COMPTROLLER GENERAL OF THE UNITED STATES WASHINGTON. DC. 20548 B-164031(1) c\ F Dear Mr. Shrivet! Illllllll lllllllljl~l~~ljllj Ill11 lllll llllllll ,t Reference ilr made to your letter of December 30, 1970, which enclosed a copy of a letter you receiyed from Dr. Leslie E. Becker ’ concernfng this project, you asked u6 to reevaluate our recommandatiotro for the Howard University project and to furnish you out conclusions af tst ruch a reevaluation, Enclosed ia a copy of the General Accounting Off ice report, refer- red to in Dr. Becker’r letter, on %urvey of Prqreea Toward Construct- ing New Teaching Hoepital on Howard University Campusert (B-164031(1), April 3, 1970). Aa indicated in our letter of transmittal to the Chair man) Subcommittee on Departmente of Labor and Health, Education, and Welfare and Related Agencies, Committee on Appropriations, United Stater Senate, the purpose of our report wab to provide information to the Sub- committee on the progress being aade toward the construction of a new hospital on the Howard Univeruity campus, authorized under legislation enacted in 1961. The survey on which our report wbm bawd dfd not include an appraisal of the adequacy of the by Howard Univerdity and agreed for adminieterlng tha Federal interest in the projact-the Department of Health, Education, and Wolfan WJW, the General Sarvicar AdaLnir- tration (GSA), and the Off&m of Management and Budget (formerly Buorau of the Budget). Our report did not contain any recommendationa.. / Pollowidg are our comments on Dr. Becker’* letter. . Dr. Becker questioned the statements in our report (p. 10) that the estimated cost of $52.06 per pore aqmre foot for the Howard holrpital compared favorably with the average experienced cost of $54.32 per prose square foot for 12 recently completed teaching hospital@. Dr. Sacker rtated that he presumed that the source of the WA data on rerhicb our rmtsmmtr wro bmed ww 8 1967 tMching borpftal conltrue- . tion survey lrsdr by the Aaoocirtim of Amarican Medical Colla~rr uhfeb reportad titlitirtscr oa borpitrir built u fat hmck aa 1964. / I . , ,; 50 TH ANNIVERSARY 1921.1971 ,/ ,, I, ‘,, , ,L. The statistice included in our report were intended to afford the Subcommittee a bneij for relating the amount of Fedora1 funds being sou&t by Howard Univoreity to costs actually experienced by other orga- nizations which had recently completed construction of tcsching hoepltalr, Our report showad that the estimatad cost of construction and the amount of Federal funds required WB not cut of line with the avcrqe costs recently experienced by other organizationa in constructing teaching hospitals. We did not intend for thcso statements, in any wry, to be an appraisal of the adequucy of the ovcraA1 plans for the Howurd hospital. The basic for our comparison was information compiled by GSA for the President, Howard University, on 12 teaching hospitals completed betmen March 1967 md December 1968. Thess taaching hospitals ranged in size from about 224,000 gross aqunn feat to more than one million gmse square feet and averaead about 504,000 gmss rquAro feet. The construction costs per gross squsre foot for these hospitala ranged fnnn $38.63 to $71.23 and weraged $54.32. Dr. Becker commented that our report did not note that, on the advice of Dr. Russell A. IVelssn, Ho&d University roconrmended to HIM and to the Bureau of the Budget that the new hospitil have 683,466 grorrr aquar0 feat. The records WQ exam ed at flowmd University ehowmd that a committee chaired by Dr. Robert,S.7 Jason, the Dean of the College of Hedfcine, Eoward University, had recommended in the constmction program submitted to the President of Hcwrd University on Juna 22~ 1962, that the proposed hospital contnin 683,466 ~rosrr squars feet, ln presenting the recommendation to the Preridant of Howntd Uni- wmity, Dr. Jason said, in pertr . nThts Program is the product of runny minds, within and outside of the University * * *, lt ban a broad base aria ing f ram the o tatemcnts of needs, recommendationa and suggestions filed by the head of evety profess tonal deprtamt and the chief of every regtncnt of the Staff bf tha Roepit;sl. It is the cerult of the many.delibetY l tiona and the final deeisfonr of a gmup conrirtti8 of a Corn ColPrittee compared of1 * * *.” ( ; ,*’ I r, B-164031(1) The list of committee members included Wr. Russell A. Neleon, Director, Johns Hopkins Ifospital and Authority on hospital plnnning, opetations, and mmngemcnt .n Although our report did not identify Dr. Neloon by name, he me the hospital planning consultant mentioned on page 7 of our report. The Howard University tecorda ahowed slao that, on July 27, 1964, the Core Committee submitted a revised construction progrm to the President of Howard University, followLng a oerierl of conferf3ncea with reyreeentatives of the Buroau of the Budget. The rerisad pYmgrm pm- vided for SSO,SSO gross square feet. In comanting on the authorization by the Bureau of the Budget in 1967 to increase the srea of the hospital ftom 550,550 groae equam feet to 587,625 gross square feet (see page 8 of our report), Dr. Ikcket stated that the proposed hospital still would be only 86 percent CLIJ large, in terms of gross sqwwa footage, aa the Surgeon Cenerel@r 1964 architectural guide indicated it should be. During our survey, Dr. Jason referred ud to the 1964 Public Health Service publication mentioned by Dr. Becker, which suptirsedad Wcdical S&oat Facilities I Planning Considerations ,* and Wedical School Facik itiest Planning Considerations and Architectural Guide,” both published in 1961 by the Public Health SBwice. It wae our understanding that Dr. Jasongo committee brad utilized these,,1961 publications in the ori- ginal planning for the Howard hospital. Y We note that Table 50 of the Public Realth Sbrvicc*s 1964 publicn- tion showa 602,000 grortr square feet bs the atea,‘ncomended for a hypothetical teaching hospital of 500 beda, Thus, the 587,625 gmer rqwte feet authorized by the Bureau of the Budgpt in 1967 for the pro- posed hospital represented about 98 percent of thti total 8paca indicated as needed in the Public Health Service publication. We noted, howems, that 587,625 gmse square feet ia about 86 perccn‘t of the area that wu recommended in 1962 by the Houmd Univcsmity Core bmrnittee, Dr. &ek&m latter ruted that, in 196Y, the Burem of ttm lkrdget had l llorrrd a tort at $20,415,000 for a 587,625 $mrr rqwtr foot teach- B-164031(1) hospital containing 500 beds and that, am a result of qucstiona raieed by the Nattonal Medical Aeeociation in 196g9 Uowatd UnivQrsfty had sought additional consttuction funds of $7.7 million end thnt GSA had allowed an additional 45,082 grass squ~e feet of space, Ae pointed out on page 11 of our report, through January 31, 1970, of the $1,230,000 which had been appropriated for planning the Howard Univereity hospital, $260,300 remained unobligated. Public Law 91-204, approved March 5, 1970, provided nn appropriation of $22.2 million for constructing the hoepital. This amount wae baaed on 1966 coet estimater. A rupplemantal appropriation of $7.7 million WEIIYprovided by Public Inw 91-305, approved July 6, 1970, because of incteaaea in the estimated conrtruction cortr attributable in part to increases in the equara foot- raa provided for in the plane. The increaeed equate footage wea explained in our report (LO followrt 1. An incteaee of 37,075 gross square feat--from 550,550 to 587,62f--was authorized by the Bureau of the Budget in January 1967 in response to the Univetaity’s request to increase the gross area to bring the proposed Howard borpital in line with other teaching hospitala. (Sea page 8 of our report.) 2. An increase of 45,082 grose equate feat--from 507,625 to 632,707.-war subsequently conridered neceesary by Gti to accommodate required machanical equipment and meet circulation and storage needa. (See page 11 of our report,) In November 1969 GSA estimated that, &II of October 1970, the con- etructfon cortu of the propoeed hoepftat would be $32,940,000. There- fore, in out April 1970 report, we pointed out (p. 11) that the amount@ appropriated , together with additional amount8 requested (totaling $31.1 million), would be about $2 million lam than GSA’6 e&imats. The con- tract price for constructing the new Howard horpital will not be known until after the conrtruction bide for the project have been opened, which lo tentatively scheduled for April 1971. I Becaura we did not evaluh the planr for tha Hoard hospital, we do not havr my cammente to offer concerning the $I%$80 coat per atore rquaru foot projected by ths,Amociation of hmrican Medical Coll~gor aa thu cart of l taachim hobpic& ( B-164031(1) / After reieipt of your letter , we intewiewd officials of the Facilities Engineering and Construction Agency of 11615to ascerl;ain the current etatua of the construction program for the Iloward hoepital. These officials furnished ua 6 copy of 6 project schedule which GSA had oent ta Dr. Jameo B. Cheek, Preeidcnt of Howard Universfty,on December 15, 1970. The schedules ehowed the following t$.membla planned for the uonstruction program Invitation for bida January 197lU Bid opening March 1971f/ Construction contract marci April 1971 Cons true Lion completion November 1973 UOn January 27, 1971, we wet2 advised by HRW official6 that the tentative date for &swing Lnvitatiom to bZd had been changed to February 26, 1971, and the bid opening date changed to April 15, 1971. Accompanying this echedule was a revised co8 t eetimnte, dated December 7, 1970, that had been prepared by GSA. The revised esttite was ‘$33.9 million-an increase of $1 million over G!SA~s prior cost estimate for a hoepital havini 632,707 gross eqwre feet. The HI34 officiala’ informed UB also that, as a result of HEW@@ recent review of the plans for the now hospital, the outpatient facil- itier till be redesigned to provide more flexibility for possibls future Cixpansionr Those off iciala etated that mchitect-engineer fee@ . for the radaign had not been determined end estimated construction coata had not been revLed therefore, these additionaL coats had not been included in G9Aas December eetfmati, B--164031(1) We betlrsve our commcn~ till help clarity the questions which have arisen regarding our survey report on the prqgteaa toward con- atructln8 the Eoward Univtmlty teaching hospitale Comptroll+r General of the United Statcar The Eonorabla CWner lc, S’hrimr fiousrr of Reprerentativer
Funding Level for the Proposed Teaching Hospital to be Constructed on the Campus of Howard University, Washington, D.C.
Published by the Government Accountability Office on 1971-03-08.
Below is a raw (and likely hideous) rendition of the original report. (PDF)