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Old 10-20-2020, 05:43 AM   #1
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https://www.laconiadailysun.com/news...80c707a0d.html
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Old 10-20-2020, 06:00 AM   #2
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This is actually good news. With Concord Hospital hopefully taking over services should be maintained and least and possibly an increase in serviced.


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Old 10-20-2020, 08:43 AM   #3
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This is actually good news. With Concord Hospital hopefully taking over services should be maintained and least and possibly an increase in serviced.


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We can hope. Top management change is required to make this work.


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Old 10-20-2020, 08:55 AM   #4
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Concord Hospital is a fine hospital, well-staffed with a wide array of doctors supported by very competent and friendly professionals.

I was a patient for a (fortunately) brief time, and the experience was very pleasant (if you can think of surgery as pleasant).

Concord Hospital also appears to have a stable financial position backed up by a very well organized charitable support system.

I think the presence of Concord Hospital can only help the health care of the greater Laconia area.
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Old 10-20-2020, 08:58 AM   #5
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they need to get off the coat tails of government funded programs and governement insurance. That is where they went wrong
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Old 10-20-2020, 09:48 AM   #6
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they need to get off the coat tails of government funded programs and governement insurance. That is where they went wrong
Always popular to trash government programs, but the largest ones are Medicare/Medicaid and VA insurance. If you know of a way for a hospital to succeed without Medicare/Medicaid, or for a third(?) of the year-round Lakes Region residents to get healthcare without government help, please share.

Our community should be grateful to both Concord Hospital and the feds on this. There's no way we'd have a continuing hospital without both.
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Old 10-20-2020, 10:05 AM   #7
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Always popular to trash government programs, but the largest ones are Medicare/Medicaid and VA insurance. If you know of a way for a hospital to succeed without Medicare/Medicaid, or for a third(?) of the year-round Lakes Region residents to get healthcare without government help, please share.

Our community should be grateful to both Concord Hospital and the feds on this. There's no way we'd have a continuing hospital without both.
Not trashing government programs, so please don't assume that, what I am saying is their budgeting as was shared, and focused on was one that was dependent on government programs
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Old 10-20-2020, 10:06 AM   #8
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I am in favor of any improvement to medical care in the lakes region. As a senior, it’s been more than a little disquieting to experience serious gaps in the medical systems up here. Huggins used to have a sketchy reputation, and now they’re getting positive reviews. Hopefully, Concord Hospital will be just what is needed in the area. In the middle of a serious pandemic, it was scary to hear the news that my primary physician had been furloughed.
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Old 10-20-2020, 10:27 AM   #9
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I am in favor of any improvement to medical care in the lakes region. As a senior, it’s been more than a little disquieting to experience serious gaps in the medical systems up here. Huggins used to have a sketchy reputation, and now they’re getting positive reviews. Hopefully, Concord Hospital will be just what is needed in the area. In the middle of a serious pandemic, it was scary to hear the news that my primary physician had been furloughed.
Furloughed by who? LGRH said there would be no layoffs?


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Old 10-20-2020, 11:18 AM   #10
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they need to get off the coat tails of government funded programs and governement insurance. That is where they went wrong
Also a severe case of over building by the past regime .
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Old 10-20-2020, 12:55 PM   #11
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For anyone interested in following the various filings in the Chapter 11 case involving LRGH, see

https://dm.epiq11.com/case/lrghealthcare/dockets

There are a lot of routine filings, but some interesting stuff, especially regarding the Stalking Horse bidder, Concord Hospital and financial information.

The link is for the Bankruptcy Claims Agent, not the Bankruptcy Court, so you do not need to sign in to view it or pay fees to download.
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Old 10-20-2020, 01:32 PM   #12
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the difficulty of government programs is they don't pay what private insurance would. I am on Medicare and see what gets reimbursed vs billed. the biggest problem is Medicaid and its reimbursement. My daughter has an urgent care facility in Atlanta area and she gets reimbursed about 50% for a Medicaid patent vs private insurance( cost of providing care is the same). i have heard this was a problem in Laconia. they need a balance to survive
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Old 10-20-2020, 01:54 PM   #13
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they need to get off the coat tails of government funded programs and governement insurance. That is where they went wrong
Falling off the deep end of some sort of government hysteria.

"Last year, LRGH paid about $5 million just on interest on debt. Its total liabilities are $175.6 million." LINK

"The Hospital was founded in 1893 with a $6,174.31 bequeath from Rhoda Ladd's estate. Recognizing the need for a hospital facility, the town of Laconia raised the additional funding needed, and opended the Cottage Hospital on Court Street. The goal was to provide quality care for those in need, regardless of their ability to pay." LINK

One should view the Board of Trustees past and present for making such poor spending decisions, poor hiring practices, poor building decisions, etc. LINK

Dr. Nadeau.
"In 1961, Thomas and Charlotte moved to the Lakes Region of New Hampshire where he started private practice at the Laconia Clinic. Two years later, he completed construction of the Inter-Lakes Medical Center in Meredith and began his family practice. Working alongside his wife, Inter-Lakes provided care for the regionís residents for more than 35 years. LINK

Dr. Nadeau used a modern brick building in Meredith.
Lakes Region General Hospital in is lacking financial wisdom - tore down the modern brick building and constructed a Ritz-Carlton new medical building - wait for it . . . borrowing money -adding to the debt of LRGH.

Nothing to do with the govment. A lot to do with local people on the Board of Trustees making poor financial decisions.

Nothing to do with the government.
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Old 10-20-2020, 02:00 PM   #14
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they need to get off the coat tails of government funded programs and governement insurance. That is where they went wrong
In another thread, there is lengthy discussion about Section 8 Housing in Laconia. Does that impact LRGH?
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Old 10-20-2020, 02:36 PM   #15
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Nh business journal says high debt/ low reimbursement due to Medicare/ Medicaid but have no fear HUD backs the debt so government will bail out the banks. Remember in Bankruptcy judge will allow other bidders but not sure anyone else will bid. Concord will get it without the debt
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Old 10-20-2020, 04:35 PM   #16
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Quote:
Originally Posted by TheProfessor View Post
Falling off the deep end of some sort of government hysteria.

"Last year, LRGH paid about $5 million just on interest on debt. Its total liabilities are $175.6 million." LINK

"The Hospital was founded in 1893 with a $6,174.31 bequeath from Rhoda Ladd's estate. Recognizing the need for a hospital facility, the town of Laconia raised the additional funding needed, and opended the Cottage Hospital on Court Street. The goal was to provide quality care for those in need, regardless of their ability to pay." LINK

One should view the Board of Trustees past and present for making such poor spending decisions, poor hiring practices, poor building decisions, etc. LINK

Dr. Nadeau.

"In 1961, Thomas and Charlotte moved to the Lakes Region of New Hampshire where he started private practice at the Laconia Clinic. Two years later, he completed construction of the Inter-Lakes Medical Center in Meredith and began his family practice. Working alongside his wife, Inter-Lakes provided care for the region’s residents for more than 35 years. LINK

Dr. Nadeau used a modern brick building in Meredith.

Lakes Region General Hospital in is lacking financial wisdom - tore down the modern brick building and constructed a Ritz-Carlton new medical building - wait for it . . . borrowing money -adding to the debt of LRGH.

Nothing to do with the government. A lot to do with local people on the Board of Trustees making poor financial decisions.

Nothing to do with the government.
Over building is one of the problems the other is the patients they prioritize over others. Drugs and troubled families over maternity and general elderly health.


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Old 10-20-2020, 05:00 PM   #17
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Concord will get it without the debt
Yes--this is key. If Concord gets it without the debt, they only have to worry about the intrinsic profitability going forward. Plus, they can probaly cut overhead and admin costs by combining with their existing operations. A bummer for folks who work in those departments, but at least the core of the hospital will be saved
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Old 10-20-2020, 06:51 PM   #18
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Why should We, The People have to "eat" this loss?

The hospital administrators who caused this mess should have some accountability, seems to me.
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Old 10-21-2020, 04:37 AM   #19
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Why should We, The People have to "eat" this loss?

The hospital administrators who caused this mess should have some accountability, seems to me.
Responsibility perhaps but accountability is doubtful. They made bad business decisions and that is unfortunate but not punishable in any way. Concord seems to have a better view as the the real direction of healthcare and how finances should be managed.

This seems to be a key point, "decisions by prior management to make significant investments in inpatient services and facilities at a time when patient demographics and medical trends indicated more reliance on outpatient services and decreased hospital use,". It's not that people are getting less care, it is that less of it is delivered in a hospital setting. This has actually been a long term trend. Hospital care is simply very expensive and the medical system has been working for decades to reduce length of stay and even whether to stay in a hospital. Instead, you get dedicated surgical centers and regional treatment options that deliver care more conveniently and economically.

The LRGH administration seems to have been too focused on "the hospital" instead of a more broadly defined system of care delivery. Their current name LRGHealthcare reflects that reality but their business plan did not.

Concord seems to understand that better and has a campus of delivery systems and satellite offices. It's not clear what that bodes for the "hospital" portion of LRGH but health services should be more financially stable and hopefully more robust.
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Old 10-21-2020, 07:26 AM   #20
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We have been here for 22 years. For the first 21 years LRGH, Laconia Clinic and Laconia Internal Medicine served us well. A year ago this month was the beginning of several serious issues for us with all three. This January we both started the process of arranging for new primary care providers at Concord Hospital Internal Medicine. That process is complete and we are happy with the new situation. Better to have very good care 45 min away than poor care 15 min away.

We are hopeful that Concord Hospital takes over LRGH and restores good care in Laconia.

Alan
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Old 10-21-2020, 08:38 AM   #21
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..... A 2:55-minute video message ... www.lrgh.org/coronavirus/ .... from LRGHealthcare, serving the community to good health for YOU!


LRGH may be a wee bit down, but is definitely not out, and will soon be back, BIG-TIME, with this bankruptcy buy-out by Concord Hospital! ...

Approximately 24-months ago, LRGH closed their maternity dept and dismissed their maternity nurses, and who ever heard of a hospital that didn't make babies! Like ........ "Sorry, no way ....... we don't make babies here no more!"

...................

Meanwhile, if you really want to improve your health, get out of the car and get out of the boat, and go take a two mile walk, about five times per week.

For improving posture and core strength, stomach, abs, and lower back ....... go get yourself a weighted, four to six pound, hula hoop from Health Hoops, Korean fat burning hula hoops ..... and start hula-hooping ...... just like back in 1958 except these heavy hoops have big knobs on the inside for grinding away all that yucky FAT...... www.youtube.com/watch?v=ytMauGZ2O-o .... not a low price ..... like 50 to 80-dollars, but worth it ..... and definitely addictive!! ...
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Old 10-21-2020, 08:47 AM   #22
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LRGH have pass over highly qualified professionals in the hiring process. Makes me wonder if they have a good ol boys network.
A good friend of mine applied for the Controller job at LRGH a decade ago. Highly skilled and qualified in Medicare/Medicaid applications they turned him down for someone who has no skills in the health industry. That same person went to work for the New London Hospital and it grew to a successful hospital today.
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Old 10-21-2020, 09:45 AM   #23
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The hospital administrators who caused this mess should have some accountability, seems to me.
The Board of Trustees are the ones who hired all of the high paid executives.
Criminal Negligence may be too harsh of an analysis for the Board of Trustees failure of Lakes Region General Hospital.
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Old 10-21-2020, 10:52 PM   #24
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This is the best news & outcome for LRGH. They have been floundering for years.
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Old 10-23-2020, 02:56 PM   #25
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Interesting article in sun on the doubling of debt in 2009 and the massive cost of implementing electronic records
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Old 10-23-2020, 03:59 PM   #26
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Electronic Medical Records allows you to

1) Send your doctor messages
2) Ask for a new prescription of ask for a refill online
3) View all your records
4) Have virtual visits.
5) make appointments
6 Allows different hospitals exchange patient records.
7) Pay or dispute your bills
8) I believe they are mandated

So, it is a good thing.
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Old 10-23-2020, 04:08 PM   #27
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EMR is very expensive for a private practitioner. It is not needed for hospitals to exchange your records. You can do this through your hospital.

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Old 10-23-2020, 06:04 PM   #28
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i was not suggesting the electronic records was bad in fact i think some Fed regulations require but they spent 9% of revenue which is 2-3X the industry average( all per the article)
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