NORTH MEMORIAL HEALTH CARE: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
NORTH MEMORIAL HEALTH CARE (EIN 41-0729979)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-09
IRS object ID
201633149349301263
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-09T10:39:49-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Tilly Virchow Krause LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 S 6th St 2300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410729979EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1North Memorial Health CareBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone7635205200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 Oakdale Avenue NorthAddressLine1Txt
CityRobbinsdaleCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55422ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAaron BloomquistPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone7635205200PhoneNum
Signature2016-11-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLawrence H Mohr CPAPreparerPersonNm
PTINP00447603PTIN
Phone6128764500PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJ Kevin Croston MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 Oakdale Avenue NorthAddressLine1Txt
CityRobbinsdaleCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55422ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,020,554,972GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.northmemorial.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1954FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionEMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. WE VIEW PEOPLE WE SERVE AS CUSTOMERS, NOT PATIENTS, EMPOWERING THEM TO EXPECT THE BEST CARE, COMMUNICATE THEIR NEEDS AND ALLOWING US TO BE CREATIVE AND ACCOUNTABLE FOR MEETING THEIR NEEDS.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee5696TotalEmployeeCnt
Total Volunteers509TotalVolunteersCnt
Total Gross UBI$9,841,744TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$932,227NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$755,248PYContributionsGrantsAmt
CY Contributions Grants$605,846CYContributionsGrantsAmt
PY Program Service Revenue$655,017,004PYProgramServiceRevenueAmt
CY Program Service Revenue$708,020,979CYProgramServiceRevenueAmt
PY Investment Income$18,475,881PYInvestmentIncomeAmt
CY Investment Income$5,546,644CYInvestmentIncomeAmt
PY Other Revenue-$1,569,444PYOtherRevenueAmt
CY Other Revenue-$804,498CYOtherRevenueAmt
PY Total Revenue$672,678,689PYTotalRevenueAmt
CY Total Revenue$713,368,971CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$405,110,904PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$432,738,440CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$269,506,611PYOtherExpensesAmt
CY Other Expenses$283,578,372CYOtherExpensesAmt
PY Total Expenses$674,617,515PYTotalExpensesAmt
CY Total Expenses$716,316,812CYTotalExpensesAmt
PY Revenues Less Expenses-$1,938,826PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,947,841CYRevenuesLessExpensesAmt
Total Assets BOY$598,327,991TotalAssetsBOYAmt
Total Assets EOY$562,852,611TotalAssetsEOYAmt
Total Liabilities BOY$244,073,385TotalLiabilitiesBOYAmt
Total Liabilities EOY$223,747,920TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$354,254,606NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$339,104,691NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionEMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. WE VIEW PEOPLE WE SERVE AS CUSTOMERS, NOT PATIENTS, EMPOWERING THEM TO EXPECT THE BEST CARE, COMMUNICATE THEIR NEEDS AND ALLOWING US TO BE CREATIVE AND ACCOUNTABLE FOR MEETING THEIR NEEDS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$620,521,641ExpenseAmt
Revenue$644,510,393RevenueAmt
DescNORTH MEMORIAL HEALTH CARE (NMHC) IS A GENERAL ACUTE CARE HOSPITAL PROVIDING HIGHLY SPECIALIZED TRAUMA AND EMERGENCY SERVICES, CORONARY CARE, OPEN HEART SURGERY, ONCOLOGY, HIGH RISK MATERNITY AND NEONATAL CARE, AND GENERAL MEDICAL: SURGICAL, OBSTETRICAL, PEDIATRIC, REHABILITATION, BEHAVIORAL HEALTH, MEDICAL TRANSPORTATION AND HOME HEALTH AND HOSPICE SERVICES. IN ADDITION TO CHARITY AND UNCOMPENSATED CARE, NMHC ALSO PROVIDES NUMEROUS COMMUNITY BENEFITS (AT NO COST OR BELOW COST) IN FURTHERANCE OF ITS CHARITABLE PURPOSE. NORTH MEMORIAL PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY, INCLUDING OFFERING VARIOUS COMMUNITY BASED PROGRAMS, SUCH AS HEALTH SCREENINGS, SUPPORT COUNSELING FOR PARENTS AND FAMILIES, PASTORAL CARE, CRISIS INTERVENTION, TRANSPORTATION TO AND FROM THE HOSPITAL CAMPUSES, AND THE DONATION OF SPACE FOR USE BY COMMUNITY GROUPS. ADDITIONALLY A LARGE NUMBER OF HEALTH-RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS, UNREIMBURSED COSTS OF MEDICAL EDUCATION, TELEPHONE INFORMATION SERVICES, AND COST RELATED TO PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY. NORTH MEMORIAL ALSO PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COSTS TO RESIDENTS OF ITS COMMUNITY, PRIMARILY THROUGH (A) THE DIFFERENCE BETWEEN PUBLIC PROGRAM PAYMENTS (PRIMARILY MEDICARE AND MEDICAID) AND THE RELATED COSTS OF PROVIDING SUCH SERVICES, AND (B) SERVICES PROVIDED TO PATIENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE DETERMINED UNABLE TO PAY BECAUSE OF ECONOMIC FACTORS. IN ADDITION, NORTH MEMORIAL CONTRIBUTES TO FUNDING MEDICAL CARE FOR THE UNINSURED THROUGH PAYMENT OF PATIENT SERVICE TAXES, WHICH INCLUDE THE MEDICAID SURCHARGE AND THE MINNESOTA CARE TAX ON CERTAIN NET REVENUE.Desc
Total Program Service Expenses$620,521,641TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document514IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee5696EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryBDForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Aaron BloomquistBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7635205200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 Oakdale Avenue NorthAddressLine1Txt
CityRobbinsdaleCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55422ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Michael Steinhauser
Chairman of Board, Past april 20152.000.00Yes (X)Yes (X)$0$0$0
Robert Potts
Chairman of Board, part year2.000.00Yes (X)Yes (X)$900$0$0
Timothy Baylor
Board Member2.000.00Yes (X)$3,600$0$0
Scott Colson MD
Board Member2.000.00Yes (X)$3,600$0$0
Robert Dahl
Board Member2.000.00Yes (X)$3,600$0$0
Warren Mack
Board Member2.000.00Yes (X)$3,600$0$0
Patrick McHale
Board Member2.000.00Yes (X)$0$0$0
Robert N Prentiss Jr
Board Member2.000.00Yes (X)$3,600$0$0
Rahul Tamhane MD
Board Member2.000.00Yes (X)$3,600$0$0
Ted Ferrara
Board Member2.000.00Yes (X)$3,600$0$0
Kevin S Raff MD
Board Member2.000.00Yes (X)$3,600$0$0
Laurie Lafontaine
Board Member2.000.00Yes (X)$3,600$0$0
Dana Carlson
Board Member2.000.00Yes (X)$900$0$0
LOREN TAYLOR
CEO North Memorial, part year**42.0010.00Yes (X)Yes (X)$488,513$0$25,829
J Kevin Croston MD
CEO North Memorial**42.0010.00Yes (X)Yes (X)$937,930$0$47,707
Todd Ostendorf
VP Finance, CFO**42.0010.00Yes (X)$518,356$0$44,328
David Abrams
VP Human Resources**42.0010.00$369,450$0$32,904Yes (X)
Aaron Bloomquist
VP Payer Strategy**42.0010.00$151,086$0$8,816Yes (X)
Andrew Cochrane
CEO - Maple Grove Hospital0.0050.00$527,057$0$43,397Yes (X)
Patrick Coyne
VP Medical Transportation50.000.00$259,788$0$32,940Yes (X)
Brendon Cullinan
VP Mental Health50.000.00$315,656$0$12,749Yes (X)
Andrew Houlton
VP Medical Affairs50.000.00$516,899$0$40,442Yes (X)
Laura Latt
VP Operations50.000.00$190,226$0$22,335Yes (X)
Kelly Macken-Marble
President of Population Health50.000.00$369,512$0$33,612Yes (X)
Craig Matticks
Staff Emergency Physician**42.0010.00$598,337$0$46,234Yes (X)
Colleen Nadeau
VP Patient Care Operations0.0050.00$0$203,333$7,200Yes (X)
Saurin Patel
Chief Medical Officer50.000.00$369,791$0$33,296Yes (X)
Kent Spaulding
VP Chief Development Officer50.000.00$238,386$0$31,580Yes (X)
Patrick Taffe
Chief Information Officer**42.0010.00$389,850$0$37,834Yes (X)
Kelly White
VP Inpatient Care/CNO50.000.00$304,296$0$39,441Yes (X)
JEFF WICKLANDER
President of North Memorial50.000.00$462,441$0$42,971Yes (X)
Tiffany Zitzewitz
VP Business Development**42.0010.00$373,289$0$40,917Yes (X)
COREY OLSON
VP OPERATIONS, AMBULATORY SERVICES50.000.00$266,818$0$7,378Yes (X)
Thomas Koenig MD
Gastroenterologist50.000.00$874,976$0$45,566Yes (X)
Alok Maheshwari MD
Cardiologist50.000.00$888,079$0$47,282Yes (X)
Gregory Mevissen MD
Gastroenterologist50.000.00$866,323$0$45,566Yes (X)
Hashim Nemat MD
Gastroenterologist50.000.00$1,252,747$0$46,017Yes (X)
Steven Roh MD
Cardiologist50.000.00$857,550$0$47,282Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$12,421,556TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$203,333TotReportableCompRltdOrgAmt
Total Other Compensation$863,623TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K649IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NORTH CLINIC
3366 OAKDALE AVE N 601ROBBINSDALEMN55422PHYsician services$14,146,869
DJ KRANZ COMPANY INCORPORATED
725 HIGHWAY 169 NORTHPLYMOUTHMN554416403CONSTRUCTION$12,013,147
RESPIRATORY CONSULTANTS PA
3366 OAKDALE AVE N 605ROBBINSDALEMN55422INTENSIVISTS STAFFING$3,357,547
Favorite Nurses
PO Box 803356Kansas CityMO641803356Nurse Staffing$3,293,298
Crothall Laundry Service INc
13028 Collections Center DriveChicagoIL60693Laundry Services$2,070,204
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K40CntrctRcvdGreaterThan100KCnt
Related Organizations$346,727RelatedOrganizationsAmt
All Other Contributions$259,119AllOtherContributionsAmt
Noncash Contributions$10,203NoncashContributionsAmt
Total Contributions$605,846TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
HOSPITAL PATIENT REVENUE621500$652,300,586$642,458,842$9,841,744
contract revenue900099$35,640,507$35,640,507
EHR/MEDICARE & other900099$9,178,323$9,178,323
PHARMACY900099$4,760,611$4,760,611
JOINT VENTURE REVENUE900099$2,856,049$2,856,049

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,284,903TotalRevenueColumnAmt
Exclusion$3,284,903ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$708,020,979TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,180,912TotalRevenueColumnAmt
Exclusion$6,180,912ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$885TotalRevenueColumnAmt
Exclusion$885ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$10,835,137RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$11,639,635RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$804,498RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$804,498TotalRevenueColumnAmt
Related Or Exempt Func Income-$804,498RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$294,702,826SecuritiesAmt
Other$208,387OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$287,646,930SecuritiesAmt
Other$7,899,436OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$7,055,896SecuritiesAmt
Other-$7,691,049OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$635,153TotalRevenueColumnAmt
Exclusion-$635,153ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$713,368,971TotalRevenueColumnAmt
Related Or Exempt Func Income$644,510,393RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$9,841,744UnrelatedBusinessRevenueAmt
Exclusion$58,410,988ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,078,533TotalAmt
Management And General$9,078,533ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$340,262,297TotalAmt
Program Services$296,028,198ProgramServicesAmt
Management And General$44,234,099ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$21,432,054TotalAmt
Program Services$18,645,887ProgramServicesAmt
Management And General$2,786,167ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$40,015,186TotalAmt
Program Services$34,813,212ProgramServicesAmt
Management And General$5,201,974ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$21,950,370TotalAmt
Program Services$19,096,822ProgramServicesAmt
Management And General$2,853,548ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,060,096TotalAmt
Program Services$2,662,284ProgramServicesAmt
Management And General$397,812ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$279,508TotalAmt
Program Services$243,172ProgramServicesAmt
Management And General$36,336ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$108,127TotalAmt
Management And General$108,127ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$890,034TotalAmt
Management And General$890,034ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$63,311,908TotalAmt
Program Services$57,218,912ProgramServicesAmt
Management And General$6,092,996ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,423,638TotalAmt
Program Services$3,069,915ProgramServicesAmt
Management And General$353,723ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,912,827TotalAmt
Program Services$8,624,159ProgramServicesAmt
Management And General$1,288,668ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,806,697TotalAmt
Program Services$9,401,826ProgramServicesAmt
Management And General$1,404,871ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$19,492,805TotalAmt
Program Services$16,958,740ProgramServicesAmt
Management And General$2,534,065ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,415,433TotalAmt
Program Services$2,971,427ProgramServicesAmt
Management And General$444,006ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$30,218,978TotalAmt
Program Services$26,280,751ProgramServicesAmt
Management And General$3,938,227ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,754,240TotalAmt
Program Services$5,006,189ProgramServicesAmt
Management And General$748,051ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies$83,077,415$72,277,351$10,800,064
BAD DEBT EXPENSE$19,196,958$19,196,958
MAINTENANCE & REPAIR$12,344,745$10,739,928$1,604,817
GOVERNMENT TAXES$11,142,074$11,142,074

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,142,889TotalAmt
Program Services$6,143,836ProgramServicesAmt
Management And General$999,053ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$716,316,812TotalAmt
Program Services$620,521,641ProgramServicesAmt
Management And General$95,795,171ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,174BOYAmt
EOY$12,974EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,970,298BOYAmt
EOY$1,339,416EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$128,351BOYAmt
EOY$111,421EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$97,938,989BOYAmt
EOY$96,461,938EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$6,250,000BOYAmt
EOY$6,662,500EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,391,600BOYAmt
EOY$6,994,931EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,505,563BOYAmt
EOY$5,298,992EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$626,707,109LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$416,782,141LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$205,954,796BOYAmt
EOY$209,924,968EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$214,845,345BOYAmt
EOY$209,773,979EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$42,745,377BOYAmt
EOY$49,657,192EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,585,498BOYAmt
EOY-$23,385,700EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$598,327,991BOYAmt
EOY$562,852,611EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$80,221,606BOYAmt
EOY$79,111,566EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$418,209BOYAmt
EOY$433,483EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$131,974,673BOYAmt
EOY$121,200,303EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,458,897BOYAmt
EOY$23,002,568EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$244,073,385BOYAmt
EOY$223,747,920EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$354,254,606BOYAmt
EOY$339,104,691EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$354,254,606BOYAmt
EOY$339,104,691EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$598,327,991BOYAmt
EOY$562,852,611EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,947,841ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$12,202,074NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$40,000GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$65,000DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$3,127OtherActivitiesAmt
Total Lobbying Expenditures$108,127TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,591,423BeginningYearBalanceAmt
Investment Earnings Or Losses$17,322InvestmentEarningsOrLossesAmt
Other Expenditures$1,405,602OtherExpendituresAmt
End Year Balance$2,203,143EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,446,092BeginningYearBalanceAmt
Contributions$76,703ContributionsAmt
Investment Earnings Or Losses$118,858InvestmentEarningsOrLossesAmt
Other Expenditures$50,230OtherExpendituresAmt
End Year Balance$3,591,423EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,251,229BeginningYearBalanceAmt
Contributions$72,500ContributionsAmt
Investment Earnings Or Losses$71,751InvestmentEarningsOrLossesAmt
Other Expenditures$12,813OtherExpendituresAmt
End Year Balance$2,382,667EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.95520PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.04480TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,201,706OtherCostOrOtherBasisAmt
Book Value$16,201,706BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$241,729,225OtherCostOrOtherBasisAmt
Depreciation$135,871,990DepreciationAmt
Book Value$105,857,235BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,404,027OtherCostOrOtherBasisAmt
Depreciation$11,638,863DepreciationAmt
Book Value$2,765,164BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$341,753,249OtherCostOrOtherBasisAmt
Depreciation$262,448,021DepreciationAmt
Book Value$79,305,228BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,618,902OtherCostOrOtherBasisAmt
Depreciation$6,823,267DepreciationAmt
Book Value$5,795,635BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$209,924,968TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
RREEF America REIT II$25,785,187F
Mellon Aggregate bond index fund$20,669,062F
Cash on deposit with bond trustee$837,107F
Agency account$89,836F
CASUALTY INSURANCE SECURITY$2,276,000F
FieldValueIRS element (for citing)
Total Book Value Securities$49,657,192TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
Executive pension plan$3,716,065
Restoration pension plan$60,503
Defined Benefit Pension Plan$14,805,964
Post retirement health insurance$1,428,745
CAA deposit reserve$163,076
settlements and claims payable$161,548
Deferred Income Long Term$2,666,667
FieldValueIRS element (for citing)
Total Liability$23,002,568TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:ALL ENDOWMENT FUNDS ARE HELD BY A RELATED ENTITY: NORTH MEMORIAL FOUNDATION. 1) RALPH ROSSEN ENDOWMENT: THIS ENDOWMENT WAS ESTABLISHED IN 1986 TO PROVIDE RECOGNITION TO NURSING STAFF THAT PROVIDE REMARKABLE SERVICE TO NORTH MEMORIAL PATIENTS AND THEIR FAMILIES. MEMBERS OF THE ROSSEN FAMILY SERVE ON A COMMITTEE ALONG WITH THE VP AND CHIEF NURSING OFFICER OF NORTH MEMORIAL TO SELECT THE RECIPIENTS. 2) HAROLD B. KAISER HONORARY LECTURESHIP ENDOWMENT: DR KAISER IS THE FOUNDER OF ALLERGY & ASTHMA SPECIALISTS, P.A. ESTABLISHED IN 1966. THE HAROLD B KAISER HONORARY LECTURESHIP ENDOWMENT PROVIDES FUNDING FOR A KEYNOTE SPEAKER FOR THE ANNUAL ALLERGY & ASTHMA CONFERENCE HELD IN THE MINNEAPOLIS AREA IN MARCH. 3) HAROLD ECKER ENDOWMENT: ESTABLISHED IN 1994 IN HONOR OF THE EXCELLENT CARE THAT MR. ECKER RECEIVED AS A PATIENT AT NORTH MEMORIAL, THE HAROLD ECKER ENDOWMENT PROVIDES A $500 AWARD TO THREE NORTH MEMORIAL EMPLOYEES RECOGNIZING THEIR OUTSTANDING PERFORMANCE AND PERSONAL ATTITUDE. THE AWARD IS OPENED TO ALL EMPLOYEES AND THE WINNERS ARE SELECTED BY A COMMITTEE OF NORTH MEMORIAL EMPLOYEES AND PRESENTED AT THE ANNUAL QUALITY AWARDS LUNCHEON IN NOVEMBER EACH YEAR. 4) RESIDENTIAL HOSPICE ENDOWMENT: THE RESIDENTIAL HOSPICE ENDOWMENT WAS ESTABLISHED BY DR. JOHN AND PATTY MANION TO PROVIDE ASSISTANCE TO THE RESIDENTIAL HOSPICE PROGRAM AT NORTH MEMORIAL. FUNDS ARE USED TO UPGRADE THE FACILITIES AND EQUIPMENT AT THE NORTH RESIDENTIAL HOSPICE FACILITY IN BROOKLYN CENTER, PROVIDE ADDITIONAL PROGRAM SUPPORT, STAFF TRAINING AND TO ASSIST THOSE FAMILIES THAT CANNOT AFFORD THIS SERVICE. 5) HELEN MURRAY MEMORIAL ENDOWMENT THIS ENDOWMENT WAS ESTABLISHED WITH AN IRREVOCABLE CHARITABLE REMAINDER TRUST BY JEANNE MITHUN TO RECOGNIZE THE OUTSTANDING SERVICE THAT NORTH RESIDENTIAL HOSPICE PROVIDED TO HER MOTHER (HELEN MURRAY) AND HER FAMILY. FUNDS ARE USED TO PROVDE CARE TO INDIVIDUALS UNABLE TO PAY FOR SERVICES AT THE FACILITY. 6) PAY IT FORWARD THE PAY IT FORWARD FUND WAS ESTABLISHED BY BREAST CANCER SURVIVOR MICHELLE MOREY AND HER HUSBAND SCOTT BISSEN. MICHELLE RECOGNIZED A NEED TO HELP WOMEN STRUGGLING FINANCIALLY WHILE GOING THROUGH CANCER TREATMENT. PATIENTS ELIGIBLE FOR ASSISTANCE ARE FROM NORTH MEMORIAL, UNITY AND MONTICELLO HOSPITALS. THE FUND was ADMINISTERED AT NO FEE THROUGH THE NORTH MEMORIAL FOUNDATION. DURING 2015, NORTH MEMORIAL CEASED ADMINISTRATING THE FUND AND THE ASSETS ASSOCIATED WITH PAY IT FORWARD AND THE ASSETS ARE NO LONGER INCLUDED IN THE ENDOWMENT FUND BALANCE. 7) 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. 8) MAPLE GROVE MEDICAL STAFF ENDOWMENT WAS ESTABLISHED IN 2013 BY THE MAPLE GROVE MEDICAL STAFF EXECUTIVE COMMITTEE. PROCEEDS FROM THE ENDOWMENT WILL FUND MAPLE GROVE PROGRAMS.
Part X, Line 2:NORTH MEMORIAL EVALUATES ITS UNCERTAIN POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2015 OR 2014.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,053,537TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,053,537NetCommunityBenefitExpnsAmt
Total Expense0.01260TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$97,822,903TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$66,866,231DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,956,672NetCommunityBenefitExpnsAmt
Total Expense0.04320TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$106,876,440TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$66,866,231DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,010,209NetCommunityBenefitExpnsAmt
Total Expense0.05580TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,302,236TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$112,898DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,189,338NetCommunityBenefitExpnsAmt
Total Expense0.00450TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,918,650TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$252,459DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,666,191NetCommunityBenefitExpnsAmt
Total Expense0.00790TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$47,821,968TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,774,233DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,047,735NetCommunityBenefitExpnsAmt
Total Expense0.02380TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$94,412TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,556DirectOffsettingRevenueAmt
Net Community Benefit Expns$92,856NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$841,810TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$841,810NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$57,979,076TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,141,146DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,837,930NetCommunityBenefitExpnsAmt
Total Expense0.03750TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$164,855,516TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$98,007,377DirectOffsettingRevenueAmt
Net Community Benefit Expns$66,848,139NetCommunityBenefitExpnsAmt
Total Expense0.09330TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$7,415,225BadDebtExpenseAmt
Reimbursed By Medicare$151,439,336ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$202,780,470CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$51,341,134MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (14 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Maple Grove Hospital
Hospital0.750000.000000.00000
2 NM Surgery Center Maple Grove
Outpatient surg ctr0.500000.000000.50000
3 MN Diagnostic Imaging Partners
Outpatient imaging ctr0.600000.000000.40000
4 Preferred One Administrative Services
Claims administrator0.250000.000000.25000
5 Preferred One Community Health Plan
Insurance Company0.500000.000000.00000
6 Institute of Athletic Medicine
Clinic0.370000.000000.00000
7 Monticello Cancer Center
Optnt cancer clinic0.400000.000000.00000
8 North Radiation Oncology
Optnt radiation onc clnc0.500000.000000.50000
9 BLAINE URGENCY CENTER
URGENT CARE0.500000.000000.50000
10 PLYMOUTH CITY CENTER MEDICAL BUILDING
MEDICAL OFFICE BUILDING0.500000.000000.00000
11 MINNETONKA AMBULATORY SURGERY CENTER
Outpatient Surgery Center0.760000.000000.00000
12 BLAINE AMBULATORY SURGERY CENTER
Outpatient Surgery Center0.100000.000000.00000
14 Crystal Imaging Center
MedICAL OFFICE BUILDING0.500000.000000.50000
15 FAIRVIEW HOME INFUSION
OPTNT Infusion Clinic0.490000.000000.00000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH MEMORIAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 Oakdale Avenue NorthAddressLine1Txt
CityRobbinsdaleCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55422ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.NORTHMEMORIAL.COMWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTH MEMORIAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.northmemorial.comOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.northmemorial.comStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.NORTHMEMORIAL.COMFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
NORTH MEMORIAL MEDICAL CENTERPart V, Section B, Line 5: One of the key objectives in conducting the 2013 CHNA was to identify health issues most important to our community members. This was accomplished in several ways. North Memorial Health Care convened 4 focus groups from target populations from throughout the community. We further interviewed community leaders representing local government, law enforcement, education, religious organization, public health and community-based organizations. Lastly, we conducted an online survey for community members and North Memorial employees. We retained an outside consulting firm to lead the focus groups. A new Community Health Needs Assessment will be conducted in 2016.
NORTH MEMORIAL MEDICAL CENTERPart V, Section B, Line 11: SEE SCHEDULE O
NORTH MEMORIAL MEDICAL CENTERPart V, Section B, Line 22d: The Minnesota Attorney General's Office requires hospitals to render services to those patients who do not have insurance at a reduced rate equal to the discount incurred from the highest volume managed care plan.
NORTH MEMORIAL MEDICAL CENTERPart 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.
FieldValueIRS element (for citing)
Facility7FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - MINNESOTA DIAGNOSTIC IMAGING PARTNERS
2955 XENIUM LANE SUITE 40PLYMOUTHMN55441OUTPATIENT RADIOLOGY
2 - BLAINE URGENCY CENTER
480 OSBORNE RD NEFRIDLEYMN55432URGENT CARE
3 - NM Surgery Center Maple Grove
9875 HOSPITAL DRIVEMAPLE GROVEMN55369OUTPATIENT SURGERY
4 - NORTH RADIATION THERAPY CENTER
6950 FRANCE AVE S SUITE 200EDINAMN55435OUTPATIENT RADIOLOGY
5 - MINNETONKA AMBULATORY SURGERY CENTER
15450 HIGHWAY 7 SUITE 200MINNETONKAMN55345OUTPATIENT SURGERY
6 - BLAINE AMBULATORY SURGERY CENTER
11855 ULYSSES ST NEBLAINEMN55434OUTPATIENT SURGERY
7 - CRYSTAL IMAGING CENTER
5700 BOTTINEAU BLVDCRYSTALMN55429OUTPATIENT RADIOLOGY

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III, Line 2:AMOUNT REPRESENTS THE HOSPITAL'S BAD DEBT PROVISION REDUCED BY THE HOSPITAL'S COST TO CHARGE RATIO WHICH REPRESENTS THE BEST ESTIMATE OF COST FOR THE BAD DEBT PROVISION.
Part III, Line 4:North Memorial's audited financial statements do not include a footnote description about bad debt expense. The cost to charge ratio was used to determine the amount on Part III, section A, line 2. We do not have the information necessary to determine which portion of the amount reported on line 2 is community benefit.
Part III, Line 8:The shortfall reported represents the amount Medicare reimbursement is less than the estimated cost of providing services to those patients. The method used to estimate those costs is the Cost to Charge Ratio approach which calculates the ratio of total hospital costs / total hospital gross revenue and them applies that ratio to total Medicare gross revenue.
Part III, Line 9b:North Memorial has policies and procedures in place for collection practices that include identification and screening for charity care and financial assistance. The policies are available on the Organizations intranet and pertain to all entities under the North Memorial corporate umbrella.
Part VI, Line 2:NORTH MEMORIAL WORKS CLOSELY WITH THE COMMUNITY HEALTH STEERING COMMITTEE MEMBERS TO DETERMINE AREAS OF NEED AND COMMUNITY HEALTH CONCERNS. OUR COMMUNITY HEALTH OUTREACH MANAGER IS A MEMBER OF THE HENNEPIN COUNTY COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP STEERING COMMITTEE WHICH ALLOWS NORTH MEMORIAL MEDICAL CENTER TO BE INVOLVED IN KEY COMMUNITY HEALTH ISSUES. A NEW COMMUNITY HEALTH NEEDS ASSESSMENT WILL BE CONDUCTED IN 2016.
Part VI, Line 3:North Memorial Health Care has a very proactive program to assist uninsured and underinsured patients with their medical bills. We comply with the Attorney General's requirement to provide an immediate discount to uninsured Minnesota residents. 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.Our Charity Care Program is published in the Corporate Policies and Procedures and provides for 100% coverage of medical bills for anyone whose income is less than 200% of the Federal Poverty Guidelines and needs assistance in resolving their financial obligation to the hospital. There is a gradual reduction in the Charity coverage between the 201% and 400% of the Federal Poverty Guidelines.If we are unable to meet with the patient before discharge from North Memorial, the patient is given a pamphlet that lists contact numbers to our Business Office Customer Service area to discuss options for assistance with their medical bills. This contact information is also provided on every statement that is sent to our customers. 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.
Part VI, Line 4:North Memorial serves a geographic area that includes 42 zip codes in the northwest quadrant of the Twin Cities metro. This service area includes both urban, suburban, ex-urban, and rural areas. This service area includes a diverse population of more than 900,000 people living in Hennepin, Wright, Sherburne and Ramsey counties.
Part VI, Line 5:North Memorial Medical Center is a general acute care hospital providing specialized trauma and emergency services, cardiovascular and open heart services, oncology, high risk maternity and neonatal care, and general medical-surgical, obstetrical, pediatric, rehabilitative and behavioral services. NMHC also provides an array of health care services to our community including primary care, ambulance transportation and Home Health and Hospice services. North Memorial is governed by a board of 15 representatives consisting of physicians and various leaders from throughout the community. Board members are elected to serve three-year terms for a total of five terms. The Medical Center also supports an open medical staff organization including approximately 900 board certified physicians and 300 allied health professionals. The North Memorial Board of Trustees establishes an annual margin target for management. Per board policy 75% of any excess available cash flow is reinvested in the form of capital improvements to the center. The remaining 25% is reinvested to support long term operations. We provide education to the community on child safety, stroke risk factors, heart disease risk factors and other health promotion information.
Part VI, Line 6:NORTH MEMORIAL HEALTH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. THROUGH TARGETED OUTREACH, EDUCATION AND PARTNERSHIPS, WE IMPROVE THE HEALTH OF OUR COMMUNITIES BY LISTENING TO THEIR NEEDS AND RESPONDING WITH APPROPRIATE PROGRAMS AND SERVICES. OUR PROGRAMS, MANY OF WHICH HAVE BEEN NATIONALLY RECOGNIZED, RANGE FROM HEALTH EDUCATION AND FREE SCREENINGS TO TRAINING HEALTH PROFESSIONALS.
Part VI, Line 7:NORTH MEMORIAL HEALTH CARE FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF MINNESOTA.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LOREN TAYLOR
CEO North Memorial, part year**$208,239$0$272,516$0$7,758$0$18,550$0$7,279$0$514,342$0$0$0
J Kevin Croston MD
CEO North Memorial**$597,577$0$335,538$0$4,815$0$18,550$0$29,157$0$985,637$0$0$0
Todd Ostendorf
VP Finance, CFO**$362,712$0$153,673$0$1,971$0$18,937$0$25,391$0$562,684$0$0$0
David Abrams
VP Human Resources**$258,365$0$67,950$0$43,135$0$18,810$0$14,094$0$402,354$0$0$0
Aaron Bloomquist
VP Payer Strategy**$150,446$0$0$0$640$0$5,080$0$3,736$0$159,902$0$0$0
Andrew Cochrane
CEO - Maple Grove Hospital$342,692$0$181,758$0$2,607$0$18,550$0$24,847$0$570,454$0$0$0
Patrick Coyne
VP Medical Transportation$204,496$0$51,690$0$3,602$0$15,345$0$17,595$0$292,728$0$0$0
Brendon Cullinan
VP Mental Health$107,448$0$0$0$208,208$0$3,447$0$9,302$0$328,405$0$0$0
Andrew Houlton
VP Medical Affairs$361,229$0$150,010$0$5,660$0$18,550$0$21,892$0$557,341$0$0$0
Laura Latt
VP Operations$165,000$0$24,750$0$476$0$13,406$0$8,929$0$212,561$0$0$0
Kelly Macken-Marble
President of Population Health$314,232$0$53,803$0$1,477$0$13,212$0$20,400$0$403,124$0$0$0
Craig Matticks
Staff Emergency Physician**$533,749$0$60,982$0$3,606$0$18,550$0$27,684$0$644,571$0$0$0
Colleen Nadeau
VP Patient Care Operations$0$174,131$0$28,560$0$642$0$5,067$0$2,133$0$210,533$0$0
Saurin Patel
Chief Medical Officer$368,942$0$0$0$849$0$10,600$0$22,696$0$403,087$0$0$0
Kent Spaulding
VP Chief Development Officer$184,627$0$53,115$0$644$0$11,111$0$20,469$0$269,966$0$0$0
Patrick Taffe
Chief Information Officer**$266,057$0$115,803$0$7,990$0$18,550$0$19,284$0$427,684$0$0$0
Kelly White
VP Inpatient Care/CNO$218,077$0$85,641$0$578$0$18,040$0$21,401$0$343,737$0$0$0
JEFF WICKLANDER
President of North Memorial$313,948$0$147,381$0$1,112$0$18,899$0$24,072$0$505,412$0$0$0
Tiffany Zitzewitz
VP Business Development**$259,615$0$113,000$0$674$0$18,550$0$22,367$0$414,206$0$0$0
COREY OLSON
VP OPERATIONS, AMBULATORY SERVICES$95,585$0$0$0$171,233$0$2,455$0$4,923$0$274,196$0$0$0
Thomas Koenig MD
Gastroenterologist$483,068$0$389,008$0$2,900$0$18,550$0$27,016$0$920,542$0$0$0
Alok Maheshwari MD
Cardiologist$811,771$0$73,415$0$2,893$0$18,550$0$28,732$0$935,361$0$0$0
Gregory Mevissen MD
Gastroenterologist$496,298$0$363,456$0$6,569$0$18,550$0$27,016$0$911,889$0$0$0
Hashim Nemat MD
Gastroenterologist$483,068$0$768,376$0$1,303$0$18,550$0$27,467$0$1,298,764$0$0$0
Steven Roh MD
Cardiologist$780,771$0$73,415$0$3,364$0$18,550$0$28,732$0$904,832$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aTHE ORGANIZATION REIMBURSES ONE OF THE EXECUTIVE MEMBERS FOR THE MONTHLY SOCIAL DUES AT THE GOLDEN VALLEY COUNTRY CLUB. THE DUES FOR 2015 WERE $90 PER MONTH OR $1,080 PER YEAR. THE NORTH MEMORIAL COMMUNITY FOUNDATION UTILIZES THE COUNTRY CLUB TO HOST VARIOUS FUNDRAISING EVENTS THROUGH-OUT THE YEAR THAT SUPPORT VARIOUS ACTIVITIES FOR NORTH MEMORIAL.
Part I, Line 3The Chief Executive Officer, as well as other officers and key employees marked with an asterisk on Part VII of the 990 and Part II of Schedule J, provides services to North Memorial Health Care as well as to all or some related entities as identified on Schedule R. As such, their compensation levels incorporate services provided to multiple North Memorial entities.
Part I, Line 4aA PORTION OF THE AMOUNTS REPORTED IN "OTHER REPORTABLE COMPENSATION" REFLECTS PAYMENTS MADE IN 2015 PURSUANT TO SEVERANCE AGREEMENTS WITH 2 EMPLOYEES AS FOLLOWS: COREY OLSON - $171,233 BRENDON CULLINAN - $207,450
Part I, Line 6North Memorial Health Care's annual incentive plan requires achievement of stated performance metrics, which include operating cash flow margin.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingIndCUSIPCUSIPNum
CITY OF ROBBINSDALE
A7160054962011-06-07$60,000,000Refund Series 2008 bonds0Yes (1)0
City of Robbinsdale
B7160054962011-06-07$15,000,000Refund Series 2008 bonds0Yes (1)0
City of Maple Grove
C4108732502015-08-26$44,915,000REFUND SERIES 2005 BONDS0Yes (1)056516tay1

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmt
A$14,479,934$60,000,000$749,350$58,710,6502011Yes (1)0Yes (1)Yes (1)
B$2,898,750$15,000,000$15,000,0002011Yes (1)0Yes (1)Yes (1)
C$48,679,699$544,0652015Yes (1)0Yes (1)Yes (1)$48,135,634

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)
C0Yes (1)0000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)0000000
B0Yes (1)0000000
C0Yes (1)0000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Merwin Home MedicalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionBOARD MEMBER is the owner of Merwin Home MedicalRelationshipDescriptionTxt
Transaction$338,057TransactionAmt
TransactionMICHAEL STEINHAUSER, a board member, IS THE OWNER OF Merwin HOme Medical, WHICH SUPPLIES durable medical equipment TO NORTH MEMORIAL HEALTH CARE.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2LOREN TAYLOR AND BOB POTTS - Business Relationship.
Form 990, Part VI, Section B, line 11The organization's Finance and Audit Committee reviews the Form 990 before it is filed. Representatives from the hospital's independent accounting firm review the Form 990 with the Finance and Audit Committee in detail and notes for the committee any changes in the Form 990 from prior years. After thorough discussion, the finance and audit committee approves the Form 990 and forwards it to the full board for its review.
Form 990, Part VI, Section B, line 12cAll 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 15COMPENSATION FOR KEY POSITIONS IS REVIEWED BY THE COMPENSATION COMMITTEE WORKING IN CONJUNCTION WITH AN OUTSIDE CONSULTANT. THE COMPENSATION COMMITTEE INSURES THAT THE SALARY AND BENEFIT ADMINISTRATION REVIEW PROCESS IS BEING FOLLOWED, WHICH INCLUDES SALARY AND BENEFIT SURVEYS AND COMPARISONS OF ALL POSITIONS. THE CEO'S COMPENSATION IS SENT TO THE FULL BOARD FOR APPROVAL. THE COMPENSATION OF ALL OTHER KEY POSITIONS IS APPROVED BY THE CEO.
Form 990, Part VI, Section C, line 19Governing documents and the conflict of interest policy are available upon request. Financial statements are available online through the office of the attorney general via the charity report filed with the state of Minnesota.
Form 990, Part XII, Line 2c:NEITHER THE OVERSIGHT OF THE AUDIT OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT WERE CHANGED DURING THE TAX YEAR.
Schedule H, Part V, Section B, Line 11:NORTH MEMORIAL IDENTIFIED FIVE PRIORITY AREAS IN THE COMMUNITY HEALTH ASSESSMENT CONDUCTED IN 2013. THESE PRIORITY AREAS AND A SUMMARY OF SOME OF THE ACTIVITIES CONDUCTED TO ADDRESS THESE AREAS ARE: PRIORITY AREA 1-ACCESS & AFFORDABILITY 1.1-EDUCATION OF COMMUNITY MEMBERS ON HOW TO ENGAGE AND INTERACT WITH HEALTH CARE RESOURCES. NORTH MEMORIAL DID AN EDUCATION MAILER TO EVERYONE IN OUR SERVICE AREA. THE GOAL WAS TO EDUCATE POTENTIAL CONSUMERS ON WHERE TO GET THE APPROPRIATE LEVEL OF CARE FOR A VARIETY OF HIGH LEVEL CONDITIONS. THESE WERE ALSO PRODUCED AND HANDED OUT IN OUR CLINICS AS WELL AS AT LOCAL PHARMACIES. 1.2-STRATEGIC PARTNERSHIP WITH COMMUNITY-BASED RESOURCES THAT SUPPORT ACCESS AND ENROLLMENT IN HEALTH INSURANCE PROGRAMS . NORTH MEMORIAL CONTINUED TO ENGAGE WITH PORTICO HEALTHNET, A LOCAL NONPROFIT SPECIALIZING IN INSURANCE ELIGIBILITY AND ENROLLMENT TO EXPAND STRATEGIC PARTNERSHIP FOR MEDICAL ASSISTANCE POPULATION. WE ALSO CONTINUED TO DEVELOP PRIMARY CARE-BASED REFERRAL AND PATIENT ADVOCATE ROLE IN ORDER TO EXPAND ACCESS TO RESOURCES. 1.3-DELIVERY OF CARE TO THE COMMUNITY: SCREENINGS, EDUCATION, ETC. NORTH MEMORIAL DELIVERED FREE FLU SHOTS DURING GRAND OPENING EVENTS AT TWO OF OUR CLINICS. NORTH MEMORIAL DOES MONTHLY HEALTH TIPS THAT ARE PRINTED AND HANDED OUT IN ALL OUR PRIMARY CARE LOCATIONS, AT LOCAL PHARMACY LOCATIONS ACROSS THE TWIN CITIES AND SENT OUT IN OUR MONTHLY E NEWSLETTER. PRIORITY AREA 2-COMMUNITY COLLABORATION & CONNECTING COMMUNITY RESOURCES 2.1-QUARTERLY MEETINGS BETWEEN NMMC PRESIDENT AND COMMUNITY LEADERS THE NORTH MEMORIAL COMMUNITY HEALTH STEERING COMMITTEE MET 3 TIMES IN 2015. THE FOLLOWING ITEMS WERE DISCUSSED AT THESE MEETINGS; CHARTER, 2013 HEALTH PRIORITY PROGRESS, HENNEPIN COUNTY COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP ACTIVITIES, CENTER FOR COMMUNITY HEALTH ACTIVITIES AND PRESENTATIONS BY STEERING COMMITTEE MEMBERS -THE MINNEAPOLIS PUBLIC SCHOOLS AND COOKIE CART. THE COMMUNITY HEALTH STEERING COMMITTEE ALSO REVIEWED AND APPROVED THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PLAN. 2.2-LINKING PATIENTS TO COMMUNITY-BASED RESOURCES NORTH MEMORIAL CONTINUED TO EXPAND THE NETWORK OF COMMUNITY-BASED RESOURCES THAT CARE COORDINATORS REFER NORTH MEMORIAL PATIENTS TO through BI-WEEKLY MEETINGS WITH THE CARE COORDINATOR STAFF AND OTHER CARE TEAM MEMBERS. NORTH MEMORIAL HAS ALSO WORKED IN 2015 TO IMPROVE INTEGRATION BETWEEN NORTH MEMORIAL AND COMMUNITY-PARTNERS THROUGH ENHANCED REFERRAL COORDINATION AND COMMUNICATION. A FEW KEY COMMUNITY PARTNERS HAVE DEVELOPED A MORE INTEGRATED APPROACH TO ADDRESS THE NEEDS OF HIGH-RISK PATIENTS THROUGH CARE CONFERENCES AND TARGETED CARE MANAGEMENT. FOR EXAMPLE, WE HAVE OBTAINED EPIC CARE LINK ACCESS FOR A LOCAL COMMUNITY-BASED ORGANIZATION FOCUSED ON MENTAL HEALTH, VAIL PLACE. THROUGH OUR PARTNERSHIP WITH VAIL PLACE, WE ARE DIRECTLY REFERRING PATIENTS FROM ACROSS THE SYSTEM (INPATIENT PSYCH, CLINICS, COMMUNITY PARAMEDICS, ETC.) INTO SERVICES LIKE CASE MANAGEMENT, HOUSING SUPPORT AND JOB SKILLS DEVELOPMENT. 2.3-LUTHERAN SOCIAL SERVICES SENIOR CORPS PROGRAMS. NORTH MEMORIAL HAS WORKED WITH TEN SENIOR COMPANION VOLUNTEERS AND HAS REFERRED IN NEARLY 30 HIGH-RISK SENIORS INTO THE PROGRAM. PRIORITY AREA 3-CULTURAL COMPETENCY IN TREATMENT INTERACTIONS 3.1-CLASS ASSESSMENT TO REVIEW ORGANIZATIONAL SYSTEMS, POLICIES AND PRACTICES THAT AFFECT THE CARE OF DIVERSE PATIENTS NORTH MEMORIAL HAS INCORPORATED A SECTION ON "CULTURAL COMPETENCY AND "CONVERSATIONS ON COMMUNITY" INTO NEW EMPLOYEE ORIENTATION. COVERED IN THIS SECTION ARE: CULTURAL COMPETENCY COVERS THE FOLLOWING TOPICS: -WHAT MAKES AN INTERPRETER QUALIFIED -HOW TO WORK WITH AN INTERPRETER -EXPECTATIONS OF AGENCY INTERPRETERS -EXPECTATIONS OF TEAM MEMBERS WHEN WORKING WITH LEP (LIMITED ENGLISH PROFICIENT) CUSTOMERS -OTHER RESOURCES: CERTIFIED LANGUAGE INTERNATIONAL, M.A.R.T.T.I. (MY ACCESSIBLE REAL-TIME TRUSTED INTERPRETER) -CONVERSATIONS ON COMMUNITY PROGRAM OBJECTIVES: -DEEPENING SELF-AWARENESS -EXAMINE THE IMPACT OF DIFFERENCES AND SIMILARITIES ON THE NORTH MEMORIAL COMMUNITY -EXAMINE THE DYNAMICS OF MOVING OUR BEHAVIORS FROM TOLERANCE TO APPRECIATION -UNDERSTAND YOUR ROLE AND RESPONSIBILITIES TO CONTINUOUSLY IMPROVE THE WORK ENVIRONMENT SO THAT EVERYONE CAN FEEL MORE INCLUDED-MORE A PART OF THE COMMUNITY -PRACTICE HAVING CONVERSATIONS THAT MATTER THE RED PACKET THAT EVERYONE RECEIVES IN THEIR NEW HIRE FOLDER COVERS INFORMATION REGARDING WORKING WITH DEAF AND HARD OF HEARING PATIENTS AND COMPANIONS. NORTH MEMORIAL OFFERS A FACILITATED PROGRAM CALLED "CONVERSATIONS ON COMMUNITY" THAT IS PART OF EVERY NEW TEAM MEMBER'S ORIENTATION AND IS ALSO OFFERED AT OTHER TIMES THROUGHOUT THE YEAR. CONVERSATIONS ON COMMUNITY PROVIDE NORTH MEMORIAL TEAM MEMBERS THE OPPORTUNITY: -TO SELF-REFLECT AND SELF-ASSESS REACTIONS TO OTHERS. -TO DEEPEN OUR OWN SELF-AWARENESS OF OUR OWN-GROWING EDGES IN OUR RELATIONSHIPS. -TO BEGIN TO POSITIVELY EVOLVE IN OUR RELATIONSHIPS WITH OUR CUSTOMERS, FAMILIES, VISITORS AND TEAM MEMBERS. 3.2-PHASE II: CULTURALLY-COMPETENT NURSE MIDWIFE PROGRAM WOMEN'S SPECIALTY SERVICES AT NORTH MEMORIAL OFFERS A NURSE MIDWIFE PROGRAM WHICH PROVIDES PRIMARY CARE TO WOMEN OF CHILDBEARING AGE. IN ADDITION TO THE CARE WE GIVE PATIENTS BEFORE, DURING AND AFTER PREGNANCY AND CHILDBIRTH, THE PROGRAM ALSO FOCUSES ON WOMEN'S OVERALL HEALTH. IN 2015 THEY HAD 802 VISITS AND 88 BIRTHS IN THE PROGRAM. PRIORITY AREA 4-SOCIAL & EMOTIONAL WELLBEING 4.1-SAFE JOURNEY PROGRAM 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 PATIENTS AT NORTH MEMORIAL, MAPLE GROVE HOSPITAL, NORTH MEMORIAL CLINICS, AS WELL AS INDIVIDUALS IN OUR COMMUNITIES. ON-GOING SUPPORT BY WEEKLY SUPPORT GROUPS, INDIVIDUAL COUNSELING, AND FOLLOW UP CALLS. IN 2015 THERE WERE AT TOTAL OF 1,474 TOTAL DOMESTIC ABUSE ENCOUNTERS. 4.2-POST-INCIDENCE CRISIS RESPONSE PROGRAM THAT ASSISTS IN COMMUNITY RESPONSE AFTER A VIOLENT CRIME OUR POST INCIDENCE CRISIS RESPONSE PROGRAM IS WHERE WE GATHER NECESSARY RESOURCES FROM VARIOUS HOSPITAL DEPARTMENTS AND POOL THOSE RESOURCES TOGETHER TO DEAL WITH A SUDDEN, OFTEN TRAUMATIC SITUATION THAT OCCURS IN OUR COMMUNITY AND ENDS UP AT THE HOSPITAL. MOST LIKELY THIS IS A SITUATION THAT STEMS FROM A VIOLENT INCIDENT. 4.3-PSYCH SERVICES FOR COMMUNITY: PARTIAL HOSPITAL PROGRAM AND PSYCH INTEGRATION IN PRIMARY CARE IN 2015, NORTH MEMORIAL'S BEHAVIORAL HEALTH DEPARTMENT EXPANDED PROGRAMMING FOR PATIENTS WITH MENTAL ILLNESS BY OPENING AN INTENSIVE OUTPATIENT PROGRAM FOR PATIENTS SUFFERING FROM MOOD DISORDERS. THIS EIGHT-WEEK PROGRAM PROVIDED A NATURAL STEP-DOWN IN CARE FOR PATIENTS IN THE PARTIAL HOSPITAL PROGRAM, AND A LESS-INTENSIVE OPTION FOR STRUGGLING OUTPATIENTS WHO DIDN'T REQUIRE INPATIENT PSYCHIATRIC HOSPITALIZATION. DURING THIS TIME, PSYCHIATRISTS AND PSYCHOLOGISTS WERE ALSO EMBEDDED WITHIN SEVERAL OF NORTH MEMORIAL'S OUTPATIENT CLINICS TO ASSIST PRIMARY CARE PROVIDERS AND ALLOW EASY ACCESS TO MENTAL HEALTH SERVICES FOR PATIENTS. 4.4-CATHOLIC CHARITIES TRANSITIONAL RECOVERY-CARE: PROGRAM FOR DISCHARGING HOMELESS PATIENTS IN 2015, NORTH MEMORIAL'S BEHAVIORAL HEALTH DEPARTMENT EXPANDED PROGRAMMING FOR PATIENTS WITH MENTAL ILLNESS BY OPENING AN INTENSIVE OUTPATIENT PROGRAM FOR PATIENTS SUFFERING FROM MOOD DISORDERS. THIS EIGHT-WEEK PROGRAM PROVIDED A NATURAL STEP-DOWN IN CARE FOR PATIENTS IN THE PARTIAL HOSPITAL PROGRAM, AND A LESS-INTENSIVE OPTION FOR STRUGGLING OUTPATIENTS WHO DIDN'T REQUIRE INPATIENT PSYCHIATRIC HOSPITALIZATION. DURING THIS TIME, PSYCHIATRISTS AND PSYCHOLOGISTS WERE ALSO EMBEDDED WITHIN SEVERAL OF NORTH MEMORIAL'S OUTPATIENT CLINICS TO ASSIST PRIMARY CARE PROVIDERS AND ALLOW EASY ACCESS TO MENTAL HEALTH SERVICES FOR PATIENTS.
Schedule H, Part V, Section B, Line 11, continued:PRIORITY AREA 5-HEALTH INFORMATION 5.1-INJURY PREVENTION: SAFE KIDS NW METRO MINNEAPOLIS COALITION AND THE PARTNERSHIP FOR CHANGE: SAFE KIDS NORTHWEST METRO MINNEAPOLIS THROUGH THE LOW COST BIKE HELMET PROGRAM SOLD OR GAVE AWAY OVER 1,500 BIKE HELMETS DURING 2015. NINE CAR SEAT CLINICS WERE HELD IN THE REGION AND OVER 200 CAR SEATS WERE CHECKED AT THESE EVENTS FOR CORRECT INSTALLATION, KEEPING THESE KIDS SAFE WHILE RIDING IN THEIR VEHICLES. PARTNERSHIP FOR CHANGE MET 11 TIMES IN 2015, WITH ADDITIONAL SUB-COMMITTEE AND WORKGROUP MEETINGS. SOME OF THE MAJOR ACTIVITIES CARRIED OUT INCLUDED: OVER 250 YARD SIGNS/POSTERS/FLYERS PLACED AROUND THE COMMUNITY FOR THE SPRING CAMPAIGN, 15 COMMUNITY PRESENTATIONS ON PLACE OF LAST DRINK INITIATIVE AND OTHER PROGRAMS MAINTAINED UNDER THE COALITION, YOUTH-LED LEADERSHIP GROUPS MET OVER 24 TIMES THROUGHOUT THE SCHOOL YEAR AND COMPLETED A NUMBER OF CAMPAIGNS WITHIN THE HIGH SCHOOL AND COMMUNITY SUCH AS DISTRIBUTED SOCIAL HOST ORDINANCE REMINDERS TO PARENTS AT THE HOMECOMING GAMES AND STICKER SHOCK AT LOCAL LIQUOR STORES. 5.2-STROKE AWARENESS & PREVENTION: THE NORTH MEMORIAL STROKE PROGRAM PARTICIPATED IN MULTIPLE COMMUNITY EVENTS AND SPONSORED TWO EDUCATIONAL WORKSHOPS ON STROKE. WE HAVE THREE ACTIVE SUPPORT GROUPs FOR STROKE SURVIVORS AND THEIR FAMILIES. IN 2015, THE PROGRAM PROVIDED 380 STROKE RISK ASSESSMENT SCREENINGS DURING OUR COMMUNITY OUTREACH EVENTS. TO INCREASE EARLY RECOGNITION OF STROKE BY INDIVIDUALS LIVING IN CRITICAL ACCESS AREAS THE DEPARTMENT FUNDED FAST ADVERTISING ON BILLBOARDS AND GAS PUMPS IN VARIOUS RURAL MINNESOTA CITIES. 5.3-CANCER SCREENING & PREVENTION: NORTH MEMORIAL HELD ORAL/HEAD AND NECK CANCER AWARENESS EVENT AT THE NORTH MEMORIAL OUTPATIENT CENTER ON APRIL 8, 2015. APPROXIMATELY 50 PATIENTS ATTENDED THIS EVENT AT THE NORTH MEMORIAL OUTPATIENT CENTER WHERE DR. KADEMANI, DR. MEHROTRA AND DR. NISI DISCUSSED RISKS OF HEAD AND NECK CANCER, PREVENTION, SMOKING CESSATION, TREATMENTS. THE PATHWAY OUTLINES FOR PRIMARY CARE CLINICS WERE PRESENTED FOR BOTH BREAST CANCER AND COLON CANCER SCREENING AND FOLLOW-UP. NORTH MEMORIAL'S PREVENTION CARE TEAM DEVELOPED AND DROVE MULTIPLE INITIATIVES TO REDUCE THE BARRIERS THAT PATIENTS HAVE EXPRESSED REGARDING BREAST AND COLON CANCER SCREENING. FOR BREAST CANCER SCREENING: -WE LED EFFORTS TO STANDARDIZE THE CORE PROCESSES OF PRIMARY CARE CLINICS IN ORDER TO "SEIZE THE OPPORTUNITY" DURING CLINIC VISITS TO DISCUSS THE IMPORTANCE OF EARLY DETECTION AND BREAST CANCER SCREENING WITH PATIENTS WHO ARE DUE FOR A MAMMOGRAM. -REDUCED THE FINANCIAL AND TRANSPORTATION BARRIERS BY DEVELOPING A PARTNERSHIP WITH THE SAGE PROGRAM. -REDUCED THE FEAR AND ANXIETY OF THE UNKNOWNS OF THE MAMMOGRAM PROCEDURE BY DEVELOPING A "WHAT TO EXPECT DURING A MAMMOGRAM" PATIENT BROCHURE THAT IS NOW AVAILABLE IN ALL CLINICS. IN ADDITION, WE DROVE THE PROJECT TO RAPID RELEASE OF MAMMOGRAM RESULTS VIA MYCHART IN ORDER TO REDUCE THE ANXIETY OF WAITING FOR A MAILED LETTER. -DEVELOPED A PROCESS TO RE-ENGAGE PATIENTS WHO NO-SHOW FOR A SCHEDULED MAMMOGRAM which RE-CLAIMED 61% OF THESE PATIENTS. -APPLIED MULTIPLE OUTREACH APPROACHES TO CREATE AWARENESS AND ENCOURAGE PATIENTS TO GET SCREENED. -2,567 NORTH MEMORIAL PATIENTS WERE UP TO DATE WITH BREAST CANCER SCREENING DURING 2015, WHICH WAS ABOUT 75% OF THE ELIGIBLE PATIENT POPULATION. FOR COLON CANCER SCREENING: -WE LED EFFORTS TO STANDARDIZE THE PROCESS OF OFFERING LESS INVASIVE OPTIONS OF STOOL TESTING -WHEN PATIENTS DO NOT WISH TO SCHEDULE THE GOLD STANDARD OF A COLONOSCOPY. -WE OPERATIONALIZED A FIT KIT/ FOLLOW UP PROCESS, WHICH HAS INCREASED OUR OVERALL SCREENING RATE BY 5%. -APPLIED MULTIPLE OUTREACH APPROACHES TO CREATE AWARENESS AND ENCOURAGE PATIENTS TO GET SCREENED. -18,228 NORTH MEMORIAL PATIENTS WERE UP TO DATE WITH COLON CANCER SCREENING DURING 2015, WHICH WAS ABOUT 74% OF THE ELIGIBLE PATIENT POPULATION. 5.4-ADVANCE CARE PLANNING (ACP): COMMUNITY OUTREACH FOR ADVANCE CARE PLANNING INCLUDES FORMAL PRESENTATIONS TO COMMUNITY GROUPS, AS WELL AS INFORMATION TABLES AT COMMUNITY EVENTS. IN 2015 NORTH MEMORIAL DID FIVE PRESENTATIONS TO COMMUNITY GROUPS SERVING A TOTAL OF 100 PEOPLE. THE PRESENTATIONS INVOLVE A POWERPOINT AND THE OPPORTUNITY FOR ATTENDEES TO FILL OUT A HEALTH CARE DIRECTIVE. 24 HEALTH CARE DIRECTIVES WERE COMPLETED AND NOTARIZED AT THESE EVENTS. A NORTH MEMORIAL STAFF MEMBER ATTENDED THREE COMMUNITY EVENTS WHERE WE MANNED AN ADVANCE CARE PLANNING TABLE. 580 PEOPLE ATTENDED THESE EVENTS AND 140 HEALTH CARE DIRECTIVES WERE DISTRIBUTED. IN ADDITION, WE DONATED 16 HOURS OF TIME TRAINING ACP FACILITATORS IN THE COMMUNITY, ONE FROM A LOCAL CHURCH AND ONE FROM A SKILLED NURSING FACILITY.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1OAKDALE MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 OAKDALE AVENUE NORTHAddressLine1Txt
CityROBBINSDALECityNm
State AbbreviationMNStateAbbreviationCd
ZIP55422ZIPCd
FieldValueIRS element (for citing)
EIN320022819EIN
Primary ActivitiesLEASE MEDICAL OFFICE SPACEPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd
Total Income$164,516TotalIncomeAmt
End Of Year Assets$13,428,765EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NORTH MEMORIALBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
NORTH MEMORIAL FOUNDATION
3300 Oakdale Avenue NorthRobbinsdaleMN55422411777966FundraisingMN501(c)(3)7North Memorial0
Associated Health Assurance
3300 Oakdale Avenue NorthRobbinsdaleMN55422980343815Insurance501(c)(3)Line 11a, INorth MemorialYes (1)BD
Maple Grove Hospital Corporation
9875 Hospital DriveMaple GroveMN55369208316475Acute CareMN501(c)(3)3North MemorialYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE
9855 Hospital DriveMaple GroveMN55369260393039Outpatient SurgeryMNRelated$1,630,170$3,210,4690Yes (1)0.50000
Minnesota Diagnostic Imaging Partners LLC
2955 Xenium Lane Suite 40PlymouthMN55441352162215RADIOLOGYMNRELATED$1,249,967$1,770,2500Yes (1)0.60000
North Radiation Therapy Center LLC
6950 France Ave S Suite 200EdinaMN55435743069974RADIOLOGYMNrelated$1,017,680$2,958,6990Yes (1)0.50000
BLAINE URGENCY CENTER
480 OSBORNE RD NEFRIDLEYMN55432461630126URGENT CAREMNRELATED$36,997$623,9640Yes (1)0.50000
PLYMOUTH CITY CENTER MEDICAL BUILDING
5700 SMETANA DRIVE SUITE 120MINNETONKAMN55343463883617Medical Office BuildingMNRELATED-$379,990$9,739,6180Yes (1)0.50000
MINNETONKA AMBULATORY SURGERY CENTER
3300 OAKDALE AVE NORTHROBBINSDALEMN55422465653486OUTPATIENT SURGERYMNRELATED-$1,304,026$1,239,6270Yes (1)0.76090
Crystal Imaging Center LLC
2955 Xenium Lane Suite 40PLymouthMN55441454265124MEDICAL OFFICE BUILDINGMNRElated-$55,665$311,4750Yes (1)0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Oakdale Health Enterprises Inc
3300 Oakdale Avenue NorthRobbinsdaleMN55422411546422AmbulanceMNNORTH MEMORIALC$356,753$1,708,4061.00000Yes (1)
NORTH COLLABORATIVE CARE
3300 Oakdale Avenue NorthRobbinsdaleMN55422461680666PRIMARY CAREMNC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (22 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
North Memorial Foundation (Contributions)
C$346,727FMV
Maple Grove Hospital Corporation (return of capital)
C$16,462,500FMV
Maple Grove Hospital Corporation (Debt Guarantee)
D$100,755,000FMV
Maple Grove Hospital Corporation (Lease Pmts)
J$458,957FMV
Maple Grove Hospital Corporation (Mgmt Fee)
S$16,613,642FMV
Maple Grove Hospital Corporation (Salary Reimbursment)
Q$7,847,823FMV
Associated Health Assurance (Premiums)
M$2,673,833FMV
Oakdale Health Enterprises (Payroll)
P$1,611,296FMV
Oakdale Health Enterprises (Mgmt Fees)
S$322,021FMV
Oakdale Health Enterprises (Interest on Loan)
S$43,252FMV
Oakdale Medical Office Building (Lease Payments)
J$782,200FMV
Oakdale Medical Office Building (Expense Reimbursments)
Q$406,059FMV
Minneapolis Radiation Oncology (Lease Pmts)
J$227,470FMV
North Memorial Ambulatory Surgery Center (Lease PMTS)
J$1,638,963FMV
NORTH MEMORIAL AMBULATORY SURGERY CENTER (RETURN OF CAPITAL)
C$1,337,370FMV
Minneapolis Radiation Oncology (Dividend)
R$980,000FMV
North Memorial Foundation (Staff Support)
O$824,827fmv
BLAINE URGENCY CENTER (LINE OF CREDIT)
D$1,559,197fmv
Blaine ASC (Capital Contribution)
B$451,570FMV
Minnetonka Ambulatory Surgery Center (Capital Contribution)
B$690,000FMV
Minnesota Diagnostic Imaging
S$1,200,000FMV
North Collaborative Care
L$207,749FMV

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