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Hospital Out of Bankruptcy, Lays Off 60

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Green Valley Hospital laid off about 60 employees on Tuesday, less than a week after emerging from chapter 11 protection. The hospital also has been renamed Santa Cruz Valley Regional Hospital, the Green Valley (Ariz.) News reported. Notices handed out to employees on Tuesday said the hospital “has experienced significant financial difficulties” over the past several months, and efforts over the past year “have not resulted in long-term sustainability.” Laid off workers were given one week's severance and were told they could apply if the positions are reinstated. Green Valley Hospital opened in May 2015 with 49-beds, a restaurant, coffee bar and gift shop. But from the beginning the hospital, which never had an operator, struggled to fill beds and recruit and retain specialists, although residents clearly enjoyed having a hospital in the community. The hospital filed for bankruptcy in April 2017 to get out from under crushing debt and to secure long-term financial stability. The bankruptcy case was finalized on July 25. Read more

For more on hospital and health care insolvencies, be sure to pick up a copy of the ABI Health Care Insolvency Manual, Third Edition from the ABI Bookstore. 

Standalone ER Seeks Bankruptcy Protection, Affecting Two Wichita County Lawsuits

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The parent company of a former Wichita Falls, Texas, standalone emergency room has filed for chapter 11 protection, possibly affected two lawsuits in local district courts, the Wichita Falls Times-Record-News reported. Neighbors Global Holdings, LLC — parent company of NEC Wichita Falls Emergency Center, L.P. — gave notice that a petition under chapter 11 of the bankruptcy code was filed on July 12. A legacy corporation lists their creditors with the 50 largest unsecured claims as totaling over $9 million in claims with the majority of them being based on trade debt. In Wichita County, NEC was facing two lawsuits — one for malpractice and the other for breach of contract. The malpractice suit stems from allegations that a girl's foot became severely infected due to improper care received at the local NEC site. In that case, attorneys representing NEC filed a motion on July 23 to abate the proceedings, essentially asking the court to temporarily suspend the lawsuit until the bankruptcy petition is completed. The order was granted by 30th District Judge Robert Brotherton on July 24.

House Votes to Delay ObamaCare Health Insurance Tax

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The House passed a measure to delay ObamaCare’s health insurance tax for two years and expand Health Savings Accounts, part of a GOP effort to try to lower premiums, The Hill reported. The bill, which passed 242-176, is part of a Republican effort to blunt Democratic attacks on the GOP for rising premiums — a key argument in the midterm elections this year. The health insurance tax has been criticized by Republicans and some Democrats for driving up premiums. “This is a flawed tax that gets passed onto American families,” Rep. Peter Roskam (R-Ill.) said. Democrats said that the measures would have no substantial impact on premiums, and instead pointed to Republican efforts to protect themselves in the midterms. The health insurance tax has already been suspended for 2019. This bill suspends the tax for 2020 and 2021 as well. The measure also expands Health Savings Accounts, tax-free ways for people to save for health expenses, and expands the number of ObamaCare enrollees eligible to purchase lower premium “catastrophic” plans with high deductibles.

Little River Healthcare Seeks Bankruptcy Protection

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Little River Healthcare Holdings LLC, the operator of two rural hospitals in Texas and other health care-related centers, has sought chapter 11 protection, WSJ Pro reported. Little River has been faced with a cash crunch and its debt load has become unsustainable, according to court papers filed Tuesday. While under bankruptcy protection, Little River plans to either sell itself or restructure its debt. In addition to rural hospitals in Rockdale and Cameron, Little River runs imaging centers, surgery centers, physical rehabilitation centers and physician practices, most of which are located in central Texas. In recent years, the health care operator expanded greatly by acquiring laboratory assets, forming other subsidiaries, buying a hospital and launching an initiative to manage hospitals in Oklahoma. But while Little River has built up its presence in the health care industry recently, it has been faced with mounting problems. Little River has $40 million in long-term debt obligations, which excludes $4 million in unpaid interest, much of which is owed to boutique lender Monroe Capital Management Advisors LLC, court papers show. Monroe has agreed to provide $42 million in bankruptcy financing to allow Little River to continue operations at its hospitals and facilities while under chapter 11 protection.
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Trump Admin Restarts Key ObamaCare Payments

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The Trump administration will resume a program that pays billions of dollars to health insurers, just weeks after sending insurers into a panic by abruptly suspending the payments, The Hill reported. The federal Centers for Medicare and Medicaid Services (CMS) said it has adopted an interim final rule that will allow the agency to provide $10.4 billion in “risk adjustment” funding to insurers to help them provide coverage to particularly sick and costly enrollees. CMS said that “taking immediate action to allow for the continued operation of the risk adjustment program is imperative to maintain stability and predictability in the individual and small group health insurance markets.” The administration’s surprise suspension of the risk-adjustment payments earlier this month set off a round of warnings of rising premiums and condemnation from Democrats who said it was further GOP “sabotage” of the health care law. This final rule makes no changes to the program, and essentially just restarts it after a short pause. The administration cited as its reason for stopping the payments a court ruling from a federal judge in New Mexico finding that the administration had not fully justified its formula for dispensing the funds. Experts said the payment freeze should not have a significant long-term impact, as it was resolved in only a couple of weeks.
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Houston Emergency Center Files Ch. 11, to Sell Assets

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Houston-based Neighbors Legacy Holdings Inc. and 48 other related entities filed for chapter 11 bankruptcy protection late last week, the Houston Business Journal reported. Additionally, the company has already lined up a buyer for its Houston-area emergency centers, according to court documents. Neighbors noted that it filed for chapter 11 to “expedite the sale of its Houston and non-Houston operations.” The company operates as Neighbors Health, which includes Neighbors Physician Group, Neighbors Emergency Center and Neighbors Practice Management. The list of debtors includes individual locations of NEC and Neighbors Physicians Group as well as some other entities. Most of the entities listed assets between $1 million and $10 million, though 13 listed smaller ranges and two listed assets between $10 million and $50 million. Similarly, most of the entities listed debts between $1 million and $10 million, but 12 listed smaller ranges and only one listed debts between $10 million and $50 million.

Diabetes Monitoring Company ActiveCare Files for Bankruptcy

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ActiveCare Inc., a publicly traded company that helps people manage their diabetes, filed for bankruptcy with a restructuring plan that would hand ownership of the company to key supplier and largest unsecured creditor BioTelemetry Inc., WSJ Pro Bankruptcy reported. The chapter 11 filing on Sunday came after the Orem, Utah-based company defaulted on its debt and saw a potential deal with Cleveland Clinicunravel, according to records in U.S. Bankruptcy Court in Wilmington, Del. ActiveCare has a center at its headquarters whose staffers help patients manage their glucose levels by providing real-time blood test results and around-the-clock support, Mark Rosenblum, the company’s chief executive said in a bankruptcy filing. But the company has lost money for years, and has been unable to pay commissioned sales brokers, lenders or key suppliers, including publicly traded BioTelemetry. Efforts to raise additional capital, including after an extensive road show last year, have fallen short.