Documents Show Tulare Hospital Loan Went to Past Due Payments


Documents, provided to the Valley Voice through a Public Records Act request, show that the entirety of the $800,000 loan the Tulare Local Healthcare District (TLHCD) recently approved went to pay off past due invoices to a single supplier–Cardinal Pharmaceuticals.

The loan, approved in September 2016, paid back invoices that were due so far back as November 2015 and as recently as May 2016. The data provided to the Voice totals those past due invoices at $827,922.34.

The revelations come on the heels of good news from Moody’s, a major credit rating agency, which reaffirmed the district’s bond rating and improved its outlook from “negative” to “stable.”

Emails Show Knowledge

Internal district emails provided to the Voice show conversation between Delbert Bryant, the hospital’s controller/compliance officer, and John Thomas, a loan officer at the Bank of the Sierra, regarding the loan.

In a July email, Bryant tells Thomas that the district has been “on this journey” since May 12. The last invoice from Cardinal was due on May 8, 2016.

Later, an August 15 email to Bryant from a Cardinal Health representative asks for an “estimated funding date.” The email was also carbon-copied to Alan Germany, CFO for Healthcare Conglomerate Associates, the company contracted to run the Tulare Regional Medical Center.

Bryant then forwarded the email to Thomas.

“Assuming you get the board resolution on the 25th,” Bryant writes, with Lehmann’s email below the main text, “what do you expect the timing of the funding will be?”

The email conversation shows that Germany and Bryant appeared to know as early as August 15 that the loan was, at least in part, intended to repay Cardinal Pharmaceuticals.

Board Members in the Dark?

Even if certain district officials already had plans for the loan in August, the loan’s purpose appeared to evade members of the board at the September 1 special board meeting in which the board, with Laura Gadke absent, approved the loan.

Board member Linda Wilbourn stated at the meeting that the money, at the time, did not have an intended use.

“This isn’t saying that we’re going to pull out $800,000; we may only need a certain small amount of that to pay a vendor,” she said.

Dr. Parmod Kumar, another TLHCD board member, concurred. He also stated that the board would approve any use of the loan, and that it did not have an intended use.

“If we do spend this money, we will bring that item to the board to be voted by the board to be spent on a particular item,” Kumar said. “This particular resolution, it is just a line of credit, we have done it numerous times, so on those documents, there are no details, we are not cutting a check tomorrow to somebody for this amount.”

Earlier in the meeting, Dr. Benny Benzeevi, CEO of HCCA, stated that the money could be used to get a discount with a vendor.

“Sometimes being able to to pay a larger amount at one time allows us to get a better overall return, in this case a larger discount, and so this specifically would affect our ability to get a larger discount with the vendor by making a payment in one lump sum,” Benzeevi said. “So this would be a loan from the bank to be able to do that so we can get that discount from the vendor.”

No Response

Visalia lawyer Michael Lampe, representing plaintiffs in two lawsuits against the district, revealed the emails at the district’s regularly scheduled October meeting.

“[…] was the board aware of the falsity of those statements when Dr. Kumar falsely represented at the September 1 Board Meeting that, ‘if that check is cut it will be approved by the board, it will come here’ — was the falsity of that statement known to the board at the time,” Lampe asked, “or the alternative, did the board actually meet at a later point in time in a non-agendized meeting to approve that loan to Cardinal Pharmaceuticals? These are questions that I would invite the board either collectively or individually to answer to the public.”

No board member directly addressed the charges during the meeting.

District’s Response

“The real question that should be asked is why are some members of the community trying to viciously and falsely discredit the greatest success Tulare Regional Medical Center has had in its history,” a statement from the hospital to the Voice read.

“Anybody who’s anybody knows that cash flow and profit are two different things.  Any smart business will do what it can to maximize cash flow. The profits of the hospital for the last three years are indisputable. Two audits have already confirmed this and a third one is on the way.  Four total credit rating agency upgrades (FITCH Ratings and Moody’s) specifically mention HCCA as being the cause of the dramatic turnaround and further confirmed it.”

“As for Michael Lampe and his political stunt, all that did was cost taxpayers more money for lawsuits without merit, as evidenced by individuals being named and then removed from the lawsuits. This is exactly the kind of baloney that these people have done before and have obviously not learned their lesson. They are repeating the old ways, which in the past have brought the hospital nothing but failure, disgrace and shame.”

The spreadsheet provided to the Voice detailing the invoices is available for viewing and download below. Additionally, the emails referenced in the article are also available below.


National AccountAccount NumberInvoice DateInvoice NumberInvoice AmountPO NumberInvoice Due Date
401711374111/4/153361777646.60110315MS340B0111/13/15
401711374111/5/15336756242.10103015MS340B0111/13/15
401711566511/6/153374580826.893899811/12/15
401711374111/6/153375601206.55110515MS340B0111/13/15
401711374111/6/153375935147.44110515MS340B0211/13/15
401711841411/7/1533817041,883.87110615MSWAC0111/13/15
401711374111/7/15338089490.92080415MW340B11/13/15
401711374111/7/153381703544.21110615MS340B0111/13/15
401711566511/8/1558310SC9.5711/8/15
401711841411/9/1533878302,876.60SEN-245364511/13/15
401711374111/9/153387828769.60SEN-245364411/13/15
401711374111/9/153387829146.56SEN-245364411/13/15
401711841411/10/1533911122,902.37110915MSWAC0111/20/15
401711374111/10/1533911091,125.24110915MS340B0111/20/15
401711841411/11/153397146705.7011/20/15
401711841411/11/1533983422,275.89111015MSWAC0111/20/15
401711374111/11/15339647661.94SEN-239181811/20/15
401711374111/11/1533971171,428.0911/20/15
401711374111/11/1533983452,015.82111015MS340B0111/20/15
401711566511/12/153405217182.283910711/19/15
401711841411/12/153404148862.9811/20/15
401711841411/12/1534079741,002.70SEN-246058511/20/15
401711841411/12/153407975114.67SEN-246058511/20/15
401711374111/12/15340388846.98110915MS340B0111/20/15
401711374111/12/153407976596.91SEN-246058411/20/15
401711841411/13/15341057876.6111/20/15
401711841411/13/1534111263,451.9211/20/15
401711841411/13/153411714572.07111215MSWAC0111/20/15
401711841411/13/153412116547.5411/20/15
401711374111/13/1534117151,015.62111215MS340B0111/20/15
401711841411/14/15341749549.51SEN-246459211/20/15
401711374111/14/153417493180.12SEN-246459111/20/15
401711374111/14/153417494222.64SEN-246459111/20/15
401711374111/14/1534182551,779.72SEN-246469211/20/15
401711566511/15/1558335SC15.6811/15/15
401711841411/16/15342116319.61SEN-234708811/20/15
401711841411/16/1534215261,788.16111515MSWAC0111/20/15
401711374111/16/153421522894.65111515MS340B0111/20/15
401711566511/17/153425537169.743899811/26/15
401711566511/17/153427247161.993917711/26/15
401711841411/17/153427053384.58111615MSWAC0111/27/15
401711374111/17/153426034165.57111515MS340B0111/27/15
401711374111/17/153426171156.60111215MS340B0111/27/15
401711374111/17/153427052961.03111615MS340B0111/27/15
401711841411/18/1534338992,990.08111715MSWAC0111/27/15
401711374111/18/1534338962,384.13111715MS340B0111/27/15
4017114043611/19/153444313770.44SEN-247284711/26/15
401711841411/19/15344050019.6011/27/15
401711374111/19/15344021055.19111515MS340B0111/27/15
401711374111/19/153444311222.33SEN-247284511/27/15
401711374111/19/153444312128.24SEN-247284511/27/15
4017114043611/20/15344917036.22111915MSGPO0111/26/15
4017114043611/20/153449171852.13111915MSGPO0111/26/15
401711841411/20/153449161219.56111915MSWAC0111/27/15
401711374111/20/153449162987.36111915MS340B0111/27/15
401711566511/21/153454321161.993926511/26/15
401711841411/21/1534550001,678.52SEN-247689211/27/15
401711841411/21/153455014511.0311/27/15
401711566511/22/1558490SC18.5311/22/15
401711841411/23/1534620851,566.9811/27/15
401711841411/24/1534648869,589.0312/4/15
401711841411/24/153464887127.7612/4/15
401711841411/24/153465156263.7912/4/15
401711566511/25/1534704152,032.973931412/3/15
401711841411/25/153469970107.4912/4/15
401711841411/25/1534715873,805.3112/4/15
401711841411/25/15347205211,619.2912/4/15
401711841411/25/153472053630.0212/4/15
401711841411/25/1534752551,770.600422912/4/15
4017114043611/27/1534772921,613.003933212/3/15
401711841411/27/15347946365.6512/4/15
401711841411/27/1534806341,434.0212/4/15
401711841411/27/153480635142.3212/4/15
401711841411/28/1534855851,764.3712/4/15
401711566511/29/1558511SC19.1611/29/15
401711841411/30/15348868110,069.0012/4/15
401711566512/1/153492743371.203936012/10/15
401711841412/1/1534938791,271.7612/11/15
401711841412/1/1534939861,298.2312/11/15
401711841412/1/153493987137.5112/11/15
401711841412/1/153497730442.430423212/11/15
401711841412/1/1534977691,299.450423212/11/15
401711841412/2/153499607431.49110415MSWAC0212/11/15
401711841412/2/153499932161.3612/11/15
401711841412/2/153500644371.2512/11/15
401711841412/2/153500647371.2512/11/15
401711841412/2/1535014237,031.71120115A12/11/15
401711841412/2/153501424592.92120115A12/11/15
401711841412/3/1535084123,298.3512/11/15
401711841412/3/153508413188.7912/11/15
401711841412/4/1535150511,639.1112/11/15
401711841412/4/1535150526.2112/11/15
401711841412/5/15352108912,501.0212/11/15
401711841412/5/153521142500.6912/11/15
401711841412/5/15352114335.5012/11/15
401711374112/5/15352037676.44111515MS340B0112/11/15
401711566512/6/1558707SC20.8712/6/15
401711841412/7/15352426110.8012/11/15
401711841412/7/1535279721,382.2712/11/15
401711841412/8/15352952612.30111715MSWAC0112/18/15
401711841412/8/15353083712,326.0412/18/15
401711841412/8/153530838278.6912/18/15
401711841412/8/153530893348.3312/18/15
401711841412/8/153534236433.150423212/18/15
401711566512/9/153537095773.913951312/17/15
401711841412/9/153537046285.0012/18/15
401711841412/9/1535382204,347.5812/18/15
401711841412/9/1535385622,199.2812/18/15
401711566512/10/153544857742.403952612/17/15
401711841412/10/1535456291,920.3512/18/15
401711841412/10/1535456742,561.0512/18/15
401711841412/11/1535516261,339.5312/18/15
401711841412/11/1535526994,940.5012/18/15
401711841412/11/153552700262.8812/18/15
401711841412/11/1535559041,770.600423512/18/15
401711841412/12/153557486235.9612/18/15
401711841412/12/1535583983,144.2012/18/15
401711841412/12/153558399102.7212/18/15
401711566512/13/1558733SC27.8912/13/15
401711841412/14/1535619824.9412/18/15
401711841412/14/1535621674,028.9912/18/15
401711841412/14/153562187662.9712/18/15
401711841412/15/153566730754.3112/25/15
401711841412/15/1535678141,384.7012/25/15
401711841412/16/1535754489,463.9712/25/15
401711841412/16/15357554614.0412/25/15
401711841412/17/153581342104.1612/25/15
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401711841412/17/153582347173.6012/25/15
401711841412/17/153583160781.3912/25/15
401711841412/17/15358316110.3712/25/15
4017114043612/18/153589125171.9012/24/15
401711566512/18/153588568129.603964612/24/15
401711841412/18/1535899347,822.6412/25/15
401711841412/18/15358993524.2812/25/15
401711841412/18/1535899981,672.4012/25/15
401711566512/19/153595157284.673962612/24/15
401711841412/19/1535957161,439.27121815A12/25/15
401711374112/19/1535951343.15110315MS340B0112/25/15
401711566512/20/1558903SC29.1712/20/15
401711841412/21/15359935921.6012/25/15
401711841412/21/15359984973.71122015A12/25/15
401711841412/21/153599850951.81122015A12/25/15
401711566512/22/1536041101,304.443968712/31/15
401711841412/22/153603462953.821/1/16
401711841412/22/1536058721,456.761/1/16
401711841412/22/153605873403.281/1/16
401711841412/22/153605884105.901/1/16
401711841412/22/1536092811,732.60042401/1/16
401711841412/23/1536135551,581.451/1/16
401711841412/24/1536199291,782.291/1/16
401711841412/24/1536205928,279.901/1/16
401711841412/24/153620763127.471/1/16
401711841412/24/153620784431.701/1/16
401711841412/24/153621382449.831/1/16
401711841412/24/153623326779.051/1/16
401711841412/26/1536272362,413.201/1/16
401711841412/26/153627237141.461/1/16
401711566512/27/1558929SC34.4012/27/15
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40171156655/8/1660878SC108.885/8/16

(Click here to download this spreadsheet as an Excel file)

In Depth: Tulare Regional Medical Center

15 thoughts on “Documents Show Tulare Hospital Loan Went to Past Due Payments

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  1. This board and HCCA has deceived the citizens of the Tulare Health Care District and it is time to get rid of all of them.

  2. Delbert got copy of minutes from that law firm !

    Why do we need an expensive law firm out of our town & our county to work as secretarial assistance for the board?

  3. When Benny Boy campaigned against Kaweah Delta hospital and got their bond defeated, it angered some very well established “old boys” who also happen to be worth several 100 million dollar each.

    Nobody is allowed to mess with the hospital that they use.

    “The Club” is determined to weed out & completely eliminate this “axis of evil” from Tulare county.

    If Parmod Kumar wants to save himself, he must come to the papa and come clean and help them evict HCCA.

    HCCA is his brain-child, he would know how to kill this monster.

  4. This proves that hospital is not profitable and in fact is having to borrow money to stay open.

    At the same time, hospital is paying 4 MILLION dollars every year just to the 3 people on the top – Benny, Alan & Samantha.

    This cannot go on for very long. When these people leave, I bet they will have hospital in so much debt that it will have to declare bankruptcy.

  5. Thank you for the easy to understand report.

    Why so much dishonesty? What is really being hidden? Why did the purchase of drugs begin to triple in December when it doesn’t appear the number of patients grew? Was this gearing up for Southern
    Inyo to come on board with their nursing home?

    How many other vendors are not being and for what amounts?

    It is time for the board to come clean.

    • Southern Inyo Hospital was purchasing medications through Tulare as all vendors for Southern Inyo Hospital were on credit hold. We purchased a lot of medications through Tulare as we had to be up to standards to open our doors! You may want to look into where those medications eventually ended up. Tulare has been providing Southern Inyo Hospital with several things to keep this hospital running. Southern Inyo Hospital can’t afford to order supplies let alone medications.

  6. Benny is in deep dodo because of Kumar.

    Kumar has issues with every other doctor. Kumar has pissed off all of them to the point that they took the drastic action of taking their business elsewhere.
    This caused huge loss of income for the hospital – which – is hurting Benny’s pocket.

    Benny should discard Kumar. Kumar is about to become history anyway. They need only 1000 signatures to recall Kumar. Drs Kamboj, Patel, Kamboj Jr & Betre can get this many patients to sign the petition just from their own practice. There are plenty of people who are willing to go door to door and get signatures for 20-30$ per sign for their time.

    I do not see how anyone can benefit from being seen as Kumar’s friend.

  7. I just saw a local team raised $700,000 for merchandise. $800,000 to pay to keep patients safe seems comparatively a no brainer, unless those charges are outliers compared to other competitors such as OmniCell. By the way, how much does the CEO make? Is the Board paid and how much.

  8. Are they going to pay the remaining $29k balance to Cardinal pharmaceuticals or let it ride to show “profit” for their upcoming fed loans?

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