2020-11-16T09:14:59-06:00 2019-12-31 390859910 BAKER TILLY US LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2019-01-01 410729979 NORTH MEMORIAL HEALTH CARE DBA NORTH MEMORIAL HEALTH NORT 7635205200 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 DAN FROMM CHIEF FINANCIAL OFFICER 7635205200 2020-11-12 1 LAWRENCE H MOHR CPA P00447603 6128764500 2020-11-12 45.62.178.239 2020-11-12 12:29:15 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 EDB264CAD7F9F6CD2E19D356927987B2A35A11B0 2019 2021-01-29 14:40:06Z J KEVIN CROSTON MD 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 971947969 0 X WWW.NORTHMEMORIAL.COM X 1954 MN EMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. 14 10 6094 650 3147037 0 445388 1837985 841234034 848432419 18343817 14666007 872326 169975 860895565 865106386 50000 50000 0 0 496117349 483015394 0 0 0 351131564 364637499 847298913 847702893 13596652 17403493 566156236 661551956 208891600 260740687 357264636 400811269 X EMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. 0 0 728116157 50000 733976460 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. 728116157 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 1 564 0 6094 1 1 1 1 BD 0 0 0 0 0 0 0 0 1 0 X 14 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MN X DAN FROMM 7635205200 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 J KEVIN CROSTON MD CEO NORTH MEMORIAL 42.00 10.00 X X 1274710 0 47162 ROBERT KING MD CARDIAC SURGEON 50.00 0.00 X 846924 0 120103 ALOK MAHESHWARI MD CARDIAC SURGEON 50.00 0.00 X 877365 0 48667 OSAMA IBRAHIM MD CARDIOLOGIST 50.00 0.00 X 879919 0 38277 JOSEPH VAN CAMP MD CARDIAC SURGEON 50.00 0.00 X 851695 0 50495 STEVEN ROH MD CARDIOLOGIST 50.00 0.00 X 864480 0 32633 DEEPAK KADEMANI MD BOARD MEMBER/SURGEON 50.00 2.00 X 684540 0 45591 JEFFREY WICKLANDER PRESIDENT, NORTH MEMORIAL MC 50.00 2.00 X 562019 0 123234 CAROLYN OGLAND VUKICH CHIEF MEDICAL OFFICER, AMBULATORY SVCS 50.00 2.00 X 570794 0 39490 JENNIFER CLOSE PRESIDENT & CHIEF AMBULATORY OFFICER 50.00 2.00 X 567968 0 36254 ANDREW COCHRANE CEO, MAPLE GROVE HOSPITAL 50.00 2.00 X 537106 0 45592 SAMANTHA HANSON CHIEF ADMINISTRATIVE OFFICER 50.00 2.00 X 539999 0 42699 JENNIFER TESSMER-TUCK VP, MEDICAL AFFAIRS 50.00 0.00 X 518253 0 29213 AARON BLOOMQUIST VP FINANCE, CFO 42.00 10.00 X 462955 0 37186 PATRICK COYNE VP, AMBULANCE SERVICES 50.00 0.00 X 437914 0 42578 KELLY WHITE VP, PATIENT CARE & CNO 50.00 0.00 X 425917 0 29083 PATRICK TAFFE VP, INFORMATION SYSTEMS & CIO 50.00 0.00 X 409942 0 39569 KARL THOMAS CHIEF INNOVATION OFFICER 50.00 0.00 X 328304 0 43074 RYAN JOHNSON VP, TREASURY & BUSN DEVELOPMENT 50.00 0.00 X 322219 0 36022 DAVID ALBRIGHT VP, FINANCE PLANNING AND ACCOUNTING 50.00 0.00 X 322415 0 26428 KENT SPAULDING VP, CHIEF DEVELOPMENT OFFICER 50.00 1.00 X 278667 0 41846 TRUDY MARSHALL VP, MARKETING, COMM. & OUTREACH 50.00 0.00 X 289702 0 28417 STEVEN HORSTMANN VP, OPERATIONS 50.00 0.00 X 297498 0 18254 NATHAN DELL VP, REVENUE CYCLE 50.00 0.00 X 291539 0 14440 MEETUL SHAH CHIEF MED INFO OFFICER, AMB 50.00 0.00 X 250349 0 18197 KELSEY BRODSHO CHIEF COMPLIANCE OFFICER-OUTGOING 50.00 0.00 X 227996 0 26870 DAWN BACKLUND CHIEF COMPLIANCE OFFICER-INTERIM 50.00 0.00 X 192263 0 4461 MICHAEL STEINHAUSER CHAIRMAN OF BOARD 2.00 0.00 X X 7500 0 0 TED FERRARA VICE CHAIRMAN OF BOARD 2.00 0.00 X X 7500 0 0 TIMOTHY BAYLOR BOARD MEMBER 2.00 0.00 X 7500 0 0 BRUCE CHRISTENSEN BOARD MEMBER 2.00 0.00 X 7500 0 0 SCOTT COLSON MD BOARD MEMBER 2.00 0.00 X 7500 0 0 ROBERT DAHL BOARD MEMBER 2.00 0.00 X 7500 0 0 TODD GENGERKE MD BOARD MEMBER 2.00 0.00 X 7500 0 0 DIANE HUSTON BOARD MEMBER 2.00 0.00 X 7500 0 0 LAURIE LAFONTAINE BOARD MEMBER 2.00 0.00 X 7500 0 0 WARREN MACK BOARD MEMBER - OUTGOING 2.00 0.00 X 7500 0 0 BETTY PAKZAD MD BOARD MEMBER 2.00 0.00 X 7500 0 0 ROBERT PRENTISS JR BOARD MEMBER 2.00 0.00 X 7500 0 0 JEFF SMITH BOARD MEMBER - OUTGOING 2.00 0.00 X 2500 0 0 HEIDI WILSON BOARD MEMBER 2.00 0.00 X 7500 0 0 14213452 0 1105835 751 0 1 0 VOYAGE HEALTHCARE 9201 WEST BROADWAY STE 501 ROBBINSDALE MN 55422 PHYSICIAN SERVICES 12819938 REGENTS OF THE UNIVERSITY OF MINNESOTA 3366 OAKDALE AVE N 401 ROBBINSDALE MN 55422 MEDICAL RESIDENT AND FELLOW TRAINING 5124993 RESPIRATORY CONSULTANTS PA 3366 OAKDALE AVE N 401 ROBBINSDALE MN 55422 INTENSIVISTS STAFFING 4598352 UNIVERSITY OF MINNESOTA PHYSICIANS 720 WASHINGTON AVE SE STE 200 MINNEAPOLIS MN 55414 PHYSICIAN SERVICES 2426915 BRANDFIRE LLC 555 8TH AVENUE STE 1802 NEW YORK NY 10018 MEDIA ADVERTISING 2191528 119 580322 1257663 611735 1837985 HOSPITAL PATIENT REVEN 621500 736953522 733806485 3147037 CONTRACT REVENUE 900099 37352407 37352407 PHARMACY 900099 15720627 15720627 JOINT VENTURE REVENUE 900099 10700803 10700803 EHR/MEDICARE & OTHER 900099 9142120 9142120 38562940 38562940 848432419 542198 542198 2126 2126 13698299 13528324 169975 169975 169975 107434942 91923999 1389260 15510943 -1389260 14121683 14121683 865106386 733976460 3147037 126144904 50000 50000 10063930 10063930 377676275 325556949 52119326 24688377 21281381 3406996 45282494 39033510 6248984 25304318 21812322 3491996 2294342 1977723 316619 311711 268695 43016 125000 125000 770974 770974 83589146 72159870 11429276 4766879 4109050 657829 7346573 6332746 1013827 16826957 14504837 2322120 29607149 25521362 4085787 4016228 3461989 554239 30981574 26706117 4275457 7358413 6342952 1015461 SUPPLIES 108473393 93504065 14969328 BAD DEBT EXPENSE 37409109 37409109 MAINTENANCE & REPAIR 15595012 13442900 2152112 GOVERNMENT TAXES 11414608 11414608 3750431 3225972 524459 847702893 728116157 119586736 0 13578 18278 826498 838082 95019676 85881544 6539018 0 7906501 8025270 12342786 11741576 635273670 460680357 197683081 174593313 230151850 242547489 56712610 121127258 1909697 1692266 -42949059 15086880 566156236 661551956 72761563 69856172 520002 491461 113436326 103412339 22173709 86980715 208891600 260740687 X 357264636 400811269 357264636 400811269 566156236 661551956 17403493 33879044 -7735904 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 123000 1 0 1 2000 125000 0 PART II-B, LINE 1: CONTACTS AND VISITS WERE MADE WITH STATE LEVEL LEGISLATORS TO PROMOTE HEALTH CARE RELATED ISSUES. LINE 1I INCLUDES THE NON-DEDUCTIBLE PORTION OF MHA DUES. 2919654 7300 659124 52094 3533984 3344063 82062 -75671 414300 16500 2919654 3029196 370959 56092 3344063 2203143 155228 707969 37144 3029196 3591423 17322 1405602 2203143 0.00000 0.68530 0.31470 0 1 1 13669541 13669541 249806517 169476123 80330394 11009677 8525961 2483716 350643749 274799856 75843893 10144186 7878417 2265769 174593313 RREEF AMERICA REIT II 29710708 F MELLON AGGREGATE BOND INDEX FUND 55559868 F CASH ON DEPOSIT WITH BOND TRUSTEE 775806 F AGENCY ACCOUNT 41594 F CASUALTY INSURANCE SECURITY 3934750 F HELD FOR SALE 31104532 F 121127258 EXECUTIVE PENSION PLAN 3681548 DEFINED BENEFIT PENSION PLAN 10374053 POST RETIREMENT HEALTH INSURANCE 1941027 CAA DEPOSIT RESERVE 138241 SETTLEMENTS AND CLAIMS PAYABLE -518919 MULTICARE NOTES PAYABLE 550000 FOOD SERVICE AGREEMENT 117792 OPERATING LEASE LIABILITY 50229399 DEPOSIT LIABILITY 16000000 OTHER LIABILITIES 877809 HELD FOR SALE 3589765 86980715 X PART V, LINE 4: ALL ENDOWMENT FUNDS ARE HELD BY A RELATED ENTITY: NORTH MEMORIAL FOUNDATION. 1) RALPH ROSSEN ENDOWMENT: THIS ENDOWMENT WAS ESTABLISHED IN 1986 TO PROVIDE RECOGNITION TO NURSING STAFF THAT PROVIDE REMARKABLE SERVICE TO NORTH MEMORIAL PATIENTS AND THEIR FAMILIES. MEMBERS OF THE ROSSEN FAMILY SERVE ON A COMMITTEE ALONG WITH THE VP AND CHIEF NURSING OFFICER OF NORTH MEMORIAL TO SELECT THE RECIPIENTS. 2) HAROLD B. KAISER HONORARY LECTURESHIP ENDOWMENT: DR. KAISER IS THE FOUNDER OF ALLERGY & ASTHMA SPECIALISTS, P.A. ESTABLISHED IN 1966. THE HAROLD B KAISER HONORARY LECTURESHIP ENDOWMENT PROVIDES FUNDING FOR A KEYNOTE SPEAKER FOR THE ANNUAL ALLERGY & ASTHMA CONFERENCE HELD IN THE MINNEAPOLIS AREA IN MARCH. 3) HAROLD ECKER ENDOWMENT: ESTABLISHED IN 1994 IN HONOR OF THE EXCELLENT CARE THAT MR. ECKER RECEIVED AS A PATIENT AT NORTH MEMORIAL, THE HAROLD ECKER ENDOWMENT PROVIDES A $500 AWARD TO THREE NORTH MEMORIAL EMPLOYEES RECOGNIZING THEIR OUTSTANDING PERFORMANCE AND PERSONAL ATTITUDE. THE AWARD IS OPEN TO ALL EMPLOYEES AND THE WINNERS ARE SELECTED BY A COMMITTEE OF NORTH MEMORIAL EMPLOYEES AND PRESENTED AT THE ANNUAL QUALITY AWARDS LUNCHEON IN NOVEMBER EACH YEAR. 4) RESIDENTIAL HOSPICE ENDOWMENT: THE RESIDENTIAL HOSPICE ENDOWMENT WAS ESTABLISHED BY DR. JOHN AND PATTY MANION TO PROVIDE ASSISTANCE TO THE RESIDENTIAL HOSPICE PROGRAM AT NORTH MEMORIAL. FUNDS ARE USED TO UPGRADE THE FACILITIES AND EQUIPMENT AT THE NORTH RESIDENTIAL HOSPICE FACILITY IN BROOKLYN CENTER, PROVIDE ADDITIONAL PROGRAM SUPPORT, STAFF TRAINING AND TO ASSIST THOSE FAMILIES THAT CANNOT AFFORD THIS SERVICE. THE RESIDENTIAL HOSPICE FACILITY WAS SOLD IN 2017 AND WE ARE CURRENTLY WORKING THROUGH THE PROCESS TO REPURPOSE THE ENDOWMENT FUNDS. NO FUNDS WILL BE USED UNTIL THE PROCESS IS COMPLETE. 5) HELEN MURRAY MEMORIAL ENDOWMENT THIS ENDOWMENT WAS ESTABLISHED WITH AN IRREVOCABLE CHARITABLE REMAINDER TRUST BY JEANNE MITHUN TO RECOGNIZE THE OUTSTANDING SERVICE THAT NORTH RESIDENTIAL HOSPICE PROVIDED TO HER MOTHER (HELEN MURRAY) AND HER FAMILY. FUNDS ARE USED TO PROVDE CARE TO INDIVIDUALS UNABLE TO PAY FOR SERVICES AT THE FACILITY. 6) MEDICAL STAFF ENDOWMENT THIS ENDOWMENT WAS ESTABLISHED IN 2010 BY THE NORTH MEMORIAL MEDICAL STAFF EXECUTIVE COMMITTEE. PROCEEDS FROM THE ENDOWMENT WILL FUND NORTH MEMORIAL PROGRAMS SUCH AS JUNIOR VOLUNTEER SCHOLARSHIP, SAFEJOURNEY, PASTORAL CARE, ETC. 7) MAPLE GROVE MEDICAL STAFF ENDOWMENT WAS ESTABLISHED IN 2013 BY THE MAPLE GROVE MEDICAL STAFF EXECUTIVE COMMITTEE. PROCEEDS FROM THE ENDOWMENT WILL FUND MAPLE GROVE PROGRAMS. PART X, LINE 2: NORTH MEMORIAL EVALUATES ITS UNCERTAIN POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2019 OR 2018. 1 1 X 1 X 1 X 1 1 1 0 0 15869318 15869318 0.01870 108838795 75055485 33783310 0.03990 124708113 75055485 49652628 0.05860 4802330 58800 4743530 0.00560 6435064 1312854 5122210 0.00600 10432631 6428594 4004037 0.00470 54749 54749 0.00010 646693 646693 0.00080 22371467 7800248 14571219 0.01720 147079580 82855733 64223847 0.07580 1 13506261 187498939 232351323 -44852384 X 1 1 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 1 1 NORTH MEMORIAL HEALTH 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 WWW.NORTHMEMORIAL.COM X X X X NORTH MEMORIAL HEALTH 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE PART V FOR FULL URL X 1 19 1 SEE PART V FOR FULL URL 0 1 X 200.000000000000 275.000000000000 X X X X X 1 1 X X X 1 X SEE PART V FOR FULL URL X SEE PART V FOR FULL URL X SEE PART V FOR FULL URL X X X X X 1 X 0 X 1 X 0 0 NORTH MEMORIAL HEALTH PART V, SECTION B, LINE 5: NORTH MEMORIAL 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/ 7 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 PART III, LINE 2: AMOUNT REPRESENTS THE HOSPITAL'S BAD DEBT PROVISION REDUCED BY THE HOSPITAL'S COST TO CHARGE RATIO WHICH REPRESENTS THE BEST ESTIMATE OF COST FOR THE BAD DEBT PROVISION. PART III, LINE 4: NORTH MEMORIAL HEALTH'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DESCRIPTION ABOUT BAD DEBT EXPENSE. THE COST TO CHARGE RATIO WAS USED TO DETERMINE THE AMOUNT ON PART III, SECTION A, LINE 2. WE DO NOT HAVE THE INFORMATION NECESSARY TO DETERMINE WHICH PORTION OF THE AMOUNT REPORTED ON LINE 2 IS COMMUNITY BENEFIT. PART III, LINE 8: THE SHORTFALL REPORTED REPRESENTS THE AMOUNT MEDICARE REIMBURSEMENT IS LESS THAN THE ESTIMATED COST OF PROVIDING SERVICES TO THOSE PATIENTS. THE METHOD USED TO ESTIMATE THOSE COSTS IS THE COST TO CHARGE RATIO APPROACH WHICH CALCULATES THE RATIO OF TOTAL HOSPITAL COSTS / TOTAL HOSPITAL GROSS REVENUE AND THEN APPLIES THAT RATIO TO TOTAL MEDICARE GROSS REVENUE. PART III, LINE 9B: NORTH MEMORIAL HEALTH HAS POLICIES AND PROCEDURES IN PLACE FOR COLLECTION PRACTICES THAT INCLUDE IDENTIFICATION AND SCREENING FOR CHARITY CARE AND FINANCIAL ASSISTANCE. THE POLICIES ARE AVAILABLE ON THE ORGANIZATION'S INTRANET AND PERTAIN TO ALL ENTITIES UNDER THE NORTH MEMORIAL CORPORATE UMBRELLA. PART VI, LINE 2: NORTH MEMORIAL HEALTH WORKS CLOSELY WITH THE COMMUNITY HEALTH STEERING COMMITTEE MEMBERS TO DETERMINE AREAS OF NEED AND COMMUNITY HEALTH CONCERNS. OUR COMMUNITY HEALTH OUTREACH MANAGER IS A MEMBER OF THE HENNEPIN COUNTY COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP STEERING COMMITTEE WHICH ALLOWS NORTH MEMORIAL MEDICAL CENTER TO BE INVOLVED IN KEY COMMUNITY HEALTH ISSUES. A NEW COMMUNITY HEALTH NEEDS ASSESSMENT HAS BEEN COMPLETED IN 2019, INCLUDING COMMUNITY FOCUS GROUPS, TO BETTER UNDERSTAND THE COMMUNITY'S HEALTH NEEDS. PART VI, LINE 3: NORTH MEMORIAL HEALTH HAS A VERY PROACTIVE PROGRAM TO ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH THEIR MEDICAL BILLS. WE COMPLY WITH THE ATTORNEY GENERAL'S REQUIREMENT TO PROVIDE A DISCOUNT TO UNINSURED MINNESOTA RESIDENTS AS WELL AS A FINANCIAL ASSISTANCE PROGRAM FOR FINANCIALLY QUALIFIED PATIENTS. WE HAVE PATIENT FINANCIAL ADVOCATES AS WELL AS A CONTRACTED VENDOR THAT MEETS WITH ALL OF OUR UNINSURED INPATIENTS AND SPECIFIC OUTPATIENTS TO ASSIST THEM IN MEDICAL ASSISTANCE ELIGIBILITY AND APPLICATIONS. THIS COULD INCLUDE A VISIT TO THEIR RESIDENCE IF THEY NEED HELP IN COMPLETING ASSISTANCE APPLICATIONS. SHOULD THEY NOT QUALIFY FOR STATE OR FEDERAL ASSISTANCE PROGRAMS, WE OFFER AND ASSIST THEM IN APPLYING FOR THE HOSPITAL'S FINANCIAL ASSISTANCE (CHARITY CARE) PROGRAM.IN ADDITION, OUR INTERNAL COLLECTIONS DEPARTMENT AND OUR COLLECTION AGENCIES ARE WELL VERSED IN OUR ASSISTANCE PROGRAMS AND WILL ASSESS DURING THEIR CONVERSATIONS WITH PATIENTS IF REFERRAL TO EITHER A STATE OR FEDERAL PROGRAM OR OUR CHARITY CARE PROGRAM WOULD BE APPROPRIATE. PART VI, LINE 4: NORTH MEMORIAL HEALTH SERVES A GEOGRAPHIC AREA THAT INCLUDES 58 ZIP CODES IN THE NORTHWEST QUADRANT OF THE TWIN CITIES METRO. THIS SERVICE AREA INCLUDES BOTH URBAN, SUBURBAN, EX-URBAN, AND RURAL AREAS. THIS SERVICE AREA INCLUDES A DIVERSE POPULATION OF 1,280,000 PEOPLE LIVING IN HENNEPIN, WRIGHT, SHERBURNE, ANOKA AND RAMSEY COUNTIES. PART VI, LINE 5: NORTH MEMORIAL HEALTH HOSPITAL IS A GENERAL ACUTE CARE HOSPITAL PROVIDING SPECIALIZED TRAUMA AND EMERGENCY SERVICES, CARDIOVASCULAR AND OPEN-HEART SERVICES, ONCOLOGY, HIGH RISK MATERNITY AND NEONATAL CARE, AND GENERAL MEDICAL-SURGICAL, OBSTETRICAL, PEDIATRIC, REHABILITATIVE AND BEHAVIORAL SERVICES. NORTH MEMORIAL HEALTH ALSO PROVIDES AN ARRAY OF HEALTH CARE SERVICES TO OUR COMMUNITY INCLUDING PRIMARY CARE, AMBULANCE TRANSPORTATION AND HOSPICE SERVICES. NORTH MEMORIAL HEALTH IS GOVERNED BY A BOARD OF 16 REPRESENTATIVES CONSISTING OF PHYSICIANS AND LEADERS FROM THROUGHOUT THE COMMUNITY. BOARD MEMBERS ARE ELECTED TO SERVE THREE-YEAR TERMS FOR A TOTAL OF FIVE TERMS. THE HOSPITAL ALSO SUPPORTS AN OPEN MEDICAL STAFF ORGANIZATION INCLUDING APPROXIMATELY 900 BOARD CERTIFIED PHYSICIANS AND 300 ALLIED HEALTH PROFESSIONALS. THE NORTH MEMORIAL HEALTH BOARD OF TRUSTEES ESTABLISHES AN ANNUAL MARGIN TARGET FOR MANAGEMENT. PER BOARD POLICY 75% OF ANY EXCESS AVAILABLE CASH FLOW IS INVESTED IN CAPITAL IMPROVEMENTS. THE REMAINING 25% IS USED TO SUPPORT LONG TERM OPERATIONS. WE PROVIDE EDUCATION TO THE COMMUNITY ON CHILD SAFETY, STROKE RISK FACTORS, HEART DISEASE RISK FACTORS AND OTHER HEALTH PROMOTION INFORMATION. PART VI, LINE 6: NORTH MEMORIAL HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. THROUGH TARGETED OUTREACH, EDUCATION AND PARTNERSHIPS, WE IMPROVE THE HEALTH OF OUR COMMUNITIES BY LISTENING TO THEIR NEEDS AND RESPONDING WITH APPROPRIATE PROGRAMS AND SERVICES. OUR PROGRAMS, MANY OF WHICH HAVE BEEN NATIONALLY RECOGNIZED, RANGE FROM HEALTH EDUCATION AND FREE SCREENINGS TO TRAINING HEALTH PROFESSIONALS. PART VI, LINE 7: NORTH MEMORIAL HEALTH FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF MINNESOTA. 1 PORTICO HEALTHNET 1600 UNIVERSITY AVENUE WEST SUITE 211 SAINT PAUL MN 55104 411814659 501(C)(3) 50000 TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION 1 PART I, LINE 2: GRANT RECIPIENTS PROVIDE A YEAR END REPORT AS TO THE AMOUNT EXPENDED AND THE NUMBER OF CLIENTS ASSISTED AND THE DEMOGRAPHICS OF THOSE SERVED. X 1 1 X X X X 0 0 0 0 0 1 1 0 0 J KEVIN CROSTON MD CEO NORTH MEMORIAL 954231 0 310489 0 9990 0 19450 0 27712 0 1321872 0 0 0 ROBERT KING MD CARDIAC SURGEON 812500 0 14081 0 20343 0 95200 0 24903 0 967027 0 0 0 ALOK MAHESHWARI MD CARDIAC SURGEON 870069 0 3000 0 4296 0 19600 0 29067 0 926032 0 0 0 OSAMA IBRAHIM MD CARDIOLOGIST 794906 0 82119 0 2894 0 19600 0 18677 0 918196 0 0 0 JOSEPH VAN CAMP MD CARDIAC SURGEON 830095 0 14081 0 7519 0 19450 0 31045 0 902190 0 0 0 STEVEN ROH MD CARDIOLOGIST 827406 0 32750 0 4324 0 19600 0 13033 0 897113 0 0 0 DEEPAK KADEMANI MD BOARD MEMBER/SURGEON 481724 0 199958 0 2858 0 19250 0 26341 0 730131 0 0 0 JEFFREY WICKLANDER PRESIDENT, NORTH MEMORIAL MC 449615 0 109996 0 2408 0 95200 0 28034 0 685253 0 0 0 CAROLYN OGLAND VUKICH CHIEF MEDICAL OFFICER, AMBULATORY SV 465000 0 98813 0 6981 0 16029 0 23461 0 610284 0 0 0 JENNIFER CLOSE PRESIDENT & CHIEF AMBULATORY OFFICER 444038 0 41996 0 81934 0 19250 0 17004 0 604222 0 0 0 ANDREW COCHRANE CEO, MAPLE GROVE HOSPITAL 433654 0 99996 0 3456 0 19450 0 26142 0 582698 0 0 0 SAMANTHA HANSON CHIEF ADMINISTRATIVE OFFICER 431538 0 104996 0 3465 0 19600 0 23099 0 582698 0 0 0 JENNIFER TESSMER-TUCK VP, MEDICAL AFFAIRS 424378 0 92089 0 1786 0 19600 0 9613 0 547466 0 0 0 AARON BLOOMQUIST VP FINANCE, CFO 399657 0 60000 0 3298 0 19250 0 17936 0 500141 0 0 0 PATRICK COYNE VP, AMBULANCE SERVICES 288846 0 141687 0 7381 0 19600 0 22978 0 480492 0 0 0 KELLY WHITE VP, PATIENT CARE & CNO 335000 0 89882 0 1035 0 19600 0 9483 0 455000 0 0 0 PATRICK TAFFE VP, INFORMATION SYSTEMS & CIO 324038 0 69998 0 15906 0 19250 0 20319 0 449511 0 0 0 KARL THOMAS CHIEF INNOVATION OFFICER 265000 0 61831 0 1473 0 19600 0 23474 0 371378 0 0 0 RYAN JOHNSON VP, TREASURY & BUSN DEVELOPMENT 247404 0 68649 0 6166 0 19600 0 16422 0 358241 0 0 0 DAVID ALBRIGHT VP, FINANCE PLANNING AND ACCOUNTING 240000 0 79423 0 2992 0 6498 0 19930 0 348843 0 0 0 KENT SPAULDING VP, CHIEF DEVELOPMENT OFFICER 225000 0 52498 0 1169 0 19425 0 22421 0 320513 0 0 0 TRUDY MARSHALL VP, MARKETING, COMM. & OUTREACH 231664 0 48446 0 9592 0 18280 0 10137 0 318119 0 0 0 STEVEN HORSTMANN VP, OPERATIONS 239038 0 57685 0 775 0 12048 0 6206 0 315752 0 0 0 NATHAN DELL VP, REVENUE CYCLE 250000 0 40625 0 914 0 10856 0 3584 0 305979 0 0 0 MEETUL SHAH CHIEF MED INFO OFFICER, AMB 204657 0 30000 0 15692 0 5954 0 12243 0 268546 0 0 0 KELSEY BRODSHO CHIEF COMPLIANCE OFFICER-OUTGOING 180769 0 46665 0 562 0 15630 0 11240 0 254866 0 0 0 DAWN BACKLUND CHIEF COMPLIANCE OFFICER-INTERIM 159313 0 28920 0 4030 0 4461 0 0 0 196724 0 0 0 PART I, LINE 1A THE ORGANIZATION PAYS FOR THE MONTHLY SOCIAL DUES FOR ONE OF THE EXECUTIVE MEMBERS AT THE GOLDEN VALLEY COUNTRY CLUB. THE DUES FOR 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. A CITY OF MAPLE GROVE 410873250 56516TAY1 2015-08-26 44915000 REFUND SERIES 2005 BONDS 0 1 0 B CITY OF ROBBINSDALE 416005496 2017-12-05 38870000 REFUND SERIES 2011 BONDS 0 1 0 C CITY OF ROBBINSDALE 416005496 2017-12-05 10830000 REFUND SERIES 2011 BONDS 0 1 0 A 4435000 48679699 48135634 544065 2015 1 0 1 1 B 8475000 38870000 337596 2017 1 0 1 1 C 2155000 10830000 2017 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 CORNER HOME MEDICAL BOARD MEMBER IS MAJORITY OWNER 597812 MICHAEL STEINHAUSER, CHAIRMAN OF THE BOARD, IS A MAJORITY SHAREHOLDER IN CORNER HOME MEDICAL, WHICH SUPPLIES DURABLE MEDICAL EQUIPMENT TO NORTH MEMORIAL HEALTH. 0 X 1 15000 FMV X OPC PHARMACY 1 324943 FMV X IMAGING HOPE CHEST 1 201160 FMV X CONSTRUCTION 1 54632 FMV X THERAPY EQUIPMENT 1 16000 FMV 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION REPORTS THE NUMBER OF CONTRIBUTIONS ON PART I, COLUMN B. 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. 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