Saturday, October 12, 2013

New York Non-Profit Hospitals Net Assets Up 86% Under Obama and the Affordable Care Act

From a review of the Electronic Municipal Market Access (EMMA), I found 10 Non-Profit Hospital Organizations headquartered in the State of New York with Net Assets at the most recent date reported of more than $400 mil each.  Below here are the Net Assets of these 10 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









Memorial Sloan-Kettering Cancer Center New York NY  Jun 13      4,427
Dec 08     3,224 37%
New York and Presbyterian Hospital New York NY  Jun 13      4,082
Dec 08     2,333 75%
North Shore Long Island Jewish Health Great Neck NY  Jun 13      2,545
Dec 08        614 314%
Mount Sinai Hospital New York NY  Jun 13      1,133
Dec 08        477 138%
Icahn School Medicine Mount Sinai New York NY Dec 12     1,040
Dec 08        765 36%
NYU Hospitals Center New York NY May 13     1,016
Aug 09        401 153%
Catholic Health Services Long Island Rockville Centre NY  Jun 13         971
Dec 08        561 73%
Montefiore Medical Center New York NY  Jun 13         765
Dec 08        320 139%
Hospital for Special Surgery New York NY  Jun 13         509
Dec 08        269 89%
Albany Medical Center Albany NY  Jun 13         414
Dec 08        113 266%









Total all 10


  16,902

    9,077 86%

As you can see from the above chart, the Total Net Assets of these 10 New York Non-Profit Hospital Organizations increased by an exceptional 86% to $16.902 bil during the Obama Administration.

In the most recent 4.5 years, Sloan-Kettering Cancer Center generated Total Non-Operating Investment Income of $687 mil, which comprised a huge 52% of its Total Bottom Line Profits (Excess of Revenues over Expenses) of $1.323 bil.

This Sloan-Kettering's Total Bottom Line Profit of $1.323 bil was a high 11.3% of its Total Revenues over the same time span.  This 11.3% Profit Margin exceeds that generated by more than half of the 30 Dow Industrials companies.  Does that make any sense?  I don't think so.

In the four years from 2009 through 2012, The New York and Presbyterian Hospital generated Total Bottom Line Profits of $883 mil, which was 6.2% of its Total Revenues over the same time span.

In the most recent 4.5 years, North Shore Long Island Jewish Hospital generated Total Bottom Line Profits exclusive of economic gains from business acquisitions of $1.004 bil, which was a seemingly very reasonable 4.0% of its Total Revenues over the same time span.

For the most recent 4.5 years, Mount Sinai Hospital generated Total Bottom Line Profits of $677 mil, which was a high 9.0% of its Total Revenues over the same time period.  This 9.0% Bottom Line Profit Margin isn't that far below the 9.6% Combined Bottom Line Profit Margin of the 30 prestigious Dow Industrial companies.

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.