Friday, April 11, 2014

North Carolina Non-Profit Hospital Organizations Net Income 10.0% of Revenues in 2013

From a review of audited annual financial statements shown at Electronic Municipal Market Access (EMMA), I found 12 North Carolina Non-Profit Hospital Organizations with Net Assets above $400 mil each and which had or will very shortly have audited financial statements in each of the most recent 4 years.

One of these 12 North Carolina Non-Profit Hospitals.....the huge Carolina's Health Care System.... 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 12 North Carolina Non-Profit Hospital Organizations generated Total Bottom Line Net Income of a superb 10.0% of Total Operating Revenues in 2013 and of a similar superb 9.0% in the most recent 4 years combined.

The main contributor to these outstanding operating results was the huge renown Duke University Health System which posted a Net Income Margin of 18.9% for the most recent 4 years combined and of 17.3% in 2013.

The only problem with these exceptional operating results was that instead of taking the high road and responsibly reducing their Patient Service Pricing, these North Carolina 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 12 North Carolina 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
North Carolina 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












Cone Health Greensboro  Sep 13      263     1,140 23.1%
      83     1,023 8.1%
    435       3,901 11.2%
Duke University Health System Durham  Jun 13      440     2,539 17.3%
    173     2,478 7.0%
 1,778       9,407 18.9%
CaroMont Health Gastonia  Jun 13        66        484 13.6%
      13        489 2.7%
    238       1,885 12.6%
Univ North Carolina Hosps Chapel Hill  Jun 13      152     1,212 12.5%
    121     1,185 10.2%
    619       4,399 14.1%
Mission Health System Asheville  Sep 13      132     1,233 10.7%
      81     1,054 7.7%
    341       4,111 8.3%
Novant Health Winston-Salem  Dec 13      273     3,593 7.6%
    274     3,555 7.7%
    710     13,616 5.2%
Vidant Health Greenville  Sep 13      120     1,601 7.5%
    136     1,551 8.8%
    354       5,651 6.3%
New Hanover Regional Med Ctr Wilmington  Sep 13        53        718 7.4%
      41        667 6.1%
    158       2,676 5.9%
Rex Healthcare Raleigh  Jun 13        46        731 6.3%
      50        707 7.1%
    219       2,638 8.3%
FirstHealth of the Carolinas Pinehurst  Sep 13        31        565 5.5%
      28        524 5.3%
      94       2,023 4.6%
Carolinas Health Care System Charlotte Dec 13     181     3,412 5.3%
    375     4,194 8.9%
 1,016     14,669 6.9%
Cape Fear Valley Health System Fayetteville  Sep 13        32        657 4.9%
      45        674 6.7%
    118       2,558 4.6%














Total all 12

 1,789   17,885 10.0%
 1,420   18,101 7.8%
 6,080     67,534 9.0%

There is a very positive aspect to these excessively high Bottom Line Profits in the most recent 4 years of these North Carolina Non-Profit Hospital Organizations.  These incredibly high Profits are getting added to the Net Assets (Financial Strength) of these North Carolina Hospital Organizations.

Thus a key beneficiary of this should be North Carolina 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 North Carolina 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 North Carolina 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.







Details to come.