Below here are the Net Assets of each of these 20 Hospital Organizations at both the most recent reported date and also at the Fiscal Year End (FYE) closest to the beginning of the Obama Administration:
| FYE | Balance | Net | ||||||
| Most | Balance | Sheet | Assets | |||||
| Most | Recent | Sheet | Net | % | ||||
| Recent | Balance | Date | Assets | Change | ||||
| Balance | Sheet | Beginning | Beginning | During | ||||
| City | State | Sheet | Net | Obama | Obama | Obama | ||
| Hospital Organization | HQs | HQs | Date | Assets | Admin | Admin | Admin | |
| mil $s | mil $s | |||||||
| Non-Profit Hospitals | ||||||||
| …..Non-Public Hospitals | ||||||||
| Adventist Health System | Altamonte Springs | FL | Jun 14 | 6,711 | Dec 08 | 3,407 | 97% | |
| BayCare Health System | Clearwater | FL | Jun 14 | 3,717 | Dec 08 | 1,523 | 144% | |
| Baptist Health South Florida | Coral Gables | FL | Jun 14 | 3,105 | Sep 09 | 1,571 | 98% | |
| Baptist Health System | Jacksonville | FL | Jun 14 | 1,574 | Sep 09 | 687 | 129% | |
| Nemours Foundation | Jacksonville | FL | Dec 13 | 1,100 | Dec 08 | 744 | 48% | |
| Shands Teaching Hospitals & Clinics | Gainesville | FL | Jun 14 | 937 | Jun 09 | 569 | 65% | |
| Health First | Rockledge | FL | Jun 14 | 715 | Sep 09 | 481 | 49% | |
| Tampa General Hospital | Tampa | FL | Jun 14 | 702 | Sep 09 | 331 | 112% | |
| All Children's Hospital | St Petersburg | FL | Jun 14 | 633 | Sep 09 | 516 | 23% | |
| Lakeland Regional Health | Lakeland | FL | Jun 14 | 617 | Sep 09 | 390 | 58% | |
| Miami Children's Hospital | Miami | FL | Jun 14 | 560 | Dec 08 | 236 | 137% | |
| H. Lee Moffitt Cancer Center | Tampa | FL | Jun 14 | 462 | Jun 09 | 352 | 31% | |
| NCH Healthcare System | Naples | FL | Jun 14 | 473 | Sep 09 | 353 | 34% | |
| Total all 13 Non-Public Non-Profit Hospitals | 21,306 | 11,160 | 91% | |||||
| …..Public Governmental Hospitals | ||||||||
| South Broward Hospital District | Hollywood | FL | Jul 14 | 1,663 | Apr 09 | 1,011 | 64% | |
| Orlando Health | Orlando | FL | Jun 14 | 1,316 | Sep 09 | 875 | 50% | |
| North Broward Hospital District | Fort Lauderdale | FL | Dec 13 | 850 | Jun 09 | 564 | 51% | |
| Lee Memorial Health System | Fort Myers | FL | Jun 14 | 952 | Sep 09 | 576 | 65% | |
| Sarasota County Public Hosp District | Sarasota | FL | Jun 14 | 782 | Sep 09 | 542 | 44% | |
| Total all 5 Public Governmental Hospitals | 5,563 | 3,568 | 56% | |||||
| Publicly-held Hospitals | ||||||||
| Mednax | Sunrise | FL | Jun 14 | 2,405 | Dec 08 | 965 | 149% | |
| Health Management Associates | Naples | FL | Sep 13 | 1,008 | Dec 08 | 286 | 252% | |
| Total all 2 Publicly-held Hospitals | 3,413 | 1,251 | 173% | |||||
| Total all 20 Non-Profit and Publicly-held Hospitals | 30,282 | 15,979 | 90% | |||||
As you can see from the above chart, the Total Net Assets (Financial Strength) of these 20 Florida Hospital Organizations increased by an exceptional 90% to a massive $30.282 bil so far during the Obama Administration.
Also as you can see from the above chart, the Total Net Assets (Financial Strength) of the 13 Non-Profit Hospital Organizations which are not Public Governmental ones increased by an exceptional 91% to $21.306 bil so far during the Obama Administration. Further, in just the past 6 months, these 13 Florida Hospital Organizations had this Total Net Asset growth increase substantially from 63% to 91%.
In addition, the Affordable Care Act (ACA) has also played a key role in this substantial increase in Net Assets (Financial Strength) of these 20 Florida Hospital Organizations.
A remarkable thing is that these very robust increases in Net Assets (Financial Strength) of these Florida Hospital Organizations occurred when these Hospitals were also playing very instrumental roles in the substantial annual percentage growth reduction of Total US Health Care Costs which occurred in each of the most recent three years under the ACA.
With such substantial Net Asset percentage increases of these 20 Florida Hospital Organizations, a key beneficiary of this has been and will continue to be Florida citizens electing to buy health insurance on the Health Insurance Exchange. This exceptional Net Asset growth gives these 20 Florida Hospital Organizations the financial flexibility to moderate their pricing for hospital procedures in their negotiations with health insurance companies which ultimately determines what insurance premium prices are set at by health insurance companies on the Health Insurance Exchange.
Florida Safety Net Hospitals: Public Health Trust of Miami-Dade County
There are a number of Florida Safety Net Public Hospitals. The largest is the Public Health Trust of Miami-Dade County, which is overwhelmingly the huge Jackson Hospitals.
From reviewing its financial statements on EMMA, the Public Health Trust of Miami-Dade County generated an Operating Loss of a large $339 mil in the fiscal year ended September 2012. For the most recent 5 years combined, these Operating Losses totaled a monstrous $2.247 bil.
So Many Struggling Florida Hospitals
But it's not just the Miami area Jackson Hospitals which are severely struggling in the State of Florida Hospital universe.
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 Operating Income of $1.202 bil in 2011 which was a seemingly respectable Goldilocks 3.9% of their Total Operating Revenues of $31.156 bil. And these 173 Florida Hospitals' Total Operating Income of $1.202 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 $6.217 bil in 2011.
But you have to stratify these Hospitals to find out what is really going on with Florida Hospitals.
First, let's look at the upper end Florida Hospitals.
There were 56 of these 173 Florida Hospitals which generated Operating Income as a Percentage of Total Operating Revenues of above 7.5% in 2011. I'll call these Top 56 the Orange Supreme Hospitals. In the aggregate, they generated Total Operating Income of an obscene 12.7% of Total Operating Revenues.....that's more than 25% higher than what the 30 Dow Industrials combined generated on an After-tax basis. This is flat out crazy and tells you why US Health Care Costs have been so incredibly out of control. Here are the Top 56:
| Operating | ||||
| Operating | Total | Income | ||
| Florida | Income | Operating | (Loss) | |
| County | Florida Hospital Name | (Loss) | Revenues | Margin |
| 000s | 000s | % | ||
| Orange Supreme Hospitals | ||||
| Duval | River Point Behavioral Health | 6,632 | 18,270 | 36.3% |
| Duval | Wekiva Springs | 4,140 | 12,673 | 32.7% |
| Sarasota | Healthsouth | 8,745 | 31,004 | 28.2% |
| Monroe | Depoo Hospital | 23,951 | 86,448 | 27.7% |
| Baker | Ed Fraser Memorial Hospital | 3,982 | 14,881 | 26.8% |
| Polk | Heart of Florida Regional Med Ctr | 32,627 | 134,821 | 24.2% |
| Miami-Dade | Univ Miami Hospital and Clinics | 80,667 | 339,842 | 23.7% |
| Miami-Dade | St Catherine's Rehabilitation Hospital | 5,860 | 25,062 | 23.4% |
| Pinellas | Healthsouth | 4,562 | 20,296 | 22.5% |
| Hernando | Brooksville Regional Hospital | 33,266 | 154,398 | 21.5% |
| Flagler | Florida Hospital Flagler | 22,400 | 111,093 | 20.2% |
| Broward | Cleveland Clinic | 35,751 | 194,016 | 18.4% |
| Miami-Dade | Baptist Hospital Miami | 162,869 | 888,007 | 18.3% |
| Miami-Dade | Doctors Hospital | 35,420 | 199,402 | 17.8% |
| Indian River | Sebastian River Medical Center | 12,203 | 71,108 | 17.2% |
| Brevard | Wuesthoff Medical Center-Melbourne | 12,280 | 73,123 | 16.8% |
| Miami-Dade | Kendall Regional Medical Center | 41,358 | 247,102 | 16.7% |
| Broward | Memorial Hospital Miramar | 26,421 | 158,045 | 16.7% |
| Monroe | Mariners Hospital | 7,167 | 46,403 | 15.4% |
| Broward | St Anthony's Rehabilitation Hospital | 1,484 | 9,614 | 15.4% |
| Leon | Tallahassee Memorial Hospital | 68,652 | 451,155 | 15.2% |
| Broward | Memorial Hospital West | 58,590 | 394,481 | 14.9% |
| Marion | The Vines Hospital | 993 | 6,742 | 14.7% |
| Miami-Dade | Aventura Hospital and Medical Center | 38,453 | 266,789 | 14.4% |
| Pinellas | Mease Dunedin Hospital | 47,589 | 337,288 | 14.1% |
| Citrus | Seven Rivers Regional Medical Center | 10,620 | 77,659 | 13.7% |
| Duval | Mayo Clinic | 52,170 | 385,620 | 13.5% |
| Nassau | Baptist Medical Center-Nassau | 6,913 | 51,152 | 13.5% |
| Lee | Lee Memorial Hospital | 71,635 | 569,818 | 12.6% |
| Pinellas | Morton Plant Hospital | 53,895 | 429,058 | 12.6% |
| Lake | South Lake Hospital | 16,729 | 133,204 | 12.6% |
| Miami-Dade | South Miami Hospital | 57,379 | 458,125 | 12.5% |
| Lee | Cape Coral Hospital | 23,202 | 186,522 | 12.4% |
| Suwanee | Shands Live Oak Regional Med Ctr | 2,329 | 19,091 | 12.2% |
| Monroe | Fishermen's Hospital | 1,358 | 11,655 | 11.7% |
| Walton | Sacred Heart Hospital Emerald Coast | 9,001 | 78,369 | 11.5% |
| Hillsborough | St Joseph's Hospital | 84,521 | 742,385 | 11.4% |
| Marion | The Centers Inc | 304 | 2,790 | 10.9% |
| Duval | Baptist Medical Center-Downtown | 79,373 | 728,731 | 10.9% |
| Collier | Physicians Regional Med Ctr-Pine Ridge | 18,471 | 170,128 | 10.9% |
| Charlotte | Charlotte Regional Medical Center | 11,861 | 111,424 | 10.6% |
| Santa Rosa | Santa Rosa Medical Center | 5,936 | 55,882 | 10.6% |
| Pinellas | Baycare Alliant Hospital | 1,753 | 17,112 | 10.2% |
| Pinellas | St Anthony's Hospital | 17,595 | 175,340 | 10.0% |
| Osceola | St Cloud Regional Medical Center | 4,714 | 49,785 | 9.5% |
| Pasco | Florida Hospital Zephyrhills | 12,832 | 135,735 | 9.5% |
| Orange | Florida Hospital | 204,120 | 2,173,541 | 9.4% |
| Sarasota | Venice Regional Medical Center | 14,414 | 154,362 | 9.3% |
| Polk | Bartow Regional Medical Center | 5,287 | 56,620 | 9.3% |
| Volusia | Florida Hospital Fish Memorial | 11,370 | 123,838 | 9.2% |
| Escambia | Baptist Hospital | 31,645 | 344,755 | 9.2% |
| Miami-Dade | Anne Bates Leach Hospital | 8,346 | 99,758 | 8.4% |
| Volusia | Florida Hospital Deland | 8,812 | 111,336 | 7.9% |
| Pasco | Pasco Regional Medical Center | 3,950 | 50,825 | 7.8% |
| Duval | Baptist Medical Center-Beaches | 7,484 | 98,292 | 7.6% |
| Orange | Orlando Regional Medical Center | 113,515 | 1,518,411 | 7.5% |
| Total all 56 Florida Orange Supreme Hospitals | 1,727,596 | 13,613,386 | 12.7% | |
But you get a completely different story when you look at the bottom portion of these 173 Florida Hospitals.
In total, 67 of the 173 Florida Hospitals had Operating Losses in the most recent year reported (2011). These Losses totaled $903 mil in 2011, which were a huge (14.0)% of the Total Operating Revenues of $6.439 bil related to these 67 Operating Loss Florida Hospitals, as you can see in the below chart:
| Operating | ||||
| Operating | Total | Income | ||
| Florida | Income | Operating | (Loss) | |
| County | Florida Hospital Name | (Loss) | Revenues | Margin |
| 000s | 000s | % | ||
| Gadsden | Florida State Hospital | (108,699) | 2,794 | -3890.4% |
| Broward | South Florida State Hospital | (28,140) | 3,299 | -853.0% |
| Hillsborough | Shriners Hospitals For Children-Tampa | (19,015) | 3,100 | -613.4% |
| Baker | Northeast Florida State Hospital | (50,701) | 9,018 | -562.2% |
| Miami-Dade | West Kendall Baptist Hospital | (50,240) | 34,435 | -145.9% |
| Palm Beach | Jerome Golden Center For Behavioral Health | (2,616) | 1,809 | -144.6% |
| Palm Beach | Holley State Hospital | (6,233) | 5,780 | -107.8% |
| Brevard | Viera Hospital | (16,043) | 20,385 | -78.7% |
| Brevard | Circles of Care | (4,325) | 6,215 | -69.6% |
| Gulf | Sacred Heart Hospital on the Gulf | (6,000) | 9,349 | -64.2% |
| Franklin | Weems Memorial Hospital | (2,811) | 5,157 | -54.5% |
| Hendry | Henry Regional Medical Center | (7,672) | 14,836 | -51.7% |
| Lake | Lifestream Behavioral Center | (2,180) | 4,749 | -45.9% |
| Orange | La Amistad Residential Treatment Ctr | (2,581) | 5,971 | -43.2% |
| Orange | University Behavioral Center | (1,909) | 5,846 | -32.7% |
| Miami-Dade | Jackson Memorial Hospital | (360,572) | 1,127,050 | -32.0% |
| Palm Beach | Lakeside Medical Center | (9,063) | 29,501 | -30.7% |
| Leon | Eastside Psychiatric Hospital | (1,005) | 3,477 | -28.9% |
| Miami-Dade | Douglas Gardens Hospital | (1,843) | 7,622 | -24.2% |
| Putnam | Putnam Community Medical Center | (9,640) | 53,396 | -18.1% |
| Columbia | Shands Lake Shore Regional Med Ctr | (6,379) | 37,531 | -17.0% |
| Volusia | Bert Fish Medical Center | (5,983) | 36,193 | -16.5% |
| Levy | Tri County Hospital-Williston | (850) | 5,165 | -16.5% |
| Collier | Willough at Naples | (2,291) | 14,899 | -15.4% |
| Pinellas | Florida Hospital North Pinellas | (9,271) | 61,266 | -15.1% |
| Madison | Madison County Memorial Hospital | (928) | 6,248 | -14.9% |
| Desoto | Desoto Memorial Hospital | (4,045) | 28,567 | -14.2% |
| Broward | Broward Health North | (21,150) | 170,473 | -12.4% |
| Duval | St Vincent's Medical Center Southside | (14,157) | 115,139 | -12.3% |
| Jackson | Campbellton-Graceville Hospital | (837) | 6,978 | -12.0% |
| Miami-Dade | Metropolitan Hospital Miami | (4,386) | 39,426 | -11.1% |
| Miami-Dade | Homestead Hospital | (18,191) | 165,347 | -11.0% |
| Broward | Broward Health Imperial Point | (6,788) | 95,603 | -7.1% |
| Taylor | Doctors Memorial Hospital | (1,248) | 18,915 | -6.6% |
| Broward | Memorial Hospital Pembroke | (7,504) | 113,844 | -6.6% |
| Bay | Bay Medical Center: Sacred Heart System | (12,417) | 217,073 | -5.7% |
| Broward | University Hospital and Medical Center | (5,392) | 96,619 | -5.6% |
| Manatee | Lakewood Ranch Medical Center | (2,880) | 54,599 | -5.3% |
| Highlands | Highlands Regional Medical Center | (2,829) | 54,027 | -5.2% |
| Volusia | Halifax Health Medical Center | (19,545) | 384,957 | -5.1% |
| Holmes | Doctors Memorial Hospital | (563) | 12,129 | -4.6% |
| Hardee | Florida Hospital Wauchula | (707) | 19,025 | -3.7% |
| Jackson | Jackson Hospital | (1,529) | 43,928 | -3.5% |
| Calhoun | Calhoun-Liberty Hospital | (301) | 9,004 | -3.3% |
| Miami-Dade | Mercy Hospital Campus of Plantation General Hospital | (2,146) | 69,414 | -3.1% |
| Brevard | Wuesthoff Medical Center-Rockledge | (4,133) | 136,366 | -3.0% |
| Brevard | Palm Bay Hospital | (997) | 34,577 | -2.9% |
| Indian River | Indian River Medical Center | (4,214) | 165,618 | -2.5% |
| Union | Lake Butler Hospital Hand Surgery Ctr | (193) | 8,048 | -2.4% |
| Union | Reception and Medical Center Hospital | (16,369) | - | |
| Charlotte | Peace River Regional Medical Center | (1,949) | 89,572 | -2.2% |
| Broward | Memorial Regional Hospital | (15,709) | 731,256 | -2.1% |
| Hillsborough | Florida Hospital Carrollwood | (1,557) | 89,325 | -1.7% |
| Walton | Healthmark Regional Medical Center | (172) | 10,026 | -1.7% |
| Citrus | Citrus Memorial Hospital | (2,329) | 141,084 | -1.7% |
| Broward | Broward Health Coral Springs | (2,124) | 132,657 | -1.6% |
| Hernando | Springbrook Hospital | (252) | 16,038 | -1.6% |
| Lee | Lehigh Regional Medical Center | (545) | 41,025 | -1.3% |
| Bradford | Shands Starke Regional Medical Center | (231) | 20,223 | -1.1% |
| Santa Rosa | Jay Hospital | (128) | 12,350 | -1.0% |
| Miami-Dade | University Miami Hospital | (3,063) | 306,483 | -1.0% |
| Lake | Leesburg Regional Medical Center | (1,827) | 221,127 | -0.8% |
| Duval | Shands Jacksonville Medical Center | (2,192) | 506,849 | -0.4% |
| Volusia | Florida Hospital Oceanside | (753) | 205,897 | -0.4% |
| Broward | Plantation General Hospital | (666) | 269,396 | -0.2% |
| Brevard | Devereux Florida | (38) | 15,766 | -0.2% |
| Hillsborough | Town & Country Hospital | (106) | 54,870 | -0.2% |
| Total all 67 | (903,152) | 6,438,711 | -14.0% |
In addition to the above 67 Florida Hospitals generating Operating Losses in 2011, there were another 23 of these 173 Florida Hospitals which generated very modest Operating Income as a Percentage of Total Operating Revenues from 0.0% to 2.6%, as you can see in the below chart:
| Operating | ||||
| Operating | Total | Income | ||
| Florida | Income | Operating | (Loss) | |
| County | Florida Hospital Name | (Loss) | Revenues | Margin |
| 000s | 000s | % | ||
| Santa Rosa | West Florida Community Care Ctr | 2 | 7,486 | 0.0% |
| Hillsborough | Tampa General Hospital | 720 | 986,242 | 0.1% |
| Polk | Winter Haven Hospital | 500 | 224,952 | 0.2% |
| Pasco | Morton Plant North Bay Hospital | 208 | 83,215 | 0.2% |
| Pinellas | Bayfront Medical Center | 915 | 253,064 | 0.4% |
| Orange | Central Florida Behavioral Hospital | 73 | 13,723 | 0.5% |
| Brevard | Parrish Medical Center | 796 | 142,763 | 0.6% |
| St Lucie | Port St Lucie Hospital | 106 | 16,466 | 0.6% |
| Palm Beach | Boca Raton Regional Hospital | 2,397 | 328,000 | 0.7% |
| Lee | Gulf Coast Med Ctr Lee Memorial | 2,848 | 274,635 | 1.0% |
| Broward | Broward Health Medical Center | 4,364 | 417,725 | 1.0% |
| Miami-Dade | Westchester General Hospital | 677 | 60,567 | 1.1% |
| Pinellas | Palms of Pasadena Hospital | 806 | 71,032 | 1.1% |
| Palm Beach | Jupiter Medical Center | 1,927 | 165,827 | 1.2% |
| Miami-Dade | Coral Gables Hospital | 1,138 | 75,189 | 1.5% |
| Hillsborough | Florida Hospital Tampa | 4,845 | 318,530 | 1.5% |
| St Johns | Flagler Hospital | 3,904 | 188,155 | 2.1% |
| Sarasota | Sarasota Memorial Hospital | 9,585 | 459,027 | 2.1% |
| Pinellas | All Children's Hospital | 2,152 | 86,277 | 2.5% |
| Okaloosa | Gulf Coast Treatment Center | 47 | 1,882 | 2.5% |
| Marion | Munroe Regional Medical Center | 7,477 | 292,662 | 2.6% |
| Alachua | Shands Hospital Univ Florida | 24,717 | 949,820 | 2.6% |
| Hillsborough | South Florida Baptist Hospital | 2,165 | 81,884 | 2.6% |
| Total all 23 | 72,369 | 5,499,123 | 1.3% |
When you have 90 or 52% of Florida Hospitals with these huge Operating Losses or very modest Operating Income, the responsible thing to do is to deal with them and not ignore them. So far, the State of Florida has irresponsibly decided to ignore them.
The best and only way to substantially strengthen the very poor Operating Results of these so many struggling Florida Hospitals is for the State of Florida to fully expand Medicaid. This action will dramatically improve the profits of every single Florida Hospital. If Florida fully expands Medicaid, there will be a resultant massive inflow of Patient Revenues, after all there were a massive $4.319 bil of Total Provisions for Bad Debts Charges that reduced the Total Operating Revenues of all Florida Hospitals in 2011. In addition, there were $6.217 bil of Uncompensated Charity Care Charges Foregone in 2011.
A key side benefit here to Florida citizens is that the resultant profit enhancements and thus Net Asset enhancements of all of these Florida Hospitals due to Medicaid expansion will give these Florida Hospitals 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.
Also from EMMA, 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.
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 | |
