Tuesday, June 30, 2015

84 US Health Care Related Companies (HCRCs) in States Not Expanding Medicaid on 1-1-14 Had Total 2014 Audited Earnings of $22 Bil, Down 7% From 2013 ..... While 216 HCRCs in States Expanding Medicaid on 1-1-14 Had Total 2014 Audited Earnings of $112 Bil, Up 18% Over 2013 ..... 69 California HCRCs 2014 Earnings Were $25 Bil, Up 63% Over 2013 ..... 43 Massachusetts HCRCs 2014 Earnings Up 110% Over 2013 ..... 23 New Jersey HCRCs 2014 Earnings Were $31 Bil, Up 42% Over 2013

From a very thorough review of SEC filings and the Google Finance Website, I found a very large number of 300 US  Headquartered Health Care Related Companies (HCRCs) with Market Caps now of at least $1 bil.

Of these 300 US HCRCs, 84 of them have their headquarters located in US States which did not Expand Medicaid on 1-1-14.  Their Total Audited Earnings From Continuing Operations in 2014 of $22.101 bil were down 7% from the $23.749 bil earned in 2013, as you can see in the below chart, which is presented in Stock Market Cap order by US State:




2014 2013



2014  Audited   Audited 



Most  Net   Net 
US Health Care Companies In States

Recent  Income   Income 
Not Expanding Medicaid on 1-1-14 HQs
FYE  (Loss)   (Loss) 

CITY ST
 mil $s   mil $s 






HEALTHSOUTH Birmingham AL Dec           276           383
Medical Properties Trust Birmingham AL Dec              51              89
Total 2 AL
AL
          327           472






Opko Health Miami FL Dec         (175)         (117)
MEDNAX Sunrise FL Dec           317           281
WellCare Health Plans Tampa FL Dec              64           175
TherapeuticsMD Boca Raton FL Dec           (54)           (28)
CNL Healthcare Properties Orlando FL Dec           (53)           (18)
Total all 5 FL


             99           293






AFLAC Columbus GA Dec        2,951        3,158
Halyard Health Alpharetta GA Dec              27           155
ExamWorks Group Atlanta GA Dec              10           (10)
MedAssets Alpharetta GA Dec           (20)              27
MiMedx Group Marietta GA Dec                6              (4)
Total all 5 GA


       2,974        3,326






MWI Veterinary Supply Boise ID Sep              72              63






Eli Lilly Indianapolis IN Dec        2,391        4,685
Anthem Indianapolis IN Dec        2,560        2,634
Zimmer Holdings Warsaw IN Dec           719           759
CNO Financial Group Carmel IN Dec              51           478
Hill-Rom Holdings Batesville IN Sep              61           105
Biomet Warsaw IN May              76         (623)
Total all 6 IN


       5,858        8,038






Amedisys Baton Rouge LA Dec              13           (95)






IDEXX Laboratories Westbrook ME Dec           182           188






Stryker Kalamazoo MI Dec           515        1,006
Perrigo plc Allegan MI Jun           205           442
Diplomat Pharmacy Flint MI Dec                5           (26)
Esperion Therapeutics Ann Arbor MI Dec           (36)           (26)
Neogen Lansing MI May              28              27
Total all 5 MI


          717        1,423






Express Scripts St Louis MO Dec        2,035        1,926
Cerner North Kansas City MO Dec           525           398
Centene St Louis MO Dec           261           162
Total all 3 MO


       2,821        2,486






Laboratory Corp America Burlington NC Dec           513           575
Salix Pharmaceuticals Raleigh NC Dec         (415)           131
Quintiles Transnational Durham NC Dec           357           226
Premier Charlotte NC Dec           333           375
INC Research Holdings Raleigh NC Dec           (23)           (42)
PRA Health Sciences Raleigh NC Dec           (36)           (88)
Chimerix Durham NC Dec           (59)           (36)
Cempra Chapel Hill NC Dec           (62)           (45)
BioCryst Pharmaceuticals Durham NC Dec           (45)           (30)
Total all 9 NC


          563        1,066






National Research Corp Lincoln NE Dec              18              15






Mylan NV Canonsburg PA Dec           933           627
AmeriourceBergen Chesterbrook PA Sep           284           493
Endo International plc Malvern PA Dec         (724)         (536)
Universal Health Services King of Prussia PA Dec           605           554
Rite Aid Camp Hill PA Feb 15        2,109           249
DENTSPLY York PA Dec           323           318
Teleflex Limerick PA Dec           191           152
West Pharmaceutical Services Exton PA Dec           127           112
GNC Holdings Pittsburgh PA Dec           256           265
VWR Corp Radnor PA Dec           153              14
Globus Medical Audubon PA Dec              92              69
Healthcare Services Group Bensalem PA Dec              22              47
Lannett Company Philadelphia PA Jun              57              13
Select Medical Holdings Mechanicsburg PA Dec           128           123
MSA Safety Inc Cranberry Township PA Dec              86              85
Spark Therapeutics Philadelphia PA Dec           (24)           (57)
Genesis Healthcare Kennett Square PA Dec              (1)              (6)
Total all 17 PA


       4,617        2,522






Benefitfocus Charleston SC Dec           (63)           (30)






HCA Nashville TN Dec        2,373        1,996
Unum Group Chattanooga TN Dec           413           858
Brookdale Senior Living Brentwood TN Dec         (149)              (4)
Community Health Systems Franklin TN Dec           260           242
Acadia Healthcare Franklin TN Dec              83              43
Team Health Holdings  Knoxville TN Dec              98              88
Lifepoint Health Brentwood TN Dec           134           132
AmSurg Nashville TN Dec           246           254
Emdeon Nashville TN Dec           (76)           (74)
National Health Investors Murfreesboro TN Dec           103              79
Healthcare Realty Trust Nashville TN Dec              34           (13)
Wright Medical Group Arlington TN Dec         (240)         (280)
Total all 12 TN


       3,279        3,321






Tenet Healthcare Dallas TX Dec              98           (93)
Adeptus Health Lewisville TX Dec           (17)              (3)
Cyberonics Houston TX Apr              55              46
Greatbatch Frisco TX Dec              55              36
ZS Pharma Coppell TX Dec           (64)           (34)
LDR Holding Austin TX Dec           (11)           (28)
Total all 6 TX


          116           (76)






Nu Skin Enterprises Provo UT Dec           189           365
Myriad Genetics Salt Lake City UT Jun           176           147
HealthEquity Draper UT Jan 15              10                1
Usana Health Sciences Salt Lake City UT Dec              77              79
Total all 4 UT


          452           592






MAXIMUS Reston VA Sep           145           117
Owens & Minor Mechanicsville VA Dec              67           111
Evolent Health Arlington VA Dec           (52)           (33)
Total all 3 VA


          160           195






Exact Sciences Madison WI Dec         (100)           (47)
Physicians Realty Trust Milwaukee WI Dec              (4)              (3)
Total all 2 WI


        (104)           (50)






Total all 84 HCRCs In States Not Expanding Medicaid on 1-1-14

    22,101     23,749
…..2014 Earnings % Decline From 2013


-7%

Also, of these 300 US HCRCs, 216 of them have their headquarters located in US States which did Expand Medicaid on 1-1-14.  Their Total Audited Earnings From Continuing Operations in 2014 of $111.589 bil were up a very impressive 18% from the $94.648 bil earned in 2013, as you can see in the below chart, which is presented in Stock Market Cap order by US State:




2014 2013



2014  Audited   Audited 


Most  Net   Net 
US Health Care Companies In States

Recent  Income   Income 
Expanding Medicaid on 1-1-14 HQs
FYE  (Loss)   (Loss) 
CITY ST
 mil $s   mil $s 






Gilead Sciences Foster City CA Dec     12,059        3,057
Amgen Thousand Oaks CA Dec        5,158        5,081
Allergan Irvine CA Dec        1,533        1,273
McKesson San Francisco CA Mar 15        1,842        1,414
Illumina San Diego CA  Dec            353           125
BioMarin Pharmaceutical San Rafael CA Dec         (134)         (176)
Pharmacyclics Sunnyvale CA Dec              86              67
Intuitive Surgical Sunnyvale CA Dec           418           671
HCP Irvine CA Dec           907           911
Edwards Lifesciences Irvine CA Dec           811           389
Agilent Technologies Santa Clara CA Oct           504           724
CareFusion San Diego CA Jun           417           389
Jazz Pharmaceuticals plc Palo Alto CA Dec              57           216
Medivation San Francisco CA Dec           276           (43)
Varian Medical Systems Palo Alto CA Sep           404           438
The Cooper Companies Pleasanton CA Oct           272           297
ResMed San Diego CA Jun           345           307
Fitbit San Francisco CA Dec           132           (52)
Isis Pharmaceuticals Carlsbad CA  Dec            (39)           (61)
DexCom San Diego CA  Dec            (22)           (30)
Receptos  San Diego CA  Dec          (115)           (48)
Herbalife Ltd Los Angeles CA Dec           309           528
Align Technology San Jose CA Dec           146              64
Health Net Woodland Hills CA Dec           146           170
VCA Inc Los Angeles CA Dec           141           143
Cepheid Sunnyvale CA Dec           (50)           (18)
Bio-Rad Laboratories Hercules CA Dec              89              78
ACADIA Pharmaceuticals San Diego CA  Dec            (92)           (38)
Neurocrine Biosciences San Diego CA  Dec            (61)           (46)
BioMed Realty Trust San Diego CA Dec           201              47
Molina Healthcare Long Beach CA Dec              63              45
Puma Biotechnology Los Angeles CA Dec         (142)           (55)
Ultragenyx Pharmaceutical  Novato CA Dec           (60)           (35)
Avanir Pharmaceuticals Aliso Viejo CA Sep           (50)           (75)
Anacor Pharmaceuticals  Palo Alto CA Dec           (87)              85
Impax Laboratories Hayward CA Dec              57           101
Auspex Pharmaceuticals   San Diego CA  Dec            (60)           (16)
Kite Pharma Santa Monica CA Dec           (43)              (6)
Halozyme Therapeutics San Diego CA  Dec            (68)           (83)
Thoratec Pleasanton CA Dec              50              73
Portola Pharmaceuticals   South San Francisco CA Dec         (137)           (83)
MannKind Valencia CA Dec         (198)         (191)
NuVasive San Diego CA  Dec            (17)                7
Theravance South San Francisco CA Dec           (74)           (31)
Aduro BioTech Berkeley CA Dec           (17)           (16)
Masimo Irvine CA Dec              74              56
Ligand Pharmaceuticals La Jolla CA Dec              11                9
Kythera Biopharmaceuticals Calabasas CA Dec         (136)           (52)
Nektar Therapeutics San Francisco CA Dec           (54)         (162)
Griffin-American Healthcare REIT III Irvine CA Dec              (9)
Coherent Santa Clara CA Sep              59              66
Sabra Health Care REIT Irvine CA Dec              47              34
ICU Medical San Clemente CA Dec              26              40
Nevro Menlo Park CA Dec           (31)           (26)
LTC Properties Westlake Village CA Dec              73              55
AMN Healthcare Services San Diego CA Dec              33              33
Natus Medical San Carlos CA Dec              32              23
Fibrogen San Francisco CA Dec           (60)           (15)
Relypsa  Redwood City CA Dec           (80)           (74)
The Ensign Group Mission Viejo CA Dec              34              26
DepoMed Newark CA Dec           132              43
Atara Biotherapeutics Brisbane CA Dec           (28)              (9)
Raptor Pharmaceutical Novato CA Dec           (53)           (69)
ZELTIQ Aesthetics  Pleasanton CA Dec                2           (19)
Abaxis Union City CA Mar 15              21              16
Endologix Irvine CA Dec           (32)           (16)
Coherus BioSciences Redwood City CA Dec           (87)           (54)
Arena Pharmaceuticals San Diego CA Dec           (61)           (19)
Heron Therapeutics Redwood City CA Dec           (76)           (55)
Total all 69 CA


    25,147     15,428





Biogen Idec Cambridge MA Dec        2,942        1,862
Thermo Fisher Scientific Waltham MA Dec        1,896        1,279
Covidien plc Mansfield MA Sep        1,662        1,600
Vertex Pharmaceuticals Cambridge MA Dec         (742)         (504)
Boston Scientific Natick MA Dec         (119)         (121)
Waters Corporation Milford MA Dec           432           450
Hologic Bedford MA Sep              17     (1,173)
Alnylam Pharmaceuticals Cambridge MA Dec         (360)           (89)
Synageva BioPharma Lexington MA Dec         (193)           (95)
PerkinElmer Waltham MA Dec           161           174
Nuance Communications Burlington MA Sep         (150)         (115)
bluebird bio Cambridge MA Dec           (49)           (25)
athenahealth Watertown MA Dec              (3)                3
Alere Waltham MA Dec         (168)           (53)
Senior Housing Properties Trust Newton MA Dec           156           146
Agios Pharmaceuticals Cambridge MA Dec           (54)           (39)
Dyax Burlington MA Dec           (12)           (28)
PAREXEL Intl Waltham MA Jun           129              96
Bruker Corp Billerica MA Dec              60              82
Charles River Laboratories Wilmington MA Dec           130           105
ABIOMED Danvers MA Mar                7              15
Celldex Therapeutics Needham MA Dec         (118)           (82)
Radius Health Waltham MA Dec           (62)           (61)
Tesaro Waltham MA Dec         (171)           (92)
AMAG Pharmaceuticals Lexington MA Dec           136           (10)
Haemonetics Braintree MA Mar              35              39
Sage Therapeutics Cambridge MA Dec           (34)           (18)
Seres Therapeutics Cambridge MA Dec           (17)              (6)
Insulet Bedford MA Dec           (52)           (45)
Ironwood Pharmaceuticals Cambridge MA Dec         (190)         (273)
Ariad Pharmaceuticals Cambridge MA Dec         (163)         (274)
Tetraphase Pharmaceuticals Watertown MA Dec           (67)           (30)
Momenta Pharmaceuticals Cambridge MA Dec           (99)         (108)
ZIOPHARM Oncology Boston MA Dec           (32)           (57)
Press Ganey Holdings Wakefield MA Dec              16                0
Repligen Waltham MA Dec                8              16
Sarepta Therapeutics Cambridge MA Dec         (136)         (112)
HeartWare Intl Framingham MA Dec           (19)           (59)
Merrimack Pharmaceuticals Cambridge MA Dec           (84)         (131)
ImmunoGen Waltham MA Jun           (71)           (73)
Foundation Medicine Cambridge MA Dec           (52)           (43)
Acceleron Therapeutics Cambridge MA Dec           (51)           (22)
Minerva Neurosciences Waltham MA Dec           (56)              (3)
Total all 43 MA


       4,463        2,126





Johnson & Johnson New Brunswick NJ Dec     16,323     13,831
Merck Whitehouse Station NJ Dec     11,934        4,517
Allergan plc (was Actavis) Parsippany NJ Dec     (1,630)         (751)
Celgene Summit NJ Dec        2,000        1,450
Becton Dickinson Franklin Lakes NJ Sep        1,185           929
Zoetis Florham Park NJ Dec           587           503
CR Bard Murray Hill NJ Dec           295           690
Quest Diagnostics Madison NJ Dec           587           848
Covance Princeton NJ Dec           186           179
NPS Pharmaceuticals Bedminster NJ Dec              (9)           (14)
Catalent Somerset NJ Jun              18           (51)
Pacira Pharmaceutics Parsippany NJ Dec           (14)           (64)
Integra LifeSciences Plainsboro NJ Dec              34           (21)
Cantel Medical Little Falls NJ Jul              43              39
The Medicines Company Parsippany NJ Dec           (32)              15
PTC Therapeutics South Plainfield NJ Dec           (94)           (52)
Amicus Therapeutics Cranbury NJ Dec           (69)           (60)
Insmed  Monmouth Junction NJ Dec           (79)           (56)
Phibro Animal Health Teaneck NJ Jun              (3)              25
Cambrex East Rutherford NJ Dec              58              30
Eagle Pharmaceutics Woodcliff Lake NJ Sep           (18)              (6)
Bio-Reference Laboratories Elmwood Park NJ Oct              47              46
Vitamin Shoppe North Bergen NJ Dec              61              67
Total all 23 NJ


    31,410     22,094











Healthcare Trust of America Scottsdale AZ Dec              46              25
Insys Therapeutics  Phoenix AZ Dec              38              40
Magellan Health Services Scottsdale AZ Dec              74           125
Accelerate Diagnostics Tucson AZ Dec           (31)           (15)
Total all 4 AZ


          127           175






DaVita HealthCare Partners Denver CO Dec           863           744
Envision Healthcare Greenwood Village CO Dec           120              11
Clovis Oncology Boulder CO Dec         (160)           (85)
Air Methods Englewood  CO Dec              99              63
Spectranetics Colorado Springs CO Dec           (41)              (0)
Array Biopharma Boulder CO Dec           (85)           (62)
Total all 6 CO


          796           671






Aetna Hartford CT Dec        1,912        1,912
Cigna Bloomfield CT Dec        1,478        1,478
Alexion Phramaceuticals Cheshire CT Dec           253           253
IMS Health Holdings Danbury CT Dec         (189)              82
Achillion Pharmaceuticals New Haven CT Dec           (69)           (59)
Total all 5 CT


       3,385        3,666






The Advisory Board Company Washington DC DC Mar              25              23






Incyte Wilmington DE Dec           (48)           (83)






Principal Financial Group Des Moines IA Dec        1,176           936
NewLink Genetics Ames IA Dec           103           (31)
Total all 2 IA


       1,279           905






AbbVie North Chicago IL Dec        1,774        4,128
Walgreens Deerfield IL Aug        2,031        2,450
Abbott Laboratories Abbott Park IL Dec        1,721        1,988
Baxter Intl Deerfield IL Dec        1,946        2,012
Ventas Chicago IL Dec           457           491
Mead Johnson Nutrition Glenview IL Dec           729           689
Hospira Lake Forest IL Dec           333              (8)
Catamaran Lisle IL Dec           374           299
Horizon Pharma Deerfield IL Dec         (264)         (149)
Akorn Lake Forest IL Dec              36              52
Allscripts Healthcare Solutions Chicago IL Dec           (66)         (104)
Aviv REIT Chicago IL Dec              45              23
Surgical Care America Deerfield IL Dec           167              64
Total all 13 IL


       9,283     11,935






Humana Louisville KY Dec        1,147        1,231
Kindred Healthcare Louisville KY Dec                5           (41)
PharMerica Corp Louisville KY Dec                7              19
Total all 3 KY


       1,159        1,209






United Therapeutics Silver Spring MD Dec           340           175
Omega Healthcare Investors Hunt Valley MD Dec           221           173
Intrexon Germantown MD Dec           (86)           (41)
Inovalan Holdings Bowie MD Dec              65              33
Novavax Rockville MD Dec           (83)           (52)
Emergent BioSolutions Rockville MD Dec              37              30
MacroGenics Rockville MD Dec           (38)              (0)
Total all 7 MD


          456           318






UnitedHealth Group Minnetonka MN Dec        5,619        5,673
Medtronic plc Minneapolis MN Apr 15        2,675        3,065
3M Co St Paul MN Dec        4,998        4,721
St Jude Medical Saint Paul MN Dec           955           692
Patterson St Paul MN Apr 15           223           201
Life Time Fitness Chanhassen MN Dec           114           121
Bio-Techne Minneapolis MN Jun           111           113
Total all 7 MN


    14,695     14,586






PDL BioPharma Incline Village NV Dec           322           265






Pfizer New York NY Dec        9,119     11,410
Bristol-Myers Squibb New York NY Dec        2,029        2,580
Regeneron Pharmaceuticals Tarrytown NY Dec           348           424
Henry Schein Melville NY Dec           505           471
Intercept Pharmaceuticals New York NY Dec         (283)           (68)
Sirona Dental Systems Long Island City NY Sep           177           149
Assurant New York NY Dec           471           489
Medidata Solutions New York NY Dec                6              17
Prestige Brand Holdings Tarrytown NY Mar 15              78              73
Axovant Sciences Ltd New York NY Dec           (11)
American Realty Capital Healthcare Trust II New York NY Dec           (38)              (0)
Ophthotech New York NY Dec           (98)           (51)
WebMD Health Corp New York NY Dec              41              15
CONMED Utica NY Dec              32              36
HMS Holdings New York NY Dec              14              40
Acorda Therapeutics Ardsley NY Dec              18              16
Retrophin New York NY Dec         (111)           (35)
Intra-Cellular Therapies New York NY Dec           (31)           (27)
Keryx Biopharmaceuticals New York NY Dec         (112)           (47)
Total all 19 NY


    12,154     15,492






Cardinal Health Dublin OH Jun        1,163           335
Health Care REIT Toledo OH Dec           358              87
Mettler-Toledo Columbus OH Dec           338           306
Omnicare Cincinnati OH Dec           184              85
Steris Mentor OH Mar 15           135           129
Chemed Cincinnati OH Dec              99              77
Total all 6 OH


       2,277        1,019






FEI Company Hillsboro OR Dec           105           127
StanCorp Portland OR Dec           219           229
Total all 2 OR


          324           356






CVS Health Woonsocket RI Dec        4,645        4,600






Seattle Genetics Bothell WA Dec           (76)           (63)
Juno Therapeutics Seattle WA Dec         (243)           (52)
Alder Biopharmaceuticals Bothell WA Dec                9           (21)
Total all 3 WA


        (310)         (136)






Total all 216 HCRCs In States Expanding Medicaid on 1-1-14

  111,589     94,648
…..2014 Earnings % Increase Over 2013


18%

As you can see from the above audited earnings numbers, it's pretty clear that State Governors and State Legislatures choosing to not Expand Medicaid or something similar are doing Companies in their States no favors.