Health Care Providers and Service Availability Chartbook Section 8 Health Care Providers and Service Availability

Section 8: Health Care Providers and Service Availability Hospital capacity, services offered, and system affiliation Utilization of hospital services Hospital financial trends, capital expenditures, and community benefit Availability of physician clinic services Availability of diagnostic imaging services Availability of freestanding outpatient surgical services This slide deck is part Minnesota’s Health Care Markets Chartbook, an annual review of key metrics in health care access, coverage, market competition and health care costs (MN Statutes, Section 144.70) A summary of the charts and graphs contained within is provided at Chartbook Summaries - Section 8. Direct links are listed on each page. Please contact the Health Economics Program at 651-201-3550 or health.hep@state.mn.us if additional assistance is needed for accessing this information.

Hospital Capacity, Services, and System Affiliation

Hospital Capacity in Minnesota, 2016 Number of Hospitals1 Available Beds2 Occupancy Rate Based on Available Beds Licensed Beds3 Occupancy Rate Based on Licensed Beds Available Beds Per 1,000 Population 130 11,484 57.7% 16,222 40.9% 2.1 1Albany Area Hospital Closed in 2015. 2Available beds is defined as the number of acute care beds that are immediately available for use or could be brought online within a short period of time. 3Licensed beds is defined as the number of beds licensed by the Department of Health, under Minnesota Statutes, sections 144.50 to 144.58. Source: MDH Health Economics Program analysis of hospital annual reports, February 2018.

Regional Hospital Capacity in Minnesota, 2016 Number of Hospitals1 Available Beds2 Available Beds Per 1,000 Population Occupancy Rate Based on Available Beds Licensed Beds3 Occupancy Rate Based on Licensed Beds Central 18 1,160 1.5 46.6% 1,360 39.8% Metro 26 5,786 1.9 71.2% 8,524 48.3% Northeast 17 1,149 3.5 1,405 38.1% Northwest 13 372 2.2 28.0% 497 20.9% South Central 15 516 1.8 35.6% 761 24.1% Southeast 10 1,653 3.3 58.0% 2,578 37.2% Southwest 23 548 2.5 17.8% 689 14.2% West Central 8 300 1.3 28.4% 408 Total 130 11,484 2.1 57.7% 16,222 40.9% Regions are defined from the State Community Health Services Advisory Committee found here: http://www.health.state.mn.us/communities/practice/schsac/index.html. 1Albany Area Hospital Closed in 2015. 2Available beds is defined as the number of acute care beds that are immediately available for use or could be brought online within a short period of time. 3Licensed beds is defined as the number of beds licensed by the Department of Health, under Minnesota Statutes, sections 144.50 to 144.58. Source: MDH Health Economics Program analysis of hospital annual reports, February 2018.

Available Minnesota Hospital Beds per 1,000 Population by SCHSAC Region, 2016 Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. Summary of image

Distribution of Minnesota’s Hospitals by Size and Region, 2016 Under 25 Beds 25-49 Beds 50-99 100-199 Beds 200 or More Beds Total Central 5.6% 72.2% 11.1% 100% Metro 3.8% 11.5% 26.9% 15.4% 42.3% Northeast 47.1% 17.6% 5.9% 11.8% Northwest 41.7% 50.0% 0.0% 8.3% South Central 46.7% 40.0% 6.7% Southeast 30.0% 20.0% 10.0% Southwest 47.8% 4.3% West Central 33.3% 44.4% Statewide 37.7% 13.1% 7.7% Source: MDH Health Economics Program analysis of hospital annual reports, February 2018.

Available Minnesota Hospital Bed Occupancy Rate by Region, 2016 Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. Summary of image

Minnesota Hospital Ambulance Diversions, 2013 to 2017 Diversion Status 2013 2014 2015 2016 2017 2013 to 2017 Emergency Department (any) 213 301 516 812 930 717 Mental Health (any)1 1 567 555 Trauma (any) 81 117 159 188 226 145 Non-mental health closures (any) 1,072 1,467 1,973 2,202 2,361 1,289 All Closures 1,974 2,769 2,916 1,844 1 Closures to Mental Health services were not reported in these data before 2015. Source: MDH Health Economics Program analysis of MN Trac Data, August 2018. Ambulances may be diverted for multiple reasons. See the MDH MN Trac website for additional information on this data source here: https://www.health.state.mn.us/communities/ep/coalitions/mntrac.html

Services Available in Minnesota Hospitals, 2016 Number of Hospitals with Services Available1 Number of Hospitals with Services Not Available Surgery Inpatient Surgery 123 7 Outpatient Surgery 128 2 Open-Heart Surgery Services 18 112 Organ Transplant Services 6 124 Mental Health/Chemical Dependency Services Outpatient Psychiatric Services 63 67 Detoxification Services 26 104 Diagnostic Radiology Computer Tomography (CT) Scanning Services 129 1 Magnetic Resonance Imaging (MRI) Services 127 3 Positron Emission Tomography (PET) Services Single Photon Emission Computerized Tomography (SPECT) Services 50 80 Other Services Renal Dialysis Services 39 91 Cardiac Catheterization Services 25 105 1Services are considered “available” when they are provided on site by hospital staff, on site through contracted services, or off site through shared services agreement. Source: MDH Health Economics Program analysis of hospital annual reports, February 2018.

Ownership of Minnesota Hospitals, 2016 Government, 28, 21.5% City: 6.9% County: 5.4% City and County: 1.5% District: 7.7% Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. Summary of graph

Minnesota Hospitals Affiliated with a Health Care System, 1995-2016 Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. Summary of graph

Minnesota Health Care System Hospital Ownership, 2016 Owned Managed Leased Total Available Beds Sanford Health 11 5 3 15 419 Allina Health System 12 1 13 1,830 Essentia Health 10 836 Mayo Clinic 1,756 CentraCare Health System 6 593 Fairview Health Services 1,399 Catholic Health Initiatives 4 90 HealthEast Care System 615 Avera Health 2 80 Park Nicollet Health Services 526 HealthPartners, Inc. 503 North Memorial Health Care 434 St. Luke's Hospital, Duluth 283 Children's Hospitals and Clinics 279 Lake Region Healthcare - Fergus Falls Ministry Health Care 20 Rice Memorial Hospital 18 Select Medical Corporation 92 74 87 9,783 Unaffiliated Hospitals 42 1,763 1Hospitals with multiple affiliations are counted under each affiliation and available beds are divided across systems equally. Sorted by total number of hospitals. Source: MDH Health Economics Program analysis of hospital annual reports, February 2018.

Available Minnesota Hospital Beds by Health System Affiliation, Select Years Box Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. Only includes systems with five or more hospitals in 2016. Summary of graph

Minnesota Hospital Offsite Clinics and Health Care System Affiliation Status, Select Years   2011 2016 Change, 2011 to 2016 All Clinics 598 616 18 Clinics that Billed as a Hospital1 417 456 39 All Other Clinics (Not Billed as a Hospital) 181 160 -21 1 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, February 2018

Composition of Minnesota’s Hospital Workforce, 2016 1 Includes nurse anesthetists, nurse practitioners, and physician assistants. 2 Other is reported as grouped category of positions, and includes both patient care and non-patient care employees. Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. Summary of graph

Utilization of Hospital Services

Minnesota Hospital Outpatient Visits and Inpatient Admissions, 2006 to 2016 Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. Summary of graph

Average Length of Stay in Minnesota Hospitals, 2006 to 2016 Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. Summary of graph

Average Length of Stay: Rural and Urban Minnesota Hospitals, 2006 to 2016 A hospital is defined as rural if it is located in a county that is not part of a metropolitan statistical area. Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. Summary of graph

Minnesota Hospital Utilization by Region, 2016 Inpatient Admissions Inpatient Days Average Length of Stay (days) Outpatient Visits Central 51,535 197,507 3.8 1,561,264 Metro 318,950 1,504,156 4.7 4,205,631 Northeast 40,421 195,354 4.8 2,027,966 Northwest 10,172 32,439 3.2 640,805 South Central 18,773 67,016 3.6 851,039 Southeast 58,644 349,914 6.0 1,672,397 Southwest 11,538 35,695 3.1 498,943 West Central 11,207 36,670 3.3 794,352 Statewide 521,240 2,418,751 4.6 12,252,397 Source: MDH Health Economics Program analysis of hospital annual reports, February 2018.

Total Inpatient Days and Outpatient Visits in SCHSAC Regions, 2016 Total Inpatient Hospital Days in SCHSAC Regions per 1,000 Population, 2016 Total Outpatient Hospital Visits in SCHSAC Regions per 1,000 Population, 2016 Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. Summary of image

Percent of Inpatient Days Distribution of Hospital Admissions and Inpatient Days by Type of Service, 2016 Percent of Admissions Percent of Inpatient Days Medical & surgical care 34.8% 35.3% Psychiatric care 6.0% 12.1% Cardiac care 11.2% 10.5% Orthopedic care 12.8% 9.7% Neurology care 6.3% 7.1% Obstetric care 12.6% 7.0% Neonatal care (excluding births) 5.8% 6.7% Chemical dependency care 1.8% 2.1% Rehabilitation 0.2% 0.5% Other acute care 8.6% 8.9% Total acute care 100.0% Source: MDH Health Economics Program analysis of hospital annual reports, February 2018.

Percent of Inpatient Days Distribution of Rural and Urban Hospital Admissions and Inpatient Days by Type of Service, 2016 Rural Urban Percent of Admissions Percent of Inpatient Days Medical & surgical care 39.2% 39.8% 34.0% 34.7% Psychiatric care 5.2% 11.8% 6.2% 12.1% Cardiac care 9.5% 8.2% 11.5% 10.9% Orthopedic care 12.7% 12.5% 12.8% 9.3% Neurology care 3.3% 4.5% 6.8% 7.5% Obstetric care 15.8% 9.8% 6.6% Neonatal care (excluding births) 5.7% 4.4% 5.8% 7.0% Chemical dependency care 1.2% 1.8% 1.9% 2.1% Rehabilitation 0.1% 0.4% 0.2% 0.5% Other acute care 7.3% 6.9% 8.8% 9.2% Total acute care 100.0% Source: MDH Health Economics Program analysis of hospital annual reports, February 2018.

Trend in Outpatient Surgeries at Minnesota Hospitals, 2007 to 2016 Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. Summary of graph

Trend in Outpatient Surgeries at Minnesota Hospitals per 1000 in Population, 2007 to 2016 Source: U.S. Census, MDH Health Economics Program analysis of hospital annual reports, February 2018. Summary of graph

Trend in Emergency Room Visits at Minnesota Hospitals, 2007 to 2016 Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. Summary of graph

Trend in Emergency Room Visits at Minnesota Hospitals per 1000 Population, 2007 to 2016 Source: U.S. Census, MDH Health Economics Program analysis of hospital annual reports, February 2018. Summary of graph

Hospital Financial Trends

Net Assets of Minnesota Hospitals, 2007 to 2016 Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. Net assets is an accounting term defining the total assets minus the total liabilities, and describes the hospital’s financial position. Summary of graph

Net Income of Minnesota Hospitals, 2007 to 2016 Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. Summary of graph

Minnesota Hospitals' Net Income as a Percent of Revenue, 2007 to 2016 Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. Summary of graph

Minnesota Hospital Financial Indicators by Region, 2016 Net Income ($ Millions) Net Income as a percent of Revenue Central $54.4 2.9% Metro $594.1 5.9% Northeast $44.0 2.5% Northwest $43.6 8.9% South Central $55.6 7.4% Southeast $587.9 19.9% Southwest $9.5 2.0% West Central $30.9 6.1% Statewide $1,419.9 7.5% Source: MDH Health Economics Program analysis of hospital annual reports, February 2018.

Minnesota Hospital Net Income as a Percent of Revenue by Region, 2016 Source: MDH Health Economics Program analysis of hospital annual reports, February 2018.. Summary of image

Net Income as a percent of Revenue Minnesota Hospital Financial Indicators by Hospital Size and Type, 2016 Number of Available Beds Net Income ($ Millions) Net Income as a percent of Revenue Under 25 Beds $35.1 5.7% 25 to 49 Beds $161.9 7.1% 50 to 99 Beds $109.7 5.3% 100 to 199 Beds $100.4 4.5% 200 Beds or More $1,012.9 8.7% Type of Hospital1 Critical Access Hospital (CAH) $130.0 6.3% PPS $1,284.6 7.7% Other $5.3 4.4% All Hospitals $1,419.9 7.5% 1A critical access hospitals is a federal designation for a rural hospital that meets certain criteria, and PPS hospitals are Medicare Prospective Payment System hospitals. Source: MDH Health Economics Program analysis of hospital annual reports, February 2018.

Sources of Patient Revenue for Minnesota Hospitals, 2015-2016 Rural Facilities Urban Statewide 2015 2016 Medicare 39.2% 39.5% 29.2% 29.3% 31.1% 31.3% State Public Programs1 11.5% 11.6% 16.3% 14.0% 15.3% 13.6% Private Insurance 44.0% 43.7% 50.1% 52.8% 48.9% 51.0% Self-Pay 3.9% 3.8% 2.2% 2.5% 2.7% Other Payers 1.5% 1.4% 2.3% Hospital Patient Revenue, All Payers 100.0% 1Includes Medical Assistance and MinnesotaCare. Percent shown is a percent of Hospital Patient revenue A hospital is defined as rural if it is located in a county that is not part of a metropolitan statistical area. Source: MDH Health Economics Program analysis of hospital annual reports, February 2018.

Capital Expenditure Commitments by Minnesota Hospitals, 2016 2015 2016 Total number of capital expenditure commitments reported 102 69 Percent of Minnesota hospitals reporting major capital expenditure commitment 32.8% 20.6% Value of major capital expenditure commitments reported (Millions) $718.41 $362.62 Major spending commitments that are reportable under 62J.17 include expenditures in excess of $ 1 million. Spending commitments are sorted by the reported calendar date of the spending commitment and the 2015 figures reflect 2015 projects reported in the 2016 fiscal year and is a revision over previous publications. A small portion of capital expenditure data may belong to earlier reporting periods. Source: MDH Health Economics Program analysis of hospital annual reports, February 2018.

Minnesota Hospital Capital Expenditure Commitments by Type, 2016 Capital Expenditure Commitments ($ Millions) Percent of Total Capital Expenditure Commitments Medical equipment $62.6 17.3% Building and space $289.3 79.8% Other $10.7 2.9% All Major Capital Expenditure Commitments $362.6 100.0% Source: MDH Health Economics Program analysis of hospital annual reports, February 2018.

Minnesota Hospital Capital Expenditure Commitment by Category, 2016 Capital Expenditure Commitments ($ Millions) Percent of Total Capital Expenditure Commitments Other Patient Care Services $155.9 43.0% General Infrastructure $99.0 27.3% Diagnostic Imaging $36.5 10.1% Surgery $26.0 7.2% Cardiac Care $15.4 4.2% Radiation Therapy $8.4 2.3% Rehabilitation $7.9 2.2% Emergency Care $5.7 1.6% Mental Health $4.5 1.2% Intensive Care (ICU or NICU) $3.4 0.9% All Major Capital Projects $362.6 100.0% Major spending commitments that are reportable under 62J.17 include expenditures in excess of $ 1 million. Source: MDH Health Economics Program analysis of hospital annual reports, February 2018.

Community Benefit Provided by Minnesota Hospitals, 2016 Community Benefit1 ($ Millions) Percent of Total Operating Expenses Charity Care $118.3 0.7% State Health Care Programs Underpayment $571.3 3.3% Operating Subsidized Services $122.8 Education $255.0 1.5% Research $8.6 0.1% Community Health Services $40.4 0.2% Financial and In-Kind Contributions $17.2 Community Building Activities $4.2 0.0% Community Benefit Operation $13.9 Total $1,151.8 6.7% Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. 1Community benefit refers to the contributions hospitals make outside of reimbursed patient care to the communities, for the or definitions of categories see: MDH/Health Economics Program, “Hospital Community Benefit Spending in Minnesota, 2013 to 2015” August, 2018, available at http://www.health.state.mn.us/data/economics/docs/legislative/commben2013to2015.pdf.

Distribution of Minnesota Hospitals’ Community Benefit, 2016 Source: MDH Health Economics Program analysis of hospital annual reports, February 2018. Community benefit refers to the contributions hospitals make outside of reimbursed patient care to the communities, for the or definitions of categories see: MDH/Health Economics Program, “Hospital Community Benefit Spending in Minnesota, 2013 to 2015” August, 2018, available at http://www.health.state.mn.us/data/economics/docs/legislative/commben2013to2015.pdf. Summary of graph

Availability of Physician Clinic Services

Number of Physicians Practicing in Minnesota, 2017 16,947 Primary Care Physicians 5,265 Specialty Care Physicians 8,891 No Certification 2,791 Physicians for Every 100,000 Residents: 310.9 96.6 163.1 51.2 Includes all physicians who have an active Minnesota license and a primary business address in Minnesota. “Primary Care” includes: General Family Medicine, General Internal Medicine, General Pediatrics. “No Certification” means there were no board certifications on the record received from the Minnesota Board of Medical Practice. Source: Minnesota Board of Medical Practices, January 2017, population estimates RUCA 2012-2016. Analysis by MDH, Office of Rural Health & Primary Care and Health Economics Program. Note: Due to methodology changes, past Chartbook data should not be used for comparison.

Number of Physicians1 Practicing in Minnesota by MSA2 and Non-MSA Counties, 2017 MSA Status of County1 Rural Small Town Micropolitan Metropolitan Statewide Number of Physicians2 226 607 1,267 14,847 16,947 Primary Care Physicians 164 362 545 4,194 5,265 Specialty Care Physicians 21 156 525 8,189 8,891 Physicians for Every 100,000 Residents: 52.2 156.1 208.2 369.2 310.9 37.9 93.1 89.6 104.3 96.6 4.9 40.1 86.3 203.7 163.1 1MSA refers to Metropolitan Statistical Area, see Minnesota Health Workforce Demographics (http://www.health.state.mn.us/divs/orhpc/workforce/demo/msadef.html) for more information. 2Includes all physicians who have an active Minnesota license and a primary business address in Minnesota. “Primary Care” includes: General Family Medicine, General Internal Medicine, General Pediatrics. “No Certification” means there were no board certifications on the record received from the Minnesota Board of Medical Practice. Source: Minnesota Board of Medical Practices, January 2017, population estimates RUCA 2012-2016. Analysis by MDH, Office of Rural Health & Primary Care and Health Economics Program. Note: Due to methodology changes, past Chartbook data should not be used for comparison. Previous data used physicians’ mailing address and methodology was changed to use physicians’ business practice address.

Distribution of Number of Physicians Practicing in Minnesota by Location and Specialty, 2017 MSA Status of County1 Rural Small Town Micropolitan Metropolitan Statewide Primary Care Physicians 72.6% 59.6% 43.0% 28.2% 31.1% General Facility Based 0.9% 6.6% 9.2% 11.3% 10.8% Surgeons 3.5% 10.2% 12.5% 9.0% Other Specialty Physicians 4.9% 8.9% 19.8% 34.9% 32.4% No Certification 18.1% 14.7% 15.5% 16.6% 16.5% All Specialties2 100% 1MSA refers to Metropolitan Statistical Area, see Minnesota Health Workforce Demographics (http://www.health.state.mn.us/divs/orhpc/workforce/demo/msadef.html) for more information. 2All specialties Includes all physicians who have an active Minnesota license and a primary business address in Minnesota. “Primary Care” includes: General Family Medicine, General Internal Medicine, General Pediatrics. “No Certification” means there were no board certifications on the record received from the Minnesota Board of Medical Practice. Source: Minnesota Board of Medical Practices, January 2017, population estimates RUCA 2012-2016. Analysis by MDH, Office of Rural Health & Primary Care and Health Economics Program. Note: Due to methodology changes, past Chartbook data should not be used for comparison. Previous data used physicians’ mailing address and methodology was changed to use physicians’ business practice address.

Primary Care Clinics per 100,000 Specialty Care Clinics per 100,000 Number of Primary Care and Specialty Care Clinics by Region in Minnesota, 2017 Primary Care1 Clinics2 Primary Care Clinics per 100,000 Specialty Care3 Clinics Specialty Care Clinics per 100,000 Central 100 13.3 98 13.1 Metro 261 8.6 627 20.7 Northeast 50 15.4 64 19.7 Northwest 28 16.4 16 9.4 South Central 43 14.8 9.6 Southeast 41 8.1 25 5.0 Southwest 54 24.8 29 West Central 33 14.4 19 8.3 Statewide 610 11.1 906 1 Primary Care includes general family medicine, general internal medicine, and general pediatrics. 2 This represents the number of clinics and does not account for patient population or number of practicing physicians. 3 Specialty Care includes one or more non-primary care specialty. Source: MDH Health Economics Program analysis of the Physician Clinic Registry collected under Minnesota Statutes, Section 62U.02.

Location of Minnesota Primary Care and Specialty Care Clinics, 2017 Primary Care Clinics, 2017 Specialty Care Clinics, 2017 Notes: Dots represent the number of clinics, and does not account for patient population or number of practicing physicians. Primary Care includes general family medicine, general internal medicine, and general pediatrics; Specialty Care includes one or more non-primary care specialty. Source: MDH Health Economics Program analysis of the Physician Clinic Registry collected under Minnesota Statutes, Section 62U.02. Summary of image

Number of Minnesota Primary Care Clinics for Medical Groups with 10 or More Clinics, 2017 Number of Clinics Allina Health 48 Essentia Health 39 Mayo Clinic/Mayo Clinic Health System 36 Park Nicollet Health Services 27 CentraCare Health 26 Sanford Health - Fargo Region 24 Fairview Health Services HealthPartners Clinics 19 North Memorial 15 Sanford Health - Sioux Falls Region 14 Olmsted Medical Center 13 Entira Family Clinics (formerly Family Health Services MN) 12 HealthEast Clinics Hennepin Healthcare (formerly Hennepin County Medical Center Clinics) Integrity Health Network Avera Medical Group Children's - Minnesota St. Luke's Clinics 11 University of Minnesota Physicians 10 No Medical Group/All Other 232 Total Number of Primary Care Clinics 610 Primary Care includes general family medicine, general internal medicine, and general pediatrics. Source: MDH Health Economics Program analysis of the Physician Clinic Registry collected under Minnesota Statutes, Section 62U.02.

Availability of Diagnostic Imaging Services

Diagnostic Imaging Center MRIs Total MRIs per 100,000 Residents Number of Magnetic Resonance Imaging (MRI) Scanners by Minnesota Region, 2016 Diagnostic Imaging Center MRIs Hospital MRIs Total MRIs Total MRIs per 100,000 Residents Central 7 21 28 3.7 Metro 104 52 156 5.1 Northeast 8 18 26 8.0 Northwest 1 14 15 8.8 South Central 4 16 20 6.9 Southeast 40 7.9 Southwest 3 23 12.0 West Central 9.2 Statewide 160 116 276 5.0 Source: MDH Health Economics Program analysis of data from the Diagnostic Imaging Facility Utilization Report and Hospital Annual Report.

Diagnostic Imaging Center MRIs Location of Diagnostic Imaging Center & Hospital Magnetic Resonance Imaging Scanners (MRIs), 2016 Diagnostic Imaging Center MRIs Hospital MRIs Source: MDH Health Economics Program analysis of data from the Diagnostic Imaging Facility Utilization Report and Hospital Annual Report. Summary of image

Number of Computed Tomography (CT) and Other Advanced Imaging Scanners by Minnesota Region, 2016 Diagnostic Imaging Center CT & Other Advanced Imaging Scanners Hospital CT & Other Advanced Imaging Scanners Total CT & Other Advanced Imaging Scanners per 100,000 Residents Central 5 43 48 6.4 Metro 71 77 148 4.9 Northeast 4 26 30 9.2 Northwest 12 7.0 South Central 3 21 24 8.3 Southeast 22 6 28 5.6 Southwest 27 13.8 West Central 9 18 11.8 Statewide 117 230 347 6.3 Note: The term ‘other advanced imaging’ includes positron emission tomography, single-photon emission computed tomography, and combination scanners. Source: MDH Health Economics Program analysis of data from the Diagnostic Imaging Facility Utilization Report and Hospital Annual Report.

Location of Diagnostic Imaging Center Computed Tomography (CT), Other Advanced Imaging Scanners, 2016 Diagnostic Imaging Center CT and Other Advanced Imaging Hospital CT and Other Advanced Imaging Note: The term ‘other advanced imaging’ includes positron emission tomography, single-photon emission computed tomography, and combination scanners. Source: MDH Health Economics Program analysis of data from the Diagnostic Imaging Facility Utilization Report and Hospital Annual Report. Summary of image

Availability of Freestanding Outpatient Surgical Services

Location of Freestanding Outpatient Surgical Centers in Minnesota, 2016 Region Number of Freestanding Surgical Centers Central 5 Metro 48 Northeast 4 Northwest South Central Southeast 1 Southwest West Central 3 Statewide 71 Source: MDH Health Economics Program analysis of data from the Freestanding Outpatient Surgical Center Financial, Utilization, and Services Report. Summary of image

Number of Freestanding Outpatient Surgical Registrations in Minnesota, 2007 to 2016 Source: MDH Health Economics Program analysis of data from the Freestanding Outpatient Surgical Center Financial, Utilization, and Services Report. Summary of graph

Additional Information from the Health Economics Program Available Online Health Economics Program Home Page (www.health.state.mn.us/healtheconomics) Publications (heppublications.web.health.state.mn.us) Health Care Market Statistics (Chartbook Updates) (www.health.state.mn.us/data/economics/chartbook/index.html) A summary of the charts and graphs contained within is provided at Chartbook Summaries - Section 8. Direct links are listed on each page. Please contact the Health Economics Program at 651-201-3550 or health.hep@state.mn.us if additional assistance is needed for accessing this information.