2019-11-15T08:28:59-06:00 2018-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2018-01-01 410729979 NORTH MEMORIAL HEALTH CARE DBA NORTH MEMORIAL HEALTH NORT 7635205200 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 AARON BLOOMQUIST CHIEF FINANCIAL OFFICER 7635205200 2019-11-14 1 LAWRENCE H MOHR CPA P00447603 6128764500 38.88.188.75 2019-11-14 10:36:18 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 42991B41A32A13F77B110C5B470B2D73D8292482 2018 2020-03-31 21:24:44Z J KEVIN CROSTON MD 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 981741714 0 X WWW.NORTHMEMORIAL.COM X 1954 MN EMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. 16 13 6119 750 3388358 0 467205 445388 807982725 841234034 12213921 18343817 305328 872326 820969179 860895565 0 50000 0 0 484648686 496117349 0 0 0 334375178 351131564 819023864 847298913 1945315 13596652 594672699 566156236 220465716 208891600 374206983 357264636 X EMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. 0 0 734549406 50000 736969205 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. 734549406 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 580 0 6119 1 1 1 1 BD 0 0 0 0 0 0 0 0 0 0 X 16 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MN X AARON BLOOMQUIST 7635205200 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 MICHAEL STEINHAUSER CHAIRMAN OF BOARD 2.00 0.00 X X 10000 0 0 TED FERRARA VICE CHAIRMAN OF BOARD 2.00 0.00 X X 10000 0 0 TIMOTHY BAYLOR BOARD MEMBER 2.00 0.00 X 10000 0 0 BRUCE CHRISTENSEN BOARD MEMBER 2.00 0.00 X 10000 0 0 SCOTT COLSON MD BOARD MEMBER 2.00 0.00 X 10000 0 0 ROBERT DAHL BOARD MEMBER 2.00 0.00 X 10000 0 0 DIANE HUSTON BOARD MEMBER 2.00 0.00 X 10000 0 0 LAURIE LAFONTAINE BOARD MEMBER 2.00 0.00 X 10000 0 0 WARREN MACK BOARD MEMBER 2.00 0.00 X 10000 0 0 BETTY PAKZAD MD BOARD MEMBER 2.00 0.00 X 10000 0 0 HEIDI WILSON BOARD MEMBER 2.00 0.00 X 10000 0 0 JEFF SMITH BOARD MEMBER 2.00 0.00 X 10000 0 0 ROBERT PRENTISS JR BOARD MEMBER 2.00 0.00 X 10000 0 0 TODD GENGERKE MD CHIEF OF STAFF 50.00 0.00 X 7500 0 0 DEEPAK KADEMANI MD VICE CHIEF OF STAFF 2.00 0.00 X 7500 0 0 J KEVIN CROSTON MD CEO NORTH MEMORIAL 42.00 11.00 X X 1020962 0 46962 AARON BLOOMQUIST VP FINANCE, CFO 42.00 10.00 X 462955 0 37186 KELSEY BRODSHO CHIEF COMPLIANCE OFFICER 50.00 10.00 X 230434 0 26870 JENNIFER CLOSE PRESIDENT & CHIEF AMBULATORY OFFICER 50.00 2.00 X 423118 0 36254 DAVID ALBRIGHT VP, FINANCE PLANNING AND ACCOUNTING 50.00 0.00 X 182335 0 14353 ANDREW COCHRANE CEO, MAPLE GROVE HOSPITAL 1.00 50.00 X 462756 0 45392 PATRICK COYNE VP, AMBULANCE SERVICES 50.00 0.00 X 305123 0 41955 SAMANTHA HANSON CHIEF ADMINISTRATIVE OFFICER 50.00 2.00 X 495928 0 37546 STEVEN HORSTMANN VP, OPERATIONS 50.00 0.00 X 258658 0 17639 ANDREW HOULTON CHIEF MEDICAL OFFICER 50.00 0.00 X 335268 0 30712 RYAN JOHNSON VP, TREASURY & BUSN DEVELOPMENT 50.00 0.00 X 277945 0 38848 STERLING MCHORNEY VP, OPERATIONS CLINIC SERVICES 50.00 0.00 X 316545 0 8355 KENT SPAULDING VP, CHIEF DEVELOPMENT OFFICER 50.00 0.00 X 259354 0 39640 PATRICK TAFFE VP, INFORMATION SYSTEMS & CIO 50.00 0.00 X 358651 0 38968 KARL THOMAS CHIEF INNOVATION OFFICER 42.00 10.00 X 305846 0 40477 KELLY WHITE VP, PATIENT CARE & CNO 50.00 0.00 X 336870 0 27766 JEFFREY WICKLANDER PRESIDENT, NORTH MEMORIAL MC 50.00 0.00 X 507845 0 46424 PAMELA DOORENBOS VP, MEDICAL AFFAIRS 50.00 0.00 X 346283 0 25501 TRUDY MARSHALL VP, MARKETING, COMM. & OUTREACH 50.00 0.00 X 274945 0 29979 JENNIFER TESSMER-TUCK VP, MEDICAL AFFAIRS 50.00 0.00 X 408706 0 26243 WENDY ULFERTS VP, PATIENT CARE/CNO 50.00 0.00 X 251213 0 31019 CAROLYN OGLAND VUKICH CHIEF MEDICAL OFFICER, AMBULATORY SVCS 50.00 0.00 X 212961 0 9939 OSAMA IBRAHIM CARDIOLOGIST 50.00 0.00 X 846734 0 37466 ROBERT KING CARDIAC SURGEON 50.00 0.00 X 912621 0 44582 STEVEN ROH CARDIOLOGIST 50.00 0.00 X 838629 0 32205 JOSEPH VAN CAMP CARDIAC SURGEON 50.00 0.00 X 905660 0 48480 ALOK MAHESHWARI CARDIAC SURGEON 50.00 0.00 X 827071 0 47169 CHRISTOPHER YEAMEN VP, FIN. PLANNING AND ACCT - FORMER 50.00 0.00 X 210236 0 0 12720652 0 907930 840 1 1 0 NORTH CLINIC 9201 WEST BROADWAY STE 501 BROOKLYN PARK MN 55455 PHYSICIAN SERVICES 13045761 MINNEAPOLIS RADIOLOGY ASSOCIATION 9855 HOSPITAL DRIVE MAPLE GROVE MN 55369 PHYSICIAN SERVICES 10790591 RESPIRATORY CONSULTANTS PA 3366 OAKDALE AVENUE NORTH 401 ROBBINSDALE MN 55422 INTENSIVISTS STAFFING 4114957 BRANDFIRE LLC 555 8TH AVENUE STE 1802 NEW YORK NY 10018 MEDIA ADVERTISING 2513262 DJ KRANZ COMPANY INCORPORATED 725 HIGHWAY 169 NORTH PLYMOUTH MN 554416403 CONSTRUCTION 2148908 87 15000 430388 445388 HOSPITAL PATIENT REVEN 621500 739485237 736096879 3388358 CONTRACT REVENUE 900099 41767866 41767866 EHR/MEDICARE & OTHER 900099 7479501 7479501 PHARMACY 900099 7141051 7141051 JOINT VENTURE REVENUE 900099 6003660 6003660 39356719 39356719 841234034 178846 178846 1972 1972 13270204 12397878 872326 872326 872326 126611270 108448271 18162999 18162999 18162999 860895565 736969205 3388358 120092614 X 50000 50000 8293863 8293863 387850282 340554469 47295813 26495970 23112658 3383312 47864263 41907647 5956616 25612971 22078381 3534590 1796008 1548159 247849 362227 312240 49987 120000 120000 642440 642440 91771456 79106995 12664461 4418622 3808852 609770 7415631 6392274 1023357 16094405 13873377 2221028 28416350 24494894 3921456 2999376 2585462 413914 29937651 25806255 4131396 5341536 4604404 737132 SUPPLIES 102316625 88196931 14119694 BAD DEBT EXPENSE 21093673 21093673 MAINTENANCE & REPAIR 16035026 13822192 2212834 GOVERNMENT TAXES 13942314 13942314 8428224 7258229 1169995 847298913 734549406 112749507 0 13714 13578 1710392 826498 4324 0 101852588 95019676 8850000 6539018 8500307 7906501 8700396 12342786 662257764 464574683 208744420 197683081 246543765 230151850 52183101 56712610 1971304 1909697 -44401612 -42949059 594672699 566156236 83887514 72761563 494011 520002 117268722 113436326 18815469 22173709 220465716 208891600 X 374206983 357264636 374206983 357264636 594672699 566156236 13596652 -29429764 -1109235 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 120000 1 0 1 2000 122000 0 PART II-B, LINE 1: CONTACTS AND VISITS WERE MADE WITH STATE LEVEL LEGISLATORS TO PROMOTE HEALTH CARE RELATED ISSUES. LINE 1I INCLUDES THE NON-DEDUCTIBLE PORTION OF MHA DUES. 3344063 82062 -75671 414300 16500 2919654 3029196 370959 56092 3344063 2203143 155228 707969 37144 3029196 3591423 17322 1405602 2203143 3446092 76703 118858 50230 3591423 0.00000 0.72210 0.27790 0 1 1 13669541 13669541 260489517 164314855 96174662 16678397 13460888 3217509 360783838 278995054 81788784 10636471 7803886 2832585 197683081 RREEF AMERICA REIT II 23834260 F MELLON AGGREGATE BOND INDEX FUND 28861826 F CASH ON DEPOSIT WITH BOND TRUSTEE 778581 F AGENCY ACCOUNT 53193 F CASUALTY INSURANCE SECURITY 3184750 F 56712610 EXECUTIVE PENSION PLAN 3678323 DEFINED BENEFIT PENSION PLAN 12605111 POST RETIREMENT HEALTH INSURANCE 1496198 CAA DEPOSIT RESERVE 278248 SETTLEMENTS AND CLAIMS PAYABLE 3289552 MULTICARE NOTES PAYABLE 600000 FOOD SERVICE AGREEMENT 226277 22173709 X PART V, LINE 4: ALL ENDOWMENT FUNDS ARE HELD BY A RELATED ENTITY: NORTH MEMORIAL FOUNDATION. 1) RALPH ROSSEN ENDOWMENT: THIS ENDOWMENT WAS ESTABLISHED IN 1986 TO PROVIDE RECOGNITION TO NURSING STAFF THAT PROVIDE REMARKABLE SERVICE TO NORTH MEMORIAL PATIENTS AND THEIR FAMILIES. MEMBERS OF THE ROSSEN FAMILY SERVE ON A COMMITTEE ALONG WITH THE VP AND CHIEF NURSING OFFICER OF NORTH MEMORIAL TO SELECT THE RECIPIENTS. 2) HAROLD B. KAISER HONORARY LECTURESHIP ENDOWMENT: DR. KAISER IS THE FOUNDER OF ALLERGY & ASTHMA SPECIALISTS, P.A. ESTABLISHED IN 1966. THE HAROLD B KAISER HONORARY LECTURESHIP ENDOWMENT PROVIDES FUNDING FOR A KEYNOTE SPEAKER FOR THE ANNUAL ALLERGY & ASTHMA CONFERENCE HELD IN THE MINNEAPOLIS AREA IN MARCH. 3) HAROLD ECKER ENDOWMENT: ESTABLISHED IN 1994 IN HONOR OF THE EXCELLENT CARE THAT MR. ECKER RECEIVED AS A PATIENT AT NORTH MEMORIAL, THE HAROLD ECKER ENDOWMENT PROVIDES A $500 AWARD TO THREE NORTH MEMORIAL EMPLOYEES RECOGNIZING THEIR OUTSTANDING PERFORMANCE AND PERSONAL ATTITUDE. THE AWARD IS OPEN TO ALL EMPLOYEES AND THE WINNERS ARE SELECTED BY A COMMITTEE OF NORTH MEMORIAL EMPLOYEES AND PRESENTED AT THE ANNUAL QUALITY AWARDS LUNCHEON IN NOVEMBER EACH YEAR. 4) RESIDENTIAL HOSPICE ENDOWMENT: THE RESIDENTIAL HOSPICE ENDOWMENT WAS ESTABLISHED BY DR. JOHN AND PATTY MANION TO PROVIDE ASSISTANCE TO THE RESIDENTIAL HOSPICE PROGRAM AT NORTH MEMORIAL. FUNDS ARE USED TO UPGRADE THE FACILITIES AND EQUIPMENT AT THE NORTH RESIDENTIAL HOSPICE FACILITY IN BROOKLYN CENTER, PROVIDE ADDITIONAL PROGRAM SUPPORT, STAFF TRAINING AND TO ASSIST THOSE FAMILIES THAT CANNOT AFFORD THIS SERVICE. THE RESIDENTIAL HOSPICE FACILITY WAS SOLD IN 2017 AND WE ARE CURRENTLY WORKING THROUGH THE PROCESS TO REPURPOSE THE ENDOWMENT FUNDS. NO FUNDS WILL BE USED UNTIL THE PROCESS IS COMPLETE. 5) HELEN MURRAY MEMORIAL ENDOWMENT THIS ENDOWMENT WAS ESTABLISHED WITH AN IRREVOCABLE CHARITABLE REMAINDER TRUST BY JEANNE MITHUN TO RECOGNIZE THE OUTSTANDING SERVICE THAT NORTH RESIDENTIAL HOSPICE PROVIDED TO HER MOTHER (HELEN MURRAY) AND HER FAMILY. FUNDS ARE USED TO PROVDE CARE TO INDIVIDUALS UNABLE TO PAY FOR SERVICES AT THE FACILITY. 6) MEDICAL STAFF ENDOWMENT THIS ENDOWMENT WAS ESTABLISHED IN 2010 BY THE NORTH MEMORIAL MEDICAL STAFF EXECUTIVE COMMITTEE. PROCEEDS FROM THE ENDOWMENT WILL FUND NORTH MEMORIAL PROGRAMS SUCH AS JUNIOR VOLUNTEER SCHOLARSHIP, SAFEJOURNEY, PASTORAL CARE, ETC. 7) MAPLE GROVE MEDICAL STAFF ENDOWMENT WAS ESTABLISHED IN 2013 BY THE MAPLE GROVE MEDICAL STAFF EXECUTIVE COMMITTEE. PROCEEDS FROM THE ENDOWMENT WILL FUND MAPLE GROVE PROGRAMS. PART X, LINE 2: NORTH MEMORIAL EVALUATES ITS UNCERTAIN POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2018 OR 2017. 1 1 X 1 X 1 X 1 1 1 0 0 11883907 11883907 0.01400 106947890 72105137 34842753 0.04110 118831797 72105137 46726660 0.05510 4686526 62400 4624126 0.00550 7906387 2518123 5388264 0.00640 32628502 24658544 7969958 0.00940 86015 86015 0.00010 427461 427461 0.00050 45734891 27239067 18495824 0.02190 164566688 99344204 65222484 0.07700 1 7848480 217417405 280586883 -63169478 X 1 1 1 MAPLE GROVE HOSPITAL HOSPITAL 0.75000 0.00000 0.00000 2 NM AMBULATORY SURGERY CENTER MAPLE GROVE OUTPATIENT SURG CTR 0.50000 0.00000 0.50000 3 MN DIAGNOSTIC IMAGING PARTNERS OUTPATIENT IMAGING CTR 0.60000 0.00000 0.40000 4 INSTITUTE OF ATHLETIC MEDICINE CLINIC 0.37000 0.00000 0.00000 5 MONTICELLO CANCER CENTER OPTNT CANCER CENTER 0.40000 0.00000 0.00000 6 NORTH RADIATION ONCOLOGY OPTNT RADIATION ONC CLNC 0.50000 0.00000 0.50000 7 MINNETONKA AMBULATORY SURGERY CENTER OUTPATIENT SURGERY CENTER 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 1 1 NORTH MEMORIAL HEALTH 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 WWW.NORTHMEMORIAL.COM X X X X NORTH MEMORIAL HEALTH 1 0 0 1 X X X X X X X X X 16 1 0 0 1 X WWW.NORTHMEMORIAL.COM X 1 16 1 WWW.NORTHMEMORIAL.COM 0 1 X 200.000000000000 275.000000000000 X X X X X 1 1 X X X 1 X WWW.NORTHMEMORIAL.COM X WWW.NORTHMEMORIAL.COM X WWW.NORTHMEMORIAL.COM X X X X X 1 X 0 X 1 X 0 0 NORTH MEMORIAL HEALTH PART V, SECTION B, LINE 5: NORTH MEMORIAL HEALTH HAS A COMMUNITY STEERING COMMITTEE WHICH IS COMPOSED OF COMMUNITY MEMBERS WHICH SUPERVISED THE ASSESSMENT PROCESS AND VOTED ON THE TOP HEALTH PRIORITIES. THE MEMBERS REPRESENT A VARIETY OF COMMUNITY ORGANIZATIONS. BOTH OF THESE COMMITTEES HAVE REPRESENTATIVES FROM PUBLIC HEALTH WHOSE MAIN FOCUS IS TO REPRESENT THE COMMUNITY'S INTERESTS RELATED TO HEALTH TOPICS. NORTH MEMORIAL HEALTH PART V, SECTION B, LINE 11: 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. 7 1 - MINNESOTA DIAGNOSTIC IMAGING PARTNERS 2955 XENIUM LANE SUITE 40 PLYMOUTH MN 55441 OUTPATIENT RADIOLOGY 2 - BLAINE URGENCY CENTER 480 OSBORNE RD NE FRIDLEY MN 55432 URGENT CARE 3 - NM AMBUL SURGERY CENTER MAPLE GROVE 9875 HOSPITAL DRIVE MAPLE GROVE MN 55369 OUTPATIENT SURGERY 4 - NORTH RADIATION THERAPY CENTER 6950 FRANCE AVE S SUITE 200 EDINA MN 55435 OUTPATIENT RADIOLOGY 5 - MINNETONKA AMBULATORY SURGERY CENTER 15450 HIGHWAY 7 SUITE 200 MINNETONKA MN 55345 OUTPATIENT SURGERY 6 - CRYSTAL IMAGING CENTER 5700 BOTTINEAU BLVD CRYSTAL MN 55429 OUTPATIENT RADIOLOGY 7 - MULTICARE SLEEP CENTER LLC 10600 OLD COUNTY ROAD 15 PLYMOUTH MN 55441 OUTPATIENT SLEEP CENTER PART III, LINE 2: AMOUNT REPRESENTS THE HOSPITAL'S BAD DEBT PROVISION REDUCED BY THE HOSPITAL'S COST TO CHARGE RATIO WHICH REPRESENTS THE BEST ESTIMATE OF COST FOR THE BAD DEBT PROVISION. PART III, LINE 4: NORTH MEMORIAL HEALTH'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DESCRIPTION ABOUT BAD DEBT EXPENSE. THE COST TO CHARGE RATIO WAS USED TO DETERMINE THE AMOUNT ON PART III, SECTION A, LINE 2. WE DO NOT HAVE THE INFORMATION NECESSARY TO DETERMINE WHICH PORTION OF THE AMOUNT REPORTED ON LINE 2 IS COMMUNITY BENEFIT. PART III, LINE 8: THE SHORTFALL REPORTED REPRESENTS THE AMOUNT MEDICARE REIMBURSEMENT IS LESS THAN THE ESTIMATED COST OF PROVIDING SERVICES TO THOSE PATIENTS. THE METHOD USED TO ESTIMATE THOSE COSTS IS THE COST TO CHARGE RATIO APPROACH WHICH CALCULATES THE RATIO OF TOTAL HOSPITAL COSTS / TOTAL HOSPITAL GROSS REVENUE AND THEN APPLIES THAT RATIO TO TOTAL MEDICARE GROSS REVENUE. PART III, LINE 9B: NORTH MEMORIAL HEALTH HAS POLICIES AND PROCEDURES IN PLACE FOR COLLECTION PRACTICES THAT INCLUDE IDENTIFICATION AND SCREENING FOR CHARITY CARE AND FINANCIAL ASSISTANCE. THE POLICIES ARE AVAILABLE ON THE ORGANIZATION'S INTRANET AND PERTAIN TO ALL ENTITIES UNDER THE NORTH MEMORIAL CORPORATE UMBRELLA. PART VI, LINE 2: NORTH MEMORIAL HEALTH WORKS CLOSELY WITH THE COMMUNITY HEALTH STEERING COMMITTEE MEMBERS TO DETERMINE AREAS OF NEED AND COMMUNITY HEALTH CONCERNS. OUR COMMUNITY HEALTH OUTREACH MANAGER IS A MEMBER OF THE HENNEPIN COUNTY COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP STEERING COMMITTEE WHICH ALLOWS NORTH MEMORIAL MEDICAL CENTER TO BE INVOLVED IN KEY COMMUNITY HEALTH ISSUES. A NEW COMMUNITY HEALTH NEEDS ASSESSMENT HAS BEEN COMPLETED IN 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. 1 PORTICO HEALTHNET 1600 UNIVERSITY AVENUE WEST SUITE 211 SAINT PAUL MN 55104 411814659 501(C)(3) 50000 OUTREACH AND ENROLLMENT WORK FOR UNDERSERVED DEMOGRAPHICS 1 PART I, LINE 2: GRANT RECIPIENTS PROVIDE A YEAR END REPORT AS TO THE AMOUNT EXPENDED AND THE NUMBER OF CLIENTS ASSISTED AND THE DEMOGRAPHICS OF THOSE SERVED. X 1 1 X X X X 1 0 0 0 0 1 0 0 0 J KEVIN CROSTON MD CEO NORTH MEMORIAL 809165 0 202500 0 9297 0 19250 0 27712 0 1067924 0 0 0 AARON BLOOMQUIST VP FINANCE, CFO 399657 0 60000 0 3298 0 19250 0 17936 0 500141 0 0 0 KELSEY BRODSHO CHIEF COMPLIANCE OFFICER 199798 0 30000 0 636 0 15630 0 11240 0 257304 0 0 0 JENNIFER CLOSE PRESIDENT & CHIEF AMBULATORY OFFICER 420000 0 0 0 3118 0 19250 0 17004 0 459372 0 0 0 DAVID ALBRIGHT VP, FINANCE PLANNING AND ACCOUNTING 156923 0 24000 0 1412 0 6498 0 7855 0 196688 0 0 0 ANDREW COCHRANE CEO, MAPLE GROVE HOSPITAL 399039 0 60000 0 3717 0 19250 0 26142 0 508148 0 0 0 PATRICK COYNE VP, AMBULANCE SERVICES 259611 0 39000 0 6512 0 19250 0 22705 0 347078 0 0 0 SAMANTHA HANSON CHIEF ADMINISTRATIVE OFFICER 420000 0 73500 0 2428 0 11969 0 25577 0 533474 0 0 0 STEVEN HORSTMANN VP, OPERATIONS 215000 0 43000 0 658 0 12048 0 5591 0 276297 0 0 0 ANDREW HOULTON CHIEF MEDICAL OFFICER 266563 0 63000 0 5705 0 19250 0 11462 0 365980 0 0 0 RYAN JOHNSON VP, TREASURY & BUSN DEVELOPMENT 240880 0 32191 0 4874 0 19115 0 19733 0 316793 0 0 0 STERLING MCHORNEY VP, OPERATIONS CLINIC SERVICES 171923 0 15000 0 129622 0 0 0 8355 0 324900 0 0 0 KENT SPAULDING VP, CHIEF DEVELOPMENT OFFICER 224519 0 33750 0 1085 0 18079 0 21561 0 298994 0 0 0 PATRICK TAFFE VP, INFORMATION SYSTEMS & CIO 300000 0 45000 0 13651 0 19250 0 19718 0 397619 0 0 0 KARL THOMAS CHIEF INNOVATION OFFICER 264712 0 39750 0 1384 0 17982 0 22495 0 346323 0 0 0 KELLY WHITE VP, PATIENT CARE & CNO 297005 0 39000 0 865 0 19250 0 8516 0 364636 0 0 0 JEFFREY WICKLANDER PRESIDENT, NORTH MEMORIAL MC 439621 0 66000 0 2224 0 19250 0 27174 0 554269 0 0 0 PAMELA DOORENBOS VP, MEDICAL AFFAIRS 300768 0 45115 0 400 0 16500 0 9001 0 371784 0 0 0 TRUDY MARSHALL VP, MARKETING, COMM. & OUTREACH 198005 0 69762 0 7178 0 18744 0 11235 0 304924 0 0 0 JENNIFER TESSMER-TUCK VP, MEDICAL AFFAIRS 362853 0 44071 0 1782 0 19250 0 6993 0 434949 0 0 0 WENDY ULFERTS VP, PATIENT CARE/CNO 219310 0 31503 0 400 0 12868 0 18151 0 282232 0 0 0 CAROLYN OGLAND VUKICH CHIEF MEDICAL OFFICER, AMBULATORY SV 169904 0 25000 0 18057 0 4292 0 5647 0 222900 0 0 0 OSAMA IBRAHIM CARDIOLOGIST 775818 0 68541 0 2375 0 19250 0 18216 0 884200 0 0 0 ROBERT KING CARDIAC SURGEON 864071 0 30000 0 18550 0 19250 0 25332 0 957203 0 0 0 STEVEN ROH CARDIOLOGIST 801769 0 32341 0 4519 0 19250 0 12955 0 870834 0 0 0 JOSEPH VAN CAMP CARDIAC SURGEON 868859 0 30000 0 6801 0 19250 0 29230 0 954140 0 0 0 ALOK MAHESHWARI CARDIAC SURGEON 794096 0 28341 0 4634 0 19250 0 27919 0 874240 0 0 0 CHRISTOPHER YEAMEN VP, FIN. PLANNING AND ACCT - FORMER 0 0 0 0 210236 0 0 0 0 0 210236 0 0 0 PART I, LINE 1A THE ORGANIZATION PAYS FOR THE MONTHLY SOCIAL DUES FOR ONE OF THE EXECUTIVE MEMBERS AT THE GOLDEN VALLEY COUNTRY CLUB. THE DUES FOR 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. A CITY OF MAPLE GROVE 410873250 56516TAY1 2015-08-26 44915000 REFUND SERIES 2005 BONDS 0 1 0 B CITY OF ROBBINSDALE 416005496 2017-12-05 38870000 REFUND SERIES 2011 BONDS 0 1 0 C CITY OF ROBBINSDALE 416005496 2017-12-05 10830000 REFUND SERIES 2011 BONDS 0 1 0 A 3260000 48679699 48135634 544065 2015 1 0 1 1 B 4230000 38870000 337596 2017 1 0 1 1 C 1075000 10830000 2017 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 CORNER HOME MEDICAL BOARD MEMBER IS MAJORITY OWNER 494074 MICHAEL STEINHAUSER, CHAIRMAN OF THE BOARD, IS A MAJORITY SHAREHOLDER IN CORNER HOME MEDICAL, WHICH SUPPLIES DURABLE MEDICAL EQUIPMENT TO NORTH MEMORIAL HEALTH. 0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FINANCE AND AUDIT COMMITTEE REVIEWS THE FORM 990 BEFORE IT IS FILED. REPRESENTATIVES FROM THE HOSPITAL'S INDEPENDENT ACCOUNTING FIRM REVIEW THE FORM 990 WITH THE FINANCE AND AUDIT COMMITTEE IN DETAIL AND NOTES FOR THE COMMITTEE ANY CHANGES IN THE FORM 990 FROM PRIOR YEARS. AFTER THOROUGH DISCUSSION, THE FINANCE AND AUDIT COMMITTEE APPROVES THE FORM 990 AND FORWARDS IT TO THE FULL BOARD FOR ITS REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF DIRECTORS AND ALL EMPLOYEES RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY EACH YEAR. EACH BOARD MEMBER AND STAFF MEMBER FILLS OUT A CONFLICT OF INTEREST QUESTIONNAIRE IN WHICH THEY ARE ASKED TO IDENTIFY ANY RELATIONSHIP THAT WOULD CREATE A CONFLICT OF INTEREST. THE RESULTS ARE SUMMARIZED AND REVIEWED TO DETERMINE ANY ACTUAL OR POTENTIAL CONFLICT AND ARE REPORTED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR KEY POSITIONS IS REVIEWED BY THE COMPENSATION COMMITTEE WORKING IN CONJUNCTION WITH AN OUTSIDE CONSULTANT. THE COMPENSATION COMMITTEE INSURES THAT THE SALARY AND BENEFIT ADMINISTRATION REVIEW PROCESS IS BEING FOLLOWED, WHICH INCLUDES SALARY AND BENEFIT SURVEYS AND COMPARISONS OF ALL POSITIONS. THE CEO'S COMPENSATION IS SENT TO THE FULL BOARD FOR APPROVAL. THE COMPENSATION OF ALL OTHER KEY POSITIONS IS APPROVED BY THE CEO. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE ONLINE THROUGH THE OFFICE OF THE ATTORNEY GENERAL VIA THE CHARITY REPORT FILED WITH THE STATE OF MINNESOTA. FORM 990, PART IX, LINE 11G 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. OAKDALE MEDICAL CENTER 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 320022819 LEASE MEDICAL OFFICE SPACE MN 6054987 20691930 NORTH MEMORIAL NORTH CLINIC LLC 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 MEDICAL CARE MN 115094 2815094 NORTH MEMORIAL NORTH MEMORIAL FOUNDATION 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 411777966 FUNDRAISING MN 501(C)(3) 7 NORTH MEMORIAL 0 ASSOCIATED HEALTH ASSURANCE 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 980343815 INSURANCE BD 501(C)(3) LINE 12B, II NORTH MEMORIAL 1 MAPLE GROVE HOSPITAL CORPORATION 9875 HOSPITAL DRIVE MAPLE GROVE MN 55369 208316475 ACUTE CARE MN 501(C)(3) 3 NORTH MEMORIAL 1 NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE 9855 HOSPITAL DRIVE MAPLE GROVE MN 55369 260393039 OUTPATIENT SURGERY MN RELATED 2941187 3910953 0 1 0.50000 MINNESOTA DIAGNOSTIC IMAGING PARTNERS LLC 2955 XENIUM LANE SUITE 40 PLYMOUTH MN 55441 352162215 RADIOLOGY MN RELATED 595663 1543014 0 1 0.60000 NORTH RADIATION THERAPY CENTER LLC 6950 FRANCE AVE S SUITE 200 EDINA MN 55435 743069974 RADIOLOGY MN RELATED 954785 2420648 0 1 0.49990 MINNETONKA AMBULATORY SURGERY CENTER 3300 OAKDALE AVE NORTH ROBBINSDALE MN 55422 465653486 OUTPATIENT SURGERY MN RELATED -3247162 1429535 0 1 0.78650 MULTICARE SLEEP CENTER LLC 10600 OLD COUNTY ROAD 15 PLYMOUTH MN 55441 274833673 OUTPATIENT SLEEP CENTER MN RELATED 16932 74326 0 1 0.50000 OAKDALE HEALTH ENTERPRISES INC 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 411546422 AMBULANCE MN NORTH MEMORIAL C 4112376 2972573 1.00000 1 NORTH COLLABORATIVE CARE 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 461680666 PRIMARY CARE MN C 0.43840 0 0 1 1 1 0 1 0 0 0 1 0 1 1 0 1 0 1 0 0 ASSOCIATED HEALTH ASSURANCE A 67805 FMV NORTH MEMORIAL AMBULATORY B 372600 FMV MAPLE GROVE HOSPITAL CORP C 26100000 FMV MN DIAGNOSTIC IMAGING C 450000 FMV NORTH MEMORIAL FOUNDATION C 15000 FMV MAPLE GROVE HOSPITAL CORP D 89895436 FMV NORTH RADIATION THERAPY CENTER LLC D 1583335 FMV MN DIAGNOSTIC IMAGING F 570000 FMV MAPLE GROVE HOSPITAL CORP J 14771272 FMV NORTH RADIATION OPC J 227576 FMV ASSOCIATED HEALTH ASSURANCE LLC M 4329123 FMV NORTH MEMORIAL AMBULATORY F 3039499 FMV NORTH RADIATION THERAPY F 930000 FMV MAPLE GROVE HOSPITAL CORP L 19733631 FMV BLAINE URGENCY CENTER F 252168 FMV OAKDALE MEDICAL CENTER J 2893709 FMV OAKDALE MEDICAL CENTER Q 404823 FMV MULTICARE SLEEP CENTER F 30500 FMV