2015-11-11T11:01:19-06:00 2014-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2014-01-01 411777966 NORTH MEMORIAL FOUNDATION NORT 7635205200 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 554222900 KENT SPAULDING VP FOUNDATION 7635205200 2015-11-02 1 LAWRENCE H MOHR CPA P00447603 6128764500 2014 2016-02-25 16:41:14Z KENT SPAULDING 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 554222900 2111447 0 X WWW.NORTHMEMORIAL.COM X 1993 MN TO SUPPORT NORTH MEMORIAL HEALTH CARE AND ITS COMMITMENT TO CHANGING AND SAVING LIVES. THROUGH PHILANTHROPY, OUR DONORS ASSIST IN GIVING OUR PATIENTS AND THEIR FAMILIES COMPASSIONATE, REMARKABLE CARE. 12 11 0 250 0 0 1931145 1649575 0 0 102244 125014 96397 70235 2129786 1844824 926922 862277 0 0 0 0 42000 0 267017 656858 602907 1625780 1465184 504006 379640 7657063 8387281 278019 193946 7379044 8193335 X TO SUPPORT NORTH MEMORIAL HEALTH CARE AND ITS COMMITMENT TO CHANGING AND SAVING LIVES. THROUGH PHILANTHROPY, OUR DONORS ASSIST IN GIVING OUR PATIENTS AND THEIR FAMILIES COMPASSIONATE, REMARKABLE CARE. 0 0 253796 219108 HOSPICE:IN 2014, NORTH MEMORIAL HOSPICE SERVED 1,000 PATIENTS. FOR PATIENTS EXPERIENCING FINANCIAL HARDSHIPS, FOUNDATION DOLLARS PAID FOR UTILITIES, MEDICAL COSTS, EQUIPMENT, AND OTHER EXPENSES. THE FOUNDATION ALSO PAID FOR COSTS ASSOCIATED WITH HOSPICE PATIENTS RECEIVING MASSAGE AND MUSIC THERAPY SERVICES. 256224 215672 0 PAY IT FORWARD FUND:PAY IT FORWARD FUND: THIS FUND WAS ESTABLISHED BY A BREAST CANCER SURVIVOR AND HER HUSBAND IN OCTOBER OF 2005. IN FEBRUARY OF 2006, THE FIRST PAY IT FORWARD FUNDRAISING EVENT WAS HELD AND OVER THE LAST NINE YEARS MORE THAN $1.2M HAS BEEN PAID TOWARD PATIENT BILLS OF CANCER PATIENTS AND THEIR FAMILIES. DURING 2014, THE FUND PROVIDED PATIENT ASSISTANCE IN THE AMOUNT OF $215,670 WITH A MAXIMUM PER PATIENT OF $1,500. PATIENTS ELIGIBLE FOR ASSISTANCE ARE FROM NORTH MEMORIAL, MAPLE GROVE, MERCY, UNITY, MONTICELLO, RIDGEVIEW, AND HENNEPIN COUNTY MEDICAL CENTER. THE FUND IS ADMINISTERED AT NO FEE THROUGH THE FOUNDATION. EACH YEAR THE FUND HELPS NEARLY 200 PATIENTS BUY GROCERIES, PAY THEIR MORTGAGES, HEAT THEIR HOMES, PAY FOR UTILITIES, REPAIR THEIR CARS, AND ASSIST WITH UNFUNDED MEDICAL BILLS. THE FUND HELPS PATIENTS TO PAY EXPENSES SO THEY CAN FOCUS ON WHAT'S REALLY IMPORTANT-GETTING HEALTHY. 200119 176432 0 SAFEJOURNEY PROGRAM: IN RESPONSE TO COMMUNITY NEED AN EMERGENCY AWARENESS OF THE CRUCIAL ROLE HEALTH CARE PROVIDERS CAN PLAY IN ASSISTING ABUSE VICTIMS, NORTH MEMORIAL MEDICAL CENTER DEVELOPED A COMPREHENSIVE RESPONSE TO PROACTIVELY IDENTIFY AND RESPOND TO PATIENTS AT NORTH MEMORIAL AND MAPLE GROVE HOSPITAL WHO ARE SUFFERING FROM FAMILY VIOLENCE. FOUNDED IN 1994, SAFEJOURNEY PROVIDES A VARIETY OF DIRECT SERVICES, ADVOCACY, ASSESSMENT, INTERVENTION, PREVENTION AND EDUCATION TO ASSIST OVER FOURTEEN HUNDRED INDIVIDUAL VICTIMS OF ABUSE AS WELL AS THE LARGER COMMUNITY EACH YEAR. SERVICES FOCUSED ON THE NORTHERN AND WESTERN TWIN CITIES SUBURBS AND MINNEAPOLIS' NORTH SIDE, INCLUDE 24 HOURS/DAY, SEVEN DAYS/WEEK COVERAGE OF THE HOSPITAL, USING SKILLED VOLUNTEERS TO PROVIDE PATIENT ASSESSMENT AND ADVOCACY; TWO WEEKLY SUPPORT GROUPS FOR BATTERED WOMEN; AND COMMUNITY AND PROFESSIONAL EDUCATION. IN 2014, OVER $100,000 IN FOUNDATION FUNDS WAS USED TO SUPPORT OVER 100 VOLUNTEERS SERVING MORE THAN 1500 DOMESTIC ABUSE ENCOUNTERS. 311119 251065 0 311119 251065 1021258 1 1 0 0 0 1 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 41 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 12 11 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN WI X TODD OSTENDORF 7635814562 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 554222900 DON PARK TREASURER 2.00 0.00 X X 0 0 0 MIKE STEINHAUSER SECRETARY 2.00 0.00 X X 0 0 0 MARK NIBLICK BOARD MEMBER 1.00 0.00 X 0 0 0 LYNN STARKOVICH BOARD CHAIR 2.00 0.00 X X 0 0 0 CHENG LOR BOARD MEMBER 1.00 0.00 X 0 0 0 LOREN TAYLOR BOARD MEMBER 1.00 50.00 X 0 863098 24403 MICHELLE MOREY BOARD MEMBER 1.00 0.00 X 0 0 0 KAREN BIRD BOARD MEMBER 1.00 0.00 X 0 0 0 JIM BYRNE BOARD MEMBER 1.00 0.00 X 0 0 0 SCOTT HEMENWAY BOARD MEMBER 1.00 0.00 X 0 0 0 BRUCE QUAM BOARD MEMBER 1.00 0.00 X 0 0 0 MIKE HOLTZ BOARD MEMBER 1.00 0.00 X 0 0 0 KENT SPAULDING VICE PRESIDENT 50.00 0.00 X 0 104378 6529 0 967476 30932 0 0 1 0 0 551058 534035 564482 186456 1649575 125014 125014 336858 551058 266623 70235 70235 1844824 0 0 195249 862277 862277 2540 1640 900 3807 3807 25 25 STAFF SUPPORT 534035 133509 133509 267017 UNCOLLECTIBLE PLEDGE 42500 42500 SPONSORSHIPS 20000 20000 1465184 1021258 176909 267017 214352 312487 336492 172978 35748 21267 225000 225000 225000 5781800 6625176 1063671 1030373 7657063 8387281 187310 152097 90709 41849 278019 193946 X 1715546 2083948 2334865 2704051 3328633 3405336 7379044 8193335 7657063 8387281 379640 434651 0 X X 0 1 X 1 0 X 2574278 1941680 1727243 1931145 1649575 9823921 2574278 1941680 1727243 1931145 1649575 9823921 18256 9805665 80575 117846 87596 102244 125014 513275 10337196 0.94860 0.95730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5 33353 85967 90097 1 1 3446092 76703 118858 50230 3591423 2683970 710628 85294 33800 3446092 2382667 270795 92571 62063 2683970 2251229 72500 71751 12813 2382667 1737891 513452 25341 25455 2251229 0.00000 0.95000 0.05000 1 0 225000 225000 225000 FUNDS HELD IN TRUST BY OTHERS 1030373 1030373 DEPOSIT ACCOUNTS 41849 41849 X PART X, LINE 2: NORTH MEMORIAL EVALUATES ITS UNCERTAIN POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2014 OR 2013. NORTH MEMORIAL IS CURRENTLY UNDER EXAMINATION BY BY THE STATE OF MINNESOTA FOR A SALES TAX AUDIT FOR THE PERIOD OF SEPTEMBER 2010 THROUGH DECEMBER 2013. PART V, LINE 4: 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 THEROSSEN FAMILY SERVE ON A COMMITTEE ALONG WITH THE VP AND CHIEF NURSING OFFICER OF NORTH MEMORIAL TO SELECT THE RECIPIENTS. 2). HAROLD B. KAISER HONORARY LECTURESHIP ENDOWMENT: DR. KAISER IS THE FOUNDER OF ALLERGY & ASTHMA SPECIALISTS, P.A. ESTABLISHED IN 1966. THE HAROLD B. KAISER HONORARY LECTURESHIP ENDOWMENT PROVIDES FUNDING FOR A KEYNOTE SPEAKER FOR THE ANNUAL ALLERGY & ASTHMA CONFERENCE HELD IN THE MINNEAPOLIS AREA IN MARCH. 3). HAROLD ECKER ENDOWMENT: ESTABLISHED IN 1994 IN HONOR OF THE EXCELLENT CARE THAT MR. ECKER RECEIVED AS A PATIENT AT NORTH MEMORIAL, THE HAROLD ECKER ENDOWMENT PROVIDES A $500 AWARD TO THREE NORTH MEMORIAL EMPLOYEES RECOGNIZING THEIR OUTSTANDING PERFORMANCE AND PERSONAL ATTITUDE. THE AWARD IS OPEN TO ALL EMPLOYEES AND THE WINNERS ARE SELECTED BY A COMMITTEE OF NORTH MEMORIAL EMPLOYEES AND PRESENTED AT THE ANNUAL QUALITY AWARDS LUNCHEON IN NOVEMBER EACH YEAR. 4). RESIDENTIAL HOSPICE ENDOWMENT: THE RESIDENTIAL HOSPICE ENDOWMENT WAS ESTABLISHED BY DR. JOHN AND PATTY MANION TO PROVIDE ASSISTANCE TO THE RESIDENTIAL HOSPICE PROGRAM AT NORTH MEMORIAL. FUNDS ARE USED TO UPGRADE THE FACILITIES AND EQUIPMENT AT THE NORTH RESIDENTIAL HOSPICE FACILITY IN BROOKLYN CENTER, PROVIDE ADDITIONAL PROGRAM SUPPORT, STAFF TRAINING AND TO ASSIST THOSE FAMILIES THAT CANNOT AFFORD THIS SERVICE. 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 PROVIDE CARE TOINDIVIDUALS UNABLE TO PAY FOR SERVICES AT THE FACILITY. 6). PAY IT FORWARD ENDOWMENT: THIS ENDOWMENT WAS ESTABLISHED IN 2009 BY FOUNDER MICHELLE MOREY AND THE PIFF COMMITTEE TO INSURE THAT THE GREAT WORK OF THE PAY IT FORWARD FUND CONTINUES WELL INTO THE FUTURE. EACH YEAR THE FUND HELPS MORE THAN 100 PATIENTS PAY THEIR BILLS SO THAT THEY CAN FOCUS ON WHAT'S REALLY IMPORTANT: GETTING HEALTHY. 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). MGH MEDICAL STAFF ENDOWMENT: THIS ENDOWMENT WAS ESTABLISHED IN 2013 BY THE MAPLE GROVE MEDICAL STAFF EXECUTIVE COMMITTEE. PROCEEDS FROM THE ENDOWMENT WILL FUND MAPLE GROVE PROGRAMS. DINNER/DANCE GALA 382195 231720 150475 97361 6100 64235 PAY IT FORWARD CASINO NIGHT 294143 163520 130623 17875 11470 11207 2 211578 155818 55760 23371 14617 20387 887916 551058 336858 23371 129853 17570 95829 266623 70235 1 NORTH MEMORIAL HEALTH CARE 3300 OAKDALE AVE N ROBBINSDALE MN 55422 410729979 501(C)(3) 503869 TO SUPPORT NMHC PROGRAMS AND SERVICES PART I, LINE 2: THE ORGANIZATION PRIMARILY MAKES GRANTS TO RELATED ORGANIZATION NORTH MEMORIAL HEALTH CENTER AND RECORDS ARE MAINTAINED AS TO HOW FUNDS ARE DISBURSED BY BOTH ORGANIZATIONS. THE ORGANIZATION ALSO PAID $355,908 THROUGH THE PAY IT FORWARD FUND. ONCE ELIGIBILITY HAS BEEN DETERMINED, THE ORGANIZATION WILL PAY THE PATIENT'S BILLS, SUCH AS MORTGAGE, UTILITIES, REPAIRS, OR UNFUNDED MEDICAL BILLS. EACH PATIENT HAS A MAXIMUM OF $1,500 AND THE BILLS ARE PAID DIRECTLY TO THE VENDORS. THE ORGANIZATION ALSO FUNDS CONTINUING EDUCATION FOR NORTH MEMORIAL EMPLOYEES AND MAKES SEVERAL SMALL SPONSORSHIPS. 0 0 0 0 0 0 1 0 0 LOREN TAYLOR BOARD MEMBER 0 659362 0 20000 0 183736 0 18200 0 6203 0 887501 0 0 PART I, LINE 6 NORTH MEMORIAL HEALTH CARE'S ANNUAL INCENTIVE PLAN REQUIRES ACHIEVEMENT OF STATED PERFORMANCE METRICS, WHICH INCLUDE OPERATING CASH FLOW MARGIN. X 100 FMV X AUCTION ITEMS 643 179056 FMV X GOLF BALLS 15 3600 FMV X CEMETERY PLOT 1 2400 FMV X CATERING DONATION 1 1000 FMV X QUILTS 1 300 FMV 0 0 0 0 PART I, COLUMN (B): CONTAINS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION TEMPORARILY DELEGATED CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS, OR TRUSTEES, OR KEY EMPLOYEES TO A MANAGEMENT COMPANY, MARK DAVY AND ASSOCIATES, AFTER THE PREVIOUS VICE PRESIDENT OF THE FOUNDATION RESIGNED AND WHILE SEARCHING FOR A REPLACEMENT. FORM 990, PART VI, SECTION A, LINE 6 NORTH MEMORIAL HEALTH CARE IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A NORTH MEMORIAL HEALTH CARE, AS THE SOLE MEMBER OF THE ORGANIZATION, DETERMINES THE NUMBER OF BOARD MEMBERS AND ELECTS MEMBERS AT THE ANNUAL MEETING AFTER CONSIDERATION OF NOMINATIONS, IF ANY, FROM THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE APPROVAL OF NORTH MEMORIAL HEALTH CARE AS THE SOLE MEMBER OF THE ORGANIZATION IS REQUIRED FOR THE FOLLOWING ACTIONS OF THE ORGANIZATION'S GOVERNING BODY: (1) AMENDMENTS TO THE GOVERNING DOCUMENTS; (2) MERGER OR CONSOLIDATION OF THE ORGANIZATION; (3) SALE, LEASE, PLEDGE, TRANSFER, ASSIGNMENT OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION; (4) MORTGAGES OR OTHER SECURITY INTERESTS AFFECTING ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION; (5) ISSUANCE OF CAPITAL CALLS TO THE MEMBER; AND (6) DISSOLUTION AND LIQUIDATION OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WILL BE DISTRIBUTED TO ALL BOARD MEMBERS AT THE MEETING CLOSEST TO THE FILING DATE FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C NORTH MEMORIAL HEALTH CARE HAS A CONFLICT OF INTEREST POLICY THAT COVERS CERTAIN EMPLOYEES, PHYSICIANS AND BOARD MEMBERS. THE NORTH MEMORIAL FOUNDATION BOARD OF DIRECTORS SIGNS AN ANNUAL CONFLICT OF INTEREST STATEMENT IN ACCORDANCE WITH THIS POLICY. IF A BOARD MEMBER DISCLOSES A CONFLICT OF INTEREST, THE INFORMATION IS SENT TO LEGAL COUNSEL FOR EVALUATION. PROCEDURES: THE BOARD OF DIRECTORS AND ITS COMMITTEES SHALL USE THE FOLLOWING PROCEDURES FOR DETERMINING CONFLICTS OF INTEREST AND FOR DECIDING HOW TO PROCEED WHEN CONFLICTS OF INTEREST ARE REVEALED: A. DUTY TO DISCLOSE: IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND/OR COMMITTEE MEMBERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. B. DETERMINATION WHETHER A CONFLICT OF INTEREST EXISTS: AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING DIRECTORS OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. C. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST: I) AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. II). THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. III). AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE COMPANY CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IV). IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES OR COMMITTEE MEMBERS WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE COMPANY. THE BOARD OR COMMITTEE SHALL THEN MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. D. RECORDING OF PROCEEDINGS: THE MINUTES OF THE BOARD AND ITS COMMITTEES SHOULD INCLUDE: (I) THE NAMES OF ANY PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED, AND (II) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION WITH THE PROCEEDINGS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICERS RECEIVED THEIR COMPENSATION FROM NORTH MEMORIAL HEALTH CARE (NMHC) WHICH FOLLOWS NMHC'S POLICIES AND PROCEDURES ON DETERMINING COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: NEITHER THE OVERSIGHT OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE TAX YEAR. NORTH MEMORIAL HEALTH CARE 3300 OAKDALE AVE N ROBBINSDALE MN 55422 410729979 ACUTE CARE MN 501(C)(3) LINE 3 NORTH MEMORIAL 0 ASSOCIATED HEALTH ASSURANCE 3300 OAKDALE AVE N ROBBINSDALE MN 55422 980343815 INSURANCE BD 501(C)(3) 11A NORTH MEMORIAL 0 MAPLE GROVE HOSPITAL CORPORATION 3300 OAKDALE AVE N ROBBINSDALE MN 55422 208316475 ACUTE CARE MN 501(C)(3) LINE 3 NORTH MEMORIAL 0 NORTH COLLABORATIVE CARE 3300 OAKDALE AVE N ROBBINSDALE MN 55422 461680666 PRIMARY CARE MN 501(C)(3) 11A NORTH MEMORIAL 0 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 LLC 6950 FRANCE AVE S SUITE 200 EDINA MN 55435 743069974 RADIOLOGY MN N/A BLAINE URGENCY CENTER LLC 480 OSBORNE RD FRIDLEY MN 55432 461630126 URGENT CARE MN N/A PLYMOUTH CITY CENTER MEDICAL BUIDING 5700 SMETANA DRIVE SUITE 120 MINNETONKA MN 55343 463883617 MEDICAL OFFICE BUILDING MN N/A MINNETONKA AMBULATORY SURGERY CENTER 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 465653486 OUTPATIENT SURGERY MN N/A OAKDALE HEALTH ENTERPRISES INC 3300 OAKDALE AVE N ROBBINSDALE MN 55422 411546422 AMBULANCE MN N/A C 0 CHARITABLE REMAINDER TRUST (1) CHARITABLE TRUST MN N/A T 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 NORTH MEMORIAL HEALTH CARE (CONTRIBUTIONS TO NMHC) B 503869 FMV NORTH MEMORIAL HEALTH CARE (STAFF SUPPORT) O 534035 FMV