St Francis Regional Medical Center

Programs: Hospital, medical and other health care servicesst. Francis, located in the twin cities southwest metro in the city of shakopee, minnesota, delivers high quality, respectful hospital,medical and other health care services to patients. As a catholic, mission-driven organization, st. Francis is committed to improving the lifelong health of the communities it serves. In 2016, among other awards, st. Francis received the heatlhgrades patient experience award (5th year) and the leapfrog group hospital "a" safety grade (4th year). St. Francis shares its campus with st. Gertrude's health and rehabitlition center, allina health clinic,park nicollet clinic,cancer center, dialysis center, emergency and urgent care, medical and dentistry, and many other services and specialty clinics housed in adjoining medical office buildings. St. Francis is jointly owned by allina health system, hpi-ramsey, controlled by health partners,inc. And critical access group, controlled by essentia health. In 2016 st. Francis expended $98. 4 million to provide medical services to patients that included over 5,800 inpatient admissions, over 125,000 outpatient visits and nearly 1,300 births.

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 public program enrollees. Such public programs have historically been reimbursed at amounts less than cost. In 2016, st. Francis expended $7. 3 million beyond reimbursements to provide care for medicare patients and an additional $1. 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 2016, st. Francis paid $1. 5 million for the medicaid surcharge. Minnesotacare taxst. Francis also participates in the funding of medical care for the uninsured through a minnesotacare tax of 2% on certain net revenue. Patients who are unable to get insurance through their employer are eligible to participate in minnesotacare. St. Francis paid $2. 1 million for minnesotacare tax in 2016.

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 for providing services to persons able, but unwilling, to pay for these services). Through this program, st. Francis strives to ensure that all members of the community receive quality medical care; regardless of ability to pay. In 2016, st. Francis provided $1. 2 million 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 27 percent discount on billed charges and may qualify for discounts up to 47 percent based on eligibility criteria. In 2016, st. Francis provided $2. 0 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 2016 totaled $6. 3 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 2016, st. Francis contributed $1. 9 million to community programs and services to advance the health of the broader community. Below are examples of programs and services st. Francis provides 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 provides many programs that fall under this category. A few examples include:river valley community partnership (dba: river valley nursing center):st. Francis provides financial support to the river valley nursing center (rvnc). The rvnc provides safe, high-quality public health nursing and bi-lingual community resource referrals at sites in scott and carver counties to the uninsured and underinsured people. In 2016 the rvnc served over 175 clients at its sites. Since its inception in 2005, it has served over 3,600 clients, as well as providing hundreds of area residents with flu vaccinations during health events held at local churches. In 2016 over 185 flu vaccinations were administered at three events. This preventative model has proven effective in providing access to care as 100% of the clients are uninsured or underinsured. Esperanza: st. Francis is the major financial supporter of the esperanza program which is a collaborative effort in our community including the shakopee public schools, river valley ymca, shakopee soccer association, new creation lutheran church, shepherd of the lake lutheran church, scott county transit, and shakopee parks and recreation. One hundred percent of the children attending the camp are eligible for free or reduced lunches at school. In 2016, esperanza served 120 children at camp esperanza and 100 middle school age children were able to participate in youth soccer leagues. In addition to programming for children, a latina mom's soccer league is also funded in part by st. Francis, allowing for 30 weeks of activity for 25 camp esperanza moms. 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. Over 371 individual patients were treated through st. Marys health clinic at the location in 2016. Additional programs and services provided by st. Francis include: several support groups providing educational and emotional support to individuals and their families in treatment for, or rehabilitation from, life-threatening and debilitating diseases, including cancer, diabetes and copd. While each support group serves a different population, the primary purpose is to create a community for those dealing with extremely stressful periods in their lives and provide them coping skills and a safe setting to discuss their situation;st. Francis participates in the allina health heart safe communities program, increasing survivial from sudden cardiac arrest, a leading cause of death, by placing automated external defibrillators(aeds) where people, live, learn, work and play and training individuals in the community on cpr and aed use. In 2016, st. Francis assisted in placing aeds and trained over 2,500 people in cpr and worked with local communities toward their heart safe community designation. St. Francis provides free health screening services to promote early diagnosis of health problems, including skin cancer, bone density, cervical cancer and diabetes. Health professions education st. Francis actively supports numerous medical education activities for providers, health care students and other health professionals. In 2016, st. Francis invested over $273 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 individuals and other not-for-profit organizations to support community needs. In 2016, st. Francis funded nearly $1. 1 million for donations to community programs, equipment, supplies, staff time, sponsorship of various civic awards, and community events. Most importantly, st. Francis makes many of these contributions to improve community health by partnering with local organizations possessing expertise and staffing needed in our community to improve the health of people in need. In 2016, this amount includes a large donation of medical supplies. 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 2016, st. Francis provided funding of over $7,000. Related organizations - st. Francis also indirectly supports the numerous charitable purposes supported by its respective joint member organizations of critical access group, allina health system and hpi-ramsey.