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Archive for the ‘HUD242’ Category

November 18 2011

Success with HUD 242 financing takes teamwork.

There’s no question that, without access to affordable funding, many independent community hospitals will struggle to stay independent as they look for ways to renovate, expand, or replace aging facilities.  As this article demonstrates, it takes the kind of team effort that was displayed by Effingham Hospital in Springfield, Georgia to secure the necessary financing to renovate and expand their hospital to better serve a growing community.   JJCA is proud to have been a part of the team – providing a master plan designed to get maximum value for minimum cost – a goal that HUD needed to be convinced would be met in order to approve funding.

We’ve learned through our involvement in more than a half dozen HUD 242 projects with hospitals across the country the importance of having both a financial partner, like InnoVative Capital, and an architect firm experienced in the intricacies of HUD 242 to successfully navigate the process.  Learn more about this important partnering process here.

 

Posted in HUD242, Projects
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July 11 2011

Funding Flexibility

Johnston Medical Center-Clayton

“Without JJCA’s help, I don’t believe we would have been successful in obtaining the HUD-242 financing that not only allowed us to complete the third phase of our existing space plan, but gave us the opportunity to build a second hospital in a neighboring community.”
–Kyle McDermott Adm. Director of Construction and Materials Management Johnston Medical Center

We’ve been working with our friends at Johnston Medical Center since 1995, supporting them in their vision of creating an entire medical campus.  And we think they were pretty smart when they decided to build an outpatient clinic – not on the site of their major campus in Smithfield – but in nearby Clayton, North Carolina. In order to prepare for the population growth coming south from Raleigh, they chose a 76 acre site in Clayton that would accommodate expansion from the initially planned 56,947 SF to 110,000 SF, and eventually to a full-blown community hospital of more than 200,000 SF.   But as most community hospitals know, the best laid plans for growth are just plans if funding is not available.  We’re
glad we were able to bring our experience with HUD-242 financed projects to the table for Johnston Medical Center.  With low-rate financing approved, we were then able to work with JMC to develop a flexible design that will support the incremental growth that will occur over the next 10 – 15 years.

Phase 1 of the new hospital, completed in August of 2009, includes the 24 hour ER, radiology, 2 OR surgery departments, PACU and outpatient staging and recovery, a small lab area, and general support functions.  All departments planned on a 29′ x 29′ structural bay to maximize flexibility as technology changes.  Core elements, like the kitchen, location of mechanical rooms, corridors for future connection, and perimeter drives, were designed to accommodate future room additions.  Parking, water treatment, and site circulation were also designed with growth in mind.  Plus, green design principles for storm water treatment with the use of bioswales provided project cost savings.

Posted in 20th Anniversary, HUD242
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June 3 2011

Effingham Construction Underway

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Construction workers celebrate as steel is topped out on a major expansion project at Effingham Hospital in Springfield, Georgia.  Exterior studs are being installed, interior layout is beginning in the basement, the long term care canopy has been installed, retaining walls are nearing completion and construction and color mock-ups are finalized.  When completed, the new, 57,621 square foot, two-story community hospital addition will include new admitting, emergency, surgery, central sterile, outpatient surgery, lab and imaging departments.

Wondering about the significance of the evergreen and flag seen atop the steel beam in the photo of Effingham’s topping out celebration?  Here’s a little history on these events:

Placing of an evergreen tree upon a structure is said to symbolize growth and is believed to bring luck. State and national flags are often raised atop the structure as well.  Ceremonies often take place during lunch time and can include a catered meal and entertainment.  In large building construction, the topping out beam may be signed by the ironworker crew, or by local dignitaries depending on the importance of the building.  Ironworkers may take this as an opportunity to publicize their union local. The beam is signed on the ground before it is hoisted into place by crane. The height of the ceremony takes place when the piece of steel is lifted into place and secured (although not completely). Often, the final piece of steel has little or no structural significance to the building.

Effingham had all the bases covered for their celebration – evergreen, flag, signed beam and a meal.

Posted in HUD242, Projects, Site Visits
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April 5 2011

Hard-hat tour at Hendry

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Hendry Regional Medical Center hospital staff, foundation members, and community members recently took hard-hat tours with project architect Stephanie Pielich to get a sneak peek of new additions underway.  When the project concludes, the Clewiston, Florida facility will have added approximately 35,000 square feet that will include a new ER, lab, imaging, and surgery departments, plus 10 emergency treatment rooms and 2 imaging rooms.   Tour participants were appreciative of the tour and were able to see the current construction progress of drywall finishing, overhead rough-in, and exterior stucco. Tour participants liked what they were seeing – and were particularly complimentary of the bright, new public spaces.

Posted in HUD242, Office News, Projects
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January 10 2011

Low-rate deal provides for first-rate hospital expansion.

The other financial advisors said it was a deal that couldn’t be done.  But experience and persistence proved them wrong as the team of Innovative Capital, JJCA and AHFD, veterans of the HUD 242 process, were successful in obtaining financing for an expansion project for Effingham Hospital in Springfield, Georgia.  At 3.75%, the lowest interest rate ever received on a HUD 242 project, Effingham’s loan, financed with Build American Bonds, will provide for a first-rate, 57,621 square foot, two-story addition that will include new admitting, emergency, surgery, central sterile, outpatient surgery, lab and imaging departments.  In anticipation of a competitive bidding situation and to maximize flexibility for Effingham, a one-story Alzheimer’s unit and finish upgrades for 23 existing patient rooms were included in the documents as potential additions to the project.

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Posted in HUD242, Projects
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