These 19 South Carolina Non-Profit Hospital Organizations generated Total Operating Income of $293 mil in the most recent year reported, which was a modest 3.7% of Total Operating Revenues of $7.805 bil.
There were 2 South Carolina Non-Profit Hospital Organizations with exceedingly high Operating Income Margins, but not the other 17, which all had Operating Income Margins of 6.5% or less.
With so many of these South Carolina Non-Profit Hospitals generating Operating Income Margins of 6.5% and below, a key beneficiary of this will be South Carolina citizens buying health insurance on the Federal insurance exchange. These South Carolina Hospitals, for the most part, will not be baking in excessive Hospital profits demands in their negotiations with health insurance companies on pricing for hospital procedures which ultimately determines what insurance premiums are set by health insurance companies on the Federal insurance exchange.
So far, South Carolina has decided to not expand Medicaid. If South Carolina changed its mind and decided to fully Expand Medicaid, then the consequences of this action would be to significantly drive down insurance premium prices even more for South Carolina citizens in the Federal health insurance exchange. This South Carolina Medicaid Expansion would increase South Carolina Hospital profits substantially and thus permit South Carolina Hospitals to be even more reasonable in their negotiations with health insurance companies on pricing for hospital procedures which ultimately drives what health insurance premiums are set at by health insurers for South Carolina residents on the Federal Health Insurance Exchange.
So just how much would South Carolina Hospital Profits increase due to the ACA and the Expansion of Medicaid?
Well, these 19 South Carolina Non-Profit Hospital Organization's audited financial statements show it will be massive.
For these 19 South Carolina Hospital Organizations, Total Operating Income was $293 mil in the most recent fiscal year. Driving down these Operating Profits were Provisions for Bad Debts of a huge $1.180 bil and Uncompensated Charity Care Costs Incurred of another $318 mil. Thus Total Operating Income Before both Provisions for Bad Debts and Charity Care Costs Incurred was $1.791 bil, which was more than 6 times reported Total Operating Income of $293 mil.
Granted not all of these two huge Earnings Charges will be eliminated with ACA and Medicaid Expansion, but a substantial portion of them will.
Below here are the Audited Operating Income or Loss, Total Operating Revenues and Operating Income (Loss) Margin Percentage in the most recent year for each of these 19 South Carolina Non-Profit Hospital Organizations:
| Operating | ||||
| Operating | Total | Income | ||
| City | Income | Operating | (Loss) | |
| HQs | (Loss) | Revenues | Margin | |
| mils $s | mils $s | % | ||
| South Carolina Non-Profit Hospital Organizations | ||||
| Clarendon Hospital District | Manning | (5.3) | 60 | -8.8% |
| Williamsburg Regional Hospital | Kingstree | (1.3) | 17 | -7.6% |
| Hampton Regional Medical Ctr | Varnville | (1.1) | 21 | -5.2% |
| Tuomey Healthcare | Sumter | (6.2) | 192 | -3.2% |
| Oconee Medical Center | Seneca | (3.7) | 136 | -2.7% |
| Laurens County Health Care | Clinton | (1.4) | 60 | -2.3% |
| Kershawhealth | Camden | (1.6) | 106 | -1.5% |
| Palmetto Health | Columbia | 17.3 | 1,111 | 1.6% |
| Care Alliance Health | Charlestown | 13.6 | 730 | 1.9% |
| Georgetown Hospital System | Georgetown | 5.4 | 253 | 2.1% |
| Greenville Hospital System | Greenville | 36.9 | 1,443 | 2.6% |
| Spartanburg Regional Healthcare | Spartanburg | 19.5 | 747 | 2.6% |
| Newberry County Memorial Hosp | Newberry | 1.8 | 47 | 3.8% |
| Conway Hospital | Conway | 6.2 | 158 | 3.9% |
| Anmed Health | Anderson | 22.6 | 533 | 4.2% |
| McLeod Health | Florence | 45.3 | 708 | 6.4% |
| Lexington County Health Services | West Columbia | 43.4 | 671 | 6.5% |
| Self Regional Healthcare | Greenwood | 35.1 | 356 | 9.9% |
| St Francis Downtown & Eastside | Greenville | 66.1 | 456 | 14.5% |
| Total all 19 | 292.6 | 7,805 | 3.7% | |
