What I found was that 44 of the 89 Alabama Hospitals, or 49% of them, posted Bottom Line Net Losses in 2012, which totaled $116 mil. Of the 42 Alabama Hospitals with fewer than 100 beds, 25 of them, or 60% of them, posted Bottom Line Losses in the most recent reported year.
Below here from the AHD website are the 44 Alabama Hospitals registering Bottom Line Losses totaling $116 mil in the most recent year reported:
| Alabama | # of | Net | |
| Alabama Hospital Name | City | Beds | (Loss) |
| $000s | |||
| Fayette Medical Center | Fayette | 164 | (24,780) |
| UAB Hospital Highlands | Birmingham | 73 | (8,209) |
| Eliza Coffee Memorial Hospital | Florence | 358 | (7,324) |
| Walker Baptist Medical Center | Jasper | 175 | (5,216) |
| North Baldwin Infirmary | Bay Minette | 70 | (4,752) |
| Saint Vincent's Saint Clair | Pell City | 40 | (4,601) |
| Shelby Baptist Medical Center | Alabaster | 193 | (4,506) |
| Shoals Hospital | Muscle Shoals | 184 | (4,185) |
| University of South Alabama Medical Center | Mobile | 131 | (4,179) |
| LV Stabler Memorial Hospital | Greenville | 57 | (4,144) |
| DeKalb Regional Medical Center | Fort Payne | 115 | (3,718) |
| Northwest Medical Center | Winfield | 71 | (3,647) |
| Thomas Hospital | Fairhope | 129 | (3,457) |
| Bryan W. Whitfield Memorial Hospital | Demopolis | 99 | (3,117) |
| North Mississippi Medical Center - Hamilton | Hamilton | 115 | (3,089) |
| Saint Vincent's Blount | Oneonta | 40 | (2,975) |
| RMC of Jacksonville | Jacksonville | 69 | (2,312) |
| Russellville Hospital | Russellville | 92 | (2,281) |
| Monroe County Hospital | Monroeville | 94 | (2,247) |
| Prattville Baptist Hospital | Prattville | 56 | (2,097) |
| Cherokee Medical Center | Centre | 45 | (1,949) |
| Clay County Hospital | Ashland | 129 | (1,857) |
| Decatur General | Decatur | 196 | (1,548) |
| Parkway Medical Center | Decatur | 120 | (1,534) |
| Community Hospital | Tallassee | 47 | (1,154) |
| Troy Regional Medical Center | Troy | 97 | (991) |
| Wiregrass Medical Center | Geneva | 185 | (912) |
| Lawrence Medical Center | Moulton | 37 | (899) |
| Helen Keller Hospital | Sheffield | 185 | (582) |
| Medical Center Enterprise | Enterprise | 131 | (543) |
| Elmore Community Hospital | Wetumpka | 33 | (510) |
| Hill Hospital Of Sumter County | York | 33 | (485) |
| Coosa Valley Medical Center | Sylacauga | 217 | (439) |
| Lanier Health Services | Valley | 187 | (398) |
| Grove Hill Memorial Hospital | Grove Hill | 33 | (375) |
| Lakeland Community Hospital | Haleyville | 59 | (322) |
| Jackson Medical Center | Jackson | 35 | (301) |
| Dale Medical Center | Ozark | 89 | (300) |
| Citizens Baptist Medical Center | Talladega | 96 | (181) |
| Hale County Hospital | Greensboro | 28 | (103) |
| Bibb Medical Center | Centreville | 156 | (59) |
| D.W. McMillan Memorial Hospital | Brewton | 49 | (55) |
| Georgiana Hospital | Georgiana | 22 | (32) |
| Highlands Medical Center | Scottsboro | 220 | (11) |
| Total all 44 | 4,754 | (116,376) |
All 89 Alabama Hospitals Generated Total Bottom Line Profits of $317 mil in the most recent year reported, for an overall Average Hospital Net Income of only $3,558,000.
To get a better understanding of what's going on financially with all 89 Alabama Hospitals, it is wise to break them down by Number-of-Bed Size.
Eight of the 89 had Bed Sizes of more than 400. These 8 largest Alabama Hospitals generated an Average Hospital Net Income of $34,141,000.
On the other hand, the other 81 with Bed Sizes below 400 generated an Average Hospital Net Income of $537,000, only 1.6% of the $34,141,000. Yes, there is a major problem with Alabama Hospital Income Inequality, just like there is with US citizens.
23 of the 89 had Bed Sizes of more than 200. These 23 largest Alabama Hospitals generated an Average Hospital Net Income of $15,635,000.
On the other hand, the other 66 with Bed Sizes below 200 generated an Average Hospital Net Loss of $651,000. Yes, there is a major problem with Alabama Hospital Income Inequality, just like there is with US citizens.
UAB Hospital generated Bottom Line Profits of $79,290,000, which was 82% higher than the $43,518,000 of Total Bottom Line Profits of the 81 Hospitals having less than 400 beds each. Yes, there is a major problem with Alabama Hospital Income Inequality, just like there is with US citizens.
Huntsville Hospital generated Bottom Line Profits of $61,798,000, which was 42% higher than the $43,518,000 of Total Bottom Line Profits of the 81 Hospitals having less than 400 beds each. Yes, there is a major problem with Alabama Hospital Income Inequality, just like there is with US citizens.
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 overwhelming majority of these Alabama Hospitals were the very high percentage of uninsured and underinsured Alabama residents, particularly in the many smaller Alabama communities and also in several urban areas, with the resultant abnormally high levels of both Total Bad Debt Earnings Charges and Uncompensated Charity Care Earnings Charges relative to Net Patient Revenues.
The best way to provide the needed financial boost to all Alabama Hospitals, but especially to the many small ones, is to simply Expand Medicaid Fully in Alabama. This will substantially reduce two Hospital Operating Statement Earnings Charges.....Provisions for Bad Debts and Uncompensated Charity Care Costs, thereby substantially boosting Earnings of these Alabama Hospitals.
Frankly I think that by Alabama 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 Alabama 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.
Second, as explained earlier, all Alabama Hospitals, but especially ones providing emergency care to the many indigent populations in the smaller rural areas and in several urban areas, will have their Bottom Line Earnings as well as their Net Assets, or measure of financial strength, substantially bolstered with Full Medicaid Expansion.
Granted these two huge Hospital Earnings Charges.....Provision for Bad Debts and Uncompensated Charity Care Costs.....will not be totally eliminated with Full Expansion of Medicaid in Alabama, but a substantial portion of them will be.
And third, many of these Alabama Hospitals are Government Hospitals, with many of them being at least partially financed with taxes paid by Alabama citizens. Full Expansion of Medicaid should substantially improve the Earnings and Losses now being registered by these Alabama Governmental Hospitals. Thus it is only logical that not as many taxes will be needed after Full Expansion of Medicaid in Alabama. So it's not just the presently uninsured and underinsured who will benefit from the Full Medicaid Expansion in Alabama. So will all Alabama taxpayers who in all fairness should be getting tax cuts.
From the excellent AHD website, below here are the Number of Beds and Net Income or Net Losses of each of these 89 Alabama individual Hospitals in 2012, presented in declining bed size:
| Net | |||
| Alabama | # of | Income | |
| Alabama Hospital Name | City | Beds | (Loss) |
| $000s | |||
| UAB Hospital | Birmingham | 1,138 | 79,290 |
| Huntsville Hospital | Huntsville | 838 | 61,798 |
| Mobile Infirmary Medical Center | Mobile | 704 | 33,795 |
| Brookwood Medical Center | Birmingham | 631 | 20,579 |
| DCH Regional Medical Center | Tuscaloosa | 615 | 16,516 |
| Saint Vincent's Birmingham | Birmingham | 442 | 32,042 |
| Baptist Medical Center South | Montgomery | 423 | 16,881 |
| Southeast Alabama Medical Center | Dothan | 420 | 12,226 |
| Trinity Medical Center | Birmingham | 369 | 2,427 |
| Eliza Coffee Memorial Hospital | Florence | 358 | (7,324) |
| Providence Hospital | Mobile | 349 | 19,379 |
| Saint Vincent's East | Birmingham | 311 | 5,187 |
| Gadsden Regional Medical Center | Gadsden | 300 | 7,133 |
| Princeton Baptist | Birmingham | 292 | 7,755 |
| East Alabama Medical Center | Opelika | 284 | 6,519 |
| Riverview Regional Medical Center | Gadsden | 281 | 7,782 |
| Jackson Hospital | Montgomery | 255 | 16,244 |
| Regional Medical Center Anniston | Anniston | 252 | 429 |
| Flowers Hospital | Dothan | 235 | 18,837 |
| UAB Medical West | Bessemer | 229 | 2,021 |
| Highlands Medical Center | Scottsboro | 220 | (11) |
| Coosa Valley Medical Center | Sylacauga | 217 | (439) |
| Marshall Medical Center South | Boaz | 204 | 542 |
| Decatur General | Decatur | 196 | (1,548) |
| Shelby Baptist Medical Center | Alabaster | 193 | (4,506) |
| Springhill Medical Center | Mobile | 193 | 605 |
| Lanier Health Services | Valley | 187 | (398) |
| Helen Keller Hospital | Sheffield | 185 | (582) |
| Wiregrass Medical Center | Geneva | 185 | (912) |
| Shoals Hospital | Muscle Shoals | 184 | (4,185) |
| Walker Baptist Medical Center | Jasper | 175 | (5,216) |
| Fayette Medical Center | Fayette | 164 | (24,780) |
| Vaughan Regional Medical Center | Selma | 159 | 4,337 |
| Bibb Medical Center | Centreville | 156 | (59) |
| Crestwood Medical Center | Huntsville | 150 | 12,154 |
| Baptist Medical Center East | Montgomery | 149 | 13,754 |
| Medical Center Enterprise | Enterprise | 131 | (543) |
| University of South Alabama Medical Center | Mobile | 131 | (4,179) |
| Clay County Hospital | Ashland | 129 | (1,857) |
| Thomas Hospital | Fairhope | 129 | (3,457) |
| Stringfellow Memorial Hospital | Anniston | 125 | 6,013 |
| Parkway Medical Center | Decatur | 120 | (1,534) |
| Cullman Regional Medical Center | Cullman | 115 | 3,434 |
| DeKalb Regional Medical Center | Fort Payne | 115 | (3,718) |
| North Mississippi Medical Center - Hamilton | Hamilton | 115 | (3,089) |
| South Baldwin Regional Medical Center | Foley | 112 | 3,256 |
| Athens-Limestone Hospital | Athens | 101 | 2,189 |
| Bryan W. Whitfield Memorial Hospital | Demopolis | 99 | (3,117) |
| Troy Regional Medical Center | Troy | 97 | (991) |
| Citizens Baptist Medical Center | Talladega | 96 | (181) |
| Monroe County Hospital | Monroeville | 94 | (2,247) |
| Russellville Hospital | Russellville | 92 | (2,281) |
| Marshall Medical Center North | Guntersville | 90 | 4,180 |
| Mizell Memorial Hospital | Opp | 90 | 1,057 |
| Andalusia Regional Hospital | Andalusia | 89 | 1,566 |
| Dale Medical Center | Ozark | 89 | (300) |
| Greene County Hospital | Eutaw | 86 | 44 |
| Russell Medical Center | Alexander City | 75 | 906 |
| UAB Hospital Highlands | Birmingham | 73 | (8,209) |
| Northwest Medical Center | Winfield | 71 | (3,647) |
| North Baldwin Infirmary | Bay Minette | 70 | (4,752) |
| RMC of Jacksonville | Jacksonville | 69 | (2,312) |
| Jack Hughston Memorial Hospital | Phenix City | 66 | 952 |
| Lakeland Community Hospital | Haleyville | 59 | (322) |
| LV Stabler Memorial Hospital | Greenville | 57 | (4,144) |
| Prattville Baptist Hospital | Prattville | 56 | (2,097) |
| Bullock County Hospital | Union Springs | 54 | 2,457 |
| Pickens County Medical Center | Carrollton | 50 | 214 |
| Atmore Community Hospital | Atmore | 49 | 179 |
| Crenshaw Community Hospital | Luverne | 49 | 262 |
| D.W. McMillan Memorial Hospital | Brewton | 49 | (55) |
| Community Hospital | Tallassee | 47 | (1,154) |
| Medical Center Barbour | Eufaula | 47 | 4,429 |
| Lake Martin Community Hospital | Dadeville | 46 | 98 |
| Cherokee Medical Center | Centre | 45 | (1,949) |
| Evergreen Medical Center | Evergreen | 44 | 402 |
| Saint Vincent's Blount | Oneonta | 40 | (2,975) |
| Saint Vincent's Saint Clair | Pell City | 40 | (4,601) |
| Lawrence Medical Center | Moulton | 37 | (899) |
| Jackson Medical Center | Jackson | 35 | (301) |
| Wedowee Hospital | Wedowee | 34 | 483 |
| Elmore Community Hospital | Wetumpka | 33 | (510) |
| Grove Hill Memorial Hospital | Grove Hill | 33 | (375) |
| Hill Hospital Of Sumter County | York | 33 | (485) |
| Hale County Hospital | Greensboro | 28 | (103) |
| Florala Memorial Hospital | Florala | 22 | 51 |
| Georgiana Hospital | Georgiana | 22 | (32) |
| John Paul Jones Hospital | Camden | 21 | 587 |
| Callahan Eye Foundation Hospital | Birmingham | 12 | 2,030 |
| Total all 89 | 15,354 | 316,645 | |
| Average Hospital Net Income | 3,558 |
More details to come.
