MMH Fiscal Health Remains Progressive

Massena Memorial Hospital officials had positive financial news to share with the Board of Managers Monday evening at their monthly meeting. Chief Financial Officer Pat Facteau reported the hospital has a net gain of $85,796 for the month of November. To date, the hospital has improved its operating gain compared to its planned budget and last year’s performance. Year to date, MMH has a net gain from operations of $1,142,511 versus a gain of $41,912 last year.
Chief Financial Officer Patrick Facteau explained the inpatient admissions, Emergency Room volumes, and numbers of surgeries are up due to new physicians that have joined MMH this year. 
“We are seeing the Outreach Clinics and services really develop with the new physicians and providers. The Cardiology Clinic is seeing 8 percent more patients this year and the Medical Group has treated over 4,500 patients. This is due to the additional providers with a full time Cardiologist Dr. Aderonke Adeniyi, and the Medical Group with three physicians, Dr. Ammar Kafa, Dr. Rohit Barreto, and Dr. Matthew Prionas along with Physician Assistant Cassandra Debien LaShomb. The Surgical Group with the addition of Dr. Dalkeith Facey, is seeing over 19 percent more patients this November compared to last year. The Emergency Department continues to stay busy with nearing 15,000 visits year to date.”
Bob Wolleben, Chief Executive Officer said, “At MMH we pride ourselves on being the trusted provider of compassionate care to our neighbors and community members.”
He added, “We continue to move in the positive direction, but need to be very aware of continuing challenges. The hospital continues its work on the DSRIP, Delivery System Reform Incentive Program, the redesign of how Medicaid patients are cared for. This program impacts us on the inpatient admissions and Emergency registration and may put our Medicaid reimbursement at risk. 
The CEO also noted continued uncertainty at the Federal level with policy changes in Medicare reimbursement which could reduce MMH’s revenue by $6 million annually. Medicare has recalculated payments that have already been paid, and MMH is now tasked with paying back $1.6 million over a six month period. Healthcare reform at the federal and state levels is prompting the shift from volume to value, demanding providers to coordinate care across the healthcare spectrum. 
“Our November financial success is very gratifying, but we know this month, December, MMH is faced with paying out the single biggest annual check of $2.8 million to New York State Pension and our Medicare Clawback monthly payment of $285,000. This is a huge impact on a monthly financials of $3.1 million.”
“We continue to focus on the future to ensure MMH is a place where patients want to come, physicians want to practice, our employees want to work and of course where our community chooses for their medical and healthcare,” Wolleben added.
MMH was granted a Certificate of Need for the establishment of a new non-profit corporation. Establishing non-profit status is the first step in MMH’s plans to continue improvement of financial sustainability. As a non-profit hospital, MMH can move forward to explore an affiliation process that will help preserve and create good paying jobs and continue to provide quality healthcare for the community for years to come.  
“This is an important step in the process of ensuring that MMH is a North Country institution for years to come,” said Wolleben. “We’re proud of the high-quality care our employees provide to the residents of the greater Massena area, and look forward to continuing that service long after our future affiliation is finalized.”


February 2017

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