| 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 | |||||||
| Indiana University Health | Indianapolis | IN | Mar 14 | 4,314 | Dec 08 | 1,434 | 201% | |
| St Vincent Health | Indianapolis | IN | Jun 13 | 3,040 | Jun 09 | 1,561 | 95% | |
| Franciscan Alliance | Mishawaka | IN | Dec 13 | 2,512 | Dec 08 | 1,463 | 72% | |
| Parkview Health System | Fort Wayne | IN | Dec 13 | 1,100 | Dec 08 | 543 | 103% | |
| Beacon Health System | South Bend | IN | Dec 13 | 1,034 | Dec 08 | 341 | 203% | |
| Community Health Network | Indianapolis | IN | Dec 13 | 1,041 | Dec 08 | 482 | 116% | |
| Deaconess Health System | Evansville | IN | Mar 14 | 591 | Sep 09 | 365 | 62% | |
| St Mary's Health | Evansville | IN | Jun 13 | 512 | Jun 09 | 292 | 75% | |
| Community Foundation NW Indiana | Munster | IN | Dec 13 | 448 | Jun 09 | 289 | 55% | |
| Reid Hospital | Richmond | IN | Dec 13 | 405 | Dec 08 | 355 | 14% | |
| Total all 10 | 14,997 | 7,125 | 110% |
As you can see from the above chart, the Total Net Assets (Financial Strength) of these 10 Indiana Non-Profit Hospital Organizations increased by a spectacularly off-the-charts 110% to $14.997 bil for their average 4.73 years so far during the Obama Administration.
Very positively impacting this phenomenal increase in the Net Assets (Financial Strength) of these 10 Indiana 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 spectacular increase in Net Assets (Financial Strength) of these 10 Indiana 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 Indiana 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 extremely impressive Net Asset percentage increases of these 10 Indiana Hospitals, a key beneficiary of this will be Indiana citizens electing to buy health insurance on the Health Insurance Exchange. This very strong Net Asset growth gives these Indiana 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.
If the State of Indiana were to take the logical next step and fully expand Medicaid, then the profits and Net Assets of all Indiana Hospitals and particularly the smaller, struggling ones would be substantially strengthened financially. Thus lower insurance premiums on the Health Insurance Exchange would result since this enhanced Net Asset growth gives all of these Indiana 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.
Wishard Health Services Safety Net Hospital System
The Indianapolis-based Wishard Health Services is a Component Unit of the Marion County Government and thus is a Public Non-Profit Governmental Unit. It is also a Safety Net Hospital System serving the Indianapolis inner city.
Given its Safety Net mission in a large city, Wishard has generated massive Losses totaling $1.063 bil over the most recent 5 years, which have effectively been funded by Indiana Taxpayers.
Indiana Struggling Hospitals
From EMMA and also from the audited hospital financial statements contained in the State of Indiana's Dept of Health website, in addition to Wishard Health Services, there were another 18 Indiana Hospitals with Operating Income as a Percentage of Total Operating Revenues of 2.5% or less in their most recent audited fiscal year. The chart below shows these 19 Indiana Hospitals:
| Recent | |||||
| Operating | Annual | ||||
| Operating | Total | Income | Fiscal | ||
| City | Income | Operating | (Loss) | Year | |
| HQs | (Loss) | Revenues | Margin | End | |
| mils $s | mils $s | % | |||
| Indiana Hospital Organizations | |||||
| Wishard Health Services | Indianapolis | (139.4) | 380.9 | -36.6% | Dec 2012 |
| Scott Memorial Hospital | Scottsburg | (2.4) | 20.5 | -11.7% | Dec 2012 |
| Putnam County Hospital | Greencastle | (1.4) | 33.6 | -4.2% | Dec 2012 |
| DeKalb Memorial Hospital | Auburn | (1.3) | 58.1 | -2.2% | Sep 2013 |
| Pulaski Memorial Hospital | Winamac | (0.5) | 24.1 | -2.1% | Sep 2013 |
| Gibson General Hospital | Princeton | (0.4) | 31.3 | -1.3% | Dec 2013 |
| Daviess Community Hospital | Washington | (0.5) | 52.3 | -1.0% | Dec 2012 |
| Harrison County Hospital | Corydon | (0.3) | 45.5 | -0.7% | Dec 2012 |
| Clark Memorial Hospital | Jeffersonville | (1.0) | 172.8 | -0.6% | Dec 2012 |
| Henry County Hospital | New Castle | (0.1) | 102.7 | -0.1% | Dec 2012 |
| Union Hospital | Terre Haute | 4.9 | 412.0 | 1.2% | Aug 2013 |
| Howard Regional Health | Kokomo | 1.0 | 80.4 | 1.2% | Jun 2012 |
| Franciscan Alliance | Mishawaka | 37.9 | 2,608.9 | 1.5% | Dec 2013 |
| Rehabilitation Hospital of Indiana | Indianapolis | 0.6 | 37.9 | 1.6% | Dec 2012 |
| Reid Hospital | Richmond | 6.2 | 351.8 | 1.8% | Dec 2012 |
| Sullivan County Community Hosp | Sullivan | 0.5 | 26.2 | 1.9% | Dec 2013 |
| Perry County Memorial Hospital | Tell City | 0.7 | 35.6 | 2.0% | Dec 2012 |
| Fayette Regional Health | Connersville | 1.4 | 57.0 | 2.5% | Sep 2013 |
| Jay County Hospital | Portland | 0.9 | 35.6 | 2.5% | Sep 2013 |
| Total all 19 | (93.2) | 4,567.2 | -2.0% |
By far the best and only way to put a major dent in Wishard's massive Operating Losses and also losses or very modest profits of other struggling Indiana Hospitals is for the State of Indiana to fully expand Medicaid. There would be a resultant massive inflow of Patient Revenues from Medicaid expansion, and thus Wishard and other struggling Indiana Hospitals would be able to substantially reduce their Operating Losses.
In addition, one of the key beneficiaries of the resultant very healthy profit improvement and thus also Total Net Assets improvement of all Indiana Hospitals due to Medicaid expansion in Indiana would be Indiana citizens electing to buy health insurance on the Health Insurance Exchange. This exceptional Net Asset growth from Medicaid expansion will give all Indiana 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.
