The single clearly most relevant measure of the financial strength of a US Hospital Organization is its level of Net Assets ..... or the Excess of its Total Hospital Organization's Assets Over its Total Hospital Liabilities.
From a thorough review of the excellent Electronic Municipal Market Access (EMMA), I found 11 Non-Profit Hospital Organizations with a heavy presence in the Greater San Francisco Bay Area and which had Total Net Assets of more than $400 mil.
These 11 largest Greater San Francisco Bay Area Non-Profit Hospital Organizations had Total Net Assets of $52.8 bil at the most recent date their financial statements disclosed them, which was a 111% increase from such comparable $25.1 bil amount at their fiscal year ends which included the 2008-09 US Financial Meltdown.
It should be pointed out that the majority of the below most recent Net Asset amounts are at September 30, 2014. When the final December 31, 2014 Net Asset amounts are disclosed, the above 111% increase will turn out to be much higher.
Below here are the Net Asset amounts at these two dates for these 11 largest Greater San Francisco Bay Area Non-Profit Hospital Organizations:
|California Non-Profit Hospital Organization||HQs||HQs||Date||Assets||Meltdown||Meltdown||Meltdown|
|mil $s||mil $s|
|Kaiser Permanente||Oakland||CA||Sep 14||25,909||Dec 08||11,431||127%|
|Sutter Health||Sacramento||CA||Sep 14||8,520||Dec 08||4,298||98%|
|Dignity Health||San Francisco||CA||Sep 14||7,081||Jun 09||3,622||95%|
|Stanford Health Care||Stanford||CA||Nov 14||2,742||Aug 09||807||240%|
|Packard Children's Hospital Stanford||Palo Alto||CA||Nov 14||1,907||Aug 09||1,068||79%|
|Adventist Health West||Roseville||CA||Sep 14||1,601||Dec 08||969||65%|
|John Muir Health||Walnut Creek||CA||Sep 14||1,491||Dec 08||756||97%|
|U Cal, San Fran Medical Center||San Francisco||CA||Jun 13||1,323||Jun 09||761||74%|
|El Camino Hhealthcare District||Mountain View||CA||Jun 14||1,103||Jun 09||685||61%|
|Community Hospital Foundation||Monterey||CA||Jun 14||693||Dec 08||341||103%|
|Fremont-Rideout Health Group||Yuba City||CA||Dec 14||459||Jun 09||313||47%|
|Total all 11||52,829||25,051||111%|
The single number that will determine by far more than any other one number just how successful the Affordable Care Act (ACA) will turn out to be in the long run is the Hospital Net Asset (Financial Strength) amount and its change over time. This Hospital Net Asset number and its change over time has already driven and will continue to drive how expensive health insurance premiums will be, including insurance premiums on the both the US Federal and the many US State Health Insurance Exchanges under the ACA. And this Hospital Net Asset number and its change over time has already driven and will also continue to drive the Total US Health Care Cost Curve.
As you can see from the above chart, the Total Net Assets (Financial Strength) of these 11 largest Greater San Francisco Bay Area Non-Profit Hospital Organizations totaled a huge $52.8 bil, up a massive 111% from such Total Net Asset amounts of $25.1 bil at their fiscal year ends which included the 2008-09 US Financial Meltdown. This is a very good sign for just how successful the ACA has been so far and also how very successful it will turn out to be in the long run.
With such incredibly impressive Hospital Net Asset percentage increases in California and all throughout the US, a key beneficiary of this will be US citizens who have elected or will be electing to buy health insurance on the US Federal and US States Health Insurance Exchanges. This superb Net Asset growth has given and will continue to give these US 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 Exchanges.