Tuesday, March 18, 2014

New York Non-Profit Hospitals Net Assets Up 119% Under Obama and the Affordable Care Act

From a review of the Electronic Municipal Market Access (EMMA), I found 11 Non-Profit Hospital Organizations headquartered in the State of New York 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 11 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









New York and Presbyterian Hospital New York NY  Dec 13      4,792
Dec 08       2,333 105%
Memorial Sloan-Kettering Cancer Center New York NY  Dec 13      5,144
Dec 08       3,224 60%
North Shore Long Island Jewish Health Great Neck NY  Dec 13      2,989
Dec 08          614 387%
Mount Sinai Hospital New York NY  Dec 13      1,226
Dec 08          477 157%
NYU Hospitals Center New York NY Feb 14     1,167
Aug 09          401 191%
Icahn School Medicine Mount Sinai New York NY  Dec 13      1,129
Dec 08          765 48%
Catholic Health Services Long Island Rockville Centre NY  Dec 13      1,025
Dec 08          561 83%
Montefiore Medical Center New York NY  Dec 13         896
Dec 08          320 180%
St. Peters Health Partners Albany NY  Jun 13         776
Dec 08          158 391%
Hospital for Special Surgery New York NY  Dec 13         629
Dec 08          269 134%
Albany Medical Center Albany NY  Dec 13         466
Dec 08          113 312%









Total all 11


  20,239

      9,235 119%

As you can see from the above chart, the Total Net Assets (Financial Strength) of these 11 New York Non-Profit Hospital Organizations increased by a spectacular 119% to $20.239 bil during their average 4.91 years so far of the Obama Administration.

Eight of the 11 had their Total Net Assets more than double during the Obama Administration so far.

The lowest percentage increase of the 11 was a robust 48%.

Very positively impacting this massive increase in the Net Assets (Financial Strength) of these 11 New York Hospitals 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 huge increase in Net Assets (Financial Strength) of these 11 New York 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 spectacular Net Asset percentage increases of these 11 New York Hospitals, a key beneficiary of this will be New York citizens electing to buy health insurance on the Health Insurance Exchange.  This exceptional Net Asset growth gives these New York 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.  

State University of New York (SUNY)

None of the above amounts have anything to do with the State University of New York (SUNY) Hospitals and Clinics.  SUNY is a Non-Profit Governmental Entity and thus so is its Hospitals and Clinics.

Below here are the Total Operating Revenues and Total Operating Expenses of the SUNY Hospitals and Clinics for the most recent 4 years:


SUNY Hospitals and Clinics








Total





Four

FY 2013 FY 2012 FY 2011 FY 2010 FYs

mil $s mil $s mil $s mil $s mil $s






Hospital and Clinic Revenues       2,539       2,459       2,012       1,877       8,887
Hospital and Clinic Expenses       2,674       2,652       2,301       2,227       9,854

   



=Hospital Operating Loss         (135)         (193)         (289)         (350)         (967)

So, SUNY Hospitals and Clinics had Total Losses of $967 mil for the most recent 4 years.

 New York City Health & Hospitals Corp

The City of New York is a Non-Profit Governmental Entity and thus so is its New York City Health & Hospitals Corp, which is a Component of the City of New York.

New York City Health & Hospitals Corp is just huge with 11 hospitals and 70 primary care sites.

Since it is a safety net hospital and is so huge, it has accumulated massive losses.  Below here are these losses for each of the most recent 3 years:

New York City Health & Hospitals Corp

Fiscal Bottom Total
Year Operating Line Operating
End (Loss) (Loss) Revenues
June mils $s mils $s mils $s




2013         (668)         (777)       5,845
2012         (429)         (517)       5,927
2011         (510)         (590)       6,184



3 Year Total      (1,607)      (1,884)      17,956

Yeah, those are $1.884 bil Total Bottom Line Losses for the most recent 3 fiscal years.

Other Struggling New York Hospitals

In addition to New York City Health & Hospitals Corp and SUNY Hospitals & Clinics, here are 6 more New York Hospital Organizations with annual Total Operating Revenues above $1 bil and with Total Operating Income as a Percentage of Total Operating Revenues of 1.5% or less in their most recent fiscal year:


Most

Operating


Recent
Income


Fiscal Operating Total (Loss)
New York Hospital Organization City HQs Year Income Operating Margin


End (Loss) Revenues %



mil $s mil $s






St. Luke's Roosevelt Hospital New York Dec 2012           9.6       1,199 0.8%
Catholic Health Services Long Island Rockville Centre Dec 2013         18.9       2,096 0.9%
Albany Medical Center Albany Dec 2013           9.6       1,014 0.9%
Winthrop University Hospital Association Mineola Dec 2013         13.2       1,117 1.2%
Kaleida Health Buffalo Buffalo Dec 2012         15.6       1,222 1.3%
North Shore Long Island Jewish Health Great Neck Dec 2012         97.9       6,702 1.5%

But the very positive aspect to this is that the State of New York has fully expanded Medicaid.  So with the resultant massive inflow of Patient Revenues from Medicaid expansion, New York City Health & Hospitals Corp and SUNY Hospitals & Clinics should both be able to make a major dent in reducing their massive losses and perhaps even turn these massive losses into profits.  And the New York Hospitals with very modest Operating Income should be able to generate much more robust Operating Profits.

One of the key beneficiaries of this very healthy improvement in Operating Income and thus also in the Total Net Assets of New York City Health & Hospitals Corp, SUNY Hospitals & Clinics and other struggling New York Hospitals will be New York citizens electing to buy health insurance on the Health Insurance Exchange.  This exceptional Net Asset growth due to Medicaid expansion gives New York City Health & Hospitals Corp as well as all New York 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.