Below are summaries of the charts, tables and graphs contained in Section 6 of the Minnesota Health Care Chartbook by page number. This chartbook was last updated in December 2022 and contains 50 pages. Pages without charts or graphs are not listed below.

Page 4 – Uninsurance Rate Trends in Minnesota

This graph depicts the uninsurance rate in Minnesota from select years from 2007 to 2021.

2007=7.2%
2009=9.0%*
2011=8.9%
2013=8.6%
2015=4.1%*
2017=6.1%*
2019=4.7%*
2021=4.0%
- Sources: Minnesota Health Access Surveys, 2007 to 2021
- *Statistically significant difference (95% level) from prior year shown.
- Notes: In 2019, the Minnesota Health Access survey moved from an exclusively random digit dial (RDD) frame telephone survey to a dual RDD and address-based sample (ABS) frame and web-based survey, and 2021 was exclusively an ABS sample frame. Due to these changes, results from 2019 and 2021 may not be directly comparable to previous years.

Page 5 – Estimated Number of Uninsured in Minnesota, 2007 to 2021

This chart shows the estimated number of uninsured in Minnesota, both total, and split by Adults and Children, from select years from 2007 to 2021.

2007=374,000 (Adults=299,000; Children=75,000)
2009=472,000 (Adults=390,000; Children=82,000)
2011=475,000 (Adults=407,000; Children=67,000)
2013=464,000 (Adults=383,000; Children=81,000)
2015=225,000 (Adults=183,000; Children=41,000)
2017=342,000 (Adults=295,000; Children=47,000)
2019=263,000 (Adults=229,000; Children=35,000)
2021=229,000 (Adults=187,000; Children=42,000)
- Source: Minnesota Health Access Surveys, 2007 to 2021
- Total Minnesota population estimates from U.S. Bureau of the Census.
- Notes: In 2019, the Minnesota Health Access Survey moved from an exclusively random digit dial (RDD) frame telephone survey to a dual RDD and address-based sample (ABS) frame and web-based survey, and 2021 was exclusively an ABS sample frame. Due to these changes, results from 2019 and 2021 may not be directly comparable to previous years.

Page 6 – Sources of Insurance Coverage in Minnesota, 2007 to 2021

This chart shows the sources of health insurance coverage in Minnesota from the Minnesota Health Access Surveys from 2007 to 2021. Sources of insurance include group, individual, and public coverage, and uninsured.

2007: Group=62.5%, Individual=5.1%, Public=25.2%, Uninsured=7.2%
2009: Group=57.6%*, Individual=5.1%, Public=28.3%*, Uninsured=9.0%*
2011: Group=55.7%, Individual=5.2%, Public=30.3%*, Uninsured=8.9%
2013: Group=54.5%, Individual=5.8%, Public=31.1%, Uninsured=8.6%
2015: Group=52.9%, Individual=5.8%, Public=37.3%*, Uninsured=4.1%*
2017: Group=52.1%, Individual=4.3%*, Public=37.5%, Uninsured=6.1%*
2019: Group=53.6%, Individual=4.2%, Public=37.5%, Uninsured=4.7%*
2021: Group=52.0%, Individual=2.8%*, Public=41.2%*, Uninsured=4.0%
- Source: Minnesota Health Access Surveys, 2007 to 2021
- *Indicates statistically significant difference (95% level) from prior year shown.
- Notes: Estimates that rely solely on household survey data differ slightly from annual estimates that include both survey and administrative data.
- In 2019, the Minnesota Health Access Survey moved from an exclusively random digit dial (RDD) frame telephone survey to a dual RDD and address-based sample (ABS) frame and web-based survey, and 2021 was exclusively an ABS sample frame. Due to these changes, results from 2019 and 2021 may not be directly comparable to previous years. Redesign of the 2021 survey produced individual market enrollment estimates that more closely align with administrative data than in previous years. Administrative data estimate about 151,000 Minnesotans had individual coverage in 2019, and 165,000 Minnesotans had individual coverage in 2021

Page 7 - Measures of Uninsurance in Minnesota, 2015 to 2021

This chart shows three different ways to measure the uninsurance rate in Minnesota from the Minnesota Health Access Survey. Measures include Uninsured Point in Time (the most common way of reporting), Uninsured All Year, and Uninsured at Some Point in Year. Years shown are 2015, 2017, 2019, and 2021.

Uninsured Point in Time: 2015=4.1%*, 2017=6.1%*, 2019=4.7%*, 2021=4.0%
Uninsured All Year: 2015=2.2%, 2017=3.5%*, 2019=3.3%, 2021=3.3%
Uninsured at Some Point in Year: 2015=8.3%, 2017=10.2%*, 2019=8.1%*, 2021=6.3%
- *Indicates statistically significant difference (95% level) from prior year shown.
- Source: 2015 to 2021 Minnesota Health Access Surveys.

Page 9 – Minnesota Uninsurance Rates by Age, 2007 to 2021

This chart shows the rate of uninsurance in Minnesota from 2007 to 2021 from the Minnesota Health Access Survey for different age groups.

Data is available in table format in Chartbook 6 supplement.

Page 10 – Sources of Health Insurance Coverage in Minnesota by Age, 2019 to 2021

This graph gives the sources of health insurance coverage in Minnesota in 2019 and 2021 from the Minnesota Health Access Survey for different age groups.

Data is available in table format in Chartbook 6 supplement.

Page 11 – Sources of Children’s Health Insurance Coverage in Minnesota by Age, 2017 to 2021

This table gives the sources of health insurance coverage in Minnesota in 2017 through 2021 from the Minnesota Health Access Survey for children.

Data is available in table format in Chartbook 6 supplement.

Page 12 - Minnesota Uninsurance Rates by Income, 2007 to 2021

This chart shows the rate of uninsurance in Minnesota from 2007 to 2021 from the Minnesota Health Access Survey for different income categories. Household income is presented as percent of Federal Poverty Guidelines.

Data is available in table format in Chartbook 6 supplement.

Page 13 – Sources of Health Insurance Coverage in Minnesota by Income, 2019 to 2021

This chart shows the sources of health insurance coverage in Minnesota in 2019 and 2021 from the Minnesota Health Access Survey for different income categories. Household Income is represented as percent of Federal Poverty Guidelines.

Data is available in table format in Chartbook 6 supplement.

Page 14 – Minnesota Uninsurance Rates by Race and Ethnicity, 2007 and 2021

This chart shows the rate of uninsurance in Minnesota in from 2007 to 2021 from the Minnesota Health Access Survey for different racial and ethnic groups.

Data is available in table format in Chartbook 6 supplement.

Page 15 – Sources of Health Insurance Coverage in Minnesota by Race and Ethnicity, 2019 to 2021

This chart shows the sources of health insurance coverage in Minnesota in 2019 and 2021 from the Minnesota Health Access Survey for different racial and ethnic groups.

Data is available in table format in Chartbook 6 supplement.

Page 16 – Minnesota Uninsurance Rates by Country of Birth, 2007 to 2021

This chart shows the rate of uninsurance in Minnesota from 2007 to 2021 from the Minnesota Health Access Survey by country of birth (US born and non-US born).

Data is available in table format in Chartbook 6 supplement.

Page 17 –Uninsurance Rates in Minnesota by Citizenship, 2017 to 2021

This chart shows the rate of uninsurance in Minnesota in 2017 to 2021 from the Minnesota Health Access Survey for citizenship status.

Citizen: 2017=5.4%, 2019=4.1%*, 2021=3.3%
Non-Citizen: 2017=27.3%^, 2019=19.7%^, 2021=21.8%^
All Minnesotans: 2017=6.1%, 2019=4.7%*, 2021=4.0%
- * Indicates statistically significant difference from previous year (95% level).
- ^ Indicates statistically significant difference (95% level) from all Minnesotans within year.
- Source: Minnesota Health Access Surveys, 2017 to 2021
- Notes: Does not include Minnesotans under age 3. In 2019, the Minnesota Health Access Survey moved from an exclusively random digit dial (RDD) frame telephone survey to a dual RDD and address-based sample (ABS) frame and web-based survey, and 2021 was exclusively an ABS sample frame. Due to these changes, results from 2019 and 2021 may not be directly comparable to previous years.

Page 18 – Minnesota Uninsurance Rates by Level of Educational Attainment, 2007 to 2021

This chart shows the rate of uninsurance in Minnesota from 2007 to 2021 from the Minnesota Health Access Survey for different levels of educational attainment. For children, education is defined as that of parent.

Data is available in table format in Chartbook 6 supplement.

Page 19 – Sources of Health Insurance Coverage in Minnesota by Level of Educational Attainment, 2019 and 2021

This graph gives the sources of health insurance coverage in Minnesota in 2019 and 2021 from the Minnesota Health Access Survey for different levels of educational attainment. For children, education is defined as that of parent.

Data is available in table format in Chartbook 6 supplement.

Page 20 – Uninsurance Rates in Twin Cities and Greater Minnesota, 2007 to 2021

This chart shows the rate of uninsurance in Minnesota from 2007 to 2021 from the Minnesota Health Access Survey for the Twin Cities versus Greater Minnesota.

Data is available in table format in Chartbook 6 supplement.

Page 21 – Uninsurance Rates by Economic Development Region, 2019 and 2021

Two maps of Minnesota with with uninsurance rates for each Economic Development Region (EDR) in 2019 and 2021.

Northwest: 2019=8.4%; 2021=5.8%
Headwaters: 2019=7.4%; 2021=12.0%
Arrowhead: 2019=3.8%; 2021=2.4%
West Central: 2019=4.6%; 2021=2.2%*
North Central: 2019=8.5%; 2021=5.3%
Mid-Minnesota: 2019=7.4%; 2021=2.5%
Upper Minnesota Valley: 2019=11.6%; 2021=1.7%*
East Central: 2019=5.4%; 2021=3.3%
Central: 2019=3.5%; 2021=5.5%
Southwest: 2019=4.3%; 2021=6.8%
South Central: 2019=3.4%; 2021=4.0%
Southeast: 2019=4.4%; 2021=3.2%
Twin Cities: 2019=4.4%; 2021=3.9%
- * Indicates statistically significant difference from 2019 (95% level).
- Notes: Difference in rates between regions and compared to the statewide rates were not statistically significant.
- Source: Minnesota Health Access Surveys, 2019 and 2021

Page 22 – Sources of Health Insurance Coverage by Region in Minnesota, 2019 and 2021

This graph gives the sources of insurance coverage in Minnesota in 2019 and 2021 from the Minnesota Health Access Survey for Economic Development Regions around the state.

Notes: Difference in rates between regions and compared to the statewide rates were not statistically significant.
Data is available in table format in Chartbook 6 supplement.

Page 24 – Income Distribution of Minnesota’s Uninsured Population, 2019 and 2021

This chart shows the distribution of the uninsured and the total population by income for 2019 and 2021 from the Minnesota Health Access Survey.

Data is available in table format in Chartbook 6 supplement.

Page 25 – Employment Characteristics of Minnesota’s Uninsured Population, 2019 and 2021

This graph shows employment characteristics of uninsured and the total population for 2019 and 2021 from the Minnesota Health Access Survey. This table includes percent employed, percent who are temporary/seasonal workers, and distribution of hours worked.

Data is available in table format in Chartbook 6 supplement.

Page 26 – Employment Characteristics of Minnesota’s Uninsured Population: Size of Employer, 2019 and 2021

This graph shows the employment characteristics of the uninsured and the total population for 2019 and 2021 from the Minnesota Health Access Survey. This table includes the size of employer.

Data is available in table format in Chartbook 6 supplement.

Page 27 – Racial and Ethnic Distribution of Minnesota’s Uninsured Population, 2019 and 2021

This graph shows the distribution of the uninsured and the total population by race/ethnicity for 2019 and 2021 from the Minnesota Health Access Survey. The distribution does not add up to 100 because respondents could select more than one race/ethnicity.

Data is available in table format in Chartbook 6 supplement.

Page 28 - Access to Employer Coverage, 2007 to 2021 (Non-elderly population)

This chart shows the percent of people connected to an employer that offers coverage (offer); the percent of those connected to an employer who offers coverage who are eligible for that coverage (eligible); and the percent of those eligible for employer coverage who take-up that coverage (take-up rate), for 2007 to 2021. This chart is for non-elderly (under age 65) Minnesotans only.

2007: Offer=81.0%, Eligible=96.0%, Take-up rate=93.6%
2009: Offer=78.5%*, Eligible=94.0%*, Take-up rate=91.8%*
2011: Offer=77.7%, Eligible=94.7%, Take-up rate=89.8%*
2013: Offer=75.9%, Eligible=94.5%, Take-up rate=87.7%*
2015: Offer=74.6%, Eligible=95.2%, Take-up rate=86.0%
2017: Offer=73.9%, Eligible=95.5%, Take-up rate=86.4%
2019: Offer=76.5%*, Eligible=95.1%, Take-up rate=87.2%
2021: Offer=74.5%, Eligible=95.7%, Take-up rate=88.0%
- *Indicates statistically significant difference from previous year shown (95% confidence level).
- Source: Minnesota Health Access Surveys, 2007 to 2021
- Notes: Estimates that rely solely on household survey data differ slightly from annual estimates that include both survey and administrative data. In 2019, the Minnesota Health Access Survey moved from an exclusively random digit dial (RDD) frame telephone survey to a dual RDD and address-based sample (ABS) frame and web-based survey, and 2021 was exclusively an ABS sample frame. Due to these changes, results from 2019 and 2021 may not be directly comparable to previous years.

Page 29 - Potential Access to Coverage for the Uninsured, 2017 to 2021

This chart shows the potential access to coverage that the uninsured had from 2017 to 2021. This includes the percent connected to an employer that offers coverage; the percent eligible for employer coverage; the percent potentially eligible for public coverage, including Medical Assistance and MinnesotaCare, based on income; the percent potentially eligible for APTC; and the percent who are not eligible for employer or public coverage.

Connection to employer that offers coverage (percent of uninsured who work for or have a family member who works for an employer offering coverage): 2017=29.9%, 2019=41.1%*, 2021=31.4%
Eligible for employer coverage (percent of uninsured who are eligible for coverage through an employer: 2017=17.5%, 2019=23.6%, 2021=19.2%
Potentially eligible for public coverage (based on family structure, income, and eligibility for employer coverage): 2017=48.3%, 2019=49.2%, 2021=57.5%
Potentially eligible for Advance Premium Tax Credits (APTC) (Potential eligibility is based on income and eligibility for employer coverage only, and does not consider premiums. In 2021, APTC income limits were removed): 2017=27.2%, 2019=21.4%, 2021=26.8%
Not eligible for employer or public coverage: 2017=11.9%*, 2019=13.0%, 2021=0.0%*
- * Indicates statistically different from previous year shown at 95% level.
- Note: The employer eligible, potentially public eligible, and not eligible for employer or public coverage categories add to more than 100 percent because some of the uninsured are potentially eligible for both employer or public coverage.
- In 2019, the Minnesota Health Access survey moved from an exclusively random digit dial (RDD) frame telephone survey to a dual RDD and address-based sample (ABS) frame and web-based survey, and 2021 was exclusively an ABS sample frame. Due to these changes, results from 2019 and 2021 may not be directly comparable to previous years.
- Source: Minnesota Health Access Surveys, 2017 to 2021

Page 31– Trends in Forgone Care, 2017 to 2021

This chart shows the percentage of Minnesotans who reported specific types of forgone care for the years 2017, 2019, and 2021.

Any forgone care: 2017=21.2%, 2019=25.0%*, 2021=20.2%*
Dental care: 2017=14.4%, 2019=15.5%, 2021=12.7%*
Mental health care: 2017=3.7%, 2019=7.2%*, 2021=6.1%
Prescriptions: 2017=9.1%, 2019=8.8%, 2021=5.7%*
Routine medical care: 2017=5.7%, 2019=7.8%*, 2021=5.4%*
Specialist care: 2017=4.9%, 2019=7.6%*, 2021=6.2%*
- * Indicates statistically different from previous year shown at 95% level.
- Note: Respondents could report forgone care from more than type of care, therefore the types will sum to more than the total.
- In 2019, the Minnesota Health Access survey moved from an exclusively random digit dial (RDD) frame telephone survey to a dual RDD and address-based sample (ABS) frame and web-based survey, and 2021 was exclusively an ABS sample frame. Due to these changes, results from 2019 and 2021 may not be directly comparable to previous years.
- Source: Minnesota Health Access Surveys, 2017 to 2021

Page 32– Any Forgone Care by Insurance Type, 2019 and 2021

This chart shows the percentage of Minnesotans who reported any forgone care by insurance type for the years 2019 and 2021.

Group insurance: 2019=21.0%^, 2021=16.2%*^
Public insurance: 2019=27.1%, 2021= 22.6%*^
Individual insurance: 2019=26.7%, 2021=27.9%^
Uninsured: 2019=54.6%^, 2021=43.2%^
All Minnesotans: 2019=25.0%, 2021=20.2%*
- * Indicates statistically significant difference from previous year (95% level).
- ^ Indicates statistically significant difference (95% level) from all Minnesotans within year.
- Source: Minnesota Health Access Surveys, 2019 to 2021

Page 33– Any Forgone Care by Race and Ethnicity, 2019 and 2021

This chart shows the percentage of Minnesotans who reported any forgone care by race and ethnicity for the years 2019 and 2021.

American Indian: 2019=37.5%^, 2021=31.8%^
Asian: 2019=25.4%, 2021= 14.2%*^
Black: 2019=24.2%, 2021=23.4%
Latino: 2019=37.0%^, 2021=27.4%^
White: 2019=24.7%, 2021=19.9%*
All Minnesotans: 2019=25.0%, 2021=20.2%*
- * Indicates statistically significant difference from previous year (95% level).
- ^ Indicates statistically significant difference (95% level) from all Minnesotans within year.
- Source: Minnesota Health Access Surveys, 2019 to 2021

Page 34– Any Forgone Care by Age, 2019 and 2021

This chart shows the percentage of Minnesotans who reported any forgone care by age for the years 2019 and 2021.

0-17: 2019=14.6%^, 2021=10.1%*^
18 to 25: 2019=22.3%, 2021= 19.6%
26 to 34: 2019=37.8%^, 2021=32.2%^
35 to 54: 2019=31.7%^, 2021=24.8%*^
55 to 64: 2019=25.7%, 2021=24.2%^
65+: 2019=20.3%^, 2021=15.6%*^
All Minnesotans: 2019=25.0%, 2021=20.2%*
- * Indicates statistically significant difference from previous year (95% level).
- ^ Indicates statistically significant difference (95% level) from all Minnesotans within year.
- Source: Minnesota Health Access Surveys, 2019 to 2021

Page 35– Any Forgone Care by Chronic Conditions, Geography, High Deductible Health Plan, and Income, 2021

This chart shows the percentage of Minnesotans who reported any forgone care by various demographics for 2021.

Statewide=20.2%
Chronic Condition: No=14.8%^, Yes= 27.8%^
Geography: Greater Minnesota=21.1%, Twin Cities Metro=19.5%
High Deductible Health Plan (Private Insurance): No=12.9%^, Yes=19.7%
Income as %FPG1: 0-200%=26.8%^, 200+%=18.0%^
- ^ Indicates statistically significant difference (95% level) from all Minnesotans within year.
- 1 Federal Poverty Guidelines, for more information see https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines
- Source: Minnesota Health Access Surveys, 2019 to 2021

Page 36– Specific Forgone Care by Insurance Type, 2019 and 2021

This graph shows the rates of specific types of forgone care by insurance type for 2019 and 2021 from the Minnesota Health Access Survey.

Data is available in table format in Chartbook 6 supplement.

Page 37– Specific Forgone Care by Race and Ethnicity, 2019 and 2021

This graph shows the rates of specific types of forgone care by race and ethnicity for 2019 and 2021 from the Minnesota Health Access Survey.

Data is available in table format in Chartbook 6 supplement.

Page 38– Specific Forgone Care by Age, 2019 and 2021

This graph shows the rates of specific types of forgone care by age for 2019 and 2021 from the Minnesota Health Access Survey.

Data is available in table format in Chartbook 6 supplement.

Page 40– Trends in Uncompensated Care Costs in Minnesota Hospitals

This chart shows the total amount of uncompensated care costs in Minnesota Hospitals as well as the percent change from the previous year for the years 2010 to 2020.

2010: Total=$311 Million
2011: Total=$308 Million, Percent change from previous year=-0.8%
2012: Total=$317 Million, Percent change from previous year=2.8%
2013: Total=$322 Million, Percent change from previous year=1.7%
2014: Total=$305 Million, Percent change from previous year=-5.4%
2015: Total=$265 Million, Percent change from previous year=-13.0%
2016: Total=$277 Million, Percent change from previous year=4.5%
2017: Total=$293 Million, Percent change from previous year=5.7%
2018: Total=$311 Million, Percent change from previous year=6.0%
2019: Total=$349 Million, Percent change from previous year=12.3%
2020: Total=$365 Million, Percent change from previous year=4.7%
- Note: Uncompensated care figures are adjusted to reflect costs of providing services.
- Source: MDH Health Economics Program analysis of hospital annual reports.

Page 41 – Uncompensated Care as a Percentage of Hospital Operating Expenses in Minnesota and the U.S.

This chart shows the percent of uncompensated care costs as part of the total hospital operating expense in Minnesota and the U.S. for years 2010 to 2020.

2010: Minnesota=2.4%, US=5.8%
2011: Minnesota=2.2%, US=5.9%
2012: Minnesota=2.2%, US=6.1%
2013: Minnesota=2.2%, US=5.9%
2014: Minnesota=2.0%, US=5.3%
2015: Minnesota=1.6%, US=4.2%
2016: Minnesota=1.6%, US=4.3%
2017: Minnesota=1.6%, US=4.0%
2018: Minnesota=1.7%, US=4.1%
2019: Minnesota=1.8%, US=3.9%
2020: Minnesota=1.8%, US=3.9%
- Note: Uncompensated care figures are adjusted to reflect costs of providing services.
- Source: MDH Health Economics Program analysis of hospital annual reports.

Page 42 – Uncompensated Care as a Percentage of Hospital Operating Expenses in Rural and Urban Minnesota Hospitals

This chart shows a comparison of the percent of uncompensated care costs as percent of hospital operating expenses in Minnesota for rural and urban hospitals for the years 2010 to 2020.

2010: Rural=2.5%, Urban=2.3%
2011: Rural=2.4%, Urban=2.2%
2012: Rural=2.4%, Urban=2.1%
2013: Rural=2.4%, Urban=2.1%
2014: Rural=2.5%, Urban=1.8%
2015: Rural=2.2%, Urban=1.5%
2016: Rural=2.0%, Urban=1.5%
2017: Rural=2.1%, Urban=1.5%
2018: Rural=2.2%, Urban=1.5%
2019: Rural=2.2%, Urban=1.7%
2020: Rural=2.2%, Urban=1.7%
- Note: Uncompensated care figures are adjusted to reflect costs of providing services.
- Source: MDH Health Economics Program analysis of hospital annual reports.

Page 44 – Largest Minnesota Providers of Hospital Uncompensated Care, 2020

This chart compares the top ten Minnesota providers of hospitals uncompensated care as a percent of hospital operating expenses for 2020. It also shows the statewide average, 1.8%. Hospitals are organized by total uncompensated care dollars.

Hennepin Healthcare=4.0%
Mayo Clinic Hospital - Rochester=1.3%
Regions Hospital=3.0%
M Health Fairview University of Minnesota Medical Center=1.1%
Abbott Northwestern Hospital=1.1%
Mercy Hospital=1.7%
North Memorial Health Hospital=2.2%
Park Nicollet Methodist Hospital=1.9%
United Hospital=1.6%
Children’s Minnesota=1.2%
- Note: Uncompensated care figures are adjusted to reflect costs of providing services.
- Source: MDH Health Economics Program analysis of hospital annual reports.

Page 45 – Distribution of Uncompensated Care by Hospital

This bar graph shows the comparison of the amount the top ten Minnesota providers of hospitals as well as the other 117 hospitals pay of the total amount of uncompensated care in Minnesota in 2020.

Total uncompensated care=$365.4 Million
Top 10 Providers=$174.1 Million
Hennepin Healthcare=$40.1 Million
Mayo Clinic Hospital – Rochester=$26.6 Million
Regions Hospital=$23.2 Million
M Health Fairview University of Minnesota Medical Center=$17.2 Million
Abbott Northwestern Hospital=$13.3 Million
Mercy Hospital=$11.9 Million
North Memorial Health Hospital=$11.3 Million
Park Nicollet Methodist Hospital=$10.5 Million
United Hospital=$10.4 Million
Children’s Minnesota=$9.6 Million
- Listed are the ten largest providers of hospital uncompensated care in the state. Total uncompensated care of unlisted Minnesota hospitals is $191.3 million.
- Note: Uncompensated care figures are adjusted to reflect costs of providing services.
- Source: MDH Health Economics Program analysis of hospital annual reports.

Page 46 – Components of Minnesota Hospital Uncompensated Care: Charity Care and Bad Debt

This chart shows the breakdown of charity care and bad debt as a total component of Minnesota hospital uncompensated care costs from years 2010 to 2020.

2010: Charity Care =$157.6 Million, Bad Debt=$153.4 Million
2011: Charity Care =$151.9 Million, Bad Debt=$156.4 Million
2012: Charity Care =$144.9 Million, Bad Debt=$172.0 Million
2013: Charity Care =$157.4 Million, Bad Debt=$165.0 Million
2014: Charity Care =$123.4 Million, Bad Debt=$181.6 Million
2015: Charity Care =$103.5 Million, Bad Debt=$161.7 Million
2016: Charity Care =$118.0 Million, Bad Debt=$159.2 Million
2017: Charity Care =$117.3 Million, Bad Debt=$175.7 Million
2018: Charity Care =$119.7 Million, Bad Debt=$190.9 Million
2019: Charity Care =$142.1 Million, Bad Debt=$206.9 Million
2020: Charity Care =$147.4 Million, Bad Debt=$218.1 Million
- Note: Charity care and bad debt figures are adjusted to reflect costs of providing services.
- Source: MDH Health Economics Program analysis of hospital annual reports.

Page 47 – Components of Uncompensated Care for Rural and Urban Hospitals, 2015-2020

This chart shows the distribution of uncompensated care between charity care and bad debt for urban and rural hospitals from years 2015 to 2020.

2015: Rural=30.5% Charity Care/69.5% Bad Debt, Urban=42.6% Charity Care/57.4% Bad Debt
2016: Rural=31.5% Charity Care/68.5% Bad Debt, Urban=46.7% Charity Care/53.3% Bad Debt
2017: Rural=33.2% Charity Care/66.8% Bad Debt, Urban=42.7% Charity Care/57.3% Bad Debt
2018: Rural=34.7% Charity Care/65.3% Bad Debt, Urban=40.0% Charity Care/60.0% Bad Debt
2019: Rural=38.1% Charity Care/61.9% Bad Debt, Urban=41.7% Charity Care/58.3% Bad Debt
2020: Rural=41.4% Charity Care/58.6% Bad Debt, Urban=40.0% Charity Care/60.0% Bad Debt
- Note: Charity care and bad debt figures are adjusted to reflect costs of providing services.
- Source: MDH Health Economics Program analysis of hospital annual reports.

Page 48 – Hospital Uncompensated Care and Components by Insurance Status, 2020

This graph shows the breakdown of insured vs. uninsured patients for total uncompensated care, charity care and bad debt for Minnesota hospitals in 2020.

Total uncompensated care: Insured Patients=44.4%, Uninsured Patients=55.6%
Charity care: Insured Patients=36.1%, Uninsured Patients=63.9%
Bad debt: Insured Patients=50.0%, Uninsured Patients=50.0%
- Note: Charity care and bad debt figures are adjusted to reflect costs of providing services.
- Source: MDH Health Economics Program analysis of hospital annual reports.

Page 49 – Hospital Uncompensated Care and Components by Insurance Status, 2015-2020

This graph shows the breakdown of insured vs. uninsured patients for total uncompensated care, charity care and bad debt for the years 2015 to 2020.

Total uncompensated care 2015: Uninsured Patients=55.4%, Insured Patients=44.6%
Total uncompensated care 2016: Uninsured Patients=48.9%, Insured Patients=51.1%
Total uncompensated care 2017: Uninsured Patients=52.5%, Insured Patients=47.5%
Total uncompensated care 2018: Uninsured Patients=49.5%, Insured Patients=50.5%
Total uncompensated care 2019: Uninsured Patients=55.3%, Insured Patients=44.7%
Total uncompensated care 2020: Uninsured Patients=55.6%, Insured Patients=44.4%
Charity care 2015: Uninsured Patients=64.4%, Insured Patients=35.6%
Charity care 2016: Uninsured Patients=64.0%, Insured Patients=36.0%
Charity care 2017: Uninsured Patients=63.1%, Insured Patients=36.9%
Charity care 2018: Uninsured Patients=60.7%, Insured Patients=39.3%
Charity care 2019: Uninsured Patients=64.6%, Insured Patients=35.4%
Charity care 2020: Uninsured Patients=63.9%, Insured Patients=36.1%
Bad debt 2015: Uninsured Patients=49.6%, Insured Patients=50.4%
Bad debt 2016: Uninsured Patients=37.7%, Insured Patients=62.3%
Bad debt 2017: Uninsured Patients=45.4%, Insured Patients=54.6%
Bad debt 2018: Uninsured Patients=42.5%, Insured Patients=57.5%
Bad debt 2019: Uninsured Patients=49.0%, Insured Patients=51.0%
Bad debt 2020: Uninsured Patients=50.0%, Insured Patients=50.0%
- Note: Charity care and bad debt figures are adjusted to reflect costs of providing services.
- Source: MDH Health Economics Program analysis of hospital annual reports.

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