Below are summaries of the charts and graphs contained in the hospital portion of Section 8A of the Minnesota Health Care Chartbook by page number. This chartbook was last updated in November 2024 and contains 41 pages. Pages without charts or graphs are not listed below.

Page 6 – Available Minnesota Hospital Beds per 1,000 Population by SCHSAC Region, 2023

A map showing the available hospital beds per 1,000 population within each of the state’s eight SCHSAC regions:
- Central=1.4
- Metro=1.8
- Northeast=3.4
- Northwest=1.8
- South Central=1.6
- Southeast=4.0
- Southwest=2.4
- West Central=1.9
List of hospitals and hospital location (by city and county) is available in the Supplemental Information.
Regions are defined from the State Community Health Services Advisory Committee (http://www.health.state.mn.us/schsac/).
Source: 2022 American Community Survey 5-year Estimates and MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 8 – Available Minnesota Hospital Bed Occupancy Rate by Region and Hospital, 2023

A map showing available hospital bed occupancy rate by the state’s eight SCHSAC regions:
- Central = 50.8%
- Metro = 76.6%
- Northeast = 50.4%
- Northwest = 27.4%
- South Central = 39.1%
- Southeast = 56.7%
- Southwest = 14.3%
- West Central = 21.9%
Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 10 – Trends in Minnesota Hospital Ambulance Diversions

A line chart that shows the types of ambulance diversions for each year from 2018 to 2023.
2018: All Diversions=3,025, Non-Mental Health Diversions (any)=2,428, ED (any)=1,008, Mental Health (any)=627, Trauma (any)=239, Making a Facility-Based Announcement^=100
2019: All Diversions=2,842, Non-Mental Health Diversions (any)=2,187, ED (any)=1,014, Mental Health (any)=695, Trauma (any)=268, Making a Facility-Based Announcement^=28
2020: All Diversions=3,243, Non-Mental Health Diversions (any)=2,661, ED (any)=875, Mental Health (any)=630, Trauma (any)=238, Making a Facility-Based Announcement^=24
2021: All Diversions=9,296, Non-Mental Health Diversions (any)=8,177, ED (any)=3,849, Mental Health (any)=1,244, Trauma (any)=835, Making a Facility-Based Announcement or Equipment Failure^=19
2022: All Diversions=4,726, Non-Mental Health Diversions (any)=4,584, ED (any)=156, Mental Health (any)=192, Trauma (any)=127, Making a Facility-Based Announcement or Equipment Failure^=185
2023: All Diversions=3,762, Non-Mental Health Diversions (any)=3,538, ED (any)=156, Mental Health (any)=346, Trauma (any)=187, Making a Facility-Based Announcement or Equipment Failure ^=133
^ Making a Facility-Based Announcement is an alternative to diversion that hospitals can use to indicate they are unable to receive certain categories of patients without going on diversion. There can also be diversion due to equipment failure. These are not included in diversion numbers.
Source: MDH Health Economics Program analysis of MN Trac Data, November 2024. Ambulances may be diverted for multiple reasons. Additional information is available on the MDH MN Trac website (https://www.health.state.mn.us/communities/ep/coalitions/mntrac.html).

Page 11 –Ownership of Minnesota Hospitals, 2023

A bar chart distribution of the ownership of Minnesota hospitals in 2023 broken out by government, religiously affiliated, private non-profit, and for-profit hospitals. The distribution of government hospitals is broken down by type of government entity. There were 125 total hospitals in Minnesota in 2023.
Private Non-Profit=100 hospitals
Religiously Affiliated=5 hospitals
For Profit=1 hospital
Government=19 hospitals
- Government-City=3 hospitals
- Government-County=5 hospitals
- Government-City and County=5 hospitals
- Government-District=6 hospitals
Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 12 – Minnesota Hospitals Affiliated with a Health Care System

A line chart that shows the breakout of affiliate hospitals and those with no affiliation for Minnesota hospitals for each year from 2010 to 2023.
2010: Affiliated Hospitals=80, Hospitals with No Affiliation=55
2011: Affiliated Hospitals=83, Hospitals with No Affiliation=50
2012: Affiliated Hospitals=84, Hospitals with No Affiliation=49
2013: Affiliated Hospitals=88, Hospitals with No Affiliation=45
2014: Affiliated Hospitals=87, Hospitals with No Affiliation=45
2015: Affiliated Hospitals=88, Hospitals with No Affiliation=43
2016: Affiliated Hospitals=88, Hospitals with No Affiliation=42
2017: Affiliated Hospitals=86, Hospitals with No Affiliation=42
2018: Affiliated Hospitals=89, Hospitals with No Affiliation=40
2019: Affiliated Hospitals=90, Hospitals with No Affiliation=38
2020: Affiliated Hospitals=91, Hospitals with No Affiliation=36
2021: Affiliated Hospitals=93, Hospitals with No Affiliation=35
2022: Affiliated Hospitals=92, Hospitals with No Affiliation=35
2023: Affiliated Hospitals=90, Hospitals with No Affiliation=35
Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 14 – Available Minnesota Hospital Beds by Health System Affiliation, 2010-2023

A small multiple, double Y axis chart showing the number of hospitals (bar chart) and available hospital beds (trend line) by six health system affiliation in the state for each year from 2010 to 2023.
Allina Health System
- 2010: Number of Hospitals=11, Available Beds=1,873
- 2011: Number of Hospitals=11, Available Beds=1,872
- 2012: Number of Hospitals=11, Available Beds=1,814
- 2013: Number of Hospitals=12, Available Beds=1,852
- 2014: Number of Hospitals=12, Available Beds=1,807
- 2015: Number of Hospitals=13, Available Beds=1,772
- 2016: Number of Hospitals=13, Available Beds=1,788
- 2017: Number of Hospitals=11, Available Beds=1,750
- 2018: Number of Hospitals=11, Available Beds=1,757
- 2019: Number of Hospitals=10, Available Beds=1,824
- 2020: Number of Hospitals=10, Available Beds=1,839
- 2021: Number of Hospitals=11, Available Beds=1,870
- 2022: Number of Hospitals=10, Available Beds=1,903
- 2023: Number of Hospitals=10, Available Beds=1,853
CentraCare Health System
- 2010: Number of Hospitals=3, Available Beds=484
- 2011: Number of Hospitals=3, Available Beds=494
- 2012: Number of Hospitals=3, Available Beds=515
- 2013: Number of Hospitals=5, Available Beds=534
- 2014: Number of Hospitals=6, Available Beds=567
- 2015: Number of Hospitals=6, Available Beds=595
- 2016: Number of Hospitals=6, Available Beds=593
- 2017: Number of Hospitals=6, Available Beds=601
- 2018: Number of Hospitals=8, Available Beds=665
- 2019: Number of Hospitals=9, Available Beds=696
- 2020: Number of Hospitals=9, Available Beds=700
- 2021: Number of Hospitals=9, Available Beds=672
- 2022: Number of Hospitals=9, Available Beds=667
- 2023: Number of Hospitals=9, Available Beds=665
Essentia Health
- 2010: Number of Hospitals=6, Available Beds=271
- 2011: Number of Hospitals=8, Available Beds=309
- 2012: Number of Hospitals=10, Available Beds=773
- 2013: Number of Hospitals=12, Available Beds=851
- 2014: Number of Hospitals=12, Available Beds=838
- 2015: Number of Hospitals=12, Available Beds=838
- 2016: Number of Hospitals=11, Available Beds=836
- 2017: Number of Hospitals=11, Available Beds=784
- 2018: Number of Hospitals=11, Available Beds=783
- 2019: Number of Hospitals=11, Available Beds=766
- 2020: Number of Hospitals=11, Available Beds=772
- 2021: Number of Hospitals=12, Available Beds=829
- 2022: Number of Hospitals=12, Available Beds=829
- 2023: Number of Hospitals=13, Available Beds=845
Mayo Clinic
- 2010: Number of Hospitals=10, Available Beds=1,633
- 2011: Number of Hospitals=10, Available Beds=1,638
- 2012: Number of Hospitals=13, Available Beds=1,748
- 2013: Number of Hospitals=13, Available Beds=1,783
- 2014: Number of Hospitals=12, Available Beds=1,777
- 2015: Number of Hospitals=11, Available Beds=1,705
- 2016: Number of Hospitals=11, Available Beds=1,677
- 2017: Number of Hospitals=11, Available Beds=1,672
- 2018: Number of Hospitals=11, Available Beds=1,650
- 2019: Number of Hospitals=11, Available Beds=1,709
- 2020: Number of Hospitals=10, Available Beds=1,704
- 2021: Number of Hospitals=10, Available Beds=1,734
- 2022: Number of Hospitals=10, Available Beds=1,682
- 2023: Number of Hospitals=10, Available Beds=1,726
M Health Fairview
- 2010: Number of Hospitals=8, Available Beds=1,482
- 2011: Number of Hospitals=8, Available Beds=1,454
- 2012: Number of Hospitals=7, Available Beds=1,414
- 2013: Number of Hospitals=7, Available Beds=1,419
- 2014: Number of Hospitals=7, Available Beds=1,438
- 2015: Number of Hospitals=7, Available Beds=1,422
- 2016: Number of Hospitals=6, Available Beds=1,399
- 2017: Number of Hospitals=6, Available Beds=1,399
- 2018: Number of Hospitals=10, Available Beds=1,708
- 2019: Number of Hospitals=11, Available Beds=2,073
- 2020: Number of Hospitals=11, Available Beds=1,966
- 2021: Number of Hospitals=10, Available Beds=1,894
- 2022: Number of Hospitals=11, Available Beds=1,749
- 2023: Number of Hospitals=10, Available Beds=1,751
Sanford Health
- 2010: Number of Hospitals=13, Available Beds=327
- 2011: Number of Hospitals=15, Available Beds=436
- 2012: Number of Hospitals=15, Available Beds=430
- 2013: Number of Hospitals=15, Available Beds=435
- 2014: Number of Hospitals=15, Available Beds=435
- 2015: Number of Hospitals=15, Available Beds=429
- 2016: Number of Hospitals=15, Available Beds=419
- 2017: Number of Hospitals=15, Available Beds=419
- 2018: Number of Hospitals=15, Available Beds=414
- 2019: Number of Hospitals=15, Available Beds=415
- 2020: Number of Hospitals=15, Available Beds=413
- 2021: Number of Hospitals=15, Available Beds=409
- 2022: Number of Hospitals=15, Available Beds=406
- 2023: Number of Hospitals=15, Available Beds=389
Only includes systems with five or more hospitals in 2023.
Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 15 – Minnesota Hospital Offsite Clinics, 2010-2023

A line chart that shows Minnesota hospitals’ offsite clinic separated as ‘billed by hospital’ and ‘not billed by hospital’ for each year from 2010 to 2023.
2010: Billed by Hospital=394, Not Billed by Hospital=230, Total Offsite Clinics=624
2011: Billed by Hospital=417, Not Billed by Hospital=181, Total Offsite Clinics=598
2012: Billed by Hospital=360, Not Billed by Hospital=227, Total Offsite Clinics=587
2013: Billed by Hospital=544, Not Billed by Hospital=244, Total Offsite Clinics=788
2014: Billed by Hospital=575, Not Billed by Hospital=216, Total Offsite Clinics=791
2015: Billed by Hospital=562, Not Billed by Hospital=219, Total Offsite Clinics=781
2016: Billed by Hospital=456, Not Billed by Hospital=170, Total Offsite Clinics=626
2017: Billed by Hospital=523, Not Billed by Hospital=218, Total Offsite Clinics=741
2018: Billed by Hospital=533, Not Billed by Hospital=233, Total Offsite Clinics=766
2019: Billed by Hospital=544, Not Billed by Hospital=249, Total Offsite Clinics=793
2020: Billed by Hospital=571, Not Billed by Hospital=236, Total Offsite Clinics=807
2021: Billed by Hospital=541, Not Billed by Hospital=193, Total Offsite Clinics=734
2022: Billed by Hospital=522, Not Billed by Hospital=211, Total Offsite Clinics=733
2023: Billed by Hospital=521, Not Billed by Hospital=202, Total Offsite Clinics=723
Note: Locations identified as "Billed as a Hospital" are considered hospital outpatient clinics, as they are billed under the hospital's Medicare and Medicaid provider number; revenue from these clinics is included in hospital revenue.
Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 16 – Composition of Minnesota’s Hospital Workforce, 2023

A bar chart with the distribution of Minnesota’s hospital workforce for 2023 by the type of position for the workforce and the percent change from 2022.
Registered Nurses = 30,514, change from 2022 = -1.2%
Other Patient Specialists = 12,217, change from 2022 = 5.7%
Nursing Assistants/Aides = 5,228, change from 2022 = 5.9%
Physicians = 4,079, change from 2022 = -0.3%
X-Ray Technicians = 3,299, change from 2022 = 1.7%
Lab Technicians = 3,091, change from 2022 = 5.5%
Mid-Level Practitioners = 2,885, change from 2022 = 5.3%
- (Includes nurse anesthetists, nurse practitioners, and physician assistants)
Physical and Occupational Therapists = 2,190, change from 2022 = 4.8%
Licensed Practical Nurses = 1,164, change from 2022 = -5.6%
Pharmacists = 1,584, change from 2022 = 1.3%
Other Personnel = 29,641, change from 2022 = 0.0%
- (Includes non-patient-facing positions such as hospital administrative staff, dietary staff, housekeeping, etc.)
Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 18 – Minnesota Hospital Outpatient Visits and Inpatient Admissions

A double Y axis chart with one axis representing the Minnesota hospital inpatient admissions from 2010 to 2023 in bar chart form. The second Y axis is a trend line over the bars representing the number of outpatient visits at Minnesota hospitals from 2010 to 2023.
2010: Inpatient Admissions = 571,371; Outpatient Visits = 10,134,992
2011: Inpatient Admissions = 568,059; Outpatient Visits = 10,331,967
2012: Inpatient Admissions = 560,679; Outpatient Visits = 11,132,096
2013: Inpatient Admissions = 549,605; Outpatient Visits = 11,334,137
2014: Inpatient Admissions = 521,669; Outpatient Visits = 12,180,775
2015: Inpatient Admissions = 520,888; Outpatient Visits = 12,743,403
2016: Inpatient Admissions = 521,240; Outpatient Visits = 12,252,397
2017: Inpatient Admissions = 531,979; Outpatient Visits = 12,694,883
2018: Inpatient Admissions = 535,036; Outpatient Visits = 12,629,243
2019: Inpatient Admissions = 509,895; Outpatient Visits = 12,905,117
2020: Inpatient Admissions = 457,524; Outpatient Visits = 11,463,032
2021: Inpatient Admissions = 467,668; Outpatient Visits = 13,262,093
2022: Inpatient Admissions = 458,250; Outpatient Visits = 13,366,808
2023: Inpatient Admissions = 469,825; Outpatient Visits = 13,523,927
In 2023 Inpatient Admissions increased 2.5% and Outpatient Hospital Visits increased 1.2%, compared to the previous year.
Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 19 – Average Length of Stay in Minnesota Hospitals

A bar chart that displays the average length of stay (in days) at Minnesota hospitals from 2010 to 2023.
2010=4.2
2011=4.3
2012=4.3
2013=4.4
2014=4.6
2015=4.6
2016=4.6
2017=4.6
2018=4.7
2019=4.9
2020=5.0
2021=5.2
2022=5.6
2023=5.3
Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 20 - Average Length of Stay: Rural and Urban Minnesota Hospitals

A bar chart that displays the average length of stay (in days) for Minnesota hospitals broken out by rural or urban status from 2010 to 2023.
2010: Rural=3.3 Days, Urban=4.4 Days
2011: Rural=3.3 Days, Urban=4.5 Days
2012: Rural=3.3 Days, Urban=4.5 Days
2013: Rural=3.3 Days, Urban=4.6 Days
2014: Rural=3.3 Days, Urban=4.8 Days
2015: Rural=3.3 Days, Urban=4.9 Days
2016: Rural=3.3 Days, Urban=4.9 Days
2017: Rural=3.3 Days, Urban=4.9 Days
2018: Rural=3.3 Days, Urban=5.0 Days
2019: Rural=3.4 Days, Urban=5.2 Days
2020: Rural=3.4 Days, Urban=5.3 Days
2021: Rural=3.6 Days, Urban=5.5 Days
2022: Rural=3.9 Days, Urban=5.9 Days
2023: Rural=3.6 Days, Urban=5.6 Days
Hospital rural/urban classification is based on hospital location in relation to Rural-Urban Commuting Areas. Isolated rural, small rural town, and large rural city are combined under the “Rural” category
Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 22 - Total Inpatient Days and Outpatient Visits in SCHSAC Regions, 2023

Two maps of the state divided by SCHSAC regions; one showing inpatient hospital days and the other showing outpatient hospital visits.
Total Inpatient Hospital Days in SCHSAC Regions per 1,000 Population, 2023
- Central=236.6
- Metro=514.1
- Northeast=624.2
- Northwest=177.5
- South Central=222.6
- Southeast=664.2
- Southwest=124.0
- West Central=109.4
Total Outpatient Hospital Visits in SCHSAC Regions per 1,000 Population, 2023
- Central=2,267.8
- Metro=1,568.1
- Northeast=6,474.3
- Northwest=3,538.3
- South Central=3,240.3
- Southeast=3,149.9
- Southwest=3,043.2
- West Central=2,374.6
Note: Total Inpatient Hospital Days and Total Outpatient Hospital Visits are based on the location of the hospital, rather than the location of the patient.
Source: 2022 American Community Survey 5-year Estimates and MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 27 – Net Assets of Minnesota Hospitals

A bar graph that displays the total net assets for Minnesota hospitals for each year from 2010 to 2023. The chart depicts the increase in the value of hospitals’ net assets during this time period.
2010=$8.6 Billion
2011=$10.1 Billion
2012=$10.6 Billion
2013=$11.7 Billion
2014=$12.3 Billion
2015=$12.9 Billion
2016=$13.0 Billion
2017=$15.1 Billion
2018=$15.6 Billion
2019=$17.1 Billion
2020=$17.1 Billion
2021=$18.6 Billion
2022=$17.2 Billion
Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.
Net assets is an accounting term defining the total assets minus the total liabilities, and describes the hospital’s financial position.

Page 28 – Net Income of Minnesota Hospitals

A bar graph that displays the total net income for Minnesota hospitals for each year from 2010 to 2023.
2010=$1,104.5 Million
2011=$1,150.2 Million
2012=$1,159.2 Million
2013=$1,404.9 Million
2014=$1,534.7 Million
2015=$1,490.7 Million
2016=$1,334.4 Million
2017=$1,944.5 Million
2018=$2,066.3 Million
2019=$1,886.4 Million
2020=$1,471.3 Million
2021=$2,840.7 Million
2022=$1,010.7 Million
2022=$1,793.3 Million
Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 29 – Minnesota Hospitals' Net Income as a Percent of Revenue

A bar graph that displays the net income as a percent of revenue for Minnesota hospitals for each year from 2010 to 2023.
2010=7.7%
2011=7.6%
2012=7.3%
2013=8.6%
2014=9.0%
2015=8.3%
2016=7.1%
2017=9.8%
2018=9.9%
2019=8.7%
2020=6.9%
2021=11.8%
2022=4.2%
2023=6.9%
Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 31 – Minnesota Hospital Net Income as a Percent of Revenue by Region, 2023

A map showing hospital net income as a percentage of revenue by SCHSAC region.
- Central=7.7%
- Metro=1.4%
- Northeast=0.6%
- Northwest=5.1%
- South Central=2.7%
- Southeast=26.1%
- Southwest=6.6%
- West Central=4.6%
Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 34 – Administrative Expenses, 2023

A bar chart displaying the distribution of Minnesota hospital administrative expenses by category for 2023.
Total Hospital Administrative Expenses: $2.97 Billion
Community/Wellness Education=1.3%
Promotion & Marketing=1.5%
Malpractice Expenses=1.7%
Quality Assurance & Utilization Management=3.1%
Accounting & Financial Reporting=2.4%
Taxes, Fees & Assessments=10.2%
Admitting, Patient Billing & Collections=12.7%
Other Administrative Expenses=54.8%
Source: MDH Health Economics Program analysis of hospital annual reports, November 2024.

Page 39 – Distribution of Minnesota Hospitals’ Community Benefit, 2023

A bar chart displaying the distribution of Minnesota hospital community benefit by type of community benefit for 2023.
Community Building Activities=0.2%
Financial and In-Kind Contributions=1.6%
Research=0.5%
Community Benefit Operation=0.9%
Community Health Services=2.1%
Community Care=9.1%
Operating Subsidized Services=9.7%
Education=19.6%
State Health Care Programs Underpayment=56.3%
Source: MDH Health Economics Program analysis of hospital annual reports, October 2024.
Community benefit refers to the contributions hospitals make outside of reimbursed patient care to the communities, for the definitions of categories see: MDH, Health Economics Program, “Hospital Community Benefit Spending in Minnesota, 2016 to 2019” March 2022 [PDF]https://www.health.state.mn.us/data/economics/docs/hospcmtybenefitrpt.pdf

Page 40 – Rural-Urban Commuting Areas (RUCA) &
State Community Health Services Advisory Committee Regions (SCHSAC)

This slide shows two maps of Minnesota.
The first shows the state divided into Rural-Urban Community Area codes, using four categories: isolated rural, small town rural, large rural city, and urban. Because these categories take into account community patterns, the areas around Minnesota cities such as Minneapolis, St. Paul, Duluth, Rochester, St. Cloud and Mankato, as well as non-Minnesota cities such as Fargo, Grand Forks and Sioux Falls, are also considered “urban” along with most Twin Cities suburbs.
The second map shows State Community Health Services Advisory Committee (SCHSAC) regions. These are 8 county-based regions that are used to support community health activities in the state.

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