Tuesday, March 18, 2014

South Dakota Non-Profit Hospitals Net Assets Up 78% 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 (i.e. Financial Strength or Total Assets minus Total Liabilities) at the most recent date 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 Fiscal Year End (FYE) closest to the beginning of the Obama Administration:

FYE Balance Net

Balance Sheet Assets

Most Recent
Sheet Net %

Recent Balance
Date Assets Change

Balance Sheet
Beginning Beginning During
City State Sheet Net
Obama Obama Obama
Hospital Organization HQs HQs Date Assets
Admin Admin Admin

mil $s

mil $s

Sanford Health Sioux Falls SD Mar 14     1,975
Jun 09       1,242 59%
Avera Health Sioux Falls SD Dec 13     1,402
Jun 09          675 108%
Regional Health Rapid City SD Dec 13        625
Jun 09          326 92%

Total all 3


      2,243 78%

As you can see from the above chart, the Total Net Assets (Financial Strength) of these 3 South Dakota Non-Profit Hospital Organizations increased by an exceptional 78% to $4.002 bil during their average 4.58 years so far of the Obama Administration.

The lowest percentage increase of the 3 was a very robust 59%.

Very positively impacting this major increase in the Net Assets (Financial Strength) of these 3 South Dakota 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 3 South Dakota Non-Profit Hospital Organizations.

A remarkable thing is that these robust increases in Net Assets (Financial Strength) of these Non-Profit Hospital Organizations occurred when these Non-Profit Hospitals were also playing very instrumental roles in the substantial annual percentage growth reduction of Total US Health Care Costs which occurred in each of the most recent three years under the ACA.

With such substantial Net Asset percentage increases of these 3 South Dakota Hospitals, a key beneficiary of this will be South Dakota citizens electing to buy health insurance on the Health Insurance Exchange.  This exceptional Net Asset growth gives these South Dakota Hospitals the financial flexibility to moderate their pricing for hospital procedures in their negotiations with health insurance companies which ultimately determines what insurance premium prices are set at by health insurance companies on the Health Insurance Exchange.