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[post_content] => PETERBOROUGH — After state budget cuts, Monadnock Community Hospital is faring better than other regional hospitals — staying out of the red and also planning for future development.
The state cutbacks in Medicaid reimbursements that have adversely affected hospitals such as Cheshire Medical Center/Dartmouth-Hitchcock Keene have also hurt the Peterborough hospital, although not to the same extent, according to CEO Peter L. Gosline.
“We aren’t ending our year in a deficit, and we haven’t budgeted one for 2012,” Gosline said. “However, we are just above breaking even, and that’s not sustainable in the long term.”
A healthy nonprofit hospital should be making 3 to 4 percent above the break-even mark to sustain itself; the small profits would be used to make repairs and improvements, and replace old equipment, Gosline said.
“It’s been a difficult year, and we’ve had to make sacrifices to stay marginally in the black,” he said. “There were no raises this year. We’re looking at ways to be more efficient with our time and with our supplies. We’ve also been putting off some purchases. These times call for us to be very frugal.”
Gosline said the hospital has not needed to lay off any employees, and there are no plans to do so in the future.
“It’s a delicate balance, because if the state increases cutbacks, or we lose money from Medicare at the federal level, we would have to do more belt-tightening — and I don’t know what that would mean yet,” he said.
Yet, Gosline said the hospital is still making long-term plans for growth in the future.
During the summer, the hospital purchased an adjacent 13-acre lot. The $500,000 parcel was bought with funds given to the hospital by a local family who wanted to see the hospital invest in long-term projects, Gosline said.
“It was a strategically located property that would provide us with the chance to develop business in the future and allow us to meet the constantly growing and changing needs of the community,” Gosline said.
While no solid plans are in the works yet, Gosline said he hopes one day the property could be used for a long-term residential care and assisted living community.
“Peterborough already has two such communities, but they are geared towards a more affluent clientele,” Gosline said. “This would be geared more toward the middle class, and would be on the hospital campus, so residents would have very easy access to facilities for their medical appointments.”
The hospital recently completed two major renovation projects, totaling $22 million. The emergency room was renovated earlier this year, and this fall, the operating rooms were expanded.
Any new project is still several years off, because planning, obtaining approvals and financial backing would take at least a year, and construction would take more time, Gosline said.
“Right now, the economy just isn’t good, and because of that, there just isn’t a lot of opportunity to do that right now,” Gosline said. “But it’s important that we keep thinking ahead and planning, because this decline won’t last forever.”
Story published by Christina Braccio at the Keene Sentinel on Friday November 18th.
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[post_content] => On Monday, 7/25, 10 hospitals across the state announced their decision to sue the state of New Hampshire over cuts in Medicaid reimbursement. The hospitals report the budget passed by lawmakers in Concord will wreck havoc on the health care infrastructure and safety net in New Hampshire.
"The state has eliminated payments to hospitals that have, for decades, helped people in need of health care services," said Doug Dean, president and CEO of Elliot Health System. "We are outraged, and we believe that the conduct by the state is unlawful and disregards the extraordinary needs of these people. The impact is enormous, with Elliot receiving $17 million less in the first year from the state," Dean said.
Catholic Medical Center is reporting a loss of $12 million this year.
James Putnam, Chairman of the Cheshire Medical Center Board of Trustees, said “With passage of its new budget, the state has directly impaired the ability of the hospital to provide access to quality health care for all patients. In addition, important inpatient services may need to be eliminated in order to maintain core services for our community.”
Wayne Granquist, chairman of Dartmouth-Hitchcock’s board of trustees, said in a statement that the budget “fundamentally threatens not only Dartmouth-Hitchcock, but the people throughout the region who rely on us for their health and well being.”
“As a small critical access hospital in New Hampshire, we rely on the support of the larger hospitals for a number of essential services, such as availability of on-call physicians’ services, immediate access to specialists, and a variety of shared services that benefit the people of the Monadnock region. We strongly support the larger hospitals in their efforts to go forward with the litigation. The current budget puts at risk the most vulnerable people across the state and in our local communities, in particular those who have Medicaid coverage. It is also bad for business since it will undoubtedly lead to increased insurance premiums.” notes President and CEO, Peter Gosline.
“Monadnock, along with 11 other Critical Access hospitals in New Hampshire, have chosen not to join this suit at this time,” reports Gosline. “We understand and fully support the hospitals who have joined. Although the budget that was passed provides for the funding of disproportionate share payments to the small, critical access hospitals including MCH, we will not know until later this year whether the State will actually return those disputed funds. We strongly suspect that the budget contains revenue over-estimations –and there are competing priorities for that revenue. Consequently, our portion of these funds, totaling $3.5 million annually, are at considerable risk. At this point, we have no choice but to prepare our upcoming annual budgets assuming we will not receive them. We are concerned their loss will impact the scope of health services in our region and across the state,” reports Gosline.
Hospitals listed as plaintiffs in the lawsuit include:
Dartmouth-Hitchcock Medical Center
Wentworth-Douglas Hospital
Exeter Hospital
Southern New Hampshire Health System
St. Joseph Hospital
Cheshire Medical Center
Frisbie Memorial Hospital
Lakes Region General Hospital
Monadnock Community Hospital is a 25-bed Critical Access Hospital offering medical, surgical and Intensive Care; Obstetrics; Pediatrics; and Mental Health services. In addition, a wide variety of outpatient services are available, including Pulmonary, Cardiac and Physical Rehabilitation; 24-hour Emergency Care; a fully equipped laboratory; and an extensive Radiology department. MCH is blessed with strong leadership and a dedicated medical community that allows us to meet the ever-changing requirements of today's healthcare environment. As that environment changes, MCH is also committed
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[post_content] => PETERBOROUGH — After state budget cuts, Monadnock Community Hospital is faring better than other regional hospitals — staying out of the red and also planning for future development.
The state cutbacks in Medicaid reimbursements that have adversely affected hospitals such as Cheshire Medical Center/Dartmouth-Hitchcock Keene have also hurt the Peterborough hospital, although not to the same extent, according to CEO Peter L. Gosline.
“We aren’t ending our year in a deficit, and we haven’t budgeted one for 2012,” Gosline said. “However, we are just above breaking even, and that’s not sustainable in the long term.”
A healthy nonprofit hospital should be making 3 to 4 percent above the break-even mark to sustain itself; the small profits would be used to make repairs and improvements, and replace old equipment, Gosline said.
“It’s been a difficult year, and we’ve had to make sacrifices to stay marginally in the black,” he said. “There were no raises this year. We’re looking at ways to be more efficient with our time and with our supplies. We’ve also been putting off some purchases. These times call for us to be very frugal.”
Gosline said the hospital has not needed to lay off any employees, and there are no plans to do so in the future.
“It’s a delicate balance, because if the state increases cutbacks, or we lose money from Medicare at the federal level, we would have to do more belt-tightening — and I don’t know what that would mean yet,” he said.
Yet, Gosline said the hospital is still making long-term plans for growth in the future.
During the summer, the hospital purchased an adjacent 13-acre lot. The $500,000 parcel was bought with funds given to the hospital by a local family who wanted to see the hospital invest in long-term projects, Gosline said.
“It was a strategically located property that would provide us with the chance to develop business in the future and allow us to meet the constantly growing and changing needs of the community,” Gosline said.
While no solid plans are in the works yet, Gosline said he hopes one day the property could be used for a long-term residential care and assisted living community.
“Peterborough already has two such communities, but they are geared towards a more affluent clientele,” Gosline said. “This would be geared more toward the middle class, and would be on the hospital campus, so residents would have very easy access to facilities for their medical appointments.”
The hospital recently completed two major renovation projects, totaling $22 million. The emergency room was renovated earlier this year, and this fall, the operating rooms were expanded.
Any new project is still several years off, because planning, obtaining approvals and financial backing would take at least a year, and construction would take more time, Gosline said.
“Right now, the economy just isn’t good, and because of that, there just isn’t a lot of opportunity to do that right now,” Gosline said. “But it’s important that we keep thinking ahead and planning, because this decline won’t last forever.”
Story published by Christina Braccio at the Keene Sentinel on Friday November 18th.
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[post_content] => On Monday, 7/25, 10 hospitals across the state announced their decision to sue the state of New Hampshire over cuts in Medicaid reimbursement. The hospitals report the budget passed by lawmakers in Concord will wreck havoc on the health care infrastructure and safety net in New Hampshire.
"The state has eliminated payments to hospitals that have, for decades, helped people in need of health care services," said Doug Dean, president and CEO of Elliot Health System. "We are outraged, and we believe that the conduct by the state is unlawful and disregards the extraordinary needs of these people. The impact is enormous, with Elliot receiving $17 million less in the first year from the state," Dean said.
Catholic Medical Center is reporting a loss of $12 million this year.
James Putnam, Chairman of the Cheshire Medical Center Board of Trustees, said “With passage of its new budget, the state has directly impaired the ability of the hospital to provide access to quality health care for all patients. In addition, important inpatient services may need to be eliminated in order to maintain core services for our community.”
Wayne Granquist, chairman of Dartmouth-Hitchcock’s board of trustees, said in a statement that the budget “fundamentally threatens not only Dartmouth-Hitchcock, but the people throughout the region who rely on us for their health and well being.”
“As a small critical access hospital in New Hampshire, we rely on the support of the larger hospitals for a number of essential services, such as availability of on-call physicians’ services, immediate access to specialists, and a variety of shared services that benefit the people of the Monadnock region. We strongly support the larger hospitals in their efforts to go forward with the litigation. The current budget puts at risk the most vulnerable people across the state and in our local communities, in particular those who have Medicaid coverage. It is also bad for business since it will undoubtedly lead to increased insurance premiums.” notes President and CEO, Peter Gosline.
“Monadnock, along with 11 other Critical Access hospitals in New Hampshire, have chosen not to join this suit at this time,” reports Gosline. “We understand and fully support the hospitals who have joined. Although the budget that was passed provides for the funding of disproportionate share payments to the small, critical access hospitals including MCH, we will not know until later this year whether the State will actually return those disputed funds. We strongly suspect that the budget contains revenue over-estimations –and there are competing priorities for that revenue. Consequently, our portion of these funds, totaling $3.5 million annually, are at considerable risk. At this point, we have no choice but to prepare our upcoming annual budgets assuming we will not receive them. We are concerned their loss will impact the scope of health services in our region and across the state,” reports Gosline.
Hospitals listed as plaintiffs in the lawsuit include:
Dartmouth-Hitchcock Medical Center
Wentworth-Douglas Hospital
Exeter Hospital
Southern New Hampshire Health System
St. Joseph Hospital
Cheshire Medical Center
Frisbie Memorial Hospital
Lakes Region General Hospital
Monadnock Community Hospital is a 25-bed Critical Access Hospital offering medical, surgical and Intensive Care; Obstetrics; Pediatrics; and Mental Health services. In addition, a wide variety of outpatient services are available, including Pulmonary, Cardiac and Physical Rehabilitation; 24-hour Emergency Care; a fully equipped laboratory; and an extensive Radiology department. MCH is blessed with strong leadership and a dedicated medical community that allows us to meet the ever-changing requirements of today's healthcare environment. As that environment changes, MCH is also committed
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On Monday, 7/25, 10 hospitals across the state announced their decision to sue the state of New Hampshire over cuts in Medicaid reimbursement. The hospitals report the budget passed by lawmakers in Concord will wreck havoc on the health care infrastructure and safety net in New Hampshire.
"The state has eliminated payments to hospitals that have, for decades, helped people in need of health care services," said Doug Dean, president and CEO of Elliot Health System. "We are outraged, and we believe that the conduct by the state is unlawful and disregards the extraordinary needs of these people. The impact is enormous, with Elliot receiving $17 million less in the first year from the state," Dean said.
On Monday, 7/25, 10 hospitals across the state announced their decision to sue the state of New Hampshire over cuts in Medicaid reimbursement. The hospitals report the budget passed by lawmakers in Concord will wreck havoc on the health care infrastructure and safety net in New Hampshire.
"The state has eliminated payments to hospitals that have, for decades, helped people in need of health care services," said Doug Dean, president and CEO of Elliot Health System. "We are outraged, and we believe that the conduct by the state is unlawful and disregards the extraordinary needs of these people. The impact is enormous, with Elliot receiving $17 million less in the first year from the state," Dean said.