Senate budget winners and losers. 5-year average annual operating margin. 5-year average annual net operating revenue. 2
Safety Net Hospitals Put Patients Over Profits The Senate’s 2018-19 budget proposal would severely impact high Medicaid hospitals Senate budget winners and losers Medicaid Hospital Rate Reimbursement: Senate Impact
$50,000,000 $40,000,000
$44,767,009
$30,000,000 $20,000,000 $10,000,000 $0 -$10,000,000
-$14,390,844
-$20,282,432
-$20,000,000 -$30,000,000
Statewide average for hospitals: 18%
-$40,000,000 -$50,000,000 -$60,000,000
-$59,592,581 Jackson Health System
2015 Medicaid utilization: % of Medicaid patients to total patients
UF Health Shands Gainesville
27%
5-year average annual operating margin
11.2%
$1,000,000,000
$864,948,419
$800,000,000
16%
25%
27%
5-year average annual net operating revenue
$7.7b
$8,000,000,000
$7,735,103,826
$7,000,000,000 $6,000,000,000 $4,000,000,000
$400,000,000
$0
Hospital Corporation of America (FL)
$5,000,000,000
$600,000,000
$200,000,000
Tampa General Hospital
$3,000,000,000 $2,000,000,000
4.8%
$1,000,000,000
$57,695,426
*Jackson Health System, UF Health Shands Gainesville, Tampa General Hospital (Combined Average)
$0 Hospital Corporation of America (FL only)
$1.2b $1,198,384,766
*Jackson Health System, UF Health Shands Gainesville, Tampa General Hospital (Combined Average)
Hospital Corporation of America (FL only)
*Note: Jackson Memorial Operating Margin includes unrestricted tax and county revenues
Safety Nets
Patients Before Profits Earnings Reinvested Locally Note: Information requested by Senate Appropriations Committee members on Jan. 31, 2018.
For-Profits
Prioritize Profits Earnings Sent Out of State