I haven't heard an update in a few months, but there may be 5xx beds or whatever works out monetarily. In general Penn Medicine fashion, the "core + shell" is one thing and what they then fill in is another. So if everything works out based on all sorts of calculations and projections that say 583 beds is the number, then that may mean say 15 floors but they may still construct say 20 floors to build "in" the remaining floors later.
They want the rooms to be convenient for change later as patient care evolves so that the floors don't have to be shut down years from now for more specialized care. While that is great planning, it will add significant cost per floor that is build "in".
Licensed beds are not really a concern, it's more of a license/tax fee thing than meant to block or govern growth. As several have pointed out most of the rooms will be to replace older two-patient rooms. Then those older rooms can be renovated, converted to offices, given to the university, whatever as needed. When I do presentations for work, I have to check each time what each hospitals "bed count" is because it changes quite often. In the presentations it is more of a brag right (for our size) than anything else.
By the time the money and need was on hand to in-fill/build-out more floors, the license bed fees would be the least of the concern (cost and time wise).
Capacity of patients is not a simple license bed count, it's also a function of how quickly you can get patients out of the beds, how long you keep them in the operative/post-operative areas, how quickly you can clean a room, and so on. You can always put a patient on a cot in a hall if you had to LOL.
Cheers,
G.
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"I don't need the city, it never cared for me." - Neuroticfish.
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