盈利最多的10家美国医院有7家为非营利机构 [美国媒体]

-------------译者：高兴一下.com-审核者：龙腾翻译总管------------



Seven of the top 10 most profitable hospitals in the United States are nonprofit facilities that each netted more than $150 million from caring for patients in 2013, according to a study published Monday.

在美国，盈利最多的10家医院有7家为非营利机构，根据星期一出版的研究报告显示在2013年他们每一家从病人康复中净赚超过1.5亿

Topping the list is Gunderson Lutheran Medical Center in La Crosse, Wisc., which earned $302.5 million in profit from patient care services that year, according to researchers from the Johns Hopkins Bloomberg School of Public Health and Washington and Lee University.

根据来自霍普金斯大学彭博公共卫生系和华盛顿与李大学的调查显示，在前10中排名第一的是在威斯康星大学拉克罗斯分校冈德森信义会医疗中心，该机构在2013年在病人康复中赚取3亿250万。（华盛顿与李大学  真的有这个学校）

Other nonprofits in the top 10 include the Stanford Hospital in Palo Alto, Calif., which took in nearly $225 million, and the University of Pennsylvania's hospital in Philadelphia, which earned $184.5 million.

在前10榜单中其他非营利机构有为 在加州帕洛阿托的斯坦福大学医学院，盈利大约为2.25亿。在费城的宾夕法尼亚大学医学院，盈利1亿8450万。  等等

-------------译者：风华浮生梦-审核者：龙腾翻译总管------------

"Most hospitals lose money, but there are a few very profitable ones and we need to pay attention to why they are making so much and how it affects consumers‘, said lead author Gerard Anderson, a Hopkins health policy professor.

来自霍普金斯大学健康政策专家以及首席作者  Gerard   Anderson说道："很多医院在亏钱，但是也有少部分的医院获利颇多，我们需要关注为什么少部分医院赚了这么多钱以及以及这对病人产生了什么影响。“

In study in Health Affairs, Anderson and co-author Ge Bai, an assistant accounting professor at Washington and Lee, only analyzed net income for patient care services for fiscal 2013, the most recent year for which data were available. They didn't include profits that hospitals earn from other activities, such as donations, investments, parking fees, rental space and sales from gift shops, which often are used to subsidize patient care.

在健康政策的研究中，Anderson和来自 华盛顿和李 大学的会计助手以及合作作者Ge Bai只分析了2013年的病人护理的纯收入，这是最新的可用的数据。这些利润没有包括医院从捐赠，投资，停车费，出租和礼物店的销售等其它活动中获取的利润，这些过去常常用来补贴病人护理。

-------------译者：ZongX-审核者：龙腾翻译总管------------

"All hospitals should make a little profit," Bai said, "but some hospitals are obtaining outrageous profits."

Bai这样说道：“所有的医院都可以适当的盈利，但某些医院已经失去了底线”

In a statement, Gundersen said the report does not reflect its costs as an integrated health system in a largely rural, multistate region with a large Medicare population. It said the data used by the authors excluded some administrative and other costs that would have changed the medical center's ranking.

Gundersen在一份声明中认为这份报道并不能反应这个拥有大量农村地区，多个州并且有着大量的医保人口的健康体系的实际花费。据他所说，报道的作者使用的数据排除了一部的行政支出还有别的一些花销，这无疑会改变医疗中心的收入排名。

The study's main purpose was to determine the characteristics of the nation's most profitable hospitals. They found that facilities that were part of a system were more profitable because they were able to dominate their local market, which gives them greater clout in negotiating higher prices from private insurers. It also means consumers end up paying more if their health-care provider is out of network, Anderson said.

这项研究的主要目的是确定这些利润最丰厚的医院的性质。他们发现最能获利的方法是作为系统的一部分，这样一来它们就可以支配当地的市场，在与个人保险公司商议价格时拥有更大的话语权。这同时也意味着医疗服务提供者没有与保险机构签约的话，那么患者将要支付更多的费用，安德森如是说。

-------------译者：bangbang螃蟹-审核者：龙腾翻译总管------------

The hospitals with the highest price markups earned the largest profits. Anderson thinks they should lower their prices or plow more back into the communities.

涨价最多的医院得到了最高的利润。安德森认为这些医院应该降低他们的价格，或者更多的回馈社会。

"Mostly, the hospitals are able to charge more because they can, and they do," he said. "There's no need for nonprofit hospitals to earn substantial profits."

“大体上，这些医院可以要价更高，因为他们可以，而他们也这样做了。”他说道，“对非营利性医院来说，获得大量利润是没有必要的。”

Hospitals are among the largest property owners and employers in many communities. Those designated as nonprofits receive state and federal tax breaks for providing “charity care and community benefit.”

在许多社区中，医院是最大的业主和雇主。那些被指定为非营利性的医院得到了州和联邦政府的税务减免，从而使这些医院提供“慈善关怀和社区公益”。

The value of tax breaks for nonprofit hospitals has doubled over the course of the past decade,research shows, adding fuel to a longstanding debate on whether the facilities give back enough to the public. The report suggests that policymakers consider whether nonprofit hospitals should be required to invest profits in additional services or lower their prices to justify their tax-exempt status.

研究显示，在过去的十年中，非营利医院税务的减免量翻了一番，这为一个长久争论的问题——这些事业是否给了公众充分的回馈——增添了热度。报告指出，决策者考虑是否非营利医院应该被要求投资利润在额外服务上，或降低医疗服务的价格，来证明这些医院的税务免除是合理的。


-------------译者：laoaoe-审核者：龙腾翻译总管------------

kumarswamy
3:43 PM GMT+0800
Non profit hospitals make money, as is said in the article, outrageous money. These things needs to be looked into for sure. They could be used to bring down health care costs.

 非盈利医院赚钱，像文章里说的这样——一大笔钱。这件事需要好好调查确认。它们可能被用于降低医疗成本。
 
rbbrittain
2:37 PM GMT+0800
What are the locations of these 10 hospitals? Some are given in the article and others are obvious, but there's a lot of Methodist hospitals out there, especially in the South. Readers should NOT have to guess which one made a mint in 2013, especially since the one listed is for-profit (many if not most Methodist hospitals remained not-for-profit even after they were spun off from the church -- Methodists, like Baptists, mostly spun off their hospitals in the mid-1960's due to Medicare & Medicaid conflicting with their views on separation of church & state).

这10家医院在什么地方？有些在文章里说明了，其它的也显而易见，但除此之外还有很多卫理公会医院，尤其在南方。读者们本不该去猜是哪家在2013年赚了大钱的，特别是在它被列为盈利机构之后（许多卫理公会医院即使在与教堂分离以后仍然自称非盈利机构——卫理公会，像浸礼宗一样，大多数在60年代中期把他们的医院分离了出去，因为医疗保障制度与他们教国分开的观念产生冲突）。

-------------译者：文英-审核者：龙腾翻译总管------------

catsndogs
1:42 PM GMT+0800
Why isn't the headline "Most Hospitals Lose Money"? I think that's the biggest eye opener in this story.
 
为什么文章标题不是“大多数的医院在亏钱？”我认为这才是这篇文章最令人感到惊讶的地方。
 
Brandeis 1916
12:45 PM GMT+0800
Until the 1980's when hospitals hired MBAs no one thought it was a good idea to ream the federal government for maximum billing. 

直到1980年医院雇佣工商管理硕士时，都无人认可大量地增加联邦政府的账单是个好主意。
 
But all at once the MBAs increased hospital billing, promoting themselves to CEO - passing out hundred thousand dollar raises to the hospital administration ... and staggering the federal government.
 
但工商管理硕士生上任便提高医院的账单费用，提升自己为首席执行官——给医院管理人员提供巨额幅度的加薪。

The hospital I knew went from $5 million in the red to $50 million in the black in one year.

我所知道的医院其每年的亏损最多500万，盈利最多5000万美元。
 
How did the federal government respond? Stupidly...put another set of MBAs in charge with another useless layer of managed care that locked in those high charges... and took their ever-increasing slice.

联邦政府是如何回应的？愚蠢至极......他们让另一组工商管理硕士生去负责另外无用的管理式医疗，以便稳固那些高收费......并使他们的账单不断地增加。
 
You might know what it is like to have one person's work support twenty. But these hundred million dollar profits at select hospitals don't touch the billion dollars being put away at little managed care Health Insurance Companies.

你可能知道一个人工作养活20人是什么样子的。但是这些上等医院所赚取的利润比起存放在管理式医疗健康保险公司里的那巨额资金来说真是小巫见大巫。

They are putting away trillions this year.

今年他们将数万亿的美元放进去了。

Catch 'em if you can...

如果你有能力就逮捕他们吧···

-------------译者：风吹树梢-审核者：龙腾翻译总管------------

alison8
12:24 PM GMT+0800
Stanford's in the middle of building a much larger hospital--the community has far outgrown the old one that has been added onto wing by wing since the '50's, and the state passed a law a few years ago requiring that hospitals be able to stay standing in the most extreme earthquake scenario with a deadline for compliance that is coming right up. 

 斯坦福在建一个大的多的医院，自50年代以来，斯坦福医院就通过不断增加副楼进行扩建，这片区域有点容纳不下了，联邦政府几年前通过一项法案要求医院必须在截止日期之前将建筑的抗震等级达到最高级。

So when they said capital improvements, I believe it--I've seen the huge amount of construction going on. 

所以当他们说设备改建时我相信了：我看见很多的工程项目在热火朝天的建设中。

And it's a huge relief, because I was a seriously ill patient on a waiting list for a hospital bed there in the last ten years. They told me I could be admitted but would be put out in the hallway till someone else made space and there would be no telling for how long. The answer, it turned out, was nine days. They were simply jammed full. 

 这会很大的缓解医院的紧张状况，过去十年我曾经是这家医院的一位苦苦等待床位的严重疾病患者。他们告诉我可以入院，但只能住在过道上，直到有床位空出来为止。这一等就是九天。患者太多了。

When I finally did get in the care was absolutely top-notch. As an example, I randomly ran into one of my Stanford doctors several years later. He was thrilled to recognize me, to see me out and about and healthy now, and he recited from memory every med I'd been on, both experimental and not--I as a patient had mattered to him enough that he had remembered.

当我终于开始治疗后，毫无疑问他们是最顶尖的。举例来说，几年后我偶然遇到了一位医生，他立刻认出了我，看到我现在很健康，他回忆起我接受的每一项治疗，不管是实验性的还是正式的：他很重视我这个病人，以至于现在他还记得我。

-------------译者：maggicqueen99-审核者：龙腾翻译总管------------

JeffRandom
11:50 AM GMT+0800
The "nonprofit" designation merely means that the company cannot distribute profits as dividends to shareholders. Nothing more or less than that. It means an outsider cannot invest in the company as a shareholder and be entitled a piece of that profit, it has nothing to do with whether the company itself can make a profit. It can still keep as much profit as it thinks it can get away with, overpay the CEO, etc. etc. just like any for profit corporation.

“非营利”的称号只意味着公司不能将利润分配给股东。其他的就别想太多了。这意味着一个局外人不能作为股东在公司投资，并有权获得一块利润，这与公司本身是否可以营利无关。它仍然可以保持尽可能多的利润，用貌似合法的手段规避纳税，比如给首席执行官支付高额报酬，等等，就像任何营利性公司一样的做法。
 
Every business, nonprofits include, has to make a profit over the long run to survive as a going concern. And no, nonprofits aren't automatically tax-exempt either.

每一个企业，包括非营利企业，为了长期生存都必须保持盈余。而且不，非营利性组织并不意味着自动享受免税。 
 
mesoness
10:56 AM GMT+0800
Hospital profits would be a whole lot higher if they didn't grossly overpay their executives. You can make a lot more money as a non-profit hospital executive than as a public corporation executive of a similar sized non-hospital business. The execs get paid when the hospital loses money too.

如果不给高管支付巨额报酬的话，医院总体利润将会高很多。作为一个非营利性医院的高管，你可以比相同规模的公立非医疗机构的企业高管赚多得多的报酬。高管就算医院亏钱，也仍然有钱拿。

-------------译者：maggicqueen99-审核者：龙腾翻译总管------------

Desertdiva
10:45 AM GMT+0800 [Edited]
I worked for one of the hospitals on that list for over a decade. Although the hospital is not for profit it partners with a for profit clinic owned by the physicians. They give outstanding care and I loved that job. It doesn't matter how profitable the hospital is the important challenge is the quality of the care they provide to patients. In that they did an outstanding job in the level of care they provided.

我曾在那个名单上的其中一家医院工作过十年。虽然这是家非盈利医院，但是下属一间诊室是由医生承包的。他们提供了出色的医疗服务，我爱那份工作。医院挣多少钱没关系，重要的是他们提供给病人医疗质量。就提供的医疗水平而言，他们做的非常出色。
 
John Zoe
11:52 AM GMT+0800
This is about tax exempt hospital and their executives ''enriching themselves'' off of the system. Great care can be given without health care institutions making hundreds of millions of dollars off the backs of their patients. This is the point of the article.

这是免税医院和其高管从中'先富起来'的体系。医疗机构不从他们的患者腰包里掏亿万美元，也可以提供非常好的医疗保健服务。这才是文章的要点。

-------------译者：maggicqueen99-审核者：龙腾翻译总管------------

 outragex
10:30 AM GMT+0800
I'm not commenting to defend hospitals, but I'm very skeptical about such a shallow look at hospital profit and loss statements. Ask any CPA to analyze the P +L statement and balance sheet of a big business and get comfortable, because conclusions require a lot of explanation. In any complex business accounting rules can cause an organization's statement to be way up or down due to the rules. In some cases these hospitals may have had one time situations that inflate their net, or they may be saving money for a reserve in a good year to cover the bad years, or they may be saving up money to purchase new buildings or equipment in the next budget year.

我的评论不是要为医院说话，但是我很怀疑对医院盈亏如此肤浅的描述。随便找个注册会计师，分析一下某大型生意的损益表和资产负债表后，就会感觉舒服些，因为需要很多解释才能得出结论。在任何复杂的商业会计准则下，都会导致一个组织的会计报表的数据根据准则上调或者下调。在某些情况下，这些医院可能有某些一次性的情形计高净值，或者可能在本财年形式很好的情况下，留点结余，以备冲销年份不好的亏损，还有可能他们会存钱，用于下一个预算年度购买新的建筑物或设备。

-------------译者：maggicqueen99-审核者：龙腾翻译总管------------

Truth has...
10:22 AM GMT+0800 [Edited]
In 2012, average cash compensation for CEOs of non-profit hospitals was $2.2 million. Average CEO salary for a mid- to large-size public charity was around $125,000. The hospitals state the job is so big and complicated, they have to pay millions to retain their CEOs. The article notes that the president of the U.S. makes $400,000 -- certainly an even tougher job. 

到2012，非营利医院总裁的平均年薪为220万美元。一个中等规模至大型的公益慈善机构的总裁平均年薪为12.5万美元左右。医院声称医院的工作量大而复杂，所以需要支付百万美元以留住CEO。文章指出，美国总统每年挣40万美元----那当然是一个更艰难的工作。
 
What's the point of being a "non-profit" if management is profiteering off of patient fees?

如果管理层能从患者支付的费用中如此挣钱，那所谓的“非盈利”是什么鬼？

Gussie Fink-Nottle
10:23 AM GMT+0800
The president gets about $50M of "in kind" income which is never counted.

总统能挣到大约5千万美元从未被统计入账的“隐形”收入。

-------------译者：maggicqueen99-审核者：龙腾翻译总管------------

two2
10:16 AM GMT+0800
Hopkins isn't on the list; I guess I can keep getting medical care from them.

霍普金斯医院没在这个名单上，我猜我可以一直到那里就医。
 
Gussie Fink-Nottle
10:13 AM GMT+0800
I just returned from a visit to a midwest town with 86,000 people (metro area likely 125,000). There are two hospitals

我刚刚从中西部一个人口为8.6万的小镇回来（都会区人口大约12.5万）。那里有两家医院。
 
I honestly believe there is an urgent care, primary care, services, outpatient surgery, mothering support, clinic, etc. for one or the other in every square mile.

在每平方英里范围内，我的确相信有一家或者另一家医院覆盖了紧急护理、基础护理、服务、门诊手术、产科、诊所等等服务。

I can't believe the need is that great; even in an aging population area.

我不相信需求有这么迫切；即便在一个老龄化地区。
 
Live
9:55 AM GMT+0800
The ability doctors and nurse have to relieve suffering and extend meaningful life is being dwarfed by a culture of financial opportunism. The people on the ground who provide day-to-day care are withering in this storm of undeserved discontent. Stand in the shoes of your local doctor and nurse and you will see the true calling and meaning in the healing professions. And if you yourself are sick and in need, you will understand the irony of having great progress but limited understanding of what good medicine can do for us all.

医生和护士减轻痛苦、延长有意义的生命的能力，在金融投机文化影响下正日益退化。实地提供日常医疗服务的人们在这种不公正的不满情绪中，变得日益丧失斗志。设身处地从你当地的医生和护士的角度来看问题，你就会理解医疗职业的使命感和意义所在。如果你病了需要帮助，你就会明白，“有巨大进步”和“对好的医疗能为我们所有人做什么了解不足”这两者之间的讽刺意味。

-------------译者：具象-审核者：龙腾翻译总管------------

AppearingTonight
9:51 AM GMT+0800
One would think that a 'non-profit' when faced with a surplus would lower the cost of the patient services but that is rarely done, instead the 'non-profits' go on a spending binge buying and building things that aren't even core services. The local 'non-profit' is currently in a fight with locals because it wants to take a huge parcel of the little remaining farmland that was donated to them and build homes as if they were developers. The proximity of the land could provide healthy, fresh organic food for the hospital but that seems really dull compared to building new oversized homes, how this will help keep people healthy is yet to figured. And someone please explain how the local 'non-profit' health insurer and 'non-profit' health networks all have executives boxes at every new arena . . . .

有人可能会觉得非营利机构在赚了钱后应该会降低患者服务的费用，但是鲜少有非营利医院这么做，相反，这些非营利机构会大肆购买和建造那些非核心服务的商品和建筑。当地的非营利性医院现在正和当地人处于冲突之中，因为医院想把当地人捐赠的仅存的一大部分农田用来建造房屋，把自己搞得像开发商似的。这部分农田本可以为医院供应健康有机的新鲜蔬菜，但是医院偏要用来建造超大的新房屋，这怎么就有助于人们健康了呢，所以还有待考察。