Queens' Changing Healthcare Landscape

By Conor Greene

The borough’s healthcare system was met with more bad news this week, as a bid by the owners of Parkway Hospital was denied in federal court. Meanwhile, the former St. John’s and Mary Immaculate hospital properties were sold at auction last week for $26.6 million to a group headed by a Brooklyn developer who has a shady past.

A mandatory injunction to reopen Forest Hill’s New Parkway Hospital, which was ordered by the state to close in late 2006, was denied on Tuesday in U.S Federal Court. The hospital’s owner and chief executive officer, Dr. Robert Aquino, is claiming that he was forced to close after refusing shakedown attempts by disgraced former Assemblyman Anthony Seminerio. There are now fears the building will be considered for other non-medical uses such as a federal detention center.

Mark Fogel, a licensed private investigator working on behalf of Parkway told the Forum that the judge is requesting additional information about Dr. Aquino’s financial plan for the hospital. “We are going to put that together and try to answer that for the judge,” he said. “The judge wants to see a credible, valid business plan on how it is going to reopen and operate and that there is sufficient funds available to reopen. The facts are pretty simple, when Dr. Aquino took the hospital over, he turned it around so it could make money, and then the Berger Commissioner came out and said it should close,” said Fogel. “That made all the doctors run away, and without doctors you don’t get patients. That’s what caused the decline.”

Since Parkway owes more than $30 million, the court appointed Thomas Seaman as a receiver on behalf of Medical Capital, which holds a mortgage on the property. His duties include maximizing the recovery of assets so that investor-victims can be repaid, and he notes in his report that the best chance for repaying the debt is if the site is home to an operating hospital. “Simply put, an operating hospital has a far better chance of repaying Medical Capital’s debt, and if the hospital is not allowed to reopen, I will be forced to foreclose on a vacant non-operating hospital without a license to operate.”

Seaman notes that there is a shortage of hospital beds and emergency room centers in the area, a problem that was worsened earlier this year with the closing of St. John’s in Elmhurst and Mary Immaculate in Jamaica. According to the Borough President’s office, there are just 1.6 beds per 1,000 Queens residents, compared to 6.8 beds per 1,000 residents in Manhattan. As a result, “the reopening of Parkway Hospital as a fully licensed and operating hospital would be in the community’s benefit and would be a financially successful proposition due to the apparent demand for such health care services,” wrote Seaman.

However, if Medical Capital is forced to foreclose on Parkway in a non-operating condition, Seaman has been informed that “there would be few viable uses for the building such as a low security correction or detention center or a halfway house.” While recognizing that such uses “would likely meet community opposition,” Seaman determined that the “given the configuration of the [hospital] building, and the well-known need for facilities to detain immigration holds and for halfway houses, that could be the only viable use.”

Fogel said he believes Dr. Aquino’s team has one more shot at convincing the court to allow the hospital to reopen. “I think they have one more chance, that’s my opinion. The judge just gave them what could be a roadmap for how to reopen.”

Meanwhile, the St. John’s and Mary Immaculate hospitals, owned by Caritas Health System and closed earlier this year, were purchased at auction last Friday by Brooklyn development firm Guttman Realty for $26.625 million. The bid was subject to approval during a Bankruptcy Court hearing set for this Thursday.

The package includes the 257,000-square- foot St. John’s building, which sits on a two- acre property on Queens Boulevard in Elmhurst, and the 301,499-square-foot building on the four-acre Mary Immaculate property in Jamaica. The Elmhurst property includes a 291-space parking garage and the Jamaica property includes a parking deck and two lots.

According to CB Richard Ellis, which conducted the auction, five bidders submitted offers, with four targeting both properties and one bidding only on the St. John’s site. In a statement, the firm said the buyer “envisions several options for redeveloping the Mary Immaculate site, including an educational facility, non-profit organization use, government operations or a religious facility.” The St. John’s site “may be used for office development,” they noted on behalf of the buyer in a statement.

“Despite a weak economy these development sites sparked a heated and highly competitive bidding process,” said Larry Weiss, vice-president of CBRE. “Although driven to sell by a bankruptcy, the excellent central Queens location of these sites, including outstanding public transportation and a dense residential and retail population produced great buyer interest.”

Joshua Guttman, who headed the winning group, gained citywide notoriety when the Greenpoint Terminal Market burned down in 2006. The fire at the 21-acre site on the Brooklyn waterfront marked the largest in the city (not counting the 9/11 attacks) in a decade and destroyed 15 buildings. Guttman, who received more than 400 violations for failing to properly maintain his waterfront property, denied any involvement in the arson, which burned in a six- square block area for hours. According to reports, four other buildings owned by Guttman have burned in suspicious fires.

Caritas Health, which purchased the properties for $40 million several years ago from Saint Vincent Catholic Medical Center, filed for bankruptcy in federal court this past February, and the two hospitals closed for good on February 28. Those closings, coupled with the prior shuttering of Parkway, have left Queens residents and officials concerned about the future of health care in the borough.

Development Firm Eyes St. John's Hospital Property

Wants to Acquire Site for Medical, Retail, Educational Uses

By Conor Greene

Executives from a Manhattan-based development firm held an informal meeting last week with Community Board 4 members to present their vision for the future of the St. John’s Hospital property on Queens Boulevard, which is set to be sold at auction next month.

Dan Panitz and Justin Green of HaysVentures, LLC, a real estate firm specializing in commercial and retail real estate sales, investment, and development, met last Thursday in the CB 4 offices to unveil a plan for the property that features a combination of medical services, retail space and educational uses.

Panitz assured the board that the company is not interested in building residential units at that site. “We don’t need another shopping mall, another residential development,” he said. “We need to serve the needs.” Panitz, who grew up in the area and formerly served on the community board, stressed that he is “not just some suit, some developer, coming to the community” to develop the site “at the expense of the community.” He said the firm requested the meeting so it could receive feedback from residents as to what they would like to see at the site.

The building has sat vacant since St. John’s Hospital closed in March along with Mary Immaculate Hospital after its parent corporation went bankrupt. Panitz revealed that HaysVentures was behind a $43 million offer submitted by a private investment firm that sought to save the hospitals. “Our goal was to save the hospitals, not to shut them down,” adding that a deal fell apart at the eleventh hour. “It broke our hearts,” said Panitz, who recalled receiving stitches in the St. John’s emergency room as a child.

The company has since submitted an offer for the property, which will be sold at an auction in August, according to CB 4 Chairman Richard Italiano. In a telephone interview on Tuesday, Panitz and Green refused to provide details regarding the offer. However, at the meeting Green said the company will be at the auction if the offer isn’t accepted before then, and suggested that he expects HaysVentures to obtain the property. “We will acquire the asset,” he predicted.

The plan outlined by Panitz centers on a “credible, cash strong” medical facility that would help fill the void left by the hospital closing. While he couldn’t specifically name the group he is in discussions with, he promised it would be a “high-level” ambulatory or in-patient facility the residents “would be very impressed and very happy with.” He said it would not be a substance abuse recovery center or serve as chiropractic or other similar type offices.

Panitz also touted a supermarket or other retail that will “serve the needs” of local residents. It was noted that many Elmhurst residents don’t have easy access to large supermarkets and are forced to pay high prices at local bodegas for staples such as milk and bread. Roe Daraio, president of Communities of Maspeth and Elmhurst Together, pointed out that an American-based chain is needed since there already are numerous ethnic supermarkets in the area.

Finally, Panitz discussed the possibility of an educational facility in part of the building. While some board members including Nick Pennachio argued that the area is already oversaturated with schools, it was noted that District 24 is the city’s most crowded. Panitz said the community must face the “brutal reality” and consider that it is much cheaper to convert an existing building than build from the ground up. He said the facility wouldn’t necessarily be a city-run public school, listing private or technical schools as possibilities.

“We have to face this reality that we have to put educational facilities in District 24,” said Panitz. The company’s research showed that space for children in kindergarten through grade six is especially needed. “It would almost be like three buildings, four buildings in one,” he added of the final product his company envisions.

Pennachio suggested developing office space that would be used during business hours to avoid bringing huge amounts of traffic to the area on nights and weekends. However, Panitz said that would be a “good way for me to go out of business” and explained that office space vacancies are currently sky high around the city. “It would be suicide for a guy like me to do that,” he added.

Other suggestions included a multi-purpose center that could serve residents of all ages, or a restaurant such as an IHOP.

Throughout the meeting, Panitz stressed that he was there to hear what the community needs. “Instead of having some guy with a briefcase buy this and put in residential, we can solve a lot of problems here,” he said. “It’s expensive doing this stuff [so] I need to know we’re all on the same page.”

Residents Rally in Protest of New Homeless Shelter

By Conor Greene

More than one hundred residents gathered on 58th Avenue on Saturday morning to protest the sudden opening of a homeless shelter in the middle of their quiet residential block that would provide temporary housing to 29 adults.

Residents of the Elmhurst neighborhood turned out in force to express their displeasure with the city for allowing this type of facility to open without any warning. Adding to their concerns is the fact that Queens Alliance, which is running the facility, has no history of operating these types of homes. There is also concern that 29 homeless individuals will be provided temporary shelter in close proximity to nearby schools.

“We’re here to protect what is most important to us – our children, our homes, our streets and our neighborhood... The decision was rammed down our throat without any feedback from our community,” said Linda Lam, who organized the rally with the local civic group Communities of Elmhurst and Maspeth Together (COMET). “Our children can no longer feel safe playing in the streets… To protect our children, our homes and not to let the homeless shelter destroy our neighborhood, we have to keep up the fight.”

While recognizing the need for homeless shelters in the city, Lam argued that the neighborhood, south of Queens Boulevard near the former St. John’s Hospital site, is already overburdened. “I know all communities should shoulder the burden of society’s problems that nobody wants it in their backyard; however, we have shouldered more than our fair share already,” she said, noting there is a group home located across the street.

Many of the residents were unaware of the facility until COMET held a meeting about it three weeks ago. While it is currently eligible to accept clients, none have been assigned there by the city Human Resources Administration as of Tuesday, according to Yolanda Martin-Garibaldi, vice president of Queens Alliance.

With no prior hearings or notification of the shelter, many expressed anger at elected officials ranging from Mayor Michael Bloomberg down to local City Councilwoman Melinda Katz (D-Forest Hills), who did not attend the meeting or rally but was represented by a staff member on Saturday. The only elected official to attend the rally was Councilwoman Elizabeth Crowley (D-Middle Village), who represents the areas to the south of Elmhurst.

“We thank everyone for coming out today to express our anger at our mayor and our political representatives, who by their actions or omissions have shown that they do not have the best interests of our children, elders, wives and families,” said Jean-Claude Pierre, whose sister, brother-in-law and five nieces live three houses from the shelter. “Sadly I was wrong to think so highly of our elected officials. I now realize that we cannot simply rely on our mayor and political representatives.”

Residents packed the sidewalk and street in front of the shelter, located at 86-18 58th Avenue, while speakers vowed in English, Spanish and Chinese to continue the fight. Roe Daraio, president of COMET, urged the residents to “stick together” and monitor the facility to ensure Queens Alliance follows the proper health, safety and licensing guidelines, since the project is allowed as-of-right under the area’s zoning. “If we give them a lot of agida they might pick up and move somewhere else.”

Jeff Gottleib, representing state Senator Joseph Addabbo (D-Howard Beach), told the residents that the senator will stand alongside them in this battle.

However, Vicky Morales, representing Katz, was booed loudly by the crowd due to the Councilwoman’s perceived lack of action on this issue. At the COMET meeting several weeks ago, a resident said she was told by a Katz staffer that the fight is a lost cause since the facility is allowed under the zoning. Morales told the crowd that she is looking into why the resident was given that answer, which she said is “not a usual response” from Katz’s office. “The councilmember is tired of as-of-right [projects]. We need to have community input,” said Morales.

Crowley told the crowd to continue fighting and said that “just because they have the right legally, it doesn’t mean it is right.”

Michael Cohen, who is running for the 29th District council seat being vacated by Katz, questioned the ability of Queens Alliance to properly run this type of facility, and bashed the city for giving the organization the okay to do so. “This doesn’t sound like sound social policy to me… The HRA should be ashamed it didn’t think this through rationally.”

A message left with the HRA press office on Tuesday was not returned. Martin-Garibaldi of Queens Alliance said in a brief interview that the bottom line is these individuals need a place to turn to for assistance.

“As a community person and somebody that works for the needy, my personal feeling is if we don’t help each other who’s going to do it?” she said. “Those are our people and our people need to go somewhere. I understand the fact that they don’t want the drugs and other stuff and I’m the first to say we don’t need that. It’s their community, they have a voice and they’re entitled to that,” she said of the protest.

Addressing concerns about Queens Alliance’s lack of track record, Martin-Garibaldi said the staff members are qualified from working with other organizations. “The corporation was formed a year ago. Every agency began somewhere and to create a track record you have to start somewhere.”

Still, Lam and others promised to continue protesting the facility until it is shut down. Petitions opposing the home are circulating the neighborhood, and voter registration forms were available at the rally to help the residents gain a political voice. “This is just the beginning of a long fight,” she said. “We need all of you until the shelter is closed.”

Thompson Warns of Queens Healthcare Crisis

The closing of two borough hospitals earlier this year and the recent swine flu outbreak have resulted in a healthcare crisis in Queens, warns city Comptroller William Thompson.

In a report issued on June 1, Thompson charged that hospitals in Queens, especially in the central and eastern portions, are in a “state of crisis” as their emergency rooms struggle to cope with a “torrent of patients amid H1N1 virus worries and the closures of St. John’s and Mary Immaculate hospitals” in February.

Thompson was joined by Queens Borough President Helen Marshall in front of Jamaica Hospital Center to bring attention to the growing crisis. Jamaica Hospital is among those facing a spike in patients as flu concerns have grown in recent weeks. A study by Thompson found that “emergency rooms are being flooded with patients, many who must now await admission, ambulance turnaround times are rising, and medical professionals are facing extraordinary challenges in their ability to provide care.”

Marshall, who first warned of the imminent closures of the hospitals at her State of the Borough address in January, noted that the state Department of Health has closed four borough hospitals in recent years, including Mary Immaculate and St. John’s, which combined accounted for about 50,000 emergency room visits each year.

“Short term funding from the state was targeted for equipment and infrastructure expansions, but did not address the need for additional healthcare professionals, especially nurses,” said Marshall. “Comptroller Thompson is right when he says that emergency rooms in Queens are in crisis. I warned the Governor’s office that the hospital system in Queens would not be able to handle a major emergency.”

The findings of Thompson’s latest study on the impact of hospital closings and the swine flu outbreak included:

•The number of emergency room patients at the surrounding hospitals soared right after St. John’s and Mary Immaculate hospitals closed earlier this year. For example, from mid-February to the end of March, there were 20 days when Jamaica Hospital’s emergency room exceeded 350 patients, versus only two such days during the same period in 2008.

•The number of patients brought to surrounding hospitals’ emergency rooms by ambulance soared. For example, comparing January to March 2009, the number of patients arriving by ambulance at Queens Hospital Center rose 51 percent, and at North Shore University Hospital-Forest Hills by 40 percent.

•Ambulance turnaround times – the amount of time from arrival at the emergency room until the ambulance is free to make the next call – increased significantly at Jamaica, Queens and North Shore University-Forest Hills hospitals.

•A Queens Hospital Center emergency room doctor with more than two decades of experience told the Comptroller’s office that he now sees 35 patients per shift compared with 20 before the two closures, that the conditions at the hospital have become a “living nightmare,” and that “the state of emergency medicine in Queens is the worst I’ve seen in my career.” His observations echoed other physicians, some of whom spoke of an overwhelming added patient load.

Thompson faulted the state DOH and city Department of Health and Mental Hygiene for “failing to acknowledge the deteriorating financial condition of Mary Immaculate and St. John’s hospitals in a timely fashion and failing to put in place a plan to address the impact of the closures.” After bailing out troubled healthcare provider Caritas, which owns the two closed hospitals, for the past several years, the state refused to provide any additional funding, leading to the closures in February.

“What we are seeing now is a crisis in the hospital and healthcare system in Queens, a version of which may very well spread to the other boroughs if H1N1 virus outbreaks appear in other neighborhoods,” said Thompson. “To be sure, while the timing of H1N1 virus itself was not foreseeable, the likelihood of some event of a similar nature causing a sudden surge in demand was both foreseeable and inevitable.”

Thompson offered a number of recommendations, including that individuals with flu symptoms should be triaged at ambulatory care facilities, the necessary resources to deal with emergencies should be activated, loans and working capital should be provided to cover expansion costs, data on emergency room utilization should be made public, hospitals should be staffed-up to meet increased demand, and gaps in service created by closures must be identified.

“The City and State need to pull key healthcare providers and other stakeholders together immediately to share information, identify patterns and develop solutions to address the current surge in demand stemming from the H1N1 virus,” said Thompson. “If the State Department of Health had begun planning in December 2006, as I suggested, it is likely that much of the current impacts in Queens could have been minimized or avoided entirely.”

Nanny Sentenced in Shaken Baby Assault

A Glendale nanny has been sentenced to eight years in prison for assaulting an infant girl in her care. The victim, now nearly four years old, has permanent brain damage.

Alma Calderaro, 35, of 78-37 73rd Place was sentenced last Wednesday by Acting Queens Supreme Court Justice Robert McGann. She was convicted earlier this month of first-degree assault and endangering the welfare of a child after violently shaking a baby she was watching three years ago. She had faced up to 25 years in prison.

According to testimony at Calderaro’s trial, the defendant took seven-month-old Fiona Qirjako to the emergency room at St. John’s Queens Hospital on January 11, 2006. The infant was in a non-responsive state and having difficultly breathing when she was taken to the hospital. She was later transferred to Long Island Jewish Hospital where medical personal observed bleeding in the brain and eyes and extensive brain damage – injuries consistent with the non-accidental inflicted trauma of Shaken Baby Syndrome, which occurs when a baby is repeatedly and violently shaken.

At trial, Fiona’s parents testified that their daughter was in perfect health up until the time she was dropped off at Calderaro’s residence. While on the stand, Calderaro testified that the baby was gasping for air and that she shook Fiona in order to revive her. However, medical experts testified that the defendant’s account of how the baby was injured was inconsistent with the nature and severity of the injuries Fiona suffered. The child now has permanent brain damage.

“At the heart of this case lies every parent’s worst nightmare – the person they entrusted to care for their baby instead is responsible for severely injuring their child and robbing her of a normal life,” said District Attorney Richard Brown, who added that Shaken Baby Syndrome is the leading cause of child abuse deaths.

“Its victims are innocent and helpless children, often injured by those charged with protecting them. These tiny victims are often impaired for life or killed. Caregivers of children should heed the important message that these cases unfortunately bring to our attention – never, under any circumstances, shake a baby.”