AL CENTER | PROPOSED | 3 AUGUST 2021 REEVES MEDICAL CENTER | PROPOSED | 12 AUGUST 2021
REEVES MEDICAL CENTER | PROPOSED | 12 AUGUST 2021
Aerial View from West - Proposed - Option 2 (Benjamin Moore 1673 Vermont Slate) TEG ARCHITECTS | 3
Reeves Memorial Medical Center
MASTER PLANNING FINAL DOCUMENT ANALYZING MASTER PLAN CONCEPTUAL IDEAS Ground View from Southeast - Main Entrance - Proposed - Option 2 (Benjamin Moore 1673 Vermont Slate)
26 August 2021
TEG ARCHITECTS | 5
roposed TEG ARCHITECTS | 2
DESIGN CHANGES LIVES
Comprehensive Masterplan Analysis
TABLE OF CONTENTS 01
02
Existing Campus & Departmental Plan
3-6
01.1 | Existing Campus - Aerial View 01.2 | Existing Campus - Site Plan 01.3 | Existing Campus - Departmental Plan
4 5 6
Facility Evaluation & MEP Assessment
7 - 12
02.1 | Facility Evaluation 02.2 | MEP Assessment
8-9 10-12
03
Spatial Program Summary & Priority of Issues
04
Future Facility Concept Options
15 - 35
14
OPTION A 04.1 | Conceptual Aerial View Conceptual Site Plan Conceptual Phasing Plan Estimated ROM Cost Pay-down Schedule
16 17 18 19 20
OPTION A.1 04.2 | Conceptual Aerial View Conceptual Site Plan Conceptual Phasing Plan Estimated ROM Cost Pay-down Schedule
21 22 23 24 25
OPTION B 04.3 | Conceptual Aerial View Conceptual Site Plan Conceptual Phasing Plan Estimated ROM Cost Pay-down Schedule
26 27 28 29 30
OPTION C 04.4 | Conceptual Aerial View Conceptual Site Plan Conceptual Phasing Plan Estimated ROM Cost Pay-down Schedule Renderings
31 32 33 34 35 36-39
05
Concept Options & Estimated ROM Summary
05.1 | Concept Options Summary 05.2 | Estimated ROM Summary
40-42 41 42 Reeves Memorial Medical Center
+ TEG Architects
2
Reeves Memorial Medical Center Comprehensive Masterplan Analysis
Existing Campus & Departmental Plan
01
REEVES MEDICAL CENTER | EXISTING | 26 FEBRUARY 2021 26 August 2021 Board Meeting - Existing Campus & Departmental Plan
01
MAINTENANCE BUILDING REHAB
et
re 1st St
CONFERENCE & TRAINING
PATIENT UNITS MAIN ENTRANCE
Holly RHC Stree t
ED ENTRANCE DIAGNOSTIC & TREATMENT SECONDARY ENTRANCE EXISTING RESIDENTIAL BUILDING
US
Hw
y1
67
2nd
et Stre
ON CALL
BUSINESS OFFICE
Aerial View from Southwest - Existing
Existing Campus - Aerial View
+ TEG Architects TEG ARCHITECTS | 5
Reeves Memorial Medical Center
4
REEVES MEDICAL CENTER | EXISTING | 26 FEBRUARY 2021 26 August 2021 Board Meeting - Existing Campus & Departmental Plan
01
MAINTENANCE BUILDING
1st Street REHAB
PATIENT UNITS
Maple Street
Holly Street
US Hwy 167
Plum Street
CONFERENCE & TRAINING
DIAGNOSTIC & TREATMENT
RHC
2nd Street
BUSINESS OFFICE ON CALL
Site Plan - Existing
Existing Campus - Site Plan
N
N 0
640
128
128 256
256
+ TEG Architects TEG ARCHITECTS | 2
Reeves Memorial Medical Center
5
Reeves Memorial Medical Center
| Master Planning
26 August 2021 Board Meeting - Existing Campus & Departmental Plan
01
BUSINESS OFFICE/ MEDICAL RECORDS EMERGENCY
1st Street
2nd Street
US Hwy 167
105A
AHU WH
Louisiana Ave
PATIENT UNITS RURAL HEALTH CLINIC CONFERENCE/TRAINING REHAB IMAGING PHARMACY LAB ADMITTING IT CENTRAL STERILE SUPPORT DIETARY
Holly Street
CASE MANAGEMENT MAINTENANCE & STORAGE MEP
N
Existing Campus - Departmental Plan Existing Site Plan
0
40
80
Reeves Memorial Medical Center
N
0
30
60
160 + TEG Architects
05/13/21
6
Reeves Memorial Medical Center Comprehensive Masterplan Analysis
Facility Evaluation & MEP Assessments
02
REEVES MEDICAL CENTER | EXISTING | 26 FEBRUARY 2021 26 August 2021 Board Meeting - Facility Evaluation & MEP Assessments
02
Main Entrance Identity
Difficult to Identify Entrance Vehicular Access Confusing Reduced Opportunity for Continuity of Care
Poor Building Identification + Access Confusion Poor Drainage Systems
1st Street
Hospital Parking
Too far from Hospital Entrance Increased Travel Distance Maple Street
Service Adjacencies Poor
Far Travel Access Building
Holly Street
Clarity of Entry Points and Ambulance Congestion
Poor Building Access Parking
Cherry Street
Plum Street
Access to Loading & Kitchen Services Adjacencies Poor
Handicapped Accessibility Elevation changes pose a risk and Safety Hazard
Parking
Lacks Ambulatory Parking
Poor Building Identification + Access Confusion
2nd Street
Hospital Main Entry Identity Clarity of Entry Points and Access to Services
Inefficient Patient Navigation
Main Entrance Identity
Difficult to Identify Entrance Vehicular Access Confusing Reduced Opportunity for Continuity of Care
Site Plan - Existing
Poor Building Identification + Access Confusion
Facility Evaluation - Site Plan
Business Office
Too far from Main Hospital Increased Travel Distance
Poor Building Access
Poor Wayfinding Systems
Department Identification
Wayfinding Poor and difficult to Identify
N 0
64
128
256
Reeves Memorial Medical Center
+ TEG Architects
8
TEG ARCHITECTS | 2
Reeves Memorial Medical Center | EXISTING CONDITION 26 August 2021 Board Meeting - Facility Evaluation & MEP Assessments
02
Lack of Access Control
ED Entry Lack of ED Waiting
No ED Triage
105A
Lack of Access Control OXYGEN
AHU ELECTRICAL
CT
FEMALE
Lack of Wayfinding
MALE
LOBBY
JANITOR SUPPLY
LINEN
DON/ADON OFFICE
CONTROL
TREATMENT
TREATMENT
TREATMENT
TREATMENT
PATIENT
PATIENT
PATIENT
KITCHEN
PATIENT
KITCHEN
CLEAN UTILITY
TRAINING MEDICATION
DISH WASHING
SHOWER
ADMISSION OFFICE
WAITING
ULTRASOUND
TREATMENT
STORAGE
DISPLAY
C.S.
CENTRAL SUPPLY
TOILET
IT STOR
CLEAN AUTOCLAVE
BIOHAZARD
BREAK ROOM BLOOD BANK
PHARMACY
KIDMED OFFICE
KIDMED EXAM
COPY
TOILET
MECHANICAL
PRIMARY SERVER
BIOHAZARD DISPOSAL
Central Supply should be located at back of hospital
I.V. ROOM
PHARMACY MANAGER
LAB DIRECTOR
LAB STOR
IT OFFICE
DINING
IT CLOSER/ FIRE RISER
LOBBY
Rehab & Conference Entry
COURTYARD NURSE
BREAK/LOCKER
OFFICE
PATIENT ROOM
DIAGNOSTIC LAB WORKROOM
LAB WAITING
LAB
SHOWER
KIDMED WAITING
PATIENT
LINEN STORAGE
PATIENT ROOM
STORAGE
PATIENT ROOM
PATIENT
PATIENT
PATIENT
JANITOR
Scattered Patient Registration
JANITOR
TOILET
PATIENT
NURSE STATON
PATIENT
RAMP
WH
DIETARY MANAGER
LINEN
RECEPTION
PANTRY
BATHROOM
TOILET DOCUMENT STOR
TOILET
COPY
Main Entry
COPY ROOM CCM OFFICE BREAK ROOM CCM OFFICE
PATIENT
PATIENT
PATIENT
CONFERENCE
Secondary Entry
CONFERENCE/TRAINING
Rehab should be located at front of hospital
CASE MGMT
REHAB
Lab Circulation is inefficient
MED WAITING
PUBLIC TOILET
EXAM
EXAM PATIENT TOILET
MECH
STORAGE
NURSE STATION (4 SEATS)
STAFF TOILET
Poor Building Entrance Identification
RHC Entry BUSINESS OFFICE
EXAM
DR OFFICE
EXAM
EXAM
DR OFFICE
EXAM/ 5TH NURSE
BREAK ROOM
Lack of Wayfinding
Rooms Too Small
Shared Nurse Station between Emergency and Patient Units Lack of Visibility
Long Travel Distance
N
Facility Evaluation - Hospital Floor Plan
HOSPITAL COMPOSITE FLOOR PLAN
0
30
Reeves Memorial Medical Center
N
60 + TEG Architects
9
26 August 2021 Board Meeting - Facility Evaluation & MEP Assessments
MEP Assessment
Reeves Memorial Medical Center
02
+ TEG Architects
10
26 August 2021 Board Meeting - Facility Evaluation & MEP Assessments
MEP Assessment
Reeves Memorial Medical Center
02
+ TEG Architects
11
26 August 2021 Board Meeting - Facility Evaluation & MEP Assessments
MEP Assessment
Reeves Memorial Medical Center
02
+ TEG Architects
12
Reeves Memorial Medical Center Comprehensive Masterplan Analysis
Spatial Program Summary & Priority of Issues
03
26 August 2021 Board Meeting - Spatial Program Summary & Priority of Issues
03
Priority of Current Issues
FACILITY SUMMARY Space Program Updated 7/15/2021
Department Name
Existing Hospital (SF)
Proposed Option A Proposed Option (SF) A1 (SF)
Proposed Option B Proposed Option C (SF) (SF) ***
Replacement Hospital Program (SF) ***
Comments
Space Program Summary 1 Public Services
1,160
N/A
N/A
2,538
2,322
2,413
4,065
10,125
9,720
9,720
9,720
10,355
549 1,049 1,638 150
761 N/A N/A N/A N/A N/A
1,854 N/A 3,600 N/A N/A N/A
2,100 3,420 4,050 150 300 N/A
2,100 3,510 3,900 150 300 N/A
1,979 3,402 3,900 150 300 2,639
4 Operational Support Services Lab Pharmacy Dietary Case Management Material Management/Central Supply Maintenance**
919 594 1,164 569 898 3,492
N/A N/A 2,697 N/A 3,082 N/A
N/A N/A 1,800 N/A 1,750 N/A
1,250 1,062 2,700 776 3,120 N/A
1,350 1,250 2,730 756 3,240 3,744
1,339 1,222 2,782 741 3,269 3,725
5 Administrative Services and Education Business Office** Conference and Education**
1,918 1,200
N/A N/A
N/A N/A
N/A 1,900
2,000 1,900
2,013 1,900
306 371
N/A See Below
N/A See Below
600 See Below
600 See Below
600 See below
2,882
3,878
3,878
3,810
6,300
6,201
Public Areas/Admitting 2 Inpatient Services Patient Unit 3 Diagnostic and Treatment Emergency Imaging Rehab (PT)** Infusion Therapy Wound Care* Outpatient Behavioral Health (IOP)*
6 Engineering IT Mechanical, Electrical, Med Gas 7 Rural Health Clinic ** 8 Shell Space Total Department Gross Area (DGSF) Existing Circulation and Building Envelopes Exterior Walls (3%) Mechanical and Electrical Allocation (7%) Non-Departmental Circulation Total Renovation and Expansion Total Building Gross Area (BGSF) Demolition (GSF)
N/A
5,779
N/A
N/A
N/A
20,543
28,381
37,496
45,872
48,929
616 1,438
851 1,987
1,125 2,625
1,376 3,211
1,468 3,425
3,792
7,339
54,251
61,161
1. Rural Health Clinic. - RMMC currently has 6 exam rooms and it is very crowded. Kidmed and Chronic management are currently housed in the hospital where they should be part of the clinic. 2. Patient Units. - Inpatient rooms need private bathrooms and meet current codes. Hospital needs 1 or 2 isolation rooms. 3. Emergency Department. - Emergency rooms are not secured and not private. The volume is low (5 patients per day on average. Hospitals can use an isolation ED room. 4. Ongoing Maintenance Issues. - Generator, Roof replacement, Asbestor. 5. Admitting. - Privacy at admission. 6. Physical Therapy. - PT is overcrowded. They can use more space to expand services including pediatric therapy and speech therapy.
DGSF
7,722
936
1,044
2,040
23,533
32,263
43,286
11,036
11,036
23,574
30,646
BGSF
N/A
Renovation (GSF)
2,593
4,805
428
N/A
New Construction (GSF)
20,940
21,506
42,858
40,672
New Construction - Metal Building (GSF)
N/A
N/A
N/A
13,580
Shell (GSF)
N/A
5,952
N/A
N/A
NOTES: *New Service Line ** At the existing facility, these departments are not located inside the hospital, therefore square footages include non departmental circulation and exterior walls *** New site
Spatial Program Summary
Reeves Memorial Medical Center
+ TEG Architects
14
Reeves Memorial Medical Center Comprehensive Masterplan Analysis
Future Facility Concept Options
04
26 August 2021 Board Meeting - Future Facility Concept Options
04
MAINTENANCE BUILDING (EXISTING)
Holl y
REHAB (EXISTING) CONFERENCE (EXISTING)
et
Stre et
DIETARY (NEW) 2,697SF CENTRAL SUPPLY (NEW) 3,082 SF
e Str 1st
RHC (EXISTING) ED WAITING (NEW) 761 SF
SUPPORT CORE (NEW)
RHC ADDITION (NEW) 3,878 SF
PATIENT UNITS (NEW) 10,125 SF
DIAGNOSTIC & TREATMENT (EXISTING)
WAREHOUSE (EXISTING)
US
PUBLIC PARKING (NEW)
Hw y
16
7 ON CALL (EXISTING)
et
tre dS
2n
BUSINESS OFFICE (EXISTING)
Option A - Conceptual Aerial View
Reeves Memorial Medical Center
+ TEG Architects
16
Reeves Memorial Medical Center
| Master Planning
26 August 2021 Board Meeting - Future Facility Concept Options
04
DIAGNOSTIC & TREATMENT (EXISTING) RHC ADDITION (NEW) 3,878 SF RHC (EXISTING)
105A
WH
CONFERENCE (EXISTING)
CENTRAL SUPPLY DIETARY (NEW) (NEW) 3,082 SF 2,697 SF
MAINTENANCE (EXISTING) REHAB (EXISTING)
MATERIAL LOADING ACCESS
Louisiana Ave
PARKING CALCULATION : Public Parking = 76 Spaces Staff Parking =55 Spaces Total Parking = 131 Spaces Min Required General Accessible Parking = 4 Spaces Min Required Van Accessible Parking = 1 Space
1st Street
MAIN ENTRANCE
PUBLIC PARKING (EXISTING)
ON CALL (EXISTING) ED WAITING (NEW)
ED AMBULANCE
PUBLIC PARKING (NEW)
2nd Street
BUSINESS OFFICE (EXISTING)
PATIENT UNITS (NEW) 10,125 SF
PUBLIC PARKING (NEW)
US Hwy 167
HELIPAD (EXISTING)
STAFF PARKING (EXSITNG)
CLINIC STAFF PARKING (EXISTING)
Holly Street
N
Option A - Conceptual Site Plan Conceptual Site Plan
0
40
80
Reeves Memorial Medical Center
N
0
30
60
160 + TEG Architects
06/01/21
17
Reeves Memorial Medical Center
| Master Planning
26 August 2021 Board Meeting - Future Facility Concept Options
04
US Hwy 167
BUSINESS OFFICE (EXISTING)
ON CALL (EXISTING)
1st Street
2nd Street
PHASE I
105A
WH
CONFERENCE (EXISTING)
PHASE II
DIAGNOSTIC & TREATMENT (EXISTING)
MAINTENANCE (EXISTING)
PHASE III
REHAB (EXISTING) RHC (EXISTING)
Louisiana Ave
Holly Street
N
Option A - Conceptual Phasing Plan Conceptual Site Plan
0
40
80
Reeves Memorial Medical Center
N
0
30
60
160 + TEG Architects
06/01/21
18
26 August 2021 Board Meeting - Future Facility Concept Options
RMMC Option “A” ESTIMATED ROUGH ORDER of MAGNITUDE COST
04
RMMC Option "A" to Expand & Renovate Existing Hospital ESTIMATED ROUGH ORDER of MAGNITUDE COST
Site Area Core & Shell Building Area New Clinical Healthcare Area Renovated Building Area Demo Building Area Parking Spaces Site Area Cost Core & Shell Building Cost PSF New Clinical Healthcare Cost PSF Renovated Building Cost PSF Demo Building Cost PSF Parking Structure Cost p/Space
Option "A" Budget
Estimated Cost to Date
Estimated Balance to Finish
0.00 0.00 20,940.02 2,593.32 11,036.00 76.00 0.09 150.00 325.00 275.00 45.00 3,000.00
0.00 0.00 20,940.02 2,593.32 11,036.00 76.00 0.09 150.00 325.00 275.00 45.00 3,000.00
0.00 0.00 20,940.02 2,593.32 11,036.00 76.00 0.09 150.00 325.00 275.00 45.00 3,000.00
2022 ESTIMATE
CATEGORY LAND COST 1.0 Purchase Price of Land 2.0 Environmental Impact Fees 3.0 Site Survey and Soil Investigation 4.0 Landscape Architect 5.0 Civil Engineering 6.0 Site Construction 7.0 Total Land Development Cost
$ $ $ $ $ $ $
100,000 10,000 4,000 8,500 19,446 729,218 871,164
$ $ $ $ $ $ $
-
$ $ $ $ $ $ $
100,000 10,000 4,000 8,500 19,446 729,218 871,164
BUILDING COST 8.0 Core & Shell Building Construction 8.1 New Clinical Healthcare Construction 8.2 Renovated Building Construction 8.3 Demo Building Construction 8.4 MEP Infrastructure Upgrade 9.0 TEG Architect's Design Team 10.0 Medical Equipment Consultant 11.0 Reimbursable Expense 12.0 Special Engineer Design Fees 13.0 Plans, Construction, and Design Review Fees 14.0 Renderings, Special Presentation and Models 15.0 Permits and Inspections (water, utility, etc. ) 16.0 Construction Contingency 17.0 Local Street Road Improvements 18.0 Total Building Cost
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
6,076,289 713,163 496,620 601,494 84,868 18,045 8,487 1,444 30,075 169,736 225,560 50,000 8,475,779
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
-
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
6,076,289 713,163 496,620 601,494 84,868 18,045 8,487 1,444 30,075 169,736 225,560 50,000 8,475,779
EQUIPMENT 19.0 Fixed Equipment (not included in building cost ) 19.1 Healthcare Equipment 20.0 FFE Movable Equipment 21.0 Total Equipment Cost
$ $ $ $
285,000 825,000 75,000 1,185,000
$ $ $ $
-
$ $ $ $
285,000 825,000 75,000 1,185,000
PROJECT DEVELOPMENT COST 22.0 Real Estate Fees 23.0 Feasibility Studies, Market Survey or Master Plan 24.0 Legal and Accounting Fees 25.0 Hospital Consultant Fees 26.0 Program Management Fees 27.0 Total Project Development Cost
$ $ $ $ $ $
6,000 25,000 10,000 15,000 56,000
$ $ $ $ $ $
-
$ $ $ $ $ $
6,000 25,000 10,000 15,000 56,000
FINANCING COST 28.0 Appraisal Fees 29.0 Loan Financing Fees 30.0 Equity Funds Fee 31.0 Real Estate & Title Closing Fee 32.0 4.5% Construction Period Interest 33.0 Other Financing Fees 34.0 Total Financing Costs
$ $ $ $ $ $ $
25,000 25,000
$ $ $ $ $ $ $
-
$ $ $ $ $ $ $
25,000 25,000
PRE-OPENING COST 35.0 Pre-opening Staffing Expenses 36.0 Building Mangement and Utilities 37.0 Total Pre-Opening Cost
$ $ $
25,000 $ 5,000 $ 30,000 $
-
$ $ $
25,000 5,000 30,000
$
10,642,943 $
-
$
10,642,943
$ $
232 452
TOTAL Project Cost
(includes Fixed & Movable FFE )
COST PER SQUARE FOOT (buildings only ) COST PER SQUARE FOOT (total project )
$ $
ESTIMATE
232 452
ESTIMATE
Notes: 1 2 3
These costs represent cost only for budget purposes, New Construction is $325-375 P.S.F. and Renovated Construction is $275-300 P.S.F. All project costs should be identified and refined as the project progresses This estimate assumes that the project bids under current economic conditions,
4
This estimate does not include hazardous material remediation or unsuitable soil conditions
Reeves Memorial Medical Center
+ TEG Architects
19
Equity Draws Loan Draws Interest Reserve
1,200,000 1,200,000
1,000,000 1,000,000
800,000 800,000
600,000 600,000
400,000 400,000
200,000 200,000
-
Construction Costs Design Team Med.Equip & Vendors Project Development
FF&E Land Pre-Opening Exp. Construction Interest
Reeves Memorial Medical Center
1-Nov-23
1-Oct-23
1-Sep-23
1-Aug-23
1-Jul-23
1-Jun-23
1-May-23
1-Apr-23
1-Mar-23
1-Feb-23
1-Jan-23
1-Dec-22
1-Nov-22
1-Oct-22
1-Sep-22
1-Aug-22
1-Jul-22
1-Jun-22
11%
1-May-22
1%
1-Apr-22
1-Mar-22
1-Feb-22
1-Jan-22
1-Dec-21
1-Nov-21
1-Oct-21
1-Sep-21
1-Aug-21
1-Nov-23
1-Oct-23
1-Sep-23
1-Aug-23
1-Jul-23
1-Jun-23
1-May-23
1-Apr-23
1-Mar-23
1-Feb-23
1-Jan-23
1-Dec-22
1-Nov-22
1-Oct-22
1-Sep-22
1-Aug-22
1-Jul-22
1-Jun-22
1-May-22
1-Apr-22
1-Mar-22
1-Feb-22
1-Jan-22
1-Dec-21
1-Nov-21
1-Oct-21
1-Sep-21
1-Aug-21
26 August 2021 Board Meeting - Future Facility Concept Options
04
Option “A” - Financial Sources, Uses & Pay-down Schedule 0% 3%
1%
1%
6%
77%
+ TEG Architects 20
26 August 2021 Board Meeting - Future Facility Concept Options
04
MAINTENANCE BUILDING (EXISTING)
Holl y
REHAB (EXISTING) CONFERENCE (EXISTING)
et
e Str 1st
Stre et SHELL SPACE (NEW) 5,952 SF RHC (EXISTING) ED ADDITION (NEW) 1,854 SF
PATIENT UNITS (NEW) 9,720 SF
RHC ADDITION (NEW) 3,878 SF
SUPPORT CORE (NEW)
DIAGNOSTIC & TREATMENT (EXISTING)
DIETARY (NEW) 1,800 SF REHAB (NEW) 3,600 SF
US
PUBLIC PARKING (NEW)
Hw y
16
7 ON CALL (EXISTING)
et
tre dS
2n
BUSINESS OFFICE (EXISTING)
Option A.1 - Conceptual Aerial View
Reeves Memorial Medical Center
+ TEG Architects
21
Reeves Memorial Medical Center
| Master Planning
26 August 2021 Board Meeting - Future Facility Concept Options
04
US Hwy 167
ED(NEW) 1,854 SF
DIAGNOSTIC & TREATMENT (EXISTING)
SHELL SPACE (NEW)
RHC ADDITION (NEW) 3,878 SF
MATERIAL LOADING ACCESS
1st Street
ED AMBULANCE ED WALK-IN
105A
WH
CENTRAL SUPPLY (NEW) 1,750 SF
CONFERENCE (EXISTING)
PUBLIC PARKING (EXISTING)
ON CALL (EXISTING)
MAIN ENTRANCE
REHAB (NEW) 3,600 SF
PATIENT UNITS (NEW) 9,720 SF
2nd Street
BUSINESS OFFICE (EXISTING)
DIETARY (NEW)
PUBLIC PARKING (NEW)
PUBLIC PARKING (NEW)
MATERIAL LOADING ACCESS
MAINTENANCE (EXISTING)
RHC (EXISTING)
Louisiana Ave
PARKING CALCULATION : Public Parking = 84 Spaces Staff Parking =64 Spaces Total Parking = 148 Spaces Min Required General Accessible Parking = 4 Spaces Min Required Van Accessible Parking = 1 Space
HELIPAD (EXISTING)
STAFF PARKING (EXSITNG)
CLINIC STAFF PARKING (EXISTING)
Holly Street
N
Option A.1 - Conceptual Site Plan Conceptual Site Plan
0
40
80
Reeves Memorial Medical Center
N
0
30
60
160 + TEG Architects
06/01/21
22
Reeves Memorial Medical Center
| Master Planning
26 August 2021 Board Meeting - Future Facility Concept Options
04
US Hwy 167
BUSINESS OFFICE (EXISTING)
ON CALL (EXISTING)
105A
WH
CONFERENCE (EXISTING)
PHASE II
DIAGNOSTIC & TREATMENT (EXISTING)
PHASE II
RHC (EXISTING)
1st Street
2nd Street
PHASE I
PHASE II
MAINTENANCE (EXISTING)
Louisiana Ave
Holly Street
N
Option A.1 - Conceptual Phasing Plan Conceptual Site Plan
0
40
80
Reeves Memorial Medical Center
N
0
30
60
160 + TEG Architects
06/01/21
23
26 August 2021 Board Meeting - Future Facility Concept Options
RMMC Option “A.1” ESTIMATED ROUGH ORDER of MAGNITUDE COST
04
RMMC Option "A.1" to Expand & Renovate Existing Hospital ESTIMATED ROUGH ORDER of MAGNITUDE COST
Site Area Core & Shell Building Area New Clinical Healthcare Area Renovated Building Area Demo Building Area Parking Spaces Site Area Cost Core & Shell Building Cost PSF New Clinical Healthcare Cost PSF Renovated Building Cost PSF Demo Building Cost PSF Parking Structure Cost p/Space
Option "A.1" Budget
Estimated Cost to Date
Estimated Balance to Finish
0.00 5,952.37 21,505.50 4,805.49 11,036.00 76.00 0.09 150.00 325.00 275.00 45.00 3,000.00
0.00 5,952.37 21,505.50 4,805.49 11,036.00 76.00 0.09 150.00 325.00 275.00 45.00 3,000.00
0.00 5,952.37 21,505.50 4,805.49 11,036.00 76.00 0.09 150.00 325.00 275.00 45.00 3,000.00
2022 ESTIMATE
CATEGORY LAND COST 1.0 Purchase Price of Land 2.0 Environmental Impact Fees 3.0 Site Survey and Soil Investigation 4.0 Landscape Architect 5.0 Civil Engineering 6.0 Site Construction 7.0 Total Land Development Cost
$ $ $ $ $ $ $
100,000 10,000 4,000 8,500 19,446 729,218 871,164
$ $ $ $ $ $ $
-
$ $ $ $ $ $ $
100,000 10,000 4,000 8,500 19,446 729,218 871,164
BUILDING COST 8.0 Core & Shell Building Construction 8.1 New Clinical Healthcare Construction 8.2 Renovated Building Construction 8.3 Demo Building Construction 8.4 MEP Infrastructure Upgrade 9.0 TEG Architect's Design Team 10.0 Medical Equipment Consultant 11.0 Reimbursable Expense 12.0 Special Engineer Design Fees 13.0 Plans, Construction, and Design Review Fees 14.0 Renderings, Special Presentation and Models 15.0 Permits and Inspections (water, utility, etc. ) 16.0 Construction Contingency 17.0 Local Street Road Improvements 18.0 Total Building Cost
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
892,856 6,260,070 1,321,510 496,620 736,292 105,930 22,089 10,593 1,767 36,815 211,861 276,110 50,000 10,422,511
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
-
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
892,856 6,260,070 1,321,510 496,620 736,292 105,930 22,089 10,593 1,767 36,815 211,861 276,110 50,000 10,422,511
EQUIPMENT 19.0 Fixed Equipment (not included in building cost ) 19.1 Healthcare Equipment 20.0 FFE Movable Equipment 21.0 Total Equipment Cost
$ $ $ $
285,000 825,000 75,000 1,185,000
$ $ $ $
-
$ $ $ $
285,000 825,000 75,000 1,185,000
PROJECT DEVELOPMENT COST 22.0 Real Estate Fees 23.0 Feasibility Studies, Market Survey or Master Plan 24.0 Legal and Accounting Fees 25.0 Hospital Consultant Fees 26.0 Program Management Fees 27.0 Total Project Development Cost
$ $ $ $ $ $
6,000 25,000 10,000 15,000 56,000
$ $ $ $ $ $
-
$ $ $ $ $ $
6,000 25,000 10,000 15,000 56,000
FINANCING COST 28.0 Appraisal Fees 29.0 Loan Financing Fees 30.0 Equity Funds Fee 31.0 Real Estate & Title Closing Fee 32.0 4.5% Construction Period Interest 33.0 Other Financing Fees 34.0 Total Financing Costs
$ $ $ $ $ $ $
25,000 25,000
$ $ $ $ $ $ $
-
$ $ $ $ $ $ $
25,000 25,000
PRE-OPENING COST 35.0 Pre-opening Staffing Expenses 36.0 Building Mangement and Utilities 37.0 Total Pre-Opening Cost
$ $ $
25,000 $ 5,000 $ 30,000 $
-
$ $ $
25,000 5,000 30,000
TOTAL Project Cost
$
12,589,675 $
-
$
12,589,675
$ $
224 390
(includes Fixed & Movable FFE )
COST PER SQUARE FOOT (buildings only ) COST PER SQUARE FOOT (total project )
$ $
ESTIMATE
224 390
ESTIMATE
Notes: 1 2 3
These costs represent cost only for budget purposes, New Construction is $325-375 P.S.F. and Renovated Construction is $275-300 P.S.F. All project costs should be identified and refined as the project progresses This estimate assumes that the project bids under current economic conditions,
4
This estimate does not include hazardous material remediation or unsuitable soil conditions
Reeves Memorial Medical Center
+ TEG Architects
24
26 August 2021 Board Meeting - Future Facility Concept Options
04
Option “A.1” - Financial Sources, Uses & Pay-down Schedule
0% 1%
9%
1%
0% 3%
7%
Equity Draws
Loan Draws
Interest Reserve
Construction Costs
Design Team
Med.Equip & Vendors
Project Development
FF&E
Land
Pre-Opening Exp.
Construction Interest
Reeves Memorial Medical Center
1-Nov-23
1-Oct-23
1-Sep-23
1-Aug-23
1-Jul-23
1-Jun-23
1-Apr-23
1-May-23
1-Mar-23
1-Feb-23
1-Jan-23
1-Dec-22
1-Nov-22
1-Oct-22
1-Sep-22
1-Aug-22
1-Jul-22
1-Jun-22
1-May-22
1-Apr-22
1-Mar-22
1-Feb-22
1-Jan-22
1-Dec-21
1-Nov-21
1-Oct-21
1-Sep-21
1-Nov-23
1-Oct-23
1-Sep-23
1-Aug-23
1-Jul-23
1-Jun-23
1-May-23
1-Apr-23
1-Mar-23
1-Jan-23
1-Feb-23
1-Dec-22
1-Nov-22
1-Oct-22
1-Sep-22
200,000
1-Aug-22
200,000
1-Jul-22
400,000
1-Jun-22
400,000
1-May-22
600,000
1-Apr-22
600,000
1-Mar-22
800,000
1-Feb-22
800,000
1-Jan-22
1,000,000
1-Dec-21
1,000,000
1-Nov-21
1,200,000
1-Oct-21
1,200,000
1-Sep-21
1,400,000
1-Aug-21
1,400,000
1-Aug-21
79%
+ TEG Architects
25
26 August 2021 Board Meeting - Future Facility Concept Options
04
MAINTENANCE BUILDING (EXISTING) CEP (NEW) CASE MGMT/IT/ CONFERENCE (NEW) 3,276 SF CENTRAL SUPPLY (NEW) 3,120 SF
Holl y
et
e Str 1st
DIETARY (NEW) 2,700 SF
Stre et
LAB & PHARMACY (NEW) 2,312 SF ADMITTING (NEW) 2,538 SF IMAGING (NEW) 3,420 SF RHC (EXISTING) ED (NEW) 2,100 SF
PATIENT UNITS (NEW) 9,720 SF SUPPORT CORE (NEW)
RHC ADDITION (NEW) 3,810 SF
REHAB (NEW) 4,050 SF
PUBLIC PARKING (NEW)
US
Hw y
16
7 ON CALL (EXISTING)
et
tre dS
2n
BUSINESS OFFICE (EXISTING)
Option B - Conceptual Aerial View
Reeves Memorial Medical Center
+ TEG Architects
26
Reeves Memorial Medical Center
| Master Planning
26 August 2021 Board Meeting - Future Facility Concept Options
04
US Hwy 167
MAIN ENTRANCE
RHC ADDITION ADMITTING (NEW) (NEW) 3,810 SF 2,538 SF RHC (EXISTING)
Louisiana Ave
PARKING CALCULATION : Public Parking = 87 Spaces Staff Parking =71 Spaces Total Parking = 158 Spaces Min Required General Accessible Parking = 5 Spaces Min Required Van Accessible Parking = 1 Space
HELIPAD (EXISTING)
PUBLIC PARKING(NEW)
PATIENT UNITS (NEW) 9,720 SF ED (NEW) 2,100 SF
DIETARY (NEW) 2,700 SF
IMAGING (NEW) 3,420 SF
CENTRAL SUPPLY (NEW) 3,120 SF
PHARMACY LAB(NEW) 2,312 SF
CEP (NEW)
1st Street
2nd Street
ED AMBULANCE
STAFF PARKING(NEW)
ED WALK-IN
PUBLIC PARKING (NEW)
REHAB ENTRANCE
BUSINESS OFFICE (EXISTING)
REHAB (NEW) 4,050 SF
MATERIAL LOADING ACCESS
CASE MGMT/IT/ CONFERENCE (NEW) 3,276 SF
MAINTENANCE (EXISTING)
STAFF PARKING (EXSITNG)
CLINIC STAFF PARKING (EXISTING)
Holly Street
N
Option B - Conceptual Site Plan Conceptual Site Plan
0
40
80
Reeves Memorial Medical Center
N
0
30
60
160 + TEG Architects
06/01/21
27
Reeves Memorial Medical Center
| Master Planning
26 August 2021 Board Meeting - Future Facility Concept Options
04
US Hwy 167
BUSINESS OFFICE (EXISTING)
ON CALL (EXISTING)
PHASE I
1st Street
2nd Street
PHASE I
105A
WH
PHASE II MAINTENANCE (EXISTING)
PHASE III RHC (EXISTING)
Louisiana Ave
Holly Street
N
Option B - Conceptual Phasing Plan Conceptual Site Plan
0
40
80
Reeves Memorial Medical Center
N
0
30
60
160 + TEG Architects
06/01/21
28
26 August 2021 Board Meeting - Future Facility Concept Options
RMMC Option “B” ESTIMATED ROUGH ORDER of MAGNITUDE COST
04
RMMC Option "B" to Expand & Renovate Existing Hospital ESTIMATED ROUGH ORDER of MAGNITUDE COST
Site Area Core & Shell Building Area New Clinical Healthcare Area Renovated Building Area Demo Building Area Parking Spaces Site Area Cost Core & Shell Building Cost PSF New Clinical Healthcare Cost PSF Renovated Building Cost PSF Demo Building Cost PSF Parking Structure Cost p/Space
Option "B" Budget
Estimated Cost to Date
Estimated Balance to Finish
0.00 0.00 42,857.83 428.07 23,574.00 87.00 0.09 175.00 325.00 275.00 45.00 3,000.00
0.00 0.00 42,857.83 428.07 23,574.00 87.00 0.09 175.00 325.00 275.00 45.00 3,000.00
0.00 0.00 42,857.83 428.07 23,574.00 87.00 0.09 175.00 325.00 275.00 45.00 3,000.00
2022 ESTIMATE
CATEGORY LAND COST 1.0 Purchase Price of Land* 2.0 Environmental Impact Fees 3.0 Site Survey and Soil Investigation 4.0 Landscape Architect 5.0 Civil Engineering 6.0 Site Construction 7.0 Total Land Development Cost
$ $ $ $ $ $ $
100,000 10,000 4,000 8,500 10,500 629,723 762,723
$ $ $ $ $ $ $
-
$ $ $ $ $ $ $
100,000 10,000 4,000 8,500 10,500 629,723 762,723
BUILDING COST 8.0 Core & Shell Building Construction 8.1 New Clinical Healthcare Construction 8.2 Renovated Building Construction 8.3 Demo Building Construction 8.4 MEP Infrastructure Upgrade 9.0 TEG Architect's Design Team 10.0 Medical Equipment Consultant 11.0 Reimbursable Expense 12.0 Special Engineer Design Fees 13.0 Plans, Construction, and Design Review Fees 14.0 Renderings, Special Presentation and Models 15.0 Permits and Inspections (water, utility, etc. ) 16.0 Construction Contingency 17.0 Local Street Road Improvements 18.0 Total Building Cost
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
13,299,072 117,719 1,060,830 1,158,210 180,970 34,746 18,097 2,780 9,049 361,941 434,329 50,000 16,727,742
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
-
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
13,299,072 117,719 1,060,830 1,158,210 180,970 34,746 18,097 2,780 9,049 361,941 434,329 50,000 16,727,742
EQUIPMENT 19.0 Fixed Equipment (not included in building cost ) 19.1 Healthcare Equipment 20.0 FFE Movable Equipment 21.0 Total Equipment Cost
$ $ $ $
285,000 825,000 75,000 1,185,000
$ $ $ $
-
$ $ $ $
285,000 825,000 75,000 1,185,000
PROJECT DEVELOPMENT COST 22.0 Real Estate Fees 23.0 Feasibility Studies, Market Survey or Master Plan 24.0 Legal and Accounting Fees 25.0 Hospital Consultant Fees 26.0 Program Management Fees 27.0 Total Project Development Cost
$ $ $ $ $ $
6,000 25,000 10,000 15,000 56,000
$ $ $ $ $ $
-
$ $ $ $ $ $
6,000 25,000 10,000 15,000 56,000
FINANCING COST 28.0 Appraisal Fees 29.0 Loan Financing Fees 30.0 Equity Funds Fee 31.0 Real Estate & Title Closing Fee 32.0 4.5% Construction Period Interest 33.0 Other Financing Fees 34.0 Total Financing Costs
$ $ $ $ $ $ $
25,000 25,000
$ $ $ $ $ $ $
-
$ $ $ $ $ $ $
25,000 25,000
PRE-OPENING COST 35.0 Pre-opening Staffing Expenses 36.0 Building Mangement and Utilities 37.0 Total Pre-Opening Cost
$ $ $
25,000 $ 5,000 $ 30,000 $
-
$ $ $
25,000 5,000 30,000
$
18,786,465 $
-
$
18,786,465
$ $
226 434
TOTAL Project Cost
(includes Fixed & Movable FFE )
COST PER SQUARE FOOT (buildings only ) COST PER SQUARE FOOT (total project )
$ $
ESTIMATE
226 434
ESTIMATE
Notes:
RMMC_MasterPlanTotalBudget_071421.xlsx
1 2 3
These costs represent cost only for budget purposes, New Construction is $325-375 P.S.F. and Renovated Construction is $275-300 P.S.F. All project costs should be identified and refined as the project progresses This estimate assumes that the project bids under current economic conditions,
4
This estimate does not include hazardous material remediation or unsuitable soil conditions
Reeves Memorial Medical Center
7/14/2021
+ TEG Architects
29
26 August 2021 Board Meeting - Future Facility Concept Options
04
Option “B” - Financial Sources, Uses & Pay-down Schedule 1% 0% 6% 1%
0% 3%
7%
Equity Draws
Loan Draws
Interest Reserve
Construction Costs
Design Team
Med.Equip & Vendors
Project Development
FF&E
Land
Pre-Opening Exp.
Construction Interest
Reeves Memorial Medical Center
1-Jan-24
1-Dec-23
1-Nov-23
1-Oct-23
1-Sep-23
1-Aug-23
1-Jul-23
1-Jun-23
1-May-23
1-Apr-23
1-Mar-23
1-Feb-23
1-Jan-23
1-Dec-22
1-Oct-22
1-Nov-22
1-Sep-22
1-Jul-22
1-Aug-22
1-Jun-22
1-Apr-22
1-May-22
1-Feb-22
1-Mar-22
1-Jan-22
1-Dec-21
1-Nov-21
1-Oct-21
1-Sep-21
1-Jan-24
1-Dec-23
1-Nov-23
1-Oct-23
1-Sep-23
1-Aug-23
1-Jul-23
1-Jun-23
1-May-23
1-Apr-23
1-Feb-23
200,000 1-Mar-23
200,000 1-Jan-23
400,000
1-Dec-22
400,000
1-Nov-22
600,000
1-Oct-22
600,000
1-Sep-22
800,000
1-Aug-22
800,000
1-Jul-22
1,000,000
1-Jun-22
1,000,000
1-May-22
1,200,000
1-Apr-22
1,200,000
1-Feb-22
1,400,000
1-Mar-22
1,400,000
1-Jan-22
1,600,000
1-Dec-21
1,600,000
1-Nov-21
1,800,000
1-Oct-21
1,800,000
1-Sep-21
2,000,000
1-Aug-21
2,000,000
1-Aug-21
82%
+ TEG Architects
30
26 August 2021 Board Meeting - Future Facility Concept Options
04
8th Street
EXISTING SCHOOL BUILDING EXISTING SCHOOL GYM MAINTENANCE (3,744 SF) CENTRAL SUPPLY (3,240 SF) DIETARY (1,920 SF)
167
CASE MGMT/IT/ CONFERENCE/ ADMIN OFFICES (5,256 SF)
Hw y
PATIENT UNITS (9,720 SF) SUPPORT CORE
US
MEP CTYD ELEC
IMAGING (3,510 SF)
LAB & PHARMACY (2,600SF)
ED (2,100 SF) REHAB (3,900 SF)
RHC (6,300SF) CAFE (810SF)
ADMITTING (2,322 SF)
67
US
Cem eter y
Option C - Conceptual Aerial View
y1 w H
Stre et
Reeves Memorial Medical Center
+ TEG Architects
31
Reeves Memorial Medical Center
| Master Planning 26 August 2021 Board Meeting - Future Facility Concept Options
04
H
EXISTING SCHOOL GYM
STAFF & SERVICE ENTRY
STAFF PARKING EXISTING SCHOOL BUILDING
MEP CTYD
LAB PHARMACY (2,600SF)
IMAGING (3,510 SF)
ED (2,100 SF)
COURTYARD
REHAB (3,900 SF)
RHC (6,300 SF)
PARKING CALCULATION : Public Parking = 80 Spaces Staff Parking =70 Spaces Total Parking = 150 Spaces Min Required General Accessible Parking = 4 Spaces Min Required Van Accessible Parking = 1 Space
67 wy 1 US H
ED WALK-IN ELEC
STAFF PARKING
CASE MGMT/IT/ CONFERENCE/ ADMIN OFFICES (5,256 SF)
DIETARY ENTRANCE
US Hwy 167
CENTRAL SUPPLY (3,240 SF)
PATIENT UNITS (9,720 SF)
MATERIAL LOADING ACCESS
DIETARY (1,920 SF)
PUBLIC PARKING
MAINTENANCE (3,744 SF)
ED AMBULANCE
ADMITTING (2,322 SF) CAFE (810 SF)
MAIN ENTRANCE
PUBLIC PARKING
PUBLIC ENTRY
Cemetery St
N
Option C - Conceptual Site Plan Conceptual Site Plan
0
40
80
160
NReeves Memorial Medical Center + TEG Architects 0
30
60
06/01/21
32
Reeves Memorial Medical Center
| Master Planning 26 August 2021 Board Meeting - Future Facility Concept Options
04
H
EXISTING SCHOOL GYM
wy 1 US H
METAL BUILDING (13,580 SF)
67
US Hwy 167
EXISTING SCHOOL BUILDING
NEW HOSPITAL CONSTRUCTION (40,672 SF)
Cemetery St
N
Option C - Conceptual Plan Components Conceptual Site Plan
0
40
80
160
NReeves Memorial Medical Center + TEG Architects 0
30
60
06/01/21
33
26 August 2021 Board Meeting - Future Facility Concept Options
RMMC Option “C” ESTIMATED ROUGH ORDER of MAGNITUDE COST
04
RMMC Option "C" to Construct a New Hospital ESTIMATED ROUGH ORDER of MAGNITUDE COST
Site Area Metal Building Area New Clinical Healthcare Area Renovated Building Area Demo Building Area Parking Structure Spaces Site Area Cost Metal Building Cost PSF New Clinical Healthcare Cost PSF Renovated Building Cost PSF Demo Building Cost PSF Parking Structure Cost p/Space
Option "C" Budget
Estimated Cost to Date
Estimated Balance to Finish
0.00 13,579.52 40,671.54 0.00 0.00 93.00 0.09 100.00 325.00 275.00 45.00 3,000.00
0.00 13,579.52 40,671.54 0.00 0.00 93.00 0.09 100.00 325.00 275.00 45.00 3,000.00
0.00 13,579.52 40,671.54 0.00 0.00 93.00 0.09 100.00 325.00 275.00 45.00 3,000.00
2023 ESTIMATE
CATEGORY LAND COST 1.0 Purchase Price of Land 2.0 Environmental Impact Fees 3.0 Site Survey and Soil Investigation 4.0 Landscape Architect 5.0 Civil Engineering 6.0 Site Construction 7.0 Total Land Development Cost
$ $ $ $ $ $ $
100,000 15,500 12,000 35,000 75,000 1,233,191 1,470,691
$ $ $ $ $ $ $
-
$ $ $ $ $ $ $
100,000 15,500 12,000 35,000 75,000 1,233,191 1,470,691
BUILDING COST 8.0 Metal Building Construction 8.1 New Clinical Healthcare Construction 8.2 Renovated Building Construction 8.3 Demo Building Construction 8.4 MEP Infrastructure Upgrade 9.0 TEG Architect's Design Team 10.0 Medical Equipment Consultant 11.0 Reimbursable Expense 12.0 Special Engineer Design Fees 13.0 Plans, Construction, and Design Review Fees 14.0 Renderings, Special Presentation and Models 15.0 Permits and Inspections (water, utility, etc. ) 16.0 Construction Contingency 17.0 22nd Street Road Improvements 18.0 Total Building Cost
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
1,357,952 11,985,060 1,020,334 149,813 30,610 14,981 2,449 51,017 333,575 667,151 125,000 15,737,942
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
-
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
1,357,952 11,985,060 1,020,334 149,813 30,610 14,981 2,449 51,017 333,575 667,151 125,000 15,737,942
EQUIPMENT 19.0 Fixed Equipment (not included in building cost ) 19.1 Healthcare Equipment 20.0 FFE Movable Equipment 21.0 Total Equipment Cost
$ $ $ $
275,000 1,125,000 125,000 1,525,000
$ $ $ $
-
$ $ $ $
275,000 1,125,000 125,000 1,525,000
PROJECT DEVELOPMENT COST 22.0 Real Estate Fees 23.0 Feasibility Studies, Market Survey or Master Plan 24.0 Legal and Accounting Fees 25.0 Hospital Consultant Fees 26.0 Program Management Fees 27.0 Total Project Development Cost
$ $ $ $ $ $
6,000 10,000 12,500 15,000 43,500
$ $ $ $ $ $
-
$ $ $ $ $ $
6,000 10,000 12,500 15,000 43,500
FINANCING COST 28.0 Appraisal Fees 29.0 Loan Financing Fees 30.0 Equity Funds Fee 31.0 Real Estate & Title Closing Fee 32.0 4.5% Construction Period Interest 33.0 Other Financing Fees 34.0 Total Financing Costs
$ $ $ $ $ $ $
25,000 5,000 30,000
$ $ $ $ $ $ $
-
$ $ $ $ $ $ $
25,000 5,000 30,000
PRE-OPENING COST 35.0 Pre-opening Staffing Expenses 36.0 Building Mangement and Utilities 37.0 Total Pre-Opening Cost
$ $ $
50,000 $ 15,000 $ 65,000 $
-
$ $ $
50,000 15,000 65,000
$
18,872,133 $
$
18,872,133
$ $
269 348
TOTAL Project Cost
(includes Fixed & Movable FFE )
COST PER SQUARE FOOT (buildings only ) COST PER SQUARE FOOT (total project )
$ $
ESTIMATE
269 348
ESTIMATE
-
Notes: 1 2 3 4
These costs represent cost only for budget purposes, New Construction is $325-375 P.S.F. and Renovated Construction is $275-300 P.S.F. All project costs should be identified and refined as the project progresses This estimate assumes that the project bids under current economic conditions, This estimate does not include hazardous material remediation or unsuitable soil conditions
Reeves Memorial Medical Center
+ TEG Architects
34
26 August 2021 Board Meeting - Future Facility Concept Options
04
Option “C” - Financial Sources, Uses & Pay-down Schedule
0% 1%
8%
1%
1% 2%
6%
81%
4,000,000
4,000,000
3,500,000
3,500,000
3,000,000
3,000,000
2,500,000
2,500,000
2,000,000
2,000,000
1,500,000
1,500,000
1,000,000
1,000,000
500,000
500,000
-
-
Equity Draws
Loan Draws
Interest Reserve
Construction Costs
Design Team
Med.Equip & Vendors
Project Development
FF&E
Land
Pre-Opening Exp.
Construction Interest
Reeves Memorial Medical Center
+ TEG Architects
35
REEVES MEDICAL CENTER | PROPOSED | 12 AUGUST 2021 26 August 2021 Board Meeting - Future Facility Concept Options
04
Ground View from Southeast - Main Entrance - Proposed - Option 2 (Benjamin Moore 1673 Vermont Slate)
Option C Rendering - Main Entrance
Reeves Memorial Medical CenterTEG + TEGARCHITECTS Architects 36
| 5
REEVES MEDICAL CENTER | PROPOSED | 12 AUGUST 2021 26 August 2021 Board Meeting - Future Facility Concept Options
04
Aerial View from West - Proposed - Option 2 (Benjamin Moore 1673 Vermont Slate)
Option C Rendering - Aerial View
Reeves Memorial Medical CenterTEG + TEGARCHITECTS Architects 37
| 3
REEVES MEDICAL CENTER | PROPOSED | 12 AUGUST 2021 26 August 2021 Board Meeting - Future Facility Concept Options
04
Ground View from Southeast - ED Entrance - Proposed - Option 2 (Benjamin Moore 1673 Vermont Slate)
Option C Rendering - ED Entrance
Reeves Memorial Medical CenterTEG + TEGARCHITECTS Architects 38
| 7
REEVES MEDICAL CENTER | PROPOSED | 3 AUGUST 2021 26 August 2021 Board Meeting - Future Facility Concept Options
04
Ground View from Northwest - Courtyard - Proposed
Option C Rendering - Courtyard
Reeves Memorial Medical CenterTEG + TEGARCHITECTS Architects 39
| 5
Reeves Memorial Medical Center Comprehensive Masterplan Analysis
Concept Options & Estimated ROM Summary
05
Concept Options Summary
26 August 2021 Board Meeting - Concept Options Summary
OPTION A
OPTION B
LOCATION: EXISTING SITE AREA: 23,533 SF SPACES/PROGRAMS: INPATIENT UNIT; CENTER SUPPLY; DIETARY; RHC ADDITION COST: $8.5 M BUILDING COST, $10.6M PROJECT COST PHASES: 3 PHASES TIME: 28 MONTH TOTAL PROJECT SCHEDULE OPEN: JANUARY 2024 DISRUPTION: YES
LOCATION: EXISTING SITE AREA: 43,286 SF SPACES/PROGRAMS: ALL NEW DEPARTMENTS EXCEPT MAINTENANCE, ADMIN/BUSINESS OFFICE & IOP COST: $16.7 M BUILDING COST, $18.8M PROJECT COST PHASES: 3 PHASES TIME: 31 MONTH TOTAL PROJECT SCHEDULE OPEN: APRIL 2024 DISRUPTION: YES
OPTION A1
OPTION C
LOCATION: EXISTING SITE AREA: 32,263 SF SPACES/PROGRAMS: INPATIENT UNIT; CENTER SUPPLY; DIETARY; RHC ADDITION; REHAB; ED ADDITION COST: $10.4 M BUILDING COST, $12.6M PROJECT COST PHASES: 2 PHASES TIME: 28 MONTH TOTAL PROJECT SCHEDULE OPEN: JANUARY 2024 DISRUPTION: YES
LOCATION: NEW SITE AREA: 54,251 SF SPACES/PROGRAMS: ALL NEW DEPARTMENTS COST: $15.7 M BUILDING COST, $18.9M PROJECT COST PHASES: 1 PHASE TIME: 18 MONTH TOTAL PROJECT SCHEDULE OPEN: MARCH 2023 DISRUPTION: NO
Reeves Memorial Medical Center
05
+ TEG Architects
41
26 August 2021 Board Meeting - Future Facility Concept Options
RMMC Option Summary ESTIMATED ROUGH ORDER of MAGNITUDE COST
04
RMMC MASTER PLAN SUMMARY of ESTIMATED ROUGH ORDER of MAGNITUDE COST
Site Area Core & Shell or Metal Building Area New Clinical Healthcare Area Renovated Building Area Demo Building Area Parking Structure Spaces Site Area Cost Core & Shell or Metal Building Cost PSF New Clinical Healthcare Cost PSF Renovated Building Cost PSF Demo Building Cost PSF Parking Structure Cost p/Space
Option "A.1" Budget
Option "B" Budget
Option "C" Budget
0.00 0.00 20,940.02 2,593.32 11,036.00 76.00 0.09 150.00 325.00 275.00 45.00 3,000.00
0.00 5,952.37 21,505.50 4,805.49 11,036.00 76.00 0.09 150.00 325.00 275.00 45.00 3,000.00
0.00 0.00 42,857.83 428.07 23,574.00 87.00 0.09 175.00 325.00 275.00 45.00 3,000.00
0.00 13,579.52 40,671.54 0.00 0.00 93.00 0.09 100.00 325.00 275.00 45.00 3,000.00
2022 ESTIMATE
2022 ESTIMATE
2022 ESTIMATE
2023 ESTIMATE
CATEGORY LAND COST 1.0 Purchase Price of Land 2.0 Environmental Impact Fees 3.0 Site Survey and Soil Investigation 4.0 Landscape Architect 5.0 Civil Engineering 6.0 Site Construction 7.0 Total Land Development Cost
$ $ $ $ $ $ $
100,000 10,000 4,000 8,500 19,446 729,218 871,164
$ $ $ $ $ $ $
100,000 10,000 4,000 8,500 19,446 729,218 871,164
$ $ $ $ $ $ $
100,000 10,000 4,000 8,500 10,500 629,723 762,723
$ $ $ $ $ $ $
100,000 15,500 12,000 35,000 75,000 1,233,191 1,470,691
BUILDING COST 8.0 Core & Shell or Metal Building Construction 8.1 New Clinical Healthcare Construction 8.2 Renovated Building Construction 8.3 Demo Building Construction 8.4 MEP Infrastructure Upgrade 9.0 TEG Architect's Design Team 10.0 Medical Equipment Consultant 11.0 Reimbursable Expense 12.0 Special Engineer Design Fees 13.0 Plans, Construction, and Design Review Fees 14.0 Renderings, Special Presentation and Models 15.0 Permits and Inspections (water, utility, etc. ) 16.0 Construction Contingency 17.0 Street Road Improvements 18.0 Total Building Cost
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
6,076,289 713,163 496,620 601,494 84,868 18,045 8,487 1,444 30,075 169,736 225,560 50,000 8,475,779
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
892,856 6,260,070 1,321,510 496,620 736,292 105,930 22,089 10,593 1,767 36,815 211,861 276,110 50,000 10,422,511
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
13,299,072 117,719 1,060,830 1,158,210 180,970 34,746 18,097 2,780 9,049 361,941 434,329 50,000 16,727,742
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $
1,357,952 11,985,060 1,020,334 149,813 30,610 14,981 2,449 51,017 333,575 667,151 125,000 15,737,942
EQUIPMENT 19.0 Fixed Equipment (not included in building cost ) 19.1 Healthcare Equipment 20.0 FFE Movable Equipment 21.0 Total Equipment Cost
$ $ $ $
285,000 825,000 75,000 1,185,000
$ $ $ $
285,000 825,000 75,000 1,185,000
$ $ $ $
285,000 825,000 75,000 1,185,000
$ $ $ $
275,000 1,125,000 125,000 1,525,000
PROJECT DEVELOPMENT COST 22.0 Real Estate Fees 23.0 Feasibility Studies and Market Survey 24.0 Legal and Accounting Fees 25.0 Hospital Consultant Fees 26.0 Program Management Fees 27.0 Total Project Development Cost
$ $ $ $ $ $
6,000 25,000 10,000 15,000 56,000
$ $ $ $ $ $
6,000 25,000 10,000 15,000 56,000
$ $ $ $ $ $
6,000 25,000 10,000 15,000 56,000
$ $ $ $ $ $
6,000 10,000 12,500 15,000 43,500
FINANCING COST 28.0 Appraisal Fees 29.0 Loan Financing Fees 30.0 Equity Funds Fee 31.0 Real Estate & Title Closing Fee 32.0 4.5% Construction Period Interest 33.0 Other Financing Fees 34.0 Total Financing Costs
$ $ $ $ $ $ $
25,000 25,000
$ $ $ $ $ $ $
25,000 25,000
$ $ $ $ $ $ $
25,000 25,000
$ $ $ $ $ $ $
25,000 5,000 30,000
PRE-OPENING COST 35.0 Pre-opening Staffing Expenses 36.0 Building Mangement and Utilities 37.0 Total Pre-Opening Cost
$ $ $
25,000 $ 5,000 $ 30,000 $
25,000 $ 5,000 $ 30,000 $
25,000 $ 5,000 $ 30,000 $
50,000 15,000 65,000
$
10,642,943 $
12,589,675 $
18,786,465 $
18,872,133
TOTAL Project Cost
(includes Fixed & Movable FFE )
COST PER SQUARE FOOT (buildings only ) COST PER SQUARE FOOT (total project )
RMMC_MasterPlanTotalBudget_071421.xlsx
Option "A" Budget
$ $
232 452
7/14/2021
$ $
224 390
$ $
226 434
$ $
Reeves Memorial Medical Center
269 348
+ TEG Architects
42
Dwayne Wilson
Jessica Harris
John Sprouls
ASHE Vice President Client Champion & Master Plan Strategy
ACHA, AIA, LEED AP BD+C Lead Project Architect
AIA, LEED AP, CDT Partner - Architecture Partner in Charge
Planning the Future
DESIGN CHANGES LIVES