| Most | FYE | Balance | Net | |||||
| Most | Recent | Balance | Sheet | Assets | ||||
| Recent | Balance | Sheet | Net | % | ||||
| Balance | Sheet | Date | Assets | Change | ||||
| City | State | Sheet | Net | Beginning | Beginning | During | ||
| Hospital Organization | HQs | HQs | Date | Assets | Obama | Obama | Obama | |
| mil $s | Admin | Admin | Admin | |||||
| mil $s | ||||||||
| Ascension Health | Edmundson | MO | Dec 13 | 18,237 | Jun 09 | 8,275 | 120% | |
| BJC Healthcare | St Louis | MO | Dec 13 | 5,177 | Dec 08 | 2,705 | 91% | |
| Mercy Health | Chesterfield | MO | Dec 13 | 3,394 | Jun 09 | 2,118 | 60% | |
| SSM Health Care | St Louis | MO | Dec 13 | 1,967 | Dec 08 | 933 | 111% | |
| St Luke's Health System | Kansas City | MO | Dec 13 | 1,130 | Dec 08 | 703 | 61% | |
| Children's Mercy Hospitals | Kansas City | MO | Dec 13 | 1,032 | Jun 09 | 668 | 54% | |
| CoxHealth | Springfield | MO | Dec 13 | 687 | Sep 09 | 456 | 51% | |
| University Missouri Health Care | Columbia | MO | Jun 13 | 557 | Jun 09 | 365 | 53% | |
| North Kansas City Hospital | Kansas City | MO | Sep 13 | 556 | Jun 09 | 452 | 23% | |
| Saint Francis Medical Center | Cape Girardeau | MO | Dec 13 | 496 | Jun 09 | 274 | 81% | |
| Heartland Regional Medical Center | St Joseph | MO | Dec 13 | 467 | Jun 09 | 214 | 118% | |
| Total all 11 | 33,700 | 17,163 | 96% |
As you can see from the above chart, the Total Net Assets (Financial Strength) of these 11 Missouri Non-Profit Hospital Organizations increased by a phenomenal 96% to a massive $33.700 bil for their average 4.55 years during the Obama Administration, driven by huge Ascension Health's Net Asset Increase of nearly $10 bil or up 120%.
Very positively impacting this spectacular increase in the Net Assets (Financial Strength) of these 11 Missouri 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 robust increase in Net Assets (Financial Strength) of these 11 Missouri 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 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 very impressive Net Asset percentage increases of these 11 Missouri Hospitals, a key beneficiary of this will be Missouri citizens electing to buy health insurance on the Health Insurance Exchange. And since the giant Ascension Health, which has increased its Net Assets by nearly $10 bil or by 120% during the Obama Administration, has Hospitals located all over the US, citizens in many US States electing to buy health insurance on the Health Insurance Exchange will also be key beneficiaries. This strong Net Asset growth gives these Missouri 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.
Missouri Struggling Hospitals
The State of Missouri is being very transparent with its citizens by having available for review annually at its State Dept of Health website very detailed financial information on each of its 117 Short-term Acute Care Hospitals which disclosed their numbers. I excluded Mercy Hospital Joplin below because it had a huge operating loss, coupled with a massive insurance recovery gain, both due to the horrific tornado it had there in 2012.
These 117 Missouri Hospitals generated Total Operating Income of $779 mil in the most recent year reported, which was a modest 4.5% of their Total Operating Revenues of $17.180 bil.
As you can see in the below chart, 18 of these 117 Missouri Hospitals, all with Operating Income Margins as a Percentage of Total Operating Revenues of above 10.0%, generated Total Operating Income of $337 mil, which was a very steep 12.8% of their Total Operating Revenues.....clearly way too much Hospital pricing greed exhibited here:
| Operating | |||||
| Operating | Total | Income | |||
| Missouri | Income | Operating | (Loss) | ||
| County | Hospital Name | City | (Loss) | Revenues | Margin |
| 000s | 000s | % | |||
| Dunklin | Twin Rivers Reg Med Ctr | Kennett | 13,414 | 46,072 | 29.1% |
| Randolph | Moberly Reg Med Ctr | Moberly | 16,839 | 62,956 | 26.7% |
| Laclede | Mercy Hospital Lebanon | Lebanon | 19,963 | 80,832 | 24.7% |
| Adair | Northeast Regional Med Ctr | Kirksville | 15,377 | 66,162 | 23.2% |
| Cass | Belton Reg Med Ctr | Belton | 7,342 | 39,488 | 18.6% |
| Jackson/KC Area | Lee's Summit Med Ctr | Lee's Summit | 13,510 | 72,744 | 18.6% |
| Barry | Mercy Hospital Cassville | Cassville | 2,272 | 13,129 | 17.3% |
| Newton | Freeman Neosho Hospital | Neosho | 2,938 | 18,336 | 16.0% |
| Butler | Poplar Bluff Reg Med Ctr | Poplar Bluff | 20,004 | 137,482 | 14.6% |
| Stoddard | Southeast Health Ctr Stoddard | Dexter | 1,409 | 10,434 | 13.5% |
| Jackson/KC Area | Centerpoint Med Ctr Independence | Independence | 26,078 | 197,858 | 13.2% |
| Jackson/KC Area | Saint Luke's Cancer Institute | Kansas City | 2,249 | 19,185 | 11.7% |
| Livingston | Hedrick Med Ctr | Chillicothe | 4,120 | 35,264 | 11.7% |
| Phelps | Phelps County Reg Med Ctr | Rolla | 15,409 | 138,853 | 11.1% |
| St Louis County | Barnes-Jewish West County Hosp | St Louis | 11,765 | 106,590 | 11.0% |
| Jackson/KC Area | St Luke's East Lee's Summit Hosp | Lee's Summit | 15,490 | 140,882 | 11.0% |
| St Louis City | SSM Cardinal Glennon Children's Med Ctr | St Louis | 33,025 | 309,980 | 10.7% |
| Greene | Mercy Hospital Springfield | Springfield | 115,896 | 1,140,432 | 10.2% |
| Total all 18 | 337,100 | 2,636,679 | 12.8% |
But nearly half or 58 of these 117 Missouri Hospitals had Operating Income as a Percentage of Total Operating Revenues of 2.5% or below. These 58 Missouri Hospitals generated a Total Operating Loss of $73 mil on Total Operating Revenues of $5,950 mil, yielding a Total Operating Loss as a Percentage of Total Operating Revenues of a negative 1.2%, as you can see in the below chart:
| Operating | |||||
| Operating | Total | Income | |||
| Missouri | Income | Operating | (Loss) | ||
| County | Hospital Name | City | (Loss) | Revenues | Margin |
| 000s | 000s | % | |||
| St Louis County | Shriners Hospitals for Children | St Louis | (20,579) | 7,337 | -280.5% |
| Ripley | Ripley County Meml Hosp | Doniphon | (1,739) | 6,254 | -27.8% |
| Callaway | Callaway Community Hospital | Fulton | (2,294) | 9,477 | -24.2% |
| Cooper | Cooper County Meml Hospital | Boonville | (1,717) | 9,459 | -18.2% |
| Saline | I-70 Community Hospital | Sweet Springs | (831) | 6,111 | -13.6% |
| Atchison | Community Hospital-Fairfax | Fairfax | (1,243) | 9,617 | -12.9% |
| Henry | Royal Oaks Hospital | Windsor | (1,049) | 9,933 | -10.6% |
| Pemiscot | Pemiscot County Meml Hosp | Hayti | (3,449) | 37,674 | -9.2% |
| Jackson/KC Area | Truman Med Ctr Lakewood | Kansas City | (9,398) | 110,631 | -8.5% |
| Nodaway | St. Francis Hospital | Maryville | (4,261) | 54,427 | -7.8% |
| Bates | Bates County Meml Hospital | Butler | (1,701) | 27,314 | -6.2% |
| St Charles | CenterPointe Hospital | St Charles | (1,810) | 29,421 | -6.2% |
| St Louis City | St Louis University Hospital | St Louis | (20,812) | 343,507 | -6.1% |
| St Clair | Sac-Osage Hosp | Osceola | (400) | 6,640 | -6.0% |
| Franklin | Mercy Hospital Washington | Washington | (4,961) | 87,550 | -5.7% |
| Putnam | Putnam Ciunty Meml Hosp | Unionville | (324) | 6,359 | -5.1% |
| Gentry | Northwest Med Ctr | Albany | (633) | 12,902 | -4.9% |
| Pike | Pike County Meml Hosp | Louisiana | (527) | 11,495 | -4.6% |
| Washington | Washington Meml Hosp | Potosi | (963) | 21,481 | -4.5% |
| Texas | Texas County Meml Hosp | Houston | (928) | 21,702 | -4.3% |
| Scott | Missouri Delta Med Ctr | Sikeston | (3,069) | 72,475 | -4.2% |
| Linn | Pershing Memorial Hospital | Brookfield | (614) | 14,916 | -4.1% |
| Barton | Barton County Meml Hospital | Lamar | (792) | 19,378 | -4.1% |
| Cole | St. Mary's Health Ctr | Jefferson City | (4,940) | 125,631 | -3.9% |
| Scotland | Scotland County Hosp | Memphis | (488) | 16,143 | -3.0% |
| Greene | Ozarks Community Hospital | Springfield | (1,242) | 42,994 | -2.9% |
| Dent | Salem Meml District Hospital | Salem | (404) | 14,990 | -2.7% |
| Gasconade | Hermann Area District Hospital | Hermann | (402) | 15,111 | -2.7% |
| St Louis County | Christian Hospital | St Louis | (6,806) | 269,706 | -2.5% |
| Macon | Samaritan | Macon | (488) | 19,893 | -2.5% |
| Grundy | Wright Memorial Hospital | Trenton | (589) | 24,474 | -2.4% |
| Jackson/KC Area | Saint Luke's Hospital of KC | Kansas City | (9,393) | 498,933 | -1.9% |
| Iron | Iron County Hospital | Pilot Knob | (115) | 7,438 | -1.5% |
| Clay | Liberty Hospital | Liberty | (2,548) | 175,185 | -1.5% |
| St Louis County | St Anthony's Med Ctr | St Louis | (5,571) | 411,588 | -1.4% |
| Sullivan | Sullivan County Meml Hosp | Milan | (63) | 6,304 | -1.0% |
| Audrain | Audrain Medical Center | Mexico | (418) | 53,010 | -0.8% |
| Harrison | Harrison County Community Hosp | Bethany | (33) | 13,954 | -0.2% |
| Jackson/KC Area | Children's Mercy Hospital | Kansas City | (1,000) | 709,589 | -0.1% |
| Jackson/KC Area | Crittenton Children's Center | Kansas City | 5 | 23,984 | 0.0% |
| St Charles | Progress West HealthCare Ctr | O Fallon | 241 | 55,849 | 0.4% |
| Newton | Freeman Health System | Joplin | 3,035 | 369,928 | 0.8% |
| Lincoln | Lincoln County Med Ctr | Troy | 312 | 32,363 | 1.0% |
| Pettis | Bothwell Reg Med Cre | Sedalia | 923 | 85,983 | 1.1% |
| Jackson/KC Area | Truman Med Ctr Hospital Hill | Kansas City | 4,262 | 321,551 | 1.3% |
| St Francois | Mineral Area Reg Med Ctr | Farmington | 542 | 40,541 | 1.3% |
| St Louis County | SSM St Clare Health Ctr | Fenton | 2,394 | 163,260 | 1.5% |
| Carroll | Carroll County Meml Hospital | Carrollton | 174 | 11,794 | 1.5% |
| Crawford | Missouri Baptist Hosp Sullivan | Sullivan | 670 | 40,671 | 1.6% |
| Camden | Lake Regional Health | Osage Beach | 2,719 | 154,794 | 1.8% |
| St Charles | SSM St Joseph Health Ctr | St Charles | 3,313 | 184,998 | 1.8% |
| Johnson | Western Missouri Med Ctr | Warrensburg | 1,329 | 67,561 | 2.0% |
| Ste. Genevieve | Ste. Genevieve County Mem Hosp | Sainte Genevieve | 628 | 31,389 | 2.0% |
| Polk | Citizens Meml Hospital | Bolivar | 1,936 | 92,129 | 2.1% |
| Madison | Madison Med Ctr | Fredericktown | 326 | 14,825 | 2.2% |
| Jackson/KC Area | Research Medical Center | Kansas City | 6,812 | 281,198 | 2.4% |
| Boone | University Hospital and Clinics | Columbia | 13,854 | 570,099 | 2.4% |
| Jackson/KC Area | St. Mary's Med Center Blue Springs | Blue Springs | 1,651 | 65,705 | 2.5% |
| Total all 58 | (73,468) | 5,949,625 | -1.2% |
Of these 117 Missouri Hospitals, 39 of them posted Operating Losses in the most recent year.
The best and only way to substantially strengthen these struggling Missouri Hospitals is for the State of Missouri to fully expand Medicaid.
A key side benefit to Missouri citizens of Missouri Medicaid expansion is that the resultant profit enhancements and thus Net Asset enhancements to all of Missouri's Hospitals would give them 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.
