2006-03-07 Special Work SessionASSEMBLY TOUR OF
PROVIDENCE KODIAK ISLAND MEDICAL CENTER
ITEMS FOR DISCUSSION
March 7, 2006 — 6:30 p.m.
Providence Kodiak Island Medical Center — Specialty Clinic Entrance
1. Presentation by Prochaska & Associates
To be followed by:
ASSEMBLY SPECIAL WORK SESSION
7:30 p.m.
Providence Kodiak Island Medical Center — East Wing Training Room
AGENDA
ON LEA rL
Oswalt — February 1— March 31
Branson — March 5 -11, 13 -19 and 21
Abell, Branson, Jeffrey, Ranney, Stephens, Williams, Selby, Gifford — Legislative Reception March 22
DATE:
TO:
THRU:
March 7, 2006
Borough Assembly
Rick Gifford, Manager
FROM: Bud Cassidy, Engineers g end Facilities Department
SUBJ:
PKIMC — CHC Contraction Project
1PODIAKISLAND BOROUGH
Engineering f Faci»ties Department
MEMORANDUM
INTRODUCTION
This memo is written to give the Assembly an update on the hospital project to develop a master plan for the
Providence Kodiak Island Medical Center (PKIMC) campus and the incorporation of a Community Health Center
(CHC) into the facility. Prochaska and Associates will give a presentation to the Assembly tonight that brings you
up to date on their efforts.
We are at a stage where Assembly input is needed to determine if we are headed in the right direction with the
master planning effort and the CHC project. Critical decisions need to be made before we head into the next phase
of work. And that phase is to develop full fledged designed drawings (basic design services) for the CHC and
schedule construction. The cost of these services will need to be negotiated with Prochaska and approved by the
Assembly.
MASTER PLANNING
Part of our request for proposal was for the development of a "Master Plan" for the hospital site. This need arose
because grant money was available to construct a CHC in Kodiak and on the hospital campus. Before we made any
decisions on where it should go, it was agreed that we really needed to discuss the future of our existing facility. The
questions we wanted answered include: what would the medical needs of the Kodiak community be in the next 10
years? How will medical services be provided? And how does our hospital site suit these projected needs? The
Borough agreed to partial funding of this effort with a $125,000 matching grant.
To date we have found that there are really some short term needs to be addressed as well as the identification of
long term needs.
COMMUNITY HEALTH CLINIC (CHC)
Short term needs were identified as the construction of a CHC to serve non - insured and underinsured residents.
Jimmy Ng, of the Providence Foundation, has secured substantial grant money to be used toward construction of a
CHC at the hospital site. Through grants from the Denali Commission, and matching grants from the Rasmussen
Foundation and the Murdock Foundation, there is close to $2.5 million dollars available to begin construction of a
CHC. Additional money may be available once it is known what the facility would cost. Based on preliminary work
that Prochaska and Associates have performed, the proposed CHC would be approximately 6,500 — 7,000 square
feet in size.
LONG TERMED NEEDS
Long —term needs were also identified. Those needs discussed the age of the one story section of the existing
hospital. This section is 40 years old and has a number of code violations associated with it. As we have learned
seismic issues also generally exist for older buildings. Other long term issues identified are the need for additional
parking, assisted living units etc.
1 of 2
KCHC/PKIMC Rehab /Construction Project:
Denali Com Proj commitment
K1B Proj match
Sub Total
Denali CHC ADA/Parking Lot Proj
Sub Total
Approved LOI's (letter of intent)
Rasmuson Foundation
Murdock Charitable Trust
Sub Total
Un- audited KIHCF Grant Overview (2003 -2006)
$1.250M
$0.125M
$1.375Million
$0.330M
$1.705Million
$0.750M
$0.200M
$2.655Million
Be advised that only a portion of the ADA money will be used directly for the KCHC
construction project. The remainder of the funds will be used to improve the dual use
hospital/KCHC parking areas.
Addition Potential Funding for this project will come from:
• Request for increase from Denali due project cost estimate increase
• Request for increase from Rasmuson due project cost estimate increase
• New request for funding from USDA
The current design estimates of cost for the KCHC construction and outfitting project are
$3,300,000. These are Fall 2006 dollars.
prochaska
& associates
planning
architecture
engineering
interiors
facility
management
•
Kodiak Island Borough
FACILITY MASTER PLAN
PRE -FINAL DRAFT
Executive Summary 1.0
Existing Site / Floor Plans 2.0
Phase 1: Kodiak Community Health Clinic 3.0
Proposed Master Plan 4.0
Cost Projections 5.0
Phase 1 Kodiak Community Health Center Budget Summary 5.1
New Construction & Renovation Project Budgets 5.2
Phase 1 Kodiak Community Health Center (KCHC) 5.2
South Parking Lot 5.4
North Retaining Wall & Expanded North Parking 5.4
Prochaska F3 Associates
Table of Contents
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BUDGET SUMMARY
• PHASE 1: KODIAK COMMUNITY HEALTH CENTER
Construction Budget (Hard Costs)
Project Overhead Budget (Soft Costs)
Cost Projections
The Project Budget includes the estimated Construction Budget (Hard Costs) plus the estimated
Project Overhead Budget (Soft Costs). Soft Costs are typically estimated as a percentage of the
Construction Budget in the preliminary planning stages of a Project, until more definitive costs have
been estimated by the Owner and consultants. Soft Costs may include, but are not limited to,
miscellaneous budget costs such as the following:
• Bond Campaign costs (Fiscal Agent/Bond fees and insurance)
• Site Investigation (boundary line /topographic surveys, soil borings & geotechnical report)
• A/E Design & Contract Administration fees (Schematic Design, Design Development,
Construction Documents, Bidding & Negotiation, Construction Administration)
• Construction Manager Pre - Construction Services fees (if applicable)
• Construction phase testing & special inspections
• Reimbursable (out -of- pocket) consultant expenses (printing, telephone, postage, mileage, etc.)
• Peer Review fee (if applicable)
• Furnishings, fixtures & equipment
• Data/Communications equipment
$ 2,654,650
$ 663,660
Total Phase 1 Project Budget $ 3,318,310*
*Note: Total Project Budget is indexed to Fall of 2006, assuming a 2006 start of construction.
Prochaska £3 Associates 5.1
Cost Projections
Estimated construction costs are summarized below. Due to the preliminary nature of a Master Plan,
costs are based on historical square foot costs, plus lump sum costs and allowances for special items.
Costs are budgeted for the fall 2006 Construction Bid market. Budgets for construction beyond 2006
should be adjusted for inflation when they are actually designed.
• PHASE 1- KODIAK COMMUNITY HEALTH CENTER (KCHC)
Project Budget Projection:
New Construction:
Waiting
327 GSF at $353.00/SF
Reception
85 GSF at $353.00/SF
Toilets/Housekeeping
187 GSF at $353.00/SF
Scheduling/Medical Records /Billing /Accounting
1,332 GSF at $333.71/SF
Corridor
1,000 GSF at $331.78/SF
Patient Toilets (2) /Staff Toilet
233 GSF at $353.00/SF
Medical Director's Office
177 GSF at $333.71/SF
Shot/Draw/Lab
320 GSF at $416.65/SF
Pharmacy
149 GSF at $462.95/SF
Case Manager's Office
180 GSF at $333.71/SF
Dental Office
224 GSF at $333.71/SF
$ 115,430
$ 30,000
$ 66,010
$ 444,500
$ 331,780
$ 82,250
$ 59,070
$ 133,330
$ 68,980
$ 60,070
$ 74,750
5.2 Providence Kodiak Island Hospital
Cost Projections
Dental Treatment $ 83,840
206 GSF at $407.01 /SF
Exam Rooms (9) $ 432,650
1,063 GSF at $407.01 /SF
Nurse Stations (3) $ 51,730
149 GSF at $347.21/SF
Dr. Office /Shared Provider Office $ 132,150
396 GSF at $333.71/SF
Staff Meeting/Break Room $ 113,880
328 GSF at $347.21/SF
Renovation:
Minor Procedure
264 GSF at $227.62/SF
Utility/Housekeeping
208 GSF at $183.25/SF
Foundation Office
199 GSF at $94.52/SF
Corridor
168 GSF at $94.52/SF
Project Budget Totals:
Construction Budget Subtotal
Design Phase Contingency at 10%
Construction Budget Total (Hard Costs)
Project Overhead Budget (Soft Costs) at 25%
(Includes: A/E Consultant Fees, Soil Borings, Movable Equipment & Interior Fumishings,
Data/Communications Equipment & Cabling, Soil & Concrete Testing,
Construction Document Printing, Site Survey, Builder's Risk Insurance,
Phase 1 Project Budget Total $ 3,318,310
Phase 1 Cost per Square Foot
New Construction: $2,280,420 / 6,356 GSF = $359 /GSF
Renovation: $132,900 / 839 GSF = $158 /GSF
$ 60,090
$ 38,120
$ 18,810
$ 15,880
$ 2,413,320
$ 241,330
$ 2,654,650
$ 663,660
Prochaska F' Associates 5.3
Cost Projections
• SOUTH PARKING LOT
Project Budget Projection:
New Construction:
Sitework Allowance (2003 KIB estimate of $1,023,236 inflated to 10/2006)
(Parking/Drives /Sidewalks /Striping/Ramp /Steps)
• NORTH RETAINING WALL & EXPANDED NORTH PARKING
Project Budget Projection:
New Construction:
Sitework Allowance (1992 Master Plan estimate of $1,749,000 inflated to 10/2006)
(Parking/Retaining Wail /Striping)
$ 1,258,810
$ 2,856,520
5.4 Providence Kodiak Island Hospital