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        <ExplanationTxt>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>
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        <ExplanationTxt>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 &amp; ASTHMA SPECIALISTS, P.A. ESTABLISHED IN 1966. THE HAROLD B KAISER HONORARY LECTURESHIP ENDOWMENT PROVIDES FUNDING FOR A KEYNOTE SPEAKER FOR THE ANNUAL ALLERGY &amp; 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>NORTH MEMORIAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>NORTH MEMORIAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; 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 &amp; 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 &amp; 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 &amp; 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...</ExplanationTxt>
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        <FormAndLineReferenceDesc>NORTH MEMORIAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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            <CityNm>FRIDLEY</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55432</ZIPCd>
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            <CityNm>MAPLE GROVE</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55369</ZIPCd>
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          <FacilityTxt>OUTPATIENT SURGERY</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - NORTH RADIATION THERAPY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6950 FRANCE AVE S SUITE 200</AddressLine1Txt>
            <CityNm>EDINA</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55435</ZIPCd>
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          <FacilityTxt>OUTPATIENT RADIOLOGY</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
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          <USAddress>
            <AddressLine1Txt>15450 HIGHWAY 7 SUITE 200</AddressLine1Txt>
            <CityNm>MINNETONKA</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55345</ZIPCd>
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            <AddressLine1Txt>11855 ULYSSES ST NE</AddressLine1Txt>
            <CityNm>BLAINE</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55434</ZIPCd>
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          <USAddress>
            <AddressLine1Txt>5700 BOTTINEAU BLVD</AddressLine1Txt>
            <CityNm>CRYSTAL</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55429</ZIPCd>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
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          <USAddress>
            <AddressLine1Txt>1835 Country Road C W Ste 180</AddressLine1Txt>
            <CityNm>Roseville</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55113</ZIPCd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTH MEMORIAL HEALTH CARE FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF MINNESOTA.</ExplanationTxt>
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        <BaseCompensationFilingOrgAmt>150000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1150</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9865</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>171515</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Craig Matticks MD</PersonNm>
        <TitleTxt>Physician, Emergency Medicine</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>58744</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>3820</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27086</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>612078</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Saurin Patel</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>76615</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>6584</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>19488</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>621796</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kent Spaulding</PersonNm>
        <TitleTxt>VP Chief Development Offic</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>50386</BonusFilingOrganizationAmount>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>286895</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Patrick Taffe</PersonNm>
        <TitleTxt>VP, Information Systems &amp; CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>282785</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>71834</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>8822</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>18550</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19462</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>401453</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kelly White</PersonNm>
        <TitleTxt>VP Inpatient Care/CNO</TitleTxt>
        <BaseCompensationFilingOrgAmt>233897</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>85046</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>701</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18550</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21726</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>359920</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFF WICKLANDER</PersonNm>
        <TitleTxt>President, North Memorial</TitleTxt>
        <BaseCompensationFilingOrgAmt>369481</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>141792</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1522</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18550</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25490</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>556835</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tiffany Zitzewitz</PersonNm>
        <TitleTxt>VP, Strategy &amp; Business Development*</TitleTxt>
        <BaseCompensationFilingOrgAmt>250000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>66144</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>18550</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22169</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>357839</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Hashim Nemat MD</PersonNm>
        <TitleTxt>Gastroenterologist</TitleTxt>
        <BaseCompensationFilingOrgAmt>470624</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>402497</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1311</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18550</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26900</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>919882</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Steven Roh MD</PersonNm>
        <TitleTxt>Cardiologist</TitleTxt>
        <BaseCompensationFilingOrgAmt>776567</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>18550</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>826963</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Osama Ibrahim</PersonNm>
        <TitleTxt>Cardiologist</TitleTxt>
        <BaseCompensationFilingOrgAmt>775250</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <TotalCompensationFilingOrgAmt>814837</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Alok Maheshwari MD</PersonNm>
        <TitleTxt>Cardiologist</TitleTxt>
        <BaseCompensationFilingOrgAmt>765000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>814689</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Thomas Koenig MD</PersonNm>
        <TitleTxt>Gastroenterologist</TitleTxt>
        <BaseCompensationFilingOrgAmt>468038</BaseCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>766879</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LOREN TAYLOR</PersonNm>
        <TitleTxt>Former CEO North Memorial</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>30155</BonusFilingOrganizationAmount>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>North Memorial Health Care's annual incentive plan requires achievement of stated performance metrics, which include operating cash flow margin.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CITY OF ROBBINSDALE</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>416005496</BondIssuerEIN>
        <BondIssuedDt>2011-06-07</BondIssuedDt>
        <IssuePriceAmt>60000000</IssuePriceAmt>
        <PurposeDesc>Refund Series 2008 bonds</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>1</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>City of Robbinsdale</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>416005496</BondIssuerEIN>
        <BondIssuedDt>2011-06-07</BondIssuedDt>
        <IssuePriceAmt>15000000</IssuePriceAmt>
        <PurposeDesc>Refund Series 2008 bonds</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>1</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>City of Maple Grove</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>410873250</BondIssuerEIN>
        <CUSIPNum>56516tay1</CUSIPNum>
        <BondIssuedDt>2015-08-26</BondIssuedDt>
        <IssuePriceAmt>44915000</IssuePriceAmt>
        <PurposeDesc>REFUND SERIES 2005 BONDS</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>1</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>17724675</RetiredAmt>
        <TotalProceedsAmt>60000000</TotalProceedsAmt>
        <RefundingEscrowAmt>60000000</RefundingEscrowAmt>
        <SubstantialCompletionYr>2011</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>3727500</RetiredAmt>
        <TotalProceedsAmt>15000000</TotalProceedsAmt>
        <RefundingEscrowAmt>15000000</RefundingEscrowAmt>
        <SubstantialCompletionYr>2011</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>1030000</RetiredAmt>
        <TotalProceedsAmt>48679699</TotalProceedsAmt>
        <RefundingEscrowAmt>48135634</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>544065</IssuanceCostsFromProceedsAmt>
        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
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        <RelationshipDescriptionTxt>BOARD MEMBER is the owner of Merwin Home Medical</RelationshipDescriptionTxt>
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        <TransactionDesc>MICHAEL STEINHAUSER, a board member, IS THE OWNER OF Merwin HOme Medical, WHICH SUPPLIES durable medical equipment TO NORTH MEMORIAL HEALTH CARE.</TransactionDesc>
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        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>NEITHER THE OVERSIGHT OF THE AUDIT OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT WERE CHANGED DURING THE TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 11, CONTINUATION:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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          <BusinessNameLine1Txt>Maple Grove Hospital Corporation (return of capital)</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Maple Grove Hospital Corporation (Debt Guarantee)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>98138016</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Maple Grove Hospital Corporation (Lease Pmts)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>458957</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Maple Grove Hospital Corporation (Mgmt Fee)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>17221890</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Maple Grove Hospital Corporation (Salary Reimbursment)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>7933741</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Associated Health Assurance (Premiums)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>3121917</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Oakdale Health Enterprises (Payroll)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>2496484</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Oakdale Health Enterprises (Mgmt Fees)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>345975</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Oakdale Health Enterprises (Interest on Loan)</BusinessNameLine1Txt>
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        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>25933</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Oakdale Medical Office Building (Lease Payments)</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Oakdale Medical Office Building (Expense Reimbursments)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>379630</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Minneapolis Radiation Oncology (Lease Pmts)</BusinessNameLine1Txt>
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        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>227450</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>North Memorial Ambulatory Surgery Center (Lease PMTS)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>1637057</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NORTH MEMORIAL AMBULATORY SURGERY CENTER (RETURN OF CAPITAL)</BusinessNameLine1Txt>
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        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>2210404</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Minneapolis Radiation Oncology (Dividend)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>995000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>North Memorial Foundation (Staff Support)</BusinessNameLine1Txt>
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        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>896613</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BLAINE URGENCY CENTER (LINE OF CREDIT)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>1838835</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Blaine ASC (Return of Capital)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>169263</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Minnesota Diagnostic Imaging (Dividend)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>1050000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>