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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  at 1:13 PM | Permalink

Comments

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.

Stewart | June 16, 2008 6:51 PM link

This is becoming an all to familiar story... smaller community hospitals on the brink of receivership. Hospital budgets are not wells springing unending foutains of cash. What is killing these facilities is that they have to provide services regardless of the patient's ability to pay. Emergency triage and care...ok but, using ER's as primary care providers must stop, or else all hospitals like Landmark will disappear from the landscape forever.

Kim C | June 16, 2008 8:03 PM link

Landmark has been particularly ill managed by its incumbent executives. Their disastrous decision to waste money on a flashy heart program there was no need for, at the expense of a surgery program that was making them money and winning renown, was virtually criminal. And the heart program chief (who also became chief of the surgery department, short-circuiting hospital by-laws and procedures) will continue to be paid for years, even if the hospital goes under! The Landmark CEO and CFO should be investigated, not allowed to circumbent the Law.

Summer Romance | June 16, 2008 8:19 PM link

Stewart
The AG is trying to protect the donors to Landmark Hospital. Although the hospital is in a net negative financial position it still owns millions of dollars in assest donated through charity. If another hospital takes Landmark over it could, unless adequately supervised, use Landmarks charitable assest for its own purposes ie: use the donations intended for the Woonsocket community to support new programs or buildings in another community.

Mark | June 16, 2008 11:41 PM link

This is nothing more than a sham buyout for Gary Gaube and his double dealing board. Gary and his board have failed Woonsocket and the employees of Landmark for the last ten years. The time to sell was ten years ago to another non-profit. Gary's salary over the last ten years almost equals the debt. Mismanagement should not equal a golden retirement for a failed team. Ask Gary if he's willing to forgo any benefit from the sale and you will see very quickly what the real interest in selling the hospital without a review is all about.

Sorry Gary not on our watch!

Northern RI | June 17, 2008 12:30 AM link

Prior to making a decision about this, shouldn't someone ask Memorial Hospital what their intention is? Keep the hospital as it is, with programs intact? Close their cancer program? Shut down cardiac? Chop the hospital into half of itself? Who will run the hospital? This bum's rush needs to have full disclosure or you could sell the hospital and basically lose the services anyway? If I were on the board of Memorial I would want to know why do I want to buy a big black hole to stuff my money down a drain? What is in it for Memorial? And I thought Memorial wasn't in great shape, eiher. Is that in Woonsocket/s interests? Receivership seems to be the best short term solution - bring in some people who know what they are doing and can try to turn it around. If something isn't working, then it's time for a change, not a jump down a road we know too little about - this is what got the hospital right where it is.

Dan | June 17, 2008 12:57 AM link

My intention is not to appear stupid but if Landmark has millions of dollars from charitable donations then these donations would be considered an asset; right? So why is Landmark in a negative debt asset position of $7.2 million. I agree with Stewart and I think Mark is wrong, Landmark cannot have millions of dollars in donations. However, one would think that this would be public information. Regardless the first priority should be to the employees of Landmark Medical Center; all of their jobs could be lost if something is not done to keep Landmark afloat. Every effort possible should be made to ensure 1,100 people do not lose their jobs.

Employee Supporter | June 17, 2008 7:22 AM link

What is the severance packages of the CEOs? How will we be assured that they will not be paid out? There are two, not one, making hundreds and hundreds of thousands of dollars - with probalby over a million buyout. This must not happen. Mismanagement continues to get rewarded - follow the MONEY - that's all tht this is about and no one is watching out for the interests of northern ri, certainly not the administrators who are responsible for this, and still spend money hiring fisher, a professional spokesperson - where's the money for that> can't they even manage to speak for themselves? how many have already been lost from what was once a fine hospital but stil is a necessary one protecting everyone north of providence and west of pawt - to what to circumvent? horrors - and shame on them and shame on any legislator who is dumb enough not to see what is going on. disclosure! now! investigate! now!

Joe | June 17, 2008 7:40 AM link

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