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Montgomery Meadows Residential Health Care Facility
2002 Feasibility Study: Report

Financial Analysis

Construction and Renovation Cost Estimates for the Three Proposed Options

Item

Min. Maint.

Partial

Full

Remarks

& Replacement

Program

Program

Maintenance and Replacement:
Smoking Shed

10,000.00

10,000.00

10,000.00

Update Computer System

70,000.00

70,000.00

70,000.00

Update Nurse Call System

100,000.00

100,000.00

Included

Incl. in new construction cost
Update Security System

40,000.00

40,000.00

40,000.00

Update Telephone System

60,000.00

60,000.00

60,000.00

Replace Fire Alarm System

0.00

55,000.00

55,000.00

Replace Laundry Washers

0.00

40,000.00

40,000.00

Replace Existing Roof

565,000.00

565,000.00

565,000.00

Replace Existing Windows

63,000.00

63,000.00

63,000.00

Kitchen Serving Line, Refrigerator and Toilet

8,000.00

33,000.00

33,000.00

Outdoor Activities

35,000.00

35,000.00

35,000.00

General Improvements

0.00

150,000.00

150,000.00

Renovations and Additions:
Renovation of Dining Room

0.00

125,000.00

125,000.00

New Lobby and Main Entrance

0.00

195,000.00

195,000.00

Business Office and Staff Addition

0.00

465,000.00

0.00

Med. Offices, Laundry, and Trash Rm. Add.

0.00

750,000.00

0.00

Addition of Private Rooms to Exist. SNF

0.00

495,000.00

0.00

Heating, Ventilation and Air Conditioning

525,000.00

525,000.00

525,000.00

Renovation of Wings A & B to Adult Home

0.00

0.00

1,310,000.00

Renovation of Wing C to Office and Service

0.00

0.00

565,000.00

Replacement of 120 Skilled Nursing Beds

0.00

0.00

9,828,000.00

Total Construction Costs:

1,476,000.00

3,776,000.00

13,669,000.00

The above construction estimates contain only the actual costs of labor and material.

In the following chart, we have added in the other costs and contingencies to reflect the total project costs.

Total Project Cost Estimates for the Three Proposed Options

Item

Min. Maint.

Partial

Full

Remarks

& Replacement

Program

Program

Total Construction Costs:

1,476,000.00

3,776,000.00

13,669,000.00

Estimating and Design Contingency (10%)

147,600.00

377,600.00

1,366,900.00

Sub Total:

1,623,600.00

4,153,600.00

15,035,900.00

Architectural Fee (6%)

97,416.00

249,216.00

902,154.00

Construction Management Fee (5%)

81,180.00

207,680.00

751,795.00

Furnishings (Adult Home)

0.00

0.00

176,000.00

Furnishings (Skilled Nursing)

0.00

120,000.00

600,000.00

Except recently replaced electric beds
Sub Total:

1,802,196.00

4,730,496.00

17,465,849.00

Financing and Construction Interest (6%)

108,131.76

283,829.76

1,047,950.94

Total:

1,910,327.76

5,014,325.76

18,513,799.94

The above project cost estimates were compiled without the benefit of architectural or engineering plans or specifications.

The scope of the work was derived from the Feasibility Study Meetings and from our 40 years of medical construction management experience.

All new construction was considered to be one story, slab on grade, with a flat roof.

The project cost estimates were projected forward to reflect 2004-2005 construction costs, based on the average cost escalators over the past 10 years.

On the following pages is the allocation of the full program costs between the Nursing Home and the Adult Home.

Full Program Construction and Renovation Cost Estimates Allocated to the Nursing Home and the Adult Home

Item

Full

Nursing Home

Adult Home

Remarks

Program

Costs

Costs

Maintenance and Replacement:
Smoking Shed

10,000.00

8,500.00

1,500.00

Allocated by number of staff
Update Computer System

70,000.00

51,219.51

18,780.49

Allocated by number of beds
Update Nurse Call System

0.00

Update Security System

40,000.00

20,000.00

20,000.00

Allocated by sq.ft. of existing building
Update Telephone System

60,000.00

43,902.44

16,097.56

Allocated by number of beds
Replace Fire Alarm System

55,000.00

27,500.00

27,500.00

Allocated by sq.ft. of existing building
Replace Laundry Washers

40,000.00

33,802.82

6,197.18

Allocated by beds and use
Replace Existing Roof

565,000.00

282,500.00

282,500.00

Allocated by sq.ft. of existing building
Replace Existing Windows

63,000.00

31,500.00

31,500.00

Allocated by sq.ft. of existing building
Kitchen Serving Line, Refrigerator and Toilet

33,000.00

24,146.34

8,853.66

Allocated by number of beds
Outdoor Activities

35,000.00

17,500.00

17,500.00

Allocated by sq.ft. of existing building
General Improvements

150,000.00

109,756.10

40,243.90

Allocated by number of beds
Renovations and Additions:
Renovation of Dining Room

125,000.00

125,000.00

New Lobby and Main Entrance

195,000.00

142,682.93

52,317.07

Allocated by number of beds
Business Office and Staff Addition

0.00

0.00

0.00

Med. Offices, Laundry, and Trash Rm. Add.

0.00

0.00

0.00

Addition of Private Rooms to Exist. SNF

0.00

0.00

0.00

Heating, Ventilation and Air Conditioning

525,000.00

384,146.34

140,853.66

Allocated by number of beds
Renovation of Wings A & B to Adult Home

1,310,000.00

0.00

1,310,000.00

Renovation of Wing C to Office and Service

565,000.00

413,414.63

151,585.37

Allocated by number of beds
Replacement of 120 Skilled Nursing Beds

9,828,000.00

9,828,000.00

0.00

Total Construction Costs:

13,669,000.00

11,418,571.11

2,250,428.89

The above construction estimates contain only the actual costs of labor and material.

Total Project Cost Estimates for the Full Program Allocated to the Nursing Home and the Adult Home

Item

Full

Nursing Home

Adult Home

Remarks

Program

Costs

Costs

Total Construction Costs:

13,669,000.00

11,418,571.11

2,250,428.89

Estimating and Design Contingency (10%)

1,366,900.00

1,141,857.11

225,042.89

Sub Total:

15,035,900.00

12,560,428.22

2,475,471.78

Architectural Fee (6%)

902,154.00

753,625.69

148,528.31

Construction Management Fee (5%)

751,795.00

628,021.41

123,773.59

Furnishings (Adult Home)

176,000.00

0.00

176,000.00

Furnishings (Skilled Nursing)

600,000.00

600,000.00

0.00

Except recently replaced electric beds
Sub Total:

17,465,849.00

14,542,075.32

2,923,773.68

Financing and Construction Interest (6%)

1,047,950.94

872,524.52

175,426.42

Total:

18,513,799.94

15,414,599.84

3,099,200.10

Cost per Bed

128,455.00

70,436.37

The New York State Department of Health will approve Nursing Home bed replacement costs of 75% of the maximum allowable cost for new construction. They will add some additional costs for other work beyond the bed replacement. Rotenberg & Co., who prepared the financial feasibility projections, believe that the NYSDOH will approve another 10% for this additional work. The above per bed Nursing Home cost estimate of $128,455.00 is 86.2% of the 2005 maximum allowable cost for new construction.

There are no New York State cost limits for the Adult Home.

 

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