Saturday, March 22, 2014

Arkansas Non-Profit Hospitals Net Assets Up 39% Under Obama and the Affordable Care Act

From a review of the Electronic Municipal Market Access (EMMA), I found 3 Non-Profit Hospital Organizations headquartered in the State of Arkansas with Net Assets (i.e. Financial Strength or Total Assets minus Total Liabilities) at the most recent date of more than $400 mil each.

Below here are the Net Assets of these 3 Arkansas 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
Hospital Organization HQs HQs Date Assets
Admin Admin Admin




mil $s

mil $s









Arkansas Children's Hospital Little Rock AR Dec 13        873
Jun 09          582 50%
University Arkansas Medical Sciences Little Rock AR Jun 13        784
Jun 09          642 22%
Baptist Health Little Rock AR Dec 12        665
Dec 08          449 48%









Total of all 3


     2,322

       1,673 39%

As you can see from the above chart, the Total Net Assets (Financial Strength) of these 3 Arkansas Non-Profit Hospital Organizations increased by a robust 39% to $2.322 bil for their average 4.17 years during the Obama Administration.

The real Net Asset growth will be higher than the above 39% since Baptist Health's above Net Asset amount is one year old.

Very positively impacting this very robust increase in the Net Assets (Financial Strength) of these 3 Arkansas 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 impressive increase in Net Assets (Financial Strength) of these 3 Arkansas Non-Profit Hospital Organizations.

A remarkable thing is that these very robust increases in Net Assets (Financial Strength) of these Non-Profit Hospital Organizations occurred when these Non-Profit 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 very solid Net Asset percentage increases of these 3 Arkansas Hospitals, a key beneficiary of this will be Arkansas citizens electing to buy health insurance on the Health Insurance Exchange.  This very robust Net Asset growth gives these Arkansas 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 Arkansas were to elect Medicaid expansion, there would be a substantial increase in profits and thus also in Net Assets in all Arkansas Hospitals, which would likewise give these Arkansas 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.

Arkansas Struggling Hospitals

From EMMA, I found 11 Arkansas Non-Profit Hospital Organizations with Total Annual Operating Revenues of $10 mil or more.  All 11 of them have Operating Income as a Percentage of Total Operating Revenues below 5.0%.  Below here are the 6 of them with Operating Income as a Percentage of Total Operating Revenues below 1.0%:









Operating Most

Operating Total Income Recent

City Income Operating (Loss) Fiscal

HQs (Loss) Revenues Margin Year


mils $s mils $s % End
Arkansas Non-Profit Hospital Organizations









University Arkansas Medical Sciences Little Rock     (629.4)      1,819 -34.6% Jun 2013
Jefferson Hospital Association Pine Bluff         (4.4)         179 -2.5% Jun 2013
Baptist Health Little Rock       (16.1)         837 -1.9% Dec 2012
Conway Regional Medical Ctr Conway         (2.6)         135 -1.9% Dec 2012
Baxter Regional Health Mountain Home         (2.1)         152 -1.4% Dec 2013
Arkansas Methodist Hospital Paragould          0.3           64 0.5% Jun 2012






Total all 6
    (654.3)      3,186 -20.5%

As you can see from the above chart, the majority of Arkansas Hospitals are struggling financially.

By far the best and only way to solve this financially devastating problem is for the State of Arkansas to fully expand Medicaid.  If Arkansas did this, with the resultant massive inflow of Patient Revenues from Medicaid expansion, all of these financially struggling Arkansas Hospitals would get substantial operating profit improvement and thus also a very nice Net Asset improvement.

If Arkansas were to expand Medicaid, one of the key beneficiaries of this resultant very healthy improvement in the Total Net Assets of all Arkansas Hospitals would be Arkansas citizens electing to buy health insurance on the Health Insurance Exchange.  This exceptional Net Asset growth from Medicaid expansion would give all Arkansas 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.