2023-11-15T13:14:11-06:00 2022-12-31 390859910 BAKER TILLY US LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2022-01-01 208316475 MAPLE GROVE HOSPITAL CORPORATION MAPL 7635811000 9875 HOSPITAL DRIVE MAPLE GROVE MN 55369 DAVID ALBRIGHT CFO 7635811000 2023-11-15 1 DAVID ALBRIGHT XXX-XX-XXXX 1 LAWRENCE H MOHR CPA P00447603 6128764500 2023-11-15 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z J KEVIN CROSTON MD 9875 HOSPITAL DRIVE MAPLE GROVE MN 55369 263142890 0 X WWW.MAPLEGROVEHOSPITAL.ORG X 2006 MN TO EMPOWER OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. 4 0 1433 217 0 0 620255 2354667 244687597 260546983 465236 175475 0 0 245773088 263077125 0 0 0 0 107178301 116265674 0 0 0 99591694 108568567 206769995 224834241 39003093 38242884 172140111 150483922 135872213 124681883 36267898 25802039 X TO EMPOWER OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. 0 0 194709046 258677527 MAPLE GROVE HOSPITAL IS A GENERAL, ACUTE CARE HOSPITAL PROVIDING EMERGENCY SERVICES, MATERNITY AND NEONATAL CARE, AND GENERAL MEDICAL-SURGICAL, OBSTETRICAL, AND PEDIATRIC SERVICES. MAPLE GROVE HOSPITAL'S MISSION IS EMPOWERING ITS CUSTOMERS TO ACHIEVE THEIR BEST HEALTH.IN ADDITION TO CHARITY AND UNCOMPENSATED CARE, MAPLE GROVE HOSPITAL ALSO PROVIDES NUMEROUS COMMUNITY BENEFITS (AT NO COST OR BELOW COST) IN FURTHERANCE OF ITS CHARITABLE PURPOSE INCLUDING HEALTH RELATED EDUCATIONAL PROGRAMS: SAFETY FAIRS, CAR SEAT CLINICS, MENTAL HEALTH AND FIRST AID CLASSES, AND ASTHMA EDUCATION IN ELEMENTARY SCHOOLS. MAPLE GROVE HOSPITAL PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COSTS TO RESIDENTS OF ITS COMMUNITY PRIMARILY THROUGH (A) THE DIFFERENCE BETWEEN PUBLIC PROGRAM PAYMENTS (PRIMARILY MEDICARE AND MEDICAID) AND THE RELATED COSTS OF PROVIDING SUCH SERVICES, AND (B) SERVICES PROVIDED TO PATIENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE DETERMINED UNABLE TO PAY BECAUSE OF ECONOMIC FACTORS. IN ADDITION, MAPLE GROVE HOSPITAL CONTRIBUTES TO FUNDING MEDICAL CARE FOR THE UNINSURED THROUGH PAYMENT OF PATIENT SERVICES TAXES, WHICH INCLUDE THE MEDICAID SURCHARGE AND THE MINNESOTA CARE TAX ON CERTAIN NET REVENUE. 194709046 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 105 0 1433 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X DAVE ALBRIGHT 7635205200 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 J KEVIN CROSTON MD PRESIDENT AND CEO 2.00 44.00 X X 0 1741361 544406 DAN FROMM TREASURER AND CFO 2.00 42.00 X X 0 720094 47133 SAMANTHA HANSON DIRECTOR 2.00 40.00 X 0 758976 38037 CAROLYN OGLAND MD DIRECTOR 2.00 40.00 X 0 669757 42675 JAMES HEREFORD DIRECTOR 2.00 X 0 0 0 ROBERT BEACHER DIRECTOR 2.00 X 0 0 0 ANDREW COCHRANE CHIEF HOSPITAL OFFICER 2.00 40.00 X 0 739611 43426 PAMELA DOORENBOS MD VP MEDICAL AFFAIRS 40.00 X 399284 0 35216 WENDY ULFERTS VP PATIENT CARE/ CHIEF NUR 40.00 X 369447 0 33944 ZWIRCHITZ FAITH E DIR, WMNS & CHILDRENS 40.00 X 218900 0 28213 VUGTEVEEN SHERYL L DIR, ACUTE CARE 40.00 X 211442 0 33840 ANNAMMA CHANDY PATIENT CARE FACILITATOR 40.00 X 198427 0 27432 1397500 4629799 874322 0 0 1 0 AYA HEALTHCARE INC 5930 CORNERSTONE CRT W STE 300 SAN DIEGO CA 92121 HEALTHCARE TEMP STAFFING 5029343 FAIRVIEW HEALTH SERVICES 606 24TH AVE S MINNEAPOLIS MN 55454 PHYSICIAN SERVICES 1621461 MINNESOTA NEONATAL SPECIALISTS 9325 UPLAND LN N STE 360 MAPLE GROVE MN 55369 PHYSICIAN SERVICES 1227333 TOTALMED STAFFING INC 5900 GREEN OAK DR STE 300 HOPKINS MN 55343 PHYSICIAN SERVICES 1176656 MEDICAL SOLUTIONS LLC 1010 N 102ST ST STE 300 OMAHA NE 68114 PHYSICIAN SERVICES 1001174 25 33397 2321270 2354667 PATIENT REVENUE 621500 258677527 258677527 CONTRACT SERVICES 900099 711050 711050 CMS/EHR PAYMENTS & OTH 900099 707909 707909 MISCELLANEOUS REVENUE 621910 374269 374269 GIFT SHOP 900099 76228 76228 260546983 228250 228250 12990 65765 -52775 -52775 -52775 263077125 258677527 0 2044931 96723730 82537775 14185955 2919896 2509809 410087 10885562 9356731 1528831 5736486 4930821 805665 27192367 23373315 3819052 39770 39770 50193 50193 12439403 10692342 1747061 67683 58177 9506 2345283 2015898 329385 150294 129186 21108 2930013 2518505 411508 20540 17655 2885 4143011 3561143 581868 7843774 6742149 1101625 2228222 1915278 312944 SUPPLIES 30242522 25995089 4247433 BAD DEBT EXPENSE 9166690 9166690 GOVERNMENT TAXES 6004032 6004032 MAINTENANCE AND REPAIRS 2898167 2491132 407035 806603 693319 113284 224834241 194709046 30125195 0 3700 1350 44648581 27876764 28371755 31408515 3080353 2685068 873984 1456015 171997944 101220723 74301922 70777221 17232692 14850909 3607000 20124 1428080 172140111 150483922 23671101 15179235 109911580 105745738 2289532 3756910 135872213 124681883 X 36267898 25802039 36267898 25802039 172140111 150483922 X 38242884 -2733743 -45975000 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1185270 1185270 115679083 58563277 57115806 52479682 42657446 9822236 2653909 2653909 70777221 CAPITAL LEASE OBLIGATIONS 961249 DEFERRED RENT LIABILITY 1404182 DEFERRED LEASE LIABILITY-EQUIPMENT 1391479 3756910 X 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 $755,000 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. MAPLE GROVE HOSPITAL DOES NOT HAVE ANY UNRELATED BUSINESS INCOME TAX LIABILITY FOR TAX YEAR 2022. 1 1 1 X 1 X 1 1 1 0 1 1 4297452 4297452 0.01910 44091246 32002279 12088967 0.05380 48388698 32002279 16386419 0.07290 181003 181003 0.00080 181003 181003 0.00080 48569701 32002279 16567422 0.07370 1 9166690 50128638 53598977 -3470339 X 1 1 1 1 MAPLE GROVE HOSPITAL CORPORATION 9875 HOSPITAL DRIVE MAPLE GROVE MN 55369 X X X MAPLE GROVE HOSPITAL CORPORATION 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 0 0 MAPLE GROVE HOSPITAL CORPORATION PART V, SECTION B, LINE 5: IN 2022, MAPLE GROVE HOSPITAL CONDUCTED A NEW COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). COMMUNITY HEALTH WORK IN 2022, HOWEVER, CORRESPONDED TO OUR 2019 CHNA, OUR THIRD COMMUNITY HEALTH NEEDS ASSESSMENT. OUR CHNAS ARE GUIDED BY OUR COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT). CEAT IS COMPOSED OF COMMUNITY MEMBERS, MAPLE GROVE HOSPITAL AND NORTH MEMORIAL HEALTH TEAM MEMBERS AND LEADERS, PUBLIC HEALTH REPRESENTATIVES, AND NON-PROFIT ORGANIZATIONS PROVIDING SOCIAL AND HEALTH SERVICES TO OUR COMMUNITY MEMBERS.TO IDENTIFY THE TOP COMMUNITY NEEDS PRIORITIES IN 2019, WE LEVERAGED PRIMARY AND SECONDARY RESEARCH. WE CONDUCTED FOUR FOCUS GROUPS (WITH CEAT MEMBERS, HEALTHCARE AND SOCIAL SERVICES PROFESSIONALS, AND COMMUNITY MEMBERS). A TOTAL OF 58 PEOPLE WHO LIVE OR WORK IN THE CHNA AREA PARTICIPATED IN THE FOCUS GROUPS. WE ALSO CONDUCTED 11 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 NEED INDEX; ATTRIBUTED PATIENT DATA; COMMUNITY ASSET MAPPING; AND THE 2016 MINNESOTA STUDENTS SURVEY CONDUCTED BY THE MINNESOTA DEPARTMENT OF EDUCATION. MAPLE GROVE HOSPITAL CORPORATION PART V, SECTION B, LINE 7D: IN 2022, MAPLE GROVE HOSPITAL CONDUCTED A NEW COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). COMMUNITY HEALTH WORK IN 2022, HOWEVER, CORRESPONDED TO OUR 2019 CHNA, OUR THIRD COMMUNITY HEALTH NEEDS ASSESSMENT. OUR CHNAS ARE GUIDED BY OUR COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT). CEAT IS COMPOSED OF COMMUNITY MEMBERS, MAPLE GROVE HOSPITAL AND NORTH MEMORIAL HEALTH TEAM MEMBERS AND LEADERS, PUBLIC HEALTH REPRESENTATIVES, AND NON-PROFIT ORGANIZATIONS PROVIDING SOCIAL AND HEALTH SERVICES TO OUR COMMUNITY MEMBERS.TO IDENTIFY THE TOP COMMUNITY NEEDS PRIORITIES IN 2019, WE LEVERAGED PRIMARY AND SECONDARY RESEARCH. WE CONDUCTED FOUR FOCUS GROUPS (WITH CEAT MEMBERS, HEALTHCARE AND SOCIAL SERVICES PROFESSIONALS, AND COMMUNITY MEMBERS). A TOTAL OF 58 PEOPLE WHO LIVE OR WORK IN THE CHNA AREA PARTICIPATED IN THE FOCUS GROUPS. WE ALSO CONDUCTED 11 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 NEED INDEX; ATTRIBUTED PATIENT DATA; COMMUNITY ASSET MAPPING; AND THE 2016 MINNESOTA STUDENTS SURVEY CONDUCTED BY THE MINNESOTA DEPARTMENT OF EDUCATION. PRIORITIES IDENTIFIED IN THE ASSESSMENT AND FINALIZED BASED ON CEAT DISCUSSIONTHE FOLLOWING IS A LIST OF THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2019 ASSESSMENT: MENTAL HEALTH/SUBSTANCE ABUSE HEALTHY AGING HELPING THE COMMUNITY ACCESS HEALTH CARE AND COMMUNITY RESOURCES COMPREHENSIVE CARE PREVENTION/EDUCATION: KNOWLEDGE ACROSS THE LIFESPAN CULTURALLY RESPONSIVE SERVICES HOUSING: SAFE, ACCESSIBLE, AFFORDABLE, AND AVAILABLE FOR HOUSING INSECURE TRANSPORTATION: ESPECIALLY FOR MEDICAL CARETHE COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT) HAD AN EXTENSIVE DISCUSSION ABOUT THE FINDINGS BASED ON THE FOLLOWING PRIORITIZATION CRITERION: HOW WIDESPREAD IS THE HEALTH NEED? HOW SERIOUS OR IMPORTANT IS THIS HEALTH NEED FOR INDIVIDUALS AND/OR THE COMMUNITY? WHAT IS THE POTENTIAL FOR MAPLE GROVE HOSPITAL AND COMMUNITY PARTNERS TO HAVE A POSITIVE IMPACT ON THIS HEALTH NEED WITHIN THREE TO FOUR YEARS?AFTER THE DISCUSSION OF THE HEALTH NEEDS, CEAT CONDUCTED A VERBAL VOTE AND DECIDED TO CONTINUE WITH THE HEALTH PRIORITIES IDENTIFIED IN THE PREVIOUS ASSESSMENT WHICH WERE: MENTAL HEALTH SUBSTANCE ABUSE HEALTHY AGINGNOTE: IN 2016, MENTAL HEALTH AND SUBSTANCE ABUSE WERE COMBINED AS ONE PRIORITY. IN 2019 THEY WERE SEPARATED SO THAT MORE FOCUSED STRATEGIES COULD BE IMPLEMENTED. MAPLE GROVE HOSPITAL DEVELOPED A COMMUNITY HEALTH IMPLEMENTATION PLAN OUTLINING THE STRATEGIES WE WOULD IMPLEMENT TO ADDRESS THESE NEEDS OVER THE NEXT THREE YEARS. THE CONTENT IN THE FOLLOWING SECTIONS OUTLINES THE PRIORITIES, THE STRATEGIES WITHIN EACH PRIORITY, AND WHAT WAS ACCOMPLISHED IN 2022. PLEASE NOTE THAT IN 2022, WE WERE STILL EXPERIENCING THE COVID-19 PANDEMIC, WHICH PREVENTED US FROM IMPLEMENTING SOME STRATEGIES 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 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 NAMED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. FOR THE 2019-2022 CHIP, WE CONTINUED STRATEGIES THAT WORKED WELL AND EXPLORED/ADDED NEW STRATEGIES. IT IS IMPORTANT TO NOTE THAT IN 2022 WE CONTINUED TO ADDRESS THE MENTAL HEALTH NEEDS OF THE COMMUNITY, AS WELL AS OUR OWN STAFF, AMIDST A PANDEMIC MODIFYING EXECUTION OF SOME STRATEGIES TO ACCOUNT FOR LIMITED RESOURCES, THE CONSTRAINTS OF THE PANDEMIC, AND 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:O THE COMMUNITYO FIRST RESPONDERS4. SUPPORT COMMUNITY MEMBERS WHO ARE EXPERIENCING A HEALTH ISSUE BY OFFERING COMMUNITY SUPPORT GROUPS.5. CONNECT PATIENTS WITH MENTAL ILLNESS TO COMMUNITY SOCIAL SERVICES.6. PROVIDE RESILIENCE SKILLS TO OUR OWN NMH TEAM MEMBERS AS WELL AS COMMUNITY MEMBERS.7. 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: MAPLE GROVE 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, 1086 MGH TEAM MEMBERS COMPLETED MAKE IT OKAY TRAINING AS PART OF THEIR ANNUAL TRAINING OR AS A NEW EMPLOYEE. STRATEGY 2: EXPLORE OFFERING MAKE IT OKAY PRESENTATIONS TO THE COMMUNITY. BASED ON LIMITED RESOURCES AND THE CONSTRAINTS OF THE PANDEMIC, THIS WENT ON HOLD IN 2020 AND CONTINUED TO BE ON HOLD IN 2022. ACTION: NMH HAS A FULL TIME RESILIENCE COACH WHO HAS BEEN PROVIDING RESILIENCE TRAINING TO NMH TEAM MEMBERS, AS THE PANDEMIC CONTINUED TO AFFECT OUR STAFF IN TERMS OF STRESS AND ANXIETY. ONE OF THE PROGRAMS SHE TEACHES IS HEARTMATH. WITH MOST EVENTS CONTINUING TO BE VIRTUAL IN 2022 WE DID NOT EXPLORE OFFERING THIS TRAINING OUT IN THE COMMUNITY BUT WILL DO SO IN 2023. ACTION: IN 2022, WE HELPED PROMOTE TWO VIRTUAL MENTAL HEALTH CLASSES THAT WERE OFFERED TO THE COMMUNITY BY THE NEW HOPE AND RIDGEDALE YMCAS IN MAY OF 2022. THE EVENTS WERE SHARED WITH CEAT MEMBERS WHO WERE ASKED TO PROMOTE THEM WITHIN THEIR ORGANIZATION AND WITH THEIR CLIENTS. THE MINNESOTA DEPARTMENT OF HEALTH TAUGHT THE CLASSES. NMH HAD BEEN ASKED TO HAVE A MENTAL HEALTH PROFESSIONAL SIT IN ON THE CLASSES AND BE AVAILABLE TO SUPPORT PARTICIPANTS WHO MIGHT NEED MENTAL HEALTH SUPPORT DURING THE CLASS, WE WERE NOT ABLE TO PROVIDE THIS SUPPORT DUE TO LIABILITY CONCERNS. THE CLASSES WERE:--QPR (SUICIDE PREVENTION)- THURSDAY, MAY 19TH FROM 12:00 TO 1:30 P.M.--CHANGING THE NARRATIVE - TUESDAY, MAY 24TH FROM 12:00 TO 1:30 P.M.2. OBJECTIVE: INCREASE COMMUNITY EDUCATION ABOUT MENTAL HEALTH AND HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE DISORDERS AMONG COMMUNITY MEMBERS STRATEGY 1: OFFER EVIDENCE-BASED MENTAL HEALTH FIRST AID CLASSES TO THE COMMUNITY (INCLUDING YOUTH, ADULT, AND OLDER ADULT FIRST AID). THE GOAL OF THESE CLASSES IS TO INCREASE PARTICIPANTS' CONFIDENCE IN ASSISTING A PERSON WITH MENTAL HEALTH ISSUES AND CONNECTING THEM TO PROFESSIONAL RESOURCES. SEVERAL COMMUNITY PARTNERS ARE OFFERING MENTAL HEALTH FIRST AID CLASSES AND WE PARTNERED TO PROMOTE THESE COMMUNITY-BASED MHFA OPPORTUNITIES. ACTION: WITH OUR FOCUS ON HEALTHY AGING, IN 2022, WE EXPLORED, IN PARTNERSHIP WITH MAPLE GROVE HEALTHY AGING, OFFERING A VIRTUAL OLDER ADULT MENTAL HEALTH FIRST AID CLASS THAT WOULD BE LED BY NAMI. WE DID NOT HOLD THIS CLASS IN 2022 FOR TWO REASONS. REGULAR MHFA CLASSES ARE 7.5 HOURS LONG AND BECAUSE OF COVID-19, IN-PERSON CLASSES WERE STILL ON HOLD. THERE IS NOT A BEST-PRACTICE OLDER ADULT MHFA CLASS AVAILABLE IN MINNESOTA OR THROUGH NAMI. THE NATIONAL COUNCIL HAS NOT UPDATED THEIR LEARNING MANAGEMENT SYSTEM WITH CONTENT SPECIFIC TO OLDER ADULTS. 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, MAPLE GROVE HOSPITAL PLANNED TO OFFER FOUR SAFETALK SUICIDE PREVENTION CLASSES TO THE COMMUNITY STARTING IN 2021. WE WERE NOT ABLE TO OFFER SAFETALK CLASSES IN 2022 AS THE LICENSING BODY BELIEVED THERE WAS A DANGER IN OFFERING THESE CLASSES VIRTUALLY. STRATEGY 2: CONDUCT A ZERO SUICIDE ASSESSMENT AND EXPLORE QPR TRAINING. ACTION: MGH CONDUCTED A ZERO SUICIDE ASSESSMENT IN 2022. EVEN THOUGH THE ASSESSMENT WAS COMPLETED IN 2022, DUE TO LIMITED RESOURCES, THERE WERE NOT IMPROVEMENT STRATEGIES THAT COULD BE LAUNCHED FOLLOWING THE ASSESSMENT. MGH WILL CONTINUE WITH THEIR CURRENT PROGRAM FOR SUICIDE INTERVENTION. ANY TIME A MGH PATIENT MENTIONS THOUGHTS MAPLE GROVE HOSPITAL CORPORATION PART V, SECTION B, LINE 11: MAPLE GROVE HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019. THIS WAS OUR THIRD COMMUNITY HEALTH NEEDS ASSESSMENT WHICH WAS GUIDED - ONCE AGAIN - BY OUR COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT). CEAT IS COMPOSED OF COMMUNITY MEMBERS, MAPLE GROVE HOSPITAL AND 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). A TOTAL OF 58 PEOPLE WHO LIVE OR WORK IN THE CHNA AREA PARTICIPATED IN THE FOCUS GROUPS. WE ALSO CONDUCTED 11 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 NEED INDEX; ATTRIBUTED PATIENT DATA; COMMUNITY ASSET MAPPING; AND A MINNESOTA STUDENTS SURVEY CONDUCTED BY THE MINNESOTA DEPARTMENT OF EDUCATION (2016). PRIORITIES IDENTIFIED IN THE ASSESSMENT AND FINALIZED BASED ON CEAT DISCUSSIONBELOW IS AN OVERVIEW OF THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT AND DISCUSSED WITH CEAT. - MENTAL HEALTH/SUBSTANCE ABUSE- HEALTHY AGING- HELPING THE COMMUNITY ACCESS HEALTH CARE AND COMMUNITY RESOURCES- COMPREHENSIVE CARE- PREVENTION/EDUCATION: KNOWLEDGE ACROSS LIFESPAN- CULTURALLY RESPONSIVE SERVICES- HOUSING: SAFE, ACCESSIBLE, AFFORDABLE, AVAILABLE FOR HOMELESS- TRANSPORTATION: ESPECIALLY FOR MEDICAL CARETHE COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT) HAD AN EXTENSIVE DISCUSSION ABOUT THE FINDINGS BASED ON THE FOLLOWING PRIORITIZATION CRITERION:- HOW WIDESPREAD IS THE HEALTH NEED?- HOW SERIOUS OR IMPORTANT IS THIS HEALTH NEED FOR INDIVIDUALS AND/OR THE COMMUNITY?- WHAT IS THE POTENTIAL FOR MAPLE GROVE HOSPITAL AND COMMUNITY PARTNERS TO HAVE A POSITIVE IMPACT ON THIS HEALTH NEED WITHIN THREE TO FOUR YEARS?AFTER THE DISCUSSION OF THE HEALTH NEEDS, CEAT DECIDED TO TAKE A VERBAL VOTE AND CONTINUE WITH THE HEALTH PRIORITIES IDENTIFIED IN THE PREVIOUS ASSESSMENT, INCLUDING:- MENTAL HEALTH- SUBSTANCE ABUSE- HEALTHY AGINGNOTE: IN 2016, MENTAL HEALTH AND SUBSTANCE ABUSE WERE COMBINED AS ONE PRIORITY. IN 2019, WE AGREED TO SEPARATE THEM FOR MORE INDIVIDUAL FOCUS.MAPLE GROVE HOSPITAL DEVELOPED AN IMPLEMENTATION PLAN OUTLINING THE STRATEGIES WE WOULD IMPLEMENT TO ADDRESS THESE NEEDS OVER THE NEXT THREE YEARS. THE CONTENT IN THE FOLLOWING SECTIONS OUTLINES THE PRIORITIES, THE STRATEGIES WITHIN EACH PRIORITY AND WHAT WE ACCOMPLISHED IN 2021. PLEASE NOTE THAT IN 2021, WE WERE STILL EXPERIENCING THE COVID-19 PANDEMIC, SO IT PREVENTED US FROM DOING SOME OF THE THINGS THAT WERE INITIALLY OUTLINED IN OUR PLAN. WITH THAT IN MIND, WE NARROWED IN ON THE STRATEGIES THAT WERE MOST CRITICAL AND POSSIBLE TO ADDRESS IN A PANDEMIC. WE ALSO ADJUSTED SOME OF OUR OFFERINGS TO BE VIRTUAL CLASSES AND SUPPORT GROUPS INSTEAD OF THE TRADITIONAL IN-PERSON OPTIONS. THIS IS OUTLINED ACCORDINGLY BY PRIORITY.PRIORITY ONE: MENTAL HEALTHOUR GOAL IN ADDRESSING MENTAL HEALTH IS TO SUPPORT THE MENTAL HEALTH OF OUR COMMUNITY ALONG THE MENTAL HEALTH CONTINUUM. WE FIRST IDENTIFIED THIS PRIORITY IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. WE CONTINUED STRATEGIES THAT WORKED WELL AND EXPLORED/ADDED NEW STRATEGIES. IT IS IMPORTANT TO NOTE THAT WE CONTINUED TO PIVOT IN 2021 TO ENSURE WE COULD ADDRESS THE MENTAL HEALTH NEEDS OF THE COMMUNITY AMIDST A PANDEMIC MODIFYING EXECUTION OF SOME STRATEGIES TO ACCOUNT FOR LIMITED RESOURCES, THE CONSTRAINTS OF THE PANDEMIC AND THE IMMEDIATE COMMUNITY NEEDS.OBJECTIVES:1. REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH CONDITIONS.2. INCREASE COMMUNITY EDUCATION AROUND MENTAL HEALTH AND HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE DISORDERS AMONG COMMUNITY MEMBERS.3. INCREASE COMMUNITY EDUCATION ABOUT SUICIDE PREVENTION, WITH:- THE COMMUNITY- FIRST RESPONDERS4. SUPPORT COMMUNITY MEMBERS WHO ARE EXPERIENCING A HEALTH ISSUE BY OFFERING COMMUNITY SUPPORT GROUPS.5. REDUCE THE CYCLE OF VIOLENCE AMONG YOUTH WHO ENTER THE EMERGENCY ROOM.6. CONNECT PATIENTS WITH MENTAL ILLNESS TO COMMUNITY SOCIAL SERVICES.7. PROVIDE RESILIENCE SKILLS TO COMMUNITY MEMBERS.8. CONTINUE INVOLVEMENT WITH COMMUNITY ORGANIZATIONS THAT ARE ADDRESSING MENTAL HEALTH AND SOCIAL ISOLATION.STRATEGIES AND ACTIONS (BY OBJECTIVE):1. OBJECTIVE: REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH CONDITIONS.- STRATEGY 1.1: INCORPORATE THE (MAKE IT OKAY) MESSAGE INTO ANNUAL EMPLOYEE TRAINING.- ACTION: MAPLE GROVE HOSPITAL INCORPORATED THE (MAKE IT OKAY) MESSAGE INTO THE ANNUAL TEAM MEMBER TRAINING. (MAKE IT OKAY) IS DESIGNED TO REDUCE STIGMA SURROUNDING MENTAL HEALTH. THIS EDUCATION IS DESIGNED TO EMPOWER OUR TEAM MEMBERS TO FEEL COMFORTABLE ADDRESSING MENTAL HEALTH ISSUES WITH THEIR CUSTOMERS, FAMILY, FRIENDS, AND COMMUNITY MEMBERS. - STRATEGY 1.2: EXPLORE OFFERING (MAKE IT OKAY) PRESENTATIONS TO OUR TEAM AND COMMUNITY. - NOTE: BASED ON LIMITED RESOURCES AND THE CONTINUED CONSTRAINTS OF THE PANDEMIC, THIS WENT ON HOLD IN 2021 AND WAS NOT IMPLEMENTED; WE WILL BE REASSESSING FOR 2022.2. OBJECTIVE: INCREASE COMMUNITY EDUCATION ABOUT MENTAL HEALTH AND HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE DISORDERS AMONG COMMUNITY MEMBERS- STRATEGY 2.1: OFFER EVIDENCE-BASED MENTAL HEALTH FIRST AID CLASSES TO THE COMMUNITY (INCLUDING YOUTH, ADULT, AND OLDER ADULT FIRST AID).- OVERVIEW: THE GOAL OF THESE CLASSES IS TO INCREASE PARTICIPANTS' CONFIDENCE IN ASSISTING A PERSON WITH MENTAL HEALTH ISSUES AND CONNECTING THEM TO PROFESSIONAL RESOURCES. AS WE CONTINUED TO NAVIGATE THROUGH CONTINUED COVID-19 SURGES, THIS EFFORT WENT ON HOLD FOR MOST OF THE CALENDAR YEAR. HOWEVER, WE DID:- ACTION: PROMOTED NAMI'S "NAVIGATING THE WINTER AND HOLIDAY BLUES" CLASS THAT TOOK PLACE ON DECEMBER 3, 2021, TO OUR CEAT TEAM. - ACTION: BEGAN EXTENSIVE CONVERSATIONS WITH NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) AND THE MAPLE GROVE HEALTHY AGING COMMITTEE ON HOW WE CAN OFFER THESE MENTAL HEALTH FIRST AID CLASSES IN 2022.3. OBJECTIVE: INCREASE COMMUNITY EDUCATION AROUND SUICIDE PREVENTION (IN THE COMMUNITY AND WITH FIRST RESPONDERS).- STRATEGY 3.1: OFFER SAFETALK SUICIDE PREVENTION CLASSES TO THE COMMUNITY.- ACTION: TO REDUCE THE STIGMA AROUND SUICIDE, MAPLE GROVE HOSPITAL PLANNED TO OFFER FOUR SAFETALK SUICIDE PREVENTION CLASSES TO THE COMMUNITY IN 2021. FOR THE SECOND STRAIGHT YEAR, DUE TO COVID, WE WERE NOT ABLE TO OFFER SAFETALK CLASSES. THE LICENSING BODY BELIEVES THERE IS A DANGER IN OFFERING THESE CLASSES VIRTUALLY. - STRATEGY 3.2: CONDUCT A ZERO SUICIDE ASSESSMENT AND EXPLORE QPR TRAINING. - ACTION: DUE TO COVID, NORTH MEMORIAL HEALTH AND MAPLE GROVE HOSPITAL WERE UNABLE TO CONDUCT A ZERO SUICIDE ASSESSMENT; HOWEVER, THIS HAS BEEN PRIORITIZED FOR 2022. - THAT SAID, NORTH MEMORIAL HEALTH'S LEAD SOCIAL WORKER FOR THE ZERO SUICIDE ASSESSMENT PARTICIPATED IN MONTHLY ICSI (INSTITUTE FOR CLINICAL SYSTEM IMPROVEMENT) MEETINGS AND TRAINING (2 HOURS PER MONTH) TO AID IN DEVELOPING OUR FRAMEWORK.- ACTION: NORTH MEMORIAL HEALTH HOSPITAL MAINTAINED THEIR SUICIDE SCREENING PROCESS IN ED TRIAGE IN 2021. IF A PATIENT SCREENS POSITIVE, THE BEHAVIORAL HEALTH TEAM IS PULLED IN AND THE PATIENT GETS THE SAFETALK ASSESSMENT. IN 2020, THIS WAS BUILT INTO THE HOSPITAL CLINICAL TEMPLATE. - ACTION: IF AT ANY TIME A PATIENT MENTIONS THOUGHTS OF SUICIDE, WHILE IN THE HOSPITAL, THE BEHAVIORAL HEALTH TEAM CONDUCTS ANOTHER ASSESSMENT AND DEVELOPS A COMPREHENSIVE SAFETY PLAN.- ACTION: WE HAVE EXPLORED TRAINING SOCIAL WORKERS FROM BOTH HOSPITALS IN QPR (QUESTION, PERSUADE, REFER). FURTHER ASSESSMENT WILL BE CONDUCTED IN 2022.- STRATEGY 3.3: EXPLORE OFFERING SAFETALK SUICIDE PREVENTION CLASSES TO FIRST RESPONDERS.- ACTION: SINCE SAFETALK CLASSES WERE DISBANDED DUE TO COVID-19 WE MODIFIED OUR APPROACH FOR FIRST RESPONDERS TO INSTEAD FOCUS ON MENTAL HEALTH TRAINING. IN 2022, THROUGH A GRANT WE RECEIVED, WE WILL PROVIDE MENTAL HEALTH TRAINING TO OUTSTATE AREA FIRST RESPONDERS. CONTINUED... MAPLE GROVE HOSPITAL CORPORATION PART V, SECTION B, LINE 13B: CATASTROPHIC CHARITY CARE - PAY NO MORE THAN 25% OF ANNUAL FAMILY INCOME. PART V, SECTION B, LINE 11 CONTINUED: WHILE IN THE ER OR IN THE HOSPITAL, THE BEHAVIORAL HEALTH TEAM CONDUCTS ANOTHER ASSESSMENT AND DEVELOPS A COMPREHENSIVE SAFETY PLAN. ACTION: WE HAVE EXPLORED TRAINING SOCIAL WORKERS FROM BOTH MGH AND NMHH IN QPR (QUESTION, PERSUADE, REFER). IN THE PAST THE MINNESOTA DEPARTMENT OF HEALTH OFFERED FUNDING FOR QPR TRAINING; THEY DID NOT OFFER THIS FUNDING FOR SUCH TRAININGS IN 2022. STRATEGY 2: EXPLORE OFFERING SAFETALK SUICIDE PREVENTION CLASSES TO FIRST RESPONDERS. ACTION: WE EXPLORED WORKING WITH AN ORGANIZATION CALLED CODE 3 ON IMPLEMENTING A SERIES OF SAFETALK CLASSES FOR FIRST RESPONDERS POLICE, FIRE, EMS, AND DISPATCHERS. CODE 3 DISBANDED DURING COVID-19, SO WE WERE NOT ABLE TO OFFER SAFETALK CLASSES. ACTION: INSTEAD OF SAFETALK, WE MODIFIED OUR APPROACH TO FIRST RESPONDERS TO FOCUS ON MENTAL HEALTH. IN 2022 WE OFFERED FIRST RESPONDER MENTAL HEALTH FIRST AID (MHFA) CLASSES IN PARTNERSHIP WITH CENTURY COLLEGE TO FIRST RESPONDERS, PARTICULARLY IN RURAL MINNESOTA. IN 2022, MHFA CLASSES WERE HELD IN BRAINERD AND DOUGLAS COUNTY AND OFFERED TO STATE PATROL TROOPERS. 690 FIRST RESPONDERS ATTENDED THE CLASSES. EVALUATIONS OF THE CLASSES SHOWED THAT THE MAJORITY OF ATTENDEES FELT THE CLASS IMPROVED THEIR KNOWLEDGE OF SIGNS/SYMPTOMS OF MENTAL ILLNESS, DE-ESCALATION TECHNIQUES, AND/OR REFERRAL OPTIONS. WHILE WE HAD A SAMSHA GRANT TO HELP WITH THE COSTS OF 300 ATTENDEES, WE HAD 390 ADDITIONAL ATTENDEES AT THE CLASSES.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 MGH) 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 HAD A YEARLONG WEEKLY SUPPORT GROUP CALLED "COFFEE AND CONVERSATION" WHICH WAS 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. LASTLY, STROKE WISE IS A 7-HOUR INFORMATIONAL CLASS, GIVEN ONE DAY A WEEK OVER 3 WEEKS, FOR APPROX. 2 HOURS EACH CLASS, AND WAS GIVEN TWICE A YEAR-SPRING AND FALL. 5. OBJECTIVE: CONNECT PATIENTS WITH MENTAL ILLNESS TO COMMUNITY SOCIAL SERVICES. STRATEGY 1: MGH BEHAVIOR HEALTH SERVICES AND OUTREACH ACTION: MAPLE GROVE HOSPITAL DOES NOT PROVIDE PSYCHIATRIC SERVICES, SO PATIENTS WITH PRIMARY MENTAL HEALTH DIAGNOSES ARE EITHER TRANSFERRED OUT OF THE EMERGENCY CARE CENTER TO AN APPROPRIATE FACILITY OR A SAFE DISCHARGE PLAN IS CREATED WITH APPROPRIATE FOLLOW-UP. WE WORKED CLOSELY WITH A NUMBER OF PARTNER ORGANIZATIONS TO PROVIDE BEHAVIOR HEALTH CONSULTATIONS TO MGH PATIENTS NEEDING A CONSULT AND FOLLOW-UP CARE. IN 2022, THERE WERE 841 MGH EMERGENCY CARE CENTER PATIENTS THAT RECEIVED BEHAVIORAL HEALTH CONSULTATIONS. ACTION: OCCASIONALLY THERE ARE MGH PATIENTS ADMITTED FOR A PRIMARY MEDICAL NEED AND A SECONDARY MENTAL HEALTH ISSUE BECOMES APPARENT. IN 2022, THERE WERE 11 PATIENTS WHO RECEIVED BEHAVIOR HEALTH CONSULTATIONS FOLLOWING THEIR ADMISSION FOR A PRIMARY MEDICAL NEED. STRATEGY 2: MEET WITH THE CITY OF MAPLE GROVE TO ASSESS INCREASE IN DOMESTIC VIOLENCE IN THE COMMUNITY. ACTION: IN 2020, THE COMMUNITY HEALTH OUTREACH MANAGER AND MAPLE GROVE HOSPITAL CEO MET WITH THE MAPLE GROVE CHIEF OF POLICE AND CITY ADMINISTRATOR TO DISCUSS THE INCREASE IN DOMESTIC VIOLENCE IN MAPLE GROVE IN 2020 AND EXPLORE HOW MAPLE GROVE HOSPITAL COULD SUPPORT. IN 2022, MGH WAS CONSIDERING FORMING A VIOLENCE PREVENTION COMMITTEE, DUE TO COVID-19 AND LIMITED RESOURCES, SUCH A COMMITTEE WAS NOT FORMED. STRATEGY 3: PARTNER WITH VAIL PLACE TO PROVIDE SOCIAL SERVICES TO OUR MAPLE GROVE HOSPITAL WITH MENTAL ILLNESS WHO NEED SOCIAL SERVICES. ACTION: IN PARTNERSHIP WITH VAIL PLACE, WE CONNECTED PATIENTS TO SOCIAL SUPPORT, HOUSING, HOME HEALTH SERVICES, JOB PLACEMENT SERVICES, AND A COMMUNITY DROP-IN CENTER. SERVICES WERE MODIFIED TO BE VIRTUAL. FROM JANUARY 2022 TO DECEMBER 2022, 1 PATIENT WAS REFERRED TO VAIL PLACE FOR ASSORTED SERVICES. 6. 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 IN 2022. A KEY MEMBER OF THE TEAM WHO WOULD HAVE BEEN INSTRUMENTAL IN LEADING THIS EFFORT WAS DEPLOYED ON MILITARY LEAVE 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 HELP 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 SESSION. OUR RESILIENCY COACH OFFERED THREE CLASSES ON HEARTMATH DURING THIS EVENT. 7. 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: MAINTAIN ACTIVE PARTICIPATION IN THE HENNEPIN COUNTY CHIP AND COMMUNITY MENTAL WELLBEING ACTION GROUP. THE NMHH LEAD EMERGENCY BEHAVIORAL HEALTH CLINICIAN PARTICIPATED ON THE COMMUNITY MENTAL WELLBEING ACTION GROUP AND BROUGHT INFORMATION BACK TO NMH. ACTION: CONTINUED ACTIVE INVOLVEMENT WITH THE CENTER FOR COMMUNITY HEALTH COLLECTIVE ACTION GROUP (CCH). THE SENIOR COMMUNITY HEALTH SPECIALIST ATTENDED CCH MEETINGS AND WAS ACTIVE AS A CCH BOARD MEMBER AND SERVED ON THE ASSESSMENT ALIGNMENT COMMITTEE. ACTION: OUR SENIOR COMMUNITY HEALTH SPECIALIST WAS AN ACTIVE PARTICIPANT ON THE COMMUNITY BOARD OF THE YMCA OF THE NORTH AND THE COMMUNITY DEVELOPMENT SUBCOMMITTEE. SHE WAS ALSO ACTIVE ON THE AGE FRIENDLY MAPLE GROVE INITIATIVE AND WAS A KEY PARTNER IN THEIR COMMUNITY HEALTH NEEDS ASSESSMENT. THIS INCLUDED WORK PLANNING FOR AND PARTICIPATING IN SEVERAL DATA COLLECTION ACTIVITIES SUCH AS CO-LEADING FOCUS GROUPS WITH RUSSIAN AND HINDU RESIDENTS OF MAPLE GROVE. THROUGH THIS WORK, WE WERE ABLE TO UNDERSTAND KEY HEALTH ISSUES OF THESE POPULATIONS AND HEALTH NEEDS IN THE COMMUNITY. THE AGE FRIENDLY MAPLE GROVE INITIATIVE'S COMMUNITY HEALTH NEEDS ASSESSMENT WILL BE COMPLETED BY END OF 2023. STRATEGY 2: CONTINUE TO LOOK FOR OTHER COMMUNITY PARTNERS WORKING IN THIS AREA. ACTION: AS IN 2021, WE HELPED FUND LOCAL ORGANIZATIONS HELPING MEET THE MENTAL HEALTH NEEDS OF THE COMMUNITY INCLUDING PARTNERSHIPS WITH 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 GOVERNANCE BOARD OF THE NORTHWEST FAMILY RESOURCE COLLABORATIVE (FORMERLY THE NORTHWEST HENNEPIN FAMILY SERVICE COLLABORATIVE). 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 SUPPORTS 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 PART V, SECTION B, LINE 11 CONTINUED: 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): OBJECTIVE 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. STRATEGY 1: PARTNER WITH PARTNERS IN PREVENTION TO INCREASE AWARENESS AND EDUCATION OF SUBSTANCE ABUSE. NO ACTION IN THIS AREA IN 2022. THE DIRECTOR OF PARTNERS IN PREVENTION JOINED THE MGH CEAT TEAM FOR A BRIEF TIME STARTING IN 2021 BUT HAD TO STEP DOWN AS SHE HAD TOO MANY COMMITMENTS IN 2022 DUE TO COVID-19. STRATEGY 2: PROVIDE FINANCIAL SUPPORT FOR APPLICABLE PARTNERS IN PREVENTION CAMPAIGNS ACTION: NO ACTION IN 2022 AS FUNDING WAS NOT NEEDED. STRATEGY 3 (NEW IN 2022) ACTION: THROUGHOUT 2022, WE ATTENDED NUMEROUS COMMUNITY EVENTS AND DISTRIBUTED THE DETERRA BAGS AND PROMOTED SAFE MEDICATION DISPOSAL AT OUR COMMUNITY ENGAGEMENT EVENTS IN MAPLE GROVE, ROGERS, AND OTHER COMMUNITY EVENTS AROUND MAPLE GROVE HOSPITAL. OBJECTIVE 2: USE COMMUNITY PARTNERSHIPS TO PROVIDE EDUCATION AROUND SUBSTANCE ABUSE AND ENVIRONMENTAL SUPPORTS TO REDUCE ACCESS TO MEDICATION. STRATEGY 1 (NEW IN 2022): IN 2022, NMH RECEIVED FUNDING FROM PERRIGO CHARITABLE FOUNDATION TO PURCHASE 4200 DETERRA BAGS WITH A GOAL OF INCREASING SAFE MEDICATION DISPOSAL IN OUR COMMUNITIES. ACTION: IN 2022, NORTH MEMORIAL HEALTH HAS JOINED WITH LOCAL GOVERNMENTS AND LAW ENFORCEMENT TO USE DETERRA BAGS AND EXISTING MEDICATION DROP BOXES AS OUR STRATEGIES FOR THE DISPOSAL OF UNWANTED MEDICATIONS. THIS WAS BASED ON PREVIOUS INTERACTIONS WITH LOCAL ORGANIZATIONS THAT HAVE BEEN SUPPORTIVE OF FOCUSING ON THE USE OF DETERRA BAGS AS A MEANS FOR EASILY DISPOSING OF UNUSED OR UNNEEDED MEDICATIONS. IN 2022, WE FOCUSED ON OUR STRATEGY OF DISTRIBUTING DETERRA BAGS THROUGH OUR PHARMACIES AND THROUGHOUT OUR COMMUNITIES RATHER THAN INSTALLING NEW MEDICATION DROP BOXES. COMMUNITY HEALTH, COMMUNITY PARAMEDICS, AND PHARMACY STAFF ALL WORKED TOGETHER TO INCREASE AWARENESS ABOUT DETERRA BAGS AS A METHOD OF DISPOSING OF UNWANTED/UNNEEDED MEDICATIONS. WE ALSO MET WITH A HENNEPIN COUNTY COMMISSIONER TO INFORM HIM OF OUR WORK AND RAISE AWARENESS FOR FUTURE PARTNERSHIPS. WE HANDED OUT APPROXIMATELY 400 DETERRA BAGS AT A NUMBER OF COMMUNITY EVENTS, INCLUDING OUR COMMUNITY ENGAGEMENT ACTIVITIES IN MAPLE GROVE, ROGERS, BROOKLYN PARK, AND BROOKLYN CENTER. ACTION: PASS OUT DETERRA BAGS IN NMH PHARMACIES TO CUSTOMERS WHO ARE PRESCRIBED OPIOID MEDICATIONS PROVIDED DETERRA BAGS TO ALL MGH PATIENTS DISCHARGED FROM OUR LABOR & DELIVERY UNITS WITH AN OPIOID PRESCRIPTION. DETERRA BAGS WERE DISTRIBUTED BY THE NURSING STAFF SO REGARDLESS OF WHERE THE CUSTOMER FILLED THE MEDICATION (I.E., WITH US OR A RETAIL PHARMACY), THEY HAD A WAY TO GET RID OF ANY UNUSED SUPPLY FROM THE DISCHARGE PRESCRIPTION. PROVIDED DETERRA BAGS FROM OUR THREE OUTPATIENT PHARMACY LOCATIONS (TWO HOSPITALS AND CANCER CENTER) UPON PATIENT REQUEST. WE HAVE SIGNAGE AT OUR PHARMACY MEDICATION DISPOSAL DROP BOXES THAT INFORMS CUSTOMERS WHO ARE UNABLE TO RETURN TO THE PHARMACY TO DISPOSE OF UNUSED MEDICATIONS, THAT THE PHARMACY TEAM IS AVAILABLE TO DISCUSS ALTERNATIVE MEDICATION DISPOSAL OPTIONS, SUCH AS THE USE OF THE DETERRA BAGS. WE ALSO HANDED OUT INFORMATION ABOUT MEDICATION DISPOSAL LOCATIONS THROUGHOUT HENNEPIN COUNTY TO CUSTOMERS WHO INQUIRE ABOUT ALTERNATIVE LOCATIONS. IN 2022, WE HANDED OUT 600 DETERRA BAGS FROM OUR PHARMACIES. OUR PHARMACIES CONTINUED TO ALSO COLLECT UNWANTED MEDICATIONS ON-SITE THROUGH MEDICATION TAKE-BACK SERVICES. IN 2022, OUR MAPLE GROVE AMBULATORY CARE CENTER PHARMACY TOOK BACK 548.45 POUNDS OF UNWANTED MEDICATIONS. STRATEGY 2: 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. WE INSTEAD FOCUSED ON RAISING AWARENESS ABOUT SAFE MEDICATION DISPOSAL THROUGH DISTRIBUTION OF DETERRA BAGS. ADDITIONALLY, OUR COMMUNITY PARAMEDICS OFFERED EDUCATION THROUGHOUT OUR SERVICE AREA AND AT EVENTS ON HOW TO USE NARCAN IN CASE OF AN OVERDOSE. OBJECTIVE 3: IMPROVE ACCESS TO ADDICTION SERVICES. STRATEGY 1: INTEGRATE ADDICTION SERVICES WITH NORTH MEMORIAL HEALTH PRIMARY CARE ACTION: MENTAL HEALTH CLINIC STAFF CONTINUED TO ADDRESS SUBSTANCE USE ISSUES (WHEN APPROPRIATE) DURING INDIVIDUAL APPOINTMENTS AND OFFERED PROGRAMS. THAT SAID, THE PROGRAM OFFERINGS WERE NOT SUBSTANCE USE DISORDER SPECIFIC. WE OFFERED PROVIDERS WITH EXPERIENCE IN SUBSTANCE USE TREATMENT, AS WELL AS TWO CLINIC OUTPATIENT PROVIDERS THAT ARE LADC CERTIFIED. OBJECTIVE 4: 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. THE COVID-19 PANDEMIC LIMITED OUR ABILITY TO MANAGE THE USE OF THIS TOOL IN 2020, ESPECIALLY WITH OUR CLINICAL PRACTICE COUNCIL MEETINGS ON HOLD IN 2020 DUE TO COVID-19. HOWEVER, THE INTEGRATION OF THE PRESCRIPTION DRUG MONITORING PROGRAM (PDMP) WITHIN EPIC HAS BEEN INSTRUMENTAL IN TRACKING NEARLY ALL CONTROLLED SUBSTANCE PRESCRIPTIONS. IT IS AVAILABLE TO ALL NM PROVIDERS (1,500+ UNIQUE USERS) AND INCLUDES ALERTS THAT REQUIRE THE PROGRAM TO BE ACCESSED IN ACCORDANCE WITH STATE STATUTES. OBJECTIVE: REDUCE THE NUMBER OF DEATHS FROM OPIOID OVERDOSE STRATEGY 1: MAINTAIN ED MEDICATION ASSISTED THERAPY (MAT) PATHWAY ACTION: FROM 2019-2021, WE ENCOURAGED ALL ACUTE PROVIDERS TO GET THEIR X-WAIVER, WHICH PERMITS THE PRESCRIBING OF BUPRENORPHINE IN MAT. OUR PROVIDERS WERE USING THE COWS SCORE TO ACUTELY TREAT CUSTOMERS, AND THEN WE REFERRED TO BROADWAY FAMILY FOR OUTPATIENT FOLLOW-UP. ALL OUR EMERGENCY CARE CENTER PROVIDERS ARE NOW ABLE TO PRESCRIBE BUPRENORPHINE AND HAVE PATIENTS FOLLOW UP AT BROADWAY CLINIC. LIKE MANY OTHER THINGS DURING COVID-19, WE DID NOT ACTIVELY TRACK THE NUMBER OF PATIENTS STARTED ON BUPRENORPHINE OUT OF THE EMERGENCY CARE CENTER. ACTION: ON DECEMBER 29, 2022, THE U.S. CONGRESS SIGNED OF 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 OUDPRIORITY THREE: HEALTHY AGING OUR GOAL IN ADDRESSING HEALTHY AGING IS TO PARTNER WITH LOCAL GOVERNMENT, OTHER HEALTHCARE SYSTEMS, SOCIAL SERVICE PROVIDERS AND COMMUNITY MEMBERS TO CREATE AN ENVIRONMENT WHERE OUR AGING POPULATION CAN HAVE ACCESS TO THE PROGRAMS AND SERVICES NEEDED TO AGE IN PLACE. THIS COMMUNITY HEALTH NEED PRIORITY WAS FIRST IDENTIFIED IN THE 2016 NEEDS ASSESSMENT. WE CONTINUED SOME STRATEGIES BEGUN UNDER THE 2016-2019 CHIP AND ADDED SEVERAL NEW STRATEGIES.OBJECTIVES:1. ADDRESS COMMUNITY-BASED INFRASTRUCTURAL CHALLENGES THAT CREATE BARRIERS TO HEALTHY AGING IN MAPLE GROVE.2. ASSIST BROOKLYN PARK'S PARK AND RECREATION SENIOR PROGRAM TEAM IN IDENTIFYING HEALTHY AGING OPPORTUNITIES.3. INCREASE EDUCATION ABOUT THE IMPORTANCE OF ADVANCE CARE PLANNING TO SENIORS IN THE COMMUNITY.4. INCREASE EDUCATION ABOUT FALLS PREVENTION TO SENIORS IN THE COMMUNITY.5. INCREASE EDUCATION ABOUT THE IMPORTANCE OF CHRONIC DISEASE MANAGEMENT AND PREVENTION TO SENIORS.6. PROVIDE COMMUNITY EDUCATION ON IDENTIFIED HEALTH PRIORITIES AT COMMUNITY EVENTS.7. INCREASE COMMUNITY EDUCATION ABOUT OLDER ADULT MENTAL HEALTH, HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE USE DISORDERS AMONG OLDER ADULTS. PART V, SECTION B, LINE 11 CONTINUED: STRATEGIES AND ACTIONS (BY OBJECTIVE):1. OBJECTIVE: ADDRESS COMMUNITY-BASED INFRASTRUCTURAL CHALLENGES THAT CREATE BARRIERS TO HEALTHY AGING IN MAPLE GROVE. STRATEGY 1: PARTICIPATE IN AGE-FRIENDLY MAPLE GROVE LEADERSHIP COMMITTEE ACTION: OUR SENIOR COMMUNITY HEALTH SPECIALIST SAT ON THE AGE-FRIENDLY MAPLE GROVE LEADERSHIP COMMITTEE, ATTENDED VIRTUAL MEETINGS AND WAS A KEY MEMBER OF THE AGE-FRIENDLY COMMUNITY NEEDS ASSESSMENT WORK. AS PART OF THIS WORK, SHE HELPED PLAN AND CO-LEAD FOCUS GROUPS WITH RUSSIAN RESIDENTS AND SOUTH ASIAN RESIDENTS WHO ATTEND THE LOCAL HINDU TEMPLE. THE SOUTH ASIAN POPULATION WOULD LIKE HEALTH ADVICE ON HOW TO MANAGE DIABETES, PARTICULARLY FROM A DIETARY PERSPECTIVE. STRATEGY 2: PROVIDE FINANCIAL ASSISTANCE TO AGE-FRIENDLY MAPLE GROVE. ACTION: IN 2022, MAPLE GROVE HOSPITAL ONCE AGAIN PROVIDED FINANCIAL ASSISTANCE (IN THE AMOUNT OF $3,000) TO AGE-FRIENDLY MAPLE GROVE TO SUPPORT THEIR NEEDS AS THEY ADDRESSED BARRIERS TO HEALTHY AGING IN MAPLE GROVE. STRATEGY 3: REINFORCE HEALTHY AGING IN PARTNERSHIP WITH THE CITY OF MAPLE GROVE. ACTION: IN 2022, WE SUPPORTED THE MAPLE GROVE FARMER'S MARKET AS A SPONSOR AND HIGHLIGHT HEALTHY AGING AT TWO DIFFERENT FARMER'S MARKETS. HEALTH INFORMATION WAS PROVIDED FOCUSED ON FALLS PREVENTION AND CHOKING INTERVENTIONS, TWO INJURIES PREVALENT IN OUR OLDER POPULATIONS. 2. OBJECTIVE: ASSIST BROOKLYN PARK'S PARK AND RECREATION SENIOR PROGRAM TEAM IN IDENTIFYING HEALTHY AGING OPPORTUNITIES. STRATEGY 1: DEVELOP A PARTNERSHIP WITH BROOKLYN PARK AROUND HEALTHY AGING. ACTION: STRENGTHENED RELATIONSHIP WITH THE CITY OF BROOKLYN PARK AND GAINED REPRESENTATION FROM THE CITY ON MGH CEAT. STRATEGY 2: EXPLORE OFFERING COMMUNITY EDUCATION CLASSES, IN PARTNERSHIP WITH BROOKLYN PARK'S PARK AND RECREATION SENIOR PROGRAM STAFF, THAT ASSIST SENIORS TO LEAD HEALTHY LIVES. ACTION: IN 2022, NMH PARTICIPATED IN A HEALTHY AGING RESOURCE FAIR PUT ON BY BROOKLYN PARK'S PARK AND RECREATION. WE PROMOTED SEVERAL FALLS PREVENTION STRATEGIES (STEPPING ON CLASSES, NIGHT LIGHTS FOR DARK HALLWAYS) AND PASSED OUT DETERRA BAGS. 3. OBJECTIVE: INCREASE EDUCATION ABOUT THE IMPORTANCE OF ADVANCE CARE PLANNING TO SENIORS IN THE COMMUNITY. STRATEGY 1: OFFER A MINIMUM OF FOUR ADVANCE CARE PLANNING PRESENTATIONS TO THE COMMUNITY IN A CALENDAR YEAR (TWO CLASSES AT MAPLE GROVE HOSPITAL AND TWO AT THE MAPLE GROVE COMMUNITY CENTER). ACTION: DUE TO COVID-19, WE MODIFIED THIS STRATEGY TO FOCUS ON VIRTUAL CLASSES. WE PROVIDED CONTENT THROUGH AN ONLINE FORUM ALLOWING IT TO BE OFFERED IN A 60-MINUTE TIMEFRAME. THE PLAN WAS TO OFFER A RANGE OF TOPICS, INCLUDING HOW TO WRITE A HEALTH CARE DIRECTIVE; HOW TO DEVELOP AN ADVANCED CARE PLAN DURING A PANDEMIC; HOW TO TALK TO PEOPLE YOU LOVE AND TRUST ABOUT HARD MEDICAL DECISIONS. ALL CLASSES WERE AVAILABLE FREE USING A TELEPHONE OR BY LOGGING INTO ZOOM.US. IN 2022, WE WERE NOT ABLE TO OFFER ADVANCE CARE PLANNING CLASSES DUE TO LIMITED STAFFING AT MGH AND THE ACP POSITION WAS UNFILLED FOR MOST OF THE YEAR. IN THE LAST PART OF THE YEAR, THE ACP POSITION WAS FILLED AND SERVED ABOUT 15 PEOPLE (AVERAGING ABOUT ONE PER MONTH). THE INDIVIDUALS WERE EITHER CURRENTLY INPATIENT OR PEOPLE COMING TO MGH FOR SURGERY. THE PERSON IN THE ACP POSITION ALSO NOTARIZED FIVE HEALTH CARE DIRECTIVES. 4. OBJECTIVE: INCREASE EDUCATION ABOUT FALLS PREVENTION TO SENIORS IN THE COMMUNITY. STRATEGY 1: OFFER AT LEAST TWO STEPPING ON FALLS PREVENTION CLASSES TO SENIORS IN THE COMMUNITY IN A CALENDAR YEAR (ONE CLASS AT MAPLE GROVE HOSPITAL AND ONE AT THE MAPLE GROVE COMMUNITY CENTER). ACTION: THESE CLASSES WERE PUT ON HOLD IN 2022 ONCE AGAIN DUE TO THE COVID-19 PANDEMIC. STEPPING ON FALLS PREVENTION CLASSES COULD NOT BE OFFERED VIRTUALLY PER THE LICENSING AGENCY. A CLASS WILL BE OFFERED IN JANUARY OF 2023.5. OBJECTIVE: INCREASE EDUCATION ABOUT THE IMPORTANCE OF CHRONIC DISEASE MANAGEMENT AND PREVENTION TO SENIORS. STRATEGY 1: OFFER AT LEAST THREE CHRONIC DISEASE MANAGEMENT PRESENTATIONS TO THE COMMUNITY IN A CALENDAR YEAR ACTION: AGAIN, DUE TO COVID-19, WE DID NOT OFFER ANY CHRONIC DISEASE MANAGEMENT CLASSES IN 2022. 6. OBJECTIVE: PROVIDE COMMUNITY EDUCATION ON IDENTIFIED HEALTH PRIORITIES AT COMMUNITY EVENTS STRATEGY 1: PARTICIPATE IN THE MAPLE GROVE FARMER'S MARKET, UTILIZING TWO DATES TO PROVIDE COMMUNITY HEALTH EDUCATION (ON TOPICS LIKE FALLS PREVENTION, ADVANCE CARE PLANNING, CHRONIC DISEASE MANAGEMENT). ACTION: IN 2022, MAPLE GROVE HOSPITAL PARTICIPATED IN THE MAPLE GROVE FARMER'S MARKET AS A SPONSOR AND HIGHLIGHTED HEALTHY AGING DURING TWO WEEKS IN SEPTEMBER, AS NOTED ABOVE. ACTION: WE ALSO PARTICIPATED IN A SENIOR RESOURCE FAIR HELD IN BROOKLYN PARK THAT WAS ATTENDED BY MANY OLDER RESIDENTS FROM THROUGHOUT THE REGION. WE PROMOTED OUR STEPPING ON CLASS THAT WOULD TAKE PLACE IN 2023, PASSED OUT INFORMATION ABOUT PREVENTING FALLS AND ITEMS TO MAKE HOME SAFER, SUCH AS MOTION-DETECTION NIGHTLIGHTS, FLASHLIGHTS, AND DETERRA BAGS FOR DISPOSAL OF UNUSED MEDICATIONS.7. OBJECTIVE: INCREASE COMMUNITY EDUCATION OF OLDER ADULT MENTAL HEALTH, HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE USE DISORDERS AMONG OLDER ADULTS. STRATEGY 1: OFFER EVIDENCE-BASED MENTAL HEALTH FIRST AID CLASSES TO OLDER ADULTS. OVERVIEW: AS NOTED ABOVE, THE GOAL OF THESE CLASSES WAS TO INCREASE PARTICIPANTS' CONFIDENCE IN ASSISTING A PERSON WITH MENTAL HEALTH ISSUES AND CONNECTING THEM TO PROFESSIONAL RESOURCES. ACTION: IT WAS INITIALLY THOUGHT THAT AN OLDER ADULT MENTAL HEALTH FIRST AID CLASS WAS AVAILABLE THROUGH NAMI MINNESOTA. NO CLASSES WERE HELD AS THERE IS NOT AN OLDER ADULT MHFA CLASS DEVELOPED BY NAMI NOR OFFERED WITHIN LOCAL COMMUNITIES. HEALTH NEEDS NOT SELECTED AS FOCUS AREAS:THE COMMUNITY ENGAGEMENT ADVISORY TEAM FELT THAT WE NEEDED TO FOCUS OUR ATTENTION ON OUR TOP THREE PRIORITIES TO DRIVE MEANINGFUL CHANGE. CULTURALLY RESPONSIVE CARE IS BEING ADDRESSED BY NORTH MEMORIAL HEALTH HOSPITAL AND OUR SYSTEM-WIDE DEI EFFORTS WHICH WILL IMPACT MGH AND OUR COMMUNITY. THE HEALTH PRIORITIES NOT BEING ADDRESSED DIRECTLY INCLUDE: HELPING THE COMMUNITY ACCESS HEALTH CARE AND COMMUNITY RESOURCES COMPREHENSIVE CARE PREVENTION/EDUCATION: KNOWLEDGE ACROSS LIFESPAN CULTURALLY RESPONSIVE SERVICES HOUSING: SAFE, ACCESSIBLE, AFFORDABLE, AVAILABLE FOR HOMELESS TRANSPORTATION: ESPECIALLY FOR MEDICAL CARE PART V, SECTION B, LINE 16: FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://NORTHMEMORIAL.COM/FINANCIAL-ASSISTANCE/ PART III, LINE 2: AMOUNT REPRESENTS THE HOSPITAL'S BAD DEBT PROVISION REDUCED BY THE HOSPITAL'S COST TO CHARGE RATIO WHICH REPRESENTS THE BEST ESTIMATE OF COST FOR THE BAD DEBT PROVISION. PART III, LINE 4: MAPLE GROVE HOSPITAL'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DESCRIPTION ABOUT BAD DEBT EXPENSE. THE COST TO CHARGE RATIO WAS USED TO DETERMINE THE AMOUNT ON PART III, SECTION A, LINE 2. WE DO NOT HAVE THE INFORMATION NECESSARY TO DETERMINE WHICH PORTION OF THE AMOUNT REPORTED ON LINE 2 IS COMMUNITY BENEFIT. PART III, LINE 8: THE SHORTFALL REPORTED REPRESENTS THE AMOUNT THE MEDICARE REIMBURSEMENT IS LESS THAN THE ESTIMATED COST OF PROVIDING SERVICES TO THOSE PATIENTS. THE METHOD USED TO ESTIMATE THOSE COSTS IS THE COST TO CHARGE RATIO APPROACH WHICH CALCULATES THE RATIO OF TOTAL HOSPITAL COSTS / TOTAL HOSPITAL GROSS REVENUE AND THEM APPLIES THAT RATIO TO TOTAL MEDICARE GROSS REVENUE. PART III, LINE 9B: MAPLE GROVE HOSPITAL CORPORATION HAS POLICIES AND PROCEDURES IN PLACE FOR COLLECTION PRACTICES THAT INCLUDE IDENTIFICATION AND SCREENING FOR CHARITY CARE AND FINANCIAL ASSISTANCE. THE POLICIES ARE AVAILABLE ON THE ORGANIZATION'S INTRANET AND EACH PATIENT IS GIVEN A BROCHURE UPON ADMISSION. PART VI, LINE 2: MAPLE GROVE HOSPITAL WORKS CLOSELY WITH COMMUNITY MEMBERS TO DETERMINE AREAS OF INTEREST AND NEED IN HEALTHCARE SERVICES. (A NEW COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN 2022. WE ARE CURRENTLY ADDRESSING THE NEEDS IDENTIFIED IN OUR 2019 COMMUNITY HEALTH NEEDS ASSESSMENT.) PART VI, LINE 3: MAPLE GROVE HOSPITAL HAS A VERY PROACTIVE PROGRAM TO ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH THEIR MEDICAL BILLS. WE COMPLY WITH THE ATTORNEY GENERAL'S REQUIREMENT TO PROVIDE A DISCOUNT TO UNINSURED MINNESOTA RESIDENTS AS WELL AS A FINANCIAL ASSISTANCE PROGRAM FOR FINANCIALLY QUALIFIED PATIENTS. WE HAVE PATIENT FINANCIAL ADVOCATES AS WELL AS A CONTRACTED VENDOR THAT MEETS WITH ALL OF OUR UNINSURED INPATIENTS AND SPECIFIC OUTPATIENTS TO ASSIST THEM IN MEDICAL ASSISTANCE ELIGIBILITY AND APPLICATIONS. THIS COULD INCLUDE A VISIT TO THEIR RESIDENCE IF THEY NEED HELP IN COMPLETING ASSISTANCE APPLICATIONS. SHOULD THEY NOT QUALIFY FOR STATE OR FEDERAL ASSISTANCE PROGRAMS, WE OFFER AND ASSIST THEM IN APPLYING FOR THE HOSPITAL'S FINANCIAL ASSISTANCE (CHARITY CARE) PROGRAM.IN ADDITION, OUR INTERNAL COLLECTIONS DEPARTMENT AND OUR COLLECTION AGENCIES ARE WELL VERSED IN OUR ASSISTANCE PROGRAMS AND WILL ASSESS DURING THEIR CONVERSATIONS WITH PATIENTS IF REFERRAL TO EITHER A STATE OR FEDERAL PROGRAM OR OUR CHARITY CARE PROGRAM WOULD BE APPROPRIATE. PART VI, LINE 4: WE SERVE A 27 ZIP-CODE AREA IN THE NORTHWEST SIDE OF THE TWIN CITIES METRO. THIS IS BASED ON THE HOME ZIP CODES FOR 75% OF OUR INPATIENT POPULATION, EXCLUDING NEWBORNS AND NEONATES. WE WORK WITH THE COMMUNITY TO ADDRESS COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. PART VI, LINE 5: MAPLE GROVE HOSPITAL PROVIDES EDUCATIONAL RESOURCES FOR COMMUNITY MEMBERS SUCH AS CLASSES ON HEALTH CARE DIRECTIVES, KIDS SAFETY FAIRS AND SEMINARS ON HEALTH TOPICS. PART VI, LINE 6: MAPLE GROVE HOSPITAL IS A PART OF NORTH MEMORIAL HEALTH SYSTEM, WHICH IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. THROUGH TARGETED OUTREACH, EDUCATION AND PARTNERSHIPS, WE IMPROVE THE HEALTH OF OUR COMMUNITIES BY LISTENING TO THEIR NEEDS AND RESPONDING WITH APPROPRIATE PROGRAMS AND SERVICES. OUR PROGRAMS, MANY OF WHICH HAVE BEEN NATIONALLY RECOGNIZED, RANGE FROM HEALTH EDUCATION AND FREE SCREENING TO TRAINING HEALTH PROFESSIONALS. PART VI, LINE 7: MAPLE GROVE HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF MINNESOTA. X X X 0 1 0 0 0 0 0 0 0 J KEVIN CROSTON MD PRESIDENT AND CEO 0 1326539 0 386500 0 28322 0 518000 0 26406 0 2285767 0 0 SAMANTHA HANSON DIRECTOR 0 624191 0 123750 0 11035 0 18000 0 20037 0 797013 0 0 ANDREW COCHRANE CHIEF HOSPITAL OFFICER 0 590000 0 132750 0 16861 0 18000 0 25426 0 783037 0 0 DAN FROMM TREASURER AND CFO 0 574616 0 128625 0 16853 0 18000 0 29133 0 767227 0 0 CAROLYN OGLAND MD DIRECTOR 0 529616 0 118500 0 21641 0 18000 0 24675 0 712432 0 0 PAMELA DOORENBOS MD VP MEDICAL AFFAIRS 320535 0 68750 0 9999 0 18000 0 17216 0 434500 0 0 0 WENDY ULFERTS VP PATIENT CARE/ CHIEF NUR 300506 0 62500 0 6441 0 18000 0 15944 0 403391 0 0 0 ZWIRCHITZ FAITH E DIR, WMNS & CHILDRENS 187933 0 28070 0 2897 0 8640 0 19573 0 247113 0 0 0 VUGTEVEEN SHERYL L DIR, ACUTE CARE 179310 0 26728 0 5404 0 12398 0 21442 0 245282 0 0 0 ANNAMMA CHANDY PATIENT CARE FACILITATOR 196826 0 1105 0 496 0 9273 0 18159 0 225859 0 0 0 PART I, LINE 3 THE CHIEF EXECUTIVE OFFICER IS AN EMPLOYEE OF NORTH MEMORIAL HEALTH CARE. OTHER BOARD MEMBERS LISTED WITH COMPENSATION FROM A RELATED ORGANIZATION ARE OFFICERS AND KEY EMPLOYEES OF NORTH MEMORIAL HEALTH CARE WHO PROVIDE SERVICES TO MAPLE GROVE HOSPITAL AS WELL AS TO ALL OR SOME RELATED ENTITIES AS IDENTIFIED ON SCHEDULE R. AS SUCH, THEIR COMPENSATION LEVELS INCORPORATE SERVICES PROVIDED TO MULTIPLE NORTH MEMORIAL ENTITIES. PART I, LINE 4B DR. KEVIN CROSTON RECIEVED A CONTRIBUTION TO HIS 457(F) PLAN OF $500,000 DURING THE TAX YEAR. THIS AMOUNT IS INCLUDED IN COLUMN (C) OF SCHEDULE J, PART II. THE AMOUNT WAS UNVESTED AS OF THE END OF THE TAX YEAR. A CITY OF MAPLE GROVE 410873250 56516TBU8 2017-05-25 128801633 REFUNDING OF 2007 BOND SERIES 0 1 0 A 20440000 128801633 1020988 127780645 2017 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 3 NORTH MEMORIAL HEALTH CARE, A RELATED PARTY, PERFORMS MANAGEMENT DUTIES ON BEHALF OF MAPLE GROVE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 6 MAPLE GROVE HOSPITAL HAS ONE CLASS OF MEMBERS. NORTH MEMORIAL HEALTH CARE ("NORTH MEMORIAL") AND FAIRVIEW HEALTH SERVICES ("FAIRVIEW") ARE THE ONLY MEMBERS OF THE CORPORATION AND BOTH MEMBERS ARE NONPROFIT, TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MAPLE GROVE HOSPITAL WAS JOINTLY OWNED BY NORTH MEMORIAL (75%) AND FAIRVIEW (25%) UNTIL APRIL 15, 2022 AT WHICH TIME NORTH MEMORIAL BECAME SOLE OWNER THROUGH THE ACQUISITION OF FAIRVIEW HEALTH SERVICES' NON-CONTROLLING 25% INTEREST. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS IS COMPRISED OF SEVEN VOTING DIRECTORS AND ONE NON-VOTING DIRECTOR, AS FOLLOWS: (A) THE CHIEF EXECUTIVE OFFICER OF NORTH MEMORIAL AND FOUR OTHER DIRECTORS APPOINTED ANNUALLY BY NORTH MEMORIAL, (B) THE CHIEF EXECUTIVE OFFICER OF FAIRVIEW AND ONE OTHER DIRECTOR APPOINTED ANNUALLY BY FAIRVIEW AND (C) THE MAPLE GROVE HOSPITAL CHIEF EXECUTIVE OFFICER. THE MAPLE GROVE HOSPITAL CHIEF EXECUTIVE OFFICER IS A NON-VOTING DIRECTOR. EFFECTIVE APRIL 15, 2022, FAIRVIEW NO LONGER HAS ANY DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS, AND ONLY THE MEMBERS, MAY TAKE DIRECT ACTION ON THE FOLLOWING MATTERS BY UNANIMOUS MEMBER APPROVAL: (A) AMENDMENTS TO THE ARTICLES OF INCORPORATION; (B) AMENDMENTS TO THE BYLAWS; (C) MERGER OR CONSOLIDATION OF THE CORPORATION (D) SALE, LEASE OR TRANSFER OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (E) JOINT VENTURES AFFECTING SUBSTANTIALLY ALL OF THE ASSETS OR OPERATIONS OF THE CORPORATION; (F) DETERMINATION OF THE NAME UNDER WHICH THE HOSPITAL CONDUCTS BUSINESS; (G) CERTAIN MORTGAGES OR OTHER SECURITY INTERESTS; (H) ISSUANCE OF CAPITAL CALLS; AND (I) DISSOLUTION AND LIQUIDATION OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEW THE FORM 990 BEFORE IT IS FILED. REPRESENTATIVES FROM THE HOSPITAL'S INDEPENDENT ACCOUNTING FIRM REVIEW THE FORM 990 WITH MANAGEMENT IN DETAIL AND NOTES FOR THE BOARD ANY CHANGES IN THE FORM 990 FROM PRIOR YEARS. AFTER THOROUGH DISCUSSION, THE BOARD APPROVES THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C MAPLE GROVE HOSPITAL BOARD MEMBERS AND TEAM MEMBERS HAVE RESPONSIBILITY FOR ADMINISTERING THE AFFAIRS OF MAPLE GROVE HOSPITAL HONESTLY AND PRUDENTLY, AND FOR EXERCISING THEIR BEST CARE, SKILL, AND JUDGMENT FOR THE SOLE BENEFIT OF MAPLE GROVE HOSPITAL. MAPLE GROVE HOSPITAL PRACTITIONERS/CLINICIANS ALSO HAVE THE RESPONSIBILITY TO AVOID EXPLOITING THE PRACTITIONER-CUSTOMER RELATIONSHIP. MAPLE GROVE HOSPITAL BOARD MEMBERS AND TEAM MEMBERS MUST DISCLOSE ALL POTENTIAL CONFLICTS OF INTEREST. THE TERM CONFLICT OF INTEREST REFERS TO SITUATIONS IN WHICH FINANCIAL OR OTHER PERSONAL INTERESTS DIRECTLY AND SIGNIFICANTLY INFLUENCE, OR APPEAR TO INFLUENCE, PROFESSIONAL JUDGMENT AND RESPONSIBILITIES. MAPLE GROVE HOSPITAL HEALTH BOARD MEMBERS AND TEAM MEMBERS MUST EXERCISE THE UTMOST GOOD FAITH IN ALL TRANSACTIONS INVOLVED IN THEIR DUTIES, AND THEY MUST NOT USE THEIR POSITIONS WITH MAPLE GROVE HOSPITAL OR KNOWLEDGE GAINED FROM THESE POSITIONS FOR THEIR PERSONAL BENEFIT. THE INTERESTS OF MAPLE GROVE HOSPITAL MUST BE THE FIRST PRIORITY IN ALL DECISIONS. A CONFLICT OF INTEREST COULD EXIST WHENEVER A PERSONAL INTEREST INFLUENCES, OR APPEARS TO INFLUENCE, THE ABILITY OF A BOARD MEMBER OR TEAM MEMBERS TO EXERCISE OBJECTIVITY IN MEETING THEIR RESPONSIBILITIES ON BEHALF OF MAPLE GROVE HOSPITAL. INDIVIDUALS COVERED BY THIS POLICY MAY NOT TAKE PART IN ANY ACTION THAT RESULTS IN, OR HAS THE APPEARANCE OF RESULTING IN, PERSONAL OR PROFESSIONAL GAIN, OR BENEFIT TO AN ORGANIZATION OTHER THAN MAPLE GROVE HOSPITAL. TO AVOID AN ACTUAL CONFLICT OR ANY APPEARANCE OF A CONFLICT, NO BOARD MEMBER OR TEAM MEMBER MAY PARTICIPATE IN A TRANSACTION INVOLVING MAPLE GROVE HOSPITAL IN WHICH THAT INDIVIDUAL OR HIS/HER IMMEDIATE FAMILY HAS A PERSONAL INTEREST, WHETHER FINANCIAL OR NON-FINANCIAL. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR KEY POSITIONS INCLUDING THE CEO, OFFICERS, KEY EMPLOYEES AND OTHER KEY POSITIONS ARE REVIEWED BY THE EXECUTIVE COMMITTEE OF NORTH MEMORIAL WORKING IN CONJUNCTION WITH AN OUTSIDE CONSULTANT. THE EXECUTIVE COMMITTEE OF NORTH MEMORIAL 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: RETURN OF CAPITAL TO NORTH MEMORIAL HEALTH CARE -40,776,000. RETURN OF CAPITAL TO FAIRVIEW -1,592,000. OTHER CHANGES IN NET ASSETS -3,607,000. FORM 990, PART XII, LINE 2C: NEITHER THE OVERSIGHT PROCESS OF THE AUDIT OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE CURRENT TAX YEAR. NORTH MEMORIAL HEALTH CARE 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 410729979 ACUTE CARE MN 501(C)(3) LINE 3 NORTH MEMORIAL 0 NORTH MEMORIAL FOUNDATION 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 411777966 FUNDRAISING MN 501(C)(3) LINE 7 NORTH MEMORIAL 0 ASSOCIATED HEALTH ASSURANCE 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 980343815 INSURANCE BD 501(C)(3) LINE 12B, II NORTH MEMORIAL 0 NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE LLC 9855 HOSPITAL DRIVE MAPLE GROVE MN 55369 260393039 OUTPATIENT SURGERY MN N/A 0 0 MINNESOTA DIAGNOSTIC IMAGING PARTNERS LLC 2955 XENIUM LANE SUITE 40 PLYMOUTH MN 55441 352162215 RADIOLOGY MN N/A 0 0 NORTH RADIATION THERAPY CENTER 6950 FRANCE AVE S SUITE 200 EDINA MN 55435 743069974 RADIOLOGY MN N/A 0 0 BLAZE HEALTH LLC 8301 GOLDEN VALLEY RD STE 300 GOLDEN VALLEY MN 55427 842906333 HEALTH CARE MN N/A 0 0 OAKDALE HEALTH ENTERPRISES INC 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 411546422 AMBULANCE MN N/A C 0 NORTH COLLABORATIVE CARE 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 461680666 PRIMARY CARE MN N/A C 0 0 1 0 0 1 0 0 0 0 0 1 0 1 0 0 1 0 1 0 NORTH MEMORIAL HEALTH CARE B 40776000 CASH NORTH MEMORIAL HEALTH CARE E 74212500 AMOUNT GUARANTEE NORTH MEMORIAL HEALTH CARE K 4136370 AMOUNT PAID NORTH MEMORIAL HEALTH CARE M 27192367 AMOUNT PAID