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HomeMy WebLinkAbout12-30-2014 Ad Hoc Health Center Construction Committee Minutes MEETING MINUTES AD HOC HEALTH CENTER CONSTRUCTION COMMITTEE December 30, 2014 2:30 PM County Board Room-Government Center County Board Room - 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER Chair Peterson called the meeting to order at 2:30 p.m. ROLL CALL Attendee Name Organization Title Status Arrived David Peterson St. Croix County Supervisor Present Agnes Ring St. Croix County Supervisor Present 2:35 PM Deb Rasmussen St. Croix County Citizen Present Roy Sjoberg St. Croix County Supervisor Present 2:35 PM Daniel Hansen St. Croix County Supervisor Absent Judy Achterhof St. Croix County Supervisor Present Shaela Leibfried St. Croix County Supervisor Present Suzanne Van Mele St. Croix County Citizen Present Scottie Ard St. Croix County Citizen Present OTHERS PRESENT: County Board Supervisors Roger Larson and Dave Ostness, County Administrator Pat Thompson, Facilities Director Jim Elsbury, Health & Human Services Director Fred Johnson, Finance Director Tabatha Hansen, Health Center Administrator Sandy Hackenmueller, Human Resource Director Tammy Funk, Information Technology Director John Allegro, Management Analyst Kristen Ziliak, Fiscal Manager Beata Haug and Recording Secretary Monica Lucht. GUESTS PRESENT: Representatives from Horty Elving, Rick Moore and Tu-Anh Johnson. Representative from Market & Johnson, Kris Hahn. Representative from WIPFLi, Larry Lester. APPROVAL OF MINUTES 1. Ad Hoc Health Center Construction Committee - Regular Meeting - Dec 2, 2014 2:30 PM The minutes of December 2, 2014 were accepted as distributed. RESULT: ACCEPTED PUBLIC COMMENTS None BUSINESS ITEMS 1. Financial/Budget Report The Committee reviewed the packet attachment, Building Descriptions, describing the program for the 50 bed skilled nursing facility, 10 bed dementia crisis stabilization unit and 40 bed CBRF. Larry Lester of WIPFLi presented the financial proforma for the program and reviewed future projections of the State of Wisconsin's support for Health Centers. The current approach to Dementia crisis stabilization across the State of WI was discussed. Currently, very few facilities have beds designated to provide service to individuals in need of dementia crisis stabilization. The County's current program includes a separate 10 bed unit for Dementia crisis stabilization which will be unique in the area. The committee requested additional modeling information on the dementia unit from other states if possible. Finance Director Hansen, reviewed the amount of debt service the Health Center's program can afford annually ($496,500) and the levy and taxpayer impact of the annual debt service over and above the $496,500. Sjoberg asked if any applicants to the Health Center are turned away due to insufficient funding. Lester response was that no, not at the present time, but in the foreseeable future. A process the firm has been looking at is when does the aging baby boomers and increase in the number of people turning 65 affect having to turn people away. We will reach that number by 2025. Sjoberg also asked if there is a lack of beds in St. Croix County. Lester answered right now there is a surplus of Nursing Home beds in St. Croix County currently. Rick Moore, Architect from Horty Elving reviewed in detail the current projected program budget of $19,447,899 based on stakeholder input from staff and Health Center Managers to date as well as the current site plan. Moore answered the committee's questions about the square footage needs outlined in the program and the proposed site plan. Moore reviewed there will be higher than expected cost to correct drainage and grading issues on the site as well as to address the outdated mechanicals in the existing building. Since the current approved budget is $15,000,000, there was discussion about design alternatives to reduce price. Moore explained a reduction to $18 million dollars would require a 10% reduction in the proposed square footage total. To reduce the budget back down, an attempt would be to save all the programs by reducing square footage. It may not be possible to save all the programs depending on the budget reduction amount. Thompson explained that because the County Board approved a $15,000,000 budget to date and the current program and design would require a budget of $19,447,889 a resolution to increase the budget would need to go back to the full County Board. Motion by Ard, 2nd by Ring to bring this to the County Board of Supervisors, bring the information as presented today requesting an increase to $20 million dollars for the completion of this project and with the information that there may be other funding sources in the form of grants such as CDBG, such as WHEDA, they have to be explored, but bottom line we would need $20 million dollars. Motion amended by Ard, 2nd by Ring to propose that information presented today be brought to the County Board of Supervisors for consideration of the $20 million dollars which may be needed, and that the County Board of Supervisors would then respond to this committee with their thoughts. Motion carried, all in favor. RESULT: APPROVED [UNANIMOUS] AYES: David Peterson, Agnes Ring, Deb Rasmussen, Roy Sjoberg, Judy Achterhof, Shaela Leibfried, Suzanne Van Mele, Scottie Ard ABSENT: Daniel Hansen 2. Design Process Review Moore addressed the St. Croix County campus space program and gave a brief presentation explaining the size of the households and cores for fifty residents in the skilled nursing facility. He explained the common space of the Town Center, which are spaces shared by all residents and will be accessible to the Community Based Residential Facility (CBRF). Rehabilitation, therapy/wellness space, administration space, as well as support spaces for IT and electrical are all shown on the space program and make up approximately 49,000 square feet. The committee asked questions throughout. Moore then explained the CBRF space program renovation for a total of approximately 14,000 square feet. The Crisis Dementia Care Unit would be approximately 7,700 square feet. Total probable building construction cost would be approximately $15,186,322. Moore explained the contingencies, which would total 15% of the cost to allow for flexibility. Soft costs have no dollar amount assigned yet. Moore summarized by stating that the total project cost would be at approximately $19 million dollars. Thompson asked Moore to take the committee through the preliminary site design. Thompson clarified that the Crisis Unit is separate due to behavior and asked Lester to explain the licenses involved. Lester summarized the nine different licenses. The committee questioned the courtyards and the different entrances into the building saying that safety is a concern. Sjoberg asked about the memory care in the CBRF building and if they would have outside areas to walk. Moore addressed their concerns and explained the different opportunities in the areas off level 1 as possible courtyards. The committee asked about site issues. Moore explained the slopes and drainage issues, and the walls that are currently not waterproof. There will be issues he will have to confront. RESULT: DISCUSSED 3. Project Schedule to Date The project schedule to date was not discussed. RESULT: DISCUSSED 4. Stakeholder Communication Report Thompson asked Hackenmueller to summarize the stakeholders meetings held so far. Meetings with staff were conducted to incorporate their requests into the space program. Hackenmueller feels the communication has been good. A meeting with resident families is scheduled for January 2, 2015. Meetings with the different Health Center departments will be conducted on January 13, 2015. The committee asked if they would be able to influence the design before it's finalized. RESULT: DISCUSSED 5. Construction Bid Update Market & Johnson had no construction updates to provide. RESULT: DISCUSSED ANNOUNCEMENTS & CORRESPONDENCE ADJOURN The meeting adjourned at 4:35 p.m. DATE OF NEXT MEETING - JANUARY 27, 2014 AT 2:30 PM IN HUDSON