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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RESPIRATORY CONSULTANTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3366 OAKDALE AVENUE NORTH 401</AddressLine1Txt>
            <CityNm>ROBBINSDALE</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55422</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>488875</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>21</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>299295472</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>299295472</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>777262</TotalRevenueColumnAmt>
        <ExclusionAmt>777262</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CMS/EHR PAYMENTS &amp; OTH</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>766456</TotalRevenueColumnAmt>
        <ExclusionAmt>766456</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>GIFT SHOP</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>97463</TotalRevenueColumnAmt>
        <ExclusionAmt>97463</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>651691</TotalRevenueColumnAmt>
        <ExclusionAmt>651691</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>301588344</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>982486</TotalRevenueColumnAmt>
        <ExclusionAmt>982486</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>14444</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>14444</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>14444</TotalRevenueColumnAmt>
        <ExclusionAmt>14444</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>302585274</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>299295472</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>3289802</ExclusionAmt>
      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>105116290</TotalAmt>
        <ProgramServicesAmt>90610242</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14506048</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>3678316</TotalAmt>
        <ProgramServicesAmt>3170708</ProgramServicesAmt>
        <ManagementAndGeneralAmt>507608</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>16341611</TotalAmt>
        <ProgramServicesAmt>14086469</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2255142</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>6539765</TotalAmt>
        <ProgramServicesAmt>5637277</ProgramServicesAmt>
        <ManagementAndGeneralAmt>902488</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>35302896</TotalAmt>
        <ProgramServicesAmt>30431096</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4871800</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1655</TotalAmt>
        <ManagementAndGeneralAmt>1655</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>54756</TotalAmt>
        <ManagementAndGeneralAmt>54756</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>11179450</TotalAmt>
        <ProgramServicesAmt>9636686</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1542764</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>372</TotalAmt>
        <ProgramServicesAmt>321</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>2725365</TotalAmt>
        <ProgramServicesAmt>2349265</ProgramServicesAmt>
        <ManagementAndGeneralAmt>376100</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>192277</TotalAmt>
        <ProgramServicesAmt>165743</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26534</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>2993465</TotalAmt>
        <ProgramServicesAmt>2580367</ProgramServicesAmt>
        <ManagementAndGeneralAmt>413098</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>35386</TotalAmt>
        <ProgramServicesAmt>30503</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4883</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>3718554</TotalAmt>
        <ProgramServicesAmt>3205394</ProgramServicesAmt>
        <ManagementAndGeneralAmt>513160</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>7335933</TotalAmt>
        <ProgramServicesAmt>6323574</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1012359</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1739988</TotalAmt>
        <ProgramServicesAmt>1499870</ProgramServicesAmt>
        <ManagementAndGeneralAmt>240118</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>33997781</TotalAmt>
        <ProgramServicesAmt>29306087</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4691694</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>17992231</TotalAmt>
        <ProgramServicesAmt>17992231</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>GOVERNMENT TAXES</Desc>
        <TotalAmt>5615082</TotalAmt>
        <ProgramServicesAmt>5615082</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE AND REPAIRS</Desc>
        <TotalAmt>3259523</TotalAmt>
        <ProgramServicesAmt>2809709</ProgramServicesAmt>
        <ManagementAndGeneralAmt>449814</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>974382</TotalAmt>
        <ProgramServicesAmt>839917</ProgramServicesAmt>
        <ManagementAndGeneralAmt>134465</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>258795078</TotalAmt>
        <ProgramServicesAmt>226290541</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32504537</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1350</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>28115031</BOYAmt>
        <EOYAmt>13718135</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>39487042</BOYAmt>
        <EOYAmt>45883459</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>2697227</BOYAmt>
        <EOYAmt>2781842</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2162245</BOYAmt>
        <EOYAmt>1800356</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>179129008</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>112097383</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>66870461</BOYAmt>
        <EOYAmt>67031625</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>17534326</BOYAmt>
        <EOYAmt>19435482</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>905937</BOYAmt>
        <EOYAmt>462963</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>157773619</BOYAmt>
        <EOYAmt>151113862</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>16575595</BOYAmt>
        <EOYAmt>19304533</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>100693156</BOYAmt>
        <EOYAmt>95259682</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>3103031</BOYAmt>
        <EOYAmt>2473007</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>120371782</BOYAmt>
        <EOYAmt>117037222</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>37401837</BOYAmt>
        <EOYAmt>34076640</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>37401837</BOYAmt>
        <EOYAmt>34076640</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>157773619</BOYAmt>
        <EOYAmt>151113862</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>43790196</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>913261</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>18162</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>-48046816</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1185270</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1185270</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>116327600</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>65710184</DepreciationAmt>
        <BookValueAmt>50617416</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>56428813</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>46387199</DepreciationAmt>
        <BookValueAmt>10041614</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>5187325</OtherCostOrOtherBasisAmt>
        <BookValueAmt>5187325</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>67031625</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATIONS</Desc>
        <Amt>484015</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE RIGHT OF USE LIAB - SPACE</Desc>
        <Amt>15672</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED LEASE LIABILITY-EQUIPMENT</Desc>
        <Amt>445954</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT LIABILITY</Desc>
        <Amt>1527366</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2473007</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE NOTE THAT MAPLE GROVE HOSPITAL IS INCLUDED IN A CONSOLIDATED AUDIT WITH ITS PARENT, NORTH MEMORIAL HEALTH CARE. AMOUNTS REFERENCED BELOW 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 2024. NORTH MEMORIAL IS ENGAGED IN CERTAIN ACTIVITIES THAT RESULT IN UNRELATED BUSINESS INCOME. NORTH MEMORIAL RECORDED AN INCOME TAX EXPENSE OF APPROXIMATELY $300,000 AND $331,000 IN 2024 AND 2023, RESPECTIVELY, WHICH IS INCLUDED WITH OTHER OPERATING EXPENSES IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. NORTH MEMORIAL RECOGNIZES ALL TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT, BASED ON TECHNICAL MERITS, THE POSITION WILL BE SUSTAINED UPON EXAMINATION. NORTH MEMORIAL EVALUATES ITS UNCERTAIN POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN THE CONSOLIDATED BALANCE SHEETS AS OF DECEMBER 31, 2024 OR 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent300Ind>X</Percent300Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>0</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>5940013</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>5940013</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02300</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>48083504</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>36898078</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>11185426</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04320</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>54023517</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>36898078</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>17125439</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06620</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>119009</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>119009</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00050</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>17000</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>17000</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>136009</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>136009</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00060</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>54159526</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>36898078</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>17261448</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06680</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>17992231</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>61854539</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>64009837</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-2155298</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>MAPLE GROVE HOSPITAL CORPORATION</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>9875 HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>MAPLE GROVE</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55369</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>MAPLE GROVE HOSPITAL CORPORATION</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V FOR FULL URL</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V FOR FULL URL</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V FOR FULL URL</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V FOR FULL URL</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V FOR FULL URL</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <NoneMadeInd>X</NoneMadeInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MAPLE GROVE HOSPITAL CORPORATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: NORTH MEMORIAL HEALTH HOSPITAL HAS A COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT) WHICH IS COMPOSED OF COMMUNITY MEMBERS AND HOSPITAL TEAM MEMBERS. THE CEAT GUIDES THE ASSESSMENT PROCESS, ACTIVELY PARTICIPATING IN THE SELECTION OF THE TOP HEALTH PRIORITIES. THE MEMBERS REPRESENT A VARIETY OF COMMUNITY ORGANIZATIONS AND INCLUDE REPRESENTATIVES FROM PUBLIC HEALTH WHOSE MAIN FOCUS IS TO REPRESENT THE COMMUNITY'S INTERESTS RELATED TO HEALTH. NORTH MEMORIAL HEALTH HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022. THE 2022 CHNA WAS OUR FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH WAS GUIDED BY OUR COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT). CEAT IS COMPOSED OF COMMUNITY MEMBERS, NORTH MEMORIAL HEALTH TEAM MEMBERS AND LEADERS, AND PUBLIC HEALTH REPRESENTATIVES. WE ARE IN THE PROCESS OF CONDUCTING OUR 2025 CHNA.IN 2023 WE BEGAN ADDRESSING OUR TWO PRIORITY HEALTH ISSUES OF RACIAL DISPARITIES IN HEALTH AND LIFE-IMPACTING TRAUMAS. TO IDENTIFY THE TOP COMMUNITY NEEDS PRIORITIES, WE LEVERAGED PRIMARY AND SECONDARY RESEARCH. -WE CONDUCTED 50 KEY INFORMANT INTERVIEWS WITH CEAT MEMBERS, COMMUNITY LEADERS, LOCAL GOVERNMENT, LAW ENFORCEMENT, EDUCATION, COMMUNITY-BASED ORGANIZATIONS, BUSINESS OWNERS, AND COMMUNITY MEMBERS WITHIN OUR SERVICE AREA.-WE ENGAGED WITH OUR COMMUNITY THROUGH DINNERS AND DIALOGUES, SLOW ROLL BIKE RIDES, AND OUTREACH AT COMMUNITY EVENTS. WE HELD 8 DINNER DIALOGUES (COMMUNITY MEAL &amp; HEALTH FOCUSED FACILITATED CONVERSATION), 3 SLOW ROLLS (60-MINUTE NEIGHBORHOOD BIKE RIDES), OUTREACHED 17 COMMUNITY GATHERING EVENTS/SITES, 247 SURVEYS, AND RESIDENTS IN 78 UNIQUE ZIP CODES REACHED 683 TOTAL TOUCHPOINTS ACROSS ALL EVENTS AND ACTIVITIES.-WE ALSO STOOD UP AN INTERNAL VIRTUAL COMMUNITY HEALTH CHAT WHERE NMH TEAM MEMBERS COULD RESPOND TO THE SAME SURVEY QUESTIONS AS THE COMMUNITY WAS. WE HAD 581 SITE VISITS WITH 34 REGISTRATIONS AND 32 ACTIVE PARTICIPANTS.-WE COLLECTED AND ANALYZED DATA FROM MULTIPLE RESOURCES INCLUDING DEMOGRAPHIC DATA THROUGH MAPTITUDE; 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MAPLE GROVE HOSPITAL CORPORATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: PRIORITIES IDENTIFIED IN THE ASSESSMENT AND FINALIZED BASED ON CEAT DISCUSSION2022 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 KEY HEALTH INDICATOR SCORING, AND THEY 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 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. WE 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 WERE NOT SELECTED DUE TO RESOURCE CONSTRAINTS. FOR EXAMPLE, OTHER HEALTH TOPICS SHOWED UP IN OUR COMMUNITY CONVERSATIONS BUT WERE NOT SELECTED FOR FOCUSED WORK. IT IS BELIEVED THEY WILL IMPROVE BY WORK IN OUR TWO PRIORITY HEALTH AREAS, THESE TOPICS INCLUDED: 1. MOTHERS &amp; BABIES 2. CHRONIC CONDITIONS (OBESITY, DIABETES, ASTHMA, CARDIOVASCULAR DISEASE) 3. MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT 4. ELDER CARE 5. CANCER PREVENTION AND CARE 6. REPRODUCTIVE HEALTH AND SEXUALLY TRANSMITTED DISEASES 7. HEALTHY FOODS AND ENVIRONMENTS NORTH MEMORIAL HOSPITAL-MAPLE GROVE DEVELOPED A COMMUNITY HEALTH IMPLEMENTATION PLAN OUTLINING THE STRATEGIES WE WOULD IMPLEMENT TO ADDRESS THESE NEEDS IN 2023-2025. THE CONTENT IN THE FOLLOWING SECTIONS OUTLINES THE PRIORITIES, THE STRATEGIES WITHIN EACH PRIORITY, AND WHAT WE ACCOMPLISHED IN 2024.STRATEGIES AND ACTIONS BY PRIORITYPRIORITY ONE: RACIAL DISPARITIES IN HEALTHRACIAL DISPARITIES WERE EVIDENT THROUGHOUT THE ASSESSMENT PROCESS AND HAVE A SEVERE IMPACT ON HEALTH AND QUALITY OF LIFE. AS A RESULT, PEOPLE EXPERIENCED A LACK OF ACCESS TO HEALTHCARE; DID NOT HAVE A PRIMARY CARE PROVIDER; DELAYED CARE, ESPECIALLY FOR MENTAL HEALTH; AND REPORTED HIGHER USE OF EMERGENCY DEPARTMENTS FOR SICKNESS. SOME EXAMPLES OF RACIAL DISPARITIES IN HEALTH IN OUR COMMUNITY ARE:-CHRONIC DISEASES SUCH AS HYPERTENSION, DIABETES, AND CANCER ARE MORE PREVALENT IN BIPOC (BLACK, INDIGENOUS AND PEOPLE OF COLOR) COMMUNITY MEMBERS.-INFANT MORTALITY RATES ARE HIGHER IN BLACK, HISPANIC, AND AMERICAN INDIAN POPULATIONS.-COMMUNICABLE DISEASES IMPACT BIPOC COMMUNITIES MORE SEVERELY, AS SHOWN BY HIGHER COVID-19 DEATH RATES AND HOSPITALIZATIONS, AS WELL AS HIGHER RATES OF SEXUALLY TRANSMITTED INFECTIONS.-UNINTENTIONAL INJURY RATES AMONG AFRICAN AMERICANS, AMERICAN INDIANS, AND ALASKA NATIVES ARE HIGHER THAN THOSE OF WHITE RESIDENTS.THE 2023-2025 CHIP HAS FOCUSED ON TWO ISSUES UNDER RACIAL DISPARITIES: 1) BREAST CANCER AND BLACK WOMEN AND 2) INCREASING PREVENTIVE CARE AMONG BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC) COMMUNITY MEMBERS. THESE ISSUES WERE CONCERNS NOTED IN BOTH OUR COMMUNITY ENGAGEMENT WORK AND QUANTITATIVE DATA FINDINGS. WE HAVE SELECTED TO FOCUS ON BLACK WOMEN AND BREAST CANCER BECAUSE, IN MINNESOTA, AFRICAN AMERICAN WOMEN HAVE A BREAST CANCER MORTALITY RATE THAT IS 24 PERCENT HIGHER THAN THAT OF WHITE NON-HISPANIC/LATINA WOMEN, DESPITE INCIDENCE RATES THAT ARE 22 PERCENT LOWER. BREAST CANCER IS THE LEADING CAUSE OF CANCER DEATH IN BLACK WOMEN. NATIONALLY, BLACK WOMEN ARE 40% MORE LIKELY TO DIE FROM BREAST CANCER THAN WHITE WOMEN. COMPARED TO OTHER RACES, A GREATER PROPORTION OF AFRICAN AMERICAN WOMEN HAVE THEIR BREAST CANCERS DIAGNOSED AT A LATER, LESS TREATABLE STAGE. WE WILL BUILD UPON THE EFFORTS OF NORTH MEMORIAL HEALTH TEAMS AND COMMUNITY ORGANIZATIONS, SUCH AS THE BREAST CANCER GAPS PROJECT, WORKING TO ADDRESS THE ISSUE. NORTH MEMORIAL HEALTH'S BREAST CANCER SCREENING IMPROVEMENT GROUP HAS IDENTIFIED OVER 290 BLACK WOMEN OVERDUE FOR MAMMOGRAMS WHO LIVE WITHIN AN 8-MILE RADIUS OF THE NORTH MEMORIAL HEALTH BREAST CENTER.DURING COVID-19, MANY PEOPLE PUT OFF ROUTINE CARE. IT IS TIME TO BRING ATTENTION TO THE IMPORTANCE OF PREVENTIVE HEALTH CARE SUCH AS HEALTH SCREENINGS (E.G., MAMMOGRAMS, PAP SMEARS, CHOLESTEROL, DIABETES, AND BLOOD PRESSURE SCREENING) SO THAT CHRONIC DISEASES ARE DIAGNOSED AT EARLIER, MORE TREATABLE, STAGES. PREVENTIVE CARE ALSO INCLUDES STAYING UP-TO-DATE ON AGE-APPROPRIATE IMMUNIZATIONS SUCH AS INFLUENZA, SHINGLES, PNEUMONIA, AND MEASLES. OUR FOCUS ON PREVENTION WILL ALSO ENCOURAGE LOCAL RESIDENTS TO ESTABLISH A RELATIONSHIP WITH A PRIMARY CARE PROVIDER WHO CAN PARTNER WITH THEM TO MAKE SURE THEY RECEIVE THE REGULAR PREVENTIVE CARE THEY NEED TO STAY HEALTHY. PRIORITY ONE: RACIAL DISPARITIES IN HEALTHGOAL: REDUCE DISPARATE OUTCOMES IN BREAST CANCER FOR BLACK WOMEN AND PREVENTIVE HEALTH CARE.STRATEGIES AND ACTIONS (BY OBJECTIVE):OBJECTIVE 1: EXAMINE POLICIES, PROGRAMS, AND INITIATIVES TO IMPROVE BREAST CANCER OUTCOMES FOR BLACK WOMEN.-STRATEGY 1: LEARN HOW TO USE THE RACIAL EQUITY TOOL AND THE RACIAL EQUITY DECISION-MAKING TOOL. ACTION: THE BLACK WOMEN AND BREAST HEALTH WORKGROUP UTILIZING RACE FORWARDS' CHOICE POINTS AND DECISION MAKING FOR RACIAL EQUITY TOOLS ("RACE AND") TO REVIEW AND ANALYZE INTERNAL PROCESSES AND EXTERNAL COMMUNICATIONS (I.E., PAMPHLETS, FAQS, WEBSITES, MYCHART, AND MAILINGS). THEY DEVELOPED MANY NEW NARRATIVES FOR BREAST HEALTH AT THE NORTH MEMORIAL BREAST CENTER. -STRATEGY 2: DEVELOP RELATIONSHIPS WITH BOTH INTERNAL AND EXTERNAL PARTNERS TO ADDRESS BREAST CANCER DISPARITIES FOR BLACK WOMEN.ACTION: AN INTERNAL NMH BLACK WOMEN AND BREAST HEALTH WORKGROUP MET REGULARLY THROUGHOUT 2024. ITS MEMBERS ARE MOSTLY BLACK WOMEN WHO WORK AT NMH. THEY HELD 12 MEETINGS THROUGHOUT 2024, PUTTING OVER 726 HOURS INTO THIS WORK WHICH RESULTED IN MORE CULTURALLY APPROPRIATE CONTENT ON NORTH'S WEBSITE, BROCHURES, AND HANDOUTS IN OUR BREAST HEALTH CENTER AND AT OUTREACH EVENTS AND IN-DEPTH DISCUSSIONS ABOUT THE CARE, TREATMENT AND SUPPORT OFFERED BY NMH TO BLACK WOMEN WITH BREAST CANCER. THE NMH BWBC WORKGROUP CONSISTS OF 15 NMH TEAM MEMBERS, ALL BUT ONE ARE BLACK, AND THEIR POSITIONS RANGE FROM NURSE MANAGERS TO PATIENT ADVOCATES TO OUR BREAST HEALTH COMMUNITY HEALTH WORKER. THE WORKGROUP IS LED BY OUR SYSTEM DIRECTOR OF DEI. ACTION: TOWARD THE END OF 2023 WE CONTACTED WITH CULTURAL WELLNESS CENTER TO CONDUCT COMMUNITY-BASED FOCUS GROUPS IN 2024 TO DISCUSS BARRIERS AND ISSUES IMPACTING BLACK WOMEN IN THEIR BREAST HEALTH JOURNEY. THEY HELD 6 EVENTS IN THE FALL-EARLY WINTER OF 2024 ATTENDED BY OVER 100 WOMEN, PREDOMINANTLY BLACK, WHICH RESULTED IN NUMEROUS RECOMMENDATIONS TO NMH TO IMPROVE OUR BREAST HEALTH SERVICES AND MAKE THEM MORE CULTURALLY RELEVANT.ACTION: AS PART OF THE COMMUNITY ENGAGEMENT PROCESS AND HUMAN DESIGN WORK, WE ALSO INVITED BLACK WOMEN TO TOUR THE ROBBINSDALE BREAST CENTER AND MAKE SUGGESTIONS FOR IMPROVEMENTS. 23 BLACK WOMEN WERE PART OF THE TOURS AND MADE SEVERAL SUGGESTIONS FOR IMPROVEMENTS, INCLUDING THEY FELT IT WAS IMPORTANT TO OFFER A TOUR OF THE FACILITY TO PEOPLE PRIOR TO THEIR FIRST MAMMOGRAM. ADDITIONAL FEEDBACK FOCUSED ON THE FLOW OF THE SPACE, THE LOOK AND FEEL (I.E., FURNITURE, LOCATION, AND ARTWORK), LAYOUT OF THE DRESSING ROOM, COMMUNICATION STRATEGY, PARKING, USE OF THE TERM "ABNORMAL MAMMOGRAM, AND SEEING THEMSELVES REFLECTED IN THE SPACE. ALL THE FEEDBACK WILL BE PRESENTED TO THE LARGER GROUP AS THEY CREATE RECOMMENDED DESIGN IDEAS FOR THE SPACE.-STRATEGY 3: DEVELOP AND IMPLEMENT A COMMUNICATIONS PLAN AND MESSAGING ABOUT HEALTH DISPARITIES.ACTION: SEVERAL KEY ARTICLES WERE PLACED IN BOTH INTERNAL AND EXTERNAL COMMUNICATIONS ABOUT OUR BLACK WOMEN AND BREAST HEALTH WORK AND THE RESULTS OF COMMUNITY HEALTH WORKER OUTREACH RESULTING IN INCREASED TIMELY MAMMOGRAMS AND TIMELY FOLLOW-UP TO A NUMBER OF BREAST HEALTH CONCERNS. ACTION: IN 2024, NMH PARTICIPATED IN A NUMBER OF EVENTS TO PROMOTE BREAST HEALTH AND THE IMPORTANCE OF GETTING ANNUAL MAMMOGRAMS. AT THESE EVENTS WE PROMOTED WOMEN'S BREAST HEALTH THROUGH SURVEYS, ENCOURAGED BREAST CANCER SCREENINGS, AND HAD BOTH EXHIBITS AND OUTREACH MATERIALS FOCUSED ON BLACK WOMEN AND BREAST HEALTH. OUTREACH MATERIALS INCLUDED BREAST SELF-EXAM SHOWER CARDS FEATURING BLACK WOMEN AND EXHIBITS ON BREAST CANCER SIGNS AND SYMPTOMS, USING BROWN BREAST MODELS. WE TALKED TO WOMEN ABOUT THEIR BREAST HEALTH AND ENCOURAGED THEM TO MAINTAIN ANNUAL MAMMOGRAMS. WE ALSO REACHED OUT TO OTHER FAMILY MEMBERS, E.G., SPOUSES, CHILDREN, PARTNERS, NIECES/NEPHEWS AND ASKED THEM TO ENCOURAGE THEIR FAMILY MEMBERS TO GET MAMMOGRAMS.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MAPLE GROVE HOSPITAL CORPORATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13B: CATASTROPHIC CHARITY CARE - PAY NO MORE THAN 25% OF ANNUAL FAMILY INCOME.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11 CONTINUED:</FormAndLineReferenceDesc>
        <ExplanationTxt>-LIVE YOUR HEALTHY LYFE COMMUNITY EVENT: THIS EVENT WAS HELD ON AUGUST 10TH, AND WE REACHED MORE THAN 120 WOMEN WHO LIVE IN THE NORTH MINNEAPOLIS AREA.-NORTH MARKET HEALTH FAIR: THIS EVENT WAS HELD ON AUGUST 10TH, AND WE TALKED TO ABOUT 75 PEOPLE ABOUT MAMMOGRAMS. -TC PRIDE: THIS EVENT WAS HELD JUNE 28-30TH AND WE HAD A LARGE PRESENCE THERE AND PROVIDED OUTREACH ON BREAST HEALTH FOR ALL GENDERS, REACHING MORE THAN 500 HUNDRED PEOPLE OVER THE 3-DAY EVENT.-BE THE CHANGE GOLF TOURNAMENT WAS HELD SEPTEMBER 10 AT THE THEODORE WIRTH GOLF COURSE IN MINNEAPOLIS: WE PARTICIPATED IN A VENDOR FAIR BEFORE THE EVENT AND PROVIDED OUTREACH TO GOLFERS AND ENCOURAGED THEM TO TALK TO FAMILY MEMBERS ABOUT THE IMPORTANCE OF MAMMOGRAMS. WE REACHED OVER 100 PEOPLE AT THIS EVENT, WHICH WAS ATTENDED BY BIPOC NORTH MINNEAPOLIS RESIDENTS. -NEW HOPE YMCA COMMUNITY RESOURCE FAIR EVENT WAS HELD OCTOBER 26: THIS EVENT WAS ATTENDED BY OVER 100 PEOPLE, MOSTLY MEMBERS OF THE NEW HOPE YMCA, ABOUT BREAST HEALTH. WE SPOKE WITH OVER 75 PEOPLE. -BREAST CANCER GAPS PROJECT EVENT: THE "LIVE, LOVE, LAUGH" EVENT WAS HELD ON SEPTEMBER 28 IN GOLDEN VALLEY, AND WE INTERACTED WITH ABOUT 75 PEOPLE, MOSTLY BREAST CANCER SURVIVORS AND THEIR FAMILIES. -RIDGEDALE BREAST CANCER EVENT: THIS EVENT WAS HELD ON OCTOBER 26; WE REACHED BETWEEN 250-300 PEOPLE AT THIS EVENT. -BROOKLYN PARK 2024 LIVING WELL RESOURCE FAIR WAS HELD NOVEMBER 15TH, AND WE REACHED ABOUT 60 OLDER BROOKLYN PARK RESIDENTS WITH OUR MESSAGES ABOUT THE IMPORTANCE OF MAMMOGRAMS AND BREAST HEALTH. STRATEGY 3: DEVELOP A LIST OF BEST PRACTICE STRATEGIES AND POTENTIAL PARTNERS TO IMPROVE BREAST CANCER OUTCOMES FOR BLACK WOMEN.ACTION: A NEW 2024 STRATEGY WE PUT IN PLACE IN 2024 WAS HIRING A COMMUNITY HEALTH WORKER (CHW) TO SPECIFICALLY COLLABORATE WITH BLACK WOMEN WHO ARE BEHIND IN THEIR MAMMOGRAMS.-WE HIRED A CHW FROM THE SAME RACIAL AND CULTURAL BACKGROUND OF OUR TARGET POPULATION (BLACK WOMEN) WHO PROVIDES TAILORED INTERVENTIONS THAT ADDRESS INTERPERSONAL AND OTHER BARRIERS (OUTREACH TO PATIENTS, PROVIDING RESOURCES, EDUCATION, COORDINATING FOLLOW-UP FOR ADDITIONAL VIEWS OR AN ULTRASOUND, FACILITATING CARE AFTER DIAGNOSIS). SINCE STARTING LATE FEBRUARY 2024, OUR CHW HAS CONTACTED OVER 400 BLACK WOMEN PATIENTS IN OUR SYSTEM, 100 BLACK WOMEN HAVE HAD MAMMOGRAMS, AND THE MAMMOGRAM IDENTIFIED ADDITIONAL TESTING NEEDS FOR 5 BLACK WOMEN, SOME OF WHICH WERE POSITIVE FOR BREAST CANCER.-ADDITIONALLY, THE CHW HAS BEEN WORKING WITH BLACK WOMEN AND NORTH MEMORIAL'S CARE MANAGEMENT TEAM TO ADDRESS BARRIERS INCLUDING ACCESS TO INSURANCE, CULTURAL BELIEFS, AND TRANSPORTATION NEEDS. THE CARE MANAGEMENT TEAM ASSISTED 4 PATIENTS WITH THEIR APPLICATION TO THE MINNESOTA DEPARTMENT OF HEALTH'S SAGE SCREENING PROGRAM AND ALL 4 PATIENTS WERE APPROVED. APPROXIMATELY 20% OF OUR CURRENT PATIENTS HAVE INDICATED TRANSPORTATION IS A NEED TO GET TO APPOINTMENTS. MEDICAL TRANSPORTATION SERVICES OFTEN BOOK OUT AT LEAST TWO WEEKS WHILE APPOINTMENTS ARE OFTEN WITHIN DAYS OF SCHEDULING. CHW IS LOOKING FOR ADDITIONAL RESOURCES TO ASSIST PATIENTS IN GETTING TO APPOINTMENTS. WE OFTEN WORK WITH SOMALI PATIENTS, NORTH HAS UPDATED AND TRANSLATED INTO SOMALI THE "MAMMOGRAM WHAT TO EXPECT" BROCHURE. -NOTEWORTHY: IN 2024, THE MINNESOTA HOSPITAL ASSOCIATION FOR THEIR BLACK WOMEN'S BREAST HEALTH INITIATIVE RECOGNIZED NORTH MEMORIAL HEALTH. NORTH WAS HONORED AT THE MHA'S ANNUAL MEETING FOR EXCELLENCE IN INNOVATION, ADVOCACY, AND LEADERSHIP IN THE CATEGORY OF COMMUNITY BENEFIT FOR WORK ON THE BLACK WOMEN'S BREAST HEALTH INITIATIVE. THIS INITIATIVE STEMMED FROM A FOCUS ON ELIMINATING DISPARITIES IN BREAST HEALTH AND ENCOURAGING BREAST CANCER SCREENINGS FOR BLACK WOMEN IN THE COMMUNITIES SURROUNDING ROBBINSDALE HOSPITAL, INCORPORATING A COMMUNITY OF PRACTICE AND EDUCATION TO HELP CLOSE THE GAP.ACTION: A SERIES OF FOUR COMMUNITY CONVERSATIONS, INCLUDING DINNER, WITH APPROXIMATELY 100 BLACK WOMEN WERE HELD IN FALL OF 2024, WHICH WERE LED BY CULTURAL WELLNESS CENTER AND DESIGN BY MELO. SESSIONS FOCUSED ON: 1) GROUNDING EVERYONE IN UNDERSTANDING THE DISPARITIES IN HEALTH OUTCOMES FOR AFRICAN AMERICAN WOMEN, EMPHASIZING BREAST HEALTH, 2) DESIGNING SPACE WITH EMPATHY AND PURPOSE TO ENSURE IT MEETS THE NEEDS OF THE COMMUNITY, 3) DEVELOPING SCRIPTS BASED ON THE CONCEPT OF "NARRATING CARE" FOR TRAINING TEAM MEMBERS ACROSS ALL LEVELS OF PATIENT CARE, AND 4) IDENTIFYING THE EVENTS THAT LAY THE FOUNDATIONS FOR ATTITUDES TOWARDS BREAST EXAMS AND BREAST HEALTH ENGAGEMENT MEASURE WOMEN'S RESPONSES TO CURRENT MARKETING OFFERINGS AND MATERIALS USED IN BREAST HEALTH COMMUNICATIONS. OBJECTIVE 2: EXAMINE POLICIES, PROGRAMS, AND INITIATIVES TO INCREASE PREVENTIVE HEALTH CARE FOR OUR BIPOC COMMUNITY. STRATEGY 1: CREATE A LIST OF BEST PRACTICES AND POTENTIAL PARTNERS TO INCREASE PREVENTIVE CARE FOR BIPOC RESIDENTS.ACTION: A LIST OF POTENTIAL BEST PRACTICES WAS DEVELOPED AS WELL AS A LIST OF OTHER PARTNERS TO APPROACH IN THIS AREA. STRATEGY 2: DEVELOP RELATIONSHIPS WITH BOTH INTERNAL AND EXTERNAL PARTNERS TO ADDRESS PREVENTIVE HEALTH CARE DISPARITIES. ACTION: NMH'S SENIOR COMMUNITY HEALTH SPECIALIST PARTICIPATED AS A LEADER IN A HENNEPIN COUNTY CDC-FUNDED GRANT AIMED AT ADDRESSING RACIAL DISPARITIES IN HEALTH FOR BLACK AND BROWN RESIDENTS OF NORTH MINNEAPOLIS, BROOKLYN CENTER, AND BROOKLYN PARK. BY PARTICIPATING ON THE LEADERSHIP COMMITTEE, A NUMBER OF PARTNERSHIPS WERE ENHANCED WITH HEALTH AND SOCIAL SERVICE PROVIDERS IN THOSE REGIONS AND A PLAN OF ACTION WAS DEVELOPED TO ADDRESS SEVERAL HEALTH DISPARITIES INCLUDING HIGHER MORTALITY RATES (INCLUDING MATERNAL MORTALITY) AND SHORTER LIFE SPANS, LIMITED ACCESS TO PREVENTIVE CARE, AND HIGHER RATES OF CHRONIC DISEASE. ACTION: THROUGH THIS PARTNERSHIP, NORTH BECAME AWARE OF FUNDS TO SUPPORT OUTREACH TO BLACK WOMEN WITH HEART DISEASE. IN 2024 THEY OBTAINED A GRANT TO SUPPORT OUTREACH AND EDUCATION ON HEART DISEASE AT OUR BROOKLYN PARK CLINIC.-STRATEGY 3: DEVELOP A COMMUNITY ENGAGEMENT PLAN TO INCLUDE THE COMMUNITY'S VOICE IN ALL ASPECTS OF RESEARCH AND DEVELOP RECOMMENDATIONS FOR IMPROVEMENT.OBJECTIVE 3: IMPROVE NMH TEAM MEMBER'S CULTURAL COMPETENCY. -STRATEGY 1: CULTURAL COMPETENCY TRAINING, INCORPORATED INTO MANDATORY ANNUAL TRAINING.ACTION: NMH LEADERS ARE REQUIRED TO TAKE RESPECTFUL WORKPLACE TRAINING THAT INCLUDES CONTENT AROUND CULTURAL COMPETENCY. THIRTY-THREE LEADERS FROM MAPLE GROVE HOSPITAL TOOK THE TRAINING. -STRATEGY 2: DEVELOP AND IMPLEMENT A COMMUNICATIONS PLAN AND MESSAGING ABOUT HEALTH DISPARITIES.ACTION: SEVERAL KEY ARTICLES WERE PLACED IN BOTH INTERNAL AND EXTERNAL COMMUNICATIONS ABOUT OUR BLACK WOMEN AND BREAST HEALTH WORK AND THE RESULTS OF THE CHW OUTREACH RESULTING IN INCREASED TIMELY MAMMOGRAMS AND FOLLOW-UP TO A NUMBER OF BREAST HEALTH CONCERNS. -STRATEGY 3: IMPLICIT BIAS TRAINING IN SUPPORT OF MN'S DIGNITY IN PREGNANCY AND CHILDBIRTH ACTACTION: 50 MAPLE GROVE HOSPITAL VIEWED THE DIGNITY IN PREGNANCY TRAININGS AND 384 MAPLE GROVE HOSPITAL TEAM MEMBERS COMPLETED THE DIGNITY IN PREGNANCY &amp; CHILDBIRTH FOR INDIGENOUS WOMEN &amp; BIRTHING PEOPLE IN 2024. ACTION: CONTINUE TO HAVE NMH LEADERS TAKE THE INTERCULTURAL DEVELOPMENT INVENTORY (IDI) COURSE "BEING AN EFFECTIVE LEADER IN THE 21ST CENTURY: THE ROLE OF UNCONSCIOUS BIAS AND THE POWER OF AWARENESS BASED DECISION MAKING". IN 2024, 25 NMH LEADERS TOOK THE IDI. WE ALSO TRAINED FOUR NEW QUALIFIED ADMINISTRATORS TO CONDUCT THE IDI WITH TEAM MEMBERS. PRIORITY TWO: LIFE-IMPACTING TRAUMASTHE EFFECTS OF COVID-19 AND SYSTEMIC RACISM HAVE RESULTED IN LARGE NUMBERS OF OUR POPULATION FEELING DEPRESSED, ANXIOUS, AND ISOLATED. IN ADDITION, TRAUMAS SUCH AS DEATHS FROM COVID-19, COMMUNITY VIOLENCE, OPIOID OVERDOSES, AND SUICIDES HAVE LEFT MANY PEOPLE GRIEVING AND IN NEED OF SUPPORT TO HELP THEM HEAL. OUR NEEDS ASSESSMENT FOUND THAT MANY YOUTH AND ADULTS FEEL A LACK OF SOCIAL SUPPORT. ADDITIONALLY, MINNESOTA STUDENT SURVEY DATA FROM OUR REGION SHOWED MANY YOUTHS HAD 3+ ADVERSE CHILDHOOD EXPERIENCES (ACES) BY 9TH GRADE AND/OR HAD SELF-INJURED THEMSELVES IN THE PAST YEAR.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11 CONTINUED:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER DRIVERS OF LIFE-IMPACTING TRAUMA IN OUR COMMUNITY ARE FROM TRIPLE "ACES":-ADVERSE CHILDHOOD EXPERIENCES ARE TRAUMATIC EVENTS THAT OCCUR IN CHILDHOOD AND CAN INCLUDE VIOLENCE, ABUSE, AND NEGLECT AS WELL AS GROWING UP IN A FAMILY WITH MENTAL HEALTH ISSUES, SUBSTANCE USE, DOMESTIC VIOLENCE, AND/OR PARENTAL DIVORCE OR SEPARATION. PEOPLE WHO REPORT EXPERIENCING ACES FROM AGES 0-17 HAVE MORE HEALTH PROBLEMS, INCLUDING DEPRESSION, HEART DISEASE, SEXUALLY TRANSMITTED INFECTIONS, SUBSTANCE USE, AND SUICIDE ATTEMPTS.-ADVERSE COMMUNITY EXPERIENCES SUCH AS CRIME, SOCIAL UNREST AND VIOLENCE ALL IMPACT THE HEALTH OF OUR COMMUNITY. COMMUNITY MEMBERS REPORTED NOT FEELING SAFE IN THEIR NEIGHBORHOODS OR BEING IMPACTED BY ACTS OF COMMUNITY VIOLENCE, WHICH LEADS TO HIGHER LEVELS OF ANXIETY, DEPRESSION, AND LONELINESS.-ADVERSE COMMUNITY ENVIRONMENTS ARE THOSE NATURAL OR HUMAN-CAUSED DISASTERS (EARTHQUAKES, TORNADOES, WILDFIRES, FLOODS, TERRORIST ACTS) AND THREATS SUCH AS DISEASE OUTBREAKS, LIKE THE COVID-19 PANDEMIC, WHICH IMPACT MANY LIVES, STRAINING LOCAL RESOURCES AIMED AT RESPONSE AND RECOVERY TO SUCH DISASTERS OR THREATS.INPUT FROM OUR CHNA COMMUNITY ENGAGEMENT ACTIVITIES NOTED THE IMPORTANCE OF NMH BECOMING A TRAUMA-INFORMED ORGANIZATION. IMPLEMENTING A TRAUMA-INFORMED CARE APPROACH WILL BE AN ONGOING ORGANIZATIONAL CHANGE PROCESS. A "TRAUMA-INFORMED APPROACH" IS NOT A PROGRAM MODEL THAT CAN BE IMPLEMENTED AND THEN SIMPLY MONITORED BY A FIDELITY CHECKLIST. RATHER, IT IS A PROFOUND PARADIGM SHIFT IN KNOWLEDGE, PERSPECTIVE, ATTITUDES, AND SKILLS THAT CONTINUES TO DEEPEN AND UNFOLD OVER TIME. SOME LEADERS IN THE FIELD OF TRAUMA ARE BEGINNING TO TALK ABOUT A "CONTINUUM" OF IMPLEMENTATION, WHERE ORGANIZATIONS MOVE THROUGH STAGES. THE CONTINUUM BEGINS WITH BECOMING TRAUMA-AWARE AND MOVES TO TRAUMA-SENSITIVE THEN TO TRAUMA-RESPONSIVE TO BEING FULLY TRAUMA-INFORMED. GOAL: LAY THE GROUNDWORK AND BUILD AWARENESS FOR TRAUMA-INFORMED CARE.OBJECTIVE 1: DEVELOP A ROADMAP TO HELP NMH BECOME A TRAUMA-INFORMED ORGANIZATION.-STRATEGY 1: CONDUCT A TRAUMA-INFORMED STAFF READINESS ASSESSMENT IN 2024. ACTION: A TRAUMA-INFORMED CARE SELF-READINESS ASSESSMENT SURVEY WAS DEVELOPED BY OUR EMERGING LEADERS PROGRAM COHORT 3 AS THE FOCUS OF THEIR CAPSTONE PROJECT. IT WAS NOT CONDUCTED IN 2024 AS THE TIMING CONFLICTED WITH A SIGNIFICANT REDUCTION IN OUR WORKFORCE IN 2024 AND STAFF SURVEYS WERE PUT ON HOLD. -STRATEGY 2: CREATE A LIST OF INTERNAL STAFF ALREADY AWARE OF AND PRACTICING TRAUMA-INFORMED CARE.ACTION: IN 2024 A TRAUMA-INFORMED CARE (TIC) WORKGROUP WAS FORMED TO PROMOTE TIC AND COLLECTIVELY MAKE DECISIONS FOR TIC ACTIONS WITHIN NMH. THE WORK GROUP HAD FOUR ACTIVE COMMITTEES IN THE AREAS OF TRAUMA SYMPOSIUM PLANNING, TIC COMMUNICATION AND OUTREACH, TIC TRAINING, AND TIC SELF-READINESS ASSESSMENT. THERE ARE THIRTEEN MEMBERS OF THE WORKGROUP, AND WE HAD ADDITIONAL NMH TEAM MEMBERS JOIN THE TRAUMA SYMPOSIUM PLANNING COMMITTEE, WHICH HAD 12 MEMBERS. THIS INCLUDED BLACK WOMEN FROM THE EMERGING LEADER PROGRAM (ELP) FOR WHOM THE TRAUMA SYMPOSIUM WAS THE FOCUS OF THEIR CAPSTONE PROJECT. BETWEEN THE WORKGROUP AND THE COMMITTEES, NMH TEAM MEMBERS SPENT 850 HOURS ADVANCING TRAUMA-INFORMED CARE AT NORTH MEMORIAL HEALTH.ACTION: A NUMBER OF NMH STAFF ATTENDED EITHER THE 2023 OR 2024 TRAUMA SYMPOSIUM AND THEY ARE UTILIZING KEY TIC PRACTICES IN THEIR WORK, WHEN POSSIBLE. WE HAD 62 NMH TEAM MEMBERS ATTEND THE SYMPOSIUM IN 2023 AND 77 NMH TEAM MEMBERS ATTEND THE SYMPOSIUM IN 2024. -STRATEGY 3: PROMOTE EMPLOYMENT OPPORTUNITIES AND ENCOURAGE INTERVIEWS FROM A VARIETY OF BACKGROUNDS (RACIAL, CULTURAL, LGBTQIA+)ACTION: HR LISTED POSITIONS ON MOSSIER, INC, AN ORGANIZATION FOCUSED ON INCREASING JOB OPPORTUNITIES AND WORKPLACE SATISFACTION FOR PEOPLE WHO IDENTIFY AS LGBTQIA+. ACTION: A LEADER OF NMH'S SHARED SERVICES TEAM REPRESENTS NMH IN ON-LINE VIRTUAL JOB SEEKER MEETINGS IN THE TWIN CITIES. ACTION: ON OCTOBER 22, OUR DEI SYSTEM DIRECTOR AND HR STAFF ATTENDED THE PEOPLE OF COLOR CAREER FAIR. ONE ATTENDEE WAS RECRUITED TO SIT ON OUR COMMUNITY ENGAGEMENT ADVISORY TEAM. ACTION: NMH DEVELOPED A LGBTQIA+ POLICY DOCUMENT.ACTION: NMH TEAM MEMBERS CAN ALL BECOME MEMBERS OF MOSSIER INC, AIMED AT INCREASING SUCCESSFUL EMPLOYMENT OPPORTUNITIES FOR PEOPLE WHO IDENTIFY AS LGBTQUIA+, 59 NMH TEAM MEMBERS HAVE JOINED MOSSIER, INC. COURSES OFFERED BY MOSSIER CAN BE VIEWED BY NMH TEAM MEMBERS. IN 2024, THERE WERE 72 VIEWINGS BY NMH TEAM MEMBERS OF MOSSIER COURSES. OBJECTIVE 2: PROVIDE TRAINING ON THE IMPACT OF TRAUMA ON HEALTH AND BEHAVIOR FOR ALL TEAM MEMBERS AND THE COMMUNITY.-STRATEGY 1: HOLD A CONFERENCE TO INCREASE AWARENESS AT NMH AND WITHIN THE COMMUNITY ABOUT THE TRAUMA/ACES AND RESILIENCE/HEALING.ACTION: ON NOVEMBER 8, 2024, A TRAUMA SYMPOSIUM ENTITLED "FROM PAIN TO PROGRESS:" WAS HELD AND ATTENDED BY 132 COMMUNITY MEMBERS, INCLUDING 77 NMH TEAM MEMBERS AND PROVIDERS. THE PRESENTATIONS OF OUR MORNING SPEAKERS (2) WERE VIDEOTAPED AND ARE AVAILABLE TO NORTH TEAM MEMBERS ON OUR LEARNING AND DEVELOPMENT SITE. NMH TEAM MEMBERS CAN EARN CEUS FOR WATCHING THEM. IN THIS MANNER WE HOPE TO CONTINUE TO EDUCATE AND ADVOCATE FOR NORTH BECOMING A TRAUMA-INFORMED ORGANIZATION. IN 2024, 30 NMH TEAM MEMBERS VIEWED THE TRAUMA SYMPOSIUM SESSIONS ON HEALTHSTREAM.-STRATEGY 2: DEVELOP A COMMUNICATIONS CAMPAIGN TO RAISE AWARENESS ABOUT THE THREE ACES AND COMMUNITY RESOURCES. ACTION: IN 2024, WE PLACED INTERNAL COMMUNICATIONS PIECES TO RAISE AWARENESS ABOUT OUR PRIORITY HEALTH ISSUES AND CHIP STRATEGIES. NMH LEADERSHIP AND TEAM MEMBERS WERE KEPT APPRAISED OF OUR CHNA AND CHIP AND STRATEGIES WE WERE IMPLEMENTING TO ADDRESS OUR KEY HEALTH PRIORITIES IN 2024 THROUGH STRATEGIC COMMUNICATIONS INCLUDING ARTICLES PLACED IN OUR LEADERSHIP NEWSLETTER AND IN NMH TEAM MEMBER COMMUNICATIONS.-STRATEGY 3: EDUCATE STAFF ON SECONDARY TRAUMA STRESS AND THE THREE ACES.ACTION: AT THE TRAUMA SYMPOSIUM HELD ON NOVEMBER 8, 2024, BOTH THE KEYNOTE SPEAKER AND THE OPENING SPEAKER ADDRESSED THE ISSUE OF SECONDARY TRAUMA STRESS ALONG WITH FOCUSING ON THE THREE CATEGORIES OF TRAUMA INCLUDING ADVERSE CHILDHOOD EVENTS, ADVERSE COMMUNITY EVENTS, AND ADVERSE COMMUNITY ENVIRONMENTS.ACTION: VARIOUS MESSAGES WERE SHARED BY NMH'S RESILIENCY COACH ABOUT THE PRESENCE AND IMPACT OF SECONDARY TRAUMA STRESS ON THE HEALTH OF HEALTH CARE PROVIDERS.ACTION: THE NMH RESILIENCY COACH HELPED PLAN, ORGANIZE, AND PARTICIPATE IN THE MINNESOTA CARES CONFERENCE, AN EVENT FOCUSED ON WELLNESS AND RESILIENCY SESSIONS AIMED AT HEALTH CARE WORKERS IN THE STATE OF MINNESOTAOBJECTIVE 3: SUPPORT A CULTURE OF EMPLOYEE WELLNESS.-STRATEGY 1: DEVELOP SPACE FOR STAFF SELF-CARE AND PROVIDE STAFF SELF-CARE SUPPORTS (AROMATHERAPY, WEIGHTED BLANKETS, FIDGETS).ACTION: A RESILIENCY LOUNGE IS OPEN ONE WEEK EACH QUARTER AT THE MAPLE GROVE HOSPITAL, AND IT PROVIDES SPACE AND RESOURCES FOR MAPLE GROVE HOSPITAL STAFF'S WELL-BEING. ACTION: SELF-CARE SUPPORTS WERE PROVIDED TO ATTENDEES OF THE 2024 TRAUMA SYMPOSIUM INCLUDING AN INNER RESOURCES GUIDEBOOK AND A SWAG BAG WITH WELLNESS RESOURCES INCLUDING A 54321 CALMING CARD, CRYSTAL, ANXIETY STICKS, SOAP, AND CALMING BODY BUTTER.OBJECTIVE 4: CREATE SAFE PHYSICAL, SOCIAL, AND EMOTIONAL ENVIRONMENTS.-STRATEGY 1: AT NORTH MEMORIAL HEALTH TEAM MEMBERS ARE REQUIRED TO COMPLETE OUR RESPECTFUL WORKPLACE TRAINING WHICH INCLUDES COURSES ON SEXUAL ASSAULT AND DISCRIMINATION. ACTION: 1006 MAPLE GROVE HOSPITAL TEAM MEMBERS COMPLETED THE RESPECTFUL WORKPLACE TRAINING IN 2024.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 16:</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://NORTHMEMORIAL.COM/FINANCIAL-ASSISTANCE/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 7A &amp; 10A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN HAVE BEEN POSTED ONLINE AT:HTTPS://NORTHMEMORIAL.COM/COMMUNITYHEALTH/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE IS REPORTED AT CHARGES AS RECORDED BY THE ORGANIZATION, NET OF UNINSURED DISCOUNTS OR OTHER ADJUSTMENTS. THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE AND CURRENT ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTH MEMORIAL HEALTH WORKS CLOSELY WITH THE COMMUNITY ENGAGEMENT ADVISORY TEAM MEMBERS TO DETERMINE AREAS OF NEED AND COMMUNITY HEALTH CONCERNS. OUR SENIOR COMMUNITY HEALTH SPECIALIST IS A MEMBER OF THE SEVERAL COMMUNITY HEALTH IMPROVEMENT COALITIONS (CENTER FOR COMMUNITY HEALTH, YMCA COMMUNITY BOARD, AND NORTHWEST FAMILY RESOURCE COLLABORATIVE) WHICH ALLOWS NORTH MEMORIAL HEALTH TO BE INVOLVED IN KEY COMMUNITY HEALTH ISSUES. THE LATEST CHNA WAS COMPLETED IN 2022 AND INCLUDED NUMEROUS COMMUNITY ENGAGEMENT ACTIVITIES 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>MAPLE GROVE HOSPITAL PROVIDES EDUCATIONAL RESOURCES FOR COMMUNITY MEMBERS SUCH AS CLASSES ON HEALTH CARE DIRECTIVES, KIDS SAFETY FAIRS AND SEMINARS ON HEALTH TOPICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTH MEMORIAL HEALTH FILES THE COMMUNITY BENEFIT REPORT WITH THE STATE OF MINNESOTA WHENEVER A NEW REPORT IS PREPARED.</ExplanationTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULISA ROESSLER</PersonNm>
        <TitleTxt>PATIENT CARE FACILITATOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>189495</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>18416</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>416</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10220</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18752</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>237299</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CATHY FEDDERSEN</PersonNm>
        <TitleTxt>PATIENT CARE FACILITATOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>192788</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>13753</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>320</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10008</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20269</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>237138</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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. NORTH MEMORIAL HEALTH CARE USED A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>DR. KEVIN CROSTON RECEIVED THE PAYOUT OF HIS 457(F) PLAN OF $1,500,000 IN 2024. THE CONTRIBUTIONS TO THIS PLAN WERE REPORTED IN PRIOR YEARS' RETURNS AS NOTED IN COLUMN (F) OF SCHEDULE J, PART II.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CITY OF MAPLE GROVE</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>410873250</BondIssuerEIN>
        <CUSIPNum>56516TBU8</CUSIPNum>
        <BondIssuedDt>2017-05-25</BondIssuedDt>
        <IssuePriceAmt>128801633</IssuePriceAmt>
        <PurposeDesc>REFUNDING OF 2007 BOND SERIES</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>1</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>29895000</RetiredAmt>
        <TotalProceedsAmt>128801633</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>1020988</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>127780645</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2017</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUER NAME: CITY OF MAPLE GROVE DATE THE REBATE COMPUTATION WAS PERFORMED: 06/15/2022</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR EXECUTIVE POSITIONS IS REVIEWED BY THE NORTH MEMORIAL HEALTH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>DISTRIBUTION TO NORTH MEMORIAL HEALTH -48,000,000. RETURNED GRANT FUNDS -46,816.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NEITHER THE OVERSIGHT PROCESS OF THE AUDIT OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE CURRENT TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NORTH MEMORIAL HEALTH CARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3300 OAKDALE AVENUE NORTH</AddressLine1Txt>
          <CityNm>ROBBINSDALE</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55422</ZIPCd>
        </USAddress>
        <EIN>410729979</EIN>
        <PrimaryActivitiesTxt>ACUTE CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>NORTH MEMORIAL</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NORTH MEMORIAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>3300 OAKDALE AVENUE NORTH</AddressLine1Txt>
          <CityNm>ROBBINSDALE</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55422</ZIPCd>
        </USAddress>
        <EIN>411777966</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>NORTH MEMORIAL</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ASSOCIATED HEALTH ASSURANCE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3300 OAKDALE AVENUE NORTH</AddressLine1Txt>
          <CityNm>ROBBINSDALE</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55422</ZIPCd>
        </USAddress>
        <EIN>980343815</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>BD</LegalDomicileForeignCountryCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NORTH MEMORIAL</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>9855 HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>MAPLE GROVE</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55369</ZIPCd>
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        <PrimaryActivitiesTxt>OUTPATIENT SURGERY</PrimaryActivitiesTxt>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MINNESOTA DIAGNOSTIC IMAGING PARTNERS LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2955 XENIUM LANE SUITE 40</AddressLine1Txt>
          <CityNm>PLYMOUTH</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <AddressLine1Txt>6950 FRANCE AVE S SUITE 200</AddressLine1Txt>
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          <StateAbbreviationCd>MN</StateAbbreviationCd>
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        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>OAKDALE HEALTH ENTERPRISES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3300 OAKDALE AVENUE NORTH</AddressLine1Txt>
          <CityNm>ROBBINSDALE</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55422</ZIPCd>
        </USAddress>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <CityNm>ROBBINSDALE</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55422</ZIPCd>
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        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
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        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>