NORTH MEMORIAL HEALTH CARE: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: NORTH MEMORIAL HEALTH CARE (EIN 41-0729979)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-15
IRS object ID: 202433209349319113
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-15T14:52:17-06:00	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	410729979	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH MEMORIAL HEALTH CARE	BusinessNameLine1Txt
Business Name Line2	DBA NORTH MEMORIAL HEALTH	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TREVOR SAWALLISH	PersonNm
Person Title	CHIEF EXECUTIVE OFFICER	PersonTitleTxt
Phone	7635205200	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

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 AVENUE NORTH	AddressLine1Txt
City	ROBBINSDALE	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55422	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,018,704,004	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NORTHMEMORIAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1954	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	EMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	6570	TotalEmployeeCnt
Total Volunteers	200	TotalVolunteersCnt
Total Gross UBI	$148,004	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$20,889,891	PYContributionsGrantsAmt
CY Contributions Grants	$13,698,156	CYContributionsGrantsAmt
PY Program Service Revenue	$741,905,030	PYProgramServiceRevenueAmt
CY Program Service Revenue	$878,801,361	CYProgramServiceRevenueAmt
PY Investment Income	$19,024,590	PYInvestmentIncomeAmt
CY Investment Income	$15,152,355	CYInvestmentIncomeAmt
PY Other Revenue	$607,896	PYOtherRevenueAmt
CY Other Revenue	-$33,135	CYOtherRevenueAmt
PY Total Revenue	$782,427,407	PYTotalRevenueAmt
CY Total Revenue	$907,618,737	CYTotalRevenueAmt
PY Grants And Similar Paid	$207,291	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$170,989	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$466,265,855	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$551,240,548	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$316,103,993	PYOtherExpensesAmt
CY Other Expenses	$362,768,149	CYOtherExpensesAmt
PY Total Expenses	$782,577,139	PYTotalExpensesAmt
CY Total Expenses	$914,179,686	CYTotalExpensesAmt
PY Revenues Less Expenses	-$149,732	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$6,560,949	CYRevenuesLessExpensesAmt
Total Assets BOY	$597,651,900	TotalAssetsBOYAmt
Total Assets EOY	$679,594,370	TotalAssetsEOYAmt
Total Liabilities BOY	$223,280,771	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$297,610,433	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$374,371,129	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$381,983,937	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	EMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$786,466,780	ExpenseAmt
Grant	$170,989	GrantAmt
Revenue	$728,141,664	RevenueAmt
Desc	NORTH MEMORIAL HEALTH CARE DBA NORTH MEMORIAL HEALTH IS A HEALTHCARE SYSTEM THAT INCLUDES A GENERAL ACUTE CARE HOSPITAL PROVIDING HIGHLY SPECIALIZED TRAUMA AND EMERGENCY SERVICES, CORONARY CARE, OPEN HEART SURGERY, ONCOLOGY, HIGH RISK MATERNITY AND LEVEL II NEONATAL CARE AND GENERAL MEDICAL: SURGICAL, OBSTETRICAL, PEDIATRIC, REHABILITATION, BEHAVIORAL HEALTH, MEDICAL TRANSPORTATION, PRIMARY CARE AND SPECIALTY CARE CLINICS. NORTH MEMORIAL HEALTH'S MISSION IS EMPOWERING ITS CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. IN ADDITION TO CHARITY AND UNCOMPENSATED CARE, NORTH MEMORIAL HEALTH ALSO PROVIDES NUMEROUS COMMUNITY BENEFITS (AT NO COST OR BELOW COST) IN FURTHERANCE OF ITS CHARITABLE PURPOSE. NORTH MEMORIAL HEALTH OFFERS VARIOUS COMMUNITY-BASED PROGRAMS INCLUDING HEALTH SCREENINGS, SUPPORT COUNSELING FOR PARENTS AND FAMILIES, PASTORAL CARE, CRISIS INTERVENTION, TRANSPORTATION TO AND FROM THE HOSPITAL CAMPUS, 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 WELLNESS SEMINARS AND CLASSES ON SPECIFIC CONDITIONS. NORTH MEMORIAL HEALTH ALSO PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COSTS TO RESIDENTS OF ITS COMMUNITY, PRIMARILY THROUGH (A) THE DIFFERENCES 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 HEALTH CONTRIBUTES TO FUNDING MEDICAL CARE FOR THE UNINSURED THROUGH PAYMENT OF PATIENT SERVICE TAXES, WHICH INCLUDE THE MEDICAID SURCHARGE AND THE MINNESOTA CARE TAX ON CERTAIN NET REVENUE.	Desc
Total Program Service Expenses	$786,466,780	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	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	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	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	Yes (1)	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	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	314	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	6570	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	BD	ForeignCountryCd
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	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
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 (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
J KEVIN CROSTON MD
CEO NORTH MEMORIAL	40.00	6.00	Yes (X)	Yes (X)	$1,452,041	$0	$543,528
ROBERT KING
PHYSICIAN, CARDIAC SURGEON	40.00				$891,596	$0	$43,596	Yes (X)
JOSEPH VAN CAMP MD
PHYSICIAN, CARDIAC SURGEON	40.00				$853,796	$0	$45,270	Yes (X)
AMANDA STRAM
PHYSICIAN, CARDIAC SURGEON	40.00				$848,368	$0	$49,616	Yes (X)
TREVOR SAWALLISH
CHIEF OPERATING OFFICER	40.00			Yes (X)	$802,167	$0	$24,458
CAROLYN OGLAND MD
CHIEF MEDICAL OFFICER	40.00	2.00			$694,230	$0	$42,277		Yes (X)
LUKE HAWES
PHYSICIAN, TRAUMA SURGERY	40.00				$614,728	$0	$46,486	Yes (X)
JULIE KLINE
FORMER CHIEF HUMAN RESOURCES OFFICER	40.00				$623,674	$0	$31,336			Yes (X)
OPEYEMI AGBOOLA
PHYSICIAN, TRAUMA SURGERY	40.00				$612,815	$0	$25,638	Yes (X)
ANDREW COCHRANE
FORMER CHIEF HOSPITAL OFFICER	40.00	2.00			$565,069	$0	$0			Yes (X)
DAVID ALBRIGHT
CHIEF FINANCIAL OFFICER	40.00			Yes (X)	$511,066	$0	$33,850
BJORN GUNNERUD
CHIEF STRATEGY OFFICER	40.00				$464,201	$0	$41,059		Yes (X)
SAMANTHA HANSON
FORMER CHIEF ADMINISTRATION OFFICER	40.00	4.00			$499,423	$0	$0			Yes (X)
DAN FROMM
CFO (THROUGH 05/2023)	40.00	4.00		Yes (X)	$386,471	$0	$45,383
DAWN BACKLUND
CHIEF COMPLIANCE OFFICER	40.00				$283,326	$0	$16,767		Yes (X)
MIKE STEINHAUSER
CHAIRMAN OF BOARD	2.00		Yes (X)	Yes (X)	$10,000	$0	$0
TIM BAYLOR
BOARD MEMBER	2.00		Yes (X)		$10,000	$0	$0
BRUCE CHRISTENSEN
BOARD MEMBER	2.00		Yes (X)		$10,000	$0	$0
ROBERT DAHL
BOARD MEMBER	2.00		Yes (X)		$10,000	$0	$0
TED FERRARA
BOARD MEMBER	2.00		Yes (X)		$10,000	$0	$0
ANDREW HOULTON MD
BOARD MEMBER	2.00		Yes (X)		$10,000	$0	$0
DIANE HUSTON
BOARD MEMBER	2.00		Yes (X)		$10,000	$0	$0
LAURIE LAFONTAINE
BOARD MEMBER	2.00		Yes (X)		$10,000	$0	$0
WARREN MACK
BOARD MEMBER	2.00		Yes (X)		$10,000	$0	$0
REUBEN MOORE
BOARD MEMBER	2.00		Yes (X)		$10,000	$0	$0
ROBERT PRENTISS
BOARD MEMBER	2.00		Yes (X)		$10,000	$0	$0
HEIDI WILSON
BOARD MEMBER	2.00		Yes (X)		$10,000	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,222,971	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$989,264	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1238	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AIRBUS HELICOPTERS INC
2701 FORUM DRIVE	GRAND PRAIRIE	TX	75052	HELICOPTER	$14,505,308
MIDWEST SPINE AND BRAIN
1950 NORTHWESTERN BLVD STE 102	STILLWATER	MN	55082	NEUROLOGIST SURGICAL STAFFING	$9,000,000
FAVORITE HEALTHCARE STAFFING
1700 W HIGHWAY 36 STE 880	ROSEVILLE	MN	55113	TEMPORARY STAFFING	$8,759,905
RESPIRATORY CONSULTANTS PA
3366 OAKDALE AVE NORTH 401	ROBBINSDALE	MN	55422	INTENSIVISTS STAFFING	$5,639,279
TRELLIS RX LLC
655 METRO PLACE SOUTH STE 450	DUBLIN	OH	43017	PHARMACY OPTIMIZATION	$4,850,886

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	80	CntrctRcvdGreaterThan100KCnt
Related Organizations	$381,670	RelatedOrganizationsAmt
Government Grants	$8,901,577	GovernmentGrantsAmt
All Other Contributions	$4,414,909	AllOtherContributionsAmt
Total Contributions	$13,698,156	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
HOSPITAL PATIENT REVEN	621500	$728,175,076	$728,174,799	$277
PHARMACY	900099	$64,152,471			$64,152,471
CONTRACT REVENUE	900099	$42,784,235		$147,727	$42,636,508
JOINT VENTURE REVENUE	900099	$39,515,535			$39,515,535
EHR/MEDICARE & OTHER	900099	$4,174,044			$4,174,044

Field	Value	IRS element (for citing)
Total Program Service Revenue	$878,801,361	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,795,499	TotalRevenueColumnAmt
Exclusion	$5,795,499	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$15,167,159	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$15,200,294	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$33,135	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$33,135	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$33,135	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$104,364,451	SecuritiesAmt
Other	$877,378	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$95,730,924	SecuritiesAmt
Other	$154,049	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$8,633,527	SecuritiesAmt
Other	$723,329	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,356,856	TotalRevenueColumnAmt
Exclusion	$9,356,856	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$907,618,737	TotalRevenueColumnAmt
Related Or Exempt Func Income	$728,141,664	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$148,004	UnrelatedBusinessRevenueAmt
Exclusion	$165,630,913	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$170,989	TotalAmt
Program Services	$170,989	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,060,328	TotalAmt
Management And General	$7,060,328	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$442,504,370	TotalAmt
Program Services	$381,290,155	ProgramServicesAmt
Management And General	$61,214,215	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$22,009,204	TotalAmt
Program Services	$18,964,542	ProgramServicesAmt
Management And General	$3,044,662	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$50,355,552	TotalAmt
Program Services	$43,389,574	ProgramServicesAmt
Management And General	$6,965,978	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$29,311,094	TotalAmt
Program Services	$25,256,319	ProgramServicesAmt
Management And General	$4,054,775	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,671,441	TotalAmt
Program Services	$2,301,885	ProgramServicesAmt
Management And General	$369,556	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$661,352	TotalAmt
Program Services	$569,863	ProgramServicesAmt
Management And General	$91,489	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$285,374	TotalAmt
Management And General	$285,374	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$861,684	TotalAmt
Management And General	$861,684	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$50,124,134	TotalAmt
Program Services	$43,190,170	ProgramServicesAmt
Management And General	$6,933,964	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,689,058	TotalAmt
Program Services	$3,178,729	ProgramServicesAmt
Management And General	$510,329	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,055,698	TotalAmt
Program Services	$6,079,642	ProgramServicesAmt
Management And General	$976,056	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$21,824,587	TotalAmt
Program Services	$18,805,464	ProgramServicesAmt
Management And General	$3,019,123	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$23,027,854	TotalAmt
Program Services	$19,842,276	ProgramServicesAmt
Management And General	$3,185,578	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,072,143	TotalAmt
Program Services	$923,827	ProgramServicesAmt
Management And General	$148,316	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,247,191	TotalAmt
Program Services	$1,936,324	ProgramServicesAmt
Management And General	$310,867	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,649,782	TotalAmt
Program Services	$24,686,490	ProgramServicesAmt
Management And General	$3,963,292	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$11,512,273	TotalAmt
Program Services	$9,919,713	ProgramServicesAmt
Management And General	$1,592,560	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$150,363,687	$129,563,000	$20,800,687
BAD DEBT EXPENSE	$29,973,274	$29,973,274
MAINTENANCE & REPAIR	$15,079,690	$12,993,628	$2,086,062
GOVERNMENT TAXES	$11,948,399	$11,948,399

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,720,528	TotalAmt
Program Services	$1,482,517	ProgramServicesAmt
Management And General	$238,011	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$914,179,686	TotalAmt
Program Services	$786,466,780	ProgramServicesAmt
Management And General	$127,712,906	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$90,200	BOYAmt
EOY	$85,460	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$850,428	BOYAmt
EOY	$878,902	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$82,012,047	BOYAmt
EOY	$112,023,247	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,976,854	BOYAmt
EOY	$9,007,987	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,842,457	BOYAmt
EOY	$14,265,568	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$761,579,882	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$564,880,008	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$171,138,586	BOYAmt
EOY	$196,699,874	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$200,578,839	BOYAmt
EOY	$210,088,226	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$112,558,640	BOYAmt
EOY	$99,814,750	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$250,000	BOYAmt
EOY	$125,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$10,353,849	BOYAmt
EOY	$36,605,356	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$597,651,900	BOYAmt
EOY	$679,594,370	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$102,980,443	BOYAmt
EOY	$125,465,012	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$526,381	BOYAmt
EOY	$493,631	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$61,781,771	BOYAmt
EOY	$62,340,985	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$16,497,210	BOYAmt
EOY	$15,095,598	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$41,494,966	BOYAmt
EOY	$94,215,207	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$223,280,771	BOYAmt
EOY	$297,610,433	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	$374,371,129	BOYAmt
EOY	$381,983,937	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$374,371,129	BOYAmt
EOY	$381,983,937	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$597,651,900	BOYAmt
EOY	$679,594,370	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$6,560,949	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$13,783,887	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$389,870	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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$285,373	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Total Lobbying Expenditures	$285,373	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	CONTACTS & VISITS WERE MADE WITH STATE LEVEL LEGISLATORS TO PROMOTE HEALTH CARE RELATED ISSUES. LINE 1F INCLUDES SALARY ALLOCATIONS OF STAFF INVOLVED IN LOBBYING, CONSULTANT FEES, & THE NON-DEDUCTIBLE PORTION OF ORGANIZATION MEMBERSHIP DUES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,303,599	BeginningYearBalanceAmt
Contributions	$17,351	ContributionsAmt
Investment Earnings Or Losses	$309,091	InvestmentEarningsOrLossesAmt
Other Expenditures	$77,942	OtherExpendituresAmt
End Year Balance	$2,552,099	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,998,878	BeginningYearBalanceAmt
Contributions	$30,942	ContributionsAmt
Investment Earnings Or Losses	-$545,367	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$180,854	GrantsOrScholarshipsAmt
End Year Balance	$2,303,599	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,665,779	BeginningYearBalanceAmt
Contributions	$2,772	ContributionsAmt
Investment Earnings Or Losses	$333,957	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,630	GrantsOrScholarshipsAmt
End Year Balance	$2,998,878	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,533,984	BeginningYearBalanceAmt
Contributions	$15,237	ContributionsAmt
Investment Earnings Or Losses	$292,934	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$7,218	GrantsOrScholarshipsAmt
Other Expenditures	$1,169,158	OtherExpendituresAmt
End Year Balance	$2,665,779	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,919,654	BeginningYearBalanceAmt
Contributions	$7,300	ContributionsAmt
Investment Earnings Or Losses	$659,124	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$52,094	GrantsOrScholarshipsAmt
End Year Balance	$3,533,984	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.67310	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.32690	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,324,818	OtherCostOrOtherBasisAmt
Book Value	$28,324,818	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$271,842,839	OtherCostOrOtherBasisAmt
Depreciation	$204,922,286	DepreciationAmt
Book Value	$66,920,553	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,617,280	OtherCostOrOtherBasisAmt
Depreciation	$14,384,557	DepreciationAmt
Book Value	$5,232,723	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$424,800,281	OtherCostOrOtherBasisAmt
Depreciation	$333,954,084	DepreciationAmt
Book Value	$90,846,197	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,994,664	OtherCostOrOtherBasisAmt
Depreciation	$11,619,081	DepreciationAmt
Book Value	$5,375,583	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$196,699,874	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
RREEF AMERICA REIT II	$35,833,542	F
CASH ON DEPOSIT WITH BOND TRUSTEE	$768,938	F
AGENCY ACCOUNT	$31,961	F
CASUALTY INSURANCE SECURITY	$5,684,750	F
PARAMETRIC DEFENSE EQUITY FUND	$29,121,252	F
PARAMETRIC GLOBAL DEFENSE EQUITY FUND	$28,374,307	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$99,814,750	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
OPERATING LEASE	$59,726,286
INVESTMENT IN JOINT VENTURES	-$32,902,078
RESTRICTED INVESTMENTS	$4,189,437
OTHER ASSETS	$5,591,711

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$36,605,356	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
EXECUTIVE PENSION PLAN	$3,054,827
OPERATING LEASE LIABILITY	$53,481,277
457B LIABILITY	$21,884,103
BCBS NOTE PAYABLE	$15,795,000

Field	Value	IRS element (for citing)
Total Liability	$94,215,207	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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. 3) HAROLD ECKER ENDOWMENT: ESTABLISHED IN 1994 IN HONOR OF THE EXCELLENT CARE THAT MR. ECKER RECEIVED AS A PATIENT AT NORTH MEMORIAL, HAROLD ECKER ENDOWMENT PROVIDES A $500 AWARD TO THREE NORTH MEMORIAL EMPLOYEES RECOGNIZING THEIR OUTSTANDING PERFORMANCE AND PERSONAL ATTITUDE. THE AWARD IS OPEN TO ALL EMPLOYEES AND THE WINNERS ARE SELECTED BY A COMMITTEE OF NORTH MEMORIAL EMPLOYEES AND PRESENTED AT THE ANNUAL QUALITY AWARDS LUNCHEON IN NOVEMBER EACH YEAR. 4) RESIDENTIAL HOSPICE ENDOWMENT: THE RESIDENTIAL HOSPICE ENDOWMENT WAS ESTABLISHED BY DR. JOHN AND PATTY MANION TO PROVIDE ASSISTANCE TO THE RESIDENTIAL HOSPICE PROGRAM AT NORTH MEMORIAL. FUNDS ARE USED TO UPGRADE THE FACILITIES AND EQUIPMENT AT THE NORTH RESIDENTIAL HOSPICE FACILITY IN BROOKLYN CENTER, PROVIDE ADDITIONAL PROGRAM SUPPORT, STAFF TRAINING AND TO ASSIST THOSE FAMILIES THAT CANNOT AFFORD THIS SERVICE. THE RESIDENTIAL HOSPICE FACILITY WAS SOLD IN 2017 AND WE ARE CURRENTLY WORKING THROUGH THE PROCESS TO REPURPOSE THE ENDOWMENT FUNDS. NO FUNDS WILL BE USED UNTIL THE PROCESS IS COMPLETE. 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) MEDICAL STAFF ENDOWMENT THIS ENDOWMENT WAS ESTABLISHED IN 2010 BY THE NORTH MEMORIAL MEDICAL STAFF EXECUTIVE COMMITTEE. PROCEEDS FROM THE ENDOWMENT WILL FUND NORTH MEMORIAL PROGRAMS SUCH AS JUNIOR VOLUNTEER SCHOLARSHIP, SAFEJOURNEY, PASTORAL CARE, ETC. 7) MAPLE GROVE MEDICAL STAFF ENDOWMENT WAS ESTABLISHED IN 2013 BY THE MAPLE GROVE MEDICAL STAFF EXECUTIVE COMMITTEE. PROCEEDS FROM THE ENDOWMENT WILL FUND MAPLE GROVE PROGRAMS. 8) BILLINGS/VISAYA ENDOWMENT THIS ENDOWMENT WAS ESTABLISHED IN 2021 THROUGH A DONATION FROM THE BILLING-VISAYA FAMILY. PROCEEDS FROM THE ENDOWMENT WILL SUPPORT ACTIVITIES OF THE ESTABLISHED EMERGENCY FUND TO HELP CANCER PATIENTS WHO NEED ASSISTANCE WITH MEDICAL BILLS, TRANSPORTATION NEEDS, UTILITIES, RENT/MORTGAGE PAYMENTS OR OTHER CRITICAL NEEDS PER THE ESTABLISHED GUIDELINES. PER THE GIFT AGREEMENT, THE ENDOWMENT INCLUDES A DONOR REQUEST FOR A FIVE YEAR GROWTH PERIOD RESTRICTION AND NO SPENDING ALLOCATION WILL OCCUR UNTIL JANUARY 1, 2027 AT THE EARLIEST.

PART X, LINE 2:

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. NORTH MEMORIAL HEALTH DOES NOT HAVE ANY UNRELATED BUSINESS INCOME TAX LIABILITY FOR TAX YEAR 2023.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
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	$11,973,255	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,973,255	NetCommunityBenefitExpnsAmt
Total Expense	0.01310	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$132,063,901	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85,984,970	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,078,931	NetCommunityBenefitExpnsAmt
Total Expense	0.05040	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$144,037,156	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85,984,970	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,052,186	NetCommunityBenefitExpnsAmt
Total Expense	0.06350	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,615,318	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,615,318	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,423,454	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,657,472	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,765,982	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,827,493	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,999,244	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,828,249	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$161,014	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$161,014	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,027,279	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,656,716	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,370,563	NetCommunityBenefitExpnsAmt
Total Expense	0.01140	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$165,064,435	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$96,641,686	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$68,422,749	NetCommunityBenefitExpnsAmt
Total Expense	0.07490	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$29,973,274	BadDebtExpenseAmt
Reimbursed By Medicare	$222,860,841	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$331,543,762	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$108,682,921	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 NM AMBULATORY SURGERY CENTER MAPLE GROVE
OUTPATIENT SURGERY CENTER	0.55360	0.00000	0.44640
2 MN DIAGNOSTIC IMAGING PARTNERS
OUTPATIENT IMAGING CENTER	0.60000	0.00000	0.40000
3 NORTH RADIATION ONCOLOGY
OUTPATIENT RADIATION ONCOLOGY CLINIC	0.50000	0.00000	0.50000

Field	Value	IRS element (for citing)
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	NORTH MEMORIAL HEALTH	BusinessNameLine1Txt

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

Field	Value	IRS element (for citing)
Website Address	WWW.NORTHMEMORIAL.COM	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH MEMORIAL HEALTH	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
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
NORTH MEMORIAL HEALTH	PART V, SECTION B, LINE 5: NORTH MEMORIAL HEALTH ROBBINSDALE HOSPITAL HAS A COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT) WHICH IS COMPOSED OF COMMUNITY MEMBERS AND HOSPITAL TEAM MEMBERS. THE CEAT GUIDES THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, ACTIVELY PARTICIPATING IN THE SELECTION OF THE TOP HEALTH PRIORITIES. THE MEMBERS REPRESENT A VARIETY OF COMMUNITY ORGANIZATIONS AND INCLUDES REPRESENTATIVES FROM PUBLIC HEALTH WHOSE MAIN FOCUS IS TO REPRESENT THE COMMUNITY'S INTERESTS RELATED TO HEALTH.
NORTH MEMORIAL HEALTH	PART V, SECTION B, LINE 11: NORTH MEMORIAL HEALTH ROBBINSDALE 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 AN INTERNAL 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. 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 - ROBBINSDALE 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. 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 A TOTAL OF 50 INDIVIDUALS INCLUDING NMH TEAM MEMBERS AND A COUPLE OF COMMUNITY PARTNERS ATTENDING.- ACTION: ON SEPTEMBER 12, 2023, A DECISION-MAKING FOR RACIAL EQUITY TRAINING WAS HELD, TAUGHT BY RACE FORWARD STAFF, WAS HELD AT NORTH MEMORIAL HEALTH ROBBINSDALE HOSPITAL WITH 42 INDIVIDUALS INCLUDING NORTH TEAM MEMBERS AND A COUPLE OF 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: TOWARD THE END OF 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.
NORTH MEMORIAL HEALTH	PART V, SECTION B, LINE 13B: CATASTROPHIC CHARITY CARE - PAY NO MORE THAN 25% OF ANNUAL FAMILY INCOME
SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION:	- 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 BREAST 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.- 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 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 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 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 POPULATION HEALTH BY FOCUSING ON COMMUNITY-CLINICAL LINKAGES AND SOCIAL CONNECTEDNESS WITH A SPECIFIC FOCUS ON INCREASING PREVENTIVE HEALTH ACTIONS. - STRATEGY 3: DEVELOP A COMMUNITY ENGAGEMENT PLAN TO INCLUDE THE COMMUNITY'S VOICE IN ALL ASPECTS OF RESEARCH AND DEVELOPING 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 DEVELOPED KEY PARTNERS WE MAY WANT TO FURTHER ENGAGE WITH IN 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 ACT- ACTION: 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. 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 ACT- ACTION: 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.
SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION:	- 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, 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. 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.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. OBJECTIVE 1: DEVELOP A ROADMAP TO HELP NMH BECOME A TRAUMA-INFORMED ORGANIZATION.- STRATEGY 1: RESEARCH TRAUMA-INFORMED SYSTEMS BEST PRACTICES AROUND THE UNITED STATES- ACTION: 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. 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 CEUS 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 PARTICIPATED IN THE MINNESOTA CARES CONFERENCE ON NOVEMBER 2, 2023, AN EVENT FOCUSED ON WELLNESS AND RESILIENCY SESSIONS AIMED AT HEALTH CARE WORKERS IN THE STATE OF MINNESOTAOBJECTIVE 3: SUPPORT A CULTURE OF EMPLOYEE WELLNESS.- STRATEGY 2: CREATE A 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 SUPPORTS WERE PROVIDED TO ATTENDEES OF THE 2023 TRAUMA SYMPOSIUM.
SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION:	OBJECTIVE 4: CREATE SAFE PHYSICAL, SOCIAL, AND EMOTIONAL ENVIRONMENTS.- STRATEGY 1: IMPLEMENT PHOTO ID CHECKS AT HOSPITAL ENTRY - ACTION: PHOTO ID CHECKS WERE IMPLEMENTED ON NMH - ROBBINSDALE HOSPITAL ON JUNE 8, 2023.- STRATEGY 2: INSTALL WEAPONS DETECTION SCREENERS AT 2 CUSTOMER AND VISITOR ENTRY WAYS AT NMH ROBBINSDALE HOSPITAL.- ACTION: WEAPON DETECTION SCREENERS WERE PUT INTO PLACE AT TWO LOCATIONS ON NMH - ROBBINSDALE HOSPITAL ON MARCH 20, 2023, INCLUDING THE EMERGENCY DEPARTMENT AND MAIN HOSPITAL ENTRANCE. 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 7A & 10A:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT HAS BEEN POSTED ONLINE AT:HTTPS://NORTHMEMORIAL.COM/COMMUNITYHEALTH/THE IMPLEMENTATION PLAN HAS BEEN POSTED ONLINE AT: HTTPS://NORTHMEMORIAL.COM/COMMUNITYHEALTH/
PART V, SECTION B, LINE 16:	FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://NORTHMEMORIAL.COM/FINANCIAL-ASSISTANCE/

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MINNESOTA DIAGNOSTIC IMAGING PARTNERS
2955 XENIUM LANE SUITE 40	PLYMOUTH	MN	55441	OUTPATIENT RADIOLOGY
2 - NM AMBUL SURGERY CENTER MAPLE GROVE
9875 HOSPITAL DRIVE	MAPLE GROVE	MN	55369	OUTPATIENT SURGERY
3 - NORTH RADIATION THERAPY CENTER
6950 FRANCE AVE S SUITE 200	EDINA	MN	55435	OUTPATIENT RADIOLOGY
4 - MINNETONKA AMBULATORY SURGERY CENTER
15450 HIGHWAY 7 SUITE 200	MINNETONKA	MN	55345	OUTPATIENT SURGERY
5 - CRYSTAL IMAGING CENTER
5700 BOTTINEAU BLVD	CRYSTAL	MN	55429	OUTPATIENT RADIOLOGY
6 - OAKDALE HEALTH ENTERPRISES
3300 OAKDALE AVENUE NORTH	ROBBINSDALE	MN	55422	OUTPATIENT CLINIC
7 - BLAZE HEALTH
8301 GOLDEN VALLEY RD STE 300	GOLDEN VALLEY	MN	55427	OUTPATIENT CLINIC

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:	NORTH MEMORIAL HEALTH'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DESCRIPTION ABOUT BAD DEBT EXPENSE. THE COST TO CHARGE RATIO WAS USED TO DETERMINE THE AMOUNT ON PART III, SECTION A, LINE 2. WE DO NOT HAVE THE INFORMATION NECESSARY TO DETERMINE WHICH PORTION OF THE AMOUNT REPORTED ON LINE 2 IS COMMUNITY BENEFIT.
PART III, LINE 8:	THE SHORTFALL REPORTED REPRESENTS THE AMOUNT MEDICARE REIMBURSEMENT IS LESS THAN THE ESTIMATED COST OF PROVIDING SERVICES TO THOSE PATIENTS. THE METHOD USED TO ESTIMATE THOSE COSTS WAS DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 IN THE SCHEDULE H, FORM 990 INSTRUCTIONS.
PART III, LINE 9B:	NORTH MEMORIAL HEALTH 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 PERTAIN TO ALL ENTITIES UNDER THE NORTH MEMORIAL CORPORATE UMBRELLA.
PART VI, LINE 2:	NORTH MEMORIAL HEALTH WORKS CLOSELY WITH THE COMMUNITY ENGAGEMENT ADVISORY TEAM 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 INCLUDING 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:	NORTH MEMORIAL HEALTH 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 BOTH URBAN, SUBURBAN, EX-URBAN, AND RURAL AREAS. THIS SERVICE AREA INCLUDES A DIVERSE POPULATION OF 847,000 PEOPLE LIVING IN HENNEPIN, WRIGHT, SHERBURNE, ANOKA AND RAMSEY COUNTIES.
PART VI, LINE 5:	NORTH MEMORIAL HEALTH HOSPITAL IS A GENERAL ACUTE CARE HOSPITAL PROVIDING SPECIALIZED TRAUMA AND EMERGENCY SERVICES, CARDIOVASCULAR AND OPEN-HEART SERVICES, ONCOLOGY, HIGH RISK MATERNITY AND NEONATAL CARE, AND GENERAL MEDICAL-SURGICAL, OBSTETRICAL, PEDIATRIC, REHABILITATIVE AND BEHAVIORAL SERVICES. NORTH MEMORIAL HEALTH ALSO PROVIDES AN ARRAY OF HEALTH CARE SERVICES TO OUR COMMUNITY INCLUDING PRIMARY CARE, AMBULANCE TRANSPORTATION AND HOSPICE SERVICES. NORTH MEMORIAL HEALTH IS GOVERNED BY A BOARD OF 13 REPRESENTATIVES CONSISTING OF PHYSICIANS AND LEADERS FROM THROUGHOUT THE COMMUNITY, AND THE CEO OF THE ORGANIZATION. BOARD MEMBERS ARE ELECTED TO SERVE THREE-YEAR TERMS. THE HOSPITAL ALSO SUPPORTS AN OPEN MEDICAL STAFF ORGANIZATION INCLUDING APPROXIMATELY 840 BOARD CERTIFIED PHYSICIANS AND 530 PROFESSIONAL AND ALLIED HEALTH PROVIDERS. THE NORTH MEMORIAL HEALTH BOARD OF TRUSTEES ESTABLISHES AN ANNUAL MARGIN TARGET FOR MANAGEMENT. PER BOARD POLICY 75% OF ANY EXCESS AVAILABLE CASH FLOW IS INVESTED IN CAPITAL IMPROVEMENTS. THE REMAINING 25% IS USED TO SUPPORT LONG TERM OPERATIONS. WE PROVIDE EDUCATION TO THE COMMUNITY ON CHILD SAFETY, STROKE RISK FACTORS, HEART DISEASE RISK FACTORS AND OTHER HEALTH PROMOTION INFORMATION.
PART VI, LINE 6:	NORTH MEMORIAL HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. THROUGH TARGETED OUTREACH, EDUCATION AND PARTNERSHIPS, WE IMPROVE THE HEALTH OF OUR COMMUNITIES BY LISTENING TO THEIR NEEDS AND RESPONDING WITH APPROPRIATE PROGRAMS AND SERVICES. OUR PROGRAMS, MANY OF WHICH HAVE BEEN NATIONALLY RECOGNIZED, RANGE FROM HEALTH EDUCATION AND FREE SCREENINGS TO TRAINING HEALTH PROFESSIONALS.
PART VI, LINE 7:	NORTH MEMORIAL HEALTH FILES THE COMMUNITY BENEFIT REPORT WITH THE STATE OF MINNESOTA WHENEVER A NEW REPORT IS PREPARED.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
PAY IT FORWARD FUND
490 S MAPLE STREET SUITE 110	WACONIA	MN	55387	411328097	501(C)(3)	$10,000	$0	TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION
CREATIVE CUTURAL EXCHANGE
5009 EXCELSIOR BLVD STE 154	ST LOUIS PARK	MN	55416	472937022	501(C)(3)	$0	$54,510	IN SUPPORT OF PROJECT "WECARE"	FMV	MEDICAL SUPPLIES
BREEZY POINT AVIATION DAY
CO ROAD 11	BREEZY POINT	MN	56472			$15,000	$0	TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION
GAY LESBIAN BISEXUAL TRANSGENDER PRIDE TWIN CITIES
2021 E HENNEPIN AVE STE 402-7	MINNEAPOLIS	MN	55413	411808096	501(C)(3)	$10,000	$0	TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION
AMERICAN CANCER SOCIETY
PO BOX 6704	HAGERSTOWN	MD	21741	131788491	501(C)(3)	$10,000	$0	TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION
NORTHSIDE ACHIEVEMENT ZONE
1964 N 2ND ST	MINNEAPOLIS	MN	55411	300238807	501(C)(3)	$8,500	$0	TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION
BE THE CHANGE MN
3504 LYNDALE AVENUE SOUTH	MINNEAPOLIS	MN	55408	274360735	501(C)(3)	$30,000	$0	TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	GRANT RECIPIENTS PROVIDE A YEAR END REPORT AS TO THE AMOUNT EXPENDED AND THE NUMBER OF CLIENTS ASSISTED AND THE DEMOGRAPHICS OF THOSE SERVED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
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 (15 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 NORTH MEMORIAL	$1,130,000	$0	$282,500	$0	$39,541	$0	$516,250	$0	$27,278	$0	$1,995,569	$0	$0	$0
ROBERT KING
PHYSICIAN, CARDIAC SURGEON	$831,600	$0	$0	$0	$59,996	$0	$16,250	$0	$27,346	$0	$935,192	$0	$0	$0
JOSEPH VAN CAMP MD
PHYSICIAN, CARDIAC SURGEON	$831,600	$0	$0	$0	$22,196	$0	$16,250	$0	$29,020	$0	$899,066	$0	$0	$0
AMANDA STRAM
PHYSICIAN, CARDIAC SURGEON	$831,600	$0	$9,692	$0	$7,076	$0	$16,250	$0	$33,366	$0	$897,984	$0	$0	$0
TREVOR SAWALLISH
CHIEF OPERATING OFFICER	$714,977	$0	$77,997	$0	$9,193	$0	$13,200	$0	$11,258	$0	$826,625	$0	$0	$0
CAROLYN OGLAND MD
CHIEF MEDICAL OFFICER	$577,077	$0	$79,500	$0	$37,653	$0	$16,250	$0	$26,027	$0	$736,507	$0	$0	$0
LUKE HAWES
PHYSICIAN, TRAUMA SURGERY	$545,961	$0	$61,885	$0	$6,882	$0	$16,250	$0	$30,236	$0	$661,214	$0	$0	$0
JULIE KLINE
FORMER CHIEF HUMAN RESOURCES OFFICER	$393,750	$0	$79,065	$0	$150,859	$0	$10,509	$0	$20,827	$0	$655,010	$0	$0	$0
OPEYEMI AGBOOLA
PHYSICIAN, TRAUMA SURGERY	$541,353	$0	$65,997	$0	$5,465	$0	$3,050	$0	$22,588	$0	$638,453	$0	$0	$0
ANDREW COCHRANE
FORMER CHIEF HOSPITAL OFFICER	$565,069	$0	$0	$0	$0	$0	$0	$0	$0	$0	$565,069	$0	$0	$0
DAVID ALBRIGHT
CHIEF FINANCIAL OFFICER	$423,077	$0	$75,000	$0	$12,989	$0	$16,250	$0	$17,600	$0	$544,916	$0	$0	$0
BJORN GUNNERUD
CHIEF STRATEGY OFFICER	$386,888	$0	$63,750	$0	$13,563	$0	$13,563	$0	$27,496	$0	$505,260	$0	$0	$0
SAMANTHA HANSON
FORMER CHIEF ADMINISTRATION OFFICER	$499,423	$0	$0	$0	$0	$0	$0	$0	$0	$0	$499,423	$0	$0	$0
DAN FROMM
CFO (THROUGH 05/2023)	$352,885	$0	$24,375	$0	$9,211	$0	$16,250	$0	$29,133	$0	$431,854	$0	$0	$0
DAWN BACKLUND
CHIEF COMPLIANCE OFFICER	$240,000	$0	$36,000	$0	$7,326	$0	$11,040	$0	$5,727	$0	$300,093	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF MAPLE GROVE
A	410873250	56516TAY1	2015-08-26	$44,915,000	REFUND SERIES 2005 BONDS	0	Yes (1)	0
CITY OF ROBBINSDALE
B	416005496		2017-12-05	$38,870,000	REFUND SERIES 2011 BONDS	0	Yes (1)	0
CITY OF ROBBINSDALE
C	416005496		2017-12-05	$10,830,000	REFUND SERIES 2011 BONDS	0	Yes (1)	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$9,550,000	$48,679,699	$544,065	$48,135,634	2015	Yes (1)	Yes (1)	Yes (1)
B	$26,675,000	$38,870,000	$337,596	$38,532,404	2017	Yes (1)	Yes (1)	Yes (1)
C	$6,855,000	$10,830,000		$10,830,000	2017	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)
C	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

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: 09/12/2019 ISSUER NAME: CITY OF ROBBINSDALE DATE THE REBATE COMPUTATION WAS PERFORMED: 06/15/2022 ISSUER NAME: CITY OF ROBBINSDALE DATE THE REBATE COMPUTATION WAS PERFORMED: 06/15/2022	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CORNER HOME MEDICAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	BOARD MEMBER IS MAJORITY OWNER	RelationshipDescriptionTxt
Transaction	$82,845	TransactionAmt
Transaction	MICHAEL STEINHAUSER, CHAIRMAN OF THE BOARD, IS A MAJORITY SHAREHOLDER IN CORNER HOME MEDICAL, WHICH SUPPLIES DURABLE MEDICAL EQUIPMENT TO NORTH MEMORIAL HEALTH.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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	ALL MEMBERS OF THE BOARD OF DIRECTORS AND ALL EMPLOYEES RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY EACH YEAR. EACH BOARD MEMBER AND STAFF MEMBER FILLS OUT A CONFLICT OF INTEREST QUESTIONNAIRE IN WHICH THEY ARE ASKED TO IDENTIFY ANY RELATIONSHIP THAT WOULD CREATE A CONFLICT OF INTEREST. THE RESULTS ARE SUMMARIZED AND REVIEWED TO DETERMINE ANY ACTUAL OR POTENTIAL CONFLICT AND ARE REPORTED TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR KEY POSITIONS IS REVIEWED BY THE COMPENSATION COMMITTEE WORKING IN CONJUNCTION WITH AN OUTSIDE CONSULTANT. THE COMPENSATION COMMITTEE INSURES THAT THE SALARY AND BENEFIT ADMINISTRATION REVIEW PROCESS IS BEING FOLLOWED, WHICH INCLUDES SALARY AND BENEFIT SURVEYS AND COMPARISONS OF ALL POSITIONS. THE CEO'S COMPENSATION IS SENT TO THE FULL BOARD FOR APPROVAL. THE COMPENSATION OF ALL OTHER KEY POSITIONS IS APPROVED BY THE CEO.
FORM 990, PART VI, SECTION C, LINE 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:	CHANGE IN PENSION BENEFIT OBLIGATION 12,162,704. CHANGE IN PROPERTY CONTRIBUTIONS 22,389. LOSS ON PURCHASE OF BLAZE HEALTH LLC -12,614,224. OTHER CHANGES 819,001.
FORM 990, PART XII, LINE 2C:	NEITHER THE OVERSIGHT OF THE AUDIT NOR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT WERE CHANGED DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
OAKDALE MEDICAL CENTER
3300 OAKDALE AVENUE NORTH	ROBBINSDALE	MN	55422	320022819	LEASE MEDICAL OFFICE SPACE	MN	$6,747,049	$17,449,608	NORTH MEMORIAL
NORTH CLINIC LLC
3300 OAKDALE AVENUE NORTH	ROBBINSDALE	MN	55422		MEDICAL CARE	MN	$404,677	$1,751,066	NORTH MEMORIAL
BLAZE HEALTH LLC
8301 GOLDEN VALLEY RD STE 300	GOLDEN VALLEY	MN	55427	842906333	HEALTH CARE	MN	$111,791,939	$91,236,184	NORTH MEMORIAL

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 FOUNDATION
3300 OAKDALE AVENUE NORTH	ROBBINSDALE	MN	55422	411777966	FUNDRAISING	MN	501(C)(3)	7	NORTH MEMORIAL	0
ASSOCIATED HEALTH ASSURANCE
3300 OAKDALE AVENUE NORTH	ROBBINSDALE	MN	55422	980343815	INSURANCE		501(C)(3)	LINE 12B, II	NORTH MEMORIAL	Yes (1)	BD
MAPLE GROVE HOSPITAL CORPORATION
9875 HOSPITAL DRIVE	MAPLE GROVE	MN	55369	208316475	ACUTE CARE	MN	501(C)(3)	3	NORTH MEMORIAL	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE
9855 HOSPITAL DRIVE	MAPLE GROVE	MN	55369	260393039	OUTPATIENT SURGERY	MN	NORTH MEMORIAL HEALTH CARE	RELATED	$2,972,378	$8,122,501	0	Yes (1)	0.54270
MINNESOTA DIAGNOSTIC IMAGING PARTNERS LLC
2955 XENIUM LANE SUITE 40	PLYMOUTH	MN	55441	352162215	RADIOLOGY	MN	NORTH MEMORIAL HEALTH CARE	RELATED	$579,506	$2,237,278	0	0	0.60000
NORTH RADIATION THERAPY CENTER LLC
7401 METRO BLVD STE 210	EDINA	MN	55439	743069974	RADIOLOGY	MN	NORTH MEMORIAL HEALTH CARE	RELATED	$1,231,333	$292,788	0	0	0.50000
BLAZE HEALTH LLC
8301 GOLDEN VALLEY RD STE 300	GOLDEN VALLEY	MN	55427	842906333	HEALTH CARE	MN	NORTH MEMORIAL HEALTH CARE	RELATED	-$5,952,203	$82,907,352	0	0	0.51000

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
OAKDALE HEALTH ENTERPRISES INC
3300 OAKDALE AVENUE NORTH	ROBBINSDALE	MN	55422	411546422	AMBULANCE	MN	NORTH MEMORIAL	C	$4,720,038	$3,900,501	1.00000	Yes (1)
NORTH COLLABORATIVE CARE
3300 OAKDALE AVENUE NORTH	ROBBINSDALE	MN	55422	461680666	PRIMARY CARE	MN		C			0.43840	0	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ASSOCIATED HEALTH ASSURANCE LLC (INTEREST)
A	$336,683	FAIR MARKET VALUE
BLAZE HEALTH LLC (CAPITAL CONTR)
B	$19,994,000	FAIR MARKET VALUE
MAPLE GROVE HOSPITAL CORP (RTN OF CAP)
C	$27,000,000	FAIR MARKET VALUE
NORTH MEMORIAL FOUNDATION (GRANT)
C	$381,670	ACTUAL
MAPLE GROVE HOSPITAL CORP
D	$70,755,000	FAIR MARKET VALUE
MAPLE GROVE HOSPITAL CORP
J	$2,095,323	FAIR MARKET VALUE
NORTH RADIATION THERAPY (MRO)
J	$185,479	FAIR MARKET VALUE
MAPLE GROVE HOSPITAL CORP (MGMT FEE)
L	$28,742,502	FAIR MARKET VALUE
ASSOCIATED HEALTH ASSURANCE LLC (INS PREMIUMS)
M	$4,069,000	FAIR MARKET VALUE
MAPLE GROVE HOSPITAL CORP (SALARY REIMB)
Q	$2,589,703	ACTUAL
BLAZE HEALTH LLC (MGMT FEE)
L	$16,741,667	FAIR MARKET VALUE