Thursday, April 10, 2014

Florida Non-Profit Non-Public Hospital Organizations Net Income 11.1% of Revenues in 2013

From a review of audited annual financial statements shown at Electronic Municipal Market Access (EMMA), I found 10 Non-Profit, Non-Public Florida Hospital Organizations and 5 Non-Profit Governmental Florida Hospital Organizations with Net Assets above $400 mil each and which have shown full year audited financial statements for each of the most recent 4 years.

The 10 Non-Profit Non-Public Hospital Organizations generated Total Bottom Line Net Income in 2013 which was an amazingly high 11.1% of Total Operating Revenues, which was up a bit from the comparable also amazingly high 9.6% Income Margin in 2012.  For the most recent 4 years combined, this Total Bottom Line Profit Margin was a still much too high 8.9%.

The main drivers of this sky high 11.1% Total Profit Margin in 2013 were Clearwater-based BayCare Health System at 24.6%, Coral Gables-based Baptist Health South Florida at 17.1%, Jacksonville-based Baptist Health System at 13.3%, Lakeland-based Lakeland Regional Health at 11.3% and Gainesville-based Shands Teaching Hospitals and Clinics at 10.9%.

All five of them had Bottom Line Profit Margins exceeding that of the 30 Dow Industrials combined.  If I were treated at any Hospital that is part of one of these 5 Florida Hospital Organizations, I wouldn't be happy with their outrageous pricing, which bolstered their Bottom Line Profits and was also added to both their Net Assets and treasure chest of Investments in Stocks and Bonds.

Not included in the below Hospital Organizations is Clearwater, FL-headquartered Shriners Hospitals For Children, which hasn't disclosed its December 2013 audited financial statements yet on its website.  For the year ended December 2012, its Bottom Line Net Income was $600 mil, which was a monstrous 108.8% of its Total Revenues and Other Support.  

Below are the Bottom Line Net Income and Total Operating Revenues for each of these 15 Florida Non-Profit Hospital Organizations for 2013, for 2012 and for the most recent 4 years combined: 










4 Year



Most 2013


2012


2010-13 4 Year 4 Year


Recent Bottom 2013 2013
Bottom 2012 2012
Bottom 2010-13 2010-13


Fiscal Line Total Net
Line Total Net
Line Total Net
City Year Net Operating Income
Net Operating Income
Net Operating Income
Florida Hospital Organization HQs End Income Revenues Margin
Income Revenues Margin
Income Revenues Margin



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


























…..Non-Public Hospitals












BayCare Health System Clearwater Dec 13     632     2,568 24.6%
    423     2,426 17.4%
    1,503       9,704 15.5%
Baptist Health South Florida Coral Gables Sep 13     372     2,171 17.1%
    328     2,038 16.1%
    1,136       8,689 13.1%
Baptist Health System Jacksonville Sep 13     165     1,244 13.3%
    201     1,183 17.0%
       601       4,791 12.5%
Lakeland Regional Health Lakeland Sep 13       68        604 11.3%
      67        583 11.5%
       159       2,266 7.0%
Shands Teaching Hosps&Clinics Gainesville Jun 13     126     1,160 10.9%
    120     1,086 11.0%
       414       4,808 8.6%
Adventist Health System Altamonte Springs Dec 13     578     7,598 7.6%
    508     7,347 6.9%
    1,383     20,257 6.8%
Florida Health Sciences Center Tampa Sep 13       69     1,019 6.8%
      48        988 4.9%
       207       3,992 5.2%
Health First Rockledge Sep 13       28     1,059 2.6%
      27        998 2.7%
       123       3,886 3.2%
H. Lee Moffitt Cancer Center Tampa Jun 13       18        779 2.3%
     (15)        755 -2.0%
         40       2,931 1.4%
NCH Healthcare System Naples Sep 13         8        455 1.8%
      10        473 2.1%
         44       1,828 2.4%














Total all 10 Non-Public Non-Profit Hospitals
 2,064   18,657 11.1%
 1,717   17,877 9.6%
    5,610     63,152 8.9%














…..Public Governmental Hospitals











Lee Memorial Health System Fort Myers Sep 13     120     1,257 9.5%
      73     1,213 6.0%
       281       4,743 5.9%
South Broward Hospital District Hollywood Apr 13     111     1,481 7.5%
    107     1,486 7.2%
       451       5,781 7.8%
North Broward Hospital District Fort Lauderdale Jun 13       56        953 5.9%
      16        962 1.7%
       245       3,774 6.5%
Orlando Health Orlando Sep 13       32     1,934 1.7%
      82     1,827 4.5%
       261       6,994 3.7%
Sarasota County Public Hosp District Sarasota Sep 13        (9)        512 -1.8%
      60        493 12.2%
       173       2,008 8.6%














Total all 5 Public Governmental Hospitals
    310     6,137 5.1%
    338     5,981 5.7%
    1,411     23,300 6.1%

There is a very positive aspect to these excessively high Bottom Line Profits of these Florida Non-Profit Hospital Organizations.  These incredibly high Profits are getting added to the Net Assets (Financial Strength) of these Florida Hospital Organizations.

Thus a key beneficiary of this should be Florida 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 Florida Hospital Organizations 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 Florida Non-Profit Hospital Organizations in the past 4 years, 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.

The State of Florida is being very transparent with its citizens by having available for review at its State Dept of Health website (MyFlorida.com) very detailed financial information on each of its 173 Hospitals.  This Operating Statement information presented was for 2011.

Overall, these 173 Florida Hospitals had a Total Bottom Line Net Income of $2.047 bil in 2011 which was 6.6% of their Total Operating Revenues of $31.156 bil.  This is much higher than the Total Operating Income of $1.202 bil in 2011, which was 3.7% of Total Operating Revenues. 

These 173 Florida Hospitals' Total Bottom Line Net Income of $2.047 bil in 2011 was burdened with an Earnings Charge of a massive $4.319 bil due to Total Provisions for Bad Debts.  In addition, their Total Uncompensated Charity Care Charges Foregone were another massive $6.217 bil in 2011.

Below here is the Bottom Line Net Income and Total Operating Revenues in 2011 for each of these 173 Florida Hospitals, sorted by Profit (Loss) Margin Percentage:







Bottom
Bottom


Line Total Line


Profit Operating Profit
County Hospital Name (Loss) Revenues (Loss)


$000s $000s %





Orange La Amistad Residential Treatment Ctr             2,837               5,971 47.5%
Duval River Point Behavioral Health             6,584             18,270 36.0%
Duval Wekiva Springs             4,140             12,673 32.7%
Monroe Depoo Hospital          25,629             86,448 29.6%
Sarasota Healthsouth             8,742             31,004 28.2%
Polk Heart of Florida Regional Med Ctr          33,233          134,821 24.6%
Baker Ed Fraser Memorial Hospital             3,555             14,881 23.9%
Miami-Dade Univ Miami Hospital and Clinics          80,647          339,842 23.7%
Miami-Dade St Catherine's Rehabilitation Hospital             5,872             25,062 23.4%
Marion The Centers Inc                638               2,790 22.9%
Hernando Brooksville Regional Hospital          35,125          154,398 22.7%
Flagler Florida Hospital Flagler          25,261          111,093 22.7%
Pinellas Healthsouth             4,565             20,296 22.5%
Miami-Dade Baptist Hospital Miami        164,868          888,007 18.6%
Broward Cleveland Clinic          35,791          194,016 18.4%
Miami-Dade Kendall Regional Medical Center          44,914          247,102 18.2%
Duval St Vincent's Medical Center Riverside          68,387          387,506 17.6%
Miami-Dade Doctors Hospital          34,147          199,402 17.1%
Broward Memorial Hospital Miramar          26,861          158,045 17.0%
Brevard Wuesthoff Medical Center-Melbourne          12,302             73,123 16.8%
Indian River Sebastian River Medical Center          11,844             71,108 16.7%
Marion The Vines Hospital             1,076               6,742 16.0%
Broward Memorial Hospital West          62,019          394,481 15.7%
Monroe Mariners Hospital             7,222             46,403 15.6%
Sarasota Sarasota Memorial Hospital          70,208          459,027 15.3%
Miami-Dade Aventura Hospital and Medical Center          40,603          266,789 15.2%
Broward St Anthony's Rehabilitation Hospital             1,461               9,614 15.2%
Leon Tallahassee Memorial Hospital          66,396          451,155 14.7%
Nassau Baptist Medical Center-Nassau             7,343             51,152 14.4%
Orange University Behavioral Center                794               5,846 13.6%
Duval Mayo Clinic          52,171          385,620 13.5%
Walton Sacred Heart Hospital Emerald Coast          10,570             78,369 13.5%
Citrus Seven Rivers Regional Medical Center          10,347             77,659 13.3%
Lee Lee Memorial Hospital          74,310          569,818 13.0%
Orange Central Florida Behavioral Hospital             1,754             13,723 12.8%
Miami-Dade South Miami Hospital          58,380          458,125 12.7%
Lee Cape Coral Hospital          23,237          186,522 12.5%
Santa Rosa Santa Rosa Medical Center             6,958             55,882 12.5%
Lake Lifestream Behavioral Center                587               4,749 12.4%
Collier Physicians Regional Med Ctr-Pine Ridge          20,319          170,128 11.9%
Lake South Lake Hospital          15,587          133,204 11.7%
Escambia Sacred Heart Hospital          46,828          401,559 11.7%
Charlotte Charlotte Regional Medical Center          12,692          111,424 11.4%
Duval Baptist Medical Center-Downtown          81,997          728,731 11.3%
Pinellas Mease Dunedin Hospital          37,395          337,288 11.1%
Lake Florida Hospital Waterman          20,404          186,645 10.9%
Broward Broward Health Medical Center          45,534          417,725 10.9%
Pinellas Morton Plant Hospital          46,261          429,058 10.8%
Polk Bartow Regional Medical Center             6,033             56,620 10.7%
Hillsborough H Lee Moffitt Cancer Center          56,373          534,104 10.6%
Duval Brooks Rehabilitation Hospital             7,373             71,797 10.3%
Pinellas Baycare Alliant Hospital             1,757             17,112 10.3%
Osceola St Cloud Regional Medical Center             4,988             49,785 10.0%
Brevard Holmes Regional Medical Center          43,577          445,497 9.8%
Suwanee Shands Live Oak Regional Med Ctr             1,834             19,091 9.6%
Sarasota Venice Regional Medical Center          14,394          154,362 9.3%
Orange Florida Hospital        195,323       2,173,541 9.0%
Brevard Cape Canaveral Hospital             9,052          101,257 8.9%
Miami-Dade Anne Bates Leach Hospital             8,868             99,758 8.9%
Franklin Weems Memorial Hospital                447               5,157 8.7%
Orange Orlando Regional Medical Center        128,453       1,518,411 8.5%
Broward Broward Health Coral Springs          11,211          132,657 8.5%
Volusia Florida Hospital Fish Memorial          10,202          123,838 8.2%
Hillsborough St Joseph's Hospital          59,677          742,385 8.0%
Duval Baptist Medical Center-Beaches             7,835             98,292 8.0%
Pasco Pasco Regional Medical Center             4,003             50,825 7.9%
Martin Martin Medical Center          22,463          292,205 7.7%
Broward Atlantic Shores Hospital                693               9,510 7.3%
Lake Leesburg Regional Medical Center          15,586          221,127 7.0%
Collier Naples Community Hospital          29,077          417,184 7.0%
Pinellas St Anthony's Hospital          12,210          175,340 7.0%
Washington Northwest Florida Community Hospital             1,424             20,544 6.9%
Manatee Manatee Memorial Hospital          13,043          193,745 6.7%
Palm Beach Bethesda Hospital          17,007          253,438 6.7%
Volusia Florida Hospital Deland             7,442          111,336 6.7%
Miami-Dade Larkin Community Hospital             3,890             59,613 6.5%
Broward Hollywood Pavilion                415               6,535 6.4%
Sumter Villages Regional Hospital             7,825          131,361 6.0%
Pasco Florida Hospital Zephyrhills             7,857          135,735 5.8%
Broward University Hospital and Medical Center             5,503             96,619 5.7%
Pasco Florida Hospital at Connerton             1,123             22,370 5.0%
Hillsborough Memorial Hospital Tampa             2,588             62,275 4.2%
Bay Emarald Coast Behavioral Hospital                421             10,238 4.1%
Polk Lakeland Regional Medical Center          21,105          513,619 4.1%
Gadsden Florida State Hospital                109               2,794 3.9%
Highlands Florida Hospital Heartland Med Ctr             5,383          140,979 3.8%
Escambia Baptist Hospital          12,622          344,755 3.7%
Bradford Shands Starke Regional Medical Center                721             20,223 3.6%
Miami-Dade Palm Springs General Hospital             2,109             62,189 3.4%
Manatee Manatee Glens Hospital                133               4,443 3.0%
Orange Health Central             3,466          120,386 2.9%
Palm Beach Jupiter Medical Center             4,676          165,827 2.8%
Hernando Springbrook Hospital                438             16,038 2.7%
Madison Madison County Memorial Hospital                164               6,248 2.6%
Broward Holy Cross Hospital             8,259          315,176 2.6%
Okaloosa Gulf Coast Treatment Center                  47               1,882 2.5%
Volusia Halifax Health Medical Center             9,163          384,957 2.4%
Miami-Dade Westchester General Hospital             1,438             60,567 2.4%
Marion Munroe Regional Medical Center             6,858          292,662 2.3%
Hillsborough Tampa General Hospital          22,929          986,242 2.3%
Miami-Dade Mercy Hosp Campus Plantation Gen Hosp             1,599             69,414 2.3%
Walton Healthmark Regional Medical Center                204             10,026 2.0%
St Johns Flagler Hospital             3,702          188,155 2.0%
Broward Broward Health Imperial Point             1,881             95,603 2.0%
Miami-Dade Miami Children's Hospital             7,340          411,342 1.8%
Alachua Shands Hospital Univ Florida          16,862          949,820 1.8%
Santa Rosa West Florida Community Care Ctr                131               7,486 1.7%
Pinellas All Children's Hospital             1,449             86,277 1.7%
Brevard Devereux Florida                263             15,766 1.7%
Hillsborough South Florida Baptist Hospital             1,245             81,884 1.5%
Calhoun Calhoun-Liberty Hospital                 135               9,004 1.5%
Miami-Dade Coral Gables Hospital             1,126             75,189 1.5%
Union Lake Butler Hospital Hand Surgery Ctr                112               8,048 1.4%
Union Reception and Medical Center Hospital         (16,369)                      -  
Pasco Morton Plant North Bay Hospital             1,128             83,215 1.4%
Palm Beach Boca Raton Regional Hospital             4,105          328,000 1.3%
Hillsborough Florida Hospital Tampa             3,680          318,530 1.2%
Brevard Palm Bay Hospital                380             34,577 1.1%
Broward Broward Health North             1,815          170,473 1.1%
Pinellas Bayfront Medical Center             2,599          253,064 1.0%
St Lucie Port St Lucie Hospital                147             16,466 0.9%
Indian River Indian River Medical Center             1,475          165,618 0.9%
Broward South Florida State Hospital                  26               3,299 0.8%
Broward Memorial Regional Hospital             4,914          731,256 0.7%
Pinellas Palms of Pasadena Hospital                422             71,032 0.6%
Baker Northeast Florida State Hospital                  49               9,018 0.5%
Broward Plantation General Hospital             1,328          269,396 0.5%
Volusia Florida Hospital Oceanside                515          205,897 0.3%
Polk Winter Haven Hospital                200          224,952 0.1%
Brevard Circles of Care                   (4)               6,215 -0.1%
Citrus Citrus Memorial Hospital                 (97)          141,084 -0.1%
Miami-Dade University Miami Hospital              (267)          306,483 -0.1%
Hillsborough Town & Country Hospital      (69)             54,870 -0.1%
Volusia Bert Fish Medical Center                 (54)             36,193 -0.1%
Bay Bay Medical Center: Sacred Heart System           (1,145)          217,073 -0.5%
Collier Willough at Naples      (99)             14,899 -0.7%
Santa Rosa Jay Hospital              (116)             12,350 -0.9%
Duval Shands Jacksonville Medical Center           (5,011)          506,849 -1.0%
Hillsborough Florida Hospital Carrollwood           (1,480)             89,325 -1.7%
Brevard Wuesthoff Medical Center-Rockledge     (2,280)          136,366 -1.7%
Jackson Jackson Hospital              (873)             43,928 -2.0%
Taylor Doctors Memorial Hospital              (388)             18,915 -2.1%
Charlotte Peace River Regional Medical Center           (1,926)             89,572 -2.2%
Miami-Dade Jackson Memorial Hospital         (33,891)       1,127,050 -3.0%
Miami-Dade Mount Sinai Medical Center         (15,894)          429,212 -3.7%
Palm Beach Jerome Golden Ctr For Behavioral Health                 (67)               1,809 -3.7%
Lee Lehigh Regional Medical Center           (1,694)             41,025 -4.1%
Hardee Florida Hospital Wauchula              (827)             19,025 -4.3%
Highlands Highlands Regional Medical Center           (2,374)             54,027 -4.4%
Desoto Desoto Memorial Hospital           (1,284)             28,567 -4.5%
Hendry Henry Regional Medical Center              (710)             14,836 -4.8%
Broward Memorial Hospital Pembroke           (5,669)          113,844 -5.0%
Manatee Lakewood Ranch Medical Center           (2,927)             54,599 -5.4%
Brevard Parrish Medical Center           (7,685)          142,763 -5.4%
Holmes Doctors Memorial Hospital              (754)             12,129 -6.2%
Palm Beach Lakeside Medical Center           (2,031)             29,501 -6.9%
Monroe Fishermen's Hospital              (836)             11,655 -7.2%
Jackson Campbellton-Graceville Hospital              (538)               6,978 -7.7%
Lee Gulf Coast Med Ctr Lee Memorial         (21,867)          274,635 -8.0%
Columbia Shands Lake Shore Regional Med Ctr           (3,513)             37,531 -9.4%
Miami-Dade Homestead Hospital         (18,097)          165,347 -10.9%
Miami-Dade Metropolitan Hospital Miami           (4,377)             39,426 -11.1%
Duval St Vincent's Medical Center Southside         (14,208)          115,139 -12.3%
Levy Tri County Hospital-Williston              (719)               5,165 -13.9%
Pinellas Florida Hospital North Pinellas         (10,654)             61,266 -17.4%
Putnam Putnam Community Medical Center         (10,811)             53,396 -20.2%
Miami-Dade Douglas Gardens Hospital           (1,569)               7,622 -20.6%
Leon Eastside Psychiatric Hospital           (1,005)               3,477 -28.9%
Brevard Viera Hospital         (11,467)             20,385 -56.3%
Gulf Sacred Heart Hospital on the Gulf    (6,004)               9,349 -64.2%
Palm Beach Holley State Hospital    (6,200)               5,780 -107.3%
Miami-Dade West Kendall Baptist Hospital         (51,551)             34,435 -149.7%
Hillsborough Shriners Hospitals For Children-Tampa   (20,540)               3,100 -662.6%





Total all 173 Florida Hospitals     2,046,873     31,155,949 6.6%

As you can see in the above chart, 13 of the 173 Florida Hospitals had Bottom Line Net Income Profit Margins above 22%, 27 of them above 15% and 52 of them above 10%.  And 2011 was a substantially lower profits year for Florida Hospitals than either 2013 or 2012.

If Florida were to elect full Medicaid expansion, all Florida Hospitals would substantially boost their profits.  This is where the Provision for Bad Debts and Uncompensated Charity Care Charges Foregone are critical for proper analysis.

Let me just layout the Bottom Line Net Income, Total Operating Revenues and the related Bad Debt Provisions and Uncompensated Charity Care Charges Foregone for a handful of larger Florida Hospitals in 2011:






Uncomp


Bottom
Bottom
Charity


Line Total Line Bad Care


Profit Operating Profit Debts Charges
County Hospital Name (Loss) Revenues (Loss) Prov Foregone


$000s $000s % $000s $000s







Miami-Dade Jackson Memorial Hospital         (33,891)       1,127,050 -3.0%        634,611        448,046
Broward Broward Health Medical Center          45,534          417,725 10.9%        176,721        201,337
Broward Memorial Regional Hospital             4,914          731,256 0.7%        165,326        319,503
Miami-Dade Baptist Hospital Miami        164,868          888,007 18.6%        114,377        154,735
Volusia Halifax Health Medical Center             9,163          384,957 2.4%        103,183          34,549
Orange Orlando Regional Medical Center        128,453       1,518,411 8.5%        101,276        351,261
Duval Shands Jacksonville Medical Center           (5,011)          506,849 -1.0%          88,874        249,842
Polk Lakeland Regional Medical Center          21,105          513,619 4.1%          87,454        165,042
Alachua Shands Hospital Univ Florida          16,862          949,820 1.8%          80,589        139,471
Orange Florida Hospital        195,323       2,173,541 9.0%          76,992        562,828
Hillsborough Tampa General Hospital          22,929          986,242 2.3%          66,533        437,292
Sarasota Sarasota Memorial Hospital          70,208          459,027 15.3%          66,013          53,688
Lee Lee Memorial Hospital          74,310          569,818 13.0%          59,822          92,662
Bay Bay Medical Center: Sacred Heart System           (1,145)          217,073 -0.5%          55,784          61,824

Reviewing the above chart, the first Hospital.....Safety Net Jackson Memorial Hospital.....had a massive Operating Loss which was funded by Miami-Dade County citizens and by tourists, resulting in a Bottom Line Net Loss of a substantially lower $33.891 mil.  Being a Safety Net Hospital, look how incredibly high its Bad Debts Provision of $634.611 mil is.  If Florida fully expands Medicaid, a very significant portion of that huge Bad Debts Provision of $634.611 mil would get eliminated, thereby substantially increasing both Operating Revenues and Bottom Line Net Income.  Likewise, with full Medicaid expansion, a portion of the $448.046 mil of Uncompensated Charity Care Charges Foregone would result in bolstering both Operating Revenues and Bottom Line Net Income.

Now let's analyze the second Florida Hospital shown above the Broward Health Medical Center, which has a Bottom Line Net Income of $45.534 mil in 2011, resulting in a Bottom Line Net Income Margin of a high 10.9%.  It also has $176.721 mil of Bad Debts Provision which has brought down its Bottom Line Net Income to $45.534 mil.  Further it has Uncompensated Charity Care Charges Foregone of another $201.337 mil.  If Florida fully expands Medicaid and nothing else were to change, this Florida Hospital's Bottom Line Profit % surges from 10.9% to certainly way north of 30%.

And this is the real beauty of full Medicaid expansion.  It increases 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.

Lastly, for Florida citizens who want to be able to better find Hospitals around them, the below chart shows Bottom Line Net Income, Total Operating Revenues, Bad Debts Provision and Total Uncompensated Charity Care Charges Foregone in 2011 for each Florida Hospital, sorted alphabetically by Florida County:






Uncomp


Bottom
Bottom
Charity


Line Total Line Bad Care


Profit Operating Profit Debts Charges
County Hospital Name (Loss) Revenues (Loss) Prov Foregone


$000s $000s % $000s $000s







Alachua Shands Hospital Univ Florida          16,862          949,820 1.8%          80,589        139,471
Baker Ed Fraser Memorial Hospital             3,555             14,881 23.9%             3,494             4,368
Baker Northeast Florida State Hospital                  49               9,018 0.5%                    -                      -  
Bay Bay Medical Center: Sacred Heart System           (1,145)          217,073 -0.5%          55,784          61,824
Bay Emarald Coast Behavioral Hospital                421             10,238 4.1%                608             1,598
Bradford Shands Starke Regional Medical Center                721             20,223 3.6%             6,043                190
Brevard Cape Canaveral Hospital             9,052          101,257 8.9%             2,324          24,259
Brevard Circles of Care                   (4)               6,215 -0.1%                324             4,050
Brevard Devereux Florida                263             15,766 1.7%                112                    -  
Brevard Holmes Regional Medical Center          43,577          445,497 9.8%          10,682          96,911
Brevard Palm Bay Hospital                380             34,577 1.1%             1,761          17,768
Brevard Parrish Medical Center           (7,685)          142,763 -5.4%          17,745          19,996
Brevard Viera Hospital         (11,467)             20,385 -56.3%                549             3,191
Brevard Wuesthoff Medical Center-Melbourne          12,302             73,123 16.8%          10,256                639
Brevard Wuesthoff Medical Center-Rockledge           (2,280)          136,366 -1.7%          22,106             1,315
Broward Atlantic Shores Hospital                693               9,510 7.3%                311                466
Broward Broward Health Coral Springs          11,211          132,657 8.5%          72,163          37,937
Broward Broward Health Imperial Point             1,881             95,603 2.0%          44,741          19,089
Broward Broward Health Medical Center          45,534          417,725 10.9%        176,721        201,337
Broward Broward Health North             1,815          170,473 1.1%          83,516          78,114
Broward Cleveland Clinic          35,791          194,016 18.4%          21,926             3,889
Broward Hollywood Pavilion                415               6,535 6.4%                788                    -  
Broward Holy Cross Hospital             8,259          315,176 2.6%          32,682          14,149
Broward Memorial Hospital Miramar          26,861          158,045 17.0%          42,401          27,277
Broward Memorial Hospital Pembroke           (5,669)          113,844 -5.0%          45,542          76,322
Broward Memorial Hospital West          62,019          394,481 15.7%          73,781        101,105
Broward Memorial Regional Hospital             4,914          731,256 0.7%        165,326        319,503
Broward Plantation General Hospital             1,328          269,396 0.5%          57,455          22,110
Broward South Florida State Hospital                  26               3,299 0.8%                    -                      -  
Broward St Anthony's Rehabilitation Hospital             1,461               9,614 15.2%                124                240
Broward University Hospital and Medical Center             5,503             96,619 5.7%          16,264          15,945
Calhoun Calhoun-Liberty Hospital                 135               9,004 1.5%             4,794                163
Charlotte Charlotte Regional Medical Center          12,692          111,424 11.4%          10,702                370
Charlotte Peace River Regional Medical Center           (1,926)             89,572 -2.2%             7,195          16,583
Citrus Citrus Memorial Hospital                 (97)          141,084 -0.1%          23,500          13,603
Citrus Seven Rivers Regional Medical Center          10,347             77,659 13.3%             6,653             2,618
Collier Naples Community Hospital          29,077          417,184 7.0%          39,155          72,519
Collier Physicians Regional Med Ctr-Pine Ridge          20,319          170,128 11.9%          21,454             3,051
Collier Willough at Naples                 (99)             14,899 -0.7%             1,467                154
Columbia Shands Lake Shore Regional Med Ctr           (3,513)             37,531 -9.4%             8,484             7,202
Desoto Desoto Memorial Hospital           (1,284)             28,567 -4.5%             5,211             5,403
Duval Baptist Medical Center-Beaches             7,835             98,292 8.0%          16,001          26,127
Duval Baptist Medical Center-Downtown          81,997          728,731 11.3%          73,334        143,210
Duval Brooks Rehabilitation Hospital             7,373             71,797 10.3%                423             4,330
Duval Mayo Clinic          52,171          385,620 13.5%          10,879          11,543
Duval River Point Behavioral Health             6,584             18,270 36.0%             1,987             1,315
Duval St Vincent's Medical Center Riverside          68,387          387,506 17.6%          16,557          89,395
Duval Shands Jacksonville Medical Center           (5,011)          506,849 -1.0%          88,874        249,842
Duval St Vincent's Medical Center Southside         (14,208)          115,139 -12.3%          15,056          20,778
Duval Wekiva Springs             4,140             12,673 32.7%                727                    -  
Escambia Baptist Hospital          12,622          344,755 3.7%          50,422          51,109
Escambia Sacred Heart Hospital          46,828          401,559 11.7%          49,415          44,169
Flagler Florida Hospital Flagler          25,261          111,093 22.7%          16,342             6,436
Franklin Weems Memorial Hospital                447               5,157 8.7%             3,243             1,330
Gadsden Florida State Hospital                109               2,794 3.9%                    -                      -  
Gulf Sacred Heart Hospital on the Gulf           (6,004)               9,349 -64.2%             2,939                844
Hardee Florida Hospital Wauchula              (827)             19,025 -4.3%             2,581             3,503
Hendry Henry Regional Medical Center              (710)             14,836 -4.8%             7,560             3,182
Hernando Brooksville Regional Hospital          35,125          154,398 22.7%          29,114          25,227
Hernando Springbrook Hospital                438             16,038 2.7%             1,757                153
Highlands Florida Hospital Heartland Med Ctr             5,383          140,979 3.8%          10,565          20,635
Highlands Highlands Regional Medical Center           (2,374)             54,027 -4.4%             5,970                700
Hillsborough Florida Hospital Carrollwood           (1,480)             89,325 -1.7%             4,644          17,011
Hillsborough Florida Hospital Tampa             3,680          318,530 1.2%          10,177          88,640
Hillsborough H Lee Moffitt Cancer Center          56,373          534,104 10.6%          11,357          62,178
Hillsborough Memorial Hospital Tampa             2,588             62,275 4.2%             7,681                524
Hillsborough Shriners Hospitals For Children-Tampa         (20,540)               3,100 -662.6%                    -               1,506
Hillsborough South Florida Baptist Hospital             1,245             81,884 1.5%             8,254          33,767
Hillsborough St Joseph's Hospital          59,677          742,385 8.0%          53,301        174,471
Hillsborough Tampa General Hospital          22,929          986,242 2.3%          66,533        437,292
Hillsborough Town & Country Hospital                 (69)             54,870 -0.1%          15,444             2,914
Holmes Doctors Memorial Hospital              (754)             12,129 -6.2%                930             1,634
Indian River Indian River Medical Center             1,475          165,618 0.9%          14,194          19,750
Indian River Sebastian River Medical Center          11,844             71,108 16.7%          10,019                118
Jackson Campbellton-Graceville Hospital              (538)               6,978 -7.7%                702                  71
Jackson Jackson Hospital              (873)             43,928 -2.0%             5,980             5,961
Lake Florida Hospital Waterman          20,404          186,645 10.9%          27,230          26,133
Lake Leesburg Regional Medical Center          15,586          221,127 7.0%             9,456          26,874
Lake Lifestream Behavioral Center                587               4,749 12.4%                927             2,560
Lake South Lake Hospital          15,587          133,204 11.7%             7,501          24,957
Lee Cape Coral Hospital          23,237          186,522 12.5%          24,562          30,809
Lee Gulf Coast Med Ctr Lee Memorial         (21,867)          274,635 -8.0%          31,153          18,993
Lee Lee Memorial Hospital          74,310          569,818 13.0%          59,822          92,662
Lee Lehigh Regional Medical Center           (1,694)             41,025 -4.1%          16,014                276
Leon Eastside Psychiatric Hospital           (1,005)               3,477 -28.9%                167                860
Leon Tallahassee Memorial Hospital          66,396          451,155 14.7%          68,654          51,158
Levy Tri County Hospital-Williston              (719)               5,165 -13.9%             1,217                108
Madison Madison County Memorial Hospital                164               6,248 2.6%             2,597                703
Manatee Lakewood Ranch Medical Center           (2,927)             54,599 -5.4%          10,945             5,743
Manatee Manatee Glens Hospital                133               4,443 3.0%                211             1,547
Manatee Manatee Memorial Hospital          13,043          193,745 6.7%          36,651          42,466
Marion Munroe Regional Medical Center             6,858          292,662 2.3%          44,423          26,195
Marion The Centers Inc                638               2,790 22.9%                215                  38
Marion The Vines Hospital             1,076               6,742 16.0%                631             1,282
Martin Martin Medical Center          22,463          292,205 7.7%          31,194          47,979
Miami-Dade Anne Bates Leach Hospital             8,868             99,758 8.9%          12,732          16,620
Miami-Dade Aventura Hospital and Medical Center          40,603          266,789 15.2%          32,539          45,693
Miami-Dade Baptist Hospital Miami        164,868          888,007 18.6%        114,377        154,735
Miami-Dade Coral Gables Hospital             1,126             75,189 1.5%             6,073             9,696
Miami-Dade Doctors Hospital          34,147          199,402 17.1%          14,327          15,450
Miami-Dade Douglas Gardens Hospital           (1,569)               7,622 -20.6%                445                    -  
Miami-Dade Homestead Hospital         (18,097)          165,347 -10.9%          72,692          80,225
Miami-Dade Jackson Memorial Hospital         (33,891)       1,127,050 -3.0%        634,611        448,046
Miami-Dade Kendall Regional Medical Center          44,914          247,102 18.2%          28,895          60,528
Miami-Dade Larkin Community Hospital             3,890             59,613 6.5%             5,358                972
Miami-Dade Mercy Hospital Campus of Plantation General Hospital             1,599             69,414 2.3%          10,101             5,753
Miami-Dade Metropolitan Hospital Miami           (4,377)             39,426 -11.1%          17,549             2,277
Miami-Dade Miami Children's Hospital             7,340          411,342 1.8%             7,023             7,165
Miami-Dade Mount Sinai Medical Center         (15,894)          429,212 -3.7%          52,482          42,583
Miami-Dade Palm Springs General Hospital             2,109             62,189 3.4%          16,832                    -  
Miami-Dade South Miami Hospital          58,380          458,125 12.7%          39,902          57,413
Miami-Dade St Catherine's Rehabilitation Hospital             5,872             25,062 23.4%                  82                  74
Miami-Dade University Miami Hospital              (267)          306,483 -0.1%          32,623          22,718
Miami-Dade Univ Miami Hospital and Clinics          80,647          339,842 23.7%          22,433             1,246
Miami-Dade West Kendall Baptist Hospital         (51,551)             34,435 -149.7%          17,496             8,848
Miami-Dade Westchester General Hospital             1,438             60,567 2.4%             8,145                278
Monroe Depoo Hospital          25,629             86,448 29.6%          10,152          17,083
Monroe Fishermen's Hospital              (836)             11,655 -7.2%             1,697                  31
Monroe Mariners Hospital             7,222             46,403 15.6%          11,851          12,702
Nassau Baptist Medical Center-Nassau             7,343             51,152 14.4%             9,138          11,350
Okaloosa Gulf Coast Treatment Center                  47               1,882 2.5%                157                    -  
Orange Central Florida Behavioral Hospital             1,754             13,723 12.8%                844             2,680
Orange Florida Hospital        195,323       2,173,541 9.0%          76,992        562,828
Orange Health Central             3,466          120,386 2.9%          16,309          45,563
Orange La Amistad Residential Treatment Ctr             2,837               5,971 47.5%                 (23)                190
Orange Orlando Regional Medical Center        128,453       1,518,411 8.5%        101,276        351,261
Orange University Behavioral Center                794               5,846 13.6%                229                162
Osceola St Cloud Regional Medical Center             4,988             49,785 10.0%          13,671                  60
Palm Beach Holley State Hospital           (6,200)               5,780 -107.3%                    -                      -  
Palm Beach Bethesda Hospital          17,007          253,438 6.7%          47,430          49,129
Palm Beach Boca Raton Regional Hospital             4,105          328,000 1.3%          12,643             8,869
Palm Beach Jupiter Medical Center             4,676          165,827 2.8%          15,267          10,691
Palm Beach Lakeside Medical Center           (2,031)             29,501 -6.9%          13,341             2,647
Palm Beach Jerome Golden Center For Behavioral Health                 (67)               1,809 -3.7%                256             4,599
Pasco Florida Hospital at Connerton             1,123             22,370 5.0%                902                    -  
Pasco Florida Hospital Zephyrhills             7,857          135,735 5.8%          13,250          34,735
Pasco Morton Plant North Bay Hospital             1,128             83,215 1.4%             6,593          36,941
Pasco Pasco Regional Medical Center             4,003             50,825 7.9%             9,142             2,656
Pinellas All Children's Hospital             1,449             86,277 1.7%                846             2,600
Pinellas Baycare Alliant Hospital             1,757             17,112 10.3%                  61             1,484
Pinellas Bayfront Medical Center             2,599          253,064 1.0%          58,180          71,076
Pinellas Florida Hospital North Pinellas         (10,654)             61,266 -17.4%             3,881             8,181
Pinellas Healthsouth             4,565             20,296 22.5%                155                  26
Pinellas Mease Dunedin Hospital          37,395          337,288 11.1%          20,787          54,734
Pinellas Morton Plant Hospital          46,261          429,058 10.8%          25,094          70,231
Pinellas Palms of Pasadena Hospital                422             71,032 0.6%             6,439             1,576
Pinellas St Anthony's Hospital          12,210          175,340 7.0%          12,521          44,597
Polk Bartow Regional Medical Center             6,033             56,620 10.7%          11,308             7,113
Polk Heart of Florida Regional Med Ctr          33,233          134,821 24.6%          25,365             9,032
Polk Lakeland Regional Medical Center          21,105          513,619 4.1%          87,454        165,042
Polk Winter Haven Hospital                200          224,952 0.1%          26,483          52,436
Putnam Putnam Community Medical Center         (10,811)             53,396 -20.2%          21,575             3,874
Santa Rosa Jay Hospital              (116)             12,350 -0.9%             4,434             1,248
Santa Rosa Santa Rosa Medical Center             6,958             55,882 12.5%          13,627                770
Santa Rosa West Florida Community Care Ctr                131               7,486 1.7%                206          14,480
Sarasota Healthsouth             8,742             31,004 28.2%                125                  40
Sarasota Sarasota Memorial Hospital          70,208          459,027 15.3%          66,013          53,688
Sarasota Venice Regional Medical Center          14,394          154,362 9.3%             8,265                556
St Johns Flagler Hospital             3,702          188,155 2.0%          27,024          35,652
St Lucie Port St Lucie Hospital                147             16,466 0.9%             1,774                180
Sumter Villages Regional Hospital             7,825          131,361 6.0%             8,786          13,885
Suwanee Shands Live Oak Regional Med Ctr             1,834             19,091 9.6%             5,065                339
Taylor Doctors Memorial Hospital              (388)             18,915 -2.1%             7,105             2,559
Union Lake Butler Hospital Hand Surgery Ctr                112               8,048 1.4%                747             3,158
Union Reception and Medical Center Hospital         (16,369)                      -                      -                      -  
Volusia Bert Fish Medical Center                 (54)             36,193             3,358             3,573
Volusia Florida Hospital Deland             7,442          111,336 6.7%          29,494          15,932
Volusia Florida Hospital Fish Memorial          10,202          123,838 8.2%          24,980          13,697
Volusia Florida Hospital Oceanside                515          205,897 0.3%          23,327          15,340
Volusia Halifax Health Medical Center             9,163          384,957 2.4%        103,183          34,549
Walton Healthmark Regional Medical Center                204             10,026 2.0%             4,057                112
Walton Sacred Heart Hospital Emerald Coast          10,570             78,369 13.5%          15,412          12,276
Washington Northwest Florida Community Hospital             1,424             20,544 6.9%             2,992             2,851






Total all 173 Florida Hospitals     2,046,873     31,155,949 6.6%     4,319,222     6,217,121

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