|mil $s||mil $s|
|UnityPoint Health||Des Moines||IA||Dec 13||2,322||Dec 08||1,067||118%|
|University Iowa Hospitals & Clinics||Iowa City||IA||Jun 13||1,172||Jun 09||969||21%|
|Genesis Health System||Davenport||IA||Dec 13||549||Jun 09||387||42%|
|Total all 3||4,043||2,423||67%|
As you can see from the above chart, the Total Net Assets (Financial Strength) of these 3 Iowa Non-Profit Hospital Organizations increased by a very impressive 67% to $4.043 bil for their average 4.50 years during the Obama Administration.
Very positively impacting this very robust increase in the Net Assets (Financial Strength) of these 3 Iowa 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 3 Iowa 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 impressive Net Asset percentage increases of these 3 Iowa Hospitals, a key beneficiary of this will be Iowa citizens electing to buy health insurance on the Health Insurance Exchange. This strong Net Asset growth gives these Iowa 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.
Iowa's Many Struggling Smaller Hospitals
Iowa's Hospital Facts at the Iowa Hospital Association's website contains key operating data related to Iowa's individual Hospitals. There were 118 Iowa Hospitals presented there.
The positive side here is that the 22 Iowa Urban Hospitals generated an operating Income Margin of a very respectable 4.1% of Total Operating Revenues in 2012. The Iowa rural Hospitals also did just fine.
But the big negative side here is that the 82 Iowa smaller Critical Access Hospitals generated an operating Income Margin of a very modest 1.1% of Total Operating Revenues in 2012.
Altogether, there were 41 or 35% of these 118 Iowa Hospitals which had Operating Losses in 2012, with 37 of them in the smaller Critical Access Hospital category. Yeah, an amazingly high 37 or 45% of the 82 Iowa Critical Access Hospitals had Operating Losses.
In addition, there were another 21 or 18% of these 118 Iowa Hospitals which had very modest Operating Income of 0.0% to 2.5% of their Total Operating Revenues in 2012. Again, Iowa's smaller Critical Access Hospitals comprised the bulk of these with 16.
In the chart below are these 118 Iowa Hospitals.
|Iowa City||Iowa Community Hospitals||(Loss)||Revenues||Margin|
|Des Moines||Broadlawns Medical Center||(47,430)||72,174||-65.7%|
|Sioux City||Mercy Medical Center-Sioux City||448||194,503||0.2%|
|Dubuque||Mercy Medical Center-Dubuque||4,307||142,233||3.0%|
|Cedar Rapids||UnityPoint Health-St Luke's Hospital||10,119||324,526||3.1%|
|Sioux City||UnityPoint Health-St Luke's Hospital||4,472||128,363||3.5%|
|Council Bluffs||Methodist Jennie Edmundson Hospital||3,255||89,364||3.6%|
|Iowa City||University Iowa Hospitals and Clinics||42,645||1,098,292||3.9%|
|Waterloo||Covenant Medical Center||10,642||254,753||4.2%|
|Dubuque||UnityPoint Health-Finley Hospital||4,110||96,370||4.3%|
|Waterloo||UnityPoint Health-Allen Hospital||9,427||209,552||4.5%|
|Des Moines||Mercy Medical Center-Des Moines||27,809||589,348||4.7%|
|Cedar Rapids||Mercy Medical Center-Cedar Rapids||13,158||264,282||5.0%|
|West Des Moines||UnityPoint Health-Methodist West Hospital||4,034||75,131||5.4%|
|Davenport||Genesis Medical Center-Davenport||17,895||332,137||5.4%|
|Des Moines||UnityPoint Health-Iowa Methodist Med Ctr||27,284||460,944||5.9%|
|Des Moines||UnityPoint Health-Iowa Lutheran Hosp||7,378||118,446||6.2%|
|Iowa City||Mercy Iowa City||9,807||152,176||6.4%|
|Council Bluffs||Alegent Creighton Health Mercy Hosp||10,296||125,357||8.2%|
|Ames||Mary Greeley Medical Center||16,042||171,416||9.4%|
|Bettendorf||UnityPoint Health-Quad Cities||7,594||69,481||10.9%|
|Cedar Falls||Sartori Memorial Hospital||5,893||35,102||16.8%|
|West Des Moines||Mercy Medical Center-West Lakes||17,895||66,823||26.8%|
|Total 22 Urban Hospitals||207,080||5,070,773||4.1%|
|Critical Access Hospitals|
|Total 82 Critical Acess Hospitals||19,547||1,726,165||1.1%|
|Total 8 Rural Hospitals||24,867||366,065||6.8%|
|Rural Referral Hospitals|
|Total 6 Rural Referral Hospitals||28,933||812,750||3.6%|
|Grand Total 118 Hospitals||280,427||7,975,753||3.5%|
When 35% of Iowa's Hospitals have Operating Losses and 53% have Operating Income of 2.5% or less, then the State of Iowa has a huge financial quality problem with its Hospitals, particularly so with its 82 smaller Critical Access Hospitals, which are in desperate need of financial help. A clear majority of Iowa citizens must be very disappointed that nothing has happened yet.
By far the best and only way to substantially strengthen the financial status of so many Iowa smaller struggling Hospitals is for the State of Iowa to fully expand Medicaid and to do so as soon as possible. If Iowa did this, with the resultant massive inflow of Patient Revenues from Medicaid expansion, the so many Iowa smaller struggling Hospitals would be able to substantially reduce their huge Losses and perhaps even turn nearly all of them into profits. And the Iowa smaller Hospitals with very modest Operating Income would have their profits bolstered very robustly.
If Iowa were to fully expanded Medicaid, one of the key beneficiaries of the resultant very healthy profit improvement and thus also Total Net Assets improvement of all Iowa Hospitals would be Iowa citizens electing to buy health insurance on the Health Insurance Exchange. This exceptional Net Asset growth from Medicaid expansion would give all Iowa 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.