New Hampshire Non-Profit Hospitals Net Assets Up 73% Under Obama and the Affordable Care Act and Operating Profits Very Modest..Clearly Not Excessive...Jeanne Shaheen Was Way Ahead of the Curve on Health Care

From a review of the Electronic Municipal Market Access (EMMA), I found 4 Non-Profit Hospital Organizations headquartered in the State of New Hampshire with Net Assets (i.e. Financial Strength or Total Assets minus Total Liabilities) at the most recent date of more than $150 mil each.  Below here are the Net Assets of these 4 at both the most recent reported date and also at the Fiscal Year End (FYE) closest to the beginning of the Obama Administration:

						FYE	Balance	Net
				Most		Balance	Sheet	Assets
			Most	Recent		Sheet	Net	%
			Recent	Balance		Date	Assets	Change
			Balance	Sheet		Beginning	Beginning	During
	City	State	Sheet	Net		Obama	Obama	Obama
Hospital Organization	HQs	HQs	Date	Assets		Admin	Admin	Admin
				mil $s			mil $s
Dartmouth-Hitchcock	Lebanon	NH	Jun 14	496		Sep 09	262	89%
Concord Hospital	Concord	NH	Jun 14	327		Sep 09	197	66%
Wentworth-Douglas Health System	Dover	NH	Jun 14	255		Dec 09	171	49%
Elliot Health System	Manchester	NH	Jun 14	171		Jun 09	90	90%
Total all 4				1,249			720	73%

As you can see from the above chart, the Total Net Assets (Financial Strength) of these 4 New Hampshire Non-Profit Hospital Organizations increased by a very robust 73% to $1.249 bil so far during the Obama Administration.

To illustrate the very recent explosive Total Net Asset growth, in just the past 12 months, this Total Net Asset increase grew massively from 32% to 73%.

Very positively impacting this impressive increase in the Net Assets (Financial Strength) of these 4 New Hampshire Hospitals were actions taken by both the Obama Administration and the US Fed to strengthen the US Financial Foundation which was severely damaged from the financial meltdown in late 2008.

In addition, the Affordable Care Act (ACA) has also played a key role in this very robust increase in Net Assets (Financial Strength) of these 4 New Hampshire Non-Profit Hospital Organizations.

A remarkable thing is that these very robust increases in Net Assets (Financial Strength) of these Non-Profit Hospital Organizations occurred when these Non-Profit Hospitals were also playing very instrumental roles in the substantial annual percentage growth reduction of Total US Health Care Costs which occurred in each of the most recent three years under the ACA.

With such very solid Net Asset percentage increases of these 4 New Hampshire Hospitals, a key beneficiary of this has been and will continue to be New Hampshire citizens electing to buy health insurance on the Health Insurance Exchange.  This exceptional Net Asset growth gives these New Hampshire Hospitals the financial flexibility to moderate their pricing for hospital 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.   

New Hampshire Struggling Hospitals

Also from EMMA, I found 11 New Hampshire Hospital Organizations.  The Total Operating Income of these 11 was only 2.5% of their Total Operating Revenues in the most recent year.  And 6 of the 11 have Operating Income Margins of 2.0% or less, as you can see in the below chart:

		Most	Most	Most
		Recent	Recent	Recent	Operating
		Annual	Year	Year	Income
		Fiscal	Operating	Total	(Loss)
	City	Year	Income	Operating	Margin
	HQs	End	(Loss)	Revenues	%
			mils $s	mils $s
New Hampshire Non-Profit Hospital Organizations
Exeter Health Resources	Exeter	Sep 2013	(17.2)	254.3	-6.8%
Huggins Hospital	Wolfeboro	Sep 2013	(0.7)	52.6	-1.3%
Elliot Health	Manchester	Jun 2013	3.2	441.8	0.7%
Cheshire Medical Center	Keene	Jun 2013	1.9	143.2	1.3%
Memorial Hospital at North Conway	North Conway	Jun 2013	1.1	62.9	1.7%
LRGHealthCare	Laconia	Sep 2013	4.5	220.6	2.0%
Dartmouth Hitchcock Oblig Group	Lebanon	Jun 2013	38.7	1,322.1	2.9%
Concord Hospital	Concord	Sep 2013	14.8	426.8	3.5%
Wentworth Douglass Health	Dover	Dec 2013	9.8	278.0	3.5%
Southern New Hampshire Health	Pelham	Sep 2013	13.2	285.8	4.6%
Catholic Medical Center	Manchester	Jun 2013	26.5	292.4	9.1%
Total all 11			95.8	3,780.5	2.5%

So clearly, the majority of the New Hampshire Hospitals are struggling financially.  They certainly are in no way generating excessive profits.

By far the best and only way to put a major dent in the operating losses and very modest profits of the struggling New Hampshire Hospitals is for the State of New Hampshire to fully expand Medicaid, which it wisely has.  There will be a resultant massive inflow of Patient Revenues from Medicaid expansion, and thus these struggling New Hampshire Hospitals will be able to substantially increase their Hospital profitability.

In addition, one of the key beneficiaries of the resultant very healthy profit improvement and thus also Total Net Assets improvement of all New Hampshire Hospitals due to Medicaid expansion in New Hampshire will be New Hampshire citizens electing to buy health insurance on the Health Insurance Exchange.  This exceptional Net Asset growth from Medicaid expansion will give all New Hampshire Hospitals 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.