First, note that this is an IRS tax lien that went against, not Glen Rose Medical Center, but the 501a organization, Glen Rose Healthcare Inc. 

Here's what I don't understand, maybe somebody would like to clarify this in the comments. The doctors make their own money and the 501a, according to both the 501a contract as well as Ray Reynolds saying so (see following video) exists solely to provide operational support to the doctors IF THERE IS A SHORTFALL.

For example, this last month, the new doctor apparently wasn't able to collect all the money he needed, so Reynolds and Honea gave him money out of the 501a account to cover his bills (You understand that this account is simply a buffer IN CASE the hospital decided to OPTIONALLY give money to the doctors for operational expenses). This money is always OPTIONAL, and really, until the board voted to change the contract to remove the accountability a few months ago, required that there be SOME kind of process of proving that the money was needed AND actually spent on what the doctor said he needed it for. Remember that Ray Reynolds said that, even with the contract, he wasn't following the "letter of the law". So the board changed the contract so that he could have it the way he was doing it.

So, in other words, the 501a isn't paying the doctor's salaries, unless it's doing it as a hidden way to use taxpayer money through the terms of a loose, little accountability contract. 

Now here comes a lien. It's on the 501a Healthcare organization, which at least theoretically, although there aren't minutes to be found to prove it, is the DOCTORS and one member from the hospital to manage services. Since the optional money was already put in the budget for the year (and not even one nickel HAS to be spent, you understand), then WHY and HOW did GRMC pay off the lien which included penalties? Someone please explain to me why this has anything at all to do with payroll. I could be wrong, so I'm asking. Seems to me at this juncture that the money would have come from the budgeted amount for 501a which is only supposed to go for operational expenses. I assume, IF THAT IS SO, that the doctors said, Look, we can't pay payroll for the people that work for us in our healthcare practice, and we've incurred this IRS lien, we need you to give us money to pay it off. IF that is so, then the budget for the 501a should be decremented by the amount of the IRS lien. If not, then what account did it come from? Second, this begs the question about why the doctors wouldn't have been able to make their payroll and thus continue operationally. Has anyone looked, since this involves TAXPAYER MONEY, at their stats? 

This is Ray Reynolds talking about the lien.