All Large Iowa Hospitals Are Driving Down Health Insurance Premium Prices on Insurance Exchange

From a review of audited financial statements in the Electronic Municipal Market Access (EMMA), I found 4 Iowa Non-Profit Hospital Organizations with Net Assets above $400 mil in the most recent year.   

These 4 large Iowa Non-Profit Hospital Organizations generated a Total Operating Income of $131 mil in the most recent year reported, which was an exceptionally modest 2.5% of Total Operating Revenues of $5.175 bil.

There were very modest Operating Income Margins all across the board, with the highest one being only 4.3%.

With all 4 of these large Iowa Non-Profit Hospital Organizations generating Operating Income Margins of 4.3% or below, a key beneficiary of this will be Iowa citizens buying health insurance on the Health Insurance Exchange.  These Iowa Hospitals, for the most part, will not be baking in excessive Hospital profits demands in their negotiations with health insurance companies on pricing for hospital procedures which ultimately determines what insurance premiums are set by health insurance companies on the Health Insurance exchange.

Another factor which will drive down insurance premium prices even more in the health insurance exchange is that Iowa is fully expanding Medicaid.  This will increase Iowa Hospital profits substantially and thus permit Iowa Hospitals to be even more reasonable in their negotiations with health insurance companies on pricing for hospital procedures which ultimately drives what health insurance premiums are set at by health insurers on the Insurance Exchange.

So just how much will Iowa Hospital Profits increase due to the ACA and the Expansion of Medicaid?

Well, these 4 large Iowa Non-Profit Hospital Organization's audited financial statements show it will be huge.

For these 4 large Iowa Non-Profit Hospital Organizations, Total Operating Income was $131 mil in the most recent fiscal year.  Driving down this Total Operating Income were Total Provisions for Bad Debts was $232 mil.  Thus Total Operating Income Before Bad Debt Charges was $363 mil, which was 2.8 times the reported Total operating Income of $131 mil.  In addition, Total Uncompensated Charity Care Costs Incurred was also very large.

Granted not all of these two Earnings Charges will be eliminated with ACA and Medicaid Expansion, but a substantial portion of them will.

Below here are the Audited Operating Income or Loss, Total Operating Revenues and Operating Income (Loss) Margin Percentage in the most recent year for each of these 4 large Iowa Non-Profit Hospital Organizations:

				Operating
		Operating	Total	Income
	City	Income	Operating	(Loss)
	HQs	(Loss)	Revenues	Margin
		mils $s	mils $s	%
Iowa Non-Profit Hospital Organizations
UnityPoint Health	Des Moines	61.4	2,733	2.2%
Univ Iowa Hospitals & Clinics	Iowa City	46.7	1,098	4.3%
Genesis Health	Davenport	17.3	553	3.1%
Mercy Medical Center Iowa	Various*	5.7	792	0.7%
Total all 4		131.1	5,175	2.5%

*Mercy Medical Center has the following major facilities in Iowa: Mason City, Sioux Falls, Dubuque and Clinton.

All Arkansas Hospitals Are Driving Down Health Insurance Premium Prices on Insurance Exchange

From a review of audited financial statements in the Electronic Municipal Market Access (EMMA), I found 10 Arkansas Non-Profit Hospital Organizations with Total Operating Revenues of more than $10 mil in the most recent year.  After excluding the Arkansas Children's Hospital, that leaves 9. 

These 9 Arkansas Non-Profit Hospital Organizations generated a Total Operating Loss of $(15) mil in the most recent year reported, which was a negative (0.9)% of Total Operating Revenues of $1.736 bil.  Baptist Health was the driver of this Total Loss.

There were very modest Operating Income Margins across the board, with the highest one being only 4.6%.

With all of these Arkansas Hospitals generating either Operating Losses or such incredibly low Operating Income Margins, a key beneficiary of this will be Arkansas citizens buying health insurance on the Health Insurance Exchange.  These Arkansas Hospitals, for the most part, will not be baking in excessive Hospital profits demands in their negotiations with health insurance companies on pricing for hospital procedures which ultimately determines what insurance premiums are set by health insurance companies on the Health Insurance exchange.

Another factor which will drive down insurance premium prices even more in the health insurance exchange is that Arkansas is in essence fully expanding Medicaid.  This will increase Arkansas Hospital profits substantially and thus permit Arkansas Hospitals to be even more reasonable in their negotiations with health insurance companies on pricing for hospital procedures which ultimately drives what health insurance premiums are set at by health insurers on the Insurance Exchange.

So just how much will Arkansas Hospital Profits increase due to the ACA and the Expansion of Medicaid?

Well, these 9 Arkansas Hospital Organization's audited financial statements show it will be just huge.

For these 9 Arkansas Hospital Organizations, Total Operating Loss was $(15) mil in the most recent fiscal year.  Causing this Operating Loss were Total Provisions for Bad Debts of $170 mil and Uncompensated Charity Care Costs Incurred of another $52 mil.  Thus Total Operating Income exclusive of these two Earnings Charges was $207 mil, which was an earnings improvement of $222 mil from the reported Total Operating Loss of $(15) mil.

Granted not all of these two Earnings Charges will be eliminated with ACA and Medicaid Expansion, but a substantial portion of them will.

Below here are the Audited Operating Income or Loss, Total Operating Revenues and Operating Income (Loss) Margin Percentage in the most recent year for each of these 9 Arkansas Non-Profit Hospital Organizations:

				Operating
		Operating	Total	Income
	City	Income	Operating	(Loss)
	HQs	(Loss)	Revenues	Margin
		mils $s	mils $s	%
Arkansas Non-Profit Hospital Organizations
Jefferson Hospital Association	Pine Bluff	(4.4)	179	-2.5%
Baptist Health	Little Rock	(16.1)	837	-1.9%
Conway Regional Medical Ctr	Conway	(2.6)	136	-1.9%
Baxter Regional Health	Mountain Home	(0.4)	162	-0.2%
Arkansas Methodist Hospital	Paragould	0.3	64	0.5%
White River Health	Batesville	1.9	170	1.1%
Saline County Medical	Benton	2.4	84	2.8%
North Arkansas Medical	Harrison	2.5	76	3.3%
Mena Hospital	Mena	1.3	28	4.6%
Total all 9		(15.1)	1,736	-0.9%

Most Oklahoma Hospitals Are Driving Down Health Insurance Premium Prices on Federal Insurance Exchange

This post relates to information contained in a just excellent web article on Oklahoma smaller hospitals by Oklahoma Watch Small Hospitals Hemorrhaging Big Losses.  The authors of this web article obtained their data from the Centers for Medicare and Medicaid Services via a Freedom of Information Act request, and from the American Hospital Directory, which compiles hospital cost report data.

I excluded from their study hospitals which I didn't consider general purpose ones.  I was left with 97 Oklahoma Hospitals.

These 97 Oklahoma Hospital Organizations generated Total Operating Income of $188 mil in 2012, which was a very modest 2.5% of Total Net Patient Revenues of $7.422 bil.

There were some of these 97 Oklahoma Hospitals which greedily generated excessive Operating Income in 2012.  There were 11 of them which generated Operating Income as a Percentage of Net Patient Revenues in excess of 10.0% each.  One of them, Tulsa-based St. Francis, generated Total Operating Income of $124 mil, which was 15.1% of its Net Patient Revenues.  Yeah, this $124 mil of Operating Profit comprised 66% of the Total Operating Income of $188 mil for all 97 Oklahoma Hospitals combined in 2012.

But an amazingly high 64 of these 97 Oklahoma Hospitals, or 66% of them, had Operating Losses in 2012.  And 55 of the 64 Oklahoma Hospitals with Operating Losses had fewer than 100 beds.  Oklahoma has a very embarrassing situation here with its so many struggling Hospitals, coupled with its massive Hospital Operating Profit Inequality.  But frankly, the solution is very simple.....full expansion of Medicaid in Oklahoma. 

With so many of these Oklahoma Hospitals generating Operating Losses or modest Operating Income, a key beneficiary of this will be Oklahoma citizens buying health insurance on the Federal insurance exchange.  These Oklahoma Hospitals, for the most part, will not be baking in excessive Hospital profits demands in their negotiations with health insurance companies on pricing for hospital procedures which ultimately determines what insurance premiums are set by health insurance companies on the Federal insurance exchange. 

So far, Oklahoma has decided to not expand Medicaid.  If Oklahoma changed its mind and decided to fully Expand Medicaid, then the consequences of this action would be to significantly drive down insurance premium prices even more for Oklahoma citizens in the Federal health insurance exchange.  This Oklahoma Medicaid Expansion would increase Oklahoma Hospital profits substantially and thus permit Oklahoma Hospitals to be even more reasonable in their negotiations with health insurance companies on pricing for hospital procedures which ultimately drives what health insurance premiums are set at by health insurers for Oklahoma citizens on the Federal Health Insurance Exchange.

So just how much would Oklahoma Hospital Profits increase due to the ACA and the Expansion of Medicaid?

Well, the Total Uncompensated Care in 2012 for the 83 of these 97 Oklahoma Hospitals which disclosed them was $466 mil, which is 2.5 times the Total Operating Income of $188 mil.

Granted not all of this $466 mil of Total Uncompensated Care will be eliminated with ACA and Medicaid Expansion, but a substantial portion of it will.

Below here are the Operating Income or Loss, Total Net Patient Revenues and Operating Income (Loss) Margin Percentage in the most recent year for each of these 97 Oklahoma Hospital Organizations:

		Operating	Net
		Income	Patient
Oklahoma Hospital	City	(Loss)	Revenues	Margin
		$000s	$000s	%
Beaver County Memorial Hospital	Beaver	(3,362)	1,722	-195.2%
Stroud Regional Medical Center	Stroud	(7,147)	6,972	-102.5%
Physicians Hospital at Anadarko	Anadarko	(7,072)	7,626	-92.7%
Integris Edmond	Edmond	(9,557)	12,558	-76.1%
Great Plains Regional Medical Center	Elk City	(18,756)	25,677	-73.0%
Latimer County Hospital	Wilburton	(3,017)	5,630	-53.6%
Sayre Memorial Hospital	Sayer	(3,516)	7,464	-47.1%
Pauls Valley General Hospital	Pauls Valley	(5,032)	12,629	-39.8%
Atoka Memorial Hospital	Atoka	(3,034)	7,668	-39.6%
Cimarron Memorial Hospital	Boise City	(1,099)	3,001	-36.6%
Kingfisher Regional Hospital	Kingfisher	(4,557)	12,590	-36.2%
OSU Medical Center	Tulsa	(32,022)	123,164	-26.0%
Okmulgee Memorial Hospital	Okmulgee	(3,219)	13,855	-23.2%
Harmon Memorial Hospital	Hollis	(977)	4,822	-20.3%
Roger Mills Memorial Hospital	Cheyenne	(639)	3,391	-18.8%
Mercy Hospital Tishomingo	Tishomingo	(777)	4,214	-18.4%
Share Medical Center	Alva	(1,544)	9,458	-16.3%
Cordell Memorial Hospital	Cordell	(543)	3,336	-16.3%
Integris Seminole Medical Center	Seminole	(1,331)	8,297	-16.0%
Carnegie Tri-County Municipal Hospital	Carnegie	(586)	3,701	-15.8%
Memorial Hospital Of Texas County	Guymon	(3,338)	21,426	-15.6%
Coal County General Hospital	Coalgate	(555)	3,864	-14.4%
Integris Marshall County Med. Cntr	Madill	(1,007)	7,070	-14.2%
Jefferson County Hospital	Waurika	(357)	2,639	-13.5%
St. John Sapulpa	Sapulpa	(2,661)	20,796	-12.8%
Cleveland Area Hospital	Cleveland	(1,244)	9,824	-12.7%
Fairview Regional Medical Center	Fairview	(653)	5,177	-12.6%
Arbuckle Memorial Hospital	Sulphur	(1,476)	11,819	-12.5%
St. John Broken Arrow	Broken Arrow	(6,017)	49,450	-12.2%
Mercy Hospital El Reno	El Reno	(1,353)	11,552	-11.7%
Perry Memorial Hospital	Perry	(817)	7,240	-11.3%
Choctaw Memorial Hospital	Hugo	(1,119)	10,126	-11.1%
Integris Blackwell Regional Hospital	Blackwell	(1,341)	12,367	-10.8%
Harper County Community Hospital	Buffalo	(347)	3,385	-10.3%
McCurtain Memorial Hospital	Idabel	(1,887)	18,399	-10.3%
Mercy Hospital Watonga	Watonga	(405)	4,192	-9.7%
St. John Medical Center	Tulsa	(40,892)	436,306	-9.4%
Mercy Hospital Healdton	Healdton	(387)	4,430	-8.7%
Memorial Hospital & Physician Group	Frederick	(664)	7,681	-8.6%
Hillcrest Hospital Cushing	Cushing	(2,417)	29,665	-8.1%
Craig General Hospital	Vinita	(2,060)	25,458	-8.1%
Integris Clinton Regional Hospital	Clinton	(1,416)	17,950	-7.9%
Haskell County Hospital	Stigler	(450)	6,234	-7.2%
Mercy Hospital Logan County	Guthrie	(869)	13,462	-6.5%
Fairfax Memorial Hospital	Fairfax	(286)	4,658	-6.1%
Elkview General Hospital	Hobart	(715)	13,379	-5.3%
Integris Baptist Regional Health Center	Miami	(2,870)	54,634	-5.3%
Bristow Medical Center	Bristow	(713)	14,562	-4.9%
Integris Mayes County Med. Cntr.	Pryor	(782)	17,265	-4.5%
Woodward Regional Hospital	Woodward	(1,513)	34,159	-4.4%
St. Anthony Hospital	Oklahoma City	(17,501)	412,037	-4.2%
Drumright Regional Hospital	Drumright	(357)	9,901	-3.6%
Eastern Oklahoma Medical Center	Poteau	(756)	21,070	-3.6%
Integris Grove General Hospital	Grove	(1,765)	50,671	-3.5%
Comanche County Memorial Hospital	Lawton	(6,922)	198,821	-3.5%
Sequoyah Memorial Hospital	Sallisaw	(414)	14,125	-2.9%
Mercy Hospital Ada	Ada	(1,963)	67,130	-2.9%
Seiling Community Hospital	Seiling	(125)	4,341	-2.9%
Integris Southwest Medical Center	Oklahoma City	(6,104)	218,797	-2.8%
Holdenville General Hospital	Holdenville	(247)	8,964	-2.8%
Weatherford Regional Hospital	Weatherford	(462)	18,339	-2.5%
Duncan Regional Hospital	Duncan	(1,520)	76,682	-2.0%
Quartz Mountain Medical Center	Mangum	(90)	7,019	-1.3%
Norman Regional Hospital	Norman	(244)	316,736	-0.1%
Mercy Health/Love County	Marietta	(8)	12,637	-0.1%
Adair County Memorial Hospital	Stilwell	89	18,037	0.5%
Pawhuska Hospital	Pawhuska	26	4,291	0.6%
Jackson County Memorial Hospital	Altus	429	69,069	0.6%
EASTAR Health System	Muskogee	874	103,248	0.8%
Purcell Municipal Hospital	Purcell	129	14,116	0.9%
Lindsay Municipal Hospital	Lindsay	122	9,527	1.3%
OU Medical Center	Oklahoma City	14,086	741,801	1.9%
Tahlequah City Hospital	Tahlequah	1,758	77,472	2.3%
Jane Phillips Nowata Health Center	Nowata	82	3,377	2.4%
Deaconess Hospital	Oklahoma City	4,298	172,159	2.5%
McAlester Regional Health Center	McAlester	2,643	77,938	3.4%
Southcrest Hospital	Tulsa	7,391	127,431	5.8%
St. Mary's Regional Medical Center	Enid	5,600	96,435	5.8%
Integris Baptist Medical Center	Oklahoma City	42,720	619,968	6.9%
Hillcrest Medical Center	Tulsa	30,909	438,209	7.1%
Southwestern Medical Center	Lawton	5,008	68,460	7.3%
Ponca City Medical Center	Ponca City	5,007	64,563	7.8%
Integris Canadian Valley Reg. Hsptl.	Yukon	4,849	61,642	7.9%
Mercy Hospital Ardmore	Ardmore	10,581	129,079	8.2%
Integris Bass Baptist Health Center	Enid	11,056	117,528	9.4%
Mercy Hospital	Oklahoma City	32,447	344,880	9.4%
Hillcrest Hospital Claremore	Claremore	5,254	52,203	10.1%
Jane Phillips Memorial Medical Center	Bartlesville	13,454	114,848	11.7%
Midwest Regional Medical Center	Midwest City	24,060	169,452	14.2%
Okeene Municipal Hospital	Okeene	840	5,750	14.6%
St. Francis	Tulsa	124,194	821,234	15.1%
Prague Municipal Hospital	Prague	1,001	6,582	15.2%
St. John Owasso	Owasso	5,664	35,589	15.9%
St. Francis Hospital South	Tulsa	11,979	67,829	17.7%
Wagoner Community Hospital	Wagoner	4,278	19,679	21.7%
Community Hospital	Oklahoma City	21,926	89,260	24.6%
Medical Center Of Southeastern Okla.	Durant	21,771	86,125	25.3%
Total all 97 Hospitals		187,651	7,421,994	2.5%

  

Nearly All Nebraska Hospitals Are Driving Down Health Insurance Premium Prices on Federal Insurance Exchange

From a review of audited financial statements in the Electronic Municipal Market Access (EMMA), I found 15 Nebraska Non-Profit Hospital Organizations reporting here.  Included in these 15 Nebraska Hospitals was Children's Hospital and Medical Center in Omaha.  After excluding it, that leaves 14 Hospitals.

These 14 Nebraska Non-Profit Hospital Organizations generated Total Operating Income of $114 mil in the most recent year reported, which was a very modest 3.0% of Total Operating Revenues of $3.757 bil.

These modest Operating Income Margins were across the board, with the highest margin being 7.1%.

With all of these Nebraska Non-Profit Hospitals generating Operating Income Margins of 7.1% and below, a key beneficiary of this will be Nebraska citizens buying health insurance on the Federal insurance exchange.  These Nebraska Hospitals, for the most part, will not be baking in excessive Hospital profits demands in their negotiations with health insurance companies on pricing for hospital procedures which ultimately determines what insurance premiums are set by health insurance companies on the Federal insurance exchange. 

So far, Nebraska has decided to not expand Medicaid.  If Nebraska changed its mind and decided to fully Expand Medicaid, then the consequences of this action would be to significantly drive down insurance premium prices even more for Nebraska citizens in the Federal health insurance exchange.  This Nebraska Medicaid Expansion would increase Nebraska Hospital profits very significantly and thus permit Nebraska Hospitals to be even more reasonable in their negotiations with health insurance companies on pricing for hospital procedures which ultimately drives what health insurance premiums are set at by health insurers for Nebraska citizens on the Federal Health Insurance Exchange.

So just how much would Nebraska Hospital Profits increase due to the ACA and the Expansion of Medicaid?

Well, these 14 Nebraska Non-Profit Hospital Organization's audited financial statements show it will be huge.

For these 14 Nebraska Hospital Organizations, Total Operating Income was $114 mil in the most recent fiscal year.  Driving down these Operating Profits were Provisions for Bad Debts of $185 mil.  Thus Total Operating Income Before Provisions for Bad Debts was $299 mil, which was 2.6 times the reported Total Operating Income of $114 mil.  But there's even more to this story.  Total Uncompensated Charity Care Charges Foregone were also very large in the most recent year. 

Granted not all of these two huge Earnings Charges will be eliminated with ACA and Medicaid Expansion, but a substantial portion of them will.

Below here are the Audited Operating Income or Loss, Total Operating Revenues and Operating Income (Loss) Margin Percentage in the most recent year for each of these 14 Nebraska Non-Profit Hospital Organizations: 

				Operating
		Operating	Total	Income
	City	Income	Operating	(Loss)
	HQs	(Loss)	Revenues	Margin
		mils $s	mils $s	%
Nebraska Non-Profit Hospital Organizations
Osmond General Hospital	Osmond	-0.2	6	-3.3%
Beatrice Community Hospital and Health Ctr	Beatrice	-0.4	47	-0.9%
Pender Community Hospital District	Pender	0.1	15	0.7%
Antelope Memorial Hospital	Neligh	0.1	13	0.8%
Faith Regional Health Services	Norfolk	1.2	149	0.8%
Regional West Health Services	Scottsbluff	2.1	244	0.9%
Nebraska Methodist Health	Omaha	10.3	655	1.6%
Nebraska Medical Center	Omaha	14.8	803	1.8%
Fillmore County Hospital	Geneva	0.4	12	3.3%
Alegent Health	Omaha	34.9	1,012	3.4%
York General Health Care Services	York	1.3	37	3.5%
Mary Lanning Memorial Hospital	Hastings	4.5	113	4.0%
North Platte Hospital	North Platte	9.6	145	6.6%
Bryan Health	Lincoln	35.7	506	7.1%
Total all 14		114.4	3,757	3.0%

 

Most Kansas Hospitals Are Driving Down Health Insurance Premium Prices on Federal Insurance Exchange

From a review of audited financial statements in the Electronic Municipal Market Access (EMMA), I found 23 Kansas Non-Profit Hospital Organizations, including Governmental Hospitals, with Total Operating Revenues above $10 mil in the most recent year reported.

These 23 Kansas Non-Profit Hospital Organizations generated Total Operating Income of $164 mil in the most recent year reported, which was a modest 4.0% of Total Operating Revenues of $3.323 bil.

These modest Operating Income Margins were across the board, with the highest margin being 8.2%.

With all of these Kansas Non-Profit Hospitals generating Operating Income Margins of 8.2% and below, a key beneficiary of this will be Kansas citizens buying health insurance on the Federal insurance exchange.  These Kansas Hospitals, for the most part, will not be baking in excessive Hospital profits demands in their negotiations with health insurance companies on pricing for hospital procedures which ultimately determines what insurance premiums are set by health insurance companies on the Federal insurance exchange. 

So far, Kansas has decided to not expand Medicaid.  If Kansas changed its mind and decided to fully Expand Medicaid, then the consequences of this action would be to significantly drive down insurance premium prices even more for Kansas citizens in the Federal health insurance exchange.  This Kansas Medicaid Expansion would increase Kansas Hospital profits very significantly and thus permit Kansas Hospitals to be even more reasonable in their negotiations with health insurance companies on pricing for hospital procedures which ultimately drives what health insurance premiums are set at by health insurers for Kansas citizens on the Federal Health Insurance Exchange.

So just how much would Kansas Hospital Profits increase due to the ACA and the Expansion of Medicaid?

Well, these 23 Kansas Non-Profit Hospital Organization's audited financial statements show it will be huge.

For these 23 Kansas Hospital Organizations, Total Operating Income was $164 mil in the most recent fiscal year.  Driving down these Operating Profits were Provisions for Bad Debts of $217 mil.  Thus Total Operating Income Before Provisions for Bad Debts was $381 mil, which was 2.3 times the reported Total Operating Income of $164 mil.  But there's even more to this story.  Total Uncompensated Charity Care Charges Foregone were also very large in the most recent year. 

Granted not all of these two huge Earnings Charges will be eliminated with ACA and Medicaid Expansion, but a substantial portion of them will.

Below here are the Audited Operating Income or Loss, Total Operating Revenues and Operating Income (Loss) Margin Percentage in the most recent year for each of these 23 Kansas Non-Profit Hospital Organizations: 

				Operating
		Operating	Total	Income
	City	Income	Operating	(Loss)
	HQs	(Loss)	Revenues	Margin
		mils $s	mils $s	%
Kansas Non-Profit Hospitals
Meade Hospital District	Meade	(1.8)	12	-15.0%
Rooks County Health Center	Plainville	(0.4)	11	-3.6%
Wilson County Hospital	Neodesha	(0.4)	11	-3.6%
Hiawatha Hospital Assoc	Hiawatha	(0.6)	22	-2.7%
Labette County Med Center	Parsons	(0.1)	56	-0.2%
Fredonia Regional Hospital	Fredonia	-	12	0.0%
South Central Kansas Med Ctr	Arkansas City	0.2	17	1.2%
Dickinson County Hospital	Abilene	0.3	24	1.3%
Atchison Hospital Assoc	Atchison	0.4	32	1.3%
Anderson County Hospital	Garnett	0.3	17	1.8%
Southwest Medical Center	Liberal	1.0	41	2.4%
Holton Community Hospital	Holton	0.3	11	2.7%
Crawford County Hospital	Girard	0.5	18	2.8%
Via Christi Health	Wichita	32.0	1,136	2.8%
Hays Medical Center	Hays	6.0	200	3.0%
Univ Kansas Hosp Authority	Kansas City	46.3	1,163	4.0%
Olathe Medical Center	Olathe	11.0	272	4.0%
Nemaha Valley Community Hosp	Seneca	0.6	11	5.5%
Stormant-Vail Health Care	Topeka	32.9	533	6.2%
Lawrence Memorial Hospital	Lawrence	11.6	175	6.6%
Mercy Regional Health Ctr	Manhattan	6.8	101	6.7%
Neosho Meml Reg Med Ctr	Chanute	3.1	42	7.4%
Salina Regional Health Care	Salina	13.5	164	8.2%
Total all 23		163.5	4,081	4.0%