Committee subpoenas former Walter Reed chief. Air Force News

The letter said the Defense Department "systemically" tried to replace federal workers at Walter Reed with private companies for facilities management, patient care and guard duty – a process that began in 2000.

"But the push to privatize support services there accelerated under President Bush's 'competitive sourcing' initiative, which was launched in 2002," the letter states.

During the year between awarding the contract to IAP and when the company started, "skilled government workers apparently began leaving Walter Reed in droves," the letter states. "The memorandum also indicates that officials at the highest levels of Walter Reed and the U.S. Army Medical Command were informed about the dangers of privatization, but appeared to do little to prevent them."

The memo signed by Garibaldi requests more federal employees because the hospital mission had grown "significantly" during the wars in Iraq and Afghanistan. It states that medical command did not concur with their request for more people.

"Without favorable consideration of these requests," Garibaldi wrote, "[Walter Reed Army Medical Center] Base Operations and patient care services are at risk of mission failure."

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