| 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 | |||||||
| Saint Francis Health System | Tulsa | OK | Mar 14 | 1,766 | Jun 09 | 946 | 87% | |
| Integris Health | Oklahoma City | OK | Mar 14 | 1,138 | Jun 09 | 774 | 47% | |
| Univ Oklahoma Health Sciences Ctr | Oklahoma City | OK | Jun 13 | 931 | Jun 09 | 717 | 30% | |
| St John Health System | Tulsa | OK | Dec 13 | 763 | Jun 09 | 614 | 24% | |
| Total all 4 | 4,598 | 3,051 | 51% |
As you can see from the above chart, the Total Net Assets (Financial Strength) of these 4 Oklahoma Non-Profit Hospital Organizations increased by a robust 51% to $4.598 bil during their average 4.50 years of the Obama Administration.
Very positively impacting this very solid increase in the Net Assets (Financial Strength) of these 4 Oklahoma Hospitals 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 increase in Net Assets (Financial Strength) of these 4 Oklahoma Non-Profit Hospital Organizations.
A remarkable thing is that these 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 solid Net Asset percentage increases of these 4 Oklahoma Hospitals, a key beneficiary of this will be Oklahoma citizens electing to buy health insurance on the Health Insurance Exchange. This excellent Net Asset growth gives these Oklahoma 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.
So Many Struggling Smaller Oklahoma Hospitals
There is 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, 65 of them generated Operating Losses in 2012.....as you can see in the below chart:
| Operating | Net | |||
| Income | Patient | |||
| Oklahoma Hospital | City | (Loss) | Revenues | Margin |
| $000s | $000s | % | ||
| Beaver County Memorial Hospital | Beaver | (3,362) | 1,722 | -195.2% |
| Stroud Regional Medical Center | Stroud | (7,147) | 6,972 | -102.5% |
| Physicians Hospital at Anadarko | Anadarko | (7,072) | 7,626 | -92.7% |
| Integris Edmond | Edmond | (9,557) | 12,558 | -76.1% |
| Great Plains Regional Medical Center | Elk City | (18,756) | 25,677 | -73.0% |
| Latimer County Hospital | Wilburton | (3,017) | 5,630 | -53.6% |
| Sayre Memorial Hospital | Sayer | (3,516) | 7,464 | -47.1% |
| Pauls Valley General Hospital | Pauls Valley | (5,032) | 12,629 | -39.8% |
| Atoka Memorial Hospital | Atoka | (3,034) | 7,668 | -39.6% |
| Cimarron Memorial Hospital | Boise City | (1,099) | 3,001 | -36.6% |
| Kingfisher Regional Hospital | Kingfisher | (4,557) | 12,590 | -36.2% |
| OSU Medical Center | Tulsa | (32,022) | 123,164 | -26.0% |
| Okmulgee Memorial Hospital | Okmulgee | (3,219) | 13,855 | -23.2% |
| Harmon Memorial Hospital | Hollis | (977) | 4,822 | -20.3% |
| Roger Mills Memorial Hospital | Cheyenne | (639) | 3,391 | -18.8% |
| Mercy Hospital Tishomingo | Tishomingo | (777) | 4,214 | -18.4% |
| Share Medical Center | Alva | (1,544) | 9,458 | -16.3% |
| Cordell Memorial Hospital | Cordell | (543) | 3,336 | -16.3% |
| Integris Seminole Medical Center | Seminole | (1,331) | 8,297 | -16.0% |
| Carnegie Tri-County Municipal Hospital | Carnegie | (586) | 3,701 | -15.8% |
| Memorial Hospital Of Texas County | Guymon | (3,338) | 21,426 | -15.6% |
| Coal County General Hospital | Coalgate | (555) | 3,864 | -14.4% |
| Integris Marshall County Med. Cntr | Madill | (1,007) | 7,070 | -14.2% |
| Jefferson County Hospital | Waurika | (357) | 2,639 | -13.5% |
| St. John Sapulpa | Sapulpa | (2,661) | 20,796 | -12.8% |
| Cleveland Area Hospital | Cleveland | (1,244) | 9,824 | -12.7% |
| Fairview Regional Medical Center | Fairview | (653) | 5,177 | -12.6% |
| Arbuckle Memorial Hospital | Sulphur | (1,476) | 11,819 | -12.5% |
| St. John Broken Arrow | Broken Arrow | (6,017) | 49,450 | -12.2% |
| Mercy Hospital El Reno | El Reno | (1,353) | 11,552 | -11.7% |
| Perry Memorial Hospital | Perry | (817) | 7,240 | -11.3% |
| Choctaw Memorial Hospital | Hugo | (1,119) | 10,126 | -11.1% |
| Integris Blackwell Regional Hospital | Blackwell | (1,341) | 12,367 | -10.8% |
| Harper County Community Hospital | Buffalo | (347) | 3,385 | -10.3% |
| McCurtain Memorial Hospital | Idabel | (1,887) | 18,399 | -10.3% |
| Mercy Hospital Watonga | Watonga | (405) | 4,192 | -9.7% |
| St. John Medical Center | Tulsa | (40,892) | 436,306 | -9.4% |
| Mercy Hospital Healdton | Healdton | (387) | 4,430 | -8.7% |
| Memorial Hospital & Physician Group | Frederick | (664) | 7,681 | -8.6% |
| Hillcrest Hospital Cushing | Cushing | (2,417) | 29,665 | -8.1% |
| Craig General Hospital | Vinita | (2,060) | 25,458 | -8.1% |
| Integris Clinton Regional Hospital | Clinton | (1,416) | 17,950 | -7.9% |
| Haskell County Hospital | Stigler | (450) | 6,234 | -7.2% |
| Mercy Hospital Logan County | Guthrie | (869) | 13,462 | -6.5% |
| Fairfax Memorial Hospital | Fairfax | (286) | 4,658 | -6.1% |
| Elkview General Hospital | Hobart | (715) | 13,379 | -5.3% |
| Integris Baptist Regional Health Center | Miami | (2,870) | 54,634 | -5.3% |
| Bristow Medical Center | Bristow | (713) | 14,562 | -4.9% |
| Integris Mayes County Med. Cntr. | Pryor | (782) | 17,265 | -4.5% |
| Woodward Regional Hospital | Woodward | (1,513) | 34,159 | -4.4% |
| St. Anthony Hospital | Oklahoma City | (17,501) | 412,037 | -4.2% |
| Drumright Regional Hospital | Drumright | (357) | 9,901 | -3.6% |
| Eastern Oklahoma Medical Center | Poteau | (756) | 21,070 | -3.6% |
| Integris Grove General Hospital | Grove | (1,765) | 50,671 | -3.5% |
| Comanche County Memorial Hospital | Lawton | (6,922) | 198,821 | -3.5% |
| Sequoyah Memorial Hospital | Sallisaw | (414) | 14,125 | -2.9% |
| Mercy Hospital Ada | Ada | (1,963) | 67,130 | -2.9% |
| Seiling Community Hospital | Seiling | (125) | 4,341 | -2.9% |
| Integris Southwest Medical Center | Oklahoma City | (6,104) | 218,797 | -2.8% |
| Holdenville General Hospital | Holdenville | (247) | 8,964 | -2.8% |
| Weatherford Regional Hospital | Weatherford | (462) | 18,339 | -2.5% |
| Duncan Regional Hospital | Duncan | (1,520) | 76,682 | -2.0% |
| Quartz Mountain Medical Center | Mangum | (90) | 7,019 | -1.3% |
| Norman Regional Hospital | Norman | (244) | 316,736 | -0.1% |
| Mercy Health/Love County | Marietta | (8) | 12,637 | -0.1% |
| Total all 65 | (226,875) | 2,594,212 | -8.7% |
When you have 67% of your State's Hospitals generating Operating Losses, the responsible thing to do is to deal with them and not ignore them. So far, the State of Oklahoma has decided to ignore them. It sounds a little bit like Katrina.
The best and only way to substantially strengthen these struggling smaller Oklahoma Hospitals is for the State of Oklahoma to fully expand Medicaid.
A key side benefit here to Oklahoma citizens is that the resultant profit enhancements and thus Net Asset enhancements of all Oklahoma Hospitals due to Medicaid expansion will 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.
