2021-11-09T12:04:04-06:00 2020-12-31 390859910 BAKER TILLY US LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2020-01-01 410729979 NORTH MEMORIAL HEALTH CARE DBA NORTH MEMORIAL HEALTH NORT 7635205200 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 DAN FROMM CHIEF FINANCIAL OFFICER 7635205200 2021-11-05 1 DAN FROMM XXX-XX-XXXX LAWRENCE H MOHR CPA P00447603 6128764500 2021-11-05 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z J KEVIN CROSTON MD 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 823363766 0 X WWW.NORTHMEMORIAL.COM X 1954 MN EMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. 13 11 5918 150 1846033 0 1837985 57007863 848432419 670418018 14666007 8765726 169975 496765 865106386 736688372 50000 50000 0 0 483015394 397496669 0 0 0 364637499 331517863 847702893 729064532 17403493 7623840 661551956 743823702 260740687 319526867 400811269 424296835 X EMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. 0 0 625345836 50000 549638520 NORTH MEMORIAL HEALTH CARE DBA NORTH MEMORIAL HEALTH IS A HEALTHCARE SYSTEM THAT INCLUDES A GENERAL ACUTE CARE HOSPITAL PROVIDING HIGHLY SPECIALIZED TRAUMA AND EMERGENCY SERVICES, CORONARY CARE, OPEN HEART SURGERY, ONCOLOGY, HIGH RISK MATERNITY AND NEONATAL CARE, AND GENERAL MEDICAL: SURGICAL, OBSTETRICAL, PEDIATRIC, REHABILITATION, BEHAVIORAL HEALTH, MEDICAL TRANSPORTATION PLUS SPECIALTY CARE CLINICS. NORTH MEMORIAL HEALTH'S MISSION IS EMPOWERING ITS CUSTOMERS TO ACHIEVE THEIR BEST HEALTH.IN ADDITION TO CHARITY AND UNCOMPENSATED CARE, NORTH MEMORIAL HEALTH ALSO PROVIDES NUMEROUS COMMUNITY BENEFITS (AT NO COST OR BELOW COST) IN FURTHERANCE OF ITS CHARITABLE PURPOSE. NORTH MEMORIAL HEALTH OFFERS VARIOUS COMMUNITY-BASED PROGRAMS INCLUDING HEALTH SCREENINGS, SUPPORT COUNSELING FOR PARENTS AND FAMILIES, PASTORAL CARE, CRISIS INTERVENTION, TRANSPORTATION TO AND FROM THE HOSPITAL CAMPUS, AND THE DONATION OF SPACE FOR USE BY COMMUNITY GROUPS. ADDITIONALLY, A LARGE NUMBER OF HEALTH-RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING WELLNESS SEMINARS AND CLASSES ON SPECIFIC CONDITIONS. NORTH MEMORIAL HEALTH ALSO PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COSTS TO RESIDENTS OF ITS COMMUNITY, PRIMARILY THROUGH (A) THE DIFFERENCES 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, NORTH MEMORIAL HEALTH CONTRIBUTES TO FUNDING MEDICAL CARE FOR THE UNINSURED THROUGH PAYMENT OF PATIENT SERVICE TAXES, WHICH INCLUDE THE MEDICAID SURCHARGE AND THE MINNESOTA CARE TAX ON CERTAIN NET REVENUE. 625345836 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 428 0 5918 1 1 1 1 BD 0 0 0 0 0 0 0 0 1 0 X 13 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MN X DAN FROMM 7635205200 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 J KEVIN CROSTON MD CEO NORTH MEMORIAL 40.00 6.00 X X 1433961 0 48912 ROBERT KING MD PHISICIAN, CARDIAC SURGEON 40.00 X 857589 0 46331 JOSEPH VAN CAMP MD PHISICIAN, CARDIAC SURGEON 40.00 X 830094 0 51849 AHMED OMAR PHYSICIAN, NOCTURNIST 40.00 X 651561 0 44108 SAMANTHA HANSON CHIEF ADMINISTRATIVE OFFICER 40.00 4.00 X 596269 0 47094 CAROLYN OGLAND VUKICH CHIEF MEDICAL OFFICER 40.00 X 592950 0 44025 ANDREW COCHRANE CHIEF HOSPITAL OFFICER 40.00 2.00 X 567496 0 48142 LUKE HAWES PHYSICIAN, TRAUMA SURGERY 40.00 X 498588 0 48511 JOSEPH FARHAT PHYSICIAN, TRAUMA SURGERY 40.00 X 511917 0 31755 AARON BLOOMQUIST CFO (THRU 5/2020) 40.00 2.00 X 492365 0 22501 JEFFREY WICKLANDER PRESIDENT, NMMC (THRU 10/2020) 40.00 2.00 X 427312 0 45359 PATRICK TAFFE VP, INFO SYS & CIO (THRU 10/2020) 40.00 X 308953 0 35295 KENT SPAULDING VP, CHIEF DEVELOPMENT OFFICER 40.00 2.00 X 275299 0 38762 DAN FROMM CFO (FROM 6/2020) 40.00 4.00 X 250612 0 20740 DAWN BACKLUND CHIEF COMPLIANCE OFFICER 40.00 X 256037 0 9504 MICHAEL STEINHAUSER CHAIRMAN OF BOARD 2.00 X X 12500 0 0 TED FERRARA VICE CHAIRMAN OF BOARD 2.00 X X 12500 0 0 TIMOTHY BAYLOR BOARD MEMBER 2.00 X 12500 0 0 BRUCE CHRISTENSEN BOARD MEMBER 2.00 X 12500 0 0 ROBERT DAHL BOARD MEMBER 2.00 X 12500 0 0 DIANE HUSTON BOARD MEMBER 2.00 X 12500 0 0 LAURIE LAFONTAINE BOARD MEMBER 2.00 X 12500 0 0 WARREN MACK BOARD MEMBER 2.00 X 12500 0 0 BETTY PAKZAD MD BOARD MEMBER 2.00 X 12500 0 0 ROBERT PRENTISS JR BOARD MEMBER 2.00 X 12500 0 0 HEIDI WILSON BOARD MEMBER 2.00 X 12500 0 0 REUBEN MOORE BOARD MEMBER 2.00 X 5000 0 0 SCOTT COLSON MD BOARD MEMBER (OUTGOING) 2.00 X 2500 0 0 8696003 0 582888 149 0 1 0 VOYAGE HEALTHCARE 9201 WEST BROADWAY STE 501 ROBBINSDALE MN 55422 PHYSICIAN SERVICES 13822860 RESPIRATORY CONSULTANTS PA 3366 OAKDALE AVE N 401 ROBBINSDALE MN 55422 INTENSIVISTS STAFFING 5155390 RYAN COMPANIES US 533 SOUTH THIRD STREET SUITE 100 MINNEAPOLIS MN 55415 CONSTRUCTION 2723019 DJ KRANZ CO INC 725 HWY 169 N PLYMOUTH MN 55441 CONSTRUCTION 2654421 UNIVERSITY OF MINNESOTA PHYSICIANS 720 WASHINGTON AVE SE STE 200 MINNEAPOLIS MN 55414 PHYSICIAN SERVICES 2417882 97 44085 56271328 692450 3611 57007863 HOSPITAL PATIENT REVEN 621500 550987788 549141755 1846033 CONTRACT REVENUE 900099 57224644 57224644 PHARMACY 900099 33505901 33505901 JOINT VENTURE REVENUE 900099 11018066 11018066 EHR/MEDICARE & OTHER 900099 7308306 7308306 10373313 10373313 670418018 6001 6001 369 369 13847240 13350475 496765 496765 496765 82002017 82258 73172177 152742 8829840 -70484 8759356 8759356 736688372 549638520 1846033 128195956 X 50000 50000 5621728 5621728 310887872 266310628 44577244 18563836 15902025 2661811 38249922 32765385 5484537 24173311 20707175 3466136 3127273 2678863 448410 302555 259173 43382 170000 170000 929790 929790 89953993 77055770 12898223 4133308 3540646 592662 8761412 7505140 1256272 17504739 14994789 2509950 26374293 22592565 3781728 3401797 2914024 487773 27874660 23877799 3996861 8082985 6923991 1158994 SUPPLIES 80403244 68867304 11535940 BAD DEBT EXPENSE 35224958 35224958 MAINTENANCE & REPAIR 14626547 12529292 2097255 GOVERNMENT TAXES 10646309 10646309 729064532 625345836 103718696 0 18278 72220111 838082 840063 85881544 90127188 8025270 7987424 11741576 11219273 660299467 476229245 174593313 184070222 242547489 249986762 121127258 102712330 1692266 1692266 15086880 22968063 661551956 743823702 69856172 142395732 491461 926381 103412339 94974691 86980715 81230063 260740687 319526867 X 400811269 424296835 400811269 424296835 661551956 743823702 X 7623840 22522435 -6660709 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 168000 1 0 1 2000 170000 0 PART II-B, LINE 1: CONTACTS AND VISITS WERE MADE WITH STATE LEVEL LEGISLATORS TO PROMOTE HEALTH CARE RELATED ISSUES. LINE 1I INCLUDES THE NON-DEDUCTIBLE PORTION OF MHA DUES. 3533984 15237 292934 7218 1169158 2665779 2919654 7300 659124 52094 3533984 3344063 82062 -75671 414300 16500 2919654 3029196 370959 56092 3344063 2203143 155228 707969 37144 3029196 0.00000 0.66442 0.33558 0 1 1 26519217 26519217 252125558 178092539 74033019 11009677 8967024 2042653 361006983 281574075 79432908 9638032 7595607 2042425 184070222 RREEF AMERICA REIT II 29159127 F CASH ON DEPOSIT WITH BOND TRUSTEE 774613 F AGENCY ACCOUNT 33493 F CASUALTY INSURANCE SECURITY 4314550 F PARAMETRIC DEFENSE EQUITY FUND 38222670 F PARAMETRIC GLOBAL DEFENSE EQUITY FUND 30207877 F 102712330 EXECUTIVE PENSION PLAN 4153419 DEFINED BENEFIT PENSION PLAN 9871293 POST RETIREMENT HEALTH INSURANCE 2838766 SETTLEMENTS AND CLAIMS PAYABLE 14345859 FOOD SERVICE AGREEMENT 16389 OPERATING LEASE LIABILITY 49935554 OTHER LIABILITIES 68783 81230063 X PART V, LINE 4: ALL ENDOWMENT FUNDS ARE HELD BY A RELATED ENTITY: NORTH MEMORIAL FOUNDATION. 1) RALPH ROSSEN ENDOWMENT: THIS ENDOWMENT WAS ESTABLISHED IN 1986 TO PROVIDE RECOGNITION TO NURSING STAFF THAT PROVIDE REMARKABLE SERVICE TO NORTH MEMORIAL PATIENTS AND THEIR FAMILIES. MEMBERS OF THE ROSSEN FAMILY SERVE ON A COMMITTEE ALONG WITH THE VP AND CHIEF NURSING OFFICER OF NORTH MEMORIAL TO SELECT THE RECIPIENTS. 2) HAROLD B. KAISER HONORARY LECTURESHIP ENDOWMENT: DR. KAISER IS THE FOUNDER OF ALLERGY & ASTHMA SPECIALISTS, P.A. ESTABLISHED IN 1966. THE HAROLD B KAISER HONORARY LECTURESHIP ENDOWMENT PROVIDES FUNDING FOR A KEYNOTE SPEAKER FOR THE ANNUAL ALLERGY & ASTHMA CONFERENCE HELD IN THE MINNEAPOLIS AREA IN MARCH. 3) HAROLD ECKER ENDOWMENT: ESTABLISHED IN 1994 IN HONOR OF THE EXCELLENT CARE THAT MR. ECKER RECEIVED AS A PATIENT AT NORTH MEMORIAL, THE HAROLD ECKER ENDOWMENT PROVIDES A $500 AWARD TO THREE NORTH MEMORIAL EMPLOYEES RECOGNIZING THEIR OUTSTANDING PERFORMANCE AND PERSONAL ATTITUDE. THE AWARD IS OPEN TO ALL EMPLOYEES AND THE WINNERS ARE SELECTED BY A COMMITTEE OF NORTH MEMORIAL EMPLOYEES AND PRESENTED AT THE ANNUAL QUALITY AWARDS LUNCHEON IN NOVEMBER EACH YEAR. 4) RESIDENTIAL HOSPICE ENDOWMENT: THE RESIDENTIAL HOSPICE ENDOWMENT WAS ESTABLISHED BY DR. JOHN AND PATTY MANION TO PROVIDE ASSISTANCE TO THE RESIDENTIAL HOSPICE PROGRAM AT NORTH MEMORIAL. FUNDS ARE USED TO UPGRADE THE FACILITIES AND EQUIPMENT AT THE NORTH RESIDENTIAL HOSPICE FACILITY IN BROOKLYN CENTER, PROVIDE ADDITIONAL PROGRAM SUPPORT, STAFF TRAINING AND TO ASSIST THOSE FAMILIES THAT CANNOT AFFORD THIS SERVICE. THE RESIDENTIAL HOSPICE FACILITY WAS SOLD IN 2017 AND WE ARE CURRENTLY WORKING THROUGH THE PROCESS TO REPURPOSE THE ENDOWMENT FUNDS. NO FUNDS WILL BE USED UNTIL THE PROCESS IS COMPLETE. 5) HELEN MURRAY MEMORIAL ENDOWMENT THIS ENDOWMENT WAS ESTABLISHED WITH AN IRREVOCABLE CHARITABLE REMAINDER TRUST BY JEANNE MITHUN TO RECOGNIZE THE OUTSTANDING SERVICE THAT NORTH RESIDENTIAL HOSPICE PROVIDED TO HER MOTHER (HELEN MURRAY) AND HER FAMILY. FUNDS ARE USED TO PROVDE CARE TO INDIVIDUALS UNABLE TO PAY FOR SERVICES AT THE FACILITY. 6) MEDICAL STAFF ENDOWMENT THIS ENDOWMENT WAS ESTABLISHED IN 2010 BY THE NORTH MEMORIAL MEDICAL STAFF EXECUTIVE COMMITTEE. PROCEEDS FROM THE ENDOWMENT WILL FUND NORTH MEMORIAL PROGRAMS SUCH AS JUNIOR VOLUNTEER SCHOLARSHIP, SAFEJOURNEY, PASTORAL CARE, ETC. 7) MAPLE GROVE MEDICAL STAFF ENDOWMENT WAS ESTABLISHED IN 2013 BY THE MAPLE GROVE MEDICAL STAFF EXECUTIVE COMMITTEE. PROCEEDS FROM THE ENDOWMENT WILL FUND MAPLE GROVE PROGRAMS. PART X, LINE 2: 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. NORTH MEMORIAL HEALTH DOES NOT HAVE ANY UNRELATED BUSINESS INCOME TAX LIABILITY FOR TAX YEAR 2020. 1 1 X 1 X 1 X 1 1 1 0 0 11328815 11328815 0.01550 126090311 78380134 47710177 0.06540 137419126 78380134 59038992 0.08090 1802720 7129 1795591 0.00250 6013919 3003206 3010713 0.00410 11705568 6912603 4792965 0.00660 422102 422102 0.00060 19944309 9922938 10021371 0.01380 157363435 88303072 69060363 0.09470 1 14423616 181741240 243925714 -62184474 X 1 1 1 MAPLE GROVE HOSPITAL HOSPITAL 0.75000 0.00000 0.00000 2 NM AMBULATORY SURGERY CENTER MAPLE GROVE OUTPATIENT SURGERY CTR 0.50000 0.00000 0.50000 3 MN DIAGNOSTIC IMAGING PARTNERS OUTPATIENT IMAGING CENTER 0.60000 0.00000 0.40000 5 MONTICELLO CANCER CENTER OUTPATIENT CANCER CENTER 0.40000 0.00000 0.00000 6 NORTH RADIATION ONCOLOGY OUTPATIENT RADIATION ONCOLOGY CLINIC 0.50000 0.00000 0.50000 7 MINNETONKA AMBULATORY SURGERY CENTER OUTPATIENT SURGERY CENTER 1.00000 0.00000 0.00000 13 VHA UPPER MIDWEST HEALTHCARE GROUP PURCHASING ORG CO-OP 0.10000 0.00000 0.00000 14 BLAZE HEALTH LLC HEALTH CARE 0.51000 0.00000 0.00000 15 INSTITUTE OF ATHLETIC MEDICINE CLINIC 0.37000 0.00000 0.00000 16 FAIRVIEW HOME INFUSION OPTNT INFUSION CLINIC 0.49000 0.00000 0.00000 17 BLAINE AMBULATORY SURGERY CENTER OUTPATIENT SURGERY CENTER 0.10000 0.00000 0.37000 18 CDI ROSEVILLE OUTPATIENT IMAGING CENTER 0.25000 0.00000 0.00000 1 1 NORTH MEMORIAL HEALTH 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 WWW.NORTHMEMORIAL.COM X X X X NORTH MEMORIAL HEALTH 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE PART V FOR FULL URL X 1 19 1 SEE PART V FOR FULL URL 0 1 X 200.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V FOR FULL URL X SEE PART V FOR FULL URL X SEE PART V FOR FULL URL X X X X X 1 X 0 X 1 X 0 0 NORTH MEMORIAL HEALTH PART V, SECTION B, LINE 5: NORTH MEMORIAL HAS A COMMUNITY STEERING COMMITTEE WHICH IS COMPOSED OF COMMUNITY MEMBERS. THE STEERING COMMITTEE SUPERVISES THE ASSESSMENT PROCESS AND VOTED ON THE TOP HEALTH PRIORITIES. THE MEMBERS REPRESENT A VARIETY OF COMMUNITY ORGANIZATIONS. BOTH OF THESE COMMITTEES HAVE REPRESENTATIVES FROM PUBLIC HEALTH WHOSE MAIN FOCUS IS TO REPRESENT THE COMMUNITY'S INTERESTS RELATED TO HEALTH. NORTH MEMORIAL HEALTH PART V, SECTION B, LINE 11: NORTH MEMORIAL HEALTH 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, 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). WE ALSO CONDUCTED 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 NEEDS 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 DISCUSSION:BELOW IS AN OVERVIEW OF THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT AND DISCUSSED WITH CEAT. AFTER DISCUSSION OF THE HEALTH NEEDS, CEAT VOTED TO IDENTIFY THE TOP PRIORITIES/FOCUS AREAS BASED ON THE FOLLOWING CRITERIA (TOTAL VOTES ARE INDICATED BELOW):-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 NORTH MEMORIAL HEALTH HOSPITAL AND COMMUNITY PARTNERS TO HAVE A POSITIVE IMPACT ON THIS HEALTH NEED WITHIN THREE TO FOUR YEARS?PRIORITIZED NEEDS:-MENTAL HEALTH AND SUBSTANCE ABUSE (253 VOTES)-CULTURALLY RESPONSIVE CARE THIS INCLUDES THE RELATIONSHIP BETWEEN THE HOSPITAL AND THE COMMUNITY (247 VOTES)-RESOURCES/PARTNERSHIPS (233.5 VOTES) -HOUSING -ACCESS TO HEALTHCARE -FOOD -TRANSPORTATION -HEALTHY AGING (224 VOTES)-STRUCTURAL AND INSTITUTIONAL RACISM (219 VOTES)AS A RESULT OF THE WORK ABOVE, THE HEALTH NEEDS IDENTIFIED FOR FOCUS IN THE 2019 CHNA WERE: -MENTAL HEALTH-SUBSTANCE ABUSE-CULTURALLY RESPONSIVE CARENORTH MEMORIAL HEALTH DEVELOPED AN IMPLEMENTATION PLAN THAT IDENTIFIED 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: NORTH MEMORIAL HEALTH HOSPITAL INCORPORATED THE MAKE IT OKAY MESSAGE INTO 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, NMH 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 BELIEVED THERE WAS 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 HAVING SOCIAL WORKERS FROM BOTH HOSPITALS TRAINED IN QPR (QUESTION, PERSUADE, REFER). FURTHER ASSESSMENT WILL BE CONDUCTED IN 2021.-STRATEGY 3: 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 FOCUS ON FIRST RESPONDER 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.-THROUGH EVALUATION, MOST ATTENDEES FELT THE CLASS IMPROVED THEIR KNOWLEDGE OF SIGNS/SYMPTOMS OF MENTAL ILLNESS, DE-ESCALATION TECHNIQUES, AND/OR REFERRAL OPTIONS. CONTINUED... NORTH MEMORIAL HEALTH PART V, SECTION B, LINE 13B: CATASTROPHIC CHARITY CARE - PAY NO MORE THAN 25% OF ANNUAL FAMILY INCOME SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION: 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: NORTH MEMORIAL HEALTH COMMUNITY HEALTH MANAGER CONTINUED TO SIT ON THE PARTNER'S IN PREVENTION'S EXECUTIVE COMMITTEE. -ACTION: 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.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. CONTINUED... SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION: 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: CULTURALLY RESPONSIVE CARE OUR GOALS IN ADDRESSING CULTURALLY RESPONSIVE CARE INCLUDE:-DELIVERING A WELCOMING AND INCLUSIVE EXPERIENCE FOR ALL PEOPLE REGARDLESS OF CULTURAL PRACTICES, PREFERRED LANGUAGE, OR RACE. -EXPECTING AND PREPARING NORTH MEMORIAL HEALTH HOSPITAL'S TEAM TO DELIVER CULTURALLY RESPONSIVE AND COMPETENT CARE.-INCLUDING AND LEARNING FROM OUR COMMUNITY PARTNERS ABOUT CULTURALLY RESPONSIVE CARE.THIS COMMUNITY HEALTH NEED PRIORITY WAS NEWLY IDENTIFIED IN THE 2019 NEEDS ASSESSMENT. IN 2020 WE FOCUSED ON WORKING WITH OUR LOCAL CEAT TEAM AND BUILDING THE FOUNDATION FOR THIS PRIORITY.OBJECTIVES:1. DEVELOP A STRUCTURE AND PROCESSES TO SUPPORT HEALTH EQUITY WORK WITHIN NORTH MEMORIAL HEALTH HOSPITAL.2. EXPLORE CONDUCTING A CULTURAL ASSESSMENT OF NORTH MEMORIAL HEALTH AND ITS ENVIRONMENT.3. INCREASE DIVERSITY AMONG TEAM MEMBERS, AT ALL LEVELS OF THE ORGANIZATION, TO MATCH CUSTOMER AND COMMUNITY POPULATIONS.4. WORK IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS AND COMMUNITY MEMBERS TO IMPROVE KNOWLEDGE ABOUT AND PRACTICES OF CULTURALLY RESPONSIVE CARE.STRATEGIES AND ACTIONS (BY OBJECTIVE):1. OBJECTIVE: DEVELOP A STRUCTURE AND PROCESSES TO SUPPORT HEALTH EQUITY WORK WITHIN NORTH MEMORIAL HEALTH.-STRATEGY 1: CREATE THE FOUNDATION FOR A DIVERSE, EQUITABLE AND INCLUSIVE CULTURE. -ACTION: NORTH MEMORIAL HEALTH HIRED A SYSTEM DIRECTOR OF DIVERSITY, EQUITY AND INCLUSION (DE&I) IN 2020. THIS SYSTEM DIRECTOR WAS RESPONSIBLE FOR ESTABLISHING THE DE&I STRATEGIC PLAN IN 2020 AND ROLLED IT OUT ACROSS THE ORGANIZATION IN 2021.-ACTION: NORTH MEMORIAL HEALTH STRENGTHENED THE ROLE AND VISIBILITY OF THE DE&I COMMITTEE, ESTABLISHING SEVEN WORKGROUPS (INCLUSIVE HIRING, RETENTION AND PROMOTION; COMMUNITY PARTNERSHIPS; COMMUNICATIONS; EDUCATION; CUSTOMER EXPERIENCE AND IMPACT; DATA, METRICS AND MEASUREMENT; DIVERSITY CELEBRATIONS) LED BY CHAIRS THAT ARE FOCUSED ON CHAMPIONING THE WORK. NOTE: THE ABOVE ACTIONS SET THE STAGE FOR 2021 WHEN WE WILL FOCUS ON INCREASING TEAM MEMBER KNOWLEDGE OF HEALTH EQUITY AND CULTURALLY RESPONSIVE CARE.-STRATEGY 2: PROVIDE TEAM MEMBERS THE TOOLS THEY NEED TO TALK TO PATIENTS ABOUT THEIR SPECIFIC CULTURAL NEED. -ACTION: DEVELOPED AND DISTRIBUTED A DE&I LEADER GUIDEBOOK TO SUPPORT LEADERS IN HAVING COURAGEOUS CONVERSATIONS AND LEADING A DIVERSE, INCLUSIVE WORKFORCE.-STRATEGY 5: PARTNER WITH THE INFORMATICS TEAM TO UNDERSTAND DATA AROUND HEALTH EQUITY -ACTION: NORTH MEMORIAL HEALTH HOSPITAL CREATED A WORKGROUP AS PART OF OUR DE&I COMMITTEE AND ASSIGNED TWO CHAIRS TO LEAD THESE EFFORTS. THE WORK TO CONTINUES IN 2021 TO ESTABLISH THE PLAN AND MOVE THIS FORWARD. 2. OBJECTIVE: EXPLORE CONDUCTING A CULTURAL ASSESSMENT OF NORTH MEMORIAL HEALTH AND ITS ENVIRONMENT.-STRATEGY 1: EXPLORE ASSESSMENT TOOLS SUCH AS THE CULTURAL COMPETENCY ASSESSMENT TOOL FOR HOSPITALS (CCATH) TO ASSESS ADHERENCE TO THE NATIONAL STANDARDS FOR CLAS (CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES) IN HEALTHCARE. -ACTION: RESEARCHED, EXPLORED, AND ADOPTED THE CLAS STANDARDS FRAMEWORK AS THE CRITICAL, FOUNDATIONAL ELEMENT OF OUR DE&I STRATEGIC PLAN. -ACTION: PRIORITIZED 30 CLAS STANDARD TASKS FOR EXECUTION BEGINNING IN 2021 AND CONTINUING OVER A THREE-YEAR PERIOD. -ACTION: THE 30 TASKS WERE ASSIGNED TO THE DE&I WORKGROUPS TO DEVELOP PLANS TO EXECUTE/IMPLEMENT. NOTE: THE ABOVE STRATEGY AND ACTIONS WILL LAY THE FOUNDATION AND GROUNDWORK FOR OUR CULTURALLY RESPONSIVE CARE EFFORTS AS WELL AS THE OTHER TWO STRATEGIES IN THIS OBJECTIVE: -ASSESS THE CUSTOMER JOURNEY INSIDE THE HOSPITAL INCLUDING ALL MAJOR TOUCHPOINTS -EXPLORE ENHANCEMENTS TO THE PHYSICAL ENVIRONMENT AT THE HOSPITAL (SIGNAGE, TRANSLATED MATERIALS, GIFT SHOP OFFERINGS, ETC.) TO ENSURE CULTURAL INCLUSIVITY3. OBJECTIVE: INCREASE DIVERSITY AMONG TEAM MEMBERS, AT ALL LEVELS OF THE ORGANIZATION, TO MATCH CUSTOMER AND COMMUNITY POPULATIONS.-STRATEGY 1: CONTINUE DEVELOPMENT OF RECRUITMENT AND RETENTION INITIATIVES THAT ENCOURAGE A DIVERSE WORKFORCE -ACTION: THROUGH A PARTNERSHIP WITH MINNESOTADIVERSITY.COM, NORTH MEMORIAL HEALTH ELECTRONICALLY DISTRIBUTES JOB POSTINGS (DAILY) TO THE LOCAL EMPLOYMENT SERVICE DELIVERY SYSTEM AND NUMEROUS WORKFORCE CENTERS AND JOB SITES THAT TARGET UNDERREPRESENTED POPULATIONS, INCLUDING MINORITIES, INDIVIDUALS WITH DISABILITIES, AND COVERED VETERANS. THIS PARTNERSHIP ENSURES THAT DIVERSE LOCAL JOB NETWORKS RECEIVE ALL JOB POSTINGS IN REAL-TIME. -ACTION: WORKED WITH DEED AS PART OF THEIR GOOD JOBS NOW CAMPAIGN TO ATTRACT DIVERSE RECRUITS. -STRATEGY 2: CONTINUE TO OFFER MOCK INTERVIEWS, RESUME PREP AND RECRUITING AT COMMUNITY EVENTS WITH DIVERSE COMMUNITY MEMBERS -ACTION: ATTENDED CAREER FAIRS (LIKE HENNEPIN AND ANOKA COUNTY) AND PANELS FOCUSED ON HELPING MINORITIES OBTAIN EMPLOYMENT. NORTH MEMORIAL HEALTH SENDS SPECIALIZED RECRUITERS TO CONNECT WITH THE COMMUNITY, EDUCATE THEM ON GENERAL OPPORTUNITIES AND PATHWAYS INTO HEALTHCARE, AND DISCUSS CURRENT OPENINGS. STRATEGY 3: CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT REPRESENT OR ARE IN DIVERSE COMMUNITIES TO OFFER PREPARATION, TRAINING, MENTORSHIP, CAREER OPPORTUNITY CONSIDERATION. -ACTION: NORTH MEMORIAL HEALTH MAINTAINED CLOSE PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS AND SUPPORT THE JOB SEARCH AND CAREER EXPLORATION OF UNDERSERVED INDIVIDUALS IN THE COMMUNITY. WE OFFERED RESUME REVIEW AND MOCK INTERVIEWS, HELPED INDIVIDUALS NAVIGATE THE ONLINE APPLICATION PROCESS, AND HOSTED AND/OR ATTENDED CAREER FAIRS. THESE ORGANIZATIONS INCLUDE: -PROJECT FOR PRIDE IN LIVING-EASTSIDE NEIGHBORHOOD SERVICES (INCLUDING THREE INFO SESSIONS, ONE TOUR, FOUR MOCK INTERVIEWS)-CAPI USA (INCLUDING FIVE PRESENTATIONS AND SEVEN MOCK INTERVIEWS)-ACHIEVE MINNEAPOLIS -EMERGE4. OBJECTIVE: WORK IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS AND COMMUNITY MEMBERS TO IMPROVE KNOWLEDGE ABOUT AND PRACTICES OF CULTURALLY RESPONSIVE CARE. STRATEGY 1: MEET AND PARTNER WITH COMMUNITY ORGANIZATIONS THAT REPRESENT DIVERSE COMMUNITIES TO LEARN ABOUT THEIR VISON FOR CULTURALLY RESPONSIVE CARE AND DISCUSS POSSIBLE OPPORTUNITIES TO WORK TOGETHER -ACTION: NORTH MEMORIAL HEALTH HOSTED SMALL, VIRTUAL SESSIONS WITH SELECT CEAT TEAM MEMBERS TO HELP INFORM HOW DIVERSE COMMUNITIES WERE FEELING DURING THE PANDEMIC AND CIVIL UNREST. WE CONDUCTED THREE VIRTUAL MEETINGS. -ACTION: NORTH MEMORIAL HEALTH CONDUCTED FIVE ONE-ON-ONE INTERVIEWS WITH CEAT PARTNERS (PILLSBURY UNITED COMMUNITIES, NORTHPOINT, HENNEPIN COUNTY PUBLIC HEALTH, BROOKLYN CENTER SCHOOLS, BROADWAY FAMILY). -ACTION: NORTH MEMORIAL HEALTH DE&I DIRECTOR MET WITH CEAT PARTNER NEIGHBORHOOD HEALTH SOURCE TO DISCUSS THEIR NEEDS FOR TRAINING THEIR TEAM ON CULTURALLY RESPONSIVE CARE SHARING TOOLS AND RESOURCES. -ACTION: WE MET WITH THE YMCA OF THE NORTH TO ASSESS OFFERINGS AVAILABLE THROUGH THEIR EQUITY INNOVATION CENTER OF EXCELLENCE. THESE EFFORTS WERE PAUSED UNTIL THE DE&I SYSTEM DIRECTOR WAS HIRED AND WILL BE REASSESSED IN 2021.-STRATEGY 2: NORTH MEMORIAL HEALTH SPONSORSHIP COMMITTEE WILL INVITE IN COMMUNITY ORGANIZATIONS THAT ARE DOING WORK AROUND DE&I AND CULTURALLY RESPONSIVE CARE TO PRESENT AND LOOK AT PARTNERSHIP OPPORTUNITIES -ACTION: NORTH MEMORIAL HEALTH RE-ENVISIONED THE SPONSORSHIP PROGRAM IN 2020 AND PRIORITIZED DOLLARS TO MEET COMMUNITY HEALTH BENEFIT NEEDS AND DE&I. DUE TO COVID, PROACTIVE COMMUNITY ORGANIZATION OUTREACH WAS REPRIORITIZED FOR 2021. -ACTION: NORTH MEMORIAL HEALTH SPONSORED THE TWIN CITIES PRIDE FESTIVITIES THESE WERE VIRTUAL AND REINFORCED THE NEEDS OF THE COMMUNITY DURING CIVIL UNREST.-STRATEGY 3: EXPLORE DEVELOPING A PATIENT/FAMILY ADVISORY GROUP TO BE A RESOURCE FOR EQUITY AND INCLUSION WORK. -ACTION: NORTH MEMORIAL HEALTH EXPLORED OPPORTUNITIES TO BEST ENGAGE THE COMMUNITY IN AN ADVISORY BOARD. THIS WAS PUT ON HOLD DURING COVID-19 FOR FURTHER ASSESSMENT AND DISCUSSION IN 2021.HEALTH NEEDS NOT SELECTED AS FOCUS AREASTHE HEALTH PRIORITIES NOT BEING ADDRESSED DIRECTLY INCLUDE:-RESOURCES/PARTNERSHIPS -HOUSING -ACCESS TO HEALTHCARE -FOOD -TRANSPORTATION -HEALTHY AGING -STRUCTURAL AND INSTITUTIONAL RACISM THE COMMUNITY ENGAGEMENT ADVISORY TEAM FELT THAT WE NEEDED TO FOCUS OUR ATTENTION ON OUR TOP THREE PRIORITIES TO DRIVE MEANINGFUL CHANGE. WE CONTINUE TO ADDRESS FOOD AND NUTRITION THROUGH OUR NORTH MARKET PARTNERSHIP WITH PILLSBURY UNITED, AS WELL AS SOME OF OUR OTHER PARTNERSHIPS. HEALTHY AGING IS BEING ADDRESS BY MAPLE GROVE HOSPITAL AND THAT CEAT TEAM. AND ADDRESSING STRUCTURAL RACISM IS CONNECTED TO OUR WORK IN DE&I AND HEALTH EQUITY. PART V, SECTION B, LINE 7A & 10A: THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT HAS BEEN POSTED ONLINE AT:HTTPS://NORTHMEMORIAL.COM/WP-CONTENT/UPLOADS/2016/10/NMHH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-123019.PDFTHE IMPLEMENTATION PLAN HAS BEEN POSTED ONLINE AT: HTTPS://NORTHMEMORIAL.COM/WP-CONTENT/UPLOADS/2016/10/NMH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT_2020.PDF PART V, SECTION B, LINE 16: FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://NORTHMEMORIAL.COM/FINANCIAL-ASSISTANCE/ 6 1 - MINNESOTA DIAGNOSTIC IMAGING PARTNERS 2955 XENIUM LANE SUITE 40 PLYMOUTH MN 55441 OUTPATIENT RADIOLOGY 2 - BLAINE URGENCY CENTER 480 OSBORNE RD NE FRIDLEY MN 55432 URGENT CARE 3 - NM AMBUL SURGERY CENTER MAPLE GROVE 9875 HOSPITAL DRIVE MAPLE GROVE MN 55369 OUTPATIENT SURGERY 4 - NORTH RADIATION THERAPY CENTER 6950 FRANCE AVE S SUITE 200 EDINA MN 55435 OUTPATIENT RADIOLOGY 5 - MINNETONKA AMBULATORY SURGERY CENTER 15450 HIGHWAY 7 SUITE 200 MINNETONKA MN 55345 OUTPATIENT SURGERY 6 - CRYSTAL IMAGING CENTER 5700 BOTTINEAU BLVD CRYSTAL MN 55429 OUTPATIENT RADIOLOGY 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: NORTH MEMORIAL HEALTH'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 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 THEN APPLIES THAT RATIO TO TOTAL MEDICARE GROSS REVENUE. PART III, LINE 9B: NORTH MEMORIAL HEALTH 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 PERTAIN TO ALL ENTITIES UNDER THE NORTH MEMORIAL CORPORATE UMBRELLA. PART VI, LINE 2: NORTH MEMORIAL HEALTH WORKS CLOSELY WITH THE COMMUNITY HEALTH STEERING COMMITTEE MEMBERS TO DETERMINE AREAS OF NEED AND COMMUNITY HEALTH CONCERNS. OUR COMMUNITY HEALTH OUTREACH MANAGER IS A MEMBER OF THE HENNEPIN COUNTY COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP STEERING COMMITTEE WHICH ALLOWS NORTH MEMORIAL MEDICAL CENTER TO BE INVOLVED IN KEY COMMUNITY HEALTH ISSUES. A NEW COMMUNITY HEALTH NEEDS ASSESSMENT HAS BEEN COMPLETED IN 2019, INCLUDING COMMUNITY FOCUS GROUPS, TO BETTER UNDERSTAND THE COMMUNITY'S HEALTH NEEDS. PART VI, LINE 3: NORTH MEMORIAL HEALTH 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: NORTH MEMORIAL HEALTH SERVES A GEOGRAPHIC AREA THAT INCLUDES 58 ZIP CODES IN THE NORTHWEST QUADRANT OF THE TWIN CITIES METRO. THIS SERVICE AREA INCLUDES BOTH URBAN, SUBURBAN, EX-URBAN, AND RURAL AREAS. THIS SERVICE AREA INCLUDES A DIVERSE POPULATION OF 1,280,000 PEOPLE LIVING IN HENNEPIN, WRIGHT, SHERBURNE, ANOKA AND RAMSEY COUNTIES. PART VI, LINE 5: NORTH MEMORIAL HEALTH HOSPITAL IS A GENERAL ACUTE CARE HOSPITAL PROVIDING SPECIALIZED TRAUMA AND EMERGENCY SERVICES, CARDIOVASCULAR AND OPEN-HEART SERVICES, ONCOLOGY, HIGH RISK MATERNITY AND NEONATAL CARE, AND GENERAL MEDICAL-SURGICAL, OBSTETRICAL, PEDIATRIC, REHABILITATIVE AND BEHAVIORAL SERVICES. NORTH MEMORIAL HEALTH ALSO PROVIDES AN ARRAY OF HEALTH CARE SERVICES TO OUR COMMUNITY INCLUDING PRIMARY CARE, AMBULANCE TRANSPORTATION AND HOSPICE SERVICES. NORTH MEMORIAL HEALTH IS GOVERNED BY A BOARD OF 16 REPRESENTATIVES CONSISTING OF PHYSICIANS AND LEADERS FROM THROUGHOUT THE COMMUNITY. BOARD MEMBERS ARE ELECTED TO SERVE THREE-YEAR TERMS FOR A TOTAL OF FIVE TERMS. THE HOSPITAL ALSO SUPPORTS AN OPEN MEDICAL STAFF ORGANIZATION INCLUDING APPROXIMATELY 900 BOARD CERTIFIED PHYSICIANS AND 300 ALLIED HEALTH PROFESSIONALS. THE NORTH MEMORIAL HEALTH BOARD OF TRUSTEES ESTABLISHES AN ANNUAL MARGIN TARGET FOR MANAGEMENT. PER BOARD POLICY 75% OF ANY EXCESS AVAILABLE CASH FLOW IS INVESTED IN CAPITAL IMPROVEMENTS. THE REMAINING 25% IS USED TO SUPPORT LONG TERM OPERATIONS. WE PROVIDE EDUCATION TO THE COMMUNITY ON CHILD SAFETY, STROKE RISK FACTORS, HEART DISEASE RISK FACTORS AND OTHER HEALTH PROMOTION INFORMATION. PART VI, LINE 6: NORTH MEMORIAL HEALTH 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 SCREENINGS TO TRAINING HEALTH PROFESSIONALS. PART VI, LINE 7: NORTH MEMORIAL HEALTH FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF MINNESOTA. 1 PORTICO HEALTHNET 1600 UNIVERSITY AVENUE WEST SUITE 211 SAINT PAUL MN 55104 411814659 501(C)(3) 50000 TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION 1 PART I, LINE 2: GRANT RECIPIENTS PROVIDE A YEAR END REPORT AS TO THE AMOUNT EXPENDED AND THE NUMBER OF CLIENTS ASSISTED AND THE DEMOGRAPHICS OF THOSE SERVED. X 1 1 X X X X 1 0 0 0 0 1 1 0 0 J KEVIN CROSTON MD CEO NORTH MEMORIAL 947216 0 473587 0 13158 0 19950 0 28962 0 1482873 0 0 0 ROBERT KING MD PHISICIAN, CARDIAC SURGEON 819340 0 15047 0 23202 0 19950 0 26381 0 903920 0 0 0 JOSEPH VAN CAMP MD PHISICIAN, CARDIAC SURGEON 807058 0 15047 0 7989 0 19950 0 31899 0 881943 0 0 0 AHMED OMAR PHYSICIAN, NOCTURNIST 638561 0 6443 0 6557 0 19950 0 24158 0 695669 0 0 0 SAMANTHA HANSON CHIEF ADMINISTRATIVE OFFICER 445651 0 146846 0 3772 0 19950 0 27144 0 643363 0 0 0 CAROLYN OGLAND VUKICH CHIEF MEDICAL OFFICER 450086 0 133005 0 9859 0 19950 0 24075 0 636975 0 0 0 ANDREW COCHRANE CHIEF HOSPITAL OFFICER 420503 0 142871 0 4122 0 19950 0 28192 0 615638 0 0 0 LUKE HAWES PHYSICIAN, TRAUMA SURGERY 471836 0 25328 0 1424 0 19950 0 28561 0 547099 0 0 0 JOSEPH FARHAT PHYSICIAN, TRAUMA SURGERY 490479 0 20037 0 1401 0 19950 0 11805 0 543672 0 0 0 AARON BLOOMQUIST CFO (THRU 5/2020) 185048 0 63434 0 243883 0 17396 0 5105 0 514866 0 0 0 JEFFREY WICKLANDER PRESIDENT, NMMC (THRU 10/2020) 346269 0 78746 0 2297 0 19950 0 25409 0 472671 0 0 0 PATRICK TAFFE VP, INFO SYS & CIO (THRU 10/2020) 247266 0 47393 0 14294 0 18202 0 17093 0 344248 0 0 0 KENT SPAULDING VP, CHIEF DEVELOPMENT OFFICER 207286 0 66561 0 1452 0 15905 0 22857 0 314061 0 0 0 DAN FROMM CFO (FROM 6/2020) 215100 0 33751 0 1761 0 8966 0 11774 0 271352 0 0 0 DAWN BACKLUND CHIEF COMPLIANCE OFFICER 204361 0 49722 0 1954 0 4014 0 5490 0 265541 0 0 0 PART I, LINE 1A THE ORGANIZATION PAYS FOR THE MONTHLY SOCIAL DUES FOR ONE OF THE EXECUTIVE MEMBERS AT THE GOLDEN VALLEY COUNTRY CLUB. THE DUES FOR 2020 WERE $90 PER MONTH OR $1,080 PER YEAR. BOTH NORTH MEMORIAL HEALTH AND THE NORTH MEMORIAL COMMUNITY FOUNDATION UTILIZE THE COUNTRY CLUB TO HOST VARIOUS MEETINGS AND EVENTS THROUGH-OUT THE YEAR. 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'S ANNUAL INCENTIVE PLAN REQUIRES ACHIEVEMENT OF STATED PERFORMANCE METRICS, WHICH INCLUDES OPERATING MARGIN. A CITY OF MAPLE GROVE 410873250 56516TAY1 2015-08-26 44915000 REFUND SERIES 2005 BONDS 0 1 0 B CITY OF ROBBINSDALE 416005496 2017-12-05 38870000 REFUND SERIES 2011 BONDS 0 1 0 C CITY OF ROBBINSDALE 416005496 2017-12-05 10830000 REFUND SERIES 2011 BONDS 0 1 0 A 5645000 48679699 544065 48135634 2015 1 0 1 1 B 12840000 38870000 337596 33532404 2017 1 0 1 1 C 3270000 10830000 10830000 2017 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF MAPLE GROVE DATE THE REBATE COMPUTATION WAS PERFORMED: 09/12/2019 CORNER HOME MEDICAL BOARD MEMBER IS MAJORITY OWNER 165836 MICHAEL STEINHAUSER, CHAIRMAN OF THE BOARD, IS A MAJORITY SHAREHOLDER IN CORNER HOME MEDICAL, WHICH SUPPLIES DURABLE MEDICAL EQUIPMENT TO NORTH MEMORIAL HEALTH. 0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FINANCE AND AUDIT COMMITTEE REVIEWS THE FORM 990 BEFORE IT IS FILED. REPRESENTATIVES FROM THE HOSPITAL'S INDEPENDENT ACCOUNTING FIRM REVIEW THE FORM 990 WITH THE FINANCE AND AUDIT COMMITTEE IN DETAIL AND NOTES FOR THE COMMITTEE ANY CHANGES IN THE FORM 990 FROM PRIOR YEARS. AFTER THOROUGH DISCUSSION, THE FINANCE AND AUDIT COMMITTEE APPROVES THE FORM 990 AND FORWARDS IT TO THE FULL BOARD FOR ITS REVIEW. 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 IS REVIEWED BY THE COMPENSATION COMMITTEE WORKING IN CONJUNCTION WITH AN OUTSIDE CONSULTANT. THE COMPENSATION COMMITTEE 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 CONSULTING: PROGRAM SERVICE EXPENSES 3,619,267. MANAGEMENT AND GENERAL EXPENSES 603,915. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,223,182. MEDICAL FEES: PROGRAM SERVICE EXPENSES 49,629,141. MANAGEMENT AND GENERAL EXPENSES 8,281,175. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,910,316. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 23,807,362. MANAGEMENT AND GENERAL EXPENSES 4,013,133. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,820,495. FORM 990, PART XI, LINE 9: CAPITAL CONTRIBUTIONS MINNETONKA ASC -3,000,000. CHANGE IN BENEFIT OBLIGATION -2,798,799. CONTRIBUTED PROPERTY -3,611. OTHER IMMATERIAL ADJUSTMENTS TO NET ASSETS -858,299. FORM 990, PART XII, LINE 2C: NEITHER THE OVERSIGHT OF THE AUDIT NOR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT WERE CHANGED DURING THE TAX YEAR. OAKDALE MEDICAL CENTER 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 320022819 LEASE MEDICAL OFFICE SPACE MN 6233653 17766455 NORTH MEMORIAL NORTH CLINIC LLC 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 MEDICAL CARE MN -480000 1641469 NORTH MEMORIAL MINNETONKA AMBULATORY SURGERY CENTER 3300 OAKDALE AVE NORTH ROBBINSDALE MN 55422 465653486 OUTPATIENT SURGERY MN 2673921 684924 NORTH MEMORIAL NORTH MEMORIAL FOUNDATION 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 411777966 FUNDRAISING MN 501(C)(3) 7 NORTH MEMORIAL 0 ASSOCIATED HEALTH ASSURANCE 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 980343815 INSURANCE BD 501(C)(3) LINE 12B, II NORTH MEMORIAL 1 MAPLE GROVE HOSPITAL CORPORATION 9875 HOSPITAL DRIVE MAPLE GROVE MN 55369 208316475 ACUTE CARE MN 501(C)(3) 3 NORTH MEMORIAL 1 NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE 9855 HOSPITAL DRIVE MAPLE GROVE MN 55369 260393039 OUTPATIENT SURGERY MN NORTH MEMORIAL HEALTH CARE RELATED 2596109 3575556 0 1 0.54310 MINNESOTA DIAGNOSTIC IMAGING PARTNERS LLC 2955 XENIUM LANE SUITE 40 PLYMOUTH MN 55441 352162215 RADIOLOGY MN RELATED 482433 1655570 0 0 0.60000 NORTH RADIATION THERAPY CENTER LLC 6950 FRANCE AVE S SUITE 200 EDINA MN 55435 743069974 RADIOLOGY MN RELATED 1034853 1939911 0 0 0.50000 BLAZE HEALTH LLC 8301 GOLDEN VALLEY RD STE 300 GOLDEN VALLEY MN 55427 842906333 HEALTH CARE MN RELATED -16436611 35172129 0 0 0.51000 OAKDALE HEALTH ENTERPRISES INC 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 411546422 AMBULANCE MN NORTH MEMORIAL C 4018303 3598894 1.00000 1 NORTH COLLABORATIVE CARE 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 461680666 PRIMARY CARE MN N/A C 65279 0.43840 0 1 1 0 1 0 1 0 0 0 1 0 1 1 0 1 1 0 0 0 ASSOCIATED HEALTH ASSURANCE A 1387423 FMV MAPLE GROVE HOSPITAL CORP C 12000000 FMV MN DIAGNOSTIC IMAGING C 363000 FMV NORTH MEMORIAL FOUNDATION C 725821 FMV MAPLE GROVE HOSPITAL CORP D 80688750 FMV MN DIAGNOSTIC IMAGING F 480000 FMV NORTH MEMORIAL AMBULATORY SURGERY CEN F 1561943 FMV MAPLE GROVE HOSPITAL CORP J 3490686 FMV NORTH RADIATION OPC J 227570 FMV MAPLE GROVE HOSPITAL CORP L 20840914 FMV ASSOCIATED HEALTH ASSURANCE LLC M 3395500 FMV MAPLE GROVE HOSPITAL CORP P 7420163 FMV NORTH RADIATION THERAPY CENTER LLC D 714326 FMV NORTH RADIATION THERAPY CENTER LLC F 1080000 FMV BLAZE HEALTH LLC B 27375000 FMV BLAZE HEALTH LLC L 27978866 FMV