Monday, December 30, 2013

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%