Saturday, March 22, 2014

US Hospital Net Assets Up 89% Under Obama and the Affordable Care Act...Update #7

Below here is a summary by US State of Total Net Assets (Financial Strength or Total Assets minus Total Liabilities) at both the Most Recent Date (mostly December 31, 2013) disclosed in a Hospital Organization's internet published balance sheet (overwhelmingly audited) and also at a date very early in the beginning of the Obama Administration (also audited).

Included here are all US Hospital Organizations with Net Assets above $400 mil each plus also a somewhat lower dollar threshold amount for a handful of the smaller US States.  The below chart is sorted by Net Asset Percentage Growth during the Obama Administration so far:





Balance Sheet Net Asset

Number of Most Recent Net Assets at % Growth

Hospital Balance Sheet Beginning of During
US State Organizations Net Assets Obama Admin Obama Admin


mil $s mil $s





Tennessee 12                10,297                     221 4559%
Alabama 4                  3,145                     644 388%
Utah 2                  5,618                  1,923 192%
Minnesota 9                16,954                  6,197 174%
New Jersey 8                  6,170                  2,359 162%
New Mexico 1                  1,750                     706 148%
Arizona 3                  5,718                  2,458 133%
New York 11                20,239                  9,235 119%
Hawaii 2                  1,669                     776 115%
Virginia 9                13,108                  6,107 115%
Maryland 6                  8,933                  4,234 111%
Indiana 10                14,997                  7,125 110%
Vermont 1                     679                     341 99%
Connecticut 5                  4,057                  2,040 99%
Missouri 11                33,700                17,163 96%
Delaware 2                  2,256                  1,157 95%
Washington DC 3                  3,082                  1,599 93%
Ohio 15                26,674                13,851 93%
California 31                78,115                40,594 92%
Pennsylvania 19                32,555                17,123 90%
West Virginia 2                  1,551                     819 89%
Wisconsin 12                11,990                  6,492 85%
Illinois 17                26,022                14,219 83%
Washington 8                14,860                  8,204 81%
Louisiana 4                  3,085                  1,713 80%
Kansas 2                  1,133                     630 80%
Florida 20                28,688                15,979 80%
South Dakota 3                  4,002                  2,243 78%
Kentucky 5                  4,429                  2,501 77%
Michigan 11                20,123                11,467 75%
Colorado 7                21,233                12,390 71%
Iowa 3                  4,043                  2,423 67%
Texas 21                34,888                21,015 66%
Georgia 11                10,339                  6,249 65%
New Hampshire 4                  1,165                     720 62%
Oregon 4                  4,353                  2,709 61%
North Carolina 15                19,910                12,413 60%
Alaska 3                  1,275                     814 57%
North Dakota 3                  2,346                  1,504 56%
Nevada 4                  1,302                     846 54%
Maine 2                     939                     611 54%
Idaho 2                  1,438                     952 51%
Oklahoma 4                  4,598                  3,051 51%
Nebraska 5                  2,556                  1,706 50%
Massachusetts 11                18,763                12,609 49%
Montana 2                     567                     394 44%
South Carolina 7                  4,977                  3,474 43%
Arkansas 3                  2,322                  1,673 39%
Wyoming 3                     764                     555 38%
Rhode Island 2                  1,868                  1,515 23%
Mississippi 5                  2,523                  2,197 15%

 


Total all 50 States & DC 369              547,768              289,940 89%

The single number that will determine by far more than any other one number just how successful the Affordable Care Act (ACA) will turn out to be in the long run is the Hospital Net Asset (Financial Strength) amount and its change over time.  This Hospital Net Asset number and its change over time will drive how expensive health insurance premiums will be, including insurance premiums in the Health Insurance Exchange under the ACA.  And this Hospital Net Asset number and its change over time will also drive the Total US Health Care Cost Curve.

As you can see from the above chart, the Total Net Assets (Financial Strength) of these 369 US Hospital Organizations, with their Most Recent Balance Sheet Net Assets of more than $400 mil each plus a handful more of Hospitals in smaller States, totaled a huge $547.8 bil, up a massive 89% from such Total Net Asset amounts at the beginning of the Obama Administration.  That's a very good sign for just how successful the ACA will turn out to be.

This 89% Hospital Net Asset (Financial Strength) growth so far during the Obama Administration clearly says not only that the ACA has been and will continue to be be highly successful, but also that among many other things, Obama is clearly the Hospital President.

Reviewing the top of the above chart, Tennessee's phenomenal Net Asset growth is helped much by a massive Net Deficit improvement for publicly-held Hospital HCA.

Alabama's huge Net Asset Growth is driven by publicly-held Hospital HealthSouth.

The US State with the highest Net Asset growth for only Non-Profit Hospital Organizations is Utah with 192% growth, followed by Minnesota, which registered 174% Net Asset growth, and then followed by New Jersey's 162% Net Asset growth. 

Hospital Organizations headquartered in the State of California had by far the highest Total Current Net Assets at $78.1 bil, led by Kaiser Permanente's $23.0 bil.  And Kaiser Permanente's just released exceptional first quarter 2014 Bottom Line Earnings of $1.1 bil are not included in this $23.0 bil since KP hasn't yet released its Total Net Assets at March 31, 2014.  When it does, that should move the needle from 89% US Total Net Asset growth so far during the Obama Administration to 90% growth, and on its way to at least 100% growth by the end of 2014. 

Hospital Organizations headquartered in Missouri came in second with Total Current Net Assets of $33.7 bil, led by Ascension Health's $18.2 bil.

If you wish to see the individual Hospital Organizations making up a State's above Net Asset amounts, you simply click on the US State post shown on the right hand side of the computer screen.  These US State posts are shown pretty much in alphabetical order, except that Rhode Island is shown first because I mistakenly missed it on the first go round.

I'll keep updating these Hospital Net Asset amounts when more late reporting Hospital Organizations publish their predominately audited December 31, 2013 financial statements on the Electronic Municipal Market Access (EMMA).
 
With such incredibly impressive Hospital Net Asset percentage increases all throughout the US, a key beneficiary of this will be US citizens who elected to buy health insurance on the Health Insurance Exchange.  This superb Net Asset growth gives these US 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.

Next up.....studying just what is driving this massive Hospital Net Asset (Financial Strength) growth  by US State and its ramifications?