NORTH MEMORIAL HEALTH CARE: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- NORTH MEMORIAL HEALTH CARE (EIN 41-0729979)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-16
- IRS object ID
- 202033219349304073
- Schema version
- 2019v5.1
- 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 C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-16T09:14:59-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | 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 | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410729979 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH MEMORIAL HEALTH CARE | BusinessNameLine1Txt |
| Business Name Line2 | DBA NORTH MEMORIAL HEALTH | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| 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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAN FROMM | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 7635205200 | PhoneNum |
| Signature | 2020-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAWRENCE H MOHR CPA | PreparerPersonNm |
| PTIN | P00447603 | PTIN |
| Phone | 6128764500 | PhoneNum |
| Preparation | 2020-11-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 45.62.178.239 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-12 | IPDt |
| IP Tm | 12:29:15 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | EDB264CAD7F9F6CD2E19D356927987B2A35A11B0 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | J KEVIN CROSTON MD | PrincipalOfficerNm |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $971,947,969 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NORTHMEMORIAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | EMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 6094 | TotalEmployeeCnt |
| Total Volunteers | 650 | TotalVolunteersCnt |
| Total Gross UBI | $3,147,037 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $445,388 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,837,985 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $841,234,034 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $848,432,419 | CYProgramServiceRevenueAmt |
| PY Investment Income | $18,343,817 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,666,007 | CYInvestmentIncomeAmt |
| PY Other Revenue | $872,326 | PYOtherRevenueAmt |
| CY Other Revenue | $169,975 | CYOtherRevenueAmt |
| PY Total Revenue | $860,895,565 | PYTotalRevenueAmt |
| CY Total Revenue | $865,106,386 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $50,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $50,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $496,117,349 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $483,015,394 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $351,131,564 | PYOtherExpensesAmt |
| CY Other Expenses | $364,637,499 | CYOtherExpensesAmt |
| PY Total Expenses | $847,298,913 | PYTotalExpensesAmt |
| CY Total Expenses | $847,702,893 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,596,652 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $17,403,493 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $566,156,236 | TotalAssetsBOYAmt |
| Total Assets EOY | $661,551,956 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $208,891,600 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $260,740,687 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $357,264,636 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $400,811,269 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | EMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $728,116,157 | ExpenseAmt |
| Grant | $50,000 | GrantAmt |
| Revenue | $733,976,460 | RevenueAmt |
| Desc | 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 AND HOME HEALTH AND HOSPICE SERVICES PLUS PRIMARY AND 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. | Desc |
| Total Program Service Expenses | $728,116,157 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 564 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 6094 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | BD | ForeignCountryCd |
| 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 | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| 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 (41 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 | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| J KEVIN CROSTON MD | |||||||||
| CEO NORTH MEMORIAL | 42.00 | 10.00 | Yes (X) | Yes (X) | $1,274,710 | $0 | $47,162 | ||
| ROBERT KING MD | |||||||||
| CARDIAC SURGEON | 50.00 | 0.00 | $846,924 | $0 | $120,103 | Yes (X) | |||
| ALOK MAHESHWARI MD | |||||||||
| CARDIAC SURGEON | 50.00 | 0.00 | $877,365 | $0 | $48,667 | Yes (X) | |||
| OSAMA IBRAHIM MD | |||||||||
| CARDIOLOGIST | 50.00 | 0.00 | $879,919 | $0 | $38,277 | Yes (X) | |||
| JOSEPH VAN CAMP MD | |||||||||
| CARDIAC SURGEON | 50.00 | 0.00 | $851,695 | $0 | $50,495 | Yes (X) | |||
| STEVEN ROH MD | |||||||||
| CARDIOLOGIST | 50.00 | 0.00 | $864,480 | $0 | $32,633 | Yes (X) | |||
| DEEPAK KADEMANI MD | |||||||||
| BOARD MEMBER/SURGEON | 50.00 | 2.00 | Yes (X) | $684,540 | $0 | $45,591 | |||
| JEFFREY WICKLANDER | |||||||||
| PRESIDENT, NORTH MEMORIAL MC | 50.00 | 2.00 | $562,019 | $0 | $123,234 | Yes (X) | |||
| CAROLYN OGLAND VUKICH | |||||||||
| CHIEF MEDICAL OFFICER, AMBULATORY SVCS | 50.00 | 2.00 | $570,794 | $0 | $39,490 | Yes (X) | |||
| JENNIFER CLOSE | |||||||||
| PRESIDENT & CHIEF AMBULATORY OFFICER | 50.00 | 2.00 | $567,968 | $0 | $36,254 | Yes (X) | |||
| ANDREW COCHRANE | |||||||||
| CEO, MAPLE GROVE HOSPITAL | 50.00 | 2.00 | $537,106 | $0 | $45,592 | Yes (X) | |||
| SAMANTHA HANSON | |||||||||
| CHIEF ADMINISTRATIVE OFFICER | 50.00 | 2.00 | $539,999 | $0 | $42,699 | Yes (X) | |||
| JENNIFER TESSMER-TUCK | |||||||||
| VP, MEDICAL AFFAIRS | 50.00 | 0.00 | $518,253 | $0 | $29,213 | Yes (X) | |||
| AARON BLOOMQUIST | |||||||||
| VP FINANCE, CFO | 42.00 | 10.00 | Yes (X) | $462,955 | $0 | $37,186 | |||
| PATRICK COYNE | |||||||||
| VP, AMBULANCE SERVICES | 50.00 | 0.00 | $437,914 | $0 | $42,578 | Yes (X) | |||
| KELLY WHITE | |||||||||
| VP, PATIENT CARE & CNO | 50.00 | 0.00 | $425,917 | $0 | $29,083 | Yes (X) | |||
| PATRICK TAFFE | |||||||||
| VP, INFORMATION SYSTEMS & CIO | 50.00 | 0.00 | $409,942 | $0 | $39,569 | Yes (X) | |||
| KARL THOMAS | |||||||||
| CHIEF INNOVATION OFFICER | 50.00 | 0.00 | $328,304 | $0 | $43,074 | Yes (X) | |||
| RYAN JOHNSON | |||||||||
| VP, TREASURY & BUSN DEVELOPMENT | 50.00 | 0.00 | $322,219 | $0 | $36,022 | Yes (X) | |||
| DAVID ALBRIGHT | |||||||||
| VP, FINANCE PLANNING AND ACCOUNTING | 50.00 | 0.00 | $322,415 | $0 | $26,428 | Yes (X) | |||
| KENT SPAULDING | |||||||||
| VP, CHIEF DEVELOPMENT OFFICER | 50.00 | 1.00 | $278,667 | $0 | $41,846 | Yes (X) | |||
| TRUDY MARSHALL | |||||||||
| VP, MARKETING, COMM. & OUTREACH | 50.00 | 0.00 | $289,702 | $0 | $28,417 | Yes (X) | |||
| STEVEN HORSTMANN | |||||||||
| VP, OPERATIONS | 50.00 | 0.00 | $297,498 | $0 | $18,254 | Yes (X) | |||
| NATHAN DELL | |||||||||
| VP, REVENUE CYCLE | 50.00 | 0.00 | $291,539 | $0 | $14,440 | Yes (X) | |||
| MEETUL SHAH | |||||||||
| CHIEF MED INFO OFFICER, AMB | 50.00 | 0.00 | $250,349 | $0 | $18,197 | Yes (X) | |||
| KELSEY BRODSHO | |||||||||
| CHIEF COMPLIANCE OFFICER-OUTGOING | 50.00 | 0.00 | $227,996 | $0 | $26,870 | Yes (X) | |||
| DAWN BACKLUND | |||||||||
| CHIEF COMPLIANCE OFFICER-INTERIM | 50.00 | 0.00 | $192,263 | $0 | $4,461 | Yes (X) | |||
| MICHAEL STEINHAUSER | |||||||||
| CHAIRMAN OF BOARD | 2.00 | 0.00 | Yes (X) | Yes (X) | $7,500 | $0 | $0 | ||
| TED FERRARA | |||||||||
| VICE CHAIRMAN OF BOARD | 2.00 | 0.00 | Yes (X) | Yes (X) | $7,500 | $0 | $0 | ||
| TIMOTHY BAYLOR | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | |||
| BRUCE CHRISTENSEN | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | |||
| SCOTT COLSON MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | |||
| ROBERT DAHL | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | |||
| TODD GENGERKE MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | |||
| DIANE HUSTON | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | |||
| LAURIE LAFONTAINE | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | |||
| WARREN MACK | |||||||||
| BOARD MEMBER - OUTGOING | 2.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | |||
| BETTY PAKZAD MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | |||
| ROBERT PRENTISS JR | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | |||
| JEFF SMITH | |||||||||
| BOARD MEMBER - OUTGOING | 2.00 | 0.00 | Yes (X) | $2,500 | $0 | $0 | |||
| HEIDI WILSON | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $14,213,452 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,105,835 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 751 | 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 |
|---|---|---|---|---|---|
| VOYAGE HEALTHCARE | |||||
| 9201 WEST BROADWAY STE 501 | ROBBINSDALE | MN | 55422 | PHYSICIAN SERVICES | $12,819,938 |
| REGENTS OF THE UNIVERSITY OF MINNESOTA | |||||
| 3366 OAKDALE AVE N 401 | ROBBINSDALE | MN | 55422 | MEDICAL RESIDENT AND FELLOW TRAINING | $5,124,993 |
| RESPIRATORY CONSULTANTS PA | |||||
| 3366 OAKDALE AVE N 401 | ROBBINSDALE | MN | 55422 | INTENSIVISTS STAFFING | $4,598,352 |
| UNIVERSITY OF MINNESOTA PHYSICIANS | |||||
| 720 WASHINGTON AVE SE STE 200 | MINNEAPOLIS | MN | 55414 | PHYSICIAN SERVICES | $2,426,915 |
| BRANDFIRE LLC | |||||
| 555 8TH AVENUE STE 1802 | NEW YORK | NY | 10018 | MEDIA ADVERTISING | $2,191,528 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 119 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $580,322 | RelatedOrganizationsAmt |
| All Other Contributions | $1,257,663 | AllOtherContributionsAmt |
| Noncash Contributions | $611,735 | NoncashContributionsAmt |
| Total Contributions | $1,837,985 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| HOSPITAL PATIENT REVEN | 621500 | $736,953,522 | $733,806,485 | $3,147,037 | |
| CONTRACT REVENUE | 900099 | $37,352,407 | $37,352,407 | ||
| PHARMACY | 900099 | $15,720,627 | $15,720,627 | ||
| JOINT VENTURE REVENUE | 900099 | $10,700,803 | $10,700,803 | ||
| EHR/MEDICARE & OTHER | 900099 | $9,142,120 | $9,142,120 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,562,940 | TotalRevenueColumnAmt |
| Exclusion | $38,562,940 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $848,432,419 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $542,198 | TotalRevenueColumnAmt |
| Exclusion | $542,198 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,126 | TotalRevenueColumnAmt |
| Exclusion | $2,126 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,698,299 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,528,324 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $169,975 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $169,975 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $169,975 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $107,434,942 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $91,923,999 | SecuritiesAmt |
| Other | $1,389,260 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $15,510,943 | SecuritiesAmt |
| Other | -$1,389,260 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,121,683 | TotalRevenueColumnAmt |
| Exclusion | $14,121,683 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $865,106,386 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $733,976,460 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,147,037 | UnrelatedBusinessRevenueAmt |
| Exclusion | $126,144,904 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,000 | TotalAmt |
| Program Services | $50,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,063,930 | TotalAmt |
| Management And General | $10,063,930 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,676,275 | TotalAmt |
| Program Services | $325,556,949 | ProgramServicesAmt |
| Management And General | $52,119,326 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,688,377 | TotalAmt |
| Program Services | $21,281,381 | ProgramServicesAmt |
| Management And General | $3,406,996 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,282,494 | TotalAmt |
| Program Services | $39,033,510 | ProgramServicesAmt |
| Management And General | $6,248,984 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,304,318 | TotalAmt |
| Program Services | $21,812,322 | ProgramServicesAmt |
| Management And General | $3,491,996 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,294,342 | TotalAmt |
| Program Services | $1,977,723 | ProgramServicesAmt |
| Management And General | $316,619 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,711 | TotalAmt |
| Program Services | $268,695 | ProgramServicesAmt |
| Management And General | $43,016 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,000 | TotalAmt |
| Management And General | $125,000 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $770,974 | TotalAmt |
| Management And General | $770,974 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,589,146 | TotalAmt |
| Program Services | $72,159,870 | ProgramServicesAmt |
| Management And General | $11,429,276 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,766,879 | TotalAmt |
| Program Services | $4,109,050 | ProgramServicesAmt |
| Management And General | $657,829 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,346,573 | TotalAmt |
| Program Services | $6,332,746 | ProgramServicesAmt |
| Management And General | $1,013,827 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,826,957 | TotalAmt |
| Program Services | $14,504,837 | ProgramServicesAmt |
| Management And General | $2,322,120 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,607,149 | TotalAmt |
| Program Services | $25,521,362 | ProgramServicesAmt |
| Management And General | $4,085,787 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,016,228 | TotalAmt |
| Program Services | $3,461,989 | ProgramServicesAmt |
| Management And General | $554,239 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,981,574 | TotalAmt |
| Program Services | $26,706,117 | ProgramServicesAmt |
| Management And General | $4,275,457 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,358,413 | TotalAmt |
| Program Services | $6,342,952 | ProgramServicesAmt |
| Management And General | $1,015,461 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $108,473,393 | $93,504,065 | $14,969,328 |
| BAD DEBT EXPENSE | $37,409,109 | $37,409,109 | |
| MAINTENANCE & REPAIR | $15,595,012 | $13,442,900 | $2,152,112 |
| GOVERNMENT TAXES | $11,414,608 | $11,414,608 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,750,431 | TotalAmt |
| Program Services | $3,225,972 | ProgramServicesAmt |
| Management And General | $524,459 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $847,702,893 | TotalAmt |
| Program Services | $728,116,157 | ProgramServicesAmt |
| Management And General | $119,586,736 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,578 | BOYAmt |
| EOY | $18,278 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $826,498 | BOYAmt |
| EOY | $838,082 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,019,676 | BOYAmt |
| EOY | $85,881,544 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,539,018 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,906,501 | BOYAmt |
| EOY | $8,025,270 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,342,786 | BOYAmt |
| EOY | $11,741,576 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $635,273,670 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $460,680,357 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,683,081 | BOYAmt |
| EOY | $174,593,313 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,151,850 | BOYAmt |
| EOY | $242,547,489 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,712,610 | BOYAmt |
| EOY | $121,127,258 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,909,697 | BOYAmt |
| EOY | $1,692,266 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$42,949,059 | BOYAmt |
| EOY | $15,086,880 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $566,156,236 | BOYAmt |
| EOY | $661,551,956 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,761,563 | BOYAmt |
| EOY | $69,856,172 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $520,002 | BOYAmt |
| EOY | $491,461 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,436,326 | BOYAmt |
| EOY | $103,412,339 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,173,709 | BOYAmt |
| EOY | $86,980,715 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $208,891,600 | BOYAmt |
| EOY | $260,740,687 | 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 | $357,264,636 | BOYAmt |
| EOY | $400,811,269 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $357,264,636 | BOYAmt |
| EOY | $400,811,269 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $566,156,236 | BOYAmt |
| EOY | $661,551,956 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $17,403,493 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $33,879,044 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$7,735,904 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | 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 | 0 | FederalGrantAuditRequiredInd |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $123,000 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,000 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $125,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,919,654 | BeginningYearBalanceAmt |
| Contributions | $7,300 | ContributionsAmt |
| Investment Earnings Or Losses | $659,124 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $52,094 | GrantsOrScholarshipsAmt |
| End Year Balance | $3,533,984 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,344,063 | BeginningYearBalanceAmt |
| Contributions | $82,062 | ContributionsAmt |
| Investment Earnings Or Losses | -$75,671 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $414,300 | OtherExpendituresAmt |
| Administrative Expenses | $16,500 | AdministrativeExpensesAmt |
| End Year Balance | $2,919,654 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,029,196 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $370,959 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $56,092 | OtherExpendituresAmt |
| End Year Balance | $3,344,063 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,203,143 | BeginningYearBalanceAmt |
| Contributions | $155,228 | ContributionsAmt |
| Investment Earnings Or Losses | $707,969 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $37,144 | OtherExpendituresAmt |
| End Year Balance | $3,029,196 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,591,423 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $17,322 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,405,602 | OtherExpendituresAmt |
| End Year Balance | $2,203,143 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.68530 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.31470 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,669,541 | OtherCostOrOtherBasisAmt |
| Book Value | $13,669,541 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $249,806,517 | OtherCostOrOtherBasisAmt |
| Depreciation | $169,476,123 | DepreciationAmt |
| Book Value | $80,330,394 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,009,677 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,525,961 | DepreciationAmt |
| Book Value | $2,483,716 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $350,643,749 | OtherCostOrOtherBasisAmt |
| Depreciation | $274,799,856 | DepreciationAmt |
| Book Value | $75,843,893 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,144,186 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,878,417 | DepreciationAmt |
| Book Value | $2,265,769 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $174,593,313 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (6 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| RREEF AMERICA REIT II | $29,710,708 | F |
| MELLON AGGREGATE BOND INDEX FUND | $55,559,868 | F |
| CASH ON DEPOSIT WITH BOND TRUSTEE | $775,806 | F |
| AGENCY ACCOUNT | $41,594 | F |
| CASUALTY INSURANCE SECURITY | $3,934,750 | F |
| HELD FOR SALE | $31,104,532 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $121,127,258 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)
| DescDesc | AmtAmt |
|---|---|
| EXECUTIVE PENSION PLAN | $3,681,548 |
| DEFINED BENEFIT PENSION PLAN | $10,374,053 |
| POST RETIREMENT HEALTH INSURANCE | $1,941,027 |
| CAA DEPOSIT RESERVE | $138,241 |
| SETTLEMENTS AND CLAIMS PAYABLE | -$518,919 |
| MULTICARE NOTES PAYABLE | $550,000 |
| FOOD SERVICE AGREEMENT | $117,792 |
| OPERATING LEASE LIABILITY | $50,229,399 |
| DEPOSIT LIABILITY | $16,000,000 |
| OTHER LIABILITIES | $877,809 |
| HELD FOR SALE | $3,589,765 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $86,980,715 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 EVALUATES ITS UNCERTAIN POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2019 OR 2018. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| 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 | $15,869,318 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,869,318 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01870 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108,838,795 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $75,055,485 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,783,310 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03990 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $124,708,113 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $75,055,485 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $49,652,628 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05860 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,802,330 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $58,800 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,743,530 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,435,064 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,312,854 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,122,210 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,432,631 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,428,594 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,004,037 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,749 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $54,749 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $646,693 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $646,693 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,371,467 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,800,248 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,571,219 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01720 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $147,079,580 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $82,855,733 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $64,223,847 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07580 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,506,261 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $187,498,939 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $232,351,323 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$44,852,384 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (13 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 MAPLE GROVE HOSPITAL | |||
| HOSPITAL | 0.75000 | 0.00000 | 0.00000 |
| 2 NM AMBULATORY SURGERY CENTER MAPLE GROVE | |||
| OUTPATIENT SURG CTR | 0.50000 | 0.00000 | 0.50000 |
| 3 MN DIAGNOSTIC IMAGING PARTNERS | |||
| OUTPATIENT IMAGING CTR | 0.60000 | 0.00000 | 0.40000 |
| 4 INSTITUTE OF ATHLETIC MEDICINE | |||
| CLINIC | 0.37000 | 0.00000 | 0.00000 |
| 5 MONTICELLO CANCER CENTER | |||
| OPTNT CANCER CENTER | 0.40000 | 0.00000 | 0.00000 |
| 6 NORTH RADIATION ONCOLOGY | |||
| OPTNT RADIATION ONC CLNC | 0.50000 | 0.00000 | 0.50000 |
| 7 MINNETONKA AMBULATORY SURGERY CENTER | |||
| OUTPATIENT SURGERY CENTER | 1.00000 | 0.00000 | 0.00000 |
| 8 FAIRVIEW HOME INFUSION | |||
| OPTNT INFUSION CLINIC | 0.49000 | 0.00000 | 0.00000 |
| 9 BLAINE AMBULATORY SURGERY CENTER | |||
| OUTPATIENT SURGERY CENTER | 0.10000 | 0.00000 | 0.37000 |
| 10 CDI ROSEVILLE | |||
| OUTPATIENT IMAGING CENTER | 0.25000 | 0.00000 | 0.00000 |
| 11 MONTICELLO SURGERY CENTER | |||
| OPTNT SURGERY CENTER | 0.25000 | 0.00000 | 0.14000 |
| 12 MULTICARE SLEEP CENTER LLC | |||
| OPTNT SLEEP CENTER | 0.50000 | 0.00000 | 0.00000 |
| 13 VHA UPPER MIDWEST | |||
| HLTHCARE GRP PURCHASING ORG CO-OP | 0.10000 | 0.00000 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | NORTH MEMORIAL HEALTH | BusinessNameLine1Txt |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.NORTHMEMORIAL.COM | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH MEMORIAL HEALTH | 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 | 275.000000000000 | 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 |
| 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 |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| NORTH MEMORIAL HEALTH | PART V, SECTION B, LINE 5: NORTH MEMORIAL HEALTH HAS A COMMUNITY STEERING COMMITTEE WHICH IS COMPOSED OF COMMUNITY MEMBERS WHICH SUPERVISED 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 TOPICS. |
| NORTH MEMORIAL HEALTH | PART V, SECTION B, LINE 11: IN 2019 NMHH CONDUCTED OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), BASED ON THE THREE YEAR CYCLE. THE 2019 CHNA WAS APPROVED BY THE NNHH COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT) ON NOVEMBER 12, 2019 AND BY THE NORTH MEMORIAL HEALTH STRATEGIC AND BUSINESS DEVELOPMENT COMMITTEE ON DECEMBER 9, 2019. IT WAS POSTED TO OUR WEBSITE ON DECEMBER 30, 2019. THE COMMUNITY HEALTH WORK CARRIED OUT DURING 2019, WHILE THE 2019 CHNA WAS BEING CONDUCTED, WAS BASED ON THE 2016 CHNA FINDINGS. THE OVERALL CHNA WAS GUIDED BY THE COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT) WHICH IS COMPOSED OF COMMUNITY MEMBERS, NORTH MEMORIAL HEALTH EMPLOYEES, AND PUBLIC HEALTH REPRESENTATIVES. DATA USED TO IDENTIFY THE TOP PRIORITIES INCLUDED: DEMOGRAPHIC DATA; QUANTITATIVE DATA FROM THE MINNESOTA HOSPITAL ASSOCIATION, MINNESOTA DEPARTMENT OF HEALTH, HENNEPIN COUNTY SHAPE 2014, COMMUNITY NEED INDEX AND ATTRIBUTED PATIENT DATA; QUALITATIVE DATA FROM FOCUS GROUPS, KEY STAKEHOLDER INTERVIEWS, AND COMMUNITY ASSET MAPPING. THE FOLLOWING TOP PRIORITIES WERE IDENTIFIED IN THE ASSESSMENT:-MENTAL HEALTH/SUBSTANCE ABUSE/USE-FOOD - ACCESS, AFFORDABILITY, NUTRITION EDUCATION RESPIRATORY DISEASE-YOUTH - EDUCATION ABOUT HEALTH CARE CAREERS, LEADERSHIP DEVELOPMENT-OBESITY-CULTURAL DIVERSITYAFTER DISCUSSION OF THE HEALTH PRIORITIES, THE CEAT VOTED TO FOCUS ON TWO HEALTH PRIORITIES. PRIORITIZATION WAS BASED ON THE FOLLOWING CRITERION:-HOW WIDESPREAD IS THE HEALTH NEED?-HOW SERIOUS OR IMPORTANT DO YOU THINK THIS HEALTH NEED IS 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?BASED ON THESE CRITERIA THE TOP NEEDS WERE IDENTIFIED AS:-MENTAL HEALTH/SUBSTANCE ABUSE/USE 207 VOTES-FOOD - ACCESS, AFFORDABILITY, NUTRITION EDUCATION 182 VOTES-OBESITY 177 VOTES-CULTURAL DIVERSITY 175 VOTES-RESPIRATORY DISEASE 161 VOTES-YOUTH - EDUCATION ON HEALTH CARE CAREERS, LEADERSHIP DEVELOPMENT 158 VOTESAFTER A REVIEW OF POTENTIAL IMPLEMENTATION PROJECTS TO ADDRESS THESE HEALTH PRIORITIES, A DECISION WAS MADE TO SEPARATE MENTAL HEALTH AND SUBSTANCE ABUSE/USE. THE FINAL TOP HEALTH PRIORITIES FROM THE 2016 CHNA ARE:-MENTAL HEALTH-SUBSTANCE ABUSE/USE AND-FOOD - ACCESS, AFFORDABILITY, NUTRITION EDUCATIONTHESE HEALTH PRIORITIES WILL BE ADDRESSED WITH COMMUNITY PARTNERSHIPS, COMMUNITY SUPPORT AND CULTURAL APPROPRIATENESS IN MIND. MENTAL HEALTH AND SUBSTANCE ABUSE/USE ARE BEING ADDRESSED SYSTEM WIDE.NORTH MEMORIAL HEALTH HOSPITAL HAS SEVERAL STRATEGIES THAT IT IS USING TO ADDRESS THE IDENTIFIED HEALTH PRIORITIES. PRIORITY 1: MENTAL HEALTH (SYSTEM WIDE PRIORITY)GOAL - TO SUPPORT THE MENTAL HEALTH OF COMMUNITY MEMBERS ALONG THE MENTAL HEALTH CONTINUUM.OBJECTIVES:I. REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH CONDITIONS STRATEGIES:-INCORPORATED THE MAKE IT OKAY MESSAGE INTO ANNUAL EMPLOYEE TRAINING-ACTION - NORTH MEMORIAL HEALTH HOSPITAL INCORPORATED THE MAKE IT OKAY MESSAGE INTO THE ANNUAL EMPLOYEE TRAINING. MAKE IT OKAY IS DESIGNED TO REDUCE STIGMA SURROUNDING MENTAL HEALTH. THIS EDUCATION IS DESIGNED TO EMPOWER OUR EMPLOYEES TO FEEL COMFORTABLE ADDRESSING MENTAL HEALTH ISSUES WITH THEIR CLIENTS, FAMILY, FRIENDS AND COMMUNITY MEMBERS. -TO REDUCE THE STIGMA AROUND SUICIDE A SAFETALK CLASS WAS OFFERED TO THE COMMUNITY ON MAY 16, 2019 AT THE NEW HOPE YMCA.-STAFF AT MAPLE GROVE HOSPITAL HELD A MENTAL HEALTH/MAKE IT OKAY RESISTANCE EVENT FOR STAFF AND HOSPITAL VISITORS.-STAFF AT NORTH MEMORIAL HEALTH HOSPITAL EXPRESSED AN INTEREST IN BEING TRAINED IN MAKE IT OKAY, AFTER LEARNING ABOUT THE MAKE IT OKAY PROGRAM IN THE ANNUAL EMPLOYEE TRAINING, IN ORDER TO PROVIDE COMMUNITY TRAINING IN THE FUTURE. II. INCREASE EDUCATION ABOUT MENTAL HEALTH STRATEGIES:-OFFER A MINIMUM OF FOUR EVIDENCE BASED MENTAL HEALTH FIRST AID (MHFA) CLASSES ACROSS THE SYSTEM ANNUALLY-ACTION - 4 MENTAL HEALTH FIRST AID CLASSES WERE OFFERED TO THE COMMUNITY IN 2019. -THESE INCLUDE: -JANUARY 24, 2019 YOUTH MENTAL HEALTH FIRST AID CLASS AT MAPLE GROVE HOSPITAL 14 PEOPLE ATTENDED. -MARCH 1, 2019 ADULT FOCUSED MENTAL HEALTH FIRST AID CLASS AT MAPLE GROVE HOSPITAL 22 PERSONS ATTENDED. -APRIL 19, 2019 - ADULT FOCUSED MENTAL HEALTH FIRST AID CLASS AT NORTH MARKET 16 PERSONS ATTENDED. -NOVEMBER 15, 2019 YOUTH MENTAL HEALTH FIRST AID CLASS AT NORTH SPECIALTY CENTER 6 PERSONS ATTENDED.-ACTION - IN 2018 BEGAN OFFERING SAFETALK SUICIDE AWARENESS CLASSES AFTER THE COMMUNITY REQUESTED SUICIDE PREVENTION EDUCATION AND SHORTER CLASSES. 5 SAFETALK CLASSES WERE OFFERED TO THE COMMUNITY IN 2019. -THESE INCLUDE: -FEBRUARY 27, 2019 SAFETALK CLASS AT NORTH MARKET 17 PERSONS ATTENDED. -MAY 16, 2019 SAFETALK CLASS AT NEW HOPE YMCA 10 PEOPLE ATTENDED. -JULY 19, 2019 SAFETALK CLASS AT MAPLE GROVE HOSPITAL 19 PERSONS ATTENDED. -SEPTEMBER 19, 2019 SAFETALK CLASS AT MAPLE GROVE HOSPITAL - 10 PERSONS ATTENDED. -NOVEMBER 8, 2019 SAFETALK CLASS AT THE CRYSTAL COMMUNITY CENTER 15 PERSONS ATTENDED. III. IMPROVE ACCESS TO MENTAL HEALTH SERVICESSTRATEGIES:-OPENED THE NORTH MEMORIAL MENTAL HEALTH & ADDICTION CARE CLINIC -ACTION - THE CLINIC LOCATED IN ROBBINSDALE OPENED IN DECEMBER OF 2016 IN RESPONSE TO AN IDENTIFIED COMMUNITY NEED. THE CLINIC HAS 10,300 SQ. FT. AND FOCUSES ON GENERAL MENTAL HEALTH PROBLEMS WITH A SPECIFIC FOCUS ON SERIOUS AND PERSISTENT MENTAL ILLNESS AND POST-TRAUMATIC STRESS DISORDER.-CONTINUED ASSESSMENT OF COMMUNITY NEEDS AND DEVELOPMENT OF PROGRAMS AS NEED IS IDENTIFIED-ACTION - IN 2019, TO MEET THE NEEDS OF THE PRESENTING PATIENT COMMUNITY, WE CONTINUED OUR PARTIAL HOSPITALIZATION PROGRAM FOCUSED ON SEVERE AND PERSISTENT MENTAL ILLNESS (SPMI) POPULATIONS ALONG WITH OUR INTENSIVE OUTPATIENT PROGRAM FOCUSED ON POST-TRAUMATIC STRESS DISORDER (PTSD), THE FIRST OF ITS KIND IN THE STATE AND IN THE METRO AREA. IN 2019, WE HIRED AND ON-BOARDED TWO ADDITIONAL PRESCRIBERS, FOUR PSYCHOLOGISTS, AND ONE INTEGRATIVE BEHAVIORAL HEALTH PROVIDER WHO IS LOCATED OUT OF THE CAMDEN PRIMARY CARE CLINIC. WE CONTINUED TO OFFER MENTAL HEALTH PROGRAMMING WITH A FOCUS ON HOLISTIC CARE, TRAUMA/PSTD, AND SPMI. WE HIRED TWO ADDITIONAL PSYCHIATRISTS IN 2019, WHO WILL START IN SUMMER/FALL 2020.-AT MAPLE GROVE HOSPITAL BEHAVIORAL HEALTH PROVIDERS WERE CONTACTED WITH TO INCREASE BEHAVIORAL HEALTH COVERAGE FOR THE ECC STARTING IN JULY OF 2019. IV. SUPPORT NORTH MEMORIAL HEALTH'S DOMESTIC VIOLENCE ADVOCACY PROGRAM SAFEJOURNEY. THIS PROGRAM TRANSITIONED FROM COMMUNITY VOLUNTEERS TO HOSPITAL BASED SOCIAL WORKERS DECEMBER OF 2019. STRATEGIES:-ENSURE 24-HOUR ADVOCACY IS PROVIDED BY TRAINED VOLUNTEERS-ACTION - 24-HOUR ADVOCACY IS IN PLACE.-TRAINED NEW VOLUNTEERS IN 2019-ACTION - FIVE NEW SYSTEM WIDE ADVOCATES WERE TRAINED IN 2019. VOLUNTEERS SERVE BOTH MAPLE GROVE HOSPITAL AND NORTH MEMORIAL HEALTH HOSPITAL. -CLIENTS SERVED-ACTION - 58 CLIENTS WERE SERVED BY WALK IN ADVOCACY IN 2019. -ACTION - 70 CLIENTS ATTENDED SUPPORT GROUPS AT MAPLE GROVE HOSPITAL AND 39 CLIENTS ATTENDED SUPPORT GROUPS AT NORTH MEMORIAL HEALTH HOSPITAL IN 2019. -DISTRIBUTE CLIENT EMERGENCY FUNDS TO QUALIFIED CLIENTS-ACTION - SYSTEM WIDE WE SERVED 61 INDIVIDUAL CLIENTS AND DISTRIBUTED $8,349 IN EMERGENCY SUPPORT.-PROVIDE COMMUNITY OUTREACH AND EDUCATION ON SAFEJOURNEY-ACTION - PARTICIPATED IN COMMUNITY OUTREACH AT GOLDEN VALLEY LUTHERAN CHURCH ON SEPTEMBER 22, 2019. 75 PEOPLE ATTENDED. CONTINUED... |
| SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION: | V. WORK WITH COMMUNITY PARTNERS TO COLLECTIVELY IDENTIFY OPPORTUNITIES TO ADDRESS MENTAL HEALTH ISSUES AND SOCIAL CONDITIONS THAT AFFECT MENTAL HEALTH CONDITIONS - CHIP, CCH, WEST METRO HOSPITAL GROUP, LOCAL PUBLIC HEALTH, GOVERNMENT AND OTHERS.STRATEGIES:-CONTINUE ACTIVE INVOLVEMENT IN HENNEPIN COUNTY CHIP AND SOCIAL ISOLATION WORKGROUP.-ACTION - CHIP 1.0 ENDED IN 2017 AND REGULAR INVOLVEMENT STOPPED. CONTINUED PARTICIPATION WITH CHIP COLLABORATIVE BY ATTENDING MEETINGS ON COMMUNITY MENTAL HEALTH AND HOUSING STABILITY WHEN APPROPRIATE. COMMUNITY HEALTH OUTREACH MANAGER ATTENDED CHIP COLLABORATIVE MEETING APRIL 25, 2019.-CONTINUE ACTIVE INVOLVEMENT WITH THE CENTER FOR COMMUNITY HEALTH COLLECTIVE ACTION GROUP.-ACTION - GROUP CONTINUES TO WORK ON INCREASING AWARENESS OF MENTAL HEALTH FIRST AID CLASSES IN THE METRO COMMUNITY. MAY MENTAL HEALTH AWARENESS MONTH IS A FOCUS FOR GETTING THE WORD OUT ON MAKE IT OKAY AND CLASSES FOCUSED ON MENTAL HEALTH. COMMUNITY HEALTH OUTREACH MANAGER CONTINUES TO REPRESENT THE SYSTEM AT MONTHLY MEETINGS AND IS NOW A MEMBER OF THE CENTER FOR COMMUNITY HEALTH BOARD.-EXPLORE COMMUNITY PARTNERSHIP OPPORTUNITIES THAT ADDRESS MENTAL HEALTH AND VIOLENCE.-ACTION - YOUTH SUICIDE PREVENTION COALITION CONTINUED TO MEET IN 2019. MANY GROUPS SUCH AS PARTNERS IN PREVENTION, THE NORTHWEST HENNEPIN FAMILY SERVICE COLLABORATIVE AND THE ROBBINSDALE REDESIGN FAMILY SERVICE COLLABORATIVE ARE WORKING WITH LOCAL SCHOOLS TO ADDRESS SUICIDE PREVENTION. DECISION WAS MADE TO TABLE THIS COALITION UNTIL 2020 AFTER THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT ARE COMPLETED. -NORTH MEMORIAL HEALTH HOSPITAL CONTINUES TO WORK WITH THE CITY OF MINNEAPOLIS ON THE VIOLENCE INTERVENTION PROGRAM NEXT STEP. IN 2019 112 CLIENTS WERE ENROLLED. PRIORITY 2: SUBSTANCE ABUSE/USE (SYSTEM WIDE PRIORITY)GOAL TO CREATE AN ENVIRONMENT WHERE SUBSTANCE ABUSE/USE AMONG THE GENERAL POPULATION AND SUBSTANCE ABUSE/USE AMONG YOUTH IS REDUCED. OBJECTIVES:I. INCREASE AWARENESS OF SUBSTANCE ABUSE/USE ISSUES AMONG YOUTH AND YOUNG ADULTS AND ACTIVITIES TO ADDRESS THESE ISSUES. STRATEGIES:-CONTINUE WORKING WITH AND SUPPORTING COMMUNITY COLLABORATIVE SUCH AS PARTNERSHIP FOR CHANGE AND PARTNERS IN PREVENTION-ACTION - STAFF ATTENDED PARTNERSHIP FOR CHANGE AND PARTNERS IN PREVENTION MEETINGS.-ACTION - FINANCIALLY SUPPORTED PARTNERS IN PREVENTION'S UNCOVER THE TRUTH CAMPAIGN WHICH EDUCATES WAYZATA HIGH SCHOOL STUDENTS ABOUT DRUG AND ALCOHOL ISSUES WITH REGARD TO THEIR PEERS.-ACTION - PARTNERSHIP FOR CHANGE, HOUSED OUT OF NORTH MEMORIAL HEALTH HOSPITAL'S TRAUMA DEPARTMENT, LEVERAGES COMMUNITY PARTNERSHIPS TO PREVENT AND REDUCE SUBSTANCE USE/ABUSE IN THE COMMUNITY THROUGH STRATEGIES SUCH AS: -POLD (PLACE OF LAST DRINK) AND RAVE (RESPONSIBLE VENDOR EDUCATION & ENFORCEMENT) -EXPANDED SOCIAL HOST ORDINANCE. -MEDICINE ABUSE PREVENTION WORKGROUP WHICH INCLUDES MEDICATION DROP BOXES - 2 BOXES OPENED IN 2019 AT BROOKLYN PARK AND CRYSTAL POLICE DEPARTMENTS. -MARIJUANA PERCEPTION OF HARM PARTICIPATED ON THE EXECUTIVE COMMITTEE OF SMART APPROACHES TO MARIJUANA MINNESOTA TO HELP EDUCATE COMMUNITY MEMBERS ABOUT POTENTIAL HEALTH IMPACTS OF MARIJUANA USE AND EXPANDED ACCESS. II. IMPROVE ACCESS TO ADDICTION MEDICINE SERVICES STRATEGIES:-OPENED THE NORTH MEMORIAL MENTAL HEALTH & ADDICTION CARE CLINIC. -ACTION - THE CLINIC LOCATED IN ROBBINSDALE OPENED IN DECEMBER OF 2016 IN RESPONSE TO AN IDENTIFIED COMMUNITY NEED. ORIGINALLY THE CLINIC INCLUDED ADDITION MEDICINE, HOWEVER WHEN OUR ONLY ADDITION MEDICINE PROVIDER LEFT IN EARLY 2017 A REPLACEMENT WAS NOT OBTAINED. SUBSTANCE USE DISORDERS ARE ADDRESSED WITHIN THE CONTEXT OF MENTAL HEALTH CARE. -CONTINUED ASSESSMENT OF COMMUNITY NEEDS AND DEVELOPMENT OF PROGRAMS AS NEED IS IDENTIFIED-ACTION - IN 2019, WE CONTINUED TO ADDRESS, WHEN APPROPRIATE, SUBSTANCE USE ISSUES IN INDIVIDUAL APPOINTMENTS AND PROGRAMMING, HOWEVER, NONE OF OUR PROGRAMMING IS SUBSTANCE USE DISORDER SPECIFIC. WE DO HAVE SEVERAL PROVIDERS WHO HAVE SPECIALIZATION IN SUBSTANCE USE TREATMENT AND TWO OF OUR OUTPATIENT PROVIDERS ARE DUALLY LICENSED AS LADC AND LPCC. -IN 2019, WE HIRED AND ON-BOARDED TWO ADDITIONAL PRESCRIBERS, FOUR PSYCHOLOGISTS, AND ONE INTEGRATIVE BEHAVIORAL HEALTH PROVIDER WHO IS LOCATED OUT OF THE CAMDEN PRIMARY CARE CLINIC. WE CONTINUED TO OFFER MENTAL HEALTH PROGRAMMING WITH A FOCUS ON HOLISTIC CARE, TRAUMA/POST-TRAUMATIC STRESS DISORDER, AND SEVERE AND PERSISTENT MENTAL ILLNESS. WE HIRED TWO ADDITIONAL PSYCHIATRISTS IN 2019, WHO WILL START IN SUMMER/FALL 2020.-IN 2019, TWO OF THE NEWLY HIRED OUTPATIENT PSYCHOLOGISTS CAME TO NORTH WITH A SIGNIFICANT PROFESSIONAL BACKGROUND IN WORKING WITH POPULATIONS STRUGGLING WITH ADDICTION. DEVELOPING CO-OCCURRING MH/SUD PROGRAMMING REMAINS A POSSIBLE PLAN FOR EXPANSION, BUT WE HAVE BEEN LIMITED BY NOT HAVING ADDICTION SPECIALISTS AMONGST OUR OUTPATIENT PRESCRIBERS. III. INCREASE AWARENESS OF OPIOID MISUSE AND WORK TO PUT SYSTEMS IN PLACE TO REDUCE THIS MISUSESTRATEGIES:-GROW OPIOIDS CLINICAL PRACTICE COUNCIL TO MANAGE OPIOID PROGRAM DEVELOPMENT AND DEPLOY INSTITUTE FOR CLINICAL IMPROVEMENT (ICSI) OPIOID GUIDELINES-ACTION WORKGROUPS HAVE BEEN FORMED AROUND:-BEST PRACTICE PRESCRIBING-IMPLEMENTED ENHANCED FUNCTIONALITY TO INTEGRATE THE MINNESOTA PRESCRIPTION MONITORING PROGRAM (PMP) WITHIN THE ELECTRONIC MEDICAL RECORD TO ENHANCE USE AND FUNCTIONALITY.-DEPLOYED A POST-OPERATIVE PAIN MANAGEMENT PATIENT GUIDE TO ENHANCE PATIENT ENGAGEMENT IN CARE AND REDUCE SOLE RELIANCE ON OPIOIDS.-ACTIVE ENGAGEMENT WITHIN THE MN HEALTH COLLABORATIVE ACTIVATED BY THE INSTITUTE FOR CLINICAL IMPROVEMENT TO DRIVE EFFORTS STATEWIDE.-IMPLEMENTED DEFAULT OPIOID PRESCRIBING SETTINGS AND ALERTS IN THE ELECTRONIC MEDICAL RECORD TO SUPPORT BEST PRACTICE PRESCRIBING. -SURGICAL PRESCRIBING AT OR BELOW THE PRESCRIBING BENCHMARKS CONTINUED ROLLOUT TO PROCEDURES IN 3 ADDITIONAL SPECIALTIES, RESULTING IN A 24% INCREASE IN PROCEDURES PRESCRIBED AT OR BELOW BENCHMARK AND 100,000 FEWER PILLS PRESCRIBED FROM BASELINE. -IN 2019, THE EMERGENCY DEPARTMENT PRESCRIPTIONS WERE IN LINE WITH GUIDELINES 95% OF THE TIME RESULTING IN 42,000 FEWER OPIOID PILLS PRESCRIBED. -THE AMBULATORY SETTING DECREASED PRESCRIBING OPIOIDS TO OPIOID NAVE CUSTOMERS AND INCREASED THE VOLUME OF SCRIPTS AT OR BELOW BASELINE FOR ACUTE PRESCRIBING.-HIGH RISK POPULATIONS-MEDICATION ASSISTED THERAPY GUIDELINE AND WORKFLOW WITHIN THE EMERGENCY DEPARTMENT INITIATED TO SUPPORT RAPID TREATMENT INITIATION AND COMMUNITY-BASED ADDICTION CARE FOLLOW-UP. -IMPLEMENTED OUTPATIENT MEDICATION ASSISTED THERAPY BEST PRACTICE GUIDELINE AND ELECTRONIC MEDICAL RECORD TOOLS.-PROPER DISPOSAL OF UNUSED OPIOIDS -NORTH MEMORIAL HEALTH HOSPITAL AND MAPLE GROVE HOSPITAL CONTINUED TO PROTECT OUR COMMUNITIES BY PROVIDING ACCESS TO SAFE DISPOSAL OPTIONS FOR UNWANTED MEDICATIONS. THE DISPOSAL KIOSKS ARE INSTALLED AT BOTH NORTH MEMORIAL HEALTH PHARMACY ROBBINSDALE ON THE FIRST FLOOR OF NORTH MEMORIAL HEALTH HOSPITAL AND NORTH MEMORIAL HEALTH PHARMACY MAPLE GROVE AT MAPLE GROVE MEDICAL CENTER. -LANGUAGE ADDED TO ALL AFTER VISIT SUMMARIES INSTRUCTING PATIENTS OF HOW TO DISPOSE OF MEDICATIONS PROPERLY.STRATEGIES: -GROW INTERNAL TEAM TO MANAGE OPIOID PROGRAM DEVELOPMENT AND DEPLOY ICSI CONTENT-ACTION - A WORKGROUP HAS BEEN FORMED AROUND:-CHRONIC PRESCRIBING FOR CHRONIC PAIN.-PUBLISHED OPIOID USE DISORDER ALGORITHM AND TAPERING GUIDELINE.-IMPLEMENTED ENHANCED FUNCTIONALITY TO INTEGRATE THE MINNESOTA PRESCRIPTION MONITORING PROGRAM (PMP) WITHIN THE ELECTRONIC MEDICAL RECORD TO ENHANCE USE AND FUNCTIONALITY.-IMPLEMENTED ALERTS IN THE ELECTRONIC MEDICAL RECORD TO SUPPORT BEST PRACTICE PRESCRIBING. -CONTINUE INVOLVEMENT WITH PARTNERSHIP FOR CHANGE AND MINNESOTA'S PRESCRIPTION MONITORING PROGRAM (PMP)-ACTION - PARTNERSHIP FOR CHANGE WORKING IN PARTNERSHIP WITH THE PHARMACY DEPARTMENT ON INTEGRATING PMP INTO EPIC, PATIENT PORTAL AND EDUCATION.-PROVIDER FORUM: PANEL DISCUSSION ON OPIOIDS, OCTOBER 2019-THE MEDICINE ABUSE PREVENTION WORKGROUP COLLABORATED WITH NORTH MEMORIAL ED AND GRAND ROUNDS STAFF TO PLAN A PROVIDER EDUCATION EVENT SURROUNDING THE OPIOID EPIDEMIC. MORE THAN 50 PROVIDERS ATTENDED THE EVENT IN OCTOBER, WHICH UPDATED ON OPIOID PRESCRIBING TRENDS, HOW THE PRESCRIPTION DRUG MONITORING PROGRAM IS NOW ACCESSIBLE DIRECTLY THROUGH EPIC, AND TRIPS FOR HAVING CONVERSATIONS WITH PATIENTS ABOUT LIMITING AND TAPERING OPIOID PRESCRIPTIONS.-RESEARCH COMMUNITY BASED OPIOID ABUSE PREVENTION PROGRAMS-ACTION - BEING ADDRESSED BY WORK WITH ICSI AND PARTNERSHIP FOR CHANGE.CONTINUED... |
| SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION: | PRIORITY 3: FOOD/ACCESS/AFFORDABILITY/ NUTRITION EDUCATIONGOAL TO IMPROVE ACCESS TO NUTRITIOUS FOOD AND PROMOTE HEALTHY LIFESTYLES FOR EMPLOYEES AND COMMUNITY MEMBERS. OBJECTIVES: I. IMPROVE ACCESS TO HEALTHY FOODS IN THE NORTH MINNEAPOLIS CAMDEN COMMUNITY. STRATEGIES:-CONTINUE WORKING WITH PILLSBURY UNITED ON COMMUNITY EDUCATION AT NORTH MARKET-ACTION - NORTH MEMORIAL WAS A MAJOR PARTNER IN THE DEVELOPMENT OF NORTH MARKET, A GROCERY STORE IN NORTH MINNEAPOLIS THAT IS A FOOD DESSERT. NORTH MEMORIAL WORKED WITH PILLSBURY UNITED IN BUILDING NORTH MARKET. NORTH MEMORIAL IS OPERATING A WELLNESS RESOURCE CENTER WHICH IS STAFFED BY A COMMUNITY WELLNESS COORDINATOR, COMMUNITY HEALTH WORKERS, A PHARMACY TECHNICIAN, AND A NUTRITIONIST. NORTH MARKET OPENED DECEMBER 14, 2017.-EXPLORED NUTRITION EDUCATION PROGRAMS FOR NORTH MARKET-ACTION - NORTH MARKET OPENED DECEMBER 14, 2017. CLASSES OFFERED AT NORTH MARKET IN 2019 INCLUDED:-JULY 11, 2019 TO AUGUST 22, 2019 - STEPPING ON, FALLS PREVENTION CLASS 4 PARTICIPANTS.-JULY 2019 - PARTNERED WITH COMMUNITY HEALTH WORKER'S FOR THE PILLSBURY UNITED COMMUNITIES QUIT LOUNGE EVENT 5 PARTICIPANTS. -AUGUST 6, 2019 TO SEPTEMBER 10, 2019 LIVING WELL WITH CHRONIC CONDITIONS CLASS 5 PARTICIPANTS2019 COMMUNITY EVENTS NORTH MARKET PARTICIPATED IN INCLUDED:-MID-MAY 2019 TO DECEMBER 2019 - CONDUCTED GROCERY STORE TOURS - 32 PARTICIPANTS.-MID-MAY 2019 TO DECEMBER 2019 ASSISTED CUSTOMERS GET ESTABLISHED WITH NEW PRIMARY CARE PHYSICIANS AT NORTH MEMORIAL HEALTH 11 PERSONS SERVED-AUGUST 2019 - PARTNERED WITH PILLSBURY UNITED COMMUNITIES COMMUNITY HEALTH WORKER'S SAMPLING HEALTHY SNACKS AND INFUSED WATER FOR THEIR FEED YOUR POTENTIAL PROGRAM AT THE CAMDEN FARMERS MARKET HELD IN THE NORTH MARKET PARKING LOT 30 PARTICIPANTS-MIDAUGUST 2019 TO 1ST WEEK OF SEPTEMBER 2019 - BACK TO SCHOOL SUPPLY DRIVE, DISTRIBUTED BAGS FULL OF SCHOOL SUPPLIES BETWEEN THE CAMDEN FARMERS MARKET HELD IN THE NORTH MARKET PARKING LOT AND THE WELLNESS RESOURCE CENTER 100 BAGS DISTRIBUTED-OCTOBER 31, 2019 WELLNESS RESOURCE CENTER HALLOWEEN PARTY - 100 PERSONS ATTENDED.-NOVEMBER 2019 - DECEMBER 2019 ASSISTED PILLSBURY UNITED COMMUNITIES COMMUNITY HEALTH WORKER'S PROMOTE THEIR DIABETES PREVENTION PROGRAM-NOVEMBER 16, 2019 DECEMBER 31, 2019 - SURVEYED CUSTOMERS FOR WELLNESS RESOURCE CENTER: WELLNESS WEDNESDAY'S 2020 POTENTIAL CLASSES 58 PARTICIPANTS.-NOVEMBER 18, 2019 NOVEMBER 29, 2019 HOSTED A HOLIDAY RECIPE EXCHANGE 25 PARTICIPANTS-DECEMBER 2, 2019 DECEMBER 20, 2019 HOSTED A HOLIDAY RECIPE EXCHANGE 40 PARTICIPANTSII. INCREASE COLLABORATION AND CONNECTIVITY BETWEEN NORTH MEMORIAL HEALTH HOSPITAL AND COMMUNITY ORGANIZATIONS WORKING ON FOOD ACCESS AND NUTRITIONSTRATEGIES:-EXPLORE PARTNERSHIP OPPORTUNITIES WITH NORTHSIDE FRESH-ACTION - NO PARTNERSHIP PROGRAMS HAVE BEEN IDENTIFIED AT THIS TIME.-EXPLORE PARTNERSHIP OPPORTUNITIES WITH CEAP AND SECOND HARVEST HEARTLAND -ACTION - CURRENTLY WORKING WITH CEAP ON SPONSORING FARM FRESHFEST (A FREE FARMERS MARKET FOR ANY AND ALL) AND EXPLORING NEW PROGRAMS AROUND FOOD DELIVERY. PROVIDING COMMUNITY PARAMEDICS WITH BRIDGE BAGS TO PROVIDE TO PATIENTS IN NEED. BRIDGE BAGS CONTINUE TO BE REQUESTED BY THE NMH COMMUNITY PARAMEDIC TEAM. FINANCIALLY SUPPORTING FARM FRESHFEST EACH YEAR HAS BECOME AN ANTICIPATED EVENT BY THE NMH TEAM!-ACTION - WE CONTINUE TO WORK WITH CEAP TO BRAINSTORM NEW IDEAS TO UTILIZE THEIR PROGRAMS.-ACTION - WORKING WITH SECOND HARVEST HEARTLAND TO PROVIDE FOOD ASSISTANCE SCREENING, FOOD BOXES AND DISEASE MANAGEMENT EDUCATION TO OUR PATIENTS. WE HAVE SCREENED 260 PEOPLE, IDENTIFIED 226 FOOD INSECURE INDIVIDUALS, AND ENROLLED 191 PEOPLE IN THE FOOD RX PROGRAM. WE ALSO MADE 27 REFERRALS TO SNAP SERVICES AND PROVIDED ADDITIONAL FOOD RESOURCE INFORMATION TO 46 INDIVIDUALS IN NEED. -ACTION - CONTINUE COLLABORATION OF ENROLLING AND EXPANDING THE FOOD RX PROGRAM TO MORE ENROLLEES. WE HAVE UTILIZED VOLUNTEERS THROUGH MED TRANS TO BEGIN DOING HOME DELIVERIES FOR THOSE WHO STRUGGLE WITH TRANSPORTATION.III. CONTINUATION OF THE COMMUNITY PARAMEDIC FOOD INSECURITY PROGRAMSTRATEGY:-CONTINUE IMPLEMENTATION OF THE FOOD INSECURITY GUIDELINES.-ACTION - PREPARED AND PURCHASED EMERGENCY FOOD SUPPLIES WHICH INCLUDED THE DELIVERY OF 15 BRIDGE BAGS AND 125 SNACK BOXES TO CUSTOMERS THAT SHOWED INDICATIONS OF FOOD INSECURITY. THE HEALTH PRIORITIES NOT BEING ADDRESSED DIRECTLY INCLUDE:-OBESITY -CULTURAL DIVERSITY -RESPIRATORY DISEASE -YOUTH - EDUCATION ON HEALTH CARE CAREERS, LEADERSHIP DEVELOPMENTTHE COMMUNITY ENGAGEMENT ADVISORY TEAM FELT THAT TO MAKE A MEANINGFUL DIFFERENCE IN THE TOP THREE IDENTIFIED HEALTH PRIORITIES RESOURCES SHOULD BE FOCUSED ON THESE PRIORITIES AND NOT SPREAD ACROSS A MULTITUDE OF PRIORITIES. OBESITY IS BEING ADDRESSED IN THE COMMUNITY BY THE NEW HOPE YMCA AND LOCAL PARK AND RECREATION DEPARTMENTS. CULTURAL DIVERSITY IS BEING WOVEN INTO THE TOP THREE PRIORITIES. THE AMERICAN LUNG ASSOCIATION IS ADDRESSING RESPIRATORY DISEASES. YOUTH HAVE ACCESS TO VOLUNTEER OPPORTUNITIES THROUGH NORTH MEMORIAL HEALTH HOSPITAL VOLUNTEER DEPARTMENT. |
| 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/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 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 |
| 7 - MULTICARE SLEEP CENTER LLC | ||||
| 10600 OLD COUNTY ROAD 15 | PLYMOUTH | MN | 55441 | OUTPATIENT SLEEP CENTER |
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: | 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORTICO HEALTHNET | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 UNIVERSITY AVENUE WEST SUITE | AddressLine1Txt |
| Address Line2 | 211 | AddressLine2Txt |
| City | SAINT PAUL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 411814659 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $50,000 | CashGrantAmt |
| Purpose Of Grant | TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANT RECIPIENTS PROVIDE A YEAR END REPORT AS TO THE AMOUNT EXPENDED AND THE NUMBER OF CLIENTS ASSISTED AND THE DEMOGRAPHICS OF THOSE SERVED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | 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 (27 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 | ||||||||||||||
| CEO NORTH MEMORIAL | $954,231 | $0 | $310,489 | $0 | $9,990 | $0 | $19,450 | $0 | $27,712 | $0 | $1,321,872 | $0 | $0 | $0 |
| ROBERT KING MD | ||||||||||||||
| CARDIAC SURGEON | $812,500 | $0 | $14,081 | $0 | $20,343 | $0 | $95,200 | $0 | $24,903 | $0 | $967,027 | $0 | $0 | $0 |
| ALOK MAHESHWARI MD | ||||||||||||||
| CARDIAC SURGEON | $870,069 | $0 | $3,000 | $0 | $4,296 | $0 | $19,600 | $0 | $29,067 | $0 | $926,032 | $0 | $0 | $0 |
| OSAMA IBRAHIM MD | ||||||||||||||
| CARDIOLOGIST | $794,906 | $0 | $82,119 | $0 | $2,894 | $0 | $19,600 | $0 | $18,677 | $0 | $918,196 | $0 | $0 | $0 |
| JOSEPH VAN CAMP MD | ||||||||||||||
| CARDIAC SURGEON | $830,095 | $0 | $14,081 | $0 | $7,519 | $0 | $19,450 | $0 | $31,045 | $0 | $902,190 | $0 | $0 | $0 |
| STEVEN ROH MD | ||||||||||||||
| CARDIOLOGIST | $827,406 | $0 | $32,750 | $0 | $4,324 | $0 | $19,600 | $0 | $13,033 | $0 | $897,113 | $0 | $0 | $0 |
| DEEPAK KADEMANI MD | ||||||||||||||
| BOARD MEMBER/SURGEON | $481,724 | $0 | $199,958 | $0 | $2,858 | $0 | $19,250 | $0 | $26,341 | $0 | $730,131 | $0 | $0 | $0 |
| JEFFREY WICKLANDER | ||||||||||||||
| PRESIDENT, NORTH MEMORIAL MC | $449,615 | $0 | $109,996 | $0 | $2,408 | $0 | $95,200 | $0 | $28,034 | $0 | $685,253 | $0 | $0 | $0 |
| CAROLYN OGLAND VUKICH | ||||||||||||||
| CHIEF MEDICAL OFFICER, AMBULATORY SV | $465,000 | $0 | $98,813 | $0 | $6,981 | $0 | $16,029 | $0 | $23,461 | $0 | $610,284 | $0 | $0 | $0 |
| JENNIFER CLOSE | ||||||||||||||
| PRESIDENT & CHIEF AMBULATORY OFFICER | $444,038 | $0 | $41,996 | $0 | $81,934 | $0 | $19,250 | $0 | $17,004 | $0 | $604,222 | $0 | $0 | $0 |
| ANDREW COCHRANE | ||||||||||||||
| CEO, MAPLE GROVE HOSPITAL | $433,654 | $0 | $99,996 | $0 | $3,456 | $0 | $19,450 | $0 | $26,142 | $0 | $582,698 | $0 | $0 | $0 |
| SAMANTHA HANSON | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | $431,538 | $0 | $104,996 | $0 | $3,465 | $0 | $19,600 | $0 | $23,099 | $0 | $582,698 | $0 | $0 | $0 |
| JENNIFER TESSMER-TUCK | ||||||||||||||
| VP, MEDICAL AFFAIRS | $424,378 | $0 | $92,089 | $0 | $1,786 | $0 | $19,600 | $0 | $9,613 | $0 | $547,466 | $0 | $0 | $0 |
| AARON BLOOMQUIST | ||||||||||||||
| VP FINANCE, CFO | $399,657 | $0 | $60,000 | $0 | $3,298 | $0 | $19,250 | $0 | $17,936 | $0 | $500,141 | $0 | $0 | $0 |
| PATRICK COYNE | ||||||||||||||
| VP, AMBULANCE SERVICES | $288,846 | $0 | $141,687 | $0 | $7,381 | $0 | $19,600 | $0 | $22,978 | $0 | $480,492 | $0 | $0 | $0 |
| KELLY WHITE | ||||||||||||||
| VP, PATIENT CARE & CNO | $335,000 | $0 | $89,882 | $0 | $1,035 | $0 | $19,600 | $0 | $9,483 | $0 | $455,000 | $0 | $0 | $0 |
| PATRICK TAFFE | ||||||||||||||
| VP, INFORMATION SYSTEMS & CIO | $324,038 | $0 | $69,998 | $0 | $15,906 | $0 | $19,250 | $0 | $20,319 | $0 | $449,511 | $0 | $0 | $0 |
| KARL THOMAS | ||||||||||||||
| CHIEF INNOVATION OFFICER | $265,000 | $0 | $61,831 | $0 | $1,473 | $0 | $19,600 | $0 | $23,474 | $0 | $371,378 | $0 | $0 | $0 |
| RYAN JOHNSON | ||||||||||||||
| VP, TREASURY & BUSN DEVELOPMENT | $247,404 | $0 | $68,649 | $0 | $6,166 | $0 | $19,600 | $0 | $16,422 | $0 | $358,241 | $0 | $0 | $0 |
| DAVID ALBRIGHT | ||||||||||||||
| VP, FINANCE PLANNING AND ACCOUNTING | $240,000 | $0 | $79,423 | $0 | $2,992 | $0 | $6,498 | $0 | $19,930 | $0 | $348,843 | $0 | $0 | $0 |
| KENT SPAULDING | ||||||||||||||
| VP, CHIEF DEVELOPMENT OFFICER | $225,000 | $0 | $52,498 | $0 | $1,169 | $0 | $19,425 | $0 | $22,421 | $0 | $320,513 | $0 | $0 | $0 |
| TRUDY MARSHALL | ||||||||||||||
| VP, MARKETING, COMM. & OUTREACH | $231,664 | $0 | $48,446 | $0 | $9,592 | $0 | $18,280 | $0 | $10,137 | $0 | $318,119 | $0 | $0 | $0 |
| STEVEN HORSTMANN | ||||||||||||||
| VP, OPERATIONS | $239,038 | $0 | $57,685 | $0 | $775 | $0 | $12,048 | $0 | $6,206 | $0 | $315,752 | $0 | $0 | $0 |
| NATHAN DELL | ||||||||||||||
| VP, REVENUE CYCLE | $250,000 | $0 | $40,625 | $0 | $914 | $0 | $10,856 | $0 | $3,584 | $0 | $305,979 | $0 | $0 | $0 |
| MEETUL SHAH | ||||||||||||||
| CHIEF MED INFO OFFICER, AMB | $204,657 | $0 | $30,000 | $0 | $15,692 | $0 | $5,954 | $0 | $12,243 | $0 | $268,546 | $0 | $0 | $0 |
| KELSEY BRODSHO | ||||||||||||||
| CHIEF COMPLIANCE OFFICER-OUTGOING | $180,769 | $0 | $46,665 | $0 | $562 | $0 | $15,630 | $0 | $11,240 | $0 | $254,866 | $0 | $0 | $0 |
| DAWN BACKLUND | ||||||||||||||
| CHIEF COMPLIANCE OFFICER-INTERIM | $159,313 | $0 | $28,920 | $0 | $4,030 | $0 | $4,461 | $0 | $0 | $0 | $196,724 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2019 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 6 | NORTH MEMORIAL HEALTH'S ANNUAL INCENTIVE PLAN REQUIRES ACHIEVEMENT OF STATED PERFORMANCE METRICS, WHICH INCLUDES OPERATING MARGIN. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CITY OF MAPLE GROVE | ||||||||
| A | 410873250 | 56516TAY1 | 2015-08-26 | $44,915,000 | REFUND SERIES 2005 BONDS | 0 | Yes (1) | 0 |
| CITY OF ROBBINSDALE | ||||||||
| B | 416005496 | 2017-12-05 | $38,870,000 | REFUND SERIES 2011 BONDS | 0 | Yes (1) | 0 | |
| CITY OF ROBBINSDALE | ||||||||
| C | 416005496 | 2017-12-05 | $10,830,000 | REFUND SERIES 2011 BONDS | 0 | Yes (1) | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $4,435,000 | $48,679,699 | $48,135,634 | $544,065 | 2015 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $8,475,000 | $38,870,000 | $337,596 | 2017 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| C | $2,155,000 | $10,830,000 | 2017 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORNER HOME MEDICAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | BOARD MEMBER IS MAJORITY OWNER | RelationshipDescriptionTxt |
| Transaction | $597,812 | TransactionAmt |
| Transaction | MICHAEL STEINHAUSER, CHAIRMAN OF THE BOARD, IS A MAJORITY SHAREHOLDER IN CORNER HOME MEDICAL, WHICH SUPPLIES DURABLE MEDICAL EQUIPMENT TO NORTH MEMORIAL HEALTH. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $15,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | OPC PHARMACY | 1 | $324,943 | FMV |
| Yes (X) | IMAGING HOPE CHEST | 1 | $201,160 | FMV |
| Yes (X) | CONSTRUCTION | 1 | $54,632 | FMV |
| Yes (X) | THERAPY EQUIPMENT | 1 | $16,000 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION REPORTS THE NUMBER OF CONTRIBUTIONS ON PART I, COLUMN B. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 XII, LINE 2C: | NEITHER THE OVERSIGHT OF THE AUDIT NOR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT WERE CHANGED DURING THE TAX YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| OAKDALE MEDICAL CENTER | |||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 320022819 | LEASE MEDICAL OFFICE SPACE | MN | $6,084,712 | $19,156,893 | NORTH MEMORIAL |
| NORTH CLINIC LLC | |||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | MEDICAL CARE | MN | -$93,625 | $2,421,469 | NORTH MEMORIAL | |
| MINNETONKA AMBULATORY SURGERY CENTER | |||||||||
| 3300 OAKDALE AVE NORTH | ROBBINSDALE | MN | 55422 | 465653486 | OUTPATIENT SURGERY | MN | $2,661,000 | $701,032 | NORTH MEMORIAL |
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 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 | 501(C)(3) | LINE 12B, II | NORTH MEMORIAL | Yes (1) | BD | |
| MAPLE GROVE HOSPITAL CORPORATION | |||||||||||
| 9875 HOSPITAL DRIVE | MAPLE GROVE | MN | 55369 | 208316475 | ACUTE CARE | MN | 501(C)(3) | 3 | NORTH MEMORIAL | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE | |||||||||||||
| 9855 HOSPITAL DRIVE | MAPLE GROVE | MN | 55369 | 260393039 | OUTPATIENT SURGERY | MN | NORTH MEMORIAL HEALTH CARE | RELATED | $2,338,971 | $3,841,158 | 0 | Yes (1) | 0.53220 |
| MINNESOTA DIAGNOSTIC IMAGING PARTNERS LLC | |||||||||||||
| 2955 XENIUM LANE SUITE 40 | PLYMOUTH | MN | 55441 | 352162215 | RADIOLOGY | MN | RELATED | $522,137 | $1,679,073 | 0 | 0 | 0.60000 | |
| NORTH RADIATION THERAPY CENTER LLC | |||||||||||||
| 6950 FRANCE AVE S SUITE 200 | EDINA | MN | 55435 | 743069974 | RADIOLOGY | MN | RELATED | $1,213,951 | $2,207,140 | 0 | 0 | 0.50000 | |
| MULTICARE SLEEP CENTER LLC | |||||||||||||
| 10600 OLD COUNTY ROAD 15 | PLYMOUTH | MN | 55441 | 274833673 | OUTPATIENT SLEEP CENTER | MN | RELATED | -$13,661 | 0 | 0 | 0.50000 | ||
| MINNETONKA AMBULATORY SURGERY CENTER | |||||||||||||
| 3300 OAKDALE AVE NORTH | ROBBINSDALE | MN | 55422 | 465653486 | OUTPATIENT SURGERY | MN | RELATED | -$2,387 | $109,978 | 0 | Yes (1) | 1.00000 | |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OAKDALE HEALTH ENTERPRISES INC | ||||||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 411546422 | AMBULANCE | MN | NORTH MEMORIAL | C | $3,984,073 | $3,398,380 | 1.00000 | Yes (1) |
| NORTH COLLABORATIVE CARE | ||||||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 461680666 | PRIMARY CARE | MN | C | 0.43840 | 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 | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (17 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ASSOCIATED HEALTH ASSURANCE | ||
| A | $1,250,586 | FMV |
| MAPLE GROVE HOSPITAL CORP | ||
| C | $19,875,000 | FMV |
| MN DIAGNOSTIC IMAGING | ||
| C | $412,524 | FMV |
| NORTH MEMORIAL FOUNDATION | ||
| C | $574,360 | FMV |
| MINNETONKA ASC | ||
| C | $700,000 | FMV |
| MAPLE GROVE HOSPITAL CORP | ||
| D | $89,895,436 | FMV |
| MN DIAGNOSTIC IMAGING | ||
| F | $420,000 | FMV |
| MULTICARE SLEEP CENTER | ||
| F | $38,452 | FMV |
| NORTH MEMORIAL AMBULATORY SURGERY CEN | ||
| F | $2,040,823 | FMV |
| MAPLE GROVE HOSPITAL CORP | ||
| J | $3,711,487 | FMV |
| NORTH RADIATION OPC | ||
| J | $228,555 | FMV |
| MAPLE GROVE HOSPITAL CORP | ||
| L | $19,660,714 | FMV |
| MINNETONKA ASC | ||
| L | $200,000 | FMV |
| ASSOCIATED HEALTH ASSURANCE LLC | ||
| M | $4,244,848 | FMV |
| MAPLE GROVE HOSPITAL CORP | ||
| Q | $10,777,608 | FMV |
| NORTH RADIATION THERAPY CENTER LLC | ||
| D | $1,158,514 | FMV |
| NORTH RADIATION THERAPY CENTER LLC | ||
| F | $1,215,000 | FMV |
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