Home News CBJ Newsmakers: Regents approve 33% budget increase for UI hospital

CBJ Newsmakers: Regents approve 33% budget increase for UI hospital

North Liberty project now has budget of $525 million

This story is a part of the CBJ’s Newsmakers edition. This year-end wrap-up from the staff of the Corridor Business Journal is a compilation of the year’s most noteworthy articles and projects, as told through stories that appeared in the bi-weekly issues of the CBJ. This story was originally published in July 2022. The University […]

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This story is a part of the CBJ’s Newsmakers edition. This year-end wrap-up from the staff of the Corridor Business Journal is a compilation of the year’s most noteworthy articles and projects, as told through stories that appeared in the bi-weekly issues of the CBJ. This story was originally published in July 2022.
The University of Iowa Hospitals & Clinics will receive a sizable budget increase for their new North Liberty hospital, totaling $525,628,000 — a 33% increase from previously released budgets. Citing “multiple convergent industry challenges” including construction market inflation, limited availability of construction materials and labor shortages, UIHC determined it necessary to ask the Iowa Board of Regents for an increased budget at a meeting July 27. The increased budget was described as “worst case cost” during the presentation. “We don’t do this lightly,” UI President Barbara Wilson told the Board of Regents. “We’ve done a lot of work constraining our expenditures.” A revised budget shows construction costs account for the bulk of the increase, as they expect construction will cost nearly $100 million more than anticipated. During a news briefing July 19, university officials emphasized the project remains the same — other than modifications needed for an intersection to combat traffic flow, according to UIHC Interim CEO Kimberly Hunter — and design, square footage and floor plates are no different from the proposal approved in September. “All of the cost increases … are about outside forces upon this project and upon the construction industry,” said Rod Lehnertz, senior vice president for finance and operations, during the news briefing. “For instance, the war in Ukraine and also generally related to materials and inflation and lead times that have grown from weeks to over a year for many of the systems.” According to the documents presented to the Board of Regents, worldwide glass prices are up 35-40% in recent weeks, and a local electrician shortage and aluminum shortages stemming from Russia and Ukraine are presenting unique, unforeseen challenges with building the hospital. The university’s Project Manager at Risk, JE Dunn, said construction costs would increase yet again after Aug. 1 if a new budget was not locked in before the end of the month, and that waiting for cost of products to decrease would be ineffective and have an adverse impact on patient care. University of Iowa officials have previously said the project would cost around $395 million, although initial price points during Certificate of Need presentations in August 2021 were closer to $230 million. They point to comparable facilities — like Norman Regional Hospital in Oklahoma or Trailwinds HCA Hospital in Florida — that required a similar percentage increase compared to the original budget due to construction complications. Construction is currently underway at the North Liberty site — which will accommodate 48 inpatient beds, 21 emergency care rooms and 16 operating rooms — with 35 bids still to be received by the end of August. All bid awards will be reported to the Board of Regents and all the cost savings will be compared versus the final Guaranteed Maximum Price, according to presentation documents. This process saved $2.9 million during phase one sitework. The increased funding will come from University Hospital Building Usage Funds. The new hospital is expected to be ready by June 2025, and these budgetary changes are not expected to delay the launch date.

NEWSMAKERS UPDATE

State approves budget increase

Construction is picking up steam at the corner of Highway 965 and Forevergreen Road. The State Health Facilities Council’s 3-1 vote in August approved a 33.5% budget increase for a new hospital from $395 million to $525.6 million. The vote outcome grants UIHC the ability to continue construction, with the campus expected to be ready by June 2025. “Great progress has been made to develop the land, bring in utilities, set the foundation and start placing steel beams,” said Kimberly Hunter, interim CEO and chief nurse executive for UIHC, in an email. “The steel structure will continue to take shape into 2023.” According to an article from The Gazette, UIHC was seeking requests for qualifications by Oct. 19 for an external audit of building development to review costs of the hospital.  “Audits are a standard process for construction projects of this scale,” she said. “We look forward to reviewing the findings once the audit is complete. The current bid package for the construction project is based on a guaranteed maximum price model.” When it opens, the North Liberty facility will accommodate up to 48 more beds, 21 emergency care rooms, 16 operating rooms and two more procedure rooms, laboratories, a pharmacy, advanced diagnostic imaging, outpatient clinics, and teaching and research space. “It’s exciting to see the structure continue to take shape, knowing that our mission to serve Iowans will be further strengthened by creating this additional access to specialized care,” she said.

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