Clipped that audio segment, a few callouts from this. Below may not be verbatim but my rough notes. Please listen to hear not only the exact wording but tone of voice, etc.
Doesn't see CHS *owning* them.
Wait up, what would that mean? Glen Rose Medical Center would stay as an entity, and then CHS layered on top? Really? This would definitely impact getting someone to lease if you said that you had to have one hospital with a layer of another company under (self-preservation, eh?)
Baylor has the first right of refusal on any deal we make with someone else as part of GRMC's affiliation agreement with them.
Any other groups that might have an interest? CHS, Baylor, THR and maybe Providence Hospital, Hillcrest/Scott and White. Maynard "Didn't Baylor say at that last dinner we had with them, that they're about as far as they can go without ownership?".
Who got a packet on retirement? Are the board members getting retirement?
Maynard: "Ray, do you feel comfortable in moving forward on an informal basis?"
Reynolds: Yes. We have to get this issue resolved one way or the other... We interview a doctor just this past weekend and he came back to us and one of his questions was, hey, I bought a newspaper, tell me what's going on. .. completely changed the management structure of the hospital.... what is it that this group really wants other than not paying for a hospital?
(I guess he missed the parts that don't actually like the management nor people on the board. Also, no one said they don't want to pay for a hospital, the people that signed the petition don't want to pay for a hospital DISTRICT- the petition calls for turning the hospital back over to the county. The county can then decide to do what Reynolds is starting, to find out about other options, including LEASING the hospital premises to another group)
Reynolds. We have to get this resolved and if this means going forward and making the contacts, which none of us are interested in doing, we are willing to do it if that's what needs to happen.
Somebody suggested creating a board to discuss this. Larry Shaw said No, we need to limit this to one board member, wants to get an objective opinion about WHETHER IT"S WORTH THEM MOVING FORWARD, at a later date with an RFP (Request for Proposal)
Oh. So there's the bottleneck.
Reynolds. Attorney said we need to identify the absolute priorities. "Are you interested under these set of circumstances?" Any clinical services or non-clinical services? Physician contracts?
Shaw: From a financial perspective, they need to know are they going to provide income or are they going to pick up the debt service. There's an assumption from a county meeting that "We're not going to absorb your debt". They didn't know how much our debt is. Indigent care, charitable care that public hospitals have an obligation to, private hospitals do not.
Debt? Would that be the 14.4 million bucks that Mike Ford led the charge to illegally vote for when lending money to then private hospital Glen Rose Medical Center? Actually, indigent care is REQUIRED to be set aside by the county, and if a resident goes to a private hospital, the county has to pay it. Also, remember that then appointed hospital authority board refused to act on the non-disclosure agreement that CHS presented.
Maynard. I don't feel there's going to be an offer out there
Well, if you set all the conditions including not allowing a private hospital to OWN you.
Shaw. The average taxpayer doesn't care about the non-clinical side of the hospital. They think any governmental entity has those operations that are necessary. .. Nice thing that you can have certain surgeries done here but it's not incumbent to a deal. .. Will they honor the contracts that exist? ...If I have to have shoulder surgery, I can go somewhere else.
Reynolds. Physicians, will you still practice in Glen Rose, if the surgeries go to Lake Granbury?
Maynard. Commissioners are short sighted and don't realize if they cut this out, the doctors won't be here.
Shaw: Without a district, you lose your hospital. People took it as you're lying.
Maynard. Auditors say to survive, need a local tax base.
And that can sure be an issue of a budget as well. Should the county keep sinking money into a golf course, ampitheatre, expo center, while the 78/22 tax base from CP changes?
Reynolds. CEO at Graham, Young County has talk of rolling back the district.
Shaw: We're talking about a conversation, not an RFP/
Maynard. The one thing they're not going to give us without an RFP is financials.
Shaw: Have heard that question of they're prepared to give us 19 million , let's jsut use that figure. 19 doesn't cover the debt unless you just paid it off, and there's still a quesiton of indigent care and then clinical services, doctors. Consensus with our group that services dictate the doctors. No question that anyone that took us over wouldn't absord the contracts
Doctor -I wouldn't be too sure of that. Our doctors have a pretty good deal, its' not typical, much more requirements on hospitals and physicians than we have.
Shaw: Our doctors here are somewhat unique because of how they see patients in the hospital.
Have heard stories that contest that.
Shaw. The last action at this point was to not have a conversation. We had an action last summer, previously authority board said no
Shaw was on that authority board. We already know he didn't want to do this, but haven't seen his particular vote.
Shaw: Ray and whoever he wants to bring in, board member one at a time, or just our two docs, to develop some criteria, have some discussions.
Ray: Asking me to develop this criteria and bring it back to you? Or move forward and have discussions.
Shaw: It's just a discussion.
Sounds like they are avoiding an RFP.
Reynolds. Will move forward on making appointments with appropriate people.
Shaw: I think I can say that there is no one on this board that wants to make these changes.