Penn Health System to buy Graduate
Graduate Hospital will become a rehabilitation and  long-term acute-care 
facility. Penn will run it in a venture with Good Shepherd  Rehabilitation 
Network.
By Josh Goldstein
Inquirer Staff Writer
 




The University of Pennsylvania Health System announced yesterday that it  
would buy Graduate Hospital and convert it into a rehabilitation and long-term  
acute-care facility. 
Penn officials said the deal would free about 40 acute-care beds at its other 
 hospitals and expand research and training programs in rehabilitation  
medicine. 
"This will expand our ability to offer the finest rehabilitative care to a  
greater number of patients," said Ralph W. Muller, chief executive officer of  
the Penn system. 
The sale is expected to be completed March 30. Financial terms were not  
disclosed. 
Once the sale is concluded, Graduate will be run by a joint venture between  
Penn and the Good Shepherd Rehabilitation Network, of Allentown. The two will  
spend 15 months and $35 million to install 58 rehabilitation beds and 38  
long-term care beds at the hospital. 
Graduate would then reopen in July 2008. 
The conversion should let Penn use about 20 beds each at the Hospital of the  
University of Pennsylvania and Pennsylvania Hospital for patients who require 
 more intense care. 
"HUP is 100 percent full Monday through Friday these days," Muller said, "so  
this allows us to free up some acute-care beds." 
Penn will own the buildings, but will have only a 30 percent share of the  
joint venture with Good Shepherd. Both are nonprofit organizations. 
Graduate's current owner, the for-profit Tenet Healthcare Corp., of Dallas,  
said it would wind down operations at the hospital at 18th and Lombard Streets 
 over the next two months. 
Despite interest from several parties, Tenet spokesman Steven Campanini said  
none of those bidders wanted to maintain Graduate as an acute-care hospital. 
Though licensed for 240 beds, Graduate fills only about a quarter of them a  
day. 
Muller said it was important to Penn to maintain the Center City hospital as  
a health-care facility. He said that in conjunction with nearby Pennsylvania  
Hospital, the investment in Graduate should further spur economic development 
in  the area. 
But Alan D. Haber, a pulmonologist and president of the hospital's medical  
staff, lamented Graduate's demotion from a full-service hospital to one that  
will focus on rehab and caring for patients who are on ventilators and have  
other long-term medical needs. 
"Losing Graduate as an acute-care hospital is a big loss for the community,"  
he said. Patients have always had the choice to go to other hospitals, he 
said,  but many remained loyal to Graduate even after it fell on hard times 
after 
its  acquisition by the now-bankrupt Allegheny health system in 1996. 
"This is a venerable institution with a rich legacy of patient care and  
physician education," Haber said. "I think it deserves better than what is 
going  
to happen." 
The hospital will remain open until the sale is completed March 30, but new  
admissions will stop by the end of February. 
At that time, a temporary urgent-care center will open in place of the  
emergency room. Campanini said these were all steps to prepare the hospital for 
 
the transition from acute care. 
While the Philadelphia area has several prominent rehabilitation hospitals,  
local experts say they do not expect another to increase competition among the 
 region's hospital networks. 
"I don't see any aspect of this deal that doesn't make sense," said Alan M.  
Zuckerman, president of Health Strategies & Solutions Inc., of  Philadelphia. 
Tenet acquired Graduate along with seven other local hospitals from Allegheny 
 in November 1998. 
Yesterday, Graduate employees received an open letter from hospital chief  
executive Brian Finestein informing them they would have opportunities to  
transfer to other Tenet hospitals or apply for jobs in the Penn health  system. 
"Job fairs, employment counseling and appropriate severance will be provided  
by Tenet to those employees who do not receive offers of comparable 
employment,"  he wrote. 
That is small solace to Henry Nicholas, president of the union that  
represents about 200 of Graduate's 400 employees. 
"They don't intend to reopen with any of the former employees," Nicholas  
said. "It means that we lose about 400 jobs in South Philly, which is a big  
loss. Job fairs don't fill that capacity." 
Good Shepherd Penn Partners, the new venture, should employ about 450 people  
by its second year, said Sally Gammon, president of the Good Shepherd  
Rehabilitation network.

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