501a Shell Game at Glen Rose Medical Center -Doctor Salaries (Sep 2016)


501a Shell Game at Glen Rose Medical Center -Doctor Salaries (Sep 2016)

24 September 2016 at 2:50:21 PM

I went to record the budget meeting on Sep 20 2016 and have a real issue with some of the ways the budget is presented. Overall, it appears to me that the budget is not a tied down and bow-tie wrapped entity but that certain elements, including the rent, can be shown in various ways or under different accounts. There were a number of items that appeared one way or were not broken out in detail, this is one of them. Readers know I have long felt that the 501a allowed for abuses of money accountability, including, as I have long talked about, a slush fund situation with the contracts. The 501a or Glen Rose Healthcare Inc exists as a one-off way to employ doctors, but the doctors salaries, etc are included in.... the Somervell County Hospital District budget. As Ray Reynolds said in September 2014, the 501a exists to provide shortfall (OSA) money to doctors. If that is the only purpose or, let's say, the sole purpose, and since the doctors salaries are paid by the hospital district, etc, (here's from 2015) then the next logical conclusion would be, does it matter how or where the 501a financial information appears within the Somervell County Hospital District budget? Here's what Ray Reynolds said at the meeting. For some reason, when it comes to 501a, he calls the money *allocations* as if that makes the money different. 

Rough Transcript
Reynolds: Certainly we provide services to the 501a, we provide accounting services, we do their payroll, and maybe I do some things too but that is an allocation .. how do you want to handle it? If you're really wanting the, I guess, the 501a to only absorb direct expenses, fine, we'll move it back to the hospital but it's not going to change the consolidated bottom line at all, just moving from one to the other. Our thoughts have been we would treat the 501a as if they were an independent practice and allocate expenses out to them. It really doesn't matter to us... we want to improve the look, I mean, there's $137.000 right there that we can move back and that'll get us closer to the ... What's the philosophy behind employing physicians and the deal is you employ physicians so they generate hospital revenue and we've gone back and looked at all of our employed positions and we got their gross and their net revenue ... the big number is the 3.791 million, revenue generated by our employed physicians last year and that's a pretty big number ... somewhat equivalent to cash because we have all the discounts and allowances ... the real hard question is are you willing to accept a 353,000 loss knowing what you know .. Our position is that is a significant improvement over 2016 annualized, both of that came out of physicians compenstations, we recognize that but also a fair amount of that is coming from increased revenue that we've budgeted for the positions. 
What about those *allocations* which seems to be the word Ray Reynolds uses for putting money in one part of the budget versus another. (THEY ARE ALL PART OF THE BUDGET THAT THE SOMERVELL COUNTY HOSPITAL DISTRICT IS APPROVING) 
Rough transcript
Reynolds We talked a little about allocations. There is $135,000 of allocations from the hospital to the 501a, primarily me and Becky and Ladonna for services that we provide. The other is the rent 
(I didn't put the full discussion on rent but it's an example of money being put in one way or another and very fluidly shown)
Putting a fine point on this. WHO IS paying for the doctor salaries. Somervell County taxpayers are. From Somervell County Hospital District.  Period. Heck, hospitals in Texas now CAN directly employ physicians, don't have to use a 501a. Reynolds has said before the 501a just there to give out extra money beyond the salaries, (which are pretty hefty for some doctors)   do taxpayers here still agree with that? 
Incidentally, reminder that despite Steven Vacek's pretty words, it isn't like HE's taking any type of salary cut.  AND WHY IS HE ON THE SOMERVELL COUNTY HOSPITAL DISTRICT BOARD??????? He is breaking the law by being on there  He said himself he is an employed physician.

Pecan Clinic Revenues (Hood County) No longer broken out in Glen Rose Medical Center budget





Permalink Tags:          
     Views: 1157 
Latest Blog Post by salon -Paul Harper wins again at Texas Supreme Court -Anti-Slapp -TCPA
More Posts You Might Enjoy
Paul Harper wins again at Texas Supreme Court -Anti-Slapp -TCPA
What's Going on with the Turk v Ray Reynolds and Somervell County Hospital District Lawsuit? (Glen Rose Medical Center)
Turk v Somervell County Hospital District/Ray Reynolds Case Going to TRIAL in September 2018
Ruminations of the Easily Amused for 1/12/2018-Trump is a Racist

 You! Leave a Comment! You Know you Want To!
You must be a registered member to comment on the blog.
Your first post is held pending approval to make sure you're not a spammer bot

 Not registered? Or you can login!

LOGON - Name:Password:

New poster comments are moderated, meaning they won't show up until approved... or not.  Be patient-we have lives outside this blog, so it might take awhile You want to be rude? totally stupid? inappropriate? Racist? Bigoted? Flame war baiter? Your post may be deleted. Spammers or people posting pretend interest comments but really wanting to hawk their latest book or sell stuff or govt propaganda flacks won't see their posts published. Comments do not necessarily reflect the viewpoint of the site owner(salon).
If you have a problem with logging in or registering, please speak up right away. Love your comments. Oh, except spammers
More on commenting

Click Here for Main Page

Latest Posts

Paul Harper wins again at Texas Supreme Court -Anti-Slapp -TCPA
salon 1/2/2019

Trump Lies
salon 12/14/2018

Trump-Adderall Snorting Speed Freak?
salon 12/14/2018

Hat Trick Criminal Wednesday- Michael Cohen sentenced, David Pecker admission and NY State AG investigation
salon 12/12/2018

What do you get when you merge a Liar with a Grifter with a Fear-Mongerer?
salon 10/30/2018

Terrorist Attacks on (Mostly) Public Officials-Some Sicko wants to murder people
salon 10/25/2018

More Blog Headlines


salon > Hi, Peter. Long time no hear. The theme of my post, above, is about religous people who believe that god put trump in office. Do you have a specific opinion on that?  On your general comme.... (What is WRONG with ANY Religion that believes a god put a man like Trump in power)

pstern > What a nation of lost souls we have. Determined people are doing whatever they want...which is to create chaos and to bring down our government. While our government is a mess, it's still the b.... (What is WRONG with ANY Religion that believes a god put a man like Trump in power)

salon > From the Dallas Observer in 2015 Prestonwood Baptist Church and its supporters have never liked talking about the convicted pedophile who once worked there and have let that be known in very pointe.... (Prestonwood Baptist Church in Dallas Back in the News-Internet Sex Sting with Pastor)

salon > Saw this video today   (Pesky Black Buzzards)

Home | Blog Home | About | News | Piazza | Calendar | Audio/Video/Open Rec | Search
Write!  |profile | quotes |
top Daily | top Weekly |top Month | top Year | Top All! | archives | subscribe RSS