City Cast Twin Cities

City Cast Twin Cities

🏥 HCMC on life support

March 3, 2026

Hi, Twin Cities! Tiffany here. Did you catch the blood moon lunar eclipse early this morning? Reply to this email and send us your pics! 🌑

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Today’s Must-Know

A pedestrian view of a hospital building. There are two sections next to each other. The sign at the entrance reads Hennepin County Medical Center
The Hennepin County Medical Center Red Building. (Joe Passe / Flickr)

What will it take to save HCMC?

Hennepin County officials and hospital leaders urged legislators last week to find a different way to fund the state’s biggest hospital, or else it will close. Hennepin County Medical Center is a public safety-net hospital, which is mandated to serve patients regardless of their ability to pay. But that’s part of why they’re at risk of closing. Hennepin Healthcare administered $104 million worth of uncompensated care in 2024, compared to $40 million in 2020. Overall, the hospital is facing a $50 million budget gap. [Bring Me The News]

  • Why the shortfall: Public officials also cited the increasing costs of running a Level I trauma center (the highest designation), which treats serious and complex injuries. The hospital also expects to lose $1.7 billion over 10 years stemming from the Trump administration’s Medicaid reductions. In response, the hospital cut five medical programs and 100 full-time positions to offset costs. [MPR]
  • “Ballpark” sales tax: But it’s not enough, officials say. Hospital leaders and county commissioners are asking lawmakers to repurpose a sales tax currently paying off Target Field’s construction debt. They’re asking for a permanent 1 percent sales tax. [MPR / Fox 9]
  • The impact: Several medical and business organizations wrote letters of support for the hospital to legislators. HCMC is also a big downtown Minneapolis employer, and 29% of patients in recent years live outside of the county. “If Hennepin Healthcare’s capacity were diminished, patients in every region of Minnesota would face delayed care, longer transport times, and increased risk during their most critical moments,” wrote Lisa Mattson, president of the Minnesota Medical Association.

Sponsored Content

Display image of the actor on stage for Mrs. Doubtfire.

Mrs. Doubtfire at the Ordway this March

Everyone’s favorite Scottish nanny is headed to Saint Paul in “a feel-good, family-friendly comedy that delivers” (The Hollywood Reporter). Based on the beloved film, it’s “the lovable, big-hearted musical comedy we need right now” (Chicago Tribune) – one that proves we’re better together. Get tickets now.

What the Cities Are Talking About

Expensive statute: Five Republican lawmakers want to funnel $25,000 in state money toward building a statue of Charlie Kirk on the University of Minnesota Twin Cities campus. Mary McGuire reports this seems unlikely to pass. As an alumnus, I can imagine better ways to spend $25,000. [Bring Me The News]

Local drip: I’m absolutely obsessed with Keith Harris’ latest Racket piece about the corduroy jacket St. Paul dads are rocking. Shout out to the St. Paul Saints’ retail manager, Betsy Faber, who clearly saw the vision. “They’re absolute compliment factories," Faber told Harris. [Racket]

Cool cameo: Emily Fairfax, a beaver scientist at the University of Minnesota, has inspired a Pixar character. Fairfax was a paid consultant on the movie “Hoppers” (in theaters this Friday), and the producers named a professor after her. The Q&A with Fairfax about beavers is a must-read. [Pioneer Press]

A plate of fries, fried fish, coleslaw, and tar tar sauce
The delicious fish fry at Saint Paul Brewing. (photo courtesy of Jess Fleming, Pioneer Press)

That’s fishy: Jess Fleming, food editor at Pioneer Press, joins today’s show to talk about the best fish frys. Her current favorite is perch and sunfish at St. Paul Brewing’s Friday fish fry. Catch 🐟 the full list on today’s episode. [🎧 City Cast Twin Cities]

Kids at home: St. Paul schools have been offering e-learning for students for over a month now due to the ICE surge. Anthony Lonetree reports that while online participation is down from 7,000 to 3,400, it’s still high at some schools. School leaders worry about students’ mental health, ability to learn, and financial constraints. [Star Tribune]

What to Do

Tues. March 3

Wed. March 4

Twin Cities Job Board

A crossword puzzle with 5 rows across and 4 down

Tuesday crossword time! Our host Sean McPherson tells me all the answers are Minnesota counties.

— Tiffany

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