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Resolution 1737 - Exhibit A <br />Local hospitals also face this growing trend in the health industry. Memorial Hospital, has <br />seen a growth in outpatient surgery from 30 % of their total procedures in 1996, to 70% <br />of their total procedures in 1999. Although licensed at a 526 bed capacity, the hospital <br />presently staffs for only 300 patients per day. <br />This trend results in a shift in the type of physical facilities required for the delivery of <br />service. The shorter term nature of outpatient visits results in an increased in the level of <br />patient turnover. With the predominant reliance on automobiles for transportation there is <br />a need for increased parking to serve the higher turnover rate. Faced with high costs <br />associated with construction of parking facilities and the purchase of urban land, some <br />health care providers are turning to opportunities on suburban greenfield sites where <br />required land for development is readily available at a cheaper price. <br />Memorial Hospital, through their own long term planning, determined that it would be in <br />their and the community's best interest to remain and grow in their current location. As a <br />consequence of this long term commitment to their existing location and to the <br />community, Memorial Hospital must face the reality of a changing health care industry, <br />within a very growth restricted environment. As demonstrated in Map 17.5, the campus <br />of Memorial Hospital is bordered by Leeper Park and the St. Joseph River to the North, <br />the River Bend Historic Neighborhood to the East and an established residential <br />neighborhood to the West. Limited growth opportunities exist to the South -East of their <br />existing campus. <br />In such a confined environment, it is necessary for this important economic entity to be <br />able to grow in an orderly and timely manner. By establishing the Downtown Medical <br />Services District around the hospital, the City of South Bend through its <br />2 Downtown Medical Services District <br />