Build some combination of medical professional offices, housing and assisted living on the current doctor’s parking lot.
Use the ground floor for neighborhood-serving purposes (restaurant, pharmacy, café, mothering store?) on both 27th and Cesar Chavez Streets.
Put parking underground with a driveway on Cesar Chavez.
Include a walkway between this building and the "wellness center" (D) to allow pedestrians to access the park (F) and retail on 27th Street.
The “orphan blocks” of Valencia Street south of Cesar Chavez Street are nearly as wide as Cesar Chavez Street but carry very little traffic, lead to the robust public transit on Mission Street and are very underutilized. These two blocks of Valencia could become “St. Luke’s Boulevard.”
Build the new St. Luke’s and more professional offices on a combination of the Monteagle building, the Solarium entrance and the end of Duncan Street, with a main entrance and ER on Valencia Street to dead end into the loading dock
Convert and retrofit (or demolish and build anew) the 1970s tower, loading dock and associated pieces into assisted living and apartments.
Build a new building obtained by bumping out the three bottom floors of the current tower onto the surface-level parking lot on Cesar Chavez.
Make it easy to access the park (F) from this building and Cesar Chavez.
Demolish the old 1957 ER building to build housing (senior, more assisted living) with an active entrance on Valencia, next to the landmarked Moreton Fig (landmarked tree precludes parking below, so Senior housing works well here).
Convert the parking garage and ancillary buildings into a podium park like Yerba Buena Gardens or Mint Plaza.
Move parking underground (accessed from a driveway on Valencia)
Turn the historic Valencia building into a Conference center (put skylights on roof), with an ADA accessible entrance through the housing on the site of the old 1957 ER building – café/kiosk and flower shop on Valencia at base of steps. Offer reduced rates for community events and meetings.
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Changes at St. Luke's