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