Tuesday, April 29, 2014

Florida General Acute Care Local Governmental Hospital Total Operating Losses $4.2 Bil For 10 Years 2003-2012 or 9.9% of Revenues.....Screaming Out For Medicaid Expansion

Just recently, the State of Florida included on its Agency for Health Care Administration website (ahca.myflorida.com) its 2012 Hospital Financial Data.  This very informative information came from financial data filed by Florida Hospitals with the Agency.  I think it would be very helpful to State citizens if other States would follow the State of Florida's outstanding financial transparency lead here.

In this third post on this Florida Hospital Financial Data, I will cover key aspects of the General Acute Care Local Governmental Hospitals.

The first thing that really stuck out to me is how the Total Operating Losses of these Florida General Acute Care Local Governmental Hospitals have been so huge each and every year from 2003 to 2012.

Every year had Total Operating Losses in excess of $300 mil, and at least 7.0% of Total Operating Revenues each year.  And for the 10 years combined, the Total Operating Losses were a staggering $4.169 bil, or 9.9% of Total Operating Revenues.

Below here are the Total Operating Losses, Total Operating Revenues and the Total Operating Loss Margin Percentage for all of the Florida General Acute Care Local Governmental Hospitals for each of the 10 years from 2003 to 2012:

Florida General Acute Care Local Governmental Hospitals



Operating

Total Total Loss

Operating Operating Margin

Losses Revenues %

$000s $000s




2003          (334,559)            3,059,642 -10.9%
2004          (388,192)            3,253,802 -11.9%
2005          (343,012)            3,573,287 -9.6%
2006          (376,960)            3,862,826 -9.8%
2007          (471,482)            4,197,872 -11.2%
2008          (495,301)            4,395,809 -11.3%
2009          (653,606)            4,786,930 -13.7%
2010          (418,166)            5,029,392 -8.3%
2011          (357,149)            5,113,977 -7.0%
2012          (330,575)            4,737,403 -7.0%




Ten Year Total       (4,169,002)          42,010,940 -9.9%

The chart below shows the 2012 above amounts for each of the 21 Florida General Acute Care Local Governmental Hospitals:




2012



Operating


2012 2012 Income


Operating Total (Loss)


Income Operating Margin
County Hospital Name (Loss) Revenues %


$000s $000s
Florida General Acute Care Local Governmental Hospitals


Miami-Dade Jackson Memorial Hospital         (321,036)            1,040,449 -30.9%
Broward Memorial Regional Hospital           (21,462)               746,867 -2.9%
Volusia Halifax Health Medical Center           (18,175)               400,801 -4.5%
Broward Broward Health Medical Center           (13,599)               410,433 -3.3%
Hendry Henry Regional Medical Center           (12,294)                 13,302 -92.4%
Palm Beach Lakeside Medical Center           (10,652)                 28,479 -37.4%
Broward Broward Health North             (8,138)               192,966 -4.2%
Broward Memorial Hospital Pembroke             (7,038)               111,266 -6.3%
Broward Broward Health Imperial Point             (6,838)                 97,339 -7.0%
Desoto Desoto Memorial Hospital             (5,411)                 26,731 -20.2%
Sarasota Sarasota Memorial Hospital             (5,014)               437,666 -1.1%
Jackson Jackson Hospital             (1,790)                 43,463 -4.1%
Franklin Weems Memorial Hospital             (1,362)                    6,208 -21.9%
Holmes Doctors Memorial Hospital                 (715)                 12,233 -5.8%
Marion Munroe Regional Medical Center                 (569)               294,446 -0.2%
Jackson Campbellton-Graceville Hospital                 (343)                    6,516 -5.3%
Broward Broward Health Coral Springs                  212               142,088 0.1%
Baker Ed Fraser Memorial Hospital               5,016                 17,460 28.7%
Brevard Parrish Medical Center               5,181               141,351 3.7%
Broward Memorial Hospital Miramar             29,442               159,305 18.5%
Broward Memorial Hospital West             64,010               408,034 15.7%




Total all 21 General Acute Care Local Government Hospitals         (330,575)            4,737,403 -7.0%

Yeah, 16 of these 21 Florida General Acute Care Local Government Hospitals had Operating Losses in 2012.

Florida taxpayers are funding these substantial Operating Losses, mostly through Property Taxes.

The second thing that really stuck out to me is how these substantial Operating Losses are being driven by just huge Total Provisions for Bad Debts.

In 2012, there were Total Operating Losses of $331 mil.  Also in 2012, there were Total Provisions for Bad Debts of a massive $1.581 bil, which caused and were nearly 5 times these Total Operating Losses of $331 mil.

And the third thing that really stuck out to me is how substantial the Total Uncompensated Charity Care Charges Foregone were in 2012.....another huge $1.396 bil. 

With the ACA, a significant portion of these 2 items will be eliminated, thereby markedly increasing the Patient Service Fee Income of nearly every Florida Local Government Hospital, and thereby also turning these Total Operating Losses into Total Operating Income.  And if Florida were to fully expand Medicaid, a huge portion of these 2 items will be eliminated, thereby very substantially increasing the Patient Service Fee Income and also the Income of nearly every Florida Local Government Hospital, and thereby turning these Total Operating Losses into a very substantial Total Operating Income.

Yeah, I think it is time for the Florida State Legislature to step up and take the economically sound, fair and patriotic approach and vote for full expansion of Medicaid in Florida.