7 posts from April 2015

More recharging personal batteries at national parks

Even in the digital age—or maybe because of it—the great outdoors continues to be a tourism draw, as evidenced by growing visits to the country’s national parks, according to data from the National Park Service (NPS). And those visits are translating to the Ninth District economy.

Attendance has been trending upward at many parks, especially since the recession. Last year, attendance grew 6 percent among the 13 national parks in the Ninth District with annual attendance of at least 100,000, and is up almost 20 percent since 2008 (see Chart 1). In 2014, attendance at these district parks hit 9 million for the first time.

Among these large national parks in the district, two of them—Mount Rushmore in South Dakota and Glacier National in Montana—are responsible for half of all visitors. (The list does not include Yellowstone, portions of which are in Montana, but which lies mostly in Wyoming.) The biggest jump in attendance last year occurred at the Apostle Island National Park. Located in Lake Superior off the northern tip of Wisconsin, it saw attendance double to almost 300,000 in 2014 thanks to an impressive formation of ice caves on the island, coupled with a uniquely long viewing period.

Those visitors are spending money and creating jobs, according to a separate NPS database. Visitor spending hit nearly $1.2 billion last year, supporting more than 20,000 jobs (see Chart 2) in district states.

National parks

Ninth District hospitals ranked among best in the nation

When people are sick, they want the best health care. And despite what reputations might precede hospitals (or not), a recent and voluminous data release by the Centers for Medicare and Medicaid Services found that many of the top-rated hospitals—at least according to patients—are not on the coasts, but in the heart of the country and specifically in the Ninth District, according to a summary analysis of the rankings by Kaiser Health News.

South Dakota and Maine tied for the top spot in nationwide hospital rankings, with a 4.1 average rating for all hospitals. Wisconsin and Minnesota ranked in the top five states, while Montana also beat the national average of 3.3 stars. Only North Dakota, at 3.2, was below the national average among district states.

The ratings use a one-to-five star system based on 11 facets of patient experience, including communication with patients, how well patients believed their pain was addressed and whether they would recommend the hospital to others, according to Kaiser. Hospitals collected the reviews through random surveys of all adult patients after their care. Every rated hospital had at least 100 patient reviews, and most had 300 or more.

A breakdown of star ratings shows that six of 17 rated hospitals in South Dakota earned five stars; Wisconsin had more than 100 rated hospitals, and none received fewer than three stars. North Dakota, meanwhile, had no hospitals rated either one or five stars.

Hospital ratings -- 4-24-15

Is there a doctor in the house (who accepts my insurance)?

When you are sick, you sort of assume that you will be able to see a doctor. But according to a recent survey by the National Center for Health Statistics, not all doctors are accepting new patients. That’s especially the case if you are on Medicaid, the federal health program that serves the poor. The good news for the sick and injured is that doctors in the Ninth District are more willing and able to see new patients than doctors elsewhere.

The survey looked at access for new patients with three types of insurance coverage: private, Medicare and Medicaid (the survey did not ask about the uninsured). Overall, about 95 percent of office-based physicians across the country accepted some new patients.

But apparently not all patients are created equal, because access differed by type of insurance. Patients with both private insurance and Medicare had about an 85 percent chance of being able to find a doctor taking these types of new patients. But only 69 percent of doctors said they were accepting new patients on Medicaid, which typically reimburses doctors at a lower rate than other health insurance coverage.

But new-patient rates among doctors in the Ninth District were universally higher (see chart). Doctors in Minnesota accepted new patients at a rate of about 94 percent, regardless of insurance type. The Dakotas and Montana went completely against the trend; doctors in each of those states were more open to accepting new Medicaid patients than those with either private or Medicare insurance.

New patients -- 4-20-15

Minnesota foundations: Give ’til it hurts so good

Like the saying goes, it matters where you grow up. So it is with nonprofits in Minnesota, which benefit from generous giving from foundation and corporate grantmakers.

Corporate and foundation contributions make up a small portion of charitable giving (25 to 30 percent) and an even smaller portion of total nonprofit revenue. Still, corporate and foundation giving plays an important financial role for many nonprofits, and this giving often comes in big chunks critical for new or expanded services.

In that vein, Minnesota nonprofits are blessed with a large institutional giving sector, whose charitable contributions are considerably larger than those in neighboring district states, even on a per capita basis.

For example, in 2012 (the most recent year with comparable state data), Minnesota foundations gave roughly twice as much to charitable causes as the four other Ninth District states combined, according to the Foundation Center (see Chart 1). One of the reasons for this big gap has to do with foundation assets. For example, Wisconsin has almost 40 percent more in-state foundations than Minnesota, but only half the total assets ($8 billion vs. $16 billion), according to the Foundation Center.

Minnesota also has a number of very large corporations, with affiliated foundations, headquartered in the state. In 2013, the top 25 corporate foundations in Minnesota—which include the likes of Target, General Mills and Cargill—gifted $146 million to in-state organizations (see Chart 2), along with more than $500 million to non-Minnesota organizations, according to the Minnesota Council on Foundations.

For more discussion of charitable giving and other trends affecting nonprofits, look for the upcoming April issue of the fedgazette.

Foundations Ch1-2 -- 4-9-15


The waiting game: Wait times at VA health centers vary across Ninth District states

Going to the doctor is not always fun. But waiting for the doctor can be worse. Much attention has been paid to wait times for military veterans seeking care at Department of Veterans Affairs (VA) medical centers across the country, and data from the VA show that wait times vary significantly among VA health care systems in Ninth District states.

For example, the percentage of pending appointments that are scheduled more than 30 days after the preferred date runs as low as 1 percent (Fargo, N.D.) to 10 percent (Milwaukee, Wis.), according to VA data released this month for appointments through March 15, 2015. The likelihood of waiting also appears unrelated to volume; for example, the Minneapolis office, which had 73,000 pending appointments at 11 health centers across the state, has a lower average wait rate than Milwaukee, which has 58,000 appointments on the books at six facilities.

Field facilities within a specific VA district also vary considerably. For example, at Montana’s busiest VA facility (Fort Harrison), nearly 16 percent of appointments are scheduled more than 30 days past the preferred date, while the rate is 4.4 percent in Billings. But again, volume isn’t necessarily the culprit. The Iron Mountain district serves the Upper Peninsula of Michigan. Its busiest facility (in Iron Mountain) had a 30-day wait rate of 5.7 percent, while the Marquette facility—with one-quarter of the appointments—had a wait rate of 13.2 percent.

VA wait times -- 4-9-15

A bumper crop of storage

A bumper 2014 harvest combined with low prices has piled up crops at grain elevators and on farms in the district.

Last fall, growers in five district states (excluding Michigan’s Upper Peninsula) harvested about 4.4 billion bushels of corn, soybeans and wheat, according to government statistics. That was 3 percent more than the previous year and the largest harvest of those major district crops in the last five years. A decline in crop prices since 2013 induced many farmers to store their crops over the winter rather than ship them to market via rail or river barge.

The result was a cornucopia of stored crops; the U.S. Department of Agriculture estimated that December stocks of corn, soybeans and wheat increased 7 percent over 2013, pushing up crop storage (see Chart 1). Almost 3.5 billion bushels of crops—equal to about 80 percent of the 2014 harvest—was held at grain elevators, other commercial storage facilities or on the farm. (That amount included unprocessed crops left over from the 2013 harvest.)

Storage on farms -- 4-6-15 CH1-2

About 40 percent of crops were stored in Minnesota (see Chart 2), the top producer among district states of corn, the region’s biggest cash crop. And in every district state, a large share of crops was stored on farms in silos or bins. Over the past 15 years, farmers have invested substantially in on-farm storage to avoid paying for off-farm storage.

“Given the low prices, every square inch of on-farm storage was utilized this year,”’ said Bob Zelenka, executive director of the Minnesota Grain and Feed Association, which represents rural elevators and feed mills.

Regardless of crop prices, farmers are expected to ship large quantities of stored crops to market by the summer. This has raised concerns about renewed congestion on freight railroads, which transport the bulk of agricultural commodities in the district.

Railroad capacity in the district last year was strained by severe weather and rising freight volumes, including increased shipments of crude oil. For much more on railroad capacity in the district, see the upcoming April issue of the fedgazette.

Bakken showing impact of oil price drop

Employment data are picking up on the impact of lower oil prices on labor markets in the Bakken. The price for West Texas Intermediate dropped from $90 per barrel in the beginning of October to $50 in January, hovering around that price since then. During this time, the number of active drilling rigs in North Dakota and Montana decreased by more than 50 percent, dropping below 100 rigs at the end of March and leading to layoffs of oilfield workers.

These job losses seemed to impact overall employment, as levels decreased from 102,600 in December to 95,000 in January for the 12-county area that makes up the core area of the Bakken (see definition below). Seasonality affects employment data, as levels are higher during the summer months and lower in the winter (see Chart 1). However, during the previous two years, employment increased slightly from December to January.

As employment slowed, the unemployment rate for the region increased from 1.5 percent in December to 2.1 percent in January (see Chart 2). While the Bakken unemployment rate also increased from December to January during the previous two years, the rate increased faster during the most recent period. For the whole state of North Dakota, the unemployment rate increased to 2.9 percent in February, losing its status as the lowest unemployment rate in the nation to Nebraska, which posted a 2.7 percent rate.

Bakken update Ch1-2 -- 4-6-15

The number of online job postings in the Bakken area also decreased from December to January, but increased slightly from January to February (see Chart 3). The number of job openings still remains at a relatively high level in the region, despite layoffs in the oilfields. Companies from a variety of sectors continue to actively look for workers. But with the loosening in labor markets, employers in and around the Bakken have reported an increased number of applicants to choose from.

  Bakken update Ch3 -- 4-6-15

12-county Bakken area: North Dakota counties: Billings, Burke, Divide, Dunn, Golden Valley, McKenzie, Mountrail, Stark and Williams. Montana counties: Richland, Roosevelt and Sheridan