Sunday, October 13, 2013

South Dakota Non-Profit Hospitals Net Assets Up 69% Under Obama and the Affordable Care Act

From a review of the Electronic Municipal Market Access (EMMA), I found 3 Non-Profit Hospital Organizations headquartered in the State of South Dakota with Net Assets at the most recent date reported of more than $400 mil each.  Below here are the Net Assets of these 3 at both the most recent reported date and also at the beginning of the Obama Administration: 






2008 2008 Obama




Most
or or ACA



Most Recent
2009 2009 and



Recent Balance
FYE Balance US Fed



Balance Sheet
Balance Sheet Bump
City State Sheet Net
Sheet Net %
Hospital Organization HQs HQs Date Assets
Date Assets Change




mil $s

mil $s









Sanford Health Sioux Falls SD Jun 13     1,883
Jun 09     1,242 52%
Avera Health Sioux Falls SD Jun 13     1,324
Jun 09        675 96%
Regional Health Rapid City SD Jun 13        578
Jun 09        326 77%









Total all 3


    3,785

    2,243 69%

As you can see from the above chart, the Total Net Assets of these 3 South Dakota Non-Profit Hospital Organizations increased by a very robust 69% to $3.785 bil during the Obama Administration.

For the most recent four years, Avera Health generated Total Bottom Line Profits of $336 mil, which was a high 8.6% of its Total Revenues over the same time period. 

For the most recent four years, Sanford Health generated Total Bottom Line Profits of $246 mil, which was a very reasonable 2.5% of its Total Revenues over the same time period. 

Very positively impacting this major increase in the Net Assets (Financial Strength) of all of these hospitals were actions taken by both the Obama Administration and the US Fed to strengthen the US Financial Foundation which was severely damaged from the financial meltdown in late 2008.

In addition, the Affordable Care Act (ACA) has also played a key role in this increase in Net Assets (Financial Strength) of these Non-Profit Hospital Organizations.

A remarkable thing is that these robust increases in Net Assets of these Non-Profit Hospital Organizations occurred when these Non-Profit Hospitals were also able to substantially bend down the Total US Health Care Cost Curve in each of the most recent three years.

With future Non-Profit Hospital Organizations' Hospital Operating Income being bolstered by both many of the Uninsured getting insurance and by the many of the Underinsured getting much better insurance, both under the ACA,  future Net Asset growth of these Non-Profit Hospital Organizations should be very robust.  And for States electing to expand Medicaid, this future Net Asset growth will be exceptionally robust.