|mil $s||mil $s|
|Carolinas Health Care System||Charlotte||NC||Sep 13||3,946||Dec 08||2,340||69%|
|Duke University Health System||Durham||NC||Mar 14||2,909||Jun 09||1,392||109%|
|Novant Health||Winston-Salem||NC||Dec 13||2,558||Dec 08||1,557||64%|
|Cone Health||Greensboro||NC||Dec 13||1,430||Sep 09||894||60%|
|Mission Health System||Asheville||NC||Dec 13||1,339||Sep 09||882||52%|
|University North Carolina Hospitals||Chapel Hill||NC||Dec 13||1,285||Jun 09||911||41%|
|North Carolina Baptist Hospital||Winston-Salem||NC||Dec 13||1,047||Jun 09||715||46%|
|Vidant Health||Greenville||NC||Dec 13||995||Sep 09||587||70%|
|WakeMed Health||Raleigh||NC||Dec 13||894||Sep 09||719||24%|
|CaroMont Health||Gastonia||NC||Dec 13||686||Jun 09||386||78%|
|Wake Forest Univ Health Sciences||Winston-Salem||NC||Dec 13||664||Jun 09||510||30%|
|FirstHealth of the Carolinas||Pinehurst||NC||Dec 13||648||Sep 09||458||41%|
|New Hanover Regional Medical Center||Wilmington||NC||Dec 13||575||Sep 09||450||28%|
|Rex Healthcare||Raleigh||NC||Dec 13||510||Jun 09||297||72%|
|Cape Fear Valley Health System||Fayetteville||NC||Dec 13||424||Sep 09||315||35%|
|Total all 15||19,910||12,413||60%|
As you can see from the above chart, the Total Net Assets (Financial Strength) of these 15 North Carolina Non-Profit Hospital Organizations increased by an impressive 60% to a massive $19.910 bil for their average 4.45 years so far during the Obama Administration.
The largest of these 15.....Carolinas Health Care System..... hasn't reported its December 31, 2013 Net Asset amount yet which should be markedly higher than the above September 30, 2013 amount.
Very positively impacting this impressive increase in the Net Assets (Financial Strength) of these 15 North Carolina 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 very robust increase in Net Assets (Financial Strength) of these 15 North Carolina 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 North Carolina 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 very impressive Net Asset percentage increases of these 15 North Carolina Hospitals, a key beneficiary of this will be North Carolina citizens electing to buy health insurance on the Health Insurance Exchange. This strong Net Asset growth gives these North Carolina 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.
North Carolina Struggling Hospitals
North Carolina has some excellent Non-Profit Hospital Organizations connected with Universities. And they are also doing very well on the Operating Income front, as you can see in the below chart:
|mils $s||mils $s||%|
|North Carolina University Non-Profit Hospital Organizations|
|Univ North Carolina Hosps||Chapel Hill||113.9||1,212||9.4%||Jun 13|
|Duke University Health||Durham||184.1||2,539||7.3%||Jun 13|
|Vidant Health||Greenville||94.3||1,601||5.9%||Sep 13|
|Total all 3||392.3||5,352.0||7.3%|
However, there are many North Carolina Hospital Organizations which are really suffering financially.
From EMMA, I found 29 North Carolina Non-Profit Hospital Organizations with Total Operating Revenues in excess of $10 mil each in their most recent fiscal year. Of those 29, a very high 17 of them, or 59% of them, generated Operating Income as a Percentage of Total Operating Revenues of less than 2.0% in their most recent fiscal year. These 17 Hospital Organizations generated Total Operating Losses of $115 mil in their most recent fiscal year, which was a negative 1.7% of their Total Operating Revenues, as you can see in the below chart:
|mils $s||mils $s||%|
|North Carolina Non-Profit Hospital Organizations|
|Chatham Memorial Hospital||Elkin||(6.3)||82||-7.7%||Sep 13|
|Cone Health||Greensboro||(44.1)||1,140||-3.9%||Sep 13|
|Nash Health Care||Rocky Mount||(7.5)||218||-3.4%||Dec 13|
|Wake Forest Baptist Hosp||Winston-Salem||(56.6)||1,895||-3.0%||Jun 13|
|Stanley Health Services||Albemarle||(3.1)||130||-2.4%||Sep 13|
|High Point Regional Health||High Point||(6.2)||275||-2.3%||Sep 12|
|Halifax Regional Med Ctr||Roanoke Rapids||(1.3)||90||-1.4%||Sep 13|
|WakeMed Health||Raleigh||(14.4)||1,023||-1.4%||Sep 13|
|Columbus Regional Healthcare||Whiteville||(0.6)||80||-0.8%||Sep 13|
|Scotland Healthcare||Laurinburg||(0.1)||125||-0.1%||Sep 13|
|Wayne Health||Goldsboro||0.7||216||0.3%||Sep 13|
|Southeastern Regnl Med Ctr||Lumberton||2.5||288||0.9%||Sep 13|
|Catawba Valley Medical Center||Hickory||2.1||203||1.0%||Jun 13|
|Harnett Health||Dunn||1.1||87||1.3%||Sep 12|
|Wilson Medical Center||Wilson||1.8||137||1.3%||Sep 12|
|Cape Fear Valley Health||Fayetteville||12.3||657||1.9%||Sep 13|
|ARMC Health Care||Burlington||4.8||251||1.9%||Dec 12|
|Total all 17||(114.9)||6,897||-1.7%|
Of these 29 North Carolina Hospital Organizations, 10 of them posted Operating Losses in the most recent year.
The best and only way to substantially strengthen these struggling North Carolina Hospitals is for the State of North Carolina to fully expand Medicaid.
A key side benefit to North Carolina citizens of North Carolina Medicaid expansion is that the resultant profit enhancements and thus Net Asset enhancements to all of North Carolina'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.