Multiple options are being explored for modernization of Adventist Health Mendocino Coast, officials announced following a workshop held earlier this month.
In a press release, Mendocino Coast Health Care District officials reported that “at its Aug. 7 workshop, the MCHCD board reviewed four important capital improvement scenarios centered on enhancing the Emergency Department Surgical Department, and overall campus seismic safety.”
Emergency Department (ED) Expansion Options:
Option 1: A major expansion and renovation, featuring 18 exam rooms but larger new construction, estimated construction cost of approximately $55,880,000. Option 2: A slightly smaller expansion—about 12,000 sq ft of impacted area with 1,500–2,000 sq ft less new build than Option 1—and 5,000 sq ft of significant renovation. This plan maintains 18 exam rooms and frees up vacated space for future functions like labs, imaging, or infusion services, estimated construction cost of approximately $53,500,000. Board feedback favored Option 2 for its lower cost—and potential for phased implementation—while maintaining department functionality during construction.Surgical Department & Central Sterile Services:
Surgery Expansion: Envisions about 15,000 sq ft total—11,000 sq ft of new build plus 4,000 sq ft renovation—with 2 operating rooms, 15 pre-op/PACU bays, and endoscopy rooms. Vacated space can be repurposed later, estimated construction cost of approximately $61,800,000. Discussion of replacement of the aging sterilization unit. The board emphasized the urgency of a compliant SPD, suggesting new construction—adjacent to the surgical area—and repurposing current space for support functions (offices, locker rooms). A detailed cost estimate and design direction were requested for a phased SPD solution.Full Ancillary Building Alternative:
Presented was a bold alternative: constructing an entirely new standalone building—approximately 27,300 sq ft—east of the existing campus footprint. This structure would integrate both ED and surgical functions, with new public and ambulance entrances, and minimal disruption to current services. This alternative appears to be beyond the financial means of this district with estimated construction cost of approximately $108,000,000.Seismic Compliance & Cost Considerations:
A comprehensive seismic retrofit of the rest of the facility—comprising structural, non-structural, and systems upgrades—was previously estimated in mid-2024 at roughly $18 million, though this remains conceptual and needs updating.Cost Summary (Ballpark figures from presentations):
ED Option 1: $55.8 million ED Option 2: Approximately $2 million less than Option 1 Surgical Expansion: Approx. $61.8 million New Ancillary Building: Approx. $108 million Board members highlighted cost-per-square-foot ranging between $3,500–$4,000, aligning with regional construction realities.Funding, Phasing & Planning Direction:
Funding Landscape: The district anticipates revenues and capital available totaling about $60–70 million, including potential loans (up to $50 million in bonds) and maintenance reserves. Instruction from the Board: Prioritize the SPD solution with quick feasibility and cost analysis. Proceed with ED Option 2 as the most budget-sensitive yet functional choice. Explore phased execution—for instance, constructing surgical areas first, with the ED added later as funding permits. Seismic compliance remains non-negotiable; efforts will focus on cost efficiencies by combining modernization needs with compliance upgrades.Next Steps:
The project team (contractors and planners) will develop a high-level plan and ballpark cost for the SPD expansion and surgical enhancements—expected within a few weeks. The Board will consider hiring an expert construction representative to be brought on to build a master project timeline, ensuring SB 1953 seismic mandates are met while modernizations proceed efficiently. The district’s planning and finance committees will convene in mid-August, with a full board meeting slated for August 28 to refine financial strategy and determine next-phase actions.District officials also noted that “Mendocino Coast Health Care District is committed as the landlord to providing modern state-of-the-art property, plant and equipment to its tenant Adventist Health whereby the tenant can deliver resilient, patient-centered healthcare services to the community. Such arrangement ensures infrastructure safety and develops community trust in its community-owned healthcare system.”
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