Friday, March 21, 2014

California Non-Profit Hospitals Net Assets Up 92% Under Obama and the Affordable Care Act

From a review of the Electronic Municipal Market Access (EMMA), I found 31 Non-Profit Hospital Organizations headquartered in the State of California with Net Assets (i.e. Financial Strength or Total Assets minus Total Liabilities) at the most recent date reported in 2013 of more than $400 mil each.

Below here are the Net Assets of these 31 California Non-Profit Hospitals at both the most recent reported date and also at the Fiscal Year End (FYE) closest to the beginning of the Obama Administration:




FYE Balance Net




Most
Balance Sheet Assets



Most Recent
Sheet Net %



Recent Balance
Date Assets Change



Balance Sheet
Beginning Beginning During
City State Sheet Net
Obama Obama Obama
Hospital Organization HQs HQs Date Assets
Admin Admin Admin




mil $s

mil $s









Kaiser Permanente Oakland CA Dec 13   23,049
Dec 08     11,431 102%
Sutter Health Sacramento CA Dec 13     8,323
Dec 08       4,298 94%
Dignity Health San Francisco CA Dec 13     7,022
Jun 09       3,622 94%
St Joseph Health System Orange CA Dec 13     5,235
Jun 09       2,076 152%
Scripps Health San Diego CA Dec 13     2,773
Sep 09       1,354 105%
Cedars-Sinai Medical Center West Hollywood CA  Jun 13      2,607
Jun 09       1,517 72%
Stanford Hospitals & Clinics Stanford CA Feb 14     2,484
Aug 09          807 208%
City of Hope Duarte CA Dec 13     2,136
Sep 09       1,211 76%
Sharp HealthCare San Diego CA Dec 13     1,928
Sep 09          806 139%
U Cal, LA Medical Center Los Angeles CA  Jun 13      1,927
Jun 09       1,350 43%
Packard Children's Hospital Stanford Palo Alto CA Feb 14     1,786
Aug 09       1,068 67%
Memorial Health Services Oblig Group Fountain Valley CA Dec 13     1,624
Jun 09          769 111%
Adventist Health West Roseville CA Dec 13     1,582
Dec 08          969 63%
John Muir Health Walnut Creek CA Dec 13     1,428
Dec 08          756 89%
U Cal, San Fran Medical Center San Francisco CA Jun 13     1,323
Jun 09          761 74%
Children's Hospital Los Angeles Los Angeles CA Dec 13     1,166
Jun 09          758 54%
Cottage Health System Santa Barbara CA Dec 13     1,272
Dec 08          675 88%
U Cal, Davis Medical Center Sacramento CA Jun 13     1,082
Jun 09          794 36%
U Cal, San Diego Medical Center San Diego CA Jun 13        985
Jun 09          569 73%
El Camino Hospital Mountain View CA Jun 13        980
Jun 09          685 43%
Rady Children's Hospital San Diego CA Dec 13        924
Jun 09          387 139%
Community Medical Centers Fresno CA Feb 14        831
Aug 09          390 113%
Children's Hospital Central Calif Madera CA  Sep 13         731
Sep 09          281 160%
Huntington Memorial Hospital Pasadena CA Dec 13        798
Dec 08          446 79%
Loma Linda Univ Medical Center Loma Linda CA  Dec 13         676
Dec 08          415 63%
U Cal, Irvine Medical Center Orange CA Jun 13        629
Jun 09          631 0%
Community Hospital Foundation Monterey CA  Mar 14         668
Dec 08          341 96%
PIH Health Whittier CA  Dec 13         571
Sep 09          400 43%
Torrance Memorial Medical Center Torrance CA  Dec 13         560
Dec 08          302 85%
Children's Hospital Orange County Orange CA  Dec 13         556
Jun 09          412 35%
Fremont-Rideout Health Group Yuba City CA  Mar 14         459
Jun 09          313 47%









Total all 31


   78,115

      40,594 92%

As you can see from the above chart, the Total Net Assets (Financial Strength) of these 31 California Non-Profit Hospital Organizations increased by a phenomenal 92% to a massive $78.115 bil for their average 4.50 years so far during the Obama Administration.

The 5 University of California Medical Centers with a Total Net Asset growth rate of 45% are a drag on this 92% overall growth rate.  In fact, the 26 California Hospitals with these 5 UCal Medical Centers excluded generated a Net Asset growth rate of a higher 98%.

It should be pointed out that the huge, very well run Kaiser Permanente just released its first quarter 2014 Bottom Line Earnings, which were an exceptional $1.1 bil, up substantially from the $765 mil it earned in the first quarter 2013.  Yeah, the Affordable Care Act, the Obama Administration and Janet Yellen have all been very kind to Kaiser Permanente, especially in the first quarter of 2014.  This $1.1 bil of earnings were not included in Kaiser Permanente's Net Assets above since it hasn't yet disclosed its Total Net Assets at March 31, 2014. 

To show how explosive the very recent Net Asset growth was, just in the last six months, the Total Net Asset growth so far during the Obama Administration increased from 61% six months ago to 92% now.  Now that is what I call very recent staggering acceleration of Net Asset growth.  Kaiser Permanente was the main driver of this massive Net Asset growth upward acceleration in the most recent six months, due to a huge pension liability reduction.  In the earlier parts of the Obama Administration, Kaiser Permanente's huge pension adjustments went in the other direction.

Very positively impacting this very robust increase in the Net Assets (Financial Strength) of these 31 California Non-Profit Hospital Organizations were actions taken by both the Obama Administration and the US Fed to strengthen the US Financial Foundation which was severely damaged from the financial meltdown in late 2008.

In addition, the Affordable Care Act (ACA) has also played a key role in this very impressive increase in Net Assets (Financial Strength) of these 31 California Non-Profit Hospital Organizations.

A remarkable thing is that these very robust increases in Net Assets (Financial Strength) of these Non-Profit Hospital Organizations occurred when these Non-Profit Hospitals, and especially the California ones, were also playing very instrumental roles in the substantial annual percentage growth reduction of Total US Health Care Costs which occurred in each of the most recent three years under the ACA.

With such impressive Net Asset percentage increases of these 31 California Hospitals, a key beneficiary of this will be California citizens electing to buy health insurance on the Health Insurance Exchange.  This strong Net Asset growth gives these California Hospitals the financial flexibility to moderate their pricing for hospital procedures in their negotiations with health insurance companies which ultimately determines what insurance premium prices are set at by health insurance companies on the Health Insurance Exchange.

And full expansion of Medicaid in California likewise yields a substantial increase in profits and thus also in Net Assets in all California Hospitals, which likewise gives these California Hospitals the financial flexibility to moderate their pricing for hospital procedures in their negotiations with includinghealth insurance companies which ultimately determines what insurance premium prices are set at by health insurance companies on the Health Insurance Exchange.

Large California Hospital Organizations Not Included in the Above 31

From a review of the State of California Health Dept website, there were 4 Publicly-traded Hospital Corporations which had more than $300 mil of Total Net Assets in their California Hospitals at December 31, 2011;
  • Tenet HealthCare had more than $1,031 mil in Net Assets at December 31, 2011 including Desert Regional Medical Center in Palm Springs $185 mil, Doctors Medical Center of Modesto $156 mil, Fountain Valley Regional Hospital $133 mil, Twin Cities Hospital in Templeton $129 mil, Sierra Vista Regional Medical Center in San Luis Obispo $125 mil and San Ramon Regional Medical Center $112 mil.
  • HCA had $849 mil in Net Assets at December 31, 2011 including Riverside Community Hospital in Riverside $559 mil and Good Samaritan Hospital of San Jose $231 mil.
  • Kindred Hospital had more than $499 mil in Net Assets at December 31, 2011 including La Mirada $151 mil and Westminister $115 mil.
  • Universal Health Services had more than $307 mil in Net Assets at December 31, 2011 including Southwest Health Care System $165 mil.
From its audited financial statements in EMMA, Washington headquartered Non-Profit Hospital Organization giant Providence Health Services had $782 mil in Total Net Assets in its Southern California Hospitals at December 31, 2013 including Providence St. Joseph in Burbank, Providence Holy Cross Medical Center in Mission Hills and Providence Little Company of Mary Medical Center in Torrance.

Also from its audited financial statements, Michigan headquartered Non-Profit Hospital Organization giant Trinity Health (now CHE Trinity Health) had $510 mil of its Total Net Assets in Fresno-based Saint Agnes Medical Center at June 30, 2013.

From the California State Health Dept website, Colorado headquartered Non-Profit Hospital Organization Sisters of Charity Leavenworth had $428 mil of its Total Net Assets in Santa Monica-based St. John's Hospital and Health Care Center at December 31, 2011.

From the California State Health Dept website, 2 California Safety Net Hospital Organizations had Net Assets above $400 mil in 2011.....Santa Clara Valley Health and Hospital System, part of the County of San Jose, $548 mil and Laguna Honda Hospital, part of the City and County of San Francisco, $476 mil.

There were 7 California Non-Profit Hospital Organizations with Total Net Assets just short of $400 mil, as follows:
  1. Eisenhower Medical Center in Rancho Mirage.....$399 mil at September 2013
  2. Washington Township Hospital Healthcare District in Fremont.....$399 mil at Sept 2013
  3. Palomar Health in Escondido.....$380 mil at June 2013
  4. Kaweah Delta Health District in Visalia.....$361 mil at June 2013
  5. Children's Hospital and Research Center in Oakland.....$351 mil at Sept 2013
  6. San Antonio Community Hospital in Upland.....$349 at Sept 2013
  7. Salinas Valley Memorial Health Care System in Salinas.....$339 mil at Dec 2011 
The huge Newport Beach-based Hoag Memorial Hospital is no longer included in the above 31 California Non-Profit Hospital Organizations since it was acquired by St. Joseph Health System in 2013.

 Los Angeles County Hospitals

 Los Angeles County Hospitals are Non-Profit Governmental Entities.

Since they are safety net hospitals and LA is so huge, they have all accumulated huge losses.  Below here from EMMA are these losses for each of these 4 LA County Hospitals for the two most recent financial statements.....Fiscal Year Ended June 2013 and 2012:

FYE 2013


FYE 2013 Net FYE 2013

FYE 2013 Bottom Patient Total

Operating Line Service Operating
LA County Hospitals (Loss) (Loss) Revenues Revenues

mil $s mil $s mil $s mil $s





Harbor UCLA Medical Center             (45)           (289)            688            873
Olive View UCLA Medical Center             (53)           (166)            420            532
LAC+USC Medical Center           (133)           (461)         1,057         1,272
Rancho Los Amigos National Rehab Center             (10)             (67)            205            229





Total all 4           (241)           (983)         2,370         2,906




FYE 2012


FYE 2012 Net FYE 2012

FYE 2012 Bottom Patient Total

Operating Line Service Operating
LA County Hospitals (Loss) (Loss) Revenues Revenues

mil $s mil $s mil $s mil $s





Harbor UCLA Medical Center             (79)           (281)            648            808
Olive View UCLA Medical Center           (130)           (216)            365            460
LAC+USC Medical Center           (210)           (481)         1,044         1,247
Rancho Los Amigos National Rehab Center             (58)             (96)            124            178





Total all 4           (477)        (1,074)         2,181         2,693

So for just the one year 2013, these 4 LA County Hospitals posted Total Bottom Line Losses of a massive $0.983 bil and for the one year 2012, the Total Bottom Line Losses were another $1.074 bil. 

And it's not just the LA County Hospitals with Huge Losses.  Also from EMMA, San Francisco City and County General Hospital generated Total Operating Losses of $152 mil in the 2 most recent years and their Laguna Honda Hospital posted Total Operating Losses of $116 mil in the most recent 2 years.

But the very positive aspect to this is that the State of California has fully expanded Medicaid.  So with the resultant massive inflow of Patient Revenues from Medicaid expansion, these 4 LA County Hospitals and the 2 San Francisco City and County Hospitals should be able to turn these massive losses into profits.

One of the key beneficiaries of this very healthy improvement in the Total Net Assets of all California Hospitals due to Medicaid expansion in California will be California citizens electing to buy health insurance on the Health Insurance Exchange.  This exceptional Net Asset growth gives all California Hospitals the financial flexibility to moderate their pricing for hospital and other health care procedures in their negotiations with health insurance companies which ultimately determines what insurance premium prices are set at by health insurance companies on the Health Insurance Exchange.  

So Many Struggling California Hospitals

The State of California is being very transparent with its citizens by having available for review annually at its Health Information website very detailed financial information on each of its Hospitals.  The most recent financial information is for 2011.

Let me first address the Huge Kaiser Foundation Hospitals in California since it didn't break out the Operating Results by Individual Hospital.  Instead it disclosed Total Operating Results for its two California Regions, as you can see here below:
Hospitals Total Operating Income (Loss) Total Operating Revenues Operating Income (Loss) Margin


$000s $000s %





KAISER FOUNDATION HOSPITALS - NORTHERN CAL REGION
                          782,801                                  7,847,198 10.0%
KAISER FOUNDATION HOSPITALS - SOUTHERN CAL REGION
                         (22,060)                                  5,435,189 -0.4%





KAISER FOUNDATION HOSPITALS - TOTAL CALIFORNIA
                         760,740                               13,282,387 5.7%


As you can see in the above chart, Kaiser Foundation Hospitals generated Total Operating Income of $760.7 mil in all of California in 2011 on $13.282 bil of Total Operating Revenues for a Margin of 5.7%.  And all of their Operating Profits were made in their Northern California Hospitals.  But a Total Operating Income Margin of 10.0% of Total Operating Revenues seems like awfully steep Northern California Hospital and Premium pricing to me.

Let me now focus on the other 414 California Hospitals included in the excellent California Health website.

Overall, these 414 California Hospitals excluding the Kaiser Hospitals had a Total Operating Income of $3.468 bil in 2011 which was a seemingly respectable Goldilocks 4.3% of their Total Operating Revenues of $79.800 bil.  And these 414 California Hospitals' Total Operating Income of $3.468 bil in 2011 was burdened with an Earnings Charge of $4.831 bil due to Total Provisions for Bad Debts.  In addition, their Total Uncompensated Charity Care Costs Incurred were also just huge in amount. 

But you have to stratify these Hospitals to find out what is really going on with California Hospitals.

First, let's look at the upper end California Hospitals.

There were 93 of these 414 California Hospitals which generated Operating Income as a Percentage of Total Operating Revenues of above 10.0% in 2011.  I'll call these Top 93 the Pure Gold Hospitals.  In the aggregate, they generated Total Operating Income of 15.6% of Total Operating Revenues.....that's more than 50% higher than what the 30 Dow Industrials combined generated.  This is flat out crazy and tells you why US Health Care Costs have been so incredibly out of control.  Here are the Top 93:
Hospital City Total Operating Income (Loss) Total Operating     Revenues Operating Income (Loss) Margin


$000s $000s %
Pure Golden Hospitals



JOYCE EISENBERG KEEFER MEDICAL CTR RESEDA                            22,297                                        48,170 46.3%
PACIFIC SHORES HOSPITAL OXNARD                                 4,911                                          11,315 43.4%
BHC ALHAMBRA HOSPITAL ROSEMEAD                             10,544                                       25,777 40.9%
HERITAGE OAKS HOSPITAL SACRAMENTO                             13,764                                        34,133 40.3%
BHC FRMONT HOSPITAL FREMONT                              11,923                                       33,576 35.5%
CANYON RIDGE HOSPTIAL CHINO                               7,872                                       22,749 34.6%
HEALTHSOUTH BAKERSFIELD REHAB HOSPITAL BAKERSFIELD                                9,719                                       29,729 32.7%
SUTTER MATERNITY&SURGERY CENTER SANTA CRUZ SANTA CRUZ                            20,465                                        64,016 32.0%
MENLO PARK SURGICAL HOSPITAL MENLO PARK                               5,020                                        17,529 28.6%
HOLLYWOOD COMMUNITY HOSPITALS HOLLYWOOD                             18,493                                        69,187 26.7%
LOS ANGELES COMMUNITY HOSPITAL LOS ANGELES                            28,894                                       113,156 25.5%
MONROVIA MEMORIAL HOSPITAL MONROVIA                                9,351                                       37,842 24.7%
AURORA SAN DIEGO SAN DIEGO                                6,019                                       24,542 24.5%
KINDRED HOSPITAL LOS ANGELES LOS ANGELES                             12,759                                       52,746 24.2%
BHC SIERRA VISTA HOSPITAL SACRAMENTO                               7,402                                        31,274 23.7%
SCRIPPS GREEN HOSPITAL LA JOLLA                             91,080                                     385,198 23.6%
BARTON MEMORIAL HOSPITAL SOUTH LAKE TAHOE                            29,433                                     125,533 23.4%
SUTTER TRACY COMMUNITY HOSPITAL TRACY                             26,013                                      115,249 22.6%
DEL AMO HOSPITAL TORRANCE                                7,153                                        32,051 22.3%
MIRACLE MILE MEDICAL CENTER LOS ANGELES                               2,602                                        12,048 21.6%
SUTTER DAVIS HOSPITAL DAVIS                            20,608                                       95,564 21.6%
NORTHERN CA REHAB REDDING                                8,166                                        38,915 21.0%
CHILDREN'S HOSPITAL CENTRAL CALIFORNIA MADERA                            97,870                                    484,570 20.2%
BARSTOW COMMUNITY HOSPITAL BARSTOW                               9,285                                       46,474 20.0%
SAN JOAQUIN VALLEY REHABILITATION HOSPITAL FRESNO                               6,594                                       33,043 20.0%
KENTFIELD REHABILITATION HOSPITAL KENTFIELD                                 8,101                                         41,215 19.7%
CALIFORNIA PACIFIC MEDICAL CENTER SAN FRANCISCO                           227,150                                   1,174,986 19.3%
RADY CHILDREN'S HOSPITAL - SAN DIEGO SAN DIEGO                            112,383                                    586,854 19.2%
CENTRAL VALLEY GENERAL HOSPITAL HANFORD                             19,386                                     103,056 18.8%
GOOD SAMARITAN HOSPITAL LP SAN JOSE                            93,626                                     502,521 18.6%
LOS ROBLES REGIONAL MEDICAL CENTER THOUSAND OAKS                            60,348                                    327,946 18.4%
AURORA VISTA DEL MAR VENTURA                               3,345                                        18,233 18.3%
BANNER LASSEN MEDICAL CENTER SUSANVILLE                               7,057                                       38,883 18.1%
SANTA MONICA-UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL SANTA MONICA                            62,720                                    356,636 17.6%
SHARP MCDONALD CENTER SAN DIEGO                                   571                                         3,282 17.4%
KINDRED HOSPITAL LA MIRADA LA MIRADA                             17,295                                     100,947 17.1%
SUTTER ROSEVILLE MEDICAL CENTER ROSEVILLE                            73,429                                     436,241 16.8%
SHARP MEMORIAL HOSPITAL SAN DIEGO                           143,923                                    857,397 16.8%
WESTERN MEDICAL CENTER ANAHEIM ANAHEIM                             16,025                                        97,214 16.5%
KINDRED HOSPITAL - ONTARIO ONTARIO                               9,339                                        57,241 16.3%
MILLER CHILDREN'S HOSPITAL LONG BEACH                            64,958                                     408,716 15.9%
KINDRED HOSPITAL - SOUTH BAY GARDENA                               7,990                                        50,316 15.9%
REDWOOD MEMORIAL HOSPITAL FORTUNA                                6,401                                        41,002 15.6%
MONTCLAIR HOSPITAL MEDICAL CENTER MONTCLAIR                               7,427                                       47,675 15.6%
WHITTIER HOSPITAL MEDICAL CENTER WHITTIER                             16,795                                      108,641 15.5%
RONALD REAGAN UCLA MEDICAL CENTER LOS ANGELES                          207,258                                  1,354,723 15.3%
ST. ELIZABETH COMMUNITY HOSPITAL RED BLUFF                              12,991                                       85,648 15.2%
KINDRED HOSPITAL - SACRAMENTO FOLSOM                               4,403                                        29,159 15.1%
MEMORIAL HOSPITAL OF GARDENA GARDENA                               9,772                                       64,980 15.0%
WESTERN MEDICAL CENTER SANTA ANA SANTA ANA                            28,836                                      194,701 14.8%
GOLETA VALLEY COTTAGE HOSPITAL SANTA BARBARA                               9,450                                       66,379 14.2%
ARROWHEAD REGIONAL MEDICAL CENTER COLTON                             69,701                                    490,783 14.2%
PLACENTIA LINDA COMMUNITY HOSPITAL PLACENTIA                              11,054                                       78,096 14.2%
DOCTORS HOSPITAL OF MANTECA MANTECA                             10,824                                       76,906 14.1%
SHASTA REGIONAL MEDICAL CENTER REDDING                            22,042                                      156,641 14.1%
SCRIPPS HEALTH - LA JOLLA LA JOLLA                            70,547                                     501,458 14.1%
CLOVIS COMMUNITY MEDICAL CENTER CLOVIS                            23,352                                     167,525 13.9%
MERCY MEDICAL CENTER REDDING REDDING                            52,944                                    380,758 13.9%
NATIVIDAD MEDICAL CENTER SALINAS                            26,402                                      194,619 13.6%
COASTAL COMMUNITIES HOSPITAL SANTA ANA                             10,053                                       74,828 13.4%
SUTTER GENERAL HOSPITAL & SUTTER MEMORIAL HOSPITAL SACRAMENTO                            110,463                                    822,495 13.4%
ST. MARY MEDICAL CENTER APPLE VALLEY                              37,110                                    278,325 13.3%
LOS ALAMITOS MEDICAL CENTER LOS ALAMITOS                             22,721                                     173,772 13.1%
UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER ORANGE                            98,038                                     751,403 13.0%
RIVERSIDE COMMUNITY HOSPITAL RIVERSIDE                            52,960                                    409,708 12.9%
CRESTWOOD PSYCHIATRIC HEALTH FACILITY-CARMICHAEL CARMICHAEL                                  388                                         3,066 12.7%
MERCY HOSPITAL OF FOLSOM FOLSOM                             17,706                                     139,979 12.6%
KINDRED HOSPITAL SAN LEANDRO                               5,074                                         40,117 12.6%
KINDRED HOSPITAL WESTMINSTER WESTMINSTER                               8,504                                         67,811 12.5%
TWIN CITIES  HOSPITAL TEMPLETON                             12,080                                       98,753 12.2%
CENTINELA HOSPITAL MEDICAL CENTER INGLEWOOD                            30,737                                    253,622 12.1%
KINDRED HOSPITAL - BALDWIN PARK BALDWIN PARK                                4,301                                       35,903 12.0%
SIERRA VIEW DISTRICT HOSPITAL PORTERVILLE                             16,203                                      136,313 11.9%
COLLEGE HOSPITAL CERRITOS                                6,291                                        53,331 11.8%
SAN RAMON REGIONAL MEDICAL CENTER SAN RAMON                             17,562                                      149,016 11.8%
BAKERSFIELD HEART HOSPITAL BAKERSFIELD                               8,070                                       69,396 11.6%
HEALTHSOUTH TUSTIN REHABILITATION HOSPITAL TUSTIN                                2,651                                       23,057 11.5%
SIERRA VISTA REGIONAL MEDICAL CENTER SAN LUIS OBISPO                             14,894                                     130,689 11.4%
TEHACHAPI VALLEY HEALTHCARE DISTRICT TEHACHAPI                                2,251                                         19,821 11.4%
FRANK R. HOWARD MEMORIAL HOSPITAL WILLITS                                5,128                                         45,211 11.3%
SHERMAN OAKS HOSPITAL AND HEALTHCARE CENTER SHERMAN OAKS                                7,719                                       68,227 11.3%
LONG BEACH MEMORIAL MEDICAL CENTER LONG BEACH                             61,273                                     544,913 11.2%
MEMORIAL HOSPITAL LOS BANOS LOS BANOS                               5,563                                        50,169 11.1%
BELLFLOWER MEDICAL CENTER BELLFLOWER                               5,926                                       54,078 11.0%
LUCILE PACKARD CHILDREN'S HOSPITAL PALO ALTO                            98,902                                     914,347 10.8%
CHINESE HOSPITAL SAN FRANCISCO                              10,561                                       99,099 10.7%
MEMORIAL MEDICAL CENTER MODESTO                            56,729                                     535,912 10.6%
ALAMEDA COUNTY MEDICAL CENTER OAKLAND                            56,480                                     537,751 10.5%
BIGGS-GRIDLEY MEMORIAL HOSPITAL GRIDLEY                               2,083                                        19,857 10.5%
AURORA CHARTER OAK COVINA                                2,791                                       27,007 10.3%
SUTTER SURGICAL HOSP NORTH VALLEY YUBA CITY                               2,054                                       20,054 10.2%
BAKERSFIELD MEMORIAL HOSPITAL BAKERSFIELD                            30,049                                    296,050 10.2%
MEMORIAL HOSPITAL OF GARDENA GARDENA                              12,173                                     120,586 10.1%





Total all 93 Pure Golden
                       2,841,571                                18,250,431 15.6%

But you get a completely different story when you look at the bottom portion of these 414 California Hospitals other than the Kaiser Hospitals.  I'll call them the In-The-Red California Hospitals.

Of the 414 California Hospitals, an amazingly high 152 of them, or 37% of them, were In-The-Red.....each of them posting Operating Losses in 2011.  These 152 In-The-Red California Hospitals posted Total Operating Losses of $1.782 bil in 2011 which was a negative (9.3)% of their Total Operating Revenues.  Here are the 152 In-The-Red California Hospitals:

Hospital City Total Operating Income (Loss)      Total Operating  Revenues Operating Income (Loss) Margin

$000s $000s %
In-The-Red Hospitals



COALINGA STATE HOSPITAL COALINGA                          (161,379)                                                 -   NM
SHRINERS HOSPITAL - LOS ANGELES LOS ANGELES                           (28,128)                                              184 NM
CRESTWOOD PSYCHIATRIC HEALTH FACILITY-FRESNO FRESNO                             (3,866)                                                 -   NM
SAN LUIS OBISPO COUNTY - PHF SAN LUIS OBISPO                             (2,993)                                          1,265 -236.6%
MERRITT PERALTA INSTITUTE CHEMICAL DEPENDENCY RECOVERY HOSP OAKLAND                             (3,293)                                         2,365 -139.3%
LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA MURRIETA                            (59,711)                                       49,470 -120.7%
SAN DIEGO HOSPICE AND THE INSTITUTE FOR PALLIATIVE MEDICINE SAN DIEGO                             (6,598)                                           6,131 -107.6%
SANTA BARBARA CO. PHF SANTA BARBARA                              (2,813)                                         3,809 -73.8%
SAN DIEGO COUNTY PYSCHIATRIC HOSPITAL SAN DIEGO                          (29,498)                                       43,785 -67.4%
ANAHEIM GENERAL HOSPITAL ANAHEIM                           (13,565)                                        23,157 -58.6%
LAGUNA HONDA HOSPITAL SAN FRANCISCO                           (73,616)                                     128,869 -57.1%
TUOLUMNE GENERAL HOSPITAL SONORA                              (1,059)                                         2,234 -47.4%
THUNDER ROAD CHEMICAL DEPENDENCY RECOVERY HOSPITAL OAKLAND                              (1,562)                                          4,441 -35.2%
CALIFORNIA PACIFIC MEDICAL CENTER - ST. LUKE'S CAMPUS SAN FRANCISCO                          (32,304)                                     103,600 -31.2%
JEROLD PHELPS COMMUNITY HOSPITAL GARBERVILLE                              (1,268)                                         4,386 -28.9%
VENTURA COUNTY MEDICAL CENTER VENTURA                           (81,023)                                     285,601 -28.4%
DOCTOR'S MEDICAL CENTER - SAN PABLO SAN PABLO                           (33,106)                                      117,082 -28.3%
RIVERSIDE CENTER FOR BEHAVIORAL MEDICINE RIVERSIDE                              (1,454)                                         5,638 -25.8%
SIERRA KINGS HEALTH CARE DISTRICT REEDLEY                               (3,116)                                        12,298 -25.3%
ST. ROSE HOSPITAL HAYWARD                           (30,331)                                      119,897 -25.3%
MOTION PICTURE AND TELEVISION FUND WOODLAND HILLS                            (17,510)                                       70,037 -25.0%
BEAR VALLEY COMMUNITY HOSPITAL BIG BEAR                             (3,267)                                        15,799 -20.7%
CRESTWOOD SAN JOSE PSYCHIATRIC HEALTH FACILITY SAN JOSE                                (553)                                         2,935 -18.8%
NEWPORT SPECIALTY HOSPITAL TUSTIN                             (4,890)                                        26,001 -18.8%
LOS ANGELES COUNTY/HARBOR-UCLA MEDICAL CENTER TORRANCE                          (103,812)                                      575,115 -18.1%
LOS ANGELES COUNTY + USC MEDICAL CENTER LOS ANGELES                         (185,275)                                   1,067,417 -17.4%
LANGLEY PORTER PSYCHIATRIC INSTITUTE SAN FRANCISCO                             (2,882)                                        16,905 -17.0%
SAN MATEO MEDICAL CENTER SAN MATEO                          (34,793)                                    206,450 -16.9%
MOUNTAINS COMMUNITY HOSPITAL LAKE ARROWHEAD                             (2,308)                                        13,885 -16.6%
EISENHOWER MEDICAL CENTER RANCHO MIRAGE                          (62,906)                                     379,018 -16.6%
MENIFEE VALLEY MEDICAL CENTER HEMET                              (6,917)                                        41,709 -16.6%
SANTA CLARA VALLEY HEALTH AND HOSPITAL SYSTEMS SAN JOSE                         (144,050)                                    878,467 -16.4%
COALINGA REGIONAL MEDICAL CENTER COALINGA                              (3,417)                                        20,916 -16.3%
BROTMAN MEDICAL CENTER CULVER CITY                           (18,004)                                      110,353 -16.3%
COLORADO RIVER MEDICAL CENTER NEEDLES                              (1,235)                                         7,597 -16.3%
CRESTWOOD PSYCHIATRIC HEALTH FACILITY-BAKERSFIELD 2 BAKERSFIELD                                (349)                                          2,182 -16.0%
ALAMEDA HOSPITAL ALAMEDA                              (9,199)                                       58,036 -15.9%
STANISLAUS SURGICAL HOSPITAL MODESTO                              (4,431)                                       28,857 -15.4%
PALM DRIVE HOSPITAL SEBASTAPOL                              (4,221)                                        28,014 -15.1%
KERN MEDICAL CENTER BAKERSFIELD                           (33,214)                                     229,671 -14.5%
RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER DOWNEY                          (30,048)                                    208,843 -14.4%
ST. VINCENT MEDICAL CENTER LOS ANGELES                          (25,069)                                      201,129 -12.5%
SUTTER CENTER FOR PSYCHIATRY SACRAMENTO                             (2,784)                                         23,141 -12.0%
O'CONNOR HOSPITAL SAN JOSE                          (32,080)                                    282,950 -11.3%
JEWISH HOME SAN FRANCISCO                             (6,975)                                         62,211 -11.2%
SILVER LAKE MEDICAL CENTER LOS ANGELES                             (7,604)                                       68,406 -11.1%
TUOLUMNE GENERAL HOSPITAL SONORA                                (677)                                          6,195 -10.9%
JOHN MUIR BEHAVIORAL HEALTH CONCORD                               (3,115)                                       28,603 -10.9%
LOMPOC HOSPITAL DISTRICT LOMPOC                             (5,788)                                        54,641 -10.6%
JOHN C FREMONT HEALTHCARE DISTRICT MARIPOSA                              (1,666)                                         16,140 -10.3%
COAST PLAZA DOCTORS HOSPITAL NORWALK                             (2,093)                                       20,490 -10.2%
PROMISE HOSPITAL OF SAN DIEGO SAN DIEGO                              (4,281)                                        42,147 -10.2%
ST. JOSEPH'S BEHAVIORAL HEALTH CENTER STOCKTON                              (1,002)                                        10,339 -9.7%
CATALINA ISLAND MEDICAL CENTER AVALON                                (540)                                         5,722 -9.4%
HEALDSBURG DISTRICT HOSPITAL HEALDSBURG                             (3,397)                                        36,107 -9.4%
SURPRISE VALLEY HEALTH CARE DISTRICT CEDARVILLE                                 (351)                                         3,758 -9.3%
CORCORAN DISTRICT HOSPITAL CORCORAN                              (1,030)                                          11,051 -9.3%
SEMPERVIRENS PSYCHIATRIC HEALTH FACILITY EUREKA                                (398)                                         4,279 -9.3%
SOUTHERN INYO HOSPITAL LONE PINE                                (707)                                         7,599 -9.3%
GREATER EL MONTE COMMUNITY HOSPITAL SOUTH EL MONTE                             (4,023)                                       45,363 -8.9%
RIVERSIDE COUNTY REGIONAL MEDICAL CENTER MORENO VALLEY                            (31,541)                                     367,981 -8.6%
GOOD SAMARITAN HOSPITAL BAKERSFIELD                              (2,618)                                        33,217 -7.9%
DOWNEY REGIONAL MEDICAL CENTER DOWNEY                             (11,881)                                     150,979 -7.9%
ST. JOHN'S REGIONAL MEDICAL CENTER OXNARD                           (17,666)                                     231,386 -7.6%
ST. MARY'S MEDICAL CENTER SAN FRANCISCO                           (15,202)                                      199,128 -7.6%
CHAPMAN MEDICAL CENTER ORANGE                             (3,299)                                       43,474 -7.6%
LOS ANGELES METROPOLITAN MEDICAL CENTER LOS ANGELES                              (4,718)                                        63,719 -7.4%
RIDGECREST REGIONAL HOSPITAL RIDGECREST                             (4,754)                                       64,479 -7.4%
USC UNIVERSITY HOSPITAL LOS ANGELES                           (33,761)                                     462,162 -7.3%
ARROYO GRANDE COMMUNITY HOSPITAL ARROYO GRANDE                             (3,737)                                        51,506 -7.3%
SONOMA VALLEY HOSPITAL SONOMA                             (3,289)                                       46,072 -7.1%
PACIFIC ALLIANCE MEDICAL CENTER LOS ANGELES                              (8,710)                                     122,479 -7.1%
SETON MEDICAL CENTER DALY CITY                          (20,483)                                    289,662 -7.1%
TARZANA PSYCHIATRIC HOSPITAL TARZANA                                 (471)                                          6,715 -7.0%
OJAI VALLEY COMMUNITY HOSPITAL OJAI                              (1,680)                                       24,957 -6.7%
USC KENNETH NORRIS JR. CANCER HOSPITAL LOS ANGELES                             (5,753)                                        86,071 -6.7%
COMMUNITY HOSPITAL OF SAN BERNARDINO SAN BERNARDINO                            (11,593)                                     173,505 -6.7%
SOUTHWEST HEALTHCARE SYSTEMS MURRIETA                           (14,772)                                     221,955 -6.7%
SUTTER COAST HOSPITAL CRESCENT CITY                               (4,211)                                       64,243 -6.6%
MODOC MEDICAL CENTER ALTURAS                                (939)                                         14,341 -6.5%
SAN GORGONIO MEMORIAL HOSPITAL BANNING                             (2,283)                                        37,819 -6.0%
ST. JOHN'S PLEASEANT VALLEY MC CAMARILLO                              (4,861)                                        81,056 -6.0%
GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER GLENDALE                           (12,952)                                      217,216 -6.0%
MENDOCINO COAST DISTRICT HOSPITAL FORT BRAGG                              (2,180)                                       43,463 -5.0%
EASTERN PLUMAS HOSPITAL PORTOLA                                (962)                                         20,112 -4.8%
ST. JOHN'S HOSPITAL & HEALTH CENTER SANTA MONICA                            (13,105)                                    276,357 -4.7%
PETALUMA VALLEY HOSPITAL PETALUMA                              (3,612)                                       78,552 -4.6%
PROVIDENCE TARZANA MEDICAL CENTER TARZANA                           (10,639)                                    232,548 -4.6%
LOS ANGELES COUNTY OLIVE VIEW-UCLA MEDICAL CENTER SYLMAR                           (16,902)                                    369,436 -4.6%
CORONA REGIONAL MEDICAL CENTER CORONA                             (5,944)                                     133,395 -4.5%
CHILDRENS RECOVERY CENTER CAMPBELL                                (332)                                         7,728 -4.3%
SHRINERS HOSPITAL - NORTHERN CALIF SACRAMENTO                              (2,416)                                       57,828 -4.2%
AURORA LAS ENCINAS PASADENA                                (709)                                        18,209 -3.9%
TRINITY HOSPITAL WEAVERVILLE                                (472)                                        12,753 -3.7%
PALMDALE REGIONAL MEDICAL CENTER PALMDALE                              (4,381)                                      121,733 -3.6%
TRI CITY REGIONAL MEDICAL CENTER HAWAIIAN GARDENS                             (2,282)                                       64,822 -3.5%
SUTTER SOLANO MEDICAL CENTER VALLEJO                             (3,952)                                      116,549 -3.4%
SIMI VALLEY HOSPITAL SIMI VALLEY                             (3,647)                                      108,713 -3.4%
OASIS REHABILITATION CENTER, INC. INDIO                                  (114)                                         3,404 -3.3%
COLUSA REGIONAL MEDICAL CENTER COLUSA                                (620)                                         19,281 -3.2%
TAHOE FOREST HOSPITAL DISTRICT TRUCKEE                             (2,737)                                        86,414 -3.2%
NEWPORT BAY HOSPITAL NEWPORT BEACH                                 (315)                                         9,974 -3.2%
BEVERLY HOSPITAL MONTEBELLO                              (3,815)                                      122,751 -3.1%
METHODIST HOSPITAL OF SOUTHERN CALIFORNIA ARCADIA                             (7,458)                                       241,110 -3.1%
ALVARADO HOSPITAL SAN DIEGO                             (3,828)                                     130,394 -2.9%
HAZEL HAWKINS MEMORIAL HOSPITAL HOLLISTER                             (2,245)                                       77,264 -2.9%
HOAG MEMORIAL HOSPITAL PRESBYTERIAN NEWPORT BEACH                           (22,619)                                    788,734 -2.9%
PLUMAS DISTRICT HOSPITAL QUINCY                                 (551)                                        19,420 -2.8%
METHODIST HOSPITAL OF SACRAMENTO SACRAMENTO                             (5,939)                                    209,420 -2.8%
LA CASA PSYCHIATRIC HEALTH FACILITY LONG BEACH                                   (70)                                         2,559 -2.7%
STAR VIEW ADOLESCENT CENTER, INC. TORRANCE                                    (71)                                         2,727 -2.6%
SHARP MESA VISTA HOSPITAL SAN DIEGO                               (1,512)                                       58,364 -2.6%
SALINAS VALLEY MEMORIAL HEALTHCARE SYSTEM SALINAS                             (8,596)                                    338,209 -2.5%
SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTER SAN FRANCISCO                           (15,569)                                     640,018 -2.4%
LODI MEMORIAL HOSPITAL LODI                             (3,526)                                     146,080 -2.4%
SAINT AGNES MEDICAL CENTER FRESNO                           (10,365)                                    453,876 -2.3%
DAMERON HOSPITAL ASSOCIATION STOCKTON                             (3,674)                                      161,242 -2.3%
SAN GABRIEL VALLEY MEDICAL CENTER SAN GABRIEL                             (2,889)                                      127,167 -2.3%
COMMUNITY HOSPITAL OF HUNTINGTON PARK HUNTINGTON PARK                                 (613)                                       28,328 -2.2%
SAINT FRANCIS MEMORIAL HOSPITAL SAN FRANCISCO                             (3,792)                                    200,366 -1.9%
ST. BERNARADINE MEDICAL CENTER SAN BERNARDINO                             (5,585)                                     304,016 -1.8%
ENCINO HOSPITAL MEDICAL CENTER ENCINO                                (737)                                        41,746 -1.8%
NORTHBAY MEDICAL CENTER/VACAVALLEY HOSPITAL FAIRFIELD                             (5,299)                                    300,269 -1.8%
SENECA HEALTHCARE DISTRICT / LAKE ALMANOR CLINIC CHESTER                                 (213)                                        12,382 -1.7%
WHITE MEMORIAL MEDICAL CENTER LOS ANGELES                             (5,048)                                    294,774 -1.7%
EAST VALLEY HOSPITAL MEDICAL CENTER GLENDORA                                (338)                                       20,856 -1.6%
SUTTER LAKESIDE HOSPITAL LAKEPORT                              (1,036)                                       66,844 -1.5%
JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS CONCORD                             (5,370)                                    349,783 -1.5%
LANTERMAN STATE HOSPITAL AND DEVELOPMENTAL CENTER POMONA                              (1,584)                                      117,038 -1.4%
HENRY MAYO NEWHALL MEMORIAL HOSPITAL VALENCIA                              (2,761)                                    207,263 -1.3%
GATEWAYS HOSPITAL AND MENTAL HEALTH CENTER LOS ANGELES                                (325)                                       25,386 -1.3%
WOODLAND MEMORIAL HOSPITAL WOODLAND                              (1,487)                                      120,041 -1.2%
PORTERVILLE STATE HOSPITAL PORTERVILLE                              (1,830)                                      147,791 -1.2%
PACIFIC HOSPITAL OF LONG BEACH LONG BEACH                              (1,670)                                     137,262 -1.2%
RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA LOS ANGELES                                (528)                                       44,253 -1.2%
PLACER PHF ROSEVILLE                                   (26)                                         2,534 -1.0%
HI-DESERT MEDICAL CENTER JOSHUA TREE                                (593)                                       58,838 -1.0%
KERN VALLEY HEALTHCARE DISTRICT LAKE ISABELLA                                 (192)                                        19,242 -1.0%
ADVENTIST MEDICAL CENTER HANFORD/SELMA HANFORD/SELMA                               (1,158)                                    206,600 -0.6%
FAIRVIEW DEVELOPMENTAL CENTER COSTA MESA                                 (710)                                     137,595 -0.5%
TELECARE HERITAGE PSYCHIATRIC HEALTH FACILITY OAKLAND                                   (39)                                         7,630 -0.5%
CITY OF HOPE NATIONAL MEDICAL CENTER DUARTE                             (2,654)                                      592,117 -0.4%
MARIN GENERAL HOSPITAL GREENBRAE                              (1,006)                                    280,396 -0.4%
FRENCH HOSPITAL MEDICAL CENTER SAN LUIS OBISPO                                 (310)                                       92,823 -0.3%
ST LOUISE REGIONAL HOSPITAL GILROY                                (289)                                       89,055 -0.3%
COAST PLAZA DOCTORS HOSPITAL NORWALK                                   (33)                                         13,931 -0.2%
SONOMA DEVELOPMENTAL CENTER ELDRIDGE                                 (315)                                      152,120 -0.2%
COMMUNITY HOSPITAL OF LONG BEACH LONG BEACH                                    (13)                                         9,727 -0.1%
MAD RIVER COMMUNITY HOSPITAL ARCATA                                    (31)                                        49,718 -0.1%
METROPOLITAN STATE HOSPITAL NORWALK                                   (32)                                     173,867 0.0%
PATTON STATE HOSPITAL PATTON                                   (22)                                    309,707 0.0%
NAPA STATE HOSPITAL NAPA                                    (15)                                    266,065 0.0%





Total all 152 In-The-Red Hospitals
                    (1,782,424)                               19,067,780 -9.3%

For those Californians who don't see their California Hospitals in any of the above charts, below here are the 169 California Hospitals with an Operating Income Margin as a Percentage of Total Operating Revenues in the middle range from 0.0% to 10.0% in 2011:
Hospital City Total Operating Income (Loss) Total Operating Revenues Operating Income (Loss) Margin

$000s $000s %
Hospitals In The Middle: Profit Margins of 0.0% to 10.0%



SAN JOAQUIN GENERAL HOSPITAL FRENCH CAMP                            22,346                                     226,124 9.9%
DESERT REGIONAL MEDICAL CENTER PALM SPRINGS                            33,976                                    345,062 9.8%
KINDRED HOSPITAL SAN DIEGO SAN DIEGO                                3,210                                         32,911 9.8%
GARFIELD MEDICAL CENTER MONTEREY PARK                             21,373                                    222,022 9.6%
SCRIPPS MEMORIAL HOSPITAL - ENCINITAS ENCINITAS                              21,312                                    227,568 9.4%
COMMUNITY REGIONAL MEDICAL CENTER FRESNO                            78,258                                     841,203 9.3%
PRESBYTERIAN INTERCOMMUNITY HOSPITAL WHITTIER                            40,379                                    435,063 9.3%
SADDLEBACK MEMORIAL MEDICAL CENTER LAGUNA HILLS                             31,887                                    346,935 9.2%
CEDARS~SINAI MEDICAL CENTER LOS ANGELES                           214,997                                 2,378,427 9.0%
WASHINGTON HOSPTIAL FREMONT                            39,284                                     437,701 9.0%
NORTHERN INYO HOSPITAL BISHOP                               5,002                                       56,049 8.9%
SAN JOAQUIN COMMUNITY HOSPITAL BAKERSFIELD                            27,276                                     312,808 8.7%
BALLARD REHAB SAN BERNARDINO SAN BERNARDINO                                1,799                                       20,820 8.6%
FAIRCHILD MEDICAL CENTER YREKA                               4,623                                       54,584 8.5%
MONTEREY PARK HOSPITAL MONTEREY PARK                               6,239                                        73,921 8.4%
LOMA LINDA UNIVERSITY MEDICAL CENTER LOMA LINDA                            98,355                                   1,168,434 8.4%
ST. FRANCIS MEDICAL CENTER LYNWOOD                            32,636                                     388,561 8.4%
PROVIDENCE HOLY CROSS MEDICAL CENTER MISSION HILLS                            29,769                                    356,079 8.4%
MADERA COMMUNITY HOSPITAL MADERA                               7,863                                        94,361 8.3%
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA MONTEREY                            34,564                                     414,863 8.3%
ORANGE COAST MEMORIAL MEDICAL CENTER FOUNTAIN VALLEY                             19,946                                    239,427 8.3%
PACIFICA HOSPITAL OF THE VALLEY SUN VALLEY                               5,540                                       66,646 8.3%
JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS WALNUT CREEK                            62,645                                    769,667 8.1%
STANFORD HOSPITAL & CLINICS STANFORD                           168,972                                  2,164,973 7.8%
WEST HILLS HOSPITAL AND MEDICAL CENTER WEST  HILLS                             14,424                                     184,940 7.8%
PROVIDENCE LITTLE CO. OF MARY MED CTR-SAN PEDRO SAN PEDRO                               12,711                                      164,145 7.7%
KINDRED HOSPITAL- RANCHO RANCHO CUCAMONGA                               3,424                                       44,483 7.7%
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE                            35,635                                    465,890 7.6%
CHILDREN'S HOSPITAL LOS ANGELES LOS ANGELES                             53,314                                    697,469 7.6%
REGIONAL MEDICAL CENTER OF SAN JOSE SAN JOSE                             24,158                                      321,519 7.5%
UCSF MEDICAL CENTER SAN FRANCISCO                            141,049                                   1,887,130 7.5%
CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND OAKLAND                            36,908                                    498,374 7.4%
RIDEOUT MEMORIAL HOSPITAL MARYSVILLE                            20,878                                    284,354 7.3%
EL CAMINO HOSPITAL MOUNTAIN VIEW                            43,330                                     601,390 7.2%
FOUNTAIN VALLEY REGIONAL HOSPITAL FOUNTAIN VALLEY                             21,484                                    299,797 7.2%
SANTA BARBARA COTTAGE HOSPITAL SANTA BARBARA                            34,637                                     486,172 7.1%
CRESTWOOD PSYCHIATRIC HEALTH FACILITY-BAKERSFIELD BAKERSFIELD                                   176                                         2,543 6.9%
WILLOW ROCK CENTER SAN LEANDRO                                   381                                         5,532 6.9%
NORTHRIDGE HOSPITAL MEDICAL CENTER NORTHRIDGE                            27,200                                    395,325 6.9%
ST. JUDE MEDICAL CENTER FULLERTON                              33,211                                    483,034 6.9%
VALLEY PRESBYTERIAN HOSPITAL VAN NUYS                             19,496                                    286,978 6.8%
MISSION HOSPITAL REGIONAL MEDICAL CENTER MISSION VIEJO                             31,063                                       467,111 6.7%
HEALBRIDGE CHILDREN'S HOSPITAL-ORANGE ORANGE                                  602                                         9,058 6.6%
VICTOR VALLEY COMMUNITY HOSPITAL VICTORVILLE                               4,707                                        71,643 6.6%
KINDRED HOSPITAL -  RIVERSIDE PERRIS                                 1,561                                       23,963 6.5%
CHINO VALLEY MEDICAL CENTER CHINO                                5,197                                       80,563 6.5%
MERCY HEALTHCARE BAKERSFIELD BAKERSFIELD                              16,571                                    258,682 6.4%
EAST LOS ANGELES DOCTOR'S HOSPITAL LOS ANGELES                               5,088                                       79,689 6.4%
MERCY GENERAL HOSPITAL SACRAMENTO                            30,862                                    485,654 6.4%
SCRIPPS MERCY HOSPITAL SAN DIEGO                             40,187                                    635,499 6.3%
ALTA BATES MEDICAL CENTER BERKELEY                               38,111                                     604,109 6.3%
SHARP CORONADO HOSPITAL CORONADO                               5,026                                        80,150 6.3%
SAN DIMAS COMMUNITY HOSPITAL SAN DIMAS                                3,619                                       58,093 6.2%
TEMPLE COMMUNITY HSOPITAL LOS ANGELES                               2,905                                       46,985 6.2%
EL CENTRO REGIONAL MEDICAL CENTER EL CENTRO                                7,016                                      116,828 6.0%
DOMINICAN HOSPITAL SANTA CRUZ                             19,583                                     333,123 5.9%
FALLBROOK HOSPITAL FALLBROOK                               2,762                                       47,432 5.8%
MILLS PENINSULA MEDICAL CENTER BURLINGAME                             24,512                                    445,920 5.5%
POMONA VALLEY HOSPITAL MEDICAL CENTER POMONA                            22,587                                      411,789 5.5%
CONTRA COSTA REGIONAL MEDICAL CENTER MARTINEZ                             21,508                                    394,337 5.5%
MERCY HOSPITAL OF MT. SHASTA MT. SHASTA                               2,575                                       47,329 5.4%
ALVARADO PARKWAY INSTITUTE LA MESA                                1,322                                        24,313 5.4%
ST. JOSEPH HOSPITAL - EUREKA EUREKA                             10,406                                      191,665 5.4%
DELANO REGIONAL MEDICAL CENTER DELANO                               3,647                                       67,387 5.4%
SEQUOIA HOSPITAL REDWOOD CITY                              12,401                                    229,649 5.4%
COMMUNITY MEMORIAL HOSPITAL OF SAN BUENAVENTURA VENTURA                             14,005                                    262,748 5.3%
COLLEGE HOSPITAL COSTA MESA COSTA MESA                                2,381                                       45,620 5.2%
UNIVERSITY OF CALIFORNIA, DAVIS MED CENTER SACRAMENTO                             67,717                                   1,310,563 5.2%
SUTTER AUBURN FAITH HOSPITAL AUBURN                               5,230                                      101,798 5.1%
SUTTER AMADOR HOSPITAL JACKSON                                3,391                                       66,256 5.1%
ANTELOPE VALLEY HOSPITAL DISTRICT LANCASTER                             17,746                                    346,798 5.1%
FRESNO HEART & SURGICAL HOSPITAL FRESNO                               3,924                                       77,074 5.1%
UCSD MEDICAL CENTER SAN DIEGO                            54,972                                  1,090,233 5.0%
LA PALMA INTERCOMMUNITY HOSPITAL LA PALMA                               2,587                                        51,426 5.0%
WEST ANAHEIM MEDICAL CENTER ANAHEIM                               4,242                                        85,179 5.0%
SUTTER MEDICAL CENTER OF SANTA ROSA SANTA ROSA                               7,859                                     165,346 4.8%
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER LOS ANGELES                              10,419                                    220,300 4.7%
FRESNO SURGICAL HOSPITAL FRESNO                               2,252                                       47,999 4.7%
SANTA ROSA MEMORIAL HOSPITAL SANTA ROSA                              16,012                                      342,114 4.7%
SONORA REGIONAL MEDICAL CENTER SONORA                               8,585                                     185,504 4.6%
KINDRED HOSPITAL - BREA BREA                                1,573                                       34,260 4.6%
ENLOE MEDICAL CENTER CHICO                             16,872                                    380,540 4.4%
ST. MARY MEDICAL CENTER LONG BEACH                             10,463                                    237,952 4.4%
CALIFORNIA HOSPITAL MEDICAL CENTER LOS ANGELES                             13,509                                    308,536 4.4%
SAN ANTONIO COMMUNITY HOSPITAL UPLAND                              11,588                                     266,125 4.4%
PATIENTS' HOSPITAL OF REDDING REDDING                                  239                                         5,528 4.3%
ST. HELENA HOSPITAL ST. HELENA                               7,265                                     174,546 4.2%
UKIAH VALLEY MEDICAL CENTER UKIAH                               3,908                                        94,819 4.1%
MARSHALL HOSPITAL PLACERVILLE                                7,731                                     190,397 4.1%
PARADISE VALLEY HOSPITAL NATIONAL CITY                               4,492                                        112,411 4.0%
FEATHER RIVER HOSPITAL PARADISE                               6,236                                      156,081 4.0%
SAN DIEGO REHAB SAN DIEGO                                1,593                                       40,239 4.0%
TULARE REGIONAL MEDICAL CENTER TULARE                                3,148                                        81,222 3.9%
ALTA BATES SUMMIT MEDICAL CENTER OAKLAND                             18,092                                    467,004 3.9%
DOCTOR'S HOSPITAL OF WEST COVINA WEST COVINA                                  388                                        10,679 3.6%
ST. JOSEPH HOSPITAL ORANGE                            22,878                                    648,094 3.5%
HEMET VALLEY MEDICAL CENTER HEMET                               4,699                                     133,628 3.5%
PROVIDENCE SAINT JOSEPH MEDICAL CENTER BURBANK                             14,726                                     419,954 3.5%
SANTA YNEZ VALLEY COTTAGE HOSPITAL SOLVANG                                  462                                        13,496 3.4%
CASA COLINA HOSPITAL POMONA                                1,327                                       38,877 3.4%
MARK TWAIN ST. JOSEPH'S HOSPITAL SAN ANDREAS                                 1,521                                        47,145 3.2%
MARIAN MEDICAL CENTER SANTA MARIA                               6,899                                     214,944 3.2%
TOM REDGATE MEMORIAL RECOVERY CENTER LONG BEACH                                     92                                         2,896 3.2%
DOCTORS MEDICAL CENTER OF MODESTO, INC. MODESTO                              12,512                                    394,758 3.2%
VALLEYCARE HEALTH SYSTEM PLEASANTON                               7,233                                    233,694 3.1%
ST HELENA HOSPITAL CLEAR LAKE CLEARLAKE                               2,080                                       68,030 3.1%
LAKEWOOD REGIONAL MEDICAL CENTER LAKEWOOD                               4,262                                     140,542 3.0%
SHARP GROSSMONT HOSPITAL LA MESA                             16,097                                    533,429 3.0%
PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER RIVERSIDE                               3,632                                      121,202 3.0%
MERCY SAN JUAN HOSPITAL CARMICHAEL                             13,768                                    482,554 2.9%
MAMMOTH HOSPITAL MAMMOTH LAKES                                 1,617                                        57,166 2.8%
THOUSAND OAKS SURGICAL HOSPITAL THOUSAND OAKS                                  992                                       35,489 2.8%
HOAG ORTHOPEDIC INSTITUTE IRVINE                                1,672                                        61,233 2.7%
GLENN MEDICAL CENTER WILLOWS                                  362                                        13,297 2.7%
MISSION COMMUNITY HOSPITAL PANORAMA CITY                                2,183                                       80,748 2.7%
AMERICAN RECOVERY CENTER POMONA                                    151                                         5,696 2.7%
TRI-CITY MEDICAL CENTER OCEANSIDE                               7,859                                    297,525 2.6%
MARINA DEL REY HOSPITAL MARINA DEL REY                               2,506                                       94,994 2.6%
GARDEN GROVE  HOSPITAL & MEDICAL CENTER GARDEN GROVE                                1,999                                       77,235 2.6%
PALOMAR MEDICAL CENTER ESCONDIDO                               8,770                                    339,398 2.6%
PROMISE HOSPITAL ELA- ELA CAMPUS, SUBURBAN CAMPUS LOS ANGELES                               2,036                                        82,135 2.5%
OROVILLE HOSPITAL OROVILLE                               3,662                                     150,807 2.4%
BARLOW RESPIRATORY HOSPITAL LOS ANGELES                                  1,161                                       48,494 2.4%
EDEN MEDICAL CENTER CASTRO VALLEY                                7,187                                     315,066 2.3%
EMANUEL MEDICAL CENTER TURLOCK                               4,099                                     183,088 2.2%
AHMC ANAHEIM REGIONAL MEDICAL CENTER ANAHEIM                               4,358                                     197,458 2.2%
SUTTER DELTA MEDICAL CENTER ANTIOCH                               3,276                                     157,066 2.1%
HUNTINGTON MEMORIAL HOSPITAL PASADENA                             10,237                                    498,553 2.1%
PIONEERS MEMORIAL HEALTHCARE DISTRICT BRAWLEY                                1,968                                        96,215 2.0%
CHILDREN'S HOSPITAL AT MISSION MISSION VIEJO                                 1,041                                       50,968 2.0%
LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CENTER REDLANDS                                  583                                       28,628 2.0%
TORRANCE MEMORIAL MEDICAL CENTER TORRANCE                               7,962                                    436,398 1.8%
OAK VALLEY HOSPITAL OAKDALE                                  906                                       50,292 1.8%
HUNTINGTON BEACH HOSPITAL HUNTINGTON BEACH                                  805                                        47,100 1.7%
POMERADO HOSPITAL POWAY                               2,438                                     146,547 1.7%
GOOD SAMARITAN HOSPITAL LOS ANGELES                               4,633                                    292,380 1.6%
QUEEN OF THE VALLEY MEDICAL CENTER NAPA                                3,619                                    250,778 1.4%
MAYERS MEMORIAL HOSPITAL FALL RIVER MILLS                                  229                                        17,999 1.3%
ST. JOSEPH MEDICAL CENTER STOCKTON                               5,005                                     404,617 1.2%
PALO VERDE HOSPITAL BLYTHE                                  342                                        27,712 1.2%
GEORGE L. MEE MEMORIAL HOSPITAL KING CITY                                   719                                       60,529 1.2%
CITRUS VALLEY MEDICAL CENTER WEST COVINA                               3,932                                    338,836 1.2%
DESERT VALLEY HOSPITAL VICTORVILLE                                  936                                        81,306 1.2%
PROVIDENCE LITTLE CO. OF MARY MEDICAL CENTER TORRANCE TORRANCE                               3,722                                     334,641 1.1%
GLENDALE ADVENTIST MEDICAL CENTER GLENDALE                               3,705                                     341,532 1.1%
BUTTE COUNTY MENTAL HEALTH - PHF CHICO                                     38                                         3,632 1.1%
MERCY MEDICAL CENTER MERCED                                2,016                                     236,015 0.9%
SIERRA NEVADA MEMORIAL HOSPITAL GRASS VALLEY                                1,032                                     122,489 0.8%
FOOTHILL PRESBYTERIAN HOSPITAL GLENDORA                                  570                                       69,776 0.8%
ALHAMBRA HOSPITAL - ALHAMBRA ALHAMBRA                                  649                                       82,446 0.8%
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA                                3,419                                    436,558 0.8%
REDLANDS COMMUNITY HOSPITAL REDLANDS                                 1,814                                     251,053 0.7%
SHARP CHULA VISTA MEDICAL CENTER CHULA VISTA                                1,900                                    280,904 0.7%
BETTY FORD CENTER RANCHO MIRAGE                                   178                                        35,591 0.5%
NOVATO COMMUNITY HOSPITAL NOVATO                                  293                                         61,541 0.5%
SIERRA KINGS HEALTH CARE DISTRICT REEDLEY                                   122                                       27,922 0.4%
OLYMPIA MEDICAL CENTER LOS ANGELES                                  382                                     109,565 0.3%
NORTH VALLEY BEHAVIORAL HEALTH-PHF YUBA CITY                                      13                                         3,986 0.3%
ST HELENA HOSPITAL CENTER FOR BEHAVIORAL HEALTH VALLEJO                                     49                                       20,646 0.2%
WATSONVILLE COMMUNITY HOSPITAL WATSONVILLE                                  236                                      104,175 0.2%
VERDUGO HILLS HOSPITAL GLENDALE                                     65                                       76,708 0.1%
JOHN F. KENNEDY MEMORIAL HOSPITAL INDIO                                     64                                      112,560 0.1%
KEDREN COMMUNITY MENTAL HEALTH CENTER LOS ANGELES                                       11                                       26,523 0.0%
EL DORADO COUNTY MENTAL HEALTH-PHF PLACERVILLE                                      -                                            2,321 0.0%
MARIE GREEN PSYCHIATRIC CENTER -PHF MERCED                                      -                                           3,545 0.0%
SACRAMENTO COUNTY MENTAL HEALTH CTR-PHF SACRAMENTO                                       -                                         28,603 0.0%
SAN JOAQUIN COUNTY MENTAL HEALTH - PHF STOCKTON                                      -                                            6,913 0.0%
SUTTER-YUBA - PHF YUBA CITY                                      -                                           3,845 0.0%
ATASCADERO STATE HOSPITAL ATASCADERO                                     (0)                                    225,448 0.0%





Total all 169 In The Middle
     2,408,619          42,481,485 5.7%


Anyway, when you have 37% of your State Hospitals generating Operating Losses, you have a financial problem with your State's Hospitals that you have to quickly address.

By far the best and only economically good way to put a major dent in the Huge Operating Losses of the so many California struggling Hospitals is for the State of California to fully expand Medicaid, which they wisely have done.  Since California did this, there will be a resultant massive inflow of Patient Revenues from Medicaid expansion, after all there were $4.831 bil of Total Provisions for Bad Debts Charges that reduced the Total Operating Revenues of all California Hospitals in 2011.  In addition, there were huge Uncompensated Charity Care Costs Incurred in 2011.

With this massive inflow of Revenues due to Medicaid expansion in California, the struggling California Hospitals will be able to substantially reduce their huge Operating Losses and a huge majority of them should even be able to turn their substantial losses into profits.  And due to Medicaid expansion, the California Hospitals with very modest Operating Income will have their profits bolstered very robustly, as will the California Hospitals now making higher than modest Operating Income.

Also since California fully expanded Medicaid, another key beneficiary of the resultant very healthy profit improvement and thus also Total Net Assets improvement of all California Hospitals will be the California citizens electing to buy health insurance on the Health Insurance Exchange.  This exceptional Net Asset growth from Medicaid expansion should in all fairness give all California Hospitals the financial flexibility to moderate their pricing for hospital and other health care procedures in their negotiations with health insurance companies which ultimately determines what insurance premium prices are set at by health insurance companies on the Health Insurance Exchange.




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