Monday, August 13, 2018

Historic Operating Pavillion Faces Demolition








The Muhlenberg Operating Pavilion: Plainfield's Forgotten Gem by Nancy A. Piwowar

Hidden behind a stockade fence, set far off Randolph Road, on the Muhlenberg property is a red brick building with a large arched window and a scrolled keystone. The Muhlenberg Operating Pavilion dates to 1903, and is Plainfield's forgotten gem.

A notice in the local newspaper, Plainfield Courier-News, in 1900, related the possibility of a new hospital building, and the response by the local residents was immediate. Public subscriptions were received. Then the decision was made by the Muhlenberg Board of Governors, to build a "new" Muhlenberg Hospital at a new site, and many distinguished men offered land. James E. Martine offered a lot on Thorton Avenue. Former Mayor of North Plainfield, John F. Wilson, offered a lot in North Plainfield, but this could not be accepted because it was in a different county. Finally the Muhlenberg Board of Governors took an option on farm land at the edge of the City on Park Avenue and Randolph Road.

Within four months of the discussions of a "new" Muhlenberg in the local newspaper, it was reported that J. Howard Wright in April, 1901, gave the largest and most generous donation of $10,000 for an operating pavilion for the "new" Muhlenberg in memory of his two grandsons. Howard Wright Corlies died at the age of 23 from pneumonia in 1899. Parker Wright Mason died at the age of 19 from typhoid fever in 1900. J. Howard Wright was a wealthy Standard Oil businessman from New York City, and his two daughters and families resided in Plainfield, for many years.

The Muhlenberg Operating Pavilion also contained a sterilizing room, an etherizing room, a room for the X-ray instrument and a recovery room, which were all considered essential for a modern hospital.

The 1903 Muhlenberg Operating Pavilion retains many of its original exterior elements including inscription, large arched, scrolled keystone, and northern window. The only evident change is the removal of the roof line skylight. The Muhlenberg Operating Pavilion was designed by Tracy and Swartwout, a New York architectural firm, and Evarts Tracy, one of the architects, grew up in Plainfield on West Eighth Street in the Van Wyck Brooks Historic District, and he later resided with his wife on Hillside Avenue, in the Hillside Avenue Historic District within sight of the "new" Muhlenberg and the Muhlenberg Operating Pavilion.

The 1903 Tracy and Swartwout Muhlenberg complex of buildings were not built squarely to face either Park Avenue or Randolph Road, but were "built squarely with the points of the compass." The purpose of this was "to have the operating room face North, so that it would have the full benefit of the North light." [Plainfield Courier-News, July 19, 1902, page one article.]

Plainfield's forgotten gem has survived over one hundred and seven years, and is passed by daily on the way to the satellite emergency department without nearly a second glance because it is behind a stockade fence. The wall inscription is obscured by the fence, and according to newspaper articles, behind the cornerstone of operating pavilion is a copper box that contains various items including: local and New York newspapers, Muhlenberg Hospital annual reports, photographs of J. Howard Wright's grandsons, photographs of doctors, nurses, employees, and of the old hospital buildings, names of the contractors, to name a few items.

The Muhlenberg Operating Pavilion serves as a grand monument to Mr. Wright's Plainfield family, and the Muhlenberg Operating Pavilion is one of the only known surviving separate, stand alone operating room buildings extant in New Jersey and most likely in the United States. It is important to preserve The Muhlenberg Operating Pavilion because it is a monument to the Wright family, Muhlenberg heritage and medical culture, and Muhlenberg's doctors, nurses and staff.

Thursday, February 1, 2018

JFK Bond Funding Voting Record

   Voting Record on Scribd

Saturday, June 21, 2008

Nancy Piwowar's full-page ad in support of Muhlenberg




Crutches issued to Nancy by Muhlenberg in 1974,
as part of recuperating from successful surgery.

An Open Letter to the Muhlenberg Community

On behalf of five generations of my family who, for nearly a century, have resided in the Plainfield area, I take this opportunity to extend my family's appreciation and thanks to the Muhlenberg Regional Medical Center family who have graciously and consistently given healing care to us and to thousands of others in the local area.

The doctors, nurses, health care professionals, and other Muhlenberg support personnel deserve a heartfelt debt of gratitude for their unwavering high level of care in the most trying of times.

The U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, recently placed an almost full page ad in area newspapers promoting the HHS Hospital Compare website for NJ consumers. Muhlenberg Regional Medical Center was one of twenty area hospitals mentioned. In the two quality measures listed, "Percentage of people who receive antibotics 1 hour before surgery and Percentage of people who always received help when they needed it," MRMC scored higher than the New Jersey State average. In the first list it was in the top five, and in the second list it was in the top eight, and better than a hospital located in Edison. So...Why is Muhlenberg Regional Medical Center slated to close?

Muhlenberg is an essential hospital for the tri-county area, and meets the criteria in the Reinhardt report, "New Jersey Commission on Rationalizing Health Care Resources, Final Report 2008." So...Why is Muhlenberg Regional Medical Center slated to close?

To the common man, woman, and young person - this does not make sense. The employees and staff of Muhlenberg have done an efficient job, and have provided a level of health care to area residents that well exceeds the New Jersey State average. So...Why is Muhlenberg Regional Medical Center slated to close?

In the event of a "homeland security" situation, whether created by nature, floods or storms, or man made, industrial accidents or train derailment, has an explanation been given to the local communities as to emergency preparedness plans? What happens if there is a surge in emergencies? Are the other hospitals prepared for a mass emergency in the Plainfield area or will the people of the Plainfield area be forgotten and left to fend for themselves like the people of New Orleans? Can the surrounding hospitals absorb the almost 11,000 yearly emergency cases? How long will the ER waiting times become? Will medical care be as efficient as offered at Muhlenberg? What are the answers to the diversion questions that are asked in the "National Hospital Ambulatory Medical Care Survey: Pandemic and Emergency Response Preparedness Supplement 2008 panel?"

There is a continued ground swell of community activism that has been present in the Plainfield area for over 130 years. When Muhlenberg was incorporated in 1877, the Board stated, "The said association shall be formed for the purposes of care, cure and nuture of sick and injured persons." Later in 1878, the Board of Governors by formal resolution declared that "Muhlenberg Hospital is, and shall ever be, a free, unsectarian and undenominational institution, always open, to the extent of its capacity, to those, of whatever creed or nationality, who may need its good office."

The ethical and moral standards that the founding citizens mandated for Muhlenberg were always utmost in their mind and hearts for the future citizenry of the Plainfield area. That is why Muhlenberg always served the poor, indigent, and uninsured, and why Muhlenberg has had generous financial support for more than a century from area residents, employees, board members, medical professionals, local municipalities, county, state, and federal government and the insured. In the early days of Muhlenberg local churches set aside the last Sunday in December as "Hospital Sunday" and took up a collection for Muhlenberg Hospital to balance the budget each year. Even the poorest of the poor, who on Harvest Home day, would contribute soap, bandages, pies, whiskey, and whatever else they could spare to "repay" the Muhlenberg that helped them. The people have done their part for over 130 years.

Muhlenberg Hospital served the area residents in the 1918 flu epidemic. Muhlenberg survived the "Roaring Twenties," even though the amount of "free" work was 40% of the budget in 1924. Muhlenberg survived the "Great Depression" under the leadership of Miss Marie Louis. No patient was turned away and no services were cut, even though the towns were not supporting the indigent care bill. An effort was then begun to assess the towns for their fair share of indigent care. Miss Louis also engineered a plan and had a greenhouse built on Muhlenberg property to supply fresh vegetables for patients and staff for over 30 years. Muhlenberg was the site of many medical miracles including one in the 1930's when a teletype was sent out to the nation for assistance to save a dying infant. A retired military doctor answered and flew into Hadley Airport with the knowledge enabling a young Muhlenberg surgeon to perform the surgery due to the military doctor having lost the use of his hands during the war. That infant is now over 70 years old. Muhlenberg survived World War II through volunteerism even though half of the medical staff joined the armed forces. In the 1967 "black-out," which lasted 6 hours, Muhlenberg operated normally because leadership made sure there were adequate generators to continue to serve patients during times of need.

Now it is time for the New Jersey State Government to find the "Political Will" to make the decision to keep Muhlenberg Regional Medical Center open as a full service acute care facility for the Muhlenberg employees and staff, local economy, and thousands of tri-county residents. Muhlenberg has survived for over 130 years by the generosity of people and has provided quality health care service to the people. The power is now in the elected State officials' hands to serve the public and protect the public health. So...Muhlenberg Regional Medical Center should be slated to stay open!
Nancy A. Piwowar
  • Born in Muhlenberg Hospital and raised in Plainfield, New Jersey.
  • Graduate of Jefferson School, Washington School, Hubbard Junior High School,
  • Plainfield High School, Class of 1970, and Wilson College, Chambersburg, PA, Class of 1974.
(This message appeared as a full-page ad in the print edition of the Courier News, Friday, June 20, 2008, and was paid for by Nancy A. Piwowar.)

Sunday, January 21, 2018

NJ Healthcare Facilities Financing Authority MRMC - JFK Hospital Bond Issues


October 30, 2010

RE: Muhlenberg Regional Medical Center Property

Plainfield, New Jersey

A recent newspaper article (enclosed) detailed vague discussions concerning the development of the Muhlenberg Regional Medical Center property located in Plainfield, NJ.

Since the State of New Jersey holds the $152,925,000 State Contract Bonds (Hospital Asset Transformation Program) on the total Muhlenberg property issued by the New Jersey Health Care Facilities Financing Authority with the Bank of New York Mellon, as Master Trustee, the State of New Jersey should be an interested party and participate in the ongoing discussions in order to fully protect the public interest.


Muhlenberg Regional Medical Center was closed in 2008, by the former Commissioner of Health and Senior Services Heather Howard. (July 29, 2008, closure letter)


The New Jersey State Legislature passed a bill to allow for the bonding to go through even though the court challenge was not adjudicated. In October, 2008, the New Jersey Health Care Facilities Financing Authority approved the $152,925,000 State Contract Bonds in the Hospital Asset Transformation Program.

According to papers filed in the County of Union Clerk's office, the $152.9 million bond note is secured by the Muhlenberg property only and does not impact The Community Hospital Group, Inc. [Please note that at one of the hospital annual meetings, it was stated that there is also a $17 million mortgage on the Muhlenberg property, but research can not substantiate that as a fact.]

The Plainfield area residents lost healthcare for a supposedly $18 million loss, but the Muhlenberg assets have been leveraged to provide $152.9 million to another entity.

Regardless, the State of New Jersey needs to be aware of this development in order to protect the State's interest.

[updated 07/04/2011]

A search as of yet has not been done of the papers filed in the County of Middlesex; however,
acording to the NJHCFFA (NJ Health Care Facilities Financing Authority) October 23, 2008 Meeting Minutes, page 6,

"The proceeds of the financing will be used to : refund the the Authority's Variable Rate Composite Program - JFK Medical Center Project Series 2005 A-3; refund the Authority's Variable Rate Composite Program - Community Hospital Group Series 2003 A-1; refund the Authority's Muhlenberg Regional Medical Center Issue, Series 2000; refund the Authority's JFK Medical Center/Hartwyck at Oak Tree Obligated Group Issue, Series 1998; refund the Authority's JFK Health Systems Obligated Group Issue, Series 1995: refund the Authoriity's JFK Health Systems Obligated Group Issue, Series 1993; fund capital improvements at the JFK Medical Center related to the closure of Muhlenberg; fund capital interest; and pay related costs of issuance."

The $152.9 million was leveraged to refund 5 JFK related bonds and only 1 of Muhlenberg bonds.

Minutes of the New Jersey Health Care Facilities Financing Authority meeting held on October 23, 2008 on the fourth floor of Building #4, Station Plaza, 22 South Clinton Avenue, Trenton, New Jersey.

NJHCFFA October 23, 2008 Meeting Minutes p. 6

B. JFK Medical Center Obligated Group

Mr. Escher stated that the following portion of the meeting will be considered a public hearing in connection with the proposed issuance of bonds on behalf of JFK Medical Center Obligated Group. This hearing took place in accordance with the public notice and approval requirements of Section 147(f) of the Internal Revenue Code of 1986, as amended.

As a public hearing, Mr. Escher welcomed everyone to participate in the discussion, but first asked Mark Hopkins and Bill McLaughlin to bring the Members up to date on the transaction.

Mr. Hopkins took the opportunity to provide a brief background of the purpose of the TEFRA Hearing, the specific financing program, and the Authority’s action at this meeting. He stated that the Authority will consider authorizing, with certain contingencies, a financing for three borrowers: The Community Hospital Group, Inc. which does business as JFK Medical Center, Hartwyck at Oak Tree, Inc., and Muhlenberg Regional Medical Center. These borrowers will be referred to going forward as the JFK Medical Center Obligated Group. He also noted that reference may be made to Solaris Health System, which is the borrower’s corporate parent.

The financing that is being considered for the JFK Medical Center Obligated Group is a type of financing authorized by the State’s Hospital Asset Transformation Program (“HATP”), which is part of the Authority’s enabling legislation, and which permits the State to pay principal and interest on the bonds, subject to appropriation, if certain criteria are met. It should be noted that the JFK Medical Center Obligated Group will be required, under a loan agreement (secured by a mortgage), to pay an amount equal to the principal and interest on the bonds to the Authority. The Authority will then pass those payments on to the State Treasurer, making the transaction revenue neutral to the State.

The HATP was established in 2000 after it became clear that the state had several over-bedded areas that negatively impact the financial operations of the other hospitals in the area. A 1999 State Commission recommended that the closure of one or more hospitals may strengthen the healthcare delivery system as a whole. Therefore, one of the criteria to use the program is the closure of acute care services at a specific location. The State-backing was recommended as a result of the recognition that the stranded indebtedness of the closed hospital may cause undue financial distress to surviving hospitals in its system.

While the Authority is empowered to issue bonds under the HATP, it is not involved in making the decision on whether or not a hospital can close its acute care services. That decision is made at the Department of Health and Senior Services through the Certificate of Need process. In this case, the Commissioner has approved the Certificate of Need Request to close acute care services at Muhlenberg Regional Medical Center with numerous conditions that must be met by the JFK Medical Center Obligated Group and the Solaris Health System.

Under the Internal Revenue Code, a public hearing is required when tax exempt bonds are issued to benefit non-governmental entities. As such, the Authority is conducting this hearing to provide an opportunity for the public to comment on the proposed issuance of tax-exempt bonds for this project.

Bill McLaughlin then introduced Richard Smith – Senior Vice President and Chief Financial Officer from JFK Medical Center Obligated Group (“JFK”).

He stated that staff has been working on a financing for the benefit of JFK under the HATP. The elimination of acute-care services at the Muhlenberg Regional Medical Center (“Muhlenberg”) meets the eligibility requirements for using the Program. The Treasurer has approved entering into a contract with the Authority, which will provide the security for a bond issue approximating $169 million. JFK will enter into a loan agreement with the Authority, which provides the covenants under which JFK agrees to pay the debt service on the bonds.

He noted that a request for a Certificate of Need to terminate acute-care services at Muhlenberg was filed and a Certificate of Need was granted for the closure on July 29, 2008.

The proceeds of the financing will be used to: refund the Authority’s Variable Rate Composite Program - JFK Medical Center Project Series 2005 A-3; refund the Authority’s Variable Rate Composite Program – Community Hospital Group Series 2003 A-1; refund the Authority’s Muhlenberg Regional Medical Center Issue, Series 2000; refund the Authority’s JFK Medical Center/Hartwyck at Oak Tree Obligated Group Issue, Series 1998; refund the Authority’s JFK Health Systems Obligated Group Issue, Series 1995; refund the Authority’s JFK Health Systems Obligated Group Issue, Series 1993; fund capital improvements at the JFK Medical Center related to the closure of Muhlenberg; fund capitalized interest; and pay related costs of issuance.

Given that the working group worked to finalize documents over the past week, the documents provided in the mailing package to the Members had been adjusted. Specifically, the Bond Resolution has been updated to reflect the following changes:

Specific authorization for staff to solicit and purchase advertising to support this transaction, if necessary;

Contingencies related to interest rates and underwriter discount;

Expanded redemption provisions that include a “make whole” premium; and,

(added by Mr. Hancock) Additional limitations on the disbursement of funds related to the new money proceeds.

He then asked bond counsel to present the Bond Resolution.

NJHCFFA October 23, 2008 Meeting Minutes p. 7

Saturday, January 20, 2018

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