NORTH MEMORIAL HEALTH CARE: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
NORTH MEMORIAL HEALTH CARE (EIN 41-0729979)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-15
IRS object ID
201943199349302729
Schema version
2018v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-15T08:28:59-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 S 6TH ST 2300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410729979EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH MEMORIAL HEALTH CAREBusinessNameLine1Txt
Business Name Line2DBA NORTH MEMORIAL HEALTHBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone7635205200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 OAKDALE AVENUE NORTHAddressLine1Txt
CityROBBINSDALECityNm
State AbbreviationMNStateAbbreviationCd
ZIP55422ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAARON BLOOMQUISTPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone7635205200PhoneNum
Signature2019-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAWRENCE H MOHR CPAPreparerPersonNm
PTINP00447603PTIN
Phone6128764500PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address38.88.188.75IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-14IPDt
IP Tm10:36:18IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id42991B41A32A13F77B110C5B470B2D73D8292482AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJ KEVIN CROSTON MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 OAKDALE AVENUE NORTHAddressLine1Txt
CityROBBINSDALECityNm
State AbbreviationMNStateAbbreviationCd
ZIP55422ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$981,741,714GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHMEMORIAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1954FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionEMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee6119TotalEmployeeCnt
Total Volunteers750TotalVolunteersCnt
Total Gross UBI$3,388,358TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$467,205PYContributionsGrantsAmt
CY Contributions Grants$445,388CYContributionsGrantsAmt
PY Program Service Revenue$807,982,725PYProgramServiceRevenueAmt
CY Program Service Revenue$841,234,034CYProgramServiceRevenueAmt
PY Investment Income$12,213,921PYInvestmentIncomeAmt
CY Investment Income$18,343,817CYInvestmentIncomeAmt
PY Other Revenue$305,328PYOtherRevenueAmt
CY Other Revenue$872,326CYOtherRevenueAmt
PY Total Revenue$820,969,179PYTotalRevenueAmt
CY Total Revenue$860,895,565CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$50,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$484,648,686PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$496,117,349CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$334,375,178PYOtherExpensesAmt
CY Other Expenses$351,131,564CYOtherExpensesAmt
PY Total Expenses$819,023,864PYTotalExpensesAmt
CY Total Expenses$847,298,913CYTotalExpensesAmt
PY Revenues Less Expenses$1,945,315PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$13,596,652CYRevenuesLessExpensesAmt
Total Assets BOY$594,672,699TotalAssetsBOYAmt
Total Assets EOY$566,156,236TotalAssetsEOYAmt
Total Liabilities BOY$220,465,716TotalLiabilitiesBOYAmt
Total Liabilities EOY$208,891,600TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$374,206,983NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$357,264,636NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionEMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$734,549,406ExpenseAmt
Grant$50,000GrantAmt
Revenue$736,969,205RevenueAmt
DescNORTH 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$734,549,406TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document580IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee6119EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryBDForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AARON BLOOMQUISTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7635205200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 OAKDALE AVENUE NORTHAddressLine1Txt
CityROBBINSDALECityNm
State AbbreviationMNStateAbbreviationCd
ZIP55422ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL STEINHAUSER
CHAIRMAN OF BOARD2.000.00Yes (X)Yes (X)$10,000$0$0
TED FERRARA
VICE CHAIRMAN OF BOARD2.000.00Yes (X)Yes (X)$10,000$0$0
TIMOTHY BAYLOR
BOARD MEMBER2.000.00Yes (X)$10,000$0$0
BRUCE CHRISTENSEN
BOARD MEMBER2.000.00Yes (X)$10,000$0$0
SCOTT COLSON MD
BOARD MEMBER2.000.00Yes (X)$10,000$0$0
ROBERT DAHL
BOARD MEMBER2.000.00Yes (X)$10,000$0$0
DIANE HUSTON
BOARD MEMBER2.000.00Yes (X)$10,000$0$0
LAURIE LAFONTAINE
BOARD MEMBER2.000.00Yes (X)$10,000$0$0
WARREN MACK
BOARD MEMBER2.000.00Yes (X)$10,000$0$0
BETTY PAKZAD MD
BOARD MEMBER2.000.00Yes (X)$10,000$0$0
HEIDI WILSON
BOARD MEMBER2.000.00Yes (X)$10,000$0$0
JEFF SMITH
BOARD MEMBER2.000.00Yes (X)$10,000$0$0
ROBERT PRENTISS JR
BOARD MEMBER2.000.00Yes (X)$10,000$0$0
TODD GENGERKE MD
CHIEF OF STAFF50.000.00Yes (X)$7,500$0$0
DEEPAK KADEMANI MD
VICE CHIEF OF STAFF2.000.00Yes (X)$7,500$0$0
J KEVIN CROSTON MD
CEO NORTH MEMORIAL42.0011.00Yes (X)Yes (X)$1,020,962$0$46,962
AARON BLOOMQUIST
VP FINANCE, CFO42.0010.00Yes (X)$462,955$0$37,186
KELSEY BRODSHO
CHIEF COMPLIANCE OFFICER50.0010.00Yes (X)$230,434$0$26,870
JENNIFER CLOSE
PRESIDENT & CHIEF AMBULATORY OFFICER50.002.00Yes (X)$423,118$0$36,254
DAVID ALBRIGHT
VP, FINANCE PLANNING AND ACCOUNTING50.000.00$182,335$0$14,353Yes (X)
ANDREW COCHRANE
CEO, MAPLE GROVE HOSPITAL1.0050.00$462,756$0$45,392Yes (X)
PATRICK COYNE
VP, AMBULANCE SERVICES50.000.00$305,123$0$41,955Yes (X)
SAMANTHA HANSON
CHIEF ADMINISTRATIVE OFFICER50.002.00$495,928$0$37,546Yes (X)
STEVEN HORSTMANN
VP, OPERATIONS50.000.00$258,658$0$17,639Yes (X)
ANDREW HOULTON
CHIEF MEDICAL OFFICER50.000.00$335,268$0$30,712Yes (X)
RYAN JOHNSON
VP, TREASURY & BUSN DEVELOPMENT50.000.00$277,945$0$38,848Yes (X)
STERLING MCHORNEY
VP, OPERATIONS CLINIC SERVICES50.000.00$316,545$0$8,355Yes (X)
KENT SPAULDING
VP, CHIEF DEVELOPMENT OFFICER50.000.00$259,354$0$39,640Yes (X)
PATRICK TAFFE
VP, INFORMATION SYSTEMS & CIO50.000.00$358,651$0$38,968Yes (X)
KARL THOMAS
CHIEF INNOVATION OFFICER42.0010.00$305,846$0$40,477Yes (X)
KELLY WHITE
VP, PATIENT CARE & CNO50.000.00$336,870$0$27,766Yes (X)
JEFFREY WICKLANDER
PRESIDENT, NORTH MEMORIAL MC50.000.00$507,845$0$46,424Yes (X)
PAMELA DOORENBOS
VP, MEDICAL AFFAIRS50.000.00$346,283$0$25,501Yes (X)
TRUDY MARSHALL
VP, MARKETING, COMM. & OUTREACH50.000.00$274,945$0$29,979Yes (X)
JENNIFER TESSMER-TUCK
VP, MEDICAL AFFAIRS50.000.00$408,706$0$26,243Yes (X)
WENDY ULFERTS
VP, PATIENT CARE/CNO50.000.00$251,213$0$31,019Yes (X)
CAROLYN OGLAND VUKICH
CHIEF MEDICAL OFFICER, AMBULATORY SVCS50.000.00$212,961$0$9,939Yes (X)
OSAMA IBRAHIM
CARDIOLOGIST50.000.00$846,734$0$37,466Yes (X)
ROBERT KING
CARDIAC SURGEON50.000.00$912,621$0$44,582Yes (X)
STEVEN ROH
CARDIOLOGIST50.000.00$838,629$0$32,205Yes (X)
JOSEPH VAN CAMP
CARDIAC SURGEON50.000.00$905,660$0$48,480Yes (X)
ALOK MAHESHWARI
CARDIAC SURGEON50.000.00$827,071$0$47,169Yes (X)
CHRISTOPHER YEAMEN
VP, FIN. PLANNING AND ACCT - FORMER50.000.00$210,236$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$12,720,652TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$907,930TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K840IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NORTH CLINIC
9201 WEST BROADWAY STE 501BROOKLYN PARKMN55455PHYSICIAN SERVICES$13,045,761
MINNEAPOLIS RADIOLOGY ASSOCIATION
9855 HOSPITAL DRIVEMAPLE GROVEMN55369PHYSICIAN SERVICES$10,790,591
RESPIRATORY CONSULTANTS PA
3366 OAKDALE AVENUE NORTH 401ROBBINSDALEMN55422INTENSIVISTS STAFFING$4,114,957
BRANDFIRE LLC
555 8TH AVENUE STE 1802NEW YORKNY10018MEDIA ADVERTISING$2,513,262
DJ KRANZ COMPANY INCORPORATED
725 HIGHWAY 169 NORTHPLYMOUTHMN554416403CONSTRUCTION$2,148,908
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K87CntrctRcvdGreaterThan100KCnt
Related Organizations$15,000RelatedOrganizationsAmt
All Other Contributions$430,388AllOtherContributionsAmt
Total Contributions$445,388TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
HOSPITAL PATIENT REVEN621500$739,485,237$736,096,879$3,388,358
CONTRACT REVENUE900099$41,767,866$41,767,866
EHR/MEDICARE & OTHER900099$7,479,501$7,479,501
PHARMACY900099$7,141,051$7,141,051
JOINT VENTURE REVENUE900099$6,003,660$6,003,660

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,356,719TotalRevenueColumnAmt
Exclusion$39,356,719ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$841,234,034TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$178,846TotalRevenueColumnAmt
Exclusion$178,846ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,972TotalRevenueColumnAmt
Exclusion$1,972ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$13,270,204RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$12,397,878RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$872,326RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$872,326TotalRevenueColumnAmt
Related Or Exempt Func Income$872,326RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$126,611,270SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$108,448,271SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$18,162,999SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,162,999TotalRevenueColumnAmt
Exclusion$18,162,999ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$860,895,565TotalRevenueColumnAmt
Related Or Exempt Func Income$736,969,205RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,388,358UnrelatedBusinessRevenueAmt
Exclusion$120,092,614ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$50,000TotalAmt
Program Services$50,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,293,863TotalAmt
Management And General$8,293,863ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$387,850,282TotalAmt
Program Services$340,554,469ProgramServicesAmt
Management And General$47,295,813ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$26,495,970TotalAmt
Program Services$23,112,658ProgramServicesAmt
Management And General$3,383,312ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$47,864,263TotalAmt
Program Services$41,907,647ProgramServicesAmt
Management And General$5,956,616ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$25,612,971TotalAmt
Program Services$22,078,381ProgramServicesAmt
Management And General$3,534,590ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,796,008TotalAmt
Program Services$1,548,159ProgramServicesAmt
Management And General$247,849ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$362,227TotalAmt
Program Services$312,240ProgramServicesAmt
Management And General$49,987ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$120,000TotalAmt
Management And General$120,000ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$642,440TotalAmt
Management And General$642,440ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$91,771,456TotalAmt
Program Services$79,106,995ProgramServicesAmt
Management And General$12,664,461ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,418,622TotalAmt
Program Services$3,808,852ProgramServicesAmt
Management And General$609,770ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,415,631TotalAmt
Program Services$6,392,274ProgramServicesAmt
Management And General$1,023,357ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,094,405TotalAmt
Program Services$13,873,377ProgramServicesAmt
Management And General$2,221,028ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$28,416,350TotalAmt
Program Services$24,494,894ProgramServicesAmt
Management And General$3,921,456ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,999,376TotalAmt
Program Services$2,585,462ProgramServicesAmt
Management And General$413,914ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$29,937,651TotalAmt
Program Services$25,806,255ProgramServicesAmt
Management And General$4,131,396ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,341,536TotalAmt
Program Services$4,604,404ProgramServicesAmt
Management And General$737,132ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$102,316,625$88,196,931$14,119,694
BAD DEBT EXPENSE$21,093,673$21,093,673
MAINTENANCE & REPAIR$16,035,026$13,822,192$2,212,834
GOVERNMENT TAXES$13,942,314$13,942,314

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$8,428,224TotalAmt
Program Services$7,258,229ProgramServicesAmt
Management And General$1,169,995ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$847,298,913TotalAmt
Program Services$734,549,406ProgramServicesAmt
Management And General$112,749,507ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,714BOYAmt
EOY$13,578EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,710,392BOYAmt
EOY$826,498EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,324BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$101,852,588BOYAmt
EOY$95,019,676EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$8,850,000BOYAmt
EOY$6,539,018EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,500,307BOYAmt
EOY$7,906,501EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,700,396BOYAmt
EOY$12,342,786EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$662,257,764LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$464,574,683LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$208,744,420BOYAmt
EOY$197,683,081EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$246,543,765BOYAmt
EOY$230,151,850EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$52,183,101BOYAmt
EOY$56,712,610EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,971,304BOYAmt
EOY$1,909,697EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY-$44,401,612BOYAmt
EOY-$42,949,059EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$594,672,699BOYAmt
EOY$566,156,236EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$83,887,514BOYAmt
EOY$72,761,563EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$494,011BOYAmt
EOY$520,002EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$117,268,722BOYAmt
EOY$113,436,326EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,815,469BOYAmt
EOY$22,173,709EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$220,465,716BOYAmt
EOY$208,891,600EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$374,206,983BOYAmt
EOY$357,264,636EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$374,206,983BOYAmt
EOY$357,264,636EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$594,672,699BOYAmt
EOY$566,156,236EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$13,596,652ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$29,429,764NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$1,109,235PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$120,000GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$2,000OtherActivitiesAmt
Total Lobbying Expenditures$122,000TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationCONTACTS 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

FieldValueIRS element (for citing)
Beginning Year Balance$3,344,063BeginningYearBalanceAmt
Contributions$82,062ContributionsAmt
Investment Earnings Or Losses-$75,671InvestmentEarningsOrLossesAmt
Other Expenditures$414,300OtherExpendituresAmt
Administrative Expenses$16,500AdministrativeExpensesAmt
End Year Balance$2,919,654EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,029,196BeginningYearBalanceAmt
Investment Earnings Or Losses$370,959InvestmentEarningsOrLossesAmt
Other Expenditures$56,092OtherExpendituresAmt
End Year Balance$3,344,063EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,203,143BeginningYearBalanceAmt
Contributions$155,228ContributionsAmt
Investment Earnings Or Losses$707,969InvestmentEarningsOrLossesAmt
Other Expenditures$37,144OtherExpendituresAmt
End Year Balance$3,029,196EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,591,423BeginningYearBalanceAmt
Investment Earnings Or Losses$17,322InvestmentEarningsOrLossesAmt
Other Expenditures$1,405,602OtherExpendituresAmt
End Year Balance$2,203,143EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,446,092BeginningYearBalanceAmt
Contributions$76,703ContributionsAmt
Investment Earnings Or Losses$118,858InvestmentEarningsOrLossesAmt
Other Expenditures$50,230OtherExpendituresAmt
End Year Balance$3,591,423EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.72210PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.27790TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,669,541OtherCostOrOtherBasisAmt
Book Value$13,669,541BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$260,489,517OtherCostOrOtherBasisAmt
Depreciation$164,314,855DepreciationAmt
Book Value$96,174,662BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,678,397OtherCostOrOtherBasisAmt
Depreciation$13,460,888DepreciationAmt
Book Value$3,217,509BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$360,783,838OtherCostOrOtherBasisAmt
Depreciation$278,995,054DepreciationAmt
Book Value$81,788,784BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,636,471OtherCostOrOtherBasisAmt
Depreciation$7,803,886DepreciationAmt
Book Value$2,832,585BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$197,683,081TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
RREEF AMERICA REIT II$23,834,260F
MELLON AGGREGATE BOND INDEX FUND$28,861,826F
CASH ON DEPOSIT WITH BOND TRUSTEE$778,581F
AGENCY ACCOUNT$53,193F
CASUALTY INSURANCE SECURITY$3,184,750F
FieldValueIRS element (for citing)
Total Book Value Securities$56,712,610TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
EXECUTIVE PENSION PLAN$3,678,323
DEFINED BENEFIT PENSION PLAN$12,605,111
POST RETIREMENT HEALTH INSURANCE$1,496,198
CAA DEPOSIT RESERVE$278,248
SETTLEMENTS AND CLAIMS PAYABLE$3,289,552
MULTICARE NOTES PAYABLE$600,000
FOOD SERVICE AGREEMENT$226,277
FieldValueIRS element (for citing)
Total Liability$22,173,709TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2018 OR 2017.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,883,907TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,883,907NetCommunityBenefitExpnsAmt
Total Expense0.01400TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$106,947,890TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$72,105,137DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,842,753NetCommunityBenefitExpnsAmt
Total Expense0.04110TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$118,831,797TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$72,105,137DirectOffsettingRevenueAmt
Net Community Benefit Expns$46,726,660NetCommunityBenefitExpnsAmt
Total Expense0.05510TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,686,526TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$62,400DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,624,126NetCommunityBenefitExpnsAmt
Total Expense0.00550TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,906,387TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,518,123DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,388,264NetCommunityBenefitExpnsAmt
Total Expense0.00640TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,628,502TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,658,544DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,969,958NetCommunityBenefitExpnsAmt
Total Expense0.00940TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$86,015TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$86,015NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$427,461TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$427,461NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,734,891TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,239,067DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,495,824NetCommunityBenefitExpnsAmt
Total Expense0.02190TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$164,566,688TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$99,344,204DirectOffsettingRevenueAmt
Net Community Benefit Expns$65,222,484NetCommunityBenefitExpnsAmt
Total Expense0.07700TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$7,848,480BadDebtExpenseAmt
Reimbursed By Medicare$217,417,405ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$280,586,883CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$63,169,478MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (13 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 MAPLE GROVE HOSPITAL
HOSPITAL0.750000.000000.00000
2 NM AMBULATORY SURGERY CENTER MAPLE GROVE
OUTPATIENT SURG CTR0.500000.000000.50000
3 MN DIAGNOSTIC IMAGING PARTNERS
OUTPATIENT IMAGING CTR0.600000.000000.40000
4 INSTITUTE OF ATHLETIC MEDICINE
CLINIC0.370000.000000.00000
5 MONTICELLO CANCER CENTER
OPTNT CANCER CENTER0.400000.000000.00000
6 NORTH RADIATION ONCOLOGY
OPTNT RADIATION ONC CLNC0.500000.000000.50000
7 MINNETONKA AMBULATORY SURGERY CENTER
OUTPATIENT SURGERY CENTER0.790000.000000.21000
8 FAIRVIEW HOME INFUSION
OPTNT INFUSION CLINIC0.490000.000000.00000
9 BLAINE AMBULATORY SURGERY CENTER
OUTPATIENT SURGERY CENTER0.100000.000000.37000
10 CDI ROSEVILLE
OUTPATIENT IMAGING CENTER0.250000.000000.00000
11 MONTICELLO SURGERY CENTER
OPTNT SURGERY CENTER0.215000.000000.14000
12 MULTICARE SLEEP CENTER LLC
OPTNT SLEEP CENTER0.500000.000000.00000
13 VHA UPPER MIDWEST
HLTHCARE GRP PURCHASING ORG CO-OP0.100000.000000.00000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH MEMORIAL HEALTHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 OAKDALE AVENUE NORTHAddressLine1Txt
CityROBBINSDALECityNm
State AbbreviationMNStateAbbreviationCd
ZIP55422ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.NORTHMEMORIAL.COMWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTH MEMORIAL HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.NORTHMEMORIAL.COMOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.NORTHMEMORIAL.COMStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care275.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.NORTHMEMORIAL.COMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.NORTHMEMORIAL.COMFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.NORTHMEMORIAL.COMFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NORTH MEMORIAL HEALTHPART 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 HEALTHPART V, SECTION B, LINE 11: OUR MOST RECENT CHNA WAS CONDUCTED IN 2016. THE OVERALL CHNA WAS GUIDED BY THE COMMUNITY ENGAGEMENT ADVISORY TEAM 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 ON HEALTH CARE CAREERS, LEADERSHIP DEVELOPMENT-OBESITY-CULTURAL DIVERSITYAFTER DISCUSSION OF THE HEALTH PRIORITIES, THE COMMUNITY ENGAGEMENT ADVISORY TEAM 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 3 TO 4 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 AND-FOOD - ACCESS, AFFORDABILITY, NUTRITION EDUCATIONTHESE HEALTH PRIORITIES WILL BE ADDRESSED WITH COMMUNITY PARTNERSHIPS, COMMUNITY SUPPORT AND CULTURAL APPROPRIATENESS IN MIND. 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 TRAININGACTION - THE MAKE IT OKAY MESSAGE HAS BEEN INCLUDED IN THE ANNUAL ALL EMPLOYEE TRAINING.-INCORPORATE THE MAKE IT OKAY MESSAGE ON THE NORTH MEMORIAL HEALTH HOSPITAL WEBSITE AND IN OUR PUBLIC COMMUNICATIONS DURING MAY - MENTAL HEALTH AWARENESS MONTHACTION - USED OUR WEBSITE TO GET INFORMATION ABOUT A MAY 11, 2018 YOUTH MENTAL HEALTH FIRST AID CLASS AND A MAY 18, 2018 ADULT FOCUSED MENTAL HEALTH FIRST AID CLASS TO THE COMMUNITY. II. INCREASE EDUCATION ABOUT MENTAL HEALTH STRATEGIES:-OFFER A MINIMUM OF FOUR EVIDENCE BASED MENTAL HEALTH FIRST AID (MHFA) CLASSES ACROSS THE SYSTEM ANNUALLYACTION - 6 MENTAL HEALTH FIRST AID CLASSES WERE OFFERED TO THE COMMUNITY IN 2018. THESE INCLUDE:-MARCH 9, 2018 TWO YOUTH FOCUSED MHFA CLASSES IN PARTNERSHIP WITH THE OSSEO SCHOOL DISTRICT AND MDH. ONE AT MAPLE GROVE HOSPITAL AND ONE AT THE OSSEO SCHOOL DISTRICT EDUCATION SERVICE CENTER 49 NURSES ATTENDED. -MARCH 23, 2018 YOUTH FOCUSED MENTAL HEALTH FIRST AID CLASS AT MAPLE GROVE HOSPITAL IN PARTNERSHIP WITH MDH 23 PERSONS ATTENDED.-MAY 11, 2018 YOUTH FOCUSED MHFA CLASS AT NORTH MEMORIAL HEALTH SPECIALTY CENTER IN PARTNERSHIP WITH MDH 23 PERSONS ATTENDED. -MAY 18, 2018 ADULT FOCUSED MHFA CLASS AT NORTH MARKET IN PARTNERSHIP WITH FAIRVIEW 16 PERSONS ATTENDED.-SEPTEMBER 25, 2018 - YOUTH FOCUSED MHFA CLASS AT NEW HOPE YMCA IN PARTNERSHIP WITH MDH AND THE NEW HOPE YMCA 21 PERSONS ATTENDED.-OCTOBER 12, 2018 YOUTH FOCUSED MHFA CLASS AT NORTH MEMORIAL HEALTH SPECIALTY CENTER IN PARTNERSHIP WITH MDH 17 PERSONS ATTENDED.ACTION - IN 2018 BEGAN OFFERING SAFETALK SUICIDE AWARENESS CLASSES. 2 SAFETALK CLASSES WERE OFFERED TO THE COMMUNITY IN 2018.-JULY 25, 2018 SAFETALK CLASS AT MAPLE GROVE HOSPITAL IN PARTNERSHIP WITH MDH 13 PERSONS ATTENDED.-SEPTEMBER 28, 2018 SAFETALK CLASS AT MAPLE GROVE HOSPITAL IN PARTNERSHIP WITH MDH 20 PERSONS ATTENDED. III. IMPROVE ACCESS TO MENTAL HEALTH SERVICES STRATEGIES:-OPENED THE NORTH MEMORIAL HEALTH 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 NEED AND DEVELOPMENT OF PROGRAMS AS NEED IS IDENTIFIEDACTION - IN 2018, IN ASSESSING THE NEEDS OF THE PRESENTING PATIENT COMMUNITY, WE ADDED ADDITIONAL PROGRAMMING TO INCLUDE A PARTIAL HOSPITALIZATION PROGRAM FOCUSED ON SPMI POPULATIONS. WE ALSO ADDED AN INTENSIVE OUTPATIENT PROGRAM FOCUSED ON PTSD, THE FIRST OF ITS KIND IN THE STATE AND IN THE METRO AREA. IN EARLY 2018, WE HIRED TWO MORE PSYCHOLOGISTS. IN LATE 2018, WE BEGAN A HIRING PROCESS TO EXPAND ACCESS BY INCREASING THE NUMBER OF OUTPATIENT THERAPISTS BY 4 AND PRESCRIBERS BY 4 AS WELL. ALL FOUR THERAPISTS STARTED IN 2019. WE ALSO EXPANDED ACCESS TO BEHAVIORAL HEALTH THROUGH THE HIRING OF AN ADDITIONAL BEHAVIORAL HEALTH PROVIDER LOCATED IN THE PRIMARY CARE SETTING, A SERVICE LINE KNOWN AS INTEGRATIVE BEHAVIORAL HEALTH. WE HAVE NOT BEEN ABLE TO FORMALLY EXPAND OUR ADDICTION SERVICES OFFERING IN 2018. 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. IV. SUPPORT NORTH MEMORIAL HEALTH'S DOMESTIC VIOLENCE ADVOCACY PROGRAM SAFEJOURNEYSTRATEGIES:-ENSURE 24-HOUR ADVOCACY IS PROVIDED BY TRAINED VOLUNTEERSACTION - 24-HOUR ADVOCACY IS IN PLACE.-TRAINED NEW VOLUNTEERS IN 2018ACTION - FOUR SYSTEM WIDE VOLUNTEER TRAINING WERE HELD IN 2018. VOLUNTEERS SERVE BOTH MAPLE GROVE HOSPITAL AND NORTH MEMORIAL HEALTH HOSPITAL. 31 VOLUNTEER ADVOCATES WERE TRAINED. -INCREASE THE NUMBER OF PARTICIPANTS ACTION - THE NORTH MEMORIAL HEALTH SUPPORT GROUP HAD 76 ENCOUNTERS THIS IS NOT NUMBER OF PEOPLE, IT INCLUDES DUPLICATES. THERE WERE 12 INDIVIDUAL CLIENTS THAT ATTENDED THROUGHOUT THE YEAR. 60 WALK IN ENCOUNTERS WERE HAD WITH CLIENTS THIS IS A SYSTEM WIDE NUMBER AS THEY ALL MET AT NORTH MEMORIAL HEALTH REGARDLESS OF WHERE THEY CAME FROM. 9 INDIVIDUAL CLIENTS WERE SERVED IN THIS WAY. SAFEJOURNEY HAD 217 PHONE CALLS (SYSTEM WIDE) AND FIVE CLINIC ENCOUNTERS.-TRAIN NEW FACILITATORS FOR SUPPORT GROUPSACTION - TRAINED 31 NEW VOLUNTEERS IN 2018.-DISTRIBUTE CLIENT EMERGENCY FUNDS TO QUALIFIED CLIENTSACTION - SYSTEM WIDE WE SERVED 7 CLIENTS AND DISTRIBUTED $1772.88.-PROVIDE COMMUNITY OUTREACH AND EDUCATION ON SAFEJOURNEYACTION - TWO COMMUNITY OUTREACH AND EDUCATION EVENTS WERE PROVIDED IN THE NORTH MEMORIAL HEALTH HOSPITAL SERVICE AREA. 175 COMMUNITY MEMBERS ATTENDED. 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 OTHERSSTRATEGIES:-CONTINUE ACTIVE INVOLVEMENT IN HENNEPIN COUNTY CHIP AND SOCIAL ISOLATION WORKGROUPACTION - CHIP 1.0 ENDED IN 2017. -CONTINUE ACTIVE INVOLVEMENT WITH THE CENTER FOR COMMUNITY HEALTH COLLECTIVE ACTION GROUPACTION - 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.-EXPLORE COMMUNITY PARTNERSHIP OPPORTUNITIES THAT ADDRESS MENTAL HEALTH AND VIOLENCEACTION - STARTED IN PARTNERSHIP WITH MDH AND OTHER COMMUNITY PARTNERS A YOUTH SUICIDE PREVENTION COALITION TO EXPLORE HOW WE CAN BETTER WORK TOGETHER TO ADDRESS THE ISSUE OF YOUTH SUICIDE IN OUR COMMUNITY. -NORTH MEMORIAL IS WORKING WITH THE MINNEAPOLIS DEPARTMENT OF HEALTH ON A VIOLENCE REDUCTION PROGRAM CALLED NEXT STEPS. THE PROGRAM STARTED IN AUGUST AND THERE WERE 33 PARTICIPANTS. 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.
SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION: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 COLLABORATIVES SUCH AS PARTNERSHIP FOR CHANGE AND PARTNERS IN PREVENTIONACTION - STAFF ATTENDED PARTNERSHIP FOR CHANGE AND PARTNERS IN PREVENTION MEETINGS.ACTION - FINANCIALLY SUPPORT PARTNERS IN PREVENTION'S UNCOVER THE TRUTH CAMPAIGN WHICH EDUCATES WAYZATA HIGH SCHOOL STUDENTS ABOUT DRUG AND ALCOHOL ISSUES AND THE BEHAVIOR OF THEIR PEERS.ACTION - PARTNERSHIP FOR CHANGE, HOUSED AT 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 - 1 BOX OPENED IN 2018 AT BROOKLYN CENTER POLICE DEPARTMENT-MARIJUANA PERCEPTION OF HARM HELD A MARIJUANA SYMPOSIUM ON APRIL 2018. HAZELDEN, PARTNERSHIP FOR CHANGE, NORTH MEMORIAL HEALTH, AND PARTNERS IN PREVENTION SPONSORED A SOLD-OUT MARIJUANA SYMPOSIUM TO EDUCATE POLICY MAKERS, COMMUNITY LEADERS AND HEALTH CARE EXPERTS ABOUT THE IMPACT MARIJUANA CAN HAVE ON COMMUNITIES. NATIONAL SPEAKERS DISCUSSED THE INSIGHTS AND LEARNINGS FROM OTHER STATES WHO HAVE ALREADY LEGALIZED MARIJUANA FOR RECREATIONAL USE. EXPERTS COVERED A RANGE OF TOPICS, INCLUDING COMMON MARIJUANA MYTHS, WAYS LEGALIZATION HAS IMPACTED COLORADO AND THE CURRENT STATE OF MARIJUANA LEGALIZATION. THERE WERE ABOUT 100 ATTENDEES AT THE MARIJUANA SYMPOSIUM. POSITIVE EVALUATION WAS RECEIVED.ACTION - STARTED IN PARTNERSHIP WITH MDH AND OTHER COMMUNITY PARTNERS A YOUTH SUICIDE PREVENTION COALITION TO EXPLORE HOW WE CAN BETTER WORK TOGETHER TO ADDRESS THE ISSUE OF YOUTH SUICIDE IN OUR COMMUNITY II. IMPROVE ACCESS TO ADDICTION MEDICINE SERVICES STRATEGIES:-OPENED THE NORTH MEMORIAL HEALTH 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 ADDICTION MEDICINE, HOWEVER WHEN OUR ONLY ADDICTION 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 NEED AND DEVELOPMENT OF PROGRAMS AS NEED IS IDENTIFIEDACTION - IN 2018, IN ASSESSING THE NEEDS OF THE PRESENTING PATIENT COMMUNITY, WE ADDED ADDITIONAL PROGRAMMING TO INCLUDE A PARTIAL HOSPITALIZATION PROGRAM FOCUSED ON SPMI POPULATIONS. WE ALSO ADDED AN INTENSIVE OUTPATIENT PROGRAM FOCUSED ON PTSD, THE FIRST OF ITS KIND IN THE STATE AND IN THE METRO AREA. IN EARLY 2018, WE HIRED TWO MORE PSYCHOLOGISTS. IN LATE 2018, WE BEGAN A HIRING PROCESS TO EXPAND ACCESS BY INCREASING THE NUMBER OF OUTPATIENT THERAPISTS BY 4 AND PRESCRIBERS BY 4 AS WELL. ALL FOUR THERAPISTS STARTED IN 2019. WE ALSO EXPANDED ACCESS TO BEHAVIORAL HEALTH THROUGH THE HIRING OF AN ADDITIONAL BEHAVIORAL HEALTH PROVIDER LOCATED IN THE PRIMARY CARE SETTING, A SERVICE LINE KNOWN AS INTEGRATIVE BEHAVIORAL HEALTH. WE HAVE NOT BEEN ABLE TO FORMALLY EXPAND OUR ADDICTION SERVICES OFFERING IN 2018. IN 2019, TWO OF THE NEWLY HIRED OUTPATIENT PSYCHOLOGISTS CAME TO NORTH MEMORIAL HEALTH 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:-WORK WITH ICSI (INSTITUTE FOR CLINICAL IMPROVEMENT) ON PROGRAM DEVELOPMENTACTION - WORKGROUPS HAVE BEEN FORMED AROUND:-ACUTE PRESCRIBING-IMPLEMENTED ACUTE OPIOID PRESCRIBING GUIDELINES FOR SURGICAL AND NON-SURGICAL PRESCRIBING-SURGICAL PRESCRIBING AT OR BELOW THE PRESCRIBING THRESHOLDS FOR INITIAL 9 PROCEDURES NEARLY DOUBLED, RESULTING IN 40,000 FEWER PILLS PRESCRIBED. THE EMERGENCY DEPARTMENT PRESCRIBED IN LINE WITH GUIDELINES 93% OF THE TIME RESULTING IN 50,000 FEWER OPIOID PILLS PRESCRIBED. AMBULATORY AND URGENT CARE SETTINGS DECREASED PRESCRIBING OPIOIDS TO OPIOID NAVE CUSTOMERS.-HIGH RISK POPULATIONS-EFFORTS IN PROGRESS TO SUPPORT PATIENTS IN THE EMERGENCY DEPARTMENT TO BEGIN MEDICATION ASSISTED THERAPY.-PROPER DISPOSAL OF UNUSED OPIOIDS -IN 2018, MEDICATION DISPOSAL KIOSKS AT NORTH MEMORIAL HEALTH HOSPITAL AND MAPLE GROVE HOSPITAL COLLECTED OVER 500 POUNDS OF POTENTIALLY DANGEROUS UNUSED OR EXPIRED PRESCRIPTION AND OVER-THE-COUNTER MEDICATIONS FROM OUR COMMUNITY. 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. STRATEGIES: -GROW INTERNAL TEAM TO MANAGE OPIOID PROGRAM DEVELOPMENT AND DEPLOY ICSI CONTENTACTION - A WORKGROUP HAS BEEN FORMED AROUND:-CHRONIC PRESCRIBING FOR CHRONIC PAIN-A CHRONIC CONTROLLED SUBSTANCES GUIDELINE WAS DESIGNED TO SAFELY AND EFFECTIVELY SUPPORT THE PRESCRIBING OF OPIOIDS TO CHRONIC USE CUSTOMERS. CUSTOMERS WHO RECEIVED AN ANNUAL URINE TOXICOLOGY SCREEN INCREASED BY 10%. MORE CHRONIC OPIOID CUSTOMERS COMPLETED A PRESCRIPTION CONTROLLED SUBSTANCE AGREEMENT WITH THEIR PROVIDER. -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, APRIL 2018-THE MEDICINE ABUSE PREVENTION WORKGROUP COLLABORATED WITH NORTH MEMORIAL HEALTH ED AND GRAND ROUNDS STAFF TO PLAN A PROVIDER EDUCATION EVENT SURROUNDING THE OPIOID EPIDEMIC. ABOUT 65 PROVIDERS ATTENDED THE EVENT IN APRIL. NEXT STEPS INCLUDE CONTINUING TO PROMOTING DISPOSAL OPTIONS TO RESIDENTS AND APPLY FOR FUNDING TO CONTINUE PROVIDER EDUCATION OPPORTUNITIES.-RESEARCH COMMUNITY BASED OPIOID ABUSE PREVENTION PROGRAMSACTION - BEING ADDRESSED BY WORK WITH ICSI AND PARTNERSHIP FOR CHANGEPRIORITY 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 MARKETACTION - NORTH MEMORIAL HEALTH WAS A MAJOR PARTNER IN THE DEVELOPMENT OF NORTH MARKET, A GROCERY STORE IN NORTH MINNEAPOLIS THAT IS A FOOD DESSERT. NORTH MEMORIAL HEALTH WORKED WITH PILLSBURY UNITED IN BUILDING NORTH MARKET. NORTH MEMORIAL HEALTH IS OPERATING A WELLNESS RESOURCE CENTER (WRC) 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 MARKETACTION - NORTH MARKET OPENED DECEMBER 14, 2017. CLASSES OFFERED AT NORTH MARKET IN 2018 INCLUDED:-FEBRUARY, HYPERTENSION 101. 7 PARTICIPANTS.-MARCH, SMART SNACKING. 5 PARTICIPANTS. -MARCH, GOING FURTHER WITH FOOD. 4 PARTICIPANTS.-APRIL, SALT FREE COOKING. 6 PARTICIPANTS. -APRIL, ANTI-INFLAMMATORY DIET. 6 PARTICIPANTS.-MAY 15 CHILDREN'S DENTAL SERVICES ACID ATTACK PRESENTATION. 3 PARTICIPANTS.-MAY AUGUST, ONCE A MONTH, BARIATRICS CLASS. 2-3 PEOPLE PER CLASS.-MAY SEPTEMBER, HEALTHY LIVING SUPPORT GROUP. 4 PARTICIPANTS.-OCTOBER DECEMBER ONCE A WEEK FOR 7 WEEKS, STEPPING ON FALL PREVENTION. 5 PARTICIPANTS.2018 COMMUNITY EVENTS NORTH MARKET PARTICIPATED IN INCLUDED:-2017 SEPTEMBER 2018, NORTH RISING PROGRAM, GRANT FUNDED PROGRAM. WORKED WITH INDIVIDUALS IN THEIR HOMES TO GET THEIR BLOOD PRESSURE AND A1C LEVELS DOWN. 35 COMPLETED THE PROGRAM.-MAY 1ST WEEK IN OCTOBER, FARMER'S MARKET. ONCE A WEEK ON THURSDAY. SAW ABOUT 200-300 PEOPLE OVER THE 5 MONTHS.-AUGUST 2018, BACK TO SCHOOL EVENT. GAVE AWAY FREE SCHOOL SUPPLIES. SAW ABOUT 100 PEOPLE.-SEPTEMBER 27, FAMILY HEALTH EVENT. ABOUT 50 PEOPLE ATTENDED. BLOOD PRESSURE READINGS.-SEPTEMBER 29, LAKEVIEW ELEMENTARY FAMILY DAY. HANDED OUT INFORMATION ABOUT THE WRC, RING TOSS GAME TO PLAY AND SUCKERS/BIKE LIGHTS TO GIVE AWAY.-OCTOBER 5, FARM FRESH FEST (CEAP). HANDED OUT INFORMATION ABOUT THE WRC AND HAND SANITIZER. HELPED PACK GROCERIES FOR FAMILIES.-SEPTEMBER, CAREER FAIR. SAW ABOUT 10 PEOPLE.-OCTOBER 9, RESUME WRITING WORKSHOP. SAW ABOUT 10 PEOPLE.
SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION:-NOVEMBER 7, ROOSEVELT HIGH SCHOOL CAREER DAY. SPOKE ABOUT HEALTH CAREER AND STEPS YOU MUST TAKE TO GET IN THIS FIELD OF WORK. -NOVEMBER 13, CAREER PATHWAYS. ABOUT 6-8 PEOPLE ATTENDED.-NOVEMBER 16, EDISON HIGH SCHOOL CAREER DAY. SPOKE ABOUT HEALTH CAREER AND STEPS YOU MUST TAKE TO GET IN THIS FIELD OF WORK.-DECEMBER 7, HOLIDAY ON 44TH. SET UP A BOOTH AT PATRICK HENRY HIGH SCHOOL TO PROVIDE INFO ABOUT THE WRC. SAW ABOUT 70 PEOPLE.-DECEMBER 11, MOCK INTERVIEWS. ABOUT 5-6 PEOPLE ATTENDED.-GROCERY STORE TOURS OFFERED ONCE A MONTH SINCE MARCH. 3 PEOPLE ATTEND THE FIRST STORE TOUR AND HAVE NOT HAD ANYONE SINCE.II. INCREASE COLLABORATION AND CONNECTIVITY BETWEEN NORTH MEMORIAL HEALTH HOSPITAL AND COMMUNITY ORGANIZATIONS WORKING ON FOOD ACCESS AND NUTRITIONSTRATEGIES:-EXPLORE PARTNERSHIP OPPORTUNITIES WITH NORTHSIDE FRESHACTION - 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 THE COMMUNITY PARAMEDICS WITH BRIDGE BAGS TO PROVIDE PATIENTS IN NEED. FINANCIALLY SUPPORTING FARM FRESHFEST.ACTION - WORKING WITH SECOND HARVEST HEARTLAND TO PROVIDE FOOD ASSISTANCE SCREENING, FOOD BOXES AND DISEASE MANAGEMENT EDUCATION TO OUR PATIENTS. WE HAVE ENROLLED 186 PEOPLE IN THE FOOD RX PROGRAM. ADDITIONALLY, WE HAVE GENERATED $137K IN SAVINGS FOR 2018 ENROLLMENT AND COMPLETION FOR OUR MEDICAID IHP PROGRAM.III. CONTINUATION OF THE COMMUNITY PARAMEDIC FOOD INSECURITY PROGRAMSTRATEGY:-CONTINUE IMPLEMENTATION OF THE FOOD INSECURITY GUIDELINESACTION - PREPARED AND PURCHASED MATTERBOX EMERGENCY FOOD SUPPLIES WHICH INCLUDED THE DELIVERY OF 80 MATTERBOXES, 20 OF THESE BY COMMUNITY PARAMEDICS, 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.
FieldValueIRS element (for citing)
Facility7FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - MINNESOTA DIAGNOSTIC IMAGING PARTNERS
2955 XENIUM LANE SUITE 40PLYMOUTHMN55441OUTPATIENT RADIOLOGY
2 - BLAINE URGENCY CENTER
480 OSBORNE RD NEFRIDLEYMN55432URGENT CARE
3 - NM AMBUL SURGERY CENTER MAPLE GROVE
9875 HOSPITAL DRIVEMAPLE GROVEMN55369OUTPATIENT SURGERY
4 - NORTH RADIATION THERAPY CENTER
6950 FRANCE AVE S SUITE 200EDINAMN55435OUTPATIENT RADIOLOGY
5 - MINNETONKA AMBULATORY SURGERY CENTER
15450 HIGHWAY 7 SUITE 200MINNETONKAMN55345OUTPATIENT SURGERY
6 - CRYSTAL IMAGING CENTER
5700 BOTTINEAU BLVDCRYSTALMN55429OUTPATIENT RADIOLOGY
7 - MULTICARE SLEEP CENTER LLC
10600 OLD COUNTY ROAD 15PLYMOUTHMN55441OUTPATIENT SLEEP CENTER

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2016, 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. NORTH MEMORIAL HEALTH IDENTIFIED MINOR OMISSIONS AND ERRORS RELATED TO 501(R) CHARITY CARE PRACTICES DURING TAX YEAR 2016, THAT IMPACTED BOTH 2016 AND 2017, THAT WERE DUE TO REASONABLE CAUSE. PRIOR TO THE IMPLEMENTATION OF 501(R), NORTH MEMORIAL WAS SUBJECT TO MINNESOTA ATTORNEY GENERAL REQUIREMENTS. THE OMMISSIONS AND ERRORS OCCURRED WHEN INTEGRATING 501(R) REQUIREMENTS WITH MINNESOTA ATTORNEY GENERAL REQUIREMENTS, SPECIFICALLY REGARDING DOCUMENTATION RELATED TO THE CHARITY CARE POLICY AND DISCLOSURES OF CERTAIN COLLECTION ACTIVITIES CARRIED OUT BY THE MEDICAL TRANSPORTATION DIVISION. UPON DISCOVERY OF THE OMMISSIONS, NORTH MEMORIAL POLICIES AND PROCEDURES WERE PROMPTLY REVISED TO PROMOTE AND FACILITATE OVERALL COMPLIANCE WITH BOTH FEDERAL AND STATE REQUIREMENTS. THE REVISED 501(R) POLICY AND PROCEDURES WERE EFFECTIVE 07/17/2017.
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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1PORTICO HEALTHNETBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 UNIVERSITY AVENUE WEST SUITEAddressLine1Txt
Address Line2211AddressLine2Txt
CitySAINT PAULCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55104ZIPCd
FieldValueIRS element (for citing)
Recipient EIN411814659RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$50,000CashGrantAmt
Purpose Of GrantOUTREACH AND ENROLLMENT WORK FOR UNDERSERVED DEMOGRAPHICSPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANT 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

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
J KEVIN CROSTON MD
CEO NORTH MEMORIAL$809,165$0$202,500$0$9,297$0$19,250$0$27,712$0$1,067,924$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
KELSEY BRODSHO
CHIEF COMPLIANCE OFFICER$199,798$0$30,000$0$636$0$15,630$0$11,240$0$257,304$0$0$0
JENNIFER CLOSE
PRESIDENT & CHIEF AMBULATORY OFFICER$420,000$0$0$0$3,118$0$19,250$0$17,004$0$459,372$0$0$0
DAVID ALBRIGHT
VP, FINANCE PLANNING AND ACCOUNTING$156,923$0$24,000$0$1,412$0$6,498$0$7,855$0$196,688$0$0$0
ANDREW COCHRANE
CEO, MAPLE GROVE HOSPITAL$399,039$0$60,000$0$3,717$0$19,250$0$26,142$0$508,148$0$0$0
PATRICK COYNE
VP, AMBULANCE SERVICES$259,611$0$39,000$0$6,512$0$19,250$0$22,705$0$347,078$0$0$0
SAMANTHA HANSON
CHIEF ADMINISTRATIVE OFFICER$420,000$0$73,500$0$2,428$0$11,969$0$25,577$0$533,474$0$0$0
STEVEN HORSTMANN
VP, OPERATIONS$215,000$0$43,000$0$658$0$12,048$0$5,591$0$276,297$0$0$0
ANDREW HOULTON
CHIEF MEDICAL OFFICER$266,563$0$63,000$0$5,705$0$19,250$0$11,462$0$365,980$0$0$0
RYAN JOHNSON
VP, TREASURY & BUSN DEVELOPMENT$240,880$0$32,191$0$4,874$0$19,115$0$19,733$0$316,793$0$0$0
STERLING MCHORNEY
VP, OPERATIONS CLINIC SERVICES$171,923$0$15,000$0$129,622$0$0$0$8,355$0$324,900$0$0$0
KENT SPAULDING
VP, CHIEF DEVELOPMENT OFFICER$224,519$0$33,750$0$1,085$0$18,079$0$21,561$0$298,994$0$0$0
PATRICK TAFFE
VP, INFORMATION SYSTEMS & CIO$300,000$0$45,000$0$13,651$0$19,250$0$19,718$0$397,619$0$0$0
KARL THOMAS
CHIEF INNOVATION OFFICER$264,712$0$39,750$0$1,384$0$17,982$0$22,495$0$346,323$0$0$0
KELLY WHITE
VP, PATIENT CARE & CNO$297,005$0$39,000$0$865$0$19,250$0$8,516$0$364,636$0$0$0
JEFFREY WICKLANDER
PRESIDENT, NORTH MEMORIAL MC$439,621$0$66,000$0$2,224$0$19,250$0$27,174$0$554,269$0$0$0
PAMELA DOORENBOS
VP, MEDICAL AFFAIRS$300,768$0$45,115$0$400$0$16,500$0$9,001$0$371,784$0$0$0
TRUDY MARSHALL
VP, MARKETING, COMM. & OUTREACH$198,005$0$69,762$0$7,178$0$18,744$0$11,235$0$304,924$0$0$0
JENNIFER TESSMER-TUCK
VP, MEDICAL AFFAIRS$362,853$0$44,071$0$1,782$0$19,250$0$6,993$0$434,949$0$0$0
WENDY ULFERTS
VP, PATIENT CARE/CNO$219,310$0$31,503$0$400$0$12,868$0$18,151$0$282,232$0$0$0
CAROLYN OGLAND VUKICH
CHIEF MEDICAL OFFICER, AMBULATORY SV$169,904$0$25,000$0$18,057$0$4,292$0$5,647$0$222,900$0$0$0
OSAMA IBRAHIM
CARDIOLOGIST$775,818$0$68,541$0$2,375$0$19,250$0$18,216$0$884,200$0$0$0
ROBERT KING
CARDIAC SURGEON$864,071$0$30,000$0$18,550$0$19,250$0$25,332$0$957,203$0$0$0
STEVEN ROH
CARDIOLOGIST$801,769$0$32,341$0$4,519$0$19,250$0$12,955$0$870,834$0$0$0
JOSEPH VAN CAMP
CARDIAC SURGEON$868,859$0$30,000$0$6,801$0$19,250$0$29,230$0$954,140$0$0$0
ALOK MAHESHWARI
CARDIAC SURGEON$794,096$0$28,341$0$4,634$0$19,250$0$27,919$0$874,240$0$0$0
CHRISTOPHER YEAMEN
VP, FIN. PLANNING AND ACCT - FORMER$0$0$0$0$210,236$0$0$0$0$0$210,236$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE ORGANIZATION PAYS FOR THE MONTHLY SOCIAL DUES FOR ONE OF THE EXECUTIVE MEMBERS AT THE GOLDEN VALLEY COUNTRY CLUB. THE DUES FOR 2018 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 3THE CHIEF EXECUTIVE OFFICER, AS WELL AS OTHER OFFICERS AND KEY EMPLOYEES MARKED WITH AN ASTERISK ON PART VII OF THE FORM 990 AND PART II OF SCHEDULE J, PROVIDES SERVICES TO NORTH MEMORIAL HEALTH AS WELL AS TO ALL OR SOME RELATED ENTITIES AS IDENTIFIED ON SCHEDULE R. AS SUCH, THEIR COMPENSATION LEVELS INCORPORATE SERVICES PROVIDED TO MULTIPLE NORTH MEMORIAL ENTITIES.
PART I, LINE 4AA PORTION OF THE AMOUNTS REPORTED IN "OTHER REPORTABLE COMPENSATION" REFLECTS PAYMENTS MADE IN 2018 PURSUANT TO SEVERANCE AGREEMENTS WITH 2 EMPLOYEES AS FOLLOW: STERLING MCHORNEY - $126,923 CHRISTOPHER YEAMEN - $210,236
PART I, LINE 6NORTH MEMORIAL HEALTH'S ANNUAL INCENTIVE PLAN REQUIRES ACHIEVEMENT OF STATED PERFORMANCE METRICS, WHICH INCLUDE OPERATING CASH FLOW MARGIN.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF MAPLE GROVE
A41087325056516TAY12015-08-26$44,915,000REFUND SERIES 2005 BONDS0Yes (1)0
CITY OF ROBBINSDALE
B4160054962017-12-05$38,870,000REFUND SERIES 2011 BONDS0Yes (1)0
CITY OF ROBBINSDALE
C4160054962017-12-05$10,830,000REFUND SERIES 2011 BONDS0Yes (1)0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$3,260,000$48,679,699$48,135,634$544,0652015Yes (1)0Yes (1)Yes (1)
B$4,230,000$38,870,000$337,5962017Yes (1)0Yes (1)Yes (1)
C$1,075,000$10,830,0002017Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)
C000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
B0Yes (1)000000Yes (1)
C0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CORNER HOME MEDICALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionBOARD MEMBER IS MAJORITY OWNERRelationshipDescriptionTxt
Transaction$494,074TransactionAmt
TransactionMICHAEL 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 Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CALL 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 15COMPENSATION 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 19GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE ONLINE THROUGH THE OFFICE OF THE ATTORNEY GENERAL VIA THE CHARITY REPORT FILED WITH THE STATE OF MINNESOTA.
FORM 990, PART IX, LINE 11GOTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 79,106,995. MANAGEMENT AND GENERAL EXPENSES 12,664,461. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 91,771,456.
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
OAKDALE MEDICAL CENTER
3300 OAKDALE AVENUE NORTHROBBINSDALEMN55422320022819LEASE MEDICAL OFFICE SPACEMN$6,054,987$20,691,930NORTH MEMORIAL
NORTH CLINIC LLC
3300 OAKDALE AVENUE NORTHROBBINSDALEMN55422MEDICAL CAREMN$115,094$2,815,094NORTH MEMORIAL

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
NORTH MEMORIAL FOUNDATION
3300 OAKDALE AVENUE NORTHROBBINSDALEMN55422411777966FUNDRAISINGMN501(C)(3)7NORTH MEMORIAL0
ASSOCIATED HEALTH ASSURANCE
3300 OAKDALE AVENUE NORTHROBBINSDALEMN55422980343815INSURANCE501(C)(3)LINE 12B, IINORTH MEMORIALYes (1)BD
MAPLE GROVE HOSPITAL CORPORATION
9875 HOSPITAL DRIVEMAPLE GROVEMN55369208316475ACUTE CAREMN501(C)(3)3NORTH MEMORIALYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE
9855 HOSPITAL DRIVEMAPLE GROVEMN55369260393039OUTPATIENT SURGERYMNRELATED$2,941,187$3,910,9530Yes (1)0.50000
MINNESOTA DIAGNOSTIC IMAGING PARTNERS LLC
2955 XENIUM LANE SUITE 40PLYMOUTHMN55441352162215RADIOLOGYMNRELATED$595,663$1,543,0140Yes (1)0.60000
NORTH RADIATION THERAPY CENTER LLC
6950 FRANCE AVE S SUITE 200EDINAMN55435743069974RADIOLOGYMNRELATED$954,785$2,420,6480Yes (1)0.49990
MINNETONKA AMBULATORY SURGERY CENTER
3300 OAKDALE AVE NORTHROBBINSDALEMN55422465653486OUTPATIENT SURGERYMNRELATED-$3,247,162$1,429,5350Yes (1)0.78650
MULTICARE SLEEP CENTER LLC
10600 OLD COUNTY ROAD 15PLYMOUTHMN55441274833673OUTPATIENT SLEEP CENTERMNRELATED$16,932$74,3260Yes (1)0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
OAKDALE HEALTH ENTERPRISES INC
3300 OAKDALE AVENUE NORTHROBBINSDALEMN55422411546422AMBULANCEMNNORTH MEMORIALC$4,112,376$2,972,5731.00000Yes (1)
NORTH COLLABORATIVE CARE
3300 OAKDALE AVENUE NORTHROBBINSDALEMN55422461680666PRIMARY CAREMNC0.438400
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ASSOCIATED HEALTH ASSURANCE
A$67,805FMV
NORTH MEMORIAL AMBULATORY
B$372,600FMV
MAPLE GROVE HOSPITAL CORP
C$26,100,000FMV
MN DIAGNOSTIC IMAGING
C$450,000FMV
NORTH MEMORIAL FOUNDATION
C$15,000FMV
MAPLE GROVE HOSPITAL CORP
D$89,895,436FMV
NORTH RADIATION THERAPY CENTER LLC
D$1,583,335FMV
MN DIAGNOSTIC IMAGING
F$570,000FMV
MAPLE GROVE HOSPITAL CORP
J$14,771,272FMV
NORTH RADIATION OPC
J$227,576FMV
ASSOCIATED HEALTH ASSURANCE LLC
M$4,329,123FMV
NORTH MEMORIAL AMBULATORY
F$3,039,499FMV
NORTH RADIATION THERAPY
F$930,000FMV
MAPLE GROVE HOSPITAL CORP
L$19,733,631FMV
BLAINE URGENCY CENTER
F$252,168FMV
OAKDALE MEDICAL CENTER
J$2,893,709FMV
OAKDALE MEDICAL CENTER
Q$404,823FMV
MULTICARE SLEEP CENTER
F$30,500FMV

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