Union Group Flags Excessive Admissions at HCA

Nashville, Tenn.-based HCA Healthcare's average activation fees can be up to $50,000 per patient

HCA vd non HCA- Trauma team fees

View the full report here.

“Twelve of 14 primary care physicians on staff have left or are in the process of leaving practices affiliated with Frisbie Memorial Hospital, a 112-bed hospital in Rochester, N.H., according to Foster's Daily Democrat.

The exodus, affecting five to six practices, comes after Nashville, Tenn.-based HCA Healthcare completed its acquisition of the hospital in March 2020. It also comes as Matt Larkin takes the helm of Frisbie Memorial as interim CEO.

"Yes, this has happened, and we are working to assure we can support the hospital with local coverage while we are actively recruiting new staff," Mr. Larkin told the Daily Democrat. "It is not a RIF [reduction in force]. Sometimes when an organization changes administration, we can see attrition. Those physicians who left are fantastic, and we hope as we reorganize some may come back."

Three California lawmakers slammed San Jose, Calif.-based Good Samaritan Hospital and its parent company Nashville, Tenn.-based HCA Healthcare in a letter last week decrying staffing concerns and hostile management practices, according to NBC Bay Area.

The letter was addressed to Good Samaritan Hospital COO Gary Purushotham and HCA Healthcare CEO Samuel Hazen.

The letter, signed by state Sen. Dave Cortese, Assemblyman Ash Kalra and Assemblyman Alex Lee, accuses Good Samaritan of having dangerous staffing levels despite its parent company reporting a $3.7 billion profit last year.

"These unsafe management practices appear to be focused on staffing to meet the hospital's financial goals rather than serve patients’ needs," the letter reads, according to NBC Bay Area.

During the pandemic, nurses at Good Samaritan have staged walkouts and protests over what they call unsafe staffing levels at the hospital.

"Safe staffing has been a persistent problem throughout the pandemic at Good Samaritan Hospital," the letter reads. "The intensive care unit, where the most severely ill patients are placed, has been frequently out of compliance with limits set by state law on the number of patients that can be assigned to a nurse due to management's failure to properly staff."

The lawmakers also took aim at what they call "hostile management practices" in the labor and delivery, antepartum and neonatal intensive care units.

After the presentation, the near hour-and-a-half comment period began with Peter Elder expressing his disappointment with HCA's management of TRH. Elder served as the chairman of the board of directors for the hospital and the hospital's foundation and helped to raise funds and support to build the hospital years ago.

"My heart is broken by what I've seen...the impression left by what's happened here after HCA took over," Elder said. "People are saying, 'Our hospital isn't our hospital. It belongs to somebody else who is making a profit on our backs and we don't know what to do.'"

Elder said he has an upcoming surgery on his hand, and he has elected not to undergo surgery in the hospital he helped build and put a career's worth of confidence into.

"I'm heartbroken about what I've been hearing, and it would take me a long while to say all of the things that I've been hearing," he said. "So, I leave you with that. Don't come away thinking things are good, because if you've been in my position and you've listened to the voices of the people who have called me to say, 'Peter something is wrong with your hospital. Something must be wrong.'”

Take Action

It is time for HCA to step up and pay frontline healthcare workers a living wage. Click here to take action!