11:09am

Mon August 15, 2011
Closing Walter Reed

When Will Closing Walter Reed Pay Off? Maybe 2018

Originally published on Wed August 31, 2011 6:08 pm

When the Walter Reed Army Medical Center was slated for closure back in 1995, the goals were to improve care for wounded soldiers, and to save money. The final patients left this past week.

But with closing Walter Reed now estimated to cost more than $1 billion more than originally predicted, it could take many years before the military will realize any savings.

The medical center has acres of tall oaks and several large buildings, on a campus in the middle of Washington, D.C. The original hospital at Walter Reed is known as Building 1. It's all brick, with massive columns and an ornate fountain out front.

"You certainly get a sense of history from seeing Building 1," says Brian Lepore of the Government Accountability Office.

Working for the financial watchdog arm of Congress, Lepore knows a lot about how the government spends its money. He has overseen about a dozen reports on the closures of military facilities, including Walter Reed.

Still, when he enters Building 1 and notes the architecture, he says, "There's no question about it: It's really quite fascinating."

We climb the granite stairs, open the heavy wooden doors, and head inside.

"I've never been in this building," Lepore says. "This is beautiful."

It is beautiful, with chandeliers and marble floors. But as a military hospital, it's also impractical.

With rows of brick buildings lining a wide, sloping lawn, the place has the feel of a college campus. There's also a large concrete hospital building, dating to the 1970s.

Lepore can only shake his head.

"You get to the point with some old buildings, where the cost to maintain them does become cost prohibitive," he says.

That's why it makes sense to start over with new construction. As Lepore says, "One of the key savings you achieve from a given recommendation is spending less to maintain a new building than an old one."

A big reason for closing Walter Reed is to make the hospital more efficient and save money. Shutting Walter Reed, and shifting it across town to Bethesda and other locations, will save $172 million each year.

But here's the problem. The cost to close Walter Reed and rebuild it elsewhere has gone up — a lot.

The original estimate of the cost from 2005, Lepore says, was "just under $900 million."

And today, he says, "It is now about $2.7 billion, so it's about tripled."

To learn how a base closure could triple in cost, I spoke with Todd Harrison, a defense analyst with the Center for Strategic and Budgetary Assessments.

We walked along Georgia Avenue, the main commercial road outside Walter Reed's main gate.

Asked whether someone made a mistake in the original estimate, or if this was simply a case of bad luck, Harrison says, "I think it's a combination of factors. Going back to 2005, when they made their initial estimates of what it would cost to move all the functions from here, they did their best estimate at the time. A lot of things have changed since then. Construction costs have gone up."

The GAO agrees that the Walter Reed project tripled in price mostly because of a rise in construction costs.

New medical facilities had to be built — everything from operating rooms to parking garages. The price tag skyrocketed back in 2005, when a huge amount of building materials went to the Gulf Coast in the wake of Hurricane Katrina.

It was simply supply and demand, says Vice Adm. John Mateczun, who oversees military medical facilities for the Washington region.

"The price of steel went up fairly dramatically, and that's at the time they had to buy steel," he says. "So there was a fairly high increase to those original estimates."

Those steep construction prices mean that the government won't start saving money any time soon from closing Walter Reed.

Remember, the savings each year were supposed to be about $172 million.

"Right now, we do not expect DOD to hit the payback period — that is, the period at which the full amount of the investment has been recouped, and you're achieving savings — until about 2018," says Brian Lepore.

In other words, seven years after the federal government was predicted to start saving money, in 2011.

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Transcript

MELISSA BLOCK, host: From NPR News, this is ALL THINGS CONSIDERED. I'm Melissa Block.

ROBERT SIEGEL, host: And I'm Robert Siegel.

This week, we're talking about the closure of a national landmark: Walter Reed Army Medical Center here in Washington, D.C.

UNIDENTIFIED MAN: Right face. Hospital dismissed.

(SOUNDBITE OF APPLAUSE)

SIEGEL: Hospital dismissed. This past weekend, the last patients at Walter Reed were moved to other facilities and the Army base is set to close later this month.

BLOCK: Over the next few days, we'll consider the legacy of Walter Reed and the future of military medicine. We start today, though, with a report about dollars and cents. When Walter Reed was slated for closure back in 1995, the goal was to improve care for the wounded and to save money.

NPR's Tom Bowman reports on whether shutting the base was a good deal for taxpayers.

(SOUNDBITE OF A FOUNTAIN AND FOOTSTEPS)

TOM BOWMAN: I decided to head into the original hospital building at Walter Reed - Building One, all brick with massive columns and an ornate fountain out front - with a man who knows a lot about how the government spends its money.

BRIAN LEPORE: You certainly get a sense of history from seeing Building One and seeing the architecture. There's no question about it. It's really quite fascinating.

BOWMAN: That's Brian Lepore of the Government Accountability Office, the financial watchdog arm of Congress. Lepore's overseen about a dozen reports on closing military facilities, including this one at Walter Reed.

(SOUNDBITE OF A DOOR)

BOWMAN: We climb the granite stairs, open the heavy wooden doors, and head inside.

LEPORE: I've never been in this building. This is beautiful.

BOWMAN: Nice chandeliers here and...

LEPORE: Yeah, it's beautiful.

BOWMAN: Beautiful but impractical. There are rows of brick buildings here. They line a wide, sloping lawn, giving this place the feel of a college campus. There's also a large concrete hospital building, dating to the 1970s.

Brian Lepore can only shake his head.

LEPORE: Well, you get to a point with some old buildings where the cost to maintain them does because cost-prohibitive.

BOWMAN: That's why it makes sense to start over with new construction.

LEPORE: One of the key savings you achieve from a given recommendation is spending less to maintain a new building than an old one.

BOWMAN: So a big reason for closing Walter Reed is to make the hospital more efficient and to save money. Shutting Walter Reed and shifting it across town to Bethesda and other locations will save $172 million each year.

But here's a problem - the cost to close Walter Reed and rebuild it elsewhere has gone up a lot. Here's the original estimate from 2005.

LEPORE: Just under $900 million.

BOWMAN: And how much is it today?

LEPORE: It is now about 2.7 billion, so it's about tripled.

BOWMAN: Tripled in cost. How did that happen? I put that question to Todd Harrison. He's a defense analyst with the Center for Strategic and Budgetary Assessments. We walked along Georgia Avenue, the main commercial road outside the gate of Walter Reed.

Did someone mess up here or is that just bad luck?

TODD HARRISON: Well, I think it's a combination of factors, you know, that going back in 2005, when they made their initial estimates - of what it would cost to move all the functions from here - you know, they did their best estimates at the time. A lot of things have changed since then. Construction costs have gone up.

BOWMAN: The GAO agreed. The Walter Reed project tripled in price mostly because of that rise in construction costs. New medical facilities had to be built, everything from operating rooms to parking garages. The price tag skyrocketed back in 2005 because building materials were all heading to the Gulf Coast in the wake of Hurricane Katrina.

It was simply supply and demand, says Vice Admiral John Mateczun. He oversees military medical facilities for the Washington region.

Vice Admiral JOHN MATECZUN: So, steel - the price of steel went up fairly dramatically, and that's at the time they had to buy steel. So there was a fairly large cost increase to those original estimates.

BOWMAN: And those steep prices for construction means the government won't start saving money anytime soon from closing Walter Reed. Remember, the savings each year were supposed to be about $172 million.

Again, Brian Lepore.

LEPORE: Right now, we do not expect DOD to hit the payback period. That is the period at which the full amount of the investment has been recouped, and you're now actually achieving savings until about 2018.

BOWMAN: Two thousand eighteen. The federal government was supposed to start saving money this year. Transcript provided by NPR, Copyright NPR.