This book follows CEO of Little Falls Hospital Ed, son of a beloved doctor, his social media crazed wife, and his young son.

Ed is burnt out, and a greedy corporation wants to take over his hospital, but at what cost?

3/5 stars

A darkly intriguing novel that takes a satirical look at our American healthcare system. The author’s portrayal of the hospital environment is both realistic and exaggerated. An interesting read.
Many thanks to the author and to Netgalley for providing me with a galley in exchange for my honest opinion.

thank you to netgalley for the advanced reading copy. I really enjoyed this and will be getting copies for my shop.

Amazing book!
I was thoroughly engaged throughout this book and I didn't want to put it down! The author captured my attention from the get go! Five stars from me :)

I'm being generous with the stars because this book kept reminding me of later Westlake, particularly The Ax, where someone eliminates his own competition for a job by putting an ad out with his own qualifications and killing the applicants. This story is a satire on hospital care and corporate greed, and it really hits home in these times. A hospital CEO figures out that his hospital's bottom line is particularly affected by a handful of patients and sets out to rectify the situation. I couldn't figure out if I sympathized with him or not, especially with such a terrible family, even as he took special care of his failing, aged mother. Even though I felt conflicted, I also enjoyed myself for the ride. Thanks to NetGalley for letting me read this

A very satirical story on the healthcare system. The main character is the CEO of the hospital and is trying to figure out how to make it profitable again. When one day he gets the idea from a coworker about how frequent flyers of the hospital are costing them so much money. The story goes through his ideas on how to get rid of these people.

Edward Tweak is CEO of a failing hospital. He never really wanted his job it just fell into his lap. He begins doing weird and odd things.. The hospital gets bought out and he eventually gets the quiet life he wants. In today’s world it is east to get off track

Thank you Netgalley for this ARC
A look into the world of healthcare. The story was slow but became interesting halfway through. A great mix of characters but likeable and frustrating,.

You’re the CEO of a failing hospital, a larger medical group has shown interest to take over but they want to see that the hospital is worth taking over.

What can you do to make the little hospital of Little Falls seem worthwhile. That’s it, kill off the patients who cost the hospital the most…

Will this work?

I did enjoy the this book and loved the storyline, I liked that there small chapter but the book may have been slightly longer than needed to be but overall a good read.

The twist at the end had me a little surprised.

I received a complimentary copy of this book via Netgalley. Opinions expressed in this review are my own opinions.

I'll admit I did not finish the book as it was very slow for my liking. I kept reading to reach the murder section, but it's chapter 5, and nada. The story seems like it could be interesting if the observations weren't so drawn up

If you're looking for a quick read with a unique storyline then look no further. Unfortunately, I couldn’t get invested in the author’s writing style or the characters so this book was personally not for me.

CEO of a financially failing hospital decides to take matters into his own hands by murdering some regular service users. Full of plot twists and shocks.

I loved this book! Really enjoyed the plot and execution of it. Took a while to get goi g and I didn’t find the characters particularly likeable, but overall a good read.

Arc review
- a mixed bag!
Enjoyable at times, frustrating at others. I enjoyed the second half of the book more than the first.
Although it has an interesting cast of characters most are quite insufferable to read about!

I thought this book did a great job of setting the scene and introducing us to the (admittedly awful) cast of characters, but I found it quite hard to get excited or enthralled by the story.
The description sounded intriguing, and ultimately it was as described but disappointing as I was hoping for more! I couldn't quite connect with the main character, Ed, whose exploits walked the line between shocking and humorous, falling into the 'not so funny' area a little too often to call him 'morally grey'. I kept hoping for some redemption or glimmer of reason, but I felt like I lost my way along with Ed.

On the positive side, this wasn't awful and I can appreciate the satire I believe Werner was aiming for. The shortish chapters at least kept it moving, and I can see this appealing to any CEO or health worker fending off their own intrusive thoughts.

Thanks to NetGalley for the ARC.

The book shows the fact that man and system are connected. Through one the other is mirrored. An interesting and creative story.

Little Falls from Will Werner is a darky entertaining, intriguing novel about seeking alternatives, dumb luck and moving on.
Ed Teak is the CEO for Little Falls Hospital. He considers he is burnt out, hopeful of finally getting fired from his job and self-medicating on Prozac, which he gets from Dr Wills, a Doctor at the hospital who has taken on the role of surrogate father to Ed, upon the death of his father.
John Tate is a legend within Little Falls Hospital; a man who is revered in an almost God like manner, who lead the team of Doctors at the Hospital during the halcyon years when Little Falls was booming, growing rapidly to encompass the ever expanding population.
Ed is very different. All he wants is a peaceful life far from the Hospital, anything resembling germs, blood and other bodily fluids, people who always want something and being expected to be the savior of a failing enterprise.
Instead of getting fired, there seems to be a the very real possibly of a private concern, Aspen Health, taking over the rapidly sinking ship of Little Falls Hospital. The Chairman of the Board wants Ed to try and improve the bottom line so the figures look at least better than despairing.
Looking at the Finances of the hospital in a desperate hope to find a solution, he notices something, several somethings, he considers could make a massive difference, if only they were no longer there! Perhaps, there is a way forward and hopefully get a decent financial handshake on the way out the door,
As Ed’s carefully constructed plot unfolds, it seems that Ed, for all of his failings, walks on the side of the angels as he sets out, in person, to right wrongs, correct the bottom line and remain unscathed. That is until things begin to go wrong, very wrong and a rethink is required.
Not a fast paced story Little Falls becomes in its very descriptive manner almost addictive, as Ed moves from crisis to crisis, gaining confidence, but in the meantime terrified of what he has set in motion. Where will it all end and will this be enough to make the very real changes that he hopes will be his way out of a place he truly does not like!
Little Falls looks at mental health, the burden that family can sometimes place on their children and the road we could maybe all travel when hope seems to be in short supply in very real, wry and most enjoyable manner.

This book is about the CEO of a failing hospital and his idea at how to 'fix' his problems.
I really enjoyed this book! It had a dark and twisted plot, but had funny moments throughout. As a person who works in the medical field, it was refreshing to read about the complexity and problem that is the U.S. healthcare system. I think this book can be enjoyed by anyone who enjoys satire as it pokes fun of the world we live in today, as well as working in healthcare.

This was a hilarious book with memorable and larger-than-life characters. I couldn't put it down, it was really a breath of fresh air. and something a little different. I would definitely recommend this book.

Mmm - I have mixed feelings. I enjoyed the read (and finding out how he would kill all the patients), but I didn’t like the main character much so I didn’t find myself rooting for him to succeed. Also the reveal at the end felt a bit strange to me. It felt a bit unnecessary.
Overall, it was a quick and easy read.

Not a book I'd get overly excited about but it is readable.

The storyline follows Ed Teak, son of a beloved doctor, husband to a media obsessed wife, father to one smart child and one struggling with authority, ADHD and schoolwork. Ed is also the CEO of Little Falls Hospital. Its not a job he loves but (apart from the patients and their icky illnesses) he's good at it.

However on the horizon is Modern Healthcare who take over failing hospitals, apply jiggery pokery algorithms and turn it around. They also usually offer existing CEOs a fine golden handshake. Ed wants out, Sam wants a pool and all that's standing in their way is some very high maintenance patients who bounce back with alarming regularity, costing the hospital a fortune and who may well scupper the deal.

With this in mind Ed begins to plan a way forward but will he have the guts to go through with it?

The story is okay and does pick up in the second half. Some editing of the first half would be better as it does tend to meander a little. None of the characters is particularly likeable (or memorable) but Ed does love hos mum so whatever he gets up to, he is most definitely not all bad. I would also say that the end really surprised me.

Thanks to Netgalley for the advance review copy.