2025-11-17T17:35:49-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2024-01-01 410729979 NORTH MEMORIAL HEALTH CARE DBA NORTH MEMORIAL HEALTH NORT 7635205200 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 STEPHANIE GALE CHIEF FINANCIAL OFFICER 7635205200 2025-11-17 1 1 SHELBY NETZ P01405265 6128764500 2025-11-17 2024 2025-03-06 01:10:19Z TREVOR SAWALLISH 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 1396035654 0 X WWW.NORTHMEMORIAL.COM X 1954 MN EMPOWERING OUR PATIENTS TO ACHIEVE THEIR BEST HEALTH. 14 13 6532 200 147371 0 13698156 3200188 878801361 999336930 15152355 -2364515 -33135 -1454257 907618737 998718346 170989 138464 0 0 551240548 608015299 0 0 0 362768149 417306258 914179686 1025460021 -6560949 -26741675 679594370 713005318 297610433 277562701 381983937 435442617 X EMPOWERING OUR PATIENTS TO ACHIEVE THEIR BEST HEALTH. 0 0 904394699 138464 840059254 NORTH MEMORIAL HEALTH CARE DBA NORTH MEMORIAL HEALTH IS A HEALTHCARE SYSTEM THAT INCLUDES A GENERAL ACUTE CARE HOSPITAL PROVIDING HIGHLY SPECIALIZED TRAMA AND EMERGENCY SERVICES, CORONARY CARE, OPEN HEART SURGERY, ONCOLOGY, HIGH RISK MATERNITY AND LEVEL II NEONATAL CARE AND GENERAL MEDICAL: SURGICAL, OBSTETRICAL, PEDIATRIC, REHABILITATION, BEHAVIORAL HEALTH, AIR AND GROUND AMBULANCE SERVICES, PRIMARY CARE AND SPECIALTY CARE CLINICS. NORTH MEMORIAL HEALTH'S MISSION IS EMPOWERING ITS PATIENTS 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. 904394699 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 326 0 6532 1 1 1 1 BD 0 0 0 0 0 0 0 0 1 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 1 1 MN X STEPHANIE GALE 7635205200 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 J KEVIN CROSTON MD CEO (THROUGH 2/2024) 40.00 6.00 X X 1758247 0 10625 TREVOR SAWALLISH CHIEF EXECUTIVE OFFICER 40.00 6.00 X X 1368361 0 38656 TED FERRARA CHAIRMAN OF BOARD 2.00 X X 10000 0 0 ALLEN KEMP MD TRUSTEE 2.00 X 10000 0 0 ANDREW HOULTON MD TRUSTEE 2.00 X 10000 0 0 BRUCE CHRISTENSEN TRUSTEE 2.00 X 10000 0 0 CAMERON BERG MD TRUSTEE 2.00 X 10000 0 0 DIANE HUSTON TRUSTEE 2.00 X 10000 0 0 ERIC SKALLAND TRUSTEE 2.00 X 10000 0 0 HEIDI WILSON TRUSTEE 2.00 X 10000 0 0 LAURIE LAFONTAINE TRUSTEE 2.00 X 10000 0 0 RAMON PASTRANO TRUSTEE 2.00 X 10000 0 0 REUBEN MOORE TRUSTEE 2.00 X 10000 0 0 ROBERT DAHL TRUSTEE 2.00 X 10000 0 0 WARREN MACK TRUSTEE 2.00 X 10000 0 0 MICHAEL STEINHAUSER CHAIRMAN OF BOARD (THROUGH 5/24) 2.00 X X 5000 0 0 TIMOTHY BAYLOR TRUSTEE (PART YEAR) 2.00 X 7500 0 0 ROBERT PRENTISS JR TRUSTEE (PART YEAR) 2.00 X 5000 0 0 STEPHANIE GALE CHIEF FINANCIAL OFFICER (INTERIM) 40.00 X 235816 0 34808 DAVID ALBRIGHT CFO (THROUGH 11/2024) 40.00 X 735975 0 36365 CAROLYN OGLAND MD CHIEF MEDICAL OFFICER 40.00 X 1079468 0 46970 BJORN GUNNERUD CHIEF STRATEGY OFFICER 40.00 X 505107 0 48368 DAWN BACKLUND CHIEF COMPLIANCE OFFICER 40.00 X 310297 0 30302 SHANNON SLOAN CHIEF HUMAN RESOURCES OFFICER 40.00 X 480280 0 37783 ALOK MAHESHWARI MD PHYSICIAN, CARDIOLOGY 40.00 X 873049 0 45137 ROBERT KING MD PHYSICIAN, CARDIOLOGY 40.00 X 876406 0 46170 KETAN PATEL MD PHYSICIAN, ORAL AND MAXILLOFACIAL 40.00 X 917955 0 28866 WOBO BEKWELEM MD PHYSICIAN, CARDIOLOGY AND VASCULAR MEDICINE 40.00 X 998889 0 50229 STEVEN ROH MD PHYSICIAN, CARDIOLOGY AND VASCULAR MEDICINE 40.00 X 909799 0 27247 JULIE KLINE FORMER CHIEF HR OFFICER (10/2022) 40.00 X 143750 0 0 11340899 0 481526 1168 1 1 0 MIDWEST SPINE AND BRAIN 1950 NORTHWESTERN BLVD STE 102 STILLWATER MN 55082 INTENSIVISTS STAFFING 19500000 AHSA 226 E SIXTEENTH ST STE A TRAVERSE CITY MI 49684 INTENSIVISTS STAFFING 7360925 RESPIRATORY CONSULTANTS PA 3366 OAKDALE AVE NORTH 401 ROBBINSDALE MN 55422 INTENSIVISTS STAFFING 7205849 REGENTS UNIVERSITY OF MN 600 MCNAMARA ALUMNI CENTER SE 200 MINNEAPOLIS MN 55455 CONTRACTS STAFFING 5062404 TRELLIS RX LLC 655 METRO PLACE SOUTH STE 450 DUBLIN OH 43017 PHARMACY OPTIMIZATION 4757662 89 252839 144355 2802994 3200188 HOSPITAL PATIENT REVEN 621500 841513511 841513511 PHARMACY 900099 77356846 77356846 JOINT VENTURE REVENUE 900099 49587167 49587167 EHR/MEDICARE & OTHER 900099 20602713 20602713 CONTRACT REVENUE 900099 10276693 147371 10129322 999336930 7321748 7321748 13532988 14987245 -1454257 -1454257 -1454257 371726507 917293 382137102 192961 -10410595 724332 -9686263 -9686263 998718346 840059254 147371 155311533 138464 138464 6757068 6757068 485916628 429150827 56765801 24062991 21251902 2811089 56813272 50176226 6637046 34465340 30439027 4026313 1629221 1438892 190329 421659 372400 49259 386009 386009 912391 912391 61211176 54060358 7150818 2434474 2150074 284400 6862023 6060387 801636 23959493 21160495 2798998 26531070 23431655 3099415 956702 844938 111764 1054662 931454 123208 28395665 25078424 3317241 11470562 10130547 1340015 SUPPLIES 181272738 160096076 21176662 BAD DEBT EXPENSE 38114350 38114350 MAINTENANCE & REPAIR 16038402 14164762 1873640 GOVERNMENT TAXES 11784648 11784648 3871013 3418793 452220 1025460021 904394699 121065322 0 85460 12254743 878902 934363 112023247 110113097 9007987 10511083 14265568 15726139 781095948 586674226 196699874 194421722 210088226 219359339 66912672 92151448 125000 0 69507434 57533384 679594370 713005318 125465012 132812684 493631 1303030 62340985 55681510 15095598 13689322 15795000 9385497 78420207 64690658 297610433 277562701 X 381983937 435442617 381983937 435442617 679594370 713005318 X -26741675 27396190 52804165 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 386009 1 0 1 386009 0 PART II-B, LINE 1: CONTACTS AND 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 2552099 26657 243134 394590 2427300 2303599 17351 309091 77942 2552099 2998878 30942 -545367 180854 2303599 2665779 2772 333957 3630 2998878 3533984 15237 292934 7218 1169158 2665779 0.00000 0.71817 0.28183 0 1 1 28324818 28324818 272349312 212972973 59376339 19672625 15306857 4365768 443754529 345745419 98009110 16994664 12648977 4345687 194421722 RREEF AMERICA REIT II 35684976 F CASH ON DEPOSIT WITH BOND TRUSTEE 766479 F AGENCY ACCOUNT 2614 F CASUALTY INSURANCE SECURITY 6136481 F PARAMETRIC DEFENSE EQUITY FUND 30061793 F PARAMETRIC GLOBAL DEFENSE EQUITY FUND 29297783 F INVESTMENT IN JOINT VENTURES -9798678 F 92151448 OPERATING LEASE 41541165 RESTRICTED INVESTMENTS 3775554 OTHER ASSETS 5857494 GOODWILL 6359171 57533384 EXECUTIVE PENSION PLAN 3087853 OPERATING LEASE LIABILITY 36860835 457B LIABILITY 24741970 64690658 X 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 ECKER ENDOWMENT: ESTABLISHED IN 1994 IN HONOR OF THE EXCELLENT CARE THAT MR. ECKER RECEIVED AS A PATIENT AT NORTH MEMORIAL, HAROLD ECKER ENDOWMENT PROVIDES A $500 AWARD TO THREE NORTH MEMORIAL EMPLOYEES RECOGNIZING THEIR OUTSTANDING PERFORMANCE AND PERSONAL ATTITUDE. THE AWARD IS OPEN TO ALL EMPLOYEES AND THE WINNERS ARE SELECTED BY A COMMITTEE OF NORTH MEMORIAL EMPLOYEES AND PRESENTED AT THE ANNUAL QUALITY AWARDS LUNCHEON IN NOVEMBER EACH YEAR. 3) 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. 4) 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. 5) 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. 6) 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. 7) BILLINGS/VISAYA ENDOWMENT THIS ENDOWMENT WAS ESTABLISHED IN 2021 THROUGH A DONATION FROM THE BILLING-VISAYA FAMILY. PROCEEDS FROM THE ENDOWMENT WILL SUPPORT ACTIVITIES OF THE ESTABLISHED EMERGENCY FUND TO HELP CANCER PATIENTS WHO NEED ASSISTANCE WITH MEDICAL BILLS, TRANSPORTATION NEEDS, UTILITIES, RENT/MORTGAGE PAYMENTS OR OTHER CRITICAL NEEDS PER THE ESTABLISHED GUIDELINES. PER THE GIFT AGREEMENT, THE ENDOWMENT INCLUDES A DONOR REQUEST FOR A FIVE YEAR GROWTH PERIOD RESTRICTION AND NO SPENDING ALLOCATION WILL OCCUR UNTIL JANUARY 1, 2027 AT THE EARLIEST. PART X, LINE 2: NORTH MEMORIAL IS ENGAGED IN CERTAIN ACTIVITIES THAT RESULT IN UNRELATED BUSINESS INCOME. NORTH MEMORIAL RECORDED AN INCOME TAX EXPENSE OF APPROXIMATELY $300,000 AND $331,000 IN 2024 AND 2023, 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, 2024 OR 2023. 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 2024. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATION RENTAL EXPENSES BAD DEBTS NETTED WITH REVENUES 1 1 X 1 X 1 X 1 1 1 0 0 15683368 15683368 0.01530 132494445 93038135 39456310 0.03850 148177813 93038135 55139678 0.05380 1223801 1223801 0.00120 8647758 3707021 4940737 0.00480 10941938 6833982 4107956 0.00400 138464 138464 0.00010 20951961 10541003 10410958 0.01010 169129774 103579138 65550636 0.06390 1 38114350 249918012 356115240 -106197228 X 1 1 1 NM AMBULATORY SURGERY CENTER MAPLE GROVE OUTPATIENT SURGERY CENTER 0.55360 0.00000 0.44640 2 MN DIAGNOSTIC IMAGING PARTNERS OUTPATIENT IMAGING CENTER 0.60000 0.00000 0.40000 3 NORTH RADIATION ONCOLOGY OUTPATIENT RADIATION ONCOLOGY CLINIC 0.50000 0.00000 0.50000 1 1 NORTH MEMORIAL HEALTH 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 WWW.NORTHMEMORIAL.COM X X X X NORTH MEMORIAL HEALTH 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE PART V FOR FULL URL X 1 22 1 SEE PART V FOR FULL URL 0 1 X 200.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V FOR FULL URL X SEE PART V FOR FULL URL X SEE PART V FOR FULL URL X X X X X 1 X 0 X 1 X 0 0 NORTH MEMORIAL HEALTH PART V, SECTION B, LINE 5: NORTH MEMORIAL HEALTH HOSPITAL HAS A COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT) WHICH IS COMPOSED OF COMMUNITY MEMBERS AND HOSPITAL TEAM MEMBERS. THE CEAT GUIDES THE ASSESSMENT PROCESS, ACTIVELY PARTICIPATING IN THE SELECTION OF THE TOP HEALTH PRIORITIES. THE MEMBERS REPRESENT A VARIETY OF COMMUNITY ORGANIZATIONS AND INCLUDE 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 2022. THE 2022 CHNA WAS OUR FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH WAS GUIDED BY OUR COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT). CEAT IS COMPOSED OF COMMUNITY MEMBERS, NORTH MEMORIAL HEALTH TEAM MEMBERS AND LEADERS, AND PUBLIC HEALTH REPRESENTATIVES. WE ARE IN THE PROCESS OF CONDUCTING OUR 2025 CHNA.IN 2023 WE BEGAN ADDRESSING OUR TWO PRIORITY HEALTH ISSUES OF RACIAL DISPARITIES IN HEALTH AND LIFE-IMPACTING TRAUMAS. TO IDENTIFY THE TOP COMMUNITY NEEDS PRIORITIES, WE LEVERAGED PRIMARY AND SECONDARY RESEARCH. - WE CONDUCTED 50 KEY INFORMANT INTERVIEWS WITH CEAT MEMBERS, COMMUNITY LEADERS, LOCAL GOVERNMENT, LAW ENFORCEMENT, EDUCATION, COMMUNITY-BASED ORGANIZATIONS, BUSINESS OWNERS, AND COMMUNITY MEMBERS WITHIN OUR SERVICE AREA.- WE ENGAGED WITH OUR COMMUNITY THROUGH DINNERS AND DIALOGUES, SLOW ROLL BIKE RIDE, AND OUTREACH AT COMMUNITY EVENTS. WE HELD 8 DINNER DIALOGUES (COMMUNITY MEAL & HEALTH FOCUSED FACILITATED CONVERSATION), 3 SLOW ROLLS (60-MINUTE NEIGHBORHOOD BIKE RIDES), OUTREACHED AT 17 COMMUNITY GATHERING EVENTS/SITES, 247 SURVEYS, RESIDENTS IN 78 UNIQUE ZIP CODES REACHED, 683 TOTAL TOUCHPOINTS ACROSS ALL EVENTS AND ACTIVITIES.- WE ALSO STOOD UP AN INTERNAL VIRTUAL COMMUNITY HEALTH CHAT WHERE NMH TEAM MEMBERS COULD RESPOND TO THE SAME SURVEY QUESTIONS AS THE COMMUNITY WAS. WE HAD 581 SITE VISITS WITH 34 REGISTRATIONS AND 32 ACTIVE PARTICIPANTS.- WE COLLECTED AND ANALYZED DATA FROM MULTIPLE RESOURCES INCLUDING DEMOGRAPHIC DATA THROUGH MAPITUDE; QUANTITATIVE DATA FROM THE MINNESOTA DEPARTMENT OF HEALTH, HENNEPIN COUNTY SHAPE 2018, COMMUNITY NEEDS INDEX AND OTHER PUBLIC HEALTH DATA; PATIENT DATA; AND THE 2019 MINNESOTA STUDENTS SURVEY CONDUCTED BY THE MINNESOTA DEPARTMENT OF EDUCATION. THE 2022 CHNA TOOK A COMPREHENSIVE VIEW OF HEALTH THROUGHOUT BOTH THE QUANTITATIVE AND QUALITATIVE DATA COLLECTION AND ANALYSIS PROCESS. MANY SIGNIFICANT HEALTH ISSUES WERE IDENTIFIED, AND COMMUNITY-WIDE CHALLENGES AND NEEDS WERE DISCUSSED EXTENSIVELY. RECOGNIZING HEALTH IS INFLUENCED BY SO MANY FACTORS OUTSIDE THE HEALTHCARE SYSTEM, WE ANALYZED KEY HEALTH ISSUES THAT WERE DEEMED TO BE CRITICAL HEALTH ISSUES, AS DETERMINED BY CEAT MEMBER SCORING OF ALL KEY HEALTH INDICATORS, AND ALSO SHOWED UP IN THE FINDINGS/KEY THEMES FROM QUALITATIVE DATA ACTIVITIES. THERE WERE A WIDE RANGE OF ISSUES THAT ROSE TO THE TOP AS BEING MOST CRITICAL. TWO THEMES SHOWED UP REPEATEDLY THROUGHOUT MUCH OF THIS WORK AND THEY WERE SELECTED AS THE TOP TWO PRIORITIES FOR FUTURE WORK. THESE ISSUES ARE RACIAL DISPARITIES IN HEALTH AND LIFE-IMPACTING TRAUMAS. WE ARE COMMITTED TO FOCUSING ON AND IMPROVING OUR COMMUNITY'S HEALTH IN THESE AREAS AND BELIEVE IF WE FOCUS ON THESE TWO AREAS, MANY OF THE KEY HEALTH INDICATORS WILL SHOW IMPROVEMENT OVER TIME. THERE WERE OTHER HEALTH ISSUES THAT SHOWED UP IN OUR COMMUNITY CONVERSATIONS AND QUANTITATIVE ANALYSIS THAT WERE NOT SELECTED DUE TO RESOURCE CONSTRAINTS. IT IS BELIEVED SEVERAL OF THESE WILL BE IMPROVE BY WORK IN OUR TWO PRIORITY HEALTH AREAS, THESE TOPICS INCLUDED: 1. MOTHERS AND BABIES 2. CHRONIC CONDITIONS (OBESITY, DIABETES, ASTHMA, CARDIOVASCULAR DISEASE) 3. MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT 4. ELDER CARE 5. CANCER PREVENTION AND CARE6. REPRODUCTIVE HEALTH AND SEXUALLY TRANSMITTED DISEASES 7. HEALTHY FOODS AND ENVIRONMENTS NORTH MEMORIAL HOSPITAL-ROBBINSDALE DEVELOPED A COMMUNITY HEALTH IMPLEMENTATION PLAN OUTLINING THE STRATEGIES WE WOULD IMPLEMENT TO ADDRESS THESE NEEDS IN 2023-2025. THE CONTENT IN THE FOLLOWING SECTIONS OUTLINES THE PRIORITIES, THE STRATEGIES WITHIN EACH PRIORITY, AND WHAT WE ACCOMPLISHED IN 2024. PRIORITY ONE: RACIAL DISPARITIES IN HEALTHRACIAL DISPARITIES WERE EVIDENT THROUGHOUT THE ASSESSMENT PROCESS AND HAVE A SEVERE IMPACT ON HEALTH AND QUALITY OF LIFE. AS A RESULT, PEOPLE EXPERIENCED A LACK OF ACCESS TO HEALTHCARE; DID NOT HAVE A PRIMARY CARE PROVIDER; DELAYED CARE, ESPECIALLY FOR MENTAL HEALTH; AND REPORTED HIGHER USE OF EMERGENCY DEPARTMENTS FOR SICKNESS. SOME EXAMPLES OF RACIAL DISPARITIES IN HEALTH IN OUR COMMUNITY ARE:-CHRONIC DISEASES SUCH AS HYPERTENSION, DIABETES, AND CANCER, ARE MORE PREVALENT IN BIPOC (BLACK, INDIGENOUS AND PEOPLE OF COLOR) COMMUNITY MEMBERS.-INFANT MORTALITY RATES ARE HIGHER IN BLACK, HISPANIC, AND AMERICAN INDIAN POPULATIONS.-COMMUNICABLE DISEASES IMPACT BIPOC COMMUNITIES MORE SEVERELY, AS SHOWN BY HIGHER COVID-19 DEATH RATES AND HOSPITALIZATIONS, AS WELL AS HIGHER RATES OF SEXUALLY TRANSMITTED INFECTIONS.-UNINTENTIONAL INJURY RATES AMONG AFRICAN AMERICANS, AMERICAN INDIANS, AND ALASKA NATIVES ARE HIGHER THAN THOSE OF WHITE RESIDENTS.THE 2023-2025 CHIP HAS FOCUSED ON TWO ISSUES UNDER RACIAL DISPARITIES: 1) BREAST CANCER AND BLACK WOMEN AND 2) INCREASING PREVENTIVE CARE AMONG BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC) COMMUNITY MEMBERS. THESE ISSUES WERE CONCERNS NOTED IN BOTH OUR COMMUNITY ENGAGEMENT WORK AND QUANTITATIVE DATA FINDINGS. WE HAVE SELECTED TO FOCUS ON BLACK WOMEN AND BREAST CANCER BECAUSE IN MINNESOTA, AFRICAN AMERICAN WOMEN HAVE A BREAST CANCER MORTALITY RATE THAT IS 24 PERCENT HIGHER THAN THAT OF WHITE NON-HISPANIC/LATINA WOMEN, DESPITE INCIDENCE RATES THAT ARE 22 PERCENT LOWER. BREAST CANCER IS THE LEADING CAUSE OF CANCER DEATH IN BLACK WOMEN. NATIONALLY, BLACK WOMEN ARE 40% MORE LIKELY TO DIE FROM BREAST CANCER THAN WHITE WOMEN. COMPARED TO OTHER RACES, A GREATER PROPORTION OF AFRICAN AMERICAN WOMEN HAVE THEIR BREAST CANCERS DIAGNOSED AT A LATER, LESS TREATABLE STAGE. WE WILL BUILD UPON THE EFFORTS OF NORTH MEMORIAL HEALTH TEAMS AND COMMUNITY ORGANIZATIONS, SUCH AS THE BREAST CANCER GAPS PROJECT, WORKING TO ADDRESS THE ISSUE. NORTH MEMORIAL HEALTH'S BREAST CANCER SCREENING IMPROVEMENT GROUP HAS IDENTIFIED OVER 290 BLACK WOMEN OVERDUE FOR MAMMOGRAMS WHO LIVE WITHIN AN 8-MILE RADIUS OF THE NORTH MEMORIAL HEALTH BREAST CENTER.DURING COVID-19, MANY PEOPLE PUT OFF ROUTINE CARE. IT IS TIME TO BRING ATTENTION TO THE IMPORTANCE OF PREVENTIVE HEALTH CARE SUCH AS HEALTH SCREENINGS (E.G., MAMMOGRAMS, PAP SMEARS, CHOLESTEROL, DIABETES, AND BLOOD PRESSURE SCREENING) SO THAT CHRONIC DISEASES ARE DIAGNOSED AT EARLIER, MORE TREATABLE, STAGES. PREVENTIVE CARE ALSO INCLUDES STAYING UP-TO-DATE ON AGE-APPROPRIATE IMMUNIZATIONS SUCH AS INFLUENZA, SHINGLES, PNEUMONIA, AND MEASLES. OUR FOCUS ON PREVENTION WILL ALSO ENCOURAGE LOCAL RESIDENTS TO ESTABLISH A RELATIONSHIP WITH A PRIMARY CARE PROVIDER WHO CAN PARTNER WITH THEM TO MAKE SURE THEY RECEIVE THE REGULAR PREVENTIVE CARE THEY NEED TO STAY HEALTHY. PRIORITY ONE: RACIAL DISPARITIES IN HEALTHGOAL: REDUCE DISPARATE OUTCOMES IN BREAST CANCER FOR BLACK WOMEN AND PREVENTIVE HEALTH CARE.STRATEGIES AND ACTIONS (BY OBJECTIVE):OBJECTIVE 1: EXAMINE POLICIES, PROGRAMS, AND INITIATIVES TO IMPROVE BREAST CANCER OUTCOMES FOR BLACK WOMEN.- STRATEGY 1: LEARN HOW TO USE THE RACIAL EQUITY TOOL AND THE RACIAL EQUITY DECISION-MAKING TOOL. - ACTION: THE BLACK WOMEN AND BREAST HEALTH WORKGROUP UTILIZING RACE FORWARDS' CHOICE POINTS AND DECISION MAKING FOR RACIAL EQUITY TOOLS ("RACE AND") TO REVIEW AND ANALYZE INTERNAL PROCESSES AND EXTERNAL COMMUNICATIONS (I.E., PAMPHLETS, FAQS, WEBSITES, MYCHART, AND MAILINGS). THEY DEVELOPED MANY NEW NARRATIVES FOR BREAST HEALTH AT THE NORTH MEMORIAL BREAST CENTER. - STRATEGY 2: DEVELOP RELATIONSHIPS WITH BOTH INTERNAL AND EXTERNAL PARTNERS TO ADDRESS BREAST CANCER DISPARITIES FOR BLACK WOMEN.- ACTION: AN INTERNAL NMH BLACK WOMEN AND BREAST HEALTH WORKGROUP MET REGULARLY THROUGHOUT 2024. ITS MEMBERS ARE MOSTLY BLACK WOMEN WHO WORK AT NMH. THEY HELD 12 MEETINGS THROUGHOUT 2024, PUTTING OVER 726 HOURS INTO THIS WORK WHICH RESULTED IN MORE CULTURALLY APPROPRIATE CONTENT ON NORTH'S WEBSITE, BROCHURES, AND HANDOUTS IN OUR BREAST HEALTH CENTER AND AT OUTREACH EVENTS AND IN-DEPTH DISCUSSIONS ABOUT THE CARE, TREATMENT AND SUPPORT OFFERED BY NMH TO BLACK WOMEN WITH BREAST CANCER. THE NMH BWBC WORKGROUP CONSISTS OF 15 NMH TEAM MEMBERS, ALL BUT ONE ARE BLACK, AND THEIR POSITIONS RANGE FROM NURSE MANAGERS TO PATIENT ADVOCATES TO OUR BREAST HEALTH COMMUNITY HEALTH WORKER. THE WORKGROUP IS LED BY OUR SYSTEM DIRECTOR OF DEI. NORTH MEMORIAL HEALTH PART V, SECTION B, LINE 13B: CATASTROPHIC CHARITY CARE - PAY NO MORE THAN 25% OF ANNUAL FAMILY INCOME SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION: - ACTION: TOWARD THE END OF 2023 WE CONTACTED WITH CULTURAL WELLNESS CENTER TO CONDUCT COMMUNITY-BASED FOCUS GROUPS IN 2024 TO DISCUSS BARRIERS AND ISSUES IMPACTING BLACK WOMEN IN THEIR BREAST HEALTH JOURNEY. THEY HELD 6 EVENTS IN THE FALL-EARLY WINTER OF 2024 ATTENDED BY OVER 100 WOMEN, PREDOMINANTLY BLACK, WHICH RESULTED IN NUMEROUS RECOMMENDATIONS TO NMH TO IMPROVE OUR BREAST HEALTH SERVICES AND MAKE THEM MORE CULTURALLY RELEVANT.- ACTION: AS PART OF THE COMMUNITY ENGAGEMENT PROCESS AND HUMAN DESIGN WORK, WE ALSO INVITED BLACK WOMEN TO TOUR THE ROBBINSDALE BREAST CENTER AND MAKE SUGGESTIONS FOR IMPROVEMENTS. 23 BLACK WOMEN WERE PART OF THE TOURS AND MADE SEVERAL SUGGESTIONS FOR IMPROVEMENTS, INCLUDING THEY FELT IT WAS IMPORTANT TO OFFER A TOUR OF THE FACILITY TO PEOPLE PRIOR TO THEIR FIRST MAMMOGRAM. ADDITIONAL FEEDBACK FOCUSED ON THE FLOW OF THE SPACE, THE LOOK AND FEEL (I.E., FURNITURE, LOCATION, AND ARTWORK), LAYOUT OF THE DRESSING ROOM, COMMUNICATION STRATEGY, PARKING, USE OF THE TERM "ABNORMAL MAMMOGRAM, AND SEEING THEMSELVES REFLECTED IN THE SPACE. ALL THE FEEDBACK WILL BE PRESENTED TO THE LARGER GROUP AS THEY CREATE RECOMMENDED DESIGN IDEAS FOR THE SPACE.STRATEGY 3: DEVELOP AND IMPLEMENT A COMMUNICATIONS PLAN AND MESSAGING ABOUT HEALTH DISPARITIES.- ACTION: SEVERAL KEY ARTICLES WERE PLACED IN BOTH INTERNAL AND EXTERNAL COMMUNICATIONS ABOUT OUR BLACK WOMEN AND BREAST HEALTH WORK AND THE RESULTS OF COMMUNITY HEALTH WORKER OUTREACH RESULTING IN INCREASED TIMELY MAMMOGRAMS AND TIMELY FOLLOW-UP TO A NUMBER OF BREAST HEALTH CONCERNS. - ACTION: IN 2024, NMH PARTICIPATED IN A NUMBER OF EVENTS TO PROMOTE BREAST HEALTH AND THE IMPORTANCE OF GETTING ANNUAL MAMMOGRAMS. AT THESE EVENTS WE PROMOTED WOMEN'S BREAST HEALTH THROUGH SURVEYS, ENCOURAGED BREAST CANCER SCREENINGS, AND HAD BOTH EXHIBITS AND OUTREACH MATERIALS FOCUSED ON BLACK WOMEN AND BREAST HEALTH. OUTREACH MATERIALS INCLUDED BREAST SELF-EXAM SHOWER CARDS FEATURING BLACK WOMEN AND EXHIBITS ON BREAST CANCER SIGNS AND SYMPTOMS, USING BROWN BREAST MODELS. WE TALKED TO WOMEN ABOUT THEIR BREAST HEALTH AND ENCOURAGED THEM TO MAINTAIN ANNUAL MAMMOGRAMS. WE ALSO REACHED OUT TO OTHER FAMILY MEMBERS, E.G., SPOUSES, CHILDREN, PARTNERS, NIECES/NEPHEWS AND ASKED THEM TO ENCOURAGE THEIR FAMILY MEMBERS TO GET MAMMOGRAMS. - LIVE YOUR HEALTHY LYFE COMMUNITY EVENT: THIS EVENT WAS HELD ON AUGUST 10TH, AND WE REACHED MORE THAN 120 WOMEN WHO LIVE IN THE NORTH MINNEAPOLIS AREA.- NORTH MARKET HEALTH FAIR: THIS EVENT WAS HELD ON AUGUST 10TH, AND WE TALKED TO ABOUT 75 PEOPLE ABOUT MAMMOGRAMS. - TC PRIDE: THIS EVENT WAS HELD JUNE 28-30TH AND WE HAD A LARGE PRESENCE THERE AND PROVIDED OUTREACH ON BREAST HEALTH FOR ALL GENDERS, REACHING MORE THAN 500 HUNDRED PEOPLE OVER THE 3-DAY EVENT.- BE THE CHANGE GOLF TOURNAMENT WAS HELD SEPTEMBER 10 AT THE THEODORE WIRTH GOLF COURSE IN MINNEAPOLIS: WE PARTICIPATED IN A VENDOR FAIR BEFORE THE EVENT AND PROVIDED OUTREACH TO GOLFERS AND ENCOURAGED THEM TO TALK TO FAMILY MEMBERS ABOUT THE IMPORTANCE OF MAMMOGRAMS. WE REACHED OVER 100 PEOPLE AT THIS EVENT, WHICH WAS ATTENDED BY BIPOC NORTH MINNEAPOLIS RESIDENTS. - NEW HOPE YMCA COMMUNITY RESOURCE FAIR EVENT WAS HELD OCTOBER 26: THIS EVENT WAS ATTENDED BY OVER 100 PEOPLE, MOSTLY MEMBERS OF THE NEW HOPE YMCA, ABOUT BREAST HEALTH. WE SPOKE WITH OVER 75 PEOPLE. - BREAST CANCER GAP PROJECT EVENT: THE "LIVE, LOVE, LAUGH" EVENT WAS HELD ON SEPTEMBER 28 IN GOLDEN VALLEY, AND WE INTERACTED WITH ABOUT 75 PEOPLE, MOSTLY BREAST CANCER SURVIVORS AND THEIR FAMILIES. - RIDGEDALE BREAST CANCER EVENT: THIS EVENT WAS HELD ON OCTOBER 26; WE REACHED BETWEEN 250-300 PEOPLE AT THIS EVENT. - BROOKLYN PARK 2024 LIVING WELL RESOURCE FAIR WAS HELD NOVEMBER 15TH, AND WE REACHED ABOUT 60 OLDER BROOKLYN PARK RESIDENTS WITH OUR MESSAGES ABOUT THE IMPORTANCE OF MAMMOGRAMS AND BREAST HEALTH.STRATEGY 3: DEVELOP A LIST OF BEST PRACTICE STRATEGIES AND POTENTIAL PARTNERS TO IMPROVE BREAST CANCER OUTCOMES FOR BLACK WOMEN.- ACTION: A NEW 2024 STRATEGY WE PUT IN PLACE IN 2024 WAS HIRING A COMMUNITY HEALTH WORKER (CHW) TO SPECIFICALLY COLLABORATE WITH BLACK WOMEN WHO ARE BEHIND IN THEIR MAMMOGRAMS.- WE HIRED A CHW FROM THE SAME RACIAL AND CULTURAL BACKGROUND OF OUR TARGET POPULATION (BLACK WOMEN) WHO PROVIDES TAILORED INTERVENTIONS THAT ADDRESS INTERPERSONAL AND OTHER BARRIERS (OUTREACH TO PATIENTS, PROVIDING RESOURCES, EDUCATION, COORDINATING FOLLOW-UP FOR ADDITIONAL VIEWS OR AN ULTRASOUND, FACILITATING CARE AFTER DIAGNOSIS). SINCE STARTING LATE FEBRUARY 2024, OUR CHW HAS CONTACTED OVER 400 BLACK WOMEN PATIENTS IN OUR SYSTEM, 100 BLACK WOMEN HAVE HAD MAMMOGRAMS, AND THE MAMMOGRAM IDENTIFIED ADDITIONAL TESTING NEEDS FOR 5 BLACK WOMEN, SOME OF WHICH WERE POSITIVE FOR BREAST CANCER.- ADDITIONALLY, THE CHW HAS BEEN WORKING WITH BLACK WOMEN AND NORTH MEMORIAL'S CARE MANAGEMENT TEAM TO ADDRESS BARRIERS INCLUDING ACCESS TO INSURANCE, CULTURAL BELIEFS, AND TRANSPORTATION NEEDS. THE CARE MANAGEMENT TEAM ASSISTED 4 PATIENTS WITH THEIR APPLICATION TO THE MINNESOTA DEPARTMENT OF HEALTH'S SAGE SCREENING PROGRAM AND ALL 4 PATIENTS WERE APPROVED. APPROXIMATELY 20% OF OUR CURRENT PATIENTS HAVE INDICATED TRANSPORTATION IS A NEED TO GET TO APPOINTMENTS. MEDICAL TRANSPORTATION SERVICES OFTEN BOOK OUT AT LEAST TWO WEEKS WHILE APPOINTMENTS ARE OFTEN WITHIN DAYS OF SCHEDULING. CHW IS LOOKING FOR ADDITIONAL RESOURCES TO ASSIST PATIENTS IN GETTING TO APPOINTMENTS. WE OFTEN WORK WITH SOMALI PATIENTS, NORTH HAS UPDATED AND TRANSLATED INTO SOMALI THE "MAMMOGRAM - WHAT TO EXPECT" BROCHURE. - NOTEWORTHY: IN 2024, THE MINNESOTA HOSPITAL ASSOCIATION FOR THEIR BLACK WOMEN'S BREAST HEALTH INITIATIVE RECOGNIZED NORTH MEMORIAL HEALTH. NORTH WAS HONORED AT THE MHA'S ANNUAL MEETING FOR EXCELLENCE IN INNOVATION, ADVOCACY, AND LEADERSHIP IN THE CATEGORY OF COMMUNITY BENEFIT FOR WORK ON THE BLACK WOMEN'S BREAST HEALTH INITIATIVE. THIS INITIATIVE STEMMED FROM A FOCUS ON ELIMINATING DISPARITIES IN BREAST HEALTH AND ENCOURAGING BREAST CANCER SCREENINGS FOR BLACK WOMEN IN THE COMMUNITIES SURROUNDING ROBBINSDALE HOSPITAL, INCORPORATING A COMMUNITY OF PRACTICE AND EDUCATION TO HELP CLOSE THE GAP.- ACTION: A SERIES OF FOUR COMMUNITY CONVERSATIONS, INCLUDING DINNER, WITH APPROXIMATELY 100 BLACK WOMEN WERE HELD IN FALL OF 2024, WHICH WERE LED BY CULTURAL WELLNESS CENTER AND DESIGN BY MELO. SESSIONS FOCUSED ON: 1) GROUNDING EVERYONE IN UNDERSTANDING THE DISPARITIES IN HEALTH OUTCOMES FOR AFRICAN AMERICAN WOMEN, EMPHASIZING BREAST HEALTH, 2) DESIGNING SPACE WITH EMPATHY AND PURPOSE TO ENSURE IT MEETS THE NEEDS OF THE COMMUNITY, 3) DEVELOPING SCRIPTS BASED ON THE CONCEPT OF "NARRATING CARE" FOR TRAINING TEAM MEMBERS ACROSS ALL LEVELS OF PATIENT CARE, AND 4) IDENTIFYING THE EVENTS THAT LAY THE FOUNDATIONS FOR ATTITUDES TOWARDS BREAST EXAMS AND BREAST HEALTH ENGAGEMENT MEASURE WOMEN'S RESPONSES TO CURRENT MARKETING OFFERINGS AND MATERIALS USED IN BREAST HEALTH COMMUNICATIONS. OBJECTIVE 2: EXAMINE POLICIES, PROGRAMS, AND INITIATIVES TO INCREASE PREVENTIVE HEALTH CARE FOR OUR BIPOC COMMUNITY. - STRATEGY 1: CREATE A LIST OF BEST PRACTICES AND POTENTIAL PARTNERS TO INCREASE PREVENTIVE CARE FOR BIPOC RESIDENTS.- ACTION: A LIST OF POTENTIAL BEST PRACTICES WAS DEVELOPED AS WELL AS A LIST OF OTHER PARTNERS TO APPROACH IN THIS AREA.- STRATEGY 2: DEVELOP RELATIONSHIPS WITH BOTH INTERNAL AND EXTERNAL PARTNERS TO ADDRESS PREVENTIVE HEALTH CARE DISPARITIES. - ACTION: NMH'S SENIOR COMMUNITY HEALTH SPECIALIST PARTICIPATED AS A LEADER IN A HENNEPIN COUNTY CDC-FUNDED GRANT AIMED AT ADDRESSING RACIAL DISPARITIES IN HEALTH FOR BLACK AND BROWN RESIDENTS OF NORTH MINNEAPOLIS, BROOKLYN CENTER, AND BROOKLYN PARK. BY PARTICIPATING ON THE LEADERSHIP COMMITTEE, A NUMBER OF PARTNERSHIPS WERE ENHANCED WITH HEALTH AND SOCIAL SERVICE PROVIDERS IN THOSE REGIONS AND A PLAN OF ACTION WAS DEVELOPED TO ADDRESS SEVERAL HEALTH DISPARITIES INCLUDING HIGHER MORTALITY RATES (INCLUDING MATERNAL MORTALITY) AND SHORTER LIFE SPANS, LIMITED ACCESS TO PREVENTIVE CARE, AND HIGHER RATES OF CHRONIC DISEASE. - ACTION: THROUGH THIS PARTNERSHIP, NORTH BECOME AWARE OF FUNDS TO SUPPORT OUTREACH TO BLACK WOMEN WITH HEART DISEASE. IN 2024 THEY OBTAINED A GRANT TO SUPPORT OUTREACH AND EDUCATION ON HEART DISEASE AT OUR BROOKLYN PARK CLINIC.- STRATEGY 3: DEVELOP A COMMUNITY ENGAGEMENT PLAN TO INCLUDE THE COMMUNITY'S VOICE IN ALL ASPECTS OF RESEARCH AND DEVELOP RECOMMENDATIONS FOR IMPROVEMENT.OBJECTIVE 3: IMPROVE NMH TEAM MEMBER'S CULTURAL COMPETENCY. - STRATEGY 1: CULTURAL COMPETENCY TRAINING, INCORPORATED INTO MANDATORY ANNUAL TRAINING.- ACTION: NMH LEADERS ARE REQUIRED TO TAKE RESPECTFUL WORKPLACE TRAINING THAT INCLUDES CONTENT AROUND CULTURAL COMPETENCY. TWO HUNDRED AND EIGHTY-FOUR LEADERS FROM ROBBINSDALE HOSPITAL TOOK THE TRAINING. - STRATEGY 2: DEVELOP AND IMPLEMENT A COMMUNICATIONS PLAN AND MESSAGING ABOUT HEALTH DISPARITIES. SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION: - ACTION: SEVERAL KEY ARTICLES WERE PLACED IN BOTH INTERNAL AND EXTERNAL COMMUNICATIONS ABOUT OUR BLACK WOMEN AND BREAST HEALTH WORK AND THE RESULTS OF THE CHW OUTREACH RESULTING IN INCREASED TIMELY MAMMOGRAMS AND FOLLOW-UP TO A NUMBER OF BREAST HEALTH CONCERNS. - STRATEGY 3: IMPLICIT BIAS TRAINING IN SUPPORT OF MN'S DIGNITY IN PREGNANCY AND CHILDBIRTH ACT- ACTION: FIVE ROBBINSDALE HOSPITAL TEAM MEMBERS VIEWED THE DIGNITY IN PREGNANCY TRAININGS AND 46 ROBBINSDALE HOSPITAL TEAM MEMBERS COMPLETED THE DIGNITY IN PREGNANCY & CHILDBIRTH FOR INDIGENOUS WOMEN & BIRTHING PEOPLE IN 2024. - ACTION: CONTINUE TO HAVE NMH LEADERS TAKE THE INTERCULTURAL DEVELOPMENT INVENTORY (IDI) COURSE "BEING AN EFFECTIVE LEADER IN THE 21ST CENTURY: THE ROLE OF UNCONSCIOUS BIAS AND THE POWER OF AWARENESS BASED DECISION MAKING". IN 2024, 25 NMH LEADERS TOOK IDI. WE ALSO TRAINED FOUR NEW QUALIFIED ADMINISTRATORS TO CONDUCT THE IDI WITH TEAM MEMBERS. PRIORITY TWO: LIFE-IMPACTING TRAUMASTHE EFFECTS OF COVID-19 AND SYSTEMIC RACISM HAVE RESULTED IN LARGE NUMBERS OF OUR POPULATION FEELING DEPRESSED, ANXIOUS, AND ISOLATED. IN ADDITION, TRAUMAS SUCH AS DEATHS FROM COVID-19, COMMUNITY VIOLENCE, OPIOID OVERDOSES, AND SUICIDES HAVE LEFT MANY PEOPLE GRIEVING AND IN NEED OF SUPPORT TO HELP THEM HEAL. OUR NEEDS ASSESSMENT FOUND THAT MANY YOUTH AND ADULTS FEEL A LACK OF SOCIAL SUPPORT. ADDITIONALLY, MINNESOTA STUDENT SURVEY DATA FROM OUR REGION SHOWED MANY YOUTHS HAD 3+ ADVERSE CHILDHOOD EXPERIENCES (ACES) BY 9TH GRADE AND/OR HAD SELF-INJURED THEMSELVES IN THE PAST YEAR. OTHER DRIVERS OF LIFE-IMPACTING TRAUMA IN OUR COMMUNITY ARE FROM TRIPLE "ACES":- ADVERSE CHILDHOOD EXPERIENCES ARE TRAUMATIC EVENTS THAT OCCUR IN CHILDHOOD AND CAN INCLUDE VIOLENCE, ABUSE, AND NEGLECT AS WELL AS GROWING UP IN A FAMILY WITH MENTAL HEALTH ISSUES, SUBSTANCE USE, DOMESTIC VIOLENCE, AND/OR PARENTAL DIVORCE OR SEPARATION. PEOPLE WHO REPORT EXPERIENCING ACES FROM AGES 0-17 HAVE MORE HEALTH PROBLEMS, INCLUDING DEPRESSION, HEART DISEASE, SEXUALLY TRANSMITTED INFECTIONS, SUBSTANCE USE, AND SUICIDE ATTEMPTS.- ADVERSE COMMUNITY EXPERIENCES SUCH AS CRIME, SOCIAL UNREST AND VIOLENCE ALL IMPACT THE HEALTH OF OUR COMMUNITY. COMMUNITY MEMBERS REPORTED NOT FEELING SAFE IN THEIR NEIGHBORHOODS OR BEING IMPACTED BY ACTS OF COMMUNITY VIOLENCE, WHICH LEADS TO HIGHER LEVELS OF ANXIETY, DEPRESSION, AND LONELINESS.- ADVERSE COMMUNITY ENVIRONMENTS ARE THOSE NATURAL OR HUMAN-CAUSED DISASTERS (EARTHQUAKES, TORNADOES, WILDFIRES, FLOODS, TERRORIST ACTS) AND THREATS SUCH AS DISEASE OUTBREAKS, LIKE THE COVID-19 PANDEMIC, WHICH IMPACT MANY LIVES, STRAINING LOCAL RESOURCES AIMED AT RESPONSE AND RECOVERY TO SUCH DISASTERS OR THREATS.INPUT FROM OUR CHNA COMMUNITY ENGAGEMENT ACTIVITIES NOTED THE IMPORTANCE OF NMH BECOMING A TRAUMA-INFORMED ORGANIZATION. IMPLEMENTING A TRAUMA-INFORMED CARE APPROACH WILL BE AN ONGOING ORGANIZATIONAL CHANGE PROCESS. A "TRAUMA-INFORMED APPROACH" IS NOT A PROGRAM MODEL THAT CAN BE IMPLEMENTED AND THEN SIMPLY MONITORED BY A FIDELITY CHECKLIST. RATHER, IT IS A PROFOUND PARADIGM SHIFT IN KNOWLEDGE, PERSPECTIVE, ATTITUDES, AND SKILLS THAT CONTINUES TO DEEPEN AND UNFOLD OVER TIME. SOME LEADERS IN THE FIELD OF TRAUMA ARE BEGINNING TO TALK ABOUT A "CONTINUUM" OF IMPLEMENTATION, WHERE ORGANIZATIONS MOVE THROUGH STAGES. THE CONTINUUM BEGINS WITH BECOMING TRAUMA-AWARE AND MOVES TO TRAUMA-SENSITIVE THEN TO TRAUMA-RESPONSIVE TO BEING FULLY TRAUMA-INFORMED. GOAL: LAY THE GROUNDWORK AND BUILD AWARENESS FOR TRAUMA-INFORMED CARE.OBJECTIVE 1: DEVELOP A ROADMAP TO HELP NMH BECOME A TRAUMA-INFORMED ORGANIZATION.- STRATEGY 1: CONDUCT A TRAUMA-INFORMED STAFF READINESS ASSESSMENT IN 2024. - ACTION: A TRAUMA-INFORMED CARE SELF-READINESS ASSESSMENT SURVEY WAS DEVELOPED BY OUR EMERGING LEADERS PROGRAM COHORT 3 AS THE FOCUS OF THEIR CAPSTONE PROJECT. IT WAS NOT CONDUCTED IN 2024 AS THE TIMING CONFLICTED WITH A SIGNIFICANT REDUCTION IN OUR WORKFORCE IN 2024 AND STAFF SURVEYS WERE PUT ON HOLD. - STRATEGY 2: CREATE A LIST OF INTERNAL STAFF ALREADY AWARE OF AND PRACTICING TRAUMA-INFORMED CARE.- ACTION: IN 2024 A TRAUMA-INFORMED CARE (TIC) WORKGROUP WAS FORMED TO PROMOTE TIC AND COLLECTIVELY MAKE DECISIONS FOR TIC ACTIONS WITHIN NMH. THE WORK GROUP HAD FOUR ACTIVE COMMITTEES IN THE AREAS OF TRAUMA SYMPOSIUM PLANNING, TIC COMMUNICATION AND OUTREACH, TIC TRAINING, AND TIC SELF-READINESS ASSESSMENT. THERE ARE THIRTEEN MEMBERS OF THE WORKGROUP, AND WE HAD ADDITIONAL NMH TEAM MEMBERS JOIN THE TRAUMA SYMPOSIUM PLANNING COMMITTEE, WHICH HAD 12 MEMBERS. THIS INCLUDED BLACK WOMEN FROM THE EMERGING LEADER PROGRAM (ELP) FOR WHOM THE TRAUMA SYMPOSIUM WAS THE FOCUS OF THEIR CAPSTONE PROJECT. BETWEEN THE WORKGROUP AND THE COMMITTEES, NMH TEAM MEMBERS SPENT 850 HOURS ADVANCING TRAUMA-INFORMED CARE AT NORTH MEMORIAL HEALTH.- ACTION: A NUMBER OF NMH STAFF ATTENDED EITHER THE 2023 OR 2024 TRAUMA SYMPOSIUM AND THEY ARE UTILIZING KEY TIC PRACTICES IN THEIR WORK, WHEN POSSIBLE. WE HAD 62 NMH TEAM MEMBERS ATTEND THE SYMPOSIUM IN 2023 AND 77 NMH TEAM MEMBERS ATTEND THE SYMPOSIUM IN 2024. - STRATEGY 3: PROMOTE EMPLOYMENT OPPORTUNITIES AND ENCOURAGE INTERVIEWS FROM A VARIETY OF BACKGROUNDS (RACIAL, CULTURAL, LGBTQIA+)- ACTION: HR LISTED POSITIONS ON MOSSIER, INC, AN ORGANIZATION FOCUSED ON INCREASING JOB OPPORTUNITIES AND WORKPLACE SATISFACTION FOR PEOPLE WHO IDENTIFY AS LGBTQIA+. - ACTION: A LEADER OF NMH'S SHARED SERVICES TEAM REPRESENTS NMH ON ON-LINE VIRTUAL JOB SEEKER MEETINGS IN THE TWIN CITIES. - ACTION: ON OCTOBER 22, OUR DEI SYSTEM DIRECTOR AND HR STAFF ATTENDED THE PEOPLE OF COLOR CAREER FAIR. ONE ATTENDEE WAS RECRUITED TO SIT ON OUR COMMUNITY ENGAGEMENT ADVISORY TEAM. - ACTION: NMH DEVELOPED A LGBTQIA+ POLICY DOCUMENT.- ACTION: NMH TEAM MEMBERS CAN ALL BECOME MEMBERS OF MOSSIER INC, AIMED AT INCREASING SUCCESSFUL EMPLOYMENT OPPORTUNITIES FOR PERSON WHO IDENTIFY AS LGBTQUIA+, 59 NMH TEAM MEMBERS HAVE JOINED MOSSIER, INC. COURSES OFFERED BY MOSSIER CAN BE VIEWED BY NMH TEAM MEMBERS. IN 2024, THERE WERE 72 VIEWINGS BY NMH TEAM MEMBERS OF MOSSIER COURSES. OBJECTIVE 2: PROVIDE TRAINING ON THE IMPACT OF TRAUMA ON HEALTH AND BEHAVIOR FOR ALL TEAM MEMBERS AND THE COMMUNITY.- STRATEGY 1: HOLD A CONFERENCE TO INCREASE AWARENESS AT NMH AND WITHIN THE COMMUNITY ABOUT THE TRAUMA/ACES AND RESILIENCE/HEALING.- ACTION: ON NOVEMBER 8, 2024, A TRAUMA SYMPOSIUM ENTITLED "FROM PAIN TO PROGRESS:" WAS HELD AND ATTENDED BY 132 COMMUNITY MEMBERS, INCLUDING 77 NMH TEAM MEMBERS AND PROVIDERS. THE PRESENTATIONS OF OUR MORNING SPEAKERS (2) WERE VIDEOTAPED AND ARE AVAILABLE TO NORTH TEAM MEMBERS ON OUR LEARNING AND DEVELOPMENT SITE. NMH TEAM MEMBERS CAN EARN CEUS FOR WATCHING THEM. IN THIS MANNER WE HOPE TO CONTINUE TO EDUCATE AND ADVOCATE FOR NORTH BECOMING A TRAUMA-INFORMED ORGANIZATION. IN 2024, 30 NMH TEAM MEMBERS VIEWED THE TRAUMA SYMPOSIUM SESSIONS ON HEALTHSTREAM.- STRATEGY 2: DEVELOP A COMMUNICATIONS CAMPAIGN TO RAISE AWARENESS ABOUT THE THREE ACES AND COMMUNITY RESOURCES. - ACTION: IN 2024, WE PLACED INTERNAL COMMUNICATIONS PIECES TO RAISE AWARENESS ABOUT OUR PRIORITY HEALTH ISSUES AND CHIP STRATEGIES. NMH LEADERSHIP AND TEAM MEMBERS WERE KEPT APPRAISED OF OUR CHNA AND CHIP AND STRATEGIES WE WERE IMPLEMENTING TO ADDRESS OUR KEY HEALTH PRIORITIES IN 2024 THROUGH STRATEGIC COMMUNICATIONS INCLUDING ARTICLES PLACED IN OUR LEADERSHIP NEWSLETTER AND IN NMH TEAM MEMBER COMMUNICATIONS.- STRATEGY 3: EDUCATE STAFF ON SECONDARY TRAUMA STRESS AND THE THREE ACES.- ACTION: AT THE TRAUMA SYMPOSIUM HELD ON NOVEMBER 8, 2024, BOTH THE KEYNOTE SPEAKER AND THE OPENING SPEAKER ADDRESSED THE ISSUE OF SECONDARY TRAUMA STRESS ALONG WITH FOCUSING ON THE THREE CATEGORIES OF TRAUMA INCLUDING ADVERSE CHILDHOOD EVENTS, ADVERSE COMMUNITY EVENTS, AND ADVERSE COMMUNITY ENVIRONMENTS.- ACTION: VARIOUS MESSAGES WERE SHARED BY NMH'S RESILIENCY COACH ABOUT THE PRESENCE AND IMPACT OF SECONDARY TRAUMA STRESS ON THE HEALTH OF HEALTH CARE PROVIDERS.- ACTION: THE NMH RESILIENCY COACH HELPED PLAN, ORGANIZE, AND PARTICIPATE IN THE MINNESOTA CARES CONFERENCE, AN EVENT FOCUSED ON WELLNESS AND RESILIENCY SESSIONS AIMED AT HEALTH CARE WORKERS IN THE STATE OF MINNESOTAOBJECTIVE 3: SUPPORT A CULTURE OF EMPLOYEE WELLNESS.- STRATEGY 1: DEVELOP SPACE FOR STAFF SELF-CARE AND PROVIDE STAFF SELF-CARE SUPPORTS (AROMATHERAPY, WEIGHTED BLANKETS, FIDGETS).- ACTION: SELF-CARE SUPPORTS WERE PROVIDED TO ATTENDEES OF THE 2024 TRAUMA SYMPOSIUM INCLUDING AN INNER RESOURCES GUIDEBOOK AND A SWAG BAG WITH WELLNESS RESOURCES INCLUDING A 54321 CALMING CARD, CRYSTAL, ANXIETY STICKS, SOAP, AND CALMING BODY BUTTER.OBJECTIVE 4: CREATE SAFE PHYSICAL, SOCIAL, AND EMOTIONAL ENVIRONMENTS.- STRATEGY 1: AT NORTH MEMORIAL HEALTH TEAM MEMBERS ARE REQUIRED TO COMPLETE OUR RESPECTFUL WORKPLACE TRAINING WHICH INCLUDES COURSES ON SEXUAL ASSAULT AND DISCRIMINATION. SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION: - ACTION: 3720 ROBBINSDALE HOSPITAL TEAM MEMBERS COMPLETED THE RESPECTFUL WORKPLACE TRAINING IN 2024. PART V, SECTION B, LINE 7A & 10A: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT HAS BEEN POSTED ONLINE AT:HTTPS://NORTHMEMORIAL.COM/COMMUNITYHEALTH/THE IMPLEMENTATION PLAN HAS BEEN POSTED ONLINE AT: HTTPS://NORTHMEMORIAL.COM/COMMUNITYHEALTH/ PART V, SECTION B, LINE 16: FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://NORTHMEMORIAL.COM/FINANCIAL-ASSISTANCE/ 7 1 - MINNESOTA DIAGNOSTIC IMAGING PARTNERS 2955 XENIUM LANE SUITE 40 PLYMOUTH MN 55441 OUTPATIENT RADIOLOGY 2 - NM AMBUL SURGERY CENTER MAPLE GROVE 9875 HOSPITAL DRIVE MAPLE GROVE MN 55369 OUTPATIENT SURGERY 3 - NORTH RADIATION THERAPY CENTER 6950 FRANCE AVE S SUITE 200 EDINA MN 55435 OUTPATIENT RADIOLOGY 4 - MINNETONKA AMBULATORY SURGERY CENTER 15450 HIGHWAY 7 SUITE 200 MINNETONKA MN 55345 OUTPATIENT SURGERY 5 - CRYSTAL IMAGING CENTER 5700 BOTTINEAU BLVD CRYSTAL MN 55429 OUTPATIENT RADIOLOGY 6 - OAKDALE HEALTH ENTERPRISES 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 OUTPATIENT CLINIC 7 - BLAZE HEALTH 8301 GOLDEN VALLEY RD STE 300 GOLDEN VALLEY MN 55427 OUTPATIENT CLINICS PART III, LINE 2: THE BAD DEBT EXPENSE IS REPORTED AT CHARGES AS RECORDED BY THE ORGANIZATION, NET OF UNINSURED DISCOUNTS OR OTHER ADJUSTMENTS. THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE AND CURRENT ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. PART III, LINE 4: NORTH MEMORIAL HEALTH'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DESCRIPTION ABOUT BAD DEBT EXPENSE. THE COST TO CHARGE RATIO WAS USED TO DETERMINE THE AMOUNT ON PART III, SECTION A, LINE 2. WE DO NOT HAVE THE INFORMATION NECESSARY TO DETERMINE WHICH PORTION OF THE AMOUNT REPORTED ON LINE 2 IS COMMUNITY BENEFIT. PART III, LINE 8: THE SHORTFALL REPORTED REPRESENTS THE AMOUNT MEDICARE REIMBURSEMENT IS LESS THAN THE ESTIMATED COST OF PROVIDING SERVICES TO THOSE PATIENTS. THE METHOD USED TO ESTIMATE THOSE COSTS WAS DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. PART III, LINE 9B: NORTH MEMORIAL HEALTH HAS POLICIES AND PROCEDURES IN PLACE FOR COLLECTION PRACTICES THAT INCLUDE IDENTIFICATION AND SCREENING FOR CHARITY CARE AND FINANCIAL ASSISTANCE. THE POLICIES ARE AVAILABLE ON THE ORGANIZATION'S INTRANET AND PERTAIN TO ALL ENTITIES UNDER THE NORTH MEMORIAL CORPORATE UMBRELLA. PART VI, LINE 2: NORTH MEMORIAL HEALTH WORKS CLOSELY WITH THE COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT) MEMBERS TO DETERMINE AREAS OF NEED AND COMMUNITY HEALTH CONCERNS. OUR SENIOR COMMUNITY HEALTH SPECIALIST IS A MEMBER OF THE SEVERAL COMMUNITY HEALTH IMPROVEMENT COALITIONS CENTER FOR COMMUNITY HEALTH, YMCA COMMUNITY BOARD, AND NORTHWEST FAMILY RESOURCE COLLABORATIVE) WHICH ALLOWS NORTH MEMORIAL HEALTH TO BE INVOLVED IN KEY COMMUNITY HEALTH ISSUES. THE LATEST CHNA WAS COMPLETED IN 2022 AND INCLUDED NUMEROUS COMMUNITY ENGAGEMENT ACTIVITES TO BETTER UNDERSTAND THE COMMUNITY'S HEALTH NEEDS. IT HAD A STRONG FOCUS ON OUTREACH TO NON-WHITE COMMUNITY MEMBERS SO THAT THEIR VOICE WAS A PRIMARY FACTOR IN SELECTION OF NEW HEALTH PRIORITIES. PART VI, LINE 3: NORTH MEMORIAL HEALTH HAS A VERY PROACTIVE PROGRAM TO ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH THEIR MEDICAL BILLS. WE COMPLY WITH THE ATTORNEY GENERAL'S REQUIREMENT TO PROVIDE A DISCOUNT TO UNINSURED MINNESOTA RESIDENTS AS WELL AS A FINANCIAL ASSISTANCE PROGRAM FOR FINANCIALLY QUALIFIED PATIENTS. WE HAVE PATIENT FINANCIAL ADVOCATES AS WELL AS A CONTRACTED VENDOR THAT MEETS WITH ALL OF OUR UNINSURED INPATIENTS AND SPECIFIC OUTPATIENTS TO ASSIST THEM IN MEDICAL ASSISTANCE ELIGIBILITY AND APPLICATIONS. THIS COULD INCLUDE A VISIT TO THEIR RESIDENCE IF THEY NEED HELP IN COMPLETING ASSISTANCE APPLICATIONS. SHOULD THEY NOT QUALIFY FOR STATE OR FEDERAL ASSISTANCE PROGRAMS, WE OFFER AND ASSIST THEM IN APPLYING FOR THE HOSPITAL'S FINANCIAL ASSISTANCE (CHARITY CARE) PROGRAM.IN ADDITION, OUR INTERNAL COLLECTIONS DEPARTMENT AND OUR COLLECTION AGENCIES ARE WELL VERSED IN OUR ASSISTANCE PROGRAMS AND WILL ASSESS DURING THEIR CONVERSATIONS WITH PATIENTS IF REFERRAL TO EITHER A STATE OR FEDERAL PROGRAM OR OUR CHARITY CARE PROGRAM WOULD BE APPROPRIATE. PART VI, LINE 4: NORTH MEMORIAL HEALTH SERVES A GEOGRAPHIC AREA THAT INCLUDES 58 ZIP CODES IN THE NORTHWEST QUADRANT OF THE TWIN CITIES METRO. THIS SERVICE AREA INCLUDES 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, AND THE CEO OF THE ORGANIZATION. BOARD MEMBERS ARE ELECTED TO SERVE THREE-YEAR TERMS. THE HOSPITAL ALSO SUPPORTS AN OPEN MEDICAL STAFF ORGANIZATION INCLUDING APPROXIMATELY 840 BOARD CERTIFIED PHYSICIANS AND 530 PROFESSIONAL AND ALLIED HEALTH PROVIDERS. THE NORTH MEMORIAL HEALTH BOARD OF TRUSTEES ESTABLISHES AN ANNUAL MARGIN TARGET FOR MANAGEMENT. 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. 1 AMERICAN CANCER SOCIETY PO BOX 6704 HAGERSTOWN MD 21741 131788491 501(C)(3) 10000 0 TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION CREATIVE CUTURAL EXCHANGE 5009 EXCELSIOR BLVD STE 154 ST LOUIS PARK MN 55416 472937022 501(C)(3) 0 54514 FMV MEDICAL SUPPLIES IN SUPPORT OF PROJECT "WECARE" GAY LESBIAN BISEXUAL TRANSGENDER PRIDE TWIN CITIES 2021 E HENNEPIN AVE STE 402-7 MINNEAPOLIS MN 55413 411808096 501(C)(3) 10000 0 TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION PAY IT FORWARD FUND 490 S MAPLE STREET SUITE 110 WACONIA MN 55387 411328097 501(C)(3) 10000 0 TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION 4 PART I, LINE 2: GRANT RECIPIENTS PROVIDE A YEAR END REPORT AS TO THE AMOUNT EXPENDED AND THE NUMBER OF CLIENTS ASSISTED AND THE DEMOGRAPHICS OF THOSE SERVED. X X X X 1 1 0 0 0 0 0 0 0 J KEVIN CROSTON MD CEO (THROUGH 2/2024) 179997 0 0 0 1578250 0 6085 0 4540 0 1768872 0 1500000 0 TREVOR SAWALLISH CHIEF EXECUTIVE OFFICER 1080900 0 276000 0 11461 0 13800 0 24856 0 1407017 0 0 0 CAROLYN OGLAND MD CHIEF MEDICAL OFFICER 696402 0 343525 0 39541 0 18750 0 28220 0 1126438 0 0 0 WOBO BEKWELEM MD PHYSICIAN, CARDIOLOGY AND VASCULAR M 978500 0 13313 0 7076 0 18750 0 31479 0 1049118 0 0 0 KETAN PATEL MD PHYSICIAN, ORAL AND MAXILLOFACIAL 317187 0 599949 0 819 0 18750 0 10116 0 946821 0 0 0 STEVEN ROH MD PHYSICIAN, CARDIOLOGY AND VASCULAR M 880500 0 13313 0 15986 0 18750 0 8497 0 937046 0 0 0 ROBERT KING MD PHYSICIAN, CARDIOLOGY 831600 0 10395 0 34411 0 18750 0 27420 0 922576 0 0 0 ALOK MAHESHWARI MD PHYSICIAN, CARDIOLOGY 850500 0 6563 0 15986 0 18750 0 26387 0 918186 0 0 0 DAVID ALBRIGHT CFO (THROUGH 11/2024) 638376 0 78899 0 18700 0 18750 0 17615 0 772340 0 0 0 BJORN GUNNERUD CHIEF STRATEGY OFFICER 430716 0 65061 0 9330 0 18750 0 29618 0 553475 0 0 0 SHANNON SLOAN CHIEF HUMAN RESOURCES OFFICER 409860 0 62852 0 7568 0 16491 0 21292 0 518063 0 0 0 DAWN BACKLUND CHIEF COMPLIANCE OFFICER 261387 0 40906 0 8004 0 16730 0 13572 0 340599 0 0 0 STEPHANIE GALE CHIEF FINANCIAL OFFICER (INTERIM) 209363 0 23183 0 3270 0 10487 0 24321 0 270624 0 0 0 JULIE KLINE FORMER CHIEF HR OFFICER (10/2022) 0 0 0 0 143750 0 0 0 0 0 143750 0 0 0 PART I, LINES 4A-B DR. KEVIN CROSTON RECEIVED THE PAYOUT OF HIS 457(F) PLAN OF $1,500,000 IN 2024. THE CONTRIBUTIONS TO THIS PLAN WERE REPORTED IN PRIOR YEARS' TAX RETURNS AS NOTED IN COLUMN (F) OF SCHEDULE J, PART II. ALL OF JULIE KLINE'S COMPENSATION DURING 2024 WAS PART OF A SEVERANCE AGREEMENT. A CITY OF MAPLE GROVE 410873250 56516TAY1 2015-08-26 44915000 REFUND SERIES 2005 BONDS 0 1 0 B CITY OF ROBBINSDALE 416005496 2017-12-05 38870000 REFUND SERIES 2011 BONDS 0 1 0 C CITY OF ROBBINSDALE 416005496 2017-12-05 10830000 REFUND SERIES 2011 BONDS 0 1 0 A 10965000 48679699 544065 48135634 2015 1 0 1 1 B 31550000 38870000 337596 38532404 2017 1 0 1 1 C 8135000 10830000 10830000 2017 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF MAPLE GROVE DATE THE REBATE COMPUTATION WAS PERFORMED: 09/12/2019 ISSUER NAME: CITY OF ROBBINSDALE DATE THE REBATE COMPUTATION WAS PERFORMED: 06/15/2022 ISSUER NAME: CITY OF ROBBINSDALE DATE THE REBATE COMPUTATION WAS PERFORMED: 06/15/2022 CORNER HOME MEDICAL BOARD MEMBER IS MAJORITY OWNER 196624 MICHAEL STEINHAUSER, FORMER CHAIRMAN OF THE BOARD (THROUGH MAY 2024), IS A MAJORITY SHAREHOLDER IN CORNER HOME MEDICAL, WHICH SUPPLIES DURABLE MEDICAL EQUIPMENT TO NORTH MEMORIAL HEALTH. THIS AMOUNTS IS THE FAIR MARKET VALUE OF GOODS AND SERVICES RECEIVED AND IS DETERMINED AT ARM'S LENGTH. 0 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 15A COMPENSATION FOR KEY POSITIONS IS REVIEWED BY THE COMPENSATION COMMITTEE WORKING IN CONJUNCTION WITH AN OUTSIDE CONSULTANT. THE COMPENSATION COMMITTEE ENSURES 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 CEO IS RECUSED FOR APPROVAL OF HIS COMPENSATION. THE COMPENSATION OF ALL OTHER KEY POSITIONS IS APPROVED BY THE CEO. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE ONLINE THROUGH THE OFFICE OF THE ATTORNEY GENERAL VIA THE CHARITY REPORT FILED WITH THE STATE OF MINNESOTA. FORM 990, PART XI, LINE 9: CHANGE IN PENSION BENEFIT OBLIGATION 197,481. DONATED CAPITAL PROJECTS FROM FOUNDATION 7,308. DISTRIBUTIONS FROM MAPLE GROVE HOSPITAL 48,000,000. DISTRIBUTIONS FROM OTHER JOINT VENTURES 5,330,635. OTHER -731,259. 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. 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