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San Gorgonio Memorial Healthcare District Measure "A" Community Oversight Committee Annual Report to the Community, August 2012 Measure "A" General Obligation bond of $108 million was passed in March 2006 to support the upgrade of San Gorgonio Memorial Hospital facilities. The bonds are being used to finance expansion, improvement, acquisition, construction, equipping and renova- tion of health facilities of the District. Following the bond passage, a Com- munity Oversight Committee was ap- pointed by the San Gorgonio Memorial Healthcare District Board of Direc- tors. This committee is charged with reviewing and reporting on the proper expenditure of Measure "A" bond pro- ceeds and advising the public whether the District is in compliance with re- quirements for how the bond proceeds are spent. This edited annual report will update you on progress to date. A full PDF report can be found on the Chamber's website. Preconstruction costs for architec- tural drawings, cost estimates, Office of Statewide Health Planning and Development (OSHPD) and city fees, cost of bond issuance, Inspector of Record (IOR) fees, testing and inspec- tion, surveys and soils reports before the construction could begin, total $1,826,327. Three major pieces of hospital equip- ment were purchased, a 64-slice CT scanner, a fluoroscopy machine and a McKesson information technology (IT) system, which includes physician order entry. Damaged flooring was replaced in several locations within the current hospital. With construc- tion costs and other fees for these installations, the total for this phase is $6,816,583. Phase 0 is the new access road off Ramsey Street (Memorial Drive S) and the helipad. Moving of underground utilities started during this phase. Two new electrical interceptor vaults and a sewer monitoring manhole were in- stalled as required by the City of Ban- ning. This phase was completed for a total cost of $3,172,188. Phase 1A continued the replacement and movement of underground utili- ties, as well as constructing a cooling tower and oxygen tank farm near the intersection of Highland Springs Av- enue and Wilson Street. New parking lot lights for improved safety, a physi- cian parking lot and drought-tolerant landscaping are part of this phase. A 30,000 gallon emergency sewer hold- ing tank was installed. The total costs for this phase are $7,893,851. Phase 1B construction started with an underground utility tunnel hous- ing utilities for current and planned future facilities. The Central Utility Plant (CUP) is a single story building plus a mezzanine with a total floor area of 16,031 square feet. It con- tains two chillers, three steam boilers, heat exchanges, dedicated soft water exchange systems, two emergency generators and medical gas tank and cylinder storage. This is a very so- phisticated mechanical plant, with computerized operations and manual back-up protection. A 20,000 gallon underground diesel fuel oil tank was installed and connected to the emer- gency generators; this will provide the required 72 hours of electricity to cur- rent and future buildings in case of a disaster. Additional hospital projects were completed with this phase of construction. The cost for this phase is $26,614,334. Phase 1C is a 39,536 square foot, two story building plus mechanical room on the roof. This facility is our first clinical building and has 23 private Emergency Department (ED) rooms, 5 fast track rooms and 16 private Inten- sive Care Unit (ICU) rooms. Construc- tion began on structural elements in March 2010 and the full OSHPD per- mit was received in May 2010, allow- ing us to continue with all work. Dur- ing the next few months, all systems will be tested. OSHPD sign off is ex- pected by the end of the year; licens- ing for patient care will occur during the first quarter of 2013 with an an- ticipated opening date of April 2013. The utility tunnel has been extended from Phase 1B and continues carrying the same utilities to the new ED/ICU and the future six story patient build- ing. Related projects were completed in this phase. A mock-up room build- ing featuring a typical ICU room and a typical ED room can be viewed during our monthly tours (3rd Wednesday at 4 pm; for more information, contact Molly Ellis at 951-663-9643). Cost of this phase is $38,488,673. The kitchen expansion, Phase 1E-A, is needed to meet code requirements for additional beds. OSHPD approval was received and construction started in March 2012. Coordination efforts be- tween trades started the process; we are now building the infrastructure in Stage 1. This phase will complete in early 2015. Costs are estimated at $8,686,293. After the ED/ICU building is occupied, a new loading dock, Phase 1D, will be constructed where the ambulance en- trance is currently located. A 30,000 gallon underground water storage tank will be installed, completing all required elements for 72 hour disaster preparation. Cost for this phase is pro- jected to be $2,315,656. Concurrently with the loading dock, the current Emergency Department will be converted to materials man- agement and housekeeping depart- ments. Phase 1E-B is estimated to cost $2,283,251. Following the relocation of materi- als management and housekeeping to their new spaces, the final phase will create office spaces for staff now located in temporary trailers. At the completion of Phase 1E-C, the trail- ers will be removed. The cost for this phase is $829,867. The roof of the existing hospital was replaced in 2011. Equipment which was no longer needed was removed; equipment that remained was lifted to remove all previous roofing materi- als down to the deck; new slabs were poured as needed. Asbestos was found throughout the current roof, necessi- tating specialized removal crews. Total costs are $3,241,421. A humidifier to assure compliance with humidification standards in the operating room, recovery room and current ICU is being installed at a cost of $654,910. Seismic compliance of the older hos- pital buildings through a HAZUS study is being sought. This will allow acute care operations to continue un- til 2030. Verification of compliance is needed by the end of 2012. The testing cost and fees are $322,543. Additionally, $4,854,103 was previ- ously spent on drawings for the six story patient building, Phase 2A. In September 2010, the San Gorgonio Memorial Healthcare District board of directors authorized HDR to complete construction drawings and submit them to OSHPD. This is a critical ele- ment of our master plan and permit- ting is expected to take two years; the documents were finalized and submit- ted in May 2011. These new planning costs for Phase 2 are being paid out of interest income rather than Measure "A" principal. All $108 million of bonds have been sold. As of June 30, 2012, total proceeds available for the project from Mea- sure "A," including interest income, is $113,528,842; $88,978,390 has been spent to date and $24,550,453 remains to be spent. Measure "A" funds cannot be used for movable equipment and furnishings which are needed to open the ED/ICU and the remaining phases. There is a requirement of approximately $2.4 million for these items which must be financed through other means. It is the conclusion of the Measure "A" Oversight Committee that San Gorgonio Memorial Healthcare Dis- trict is in compliance with bond re- quirements and bond funds for the San Gorgonio Memorial Hospital expansion project are being spent ap- propriately. Committee members: Dorothy Ellis, Chair Donna Lester Charla Sparks Staff: Kay Lang, Project Manager Bob Ewert Estelle Lewis Vicki Grunewald Ron Rader BEAUMONT NOW | OCTOBER 2012 11

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