Comments on: Tulare hospital board approves RFP, faces financial hurdles

By: frustrated

frustrated — Wed, 30 May 2018 14:59:49 +0000

It’s been a very costly year with the investigation by the DA. Nothing has come up. The DA is doing this for show until the election. He is going to drag out the investigation until November, and will not show that he was not able to uncover anything to look good. I don’t thin anyone on their right mind want to further invest in this hospital, especially HCCA. They have not been paid either.

By: Barbara

Barbara — Mon, 28 May 2018 23:25:29 +0000

In reply to tularepatriot.

If you have verifiable proof that Nunes has been actually trying to assist in our hospital problem then by all means offer up that verifiable proof. I have no problem with being corrected by verifiable facts. If I’ve got it wrong then please show me. That said “tularepatriot”, it really isn’t necessary to shoot down the messenger just because you don’t like the message. After all we can all respectfully disagree.

By: Friend in Porterville

Friend in Porterville — Mon, 28 May 2018 21:38:58 +0000

Blame is unending, it is time to stop fixing blame and fix the problem
– You have 35 M in debts.
-You need 25 M to open inpatient facilities.
By 2030 you will need to raze present structures and build a $100 M plus seismic compliant building. It takes 7-10 years to accomplish it.
– For all healthcare districts and systems , inpatient is “loss leader” and they survive on ancillaries eg. Lab, Imaging, ER, Therapies, Dialysis, Outpatient surgery, Cancer treatment, Clinics, urgent cares, medical office leases, wound care, women’s health etc.
Most barely scrape by with 1-3 percent operating margin.
-Inpatient services require full specialty services.
– Hospital based groups eg Anesthesia, ER, Hospitalists, Intensivist, all require subsidies from hospital specially in our area with poor pay mix.
-Nearly all private pay citizens are established with Visalia area PCP’s and specialists.
-Nearly all physicians have offices or admit to Kaweah, which has become a powerhouse with a very forward thinking leadership, its Foundation and ties with managed care entities.
– Tulare district has been stripped clean with a series of shysters-Doctors, Lawyers, Administrators, Managers.
– There will be any outside “white knights’- State, CRMC or Adventists and if one comes, they will redirect all services to their advantage and not Tulare.
These are observations, everyone is entitled to their opinions.
To me, looking in from outside only long term viable option is to quit this obsession with Inpatient facility and work with local parties to develop thriving local ancillaries and arrange inpatient care at other local hospitals for residents

By: tularepatriot

tularepatriot — Mon, 28 May 2018 19:20:41 +0000

In reply to Barbara.

I didnt say that I was indebted. Im simply saying “Lets try to be open minded and fair” . Of course that is a difficult challenge for anyone who is foaming at the mouth as you are. All emotion, no thought. How do you KNOW that Nunes hasnt been trying to help us with our hospital problem. HOW DO YOU KNOW THAT. Do you work in Nunes office.? HOW DO YOU KNOW! All you KNOW is that you hate Trump.

By: frustrated

frustrated — Sun, 27 May 2018 23:28:54 +0000

These board members should be put into question, especially Northcraft and Jamaica. Since 2016, they saw this entire thing going down and instigated the bad publicity to get the hospital to lose members and credibility and income. I am at a total loss for what these board members are trying to do. They are incurring more debt with who they are hiring while the hospital is closed. If the hospital doesn’t reopen by the end of October, there is no chance of reopening this hospital. Even the state doesn’t want to invest in this fiasco! I don’t blame them. I have to agree with EH, while the dentist has a few good points, she’s a dentist. What does she know about running a hospital? Everyone involved here is pretending to know what they are doing. These board members should do all that they can to get the hospital to reopen. It is so much more costly and difficult to close and then to reopen the hospital. Why didn’t they just negotiated to end the contract with HCCA than going through the bankruptcy route to kick out HCCA? Why did they hire another management company that is even more costly and is completely incompetent? They should have approved of the loan last year when the hospital was open to pay debts while trying to reconfigure and negotiate with HCCA to end its contract? No one is going to give them a loan now with a bankrupt hospital.

By: Tulr 1153

Tulr 1153 — Sun, 27 May 2018 17:56:22 +0000

Well, well, well, let the circular firing squad continue and at the end of the day you’ll be millions of dollars in debt and no hospital to show for it.

By: EH

EH — Sun, 27 May 2018 02:36:30 +0000

Of course the credibility of HFS /Wipfli should be questioned, after all they had a consulting contract with the District while HCCA was managing. That’s what these folks do. They all know each other in the consulting world. They are getting paid more than HCCA while the hospital is closed. Shouldn’t there be outrage on that? Then you put out a fast RFP timeline when you have already stated two entities, Adventist and CMC have already assisted and been onsite. That is no process and clearly a conflict. Those management yahoos are taking you for a ride, don’t kid yourself, a deal has already been discussed and done and The Board just keeps going along.. no transparency, closed hospital, 500 unemployed and they keep listening to a person who’s healthcare company claimed BK, yet spouts about fiscal issues, a local dentist, riding on the coat tails of her father, what does she know about hospital management?? Geez when are you people going to wake up and stop making the same mistakes over and over? And you think you deserve a 22m bailout after you voted down a bond?? No I don’t think the rest of the State feels you are owed for your continued lack of oversight, leadership, and history of poor decisions on management.

By: Barbara

Barbara — Sat, 26 May 2018 03:08:55 +0000

In reply to tulare patriot.

Interesting ……… You must be the one in a million that has benefitted from the Nunes Office. “joe average”…” the one little piece of Tulare County that Nunes did not forget” ? Such a understated way to describe yourself. And now you will always be indebted to Nunes and his office? Really? Well now, perhaps the amazing Nunes Office can sweep into Tulare and single handedly save our hospital. We all know just how powerful the IRS is and if they (the Nunes Office) have that kind of clout and pull then saving our hospital will be like taking a walk in the park for the Nunes Office. 🙂

By: J

Sat, 26 May 2018 02:27:43 +0000

In reply to frustrated.

So they had to sell the meds. Didn’t Norcraft disagree with the sale?

By: tulare patriot

tulare patriot — Sat, 26 May 2018 01:13:21 +0000

In reply to Barbara.

Barbara, . Blitz might be telling the truth about Nunes. Nunes office helped me greatly with my problems with the IRS. Believe me, I am just “joe average” but I was amazed at how much effort his office made to help me. I will always be indebted to Nunes and his office. They made the IRS call off their dogs. I am one little piece of Tulare county that Nunes did not forget.