Callaci: Memorial Hospital’s Closure & St. Joseph Pension Failure Show State of Healthcare

Tuesday, November 14, 2017
GoLocal LIVE, Business Monday

Chris Callaci, UNAP
United Nurses and Allied Health Professionals (UNAP) General Counsel Chris Callaci joined GoLocal LIVE and talks about Care New England's (CNE) effort to close Memorial Hospital without state approval on GoLocal LIVE's Business Monday.

He blasted CNE for their failure to meet the minimum standards of the closure process. 

Callaci provided an update on the St. Joseph Health Services' pension failure -- the largest pension collapse in Rhode Island history. 

Callaci says both are indicators of the fragility of the state's healthcare industry and the lack of planning by state leaders.

  • Biggest Pension Failure Ever in Rhode Island?

    There is not a record book, but according to a number of top bankruptcy attorneys, the failure of the St. Joseph Health Services Pension Fund impacts the most individuals and the adverse financial impact will be the highest percentage impact to the retirees' monthly payments in Rhode Island history. 

    In Central Falls, by 2014 then-Governor Lincoln Chafee signed legislation that upped police and fire beneficiaries to 75 percent of their benefits. The cost of the legislation —  post-Central Falls bankruptcy — was $4.8 million.

     
  • Kilmartin’s Role in the Hospital Conversion Act

    Attorney General Peter Kilmartin won’t answer questions about his role in the approval of the Hospital Conversion of St. Joseph Health Services to CharterCare. GoLocal has repeatedly reached out to Kilmartin to answer questions, without response.

    As part of the review of the deal, Kilmartin, as Attorney General, had the responsibility to review and approve the financial viability of the transaction. The Hospital Conversion law is very specific to the responsibilities of Kilmartin and his office.

    "The department of attorney general [is] to preserve and protect public and charitable assets in reviewing both hospital conversions which involve for-profit corporations and hospital conversions which include only not-for-profit corporations.”

     
  • Number Impacted

    The bankruptcy of St. Joseph Health Services pension fund will impact between 3,600 and 3,800 existing or future pensioners — and the loss of pension payments may be 40 percent, according to court-appointed receiver Steven Del Sesto, a partner at Donoghue Barrett & Singal.

    However, Del Sesto said the plan for winding down the pension fund is only in the preliminary phase. 

     
  • How Many Are Presently Receiving Benefits

    According to the receiver, attorney Stephen Del Sesto, there are 1382 active/vested who have reached retirement date; 639 active/vested who reached early retirement, for a total of 2,021.

    On average, retirees are receiving just $425 between the two classes. The retirees are facing a 40 percent reduction — thus, the average retiree would receive just $255 per month.

     
  • Kilmartin Called the Plan "Best Interest of...Employees"

    At the time of the agreement in 2014, Kilmartin said, “The transacting parties have worked diligently to provide regulators with the necessary documentation and information throughout this review process to make this decision, a decision I believe is in the best interest of Rhode Island’s healthcare marketplace, the community, the employees, and most importantly, the patients.”

    Kilmartin said in his statement, “Conducting a hospital conversion review requires the commitment of a substantial amount of resources for the Office of Attorney General. I commend my staff for the time and careful consideration put into this review process.” Kilmartin's office has refused to respond to questions from GoLocal regarding the collapse of the fund.

     
  • How Much Will the Receiver be Paid?

    Stephen Del Sesto, the receiver for the St. Joseph Health Services Pension Fund, said he will be paid $375.00 per hour -- which is more than the average retiree will receive per month after the 40 percent cut in benefits.

    “My fees will not be paid from the plan assets,” said Del Sesto in an email to GoLocal.

     
  • Role of the Diocese of Providence

    According to to the document filed with the court seeking bankruptcy protection, the fund or petitioner “has been affiliated with the Catholic Church — “as an affiliate of the Catholic Church, the Plan Qualified as a 'church plan,' which is exempt from the provisions of the Employment Retirement Income Securities Act of 1974 (ERISA) governing defined benefit pension plans.”

    And, as a “church plan” the fund and the Diocese were not required to make a minimum contribution to the Plan, or “make pension insurance payments to the Pension Benefit Guaranty Corp."

     
  • Will the Receiver Seek a New Actuarial and an Independent Audit?

    Stephen Del Sesto, the receiver, said he does not know yet if he will seek an independent actuarial and call for a forensic audit.

    He is less than a week in his role and told GoLocal that he would need the court's approval to move forward with both steps.

     
  • Big Date

    The big date for this case is October 11 -- at that time the receiver Stephen Del Sesto will present the full plan of action.

    Payment levels and payment dates will continue at present level, "nothing will change until October 11," said Del Sesto.

     

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