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 Electronic Municipal Market Access (EMMA) and of SEC filings, I found 165 US Hospital Organizations which had Total Net Assets of either more than $1 bil or less than a negative $1 bil on either the most recent date or on the fiscal year end date which included the 2008-09 US financial meltdown.
These 165 largest US Hospital Organization had Total Net Assets of $448.931 bil at the most recent date their financial statements disclosed them, which was a 112% increase from such comparable $211.382 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 112% increase will turn out to be much higher.
None of the University of California Medical Schools are included below since they had huge Accounting Change Adjustments to Net Assets made in the most recent fiscal year but with no disclosure of their impact on Net Assets in the 2008-09 Financial Meltdown fiscal year end.
Below here are the Net Asset amounts at these two dates for these 165 largest US Hospital Organizations, with the US States being presented in alphabetical order:
| Net | Net | |||||||
| Assets | Assets | |||||||
| FYE | FYE | % | ||||||
| Balance | Balance | Increase | ||||||
| Sheet | Sheet | Since | ||||||
| Most | Date | Date | FYE | |||||
| Most | Recent | Including | Including | Including | ||||
| Recent | Balance | 2008-09 | 2008-09 | 2008-09 | ||||
| Balance | Sheet | US | US | US | ||||
| City | State | Sheet | Net | Financial | Financial | Financial | ||
| US Hospital Organization | HQs | HQs | Date | Assets | Meltdown | Meltdown | Meltdown | |
| mil $s | mil $s | |||||||
| UAB Health System | Birmingham | AL | Dec 14 | 1,076 | Sep 09 | 744 | 45% | |
| HealthSouth (Publicly-held Co) | Birmingham | AL | Sep 14 | 593 | Dec 08 | (1,087) | 155% | |
| Banner Health | Phoenix | AZ | Sep 14 | 4,629 | Dec 08 | 1,669 | 177% | |
| Catholic Health Initiatives | Inverness | CO | Sep 14 | 9,275 | Jun 09 | 5,505 | 68% | |
| SCL Health Systems | Denver | CO | Sep 14 | 2,328 | Dec 08 | 2,263 | 3% | |
| U Colorado Health | Ft. Collins | CO | Sep 14 | 2,171 | Feb 09 | 1,172 | 85% | |
| Children's Hospital Colorado | Aurora | CO | Sep 14 | 1,333 | Dec 08 | 678 | 97% | |
| DaVita Healthcare Partners (Publicly-held Co) | Denver | CO | Sep 14 | 5,151 | Dec 08 | 1,827 | 182% | |
| Envision Healthcare (Publicly-held Co) | Greenwood Village | CO | Sep 14 | 1,715 | Dec 08 | 539 | 218% | |
| 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% | |
| St Joseph Health System | Orange | CA | Sep 14 | 5,259 | Jun 09 | 2,076 | 153% | |
| Scripps Health | San Diego | CA | Sep 14 | 2,958 | Sep 09 | 1,354 | 118% | |
| Cedars-Sinai Medical Center | West Hollywood | CA | Jun 14 | 3,051 | Jun 09 | 1,517 | 101% | |
| Stanford Health Care | Stanford | CA | Nov 14 | 2,742 | Aug 09 | 807 | 240% | |
| City of Hope | Duarte | CA | Sep 14 | 2,317 | Sep 09 | 1,211 | 91% | |
| Sharp HealthCare | San Diego | CA | Sep 14 | 2,245 | Sep 09 | 806 | 179% | |
| Packard Children's Hospital Stanford | Palo Alto | CA | Nov 14 | 1,907 | Aug 09 | 1,068 | 79% | |
| Memorial Health Services Oblig Group | Fountain Valley | CA | Sep 14 | 1,713 | Jun 09 | 769 | 123% | |
| 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% | |
| Children's Hospital Los Angeles | Los Angeles | CA | Sep 14 | 1,072 | Jun 09 | 758 | 41% | |
| Cottage Health System | Santa Barbara | CA | Sep 14 | 1,286 | Dec 08 | 675 | 91% | |
| El Camino Hhealthcare District | Mountain View | CA | Jun 14 | 1,103 | Jun 09 | 685 | 61% | |
| Hartford Healthcare | Hartford | CT | Jun 14 | 1,745 | Sep 09 | 661 | 164% | |
| Yale-New Haven Health Services | New Haven | CT | Sep 14 | 1,867 | Sep 09 | 588 | 218% | |
| MedStar Health | Columbia | MD | Sep 14 | 1,478 | Jun 09 | 647 | 128% | |
| Christiana Care Health Services | Wilmington | DE | Dec 14 | 1,877 | Jun 09 | 881 | 113% | |
| Adventist Health System | Altamonte Springs | FL | Sep 14 | 6,906 | Dec 08 | 3,407 | 103% | |
| BayCare Health System | Clearwater | FL | Sep 14 | 3,786 | Dec 08 | 1,523 | 149% | |
| Baptist Health South Florida | Coral Gables | FL | Sep 14 | 3,087 | Sep 09 | 1,571 | 96% | |
| Baptist Health System | Jacksonville | FL | Dec 14 | 1,613 | Sep 09 | 687 | 135% | |
| Nemours Foundation | Jacksonville | FL | Dec 13 | 1,100 | Dec 08 | 744 | 48% | |
| South Broward Hospital District | Hollywood | FL | Oct 14 | 1,706 | Apr 09 | 1,011 | 69% | |
| Orlando Health | Orlando | FL | Dec 14 | 1,438 | Sep 09 | 875 | 64% | |
| Mednax (Publicly-held Co) | Sunrise | FL | Dec 14 | 2,266 | Dec 08 | 965 | 135% | |
| Health Management Associates (Publicly-held Co) | Naples | FL | Sep 13 | 1,008 | Dec 08 | 286 | 252% | |
| Children's HealthCare Atlanta | Atlanta | GA | Sep 14 | 3,453 | Dec 08 | 1,482 | 133% | |
| Wellstar Health System | Marietta | GA | Sep 14 | 1,283 | Jun 09 | 715 | 79% | |
| Piedmont Healthcare | Atlanta | GA | Sep 14 | 1,131 | Jun 09 | 608 | 86% | |
| Navicent Health | Macon | GA | Dec 14 | 1,134 | Sep 09 | 789 | 44% | |
| Queens Health System | Honololulu | HI | Sep 14 | 1,356 | Jun 09 | 548 | 147% | |
| UnityPoint Health | Des Moines | IA | Sep 14 | 2,893 | Dec 08 | 1,067 | 171% | |
| University Iowa Hospitals & Clinics | Iowa City | IA | Jun 13 | 1,172 | Jun 09 | 969 | 21% | |
| Advocate Health Care Network | Oak Brook | IL | Sep 14 | 5,468 | Dec 08 | 1,842 | 197% | |
| Northwestern Memorial Health Care | Chicago | IL | Nov 14 | 5,437 | Aug 09 | 1,642 | 231% | |
| Hospital Sisters Health System | Springfield | IL | Sep 14 | 2,526 | Jun 09 | 1,697 | 49% | |
| NorthShore University Health System | Evanston | IL | Dec 14 | 2,229 | Sep 09 | 1,443 | 54% | |
| Rush University Medical Center | Chicago | IL | Sep 14 | 1,964 | Jun 09 | 1,073 | 83% | |
| Cadence Health | Winfield | IL | Aug 14 | 1,916 | Jun 09 | 879 | 118% | |
| Children's Memorial Chicago Med Center | Chicago | IL | Nov 14 | 1,581 | Aug 09 | 1,051 | 50% | |
| University Chicago Medical Center | Chicago | IL | Sep 14 | 1,337 | Jun 09 | 823 | 62% | |
| OSF Healthcare System | Peoria | IL | Sep 14 | 1,065 | Sep 09 | 684 | 56% | |
| Presence Health | Chicago | IL | Sep 14 | 1,075 | Jun 09 | 444 | 142% | |
| Indiana University Health | Indianapolis | IN | Sep 14 | 4,662 | Dec 08 | 1,434 | 225% | |
| St Vincent Health | Indianapolis | IN | Jun 14 | 3,505 | Jun 09 | 1,561 | 125% | |
| Franciscan Alliance | Mishawaka | IN | Sep 14 | 2,703 | Dec 08 | 1,463 | 85% | |
| Parkview Health System | Fort Wayne | IN | Sep 14 | 1,231 | Dec 08 | 543 | 127% | |
| Beacon Health System | South Bend | IN | Sep 14 | 1,125 | Dec 08 | 341 | 230% | |
| Community Health Network | Indianapolis | IN | Sep 14 | 1,173 | Dec 08 | 482 | 143% | |
| Baptist Healthcare System | Louisville | KY | Nov 14 | 1,697 | Aug 09 | 1,036 | 64% | |
| Franciscan Missionaries Our Lady Health | Baton Rouge | LA | Sep 14 | 1,377 | Jun 09 | 830 | 66% | |
| Partners Healthcare System | Boston | MA | Sep 14 | 6,943 | Sep 09 | 4,975 | 40% | |
| Boston Childrens Hospital | Boston | MA | Sep 14 | 4,784 | Sep 09 | 2,516 | 90% | |
| CareGroup Healthcare System | Boston | MA | Sep 14 | 1,718 | Sep 09 | 978 | 76% | |
| Dana-Farber Cancer Institute | Boston | MA | Jun 14 | 1,306 | Sep 09 | 836 | 56% | |
| BMC Health System | Boston | MA | Sep 14 | 1,472 | Sep 09 | 1,026 | 43% | |
| Johns Hopkins Health System | Baltimore | MD | Sep 14 | 3,751 | Jun 09 | 1,273 | 195% | |
| University Maryland Medical System | Baltimore | MD | Sep 14 | 1,629 | Jun 09 | 904 | 80% | |
| Bon Secours Health System | Baltimore | MD | Nov 14 | 1,331 | Aug 09 | 703 | 89% | |
| CHE Trinity Health | Livonia | MI | Sep 14 | 10,767 | Mar 09 | 6,008 | 79% | |
| Spectrum Health System | Grand Rapids | MI | Sep 14 | 2,322 | Jun 09 | 1,128 | 106% | |
| Henry Ford Health System | Detroit | MI | Sep 14 | 1,586 | Dec 08 | 1,053 | 51% | |
| Beaumont Health System | Royal Oak | MI | Sep 14 | 1,266 | Dec 08 | 787 | 61% | |
| McLaren Health Care | Flint | MI | Sep 14 | 1,424 | Sep 09 | 682 | 109% | |
| Mayo Clinic | Rochester | MN | Sep 14 | 8,371 | Dec 08 | 2,326 | 260% | |
| HealthPartners | Bloomington | MN | Sep 14 | 2,375 | Dec 08 | 503 | 372% | |
| Allina Health System | Minneapolis | MN | Sep 14 | 2,134 | Dec 08 | 804 | 165% | |
| Fairview Health Services | Minneapolis | MN | Sep 14 | 1,687 | Dec 08 | 732 | 130% | |
| Ascension Health | Edmundson | MO | Sep 14 | 18,831 | Jun 09 | 8,275 | 128% | |
| BJC Healthcare | St Louis | MO | Sep 14 | 5,468 | Dec 08 | 2,705 | 102% | |
| Mercy Health | Chesterfield | MO | Sep 14 | 3,327 | Jun 09 | 2,118 | 57% | |
| SSM Health Care | St Louis | MO | Sep 14 | 2,131 | Dec 08 | 933 | 128% | |
| St Luke's Health System | Kansas City | MO | Sep 14 | 1,155 | Dec 08 | 703 | 64% | |
| Children's Mercy Hospitals | Kansas City | MO | Sep 14 | 1,108 | Jun 09 | 668 | 66% | |
| Carolinas Health Care System | Charlotte | NC | Sep 14 | 4,278 | Dec 08 | 2,340 | 83% | |
| Duke University Health System | Durham | NC | Sep 14 | 3,054 | Jun 09 | 1,392 | 119% | |
| Novant Health | Winston-Salem | NC | Sep 14 | 2,679 | Dec 08 | 1,557 | 72% | |
| Cone Health | Greensboro | NC | Dec 14 | 1,496 | Sep 09 | 894 | 67% | |
| Mission Health System | Asheville | NC | Dec 14 | 1,427 | Sep 09 | 882 | 62% | |
| University North Carolina Hospitals | Chapel Hill | NC | Dec 14 | 1,338 | Jun 09 | 911 | 47% | |
| North Carolina Baptist Hospital | Winston-Salem | NC | Sep 14 | 1,008 | Jun 09 | 715 | 41% | |
| Vidant Health | Greenville | NC | Sep 14 | 1,014 | Sep 09 | 587 | 73% | |
| Virtua Health | Marlton | NJ | Sep 14 | 1,233 | Dec 08 | 566 | 118% | |
| AHS (Atlantic Health System) Hospital | Morristown | NJ | Sep 14 | 1,351 | Dec 08 | 510 | 165% | |
| Presbyterian Healthcare Services | Albuquerque | NM | Sep 14 | 1,897 | Dec 08 | 706 | 169% | |
| New York and Presbyterian Hospital | New York | NY | Sep 14 | 5,075 | Dec 08 | 2,333 | 118% | |
| Memorial Sloan-Kettering Cancer Center | New York | NY | Sep 14 | 5,339 | Dec 08 | 3,224 | 66% | |
| North Shore Long Island Jewish Health | Great Neck | NY | Sep 14 | 3,134 | Dec 08 | 614 | 410% | |
| Mount Sinai Hospital | New York | NY | Sep 14 | 1,265 | Dec 08 | 477 | 165% | |
| NYU Hospitals Center | New York | NY | Nov 14 | 1,612 | Aug 09 | 401 | 302% | |
| Icahn School Medicine Mount Sinai | New York | NY | Dec 13 | 1,129 | Dec 08 | 765 | 48% | |
| Catholic Health Services Long Island | Rockville Centre | NY | Sep 14 | 1,047 | Dec 08 | 561 | 87% | |
| Cleveland Clinic Health System | Cleveland | OH | Sep 14 | 6,741 | Dec 08 | 2,715 | 148% | |
| OhioHealth | Columbus | OH | Sep 14 | 3,359 | Jun 09 | 1,259 | 167% | |
| Mercy Health | Cincinnati | OH | Sep 14 | 3,223 | Dec 08 | 1,614 | 100% | |
| Cincinnati Children's Hospital Medical Ctr | Cincinnati | OH | Dec 14 | 2,488 | Jun 09 | 1,140 | 118% | |
| Premier Health Partners | Dayton | OH | Sep 14 | 1,730 | Dec 08 | 1,111 | 56% | |
| Nationwide Children's Hospital | Columbus | OH | Sep 14 | 1,977 | Dec 08 | 761 | 160% | |
| ProMedica Health Care | Toledo | OH | Sep 14 | 1,668 | Dec 08 | 1,042 | 60% | |
| University Hospitals Health System | Cleveland | OH | Sep 14 | 1,924 | Dec 08 | 1,078 | 78% | |
| Ohio State Univ Wexner Med Ctr | Columbus | OH | Jun 14 | 1,066 | Jun 09 | 555 | 92% | |
| Saint Francis Health System | Tulsa | OK | Dec 14 | 1,890 | Jun 09 | 946 | 100% | |
| Integris Health | Oklahoma City | OK | Dec 14 | 1,196 | Jun 09 | 774 | 55% | |
| Univ Oklahoma Health Sciences Ctr | Oklahoma City | OK | Jun 14 | 1,002 | Jun 09 | 717 | 40% | |
| Oregon Health & Science University | Portland | OR | Sep 14 | 2,376 | Jun 09 | 1,570 | 51% | |
| Legacy Health System | Portland | OR | Sep 14 | 1,193 | Mar 09 | 618 | 93% | |
| UPMC | Pittsburgh | PA | Dec 14 | 5,430 | Jun 09 | 2,756 | 97% | |
| Children's Hospital Philadelphia | Philadelphia | PA | Sep 14 | 3,465 | Jun 09 | 1,938 | 79% | |
| University Penn Health System | Philadelphia | PA | Sep 14 | 2,639 | Jun 09 | 1,163 | 127% | |
| Main Line Health | Paoli | PA | Dec 14 | 2,359 | Jun 09 | 1,346 | 75% | |
| Geisinger Health System | Danville | PA | Sep 14 | 2,527 | Jun 09 | 901 | 180% | |
| Lehigh Valley Health Network | Allentown | PA | Sep 14 | 1,290 | Jun 09 | 590 | 119% | |
| Lancaster General Health | Lancaster | PA | Dec 14 | 1,108 | Jun 09 | 622 | 78% | |
| Universal Health Services (Publicly-held Co) | King of Prussia | PA | Sep 14 | 3,657 | Dec 08 | 1,771 | 106% | |
| LifeSpan | Providence | RI | Sep 14 | 1,453 | Sep 09 | 1,225 | 19% | |
| Greenville Hospital System | Greenville | SC | Sep 14 | 1,062 | Sep 09 | 802 | 32% | |
| McLeod Health | Florence | SC | Sep 14 | 1,045 | Sep 09 | 533 | 96% | |
| Sanford Health | Sioux Falls | SD | Sep 14 | 2,044 | Jun 09 | 1,242 | 65% | |
| Avera Health | Sioux Falls | SD | Sep 14 | 1,503 | Jun 09 | 675 | 123% | |
| St Jude Children's Research Hospital | Memphis | TN | Dec 14 | 3,592 | Jun 09 | 1,907 | 88% | |
| Baptist Memorial Health Care | Memphis | TN | Dec 14 | 1,632 | Sep 09 | 1,501 | 9% | |
| Methodist Le Bonheur Healthcare | Memphis | TN | Sep 14 | 1,241 | Dec 08 | 451 | 175% | |
| Covenant Health | Knoxville | TN | Sep 14 | 1,072 | Dec 08 | 614 | 75% | |
| Community Health Systems (Publicly-held Co) | Franklin | TN | Sep 14 | 3,970 | Dec 08 | 1,673 | 137% | |
| LifePoint Hospitals (Publicly-held Co) | Brentwood | TN | Sep 14 | 2,209 | Dec 08 | 1,656 | 33% | |
| Amsurg (Publicly-held Co) | Nashville | TN | Sep 14 | 2,058 | Dec 08 | 463 | 344% | |
| HCA (Publicly-held Co) | Nashville | TN | Dec 14 | (6,498) | Dec 08 | (9,260) | 25% | |
| Houston Methodist | Houston | TX | Sep 14 | 4,826 | Dec 08 | 2,375 | 103% | |
| Texas Health Resources | Arlington | TX | Sep 14 | 4,215 | Dec 08 | 1,921 | 119% | |
| Baylor Scott & White Health | Dallas | TX | Sep 14 | 4,710 | Jun 09 | 2,166 | 117% | |
| Texas Children's Hospital | Houston | TX | Sep 14 | 3,270 | Sep 09 | 2,088 | 57% | |
| Christus Health | Irving | TX | Sep 14 | 2,782 | Jun 09 | 2,119 | 31% | |
| Memorial Hermann Healthcare System | Houston | TX | Sep 14 | 2,634 | Jun 09 | 1,509 | 75% | |
| Cook Children's Health | Fort Worth | TX | Sep 14 | 2,033 | Sep 09 | 840 | 142% | |
| Children's Medical Center of Dallas | Dallas | TX | Sep 14 | 1,839 | Dec 08 | 821 | 124% | |
| Methodist Health System | Dallas | TX | Jun 14 | 1,236 | Sep 09 | 627 | 97% | |
| Baylor College of Medicine | Houston | TX | Dec 14 | 1,197 | Jun 09 | 965 | 24% | |
| Dallas County Hospital (Parkland) | Dallas | TX | Jun 14 | 1,359 | Sep 09 | 962 | 41% | |
| IHC Health Services | Salt Lake City | UT | Sep 14 | 5,658 | Dec 08 | 1,582 | 258% | |
| Inova Health System | Falls Church | VA | Sep 14 | 4,429 | Dec 08 | 1,885 | 135% | |
| Sentara HealthCare | Norfolk | VA | Sep 14 | 3,966 | Dec 08 | 1,489 | 166% | |
| Virginia Commonwealth Univ Health | Richmond | VA | Sep 14 | 1,686 | Jun 09 | 756 | 123% | |
| Providence Health | Renton | WA | Sep 14 | 8,178 | Dec 08 | 3,911 | 109% | |
| Seattle Children's Healthcare | Seattle | WA | Sep 14 | 2,161 | Sep 09 | 1,195 | 81% | |
| MultiCare Health System | Tacoma | WA | Sep 14 | 1,943 | Dec 08 | 650 | 199% | |
| PeaceHealth | Vancouver | WA | Sep 14 | 1,795 | Jun 09 | 897 | 100% | |
| Froedtert Health | Milwaukee | WI | Sep 14 | 1,556 | Jun 09 | 824 | 89% | |
| Medical College Wisconsin | Milwaukee | WI | Sep 14 | 1,339 | Jun 09 | 808 | 66% | |
| Ministry Health Care | Milwaukee | WI | Sep 14 | 1,197 | Sep 09 | 730 | 64% | |
| Children's Hospital and Health System | Milwaukee | WI | Sep 14 | 1,173 | Dec 08 | 460 | 155% | |
| Aurora Health Care | Milwaukee | WI | Sep 14 | 1,745 | Dec 08 | 546 | 220% | |
| Wheaton Franciscan Health | Glendale | WI | Sep 14 | 1,071 | Jun 09 | 704 | 52% | |
| West Virginia United Health System | Fairmont | WV | Sep 14 | 1,084 | Dec 08 | 608 | 78% | |
| Total all 165 | 448,931 | 211,382 | 112% |
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 165 largest US Hospital Organizations totaled a huge $448.9 bil, up a massive 112% from such Total Net Asset amounts of $211.4 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 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.
