Indiana Non-Profit Hospital Earnings On Fire Under Obamacare and Headed Much Higher

From a review of the Electronic Municipal Market Access (EMMA), I found 9 Non-Profit Hospital Organizations headquartered in the State of Indiana with Net Assets at the most recent date reported of more than $400 mil each.  Below here are the Bottom Line Profits, Total Operating Revenues  and the related Profit Margin Percentages in the most recent audited fiscal year reported for each of these 9 Indiana Non-Profit Hospital Organizations:

		Most
		Recent
		Annual	Bottom
		Fiscal	Line	Total	Profit
	City	Year	Net	Operating	Margin
	HQs	End	Income	Revenues	%
			mils $s	mils $s
Indiana Non-Profit Hospital Organizations
Indiana University Health	Indianapolis	Dec 2012	719	5,578	12.9%
St Vincent Health	Indianapolis	Jun 2013	328	2,761	11.9%
Franciscan Alliance	Mishawaka	Dec 2012	223	2,627	8.5%
Community Health Network	Indianapolis	Dec 2012	198	1,667	11.9%
Beacon Health	South Bend	Dec 2012	182	886	20.5%
Parkview Health	Fort Wayne	Dec 2012	130	1,073	12.1%
St Mary's Health	Evansville	Jun 2012	54	488	11.1%
Deaconess Health	Evansville	Sep 2012	47	677	6.9%
Community Foundation NW Ind	Munster	Jun 2013	40	891	4.5%
Total all 9			1,921	16,648	11.5%

As you can see in the above chart, the Total Bottom Line Profits for these 9 Indiana Non-Profit Hospital Organizations was $1.921 bil in the most recent audited fiscal year reported, which was an exceptionally robust 11.5% of Total Operating Revenues.  As a comparison, the Combined Bottom Line Profit Margin of the prestigious 30 Dow Industrial companies is a much lower 9.6% of their Total Revenues in the most recent year.  CEOs and CFOs of the 30 Dow Industrial companies keenly aware of how difficult it is for them to generate profit margin percentages must be shaking their heads at how Non-Profit Hospitals can be doing so well on the profit margin percentage front.

When you compare the 11.5% Total Bottom Line Profit Margin of these 9 Indiana Non-Profit Hospital Organizations with the 9.6% Total Bottom Line Profit Margin of the 30 Dow Industrials, which are some of the very best For-Profit US companies, the clear conclusion is that the earnings of these Indiana Non-Profit Hospital Organizations in the most recent year were on fire.

But it also reveals a main reason why the US Health Care Costs are so much out of control.....Hospitals charge way too much and retain these excess charges in their Bottom Line Profits which get added to their massive treasure chest of Investments in Stocks and Bonds.  And the US Congress, both Republicans and Democrats, nearly all 100% subservient to Hospitals, just sits there and twiddles its thumbs and refuses to work together for the common good of the country.  With this complete lack of governance, coupled with consistently choosing Hospitals over People, it's no wonder why the approval rating of the US Congress is now less than 10%.

These very strong bottom line profits of these 9 Indiana Non-Profit Hospital Organizations were attributable to superb fiscal measures and much more effective health care delivery adopted by hospital executives and hospital employees, which were initiated in conjunction with Obamacare.  In addition, the strong US stock market and lower interest rates added to investment returns and thus also to bottom line profits of these Hospital Organizations.

But there's even more to this incredibly massive earnings story.

When the Insurance Exchanges kick in starting in 2014, these Indiana Non-Profit Hospital Organizations should see their profits increase even more......and by quite a bit more.

Under the Affordable Care Act (ACA), Hospital Organizations' both future Hospital Operating Income and future Bottom Line Income will be bolstered robustly due to many of the Uninsured getting insurance and also due to the many of the Underinsured getting much better insurance.

With these very exceptionally strong, ongoing Indiana Hospital earnings under Obamacare, the ultimate result should be a reduction in hospital patient charges, a bending back of the US Long-term Total Health Care Cost Curve and a reduction in the US Debt.

That's quite a financial Trifecta!

And it also only makes sense that some of these huge past and future bottom line profits of these US Hospital Organizations, both Non-Profit and For-Profit ones, should be used to wisely fund a substantial portion of the elimination of the US Government Sequester Cost Cuts over the next several years which are now being negotiated by 29 US Congressional members of the Bicameral Committee Conference on Budget Negotiations.  Both clear-thinking Republicans and clear-thinking Democrats should be on board with this wise funding vehicle.   

And lastly, it is just incredible how much the financial strength of these Indiana Non-Profit Hospitals has been enhanced during the Obama Administration.

From EMMA, below here are the Net Assets of these 9 Indiana Non-Profit Hospital Organizations at the most recent 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
Indiana University Health	Indianapolis	IN	Sep 13	3,861		Dec 08	1,434	169%
St Vincent Health	Indianapolis	IN	Jun 13	3,040		Jun 09	1,561	95%
Franciscan Alliance	Mishawaka	IN	Sep 13	2,119		Dec 08	1,463	45%
Parkview Health System	Fort Wayne	IN	Sep 13	987		Dec 08	543	82%
Beacon Health System	South Bend	IN	Jun 13	931		Dec 08	341	173%
Community Health Network	Indianapolis	IN	Jun 13	869		Dec 08	482	80%
Deaconess Health System	Evansville	IN	Jun 13	493		Sep 09	365	35%
St Mary's Health	Evansville	IN	Jun 12	448		Jun 09	292	53%
Community Foundation NW Indiana	Munster	IN	Sep 13	432		Jun 09	289	49%
Total all 9				13,180			6,770	95%

Yeah, these 9 Indiana Non-Profit Hospital Organizations had their Total Net Assets increase by a massive $6.410 bil to $13.180 bil, an increase of a huge 95% during the Obama Administration so far.  This $6.410 bil Net Asset increase comes predominantly from the tax-free cumulative earnings of these Indiana Hospitals during the Obama Administration.