St Francis Regional Medical Center

Costs of participating in government programsto promote access to care for all individuals, st. Francis participates in the following public health care programs: medicare, medicaid, minnesotacare, and general assistance. Payments from these programs frequently do not cover the costs st. Francis incurs to serve program beneficiaries. The following is a breakdown on costs related to these programs, services and additional taxes and fees.costs in excess of medicare and medicaid paymentsst. Francis provides services to low-income public program enrollees (medicaid). Public programs typically reimburse at amounts less than cost. In 2024, st. Francis expended $17.1 million beyond reimbursements to provide care for medicare patients and an additional $8.5 million beyond reimbursements for medicaid patients.medicaid surchargest. Francis is a participant in the medicaid surcharge program. The current program includes a 1.56% surcharge on a hospital's net patient revenue (excluding medicare revenue). Reported amounts are net of any disproportionate share adjustments. In 2024, st. Francis paid $2.1 million for the medicaid surcharge.minnesotacare taxst. Francis also participates in the funding of medical care for people who are uninsured through a minnesotacare tax of 1.8% on certain net revenue. Patients who are unable to get insurance through their employer are eligible to participate in minnesotacare. St. Francis paid $2.9 million for minnesotacare tax in 2024.

Uncompensated carecharity carest. Francis provides medical care without charge or at reduced cost to residents of the communities that it serves through the provision of charity care. Our charity care program known as allina health partners care program was established to assist patients who do not qualify for medical assistance such as medicaid and whose annual incomes are at or below 275% of the federal poverty level. Charity care does not include bad debt (charges written off as unpaid and uncollectible). Through this program, st. Francis strives to ensure that all members of the community receive quality medical care; regardless of ability to pay. In 2024, st. Francis provided $855 thousand in charity care.uninsured discount programfor uninsured patients who do not qualify for medicaid or meet the financial threshold for charity care, but require some financial assistance, st. Francis provides a sliding scale discount. All uninsured patients are eligible for a minimum of a 25 percent discount on billed charges and may qualify for discounts up to 44 percent based on eligibility criteria. In 2024, st. Francis provided $8.7 million in such discounts to low-income, uninsured individuals. Bad debtst. Francis provides medical care to all in need. There are times when patient account balances go unpaid, known as bad debt. These bad debt charges in 2024 totaled $5.2 million. Bad debt expense has not been included in form 990, part ix, line 25 but has been reported as a reduction to patient service revenue on form 990, part viii line 2b.

Community servicesst. Francis is committed to supporting programs and services that address community needs. In 2024, st. Francis contributed $1.1 million to research and to community programs and services to advance the health of the broader community. Below are examples of programs and services st. Francis supports within the communities we serve under the categories provided by the catholic healthcare association (cha) and vha, inc. The activities improve community health and do not generate inpatient or outpatient bills. St. Francis supports many programs that fall under this category. A few examples include:river valley health services:st. Francis provides financial support to river valley health services (river valley). River valley provides safe, high-quality public health nursing and bi-lingual community resource referrals and case management at sites in scott and carver counties to people who are uninsured and underinsured. In 2024 river valley continued to manage care for patients, providing access to care as 100% of the clients are uninsured or underinsured. River valley helps people with complex problems navigate through the community agencies and programs available to them. In 2024, river valley reached additional patients through 12 community screenings. River valley operates as a free medical clinic with additional capabilities with respect to diabetes outreach and care, and is co-located at the shakopee cap agency offices providing additional opportunities to serve a greater number of community members.st. Francis is a partner to southern valley alliance (sva), a domestic violence agency located in scott and carver counties in minnesota, supporting sva's hospital advocacy program as well as the new domestic abuse advocacy center in shakopee. The hospital advocacy program allows sva advocates to remotely connect with an emergency room patient being treated for a domestic violence injury, working with the hospital staff and the patient to provide support and resources.st. Mary's health clinicst. Mary's health clinic provides quality, free health services to people who are uninsured and underinsured. For many years, st. Francis has provided financial support, clinic space and supplies to allow st. Mary's health clinic to operate in shakopee. St. Mary's health clinic provides laboratory testing, radiology, outpatient care and medical supplies. The st. Mary's clinic in shakopee provides a continuum of free health care services to low-income, uninsured people in scott, carver and western dakota counties. Volunteer doctors and nurses provide care including primary care visits, lab tests, diagnostic services, health screening, radiology services, prescription medications and any other medically necessary outpatient medical services. Interpreting services are provided, and the diabetes education enhancement program (deep) provides one-to-one diabetes screening and care management to patients. All patients seen at st. Mary's clinic in shakopee are at or below the 275% of federal poverty guidelines. All services are provided free of charge to the patients.health professions education st. Francis actively supports numerous medical education activities for providers, health care students and other health professionals. In 2024, st. Francis invested $640 thousand in internship opportunities, mentoring partnerships, and graduate medical education programming. St. Francis is committed to the education, training and development of future health care professionals and ensures the availability of a highly trained workforce to meet the community's health care needs. Financial and in-kind contributionsst. Francis provides numerous in-kind and monetary contributions to not-for-profit organizations to support community needs. In 2024, st. Francis funded $372 thousand for donations to community programs, equipment, supplies, and staff time. St. Francis partners with local organizations possessing expertise, volunteers and staff needed to improve the health of people in need. Community-building activitiesst. Francis and its employees are active participants in various community activities that target the root causes of health problems, such as poverty, homelessness and hunger. Examples include community health improvement advocacy, workforce development, participating in various community coalitions and disaster preparedness planning. In 2024, the value st. Francis provided is valued at $59,000.related organizations - st. Francis also indirectly supports the numerous charitable purposes supported by its respective joint member organizations of essentia health, allina health system and park nicollet health services.