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MMH Outpatient Services Continue to Grow with New Practices and Physicians

August 21, 2017

Massena Memorial Hospital officials shared an update on a new physician, equipment, finances and utilization with the Board of Managers Monday evening at their monthly meeting. July resulted in a loss from operations of $390,445 and a year-to-date loss of $674,629. 
Chief Financial Officer Pat Facteau reported the hospital continues to care for more patients in the hospital, and our network of clinics along with our ancillary departments. Inpatient volumes were up with discharges of 211 compared to last year of 184; year to date inpatient discharges are up 9.67%.
Outpatient activity was up from last July in the Outreach Clinics and the Emergency Department. The Emergency Department continues to treat 1,400 patients a month. The Outreach Clinics year-to-date are up 3,344 visits (17.24%) compared to last year. 
The CFO noted that new physicians recruited in the past year as well as investments in technology, equipment and improved patient relations all contributed to the positive volume increases. Newborn births are trending at over a 21% increase over last year.  
MMH is experiencing continued growth in the Outreach Clinics this year. The Louisville Family Health Center is up 29% over last year with the addition of Dr. Myo Win to the practice. The Medical Group is trending at over 31% higher than last year. North Country Women’s Health practitioners are treating 26.5% more patients this year and the Surgical Group is treating 19% more patients. Massena Neurology is up 15%, Cardiology is up 35% and the Walk-In Clinic is up 3.5% compared to last year. Year-to-date the MMH’s North Country Family Network of Clinics have treated 22,741 patients this year. Facteau noted this continued growth is due to the additional physicians recruited and new Clinics and practices established this year.
Facteau noted expenses were over budget due to three key areas; Personnel, Health Insurance Claims and physician recruitment. The hospital’s payroll expenses were up as a result of adding 11 Full Time Equivalent, FTEs, in the St. Lawrence Internal Medicine Primary Care Clinic.  Health Insurance Claims are $300,000 year to date over budget due to several high dollar employee claims. The third area, Physician Recruitment expenses reflect recruitment fees related to new physicians and services.
 “Total gross revenues are up 10.39% year to date, and the expenses to serve the additional contributing volume are up 8.9% as well. We continue to monitor the unusual expenses of employee benefits and supplies. The hospital continues to experience high levels of insurance contractual write-offs than it had in previous years. This is likely to continue as uncertainty brought on by federal policy changes become clearer,” Facteau said. 
“In order to provide our patients with the highest level care, Massena Memorial Hospital has prioritized the efficient adoption and use of cutting edge industry technology as a major piece of our mission,” said Robert G. Wolleben, Chief Executive Officer. “At MMH we focus daily on meeting the needs of our community and offering the best patient experience.”
“This month we welcome Dr. Henri Gaboriau. He is a double board certified ENT/Facial Plastic and Reconstructive Surgeon. He is a Fellow of the American College of Surgeons as well as a Diplomate of both the American Board of Facial Plastic & Reconstructive Surgery and the American Board of Otolaryngology/Head and Neck Surgery. He comes to the North Country with over 18 years of surgical experience. Dr. Gaboriau is the North Country’s only Facial and Plastic Surgeon.” said Wolleben.
The CEO added, Massena Memorial Hospital is pleased to announce our recent acquisition of the da Vinci Si Surgical System. The da Vinci Si Surgical System will be used across a spectrum of minimally invasive surgical procedures and has been optimized for multi-quadrant surgeries in the areas of gynecology and general surgery. We are truly thrilled to be a leader in this field and look forward to continue bringing Massena and the North Country minimally invasive surgical options.
“We continue to work on financial permanence, the development/transition to a Non-For-Profit Hospital and an affiliation, to insure MMH is here for many years to come. We have said throughout, the healthcare industry is in flux and things beyond our control can impact our bottom line with no advance warning or notice. This is more evident today because of the issues being discussed at both the state and federal levels regarding healthcare,” Wolleben said. “Despite the challenges that pop-up every day, we are making real progress on this front as evidenced by the growing number of patients we serve both in the hospital and our outreach clinics.”
 “We continue to focus as a team 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 our community chooses for their medical and healthcare,” Wolleben added.