Thursday, March 20, 2014

Kansas Non-Profit Hospitals Net Assets Up 80% Under Obama and the Affordable Care Act

From a review of the Electronic Municipal Market Access (EMMA), I found 2 Non-Profit Hospital Organizations headquartered in the State of Kansas with Net Assets (i.e. Financial Strength or Total Assets minus Total Liabilities) at the most recent date of more than $400 mil each.  Wichita-based Via Christi Health was acquired by Ascension Health and thus is no longer included here.  Below here are the Net Assets of these 2 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


















University Kansas Hospital Kansas City KS Dec 13        705
Jun 09          422 67%
Olathe Medical Center Olathe KS Dec 13        428
Dec 08          208 106%









Total of both


     1,133

          630 80%

As you can see from the above chart, the Total Net Assets (Financial Strength) of these 2 Kansas Non-Profit Hospital Organizations increased by a very impressive 80% to $1.133 bil for their average 4.75 years so far during the Obama Administration.

Very positively impacting this very robust increase in the Net Assets (Financial Strength) of these 2 Kansas 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 2 Kansas 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 2 Kansas Hospitals, a key beneficiary of this will be Kansas citizens electing to buy health insurance on the Health Insurance Exchange.  This strong Net Asset growth gives these Kansas 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.

Kansas Struggling Hospitals

From EMMA, I found 23 Kansas Non-Profit Hospital Organizations with Total Operating Revenues of more than $10 mil in their most recent fiscal year.  Nine of them generated Operating Income as a Percentage of Total Operating Revenues of less than 2.0% in the most recent fiscal year, as you can see in the below chart: 




Most




    Recent




 Operating  Annual

 Operating  Total  Income  Fiscal

City  Income  Operating  (Loss)  Year

HQs  (Loss)  Revenues Margin End


mils $s mils $s %
Kansas Non-Profit Hospitals










Meade Hospital District Meade         (1.8)           12 -15.0% Dec12
Rooks County Health Center Plainville         (0.4)           11 -3.6% Dec12
Wilson County Hospital Neodesha         (0.4)           11 -3.6% Dec12
Hiawatha Hospital Assoc Hiawatha         (0.6)           22 -2.7% Dec12
Labette County Med Center Parsons         (0.1)           56 -0.2% Dec12
Fredonia Regional Hospital Fredonia           -             12 0.0% Dec12
Memorial Health System Abilene          0.3           27 1.1% Dec13
South Central Kansas Med Ctr Arkansas City          0.2           17 1.2% Dec12
Anderson County Hospital Garnett          0.3           17 1.8% Dec12

The best and only way to substantially strengthen these struggling Kansas Hospitals is for the State of Kansas to fully expand Medicaid.

A key side benefit to Kansas citizens of Kansas Medicaid expansion is that the resultant profit enhancements and thus Net Asset enhancements to all of Kansas's Hospitals would give them 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.