RMMC - Master Planning

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