Thursday, October 10, 2013

Florida Non-Profit Hospitals Net Assets Up 56% Under Obama and the Affordable Care Act

From a review of the Electronic Municipal Market Access (EMMA), I found a large number of 19 Non-Profit Hospital Organizations headquartered in the State of Florida with Net Assets at the most recent date reported of more than $400 mil each.  Below here are the Net Assets of these 19 at both the most recent reported date and also at the beginning of the Obama Administration:






2008 2008 Obama




Most
or or ACA



Most Recent
2009 2009 and



Recent Balance
FYE Balance US Fed



Balance Sheet
Balance Sheet Bump
City State Sheet Net
Sheet Net %
Hospital Organization HQs HQs Date Assets
Date Assets Change




mil $s

mil $s









Adventist Health System Altamonte Springs FL  Jun 13      5,990
Dec 08     3,407 76%
BayCare Health System Clearwater FL  Jun 13      2,980
Dec 08     1,523 96%
Baptist Health South Florida Coral Gables FL Jun 13     2,554
Sep 09     1,571 63%
South Broward Hospital District Hollywood FL Apr 13     1,526
Apr 09     1,011 51%
Baptist Health System Jacksonville FL Jun 13     1,244
Sep 09        687 81%
Orlando Health Orlando FL Jun 13     1,152
Sep 09        875 32%
Nemours Foundation Jacksonville FL Dec 12        956
Dec 08        744 28%
Shands Teaching Hosp & Clinics Gainesville FL Jun 13        876
Jun 09        569 54%
Lee Memorial Health System Fort Myers FL Jun 13        802
Sep 09        576 39%
Sarasota County Hosp District Sarasota FL Jun 13        754
Sep 09        542 39%
North Broward Hospital District Fort Lauderdale FL Sep 12        712
Jun 09        564 26%
Health First Rockledge FL Jun 13        604
Sep 09        481 26%
All Children's Hospital St Petersburg FL Jun 13        600
Sep 09        516 16%
Lakeland Regional Medical Center Lakeland FL Jun 13        535
Sep 09        390 37%
Tampa General Hospital Tampa FL Jun 13        514
Sep 09        331 55%
Halifax Hospital Medical Center Daytona Beach FL Jun 13        469
Sep 09        380 23%
Miami Children's Hospital Miami FL Mar 13        464
Dec 08        236 97%
NCH Healthcare System Naples FL Jun 13        428
Sep 09        353 21%
H. Lee Moffitt Cancer Center Tampa FL Mar 13        402
Jun 09        352 14%









Total all 19


   23,562

   15,108 56%


As you can see from the above chart, the Total Net Assets of these 19 Florida Non-Profit Hospital Organizations increased by a very robust 56% to $23.562 bil during the Obama Administration.

BayCare Health System generated a Total Bottom Line Income of $1.295 bil over the four years 2009 through 2012, which was an incredibly high 14.1% of its Total Revenues.  This 14.1% Bottom Line Profit Margin is higher than that of more than half of the 30 Dow Industrial companies.  In three of those four years, BayCare generated Total Non-Operating Investment Income of $642 mil, which was 50% of its Total Bottom Line Income for the four years combined.  Clearly, low interest rates and a stock market on fire drove these exceptional Investment Returns.

Similarly, Baptist Health South Florida generated a Total Bottom Line Income of $986 mil over the most recent 3.75 years, which was an extremely robust 11.6% of its Total Revenues.  Its Total Non-Operating Investment Income in those 3.75 years was $431 mil, which was 44% of its Total Bottom Line Income for those 3.75 years combined.  Clearly, low interest rates and a stock market on fire drove these exceptional Investment Returns.

And to complete the Trifecta of Florida Non-Profit Hospital Organizations with just incredibly high Profit Margin Percentages, Jacksonville-based Baptist Health System generated Total Bottom Line Profits of $550 mil in the most recent 3.75 years, which was an extremely high 12.7% of its Total Revenues over the same time period.

The above three Florida Non-Profit Hospital Organizations' Bottom Line Profit Margins ranging from 11.6% to 14.1% all substantially exceed the Combined Bottom Line Profit Margin of 9.6% for the prestigious 30 Dow Industrial companies.

It's pretty clear to me that the best way to substantially reduce Medicare Costs is to remove the excess profits from the Non-Profit Hospital Organizations, rather than to reduce the Medicare Benefits of the middle and lower classes.

We have all of these so-called Deficit Hawks in the US Congress and they see nothing wrong with shutting down the US Government and also imposing these massive across-the-board sequester cost cuts, both for the sake of Deficit Reduction, and at the same time they also see nothing wrong with so many US Non-Profit Hospital Organization generating Bottom Line Profit Margins far in excess of the country's very best companies in the private sector.  It clearly tells you why the US Congress as a whole now has an approval rating of only 5%.  And by their actions, they clearly care more about the Hospitals in their States than they do the people in their States.

Shands Teaching Hospital and Clinics generated Total Bottom Line Profits of $321 mil in the most recent three years, which was an extremely high 10.0% of its Total Revenues over the same time period.

South Broward Hospital District generated Total Bottom Line Profits of $451 mil in the four years end April 30, 2013, which was a high 7.8% of its Total Revenues over the same time period.

The huge very well run Adventist Health generated Total Bottom Line Profits of a massive $2.077 bil in the most recent 4.5 years, which was a high 6.9% of its Total Revenues over the same time period.

And lastly, Orlando Health generated Total Bottom Line Profits of $242 mil in the most recent 3.75 years, which was a very reasonable 3.7% of its Total Revenues over the same time period.

Very positively impacting this major increase in the Net Assets (Financial Strength) of these hospitals were actions taken by both the Obama Administration and the US Fed to strengthen the US Financial Foundation which was severely damaged from the financial meltdown in late 2008.

In addition, the Affordable Care Act (ACA) has also played a key role in this increase in Net Assets (Financial Strength) of these Non-Profit Hospital Organizations.

A remarkable thing is that these robust increases in Net Assets of these Non-Profit Hospital Organizations occurred when these Non-Profit Hospitals were also able to substantially bend down the Total US Health Care Cost Curve in each of the most recent three years.

With future Non-Profit Hospital Organizations' Hospital Operating Income being bolstered by both many of the Uninsured getting insurance and by the many of the Underinsured getting much better insurance, both under the ACA,  future Net Asset growth of these Non-Profit Hospital Organizations should be very robust.  And for States electing to expand Medicaid, this future Net Asset growth will be exceptionally robust.