Saturday, April 12, 2014

California Non-Profit Hospital Organizations Net Income 11.6% of Revenues in 2013 and 9.0% For 4 Years 2010-2013

From a review of audited annual financial statements shown at Electronic Municipal Market Access (EMMA), I found 30 California Non-Profit Hospital Organizations with Net Assets above $400 mil each and which had or will very shortly have audited financial statements in each of the most recent 4 years.  In addition, EMMA also had the combined audited financial statements of Kaiser Foundation Health Plan and Kaiser Foundation Hospitals.  Since the combined Kaiser Foundations are so much different from the 30 California Non-Profit Hospital Organizations, I'll later show its amounts separately.

Two of these 30 California Non-Profit Hospital Organizations.....Cottage Health System and Huntington Memorial Hospital..... still haven't published their December 2013 financial statements yet and thus I only included for 2013 below their 9 months ended September 30, 2013 operating data.  When they publish their December 2013 financial statements, I'll then update the amounts included in the chart below.

These 30 California Non-Profit Hospital Organizations generated US generally accepted accounting principles (US GAAP) Total Bottom Line Net Income of a spectacular 11.6% of Total Operating Revenues in 2013, which was very significantly higher that of the 30 Dow Industrials combined.   For the most recent 4 years combined (2010-2013), their Total Bottom Line Net Income Margin was an exceptional 9.0%.

An amazingly high 13 of these 30 California Non-Profit Hospital Organizations posted Bottom Line Net Income Margins above 10.0% in 2013.  And a very high 11 of these 30 California Non-Profit Hospital Organizations posted Bottom Line Net Income Margins above 10.0% in the most recent 4 years combined.

St. Joseph Health System US GAAP Bottom Line Net Income in 2013 included an economic gain of $1.713 bil from new affiliations.

The only problem with these exceptional operating results in both 2013 and for all 4 years combined was that instead of taking the high road and responsibly reducing their Patient Service Pricing, most of these California Non-Profit Hospital Organizations elected to retain these excessively high Bottom Line Profits, which also added to both their Net Assets and treasure chest of Investments in Stocks and Bonds.

Below are the Bottom Line Net Income and Total Operating Revenues for each of these 30 California Non-Profit Hospital Organizations as well as for the combined Kaiser Foundation Health Plan and Kaiser Foundation Hospitals for 2013 and for the most recent 4 years combined:






4 Year



Most 2013


2010-13 4 Year 4 Year


Recent Bottom 2013 2013
Bottom 2010-13 2010-13


Fiscal Line Total Net
Line Total Net
Year Net Operating Income
Net Operating Income
California Hosp Organ City HQs End Income Revenues Margin
Income Revenues Margin



mil $s mil $s %
mil $s mil $s %
Non-Profit Hospitals








St Joseph Health System Orange Jun 13          1,922          4,956 38.8%
          2,678          17,585 15.2%
Children's Hosp Central Cal Madera  Sep 13              117             555 21.1%
             380            1,987 19.1%
Rady Children's Hospital San Diego  Jun 13              167             811 20.6%
             382            2,948 13.0%
City of Hope Duarte Sep 13             266          1,334 19.9%
             708            4,494 15.8%
Cottage Health System Santa Barbara Dec 13               94             484 19.4%
             296            2,267 13.1%
PackardChildren'sHospStanford Palo Alto Aug 13             210          1,155 18.2%
             572            3,842 14.9%
Stanford Hospital & Clinics Stanford Aug 13             472          2,714 17.4%
          1,044            9,152 11.4%
Cedars-Sinai Med Center West Hollywood  Jun 13              445          2,884 15.4%
          1,002          10,176 9.8%
El Camino Hospital Mountain View Jun 13             103             713 14.4%
             295            2,546 11.6%
Scripps Health San Diego Sep 13             372          2,609 14.3%
          1,195            9,856 12.1%
U Cal, San Diego Med Ctr San Diego Jun 13             137          1,137 12.0%
             489            3,930 12.4%
Sharp HealthCare San Diego Sep 13             306          2,830 10.8%
             948          10,212 9.3%
U Cal, LA Medical Center Los Angeles  Jun 13              201          1,914 10.5%
             895            7,041 12.7%
Fremont-Rideout Health Yuba City  Jun 13                32             327 9.8%
             112            1,208 9.3%
Memorial Health Services Fountain Valley  Jun 13              198          2,094 9.5%
             630            7,006 9.0%
PIH Health Whittier  Sep 13                59             624 9.5%
             132            2,244 5.9%
CommunityHospFoundation Monterey  Dec 13                40             447 8.9%
             137            1,736 7.9%
Children'sHospOrangeCounty Orange  Jun 13                50             589 8.5%
             175            2,113 8.3%
Community Med Centers Fresno Aug 13             101          1,276 7.9%
             361            4,534 8.0%
Loma Linda Univ Med Ctr Loma Linda  Dec 13              101          1,283 7.9%
             340            4,877 7.0%
Dignity Health San Francisco Jun 13             812        10,412 7.8%
          2,350          38,309 6.1%
Huntington Memorial Hosp Pasadena Dec 13               29             381 7.6%
             150            1,982 7.6%
U Cal, Irvine Med Center Orange Jun 13               61             826 7.4%
             227            2,874 7.9%
John Muir Health Walnut Creek Dec 13             105          1,461 7.2%
             439            5,680 7.7%
Children's Hospital LA Los Angeles  Jun 13                61             866 7.0%
             211            3,043 6.9%
U Cal, San Fran Med Ctr San Francisco Jun 13             135          2,164 6.2%
             592            7,818 7.6%
U Cal, Davis Medical Center Sacramento Jun 13               75          1,476 5.1%
             297            5,185 5.7%
Torrance Memorial Med Ctr Torrance  Dec 13                20             476 4.2%
               95            1,886 5.0%
Sutter Health Sacramento Dec 13             358          9,649 3.7%
          2,753          37,072 7.4%
Adventist Health West Roseville Dec 13               55          3,052 1.8%
             448          11,194 4.0%










Total all 30

         7,104        61,499 11.6%
        20,333        224,797 9.0%






























Kaiser Foundation Health Plan and Hospitals Combined Oakland Dec 13          2,804        53,084 5.3%
          9,435        195,294 4.8%

To give a perspective on why the above Combined Kaiser Foundation Health Plan and Kaiser Foundation Hospitals Net Income Margin of 5.3% for 2013 and 4.8% for the four years 2010-2013 combined aren't relevant just for Kaiser Foundation Hospitals, Kaiser Foundation disclosed that all of its Northern California Hospitals had a Bottom Net Income Margin of 10.6% in 2011 and all of its Southern California Hospitals had a Bottom Line Net Income Margin of 8.8% in 2011, which yielded a Combined Net Income Margin of 9.9%, more than double the audited 4.2% Bottom Line Net Income Margin in 2011 that Kaiser reported for its Health Plan and Hospitals Combined. 
 
There is a very positive aspect to these excessively high Bottom Line Profits of these California Non-Profit Hospital Organizations.  These incredibly high Profits are getting added to the Net Assets (Financial Strength) of these California Hospital Organizations.

Thus a key beneficiary of this should be California citizens electing to buy health insurance on the Health Insurance Exchange.  This exceptional Net Asset growth driven by these exceedingly high Bottom Line Profits gives these California Hospital Organiz2ations 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.

And armed with audited financial data concerning the excessively high profits earned by these large California Non-Profit Hospital Organizations, Health Insurance Companies should be able to do a much better job in representing their policy holders, including those getting Health Insurance on the Health Insurance Exchange.

And there's an added factor in California's case which should drive down Health Insurance Premiums on the Health Insurance Exchange even more.  California passed full Medicaid expansion and there is an additional real beauty with full Medicaid expansion.  It increases nearly every Hospital's profits so much that Hospitals just have to reduce their Hospital charges very substantially and they also will be much more reasonable in negotiating Hospital Charges with Health Insurance Companies.  Thus it is only logical that this will also result in much lower Health Insurance Premiums on the Health Insurance Exchange.

To illustrate just how much some California Hospital profits will improve under full Medicaid expansion, let me take you through the numbers on just one large California Hospital Organization.  SANTA CLARA VALLEY HEALTH AND HOSPITAL SYSTEMS based in San Jose had a Bottom Line Net Loss of $14 mil in 2011.  Bad Debt Provisions Charges of $92 mil were used in deriving this $14 mil Net Loss.  In addition, there were $211 mil of Uncompensated Charity Care Charges Foregone in 2011.  With full Medicaid expansion in California, a very significant portion of both these Bad Debt Charges and Uncompensated Charity Care Charges Foregone will result in Net Patient Services Revenues enhancement and thus this present $14 mil Net Loss would turn into a very substantial profit. 

Just How Profitable Are Some 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:
 
Kaiser Foundation Hospitals
Net Income Total Operating Revenue Net Income Margin Percentage


$000s $000s %





SOUTHERN CALIF. REGION                   480,923            5,435,189 8.8%
NORTHERN CALIF. REGION
                  828,709            7,847,198 10.6%





ALL OF CALIFORNIA
1,309,632 13,282,387 9.9%

As you can see in the above chart, Kaiser Foundation Hospitals generated Total Bottom Line Net Income of $1.310 bil in all of California in 2011 on $13.282 bil of Total Operating Revenues for a Bottom Line Net Income Margin of an exceptional 9.9%. 

Let me now focus on the other 413 California Hospitals included in the excellent California Health website.

Overall, these 413 California Hospitals excluding the many Kaiser Hospitals had a Total Bottom Line Net Income of $6.453 bil in 2011 which was a superb 8.1% of their Total Operating Revenues of $79.800 bil.  And these 413 California Hospitals' Total Bottom Line Net Income of $6.453 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 Foregone were another $6.192 bil in 2011. 

Below here in the chart are the Net Income, Total Operating Revenues and Net Income Margin Percentage in 2011 for each of these 413 individual California Hospitals:

      Hospital City Location Bottom Line   Net Income Total Operating Revenue Net Income Margin Percentage


$000s $000s





COMMUNITY HOSPITAL OF LONG BEACH LONG BEACH                4,696             9,727 48.3%
JOYCE EISENBERG KEEFER MEDICAL CENTER RESEDA              22,268           48,170 46.2%
PACIFIC SHORES HOSPITAL OXNARD                4,756           11,315 42.0%
HERITAGE OAKS HOSPITAL SACRAMENTO              14,183           34,133 41.6%
BHC ALHAMBRA HOSPITAL ROSEMEAD              10,604           25,777 41.1%
TUOLUMNE GENERAL HOSPITAL SONORA                2,234             6,195 36.1%
BHC FRMONT HOSPITAL FREMONT              11,934           33,576 35.5%
CANYON RIDGE HOSPTIAL CHINO                7,912           22,749 34.8%
ALAMEDA COUNTY MEDICAL CENTER OAKLAND             183,780         537,751 34.2%
HEALTHSOUTH BAKERSFIELD REHAB HOSPITAL BAKERSFIELD                9,743           29,729 32.8%
SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ SANTA CRUZ              20,472           64,016 32.0%
MENLO PARK SURGICAL HOSPITAL MENLO PARK                5,154           17,529 29.4%
HOLLYWOOD COMMUNITY HOSPITALS HOLLYWOOD              18,493           69,187 26.7%
BARSTOW COMMUNITY HOSPITAL BARSTOW              11,973           46,474 25.8%
LOS ANGELES COMMUNITY HOSPITAL LOS ANGELES              28,915         113,156 25.6%
LOS ANGELES COUNTY OLIVE VIEW-UCLA MED CTR SYLMAR              92,876         369,436 25.1%
REDWOOD MEMORIAL HOSPITAL FORTUNA              10,191           41,002 24.9%
CONTRA COSTA REGIONAL MEDICAL CENTER MARTINEZ              97,674         394,337 24.8%
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%
SCRIPPS GREEN HOSPITAL LA JOLLA              91,080         385,198 23.6%
SAN JOAQUIN GENERAL HOSPITAL FRENCH CAMP              53,441         226,124 23.6%
BHC SIERRA VISTA HOSPITAL SACRAMENTO                7,357           31,274 23.5%
SUTTER TRACY COMMUNITY HOSPITAL TRACY              25,887         115,249 22.5%
DEL AMO HOSPITAL TORRANCE                7,158           32,051 22.3%
ST. ELIZABETH COMMUNITY HOSPITAL RED BLUFF              18,842           85,648 22.0%
PACIFICA HOSPITAL OF THE VALLEY SUN VALLEY              14,616           66,646 21.9%
MERCY MEDICAL CENTER REDDING REDDING              82,516         380,758 21.7%
SUTTER DAVIS HOSPITAL DAVIS              20,583           95,564 21.5%
RADY CHILDREN'S HOSPITAL - SAN DIEGO SAN DIEGO             123,754         586,854 21.1%
NORTHERN CA REHAB REDDING                8,166           38,915 21.0%
CALIFORNIA PACIFIC MEDICAL CENTER SAN FRANCISCO             242,732      1,174,986 20.7%
RIVERSIDE COMMUNITY HOSPITAL RIVERSIDE              81,923         409,708 20.0%
SAN JOAQUIN VALLEY REHABILITATION HOSPITAL FRESNO                6,594           33,043 20.0%
SIERRA NEVADA MEMORIAL HOSPITAL GRASS VALLEY              24,437         122,489 20.0%
CENTRAL VALLEY GENERAL HOSPITAL HANFORD              20,451         103,056 19.8%
KENTFIELD REHABILITATION HOSPITAL KENTFIELD                8,101           41,215 19.7%
TEHACHAPI VALLEY HEALTHCARE DISTRICT TEHACHAPI                3,810           19,821 19.2%
SAN GORGONIO MEMORIAL HOSPITAL BANNING                7,165           37,819 18.9%
GOOD SAMARITAN HOSPITAL LP SAN JOSE              93,653         502,521 18.6%
CHILDREN'S HOSPITAL CENTRAL CALIFORNIA MADERA              90,148         484,570 18.6%
LUCILE PACKARD CHILDREN'S HOSPITAL PALO ALTO             170,074         914,347 18.6%
AURORA VISTA DEL MAR VENTURA                3,345           18,233 18.3%
BANNER LASSEN MEDICAL CENTER SUSANVILLE                7,071           38,883 18.2%
SANTA MONICA-UCLA MED CTR&ORTHOPAEDIC HOSP SANTA MONICA              64,828         356,636 18.2%
SUTTER ROSEVILLE MEDICAL CENTER ROSEVILLE              76,966         436,241 17.6%
ST. JUDE MEDICAL CENTER FULLERTON              84,624         483,034 17.5%
ARROWHEAD REGIONAL MEDICAL CENTER COLTON              85,549         490,783 17.4%
MILLER CHILDREN'S HOSPITAL LONG BEACH              70,329         408,716 17.2%
KINDRED HOSPITAL LA MIRADA LA MIRADA              17,295         100,947 17.1%
LOS ANGELES COUNTY + USC MEDICAL CENTER LOS ANGELES             182,194      1,067,417 17.1%
CHILDREN'S HOSPITAL LOS ANGELES LOS ANGELES             118,781         697,469 17.0%
ST. MARY MEDICAL CENTER APPLE VALLEY              46,517         278,325 16.7%
SHARP MEMORIAL HOSPITAL SAN DIEGO             141,837         857,397 16.5%
WESTERN MEDICAL CENTER ANAHEIM ANAHEIM              16,025           97,214 16.5%
RONALD REAGAN UCLA MEDICAL CENTER LOS ANGELES             222,444      1,354,723 16.4%
KINDRED HOSPITAL - ONTARIO ONTARIO                9,339           57,241 16.3%
TULARE REGIONAL MEDICAL CENTER TULARE              13,172           81,222 16.2%
MERCY HOSPITAL OF FOLSOM FOLSOM              22,537         139,979 16.1%
WHITTIER HOSPITAL MEDICAL CENTER WHITTIER              17,376         108,641 16.0%
SHARP MCDONALD CENTER SAN DIEGO                   524             3,282 16.0%
KINDRED HOSPITAL - SOUTH BAY GARDENA                7,990           50,316 15.9%
JEWISH HOME SAN FRANCISCO                9,831           62,211 15.8%
UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER ORANGE             118,364         751,403 15.8%
MONTCLAIR HOSPITAL MEDICAL CENTER MONTCLAIR                7,403           47,675 15.5%
VENTURA COUNTY MEDICAL CENTER VENTURA              43,712         285,601 15.3%
KINDRED HOSPITAL - SACRAMENTO FOLSOM                4,390           29,159 15.1%
MEMORIAL HOSPITAL OF GARDENA GARDENA                9,746           64,980 15.0%
CHILDREN'S HOSPITAL OF ORANGE COUNTY ORANGE              69,802         465,890 15.0%
WESTERN MEDICAL CENTER SANTA ANA SANTA ANA              28,836         194,701 14.8%
NATIVIDAD MEDICAL CENTER SALINAS              28,356         194,619 14.6%
DOMINICAN HOSPITAL SANTA CRUZ              47,537         333,123 14.3%
SCRIPPS HEALTH - LA JOLLA LA JOLLA              71,425         501,458 14.2%
LOS ANGELES COUNTY/HARBOR-UCLA MEDICAL CENTER TORRANCE              81,582         575,115 14.2%
SHASTA REGIONAL MEDICAL CENTER REDDING              22,069         156,641 14.1%
CLOVIS COMMUNITY MEDICAL CENTER CLOVIS              23,526         167,525 14.0%
DOCTORS HOSPITAL OF MANTECA MANTECA              10,756           76,906 14.0%
PLACENTIA LINDA COMMUNITY HOSPITAL PLACENTIA              10,868           78,096 13.9%
GOLETA VALLEY COTTAGE HOSPITAL SANTA BARBARA                9,231           66,379 13.9%
LOS ALAMITOS MEDICAL CENTER LOS ALAMITOS              24,013         173,772 13.8%
RIDEOUT MEMORIAL HOSPITAL MARYSVILLE              38,887         284,354 13.7%
MIRACLE MILE MEDICAL CENTER LOS ANGELES                1,634           12,048 13.6%
STANFORD HOSPITAL & CLINICS STANFORD             291,634      2,164,973 13.5%
COASTAL COMMUNITIES HOSPITAL SANTA ANA              10,053           74,828 13.4%
WASHINGTON HOSPTIAL FREMONT              58,377         437,701 13.3%
MERCY HEALTHCARE BAKERSFIELD BAKERSFIELD              34,329         258,682 13.3%
LONG BEACH MEMORIAL MEDICAL CENTER LONG BEACH              71,322         544,913 13.1%
FRANK R. HOWARD MEMORIAL HOSPITAL WILLITS                5,846           45,211 12.9%
ALHAMBRA HOSPITAL - ALHAMBRA ALHAMBRA              10,597           82,446 12.9%
ST. FRANCIS MEDICAL CENTER LYNWOOD              49,938         388,561 12.9%
BARTON MEMORIAL HOSPITAL SOUTH LAKE TAHOE              16,084         125,533 12.8%
BAKERSFIELD MEMORIAL HOSPITAL BAKERSFIELD              37,755         296,050 12.8%
SEQUOIA HOSPITAL REDWOOD CITY              29,182         229,649 12.7%
CRESTWOOD PSYCHIATRIC HEALTH FACILITY CARMICHAEL                   388             3,066 12.7%
KINDRED HOSPITAL SAN LEANDRO                5,074           40,117 12.6%
KINDRED HOSPITAL WESTMINSTER WESTMINSTER                8,504           67,811 12.5%
PACIFIC ALLIANCE MEDICAL CENTER LOS ANGELES              15,235         122,479 12.4%
SUTTER GENERAL HOSP&SUTTER MEMORIAL HOSP SACRAMENTO             102,067         822,495 12.4%
TWIN CITIES  HOSPITAL TEMPLETON              12,102           98,753 12.3%
SIERRA VIEW DISTRICT HOSPITAL PORTERVILLE              16,593         136,313 12.2%
SAN RAMON REGIONAL MEDICAL CENTER SAN RAMON              18,011         149,016 12.1%
RANCHO LOS AMIGOS NATIONAL REHAB CTR DOWNEY              25,126         208,843 12.0%
KINDRED HOSPITAL - BALDWIN PARK BALDWIN PARK                4,301           35,903 12.0%
COLLEGE HOSPITAL CERRITOS                6,295           53,331 11.8%
BAKERSFIELD HEART HOSPITAL BAKERSFIELD                8,096           69,396 11.7%
MEMORIAL HOSPITAL LOS BANOS LOS BANOS                5,833           50,169 11.6%
HEALTHSOUTH TUSTIN REHABILITATION HOSPITAL TUSTIN                2,648           23,057 11.5%
SIERRA VISTA REGIONAL MEDICAL CENTER SAN LUIS OBISPO              14,981         130,689 11.5%
LOS ROBLES REGIONAL MEDICAL CENTER THOUSAND OAKS              37,473         327,946 11.4%
CHINESE HOSPITAL SAN FRANCISCO              11,227           99,099 11.3%
SHERMAN OAKS HOSPITAL AND HEALTHCARE CENTER SHERMAN OAKS                7,719           68,227 11.3%
MEMORIAL MEDICAL CENTER MODESTO              59,986         535,912 11.2%
BELLFLOWER MEDICAL CENTER BELLFLOWER                5,926           54,078 11.0%
EL CAMINO HOSPITAL MOUNTAIN VIEW              65,235         601,390 10.8%
COMMUNITY REGIONAL MEDICAL CENTER FRESNO              90,342         841,203 10.7%
BIGGS-GRIDLEY MEMORIAL HOSPITAL GRIDLEY                2,098           19,857 10.6%
MAMMOTH HOSPITAL MAMMOTH LAKES                6,002           57,166 10.5%
SANTA YNEZ VALLEY COTTAGE HOSPITAL SOLVANG                1,416           13,496 10.5%
SADDLEBACK MEMORIAL MEDICAL CENTER LAGUNA HILLS              36,279         346,935 10.5%
RIVERSIDE COUNTY REGIONAL MEDICAL CENTER MORENO VALLEY              38,182         367,981 10.4%
AURORA CHARTER OAK COVINA                2,791           27,007 10.3%
MEMORIAL HOSPITAL OF GARDENA GARDENA              12,453         120,586 10.3%
SUTTER SURGICAL HOSPITAL NORTH VALLEY YUBA CITY                2,054           20,054 10.2%
HOAG ORTHOPEDIC INSTITUTE IRVINE                6,215           61,233 10.1%
MILLS PENINSULA MEDICAL CENTER BURLINGAME              44,742         445,920 10.0%
GARFIELD MEDICAL CENTER MONTEREY PARK              22,125         222,022 10.0%
DESERT REGIONAL MEDICAL CENTER PALM SPRINGS              34,063         345,062 9.9%
MARK TWAIN ST. JOSEPH'S HOSPITAL SAN ANDREAS                4,620           47,145 9.8%
KINDRED HOSPITAL SAN DIEGO SAN DIEGO                3,210           32,911 9.8%
SAN ANTONIO COMMUNITY HOSPITAL UPLAND              25,952         266,125 9.8%
MERCY GENERAL HOSPITAL SACRAMENTO              47,261         485,654 9.7%
CEDARS~SINAI MEDICAL CENTER LOS ANGELES             230,729      2,378,427 9.7%
SAN JOAQUIN COMMUNITY HOSPITAL BAKERSFIELD              29,674         312,808 9.5%
PROVIDENCE HOLY CROSS MEDICAL CENTER MISSION HILLS              33,714         356,079 9.5%
MONTEREY PARK HOSPITAL MONTEREY PARK                6,996           73,921 9.5%
OASIS REHABILITATION CENTER, INC. INDIO                   321             3,404 9.4%
SCRIPPS MEMORIAL HOSPITAL - ENCINITAS ENCINITAS              21,313         227,568 9.4%
CENTINELA HOSPITAL MEDICAL CENTER INGLEWOOD              23,609         253,622 9.3%
MISSION HOSPITAL REGIONAL MEDICAL CENTER MISSION VIEJO              43,164         467,111 9.2%
ORANGE COAST MEMORIAL MEDICAL CENTER FOUNTAIN VALLEY              22,124         239,427 9.2%
UCSF MEDICAL CENTER SAN FRANCISCO             173,166      1,887,130 9.2%
UCSD MEDICAL CENTER SAN DIEGO              98,586      1,090,233 9.0%
FAIRCHILD MEDICAL CENTER YREKA                4,921           54,584 9.0%
JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS WALNUT CREEK              68,735         769,667 8.9%
CHILDREN'S HOSPITAL & RESEARCH CENTER OAKLAND OAKLAND              43,723         498,374 8.8%
DELANO REGIONAL MEDICAL CENTER DELANO                5,882           67,387 8.7%
CASA COLINA HOSPITAL POMONA                3,390           38,877 8.7%
MADERA COMMUNITY HOSPITAL MADERA                8,190           94,361 8.7%
BALLARD REHAB SAN BERNARDINO SAN BERNARDINO                1,799           20,820 8.6%
TARZANA PSYCHIATRIC HOSPITAL TARZANA                   580             6,715 8.6%
NORTHERN INYO HOSPITAL BISHOP                4,827           56,049 8.6%
ST. JOSEPH HOSPITAL ORANGE              55,595         648,094 8.6%
UNIVERSITY OF CALIFORNIA, DAVIS MED CENTER SACRAMENTO             111,967      1,310,563 8.5%
LAGUNA HONDA HOSPITAL SAN FRANCISCO              10,899         128,869 8.5%
QUEEN OF THE VALLEY MEDICAL CENTER NAPA              20,408         250,778 8.1%
KINDRED HOSPITAL- RANCHO RANCHO CUCAMONGA                3,571           44,483 8.0%
VALLEY PRESBYTERIAN HOSPITAL VAN NUYS              22,406         286,978 7.8%
SANTA ROSA MEMORIAL HOSPITAL SANTA ROSA              26,460         342,114 7.7%
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA MONTEREY              31,788         414,863 7.7%
PROVIDENCE LITTLE CO. OF MARY MED CTR-SAN PEDRO SAN PEDRO              12,471         164,145 7.6%
REGIONAL MEDICAL CENTER OF SAN JOSE SAN JOSE              24,061         321,519 7.5%
ALTA BATES MEDICAL CENTER BERKELEY              44,526         604,109 7.4%
SAINT FRANCIS MEMORIAL HOSPITAL SAN FRANCISCO              14,622         200,366 7.3%
STAR VIEW ADOLESCENT CENTER, INC. TORRANCE                   196             2,727 7.2%
FOUNTAIN VALLEY REGIONAL HOSPITAL FOUNTAIN VALLEY              21,398         299,797 7.1%
NORTHRIDGE HOSPITAL MEDICAL CENTER NORTHRIDGE              27,823         395,325 7.0%
CRESTWOOD PSYCHIATRIC HEALTH FACILITY-BAKERSFIELD BAKERSFIELD                   176             2,543 6.9%
WILLOW ROCK CENTER SAN LEANDRO                   381             5,532 6.9%
LOMA LINDA UNIVERSITY MEDICAL CENTER LOMA LINDA              78,956      1,168,434 6.8%
GOOD SAMARITAN HOSPITAL LOS ANGELES              19,463         292,380 6.7%
HEALBRIDGE CHILDREN'S HOSPITAL-ORANGE ORANGE                   602             9,058 6.6%
PARADISE VALLEY HOSPITAL NATIONAL CITY                7,371         112,411 6.6%
KINDRED HOSPITAL -  RIVERSIDE PERRIS                1,569           23,963 6.5%
COMMUNITY MEMORIAL HOSP OF SAN BUENAVENTURA VENTURA              16,865         262,748 6.4%
SAN DIMAS COMMUNITY HOSPITAL SAN DIMAS                3,729           58,093 6.4%
OAK VALLEY HOSPITAL OAKDALE                3,216           50,292 6.4%
EAST LOS ANGELES DOCTOR'S HOSPITAL LOS ANGELES                5,094           79,689 6.4%
SCRIPPS MERCY HOSPITAL SAN DIEGO              40,416         635,499 6.4%
MAYERS MEMORIAL HOSPITAL FALL RIVER MILLS                1,103           17,999 6.1%
TEMPLE COMMUNITY HSOPITAL LOS ANGELES                2,858           46,985 6.1%
ENLOE MEDICAL CENTER CHICO              22,986         380,540 6.0%
ST. JOSEPH MEDICAL CENTER STOCKTON              24,407         404,617 6.0%
MERCY SAN JUAN HOSPITAL CARMICHAEL              29,048         482,554 6.0%
TAHOE FOREST HOSPITAL DISTRICT TRUCKEE                5,143           86,414 6.0%
SUTTER AUBURN FAITH HOSPITAL AUBURN                6,044         101,798 5.9%
SHARP CORONADO HOSPITAL CORONADO                4,721           80,150 5.9%
VICTOR VALLEY COMMUNITY HOSPITAL VICTORVILLE                4,186           71,643 5.8%
ANTELOPE VALLEY HOSPITAL DISTRICT LANCASTER              20,117         346,798 5.8%
PALOMAR MEDICAL CENTER ESCONDIDO              19,547         339,398 5.8%
MERCY HOSPITAL OF MT. SHASTA MT. SHASTA                2,725           47,329 5.8%
GLENN MEDICAL CENTER WILLOWS                   738           13,297 5.5%
FALLBROOK HOSPITAL FALLBROOK                2,608           47,432 5.5%
ST. JOSEPH HOSPITAL - EUREKA EUREKA              10,442         191,665 5.4%
SAINT AGNES MEDICAL CENTER FRESNO              24,482         453,876 5.4%
PIONEERS MEMORIAL HEALTHCARE DISTRICT BRAWLEY                5,142           96,215 5.3%
SAN MATEO MEDICAL CENTER SAN MATEO              10,915         206,450 5.3%
COLLEGE HOSPITAL COSTA MESA COSTA MESA                2,381           45,620 5.2%
FRESNO HEART & SURGICAL HOSPITAL FRESNO                3,978           77,074 5.2%
SONORA REGIONAL MEDICAL CENTER SONORA                9,485         185,504 5.1%
WEST HILLS HOSPITAL AND MEDICAL CENTER WEST  HILLS                9,365         184,940 5.1%
TRI-CITY MEDICAL CENTER OCEANSIDE              14,849         297,525 5.0%
LA PALMA INTERCOMMUNITY HOSPITAL LA PALMA                2,561           51,426 5.0%
WEST ANAHEIM MEDICAL CENTER ANAHEIM                4,230           85,179 5.0%
POMONA VALLEY HOSPITAL MEDICAL CENTER POMONA              20,264         411,789 4.9%
SUTTER AMADOR HOSPITAL JACKSON                3,253           66,256 4.9%
SUTTER MEDICAL CENTER OF SANTA ROSA SANTA ROSA                8,070         165,346 4.9%
ALVARADO PARKWAY INSTITUTE LA MESA                1,181           24,313 4.9%
ALTA BATES SUMMIT MEDICAL CENTER OAKLAND              22,414         467,004 4.8%
CHINO VALLEY MEDICAL CENTER CHINO                3,793           80,563 4.7%
FRESNO SURGICAL HOSPITAL FRESNO                2,229           47,999 4.6%
KINDRED HOSPITAL - BREA BREA                1,573           34,260 4.6%
BETTY FORD CENTER RANCHO MIRAGE                1,623           35,591 4.6%
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER LOS ANGELES                9,781         220,300 4.4%
EL CENTRO REGIONAL MEDICAL CENTER EL CENTRO                5,129         116,828 4.4%
FEATHER RIVER HOSPITAL PARADISE                6,849         156,081 4.4%
CALIFORNIA HOSPITAL MEDICAL CENTER LOS ANGELES              13,436         308,536 4.4%
PATIENTS' HOSPITAL OF REDDING REDDING                   239             5,528 4.3%
SAN DIEGO REHAB SAN DIEGO                1,713           40,239 4.3%
ST HELENA HOSPITAL CLEAR LAKE CLEARLAKE                2,891           68,030 4.2%
PRESBYTERIAN INTERCOMMUNITY HOSPITAL WHITTIER              18,150         435,063 4.2%
POMERADO HOSPITAL POWAY                5,973         146,547 4.1%
JOHN F. KENNEDY MEMORIAL HOSPITAL INDIO                4,565         112,560 4.1%
SENECA HEALTHCARE DISTRICT / LAKE ALMANOR CLINIC CHESTER                   479           12,382 3.9%
RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA LOS ANGELES                1,662           44,253 3.8%
ST. MARY MEDICAL CENTER LONG BEACH                8,932         237,952 3.8%
MOUNTAINS COMMUNITY HOSPITAL LAKE ARROWHEAD                   517           13,885 3.7%
PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER RIVERSIDE                4,313         121,202 3.6%
HEMET VALLEY MEDICAL CENTER HEMET                4,707         133,628 3.5%
SUTTER DELTA MEDICAL CENTER ANTIOCH                5,520         157,066 3.5%
HUNTINGTON MEMORIAL HOSPITAL PASADENA              17,308         498,553 3.5%
DOCTORS MEDICAL CENTER OF MODESTO, INC. MODESTO              12,890         394,758 3.3%
VALLEYCARE HEALTH SYSTEM PLEASANTON                7,473         233,694 3.2%
TOM REDGATE MEMORIAL RECOVERY CENTER LONG BEACH                     92             2,896 3.2%
WHITE MEMORIAL MEDICAL CENTER LOS ANGELES                9,362         294,774 3.2%
DOCTOR'S HOSPITAL OF WEST COVINA WEST COVINA                   335           10,679 3.1%
LAKEWOOD REGIONAL MEDICAL CENTER LAKEWOOD                4,398         140,542 3.1%
TRINITY HOSPITAL WEAVERVILLE                   398           12,753 3.1%
SANTA BARBARA COTTAGE HOSPITAL SANTA BARBARA              15,003         486,172 3.1%
EDEN MEDICAL CENTER CASTRO VALLEY                9,715         315,066 3.1%
SIERRA KINGS HEALTH CARE DISTRICT REEDLEY                   847           27,922 3.0%
KERN MEDICAL CENTER BAKERSFIELD                6,963         229,671 3.0%
MARIAN MEDICAL CENTER SANTA MARIA                6,400         214,944 3.0%
LOMA LINDA UNIVERSITY BEHAVIORAL MEDICINE CTR REDLANDS                   811           28,628 2.8%
CITY OF HOPE NATIONAL MEDICAL CENTER DUARTE              16,567         592,117 2.8%
THOUSAND OAKS SURGICAL HOSPITAL THOUSAND OAKS                   989           35,489 2.8%
MISSION COMMUNITY HOSPITAL PANORAMA CITY                2,247           80,748 2.8%
GATEWAYS HOSPITAL AND MENTAL HEALTH CENTER LOS ANGELES                   705           25,386 2.8%
SHARP GROSSMONT HOSPITAL LA MESA              14,505         533,429 2.7%
JEROLD PHELPS COMMUNITY HOSPITAL GARBERVILLE                   118             4,386 2.7%
AMERICAN RECOVERY CENTER POMONA                   151             5,696 2.7%
SONOMA VALLEY HOSPITAL SONOMA                1,221           46,072 2.6%
PROVIDENCE SAINT JOSEPH MEDICAL CENTER BURBANK              11,096         419,954 2.6%
ST. HELENA HOSPITAL ST. HELENA                4,418         174,546 2.5%
BARLOW RESPIRATORY HOSPITAL LOS ANGELES                1,215           48,494 2.5%
PROMISE HOSPITAL ELA- ELA CAMPUS, SUBURBAN CAMPUS LOS ANGELES                2,036           82,135 2.5%
HAZEL HAWKINS MEMORIAL HOSPITAL HOLLISTER                1,907           77,264 2.5%
OROVILLE HOSPITAL OROVILLE                3,693         150,807 2.4%
KAWEAH DELTA HEALTH CARE DISTRICT VISALIA              10,561         436,558 2.4%
GEORGE L. MEE MEMORIAL HOSPITAL KING CITY                1,462           60,529 2.4%
HENRY MAYO NEWHALL MEMORIAL HOSPITAL VALENCIA                4,722         207,263 2.3%
AHMC ANAHEIM REGIONAL MEDICAL CENTER ANAHEIM                4,467         197,458 2.3%
CORCORAN DISTRICT HOSPITAL CORCORAN                   243           11,051 2.2%
PROVIDENCE LITTLE CO. OF MARY MEDICAL CENTER TORRANCE TORRANCE                7,227         334,641 2.2%
SOUTHERN INYO HOSPITAL LONE PINE                   160             7,599 2.1%
COLUSA REGIONAL MEDICAL CENTER COLUSA                   404           19,281 2.1%
GARDEN GROVE  HOSPITAL & MEDICAL CENTER GARDEN GROVE                1,612           77,235 2.1%
CHILDREN'S HOSPITAL AT MISSION MISSION VIEJO                1,017           50,968 2.0%
GLENDALE ADVENTIST MEDICAL CENTER GLENDALE                6,643         341,532 1.9%
KERN VALLEY HEALTHCARE DISTRICT LAKE ISABELLA                   338           19,242 1.8%
HUNTINGTON BEACH HOSPITAL HUNTINGTON BEACH                   825           47,100 1.8%
REDLANDS COMMUNITY HOSPITAL REDLANDS                4,350         251,053 1.7%
VERDUGO HILLS HOSPITAL GLENDALE                1,242           76,708 1.6%
CATALINA ISLAND MEDICAL CENTER AVALON                     89             5,722 1.5%
DESERT VALLEY HOSPITAL VICTORVILLE                1,221           81,306 1.5%
TORRANCE MEMORIAL MEDICAL CENTER TORRANCE                6,518         436,398 1.5%
MARINA DEL REY HOSPITAL MARINA DEL REY                1,401           94,994 1.5%
HI-DESERT MEDICAL CENTER JOSHUA TREE                   837           58,838 1.4%
PALO VERDE HOSPITAL BLYTHE                   391           27,712 1.4%
CITRUS VALLEY MEDICAL CENTER WEST COVINA                4,708         338,836 1.4%
LOMPOC HOSPITAL DISTRICT LOMPOC                   758           54,641 1.4%
EMANUEL MEDICAL CENTER TURLOCK                2,349         183,088 1.3%
BUTTE COUNTY MENTAL HEALTH - PHF CHICO                     38             3,632 1.1%
JOHN C FREMONT HEALTHCARE DISTRICT MARIPOSA                   148           16,140 0.9%
FOOTHILL PRESBYTERIAN HOSPITAL GLENDORA                   380           69,776 0.5%
WATSONVILLE COMMUNITY HOSPITAL WATSONVILLE                   525         104,175 0.5%
UKIAH VALLEY MEDICAL CENTER UKIAH                   469           94,819 0.5%
HEALDSBURG DISTRICT HOSPITAL HEALDSBURG                   111           36,107 0.3%
OLYMPIA MEDICAL CENTER LOS ANGELES                   327         109,565 0.3%
PACIFIC HOSPITAL OF LONG BEACH LONG BEACH                   343         137,262 0.3%
SHARP CHULA VISTA MEDICAL CENTER CHULA VISTA                   610         280,904 0.2%
SALINAS VALLEY MEMORIAL HEALTHCARE SYSTEM SALINAS                   481         338,209 0.1%
ST HELENA HOSP CTR FOR BEHAVIORAL HEALTH VALLEJO                     16           20,646 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%
METROPOLITAN STATE HOSPITAL NORWALK                     -           173,867 0.0%
LANTERMAN STATE HOSPITAL AND DEVELOPMENTAL CENTER POMONA                     -           117,038 0.0%
MARIE GREEN PSYCHIATRIC CENTER -PHF MERCED                     -               3,545 0.0%
NAPA STATE HOSPITAL NAPA                     -           266,065 0.0%
FAIRVIEW DEVELOPMENTAL CENTER COSTA MESA                     -           137,595 0.0%
SACRAMENTO COUNTY MENTAL HEALTH CTR-PHF SACRAMENTO                      -             28,603 0.0%
PATTON STATE HOSPITAL PATTON                     -           309,707 0.0%
SAN DIEGO COUNTY PYSCHIATRIC HOSPITAL SAN DIEGO                     -             43,785 0.0%
SAN JOAQUIN COUNTY MENTAL HEALTH - PHF STOCKTON                     -               6,913 0.0%
ATASCADERO STATE HOSPITAL ATASCADERO                     -           225,448 0.0%
SAN LUIS OBISPO COUNTY - PHF SAN LUIS OBISPO                     -               1,265 0.0%
SANTA BARBARA CO. PHF SANTA BARBARA                     -               3,809 0.0%
SONOMA DEVELOPMENTAL CENTER ELDRIDGE                     -           152,120 0.0%
SUTTER-YUBA - PHF YUBA CITY                     -               3,845 0.0%
PORTERVILLE STATE HOSPITAL PORTERVILLE                     -           147,791 0.0%
NORTH VALLEY BEHAVIORAL HEALTH-PHF YUBA CITY                     (6)             3,986 -0.1%
ADVENTIST MEDICAL CENTER HANFORD/SELMA HANFORD/SELMA                 (293)         206,600 -0.1%
EAST VALLEY HOSPITAL MEDICAL CENTER GLENDORA                   (44)           20,856 -0.2%
NORTHBAY MEDICAL CENTER/VACAVALLEY HOSPITAL FAIRFIELD                 (722)         300,269 -0.2%
PALM DRIVE HOSPITAL SEBASTAPOL                   (83)           28,014 -0.3%
FRENCH HOSPITAL MEDICAL CENTER SAN LUIS OBISPO                 (318)           92,823 -0.3%
EASTERN PLUMAS HOSPITAL PORTOLA                   (91)           20,112 -0.4%
HOAG MEMORIAL HOSPITAL PRESBYTERIAN NEWPORT BEACH               (3,820)         788,734 -0.5%
TELECARE HERITAGE PSYCHIATRIC HEALTH FACILITY OAKLAND                   (39)             7,630 -0.5%
MERCY MEDICAL CENTER MERCED               (1,329)         236,015 -0.6%
PLUMAS DISTRICT HOSPITAL QUINCY                 (115)           19,420 -0.6%
MAD RIVER COMMUNITY HOSPITAL ARCATA                 (473)           49,718 -1.0%
PLACER PHF ROSEVILLE                   (26)             2,534 -1.0%
DAMERON HOSPITAL ASSOCIATION STOCKTON               (1,974)         161,242 -1.2%
SUTTER LAKESIDE HOSPITAL LAKEPORT                 (819)           66,844 -1.2%
COAST PLAZA DOCTORS HOSPITAL NORWALK                 (203)           13,931 -1.5%
ST. BERNARADINE MEDICAL CENTER SAN BERNARDINO               (4,637)         304,016 -1.5%
SANTA CLARA VALLEY HEALTH AND HOSPITAL SYSTEMS SAN JOSE             (13,557)         878,467 -1.5%
TRI CITY REGIONAL MEDICAL CENTER HAWAIIAN GARDENS               (1,103)           64,822 -1.7%
METHODIST HOSPITAL OF SOUTHERN CALIFORNIA ARCADIA               (4,188)         241,110 -1.7%
WOODLAND MEMORIAL HOSPITAL WOODLAND               (2,088)         120,041 -1.7%
ST. JOSEPH'S BEHAVIORAL HEALTH CENTER STOCKTON                 (180)           10,339 -1.7%
ENCINO HOSPITAL MEDICAL CENTER ENCINO                 (737)           41,746 -1.8%
ALVARADO HOSPITAL SAN DIEGO               (2,741)         130,394 -2.1%
ST LOUISE REGIONAL HOSPITAL GILROY               (1,924)           89,055 -2.2%
SAN GABRIEL VALLEY MEDICAL CENTER SAN GABRIEL               (2,752)         127,167 -2.2%
COMMUNITY HOSPITAL OF HUNTINGTON PARK HUNTINGTON PARK                 (614)           28,328 -2.2%
MARSHALL HOSPITAL PLACERVILLE               (4,477)         190,397 -2.4%
JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS CONCORD               (8,459)         349,783 -2.4%
ALAMEDA HOSPITAL ALAMEDA               (1,429)           58,036 -2.5%
SUTTER SOLANO MEDICAL CENTER VALLEJO               (3,008)         116,549 -2.6%
LA CASA PSYCHIATRIC HEALTH FACILITY LONG BEACH                   (70)             2,559 -2.7%
ST. MARY'S MEDICAL CENTER SAN FRANCISCO               (5,599)         199,128 -2.8%
BEVERLY HOSPITAL MONTEBELLO               (3,547)         122,751 -2.9%
SIMI VALLEY HOSPITAL SIMI VALLEY               (3,201)         108,713 -2.9%
METHODIST HOSPITAL OF SACRAMENTO SACRAMENTO               (6,323)         209,420 -3.0%
NEWPORT BAY HOSPITAL NEWPORT BEACH                 (315)             9,974 -3.2%
SHARP MESA VISTA HOSPITAL SAN DIEGO               (1,846)           58,364 -3.2%
MARIN GENERAL HOSPITAL GREENBRAE               (9,482)         280,396 -3.4%
PETALUMA VALLEY HOSPITAL PETALUMA               (2,772)           78,552 -3.5%
SURPRISE VALLEY HEALTH CARE DISTRICT CEDARVILLE                 (140)             3,758 -3.7%
MENDOCINO COAST DISTRICT HOSPITAL FORT BRAGG               (1,662)           43,463 -3.8%
AURORA LAS ENCINAS PASADENA                 (709)           18,209 -3.9%
PALMDALE REGIONAL MEDICAL CENTER PALMDALE               (5,085)         121,733 -4.2%
SHRINERS HOSPITAL - NORTHERN CALIF SACRAMENTO               (2,416)           57,828 -4.2%
CHILDRENS RECOVERY CENTER CAMPBELL                 (332)             7,728 -4.3%
PROVIDENCE TARZANA MEDICAL CENTER TARZANA             (10,080)         232,548 -4.3%
CORONA REGIONAL MEDICAL CENTER CORONA               (5,933)         133,395 -4.4%
BEAR VALLEY COMMUNITY HOSPITAL BIG BEAR                 (720)           15,799 -4.6%
SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTER SAN FRANCISCO             (29,313)         640,018 -4.6%
ST. JOHN'S HOSPITAL & HEALTH CENTER SANTA MONICA             (12,846)         276,357 -4.6%
ST. JOHN'S PLEASEANT VALLEY MC CAMARILLO               (3,836)           81,056 -4.7%
SETON MEDICAL CENTER DALY CITY             (14,411)         289,662 -5.0%
COAST PLAZA DOCTORS HOSPITAL NORWALK               (1,070)           20,490 -5.2%
LODI MEMORIAL HOSPITAL LODI               (7,862)         146,080 -5.4%
NOVATO COMMUNITY HOSPITAL NOVATO               (3,393)           61,541 -5.5%
SUTTER COAST HOSPITAL CRESCENT CITY               (3,566)           64,243 -5.6%
OJAI VALLEY COMMUNITY HOSPITAL OJAI               (1,387)           24,957 -5.6%
COALINGA REGIONAL MEDICAL CENTER COALINGA               (1,201)           20,916 -5.7%
GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER GLENDALE             (12,685)         217,216 -5.8%
GOOD SAMARITAN HOSPITAL BAKERSFIELD               (2,043)           33,217 -6.1%
RIDGECREST REGIONAL HOSPITAL RIDGECREST               (4,022)           64,479 -6.2%
O'CONNOR HOSPITAL SAN JOSE             (18,205)         282,950 -6.4%
MODOC MEDICAL CENTER ALTURAS                 (951)           14,341 -6.6%
SOUTHWEST HEALTHCARE SYSTEMS MURRIETA             (14,740)         221,955 -6.6%
COMMUNITY HOSPITAL OF SAN BERNARDINO SAN BERNARDINO             (11,753)         173,505 -6.8%
USC KENNETH NORRIS JR. CANCER HOSPITAL LOS ANGELES               (5,831)           86,071 -6.8%
ARROYO GRANDE COMMUNITY HOSPITAL ARROYO GRANDE               (3,695)           51,506 -7.2%
USC UNIVERSITY HOSPITAL LOS ANGELES             (33,761)         462,162 -7.3%
LOS ANGELES METROPOLITAN MEDICAL CENTER LOS ANGELES               (4,718)           63,719 -7.4%
GREATER EL MONTE COMMUNITY HOSPITAL SOUTH EL MONTE               (3,362)           45,363 -7.4%
EISENHOWER MEDICAL CENTER RANCHO MIRAGE             (28,457)         379,018 -7.5%
CHAPMAN MEDICAL CENTER ORANGE               (3,299)           43,474 -7.6%
DOWNEY REGIONAL MEDICAL CENTER DOWNEY             (11,617)         150,979 -7.7%
ST. JOHN'S REGIONAL MEDICAL CENTER OXNARD             (18,227)         231,386 -7.9%
SEMPERVIRENS PSYCHIATRIC HEALTH FACILITY EUREKA                 (398)             4,279 -9.3%
ST. VINCENT MEDICAL CENTER LOS ANGELES             (20,099)         201,129 -10.0%
SILVER LAKE MEDICAL CENTER LOS ANGELES               (6,878)           68,406 -10.1%
PROMISE HOSPITAL OF SAN DIEGO SAN DIEGO               (4,281)           42,147 -10.2%
JOHN MUIR BEHAVIORAL HEALTH CONCORD               (3,111)           28,603 -10.9%
SUTTER CENTER FOR PSYCHIATRY SACRAMENTO               (2,961)           23,141 -12.8%
LANGLEY PORTER PSYCHIATRIC INSTITUTE SAN FRANCISCO               (2,442)           16,905 -14.4%
DOCTOR'S MEDICAL CENTER - SAN PABLO SAN PABLO             (18,727)         117,082 -16.0%
CRESTWOOD PSYCHIATRIC HEALTH FACILITY-BAKERSFIELD 2 BAKERSFIELD                 (349)             2,182 -16.0%
COLORADO RIVER MEDICAL CENTER NEEDLES               (1,236)             7,597 -16.3%
BROTMAN MEDICAL CENTER CULVER CITY             (18,001)         110,353 -16.3%
MENIFEE VALLEY MEDICAL CENTER HEMET               (6,915)           41,709 -16.6%
SIERRA KINGS HEALTH CARE DISTRICT REEDLEY               (2,103)           12,298 -17.1%
NEWPORT SPECIALTY HOSPITAL TUSTIN               (4,890)           26,001 -18.8%
CRESTWOOD SAN JOSE PSYCHIATRIC HEALTH FACILITY SAN JOSE                 (553)             2,935 -18.8%
THUNDER ROAD CHEMICAL DEPENDENCY RECOVERY HOSP OAKLAND               (1,084)             4,441 -24.4%
ST. ROSE HOSPITAL HAYWARD             (29,506)         119,897 -24.6%
RIVERSIDE CENTER FOR BEHAVIORAL MEDICINE RIVERSIDE               (1,451)             5,638 -25.7%
CALIFORNIA PACIFIC MEDICAL CENTER - ST. LUKE'S CAMPUS SAN FRANCISCO             (32,266)         103,600 -31.1%
MOTION PICTURE AND TELEVISION FUND WOODLAND HILLS             (22,190)           70,037 -31.7%
STANISLAUS SURGICAL HOSPITAL MODESTO             (13,083)           28,857 -45.3%
TUOLUMNE GENERAL HOSPITAL SONORA               (1,037)             2,234 -46.4%
ANAHEIM GENERAL HOSPITAL ANAHEIM             (13,646)           23,157 -58.9%
SAN DIEGO HOSPICE&THE INSTITUTE FOR PALLIATIVE MEDICINE SAN DIEGO               (6,598)             6,131 -107.6%
LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA MURRIETA             (60,656)           49,470 -122.6%
MERRITT PERALTA INSTITUTE CHEMICAL DEPENDENCY RECOVERY HOSP OAKLAND               (3,293)             2,365 -139.3%
SHRINERS HOSPITAL - LOS ANGELES LOS ANGELES             (28,128)               184 -15307.4%
CRESTWOOD PSYCHIATRIC HEALTH FACILITY-FRESNO FRESNO               (3,866)                 -   NM





Total all 413 California Hospitals
         6,453,095     79,799,696 8.1%

So on the top end, there were:
  • 5 California Hospitals with Net Income Margins > 40%
  • 11 California Hospitals with Net Income Margins > 30%
  • 39 California Hospitals with Net Income Margins > 20%
  • 130 California Hospitals with Net Income Margins > 10%
And 2011 was a substantially worse year on the profits front than 2013.  It's pretty clear to me that in all fairness, many California Hospitals need to have their excessive profits reduced.  This would bode well for Health Insurance Pricing on the Health Insurance Exchange.

And not just the Hospital Industry, but also the Health Insurance Industry should both stop being so selfish and greedy and do their patriotic part to help bring down substantially Health Insurance Premiums.