The Millionaire Doctors Club

April 4, 2014
Back to TopCommentsE-mailPrintBookmark and Share

Note: This post has been updated with 2012 compensation data from Franciscan Alliance. The original version of this post used 2011 data from Franciscan, because the 2012 data was not available. -- J.K. Wall

After I wrote last month about the profits at central Indiana hospitals, some hospital executives said those figures were overstated, in no small part because of the losses hospitals have suffered from their employed physicians.

Those losses are real—and they're spectacular.

Using data from fiscal year 2012, the same year I examined when looking at hospital profits, Indiana University Health's employed-physician practices lost $95 million, Community Physician Network's lost $103 million and the St. Vincent Medical Group's lost $104 million. The fourth major hospital system operating in Indianapolis, Franciscan Alliance, does not break out financial results for its employed physicians.

Some of these losses are due to accounting. For instance, patient visits to primary care physicians don't bring in much money in themselves, but often a primary care visit is the first step in a process that leads to highly lucrative imaging services, lab tests or even surgery. Texas-based Merritt Hawkins estimates that referrals from primary care physicians generate an average of $1.57 million in annual revenue for hospitals.

Some hospitals give their primary care physicians credit for those referrals in their accounting, and some do not.

For specialists, the average revenue generated is $1.42 million, but neurosurgeons, heart sureons and orthopedic surgeons each generate more than $2 million annually, on average, for hospitals. The most productive surgeons generate even more money for their hospitals, and are often paid accordingly.

Some of the physician losses are due to declines in productvity that typically occur when physicians go from being independent to being salaried. Some studies have estimated this producitvity drop at 25 percent.

But that said, the simplest reason hospitals are losing money on physician practices is that they're paying very handsome compensation to the doctors, particularly specialists. Physician pay went up sharply, starting in about 2008, when hospital systems started vigorously competing to employ their most valuable surgical specialists.

It seems that the highest bidder has often been Community Health Network. When you look at the numbers below, note that Community, which is the smallest of the four major hospital systems operating in Indianapolis, accounts for nine of the 13 millionaire physicians. That's startling.

1. Tahir Ali Naqvi, Community, oncology: $2,811,150
2. Deepak Guttikonda, Community, vascular surgery: $1,724,843
3. Preetham Jetty, Community, cardiology: $1,527,389
4. John Cummings, Community, neurosurgery: $1,489,776
5. Jeffrey Pierson, Franciscan, orthopedics: $1,426,424
6. RoseMarie Jones, Community, bariatric surgery: $1,410,323
7. David Hall, Community, neurosurgery: $1,365,146
8. Louis Metzman, Franciscan, orthopedics: $1,228,798
9. Jill Donaldson, Community, neurosurgery: $1,219,719
10. Krishna Malineni, Community, cardiology: $1,186,111
11. Ed Harlamert, IU Health, cardiology: $1,033,912
12. Dipen Maun, Franciscan, colorectal surgeon, $1,028,911
13. Michael Robertson, Community, cardiology: $1,005,580

In addition to that, I found three dozen physicians receiving at least $500,000 in compensation in the 2012 fiscal year. You can see them below:

1. Nadeem Ikhlaque, Franciscan, oncology : $993,953
2. Ramarao Yeleti, Community, cardiology: $968,581
3. James Lingeman, IU Health, urology: $950,903
4. Charles Hughes, Franciscan, plastic surgery: $937,639
5. Deon Vigilance, IU Health, thoracic surgery: $923,515
6. Russell Dilley, Community, vascular surgery: $918,701
7. Kenneth Stone, IU Health, cardiothoracic surgery: $887,252
8. Michael Kaveney, St. Vincent, orthopedics: $821,929
9. Sami Assar, IU Health, cardiology: $820,652
10. Joseph Hubbard, IU Health, orthopedics: $817,555
11. Blair MacPHail, IU Health, cardiology: $817,102
12. Lawrence Klein, IU Health, cardiology: $817,030
13. Michael Ball, St. Vincent, cardiology: $811,454
14. Ryan Loyd, IU Health, anesthesiology: $787,293
15. James Sumners, St. Vincent, maternal-fetal medicine: $770,034
16. Marvin Vollmer, Community, sleep medicine: $764,888
17. Hany Haddad, Community, sleep medicine: $758,980
18. Art Coffey, IU Health, thoracic surgery: $747,816
19. Jeffrey Morgan, St. Vincent, gastroenterology: $745,486
20. Nighat Tahir, Community, rheumatology: $732,061
21. Frank Covington, Community, psychiatry: $705,073
22. Waqar Aziz-Chaudry, St. Vincent, orthopedics: $703,040
23. Adil Keskin, IU Health, sleep medicine: $697,781
24. Cheng Du, IU Health, neurology: $693,217
25. Peter Seymour, IU Health, orthopedics: $676,357
26. Stephen Henson, IU Health, head and neck surgery: $654,554
27. William Didelot, St. Vincent, pediatric orthopedics: $637,356
28. Joseph Bellflower, St. Vincent, pediatric orthopedics: $636,629
29. Sabah Butty, IU Health, radiology: $614,262
30. Ronald Steele, IU Health, urology: $604,007
31. Susan Maisel, St. Vincent, pediatric gastroenterology: $597,814
32. Gianvita Salerno, IU Health, radiology: $562,866
33. Heath Spence, St. Vincent, anesthesiology: $525,336
34. Jeffrey Ramkaransingh, IU Health, radiology: $524,041
35. Brooks Davis, IU Health, radiology: $505,001
36. Mark Gorrie, IU Health, radiology: $502,270

A couple of notes about these figures. They represent total compensation—salary, bonus, benefits, perks, everything. All data come from the numerous 990 reports the four major not-for-profit hopsital systems file with the Internal Revenue Service. Those reports include compensation information for the 20 highest-paid employees of each legal entity that is part of the hospital system, a fair number of whom are physicians.

Excluded from this list are any physicians whose jobs are primarily administrative, not clinical. For example, I excluded all the chief medical officers of the hospital systems, even if some still see patients a few hours a week.

It should be noted that some of the physicians in this list are no longer with the organizations they worked for in 2012.

I'm highly interested to see if these compensation levels change when we get a peek at 2013 and 2014 data. Many physicians' contracts were set to expire in those years, and at least two hospital CEOs—IU Health's Dan Evans and Franciscan's Kevin Leahy—told me last year that some physicians' pay would have to go down. The financial struggles that hospitals went through last year almost guarantee that.

We'll have to see if the Millionaire Doctors Club expands its membership, or becomes more exclusive than ever.

ADVERTISEMENT
  • Good info
    Keep this for reference
  • Outrageous
    It's outrageous that people's income is broadcast. Who cares what people make. As far as I'm concerned, these doctors are worth every penny. Can you do what they do?
    • To Carl
      Not-for-profit hospitals, like the four mentioned in my post, are exempted from paying income taxes because they provide a public good. In exchange for this very valuable tax break, taxpayers have asked that the hospitals disclose their finances, including what they pay their most highly compensated employees. This does not seem unreasonable to me. If physicians don't want the scrutiny, they could remain in independent practices that pay income taxes--and get to keep their finances to themselves. Also, if you think this is outrageous, wait until next week, when CMS is set to release Medicare data for 880,000 physicians across the country. No one can reasonably expect to derive half his/her income from taxpayers and not at least be transparent to the public.
    • Great Information!
      JK - Excellent response to Carl's comment about publishing income of physicians. Yes, it is difficult to put a dollar value on physicians contributions but some threshold of reasonableness needs to be established. Without transparency it is difficult for the public to understand or at least get some insights into why their health care costs are so high. This is great reference material as well as good material to build on. Please keep up the insightful analyses and reporting; I learn more about health care costs and issues from your articles than I do from most other publications. Now, if we could just get some transparent and comparative costs of medical procedures (hip replacement, appendectomy, MRI, etc.)charged by the various hospitals!
    • so....
      what is your point? The doctor provides an expert service for the hospital and gets compensated for it. The hospitals can't function without these valuable services that doctors provide. What's so outragous about that? Not all the billing revenue comes from public money, and I can assure you that all those doctors pay their fair share in taxes.
    • Misleading Article
      What this article greatly misses the mark on is the other side of the healthcare coin...the costs. It's one thing to state what doctors are bringing in (income), but you're only sharing half the story. What about the costs of doing business...for example, malpractice insurance. Especially those involved in surgical procedures, carry malpractice insurance that carves out a substantial slice of their income. To not include those figures will only feed those who argue that MD's make too much money. I on the other hand, want my surgeon to be financially strong while under his/her knife.
    • dr club
      Hi
    • Physician Revenue
      J.K., this is good information, but the title of "Millionaire Doctors Club" likely resonates as a judgment that a physician should never make this much money, regardless of their training or expertise. It also does not note the number of years and costs that it takes for any of the specialities to be qualified to perform their expertise, whether as a neurosurgeon, orthopedic surgeon, cardiovascular surgeon, anesthesiologist, etc. Additionally, I would assume that the amount of practice insurance that is required to be carried also inflates the salaries, since to not carry these premiums is hardly reasonable....obviously a case for tort reform could be inserted here, especially in light of the many frivolous lawsuits that are with us today. Lastly, it would be great if we could put together the major players in this payment process and see what could be addressed to reduce the costs, while at the same time, not reduce the quality of care, for which the U.S. is #1. Incidentally, another area which could be addressed is the salary of recently graduated pharmacists, where their average pay is over $100,000/year. Not sure our health care system should pay out salaries of this amount, but it is a limited supply vs demand issue.
      • Interesting
        As anyone who follows health economics knows, Americans pay their doctors more than anywhere else in the world...hospitals, too. As a nation we have decided to make a huge transfer of wealth from the public to the medical community. This will not last indefinitely, and, and as health stats show, we do not get our money's worth. Note: I practiced orthopaedic surgery in the 80's--2000's....my malpractice was never more than $25K, the lowest state rates in the country thanks to a very favorable law....interesting as well that productivity falls as MD's become employed. Has their dedication diminished?
      • To RK and Mike
        I think physician compensation is relevant for two reasons: 1) Since it's a nearly undisputed point that health care spending is too high, it's worth knowing where that spending is going, so spending can then be evaluated as to whether it's appropriate or not, too high or too low. 2) Since hospitals blamed their employed physicians for their losses, that makes it a business issue worth exploring. I'm not saying the hospitals are right. There's plenty of evidence to say the losses they're incurring are more than made up for by the additional referrals that employed physicians supply them. But it's an issue that needs to be explored, which I hope my post helps to do. Again, it's funny to me that publicizing the large amounts of money that slosh around in health care are immediately seen as an attack. If it's justified, then no one will think it's an attack. If it's not justified, then the folks in health care should do something about it.
      • Chasing Talent
        These doctors are employees of the hospital systems. Just like the players of the Indianapolis Pacers are employees of Herb Simon. That said, the salaries reflect how badly the various hospitals wanted those particular doctors, just like how bad did the Pacers want Reggie Miller. It's a bidding war.
      • Garbage article
        This article, in my opinion, is garbage written just to be inflammatory.
      • Malpractice Insurance
        These salaries do not include the cost of malpractice once a physician becomes employed. Put another way, physicians "giving" up the autonomy of private practice, are very, very highly rewarded by organizations like Community Health Network. As JK's article proves, Community has taken the lead in raising the cost of health care in central Indiana.
      • Wellpoint Exec Compensation
        Today's Indianapolis Star showed compensation figures for top executives at Wellpoint. The physician compensation figures in this IBJ article are a pittance compared to what Indianapolis' top health insurance executives are paid. Health insurance premiums, deductibles & co-pays continue to soar, reducing disposable income available for other purchases. I'd like to see more health insurance dollars spent on health care, instead of on compensation for insurance executives. Remember the ENORMOUS bonuses that were paid to Anthem executives when the Wellpoint/ Anthem mega-merger was completed years ago? Didn't 15 or more top Anthem/Wellpoint executives each receive eight-digit bonuses that year (i.e., between $11M and $55M per executive) on top of already generous compensation packages? If mega-mergers really produce the huge cost-savings companies promise when seeking regulatory approvals, shouldn't insureds and health care providers enjoy a fair portion of those benefits? Somethin is wrong when hard-working skilled health care providers earn a tiny fraction of what insurance executives do.
      • No(n) sense
        Makes completely no sense. The losses at the physician organizations are included in the annual financials. The physician organizations do not have separate annual reports...they are 100% owned subsidiaries. In other words, the profits are not overstated--they include the losses at the physician organizations. The hospitals have chosen to go on a physician buying spree to ensure adequate patient volumes. Think about this: listed are salaries of Radiologists. Do the hospitals report how much money is made on all the radiologic tests that they perform? Of course not. There is no reason to report the physician losses except to put pressure on physicians to accept lower salaries!
        • MD compensation
          Interesting info JK- thanks. And yet this misses the highest compensated physicians- those who own their own practices. I know MANY physicians who make well over $750k and none are listed here. The CMS data will indeed light up the medical blogs when it comes out and someone goes through it. But in context, this represents only 10-12% of total US HEalthcare costs. Every doctor in America could GIVE their services away and it wouldnt have a meaningful affect on healthcare affordability. At least these providers provide a medical service for the money they are compensated, unlike your insurance company that gets 20-35% of every healthcare dollar (depending on who is doing the accounting) for absolutely nothing of any medical value.
        • To JT
          The issue you're getting at is based on a misunderstanding, I think. The hospital profits I referenced at the top of this post were for each individual hospital, not for the health systems (e.g. St. Vincent Carmel, bot the entire St. Vincent Health system). The financial information about individual hospital campuses came from the State Department of Health. Those reports, at least in most cases, do not include losses from employed physicians, because the hosptial systems account for those separately. Now, when we're talking about entire health systems, then yes, the finances of the employed physicians are included in those totals. Does that make sense now?
          • Whiff
            JK--I typically enjoy your columns. In particular I was appreciative of one in which you wrote how reporting on healthcare has been quite a learning process for you. However, as time passes, you are going to realize that you whiffed on this one. For starters, I should be on this list and am not, so I know that you have incomplete data. Second, I know that some of the compensation listed here very much includes administrative duties. Your list does not exclude physicians whose primary duties are administrative: I guarantee that. Third, my value at Community as a physician is multi-dimensional. Yes, I bring in many dollars annually in professional and technical fees, but I have been a major aid in renegotiating vendor contracts that have saved Community over $10 million (yes Million) in the last three years. So the general premise of your argument is incorrect. Community has been aggressive in engaging physicians who are committed, smart, efficient and operationally savvy. We physicians at Community reduce the cost of healthcare by working in partnership with Administration. We are serving Indiana as Stewards of Resources and as Clinical Physicians. Keep up your good work, but please, as a good doc would do, make sure you have good data first. Chad Bonhomme, MD Human Telemetry, Inc. Director of Cardiac Electrophysiology And proud member of Community Health Network
            • How much do you make JK Wall?
              J K Wall, please share with us how much you made last year since you believe publicizing these individuals personal information is ok. Regardless of the fact that this information is public, I do not believe you woud enjoy someone plastering your personal information on a website. The IBJ is becoming a socialist propaganda journal.
              • What's your conclusion?
                JK, I don't necessarily disagree that healthcare is more expensive than it should be, but I could say that about a number of things/services. You say this is "an issue that needs to be explored" and "large amounts of money that slosh around in health care are immediately seen as an attack". It definitely comes across that you are saying that this level of physician compensation is inappropriate, otherwise why would you phrase it like this, why do you believe that? How much money should an MD make?
                • Insurance
                  Nice article JK. Question: do employed Doc pay malpractice insurance, or is this a function taken over by the hospital? I have read this, among other issues (i.e., running a small business, vacation time), was driving today's physicians to the employ of large health groups.
                  • To Dr. Bonhomme
                    Thank you for your thoughtful response. First, you are correct that my data is incomplete. There are certainly physicians whose level of pay may not be in the top 20 of the legal entity for which he/she works, or whose pay is actually split up into multiple legal entities, so that it never rises to a level at which it must be reported for any of those entities. That is a quirk of the reporting requirements that I can't do anything about. Second, perhaps my list does include physicians who have more administrative duties than clinical ones. But I tried to exclude physicians who are essentially corporation executives, because their high salaries were not part of the recent physician bidding war. SOme docs, such as Ram Yeleti at Community, I know do have significant administrative duties. By Dr. Yeleti also became employed by Community in the recent physician buying spree; so I included him in my list. If there is a physician who you know should not be on this list because he/she is really a health system executive, and spends very little time seeing patients, I'm happy to edit my list. Lastly, and I'll address this in my next response to other readers, I am not saying physicians do not deserve these pay packages. What I am saying is that these pay packages are higher because of the physician buying spree and that they may not be sustainable going forward.
                  • To Dr Obama
                    You ask very good questions. Thank you for that. Why do I write in a somewhat derogatory way about the money in health care? Because this is a massive, $2.5 trillion industry that likes to pretend it's poor. I think it's partly my job to expose that myth. Also, this is an industry that admits it is inefficient and wasteful. It's part of my job to show where the money is going in health care, not to declare it wasteful, but to in some small way help health care practitioners and policymakers find and eliminate that waste. That's how most industries work--information on prices (whether for medical services or labor or something else) should provide a signal to competitors about where there is opportunity to provide a similar service at a more competitive rate. This price signaling doesn't happen very well in health care, because price information is so obscured by reimbursement formulas, regulations and cross-subsidies. But to the extent price information can be made public, I think it can only help consumers, competitors and policy makers to make more informed decisions about health care. Lastly, I AM NOT saying that this level of physician compensation is inappropriate. What I am suggesting is that it may not be sustainable. I have no idea what a physician should be paid, other than to say, a lot of money. If physicians are not paid a lot of money, then medicine will no longer attract the best and brightest minds to make a multi-year sacrifice of their time to get the proper training. If physicians are not paid a lot, they may not put in the 55-60-hour work weeks that most of the physicians on my listed were reported as working on the IRS forms. But what the precise definition of "a lot" is, I have no idea. The tax code defines "a lot" as $200,000 per year, since that's where the highest income tax bracket starts. But that's not a lot in the world of medicine. If doctors can earn $5 million a year while making all of us healthier and not bankrupting us in the process, then I'd be happy to pay every doctor $5 million. In the meantime, I think my readers should know what doctors are being paid right now--and should have some sense of why the hospitals, at least, think that might be too high.
                    • To Greg p
                      I already disclosed my pay, in this post two months ago: http://www.ibj.com/the-dose-2014-01-23-my-own-obamacare-math-says-small-employers-will-indeed-drop-coverage/PARAMS/post/45766. I hope that satisfies your curiosity. Aside from that, I am interested in why you think my post is "socialist propaganda."
                    • To Betrn'u
                      I'm not sure this is true in every case, but I think most hospitals pay for their employed docs' malpractice insurance. (Can someone please correct me if this is wrong?) Offloading that cost, as well as the cost of purchasing and implementing electronic medical record systems, was a big driver pushing physicians into hospitals' arms. Stagnant or even declining reimbursement rates for some specialists was another factor.
                    • Socialist Propaganda?
                      In an economy as shot through with subsidies and other forms of market interference as ours is, I don't even know what "socialism" means anymore, unless it's "normal state of affairs". It didn't start with Obama, it won't end with him or whoever follows him, Republican or Democrat, it hasn't yet destroyed the country, and seems unlikely to do so anytime in the reasonable future. "Socialist" has become just another meaningless epithet, like "Fascist", thrown around by folks who are unnaturally prone to hysteria. Yawn.
                    • Thanks
                      JK, thanks for the follow up, it helped clarify your thoughts, just a couple of responses. I think you would agree that these salaries for the applicable speciality are probably the exception, not typical. Hospitals deal with market trends (for established M.D.'s) as does any business, they don't just arbitrarily decide to pay at these levels. Also, if a physician is a good clinician, a good people manager and business person and also performs administrative/leadership roles, you could compare that to a 7+ foot basketball player that can bring the ball up the court and hit 3's. Your comment that this could "provide a signal to competitors about where there is opportunity to provide a similar service at a more competitive rate" may work in some industries but healthcare is more complicated. To come into a market as a new medical provider, set up a practice, establish referral relationships and get admitting privlidges is not an easy process, not like manufacturing widgits. Lastly, relative to your point that "Because this is a massive, $2.5 trillion industry that likes to pretend it's poor. I think it's partly my job to expose that myth". I belive most people would tend to agree with your perspective. However, many of those same people probably also believe that efforts to reduce costs will (or should) have no impact on the delivery of services over time, that is pretty naive. A big reason for the current level of cost is access. Short of using the "r" word,(rationing) access to care is the other significant variable here. Today in the US a person who say needs a hip replacement can probably talk with their primary care M.D., get referred to an Orthopod, get an x-ray/scan then go through surgery in less than 2 months. In a recent conversation with a Candian resident it would go something like this there. Easy to get into their primary care M.D., 3 to 6 months for an Ortho referral, if a scan of some type is needed another 3 to 6 months, another 3 to 6 months to get back into the Ortho's office, 6 to 9 momths to get on the surgery schedule. Maybe they were exaggerating but you get the point. No easy answers, think most people agree a change is needed, just need to acknowledge the full impact.
                    • Medicaid comparison
                      I wonder what impression this leaves for the general reader as to the average compensation of the generalist. Will they not have an inflated impression over reality? I believe it would have been appropriate to have included a comparison to the rate received for a specific service that the average reader could understand. It might be revealing for your readers if they understood that the Medicaid pay for doing a vaginal delivery (code 59409) is $657.63. By that pay, a single obstetrician would need to deliver 4275 babies by them self each year to equal your highest earner (Dr. Tahir Ali Naqui). That number is greater than the total number of babies born at Community Hospital South, Community Hospital East, Hancock County Hospital, Johnson Memorial Hospital, and Clarion West last year. The number of doctors on staff to accomplish those deliveries totaled approximately 51. Your readers might also find interesting to compare at the same time the historical cost of delivery. In 1895 the fee charged by a midwife in Baltimore was $25.00 which by inflation was equal to $694.44 in today's dollars. In 1953 the fee charged in Dayton, Ohio was $75.00 which by inflation equals $659.50. The only real difference has been not the change in the doctors government payment but the change in overhead which has gone up with malpractice insurance coverage fees of often greater than $50,000 per year and the fact that in 1895 there was no income tax allowing the midwife was to take nearly her entire fee home to her family.
                    • Really?
                      Do you believe that Pharmacists - who have doctorate degrees and work 3rd shift at retail outlets in our state with the highest incidence of armed robberies of pharmacies in the nation - and ensure that people on 20 meds from 10 unrelated providers don't have an adverse reaction, don't deserve their salaries??? After reading this article?
                    • distraction
                      Implying physician salaries are a large part of the financial problems with our health care system only confirms you really do not have a complete understanding of costs in a health care system. I understand the hospital systems implicated physician salaries as a source of revenue loss, but it is peculiar to me you haven't explored the ceo salaries of the various healthcare systems in Indiana or the number of executives employed in these systems. Remaining independent is really not as viable of an option as it was 10 years or more ago with the explosion in the complexity of billing and regulation, insurance contracting etc. I believe you have been distracted by the salaries of the highly compensated physicians instead of exploring costs which bring much less value to the patient experience. When was the last time you heard some one exclaim, "Quick, call a hospital administrator we have a medical emergency!" ??
                    • CEO salary
                      Did you happen to ask Mr. Evans about his compensation package for 2013 or 2014 and a comparative if it was going up or down. His salary was reported to be in the range of 4-5 million in 2013.
                    • hospitalkhoj
                      Oftentimes, people who are new to the city struggle hard to locate the top cancer hospitals in Pune in their nearby vicinity, well in this state of affair, Hospitalkhoj can be very functional by offering you the best hospital matching your criteria.
                    • Hospital Infrmation
                      The best part is the team work and integrated healthcare facilities in which there is a reasonable connectivity with all other health care services in the top private hospitals in Hyderabad. One can easily reward of cosmetic surgery as well as a dental procedure under one cover in one go.
                    • Stop adding fuel to the fires of negativity against doctors!
                      "Flo" the Progressive Insurance girl makes $500,000.00 + per year, too. A monkey could do what she does. In fact, a cartoon gecko does it for Geico. She has absolutely no special talent for improving much of anything, as far as I can see, and I'm sure her obscene salary for doing as little as she does drives up the cost of auto insurance. Do you have any problem with her salary? How about athletes and so called entertainers that twerk their flat behinds and stick out their tongues at us on national television while playing with their crotches? How well do they benefit mankind for the enormous salaries they make? You remind me of a patient of ours who once got angry over having to pay a $35 co-pay in our office. She threw her last bank statement on our biller's desk and demanded to know how in the world she was supposed to afford such a co-payment on a quarterly basis. (She has a chronic disease process.) He noted that she spent over $1500.00 at fast food restaurants that month and her Walmart bill after two weeks was higher than the doctor's take home salary after taxes that month. ... I will say this, though, our doctor's gross salary isn't even half of the lowest paid doctor on the staff of this hospital, and he is actually a published professional.

                    Post a comment to this blog

                    COMMENTS POLICY
                    We reserve the right to remove any post that we feel is obscene, profane, vulgar, racist, sexually explicit, abusive, or hateful.
                     
                    You are legally responsible for what you post and your anonymity is not guaranteed.
                     
                    Posts that insult, defame, threaten, harass or abuse other readers or people mentioned in IBJ editorial content are also subject to removal. Please respect the privacy of individuals and refrain from posting personal information.
                     
                    No solicitations, spamming or advertisements are allowed. Readers may post links to other informational websites that are relevant to the topic at hand, but please do not link to objectionable material.
                     
                    We may remove messages that are unrelated to the topic, encourage illegal activity, use all capital letters or are unreadable.
                     

                    Messages that are flagged by readers as objectionable will be reviewed and may or may not be removed. Please do not flag a post simply because you disagree with it.

                    Sponsored by
                    ADVERTISEMENT
                    1. I took Bruce's comments to highlight a glaring issue when it comes to a state's image, and therefore its overall branding. An example is Michigan vs. Indiana. Michigan has done an excellent job of following through on its branding strategy around "Pure Michigan", even down to the detail of the rest stops. Since a state's branding is often targeted to visitors, it makes sense that rest stops, being that point of first impression, should be significant. It is clear that Indiana doesn't care as much about the impression it gives visitors even though our branding as the Crossroads of America does place importance on travel. Bruce's point is quite logical and accurate.

                    2. I appreciated the article. I guess I have become so accustomed to making my "pit stops" at places where I can ALSO get gasoline and something hot to eat, that I hardly even notice public rest stops anymore. That said, I do concur with the rationale that our rest stops (if we are to have them at all) can and should be both fiscally-responsible AND designed to make a positive impression about our state.

                    3. I don't know about the rest of you but I only stop at these places for one reason, and it's not to picnic. I move trucks for dealers and have been to rest areas in most all 48 lower states. Some of ours need upgrading no doubt. Many states rest areas are much worse than ours. In the rest area on I-70 just past Richmond truckers have to hike about a quarter of a mile. When I stop I;m generally in a bit of a hurry. Convenience,not beauty, is a primary concern.

                    4. Community Hospital is the only system to not have layoffs? That is not true. Because I was one of the people who was laid off from East. And all of the LPN's have been laid off. Just because their layoffs were not announced or done all together does not mean people did not lose their jobs. They cherry-picked people from departments one by one. But you add them all up and it's several hundred. And East has had a dramatic drop I in patient beds from 800 to around 125. I know because I worked there for 30 years.

                    5. I have obtained my 6 gallon badge for my donation of A Positive blood. I'm sorry to hear that my donation was nothing but a profit center for the Indiana Blood Center.

                    ADVERTISEMENT