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SERVING PHOENIX METRO AREA: 800-733-1818 Used Bariatric Beds 1/2 OFF Regular Price Artist rendering showing the ground view of Children's Hospital of San Antonio. Artist rendering showing the a aerial view of Children's Hospital of San Antonio. Artist rendering showing the a patient room of Children's Hospital of San Antonio. In a bold and unexpected move, the Christus Santa Rosa Health System announced Friday it would immediately launch a $135 million transformation of its downtown campus into a top-level, independent children's hospital to be completed in two years. The new 800,000-square-foot, 275-bed, separately licensed facility would be renamed Children's Hospital of San Antonio, with construction to begin in October, said Christus Santa Rosa President Patrick Carrier. The announcement came six weeks after the University Health System broke off talks with Christus aimed at jointly building a new children's hospital, and two days after a separate plan surfaced involving Vanguard Health Systems, the parent company of the Baptist Health System here, and Children's Hospital of Philadelphia — one of the premier children's hospitals in the nation.
“This process has gone very fast for us because until just six weeks ago, we were in discussions with the University Health System in the hopes of developing a partnership to develop a freestanding hospital with them,” Carrier said. “We began immediately at that time to look for alternatives for a children's hospital because we felt it was so vital — not only to the community but to our own Christus Santa Rosa mission.” The decision isn't without risk. The new hospital would include and expand on high-level children's specialty care already provided by the existing Christus Santa Rosa Children's Hospital downtown, such as heart surgery, organ transplants, cancer care and more. Much of that care is provided by faculty of the University of Texas Health Science Center, and its president, Dr. William Henrich, on Friday was firm that a decision won't be made on which proposal he'll support until all are on the table — whether Christus has started construction or not.
Vanguard and the Philadelphia hospital promised a fleshed-out proposal would be presented to the health science center and the University Health System within 60 days. “I want the best thing for San Antonio,” Henrich said. “I want something that's durable and will compete on the world stage for the very best children's subspecialists, the very best children's care. I'm not going to let these opportunities pass without doing my dead-level best to bring it to reality.” Carrier acknowledged that health science center participation would be critical to the new hospital's success. But he stressed the logic of his project. “I would point out with this decision there is no land to be acquired, there are no further approvals to be gotten, and ... it will require no taxpayer support to accomplish,” Carrier said. Bexar County Judge Nelson Wolff said he didn't think that the Vanguard-Philadelphia plan would require tax funds either, even if the tax-supported University System were involved, but praised Christus for taking the step.
“I'm pleased they're moving forward. It's putting pressure on everybody else.” The plan would move adult services provided at Christus Santa Rosa's adult hospital downtown to other Christus facilities. Carrier said his staff also wanted to make sure that adults living near downtown weren't left in the cold. “There are other adult hospitals within one mile of this campus, approximately 1,100 beds, and by state statistics only 47 percent occupied.” However, the hospital's obstetrical services would be kept and upgraded to specialize in high-risk deliveries, said children's hospital administrator Marcy Doderer. A Santa Rosa hospital has been operating in the downtown area since 1869. A children's hospital, physically linked but separately licensed and operated, opened its doors in 1959. Two decades ago, Santa Rosa and Methodist Hospital proposed building a new, jointly run children's hospital in the South Texas Medical Center. University and the Baptist system declined to join the effort.
But bitter opposition arose among downtown doctors and community leaders who wanted the new hospital built downtown. Santa Rosa and Methodist, arguing it wasn't financially feasible, gave up and reinvested in pediatric services in their own facilities. Dr. Fernando Guerra, former director of the Metropolitan Health District and a veteran of that early battle, said the community owes a debt to the Christus leadership and its financial supporters, “who after all of these years, and the dynamics of the competing and political interests, are willing to move this major effort forward.” A few years ago, Christus Santa Rosa Children's surrendered its independent license and merged operations with the adult hospital. Meanwhile, the health science center's pediatrics leadership complained the aging hospital left them unable to compete for top subspecialists over more modern children's hospitals that seemed to be springing up everywhere. That eventually led to the talks between Christus and the University System.
Carrier said Medicaid reimbursement rules have changed, 75 percent of children treated at Christus Santa Rosa Children's are covered by Medicaid, and a separately licensed children's hospital now makes sense. Medicaid pays a higher rate to licensed, stand-alone children's hospitals. Carrier said he was still open to working with the University System, and speculated the new plan might bring them back to the table. Leni Kirkman, spokeswoman for the University System, didn't rule it out, but said the new plan left open a lot of questions. “It's a building,” Kirkman said, referring to the Christus plan. “If building comprehensive, coordinated, nonfragmented pediatric care was about building a building, we would have done that two years ago. It's about building partnerships across academic and private-care physicians. It's really a lot about outpatient care, because 97 percent of what we do is in an outpatient environment.” And in a written statement, Trip Pilgrim, senior vice president of Vanguard, defended their competing plan as “visionary.”