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 January 2025 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 2013 to 2023.
2007=7.2%
2009=9.0%*
2011=8.9%
2013=8.6%
2015=4.1%*
2017=6.1%*
2019=4.7%*
2021=4.0%
2023=3.8%
- Sources: Minnesota Health Access Surveys, 2007 to 2023
- *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 after may not be directly comparable to previous years.

Page 5 – Estimated Number of Uninsured in Minnesota, 2013 to 2023

This chart shows the estimated number of uninsured in Minnesota, by total, and by Adults and Children, from select years from 2013 to 2023.
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=264,000 (Adults=229,000; Children=35,000)
2021=229,000 (Adults=187,000; Children=42,000)
2023=217,000 (Adults=182,000; Children=35,000)
- Source: Minnesota Health Access Surveys, 2013 to 2023
- Total Minnesota population estimates from U.S. Census Bureau.
- 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 after may not be directly comparable to previous years.

Page 6 – Sources of Insurance Coverage in Minnesota, 2013 to 2023

This chart shows the sources of health insurance coverage in Minnesota from the Minnesota Health Access Surveys from 2013 to 2023. Sources of insurance include group, individual, and public coverage, and uninsured.
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%
2023: Group=49.3%*, Individual=2.8%, Public=44.1%*, Uninsured=3.8%
- Source: Minnesota Health Access Surveys, 2013 to 2023
- *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 after 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 estimates about 145,100 Minnesotans had individual coverage in 2019, 159,700 Minnesotans had individual coverage in 2021, and 163,500 Minnesotans had individual coverage in 2023.

Page 7 – Measures of Uninsurance in Minnesota, 2017 to 2023

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 from select years from 2017 to 2023.
Uninsured Point in Time: 2017=6.1%*, 2019=4.7%*, 2021=4.0%, 2023=3.8%
Uninsured All Year: 2017=3.5%*, 2019=3.3%, 2021=3.3%, 2023=2.8%
Uninsured at Some Point in Year: 2017=10.2%, 2019=8.1%*, 2021=6.3%*, 2023=6.6%
- Source: 2017 to 2023 Minnesota Health Access Surveys
- *Indicates 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 after may not be directly comparable to previous years.

Page 9 – Minnesota Uninsurance Rates by Age, 2013 to 2023

This chart shows the rate of uninsurance in Minnesota from 2013 to 2023 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, 2021 to 2023

This graph gives the sources of health insurance coverage in Minnesota in 2021 and 2023 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, 2019 to 2023

This table gives the sources of health insurance coverage in Minnesota in 2019, 2021, and 2023 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, 2013 to 2023

This chart shows the rate of uninsurance in Minnesota from 2013 to 2023 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, 2021 to 2023

This chart shows the sources of health insurance coverage in Minnesota in 2021 and 2023 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, 2013 to 2023

This chart shows the rate of uninsurance in Minnesota in from 2013 to 2023 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, 2021 to 2023

This chart shows the sources of health insurance coverage in Minnesota in 2021 and 2023 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, 2013 to 2023

This chart shows the rate of uninsurance in Minnesota from 2013 to 2023 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, 2019 to 2023

This chart shows the rate of uninsurance in Minnesota in 2019 to 2023 from the Minnesota Health Access Survey for citizenship status.
Citizen: 2019=4.1%, 2021=3.3%, 2023=3.1%
Non-Citizen: 2019=19.7%^, 2021=21.8%^, 2023=18.8%^
All Minnesotans: 2019=4.7%, 2021=4.0%, 2023=3.8%
- * 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 2023
- 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 after may not be directly comparable to previous years.

Page 18 – Minnesota Uninsurance Rates by Level of Educational Attainment, 2013 to 2023

This chart shows the rate of uninsurance in Minnesota from 2013 to 2023 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, 2021 and 2023

This graph gives the sources of health insurance coverage in Minnesota in 2021 and 2023 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, 2013 to 2023

This chart shows the rate of uninsurance in Minnesota from 2013 to 2023 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, 2021 and 2023

Two maps of Minnesota with uninsurance rates for each Economic Development Region (EDR) in 2021 and 2023.
Northwest: 2021=5.8%, 2023=3.5%
Headwaters: 2021=12.0%, 2023=6.0%
Arrowhead: 2021=2.4%, 2023=4.1%
West Central: 2021=2.2%, 2023=2.9%
North Central: 2021=5.3%, 2023=4.9%
Mid-Minnesota: 2021=2.5%, 2023=5.9%
Upper Minnesota Valley: 2021=NA 2023=5.0%
East Central: 2021=3.3%, 2023=3.7%
Central: 2021=5.4%, 2023=2.0%
Southwest: 2021=6.8%, 2023=6.4%
South Central: 2021=4.0%, 2023=7.6%
Southeast: 2021=3.2%, 2023=3.3%
Twin Cities: 2021=3.9%, 2023=3.5%
- * Indicates statistically significant difference from previous year (95% level).
- Notes: Difference in rates between regions and compared to the statewide rates were not statistically significant. NA are values suppressed due to sample size less than 10.
- Source: Minnesota Health Access Surveys, 2021 and 2023

Page 22 – Sources of Health Insurance Coverage by Region in Minnesota, 2021 and 2023

This graph gives the sources of insurance coverage in Minnesota in 2021 and 2023 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, 2021 and 2023

This chart shows the distribution of the uninsured and the total population by income for 2021 and 2023 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, 2021 and 2023

This graph shows employment characteristics of uninsured and the total population for 2021 and 2023 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, 2021 and 2023

This graph shows the employment characteristics of the uninsured and the total population for 2021 and 2023 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, 2021 and 2023

This graph shows the distribution of the uninsured and the total population by race/ethnicity for 2021 and 2023 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, 2013 to 2023 (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 2013 to 2023. This chart is for non-elderly (under age 65) Minnesotans only.
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=95.4%, Take-up rate=86.4%
2019: Offer=76.5%*, Eligible=95.1%, Take-up rate=87.2%
2021: Offer=74.5%, Eligible=95.6%, Take-up rate=88.0%
2023: Offer=74.5%, Eligible=96.3%, Take-up rate=83.1%*
- *Indicates statistically significant difference from previous year shown (95% confidence level).
- Source: Minnesota Health Access Surveys, 2013 to 2023
- 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 after may not be directly comparable to previous years.

Page 29 – Potential Access to Coverage for the Uninsured, 2019 to 2023

This chart shows the potential access to coverage that the uninsured had from 2019 to 2023. 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): 2019=41.1%, 2021=31.4%, 2023=34.0%
Eligible for employer coverage (percent of uninsured who are eligible for coverage through an employer: 2019=23.6%, 2021=19.2%, 2023=19.5%
Potentially eligible for public coverage (based on family structure, income, and eligibility for employer coverage): 2019=49.1%, 2021=57.4%, 2023=48.9%
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): 2019=21.4%, 2021=26.8%, 2023=36.6%
Not eligible for employer or public coverage: 2019=13.0%, 2021=0.0%, 2023=0.1%
- * 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 after may not be directly comparable to previous years.
- Source: Minnesota Health Access Surveys, 2019 to 2023

Page 31 – Trends in Forgone Care, 2019 to 2023

This chart shows the percentage of Minnesotans who reported specific types of forgone care for the years 2019, 2021, and 2023.
Any forgone care: 2019=25.0%, 2021=20.2%*, 2023=24.5%*
Dental care: 2019=15.5%, 2021=12.7%*, 2023=15.5%*
Mental health care: 2019=7.2%, 2021=6.1%, 2023=7.0%
Prescriptions: 2019=8.8%, 2021=5.6%*, 2023=6.7%*
Routine medical care: 2019=7.8%, 2021=5.4%*, 2023=7.0%
Specialist care: 2019=7.6%, 2021=6.2%*, 2023=8.1%*
- * 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 after may not be directly comparable to previous years.
- Source: Minnesota Health Access Surveys, 2019 to 2023

Page 32 – Any Forgone Care by Insurance Type, 2021 and 2023

This chart shows the percentage of Minnesotans who reported any forgone care by insurance type for the years 2021 and 2023.
Group insurance: 2021=16.2%^, 2023=20.8%*^
Public insurance: 2021=22.6%^, 2023=25.8%*
Individual insurance: 2021=27.9%^, 2023=29.7%
Uninsured: 2021=43.2%^, 2023=52.7%^
All Minnesotans: 2021=20.2%, 2023=24.5%*
- * 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, 2021 to 2023

Page 33 – Any Forgone Care by Race and Ethnicity, 2021 and 2023

This chart shows the percentage of Minnesotans who reported any forgone care by race and ethnicity for the years 2021 and 2023.
American Indian: 2021=31.8%^, 2023=40.6%^
Asian: 2021= 14.2%^, 2023=21.5%*
Black: 2021=23.4%, 2023=30.7%^
Latino: 2021=27.3%^, 2023=34.2%^
White: 2021=19.9%, 2023=23.8%*
All Minnesotans: 2021=20.2%, 2023=24.5%*
- * 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, 2021 to 2023

Page 34 – Any Forgone Care by Age, 2021 and 2023

This chart shows the percentage of Minnesotans who reported any forgone care by age for the years 2021 and 2023.
0-17: 2021=10.1%, 2023=13.4%*
18 to 25: 2021= 19.6%, 2023=23.1%
26 to 34: 2021=32.2%^, 2023=37.3%^
35 to 54: 2021=24.8%^, 2023=33.6%*^
55 to 64: 2021=24.2%^, 2023=26.3%
65+: 2021=15.6%^, 2023=16.2%^
All Minnesotans: 2021=20.2%, 2023=24.5%*
- * 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, 2021 to 2023

Page 35 – Any Forgone Care by Chronic Conditions, Geography, High Deductible Health Plan, and Income, 2023

This chart shows the percentage of Minnesotans who reported any forgone care by various demographics for 2023.
Statewide=24.5%
Chronic Condition: No=18.5%^, Yes= 32.0%^
Geography: Greater Minnesota=25.4%, Twin Cities Metro=23.7%
High Deductible Health Plan (Private Insurance): No=14.6%^, Yes=26.3%
Income as % Federal Poverty Guidelines: 0-200%=33.6%^, 200+%=21.6%^
- For more information on Federal Poverty Guidelines, see https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines
- ^ Indicates statistically significant difference (95% level) from all Minnesotans within year.
- Source: Minnesota Health Access Surveys, 2023

Page 36 – Specific Forgone Care by Insurance Type, 2021 and 2023

This graph shows the rates of specific types of forgone care by insurance type for 2021 and 2023 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, 2021 and 2023

This graph shows the rates of specific types of forgone care by race and ethnicity for 2021 and 2023 from the Minnesota Health Access Survey.
Data is available in table format in Chartbook 6 supplement.

Page 38 – Specific Forgone Care by Age, 2021 and 2023

This graph shows the rates of specific types of forgone care by age for 2021 and 2023 from the Minnesota Health Access Survey.
Data is available in table format in Chartbook 6 supplement.

Page 40 – Total Minnesota Hospital Uncompensated Care Costs and Year-Over-Year Change

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 2013 to 2023.
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%
2021: Total=$322 Million, Percent change from previous year=-11.8%
2022: Total=$345 Million, Percent change from previous year=6.9%
2023: Total=$359 Million, Percent change from previous year=4.1%
- Note: Regions Hospital changed the classification of bad debt for patients in 2022 and 2023 resulting in an increase in uncompensated care compared to prior years. Uncompensated care figures are adjusted to reflect costs of providing services.
- Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

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 2013 to 2023.
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%
2021: Minnesota=1.5%, US=Not available
2022: Minnesota=1.5%, US=Not available
2023: Minnesota=1.5%, US=Not available
- Note: Regions Hospital changed the classification of bad debt for patients in 2022 and 2023 resulting in an increase in uncompensated care compared to prior years. Uncompensated care figures are adjusted to reflect costs of providing services. U.S. data is no longer publicly available for 2021-2023.
- Source: MDH Health Economics Program analysis of hospital annual reports, November 2024; American Hospital Association Uncompensated Hospital Care Cost Fact Sheet, February 2022.

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 2013 to 2023.
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%
2021: Rural=1.8%, Urban=1.4%
2022: Rural=1.6%, Urban=1.5%
2023: Rural=1.7%, Urban=1.4%
- Note: Regions Hospital changed the classification of bad debt for patients in 2022 and 2023 resulting in an increase in uncompensated care compared to prior years. Uncompensated care figures are adjusted to reflect costs of providing services.
- Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 44 – 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 2023.
Total uncompensated care=$358.8 Million
Top 10 Providers=$203.7 Million
Hennepin Healthcare=$64.2 Million
Regions Hospital=$48.1 Million
Mayo Clinic Hospital – Rochester=$21.7 Million
M Health Fairview University of Minnesota Medical Center=$12.9 Million
Children’s Minnesota=$11.2 Million
Abbott Northwestern Hospital=$10.8 Million
North Memorial Health Hospital=$10.3 Million
Park Nicollet Methodist Hospital=$9.0 Million
Mayo Clinic Health System – Albert Lea and Austin=$8.1 Million
CentraCare – St. Cloud Hospital=$7.5 Million
- Listed are the ten largest providers of hospital uncompensated care in the state. Total uncompensated care of unlisted Minnesota hospitals is $155.1 million.
- Note: Uncompensated care figures are adjusted to reflect costs of providing services.
- Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 45 – Largest Minnesota Providers of Hospital Uncompensated Care

This chart compares the top ten Minnesota providers of hospitals uncompensated care as a percent of hospital operating expenses for 2023. It also shows the statewide average, 1.5%. Hospitals are organized by total uncompensated care dollars.
Regions Hospital=4.8%
Hennepin Healthcare=4.8%
Mayo Clinic Health System – Albert Lea and Austin=2.7%
North Memorial Health Hospital=1.6%
Park Nicollet Methodist Hospital=1.3%
Children’s Minnesota=1.1%
Mayo Clinic Hospital – Rochester=0.9%
CentraCare – St. Cloud Hospital=0.8%
Abbott Northwestern Hospital=0.7%
M Health Fairview University of Minnesota Medical Center=0.6%
- Note: Uncompensated care figures are adjusted to reflect costs of providing services.
- Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

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 2013 to 2023.
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
2021: Charity Care =$123.1 Million, Bad Debt=$199.1 Million
2022: Charity Care =$132.8 Million, Bad Debt=$211.7 Million
2023: Charity Care =$168.2 Million, Bad Debt=$190.7 Million
- Note: Regions Hospital changed the classification of bad debt for patients in 2022 and 2023 resulting in an increase in uncompensated care compared to prior years. Charity care and bad debt figures are adjusted to reflect costs of providing services.
- Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 47 – Components of Uncompensated Care for Rural and Urban Hospitals, 2018-2023

This chart shows the distribution of uncompensated care between charity care and bad debt for urban and rural hospitals from years 2018 to 2023.
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
2021: Rural=35.5% Charity Care/64.5% Bad Debt, Urban=39.1% Charity Care/60.9% Bad Debt
2022: Rural=34.7% Charity Care/65.3% Bad Debt, Urban=43.1% Charity Care/60.3% Bad Debt
2023: Rural=31.3% Charity Care/68.7% Bad Debt, Urban=51.6% Charity Care/48.4% Bad Debt
- Note: Regions Hospital changed the classification of bad debt for patients in 2022 and 2023 resulting in an increase in uncompensated care compared to prior years. Charity care and bad debt figures are adjusted to reflect costs of providing services.
- Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 48 – Hospital Uncompensated Care and Components by Insurance Status, 2023

This graph shows the breakdown of insured vs. uninsured patients for total uncompensated care, charity care and bad debt for Minnesota hospitals in 2023.
Total uncompensated care: Insured Patients=46.4%, Uninsured Patients=53.6%
Charity care: Insured Patients=29.7%, Uninsured Patients=70.3%
Bad debt: Insured Patients=61.0%, Uninsured Patients=39.0%
- 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, November 2024.

Page 49 – Hospital Uncompensated Care and Components by Insurance Status, 2018-2023

This graph shows the breakdown of insured vs. uninsured patients for total uncompensated care, charity care and bad debt for the years 2018 to 2023.
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%
Total uncompensated care 2021: Uninsured Patients=59.8%, Insured Patients=40.2%
Total uncompensated care 2022: Uninsured Patients=57.8%, Insured Patients=42.2%
Total uncompensated care 2023: Uninsured Patients=53.6%, Insured Patients=46.4%
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%
Charity care 2021: Uninsured Patients=68.4%, Insured Patients=31.6%
Charity care 2022: Uninsured Patients=72.1%, Insured Patients=27.9%
Charity care 2023: Uninsured Patients=70.3%, Insured Patients=29.7%
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%
Bad debt 2021: Uninsured Patients=54.5%, Insured Patients=45.5%
Bad debt 2022: Uninsured Patients=48.9%, Insured Patients=51.1%
Bad debt 2023: Uninsured Patients=39.0%, Insured Patients=61.0%
- Note: Regions Hospital changed the classification of bad debt for patients in 2022 and 2023 resulting in an increase in uncompensated care compared to prior years. Charity care and bad debt figures are adjusted to reflect costs of providing services.
- Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

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