Tag Archives: HCA

5 Ways Obamacare Will Succeed

By Sean Williams, The Motley Fool

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With the passing of the Patient Protection and Affordable Care Act in 2010, also known in shorthand as Obamacare, lawmakers and President Obama ushered in the winds of change in the health-care industry. Having witnessed the successful implementation of socialized and subsidized health care in Canada and Switzerland — and seeing the average health-care premiums paid by employers and individuals rise by 62% and 82%, respectively, from 2000 to 2010 — the time had come in 2010 to make sweeping reforms… and the PPACA was it!

Both sides of the aisle have presented very convincing and heated arguments over the past couple of years about why Obamacare is right or wrong for America. It nearly didn’t make it into law when the constitutionality of its individual mandate, as well as other aspects of the bill, was brought into question in the highest of all U.S. courts — the Supreme Court – last year. However, in June the Supreme Court ruled in favor of upholding the validity and nearly all aspects of the PPACA, paving the way for its full implementation by 2014.

Source: WhiteHouse on Flickr.

Whether you’re for or against Obamacare, it’s clear that advantages and disadvantages exist. Today, I plan to focus on the advantages of Obamacare and lay out five ways that it will succeed in bettering our health-care system.

1. It will reduce hospitals’ exposure to doubtful accounts.
Under our current system, no one is required by mandate to carry insurance. This means that any of the 48.6 million uninsured Americans as of the end of 2011, according to the U.S. Census Bureau, could walk into a hospital and receive stabilizing treatment in an emergency room since public hospitals can’t turn away people in need of care, regardless of their financial status.

Unfortunately for many hospitals, this has exposed them to a rather large annual provision for doubtful accounts (those accounts where treatment is given but payment goes uncollected). In 2012, HCA Holdings , the largest hospital operator in the U.S., generated $36.8 billion in revenue, but set aside $3.77 billion, or 10.25%, for doubtful accounts. The smaller rival of HCA, Tenet Healthcare , set aside less on a percentage basis in 2012, just 7.9% of total revenue. But it also saw its provision for doubtful accounts rise by nearly 10% year-over-year.

Obamacare will solve the majority of this problem by mandating that employers with more than 50 employees provide health-care solutions to their employees, and that individuals and small business with fewer than 50 employees get health insurance either themselves or through their state’s insurance pool. With fewer uninsured and underinsured people walking into hospital emergency rooms, hospitals will be setting significantly less aside for doubtful accounts and should ultimately see a boost to their bottom line. This boost in profits could be used to reward shareholders through share repurchases or a dividend payout, but, in all likelihood, it could be used to buy …read more

Source: FULL ARTICLE at DailyFinance

CAPScall of the Week: HCA Holdings

By Sean Williams, The Motley Fool

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For years, satirical late-night TV host Stephen Colbert has been running a series on his show called “Better Know a District,” which highlights one of the 435 U.S. congressional districts and its representative. While I am no Stephen Colbert, I am brutally inquisitive when it comes to the 5,000-plus listed companies on the U.S. stock exchanges.

That’s why I’ve made it a weekly tradition to examine one seldom-followed company within the Motley Fool CAPS database, and make a CAPScall of outperform or underperform on that company.

For this week’s round of “Better Know a Stock,” I’m going to take a closer look at HCA Holdings .

What HCA Holdings does
HCA Holdings is a health-care services provider that runs hospital, surgery centers, diagnostic and imaging centers, radiation and oncology centers, and rehabilitation centers throughout the United States. HCA is the largest hospital operator in the world, with 162 hospitals in its portfolio as of Dec. 31, 2012.

For the fourth quarter, HCA reported an 8.5% increase in total revenue to $8.4 billion as same facility equivalent admissions jumped 5% and same facility emergency room visits bolted higher by 12.7%. Simply put, without the aid of additional facilities, patients are utilizing the hospital more, with a slight uptick of 0.5% in terms of same facility revenue per equivalent admission. 

Whom it competes against
HCA has a myriad of enemies as a hospital operator, but none is more of a nuisance to its bottom line than doubtful accounts.

As a hospital operator, HCA can’t turn down treatment to anyone, however, with so many people still uninsured, HCA is forced to provision quite a bit of its annual revenue toward doubtful accounts that will go uncollected. According to its 2012 annual report, it provisioned $3.77 billion of its $36.8 billion in annual revenue, or 10.25%, for doubtful accounts. This fear of growing unpaid balances comes on top of increased hospital competition within the sector from the likes of Tenet Healthcare .

However, this is about to get turned upside down with the full implementation of the Affordable Care Act (also known as Obamacare) in 2014. Passed in 2010, the ACA will mandate individuals to carry health insurance which should remove the majority of the burden of doubtful provisions from HCA‘s and Tenet’s balance sheets. As I’ve stated previously, no sector benefits more from the implementation of the HCA than hospital operators.

But, the ACA isn’t a welcome sight for others in the sector, including some insurers like WellPoint and home health-care providers like Amedisys and Gentiva Health Services . Shareholders in WellPoint are apprehensive of the bill because it caps the company’s premium profits and denies it the right to turn away patients with pre-existing conditions (similar, of course, to what a hospital operator like HCA deals with on a daily basis). For home health-care providers Amedisys and Gentiva, a combination of lower Medicare reimbursements coupled with more stringent ACA laws will make boosting …read more
Source: FULL ARTICLE at DailyFinance

The 25 Highest-Yielding Dividend Stocks in March

By Dan Dzombak, The Motley Fool

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Dividend investing is popular again. Investors have taken to heart Jeremy Siegel’s studies, which show that higher-yielding stocks tend to offer greater returns over time than low- or no-yield stocks.

The highest dividend yields can be very tantalizing. As long as a stock yielding 15% doesn’t lose value, you’ll make 15% in one year! In more cases than not, however, an astronomical yield is a bad sign for a stock. Since dividend yields and stock prices move in opposite directions, a high yield usually means that investors have begun to worry about the business and driven down its stock price.

However, certain types of companies such as REITs have to pay out most of their income as dividends, so their yields will be higher than “normal.” Dividends are not guaranteed; you need to make sure that a business is generating enough cash to pay its dividend, or your investment could be disastrous.

I ran a screen for the highest-yielding stocks, the only limitation I’ve set this time is that the dividend stocks must have a market cap greater than $500 million and must be a corporation, so no REITs or MLPs.

Here are the top 25 highest-yielding stocks the screen produced:

 

Company Name

Market Cap (millions)

Dividend Yield

1

Boise

$860.3

13.80%

2

SeaDrill

$17,629.6

12.00%

3

Windstream

$5,125.4

11.50%

4

Pitney Bowes

$2,750.4

11.10%

5

Great Lakes Dredge & Dock

$580.3

10.40%

6

R.R. Donnelley & Sons

$1,900.8

10.10%

7

Vector Group

$1,442.9

10.10%

8

Wynn Resorts

$11,700.5

9.87%

9

Ship Finance International

$1,410.9

9.53%

10

Frontier Communications

$4,092.9

9.52%

11

Consolidated Communications

$664.2

9.39%

12

National Presto Industries

$521.8

8.65%

13

PDL BioPharma

$977.1

8.60%

14

SouFun Holdings

$1,992.7

8.51%

15

First Financial Bancorp

$896.4

7.90%

16

New York Community Bancorp

$5,909.6

7.41%

17

Werner Enterprises

$1,704.1

7.40%

18

Linn

$1,349.4

7.37%

19

Costamare

$1,214.0

7.05%

20

Capitol Federal Financial

$1,813.3

6.89%

21

HCA

$16,386.9

6.82%

22

VimpelCom

$19,611.6

6.77%

23

United Online

$549.6

6.77%

24

Exelon

$26,881.8

6.70%

25

Giant Interactive

$1,550.4

6.69%

Source: S&P Capital IQ.

These stocks are a good place to start your research, but they’re not formal recommendations.

Let’s take a look at the top 3:

Boise is first with a trailing yield of 13.8%. Boise does not pay a regular dividend; 2012 was the third year in a …read more
Source: FULL ARTICLE at DailyFinance