Santo Domingo.-The National Health Insurance (Senasa) published its revised financial statements for 2024, reflecting a reality diametrically opposite to what its former authorities wanted to show, who altered them to hide the deep crisis to which they subjected the institution.
Senasa closed the year 2024 with an operating deficit of more than RD$8.3 billion, deeply negative equity and a volume of liabilities that doubles the value of its assets, according to the revised financial statements.
The 2025 financial statements are in the process of being reviewed, with fears that the resulting situation will be even much worse than the previous year.
The previous director of Senasa, Santiago Hazim, and several of his collaborators are on trial for fraud and corruption.
The documents, now prepared in accordance with the regulations of the Superintendency of Health and Occupational Risks (Sisalril), reveal that the main ARS of the Family Health Insurance faces structural financial pressure, derived from the sustained growth of medical claims, delays in payments to health service providers (PSS) and a financing scheme that fails to compensate the real cost of coverage, especially in the subsidized regime.
At the end of 2024, its assets amounted to RD$11,077 million, which represents a reduction of more than RD$2,150 million compared to 2023, when they reached RD$13,235 million.
Cash in hand and banks, which went from RD$301.5 million in 2023 to just RD$107.2 million in 2024, a reduction of 64%.
This figure exposes the operational limitations to face immediate commitments with clinics, hospitals, laboratories and drug suppliers.
Although Senasa maintains RD$6,383 million invested in financial instruments associated with technical reserves, these resources are mostly placed in certificates and securities of the State and the Central Bank, which restricts their use to meet short-term liquidity needs.
Senasa’s total obligations at the end of 2024 reached RD$22,322 million, compared to RD$6,985 million in 2023, an increase greater than RD$15,300 million in a single year.
Operating income
— Expansion
In 2024, operating income reached RD$75,407 million, a significant increase compared to RD$60,446 million in 2023. This increase is mainly linked to the expansion of the subsidized regime.
The historical deficit aggravates the crisis
Deterioration. The direct consequence of this imbalance between income and expenses is negative net worth. Although Senasa maintains a contributed capital of RD$3,293 million, the accumulated and period losses far exceed that amount.
The result for fiscal year 2024 showed a net loss of RD$8,331 million, in contrast to the positive closing of RD$540 million registered in 2023.
With this, the accumulated losses exceed RD$14,500 million, reflecting a sustained deterioration in the financial position of the institution. From a strictly accounting point of view, Senasa’s liabilities far exceed its assets.
