VA Real Property: VHA Should Improve Activation Cost Estimates and Oversight, Report to Congressional Requesters [open pdf - 5MB]
From the Highlights: "VHA [Veterans Health Administration] operates one of the nation's largest health care systems with more than 1,200 sites across the country; however, many facilities were built decades ago and do not align with the agency's current emphasis on outpatient and specialized care. Additionally, new or expanded facilities are needed to accommodate veterans returning from recent conflicts. VHA is constructing and leasing new facilities to respond to these needs. GAO [Government Accountability Office] was asked to review VHA's efforts to activate new major medical facilities. This report examines the extent to which VHA is able to compare the actual costs of activation against the estimated costs, among other objectives."
Government Accountability Office: https://www.gao.gov/