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Field of Screams
Sacred Heart's plans for sprawl carry huge
and mostly hidden public costs.

By Alan Pittman

In its advertising and lobbying blitz for a sprawling new hospital site in north Eugene, Sacred Heart has emphasized the high cost of keeping the hospital downtown.

According to Sacred Heart's spin, "the public's lack of support for condemnation of businesses and homes, as well as for an additional tax burden a downtown site would require," makes the Coburg/Crescent site the only option for Eugene.

 
Spencer Butte in south Eugene can be seen in the distance from the Crescent site.
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Building a hospital downtown at the Willamette and 13th site could cost about $34 million in land acquisition and the condemnation and removal of 102 homes and apartments and 243 trees, according to a city estimate.

But what's the public cost of the Coburg/Crescent site four miles north of downtown? Without any comparative cost information, the City Council voted this month to support the hospital's move north.

Choosing a site without a cost comparison, "is a rotten way to make public policy," says Tom Giesen of Citizens for a Hospital in the Heart of Eugene. The lack of comparative costs for the sprawl site has left downtown advocates frustrated.

Giesen's group has been pushing for such a cost study by the city for months. The City Council drected staff to study the north site costs. Giesen says the staff could at least put together "ballpark" estimates of the public cost in new roads and other infrastructure of serving the north site.

But staff say they still need a long-promised traffic study and more information from Sacred Heart before they can do any cost estimates. "Until we know exactly what their proposal is, it's hard to know what the response will be," says the city's lead planner on the hospital, Lew Bowers.

So, into the information vacuum, what follows is EW's attempt to provide a "ballpark" estimate of the costs of the north site, based on city cost data and cost of growth studies.

 

'Astonishingly Expensive'
"The north Eugene site will be astonishingly expensive if anybody adds it up right in a forthright manner," says Eben Fodor, a local planning consultant and widely quoted expert on growth costs. EW's cost estimate for the north Eugene site runs into the hundreds of millions, perhaps more than a billion dollars.

Many studies have shown the traffic impact of sprawling development can be very expensive. The 1999 Book, Slam-Dunking Wal-Mart! quoted a study by a New York City traffic engineering consultant Brian Ketcham.

Ketcham estimates that a 150,000 sq. ft. big box store will create 2,700 to 5,600 car trips a day. That "will directly increase (traffic) congestion costs by $5 million per year, increase the number of traffic incidents each year by about 190 property damage incidents and 55 personal injuries, with one additional death every three years, at a total added cost burden to New York of nearly $7 million a year. Air pollution and noise will likewise increase: by more than $700,000 for air pollution and $80,000 in damages for traffic noise. Of even greater consequence is the impact of big box-generated traffic on other traffic. Those motorists already on the road will suffer an additional $30 million in wasted time and lost productivity."

The city estimates Sacred Heart's Phase I, a 1.6 million sq. ft. hospital on the north edge of Eugene will produce 35,000 trips per day. At full build-out, the hospital will be about 3 million sq. ft., producing 70,000 trips daily. That's 17 times more trips than Ketcham's big box store. Multiply Ketcham's estimates by 17 and you get a public cost of $727 million a year for Sacred Heart's sprawl. That includes 935 traffic injuries and five traffic deaths a year, $85 million in direct road improvements, and $510 million worth of wasted time stuck in traffic jams.

 

Infrastructure
The city collects system development charges (SDCs) to recover part of the costs of growth from developers. The city estimates the first phase of the hospital will generate about $2 to $4 million in SDC charges. But the city's SDCs don't come anywhere near the true costs of growth, nor are they intended to do so. The city's SDCs, for example, charge nothing for state, county or federal roads and nothing for school, fire, police and many other infrastructure costs.

 
The Register-Guard is ready to cash in on Sacred Heart sprawl. The company has already plotted development sites on its land near Crescent Ave.
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Fodor has estimated that Eugene's true growth costs in capital infrastructure are about six times higher than what the city charges in SDCs for a single family house.

Fodor says costs for development on the edge are even higher. He points to a Lane Council of Governments' study indicating that edge development creates four to five times more traffic than development in the central city. The city of Eugene estimates that the downtown site for a new hospital next to the central LTD station could generate about half the trips as the north site due to the far greater availability of alternative modes.

Fodor hasn't studied Eugene's commercial SDC rates as extensively, but if they also trail true costs by a factor of six, then the Sacred Heart development would cost Eugene about $18 million. Phase II would double that cost to $36 million. If edge development costs five times more to serve (with longer and more roads, sewer lines, etc.), then the total would be $180 million for the sprawl hospital.

 

Big Bill
An alternative method of estimating the public cost impact of the sprawl site for a new hospital would be to add up a list of possible capital projects that would be needed to serve it.

One of the biggest projects would be a new $20 million interchange at Coburg Road and Beltline, but that's not the only cost. Here's a run-down of some of the road projects in the area that might be driven by moving the region's largest private employer to the edge of town:

-- Beltline/Coburg Interchange $20,000,000
-- Chad/Game Farm Rd. Connector $706,000
-- North Game Farm Rd. Improvements $1,900,000
-- Beltline/I-5 Interchange  $55,000,000
-- County Farm Loop Upgrade  $1,600,000
-- Delta Hgwy/Beltline Interchange $5,500,000
-- Coburg Rd. Study $100,000
-- Coburg, add two lanes
for 2 miles $1,600,000
-- Beltline, add two lanes for 2 miles $2,000,000

Total: $88,806,000

Many of these road-widening and interchange projects could cause far more condemnations and destruction than anything anticipated downtown. Hundreds of trees, homes and businesses are in the potential right of way along Coburg and Beltline, for example. Ramps for a big Coburg/Beltline cloverleaf, could take out a new office building and homes built next to the interchange.

Another way to look at the cost of serving Sacred Heart's traffic would be based on cost per trip. The city estimates that it costs an average of about $755 to serve each created trip with new transportation infrastructure. Multiply that by the estimated 70,000 trips the hospital will generate at full build out and you get a figure of $53 million. If those longer, car-dominated trips to the edge of the city cost five times more to serve, the total cost comes to about $264 million.

But freeways aren't the only infrastructure the hospital demands. A big new sewer line built to serve similar sprawl in Bethel recently cost the city $2.8 million to build. If water and stormwater pipes cost about the same, the hospital could cost another $5 million to serve. A new fire station and pumper truck to serve the hospital would cost about $4 million.

The city's ambulance system could also need a costly fix. To maintain the four-minute response time critical in life-threatening situations, the city has funded and deployed ambulance crews based on a hospital located in the center of town. A hospital on the far edge of town could mean longer waits for ambulances.

"Many times our units respond to emergency calls for service while available at the [hospital] receiving point," Fire Chief Thomas Tallon wrote the council recently. "A location on the periphery of the metropolitan area can mean longer response times into parts of the urban core."

The city passed a $19 million bond measure five years ago to re-deploy stations to cope with urban sprawl. With Sacred Heart on the edge of town, voters may have to pay another $19 million.

All these infrastructure costs add up to about $116 to $295 million. If you add in just one year of Ketcham's indirect societal costs of accidents and wasted time in traffic, the costs reach as high as $853 million.


More Bills
Sacred Heart, of course, argues that its sprawl design won't cost the public anything. The infrastructure improvements would have to eventually be made in the growing area even without the hospital, the hospital says in its PR campaign.

But the city is planning for compact urban growth and wasn't anticipating building most of the infrastructure for decades, if ever. The $20 million rebuild of the Beltline/Coburg interchange, for example, isn't included in the city's 20-year draft TransPlan. Even if only half the low estimate of the infrastructure improvements could be attributed to Sacred Heart, the public's costs would be at least $58 million.

The infrastructure and societal costs also don't include other big costs. Cost of growth estimates often focus on infrastructure costs because they assume the new development will pay taxes to cover ongoing operations and maintenance of the city infrastructure required to serve the growth. But, as a non-profit, Sacred Heart doesn't pay taxes.

The unfunded added operations costs could be staggering. The city of Salem estimates that the cost of running one fire station is about $700,000 a year.

If you assume ongoing operations and maintenance of the new infrastructure to serve Sacred Heart would roughly double the infrastructure costs, the public price tag could reach back up to at least $116 million.

The hospital will also likely spur the development of other ancillary medical facilities, fast food drive-throughs, worker housing and other development sprawl in the area. State economic development officials use a multiplier of 2.5 to figure the impact of such spin-off development. If Sacred Heart's multiplier effect on the edge of town is only half that figure, the total public cost of the hospital's sprawl would more than double, reaching up to $1.9 billion.

That's about $13,500 for every man, woman and child in Eugene. Not all the money will be paid in local taxes, of course. Some will come in the form of federal and state subsidies funded by federal and state taxes.

Most of the money for needed improvements simply won't be found. In that case, the community will have to suffer through the economic and livability costs of increased traffic congestion and diminished city services. City infrastructure downtown and in other older areas of town could suffer if the city diverts resources for infrastructure projects to serve Sacred Heart.


Downtown is Cheaper
A downtown hospital would avoid almost all of the heavy costs of the sprawl version. Much of the expensive infrastructure needed to serve a bigger hospital downtown is already in place. "Major arterials into the greater downtown area -- can probably handle the anticipated increase in traffic from hospital expansion if alternative mode use is very high," city planners report.

As an added bonus, a downtown location could provide a huge boost to the center of the city and save Eugene millions of dollars in efforts to revive downtown. "This one project would have a tremendous effect on the viability of downtown," says City Councilor Bonny Bettman.

The estimated $34 million land acquisition cost for an expanded hospital off Willamette street wouldn't necessarily have to come from increased property taxes. Earlier, the hospital, which could sell it's Crescent land if its not needed, had said it was willing to split acquisition costs with the city.

That could leave the city's subsidy cost at $17 million. Three million could come from waiving city SDCs for the site which is already served by most of the necessary infrastructure. City Manager Jim Johnson has said the city could come up with another $5 million without raising taxes or cutting services.

That leaves $9 million. That's about what the city spent to build Symantec a parking garage at Broadway Place using urban renewal funds. The city could create a new urban renewal district to capture new tax revenue from increased land values around a new hospital downtown. Another revenue option would be taxes on sprawl such as a tax on big surface parking lots.


Developer Profits
The community costs of subsidizing Sacred Heart's sprawl will be huge, but the hospital and developers will reap big profits. The Baker family that owns The Register-Guard may be the best positioned to cash in on the sprawl. A new hospital, spin-off development looking for land and big freeway improvements in the area could cause the value of the Guard's extensive land holdings on nearby Chad Drive to skyrocket.

The Guard and its development companies own a total of 51 acres of prime real estate along Chad Drive and stand to make millions from growth in the area, according to county property records. Editorials in the R-G have opposed the council's efforts to keep the hospital downtown. The hospital has given exclusive "news conferences" to R-G reporters and likes the paper's news coverage of the hospital enough to archive and reproduce articles on its web site.

The Wildish land and gravel companies also stand to make big bucks from the sprawl. Wildish owns 86 acres of nearby real estate just northwest of the proposed hospital site. In addition, Wildish owns several acres of key Coburg Road frontage that could demand top dollar.

The Chambers construction and communication companies own 8.4 acres along Chad Drive. Developer James Breeden and his family own 18 acres of vacant land along Chad Drive. Chuck McGlade, a Sacred Heart radiologist and Gang of 9 member, has invested in three key home lots along Coburg Road near Crescent Avenue that could be prime sites for strip development serving the new hospital.

The largest vacant landholder in the area is the First Baptist Church. The church owns 205 acres of land across Coburg Road from the proposed hospital site and extending north to the McKenzie River.


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