TY 2022 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) J KEVIN CROSTON MD...................................................................... CEO NORTH MEMORIAL	40.00 ................. 6.00	X	X		1,741,361	544,406
(2) TIM BAYLOR...................................................................... BOARD MEMBER	2.00 .................	X			10,000	0
(3) BRUCE CHRISTENSEN...................................................................... BOARD MEMBER	2.00 .................	X			10,000	0
(4) ROBERT DAHL...................................................................... BOARD MEMBER	2.00 .................	X			10,000	0
(5) TED FERRARA...................................................................... BOARD MEMBER	2.00 .................	X			10,000	0
(6) ANDREW HOULTON MD...................................................................... BOARD MEMBER	2.00 .................	X			10,000	0
(7) DIANE HUSTON...................................................................... BOARD MEMBER	2.00 .................	X			10,000	0
(8) LAUIRE LAFONTAINE...................................................................... BOARD MEMBER	2.00 .................	X			10,000	0
(9) WARREN MACK...................................................................... BOARD MEMBER	2.00 .................	X			10,000	0
(10) REUBEN MOORE...................................................................... BOARD MEMBER	2.00 .................	X			10,000	0
(11) ROBERT PRENTISS...................................................................... BOARD MEMBER	2.00 .................	X			10,000	0
(12) MIKE STEINHAUSER...................................................................... CHAIRMAN OF BOARD	2.00 .................	X	X		10,000	0
(13) HEIDI WILSON...................................................................... BOARD MEMBER	2.00 .................	X			10,000	0
(14) DAN FROMM...................................................................... CHIEF FINANCIAL OFFICER	40.00 ................. 4.00		X		720,094	47,133
(15) SAMANTHA HANSON...................................................................... CHIEF ADMINISTRATION OFFICER	40.00 ................. 4.00			X	758,976	38,037
(16) ANDREW COCHRANE...................................................................... CHIEF HOSPITAL OFFICER	40.00 ................. 2.00			X	739,611	43,426
(17) CAROLYN OGLAND MD...................................................................... CHIEF MEDICAL OFFICER	40.00 ................. 2.00			X	669,757	42,675

(A) Name and business address	(B) Description of services	(C) Compensation
FAVORITE HEALTHCARE STAFFING 1700 W HIGHWAY 36 STE 880 ROSEVILLE,MN55113	TEMPORARY STAFFING	21,289,140
RESPIRATORY CONSULTANTS PA 3366 OAKDALE AVE NORTH 401 ROBBINSDALE,MN55422	INTENSIVISTS STAFFING	5,322,530
TRELLIS RX LLC 655 METRO PLACE SOUTH STE 450 DUBLIN,OH43017	PHARMACY OPTIMIZATION	4,675,677
REGENTS OF UNIVERSITY OF MN 229 19TH AVE S STE 150 MINNEAPOLIS,MN55455	PHYSICIAN SERVICES	4,271,409
EPIC 1979 MILKY WAY VERONA,WI53593	SOFTWARE MAINTENANCE	4,238,197
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 5

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

NORTH MEMORIAL HEALTH CARE
DBA NORTH MEMORIAL HEALTH

Employer identification number

41-0729979

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2022

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2022

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2022

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2022

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Name of the organization

NORTH MEMORIAL HEALTH CARE
DBA NORTH MEMORIAL HEALTH

Employer identification number

41-0729979

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization NORTH MEMORIAL HEALTH CARE DBA NORTH MEMORIAL HEALTH

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization NORTH MEMORIAL HEALTH CARE DBA NORTH MEMORIAL HEALTH		Employer identification number 41-0729979

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization NORTH MEMORIAL HEALTH CARE DBA NORTH MEMORIAL HEALTH			Employer identification number 41-0729979
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

NORTH MEMORIAL HEALTH CARE
DBA NORTH MEMORIAL HEALTH

Employer identification number

41-0729979

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

263,036

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

Total. Add lines 1c through 1i ....................................................................................................

263,036

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	CONTACTS & VISITS WERE MADE WITH STATE LEVEL LEGISLATORS TO PROMOTE HEALTH CARE RELATED ISSUES. LINE 1F INCLUDES SALARY ALLOCATIONS OF STAFF INVOLVED IN LOBBYING, CONSULTANT FEES, & THE NON-DEDUCTIBLE PORTION OF ORGANIZATION MEMBERSHIP DUES.

Schedule C (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

NORTH MEMORIAL HEALTH CARE
DBA NORTH MEMORIAL HEALTH

Employer identification number

41-0729979

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	2,998,878	2,665,779	3,533,984	2,919,654	3,344,063
b	Contributions ...	30,942	2,772	15,237	7,300	82,062
c	Net investment earnings, gains, and losses	-545,367	333,957	292,934	659,124	-75,671
d	Grants or scholarships ...	180,854	3,630	7,218	52,094
e	Other expenditures for facilities and programs ...			1,169,158		414,300
f	Administrative expenses ....					16,500
g	End of year balance ......	2,303,599	2,998,878	2,665,779	3,533,984	2,919,654

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

73.810 %

Term endowment SchDMd Bullet

26.190 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	28,088,006		28,088,006
b	Buildings ....	257,003,612	192,259,767	64,743,845
c	Leasehold improvements	11,613,120	9,979,025	1,634,095
d	Equipment ....	377,132,945	302,342,924	74,790,021
e	Other .....	10,239,058	8,356,439	1,882,619
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				171,138,586

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) RREEF AMERICA REIT II	42,357,802	F
(B) CASH ON DEPOSIT WITH BOND TRUSTEE	770,883	F
(C) AGENCY ACCOUNT	12,129	F
(D) CASUALTY INSURANCE SECURITY	5,614,550	F
(E) PARAMETRIC DEFENSE EQUITY FUND	32,152,037	F
(F) PARAMETRIC GLOBAL DEFENSE EQUITY FUND	31,651,239	F
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	112,558,640

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	41,494,966
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4:

ALL ENDOWMENT FUNDS ARE HELD BY A RELATED ENTITY: NORTH MEMORIAL FOUNDATION. 1) RALPH ROSSEN ENDOWMENT: THIS ENDOWMENT WAS ESTABLISHED IN 1986 TO PROVIDE RECOGNITION TO NURSING STAFF THAT PROVIDE REMARKABLE SERVICE TO NORTH MEMORIAL PATIENTS AND THEIR FAMILIES. MEMBERS OF THE ROSSEN FAMILY SERVE ON A COMMITTEE ALONG WITH THE VP AND CHIEF NURSING OFFICER OF NORTH MEMORIAL TO SELECT THE RECIPIENTS. 3) HAROLD ECKER ENDOWMENT: ESTABLISHED IN 1994 IN HONOR OF THE EXCELLENT CARE THAT MR. ECKER RECEIVED AS A PATIENT AT NORTH MEMORIAL, THE HAROLD ECKER ENDOWMENT PROVIDES A $500 AWARD TO THREE NORTH MEMORIAL EMPLOYEES RECOGNIZING THEIR OUTSTANDING PERFORMANCE AND PERSONAL ATTITUDE. THE AWARD IS OPEN TO ALL EMPLOYEES AND THE WINNERS ARE SELECTED BY A COMMITTEE OF NORTH MEMORIAL EMPLOYEES AND PRESENTED AT THE ANNUAL QUALITY AWARDS LUNCHEON IN NOVEMBER EACH YEAR. 4) RESIDENTIAL HOSPICE ENDOWMENT: THE RESIDENTIAL HOSPICE ENDOWMENT WAS ESTABLISHED BY DR. JOHN AND PATTY MANION TO PROVIDE ASSISTANCE TO THE RESIDENTIAL HOSPICE PROGRAM AT NORTH MEMORIAL. FUNDS ARE USED TO UPGRADE THE FACILITIES AND EQUIPMENT AT THE NORTH RESIDENTIAL HOSPICE FACILITY IN BROOKLYN CENTER, PROVIDE ADDITIONAL PROGRAM SUPPORT, STAFF TRAINING AND TO ASSIST THOSE FAMILIES THAT CANNOT AFFORD THIS SERVICE. THE RESIDENTIAL HOSPICE FACILITY WAS SOLD IN 2017 AND WE ARE CURRENTLY WORKING THROUGH THE PROCESS TO REPURPOSE THE ENDOWMENT FUNDS. NO FUNDS WILL BE USED UNTIL THE PROCESS IS COMPLETE. 5) HELEN MURRAY MEMORIAL ENDOWMENT THIS ENDOWMENT WAS ESTABLISHED WITH AN IRREVOCABLE CHARITABLE REMAINDER TRUST BY JEANNE MITHUN TO RECOGNIZE THE OUTSTANDING SERVICE THAT NORTH RESIDENTIAL HOSPICE PROVIDED TO HER MOTHER (HELEN MURRAY) AND HER FAMILY. FUNDS ARE USED TO PROVDE CARE TO INDIVIDUALS UNABLE TO PAY FOR SERVICES AT THE FACILITY. 6) MEDICAL STAFF ENDOWMENT THIS ENDOWMENT WAS ESTABLISHED IN 2010 BY THE NORTH MEMORIAL MEDICAL STAFF EXECUTIVE COMMITTEE. PROCEEDS FROM THE ENDOWMENT WILL FUND NORTH MEMORIAL PROGRAMS SUCH AS JUNIOR VOLUNTEER SCHOLARSHIP, SAFEJOURNEY, PASTORAL CARE, ETC. 7) MAPLE GROVE MEDICAL STAFF ENDOWMENT WAS ESTABLISHED IN 2013 BY THE MAPLE GROVE MEDICAL STAFF EXECUTIVE COMMITTEE. PROCEEDS FROM THE ENDOWMENT WILL FUND MAPLE GROVE PROGRAMS. 8) BILLINGS/VISAYA ENDOWMENT THIS ENDOWMENT WAS ESTABLISHED IN 2021 THROUGH A DONATION FROM THE BILLING-VISAYA FAMILY. PROCEEDS FROM THE ENDOWMENT WILL SUPPORT ACTIVITIES OF THE ESTABLISHED EMERGENCY FUND TO HELP CANCER PATIENTS WHO NEED ASSISTANCE WITH MEDICAL BILLS, TRANSPORTATION NEEDS, UTILITIES, RENT/MORTGAGE PAYMENTS OR OTHER CRITICAL NEEDS PER THE ESTABLISHED GUIDELINES. PER THE GIFT AGREEMENT, THE ENDOWMENT INCLUDES A DONOR REQUEST FOR A FIVE YEAR GROWTH PERIOD RESTRICTION AND NO SPENDING ALLOCATION WILL OCCUR UNTIL JANUARY 1, 2027 AT THE EARLIEST.

PART X, LINE 2:

NORTH MEMORIAL IS ENGAGED IN CERTAIN ACTIVITIES THAT RESULT IN UNRELATED BUSINESS INCOME. NORTH MEMORIAL RECORDED AN INCOME TAX EXPENSE OF APPROXIMATELY $300,000 AND $175,000 IN 2022 AND 2021, RESPECTIVELY, WHICH IS INCLUDED WITH OTHER OPERATING EXPENSES IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. NORTH MEMORIAL RECOGNIZES ALL TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT, BASED ON TECHNICAL MERITS, THE POSITION WILL BE SUSTAINED UPON EXAMINATION. NORTH MEMORIAL EVALUATES ITS UNCERTAIN POSITIONS ON AN ANNUAL BASIS, AND THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN THE CONSOLIDATED BALANCE SHEETS AS OF DECEMBER 31, 2022 OR 2021. PLEASE NOTE THAT AMOUNTS INCLUDED ABOVE REGARDING UNRELATED BUSINESS INCOME ARE FOR NORTH MEMORIAL HEALTH AS WELL AS OTHER ORGANIZATIONS INCLUDED IN THE CONSOLIDATED AUDIT REPORT. NORTH MEMORIAL HEALTH DOES NOT HAVE ANY UNRELATED BUSINESS INCOME TAX LIABILITY FOR TAX YEAR 2022.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

NORTH MEMORIAL HEALTH CARE
DBA NORTH MEMORIAL HEALTH

Employer identification number

41-0729979

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	9,499,080		9,499,080	1.210 %
b	Medicaid (from Worksheet 3, column a) . . . . .	136,104,845	90,246,369	45,858,476	5.860 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	145,603,925	90,246,369	55,357,556	7.070 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,641,891		1,641,891	0.210 %
f	Health professions education (from Worksheet 5) . . .	6,907,098	3,593,591	3,313,507	0.420 %
g	Subsidized health services (from Worksheet 6) . . . .	10,817,786	6,175,078	4,642,708	0.590 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	206,470		206,470	0.030 %
j	Total. Other Benefits . .	19,573,245	9,768,669	9,804,576	1.250 %
k	Total. Add lines 7d and 7j .	165,177,170	100,015,038	65,162,132	8.320 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

19,789,788

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

191,520,762

Enter Medicare allowable costs of care relating to payments on line 5.....

295,062,014

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-103,541,252

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 NM AMBULATORY SURGERY CENTER MAPLE GROVE	OUTPATIENT SURGERY CENTER	55.360 %	0 %	44.640 %
22 MN DIAGNOSTIC IMAGING PARTNERS	OUTPATIENT IMAGING CENTER	60.000 %	0 %	40.000 %
33 NORTH RADIATION ONCOLOGY	OUTPATIENT RADIATION ONCOLOGY CLINIC	50.000 %	0 %	50.000 %
44 BLAINE AMBULATORY SURGERY CENTER	OUTPATIENT SURGERY CENTER	10.000 %	0 %	37.000 %
55 MINNETONKA AMBULATORY SURGERY CENTER	OUTPATIENT SURGERY CENTER	20.000 %	0 %	0 %
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	NORTH MEMORIAL HEALTH 3300 OAKDALE AVENUE NORTH ROBBINSDALE,MN55422 WWW.NORTHMEMORIAL.COM	X	X	X	X

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	NORTH MEMORIAL HEALTH
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V FOR FULL URL

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V FOR FULL URL

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	NORTH MEMORIAL HEALTH
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V FOR FULL URL

The FAP application form was widely available on a website (list url):

SEE PART V FOR FULL URL

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V FOR FULL URL

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	NORTH MEMORIAL HEALTH
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	NORTH MEMORIAL HEALTH
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
NORTH MEMORIAL HEALTH	PART V, SECTION B, LINE 5: NORTH MEMORIAL HAS A COMMUNITY STEERING COMMITTEE WHICH IS COMPOSED OF COMMUNITY MEMBERS. THE STEERING COMMITTEE SUPERVISES THE ASSESSMENT PROCESS AND VOTED ON THE TOP HEALTH PRIORITIES. THE MEMBERS REPRESENT A VARIETY OF COMMUNITY ORGANIZATIONS. THE COMMITTEE HAS REPRESENTATIVES FROM PUBLIC HEALTH WHOSE MAIN FOCUS IS TO REPRESENT THE COMMUNITY'S INTERESTS RELATED TO HEALTH.
NORTH MEMORIAL HEALTH	PART V, SECTION B, LINE 11: NORTH MEMORIAL HEALTH HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022. IN 2022, HOWEVER, WE CONTINUED TO ADDRESS ISSUES NOTED IN OUR 2019-2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLAN. THE 2019 CHNA WAS OUR THIRD COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH WAS GUIDED BY OUR COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT). CEAT IS COMPOSED OF COMMUNITY MEMBERS, NORTH MEMORIAL HEALTH TEAM MEMBERS AND LEADERS, AND PUBLIC HEALTH REPRESENTATIVES.TO IDENTIFY THE TOP COMMUNITY NEEDS PRIORITIES, WE LEVERAGED PRIMARY AND SECONDARY RESEARCH. - WE CONDUCTED FOUR FOCUS GROUPS (WITH CEAT MEMBERS, HEALTHCARE AND SOCIAL SERVICES PROFESSIONALS, AND COMMUNITY MEMBERS). WE ALSO CONDUCTED KEY STAKEHOLDER INTERVIEWS WITH COMMUNITY LEADERS, LOCAL GOVERNMENT, LAW ENFORCEMENT, EDUCATION, COMMUNITY-BASED ORGANIZATIONS, BUSINESS OWNERS, AND COMMUNITY MEMBERS WITHIN OUR SERVICE AREA.- WE COLLECTED AND ANALYZED DATA FROM MULTIPLE RESOURCES INCLUDING DEMOGRAPHIC DATA THROUGH CLARITAS; QUANTITATIVE DATA FROM THE MINNESOTA HOSPITAL ASSOCIATION, MINNESOTA DEPARTMENT OF HEALTH, HENNEPIN COUNTY SHAPE 2018 AND THE COMMUNITY NEEDS INDEX; ATTRIBUTED PATIENT DATA; COMMUNITY ASSET MAPPING; AND THE MINNESOTA STUDENTS SURVEY CONDUCTED BY THE MINNESOTA DEPARTMENT OF EDUCATION (2016). PRIORITIES IDENTIFIED IN THE ASSESSMENT AND FINALIZED BASED ON CEAT DISCUSSIONTHE 2019 CHNA RESULTED IN A LIST OF PRIORITIZED HEALTH NEEDS, WHICH ARE NOTED BELOW. - MENTAL HEALTH AND SUBSTANCE ABUSE- CULTURALLY RESPONSIVE CARE THIS INCLUDES THE RELATIONSHIP BETWEEN THE HOSPITAL AND THE COMMUNITY- RESOURCES/PARTNERSHIPS- HOUSING- ACCESS TO HEALTHCARE- FOOD- TRANSPORTATION - HEALTHY AGING - STRUCTURAL AND INSTITUTIONAL RACISM DUE TO LIMITED RESOURCES, NORTH MEMORIAL HEALTH HOSPITAL IS NOT ABLE TO ADDRESS ALL CRITICAL HEALTH ISSUES IN THE SERVICE AREA. THE CEAT DISCUSSED THE TOP PRIORITIES FOR ACTION BASED ON THE FOLLOWING CRITERIA: 1) HOW WIDESPREAD IS THE HEALTH NEED?; 2) HOW SERIOUS OR IMPORTANT IS THE HEALTH NEED FOR INDIVIDUALS AND/OR THE COMMUNITY?; AND 3) WHAT IS THE POTENTIAL FOR NORTH MEMORIAL HEALTH HOSPITAL AND COMMUNITY PARTNERS TO HAVE A POSITIVE IMPACT ON THIS HEALTH NEED WITHIN THREE TO FOUR YEARS? FOLLOWING A VOTING PROCESS, THE HEALTH NEEDS IDENTIFIED FOR FOCUS IN 2019-2022 WERE: - MENTAL HEALTH- SUBSTANCE ABUSE- CULTURALLY RESPONSIVE CARENORTH MEMORIAL HEALTH HOSPITAL DEVELOPED A COMMUNITY HEALTH IMPLEMENTATION PLAN OUTLINING THE STRATEGIES WE WOULD IMPLEMENT TO ADDRESS THESE NEEDS IN 2019-2022. THE CONTENT IN THE FOLLOWING SECTIONS OUTLINES THE PRIORITIES, THE STRATEGIES WITHIN EACH PRIORITY, AND WHAT WE ACCOMPLISHED IN 2022. PLEASE NOTE THAT IN 2022, WE WERE STILL EXPERIENCING THE COVID-19 PANDEMIC, SO IT PREVENTED US FROM DOING SOME OF THE THINGS THAT WERE INITIALLY OUTLINED IN OUR PLAN. WITH THAT IN MIND, WE NARROWED IN ON THE STRATEGIES THAT WERE MOST CRITICAL AND POSSIBLE TO ADDRESS IN A PANDEMIC. WE ALSO ADJUSTED SOME OF OUR OFFERINGS TO BE VIRTUAL CLASSES AND SUPPORT GROUPS INSTEAD OF THE TRADITIONAL IN-PERSON OPTIONS.STRATEGIES AND ACTIONS BY PRIORITYPRIORITY ONE: MENTAL HEALTHOUR GOAL IN ADDRESSING MENTAL HEALTH IS TO SUPPORT THE MENTAL HEALTH OF OUR COMMUNITY ALONG THE MENTAL HEALTH CONTINUUM. THIS PRIORITY WAS FIRST IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND WAS ALSO PRIORITIZED IN 2019-2022. IN 2022 WE CONTINUED TO PIVOT TO ENSURE WE COULD ADDRESS THE MENTAL HEALTH NEEDS OF THE COMMUNITY AMIDST A PANDEMIC MODIFYING EXECUTION OF SOME STRATEGIES TO ACCOUNT FOR LIMITED RESOURCES, THE CONSTRAINTS OF THE PANDEMIC, AND THE IMMEDIATE COMMUNITY NEEDS.OBJECTIVES:1. REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH CONDITIONS.2. INCREASE COMMUNITY EDUCATION AROUND MENTAL HEALTH AND HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE DISORDERS AMONG COMMUNITY MEMBERS.3. INCREASE COMMUNITY EDUCATION ABOUT SUICIDE PREVENTION, WITH:- THE COMMUNITY- FIRST RESPONDERS4. SUPPORT COMMUNITY MEMBERS WHO ARE EXPERIENCING A HEALTH ISSUE BY OFFERING COMMUNITY SUPPORT GROUPS.5. REDUCE THE CYCLE OF VIOLENCE AMONG YOUTH WHO ENTER THE EMERGENCY ROOM.6. CONNECT PATIENTS WITH MENTAL ILLNESS TO COMMUNITY SOCIAL SERVICES.7. PROVIDE RESILIENCE SKILLS TO COMMUNITY MEMBERS.8. CONTINUE INVOLVEMENT WITH COMMUNITY ORGANIZATIONS THAT ARE ADDRESSING MENTAL HEALTH AND SOCIAL ISOLATION.STRATEGIES AND ACTIONS (BY OBJECTIVE):1. OBJECTIVE: REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH CONDITIONS.STRATEGY 1: INCORPORATE THE MAKE IT OKAY MESSAGE INTO ANNUAL EMPLOYEE TRAINING.ACTION: NORTH MEMORIAL HEALTH HOSPITAL INCORPORATED THE MAKE IT OKAY MESSAGE INTO THE ANNUAL TEAM MEMBER TRAINING. MAKE IT OKAY IS DESIGNED TO REDUCE STIGMA SURROUNDING MENTAL HEALTH. THIS EDUCATION IS DESIGNED TO EMPOWER OUR TEAM MEMBERS TO FEEL COMFORTABLE ADDRESSING MENTAL HEALTH ISSUES WITH THEIR CUSTOMERS, FAMILY, FRIENDS, AND COMMUNITY MEMBERS. IN 2022, 3453 NMHH EMPLOYEES COMPLETED THE MAKE IT OKAY TRAINING AS PART OF THEIR ANNUAL OR NEW EMPLOYEE TRAINING.STRATEGY 2: EXPLORE OFFERING MAKE IT OKAY PRESENTATIONS TO OUR TEAM AND COMMUNITY. NOTE: BASED ON LIMITED RESOURCES AND THE CONTINUED CONSTRAINTS OF THE PANDEMIC, SUCH AS THE NEED TO LIMIT IN-PERSON MEETINGS, THIS CONTINUED TO BE ON HOLD IN 2022. 2. OBJECTIVE: INCREASE COMMUNITY EDUCATION ABOUT MENTAL HEALTH AND HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE DISORDERS AMONG COMMUNITY MEMBERSSTRATEGY 1: OFFER EVIDENCE-BASED MENTAL HEALTH FIRST AID (MHFA) CLASSES TO THE COMMUNITY (INCLUDING YOUTH, ADULT, AND OLDER ADULT FIRST AID).OVERVIEW: THE GOAL OF THESE CLASSES IS TO INCREASE PARTICIPANTS' CONFIDENCE IN ASSISTING A PERSON WITH MENTAL HEALTH ISSUES AND CONNECTING THEM TO PROFESSIONAL RESOURCES. AS WE CONTINUED TO NAVIGATE THROUGH THE COVID-19 PANDEMIC, THIS EFFORT CONTINUED TO BE ON HOLD FOR MOST OF THE CALENDAR YEAR.ACTION: WE HAD SEVERAL CONVERSATIONS WITH NAMI AND THE MAPLE GROVE HEALTHY AGING COMMITTEE ON HOW WE CAN OFFER THESE MENTAL HEALTH FIRST AID CLASSES IN 2022. THERE WAS NOT AN OLDER ADULT MHFA CLASS AND DUE TO THE LENGTH OF MHFA AND YOUTH MHFA CLASSES (4-6 HOURS) THESE CLASSES WERE NOT HELD IN 2022 DUE TO THE PANDEMIC AND LIMITED IN-PERSON CONTACTS.3. OBJECTIVE: INCREASE COMMUNITY EDUCATION AROUND SUICIDE PREVENTION (IN THE COMMUNITY AND WITH FIRST RESPONDERS).STRATEGY 1: OFFER SAFETALK SUICIDE PREVENTION CLASSES TO THE COMMUNITY.ACTION: TO REDUCE THE STIGMA AROUND SUICIDE, NMH PLANNED TO OFFER FOUR SAFETALK SUICIDE PREVENTION CLASSES TO THE COMMUNITY IN 2022. FOR THE THIRD YEAR, DUE TO COVID-19, WE WERE NOT ABLE TO OFFER SAFETALK CLASSES IN 2022 BECAUSE THE LICENSING ORGANIZATION DID NOT OFFER THE TRAINING VIRTUALLY. STRATEGY 2: CONDUCT A ZERO SUICIDE ASSESSMENT AND EXPLORE QPR TRAINING. ACTION: NORTH MEMORIAL HEALTH HOSPITAL CONDUCTED A ZERO SUICIDE ASSESSMENT OF NORTH MEMORIAL HEALTH HOSPITAL IN 2022 AND USED THE FINDINGS TO INFLUENCE THE WORKFLOWS OF THE EMERGENCY DEPARTMENT ("ED"). IN 2022, THE NMHH LEAD SOCIAL WORKER FOR THE ZERO SUICIDE ASSESSMENT CONTINUED TO PARTICIPATE IN MONTHLY INSTITUTE FOR CLINICAL SYSTEM IMPROVEMENT (ICSI) MEETINGS AND TRAININGS (2 HOURS PER MONTH) TO AID IN DEVELOPMENT OF THE ED FRAMEWORK. NORTH MEMORIAL HEALTH HOSPITAL MAINTAINED THEIR SUICIDE SCREENING PROCESS IN THE ED TRIAGE IN 2022. IF A PATIENT SCREENED POSITIVE, THE BEHAVIORAL HEALTH TEAM WAS PULLED IN AND THE PATIENT RECEIVED THE SAFETALK ASSESSMENT. IF AT ANY TIME A PATIENT MENTIONS THOUGHTS OF SUICIDE, WHILE IN THE HOSPITAL, THE BEHAVIORAL HEALTH TEAM CONDUCTS ANOTHER ASSESSMENT AND DEVELOPS A COMPREHENSIVE SAFETY PLAN.WE HAD EXPLORED TRAINING SOCIAL WORKERS FROM NMHH IN QPR (QUESTION, PERSUADE, REFER). DUE TO A LACK OF FUNDING AS WELL AS THE COVID-19 PANDEMIC, NMHH STAFF WERE NOT TRAINED IN QPR. THE ED STAFF PARTICIPATED IN LOCAL COLLABORATIVES FOCUSED ON MENTAL HEALTH INCLUDING A ZERO SUICIDE COLLABORATIVE, HENNEPIN COUNTY'S CHIP COMMUNITY MENTAL WELL-BEING GROUP, AND THE CHILDREN'S MENTAL HEALTH SERVICE COORDINATION WORKGROUP. THEY ALSO NURTURE COMMUNITY PARTNERSHIPS AIMED AT INCREASING MENTAL HEALTH REFERRAL NETWORKS. IN 2022 THEY MET WITH PRAIRIE CARE, ROGERS BEHAVIORAL HEALTH, VETERANS ADMINISTRATION, AND PRIDE INSTITUTE. STRATEGY 3: EXPLORE OFFERING SAFETALK SUICIDE PREVENTION CLASSES TO FIRST RESPONDERS.ACTION: SINCE SAFETALK WAS DISBANDED DUE TO COVID-19, WE MODIFIED OUR APPROACH FOR FIRST RESPONDERS TO INSTEAD FOCUS ON MENTAL HEALTH FIRST AID (MHFA) TRAINING. IN 2022, WE RECEIVED A SAMSHA GRANT TO HELP PROVIDE MENTAL HEALTH TRAINING TO OUTSTATE AREA FIRST RESPONDERS. THE GRANT FUNDED THE TRAINING FOR 300 FIRST RESPONDERS, HOWEVER, WE MORE THAN DOUBLED THAT NUMBER AND 690 FIRST RESPONDERS AND STATE PATROL TROOPERS RECEIVED THE TRAINING IN 2022.
NORTH MEMORIAL HEALTH	PART V, SECTION B, LINE 13B: CATASTROPHIC CHARITY CARE - PAY NO MORE THAN 25% OF ANNUAL FAMILY INCOME
SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION:	4. OBJECTIVE: SUPPORT COMMUNITY MEMBERS WHO ARE EXPERIENCING A HEALTH ISSUE BY OFFERING COMMUNITY SUPPORT GROUPS. STRATEGY 1: PROVIDE REGULAR SUPPORT GROUPS FOR PATIENTS, CAREGIVERS, AND COMMUNITY MEMBERS WHO ARE EXPERIENCING SPECIFIC HEALTH ISSUES: LUNG, BREAST, HEAD AND NECK, AND PROSTATE CANCER; LEUKEMIA AND LYMPHOMA; AND STROKE.ACTION: NORTH MEMORIAL HEALTH (INCLUDES NMHH) OFFERED SUPPORT GROUPS FOR PEOPLE EXPERIENCING SPECIFIC HEALTH ISSUES. DUE TO COVID-19, SUPPORT GROUPS FOR LUNG CANCER AND PROSTATE CANCER AND HOSPICE AND PERINATAL LOSS SUPPORT GROUPS WERE VIRTUAL IN 2022. WE OFFERED LEUKEMIA AND LYMPHOMA SUPPORT GROUPS THROUGH THE LEUKEMIA AND LYMPHOMA SOCIETY.WE CONTINUED TO REFER PATIENTS TO A BREATH OF HOPE LUNG FOUNDATION AND TO GILDA'S CLUB FOR ADDITIONAL CANCER SUPPORT GROUPS.LAST YEAR OUR STOKE SUPPORT GROUPS SERVED 354 PEOPLE. WE HAVE A YEARLONG WEEKLY SUPPORT GROUP CALLED "COFFEE AND CONVERSATION" WHICH IS RUN BY TWO VOLUNTEERS WHO HAVE SOME DYSPHAGIA BUT ARE ONLY A BIT STILL APHASIC. THEY ALL MEET AND JUST TALK AND PRACTICE IN A NON-JUDGMENTAL ENVIRONMENT. IT IS IN PERSON AND BY ZOOM SO OUT-OF-TOWNERS MAY JOIN IN.WE HAVE A MONTHLY SUPPORT GROUP CALLED DISCOVERY CIRCLE, WHICH WAS HELD VIRTUALLY IN 2022. THE MEETINGS OFTEN INCLUDED GUEST PRESENTERS SUCH AS STAFF FROM PHARMACY AND NEUROLOGY.OUR SUPPORT GROUP FOR CAREGIVERS OF STROKE SURVIVORS CONTINUED TO BE ON HOLD IN 2022 DUE TO THE LACK OF A FACILITATOR SINCE COVID-19.LASTLY, STROKE WISE IS A 7-HOUR INFORMATIONAL CLASS, GIVEN ONE DAY A WEEK OVER 3 WEEKS, FOR APPROX. 2 HOURS EACH CLASS, AND GIVEN TWICE A YEAR-SPRING AND FALL. 5. OBJECTIVE: REDUCE THE CYCLE OF VIOLENCE AMONG YOUTH WHO ENTER THE EMERGENCY ROOM. STRATEGY 1: PARTNER WITH THE CITY OF MINNEAPOLIS AND HENNEPIN HEALTHCARE TO ADMINISTER THE NEXT STEP PROGRAM AT NORTH MEMORIAL HEALTH HOSPITAL.STRATEGY 2: CONNECT YOUTH WITH COMMUNITY ADVOCATES WHO HELP YOUTH BREAK THE CYCLE OF VIOLENCE.ACTION (FOR ABOVE TWO STRATEGIES): WE CONTINUED TO ADMINISTER THE NEXT STEP, HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM, AT NORTH MEMORIAL HEALTH HOSPITAL THROUGHOUT 2022. THE PROGRAM HAS NOW EXPANDED TO A THIRD HOSPITAL IN THE MINNEAPOLIS AREA, ABBOTT NORTHWESTERN, ALLOWING THE PROGRAM TO REACH A LARGER PROPORTION OF VICTIMS OF VIOLENCE. A TOTAL OF 349 NEW PARTICIPANTS WERE ENROLLED IN 2022 AT THE THREE HOSPITALS. ON AVERAGE, 287 PARTICIPANTS WERE ACTIVELY ENGAGED IN SERVICES WITH NEXT STEP IN EACH QUARTER OF 2022.2022: ALL OF OUR STOP THE BLEED EFFORTS HAVE BEEN IN THE NORTH MEMORIAL HEALTH SERVICE AREA. WE TAUGHT BLEEDING CONTROL SKILLS TO 204 COMMUNITY MEMBERS. WE DISTRIBUTED 174 FREE BLEEDING CONTROL KITS TO PARTICIPANTS AT TRAININGS. THE KITS WERE MAINLY FUNDED BY A DONATION FROM THE ELLISON FAMILY CHARITABLE TRUST, BUT SOME WERE PROVIDED FROM HOSPITAL COMMUNITY BENEFIT FUNDS. WE CURRENTLY HAVE 19 TRAINED STOP THE BLEED INSTRUCTORS WHO ARE PART OF THE NORTH MEMORIAL HEALTH TRAUMA SERVICE.WE PARTNERED WITH MORE THAN FIVE COMMUNITY PARTNERS FOR THESE STOP THE BLEED CLASSES INCLUDING SOUTH EDUCATION CENTER IN RICHFIELD, MN (THE SITE OF A SCHOOL SHOOTING IN 2022), MINNEAPOLIS HEALTH DEPARTMENT, NEXT STEP, A MOTHER'S LOVE, AND LIVE YOUR HEALTHY LYFE.6. OBJECTIVE: CONNECT PATIENTS WITH MENTAL ILLNESS TO COMMUNITY SOCIAL SERVICES. STRATEGY 1: PARTNER WITH VAIL PLACE TO PROVIDE SOCIAL SERVICES TO OUR NORTH MEMORIAL HEALTH HOSPITAL PATIENTS WITH MENTAL ILLNESS WHO NEED SOCIAL SERVICES.ACTION: IN PARTNERSHIP WITH VAIL PLACE, WE CONNECTED PATIENTS TO A VARIETY OF SERVICES INCLUDING HOUSING, FINANCIAL BENEFITS, PSYCHIATRIC PROVIDERS, EMPLOYMENT, LEGAL ASSISTANCE, COMMUNITY SUPPORT SERVICES, AND MORE. SERVICES WERE OFFERED VIRTUALLY AND IN PERSON. VAIL PLACE PROVIDED SMARTPHONES TO SOME INDIVIDUALS TO HELP THEM STAY CONNECTED TO PROVIDERS & SUPPORT DURING THE HEIGHT OF THE PANDEMIC. IN 2022:271 INDIVIDUALS WERE SERVED AND OF THOSE 66 RECEIVED RAPID ACCESS CONNECTION TO CASE MANAGEMENT AND BEHAVIORAL HEALTH HOME SERVICES.MANY VAIL PLACE CLIENTS REQUIRED HOUSING (N=140) OR FINANCIAL ASSISTANCE (N=79), WITH RATES ALMOST DOUBLE THAN IN 2019-2021. MANY ALSO DID NOT HAVE HEALTH INSURANCE AND WERE CONNECTED TO INSURANCE DURING THEIR SERVICE PERIOD (N=43). 7. OBJECTIVE: PROVIDE RESILIENCE SKILLS TO COMMUNITY MEMBERS STRATEGY 1: EXPLORE OFFERING COMMUNITY-BASED RESILIENCY TRAINING TO COMMUNITY MEMBERS.NOTE: DUE TO RESTRICTIONS AND LIMITED RESOURCES DURING COVID-19, WE WERE NOT ABLE TO OFFER COMMUNITY-BASED RESILIENCY TRAINING. A KEY MEMBER OF THE TEAM WHO WOULD HAVE BEEN INSTRUMENTAL IN LEADING THIS EFFORT WAS DEPLOYED IN THE MINNESOTA ARMY NATIONAL GUARD THROUGHOUT MUCH OF 2022. ACTION: IN 2022 WE FOCUSED ON OFFERING RESILIENCY SUPPORT TO OUR OWN STAFF AND OTHER HEALTHCARE PROVIDERS WHO CONTINUED TO FEEL MUCH STRESS DUE TO THE COVID-19 PANDEMIC. OUR RESILIENCY COACH OFFERED NUMEROUS RESILIENCY TOOLS AND RESOURCES TO HELP OUR TEAM AND OTHER LOCAL HEALTHCARE PROVIDERS TO BETTER MANAGE MENTAL HEALTH AND WELL-BEING DURING A PANDEMIC. THIS INCLUDED BEING A KEY PLANNER AND LEADER OF MINNESOTA CARES, A FREE WORKSHOP EVENT CREATED TO PROVIDE MINNESOTA HEALTHCARE WORKERS, ACROSS THE STATE, WITH THE SKILLS AND KNOWLEDGE TO EFFECTIVELY CARE FOR THEMSELVES. OVER 700+ HEALTHCARE WORKERS ACROSS MINNESOTA REGISTERED TO ATTEND ONE OR MORE WORKSHOP SESSIONS. OUR RESILIENCY COACH OFFERED 3 CLASSES ON HEARTMATH DURING THIS EVENT. 8. OBJECTIVE: CONTINUE INVOLVEMENT WITH COMMUNITY ORGANIZATIONS THAT ARE ADDRESSING MENTAL HEALTH AND SOCIAL ISOLATION. STRATEGY 1: STRENGTHEN COMMUNITY PARTNERSHIPS TO COLLECTIVELY ADDRESS MENTAL HEALTH ISSUES AND SOCIAL CONDITIONS THAT AFFECT MENTAL HEALTH CONDITIONS (CHIP, CCH, LOCAL PUBLIC HEALTH, GOVERNMENT, AND OTHERS).ACTION: OUR NMHH EMERGENCY BEHAVIOR HEALTH CLINICIAN MAINTAINED ACTIVE PARTICIPATION IN THE HENNEPIN COUNTY CHIP, AND SHE ALSO PARTICIPATED ON THE COMMUNITY MENTAL WELLBEING ACTION GROUP. ACTION: WE ARE A MEMBER OF THE CENTER FOR COMMUNITY HEALTH COLLECTIVE ACTION GROUP. OUR SENIOR COMMUNITY HEALTH SPECIALIST PARTICIPATED IN THIS GROUP THROUGHOUT 2022 AND ACTIVELY WORKED ON THE ASSESSMENT ALIGNMENT COMMITTEE. THE GROUP SELECTED HEALTH INDICATORS FOR THE ENTIRE METRO REGION THAT WILL BE USED TO MEASURE THE STATE OF HEALTH AND THE IMPACT OF COLLECTIVE STRATEGIES TO ADDRESS HEALTH ISSUES IN THE TWIN CITIES REGION. STRATEGY 2: CONTINUE TO LOOK FOR OTHER COMMUNITY PARTNERS WORKING IN THIS AREA.ACTION: AS IN 2021, WE HELPED FUND LOCAL ORGANIZATIONS THAT HELPED MEET THE MENTAL HEALTH NEEDS OF THE COMMUNITY. THESE PARTNERSHIPS INCLUDED THE THREE RIVERS DISTRICT PARK WHERE WE SUPPORTED LATINE SENIORS AS THEY GOT ACTIVE AND CONNECTED WITH NATURE AND EACH OTHER, THE LEE CARLSON CENTER FOR MENTAL HEALTH, AND ROBBINSDALE TEEN ANNEX. ACTION: THE SENIOR COMMUNITY HEALTH SPECIALIST WAS AN ACTIVE MEMBER OF THE NORTHWEST HENNEPIN FAMILY SERVICE COLLABORATIVE GOVERNANCE BOARD. THROUGH THIS SERVICE, A NUMBER OF COMMUNITY PARTNERSHIPS WERE DEVELOPED AND RESULTED IN MEETINGS WITH A COUNTY COMMISSIONER, SCHOOL STAFF, AND OTHER HEALTH AND SOCIAL SERVICE AGENCIES.PRIORITY TWO: SUBSTANCE ABUSEOUR GOAL IN ADDRESSING SUBSTANCE ABUSE IS TO CREATE AN ENVIRONMENT WHERE EDUCATION AROUND SUBSTANCE ABUSE IS PROVIDED, ENVIRONMENTAL SUPPORT TO REDUCE ACCESS TO MEDICATIONS ARE IN PLACE AND PARTNERSHIPS WITHIN THE HEALTHCARE SYSTEM SUPPORT BEST PRACTICES. WE FIRST IDENTIFIED THIS PRIORITY IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. WE ARE CONTINUING THE STRATEGIES THAT WORKED WELL AND EXPLORING NEW STRATEGIES. THIS PRIORITY WAS IMPACTED THE MOST BY THE PANDEMIC AND DELAYED COMPLETION OF OBJECTIVES. OBJECTIVES:1. INCREASE AWARENESS AND EDUCATION AROUND THE DANGERS OF SUBSTANCE ABUSE AMONG YOUTH AND YOUNG ADULTS, AS WELL AS THE ACTIVITIES THAT ADDRESS THESE ISSUES INCLUDING ANTI-VAPING EDUCATION.2. USE COMMUNITY PARTNERSHIPS TO PROVIDE EDUCATION AROUND SUBSTANCE ABUSE AND ENVIRONMENTAL SUPPORTS TO REDUCE ACCESS TO MEDICATION.3. IMPROVE ACCESS TO ADDICTION SERVICES.4. ENSURE PROVIDERS CAN PRESCRIBE RESPONSIBLY AND COMPLIANTLY FOR PREVENTION AND MANAGING SUBSTANCE USE DISORDER.5. REDUCE THE NUMBER OF DEATHS FROM OPIOID OVERDOSE.STRATEGIES AND ACTIONS (BY OBJECTIVE):1. OBJECTIVE: INCREASE AWARENESS AND EDUCATION AROUND THE DANGERS OF SUBSTANCE ABUSE AMONG YOUTH AND YOUNG ADULTS, AS WELL AS THE ACTIVITIES THAT ADDRESS THESE ISSUES INCLUDING ANTI-VAPING EDUCATION STRATEGY 1: PROVIDE FINANCIAL SUPPORT AND PARTNER WITH PARTNERS IN PREVENTION TO INCREASE AWARENESS AND EDUCATION OF SUBSTANCE ABUSE ACTION: WE WERE NOT ASKED TO PROVIDE FINANCIAL SUPPORT IN 2022. 2. OBJECTIVE: USE COMMUNITY PARTNERSHIPS TO PROVIDE EDUCATION AROUND SUBSTANCE ABUSE AND ENVIRONMENTAL SUPPORT TO REDUCE ACCESS TO MEDICATION. STRATEGY 1: CONTINUE TO ASSESS COMMUNITY NEED FOR MEDICINE DROP BOXES AND PLACE BOXES WHERE
SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION:	APPROPRIATE (MEDICINE ABUSE PREVENTION WORKGROUP). ACTION: IN THE PAST WE HAD REACHED OUT TO LOCAL GOVERNMENTS (NEW HOPE AND PLYMOUTH) ABOUT INSTALLING NEW MEDICINE DROP BOXES. MANY OF OUR LOCAL GOVERNMENTS AND LAW ENFORCEMENT AGENCIES HAVE SWITCHED THEIR FOCUS TO THE DISTRIBUTION OF DETERRA BAGS, WHICH ARE WORKING VERY WELL SO THAT ADDITIONAL MEDICINE DROP BOXES ARE NO LONGER NEEDED. IN 2022, NMH RECEIVED FUNDING FROM PERRIGO CHARITABLE FOUNDATION TO PURCHASE 4,200 DETERRA BAGS WITH A GOAL OF INCREASING SAFE MEDICATION DISPOSAL IN OUR COMMUNITIES. THROUGHOUT 2022, WE ATTENDED NUMEROUS COMMUNITY EVENTS AND DISTRIBUTED THE DETERRA BAGS WHICH PROMOTED SAFE MEDICATION DISPOSAL THROUGHOUT OUR CONSOLIDATED SERVICE AREA. STRATEGY 3: ORGANIZE AN OPIOID CONFERENCE FOR PROVIDERS AND THE COMMUNITY.ACTION: IN 2020 AN OPIOID-FOCUSED IN-PERSON CONFERENCE WAS POSTPONED DUE TO COVID-19. IN 2021, WITH THE RISE IN COVID-19 CASES, NMH HELD A VIRTUAL CONFERENCE WHICH WAS RECORDED AND MADE AVAILABLE THROUGH THE CHIEF MEDICAL OFFICER'S NEWSLETTER. DUE TO THE CONTINUATION OF THE COVID-19 PANDEMIC IN 2022, WE DID NOT HOLD AN OPIOID CONFERENCE IN 2022. INSTEAD, WE FOCUSED ON RAISING AWARENESS ABOUT SAFE MEDICATION DISPOSAL THROUGH DISTRIBUTION OF DETERRA BAGS. ADDITIONALLY, OUR COMMUNITY PARAMEDICS OFFERED TRAININGS ON HOW TO USE NARCAN IN CASE OF AN OVERDOSE AND PROVIDED THEM FREE OF CHARGE. 3. OBJECTIVE: IMPROVE ACCESS TO ADDICTION SERVICES.STRATEGY 1: INTEGRATE ADDICTION SERVICES WITH NORTH MEMORIAL HEALTH PRIMARY CAREACTION: MENTAL HEALTH CLINIC STAFF CONTINUED TO ADDRESS SUBSTANCE USE ISSUES (WHEN APPROPRIATE) THROUGH INDIVIDUAL APPOINTMENTS AND PROGRAMMING. HOWEVER, THE PROGRAMMING WAS NOT SUBSTANCE USE DISORDER SPECIFIC. WE HAVE HOSPITAL AND CLINICAL STAFF THAT ARE LADC CERTIFIED AND HAVE EXPERIENCE IN SUBSTANCE USE TREATMENT. 4. OBJECTIVE: ENSURE PROVIDERS CAN PRESCRIBE RESPONSIBLY AND COMPLIANTLY FOR PREVENTION AND MANAGING SUBSTANCE USE DISORDER.STRATEGY 1: MAINTAIN THE PRESCRIPTION DRUG MONITORING PROGRAM (PDMP)ACTION: IN 2019, NORTH MEMORIAL HEALTH MADE IT EASIER FOR PROVIDERS TO ACCESS EXTERNAL DRUG PROGRAM INFORMATION BY IMPLEMENTING EPIC (APPRISS) WHICH REMOVED STEPS IN THE PROCESS TO REVIEW PRESCRIBING HISTORY. IN 2022, WE CONTINUED TO USE THE PDMP INTEGRATION WITH EPIC WHILE MAKING IT AVAILABLE TO ALL NMH PROVIDERS (1,500+ USERS). PDMP IS USED FOR NEARLY ALL CONTROLLED SUBSTANCE PRESCRIPTIONS; WE ADHERE TO A PRESCRIPTION DRUG ALERT SYSTEM IN ACCORDANCE WITH STATE STATUTES.5. OBJECTIVE: REDUCE THE NUMBER OF DEATHS FROM OPIOID OVERDOSE STRATEGY 1: MAINTAIN ED MEDICATION ASSISTED THERAPY (MAT) PATHWAYACTION: IN 2020, COVID-19 AND CIVIL UNREST RESULTED IN CHALLENGES IN TRACKING PROGRESS AND INCREASING UTILIZATION OF THE MAT PATHWAY. IN 2021, WE HAD DIFFICULTY TRACKING THE NUMBER OF PATIENTS THAT STARTED ON BUPRENORPHINE OUT OF OUR EMERGENCY DEPARTMENT (ED). WE HAD A MAT PROGRAM THAT WAS ACCESSED THROUGH OUR EMERGENCY DEPARTMENT AND IN PARTNERSHIP WITH BROADWAY FAMILY MEDICINE. ADDITIONALLY, ALL OUR ED PROVIDERS WERE ABLE TO PRESCRIBE BUPRENORPHINE AND HAVE PATIENTS FOLLOW UP AT THE BROADWAY CLINIC. THIS WORK CONTINUED IN 2022. ACTION: ON DECEMBER 29, 2022, THE U.S. CONGRESS SIGNED THE CONSOLIDATED APPROPRIATIONS ACT OF 2023 WHICH ELIMINATED THE "DATA-WAIVER PROGRAM." THIS LEGISLATION WILL POSITIVELY IMPACT THE ABILITY OF PHYSICIANS TO PRESCRIBE BUPRENORPHINE AND OFFER PERSONS WHO USE OPIOIDS MORE ACCESS TO MEDICATION ASSISTED THERAPY (MAT). PROVIDERS NO LONGER NEED A DATA-WAIVER ("X" WAIVER) FOR TREATING PATIENTS WITH BUPRENORPHINE FOR OPIOID USE DISORDER (OUD).ALL PRESCRIPTIONS FOR BUPRENORPHINE NOW ONLY REQUIRE A STANDARD DEA REGISTRATION. THERE ARE NO LONGER CAPS ON THE NUMBER OF PATIENTS A PROVIDER MAY TREAT WITH BUPRENORPHINE FOR OUD.STRATEGY 2: MAINTAIN MEDICATION TAKE-BACK DISPOSAL SERVICES AT NMH HOSPITALS AND OUTPATIENT PHARMACIES. -ACTION: IN 2022, OUR PHARMACIES CONTINUED TO COLLECT UNWANTED MEDICATIONS ON-SITE THROUGH THE MEDICATION TAKE-BACK SERVICES. OVERALL, OUR NMHH PHARMACY TOOK BACK 407.6 POUNDS OF UNWANTED MEDICATIONS. PRIORITY THREE: CULTURALLY RESPONSIVE CARE OUR GOALS IN ADDRESSING CULTURALLY RESPONSIVE CARE INCLUDE:DELIVERING A WELCOMING AND INCLUSIVE EXPERIENCE FOR ALL PEOPLE REGARDLESS OF CULTURAL PRACTICES, PREFERRED LANGUAGE, OR RACE. EXPECTING AND PREPARING NORTH MEMORIAL HEALTH HOSPITAL'S TEAM TO DELIVER CULTURALLY RESPONSIVE AND COMPETENT CARE.INCLUDING AND LEARNING FROM OUR COMMUNITY PARTNERS ABOUT CULTURALLY RESPONSIVE CARE.THIS COMMUNITY HEALTH NEED PRIORITY WAS NEWLY IDENTIFIED IN THE 2019 NEEDS ASSESSMENT. SINCE 2020 WE HAVE FOCUSED ON WORKING WITH OUR LOCAL CEAT TEAM AND BUILDING THE FOUNDATION FOR THIS PRIORITY.OBJECTIVES:1. DEVELOP A STRUCTURE AND PROCESSES TO SUPPORT HEALTH EQUITY WORK WITHIN NORTH MEMORIAL HEALTH HOSPITAL.2. EXPLORE CONDUCTING A CULTURAL ASSESSMENT OF NORTH MEMORIAL HEALTH AND ITS ENVIRONMENT.3. INCREASE DIVERSITY AMONG TEAM MEMBERS, AT ALL LEVELS OF THE ORGANIZATION, TO MATCH CUSTOMER AND COMMUNITY POPULATIONS.4. WORK IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS AND COMMUNITY MEMBERS TO IMPROVE KNOWLEDGE ABOUT AND PRACTICES OF CULTURALLY RESPONSIVE CARE.STRATEGIES AND ACTIONS (BY OBJECTIVE):1. OBJECTIVE: DEVELOP A STRUCTURE AND PROCESSES TO SUPPORT HEALTH EQUITY WORK WITHIN NORTH MEMORIAL HEALTH.STRATEGY 1: CREATE THE FOUNDATION FOR A DIVERSE, EQUITABLE AND INCLUSIVE CULTURE. ACTION: IN 2021, WE DEVELOPED A NEW COMMUNITY HEALTH SPECIALIST, SR. ROLE TO DEVELOP, LEAD AND PROJECT MANAGE STRATEGIC PROGRAMS TO IMPROVE THE HEALTH OF OUR MULTICULTURAL COMMUNITY USING A DEI LENS TO ACHIEVE HIGH-VALUE SOLUTIONS AND SUSTAINABLE RESULTS. THIS POSITION WAS FILLED IN JANUARY 2022.ACTION: IN 2022, WE TRANSFORMED OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS TO BE A MORE ROBUST ANALYTIC AND INCLUSIVE PROCESS. OUR COMMUNITY ENGAGEMENT ADVISORY TEAM (CEAT) MEMBERS PARTICIPATED IN IN-DEPTH, THOROUGH ANALYSES OF QUANTITATIVE DATA BY REVIEWING SIX DATA BRIEFS EACH OF WHICH FOCUSED ON QUANTITATIVE DATA BY TOPIC. SEVENTY-TWO KEY HEALTH INDICATORS WERE SCORED BASED ON THE SIZE, SERIOUSNESS, EXISTING SOLUTIONS, WHETHER THERE WERE HEALTH DISPARITIES, AND IF THE INDICATOR WAS MEETING THE 2030 HEALTHY PEOPLE GOALS. WE ALSO PARTNERED WITH CULTURAL WELLNESS CENTER, SUSAN DESIMONE, AND GRANICUS TO EXPAND OUR COMMUNITY ENGAGEMENT AND OUTREACH SO THAT WE HEARD FROM DIVERSE COMMUNITY MEMBERS AS WE SELECTED OUR 2023-2025 PRIORITIES. MORE THAN 680 INDIVIDUALS PARTICIPATED IN OUR QUALITATIVE DATA COLLECTION ACTIVITIES WITH SIGNIFICANT NUMBERS OF PARTICIPANTS WHO IDENTIFIED AS BIPOC. THIS IN-DEPTH ANALYSIS HIGHLIGHTED THE DISPARITIES THAT EXIST ACROSS SEVERAL AREAS IN OUR COMMUNITY AND LED TO RACIAL DISPARITIES IN HEALTH BEING NAMED AS ONE OF OUR 2023-2025 CHNA PRIORITIES. STRATEGY 2: PROVIDE TEAM MEMBERS THE TOOLS THEY NEED TO TALK TO PATIENTS ABOUT THEIR SPECIFIC CULTURAL NEED. ACTION: INTERCULTURAL COMPETENCY WAS A SIGNIFICANT FOCUS FOR NMH IN 2022. WE PARTNERED WITH DR. RAMON PASTRANO, THIRDSPHERE, TO EDUCATE OUR LEADERS AND ADMINISTER THE INTERCULTURAL DEVELOPMENT INVENTORY (IDI) TO OUR LEADERS INCLUDING DIRECTORS AND ABOVE, THE BOARD OF TRUSTEES, FOUNDATION BOARD MEMBERS, AND DEI WORKGROUP MEMBERS. EACH PARTICIPANT WAS PROVIDED AN INTERCULTURAL DEVELOPMENT PLAN AND OUR GOAL IS TO MOVE OUR LEADERSHIP TEAM FROM A MONOCULTURAL MINDSET TO AN INTERCULTURAL MINDSET WHERE LEADERS UNDERSTAND THEIR OWN CULTURE, ITS INFLUENCE ON WORLD VIEWS, AND INTERACTIONS WITH OTHER CULTURES. THIS SHIFT IN MINDSET WILL GIVE OUR LEADERS THE ABILITY TO INTERACT WITH OTHER CULTURES MORE SEAMLESSLY, WITHOUT JUDGEMENT, AND INCORPORATE OTHER VIEWPOINTS INTO DECISION MAKING AND SERVICE PROVISION. SEVERAL PEOPLE ATTENDED A WORKSHOP WITH DR. PASTRANO THAT FOCUSED ON WAYS TO ADVANCE THEIR INDIVIDUAL PLANS. FINALLY, WE WILL CONTINUE TO PROVIDE TRAINING OPPORTUNITIES IN 2023 THAT FURTHER OUR LEADERSHIP TEAM'S INTERCULTURAL COMPETENCY. NMH DEVELOPED AND LAUNCHED AN EMERGING LEADERS PROGRAM (ELP) WHICH INCORPORATES THE FOLLOWING INTO ITS CURRICULUM: RECOGNIZING THE DIMENSIONS OF DIFFERENCE AND DIVERSITY WITHIN A TEAM, BUILDING A TEAM THAT THRIVES ON THE USE OF DIVERSITY OF THOUGHT, DEMONSTRATING HOW SYSTEMIC RACISM CONTRIBUTES TO CREATING HEALTHCARE DISPARITIES, AND UNDERSTANDING THE IMPORTANCE AND BENEFITS OF DEI. CREATED DEI RESOURCE INTRANET PAGE THAT PROVIDES A VARIETY OF LEARNING OPPORTUNITIES FOR TEAM MEMBERS INCLUDING: (I) WATCHING AND DISCUSSING "RACE- THE POWER OF AN ILLUSION A 3-HOUR SERIES THAT UNPACKS THE CREATION OF THE MODERN CONCEPT OF RACE AND THE MYTHS THAT HAVE PERPETUATED SYSTEMIC RACISM; (II) LINKS TO FREE TRAINING IN LGBTQ PATIENT-CENTERED CARE THROUGH THE HUMAN RIGHTS CAMPAIGN; AND (III) UNDERSTANDING THE IMPORTANCE OF GENDER IDENTITY TERMS.
SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUATION:	CREATED A LEARNING LAB FOR NEW LEADER ORIENTATION (NLO) TO ALLOW PARTICIPANTS THE OPPORTUNITY TO PRACTICE HAVING COURAGEOUS CONVERSATIONS AROUND RACE BASED OFF THE 2021 LEADER GUIDE AND POWER PACKS. BEGAN DEVELOPING THE FOUNDATIONS IN CULTURAL COMPETENCY CERTIFICATION PROGRAM WITH ALLIES ACADEMY. THIS WILL INCLUDE SIX VIDEOS WITH PRE AND POSTTESTS. A CONDENSED VERSION OF THE COURSE WILL BECOME PART OF ALL TEAM MEMBERS REQUIRED ANNUAL TRAINING BEGINNING IN Q4 2023. STRATEGY 3: PARTNER WITH THE INFORMATICS TEAM TO UNDERSTAND DATA AROUND HEALTH EQUITY- ACTION: IN 2022, WE DEVELOPED A REPORT THAT CAN BE RUN ON-DEMAND THAT CONTAINS BLIND PATIENT DEMOGRAPHIC DATA SO WE CAN MORE ACCURATELY UNDERSTAND THE DIVERSITY AND NEEDS OF OUR PATIENTS. WE ALSO DEVELOPED AND FINALIZED DEMOGRAPHIC DEFINITIONS AND CONTENT NEEDED ACROSS ALL NMH'S SYSTEMS. WE ARE CURRENTLY WORKING WITH OUR INFORMATION TECHNOLOGY (IT) TEAM ABOUT REQUIREMENTS TO IMPLEMENT CHANGES FIRST INTO EPIC. ONCE THE CHANGES ARE IN DEVELOPMENT, WE WILL CREATE TRAINING MATERIALS FOR TEAM MEMBERS AND PROVIDERS. ADDITIONALLY, WE WILL PUT TOGETHER A PLAN TO ROLLOUT ACROSS THE SYSTEM AND INCLUDE IN IT'S PROCESS FOR EVALUATING NEW SOFTWARE APPLICATIONS.2. OBJECTIVE: INCREASE DIVERSITY AMONG TEAM MEMBERS, AT ALL LEVELS OF THE ORGANIZATION, TO MATCH CUSTOMER AND COMMUNITY POPULATIONS. STAY CONNECTED WITH THE COMMITTEE THAT IS RESPONSIBLE FOR INCLUSIVE HIRING AND RETENTION. STRATEGY 1: CONTINUE DEVELOPMENT OF RECRUITMENT AND RETENTION INITIATIVES THAT ENCOURAGE A DIVERSE WORKFORCE. ACTION: THROUGH A PARTNERSHIP WITH MINNESOTADIVERSITY.COM, NORTH MEMORIAL HEALTH ELECTRONICALLY DISTRIBUTES JOB POSTINGS (DAILY) TO THE LOCAL EMPLOYMENT SERVICE DELIVERY SYSTEM AND NUMEROUS WORKFORCE CENTERS AND JOB SITES THAT TARGET UNDERREPRESENTED POPULATIONS, INCLUDING MINORITIES, INDIVIDUALS WITH DISABILITIES, AND COVERED VETERANS. THIS PARTNERSHIP ENSURES THAT DIVERSE LOCAL JOB NETWORKS RECEIVE ALL JOB POSTINGS IN REAL-TIME. ACTION: WORKED WITH DEED AS PART OF THEIR GOOD JOBS NOW CAMPAIGN TO ATTRACT DIVERSE RECRUITS.ACTION: TO INCREASE THE NUMBER OF BIPOC PROVIDERS AND INCREASE ACCESS TO CARE PROVIDERS WHO REPRESENT AND REFLECT OUR COMMUNITY MEMBERS, NMH ESTABLISHED AN ANNUAL $5,000 BIPOC MENTAL HEALTH SCHOLARSHIP. THE FIRST SCHOLARSHIP WAS AWARDED IN 2022.STRATEGY 2: CONTINUE TO RECRUIT AT COMMUNITY EVENTS WITH DIVERSE COMMUNITY MEMBERS ACTION: ATTENDED CAREER FAIRS (LIKE HENNEPIN COUNTY AND ANOKA COUNTY) AND PARTICIPATED ON PANELS FOCUSED ON HELPING MINORITIES OBTAIN EMPLOYMENT. NORTH MEMORIAL HEALTH SENDS SPECIALIZED RECRUITERS TO CONNECT WITH THE COMMUNITY, EDUCATE THEM ON GENERAL OPPORTUNITIES AND PATHWAYS INTO HEALTHCARE, AND DISCUSS CURRENT OPENINGS. NORTH MEMORIAL HEALTH ALSO ATTENDED A CAREER & INDUSTRY INFORMATION EMPLOYER PANEL FOR MINNEAPOLIS COMMUNITY AND TECHNICAL COLLEGE.ACTION: NMH CONTINUES TO ENGAGE AND PARTNER WITH SEVERAL ORGANIZATIONS TO INCREASE THE DIVERSITY OF OUR APPLICANT AND NEW HIRE POPULATION. A SUMMARY OF OUR EFFORTS IS OUTLINED BELOW:I. PARTNERED WITH AN ORGANIZATION CALLED MOSSIER FOCUSED ON INCREASING OUR RECRUITMENT OUTREACH AND TEAM MEMBER LEARNING ABOUT PROVIDED EQUITABLE CARE TO THE LGBTQIA+ COMMUNITYII. CONTINUED PARTNERSHIP FOR TRAINING, RECRUITING AND MOCK INTERVIEWS FOR NURSING ASSISTANT AND CUSTOMER SERVICE COHORTS SUPPORT WITH PPL (PROJECT FOR PRIDE AND LIVING)III. CONDUCTED MOCK INTERVIEWS THROUGH THE INTERNATIONAL INSTITUTEIV. DEVELOPED RELATIONSHIP WITH INTERNATIONAL INSTITUTE PARTNERSHIP FOR RECRUITING TALENT V. SUPPORTED THE EMR/DRIVER CAREER PATHWAY WITH THE CITY OF MINNEAPOLIS/HEALTH HIRE AND RIGHT TRACKVI. SPONSORED AND RECRUITED AT THE HMONG NURSES ASSOCIATION CONFERENCEVII. ATTENDED THE PROFESSIONAL DIVERSITY NETWORK CAREER FAIRVIII. ATTENDED THE DISABILITY IN MINNESOTA CAREER FAIRIX. ATTENDED THE URBAN LEAGUE TWIN CITIES VIRTUAL CAREER FAIR IN MAY 2022X. ATTENDED THE TAKODA JOB FAIR IN MAY 2022XI. ATTENDED THE VETERANS JOB CLUB CAREER EVENT IN JUNE 2022XII. ATTENDED THE ANOKA WORKFORCE CENTER HEALTHCARE CAREER FAIR IN JULY 2022XIII. ATTENDED THE HMONG CAREER EVENT IN AUGUST 2022XIV. WORKED ON DEVELOPING AN INTERNATIONAL REGISTERED NURSING PROGRAMXV. PRESENTED AT CAPI ABOUT OPPORTUNITIES AT NMH AT THE CAN GRADUATE RECRUITMENT EVENT JUNE 2022STRATEGY 3: CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT REPRESENT OR ARE IN DIVERSE COMMUNITIES TO OFFER EMPLOYMENT PREPARATION, TRAINING, MENTORSHIP, AND CAREER OPPORTUNITY CONSIDERATION. ACTION: NORTH MEMORIAL HEALTH MAINTAINED CLOSE PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS AND SUPPORTED THE JOB SEARCH AND CAREER EXPLORATION OF UNDERSERVED INDIVIDUALS IN THE COMMUNITY. WE OFFERED RESUME REVIEWS AND MOCK INTERVIEWS, HELPED INDIVIDUALS NAVIGATE THE ONLINE APPLICATION PROCESS, AND HOSTED AND/OR ATTENDED CAREER FAIRS. THESE ORGANIZATIONS INCLUDE: PROJECT FOR PRIDE IN LIVINGEASTSIDE NEIGHBORHOOD SERVICES (INCLUDING THREE INFO SESSIONS, ONE TOUR, FOUR MOCK INTERVIEWS)CAPI USA (INCLUDING FIVE PRESENTATIONS AND SEVEN MOCK INTERVIEWS)ACHIEVE MINNEAPOLIS EMERGE3. OBJECTIVE: WORK IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS AND COMMUNITY MEMBERS TO IMPROVE KNOWLEDGE ABOUT AND PRACTICES OF CULTURALLY RESPONSIVE CARE.STRATEGY 1: NORTH MEMORIAL HEALTH SPONSORSHIP COMMITTEE INVITED IN COMMUNITY ORGANIZATIONS THAT ARE DOING WORK AROUND DE&I AND CULTURALLY RESPONSIVE CARE TO PRESENT AND LOOK AT PARTNERSHIP OPPORTUNITIESACTION: BETWEEN 2020 - 2022, NMH INVESTED OVER $160,000 IN ORGANIZATIONS THAT SERVE OR ARE LED BY BIPOC INDIVIDUALS TO IMPROVE HEALTH OUTCOMES, INCREASE EDUCATIONAL OPPORTUNITIES, AND BUILD RELATIONSHIPS. COMPANIES WE HAVE SUPPORTED INCLUDE LIVE YOUR HEALTHY LYFE, NORTHSIDE ACHIEVEMENT ZONE, COMMUNITY EMERGENCY ASSISTANCE PROGRAMS (CEAP), CAPRI THEATER, NORTHSIDE ECONOMIC OPPORTUNITY NETWORK MINNEAPOLIS, AND THE ANNEX TEEN CLINIC. THROUGH OUR SPONSORSHIP OF UNCF'S MLK BREAKFAST AND SCHOLARSHIPS TO LOCAL COLLEGES, WE ALSO SUPPORT ACADEMIC SCHOLARSHIPS FOR BLACK STUDENTS. ACTION: IN 2022 NORTH MEMORIAL HEALTH INCREASED OUR SPONSORSHIP OF THE TWIN CITIES PRIDE FESTIVITIES. WE PARTICIPATED IN THE PARADE AND SPONSORED THE POWER TO THE PEOPLE OF COLOR (OR P2P) STAGE AND HANDWASHING STATIONS. STRATEGY 3: EXPLORE DEVELOPING A PATIENT/FAMILY ADVISORY GROUP TO BE A RESOURCE FOR EQUITY AND INCLUSION WORK. IN 2022, WE DECIDED TO GO INTO THE COMMUNITY AND ENGAGE WITH COMMUNITY MEMBERS IN NUMEROUS WAYS USING COVID-19 SAFETY PROTOCOLS. ACTION: NMH HELD A NUMBER OF COMMUNITY ENGAGEMENT ACTIVITIES AS PART OF THE QUALITATIVE WORK FOR OUR COMMUNITY HEALTH NEEDS ASSESSMENTS. WE HELD 12 DINNER DIALOGUES (COMMUNITY MEAL & HEALTH FOCUSED FACILITATED CONVERSATION), 3 SLOW ROLLS (60-MINUTE NEIGHBORHOOD BIKE RIDES), AND ACTIVELY REACHED OUT AT 12 COMMUNITY EVENTS TO GATHER SURVEY INFORMATION FROM ATTENDEES. WE COMPLETED 247 SURVEYS WITH RESIDENTS AND 683 COMMUNITY MEMBERS PARTICIPATED IN THE VARIOUS COMMUNITY ENGAGEMENT EVENTS. HEALTH NEEDS NOT SELECTED AS FOCUS AREASTHE HEALTH PRIORITIES NOT BEING ADDRESSED DIRECTLY INCLUDE:- RESOURCES/PARTNERSHIPS - HOUSING- ACCESS TO HEALTHCARE- FOOD- TRANSPORTATION - HEALTHY AGING - STRUCTURAL AND INSTITUTIONAL RACISM THE COMMUNITY ENGAGEMENT ADVISORY TEAM FELT THAT WE NEEDED TO FOCUS OUR ATTENTION ON OUR TOP THREE PRIORITIES TO DRIVE MEANINGFUL CHANGE. WE CONTINUED TO ADDRESS FOOD AND NUTRITION THROUGH OUR SPONSORSHIPS (E.G., CEAP) AS WELL AS SOME OF OUR OTHER PARTNERSHIPS (E.G., VAIL PLACE). HEALTHY AGING IS BEING ADDRESS BY MAPLE GROVE HOSPITAL AND THE MGH CEAT TEAM. ADDRESSING STRUCTURAL RACISM IS CONNECTED TO OUR WORK IN DE&I AND HEALTH EQUITY.
PART V, SECTION B, LINE 7A & 10A:	THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT HAS BEEN POSTED ONLINE AT:HTTPS://NORTHMEMORIAL.COM/COMMUNITYHEALTH/THE IMPLEMENTATION PLAN HAS BEEN POSTED ONLINE AT: HTTPS://NORTHMEMORIAL.COM/COMMUNITYHEALTH/
PART V, SECTION B, LINE 16:	FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://NORTHMEMORIAL.COM/FINANCIAL-ASSISTANCE/

Schedule H (Form 990) 2022

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?7
Name and address		Type of Facility (describe)
1	1 - MINNESOTA DIAGNOSTIC IMAGING PARTNERS 2955 XENIUM LANE SUITE 40 PLYMOUTH,MN55441	OUTPATIENT RADIOLOGY
2	2 - NM AMBUL SURGERY CENTER MAPLE GROVE 9875 HOSPITAL DRIVE MAPLE GROVE,MN55369	OUTPATIENT SURGERY
3	3 - NORTH RADIATION THERAPY CENTER 6950 FRANCE AVE S SUITE 200 EDINA,MN55435	OUTPATIENT RADIOLOGY
4	4 - MINNETONKA AMBULATORY SURGERY CENTER 15450 HIGHWAY 7 SUITE 200 MINNETONKA,MN55345	OUTPATIENT SURGERY
5	5 - CRYSTAL IMAGING CENTER 5700 BOTTINEAU BLVD CRYSTAL,MN55429	OUTPATIENT RADIOLOGY
6	6 - OAKDALE HEALTH ENTERPRISES 3300 OAKDALE AVENUE NORTH ROBBINSDALE,MN55422	OUTPATIENT CLINIC
7	7 - BLAZE HEALTH 8301 GOLDEN VALLEY RD STE 300 GOLDEN VALLEY,MN55427	OUTPATIENT CLINIC
8
9
10

Schedule H (Form 990) 2022

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART III, LINE 2:	AMOUNT REPRESENTS THE HOSPITAL'S BAD DEBT PROVISION REDUCED BY THE HOSPITAL'S COST TO CHARGE RATIO WHICH REPRESENTS THE BEST ESTIMATE OF COST FOR THE BAD DEBT PROVISION.
PART III, LINE 4:	NORTH MEMORIAL HEALTH'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DESCRIPTION ABOUT BAD DEBT EXPENSE. THE COST TO CHARGE RATIO WAS USED TO DETERMINE THE AMOUNT ON PART III, SECTION A, LINE 2. WE DO NOT HAVE THE INFORMATION NECESSARY TO DETERMINE WHICH PORTION OF THE AMOUNT REPORTED ON LINE 2 IS COMMUNITY BENEFIT.
PART III, LINE 8:	THE SHORTFALL REPORTED REPRESENTS THE AMOUNT MEDICARE REIMBURSEMENT IS LESS THAN THE ESTIMATED COST OF PROVIDING SERVICES TO THOSE PATIENTS. THE METHOD USED TO ESTIMATE THOSE COSTS IS THE COST TO CHARGE RATIO APPROACH WHICH CALCULATES THE RATIO OF TOTAL HOSPITAL COSTS / TOTAL HOSPITAL GROSS REVENUE AND THEN APPLIES THAT RATIO TO TOTAL MEDICARE GROSS REVENUE.
PART III, LINE 9B:	NORTH MEMORIAL HEALTH HAS POLICIES AND PROCEDURES IN PLACE FOR COLLECTION PRACTICES THAT INCLUDE IDENTIFICATION AND SCREENING FOR CHARITY CARE AND FINANCIAL ASSISTANCE. THE POLICIES ARE AVAILABLE ON THE ORGANIZATION'S INTRANET AND PERTAIN TO ALL ENTITIES UNDER THE NORTH MEMORIAL CORPORATE UMBRELLA.
PART VI, LINE 2:	NORTH MEMORIAL HEALTH WORKS CLOSELY WITH THE COMMUNITY ENGAGEMENT ADVISORY TEAM MEMBERS TO DETERMINE AREAS OF NEED AND COMMUNITY HEALTH CONCERNS. OUR SENIOR COMMUNITY HEALTH SPECIALIST IS A MEMBER OF THE SEVERAL COMMUNITY HEALTH IMPROVEMENT COALITIONS INCLUDING CENTER FOR COMMUNITY HEALTH, YMCA COMMUNITY BOARD, AGE-FRIENDLY MAPLE GROVE, AND NORTHWEST FAMILY RESOURCE COLLABORATIVE) WHICH ALLOWS NORTH MEMORIAL HEALTH TO BE INVOLVED IN KEY COMMUNITY HEALTH ISSUES. THE LATEST CHNA WAS COMPLETED IN 2022 AND INCLUDED NUMEROUS COMMUNITY ENGAGEMENT ACTIVITES TO BETTER UNDERSTAND THE COMMUNITY'S HEALTH NEEDS. IT HAD A STRONG FOCUS ON OUTREACH TO NON-WHITE COMMUNITY MEMBERS SO THAT THEIR VOICE WAS A PRIMARY FACTOR IN SELECTION OF NEW HEALTH PRIORITIES.
PART VI, LINE 3:	NORTH MEMORIAL HEALTH HAS A VERY PROACTIVE PROGRAM TO ASSIST UNINSURED AND UNDERINSURED PATIENTS WITH THEIR MEDICAL BILLS. WE COMPLY WITH THE ATTORNEY GENERAL'S REQUIREMENT TO PROVIDE A DISCOUNT TO UNINSURED MINNESOTA RESIDENTS AS WELL AS A FINANCIAL ASSISTANCE PROGRAM FOR FINANCIALLY QUALIFIED PATIENTS. WE HAVE PATIENT FINANCIAL ADVOCATES AS WELL AS A CONTRACTED VENDOR THAT MEETS WITH ALL OF OUR UNINSURED INPATIENTS AND SPECIFIC OUTPATIENTS TO ASSIST THEM IN MEDICAL ASSISTANCE ELIGIBILITY AND APPLICATIONS. THIS COULD INCLUDE A VISIT TO THEIR RESIDENCE IF THEY NEED HELP IN COMPLETING ASSISTANCE APPLICATIONS. SHOULD THEY NOT QUALIFY FOR STATE OR FEDERAL ASSISTANCE PROGRAMS, WE OFFER AND ASSIST THEM IN APPLYING FOR THE HOSPITAL'S FINANCIAL ASSISTANCE (CHARITY CARE) PROGRAM.IN ADDITION, OUR INTERNAL COLLECTIONS DEPARTMENT AND OUR COLLECTION AGENCIES ARE WELL VERSED IN OUR ASSISTANCE PROGRAMS AND WILL ASSESS DURING THEIR CONVERSATIONS WITH PATIENTS IF REFERRAL TO EITHER A STATE OR FEDERAL PROGRAM OR OUR CHARITY CARE PROGRAM WOULD BE APPROPRIATE.
PART VI, LINE 4:	NORTH MEMORIAL HEALTH SERVES A GEOGRAPHIC AREA THAT INCLUDES 58 ZIP CODES IN THE NORTHWEST QUADRANT OF THE TWIN CITIES METRO. THIS SERVICE AREA INCLUDES BOTH URBAN, SUBURBAN, EX-URBAN, AND RURAL AREAS. THIS SERVICE AREA INCLUDES A DIVERSE POPULATION OF 1,280,000 PEOPLE LIVING IN HENNEPIN, WRIGHT, SHERBURNE, ANOKA AND RAMSEY COUNTIES.
PART VI, LINE 5:	NORTH MEMORIAL HEALTH HOSPITAL IS A GENERAL ACUTE CARE HOSPITAL PROVIDING SPECIALIZED TRAUMA AND EMERGENCY SERVICES, CARDIOVASCULAR AND OPEN-HEART SERVICES, ONCOLOGY, HIGH RISK MATERNITY AND NEONATAL CARE, AND GENERAL MEDICAL-SURGICAL, OBSTETRICAL, PEDIATRIC, REHABILITATIVE AND BEHAVIORAL SERVICES. NORTH MEMORIAL HEALTH ALSO PROVIDES AN ARRAY OF HEALTH CARE SERVICES TO OUR COMMUNITY INCLUDING PRIMARY CARE, AMBULANCE TRANSPORTATION AND HOSPICE SERVICES. NORTH MEMORIAL HEALTH IS GOVERNED BY A BOARD OF 14 REPRESENTATIVES CONSISTING OF PHYSICIANS AND LEADERS FROM THROUGHOUT THE COMMUNITY. BOARD MEMBERS ARE ELECTED TO SERVE THREE-YEAR TERMS FOR A TOTAL OF FIVE TERMS. THE HOSPITAL ALSO SUPPORTS AN OPEN MEDICAL STAFF ORGANIZATION INCLUDING APPROXIMATELY 840 BOARD CERTIFIED PHYSICIANS AND 530 PROFESSIONAL AND ALLIED HEALTH PROVIDERS. THE NORTH MEMORIAL HEALTH BOARD OF TRUSTEES ESTABLISHES AN ANNUAL MARGIN TARGET FOR MANAGEMENT. PER BOARD POLICY 75% OF ANY EXCESS AVAILABLE CASH FLOW IS INVESTED IN CAPITAL IMPROVEMENTS. THE REMAINING 25% IS USED TO SUPPORT LONG TERM OPERATIONS. WE PROVIDE EDUCATION TO THE COMMUNITY ON CHILD SAFETY, STROKE RISK FACTORS, HEART DISEASE RISK FACTORS AND OTHER HEALTH PROMOTION INFORMATION.
PART VI, LINE 6:	NORTH MEMORIAL HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. THROUGH TARGETED OUTREACH, EDUCATION AND PARTNERSHIPS, WE IMPROVE THE HEALTH OF OUR COMMUNITIES BY LISTENING TO THEIR NEEDS AND RESPONDING WITH APPROPRIATE PROGRAMS AND SERVICES. OUR PROGRAMS, MANY OF WHICH HAVE BEEN NATIONALLY RECOGNIZED, RANGE FROM HEALTH EDUCATION AND FREE SCREENINGS TO TRAINING HEALTH PROFESSIONALS.
PART VI, LINE 7:	NORTH MEMORIAL HEALTH FILES THE COMMUNITY BENEFIT REPORT WITH THE STATE OF MINNESOTA WHENEVER A NEW REPORT IS PREPARED.

Schedule H (Form 990) 2022

Additional Data

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization
NORTH MEMORIAL HEALTH CARE
DBA NORTH MEMORIAL HEALTH

Employer identification number
41-0729979

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) CREATIVE CUTURAL EXCHANGE 5009 EXCELISIOR BLVD STE 154 ST LOUIS PARK,MN55416	47-2937022	501(C)(3)	0	144,970	FAIR MARKET VALUE	MEDICAL SUPPLIES	IN SUPPORT OF PROJECT "WECARE"
(2) WILSON'S IMAGE COLLEGE 3242 LYNDALE AVE N MINNEAPOLIS,MN55412	85-1376567	501(C)(3)	10,000	0			TO SUPPORT LIVE YOUR HEALTHY LYFE EVENT
(3) GAY LESBIAN BISEXUAL TRANSGENDER PRIDE TWIN CITIES 2021 E HENNEPIN AVE STE 402-7 MINNEAPOLIS,MN55413	41-1808096	501(C)(3)	20,000	0			TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION
(4) NORTHSIDE ACHIEVEMENT ZONE 1964 N 2ND ST MINNEAPOLIS,MN55411	30-0238807	501(C)(3)	7,500	0			TO SUPPORT CHARITABLE PURPOSE OF ORGANIZATION

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2022

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	GRANT RECIPIENTS PROVIDE A YEAR END REPORT AS TO THE AMOUNT EXPENDED AND THE NUMBER OF CLIENTS ASSISTED AND THE DEMOGRAPHICS OF THOSE SERVED.

Schedule I (Form 990) 2022

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

NORTH MEMORIAL HEALTH CARE
DBA NORTH MEMORIAL HEALTH

Employer identification number

41-0729979

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2022

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1J KEVIN CROSTON MD CEO NORTH MEMORIAL	(i) (ii)	1,326,539 ------------- 0	386,500 ------------- 0	28,322 ------------- 0	518,000 ------------- 0	26,406 ------------- 0	2,285,767 ------------- 0	0 ------------- 0
2AMANDA STRAM PHYSICIAN, CARDIAC SURGEON	(i) (ii)	853,489 ------------- 0	22,534 ------------- 0	7,076 ------------- 0	12,200 ------------- 0	32,152 ------------- 0	927,451 ------------- 0	0 ------------- 0
3ROBERT KING PHYSICIAN, CARDIAC SURGEON	(i) (ii)	820,000 ------------- 0	10,250 ------------- 0	38,666 ------------- 0	18,000 ------------- 0	20,585 ------------- 0	907,501 ------------- 0	0 ------------- 0
4JOSEPH VAN CAMP MD PHYSICIAN, CARDIAC SURGEON	(i) (ii)	820,000 ------------- 0	10,250 ------------- 0	15,986 ------------- 0	18,000 ------------- 0	32,152 ------------- 0	896,388 ------------- 0	0 ------------- 0
5SAMANTHA HANSON CHIEF ADMINISTRATION OFFICER	(i) (ii)	624,191 ------------- 0	123,750 ------------- 0	11,035 ------------- 0	18,000 ------------- 0	20,037 ------------- 0	797,013 ------------- 0	0 ------------- 0
6ANDREW COCHRANE CHIEF HOSPITAL OFFICER	(i) (ii)	590,000 ------------- 0	132,750 ------------- 0	16,861 ------------- 0	18,000 ------------- 0	25,426 ------------- 0	783,037 ------------- 0	0 ------------- 0
7DAN FROMM CHIEF FINANCIAL OFFICER	(i) (ii)	574,616 ------------- 0	128,625 ------------- 0	16,853 ------------- 0	18,000 ------------- 0	29,133 ------------- 0	767,227 ------------- 0	0 ------------- 0
8CAROLYN OGLAND MD CHIEF MEDICAL OFFICER	(i) (ii)	529,616 ------------- 0	118,500 ------------- 0	21,641 ------------- 0	18,000 ------------- 0	24,675 ------------- 0	712,432 ------------- 0	0 ------------- 0
9ABDURKEDIR GEDA PHYSICIAN, NOCTURNIST	(i) (ii)	518,413 ------------- 0	73,350 ------------- 0	4,816 ------------- 0	17,400 ------------- 0	22,027 ------------- 0	636,006 ------------- 0	0 ------------- 0
10LUKE HAWES PHYSICIAN, TRAUMA SURGEON	(i) (ii)	496,087 ------------- 0	49,424 ------------- 0	20,261 ------------- 0	18,000 ------------- 0	27,440 ------------- 0	611,212 ------------- 0	0 ------------- 0
11KENT SPAULDING VP, CHIEF DEVELOPMENT OFFICER	(i) (ii)	249,423 ------------- 0	52,188 ------------- 0	4,436 ------------- 0	17,865 ------------- 0	5,906 ------------- 0	329,818 ------------- 0	0 ------------- 0
12DAWN BACKLUND CHIEF COMPLIANCE OFFICER	(i) (ii)	239,615 ------------- 0	50,375 ------------- 0	7,314 ------------- 0	11,600 ------------- 0	5,054 ------------- 0	313,958 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINES 4A-B	DR. KEVIN CROSTON RECIEVED A CONTRIBUTION TO HIS 457(F) PLAN OF $500,000 DURING THE TAX YEAR. THIS AMOUNT IS INCLUDED IN COLUMN (C) OF SCHEDULE J, PART II. THE AMOUNT WAS UNVESTED AS OF THE END OF THE TAX YEAR.

Schedule J (Form 990) 2022

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
NORTH MEMORIAL HEALTH CARE
DBA NORTH MEMORIAL HEALTH

Employer identification number
41-0729979

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF MAPLE GROVE	41-0873250	56516TAY1	08-26-2015	44,915,000	REFUND SERIES 2005 BONDS		X	X			X
B	CITY OF ROBBINSDALE	41-6005496		12-05-2017	38,870,000	REFUND SERIES 2011 BONDS		X	X			X
C	CITY OF ROBBINSDALE	41-6005496		12-05-2017	10,830,000	REFUND SERIES 2011 BONDS		X	X			X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	8,195,000		21,835,000		5,620,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	48,679,699		38,870,000		10,830,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	544,065		337,596
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............	48,135,634		33,532,404		10,830,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2015		2017		2017
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X
b Exception to rebate? ........		X		X		X
c No rebate due? .........	X		X			X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: CITY OF MAPLE GROVE DATE THE REBATE COMPUTATION WAS PERFORMED: 09/12/2019

Schedule K (Form 990) 2021

Additional Data

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Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

NORTH MEMORIAL HEALTH CARE
DBA NORTH MEMORIAL HEALTH

Employer identification number

41-0729979

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) CORNER HOME MEDICAL	BOARD MEMBER IS MAJORITY OWNER	258,545	MICHAEL STEINHAUSER, CHAIRMAN OF THE BOARD, IS A MAJORITY SHAREHOLDER IN CORNER HOME MEDICAL, WHICH SUPPLIES DURABLE MEDICAL EQUIPMENT TO NORTH MEMORIAL HEALTH.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2021

Additional Data

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SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

NORTH MEMORIAL HEALTH CARE
DBA NORTH MEMORIAL HEALTH

Employer identification number

41-0729979

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11B	THE BOARD OF DIRECTORS REVIEW THE FORM 990 BEFORE IT IS FILED. REPRESENTATIVES FROM THE HOSPITAL'S INDEPENDENT ACCOUNTING FIRM REVIEW THE FORM 990 WITH MANAGEMENT IN DETAIL AND NOTES FOR THE BOARD ANY CHANGES IN THE FORM 990 FROM PRIOR YEARS. AFTER THOROUGH DISCUSSION, THE BOARD APPROVES THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	ALL MEMBERS OF THE BOARD OF DIRECTORS AND ALL EMPLOYEES RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY EACH YEAR. EACH BOARD MEMBER AND STAFF MEMBER FILLS OUT A CONFLICT OF INTEREST QUESTIONNAIRE IN WHICH THEY ARE ASKED TO IDENTIFY ANY RELATIONSHIP THAT WOULD CREATE A CONFLICT OF INTEREST. THE RESULTS ARE SUMMARIZED AND REVIEWED TO DETERMINE ANY ACTUAL OR POTENTIAL CONFLICT AND ARE REPORTED TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR KEY POSITIONS IS REVIEWED BY THE COMPENSATION COMMITTEE WORKING IN CONJUNCTION WITH AN OUTSIDE CONSULTANT. THE COMPENSATION COMMITTEE INSURES THAT THE SALARY AND BENEFIT ADMINISTRATION REVIEW PROCESS IS BEING FOLLOWED, WHICH INCLUDES SALARY AND BENEFIT SURVEYS AND COMPARISONS OF ALL POSITIONS. THE CEO'S COMPENSATION IS SENT TO THE FULL BOARD FOR APPROVAL. THE COMPENSATION OF ALL OTHER KEY POSITIONS IS APPROVED BY THE CEO.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE ONLINE THROUGH THE OFFICE OF THE ATTORNEY GENERAL VIA THE CHARITY REPORT FILED WITH THE STATE OF MINNESOTA.
FORM 990, PART XI, LINE 9:	PURCHASE OF NONCONTROLLING INTEREST IN SUBSIDIARY -70,000,000. CHANGE IN PENSION BENEFIT OBLIGATION 2,839,906. SALE OF CONTROLLING INTEREST IN SUBSIDIARY 1,878,726.
FORM 990, PART XII, LINE 2C:	NEITHER THE OVERSIGHT OF THE AUDIT NOR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT WERE CHANGED DURING THE TAX YEAR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

NORTH MEMORIAL HEALTH CARE
DBA NORTH MEMORIAL HEALTH

Employer identification number

41-0729979

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) OAKDALE MEDICAL CENTER 3300 OAKDALE AVENUE NORTH ROBBINSDALE,MN55422 32-0022819	LEASE MEDICAL OFFICE SPACE	MN	6,563,999	16,855,254	NORTH MEMORIAL
(2) NORTH CLINIC LLC 3300 OAKDALE AVENUE NORTH ROBBINSDALE,MN55422	MEDICAL CARE	MN	-759,773	1,346,389	NORTH MEMORIAL
(3) MINNETONKA AMBULATORY SURGERY CENTER 3300 OAKDALE AVE NORTH ROBBINSDALE,MN55422 46-5653486	OUTPATIENT SURGERY	MN	5,756,037	0	NORTH MEMORIAL

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)NORTH MEMORIAL FOUNDATION 3300 OAKDALE AVENUE NORTH ROBBINSDALE,MN55422 41-1777966	FUNDRAISING	MN	501(C)(3)	7	NORTH MEMORIAL		No
(2)ASSOCIATED HEALTH ASSURANCE 3300 OAKDALE AVENUE NORTH ROBBINSDALE,MN55422 98-0343815	INSURANCE	BD	501(C)(3)	LINE 12B, II	NORTH MEMORIAL	Yes
(3)MAPLE GROVE HOSPITAL CORPORATION 9875 HOSPITAL DRIVE MAPLE GROVE,MN55369 20-8316475	ACUTE CARE	MN	501(C)(3)	3	NORTH MEMORIAL	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE 9855 HOSPITAL DRIVE MAPLE GROVE,MN55369 26-0393039	OUTPATIENT SURGERY	MN	NORTH MEMORIAL HEALTH CARE	RELATED	12,885,089	9,044,515		No		Yes		54.270 %
(2) MINNESOTA DIAGNOSTIC IMAGING PARTNERS LLC 2955 XENIUM LANE SUITE 40 PLYMOUTH,MN55441 35-2162215	RADIOLOGY	MN	NORTH MEMORIAL HEALTH CARE	RELATED	5,173,993	1,589,597		No			No	60.000 %
(3) NORTH RADIATION THERAPY CENTER LLC 7401 METRO BLVD STE 210 EDINA,MN55439 74-3069974	RADIOLOGY	MN	NORTH MEMORIAL HEALTH CARE	RELATED	541,120	317,329		No			No	50.000 %
(4) BLAZE HEALTH LLC 8301 GOLDEN VALLEY RD STE 300 GOLDEN VALLEY,MN55427 84-2906333	HEALTH CARE	MN	NORTH MEMORIAL HEALTH CARE	RELATED	90,802,694	33,922,496		No			No	51.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) OAKDALE HEALTH ENTERPRISES INC 3300 OAKDALE AVENUE NORTH ROBBINSDALE,MN55422 41-1546422	AMBULANCE	MN	NORTH MEMORIAL	C	4,566,290	4,317,858	100.000 %	Yes
(2) NORTH COLLABORATIVE CARE 3300 OAKDALE AVENUE NORTH ROBBINSDALE,MN55422 46-1680666	PRIMARY CARE	MN	N/A	C			43.840 %		No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ASSOCIATED HEALTH ASSURANCE LLC (INTEREST)	A	503,129	FAIR MARKET VALUE
(2) BLAZE HEALTH LLC (CAPITAL CONTR)	B	13,817,000	FAIR MARKET VALUE
(3) MAPLE GROVE HOSPITAL CORP (RTN OF CAP)	C	40,776,000	FAIR MARKET VALUE
(4) NORTH MEMORIAL FOUNDATION (GRANT)	C	1,722,644	ACTUAL
(5) MAPLE GROVE HOSPITAL CORP	D	74,212,500	FAIR MARKET VALUE
(6) NORTH RADIATION THERAPY (MRO)	D	9,709	FAIR MARKET VALUE
(7) MAPLE GROVE HOSPITAL CORP	J	4,136,370	FAIR MARKET VALUE
(8) NORTH RADIATION THERAPY (MRO)	J	217,028	FAIR MARKET VALUE
(9) MAPLE GROVE HOSPITAL CORP (MGMT FEE)	L	27,865,000	FAIR MARKET VALUE
(10) ASSOCIATED HEALTH ASSURANCE LLC (INS PREMIUMS)	M	4,065,083	FAIR MARKET VALUE
(11) MAPLE GROVE HOSPITAL CORP (SALARY REIMB)	Q	2,987,903	ACTUAL

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: EMPOWERING OUR CUSTOMERS TO ACHIEVE THEIR BEST HEALTH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	5,401
6	Total number of volunteers (estimate if necessary) .............	6	200
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	5,542
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	11,966,591	20,889,891
9	Program service revenue (Part VIII, line 2g) .........	717,275,411	741,905,030
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	59,586,239	19,024,590
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,053,327	607,896
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	789,881,568	782,427,407
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	634,868	207,291
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	428,907,529	466,265,855
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	303,012,177	316,103,993
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	732,554,574	782,577,139
19	Revenue less expenses. Subtract line 18 from line 12.......	57,326,994	-149,732
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	764,114,547	597,651,900
21	Total liabilities (Part X, line 26).............	260,416,978	223,280,771
22	Net assets or fund balances. Subtract line 21 from line 20.....	503,697,569	374,371,129

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 671,183,902 including grants of $ 207,291 ) (Revenue $ 587,310,049 )
	"NORTH MEMORIAL HEALTH CARE DBA NORTH MEMORIAL HEALTH IS A HEALTHCARE SYSTEM THAT INCLUDES A GENERAL ACUTE CARE HOSPITAL PROVIDING HIGHLY SPECIALIZED TRAUMA AND EMERGENCY SERVICES, CORONARY CARE, OPEN HEART SURGERY, ONCOLOGY, HIGH RISK MATERNITY AND NEONATAL CARE AND GENERAL MEDICAL: SURGICAL, OBSTETRICAL, PEDIATRIC, REHABILITATION, BEHAVIORAL HEALTH, MEDICAL TRANSPORTATION AND SPECIALTY CARE CLINICS. NORTH MEMORIAL HEALTH'S MISSION IS EMPOWERING ITS CUSTOMERS TO ACHIEVE THEIR BEST HEALTH. IN ADDITION TO CHARITY AND UNCOMPENSATED CARE, NORTH MEMORIAL HEALTH ALSO PROVIDES NUMEROUS COMMUNITY BENEFITS (AT NO COST OR BELOW COST) IN FURTHERANCE OF ITS CHARITABLE PURPOSE. NORTH MEMORIAL HEALTH OFFERS VARIOUS COMMUNITY-BASED PROGRAMS INCLUDING HEALTH SCREENINGS, SUPPORT COUNSELING FOR PARENTS AND FAMILIES, PASTORAL CARE, CRISIS INTERVENTION, TRANSPORTATION TO AND FROM THE HOSPITAL CAMPUS, AND THE DONATION OF SPACE FOR USE BY COMMUNITY GROUPS. ADDITIONALLY, A LARGE NUMBER OF HEALTH-RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING WELLNESS SEMINARS AND CLASSES ON SPECIFIC CONDITIONS. NORTH MEMORIAL HEALTH ALSO PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED COSTS TO RESIDENTS OF ITS COMMUNITY, PRIMARILY THROUGH (A) THE DIFFERENCES BETWEEN PUBLIC PROGRAM PAYMENTS (PRIMARILY MEDICARE AND MEDICAID) AND THE RELATED COSTS OF PROVIDING SUCH SERVICES, AND (B) SERVICES PROVIDED TO PATIENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE DETERMINED UNABLE TO PAY BECAUSE OF ECONOMIC FACTORS. IN ADDITION, NORTH MEMORIAL HEALTH CONTRIBUTES TO FUNDING MEDICAL CARE FOR THE UNINSURED THROUGH PAYMENT OF PATIENT SERVICE TAXES, WHICH INCLUDE THE MEDICAID SURCHARGE AND THE MINNESOTA CARE TAX ON CERTAIN NET REVENUE.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses671,183,902

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) KENT SPAULDING........................................................................ VP, CHIEF DEVELOPMENT OFFICER	40.00 .......................2.00	X		306,047	0	23,771
(19) DAWN BACKLUND........................................................................ CHIEF COMPLIANCE OFFICER	40.00 .......................	X		297,304	0	16,654
(20) AMANDA STRAM........................................................................ PHYSICIAN, CARDIAC SURGEON	40.00 .......................		X	883,099	0	44,352
(21) ROBERT KING........................................................................ PHYSICIAN, CARDIAC SURGEON	40.00 .......................		X	868,916	0	38,585
(22) JOSEPH VAN CAMP MD........................................................................ PHYSICIAN, CARDIAC SURGEON	40.00 .......................		X	846,236	0	50,152
(23) ABDURKEDIR GEDA........................................................................ PHYSICIAN, NOCTURNIST	40.00 .......................		X	596,579	0	39,427
(24) LUKE HAWES........................................................................ PHYSICIAN, TRAUMA SURGEON	40.00 .......................		X	565,772	0	45,440

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	9,113,752	0	974,058

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,722,644
e	Government grants (contributions)		1e	14,400,788

f	All other contributions, gifts, grants, and similar amounts not included above		1f	4,766,459

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		20,889,891

		Business Code
2a	HOSPITAL PATIENT REVEN	621500	586,707,695	586,702,153	5,542
b	PHARMACY	900099	59,741,463			59,741,463
c	CONTRACT REVENUE	900099	58,500,582			58,500,582
d	JOINT VENTURE REVENUE	900099	27,167,464			27,167,464
e	EHR/MEDICARE & OTHER	900099	5,061,715			5,061,715
f	All other program service revenue.		4,726,111			4,726,111
g	Total. Add lines 2a–2f .....		741,905,030

3 Investment income (including dividends, interest, and othersimilar amounts) ......			5,785,103			5,785,103
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		13,923,052	6a
b	Less: rental expenses		13,315,156	6b
c	Rental income or (loss)		607,896	6c
d	Net rental income or (loss).......			607,896	607,896
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	1,711,798	150,781,740	7a
b	Less: cost or other basis and sales expenses	404,400	138,849,651	7b
c	Gain or (loss)	1,307,398	11,932,089	7c
d	Net gain or (loss).........			13,239,487			13,239,487
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			782,427,407	587,310,049	5,542	174,221,925

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	207,291	207,291
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	5,489,252		5,489,252
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	375,554,245	322,809,251	52,744,994
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	20,390,799	17,526,998	2,863,801
9	Other employee benefits .......	40,512,258	34,822,484	5,689,774
10	Payroll taxes ...........	24,319,301	20,903,759	3,415,542
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,575,690	1,354,391	221,299
c	Accounting ...........	195,335	167,901	27,434
d	Lobbying ...........	263,036		263,036
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	945,489		945,489
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	62,265,818	53,520,849	8,744,969
12	Advertising and promotion ....	3,232,152	2,778,210	453,942
13	Office expenses .......	6,465,356	5,557,324	908,032
14	Information technology ......	19,991,564	17,183,834	2,807,730
15	Royalties ..
16	Occupancy ...........	18,173,615	15,621,208	2,552,407
17	Travel ............	1,128,630	970,119	158,511
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	1,705,681	1,466,125	239,556
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	22,986,117	19,757,815	3,228,302
23	Insurance ...	9,295,916	7,990,344	1,305,572
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SUPPLIES	123,048,198	105,748,356	17,299,842
b	BAD DEBT EXPENSE	19,789,788	19,789,788
c	MAINTENANCE & REPAIR	13,940,875	11,982,939	1,957,936
d	GOVERNMENT TAXES	10,560,910	10,560,910
e	All other expenses	539,823	464,006	75,817
25	Total functional expenses. Add lines 1 through 24e	782,577,139	671,183,902	111,393,237	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			65,413,729	1	90,200
2	Savings and temporary cash investments .........			840,306	2	850,428
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			89,747,384	4	82,012,047
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			8,638,088	8	8,976,854
9	Prepaid expenses and deferred charges ......			11,716,425	9	10,842,457
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	684,076,741
b	Less: accumulated depreciation	10b	512,938,155	178,311,305	10c	171,138,586
11	Investments—publicly traded securities .			277,702,381	11	200,578,839
12	Investments—other securities. See Part IV, line 11 .....			124,180,553	12	112,558,640
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			375,000	14	250,000
15	Other assets. See Part IV, line 11 ...........			7,189,376	15	10,353,849
16	Total assets. Add lines 1 through 15 (must equal line 33)...			764,114,547	16	597,651,900

17	Accounts payable and accrued expenses .....	127,323,282	17	102,980,443
18	Grants payable ...		18
19	Deferred revenue .........	863,143	19	526,381
20	Tax-exempt bond liabilities .........	69,036,041	20	61,781,771
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	17,779,969	23	16,497,210
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	45,414,543	25	41,494,966
26	Total liabilities. Add lines 17 through 25..	260,416,978	26	223,280,771

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	503,697,569	27	374,371,129
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	503,697,569	32	374,371,129
33	Total liabilities and net assets/fund balances ........	764,114,547	33	597,651,900