Friday, October 11, 2013

Minnesota Non-Profit Hospitals Net Assets Up 117% Under Obama and the Affordable Care Act

From a review of the Electronic Municipal Market Access (EMMA), I found 8 Non-Profit Hospital Organizations headquartered in the State of Minnesota with Net Assets at the most recent date reported of more than $400 mil each.  Below here are the Net Assets of these 8 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









Mayo Clinic Rochester MN  Jun 13      5,107
Dec 08     2,326 120%
HealthPartners Bloomington MN  Jun 13      1,949
Dec 08        503 287%
Allina Health System Minneapolis MN  Jun 13      1,804
Dec 08        804 124%
Fairview Health Services Minneapolis MN  Jun 13      1,384
Dec 08        732 89%
Essentia Health Minneapolis MN Jun 13        801
Jun 09        519 54%
Centracare Health System St Cloud MN Jun 13        694
Jun 09        381 82%
Children's Hospitals and Clinics Minneapolis MN  Jun 13         620
Dec 08        370 68%
Park Nicollet Health Services St Louis Park MN  Jun 13         538
Dec 08        299 80%









Total all 8


   12,897

     5,934 117%


As you can see from the above chart, the Total Net Assets of these 8 Minnesota Non-Profit Hospital Organizations increased by an exceptional 117% to $12.897 bil during the Obama Administration.

In its annual year December 2008, the highly prestigious Rochester-based Mayo Clinic recorded a Total Non-Operating Investment Loss of $745 mil due to the financial meltdown in late 2008.  This $745 mil Investment Loss resulted in a Bottom Line Loss of $677 mil in 2008.

However, in the 4.5 years since then, Mayo Clinic generated Total Non-Operating Investment Income of $1.004 bil, which was 30% of its Total Bottom Line Profit over the same 4.5 year period.  And over this 4.5 year period, Mayo Clinic generated a Total Bottom Line Profit Margin of a high 9.1% of its Total Revenues over the same period.

Bloomington-based HealthPartners had its Bottom Line Profit increase by more than $500 mil for the economic gain related to its acquisition of Park Nicollet Health System on January 1, 2013.  It also recorded an economic gain of $119 mil related to another acquisition in 2011.

Exclusive of the above acquisition economic gains, Health Partners generated Total Bottom Line Profits of $761 mil in the most recent 4.5 years, which was a seemingly fair 4.4% of Total Revenues over the same time span.

Minneapolis-based Allina Health System generated Total Bottom Line Profits of $915 mil in the most recent 4.5 years, which was 6.5% of Total Revenues over the same time span.

And lastly, Fairview Health Services generated Total Bottom Line Profits of $594 mil in the most recent 4.5 years, which was a seemingly fair 4.5% of 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.