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Part of it at some hospitals such as the one I work at, but mostly to spend on pointless stuff. Such has pep-rally customer service classes(to increase morale and to make employees more loyal to the company(even though they do the opposite)), Cameras so management can watch their employees, New PCs when the previous ones were bought just a year or two ago, Purchasing cheap equipment that cost more down the road and over payed supervisors and managers that really don't do anything other than look over your shoulder ever 5 minutes and make sure you are in compliance with all 100s of things you are suppose to be in compliance with(this doesn't include leagal compliances). Baylor has become rather large, thus has a big bureaucracy prevails soking up a lot of money. Also to many chiefs per indians.

Yes patients not paying their bills is a big problem, but that is the case for most hospitals. Which is partly the reason for numerous fedral and state grants. When I say Baylor are penny pinchers, I don't mean they don't spend money. They don't spend it corrrectly. Most of the medical equipment is old and the staff that uses it are poorly trained. Training opportunities are slim and primarily used for Managers and Directors. Baylor is one of the worst in pay compared to the other local hospitals and allows no overtime, what so ever. Internal lawsuits do to bad policies also cost millions of dollars as well. A lot of problems that will not be resolved unless their is a total change over in the executive office with a new trusting and non paranoid work environment. As you can guess this causing low morale and high turn over. Course if you ask Baylor about the high turn over, they are quick to insert Bagdad Bob in to say there is no turn over, we fixed that long time ago. Most people here have worked only 6 months to a year than leave. There are some people who have lack of ambition who have been here 10-15-20 years. but they are becoming fewer.

I know that a lot of big corporations are like this, but they are not in the business of saving the dieing or curing the sick. They also are not Non-Profit companies that don't have to show if they losing money or gaining money. Thus no accountablility for the executives.

Hospitals are worse as corporations --- you can see a roomful of people discussing QA for two hours --- but no one actually doing it because management often aren't the ones doing any of the work. JACHO and inspections don't help everything because they'll see the documents of the meeting that took place but aren't there watching the way the employees really work.

Yes patients not paying their bills is a big problem, but that is the case for most hospitals.

How big of a problem? Have you got a ballpark percentage of who doesn't pay?

What percentage of ER patients are illegal aliens?

BTW, thank you for the insight into poor hospital management.

I don't mean they don't spend money. They don't spend it corrrectly.

IMO, This style of weak management is hurting the once good reputation of the medical services in general. There is a draught of good leadership in the USA. We are ruled by moral midgets at all levels. And hospitals are no exception.