2023-11-15T13:18:07-06:00 2022-12-31 390859910 BAKER TILLY US LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2022-01-01 410729979 NORTH MEMORIAL HEALTH CARE DBA NORTH MEMORIAL HEALTH NORT 7635205200 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 DAVID ALBRIGHT CHIEF FINANCIAL OFFICER 7635205200 2023-11-14 1 DAVID ALBRIGHT XXX-XX-XXXX 1 LAWRENCE H MOHR CPA P00447603 6128764500 2023-11-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z J KEVIN CROSTON MD 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 934996614 0 X WWW.NORTHMEMORIAL.COM X 1954 MN EMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. 13 12 5401 200 5542 0 11966591 20889891 717275411 741905030 59586239 19024590 1053327 607896 789881568 782427407 634868 207291 0 0 428907529 466265855 0 0 0 303012177 316103993 732554574 782577139 57326994 -149732 764114547 597651900 260416978 223280771 503697569 374371129 X EMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. 0 0 671183902 207291 587310049 "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. 671183902 1 1 0 1 0 0 0 0 0 1 1 1 0 0 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 1 387 0 5401 1 1 1 1 BD 0 0 0 0 0 0 0 0 1 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MN X DAVID ALBRIGHT 7635205200 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 J KEVIN CROSTON MD CEO NORTH MEMORIAL 40.00 6.00 X X 1741361 0 544406 TIM BAYLOR BOARD MEMBER 2.00 X 10000 0 0 BRUCE CHRISTENSEN BOARD MEMBER 2.00 X 10000 0 0 ROBERT DAHL BOARD MEMBER 2.00 X 10000 0 0 TED FERRARA BOARD MEMBER 2.00 X 10000 0 0 ANDREW HOULTON MD BOARD MEMBER 2.00 X 10000 0 0 DIANE HUSTON BOARD MEMBER 2.00 X 10000 0 0 LAUIRE LAFONTAINE BOARD MEMBER 2.00 X 10000 0 0 WARREN MACK BOARD MEMBER 2.00 X 10000 0 0 REUBEN MOORE BOARD MEMBER 2.00 X 10000 0 0 ROBERT PRENTISS BOARD MEMBER 2.00 X 10000 0 0 MIKE STEINHAUSER CHAIRMAN OF BOARD 2.00 X X 10000 0 0 HEIDI WILSON BOARD MEMBER 2.00 X 10000 0 0 DAN FROMM CHIEF FINANCIAL OFFICER 40.00 4.00 X 720094 0 47133 SAMANTHA HANSON CHIEF ADMINISTRATION OFFICER 40.00 4.00 X 758976 0 38037 ANDREW COCHRANE CHIEF HOSPITAL OFFICER 40.00 2.00 X 739611 0 43426 CAROLYN OGLAND MD CHIEF MEDICAL OFFICER 40.00 2.00 X 669757 0 42675 KENT SPAULDING VP, CHIEF DEVELOPMENT OFFICER 40.00 2.00 X 306047 0 23771 DAWN BACKLUND CHIEF COMPLIANCE OFFICER 40.00 X 297304 0 16654 AMANDA STRAM PHYSICIAN, CARDIAC SURGEON 40.00 X 883099 0 44352 ROBERT KING PHYSICIAN, CARDIAC SURGEON 40.00 X 868916 0 38585 JOSEPH VAN CAMP MD PHYSICIAN, CARDIAC SURGEON 40.00 X 846236 0 50152 ABDURKEDIR GEDA PHYSICIAN, NOCTURNIST 40.00 X 596579 0 39427 LUKE HAWES PHYSICIAN, TRAUMA SURGEON 40.00 X 565772 0 45440 9113752 0 974058 768 0 1 0 FAVORITE HEALTHCARE STAFFING 1700 W HIGHWAY 36 STE 880 ROSEVILLE MN 55113 TEMPORARY STAFFING 21289140 RESPIRATORY CONSULTANTS PA 3366 OAKDALE AVE NORTH 401 ROBBINSDALE MN 55422 INTENSIVISTS STAFFING 5322530 TRELLIS RX LLC 655 METRO PLACE SOUTH STE 450 DUBLIN OH 43017 PHARMACY OPTIMIZATION 4675677 REGENTS OF UNIVERSITY OF MN 229 19TH AVE S STE 150 MINNEAPOLIS MN 55455 PHYSICIAN SERVICES 4271409 EPIC 1979 MILKY WAY VERONA WI 53593 SOFTWARE MAINTENANCE 4238197 5 1722644 14400788 4766459 20889891 HOSPITAL PATIENT REVEN 621500 586707695 586702153 5542 PHARMACY 900099 59741463 59741463 CONTRACT REVENUE 900099 58500582 58500582 JOINT VENTURE REVENUE 900099 27167464 27167464 EHR/MEDICARE & OTHER 900099 5061715 5061715 4726111 4726111 741905030 5785103 5785103 13923052 13315156 607896 607896 607896 150781740 1711798 138849651 404400 11932089 1307398 13239487 13239487 782427407 587310049 5542 174221925 207291 207291 5489252 5489252 375554245 322809251 52744994 20390799 17526998 2863801 40512258 34822484 5689774 24319301 20903759 3415542 1575690 1354391 221299 195335 167901 27434 263036 263036 945489 945489 62265818 53520849 8744969 3232152 2778210 453942 6465356 5557324 908032 19991564 17183834 2807730 18173615 15621208 2552407 1128630 970119 158511 1705681 1466125 239556 22986117 19757815 3228302 9295916 7990344 1305572 SUPPLIES 123048198 105748356 17299842 BAD DEBT EXPENSE 19789788 19789788 MAINTENANCE & REPAIR 13940875 11982939 1957936 GOVERNMENT TAXES 10560910 10560910 539823 464006 75817 782577139 671183902 111393237 0 65413729 90200 840306 850428 89747384 82012047 8638088 8976854 11716425 10842457 684076741 512938155 178311305 171138586 277702381 200578839 124180553 112558640 375000 250000 7189376 10353849 764114547 597651900 127323282 102980443 863143 526381 69036041 61781771 17779969 16497210 45414543 41494966 260416978 223280771 X 503697569 374371129 503697569 374371129 764114547 597651900 X -149732 -63737835 -157505 -65281368 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 263036 1 0 1 263036 0 PART II-B, LINE 1: 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. 2998878 30942 -545367 180854 2303599 2665779 2772 333957 3630 2998878 3533984 15237 292934 7218 1169158 2665779 2919654 7300 659124 52094 3533984 3344063 82062 -75671 414300 16500 2919654 0.00000 0.73810 0.26190 0 1 1 28088006 28088006 257003612 192259767 64743845 11613120 9979025 1634095 377132945 302342924 74790021 10239058 8356439 1882619 171138586 RREEF AMERICA REIT II 42357802 F CASH ON DEPOSIT WITH BOND TRUSTEE 770883 F AGENCY ACCOUNT 12129 F CASUALTY INSURANCE SECURITY 5614550 F PARAMETRIC DEFENSE EQUITY FUND 32152037 F PARAMETRIC GLOBAL DEFENSE EQUITY FUND 31651239 F 112558640 EXECUTIVE PENSION PLAN 2771534 DEFINED BENEFIT PENSION PLAN 1781360 POST RETIREMENT HEALTH INSURANCE 1559764 OPERATING LEASE LIABILITY 27730194 457B LIABILITY 7652114 41494966 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. 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. 8) BILLINGS/VISAYA ENDOWMENT THIS ENDOWMENT WAS ESTABLISHED IN 2021 THROUGH A DONATION FROM THE BILLING-VISAYA FAMILY. PROCEEDS FROM THE ENDOWMENT WILL SUPPORT ACTIVITIES OF THE ESTABLISHED EMERGENCY FUND TO HELP CANCER PATIENTS WHO NEED ASSISTANCE WITH MEDICAL BILLS, TRANSPORTATION NEEDS, UTILITIES, RENT/MORTGAGE PAYMENTS OR OTHER CRITICAL NEEDS PER THE ESTABLISHED GUIDELINES. PER THE GIFT AGREEMENT, THE ENDOWMENT INCLUDES A DONOR REQUEST FOR A FIVE YEAR GROWTH PERIOD RESTRICTION AND NO SPENDING ALLOCATION WILL OCCUR UNTIL JANUARY 1, 2027 AT THE EARLIEST. PART X, LINE 2: NORTH MEMORIAL IS ENGAGED IN CERTAIN ACTIVITIES THAT RESULT IN UNRELATED BUSINESS INCOME. NORTH MEMORIAL RECORDED AN INCOME TAX EXPENSE OF APPROXIMATELY $300,000 AND $175,000 IN 2022 AND 2021, 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, 2022 OR 2021. 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 2022. 1 1 X 1 X 1 X 1 1 1 0 1 1 9499080 9499080 0.01210 136104845 90246369 45858476 0.05860 145603925 90246369 55357556 0.07070 1641891 1641891 0.00210 6907098 3593591 3313507 0.00420 10817786 6175078 4642708 0.00590 206470 206470 0.00030 19573245 9768669 9804576 0.01250 165177170 100015038 65162132 0.08320 1 19789788 191520762 295062014 -103541252 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 4 BLAINE AMBULATORY SURGERY CENTER OUTPATIENT SURGERY CENTER 0.10000 0.00000 0.37000 5 MINNETONKA AMBULATORY SURGERY CENTER OUTPATIENT SURGERY CENTER 0.20000 0.00000 0.00000 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 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. THE COMMITTEE HAS 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. IN 2022, HOWEVER, WE CONTINUED TO ADDRESS ISSUES NOTED IN OUR 2019-2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLAN. THE 2019 CHNA WAS OUR THIRD 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.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 THE MINNESOTA STUDENTS SURVEY CONDUCTED BY THE MINNESOTA DEPARTMENT OF EDUCATION (2016). PRIORITIES IDENTIFIED IN THE ASSESSMENT AND FINALIZED BASED ON CEAT DISCUSSIONTHE 2019 CHNA RESULTED IN A LIST OF PRIORITIZED HEALTH NEEDS, WHICH ARE NOTED BELOW. - MENTAL HEALTH AND SUBSTANCE ABUSE- CULTURALLY RESPONSIVE CARE THIS INCLUDES THE RELATIONSHIP BETWEEN THE HOSPITAL AND THE COMMUNITY- RESOURCES/PARTNERSHIPS- HOUSING- ACCESS TO HEALTHCARE- FOOD- TRANSPORTATION - HEALTHY AGING - STRUCTURAL AND INSTITUTIONAL RACISM DUE TO LIMITED RESOURCES, NORTH MEMORIAL HEALTH HOSPITAL IS NOT ABLE TO ADDRESS ALL CRITICAL HEALTH ISSUES IN THE SERVICE AREA. THE CEAT DISCUSSED THE TOP PRIORITIES FOR ACTION BASED ON THE FOLLOWING CRITERIA: 1) HOW WIDESPREAD IS THE HEALTH NEED?; 2) HOW SERIOUS OR IMPORTANT IS THE HEALTH NEED FOR INDIVIDUALS AND/OR THE COMMUNITY?; AND 3) 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? FOLLOWING A VOTING PROCESS, THE HEALTH NEEDS IDENTIFIED FOR FOCUS IN 2019-2022 WERE: - MENTAL HEALTH- SUBSTANCE ABUSE- CULTURALLY RESPONSIVE CARENORTH MEMORIAL HEALTH HOSPITAL DEVELOPED A COMMUNITY HEALTH IMPLEMENTATION PLAN OUTLINING THE STRATEGIES WE WOULD IMPLEMENT TO ADDRESS THESE NEEDS IN 2019-2022. THE CONTENT IN THE FOLLOWING SECTIONS OUTLINES THE PRIORITIES, THE STRATEGIES WITHIN EACH PRIORITY, AND WHAT WE ACCOMPLISHED IN 2022. PLEASE NOTE THAT IN 2022, 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.STRATEGIES AND ACTIONS BY PRIORITYPRIORITY ONE: MENTAL HEALTHOUR GOAL IN ADDRESSING MENTAL HEALTH IS TO SUPPORT THE MENTAL HEALTH OF OUR COMMUNITY ALONG THE MENTAL HEALTH CONTINUUM. THIS PRIORITY WAS FIRST IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND WAS ALSO PRIORITIZED IN 2019-2022. IN 2022 WE CONTINUED TO PIVOT 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 ISOLATION.STRATEGIES AND ACTIONS (BY OBJECTIVE):1. OBJECTIVE: REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH CONDITIONS.STRATEGY 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. IN 2022, 3453 NMHH EMPLOYEES COMPLETED THE MAKE IT OKAY TRAINING AS PART OF THEIR ANNUAL OR NEW EMPLOYEE TRAINING.STRATEGY 2: EXPLORE OFFERING MAKE IT OKAY PRESENTATIONS TO OUR TEAM AND COMMUNITY. NOTE: BASED ON LIMITED RESOURCES AND THE CONTINUED CONSTRAINTS OF THE PANDEMIC, SUCH AS THE NEED TO LIMIT IN-PERSON MEETINGS, THIS CONTINUED TO BE ON HOLD IN 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 MEMBERSSTRATEGY 1: OFFER EVIDENCE-BASED MENTAL HEALTH FIRST AID (MHFA) 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 CONTINUED TO NAVIGATE THROUGH THE COVID-19 PANDEMIC, THIS EFFORT CONTINUED TO BE ON HOLD FOR MOST OF THE CALENDAR YEAR.ACTION: WE HAD SEVERAL CONVERSATIONS WITH NAMI AND THE MAPLE GROVE HEALTHY AGING COMMITTEE ON HOW WE CAN OFFER THESE MENTAL HEALTH FIRST AID CLASSES IN 2022. THERE WAS NOT AN OLDER ADULT MHFA CLASS AND DUE TO THE LENGTH OF MHFA AND YOUTH MHFA CLASSES (4-6 HOURS) THESE CLASSES WERE NOT HELD IN 2022 DUE TO THE PANDEMIC AND LIMITED IN-PERSON CONTACTS.3. OBJECTIVE: INCREASE COMMUNITY EDUCATION AROUND SUICIDE PREVENTION (IN THE COMMUNITY AND WITH FIRST RESPONDERS).STRATEGY 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 2022. FOR THE THIRD YEAR, DUE TO COVID-19, WE WERE NOT ABLE TO OFFER SAFETALK CLASSES IN 2022 BECAUSE THE LICENSING ORGANIZATION DID NOT OFFER THE TRAINING VIRTUALLY. STRATEGY 2: CONDUCT A ZERO SUICIDE ASSESSMENT AND EXPLORE QPR TRAINING. ACTION: NORTH MEMORIAL HEALTH HOSPITAL CONDUCTED A ZERO SUICIDE ASSESSMENT OF NORTH MEMORIAL HEALTH HOSPITAL IN 2022 AND USED THE FINDINGS TO INFLUENCE THE WORKFLOWS OF THE EMERGENCY DEPARTMENT ("ED"). IN 2022, THE NMHH LEAD SOCIAL WORKER FOR THE ZERO SUICIDE ASSESSMENT CONTINUED TO PARTICIPATE IN MONTHLY INSTITUTE FOR CLINICAL SYSTEM IMPROVEMENT (ICSI) MEETINGS AND TRAININGS (2 HOURS PER MONTH) TO AID IN DEVELOPMENT OF THE ED FRAMEWORK. NORTH MEMORIAL HEALTH HOSPITAL MAINTAINED THEIR SUICIDE SCREENING PROCESS IN THE ED TRIAGE IN 2022. IF A PATIENT SCREENED POSITIVE, THE BEHAVIORAL HEALTH TEAM WAS PULLED IN AND THE PATIENT RECEIVED THE SAFETALK ASSESSMENT. 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.WE HAD EXPLORED TRAINING SOCIAL WORKERS FROM NMHH IN QPR (QUESTION, PERSUADE, REFER). DUE TO A LACK OF FUNDING AS WELL AS THE COVID-19 PANDEMIC, NMHH STAFF WERE NOT TRAINED IN QPR. THE ED STAFF PARTICIPATED IN LOCAL COLLABORATIVES FOCUSED ON MENTAL HEALTH INCLUDING A ZERO SUICIDE COLLABORATIVE, HENNEPIN COUNTY'S CHIP COMMUNITY MENTAL WELL-BEING GROUP, AND THE CHILDREN'S MENTAL HEALTH SERVICE COORDINATION WORKGROUP. THEY ALSO NURTURE COMMUNITY PARTNERSHIPS AIMED AT INCREASING MENTAL HEALTH REFERRAL NETWORKS. IN 2022 THEY MET WITH PRAIRIE CARE, ROGERS BEHAVIORAL HEALTH, VETERANS ADMINISTRATION, AND PRIDE INSTITUTE. STRATEGY 3: EXPLORE OFFERING SAFETALK SUICIDE PREVENTION CLASSES TO FIRST RESPONDERS.ACTION: SINCE SAFETALK WAS DISBANDED DUE TO COVID-19, WE MODIFIED OUR APPROACH FOR FIRST RESPONDERS TO INSTEAD FOCUS ON MENTAL HEALTH FIRST AID (MHFA) TRAINING. IN 2022, WE RECEIVED A SAMSHA GRANT TO HELP PROVIDE MENTAL HEALTH TRAINING TO OUTSTATE AREA FIRST RESPONDERS. THE GRANT FUNDED THE TRAINING FOR 300 FIRST RESPONDERS, HOWEVER, WE MORE THAN DOUBLED THAT NUMBER AND 690 FIRST RESPONDERS AND STATE PATROL TROOPERS RECEIVED THE TRAINING IN 2022. 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 1: PROVIDE REGULAR SUPPORT GROUPS FOR PATIENTS, CAREGIVERS, AND COMMUNITY MEMBERS WHO ARE EXPERIENCING SPECIFIC HEALTH ISSUES: LUNG, BREAST, HEAD AND NECK, AND PROSTATE CANCER; LEUKEMIA AND LYMPHOMA; AND STROKE.ACTION: NORTH MEMORIAL HEALTH (INCLUDES NMHH) OFFERED SUPPORT GROUPS FOR PEOPLE EXPERIENCING SPECIFIC HEALTH ISSUES. DUE TO COVID-19, SUPPORT GROUPS FOR LUNG CANCER AND PROSTATE CANCER AND HOSPICE AND PERINATAL LOSS SUPPORT GROUPS WERE VIRTUAL IN 2022. WE OFFERED LEUKEMIA AND LYMPHOMA SUPPORT GROUPS THROUGH THE LEUKEMIA AND LYMPHOMA SOCIETY.WE CONTINUED TO REFER PATIENTS TO A BREATH OF HOPE LUNG FOUNDATION AND TO GILDA'S CLUB FOR ADDITIONAL CANCER SUPPORT GROUPS.LAST YEAR OUR STOKE SUPPORT GROUPS SERVED 354 PEOPLE. WE HAVE A YEARLONG WEEKLY SUPPORT GROUP CALLED "COFFEE AND CONVERSATION" WHICH IS RUN BY TWO VOLUNTEERS WHO HAVE SOME DYSPHAGIA BUT ARE ONLY A BIT STILL APHASIC. THEY ALL MEET AND JUST TALK AND PRACTICE IN A NON-JUDGMENTAL ENVIRONMENT. IT IS IN PERSON AND BY ZOOM SO OUT-OF-TOWNERS MAY JOIN IN.WE HAVE A MONTHLY SUPPORT GROUP CALLED DISCOVERY CIRCLE, WHICH WAS HELD VIRTUALLY IN 2022. THE MEETINGS OFTEN INCLUDED GUEST PRESENTERS SUCH AS STAFF FROM PHARMACY AND NEUROLOGY.OUR SUPPORT GROUP FOR CAREGIVERS OF STROKE SURVIVORS CONTINUED TO BE ON HOLD IN 2022 DUE TO THE LACK OF A FACILITATOR SINCE COVID-19.LASTLY, STROKE WISE IS A 7-HOUR INFORMATIONAL CLASS, GIVEN ONE DAY A WEEK OVER 3 WEEKS, FOR APPROX. 2 HOURS EACH CLASS, AND GIVEN TWICE A YEAR-SPRING AND FALL. 5. OBJECTIVE: REDUCE THE CYCLE OF VIOLENCE AMONG YOUTH WHO ENTER THE EMERGENCY ROOM. STRATEGY 1: PARTNER WITH THE CITY OF MINNEAPOLIS AND HENNEPIN HEALTHCARE TO ADMINISTER THE NEXT STEP PROGRAM AT NORTH MEMORIAL HEALTH HOSPITAL.STRATEGY 2: CONNECT YOUTH WITH COMMUNITY ADVOCATES WHO HELP YOUTH BREAK THE CYCLE OF VIOLENCE.ACTION (FOR ABOVE TWO STRATEGIES): WE CONTINUED TO ADMINISTER THE NEXT STEP, HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM, AT NORTH MEMORIAL HEALTH HOSPITAL THROUGHOUT 2022. 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 349 NEW PARTICIPANTS WERE ENROLLED IN 2022 AT THE THREE HOSPITALS. ON AVERAGE, 287 PARTICIPANTS WERE ACTIVELY ENGAGED IN SERVICES WITH NEXT STEP IN EACH QUARTER OF 2022.2022: ALL OF OUR STOP THE BLEED EFFORTS HAVE BEEN IN THE NORTH MEMORIAL HEALTH SERVICE AREA. WE TAUGHT BLEEDING CONTROL SKILLS TO 204 COMMUNITY MEMBERS. WE DISTRIBUTED 174 FREE BLEEDING CONTROL KITS TO PARTICIPANTS AT TRAININGS. THE KITS WERE MAINLY FUNDED BY A DONATION FROM THE ELLISON FAMILY CHARITABLE TRUST, BUT SOME WERE PROVIDED FROM HOSPITAL COMMUNITY BENEFIT FUNDS. WE CURRENTLY HAVE 19 TRAINED STOP THE BLEED INSTRUCTORS WHO ARE PART OF THE NORTH MEMORIAL HEALTH TRAUMA SERVICE.WE PARTNERED WITH MORE THAN FIVE COMMUNITY PARTNERS FOR THESE STOP THE BLEED CLASSES INCLUDING SOUTH EDUCATION CENTER IN RICHFIELD, MN (THE SITE OF A SCHOOL SHOOTING IN 2022), MINNEAPOLIS HEALTH DEPARTMENT, NEXT STEP, A MOTHER'S LOVE, AND LIVE YOUR HEALTHY LYFE.6. OBJECTIVE: CONNECT PATIENTS WITH MENTAL ILLNESS TO COMMUNITY SOCIAL SERVICES. STRATEGY 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 2022:271 INDIVIDUALS WERE SERVED AND OF THOSE 66 RECEIVED RAPID ACCESS CONNECTION TO CASE MANAGEMENT AND BEHAVIORAL HEALTH HOME SERVICES.MANY VAIL PLACE CLIENTS REQUIRED HOUSING (N=140) OR FINANCIAL ASSISTANCE (N=79), WITH RATES ALMOST DOUBLE THAN IN 2019-2021. MANY ALSO DID NOT HAVE HEALTH INSURANCE AND WERE CONNECTED TO INSURANCE DURING THEIR SERVICE PERIOD (N=43). 7. OBJECTIVE: PROVIDE RESILIENCE SKILLS TO COMMUNITY MEMBERS STRATEGY 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. A KEY MEMBER OF THE TEAM WHO WOULD HAVE BEEN INSTRUMENTAL IN LEADING THIS EFFORT WAS DEPLOYED IN THE MINNESOTA ARMY NATIONAL GUARD THROUGHOUT MUCH OF 2022. ACTION: IN 2022 WE FOCUSED ON OFFERING RESILIENCY SUPPORT TO OUR OWN STAFF AND OTHER HEALTHCARE PROVIDERS WHO CONTINUED TO FEEL MUCH STRESS DUE TO THE COVID-19 PANDEMIC. OUR RESILIENCY COACH OFFERED NUMEROUS RESILIENCY TOOLS AND RESOURCES TO HELP OUR TEAM AND OTHER LOCAL HEALTHCARE PROVIDERS TO BETTER MANAGE MENTAL HEALTH AND WELL-BEING DURING A PANDEMIC. THIS INCLUDED BEING A KEY PLANNER AND LEADER OF MINNESOTA CARES, A FREE WORKSHOP EVENT CREATED TO PROVIDE MINNESOTA HEALTHCARE WORKERS, ACROSS THE STATE, WITH THE SKILLS AND KNOWLEDGE TO EFFECTIVELY CARE FOR THEMSELVES. OVER 700+ HEALTHCARE WORKERS ACROSS MINNESOTA REGISTERED TO ATTEND ONE OR MORE WORKSHOP SESSIONS. OUR RESILIENCY COACH OFFERED 3 CLASSES ON HEARTMATH DURING THIS EVENT. 8. OBJECTIVE: CONTINUE INVOLVEMENT WITH COMMUNITY ORGANIZATIONS THAT ARE ADDRESSING MENTAL HEALTH AND SOCIAL ISOLATION. STRATEGY 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 NMHH EMERGENCY BEHAVIOR HEALTH CLINICIAN MAINTAINED ACTIVE PARTICIPATION IN THE HENNEPIN COUNTY CHIP, AND SHE ALSO PARTICIPATED ON THE COMMUNITY MENTAL WELLBEING ACTION GROUP. ACTION: WE ARE A MEMBER OF THE CENTER FOR COMMUNITY HEALTH COLLECTIVE ACTION GROUP. OUR SENIOR COMMUNITY HEALTH SPECIALIST PARTICIPATED IN THIS GROUP THROUGHOUT 2022 AND ACTIVELY WORKED ON THE ASSESSMENT ALIGNMENT COMMITTEE. THE GROUP SELECTED HEALTH INDICATORS FOR THE ENTIRE METRO REGION THAT WILL BE USED TO MEASURE THE STATE OF HEALTH AND THE IMPACT OF COLLECTIVE STRATEGIES TO ADDRESS HEALTH ISSUES IN THE TWIN CITIES REGION. STRATEGY 2: CONTINUE TO LOOK FOR OTHER COMMUNITY PARTNERS WORKING IN THIS AREA.ACTION: AS IN 2021, WE HELPED FUND LOCAL ORGANIZATIONS THAT HELPED MEET THE MENTAL HEALTH NEEDS OF THE COMMUNITY. THESE PARTNERSHIPS INCLUDED THE THREE RIVERS DISTRICT PARK WHERE WE SUPPORTED LATINE SENIORS AS THEY GOT ACTIVE AND CONNECTED WITH NATURE AND EACH OTHER, THE LEE CARLSON CENTER FOR MENTAL HEALTH, AND ROBBINSDALE TEEN ANNEX. ACTION: THE SENIOR COMMUNITY HEALTH SPECIALIST WAS AN ACTIVE MEMBER OF THE NORTHWEST HENNEPIN FAMILY SERVICE COLLABORATIVE GOVERNANCE BOARD. THROUGH THIS SERVICE, A NUMBER OF COMMUNITY PARTNERSHIPS WERE DEVELOPED AND RESULTED IN MEETINGS WITH A COUNTY COMMISSIONER, SCHOOL STAFF, AND OTHER HEALTH AND SOCIAL SERVICE AGENCIES.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: PROVIDE FINANCIAL SUPPORT AND PARTNER WITH PARTNERS IN PREVENTION TO INCREASE AWARENESS AND EDUCATION OF SUBSTANCE ABUSE ACTION: WE WERE NOT ASKED TO PROVIDE FINANCIAL SUPPORT IN 2022. 2. OBJECTIVE: USE COMMUNITY PARTNERSHIPS TO PROVIDE EDUCATION AROUND SUBSTANCE ABUSE AND ENVIRONMENTAL SUPPORT TO REDUCE ACCESS TO MEDICATION. STRATEGY 1: CONTINUE TO ASSESS COMMUNITY NEED FOR MEDICINE DROP BOXES AND PLACE BOXES WHERE SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION: APPROPRIATE (MEDICINE ABUSE PREVENTION WORKGROUP). ACTION: IN THE PAST WE HAD REACHED OUT TO LOCAL GOVERNMENTS (NEW HOPE AND PLYMOUTH) ABOUT INSTALLING NEW MEDICINE DROP BOXES. MANY OF OUR LOCAL GOVERNMENTS AND LAW ENFORCEMENT AGENCIES HAVE SWITCHED THEIR FOCUS TO THE DISTRIBUTION OF DETERRA BAGS, WHICH ARE WORKING VERY WELL SO THAT ADDITIONAL MEDICINE DROP BOXES ARE NO LONGER NEEDED. IN 2022, NMH RECEIVED FUNDING FROM PERRIGO CHARITABLE FOUNDATION TO PURCHASE 4,200 DETERRA BAGS WITH A GOAL OF INCREASING SAFE MEDICATION DISPOSAL IN OUR COMMUNITIES. THROUGHOUT 2022, WE ATTENDED NUMEROUS COMMUNITY EVENTS AND DISTRIBUTED THE DETERRA BAGS WHICH PROMOTED SAFE MEDICATION DISPOSAL THROUGHOUT OUR CONSOLIDATED SERVICE AREA. STRATEGY 3: ORGANIZE AN OPIOID CONFERENCE FOR PROVIDERS AND THE COMMUNITY.ACTION: IN 2020 AN OPIOID-FOCUSED IN-PERSON CONFERENCE WAS POSTPONED DUE TO COVID-19. IN 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. DUE TO THE CONTINUATION OF THE COVID-19 PANDEMIC IN 2022, WE DID NOT HOLD AN OPIOID CONFERENCE IN 2022. INSTEAD, WE FOCUSED ON RAISING AWARENESS ABOUT SAFE MEDICATION DISPOSAL THROUGH DISTRIBUTION OF DETERRA BAGS. ADDITIONALLY, OUR COMMUNITY PARAMEDICS OFFERED TRAININGS ON HOW TO USE NARCAN IN CASE OF AN OVERDOSE AND PROVIDED THEM FREE OF CHARGE. 3. OBJECTIVE: IMPROVE ACCESS TO ADDICTION SERVICES.STRATEGY 1: INTEGRATE ADDICTION SERVICES WITH NORTH MEMORIAL HEALTH PRIMARY CAREACTION: MENTAL HEALTH CLINIC STAFF CONTINUED TO ADDRESS SUBSTANCE USE ISSUES (WHEN APPROPRIATE) THROUGH INDIVIDUAL APPOINTMENTS AND PROGRAMMING. HOWEVER, THE PROGRAMMING WAS NOT SUBSTANCE USE DISORDER SPECIFIC. WE HAVE HOSPITAL AND CLINICAL STAFF THAT ARE LADC CERTIFIED AND HAVE EXPERIENCE IN SUBSTANCE USE TREATMENT. 4. OBJECTIVE: ENSURE PROVIDERS CAN PRESCRIBE RESPONSIBLY AND COMPLIANTLY FOR PREVENTION AND MANAGING SUBSTANCE USE DISORDER.STRATEGY 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 2022, 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 1: MAINTAIN ED MEDICATION ASSISTED THERAPY (MAT) PATHWAYACTION: IN 2020, COVID-19 AND CIVIL UNREST RESULTED IN CHALLENGES IN TRACKING PROGRESS AND INCREASING UTILIZATION OF THE MAT PATHWAY. IN 2021, WE HAD DIFFICULTY TRACKING THE NUMBER OF PATIENTS THAT STARTED ON BUPRENORPHINE OUT OF OUR EMERGENCY DEPARTMENT (ED). WE HAD A MAT PROGRAM THAT WAS ACCESSED THROUGH OUR EMERGENCY DEPARTMENT AND IN PARTNERSHIP WITH BROADWAY FAMILY MEDICINE. ADDITIONALLY, ALL OUR ED PROVIDERS WERE ABLE TO PRESCRIBE BUPRENORPHINE AND HAVE PATIENTS FOLLOW UP AT THE BROADWAY CLINIC. THIS WORK CONTINUED IN 2022. ACTION: ON DECEMBER 29, 2022, THE U.S. CONGRESS SIGNED THE CONSOLIDATED APPROPRIATIONS ACT OF 2023 WHICH ELIMINATED THE "DATA-WAIVER PROGRAM." THIS LEGISLATION WILL POSITIVELY IMPACT THE ABILITY OF PHYSICIANS TO PRESCRIBE BUPRENORPHINE AND OFFER PERSONS WHO USE OPIOIDS MORE ACCESS TO MEDICATION ASSISTED THERAPY (MAT). PROVIDERS NO LONGER NEED A DATA-WAIVER ("X" WAIVER) FOR TREATING PATIENTS WITH BUPRENORPHINE FOR OPIOID USE DISORDER (OUD).ALL PRESCRIPTIONS FOR BUPRENORPHINE NOW ONLY REQUIRE A STANDARD DEA REGISTRATION. THERE ARE NO LONGER CAPS ON THE NUMBER OF PATIENTS A PROVIDER MAY TREAT WITH BUPRENORPHINE FOR OUD.STRATEGY 2: MAINTAIN MEDICATION TAKE-BACK DISPOSAL SERVICES AT NMH HOSPITALS AND OUTPATIENT PHARMACIES. -ACTION: IN 2022, OUR PHARMACIES CONTINUED TO COLLECT UNWANTED MEDICATIONS ON-SITE THROUGH THE MEDICATION TAKE-BACK SERVICES. OVERALL, OUR NMHH PHARMACY TOOK BACK 407.6 POUNDS OF UNWANTED MEDICATIONS. 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. SINCE 2020 WE HAVE FOCUSED ON WORKING WITH OUR LOCAL CEAT TEAM AND BUILDING THE FOUNDATION FOR THIS PRIORITY.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.STRATEGIES AND ACTIONS (BY OBJECTIVE):1. OBJECTIVE: DEVELOP A STRUCTURE AND PROCESSES TO SUPPORT HEALTH EQUITY WORK WITHIN NORTH MEMORIAL HEALTH.STRATEGY 1: CREATE THE FOUNDATION FOR A DIVERSE, EQUITABLE AND INCLUSIVE CULTURE. ACTION: IN 2021, WE DEVELOPED A 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. THIS POSITION WAS FILLED IN JANUARY 2022.ACTION: IN 2022, WE TRANSFORMED OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS TO BE A MORE ROBUST ANALYTIC AND INCLUSIVE PROCESS. OUR COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT) MEMBERS PARTICIPATED IN IN-DEPTH, THOROUGH ANALYSES OF QUANTITATIVE DATA BY REVIEWING SIX DATA BRIEFS EACH OF WHICH FOCUSED ON QUANTITATIVE DATA BY TOPIC. SEVENTY-TWO KEY HEALTH INDICATORS WERE SCORED BASED ON THE SIZE, SERIOUSNESS, EXISTING SOLUTIONS, WHETHER THERE WERE HEALTH DISPARITIES, AND IF THE INDICATOR WAS MEETING THE 2030 HEALTHY PEOPLE GOALS. WE ALSO PARTNERED WITH CULTURAL WELLNESS CENTER, SUSAN DESIMONE, AND GRANICUS TO EXPAND OUR COMMUNITY ENGAGEMENT AND OUTREACH SO THAT WE HEARD FROM DIVERSE COMMUNITY MEMBERS AS WE SELECTED OUR 2023-2025 PRIORITIES. MORE THAN 680 INDIVIDUALS PARTICIPATED IN OUR QUALITATIVE DATA COLLECTION ACTIVITIES WITH SIGNIFICANT NUMBERS OF PARTICIPANTS WHO IDENTIFIED AS BIPOC. THIS IN-DEPTH ANALYSIS HIGHLIGHTED THE DISPARITIES THAT EXIST ACROSS SEVERAL AREAS IN OUR COMMUNITY AND LED TO RACIAL DISPARITIES IN HEALTH BEING NAMED AS ONE OF OUR 2023-2025 CHNA PRIORITIES. STRATEGY 2: PROVIDE TEAM MEMBERS THE TOOLS THEY NEED TO TALK TO PATIENTS ABOUT THEIR SPECIFIC CULTURAL NEED. ACTION: INTERCULTURAL COMPETENCY WAS A SIGNIFICANT FOCUS FOR NMH IN 2022. WE PARTNERED WITH DR. RAMON PASTRANO, THIRDSPHERE, TO EDUCATE OUR LEADERS AND ADMINISTER THE INTERCULTURAL DEVELOPMENT INVENTORY (IDI) TO OUR LEADERS INCLUDING DIRECTORS AND ABOVE, THE BOARD OF TRUSTEES, FOUNDATION BOARD MEMBERS, AND DEI WORKGROUP MEMBERS. EACH PARTICIPANT WAS PROVIDED AN INTERCULTURAL DEVELOPMENT PLAN AND OUR GOAL IS TO MOVE OUR LEADERSHIP TEAM FROM A MONOCULTURAL MINDSET TO AN INTERCULTURAL MINDSET WHERE LEADERS UNDERSTAND THEIR OWN CULTURE, ITS INFLUENCE ON WORLD VIEWS, AND INTERACTIONS WITH OTHER CULTURES. THIS SHIFT IN MINDSET WILL GIVE OUR LEADERS THE ABILITY TO INTERACT WITH OTHER CULTURES MORE SEAMLESSLY, WITHOUT JUDGEMENT, AND INCORPORATE OTHER VIEWPOINTS INTO DECISION MAKING AND SERVICE PROVISION. SEVERAL PEOPLE ATTENDED A WORKSHOP WITH DR. PASTRANO THAT FOCUSED ON WAYS TO ADVANCE THEIR INDIVIDUAL PLANS. FINALLY, WE WILL CONTINUE TO PROVIDE TRAINING OPPORTUNITIES IN 2023 THAT FURTHER OUR LEADERSHIP TEAM'S INTERCULTURAL COMPETENCY. NMH DEVELOPED AND LAUNCHED AN EMERGING LEADERS PROGRAM (ELP) WHICH INCORPORATES THE FOLLOWING INTO ITS CURRICULUM: RECOGNIZING THE DIMENSIONS OF DIFFERENCE AND DIVERSITY WITHIN A TEAM, BUILDING A TEAM THAT THRIVES ON THE USE OF DIVERSITY OF THOUGHT, DEMONSTRATING HOW SYSTEMIC RACISM CONTRIBUTES TO CREATING HEALTHCARE DISPARITIES, AND UNDERSTANDING THE IMPORTANCE AND BENEFITS OF DEI. CREATED DEI RESOURCE INTRANET PAGE THAT PROVIDES A VARIETY OF LEARNING OPPORTUNITIES FOR TEAM MEMBERS INCLUDING: (I) WATCHING AND DISCUSSING "RACE- THE POWER OF AN ILLUSION A 3-HOUR SERIES THAT UNPACKS THE CREATION OF THE MODERN CONCEPT OF RACE AND THE MYTHS THAT HAVE PERPETUATED SYSTEMIC RACISM; (II) LINKS TO FREE TRAINING IN LGBTQ PATIENT-CENTERED CARE THROUGH THE HUMAN RIGHTS CAMPAIGN; AND (III) UNDERSTANDING THE IMPORTANCE OF GENDER IDENTITY TERMS. SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION: CREATED A LEARNING LAB FOR NEW LEADER ORIENTATION (NLO) TO ALLOW PARTICIPANTS THE OPPORTUNITY TO PRACTICE HAVING COURAGEOUS CONVERSATIONS AROUND RACE BASED OFF THE 2021 LEADER GUIDE AND POWER PACKS. BEGAN DEVELOPING THE FOUNDATIONS IN CULTURAL COMPETENCY CERTIFICATION PROGRAM WITH ALLIES ACADEMY. THIS WILL INCLUDE SIX VIDEOS WITH PRE AND POSTTESTS. A CONDENSED VERSION OF THE COURSE WILL BECOME PART OF ALL TEAM MEMBERS REQUIRED ANNUAL TRAINING BEGINNING IN Q4 2023. STRATEGY 3: PARTNER WITH THE INFORMATICS TEAM TO UNDERSTAND DATA AROUND HEALTH EQUITY- ACTION: IN 2022, WE DEVELOPED A REPORT THAT CAN BE RUN ON-DEMAND THAT CONTAINS BLIND PATIENT DEMOGRAPHIC DATA SO WE CAN MORE ACCURATELY UNDERSTAND THE DIVERSITY AND NEEDS OF OUR PATIENTS. WE ALSO DEVELOPED AND FINALIZED DEMOGRAPHIC DEFINITIONS AND CONTENT NEEDED ACROSS ALL NMH'S SYSTEMS. WE ARE CURRENTLY WORKING WITH OUR INFORMATION TECHNOLOGY (IT) TEAM ABOUT REQUIREMENTS TO IMPLEMENT CHANGES FIRST INTO EPIC. ONCE THE CHANGES ARE IN DEVELOPMENT, WE WILL CREATE TRAINING MATERIALS FOR TEAM MEMBERS AND PROVIDERS. ADDITIONALLY, WE WILL PUT TOGETHER A PLAN TO ROLLOUT ACROSS THE SYSTEM AND INCLUDE IN IT'S PROCESS FOR EVALUATING NEW SOFTWARE APPLICATIONS.2. OBJECTIVE: INCREASE DIVERSITY AMONG TEAM MEMBERS, AT ALL LEVELS OF THE ORGANIZATION, TO MATCH CUSTOMER AND COMMUNITY POPULATIONS. STAY CONNECTED WITH THE COMMITTEE THAT IS RESPONSIBLE FOR INCLUSIVE HIRING AND RETENTION. STRATEGY 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.ACTION: TO INCREASE THE NUMBER OF BIPOC PROVIDERS AND INCREASE ACCESS TO CARE PROVIDERS WHO REPRESENT AND REFLECT OUR COMMUNITY MEMBERS, NMH ESTABLISHED AN ANNUAL $5,000 BIPOC MENTAL HEALTH SCHOLARSHIP. THE FIRST SCHOLARSHIP WAS AWARDED IN 2022.STRATEGY 2: CONTINUE TO RECRUIT AT COMMUNITY EVENTS WITH DIVERSE COMMUNITY MEMBERS ACTION: ATTENDED CAREER FAIRS (LIKE HENNEPIN COUNTY AND ANOKA COUNTY) AND PARTICIPATED ON 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 MINNEAPOLIS COMMUNITY AND TECHNICAL COLLEGE.ACTION: NMH CONTINUES TO ENGAGE AND PARTNER WITH SEVERAL ORGANIZATIONS TO INCREASE THE DIVERSITY OF OUR APPLICANT AND NEW HIRE POPULATION. A SUMMARY OF OUR EFFORTS IS OUTLINED BELOW:I. PARTNERED WITH AN ORGANIZATION CALLED MOSSIER FOCUSED ON INCREASING OUR RECRUITMENT OUTREACH AND TEAM MEMBER LEARNING ABOUT PROVIDED EQUITABLE CARE TO THE LGBTQIA+ COMMUNITYII. CONTINUED PARTNERSHIP FOR TRAINING, RECRUITING AND MOCK INTERVIEWS FOR NURSING ASSISTANT AND CUSTOMER SERVICE COHORTS SUPPORT WITH PPL (PROJECT FOR PRIDE AND LIVING)III. CONDUCTED MOCK INTERVIEWS THROUGH THE INTERNATIONAL INSTITUTEIV. DEVELOPED RELATIONSHIP WITH INTERNATIONAL INSTITUTE PARTNERSHIP FOR RECRUITING TALENT V. SUPPORTED THE EMR/DRIVER CAREER PATHWAY WITH THE CITY OF MINNEAPOLIS/HEALTH HIRE AND RIGHT TRACKVI. SPONSORED AND RECRUITED AT THE HMONG NURSES ASSOCIATION CONFERENCEVII. ATTENDED THE PROFESSIONAL DIVERSITY NETWORK CAREER FAIRVIII. ATTENDED THE DISABILITY IN MINNESOTA CAREER FAIRIX. ATTENDED THE URBAN LEAGUE TWIN CITIES VIRTUAL CAREER FAIR IN MAY 2022X. ATTENDED THE TAKODA JOB FAIR IN MAY 2022XI. ATTENDED THE VETERANS JOB CLUB CAREER EVENT IN JUNE 2022XII. ATTENDED THE ANOKA WORKFORCE CENTER HEALTHCARE CAREER FAIR IN JULY 2022XIII. ATTENDED THE HMONG CAREER EVENT IN AUGUST 2022XIV. WORKED ON DEVELOPING AN INTERNATIONAL REGISTERED NURSING PROGRAMXV. PRESENTED AT CAPI ABOUT OPPORTUNITIES AT NMH AT THE CAN GRADUATE RECRUITMENT EVENT JUNE 2022STRATEGY 3: CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT REPRESENT OR ARE IN DIVERSE COMMUNITIES TO OFFER EMPLOYMENT PREPARATION, TRAINING, MENTORSHIP, AND CAREER OPPORTUNITY CONSIDERATION. ACTION: NORTH MEMORIAL HEALTH MAINTAINED CLOSE PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS AND SUPPORTED THE JOB SEARCH AND CAREER EXPLORATION OF UNDERSERVED INDIVIDUALS IN THE COMMUNITY. WE OFFERED RESUME REVIEWS AND MOCK INTERVIEWS, HELPED INDIVIDUALS NAVIGATE THE ONLINE APPLICATION PROCESS, AND HOSTED AND/OR ATTENDED CAREER FAIRS. THESE ORGANIZATIONS INCLUDE: PROJECT FOR PRIDE IN LIVINGEASTSIDE NEIGHBORHOOD SERVICES (INCLUDING THREE INFO SESSIONS, ONE TOUR, FOUR MOCK INTERVIEWS)CAPI USA (INCLUDING FIVE PRESENTATIONS AND SEVEN MOCK INTERVIEWS)ACHIEVE MINNEAPOLIS EMERGE3. OBJECTIVE: WORK IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS AND COMMUNITY MEMBERS TO IMPROVE KNOWLEDGE ABOUT AND PRACTICES OF CULTURALLY RESPONSIVE CARE.STRATEGY 1: NORTH MEMORIAL HEALTH SPONSORSHIP COMMITTEE INVITED IN COMMUNITY ORGANIZATIONS THAT ARE DOING WORK AROUND DE&I AND CULTURALLY RESPONSIVE CARE TO PRESENT AND LOOK AT PARTNERSHIP OPPORTUNITIESACTION: BETWEEN 2020 - 2022, NMH INVESTED OVER $160,000 IN ORGANIZATIONS THAT SERVE OR ARE LED BY BIPOC INDIVIDUALS TO IMPROVE HEALTH OUTCOMES, INCREASE EDUCATIONAL OPPORTUNITIES, AND BUILD RELATIONSHIPS. COMPANIES WE HAVE SUPPORTED INCLUDE LIVE YOUR HEALTHY LYFE, NORTHSIDE ACHIEVEMENT ZONE, COMMUNITY EMERGENCY ASSISTANCE PROGRAMS (CEAP), CAPRI THEATER, NORTHSIDE ECONOMIC OPPORTUNITY NETWORK MINNEAPOLIS, AND THE ANNEX TEEN CLINIC. THROUGH OUR SPONSORSHIP OF UNCF'S MLK BREAKFAST AND SCHOLARSHIPS TO LOCAL COLLEGES, WE ALSO SUPPORT ACADEMIC SCHOLARSHIPS FOR BLACK STUDENTS. ACTION: IN 2022 NORTH MEMORIAL HEALTH INCREASED OUR SPONSORSHIP OF THE TWIN CITIES PRIDE FESTIVITIES. WE PARTICIPATED IN THE PARADE AND SPONSORED THE POWER TO THE PEOPLE OF COLOR (OR P2P) STAGE AND HANDWASHING STATIONS. STRATEGY 3: EXPLORE DEVELOPING A PATIENT/FAMILY ADVISORY GROUP TO BE A RESOURCE FOR EQUITY AND INCLUSION WORK. IN 2022, WE DECIDED TO GO INTO THE COMMUNITY AND ENGAGE WITH COMMUNITY MEMBERS IN NUMEROUS WAYS USING COVID-19 SAFETY PROTOCOLS. ACTION: NMH HELD A NUMBER OF COMMUNITY ENGAGEMENT ACTIVITIES AS PART OF THE QUALITATIVE WORK FOR OUR COMMUNITY HEALTH NEEDS ASSESSMENTS. WE HELD 12 DINNER DIALOGUES (COMMUNITY MEAL & HEALTH FOCUSED FACILITATED CONVERSATION), 3 SLOW ROLLS (60-MINUTE NEIGHBORHOOD BIKE RIDES), AND ACTIVELY REACHED OUT AT 12 COMMUNITY EVENTS TO GATHER SURVEY INFORMATION FROM ATTENDEES. WE COMPLETED 247 SURVEYS WITH RESIDENTS AND 683 COMMUNITY MEMBERS PARTICIPATED IN THE VARIOUS COMMUNITY ENGAGEMENT EVENTS. 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 CONTINUED TO ADDRESS FOOD AND NUTRITION THROUGH OUR SPONSORSHIPS (E.G., CEAP) AS WELL AS SOME OF OUR OTHER PARTNERSHIPS (E.G., VAIL PLACE). HEALTHY AGING IS BEING ADDRESS BY MAPLE GROVE HOSPITAL AND THE MGH CEAT TEAM. ADDRESSING STRUCTURAL RACISM IS CONNECTED TO OUR WORK IN DE&I AND HEALTH EQUITY. 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 CLINIC 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 SENIOR COMMUNITY HEALTH SPECIALIST IS A MEMBER OF THE SEVERAL COMMUNITY HEALTH IMPROVEMENT COALITIONS INCLUDING CENTER FOR COMMUNITY HEALTH, YMCA COMMUNITY BOARD, AGE-FRIENDLY MAPLE GROVE, AND NORTHWEST FAMILY RESOURCE COLLABORATIVE) WHICH ALLOWS NORTH MEMORIAL HEALTH TO BE INVOLVED IN KEY COMMUNITY HEALTH ISSUES. THE LATEST CHNA WAS COMPLETED IN 2022 AND INCLUDED NUMEROUS COMMUNITY ENGAGEMENT ACTIVITES TO BETTER UNDERSTAND THE COMMUNITY'S HEALTH NEEDS. IT HAD A STRONG FOCUS ON OUTREACH TO NON-WHITE COMMUNITY MEMBERS SO THAT THEIR VOICE WAS A PRIMARY FACTOR IN SELECTION OF NEW HEALTH PRIORITIES. PART VI, LINE 3: NORTH MEMORIAL HEALTH HAS A VERY PROACTIVE PROGRAM TO ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH THEIR MEDICAL BILLS. WE COMPLY WITH THE ATTORNEY GENERAL'S REQUIREMENT TO PROVIDE A DISCOUNT TO UNINSURED MINNESOTA RESIDENTS AS WELL AS A FINANCIAL ASSISTANCE PROGRAM FOR FINANCIALLY QUALIFIED PATIENTS. WE HAVE PATIENT FINANCIAL ADVOCATES AS WELL AS A CONTRACTED VENDOR THAT MEETS WITH ALL OF OUR UNINSURED INPATIENTS AND SPECIFIC OUTPATIENTS TO ASSIST THEM IN MEDICAL ASSISTANCE ELIGIBILITY AND APPLICATIONS. THIS COULD INCLUDE A VISIT TO THEIR RESIDENCE IF THEY NEED HELP IN COMPLETING ASSISTANCE APPLICATIONS. SHOULD THEY NOT QUALIFY FOR STATE OR FEDERAL ASSISTANCE PROGRAMS, WE OFFER AND ASSIST THEM IN APPLYING FOR THE HOSPITAL'S FINANCIAL ASSISTANCE (CHARITY CARE) PROGRAM.IN ADDITION, OUR INTERNAL COLLECTIONS DEPARTMENT AND OUR COLLECTION AGENCIES ARE WELL VERSED IN OUR ASSISTANCE PROGRAMS AND WILL ASSESS DURING THEIR CONVERSATIONS WITH PATIENTS IF REFERRAL TO EITHER A STATE OR FEDERAL PROGRAM OR OUR CHARITY CARE PROGRAM WOULD BE APPROPRIATE. PART VI, LINE 4: NORTH MEMORIAL HEALTH SERVES A GEOGRAPHIC AREA THAT INCLUDES 58 ZIP CODES IN THE NORTHWEST QUADRANT OF THE TWIN CITIES METRO. THIS SERVICE AREA INCLUDES BOTH URBAN, SUBURBAN, EX-URBAN, AND RURAL AREAS. THIS SERVICE AREA INCLUDES A DIVERSE POPULATION OF 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. 1 CREATIVE CUTURAL EXCHANGE 5009 EXCELISIOR BLVD STE 154 ST LOUIS PARK MN 55416 472937022 501(C)(3) 0 144970 FAIR MARKET VALUE MEDICAL SUPPLIES IN SUPPORT OF PROJECT "WECARE" WILSON'S IMAGE COLLEGE 3242 LYNDALE AVE N MINNEAPOLIS MN 55412 851376567 501(C)(3) 10000 0 TO SUPPORT LIVE YOUR HEALTHY LYFE EVENT GAY LESBIAN BISEXUAL TRANSGENDER PRIDE TWIN CITIES 2021 E HENNEPIN AVE STE 402-7 MINNEAPOLIS MN 55413 411808096 501(C)(3) 20000 0 TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION NORTHSIDE ACHIEVEMENT ZONE 1964 N 2ND ST MINNEAPOLIS MN 55411 300238807 501(C)(3) 7500 0 TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION 4 0 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. 1 X X X X 1 1 0 0 0 0 0 0 0 J KEVIN CROSTON MD CEO NORTH MEMORIAL 1326539 0 386500 0 28322 0 518000 0 26406 0 2285767 0 0 0 AMANDA STRAM PHYSICIAN, CARDIAC SURGEON 853489 0 22534 0 7076 0 12200 0 32152 0 927451 0 0 0 ROBERT KING PHYSICIAN, CARDIAC SURGEON 820000 0 10250 0 38666 0 18000 0 20585 0 907501 0 0 0 JOSEPH VAN CAMP MD PHYSICIAN, CARDIAC SURGEON 820000 0 10250 0 15986 0 18000 0 32152 0 896388 0 0 0 SAMANTHA HANSON CHIEF ADMINISTRATION OFFICER 624191 0 123750 0 11035 0 18000 0 20037 0 797013 0 0 0 ANDREW COCHRANE CHIEF HOSPITAL OFFICER 590000 0 132750 0 16861 0 18000 0 25426 0 783037 0 0 0 DAN FROMM CHIEF FINANCIAL OFFICER 574616 0 128625 0 16853 0 18000 0 29133 0 767227 0 0 0 CAROLYN OGLAND MD CHIEF MEDICAL OFFICER 529616 0 118500 0 21641 0 18000 0 24675 0 712432 0 0 0 ABDURKEDIR GEDA PHYSICIAN, NOCTURNIST 518413 0 73350 0 4816 0 17400 0 22027 0 636006 0 0 0 LUKE HAWES PHYSICIAN, TRAUMA SURGEON 496087 0 49424 0 20261 0 18000 0 27440 0 611212 0 0 0 KENT SPAULDING VP, CHIEF DEVELOPMENT OFFICER 249423 0 52188 0 4436 0 17865 0 5906 0 329818 0 0 0 DAWN BACKLUND CHIEF COMPLIANCE OFFICER 239615 0 50375 0 7314 0 11600 0 5054 0 313958 0 0 0 PART I, LINES 4A-B 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. 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 8195000 48679699 544065 48135634 2015 1 0 1 1 B 21835000 38870000 337596 33532404 2017 1 0 1 1 C 5620000 10830000 10830000 2017 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 1 0 0 0 0 1 C 0 1 0 0 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 CORNER HOME MEDICAL BOARD MEMBER IS MAJORITY OWNER 258545 MICHAEL STEINHAUSER, CHAIRMAN OF THE BOARD, IS A MAJORITY SHAREHOLDER IN CORNER HOME MEDICAL, WHICH SUPPLIES DURABLE MEDICAL EQUIPMENT TO NORTH MEMORIAL HEALTH. 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 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: PURCHASE OF NONCONTROLLING INTEREST IN SUBSIDIARY -70,000,000. CHANGE IN PENSION BENEFIT OBLIGATION 2,839,906. SALE OF CONTROLLING INTEREST IN SUBSIDIARY 1,878,726. 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. OAKDALE MEDICAL CENTER 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 320022819 LEASE MEDICAL OFFICE SPACE MN 6563999 16855254 NORTH MEMORIAL NORTH CLINIC LLC 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 MEDICAL CARE MN -759773 1346389 NORTH MEMORIAL MINNETONKA AMBULATORY SURGERY CENTER 3300 OAKDALE AVE NORTH ROBBINSDALE MN 55422 465653486 OUTPATIENT SURGERY MN 5756037 0 NORTH MEMORIAL 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 BD 501(C)(3) LINE 12B, II NORTH MEMORIAL 1 MAPLE GROVE HOSPITAL CORPORATION 9875 HOSPITAL DRIVE MAPLE GROVE MN 55369 208316475 ACUTE CARE MN 501(C)(3) 3 NORTH MEMORIAL 1 NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE 9855 HOSPITAL DRIVE MAPLE GROVE MN 55369 260393039 OUTPATIENT SURGERY MN NORTH MEMORIAL HEALTH CARE RELATED 12885089 9044515 0 1 0.54270 MINNESOTA DIAGNOSTIC IMAGING PARTNERS LLC 2955 XENIUM LANE SUITE 40 PLYMOUTH MN 55441 352162215 RADIOLOGY MN NORTH MEMORIAL HEALTH CARE RELATED 5173993 1589597 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 541120 317329 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 90802694 33922496 0 0 0.51000 OAKDALE HEALTH ENTERPRISES INC 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 411546422 AMBULANCE MN NORTH MEMORIAL C 4566290 4317858 1.00000 1 NORTH COLLABORATIVE CARE 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 461680666 PRIMARY CARE MN N/A C 0.43840 0 1 1 1 1 0 0 0 0 0 1 0 1 1 0 1 0 0 0 0 ASSOCIATED HEALTH ASSURANCE LLC (INTEREST) A 503129 FAIR MARKET VALUE BLAZE HEALTH LLC (CAPITAL CONTR) B 13817000 FAIR MARKET VALUE MAPLE GROVE HOSPITAL CORP (RTN OF CAP) C 40776000 FAIR MARKET VALUE NORTH MEMORIAL FOUNDATION (GRANT) C 1722644 ACTUAL MAPLE GROVE HOSPITAL CORP D 74212500 FAIR MARKET VALUE NORTH RADIATION THERAPY (MRO) D 9709 FAIR MARKET VALUE MAPLE GROVE HOSPITAL CORP J 4136370 FAIR MARKET VALUE NORTH RADIATION THERAPY (MRO) J 217028 FAIR MARKET VALUE MAPLE GROVE HOSPITAL CORP (MGMT FEE) L 27865000 FAIR MARKET VALUE ASSOCIATED HEALTH ASSURANCE LLC (INS PREMIUMS) M 4065083 FAIR MARKET VALUE MAPLE GROVE HOSPITAL CORP (SALARY REIMB) Q 2987903 ACTUAL