These 14 Nebraska Non-Profit Hospital Organizations generated Total Operating Income of $114 mil in the most recent year reported, which was a very modest 3.0% of Total Operating Revenues of $3.757 bil.
These modest Operating Income Margins were across the board, with the highest margin being 7.1%.
With all of these Nebraska Non-Profit Hospitals generating Operating Income Margins of 7.1% and below, a key beneficiary of this will be Nebraska citizens buying health insurance on the Federal insurance exchange. These Nebraska 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, Nebraska has decided to not expand Medicaid. If Nebraska 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 Nebraska citizens in the Federal health insurance exchange. This Nebraska Medicaid Expansion would increase Nebraska Hospital profits very significantly and thus permit Nebraska 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 Nebraska citizens on the Federal Health Insurance Exchange.
So just how much would Nebraska Hospital Profits increase due to the ACA and the Expansion of Medicaid?
Well, these 14 Nebraska Non-Profit Hospital Organization's audited financial statements show it will be huge.
For these 14 Nebraska Hospital Organizations, Total Operating Income was $114 mil in the most recent fiscal year. Driving down these Operating Profits were Provisions for Bad Debts of $185 mil. Thus Total Operating Income Before Provisions for Bad Debts was $299 mil, which was 2.6 times the reported Total Operating Income of $114 mil. But there's even more to this story. Total Uncompensated Charity Care Charges Foregone were also very large in the most recent year.
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 14 Nebraska Non-Profit Hospital Organizations:
| Operating | ||||
| Operating | Total | Income | ||
| City | Income | Operating | (Loss) | |
| HQs | (Loss) | Revenues | Margin | |
| mils $s | mils $s | % | ||
| Nebraska Non-Profit Hospital Organizations | ||||
| Osmond General Hospital | Osmond | -0.2 | 6 | -3.3% |
| Beatrice Community Hospital and Health Ctr | Beatrice | -0.4 | 47 | -0.9% |
| Pender Community Hospital District | Pender | 0.1 | 15 | 0.7% |
| Antelope Memorial Hospital | Neligh | 0.1 | 13 | 0.8% |
| Faith Regional Health Services | Norfolk | 1.2 | 149 | 0.8% |
| Regional West Health Services | Scottsbluff | 2.1 | 244 | 0.9% |
| Nebraska Methodist Health | Omaha | 10.3 | 655 | 1.6% |
| Nebraska Medical Center | Omaha | 14.8 | 803 | 1.8% |
| Fillmore County Hospital | Geneva | 0.4 | 12 | 3.3% |
| Alegent Health | Omaha | 34.9 | 1,012 | 3.4% |
| York General Health Care Services | York | 1.3 | 37 | 3.5% |
| Mary Lanning Memorial Hospital | Hastings | 4.5 | 113 | 4.0% |
| North Platte Hospital | North Platte | 9.6 | 145 | 6.6% |
| Bryan Health | Lincoln | 35.7 | 506 | 7.1% |
| Total all 14 | 114.4 | 3,757 | 3.0% |
