Thursday, March 20, 2014

Illinois Non-Profit Hospitals Net Assets Up 83% Under Obama and the Affordable Care Act

From a review of the Electronic Municipal Market Access (EMMA), I found 17 Non-Profit Hospital Organizations headquartered in the State of Illinois 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 17 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









Advocate HealthCare Network Oak Brook IL Dec 13     5,128
Dec 08       1,842 178%
Northwestern Memorial Health Care Chicago IL Feb 14     3,453
Aug 09       1,642 110%
Hospital Sisters Health System Springfield IL Dec 13     2,407
Jun 09       1,697 42%
NorthShore University Health System Evanston IL Dec 13     2,093
Sep 09       1,443 45%
Rush University Medical Center Chicago IL Dec 13     1,861
Jun 09       1,073 73%
Cadence Health Winfield IL Dec 13     1,785
Jun 09          879 103%
Children's Memorial Chicago Med Ctr Chicago IL Feb 14     1,519
Aug 09       1,051 45%
University Chicago Medical Center Chicago IL Dec 13     1,300
Jun 09          823 58%
OSF Healthcare System Peoria IL Dec 13     1,063
Sep 09          684 55%
Presence Health Chicago IL Dec 13     1,042 Jun 09          444 135%
St George Palos Heights IL Dec 13        880
Dec 08          491 79%
Memorial Health System Springfield IL Dec 13        723
Sep 09          415 74%
Edward Health Services Naperville IL Dec 13        683
Jun 09          369 85%
Little Co Mary Hosps&Healthcare Evergreen Park IL Dec 13        582
Jun 09          310 88%
Northwest Community Healthcare Arlington Heights IL Dec 13        560
Sep 09          462 21%
Southern Illinois Healthcare Carbondale IL Dec 13        474
Mar 09          237 100%
Alexian Brothers Health System Arlington Heights IL Dec 13        469
Dec 08          357 31%









Total all 17


   26,022

      14,219 83%

As you can see from the above chart, the Total Net Assets (Financial Strength) of these 17 Illinois Non-Profit Hospital Organizations increased by a spectacular 83% to a massive $26.022 bil for their average 4.54 years so far during the Obama Administration.

To illustrate just how hot these 17 Illinois Hospitals were very recently on the Net Asset growth front, in just the past 6 months, the Total Net Assets percentage increase during the Obama Administration grew from 64% growth to 83% growth.

The more I study these just incredible Net Asset growth percentage increases in Non-Profit Hospitals  all over the US, the more I have to conclude that Obama is not just the Stock Market President and the IPO President, but also the Hospital President. 

Very positively impacting this spectacular increase in the Net Assets (Financial Strength) of these 17 Illinois 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 robust increase in Net Assets (Financial Strength) of these 17 Illinois 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, and especially the Illinois ones, 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 impressive Net Asset percentage increases of these 17 Illinois Hospitals, a key beneficiary of this will be Illinois citizens electing to buy health insurance on the Health Insurance Exchange.  This very strong Net Asset growth gives these Illinois 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.    

Cook County Health and Hospital System

Cook County Health and Hospital System is a Non-Profit Governmental Entity.

Since the hospitals included in the Cook County Health and Hospital System are safety net hospitals and since the Chicago area is so huge, the Cook County Health and Hospital System has accumulated massive Operating Losses, which from its financial statements in EMMA totaled $418 mil in the Fiscal Year Ended November 2012 and a massive $2.279 bil for the 5 years ended November 2012.
   
But the very positive aspect to this is that the State of Illinois has fully expanded Medicaid.  So with the resultant massive inflow of Patient Revenues from Medicaid expansion, the Cook County Health and Hospital System should be able to make a huge dent in reducing these massive losses and perhaps even turn these massive losses into profits.

One of the key beneficiaries of this very healthy improvement in the Total Net Assets of the the Cook County Health and Hospital System due to Medicaid expansion in Illinois will be Illinois citizens electing to buy health insurance on the Health Insurance Exchange.  This exceptional Net Asset growth gives the hospitals in the Cook County Health and Hospital System as well as all Illinois 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.