MAPLE GROVE HOSPITAL CORPORATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- MAPLE GROVE HOSPITAL CORPORATION (EIN 20-8316475)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-15
- IRS object ID
- 202403209349315295
- Schema version
- 2023v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-15T13:39:42-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY ADVISORY GROUP LP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 S 6TH ST 2300 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208316475 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAPLE GROVE HOSPITAL CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MAPL | BusinessNameControlTxt |
| Phone | 7635811000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9875 HOSPITAL DRIVE | AddressLine1Txt |
| City | MAPLE GROVE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55369 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TREVOR SAWALLISH | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7635811000 | PhoneNum |
| Signature | 2024-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAWRENCE H MOHR CPA | PreparerPersonNm |
| PTIN | P00447603 | PTIN |
| Phone | 6128764500 | PhoneNum |
| Preparation | 2024-11-15 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TREVOR SAWALLISH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 OAKDALE AVE N | AddressLine1Txt |
| City | ROBBINSDALE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55422 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $274,681,128 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MAPLEGROVEHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO EMPOWER OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 1468 | TotalEmployeeCnt |
| Total Volunteers | 381 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,354,667 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,000,165 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $260,546,983 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $271,852,778 | CYProgramServiceRevenueAmt |
| PY Investment Income | $175,475 | PYInvestmentIncomeAmt |
| CY Investment Income | $493,276 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $263,077,125 | PYTotalRevenueAmt |
| CY Total Revenue | $274,346,219 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $116,265,674 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $122,702,743 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $108,568,567 | PYOtherExpensesAmt |
| CY Other Expenses | $114,962,763 | CYOtherExpensesAmt |
| PY Total Expenses | $224,834,241 | PYTotalExpensesAmt |
| CY Total Expenses | $237,665,506 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $38,242,884 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $36,680,713 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $150,483,922 | TotalAssetsBOYAmt |
| Total Assets EOY | $157,773,619 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $124,681,883 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $120,371,782 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $25,802,039 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $37,401,837 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO EMPOWER OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $207,337,261 | ExpenseAmt |
| Revenue | $269,737,331 | RevenueAmt |
| Desc | MAPLE GROVE HOSPITAL IS A GENERAL, ACUTE CARE HOSPITAL PROVIDING EMERGENCY SERVICES, MATERNITY AND NEONATAL CARE, AND GENERAL MEDICAL-SURGICAL, OBSTETRICAL, AND PEDIATRIC SERVICES. MAPLE GROVE HOSPITAL'S MISSION IS EMPOWERING ITS CUSTOMERS TO ACHIEVE THEIR BEST HEALTH.IN ADDITION TO CHARITY AND UNCOMPENSATED CARE, MAPLE GROVE HOSPITAL ALSO PROVIDES NUMEROUS COMMUNITY BENEFITS (AT NO COST OR BELOW COST) IN FURTHERANCE OF ITS CHARITABLE PURPOSE INCLUDING HEALTH RELATED EDUCATIONAL PROGRAMS: SAFETY FAIRS, CAR SEAT CLINICS, MENTAL HEALTH AND FIRST AID CLASSES, AND ASTHMA EDUCATION IN ELEMENTARY SCHOOLS. MAPLE GROVE HOSPITAL PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COSTS TO RESIDENTS OF ITS COMMUNITY PRIMARILY THROUGH (A) THE DIFFERENCE BETWEEN PUBLIC PROGRAM PAYMENTS (PRIMARILY MEDICARE AND MEDICAID) AND THE RELATED COSTS OF PROVIDING SUCH SERVICES, AND (B) SERVICES PROVIDED TO PATIENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE DETERMINED UNABLE TO PAY BECAUSE OF ECONOMIC FACTORS. IN ADDITION, MAPLE GROVE HOSPITAL CONTRIBUTES TO FUNDING MEDICAL CARE FOR THE UNINSURED THROUGH PAYMENT OF PATIENT SERVICES TAXES, WHICH INCLUDE THE MEDICAID SURCHARGE AND THE MINNESOTA CARE TAX ON CERTAIN NET REVENUE. | Desc |
| Total Program Service Expenses | $207,337,261 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 92 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1468 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEPH GALE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7635205200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 OAKDALE AVENUE NORTH | AddressLine1Txt |
| City | ROBBINSDALE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55422 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CAROLYN OGLAND MD | ||||||||
| DIRECTOR | 2.00 | 40.00 | Yes (X) | $0 | $694,230 | $42,277 | ||
| DAVID ALBRIGHT | ||||||||
| CHIEF FINANCIAL OFFICER | 2.00 | 40.00 | Yes (X) | $0 | $511,066 | $33,850 | Yes (X) | |
| J KEVIN CROSTON MD | ||||||||
| CEO AND BOARD CHAIR | 2.00 | 40.00 | Yes (X) | $0 | $1,452,041 | $543,528 | Yes (X) | |
| DAN FROMM | ||||||||
| TREASURER AND CFO (THROUGH 05/2023) | 2.00 | 42.00 | Yes (X) | $0 | $386,471 | $45,383 | Yes (X) | |
| TREVOR SAWALLISH | ||||||||
| CHIEF OPERATING OFFICER | 2.00 | 40.00 | $0 | $802,167 | $24,458 | Yes (X) | ||
| PAMELA DOORENBOS MD | ||||||||
| VP MEDICAL AFFAIRS | 40.00 | $383,756 | $0 | $31,707 | Yes (X) | |||
| ANNAMMA CHANDY | ||||||||
| PATIENT CARE FACILITATOR | 40.00 | $246,574 | $0 | $33,027 | Yes (X) | |||
| CATHY FEDDERSEN | ||||||||
| PATIENT CARE FACILITATOR | 40.00 | $206,861 | $0 | $30,277 | Yes (X) | |||
| ROBERT MOSS | ||||||||
| PHARMACIST | 40.00 | $200,127 | $0 | $19,037 | Yes (X) | |||
| JULISA ROESSLER | ||||||||
| PATIENT CARE FACILITATOR | 40.00 | $208,327 | $0 | $28,972 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,245,645 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,845,975 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $832,516 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 235 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AYA HEALTHCARE INC | |||||
| 5930 CORNERSTONE CRT W STE 300 | SAN DIEGO | CA | 92121 | HEALTHCARE TEMP STAFFING | $2,776,893 |
| MINNESOTA NEONATAL SPECIALISTS | |||||
| 9325 UPLAND LN N STE 360 | MAPLE GROVE | MN | 55369 | PHYSICIAN SERVICES | $1,283,483 |
| EMERGENCY PHYSICIANS PROFESSIONAL ASSN | |||||
| 4300 MARKETPLACE DR SUITE 100 | BLOOMINGTON | MN | 55435 | PHYSICIAN SERVICES | $744,343 |
| RESPIRATORY CONSULTANTS | |||||
| 3366 OAKDALE AVENUE NORTH 401 | ROBBINSDALE | MN | 55422 | PHYSICIAN SERVICES | $476,951 |
| PRESCRIPTION LANDSCAPE INC | |||||
| 481 FRONT AVE | ST PAUL | MN | 55117 | SNOW AND ICE MANAGEMENT | $453,147 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 24 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,000,165 | GovernmentGrantsAmt |
| Total Contributions | $2,000,165 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PATIENT REVENUE | 621500 | $269,737,331 | $269,737,331 | |
| CMS/EHR PAYMENTS & OTH | 900099 | $777,586 | $777,586 | |
| CONTRACT SERVICES | 900099 | $719,040 | $719,040 | |
| MISCELLANEOUS REVENUE | 621910 | $519,964 | $519,964 | |
| GIFT SHOP | 900099 | $98,857 | $98,857 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $271,852,778 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $734,719 | TotalRevenueColumnAmt |
| Exclusion | $734,719 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $93,466 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $334,909 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$241,443 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$241,443 | TotalRevenueColumnAmt |
| Exclusion | -$241,443 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $274,346,219 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $269,737,331 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,608,723 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,373,789 | TotalAmt |
| Program Services | $87,384,206 | ProgramServicesAmt |
| Management And General | $13,989,583 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,377,317 | TotalAmt |
| Program Services | $2,911,247 | ProgramServicesAmt |
| Management And General | $466,070 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,855,379 | TotalAmt |
| Program Services | $10,219,337 | ProgramServicesAmt |
| Management And General | $1,636,042 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,096,258 | TotalAmt |
| Program Services | $5,254,974 | ProgramServicesAmt |
| Management And General | $841,284 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,903,195 | TotalAmt |
| Program Services | $26,638,554 | ProgramServicesAmt |
| Management And General | $4,264,641 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,460 | TotalAmt |
| Management And General | $3,460 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,630 | TotalAmt |
| Management And General | $45,630 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,942,169 | TotalAmt |
| Program Services | $9,432,150 | ProgramServicesAmt |
| Management And General | $1,510,019 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,800 | TotalAmt |
| Program Services | $1,552 | ProgramServicesAmt |
| Management And General | $248 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,471,441 | TotalAmt |
| Program Services | $2,130,382 | ProgramServicesAmt |
| Management And General | $341,059 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,865 | TotalAmt |
| Program Services | $165,388 | ProgramServicesAmt |
| Management And General | $26,477 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,090,290 | TotalAmt |
| Program Services | $2,663,830 | ProgramServicesAmt |
| Management And General | $426,460 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,843 | TotalAmt |
| Program Services | $30,035 | ProgramServicesAmt |
| Management And General | $4,808 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,979,733 | TotalAmt |
| Program Services | $3,430,530 | ProgramServicesAmt |
| Management And General | $549,203 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,422,495 | TotalAmt |
| Program Services | $6,398,191 | ProgramServicesAmt |
| Management And General | $1,024,304 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,945,195 | TotalAmt |
| Program Services | $1,676,758 | ProgramServicesAmt |
| Management And General | $268,437 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $31,732,945 | $27,353,799 | $4,379,146 |
| BAD DEBT EXPENSE | $12,025,101 | $12,025,101 | |
| GOVERNMENT TAXES | $6,177,158 | $6,177,158 | |
| MAINTENANCE AND REPAIRS | $3,112,824 | $2,683,254 | $429,570 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $882,619 | TotalAmt |
| Program Services | $760,815 | ProgramServicesAmt |
| Management And General | $121,804 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,665,506 | TotalAmt |
| Program Services | $207,337,261 | ProgramServicesAmt |
| Management And General | $30,328,245 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,350 | BOYAmt |
| EOY | $1,350 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,876,764 | BOYAmt |
| EOY | $28,115,031 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,408,515 | BOYAmt |
| EOY | $39,487,042 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,685,068 | BOYAmt |
| EOY | $2,697,227 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,456,015 | BOYAmt |
| EOY | $2,162,245 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $172,605,534 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $105,735,073 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,777,221 | BOYAmt |
| EOY | $66,870,461 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,850,909 | BOYAmt |
| EOY | $17,534,326 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,428,080 | BOYAmt |
| EOY | $905,937 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,483,922 | BOYAmt |
| EOY | $157,773,619 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,179,235 | BOYAmt |
| EOY | $16,575,595 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,745,738 | BOYAmt |
| EOY | $100,693,156 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,756,910 | BOYAmt |
| EOY | $3,103,031 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,681,883 | BOYAmt |
| EOY | $120,371,782 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,802,039 | BOYAmt |
| EOY | $37,401,837 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,802,039 | BOYAmt |
| EOY | $37,401,837 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,483,922 | BOYAmt |
| EOY | $157,773,619 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $36,680,713 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,919,085 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$27,000,000 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,185,270 | OtherCostOrOtherBasisAmt |
| Book Value | $1,185,270 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $116,335,460 | OtherCostOrOtherBasisAmt |
| Depreciation | $62,135,562 | DepreciationAmt |
| Book Value | $54,199,898 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,739,199 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,599,511 | DepreciationAmt |
| Book Value | $11,139,688 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $345,605 | OtherCostOrOtherBasisAmt |
| Book Value | $345,605 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $66,870,461 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $726,802 |
| OPERATING LEASE RIGHT OF USE LIAB - SPACE | $38,806 |
| DEFERRED LEASE LIABILITY-EQUIPMENT | $876,418 |
| DEFERRED RENT LIABILITY | $1,461,005 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,103,031 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | NORTH MEMORIAL IS ENGAGED IN CERTAIN ACTIVITIES THAT RESULT IN UNRELATED BUSINESS INCOME. NORTH MEMORIAL RECORDED AN INCOME TAX EXPENSE OF APPROXIMATELY $331,000 AND $300,000 IN 2023 AND 2022, RESPECTIVELY, WHICH IS INCLUDED WITH OTHER OPERATING EXPENSES IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. NORTH MEMORIAL RECOGNIZES ALL TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT, BASED ON TECHNICAL MERITS, THE POSITION WILL BE SUSTAINED UPON EXAMINATION. NORTH MEMORIAL EVALUATES ITS UNCERTAIN POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN THE CONSOLIDATED BALANCE SHEETS AS OF DECEMBER 31, 2023 OR 2022. PLEASE NOTE THAT AMOUNTS INCLUDED ABOVE REGARDING UNRELATED BUSINESS INCOME ARE FOR NORTH MEMORIAL HEALTH AS WELL AS OTHER ORGANIZATIONS INCLUDED IN THE CONSOLIDATED AUDIT REPORT. MAPLE GROVE HOSPITAL DOES NOT HAVE ANY UNRELATED BUSINESS INCOME TAX LIABILITY FOR TAX YEAR 2023. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,728,488 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,728,488 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01990 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,285,504 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,483,488 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,802,016 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06650 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,013,992 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,483,488 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,530,504 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08640 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $144,373 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $144,373 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $161,373 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $161,373 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,175,365 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,483,488 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,691,877 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08710 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $12,025,101 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $59,443,930 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $61,993,114 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,549,184 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAPLE GROVE HOSPITAL CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9875 HOSPITAL DRIVE | AddressLine1Txt |
| City | MAPLE GROVE | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55369 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAPLE GROVE HOSPITAL CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V FOR FULL URL | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V FOR FULL URL | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V FOR FULL URL | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V FOR FULL URL | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V FOR FULL URL | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| None Made | Yes (X) | NoneMadeInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MAPLE GROVE HOSPITAL CORPORATION | PART V, SECTION B, LINE 5: NORTH MEMORIAL HEALTH MAPLE GROVE HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022. THE 2022 CHNA WAS OUR FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH WAS GUIDED BY OUR COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT). CEAT IS COMPOSED OF COMMUNITY MEMBERS, NORTH MEMORIAL HEALTH TEAM MEMBERS AND LEADERS, AND PUBLIC HEALTH REPRESENTATIVES.IN 2023 WE BEGAN ADDRESSING OUR TWO PRIORITY HEALTH ISSUES OF RACIAL DISPARITIES IN HEALTH AND LIFE-IMPACTING TRAUMAS. TO IDENTIFY THE TOP COMMUNITY NEEDS PRIORITIES, WE LEVERAGED PRIMARY AND SECONDARY RESEARCH. -WE CONDUCTED 50 KEY INFORMANT INTERVIEWS WITH CEAT MEMBERS, COMMUNITY LEADERS, LOCAL GOVERNMENT, LAW ENFORCEMENT, EDUCATION, COMMUNITY-BASED ORGANIZATIONS, BUSINESS OWNERS, AND COMMUNITY MEMBERS WITHIN OUR SERVICE AREA.-WE ENGAGED WITH OUR COMMUNITY THROUGH DINNERS AND DIALOGUES, SLOW ROLL BIKE RIDE, AND OUTREACH AT COMMUNITY EVENTS. WE HELD 8 DINNER DIALOGUES (COMMUNITY MEAL & HEALTH FOCUSED FACILITATED CONVERSATION), 3 SLOW ROLLS (60-MINUTE NEIGHBORHOOD BIKE RIDES), OUTREACHED AT 17 COMMUNITY GATHERING EVENTS/SITES, 247 SURVEYS, RESIDENTS IN 78 UNIQUE ZIP CODES REACHED 683 TOTAL TOUCHPOINTS ACROSS ALL EVENTS AND ACTIVITIES.-WE ALSO STOOD UP A VIRTUAL COMMUNITY HEALTH CHAT WHERE NMH TEAM MEMBERS COULD RESPOND TO THE SAME SURVEY QUESTIONS AS THE COMMUNITY WAS. WE HAD 581 SITE VISITS WITH 34 REGISTRATIONS AND 32 ACTIVE PARTICIPANTS.-WE COLLECTED AND ANALYZED DATA FROM MULTIPLE RESOURCES INCLUDING DEMOGRAPHIC DATA THROUGH MAPITUDE; QUANTITATIVE DATA FROM THE MINNESOTA DEPARTMENT OF HEALTH, HENNEPIN COUNTY SHAPE 2018, COMMUNITY NEEDS INDEX AND OTHER PUBLIC HEALTH DATA; PATIENT DATA; AND THE 2019 MINNESOTA STUDENTS SURVEY CONDUCTED BY THE MINNESOTA DEPARTMENT OF EDUCATION. |
| MAPLE GROVE HOSPITAL CORPORATION | PART V, SECTION B, LINE 11: THE 2022 CHNA TOOK A COMPREHENSIVE VIEW OF HEALTH THROUGHOUT BOTH THE QUANTITATIVE AND QUALITATIVE DATA COLLECTION AND ANALYSIS PROCESS. MANY SIGNIFICANT HEALTH ISSUES WERE IDENTIFIED, AND COMMUNITY-WIDE CHALLENGES AND NEEDS WERE DISCUSSED EXTENSIVELY. RECOGNIZING HEALTH IS INFLUENCED BY SO MANY FACTORS OUTSIDE THE HEALTHCARE SYSTEM, WE ANALYZED KEY HEALTH ISSUES THAT WERE DEEMED TO BE CRITICAL HEALTH ISSUES, AS DETERMINED BY CEAT MEMBER SCORING OF ALL KEY HEALTH INDICATORS, AND ALSO SHOWED UP IN THE FINDINGS/KEY THEMES FROM QUALITATIVE DATA ACTIVITIES. THERE WERE A WIDE RANGE OF ISSUES THAT ROSE TO THE TOP AS BEING MOST CRITICAL. TWO THEMES SHOWED UP REPEATEDLY THROUGHOUT MUCH OF THIS WORK AND THEY WERE SELECTED AS THE TOP TWO PRIORITIES FOR FUTURE WORK. THESE ISSUES ARE RACIAL DISPARITIES IN HEALTH AND LIFE-IMPACTING TRAUMAS. WE ARE COMMITTED TO FOCUSING ON AND IMPROVING OUR COMMUNITY'S HEALTH IN THESE AREAS AND BELIEVE IF WE FOCUS ON THESE TWO AREAS, MANY OF THE KEY HEALTH INDICATORS WILL SHOW IMPROVEMENT OVER TIME. THERE WERE OTHER HEALTH ISSUES THAT SHOWED UP IN OUR COMMUNITY CONVERSATIONS AND QUANTITATIVE ANALYSIS THAT WERE NOT SELECTED DUE TO RESOURCE CONSTRAINTS. IT IS BELIEVED SEVERAL OF THESE WILL BE IMPROVE BY WORK IN OUR TWO PRIORITY HEALTH AREAS, THESE TOPICS INCLUDED: 1. MOTHERS AND BABIES 2. CHRONIC CONDITIONS (OBESITY, DIABETES, ASTHMA, CARDIOVASCULAR DISEASE) 3. MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT 4. ELDER CARE 5. REPRODUCTIVE HEALTH AND SEXUALLY TRANSMITTED DISEASES 6. HEALTHY FOODS AND ENVIRONMENTS NORTH MEMORIAL HEALTH MAPLE GROVE HOSPITAL DEVELOPED A COMMUNITY HEALTH IMPLEMENTATION PLAN OUTLINING THE STRATEGIES WE WOULD IMPLEMENT TO ADDRESS THESE NEEDS IN 2023-2025. THE CONTENT IN THE FOLLOWING SECTIONS OUTLINES THE PRIORITIES, THE STRATEGIES WITHIN EACH PRIORITY, AND WHAT WE ACCOMPLISHED IN 2023. PRIORITY ONE: RACIAL DISPARITIES IN HEALTHRACIAL DISPARITIES WERE EVIDENT THROUGHOUT THE ASSESSMENT PROCESS AND HAVE A SEVERE IMPACT ON HEALTH AND QUALITY OF LIFE. AS A RESULT, PEOPLE EXPERIENCED A LACK OF ACCESS TO HEALTHCARE; DID NOT HAVE A PRIMARY CARE PROVIDER; DELAYED CARE, ESPECIALLY FOR MENTAL HEALTH; AND REPORTED HIGHER USE OF EMERGENCY DEPARTMENTS FOR SICKNESS. SOME EXAMPLES OF RACIAL DISPARITIES IN HEALTH IN OUR COMMUNITY ARE:- CHRONIC DISEASES SUCH AS HYPERTENSION, DIABETES, AND CANCER, ARE MORE PREVALENT IN BIPOC (BLACK, INDIGENOUS AND PEOPLE OF COLOR) COMMUNITY MEMBERS.- INFANT MORTALITY RATES ARE HIGHER IN BLACK, HISPANIC, AND AMERICAN INDIAN POPULATIONS.- COMMUNICABLE DISEASES IMPACT BIPOC COMMUNITIES MORE SEVERELY, AS SHOWN BY HIGHER COVID-19 DEATH RATES AND HOSPITALIZATIONS, AS WELL AS HIGHER RATES OF SEXUALLY TRANSMITTED INFECTIONS.- UNINTENTIONAL INJURY RATES AMONG AFRICAN AMERICANS, AMERICAN INDIANS, AND ALASKA NATIVES ARE HIGHER THAN THOSE OF WHITE RESIDENTS.THE 2023-2025 CHIP HAS FOCUSED ON TWO ISSUES UNDER RACIAL DISPARITIES: 1) BREAST CANCER AND BLACK WOMEN AND 2) INCREASING PREVENTIVE CARE AMONG BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC) COMMUNITY MEMBERS. THESE ISSUES WERE CONCERNS NOTED IN BOTH OUR COMMUNITY ENGAGEMENT WORK AND QUANTITATIVE DATA FINDINGS. WE HAVE SELECTED TO FOCUS ON BLACK WOMEN AND BREAST CANCER BECAUSE, IN MINNESOTA, AFRICAN AMERICAN WOMEN HAVE A BREAST CANCER MORTALITY RATE THAT IS 24 PERCENT HIGHER THAN THAT OF WHITE NON-HISPANIC/LATINA WOMEN, DESPITE INCIDENCE RATES THAT ARE 22 PERCENT LOWER. 1 BREAST CANCER IS THE LEADING CAUSE OF CANCER DEATH IN BLACK WOMEN. 2 NATIONALLY, BLACK WOMEN ARE 40% MORE LIKELY TO DIE FROM BREAST CANCER THAN WHITE WOMEN. 3, 4 COMPARED TO OTHER RACES, A GREATER PROPORTION OF AFRICAN AMERICAN WOMEN HAVE THEIR BREAST CANCERS DIAGNOSED AT A LATER, LESS TREATABLE STAGE.1 WE WILL BUILD UPON THE EFFORTS OF NORTH MEMORIAL HEALTH TEAMS AND COMMUNITY ORGANIZATIONS, SUCH AS THE BREAST CANCER GAPS PROJECT, WORKING TO ADDRESS THE ISSUE. NORTH MEMORIAL HEALTH'S BREAST CANCER SCREENING IMPROVEMENT GROUP HAS IDENTIFIED OVER 290 BLACK WOMEN OVERDUE FOR MAMMOGRAMS WHO LIVE WITHIN AN 8-MILE RADIUS OF THE NORTH MEMORIAL HEALTH BREAST CENTER.DURING COVID-19, MANY PEOPLE PUT OFF ROUTINE CARE. IT IS TIME TO BRING ATTENTION TO THE IMPORTANCE OF PREVENTIVE HEALTH CARE SUCH AS HEALTH SCREENINGS (E.G., MAMMOGRAMS, PAP SMEARS, CHOLESTEROL, DIABETES, AND BLOOD PRESSURE SCREENING) SO THAT CHRONIC DISEASES ARE DIAGNOSED AT EARLIER, MORE TREATABLE, STAGES. PREVENTIVE CARE ALSO INCLUDES STAYING UP TO DATE ON AGE-APPROPRIATE IMMUNIZATIONS SUCH AS INFLUENZA, SHINGLES, PNEUMONIA, AND MEASLES. OUR FOCUS ON PREVENTION WILL ALSO ENCOURAGE LOCAL RESIDENTS TO ESTABLISH A RELATIONSHIP WITH A PRIMARY CARE PROVIDER WHO CAN PARTNER WITH THEM TO MAKE SURE THEY RECEIVE THE REGULAR PREVENTIVE CARE THEY NEED TO STAY HEALTHY. ADDRESSING RACIAL HEALTH DISPARITIES IN 2023CHIP GOAL: REDUCE DISPARATE OUTCOMES IN BREAST CANCER FOR BLACK WOMEN AND PREVENTIVE HEALTH CARE.STRATEGIES AND ACTIONS (BY OBJECTIVE):OBJECTIVE 1: EXAMINE POLICIES, PROGRAMS, AND INITIATIVES TO IMPROVE BREAST CANCER OUTCOMES FOR BLACK WOMEN.STRATEGY 1: LEARN HOW TO USE THE RACIAL EQUITY TOOL AND THE RACIAL EQUITY DECISION-MAKING TOOL. ACTION: ON JULY 11, 2023, A BUILDING RACIAL EQUITY TRAINING, TAUGHT BY RACE FORWARD STAFF, WAS HELD AT NORTH MEMORIAL HEALTH ROBBINSDALE HOSPITAL WITH 50 INDIVIDUALS, INCLUDING A NUMBER FROM NMH MAPLE GROVE HOSPITAL AND A COUPLE COMMUNITY PARTNERS ATTENDING.ACTION: ON SEPTEMBER 12, 2023, A DECISION-MAKING FOR RACIAL EQUITY TRAINING WAS HELD, TAUGHT BY RACE FORWARD STAFF, WAS HELD WITH 42 INDIVIDUALS INCLUDING A NUMBER FROM NMH MAPLE GROVE HOSPITAL AND A COUPLE COMMUNITY PARTNERS ATTENDING.STRATEGY 2: DEVELOP RELATIONSHIPS WITH BOTH INTERNAL AND EXTERNAL PARTNERS TO ADDRESS BREAST CANCER DISPARITIES FOR BLACK WOMEN.ACTION: AN INTERNAL NMH BREAST HEALTH WORKGROUP HAS BEEN DEVELOPED WHOSE MEMBERS ARE BLACK WOMEN WHO WORK AT NMH. THEIR INITIAL MEETING WAS HELD AUGUST 28TH, AND THEY HELD 2 OTHER MEETINGS THROUGHOUT THE REMAINDER OF THE YEAR WITH A FOCUS ON UNDERSTANDING BARRIERS TO BREAST HEALTH SCREENINGS FOR BLACK WOMEN AND DISCUSSING THE CARE, TREATMENT AND SUPPORT OFFERED BY NMH TO BLACK WOMEN WITH BREAST CANCER. ACTION: IN 2023 WE CONTACTED CULTURAL WELLNESS CENTER TO CONDUCT COMMUNITY-BASED FOCUS GROUPS IN 2024 TO DISCUSS BARRIERS AND ISSUES IMPACTING BLACK WOMEN IN THEIR BREAST HEALTH JOURNEY. ACTION: IN 2023, NMH PARTICIPATED IN A NUMBER OF EVENTS TO PROMOTE BREAST HEALTH AND THE IMPORTANCE OF GETTING ANNUAL MAMMOGRAMS. AT THESE EVENTS WE PROMOTED WOMEN'S BREAST HEALTH THROUGH SURVEYS, ENCOURAGED BREAST CANCER SCREENINGS, AND HAD BOTH EXHIBITS AND OUTREACH MATERIALS FOCUSED ON BLACK WOMEN AND BREAST HEALTH. OUTREACH MATERIALS INCLUDED BREAST SELF-EXAM SHOWER CARDS FEATURING BLACK WOMEN AND EXHIBITS ON BREAST CANCER SIGNS AND SYMPTOMS. ONE OF THE EXHIBITS INCLUDED CULTURALLY APPROPRIATE BREASTS WHERE PARTICIPANTS WERE ABLE TO FEEL THE DIFFERENCE BETWEEN A HEALTHY BREAST, A FIBROCYSTIC BREAST, AND A BREAST WITH CANCEROUS LUMPS. WE TALKED TO WOMEN ABOUT THEIR BREAST HEALTH AND ENCOURAGED THEM TO MAINTAIN ANNUAL MAMMOGRAMS. WE ALSO REACHED OUT TO OTHER FAMILY MEMBERS (E.G., SPOUSES, PARTNERS, OLDER CHILDREN) AND ASKED THEM TO ENCOURAGE THEIR FAMILY MEMBERS TO GET MAMMOGRAMS. CONTINUED... |
| MAPLE GROVE HOSPITAL CORPORATION | PART V, SECTION B, LINE 13B: CATASTROPHIC CHARITY CARE - PAY NO MORE THAN 25% OF ANNUAL FAMILY INCOME. |
| PART V, SECTION B, LINE 11 CONTINUED: | - LIVE YOUR HEALTHY LYFE COMMUNITY EVENT: THIS EVENT WAS HELD ON AUGUST 12TH, AND WE REACHED MORE THAN 75 WOMEN WHO LIVE IN THE NORTH MINNEAPOLIS AREA.- NMH GOLF TOURNAMENT WAS HELD JUNE 6TH IN MAPLE GROVE: WE TALKED TO OVER 100 PEOPLE AT THIS EVENT ABOUT BREAST HEALTH AND THE IMPORTANCE OF GETTING ANNUAL MAMMOGRAMS. - BE THE CHANGE GOLF TOURNAMENT WAS HELD ON SEPTEMBER 10 AT THE THEODORE WIRTH GOLF COURSE IN MINNEAPOLIS: WE PROVIDED OUTREACH TO GOLFERS AND ENCOURAGED THEM TO TALK TO FAMILY MEMBERS ABOUT THE IMPORTANCE OF MAMMOGRAMS. WE REACHED OVER 100 PEOPLE AT THIS EVENT, WHICH WAS ATTENDED BY A NUMBER OF BIPOC NORTH MINNEAPOLIS RESIDENTS. - FAMILY RUN/WALK SPONSORED BY MELANIN IN MOTION AND ZETA LOTA SIGMA ALUMNI OF THE SIGMA GAMMA RHO SORORITY WAS HELD ON SEPTEMBER 23RD AT THEODORE WIRTH PARK IN MINNEAPOLIS. WE REACHED ABOUT 40 COMMUNITY MEMBERS AND OTHER NON-PROFITS IN THE REGION WITH THE IMPORTANT MESSAGING AROUND BREAST HEALTH AND GETTING AN ANNUAL MAMMOGRAM. - NEW HOPE YMCA COMMUNITY RESOURCE FAIR EVENT WAS HELD ON OCTOBER 26: THIS EVENT WAS ATTENDED BY OVER 100 PEOPLE, MOSTLY MEMBERS OF THE NEW HOPE YMCA, ABOUT BREAST HEALTH. WE SPOKE WITH OVER 75 PEOPLE. STRATEGY 3: UTILIZE A RACIAL EQUITY TOOL TO DEVELOP A COMMUNITY ENGAGEMENT PLAN TO INCLUDE THE COMMUNITY'S VOICE IN ALL ASPECTS OF RESEARCH AND DEVELOPING RECOMMENDATIONS FOR IMPROVEMENT.ACTION: AT THE INTERNAL NMH BLACK WOMEN AND BREAST HEALTH MEETINGS, PARTICIPANTS USED RACE FORWARD'S DECISION-MAKING FOR RACIAL EQUITY TOOL TO GUIDE CONVERSATIONS ABOUT CHOICE POINTS AND IMPROVING BREAST HEALTH SERVICES FOR BLACK WOMEN.STRATEGY 4: DEVELOP A LIST OF BEST PRACTICE STRATEGIES AND POTENTIAL PARTNERS TO IMPROVE BREAST CANCER OUTCOMES FOR BLACK WOMEN.ACTION: INITIAL LISTS OF BEST PRACTICES FOR BREAST HEALTH WITH BLACK WOMEN WERE DEVELOPED BY NMH'S SUMMER INTERN AND SENIOR COMMUNITY HEALTH SPECIALIST AS PART OF OUR CHIP.ACTION: KEY PARTNERS WERE LISTED AS PART OF OUR CHIP AND WERE EXPANDED UPON AS OUR BLACK WOMEN AND BREAST HEALTH PROJECT WAS INITIATED IN 2023. OBJECTIVE 2: EXAMINE POLICIES, PROGRAMS, AND INITIATIVES TO INCREASE PREVENTIVE HEALTH CARE FOR OUR BIPOC COMMUNITY. MOST OF THIS WORK WILL TAKE PLACE IN 2024-25.STRATEGY 1: CREATE A LIST OF BEST PRACTICES AND POTENTIAL PARTNERS TO INCREASE PREVENTIVE CARE FOR BIPOC RESIDENTS.ACTION: THE SENIOR COMMUNITY HEALTH SPECIALIST BEGAN TO COLLECT BEST PRACTICES FOR INCREASING PREVENTIVE CARE AMONG BIPOC POPULATIONS.ACTION: A LIST OF POTENTIAL PARTNERS WAS STARTED TO BE DEVELOPED IN 2023.STRATEGY 2: DEVELOP RELATIONSHIPS WITH BOTH INTERNAL AND EXTERNAL PARTNERS TO ADDRESS PREVENTIVE HEALTH CARE DISPARITIES. ACTION: THE SENIOR COMMUNITY HEALTH SPECIALIST HAS BEEN ASKED TO SIT ON A HENNEPIN COUNTY CLOSING THE GAP WITH SOCIAL DETERMINANTS OF HEALTH ACCELERATOR PLANNING GRANT. THE ONE-YEAR CENTER FOR DISEASE CONTROL AND PREVENTION GRANT WILL SUPPORT THE CREATION OF A MULTISECTORAL ACTION PLAN TO ADDRESS CHRONIC DISEASE PREVENTION AMONG BLACK AND AFRICAN AMERICAN RESIDENTS IN MINNEAPOLIS, BROOKLYN PARK, AND BROOKLYN CENTER. THE LEADERSHIP TEAM WILL COLLABORATE TO IDENTIFY COMMUNITY-WIDE APPROACHES THAT WILL REDUCE CHRONIC DISEASE DISPARITIES AND IMPROVE POPULATIONS HEALTH BY FOCUSING ON COMMUNITY-CLINICAL LINKAGES AND SOCIAL CONNECTEDNESS WITH A SPECIFIC FOCUS ON INCREASING PREVENTIVE HEALTH ACTIONS. LESSONS LEARNED IN THIS PROJECT WILL BE ABLE TO BE APPLIED TO BIPOC POPULATIONS THROUGHOUT NORTH MEMORIAL HEALTH'S SERVICE AREA.STRATEGY 3: DEVELOP A COMMUNITY ENGAGEMENT PLAN TO INCLUDE THE COMMUNITY'S VOICE IN ALL ASPECTS OF RESEARCH AND DEVELOP RECOMMENDATIONS FOR IMPROVEMENT. ACTION: THIS WORK IS PRIMARILY PLANNED FOR 2024-2025, HOWEVER, WORK ON THE HENNEPIN COUNTY GRANT NOTED ABOVE AND OTHER COMMUNITY ENGAGEMENT WORK IN 2023 HELPED DEVELOP KEY PARTNERS WE MAY WANT TO FURTHER ENGAGE WITHIN 2024-2025.OBJECTIVE 3: IMPROVE NMH TEAM MEMBER'S CULTURAL COMPETENCY. STRATEGY 1: CULTURAL COMPETENCY TRAINING, INCORPORATE INTO MANDATORY ANNUAL TRAINING.ACTION: NMH'S REQUIRED EDUCATION FOR ALL STAFF INCLUDES COURSES ON EMPLOYEE RIGHTS AND ACCOMMODATIONS IN A NUMBER OF AREAS INCLUDING DISABILITIES, RELIGIOUS BELIEFS AND PRACTICES, AND PREGNANCY. ALL NMH TEAM MEMBERS ARE REQUIRED TO TAKE TRAININGS ON RESPECTFUL WORKPLACES WHICH EMPHASIZES "NMH VALUES AN INCLUSIVE CULTURE AND PROMOTES A RESPECTFUL WORK ENVIRONMENTS WHERE PEOPLE TREAT EACH OTHER WITH RESPECT, COURTESY, AND PROFESSIONALISM AND WHERE INDIVIDUAL DIMENSIONS OF DIFFERENCE ARE VALUED." TRAININGS ALSO ADDRESS UNLAWFUL HARASSMENT, HOSTILE WORK ENVIRONMENTS, AND INAPPROPRIATE BEHAVIORS AND PROVIDE EXAMPLES OF EACH AND HOW TO REPORT. ACTION: NICK ALM, FOUNDER OF MOSSIER INC. TRAINED EIGHT CAFETERIA LEADERSHIP TEAM ON APRIL 13, 2023, ON GENDER AND PRONOUNS. ACTION: ALL NMH STAFF HAS ACCESS TO THE RESOURCES DEVELOPED BY MOSSIER INC, AN ORGANIZATION AIMED AT INCREASING SUCCESSFUL EMPLOYMENT OPPORTUNITIES FOR PERSONS WHO IDENTIFY AS LGBTQIA+. BY THE END OF 2023, 59 NMH TEAM MEMBERS HAVE JOINED MOSSIER, INC. RESOURCE SITE. STRATEGY 2: IMPLICIT BIAS TRAINING IN SUPPORT OF MN'S DIGNITY IN PREGNANCY AND CHILDBIRTH ACTACTION: ALL LABOR AND DELIVERY STAFF WERE MANDATED TO TAKE MINNESOTA'S DIGNITY IN PREGNANCY AND CHILDBIRTH TRAININGS (A SERIES OF THREE) IN 2023. OTHER STAFF WERE ALSO ENCOURAGED TO PARTICIPATE IN THE TRAININGS, WHICH ARE AVAILABLE IN OUR STAFF TRAINING SITE. 105 ROBBINSDALE HOSPITAL AND 391 MAPLE GROVE HOSPITAL TEAM MEMBERS TOOK THE TRAININGS IN 2023. ACTION: "NMH MINNESOTA: DIGNITY IN PREGNANCY & CHILDBIRTH FOR INDIGENOUS WOMEN & BIRTHING PEOPLE" WAS ADDED INTO OUR HEALTHSTREAM CATALOGUE FOR NMH TEAM MEMBERS TO ACCESS. STRATEGY 3: BEING AN EFFECTIVE LEADER IN THE 21ST CENTURY: THE ROLE OF UNCONSCIOUS BIAS AND THE POWER OF AWARENESS BASED DECISION MAKING TRAINING FOR ALL LEADERS.ACTION: ON JANUARY 20, 2023, THE QUALITY LEADERSHIP TEAM MEETING HAD A FOCUS ON CULTURAL COMPETENCY TRAINING.ACTION: ON APRIL 6, 2023, NMH'S IT LEADERSHIP ACADEMY HAD TRAINING WITH A FOCUS ON CULTURAL COMPETENCY.ACTION: CHIEF STRATEGY OFFICER'S DIVISION LEADERSHIP TEAM HAD A TRAINING ON CULTURAL COMPETENCY ON MARCH 30, 2023. THEY WERE ALSO ENCOURAGED TO TAKE MORE CLASSES ON THE HRC FOUNDATION SITE AND THE DIGNITY IN PREGNANCY AND CHILDBIRTH CLASSES IN HEALTHSTREAM. ACTION: ANTHONY TAYLOR OF CULTURAL WELLNESS CENTER WAS A GUEST SPEAKER AT THE JULY 28, 2023, INSIGHT LEADERS FORUM AND HE PRESENTED ON "FROM RACE TO CULTURE" TO 58 NMH LEADERS.ACTION: THE PATIENT CARE DIRECTOR TEAM HAD CULTURAL COMPETENCY TRAININGS ON APRIL 13 AND JULY 13, 2023. ACTION: RACE POWER OF ILLUSION IS AVAILABLE IN OUR ONLINE EDUCATIONAL SYSTEM (HEALTHSTREAM) FOR ALL NMH EMPLOYEES.ACTION: 18 NMH TEAM MEMBERS COMPLETED THE INTERCULTURAL DEVELOPMENT INVENTORY (IDI) IN 2023. PRIORITY TWO: LIFE-IMPACTING TRAUMASTHE EFFECTS OF COVID-19 AND SYSTEMIC RACISM HAVE RESULTED IN LARGE NUMBERS OF OUR POPULATION FEELING DEPRESSED, ANXIOUS, AND ISOLATED. IN ADDITION, TRAUMAS SUCH AS DEATHS FROM COVID-19, COMMUNITY VIOLENCE, OPIOID OVERDOSES, AND SUICIDES HAVE LEFT MANY PEOPLE GRIEVING AND IN NEED OF SUPPORT TO HELP THEM HEAL. OUR NEEDS ASSESSMENT FOUND THAT MANY YOUTH AND ADULTS FEEL A LACK OF SOCIAL SUPPORT. ADDITIONALLY, THE MINNESOTA STUDENT SURVEY DATA FROM OUR REGION SHOWED MANY YOUTHS HAD 3+ ADVERSE CHILDHOOD EXPERIENCES (ACES) BY 9TH GRADE AND/OR HAD SELF-INJURED THEMSELVES IN THE PAST YEAR. HIGHER RATES WERE REPORTED IN THE ANOKA SCHOOL DISTRICT, WHICH INCLUDES THE COMMUNITIES OF DAYTON, CHAMPLIN, BROOKLYN CENTER, AND BROOKLYN PARK, ALL IN NMH'S CONSOLIDATED SERVICE AREA.OTHER DRIVERS OF LIFE-IMPACTING TRAUMA IN OUR COMMUNITY ARE FROM TRIPLE "ACES":ADVERSE CHILDHOOD EXPERIENCES ARE TRAUMATIC EVENTS THAT OCCUR IN CHILDHOOD AND CAN INCLUDE VIOLENCE, ABUSE, AND NEGLECT AS WELL AS GROWING UP IN A FAMILY WITH MENTAL HEALTH ISSUES, SUBSTANCE USE, DOMESTIC VIOLENCE, AND/OR PARENTAL DIVORCE OR SEPARATION. PEOPLE WHO REPORT EXPERIENCING ACES FROM AGES 0-17 HAVE MORE HEALTH PROBLEMS, INCLUDING DEPRESSION, HEART DISEASE, SEXUALLY TRANSMITTED INFECTIONS, SUBSTANCE USE, AND SUICIDE ATTEMPTS.ADVERSE COMMUNITY EXPERIENCES SUCH AS CRIME, SOCIAL UNREST AND VIOLENCE ALL IMPACT THE HEALTH OF OUR COMMUNITY. COMMUNITY MEMBERS REPORTED NOT FEELING SAFE IN THEIR NEIGHBORHOODS OR BEING IMPACTED BY ACTS OF COMMUNITY VIOLENCE, WHICH LEADS TO HIGHER LEVELS OF ANXIETY, DEPRESSION, AND LONELINESS.ADVERSE COMMUNITY ENVIRONMENTS ARE THOSE NATURAL OR HUMAN-CAUSED DISASTERS (EARTHQUAKES, TORNADOES, WILDFIRES, FLOODS, TERRORIST ACTS) AND THREATS SUCH AS DISEASE OUTBREAKS, LIKE THE COVID-19 PANDEMIC, WHICH IMPACT MANY LIVES, STRAINING LOCAL RESOURCES AIMED AT RESPONSE AND RECOVERY TO SUCH DISASTERS OR THREATS.CONTINUED... |
| PART V, SECTION B, LINE 11 CONTINUED: | INPUT FROM OUR CHNA COMMUNITY ENGAGEMENT ACTIVITIES NOTED THE IMPORTANCE OF NMH BECOMING A TRAUMA-INFORMED ORGANIZATION. IMPLEMENTING A TRAUMA-INFORMED CARE APPROACH WILL BE AN ONGOING ORGANIZATIONAL CHANGE PROCESS. A "TRAUMA-INFORMED APPROACH" IS NOT A PROGRAM MODEL THAT CAN BE IMPLEMENTED AND THEN SIMPLY MONITORED BY A FIDELITY CHECKLIST. RATHER, IT IS A PROFOUND PARADIGM SHIFT IN KNOWLEDGE, PERSPECTIVE, ATTITUDES, AND SKILLS THAT CONTINUES TO DEEPEN AND UNFOLD OVER TIME. SOME LEADERS IN THE FIELD OF TRAUMA ARE BEGINNING TO TALK ABOUT A "CONTINUUM" OF IMPLEMENTATION, WHERE ORGANIZATIONS MOVE THROUGH STAGES. THE CONTINUUM BEGINS WITH BECOMING TRAUMA-AWARE AND MOVES TO TRAUMA-SENSITIVE THEN TO TRAUMA-RESPONSIVE TO BEING FULLY TRAUMA-INFORMED.ADDRESSING LIFE-IMPACTING TRAUMAS IN 2023CHIP GOAL: LAY THE GROUNDWORK AND BUILD AWARENESS FOR TRAUMA-INFORMED CARE.OBJECTIVE 1: DEVELOP A ROADMAP TO HELP NMH BECOME A TRAUMA-INFORMED ORGANIZATION.STRATEGY 1: RESEARCH TRAUMA-INFORMED SYSTEMS BEST PRACTICES AROUND THE UNITED STATESACTION: BEST PRACTICES RESOURCES FOR ORGANIZATIONS BECOMING TRAUMA-INFORMED WERE DEVELOPED BY THE SENIOR COMMUNITY HEALTH SPECIALIST AND PROVIDED TO THE EMERGING LEADERS PROGRAM COHORT WHO SUBSEQUENTLY DEVELOPED A ROADMAP AND RECOMMENDATIONS FOR NMH TO BECOME A TRAUMA-INFORMED SYSTEM.ACTION: THE EMERGING LEADERS PROGRAM COHORT PRESENTED THEIR "NORTH MEMORIAL HEALTH'S ROADMAP TO BECOMING A TRAUMA-INFORMED CARE SYSTEM ROADMAP AND RECOMMENDATIONS" TO THEIR PEERS AND NMH LEADERSHIP AND THEIR PEERS ON DECEMBER 4, 2023.STRATEGY 2: PROMOTE EMPLOYMENT OPPORTUNITIES AND ENCOURAGE INTERVIEWS FROM A VARIETY OF BACKGROUNDS (RACIAL, CULTURAL, LGBTQIA+)ACTION: HR LISTED POSITIONS ON MOSSIER, INC, AN ORGANIZATION FOCUSED ON INCREASING JOB OPPORTUNITIES AND WORKPLACE SATISFACTION FOR PEOPLE WHO IDENTIFY AS LGBTQIA+. ACTION: A LEADER OF NMH'S STRATEGY DEPARTMENT AND A REPRESENTATIVE FROM HUMAN RESOURCES REPRESENTED NMH ON MOSSIER'S ON-LINE VIRTUAL JOB SEEKER MEETINGS IN THE TWIN CITIES. ACTION: ON APRIL 27, 2023, OUR DEI SYSTEM DIRECTOR AND HR STAFF ATTENDED THE PEOPLE OF COLOR CAREER FAIR. ONE ATTENDEE WAS RECRUITED TO SIT ON OUR COMMUNITY ENGAGEMENT ADVISORY TEAM. OBJECTIVE 2: PROVIDE TRAINING ON THE IMPACT OF TRAUMA ON HEALTH AND BEHAVIOR FOR ALL TEAM MEMBERS AND THE COMMUNITY.STRATEGY 1: HOLD A CONFERENCE TO INCREASE AWARENESS AT NMH AND WITHIN THE COMMUNITY ABOUT TRAUMA/ACES AND RESILIENCE/HEALING.ACTION: ON OCTOBER 6, 2023, A TRAUMA SYMPOSIUM ENTITLED "CULTIVATING TRAUMA-INFORMED CARE THROUGH GROWTH, HEALING, AND KNOWLEDGE" WAS HELD AND ATTENDED BY OVER 125 COMMUNITY MEMBERS, NMH TEAM MEMBERS AND PROVIDERS. MANY STAFF FROM NON-PROFIT AGENCIES LOCATED IN THE NORTHWEST SUBURBS ATTENDED THE SYMPOSIUM. NMH'S DR. RYAN VAN WYK LAID THE GROUNDWORK FOR UNDERSTANDING TRAUMA-INFORMED CARE. HIS KEYNOTE PRESENTATION IS AVAILABLE ON NORTH'S COMMUNITY HEALTH WEBSITE. MANY OF THE PRESENTATIONS WERE VIDEOTAPED AND ARE NOW AVAILABLE TO NORTH TEAM MEMBERS IN OUR LEARNING AND DEVELOPMENT SITE. NMH TEAM MEMBERS CAN EARN CEUCMES FOR WATCHING THEM. IN THIS MANNER WE HOPE TO CONTINUE TO EDUCATE AND ADVOCATE FOR NORTH BECOMING A TRAUMA-INFORMED ORGANIZATION. STRATEGY 2: DEVELOP A COMMUNICATIONS CAMPAIGN TO RAISE AWARENESS ABOUT THE THREE ACES AND COMMUNITY RESOURCES. ACTION: IN 2023, WE PLACED INTERNAL COMMUNICATIONS PIECES TO RAISE AWARENESS ABOUT OUR PRIORITY HEALTH ISSUES AND CHIP STRATEGIES. NMH LEADERSHIP AND TEAM MEMBERS WERE KEPT APPRISED OF OUR CHNA AND CHIP AND STRATEGIES WE WERE IMPLEMENTING TO ADDRESS OUR KEY HEALTH PRIORITIES IN 2023 THROUGH STRATEGIC COMMUNICATIONS INCLUDING THE CHIEF MEDICAL OFFICER'S CMO NEWSLETTER IN JANUARY AND MARCH OF 2023, AN UPDATE FROM THE CEO DR. KEVIN CROSTON ON THIS WORK TO THE HOSPITAL BOARD OF TRUSTEES AND SENIOR LEADERSHIP IN MARCH OF 2023, AND AN ARTICLE IN THE DOSE ON FEBRUARY 16. NMH TEAM MEMBERS WERE INVITED TO PARTICIPATE IN THE TRAUMA SYMPOSIUM THROUGH NUMEROUS ARTICLES IN THE DOSE IN SUMMER-FALL 2023. STRATEGY 3: EDUCATE STAFF ON SECONDARY TRAUMA STRESS AND THE THREE ACES.ACTION: AT THE TRAUMA SYMPOSIUM HELD ON OCTOBER 6, 2023, SEVERAL OF THE SESSIONS ADDRESSED THE ISSUE OF SECONDARY TRAUMA STRESS ALONG WITH FOCUSING ON THE THREE CATEGORIES OF TRAUMA INCLUDING ADVERSE CHILDHOOD EVENTS, ADVERSE COMMUNITY EVENTS, AND ADVERSE COMMUNITY ENVIRONMENTS.ACTION: VARIOUS MESSAGES WERE SHARED BY NMH'S RESILIENCY COACH ABOUT THE PRESENCE AND IMPACT OF SECONDARY TRAUMA STRESS ON THE HEALTH OF HEALTH CARE PROVIDERS.ACTION: THE NMH RESILIENCY COACH HELPED PLAN, ORGANIZE, AND PARTICIPATE IN THE MINNESOTA CARES CONFERENCE, AN EVENT FOCUSED ON WELLNESS AND RESILIENCY SESSIONS AIMED AT HEALTH CARE WORKERS IN THE STATE OF MINNESOTA.OBJECTIVE 3: SUPPORT A CULTURE OF EMPLOYEE WELLNESS.STRATEGY 2: CREATE AN NMH JOURNAL FOR TEAM MEMBERS AND COMMUNITY MEMBERS THAT SUPPORT RESILIENCY AND TRAUMA EDUCATION.ACTION: THE NMH JOURNAL WAS PUBLISHED AND DISTRIBUTED TO NMH TEAM AND COMMUNITY MEMBERS AT THE TRAUMA SYMPOSIUM AND WITHIN THE NMH SYSTEM.STRATEGY 3: DEVELOP SPACE FOR STAFF SELF-CARE AND PROVIDE SELF-CARE SUPPORTS (AROMATHERAPY, WEIGHTED BLANKETS, FIDGETS).ACTION: SELF-CARE SUPPORT WAS PROVIDED TO ATTENDEES OF THE 2023 TRAUMA SYMPOSIUM.OBJECTIVE 4: CREATE SAFE PHYSICAL, SOCIAL, AND EMOTIONAL ENVIRONMENTS.STRATEGY 3: MANDATORY HARASSMENT TRAINING ON SEXUAL ASSAULT FOR ALL TEAM MEMBERS.ACTION: HARASSMENT TRAINING ON SEXUAL ASSAULT WAS A MANDATORY TRAINING FOR ALL TEAM MEMBERS IN 2023.ACTION: 3050 NMH TEAM MEMBERS COMPLETED THE 2022 TRAINING EARLY IN 2023 AND 2702 NMH TEAM MEMBERS COMPLETED THE 2023 TRAININGS LATE IN 2023.STRATEGY 4: MANDATORY DISCRIMINATION TRAINING FOR ALL TEAM MEMBERS.ACTION: TRAINING ON DISCRIMINATION IS A MANDATORY TRAINING FOR ALL TEAM MEMBERS IN 2023. ACTION: 3050 NMH TEAM MEMBERS COMPLETED THE 2022 TRAINING EARLY IN 2023 AND 2702 NMH TEAM MEMBERS COMPLETED THE 2023 TRAININGS LATE IN 2023. |
| PART V, SECTION B, LINE 16: | FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://NORTHMEMORIAL.COM/FINANCIAL-ASSISTANCE/ |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 2: | AMOUNT REPRESENTS THE HOSPITAL'S BAD DEBT PROVISION REDUCED BY THE HOSPITAL'S COST TO CHARGE RATIO WHICH REPRESENTS THE BEST ESTIMATE OF COST FOR THE BAD DEBT PROVISION. |
| PART III, LINE 4: | MAPLE GROVE HOSPITAL'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DESCRIPTION ABOUT BAD DEBT EXPENSE. THE COST TO CHARGE RATIO WAS USED TO DETERMINE THE AMOUNT ON PART III, SECTION A, LINE 2. WE DO NOT HAVE THE INFORMATION NECESSARY TO DETERMINE WHICH PORTION OF THE AMOUNT REPORTED ON LINE 2 IS COMMUNITY BENEFIT. |
| PART III, LINE 8: | THE SHORTFALL REPORTED REPRESENTS THE AMOUNT THE MEDICARE REIMBURSEMENT IS LESS THAN THE ESTIMATED COST OF PROVIDING SERVICES TO THOSE PATIENTS. THE METHOD USED TO ESTIMATE THOSE COSTS IS THE COST TO CHARGE RATIO APPROACH WHICH CALCULATES THE RATIO OF TOTAL HOSPITAL COSTS / TOTAL HOSPITAL GROSS REVENUE AND THEM APPLIES THAT RATIO TO TOTAL MEDICARE GROSS REVENUE. |
| PART III, LINE 9B: | MAPLE GROVE HOSPITAL CORPORATION HAS POLICIES AND PROCEDURES IN PLACE FOR COLLECTION PRACTICES THAT INCLUDE IDENTIFICATION AND SCREENING FOR CHARITY CARE AND FINANCIAL ASSISTANCE. THE POLICIES ARE AVAILABLE ON THE ORGANIZATION'S INTRANET AND EACH PATIENT IS GIVEN A BROCHURE UPON ADMISSION. |
| PART VI, LINE 2: | NORTH MEMORIAL HEALTH WORKS CLOSELY WITH THE COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT) MEMBERS TO DETERMINE AREAS OF NEED AND COMMUNITY HEALTH CONCERNS. OUR SENIOR COMMUNITY HEALTH SPECIALIST IS A MEMBER OF THE SEVERAL COMMUNITY HEALTH IMPROVEMENT COALITIONS (CENTER FOR COMMUNITY HEALTH, YMCA COMMUNITY BOARD, AGE-FRIENDLY MAPLE GROVE, AND NORTHWEST FAMILY RESOURCE COLLABORATIVE) WHICH ALLOWS NORTH MEMORIAL HEALTH TO BE INVOLVED IN KEY COMMUNITY HEALTH ISSUES. THE LATEST CHNA WAS COMPLETED IN 2022 AND INCLUDED NUMEROUS COMMUNITY ENGAGEMENT ACTIVITES TO BETTER UNDERSTAND THE COMMUNITY'S HEALTH NEEDS. IT HAD A STRONG FOCUS ON OUTREACH TO NON-WHITE COMMUNITY MEMBERS SO THAT THEIR VOICE WAS A PRIMARY FACTOR IN SELECTION OF NEW HEALTH PRIORITIES. |
| PART VI, LINE 3: | MAPLE GROVE HOSPITAL HAS A VERY PROACTIVE PROGRAM TO ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH THEIR MEDICAL BILLS. WE COMPLY WITH THE ATTORNEY GENERAL'S REQUIREMENT TO PROVIDE A DISCOUNT TO UNINSURED MINNESOTA RESIDENTS AS WELL AS A FINANCIAL ASSISTANCE PROGRAM FOR FINANCIALLY QUALIFIED PATIENTS. WE HAVE PATIENT FINANCIAL ADVOCATES AS WELL AS A CONTRACTED VENDOR THAT MEETS WITH ALL OF OUR UNINSURED INPATIENTS AND SPECIFIC OUTPATIENTS TO ASSIST THEM IN MEDICAL ASSISTANCE ELIGIBILITY AND APPLICATIONS. THIS COULD INCLUDE A VISIT TO THEIR RESIDENCE IF THEY NEED HELP IN COMPLETING ASSISTANCE APPLICATIONS. SHOULD THEY NOT QUALIFY FOR STATE OR FEDERAL ASSISTANCE PROGRAMS, WE OFFER AND ASSIST THEM IN APPLYING FOR THE HOSPITAL'S FINANCIAL ASSISTANCE (CHARITY CARE) PROGRAM.IN ADDITION, OUR INTERNAL COLLECTIONS DEPARTMENT AND OUR COLLECTION AGENCIES ARE WELL VERSED IN OUR ASSISTANCE PROGRAMS AND WILL ASSESS DURING THEIR CONVERSATIONS WITH PATIENTS IF REFERRAL TO EITHER A STATE OR FEDERAL PROGRAM OR OUR CHARITY CARE PROGRAM WOULD BE APPROPRIATE. |
| PART VI, LINE 4: | NORTH MEMORIAL HEALTH SERVES A GEOGRAPHIC AREA THAT INCLUDES 58 ZIP CODES IN THE NORTHWEST QUADRANT OF THE TWIN CITIES METRO. THIS SERVICE AREA INCLUDES URBAN, SUBURBAN, EX-URBAN, AND RURAL AREAS. THIS SERVICE AREA INCLUDES A DIVERSE POPULATION OF 1,280,000 PEOPLE LIVING IN HENNEPIN, WRIGHT, SHERBURNE, ANOKA, AND RAMSEY COUNTIES. |
| PART VI, LINE 5: | MAPLE GROVE HOSPITAL PROVIDES EDUCATIONAL RESOURCES FOR COMMUNITY MEMBERS SUCH AS CLASSES ON HEALTH CARE DIRECTIVES, KIDS SAFETY FAIRS AND SEMINARS ON HEALTH TOPICS. |
| PART VI, LINE 6: | MAPLE GROVE HOSPITAL IS A PART OF NORTH MEMORIAL HEALTH SYSTEM, WHICH IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. THROUGH TARGETED OUTREACH, EDUCATION AND PARTNERSHIPS, WE IMPROVE THE HEALTH OF OUR COMMUNITIES BY LISTENING TO THEIR NEEDS AND RESPONDING WITH APPROPRIATE PROGRAMS AND SERVICES. OUR PROGRAMS, MANY OF WHICH HAVE BEEN NATIONALLY RECOGNIZED, RANGE FROM HEALTH EDUCATION AND FREE SCREENING TO TRAINING HEALTH PROFESSIONALS. |
| PART VI, LINE 7: | NORTH MEMORIAL HEALTH FILES THE COMMUNITY BENEFIT REPORT WITH THE STATE OF MINNESOTA WHENEVER A NEW REPORT IS PREPARED. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| J KEVIN CROSTON MD | ||||||||||||||
| CEO AND BOARD CHAIR | $0 | $1,130,000 | $0 | $282,500 | $0 | $39,541 | $0 | $516,250 | $0 | $27,278 | $0 | $1,995,569 | $0 | $0 |
| TREVOR SAWALLISH | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $714,977 | $0 | $77,997 | $0 | $9,193 | $0 | $13,200 | $0 | $11,258 | $0 | $826,625 | $0 | $0 |
| CAROLYN OGLAND MD | ||||||||||||||
| DIRECTOR | $0 | $577,077 | $0 | $79,500 | $0 | $37,653 | $0 | $16,250 | $0 | $26,027 | $0 | $736,507 | $0 | $0 |
| DAVID ALBRIGHT | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $423,077 | $0 | $75,000 | $0 | $12,989 | $0 | $16,250 | $0 | $17,600 | $0 | $544,916 | $0 | $0 |
| DAN FROMM | ||||||||||||||
| TREASURER AND CFO (THROUGH 05/2023) | $0 | $352,885 | $0 | $24,375 | $0 | $9,211 | $0 | $16,250 | $0 | $29,133 | $0 | $431,854 | $0 | $0 |
| PAMELA DOORENBOS MD | ||||||||||||||
| VP MEDICAL AFFAIRS | $325,000 | $0 | $48,750 | $0 | $10,006 | $0 | $16,250 | $0 | $15,457 | $0 | $415,463 | $0 | $0 | $0 |
| ANNAMMA CHANDY | ||||||||||||||
| PATIENT CARE FACILITATOR | $228,772 | $0 | $17,056 | $0 | $746 | $0 | $11,812 | $0 | $21,215 | $0 | $279,601 | $0 | $0 | $0 |
| JULISA ROESSLER | ||||||||||||||
| PATIENT CARE FACILITATOR | $189,495 | $0 | $18,416 | $0 | $416 | $0 | $10,220 | $0 | $18,752 | $0 | $237,299 | $0 | $0 | $0 |
| CATHY FEDDERSEN | ||||||||||||||
| PATIENT CARE FACILITATOR | $192,788 | $0 | $13,753 | $0 | $320 | $0 | $10,008 | $0 | $20,269 | $0 | $237,138 | $0 | $0 | $0 |
| ROBERT MOSS | ||||||||||||||
| PHARMACIST | $199,380 | $0 | $260 | $0 | $487 | $0 | $10,002 | $0 | $9,035 | $0 | $219,164 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE CHIEF EXECUTIVE OFFICER IS AN EMPLOYEE OF NORTH MEMORIAL HEALTH CARE. OTHER BOARD MEMBERS LISTED WITH COMPENSATION FROM A RELATED ORGANIZATION ARE OFFICERS AND KEY EMPLOYEES OF NORTH MEMORIAL HEALTH CARE WHO PROVIDE SERVICES TO MAPLE GROVE HOSPITAL AS WELL AS TO ALL OR SOME RELATED ENTITIES AS IDENTIFIED ON SCHEDULE R. AS SUCH, THEIR COMPENSATION LEVELS INCORPORATE SERVICES PROVIDED TO MULTIPLE NORTH MEMORIAL ENTITIES. |
| PART I, LINE 4B | DR. KEVIN CROSTON RECIEVED A CONTRIBUTION TO HIS 457(F) PLAN OF $500,000 DURING THE TAX YEAR. THIS AMOUNT IS INCLUDED IN COLUMN (C) OF SCHEDULE J, PART II. THE PLAN BECAME FULLY VESTED AS OF 9/8/23. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF MAPLE GROVE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 410873250 | BondIssuerEIN |
| CUSIP | 56516TBU8 | CUSIPNum |
| Bond Issued | 2017-05-25 | BondIssuedDt |
| Issue Price | $128,801,633 | IssuePriceAmt |
| Purpose | REFUNDING OF 2007 BOND SERIES | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | Yes (1) | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $25,050,000 | RetiredAmt |
| Total Proceeds | $128,801,633 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $1,020,988 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $127,780,645 | OtherSpentProceedsAmt |
| Substantial Completion | 2017 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | DATE REBATE COMPUTATION PERFORMED | FormAndLineReferenceDesc |
| Explanation | ISSUER NAME: CITY OF MAPLE GROVE DATE THE REBATE COMPUTATION WAS PERFORMED: 06/15/2022 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | NORTH MEMORIAL HEALTH CARE, A RELATED PARTY, PERFORMS MANAGEMENT DUTIES ON BEHALF OF MAPLE GROVE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 6 | MAPLE GROVE HOSPITAL HAS ONE CLASS OF MEMBERS. NORTH MEMORIAL HEALTH CARE ("NORTH MEMORIAL") IS THE ONLY MEMBER OF THE CORPORATION AND IS A NONPROFIT, TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS IS COMPRISED OF THREE VOTING DIRECTORS AS FOLLOWS: THE CHIEF EXECUTIVE OFFICER OF NORTH MEMORIAL AND TWO OTHER DIRECTORS APPOINTED ANNUALLY BY NORTH MEMORIAL. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBERS, AND ONLY THE MEMBERS, MAY TAKE DIRECT ACTION ON THE FOLLOWING MATTERS BY UNANIMOUS MEMBER APPROVAL: (A) AMENDMENTS TO THE ARTICLES OF INCORPORATION; (B) AMENDMENTS TO THE BYLAWS; (C) MERGER OR CONSOLIDATION OF THE CORPORATION (D) SALE, LEASE OR TRANSFER OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (E) JOINT VENTURES AFFECTING SUBSTANTIALLY ALL OF THE ASSETS OR OPERATIONS OF THE CORPORATION; (F) DETERMINATION OF THE NAME UNDER WHICH THE HOSPITAL CONDUCTS BUSINESS; (G) CERTAIN MORTGAGES OR OTHER SECURITY INTERESTS; (H) ISSUANCE OF CAPITAL CALLS; AND (I) DISSOLUTION AND LIQUIDATION OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD OF DIRECTORS REVIEW THE FORM 990 BEFORE IT IS FILED. REPRESENTATIVES FROM THE HOSPITAL'S INDEPENDENT ACCOUNTING FIRM REVIEW THE FORM 990 WITH MANAGEMENT IN DETAIL AND NOTES FOR THE BOARD ANY CHANGES IN THE FORM 990 FROM PRIOR YEARS. AFTER THOROUGH DISCUSSION, THE BOARD APPROVES THE FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | MAPLE GROVE HOSPITAL BOARD MEMBERS AND TEAM MEMBERS HAVE RESPONSIBILITY FOR ADMINISTERING THE AFFAIRS OF MAPLE GROVE HOSPITAL HONESTLY AND PRUDENTLY, AND FOR EXERCISING THEIR BEST CARE, SKILL, AND JUDGMENT FOR THE SOLE BENEFIT OF MAPLE GROVE HOSPITAL. MAPLE GROVE HOSPITAL PRACTITIONERS/CLINICIANS ALSO HAVE THE RESPONSIBILITY TO AVOID EXPLOITING THE PRACTITIONER-CUSTOMER RELATIONSHIP. MAPLE GROVE HOSPITAL BOARD MEMBERS AND TEAM MEMBERS MUST DISCLOSE ALL POTENTIAL CONFLICTS OF INTEREST. THE TERM CONFLICT OF INTEREST REFERS TO SITUATIONS IN WHICH FINANCIAL OR OTHER PERSONAL INTERESTS DIRECTLY AND SIGNIFICANTLY INFLUENCE, OR APPEAR TO INFLUENCE, PROFESSIONAL JUDGMENT AND RESPONSIBILITIES. MAPLE GROVE HOSPITAL HEALTH BOARD MEMBERS AND TEAM MEMBERS MUST EXERCISE THE UTMOST GOOD FAITH IN ALL TRANSACTIONS INVOLVED IN THEIR DUTIES, AND THEY MUST NOT USE THEIR POSITIONS WITH MAPLE GROVE HOSPITAL OR KNOWLEDGE GAINED FROM THESE POSITIONS FOR THEIR PERSONAL BENEFIT. THE INTERESTS OF MAPLE GROVE HOSPITAL MUST BE THE FIRST PRIORITY IN ALL DECISIONS. A CONFLICT OF INTEREST COULD EXIST WHENEVER A PERSONAL INTEREST INFLUENCES, OR APPEARS TO INFLUENCE, THE ABILITY OF A BOARD MEMBER OR TEAM MEMBERS TO EXERCISE OBJECTIVITY IN MEETING THEIR RESPONSIBILITIES ON BEHALF OF MAPLE GROVE HOSPITAL. INDIVIDUALS COVERED BY THIS POLICY MAY NOT TAKE PART IN ANY ACTION THAT RESULTS IN, OR HAS THE APPEARANCE OF RESULTING IN, PERSONAL OR PROFESSIONAL GAIN, OR BENEFIT TO AN ORGANIZATION OTHER THAN MAPLE GROVE HOSPITAL. TO AVOID AN ACTUAL CONFLICT OR ANY APPEARANCE OF A CONFLICT, NO BOARD MEMBER OR TEAM MEMBER MAY PARTICIPATE IN A TRANSACTION INVOLVING MAPLE GROVE HOSPITAL IN WHICH THAT INDIVIDUAL OR HIS/HER IMMEDIATE FAMILY HAS A PERSONAL INTEREST, WHETHER FINANCIAL OR NON-FINANCIAL. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR EXECUTIVE POSITIONS IS REVIEWED BY THE COMPENSATION COMMITTEE WHICH IS COMPRISED OF MEMBERS ON BOARD OF DIRECTORS, CHRO, CEO, AND GENERAL COUNSEL FOR NORTH MEMORIAL. THE COMPENSATION COMMITTEE WORKS IN CONJUNCTION WITH AN OUTSIDE COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE OF NORTH MEMORIAL ENSURES THAT THE SALARY AND BENEFIT ADMINISTRATION REVIEW PROCESS IS BEING FOLLOWED, WHICH INCLUDES SALARY AND BENEFIT SURVEYS AND COMPARISONS OF THE MARKET FOR ALL EXECUTIVE POSITIONS. THE COMPENSATION OF EXECUTIVE POSITIONS IS APPROVED BY THE CEO. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE ONLINE THROUGH THE OFFICE OF THE ATTORNEY GENERAL VIA THE CHARITY REPORT FILED WITH THE STATE OF MINNESOTA. |
| FORM 990, PART XI, LINE 9: | RETURN OF CAPITAL TO NORTH MEMORIAL HEALTH -27,000,000. |
| FORM 990, PART XII, LINE 2C: | NEITHER THE OVERSIGHT PROCESS OF THE AUDIT OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE CURRENT TAX YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH MEMORIAL HEALTH CARE | |||||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 410729979 | ACUTE CARE | MN | 501(C)(3) | LINE 3 | NORTH MEMORIAL | 0 | |
| NORTH MEMORIAL FOUNDATION | |||||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 411777966 | FUNDRAISING | MN | 501(C)(3) | LINE 7 | NORTH MEMORIAL | 0 | |
| ASSOCIATED HEALTH ASSURANCE | |||||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 980343815 | INSURANCE | 501(C)(3) | LINE 12B, II | NORTH MEMORIAL | 0 | BD | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE LLC | |||||||||
| 9855 HOSPITAL DRIVE | MAPLE GROVE | MN | 55369 | 260393039 | OUTPATIENT SURGERY | MN | N/A | 0 | 0 |
| MINNESOTA DIAGNOSTIC IMAGING PARTNERS LLC | |||||||||
| 2955 XENIUM LANE SUITE 40 | PLYMOUTH | MN | 55441 | 352162215 | RADIOLOGY | MN | N/A | 0 | 0 |
| NORTH RADIATION THERAPY CENTER | |||||||||
| 6950 FRANCE AVE S SUITE 200 | EDINA | MN | 55435 | 743069974 | RADIOLOGY | MN | N/A | 0 | 0 |
| BLAZE HEALTH LLC | |||||||||
| 8301 GOLDEN VALLEY RD STE 300 | GOLDEN VALLEY | MN | 55427 | 842906333 | HEALTH CARE | MN | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| OAKDALE HEALTH ENTERPRISES INC | |||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 411546422 | AMBULANCE | MN | N/A | C | 0 |
| NORTH COLLABORATIVE CARE | |||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | 461680666 | PRIMARY CARE | MN | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |