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Assessing U.S. Hospital Liquidity Ratios

May 1, 2025

Evaluating U.S. Hospital Liquidity with Current and Quick Ratios

Introduction

  • Purpose: Evaluate the financial health of U.S. hospitals using current and quick ratios as indicators of liquidity.

Key Concepts

  • Liquidity: Ability of a business to cover its debts with readily available assets.
  • Importance for Hospitals: With decreased revenues and low operating margins, hospitals must have enough liquid assets to meet payment obligations.

Data Source

  • Medicare Cost Report: Used along with Definitive Healthcare calculations to analyze over 5,600 hospitals via the HospitalView product.

Current Ratio

  • Definition: Measures a company's ability to pay short-term debts, calculated as:

    [ \text{Hospital Current Ratio} = \frac{\text{Total Current Assets}}{\text{Total Current Liabilities}} ]

  • U.S. Hospital Averages:

    • Average: 2.79
    • Median: 1.70
  • Industry Benchmarks: Ratios close to or above the average indicate adequate performance. Lower ratios may indicate higher risk.

  • Size Variance:

    • Hospitals with ≤25 beds: Highest current ratio at 3.55.
    • Hospitals with 101-250 beds: Lowest current ratio at 2.09.

Quick Ratio

  • Definition: A short-term liquidity measure that excludes inventory from current assets:

    [ \text{Hospital Quick Ratio} = \frac{\text{Total Current Assets} - \text{Inventory}}{\text{Total Current Liabilities}} ]

  • U.S. Hospital Averages:

    • Average: 2.65
    • Median: 1.70
  • Size Variance:

    • Hospitals with ≤25 beds: Highest quick ratio at 3.37.
    • Hospitals with 101-250 beds: Quick ratio at 1.97.

Differences Between Quick and Current Ratio

  • Inventory Exclusion: Quick ratio excludes inventory as it may not be easily converted to cash, unlike current ratio.

Conclusion

  • The evaluation of current and quick ratios provides insights into the liquidity and financial health of hospitals, helping stakeholders understand the capacity to meet short-term obligations.
  • Hospitals with fewer beds tend to have higher liquidity ratios, likely due to lower median operating margins and higher expense increases.