Tuesday, December 10, 2013

Florida Smallest 63 Non-Profit Hospitals With Revenues Below $50 mil Post Operating Losses of a Negative 31% of Revenues

In one earlier recent post Florida Non-Profit Hospital Earnings On Fire, from a review of audited financial statements and related footnotes contained in the Electronic Municipal Market Access (EMMA), I showed that the 19 large Florida Non-Profit Hospital Organizations with Net Assets above $400 mil each experienced Total Audited Bottom Line Earnings which were an exceptionally robust 8.6% of Total Operating Revenues in the most recent year.

And in a second earlier recent post Florida Smaller Non Profit Hospital Profits, I found an additional 19 Non-Profit Hospital Organizations headquartered in the State of Florida with Total Operating Revenues of more than $100 mil each in the most recent fiscal year but also with Net Assets of less than $400 mil each experienced Total Audited Bottom Line Earnings which were a substantially lower 3.8% of Total Operating Revenues in the most recent year.  

Bottom Line Earnings is a combination of Operating Income and Non-Operating Income, with the latter being due predominantly to Investment Returns.

So what about the even smaller individual Florida Non-Profit Hospitals?  How did they do?

Fortunately, the State of Florida in its MyFlorida.com website discloses key operating statement information annually for each of its Florida individual Hospitals.  The most recent annual Hospital Operating Statement information contained there was for annual fiscal years ended in 2011.

There were 172 individual in the MyFlorida website.  Of these 172, 63 of them, or an amazingly high 37% of them, generated individual Hospital Total Operating Revenues of less than $50 mil in 2011.

These smallest 63 Florida individual Non-Profit Hospitals posted Total Bottom Line Losses which were a negative 6.7% of Total Operating Revenues in 2011.  Whew!

Here is a summary of Bottom Line Profit Margins of these 172 individual Non-Profit Hospitals by Revenue intervals:

23 Hospitals..2011 Revenues above $400 mil..Bottom Line Profit 7.3% of Revenues
55 Hospitals..2011 Revenues of $100-400 mil.Bottom Line Profit 7.0% of Revenues
31 Hospitals..2011 Revenues of $50-100 mil....Bottom Line Profit 5.1% of Revenues
63 Hospitals..2011 Revenues Below $50 mil..Bottom Line Loss (6.7)% of Revenues

But it gets even worse for these smallest Florida Non-Profit Hospitals.

These 63 Hospitals with 2011 Revenues under $50 mil posted Total Operating Losses of $(312) mil in 2011, which was a negative (30.9)% of Total Operating Revenues.

My clear conclusion is that Florida Republican Governor Rick Scott is dead on.....Florida needs to Expand Medicaid.  These struggling Florida Hospitals will be substantially strengthened financially by the huge amount of hospital patient revenues which would flow from Medicaid Expansion. 

First, from a review and summarization of information contained in MyFlorida.com's website, below here are the Bottom Line Earnings and Total Operating Revenues in 2011 for each of these 172 Florida individual Hospitals sorted by Revenues: 




Bottom


Bottom
Line


Line Total Profit
Florida
Profit Operating (Loss)
County Florida Hospital Name (Loss) Revenues Margin


$000s $000s %

Revenues > $400 Mil


Orange Florida Hospital             195,323         2,173,541 9.0%
Orange Orlando Regional Medical Center             128,453         1,518,411 8.5%
Miami-Dade Jackson Memorial Hospital             (33,891)         1,127,050 -3.0%
Hillsborough Tampa General Hospital               22,929             986,242 2.3%
Alachua Shands Hospital Univ Florida               16,862             949,820 1.8%
Miami-Dade Baptist Hospital Miami             164,868             888,007 18.6%
Hillsborough St Joseph's Hospital               59,677             742,385 8.0%
Broward Memorial Regional Hospital                 4,914             731,256 0.7%
Duval Baptist Medical Center-Downtown               81,997             728,731 11.3%
Lee Lee Memorial Hospital               74,310             569,818 13.0%
Hillsborough H Lee Moffitt Cancer Center               56,373             534,104 10.6%
Polk Lakeland Regional Medical Center               21,105             513,619 4.1%
Duval Shands Jacksonville Medical Center                (5,011)             506,849 -1.0%
Sarasota Sarasota Memorial Hospital               70,208             459,027 15.3%
Miami-Dade South Miami Hospital               58,380             458,125 12.7%
Leon Tallahassee Memorial Hospital               66,396             451,155 14.7%
Brevard Holmes Regional Medical Center               43,577             445,497 9.8%
Miami-Dade Mount Sinai Medical Center             (15,894)             429,212 -3.7%
Pinellas Morton Plant Hospital               46,261             429,058 10.8%
Broward Broward Health Medical Center               45,534             417,725 10.9%
Collier Naples Community Hospital               29,077             417,184 7.0%
Miami-Dade Miami Children's Hospital                 7,340             411,342 1.8%
Escambia Sacred Heart Hospital               46,828             401,559 11.7%






Total 23 Revenues > $400 Mil         1,185,616       16,289,717 7.3%






Revenues $100-400 Mil


Broward Memorial Hospital West               62,019             394,481 15.7%
Duval St Vincent's Medical Center Riverside               68,387             387,506 17.6%
Duval Mayo Clinic               52,171             385,620 13.5%
Volusia Halifax Health Medical Center                 9,163             384,957 2.4%
Escambia Baptist Hospital               12,622             344,755 3.7%
Miami-Dade Univ Miami Hospital and Clinics               80,647             339,842 23.7%
Pinellas Mease Dunedin Hospital               37,395             337,288 11.1%
Palm Beach Boca Raton Regional Hospital                 4,105             328,000 1.3%
Hillsborough Florida Hospital Tampa                 3,680             318,530 1.2%
Broward Holy Cross Hospital                 8,259             315,176 2.6%
Miami-Dade University Miami Hospital                   (267)             306,483 -0.1%
Marion Munroe Regional Medical Center                 6,858             292,662 2.3%
Martin Martin Medical Center               22,463             292,205 7.7%
Lee Gulf Coast Med Ctr Lee Memorial             (21,867)             274,635 -8.0%
Broward Plantation General Hospital                 1,328             269,396 0.5%
Miami-Dade Aventura Hospital and Medical Center               40,603             266,789 15.2%
Palm Beach Bethesda Hospital               17,007             253,438 6.7%
Pinellas Bayfront Medical Center                 2,599             253,064 1.0%
Miami-Dade Kendall Regional Medical Center               44,914             247,102 18.2%
Polk Winter Haven Hospital                     200             224,952 0.1%
Lake Leesburg Regional Medical Center               15,586             221,127 7.0%
Bay Bay Medical Center: Sacred Heart System                (1,145)             217,073 -0.5%
Volusia Florida Hospital Oceanside                     515             205,897 0.3%
Miami-Dade Doctors Hospital               34,147             199,402 17.1%
Broward Cleveland Clinic               35,791             194,016 18.4%
Manatee Manatee Memorial Hospital               13,043             193,745 6.7%
St Johns Flagler Hospital                 3,702             188,155 2.0%
Lake Florida Hospital Waterman               20,404             186,645 10.9%
Lee Cape Coral Hospital               23,237             186,522 12.5%
Pinellas St Anthony's Hospital               12,210             175,340 7.0%
Broward Broward Health North                 1,815             170,473 1.1%
Collier Physicians Regional Med Ctr-Pine Ridge               20,319             170,128 11.9%
Palm Beach Jupiter Medical Center                 4,676             165,827 2.8%
Indian River Indian River Medical Center                 1,475             165,618 0.9%
Miami-Dade Homestead Hospital             (18,097)             165,347 -10.9%
Broward Memorial Hospital Miramar               26,861             158,045 17.0%
Hernando Brooksville Regional Hospital               35,125             154,398 22.7%
Sarasota Venice Regional Medical Center               14,394             154,362 9.3%
Brevard Parrish Medical Center                (7,685)             142,763 -5.4%
Citrus Citrus Memorial Hospital                     (97)             141,084 -0.1%
Highlands Florida Hospital Heartland Med Ctr                 5,383             140,979 3.8%
Brevard Wuesthoff Medical Center-Rockledge                (2,280)             136,366 -1.7%
Pasco Florida Hospital Zephyrhills                 7,857             135,735 5.8%
Polk Heart of Florida Regional Med Ctr               33,233             134,821 24.6%
Lake South Lake Hospital               15,587             133,204 11.7%
Broward Broward Health Coral Springs               11,211             132,657 8.5%
Sumter Villages Regional Hospital                 7,825             131,361 6.0%
Volusia Florida Hospital Fish Memorial               10,202             123,838 8.2%
Orange Health Central                 3,466             120,386 2.9%
Duval St Vincent's Medical Center Southside             (14,208)             115,139 -12.3%
Broward Memorial Hospital Pembroke                (5,669)             113,844 -5.0%
Charlotte Charlotte Regional Medical Center               12,692             111,424 11.4%
Volusia Florida Hospital Deland                 7,442             111,336 6.7%
Flagler Florida Hospital Flagler               25,261             111,093 22.7%
Brevard Cape Canaveral Hospital                 9,052             101,257 8.9%






Total 55 Revenues $100-400 Mil             815,616       11,626,288 7.0%






Revenues $50-100 Mil


Miami-Dade Anne Bates Leach Hospital                 8,868               99,758 8.9%
Duval Baptist Medical Center-Beaches                 7,835               98,292 8.0%
Broward University Hospital& Medical Center                 5,503               96,619 5.7%
Broward Broward Health Imperial Point                 1,881               95,603 2.0%
Charlotte Peace River Regional Medical Center                (1,926)               89,572 -2.2%
Hillsborough Florida Hospital Carrollwood                (1,480)               89,325 -1.7%
Monroe Depoo Hospital               25,629               86,448 29.6%
Pinellas All Children's Hospital                 1,449               86,277 1.7%
Pasco Morton Plant North Bay Hospital                 1,128               83,215 1.4%
Hillsborough South Florida Baptist Hospital                 1,245               81,884 1.5%
Walton Sacred Heart Hospital Emerald Coast               10,570               78,369 13.5%
Citrus Seven Rivers Regional Medical Center               10,347               77,659 13.3%
Miami-Dade Coral Gables Hospital                 1,126               75,189 1.5%
Brevard Wuesthoff Medical Center-Melbourne               12,302               73,123 16.8%
Duval Brooks Rehabilitation Hospital                 7,373               71,797 10.3%
Indian River Sebastian River Medical Center               11,844               71,108 16.7%
Pinellas Palms of Pasadena Hospital                     422               71,032 0.6%
Miami-Dade Mercy Hosp Campus Plantation General Hosp                 1,599               69,414 2.3%
Hillsborough Memorial Hospital Tampa                 2,588               62,275 4.2%
Miami-Dade Palm Springs General Hospital                 2,109               62,189 3.4%
Pinellas Florida Hospital North Pinellas             (10,654)               61,266 -17.4%
Miami-Dade Westchester General Hospital                 1,438               60,567 2.4%
Miami-Dade Larkin Community Hospital                 3,890               59,613 6.5%
Polk Bartow Regional Medical Center                 6,033               56,620 10.7%
Santa Rosa Santa Rosa Medical Center                 6,958               55,882 12.5%
Hillsborough Town & Country Hospital                     (69)               54,870 -0.1%
Manatee Lakewood Ranch Medical Center                (2,927)               54,599 -5.4%
Highlands Highlands Regional Medical Center                (2,374)               54,027 -4.4%
Putnam Putnam Community Medical Center             (10,811)               53,396 -20.2%
Nassau Baptist Medical Center-Nassau                 7,343               51,152 14.4%
Pasco Pasco Regional Medical Center                 4,003               50,825 7.9%






Total 31 Revenues $50-100 Mil             113,242         2,231,965 5.1%






Revenues < $50 Mil


Osceola St Cloud Regional Medical Center                 4,988               49,785 10.0%
Monroe Mariners Hospital                 7,222               46,403 15.6%
Jackson Jackson Hospital                   (873)               43,928 -2.0%
Lee Lehigh Regional Medical Center                (1,694)               41,025 -4.1%
Miami-Dade Metropolitan Hospital Miami                (4,377)               39,426 -11.1%
Columbia Shands Lake Shore Regional Med Ctr                (3,513)               37,531 -9.4%
Volusia Bert Fish Medical Center                     (54)               36,193 -0.1%
Brevard Palm Bay Hospital                     380               34,577 1.1%
Miami-Dade West Kendall Baptist Hospital             (51,551)               34,435 -149.7%
Sarasota Healthsouth                 8,742               31,004 28.2%
Palm Beach Lakeside Medical Center                (2,031)               29,501 -6.9%
Desoto Desoto Memorial Hospital                (1,284)               28,567 -4.5%
Miami-Dade St Catherine's Rehabilitation Hospital                 5,872               25,062 23.4%
Pasco Florida Hospital at Connerton                 1,123               22,370 5.0%
Washington Northwest Florida Community Hospital                 1,424               20,544 6.9%
Brevard Viera Hospital             (11,467)               20,385 -56.3%
Pinellas Healthsouth                 4,565               20,296 22.5%
Bradford Shands Starke Regional Medical Ctr                     721               20,223 3.6%
Suwanee Shands Live Oak Regional Med Ctr                 1,834               19,091 9.6%
Hardee Florida Hospital Wauchula                   (827)               19,025 -4.3%
Taylor Doctors Memorial Hospital                   (388)               18,915 -2.1%
Duval River Point Behavioral Health                 6,584               18,270 36.0%
Pinellas Baycare Alliant Hospital                 1,757               17,112 10.3%
St Lucie Port St Lucie Hospital                     147               16,466 0.9%
Hernando Springbrook Hospital                     438               16,038 2.7%
Brevard Devereux Florida                     263               15,766 1.7%
Collier Willough at Naples                     (99)               14,899 -0.7%
Baker Ed Fraser Memorial Hospital                 3,555               14,881 23.9%
Hendry Henry Regional Medical Center                   (710)               14,836 -4.8%
Orange Central Florida Behavioral Hospital                 1,754               13,723 12.8%
Duval Wekiva Springs                 4,140               12,673 32.7%
Santa Rosa Jay Hospital                   (116)               12,350 -0.9%
Holmes Doctors Memorial Hospital                   (754)               12,129 -6.2%
Monroe Fishermen's Hospital                   (836)               11,655 -7.2%
Bay Emerald Coast Behavioral Hospital                     421               10,238 4.1%
Walton Healthmark Regional Medical Center                     204               10,026 2.0%
Broward St Anthony's Rehabilitation Hospital                 1,461                 9,614 15.2%
Broward Atlantic Shores Hospital                     693                 9,510 7.3%
Gulf Sacred Heart Hospital on the Gulf                (6,004)                 9,349 -64.2%
Baker Northeast Florida State Hospital                       49                 9,018 0.5%
Calhoun Calhoun-Liberty Hospital                      135                 9,004 1.5%
Union Lake Butler Hospital Hand Surgery Ctr                     112                 8,048 1.4%
Union Reception and Medical Center Hospital             (16,369)                        -  
Miami-Dade Douglas Gardens Hospital                (1,569)                 7,622 -20.6%
Santa Rosa West Florida Community Care Ctr                     131                 7,486 1.7%
Jackson Campbellton-Graceville Hospital                   (538)                 6,978 -7.7%
Marion The Vines Hospital                 1,076                 6,742 16.0%
Broward Hollywood Pavilion                     415                 6,535 6.4%
Madison Madison County Memorial Hospital                     164                 6,248 2.6%
Brevard Circles of Care                       (4)                 6,215 -0.1%
Orange La Amistad Residential Treatment Ctr                 2,837                 5,971 47.5%
Orange University Behavioral Center                     794                 5,846 13.6%
Palm Beach Holley State Hospital                (6,200)                 5,780 -107.3%
Levy Tri County Hospital-Williston                   (719)                 5,165 -13.9%
Franklin Weems Memorial Hospital                     447                 5,157 8.7%
Lake Lifestream Behavioral Center                     587                 4,749 12.4%
Manatee Manatee Glens Hospital                     133                 4,443 3.0%
Leon Eastside Psychiatric Hospital                (1,005)                 3,477 -28.9%
Broward South Florida State Hospital                       26                 3,299 0.8%
Hillsborough Shriners Hospitals For Children-Tampa             (20,540)                 3,100 -662.6%
Gadsden Florida State Hospital                     109                 2,794 3.9%
Marion The Centers Inc                     638                 2,790 22.9%
Okaloosa Gulf Coast Treatment Center                       47                 1,882 2.5%
Palm Beach Jerome Golden Center For Behavioral Health                     (67)                 1,809 -3.7%






Total 63 Revenues < $50 Mil             (67,601)         1,007,979 -6.7%






Grand Total all 172 Hospitals         2,046,873       31,155,949 6.6%

Second, from a review and summarization of information contained in MyFlorida.com's website, below here are the Operating Income (Loss) and Total Operating Revenues in 2011 for each of the 63 smallest Florida individual Non-Profit Hospitals with Revenues below $50 mil sorted by Revenues:




Operating


Operating Total Income


Income Operating (Loss)


(Loss) Revenues Margin


$000s $000s %

Revenues < $50 Mil


Osceola St Cloud Regional Medical Center                 4,714               49,785 9.5%
Monroe Mariners Hospital                 7,167               46,403 15.4%
Jackson Jackson Hospital                (1,529)               43,928 -3.5%
Lee Lehigh Regional Medical Center                   (545)               41,025 -1.3%
Miami-Dade Metropolitan Hospital Miami                (4,386)               39,426 -11.1%
Columbia Shands Lake Shore Regnl Med Ctr                (6,379)               37,531 -17.0%
Volusia Bert Fish Medical Center                (5,983)               36,193 -16.5%
Brevard Palm Bay Hospital                   (997)               34,577 -2.9%
Miami-Dade West Kendall Baptist Hospital             (50,240)               34,435 -145.9%
Sarasota Healthsouth                 8,745               31,004 28.2%
Palm Beach Lakeside Medical Center                (9,063)               29,501 -30.7%
Desoto Desoto Memorial Hospital                (4,045)               28,567 -14.2%
Miami-Dade St Catherine's Rehabilitation Hosp                 5,860               25,062 23.4%
Pasco Florida Hospital at Connerton                 1,087               22,370 4.9%
Washington Northwest Florida Community Hosp                 1,079               20,544 5.3%
Brevard Viera Hospital             (16,043)               20,385 -78.7%
Pinellas Healthsouth                 4,562               20,296 22.5%
Bradford Shands Starke Regional Medical Ctr                   (231)               20,223 -1.1%
Suwanee Shands Live Oak Regional Med Ctr                 2,329               19,091 12.2%
Hardee Florida Hospital Wauchula                   (707)               19,025 -3.7%
Taylor Doctors Memorial Hospital                (1,248)               18,915 -6.6%
Duval River Point Behavioral Health                 6,632               18,270 36.3%
Pinellas Baycare Alliant Hospital                 1,753               17,112 10.2%
St Lucie Port St Lucie Hospital                     106               16,466 0.6%
Hernando Springbrook Hospital                   (252)               16,038 -1.6%
Brevard Devereux Florida                     (38)               15,766 -0.2%
Collier Willough at Naples                (2,291)               14,899 -15.4%
Baker Ed Fraser Memorial Hospital                 3,982               14,881 26.8%
Hendry Henry Regional Medical Center                (7,672)               14,836 -51.7%
Orange Central Florida Behavioral Hospital                       73               13,723 0.5%
Duval Wekiva Springs                 4,140               12,673 32.7%
Santa Rosa Jay Hospital                   (128)               12,350 -1.0%
Holmes Doctors Memorial Hospital                   (563)               12,129 -4.6%
Monroe Fishermen's Hospital                 1,358               11,655 11.7%
Bay Emerald Coast Behavioral Hospital                     421               10,238 4.1%
Walton Healthmark Regional Medical Ctr                   (172)               10,026 -1.7%
Broward St Anthony's Rehabilitation Hospital                 1,484                 9,614 15.4%
Broward Atlantic Shores Hospital                     693                 9,510 7.3%
Gulf Sacred Heart Hospital on the Gulf                (6,000)                 9,349 -64.2%
Baker Northeast Florida State Hospital             (50,701)                 9,018 -562.2%
Calhoun Calhoun-Liberty Hospital                    (301)                 9,004 -3.3%
Union Lake Butler Hospital Hand Surgery Ctr                   (193)                 8,048 -2.4%
Union Reception and Medical Center Hospital             (16,369)                        -  
Miami-Dade Douglas Gardens Hospital                (1,843)                 7,622 -24.2%
Santa Rosa West Florida Community Care Ctr                         2                 7,486 0.0%
Jackson Campbellton-Graceville Hospital                   (837)                 6,978 -12.0%
Marion The Vines Hospital                     993                 6,742 14.7%
Broward Hollywood Pavilion                     415                 6,535 6.4%
Madison Madison County Memorial Hospital                   (928)                 6,248 -14.9%
Brevard Circles of Care                (4,325)                 6,215 -69.6%
Orange La Amistad Residential Treatment Ctr                (2,581)                 5,971 -43.2%
Orange University Behavioral Center                (1,909)                 5,846 -32.7%
Palm Beach Holley State Hospital                (6,233)                 5,780 -107.8%
Levy Tri County Hospital-Williston                   (850)                 5,165 -16.5%
Franklin Weems Memorial Hospital                (2,811)                 5,157 -54.5%
Lake Lifestream Behavioral Center                (2,180)                 4,749 -45.9%
Manatee Manatee Glens Hospital                     133                 4,443 3.0%
Leon Eastside Psychiatric Hospital                (1,005)                 3,477 -28.9%
Broward South Florida State Hospital             (28,140)                 3,299 -853.0%
Hillsborough Shriners Hospitals For Children-Tampa             (19,015)                 3,100 -613.4%
Gadsden Florida State Hospital           (108,699)                 2,794 -3890.4%
Marion The Centers Inc                     304                 2,790 10.9%
Okaloosa Gulf Coast Treatment Center                       47                 1,882 2.5%
Palm Beach Jerome Golden Center For Behavioral Health                (2,616)                 1,809 -144.6%




Total all 63           (311,969)         1,007,979 -30.9%

Let me put some additional numbers out here which shows just how Florida Hospitals and the rest of Florida will benefit greatly from Medicaid Expansion in Florida.  Summarizing information supplied by the State of Florida's MyFlorida.com website, these above 172 Non-Profit Florida Hospitals generated Total Operating Income of $1.202 bil in 2011.  Their Total Provisions For Bad Debts, which reduced their Total Operating Income, were $4.319 bil in 2011, which was 3.6 times their Total Operating Income of $1.202 bil.  And their Total Uncompensated Charity Care Charges Foregone were $6.217 bil in 2011, which was 5.2 times their Total Operating Income of $1.202 bil.

When Florida's Hospitals get substantially enhanced financially like this from Medicaid Expansion in Florida, it only makes sense that hospital patient prices decline, health insurance premiums decline, the State of Florida's financial coffers are substantially enhanced, and Florida's taxes assessed on individuals and businesses also decline.