Hospital Bottom Line Net Income (Loss) is a combination of Operating Income and Non-Operating Income (Loss), with the latter being predominately from Investment Returns.
In former President Bush 2's last year in office, these 61 US Big Non-Profit Hospital Organizations posted Total Bottom Line Losses of $(11.893) bil. Of these 61 US Big Non-Profit Hospital Organizations, 44 of them experienced Bottom Line Losses in their fiscal year ends December 2008 through September 2009.
On the other hand, in the most recent Fiscal Year 2013, these same 61 US Big Non-Profit Hospital Organizations generated Total Bottom Line Net Income of $30.956 bil, an Annual Profit Improvement of a massive $42.849 bil over that in former President Bush 2's last year in office. All 61 US Big Non-Profit Hospital Organizations experienced this Profit Improvement.
It is very easy for me to understand why the large US Hospitals like both the Obama Administration and the Affordable Care Act (ACA).
With the financial information taken from audited financial statements filed in the Electronic Municipal Market Access (EMMA), below here are the 2013 Total Operating Revenues and also Total Bottom Line Net Income (Loss) in both the most recent year 2013 and in former President Bush 2's last year in office for each of these 61 US Big Non-Profit Hospital Organizations:
| FYE | |||||||
| Dec 08 | |||||||
| FYE | Through | ||||||
| 2013 | Sep 09 | Annual | |||||
| Bottom | Bottom | Bottom | |||||
| Line | Line | Line | |||||
| Most | FYE | Net | Net | Profit | |||
| Recent | 2013 | Income | Income | Improvement | |||
| Fiscal | Total | Under | (Loss) | Under | |||
| City | Year | Operating | Obama | Under | Obama | ||
| US Big Non-Profit Hospitals | HQs | State | End | Revenues | and ACA | Bush 2 | and ACA |
| mil $s | mil $s | mil $s | mil $s | ||||
| Kaiser Permanente | Oakland | CA | Dec 13 | 53,084 | 2,804 | (794) | 3,598 |
| Ascension Health | Edmundson | MO | Jun 13 | 17,097 | 3,145 | (717) | 3,862 |
| Providence Health | Renton | WA | Dec 13 | 11,137 | 253 | (157) | 410 |
| Catholic Health Initiatives | Inverness | CO | Jun 13 | 10,708 | 490 | (467) | 957 |
| Dignity Health | San Francisco | CA | Jun 13 | 10,412 | 812 | (126) | 938 |
| Partners Healthcare System | Boston | MA | Sep 13 | 10,346 | 600 | 46 | 554 |
| UPMC | Pittsburgh | PA | Jun 13 | 10,188 | 359 | 184 | 175 |
| Sutter Health | Sacramento | CA | Dec 13 | 9,649 | 358 | 319 | 39 |
| Mayo Clinic | Rochester | MN | Dec 13 | 9,421 | 1,185 | (1,235) | 2,420 |
| Trinity Health | Livonia | MI | Jun 13 | 8,978 | 666 | (489) | 1,155 |
| Adventist Health System | Altamonte Springs | FL | Dec 13 | 7,598 | 578 | 233 | 345 |
| NorthShore LongIsland Jewish Health | Great Neck | NY | Dec 13 | 7,002 | 252 | (120) | 372 |
| Cleveland Clinic Health | Cleveland | OH | Dec 13 | 6,450 | 900 | (416) | 1,316 |
| Indiana University Health | Indianapolis | IN | Dec 13 | 5,247 | 541 | (590) | 1,131 |
| HealthPartners | Bloomington | MN | Dec 13 | 5,223 | 252 | 65 | 187 |
| Banner Health | Phoenix | AZ | Dec 13 | 5,085 | 833 | (767) | 1,600 |
| Johns Hopkins Health System | Baltimore | MD | Jun 13 | 4,960 | 351 | 38 | 313 |
| St Joseph Health System | Orange | CA | Jun 13 | 4,956 | 1,922 | (125) | 2,047 |
| Advocate HealthCare Network | Oak Brook | IL | Dec 13 | 4,938 | 765 | (472) | 1,237 |
| Henry Ford Health System | Detroit | MI | Dec 13 | 4,560 | 14 | 8 | 6 |
| Mercy Health | Chesterfield | MO | Jun 13 | 4,381 | 415 | (100) | 515 |
| Sentara HealthCare | Norfolk | VA | Dec 13 | 4,299 | 612 | (158) | 770 |
| New York and Presbyterian Hospital | New York | NY | Dec 13 | 4,265 | 356 | 12 | 344 |
| IHC Health Services | Salt Lake City | UT | Dec 13 | 4,252 | 712 | (236) | 948 |
| Aurora Health Care | Milwaukee | WI | Dec 13 | 4,249 | 195 | 34 | 161 |
| MedStar Health | Columbia | MD | Jun 13 | 4,217 | 186 | (55) | 241 |
| Baylor Health System | Dallas | TX | Jun 13 | 4,124 | 489 | 86 | 403 |
| Catholic Health Partners | Cincinnati | OH | Dec 13 | 3,956 | 365 | (548) | 913 |
| Spectrum Health System | Grand Rapids | MI | Jun 13 | 3,937 | 318 | (51) | 369 |
| BJC Healthcare | St Louis | MO | Dec 13 | 3,908 | 491 | (691) | 1,182 |
| Texas Health Resources | Arlington | TX | Dec 13 | 3,846 | 768 | (402) | 1,170 |
| SSM Health Care | St Louis | MO | Dec 13 | 3,815 | 127 | (429) | 556 |
| Christus Health | Irving | TX | Jun 13 | 3,701 | 160 | (266) | 426 |
| Novant Health | Winston-Salem | NC | Dec 13 | 3,593 | 273 | (270) | 543 |
| Memorial Hermann Healthcare System | Houston | TX | Jun 13 | 3,578 | 170 | (19) | 189 |
| University Penn Health | Philadelphia | PA | Jun 13 | 3,501 | 296 | 57 | 239 |
| Allina Health System | Minneapolis | MN | Dec 13 | 3,421 | 326 | (120) | 446 |
| Carolinas Health Care System | Charlotte | NC | Dec 13 | 3,412 | 181 | (345) | 526 |
| Fairview Health Services | Minneapolis | MN | Dec 13 | 3,370 | 249 | (114) | 363 |
| Bon Secours Health System | Baltimore | MD | Aug 13 | 3,357 | 169 | (125) | 294 |
| Geisinger Health System | Danville | PA | Jun 13 | 3,355 | 302 | (51) | 353 |
| Montefiore Medical Center | New York | NY | Dec 13 | 3,346 | 182 | (84) | 266 |
| Catholic Health East | Newtown Square | PA | Dec 13 | 3,269 | 194 | (542) | 736 |
| Sanford Health | Sioux Falls | SD | Jun 13 | 3,106 | 134 | (30) | 164 |
| Adventist Health West | Roseville | CA | Dec 13 | 3,052 | 55 | 31 | 24 |
| Jefferson Health System | Radnor | PA | Jun 13 | 3,047 | 304 | 59 | 245 |
| Memorial Sloan-Kettering Cancer Ctr | New York | NY | Dec 13 | 3,025 | 503 | (567) | 1,070 |
| Cedars-Sinai Medical Center | West Hollywood | CA | Jun 13 | 2,884 | 445 | 75 | 370 |
| UnityPoint Health | Des Moines | IA | Dec 13 | 2,841 | 262 | (45) | 307 |
| Sharp HealthCare | San Diego | CA | Sep 13 | 2,830 | 306 | 69 | 237 |
| St Vincent Health | Indianapolis | IN | Jun 13 | 2,761 | 328 | (45) | 373 |
| Stanford Hospital & Clinics | Stanford | CA | Aug 13 | 2,714 | 472 | (96) | 568 |
| The Methodist Hospital System | Houston | TX | Dec 13 | 2,616 | 684 | (232) | 916 |
| Franciscan Alliance | Mishawaka | IN | Dec 13 | 2,609 | 245 | (361) | 606 |
| Scripps Health | San Diego | CA | Sep 13 | 2,609 | 372 | 126 | 246 |
| University Maryland Medical System | Baltimore | MD | Jun 13 | 2,571 | 84 | (55) | 139 |
| BayCare Health System | Clearwater | FL | Dec 13 | 2,568 | 632 | (327) | 959 |
| Inova Health System | Falls Church | VA | Dec 13 | 2,539 | 518 | (189) | 707 |
| Duke University Health | Durham | NC | Jun 13 | 2,539 | 440 | 173 | 267 |
| Barnabas Health | West Orange | NJ | Dec 13 | 2,536 | 176 | (315) | 491 |
| OhioHealth | Columbus | OH | Jun 13 | 2,529 | 380 | (165) | 545 |
| Total all 61 | 343,567 | 30,956 | (11,893) | 42,849 |
The above 2013 financial information for Carolina's Health Care System is for the 9 months ended September 2013, since it hasn't filed its December 2013 financial statements in EMMA yet.
The above 2013 financial information for Catholic Health East is for the 9 months ended September 2013 since it was subsequently merged with Trinity Health.
The above 2008 financial information for Sutter Health was for its Obligated Group since I couldn't find in EMMA Sutter Health's Total System Information for that year.
