Chartbook Section 6
Uninsurance and
the Safety Net
Section 6: Uninsurance and the
Safety Net

Statewide measures of uninsurance

Specific population groups

Age, income, race, ethnicity, country of birth, region

Characteristics of the uninsured in Minnesota

Potential access to coverage for the uninsured

Health Care safety net: uncompensated care
A summary of the charts and graphs contained within is provided at Chartbook Summaries Section 6. Direct links are listed on each page. Please contact the Health Economics Program at
651-201-3550 or health.hep@state.mn.us if additional assistance is needed for accessing this
information.
2
STATEWIDE MEASURES OF UNINSURANCE
Uninsurance Rate Trends in Minnesota
10.0%
9.0%*
9.0%
8.2%
7.7%*
8.0%
7.2%
6.1%
6.0%
4.3%*
4.0%
2.0%
0.0%
2001
2004
2007
2009
*Indicates statistically significant difference (95% level) from prior year shown.
Source: 2001, 2004, 2007, 2009, 2011, 2013 and 2015 Minnesota Health Access Surveys
Summary of graph
2011
2013
2015
4
Estimated Number of Uninsured in Minnesota,
2001 to 2015
500,000
472,000
392,000
400,000
68,000
300,000
304,000
82,000
483,000
71,000
374,000
447,000
81,000
75,000
60,000
234,000
200,000
390,000
324,000
100,000
45,000
412,000
336,000
299,000
244,000
189,000
0
2001
2004
2007
2009
Adults
2011
2013
2015
Children
Source: Minnesota Health Access Surveys, 2001 to 2015; population estimates from U.S. Bureau of the Census
Summary of graph
5
Sources of Insurance Coverage in Minnesota,
2011 to 2015
100%
80%
60%
4.3%
9.0%
8.2%
29.2%
31.1%*
5.2%
5.4%
6.3%
56.6%
55.2%
55.9%
2011
2013
2015
33.6%*
40%
20%
0%
Group
Non-Group
Public
Uninsured
Estimates that rely solely on household survey data differ slightly from annual estimates that include both survey and administrative data.
Source: Minnesota Health Access Surveys, 2011, 2013 and 2015
Summary of graph
6
Measures of Uninsurance in Minnesota,
2011 to 2015
14%
12.8%
12.3%
12%
10%
9.0%
8.2%
8.1%*
8%
6.6%
6.1%
6%
4.3%*
4%
2.1%*
2%
0%
Uninsured Point in Time
Uninsured All Year
2011
*Indicates statistically significant difference (95% level) from prior year shown.
Source: 2011, 2013 and 2015 Minnesota Health Access Surveys.
Summary of graph
2013
Uninsured at Some Point in Year
2015
7
SPECIFIC POPULATION GROUPS
Minnesota Uninsurance Rates by Age,
2013 and 2015
20.0%
17.1%^
15.0%
13.6%^
10.0%
8.8%
7.3%
7.2%*
6.2%^
5.6%^
5.0%
8.2%
7.3%*^
5.2%*
4.3%*
3.8%
2.8%*^
2.8%*
0.5%^
0.4%^
0.0%
0 to 5
6 to 17
18 to 24
25 to 34
2013
*Indicates statistically significant difference from 2013 (95% level).
^ Indicates statistically significant difference (95% level) from all ages within year.
Source: Minnesota Health Access Surveys, 2013 and 2015
Summary of graph
35 to 54
55 to 64
65+
All Ages
2015
9
Sources of Health Insurance Coverage in
Minnesota by Age, 2015
100%
80%
2.8%
3.8%
31.1%
28.6%^
7.2%
25.4%^
7.3%^
5.2%
2.8%^
19.2%^
22.5%^
0.4%^
23.1%^
4.3%
33.6%^
6.5%
3.9%^
5.2%
60%
7.9%
12.4%^
6.9%
6.2%
93.8%^
40%
62.2%^
62.4%^
59.6%
62.7%^
69.1%^
62.3%^
55.9%
20%
0.8%^
5.0%^
0%
0 to 5
6 to 17
18 to 24
Group
^ Indicates statistically significant difference (95% level) from all ages.
Source: Minnesota Health Access Surveys, 2015
Summary of graph
25 to 34
Non-Group
35 to 54
Public
55 to 64
65+
All Ages
Uninsured
10
Trends in Health Insurance Coverage in
Minnesota by Age, 2013 to 2015
Group
Non-Group
Public
Uninsured
2013
2015
2013
2015
2013
2015
2013
2015
0 to 17
65.3%^
62.3%^
5.4%
4.8%^
23.2%^
29.4%*^
6.2%^
3.5%*
18 to 25
60.4%^
61.9%^
6.3%
7.6%
19.4%^
24.5%^
13.9%^
6.1%*
26 to 34
56.9%
61.2%^
3.7%^
7.0%*
22.1%^
23.5%^
17.3%^
8.2%*^
35 to 54
65.2%^
69.1%^
6.8%
6.5%
19.3%^
19.2%^
8.8%
5.3%*
55 to 64
62.9%^
62.3%^
8.1%^
12.4%*^
22.8%^
22.5%^
6.2%^
2.8%*^
65 & older
2.0%^
5.0%*^
1.1%^
0.8%^
96.4%^
93.8%*^
0.5%^
0.4%^
All ages
55.2%
55.9%
5.4%
6.3%
31.1%*
33.6%*
8.2%
4.3%*
*Indicates statistically significant difference from 2013 (95% level).
^Indicates statistically significant difference rate for all ages (95% level).
Source: Minnesota Health Access Surveys, 2013 and 2015
11
Sources of Children’s Health Insurance Coverage
in Minnesota by Age, 2015
100%
2.8%
3.8%
3.5%
80%
31.1%
28.6%
29.4%
3.9%
5.2%
4.8%
62.2%
62.4%
62.3%
0 to 5
6 to 17
All Children (0 to 17)
60%
40%
20%
0%
Group
Non-Group
Public
^ Indicates statistically significant difference (95% level) from rate for all children (0 to 17).
Source: Minnesota Health Access Surveys, 2015
Summary of graph
Uninsured
12
Trends in Children’s Health Insurance Coverage
in Minnesota by Age, 2011 to 2013
Group
Non-Group
Public
Uninsured
Age in years
2013
2015
2013
2015
2013
2015
2013
2015
0 to 5
57.6%^
62.2%
5.2%
3.9%
29.8%^
31.1%
7.4%
2.8%*
6 to 17
69.0%
62.4%*
5.4%
5.2%
20.0%
28.6%*
5.6%
3.8%
All Children (0 to 17)
65.3%
62.3%
5.4%
4.8%
23.2%
29.4%*
6.2%
3.5%*
*Indicates statistically significant difference from 2013 (95% level).
^ Indicates statistically significant difference (95% level) from rate for all children (0 to 17).
Source: Minnesota Health Access Surveys, 2013 and 2015.
13
Minnesota Uninsurance Rates by Income,
2011 and 2013
20.0%
17.7%^
14.5%^
15.0%
11.5%*^
9.7%
10.0%
8.2%
6.4%*^
5.4%^
4.3%*
5.0%
4.3%*
2.1%*^
2.6%^
2.1%^
0.0%
0 to 100%
101 to 200%
201 to 300%
301 to 400%
401%+
Household Income as Percent of Federal Poverty Guidelines
2013
* Indicates statistically significant difference from 2013 (95% level).
^ Indicates statistically significant difference (95% level) from all incomes within year.
Source: Minnesota Health Access Surveys, 2013 and 2015
Summary of graph
All Incomes
2015
14
Sources of Health Insurance Coverage in
Minnesota by Income, 2015
100%
11.5%^
6.4%^
2.1%^
4.3%
23.6%^
80%
2.1%^
16.3%^
7.1%
38.6%^
4.3%
33.6%
6.2%
59.6%^
60%
6.2%
62.4%^
6.9%
40%
68.1%^
4.7%
20%
74.5%^
55.9%
50.2%^
4.6%
29.4%^
21.5%^
0%
0 to 100%
101 to 200%
201 to 300%
301 to 400%
401%+
All Incomes
Household Income as Percent of Federal Poverty Guidelines
Group
Non-Group
^Indicates statistically significant difference from rate for all incomes (95% level).
Source: 2015 Minnesota Health Access Survey
Summary of graph
Public
Uninsured
15
Trends in Health Insurance Coverage in
Minnesota by Income, 2013 to 2015
Household Income as Percent of Federal Poverty Guidelines (FPG)
Group
Non-Group
Public
Uninsured
2013
2015
2013
2015
2013
2015
2013
2015
0 to 100%
20.6%^
21.5%^
4.2%
4.6%
57.4%^
62.4%^
17.7%^
11.5%*^
101 to 200%
33.2%^
29.4%^
4.0%^
4.7%
48.2%^
59.6%*^
14.5%^
6.4%*^
201 to 300%
54.8%
50.2%^
5.3%
6.9%
30.1%
38.6%*^
9.7%
4.3%*
301 to 400%
63.2%^
68.1%^
6.4%
6.2%
25%^
23.6%^
5.4%^
2.1%*^
401%+
74.3%^
74.5%^
6.2%
7.1%
16.9%^
16.3%^
2.6%^
2.1%^
All Incomes
55.2%
55.9%
5.4%
6.2%
31.1%
33.6%*
8.2%
4.3%*
*Indicates statistically significant difference from 2013 (95% level).
^Indicates statistically significant difference from rate for all incomes (95% level).
Source: Minnesota Health Access Surveys, 2013 and 2015
16
Minnesota Uninsurance Rates by Race and
Ethnicity, 2013 and 2015
40.0%
34.8%^
30.0%
20.0%
18.0%^
14.7%^
10.0%
13.2%
8.4%
11.7%*^
8.7%
8.2%
6.0%*^
4.3%*
3.7%*
3.4%*^
0.0%
White
Black
American Indian
2013
Asian
Hispanic/Latino
All Races and Ethnicities
2015
*Indicates statistically significant difference from 2013 (95% level).
^ Indicates statistically significant difference (95% level) from all races and ethnicities within year.
Source: Minnesota Health Access Surveys, 2011 and 2013
Summary of graph
17
Sources of Health Insurance Coverage in
Minnesota by Race and Ethnicity, 2013
100%
3.4%^
8.4%
3.7%
8.7%
11.7%^
25.0%^
32.1%^
33.6%
75%
6.5%
4.3%
9.9%
51.5%^
53.8%^
42.2%
6.2%
50%
4.2%
5.2%
3.4%^
25%
61.5%
58.0%^
34.5%^
34.6%^
Black
American Indian
55.9%
41.9%^
0%
White
Group
Individual
^Indicates statistically significant difference rate from statewide rate (95% level).
Source: Minnesota Health Access Survey 2015
Summary of graph
Asian
Public
Hispanic/Latino
All Races and
Ethnicities
Uninsured
18
Trends in Health Insurance Coverage in
Minnesota by Race and Ethnicity, 2013 to 2015
Group
Non-Group
Public
Uninsured
2013
2015
2013
2015
2013
2015
2013
2015
White
57.9%^
58.0%^
5.8%^
6.5%
30.2%^
32.1%^
6.0%^
3.4%*^
Black
32.7%^
34.5%^
1.8%^
3.4%^
50.8%^
53.8%^
14.7%^
8.4%
American Indian
39.1%^
34.6%^
2.5%^
5.2%
40.4%
51.5%^
18.0%^
8.7%
Asian
53.2%
61.5%
6.7%
9.9%
26.9%
25.0%^
13.2%
3.7%*
Hispanic/Latino
33.9%^
41.9%^
1.4%^
4.2%*
29.8%
42.2%*
34.8%^
11.7%*^
All Residents
55.2%
55.9%
5.4%
6.2%
31.1%
33.6%*
9.0%
4.3%*
*Indicates statistically significant difference from 2013 (95% level).
^Indicates statistically significant difference rate for all residents (95% level).
Source: Minnesota Health Access Surveys, 2013 and 2015
19
Uninsurance Rates in Minnesota by Country of
Birth, 2013 and 2015
30%
26.4%^
25%
20%
15%
10.8%*^
10%
8.2%
6.6%^
5%
4.3%*
3.6%*^
0%
US Born
Not US Born
2013
2015
*Indicates statistically significant difference from 2013 (95% level).
^ Indicates statistically significant difference (95% level) from all Minnesotans within year.
Source: Minnesota Health Access Surveys, 2013 and 2015
Does not include Minnesotans under age 3
All Minnesotans
20
Uninsurance Rates in Minnesota by Citizenship,
2015
15.0%
12.4%
10.0%
5.0%
3.9%
0.0%
Citizen
Source: Minnesota Health Access Surveys, 2015
Does not include Minnesotans under age 3
Summary of graph
Non-Citizen
21
Minnesota Uninsurance Rates by Education,
2013 and 2015
25%
20.0%^
20%
15%
12.0%^
11.0%^
10%
8.2%
8.1%
6.5%*^
5.0%^
5%
4.3%*
3.6%*
2.5%*^
2.6%^
1.1%*^
0%
Less than high school
High school graduate
Some college/tech
school
College graduate
2013
2015
* Indicates statistically significant difference from 2013 (95% level).
^ Indicates statistically significant difference (95% level) from all education levels within year.
Source: Minnesota Health Access Surveys, 2013 and 2015
Summary of graph
Postgraduate
All Education Levels
22
Sources of Health Insurance Coverage in
Minnesota by Education, 2015
100%
12.0%^
3.6%
6.5%^
80%
2.5%^
1.1%^
19.7%^
20.3%^
6.8%
6.3%
34.0%
4.3%
33.6%
47.3%^
60%
6.2%
7.1%
59.6%^
5.4%
40%
71.0%^
72.3%^
55.9%
55.3%
3.2%^
40.8%^
20%
25.3%^
0%
Less than high school High school graduate Some college/tech
school
Group
Non-Group
College graduate
Public
^ Indicates statistically significant difference (95% level) from all education levels within year.
Source: Minnesota Health Access Survey, 2015
Summary of graph
Postgraduate
All Education Levels
Uninsured
23
Trends in Health Insurance Coverage in
Minnesota by Education, 2013 to 2015
Group
Non-Group
Public
Uninsured
2013
2015
2013
2015
2013
2015
2013
2015
Less than high
school
20.5%^
25.3%^
2.2%^
3.2%^
57.4%^
59.6%^
20.0%^
12.0%^
High school
graduate
41.4%^
40.8%^
4.5%
5.4%
43.2%^
47.3%^
11.0%^
6.5%*^
Some college/ tech
school
55.4%
55.3%
6.8%^
7.1%
29.7%
34.0%*
8.1%
3.6%*
College graduate
70.0%^
71.0%^
6.0%
6.8%
19.0%^
19.7%^
5.0%^
2.5%*^
Postgraduate
74.0%^
72.3%^
4.5%
6.3%
18.9%^
20.3%^
2.6%^
1.1%*^
All Education Levels
56.6%
55.9%
5.4%
6.2%
31.1%
33.6%*
8.2%
4.3%*
*Indicates statistically significant difference from 2013 (95% level).
^ Indicates statistically significant difference (95% level) from all education levels.
Source: Minnesota Health Access Surveys, 2013 and 2015
24
Uninsurance Rates in Twin Cities and Greater
Minnesota, 2013 and 2015
10%
8.4%
8.1%
8.2%
8%
6%
4.5%
4.3%
4.0%
4%
2%
0%
Greater Minnesota
Twin Cities
2013
Source: Minnesota Health Access Surveys, 2013 and 2015
Summary of graph
Statewide
2015
25
Uninsurance Rates by Economic Development
Region, 2013 and 2015
2013 Uninsurance Rate by EDR
Source: Minnesota Health Access Survey, 2013 and 2015
Summary of graph
2015 Uninsurance Rate by EDR
26
Sources of Health Insurance Coverage by Region
in Minnesota, 2013 and 2015
Group
Non-Group
Public
Uninsured
2013
2015
2013
2015
2013
2015
2013
2015
Northwest
50.0%
56.3%
9.0%
10.7%
34.6%
29.2%
6.4%
3.8%
Headwaters
37.5%^
43.8%^
6.4%
6.9%
43.7%^
46.2%^
12.4%
3.1%*
Arrowhead
52.0%
44.7%^
3.9%
4.0%
35.8%
48.7%*^
8.2%
2.7%*
West Central
54.4%
50.2%
6.7%
4.7%
33.8%
42.8%
5.2%^
2.3%
North Central
44.8%^
34.0%^
10.3%
5.3%
37.7%
50.6%*^
7.2%
10.2%
Mid-Minnesota
47.2%^
52.4%
8.7%
6.1%
37.3%
37.7%
6.7%
3.8%
Upper MN Valley
46.4%
45.8%
5.4%
8.2%
41.4%^
40.7%
6.8%
5.4%
East Central
52.5%
46.8%
5.1%
4.5%
33.3%
46.5%*^
9.0%
2.2%*
Central
59.5%
56.5%
5.7%
5.7%
27.4%
33.5%
7.4%
4.3%
Southwest
42.3%^
55.1%*
5.2%
9.9%
39.0%
29.1%
13.6%
5.9%
South Central
47.0%^
54.4%
5.0%
3.9%^
35.9%
36.6%
12.1%
5.1%
Southeast
54.0%
64.9%*^
6.4%
4.5%
33.9%
28.2%
5.7%
2.4%^
Twin Cities
58.9%^
58.6%^
4.7%^
6.9%*
28.0%^
30.0%^
8.4%
4.5%*
All Regions
56.6%
55.9%
5.4%
6.2%
31.1%
33.6%*
8.2%
4.3%*
*Indicates statistically significant difference from 2013 (95% level).
^Indicates statistically significant difference from rate for all regions (95% level).
Source: Minnesota Health Access Surveys, 2013 and 2015
27
CHARACTERISTICS OF THE UNINSURED IN
MINNESOTA
Income Distribution of Minnesota’s Uninsured
Population, 2013 and 2015
Household Income as % of
Federal Poverty Guidelines
(FPG)
Uninsured
Total Population
2013
2015
2013
2015
0 to 100%
28.4%^
31.8%^
13.2%
11.8%
101 to 200%
31.1%^
24.3%^
17.6%
16.3%
201 to 300%
18.20%
16.70%
15.4%*
16.5%
301 to 400%
10.4%^
7.5%^
16.0%
15.2%
401%+
11.8%^
19.7%*^
37.8%
40.2%*
Total
100%
100%
100%
100%
* Indicates statistically different at 95% level from 2013.
^ Indicates statistically significant difference between uninsured and total population at 95% level within year.
Source: Minnesota Health Access Surveys, 2013 and 2015
29
Employment Characteristics of Minnesota’s
Uninsured Population, 2013 and 2015
Uninsured
Total Population
2013
2015
2013
2015
73.5%
67.3%
72.9%
72.9%
21.8%^
21.6%^
9.3%
9.6%
3.0%
2.0%
2.4%
2.9%
11 to 20 hours
10.8%^
5.8%
6.4%
6.2%
21 to 30 hours
9.1%
13.6%
8.3%
8.1%
31 to 40 hours
54.5%
50.1%
53.8%
50.6%*
More than 40 hours
22.6%^
28.5%
29.1%
32.2%*
Total
10.8%^
5.8%
6.4%
6.2%
Employed
Of Those Who Are Employed:
Temporary/Seasonal Job
Number of Hours Worked Per Week:
0 to 10 hours
* Indicates statistically different at 95% level from 2013.
^ Indicates statistically significant difference between uninsured and total population at 95% level within year.
Source: Minnesota Health Access Surveys, 2013 and 2015
30
Employment Characteristics of Minnesota’s
Uninsured Population, 2013 and 2015: Size of
Employer
All Uninsured
Total Population
2013
2015
2013
2015
Self Employed, no employees
11.8%^
11.7%
5.5%
6.7%*
2 to 10 employees
22.4%^
22.5%^
11.9%
11.3%
11 to 50 employees
19.4%^
16.0%
11.5%
12.5%
51 to 100 employees
15.1%^
10.9%
9.6%
10.5%
101 to 500 employees
11.2%^
15.5%
18.1%
17.0%
More than 500 employees
20.0%^
23.4%^
43.4%
42.0%
100%
100%
100%
100%
Total
* Indicates statistically different at 95% level from 2013.
^ Indicates statistically significant difference between uninsured and total population at 95% level within year.
Source: Minnesota Health Access Surveys, 2013 and 2015
31
Racial and Ethnic Distribution of Minnesota’s
Uninsured Population, 2013 and 2015
All Uninsured
Total Population
2013
2015
2013
2015
White
60.9%^
64.6%^
83.4%
81.6%*
Black
11.1%^
12.5%
6.2%
6.4%
American Indian
3.6%^
4.0%
1.6%
2.0%
Asian
7.6%
4.4%
4.7%
5.0%
20.2%^
13.6%^
4.8%
4.9%
See note
See note
See note
See note
Hispanic/Latino
Note: Distribution adds to more than 100% since individuals could choose more than one race/ethnicity.
* Indicates statistically different at 95% level from 2013.
^ Indicates statistically significant difference between uninsured and total population at 95% level within year.
Source: Minnesota Health Access Surveys, 2013 and 2015.
32
POTENTIAL ACCESS TO COVERAGE FOR THE
UNINSURED
Access to Employer Coverage, 2013 and 2015
(Non-elderly population)
100%
95.0%
95.8%
87.7%
80%
76.3%
87.7%*
76.3%*
60%
40%
20%
0%
Connection to employer that offers
coverage
Eligible for employer coverage
2013
1
Take-Up Rate
2
2015
*Indicates statistically significant difference from previous year shown (95% confidence level).
Source: Minnesota Health Access Surveys, 2013 and 2015
1Among people with a connection to an employer offering coverage.
2Among people eligible to enroll in employer coverage
Summary of graph
34
Potential Access to Coverage for the Uninsured,
2013 to 2015
80%
67.4%
60.7%
60%
40%
36.7%
33.6%
19.6%
20%
23.1%
22.4%
17.7%
7.7%*
0%
Connection to employer
that offers coverage 1
Eligible for
employer coverage 2
Potentially eligible
for public coverage 3
2013
Potentially eligible for
APTC4
Not eligible for employer
or public coverage
2015
* Indicates statistically different from 2013 at 95% level.
1 Employer offer: percent of uninsured who work for or have a family member who works for an employer offering coverage.
2 Employer eligible: percent of uninsured who are eligible for coverage through an employer.
3 Potentially public eligible: based on family structure, income, and eligibility for employer coverage. Income limits changed between 2013 and 2014
4 Advance Premium Tax Credits (APTC). APTC were not available in 2013. Potential eligibility is based on income and eligibility for employer coverage only,
and does not consider premiums.
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.
Source: Minnesota Health Access Surveys, 2013 and 2015
Summary of graph
35
36
HEALTH CARE SAFETY NET: UNCOMPENSATED
CARE AT MINNESOTA COMMUNITY HOSPITALS
Trends in Uncompensated Care Costs in
Minnesota Hospitals
$350
30%
$311
26.5%
$308
$317
$322
$305
$300
$268
$278
20%
$244
17.6%
$250
17.1%
$208
In Millions
25%
15%
$191
$200
11.8%
10%
9.9%
8.7%
$151
$150
5%
3.6%
2.8%
$100
1.7%
0%
-0.9%
$50
-5.2% -5%
$0
-10%
2004
2005
2006
2007
2008
2009
2010
2011
Total
Percent change from previous year
Note: Uncompensated care figures are adjusted to reflect costs of providing services.
Source: MDH analysis of data from the Health Care Cost Information System.
Summary of graph
2012
2013
2014
37
Uncompensated Care Trends in Minnesota
and the U.S.
7%
6%
5.6%
5.6%
5.7%
5.8%
5.8%
6.0%
5.8%
5.9%
6.1%
5.9%
Percent of Hospital Operating Expenses
5.3%
5%
4%
3%
2%
1.8%
2.0%
2.0%
2.2%
2.2%
2.2%
2.4%
2.2%
2.2%
2.2%
2.0%
1%
0%
2004
2005
2006
2007
2008
2009
2010
Minnesota
U.S.
Note: Uncompensated care figures are adjusted to reflect costs of providing services.
Source: MDH analysis of data from the Health Care Cost Information System; American Hospital Association.
Summary of graph
2011
2012
2013
2014
38
Uncompensated Care Trends for Rural and Urban
Minnesota Hospitals
2.5%
2.4%
1.8%
2.1%
2.1%
2.2%
2.5%
2.5%
2.5%
2.3%
2.1%
2.2%
2.2%
2.0%
2.0%
2.0%
1.9%
1.8%
2%
1.7%
Percent Hospital Operating Expenses
2.2%
2.5%
2.6%
3%
1%
0%
2004
2005
2006
2007
2008
2009
Rural
Urban
Note: Uncompensated care figures are adjusted to reflect costs of providing services.
Source: MDH analysis of data from the Health Care Cost Information System.
Summary of graph
2010
2011
2012
2013
2014
39
Largest Minnesota Providers of Hospital
Uncompensated Care, 2014
2014
Uncompensated Care
($ millions)
Percent Change to
2013
UC as % of Operating
Expenses
Hennepin County Medical Center
$23.8
-36.3%
3.1%
Mayo Clinic Hospital - Rochester
$23.7
-2.8%
1.8%
Regions Hospital
$17.4
-10.0%
2.7%
North Memorial Medical Center
$13.5
-16.1%
3.0%
Essentia Health - Duluth
$13.0
-2.2%
3.6%
St. Mary's Medical Center
$11.1
40.1%
3.3%
University of Minnesota Medical Center - Fairview
$10.1
18.8%
0.8%
Abbott Northwestern Hospital
$9.8
-15.2%
1.0%
St. Cloud Hospital
$9.1
-11.1%
1.4%
United Hospital
$7.4
-14.0%
1.5%
Other Hospitals (122 Hospitals)
$166.1
1.0%
2.0%
All Minnesota Hospitals
$305.0
-5.2%
2.0%
Note: Uncompensated care figures are adjusted to reflect costs of providing services. UC is uncompensated care.
Source: MDH analysis of data from the Health Care Cost Information System.
40
Largest Minnesota Providers of Hospital
Uncompensated Care, 2014
4%
3.6%
3.3%
3.1%
3.0%
Statewide Average,
2.0%
2.7%
2.0%
2%
1.8%
1.4%
1.5%
1.0%
0.8%
0%
Hennepin
County
Medical
Center
Mayo Clinic
Hospital Rochester
Regions
Hospital
North
Memorial
Medical
Center
Essentia
Health Duluth
St. Mary's
Medical
Center
Note: Uncompensated care figures are adjusted to reflect costs of providing services.
Source: MDH analysis of data from the Health Care Cost Information System.
University of
Abbott
Minnesota Northwestern
Medical
Hospital
Center Fairview
St. Cloud
Hospital
United
Hospital
Other
Hospitals (122
Hospitals)
41
42
Distribution of Uncompensated Care by
Hospital, 2014
2014 Total Uncompensated Care: $305.0 Million
Hennepin County Medical
Center, $23.8
Mayo Clinic Hospital Rochester, $23.7
Regions Hospital, $17.4
North Memorial Medical
Center, $13.5
Other 122 Hospitals,
$166.1
Essentia Health Duluth, $13.0
St. Mary's Medical
Center, $11.1
University of Minnesota
Medical Center - Fairview,
$10.1
Abbott
Northwestern
Hospital, $9.8
United Hospital, $7.4
Note: Uncompensated care figures are adjusted to reflect costs of providing services.
Source: MDH analysis of data from the Health Care Cost Information System.
St. Cloud Hospital, $9.1
Components of Minnesota Hospital
Uncompensated Care: Charity Care
and Bad Debt
$350
$300
$250
$ in Millions
$153.2
$156.2
$171.7
$164.6
$181.6
$145
$200
$151
$146
$150
$100
$50
$98
$117
$133
$158
$151.5
$145
$157.1
2012
2013
$123.4
$0
2007
2008
2009
2010
Charity Care
2011
Bad Debt
Note: Charity care and bad debt figures are adjusted to reflect costs of providing services.
Source: MDH analysis of data from the Health Care Cost Information System.
2014
43
Hospital Uncompensated Care and Components
by Insurance Status, 2014
100%
80%
49.9%
56.1%
65.2%
60%
40%
50.1%
20%
43.9%
34.8%
0%
Total Uncompensated Care
Charity Care
Insured Patients
Source: MDH analysis of data from the Health Care Cost Information System.
Bad Debt
Uninsured Patients
44
Hospital Uncompensated Care and Components
by Insurance Status, 2009-2014
100%
80%
44.3%
47.6%
56.1%
49.9%
51.2%
65.2%
60%
40%
55.7%
52.4%
43.9%
20%
50.1%
48.8%
34.8%
0%
2009
2014
2009
Total Uncompensated Care
2014
Charity Care
Insured Patients
Source: MDH analysis of data from the Health Care Cost Information System.
2009
2014
Bad Debt
Uninsured Patients
45
Additional Information from the Health
Economics Program Available Online

Health Economics Program Home Page
(www.health.state.mn.us/healtheconomics)

Publications
(https://apps.health.state.mn.us/hep-publications/home.xhtml)

Health Care Market Statistics (Chartbook Updates)
(www.health.state.mn.us/divs/hpsc/hep/chartbook/index.html)

Interactive Health Insurance Statistics
https://pqc.health.state.mn.us/mnha/Welcome.action
A summary of the charts and graphs contained within is provided at Chartbook Summaries - Section
6. Direct links are listed on each page. Spending is based on source of payment, unless otherwise
noted. Please contact the Health Economics Program at 651-201-3550 or health.hep@state.mn.us if
additional assistance is needed for accessing this information.
46