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June 16, 2008
Troubled Landmark wants Assembly to lift rigid review
Landmark Medical Center says it’s on the brink of financial collapse and will close by the end of this year unless it merges with another hospital. The hospital is asking the General Assembly to allow it make a quick deal by exempting it from the intense scrutiny that such mergers normally require.
The Woonsocket hospital has had longstanding financial problems. Now its debts exceed its assets by $7.2 million, spokesman Bill Fischer said this morning. Landmark has been trying for a number of years to find another hospital to acquire it, and is in discussions with Memorial Hospital of Rhode Island, in Pawtucket.
But if Landmark and Memorial were to attempt to merge, under current law they would have to undergo a lengthy review by the state Department of Health and the attorney general, a process sure to take at least a year. Landmark can’t survive that long, Fischer said.
Legislation filed last week would exempt any hospital that is in a “negative net asset position” from the terms of the Hospitals Conversion Act, the law governing hospital mergers. Instead, such a hospital be would subject to the far less rigorous review that occurs when any health care entity changes hands.
Dr. David R. Gifford, director of health, said that the bill as written could have unintended consequences and that there are other options for Landmark, including receivership. The Health Department will probably recommend changes to the bill when it comes before the House Corporations Committee tomorrow afternoon, Gifford said.
The legislature will have to work quickly, however, because it plans to adjourn at the end of this week. Fischer said that it was merely “a confluence of events” that led to this legislation being filed in the last days of the session.
-- Journal medical writer Felice J. Freyer
In a response to the request, Attorney General Patrick Lynch issued a statement today saying that although he would like to preserve "Landmark as a viable presence and employer, in Northern Rhode Island," he opposed the "fast-track" merger approval.
"Therefore, although I’m firmly committed to saving Landmark Medical Center, I’m committed to doing so in a way that’s consistent with state law," Lynch said in the statement, "that protects the charitable assets that are the very foundation of Landmark, and that doesn’t have unintended consequences that may, in the long run, prove harmful to the very people and health-care services we’re trying to safeguard.”
Lynch said he doubted that Landmark would be able to "preserve itself" after being absorbed by Memorial. He also expressed concerns about proper expenditure of Landmark's charitable donations in the event of a "fast-track" approval.
Posted by Mike McKinney
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So let me see if I got this right....Landmark Medical Center is located in poverty stricken Woonsocket, it provides millions of dollars a year in charity care, and is facing a financial crisis. But the Attorney General is concerned about the expenditure of Landmark's charitable donations. Who the hell does he think is giving the hospital donations? If the hospital has all these huge charitable donations, they wouldn't be facing a financial crisis. I have four words for the AG....DON'T LET LANDMARK CLOSE.