Top 15 Hospitals Most Exposed to Medicare

Written by Bob Herman for Becker’s Hospital Review

Hospitals that rely disproportionately on Medicare patients for revenue may find themselves in a tougher bind over the next several years, as sequestration has started siphoning 2 percent of all Medicare funds.

Moody’s Investors Service recently released a report, indicating that sequestration will worsen the “already challenging operating environment” of the non-profit hospital sector.

Within the report, Moody’s analysts listed the top 15 hospitals and health systems in its rated portfolio that have the highest Medicare mix as a percentage of their gross revenue. Moody’s does not plan to downgrade the hospitals, but the ratings agency “will monitor the ultimate credit impact on them.”

Moody’s found that most of the providers are from states, such as Florida, with larger retirement communities. Here are the 15 hospitals and health systems that are most exposed to Medicare in Moody’s portfolio.

Hospital/Health System

Moody’s Credit Rating

Net Patient Service Revenue

Medicare as % of Gross Revenue

Central Florida Health Alliance
(Leesburg, Fla.)

Baa1

$377.7 million

70.2%

Citrus Memorial Hospital
(Inverness, Fla.)

B3

$144.4 million

69.9%

Kuakini Health System
(Honolulu)

Ba1

$134.6 million

68.8%

Eisenhower Medical Center
(Rancho Mirage, Calif.)

Baa2

$388.6 million

65.8%

Baxter Regional Medical Center
(Mountain Home, Ark.)

Baa2

$157.4 million

65.0%

Deborah Heart and Lung Center
(Brown Mills, N.J.)

B1

$135.9 million

61.7%

Munroe Regional Health System
(Ocala, Fla.)

A3

$291.0 million

61.4%

Jefferson Regional Medical Center
(Jefferson Hills, Pa.)

Baa2

$256.0 million

59.4%

Martin Medical Center
(Stuart, Fla.)

Baa1

$329.5 million

59.0%

NCH Healthcare System
(Naples, Fla.)

A2

$506.4 million

58.5%

East Jefferson General Hospital
(Metairie, La.)

Baa3

$362.3 million

58.2%

Yavapai Regional Medical Center
(Prescott, Ariz.)

Baa2

$249.2 million

58.1%

Flagler Hospital
(St. Augustine, Fla.)

A3

$211.7 million

57.9%

Ohio Valley General Hospital
(McKees Rocks, Pa.)

Ba3

$56.0 million

57.8%

Beebe Medical Center
(Lewes, Del.)

Baa3

$267.0 million

56.7%
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