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SAM BIlUWU)IKO c:omrn ltEDICAL CIMTIll
FACILIn IIASTD. PLAH
COST BSTDfAD
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SKP/Coopers , Lybrand
September, 1987
PROJECT COSTS SmtfARy
ARDEIf AVEIfUI AID PACIFIC STltIIT SID
Conetruction Coats
Building Conetruction
Site Development
Subtote1
Scope and Desien Contineency (10%)
Isce1etion (31% to July 1, 1993)
Total. Conetruction Costs
Dedp Coate
Architecture1/Eneineerine Desien (7%)
(Includes specie1 coneu1tants.
Dietary, 1endscape, acouatica1,
coat estimetine, etc.)
Interior Furnishines , Graphics
(600,000 GSF x 1.65/GSF x 25%)
Iquipment Servicea
(Owner-furnished equipment)
Tota1t Desien Costs
Other Direct Coat.
Environment.1 Impact aeport
Civil Engineerine Site Survey
Soil. Eneineerine/Geotechnic Report
OSHPD/OSA Feea (1.5% of Conet. Coat)
Kateria1a Teating , Inspection
(1% of Conet. Cost)
Construction lnepector
(5 yra. @ $60k/yr.)
Conetruction Period Utilities (Lump Sum)
Owner Furniahed Equip. , Furniture
(27% of Conet. Cost x .5)
Contingency for "Other Direct Costs"
(10%)
Total. Other Direct Costs
Total Project Coat.
-73-
Low
Estimete
86,496,000
4.659.000
$91,155,000
9,116,000
31.084,000
$131,355,000
9,195,000
248,000
500,000
$9,943.000 .
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Not incl.
35,000
50,000
1,970,000
1,314,000
300,000
100,000
17,733,000
2,150,000
$23,652,000
$164,950,000
Bieh
Estimete
90,703,000
5.217.000
$95,920,000
9,592,000
32.709.000
$138,221.000
9,675,000
248,000
500,000
$10,423.000
Not incl.
35,000
50,000
2,073,000
1,382,000
300,000 <
100,000
18,660,000
2,260,000
$24,860,000
$173,504,000
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SMP
Coopers
& Lyorand
Sen .ern.rdlno
County
Medlce.
Center
San Bernardino
California
.
Exec..&Ive
Summary:
Facility
Program .
Ma.ter Plan
September. 1987
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SAN IDlWtDINO eoutn'Y MEDICAL CIMTD.
IUCOTIVI SlHfARY
SKP/Coopers , Lybrand
September, 1987
Introduction
The purpose of this Executive Summary is to present the findings and to
highlight the results of a two-volume report completed by Stone, Karraccini
and Patterson, Architects and Planners; and Coopers and Lybrand, Health
Consultants. This report provides the County of San lernardino with a
Facility Program (Vol_ 1) and Kaster Plan (Volume 2) for the replacement
of the present Kedical Center at either one of two site locations __ the
present site on Gilbert Street, or a site on the northeast corner of Arden
Avenue and Pacific Street.
The report is the result of e comprehensive participatory process involving
administrative, departmental and medical stsff representativea from the
Kedical Center, County administrativa personnel, and the consultanta.
lackground
The study, which begsn in Kay 1986, is tha result of recommendations mada
in 1978 by looz-Allen-Hamilton, and substantiated in 1982 by Arthur
Anderson and Company, that the Kedica1 Center needed to be replaced.
Increases in population, resultant increasa. in vol_s of service, and a
physical plant unable to economically and safely meet the demand due to
fragmentation of facilities and serious seismic deficiencias prompted this
recommendation. ., I
Supported by these findings, the loard authorized the Kedical Center in
July, 1985, to evaluate potential site. for the location of . replacement
facility_ From a marketing and civil enginearing perspective, two site.
were recommended to the Board: (1) the present location on Gilbert Street
and (2) the city-owned property within the City of San lernardino, located
at the northeast corner of Arden Avenue and Pacific Street. The preferred
.ite was the land owned by the City.
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In November, 1985, the Kedica1 Center authorized aenry W. Zaretsky and
Associate. to determine future patient volume and demand projections for
the replacement Medical Center. The Zaretsky report, completed in Karch,
1986, provided the Kedical Center with projections in five-year increments
to the year 2000 for each inpatient bed service and ancillary service by
inpatient and outpatient demand.
Three alternative projections in the Zsretsky report (high-rania, low-range
and mid-range) reflected various probabilities and assumptions, and
included the future impsct of RHO's and other organized delivary systems on
the Kedical Center. For the year 2000, inpatient bed projactions reflected
the need for a facility with 309 to 365 total beds. (The axisting facility
hes a total of 286 beds.) loa with inpatient demand, outpatient services
are projected to increa.e -- at an even faster rate -- lenerally reflecting
increased emphasis nationwide on outpatient care.
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SAIl lllUIARDIIIO COllllTY MEDICAL CEHTIR
IUCUTIVI SlHIAn
SMP/Coopera , Lybrand
Sept-.ber, 1987
o Major eomponenta of the new Medieal Center would inelude:
A 2S4-bed eeute eare hospital and diesnostie/treatment eenter for
both inpatients and outpatients.
A 90-bed inpatient psyehiatrie facility.
An outpatient faeility eontaining elinica and family health
centers.
An offiee faeility for Medical Center staff and faeulty not
required to be in, or adjacent to, patient eere unita.
An industrial/warehouse faeility for nonpatient-releted aerviees
sueh as materials management and maintenanee.
A eentral powsr plant to aupport new Medieal Center eampua faeili-
ties.
o Approximately 600,000 total gross square feet of building area ia
neeesaary to support a new repleeament Mediee1 Center with expanded
programs and aerviees (thia varied slightly between sites). This is
an inerease of approximately 200,000 square feet OVer the present
inadequate faei1ity. .
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The Kaster Plau. (Vol_ 2)
Upon eompletion of the Faeility Program, Kaster Plan eoncepts were
developed for a facility to meet the Medieal Center needs identified in
that program. All funetions and departments ean be eatesorbed into one of
five major clasaifications: Hoapital, Psyehiatry, Outpatient, Offiee, and
Industrial/Warehouse.
Based upon these basic eomponents and relationships eritieal to the
effieient operetion of the Medieel Center, three different building eonfig-
urations, or options, were developed and evaluated. These options
presented three approaehes to maesing and density of the building:
(1) Option 1 was e low-density, horizontal sehame, 3 stories total, with
extensive aite coverage; (2) Option 2 was a medium-density seheme,
5 stories total, with moderate site eoverage; (3) Option 3 was a high-
density, vertieal acheme, 7 storiea total, and with minimal site eoverage.
After a detailed ana1yais of these options and their aite and funetional
implieations, a Master Plan for each site, based on Option 2, wee finally
developed. These final eonfigurationa provide opttmum departmental rela-
tionshipa on each floor, a balance of horizontal and vertieal traval
distaneea, and an appropriate site coverage that allows for adequate
surfaee parking and future building expansion.
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SAlf BIlUWtDIlIO COUIlT! HmlCAL CUUIUt
AUI.:OTlVE stHfAU
SKP/Cooper. , Lybrand
September, 1987
The estimate. are ba.ed on construction costs a. of January
e.calation at 4.5% per year to the midpoint of construction.
.chedule, ba.ed on a conventional desicn and bid proce.s, h..
1, 1987, plus
The followinc
been ..sumed:
o Start of de.icn by July 1, 1988
o Bid and Award by
July 1, 1991 at Arden/Pacific
October 1, 1991 at Gilbert Street
o Conatruction period
4 years at Arden/Pacific
4-1/2 years at Gilbert Street
Rec~dation
The County .hould construct
Arden Avenue/Pacific Street
this conclusion include I
the proposed replacement Medical Center on the
eite. The primary determinant. in reachinc
o Larcer site with better potential for future expansion and Crowth.
o No disruption of existinc Medical Center functiona durinc con-
atruction.
o
Better fraeway acces.ibility and major
visibility and public imaCe).
.treet acc~s (includinc
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o Simp1ifiad proceaa of documentation and conatruction due to the
ainc1e ph..e of conatruction.
o Sicnificantly lower construction cost.
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MASTER PLAN
Arden Avenue and Pacific Street Site
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Proposed Site Plan
San Bernardino County Medical Center
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MASTER PLAN
Gilbert Street Site
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Proposed Site Plan
San Bernardino County Medical Center
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] MASTER PLAN
Gilbert Street Site
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] CENTRAL PLANT ..
ENGINEERING SHOPS
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] PSYCHIATRY ENTRY ~
] Il PRISONER · SERVICE ENTRY
] WAREHOUSE
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PSYCHIATRY
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] HOSPITAL
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] ~ OUTPATIENT ENTRY
OUTPATIENT IOFFICE
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] Isometric
] San Bernardino County Medical Center