Deanne Johnson

6th generation Texan now living in Dixie. World’s worst fitted sheet folder🥇

[Deanne Johnson @DeanneJohnson7]

@GaryScotianNS My avatar pup crossed the rainbow bridge 3 weeks ago. How can a 6.5 pounder leave such a huge hole in my heart? Ugh. But I’m already rethinking “I can’t go through this again.”

[Deanne Johnson @DeanneJohnson7]

@LoseYourself24 @MinzMamie @thedailybeast @natebargatze She already bought the tickets🫠

[Deanne Johnson @DeanneJohnson7]

@the_iceman64 @LADowd

[Deanne Johnson @DeanneJohnson7]

@EverythingsLog @BrandonStraka To get me to unfollow him…mission accomplished✔️

[Tevin Macharia Mukabana @TevinMacharia]

The story of Jesus Christ with the Two Fish and Five Loaves that he used to feed 5000 Men ,I hope someone can get this .

There is a mystery many believers overlook, yet Jesus Christ demonstrated it so clearly.
When there were two fish and five loaves, it looked insignificant in the hands of men… but in the hands of Jesus, it became more than enough to feed thousands.
The disciples were worried. They were calculating lack. They were seeing impossibility.
But Jesus asked a powerful question:
“What do you have?”
Not what is missing.
Not what is insufficient.
But what is available.
This is where many of us miss it.
We wake up thinking: “I don’t have enough money…”
“I don’t have rent…”
“I don’t have connections…”
“I don’t have opportunities…”
But heaven is not moved by what you lack.
Heaven responds to what you present.
God will never ask you for what you don’t have.
He will always ask, “What is in your hand?”
That small business…
That skill…
That little income…
That connection…
That idea…
That strength you still have…
That is your starting point.
The mistake is this: we keep complaining about the little, instead of committing the little.
And here is the deeper mystery—
Before multiplication happened, Jesus did something powerful:
He gave thanks.
Not after the miracle.
Not after abundance came.
But in the middle of insufficiency.
This is the formula of the Kingdom: Gratitude before multiplication.
Many people pray like this: “God, I don’t have rent… I don’t have money… I don’t have this…”
But in this Kingdom, we don’t approach God from a place of lack—we approach Him from a place of thanksgiving.
The Bible says: “Enter His gates with thanksgiving and His courts with praise.”
Thanksgiving is not just a reaction.
It is a spiritual key.
It is your access code.
It is your alignment.
It is your declaration that God is still faithful even when things don’t look like it.
When you give thanks, you are saying: “Lord, I may not have everything I want, but I recognize that what I have came from You… and it is enough for You to work with.”
And that is when multiplication begins.
Because God does not multiply complaints.
He multiplies what is surrendered with gratitude.
So instead of worrying today…
Pause and ask yourself:
What do I have?
Then lift it up to God with a grateful heart.
Thank Him for the food you have.
Thank Him for the roof you have.
Thank Him for the strength you have.
Thank Him for the life you have.
Because when gratitude rises, lack loses its voice.
You may have little—but with God, little is never small.
And just like Jesus showed us,
what you place in His hands with thanksgiving…
He will multiply beyond your imagination.

[Deanne Johnson @DeanneJohnson7]

@mattvanswol Then reading this will really make you steam…such a corrupt, broken system:

https://t.co/X9xBj0UL6f

[Peter Girnus 🦅 @gothburz]

I am Sam Hazen, CEO of HCA Healthcare. The largest for-profit hospital system in the United States.

One hundred and eighty-two hospitals. Twenty states.

I oversee a spreadsheet called the chargemaster. It has 42,000 line items. Each line item is a price. The prices are not real.

I need to be precise about that. They are not estimates. Not approximations. Not market rates. They are anchors. An anchor is a number you set high so that every negotiated discount feels like a victory. No relationship to cost. No relationship to value. A relationship to leverage.

My team sets the anchors. That is the job.

The price is correct.

Take a drug. Keytruda. Immunotherapy. Treats sixteen types of cancer. The manufacturer charges approximately $11,000 per dose. That is the acquisition cost. What the hospital pays.

My team enters it into the chargemaster. They do not enter $11,000. They enter $43,000.

That is the gross charge. The gross charge is a fiction. No one pays it. No one is expected to pay it. The gross charge exists so that when Blue Cross negotiates a 68% discount, they pay $13,760, and the contract says "68% discount" and both parties feel the transaction was rigorous.

A 68% discount on a fictional price produces a real price that is 25% above acquisition cost. That margin is where I live. My 2025 compensation was $26.5 million. Eighty percent of my bonus is tied to EBITDA. Earnings Before Interest, Taxes, Depreciation, and Amortization. It is also earnings before the patient opens the bill.

Same dose of Keytruda at the hospital across town. Gross charge: $12,000. Blue Cross rate: $10,200. Same drug. Same dose. Same needle. Same cancer. Different spreadsheet.

The CMS transparency data showed the ratio between the highest and lowest negotiated price for the same drug at the same hospital can reach 2,347 to one. Not 2x. Not 10x. Not 100x. Two thousand three hundred and forty-seven to one. For the same thing. In the same building. On the same Tuesday.

The price is correct.

Every drug in the chargemaster has twelve prices. Twelve.

Gross charge. Medicare rate. Medicaid rate. Blue Cross. Aetna. Cigna. UnitedHealth. Humana. Workers' comp. Tricare. Auto insurance.

And the self-pay rate.

The self-pay rate is for the person without insurance. It is the gross charge. The fictional number. The anchor. The person without insurance pays the number that was designed to be negotiated down from. They pay the ceiling because they have no one to negotiate on their behalf. Same drug. Same chair. Same nurse. They pay the price that no insurer in the country would accept.

I maintain a file. CDM line item 637-4892-PKB. Saline flush. Sodium chloride 0.9%. Acquisition cost: $0.47. We charge $87. That is an 18,410% markup.

The saline flush is used before and after every IV infusion. A chemo patient receiving twelve cycles will be charged $87 for saline fourteen times per visit. I know the math. My team built the math. The math is the job.

The price is correct.

In 2021, the federal government required hospitals to publish their prices. The Hospital Price Transparency Rule. Machine-readable file. Gross charges. Discounted cash prices. Payer-specific negotiated rates.

We complied. We posted the file.

The file is a 9,400-row CSV on our website under "Patient Financial Resources." Four clicks from the homepage. Column F: "CDM_GROSS_CHG." Column J: "DERV_PAYERID_NEGRATE." My team designed the column headers. They designed them to comply. They did not design them to communicate.

CMS reported 93% of hospitals now post a file. Compliance. But only 62% of the posted data is usable. That gap is where we operate. We are compliant. The data is published. The data is incomprehensible.

A researcher downloaded our file. She spent three weeks cleaning it. She called the billing department for clarification on 340 line items. They transferred her four times. The fourth transfer was to a voicemail box that was full.

She published her analysis anyway. Cardiac catheterization lab charges: $8,200 to $71,000 for the same procedure depending on the payer. The report received eleven views on our press monitoring dashboard. I saw it. I did not forward it.

On April 1, a new CMS rule takes effect. Hospital CEOs must personally attest — by name, encoded in the machine-readable file — that the pricing data is "true, accurate, and complete."

My name. Sam Hazen. In the file. Attesting that 42,000 fictional anchors are true, accurate, and complete. They are complete. I will give them that. Forty-two thousand line items is nothing if not complete.

A new analyst read the transparency data. She asked why the same MRI costs $450 for Medicare and $4,200 for Aetna in the same building on the same machine.

I told her the rates reflect negotiated contractual agreements between the payer and the facility. She said that doesn't explain the difference. I told her the difference IS the contractual agreement. She said that sounds like the price is arbitrary.

I told her the price is the result of a rigorous, multi-variable analysis that accounts for acuity, case mix, regional market dynamics, and payer contract terms. She asked if I could show her the analysis.

I told her the analysis is proprietary.

The analysis does not exist. The analysis is my team, in Q4, adjusting the chargemaster upward by the percentage the CFO wrote on a sticky note. The sticky note this year said "6-8%." They chose 7.4% because it is between six and eight and it has a decimal, which makes it look calculated.

She stopped asking.

The price is correct.

My insurance. The executive health plan. Not in the chargemaster. Administered separately.

I do not pay the gross charge. I do not pay the negotiated rate. I pay a $20 copay for services at our own facilities. Gross charge for my treatment: $14,200. Insured rate for our largest commercial payer: $8,600. I pay $20.

The executive health plan was designed by the Chief Human Resources Officer and approved by the compensation committee. I was not on the compensation committee. I was a beneficiary of it. That is a different thing.

I benefit from the system I price. I price the system I benefit from. These are two separate facts that happen to involve the same person.

HCA Healthcare was named the Most Admired Company in our industry by Fortune magazine for the twelfth consecutive year. That was February. The same month I sold $21.5 million in company stock and purchased zero shares. Fortune did not ask about the chargemaster.

I am Sam Hazen, CEO of HCA Healthcare. I have 42,000 prices in a spreadsheet across 182 hospitals. None of them are real. All of them are charged.

Same drug: $12,000 or $43,000. Depends on which spreadsheet. Which building. Which contract. Which page of which PDF.

The patient who has no contract pays the most. The researcher who found the discrepancy got a voicemail box that was full. The analyst who asked why stopped asking. The executive who prices the system pays $20.

On April 1, I will personally attest that this is true, accurate, and complete.

The price is correct. The price has always been correct. I am the price.

[Deanne Johnson @DeanneJohnson7]

@SaltyGoat17 @Sassafrass_84 Alabama’s passage of HB41 makes 1st degree rape, 1st degree sodomy, or sexual torture of a child younger than 12 a capital offense, punishable by death or life in prison without the possibility of parole.

[Deanne Johnson @DeanneJohnson7]

@eMJayIRL Get recordings of conversations with her in these last precious days. I wish I had more than a couple of voicemails from my Mom💓May God grant your family peace in this time of transition.

[Deanne Johnson @DeanneJohnson7]

@actualjmarsh @rcb05

[MAZE @mazemoore]

Another absolutely heartbreaking story of a woman being torn from her family and disappeared by ICE.

Warning, this one is really sad.

Pulled over for speeding, no criminal past. Five children and a husband at home. Disappeared. Deported. A broken family left behind.

You know why you haven't heard about this story? Because it happened under Obama.

Imagine if this happened under Trump. Imagine how many Democrats would fly to Mexico to find this woman and exploit her story.

[Kate @kate_p45]

Good morning, X. Never forget that 29 Senate Republicans voted in secret to make @LeaderJohnThune Senate Majority leader.

Senator John Thune voted "NAY" to codifying DOGE cuts to the bogus foreign aid.

Thune and a bunch of other Republicans decided they will continue to support democrats stealing billions from the American taxpayer.
Congress has forgotten who they serve.

cc:@SenateGOP @tedcruz @SenMullin @StephenM @elonmusk @SenMikeLee @JDVance @KatieBrittforAL

[Deanne Johnson @DeanneJohnson7]

@texasbbqisbest1 @ClayTravis

[Deanne Johnson @DeanneJohnson7]

@JP89312928 @ChefGruel We have the same question…a low “slow roast” and just 10 minutes in a 325° oven don’t really compute. Doesn’t look like we are going to get an answer, though.

[Deanne Johnson @DeanneJohnson7]

@adellarumpella @LRHN_Cash Not sure, but could be this house fire that killed two adults and three children: https://t.co/cDY22tIBxZ

[Deanne Johnson @DeanneJohnson7]

@TheKellenMond Lewis Smith Lake, Alabama📍

[Deanne Johnson @DeanneJohnson7]

@Matt_Pinner

[Deanne Johnson @DeanneJohnson7]

@PeterBurnsESPN Texas A&M was established in 1876, little brother came along 7 years later. Until the 1960’s, A&M was all male and participation in the Corps of Cadets was mandatory. Definitely made for difficult recruitment for football players, and so yes, the series results are lopsided.

[Deanne Johnson @DeanneJohnson7]

@Susieqbeme @ApplewoodFarms_ @scottwestacre Sue, tomorrow evening is supposed to be better. Look at the northern horizon through your phone camera w/out flash, and check frequently over the course of the evening. Never thought I would see them in Alabama, but this is the 3rd time since May 2024.

[Deanne Johnson @DeanneJohnson7]

@JarheadFrog Nope, I wanted nothing to do with t.u. Texas A&M class of ‘86.

[Deanne Johnson @DeanneJohnson7]

@TexitDarling @HEB What a great SIL you are! Currently driving back to Alabama with 3 HEB’s worth of Texas Pecan.