NORTH MEMORIAL HEALTH CARE: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NORTH MEMORIAL HEALTH CARE (EIN 41-0729979)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202233189349311813
- Schema version
- 2021v4.2
- 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 | 2022-11-14T14:16:12-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | 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 US LLP | 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 | 2021-01-01 | 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 | DAN FROMM | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 7635205200 | PhoneNum |
| Signature | 2022-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAN | PersonFirstNm |
| Person Last | FROMM | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAWRENCE H MOHR CPA | PreparerPersonNm |
| PTIN | P00447603 | PTIN |
| Phone | 6128764500 | PhoneNum |
| Preparation | 2022-11-07 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | J KEVIN CROSTON MD | 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 | $965,244,979 | 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 | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 6094 | TotalEmployeeCnt |
| Total Volunteers | 650 | TotalVolunteersCnt |
| Total Gross UBI | $2,628,358 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $57,007,863 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,966,591 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $670,418,018 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $717,275,411 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,765,726 | PYInvestmentIncomeAmt |
| CY Investment Income | $59,586,239 | CYInvestmentIncomeAmt |
| PY Other Revenue | $496,765 | PYOtherRevenueAmt |
| CY Other Revenue | $1,053,327 | CYOtherRevenueAmt |
| PY Total Revenue | $736,688,372 | PYTotalRevenueAmt |
| CY Total Revenue | $789,881,568 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $50,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $634,868 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $397,496,669 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $428,907,529 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $331,517,863 | PYOtherExpensesAmt |
| CY Other Expenses | $303,012,177 | CYOtherExpensesAmt |
| PY Total Expenses | $729,064,532 | PYTotalExpensesAmt |
| CY Total Expenses | $732,554,574 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,623,840 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $57,326,994 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $743,823,702 | TotalAssetsBOYAmt |
| Total Assets EOY | $764,114,547 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $319,526,867 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $260,416,978 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $424,296,835 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $503,697,569 | 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 | $627,233,770 | ExpenseAmt |
| Grant | $634,868 | GrantAmt |
| Revenue | $576,970,489 | 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 NEONATAL CARE, AND GENERAL MEDICAL: SURGICAL, OBSTETRICAL, PEDIATRIC, REHABILITATION, BEHAVIORAL HEALTH, MEDICAL TRANSPORTATION 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 | $627,233,770 | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 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 | 313 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 6094 | 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 | 14 | 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 | DAN FROMM | 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 (26 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| J KEVIN CROSTON MD | ||||||||||
| CEO NORTH MEMORIAL | 40.00 | 6.00 | Yes (X) | Yes (X) | $1,512,326 | $0 | $542,727 | |||
| TIMOTHY BAYLOR | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| BRUCE CHRISTENSEN | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| ROBERT DAHL | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| TED FERRARA | ||||||||||
| VICE CHAIRMAN OF BOARD | 2.00 | 0.00 | Yes (X) | Yes (X) | $10,000 | $0 | $0 | |||
| ANDREW HOULTON MD | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $7,858 | $0 | $0 | ||||
| DIANE HUSTON | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| LAURIE LAFONTAINE | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| WARREN MACK | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| REUBEN MOORE | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| BETTY PAKZAD MD | ||||||||||
| BOARD MEMBER, CLINICAL PATHOLOGIST | 2.00 | 0.00 | Yes (X) | $47,076 | $0 | $0 | ||||
| ROBERT PRENTISS JR | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| MICHAEL STEINHAUSER | ||||||||||
| CHAIRMAN OF BOARD | 2.00 | 0.00 | Yes (X) | Yes (X) | $10,000 | $0 | $0 | |||
| HEIDI WILSON | ||||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $10,000 | $0 | $0 | ||||
| DAN FROMM | ||||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 4.00 | Yes (X) | $679,411 | $0 | $27,270 | ||||
| SAMANTHA HANSON | ||||||||||
| CHIEF ADMINISTRATIVE OFFICER | 40.00 | 4.00 | $649,622 | $0 | $27,873 | Yes (X) | ||||
| CAROLYN OGLAND MD | ||||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 2.00 | $676,652 | $0 | $23,150 | Yes (X) | ||||
| ANDREW COCHRANE | ||||||||||
| CHIEF HOSPITAL OFFICER | 40.00 | 2.00 | $744,796 | $0 | $27,270 | Yes (X) | ||||
| KENT SPAULDING | ||||||||||
| VP, CHIEF DEVELOPMENT OFFICER | 40.00 | 2.00 | $299,347 | $0 | $23,502 | Yes (X) | ||||
| DAWN BACKLUND | ||||||||||
| CHIEF COMPLIANCE OFFICER | 40.00 | 0.00 | $292,532 | $0 | $11,283 | Yes (X) | ||||
| JOSEPH VAN CAMP MD | ||||||||||
| PHYSICIAN, CARDIAC SURGEON | 40.00 | 0.00 | $849,124 | $0 | $51,849 | Yes (X) | ||||
| KING ROBERT | ||||||||||
| PHYSICIAN, CARDIAC SURGEON | 40.00 | 0.00 | $864,859 | $0 | $23,150 | Yes (X) | ||||
| AHMED OMAR | ||||||||||
| PHYSICIAN, NOCTURNIST | 40.00 | 0.00 | $611,596 | $0 | $44,108 | Yes (X) | ||||
| LUKE HAWES | ||||||||||
| PHYSICIAN, TRAUMA SURGEON | 40.00 | 0.00 | $566,018 | $0 | $27,270 | Yes (X) | ||||
| JOSEPH FARHAT | ||||||||||
| PHYSICIAN, TRAUMA SURGEON | 40.00 | 0.00 | $528,605 | $0 | $17,491 | Yes (X) | ||||
| AARON BLOOMQUIST | ||||||||||
| CFO (OUTGOING) | 0.00 | 0.00 | $320,192 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,760,014 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $846,943 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 763 | 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 |
|---|---|---|---|---|---|
| FAVORITE HEALTHCARE STAFFING | |||||
| 1700 W HIGHWAY 36 STE 880 | ROSEVILLE | MN | 55113 | TEMPORARY STAFFING | $10,343,293 |
| MAYO COLLABORATIVE SERVICES | |||||
| 3050 SUPERIOR DRIVE NW | ROCHESTER | MN | 55901 | LAB SERVICES | $5,775,077 |
| RESPIRATORY CONSULTANTS PA | |||||
| 3366 OAKDALE AVE NORTH 401 | ROBBINSDALE | MN | 55422 | INTENSIVISTS STAFFING | $5,268,424 |
| REGENTS OF UNIVERSITY OF MN | |||||
| 229 19TH AVE S STE 150 | MINNEAPOLIS | MN | 55455 | PHYSICIAN SERVICES | $4,651,141 |
| EPIC | |||||
| 1979 MILKY WAY | VERONA | WI | 53593 | SOFTWARE MAINTENANCE | $3,785,591 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 179 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $164,528 | RelatedOrganizationsAmt |
| Government Grants | $8,387,189 | GovernmentGrantsAmt |
| All Other Contributions | $3,414,874 | AllOtherContributionsAmt |
| Noncash Contributions | $7,195 | NoncashContributionsAmt |
| Total Contributions | $11,966,591 | 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 | $578,545,520 | $575,917,162 | $2,628,358 | |
| CONTRACT REVENUE | 900099 | $54,820,119 | $54,820,119 | ||
| PHARMACY | 900099 | $46,199,887 | $46,199,887 | ||
| JOINT VENTURE REVENUE | 900099 | $27,279,192 | $27,279,192 | ||
| EHR/MEDICARE & OTHER | 900099 | $5,905,947 | $5,905,947 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,524,746 | TotalRevenueColumnAmt |
| Exclusion | $4,524,746 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $717,275,411 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,764,184 | TotalRevenueColumnAmt |
| Exclusion | $6,764,184 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,737,602 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,684,275 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,053,327 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,053,327 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,053,327 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $181,547,702 | SecuritiesAmt |
| Other | $33,953,489 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $162,679,136 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,868,566 | SecuritiesAmt |
| Other | $33,953,489 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,822,055 | TotalRevenueColumnAmt |
| Exclusion | $52,822,055 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $789,881,568 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $576,970,489 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,628,358 | UnrelatedBusinessRevenueAmt |
| Exclusion | $198,316,130 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $634,868 | TotalAmt |
| Program Services | $634,868 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,003,315 | TotalAmt |
| Management And General | $6,003,315 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $337,773,920 | TotalAmt |
| Program Services | $290,397,712 | ProgramServicesAmt |
| Management And General | $47,376,208 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,783,749 | TotalAmt |
| Program Services | $18,728,358 | ProgramServicesAmt |
| Management And General | $3,055,391 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,658,554 | TotalAmt |
| Program Services | $36,675,260 | ProgramServicesAmt |
| Management And General | $5,983,294 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,687,991 | TotalAmt |
| Program Services | $17,786,291 | ProgramServicesAmt |
| Management And General | $2,901,700 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,044,004 | TotalAmt |
| Program Services | $897,572 | ProgramServicesAmt |
| Management And General | $146,432 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $342,450 | TotalAmt |
| Program Services | $294,418 | ProgramServicesAmt |
| Management And General | $48,032 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,475 | TotalAmt |
| Management And General | $298,475 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,133,237 | TotalAmt |
| Management And General | $1,133,237 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,303,822 | TotalAmt |
| Program Services | $57,863,780 | ProgramServicesAmt |
| Management And General | $9,440,042 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,195,684 | TotalAmt |
| Program Services | $2,747,457 | ProgramServicesAmt |
| Management And General | $448,227 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,296,750 | TotalAmt |
| Program Services | $6,273,307 | ProgramServicesAmt |
| Management And General | $1,023,443 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,976,820 | TotalAmt |
| Program Services | $16,315,129 | ProgramServicesAmt |
| Management And General | $2,661,691 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,239,138 | TotalAmt |
| Program Services | $14,821,175 | ProgramServicesAmt |
| Management And General | $2,417,963 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $627,508 | TotalAmt |
| Program Services | $539,494 | ProgramServicesAmt |
| Management And General | $88,014 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,536,873 | TotalAmt |
| Program Services | $1,321,311 | ProgramServicesAmt |
| Management And General | $215,562 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,057,345 | TotalAmt |
| Program Services | $20,683,059 | ProgramServicesAmt |
| Management And General | $3,374,286 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,403,970 | TotalAmt |
| Program Services | $7,225,228 | ProgramServicesAmt |
| Management And General | $1,178,742 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $110,294,863 | $94,750,014 | $15,544,849 |
| BAD DEBT EXPENSE | $17,276,676 | $17,276,676 | |
| MAINTENANCE & REPAIR | $14,130,183 | $12,148,282 | $1,981,901 |
| GOVERNMENT TAXES | $9,854,379 | $9,854,379 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $732,554,574 | TotalAmt |
| Program Services | $627,233,770 | ProgramServicesAmt |
| Management And General | $105,320,804 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,220,111 | BOYAmt |
| EOY | $65,413,729 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $840,063 | BOYAmt |
| EOY | $840,306 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,127,188 | BOYAmt |
| EOY | $89,747,384 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,987,424 | BOYAmt |
| EOY | $8,638,088 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,219,273 | BOYAmt |
| EOY | $11,716,425 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $669,826,963 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $491,515,658 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,070,222 | BOYAmt |
| EOY | $178,311,305 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $249,986,762 | BOYAmt |
| EOY | $277,702,381 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,712,330 | BOYAmt |
| EOY | $124,180,553 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,692,266 | BOYAmt |
| EOY | $375,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,968,063 | BOYAmt |
| EOY | $7,189,376 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $743,823,702 | BOYAmt |
| EOY | $764,114,547 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,395,732 | BOYAmt |
| EOY | $127,323,282 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $926,381 | BOYAmt |
| EOY | $863,143 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,974,691 | BOYAmt |
| EOY | $69,036,041 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $17,779,969 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,230,063 | BOYAmt |
| EOY | $45,414,543 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,526,867 | BOYAmt |
| EOY | $260,416,978 | 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 | $424,296,835 | BOYAmt |
| EOY | $503,697,569 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $424,296,835 | BOYAmt |
| EOY | $503,697,569 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $743,823,702 | BOYAmt |
| EOY | $764,114,547 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $57,326,994 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $18,193,832 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $2,018,238 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $1,861,670 | 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 | $298,475 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Total Lobbying Expenditures | $298,475 | 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 | $2,665,779 | 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,344,063 | BeginningYearBalanceAmt |
| Contributions | $82,062 | ContributionsAmt |
| Investment Earnings Or Losses | -$75,671 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $414,300 | OtherExpendituresAmt |
| Administrative Expenses | $16,500 | AdministrativeExpensesAmt |
| End Year Balance | $2,919,654 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,029,196 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $370,959 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $56,092 | OtherExpendituresAmt |
| End Year Balance | $3,344,063 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.61260 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.38740 | 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 | $28,088,006 | OtherCostOrOtherBasisAmt |
| Book Value | $28,088,006 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $252,446,323 | OtherCostOrOtherBasisAmt |
| Depreciation | $185,321,660 | DepreciationAmt |
| Book Value | $67,124,663 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,385,470 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,414,147 | DepreciationAmt |
| Book Value | $1,971,323 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $367,706,844 | OtherCostOrOtherBasisAmt |
| Depreciation | $288,816,907 | DepreciationAmt |
| Book Value | $78,889,937 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,200,320 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,962,944 | DepreciationAmt |
| Book Value | $2,237,376 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $178,311,305 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (6 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| RREEF AMERICA REIT II | $39,346,997 | F |
| CASH ON DEPOSIT WITH BOND TRUSTEE | $774,651 | F |
| AGENCY ACCOUNT | $22,514 | F |
| CASUALTY INSURANCE SECURITY | $4,814,550 | F |
| PARAMETRIC DEFENSE EQUITY FUND | $44,977,027 | F |
| PARAMETRIC GLOBAL DEFENSE EQUITY FUND | $34,244,814 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $124,180,553 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| EXECUTIVE PENSION PLAN | $5,324,948 |
| DEFINED BENEFIT PENSION PLAN | $2,769,240 |
| POST RETIREMENT HEALTH INSURANCE | $2,416,228 |
| OPERATING LEASE LIABILITY | $34,604,127 |
| PAYABLE TO NW FAMILY PHYS PA | $300,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $45,414,543 | 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. 2) HAROLD B. KAISER HONORARY LECTURESHIP ENDOWMENT: DR. KAISER IS THE FOUNDER OF ALLERGY & ASTHMA SPECIALISTS, P.A. ESTABLISHED IN 1966. THE HAROLD B KAISER HONORARY LECTURESHIP ENDOWMENT PROVIDES FUNDING FOR A KEYNOTE SPEAKER FOR THE ANNUAL ALLERGY & ASTHMA CONFERENCE HELD IN THE MINNEAPOLIS AREA IN MARCH. 3) HAROLD ECKER ENDOWMENT: ESTABLISHED IN 1994 IN HONOR OF THE EXCELLENT CARE THAT MR. ECKER RECEIVED AS A PATIENT AT NORTH MEMORIAL, THE HAROLD ECKER ENDOWMENT PROVIDES A $500 AWARD TO THREE NORTH MEMORIAL EMPLOYEES RECOGNIZING THEIR OUTSTANDING PERFORMANCE AND PERSONAL ATTITUDE. THE AWARD IS OPEN TO ALL EMPLOYEES AND THE WINNERS ARE SELECTED BY A COMMITTEE OF NORTH MEMORIAL EMPLOYEES AND PRESENTED AT THE ANNUAL QUALITY AWARDS LUNCHEON IN NOVEMBER EACH YEAR. 4) RESIDENTIAL HOSPICE ENDOWMENT: THE RESIDENTIAL HOSPICE ENDOWMENT WAS ESTABLISHED BY DR. JOHN AND PATTY MANION TO PROVIDE ASSISTANCE TO THE RESIDENTIAL HOSPICE PROGRAM AT NORTH MEMORIAL. FUNDS ARE USED TO UPGRADE THE FACILITIES AND EQUIPMENT AT THE NORTH RESIDENTIAL HOSPICE FACILITY IN BROOKLYN CENTER, PROVIDE ADDITIONAL PROGRAM SUPPORT, STAFF TRAINING AND TO ASSIST THOSE FAMILIES THAT CANNOT AFFORD THIS SERVICE. 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. |
| 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 $175,000 AND $445,000 IN 2021 AND 2020, 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, 2021 OR 2020. 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 2021. |
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 | $9,871,461 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,871,461 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01350 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $134,441,434 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $85,891,914 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $48,549,520 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06630 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $144,312,895 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $85,891,914 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $58,420,981 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07980 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,409,430 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,409,430 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,434,207 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,240,754 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,193,453 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,619,227 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,925,574 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,693,653 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00640 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $630,310 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $630,310 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,093,174 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,166,328 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,926,846 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01360 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $164,406,069 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $96,058,242 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $68,347,827 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09340 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $17,276,676 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $189,316,358 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $254,778,931 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$65,462,573 | 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 (4 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 | 0.54300 | 0.00000 | 0.45700 |
| 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 |
| 4 BLAINE AMBULATORY SURGERY CENTER | |||
| OUTPATIENT SURGERY CENTER | 0.10000 | 0.00000 | 0.37000 |
| 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 | 19 | 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 | 19 | 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 (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| NORTH MEMORIAL HEALTH | PART V, SECTION B, LINE 5: NORTH MEMORIAL HAS A COMMUNITY STEERING COMMITTEE WHICH IS COMPOSED OF COMMUNITY MEMBERS. THE STEERING COMMITTEE SUPERVISES THE ASSESSMENT PROCESS AND VOTED ON THE TOP HEALTH PRIORITIES. THE MEMBERS REPRESENT A VARIETY OF COMMUNITY ORGANIZATIONS. BOTH OF THESE COMMITTEES HAVE 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 HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019. THIS WAS OUR THIRD COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH WAS GUIDED ONCE AGAIN BY OUR COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT). CEAT IS COMPOSED OF COMMUNITY MEMBERS, NORTH MEMORIAL HEALTH TEAM MEMBERS AND LEADERS, AND PUBLIC HEALTH REPRESENTATIVES.TO IDENTIFY THE TOP COMMUNITY NEEDS PRIORITIES, WE LEVERAGED PRIMARY AND SECONDARY RESEARCH. - WE CONDUCTED FOUR FOCUS GROUPS (WITH CEAT MEMBERS, HEALTHCARE AND SOCIAL SERVICES PROFESSIONALS AND COMMUNITY MEMBERS). WE ALSO CONDUCTED KEY STAKEHOLDER INTERVIEWS WITH COMMUNITY LEADERS, LOCAL GOVERNMENT, LAW ENFORCEMENT, EDUCATION, COMMUNITY-BASED ORGANIZATIONS, BUSINESS OWNERS AND COMMUNITY MEMBERS WITHIN OUR SERVICE AREA.- WE COLLECTED AND ANALYZED DATA FROM MULTIPLE RESOURCES INCLUDING: DEMOGRAPHIC DATA THROUGH CLARITAS; QUANTITATIVE DATA FROM THE MINNESOTA HOSPITAL ASSOCIATION, MINNESOTA DEPARTMENT OF HEALTH, HENNEPIN COUNTY SHAPE 2018 AND THE COMMUNITY NEEDS INDEX; ATTRIBUTED PATIENT DATA; COMMUNITY ASSET MAPPING; AND A MINNESOTA STUDENTS SURVEY CONDUCTED BY THE MINNESOTA DEPARTMENT OF EDUCATION (2016). PRIORITIES IDENTIFIED IN THE ASSESSMENT AND FINALIZED BASED ON CEAT DISCUSSIONBELOW IS AN OVERVIEW OF THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT AND DISCUSSED WITH CEAT. AFTER DISCUSSION OF THE HEALTH NEEDS, CEAT VOTED TO IDENTIFY THE TOP PRIORITIES/FOCUS AREAS BASED ON THE FOLLOWING CRITERIA (TOTAL VOTES ARE INDICATED BELOW):- HOW WIDESPREAD IS THE HEALTH NEED?- HOW SERIOUS OR IMPORTANT IS THIS HEALTH NEED FOR INDIVIDUALS AND/OR THE COMMUNITY?- WHAT IS THE POTENTIAL FOR NORTH MEMORIAL HEALTH HOSPITAL AND COMMUNITY PARTNERS TO HAVE A POSITIVE IMPACT ON THIS HEALTH NEED WITHIN THREE TO FOUR YEARS?PRIORITIZED NEEDS:- MENTAL HEALTH AND SUBSTANCE ABUSE (253 VOTES)- CULTURALLY RESPONSIVE CARE - THIS INCLUDES THE RELATIONSHIP BETWEEN THE HOSPITAL AND THE COMMUNITY (247 VOTES)- RESOURCES/PARTNERSHIPS (233.5 VOTES) - HOUSING - ACCESS TO HEALTHCARE - FOOD - TRANSPORTATION - HEALTHY AGING (224 VOTES)- STRUCTURAL AND INSTITUTIONAL RACISM (219 VOTES)AS A RESULT OF THE WORK ABOVE, THE HEALTH NEEDS IDENTIFIED FOR FOCUS IN THE 2019 CHNA WERE: - MENTAL HEALTH- SUBSTANCE ABUSE- CULTURALLY RESPONSIVE CARENORTH MEMORIAL HEALTH DEVELOPED AN IMPLEMENTATION PLAN OUTLINING THE STRATEGIES WE WOULD IMPLEMENT TO ADDRESS THESE NEEDS OVER THE NEXT THREE YEARS. THE CONTENT IN THE FOLLOWING SECTIONS OUTLINES THE PRIORITIES, THE STRATEGIES WITHIN EACH PRIORITY AND WHAT WE ACCOMPLISHED IN 2021. PLEASE NOTE THAT IN 2021, WE WERE STILL EXPERIENCING THE COVID-19 PANDEMIC, SO IT PREVENTED US FROM DOING SOME OF THE THINGS THAT WERE INITIALLY OUTLINED IN OUR PLAN. WITH THAT IN MIND, WE NARROWED IN ON THE STRATEGIES THAT WERE MOST CRITICAL AND POSSIBLE TO ADDRESS IN A PANDEMIC. WE ALSO ADJUSTED SOME OF OUR OFFERINGS TO BE VIRTUAL CLASSES AND SUPPORT GROUPS INSTEAD OF THE TRADITIONAL IN-PERSON OPTIONS. THIS IS OUTLINED ACCORDINGLY BY PRIORITY.PRIORITY ONE: MENTAL HEALTHOUR GOAL IN ADDRESSING MENTAL HEALTH IS TO SUPPORT THE MENTAL HEALTH OF OUR COMMUNITY ALONG THE MENTAL HEALTH CONTINUUM. WE FIRST IDENTIFIED THIS PRIORITY IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. WE CONTINUED STRATEGIES THAT WORKED WELL AND EXPLORED/ADDED NEW STRATEGIES. IT IS IMPORTANT TO NOTE THAT WE CONTINUED TO PIVOT IN 2021 TO ENSURE WE COULD ADDRESS THE MENTAL HEALTH NEEDS OF THE COMMUNITY AMIDST A PANDEMIC MODIFYING EXECUTION OF SOME STRATEGIES TO ACCOUNT FOR LIMITED RESOURCES, THE CONSTRAINTS OF THE PANDEMIC AND THE IMMEDIATE COMMUNITY NEEDS.OBJECTIVES:1. REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH CONDITIONS.2. INCREASE COMMUNITY EDUCATION AROUND MENTAL HEALTH AND HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE DISORDERS AMONG COMMUNITY MEMBERS.3. INCREASE COMMUNITY EDUCATION ABOUT SUICIDE PREVENTION, WITH:- THE COMMUNITY- FIRST RESPONDERS4. SUPPORT COMMUNITY MEMBERS WHO ARE EXPERIENCING A HEALTH ISSUE BY OFFERING COMMUNITY SUPPORT GROUPS.5. REDUCE THE CYCLE OF VIOLENCE AMONG YOUTH WHO ENTER THE EMERGENCY ROOM.6. CONNECT PATIENTS WITH MENTAL ILLNESS TO COMMUNITY SOCIAL SERVICES.7. PROVIDE RESILIENCE SKILLS TO COMMUNITY MEMBERS.8. CONTINUE INVOLVEMENT WITH COMMUNITY ORGANIZATIONS THAT ARE ADDRESSING MENTAL HEALTH AND SOCIAL ISOLATIONSTRATEGIES AND ACTIONS (BY OBJECTIVE):1. OBJECTIVE: REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH CONDITIONS.- STRATEGY 1.1: INCORPORATE THE MAKE IT OKAY MESSAGE INTO ANNUAL EMPLOYEE TRAINING. ACTION: NORTH MEMORIAL HEALTH HOSPITAL INCORPORATED THE MAKE IT OKAY MESSAGE INTO THE ANNUAL TEAM MEMBER TRAINING. MAKE IT OKAY IS DESIGNED TO REDUCE STIGMA SURROUNDING MENTAL HEALTH. THIS EDUCATION IS DESIGNED TO EMPOWER OUR TEAM MEMBERS TO FEEL COMFORTABLE ADDRESSING MENTAL HEALTH ISSUES WITH THEIR CUSTOMERS, FAMILY, FRIENDS, AND COMMUNITY MEMBERS. - STRATEGY 1.2: EXPLORE OFFERING MAKE IT OKAY PRESENTATIONS TO OUR TEAM AND COMMUNITY. - NOTE: BASED ON LIMITED RESOURCES AND THE CONTINUED CONSTRAINTS OF THE PANDEMIC, THIS WENT ON HOLD IN 2021 AND WAS NOT IMPLEMENTED; WE WILL BE REASSESSING FOR 2022.2. OBJECTIVE: INCREASE COMMUNITY EDUCATION ABOUT MENTAL HEALTH AND HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE DISORDERS AMONG COMMUNITY MEMBERS- STRATEGY 2.1: OFFER EVIDENCE-BASED MENTAL HEALTH FIRST AID CLASSES TO THE COMMUNITY (INCLUDING YOUTH, ADULT, AND OLDER ADULT FIRST AID).- OVERVIEW: THE GOAL OF THESE CLASSES IS TO INCREASE PARTICIPANTS' CONFIDENCE IN ASSISTING A PERSON WITH MENTAL HEALTH ISSUES AND CONNECTING THEM TO PROFESSIONAL RESOURCES. AS WE NAVIGATED THROUGH YET ANOTHER COVID-19 SURGE, THIS EFFORT WENT ON HOLD FOR MOST OF THE CALENDAR YEAR. HOWEVER, WE DID THE FOLLOWING:- ACTION: PROMOTED NAMI'S "NAVIGATING THE WINTER AND HOLIDAY BLUES" CLASS THAT TOOK PLACE ON DECEMBER 3, 2021, TO OUR CEAT TEAM. - ACTION: BEGAN EXTENSIVE CONVERSATIONS WITH NAMI AND THE MAPLE GROVE HEALTHY AGING COMMITTEE ON HOW WE CAN OFFER THESE MENTAL HEALTH FIRST AID CLASSES IN 2022. THE AGE-FRIENDLY MAPLE GROVE COLLABORATIVE IS CONDUCTING A NEEDS ASSESSMENT IN 2022, AND THE RESULTS WILL DRIVE FUTURE STRATEGIES AND INITIATIVES. 3. OBJECTIVE: INCREASE COMMUNITY EDUCATION AROUND SUICIDE PREVENTION (IN THE COMMUNITY AND WITH FIRST RESPONDERS).- STRATEGY 3.1: OFFER SAFETALK SUICIDE PREVENTION CLASSES TO THE COMMUNITY.- ACTION: TO REDUCE THE STIGMA AROUND SUICIDE, NMH PLANNED TO OFFER FOUR SAFETALK SUICIDE PREVENTION CLASSES TO THE COMMUNITY IN 2021. FOR THE SECOND STRAIGHT YEAR, DUE TO COVID, WE WERE NOT ABLE TO OFFER SAFETALK CLASSES. THE LICENSING BODY BELIEVES THERE IS A DANGER IN OFFERING THESE CLASSES VIRTUALLY. - STRATEGY 3.3.2: CONDUCT A ZERO SUICIDE ASSESSMENT AND EXPLORE QPR TRAINING. - ACTION: DUE TO COVID, NMH WAS UNABLE TO CONDUCT A ZERO SUICIDE ASSESSMENT; HOWEVER, THIS HAS BEEN PRIORITIZED FOR 2022. - THAT SAID, NORTH MEMORIAL HEALTH'S LEAD SOCIAL WORKER FOR THE ZERO SUICIDE ASSESSMENT PARTICIPATED IN MONTHLY ICSI (INSTITUTE FOR CLINICAL SYSTEM IMPROVEMENT) MEETINGS AND TRAINING (2 HOURS PER MONTH) TO AID IN DEVELOPING OUR FRAMEWORK.- ACTION: NORTH MEMORIAL HEALTH HOSPITAL MAINTAINED THEIR SUICIDE SCREENING PROCESS IN ED TRIAGE IN 2021. IF A PATIENT SCREENS POSITIVE, THE BEHAVIORAL HEALTH TEAM IS PULLED IN AND THE PATIENT GETS THE SAFETALK ASSESSMENT. IN 2020, THIS WAS BUILT INTO THE HOSPITAL CLINICAL TEMPLATE. - ACTION: IF AT ANY TIME A PATIENT MENTIONS THOUGHTS OF SUICIDE, WHILE IN THE HOSPITAL, THE BEHAVIORAL HEALTH TEAM CONDUCTS ANOTHER ASSESSMENT AND DEVELOPS A COMPREHENSIVE SAFETY PLAN.- ACTION: WE HAVE EXPLORED TRAINING SOCIAL WORKERS FROM BOTH HOSPITALS IN QPR (QUESTION, PERSUADE, REFER). FURTHER ASSESSMENT WILL BE CONDUCTED IN 2022. IN THE PAST, THE MINNESOTA DEPARTMENT OF HEALTH OFFERED FUNDING TO TRAIN INTERESTED PEOPLE IN QPR, THIS FUNDING WAS NOT AVAILABLE IN 2022. - STRATEGY 3.3: EXPLORE OFFERING SAFETALK SUICIDE PREVENTION CLASSES TO FIRST RESPONDERS.- ACTION: SINCE THE SAFETALK WAS DISBANDED DUE TO COVID-19 WE MODIFIED OUR APPROACH FOR FIRST RESPONDERS TO INSTEAD FOCUS ON MENTAL HEALTH FIRST AID. IN 2022, THROUGH A GRANT WE RECEIVED, WE WILL PROVIDE MENTAL HEALTH TRAINING TO OUTSTATE AREA FIRST RESPONDERS. |
| 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: | 4. OBJECTIVE: SUPPORT COMMUNITY MEMBERS WHO ARE EXPERIENCING A HEALTH ISSUE BY OFFERING COMMUNITY SUPPORT GROUPS. - STRATEGY 4.1: PROVIDE REGULAR SUPPORT GROUPS FOR PATIENTS, CAREGIVERS AND COMMUNITY MEMBERS WHO ARE EXPERIENCING SPECIFIC HEALTH ISSUES: LUNG CANCER AND PROSTATE CANCER; APHASIA; LEUKEMIA AND LYMPHOMA; STROKE; AND ADDITIONAL CANCER TYPES.- ACTION: NORTH MEMORIAL HEALTH OFFERED SUPPORT GROUPS FOR PEOPLE EXPERIENCING SPECIFIC HEALTH ISSUES. - DUE TO COVID-19, SUPPORT GROUPS FOR LUNG CANCER AND PROSTATE CANCER, LOSS SUPPORT GROUPS IN HOSPICE, AND PERINATAL LOSS WERE VIRTUAL. WE WERE NOT ABLE TO HOST BREASTFEEDING SUPPORT GROUPS.- WE OFFERED LEUKEMIA AND LYMPHOMA SUPPORT GROUPS THROUGH THE LEUKEMIA AND LYMPHOMA SOCIETY.- WE OFFERED AN APHASIA SUPPORT GROUP ON ZOOM CALLED 'COFFEE AND CONVERSATION.' IT USED TO BE IN PERSON WITH COFFEE AND DOUGHNUTS, BUT SINCE COVID, WE WENT TO ZOOM. PARTICIPANTS GET THE OPPORTUNITY TO SIMPLY PRACTICE SPEAKING WITH OTHER STROKE SURVIVORS SUFFERING FROM APHASIA, IN A GROUP WITH NO JUDGEMENT, AS THEY HAVE ALL BEEN THROUGH THE SAME STRUGGLES AND ARE ALL AT DIFFERENT STAGES OF RECOVERY.- WE REFER PATIENTS TO A BREATH OF HOPE LUNG FOUNDATION AND TO GILDA'S CLUB FOR ADDITIONAL CANCER SUPPORT GROUPS.- WE HAVE A PHONE SUPPORT GROUP FOR ANYONE WHOSE STROKE HAS IMPACTED THEIR LIVES. IT IS A CALL-IN SUPPORT GROUP, THE METHOD CHOSEN BY OUR PARTICIPANTS, AND WE PROVIDE TEACHING, SUPPORT, AND COMRADERY WITH OTHER STROKE SURVIVORS.5. OBJECTIVE: REDUCE THE CYCLE OF VIOLENCE AMONG YOUTH WHO ENTER THE EMERGENCY ROOM. - STRATEGY 5.1: PARTNER WITH THE CITY OF MINNEAPOLIS AND HENNEPIN HEALTHCARE TO ADMINISTER THE NEXT STEP PROGRAM AT NORTH MEMORIAL HEALTH HOSPITAL.- STRATEGY 5.2: CONNECT YOUTH WITH COMMUNITY ADVOCATES WHO HELP YOUTH BREAK THE CYCLE OF VIOLENCE.- ACTION (FOR ABOVE TWO STRATEGIES): CONTINUED TO ADMINISTER THE NEXT STEP, HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM, AT NORTH MEMORIAL HEALTH HOSPITAL THROUGHOUT 2021. THE PROGRAM HAS NOW EXPANDED TO A THIRD HOSPITAL IN THE MINNEAPOLIS AREA, ABBOTT NORTHWESTERN, ALLOWING THE PROGRAM TO REACH A LARGER PROPORTION OF VICTIMS OF VIOLENCE. A TOTAL OF 118 CUSTOMERS WERE ENROLLED IN 2021 AT THE THREE HOSPITALS.6. OBJECTIVE: CONNECT PATIENTS WITH MENTAL ILLNESS TO COMMUNITY SOCIAL SERVICES. - STRATEGY 6.1: PARTNER WITH VAIL PLACE TO PROVIDE SOCIAL SERVICES TO OUR NORTH MEMORIAL HEALTH HOSPITAL PATIENTS WITH MENTAL ILLNESS WHO NEED SOCIAL SERVICES.- ACTION: IN PARTNERSHIP WITH VAIL PLACE, WE CONNECTED PATIENTS TO A VARIETY OF SERVICES INCLUDING HOUSING, FINANCIAL BENEFITS, PSYCHIATRIC PROVIDERS, EMPLOYMENT, LEGAL ASSISTANCE, COMMUNITY SUPPORT SERVICES AND MORE. SERVICES WERE OFFERED VIRTUALLY AND IN PERSON. VAIL PLACE PROVIDED SMARTPHONES TO SOME INDIVIDUALS TO HELP THEM STAY CONNECTED TO PROVIDERS & SUPPORT DURING THE HEIGHT OF THE PANDEMIC. IN 2021:- 242 INDIVIDUALS WERE SERVED AND OF THOSE 102 RECEIVED RAPID ACCESS CONNECTION TO CASE MANAGEMENT AND BEHAVIORAL HEALTH HOME SERVICES.- MANY REFERRED PATIENTS EXPERIENCE INSECURE HOUSING. THE WEEKLY MUTUAL SUPPORT HOUSING GROUP WAS ON HOLD DURING THE PANDEMIC BUT RESTARTED IN-PERSON IN JUNE 2022.7. OBJECTIVE: PROVIDE RESILIENCE SKILLS TO COMMUNITY MEMBERS - STRATEGY 7.1: EXPLORE OFFERING COMMUNITY-BASED RESILIENCY TRAINING TO COMMUNITY MEMBERS.- NOTE: DUE TO RESTRICTIONS AND LIMITED RESOURCES DURING COVID-19, WE WERE NOT ABLE TO OFFER COMMUNITY-BASED RESILIENCY TRAINING. - ACTION: INSTEAD, WE EXECUTED A CONTENT STRATEGY THAT OFFERED RESILIENCY TOOLS AND RESOURCES TO HELP THE COMMUNITY MANAGE MENTAL HEALTH AND WELL-BEING DURING A PANDEMIC (WITH EXPERTISE FROM OUR PROVIDERS). THIS INCLUDED:- 3 SELF-CARE CONTENT PIECES THAT SERVED AS TOOLS FOR THE COMMUNITY- TWO BLOGS FROM NMH EXPERTS- AMPLIFICATION OF THESE TOOLS THROUGH OUR SOCIAL CHANNELS - ACTION: ADDITIONALLY, WE DEVELOPED A ROBUST RESILIENCE PROGRAM TO HELP OUR TEAM MEMBERS COPE FROM THE EFFECTS OF COVID-19 AND SYSTEMIC RACISM. THIS PROGRAM INCLUDES RESOURCES SUCH AS HEARTMATH, AN INTERACTIVE PROGRAM THAT PROVIDES PRACTICAL AND EFFECTIVE TOOLS FOR PREVENTING AND RELEASING STRESS, MAINTAINING EMOTIONAL BALANCE, MENTAL CLARITY AND SUSTAINING RESILIENCE. WE WILL LOOK FOR OPPORTUNITIES TO BRING HEARTMATH AND OTHER RESILIENCY RESOURCES TO THE COMMUNITY IN 2022. 8. OBJECTIVE: CONTINUE INVOLVEMENT WITH COMMUNITY ORGANIZATIONS THAT ARE ADDRESSING MENTAL HEALTH AND SOCIAL ISOLATION. - STRATEGY 8.1: STRENGTHEN COMMUNITY PARTNERSHIPS TO COLLECTIVELY ADDRESS MENTAL HEALTH ISSUES AND SOCIAL CONDITIONS THAT AFFECT MENTAL HEALTH CONDITIONS (CHIP, CCH, LOCAL PUBLIC HEALTH, GOVERNMENT, AND OTHERS).- ACTION: OUR NMH EMERGENCY BEHAVIOR HEALTH CLINICIAN MAINTAINED ACTIVE PARTICIPATION IN THE HENNEPIN COUNTY CHIP WHILE WE WORKED TO HIRE OUR NEW SR. COMMUNITY HEALTH SPECIALIST IN EARLY 2022. SHE WAS ALSO PART OF THE COMMUNITY MENTAL WELLBEING ACTION GROUP. - ACTION: WE ARE A MEMBER OF THE CENTER FOR COMMUNITY HEALTH COLLECTIVE ACTION GROUP. THIS GROUP HASN'T BEEN INCREDIBLY ACTIVE DURING COVID-19 BUT INITIATIVES ARE STARTING TO RAMP UP IN 2022 IN WHICH WE WILL PARTAKE WHERE APPLICABLE. - STRATEGY 8.2: CONTINUE TO LOOK FOR OTHER COMMUNITY PARTNERS WORKING IN THIS AREA.- ACTION: EXPLORED LOCAL ORGANIZATIONS THAT COULD HELP MEET THE MENTAL HEALTH NEEDS OF THE COMMUNITY INCLUDING PARTNERSHIPS WITH THREE RIVERS DISTRICT PARK WHERE WE SUPPORTED SENIORS WITHIN THE LATINA POPULATION TO GET ACTIVE AND CONNECTED WITH NATURE, THE LEE CARLSON CENTER FOR MENTAL HEALTH, AND BROOKLYN CENTER COMMUNITY SCHOOLS AS THIS COMMUNITY WAS AFFECTED BY POLICE VIOLENCE IN 2021 LEADING TO THE NEED FOR MENTAL HEALTH/COPING MECHANISMS. - ACTION: ACTIVE MEMBER OF THE NORTHWEST HENNEPIN FAMILY SERVICE COLLABORATIVE GOVERNANCE BOARD.PRIORITY TWO: SUBSTANCE ABUSEOUR GOAL IN ADDRESSING SUBSTANCE ABUSE IS TO CREATE AN ENVIRONMENT WHERE EDUCATION AROUND SUBSTANCE ABUSE IS PROVIDED, ENVIRONMENTAL SUPPORT TO REDUCE ACCESS TO MEDICATIONS ARE IN PLACE AND PARTNERSHIPS WITHIN THE HEALTHCARE SYSTEM SUPPORT BEST PRACTICES. WE FIRST IDENTIFIED THIS PRIORITY IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. WE ARE CONTINUING THE STRATEGIES THAT WORKED WELL AND EXPLORING NEW STRATEGIES. THIS PRIORITY WAS IMPACTED THE MOST BY THE PANDEMIC AND DELAYED COMPLETION OF OBJECTIVES. OBJECTIVES:1. INCREASE AWARENESS AND EDUCATION AROUND THE DANGERS OF SUBSTANCE ABUSE AMONG YOUTH AND YOUNG ADULTS, AS WELL AS THE ACTIVITIES THAT ADDRESS THESE ISSUES INCLUDING ANTI-VAPING EDUCATION.2. USE COMMUNITY PARTNERSHIPS TO PROVIDE EDUCATION AROUND SUBSTANCE ABUSE AND ENVIRONMENTAL SUPPORTS TO REDUCE ACCESS TO MEDICATION.3. IMPROVE ACCESS TO ADDICTION SERVICES.4. ENSURE PROVIDERS CAN PRESCRIBE RESPONSIBLY AND COMPLIANTLY FOR PREVENTION AND MANAGING SUBSTANCE USE DISORDER.5. REDUCE THE NUMBER OF DEATHS FROM OPIOID OVERDOSE.STRATEGIES AND ACTIONS (BY OBJECTIVE):1. OBJECTIVE: INCREASE AWARENESS AND EDUCATION AROUND THE DANGERS OF SUBSTANCE ABUSE AMONG YOUTH AND YOUNG ADULTS, AS WELL AS THE ACTIVITIES THAT ADDRESS THESE ISSUES INCLUDING ANTI-VAPING EDUCATION - STRATEGY 1.1: PARTNER WITH PARTNERS IN PREVENTION TO INCREASE AWARENESS AND EDUCATION OF SUBSTANCE ABUSE- ACTION: NORTH MEMORIAL HEALTH COMMUNITY HEALTH MANAGER CONTINUED TO SIT ON THE PARTNER'S IN PREVENTION'S EXECUTIVE COMMITTEE. ACTION: RECRUITED DIRECTOR OF PARTNERS IN PREVENTION TO JOIN THE MGH CEAT TEAM STARTING IN 2021.- STRATEGY 1.2: PROVIDE FINANCIAL SUPPORT FOR APPLICABLE PARTNERS IN PREVENTION CAMPAIGNS- ACTION: MAPLE GROVE HOSPITAL PLANNED TO FINANCIALLY SUPPORT THE PARTNERS IN PREVENTION'S ANTI-VAPING AND POSITIVE COMMUNITY NORMS CAMPAIGNS WHICH USES MINNESOTA STUDENT SURVEY DATA TO EDUCATE YOUTH ON THEIR PEER'S VIEWS AROUND SUBSTANCE ABUSE.- ANTI-VAPING CAMPAIGN AND POSITIVE COMMUNITY NORMS CAMPAIGN WERE PUT ON HOLD DUE TO COVID-19. |
| SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION: | 2. OBJECTIVE: USE COMMUNITY PARTNERSHIPS TO PROVIDE EDUCATION AROUND SUBSTANCE ABUSE AND ENVIRONMENTAL SUPPORT TO REDUCE ACCESS TO MEDICATION. - STRATEGY 2.1: PROVIDE STAFF TO HELP COORDINATE THE WORK OF PARTNERSHIP FOR CHANGE.- ACTION: PARTNERSHIP FOR CHANGE WAS ON HOLD DURING COVID - WORK WILL BE REVISITED POST-COVID. - STRATEGY 2.2: CONTINUE TO ASSESS COMMUNITY NEED FOR MEDICINE DROP BOXES AND PLACE BOXES WHERE APPROPRIATE (MEDICINE ABUSE PREVENTION WORKGROUP). - ACTION: NORTH MEMORIAL HEALTH SYSTEM DIRECTOR OF DIVERSITY, EQUITY AND INCLUSION FURTHER EXPLORED AND ASSESSED POSSIBLE NEW LOCATIONS FOR MEDICINE DROP BOXES. SHE OUTREACHED TO THE MAYOR OF NEW HOPE AND THE PLYMOUTH POLICE CHIEF. - NEW HOPE EXPRESSED INTEREST IN MEDICINE DROPBOX IN 2020 WITH A PLAN TO INSTALL IN 2021; HOWEVER, THEY SWITCHED THEIR FOCUS TO DETERRA BAGS WHICH ARE WORKING VERY WELL SO A MEDICINE DROPBOX WAS NO LONGER NEEDED. INSTEAD, NMH REFOCUSED THESE EFFORTS AND UTILIZED FOUNDATION MONEY (THAT WAS SPECIFICALLY HELD FOR MEDICINE DROPBOXES) TO PURCHASE 4200 DETERRA BAGS FOR DISTRIBUTION THROUGH OUR (3) PHARMACIES AND AT "PILOT SITE" CLINICS TO ENCOURAGE A NEW WAY TO DISPOSE OF MEDICATIONS. - LIKE NEW HOPE, LAW ENFORCEMENT AGENCIES SUCH AS THE PLYMOUTH POLICE DEPARTMENT HAVE BEEN SHIFTING AWAY FROM MEDICINE DROPBOXES TO THE USE OF DETERRA BAGS. WE ARE ALSO LOOKING AT WAYS IN WHICH THESE DETERRA BAGS CAN BE DISTRIBUTED AT COMMUNITY EVENTS, WHERE APPLICABLE. - STRATEGY 2.3: ORGANIZE AN OPIOID CONFERENCE FOR PROVIDERS AND THE COMMUNITY.- ACTION: 2020 OPIOID IN-PERSON CONFERENCE POSTPONED DUE TO COVID-19. FOR 2021, WITH THE RISE IN COVID-19 CASES, NMH HELD A VIRTUAL CONFERENCE WHICH WAS RECORDED AND MADE AVAILABLE THROUGH THE CHIEF MEDICAL OFFICER'S NEWSLETTER WHICH IS SENT OUT APPROXIMATELY SIX (6) TIMES PER YEAR TO 1621 PEOPLE. FOR 2022, WE ARE LOOKING AT WAYS IN WHICH NMH CAN SPONSOR AN OPIOID CONFERENCE.3. OBJECTIVE: IMPROVE ACCESS TO ADDICTION SERVICES.- STRATEGY 3.1: INTEGRATE ADDICTION SERVICES WITH NORTH MEMORIAL HEALTH PRIMARY CARE- ACTION: MENTAL HEALTH CLINIC STAFF CONTINUE TO ADDRESS SUBSTANCE USE ISSUES (WHEN APPROPRIATE) IN INDIVIDUAL APPOINTMENTS AND PROGRAMMING. THAT SAID, THIS PROGRAMMING IS NOT SUBSTANCE USE DISORDER SPECIFIC. WE HAVE HOSPITAL AND CLINICAL STAFF THAT ARE LADC CERTIFIED AND HAVE EXPERIENCE IN SUBSTANCE USE TREATMENT. WE OFFER PROVIDERS WITH EXPERIENCE IN SUBSTANCE USE TREATMENT, AS WELL AS TWO CLINIC OUTPATIENT PROVIDERS THAT ARE LADC CERTIFIED.4. OBJECTIVE: ENSURE PROVIDERS CAN PRESCRIBE RESPONSIBLY AND COMPLIANTLY FOR PREVENTION AND MANAGING SUBSTANCE USE DISORDER.- STRATEGY 4.1: MAINTAIN THE PRESCRIPTION DRUG MONITORING PROGRAM (PDMP)- ACTION: IN 2019, NORTH MEMORIAL HEALTH MADE IT EASIER FOR PROVIDERS TO ACCESS EXTERNAL DRUG PROGRAM INFORMATION BY IMPLEMENTING EPIC (APPRISS) WHICH REMOVED STEPS IN THE PROCESS TO REVIEW PRESCRIBING HISTORY. IN 2021, WE CONTINUED TO USE THE PDMP INTEGRATION WITH EPIC WHILE MAKING IT AVAILABLE TO ALL NMH PROVIDERS (1,500+ USERS). PDMP IS USED FOR NEARLY ALL CONTROLLED SUBSTANCE PRESCRIPTIONS; WE ADHERE TO A PRESCRIPTION DRUG ALERT SYSTEM IN ACCORDANCE WITH STATE STATUTES.5. OBJECTIVE: REDUCE THE NUMBER OF DEATHS FROM OPIOID OVERDOSE - STRATEGY 5.1: MAINTAIN ED MEDICATION - ASSISTED THERAPY (MAT) PATHWAY- ACTION: IN 2020, COVID-19 AND CIVIL UNREST RESULTED IN DIFFICULTY IN TRACKING PROGRESS AND INCREASING UTILIZATION OF THE MAT PATHWAY. IN 2021, WE ARE STILL HAVING DIFFICULTY TRACKING THE NUMBER OF PATIENTS THAT STARTED ON BUPRENORPHINE OUT OF OUR EMERGENCY DEPARTMENT (ED). HOWEVER, WE CAN STATE THAT OUR MAT PROGRAM THROUGH OUR EMERGENCY DEPARTMENT AND BROADWAY FAMILY MEDICINE IS STILL 'LIVE." ADDITIONALLY, ALL OUR ED PROVIDERS ARE NOW ABLE TO PRESCRIBE BUPRENORPHINE AND HAVE PATIENTS FOLLOW UP AT BROADWAY CLINIC.PRIORITY THREE: CULTURALLY RESPONSIVE CARE OUR GOALS IN ADDRESSING CULTURALLY RESPONSIVE CARE INCLUDE:- DELIVERING A WELCOMING AND INCLUSIVE EXPERIENCE FOR ALL PEOPLE REGARDLESS OF CULTURAL PRACTICES, PREFERRED LANGUAGE, OR RACE. - EXPECTING AND PREPARING NORTH MEMORIAL HEALTH HOSPITAL'S TEAM TO DELIVER CULTURALLY RESPONSIVE AND COMPETENT CARE.- INCLUDING AND LEARNING FROM OUR COMMUNITY PARTNERS ABOUT CULTURALLY RESPONSIVE CARE.THIS COMMUNITY HEALTH NEED PRIORITY WAS NEWLY IDENTIFIED IN THE 2019 NEEDS ASSESSMENT. IN 2020 WE FOCUSED ON WORKING WITH OUR LOCAL CEAT TEAM AND BUILDING THE FOUNDATION FOR THIS PRIORITY, AND IN 2021, WE CONTINUED TO EXPAND UPON THESE EFFORTS.OBJECTIVES:1. DEVELOP A STRUCTURE AND PROCESSES TO SUPPORT HEALTH EQUITY WORK WITHIN NORTH MEMORIAL HEALTH HOSPITAL.2. EXPLORE CONDUCTING A CULTURAL ASSESSMENT OF NORTH MEMORIAL HEALTH AND ITS ENVIRONMENT.3. INCREASE DIVERSITY AMONG TEAM MEMBERS, AT ALL LEVELS OF THE ORGANIZATION, TO MATCH CUSTOMER AND COMMUNITY POPULATIONS.4. WORK IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS AND COMMUNITY MEMBERS TO IMPROVE KNOWLEDGE ABOUT AND PRACTICES OF CULTURALLY RESPONSIVE CARE. |
| SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION: | STRATEGIES AND ACTIONS (BY OBJECTIVE):1. OBJECTIVE: DEVELOP A STRUCTURE AND PROCESSES TO SUPPORT HEALTH EQUITY WORK WITHIN NORTH MEMORIAL HEALTH.- STRATEGY 1.1: CREATE THE FOUNDATION FOR A DIVERSE, EQUITABLE AND INCLUSIVE CULTURE. - ACTION: DEVELOPED NEW COMMUNITY HEALTH SPECIALIST, SR. ROLE TO DEVELOP, LEAD AND PROJECT MANAGE STRATEGIC PROGRAMS TO IMPROVE THE HEALTH OF OUR MULTICULTURAL COMMUNITY USING A DEI LENS TO ACHIEVE HIGH-VALUE SOLUTIONS AND SUSTAINABLE RESULTS. POSITION TO BEGIN IN 2022.- ACTION: NORTH MEMORIAL HEALTH STRENGTHENED THE ROLE AND VISIBILITY OF THE DE&I COMMITTEE, ESTABLISHING SEVEN WORKGROUPS (INCLUSIVE HIRING, RETENTION AND PROMOTION; COMMUNITY PARTNERSHIPS; COMMUNICATIONS; EDUCATION; CUSTOMER EXPERIENCE AND IMPACT; DATA, METRICS AND MEASUREMENT; DIVERSITY CELEBRATIONS) LED BY CHAIRS THAT ARE FOCUSED ON CHAMPIONING THE WORK. THE DEI STRATEGIC PLAN CONTAINS 68 STRATEGIC PRIORITIES WHICH ARE ALIGNED WITH ONE OF THE FIFTEEN NATIONAL CLAS STANDARDS. AT LEAST ONE OF THE STRATEGIC PRIORITIES IS ASSIGNED TO ONE OF THE SEVEN DEI COMMITTEES ON THEIR COMMITTEE SPECIFIC PROJECT PLAN. AS THE PLAN AND WORK ROLLED OUT ACROSS THE SYSTEM, THE DEI WORK GROUP GREW FROM 39 MEMBERS TO OVER 90 MEMBERS IN UNDER A YEAR. EACH QUARTER, THE COMMITTEES REPORT ON THEIR PROGRESS IN ADVANCING DEI ACROSS THE SYSTEM. - ACTION: BUILD BRAND AWARENESS AND REPUTATION ABOUT THE IMPORTANCE OF DEI AND PROVIDING CULTURALLY RESPONSIVE CARE.- THE SYSTEM DIRECTOR DEVELOPED A ROADSHOW THAT LAID THE GROUNDWORK FOR OUTLINING WHY DEI IS ESSENTIAL TO OUR SYSTEM. IN Q1 2021, THE ROADSHOW WAS PRESENTED TO - HR LEADERSHIP TEAM, HR EMPLOYEE RELATIONS TEAM, DEI WORK GROUP, INSIGHT LEADER FORUM, NMHH MEC, NMHH ED, BLAZE DLT, PATIENT CARE AND OPERATIONS DIRECTORS (ROUNDTABLE DISCUSSION), PATIENT CARE CRITICAL CARE AND TRAUMA, AND NMH FOUNDATION BOARD. IT WAS ALSO PRESENTED IN Q2 2021 TO THE NMH BOARD OF TRUSTEES QUALITY COMMITTEE - DEI INTRANET REDESIGNED WITH NEW CONTENT AND WORKGROUP ACCOMPLISHMENT UPDATES - MAIN PAGE OVERVIEW, TAKE ACTION TO MAKE A DIFFERENCE (ACT), KEY DATES & MOMENTS IN HISTORY (CELEBRATE), AND BE A PART OF OUR DEI INITIATIVES (JOIN) - REDESIGNED THE NEW TEAM MEMBER ORIENTATION TRAINING - SHIFTED FOCUS FROM IMPLICIT BIAS TO A DETAILED OVERVIEW OF DEI AND WORK WE ARE DOING AT NMH- STRATEGY 1.2: PROVIDE TEAM MEMBERS WITH THE TOOLS THEY NEED TO TALK TO PATIENTS ABOUT THEIR SPECIFIC CULTURAL NEEDS. - ACTION: DEVELOPED AND DISTRIBUTED A DE&I LEADER GUIDEBOOK TO SUPPORT LEADERS IN HAVING COURAGEOUS CONVERSATIONS AND LEADING A DIVERSE, INCLUSIVE WORKFORCE. IN ADDITION TO CREATING A DEI LEADER GUIDEBOOK ON HAVING COURAGEOUS CONVERSATIONS, TWO POWER PACKS FOCUSED ON "RECOGNIZING WHEN WE ARE TRIGGERED AND "SO, YOU'RE TRIGGERED. NOW WHAT?" WERE CREATED. THESE POWER PACKS PROVIDED A FRAMEWORK FOR TEAM MEMBERS ON HOW TO NAVIGATE DEI COURAGEOUS CONVERSATIONS EITHER BY STAYING ENGAGED, APPROPRIATELY END A CONVERSATION, OR DECLINING TO ENGAGE IN A CONVERSATION. ADDITIONALLY, A TRAINING ON "EQUITABLE CARE FOR THE LGBTQIA+ COMMUNITY" HAS BEEN DEVELOPED AND DELIVERED TO THE OR SURGICAL TEAM AND NMHH MEDICAL DIRECTORS.- STRATEGY 1.3: PARTNER WITH THE INFORMATICS TEAM TO UNDERSTAND DATA AROUND HEALTH EQUITY.- ACTION: NORTH MEMORIAL HEALTH HOSPITAL CREATED A WORKGROUP AS PART OF OUR DE&I COMMITTEE AND ASSIGNED TWO CHAIRS TO LEAD THESE EFFORTS. IN 2021, THE DEI METRICS AND MEASUREMENT COMMITTEE ESTABLISHED WORKPLANS AND MOVED THIS WORK FORWARD. THE COMMITTEE HAS DEVELOPED ITS INITIAL PRIORITIES FOR THE NEXT 3 YEARS: (I) ANALYZE AND DEVELOP STANDARD DEFINITIONS AND DEMOGRAPHIC CATEGORIES FOR ALL APPLICATIONS ACROSS THE SYSTEM AND DEVELOP MEANINGFUL REPORTS INCLUDING CUSTOMER/TEAM MEMBER/PROVIDER DEMOGRAPHICS AND CLINICAL OUTCOMES. INITIAL FOCUS ON CLINICAL OUTCOMES IS BREAST CANCER AS BLACK WOMEN IN MN ARE 24% MORE LIKELY TO DIE OF BREAST CANCER THAN WHITE WOMEN. 2. OBJECTIVE: EXPLORE CONDUCTING A CULTURAL ASSESSMENT OF NORTH MEMORIAL HEALTH AND ITS ENVIRONMENT. - STRATEGY 2.1 (THIS STRATEGY WAS COMPLETED IN 2021): EXPLORE ASSESSMENT TOOLS SUCH AS THE CULTURAL COMPETENCY ASSESSMENT TOOL FOR HOSPITALS (CCATH) TO ASSESS ADHERENCE TO THE NATIONAL STANDARDS FOR CLAS (CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES) IN HEALTHCARE.- ACTION: RESEARCHED, EXPLORED, AND ADOPTED THE CLAS STANDARDS FRAMEWORK AS THE CRITICAL, FOUNDATIONAL ELEMENT OF OUR DE&I STRATEGIC PLAN. - ACTION: PRIORITIZED 30 CLAS STANDARD TASKS FOR EXECUTION BEGINNING IN 2021 AND CONTINUING OVER A THREE-YEAR PERIOD. - ACTION: THE 30 TASKS WERE ASSIGNED TO THE DE&I WORKGROUPS TO DEVELOP PLANS TO EXECUTE/IMPLEMENT. NOTE: THE ABOVE STRATEGY AND ACTIONS LAID THE FOUNDATION AND GROUNDWORK FOR OUR CULTURALLY RESPONSIVE CARE EFFORTS AS WELL AS THE OTHER TWO STRATEGIES IN THIS OBJECTIVE.- STRATEGY 2.2: ASSESS THE CUSTOMER JOURNEY INSIDE THE HOSPITAL INCLUDING ALL MAJOR TOUCHPOINTS.- ACTION: IN PARTNERSHIP WITH MARKETING, WE ARE BEGINNING TO TAKE A CLOSER LOOK AT THE CUSTOMER JOURNEY INSIDE OF THE HOSPITAL. FURTHER WORK WITHIN THIS STRATEGY WILL BEGIN TO TAKE PLACE IN 2022. - STRATEGY 2.3: EXPLORE ENHANCEMENTS TO THE PHYSICAL ENVIRONMENT AT THE HOSPITAL (SIGNAGE, TRANSLATED MATERIALS, GIFT SHOP OFFERINGS, ETC.) TO ENSURE CULTURAL INCLUSIVITY- ACTION: IN 2021, WE UPDATED SIGNAGE FOR THE HUMAN RIGHTS CAMPAIGN'S HEALTHCARE EQUALITY INDEX PATIENT (CUSTOMER) NONDISCRIMINATION POLICY @ NMHH & MGH.- ACTION: IN 2021, TRANSLATED MATERIAL FOR THE VACCINATION CLINIC IN BROOKLYN CENTER.- ACTION: IN 2021, MULTI-LINGUAL SIGNAGE WAS ADDED TO THE WELCOME CENTER DESK PER THE CEI DASHBOARD.- ACTION: FOR 2022, UPDATE AFTER CHIP FOCUS GROUPS FOR INPUT TO GIFT SHOP OFFERINGS, FACILITY UPDATE AND SPIRITUAL CARE CENTER. 3. OBJECTIVE: INCREASE DIVERSITY AMONG TEAM MEMBERS, AT ALL LEVELS OF THE ORGANIZATION, TO MATCH CUSTOMER AND COMMUNITY POPULATIONS. - STRATEGY 3.1: CONTINUE DEVELOPMENT OF RECRUITMENT AND RETENTION INITIATIVES THAT ENCOURAGE A DIVERSE WORKFORCE.- ACTION: THROUGH A PARTNERSHIP WITH MINNESOTADIVERSITY.COM, NORTH MEMORIAL HEALTH ELECTRONICALLY DISTRIBUTES JOB POSTINGS (DAILY) TO THE LOCAL EMPLOYMENT SERVICE DELIVERY SYSTEM AND NUMEROUS WORKFORCE CENTERS AND JOB SITES THAT TARGET UNDERREPRESENTED POPULATIONS, INCLUDING MINORITIES, INDIVIDUALS WITH DISABILITIES, AND COVERED VETERANS. THIS PARTNERSHIP ENSURES THAT DIVERSE LOCAL JOB NETWORKS RECEIVE ALL JOB POSTINGS IN REAL-TIME. - ACTION: WORKED WITH DEED AS PART OF THEIR GOOD JOBS NOW CAMPAIGN TO ATTRACT DIVERSE RECRUITS. - IN 2021, EXPANDED RECRUITMENT EFFORTSI. WE PARTNERED WITH MINNESOTA QUEERS DO WORK AND MINNESOTA WOMEN'S COLLECTIVE (WHO USES AN INCLUSIVE DEFINITION OF "WOMAN AND "FEMALE AND WELCOMES TRANS WOMEN, GENDERQUEER WOMEN, AND NON-BINARY PEOPLE WHO ARE SIGNIFICANTLY FEMALE-IDENTIFIED) IN ADDITION TO THE LGBTQ JOB BOARD. - STRATEGY 3.2: CONTINUE TO OFFER MOCK INTERVIEWS, RESUME PREP AND RECRUITING AT COMMUNITY EVENTS WITH DIVERSE COMMUNITY MEMBERS. - ACTION: ATTENDED CAREER FAIRS (LIKE HENNEPIN AND ANOKA COUNTY) AND PANELS FOCUSED ON HELPING MINORITIES OBTAIN EMPLOYMENT. NORTH MEMORIAL HEALTH SENDS SPECIALIZED RECRUITERS TO CONNECT WITH THE COMMUNITY, EDUCATE THEM ON GENERAL OPPORTUNITIES AND PATHWAYS INTO HEALTHCARE, AND DISCUSS CURRENT OPENINGS. - NORTH MEMORIAL HEALTH ALSO ATTENDED A CAREER & INDUSTRY INFORMATION EMPLOYER PANEL FOR MCTC.- MN CAREER SOLUTIONS INTRODUCTION SUPPORT JOB SEEKERS WITH DISABILITIES- ATTENDED VETERAN'S CAREER NETWORK EVENT- STRATEGY 3.3: CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT REPRESENT OR ARE IN DIVERSE COMMUNITIES TO OFFER PREPARATION, TRAINING, MENTORSHIP, CAREER OPPORTUNITY CONSIDERATION. - ACTION: NORTH MEMORIAL HEALTH MAINTAINED CLOSE PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS AND SUPPORT THE JOB SEARCH AND CAREER EXPLORATION OF UNDERSERVED INDIVIDUALS IN THE COMMUNITY. IN ADDITION TO RESUME REVIEWS AND MOCK INTERVIEWS, WE HELPED INDIVIDUALS NAVIGATE THE ONLINE APPLICATION PROCESS, AND HOSTED AND/OR ATTENDED CAREER FAIRS. THESE ORGANIZATIONS INCLUDE: - PROJECT FOR PRIDE IN LIVING- EASTSIDE NEIGHBORHOOD SERVICES (INCLUDING THREE INFO SESSIONS, ONE TOUR, FOUR MOCK INTERVIEWS)- CAPI USA (INCLUDING FIVE PRESENTATIONS AND SEVEN MOCK INTERVIEWS)- ACHIEVE MINNEAPOLIS - EMERGE |
| PART V, SECTION B, LINE 7A & 10A: | THE 2019 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/ |
| SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION: | 4. OBJECTIVE: WORK IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS AND COMMUNITY MEMBERS TO IMPROVE KNOWLEDGE ABOUT AND PRACTICES OF CULTURALLY RESPONSIVE CARE.- STRATEGY 4.1 (THIS STRATEGY WAS FULLY COMPLETED IN 2021): MEET AND PARTNER WITH COMMUNITY ORGANIZATIONS THAT REPRESENT DIVERSE COMMUNITIES TO LEARN ABOUT THEIR VISON FOR CULTURALLY RESPONSIVE CARE AND DISCUSS POSSIBLE OPPORTUNITIES TO WORK TOGETHER - ACTION: IN 2021, THE NEW SYSTEM DIRECTOR OF DEI SHARED WITH THE NMHH CEAT MEMBERS THE MULTI-YEAR STRATEGY TO IMPLEMENT CULTURALLY RESPONSIVE CARE. THE NMHH CEAT MEMBERS GAVE POSITIVE FEEDBACK ON THE FRAMEWORK, WHICH WAS ALIGNED WITH THE NATIONAL CULTURALLY, LINGUISTICALLY, AND APPROPRIATE SERVICES (CLAS) STANDARDS. - ACTION: THROUGH NMH'S Q4 2021 CEAT MEETINGS, CEAT TEAM MEMBERS HELPED INFORM HOW DIVERSE COMMUNITIES WERE FEELING DURING THE PANDEMIC AND CIVIL UNREST. - ACTION: IN 2021, NORTH MEMORIAL HEALTH DE&I SYSTEM DIRECTOR MET WITH CEAT PARTNER NEIGHBORHOOD HEALTH SOURCE TO DISCUSS THEIR NEEDS FOR TRAINING THEIR TEAM ON CULTURALLY RESPONSIVE CARE - SHARING TOOLS AND RESOURCES. - ACTION: WE MET WITH THE YMCA OF THE NORTH TO ASSESS OFFERINGS AVAILABLE THROUGH THEIR EQUITY INNOVATION CENTER OF EXCELLENCE. A SUBGROUP OF THE EDUCATION COMMITTEE VISITED THE EQUITY INNOVATION CENTER OF EXCELLENCE AND DETERMINED ONSITE TRAININGS WOULDN'T BE FEASIBLE, DUE TO COVID-19. - STRATEGY 4.2: NORTH MEMORIAL HEALTH SPONSORSHIP COMMITTEE WILL INVITE COMMUNITY ORGANIZATIONS THAT ARE DOING WORK AROUND DE&I AND CULTURALLY RESPONSIVE CARE TO PRESENT AND LOOK AT PARTNERSHIP OPPORTUNITIES.- ACTION: NORTH MEMORIAL HEALTH RE-ENVISIONED THE SPONSORSHIP PROGRAM IN 2020 AND PRIORITIZED DOLLARS TO MEET COMMUNITY HEALTH BENEFIT NEEDS AND DE&I. DUE TO COVID, PROACTIVE COMMUNITY ORGANIZATION OUTREACH WAS REPRIORITIZED FOR 2021. - COMMUNITY HEALTH BENEFITS - DR. VAIL HOUR, SCHOOL DISTRICT 279, LEE CARLSON CENTER FOR MENTAL HEALTH, BROOKLYN CENTER SCHOOLS- DEI - PRIDE, MLK BREAKFAST, CAPRI THEATER, V3 SPORTS, NORTHSIDE ACHIEVEMENT ZONE- ACTION: FOR THE PAST SEVERAL YEARS, NORTH MEMORIAL HEALTH HAS BEEN A PROUD SUPPORTER OF TWIN CITIES PRIDE AS A WAY TO HELP CHAMPION LGBTQIA+ EQUALITY. MANY OF THE EVENTS LOOKED DIFFERENT IN 2021 DUE TO COVID-19, BUT WE WERE STILL EXCITED TO KEEP PEOPLE SAFE AND COOL BY SPONSORING THE HAND SANITIZER STATIONS AND MISTING FANS, AS WELL AS THE PRIDE GRAND MARSHAL MASKQUEERADE PARTY. WE ARE LOOKING FORWARD TO 2022 WHEN WE'RE ABLE TO BE BACK ONSITE FOR THE FESTIVITIES.- STRATEGY 4.3: EXPLORE DEVELOPING A PATIENT/FAMILY ADVISORY GROUP TO BE A RESOURCE FOR EQUITY AND INCLUSION WORK. - ACTION: NORTH MEMORIAL HEALTH EXPLORED OPPORTUNITIES TO BEST ENGAGE THE COMMUNITY IN AN ADVISORY BOARD. THIS WAS ONCE AGAIN PUT ON HOLD DURING COVID-19 - FOR FURTHER ASSESSMENT AND DISCUSSION IN 2022.HEALTH NEEDS NOT SELECTED AS FOCUS AREASTHE HEALTH PRIORITIES NOT BEING ADDRESSED DIRECTLY INCLUDE:- RESOURCES/PARTNERSHIPS - HOUSING - ACCESS TO HEALTHCARE - FOOD - TRANSPORTATION - HEALTHY AGING - STRUCTURAL AND INSTITUTIONAL RACISM THE COMMUNITY ENGAGEMENT ADVISORY TEAM FELT THAT WE NEEDED TO FOCUS OUR ATTENTION ON OUR TOP THREE PRIORITIES TO DRIVE MEANINGFUL CHANGE. WE CONTINUE TO ADDRESS FOOD AND NUTRITION THROUGH OUR NORTH MARKET PARTNERSHIP WITH PILLSBURY UNITED, AS WELL AS SOME OF OUR OTHER PARTNERSHIPS. HEALTHY AGING IS BEING ADDRESS BY MAPLE GROVE HOSPITAL AND THAT CEAT TEAM. AND ADDRESSING STRUCTURAL RACISM IS CONNECTED TO OUR WORK IN DE&I AND HEALTH EQUITY. |
| 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 |
| 9 - 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 IS THE COST TO CHARGE RATIO APPROACH WHICH CALCULATES THE RATIO OF TOTAL HOSPITAL COSTS / TOTAL HOSPITAL GROSS REVENUE AND THEN APPLIES THAT RATIO TO TOTAL MEDICARE GROSS REVENUE. |
| 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 COMMUNITY HEALTH OUTREACH MANAGER IS A MEMBER OF THE HENNEPIN COUNTY COMMUNITY HEALTH IMPROVEMENT PARTNERSHIP STEERING COMMITTEE WHICH ALLOWS NORTH MEMORIAL MEDICAL CENTER TO BE INVOLVED IN KEY COMMUNITY HEALTH ISSUES. THE LATEST CHNA WAS COMPLETED IN 2019, INCLUDING COMMUNITY FOCUS GROUPS, TO BETTER UNDERSTAND THE COMMUNITY'S HEALTH NEEDS. A NEW ONE WILL BE CONDUCTED IN 2022. |
| 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 1,280,000 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 14 REPRESENTATIVES CONSISTING OF PHYSICIANS AND LEADERS FROM THROUGHOUT THE COMMUNITY. BOARD MEMBERS ARE ELECTED TO SERVE THREE-YEAR TERMS FOR A TOTAL OF FIVE 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 (5 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PORTICO HEALTHNET | |||||||||||
| 1600 UNIVERSITY AVENUE WEST SUITE | 211 | SAINT PAUL | MN | 55104 | 411814659 | 501(C)(3) | $50,000 | $0 | TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION | ||
| CREATIVE CUTURAL EXCHANGE | |||||||||||
| 5009 EXCELSIOR BVLD STE 154 | ST LOUIS PARK | MN | 55416 | 472937022 | 501(C)(3) | $0 | $533,860 | IN SUPPORT OF PROJECT "WECARE" | FAIR MARKET VALUE | MEDICAL SUPPLIES | |
| MARTIN LUTHER KING BREAKFAST | |||||||||||
| PO BOX 83134 | COLUMBUS | OH | 43203 | 311225276 | 501(C)(3) | $10,000 | $0 | TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION | |||
| VELOCITY SPORTS | |||||||||||
| 701 PLYMOUTH AVE N | MINNEAPOLIS | MN | 55411 | 474208106 | 501(C)(3) | $10,000 | $0 | SUPPORT AND TRAIN DIVERSE LIFEGUARDS | |||
| GAY-LESBIAN-BISEXUAL TRANSGENDER PRIDE - TWIN CITIES | |||||||||||
| 2021 EAST HENNEPIN AVE STE 402-7 | MINNEAPOLIS | MN | 55413 | 411808096 | 501(C)(3) | $7,000 | $0 | TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
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 | Yes (1) | 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 (13 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 | $1,038,400 | $0 | $459,680 | $0 | $14,246 | $0 | $511,600 | $0 | $31,127 | $0 | $2,055,053 | $0 | $0 | $0 |
| JOSEPH VAN CAMP MD | ||||||||||||||
| PHYSICIAN, CARDIAC SURGEON | $820,000 | $0 | $20,500 | $0 | $8,624 | $0 | $19,950 | $0 | $31,899 | $0 | $900,973 | $0 | $0 | $0 |
| KING ROBERT | ||||||||||||||
| PHYSICIAN, CARDIAC SURGEON | $820,000 | $0 | $20,500 | $0 | $24,359 | $0 | $11,600 | $0 | $11,550 | $0 | $888,009 | $0 | $0 | $0 |
| ANDREW COCHRANE | ||||||||||||||
| CHIEF HOSPITAL OFFICER | $584,423 | $0 | $155,250 | $0 | $5,123 | $0 | $11,600 | $0 | $15,670 | $0 | $772,066 | $0 | $0 | $0 |
| DAN FROMM | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $560,577 | $0 | $112,876 | $0 | $5,958 | $0 | $11,600 | $0 | $15,670 | $0 | $706,681 | $0 | $0 | $0 |
| CAROLYN OGLAND MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $518,269 | $0 | $149,250 | $0 | $9,133 | $0 | $11,600 | $0 | $11,550 | $0 | $699,802 | $0 | $0 | $0 |
| SAMANTHA HANSON | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | $499,038 | $0 | $146,250 | $0 | $4,334 | $0 | $11,600 | $0 | $16,273 | $0 | $677,495 | $0 | $0 | $0 |
| AHMED OMAR | ||||||||||||||
| PHYSICIAN, NOCTURNIST | $571,334 | $0 | $32,803 | $0 | $7,459 | $0 | $19,950 | $0 | $24,158 | $0 | $655,704 | $0 | $0 | $0 |
| LUKE HAWES | ||||||||||||||
| PHYSICIAN, TRAUMA SURGEON | $490,529 | $0 | $45,809 | $0 | $29,680 | $0 | $11,600 | $0 | $15,670 | $0 | $593,288 | $0 | $0 | $0 |
| JOSEPH FARHAT | ||||||||||||||
| PHYSICIAN, TRAUMA SURGEON | $502,604 | $0 | $24,559 | $0 | $1,442 | $0 | $11,600 | $0 | $5,891 | $0 | $546,096 | $0 | $0 | $0 |
| KENT SPAULDING | ||||||||||||||
| VP, CHIEF DEVELOPMENT OFFICER | $234,615 | $0 | $63,375 | $0 | $1,357 | $0 | $11,600 | $0 | $11,902 | $0 | $322,849 | $0 | $0 | $0 |
| AARON BLOOMQUIST | ||||||||||||||
| CFO (OUTGOING) | $0 | $0 | $0 | $0 | $320,192 | $0 | $0 | $0 | $0 | $0 | $320,192 | $0 | $0 | $0 |
| DAWN BACKLUND | ||||||||||||||
| CHIEF COMPLIANCE OFFICER | $229,423 | $0 | $60,927 | $0 | $2,182 | $0 | $11,283 | $0 | $0 | $0 | $303,815 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINES 4A-B | 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 AMOUNT WAS UNVESTED AS OF THE END OF THE TAX YEAR. AARON BLOOMQUIST RECEIVED A SEVERANCE PAYMENT OF $320,192 DURING THE TAX YEAR, WHICH IS INCLUDED IN PART II, COLUMN B(III). | 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 | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $6,900,000 | $48,679,699 | $544,065 | $48,135,634 | 2015 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $17,325,000 | $38,870,000 | $337,596 | $33,532,404 | 2017 | Yes (1) | 0 | Yes (1) | Yes (1) |
| C | $4,425,000 | $10,830,000 | $10,830,000 | 2017 | Yes (1) | 0 | 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 | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 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 | 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 | $258,491 | 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: | CAPITAL CONTRIBUTIONS MINNETONKA ASC -2,950,000. CHANGE IN PENSION BENEFIT OBLIGATION 4,811,670. |
| 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 | $6,368,752 | $17,397,647 | NORTH MEMORIAL |
| NORTH CLINIC LLC | |||||||||
| 3300 OAKDALE AVENUE NORTH | ROBBINSDALE | MN | 55422 | MEDICAL CARE | MN | $1,064,693 | $2,406,161 | NORTH MEMORIAL | |
| MINNETONKA AMBULATORY SURGERY CENTER | |||||||||
| 3300 OAKDALE AVE NORTH | ROBBINSDALE | MN | 55422 | 465653486 | OUTPATIENT SURGERY | MN | $4,286,007 | $1,043,021 | 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 | $1,303,656 | $2,526,906 | 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 | $791,909 | $2,012,413 | 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 | $1,779,445 | $1,912,025 | 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 | -$9,624,611 | $32,374,365 | 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 | $4,502,534 | $4,247,807 | 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 (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ASSOCIATED HEALTH ASSURANCE LLC (INTEREST) | ||
| A | $1,214,763 | FAIR MARKET VALUE |
| BLAZE HEALTH LLC (CAPITAL CONTR) | ||
| B | $10,600,000 | FAIR MARKET VALUE |
| MAPLE GROVE HOSPITAL CORP (RTN OF CAP) | ||
| C | $44,890,000 | FAIR MARKET VALUE |
| NORTH MEMORIAL FOUNDATION (GRANT) | ||
| C | $164,528 | ACTUAL |
| MAPLE GROVE HOSPITAL CORP | ||
| D | $77,516,250 | FAIR MARKET VALUE |
| NORTH RADIATION THERAPY (MRO) | ||
| D | $159,823 | FAIR MARKET VALUE |
| MAPLE GROVE HOSPITAL CORP | ||
| J | $4,094,406 | FAIR MARKET VALUE |
| NORTH RADIATION THERAPY (MRO) | ||
| J | $227,576 | FAIR MARKET VALUE |
| MAPLE GROVE HOSPITAL CORP (MGMT FEE) | ||
| L | $23,138,497 | FAIR MARKET VALUE |
| ASSOCIATED HEALTH ASSURANCE LLC (INS PREMIUMS) | ||
| M | $71,111 | FAIR MARKET VALUE |
| ASSOCIATED HEALTH ASSURANCE LLC (INS PREMIUMS) | ||
| L | $3,755,750 | FAIR MARKET VALUE |
| MAPLE GROVE HOSPITAL CORP (SALARY REIMB) | ||
| Q | $2,001,540 | ACTUAL |