NORTH MEMORIAL HEALTH CARE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NORTH MEMORIAL HEALTH CARE (EIN 41-0729979)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-09
IRS object ID
201133139349301233
Schema version
2010v3.4
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)
Timestamp2011-11-09T13:10:15-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1225 S 6TH ST STE 2300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN410729979EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTH MEMORIAL HEALTH CAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone7635205200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 OAKDALE AVENUE NORTHAddressLine1
CityROBBINSDALECity
StateMNState
ZIP Code55422ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAT BORANName
TitleCHIEF FINANCIAL OFFICERTitle
Phone7635205200Phone
Date Signed2011-11-08DateSigned
Authorize Third Party0AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAWRENCE H MOHR CPAName
Phone6128764500Phone
Date Prepared2011-11-08DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPATRICK BORANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13300 OAKDALE AVENUE NORTHAddressLine1
CityROBBINSDALECity
StateMNState
ZIP Code554222900ZIPCode
FieldValueIRS element (for citing)
Gross Receipts675958899GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NORTHMEMORIAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1954YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionGENERAL 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 REHABILITATIVE, AND BEHAVIORAL SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees5442TotalNbrEmployees
Total Nbr Volunteers1053TotalNbrVolunteers
Total Gross UBI9053122TotalGrossUBI
Net Unrelated Business Txbl Income-1205766NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1816294ContributionsGrantsPriorYear
Contributions Grants Current Year1348772ContributionsGrantsCurrentYear
Program Service Revenue Prior Year617578065ProgramServiceRevenuePriorYear
Program Service Revenue CY593451178ProgramServiceRevenueCY
Investment Income Prior Year-11397159InvestmentIncomePriorYear
Investment Income Current Year11126827InvestmentIncomeCurrentYear
Other Revenue Prior Year-2481222OtherRevenuePriorYear
Other Revenue Current Year-2680145OtherRevenueCurrentYear
Total Revenue Prior Year605515978TotalRevenuePriorYear
Total Revenue Current Year603246632TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year41500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year357563427SalariesEtcPriorYear
Salaries Etc Current Year372951709SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year265297801OtherExpensePriorYear
Other Expenses Current Year252198769OtherExpensesCurrentYear
Total Expenses Prior Year622902728TotalExpensesPriorYear
Total Expenses Current Year625150478TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-17386750RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-21903846RevenuesLessExpensesCY
Total Assets BOY664144204TotalAssetsBOY
Total Assets EOY638765423TotalAssetsEOY
Total Liabilities BOY343635553TotalLiabilitiesBOY
Total Liabilities EOY335267433TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY320508651NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY303497990NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionGENERAL ACUTE CARE HOSPITAL PROVIDING HIGHLY SPECIALIZED TRAUMA AND EMERGENCY SERVICES, CORONARY CARE, ONCOLOGY, HIGH RISK MATERNITY & NEONATAL CARE. IN ADDITION TO CHARITY AND UNCOMPENSATED CARE, NORTH MEMORIAL ALSO PROVIDES SEVERAL COMMUNITY BENEFITS (AT NO OR BELOW COST).MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense518854474Expense
Revenue577243832Revenue
DescriptionNORTH MEMORIAL MEDICAL CENTER 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 REHABILITATIVE, AND BEHAVIORAL SERVICES. IN ADDITION TO CHARITY AND UNCOMPENSATED CARE, NMMC 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 A 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.Description
Total Program Service Expense518854474TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer1OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096698NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees5442NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryBDNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PATRICK BORANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7635205048TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13300 OAKDALE AVENUE NORTHAddressLine1
CityROBBINSDALECity
StateMNState
ZIP Code55422ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ROBERT POTTS
CHAIRMAN OF THE BOARD1.00X270000
TIMOTHY BAYLOR
BOARD MEMBER1.00X270000
THOMAS BOLIN
BOARD MEMBER1.00X270000
YVONNE CHEUNG-HO
BOARD MEMBER1.00X270000
ANDREW HOULTON MD
BOARD MEMBER1.00X5270000
WARREN MACK
BOARD MEMBER1.00X270000
PAT MCHALE
BOARD MEMBER1.00X000
JON NIELSON MD
BOARD MEMBER1.00X270000
ROBERT PRENTISS
BOARD MEMBER1.00X270000
KAREN RAUENHORST
BOARD MEMBER1.00X270000
MIKE STEINHAUSER
BOARD MEMBER1.00X000
BILL TOBIN
BOARD MEMBER1.00X270000
MICHAEL WOOTEN MD
BOARD MEMBER1.00X1770000
LOREN TAYLOR
CHIEF EXECUTIVE OFFICER50.00X183782019386X
PATRICK BORAN
CHIEF FINANCIAL OFFICER50.00456191051469X
DAVID ABRAMS
VICE PRESIDENT - HUMAN RESOURCES50.00278616028325X
JOHN ALLEN
VICE PRESIDENT - SERVICE LINE50.00263653030268X
JOSEPH BOSTON
VICE PRESIDENT - FOUNDATION50.00169174018185X
ANDREW COCHRANE
PRESIDENT50.00344161032834X
KEVIN CROSTON
CHIEF MEDICAL OFFICER50.00464424015194X
VIRGINIA MALONE
CHIEF NURSING OFFICER50.005096203096X
MICHAEL PARRISH
VICE PRESIDENT - EMERGENCY SERVICES50.00270009029164X
PATRICK TAFFE
CHIEF INFORMATION OFFICER50.00284498035952X
TOM TIMMONS
VICE PRESIDENT50.00400027037185X
CHRISTOPHER HECK
PHYSICIAN50.00644351037083X
ROBERT KING
PHYSICIAN50.00636459039146X
STEVEN ROH
PHYSICIAN50.00723427030952X
THOMAS ROSSINI
PHYSICIAN50.00706413030059X
GEORGE TADROS
PHYSICIAN50.00717416032501X
DAVID CRESS
FORMER CHIEF EXECUTIVE OFFCER50.00774908052715X
TOM HOLETS
FORMER PRESIDENT - CLINIC SERVICES50.00881578016663X
PAM LINDEMOEN
FORMER CHIEF OPERATING OFFICER50.004346210521466X
JERRY MOEN
FORMER VICE PRESIDENT50.0053443007467X
SUE PENQUE
FORMER CHIEF NURSING OFFICER50.00221556016650X
FieldValueIRS element (for citing)
Total Reportable Comp From Org9535356TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1085760TotalOtherCompensation
Number Individuals GT100 K474NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NORTH CLINIC
3366 OAKDALE AVE N 601ROBBINSDALEMN55422PHYSICIAN SERVICES5077728
WELLSPRING PARTNERS
123 N WACKER DRIVE 900CHICAGOIL60606CONSULTING SERVICES3816684
RESPIRATORY CONSULTANTS
3366 OAKDALE AVE N 605ROBBINSDALEMN55422PHYSICIAN SERVICES2221372
HEALTH PARTNERS MEDICAL GROUP
PO BOX 1309MINNEAPOLISMN55440PHYSICIAN SERVICES1546479
NORTH PATHOLOGY ASSOCIATES
3300 OAKDALE AVE NROBBINSDALEMN55422PHYSICIAN SERVICES1029876
FieldValueIRS element (for citing)
Number Of Contractors GT100 K50NumberOfContractorsGT100K
Related Organizations646639RelatedOrganizations
All Other Contributions702133AllOtherContributions
Total Contributions1348772TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
HOSPITAL PATIENT REVEN6215005889770995799239779053122
PARKING9000991652930$1,652,930
CAFETERIA900099931363$931,363
COFFEE SHOP900099693926$693,926
TRANSCRIPTION SERVICES900099665326$665,326

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column530534TotalRevenueColumn
Exclusion$530,534ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue593451178TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5708490TotalRevenueColumn
Exclusion$5,708,490ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column204288TotalRevenueColumn
Exclusion$204,288ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real10557633Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real13237778Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-2680145Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-2680145TotalRevenueColumn
Related Or Exempt Function Income-2680145RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities64671253Securities
Other17285Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities58432890Securities
Other1041599Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities6238363Securities
Other-1024314Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5214049TotalRevenueColumn
Exclusion$5,214,049ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column603246632TotalRevenueColumn
Related Or Exempt Function Income577243832RelatedOrExemptFunctionIncome
Unrelated Business Revenue9053122UnrelatedBusinessRevenue
Exclusion$15,600,906ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total10621116Total
Management And General10621116ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total284444938Total
Program Services257661423ProgramServices
Management And General26783515ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total20589573Total
Program Services18265783ProgramServices
Management And General2323790ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total37103153Total
Program Services31185757ProgramServices
Management And General5917396ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total20192929Total
Program Services17491815ProgramServices
Management And General2701114ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3178811Total
Program Services2575909ProgramServices
Management And General602902ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total337582Total
Program Services2800ProgramServices
Management And General334782ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total94835Total
Management And General94835ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total732415Total
Management And General732415ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total34153583Total
Program Services25972304ProgramServices
Management And General8181279ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1412846Total
Program Services102865ProgramServices
Management And General1309981ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7083741Total
Program Services788023ProgramServices
Management And General6295718ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total17803181Total
Program Services15986645ProgramServices
Management And General1816536ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2279665Total
Program Services2141793ProgramServices
Management And General137872ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total7181655Total
Program Services54831ProgramServices
Management And General7126824ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total43762144Total
Program Services17503402ProgramServices
Management And General26258742ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total5450123Total
Program Services4769892ProgramServices
Management And General680231ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES85217199831432162073983
BAD DEBT EXPENSE2187635321876353
MAINTENANCE & REPAIRS89800798764869215210
GOVERNMENTAL TAXES79721137972113
EQUIPMENT RENTAL23664241464041902383

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2316020Total
Program Services1130640ProgramServices
Management And General1185380ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total625150478Total
Program Services518854474ProgramServices
Management And General106296004ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY30164716BOY
EOY27090465EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4337BOY
EOY4337EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY162484BOY
EOY127615EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY93653830BOY
EOY85657938EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY512547BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4676026BOY
EOY4185088EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4755468BOY
EOY5504738EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis563535657LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec317376266LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY270140803BOY
EOY246159391EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY148750631BOY
EOY171363493EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY50189828BOY
EOY54829269EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY61133534BOY
EOY43843089EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY664144204BOY
EOY638765423EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY70955052BOY
EOY70005790EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY414916BOY
EOY431998EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY199648900BOY
EOY199617262EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY18846632BOY
EOY17889970EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY53770053BOY
EOY47322413EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY343635553BOY
EOY335267433EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY320508651BOY
EOY303497990EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY320508651BOY
EOY303497990EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY664144204BOY
EOY638765423EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-21903846ReconcilationRevenueExpenses
Reconcilation Other Changes4893185ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$40,000GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$54,835DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB94835TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1737891BeginningOfYearBalance
Contributions513452Contributions
Investment Earnings Or Losses25341InvestmentEarningsOrLosses
Other Expenditures24455OtherExpenditures
End Of Year Balance2252229EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1537773BeginningOfYearBalance
Contributions247046Contributions
Investment Earnings Or Losses17937InvestmentEarningsOrLosses
Other Expenditures64865OtherExpenditures
End Of Year Balance1737891EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1910328BeginningOfYearBalance
Contributions-382648Contributions
Investment Earnings Or Losses19699InvestmentEarningsOrLosses
Other Expenditures9606OtherExpenditures
End Of Year Balance1537773EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.99140PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00870TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis15594663OtherCostOrOtherBasis
Book Value15594663BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis217625156OtherCostOrOtherBasis
Depreciation87187116Depreciation
Book Value130438040BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis12845354OtherCostOrOtherBasis
Depreciation6523894Depreciation
Book Value6321460BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis308188306OtherCostOrOtherBasis
Depreciation218798518Depreciation
Book Value89389788BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9282178OtherCostOrOtherBasis
Depreciation4866738Depreciation
Book Value4415440BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings246159391TotalOfBookValueLandBuildings

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
RREEF AMERICA REIT II18717463F
MELLON AGGREGATE BOND INDEX FUND30487350F
CASH ON DEPOSIT WITH BOND TRUSTEE5541441F
CASH VALUE OF LIFE INSURANCE10023F
AGENCY ACCOUNT72992F
FieldValueIRS element (for citing)
Total Of Book Value Securities54829269TotalOfBookValueSecurities

Other Assets OtherAssets (19 entries)

DescriptionDescriptionBook ValueBookValue
OHE - NORTH AMBULANCE DOUGLAS COUNTY100000
ASSOCIATED HEALTH ASSURANCE, LTD500000
INSTITUTE ATHLETIC MEDICINE800940
NORTH RADIATION THERAPY CENTER3492928
PREFERRED ADMINISTRATIVE SERVICES, INC.9449039
NORTHPORT PROPERTIES74067
PREFERRED ONE COMMUNITY HEALTH PLAN1328048
MCG CAA DEPOSIT RESERVE499120
COVENANT NOT TO SELL (NET OF AMORTIZATION)1347500
DEFERRED FINANCING COSTS1790193
MINNESOTA DIAGNOSTIC IMAGING1084717
MAPLE GROVE HOSPITAL484074
MAPLE GROVE ENDOSCOPY357988
NOW MEDICAL15131530
MONTICELLO CANCER CENTER1527922
VHA UPPER MIDWEST200000
COLLATERAL SECURITY LENDING5136097
MAPLE GROVE ASC469067
WEST SUBURBAN HEALTH CAMPUS69859
FieldValueIRS element (for citing)
Total Book Value Other Assets43843089TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
EXECUTIVE PENSION PLAN$5,374,974
RESTORATION PENSION PLAN$533,607
PY PENSION LIABILITY$15,381,425
POST RETIREMENT HEALTH INSURANCE$2,364,174
SECURITIES LENDING$5,784,350
MCG CAA DEPOSIT RESERVE$499,121
INTEREST RATE SWAP$17,384,762
FieldValueIRS element (for citing)
Total Of Amounts47322413TotalOfAmounts
Total Revenue603246632TotalRevenue
Total Expenses625150478TotalExpenses
Excess Or Deficit For Year-21903846ExcessOrDeficitForYear
Net Unrealized GL On Investments16334634NetUnrealizedGLOnInvestments
Other-$11,441,449OtherAmount
Total Adjustments4893185TotalAdjustments
Excess Or Deficit Per FS-17010661ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt641103887TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments16334634NetUnrealizedGainsInvestments
Other Revenues27880089OtherRevenues
Revenue Not Rptd F99044214723RevenueNotRptdF990
Revenue Subtotal596889164RevenueSubtotal
Investment Expenses Not Included732415InvestmentExpensesNotIncluded
Other Revenues Not Included5625053OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt6357468RevenueNotRptdOnFinStmt
Total Revenue Per Form990603246632TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt653231871TotExpensesEtcAuditedFinclStmt
Other Expenses Included30354154OtherExpensesIncluded
Expenses Not Rptd F99030354154ExpensesNotRptdF990
Expenses Subtotal622877717ExpensesSubtotal
Investment Expenses Not Included2732415InvestmentExpensesNotIncluded2
Other Expenses Not Included1540346OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2272761ExpensesNotRptdOnFinStmt
Total Expenses Per Form990625150478TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: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 ENDOWNMENT: 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 FACILIITES AND EQUIPMENTAT 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 CANVER 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 IS ADMINISTERED AT NO FEE THROUGH THE NORTH MEMORIAL FOUNDATION.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN INTEREST RATE SWAP VALUATION -4,084,707. EQUITY TRANSFER ON 1/1/2010 -7,356,742.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FOUNDATION INCOME 1,595,697. ASSOCIATED HEALTH ASSURANCE LTD INCOME 726,657. OAKDALE HEALTH ENTERPRISES INCOME 3,042,453. RENTAL EXPENSES RECLASSED FROM EXPENSE 13,237,778. NOW MEDICAL CARE INCOME 8,253,190. GAIN ON SALE OF FIXED ASSETS RECLASSED FROM EXPENSE 1,024,314.
PART XII, LINE 4B - OTHER ADJUSTMENTS:OTHER OPERATING INCOME RECLASSED TO INTEREST EXPENSE 45,059. CONSOLIDATED ELIMINATION ENTRIES BETWEEN REVENUE AND EXPENSE 1,495,287. CHANGE IN INTEREST RATE SWAP VALUATION 4,084,707.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:OAKDALE HEALTH ENTERPRISES EXPENSE 3,105,741. RENTAL EXPENSE RECLASSED TO INCOME 13,237,778. FOUNDATION EXPENSES 895,967. NOW CARE MEDICAL CENTER EXPENSE 10,252,034. ASSOCIATED HEALTH ASSURANCE, LTD EXPENSE ADJUSTMENT 1,838,320. GAIN ON FIXED ASSET DISPOSAL RECLASSED TO INCOME 1,024,314.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:INTEREST EXPENSE RECLASSIFIED FROM OTHER INCOME 45,059. CONSOLIDATED ELIMINATION ENTRY BETWEEN REVENUE AND EXPENSE 1,495,287.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense11974832TotalCommunityBenefitExpense
Net Community Benefit Expense11974832NetCommunityBenefitExpense
Percent Of Total Expense0.01920PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense78049367TotalCommunityBenefitExpense
Direct Offsetting Revenue50099040DirectOffsettingRevenue
Net Community Benefit Expense27950327NetCommunityBenefitExpense
Percent Of Total Expense0.04470PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense90024199TotalCommunityBenefitExpense
Direct Offsetting Revenue50099040DirectOffsettingRevenue
Net Community Benefit Expense39925159NetCommunityBenefitExpense
Percent Of Total Expense0.06390PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1867031TotalCommunityBenefitExpense
Direct Offsetting Revenue49053DirectOffsettingRevenue
Net Community Benefit Expense1817978NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3636193TotalCommunityBenefitExpense
Direct Offsetting Revenue2957667DirectOffsettingRevenue
Net Community Benefit Expense678526NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense53429630TotalCommunityBenefitExpense
Direct Offsetting Revenue42284136DirectOffsettingRevenue
Net Community Benefit Expense11145494NetCommunityBenefitExpense
Percent Of Total Expense0.01780PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense658472TotalCommunityBenefitExpense
Direct Offsetting Revenue571626DirectOffsettingRevenue
Net Community Benefit Expense86846NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense405123TotalCommunityBenefitExpense
Net Community Benefit Expense405123NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense59996449TotalCommunityBenefitExpense
Direct Offsetting Revenue45862482DirectOffsettingRevenue
Net Community Benefit Expense14133967NetCommunityBenefitExpense
Percent Of Total Expense0.02250PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense150020648TotalCommunityBenefitExpense
Direct Offsetting Revenue95961522DirectOffsettingRevenue
Net Community Benefit Expense54059126NetCommunityBenefitExpense
Percent Of Total Expense0.08640PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$8,247,385BadDebtExpenseAmount
Amount Reimbursed By Medicare115174679AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare126894987CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-11720308MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (11 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 MAPLE GROVE HOSPIT
HOSPITAL0.750000.000000.00000
2 NM SURGERY CTR MG
OUTPATIENT SURG CTR0.500000.000000.50000
3 NM ENDO CTR MG
OUTPATIENT GI CENTER0.630000.000000.37000
4 MN DIAGNOSTIC IMAG
OUTPATIENT IMAGING CTR0.600000.000000.40000
5 PREFERREDONE ADMSVC
CLAIMS ADMINISTRATOR0.250000.000000.25000
6 PREFERREDONE COMHTH
INSURANCE COMPANY0.500000.000000.00000
7 INST ATHLETIC MED
CLINIC0.370000.000000.00000
8 WEST HEALTH
AMBULATORY SURGERY CTR0.500000.000000.00000
9 WEST SUBURBAN HLTH
REAL ESTATE0.500000.000000.00000
10 MONTICELLO CNCR CTR
OPTNT CANCER CLINIC0.400000.000000.00000
11 N RADIATION ONC
OPTNT RADIATION ONC CLNC0.500000.000000.00000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTH MEMORIAL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line13300 OAKDALE AVENUE NORTHAddressLine1
CityROBBINSDALECity
StateMNState
ZIP Code55422ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTH MEMORIAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit LawsuitXPermitLawsuit
Collection Activities1CollectionActivities
LawsuitXLawsuit
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

ExplanationExplanationIdentifierIdentifier
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: NORTH MEMORIAL FEELS THE FULL AMOUNT OF THE SHORTFALL SHOULD BE INCLUDED SINCE THIS REPRESENTS AMOUNTS PAID TO NORTH MEMORIAL FOR SERVICES TO THESE PATIENTS AT RATES BELOW THE COST OF PROVIDING THE SERVICE. THE AMOUNT IS DETERMINED FOLLOWING COST FINDING PRINCIPLES PUT FORTH BY THE MEDICARE PROGRAM.
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 V, SECTION B, LINE 19D: 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 MANAGE CARE PLAN.NORTH MEMORIAL MEDICAL CENTER
PART V, SECTION B, LINE 21: PER THE MINNESOTA ATTORNEY GENERAL'S AGREEMENT, THIRD PARTY LIABILITY AND PROCEDURES THAT ARE NOT MEDICALLY NECESSARY ARE NOT COVEREDUNDER THE MINNESOTA ATTORNEY GENERAL'S AGREEMENT AND THOSE PATIENTS CAN BE BILLED FULL CHARGES.NORTH MEMORIAL MEDICAL CENTER
PART VI, LINE 2: NORTH MEMORIAL MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF COMMUNITY BENEFITS AND CHARITY CARE IT PROVIDES. THOSE RECORDS INCLUDE MANAGEMENT'S ESTIMATE OF THE COST TO PROVIDE CHARITY CARE, THE COST OF THE SERVICES AND SUPPLIES FURNISHED FOR COMMUNITY BENEFIT PROGRAMS AND PUBLIC PROGRAM PAYMENT DEFICITS.
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 6: NORTH MEMORIAL HEALTH CARE IS A GENERAL ACUTE CARE HOSPITAL PROVIDING SPECIALIZED TRAUMA AND EMERGENCY SERVICES, CARDIOVASULAR 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 PROFESSIONSALS. 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LOREN TAYLOR
1825470001235012911064750203168000
PATRICK BORAN
33919200011699903771801375105076600623700
DAVID ABRAMS
2216940005692201686401146103069410545630
JOHN ALLEN
220299000433540158640144040293921080050
JOSEPH BOSTON
1412040002797009718084670187359000
ANDREW COCHRANE
296599000475620174640153700376995000
KEVIN CROSTON
42448800039936012563026310479618000
MICHAEL PARRISH
232930000370790166430125210299173000
PATRICK TAFFE
256203000282950174640184880320450000
TOM TIMMONS
340814000592130174640197210437212000
CHRISTOPHER HECK
623694000206570174640196190681434000
ROBERT KING
623310000131490174640216820675605000
STEVEN ROH
71113203000092950174640134880754379000
THOMAS ROSSINI
5923000993420147710174640125950736472000
GEORGE TADROS
70768900097270164590160420749917000
DAVID CRESS
424820000350088017464035251082762301314700
TOM HOLETS
33408900054748907350093130898241000
PAM LINDEMOEN
335953000986680515073063930956087000
JERRY MOEN
26970000507460017840568305418970767690
SUE PENQUE
18612900035427047460119040238206000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL INFORMATIONPART IIITHE ORGANIZATION REIMBURSES ONE OF THE EXECUTIVE MEMBERS FOR THE MONTHLY SOCIAL DUES AT THE GOLDEN VALLEY COUNTRY CLUB. THE DUES FOR 2010 WERE $90 PER MONTH OR 1,080 PER YEAR. THE NORTH MEMORIAL COMMUNITY FOUNDATION UTILIZES THE COUNTRY CLUB TO HOST VARIOUS FUND RAISING EVENTS THROUGH-OUT THE YEAR THAT SUPPORTS VARIOUS ACTIVITIES FOR NORTH MEMORIAL.
SUPPLEMENTAL INFORMATIONPART IIIALL EXPENSES ARE REVIEWED PRIOR TO REIMBURSEMENT AND SIGNED OFF BY THE CEO. NORTH MEMORIAL REPORTS EXECUTIVE EXPENSE REIMBURSEMENT DATA TO THE BOARD OF TRUSTEES ON AN ANNUAL BASIS.
SUPPLEMENTAL INFORMATIONPART IIITHE AMOUNTS REPORTED IN "OTHER REPORTABLE COMPENSATION" AND "RETIREMENT AND OTHER DEFERRED COMPENSATION" IN EXCESS OF $500,000 REFLECT PAYMENTS MADE IN 2010 OR 2011 PURSUANT TO SEVERANCE AGREEMENTS WITH THOSE INDIVIDUALS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF MAPLE GROVE
41087325056516TAD72005-09-2255000000CONSTRUCTION OF OUTPATIENT CENTER010
CITY OF ROBBINSDALE
7160054962008-07-10147190000REFUND SERIES 2003 BONDS010

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
548517824767980108380120070011
14719000079001720081011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
010000.000000.000000.000001
010000.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
AIG MATCHED FUNDING
00023.00000000000011.750000000000100
PIPER JAFFRAY
01123.00000000000000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2LARRY 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 REVIEWS 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.
ALL MEMBERS OF THE BOARD OF DIRECTORS AND ALL EMPLOYEES RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY EACH YEAR. EACH BOARD MEMBER AND STAFF MEMBER FILLS OUT A CONFLICT OF INTEREST QUESTIONNAIRE IN WHICH THEY ARE ASKED TO IDENTIFY ANY RELATIONSHIP THAT WOULD CREATE A CONFLICT OF INTEREST. THE RESULTS ARE SUMMARIZED AND REVIEWED TO DETERMINE ANY ACTUAL OR POTENTIAL CONFLICT AND ARE REPORTED TO THE BOARD OF DIRECTORS.FORM 990, PART VI, SECTION B, LINE 12C
COMPENSATION FOR KEY POSITIONS ARE REVIEWED BY THE EXECUTIVE COMMITTEE WORKING IN CONJUNCTION WITH AN OUTSIDE CONSULTANT. THE EXECUTIVE 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 B, LINE 15
GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE SECRETARY OF THE STATE FILING WITH THE STATE OF MINNESOTA.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 16,334,634. CHANGE IN INTEREST RATE SWAP VALUATION -4,084,707. EQUITY TRANSFER ON 1/1/2010 -7,356,742. TOTAL TO FORM 990, PART XI, LINE 5: 4,893,185.FORM 990, PART XI, LINE 5:
NEITHER THE OVERSIGHT PROCESS OF THE AUDIT OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT CHANGED IN THE CURRENT YEAR.FORM 990, PART XII, LINCE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1OAKDALE MEDICAL CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13300 OALDALE AVENUE NORTHAddressLine1
CityROBBINSDALECity
StateMNState
ZIP Code55422ZIPCode
FieldValueIRS element (for citing)
EIN320022819EIN
Primary ActivitiesLEASE MEDICAL OFFICE SPACEPrimaryActivities
Legal Domicile StateMNLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NORTH MEMORIALBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgLegal Domicile Foreign CountryLegalDomicileForeignCountry
NORTH MEMORIAL COMMUNITY FOUNDATION
3300 OAKDALE AVENUE NORTHROBBINSDALEMN55422411777966FUNDRAISINGMN501(C)(3)7NORTH MEMORIAL0
ASSOCIATED HEALTH ASSURANCE
3300 OAKDALE AVENUE NORTHROBBINSDALEMN55422980343815INSURANCE501(C)(3)11ANORTH MEMORIAL0BD
MAPLE GROVE HOSPITAL CORPORATION
9875 HOSPITAL DRIVEMAPLE GROVEMN55369208316475ACUTE CAREMN501(C)(3)3NORTH MEMORIAL0
WEST HEALTH INC
2805 CAMPUS DRIVEPLYMOUTHMN55441SURGERY CENTERMN501(C)(3)3NORTH MEMORIAL0
PREFERRED ONE COMMUNITY HEALTH PLAN
6105 GOLDEN HILLS DRIVEGOLDEN VALLEYMN55416HMOMN501(C)(4)N/A0

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStatePredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
WEST SUBURBAN HEALTH
2805 CAMPUS DRIVEPLYMOUTHMN55441REAL ESTATEMNRELATED-58464108442401
NORTH MEMORIAL SURGERY CENTER AT MAPLE GROVE
3300 OAKDALE AVENUE NORTHROBBINSDALEMN55422OUTPATIENT SURGERYMNRELATED399953168445200
NORTH MEMORIAL ENDOSCOPY CENTER AT MAPLE GROVE
3300 OAKDALE AVENUE NORTHROBBINSDALEMN55422OUTPATIENT SURGERYMNRELATED6021571283600
MONTICELLO CANCER CENTER
1013 HARAT BLVDMONTICELLOMN55362CANCER CENTERMNRELATED-1068767212020201

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipEINEIN
MINNESOTA DIAGNOSTIC IMAGING PARTNERS LLC
9855 HOSPITAL DRIVEMAPLE GROVEMN55369RADIOLOGYMNC81965216393720.60000
PREFERRED ONE ADMINISTRATIVE SERVICES INC
6105 GOLDEN HILLS DRIVEGOLDEN VALLEYMN55416TPAMNC123766797934760.25000
OAKDALE HEALTH ENTERPRISES INC
3300 OAKDALE AVENUE NORTHROBBINSDALEMN55422AMBULANCEMNC-632888036401.00000411546422
NOW CARE INC
3300 OAKDALE AVENUE NORTHROBBINSDALEMN55422URGENT CAREMNC-45258248437171.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (27 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
NORTH MEMORIAL COMMUNITY FOUNDATION (CONTRIBUTIONS)
C705476FMV
NORTH MEMORIAL COMMUNITY FOUNDATION (LEASE PAYMENTS)
I98857FMV
MAPLE GROVE HOSPITAL CORPORATION (DEBT GUARANTEE)
D107704000FMV
MAPLE GROVE HOSPITAL CORPORATION (LEASE PAYMENTS)
I356905FMV
MAPLE GROVE HOSPITAL CORPORATION (MANAGEMENT FEES)
P3123672FMV
MAPLE GROVE HOSPITAL CORPORATION (SALARY REIMBURSEMENT)
P4067844FMV
ASSOCIATED HEALTH ASSURANCE (PREMIUMS)
L809000FMV
OAKDALE HEALTH ENTERPRISES (PAYROLL)
B1620652FMV
OAKDALE HEALTH ENTERPRISES (MANAGEMENT FEES)
L698898FMV
OAKDALE HEALTH ENTERPRISES (INTEREST ON LOAN)
R78095FMV
NOW MEDICAL (LOAN GUARANTEE)
D658141FMV
OAKDALE MEDICAL OFFICE BUILDING (LEASE PAYMENTS)
J446492FMV
OAKDALE MEDICAL OFFICE BUILDING (EXPENSE REIMBURSEMENT)
P391820FMV
WEST HEALTH (BOND DEBT GUARANTEE)
D11260000FMV
MINNEAPOLIS RADIATION ONCOLOGY (LOAN GUARANTEE)
D610099FMV
NORTH MEMORIAL AMBULATORY SURGERY CENTER (LOAN GUARANTEE)
D987000FMV
NORTH MEMORIAL AMBULATORY SURGERY CENTER (LEASE PAYMENTS)
I1359373FMV
NORTH MEMORIAL ENDOSCOPY CENTER (LOAN GUARANTEE)
D172000FMV
NORTH MEMORIAL ENDOSCOPY CENTER (LEASE PAYMENTS)
I691626FMV
MAPLE GROVE DIAGNOSTIC IMAGING CENTER (LOAN GUARANTEE)
D865000FMV
MAPLE GROVE DIAGNOSTIC IMAGING CENTER (LEASE PAYMENTS)
I1014542FMV
MINNEAPOLIS RADIATION ONCOLOGY (LEASE PAYMENTS)
I227371FMV
MINNEAPOLIS RADIATION ONCOLOGY (DIVIDEND)
R885000FMV
WEST HEALTH (MANAGEMENT FEE)
L782000FMV
WEST HEALTH (RENT)
J284275FMV
PREFERRED ON ADMINISTRATIVE SOURCES (CLAIMS PROCESSING)
L33346114FMV
PREFERRED ON ADMINISTRATIVE SOURCES (REIMBURSEMENT TO NMMC)
R22272431FMV

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