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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-15T08:28:59-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY VIRCHOW KRAUSE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 S 6TH ST 2300 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410729979 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH MEMORIAL HEALTH CARE | BusinessNameLine1Txt |
| Business Name Line2 | DBA NORTH MEMORIAL HEALTH | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 7635205200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 OAKDALE AVENUE NORTH | AddressLine1Txt |
| City | ROBBINSDALE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55422 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AARON BLOOMQUIST | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 7635205200 | PhoneNum |
| Signature | 2019-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAWRENCE H MOHR CPA | PreparerPersonNm |
| PTIN | P00447603 | PTIN |
| Phone | 6128764500 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 38.88.188.75 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-14 | IPDt |
| IP Tm | 10:36:18 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 42991B41A32A13F77B110C5B470B2D73D8292482 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | J KEVIN CROSTON MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 OAKDALE AVENUE NORTH | AddressLine1Txt |
| City | ROBBINSDALE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55422 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $981,741,714 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NORTHMEMORIAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | EMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 6119 | TotalEmployeeCnt |
| Total Volunteers | 750 | TotalVolunteersCnt |
| Total Gross UBI | $3,388,358 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $467,205 | PYContributionsGrantsAmt |
| CY Contributions Grants | $445,388 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $807,982,725 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $841,234,034 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,213,921 | PYInvestmentIncomeAmt |
| CY Investment Income | $18,343,817 | CYInvestmentIncomeAmt |
| PY Other Revenue | $305,328 | PYOtherRevenueAmt |
| CY Other Revenue | $872,326 | CYOtherRevenueAmt |
| PY Total Revenue | $820,969,179 | PYTotalRevenueAmt |
| CY Total Revenue | $860,895,565 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $50,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $484,648,686 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $496,117,349 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $334,375,178 | PYOtherExpensesAmt |
| CY Other Expenses | $351,131,564 | CYOtherExpensesAmt |
| PY Total Expenses | $819,023,864 | PYTotalExpensesAmt |
| CY Total Expenses | $847,298,913 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,945,315 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $13,596,652 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $594,672,699 | TotalAssetsBOYAmt |
| Total Assets EOY | $566,156,236 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $220,465,716 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $208,891,600 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $374,206,983 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $357,264,636 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | EMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $734,549,406 | ExpenseAmt |
| Grant | $50,000 | GrantAmt |
| Revenue | $736,969,205 | RevenueAmt |
| Desc | NORTH MEMORIAL HEALTH CARE DBA NORTH MEMORIAL HEALTH IS A HEALTHCARE SYSTEM THAT INCLUDES A GENERAL ACUTE CARE HOSPITAL PROVIDING HIGHLY SPECIALIZED TRAUMA AND EMERGENCY SERVICES, CORONARY CARE, OPEN HEART SURGERY, ONCOLOGY, HIGH RISK MATERNITY AND NEONATAL CARE, AND GENERAL MEDICAL: SURGICAL, OBSTETRICAL, PEDIATRIC, REHABILITATION, BEHAVIORAL HEALTH, MEDICAL TRANSPORTATION AND HOME HEALTH AND HOSPICE SERVICES PLUS PRIMARY AND SPECIALTY CARE CLINICS. NORTH MEMORIAL HEALTH'S MISSION IS EMPOWERING ITS CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. IN ADDITION TO CHARITY AND UNCOMPENSATED CARE, NORTH MEMORIAL HEALTH ALSO PROVIDES NUMEROUS COMMUNITY BENEFITS (AT NO COST OR BELOW COST) IN FURTHERANCE OF ITS CHARITABLE PURPOSE. NORTH MEMORIAL HEALTH OFFERS VARIOUS COMMUNITY-BASED PROGRAMS INCLUDING HEALTH SCREENINGS, SUPPORT COUNSELING FOR PARENTS AND FAMILIES, PASTORAL CARE, CRISIS INTERVENTION, TRANSPORTATION TO AND FROM THE HOSPITAL CAMPUS, AND THE DONATION OF SPACE FOR USE BY COMMUNITY GROUPS. ADDITIONALLY, A LARGE NUMBER OF HEALTH-RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING WELLNESS SEMINARS AND CLASSES ON SPECIFIC CONDITIONS. NORTH MEMORIAL HEALTH ALSO PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COSTS TO RESIDENTS OF ITS COMMUNITY, PRIMARILY THROUGH (A) THE DIFFERENCES BETWEEN PUBLIC PROGRAM PAYMENTS (PRIMARILY MEDICARE AND MEDICAID) AND THE RELATED COSTS OF PROVIDING SUCH SERVICES, AND (B) SERVICES PROVIDED TO PATIENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE DETERMINED UNABLE TO PAY BECAUSE OF ECONOMIC FACTORS. IN ADDITION, NORTH MEMORIAL HEALTH CONTRIBUTES TO FUNDING MEDICAL CARE FOR THE UNINSURED THROUGH PAYMENT OF PATIENT SERVICE TAXES, WHICH INCLUDE THE MEDICAID SURCHARGE AND THE MINNESOTA CARE TAX ON CERTAIN NET REVENUE. | Desc |
| Total Program Service Expenses | $734,549,406 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 580 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 6119 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | BD | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AARON BLOOMQUIST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7635205200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 OAKDALE AVENUE NORTH | AddressLine1Txt |
| City | ROBBINSDALE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55422 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL STEINHAUSER | ||||||||||
| CHAIRMAN OF BOARD | 2.00 | 0.00 | Yes (X) | Yes (X) | $10,000 | $0 | $0 | |||
| TED FERRARA | ||||||||||
| VICE CHAIRMAN OF BOARD | 2.00 | 0.00 | Yes (X) | Yes (X) | $10,000 | $0 | $0 | |||
| TIMOTHY BAYLOR | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| BRUCE CHRISTENSEN | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| SCOTT COLSON MD | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| ROBERT DAHL | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| DIANE HUSTON | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| LAURIE LAFONTAINE | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| WARREN MACK | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| BETTY PAKZAD MD | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| HEIDI WILSON | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| JEFF SMITH | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| ROBERT PRENTISS JR | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| TODD GENGERKE MD | ||||||||||
| CHIEF OF STAFF | 50.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | ||||
| DEEPAK KADEMANI MD | ||||||||||
| VICE CHIEF OF STAFF | 2.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | ||||
| J KEVIN CROSTON MD | ||||||||||
| CEO NORTH MEMORIAL | 42.00 | 11.00 | Yes (X) | Yes (X) | $1,020,962 | $0 | $46,962 | |||
| AARON BLOOMQUIST | ||||||||||
| VP FINANCE, CFO | 42.00 | 10.00 | Yes (X) | $462,955 | $0 | $37,186 | ||||
| KELSEY BRODSHO | ||||||||||
| CHIEF COMPLIANCE OFFICER | 50.00 | 10.00 | Yes (X) | $230,434 | $0 | $26,870 | ||||
| JENNIFER CLOSE | ||||||||||
| PRESIDENT & CHIEF AMBULATORY OFFICER | 50.00 | 2.00 | Yes (X) | $423,118 | $0 | $36,254 | ||||
| DAVID ALBRIGHT | ||||||||||
| VP, FINANCE PLANNING AND ACCOUNTING | 50.00 | 0.00 | $182,335 | $0 | $14,353 | Yes (X) | ||||
| ANDREW COCHRANE | ||||||||||
| CEO, MAPLE GROVE HOSPITAL | 1.00 | 50.00 | $462,756 | $0 | $45,392 | Yes (X) | ||||
| PATRICK COYNE | ||||||||||
| VP, AMBULANCE SERVICES | 50.00 | 0.00 | $305,123 | $0 | $41,955 | Yes (X) | ||||
| SAMANTHA HANSON | ||||||||||
| CHIEF ADMINISTRATIVE OFFICER | 50.00 | 2.00 | $495,928 | $0 | $37,546 | Yes (X) | ||||
| STEVEN HORSTMANN | ||||||||||
| VP, OPERATIONS | 50.00 | 0.00 | $258,658 | $0 | $17,639 | Yes (X) | ||||
| ANDREW HOULTON | ||||||||||
| CHIEF MEDICAL OFFICER | 50.00 | 0.00 | $335,268 | $0 | $30,712 | Yes (X) | ||||
| RYAN JOHNSON | ||||||||||
| VP, TREASURY & BUSN DEVELOPMENT | 50.00 | 0.00 | $277,945 | $0 | $38,848 | Yes (X) | ||||
| STERLING MCHORNEY | ||||||||||
| VP, OPERATIONS CLINIC SERVICES | 50.00 | 0.00 | $316,545 | $0 | $8,355 | Yes (X) | ||||
| KENT SPAULDING | ||||||||||
| VP, CHIEF DEVELOPMENT OFFICER | 50.00 | 0.00 | $259,354 | $0 | $39,640 | Yes (X) | ||||
| PATRICK TAFFE | ||||||||||
| VP, INFORMATION SYSTEMS & CIO | 50.00 | 0.00 | $358,651 | $0 | $38,968 | Yes (X) | ||||
| KARL THOMAS | ||||||||||
| CHIEF INNOVATION OFFICER | 42.00 | 10.00 | $305,846 | $0 | $40,477 | Yes (X) | ||||
| KELLY WHITE | ||||||||||
| VP, PATIENT CARE & CNO | 50.00 | 0.00 | $336,870 | $0 | $27,766 | Yes (X) | ||||
| JEFFREY WICKLANDER | ||||||||||
| PRESIDENT, NORTH MEMORIAL MC | 50.00 | 0.00 | $507,845 | $0 | $46,424 | Yes (X) | ||||
| PAMELA DOORENBOS | ||||||||||
| VP, MEDICAL AFFAIRS | 50.00 | 0.00 | $346,283 | $0 | $25,501 | Yes (X) | ||||
| TRUDY MARSHALL | ||||||||||
| VP, MARKETING, COMM. & OUTREACH | 50.00 | 0.00 | $274,945 | $0 | $29,979 | Yes (X) | ||||
| JENNIFER TESSMER-TUCK | ||||||||||
| VP, MEDICAL AFFAIRS | 50.00 | 0.00 | $408,706 | $0 | $26,243 | Yes (X) | ||||
| WENDY ULFERTS | ||||||||||
| VP, PATIENT CARE/CNO | 50.00 | 0.00 | $251,213 | $0 | $31,019 | Yes (X) | ||||
| CAROLYN OGLAND VUKICH | ||||||||||
| CHIEF MEDICAL OFFICER, AMBULATORY SVCS | 50.00 | 0.00 | $212,961 | $0 | $9,939 | Yes (X) | ||||
| OSAMA IBRAHIM | ||||||||||
| CARDIOLOGIST | 50.00 | 0.00 | $846,734 | $0 | $37,466 | Yes (X) | ||||
| ROBERT KING | ||||||||||
| CARDIAC SURGEON | 50.00 | 0.00 | $912,621 | $0 | $44,582 | Yes (X) | ||||
| STEVEN ROH | ||||||||||
| CARDIOLOGIST | 50.00 | 0.00 | $838,629 | $0 | $32,205 | Yes (X) | ||||
| JOSEPH VAN CAMP | ||||||||||
| CARDIAC SURGEON | 50.00 | 0.00 | $905,660 | $0 | $48,480 | Yes (X) | ||||
| ALOK MAHESHWARI | ||||||||||
| CARDIAC SURGEON | 50.00 | 0.00 | $827,071 | $0 | $47,169 | Yes (X) | ||||
| CHRISTOPHER YEAMEN | ||||||||||
| VP, FIN. PLANNING AND ACCT - FORMER | 50.00 | 0.00 | $210,236 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $12,720,652 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $907,930 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 840 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NORTH CLINIC | |||||
| 9201 WEST BROADWAY STE 501 | BROOKLYN PARK | MN | 55455 | PHYSICIAN SERVICES | $13,045,761 |
| MINNEAPOLIS RADIOLOGY ASSOCIATION | |||||
| 9855 HOSPITAL DRIVE | MAPLE GROVE | MN | 55369 | PHYSICIAN SERVICES | $10,790,591 |
| RESPIRATORY CONSULTANTS PA | |||||
| 3366 OAKDALE AVENUE NORTH 401 | ROBBINSDALE | MN | 55422 | INTENSIVISTS STAFFING | $4,114,957 |
| BRANDFIRE LLC | |||||
| 555 8TH AVENUE STE 1802 | NEW YORK | NY | 10018 | MEDIA ADVERTISING | $2,513,262 |
| DJ KRANZ COMPANY INCORPORATED | |||||
| 725 HIGHWAY 169 NORTH | PLYMOUTH | MN | 554416403 | CONSTRUCTION | $2,148,908 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 87 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $15,000 | RelatedOrganizationsAmt |
| All Other Contributions | $430,388 | AllOtherContributionsAmt |
| Total Contributions | $445,388 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| HOSPITAL PATIENT REVEN | 621500 | $739,485,237 | $736,096,879 | $3,388,358 | |
| CONTRACT REVENUE | 900099 | $41,767,866 | $41,767,866 | ||
| EHR/MEDICARE & OTHER | 900099 | $7,479,501 | $7,479,501 | ||
| PHARMACY | 900099 | $7,141,051 | $7,141,051 | ||
| JOINT VENTURE REVENUE | 900099 | $6,003,660 | $6,003,660 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,356,719 | TotalRevenueColumnAmt |
| Exclusion | $39,356,719 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $841,234,034 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $178,846 | TotalRevenueColumnAmt |
| Exclusion | $178,846 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,972 | TotalRevenueColumnAmt |
| Exclusion | $1,972 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,270,204 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,397,878 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $872,326 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $872,326 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $872,326 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $126,611,270 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $108,448,271 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,162,999 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,162,999 | TotalRevenueColumnAmt |
| Exclusion | $18,162,999 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $860,895,565 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $736,969,205 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,388,358 | UnrelatedBusinessRevenueAmt |
| Exclusion | $120,092,614 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,000 | TotalAmt |
| Program Services | $50,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,293,863 | TotalAmt |
| Management And General | $8,293,863 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $387,850,282 | TotalAmt |
| Program Services | $340,554,469 | ProgramServicesAmt |
| Management And General | $47,295,813 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,495,970 | TotalAmt |
| Program Services | $23,112,658 | ProgramServicesAmt |
| Management And General | $3,383,312 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,864,263 | TotalAmt |
| Program Services | $41,907,647 | ProgramServicesAmt |
| Management And General | $5,956,616 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,612,971 | TotalAmt |
| Program Services | $22,078,381 | ProgramServicesAmt |
| Management And General | $3,534,590 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,796,008 | TotalAmt |
| Program Services | $1,548,159 | ProgramServicesAmt |
| Management And General | $247,849 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $362,227 | TotalAmt |
| Program Services | $312,240 | ProgramServicesAmt |
| Management And General | $49,987 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,000 | TotalAmt |
| Management And General | $120,000 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $642,440 | TotalAmt |
| Management And General | $642,440 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,771,456 | TotalAmt |
| Program Services | $79,106,995 | ProgramServicesAmt |
| Management And General | $12,664,461 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,418,622 | TotalAmt |
| Program Services | $3,808,852 | ProgramServicesAmt |
| Management And General | $609,770 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,415,631 | TotalAmt |
| Program Services | $6,392,274 | ProgramServicesAmt |
| Management And General | $1,023,357 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,094,405 | TotalAmt |
| Program Services | $13,873,377 | ProgramServicesAmt |
| Management And General | $2,221,028 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,416,350 | TotalAmt |
| Program Services | $24,494,894 | ProgramServicesAmt |
| Management And General | $3,921,456 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,999,376 | TotalAmt |
| Program Services | $2,585,462 | ProgramServicesAmt |
| Management And General | $413,914 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,937,651 | TotalAmt |
| Program Services | $25,806,255 | ProgramServicesAmt |
| Management And General | $4,131,396 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,341,536 | TotalAmt |
| Program Services | $4,604,404 | ProgramServicesAmt |
| Management And General | $737,132 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,428,224 | TotalAmt |
| Program Services | $7,258,229 | ProgramServicesAmt |
| Management And General | $1,169,995 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $847,298,913 | TotalAmt |
| Program Services | $734,549,406 | ProgramServicesAmt |
| Management And General | $112,749,507 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,714 | BOYAmt |
| EOY | $13,578 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,710,392 | BOYAmt |
| EOY | $826,498 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,324 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,852,588 | BOYAmt |
| EOY | $95,019,676 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,850,000 | BOYAmt |
| EOY | $6,539,018 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,500,307 | BOYAmt |
| EOY | $7,906,501 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,700,396 | BOYAmt |
| EOY | $12,342,786 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $662,257,764 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $464,574,683 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $208,744,420 | BOYAmt |
| EOY | $197,683,081 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,543,765 | BOYAmt |
| EOY | $230,151,850 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,183,101 | BOYAmt |
| EOY | $56,712,610 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,971,304 | BOYAmt |
| EOY | $1,909,697 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$44,401,612 | BOYAmt |
| EOY | -$42,949,059 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $594,672,699 | BOYAmt |
| EOY | $566,156,236 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,887,514 | BOYAmt |
| EOY | $72,761,563 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $494,011 | BOYAmt |
| EOY | $520,002 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,268,722 | BOYAmt |
| EOY | $113,436,326 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,815,469 | BOYAmt |
| EOY | $22,173,709 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,465,716 | BOYAmt |
| EOY | $208,891,600 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $374,206,983 | BOYAmt |
| EOY | $357,264,636 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $374,206,983 | BOYAmt |
| EOY | $357,264,636 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $594,672,699 | BOYAmt |
| EOY | $566,156,236 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $13,596,652 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$29,429,764 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$1,109,235 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $120,000 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,000 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $122,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | CONTACTS AND VISITS WERE MADE WITH STATE LEVEL LEGISLATORS TO PROMOTE HEALTH CARE RELATED ISSUES. LINE 1I INCLUDES THE NON-DEDUCTIBLE PORTION OF MHA DUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,344,063 | BeginningYearBalanceAmt |
| Contributions | $82,062 | ContributionsAmt |
| Investment Earnings Or Losses | -$75,671 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $414,300 | OtherExpendituresAmt |
| Administrative Expenses | $16,500 | AdministrativeExpensesAmt |
| End Year Balance | $2,919,654 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,029,196 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $370,959 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $56,092 | OtherExpendituresAmt |
| End Year Balance | $3,344,063 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,203,143 | BeginningYearBalanceAmt |
| Contributions | $155,228 | ContributionsAmt |
| Investment Earnings Or Losses | $707,969 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $37,144 | OtherExpendituresAmt |
| End Year Balance | $3,029,196 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,591,423 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $17,322 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,405,602 | OtherExpendituresAmt |
| End Year Balance | $2,203,143 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,446,092 | BeginningYearBalanceAmt |
| Contributions | $76,703 | ContributionsAmt |
| Investment Earnings Or Losses | $118,858 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $50,230 | OtherExpendituresAmt |
| End Year Balance | $3,591,423 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.72210 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.27790 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,669,541 | OtherCostOrOtherBasisAmt |
| Book Value | $13,669,541 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $260,489,517 | OtherCostOrOtherBasisAmt |
| Depreciation | $164,314,855 | DepreciationAmt |
| Book Value | $96,174,662 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,678,397 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,460,888 | DepreciationAmt |
| Book Value | $3,217,509 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $360,783,838 | OtherCostOrOtherBasisAmt |
| Depreciation | $278,995,054 | DepreciationAmt |
| Book Value | $81,788,784 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,636,471 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,803,886 | DepreciationAmt |
| Book Value | $2,832,585 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $197,683,081 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| RREEF AMERICA REIT II | $23,834,260 | F |
| MELLON AGGREGATE BOND INDEX FUND | $28,861,826 | F |
| CASH ON DEPOSIT WITH BOND TRUSTEE | $778,581 | F |
| AGENCY ACCOUNT | $53,193 | F |
| CASUALTY INSURANCE SECURITY | $3,184,750 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $56,712,610 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $22,173,709 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ALL ENDOWMENT FUNDS ARE HELD BY A RELATED ENTITY: NORTH MEMORIAL FOUNDATION. 1) RALPH ROSSEN ENDOWMENT: THIS ENDOWMENT WAS ESTABLISHED IN 1986 TO PROVIDE RECOGNITION TO NURSING STAFF THAT PROVIDE REMARKABLE SERVICE TO NORTH MEMORIAL PATIENTS AND THEIR FAMILIES. MEMBERS OF THE ROSSEN FAMILY SERVE ON A COMMITTEE ALONG WITH THE VP AND CHIEF NURSING OFFICER OF NORTH MEMORIAL TO SELECT THE RECIPIENTS. 2) HAROLD B. KAISER HONORARY LECTURESHIP ENDOWMENT: DR. KAISER IS THE FOUNDER OF ALLERGY & ASTHMA SPECIALISTS, P.A. ESTABLISHED IN 1966. THE HAROLD B KAISER HONORARY LECTURESHIP ENDOWMENT PROVIDES FUNDING FOR A KEYNOTE SPEAKER FOR THE ANNUAL ALLERGY & ASTHMA CONFERENCE HELD IN THE MINNEAPOLIS AREA IN MARCH. 3) HAROLD ECKER ENDOWMENT: ESTABLISHED IN 1994 IN HONOR OF THE EXCELLENT CARE THAT MR. ECKER RECEIVED AS A PATIENT AT NORTH MEMORIAL, THE HAROLD ECKER ENDOWMENT PROVIDES A $500 AWARD TO THREE NORTH MEMORIAL EMPLOYEES RECOGNIZING THEIR OUTSTANDING PERFORMANCE AND PERSONAL ATTITUDE. THE AWARD IS OPEN TO ALL EMPLOYEES AND THE WINNERS ARE SELECTED BY A COMMITTEE OF NORTH MEMORIAL EMPLOYEES AND PRESENTED AT THE ANNUAL QUALITY AWARDS LUNCHEON IN NOVEMBER EACH YEAR. 4) RESIDENTIAL HOSPICE ENDOWMENT: THE RESIDENTIAL HOSPICE ENDOWMENT WAS ESTABLISHED BY DR. JOHN AND PATTY MANION TO PROVIDE ASSISTANCE TO THE RESIDENTIAL HOSPICE PROGRAM AT NORTH MEMORIAL. FUNDS ARE USED TO UPGRADE THE FACILITIES AND EQUIPMENT AT THE NORTH RESIDENTIAL HOSPICE FACILITY IN BROOKLYN CENTER, PROVIDE ADDITIONAL PROGRAM SUPPORT, STAFF TRAINING AND TO ASSIST THOSE FAMILIES THAT CANNOT AFFORD THIS SERVICE. THE RESIDENTIAL HOSPICE FACILITY WAS SOLD IN 2017 AND WE ARE CURRENTLY WORKING THROUGH THE PROCESS TO REPURPOSE THE ENDOWMENT FUNDS. NO FUNDS WILL BE USED UNTIL THE PROCESS IS COMPLETE. 5) HELEN MURRAY MEMORIAL ENDOWMENT THIS ENDOWMENT WAS ESTABLISHED WITH AN IRREVOCABLE CHARITABLE REMAINDER TRUST BY JEANNE MITHUN TO RECOGNIZE THE OUTSTANDING SERVICE THAT NORTH RESIDENTIAL HOSPICE PROVIDED TO HER MOTHER (HELEN MURRAY) AND HER FAMILY. FUNDS ARE USED TO PROVDE CARE TO INDIVIDUALS UNABLE TO PAY FOR SERVICES AT THE FACILITY. 6) MEDICAL STAFF ENDOWMENT THIS ENDOWMENT WAS ESTABLISHED IN 2010 BY THE NORTH MEMORIAL MEDICAL STAFF EXECUTIVE COMMITTEE. PROCEEDS FROM THE ENDOWMENT WILL FUND NORTH MEMORIAL PROGRAMS SUCH AS JUNIOR VOLUNTEER SCHOLARSHIP, SAFEJOURNEY, PASTORAL CARE, ETC. 7) MAPLE GROVE MEDICAL STAFF ENDOWMENT WAS ESTABLISHED IN 2013 BY THE MAPLE GROVE MEDICAL STAFF EXECUTIVE COMMITTEE. PROCEEDS FROM THE ENDOWMENT WILL FUND MAPLE GROVE PROGRAMS. |
| PART X, LINE 2: | NORTH MEMORIAL EVALUATES ITS UNCERTAIN POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2018 OR 2017. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,883,907 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,883,907 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01400 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $106,947,890 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $72,105,137 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,842,753 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04110 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $118,831,797 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $72,105,137 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $46,726,660 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05510 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,686,526 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $62,400 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,624,126 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,906,387 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,518,123 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,388,264 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00640 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,628,502 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,658,544 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,969,958 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $86,015 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $86,015 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $427,461 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $427,461 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,734,891 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,239,067 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,495,824 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02190 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $164,566,688 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $99,344,204 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $65,222,484 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07700 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,848,480 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $217,417,405 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $280,586,883 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$63,169,478 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (13 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 MAPLE GROVE HOSPITAL | |||
| HOSPITAL | 0.75000 | 0.00000 | 0.00000 |
| 2 NM AMBULATORY SURGERY CENTER MAPLE GROVE | |||
| OUTPATIENT SURG CTR | 0.50000 | 0.00000 | 0.50000 |
| 3 MN DIAGNOSTIC IMAGING PARTNERS | |||
| OUTPATIENT IMAGING CTR | 0.60000 | 0.00000 | 0.40000 |
| 4 INSTITUTE OF ATHLETIC MEDICINE | |||
| CLINIC | 0.37000 | 0.00000 | 0.00000 |
| 5 MONTICELLO CANCER CENTER | |||
| OPTNT CANCER CENTER | 0.40000 | 0.00000 | 0.00000 |
| 6 NORTH RADIATION ONCOLOGY | |||
| OPTNT RADIATION ONC CLNC | 0.50000 | 0.00000 | 0.50000 |
| 7 MINNETONKA AMBULATORY SURGERY CENTER | |||
| OUTPATIENT SURGERY CENTER | 0.79000 | 0.00000 | 0.21000 |
| 8 FAIRVIEW HOME INFUSION | |||
| OPTNT INFUSION CLINIC | 0.49000 | 0.00000 | 0.00000 |
| 9 BLAINE AMBULATORY SURGERY CENTER | |||
| OUTPATIENT SURGERY CENTER | 0.10000 | 0.00000 | 0.37000 |
| 10 CDI ROSEVILLE | |||
| OUTPATIENT IMAGING CENTER | 0.25000 | 0.00000 | 0.00000 |
| 11 MONTICELLO SURGERY CENTER | |||
| OPTNT SURGERY CENTER | 0.21500 | 0.00000 | 0.14000 |
| 12 MULTICARE SLEEP CENTER LLC | |||
| OPTNT SLEEP CENTER | 0.50000 | 0.00000 | 0.00000 |
| 13 VHA UPPER MIDWEST | |||
| HLTHCARE GRP PURCHASING ORG CO-OP | 0.10000 | 0.00000 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH MEMORIAL HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 OAKDALE AVENUE NORTH | AddressLine1Txt |
| City | ROBBINSDALE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55422 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.NORTHMEMORIAL.COM | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH MEMORIAL HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.NORTHMEMORIAL.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.NORTHMEMORIAL.COM | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 275.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.NORTHMEMORIAL.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.NORTHMEMORIAL.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.NORTHMEMORIAL.COM | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| None Made | Yes (X) | NoneMadeInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| NORTH MEMORIAL HEALTH | PART V, SECTION B, LINE 5: NORTH MEMORIAL HEALTH HAS A COMMUNITY STEERING COMMITTEE WHICH IS COMPOSED OF COMMUNITY MEMBERS WHICH SUPERVISED THE ASSESSMENT PROCESS AND VOTED ON THE TOP HEALTH PRIORITIES. THE MEMBERS REPRESENT A VARIETY OF COMMUNITY ORGANIZATIONS. BOTH OF THESE COMMITTEES HAVE REPRESENTATIVES FROM PUBLIC HEALTH WHOSE MAIN FOCUS IS TO REPRESENT THE COMMUNITY'S INTERESTS RELATED TO HEALTH TOPICS. |
| NORTH MEMORIAL HEALTH | PART V, SECTION B, LINE 11: 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MINNESOTA DIAGNOSTIC IMAGING PARTNERS | ||||
| 2955 XENIUM LANE SUITE 40 | PLYMOUTH | MN | 55441 | OUTPATIENT RADIOLOGY |
| 2 - BLAINE URGENCY CENTER | ||||
| 480 OSBORNE RD NE | FRIDLEY | MN | 55432 | URGENT CARE |
| 3 - NM AMBUL SURGERY CENTER MAPLE GROVE | ||||
| 9875 HOSPITAL DRIVE | MAPLE GROVE | MN | 55369 | OUTPATIENT SURGERY |
| 4 - NORTH RADIATION THERAPY CENTER | ||||
| 6950 FRANCE AVE S SUITE 200 | EDINA | MN | 55435 | OUTPATIENT RADIOLOGY |
| 5 - MINNETONKA AMBULATORY SURGERY CENTER | ||||
| 15450 HIGHWAY 7 SUITE 200 | MINNETONKA | MN | 55345 | OUTPATIENT SURGERY |
| 6 - CRYSTAL IMAGING CENTER | ||||
| 5700 BOTTINEAU BLVD | CRYSTAL | MN | 55429 | OUTPATIENT RADIOLOGY |
| 7 - MULTICARE SLEEP CENTER LLC | ||||
| 10600 OLD COUNTY ROAD 15 | PLYMOUTH | MN | 55441 | OUTPATIENT SLEEP CENTER |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 2: | AMOUNT REPRESENTS THE HOSPITAL'S BAD DEBT PROVISION REDUCED BY THE HOSPITAL'S COST TO CHARGE RATIO WHICH REPRESENTS THE BEST ESTIMATE OF COST FOR THE BAD DEBT PROVISION. |
| PART III, LINE 4: | NORTH MEMORIAL HEALTH'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DESCRIPTION ABOUT BAD DEBT EXPENSE. THE COST TO CHARGE RATIO WAS USED TO DETERMINE THE AMOUNT ON PART III, SECTION A, LINE 2. WE DO NOT HAVE THE INFORMATION NECESSARY TO DETERMINE WHICH PORTION OF THE AMOUNT REPORTED ON LINE 2 IS COMMUNITY BENEFIT. |
| PART III, LINE 8: | THE SHORTFALL REPORTED REPRESENTS THE AMOUNT MEDICARE REIMBURSEMENT IS LESS THAN THE ESTIMATED COST OF PROVIDING SERVICES TO THOSE PATIENTS. THE METHOD USED TO ESTIMATE THOSE COSTS IS THE COST TO CHARGE RATIO APPROACH WHICH CALCULATES THE RATIO OF TOTAL HOSPITAL COSTS / TOTAL HOSPITAL GROSS REVENUE AND THEN APPLIES THAT RATIO TO TOTAL MEDICARE GROSS REVENUE. |
| PART III, LINE 9B: | NORTH MEMORIAL HEALTH HAS POLICIES AND PROCEDURES IN PLACE FOR COLLECTION PRACTICES THAT INCLUDE IDENTIFICATION AND SCREENING FOR CHARITY CARE AND FINANCIAL ASSISTANCE. THE POLICIES ARE AVAILABLE ON THE ORGANIZATION'S INTRANET AND PERTAIN TO ALL ENTITIES UNDER THE NORTH MEMORIAL CORPORATE UMBRELLA. |
| PART VI, LINE 2: | NORTH MEMORIAL HEALTH WORKS CLOSELY WITH THE COMMUNITY HEALTH STEERING COMMITTEE MEMBERS TO DETERMINE AREAS OF NEED AND COMMUNITY HEALTH CONCERNS. OUR COMMUNITY HEALTH OUTREACH MANAGER IS A MEMBER OF THE HENNEPIN COUNTY COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP STEERING COMMITTEE WHICH ALLOWS NORTH MEMORIAL MEDICAL CENTER TO BE INVOLVED IN KEY COMMUNITY HEALTH ISSUES. A NEW COMMUNITY HEALTH NEEDS ASSESSMENT HAS BEEN COMPLETED IN 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORTICO HEALTHNET | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 UNIVERSITY AVENUE WEST SUITE | AddressLine1Txt |
| Address Line2 | 211 | AddressLine2Txt |
| City | SAINT PAUL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 411814659 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $50,000 | CashGrantAmt |
| Purpose Of Grant | OUTREACH AND ENROLLMENT WORK FOR UNDERSERVED DEMOGRAPHICS | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANT RECIPIENTS PROVIDE A YEAR END REPORT AS TO THE AMOUNT EXPENDED AND THE NUMBER OF CLIENTS ASSISTED AND THE DEMOGRAPHICS OF THOSE SERVED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| J KEVIN CROSTON MD | ||||||||||||||
| CEO NORTH MEMORIAL | $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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION PAYS FOR THE MONTHLY SOCIAL DUES FOR ONE OF THE EXECUTIVE MEMBERS AT THE GOLDEN VALLEY COUNTRY CLUB. THE DUES FOR 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 3 | THE 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 4A | A 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 6 | NORTH 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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CITY OF MAPLE GROVE | ||||||||
| A | 410873250 | 56516TAY1 | 2015-08-26 | $44,915,000 | REFUND SERIES 2005 BONDS | 0 | Yes (1) | 0 |
| CITY OF ROBBINSDALE | ||||||||
| B | 416005496 | 2017-12-05 | $38,870,000 | REFUND SERIES 2011 BONDS | 0 | Yes (1) | 0 | |
| CITY OF ROBBINSDALE | ||||||||
| C | 416005496 | 2017-12-05 | $10,830,000 | REFUND SERIES 2011 BONDS | 0 | Yes (1) | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $3,260,000 | $48,679,699 | $48,135,634 | $544,065 | 2015 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $4,230,000 | $38,870,000 | $337,596 | 2017 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| C | $1,075,000 | $10,830,000 | 2017 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORNER HOME MEDICAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | BOARD MEMBER IS MAJORITY OWNER | RelationshipDescriptionTxt |
| Transaction | $494,074 | TransactionAmt |
| Transaction | MICHAEL STEINHAUSER, CHAIRMAN OF THE BOARD, IS A MAJORITY SHAREHOLDER IN CORNER HOME MEDICAL, WHICH SUPPLIES DURABLE MEDICAL EQUIPMENT TO NORTH MEMORIAL HEALTH. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S FINANCE AND AUDIT COMMITTEE REVIEWS THE FORM 990 BEFORE IT IS FILED. REPRESENTATIVES FROM THE HOSPITAL'S INDEPENDENT ACCOUNTING FIRM REVIEW THE FORM 990 WITH THE FINANCE AND AUDIT COMMITTEE IN DETAIL AND NOTES FOR THE COMMITTEE ANY CHANGES IN THE FORM 990 FROM PRIOR YEARS. AFTER THOROUGH DISCUSSION, THE FINANCE AND AUDIT COMMITTEE APPROVES THE FORM 990 AND FORWARDS IT TO THE FULL BOARD FOR ITS REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL MEMBERS OF THE BOARD OF DIRECTORS AND ALL EMPLOYEES RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY EACH YEAR. EACH BOARD MEMBER AND STAFF MEMBER FILLS OUT A CONFLICT OF INTEREST QUESTIONNAIRE IN WHICH THEY ARE ASKED TO IDENTIFY ANY RELATIONSHIP THAT WOULD CREATE A CONFLICT OF INTEREST. THE RESULTS ARE SUMMARIZED AND REVIEWED TO DETERMINE ANY ACTUAL OR POTENTIAL CONFLICT AND ARE REPORTED TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR KEY POSITIONS IS REVIEWED BY THE COMPENSATION COMMITTEE WORKING IN CONJUNCTION WITH AN OUTSIDE CONSULTANT. THE COMPENSATION COMMITTEE INSURES THAT THE SALARY AND BENEFIT ADMINISTRATION REVIEW PROCESS IS BEING FOLLOWED, WHICH INCLUDES SALARY AND BENEFIT SURVEYS AND COMPARISONS OF ALL POSITIONS. THE CEO'S COMPENSATION IS SENT TO THE FULL BOARD FOR APPROVAL. THE COMPENSATION OF ALL OTHER KEY POSITIONS IS APPROVED BY THE CEO. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE ONLINE THROUGH THE OFFICE OF THE ATTORNEY GENERAL VIA THE CHARITY REPORT FILED WITH THE STATE OF MINNESOTA. |
| FORM 990, PART IX, LINE 11G | OTHER 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| OAKDALE MEDICAL CENTER | |||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 320022819 | LEASE MEDICAL OFFICE SPACE | MN | $6,054,987 | $20,691,930 | NORTH MEMORIAL |
| NORTH CLINIC LLC | |||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | MEDICAL CARE | MN | $115,094 | $2,815,094 | NORTH MEMORIAL | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH MEMORIAL FOUNDATION | |||||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 411777966 | FUNDRAISING | MN | 501(C)(3) | 7 | NORTH MEMORIAL | 0 | |
| ASSOCIATED HEALTH ASSURANCE | |||||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 980343815 | INSURANCE | 501(C)(3) | LINE 12B, II | NORTH MEMORIAL | Yes (1) | BD | |
| MAPLE GROVE HOSPITAL CORPORATION | |||||||||||
| 9875 HOSPITAL DRIVE | MAPLE GROVE | MN | 55369 | 208316475 | ACUTE CARE | MN | 501(C)(3) | 3 | NORTH MEMORIAL | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE | ||||||||||||
| 9855 HOSPITAL DRIVE | MAPLE GROVE | MN | 55369 | 260393039 | OUTPATIENT SURGERY | MN | RELATED | $2,941,187 | $3,910,953 | 0 | Yes (1) | 0.50000 |
| MINNESOTA DIAGNOSTIC IMAGING PARTNERS LLC | ||||||||||||
| 2955 XENIUM LANE SUITE 40 | PLYMOUTH | MN | 55441 | 352162215 | RADIOLOGY | MN | RELATED | $595,663 | $1,543,014 | 0 | Yes (1) | 0.60000 |
| NORTH RADIATION THERAPY CENTER LLC | ||||||||||||
| 6950 FRANCE AVE S SUITE 200 | EDINA | MN | 55435 | 743069974 | RADIOLOGY | MN | RELATED | $954,785 | $2,420,648 | 0 | Yes (1) | 0.49990 |
| MINNETONKA AMBULATORY SURGERY CENTER | ||||||||||||
| 3300 OAKDALE AVE NORTH | ROBBINSDALE | MN | 55422 | 465653486 | OUTPATIENT SURGERY | MN | RELATED | -$3,247,162 | $1,429,535 | 0 | Yes (1) | 0.78650 |
| MULTICARE SLEEP CENTER LLC | ||||||||||||
| 10600 OLD COUNTY ROAD 15 | PLYMOUTH | MN | 55441 | 274833673 | OUTPATIENT SLEEP CENTER | MN | RELATED | $16,932 | $74,326 | 0 | Yes (1) | 0.50000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OAKDALE HEALTH ENTERPRISES INC | ||||||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 411546422 | AMBULANCE | MN | NORTH MEMORIAL | C | $4,112,376 | $2,972,573 | 1.00000 | Yes (1) |
| NORTH COLLABORATIVE CARE | ||||||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 461680666 | PRIMARY CARE | MN | C | 0.43840 | 0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (18 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ASSOCIATED HEALTH ASSURANCE | ||
| A | $67,805 | FMV |
| NORTH MEMORIAL AMBULATORY | ||
| B | $372,600 | FMV |
| MAPLE GROVE HOSPITAL CORP | ||
| C | $26,100,000 | FMV |
| MN DIAGNOSTIC IMAGING | ||
| C | $450,000 | FMV |
| NORTH MEMORIAL FOUNDATION | ||
| C | $15,000 | FMV |
| MAPLE GROVE HOSPITAL CORP | ||
| D | $89,895,436 | FMV |
| NORTH RADIATION THERAPY CENTER LLC | ||
| D | $1,583,335 | FMV |
| MN DIAGNOSTIC IMAGING | ||
| F | $570,000 | FMV |
| MAPLE GROVE HOSPITAL CORP | ||
| J | $14,771,272 | FMV |
| NORTH RADIATION OPC | ||
| J | $227,576 | FMV |
| ASSOCIATED HEALTH ASSURANCE LLC | ||
| M | $4,329,123 | FMV |
| NORTH MEMORIAL AMBULATORY | ||
| F | $3,039,499 | FMV |
| NORTH RADIATION THERAPY | ||
| F | $930,000 | FMV |
| MAPLE GROVE HOSPITAL CORP | ||
| L | $19,733,631 | FMV |
| BLAINE URGENCY CENTER | ||
| F | $252,168 | FMV |
| OAKDALE MEDICAL CENTER | ||
| J | $2,893,709 | FMV |
| OAKDALE MEDICAL CENTER | ||
| Q | $404,823 | FMV |
| MULTICARE SLEEP CENTER | ||
| F | $30,500 | FMV |
Comments