2024-11-15T13:39:42-06:00 2023-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2023-01-01 208316475 MAPLE GROVE HOSPITAL CORPORATION MAPL 7635811000 9875 HOSPITAL DRIVE MAPLE GROVE MN 55369 TREVOR SAWALLISH PRESIDENT 7635811000 2024-11-15 1 1 LAWRENCE H MOHR CPA P00447603 6128764500 2024-11-15 X 2023 2024-10-15 13:58:12Z TREVOR SAWALLISH 3300 OAKDALE AVE N ROBBINSDALE MN 55422 274681128 0 X WWW.MAPLEGROVEHOSPITAL.ORG X 2006 MN TO EMPOWER OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. 3 0 1468 381 0 0 2354667 2000165 260546983 271852778 175475 493276 0 0 263077125 274346219 0 0 0 0 116265674 122702743 0 0 0 108568567 114962763 224834241 237665506 38242884 36680713 150483922 157773619 124681883 120371782 25802039 37401837 X TO EMPOWER OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. 0 0 207337261 269737331 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. 207337261 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 92 0 1468 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X STEPH GALE 7635205200 3300 OAKDALE AVENUE NORTH ROBBINSDALE MN 55422 CAROLYN OGLAND MD DIRECTOR 2.00 40.00 X 0 694230 42277 DAVID ALBRIGHT CHIEF FINANCIAL OFFICER 2.00 40.00 X X 0 511066 33850 J KEVIN CROSTON MD CEO AND BOARD CHAIR 2.00 40.00 X X 0 1452041 543528 DAN FROMM TREASURER AND CFO (THROUGH 05/2023) 2.00 42.00 X X 0 386471 45383 TREVOR SAWALLISH CHIEF OPERATING OFFICER 2.00 40.00 X 0 802167 24458 PAMELA DOORENBOS MD VP MEDICAL AFFAIRS 40.00 X 383756 0 31707 ANNAMMA CHANDY PATIENT CARE FACILITATOR 40.00 X 246574 0 33027 CATHY FEDDERSEN PATIENT CARE FACILITATOR 40.00 X 206861 0 30277 ROBERT MOSS PHARMACIST 40.00 X 200127 0 19037 JULISA ROESSLER PATIENT CARE FACILITATOR 40.00 X 208327 0 28972 1245645 3845975 832516 235 0 1 0 AYA HEALTHCARE INC 5930 CORNERSTONE CRT W STE 300 SAN DIEGO CA 92121 HEALTHCARE TEMP STAFFING 2776893 MINNESOTA NEONATAL SPECIALISTS 9325 UPLAND LN N STE 360 MAPLE GROVE MN 55369 PHYSICIAN SERVICES 1283483 EMERGENCY PHYSICIANS PROFESSIONAL ASSN 4300 MARKETPLACE DR SUITE 100 BLOOMINGTON MN 55435 PHYSICIAN SERVICES 744343 RESPIRATORY CONSULTANTS 3366 OAKDALE AVENUE NORTH 401 ROBBINSDALE MN 55422 PHYSICIAN SERVICES 476951 PRESCRIPTION LANDSCAPE INC 481 FRONT AVE ST PAUL MN 55117 SNOW AND ICE MANAGEMENT 453147 24 2000165 2000165 PATIENT REVENUE 621500 269737331 269737331 CMS/EHR PAYMENTS & OTH 900099 777586 777586 CONTRACT SERVICES 900099 719040 719040 MISCELLANEOUS REVENUE 621910 519964 519964 GIFT SHOP 900099 98857 98857 271852778 734719 734719 93466 334909 -241443 -241443 -241443 274346219 269737331 0 2608723 101373789 87384206 13989583 3377317 2911247 466070 11855379 10219337 1636042 6096258 5254974 841284 30903195 26638554 4264641 3460 3460 45630 45630 10942169 9432150 1510019 1800 1552 248 2471441 2130382 341059 191865 165388 26477 3090290 2663830 426460 34843 30035 4808 3979733 3430530 549203 7422495 6398191 1024304 1945195 1676758 268437 SUPPLIES 31732945 27353799 4379146 BAD DEBT EXPENSE 12025101 12025101 GOVERNMENT TAXES 6177158 6177158 MAINTENANCE AND REPAIRS 3112824 2683254 429570 882619 760815 121804 237665506 207337261 30328245 0 1350 1350 27876764 28115031 31408515 39487042 2685068 2697227 1456015 2162245 172605534 105735073 70777221 66870461 14850909 17534326 1428080 905937 150483922 157773619 15179235 16575595 105745738 100693156 3756910 3103031 124681883 120371782 X 25802039 37401837 25802039 37401837 150483922 157773619 X 36680713 1919085 -27000000 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1185270 1185270 116335460 62135562 54199898 54739199 43599511 11139688 345605 345605 66870461 CAPITAL LEASE OBLIGATIONS 726802 OPERATING LEASE RIGHT OF USE LIAB - SPACE 38806 DEFERRED LEASE LIABILITY-EQUIPMENT 876418 DEFERRED RENT LIABILITY 1461005 3103031 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 $331,000 AND $300,000 IN 2023 AND 2022, RESPECTIVELY, WHICH IS INCLUDED WITH OTHER OPERATING EXPENSES IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. NORTH MEMORIAL RECOGNIZES ALL TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT, BASED ON TECHNICAL MERITS, THE POSITION WILL BE SUSTAINED UPON EXAMINATION. NORTH MEMORIAL EVALUATES ITS UNCERTAIN POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN THE CONSOLIDATED BALANCE SHEETS AS OF DECEMBER 31, 2023 OR 2022. PLEASE NOTE THAT AMOUNTS INCLUDED ABOVE REGARDING UNRELATED BUSINESS INCOME ARE FOR NORTH MEMORIAL HEALTH AS WELL AS OTHER ORGANIZATIONS INCLUDED IN THE CONSOLIDATED AUDIT REPORT. MAPLE GROVE HOSPITAL DOES NOT HAVE ANY UNRELATED BUSINESS INCOME TAX LIABILITY FOR TAX YEAR 2023. 1 1 1 X 1 X 1 1 1 0 1 1 4728488 4728488 0.01990 47285504 31483488 15802016 0.06650 52013992 31483488 20530504 0.08640 144373 144373 0.00060 17000 17000 0.00010 161373 161373 0.00070 52175365 31483488 20691877 0.08710 1 12025101 59443930 61993114 -2549184 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: NORTH MEMORIAL HEALTH MAPLE GROVE HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022. THE 2022 CHNA WAS OUR FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH WAS GUIDED BY OUR COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT). CEAT IS COMPOSED OF COMMUNITY MEMBERS, NORTH MEMORIAL HEALTH TEAM MEMBERS AND LEADERS, AND PUBLIC HEALTH REPRESENTATIVES.IN 2023 WE BEGAN ADDRESSING OUR TWO PRIORITY HEALTH ISSUES OF RACIAL DISPARITIES IN HEALTH AND LIFE-IMPACTING TRAUMAS. TO IDENTIFY THE TOP COMMUNITY NEEDS PRIORITIES, WE LEVERAGED PRIMARY AND SECONDARY RESEARCH. -WE CONDUCTED 50 KEY INFORMANT INTERVIEWS WITH CEAT MEMBERS, COMMUNITY LEADERS, LOCAL GOVERNMENT, LAW ENFORCEMENT, EDUCATION, COMMUNITY-BASED ORGANIZATIONS, BUSINESS OWNERS, AND COMMUNITY MEMBERS WITHIN OUR SERVICE AREA.-WE ENGAGED WITH OUR COMMUNITY THROUGH DINNERS AND DIALOGUES, SLOW ROLL BIKE RIDE, AND OUTREACH AT COMMUNITY EVENTS. WE HELD 8 DINNER DIALOGUES (COMMUNITY MEAL & HEALTH FOCUSED FACILITATED CONVERSATION), 3 SLOW ROLLS (60-MINUTE NEIGHBORHOOD BIKE RIDES), OUTREACHED AT 17 COMMUNITY GATHERING EVENTS/SITES, 247 SURVEYS, RESIDENTS IN 78 UNIQUE ZIP CODES REACHED 683 TOTAL TOUCHPOINTS ACROSS ALL EVENTS AND ACTIVITIES.-WE ALSO STOOD UP A VIRTUAL COMMUNITY HEALTH CHAT WHERE NMH TEAM MEMBERS COULD RESPOND TO THE SAME SURVEY QUESTIONS AS THE COMMUNITY WAS. WE HAD 581 SITE VISITS WITH 34 REGISTRATIONS AND 32 ACTIVE PARTICIPANTS.-WE COLLECTED AND ANALYZED DATA FROM MULTIPLE RESOURCES INCLUDING DEMOGRAPHIC DATA THROUGH MAPITUDE; QUANTITATIVE DATA FROM THE MINNESOTA DEPARTMENT OF HEALTH, HENNEPIN COUNTY SHAPE 2018, COMMUNITY NEEDS INDEX AND OTHER PUBLIC HEALTH DATA; PATIENT DATA; AND THE 2019 MINNESOTA STUDENTS SURVEY CONDUCTED BY THE MINNESOTA DEPARTMENT OF EDUCATION. MAPLE GROVE HOSPITAL CORPORATION PART V, SECTION B, LINE 11: THE 2022 CHNA TOOK A COMPREHENSIVE VIEW OF HEALTH THROUGHOUT BOTH THE QUANTITATIVE AND QUALITATIVE DATA COLLECTION AND ANALYSIS PROCESS. MANY SIGNIFICANT HEALTH ISSUES WERE IDENTIFIED, AND COMMUNITY-WIDE CHALLENGES AND NEEDS WERE DISCUSSED EXTENSIVELY. RECOGNIZING HEALTH IS INFLUENCED BY SO MANY FACTORS OUTSIDE THE HEALTHCARE SYSTEM, WE ANALYZED KEY HEALTH ISSUES THAT WERE DEEMED TO BE CRITICAL HEALTH ISSUES, AS DETERMINED BY CEAT MEMBER SCORING OF ALL KEY HEALTH INDICATORS, AND ALSO SHOWED UP IN THE FINDINGS/KEY THEMES FROM QUALITATIVE DATA ACTIVITIES. THERE WERE A WIDE RANGE OF ISSUES THAT ROSE TO THE TOP AS BEING MOST CRITICAL. TWO THEMES SHOWED UP REPEATEDLY THROUGHOUT MUCH OF THIS WORK AND THEY WERE SELECTED AS THE TOP TWO PRIORITIES FOR FUTURE WORK. THESE ISSUES ARE RACIAL DISPARITIES IN HEALTH AND LIFE-IMPACTING TRAUMAS. WE ARE COMMITTED TO FOCUSING ON AND IMPROVING OUR COMMUNITY'S HEALTH IN THESE AREAS AND BELIEVE IF WE FOCUS ON THESE TWO AREAS, MANY OF THE KEY HEALTH INDICATORS WILL SHOW IMPROVEMENT OVER TIME. THERE WERE OTHER HEALTH ISSUES THAT SHOWED UP IN OUR COMMUNITY CONVERSATIONS AND QUANTITATIVE ANALYSIS THAT WERE NOT SELECTED DUE TO RESOURCE CONSTRAINTS. IT IS BELIEVED SEVERAL OF THESE WILL BE IMPROVE BY WORK IN OUR TWO PRIORITY HEALTH AREAS, THESE TOPICS INCLUDED: 1. MOTHERS AND BABIES 2. CHRONIC CONDITIONS (OBESITY, DIABETES, ASTHMA, CARDIOVASCULAR DISEASE) 3. MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT 4. ELDER CARE 5. REPRODUCTIVE HEALTH AND SEXUALLY TRANSMITTED DISEASES 6. HEALTHY FOODS AND ENVIRONMENTS NORTH MEMORIAL HEALTH MAPLE GROVE HOSPITAL DEVELOPED A COMMUNITY HEALTH IMPLEMENTATION PLAN OUTLINING THE STRATEGIES WE WOULD IMPLEMENT TO ADDRESS THESE NEEDS IN 2023-2025. THE CONTENT IN THE FOLLOWING SECTIONS OUTLINES THE PRIORITIES, THE STRATEGIES WITHIN EACH PRIORITY, AND WHAT WE ACCOMPLISHED IN 2023. PRIORITY ONE: RACIAL DISPARITIES IN HEALTHRACIAL DISPARITIES WERE EVIDENT THROUGHOUT THE ASSESSMENT PROCESS AND HAVE A SEVERE IMPACT ON HEALTH AND QUALITY OF LIFE. AS A RESULT, PEOPLE EXPERIENCED A LACK OF ACCESS TO HEALTHCARE; DID NOT HAVE A PRIMARY CARE PROVIDER; DELAYED CARE, ESPECIALLY FOR MENTAL HEALTH; AND REPORTED HIGHER USE OF EMERGENCY DEPARTMENTS FOR SICKNESS. SOME EXAMPLES OF RACIAL DISPARITIES IN HEALTH IN OUR COMMUNITY ARE:- CHRONIC DISEASES SUCH AS HYPERTENSION, DIABETES, AND CANCER, ARE MORE PREVALENT IN BIPOC (BLACK, INDIGENOUS AND PEOPLE OF COLOR) COMMUNITY MEMBERS.- INFANT MORTALITY RATES ARE HIGHER IN BLACK, HISPANIC, AND AMERICAN INDIAN POPULATIONS.- COMMUNICABLE DISEASES IMPACT BIPOC COMMUNITIES MORE SEVERELY, AS SHOWN BY HIGHER COVID-19 DEATH RATES AND HOSPITALIZATIONS, AS WELL AS HIGHER RATES OF SEXUALLY TRANSMITTED INFECTIONS.- UNINTENTIONAL INJURY RATES AMONG AFRICAN AMERICANS, AMERICAN INDIANS, AND ALASKA NATIVES ARE HIGHER THAN THOSE OF WHITE RESIDENTS.THE 2023-2025 CHIP HAS FOCUSED ON TWO ISSUES UNDER RACIAL DISPARITIES: 1) BREAST CANCER AND BLACK WOMEN AND 2) INCREASING PREVENTIVE CARE AMONG BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC) COMMUNITY MEMBERS. THESE ISSUES WERE CONCERNS NOTED IN BOTH OUR COMMUNITY ENGAGEMENT WORK AND QUANTITATIVE DATA FINDINGS. WE HAVE SELECTED TO FOCUS ON BLACK WOMEN AND BREAST CANCER BECAUSE, IN MINNESOTA, AFRICAN AMERICAN WOMEN HAVE A BREAST CANCER MORTALITY RATE THAT IS 24 PERCENT HIGHER THAN THAT OF WHITE NON-HISPANIC/LATINA WOMEN, DESPITE INCIDENCE RATES THAT ARE 22 PERCENT LOWER. 1 BREAST CANCER IS THE LEADING CAUSE OF CANCER DEATH IN BLACK WOMEN. 2 NATIONALLY, BLACK WOMEN ARE 40% MORE LIKELY TO DIE FROM BREAST CANCER THAN WHITE WOMEN. 3, 4 COMPARED TO OTHER RACES, A GREATER PROPORTION OF AFRICAN AMERICAN WOMEN HAVE THEIR BREAST CANCERS DIAGNOSED AT A LATER, LESS TREATABLE STAGE.1 WE WILL BUILD UPON THE EFFORTS OF NORTH MEMORIAL HEALTH TEAMS AND COMMUNITY ORGANIZATIONS, SUCH AS THE BREAST CANCER GAPS PROJECT, WORKING TO ADDRESS THE ISSUE. NORTH MEMORIAL HEALTH'S BREAST CANCER SCREENING IMPROVEMENT GROUP HAS IDENTIFIED OVER 290 BLACK WOMEN OVERDUE FOR MAMMOGRAMS WHO LIVE WITHIN AN 8-MILE RADIUS OF THE NORTH MEMORIAL HEALTH BREAST CENTER.DURING COVID-19, MANY PEOPLE PUT OFF ROUTINE CARE. IT IS TIME TO BRING ATTENTION TO THE IMPORTANCE OF PREVENTIVE HEALTH CARE SUCH AS HEALTH SCREENINGS (E.G., MAMMOGRAMS, PAP SMEARS, CHOLESTEROL, DIABETES, AND BLOOD PRESSURE SCREENING) SO THAT CHRONIC DISEASES ARE DIAGNOSED AT EARLIER, MORE TREATABLE, STAGES. PREVENTIVE CARE ALSO INCLUDES STAYING UP TO DATE ON AGE-APPROPRIATE IMMUNIZATIONS SUCH AS INFLUENZA, SHINGLES, PNEUMONIA, AND MEASLES. OUR FOCUS ON PREVENTION WILL ALSO ENCOURAGE LOCAL RESIDENTS TO ESTABLISH A RELATIONSHIP WITH A PRIMARY CARE PROVIDER WHO CAN PARTNER WITH THEM TO MAKE SURE THEY RECEIVE THE REGULAR PREVENTIVE CARE THEY NEED TO STAY HEALTHY. ADDRESSING RACIAL HEALTH DISPARITIES IN 2023CHIP GOAL: REDUCE DISPARATE OUTCOMES IN BREAST CANCER FOR BLACK WOMEN AND PREVENTIVE HEALTH CARE.STRATEGIES AND ACTIONS (BY OBJECTIVE):OBJECTIVE 1: EXAMINE POLICIES, PROGRAMS, AND INITIATIVES TO IMPROVE BREAST CANCER OUTCOMES FOR BLACK WOMEN.STRATEGY 1: LEARN HOW TO USE THE RACIAL EQUITY TOOL AND THE RACIAL EQUITY DECISION-MAKING TOOL. ACTION: ON JULY 11, 2023, A BUILDING RACIAL EQUITY TRAINING, TAUGHT BY RACE FORWARD STAFF, WAS HELD AT NORTH MEMORIAL HEALTH ROBBINSDALE HOSPITAL WITH 50 INDIVIDUALS, INCLUDING A NUMBER FROM NMH MAPLE GROVE HOSPITAL AND A COUPLE COMMUNITY PARTNERS ATTENDING.ACTION: ON SEPTEMBER 12, 2023, A DECISION-MAKING FOR RACIAL EQUITY TRAINING WAS HELD, TAUGHT BY RACE FORWARD STAFF, WAS HELD WITH 42 INDIVIDUALS INCLUDING A NUMBER FROM NMH MAPLE GROVE HOSPITAL AND A COUPLE COMMUNITY PARTNERS ATTENDING.STRATEGY 2: DEVELOP RELATIONSHIPS WITH BOTH INTERNAL AND EXTERNAL PARTNERS TO ADDRESS BREAST CANCER DISPARITIES FOR BLACK WOMEN.ACTION: AN INTERNAL NMH BREAST HEALTH WORKGROUP HAS BEEN DEVELOPED WHOSE MEMBERS ARE BLACK WOMEN WHO WORK AT NMH. THEIR INITIAL MEETING WAS HELD AUGUST 28TH, AND THEY HELD 2 OTHER MEETINGS THROUGHOUT THE REMAINDER OF THE YEAR WITH A FOCUS ON UNDERSTANDING BARRIERS TO BREAST HEALTH SCREENINGS FOR BLACK WOMEN AND DISCUSSING THE CARE, TREATMENT AND SUPPORT OFFERED BY NMH TO BLACK WOMEN WITH BREAST CANCER. ACTION: IN 2023 WE CONTACTED CULTURAL WELLNESS CENTER TO CONDUCT COMMUNITY-BASED FOCUS GROUPS IN 2024 TO DISCUSS BARRIERS AND ISSUES IMPACTING BLACK WOMEN IN THEIR BREAST HEALTH JOURNEY. ACTION: IN 2023, NMH PARTICIPATED IN A NUMBER OF EVENTS TO PROMOTE BREAST HEALTH AND THE IMPORTANCE OF GETTING ANNUAL MAMMOGRAMS. AT THESE EVENTS WE PROMOTED WOMEN'S BREAST HEALTH THROUGH SURVEYS, ENCOURAGED BREAST CANCER SCREENINGS, AND HAD BOTH EXHIBITS AND OUTREACH MATERIALS FOCUSED ON BLACK WOMEN AND BREAST HEALTH. OUTREACH MATERIALS INCLUDED BREAST SELF-EXAM SHOWER CARDS FEATURING BLACK WOMEN AND EXHIBITS ON BREAST CANCER SIGNS AND SYMPTOMS. ONE OF THE EXHIBITS INCLUDED CULTURALLY APPROPRIATE BREASTS WHERE PARTICIPANTS WERE ABLE TO FEEL THE DIFFERENCE BETWEEN A HEALTHY BREAST, A FIBROCYSTIC BREAST, AND A BREAST WITH CANCEROUS LUMPS. WE TALKED TO WOMEN ABOUT THEIR BREAST HEALTH AND ENCOURAGED THEM TO MAINTAIN ANNUAL MAMMOGRAMS. WE ALSO REACHED OUT TO OTHER FAMILY MEMBERS (E.G., SPOUSES, PARTNERS, OLDER CHILDREN) AND ASKED THEM TO ENCOURAGE THEIR FAMILY MEMBERS TO GET MAMMOGRAMS. 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: - LIVE YOUR HEALTHY LYFE COMMUNITY EVENT: THIS EVENT WAS HELD ON AUGUST 12TH, AND WE REACHED MORE THAN 75 WOMEN WHO LIVE IN THE NORTH MINNEAPOLIS AREA.- NMH GOLF TOURNAMENT WAS HELD JUNE 6TH IN MAPLE GROVE: WE TALKED TO OVER 100 PEOPLE AT THIS EVENT ABOUT BREAST HEALTH AND THE IMPORTANCE OF GETTING ANNUAL MAMMOGRAMS. - BE THE CHANGE GOLF TOURNAMENT WAS HELD ON SEPTEMBER 10 AT THE THEODORE WIRTH GOLF COURSE IN MINNEAPOLIS: WE PROVIDED OUTREACH TO GOLFERS AND ENCOURAGED THEM TO TALK TO FAMILY MEMBERS ABOUT THE IMPORTANCE OF MAMMOGRAMS. WE REACHED OVER 100 PEOPLE AT THIS EVENT, WHICH WAS ATTENDED BY A NUMBER OF BIPOC NORTH MINNEAPOLIS RESIDENTS. - FAMILY RUN/WALK SPONSORED BY MELANIN IN MOTION AND ZETA LOTA SIGMA ALUMNI OF THE SIGMA GAMMA RHO SORORITY WAS HELD ON SEPTEMBER 23RD AT THEODORE WIRTH PARK IN MINNEAPOLIS. WE REACHED ABOUT 40 COMMUNITY MEMBERS AND OTHER NON-PROFITS IN THE REGION WITH THE IMPORTANT MESSAGING AROUND BREAST HEALTH AND GETTING AN ANNUAL MAMMOGRAM. - NEW HOPE YMCA COMMUNITY RESOURCE FAIR EVENT WAS HELD ON OCTOBER 26: THIS EVENT WAS ATTENDED BY OVER 100 PEOPLE, MOSTLY MEMBERS OF THE NEW HOPE YMCA, ABOUT BREAST HEALTH. WE SPOKE WITH OVER 75 PEOPLE. STRATEGY 3: UTILIZE A RACIAL EQUITY TOOL TO DEVELOP A COMMUNITY ENGAGEMENT PLAN TO INCLUDE THE COMMUNITY'S VOICE IN ALL ASPECTS OF RESEARCH AND DEVELOPING RECOMMENDATIONS FOR IMPROVEMENT.ACTION: AT THE INTERNAL NMH BLACK WOMEN AND BREAST HEALTH MEETINGS, PARTICIPANTS USED RACE FORWARD'S DECISION-MAKING FOR RACIAL EQUITY TOOL TO GUIDE CONVERSATIONS ABOUT CHOICE POINTS AND IMPROVING BREAST HEALTH SERVICES FOR BLACK WOMEN.STRATEGY 4: DEVELOP A LIST OF BEST PRACTICE STRATEGIES AND POTENTIAL PARTNERS TO IMPROVE BREAST CANCER OUTCOMES FOR BLACK WOMEN.ACTION: INITIAL LISTS OF BEST PRACTICES FOR BREAST HEALTH WITH BLACK WOMEN WERE DEVELOPED BY NMH'S SUMMER INTERN AND SENIOR COMMUNITY HEALTH SPECIALIST AS PART OF OUR CHIP.ACTION: KEY PARTNERS WERE LISTED AS PART OF OUR CHIP AND WERE EXPANDED UPON AS OUR BLACK WOMEN AND BREAST HEALTH PROJECT WAS INITIATED IN 2023. OBJECTIVE 2: EXAMINE POLICIES, PROGRAMS, AND INITIATIVES TO INCREASE PREVENTIVE HEALTH CARE FOR OUR BIPOC COMMUNITY. MOST OF THIS WORK WILL TAKE PLACE IN 2024-25.STRATEGY 1: CREATE A LIST OF BEST PRACTICES AND POTENTIAL PARTNERS TO INCREASE PREVENTIVE CARE FOR BIPOC RESIDENTS.ACTION: THE SENIOR COMMUNITY HEALTH SPECIALIST BEGAN TO COLLECT BEST PRACTICES FOR INCREASING PREVENTIVE CARE AMONG BIPOC POPULATIONS.ACTION: A LIST OF POTENTIAL PARTNERS WAS STARTED TO BE DEVELOPED IN 2023.STRATEGY 2: DEVELOP RELATIONSHIPS WITH BOTH INTERNAL AND EXTERNAL PARTNERS TO ADDRESS PREVENTIVE HEALTH CARE DISPARITIES. ACTION: THE SENIOR COMMUNITY HEALTH SPECIALIST HAS BEEN ASKED TO SIT ON A HENNEPIN COUNTY CLOSING THE GAP WITH SOCIAL DETERMINANTS OF HEALTH ACCELERATOR PLANNING GRANT. THE ONE-YEAR CENTER FOR DISEASE CONTROL AND PREVENTION GRANT WILL SUPPORT THE CREATION OF A MULTISECTORAL ACTION PLAN TO ADDRESS CHRONIC DISEASE PREVENTION AMONG BLACK AND AFRICAN AMERICAN RESIDENTS IN MINNEAPOLIS, BROOKLYN PARK, AND BROOKLYN CENTER. THE LEADERSHIP TEAM WILL COLLABORATE TO IDENTIFY COMMUNITY-WIDE APPROACHES THAT WILL REDUCE CHRONIC DISEASE DISPARITIES AND IMPROVE POPULATIONS HEALTH BY FOCUSING ON COMMUNITY-CLINICAL LINKAGES AND SOCIAL CONNECTEDNESS WITH A SPECIFIC FOCUS ON INCREASING PREVENTIVE HEALTH ACTIONS. LESSONS LEARNED IN THIS PROJECT WILL BE ABLE TO BE APPLIED TO BIPOC POPULATIONS THROUGHOUT NORTH MEMORIAL HEALTH'S SERVICE AREA.STRATEGY 3: DEVELOP A COMMUNITY ENGAGEMENT PLAN TO INCLUDE THE COMMUNITY'S VOICE IN ALL ASPECTS OF RESEARCH AND DEVELOP RECOMMENDATIONS FOR IMPROVEMENT. ACTION: THIS WORK IS PRIMARILY PLANNED FOR 2024-2025, HOWEVER, WORK ON THE HENNEPIN COUNTY GRANT NOTED ABOVE AND OTHER COMMUNITY ENGAGEMENT WORK IN 2023 HELPED DEVELOP KEY PARTNERS WE MAY WANT TO FURTHER ENGAGE WITHIN 2024-2025.OBJECTIVE 3: IMPROVE NMH TEAM MEMBER'S CULTURAL COMPETENCY. STRATEGY 1: CULTURAL COMPETENCY TRAINING, INCORPORATE INTO MANDATORY ANNUAL TRAINING.ACTION: NMH'S REQUIRED EDUCATION FOR ALL STAFF INCLUDES COURSES ON EMPLOYEE RIGHTS AND ACCOMMODATIONS IN A NUMBER OF AREAS INCLUDING DISABILITIES, RELIGIOUS BELIEFS AND PRACTICES, AND PREGNANCY. ALL NMH TEAM MEMBERS ARE REQUIRED TO TAKE TRAININGS ON RESPECTFUL WORKPLACES WHICH EMPHASIZES "NMH VALUES AN INCLUSIVE CULTURE AND PROMOTES A RESPECTFUL WORK ENVIRONMENTS WHERE PEOPLE TREAT EACH OTHER WITH RESPECT, COURTESY, AND PROFESSIONALISM AND WHERE INDIVIDUAL DIMENSIONS OF DIFFERENCE ARE VALUED." TRAININGS ALSO ADDRESS UNLAWFUL HARASSMENT, HOSTILE WORK ENVIRONMENTS, AND INAPPROPRIATE BEHAVIORS AND PROVIDE EXAMPLES OF EACH AND HOW TO REPORT. ACTION: NICK ALM, FOUNDER OF MOSSIER INC. TRAINED EIGHT CAFETERIA LEADERSHIP TEAM ON APRIL 13, 2023, ON GENDER AND PRONOUNS. ACTION: ALL NMH STAFF HAS ACCESS TO THE RESOURCES DEVELOPED BY MOSSIER INC, AN ORGANIZATION AIMED AT INCREASING SUCCESSFUL EMPLOYMENT OPPORTUNITIES FOR PERSONS WHO IDENTIFY AS LGBTQIA+. BY THE END OF 2023, 59 NMH TEAM MEMBERS HAVE JOINED MOSSIER, INC. RESOURCE SITE. STRATEGY 2: IMPLICIT BIAS TRAINING IN SUPPORT OF MN'S DIGNITY IN PREGNANCY AND CHILDBIRTH ACTACTION: ALL LABOR AND DELIVERY STAFF WERE MANDATED TO TAKE MINNESOTA'S DIGNITY IN PREGNANCY AND CHILDBIRTH TRAININGS (A SERIES OF THREE) IN 2023. OTHER STAFF WERE ALSO ENCOURAGED TO PARTICIPATE IN THE TRAININGS, WHICH ARE AVAILABLE IN OUR STAFF TRAINING SITE. 105 ROBBINSDALE HOSPITAL AND 391 MAPLE GROVE HOSPITAL TEAM MEMBERS TOOK THE TRAININGS IN 2023. ACTION: "NMH MINNESOTA: DIGNITY IN PREGNANCY & CHILDBIRTH FOR INDIGENOUS WOMEN & BIRTHING PEOPLE" WAS ADDED INTO OUR HEALTHSTREAM CATALOGUE FOR NMH TEAM MEMBERS TO ACCESS. STRATEGY 3: BEING AN EFFECTIVE LEADER IN THE 21ST CENTURY: THE ROLE OF UNCONSCIOUS BIAS AND THE POWER OF AWARENESS BASED DECISION MAKING TRAINING FOR ALL LEADERS.ACTION: ON JANUARY 20, 2023, THE QUALITY LEADERSHIP TEAM MEETING HAD A FOCUS ON CULTURAL COMPETENCY TRAINING.ACTION: ON APRIL 6, 2023, NMH'S IT LEADERSHIP ACADEMY HAD TRAINING WITH A FOCUS ON CULTURAL COMPETENCY.ACTION: CHIEF STRATEGY OFFICER'S DIVISION LEADERSHIP TEAM HAD A TRAINING ON CULTURAL COMPETENCY ON MARCH 30, 2023. THEY WERE ALSO ENCOURAGED TO TAKE MORE CLASSES ON THE HRC FOUNDATION SITE AND THE DIGNITY IN PREGNANCY AND CHILDBIRTH CLASSES IN HEALTHSTREAM. ACTION: ANTHONY TAYLOR OF CULTURAL WELLNESS CENTER WAS A GUEST SPEAKER AT THE JULY 28, 2023, INSIGHT LEADERS FORUM AND HE PRESENTED ON "FROM RACE TO CULTURE" TO 58 NMH LEADERS.ACTION: THE PATIENT CARE DIRECTOR TEAM HAD CULTURAL COMPETENCY TRAININGS ON APRIL 13 AND JULY 13, 2023. ACTION: RACE POWER OF ILLUSION IS AVAILABLE IN OUR ONLINE EDUCATIONAL SYSTEM (HEALTHSTREAM) FOR ALL NMH EMPLOYEES.ACTION: 18 NMH TEAM MEMBERS COMPLETED THE INTERCULTURAL DEVELOPMENT INVENTORY (IDI) IN 2023. PRIORITY TWO: LIFE-IMPACTING TRAUMASTHE EFFECTS OF COVID-19 AND SYSTEMIC RACISM HAVE RESULTED IN LARGE NUMBERS OF OUR POPULATION FEELING DEPRESSED, ANXIOUS, AND ISOLATED. IN ADDITION, TRAUMAS SUCH AS DEATHS FROM COVID-19, COMMUNITY VIOLENCE, OPIOID OVERDOSES, AND SUICIDES HAVE LEFT MANY PEOPLE GRIEVING AND IN NEED OF SUPPORT TO HELP THEM HEAL. OUR NEEDS ASSESSMENT FOUND THAT MANY YOUTH AND ADULTS FEEL A LACK OF SOCIAL SUPPORT. ADDITIONALLY, THE MINNESOTA STUDENT SURVEY DATA FROM OUR REGION SHOWED MANY YOUTHS HAD 3+ ADVERSE CHILDHOOD EXPERIENCES (ACES) BY 9TH GRADE AND/OR HAD SELF-INJURED THEMSELVES IN THE PAST YEAR. HIGHER RATES WERE REPORTED IN THE ANOKA SCHOOL DISTRICT, WHICH INCLUDES THE COMMUNITIES OF DAYTON, CHAMPLIN, BROOKLYN CENTER, AND BROOKLYN PARK, ALL IN NMH'S CONSOLIDATED SERVICE AREA.OTHER DRIVERS OF LIFE-IMPACTING TRAUMA IN OUR COMMUNITY ARE FROM TRIPLE "ACES":ADVERSE CHILDHOOD EXPERIENCES ARE TRAUMATIC EVENTS THAT OCCUR IN CHILDHOOD AND CAN INCLUDE VIOLENCE, ABUSE, AND NEGLECT AS WELL AS GROWING UP IN A FAMILY WITH MENTAL HEALTH ISSUES, SUBSTANCE USE, DOMESTIC VIOLENCE, AND/OR PARENTAL DIVORCE OR SEPARATION. PEOPLE WHO REPORT EXPERIENCING ACES FROM AGES 0-17 HAVE MORE HEALTH PROBLEMS, INCLUDING DEPRESSION, HEART DISEASE, SEXUALLY TRANSMITTED INFECTIONS, SUBSTANCE USE, AND SUICIDE ATTEMPTS.ADVERSE COMMUNITY EXPERIENCES SUCH AS CRIME, SOCIAL UNREST AND VIOLENCE ALL IMPACT THE HEALTH OF OUR COMMUNITY. COMMUNITY MEMBERS REPORTED NOT FEELING SAFE IN THEIR NEIGHBORHOODS OR BEING IMPACTED BY ACTS OF COMMUNITY VIOLENCE, WHICH LEADS TO HIGHER LEVELS OF ANXIETY, DEPRESSION, AND LONELINESS.ADVERSE COMMUNITY ENVIRONMENTS ARE THOSE NATURAL OR HUMAN-CAUSED DISASTERS (EARTHQUAKES, TORNADOES, WILDFIRES, FLOODS, TERRORIST ACTS) AND THREATS SUCH AS DISEASE OUTBREAKS, LIKE THE COVID-19 PANDEMIC, WHICH IMPACT MANY LIVES, STRAINING LOCAL RESOURCES AIMED AT RESPONSE AND RECOVERY TO SUCH DISASTERS OR THREATS.CONTINUED... PART V, SECTION B, LINE 11 CONTINUED: INPUT FROM OUR CHNA COMMUNITY ENGAGEMENT ACTIVITIES NOTED THE IMPORTANCE OF NMH BECOMING A TRAUMA-INFORMED ORGANIZATION. IMPLEMENTING A TRAUMA-INFORMED CARE APPROACH WILL BE AN ONGOING ORGANIZATIONAL CHANGE PROCESS. A "TRAUMA-INFORMED APPROACH" IS NOT A PROGRAM MODEL THAT CAN BE IMPLEMENTED AND THEN SIMPLY MONITORED BY A FIDELITY CHECKLIST. RATHER, IT IS A PROFOUND PARADIGM SHIFT IN KNOWLEDGE, PERSPECTIVE, ATTITUDES, AND SKILLS THAT CONTINUES TO DEEPEN AND UNFOLD OVER TIME. SOME LEADERS IN THE FIELD OF TRAUMA ARE BEGINNING TO TALK ABOUT A "CONTINUUM" OF IMPLEMENTATION, WHERE ORGANIZATIONS MOVE THROUGH STAGES. THE CONTINUUM BEGINS WITH BECOMING TRAUMA-AWARE AND MOVES TO TRAUMA-SENSITIVE THEN TO TRAUMA-RESPONSIVE TO BEING FULLY TRAUMA-INFORMED.ADDRESSING LIFE-IMPACTING TRAUMAS IN 2023CHIP GOAL: LAY THE GROUNDWORK AND BUILD AWARENESS FOR TRAUMA-INFORMED CARE.OBJECTIVE 1: DEVELOP A ROADMAP TO HELP NMH BECOME A TRAUMA-INFORMED ORGANIZATION.STRATEGY 1: RESEARCH TRAUMA-INFORMED SYSTEMS BEST PRACTICES AROUND THE UNITED STATESACTION: BEST PRACTICES RESOURCES FOR ORGANIZATIONS BECOMING TRAUMA-INFORMED WERE DEVELOPED BY THE SENIOR COMMUNITY HEALTH SPECIALIST AND PROVIDED TO THE EMERGING LEADERS PROGRAM COHORT WHO SUBSEQUENTLY DEVELOPED A ROADMAP AND RECOMMENDATIONS FOR NMH TO BECOME A TRAUMA-INFORMED SYSTEM.ACTION: THE EMERGING LEADERS PROGRAM COHORT PRESENTED THEIR "NORTH MEMORIAL HEALTH'S ROADMAP TO BECOMING A TRAUMA-INFORMED CARE SYSTEM ROADMAP AND RECOMMENDATIONS" TO THEIR PEERS AND NMH LEADERSHIP AND THEIR PEERS ON DECEMBER 4, 2023.STRATEGY 2: PROMOTE EMPLOYMENT OPPORTUNITIES AND ENCOURAGE INTERVIEWS FROM A VARIETY OF BACKGROUNDS (RACIAL, CULTURAL, LGBTQIA+)ACTION: HR LISTED POSITIONS ON MOSSIER, INC, AN ORGANIZATION FOCUSED ON INCREASING JOB OPPORTUNITIES AND WORKPLACE SATISFACTION FOR PEOPLE WHO IDENTIFY AS LGBTQIA+. ACTION: A LEADER OF NMH'S STRATEGY DEPARTMENT AND A REPRESENTATIVE FROM HUMAN RESOURCES REPRESENTED NMH ON MOSSIER'S ON-LINE VIRTUAL JOB SEEKER MEETINGS IN THE TWIN CITIES. ACTION: ON APRIL 27, 2023, OUR DEI SYSTEM DIRECTOR AND HR STAFF ATTENDED THE PEOPLE OF COLOR CAREER FAIR. ONE ATTENDEE WAS RECRUITED TO SIT ON OUR COMMUNITY ENGAGEMENT ADVISORY TEAM. OBJECTIVE 2: PROVIDE TRAINING ON THE IMPACT OF TRAUMA ON HEALTH AND BEHAVIOR FOR ALL TEAM MEMBERS AND THE COMMUNITY.STRATEGY 1: HOLD A CONFERENCE TO INCREASE AWARENESS AT NMH AND WITHIN THE COMMUNITY ABOUT TRAUMA/ACES AND RESILIENCE/HEALING.ACTION: ON OCTOBER 6, 2023, A TRAUMA SYMPOSIUM ENTITLED "CULTIVATING TRAUMA-INFORMED CARE THROUGH GROWTH, HEALING, AND KNOWLEDGE" WAS HELD AND ATTENDED BY OVER 125 COMMUNITY MEMBERS, NMH TEAM MEMBERS AND PROVIDERS. MANY STAFF FROM NON-PROFIT AGENCIES LOCATED IN THE NORTHWEST SUBURBS ATTENDED THE SYMPOSIUM. NMH'S DR. RYAN VAN WYK LAID THE GROUNDWORK FOR UNDERSTANDING TRAUMA-INFORMED CARE. HIS KEYNOTE PRESENTATION IS AVAILABLE ON NORTH'S COMMUNITY HEALTH WEBSITE. MANY OF THE PRESENTATIONS WERE VIDEOTAPED AND ARE NOW AVAILABLE TO NORTH TEAM MEMBERS IN OUR LEARNING AND DEVELOPMENT SITE. NMH TEAM MEMBERS CAN EARN CEUCMES FOR WATCHING THEM. IN THIS MANNER WE HOPE TO CONTINUE TO EDUCATE AND ADVOCATE FOR NORTH BECOMING A TRAUMA-INFORMED ORGANIZATION. STRATEGY 2: DEVELOP A COMMUNICATIONS CAMPAIGN TO RAISE AWARENESS ABOUT THE THREE ACES AND COMMUNITY RESOURCES. ACTION: IN 2023, WE PLACED INTERNAL COMMUNICATIONS PIECES TO RAISE AWARENESS ABOUT OUR PRIORITY HEALTH ISSUES AND CHIP STRATEGIES. NMH LEADERSHIP AND TEAM MEMBERS WERE KEPT APPRISED OF OUR CHNA AND CHIP AND STRATEGIES WE WERE IMPLEMENTING TO ADDRESS OUR KEY HEALTH PRIORITIES IN 2023 THROUGH STRATEGIC COMMUNICATIONS INCLUDING THE CHIEF MEDICAL OFFICER'S CMO NEWSLETTER IN JANUARY AND MARCH OF 2023, AN UPDATE FROM THE CEO DR. KEVIN CROSTON ON THIS WORK TO THE HOSPITAL BOARD OF TRUSTEES AND SENIOR LEADERSHIP IN MARCH OF 2023, AND AN ARTICLE IN THE DOSE ON FEBRUARY 16. NMH TEAM MEMBERS WERE INVITED TO PARTICIPATE IN THE TRAUMA SYMPOSIUM THROUGH NUMEROUS ARTICLES IN THE DOSE IN SUMMER-FALL 2023. STRATEGY 3: EDUCATE STAFF ON SECONDARY TRAUMA STRESS AND THE THREE ACES.ACTION: AT THE TRAUMA SYMPOSIUM HELD ON OCTOBER 6, 2023, SEVERAL OF THE SESSIONS ADDRESSED THE ISSUE OF SECONDARY TRAUMA STRESS ALONG WITH FOCUSING ON THE THREE CATEGORIES OF TRAUMA INCLUDING ADVERSE CHILDHOOD EVENTS, ADVERSE COMMUNITY EVENTS, AND ADVERSE COMMUNITY ENVIRONMENTS.ACTION: VARIOUS MESSAGES WERE SHARED BY NMH'S RESILIENCY COACH ABOUT THE PRESENCE AND IMPACT OF SECONDARY TRAUMA STRESS ON THE HEALTH OF HEALTH CARE PROVIDERS.ACTION: THE NMH RESILIENCY COACH HELPED PLAN, ORGANIZE, AND PARTICIPATE IN THE MINNESOTA CARES CONFERENCE, AN EVENT FOCUSED ON WELLNESS AND RESILIENCY SESSIONS AIMED AT HEALTH CARE WORKERS IN THE STATE OF MINNESOTA.OBJECTIVE 3: SUPPORT A CULTURE OF EMPLOYEE WELLNESS.STRATEGY 2: CREATE AN NMH JOURNAL FOR TEAM MEMBERS AND COMMUNITY MEMBERS THAT SUPPORT RESILIENCY AND TRAUMA EDUCATION.ACTION: THE NMH JOURNAL WAS PUBLISHED AND DISTRIBUTED TO NMH TEAM AND COMMUNITY MEMBERS AT THE TRAUMA SYMPOSIUM AND WITHIN THE NMH SYSTEM.STRATEGY 3: DEVELOP SPACE FOR STAFF SELF-CARE AND PROVIDE SELF-CARE SUPPORTS (AROMATHERAPY, WEIGHTED BLANKETS, FIDGETS).ACTION: SELF-CARE SUPPORT WAS PROVIDED TO ATTENDEES OF THE 2023 TRAUMA SYMPOSIUM.OBJECTIVE 4: CREATE SAFE PHYSICAL, SOCIAL, AND EMOTIONAL ENVIRONMENTS.STRATEGY 3: MANDATORY HARASSMENT TRAINING ON SEXUAL ASSAULT FOR ALL TEAM MEMBERS.ACTION: HARASSMENT TRAINING ON SEXUAL ASSAULT WAS A MANDATORY TRAINING FOR ALL TEAM MEMBERS IN 2023.ACTION: 3050 NMH TEAM MEMBERS COMPLETED THE 2022 TRAINING EARLY IN 2023 AND 2702 NMH TEAM MEMBERS COMPLETED THE 2023 TRAININGS LATE IN 2023.STRATEGY 4: MANDATORY DISCRIMINATION TRAINING FOR ALL TEAM MEMBERS.ACTION: TRAINING ON DISCRIMINATION IS A MANDATORY TRAINING FOR ALL TEAM MEMBERS IN 2023. ACTION: 3050 NMH TEAM MEMBERS COMPLETED THE 2022 TRAINING EARLY IN 2023 AND 2702 NMH TEAM MEMBERS COMPLETED THE 2023 TRAININGS LATE IN 2023. PART V, SECTION B, LINE 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: NORTH MEMORIAL HEALTH WORKS CLOSELY WITH THE COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT) MEMBERS TO DETERMINE AREAS OF NEED AND COMMUNITY HEALTH CONCERNS. OUR SENIOR COMMUNITY HEALTH SPECIALIST IS A MEMBER OF THE SEVERAL COMMUNITY HEALTH IMPROVEMENT COALITIONS (CENTER FOR COMMUNITY HEALTH, YMCA COMMUNITY BOARD, 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: 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: NORTH MEMORIAL HEALTH SERVES A GEOGRAPHIC AREA THAT INCLUDES 58 ZIP CODES IN THE NORTHWEST QUADRANT OF THE TWIN CITIES METRO. THIS SERVICE AREA INCLUDES URBAN, SUBURBAN, EX-URBAN, AND RURAL AREAS. THIS SERVICE AREA INCLUDES A DIVERSE POPULATION OF 1,280,000 PEOPLE LIVING IN HENNEPIN, WRIGHT, SHERBURNE, ANOKA, AND RAMSEY COUNTIES. PART VI, LINE 5: 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: NORTH MEMORIAL HEALTH FILES THE COMMUNITY BENEFIT REPORT WITH THE STATE OF MINNESOTA WHENEVER A NEW REPORT IS PREPARED. X X X 0 1 0 0 0 0 0 0 0 J KEVIN CROSTON MD CEO AND BOARD CHAIR 0 1130000 0 282500 0 39541 0 516250 0 27278 0 1995569 0 0 TREVOR SAWALLISH CHIEF OPERATING OFFICER 0 714977 0 77997 0 9193 0 13200 0 11258 0 826625 0 0 CAROLYN OGLAND MD DIRECTOR 0 577077 0 79500 0 37653 0 16250 0 26027 0 736507 0 0 DAVID ALBRIGHT CHIEF FINANCIAL OFFICER 0 423077 0 75000 0 12989 0 16250 0 17600 0 544916 0 0 DAN FROMM TREASURER AND CFO (THROUGH 05/2023) 0 352885 0 24375 0 9211 0 16250 0 29133 0 431854 0 0 PAMELA DOORENBOS MD VP MEDICAL AFFAIRS 325000 0 48750 0 10006 0 16250 0 15457 0 415463 0 0 0 ANNAMMA CHANDY PATIENT CARE FACILITATOR 228772 0 17056 0 746 0 11812 0 21215 0 279601 0 0 0 JULISA ROESSLER PATIENT CARE FACILITATOR 189495 0 18416 0 416 0 10220 0 18752 0 237299 0 0 0 CATHY FEDDERSEN PATIENT CARE FACILITATOR 192788 0 13753 0 320 0 10008 0 20269 0 237138 0 0 0 ROBERT MOSS PHARMACIST 199380 0 260 0 487 0 10002 0 9035 0 219164 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 PLAN BECAME FULLY VESTED AS OF 9/8/23. A CITY OF MAPLE GROVE 410873250 56516TBU8 2017-05-25 128801633 REFUNDING OF 2007 BOND SERIES 0 1 0 A 25050000 128801633 1020988 127780645 2017 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF MAPLE GROVE DATE THE REBATE COMPUTATION WAS PERFORMED: 06/15/2022 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") IS THE ONLY MEMBER OF THE CORPORATION AND IS A NONPROFIT, TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS IS COMPRISED OF THREE VOTING DIRECTORS AS FOLLOWS: THE CHIEF EXECUTIVE OFFICER OF NORTH MEMORIAL AND TWO OTHER DIRECTORS APPOINTED ANNUALLY BY NORTH MEMORIAL. 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 EXECUTIVE POSITIONS IS REVIEWED BY THE COMPENSATION COMMITTEE WHICH IS COMPRISED OF MEMBERS ON BOARD OF DIRECTORS, CHRO, CEO, AND GENERAL COUNSEL FOR NORTH MEMORIAL. THE COMPENSATION COMMITTEE WORKS IN CONJUNCTION WITH AN OUTSIDE COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE OF NORTH MEMORIAL ENSURES THAT THE SALARY AND BENEFIT ADMINISTRATION REVIEW PROCESS IS BEING FOLLOWED, WHICH INCLUDES SALARY AND BENEFIT SURVEYS AND COMPARISONS OF THE MARKET FOR ALL EXECUTIVE POSITIONS. THE COMPENSATION OF EXECUTIVE 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 -27,000,000. 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