In this post, I am updating this earlier study by performing a bit more thorough review of EMMA, and I found 40 additional US Non-Profit Hospital Organizations.
Below here are these 205 Non-Profit Hospital Organizations I found with other than December fiscal year ends and with Net Asset positions of more than $400 mil at the most recent date reported:
Most | 2009 | ||||||
Most | Recent | 2009 | FYE | ||||
Recent | Balance | FYE | Balance | Obama | |||
Balance | Sheet | Balance | Sheet | Bump | |||
State | Sheet | Net | Sheet | Net | % | ||
Hospital Organization | HQs | Date | Assets | Date | Assets | Change | |
mil $s | mil $s | ||||||
Those With 4.00 Year Net Asset Change | |||||||
Ascension Health | MO | Jun 13 | 17,131 | Jun 09 | 8,275 | 107% | |
Catholic Health Initiatives | CO | Jun 13 | 8,246 | Jun 09 | 5,505 | 50% | |
Dignity Health | CA | Jun 13 | 6,061 | Jun 09 | 3,622 | 67% | |
Trinity Health | MI | Jun 13 | 5,803 | Jun 09 | 4,030 | 44% | |
St Joseph Health System | CA | Jun 13 | 4,964 | Jun 09 | 2,076 | 139% | |
UPMC (Pittsburgh) | PA | Jun 13 | 4,617 | Jun 09 | 2,756 | 68% | |
Johns Hopkins Health System | MD | Jun 13 | 3,430 | Jun 09 | 1,273 | 169% | |
Baylor Health System | TX | Jun 13 | 3,269 | Jun 09 | 2,166 | 51% | |
Christus Health | TX | Jun 13 | 2,607 | Jun 09 | 2,119 | 23% | |
Duke University Health System | NC | Jun 13 | 2,586 | Jun 09 | 1,392 | 86% | |
Hospital Sisters Health System | IL | Jun 13 | 2,252 | Jun 09 | 1,697 | 33% | |
Memorial Hermann Healthcare System | TX | Jun 13 | 2,236 | Jun 09 | 1,509 | 48% | |
Oregon Health & Science University | OR | Jun 13 | 2,169 | Jun 09 | 1,570 | 38% | |
Geisinger Health System | PA | Jun 13 | 2,044 | Jun 09 | 901 | 127% | |
University Penn Health System | PA | Jun 13 | 2,041 | Jun 09 | 1,163 | 75% | |
Spectrum Health System | MI | Jun 13 | 1,899 | Jun 09 | 1,128 | 68% | |
Sanford Health | SD | Jun 13 | 1,883 | Jun 09 | 1,242 | 52% | |
Rush University Medical Center | IL | Jun 13 | 1,734 | Jun 09 | 1,073 | 62% | |
PeaceHealth | WA | Jun 13 | 1,617 | Jun 09 | 897 | 80% | |
South Broward Hospital District | FL | Apr 13 | 1,526 | Apr 09 | 1,011 | 51% | |
Virginia Commonwealth Univ Health | VA | Jun 13 | 1,382 | Jun 09 | 756 | 83% | |
University Maryland Medical System | MD | Jun 13 | 1,373 | Jun 09 | 904 | 52% | |
Froedtert Health | WI | Jun 13 | 1,341 | Jun 09 | 824 | 63% | |
Avera Health | SD | Jun 13 | 1,324 | Jun 09 | 675 | 96% | |
Franciscan Missionaries Our Lady Health | LA | Jun 13 | 1,254 | Jun 09 | 830 | 51% | |
University North Carolina Hospitals | NC | Jun 13 | 1,241 | Jun 09 | 911 | 36% | |
Children's Hospital Los Angeles | CA | Jun 13 | 1,124 | Jun 09 | 758 | 48% | |
Lehigh Valley Health Network | PA | Jun 13 | 1,066 | Jun 09 | 590 | 81% | |
North Carolina Baptist Hospital | NC | Jun 13 | 1,027 | Jun 09 | 715 | 44% | |
Piedmont Health Care | GA | Jun 13 | 961 | Jun 09 | 608 | 58% | |
Baylor College of Medicine | TX | Jun 13 | 948 | Jun 09 | 965 | -2% | |
Lancaster General Health | PA | Jun 13 | 942 | Jun 09 | 622 | 51% | |
Wheaton Franciscan Health | WI | Jun 13 | 937 | Jun 09 | 704 | 33% | |
Reading Hospital | PA | Jun 13 | 895 | Jun 09 | 730 | 23% | |
Shands Teaching Hospitals & Clinics | FL | Jun 13 | 876 | Jun 09 | 569 | 54% | |
Rady Children's Hospital | CA | Jun 13 | 832 | Jun 09 | 387 | 115% | |
Arkansas Children's Hospital | AR | Jun 13 | 829 | Jun 09 | 582 | 42% | |
Essentia Health | MN | Jun 13 | 801 | Jun 09 | 519 | 54% | |
Abington Health | PA | Jun 13 | 764 | Jun 09 | 518 | 47% | |
Harris County Hospital District (Houston) | TX | Feb 13 | 745 | Feb 09 | 767 | -3% | |
Centracare Health System | MN | Jun 13 | 694 | Jun 09 | 381 | 82% | |
Mountain States Health Alliance | TN | Jun 13 | 681 | Jun 09 | 450 | 51% | |
Phoebe Putney Health System | GA | Jul 13 | 664 | Jul 09 | 481 | 38% | |
Wake Forest Univ Health Sciences | NC | Jun 13 | 656 | Jun 09 | 510 | 29% | |
MidMichigan Health | MI | Jun 13 | 627 | Jun 09 | 414 | 51% | |
Guthrie Health | PA | Jun 13 | 624 | Jun 09 | 375 | 66% | |
LifeBridge Health | MD | Jun 13 | 607 | Jun 09 | 406 | 50% | |
Renown Health | NV | Jun 13 | 601 | Jun 09 | 501 | 20% | |
Nebraska Medical Center | NE | Jun 13 | 593 | Jun 09 | 470 | 26% | |
Regional Health | SD | Jun 13 | 578 | Jun 09 | 326 | 77% | |
Pinnacle Health System | PA | Jun 13 | 566 | Jun 09 | 304 | 86% | |
North Kansas City Hospital | MO | Jun 13 | 549 | Jun 09 | 452 | 21% | |
Albert Einstein Healthcare Network | PA | Jun 13 | 525 | Jun 09 | 401 | 31% | |
Genesis Health System | IA | Jun 13 | 523 | Jun 09 | 387 | 35% | |
Rex Healthcare | NC | Jun 13 | 478 | Jun 09 | 297 | 61% | |
St Luke's University Health Network | PA | Jun 13 | 475 | Jun 09 | 298 | 59% | |
Immanuel Health Systems | NE | Jun 13 | 460 | Jun 09 | 415 | 11% | |
Saint Francis Medical Center | MO | Jun 13 | 454 | Jun 09 | 274 | 66% | |
Clarkson Regional Health Services | NE | Jun 13 | 448 | Jun 09 | 343 | 31% | |
Munson Healthcare | MI | Jun 13 | 444 | Jun 09 | 264 | 68% | |
Susquehanna Health System | PA | Jun 13 | 436 | Jun 09 | 226 | 93% | |
Gwinnett Hospital System | GA | Jun 13 | 434 | Jun 09 | 327 | 33% | |
Community Healthcare System | IN | Jun 13 | 428 | Jun 09 | 289 | 48% | |
Heartland Regional Medical Center | MO | Jun 13 | 420 | Jun 09 | 214 | 96% | |
Eisenhower Medical Center | CA | Jun 13 | 410 | Jun 09 | 515 | -20% | |
Total all 65 | 112,152 | 68,659 | 63% | ||||
Those With 3.75 Year Net Asset Change | |||||||
Partners Healthcare System | MA | Jun 13 | 5,859 | Sep 09 | 4,975 | 18% | |
Children's Medical Center Boston | MA | Jun 13 | 3,277 | Sep 09 | 2,516 | 30% | |
Mercy Health | MO | Mar 13 | 3,179 | Jun 09 | 2,118 | 50% | |
St Jude Children's Research Hospital | TN | Mar 13 | 2,979 | Jun 09 | 1,907 | 56% | |
Northwestern Memorial Health Care | IL | May 13 | 2,915 | Aug 09 | 1,642 | 78% | |
Texas Children's Hospital | TX | Jun 13 | 2,865 | Sep 09 | 2,088 | 37% | |
Children's Hospital Philadelphia | PA | Mar 13 | 2,599 | Jun 09 | 1,938 | 34% | |
Baptist Health South Florida | FL | Jun 13 | 2,554 | Sep 09 | 1,571 | 63% | |
OhioHealth | OH | Mar 13 | 2,547 | Jun 09 | 1,259 | 102% | |
Scripps Health | CA | Jun 13 | 2,507 | Sep 09 | 1,354 | 85% | |
Jefferson Health System | PA | Mar 13 | 2,493 | Jun 09 | 1,860 | 34% | |
Stanford Hospitals & Clinics | CA | May 13 | 2,099 | Aug 09 | 807 | 160% | |
NorthShore University Health System | IL | Jun 13 | 1,939 | Sep 09 | 1,443 | 34% | |
Baptist Memorial Health Care | TN | Jun 13 | 1,839 | Sep 09 | 1,501 | 23% | |
Seattle Children's Healthcare | WA | Jun 13 | 1,759 | Sep 09 | 1,195 | 47% | |
Sharp Health Care | CA | Jun 13 | 1,702 | Sep 09 | 806 | 111% | |
Cadence Health | IL | Mar 13 | 1,696 | Jun 09 | 879 | 93% | |
Packard Children's Hospital at Stanford | CA | May 13 | 1,661 | Aug 09 | 1,068 | 56% | |
Cook Children's Health | TX | Jun 13 | 1,651 | Sep 09 | 840 | 97% | |
Baptist Healthcare System | KY | May 13 | 1,488 | Aug 09 | 1,036 | 44% | |
CareGroup Healthcare System | MA | Jun 13 | 1,453 | Sep 09 | 978 | 49% | |
Christiana Care Health Services | DE | Mar 13 | 1,452 | Jun 09 | 881 | 65% | |
Children's Memorial Chicago Med Center | IL | May 13 | 1,394 | Aug 09 | 1,051 | 33% | |
LifeSpan | RI | Jun 13 | 1,338 | Sep 09 | 1,225 | 9% | |
Cone Health | NC | Jun 13 | 1,272 | Sep 09 | 894 | 42% | |
Baptist Health System (Jacksonville) | FL | Jun 13 | 1,244 | Sep 09 | 687 | 81% | |
Mission Health System | NC | Jun 13 | 1,224 | Sep 09 | 882 | 39% | |
Medical College Wisconsin | WI | Mar 13 | 1,213 | Jun 09 | 808 | 50% | |
University Chicago Medical Center | IL | Mar 13 | 1,201 | Jun 09 | 823 | 46% | |
Orlando Health | FL | Jun 13 | 1,152 | Sep 09 | 875 | 32% | |
Dana-Farber Cancer Institute | MA | Jun 13 | 1,130 | Sep 09 | 836 | 35% | |
Wellstar Health System | GA | Mar 13 | 1,111 | Jun 09 | 715 | 55% | |
Ministry Health Care | WI | Jun 13 | 1,065 | Sep 09 | 730 | 46% | |
Methodist Health System (Dallas) | TX | Jun 13 | 1,042 | Sep 09 | 627 | 66% | |
MedStar Health | MD | Mar 13 | 1,038 | Jun 09 | 647 | 60% | |
Boston Medical Center | MA | Jun 13 | 1,031 | Sep 09 | 1,026 | 0% | |
NYU Hospitals Center | NY | May 13 | 1,016 | Aug 09 | 401 | 153% | |
McLaren Health Care | MI | Jun 13 | 995 | Sep 09 | 682 | 46% | |
Hartford Health Care | CT | Jun 13 | 995 | Sep 09 | 661 | 51% | |
Queens Health System | HI | Mar 13 | 993 | Jun 09 | 548 | 81% | |
Bon Secours Health System | MD | May 13 | 982 | Aug 09 | 703 | 40% | |
UAB Health System (Birmingham) | AL | Jun 13 | 974 | Sep 09 | 744 | 31% | |
Greenville Hospital System | SC | Jun 13 | 968 | Sep 09 | 802 | 21% | |
Children's Mercy Hospitals (KC) | MO | Mar 13 | 944 | Jun 09 | 668 | 41% | |
Vidant Health | NC | Jun 13 | 931 | Sep 09 | 587 | 59% | |
Integris Health | OK | Mar 13 | 907 | Jun 09 | 774 | 17% | |
WakeMed Health | NC | Jun 13 | 890 | Sep 09 | 719 | 24% | |
McLeod Health | SC | Jun 13 | 864 | Sep 09 | 533 | 62% | |
Yale-New Haven Hospital | CT | Jun 13 | 849 | Sep 09 | 588 | 44% | |
Scott & White Healthcare | TX | May 13 | 847 | Aug 09 | 686 | 23% | |
St. Luke's Health System | ID | Jun 13 | 824 | Sep 09 | 577 | 43% | |
OSF Healthcare System | IL | Jun 13 | 822 | Sep 09 | 684 | 20% | |
Palmetto Health | SC | Jun 13 | 807 | Sep 09 | 593 | 36% | |
Lee Memorial Health System | FL | Jun 13 | 802 | Sep 09 | 576 | 39% | |
Children's National Medical Center | DC | Mar 13 | 789 | Jun 09 | 439 | 80% | |
Sarasota County Hospital District | FL | Jun 13 | 754 | Sep 09 | 542 | 39% | |
Community Medical Centers | CA | May 13 | 717 | Aug 09 | 390 | 84% | |
Scottsdale Healthcare | AZ | Jun 13 | 689 | Sep 09 | 435 | 58% | |
UMass Memorial HealthCare | MA | Jun 13 | 675 | Sep 09 | 545 | 24% | |
Children's Hospital Central Calif | CA | Jun 13 | 657 | Sep 09 | 281 | 134% | |
SouthCoast Health System | MA | Jun 13 | 648 | Sep 09 | 485 | 34% | |
CoxHealth | MO | Jun 13 | 628 | Sep 09 | 456 | 38% | |
Fletcher Allen | VT | Jun 13 | 623 | Sep 09 | 341 | 83% | |
CaroMont Health | NC | Mar 13 | 621 | Jun 09 | 386 | 61% | |
First Health of the Carolinas | NC | Jun 13 | 616 | Sep 09 | 458 | 34% | |
Health First | FL | Jun 13 | 604 | Sep 09 | 481 | 26% | |
Edward Health Services | IL | Mar 13 | 603 | Jun 09 | 369 | 63% | |
All Children's Hospital (St Pete) | FL | Jun 13 | 600 | Sep 09 | 516 | 16% | |
Lahey Clinic Medical Center | MA | Jun 13 | 593 | Sep 09 | 357 | 66% | |
New Hanover | NC | Jun 13 | 579 | Sep 09 | 450 | 29% | |
Memorial Health System | IL | Jun 13 | 576 | Sep 09 | 415 | 39% | |
ProHealth Care | WI | Jun 13 | 569 | Sep 09 | 423 | 35% | |
Baystate Medical Center | MA | Jun 13 | 555 | Sep 09 | 361 | 54% | |
Spartanburg Regional Healthcare System | SC | Jun 13 | 551 | Sep 09 | 487 | 13% | |
Northern Arizona Healthcare | AZ | Mar 13 | 548 | Jun 09 | 354 | 55% | |
Northeast Georgia Health System | GA | Jun 13 | 543 | Sep 09 | 307 | 77% | |
Lakeland Regional Medical Center | FL | Jun 13 | 535 | Sep 09 | 390 | 37% | |
UC Health (Cincinnati) | OH | Mar 13 | 529 | Jun 09 | 415 | 27% | |
WellSpan Health | PA | Mar 13 | 522 | Jun 09 | 387 | 35% | |
Wellmont Health System | TN | Mar 13 | 514 | Jun 09 | 325 | 58% | |
Tampa General Hospital | FL | Jun 13 | 514 | Sep 09 | 331 | 55% | |
Little Company Mary Hosps & Healthcare | IL | Mar 13 | 511 | Jun 09 | 310 | 65% | |
Children's Hospital Orange County | CA | Mar 13 | 509 | Jun 09 | 412 | 24% | |
Northwest Community Healthcare | IL | Jun 13 | 508 | Sep 09 | 462 | 10% | |
PIH Health | CA | Jun 13 | 506 | Sep 09 | 400 | 27% | |
Asante Health System | OR | Jun 13 | 503 | Sep 09 | 294 | 71% | |
BayHealth Medical Center | DE | Mar 13 | 499 | Jun 09 | 276 | 81% | |
Self Regional Healthcare | SC | Jun 13 | 498 | Sep 09 | 305 | 63% | |
Deaconess Health System | IN | Jun 13 | 493 | Sep 09 | 365 | 35% | |
Lakeland Hospitals | MI | Jun 13 | 486 | Sep 09 | 353 | 38% | |
Carilion Clinic | VA | Jun 13 | 484 | Sep 09 | 357 | 36% | |
Bryan Medical Center | NE | Feb 13 | 477 | May 09 | 383 | 25% | |
Halifax Hospital Medical Center | FL | Jun 13 | 469 | Sep 09 | 380 | 23% | |
Cape Cod Healthcare | MA | Jun 13 | 465 | Sep 09 | 288 | 61% | |
Archbold Medical Center | GA | Jun 13 | 465 | Sep 09 | 364 | 28% | |
NCH Healthcare System | FL | Jun 13 | 428 | Sep 09 | 353 | 21% | |
Fremont-Rideout Health Group | CA | Mar 13 | 424 | Jun 09 | 313 | 35% | |
Dartmouth-Hitchcock | NH | Jun 13 | 417 | Sep 09 | 387 | 8% | |
Washington Hospital Healthcare System | CA | Mar 13 | 413 | Jun 09 | 300 | 38% | |
Cape Fear Valley Health System | NC | Jun 13 | 408 | Sep 09 | 315 | 30% | |
H. Lee Moffitt Cancer Center | FL | Mar 13 | 402 | Jun 09 | 352 | 14% | |
Total all 101 | 111,095 | 76,109 | 46% | ||||
The Rest With 2.81 Year Net Asset Change | |||||||
Legacy Health System | OR | Jun 13 | 962 | Mar 09 | 618 | 56% | |
Via Christi Health | KS | Mar 13 | 1,107 | Sep 09 | 846 | 31% | |
Alexian Brothers Health System | IL | Jun 13 | 440 | Dec 09 | 422 | 4% | |
St Anthony's Medical Center | MO | Dec12 | 371 | Jun 09 | 344 | 8% | |
Saint Francis Health System | OK | Sep 12 | 1,486 | Jun 09 | 946 | 57% | |
North Broward Hospital District | FL | Sep 12 | 712 | Jun 09 | 564 | 26% | |
University Kansas Hospital | KS | Sep 12 | 645 | Jun 09 | 422 | 53% | |
Cedars-Sinai Medical Center | CA | Jun 12 | 2,058 | Jun 09 | 1,517 | 36% | |
U Cal, LA Medical Center | CA | Jun 12 | 1,826 | Jun 09 | 1,350 | 35% | |
Hoag Memorial Hospital Presbyterian | CA | Sep 12 | 1,653 | Sep 09 | 1,375 | 20% | |
University Michigan Hospitals & Health | MI | Jun 12 | 1,635 | Jun 09 | 1,537 | 6% | |
Memorial Health Services | CA | Jun 12 | 1,525 | Jun 09 | 955 | 60% | |
Children's Hospital Cincinnati | OH | Jun 12 | 1,476 | Jun 09 | 1,140 | 29% | |
Dallas County Hospital (Parkland) | TX | Sep 12 | 1,213 | Sep 09 | 962 | 26% | |
U Cal, San Francisco Medical Center | CA | Jun 12 | 1,169 | Jun 09 | 761 | 54% | |
University Iowa Hospitals & Clinics | IA | Jun 12 | 1,162 | Jun 09 | 969 | 20% | |
U Cal, Davis Medical Center | CA | Jun 12 | 1,022 | Jun 09 | 794 | 29% | |
University Colorado Hospital | CO | Jun 12 | 931 | Jun 09 | 471 | 98% | |
Central Georgia Health System | GA | Sep 12 | 920 | Sep 09 | 789 | 17% | |
El Camino Hospital | CA | Jun 12 | 877 | Jun 09 | 685 | 28% | |
Univ Oklahoma Health Sciences Ctr | OK | Jun 12 | 868 | Jun 09 | 717 | 21% | |
U Cal, San Diego Medical Center | CA | Jun 12 | 859 | Jun 09 | 569 | 51% | |
University Wisconsin Hosps & Clinics | WI | Jun 12 | 775 | Jun 09 | 514 | 51% | |
University Mississippi Medical Center | MS | Jun 12 | 688 | Jun 09 | 630 | 9% | |
North Mississippi Health Services | MS | Sep 12 | 675 | Sep 09 | 670 | 1% | |
Tarrant County Hospital District | TX | Sep 12 | 671 | Sep 09 | 638 | 5% | |
Lexington County Hlth Svcs District | SC | Sep 12 | 607 | Sep 09 | 454 | 34% | |
U Cal, Irvine Medical Center | CA | Jun 12 | 605 | Jun 09 | 631 | -4% | |
Poudre Valley Health System | CO | Jun 12 | 592 | Jun 09 | 394 | 50% | |
Willis-Knighton Medical Center | LA | Sep 12 | 580 | Sep 09 | 430 | 35% | |
University Utah Hospitals & Clinics | UT | Jun 12 | 434 | Jun 09 | 341 | 27% | |
Christ Hospital Health Network | OH | Jun 13 | 430 | Jun 10 | 289 | 49% | |
Hartford Hospital | CT | Sep 10 | 594 | Sep 09 | 569 | 4% | |
Hamilton Health Care System | GA | Jun 13 | 404 | Sep 11 | 335 | 21% | |
St Luke's University Hospital | NJ | Jun 13 | 485 | Jun 12 | 364 | 33% | |
Eastern Maine Healthcare System | ME | Jun 13 | 550 | Sep 12 | 511 | 8% | |
U Colorado Health | CO | Jun 13 | 1,818 | Sep 11 | 1,319 | 38% | |
Presence Health | IL | Jun 13 | 851 | Dec 11 | 713 | 19% | |
Resurrection Health | IL | Dec 11 | 497 | Jun 09 | 444 | 12% | |
Total all 39 | 36,173 | 27,999 | 29% |
In my most recent post, the 92 Non-Profit Hospital Organizations with December FYEs and with Net Assets at June 30, 2013 of more than $400 mil each experienced a Total Net Assets increase of a massive 78% during the first 4 1/2 years of the Obama Administration.
As you can see from the above chart, the longer the Net Asset period length, the higher the Net Asset Percentage increase. The 65 Non-Profit Hospital Organizations with a 4.00 year period length, nearly all with June FYEs, had a Total Net Asset increase of a very robust 63% and the 101 Non-Profit Hospital Organizations with a 3.75 year period length had a Total Net Asset increase of a robust 46%.
Probably more than anything else, the long-term financial status of US Non-Profit Hospitals will determine ultimately how successful the Affordable Care Act (ACA) will be.
The key single measure of the financial strength of a Non-Profit Hospital Organization is its Net Assets, the excess of its Total Assets over its Total Liabilities.
When I combine my sample of December and Non-December FYE Non-profit Hospital Organizations, there are 309 of them in total with a Total Net Asset Position of $443.7 bil, and a significant number of these are Net Assets Positions earlier than June 2013. From my past research, the total number of hospitals included in these 309 Non-Profit Hospital Organizations represent significantly less than half of all non-profit hospitals. Thus my estimate is that the Total Net Assets of all Non-profit Hospital Organizations now is above $700 bil. When I project this out, I get Total Net Assets of all Non-profit Hospital Organizations of above $1 trillion at the end of the Obama Administration's second term.
These Non-profit hospitals have operated on all cylinders financially during the Obama Administration. It is pretty clear to me that these 309 large Non-profit Hospital Organizations have the exceptional financial strength to make the ACA work very effectively.
Hospitals have done a great job so far in substantially reducing the percentage increase in Total US Health Care costs in each of the most recent three years. And with their substantially enhanced Net Asset Positions, or Financial Strength, during the Obama Administration and under Obamacare, they will be doing an even better job in future years.
So, the Net Asset (Financial Strength) Enhancement of the Non-Profit Hospitals during the Obama Administration and under Obamacare has been truly remarkable. The main driver here is the very strong Bottom Line Profits of these Non-Profit Hospital Organizations, which were a huge 9.4% of Total Revenues in the most recent year for the 41 largest Non-Profit Hospital Organizations, just short of 9.6% of Total Revenues generated by the 30 Dow Industrial companies companies.
When I put this altogether, with the huge Bottom-Line Profits and massive increases in Net Assets of the Non-Profit Hospital Organizations, and with all of this occurring when the Non-Profit Hospitals were able to also substantially bend down the US Health Care Cost Curve in each of the most recent three years, and 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, the logical focus for reducing the US Deficits in the long term should be on reducing much further the amounts Medicare pays to the Hospitals, rather than on reducing Medicare benefits received by the middle and lower classes.
To get to a good and fair grand debt bargain right now, I think there has to be in total over the next ten years at least another $500 bil reduction in Medicare payments to hospitals and to other health care providers.