Sunday, April 13, 2014

Pennsylvania Non-Profit Hospital Organizations Net Income 8.7% of Revenues in 2013 and 8.1% For 4 Years 2010-2013

From a review of audited annual financial statements shown at Electronic Municipal Market Access (EMMA), I found 14 Pennsylvania 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.

EMMA also had the audited financial statements of the large Catholic Health East, which was merged into Trinity Health in 2013 and thus isn't included with the 14.  Instead, I have included it at the bottom of the below chart.

In addition, EMMA also had the audited financial statements of the huge UPMC, which has very substantial Health Insurance Revenues totaling $4.3 bil in the most recent year.  Since UPMC's revenue mix is so much different from the other 14 Pennsylvania Non-Profit Hospital Organizations, I also have included it at the bottom of the below chart.

These 14 Pennsylvania Non-Profit Hospital Organizations generated Total Bottom Line Net Income of a very strong 8.7% of Total Operating Revenues in 2013.   For the most recent 4 years combined (2010-2013), their Total Bottom Line Net Income Margin was a very solid 8.1%.

Remarkably, 6 of these 14 Pennsylvania Non-Profit Hospital Organizations posted Bottom Line Net Income Margins of 10.0% or above in 2013....and 10 of the 14 of 8.5% or higher in 2013.

The only problem with these exceptional operating results of many of these Pennsylvania 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, most of these Pennsylvania 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 14 Pennsylvania Non-Profit Hospital Organizations as well as for Catholic Health East and for UPMC 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
Pennsylvania Hospital Organization City HQs End Income Revenues Margin
Income Revenues Margin



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








Children's Hospital Philadelphia Jun 13             290          2,075 14.0%
         758        7,412 10.2%
Susquehanna Health Williamsport Jun 13               60             472 12.7%
         133        1,586 8.4%
Reading Hospital West Reading Jun 13             110             913 12.0%
         250        3,412 7.3%
Lancaster General Health Lancaster Jun 13             101             920 11.0%
         309        3,721 8.3%
Guthrie Health Sayre Jun 13               61             576 10.6%
         250        2,194 11.4%
Jefferson Health System Radnor Jun 13             304          3,047 10.0%
         929       11,617 8.0%
WellSpan Health York Jun 13             123          1,237 9.9%
         289        4,542 6.4%
Pinnacle Health System Harrisburg Jun 13               77             831 9.3%
         191        2,748 7.0%
Geisinger Health System Danville Jun 13             302          3,355 9.0%
      1,098       11,255 9.8%
University Penn Health Philadelphia Jun 13             296          3,501 8.5%
      1,232       13,121 9.4%
Abington Health Abington Jun 13               36             784 4.6%
         106        3,046 3.5%
Lehigh Valley Health Allentown Jun 13               60          1,562 3.8%
         353        5,812 6.1%
St Luke's University Health Bethlehem Jun 13               42          1,122 3.7%
         158        3,727 4.2%
Albert Einstein Healthcare Philadelphia Jun 13                 1          1,057 0.1%
          76        3,766 2.0%










Total all 14 Non-Profit Hospital Organizations
         1,863        21,452 8.7%
      7,523       92,899 8.1%






























Catholic Health East Newtown Square Dec 13             194          3,269 5.9%
      1,391       14,940 9.3%










UPMC Pittsburgh Jun 13             359        10,188 3.5%
      1,664       36,439 4.6%

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

Thus a key beneficiary of this should be Pennsylvania 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 Pennsylvania 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 many of these large Pennsylvania 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.