Friday, October 11, 2013

Michigan Non-Profit Hospitals Net Assets Up 43% Under Obama and the Affordable Care Act

From a review of the Electronic Municipal Market Access (EMMA), I found a large number of 12 Non-Profit Hospital Organizations headquartered in the State of Michigan with Net Assets at the most recent date reported of more than $400 mil each.  Below here are the Net Assets of these 12 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









Trinity Health Livonia MI Jun 13     5,803
Jun 09     4,030 44%
Spectrum Health System Grand Rapids MI Jun 13     1,899
Jun 09     1,128 68%
University Michigan Hospitals & Health Ann Arbor MI Jun 12     1,635
Jun 09     1,537 6%
Henry Ford Health System Detroit MI  Jun 13      1,418
Dec 08     1,053 35%
McLaren Health Care Flint MI Jun 13        995
Sep 09        682 46%
Beaumont Health System Royal Oak MI  Jun 13         968
Dec 08        787 23%
MidMichigan Health Midland MI Jun 13        627
Jun 09        414 51%
Sparrow Health System Lansing MI  Jun 13         623
Dec 08        318 96%
Bronson Healthcare Group Kalamazoo MI  Jun 13         509
Dec 08        226 125%
Lakeland Hospitals St Joseph MI Jun 13        486
Sep 09        353 38%
Munson Healthcare Traverse City MI Jun 13        444
Jun 09        264 68%
Oakwood Healthcare Dearborn MI  Jun 13         413
Dec 08        234 76%









Total all 12


   15,820

   11,026 43%


As you can see from the above chart, the Total Net Assets of these 12 Michigan Non-Profit Hospital Organizations increased by a robust 43% to $15.820 bil during the Obama Administration.

In its Fiscal Year Ended (FYE) June 2009, Livonia-based Trinity Health recorded a Total Non-Operating Investment Loss of $640 mil due to the financial meltdown in late 2008.  This $640 mil Investment Loss resulted in a Bottom Line Loss of $489 mil in FYE June 2009.

However, in the four fiscal years since then, Trinity Health generated Total Non-Operating Investment Income of $1.119 bil, which was a huge 52% of its Total Bottom Line Profit over the same three year period.  And over this four year period, Trinity Health generated a Total Bottom Line Profit Margin of 6.9% of its Total Revenues.

Grand Rapids, MI-based Spectrum Health generated Total Bottom Line Profit of $733 mil in the most recent four years, which was a seemingly fair 5.1% of its Total Revenues over the same time span.

Ann Arbor-based University Michigan Hospitals & Health generated Total Bottom Line Profit of $406 mil in the three years ended June 2012, which was 6.7% of its Total Revenues over the same time span.

McLaren Health Care generated Total Bottom Line Profit of $476 mil in the most recent 3.75 years, which was 6.0% of its Total Revenues over the same time span.

And lastly, Detroit-based Henry Ford Health System generated Total Bottom Line Profit of $204 mil in the most recent 4.5 years, which was a very modest 1.1% of its Total Revenues over the same time span.

Very positively impacting this major increase in the Net Assets (Financial Strength) of all 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.