Monday, April 14, 2014

Hawaii Non-Profit Hospital Organizations Net Income 13.1% of Revenues in 2013 and 11.5% For 4 Years 2010-2013

From a review of audited annual financial statements shown at Electronic Municipal Market Access (EMMA), I found 2 Hawaii Non-Profit Hospital Organizations with Net Assets above $400 mil each and which had audited financial statements in each of the most recent 4 years.

These 2 Hawaii Non-Profit Hospital Organizations generated Total Bottom Line Net Income of a spectacularly off-the-charts 13.1% of Total Operating Revenues in 2013.   For the most recent 4 years combined (2010-2013), their Total Bottom Line Net Income Margin was also spectacular at 11.5%.

These spectacular Net Income Margin Percentages were substantially higher that of the 30 Dow Industrials combined.

The only problem with these exceptional operating results of these Hawaii Non-Profit Hospital Organizations in both 2013 and for all 4 years combined was that instead of taking the high road and responsibly reducing their Patient Service Pricing, these Hawaii Non-Profit Hospital Organizations elected to retain these excessively high Bottom Line Profits, which also added to both their Net Assets and their treasure chest of Investments in Stocks and Bonds.

Below are the Bottom Line Net Income and Total Operating Revenues for both of these Hawaii Non-Profit Hospital Organizations for both 2013 and for the most recent 4 years combined:








4 Year


Most 2013


2010-13 4 Year 4 Year


Recent  Bottom  2013 2013
Bottom 2010-13 2010-13


Fiscal  Line   Total  Net
Line Total Net
Year  Net   Operating  Income
Net Operating Income
Hawaii Hosp Organ City HQs End  Income   Revenues  Margin
Income Revenues Margin



 mil $s   mil $s  %
mil $s mil $s %
Non-Profit Hospitals








Queens Health Systm Honolulu Jun 13             147             942 15.6%
          485          3,355 14.5%
Hawaii Pacific Health Honolulu Jun 13             110          1,017 10.8%
          305          3,532 8.6%










Total of both

            257          1,959 13.1%
          790          6,887 11.5%

There is a very positive aspect to these excessively high Bottom Line Profits of these Hawaii Non-Profit Hospital Organizations.  These incredibly high Profits are getting added to the Net Assets (Financial Strength) of these Hawaii Hospital Organizations.

Thus a key beneficiary of this should be Hawaii citizens electing to buy health insurance on the Health Insurance Exchange.  This exceptional Net Asset growth driven by these exceedingly high Bottom Line Profits gives these Hawaii Hospital Organizations 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.

And armed with audited financial data concerning the excessively high profits earned by these two large Hawaii Non-Profit Hospital Organizations, Health Insurance Companies should be able to do a much better job in representing their policy holders, including those getting Health Insurance on the Health Insurance Exchange.

And there's an added factor in Hawaii's case which should drive down Health Insurance Premiums on the Health Insurance Exchange even more.  Hawaii passed full Medicaid expansion and there is an additional real beauty with full Medicaid expansion.  It increases nearly every Hospital's profits so much that Hospitals just have to reduce their Hospital charges very substantially and they also will be much more reasonable in negotiating Hospital Charges with Health Insurance Companies.  Thus it is only logical that this will also result in much lower Health Insurance Premiums on the Health Insurance Exchange.