NORTH MEMORIAL HEALTH CARE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: NORTH MEMORIAL HEALTH CARE (EIN 41-0729979)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-15
IRS object ID: 201703199349303430
Schema version: 2016v3.0
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 J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-15T09:07:38-06:00	ReturnTs
Tax Period End	2016-12-31	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	2016-01-01	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

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	2017-11-13	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	2017-11-13	IPDt
IP Tm	14:30:22	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	167182DFA60A41E45EAE2F4EF9C72CA9A698CA21	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	J Kevin Croston MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3300 Oakdale Avenue North	AddressLine1Txt
City	Robbinsdale	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55422	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$954,494,797	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	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	6090	TotalEmployeeCnt
Total Volunteers	520	TotalVolunteersCnt
Total Gross UBI	$12,303,142	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$72,943	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$605,846	PYContributionsGrantsAmt
CY Contributions Grants	$552,549	CYContributionsGrantsAmt
PY Program Service Revenue	$708,020,979	PYProgramServiceRevenueAmt
CY Program Service Revenue	$767,071,214	CYProgramServiceRevenueAmt
PY Investment Income	$5,546,644	PYInvestmentIncomeAmt
CY Investment Income	$17,162,675	CYInvestmentIncomeAmt
PY Other Revenue	-$804,498	PYOtherRevenueAmt
CY Other Revenue	-$36,400	CYOtherRevenueAmt
PY Total Revenue	$713,368,971	PYTotalRevenueAmt
CY Total Revenue	$784,750,038	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$432,738,440	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$466,313,976	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$283,578,372	PYOtherExpensesAmt
CY Other Expenses	$321,466,690	CYOtherExpensesAmt
PY Total Expenses	$716,316,812	PYTotalExpensesAmt
CY Total Expenses	$787,780,666	CYTotalExpensesAmt
PY Revenues Less Expenses	-$2,947,841	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$3,030,628	CYRevenuesLessExpensesAmt
Total Assets BOY	$562,852,611	TotalAssetsBOYAmt
Total Assets EOY	$569,929,063	TotalAssetsEOYAmt
Total Liabilities BOY	$223,747,920	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$226,634,641	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$339,104,691	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$343,294,422	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	$680,528,199	ExpenseAmt
Revenue	$697,951,026	RevenueAmt
Desc	NORTH MEMORIAL HEALTH CARE (NMHC) IS 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 HOSPICE SERVICES. IN ADDITION TO CHARITY AND UNCOMPENSATED CARE, NMHC ALSO PROVIDES NUMEROUS COMMUNITY BENEFITS (AT NO COST OR BELOW COST) IN FURTHERANCE OF ITS CHARITABLE PURPOSE. NORTH MEMORIAL PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY, INCLUDING OFFERING VARIOUS COMMUNITY BASED PROGRAMS, SUCH AS HEALTH SCREENINGS, SUPPORT COUNSELING FOR PARENTS AND FAMILIES, PASTORAL CARE, CRISIS INTERVENTION, TRANSPORTATION TO AND FROM THE HOSPITAL CAMPUSES, 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 HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS, UNREIMBURSED COSTS OF MEDICAL EDUCATION, TELEPHONE INFORMATION SERVICES, AND COST RELATED TO PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY. NORTH MEMORIAL ALSO PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COSTS TO RESIDENTS OF ITS COMMUNITY, PRIMARILY THROUGH (A) THE DIFFERENCE 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 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	$680,528,199	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	0	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	489	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	6090	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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 (40 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)	$900	$0	$0
Timothy Baylor
Board Member	2.00	0.00	Yes (X)		$3,600	$0	$0
Scott Colson MD
Board Member	2.00	0.00	Yes (X)		$3,600	$0	$0
Robert Dahl
Board Member	2.00	0.00	Yes (X)		$3,600	$0	$0
Warren Mack
Board Member	2.00	0.00	Yes (X)		$3,600	$0	$0
Patrick McHale
Board Member	2.00	0.00	Yes (X)		$0	$0	$0
Greg Vitas
Board Member	2.00	0.00	Yes (X)		$3,600	$0	$0
Ted Ferrara
Board Member	2.00	0.00	Yes (X)		$3,600	$0	$0
Laurie Lafontaine
Board Member	2.00	0.00	Yes (X)		$3,600	$0	$0
Jeff Smith
Board Member	2.00	0.00	Yes (X)		$3,600	$0	$0
Robert Prentiss Jr
Board Member	2.00	0.00	Yes (X)		$3,600	$0	$0
Kevin Raff MD
Board Member	2.00	0.00	Yes (X)		$3,600	$0	$0
J Kevin Croston MD
CEO North Memorial**	42.00	10.00	Yes (X)	Yes (X)	$992,503	$0	$48,711
Aaron Bloomquist
VP Finance, CFO**	42.00	10.00		Yes (X)	$348,377	$0	$23,957
Jennifer Close
President, Ambulatory Care	50.00	0.00		Yes (X)	$44,996	$0	$178
Todd Ostendorf
VP Finance, CFO** Part Year	50.00	2.00		Yes (X)	$130,819	$0	$13,238
Susan Taylor
VP, Operations, Clinic Services	42.00	10.00		Yes (X)	$231,434	$0	$33,851
Karl Thomas
Chief Innovation Officer	42.00	10.00		Yes (X)	$186,839	$0	$17,401
Annette Villamil
Chief HR Officer	42.00	10.00		Yes (X)	$19,292	$0	$648
Christopher Yeamen
VP, Fin Planning & Acct.	50.00	0.00		Yes (X)	$206,590	$0	$18,004
David Abrams
VP Human Resources**	42.00	10.00			$356,312	$0	$31,776	Yes (X)
Andrew Cochrane
CEO - Maple Grove Hospital	0.00	50.00			$571,986	$0	$43,243	Yes (X)
Patrick Coyne
VP Medical Transportation	50.00	0.00			$326,844	$0	$41,211	Yes (X)
David Frenz
VP Mental Health & Ambulatory Services	50.00	0.00			$278,012	$0	$33,926	Yes (X)
Andrew Houlton
VP Medical Affairs	50.00	0.00			$489,372	$0	$34,481	Yes (X)
Laura Latt
VP, Operations	50.00	0.00			$292,897	$0	$30,331	Yes (X)
Kelly Macken-Marble
President of Population Health	50.00	0.00			$151,150	$0	$20,365	Yes (X)
Craig Matticks MD
Physician, Emergency Medicine	42.00	10.00			$566,442	$0	$45,636	Yes (X)
Saurin Patel
Chief Medical Officer	50.00	0.00			$595,724	$0	$26,072	Yes (X)
Kent Spaulding
VP Chief Development Offic	0.00	50.00			$250,728	$0	$36,167	Yes (X)
Patrick Taffe
VP, Information Systems & CIO	42.00	10.00			$363,441	$0	$38,012	Yes (X)
Kelly White
VP Inpatient Care/CNO	50.00	0.00			$319,644	$0	$40,276	Yes (X)
JEFF WICKLANDER
President, North Memorial	50.00	0.00			$512,795	$0	$44,040	Yes (X)
Tiffany Zitzewitz
VP, Strategy & Business Development**	42.00	10.00			$317,120	$0	$40,719	Yes (X)
Hashim Nemat MD
Gastroenterologist	50.00	0.00			$874,432	$0	$45,450		Yes (X)
Steven Roh MD
Cardiologist	50.00	0.00			$780,346	$0	$46,617		Yes (X)
Osama Ibrahim
Cardiologist	50.00	0.00			$779,021	$0	$35,816		Yes (X)
Alok Maheshwari MD
Cardiologist	50.00	0.00			$768,072	$0	$46,617		Yes (X)
Thomas Koenig MD
Gastroenterologist	50.00	0.00			$721,872	$0	$45,007		Yes (X)
LOREN TAYLOR
Former CEO North Memorial	42.00	10.00			$30,155	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,544,115	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$881,750	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	661	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
3366 OAKDALE AVE N 601	ROBBINSDALE	MN	55422	PHYsician services	$19,265,437
DJ KRANZ COMPANY INCORPORATED
725 HIGHWAY 169 NORTH	PLYMOUTH	MN	554416403	CONSTRUCTION	$18,708,561
Huron Consulting
550 W Van Buren Street	Chicago	IL	60607	Consulting	$8,030,958
RESPIRATORY CONSULTANTS PA
3366 OAKDALE AVE N 605	ROBBINSDALE	MN	55422	INTENSIVISTS STAFFING	$6,304,900
Favorite Nurses
PO Box 803356	Kansas City	MO	641803356	Nurse Staffing	$5,326,531

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	58	CntrctRcvdGreaterThan100KCnt
Related Organizations	$13,383	RelatedOrganizationsAmt
All Other Contributions	$539,166	AllOtherContributionsAmt
Total Contributions	$552,549	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
HOSPITAL PATIENT REVENUE	621500	$705,004,559	$692,701,417	$12,303,142
contract revenue	900099	$40,716,131			$40,716,131
EHR/MEDICARE & other	900099	$7,979,162			$7,979,162
JOINT VENTURE REVENUE	900099	$5,286,009	$5,286,009
PHARMACY	900099	$4,709,362			$4,709,362

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,375,991	TotalRevenueColumnAmt
Exclusion	$3,375,991	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$767,071,214	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,554,388	TotalRevenueColumnAmt
Exclusion	$5,554,388	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$635	TotalRevenueColumnAmt
Exclusion	$635	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$11,965,338	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$12,001,738	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$36,400	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$36,400	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$36,400	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$162,241,198	SecuritiesAmt
Other	$7,109,475	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$153,980,623	SecuritiesAmt
Other	$3,762,398	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,260,575	SecuritiesAmt
Other	$3,347,077	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,607,652	TotalRevenueColumnAmt
Exclusion	$11,607,652	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$784,750,038	TotalRevenueColumnAmt
Related Or Exempt Func Income	$697,951,026	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,303,142	UnrelatedBusinessRevenueAmt
Exclusion	$73,943,321	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,794,596	TotalAmt
Management And General	$8,794,596	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$367,594,886	TotalAmt
Program Services	$318,399,446	ProgramServicesAmt
Management And General	$49,195,440	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$24,624,813	TotalAmt
Program Services	$21,329,260	ProgramServicesAmt
Management And General	$3,295,553	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$41,474,337	TotalAmt
Program Services	$35,923,802	ProgramServicesAmt
Management And General	$5,550,535	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$23,825,344	TotalAmt
Program Services	$20,636,784	ProgramServicesAmt
Management And General	$3,188,560	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,807,703	TotalAmt
Program Services	$1,565,777	ProgramServicesAmt
Management And General	$241,926	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$318,309	TotalAmt
Program Services	$275,710	ProgramServicesAmt
Management And General	$42,599	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$123,576	TotalAmt
Management And General	$123,576	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$706,365	TotalAmt
Management And General	$706,365	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$73,631,569	TotalAmt
Program Services	$63,881,353	ProgramServicesAmt
Management And General	$9,750,216	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,797,906	TotalAmt
Program Services	$3,289,630	ProgramServicesAmt
Management And General	$508,276	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,595,460	TotalAmt
Program Services	$8,311,294	ProgramServicesAmt
Management And General	$1,284,166	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$12,853,010	TotalAmt
Program Services	$11,132,884	ProgramServicesAmt
Management And General	$1,720,126	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$20,543,599	TotalAmt
Program Services	$17,794,237	ProgramServicesAmt
Management And General	$2,749,362	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,584,583	TotalAmt
Program Services	$3,104,856	ProgramServicesAmt
Management And General	$479,727	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$29,022,279	TotalAmt
Program Services	$25,270,445	ProgramServicesAmt
Management And General	$3,751,834	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,239,774	TotalAmt
Program Services	$5,404,701	ProgramServicesAmt
Management And General	$835,073	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Supplies	$90,259,383	$78,179,917	$12,079,466
BAD DEBT EXPENSE	$35,333,600	$35,333,600
MAINTENANCE & REPAIR	$13,123,736	$11,367,379	$1,756,357
GOVERNMENT TAXES	$11,545,769	$11,545,769

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,980,069	TotalAmt
Program Services	$7,781,355	ProgramServicesAmt
Management And General	$1,198,714	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$787,780,666	TotalAmt
Program Services	$680,528,199	ProgramServicesAmt
Management And General	$107,252,467	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$12,974	BOYAmt
EOY	$14,114	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,339,416	BOYAmt
EOY	$1,138,672	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$111,421	BOYAmt
EOY	$25,974	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$96,461,938	BOYAmt
EOY	$112,572,909	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$6,662,500	BOYAmt
EOY	$7,006,250	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,994,931	BOYAmt
EOY	$7,525,648	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,298,992	BOYAmt
EOY	$6,023,124	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$623,771,831	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$417,307,115	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$209,924,968	BOYAmt
EOY	$206,464,716	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$209,773,979	BOYAmt
EOY	$219,062,381	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$49,657,192	BOYAmt
EOY	$50,209,609	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	-$23,385,700	BOYAmt
EOY	-$40,114,334	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$562,852,611	BOYAmt
EOY	$569,929,063	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$79,111,566	BOYAmt
EOY	$85,786,711	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$433,483	BOYAmt
EOY	$433,013	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$121,200,303	BOYAmt
EOY	$120,561,588	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,002,568	BOYAmt
EOY	$19,853,329	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$223,747,920	BOYAmt
EOY	$226,634,641	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$339,104,691	BOYAmt
EOY	$343,294,422	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$339,104,691	BOYAmt
EOY	$343,294,422	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$562,852,611	BOYAmt
EOY	$569,929,063	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$3,030,628	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,220,359	NetUnrlzdGainsLossesInvstAmt
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	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$33,750	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$86,250	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$3,576	OtherActivitiesAmt
Total Lobbying Expenditures	$123,576	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	CONTACTS AND VISITS WERE MADE WITH STATE LEVEL LEGISLATORS TO PROMOTE HEALTH CARE RELATED ISSUES. LINE 1I INCLUDES THE NON-DEDUCTIBLE PORTION OF MHA DUES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,203,143	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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,683,970	BeginningYearBalanceAmt
Contributions	$710,628	ContributionsAmt
Investment Earnings Or Losses	$85,294	InvestmentEarningsOrLossesAmt
Other Expenditures	$33,800	OtherExpendituresAmt
End Year Balance	$3,446,092	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,382,667	BeginningYearBalanceAmt
Contributions	$270,795	ContributionsAmt
Investment Earnings Or Losses	$92,571	InvestmentEarningsOrLossesAmt
Other Expenditures	$62,063	OtherExpendituresAmt
End Year Balance	$2,683,970	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.75980	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.24020	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	$16,027,466	OtherCostOrOtherBasisAmt
Book Value	$16,027,466	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$249,324,183	OtherCostOrOtherBasisAmt
Depreciation	$145,154,094	DepreciationAmt
Book Value	$104,170,089	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,190,400	OtherCostOrOtherBasisAmt
Depreciation	$12,238,558	DepreciationAmt
Book Value	$1,951,842	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$331,589,583	OtherCostOrOtherBasisAmt
Depreciation	$252,476,771	DepreciationAmt
Book Value	$79,112,812	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,640,199	OtherCostOrOtherBasisAmt
Depreciation	$7,437,692	DepreciationAmt
Book Value	$5,202,507	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$206,464,716	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
RREEF America REIT II	$26,928,588	F
Mellon Aggregate bond index fund	$19,710,950	F
Cash on deposit with bond trustee	$780,796	F
Agency account	$77,275	F
CASUALTY INSURANCE SECURITY	$2,712,000	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$50,209,609	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Executive pension plan	$3,619,451
Restoration pension plan	$80,821
Defined Benefit Pension Plan	$14,549,181
Post retirement health insurance	$1,342,665
CAA deposit reserve	$191,051
settlements and claims payable	$70,160

Field	Value	IRS element (for citing)
Total Liability	$19,853,329	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 OPENED 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. 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 2016 OR 2015.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
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	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,208,870	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,208,870	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,758,121	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,230,806	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,527,315	NetCommunityBenefitExpnsAmt
Total Expense	0.04260	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,966,991	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,230,806	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,736,185	NetCommunityBenefitExpnsAmt
Total Expense	0.05180	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,313,379	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,410	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,295,969	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,539,235	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,247,076	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,292,159	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,878,290	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,580,923	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,297,367	NetCommunityBenefitExpnsAmt
Total Expense	0.02200	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$86,540	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$952	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$85,588	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$873,609	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$873,609	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,691,053	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,846,361	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,844,692	NetCommunityBenefitExpnsAmt
Total Expense	0.03280	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$170,658,044	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$104,077,167	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,580,877	NetCommunityBenefitExpnsAmt
Total Expense	0.08460	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,479,304	BadDebtExpenseAmt
Reimbursed By Medicare	$157,996,707	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$222,885,666	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$64,888,959	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 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
6 Institute of Athletic Medicine
Clinic	0.37000	0.00000	0.00000
7 Monticello Cancer Center
Optnt cancer clinic	0.40000	0.00000	0.00000
8 North Radiation Oncology
Optnt radiation onc clnc	0.50000	0.00000	0.50000
9 BLAINE URGENCY CENTER
URGENT CARE	0.50000	0.00000	0.50000
10 PLYMOUTH CITY CENTER MEDICAL BUILDING
MEDICAL OFFICE BUILDING	0.50000	0.00000	0.00000
11 MINNETONKA AMBULATORY SURGERY CENTER
Outpatient Surgery Center	0.76000	0.00000	0.00000
12 BLAINE AMBULATORY SURGERY CENTER
Outpatient Surgery Center	0.10000	0.00000	0.00000
13 Crystal Imaging Center
MedICAL OFFICE BUILDING	0.50000	0.00000	0.50000
14 FAIRVIEW HOME INFUSION
OPTNT Infusion Clinic	0.49000	0.00000	0.00000
15 Center for Diagnostic Imaging
Imaging	0.25000	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 MEDICAL CENTER	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 MEDICAL CENTER	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	400.000000000000	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 App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.NORTHMEMORIAL.COM	FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
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
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
NORTH MEMORIAL MEDICAL CENTER	Part V, Section B, Line 5: North Memorial has a Community Steering Committee and Maple Grove Hospital has a Community Engagement Adversity Team 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 MEDICAL CENTER	Part V, Section B, Line 11: OUR MOST RECENT CHNA WAS CONDUCTED IN 2016. THE OVERALL CHNA WAS GUIDED BY THE COMMUNITY HEALTH STEERING COMMITTEE WHICH IS COMPOSED OF COMMUNITY MEMBERS, NORTH MEMORIAL 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 ABUSEFOOD - ACCESS, AFFORDABILITY, NUTRITION EDUCATIONRESPIRATORY DISEASEYOUTH - EDUCATION ON HEALTH CARE CAREERS, LEADERSHIP DEVELOPMENTOBESITYCULTURAL DIVERSITYAFTER DISCUSSION AROUND THE TOP HEALTH PRIORITIES THE COMMUNITY HEALTH STEERING COMMITTEE VOTEDTO PRIORITIZE THE TOP 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 207 VOTESFOOD - ACCESS, AFFORDABILITY, NUTRITION EDUCATION 182 VOTESOBESITY 177 VOTESCULTURAL DIVERSITY 175 VOTESRESPIRATORY DISEASE 161 VOTESYOUTH - 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 OUT MENTAL HEALTH AND SUBSTANCE ABUSE. THE FINAL TOP HEALTH PRIORITIES FROM THE 2016 CHNA ARE:MENTAL HEALTHSUBSTANCE ABUSE ANDFOOD - 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 HEALTHGOAL - 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 TRAININGINCORPORATE THE MAKE IT OKAY MESSAGE ON THE NORTH MEMORIAL HEALTH HOSPITAL WEBSITE AND IN OUR PUBLIC COMMUNICATIONS DURING MAY - MENTAL HEALTH AWARENESS MONTH II. INCREASE EDUCATION ABOUT MENTAL HEALTH STRATEGIES:OFFER A MINIMUM OF FOUR EVIDENCE BASED MENTAL HEALTH FIRST AID CLASSES ACROSS THE SYSTEM ANNUALLY III. IMPROVE ACCESS TO MENTAL HEALTH SERVICES STRATEGIES:OPENED THE NORTH MEMORIAL MENTAL HEALTH & ADDICTION CARE CLINIC IN DECEMBER 2016CONTINUED ASSESSMENT OF COMMUNITY NEED AND DEVELOPMENT OF PROGRAMS AS NEED IS IDENTIFIED IV. SUPPORT NORTH MEMORIAL HEALTH CARE'S DOMESTIC VIOLENCE ADVOCACY PROGRAM SAFEJOURNEYSTRATEGIES:ENSURE 24 HOUR ADVOCACY IS PROVIDED BY TRAINED VOLUNTEERSTRAIN 25 TO 30 NEW VOLUNTEERS IN 2017INCREASE THE NUMBER OF PARTICIPANTS AT MAPLE GROVE HOSPITALTRAIN NEW FACILITATORS FOR SUPPORT GROUPSDISTRIBUTE CLIENT EMERGENCY FUNDS TO QUALIFIED CLIENTSPROVIDE COMMUNITY OUTREACH AND EDUCATION ON SAFEJOURNEY 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 WORKGROUPCONTINUE ACTIVE INVOLVEMENT WITH THE CENTER FOR COMMUNITY HEALTH COLLECTIVE ACTION GROUPEXPLORE COMMUNITY PARTNERSHIP OPPORTUNITIES THAT ADDRESS MENTAL HEALTH AND VIOLENCE PROGRAMS AND ACTIVITIES THAT WILL BE USED TO ADDRESS THE ABOVE GOALS INCLUDE:MAKE IT OK "MAKE IT OK" IS A CAMPAIGN TO REDUCE THE STIGMA OF MENTAL ILLNESSES. ORGANIZATIONS THAT SUPPORT THE MAKE IT OK CAMPAIGN ARE WORKING TO REDUCE MISPERCEPTIONS ABOUT MENTAL ILLNESSES AND ENCOURAGE OPEN CONVERSATIONS AND EDUCATION ABOUT MENTAL ILLNESS.MENTAL HEALTH FIRST AID USA AND YOUTH MENTAL HEALTH FIRST AID USA AN EVIDENCE BASED CLASS WHICH HAS THE FOLLOWING GOALS:INCREASED THE KNOWLEDGE OF THE SIGNS, SYMPTOMS AND RISK FACTORS OF MENTAL ILLNESS,INCREASED KNOWLEDGE OF THE IMPACT OF MENTAL HEALTH AND SUBSTANCE USE DISORDERS,INCREASED AWARENESS OF LOCAL RESOURCES AND WHERE TO TURN FOR HELP, ANDBUILDING CAPACITY TO ASSESS A SITUATION AND HELP AN INDIVIDUAL IN DISTRESS.PARTICIPANTS WILL ATTEND AN 8 HOURS CLASS WHERE THEY LEARN AN OVERVIEW OF THE RISK FACTORS OF COMMON MENTAL HEALTH AND SUBSTANCE ABUSE ILLNESSES AND PARTICIPATE IN ROLE-PLAYING SIMULATIONS TO LEARN HOW TO HELP PERSONS IN CRISIS. THE EVALUATION COMPONENT IS BUILT INTO THE DESIGN OF THE PROGRAM WITH PRE- AND POST-TESTS AND A SIX-MONTH FOLLOW UP EVALUATION. THESE CLASSES WILL BE OFFERED FREE OF CHARGE TO THE COMMUNITY TO ELIMINATE ANY FINANCIAL BARRIERS. ACTIVE OUTREACH WILL BE MADE TO LOCAL SCHOOLS, CHURCHES, AND VULNERABLE POPULATIONS. NORTH MEMORIAL HEALTH HOSPITAL WILL PARTNER WITH FAIRVIEW AND NAMI IN OFFERING THESE CLASSES. BEHAVIORAL HEALTH CLINIC AT NORTH MEMORIAL MEDICAL HEALTH HOSPITAL THE NORTH MEMORIAL MENTAL HEALTH & ADDICTION CARE CLINIC 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, POST-TRAUMATIC STRESS DISORDER AND ADDICTION MEDICINE. THE MENTAL HEALTH & ADDICTION CLINIC WAS OPENED TO FILL AN IMPORTANT SERVICE THAT WAS NOT OFFERED FOR THE COMMUNITY NORTH MEMORIAL HEALTH HOSPITAL SERVES. THE OPENING OF THIS CLINIC HAS RESULTED IN STRONGER COORDINATION OF CARE. NORTH MEMORIAL CURRENTLY HAS EMERGENCY MEDICINE, A CONSULT SERVICE FOR THE MEDICAL UNITS, AN INPATIENT PSYCHIATRIC UNIT, TWO TRACKS OF PARTIAL HOSPITALIZATION, ONE INTENSIVE OUTPATIENT PROGRAM, A MENTAL HEALTH CLINIC AND FIVE PSYCHIATRIC PROVIDERS IN SEVEN OF IT 15 PRIMARY CLINICS. THE CUSTOMER BASE RANGES IN AGES OF 18 TO 90, COMES FROM VARIED ETHNIC BACKGROUNDS WITH A VARIETY OF INSURERS INCLUDING THIRD PARTY PAYERS, MEDICARE AND MEDICAID. MOST OF OUR CUSTOMERS HAVE DIAGNOSES OF PSYCHOSIS, PTSD, AND MOOD DISORDERS. SAFE JOURNEY IS AN INNOVATIVE, VOLUNTEER-DRIVEN PROGRAM THAT PROVIDES VICTIMS OF DOMESTIC VIOLENCE WITH SAFETY PLANNING, INJURY DOCUMENTATION, IMMEDIATE EMOTIONAL SUPPORT, LEGAL ADVOCACY, AND OPTIONS FOR LONGER-TERM SUPPORT. TRAINED VOLUNTEER ADVOCATES PROVIDE 24-HOUR ON SITE ADVOCACY TO VICTIMS OF DOMESTIC ABUSE AT NORTH MEMORIAL AND MAPLE GROVE HOSPITAL AS WELL AS INDIVIDUALS IN OUR COMMUNITIES. ON-GOING SUPPORT IS PROVIDED BY THREE WEEKLY SUPPORT GROUPS AT BOTH SITES; INDIVIDUAL COUNSELING BY APPOINTMENT; AND FOLLOW UP CALLS. PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS AND COALITIONS NORTH MEMORIAL HEALTH HOSPITAL HAS WORKED AND WILL CONTINUE TO WORK WITH THE FOLLOWING GROUPS THAT HAVE ALSO IDENTIFIED MENTAL HEALTH AS A HEALTH PRIORITY.HENNEPIN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP)THE CENTER FOR COMMUNITY HEALTH (CCH)OSSEO AND WAYZATA FAMILY SERVICE COLLABORATIVE, AND WEST METRO HOSPITAL GROUP.THE PURPOSE OF THESE PARTNERSHIPS IS TO IDENTIFY OPPORTUNITIES WHERE WE CAN COLLECTIVELY WORK TOGETHER TO ADDRESS MENTAL HEALTH AND THE SOCIAL ISSUES THAT IMPACT MENTAL HEALTH.PRIORITY 2: SUBSTANCE USEGOAL - TO CREATE AN ENVIRONMENT WHERE SUBSTANCE ABUSE AMONG THE GENERAL POPULATION AND SUBSTANCE USE AMONG YOUTH IS REDUCED. OBJECTIVES:I. INCREASE AWARENESS OF SUBSTANCE 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 PREVENTIONINCREASE COLLABORATION WITH THE NORTHWEST AND WAYZATA FAMILY SERVICE COLLABORATIVES TO ADDRESS FACTORS THAT INCREASE THE RISK OF SUBSTANCE USE AMONG YOUTH. II. IMPROVE ACCESS TO ADDICTION MEDICINE SERVICES STRATEGIES:OPENED THE NORTH MEMORIAL MENTAL HEALTH & ADDICTION CARE CLINIC IN DECEMBER 2016CONTINUED ASSESSMENT OF COMMUNITY NEED AND DEVELOPMENT OF PROGRAMS AS NEED IS IDENTIFIED 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 DEVELOPMENTCONTINUE INVOLVEMENT WITH PARTNERSHIP FOR CHANGE AND THE PRESCRIPTION DRUG MONITORING PROJECTRESEARCH COMMUNITY BASED OPIOID ABUSE PREVENTION PROGRAMS CONTINUED ON SCHEDULE O...
NORTH MEMORIAL MEDICAL CENTER	Part V, Section B, Line 24: Per the Minnesota Attorney General's agreement, Third Party Liability and procedures that are not medically necessary are not covered under the Minnesota Attorney General's agreement and those patients can be billed full charges.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 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 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 - BLAINE AMBULATORY SURGERY CENTER
11855 ULYSSES ST NE	BLAINE	MN	55434	OUTPATIENT SURGERY
7 - CRYSTAL IMAGING CENTER
5700 BOTTINEAU BLVD	CRYSTAL	MN	55429	OUTPATIENT RADIOLOGY
8 - Center for Diagnostic Imaging
1835 Country Road C W Ste 180	Roseville	MN	55113	OUTPATIENT RADIOLOGY

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'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 them applies that ratio to total Medicare gross revenue.
Part III, Line 9b:	North Memorial 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 Organizations intranet and pertain to all entities under the North Memorial corporate umbrella.
Part VI, Line 2:	NORTH MEMORIAL 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 Care 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 Care identified minor omissions and errors related to 501(r) charity care practices during tax year 2016 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 omissions, 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 serves a geographic area that includes 42 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 more than 900,000 people living in Hennepin, Wright, Sherburne and Ramsey counties.
Part VI, Line 5:	North Memorial Medical Center 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. NMHC also provides an array of health care services to our community including primary care, ambulance transportation and Home Health and Hospice services. North Memorial is governed by a board of 12 representatives consisting of physicians and various leaders from throughout the community. Board members are elected to serve three-year terms for a total of five terms. The Medical Center also supports an open medical staff organization including approximately 900 board certified physicians and 300 allied health professionals. The North Memorial Board of Trustees establishes an annual margin target for management. Per board policy 75% of any excess available cash flow is reinvested in the form of capital improvements to the center. The remaining 25% is reinvested 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 CARE 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 CARE FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF MINNESOTA.

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 (25 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**	$705,969	$0	$279,409	$0	$7,125	$0	$18,550	$0	$30,161	$0	$1,041,214	$0	$0	$0
Aaron Bloomquist
VP Finance, CFO**	$291,862	$0	$55,076	$0	$1,439	$0	$15,792	$0	$8,165	$0	$372,334	$0	$0	$0
Susan Taylor
VP, Operations, Clinic Services	$182,337	$0	$48,641	$0	$456	$0	$14,068	$0	$19,783	$0	$265,285	$0	$0	$0
Karl Thomas
Chief Innovation Officer	$149,038	$0	$25,000	$0	$12,801	$0	$5,000	$0	$12,401	$0	$204,240	$0	$0	$0
Christopher Yeamen
VP, Fin Planning & Acct.	$174,246	$0	$31,892	$0	$452	$0	$13,265	$0	$4,739	$0	$224,594	$0	$0	$0
David Abrams
VP Human Resources**	$250,000	$0	$66,144	$0	$40,168	$0	$18,550	$0	$13,226	$0	$388,088	$0	$0	$0
Andrew Cochrane
CEO - Maple Grove Hospital	$349,692	$0	$220,089	$0	$2,205	$0	$18,550	$0	$24,693	$0	$615,229	$0	$0	$0
Patrick Coyne
VP Medical Transportation	$239,148	$0	$83,040	$0	$4,656	$0	$18,550	$0	$22,661	$0	$368,055	$0	$0	$0
David Frenz
VP Mental Health & Ambulatory Servic	$276,600	$0	$0	$0	$1,412	$0	$11,877	$0	$22,049	$0	$311,938	$0	$0	$0
Andrew Houlton
VP Medical Affairs	$347,850	$0	$134,841	$0	$6,681	$0	$18,550	$0	$15,931	$0	$523,853	$0	$0	$0
Laura Latt
VP, Operations	$220,000	$0	$72,211	$0	$686	$0	$16,622	$0	$13,709	$0	$323,228	$0	$0	$0
Kelly Macken-Marble
President of Population Health	$150,000	$0	$0	$0	$1,150	$0	$10,500	$0	$9,865	$0	$171,515	$0	$0	$0
Craig Matticks MD
Physician, Emergency Medicine	$503,878	$0	$58,744	$0	$3,820	$0	$18,550	$0	$27,086	$0	$612,078	$0	$0	$0
Saurin Patel
Chief Medical Officer	$76,615	$0	$103,750	$0	$415,359	$0	$6,584	$0	$19,488	$0	$621,796	$0	$0	$0
Kent Spaulding
VP Chief Development Offic	$199,660	$0	$50,386	$0	$682	$0	$15,403	$0	$20,764	$0	$286,895	$0	$0	$0
Patrick Taffe
VP, Information Systems & CIO	$282,785	$0	$71,834	$0	$8,822	$0	$18,550	$0	$19,462	$0	$401,453	$0	$0	$0
Kelly White
VP Inpatient Care/CNO	$233,897	$0	$85,046	$0	$701	$0	$18,550	$0	$21,726	$0	$359,920	$0	$0	$0
JEFF WICKLANDER
President, North Memorial	$369,481	$0	$141,792	$0	$1,522	$0	$18,550	$0	$25,490	$0	$556,835	$0	$0	$0
Tiffany Zitzewitz
VP, Strategy & Business Development*	$250,000	$0	$66,144	$0	$976	$0	$18,550	$0	$22,169	$0	$357,839	$0	$0	$0
Hashim Nemat MD
Gastroenterologist	$470,624	$0	$402,497	$0	$1,311	$0	$18,550	$0	$26,900	$0	$919,882	$0	$0	$0
Steven Roh MD
Cardiologist	$776,567	$0	$0	$0	$3,779	$0	$18,550	$0	$28,067	$0	$826,963	$0	$0	$0
Osama Ibrahim
Cardiologist	$775,250	$0	$2,000	$0	$1,771	$0	$16,692	$0	$19,124	$0	$814,837	$0	$0	$0
Alok Maheshwari MD
Cardiologist	$765,000	$0	$0	$0	$3,072	$0	$18,550	$0	$28,067	$0	$814,689	$0	$0	$0
Thomas Koenig MD
Gastroenterologist	$468,038	$0	$250,751	$0	$3,083	$0	$18,550	$0	$26,457	$0	$766,879	$0	$0	$0
LOREN TAYLOR
Former CEO North Memorial	$0	$0	$30,155	$0	$0	$0	$0	$0	$0	$0	$30,155	$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 2016 WERE $90 PER MONTH OR $1,080 PER YEAR. BOTH NORTH MEMORIAL HEALTH CARE 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 990 and Part II of Schedule J, provides services to North Memorial Health Care 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 2016 PURSUANT TO SEVERANCE AGREEMENTS WITH 1 EMPLOYEE AS FOLLOWS: Saurin Patel - $415,359
Part I, Line 6	North Memorial Health Care'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	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
CITY OF ROBBINSDALE
A	416005496	2011-06-07	$60,000,000	Refund Series 2008 bonds	0	Yes (1)	0
City of Robbinsdale
B	416005496	2011-06-07	$15,000,000	Refund Series 2008 bonds	0	Yes (1)	0
City of Maple Grove
C	410873250	2015-08-26	$44,915,000	REFUND SERIES 2005 BONDS	0	Yes (1)	0	56516tay1

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A	$17,724,675	$60,000,000	$60,000,000	2011	Yes (1)	Yes (1)	Yes (1)
B	$3,727,500	$15,000,000	$15,000,000	2011	Yes (1)	Yes (1)	Yes (1)
C	$1,030,000	$48,679,699	$48,135,634	2015	Yes (1)	Yes (1)	Yes (1)	$544,065

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)
B	0	Yes (1)
C	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd
A	0	Yes (1)
B	0	Yes (1)
C	Yes (1)	0

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	Merwin Home Medical	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	BOARD MEMBER is the owner of Merwin Home Medical	RelationshipDescriptionTxt
Transaction	$200,103	TransactionAmt
Transaction	MICHAEL STEINHAUSER, a board member, IS THE OWNER OF Merwin HOme Medical, WHICH SUPPLIES durable medical equipment TO NORTH MEMORIAL HEALTH CARE.	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 XII, Line 2c:	NEITHER THE OVERSIGHT OF THE AUDIT OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT WERE CHANGED DURING THE TAX YEAR.
SCHEDULE H, PART V, SECTION B, LINE 11, CONTINUATION:	Partnerships and programs that will be used to address the above goals include: Pillsbury United - Pillsbury United Communities works with underestimated populations across Minneapolis to foster the resilience and self-sufficiency of individuals, families and community as a whole. They design solutions that address a spectrum of intersecting needs- from education to employment to health- while continually investing in their own capacity to innovate and improve. They are creating a new model for nonprofit organizations with their interconnected system of programs, community centers, and social enterprises which connects with over 55,000 individuals each year. North Market - North Memorial Health Hospital is partnering with Pillsbury United to establish North Market. North Market is a social enterprise created to address the food access and health disparities in north Minneapolis. More than a grocery store it's a hub for community health. Scheduled to open in 2017, this unique venture unites three elements in one place: affordable nutritious food, health care services and wellness education. Community Organizations - A number of community organizations are addressing the issue of food access and affordability in the North Memorial Health Hospital community assessment area. Northside Fresh is a coalition of organizations and individuals who have worked to combat the lack of healthy food access in North Minneapolis. CEAP (Community Emergency Assistance Programs) was founded as a food shelf. CEAP serves Northwest Hennepin and Anoka Counties. CEAP empowers community members in need by providing basic needs and personalized support to help them establish their path to stability and independence. The health priorities not being addressed directly include: Obesity Cultural Diversity Respiratory Disease Youth - education on health care careers, leadership development The Community Health Steering Committee felt that to really make an impact 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 CHIP and North Memorial Health Hospital has representation on the CHIP Steering Committee. 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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OAKDALE MEDICAL CENTER	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)
EIN	320022819	EIN
Primary Activities	LEASE MEDICAL OFFICE SPACE	PrimaryActivitiesTxt
Legal Domicile State	MN	LegalDomicileStateCd
Total Income	$4,686,965	TotalIncomeAmt
End Of Year Assets	$12,732,500	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH MEMORIAL	BusinessNameLine1Txt

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 12a, I	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 (7 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	$2,116,753	$2,055,342	0	Yes (1)	0.50000
Minnesota Diagnostic Imaging Partners LLC
2955 Xenium Lane Suite 40	Plymouth	MN	55441	352162215	RADIOLOGY	MN	RELATED	$1,195,524	$2,738,364	0	Yes (1)	0.60000
North Radiation Therapy Center LLC
6950 France Ave S Suite 200	Edina	MN	55435	743069974	RADIOLOGY	MN	related	$836,530	$2,686,115	0	Yes (1)	0.50000
BLAINE URGENCY CENTER
480 OSBORNE RD NE	FRIDLEY	MN	55432	461630126	URGENT CARE	MN	RELATED	$32,378	$667,516	0	Yes (1)	0.50000
PLYMOUTH CITY CENTER MEDICAL BUILDING
5700 SMETANA DRIVE SUITE 120	MINNETONKA	MN	55343	463883617	Medical Office Building	MN	RELATED	$101,315	$10,123,267	0	Yes (1)	0.50000
MINNETONKA AMBULATORY SURGERY CENTER
3300 OAKDALE AVE NORTH	ROBBINSDALE	MN	55422	465653486	OUTPATIENT SURGERY	MN	RELATED	-$1,322,252	$2,055,342	0	Yes (1)	0.76090
Crystal Imaging Center LLC
2955 Xenium Lane Suite 40	PLymouth	MN	55441	454265124	MEDICAL OFFICE BUILDING	MN	RElated	-$18,826	$260,781	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	$3,658,104	$2,251,924	1.00000	Yes (1)
NORTH COLLABORATIVE CARE
3300 Oakdale Avenue North	Robbinsdale	MN	55422	461680666	PRIMARY CARE	MN		C	$1,165,088		0.43000	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	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	0	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	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	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	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (20 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
North Memorial Foundation (Contributions)
C	$13,383	FMV
Maple Grove Hospital Corporation (return of capital)
C	$17,325,000	FMV
Maple Grove Hospital Corporation (Debt Guarantee)
D	$98,138,016	FMV
Maple Grove Hospital Corporation (Lease Pmts)
J	$458,957	FMV
Maple Grove Hospital Corporation (Mgmt Fee)
S	$17,221,890	FMV
Maple Grove Hospital Corporation (Salary Reimbursment)
Q	$7,933,741	FMV
Associated Health Assurance (Premiums)
M	$3,121,917	FMV
Oakdale Health Enterprises (Payroll)
P	$2,496,484	FMV
Oakdale Health Enterprises (Mgmt Fees)
S	$345,975	FMV
Oakdale Health Enterprises (Interest on Loan)
R	$25,933	FMV
Oakdale Medical Office Building (Lease Payments)
K	$1,223,328	FMV
Oakdale Medical Office Building (Expense Reimbursments)
Q	$379,630	FMV
Minneapolis Radiation Oncology (Lease Pmts)
J	$227,450	FMV
North Memorial Ambulatory Surgery Center (Lease PMTS)
J	$1,637,057	FMV
NORTH MEMORIAL AMBULATORY SURGERY CENTER (RETURN OF CAPITAL)
C	$2,210,404	FMV
Minneapolis Radiation Oncology (Dividend)
S	$995,000	FMV
North Memorial Foundation (Staff Support)
O	$896,613	fmv
BLAINE URGENCY CENTER (LINE OF CREDIT)
D	$1,838,835	fmv
Blaine ASC (Return of Capital)
C	$169,263	FMV
Minnesota Diagnostic Imaging (Dividend)
S	$1,050,000	FMV