MAPLE GROVE HOSPITAL CORPORATION: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MAPLE GROVE HOSPITAL CORPORATION (EIN 20-8316475)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201733199349303568
- 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 D
- Schedule H
- Schedule J
- Schedule K
- 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 | 208316475 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Maple Grove Hospital Corporation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MAPL | BusinessNameControlTxt |
| Phone | 7635811000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9875 Hospital Drive | AddressLine1Txt |
| City | Maple Grove | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55369 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Aaron Bloomquist | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 7635205048 | 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 | 14:16:58 | 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 | ANDREW COCHRANE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9875 Hospital Drive | AddressLine1Txt |
| City | Maple Grove | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55369 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $187,253,017 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.maplegrovehospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | To empower our customers to achieve their best health. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 1170 | TotalEmployeeCnt |
| Total Volunteers | 603 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $24,874 | PYContributionsGrantsAmt |
| CY Contributions Grants | $23,029 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $173,570,938 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $187,035,541 | CYProgramServiceRevenueAmt |
| PY Investment Income | $76,340 | PYInvestmentIncomeAmt |
| CY Investment Income | $194,447 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $173,672,152 | PYTotalRevenueAmt |
| CY Total Revenue | $187,253,017 | 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 | $61,478,627 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $65,023,159 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $87,074,216 | PYOtherExpensesAmt |
| CY Other Expenses | $101,954,370 | CYOtherExpensesAmt |
| PY Total Expenses | $148,552,843 | PYTotalExpensesAmt |
| CY Total Expenses | $166,977,529 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $25,119,309 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $20,275,488 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $183,066,733 | TotalAssetsBOYAmt |
| Total Assets EOY | $178,680,301 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $147,956,493 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $145,894,609 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $35,110,240 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $32,785,692 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO EMPOWER OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $142,982,693 | ExpenseAmt |
| Revenue | $186,800,951 | RevenueAmt |
| Desc | Maple Grove Hospital is a GENERAL ACUTE CARE HOSPITAL PROVIDING EMERGENCY SERVICES, MEDICAL AND SURGICAL SERVICES, OBSTETRICAL SERVICES, AND PEDIATRIC SERVICES. IN ADDITION TO CHARITY AND UNCOMPENSATED CARE, MGH ALSO PROVIDES NUMEROUS COMMUNITY BENEFITS (AT NO COST OR BELOW COST) IN FURTHERANCE OF ITS CHARITABLE PURPOSE. MAPLE GROVE HOSPITAL PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY INCLUDING PROVIDING HEALTH RELATED EDUCATIONAL PROGRAMS SUCH AS SAFETY FAIR, CAR SEAT CLINICS, MENTAL HEALTH AND FIRST AID CLASSES, AND ASTHMA EDUCATION IN ELEMENTARY SCHOOLS. MAPLE GROVE HOSPITAL 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, MAPLE GROVE 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 | $142,982,693 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | 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 | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 115 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1170 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | InvestmentInJointVentureInd |
| 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 (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| J KEVIN CROSTON MD | ||||||||||
| Board Chair | 2.00 | 50.00 | Yes (X) | Yes (X) | $0 | $992,503 | $48,711 | |||
| Dan Fromm | ||||||||||
| Secretary | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| David Murphy | ||||||||||
| Board Member | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Tiffany Zitzewitz | ||||||||||
| Board Member | 2.00 | 50.00 | Yes (X) | $0 | $317,120 | $40,719 | ||||
| Kelly Macken-Marble | ||||||||||
| Board Member | 2.00 | 50.00 | Yes (X) | $0 | $151,150 | $20,365 | ||||
| Jeff Wicklander | ||||||||||
| Board Member | 2.00 | 50.00 | Yes (X) | $0 | $512,795 | $44,040 | ||||
| Aaron Bloomquist | ||||||||||
| Treasurer | 2.00 | 50.00 | Yes (X) | Yes (X) | $0 | $348,377 | $23,957 | |||
| TODD OSTENDORF | ||||||||||
| TREASURER (PART YEAR) | 2.00 | 50.00 | Yes (X) | Yes (X) | $0 | $130,819 | $13,238 | |||
| Andrew Cochrane | ||||||||||
| President | 50.00 | 0.00 | Yes (X) | $0 | $571,986 | $43,243 | ||||
| Colleen Nadeau | ||||||||||
| VP Patient Care Operations | 50.00 | 0.00 | $224,709 | $0 | $5,716 | Yes (X) | ||||
| Pam Doorenbos | ||||||||||
| Medical Doctor | 50.00 | 0.00 | $208,281 | $0 | $6,910 | Yes (X) | ||||
| Sarah R Johnson | ||||||||||
| Director of Clinical Support | 50.00 | 0.00 | $194,502 | $0 | $22,910 | Yes (X) | ||||
| Karen Hall | ||||||||||
| Pharmacist | 50.00 | 0.00 | $193,393 | $0 | $21,517 | Yes (X) | ||||
| Megan Matack | ||||||||||
| Pharmacy Manager | 50.00 | 0.00 | $157,360 | $0 | $21,418 | Yes (X) | ||||
| Leah Wandersee | ||||||||||
| Director of Procedural Care | 50.00 | 0.00 | $164,412 | $0 | $12,977 | Yes (X) | ||||
| LOREN TAYLOR | ||||||||||
| Former Board Member | 2.00 | 50.00 | $0 | $30,155 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,142,657 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,054,905 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $325,721 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 27 | 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 |
|---|---|---|---|---|---|
| University of Minnesota Physicians | |||||
| 720 Washington Ave STE 200 | Minneapolis | MN | 55414 | Physician Services | $2,152,647 |
| Aramark Healthcare Food | |||||
| 25271 Network place | chiCAGO | IL | 60673 | dietary | $1,194,898 |
| Fairview Health Services | |||||
| 2450 Riverside Avenue | Minneapolis | MN | 55454 | Physician Services | $841,935 |
| Crothall Laundry Service Inc | |||||
| 13028 Collections Center Drive | ChiCAGO | IL | 60693 | Laundry | $764,662 |
| Specialists in General Surgery | |||||
| 3366 Oakdale Ave N Ste 502 | Robbinsdale | MN | 55422 | Physician Services | $385,695 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $23,029 | AllOtherContributionsAmt |
| Total Contributions | $23,029 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Patient Revenue | 621500 | $186,800,951 | $186,800,951 | |
| CONTRACT SERVICES | 900099 | $428,995 | $428,995 | |
| Gift Shop | 900099 | $242,154 | $242,154 | |
| All Other | 621910 | $44,136 | $44,136 | |
| CMS/EHR PAYMENTS & OTHER | 900099 | -$480,695 | -$480,695 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $187,035,541 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $171,599 | TotalRevenueColumnAmt |
| Exclusion | $171,599 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $22,848 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $22,848 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,848 | TotalRevenueColumnAmt |
| Exclusion | $22,848 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $187,253,017 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $186,800,951 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $429,037 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,425 | TotalAmt |
| Management And General | $230,425 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,952,332 | TotalAmt |
| Program Services | $44,317,746 | ProgramServicesAmt |
| Management And General | $8,634,586 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,368,014 | TotalAmt |
| Program Services | $1,143,942 | ProgramServicesAmt |
| Management And General | $224,072 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,658,670 | TotalAmt |
| Program Services | $5,550,261 | ProgramServicesAmt |
| Management And General | $1,108,409 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,813,718 | TotalAmt |
| Program Services | $3,178,353 | ProgramServicesAmt |
| Management And General | $635,365 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,445,744 | TotalAmt |
| Program Services | $16,206,083 | ProgramServicesAmt |
| Management And General | $3,239,661 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,973 | TotalAmt |
| Program Services | $26,646 | ProgramServicesAmt |
| Management And General | $5,327 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,150 | TotalAmt |
| Program Services | $40,128 | ProgramServicesAmt |
| Management And General | $8,022 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,861,741 | TotalAmt |
| Program Services | $15,719,375 | ProgramServicesAmt |
| Management And General | $3,142,366 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $510,081 | TotalAmt |
| Program Services | $425,102 | ProgramServicesAmt |
| Management And General | $84,979 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,694,303 | TotalAmt |
| Program Services | $1,412,032 | ProgramServicesAmt |
| Management And General | $282,271 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,700,999 | TotalAmt |
| Program Services | $1,417,613 | ProgramServicesAmt |
| Management And General | $283,386 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,827 | TotalAmt |
| Program Services | $27,358 | ProgramServicesAmt |
| Management And General | $5,469 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,848,404 | TotalAmt |
| Program Services | $6,848,404 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,362,647 | TotalAmt |
| Program Services | $6,969,430 | ProgramServicesAmt |
| Management And General | $1,393,217 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,037,982 | TotalAmt |
| Program Services | $865,054 | ProgramServicesAmt |
| Management And General | $172,928 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies | $23,329,944 | $19,443,175 | $3,886,769 |
| Bad Debt Expense | $11,324,993 | $11,324,993 | |
| Government Taxes | $4,777,494 | $4,777,494 | |
| Maintenance and Repairs | $2,781,309 | $2,317,943 | $463,366 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,165,779 | TotalAmt |
| Program Services | $971,561 | ProgramServicesAmt |
| Management And General | $194,218 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,977,529 | TotalAmt |
| Program Services | $142,982,693 | ProgramServicesAmt |
| Management And General | $23,994,836 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,450 | BOYAmt |
| EOY | $1,450 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,389,819 | BOYAmt |
| EOY | $34,331,810 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,415,436 | BOYAmt |
| EOY | $27,878,837 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,342,653 | BOYAmt |
| EOY | $2,278,244 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $576,968 | BOYAmt |
| EOY | $454,218 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $146,947,409 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $47,328,254 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,168,920 | BOYAmt |
| EOY | $99,619,155 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,325,879 | BOYAmt |
| EOY | $10,086,702 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,607,000 | BOYAmt |
| EOY | $3,607,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,238,608 | BOYAmt |
| EOY | $422,885 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,066,733 | BOYAmt |
| EOY | $178,680,301 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,361,361 | BOYAmt |
| EOY | $16,630,165 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,595,132 | BOYAmt |
| EOY | $129,264,444 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,956,493 | BOYAmt |
| EOY | $145,894,609 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,110,240 | BOYAmt |
| EOY | $32,785,692 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,110,240 | BOYAmt |
| EOY | $32,785,692 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,066,733 | BOYAmt |
| EOY | $178,680,301 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $20,275,488 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $499,964 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$23,100,000 | 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 D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $110,231,913 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,358,975 | DepreciationAmt |
| Book Value | $85,872,938 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,715,496 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,969,279 | DepreciationAmt |
| Book Value | $13,746,217 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $99,619,155 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | MAPLE GROVE HOSPITAL EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2016 OR 2015. | ExplanationTxt |
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 | $3,066,104 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,066,104 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01840 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,213,754 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,316,752 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,897,002 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03530 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,279,858 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,316,752 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,963,106 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05370 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $184,890 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $184,890 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $184,890 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $184,890 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,464,748 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,316,752 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,147,996 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05480 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,014,200 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $29,988,437 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $33,294,240 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,305,803 | 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 |
| 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 | MAPLE GROVE HOSPITAL CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9875 Hospital Drive | AddressLine1Txt |
| City | Maple Grove | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55369 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAPLE GROVE HOSPITAL CORPORATION | 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.maplegrovehospital.org | 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.maplegrovehospital.org | 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.MAPLEGROVEHOSPITAL.ORG | 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 |
|---|---|
| MAPLE GROVE HOSPITAL CORPORATION | Part V, Section B, Line 5: One of the key objectives in conducting the 2016 CHNA was to identify health issues which are most important to our community members and establish or strengthen community relationships to help address these health issues. This was accomplished in several ways. A Steering Committee composed of community leaders, social service providers, health care providers, school district employees, business representatives and a public health representative guided the assessment process and identification of health needs. Maple Grove Hospital convened 5 focus groups from target populations throughout the community. We further interviewed key stakeholders from local government, law enforcement, education, religious and community-based organizations. Lastly we conducted an online survey for business groups, the faith community and community members. The assessment was completed working in conjunction with Fairview Maple Grove Medical Center. |
| MAPLE GROVE HOSPITAL CORPORATION | Part V, Section B, Line 11: Our most recent CHNA was conducted in 2016. The overall CHNA was guided by the Community Engagement Advisory Team which is composed of community members, Maple Grove Hospital employees, and Public Health representatives. Data used to identify the top priorities included: Demographic data; Quantitative Data from the Minnesota Hospital Association, Minnesota Department of Health, Hennepin County SHAPE 2014, Community Need Index and Attributed Patient Data; Qualitative data from Focus Groups, Key Stakeholder Interviews, and Community Asset Mapping. The following top priorities were identified in the assessment:-Mental Health/Substance Abuse-Healthy Aging/Senior Services-Cancer Prevention, Screening, Healthy Survivors-Injury Prevention Across The Lifespan-Nutrition/Healthy Lifestyles-Youth Engagement Education About Healthcare Careers, Leadership Development-Understanding Of Immigrant Cultures And Issues Related To Health/Disparities-Transportation/Healthcare accessAfter discussion around the top health priorities the Community Engagement Advisory Team voted to 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 Maple Grove 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 votes-Healthy Aging/Senior Services - 169 votes-Cancer Prevention, Screening, Healthy Survivors - 162 votes-Nutrition/Healthy Lifestyles - 161 votes-Injury Prevention Across The Lifespan - 159 votes-Understanding Of Immigrant Cultures And Issues Related To Health/Disparities - 157 votes-Youth Engagement Education About Healthcare Careers, Leadership Development - 143 votes-Transportation/Healthcare access - 132 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 Health-Substance Abuse and-Healthy Aging/Senior ServicesThese health priorities will be addressed with community partnerships, community support and cultural appropriateness in mind. Maple Grove 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 training-Incorporate the Make It Okay message on the Maple Grove 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 2016-Continued 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 volunteers-Train 25 to 30 new volunteers in 2017-Increase the number of participants at Maple Grove Hospital-Train new facilitators for support groups-Distribute client emergency funds to qualified clients-Provide 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 workgroup-Continue active involvement with the Center for Community Health Collective Action Group-Explore community partnership opportunities that address mental health and violencePrograms 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, and-Building 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. Maple Grove 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 and Maple Grove 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 Maple Grove 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 Prevention-Increase 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 2016-Continued assessment of community need and development of programs as need is identified Continued on Schedule O... |
| MAPLE GROVE HOSPITAL CORPORATION | 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 | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - MINNESOTA DIAGNOSTIC IMAGING PARTNERS LL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2955 XENIUM LANE SUITE 40 | AddressLine1Txt |
| City | PLYMOUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55441 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | OUTPATIENT RADIOLOGY | FacilityTxt |
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: | Maple Grove Hospital'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 the 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: | Maple Grove Hospital Corporation has policies and procedures in place for collection practices that include identification and screening for charity care and financial assistance. The policies are available on the organization's intranet and each patient is given a brochure upon admission. |
| Part VI, Line 2: | Maple Grove Hospital works closely with community members to determine areas of interest and need in healthcare services. In 2016 we completed a full Community Health Needs Assessment, including community focus groups, to better understand the community's health needs. |
| Part VI, Line 3: | Maple Grove Hospital 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. Maple Grove Hospital 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), Maple Grove Hospital was subject to Minnesota Attorney General requirements. The omissions and errors occurred when integrating 501(r) requirements with Minnesota Attorney General requirements. Upon discovery of the omissions, Maple Grove Hospital 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: | WE SERVE A 27 ZIP-CODE AREA IN THE NORTHWEST SIDE OF THE TWIN CITIES. THIS IS BASED ON THE HOME ZIP CODES FOR 80% OF OUR INPATIENT PATIENT POPULATION. WE WORK WITH THE COMMUNITY TO ADDRESS COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT. |
| Part VI, Line 5: | Maple Grove Hospital provides educational opportunities for community members to attend such as Health Care Directives, Kids Safety Fairs, and seminars on health topics. |
| Part VI, Line 6: | Maple Grove Hospital is a part of North Memorial Health System, which 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: | MAPLE GROVE HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF MINNESOTA. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | 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 | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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 | ||||||||||||||
| Board Chair | $0 | $705,969 | $0 | $279,409 | $0 | $7,125 | $0 | $18,550 | $0 | $30,161 | $0 | $1,041,214 | $0 | $0 |
| Tiffany Zitzewitz | ||||||||||||||
| Board Member | $0 | $250,000 | $0 | $66,144 | $0 | $976 | $0 | $18,550 | $0 | $22,169 | $0 | $357,839 | $0 | $0 |
| Kelly Macken-Marble | ||||||||||||||
| Board Member | $0 | $150,000 | $0 | $0 | $0 | $1,150 | $0 | $10,500 | $0 | $9,865 | $0 | $171,515 | $0 | $0 |
| Jeff Wicklander | ||||||||||||||
| Board Member | $0 | $369,481 | $0 | $141,792 | $0 | $1,522 | $0 | $18,550 | $0 | $25,490 | $0 | $556,835 | $0 | $0 |
| Aaron Bloomquist | ||||||||||||||
| Treasurer | $0 | $291,862 | $0 | $55,076 | $0 | $1,439 | $0 | $15,792 | $0 | $8,165 | $0 | $372,334 | $0 | $0 |
| Andrew Cochrane | ||||||||||||||
| President | $0 | $349,692 | $0 | $220,089 | $0 | $2,205 | $0 | $18,550 | $0 | $24,693 | $0 | $615,229 | $0 | $0 |
| Colleen Nadeau | ||||||||||||||
| VP Patient Care Operations | $180,076 | $0 | $44,101 | $0 | $532 | $0 | $4,606 | $0 | $1,110 | $0 | $230,425 | $0 | $0 | $0 |
| Pam Doorenbos | ||||||||||||||
| Medical Doctor | $175,982 | $0 | $31,978 | $0 | $321 | $0 | $0 | $0 | $6,910 | $0 | $215,191 | $0 | $0 | $0 |
| Sarah R Johnson | ||||||||||||||
| Director of Clinical Support | $151,641 | $0 | $42,692 | $0 | $169 | $0 | $7,773 | $0 | $15,137 | $0 | $217,412 | $0 | $0 | $0 |
| Karen Hall | ||||||||||||||
| Pharmacist | $173,756 | $0 | $19,392 | $0 | $245 | $0 | $6,385 | $0 | $15,132 | $0 | $214,910 | $0 | $0 | $0 |
| Megan Matack | ||||||||||||||
| Pharmacy Manager | $140,198 | $0 | $17,072 | $0 | $90 | $0 | $6,291 | $0 | $15,127 | $0 | $178,778 | $0 | $0 | $0 |
| Leah Wandersee | ||||||||||||||
| Director of Procedural Care | $137,979 | $0 | $25,202 | $0 | $1,231 | $0 | $6,527 | $0 | $6,450 | $0 | $177,389 | $0 | $0 | $0 |
| LOREN TAYLOR | ||||||||||||||
| Former Board Member | $0 | $0 | $0 | $30,155 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $30,155 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The Chief Executive Officer is an employee of North Memorial Health Care. Other board members listed with compensation from a related organization are officers and key employees of North Memorial Health Care who provide services to Maple Grove Hospital 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 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF MAPLE GROVE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 410873250 | BondIssuerEIN |
| CUSIP | 00056516M | CUSIPNum |
| Bond Issued | 2007-05-25 | BondIssuedDt |
| Issue Price | $149,139,758 | IssuePriceAmt |
| Purpose | Construction of a hospital facility | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | Yes (1) | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $12,675,000 | RetiredAmt |
| Total Proceeds | $149,139,758 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $2,686,779 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $146,452,979 | CapitalExpendituresAmt |
| Substantial Completion | 2009 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Date Rebate Computation Performed | FormAndLineReferenceDesc |
| Explanation | Issuer Name: CITY OF MAPLE GROVE Date the Rebate Computation was Performed: 06/05/2012 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 3 | North Memorial Health Care, a related party, performs management duties on behalf of Maple Grove Hospital. |
| Form 990, Part VI, Section A, line 6 | Maple Grove Hospital has one class of members. North Memorial Health Care ("North Memorial") and Fairview Health Services ("Fairview") are the only members of the Corporation and both members are nonprofit, tax-exempt organizations under Section 501(c)(3) of the Internal Revenue Code. |
| Form 990, Part VI, Section A, line 7a | The Board of Directors is comprised of seven voting directors and one non-voting director, as follows: (a) The chief executive officer of North Memorial and four other directors appointed annually by North Memorial (b) The chief executive officer of Fairview and one other director appointed annually by Fairview and (c) the Maple Grove Hospital Chief Executive Officer. |
| Form 990, Part VI, Section A, line 7b | The members, and only the members, may take direct action on the following matters by unanimous member approval: (a) Amendments to the Articles of Incorporation; (b) Amendments to the bylaws; (c) merger or consolidation of the corporation (d) sale, lease or transfer or other disposition of all or substantially all of the assets of the Corporation; (e) joint ventures affecting substantially all of the assets or operations of the Corporation; (f) determination of the name under which the Hospital conducts business; (g) certain mortgages or other security interests; (h) issuance of capital calls; and (i) dissolution and liquidation of the Corporation. |
| Form 990, Part VI, Section B, line 11b | The management company and the board of directors review the Form 990 before it is filed. Representatives from the hospital's independent accounting firm review the Form 990 with the management company in detail and notes for the committee any changes in the Form 990 from prior years. After thorough discussion, the management company approves the Form 990 and forwards it to the 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 are reviewed by the executive committee of North Memorial working in conjunction with an outside consultant. The executive committee of North Memorial insures that the salary and benefit administration review process is being followed, which includes salary and benefit surveys and comparisons of all positions. The CEO's compensation is sent to the full board for approval. The compensation of all other key positions is approved by the CEO. |
| Form 990, Part VI, Section C, line 19 | Governing documents and the conflict of interest policy are available upon request. Financial statements are available online through the office of the attorney general via the charity report filed with the state of Minnesota. |
| Form 990, Part IX, line 11g | MEDICAL FEES: Program service expenses 13,058,420. Management and general expenses 2,610,431. Fundraising expenses 0. Total expenses 15,668,851. COLLECTION AGENCY FEES: Program service expenses 211,909. Management and general expenses 42,361. Fundraising expenses 0. Total expenses 254,270. LAUNDRY FEES: Program service expenses 647,057. Management and general expenses 129,349. Fundraising expenses 0. Total expenses 776,406. SECURITY FEES: Program service expenses 484,963. Management and general expenses 96,946. Fundraising expenses 0. Total expenses 581,909. MISCELLANEOUS PURCHASED FEES: Program service expenses 1,317,026. Management and general expenses 263,279. Fundraising expenses 0. Total expenses 1,580,305. |
| Form 990, Part XI, line 9: | Return of Capital to members -23,100,000. |
| FORM 990, PART XII, LINE 2C: | Neither the oversight process of the audit or the selection process of the independent accountant changed during the current tax year. |
| Form 990, Part XI, Line 9: | Return of Capital to Members: A RETURN OF CAPITAL IN THE AMOUNT OF $23,100,000 WAS MADE TO the MEMBERS OF THE ORGANIZATION. THE MEMBERS CONSIST OF NORTH MEMORIAL HEATH CARE AND FAIRVIEW HEALTH SERVICES. ALL MEMBERS ARE REQUIRED TO BE NON-PROFIT, TAX EXEMPT ORGANIZATIONS UNDER IRC SECTION 501(C)(3) PER THE BYLAWS OF THE ORGANIZATION. |
| SCHEDULE H, PART V, SECTION B, LINE 11, CONTINUATION: | III. INCREASE AWARENESS OF OPIOID MISUSE AND WORK TO PUT SYSTEMS IN PLACE TO REDUCE THIS MISUSE STRATEGIES: -WORK WITH ICSI (INSTITUTE FOR CLINICAL IMPROVEMENT) ON PROGRAM DEVELOPMENT -CONTINUE INVOLVEMENT WITH PARTNERSHIP FOR CHANGE AND THE PRESCRIPTION DRUG MONITORING PROJECT -RESEARCH COMMUNITY BASED OPIOID ABUSE PREVENTION PROGRAMS PARTNERSHIPS THAT WILL BE USED TO ADDRESS THE ABOVE GOALS INCLUDE: PARTNERSHIP FOR CHANGE IS AN ORGANIZATION COMPRISED OF YOUTH, PARENTS, SCHOOLS, LAW ENFORCEMENT, AND COMMUNITY GROUPS THAT ARE WORKING TOGETHER TO REDUCE DRUG USE AMONG YOUTH AND YOUNG ADULTS IN NORTHWEST HENNEPIN COUNTY. THEIR FOCUS IS CHANGING THE COMMUNITY ENVIRONMENT THAT LEADS TO YOUTH SUBSTANCE USE BY IDENTIFYING AND IMPLEMENTING STRATEGIES THAT WILL AFFECT COMMUNITY ATTITUDES, PERCEPTIONS, AND BELIEFS AROUND ALCOHOL AND OTHER DRUGS. PARTNERSHIP FOR CHANGE SERVES THE BROOKLYN CENTER, OSSEO, AND ROBBINSDALE SCHOOL DISTRICTS, WHICH INCLUDE THE CITIES OF: BROOKLYN CENTER, BROOKLYN PARK, CRYSTAL, GOLDEN VALLEY, MAPLE GROVE, NEW HOPE, OSSEO, PLYMOUTH AND ROBBINSDALE. PARTNERSHIP FOR CHANGE'S MISSION IS TO LEVERAGE COMMUNITY PARTNERSHIPS TO PREVENT AND REDUCE ALCOHOL AND OTHER DRUG USE AMONG YOUTH AND REDUCE SUBSTANCE ABUSE IN THE COMMUNITY. PARTNERSHIP FOR CHANGE IS HOUSED OUT OF NORTH MEMORIAL HEALTH HOSPITAL'S TRAUMA DEPARTMENT. PARTNERS IN PREVENTION IS COMMITTED TO ENSURING THAT EACH AND EVERY CHILD IS SUPPORTED TO MAKE HEALTHY CHOICES. THEIR MISSION STATEMENT IS - BY COLLABORATING WITH COMMUNITY PARTNERS, WE WILL INFLUENCE THE REDUCTION OF SUBSTANCE USE AMONG OUR YOUTH IN OUR COMMUNITY. THEIR VISION IS THAT THE WAYZATA PUBLIC SCHOOLS COMMUNITY IS A HEALTHY, SUBSTANCE-FREE ENVIRONMENT WHERE EVERY CHILD IS CONNECTED TO A CARING ADULT. PARTNERS IN PREVENTION IS HOUSED OUT OF THE WAYZATA SCHOOL DISTRICT. BEHAVIORAL HEALTH CLINIC AT NORTH MEMORIAL 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 AND MAPLE GROVE 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. PRIORITY 3: HEALTHY AGING/SENIOR SERVICES GOAL - TO WORK TOGETHER WITH LOCAL GOVERNMENT, OTHER HEALTHCARE SYSTEMS, SOCIAL SERVICE PROVIDERS AND COMMUNITY MEMBERS TO CREATE AN ENVIRONMENT WHERE OUR AGING POPULATION CAN HAVE ACCESS TO THE PROGRAMS AND SERVICES NEEDED TO AGE IN PLACE. OBJECTIVES: I. ADDRESS COMMUNITY-BASED INFRASTRUCTURAL CHALLENGES THAT CREATE BARRIERS TO HEALTHY AGING IN MAPLE GROVE STRATEGIES: -CONTINUE WORKING WITH THE CITY OF MAPLE GROVE'S AGE-FRIENDLY MAPLE GROVE INITIATIVE II. IMPROVE EDUCATION ABOUT ADVANCE CARE PLANNING STRATEGIES: -OFFER A MINIMAL OF FOUR EVIDENCE BASED RESPECTING CHOICES PRESENTATION IN THE MAPLE GROVE COMMUNITY ASSESSMENT AREA -EXPLORE OFFERING A RESPECTING CHOICES TRAIN THE PRESENTER SESSION TO COMMUNITY PARTNERS THAT WOULD OFFER THE RESPECTING CHOICES CLASS TO THE WIDER COMMUNITY III. EXPLORE IMPLEMENTING A COMMUNITY BASED FALLS PREVENTION EDUCATION PROGRAM STRATEGIES: -LOOK INTO IMPLEMENTING THE STEPPING ON AND/OR MATTER OF BALANCE PROGRAMS IV. COMMIT MAPLE GROVE HOSPITAL SUPPORT AND RESOURCES TO WORK WITH COMMUNITY PARTNERS TO COLLECTIVELY IDENTIFY OPPORTUNITIES TO ADDRESS ISSUES AND CONDITIONS THAT AFFECT HEALTH AGING STRATEGIES: -OFFER FINANCIAL SUPPORT FOR THE CITY OF MAPLE GROVE'S AGE-FRIENDLY MAPLE GROVE INITIATIVE V. WORK WITH COMMUNITY PARTNERS TO REDUCE CONDITIONS THAT NEGATIVELY AFFECT THE MENTAL HEALTH OF SENIORS SUCH AS SOCIAL ISOLATION STRATEGIES: -CONTINUE WORKING WITH HENNEPIN COUNTY CHIP SOCIAL ISOLATION COMMITTEE -EXPLORE POTENTIAL PARTNERSHIPS WITH SOCIAL SERVICE GROUPS THAT ADDRESS SOCIAL ISOLATION PARTNERSHIPS THAT WILL BE USED TO ADDRESS HEALTHY AGING GOALS INCLUDE: AGE-FRIENDLY MAPLE GROVE IS DRIVEN BY THE COMMUNITY AND HOUSED IN THE CITY OF MAPLE GROVE. IT IS LED BY A GROWING COMMITTEE OF COMMUNITY VOLUNTEERS AND REPRESENTATIVES FROM HOSPITALS, SENIOR HOUSING FACILITIES, FAITH COMMUNITIES, SENIOR SERVICE PROVIDERS AND OTHERS. THE COMMITTEE USES THE WORLD HEALTH ORGANIZATION/AARP AGE-FRIENDLY FRAMEWORK TO GUIDE ITS WORK. AGE-FRIENDLY MAPLE GROVE JOINED THE AARP NETWORK OF AGE-FRIENDLY COMMUNITIES IN 2016. IT RECENTLY COMPLETED A COMMUNITY ASSESSMENT OF OLDER ADULT NEEDS, USING A FIVE-PART STRATEGY TO GATHER INPUT DIRECTLY FROM OLDER ADULTS AS WELL AS FROM COMMUNITY PARTNERS SUCH AS HEALTHCARE, THE POLICE AND FIRE DEPARTMENTS, COMMUNITY PARAMEDICS, AND SENIOR SERVICE PROVIDERS. NEXT STEP IS THE DEVELOPMENT OF AN ACTION PLAN. THIS EXCITING AND IMPORTANT INITIATIVE HAS BEEN STEADILY BUILDING MOMENTUM. FROM AN ENGAGED CITIZEN'S INITIAL CONVERSATIONS WITH THE CITY A FEW YEARS AGO TO AN INITIATIVE SUPPORTED BY THE CITY OF MAPLE GROVE. THIS INITIATIVE IS RESPONDING TO RAPID POPULATION AGING AND WORKING TO BECOME A GOOD PLACE FOR ALL RESIDENTS TO "GROW UP AND GROW OLD." RESPECTING CHOICES IS AN INTERNATIONALLY RECOGNIZED, EVIDENCE-BASED MODEL OF ADVANCE CARE PLANNING THAT CREATES A HEALTHCARE CULTURE OF PERSON-CENTERED CARE; CARE THAT HONORS AN INDIVIDUAL'S GOALS AND VALUES FOR CURRENT AND FUTURE HEALTHCARE. RESPECTING CHOICES COORDINATED, SYSTEMATIC APPROACH TO ADVANCE CARE PLANNING HAS BEEN SUCCESSFULLY REPLICATED IN DIVERSE COMMUNITIES AND CULTURES WORLDWIDE. THEIR MISSION IS GUIDE ORGANIZATIONS AND COMMUNITIES WORLDWIDE TO EFFECTIVELY IMPLEMENT AND SUSTAIN EVIDENCE-BASED SYSTEMS THAT PROVIDE PERSON-CENTERED CARE. STEP ON IS A SEVEN WEEK PROGRAM DESIGNED FOR PEOPLE WHO ARE LIVING AT HOME AND HAVE EXPERIENCED A FALL OR ARE CONCERNED ABOUT FALLING. THE STEPPING ON PROGRAM IS THOROUGHLY RESEARCHED AND IS PROVEN TO PREVENT FALLS. STEPPING ON INCORPORATES A PRACTICAL SET OF EXERCISES THAT WERE SPECIFICALLY DESIGNED TO IMPROVE STRENGTH AND BALANCE AND DELIVERS EXPERT PRESENTATIONS ON A VARIETY OF RELEVANT FALLS RELATED TOPICS INCLUDING VISION, HOME HAZARDS, MEDICINES, BONE HEALTH AND FOOTWEAR. MATTER OF BALANCE IS AN EIGHT SESSION AWARD-WINNING PROGRAM DESIGNED FOR OLDER ADULTS, 60 OR OLDER, WHO ARE CONCERNED ABOUT FALLS OR HAVE HAD A FALL IN THE PAST. THE MATTER OF BALANCE PROGRAM HAS A PROVEN TRACK RECORD OF DECREASING FEAR OF FALLS, DECREASING FALLS, INCREASED UNDERSTANDING OF FALLS CONTROL AND INCREASE IN EXERCISE LEVEL. MATTER OF BALANCE IS OFFERED THROUGH THE METROPOLITAN AREA AGENCY ON AGING. THE HEALTH PRIORITIES NOT BEING ADDRESSED DIRECTLY INCLUDE: -CANCER PREVENTION, SCREENING, HEALTHY SURVIVORS -NUTRITION/HEALTHY LIFESTYLES -INJURY PREVENTION ACROSS THE LIFESPAN -UNDERSTANDING OF IMMIGRANT CULTURES AND ISSUES RELATED TO HEALTH/DISPARITIES -YOUTH ENGAGEMENT EDUCATION ABOUT HEALTHCARE CAREERS, LEADERSHIP DEVELOPMENT -TRANSPORTATION/HEALTHCARE ACCESS 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. CANCER PREVENTION, SCREENING AND HEALTHY SURVIVORS IS BEING ADDRESSED IN THE AMERICAN CANCER SOCIETY AND THE CANCER CENTER AT NORTH MEMORIAL. NUTRITION AND HEALTHY LIFESTYLES IS BEING ADDRESSED BY MANY GROUPS SUCH AS THE AMERICAN CANCER SOCIETY, THE AMERICAN HEART ASSOCIATION, THE YMCA AND LOCAL PARK AND RECREATION ASSOCIATIONS. INJURY PREVENTION IS BEING ADDRESSED BY SAFE KIDS OUT OF NORTH MEMORIAL AND SENIOR INJURY PREVENTION IS BEING ADDRESSED THROUGH THE HEALTHY AGING/SENIOR SERVICES HEALTH PRIORITY. CULTURAL DIVERSITY IS BEING WOVEN INTO THE TOP THREE PRIORITIES. YOUTH HAVE ACCESS TO VOLUNTEER OPPORTUNITIES THROUGH MAPLE GROVE HOSPITAL'S VOLUNTEER DEPARTMENT. TRANSPORTATION IS BEING DISCUSSED AT THE COUNTY AND LOCAL LEVEL ALONG WITH THE HEALTHY AGING/SENIOR SERVICES PRIORITY. |
Schedule R IRS990ScheduleR
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 HEALTH CARE | |||||||||||
| 3300 Oakdale Avenue North | Robbinsdale | MN | 55422 | 410729979 | Acute Care | MN | 501(c)(3) | Line 3 | North Memorial | 0 | |
| NORTH MEMORIAL FOUNDATION | |||||||||||
| 3300 Oakdale Avenue North | Robbinsdale | MN | 55422 | 411777966 | FUNDRAISING | MN | 501(c)(3) | Line 7 | North Memorial | 0 | |
| Associated Health Assurance | |||||||||||
| 3300 Oakdale Avenue North | Robbinsdale | MN | 55422 | 980343815 | Insurance | 501(c)(3) | Line 12a, I | North Memorial | 0 | BD | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE LLC | |||||||
| 9855 HOSPITAL DRIVE | MAPLE GROVE | MN | 55369 | 260393039 | OUTPATIENT SURGERY | MN | N/A |
| MINNESOTA DIAGNOSTIC IMAGING PARTNERS LLC | |||||||
| 2955 XENIUM LANE SUITE 40 | PLYMOUTH | MN | 55441 | 352162215 | RADIOLOGY | MN | N/A |
| NORTH RADIATION THERAPY CENTER | |||||||
| 6950 FRANCE AVE S SUITE 200 | EDINA | MN | 55435 | 743069974 | RADIOLOGY | MN | N/A |
| BLAINE URGENCY CENTER LLC | |||||||
| 480 OSBORNE RD NE | FRIDLEY | MN | 55432 | 461630126 | URGENT CARE | MN | N/A |
| Plymouth City Center Medical Building | |||||||
| 5700 Smetana Drive Suite 120 | Minnetonka | MN | 55343 | 463883617 | Medical Office Building | MN | N/A |
| MInnetonka ambulatory surgery center | |||||||
| 3300 oakdale ave north | robbinsdale | MN | 55422 | 465653486 | outPATIENT SURGERY | MN | N/A |
| Crystal Imaging Center LLC | |||||||
| 2955 XENIUM LANE SUITE 40 | PLYMOUTH | MN | 55441 | 454265124 | RadIOLOGY | MN | N/A |
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 | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| OAKDALE HEALTH ENTERPRISES INC | |||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 411546422 | AMBULANCE | MN | N/A | C | 0 |
| NORTH COLLABORATIVE CARE | |||||||||
| 3300 Oakdale Avenue North | Robbinsdale | MN | 55422 | 461680666 | PRIMARY CARE | MN | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| North Memorial Health Care (cash transfer) | ||
| B | $17,325,000 | CASH |
| North Memorial Health Care (Debt Guarantee) | ||
| E | $98,138,016 | AMOUNT GUARANTEE |
| North Memorial Health Care (Lease payments) | ||
| K | $458,957 | AMOUNT PAID |
| North Memorial Health Care (Management fee) | ||
| R | $17,221,890 | AMOUNT PAID |
| North Memorial Health Care (Salary reimbursement) | ||
| P | $7,933,741 | AMOUNT PAID |
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