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Northern Berkshire Healthcare President William Frado Jr. speaks about the condition of the health care system on Tuesday at North Adams Regional Hospital. With him are NBH spokesman Paul Hopkins and, via Skype, trustees Chairman Dr. Arthur Turton.

Northern Berkshire Healthcare Emerges From Bankruptcy

By Tammy DanielsiBerkshires Staff
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Chief Financial Officer Christopher Hickey said the health-care system has to 'regain the trust of the community.'
NORTH ADAMS, Mass. — Northern Berkshire Healthcare has emerged from Chapter 11 bankruptcy on stronger financial footing, high morale and a great sense of relief.

The health care system entered bankruptcy last June after failing to come to terms with its bondholders. It also saw a significant reorganization of its administration, including the ouster of its then president and CEO, and a consolidation of its subsidiaries.

"It's a welcome climax to a period that the whole organization has been going through, not just during the bankruptcy period but for the whole time before that with the financial difficulties we've had," said NBH President William Frado Jr. on Tuesday at a press briefing at North Adams Regional Hospital. "This is a great relief to everybody in the organization and greatly helps our ability to operate at a reasonable level."

Chairman of the Trustees Dr. Arthur Turton, speaking via Skype, expressed the relief and gratitude of the board, saying, "the entire community is going to be better off for the fact that our hospital is now in a good financial position."

As part of the bankruptcy proceedings, the hospital was able to lower its annual payments to $2.25 million per year, down from $6.4 million, on debt of $43.7 million. Health system officials had been negotiating with its bondholders since 2010 but were unable to make headway until declaring bankruptcy.

Most of the bonds are held by Nuveen Investments Inc., which resisted restructuring the debt, said Frado, over concerns of setting precedent for other community hospital bonds it may hold. 

Chief Financial Officer Christopher Hickey said the tipping point was last fall after both the health care system and Nuveen had looked at a number of financial models that showed "it was unlikely that this organization would continue to make its obligations."

Looking ahead:

• A full-time person has been hired to recruit primary-care physicians and financial inducements are now available

• A new agreement with Berkshire Medical Center is making cardiology and urology services available.

• Northern Berkshire OB/GYN now has a full complement of physicians and more are being interviewed

• Five floating registered nurse positions are being added to reduce overtime

• The Emergency Department will be fully staffed to eliminate the use of temporary doctors from out of the area.
       Frado: "The ED is kind of the front door to the hospital and if people aren't going to the ED, you're not getting the volume that you need to keep the rest of the hospital going."
 
• Affiliation with another institution.
     Frado: "It's very difficult for a small community hospital to survive in the long term in the current environment."
The health care system had significantly expanded at the beginning of the century but after two recessions and changes in the way health care is paid found itself overloaded with debt and battling with its unions. It has since sold off its nursing home and retirement facilities, moved the Visiting Nurse Association and Hospice of Northern Berkshire to the main campus and closed the Women's Exchange thrift shop it inherited in taking over the VNA.

Both the VNA building on Curran Highway and the thrift shop on Cole Avenue are for sale. Another off-campus facility, Northern Berkshire Family Practice, will continue operation on State Road.

During the bankruptcy proceedings, North Adams Regional Hospital has scored high marks in patient satisfaction and quality indicators.

"The outstanding part has been the great work of our staff," Frado said. "That despite all the anxiety and turmoil that's been created by the bankruptcy proceeding, they have just kept their heads down and worked very hard to deliver high-quality care to our patients."

Looking forward, hospital officials want to continue a profitable trend that's been seen over the past few months. Turton said his board will now be able to concentrate on long-term planning, including talks of affiliating with Berkshire Health Systems that had to be put on the back burner.


The main strategies, officials said, will be maintaining and increasing patient volume, initiating efficiencies across the board and marketing.

Staffing is the largest part of the operating budget and matching staffing hours with patient volume is critical. The hospital is the city's largest employer with 575 employees and a payroll of about $34 million.

"We've got to begin to change some of the culture around here, get people to work together more effectively as a team," said Frado. The bankruptcy "was a tremendous drain not only our pocketbook but on the time that our people had to spend ... The finance department was almost totally consumed with preparing information and analysis for the lawyers and the financial advisers.


Turton, speaking via Skype, said the entire community will benefit from the hospital's emergence from bankruptcy.
"They will now be freed up and we'll be able to dedicate more time to looking at our operations and how to make them more efficient."

Regaining the trust of the community will be essential, said Hickey.

"We learned a lot during the bankruptcy process," said Turton. "And we're going to continue to use those principles that we applied and that have obviously been successful during the past two or three months to maintain the institution."

He credited Frado with fulfilling the trustees' charge in addressing employee morale as well as finances.

Frado, a retired senior vice president of Harvard Pilgrim Health Care and trustee who stepped in at a critical juncture, said a search committee has already identified a possible successor who will be named later this summer.

"This has been the most enjoyable job I've ever had," said Frado. "I've gotten more satisfaction and gratification out of working with the people in this hospital than any place I've ever been."

Tags: bankruptcy,   NARH,   Northern Berkshire Healthcare,   

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Friday Front Porch Feature: A North Adams Turnkey Home

By Breanna SteeleiBerkshires Staff

NORTH ADAMS, Mass. — Are you looking for a three-story home that's newly renovated? Then this is the home for you.

Our Friday Front Porch is a weekly feature spotlighting attractive homes for sale in Berkshire County. This week, we are showcasing 74 Washington Ave.

This home was originally built in 1880 and has four bedrooms and three bathrooms. It is 2,320 square feet on less than an acre. 

The first floor includes the kitchen, a full bathroom, an office, a large open living room and dining area, and an entry with a staircase to the second floor, which has three bedrooms, a second full bathroom, and a laundry closet. The third floor was turned into a spacious primary suite with a full bathroom.

The house comes with major kitchen and laundry appliances.

It's on the market for $349,900.

We spoke to Allison Pacelli with Pacelli Zepka Corp., which has the listing.

What do you think makes this property stand out in the current market? 

A house at this price point with so much space for several people is not easy to find. There are four bedrooms, three full bathrooms, large living room, kitchen, and a bonus room off the kitchen that could be an office or dining room or possibly even an extra guest room.

What was your first impression when you walked into this home?

I love some of the character of the house. For example, the banister and railing on the stairs is ornate and beautiful.

How would you describe the feel or atmosphere of this home? 

The house is light and bright. It's a great mix of some class features like the stairway and updates like the kitchen and bathrooms.

What kind of buyer do you see this home being perfect for? 

I can see all sorts of people in this house. 

What would you say to a buyer trying to imagine their life in this space?

North Adams is such a vibrant and welcoming community. You can walk to MCLA or downtown. Williams College and Mass MoCA are close. The hospital is nearby, and the house would be great for doctors or nurses. There are a lot of opportunities in the area.

Are there any standout design features or recent renovations? 

The entire house was renovated about two years ago. The owners removed all knob & tube wiring, installed a new boiler, added a new laundry setup on the second floor, and redid the third floor into a great primary suite, with private bathroom. The kitchen and all three bathrooms are also new.

You can find out more about this home on its listing here.

*Front Porch Feature brings you an exclusive to some of the houses listed on our real estate page every week. Here we take a bit of a deeper dive into a certain house for sale and ask questions so you don't have to.

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