In this earlier study, the 13 smaller North Carolina Non-Profit Hospital Organizations with Net Assets below $400 mil generated Audited Total Operating Income as a % of Total Operating Revenues of a weak 1.9% in the most recent fiscal year. This compares to a higher 4.6% for the 14 large ones with Net Assets above $400 mil.
In this post, I reviewed certain key data related to the 83 individual North Carolina hospitals contained in the excellent American Hospital Directory's (AHD) website. I excluded several of the smaller Specialty Hospitals.
What I found was that 21 of the 83 North Carolina Hospitals, or 25% of them, posted Bottom Line Net Losses in 2012, which totaled $76.5 mil.
Below here are the number of hospital beds and the amount of these Losses in 2012 for each of these 21 North Carolina Hospitals:
| North | |||
| Carolina | # of | Net | |
| North Carolina Hospital Name | City | Beds | (Loss) |
| $000s | |||
| Frye Regional Medical Center | Hickory | 355 | (14,431) |
| Franklin Regional Medical Center | Louisburg | 83 | (8,373) |
| Vidant Beaufort Hospital | Washington | 100 | (6,652) |
| Johnston Medical Center - Smithfield | Smithfield | 175 | (6,392) |
| Vidant Edgecombe Hospital | Tarboro | 118 | (5,912) |
| High Point Regional Hospital | High Point | 335 | (4,013) |
| Central Carolina Hospital | Sanford | 127 | (3,904) |
| The McDowell Hospital | Marion | 49 | (3,772) |
| Carolinas Medical Center - Lincoln | Lincolnton | 101 | (3,260) |
| Person Memorial Hospital | Roxboro | 102 | (2,392) |
| Vidant Duplin Hospital | Kenansville | 74 | (2,379) |
| Betsy Johnson Regional Hospital | Dunn | 101 | (2,182) |
| Murphy Medical Center | Murphy | 191 | (2,141) |
| MedWest-Haywood | Clyde | 121 | (2,007) |
| Hugh Chatham Memorial Hospital | Elkin | 192 | (1,990) |
| MedWest - Harris | Sylva | 86 | (1,847) |
| Martin General Hospital | Williamston | 42 | (1,680) |
| Lexington Medical Center | Lexington | 80 | (1,055) |
| Valdese Hospital | Valdese | 131 | (849) |
| Kings Mountain Hospital | Kings Mountain | 72 | (767) |
| FirstHealth Richmond Memorial Hospital | Rockingham | 141 | (547) |
| Total Losses all 21 North Carolina Hospitals | (76,545) |
Also, below here is the 2012 average hospital net income or net loss by various number ranges of hospital beds for all 83 NC Hospitals:
| 2012 | ||
| Average | ||
| Hospital | ||
| Net | ||
| # of | Income | |
| # of | Hospital | (Loss) |
| Hospitals | Beds | 000s |
| 6 | 800 or More | $129,198 |
| 10 | Between 400 and 800 | $57,579 |
| 17 | Between 200 and 400 | $14,360 |
| 37 | Between 100 and 200 | $6,818 |
| 13 | 100 or Less | $(7,157) |
When you review the above 2012 Average Net Income (Loss) amounts, it is pretty clear that there is massive income inequality between the large and small North Carolina Hospitals......yeah, that's an Average Net Income of $129,198,000 for the 6 largest NC Hospitals, and $57,579,000 for the next 10 largest NC Hospitals as compared to an Average Net Loss of $(7,157,000) for the 13 smallest NC Hospitals and an Average Net Income of only $6,818,000 for the next 37 smallest NC Hospitals. US Health Care and its giant costs will not be fixed until the profits and losses of both the bottom rungs and the top rungs of the profit and loss ladders of Hospitals all throughout the US are properly and equitably fixed.
The main driver of these very weak profit numbers for the smaller North Carolina Hospitals were the many uninsured and underinsured residents, particularly in the smaller North Carolina communities, with the resultant abnormally high levels of both Total Bad Debt Earnings Charges and Uncompensated Charity Care Earnings Charges relative to Net Patient Revenues.
In the North Carolina Hospital Association website there is a section on Community Benefits provided by every North Carolina Hospital. North Carolina Hospitals provided a total of nearly $1 bil of Charity Care and another $700 mil of Provisions for Bad Debts in the most recent year.
The best way to provide the needed financial boost to these small North Carolina Hospitals is to simply Expand Medicaid fully in North Carolina. This will substantially reduce two Hospital Operating Statement Earnings Charges.....Provisions for Bad Debts and Uncompensated Charity Care Costs.
And lastly, from the AHD, below here are the 2012 Net Income or (Net Loss) for each of these 83 North Carolina Hospitals, presented by declining Number of Hospital Beds:
| Net | |||
| # of | Income | ||
| North Carolina Hospital Name | City | Beds | (Loss) |
| $000s | |||
| Carolinas Medical Center | Charlotte | 933 | 241,940 |
| The Moses H. Cone Memorial Hospital | Greensboro | 929 | 100,527 |
| Wake Forest Baptist Medical Center | Winston-Salem | 854 | 86,570 |
| Novant Health Forsyth Medical Center | Winston-Salem | 850 | 138,022 |
| Vidant Medical Center | Greenville | 845 | 48,641 |
| Duke University Hospital | Durham | 819 | 159,488 |
| University of North Carolina Hospitals | Chapel Hill | 788 | 84,858 |
| Mission Hospitals - Memorial Campus | Asheville | 729 | 58,109 |
| New Hanover Regional Medical Center | Wilmington | 729 | 33,761 |
| WakeMed Raleigh Campus | Raleigh | 651 | 77,389 |
| Cape Fear Valley Medical Center | Fayetteville | 632 | 26,741 |
| Presbyterian Hospital | Charlotte | 587 | 133,066 |
| Rex Hospital | Raleigh | 553 | 46,761 |
| FirstHealth Moore Regional Hospital | Pinehurst | 470 | 36,004 |
| Carolinas Medical Center - NorthEast | Concord | 457 | 63,072 |
| Southeastern Regional Medical Center | Lumberton | 433 | 16,027 |
| Gaston Memorial Hospital | Gastonia | 370 | 8,698 |
| Frye Regional Medical Center | Hickory | 355 | (14,431) |
| Cleveland Regional Medical Center | Shelby | 353 | 16,716 |
| Nash General Hospital | Rocky Mount | 353 | 22,440 |
| High Point Regional Hospital | High Point | 335 | (4,013) |
| Carolinas Medical Center - Mercy | Charlotte | 324 | 120,334 |
| Duke Regional Hospital | Durham | 322 | 8,448 |
| CarolinaEast Medical Center | New Bern | 309 | 20,239 |
| Wilson Medical Center | Wilson | 274 | 6,782 |
| Wayne Memorial Hospital | Goldsboro | 270 | 836 |
| Catawba Valley Medical Center | Hickory | 258 | 10,989 |
| Morehead Memorial Hospital | Eden | 229 | 5,663 |
| Carolinas Medical Center - Union | Monroe | 227 | 17,328 |
| Alamance Regional Medical Center | Burlington | 218 | 13,438 |
| Pardee Hospital | Hendersonville | 216 | 5,262 |
| Iredell Memorial Hospital | Statesville | 203 | 3,027 |
| Rowan Regional Medical Center | Salisbury | 203 | 2,368 |
| Lenoir Memorial Hospital | Kinston | 198 | 4,342 |
| Hugh Chatham Memorial Hospital | Elkin | 192 | (1,990) |
| WakeMed Cary Hospital | Cary | 192 | 40,961 |
| Murphy Medical Center | Murphy | 191 | (2,141) |
| Johnston Medical Center - Smithfield | Smithfield | 175 | (6,392) |
| Onslow Memorial Hospital | Jacksonville | 162 | 10,388 |
| Columbus Regional Healthcare System | Whiteville | 154 | 4,193 |
| Scotland Memorial Hospital | Laurinburg | 154 | 8,798 |
| Duke Raleigh Hospital | Raleigh | 148 | 33,770 |
| Anson Community Hospital | Wadesboro | 147 | 648 |
| Thomasville Medical Center | Thomasville | 146 | 11,279 |
| Randolph Hospital | Asheboro | 145 | 208 |
| Rutherford Hospital | Rutherfordton | 143 | 2,829 |
| Albemarle Hospital | Elizabeth City | 142 | 3,617 |
| FirstHealth Richmond Memorial Hospital | Rockingham | 141 | (547) |
| Grace Hospital | Morganton | 136 | 4,156 |
| Halifax Regional Medical Center | Roanoke Rapids | 135 | 3,858 |
| Northern Hospital of Surry County | Mount Airy | 133 | 3,110 |
| Valdese Hospital | Valdese | 131 | (849) |
| Davis Regional Medical Center | Statesville | 130 | 9,396 |
| Central Carolina Hospital | Sanford | 127 | (3,904) |
| Lake Norman Regional Medical Center | Mooresville | 123 | 17,251 |
| Granville Medical Center | Oxford | 122 | 2,700 |
| MedWest-Haywood | Clyde | 121 | (2,007) |
| Stanly Regional Medical Center | Albemarle | 119 | 3,885 |
| Vidant Edgecombe Hospital | Tarboro | 118 | (5,912) |
| Carteret General Hospital | Morehead City | 116 | 12,718 |
| Wilkes Regional Medical Center | North Wilkesboro | 116 | 3,510 |
| Vidant Roanoke-Chowan Hospital | Ahoskie | 114 | 4,316 |
| Caldwell Memorial Hospital | Lenoir | 110 | 1,400 |
| Sampson Regional Medical Center | Clinton | 105 | 1,006 |
| Carolinas Medical Center - University | Charlotte | 103 | 40,212 |
| Maria Parham Medical Center | Henderson | 102 | 1,493 |
| Person Memorial Hospital | Roxboro | 102 | (2,392) |
| Presbyterian Hospital Matthews | Matthews | 102 | 53,791 |
| Betsy Johnson Regional Hospital | Dunn | 101 | (2,182) |
| Carolinas Medical Center - Lincoln | Lincolnton | 101 | (3,260) |
| Vidant Beaufort Hospital | Washington | 100 | (6,652) |
| Park Ridge Health | Hendersonville | 98 | 2,632 |
| Watauga Medical Center | Boone | 94 | 12,341 |
| MedWest - Harris | Sylva | 86 | (1,847) |
| Franklin Regional Medical Center | Louisburg | 83 | (8,373) |
| Lexington Medical Center | Lexington | 80 | (1,055) |
| Vidant Duplin Hospital | Kenansville | 74 | (2,379) |
| Kings Mountain Hospital | Kings Mountain | 72 | (767) |
| Sandhills Regional Medical Center | Hamlet | 64 | 2,400 |
| Brunswick Novant Medical Center | Bolivia | 60 | 254 |
| Blue Ridge Regional Hospital | Spruce Pine | 49 | 1,741 |
| The McDowell Hospital | Marion | 49 | (3,772) |
| Martin General Hospital | Williamston | 42 | (1,680) |
| Total all 83 North Carolina Hospitals | 22,026 | 1,840,202 |
