Sunday, November 17, 2013

Minnesota Non-Profit Hospital Earnings Up 82% in the Most Recent Year Under Obamacare and Headed Higher

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 Bottom Line Profits in the most recent two audited fiscal years reported for each of these 8 Minnesota Non-Profit Hospital Organizations:



Most




Most Recent Prior



Recent Year Year



Annual Bottom Bottom

Fiscal Line Line Increase Increase

City Year Net Net (Decrease) (Decrease)

HQs End Income Income Amount %



mils $s mils $s mils $s
Minnesota Non-Profit Hospital Organizations











Mayo Clinic Rochester Dec 2012          859               651          208 32%
Health Partners Bloomington Dec 2012          206               220           (14) -6%
Allina Health  Minneapolis Dec 2012          200               102            98 96%
Fairview Health Minneapolis Dec 2012          166                (22)          188 855%
CentraCare Health St Cloud Jun 2013          149                 11          138 1255%
Essentia Health Minneapolis Jun 2013            93                 14            79 564%
Park Nicollet Health St Louis Park Dec 2012            66                 17            49 288%
Children's Hosp&Clinics Minneapolis Dec 2012            55                  (6)            61 1017%







Total all 8

      1,794               987          807 82%

Yeah, these 8 Minnesota Non-Profit Hospital Organizations generated Total Bottom Line Profits of $1.794 bil in the most recent fiscal year, which was a $807 mil increase, or an exceptional 82% increase, over the previous fiscal year.

But there's more to this earnings story.

So how have these Hospitals done in 2013 on the earnings front?  Six of these 8 have December fiscal year ends.  From EMMA, these 6 Minnesota Non-Profit Hospital Organizations generated Total Bottom Line Profits of $1.263 bil in the year-to-date 2013 interim periods disclosed in EMMA, which was another 27% increase from the prior year comparable periods, as you can see in the following chart:



2013 2012



Bottom Bottom



Line Line


City Interim Net Net Increase Increase

HQs Period Income Income (Decrease) (Decrease)



mils $s mils $s Amount %
Minneapolis Hospital Organizations












Mayo Clinic Rochester 9 Months Sept          689               551          138 25%
Allina Health  Minneapolis 9 Months Sept          238               171            67 39%
Fairview Health Minneapolis 9 Months Sept          172               116            56 48%
Health Partners Bloomington 6 Months Jun          102                 83            19 23%
Children's Hosp&Clinics Minneapolis 9 Months Sept            44                 46             (2) -4%
Park Nicollet Health St Louis Park 6 Months Jun            18                 27             (9) -33%







Total all 6

      1,263               994          269 27%

And 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 8 Minneapolis 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
Minneapolis Non-Profit Hospital Organizations









Mayo Clinic Rochester Dec 2012          859             8,844 9.7%
Health Partners Bloomington Dec 2012          206             3,975 5.2%
Allina Health  Minneapolis Dec 2012          200             3,278 6.1%
Fairview Health Minneapolis Dec 2012          166             3,218 5.2%
CentraCare Health St Cloud Jun 2013          149               938 15.9%
Essentia Health Minneapolis Jun 2013            93             1,648 5.6%
Park Nicollet Health St Louis Park Dec 2012            66             1,235 5.3%
Children's Hosp&Clinics Minneapolis Dec 2012            55               652 8.4%






Total all 8

      1,794           23,788 7.5%

As you can see in the above chart, the Total Bottom Line Profits for these 8 Minnesota Non-Profit Hospital Organizations was $1.794 bil in the most recent audited fiscal year reported, which was a very robust 7.5% of Total Operating Revenues.  As a comparison, the Combined Bottom Line Profit Margin of the prestigious 30 Dow Industrial companies was just a bit higher 9.6% of their Total Revenues in the most recent year.
 
When you review all of the above, the clear conclusion is that the recent earnings of these Minnesota Non-Profit Hospital Organizations 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%.

But there's even more to this positive earnings story.

When the Insurance Exchanges kick in starting in 2014, these Minnesota Non-Profit Hospital Organizations should see their profits increase even 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 strong, ongoing Minnesota 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 say 3 to 4 years which are now being negotiated by 29 US Congressional members of the Bilateral and 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 Minnesota Non-Profit Hospitals has been enhanced during the Obama Administration.

From EMMA, below here are the Net Assets of these 8 Minnesota Non-Profit Hospital Organizations at June 30, 2013 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%

Yeah, these 8 Minnesota Non-Profit Hospital Organizations had their Total Net Assets increase by a massive $6.963 bil to $12.897 bil, an increase of a huge 117% during the Obama Administration so far.  This $6.963 bil Net Asset increase comes predominantly from the tax-free cumulative earnings of these Minneapolis Hospitals during the Obama Administration.