MAPLE GROVE HOSPITAL CORPORATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MAPLE GROVE HOSPITAL CORPORATION (EIN 20-8316475)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-09
- IRS object ID
- 202133139349302813
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-09T11:18:27-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 S 6TH ST 2300 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208316475 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAPLE GROVE HOSPITAL CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MAPL | BusinessNameControlTxt |
| Phone | 7635811000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9875 HOSPITAL DRIVE | AddressLine1Txt |
| City | MAPLE GROVE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55369 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAN FROMM | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 7635205048 | PhoneNum |
| Signature | 2021-10-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAN | PersonFirstNm |
| Person Last | FROMM | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAWRENCE H MOHR CPA | PreparerPersonNm |
| PTIN | P00447603 | PTIN |
| Phone | 6128764500 | PhoneNum |
| Preparation | 2021-10-26 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANDREW COCHRANE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9875 HOSPITAL DRIVE | AddressLine1Txt |
| City | MAPLE GROVE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55369 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $223,891,117 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MAPLEGROVEHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO EMPOWER OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 1297 | TotalEmployeeCnt |
| Total Volunteers | 500 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $88,695 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,048,884 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $209,917,998 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $214,503,191 | CYProgramServiceRevenueAmt |
| PY Investment Income | $270,931 | PYInvestmentIncomeAmt |
| CY Investment Income | $339,042 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $210,277,624 | PYTotalRevenueAmt |
| CY Total Revenue | $223,891,117 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $79,131,877 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $85,821,566 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $97,588,624 | PYOtherExpensesAmt |
| CY Other Expenses | $106,544,852 | CYOtherExpensesAmt |
| PY Total Expenses | $176,720,501 | PYTotalExpensesAmt |
| CY Total Expenses | $192,366,418 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $33,557,123 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $31,524,699 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $174,471,313 | TotalAssetsBOYAmt |
| Total Assets EOY | $200,601,207 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $135,808,035 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $144,876,707 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $38,663,278 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $55,724,500 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO EMPOWER OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $166,377,285 | ExpenseAmt |
| Revenue | $211,916,387 | RevenueAmt |
| Desc | MAPLE GROVE HOSPITAL IS A GENERAL, ACUTE CARE HOSPITAL PROVIDING EMERGENCY SERVICES, MATERNITY AND NEONATAL CARE, AND GENERAL MEDICAL-SURGICAL, OBSTETRICAL, AND PEDIATRIC SERVICES. MAPLE GROVE HOSPITAL'S MISSION IS EMPOWERING ITS CUSTOMERS TO ACHIEVE THEIR BEST HEALTH.IN ADDITION TO CHARITY AND UNCOMPENSATED CARE, MAPLE GROVE HOSPITAL ALSO PROVIDES NUMEROUS COMMUNITY BENEFITS (AT NO COST OR BELOW COST) IN FURTHERANCE OF ITS CHARITABLE PURPOSE INCLUDING HEALTH RELATED EDUCATIONAL PROGRAMS: SAFETY FAIRS, CAR SEAT CLINICS, MENTAL HEALTH AND FIRST AID CLASSES, AND ASTHMA EDUCATION IN ELEMENTARY SCHOOLS. MAPLE GROVE HOSPITAL PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COSTS TO RESIDENTS OF ITS COMMUNITY PRIMARILY THROUGH (A) THE DIFFERENCE BETWEEN PUBLIC PROGRAM PAYMENTS (PRIMARILY MEDICARE AND MEDICAID) AND THE RELATED COSTS OF PROVIDING SUCH SERVICES, AND (B) SERVICES PROVIDED TO PATIENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE DETERMINED UNABLE TO PAY BECAUSE OF ECONOMIC FACTORS. IN ADDITION, MAPLE GROVE HOSPITAL CONTRIBUTES TO FUNDING MEDICAL CARE FOR THE UNINSURED THROUGH PAYMENT OF PATIENT SERVICES TAXES, WHICH INCLUDE THE MEDICAID SURCHARGE AND THE MINNESOTA CARE TAX ON CERTAIN NET REVENUE. | Desc |
| Total Program Service Expenses | $166,377,285 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 109 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1297 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAN FROMM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7635205200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 OAKDALE AVENUE NORTH | AddressLine1Txt |
| City | ROBBINSDALE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55422 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| J KEVIN CROSTON MD | ||||||||
| BOARD CHAIR | 2.00 | 44.00 | Yes (X) | Yes (X) | $0 | $1,433,961 | $48,912 | |
| SAMANTHA HANSON | ||||||||
| DIRECTOR | 2.00 | 40.00 | Yes (X) | $0 | $596,269 | $47,094 | ||
| CAROLYN OGLAND VUKICH | ||||||||
| DIRECTOR | 2.00 | 40.00 | Yes (X) | $0 | $592,950 | $44,025 | ||
| AARON BLOOMQUIST | ||||||||
| TREASURER (THRU 05/2020) | 2.00 | 40.00 | Yes (X) | Yes (X) | $0 | $492,365 | $22,501 | |
| JEFF WICKLANDER | ||||||||
| DIRECTOR (THRU 10/2020) | 2.00 | 40.00 | Yes (X) | $0 | $427,312 | $45,359 | ||
| DAN FROMM | ||||||||
| TREASURER (FROM JUNE 2020) | 2.00 | 42.00 | Yes (X) | Yes (X) | $0 | $250,612 | $20,740 | |
| JAMES HEREFORD | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT BEACHER | ||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ANDREW COCHRANE | ||||||||
| CHIEF HOSPITAL OFFICER | 2.00 | 40.00 | Yes (X) | $0 | $567,496 | $48,142 | ||
| PAMELA DOORENBOS MD | ||||||||
| VP MEDICAL AFFAIRS | 40.00 | 1.00 | $374,814 | $0 | $20,956 | Yes (X) | ||
| WENDY ULFERTS | ||||||||
| VP PATIENT CARE/ CNO | 40.00 | 0.00 | $309,469 | $0 | $31,037 | Yes (X) | ||
| JANET ANGELL | ||||||||
| DIRECTOR OF PROCEDURAL CARE | 40.00 | 0.00 | $207,390 | $0 | $21,464 | Yes (X) | ||
| FAITH ZWIRCHITZ | ||||||||
| DIRECTOR, WOMEN'S & CHILDREN'S | 40.00 | 0.00 | $209,058 | $0 | $26,846 | Yes (X) | ||
| SHERRY COLUCCI | ||||||||
| MULTI SPEC TECH | 40.00 | 0.00 | $182,613 | $0 | $8,185 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,283,344 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,360,965 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $385,261 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 85 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RYAN COMPANIES US | |||||
| 533 SOUTH THIRD STREET SUITE 100 | MINNEAPOLIS | MN | 55415 | CONSTRUCTION | $2,723,019 |
| FAIRVIEW HEALTH SERVICES | |||||
| 1390 UNIVERSITY AVE W | ST PAUL | MN | 55104 | PHYSICIAN SERVICES | $1,675,296 |
| UNIVERSITY OF MN PHYSICIANS | |||||
| 720 WASHINGTON AVE SE | MINNEAPOLIS | MN | 55414 | PHYSICIAN SERVICES | $1,322,363 |
| MINNESOTA NEONATAL SPECIALISTS | |||||
| 9325 UPLAND LN N STE 360 | MAPLE GROVE | MN | 55369 | PHYSICIAN SERVICES | $551,922 |
| OAKDALE OBGYN PA | |||||
| 9825 HOSPITAL DRIVE STE 205 | MAPLE GROVE | MN | 55369 | PHYSICIAN SERVICES | $497,700 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 61 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $44,420 | RelatedOrganizationsAmt |
| Government Grants | $8,984,876 | GovernmentGrantsAmt |
| All Other Contributions | $19,588 | AllOtherContributionsAmt |
| Total Contributions | $9,048,884 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PATIENT REVENUE | 621500 | $211,916,387 | $211,916,387 | |
| CONTRACT SERVICES | 900099 | $1,539,770 | $1,539,770 | |
| CMS/EHR PAYMENTS & OTH | 900099 | $737,736 | $737,736 | |
| ALL OTHER | 621910 | $234,408 | $234,408 | |
| GIFT SHOP | 900099 | $74,890 | $74,890 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $214,503,191 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $339,042 | TotalRevenueColumnAmt |
| Exclusion | $339,042 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $223,891,117 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $211,916,387 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,925,846 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $749,812 | TotalAmt |
| Management And General | $749,812 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,140,813 | TotalAmt |
| Program Services | $58,370,314 | ProgramServicesAmt |
| Management And General | $9,770,499 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,932,275 | TotalAmt |
| Program Services | $2,511,825 | ProgramServicesAmt |
| Management And General | $420,450 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,956,894 | TotalAmt |
| Program Services | $7,672,593 | ProgramServicesAmt |
| Management And General | $1,284,301 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,041,772 | TotalAmt |
| Program Services | $4,318,848 | ProgramServicesAmt |
| Management And General | $722,924 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,606,496 | TotalAmt |
| Program Services | $20,221,634 | ProgramServicesAmt |
| Management And General | $3,384,862 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,175 | TotalAmt |
| Management And General | $53,175 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,395 | TotalAmt |
| Management And General | $80,395 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,454,778 | TotalAmt |
| Program Services | $18,378,444 | ProgramServicesAmt |
| Management And General | $3,076,334 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,959 | TotalAmt |
| Program Services | $142,163 | ProgramServicesAmt |
| Management And General | $23,796 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,003,138 | TotalAmt |
| Program Services | $1,715,914 | ProgramServicesAmt |
| Management And General | $287,224 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,849 | TotalAmt |
| Program Services | $101,808 | ProgramServicesAmt |
| Management And General | $17,041 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,895,301 | TotalAmt |
| Program Services | $2,480,153 | ProgramServicesAmt |
| Management And General | $415,148 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,714 | TotalAmt |
| Program Services | $13,461 | ProgramServicesAmt |
| Management And General | $2,253 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,435,983 | TotalAmt |
| Program Services | $3,799,921 | ProgramServicesAmt |
| Management And General | $636,062 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,727,797 | TotalAmt |
| Program Services | $5,763,119 | ProgramServicesAmt |
| Management And General | $964,678 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,118,869 | TotalAmt |
| Program Services | $958,438 | ProgramServicesAmt |
| Management And General | $160,431 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $22,690,861 | $19,437,289 | $3,253,572 |
| BAD DEBT EXPENSE | $10,889,690 | $10,889,690 | |
| GOVERNMENT TAXES | $5,502,361 | $5,502,361 | |
| MAINTENANCE AND REPAIRS | $3,124,895 | $2,676,826 | $448,069 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,660,591 | TotalAmt |
| Program Services | $1,422,484 | ProgramServicesAmt |
| Management And General | $238,107 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,366,418 | TotalAmt |
| Program Services | $166,377,285 | ProgramServicesAmt |
| Management And General | $25,989,133 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,700 | BOYAmt |
| EOY | $3,700 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,704,768 | BOYAmt |
| EOY | $69,531,867 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,561,089 | BOYAmt |
| EOY | $30,272,343 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,008 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,354,247 | BOYAmt |
| EOY | $2,582,030 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $656,522 | BOYAmt |
| EOY | $1,149,859 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $167,327,325 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $89,201,443 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,722,017 | BOYAmt |
| EOY | $78,125,882 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,231,438 | BOYAmt |
| EOY | $15,297,809 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,607,000 | BOYAmt |
| EOY | $3,607,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $588,524 | BOYAmt |
| EOY | $30,717 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,471,313 | BOYAmt |
| EOY | $200,601,207 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,568,128 | BOYAmt |
| EOY | $30,411,153 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,950,087 | BOYAmt |
| EOY | $114,465,554 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $289,820 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,808,035 | BOYAmt |
| EOY | $144,876,707 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,663,278 | BOYAmt |
| EOY | $55,724,500 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,663,278 | BOYAmt |
| EOY | $55,724,500 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,471,313 | BOYAmt |
| EOY | $200,601,207 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $31,524,699 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,494,215 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $42,308 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$16,000,000 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $109,413,307 | OtherCostOrOtherBasisAmt |
| Depreciation | $46,548,744 | DepreciationAmt |
| Book Value | $62,864,563 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $57,335,788 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,652,699 | DepreciationAmt |
| Book Value | $14,683,089 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $578,230 | OtherCostOrOtherBasisAmt |
| Book Value | $578,230 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $78,125,882 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | NORTH MEMORIAL IS ENGAGED IN CERTAIN ACTIVITIES THAT RESULT IN UNRELATED BUSINESS INCOME. NORTH MEMORIAL RECORDED AN INCOME TAX EXPENSE OF APPROXIMATELY $445,000 AND $97,000 IN 2020 AND 2019, RESPECTIVELY, WHICH IS INCLUDED WITH OTHER OPERATING EXPENSES IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. NORTH MEMORIAL RECOGNIZES ALL TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT, BASED ON TECHNICAL MERITS, THE POSITION WILL BE SUSTAINED UPON EXAMINATION. NORTH MEMORIAL EVALUATES ITS UNCERTAIN POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN THE CONSOLIDATED BALANCE SHEETS AS OF DECEMBER 31, 2020 OR 2019. PLEASE NOTE THAT AMOUNTS INCLUDED ABOVE REGARDING UNRELATED BUSINESS INCOME ARE FOR NORTH MEMORIAL HEALTH AS WELL AS OTHER ORGANIZATIONS INCLUDED IN THE CONSOLIDATED AUDIT REPORT. MAPLE GROVE HOSPITAL DOES NOT HAVE ANY UNRELATED BUSINESS INCOME TAX LIABILITY FOR TAX YEAR 2020. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,908,523 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,908,523 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02030 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,613,022 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,766,951 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,846,071 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05640 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,521,545 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,766,951 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,754,594 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07670 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $253,334 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $253,334 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $255,334 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $255,334 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,776,879 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,766,951 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,009,928 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07800 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,053,881 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $39,465,528 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $40,462,259 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$996,731 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAPLE GROVE HOSPITAL CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9875 HOSPITAL DRIVE | AddressLine1Txt |
| City | MAPLE GROVE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55369 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAPLE GROVE HOSPITAL CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V FOR FULL URL | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V FOR FULL URL | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V FOR FULL URL | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V FOR FULL URL | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V FOR FULL URL | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| None Made | Yes (X) | NoneMadeInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MAPLE GROVE HOSPITAL CORPORATION | PART V, SECTION B, LINE 5: ONE OF THE KEY OBJECTIVES IN CONDUCTING THE CHNA WAS TO IDENTIFY HEALTH ISSUES WHICH ARE MOST IMPORTANT TO OUR COMMUNITY MEMBERS AND ESTABLISH OR STRENGTHEN COMMUNITY RELATIONSHIPS TO HELP ADDRESS THESE HEALTH ISSUES. THIS WAS ACCOMPLISHED IN SEVERAL WAYS. A STEERING COMMITTEE COMPOSED OF COMMUNITY LEADERS, SOCIAL SERVICE PROVIDERS, HEALTH CARE PROVIDERS, SCHOOL DISTRICT EMPLOYEES, BUSINESS REPRESENTATIVES AND A PUBLIC HEALTH REPRESENTATIVE GUIDED THE ASSESSMENT PROCESS AND IDENTIFICATION OF HEALTH NEEDS. MAPLE GROVE HOSPITAL CONVENED 5 FOCUS GROUPS FROM TARGET POPULATIONS THROUGHOUT THE COMMUNITY. WE FURTHER INTERVIEWED KEY STAKEHOLDERS FROM LOCAL GOVERNMENT, LAW ENFORCEMENT, EDUCATION, RELIGIOUS AND COMMUNITY-BASED ORGANIZATIONS. LASTLY WE CONDUCTED AN ONLINE SURVEY FOR BUSINESS GROUPS, THE FAITH COMMUNITY AND COMMUNITY MEMBERS. THE ASSESSMENT WAS COMPLETED WORKING IN CONJUNCTION WITH FAIRVIEW AND MAPLE GROVE HOSPITAL. |
| MAPLE GROVE HOSPITAL CORPORATION | PART V, SECTION B, LINE 11: MAPLE GROVE HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019. THIS WAS OUR THIRD COMMUNITY HEALTH NEEDS ASSESSMENT WHICH WAS GUIDED ONCE AGAIN BY OUR COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT). CEAT IS COMPOSED OF COMMUNITY MEMBERS, MAPLE GROVE HOSPITAL AND NORTH MEMORIAL HEALTH TEAM MEMBERS AND LEADERS, AND PUBLIC HEALTH REPRESENTATIVES.TO IDENTIFY THE TOP COMMUNITY NEEDS PRIORITIES, WE LEVERAGED PRIMARY AND SECONDARY RESEARCH. -WE CONDUCTED FOUR FOCUS GROUPS (WITH CEAT MEMBERS, HEALTHCARE AND SOCIAL SERVICES PROFESSIONALS AND COMMUNITY MEMBERS). A TOTAL OF 58 PEOPLE WHO LIVE OR WORK IN THE CHNA AREA PARTICIPATED IN THE FOCUS GROUPS. WE ALSO CONDUCTED 11 KEY STAKEHOLDER INTERVIEWS WITH COMMUNITY LEADERS, LOCAL GOVERNMENT, LAW ENFORCEMENT, EDUCATION, COMMUNITY-BASED ORGANIZATIONS, BUSINESS OWNERS AND COMMUNITY MEMBERS WITHIN OUR SERVICE AREA.-WE COLLECTED AND ANALYZED DATA FROM MULTIPLE RESOURCES INCLUDING: DEMOGRAPHIC DATA THROUGH CLARITAS; QUANTITATIVE DATA FROM THE MINNESOTA HOSPITAL ASSOCIATION, MINNESOTA DEPARTMENT OF HEALTH, HENNEPIN COUNTY SHAPE 2018 AND THE COMMUNITY NEED INDEX; ATTRIBUTED PATIENT DATA; COMMUNITY ASSET MAPPING; AND A MINNESOTA STUDENTS SURVEY CONDUCTED BY THE MINNESOTA DEPARTMENT OF EDUCATION (2016). PRIORITIES IDENTIFIED IN THE ASSESSMENT AND FINALIZED BASED ON CEAT DISCUSSIONBELOW IS AN OVERVIEW OF THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT AND DISCUSSED WITH CEAT. -MENTAL HEALTH/SUBSTANCE ABUSE-HEALTHY AGING-HELPING THE COMMUNITY ACCESS HEALTH CARE AND COMMUNITY RESOURCES-COMPREHENSIVE CARE-PREVENTION/EDUCATION: KNOWLEDGE ACROSS LIFESPAN-CULTURALLY RESPONSIVE SERVICES-HOUSING: SAFE, ACCESSIBLE, AFFORDABLE, AVAILABLE FOR HOMELESS-TRANSPORTATION: ESPECIALLY FOR MEDICAL CARETHE COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT) HAD AN EXTENSIVE DISCUSSION ABOUT THE FINDINGS BASED ON THE FOLLOWING PRIORITIZATION CRITERION:-HOW WIDESPREAD IS THE HEALTH NEED?-HOW SERIOUS OR IMPORTANT IS THIS HEALTH NEED FOR INDIVIDUALS AND/OR THE COMMUNITY?-WHAT IS THE POTENTIAL FOR MAPLE GROVE HOSPITAL AND COMMUNITY PARTNERS TO HAVE A POSITIVE IMPACT ON THIS HEALTH NEED WITHIN THREE TO FOUR YEARS?AFTER THE DISCUSSION OF THE HEALTH NEEDS, CEAT DECIDED TO TAKE A VERBAL VOTE AND CONTINUE WITH THE HEALTH PRIORITIES IDENTIFIED IN THE PREVIOUS ASSESSMENT, INCLUDING:-MENTAL HEALTH-SUBSTANCE ABUSE-CULTURALLY RESPONSIVE CARENOTE: IN 2016, MENTAL HEALTH AND SUBSTANCE ABUSE WERE COMBINED AS ONE PRIORITY. IN 2019, WE AGREED TO SEPARATE THEM FOR MORE INDIVIDUAL FOCUS.MAPLE GROVE HOSPITAL DEVELOPED AN IMPLEMENTATION PLAN OUTLINING THE STRATEGIES WE WOULD IMPLEMENT TO ADDRESS THESE NEEDS OVER THE NEXT THREE YEARS. THE CONTENT IN THE FOLLOWING SECTIONS OUTLINES THE PRIORITIES, THE STRATEGIES WITHIN EACH PRIORITY AND WHAT WE ACCOMPLISHED IN 2020. PLEASE NOTE THAT 2020 WAS A UNIQUE YEAR WITH OUR TEAMS BEING DEVOTED TO COVID-19. WITH THAT IN MIND, WE NARROWED IN ON THE STRATEGIES THAT WERE MOST CRITICAL AND POSSIBLE TO ADDRESS IN A PANDEMIC. WE ALSO ADJUSTED SOME OF OUR OFFERINGS TO BE VIRTUAL CLASSES AND SUPPORT GROUPS INSTEAD OF THE TRADITIONAL IN PERSON OPTIONS. THIS IS OUTLINED ACCORDINGLY BY PRIORITY.STRATEGIES AND ACTIONS BY PRIORITYPRIORITY ONE: MENTAL HEALTHOUR GOAL IN ADDRESSING MENTAL HEALTH IS TO SUPPORT THE MENTAL HEALTH OF OUR COMMUNITY ALONG THE MENTAL HEALTH CONTINUUM. WE FIRST IDENTIFIED THIS PRIORITY IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. WE CONTINUED STRATEGIES THAT WORKED WELL AND EXPLORED/ADDED NEW STRATEGIES. IT IS IMPORTANT TO NOTE THAT WE PIVOTED IN 2020 TO ENSURE WE COULD ADDRESS THE MENTAL HEALTH NEEDS OF THE COMMUNITY AMIDST A PANDEMIC - MODIFYING EXECUTION OF SOME STRATEGIES TO ACCOUNT FOR LIMITED RESOURCES, THE CONSTRAINTS OF THE PANDEMIC AND THE IMMEDIATE COMMUNITY NEEDS.OBJECTIVES:1. REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH CONDITIONS.2. INCREASE COMMUNITY EDUCATION AROUND MENTAL HEALTH AND HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE DISORDERS AMONG COMMUNITY MEMBERS.3. INCREASE COMMUNITY EDUCATION ABOUT SUICIDE PREVENTION, WITH:-THE COMMUNITY-FIRST RESPONDERS4. SUPPORT COMMUNITY MEMBERS WHO ARE EXPERIENCING A HEALTH ISSUE BY OFFERING COMMUNITY SUPPORT GROUPS.5. REDUCE THE CYCLE OF VIOLENCE AMONG YOUTH WHO ENTER THE EMERGENCY ROOM.6. CONNECT PATIENTS WITH MENTAL ILLNESS TO COMMUNITY SOCIAL SERVICES.7. PROVIDE RESILIENCE SKILLS TO COMMUNITY MEMBERS.8. CONTINUE INVOLVEMENT WITH COMMUNITY ORGANIZATIONS THAT ARE ADDRESSING MENTAL HEALTH AND SOCIAL ISOLATION.STRATEGIES AND ACTIONS (BY OBJECTIVE):1. OBJECTIVE: REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH CONDITIONS.-STRATEGY 1: INCORPORATE THE MAKE IT OKAY MESSAGE INTO ANNUAL EMPLOYEE TRAINING -ACTION: MAPLE GROVE HOSPITAL INCORPORATED THE MAKE IT OKAY MESSAGE INTO THE ANNUAL TEAM MEMBER TRAINING. MAKE IT OKAY IS DESIGNED TO REDUCE STIGMA SURROUNDING MENTAL HEALTH. THIS EDUCATION IS DESIGNED TO EMPOWER OUR TEAM MEMBERS TO FEEL COMFORTABLE ADDRESSING MENTAL HEALTH ISSUES WITH THEIR CUSTOMERS, FAMILY, FRIENDS AND COMMUNITY MEMBERS. -STRATEGY 2: EXPLORE OFFERING MAKE IT OKAY PRESENTATIONS TO OUR TEAM AND COMMUNITY. NOTE: BASED ON LIMITED RESOURCES AND THE CONSTRAINTS OF THE PANDEMIC, THIS WENT ON HOLD IN 2020 AND WAS NOT IMPLEMENTED. WE WILL REVISIT IN THE FUTURE.2. OBJECTIVE: INCREASE COMMUNITY EDUCATION ABOUT MENTAL HEALTH AND HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE DISORDERS AMONG COMMUNITY MEMBERS-STRATEGY 1: OFFER EVIDENCE-BASED MENTAL HEALTH FIRST AID CLASSES TO THE COMMUNITY (INCLUDING YOUTH, ADULT AND OLDER ADULT FIRST AID). -OVERVIEW: THE GOAL OF THESE CLASSES IS TO INCREASE PARTICIPANTS' CONFIDENCE IN ASSISTING A PERSON WITH MENTAL HEALTH ISSUES AND CONNECTING THEM TO PROFESSIONAL RESOURCES. WE PLANNED TWO MENTAL HEALTH FIRST AID CLASSES IN 2020 FOR EACH AUDIENCE: YOUTH, ADULT, AND OLDER ADULTS. THE CLASSES WENT ON HOLD THE FIRST HALF OF THE YEAR DUE TO COVID, THEN WE PIVOTED TO OFFER VIRTUAL THE SECOND HALF OF THE YEAR. -ACTION: WE OFFERED ONE VIRTUAL YOUTH MENTAL HEALTH FIRST AID CLASS IN PARTNERSHIP WITH NAMI ON DECEMBER 12, 2020. EIGHT ATTENDED AND COMPLETED VIRTUAL SESSION. -ACTION: WE ALSO SCHEDULED ONE VIRTUAL OLDER ADULT MENTAL FIRST AID CLASS IN PARTNERSHIP WITH NAMI FOR DECEMBER 2, 2020. WE HAD TO CANCEL THE CLASS BECAUSE THE NATIONAL COUNCIL DID NOT HAVE THE LMS UPDATED WITH THE OLDER ADULT CONTENT.3. OBJECTIVE: INCREASE COMMUNITY EDUCATION AROUND SUICIDE PREVENTION (IN THE COMMUNITY AND WITH FIRST RESPONDERS).-STRATEGY 1: OFFER SAFETALK SUICIDE PREVENTION CLASSES TO THE COMMUNITY. -ACTION: TO REDUCE THE STIGMA AROUND SUICIDE, MAPLE GROVE HOSPITAL PLANNED TO OFFER FOUR SAFETALK SUICIDE PREVENTION CLASSES TO THE COMMUNITY IN 2020. DUE TO COVID, WE WERE NOT ABLE TO OFFER SAFETALK CLASSES. THE LICENSING BODY BELIEVES THERE IS A DANGER IN OFFERING THESE CLASSES VIRTUALLY. -STRATEGY 2: CONDUCT A ZERO SUICIDE ASSESSMENT AND EXPLORE QPR TRAINING. -ACTION: NORTH MEMORIAL HEALTH HOSPITAL CONDUCTED A ZERO SUICIDE ASSESSMENT OF NORTH MEMORIAL HEALTH HOSPITAL. -THE LEAD SOCIAL WORKER FOR THE ZERO SUICIDE ASSESSMENT PARTICIPATED IN MONTHLY ICSI (INSTITUTE FOR CLINICAL SYSTEM IMPROVEMENT) MEETINGS AND TRAININGS (2 HOURS PER MONTH) TO AID IN DEVELOPING OUR FRAMEWORK. -NORTH MEMORIAL HEALTH HOSPITAL MAINTAINED THEIR SUICIDE SCREENING PROCESS IN ED TRIAGE IN 2020. IF A PATIENT SCREENS POSITIVE, THE BEHAVIORAL HEALTH TEAM IS PULLED IN AND THE PATIENT GETS THE SAFET ASSESSMENT. IN 2020, THIS WAS BUILT INTO THE HOSPITAL CLINICAL TEMPLATE. -IF AT ANY TIME A PATIENT MENTIONS THOUGHTS OF SUICIDE, WHILE IN THE HOSPITAL, THE BEHAVIORAL HEALTH TEAM CONDUCTS ANOTHER ASSESSMENT AND DEVELOPS A COMPREHENSIVE SAFETY PLAN. -ACTION: WE HAVE EXPLORED TRAINING SOCIAL WORKERS FROM BOTH HOSPITALS IN QPR (QUESTION, PERSUADE, REFER). FURTHER ASSESSMENT WILL BE CONDUCTED IN 2021.-STRATEGY 2: EXPLORE OFFERING SAFETALK SUICIDE PREVENTION CLASSES TO FIRST RESPONDERS. -ACTION: WE EXPLORED WORKING WITH CODE 3 ON IMPLEMENTING A SERIES OF SAFETALK CLASSES FOR FIRST RESPONDERS POLICE, FIRE, EMS AND DISPATCHERS. CODE 3 DISBANDED DURING COVID-19, SO WE WERE NOT ABLE TO OFFER SAFETALK CLASSES. -ACTION: INSTEAD OF SAFETALK, WE MODIFIED OUR APPROACH TO FIRST RESPONDERS TO INSTEAD FOCUS ON MENTAL HEALTH. WE OFFERED TWO VIRTUAL FIRST RESPONDER MENTAL HEALTH FIRST AID CLASSES IN PARTNERSHIP WITH CENTURY COLLEGE.-WE HOSTED THE FIRST VIRTUAL FIRST RESPONDER MENTAL HEALTH FIRST AID CLASS ON NOVEMBER 4, 2020. 13 EMS AND FIRE FIRST RESPONDERS ATTENDED.-WE HOSTED THE SECOND VIRTUAL FIRST RESPONDER MENTAL HEALTH FIRST AID CLASS ON NOVEMBER 12, 2020, WITH 18 LAW ENFORCEMENT FIRST RESPONDERS.CONTINUED... |
| MAPLE GROVE HOSPITAL CORPORATION | PART V, SECTION B, LINE 13B: CATASTROPHIC CHARITY CARE - PAY NO MORE THAN 25% OF ANNUAL FAMILY INCOME. |
| PART V, SECTION B, LINE 11 CONTINUED: | -THROUGH EVALUATION, THE MAJORITY OF ATTENDEES FELT THE CLASS IMPROVED THEIR KNOWLEDGE OF SIGNS/SYMPTOMS OF MENTAL ILLNESS, DE-ESCALATION TECHNIQUES, AND/OR REFERRAL OPTIONS. 4. OBJECTIVE: SUPPORT COMMUNITY MEMBERS WHO ARE EXPERIENCING A HEALTH ISSUE BY OFFERING COMMUNITY SUPPORT GROUPS.-STRATEGY 1: PROVIDE REGULAR SUPPORT GROUPS FOR PATIENTS, CAREGIVERS AND COMMUNITY MEMBERS WHO ARE EXPERIENCING SPECIFIC HEALTH ISSUES: LUNG, BREAST, HEAD AND NECK, AND PROSTATE CANCER; LEUKEMIA AND LYMPHOMA; STROKE. -ACTION: NORTH MEMORIAL HEALTH OFFERED SUPPORT GROUPS FOR PEOPLE EXPERIENCING SPECIFIC HEALTH ISSUES. -DUE TO COVID-19, SUPPORT GROUPS FOR LUNG CANCER AND PROSTATE CANCER, LOSS SUPPORT GROUPS IN HOSPICE AND PERINATAL LOSS WERE VIRTUAL. AND, WE WERE NOT ABLE TO HOST STROKE OR BREASTFEEDING SUPPORT GROUPS.-WE OFFERED LEUKEMIA AND LYMPHOMA GROUPS THROUGH THE LEUKEMIA AND LYMPHOMA SOCIETY.5. OBJECTIVE: REDUCE THE CYCLE OF VIOLENCE AMONG YOUTH WHO ENTER THE EMERGENCY ROOM.-STRATEGY 1: PARTNER WITH THE CITY OF MINNEAPOLIS AND HENNEPIN HEALTHCARE TO ADMINISTER THE NEXT STEP PROGRAM AT NORTH MEMORIAL HEALTH HOSPITAL.-STRATEGY 2: CONNECT YOUTH WITH COMMUNITY ADVOCATES WHO HELP YOUTH BREAK THE CYCLE OF VIOLENCE. -ACTION (FOR ABOVE TWO STRATEGIES): CONTINUED TO ADMINISTER THE NEXT STEP PROGRAM AT NORTH MEMORIAL HEALTH HOSPITAL IN JANUARY AND FEBRUARY AS WELL AS JUNE THROUGH DECEMBER 2020. A TOTAL OF 128 CUSTOMERS WERE ENROLLED IN 2020 AT NORTH MEMORIAL HEALTH HOSPITAL AND HENNEPIN HEALTH. NEXT STEP WAS NOT SEEING CUSTOMERS IN THE HOSPITAL FROM MARCH TO MAY DUE TO LACK OF PPE. -STRATEGY 3: MEET WITH THE CITY OF MAPLE GROVE TO ASSESS INCREASE IN DOMESTIC VIOLENCE IN THE COMMUNITY. -ACTION: OUR COMMUNITY HEALTH OUTREACH MANAGER AND MAPLE GROVE HOSPITAL CEO MET WITH THE MAPLE GROVE CHIEF OF POLICE AND CITY ADMINISTRATOR TO DISCUSS THE INCREASE IN DOMESTIC VIOLENCE IN MAPLE GROVE IN 2020 AND EXPLORE HOW MAPLE GROVE HOSPITAL COULD SUPPORT. THIS WAS A NEW STRATEGY EXPLORED IN 2020 FOR FURTHER REVIEW IN 2021.6. OBJECTIVE: CONNECT PATIENTS WITH MENTAL ILLNESS TO COMMUNITY SOCIAL SERVICES.-STRATEGY 1: PARTNER WITH VAIL PLACE TO PROVIDE SOCIAL SERVICES TO OUR NORTH MEMORIAL HEALTH HOSPITAL PATIENTS WITH MENTAL ILLNESS WHO NEED SOCIAL SERVICES. -ACTION: IN PARTNERSHIP WITH VAIL PLACE, WE CONNECTED PATIENTS TO SOCIAL SUPPORT, HOUSING, HOME HEALTH SERVICES, JOB PLACEMENT SERVICES, AND A COMMUNITY DROP-IN CENTER. SERVICES WERE MODIFIED TO VIRTUAL. FROM OCTOBER 2019 TO SEPTEMBER 2020:-313 PATIENTS WERE REFERRED TO VAIL PLACE FOR VARIOUS SERVICES -OF THOSE, 249 RECEIVED VAIL CONNECT. 117 RECEIVED RAPID ACCESS.7. OBJECTIVE: PROVIDE RESILIENCE SKILLS TO COMMUNITY MEMBERS-STRATEGY 1: EXPLORE OFFERING COMMUNITY-BASED RESILIENCY TRAINING TO COMMUNITY MEMBERS. -NOTE: DUE TO RESTRICTIONS AND LIMITED RESOURCES DURING COVID-19, WE WERE NOT ABLE TO OFFER COMMUNITY-BASED RESILIENCY TRAINING. -ACTION: INSTEAD, WE EXECUTED A CONTENT STRATEGY THAT OFFERED RESILIENCY TOOLS AND RESOURCES TO HELP THE COMMUNITY MANAGE MENTAL HEALTH AND WELL-BEING DURING A PANDEMIC (WITH EXPERTISE FROM OUR PROVIDERS). THIS INCLUDED:-10 SELF-CARE CONTENT PIECES THAT SERVED AS TOOLS FOR THE COMMUNITY-FIVE BLOGS FROM NMH EXPERTS-THREE VIDEOS FROM NMH EXPERTS-AMPLIFICATION OF THESE TOOLS THROUGH OUR SOCIAL CHANNELS -COORDINATION OF MEDIA EFFORTS TO INCREASE AWARENESS IN MAY (DURING MENTAL HEALTH AWARENESS MONTH)NORTH MEMORIAL HEALTH PARTNERED WITH BLUE CROSS AND BLUE SHIELD OF MN TO DEVELOP SOME OF THIS CONTENT AND DISTRIBUTE THE TOOLS AND RESOURCES MORE BROADLY.8. OBJECTIVE: CONTINUE INVOLVEMENT WITH COMMUNITY ORGANIZATIONS THAT ARE ADDRESSING MENTAL HEALTH AND SOCIAL ISOLATION.-STRATEGY 1: STRENGTHEN COMMUNITY PARTNERSHIPS TO COLLECTIVELY ADDRESS MENTAL HEALTH ISSUES AND SOCIAL CONDITIONS THAT AFFECT MENTAL HEALTH CONDITIONS (CHIP, CCH, LOCAL PUBLIC HEALTH, GOVERNMENT, AND OTHERS). -ACTION: MAINTAIN ACTIVE PARTICIPATION IN THE HENNEPIN COUNTY CHIP AND SOCIAL ISOLATION WORKGROUP. THE MANAGER OF COMMUNITY HEALTH ATTENDED VIRTUAL MEETINGS ON COMMUNITY MENTAL HEALTH AND HOUSING STABILITY AS APPROPRIATE. -ACTION: CONTINUED ACTIVE INVOLVEMENT WITH THE CENTER FOR COMMUNITY HEALTH COLLECTIVE ACTION GROUP. THE COMMUNITY HEALTH OUTREACH MANAGER REPRESENTED THE SYSTEM AT THE 2020 MEETINGS WHERE APPROPRIATE.-STRATEGY 2: CONTINUE TO LOOK FOR OTHER COMMUNITY PARTNERS WORKING IN THIS AREA. -ACTION: MANAGER OF COMMUNITY HEALTH OUTREACH EXPLORED LOCAL ORGANIZATIONS THAT COULD HELP MEET THE MENTAL HEALTH NEEDS OF THE COMMUNITY. -ACTION: THE MANAGER OF COMMUNITY HEALTH JOINED THE NORTHWEST HENNEPIN FAMILY SERVICE COLLABORATIVE GOVERNANCE BOARD AND THE COMMUNITY RESILIENCY TASK FORCE. THIS TASK FORCE IS RESPONSIBLE FOR GETTING COMMUNITY INPUT ON RESILIENCE AND HOW TO MEET THE NEEDS OF THE COMMUNITY. PRIORITY TWO: SUBSTANCE ABUSEOUR GOAL IN ADDRESSING SUBSTANCE ABUSE IS TO CREATE AN ENVIRONMENT WHERE EDUCATION AROUND SUBSTANCE ABUSE IS PROVIDED, ENVIRONMENTAL SUPPORTS TO REDUCE ACCESS TO MEDICATIONS ARE IN PLACE AND PARTNERSHIPS WITHIN THE HEALTHCARE SYSTEM SUPPORT BEST PRACTICES. WE FIRST IDENTIFIED THIS PRIORITY IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. WE ARE CONTINUING THE STRATEGIES THAT WORKED WELL AND EXPLORING NEW STRATEGIES. THIS PRIORITY WAS IMPACTED THE MOST BY THE PANDEMIC AND DELAYED COMPLETION OF OBJECTIVES. OBJECTIVES:1. INCREASE AWARENESS AND EDUCATION AROUND THE DANGERS OF SUBSTANCE ABUSE AMONG YOUTH AND YOUNG ADULTS, AS WELL AS THE ACTIVITIES THAT ADDRESS THESE ISSUES INCLUDING ANTI-VAPING EDUCATION.2. USE COMMUNITY PARTNERSHIPS TO PROVIDE EDUCATION AROUND SUBSTANCE ABUSE AND ENVIRONMENTAL SUPPORTS TO REDUCE ACCESS TO MEDICATION.3. IMPROVE ACCESS TO ADDICTION SERVICES.4. ENSURE PROVIDERS CAN PRESCRIBE RESPONSIBLY AND COMPLIANTLY FOR PREVENTION AND MANAGING SUBSTANCE USE DISORDER.5. REDUCE THE NUMBER OF DEATHS FROM OPIOID OVERDOSE.STRATEGIES AND ACTIONS (BY OBJECTIVE):1. OBJECTIVE: INCREASE AWARENESS AND EDUCATION AROUND THE DANGERS OF SUBSTANCE ABUSE AMONG YOUTH AND YOUNG ADULTS, AS WELL AS THE ACTIVITIES THAT ADDRESS THESE ISSUES INCLUDING ANTI-VAPING EDUCATION.-STRATEGY 1: PARTNER WITH PARTNERS IN PREVENTION TO INCREASE AWARENESS AND EDUCATION OF SUBSTANCE ABUSE. -ACTION: OUR COMMUNITY HEALTH MANAGER CONTINUED TO PARTNER WITH THIS ORGANIZATION AND SAT ON THE PARTNER'S IN PREVENTION'S EXECUTIVE COMMITTEE. -RECRUITED DIRECTOR OF PARTNERS IN PREVENTION TO JOIN THE MGH CEAT TEAM STARTING IN 2021.-STRATEGY 2: PROVIDE FINANCIAL SUPPORT FOR APPLICABLE PARTNERS IN PREVENTION CAMPAIGNS -ACTION: MAPLE GROVE HOSPITAL PLANNED TO FINANCIALLY SUPPORT THE PARTNERS IN PREVENTION'S ANTI-VAPING AND POSITIVE COMMUNITY NORMS CAMPAIGNS WHICH USES MINNESOTA STUDENT SURVEY DATA TO EDUCATE YOUTH ON THEIR PEER'S VIEWS AROUND SUBSTANCE ABUSE.-ANTI-VAPING CAMPAIGN AND POSITIVE COMMUNITY NORMS CAMPAIGN WERE PUT ON HOLD DUE TO COVID-19. MGH WAS NOT ASKED FOR FINANCIAL. 2. OBJECTIVE: USE COMMUNITY PARTNERSHIPS TO PROVIDE EDUCATION AROUND SUBSTANCE ABUSE AND ENVIRONMENTAL SUPPORTS TO REDUCE ACCESS TO MEDICATION.-STRATEGY 1: PROVIDE STAFF TO HELP COORDINATE THE WORK OF PARTNERSHIP FOR CHANGE. -ACTION: PARTNERSHIP FOR CHANGE WAS ON HOLD DURING COVID - WORK WILL BE REVISITED POST-COVID.-STRATEGY 2: CONTINUE TO ASSESS COMMUNITY NEED FOR MEDICINE DROP BOXES AND PLACE BOXES WHERE APPROPRIATE (MEDICINE ABUSE PREVENTION WORKGROUP). -ACTION: NORTH MEMORIAL HEALTH COMMUNITY HEALTH MANAGER EXPLORED AND ASSESSED POSSIBLE NEW LOCATIONS FOR MEDICINE DROP BOXES. SHE OUTREACHED TO THE MAYOR OF NEW HOPE AND THE PLYMOUTH POLICE CHIEF. -NEW HOPE EXPRESSED INTEREST AND WILL BE REVISITED Q1 2021. -PLYMOUTH POLICE DEPARTMENT TO BE EXPLORED FURTHER IN Q4 2021. -STRATEGY 3: ORGANIZE AN OPIOID CONFERENCE FOR PROVIDERS AND THE COMMUNITY. -ACTION: 2020 OPIOID CONFERENCE POSTPONED DUE TO COVID-19. TO BE EXPLORED FURTHER IN 2021.3. OBJECTIVE: IMPROVE ACCESS TO ADDICTION SERVICES.-STRATEGY 1: INTEGRATE ADDICTION SERVICES WITH NORTH MEMORIAL HEALTH PRIMARY CARE -ACTION: MENTAL HEALTH CLINIC STAFF CONTINUE TO ADDRESS SUBSTANCE USE ISSUES (WHEN APPROPRIATE) IN INDIVIDUAL APPOINTMENTS AND PROGRAMMING. THAT SAID, THIS PROGRAMMING IS NOT SUBSTANCE USE DISORDER SPECIFIC. WE OFFER PROVIDERS WITH EXPERIENCE IN SUBSTANCE USE TREATMENT, AS WELL AS TWO CLINIC OUTPATIENT PROVIDERS THAT ARE LADC CERTIFIED.CONTINUED... |
| PART V, SECTION B, LINE 11 CONTINUED: | 4. OBJECTIVE: ENSURE PROVIDERS CAN PRESCRIBE RESPONSIBLY AND COMPLIANTLY FOR PREVENTION AND MANAGING SUBSTANCE USE DISORDER.-STRATEGY 1: MAINTAIN THE PRESCRIPTION DRUG MONITORING PROGRAM (PDMP) -ACTION: IN 2019, NORTH MEMORIAL HEALTH MADE IT EASIER FOR PROVIDERS TO ACCESS EXTERNAL DRUG PROGRAM INFORMATION BY IMPLEMENTING EPIC (APPRISS) WHICH REMOVED STEPS IN THE PROCESS TO REVIEW PRESCRIBING HISTORY. THE COVID PANDEMIC LIMITED OUR ABILITY TO MANAGE THE USE OF THIS TOOL IN 2020, ESPECIALLY WITH OUR CLINICAL PRACTICE COUNCIL MEETINGS ON HOLD IN 2020 DUE TO COVID. 5. OBJECTIVE: REDUCE THE NUMBER OF DEATHS FROM OPIOID OVERDOSE -STRATEGY 1: MAINTAIN ED MEDICATION ASSISTED THERAPY (MAT) PATHWAY -NOTE: COVID-19 AND THE UNAVAILABILITY OF THE BROADWAY FAMILY MEDICINE LOCATION DUE TO CIVIL UNREST RESULTED IN DIFFICULTY IN TRACKING PROGRESS AND INCREASING UTILIZATION OF THE MAT PATHWAY. REPRIORITIZING THIS STRATEGY INTO 2021.PRIORITY THREE: HEALTH AGING OUR GOALS IN ADDRESSING HEALTHY AGING IS TO WORK WITH LOCAL GOVERNMENT, OTHER HEALTHCARE SYSTEMS, SOCIAL SERVICE PROVIDERS AND COMMUNITY MEMBERS TO CREATE AN ENVIRONMENT WHERE OUR AGING POPULATION CAN HAVE ACCESS TO THE PROGRAMS AND SERVICES NEEDED TO AGE IN PLACE.THIS COMMUNITY HEALTH NEED PRIORITY WAS FIRST IDENTIFIED IN THE 2016 NEEDS ASSESSMENT. WE ARE CONTINUING SOME STRATEGIES AND EXPLORING NEW STRATEGIES.OBJECTIVES:1. ADDRESS COMMUNITY-BASED INFRASTRUCTURAL CHALLENGES THAT CREATE BARRIERS TO HEALTH AGING IN MAPLE GROVE.2. ASSIST BROOKLYN PARK'S PARK AND RECREATION SENIOR PROGRAM TEAM IN IDENTIFYING HEALTHY AGING OPPORTUNITIES.3. INCREASE EDUCATION ABOUT THE IMPORTANCE OF ADVANCE CARE PLANNING TO SENIORS IN THE COMMUNITY.4. INCREASE EDUCATION ABOUT FALLS PREVENTION TO SENIORS IN THE COMMUNITY.5. INCREASE EDUCATION ABOUT THE IMPORTANCE OF CHRONIC DISEASE MANAGEMENT AND PREVENTION TO SENIORS.6. PROVIDE COMMUNITY EDUCATION ON IDENTIFIED HEALTH PRIORITIES AT COMMUNITY EVENTS.7. INCREASE COMMUNITY EDUCATION ABOUT OLDER ADULT MENTAL HEALTH, HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE USE DISORDERS AMONG OLDER ADULTS.STRATEGIES AND ACTIONS (BY OBJECTIVE):1. OBJECTIVE: ADDRESS COMMUNITY-BASED INFRASTRUCTURAL CHALLENGES THAT CREATE BARRIERS TO HEALTH AGING IN MAPLE GROVE.-STRATEGY 1: PARTICIPATE IN AGE-FRIENDLY MAPLE GROVE LEADERSHIP COMMITTEE -ACTION: OUR MANAGER OF COMMUNITY HEALTH OUTREACH SAT ON THE AGE-FRIENDLY MAPLE GROVE LEADERSHIP COMMITTEE, ATTENDING VIRTUAL MEETINGS AND CHAIRING THE HEALTH AND SOCIAL SERVICE SUB-COMMITTEE WITH MONTHLY MEETINGS. -STRATEGY 2: PROVIDE FINANCIAL ASSISTANCE TO AGE-FRIENDLY MAPLE GROVE. -ACTION: MAPLE GROVE HOSPITAL ONCE AGAIN PROVIDED FINANCIAL ASSISTANCE (IN THE AMOUNT OF $2,000) TO AGE-FRIENDLY MAPLE GROVE TO SUPPORT THEIR NEEDS AS THEY ADDRESS BARRIERS TO HEALTH AGING IN MAPLE GROVE-STRATEGY 3: REINFORCE HEALTHY AGING IN PARTNERSHIP WITH THE CITY OF MAPLE GROVE. -ACTION: MAPLE GROVE HOSPITAL PLANNED TO PARTICIPATE IN THE MAPLE GROVE FARMER'S MARKET AS A SPONSOR AND HIGHLIGHT HEALTHY AGING DURING ONE WEEK IN SEPTEMBER. DUE TO COVID-19, WE WERE NOT ABLE TO BE AT THE MAPLE GROVE FARMERS MARKET WITH TEAM MEMBERS. 2. OBJECTIVE: ASSIST BROOKLYN PARK'S PARK AND RECREATION SENIOR PROGRAM TEAM IN IDENTIFYING HEALTHY AGING OPPORTUNITIES.-STRATEGY 1: DEVELOP A PARTNERSHIP WITH BROOKLYN PARK AROUND HEALTHY AGING. -ACTION: STRENGTHENED RELATIONSHIP WITH THE CITY OF BROOKLYN PARK AND GAINED REPRESENTATION FROM THE CITY ON MGH CEAT.-STRATEGY 2: EXPLORE OFFERING COMMUNITY EDUCATION CLASSES, IN PARTNERSHIP WITH BROOKLYN PARK'S PARK AND RECREATION SENIOR PROGRAM STAFF, THAT ASSIST SENIORS TO LEAD HEALTHY LIVES. -ACTION: OFFERED VIRTUAL ADVANCED CARE PLANNING AND CHRONIC DISEASE CLASSES. 3. OBJECTIVE: INCREASE EDUCATION ABOUT THE IMPORTANCE OF ADVANCE CARE PLANNING TO SENIORS IN THE COMMUNITY.-STRATEGY 1: OFFER A MINIMAL OF FOUR ADVANCE CARE PLANNING PRESENTATIONS TO THE COMMUNITY IN A CALENDAR YEAR (TWO CLASSES AT MAPLE GROVE HOSPITAL AND TWO AT THE MAPLE GROVE COMMUNITY CENTER). -ACTION: DUE TO COVID-19, WE MODIFIED THIS STRATEGY TO FOCUS ON VIRTUAL CLASSES. WE PROVIDED CONTENT THROUGH AN ONLINE FORUM ALLOWING IT TO BE OFFERED IN A 60-MINUTE TIMEFRAME. THE PLAN WAS TO OFFER A RANGE OF TOPICS, INCLUDING: HOW TO WRITE A HEALTH CARE DIRECTIVE; HOW TO DEVELOP AN ADVANCED CARE PLAN DURING A PANDEMIC; HOW TO TALK TO PEOPLE YOU LOVE AND TRUST ABOUT HARD MEDICAL DECISIONS. ALL CLASSES WERE AVAILABLE FREE USING A TELEPHONE OR BY LOGGING INTO ZOOM.US.-IN 2020, WE OFFERED FOUR VIRTUAL CLASSES FOR A TOTAL OF 8 ATTENDEES.4. OBJECTIVE: INCREASE EDUCATION ABOUT FALLS PREVENTION TO SENIORS IN THE COMMUNITY.-STRATEGY 1: OFFER AT LEAST TWO STEPPING ON FALLS PREVENTION CLASSES TO SENIORS IN THE COMMUNITY IN A CALENDAR YEAR. (ONE CLASS AT MAPLE GROVE HOSPITAL AND ONE AT THE MAPLE GROVE COMMUNITY CENTER) -NOTE: THESE CLASSES WERE PUT ON HOLD IN 2020. STEPPING ON FALLS PREVENTION CLASSES CANNOT BE OFFERED VIRTUALLY PER LICENSING AGENCY. 5. OBJECTIVE: INCREASE EDUCATION ABOUT THE IMPORTANCE OF CHRONIC DISEASE MANAGEMENT AND PREVENTION TO SENIORS.-STRATEGY 1: OFFER AT LEAST THREE CHRONIC DISEASE MANAGEMENT PRESENTATIONS TO THE COMMUNITY IN A CALENDAR YEAR -ACTION: OFFERED VIRTUAL CHRONIC DISEASE CLASSES DUE TO COVID-19. A VIRTUAL CHRONIC DISEASE SELF-MANAGEMENT CLASS WAS OFFERED IN AUGUST 2020. -THREE PEOPLE STARTED THE CLASS AND TWO COMPLETED IT. -NOTE: WE WERE ABLE TO EXPAND OUR GEOGRAPHIC REACH WITH THE VIRTUAL OPTION.6. OBJECTIVE: PROVIDE COMMUNITY EDUCATION ON IDENTIFIED HEALTH PRIORITIES AT COMMUNITY EVENTS-STRATEGY 1: PARTICIPATE IN THE MAPLE GROVE FARMER'S MARKET, UTILIZING TWO DATES TO PROVIDE COMMUNITY HEALTH EDUCATION (ON TOPICS LIKE FALLS PREVENTION, ADVANCE CARE PLANNING, CHRONIC DISEASE MANAGEMENT). -NOTE: MAPLE GROVE HOSPITAL PLANNED TO PARTICIPATE IN THE MAPLE GROVE FARMER'S MARKET AS A SPONSOR AND HIGHLIGHT HEALTHY AGING DURING ONE WEEK IN SEPTEMBER. DUE TO COVID-19, WE WERE NOT ABLE ATTEND THE MAPLE GROVE FARMERS MARKET. THAT SAID, WE REMAINED A SPONSOR AND FOCUSED PROVIDING COVID SAFETY MESSAGES. 7. OBJECTIVE: INCREASE COMMUNITY EDUCATION OF OLDER ADULT MENTAL HEALTH, HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE USE DISORDERS AMONG OLDER ADULTS.-STRATEGY 1: OFFER EVIDENCE-BASED MENTAL HEALTH FIRST AID CLASSES TO OLDER ADULTS -OVERVIEW: AS NOTED ABOVE, THE GOAL OF THESE CLASSES IS TO INCREASE PARTICIPANTS' CONFIDENCE IN ASSISTING A PERSON WITH MENTAL HEALTH ISSUES AND CONNECTING THEM TO PROFESSIONAL RESOURCES. WE HAD INITIALLY PLANNED TO TWO MENTAL HEALTH FIRST AID CLASSES IN 2020 FOR OLDER ADULTS. -ACTION: WE SCHEDULED ONE VIRTUAL OLDER ADULT MENTAL FIRST AID CLASS IN PARTNERSHIP WITH NAMI FOR DECEMBER 2, 2020. WE HAD TO CANCEL THE CLASS BECAUSE NATIONAL COUNCIL DID NOT HAVE THE LMS UPDATED WITH THE OLDER ADULT CONTENT. -ACTION: WE DEVELOPED EDUCATIONAL CONTENT FOR THE MG CITY FOCUS NEWSLETTER WINTER EDITION THAT FOCUSED ON SENIOR DEPRESSION DURING COVID-19. -ACTION: AS PART OF IMPACT DAY OUR ORGANIZATION PARTNERED WITH A SENIOR COMMUNITY CENTER TO HAVE TEAM MEMBERS IN OUR ORGANIZATION WRITE LETTERS TO SENIORS TO HELP WITH SOCIAL ISOLATION.HEALTH NEEDS NOT SELECTED AS FOCUS AREASTHE HEALTH PRIORITIES NOT BEING ADDRESSED DIRECTLY INCLUDE:-HELPING THE COMMUNITY ACCESS HEALTH CARE AND COMMUNITY RESOURCES-COMPREHENSIVE CARE-PREVENTION/EDUCATION: KNOWLEDGE ACROSS LIFESPAN-CULTURALLY RESPONSIVE SERVICES-HOUSING: SAFE, ACCESSIBLE, AFFORDABLE, AVAILABLE FOR HOMELESS-TRANSPORTATION: ESPECIALLY FOR MEDICAL CARETHE COMMUNITY ENGAGEMENT ADVISORY TEAM FELT THAT WE NEEDED TO FOCUS OUR ATTENTION ON OUR TOP THREE PRIORITIES TO DRIVE MEANINGFUL CHANGE. CULTURALLY RESPONSIVE CARE IS BEING ADDRESSED BY NORTH MEMORIAL HEALTH HOSPITAL AND OUR SYSTEM-WIDE DEI EFFORTS WHICH WILL IMPACT MGH AND OUR COMMUNITY. |
| PART V, SECTION B, LINE 7A & 10A: | THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN HAVE BEEN POSTED ONLINE AT:HTTPS://NORTHMEMORIAL.COM/LOCATION/MAPLE-GROVE-HOSPITAL/ |
| PART V, SECTION B, LINE 16: | FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://NORTHMEMORIAL.COM/FINANCIAL-ASSISTANCE/ |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 2: | AMOUNT REPRESENTS THE HOSPITAL'S BAD DEBT PROVISION REDUCED BY THE HOSPITAL'S COST TO CHARGE RATIO WHICH REPRESENTS THE BEST ESTIMATE OF COST FOR THE BAD DEBT PROVISION. |
| PART III, LINE 4: | MAPLE GROVE HOSPITAL'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DESCRIPTION ABOUT BAD DEBT EXPENSE. THE COST TO CHARGE RATIO WAS USED TO DETERMINE THE AMOUNT ON PART III, SECTION A, LINE 2. WE DO NOT HAVE THE INFORMATION NECESSARY TO DETERMINE WHICH PORTION OF THE AMOUNT REPORTED ON LINE 2 IS COMMUNITY BENEFIT. |
| PART III, LINE 8: | THE SHORTFALL REPORTED REPRESENTS THE AMOUNT THE MEDICARE REIMBURSEMENT IS LESS THAN THE ESTIMATED COST OF PROVIDING SERVICES TO THOSE PATIENTS. THE METHOD USED TO ESTIMATE THOSE COSTS IS THE COST TO CHARGE RATIO APPROACH WHICH CALCULATES THE RATIO OF TOTAL HOSPITAL COSTS / TOTAL HOSPITAL GROSS REVENUE AND THEM APPLIES THAT RATIO TO TOTAL MEDICARE GROSS REVENUE. |
| PART III, LINE 9B: | MAPLE GROVE HOSPITAL CORPORATION HAS POLICIES AND PROCEDURES IN PLACE FOR COLLECTION PRACTICES THAT INCLUDE IDENTIFICATION AND SCREENING FOR CHARITY CARE AND FINANCIAL ASSISTANCE. THE POLICIES ARE AVAILABLE ON THE ORGANIZATION'S INTRANET AND EACH PATIENT IS GIVEN A BROCHURE UPON ADMISSION. |
| PART VI, LINE 2: | MAPLE GROVE HOSPITAL WORKS CLOSELY WITH COMMUNITY MEMBERS TO DETERMINE AREAS OF INTEREST AND NEED IN HEALTHCARE SERVICES. (A NEW COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN 2019. WE ARE CURRENTLY ADDRESSING THE NEEDS IDENTIFIED IN OUR 2019 COMMUNITY HEALTH NEEDS ASSESSMENT.) |
| PART VI, LINE 3: | MAPLE GROVE HOSPITAL HAS A VERY PROACTIVE PROGRAM TO ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH THEIR MEDICAL BILLS. WE COMPLY WITH THE ATTORNEY GENERAL'S REQUIREMENT TO PROVIDE A DISCOUNT TO UNINSURED MINNESOTA RESIDENTS AS WELL AS A FINANCIAL ASSISTANCE PROGRAM FOR FINANCIALLY QUALIFIED PATIENTS. WE HAVE PATIENT FINANCIAL ADVOCATES AS WELL AS A CONTRACTED VENDOR THAT MEETS WITH ALL OF OUR UNINSURED INPATIENTS AND SPECIFIC OUTPATIENTS TO ASSIST THEM IN MEDICAL ASSISTANCE ELIGIBILITY AND APPLICATIONS. THIS COULD INCLUDE A VISIT TO THEIR RESIDENCE IF THEY NEED HELP IN COMPLETING ASSISTANCE APPLICATIONS. SHOULD THEY NOT QUALIFY FOR STATE OR FEDERAL ASSISTANCE PROGRAMS, WE OFFER AND ASSIST THEM IN APPLYING FOR THE HOSPITAL'S FINANCIAL ASSISTANCE (CHARITY CARE) PROGRAM.IN ADDITION, OUR INTERNAL COLLECTIONS DEPARTMENT AND OUR COLLECTION AGENCIES ARE WELL VERSED IN OUR ASSISTANCE PROGRAMS AND WILL ASSESS DURING THEIR CONVERSATIONS WITH PATIENTS IF REFERRAL TO EITHER A STATE OR FEDERAL PROGRAM OR OUR CHARITY CARE PROGRAM WOULD BE APPROPRIATE. |
| PART VI, LINE 4: | WE SERVE A 27 ZIP-CODE AREA IN THE NORTHWEST SIDE OF THE TWIN CITIES METRO. THIS IS BASED ON THE HOME ZIP CODES FOR 75% OF OUR INPATIENT POPULATION, EXCLUDING NEWBORNS AND NEONATES. WE WORK WITH THE COMMUNITY TO ADDRESS COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. |
| PART VI, LINE 5: | MAPLE GROVE HOSPITAL PROVIDES EDUCATIONAL RESOURCES FOR COMMUNITY MEMBERS SUCH AS CLASSES ON HEALTH CARE DIRECTIVES, KIDS SAFETY FAIRS AND SEMINARS ON HEALTH TOPICS. |
| PART VI, LINE 6: | MAPLE GROVE HOSPITAL IS A PART OF NORTH MEMORIAL HEALTH SYSTEM, WHICH IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. THROUGH TARGETED OUTREACH, EDUCATION AND PARTNERSHIPS, WE IMPROVE THE HEALTH OF OUR COMMUNITIES BY LISTENING TO THEIR NEEDS AND RESPONDING WITH APPROPRIATE PROGRAMS AND SERVICES. OUR PROGRAMS, MANY OF WHICH HAVE BEEN NATIONALLY RECOGNIZED, RANGE FROM HEALTH EDUCATION AND FREE SCREENING TO TRAINING HEALTH PROFESSIONALS. |
| PART VI, LINE 7: | MAPLE GROVE HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF MINNESOTA. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| J KEVIN CROSTON MD | ||||||||||||||
| BOARD CHAIR | $0 | $947,216 | $0 | $473,587 | $0 | $13,158 | $0 | $19,950 | $0 | $28,962 | $0 | $1,482,873 | $0 | $0 |
| SAMANTHA HANSON | ||||||||||||||
| DIRECTOR | $0 | $445,651 | $0 | $146,846 | $0 | $3,772 | $0 | $19,950 | $0 | $27,144 | $0 | $643,363 | $0 | $0 |
| CAROLYN OGLAND VUKICH | ||||||||||||||
| DIRECTOR | $0 | $450,086 | $0 | $133,005 | $0 | $9,859 | $0 | $19,950 | $0 | $24,075 | $0 | $636,975 | $0 | $0 |
| ANDREW COCHRANE | ||||||||||||||
| CHIEF HOSPITAL OFFICER | $0 | $420,503 | $0 | $142,871 | $0 | $4,122 | $0 | $19,950 | $0 | $28,192 | $0 | $615,638 | $0 | $0 |
| AARON BLOOMQUIST | ||||||||||||||
| TREASURER (THRU 05/2020) | $0 | $185,048 | $0 | $63,434 | $0 | $243,883 | $0 | $17,396 | $0 | $5,105 | $0 | $514,866 | $0 | $0 |
| JEFF WICKLANDER | ||||||||||||||
| DIRECTOR (THRU 10/2020) | $0 | $346,269 | $0 | $78,746 | $0 | $2,297 | $0 | $19,950 | $0 | $25,409 | $0 | $472,671 | $0 | $0 |
| PAMELA DOORENBOS MD | ||||||||||||||
| VP MEDICAL AFFAIRS | $294,867 | $0 | $79,947 | $0 | $0 | $0 | $11,400 | $0 | $9,556 | $0 | $395,770 | $0 | $0 | $0 |
| WENDY ULFERTS | ||||||||||||||
| VP PATIENT CARE/ CNO | $242,539 | $0 | $66,930 | $0 | $0 | $0 | $11,400 | $0 | $19,637 | $0 | $340,506 | $0 | $0 | $0 |
| DAN FROMM | ||||||||||||||
| TREASURER (FROM JUNE 2020) | $0 | $215,100 | $0 | $33,751 | $0 | $1,761 | $0 | $8,966 | $0 | $11,774 | $0 | $271,352 | $0 | $0 |
| FAITH ZWIRCHITZ | ||||||||||||||
| DIRECTOR, WOMEN'S & CHILDREN'S | $175,715 | $0 | $33,204 | $0 | $139 | $0 | $8,614 | $0 | $18,232 | $0 | $235,904 | $0 | $0 | $0 |
| JANET ANGELL | ||||||||||||||
| DIRECTOR OF PROCEDURAL CARE | $175,580 | $0 | $31,200 | $0 | $610 | $0 | $8,526 | $0 | $12,938 | $0 | $228,854 | $0 | $0 | $0 |
| SHERRY COLUCCI | ||||||||||||||
| MULTI SPEC TECH | $181,107 | $0 | $1,298 | $0 | $208 | $0 | $0 | $0 | $8,185 | $0 | $190,798 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE CHIEF EXECUTIVE OFFICER IS AN EMPLOYEE OF NORTH MEMORIAL HEALTH CARE. OTHER BOARD MEMBERS LISTED WITH COMPENSATION FROM A RELATED ORGANIZATION ARE OFFICERS AND KEY EMPLOYEES OF NORTH MEMORIAL HEALTH CARE WHO PROVIDE SERVICES TO MAPLE GROVE HOSPITAL AS WELL AS TO ALL OR SOME RELATED ENTITIES AS IDENTIFIED ON SCHEDULE R. AS SUCH, THEIR COMPENSATION LEVELS INCORPORATE SERVICES PROVIDED TO MULTIPLE NORTH MEMORIAL ENTITIES. |
| PART I, LINE 4A | AARON BLOOMQUIST RECEIVED A SEVERANCE PAYMENT OF $242,308 IN 2020, WHICH IS INCLUDED IN PART II, COLUMN B(III). |
| PART I, LINE 6 | NORTH MEMORIAL HEALTH CARE'S ANNUAL INCENTIVE PLAN REQUIRES ACHIEVEMENT OF STATED PERFORMANCE METRICS, WHICH INCLUDE OPERATING CASH FLOW MARGIN. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF MAPLE GROVE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 410873250 | BondIssuerEIN |
| CUSIP | 56516TBU8 | CUSIPNum |
| Bond Issued | 2017-05-25 | BondIssuedDt |
| Issue Price | $128,801,633 | IssuePriceAmt |
| Purpose | REFUNDING OF 2007 BOND SERIES | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | Yes (1) | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $11,805,000 | RetiredAmt |
| Total Proceeds | $128,801,633 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $1,020,988 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $127,780,645 | OtherSpentProceedsAmt |
| Substantial Completion | 2017 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | NORTH MEMORIAL HEALTH CARE, A RELATED PARTY, PERFORMS MANAGEMENT DUTIES ON BEHALF OF MAPLE GROVE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 6 | MAPLE GROVE HOSPITAL HAS ONE CLASS OF MEMBERS. NORTH MEMORIAL HEALTH CARE ("NORTH MEMORIAL") AND FAIRVIEW HEALTH SERVICES ("FAIRVIEW") ARE THE ONLY MEMBERS OF THE CORPORATION AND BOTH MEMBERS ARE NONPROFIT, TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS IS COMPRISED OF SEVEN VOTING DIRECTORS AND ONE NON-VOTING DIRECTOR, AS FOLLOWS: (A) THE CHIEF EXECUTIVE OFFICER OF NORTH MEMORIAL AND FOUR OTHER DIRECTORS APPOINTED ANNUALLY BY NORTH MEMORIAL, (B) THE CHIEF EXECUTIVE OFFICER OF FAIRVIEW AND ONE OTHER DIRECTOR APPOINTED ANNUALLY BY FAIRVIEW AND (C) THE MAPLE GROVE HOSPITAL CHIEF EXECUTIVE OFFICER. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBERS, AND ONLY THE MEMBERS, MAY TAKE DIRECT ACTION ON THE FOLLOWING MATTERS BY UNANIMOUS MEMBER APPROVAL: (A) AMENDMENTS TO THE ARTICLES OF INCORPORATION; (B) AMENDMENTS TO THE BYLAWS; (C) MERGER OR CONSOLIDATION OF THE CORPORATION (D) SALE, LEASE OR TRANSFER OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (E) JOINT VENTURES AFFECTING SUBSTANTIALLY ALL OF THE ASSETS OR OPERATIONS OF THE CORPORATION; (F) DETERMINATION OF THE NAME UNDER WHICH THE HOSPITAL CONDUCTS BUSINESS; (G) CERTAIN MORTGAGES OR OTHER SECURITY INTERESTS; (H) ISSUANCE OF CAPITAL CALLS; AND (I) DISSOLUTION AND LIQUIDATION OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD OF DIRECTORS REVIEW THE FORM 990 BEFORE IT IS FILED. REPRESENTATIVES FROM THE HOSPITAL'S INDEPENDENT ACCOUNTING FIRM REVIEW THE FORM 990 WITH THE MANAGEMENT COMPANY IN DETAIL AND NOTES FOR THE BOARD ANY CHANGES IN THE FORM 990 FROM PRIOR YEARS. AFTER THOROUGH DISCUSSION, THE BOARD APPROVES THE FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL MEMBERS OF THE BOARD OF DIRECTORS AND ALL EMPLOYEES RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY EACH YEAR. EACH BOARD MEMBER AND STAFF MEMBER FILLS OUT A CONFLICT OF INTEREST QUESTIONNAIRE IN WHICH THEY ARE ASKED TO IDENTIFY ANY RELATIONSHIP THAT WOULD CREATE A CONFLICT OF INTEREST. THE RESULTS ARE SUMMARIZED AND REVIEWED TO DETERMINE ANY ACTUAL OR POTENTIAL CONFLICT AND ARE REPORTED TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR KEY POSITIONS ARE REVIEWED BY THE EXECUTIVE COMMITTEE OF NORTH MEMORIAL WORKING IN CONJUNCTION WITH AN OUTSIDE CONSULTANT. THE EXECUTIVE COMMITTEE OF NORTH MEMORIAL INSURES THAT THE SALARY AND BENEFIT ADMINISTRATION REVIEW PROCESS IS BEING FOLLOWED, WHICH INCLUDES SALARY AND BENEFIT SURVEYS AND COMPARISONS OF ALL POSITIONS. THE CEO'S COMPENSATION IS SENT TO THE FULL BOARD FOR APPROVAL. THE COMPENSATION OF ALL OTHER KEY POSITIONS IS APPROVED BY THE CEO. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE ONLINE THROUGH THE OFFICE OF THE ATTORNEY GENERAL VIA THE CHARITY REPORT FILED WITH THE STATE OF MINNESOTA. |
| FORM 990, PART IX, LINE 11G | MEDICAL FEES: PROGRAM SERVICE EXPENSES 12,269,417. MANAGEMENT AND GENERAL EXPENSES 2,053,755. TOTAL EXPENSES 14,323,172. COLLECTION AGENCY FEES: PROGRAM SERVICE EXPENSES 634,691. MANAGEMENT AND GENERAL EXPENSES 106,240. TOTAL EXPENSES 740,931. LAUNDRY FEES: PROGRAM SERVICE EXPENSES 594,450. MANAGEMENT AND GENERAL EXPENSES 99,504. TOTAL EXPENSES 693,954. MISCELLANEOUS PURCHASED FEES: PROGRAM SERVICE EXPENSES 1,155,026. MANAGEMENT AND GENERAL EXPENSES 193,338. TOTAL EXPENSES 1,348,364. CONSULTING: PROGRAM SERVICE EXPENSES 3,724,860. MANAGEMENT AND GENERAL EXPENSES 623,497. TOTAL EXPENSES 4,348,357. |
| FORM 990, PART XI, LINE 9: | RETURN OF CAPITAL TO NORTH MEMORIAL HEALTH CARE -12,000,000. RETURN OF CAPITAL TO FAIRVIEW -4,000,000. |
| FORM 990, PART XII, LINE 2C: | NEITHER THE OVERSIGHT PROCESS OF THE AUDIT OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE CURRENT TAX YEAR. |
| FORM 990, PART XI, LINE 9: | RETURN OF CAPITAL TO MEMBERS: A RETURN OF CAPITAL IN THE AMOUNT OF $16,000,000 WAS MADE TO THE MEMBERS OF THE ORGANIZATION. THE MEMBERS CONSIST OF NORTH MEMORIAL HEATH CARE AND FAIRVIEW HEALTH SERVICES. ALL MEMBERS ARE REQUIRED TO BE NON-PROFIT, TAX EXEMPT ORGANIZATIONS UNDER IRC SECTION 501(C)(3) PER THE BYLAWS OF THE ORGANIZATION. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH MEMORIAL HEALTH CARE | |||||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 410729979 | ACUTE CARE | MN | 501(C)(3) | LINE 3 | NORTH MEMORIAL | 0 | |
| NORTH MEMORIAL FOUNDATION | |||||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 411777966 | FUNDRAISING | MN | 501(C)(3) | LINE 7 | NORTH MEMORIAL | 0 | |
| ASSOCIATED HEALTH ASSURANCE | |||||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 980343815 | INSURANCE | 501(C)(3) | LINE 12B, II | NORTH MEMORIAL | 0 | BD | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE LLC | |||||||||
| 9855 HOSPITAL DRIVE | MAPLE GROVE | MN | 55369 | 260393039 | OUTPATIENT SURGERY | MN | N/A | 0 | 0 |
| MINNESOTA DIAGNOSTIC IMAGING PARTNERS LLC | |||||||||
| 2955 XENIUM LANE SUITE 40 | PLYMOUTH | MN | 55441 | 352162215 | RADIOLOGY | MN | N/A | 0 | 0 |
| NORTH RADIATION THERAPY CENTER | |||||||||
| 6950 FRANCE AVE S SUITE 200 | EDINA | MN | 55435 | 743069974 | RADIOLOGY | MN | N/A | 0 | 0 |
| BLAZE HEALTH LLC | |||||||||
| 8301 GOLDEN VALLEY RD STE 300 | GOLDEN VALLEY | MN | 55427 | 842906333 | HEALTH CARE | MN | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| OAKDALE HEALTH ENTERPRISES INC | |||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 411546422 | AMBULANCE | MN | N/A | C | 0 |
| NORTH COLLABORATIVE CARE | |||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 461680666 | PRIMARY CARE | MN | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| NORTH MEMORIAL HEALTH CARE (RETURN OF CAPITAL) | ||
| B | $12,000,000 | CASH |
| NORTH MEMORIAL HEALTH CARE (DEBT GUARANTEE) | ||
| E | $80,688,750 | AMOUNT GUARANTEE |
| NORTH MEMORIAL HEALTH CARE (LEASE PAYMENTS) | ||
| K | $3,490,686 | AMOUNT PAID |
| NORTH MEMORIAL HEALTH CARE (MANAGEMENT FEE) | ||
| M | $20,840,914 | AMOUNT PAID |
| NORTH MEMORIAL HEALTH CARE (SALARY REIMBURSEMENT) | ||
| P | $7,420,163 | AMOUNT PAID |
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