Allina Health System

Cost of participating in government programsallina health is committed to serving all persons in need, regardless of race, creed, sex, nationality, religion, disability, age, or ability to pay. to promote access to care for all individuals, allina health participates in the following public health care programs: medicare, medicaid, minnesotacare, and general assistance. payments from these programs frequently do not cover the costs allina health incurs to serve program beneficiaries. in 2024, allina health provided $1,004,525,144 in health care services in excess of the reimbursement received by public programs and surcharges, taxes and fees related to these programs. the following is a breakdown on costs related to these programs, services and additional taxes and fees.costs in excess of medicare and medicaid paymentsallina health provides services to public program enrollees. such public programs have historically been reimbursed at amounts less than cost. in 2024, allina health expended $662,503,231 beyond reimbursements to provide care for medicare patients and an additional $248,752,037 beyond reimbursements for medicaid patients. medicaid surchargeallina health is a participant in the medicaid surcharge program. the current program includes a 1.56% surcharge on a hospital's net patient service revenue (excluding medicare revenue). reported amounts are net of any disproportionate share adjustments. in 2024, allina health paid $28,827,733 for the medicaid surcharge. minnesotacare taxthe system also participates in the funding of medical care for the uninsured through a minnesotacare tax of 1.8% on certain patient service revenue. patients who are unable to get insurance through their employer are eligible to participate in minnesotacare. allina health paid over $61 million in mncare taxes in 2024.taxes and fees allina health pays property taxes to local and state government used in funding civil and education services to the community. in total, allina health paid $3,422,313 in property taxes in 2024. allina health pays other federal, state, and local taxes that aren't reported here.

Uncompensated care:charity careallina health provides medical care without charge or at reduced cost to residents of the communities that it serves through the provision of charity care. our partners care 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, allina health strives to ensure that all members of the community receive quality medical care; regardless of ability to pay. in 2024, allina health provided $14,617,779 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, allina health provides a sliding scale discount. all uninsured patients are eligible for a minimum of a 14 percent discount on billed charges and may qualify for discounts up to 77 percent based on eligibility criteria. in 2024, allina health provided $123,008,922 in such discounts to low-income, uninsured individuals. bad debt - bad debt will be reported as a reduction to revenue.allina health provides medical care to all in need. there are times when patient account balances go unpaid, known as bad debt. these bad debt amounts in 2024 totaled $91,786,691.

Community services:in 2024, allina health contributed $59,928,520 to community programs and services to advance the health of the broader community. below are examples of programs and services allina health provides within the communities we serve that offer community benefit.community health improvement servicesaccording to irs reporting categories and the catholic health association (cha/vha) guidelines, community health improvement services include activities