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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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Berkshire County Homes Celebrating Holiday Cheer

By Breanna SteeleiBerkshires Staff

There's holiday cheer throughout the Berkshires this winter.

Many homeowners are showing their holiday spirit by decorating their houses. We asked for submissions so those in the community can check out these fanciful lights and decor when they're out.

We asked the homeowners questions on their decorations and why they like to light up their houses.

In Great Barrington, Matt Pevzner has decorated his house with many lights and even has a Facebook page dedicated to making sure others can see the holiday joy.

Located at 93 Brush Hill Road, there's more than 61,000 lights strewn across the yard decorating trees and reindeer and even a polar bear. 

The Pevzner family started decorating in September by testing their hundreds of boxes of lights. He builds all of his own decorations like the star 10-foot star that shines done from 80-feet up, 10 10-foot trees, nine 5-foot trees, and even the sleigh, and more that he also uses a lift to make sure are perfect each year.

"I always decorated but I went big during COVID. I felt that people needed something positive and to bring joy and happiness to everyone," he wrote. "I strive to bring as much joy and happiness as I can during the holidays. I love it when I get a message about how much people enjoy it. I've received cards thanking me how much they enjoyed it and made them smile. That means a lot."

Pevzner starts thinking about next year's display immediately after they take it down after New Year's. He gets his ideas by asking on his Facebook page for people's favorite decorations. The Pevzner family encourages you to take a drive and see their decorations, which are lighted every night from 5 to 10.

In North Adams, the Wilson family decorates their house with fun inflatables and even a big Santa waving to those who pass by.

The Wilsons start decorating before Thanksgiving and started decorating once their daughter was born and have grown their decorations each year as she has grown. They love to decorate as they used to drive around to look at decorations when they were younger and hope to spread the same joy.

"I have always loved driving around looking at Christmas lights and decorations. It's incredible what people can achieve these days with their displays," they wrote.

They are hoping their display carries on the tradition of the Arnold Family Christmas Lights Display that retired in 2022.

The Wilsons' invite you to come and look at their display at 432 Church St. that's lit from 4:30 to 10:30 every night, though if it's really windy, the inflatables might not be up as the weather will be too harsh.

In Pittsfield, Travis and Shannon Dozier decorated their house for the first time this Christmas as they recently purchased their home on Faucett Lane. The two started decorating in November, and hope to bring joy to the community.

"If we put a smile on one child's face driving by, then our mission was accomplished," they said. 

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