How have these 117 Missouri Hospitals done on the Bottom Line Earnings front? Well the bottom rung of these 117.....and there are so many of them.....have done just horribly.
Of the 117 Missouri Hospitals, 34 of them, or 29% of them, posted Bottom Line Losses Before Extraordinary Items in 2012. And a higher 38 of them registered Operating Losses Before Extraordinary Items.
But more to the point, there were 50 of these 117 Missouri Hospitals, or 43% of them, with Net Assets below $20 mil. These 50 financially weak Missouri Hospitals posted Total Bottom Line Profits Before Extraordinary Items of $12.139 mil in 2012, which was an exceedingly weak 0.8% of their Total Operating Revenues of $1.489 bil in 2012.
Below here are the Net Asset Amounts, Bottom Line Profit Before Extraordinary Items, Total Operating Revenues and Profit Margin % for each of these 50 Missouri Hospitals with Net Assets below $20 mil:
| Net | |||||
| Net | Total | Income | |||
| Missouri | Net | Income | Operating | (Loss) | |
| Missouri Hospital Name | City | Assets | (Loss) | Revenues | Margin |
| $ mils | $ 000s | $ 000s | % | ||
| Crittenton Children's Center | Kansas City | 19 | 604 | 23,984 | 2.5% |
| Cedar County Meml Hospital | El Dorado Springs | 16 | 599 | 11,631 | 5.2% |
| Northwest Med Ctr | Albany | 15 | (537) | 12,902 | -4.2% |
| Pike County Meml Hosp | Louisiana | 14 | 901 | 11,495 | 7.8% |
| Shriners Hospitals for Children | St Louis | 14 | (20,579) | 7,337 | -280.5% |
| Truman Med Ctr Lakewood | Kansas City | 13 | (14,211) | 110,631 | -12.8% |
| Lincoln County Med Ctr | Troy | 13 | 376 | 32,363 | 1.2% |
| Pershing Memorial Hospital | Brookfield | 13 | (539) | 14,916 | -3.6% |
| Samaritan | Macon | 13 | (368) | 19,893 | -1.8% |
| Moberly Reg Med Ctr | Moberly | 12 | 16,839 | 62,956 | 26.7% |
| Belton Reg Med Ctr | Belton | 11 | 7,342 | 39,488 | 18.6% |
| Excelsior Springs Hospital | Excelsior Springs | 11 | 672 | 21,698 | 3.1% |
| Mercy McCune-Brooks Hosp | Carthage | 11 | 839 | 28,598 | 2.9% |
| Salem Meml District Hospital | Salem | 10 | (363) | 14,990 | -2.4% |
| Harrison County Community Hosp | Bethany | 10 | 34 | 13,954 | 0.2% |
| Mercy Hospital Cassville | Cassville | 8 | 2,274 | 13,129 | 17.3% |
| Citizens Meml Hospital | Bolivar | 8 | 2,235 | 92,129 | 2.4% |
| Washington Meml Hosp | Potosi | 8 | (805) | 21,481 | -3.7% |
| Cox Monett | Monett | 7 | 1,913 | 26,345 | 7.3% |
| Callaway Community Hospital | Fulton | 7 | (2,294) | 9,477 | -24.2% |
| Wright Memorial Hospital | Trenton | 7 | (581) | 24,474 | -2.4% |
| Scotland County Hosp | Memphis | 7 | 173 | 16,143 | 1.1% |
| Community Hospital-Fairfax | Fairfax | 6 | (939) | 9,617 | -9.8% |
| Barton County Meml Hospital | Lamar | 6 | (125) | 19,378 | -0.6% |
| Hermann Area District Hosp | Hermann | 6 | (266) | 15,111 | -1.8% |
| Mercy St. Francis Hospital | Mountain View | 6 | 1,067 | 14,171 | 7.5% |
| CenterPointe Hospital | St Charles | 6 | (1,800) | 29,421 | -6.1% |
| Cooper County Meml Hospital | Boonville | 4 | (1,650) | 9,459 | -17.4% |
| Mercy Hospital Aurora | Aurora | 4 | 368 | 13,723 | 2.7% |
| Pemiscot County Meml Hosp | Hayti | 4 | (3,449) | 37,674 | -9.2% |
| Madison Med Ctr | Fredericktown | 3 | 374 | 14,825 | 2.5% |
| Sac-Osage Hosp | Osceola | 3 | (381) | 6,640 | -5.7% |
| Audrain Medical Center | Mexico | 2 | (1,169) | 53,010 | -2.2% |
| Royal Oaks Hospital | Windsor | 2 | (1,123) | 9,933 | -11.3% |
| Landmark Hospital of Cape Girardeau | Cape Girardeau | 1 | 730 | 14,547 | 5.0% |
| Landmark Hospital of Joplin | Joplin | 1 | 631 | 15,135 | 4.2% |
| Mineral Area Reg Med Ctr | Farmington | 1 | 542 | 40,541 | 1.3% |
| Sullivan County Meml Hosp | Milan | 1 | 163 | 6,304 | 2.6% |
| Landmark Hospital Columbia | Columbia | - | 901 | 17,420 | 5.2% |
| Ellett Meml Hosp | Appleton City | - | 285 | 7,680 | 3.7% |
| Putnam Ciunty Meml Hosp | Unionville | (1) | (322) | 6,359 | -5.1% |
| I-70 Community Hospital | Sweet Springs | (1) | (830) | 6,111 | -13.6% |
| Iron County Hospital | Pilot Knob | (2) | (99) | 7,438 | -1.3% |
| Ripley County Meml Hosp | Doniphon | (2) | 206 | 6,254 | 3.3% |
| Lafayette Reg Health Ctr | Lexington | (3) | 1,646 | 24,288 | 6.8% |
| Ozarks Community Hospital | Springfield | (6) | (1,196) | 42,994 | -2.8% |
| Saint Luke's Cancer Institute | Kansas City | (14) | 2,253 | 19,185 | 11.7% |
| St Alexius Hosp-Broadway | St Louis | (28) | 562 | 58,234 | 1.0% |
| Lee's Summit Med Ctr | Lee's Summit | (70) | 13,510 | 72,744 | 18.6% |
| Research Medical Center | Kansas City | (101) | 7,726 | 281,198 | 2.7% |
| - | |||||
| Total all 50 | 75 | 12,139 | 1,489,408 | 0.8% |
And it's the same story with the smallest Missouri Hospitals viewed in terms of the number of beds. While individual Missouri Hospitals are doing very well, in the aggregate, an average 5.5% Profit Margin for the 17 largest Hospitals and 4.5% for the next largest 39 Hospitals is below that of most other US States. But the real story here is that the 37 smallest Missouri Hospitals with bed size of less than 50 posted an average Bottom Line Profit of a very modest 2.1% of Total Operating Revenues. Below here is a breakdown of Missouri Hospitals by bed size ranges:
| Total | ||
| Bottom | ||
| Line | ||
| # of | Profit | |
| # of | Hospital | Margin |
| Hospitals | Beds | % |
| 17 | 400 or More | 5.5% |
| 39 | Between 100 and 400 | 4.5% |
| 61 | 100 or Less | 3.7% |
| 37 | 50 or Less | 2.1% |
When you combine all of the above facts, the clear conclusion is that there are so many struggling Hospitals in Missouri, and they are all shouting out for a huge dose of financial help.
By far the best solution here is for the State of Missouri to Expand Medicaid.
We love watching the St. Louis Cardinals and the Kansas City Chiefs, but frankly I think that by Missouri Government Leaders refusing to Expand Medicaid, they are not acting in the best interests of a clear majority of their State's citizens. Let me explain.
First, it's the present high percentage of Missouri residents who are either Uninsured or Underinsured, most of whom would be getting fair and decent health care coverage with the Affordable Care Act in combination with the Full Expansion of Medicaid.
All Missouri Hospitals, but especially ones providing emergency care to the many indigent populations in the Urban areas as well as in the smaller rural areas, will have their Bottom Line Earnings as well as their Net Assets, or measure of financial strength, substantially bolstered with Full Medicaid Expansion.
There are specifically two Hospital Earnings Charges which will be substantially reduced with the Affordable Care Act, and especially in combination with Full Expansion of Medicaid in Missouri......the Provision for Bad Debts and Uncompensated Charity Care Charges.
OK, that should make sense but just how large are those two Earnings Charges now?
Well, the cool thing here is that with its financial transparency, the State of Missouri's Dept of Health has disclosed the amounts of these two Earnings Charges for each of its 117 Missouri Short-term Acute Hospitals.
All 117 Missouri Hospitals generated Total Bottom Line Earnings Before Extraordinary Items of $851 mil in 2012, which included an Earnings Charge of $1.238 bil due to Provisions for Bad Debts. Thus their Total Earnings Before these Bad Debt Charges were $2.089 bil. In addition, their Total Uncompensated Charity Care Charges Foregone were another $1.538 bil in 2012.
Granted all of these two huge Earnings Charges will not be eliminated with Full Expansion of Medicaid in Missouri, but a substantial portion of them will be.
And second, there are many of these Missouri Hospitals, such as the huge Truman Medical Center in KC ($207 mil of Uncompensated Charity Care Charges Foregone in 2012), which are Government Hospitals, with many of them being at least partially financed with taxes paid by Missouri citizens. Full Expansion of Medicaid should substantially improve the Earnings and Losses now being registered by these Missouri Governmental Hospitals. Thus it is only logical that not as many taxes will be needed after Full Expansion of Medicaid in Missouri. So it's not just the presently Uninsured and Underinsured who will benefit from the Full Medicaid Expansion in Missouri. So will all Missouri taxpayers who in all fairness should be getting tax cuts.
Lastly, below here are the Number of Beds, Bottom Line Income Before Extraordinary Items, Total Operating Revenues and Profit Margin % for 2012 for each of these 117 Missouri Short-term Acute Hospitals, presented by declining bed size:
| Net | |||||
| # of | Net | Total | Income | ||
| Missouri | Licensed | Income | Operating | (Loss) | |
| Missouri Hospital Name | City | Beds | (Loss) | Revenues | Margin |
| 000s | 000s | % | |||
| Barnes-Jewish Hospital | St Louis | 1,435 | 70,501 | 1,642,386 | 4.3% |
| Mercy Hospital St Louis | St Louis | 979 | 72,724 | 792,462 | 9.2% |
| Mercy Hospital Springfield | Springfield | 866 | 115,469 | 1,140,432 | 10.1% |
| St Anthony's Med Ctr | St Louis | 787 | (7,628) | 411,588 | -1.9% |
| CoxHealth | Springfield | 758 | 66,853 | 806,591 | 8.3% |
| St Luke's Hospital | Chesterfield | 633 | 9,855 | 432,032 | 2.3% |
| Saint Luke's Hospital of KC | Kansas City | 602 | 27,636 | 498,933 | 5.5% |
| SSM St Mary's Heallth Ctr | Richmond Heights | 525 | 16,690 | 287,088 | 5.8% |
| Research Medical Center | Kansas City | 490 | 7,726 | 281,198 | 2.7% |
| Missouri Baptist Med Ctr | St Louis | 489 | 24,444 | 474,315 | 5.2% |
| Christian Hospital | St Louis | 485 | (18,607) | 269,706 | -6.9% |
| SSM DePaul Health Ctr | Bridgeton | 476 | 25,089 | 312,964 | 8.0% |
| North Kansas City Hospital | Kansas City | 451 | 30,271 | 375,617 | 8.1% |
| Poplar Bluff Reg Med Ctr | Poplar Bluff | 423 | 12,486 | 137,482 | 9.1% |
| Freeman Health System | Joplin | 421 | 10,378 | 369,928 | 2.8% |
| SSM St Joseph Health Ctr | St Charles | 410 | 3,519 | 184,998 | 1.9% |
| Boone Hospital Center | Columbia | 400 | 13,970 | 300,635 | 4.6% |
| University Hospital and Clinics | Columbia | 383 | 25,426 | 570,099 | 4.5% |
| St Alexius Hosp-Broadway | St Louis | 363 | 562 | 58,234 | 1.0% |
| St Louis University Hospital | St Louis | 356 | (20,812) | 343,507 | -6.1% |
| Heartland Regional Medical Ctr | St Joseph | 352 | 39,387 | 480,090 | 8.2% |
| Truman Med Ctr Lakewood | Kansas City | 333 | (14,211) | 110,631 | -12.8% |
| St. Joseph Med Ctr of KC | Kansas City | 310 | 9,057 | 160,839 | 5.6% |
| Saint Francis Med Ctr | Cape Girardeau | 282 | 16,157 | 332,479 | 4.9% |
| Truman Med Ctr Hospital Hill | Kansas City | 277 | (14,497) | 321,551 | -4.5% |
| Southeast Hospital | Cape Girardeau | 266 | 21,807 | 277,239 | 7.9% |
| Children's Mercy Hospital | Kansas City | 265 | 3,760 | 709,589 | 0.5% |
| St Louis Children's Hospital | St Louis | 258 | 38,735 | 486,285 | 8.0% |
| Centerpoint Med Ctr Independence | Independence | 257 | 26,078 | 197,858 | 13.2% |
| Liberty Hospital | Liberty | 250 | 88 | 175,185 | 0.1% |
| Phelps County Reg Med Ctr | Rolla | 242 | 19,443 | 138,853 | 14.0% |
| St. Luke's Northland Hosp-Barry Road | Kansas City | 193 | 7,556 | 104,647 | 7.2% |
| SSM Cardinal Glennon Children's Med Ctr | St Louis | 190 | 34,661 | 309,980 | 11.2% |
| Mercy Hospital Washington | Washington | 187 | (4,921) | 87,550 | -5.6% |
| Missouri Delta Med Ctr | Sikeston | 182 | (1,263) | 72,475 | -1.7% |
| SSM St Clare Health Ctr | Fenton | 180 | 2,617 | 163,260 | 1.6% |
| St. Mary's Health Ctr | Jefferson City | 167 | (4,539) | 125,631 | -3.6% |
| Pemiscot County Meml Hosp | Hayti | 167 | (3,449) | 37,674 | -9.2% |
| Bothwell Reg Med Cre | Sedalia | 160 | 1,871 | 85,983 | 2.2% |
| St. Mary's Med Center Blue Springs | Blue Springs | 146 | 2,062 | 65,705 | 3.1% |
| Madison Med Ctr | Fredericktown | 144 | 374 | 14,825 | 2.5% |
| Des Peres Hospital | St Louis | 143 | 7,371 | 122,596 | 6.0% |
| Mineral Area Reg Med Ctr | Farmington | 135 | 542 | 40,541 | 1.3% |
| Parkland Health Ctr-Farmington | Farmington | 130 | (14) | 68,401 | 0.0% |
| Barnes-Jewish St Peters Hosp | St Peters | 127 | 6,136 | 121,671 | 5.0% |
| St Luke's East Lee's Summit Hospital | Lee's Summit | 125 | 19,687 | 140,882 | 14.0% |
| SSM St Joseph Hosp West | Lake St Louis | 122 | 10,866 | 124,361 | 8.7% |
| Lake Regional Health | Osage Beach | 116 | 4,546 | 154,794 | 2.9% |
| Twin Rivers Reg Med Ctr | Kennett | 116 | 13,414 | 46,072 | 29.1% |
| Northeast Regional Med Ctr | Kirksville | 115 | 15,377 | 66,162 | 23.2% |
| Capital Region Med Ctr | Jefferson City | 114 | 7,642 | 159,318 | 4.8% |
| Ozarks Medical Center | West Plains | 114 | 9,120 | 115,877 | 7.9% |
| Barnes-Jewish West County Hospital | St Louis | 113 | 12,155 | 106,590 | 11.4% |
| Excelsior Springs Hospital | Excelsior Springs | 105 | 672 | 21,698 | 3.1% |
| CenterPointe Hospital | St Charles | 104 | (1,800) | 29,421 | -6.1% |
| Moberly Reg Med Ctr | Moberly | 101 | 16,839 | 62,956 | 26.7% |
| Hannibal Reg Hospital | Hannibal | 91 | 10,519 | 103,261 | 10.2% |
| Audrain Medical Center | Mexico | 88 | (1,169) | 53,010 | -2.2% |
| Golden Valley Meml Hospital | Clinton | 84 | 4,290 | 58,762 | 7.3% |
| Western Missouri Med Ctr | Warrensburg | 84 | 1,535 | 67,561 | 2.3% |
| St. Francis Hospital | Maryville | 81 | (2,638) | 54,427 | -4.8% |
| Shriners Hospitals for Children | St Louis | 80 | (20,579) | 7,337 | -280.5% |
| Citizens Meml Hospital | Bolivar | 76 | 2,235 | 92,129 | 2.4% |
| Progress West HealthCare Ctr | O Fallon | 72 | (5,001) | 55,849 | -9.0% |
| Belton Reg Med Ctr | Belton | 71 | 7,342 | 39,488 | 18.6% |
| Nevada Reg Med Ctr | Nevada | 71 | 1,798 | 31,552 | 5.7% |
| Cooper County Meml Hospital | Boonville | 70 | (1,650) | 9,459 | -17.4% |
| Freeman Neosho Hospital | Neosho | 67 | 3,692 | 18,336 | 20.1% |
| Texas County Meml Hosp | Houston | 66 | 1,627 | 21,702 | 7.5% |
| Lee's Summit Med Ctr | Lee's Summit | 64 | 13,510 | 72,744 | 18.6% |
| Perry County Meml Hosp | Perryville | 64 | 2,311 | 28,369 | 8.1% |
| Ray County Meml Hosp | Richmond | 63 | 852 | 17,329 | 4.9% |
| Mercy Hospital Lebanon | Lebanon | 62 | 19,964 | 80,832 | 24.7% |
| Bates County Meml Hospital | Butler | 60 | (647) | 27,314 | -2.4% |
| Fitzgibbon Hosp | Marshall | 60 | 1,714 | 36,734 | 4.7% |
| Cameron Reg Med Ctr | Cameron | 58 | 5,952 | 35,905 | 16.6% |
| Pershing Memorial Hospital | Brookfield | 57 | (539) | 14,916 | -3.6% |
| Salem Meml District Hospital | Salem | 55 | (363) | 14,990 | -2.4% |
| Mercy Hospital Aurora | Aurora | 53 | 368 | 13,723 | 2.7% |
| Southeast Health Ctr Stoddard | Dexter | 50 | 1,409 | 10,434 | 13.5% |
| Callaway Community Hospital | Fulton | 49 | (2,294) | 9,477 | -24.2% |
| Hedrick Med Ctr | Chillicothe | 49 | 4,316 | 35,264 | 12.2% |
| Cox Monett | Monett | 47 | 1,913 | 26,345 | 7.3% |
| Sac-Osage Hosp | Osceola | 47 | (381) | 6,640 | -5.7% |
| Ste. Genevieve County Meml Hosp | Sainte Genevieve | 47 | 1,053 | 31,389 | 3.4% |
| Crittenton Children's Center | Kansas City | 46 | 604 | 23,984 | 2.5% |
| Northwest Med Ctr | Albany | 45 | (537) | 12,902 | -4.2% |
| Ozarks Community Hospital | Springfield | 45 | (1,196) | 42,994 | -2.8% |
| Landmark Hospital of Columbia | Columbia | 42 | 901 | 17,420 | 5.2% |
| Royal Oaks Hospital | Windsor | 41 | (1,123) | 9,933 | -11.3% |
| Scotland County Hosp | Memphis | 40 | 173 | 16,143 | 1.1% |
| Sullivan County Meml Hosp | Milan | 39 | 163 | 6,304 | 2.6% |
| Cass Reg Med Ctr | Harrisonville | 35 | 3,827 | 50,383 | 7.6% |
| Missouri Baptist Hosp Sullivan | Sullivan | 35 | (832) | 40,671 | -2.0% |
| Cedar County Meml Hospital | El Dorado Springs | 34 | 599 | 11,631 | 5.2% |
| Landmark Hospital Cape Girardeau | Cape Girardeau | 30 | 730 | 14,547 | 5.0% |
| Landmark Hospital of Joplin | Joplin | 30 | 631 | 15,135 | 4.2% |
| Barton County Meml Hospital | Lamar | 25 | (125) | 19,378 | -0.6% |
| Carroll County Meml Hospital | Carrollton | 25 | 379 | 11,794 | 3.2% |
| Wright Memorial Hospital | Trenton | 25 | (581) | 24,474 | -2.4% |
| Mercy St. Francis Hospital | Mountain View | 25 | 1,067 | 14,171 | 7.5% |
| Iron County Hospital | Pilot Knob | 25 | (99) | 7,438 | -1.3% |
| Mercy McCune-Brooks Hospital | Carthage | 25 | 839 | 28,598 | 2.9% |
| Lafayette Reg Health Ctr | Lexington | 25 | 1,646 | 24,288 | 6.8% |
| Lincoln County Med Ctr | Troy | 25 | 376 | 32,363 | 1.2% |
| Samaritan | Macon | 25 | (368) | 19,893 | -1.8% |
| Pike County Meml Hosp | Louisiana | 25 | 901 | 11,495 | 7.8% |
| Washington Meml Hosp | Potosi | 25 | (805) | 21,481 | -3.7% |
| Hermann Area District Hospital | Hermann | 24 | (266) | 15,111 | -1.8% |
| Ripley County Meml Hosp | Doniphon | 21 | 206 | 6,254 | 3.3% |
| Harrison County Community Hosp | Bethany | 20 | 34 | 13,954 | 0.2% |
| Community Hospital-Fairfax | Fairfax | 18 | (939) | 9,617 | -9.8% |
| Mercy Hospital Cassville | Cassville | 18 | 2,274 | 13,129 | 17.3% |
| Putnam Ciunty Meml Hosp | Unionville | 15 | (322) | 6,359 | -5.1% |
| I-70 Community Hospital | Sweet Springs | 15 | (830) | 6,111 | -13.6% |
| Ellett Meml Hosp | Appleton City | 12 | 285 | 7,680 | 3.7% |
| Saint Luke's Cancer Institute | Kansas City | 9 | 2,253 | 19,185 | 11.7% |
| - | |||||
| Total all 117 | 21,095 | 850,882 | 17,179,962 | 5.0% |
