Thursday, April 10, 2014

Indiana Non-Profit Hospital Organizations Net Income 10.0% of Revenues in 2013 and 11.3% in 2012

From a review of audited annual financial statements shown at Electronic Municipal Market Access (EMMA) as well as at the State of Indiana's Dept of Health website, I found 10 Indiana Non-Profit Hospital Organizations with Net Assets above $400 mil each.

One of these 10 Indiana Non-Profit Hospitals.....Community Health Network.... still hasn't published its December 2013 financial statements yet and thus I only included for 2013 below its 9 months ended September 30, 2013 operating data.  When it publishes its December 2013 financial statements, I'll then update the amounts included in the chart below.

These 10 Indiana Non-Profit Hospital Organizations generated Total Bottom Line Net Income in 2013 which was an exceptionally high 10.0% of Total Operating Revenues, which was down from the comparable off-the-charts 11.3% Income Margin in 2012.  For the most recent 4 years combined, this Total Bottom Line Profit Margin was a still way too high 9.4%, with 7 of the 10 posting Income Margins of 8.5% or better.

Altogether 5 of these 10 Indiana Non-Profit Hospital Organizations generated Bottom Line Net Income Margins of above 10.0% in both 2013 and in 2012.  All 5 of them in both years had Bottom Line Profit Margins exceeding that of the 30 Dow Industrials combined.  Instead of taking the high road and responsibly reducing their Patient Service Pricing, these 5 Indiana Non-Profit Hospital Organizations elected to retain these excessively high Bottom Line Profits, which also added to both their Net Assets and treasure chest of Investments in Stocks and Bonds.

Below are the Bottom Line Net Income and Total Operating Revenues for each of these 10 Indiana Non-Profit Hospital Organizations for 2013, for 2012 and for the most recent 4 years combined:











4 Year



Most 2013


2012


2010-13 4 Year 4 Year


Recent Bottom 2013 2013
Bottom 2012 2012
Bottom 2010-13 2010-13


Fiscal Line Total Net
Line Total Net
Line Total Net
Year Net Operating Income
Net Operating Income
Net Operating Income
Indiana Hospital Organ City HQs End Income Revenues Margin
Income Revenues Margin
Income Revenues Margin



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












Parkview Health System Fort Wayne Dec 13     174     1,141 15.2%
    130     1,073 12.1%
    334       3,912 8.5%
St Mary's Health Evansville Jun 13       78        518 15.1%
      54        488 11.1%
    272       1,903 14.3%
St Vincent Health Indianapolis Jun 13     328     2,761 11.9%
    222     2,677 8.3%
 1,265       9,292 13.6%
Beacon Health System South Bend Dec 13       90        821 11.0%
    182        886 20.5%
    305       2,584 11.8%
Indiana University Health Indianapolis Dec 13     541     5,247 10.3%
    719     5,578 12.9%
 1,712     19,194 8.9%
Franciscan Alliance Mishawaka Dec 13     245     2,609 9.4%
    253     2,627 9.6%
    851       9,823 8.7%
Deaconess Health System Evansville Sep 13       52        696 7.5%
      47        677 6.9%
    162       2,583 6.3%
Reid Hospital Richmond Dec 13       25        339 7.4%
      13        352 3.7%
        9       1,252 0.7%
Community Foundtn NW Ind Munster Jun 13       40        891 4.5%
      45        861 5.2%
    170       3,280 5.2%
Community Health Network Indianapolis Dec 13       53     1,272 4.2%
    191     1,175 16.3%
    433       4,857 8.9%














Total all 10

 1,626   16,295 10.0%
 1,856   16,394 11.3%
 5,513     58,680 9.4%

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

Thus a key beneficiary of this should be Indiana 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 Indiana 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 large Indiana Non-Profit Hospital Organizations in the past 4 years, 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.