Hand of Marcy Hospice

Strange Tony,

Our hospice met the new Regional-Local Assistant Vice President of Operations Minus Marketing Marcy Quarter. She shared her priorities as our hospice awaits sale to yet another financial rapscallion with multiple last names (Clayton Dubilier Rice).

Marcy wants to lever technology to cut expenses as it pushes a "one size fits all" hospice model.  She said:

The company used big data to find the average use of medications and supplies for each hospice diagnosis.  Any item exceeding company averages will not be allowed without extensive review and approval from the RLAVPOMM level. 

Similarly we data mined staff mileage and mileage above the company average will not be paid unless documented thoroughly.  Your tablet will no longer automatically calculate mileage to the patient's home for reimbursement purposes.  That is now your responsibility.  However, you should not fudge any mileage figures as your tablet will be used as a data validity check on any submissions.

Overtime has been banned for all hourly employees.  For all other key measures the former average is the new maximum.  That said, the executive team's expectations of increased census and revenues remain in place.  Customer service scores remain important but are secondary to expense control and revenue enhancement.  Any questions? 

A foolish new chaplain asked Marcy to clarify things for him should he find himself in a home with a dying patient as his clock hits forty hours for the week.

"You are to cease work when you hit the forty hour mark."  

He commented that his faith and assessment of the situation might require him to remain with the patient and family.

"That is not allowed."

It's but the latest insult to our once great hospice.  We're now under the Hand of Marcy.  Lord help us.

Anonymous

Kindred Hospice to be Eaten by CDR's Falcon

Strange Tony,

Kindred Hospice/Community Care is being acquired by Falcon Hospice which will be owned 60% by Clayton, Dubilier and Rice with Humana holding onto the other 40%.    

Kindred Hospice/Community Care is currently under Gentiva Health Services with Humana having a 100% stake.   Moody's said Gentiva's debt will be called and Falcon will have to issue debt at higher interest rates.  That may or may not happen given the structure of the deal.

Falcon Holdings will purchase 60% of the shares of KAH Hospice (the indirect owner of Kindred Hospices) that are owned by Gentiva (which is owned by Humana).  Upon consummation of the transaction, Falcon Holdings and Gentiva will own 60% and 40% respectively of Falcon Hospice and Falcon Hospice GP.   

The sole limited partner of Falcon Hospice is CD&R Falcon Holdings, L.P., a Cayman exempted limited partnership whose limited partners include investment fund entities of Clayton, Dubilier and Rice LLC.

Falcon Hospice will own 100% of KAH Hospice.  KAH Hospice is the parent to 441 subsidiary hospice, community care and palliative care agencies in 36 states.

Financial rapscallions using a Cayman Islands sub as a tax dodge is not a surprise.   

Unique features of falcons (birds of prey) include:

Falcons, use a combination of their talons and their beak to kill a prey animal

Falcons dramatically dive, or stoop, at birds with their wings nearly closed. Peregrine falconss are the fastest diving birds on the planet and can stoop at least 290 kph (180 mph) and have special adaptations in their nostrils that allow them to dive and breathe at such fast descents.

Falcons have a black "mask" of feathers around their faces. The black feathers may help to absorb light, thus reducing glare from the ground. This would help these birds to better identify prey below them.

Our local Kindred Hospice is the prey for CDR's Falcon Hospice.  Flesh tearing bears and talons, Lord help all of us.

Anonymous