I excluded from their study hospitals which I didn't consider general purpose ones. I was left with 97 Oklahoma Hospitals.
These 97 Oklahoma Hospital Organizations generated Total Operating Income of $188 mil in 2012, which was a very modest 2.5% of Total Net Patient Revenues of $7.422 bil.
There were some of these 97 Oklahoma Hospitals which greedily generated excessive Operating Income in 2012. There were 11 of them which generated Operating Income as a Percentage of Net Patient Revenues in excess of 10.0% each. One of them, Tulsa-based St. Francis, generated Total Operating Income of $124 mil, which was 15.1% of its Net Patient Revenues. Yeah, this $124 mil of Operating Profit comprised 66% of the Total Operating Income of $188 mil for all 97 Oklahoma Hospitals combined in 2012.
But an amazingly high 64 of these 97 Oklahoma Hospitals, or 66% of them, had Operating Losses in 2012. And 55 of the 64 Oklahoma Hospitals with Operating Losses had fewer than 100 beds. Oklahoma has a very embarrassing situation here with its so many struggling Hospitals, coupled with its massive Hospital Operating Profit Inequality. But frankly, the solution is very simple.....full expansion of Medicaid in Oklahoma.
With so many of these Oklahoma Hospitals generating Operating Losses or modest Operating Income, a key beneficiary of this will be Oklahoma citizens buying health insurance on the Federal insurance exchange. These Oklahoma 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, Oklahoma has decided to not expand Medicaid. If Oklahoma 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 Oklahoma citizens in the Federal health insurance exchange. This Oklahoma Medicaid Expansion would increase Oklahoma Hospital profits substantially and thus permit Oklahoma 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 Oklahoma citizens on the Federal Health Insurance Exchange.
So just how much would Oklahoma Hospital Profits increase due to the ACA and the Expansion of Medicaid?
Well, the Total Uncompensated Care in 2012 for the 83 of these 97 Oklahoma Hospitals which disclosed them was $466 mil, which is 2.5 times the Total Operating Income of $188 mil.
Granted not all of this $466 mil of Total Uncompensated Care will be eliminated with ACA and Medicaid Expansion, but a substantial portion of it will.
Below here are the Operating Income or Loss, Total Net Patient Revenues and Operating Income (Loss) Margin Percentage in the most recent year for each of these 97 Oklahoma Hospital Organizations:
| Operating | Net | |||
| Income | Patient | |||
| Oklahoma Hospital | City | (Loss) | Revenues | Margin |
| $000s | $000s | % | ||
| Beaver County Memorial Hospital | Beaver | (3,362) | 1,722 | -195.2% |
| Stroud Regional Medical Center | Stroud | (7,147) | 6,972 | -102.5% |
| Physicians Hospital at Anadarko | Anadarko | (7,072) | 7,626 | -92.7% |
| Integris Edmond | Edmond | (9,557) | 12,558 | -76.1% |
| Great Plains Regional Medical Center | Elk City | (18,756) | 25,677 | -73.0% |
| Latimer County Hospital | Wilburton | (3,017) | 5,630 | -53.6% |
| Sayre Memorial Hospital | Sayer | (3,516) | 7,464 | -47.1% |
| Pauls Valley General Hospital | Pauls Valley | (5,032) | 12,629 | -39.8% |
| Atoka Memorial Hospital | Atoka | (3,034) | 7,668 | -39.6% |
| Cimarron Memorial Hospital | Boise City | (1,099) | 3,001 | -36.6% |
| Kingfisher Regional Hospital | Kingfisher | (4,557) | 12,590 | -36.2% |
| OSU Medical Center | Tulsa | (32,022) | 123,164 | -26.0% |
| Okmulgee Memorial Hospital | Okmulgee | (3,219) | 13,855 | -23.2% |
| Harmon Memorial Hospital | Hollis | (977) | 4,822 | -20.3% |
| Roger Mills Memorial Hospital | Cheyenne | (639) | 3,391 | -18.8% |
| Mercy Hospital Tishomingo | Tishomingo | (777) | 4,214 | -18.4% |
| Share Medical Center | Alva | (1,544) | 9,458 | -16.3% |
| Cordell Memorial Hospital | Cordell | (543) | 3,336 | -16.3% |
| Integris Seminole Medical Center | Seminole | (1,331) | 8,297 | -16.0% |
| Carnegie Tri-County Municipal Hospital | Carnegie | (586) | 3,701 | -15.8% |
| Memorial Hospital Of Texas County | Guymon | (3,338) | 21,426 | -15.6% |
| Coal County General Hospital | Coalgate | (555) | 3,864 | -14.4% |
| Integris Marshall County Med. Cntr | Madill | (1,007) | 7,070 | -14.2% |
| Jefferson County Hospital | Waurika | (357) | 2,639 | -13.5% |
| St. John Sapulpa | Sapulpa | (2,661) | 20,796 | -12.8% |
| Cleveland Area Hospital | Cleveland | (1,244) | 9,824 | -12.7% |
| Fairview Regional Medical Center | Fairview | (653) | 5,177 | -12.6% |
| Arbuckle Memorial Hospital | Sulphur | (1,476) | 11,819 | -12.5% |
| St. John Broken Arrow | Broken Arrow | (6,017) | 49,450 | -12.2% |
| Mercy Hospital El Reno | El Reno | (1,353) | 11,552 | -11.7% |
| Perry Memorial Hospital | Perry | (817) | 7,240 | -11.3% |
| Choctaw Memorial Hospital | Hugo | (1,119) | 10,126 | -11.1% |
| Integris Blackwell Regional Hospital | Blackwell | (1,341) | 12,367 | -10.8% |
| Harper County Community Hospital | Buffalo | (347) | 3,385 | -10.3% |
| McCurtain Memorial Hospital | Idabel | (1,887) | 18,399 | -10.3% |
| Mercy Hospital Watonga | Watonga | (405) | 4,192 | -9.7% |
| St. John Medical Center | Tulsa | (40,892) | 436,306 | -9.4% |
| Mercy Hospital Healdton | Healdton | (387) | 4,430 | -8.7% |
| Memorial Hospital & Physician Group | Frederick | (664) | 7,681 | -8.6% |
| Hillcrest Hospital Cushing | Cushing | (2,417) | 29,665 | -8.1% |
| Craig General Hospital | Vinita | (2,060) | 25,458 | -8.1% |
| Integris Clinton Regional Hospital | Clinton | (1,416) | 17,950 | -7.9% |
| Haskell County Hospital | Stigler | (450) | 6,234 | -7.2% |
| Mercy Hospital Logan County | Guthrie | (869) | 13,462 | -6.5% |
| Fairfax Memorial Hospital | Fairfax | (286) | 4,658 | -6.1% |
| Elkview General Hospital | Hobart | (715) | 13,379 | -5.3% |
| Integris Baptist Regional Health Center | Miami | (2,870) | 54,634 | -5.3% |
| Bristow Medical Center | Bristow | (713) | 14,562 | -4.9% |
| Integris Mayes County Med. Cntr. | Pryor | (782) | 17,265 | -4.5% |
| Woodward Regional Hospital | Woodward | (1,513) | 34,159 | -4.4% |
| St. Anthony Hospital | Oklahoma City | (17,501) | 412,037 | -4.2% |
| Drumright Regional Hospital | Drumright | (357) | 9,901 | -3.6% |
| Eastern Oklahoma Medical Center | Poteau | (756) | 21,070 | -3.6% |
| Integris Grove General Hospital | Grove | (1,765) | 50,671 | -3.5% |
| Comanche County Memorial Hospital | Lawton | (6,922) | 198,821 | -3.5% |
| Sequoyah Memorial Hospital | Sallisaw | (414) | 14,125 | -2.9% |
| Mercy Hospital Ada | Ada | (1,963) | 67,130 | -2.9% |
| Seiling Community Hospital | Seiling | (125) | 4,341 | -2.9% |
| Integris Southwest Medical Center | Oklahoma City | (6,104) | 218,797 | -2.8% |
| Holdenville General Hospital | Holdenville | (247) | 8,964 | -2.8% |
| Weatherford Regional Hospital | Weatherford | (462) | 18,339 | -2.5% |
| Duncan Regional Hospital | Duncan | (1,520) | 76,682 | -2.0% |
| Quartz Mountain Medical Center | Mangum | (90) | 7,019 | -1.3% |
| Norman Regional Hospital | Norman | (244) | 316,736 | -0.1% |
| Mercy Health/Love County | Marietta | (8) | 12,637 | -0.1% |
| Adair County Memorial Hospital | Stilwell | 89 | 18,037 | 0.5% |
| Pawhuska Hospital | Pawhuska | 26 | 4,291 | 0.6% |
| Jackson County Memorial Hospital | Altus | 429 | 69,069 | 0.6% |
| EASTAR Health System | Muskogee | 874 | 103,248 | 0.8% |
| Purcell Municipal Hospital | Purcell | 129 | 14,116 | 0.9% |
| Lindsay Municipal Hospital | Lindsay | 122 | 9,527 | 1.3% |
| OU Medical Center | Oklahoma City | 14,086 | 741,801 | 1.9% |
| Tahlequah City Hospital | Tahlequah | 1,758 | 77,472 | 2.3% |
| Jane Phillips Nowata Health Center | Nowata | 82 | 3,377 | 2.4% |
| Deaconess Hospital | Oklahoma City | 4,298 | 172,159 | 2.5% |
| McAlester Regional Health Center | McAlester | 2,643 | 77,938 | 3.4% |
| Southcrest Hospital | Tulsa | 7,391 | 127,431 | 5.8% |
| St. Mary's Regional Medical Center | Enid | 5,600 | 96,435 | 5.8% |
| Integris Baptist Medical Center | Oklahoma City | 42,720 | 619,968 | 6.9% |
| Hillcrest Medical Center | Tulsa | 30,909 | 438,209 | 7.1% |
| Southwestern Medical Center | Lawton | 5,008 | 68,460 | 7.3% |
| Ponca City Medical Center | Ponca City | 5,007 | 64,563 | 7.8% |
| Integris Canadian Valley Reg. Hsptl. | Yukon | 4,849 | 61,642 | 7.9% |
| Mercy Hospital Ardmore | Ardmore | 10,581 | 129,079 | 8.2% |
| Integris Bass Baptist Health Center | Enid | 11,056 | 117,528 | 9.4% |
| Mercy Hospital | Oklahoma City | 32,447 | 344,880 | 9.4% |
| Hillcrest Hospital Claremore | Claremore | 5,254 | 52,203 | 10.1% |
| Jane Phillips Memorial Medical Center | Bartlesville | 13,454 | 114,848 | 11.7% |
| Midwest Regional Medical Center | Midwest City | 24,060 | 169,452 | 14.2% |
| Okeene Municipal Hospital | Okeene | 840 | 5,750 | 14.6% |
| St. Francis | Tulsa | 124,194 | 821,234 | 15.1% |
| Prague Municipal Hospital | Prague | 1,001 | 6,582 | 15.2% |
| St. John Owasso | Owasso | 5,664 | 35,589 | 15.9% |
| St. Francis Hospital South | Tulsa | 11,979 | 67,829 | 17.7% |
| Wagoner Community Hospital | Wagoner | 4,278 | 19,679 | 21.7% |
| Community Hospital | Oklahoma City | 21,926 | 89,260 | 24.6% |
| Medical Center Of Southeastern Okla. | Durant | 21,771 | 86,125 | 25.3% |
| Total all 97 Hospitals | 187,651 | 7,421,994 | 2.5% |
