Friday, March 21, 2014

Colorado Hospitals Net Assets Up 71% Under Obama and the Affordable Care Act

From a review of the Electronic Municipal Market Access (EMMA) and SEC filings, I found 5 Non-Profit Hospital Organizations and 2 Publicly-held Hospital Related Companies all headquartered in the State of Colorado and all 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 7 Colorado 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
Non-Profit Hospitals







Catholic Health Initiatives Inverness CO Dec 13     8,838
Jun 09       5,505 61%
SCL Health Systems Denver CO Sep 13     2,223
Dec 08       2,263 -2%
U Colorado Health Ft. Collins CO Dec 13     2,020 Feb 09       1,172 72%
Children's Hospital Colorado Aurora CO Dec 13     1,275
Dec 08          678 88%
Denver Health & Hosp Authority Denver CO Dec 13        429
Dec 08          406 6%









Total all 5 Non-Profit Hospitals


   14,785

      10,024 47%









Publicly-held Hospital Related







DaVita Healthcare Partners Denver CO Mar 14      4,838
Dec 08        1,827 165%
Envision Healthcare Greenwood Village CO Dec 13      1,610
Dec 08           539 199%









Total both Publicly-Held


     6,448

       2,366 173%









Total all 7 Non-Profit & Publicly-held Hospital Related

   21,233

      12,390 71%

As you can see from the above chart, the Total Net Assets (Financial Strength) of these 7 Colorado Non-Profit and Publicly-held Hospital Related Companies increased by a very impressive 71% to $21.233 bil for their average 4.73 years so far during the Obama Administration.

U Colorado  Health was formed in 2012 and is comprised of the three former Hospital Organizations.....Aurora-based University of Colorado Hospital Authority, Ft. Collins-based Poudre Valley Health System and Colorado Springs-based Memorial Health System.  The 2009 Net Asset amount above for U Colorado Health is a combination of these 3 latter Hospital Organizations' Net Assets amounts back then.

Very positively impacting this very robust increase in the Net Assets (Financial Strength) of these 7 Colorado 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 7 Colorado 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 7 Colorado Hospital Organizations, a key beneficiary of this will be Colorado citizens electing to buy health insurance on the Health Insurance Exchange.  This strong Net Asset growth gives these Colorado Hospital Organizations 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.

Colorado Struggling Hospitals

From a review of audited financial statements in EMMA, I found 26 Colorado Hospital Organizations.  The Total Operating Revenues of these 26 Colorado Hospital Organizations were a modest 2.2% of their Total Operating Revenues.

There were 5 Colorado Hospital Organizations, which generated a very strong Total Operating Margin of 11.5% in their most recent fiscal years, including two in the very wealthy ski resorts of Vail and Aspen:





Most





Recent




Operating Annual

Operating Total Income Fiscal

City Income Operating (Loss) Year

HQs (Loss) Revenues Margin End


mils $s mils $s %
Pure Golden Hospitals



Vail Health Services Vail        37.8           212 17.8% Oct 2013
University Colorado Health Aurora       270.4        2,321 11.7% Jun 2013
Valley View Hospital Glenwood Springs        15.8           161 9.8% Dec 2013
Aspen Valley Hospital Aspen          6.4             69 9.3% Dec 2013
Children's Hospital Aurora        61.2           758 8.1% Dec 2012






Total all 5
      391.6      3,521.0 11.1%

However, there were double that number or 10 Colorado Hospital Organizations which posted Operating Losses and triple that number or 15 registering Operating Income Margins of less than 2.7%, in their most recent fiscal years:





Most





Recent




Operating Annual

Operating Total Income Fiscal

City Income Operating (Loss) Year

HQs (Loss) Revenues Margin End


mils $s mils $s %
Colorado Loss or Low Profit Hospital Organizations








Rangely District Hospital Rangely         (4.5)               9 -51.7% Dec 2012
Upper San Juan Health District Pagosa Springs         (1.9)             11 -16.7% Dec 2012
Kremmling Memorial Hosp District Kremmling         (1.2)             17 -7.2% Dec 2012
Kit Carson County Health Burlington         (0.5)             13 -3.9% Dec 2013
Estes Park Medical Center Estes Park         (1.3)             34 -3.8% Dec 2012
Longmont United Hospital Longmont         (4.5)           170 -2.6% Dec 2013
Southwest Health System Cortez         (1.0)             41 -2.4% Dec 2012
National Jewish Health Denver         (4.1)           206 -2.0% Jun 2013
Boulder Community Hospital Boulder         (2.0)           290 -0.7% Jun 2013
Catholic Health Initiatives Inverness       (54.9)       10,708 -0.5% Jun 2013
Denver Health & Hospital Denver          5.5           744 0.7% Dec 2012
Montrose Memorial Hospital Montrose          1.0             89 1.1% Dec 2012
Pueblo Community Health Ctr Pueblo          0.5             21 2.4% Dec 2012
Delta County Memorial Hospital Delta          1.6             65 2.5% Dec 2013
Sisters Charity Leavenworth Denver        56.7        2,223 2.6% Dec 2012

By far the best and only economically good way to put a major dent in the Operating Losses of the so many Colorado struggling Hospitals is for the State of Colorado to fully expand Medicaid, which they wisely have done.  Since Colorado did this, there will be a resultant massive inflow of Patient Revenues from Medicaid expansion.

With this massive inflow of Revenues due to Medicaid expansion in Colorado, the struggling Colorado Hospitals will be able to substantially reduce their Operating Losses and a huge majority of them should even be able to turn their losses into profits.  And due to Medicaid expansion, the Colorado Hospitals with very modest Operating Income will have their profits bolstered very robustly, as will the Colorado Hospitals now making higher than modest Operating Income.

Also since Colorado fully expanded Medicaid, another key beneficiary of the resultant very healthy profit improvement and thus also Total Net Assets improvement of all Colorado Hospitals will be the Colorado citizens electing to buy health insurance on the Health Insurance Exchange.  This exceptional Net Asset growth from Medicaid expansion should in all fairness give all Colorado 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.