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	<title>Comments on: Emergency Board Meeting Called After Fiscal Spiral at Tulare Regional Medical Center</title>
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	<link>https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/</link>
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		<title>By: Teresa</title>
		<link>https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10540</link>
		<dc:creator>Teresa</dc:creator>
		<pubDate>Tue, 03 Oct 2017 21:24:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.ourvalleyvoice.com/?p=23380#comment-10540</guid>
		<description>In reply to &lt;a href=&quot;https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10539&quot;&gt;Teresa&lt;/a&gt;.

And for the record, I was recording the ENTIRE BOARD MEETING , for staff that wasn&#039;t able to attend, to watch, and I NEVER said that &quot;he should sit down, that doesn&#039;t matter&quot; . What I did say, was it was VERY long and many people may not understand all the information given. It was overload, for some community members. The Bankruptcy attorney was more brief. 

This is very important to the Tulare community to save our hospital!</description>
		<content:encoded><![CDATA[<p>In reply to <a href="https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10539">Teresa</a>.</p>
<p>And for the record, I was recording the ENTIRE BOARD MEETING , for staff that wasn&#8217;t able to attend, to watch, and I NEVER said that &#8220;he should sit down, that doesn&#8217;t matter&#8221; . What I did say, was it was VERY long and many people may not understand all the information given. It was overload, for some community members. The Bankruptcy attorney was more brief. </p>
<p>This is very important to the Tulare community to save our hospital!</p>
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		<title>By: Teresa</title>
		<link>https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10539</link>
		<dc:creator>Teresa</dc:creator>
		<pubDate>Tue, 03 Oct 2017 21:18:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.ourvalleyvoice.com/?p=23380#comment-10539</guid>
		<description>In reply to &lt;a href=&quot;https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10466&quot;&gt;Deanne&#039;s Martin-Soares&lt;/a&gt;.

Deanne,
If you are being fully honest and transparent, then the truth is that their has been negative comments BOTH sides. I have never made excuses for things I&#039;ve said or done. I even have apologized publicly for things I&#039;ve said. Feeding into the derogatory comments and blatant negative statements about the staff, our care and friends of this community and those who serve it, isn&#039;t something I tolerate.  I should ignore the ignorant comments from some, but It&#039;s not in my personality to sit back and hear such harsh things that has been said time and time again on your Citizens site and do nothing. 

I have always maintained my support for the positive direction of the hospital. You can&#039;t deny that since 2012, some Drs in this town have been sending their patients elsewhere. A hospital needs patients to survive. Period. We swore an oath to serve the patients that need us, and I have no intention of going against that oath. It&#039;s hypocrital when you say it doesn&#039;t happen from Citizens for Hospital Accountability .  The little &quot;jabs&quot; that came from our current Board Chair, Kevin Northcraft, at the Board meeting on Friday that got cheers from his supporters. The condescending behavior  continues , yet you say you support the staff. Northcraft and Citizens never even gave HCCA a chance. The whole trajectory of their mission was to get HCCA out from day one. Don&#039;t deny it. 

I continue to pray for the success for our hospital, and that all staff get to maintain their jobs to serve Tulare.</description>
		<content:encoded><![CDATA[<p>In reply to <a href="https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10466">Deanne&#8217;s Martin-Soares</a>.</p>
<p>Deanne,<br />
If you are being fully honest and transparent, then the truth is that their has been negative comments BOTH sides. I have never made excuses for things I&#8217;ve said or done. I even have apologized publicly for things I&#8217;ve said. Feeding into the derogatory comments and blatant negative statements about the staff, our care and friends of this community and those who serve it, isn&#8217;t something I tolerate.  I should ignore the ignorant comments from some, but It&#8217;s not in my personality to sit back and hear such harsh things that has been said time and time again on your Citizens site and do nothing. </p>
<p>I have always maintained my support for the positive direction of the hospital. You can&#8217;t deny that since 2012, some Drs in this town have been sending their patients elsewhere. A hospital needs patients to survive. Period. We swore an oath to serve the patients that need us, and I have no intention of going against that oath. It&#8217;s hypocrital when you say it doesn&#8217;t happen from Citizens for Hospital Accountability .  The little &#8220;jabs&#8221; that came from our current Board Chair, Kevin Northcraft, at the Board meeting on Friday that got cheers from his supporters. The condescending behavior  continues , yet you say you support the staff. Northcraft and Citizens never even gave HCCA a chance. The whole trajectory of their mission was to get HCCA out from day one. Don&#8217;t deny it. </p>
<p>I continue to pray for the success for our hospital, and that all staff get to maintain their jobs to serve Tulare.</p>
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		<title>By: SDe</title>
		<link>https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10498</link>
		<dc:creator>SDe</dc:creator>
		<pubDate>Sun, 01 Oct 2017 15:24:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.ourvalleyvoice.com/?p=23380#comment-10498</guid>
		<description>In reply to &lt;a href=&quot;https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10446&quot;&gt;Dr D.&lt;/a&gt;.

Dr. D
HCCA did not even exist at the time contract was signed.</description>
		<content:encoded><![CDATA[<p>In reply to <a href="https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10446">Dr D.</a>.</p>
<p>Dr. D<br />
HCCA did not even exist at the time contract was signed.</p>
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		<title>By: Deanne's Martin-Soares</title>
		<link>https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10466</link>
		<dc:creator>Deanne's Martin-Soares</dc:creator>
		<pubDate>Sat, 30 Sep 2017 22:42:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.ourvalleyvoice.com/?p=23380#comment-10466</guid>
		<description>In reply to &lt;a href=&quot;https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10449&quot;&gt;Teresa&lt;/a&gt;.

I was told that while the attorney was presenting all the documentation about the communication with Dr. B and his attorneys that you said he should just sit down and why did that matter. It matters because your CEO has been lying to you and for a long time. He never gave the board loan options and he won&#039;t give requested financial data. He wouldn&#039;t even give them the CDHP report, they had to request directly. They weren&#039;t even told HCCA wasn&#039;t going to make payroll the very next day after a board meeting. 

I won&#039;t call you brainwashed but I will say you are not looking at this with an open mind. You have chosen to believe falsehoods and not only that you have been extremely vocal in a negative way about the Citizens group that has tried to bring these issues to light. Your behavior and comments are well documented in video as recent as just a few days ago in the employee meetings. I wouldn&#039;t exactly describe it as positive. Your behavior is poisonous to other employees that might like to look at this with an open mind.</description>
		<content:encoded><![CDATA[<p>In reply to <a href="https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10449">Teresa</a>.</p>
<p>I was told that while the attorney was presenting all the documentation about the communication with Dr. B and his attorneys that you said he should just sit down and why did that matter. It matters because your CEO has been lying to you and for a long time. He never gave the board loan options and he won&#8217;t give requested financial data. He wouldn&#8217;t even give them the CDHP report, they had to request directly. They weren&#8217;t even told HCCA wasn&#8217;t going to make payroll the very next day after a board meeting. </p>
<p>I won&#8217;t call you brainwashed but I will say you are not looking at this with an open mind. You have chosen to believe falsehoods and not only that you have been extremely vocal in a negative way about the Citizens group that has tried to bring these issues to light. Your behavior and comments are well documented in video as recent as just a few days ago in the employee meetings. I wouldn&#8217;t exactly describe it as positive. Your behavior is poisonous to other employees that might like to look at this with an open mind.</p>
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		<title>By: Teresa</title>
		<link>https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10449</link>
		<dc:creator>Teresa</dc:creator>
		<pubDate>Sat, 30 Sep 2017 16:59:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.ourvalleyvoice.com/?p=23380#comment-10449</guid>
		<description>In reply to &lt;a href=&quot;https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10390&quot;&gt;grandma of 8&lt;/a&gt;.

I&#039;m not brainwashed. I&#039;m trying to stay positive for our hospital. I&#039;ve never waivered on where I stand. I am a loyal employee for our Tulare hospital, which we need for our community. I stay because I care for my patients. I didn&#039;t become a nurse for the paycheck. I showed up on Friday to serve my patients, even though I didn&#039;t know when I&#039;d get paid.  I&#039;ve never compromised the care of ANY patient I&#039;ve cared for. If anyone wants to challenge that , or post ridiculous accusations hiding behind social media , that&#039;s cowardly. I will talk to anyone FACE TO FACE any day of the week. You know where I work.</description>
		<content:encoded><![CDATA[<p>In reply to <a href="https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10390">grandma of 8</a>.</p>
<p>I&#8217;m not brainwashed. I&#8217;m trying to stay positive for our hospital. I&#8217;ve never waivered on where I stand. I am a loyal employee for our Tulare hospital, which we need for our community. I stay because I care for my patients. I didn&#8217;t become a nurse for the paycheck. I showed up on Friday to serve my patients, even though I didn&#8217;t know when I&#8217;d get paid.  I&#8217;ve never compromised the care of ANY patient I&#8217;ve cared for. If anyone wants to challenge that , or post ridiculous accusations hiding behind social media , that&#8217;s cowardly. I will talk to anyone FACE TO FACE any day of the week. You know where I work.</p>
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		<title>By: Employee 2</title>
		<link>https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10448</link>
		<dc:creator>Employee 2</dc:creator>
		<pubDate>Sat, 30 Sep 2017 16:37:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.ourvalleyvoice.com/?p=23380#comment-10448</guid>
		<description>Chapter 9 bankruptcy does not make the HCCA employees TRMC employees. Benny can send everyone home tomorrow and there isn&#039;t anything the board can do about that. I do wish the new board the best but it is going to be a long, hard and painfull road ahead to fix all this. So much damage has already been done to the hospital, its finances, its reputation and its relationships with suppliers, doctors and community.</description>
		<content:encoded><![CDATA[<p>Chapter 9 bankruptcy does not make the HCCA employees TRMC employees. Benny can send everyone home tomorrow and there isn&#8217;t anything the board can do about that. I do wish the new board the best but it is going to be a long, hard and painfull road ahead to fix all this. So much damage has already been done to the hospital, its finances, its reputation and its relationships with suppliers, doctors and community.</p>
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		<title>By: Dr D.</title>
		<link>https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10446</link>
		<dc:creator>Dr D.</dc:creator>
		<pubDate>Sat, 30 Sep 2017 16:30:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.ourvalleyvoice.com/?p=23380#comment-10446</guid>
		<description>Generally speaking, when a company is hired for management, services provided include direction of day to day operations and strategic planning as well as accounting which means that all salaries for these services including executives, secretaries, accountants, bookkeepers are paid for with contract dollars. Even equipment and office supplies solely related to those functions should be included. The company should also pay rent for infrastructure utilized, management related legal fees, and business liability insurance.  If a physician and hospital enter into an agreement in which the doctor uses a hospital owned office, they must pay fair market value or both parties could face federal prosecution.  Hospitals will hire outside independent consulting firms to verify the numbers to avoid infringement of kickback laws. Some of the cost items could be negotiated but, given that this was a no risk contract, there needs to be checks and balances to ensure cost effective performance.  By including  all of these expenses in the contract, the district would at least know that this part of the overhead would be carefully monitored.  Certainly, some incentives for profit would be reasonable though there needs to be diligent board and medical staff oversight to ensure that critical medical care expenditures are not being short cut for profit incentives. There would be obvious conflicts of interest if this were not the case.  Some of the articles have mentioned high salaries for the executives which will only be relevant if these were paid outside of the management contract. If the contract signed did not mandate these expenses as included within the contract then  the board members who approved it are either ignorant or corrupt. It is always difficult when a for profit entity takes over a non-profit medical center and given the animosity between the HCCA principals and the rest of the medical staff, it was a really a poor decision for the board to approve this company and doomed to failure.</description>
		<content:encoded><![CDATA[<p>Generally speaking, when a company is hired for management, services provided include direction of day to day operations and strategic planning as well as accounting which means that all salaries for these services including executives, secretaries, accountants, bookkeepers are paid for with contract dollars. Even equipment and office supplies solely related to those functions should be included. The company should also pay rent for infrastructure utilized, management related legal fees, and business liability insurance.  If a physician and hospital enter into an agreement in which the doctor uses a hospital owned office, they must pay fair market value or both parties could face federal prosecution.  Hospitals will hire outside independent consulting firms to verify the numbers to avoid infringement of kickback laws. Some of the cost items could be negotiated but, given that this was a no risk contract, there needs to be checks and balances to ensure cost effective performance.  By including  all of these expenses in the contract, the district would at least know that this part of the overhead would be carefully monitored.  Certainly, some incentives for profit would be reasonable though there needs to be diligent board and medical staff oversight to ensure that critical medical care expenditures are not being short cut for profit incentives. There would be obvious conflicts of interest if this were not the case.  Some of the articles have mentioned high salaries for the executives which will only be relevant if these were paid outside of the management contract. If the contract signed did not mandate these expenses as included within the contract then  the board members who approved it are either ignorant or corrupt. It is always difficult when a for profit entity takes over a non-profit medical center and given the animosity between the HCCA principals and the rest of the medical staff, it was a really a poor decision for the board to approve this company and doomed to failure.</p>
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		<title>By: Barbara</title>
		<link>https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10445</link>
		<dc:creator>Barbara</dc:creator>
		<pubDate>Sat, 30 Sep 2017 16:22:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.ourvalleyvoice.com/?p=23380#comment-10445</guid>
		<description>In reply to &lt;a href=&quot;https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10429&quot;&gt;Tony Maldonado&lt;/a&gt;.

Probably Benzeevi has been using TRMC to bankroll Southern Inyo&#039;s Chapter 9 case. That is more than likely what happened to our hospital funds. He robs from Peter to pay Paul.....Benzeevi, the master of a shell game.</description>
		<content:encoded><![CDATA[<p>In reply to <a href="https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10429">Tony Maldonado</a>.</p>
<p>Probably Benzeevi has been using TRMC to bankroll Southern Inyo&#8217;s Chapter 9 case. That is more than likely what happened to our hospital funds. He robs from Peter to pay Paul&#8230;..Benzeevi, the master of a shell game.</p>
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		<title>By: Tulare Regional Medical Center to Undergo Chapter 9 Bankruptcy - Valley Voice</title>
		<link>https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10434</link>
		<dc:creator>Tulare Regional Medical Center to Undergo Chapter 9 Bankruptcy - Valley Voice</dc:creator>
		<pubDate>Sat, 30 Sep 2017 10:33:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.ourvalleyvoice.com/?p=23380#comment-10434</guid>
		<description>[&#8230;] deeper: read more about Friday&#8217;s all-hands employee meeting, Thursday&#8217;s chaos, and the board&#8217;s early [&#8230;]</description>
		<content:encoded><![CDATA[<p>[&#8230;] deeper: read more about Friday&#8217;s all-hands employee meeting, Thursday&#8217;s chaos, and the board&#8217;s early [&#8230;]</p>
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		<title>By: Tulare Regional Medical Center to Undergo Chapter 9 Bankruptcy - Valley Voice</title>
		<link>https://www.ourvalleyvoice.com/2017/09/29/emergency-board-meeting-called-fiscal-spiral-tulare-regional-medical-center/#comment-10432</link>
		<dc:creator>Tulare Regional Medical Center to Undergo Chapter 9 Bankruptcy - Valley Voice</dc:creator>
		<pubDate>Sat, 30 Sep 2017 10:30:11 +0000</pubDate>
		<guid isPermaLink="false">http://www.ourvalleyvoice.com/?p=23380#comment-10432</guid>
		<description>[&#8230;] deeper: read more about Friday&#8217;s meeting, Thursday&#8217;s chaos, and the board&#8217;s early [&#8230;]</description>
		<content:encoded><![CDATA[<p>[&#8230;] deeper: read more about Friday&#8217;s meeting, Thursday&#8217;s chaos, and the board&#8217;s early [&#8230;]</p>
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