Saturday, December 14, 2013

Oklahoma 68 Smallest Hospitals With Less Than 100 Beds Post Total Operating Losses of $62.6 Mil

This post relates to an excellent web article on Oklahoma smaller hospitals by Oklahoma Watch Small Hospitals Hemorrhaging Big Losses.  The authors of this web article obtained their data from the Centers for Medicare and Medicaid Services via a Freedom of Information Act request, and from the American Hospital Directory, which compiles hospital cost report data.

I excluded from their study hospitals which I didn't consider general purpose ones.  I was left with 97 Oklahoma Hospitals.

Of these 97 Oklahoma Hospitals, 68 of them, or a massive 70% of them, had less than 100 hospital beds and 33 of them had 25 or less hospital beds.

Of these 68 Hospitals with fewer than 100 beds, an amazingly high 55 of them had Operating Losses in 2012.

These 68 Hospitals posted Total Operating Losses of $62.6 mil in 2012.

Below here are number of beds and Operating Income or Losses in 2012 of each of these 68 small Oklahoma Hospitals:



Operating


# of Income
Oklahoma Hospital City Beds (Loss)



$000s
Hospitals: Less Than 100 Beds


Hillcrest Hospital Cushing Cushing 99        (2,416.8)
Jackson County Memorial Hospital Altus 99             428.7
St. Francis Hospital South Tulsa 96        11,979.2
Bristow Medical Center Bristow 86           (712.6)
Eastern Oklahoma Medical Center Poteau 84           (755.9)
Hillcrest Hospital Claremore Claremore 81          5,253.9
Woodward Regional Hospital Woodward 73        (1,512.7)
St. John Broken Arrow Broken Arrow 68        (6,016.8)
Integris Canadian Valley Reg. Hsptl. Yukon 67          4,848.7
Okmulgee Memorial Hospital Okmulgee 66        (3,219.2)
Integris Clinton Regional Hospital Clinton 64        (1,415.8)
Pauls Valley General Hospital Pauls Valley 64        (5,031.6)
Craig General Hospital Vinita 62        (2,060.1)
Integris Grove General Hospital Grove 62        (1,765.5)
Great Plains Regional Medical Cntr Elk City 54      (18,756.2)
Mercy Hospital El Reno El Reno 54        (1,353.1)
Integris Blackwell Regional Hospital Blackwell 53        (1,341.3)
Integris Mayes County Med. Cntr. Pryor 52           (781.8)
Adair County Memorial Hospital Stilwell 50              88.6
Elkview General Hospital Hobart 50           (714.8)
Community Hospital Oklahoma City 49        21,926.4
Memorial Hospital Of Texas County Guymon 47        (3,338.1)
Sayre Memorial Hospital Sayer 46        (3,515.7)
Sequoyah Memorial Hospital Sallisaw 41           (414.4)
Integris Edmond Edmond 40        (9,557.2)
Purcell Municipal Hospital Purcell 39             129.2
Memorial Hospital & Physician Group Frederick 37          (663.6)
Share Medical Center Alva 37        (1,544.2)
St. John Owasso Owasso 36          5,664.4
Choctaw Memorial Hospital Hugo 34        (1,119.4)
Latimer County Hospital Wilburton 33        (3,017.4)
Integris Seminole Medical Center Seminole 32        (1,331.3)
Harmon Memorial Hospital Hollis 31           (977.3)
Lindsay Municipal Hospital Lindsay 26             122.2
Perry Memorial Hospital Perry 26           (817.1)
Arbuckle Memorial Hospital Sulphur 25        (1,475.8)
Atoka Memorial Hospital Atoka 25
      (3,033.9)           
Cimarron Memorial Hospital Boise City 25        (1,099.2)
Cordell Memorial Hospital Cordell 25           (542.8)
Fairview Regional Medical Center Fairview 25           (653.0)
Harper County Community Hospital Buffalo 25           (347.5)
Haskell County Hospital Stigler 25           (450.0)
Holdenville General Hospital Holdenville 25           (247.1)
Integris Marshall County Med. Cntr Madill 25        (1,006.5)
Jane Phillips Nowata Health Center Nowata 25              82.2
Jefferson County Hospital Waurika 25           (357.2)
Kingfisher Regional Hospital Kingfisher 25        (4,557.5)
Mercy Health/Love County Marietta 25               (8.5)
Mercy Hospital Healdton Healdton 25           (386.7)
Mercy Hospital Logan County Guthrie 25           (868.8)
Mercy Hospital Tishomingo Tishomingo 25           (776.7)
Mercy Hospital Watonga Watonga 25           (405.3)
Pawhuska Hospital Pawhuska 25              26.3
Physicians Hospital at Anadarko Anadarko 25        (7,071.5)
Prague Municipal Hospital Prague 25          1,001.0
St. John Sapulpa Sapulpa 25        (2,661.2)
Stroud Regional Medical Center Stroud 25        (7,146.7)
Weatherford Regional Hospital Weatherford 25           (461.6)
Beaver County Memorial Hospital Beaver 24        (3,361.7)
Carnegie Tri-County Municipal Hospital Carnegie 22           (586.5)
Coal County General Hospital Coalgate 20           (554.8)
Seiling Community Hospital Seiling 18           (125.3)
Okeene Municipal Hospital Okeene 17             839.6
Quartz Mountain Medical Center Mangum 17             (90.2)
Drumright Regional Hospital Drumright 15           (357.2)
Fairfax Memorial Hospital Fairfax 15           (285.8)
Roger Mills Memorial Hospital Cheyenne 15           (639.2)
Cleveland Area Hospital Cleveland 14        (1,243.7)




Total all 68

     (62,561.7)

The simple solution to this horrible situation is for the State Of Oklahoma to fully Expand Medicaid.  Fifty-Six of these 68 smaller Oklahoma Hospitals reported their amounts of Uncompensated Care, which totaled $99.1 mil in 2012.

When I review the financial data related to all 97 Oklahoma Hospitals, it just amazes me of the extent of income inequality between the wealthiest Oklahoma Hospitals and all of the others.

The Total Bottom Line Net Income of the 29 Oklahoma Hospitals with 100 or more hospital beds was a massive $553.2 mil in 2012.  On the other hand, the Total Bottom Line Net Income of the 68 Oklahoma Hospitals with less than 100 hospital beds was a paltry $14.4 mil in 2012.

Tulsa-based St. Francis Hospital generated Total Bottom Line Net Income of $183.2 mil in 2012, which was nearly 13 times such income of the 68 smaller Oklahoma Hospitals with less than 100 beds combined.  And yes, St. Francis is a Non-Profit Hospital.

And Tulsa-based Non-Profit St. John Medical Center generated Total Bottom Line Net Income of $72.2 mil in 2012, which was 5 times such income of the 68 smaller Oklahoma Hospitals with less than 100 beds combined.  And yes, St. John is also a Non-Profit Hospital.

Below here are the number of hospital beds, Bottom Line Net Income or Loss and the related Net Income Margin as a Percentage of Total Operating Revenues for each of these 97 Oklahoma Hospitals:




Net



Net Income


# of Income (Loss)
Oklahoma Hospital City Beds (Loss) Margin



$000s %
Hospitals: 100 or More Beds



OU Medical Center Oklahoma City 928          19,414.4 2.6%
St. Francis Tulsa 814        183,176.7 20.8%
St. John Medical Center Tulsa 675          71,150.7 13.0%
St. Anthony Hospital Oklahoma City 615            6,044.4 -1.4%
Integris Baptist Medical Center Oklahoma City 579          16,473.1 2.5%
Hillcrest Medical Center Tulsa 457          36,539.0 8.2%
Integris Southwest Medical Center Oklahoma City 386            5,253.7 2.3%
EASTAR Health System Muskogee 366            1,934.3 1.9%
Comanche County Memorial Hospital Lawton 360            6,675.8 3.1%
Mercy Hospital Oklahoma City 336          46,587.8 13.0%
OSU Medical Center Tulsa 331          (3,322.9) -2.2%
Norman Regional Hospital Norman 324            7,997.5 2.5%
Deaconess Hospital Oklahoma City 291            7,771.5 4.4%
St. Mary's Regional Medical Center Enid 263            6,364.4 6.5%
Midwest Regional Medical Center Midwest City 255          22,062.6 13.2%
Southwestern Medical Center Lawton 212            5,409.5 7.9%
McAlester Regional Health Center McAlester 182            6,246.3 7.7%
Southcrest Hospital Tulsa 180            8,891.1 6.9%
Mercy Hospital Ardmore Ardmore 175          10,696.3 8.3%
Integris Bass Baptist Health Center Enid 162          17,172.3 13.9%
Mercy Hospital Ada Ada 152            5,791.6 7.7%
Jane Phillips Memorial Medical Center Bartlesville 140          20,702.6 17.0%
Medical Center Of Southeastern Okla. Durant 140          22,675.1 26.1%
Ponca City Medical Center Ponca City 140            6,161.5 9.4%
Duncan Regional Hospital Duncan 126            4,736.7 5.7%
Integris Baptist Regional Health Center Miami 114          (1,220.1) -2.2%
McCurtain Memorial Hospital Idabel 111              140.3 0.7%
Tahlequah City Hospital Tahlequah 100            7,259.7 8.7%
Wagoner Community Hospital Wagoner 100            4,424.6 22.3%





Total 29 Hospitals: 100 or More Beds
   9,014        553,210.3





Hospitals: Less Than 100 Beds



Hillcrest Hospital Cushing Cushing 99             (407.0) -1.3%
Jackson County Memorial Hospital Altus 99            2,027.2 2.9%
St. Francis Hospital South Tulsa 96          12,548.6 18.3%
Bristow Medical Center Bristow 86               (72.9) -0.5%
Eastern Oklahoma Medical Center Poteau 84             (277.1) -1.3%
Hillcrest Hospital Claremore Claremore 81            5,560.1 10.6%
Woodward Regional Hospital Woodward 73             (874.3) -2.5%
St. John Broken Arrow Broken Arrow 68          (5,339.7) -10.7%
Integris Canadian Valley Reg. Hsptl. Yukon 67            6,186.8 9.8%
Okmulgee Memorial Hospital Okmulgee 66             (458.4) -2.8%
Integris Clinton Regional Hospital Clinton 64          (1,099.8) -6.0%
Pauls Valley General Hospital Pauls Valley 64          (4,149.1) -30.7%
Craig General Hospital Vinita 62            1,010.4 3.5%
Integris Grove General Hospital Grove 62            1,413.2 2.6%
Great Plains Regional Medical Center Elk City 54          (3,998.3) -9.9%
Mercy Hospital El Reno El Reno 54             (987.9) -8.3%
Integris Blackwell Regional Hospital Blackwell 53          (1,113.5) -8.8%
Integris Mayes County Med. Cntr. Pryor 52             (502.4) -2.9%
Adair County Memorial Hospital Stilwell 50              175.9 1.0%
Elkview General Hospital Hobart 50              676.8 4.6%
Community Hospital Oklahoma City 49          23,183.3 25.6%
Memorial Hospital Of Texas County Guymon 47          (2,789.5) -12.7%
Sayre Memorial Hospital Sayer 46          (3,077.2) -38.9%
Sequoyah Memorial Hospital Sallisaw 41              729.9 4.8%
Integris Edmond Edmond 40          (8,930.0) -67.7%
Purcell Municipal Hospital Purcell 39              647.9 4.4%
Memorial Hospital & Physician Group Frederick 37             (336.9) -4.2%
Share Medical Center Alva 37            1,409.7 11.4%
St. John Owasso Owasso 36            6,876.6 18.7%
Choctaw Memorial Hospital Hugo 34            1,270.1 10.1%
Latimer County Hospital Wilburton 33          (2,328.6) -36.9%
Integris Seminole Medical Center Seminole 32          (1,093.9) -12.8%
Harmon Memorial Hospital Hollis 31             (739.0) -14.6%
Lindsay Municipal Hospital Lindsay 26              191.9 2.0%
Perry Memorial Hospital Perry 26            1,051.1 11.5%
Arbuckle Memorial Hospital Sulphur 25            1,162.6 8.0%
Atoka Memorial Hospital Atoka 25             (259.6) -2.5%
Cimarron Memorial Hospital Boise City 25             (524.4) -14.7%
Cordell Memorial Hospital Cordell 25            1,785.8 31.5%
Fairview Regional Medical Center Fairview 25                  0.4 0.0%
Harper County Community Hospital Buffalo 25              453.4 10.8%
Haskell County Hospital Stigler 25             (389.4) -6.2%
Holdenville General Hospital Holdenville 25              432.2 4.5%
Integris Marshall County Med. Cntr Madill 25             (887.6) -12.3%
Jane Phillips Nowata Health Center Nowata 25              137.0 4.0%
Jefferson County Hospital Waurika 25             (169.0) -5.2%
Kingfisher Regional Hospital Kingfisher 25          (3,180.4) -22.8%
Mercy Health/Love County Marietta 25            1,706.5 11.9%
Mercy Hospital Healdton Healdton 25              114.8 2.3%
Mercy Hospital Logan County Guthrie 25             (773.2) -5.7%
Mercy Hospital Tishomingo Tishomingo 25             (652.7) -15.5%
Mercy Hospital Watonga Watonga 25              401.2 8.0%
Pawhuska Hospital Pawhuska 25              170.1 3.8%
Physicians Hospital at Anadarko Anadarko 25          (6,983.9) -90.5%
Prague Municipal Hospital Prague 25              345.4 5.1%
St. John Sapulpa Sapulpa 25          (2,328.7) -11.0%
Stroud Regional Medical Center Stroud 25          (7,066.7) -100.2%
Weatherford Regional Hospital Weatherford 25              151.9 0.8%
Beaver County Memorial Hospital Beaver 24              288.8 5.4%
Carnegie Tri-County Municipal Hospital Carnegie 22             (122.0) -2.9%
Coal County General Hospital Coalgate 20               (86.8) -2.0%
Seiling Community Hospital Seiling 18               (87.5) -2.0%
Okeene Municipal Hospital Okeene 17              475.7 8.8%
Quartz Mountain Medical Center Mangum 17              422.0 5.6%
Drumright Regional Hospital Drumright 15              256.8 2.4%
Fairfax Memorial Hospital Fairfax 15               (55.1) -1.1%
Roger Mills Memorial Hospital Cheyenne 15            3,567.2 47.0%
Cleveland Area Hospital Cleveland 14             (318.2) -3.0%





Total 68 Hospitals: Less Than 100 Beds
   2,690          14,370.6





Total all 97 Hospitals
 11,704           567,581