Below here are the Net Assets of these 4 Alabama Hospital Organizations at both the most recent reported date and also at the Fiscal Year End (FYE) closest to the beginning of the Obama Administration:
| FYE | Balance | Net | ||||||
| Most | Balance | Sheet | Assets | |||||
| Most | Recent | Sheet | Net | % | ||||
| Recent | Balance | Date | Assets | Change | ||||
| Balance | Sheet | Beginning | Beginning | During | ||||
| City | State | Sheet | Net | Obama | Obama | Obama | ||
| Alabama Hospital Organization | HQs | HQs | Date | Assets | Admin | Admin | Admin | |
| mil $s | mil $s | |||||||
| Non-Profit Hospitals | ||||||||
| UAB Health System | Birmingham | AL | Dec 13 | 1,003 | Sep 09 | 744 | 35% | |
| Children's Hospital Alabama | Birmingham | AL | Dec 13 | 858 | Dec 08 | 418 | 105% | |
| City of Huntsville Health Care Authority | Huntsville | AL | Dec 13 | 815 | Jun 09 | 569 | 43% | |
| Total all 3 Non-Profit Hospitals | 2,676 | 1,731 | 55% | |||||
| Publicly-held Hospital Company | ||||||||
| HealthSouth | Birmingham | AL | Dec 13 | 469 | Dec 08 | (1,087) | 143% | |
| Total all 4 Non-Profit and Publicly-held Hospitals | 3,145 | 644 | 388% | |||||
As you can see from the above chart, the Total Net Assets (Financial Strength) of these 4 Alabama Non-Profit and Publicly-held Hospitals increased by a spectacularly off-the-charts 388% to $3.145 bil for their average 4.69 years during the Obama Administration.
Very positively impacting this phenomenal increase in the Net Assets (Financial Strength) of these 4 Alabama Hospital Organizations 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 very impressive increase in Net Assets (Financial Strength) of these 4 Alabama Hospital Organizations.
A remarkable thing is that these very robust increases in Net Assets (Financial Strength) of these Hospital Organizations occurred when these Hospitals were also playing very instrumental roles in the substantial annual percentage growth reduction of Total US Health Care Costs which occurred in each of the most recent three years under the ACA.
With such impressive Net Asset percentage increases of these 4 Alabama Hospitals, a key beneficiary of this will be Alabama citizens electing to buy health insurance on the Health Insurance Exchange. This exceptionally strong Net Asset growth gives these Alabama Hospitals the financial flexibility to moderate their pricing for hospital procedures in their negotiations with health insurance companies which ultimately determines what insurance premium prices are set at by health insurance companies on the Health Insurance Exchange.
If Alabama were to elect full Medicaid expansion, there would be a substantial increase in profits and thus also in Net Assets in all Alabama Hospitals, which would likewise give these Alabama Hospitals the financial flexibility to moderate their pricing for hospital procedures in their negotiations with health insurance companies which ultimately determines what insurance premium prices are set at by health insurance companies on the Health Insurance Exchange.
Alabama Struggling Hospitals
From EMMA, I found 18 Alabama Non-Profit Hospital Organizations with Total Operating Revenues of $10 mil or more. Below here are the 10 of them with Operating Income as a Percentage of Total Operating Revenues below 2.0%:
| Operating | |||||
| Operating | Total | Income | Fiscal | ||
| City | Income | Operating | (Loss) | Year | |
| HQs | (Loss) | Revenues | Margin | End | |
| mils $s | mils $s | % | |||
| Alabama Non-Profit Hospital Organizations | |||||
| Henry County Health Care Auth | Abbeville | (0.6) | 11 | -5.5% | Jun 12 |
| Bibb County Health Care Auth | Centreville | (0.6) | 14 | -4.3% | Sep 12 |
| Jackson County Health Care Auth | Scottsboro | (2.2) | 52 | -4.2% | Sep 12 |
| Monroe County Health Care Auth | Monroeville | (0.8) | 22 | -3.6% | Sep 12 |
| Houston County Health Auth | Dothan | (3.8) | 292 | -1.3% | Sep 13 |
| Infirmary Health System | Mobile | (7.7) | 597 | -1.3% | Mar 13 |
| Marshall County Health Auth | Guntersville | (1.6) | 139 | -1.2% | Sep 13 |
| Baptist Health System | Birmingham | 0.8 | 554 | 0.1% | Dec 13 |
| Colbert County NW Health Care Auth | Sheffield | 1.2 | 111 | 1.1% | Sep 13 |
| DCH Health Care Authority | Tuscaloosa | 7.8 | 463 | 1.7% | Sep 13 |
| Total all 10 | (7.5) | 2,255 | -0.3% |
As you can see from the above chart, the majority of Alabama Hospitals are struggling financially.
By far the best and only way to solve this financially devastating problem is for the State of Alabama to fully expand Medicaid. If Alabama did this, with the resultant massive inflow of Patient Revenues from Medicaid expansion, all of these financially struggling Alabama Hospitals would get substantial operating profit improvement and thus also a very nice Net Asset improvement.
If Alabama were to expand Medicaid, one of the key beneficiaries of this resultant very healthy improvement in the Total Net Assets of all Alabama Hospitals would be Alabama citizens electing to buy health insurance on the Health Insurance Exchange. This exceptional Net Asset growth from Medicaid expansion would give all Alabama Hospitals the financial flexibility to moderate their pricing for hospital and other health care procedures in their negotiations with health insurance companies which ultimately determines what insurance premium prices are set at by health insurance companies on the Health Insurance Exchange.
