD TO TALKING ABOUT.

I DO HOPE THAT WHEN.

WHEN WE START TO HEAR THE THE NEXT PHASE OF THIS PROJECT THAT SOME OF THE TRAFFIC CONCERNS WILL WILL BE DISCUSSED. I KNOW THAT THE TRAFFIC STUDY OR I SUSPECT THE TRAFFIC STUDY DOES NOT HAVE VERY MUCH TO DO WITH WHAT SOME OF THE PROBLEMS ARE IN MOUNTAIN DALE AND SOME OF THE SURROUNDING NEIGHBORHOODS.

AND SO IT'S NOT A PROBABLY NOT A DIRECT CONCERN OF THE TRAFFIC STUDY, BUT IT WOULD BE VERY GOOD TO HEAR FROM STAFF ABOUT HOW THOSE THINGS DO GET ADDRESSED AND TO GET TO HAVE SOME KIND OF A PICTURE OF HOW NEIGHBORS CAN UNDERSTAND THAT THEIR CONCERNS WILL BE WILL BE DISCUSSED.

AND I'M REALLY LOOKING FORWARD TO TALKING ABOUT THE ALL THE OTHER ISSUES THAT ARE COMING UP WITH REGARD TO THIS REALLY VERY LARGE PROJECT.

AND I JUST RECENTLY HAD AN EXTENDED EXPERIENCE IN A VERY INTEGRATED HEALTH CARE SYSTEM.

IT WAS A VERY GOOD EXPERIENCE AND THAT I THINK EVERYBODY SHOULD HAVE.

AND SO I DO SUPPORT, YOU KNOW, THE STEPS NEEDED TO GO IN THIS DIRECTION.

THANK YOU. THANK YOU.

SO NO OTHER COMMENTS.

SO I JUST WANT TO MAKE THE COMMENT THAT ON MY.

AS A PERSONAL NOTE, WHEN I FIRST STARTED READING ABOUT THE NAH RELOCATION AND THINGS, I WAS LIKE, PERSONALLY, I DON'T WANT YOU TO RELOCATE BECAUSE I'M NEARBY.

I'M WITHIN 5 MINUTES.

AND SO THAT WAS, YOU KNOW, SO TO ME, THE IT ENHANCES MY LIFE TO BE CLOSER TO THE HOSPITAL THAN

[01:55:05]

YOU KNOW WHAT HAPPENS TO MY LIFE WHEN YOU'RE FURTHER AWAY? I JUST RETIRED, SO I'M OLDER.

PROBABLY GOING TO SEE MORE OF THE HOSPITAL IN THE NEXT TEN YEARS THAN I SAW IN THE, YOU KNOW, LAST 40.

BUT, YOU KNOW, SO MY SELFISH SELF SAYS, I DON'T WANT YOU TO RELOCATE.

BUT, YOU KNOW, MY INTELLECTUAL SELF SAYS IT MAKES SENSE.

AND, YOU KNOW, AND I UNDERSTAND THE CONCERNS BECAUSE THAT'S PROBABLY MY BIGGEST CONCERN IS FOR TRAFFIC.

I DIDN'T THINK ABOUT NOISE, BUT I CAN SEE WHERE THE NEIGHBORHOODS WOULD HAVE THAT NOISE CONCERN.

AND I HOPE THAT YOU CAN MITIGATE THOSE THINGS AND THAT WE CAN HAVE TRAFFIC PATTERNS THAT WORK AND HAVE LARGER ROADWAYS THAT WORK.

AND I DON'T KNOW HOW THAT WILL COME ABOUT.

I DON'T KNOW IF THAT'S PART OF THE FUTURE PLAN THAT NAH IS PROPOSING TO HELP BUILD THE WIDENING OF THE ROADS AND THINGS.

SO I HOPE THAT THE CONCERNS OF THE NEIGHBORS WILL BE ALLEVIATED BY THE PLANS OF THE OF NAH.

THAT'S MY ONLY COMMENT.

AND TO SEE IF THERE'S ANY OTHER DISCUSSION.

DISCUSSION. ANY QUESTIONS? THEN I WILL.

CALL FOR THE VOTE.

THOSE IN FAVOR OF THE REGIONAL PLAN AMENDMENT, AS STATED BY COMMISSIONER MARTINEZ, PLEASE SIGNIFY BY SAYING AYE.

AYE.

ANY OPPOSED? SO THIS HAS CARRIED AND WILL BE FORWARDED TO CITY COUNCIL.

THANK YOU FOR BEING HERE TONIGHT AND LISTENING TO THIS.

AND THANK YOU FOR STAFF AND FOR NAH FOR PREPARING YOUR REPORTS.

APPRECIATE IT AND THANK YOU FOR THE PUBLIC FOR YOUR COMMENTS.

ARE THERE ANY MISCELLANEOUS ITEMS TO AND FROM COMMISSIONER MEMBERS? HEARING NONE.

I MOVE, WE ADJOURN AND I HAVE THAT IT'S 6:02 P.M.

. THANK YOU AGAIN.

THANK YOU.

* This transcript was compiled from uncorrected Closed Captioning.