PARK NICOLLET: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- PARK NICOLLET (EIN 45-5023260)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-10
- IRS object ID
- 202213149349306896
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-10T16:43:11-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4200 WELLS FARGO CENTER 90S 7TH | AddressLine1Txt |
| Address Line2 | STREET | AddressLine2Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455023260 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARK NICOLLET GROUP RETURN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PARK | BusinessNameControlTxt |
| Phone | 9528837124 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6500 EXCELSIOR BLVD | AddressLine1Txt |
| City | ST LOUIS PARK | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55426 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREA M WALSH | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 9529676090 | PhoneNum |
| Signature | 2022-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANDREA | PersonFirstNm |
| Person Last | WALSH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MONROE JORDAN GIERL | PreparerPersonNm |
| PTIN | P01413237 | PTIN |
| Phone | 6123055000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANDREA M WALSH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6500 EXCELSIOR BLVD | AddressLine1Txt |
| City | SLP | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55426 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,981,488,276 | GrossReceiptsAmt |
| Group Return For Affiliates | Yes (1) | GroupReturnForAffiliatesInd |
| All Affiliates Included | Yes (1) | AllAffiliatesIncludedInd |
| Group Exemption | 5874 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PARKNICOLLET.COM | WebsiteAddressTxt |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 226 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $58,235,487 | PYContributionsGrantsAmt |
| CY Contributions Grants | $18,560,617 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,554,710,940 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,814,341,313 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,599,731 | PYInvestmentIncomeAmt |
| CY Investment Income | $38,107,640 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,029,476 | PYOtherRevenueAmt |
| CY Other Revenue | $5,887,600 | CYOtherRevenueAmt |
| PY Total Revenue | $1,633,575,634 | PYTotalRevenueAmt |
| CY Total Revenue | $1,876,897,170 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $34,373 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $15,940 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,039,675,898 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,138,192,609 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $618,570 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $537,298,909 | PYOtherExpensesAmt |
| CY Other Expenses | $582,070,287 | CYOtherExpensesAmt |
| PY Total Expenses | $1,577,009,180 | PYTotalExpensesAmt |
| CY Total Expenses | $1,720,278,836 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $56,566,454 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $156,618,334 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,495,285,312 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,715,897,380 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $543,591,968 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $598,210,305 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $951,693,344 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,117,687,075 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,473,899,280 | ExpenseAmt |
| Grant | $15,940 | GrantAmt |
| Revenue | $1,819,662,313 | RevenueAmt |
| Desc | SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS. | Desc |
| Total Program Service Expenses | $1,473,899,280 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEVIN J BRANDT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9528838564 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8170 33RD AVE S | AddressLine1Txt |
| City | BLOOMINGTON | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55440 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (47 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JEFF M MENDELOFF MD | |||||||||
| DIRECTOR | 64.00 | 1.00 | Yes (X) | $937,198 | $0 | $76,548 | |||
| RAE ANN WILLIAMS MD | |||||||||
| DIRECTOR | 49.00 | 1.00 | Yes (X) | $0 | $371,153 | $111,109 | |||
| BRAD WOZNEY MD | |||||||||
| DIRECTOR | 2.60 | 0.00 | Yes (X) | $0 | $33,000 | $0 | |||
| SHARON PIERCE | |||||||||
| DIRECTOR | 2.70 | 0.00 | Yes (X) | $0 | $33,000 | $0 | |||
| JAMES MALECHA | |||||||||
| DIRECTOR | 2.40 | 0.00 | Yes (X) | $0 | $33,000 | $0 | |||
| THOMAS BRINSKO | |||||||||
| DIRECTOR | 2.90 | 0.00 | Yes (X) | $0 | $30,000 | $0 | |||
| KATHLEEN KELLEY | |||||||||
| DIRECTOR | 3.10 | 0.00 | Yes (X) | $0 | $30,000 | $0 | |||
| MORRIS GOODWIN | |||||||||
| DIRECTOR & TREASURER | 3.20 | 0.00 | Yes (X) | $0 | $33,000 | $0 | Yes (X) | ||
| DEBORAH HOPP | |||||||||
| DIRECTOR | 3.10 | 0.00 | Yes (X) | $0 | $33,000 | $0 | |||
| AMY LANGER | |||||||||
| DIRECTOR & CHAIR | 3.70 | 0.00 | Yes (X) | $0 | $50,000 | $0 | Yes (X) | ||
| PAUL WILLILAMS | |||||||||
| DIRECTOR | 3.10 | 0.00 | Yes (X) | $0 | $30,000 | $0 | |||
| PHILIP DONALDSON | |||||||||
| DIRECTOR & VICE CHAIR | 2.50 | 0.00 | Yes (X) | $0 | $33,000 | $0 | Yes (X) | ||
| SONDRA SAMUELS | |||||||||
| DIRECTOR | 2.10 | 0.00 | Yes (X) | $0 | $33,000 | $0 | |||
| BRIAN H RANK MD | |||||||||
| DIRECTOR & MEDICAL DIRECTO | 3.20 | 61.80 | Yes (X) | $0 | $1,103,277 | $295,296 | Yes (X) | ||
| ANDREA M WALSH | |||||||||
| DIRECTOR & CEO | 1.00 | 49.00 | Yes (X) | $0 | $1,604,270 | $456,770 | Yes (X) | ||
| PAHOUA YANG HOFFMAN | |||||||||
| DIRECTOR | 1.10 | 0.00 | Yes (X) | $0 | $33,000 | $0 | |||
| NATHAN G BLAD | |||||||||
| HPRC PRESIDENT | 1.00 | 40.00 | $0 | $297,477 | $53,804 | Yes (X) | |||
| STEVEN M CONNELLY MD | |||||||||
| PRESIDENT PNHS | 64.00 | 1.00 | $0 | $884,309 | $160,887 | Yes (X) | |||
| HEIDI G CONRAD | |||||||||
| CFO CARE DELIVERY (SEPT-DEC) | 20.00 | 35.00 | $0 | $573,646 | $188,484 | Yes (X) | |||
| TRICIA L DEGE | |||||||||
| CFO CARE DELIVERY (JAN-AUG) | 20.00 | 25.00 | $0 | $353,576 | $73,526 | Yes (X) | |||
| NIMA A DESAI MD | |||||||||
| VP MEDICAL AFFAIRS, CMO | 50.00 | 0.00 | $0 | $411,923 | $44,597 | Yes (X) | |||
| NANCY L EVERT | |||||||||
| SR VP GENERAL COUNSEL | 13.10 | 41.90 | $0 | $600,979 | $171,579 | Yes (X) | |||
| MELISSA T FRITZ | |||||||||
| VP INPATIENT & CNO (SEPT-DEC) | 55.00 | 0.00 | $0 | $82,682 | $11,562 | Yes (X) | |||
| STEVEN C HOUSH | |||||||||
| VP ORTHOPEDIC SERVICES | 25.00 | 25.00 | $0 | $411,458 | $50,414 | Yes (X) | |||
| THOMAS A JONES MD | |||||||||
| SR. MEDICAL DIRECTOR, SURG | 54.00 | 1.00 | $0 | $918,847 | $74,076 | Yes (X) | |||
| KATE E KEIPER | |||||||||
| VP HUMAN RESOURCES | 46.00 | 1.00 | $0 | $329,290 | $44,309 | Yes (X) | |||
| CATHERINE S KLUGHERZ | |||||||||
| VP SPECIALTY SERVICES | 49.00 | 1.00 | $0 | $400,414 | $103,076 | Yes (X) | |||
| LAURA A LOBERG | |||||||||
| VP SURGICAL SERVICES | 44.00 | 1.00 | $0 | $393,802 | $95,277 | Yes (X) | |||
| JASON J LUHRS | |||||||||
| VP FINANCE | 49.00 | 1.00 | $0 | $255,205 | $53,578 | Yes (X) | |||
| KRISTI A LYON | |||||||||
| VP PAYER RELATIONS | 46.00 | 1.00 | $0 | $439,013 | $105,712 | Yes (X) | |||
| JAMES P LYONS | |||||||||
| HUTCHINSON PRESIDENT | 1.00 | 39.00 | $0 | $316,313 | $72,655 | Yes (X) | |||
| NANCY A MCCLURE | |||||||||
| CHIEF OPERATING OFFICER | 20.50 | 34.50 | $0 | $1,012,739 | $301,443 | Yes (X) | |||
| JENNIFER L MYSTER | |||||||||
| PN METHODIST PRESIDENT | 54.50 | 0.50 | $0 | $562,702 | $113,636 | Yes (X) | |||
| KASEY L PAULUS | |||||||||
| VP INPATIENT & CNO (JAN-AUG) | 49.00 | 1.00 | $0 | $178,049 | $25,317 | Yes (X) | |||
| JOAN SANDSTROM RN | |||||||||
| VP PRIMARY CARE | 39.00 | 1.00 | $0 | $467,596 | $93,880 | Yes (X) | |||
| MARK R SANNESMD | |||||||||
| SR MEDICAL DIRECTOR | 59.00 | 1.00 | $0 | $679,382 | $126,575 | Yes (X) | |||
| MELISSA F SCHOENHERR | |||||||||
| VP MARKETING AND COMMUNICA | 39.00 | 1.00 | $0 | $399,319 | $90,719 | Yes (X) | |||
| DUANE F SPIEGLE | |||||||||
| VP REAL ESTATE AND SUPPORT | 49.00 | 1.00 | $0 | $415,460 | $99,997 | Yes (X) | |||
| THOMAS M WALSH MD | |||||||||
| SR. MEDICAL DIRECTOR ORTHO | 49.00 | 1.00 | $0 | $900,248 | $85,854 | Yes (X) | |||
| MATTHEW T WESTERLUND | |||||||||
| VP QUALITY AND SAFTEY | 54.00 | 1.00 | $0 | $253,062 | $46,780 | Yes (X) | |||
| JOSHUA O ZIMMERMAN | |||||||||
| SR MEDICAL DIRECTOR | 39.00 | 1.00 | $0 | $527,870 | $95,747 | Yes (X) | |||
| BRIAN L WALTERS MN | |||||||||
| MEDICAL DOCTOR | 80.00 | 0.00 | $1,668,999 | $0 | $62,293 | Yes (X) | |||
| GREGERY R HILDEBRAND MD | |||||||||
| MEDICAL DOCTOR | 65.00 | 0.00 | $1,284,027 | $0 | $57,623 | Yes (X) | |||
| ROBERT W WERLING MD | |||||||||
| MEDICAL DOCTOR | 35.00 | 0.00 | $1,239,485 | $0 | $80,369 | Yes (X) | |||
| CHRISTINE M PUI MD | |||||||||
| MEDICAL DOCTOR | 52.00 | 0.00 | $1,198,418 | $0 | $55,469 | Yes (X) | |||
| KENNETH D OLSEN MD | |||||||||
| MEDICAL DOCTOR | 58.00 | 0.00 | $1,185,347 | $0 | $84,850 | Yes (X) | |||
| CARA M HULL | |||||||||
| FORMER VP HUMAN RESOURCES | 0.00 | 50.00 | $0 | $443,403 | $55,870 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,513,474 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $15,991,464 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,719,681 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1810 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GROUP HEALTH PLAN INC | |||||
| 8170 33RD AVE S | MINNEAPOLIS | MN | 55440 | ADMINSTRATIVE SERVICES | $60,206,227 |
| RJM CONSTRUCTION | |||||
| 830 BOONE AVE N | GOLDEN VALLEY | MN | 55427 | CONSTRUCTION SERVICES | $8,050,425 |
| INTEREUM | |||||
| 9800 8TH AVE N | PLYMOUTH | MN | 55441 | STAFFING | $5,956,996 |
| KNUTSON CONSTRUCTION SERVICES | |||||
| 7515 WAYZATA BLVD | MINNEAPOLIS | MN | 55426 | CONSTRUCTION SERVICES | $4,183,775 |
| HARVARD SERVICES GROUP INC | |||||
| 59 MAIDEN LANE FL17 | NEW YORK | NY | 10038 | CLEANING SERVICES | $3,809,896 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 78 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $10,216,907 | RelatedOrganizationsAmt |
| Government Grants | $8,343,710 | GovernmentGrantsAmt |
| Total Contributions | $18,560,617 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL SERVICES | 621400 | $1,692,315,472 | $1,692,315,472 |
| SERVICES TO AFFILIATES | 561000 | $91,382,553 | $91,382,553 |
| RETAIL SALES | 446110 | $30,643,288 | $30,643,288 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,814,341,313 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,048,927 | TotalRevenueColumnAmt |
| Exclusion | $7,048,927 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,274,070 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $753,241 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $520,829 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $520,829 | TotalRevenueColumnAmt |
| Exclusion | $520,829 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $134,711,651 | SecuritiesAmt |
| Other | $56,936 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $103,664,671 | SecuritiesAmt |
| Other | $45,203 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $31,046,980 | SecuritiesAmt |
| Other | $11,733 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,058,713 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,733 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $31,046,980 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $185,495 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $127,991 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $57,504 | TotalRevenueColumnAmt |
| Exclusion | $57,504 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PROPERTY MANAGEMENT | 812930 | $3,071,694 | $3,071,694 |
| CAFETERIA | 445200 | $2,118,896 | $2,118,896 |
| MISC | 323100 | $118,677 | $118,677 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,309,267 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,876,897,170 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,814,353,046 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $43,983,507 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,940 | TotalAmt |
| Program Services | $15,940 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,013,747 | TotalAmt |
| Program Services | $912,372 | ProgramServicesAmt |
| Management And General | $101,375 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $942,402,827 | TotalAmt |
| Program Services | $818,106,395 | ProgramServicesAmt |
| Management And General | $123,818,942 | ManagementAndGeneralAmt |
| Fundraising | $477,490 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,679,761 | TotalAmt |
| Program Services | $43,149,206 | ProgramServicesAmt |
| Management And General | $6,474,123 | ManagementAndGeneralAmt |
| Fundraising | $56,432 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,145,277 | TotalAmt |
| Program Services | $84,338,761 | ProgramServicesAmt |
| Management And General | $12,778,300 | ManagementAndGeneralAmt |
| Fundraising | $28,216 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,950,997 | TotalAmt |
| Program Services | $41,647,693 | ProgramServicesAmt |
| Management And General | $6,246,872 | ManagementAndGeneralAmt |
| Fundraising | $56,432 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,963 | TotalAmt |
| Management And General | $340,963 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,582 | TotalAmt |
| Management And General | $27,582 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $569,008 | TotalAmt |
| Management And General | $569,008 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,424,483 | TotalAmt |
| Program Services | $43,025,342 | ProgramServicesAmt |
| Management And General | $16,399,141 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $787,651 | TotalAmt |
| Program Services | $630,731 | ProgramServicesAmt |
| Management And General | $156,920 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,873,058 | TotalAmt |
| Program Services | $7,182,703 | ProgramServicesAmt |
| Management And General | $2,690,355 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,480,487 | TotalAmt |
| Program Services | $1,770,886 | ProgramServicesAmt |
| Management And General | $2,709,601 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,598,291 | TotalAmt |
| Program Services | $34,230,397 | ProgramServicesAmt |
| Management And General | $7,367,894 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,065,824 | TotalAmt |
| Program Services | $888,793 | ProgramServicesAmt |
| Management And General | $177,031 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,218 | TotalAmt |
| Program Services | $65,539 | ProgramServicesAmt |
| Management And General | $21,679 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,333,109 | TotalAmt |
| Program Services | $14,333,109 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,305,970 | TotalAmt |
| Program Services | $59,790,702 | ProgramServicesAmt |
| Management And General | $9,515,268 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,511,916 | TotalAmt |
| Program Services | $6,511,916 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES AND DR | $271,761,144 | $270,701,180 | $1,059,964 |
| SUBSCRIPTIONS, FEES, DU | $36,309,775 | $10,389,327 | $25,920,448 |
| MANAGEMENT FEES | $27,850,843 | $27,850,843 | |
| TRAINING AND EDUCATION | $24,411,658 | $24,386,481 | $25,177 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,331,307 | TotalAmt |
| Program Services | $11,821,807 | ProgramServicesAmt |
| Management And General | $1,509,500 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,720,278,836 | TotalAmt |
| Program Services | $1,473,899,280 | ProgramServicesAmt |
| Management And General | $245,760,986 | ManagementAndGeneralAmt |
| Fundraising | $618,570 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $389,938 | BOYAmt |
| EOY | $15,672 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,864,314 | BOYAmt |
| EOY | $177,549,145 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,575,824 | BOYAmt |
| EOY | $10,556,157 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,023,608 | BOYAmt |
| EOY | $2,305,037 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,507,046,003 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,034,619,247 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $498,399,710 | BOYAmt |
| EOY | $472,426,756 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $527,996,641 | BOYAmt |
| EOY | $574,524,898 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,904,947 | BOYAmt |
| EOY | $1,869,337 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,130,330 | BOYAmt |
| EOY | $476,650,378 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,495,285,312 | BOYAmt |
| EOY | $1,715,897,380 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,047,401 | BOYAmt |
| EOY | $199,630,811 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,305,477 | BOYAmt |
| EOY | $38,837,581 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $346,215,611 | BOYAmt |
| EOY | $327,394,129 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,023,479 | BOYAmt |
| EOY | $32,347,784 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $543,591,968 | BOYAmt |
| EOY | $598,210,305 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $950,402,283 | BOYAmt |
| EOY | $1,116,255,602 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,291,061 | BOYAmt |
| EOY | $1,431,473 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $951,693,344 | BOYAmt |
| EOY | $1,117,687,075 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,495,285,312 | BOYAmt |
| EOY | $1,715,897,380 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $156,618,334 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $10,110,919 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$735,522 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I | PARK NICOLLET METHODIST HOSPITAL LINE 3: 170(B)(1)(A)(III) PARK NICOLLET CLINIC LINE 3: 170(B)(1)(A)(III) PARK NICOLLET HEALTH CARE PRODUCTS LINE 12 TYPE I, 509(A)(3) PNMC HOLDINGS LINE 12 TYPE II, 509(A)(3) |
| PART I , LINE 12 | SUPPORTING ORGANIZATIONS DETAIL: PNMC HOLDINGS AND PARK NICOLLET HEALTH CARE PRODUCTS PROVIDE SUPPORT TO THE FOLLOWING ORGANIZATIONS: PNMC HOLDINGS: LINE 12, COLUMN (I) PARK NICOLLET CLINIC, (II) 41-0834920, (III) 170(B)(1)(A)(III), (IV) NO, (V) $0, (VI) $1,321,824 LINE 12, COLUMN (I) PARK NICOLLET HEALTH SERVICES, (II) 36-3465840, (III) 509(A)(2), (IV) YES, (V) $0, (VI) $0 PARK NICOLLET HEALTH SERVICES, WHICH IS A 509(A)(2) PUBLIC CHARITY, IS THE IDENTIFIED SUPPORTED ORGANIZATION IN PNMC HOLDINGS' ARTICLES OF INCORPORATION, IS ALSO THE PARENT OF PNMC HOLDINGS AND OF PARK NICOLLET CLINIC, AMONG OTHERS. PARK NICOLLET CLINIC IS CLOSELY RELATED IN PURPOSE AND FUNCTION TO PNMC HOLDINGS AND PARK NICOLLET HEALTH SERVICES. FURTHER, THE SAME PERSONS WHO SERVE AS THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH SERVICES ALSO SERVE AS THE BOARD OF DIRECTORS OF PNMC HOLDINGS, AND OF PARK NICOLLET CLINIC. AS A RESULT, IT IS WITHIN THE MISSION AND PURPOSE OF PNMC HOLDINGS AND OF ITS SUPPORTED ORGANIZATION PARK NICOLLET HEALTH SERVICES TO PROVIDE SUPPORT TO PARK NICOLLET CLINIC. PNMC HOLDINGS IS NOT REQUIRED TO SPECIFICALLY IDENTIFY PARK NICOLLET CLINIC IN PNMC HOLDINGS' ARTICLES OF ORGANIZATION IN ORDER ALSO TO INCLUDE PARK NICOLLET CLINIC AS PNMC HOLDINGS' SUPPORTED ORGANIZATION. PARK NICOLLET HEALTH CARE PRODUCTS: LINE 12, COLUMN (I) PARK NICOLLET METHODIST HOSPITAL, (II) 41-0132080, (III) 170(B)(1)(A)(III), (IV) NO, (V) $0, (VI) $2,414,186 LINE 12, COLUMN (I) PARK NICOLLET CLINIC, (II) 41-0834920, (III) 170(B)(1)(A)(III), (IV) NO, (V) $0, (VI) $25,846,504 LINE 12, COLUMN (I) PARK NICOLLET HEALTH SERVICES, (II) 36-3465840, (III) 509(A)(2)(IV) YES, (V) $0, (VI) $0 PARK NICOLLET HEALTH SERVICES, WHICH IS A 509(A)(2) PUBLIC CHARITY, IS THE IDENTIFIED SUPPORTED ORGANIZATION IN PARK NICOLLET HEALTH CARE PRODUCTS' ARTICLES OF INCORPORATION, IS ALSO THE PARENT OF PARK NICOLLET HEALTH CARE PRODUCTS AND OF PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL, AMONG OTHERS. PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL ARE CLOSELY RELATED IN PURPOSE AND FUNCTION TO PARK NICOLLET HEALTH CARE PRODUCTS AND PARK NICOLLET HEALTH SERVICES. FURTHER, THE SAME PERSONS WHO SERVE AS THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH SERVICES ALSO SERVE AS THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH CARE PRODUCTS, OF PARK NICOLLET CLINIC AND OF PARK NICOLLET METHODIST HOSPITAL. AS A RESULT, IT IS WITHIN THE MISSION AND PURPOSE OF PARK NICOLLET HEALTH CARE PRODUCTS AND OF ITS SUPPORTED ORGANIZATION PARK NICOLLET HEALTH SERVICES TO PROVIDE SUPPORT TO PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL. PARK NICOLLET HEALTH CARE PRODUCTS IS NOT REQUIRED TO SPECIFICALLY IDENTIFY PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL IN PARK NICOLLET HEALTH CARE PRODUCTS' ARTICLES OF ORGANIZATION IN ORDER ALSO TO INCLUDE PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL AS PARK NICOLLET HEALTH CARE PRODUCTS SUPPORTED ORGANIZATIONS. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $74,751 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $74,751 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PARK NICOLLET REIMBURSES GROUP HEALTH PLAN INC. A RELATED ORGANIZATION FOR LOBBYING ACTIVITIES. PARK NICOLLET ALSO REIMBURSES CERTAIN PROFESSIONAL MEMBERSHIP DUES OF EMPLOYEES. A PORTION OF SUCH MEMBERSHIP DUES ARE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $53,552,619 | BeginningYearBalanceAmt |
| Contributions | $3,127,559 | ContributionsAmt |
| Investment Earnings Or Losses | $2,175,896 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,731,917 | GrantsOrScholarshipsAmt |
| End Year Balance | $57,124,157 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $49,871,951 | BeginningYearBalanceAmt |
| Contributions | $3,300,014 | ContributionsAmt |
| Investment Earnings Or Losses | $1,960,935 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,580,281 | GrantsOrScholarshipsAmt |
| End Year Balance | $53,552,619 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $38,225,552 | BeginningYearBalanceAmt |
| Contributions | $15,200,835 | ContributionsAmt |
| Investment Earnings Or Losses | $2,519,420 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $6,073,856 | GrantsOrScholarshipsAmt |
| End Year Balance | $49,871,951 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $31,964,574 | BeginningYearBalanceAmt |
| Contributions | $4,218,839 | ContributionsAmt |
| Investment Earnings Or Losses | -$457,678 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $2,499,817 | GrantsOrScholarshipsAmt |
| End Year Balance | $38,225,552 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $31,153,525 | BeginningYearBalanceAmt |
| Contributions | $4,637,534 | ContributionsAmt |
| Investment Earnings Or Losses | $1,952,529 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $5,779,014 | GrantsOrScholarshipsAmt |
| End Year Balance | $31,964,574 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.38000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.62000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,168,064 | OtherCostOrOtherBasisAmt |
| Book Value | $31,168,064 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $813,701,613 | OtherCostOrOtherBasisAmt |
| Depreciation | $481,802,260 | DepreciationAmt |
| Book Value | $331,899,353 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $87,144,062 | OtherCostOrOtherBasisAmt |
| Depreciation | $65,106,379 | DepreciationAmt |
| Book Value | $22,037,683 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $562,385,364 | OtherCostOrOtherBasisAmt |
| Depreciation | $487,710,608 | DepreciationAmt |
| Book Value | $74,674,756 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,646,900 | OtherCostOrOtherBasisAmt |
| Book Value | $12,646,900 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $472,426,756 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY RECEIVABLE | $426,498,956 |
| RIGHT OF USE ASSET | $26,994,201 |
| OTHER ASSETS | $23,157,221 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $476,650,378 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE OBLIGATION | $29,409,421 |
| MISCELLANEOUS LIABILITY | $2,938,363 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $32,347,784 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE TERM ENDOWMENT FUNDS FOR USE WITHIN PARK NICOLLET CLINIC, AND PARK NICOLLET METHODIST HOSPITAL ARE FOR GRANTS RELATED TO EDUCATION, RESEARCH AND PATIENT CARE. |
| PART X, LINE 2: | PARK NICOLLET IS INCLUDED IN THE HEALTHPARTNERS, INC. (HP) CONSOLIDATED AUDITED FINANCIAL STATEMENT. JUDGMENT IS REQUIRED IN DETERMINING HP'S EFFECTIVE TAX RATE AND IN EVALUATING ITS TAX POSITION. HP ESTABLISHES ACCRUALS FOR UNCERTAIN TAX POSITIONS WHEN, DESPITE THE BELIEF THAT HP'S TAX RETURN POSITIONS ARE FULLY SUPPORTABLE, HP BELIEVES THAT ITS POSITION MAY NOT BE FULLY SUSTAINED, PRIMARILY GIVEN THE RISKS ASSOCIATED WITH TAX LITIGATION OR DISPUTES. THE UNCERTAIN TAX POSITION ACCRUALS ARE ADJUSTED IN LIGHT OF CHANGING FACTS AND CIRCUMSTANCES, SUCH AS THE PROGRESS OF TAX AUDITS, CASE LAW, AND EMERGING LEGISLATION. HP'S EFFECTIVE TAX RATE INCLUDES THE IMPACT OF CHANGES TO THE ACCRUALS FOR UNCERTAIN TAX POSITIONS. HP CLASSIFIES INTEREST AND PENALTIES ON TAX-RELATED MATTERS AS INCOME AND OTHER TAX EXPENSE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. HP RECORDED NO LIABILITIES AT DECEMBER 31, 2021 OR 2020 FOR UNRECOGNIZED TAX BENEFITS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 275.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 385.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,799,795 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $185,049 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,614,746 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $225,327,169 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $146,017,537 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $79,309,632 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04610 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $232,126,964 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $146,202,586 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $85,924,378 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04990 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,513,475 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,400 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,510,075 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,569,999 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,151,287 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,418,712 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,083,474 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,154,687 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,928,787 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $245,210,438 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $149,357,273 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $95,853,165 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05560 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $21,593,029 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $143,380,383 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $155,664,551 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$12,284,168 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARK NICOLLET METHODIST HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6500 EXCELSIOR BLVD | AddressLine1Txt |
| City | ST LOUIS PARK | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55426 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | PARKNICOLLET.COM | WebsiteAddressTxt |
| State License | 385120 | StateLicenseNum |
Subordinate Hospital Name SubordinateHospitalName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PN METHODIST HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subordinate Hospital EIN | 410132080 | SubordinateHospitalEIN |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARK NICOLLET METHODIST HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/METHODIST/ABOUT/COMMUNITY | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/METHODIST/ABOUT/COMMUNITY/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 275.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 385.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.HEALTHPARTNERS.COM/CONTENT/DAM/HOT/BRAND-IDENTITY/PDFS/CARE/FI | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.HEALTHPARTNERS.COM/CONTENT/DAM/HOT/BRAND-IDENTITY/PDFS/CARE/FIN | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.HEALTHPARTNERS.COM/CONTENT/DAM/HOT/BRAND-IDENTITY/PDFS/CARE/FIN | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PARK NICOLLET METHODIST HOSPITAL | PART V, SECTION B, LINE 5: TO COMPREHENSIVELY UNDERSTAND AND DESCRIBE THE NEEDS OF THE COMMUNITIES HEALTHPARTNERS SERVES, WE SYSTEMATICALLY IDENTIFIED A LIST OF PUBLICLY AVAILABLE DATA SOURCES AND A LIST OF INTERNALLY AVAILABLE HEALTHPARTNERS DATA SOURCES. WITH THE CHNA WORKGROUP THAT HAD EXPERTISE FROM PUBLIC HEALTH, HEALTHCARE AND EPIDEMIOLOGY, WE CAREFULLY REVIEWED THE LIST TO IDENTIFY OPPORTUNITIES WITH A SPECIFIC LENS TOWARDS INCLUDING MEMBERS WITH UNIQUE INSIGHT INTO NEEDS OF OUR UNDERSERVED COMMUNITIES WHERE HEALTH AND OTHER DISPARITIES EXIST. TO FURTHER ROUND OUT UNDERSTANDING, WE SOUGHT ADDITIONAL DATA SOURCES TOGETHER WITH OUR COMMUNITY PARTNERS. WHERE OPPORTUNITIES STILL REMAIN FOR BETTER UNDERSTANDING DUE TO LACK OF CURRENTLY AVAILABLE DATA, WE HAVE NOTED IN THE REPORT. FOR EXAMPLE, WE IDENTIFIED SPECIFIC GAPS IN DATA AVAILABLE TO UNDERSTAND THE COVID-19 PANDEMIC CONTEXT AND THE INFLUENCE OF STRUCTURAL RACISM ON THE NEEDS AREAS. THUS, WE SPECIFICALLY DESIGNED OUR QUALITATIVE COMMUNITY CONVERSATIONS AND OUR QUANTITATIVE HEALTHPARTNERS PROVIDER SURVEYS TO FILL THESE GAPS. HEALTHPARTNERS PROVIDER SURVEYS: SELECT HEALTHPARTNERS STAFF WHO PROVIDE DIRECT CARE FOR OUR PATIENTS WERE INVITED BY HOSPITAL LEADERS AND THE CHNA EXPERT PANEL MEMBERS TO COMPLETE A BRIEF WEB SURVEY ABOUT THE NEEDS OF THE PATIENTS THEY SERVE. THE SURVEY WAS DEVELOPED BY AN EXPERT SURVEY METHODOLOGIST WITH INPUT FROM THE CHNA WORKGROUP. OVERALL, 444 PROVIDERS INCLUDING DOCTORS, CARE COORDINATORS, PHARMACISTS, PHYSICAL OR OCCUPATIONAL THERAPISTS, DIETITIANS, NURSES, AND SOCIAL WORKERS COMPLETED SURVEYS ACROSS ALL HEALTHPARTNERS HOSPITALS. DESCRIPTIVE STATISTICS AND A THEMATIC ANALYSIS WERE COMPLETED AND INCLUDED IN THE NEEDS AREA SUMMARIES BELOW.COMMUNITY CONVERSATIONS: A TOTAL OF 41 COMMUNITY CONVERSATIONS WERE HELD OR ATTENDED BY HEALTHPARTNERS WORKGROUP MEMBERS. RESULTS WERE SUMMARIZED AND KEY THEMES AND QUOTES WERE ADDED TO THE NEEDS AREA SUMMARIES THROUGHOUT. ADDITIONAL DETAILS ABOUT THE COMMUNITY CONVERSATIONS CAN BE FOUND IN THE APPENDIX OF THE METHODIST HOSPITAL 2021CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/METHODIST/ABOUT/COMMUNITY/ |
| PARK NICOLLET METHODIST HOSPITAL | PART V, SECTION B, LINE 6A: HEALTHPARTNERS COLLABORATED ACROSS EIGHT HOSPITALS WITHIN ITS FAMILY OF CARE FOR THE 2021 CHNA: AMERY HOSPITAL & CLINIC (AMERY, WI) HUDSON HOSPITAL & CLINIC (HUDSON, WI) HUTCHINSON HEALTH (HUTCHINSON, MN) LAKEVIEW HOSPITAL (STILLWATER, MN) OLIVIA HOSPITAL AND CLINIC (OLIVIA, MN) PARK NICOLLET HEALTH SERVICES INCLUDING PARK NICOLLET METHODIST HOSPITAL (ST. LOUIS PARK, MN) REGIONS HOSPITAL (ST. PAUL, MN) WESTFIELDS HOSPITAL & CLINIC (NEW RICHMOND, WI) |
| PARK NICOLLET METHODIST HOSPITAL | PART V, SECTION B, LINE 6B: PARK NICOLLET FOUNDATION AND PARK NICOLLET CLINIC |
| PARK NICOLLET METHODIST HOSPITAL | PART V, SECTION B, LINE 7D: PARK NICOLLET BOARD APPROVED THE IMPLEMENTATION STRATEGY FOR PARK NICOLLET METHODIST HOSPITAL ON DECEMBER 15TH, 2021. A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY IS POSTED ON THE HEALTHPARTNERS WEBSITE AT:HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/METHODIST/ABOUT/COMMUNITY/ |
| PARK NICOLLET METHODIST HOSPITAL | PART V, SECTION B, LINE 11: THE 2018 HEALTHPARTNERS CHNA PROCESS IDENTIFIED THE FOLLOWING SYSTEM-WIDE PRIORITIES, WHICH PARK NICOLLET METHODIST HOSPITAL THEN CUSTOMIZED THROUGH ITS OWN IMPLEMENTATION PLAN. COMPLETED ACTIONS IN 2021 ARE LISTED AFTER EACH PRIORITY.PRIORITY 1: ACCESS TO CARE- SIGNIFICANTLY INCREASED PSYCHIATRY TELE-MEDICINE VISITS AS STANDARD.- PRIMARY CARE EXPANDED HOURS AT ALL LOCATIONS INCLUDING SATURDAYS.- SOCIAL WORK SERVICES ARE AVAILABLE EVERY WEEK TO CONNECT PATIENTS AND THEIR CAREGIVERS TO RESOURCES.- PARTICIPATED IN MPLS TRANSEQUITY SUMMIT- MAMMO-A-GO-GO SCANNED 1,825 WOMEN IN 108 EVENTS AND DIAGNOSED SEVEN INCIDENCES OF CANCER FOR PEOPLE WITH LOW ACCESS TO MAMMOGRAPHY SERVICES.-ADDRESSED 4,166 CARE NEEDS, PROVIDED 1,090 IMMUNIZATIONS AND SERVED 574 CHILDREN WITHOUT HEALTH CARE COVERAGE.-PROVIDED $1.3 MILLION IN COMMUNITY PROGRAM SUPPORT.-PROVIDED FOUR COVID VACCINE & BOOSTER CATCH-UP CLINICS IN SENIOR CARE FACILITIES, CENTRAL CLINIC AND LOCAL APARTMENT COMPLEXES IN PARTNERSHIP WITH ST. LOUIS PARK FIRE DEPARTMENT. PRIORITY 2: ACCESS TO HEALTH- REVIEWED GRANT APPLICATION AND APPLICATION PROCESS FOR EQUITY AND INCLUSION LANGUAGE AND INCLUSIVENESS. - BEGAN COLLABORATIVE PILOT WITH MINNEAPOLIS PUBLIC SCHOOLS ON DEVELOPING CURRICULUM FOR CULTURALLY-SPECIFIC GRIEF COUNSELING AS PART OF OUR GROWING THROUGH GRIEF PROGRAM.- CONTINUED $16,000 GRANT TO PORTICO HEALTHNET TO ASSIST WITH HEALTH INSURANCE NAVIGATION IN OUR SCHOOL-BASED HEALTH CLINICS COMMUNITIES OF RICHFIELD AND BROOKLYN CENTER. $55,000 GRANT TO CHILDREN'S DENTAL SERVICES TO PROVIDE DENTAL CARE IN THESE HIGH NEED AREAS AS WELL. $11,000 GRANTS EACH TO BROOKLYN CENTER AND RICHFIELD SCHOOL DISTRICTS TO COORDINATE CARE AND INCREASE ACCESS FOR EQUITABLE CARE. PRIORITY 3: MENTAL HEALTH AND WELLBEING - FOUNDATION SUPPORTED DAKOTA COUNTY SHOWING OF FILMS RELATING TO TEEN MENTAL HEALTH AWARENESS.- PROVIDED SEVERAL INTERNAL AND EXTERNAL EATING DISORDER CLINICS. - STAFF CONTINUED TO SERVE ON THE CENTER FOR COMMUNITY HEALTH COLLECTIVE ACTION COMMITTEE, CONDUCTED TRAINING FOR HP BCSN STAFF ON ACES, HENNEPIN COUNTY CHIP MENTAL HEALTH ACTION TEAM, SCOTT COUNTY CHIP. - OFFERED CONTINUED SUPPORT AND FISCAL AGENT SERVICES TO LOCAL COLLABORATIVES.- NOW! PROGRAM SERVED 78 STUDENTS WITH 696 HOURS OF THERAPY. 100% REPORTED LEARNING NEW SKILLS TO MANAGE NEGATIVE FEELINGS.PRIORITY 4: SUBSTANCE ABUSEPRIORITY 5: NUTRITION AND PHYSICAL ACTIVITY- CONNECTED BROOKDALE AND HEALTHPARTNERS BROOKLYN CENTER CLINIC STAFF TO CEAP TO PROVIDE RESOURCES FOR PEOPLE EXHIBITING FOOD INSECURITY.A FULL REPORT OF PARK NICOLLET METHODIST'S 2018 CHNA AND IMPLEMENTATION PLAN IS POSTED ON THE HEALTHPARTNERS WEBSITE AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/METHODIST/ABOUT/COMMUNITY/, WHICH PROVIDES A DETAILED DESCRIPTION OF ALL THE ACTIVITIES. |
| PARK NICOLLET METHODIST HOSPITAL | PART V, SECTION B, LINE 13B: IN ACCORDANCE WITH OUR AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL, UNINSURED PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS LESS THAN $125,000 ARE ELIGIBLE FOR A DISCOUNT ON THEIR CHARGES. THE DISCOUNT IS ESTABLISHED AT THE AVERAGE CONTRACTUAL DISCOUNT FOR PARK NICOLLET HEALTH SERVICE'S LARGEST CONTRACT PAYER. THE DISCOUNT FOR 2021 WAS 40.2% OF GROSS CHARGES. PATIENTS THAT RECEIVE THIS DISCOUNT ARE ALSO ELIGIBLE FOR OUR FAP PROGRAM BASED ON FPL. |
| PARK NICOLLET METHODIST HOSPITAL | PART V, SECTION B, LINE 24: PARK NICOLLET CHARGES ITS PATIENTS GROSS CHARGES IF THE PATIENT HAS ELECTIVE SURGERY, WHICH IS NOT MEDICALLY NECESSARY. |
| PART V, SECTION B, LINE 3E | PARK NICOLLET ADDRESSES THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY THROUGH OUR CHNA. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 42 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (42 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - STRUTHER'S PARKINSON CENTER | ||||
| 6701 COUNTRY S PARKINSON CENTER | GOLDEN VALLEY | MN | 55427 | RESEARCH AND TREATMENT OF PARKINSON'S DISEASE |
| 2 - PARK NICOLLET MELROSE CENTER | ||||
| 3525 MONTEREY DRIVE | ST LOUIS PARK | MN | 55416 | EATING DISORDER CLINIC/GENERAL MEDICAL |
| 3 - 3900 CLINICAMBULATORY SURGICAL CENTER | ||||
| 3900 PARK NICOLLET BOULEVARD | ST LOUIS PARK | MN | 55416 | AMBULATORY SURGICAL CENTER AND GENERAL MEDICAL AND RETAIL |
| 4 - MEADOWBROOK MEDICAL BUILDING | ||||
| 3931 LOUISIANA AVE S | ST LOUIS PARK | MN | 55426 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 5 - PRAIRIE CENTER | ||||
| 8455 FLYING CLOUD DRIVE | EDEN PRAIRIE | MN | 55344 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 6 - BLOOMINGTON CLINIC | ||||
| 5320 HYLAND GREENS DRIVE | BLOOMINGTON | MN | 55437 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 7 - BROOKDALE CLINIC | ||||
| 6000 EARLE BROWN DRIVE | BROOKLYN CENTER | MN | 55430 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 8 - BURNSVILLE CLINIC | ||||
| 14000 FAIRVIEW DRIVE | BURNSVILLE | MN | 55337 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 9 - CARLSON PARKWAY CLINIC | ||||
| 15111 TWELVE OAKS CENTER DRIVE | MINNETONKA | MN | 55305 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 10 - CHANHASSEN CLINIC | ||||
| 300 LAKE DRIVE E | CHANHASSEN | MN | 55317 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 11 - CREEKSIDE | ||||
| 6600 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 12 - ST LOUIS PARK IMAGING CENTER | ||||
| 4951 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55416 | IMAGING CENTER/OPTICAL RETAIL |
| 13 - EAGAN CLINIC | ||||
| 1885 PLAZA DRIVE | EAGAN | MN | 55122 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 14 - GOLDEN VALLEY CLINIC | ||||
| 8240 GOLDEN VALLEY DRIVE | GOLDEN VALLEY | MN | 55427 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 15 - LAKEVILLE CLNIC | ||||
| 18432 KENRICK AVE | LAKEVILLE | MN | 55044 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 16 - MAPLE GROVE SURGERY CENTER | ||||
| 15800 95TH AVE N | MAPLE GROVE | MN | 55369 | AMBULATORY SURGICAL CENTER |
| 17 - MAPLE GROVE OB | ||||
| 9855 HOSPITAL DRIVE SUITE 275 | MAPLE GROVE | MN | 55369 | OB SERVICES |
| 18 - MAPLE GROVE REHAB | ||||
| 15301 GROVE CIRCLE | MAPLE GROVE | MN | 55369 | REHABILIATION SERVICES |
| 19 - MINNEAPOLIS CLINIC | ||||
| 2001 BLAISDELL AVE S | MINNEAPOLIS | MN | 55404 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 20 - PLYMOUTH CLINIC | ||||
| 4155 COUNTY ROAD 101 | PLYMOUTH | MN | 55446 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 21 - PRIOR LAKE CLINIC | ||||
| 4670 PARK NICOLLET AVE SE | PRIOR LAKE | MN | 55372 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 22 - SHAKOPEE CLINIC | ||||
| 1415 ST FRANCIS AVE | SHAKOPEE | MN | 55379 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 23 - SHAKOPEE MOB PN SPECIALITY SUITE | ||||
| 1515 ST FRANCIS AVE | SHAKOPEE | MN | 55379 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 24 - SHAKOPEE MOB ORTHO NEURO CENTER | ||||
| 1601 ST FRANCIS AVE | SHAKOPEE | MN | 55379 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 25 - ST LOUIS PARK CLINIC | ||||
| 3800 PARK NICOLLET BLVD | ST LOUIS PARK | MN | 55416 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 26 - ST LOUIS PARK CLINIC | ||||
| 3850 PARK NICOLLET BLVD | ST LOUIS PARK | MN | 55416 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 27 - WAYZATA MEDICAL BUILDING | ||||
| 250 CENTRAL AVE N | WAYZATA | MN | 55391 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL |
| 28 - ROGERS CLINIC | ||||
| 13688 ROGERS DRIVE | ROGERS | MN | 55374 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES |
| 29 - CHAMPLIN CLINIC | ||||
| 12142 BUSINESS PARK BLVD N | CHAMPLIN | MN | 55316 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES |
| 30 - BURNSVILLE PEDIATRIC REHAB SERVICES | ||||
| RIDGEPOINT MEDICAL BUILDING | BURNSVILLE | MN | 55337 | PEDIATRIC REHAB SERVICES |
| 31 - BURNSVILLE BEHAVIORAL HEALTH | ||||
| 675 NICOLLET BLVD E | BURNSVILLE | MN | 55337 | BEHAVIORAL HEALTH SERVICES |
| 32 - MELROSE CENTER ST PAUL | ||||
| 2550 UNIVERSITY AVE W | ST PAUL | MN | 55114 | EATING DISORDER CLINIC/GENERAL MEDICAL |
| 33 - MELROSE CENTER MAPLE GROVE | ||||
| 9600 UPLAND LANE N SUITE 110 | MAPLE GROVE | MN | 55369 | EATING DISORDER CLINIC/GENERAL MEDICAL |
| 34 - MAPLE GROVE REGIONAL SPECIALITY CENTER | ||||
| 9555 UPLAND LANE N | MAPLE GROVE | MN | 55369 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES |
| 35 - AIRPORT PROFESSIONAL BUILDING | ||||
| 7550 34TH AVE SOUTH | MINNEAPOLIS | MN | 55450 | NURSE CALL CENTER, AND DERMATOLOGY |
| 36 - BURNSVILLE RIDGES SPECIALITY CENTER | ||||
| 14101 FAIRVIEW DRIVE STE 420 | BURNSVILLE | MN | 55337 | OB SERVICES |
| 37 - SHAKOPEE RETAIL CENTER | ||||
| 1455 ST FRANCIS AVE | SHAKOPEE | MN | 55379 | MEDICAL RETAIL |
| 38 - BURNSVILLE REHAB | ||||
| 14451 GRAND AVE S | BURNSVILLE | MN | 55306 | REHABILIATION SERVICES |
| 39 - 5400 SPECIALITY BUILDING | ||||
| 5400 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55416 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES |
| 40 - BURNSVILLE MELROSE | ||||
| 675 NICOLLET BLVD E | BURNSVILLE | MN | 55337 | EATING DISORDER CLINIC |
| 41 - BURNSVILLE SPECIALITY & SURGERY CENTER | ||||
| 14000 FAIRVIEW DRIVE | BURNSVILLE | MN | 55337 | PHYSICIAN OFFICES, ANCILLARY MEDICAL SERVICES |
| 42 - MELROSE CENTER WOODBURY | ||||
| 8425 SEASONS PKWY STE 105 | WOODBURY | MN | 55125 | EATING DISORDER CLINIC |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ACCORDANCE WITH OUR AGREEMENT WITH THE MN ATTORNEY GENERAL, UNINSURED PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS LESS THAN $125,000 ARE ELIGIBLE FOR A DISCOUNT ON THEIR CHARGES. THE DISCOUNT IS ESTABLISHED AT THE AVERAGE CONTRACTUAL DISCOUNT FOR PARK NICOLLET HEALTH SERVICE'S LARGEST CONTRACT PAYER. THIS DISCOUNT FOR 2021 WAS 40.2% OF GROSS CHARGES. PATIENTS WHOSE RECEIVE THIS DISCOUNT ARE ALSO ELIGIBLE FOR OUR FAP PROGRAM BASED ON FPL. |
| PART I, LINE 7: | PARK NICOLLET METHODIST HOSPITAL USES THE COST-TO-CHARGE RATIO METHOD WHEN CALCULATING THE AMOUNTS REPORTED ON PART I. LINE 7. THE COST-TO-CHARGE RATIO WAS DERIVED USING WORKSHEET 2, RATIO OF PATIENT CARE-COST-TO-CHARGE, FROM THE SCHEDULE H INSTRUCTIONS. |
| PART III, LINE 2: | BAD DEBT IS ACCOUNTED FOR ON THE FINANCIAL STATEMENTS BY ESTIMATING PATIENT LIABILITY NET OF ANY CHARITY CARE AND THEN CALCULATING WHAT PORTION OF THAT WILL NOT BE COLLECTED BASED HISTORICAL UNCOLLECTABLE RATES. WHEN A PATIENT MEETS OUR FINANCIAL REQUIREMENTS IT IS CLASSIFIED AS CHARITY CARE; IF THEY DO NOT QUALIFY, THEIR SERVICES WILL BE WRITTEN OFF AS BAD DEBT. PARK NICOLLET METHODIST HOSPITAL DOES NOT INCLUDE ANY CHARITY CARE IN THEIR BAD DEBT EXPENSE CALCULATION. |
| PART III, LINE 3: | PARK NICOLLET METHODIST HOSPITAL AND ITS AFFILIATES WORK WITH THOSE QUALIFYING FOR CHARITY CARE ALONG EVERY STEP OF THE PROCESS, INCLUDING ACCEPTING APPLICATIONS FOR FINANCIAL ASSISTANCE AFTER PREVIOUS ATTEMPTS TO WORK WITH THE PATIENT FAIL. EVERY EFFORT IS MADE TO WORK WITH THE PATIENT TO PROVIDE FINANCIAL ASSISTANCE WHEN APPROPRIATE. WHILE THERE ARE PEOPLE WHO DO NOT COOPERATE WITH THE HOSPITAL REGARDING PAYMENT PLANS, FINANCIAL ASSISTANCE OR WITH THOSE TRYING TO HELP THEM GET ON GOVERNMENT PROGRAMS, IT IS IMPOSSIBLE TO KNOW THEIR REASON FOR NOT COOPERATING AND THEREFORE KNOW WHETHER THEY MAY HAVE QUALIFIED FOR CHARITY CARE. PARK NICOLLET DOESN'T HAVE PREDICTIVE SOFTWARE WHICH WOULD MAKE ASSUMPTIONS BASED ON HOUSING SITUATION, CREDIT REPORTS, ETC. AND RECOMMEND ASSISTANCE WITHOUT A PROCESS FOR GATHERING INCOME VERIFICATION. IN LIGHT OF THE FOREGOING FACTS, PARK NICOLLET IS UNABLE TO REASONABLY DETERMINE WHETHER ANY AMOUNT OF BAD DEBT COULD HAVE BEEN CLASSIFIED AS CHARITY CARE. |
| PART III, LINE 4: | PARK NICOLLET METHODIST HOSPITAL'S AUDITED FINANCIAL STATEMENTS INCLUDE A FOOTNOTE DISCUSSING BAD DEBT EXPENSE, AND ALLOWANCE OF DOUBTFUL ACCOUNTS. THE FOOTNOTE IS LOCATED ON PAGE 24 OF THE ATTACHED AUDIT REPORT. |
| PART III, LINE 8: | PARK NICOLLET HEALTH SERVICES BELIEVES THAT THE LOSS WE INCUR WHILE PROVIDING CARE TO MEDICARE BENEFICIARIES SHOULD BE CLASSIFIED AS A COMMUNITY BENEFIT. IF THESE SERVICES WERE NOT PROVIDED BY US THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT. THE MEDICARE LOSS CLAIMED ON PART III, LINE 8 ONLY INCLUDES ALLOWABLE HOSPITAL COSTS THAT ARE DEFINED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AND DO NOT INCLUDE ALL OF THE COSTS THAT ARE INCURRED WHILE PROVIDING SERVICES. PARK NICOLLET CLINIC ALSO PROVIDES SERVICES TO MEDICARE BENEFICIARIES BUT THERE IS NO PLACE TO REPORT A MEDICARE LOSS FOR A FREE STANDING CLINIC ON THE FORM SET. IF ALL SYSTEM WIDE COSTS WERE INCLUDED IN THE CALCULATION ALONG WITH OUR MEDICARE ADVANTAGE PRODUCTS OUR MEDICARE LOSS WOULD BE $146.0 MILLION FOR ALL OF PARK NICOLLET HEALTH SERVICES SYSTEM WIDE. |
| PART III, LINE 9B: | THE COLLECTION POLICY INCORPORATES THE REQUIREMENTS AS STATED BY THE MINNESOTA ATTORNEY GENERAL AND VIEWS ACCOUNT RESOLUTION THROUGH THE PARK NICOLLET FINANCIAL ASSISTANCE PROGRAM AS AN OPTION FOR ACCOUNT RESOLUTION. THIS OPTION IS SHARED WITH PATIENTS VIA STATEMENTS, LETTERS AND AS PART OF COLLECTION CALLS TO AND FROM PATIENTS FROM PARK NICOLLET AND COLLECTION AGENCIES. PARK NICOLLET'S FINANCIAL ASSISTANCE PROGRAM IS ALSO DESCRIBED IN PAMPHLETS AND ON OUR WEBSITE. THE WEBSITE INCLUDES OUR FINANCIAL ASSISTANCE POLICY. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, COLLECTION EFFORTS CEASE AND CHARGES ARE CLEARED FROM THEIR ACCOUNT. |
| PART VI, LINE 2: | IN 2021, HEALTHPARTNERS, PARK NICOLLET HEALTH SERVICES, AND METHODIST HOSPITAL CONTRACTED WITH THE CENTER FOR EVALUATION AND SURVEY RESEARCH (CESR), PART OF HEALTHPARTNERS INSTITUTE, TO COMPLETE THE 2021 CHNA. THE CHNA IS COMPRISED OF MULTIPLE DATA SOURCES, MANY EXISTING FOR OTHER PRIMARY PURPOSES, WHILE OTHERS WERE COLLECTED SPECIFICALLY FOR THIS PURPOSE. TYPES OF DATA WE GATHERED INCLUDE HEALTHPARTNERS AND PARK NICOLLET HEALTH SERVICES ADMINISTRATIVE DATA, PATIENT AND MEMBER-REPORTED DATA COLLECTED PRIMARILY FOR EVALUATION OF HEALTHPARTNERS AND PARK NICOLLET HEALTH SERVICES COMMUNITY INITIATIVES OR OPERATIONAL PURPOSES, AND PUBLICLY AVAILABLE DATA DESCRIBING BOTH DEMOGRAPHIC CHARACTERISTICS AND HEALTH AND WELL-BEING OUTCOMES. THIS DATA IS COMPLEMENTED WITH RICH QUALITATIVE DATA COLLECTED THROUGH COMMUNITY CONVERSATIONS WITH HOSPITAL STAKEHOLDERS AND COMMUNITY MEMBERS AS WELL AS A SURVEY OF HEALTHPARTNERS AND PARK NICOLLET PROVIDERS.FINAL PRIORITIZED NEEDS- MENTAL HEALTH AND WELLBEING- ACCESS TO HEALTH- ACCESS TO CARE- NUTRITION AND PHYSICAL ACTIVITY- SUBSTANCE ABUSEA FULL REPORT OF PARK NICOLLET METHODIST'S CHNA AND IMPLEMENTATION PLAN IS POSTED ON HEALTHPARTNERS' WEBPAGE AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/METHODIST/ABOUT/COMMUNITY/IN ADDITION TO CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS, PARK NICOLLET HAS SEVERAL MEANS OF ASSESSING THE HEALTH CARE NEEDS OF THE POPULATION WE SERVE:CONVENING/PARTICIPATING IN ONGOING COMMUNITY COLLABORATIVE FOCUSED ON IDENTIFYING AND ADDRESSING COMMUNITY HEALTH CONCERNS. THESE COLLABORATIVES INCLUDE:-INDIAN HEALTH BOARD-MAKE IT OK STEERING COMMITTEE-NORTHWEST HENNEPIN FAMILY SERVICE COLLABORATIVE-PARK NICOLLET FOUNDATION BOARD OF DIRECTORS-PARK NICOLLET GENDER CLINIC-RICHFIELD HEALTH RESOURCE CENTER ADVISORY COUNCIL-ST LOUIS PARK CENTRAL CLINIC ADVISORY COUNCIL-YMCA OF THE NORTH, RIDGEDALE BRANCH SENIORSPARK NICOLLET FOUNDATION ANNUALLY SOLICITS GRANT APPLICATIONS FROM COMMUNITY NON-PROFITS. A KEY COMPONENT OF THE APPLICATION PROCESS ASKS APPLICANTS TO IDENTIFY AND QUANTIFY THE HEALTH CARE-RELATED NEEDS THEY ARE SEEKING TO ADDRESS. REVIEW OF THESE APPLICATIONS YEAR-OVER-YEAR PROVIDES A GOOD PICTURE OF COMMUNITY NEEDS AND HOW THEY EVOLVE OVER TIME. |
| PART VI, LINE 3: | WE INFORM OUR PATIENTS IN MULTIPLE WAYS ABOUT OUR FA PROGRAM AND OTHER FINANCIAL ASSISTANCE OPTIONS FOR SERVICES RECEIVED AT PNHS. A LIST OF COMMUNICATIONS FOR PATIENTS RELATING TO FINANCIAL ASSISTANCE FOLLOWS: PATIENTS AT THE HOSPITAL ARE OFFERED OUR FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY AT THE TIME OF CHECK-IN.HOSPITAL BOOKLETS OR INFORMATION PACKETS GIVEN TO EMERGENCY CENTER PATIENTS AND INPATIENTS.WEB SITE HAS FA INFORMATION FOUND UNDER PATIENT ACCOUNTS AND BILLING. OUR FINANCIAL ASSISTANCE APPLICATION OUR FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY (PLS) OUR FINANCIAL ASSISTANCE POLICYALL BALANCE FORWARD STATEMENTS, WITH A BALANCE OF $200 OR GREATER AND NOT ALREADY ON A PAYMENT PLAN, INCLUDE AN FA APPLICATION AND INSTRUCTION TO COMPLETE THE APPLICATION ALONG WITH ANSWERS TO FREQUENTLY ASKED QUESTIONS ABOUT THE FA PROGRAM.IN ADDITION TO THE WRITTEN MATERIAL, CUSTOMER SERVICE, COLLECTIONS, FINANCIAL COUNSELORS AND ACCOUNT SPECIALISTS INFORM PATIENTS ABOUT ASSISTANCE OPTIONS, INCLUDING GOVERNMENT PROGRAMS AND FA. MOST CUSTOMER SERVICE AND COLLECTION WORK IS DONE OVER THE PHONE, THOUGH MANY OF OUR CLINICS AND THE HOSPITAL HAVE STAFF ON SITE TO ASSIST IN APPLYING FOR FA AND GOVERNMENT PROGRAMS. OUR THIRD PARTY COLLECTION AGENCIES ARE ALSO TRAINED TO INFORM PATIENTS ABOUT OUR FINANCIAL ASSISTANCE PROGRAM. WE ALSO CONTRACT WITH OUTSIDE SERVICES TO ASSIST PATIENTS IN THE GOVERNMENT PROGRAM APPLICATION PROCESS IN MORE COMPLICATED CIRCUMSTANCES. |
| PART VI, LINE 4: | HEALTHPARTNERS IS THE LARGEST CONSUMER GOVERNED NONPROFIT HEALTH CARE ORGANIZATION IN THE NATION, SERVING MORE THAN 1.2 MILLION PATIENTS AND 1.8 MILLION MEDICAL AND DENTAL HEALTH PLAN MEMBERS. OUR MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. AT HEALTHPARTNERS AND PARK NICOLLET HEALTH SERVICES, OUR VALUES ARE EXCELLENCE, COMPASSION, PARTNERSHIP, AND INTEGRITY. OUR PARTNERS FOR BETTER HEALTH (PBH) GOALS ARE A SET OF GOALS TO IMPROVE HEALTH, DELIVER A GREAT PATIENT EXPERIENCE, AND MAKE HEALTH CARE MORE AFFORDABLE. OUR HOSPITAL CHNAS AND THE PBH GOALS ARE SYNERGISTIC AND WORK IN PARALLEL TOWARD OUR VISION OF: HEALTH AS IT COULD BE, AFFORDABILITY AS IT MUST BE, THROUGH RELATIONSHIPS BUILT ON TRUST.METHODIST HOSPITAL AND PARK NICOLLET HEALTH SERVICES ARE PART OF HEALTHPARTNERS, THE LARGEST CONSUMER-GOVERNED, NON-PROFIT HEALTH CARE ORGANIZATION IN THE NATION WITH A MISSION TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH MEMBERS, PATIENTS AND THE COMMUNITY. METHODIST HOSPITAL IS RENOWNED FOR HIGH-QUALITY PATIENT CARE, MEDICAL EXPERTISE AND DISEASE MANAGEMENT. IT IS RECOGNIZED AS AN AREA LEADER IN CANCER, CARDIOVASCULAR AND MATERNITY CARE AND NEURO-REHABILITATION MEDICINE, WITH EXPERTS WHO ARE HIGHLY TRAINED TO PROVIDE PATIENTS WITH PERSONALIZED CARE AND TREATMENT.METHODIST HOSPITAL IS LOCATED IN THE CITY OF ST. LOUIS PARK IN HENNEPIN COUNTY, MINNESOTA. FOR THE PURPOSES OF THE CHNA REPORT, THE "COMMUNITY SERVED" BY METHODIST HOSPITAL IS PEOPLE LIVING IN HENNEPIN COUNTY AND INCLUDES MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.ACCORDING TO 2019 AMERICAN COMMUNITY SURVEY DATA, HENNEPIN COUNTY HAD 1,265,843 RESIDENTS, 50.5% OF WHOM WERE FEMALE. - THE MEDIAN AGE IN THIS COUNTY WAS 36.8 +/-0.2 IN 2019, WITH 14.5% OF THE POPULATION 65 YEARS OR OLDER. THREE-QUARTERS (75.4%) IDENTIFIED AS WHITE, WITH 15.1% IDENTIFYING AS BLACK OR AFRICAN AMERICAN, 8.4% ASIAN, 1.6% AMERICAN INDIAN OR ALASKA NATIVE, 0.2% NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, AND 3.4% SOME OTHER RACE. - 6.9% IDENTIFIED AS HISPANIC OR LATINO. THERE WERE 248,962 HEALTHPARTNERS AND PARK NICOLLET PATIENTS (AGE 18 AND OLDER WHO HAD AN IN-PERSON OR TELEMEDICINE VISIT WITH A HEALTHPARTNERS OR PARK NICOLLET PROVIDER IN 2020) WHO LIVED IN HENNEPIN COUNTY IN 2020. - OF THESE, 91% WERE OVER 25 YEARS OLD AND SLIGHTLY OVER HALF (58%) WERE FEMALE. - THREE QUARTERS WERE WHITE, WITH 11% IDENTIFYING AS BLACK OR AFRICAN AMERICAN, 5% ASIAN, LESS THAN 1% AMERICAN INDIAN OR ALASKA NATIVE, LESS THAN 1% NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER, AND 1% SOME OTHER RACE. - 3% REPORTED A HISPANIC OR LATINO ETHNICITY. - OVER 95% SPOKE ENGLISH, WITH THE SECOND MOST COMMON LANGUAGE BEING SOMALI AT 1%. - THE PATIENTS SERVED BY HEALTHPARTNERS AND PARK NICOLLET IN HENNEPIN COUNTY MOSTLY HAD COMMERCIAL INSURANCE (63%), WITH 22% HAVING MEDICARE AND 13% HAVING MEDICAID. |
| PART VI, LINE 5: | PARK NICOLLET HEALTH SERVICES FURTHERS ITS EXEMPT PURPOSES IN MULTIPLE WAYS THROUGH METHODIST HOSPITAL, PARK NICOLLET CLINIC, SPECIALTY PROGRAMS AND ITS COMMITMENT TO RESEARCH AND EDUCATION. PARK NICOLLET STRIVES TO MEET ITS COMMITMENT TO THE TRIPLE AIM OF PROVIDING HIGH QUALITY HEALTH CARE AT AN AFFORDABLE COST TO THE COMMUNITY BY ENHANCING THE PATIENT EXPERIENCE.PARK NICOLLET'S COMMITMENT TO THE PATIENT AND FAMILY EXPERIENCE IS ARTICULATED THROUGH A FOCUS ON HEAD + HEART, TOGETHER (HHT). "HEAD" REFERS TO OUR WORK AROUND EVIDENCE-BASED MEDICINE, OUR ATTENTION TO CLINICAL OUTCOMES, THE WAY WE WILL USE DATA TO MAKE DECISIONS ABOUT THE BEST CARE PROTOCOL TO FOLLOW, AND THE BUSINESS OF RUNNING A LARGE HEALTH CARE SYSTEM."HEART" IS ALL ABOUT PROVIDING COMPASSIONATE CARE IN THE MOMENT AND KEEPING OUR PATIENTS AT THE CENTER OF EVERYTHING WE DO AND EVERY DECISION WE MAKE. WHEN WE WORK ACROSS BOUNDARIES WITH OUR PATIENTS AND FAMILIES, WE WON'T DO THINGS "TO OR "FOR" PATIENTS - WE WILL DO THINGS WITH PATIENTS AND THEIR FAMILIES."TOGETHER" MEANS DOING BOTH HEAD- AND HEART-CENTERED ACTIVITIES IN COMBINATION. IT ALSO MEANS WORKING AS A TEAM ACROSS DEPARTMENTS AND SPECIALTIES, ALL OF US UNITED AROUND CARING TOGETHER WITH OUR PATIENTS AND THEIR FAMILIES IN THE COMMUNITIES WE SERVE.PARK NICOLLET HEALTH SERVICES FURTHERS ITS EXEMPT PURPOSE THROUGH ITS 426-BED METHODIST HOSPITAL IN ST. LOUIS PARK, 25 CLINIC LOCATIONS IN ITS 96-ZIP CODE SERVICE AREA, 55 MEDICAL SPECIALTIES AND SUBSPECIALTIES, AND 12 SPECIALTY CENTERS. PARK NICOLLET FOUNDATION SERVES AS THE CONVENER OF THE COMMUNITIES WE SERVE, INVOLVING ADMINISTRATIVE AND MEDICAL STAFF IN ITS INTEGRATED SYSTEM, TO ASSESS COMMUNITY NEED AND FACILITATE A BROAD ARRAY OF CLINICAL AND SPECIALTY SERVICES AND THE ADMINISTRATIVE SUPPORT TO MEET UNMET NEEDS IN THE COMMUNITY. PARK NICOLLET FOUNDATION ALSO PROVIDES FINANCIAL ASSISTANCE TO COMMUNITY ORGANIZATIONS AND SERVICES THAT ARE CONSISTENT WITH NEEDS IDENTIFIED IN THE CHNA AS PRIORITIZED BY ITS BOARD OF DIRECTORS. PARK NICOLLET FOUNDATION'S BOARD OF DIRECTORS IS A COMMUNITY BOARD AND PROVIDES ACTIVE PARTICIPATION IN THE NONPROFIT MISSION OF THE ORGANIZATION.PARK NICOLLET'S INTEGRATED SYSTEM PROVIDES COMMUNITY BENEFIT TO UNDERSERVED POPULATIONS THROUGH CONVENING OF COMMUNITIES, EDUCATION AND SUPPORT OF PATIENTS AND COMMUNITY MEMBERS DIAGNOSED WITH CHRONIC DISEASE, AND RESEARCH TO IMPROVE QUALITY OF LIFE. HEALTH PROFESSIONALS WITHIN THE INTEGRATED SYSTEM ASSIST PATIENTS IN THE COMMUNITY, THE STATE, THE NATION, AND AROUND THE WORLD WHO NEED SPECIALIZED PROGRAMS AND SERVICES FOR VARIOUS CONDITIONS.PARK NICOLLET ALSO IS A RECOGNIZED LEADER IN PROCESS IMPROVEMENTS TO COORDINATE PATIENT CARE AND PROVIDE PATIENTS WITH SOCIAL SUPPORT SYSTEMS TO IMPROVE POPULATION HEALTH. THIS HAS BEEN ACCOMPLISHED THROUGH ITS INITIATIVES THROUGH THE PHYSICIAN GROUP PRACTICE DEMONSTRATION PROGRAM SPONSORED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. PARK NICOLLET ALSO PARTICIPATES IN THE NEXT GENERATION ACCOUNTABLE CARE ORGANIZATION PROGRAM THAT IS SPONSORED BY THE CENTER FOR MEDICARE AND MEDICAID INNOVATION. IN ADDITION TO INNOVATING AROUND CARE DELIVERY DESIGN AND PATIENT SUPPORT SERVICES, PARK NICOLLET PARTICIPATES IN MULTIPLE LEARNING INITIATIVES TO SHARE ITS KNOWLEDGE AND LESSONS LEARNED WITH OTHER ORGANIZATIONS ACROSS THE COMMUNITY AND THE COUNTRY. PARK NICOLLET HAS BEEN COMMITTED TO THESE EFFORTS IN SUPPORT OF ITS COMMITMENT TO THE TRIPLE AIM OF IMPROVING HEALTH, PATIENT EXPERIENCE AND AFFORDABILITY BY PROVIDING COMMUNITIES WITH SUPPORT SYSTEMS ASSISTING PATIENTS AND FAMILIES TO IMPROVE THEIR HEALTH.GRANTS AND COMMUNITY SUPPORT - IN 2021, PARK NICOLLET FOUNDATION GRANTED $4.3 MILLION TO PARK NICOLLET DEPARTMENTS AND COMMUNITY 501(C)(3) ORGANIZATIONS TO FUND OUTREACH SERVICES AND SUPPORT PROGRAMS ADDRESSING OUR KEY PRIORITIES FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. PARK NICOLLET SUPPORTS SCHOOL-BASED HEALTH CENTERS. IN 2021, WE OFFERED NO-CHARGE HEALTH CARE TO CHILDREN FROM INFANCY THROUGH HIGH SCHOOL GRADUATION AT OUR SCHOOL-BASED HEALTH CENTERS IN BROOKLYN CENTER, BURNSVILLE, RICHFIELD, AND ST. LOUIS PARK. NO-CHARGE AND LOW-COST DENTAL AND MENTAL HEALTH CARE IS AVAILABLE BY APPOINTMENT. PARTICIPATING FAMILIES INCLUDE THOSE WHO ARE UNABLE TO AFFORD HEALTH CARE, ARE NEW TO THE AREA OR HAVE SENSITIVE HEALTH CARE NEEDS. WALK-IN VISITORS ARE WELCOME AT ALL LOCATIONS. ALL HEALTH CENTERS ARE OPERATED IN PARTNERSHIP WITH LOCAL SCHOOL DISTRICTS AND FUNDED BY PARK NICOLLET FOUNDATION.PARK NICOLLET HEALTH SERVICES MUSIC THERAPY AND SPIRITUAL CARE - SPONSORED MUSIC THERAPY AND SPIRITUAL CARE SESSIONS IN METHODIST HOSPITAL AND ACROSS PARK NICOLLET TO HELP RELIEVE PATIENTS' PAIN, ANXIETY AND SYMPTOMS.PARK NICOLLET METHODIST HOSPITAL HOSPICE HENRY B. MELROSE VETERANS HONOR PROGRAM - PROVIDED THE SPECIALIZED CARE, SERVICES AND SPECIAL NEEDS ITEMS TO VETERANS AT END OF LIFE AND EXPRESSED GRATITUDE FOR THEIR SERVICE TO OUR COUNTRY.STRUTHERS PARKINSON'S CENTER SUPPORT FOR PATIENTS AND CAREGIVERS - SUPPORTED THE ACTIVITIES OF CLUB CREATE, THROUGH BOTH IN-PERSON AND VIRTUAL ACTIVITIES. OUR VIRTUAL SESSIONS WERE HELD WEEKLY FOR 90 MINUTES AND INCLUDED MUSIC, DISCUSSION, REHAB AND EXERCISE.FRAUENSHUH CANCER CENTER NURSE NAVIGATOR PROGRAM - SUPPORTED AN EXPANSION OF THE NURSE NAVIGATOR PROGRAM. THE ADDITION OF A COLORECTAL CANCER CARE NAVIGATOR WILL PROVIDE PERSONALIZED ONE-TO-ONE CARE COORDINATION, APPOINTMENT SCHEDULING, SUPPORT AND INFORMATION TO HELP PATIENTS MAKE THE BEST DECISIONS ABOUT THEIR MEDICAL OPTIONS.PARK NICOLLET CLINICS AND METHODIST HOSPITAL PATIENT SPECIAL NEEDS PROGRAM - PROVIDED PATIENTS AND FAMILIES IN NEED WITH PERSONAL CARE ITEMS, CAFETERIA MEAL VOUCHERS, TRANSPORTATION VOUCHERS TO GET TO MEDICAL APPOINTMENTS OR OTHER CARE SETTINGS, PRESCRIPTIONS, MEDICAL EQUIPMENT NOT COVERED BY INSURANCE, AND MUCH MORE.THE FOLLOWING ARE EXAMPLES OF SPECIFIC ACTIVITIES THAT ARE SUPPORTED BY THE PARK NICOLLET FOUNDATION AND PARK NICOLLET HEALTH SERVICES AND DEMONSTRATE THE ORGANIZATION'S COMMITMENT TO THE COMMUNITY AND MEETING UNMET COMMUNITY NEEDS.INNOVATION AND RESEARCH - RESEARCH IS EMBEDDED IN DEPARTMENTS AND STRATEGIES ACROSS PARK NICOLLET TO SUPPORT QUALITY INITIATIVES AND THE PATIENT EXPERIENCE. RESEARCH ENCOMPASSES INVESTIGATOR-INITIATED STUDIES, CLINICAL TRIALS, PRACTICE-BASED RESEARCH, OUTCOMES AND QUALITY IMPROVEMENT PROJECTS, DATA ANALYTICS, STATISTICS, SURVEY DEVELOPMENT AND FOCUS GROUPS.VOLUNTEER SERVICES AS A PART OF THE FOUNDATION, PARK NICOLLET VOLUNTEER SERVICES SUPPORTS AND MANAGES VOLUNTEERS TO ENHANCE PATIENT CARE ACROSS ALL OF PARK NICOLLET HEALTH SERVICES. MORE THAN 300 VOLUNTEERS PROVIDED 47,328 HOURS OF SERVICE. COMMUNITY PARTNERSHIP PARK NICOLLET FOUNDATION PARTNERS WITH PARK NICOLLET HEALTH SERVICES, 15 SCHOOL DISTRICTS, 97 PUBLIC SCHOOLS AND AREA NONPROFITS TO ADDRESS UNMET HEALTH NEEDS AND IMPROVE ACCESS TO CARE. PATIENT AND FAMILY EXPERIENCE PARK NICOLLET FOUNDATION BRINGS ENHANCED CARE TO PARK NICOLLET CLINICS, SPECIALTY CENTERS AND METHODIST HOSPITAL BY PARTNERING TO GIVE PEOPLE THE SAFE AND CARING ENVIRONMENT THEY NEED TO HEAL, THROUGH THE FOLLOWING PROGRAMS:- GROWING THROUGH GRIEF A SCHOOL-SUPPORT PROGRAM FOR CHILDREN AND TEENS WHO HAVE EXPERIENCED THE DEATH OF A FAMILY MEMBER OR FRIEND.- MAMMO A-GO-GO COMMUNITY OUTREACH PROGRAM PROVIDES NO-FEE BREAST CANCER SCREENING, DIAGNOSTIC SERVICES AND EDUCATION TO WOMEN IN NEED ACROSS OUR COMMUNITY.- SCHOOL-BASED HEALTH RESOURCE CENTERS PROVIDING NO-FEE SCHOOL-BASED MEDICAL CARE TO CHILDREN AND YOUTH FROM BIRTH THROUGH HIGH SCHOOL GRADUATION AT FOUR CENTER LOCATIONS.- NOW!(NO OBSTACLES TO WELL-BEING) SCHOOL-BASED TELEMENTAL HEALTH PROVIDED NO-FEE MENTAL HEALTH SERVICES, VIA SECURE VIDEO, IN THREE SCHOOL DISTRICTS: BURNSVILLE, RICHFIELD AND ST. LOUIS PARK. SUPPORT IS PROVIDED TO STUDENTS STRUGGLING WITH ANXIETY, DEPRESSION, COMPLEX GRIEF, FAMILY DYSFUNCTION, TRAUMA AND MORE. |
| PART VI, LINE 6: | PARK NICOLLET METHODIST HOSPITAL IS PART OF PARK NICOLLET HEALTH SERVICES, AN INTEGRATED HEALTH SYSTEM. OTHER AFFILIATES INCLUDE 1) PARK NICOLLET CLINIC IN MORE THAN 30 CLINICS, AND OTHER CARE LOCATIONS, 2) PARK NICOLLET FOUNDATION, THE PHILANTHROPIC ARM OF PARK NICOLLET HEALTH SERVICES, HELPING TO BRING RESOURCES TO NEEDS IN ITS COMMUNITIES, 3) PARK NICOLLET HEALTH CARE PRODUCTS, PROVIDING RETAIL PHARMACY AND HEALTH RELATED PRODUCTS THROUGH EXISTING PARK NICOLLET LOCATIONS, 4) TRIA ORTHOPAEDIC CENTER, LLC, A LEADER IN ORTHOPAEDIC TREATMENT, PROVIDING COMPREHENSIVE CARE FROM DIAGNOSIS, TO TREATMENT, TO REHABILITATION.THE SAME GROUP OF PEOPLE SERVE AS THE DIRECTORS FOR THE BOARD OF EACH OF THE AFFILIATES, EXCEPT THAT PARK NICOLLET FOUNDATION IS GOVERNED BY A DIFFERENT GROUP OF PEOPLE. EACH AFFILIATE FOCUSES ON MEETING COMMUNITY HEALTH NEEDS AND DECISIONS REGARDING THE EFFECTIVE USE OF RESOURCES TO RESPOND TO THESE NEEDS ARE COORDINATED. A SPECIFIC EXAMPLE OF THIS COORDINATION OF SERVICES TO RESPOND TO COMMUNITY NEED IS WITH THE FOUR SCHOOL-AFFILIATED COMMUNITY CLINICS. INITIAL DEVELOPMENT, FUNDING AND ONGOING FACILITATION IS PROVIDED BY PARK NICOLLET FOUNDATION, STAFFING THROUGH PARK NICOLLET CLINIC, LABORATORY AND OTHER DIAGNOSTIC SERVICES THROUGH PARK NICOLLET METHODIST HOSPITAL, AND OUTPATIENT MEDICATIONS, EYE GLASSES AND DME SUPPLIES THROUGH PARK NICOLLET HEALTH CARE PRODUCTS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MN |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (34 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANDREA M WALSH | ||||||||||||||
| DIRECTOR & CEO | $0 | $1,424,680 | $0 | $0 | $0 | $179,590 | $0 | $400,781 | $0 | $55,989 | $0 | $2,061,040 | $0 | $176,525 |
| BRIAN L WALTERS MN | ||||||||||||||
| MEDICAL DOCTOR | $1,608,854 | $0 | $0 | $0 | $60,145 | $0 | $26,504 | $0 | $35,789 | $0 | $1,731,292 | $0 | $0 | $0 |
| BRIAN H RANK MD | ||||||||||||||
| DIRECTOR & MEDICAL DIRECTO | $0 | $613,808 | $0 | $135,000 | $0 | $354,469 | $0 | $247,121 | $0 | $48,175 | $0 | $1,398,573 | $0 | $252,464 |
| GREGERY R HILDEBRAND MD | ||||||||||||||
| MEDICAL DOCTOR | $1,256,007 | $0 | $0 | $0 | $28,020 | $0 | $26,504 | $0 | $31,119 | $0 | $1,341,650 | $0 | $0 | $0 |
| ROBERT W WERLING MD | ||||||||||||||
| MEDICAL DOCTOR | $1,234,648 | $0 | $0 | $0 | $4,837 | $0 | $26,504 | $0 | $53,865 | $0 | $1,319,854 | $0 | $0 | $0 |
| NANCY A MCCLURE | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $660,424 | $0 | $163,000 | $0 | $189,315 | $0 | $253,455 | $0 | $47,988 | $0 | $1,314,182 | $0 | $143,682 |
| KENNETH D OLSEN MD | ||||||||||||||
| MEDICAL DOCTOR | $1,118,002 | $0 | $0 | $0 | $67,345 | $0 | $26,504 | $0 | $58,346 | $0 | $1,270,197 | $0 | $0 | $0 |
| CHRISTINE M PUI MD | ||||||||||||||
| MEDICAL DOCTOR | $1,175,299 | $0 | $0 | $0 | $23,119 | $0 | $26,504 | $0 | $28,965 | $0 | $1,253,887 | $0 | $0 | $0 |
| STEVEN M CONNELLY MD | ||||||||||||||
| PRESIDENT PNHS | $0 | $639,160 | $0 | $127,000 | $0 | $118,149 | $0 | $104,548 | $0 | $56,339 | $0 | $1,045,196 | $0 | $95,797 |
| JEFF M MENDELOFF MD | ||||||||||||||
| DIRECTOR | $880,276 | $0 | $0 | $0 | $56,922 | $0 | $26,504 | $0 | $50,044 | $0 | $1,013,746 | $0 | $0 | $0 |
| THOMAS A JONES MD | ||||||||||||||
| SR. MEDICAL DIRECTOR, SURG | $0 | $589,434 | $0 | $92,000 | $0 | $237,413 | $0 | $26,504 | $0 | $47,572 | $0 | $992,923 | $0 | $75,054 |
| THOMAS M WALSH MD | ||||||||||||||
| SR. MEDICAL DIRECTOR ORTHO | $0 | $786,733 | $0 | $99,000 | $0 | $14,515 | $0 | $26,504 | $0 | $59,350 | $0 | $986,102 | $0 | $0 |
| MARK R SANNESMD | ||||||||||||||
| SR MEDICAL DIRECTOR | $0 | $475,047 | $0 | $63,000 | $0 | $141,335 | $0 | $73,208 | $0 | $53,367 | $0 | $805,957 | $0 | $54,122 |
| NANCY L EVERT | ||||||||||||||
| SR VP GENERAL COUNSEL | $0 | $485,640 | $0 | $96,000 | $0 | $19,339 | $0 | $144,276 | $0 | $27,303 | $0 | $772,558 | $0 | $15,979 |
| HEIDI G CONRAD | ||||||||||||||
| CFO CARE DELIVERY (SEPT-DEC) | $0 | $439,029 | $0 | $84,000 | $0 | $50,617 | $0 | $147,024 | $0 | $41,460 | $0 | $762,130 | $0 | $40,351 |
| JENNIFER L MYSTER | ||||||||||||||
| PN METHODIST PRESIDENT | $0 | $442,739 | $0 | $68,000 | $0 | $51,963 | $0 | $72,750 | $0 | $40,886 | $0 | $676,338 | $0 | $14,058 |
| JOSHUA O ZIMMERMAN | ||||||||||||||
| SR MEDICAL DIRECTOR | $0 | $426,820 | $0 | $57,000 | $0 | $44,050 | $0 | $62,688 | $0 | $33,059 | $0 | $623,617 | $0 | $34,940 |
| JOAN SANDSTROM RN | ||||||||||||||
| VP PRIMARY CARE | $0 | $317,005 | $0 | $49,000 | $0 | $101,591 | $0 | $64,929 | $0 | $28,951 | $0 | $561,476 | $0 | $86,275 |
| KRISTI A LYON | ||||||||||||||
| VP PAYER RELATIONS | $0 | $311,403 | $0 | $49,000 | $0 | $78,610 | $0 | $64,880 | $0 | $40,832 | $0 | $544,725 | $0 | $37,612 |
| DUANE F SPIEGLE | ||||||||||||||
| VP REAL ESTATE AND SUPPORT | $0 | $295,678 | $0 | $47,000 | $0 | $72,782 | $0 | $63,404 | $0 | $36,593 | $0 | $515,457 | $0 | $47,603 |
| CATHERINE S KLUGHERZ | ||||||||||||||
| VP SPECIALTY SERVICES | $0 | $305,230 | $0 | $48,000 | $0 | $47,184 | $0 | $64,579 | $0 | $38,497 | $0 | $503,490 | $0 | $37,383 |
| CARA M HULL | ||||||||||||||
| FORMER VP HUMAN RESOURCES | $0 | $352,648 | $0 | $74,000 | $0 | $16,755 | $0 | $16,138 | $0 | $39,732 | $0 | $499,273 | $0 | $0 |
| MELISSA F SCHOENHERR | ||||||||||||||
| VP MARKETING AND COMMUNICA | $0 | $305,241 | $0 | $48,000 | $0 | $46,078 | $0 | $63,923 | $0 | $26,796 | $0 | $490,038 | $0 | $36,748 |
| LAURA A LOBERG | ||||||||||||||
| VP SURGICAL SERVICES | $0 | $303,431 | $0 | $47,000 | $0 | $43,371 | $0 | $63,595 | $0 | $31,682 | $0 | $489,079 | $0 | $36,421 |
| RAE ANN WILLIAMS MD | ||||||||||||||
| DIRECTOR | $0 | $314,132 | $0 | $13,000 | $0 | $44,021 | $0 | $72,166 | $0 | $38,943 | $0 | $482,262 | $0 | $0 |
| STEVEN C HOUSH | ||||||||||||||
| VP ORTHOPEDIC SERVICES | $0 | $346,707 | $0 | $53,000 | $0 | $11,751 | $0 | $11,260 | $0 | $39,154 | $0 | $461,872 | $0 | $0 |
| NIMA A DESAI MD | ||||||||||||||
| VP MEDICAL AFFAIRS, CMO | $0 | $374,892 | $0 | $34,000 | $0 | $3,031 | $0 | $26,504 | $0 | $18,093 | $0 | $456,520 | $0 | $0 |
| TRICIA L DEGE | ||||||||||||||
| CFO CARE DELIVERY (JAN-AUG) | $0 | $254,347 | $0 | $79,000 | $0 | $20,229 | $0 | $42,663 | $0 | $30,863 | $0 | $427,102 | $0 | $8,510 |
| JAMES P LYONS | ||||||||||||||
| HUTCHINSON PRESIDENT | $0 | $266,805 | $0 | $42,000 | $0 | $7,508 | $0 | $26,504 | $0 | $46,151 | $0 | $388,968 | $0 | $0 |
| KATE E KEIPER | ||||||||||||||
| VP HUMAN RESOURCES | $0 | $284,518 | $0 | $44,000 | $0 | $772 | $0 | $26,504 | $0 | $17,805 | $0 | $373,599 | $0 | $0 |
| NATHAN G BLAD | ||||||||||||||
| HPRC PRESIDENT | $0 | $266,565 | $0 | $27,000 | $0 | $3,912 | $0 | $26,504 | $0 | $27,300 | $0 | $351,281 | $0 | $0 |
| JASON J LUHRS | ||||||||||||||
| VP FINANCE | $0 | $227,159 | $0 | $23,000 | $0 | $5,046 | $0 | $16,797 | $0 | $36,781 | $0 | $308,783 | $0 | $0 |
| MATTHEW T WESTERLUND | ||||||||||||||
| VP QUALITY AND SAFTEY | $0 | $217,065 | $0 | $32,000 | $0 | $3,997 | $0 | $21,927 | $0 | $24,853 | $0 | $299,842 | $0 | $0 |
| KASEY L PAULUS | ||||||||||||||
| VP INPATIENT & CNO (JAN-AUG) | $0 | $137,640 | $0 | $39,000 | $0 | $1,409 | $0 | $0 | $0 | $25,317 | $0 | $203,366 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | SCHEDULE J, PART I, LINE 4B: SENIOR LEADERS OF PARK NICOLLET HEALTH SERVICES AND AFFILIATES ARE GIVEN THE OPPORTUNITY TO PARTICIPATE IN THE CAPITAL ACCUMULATION ACCOUNT PLAN. THE CAPITAL ACCUMULATION ACCOUNT PLAN (CAA PLAN) PARTICIPATION IS LIMITED TO SENIOR LEADERS AND ALL THE VICE PRESIDENTS. EACH PARTICIPANT RECEIVES AN ANNUAL ALLOWANCE EQUAL TO THE SUM OF (I) A STATED PERCENT OF SALARY, (II) VOLUNTARY SALARY DEFERRALS. THE ALLOWANCE IS CREDITED TO A BOOKKEEPING ACCOUNT. EARNINGS ARE CREDITED TO THE ACCOUNT BASED ON THE PERFORMANCE OF SIMULATED INVESTMENTS. BENEFITS VEST UPON THE EARLIEST OF REMAINING EMPLOYED TO AN ELECTIVE VESTING DATE (TWO YEARS TO AGE 68), INVOLUNTARY TERMINATION WITHOUT CAUSE, DISABILITY, DEATH, OR NOT COMPETING FOR 24 MONTHS FOLLOWING VOLUNTARY OR FOR-CAUSE TERMINATION. BENEFITS ARE PAID IN A SINGLE LUMP SUM UPON VESTING. PARTICIPANTS ARE GENERAL CREDITORS OF THE EMPLOYER FOR THE PAYMENT OF THE BENEFITS. THE FOLLOWING PARTICIPANTS RECEIVED PAYOUTS FROM A RELATED ORGANIZATION, PARK NICOLLET HEALTH SERVICES, RELATED TO CAA PLAN: NAME COMPENSATION STEVEN M. CONNELLY, MD $ 78,044 LAURA A. LOBERG $ 37,091 JOAN SANDSTROM $ 38,425 CATHERINE A. KLUGHERZ $ 38,075 JOSHUA O. ZIMMERMAN MD $ 36,184 KRISTI A. LYON $ 38,376 MELISSA F. SCHOENHERR $ 37,419 DUANE F. SPIEGLE $ 36,900 MARK R. SANNES $ 46,704 NANCY L. EVERT $ 41,170 JENNIFER L. MYSTER $ 18,190 BRIAN H. RANK $ 38,107 NANCY A. MCLURE $ 39,421 ANDREA M. WALSH $ 128,115 HEIDI G. CONRAD $ 80,759 |
| PART I, LINE 7 | PARK NICOLLET HEALTH SERVICE'S (PNHS) PRESIDENT AND ITS OFFICERS MAY RECEIVE COMPENSATION BASED ON THE PARK NICOLLET HEALTH SERVICES SENIOR EXECUTIVE INCENTIVE PROGRAM (SEIP). SEIP INCENTS AND REWARDS SENIOR BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGRAM IS A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. SEIP REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G. SENIOR VICE PRESIDENT, VICE PRESIDENT, SENIOR MEDICAL DIRECTOR) AND THE ACHIEVEMENT OF BUSINESS AND HEALTH IMPROVEMENT GOALS ESTABLISHED IN A VARIETY OF AREAS. GOALS WILL BE RELATED TO THE ORGANIZATION'S STRATEGIC PLAN AND WILL BE BALANCED. THESE AREAS MAY INCLUDE BUT ARE NOT LIMITED TO CLINIC AND HOSPITAL QUALITY MEASURES, PATIENT SAFETY, HEALTH EQUITY, HEALTH CARE AFFORDABILITY MEASURES, PATIENT AND MEMBER SATISFACTION, EMPLOYEE SATISFACTION, WORK ENVIRONMENT, HEALTH PLAN AND CARE DELIVERY MARKET SHARE, STRATEGIC CAPABILITIES, FINANCIAL PERFORMANCE (OPERATING INCOME), ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. AN OPERATING INCOME THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM AND THERE IS A CAP ON THE MAXIMUM INCENTIVE POTENTIALLY AVAILABLE TO EACH PARTICIPANT. IN THEIR ROLES AS MANAGEMENT EMPLOYED BY PNHS, CERTAIN DIRECTORS AND MANAGERS MAY RECEIVE COMPENSATION BASED ON THE PARK NICOLLET MIDDLE MANAGEMENT INCENTIVE PROGRAM (MMIP). MMIP INCENTS AND REWARDS BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. MMIP GOALS ARE SIMILAR IN NATURE TO THOSE IN THE SEIP HOWEVER THERE IS A DIFFERENCE AS MMIP GOALS INCLUDE BOTH AN ORGANIZATION FINANCIAL MEASURE AND A LOCAL DEPARTMENT FINANCIAL MEASURE. THE LOCAL MEASURE IS BASED ON FINANCIAL RESULTS OF THE DEPARTMENT OR SERVICE LINE AND IS THE ONLY MMIP GOAL THAT ALLOWS AN OPPORTUNITY FOR INCENTIVE CREDIT ABOVE THE TARGET LEVEL BASED ON THE RESULTS. AN OPERATING INCOME THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM AND ONCE MET THE ULTIMATE MMIP PAYOUT DEPENDS RESULTS OF THE BUSINESS GOAL PERFORMANCE, THE ORGANIZATION AND LOCAL FINANCIAL MEASURES AND THE PERCENTAGE PAYOUT ALLOWED BASED ON THE PARTICIPATION LEVEL. |
| FORM 990, SCHEDULE J PART II, COLUMN F: | PRIOR REPORTED COMPENSATION COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEAR'S 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTORS: STEVEN M. CONNELLY, MD $ 95,797 LAURA A. LOBERG $ 36,421 JOAN SANDSTROM $ 86,275 CATHERINE A. KLUGHERZ $ 37,383 JOSHUA O. ZIMMERMAN MD $ 34,940 KRISTI A. LYON $ 37,612 MELISSA F. SCHOENHERR $ 36,748 THOMAS A. JONES $ 75,054 MARK R. SANNES $ 54,122 DUANE F SPIEGLE $ 47,603 BRIAN H. RANK $ 252,464 NANCY A. MCLURE $ 143,682 JENNIFER L. MYSTER $ 14,058 HEIDI G. CONRAD $ 40,351 ANDREA M. WALSH $ 176,525 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALISON ECKHOFF | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | ALISON ECKHOFF, THE SPOUSE OF MARK SANNES, MD, AN OFFICER OF PARK NICOLLET | RelationshipDescriptionTxt |
| Transaction | $194,336 | TransactionAmt |
| Transaction | EMPLOYMENT | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A, EXEMPT PURPOSE AND ACHEIVEMENTS | CORPORATE STRUCTURE, PURPOSE, GOVERNANCE THE PARK NICOLLET GROUP RETURN (GROUP) INCLUDES PARK NICOLLET METHODIST HOSPITAL (METHODIST), PARK NICOLLET CLINIC (PNC), PARK NICOLLET HEALTH CARE PRODUCTS (PNHCP), AND PNMC HOLDINGS ALL OF WHICH ARE SUBSIDIARIES OF PARK NICOLLET HEALTH SERVICE (PNHS), A MINNESOTA NONPROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3). PNHS IS THE PARENT ORGANIZATION TO AN INTEGRATED CARE SYSTEM THAT INCLUDES METHODIST, PNC, PNHCP, PNMC HOLDINGS, PARK NICOLLET FOUNDATION (PNF), PARK NICOLLET ENTERPRISES (PNE), HUTCHINSON HEALTH (HH), HEALTHPARTNERS RC, D/B/A OLIVIA HOSPITAL & CLINIC, PARK NICOLLET HEALTH SERVICES ACCOUNTABLE CARE ORGANIZXATION, LLC, AND TRIA ORTHOPAEDIC CENTER, LLC (TRIA). PARK NICOLLET AND HEALTHPARTNERS MEDICAL GROUP PARTICIPATES AS A DIRECT CONTRACTING ENTITY (DCE) IN THE GLOBAL PROFESSIONAL DIRECT CONTRACTING (GPDC) MODEL. A DCE IS A GROUP OF DOCTORS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS WHO AGREE TO WORK TOGETHER TO KEEP YOU HEALTHY. ALL MEMBERS OF PARK NICOLLET HEALTH SERVICES ACCOUNTABLE CARE LLC AGREE TO WORK TOGETHER TO GIVE THEIR PATIENTS BETTER QUALITY CARE. WE TRANSITIONED FROM THE PARK NICOLLET NEXT GENERATION ACCOUNTABLE CARE ORGANIZATION (NGACO) AT THE END OF 2021. PNHS IS A NONPROFIT, INTEGRATED CARE DELIVERY SYSTEM. IT IS STAFFED BY NATIONALLY RECOGNIZED HOSPITAL AND CLINIC DOCTORS, CLINICAL PROFESSIONALS, NURSES AND OTHER TEAM MEMBERS WHO HELP PATIENTS STAY HEALTHY AND TAKE CARE OF THEM WHEN THEY ARE SICK. PNHS IS PART OF THE HEALTHPARTNERS ORGANIZATION, "HEALTHPARTNERS." FOUNDED IN 1957, HEALTHPARTNERS IS AN INTEGRATED HEALTH CARE ORGANIZATION, PROVIDING HEALTH CARE SERVICES AND HEALTH PLAN FINANCING AND ADMINISTRATION, AND IS THE LARGEST CONSUMER-GOVERNED NONPROFIT HEALTH CARE ORGANIZATION IN THE COUNTRY. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTH CARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND MAINTAINING AFFORDABILITY. HEALTHPARTNERS, INC. (HPI) IS A MINNESOTA NONPROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4) AND IS THE PARENT ENTITY OF HEALTHPARTNERS ORGANIZATIONS REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS". HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS. HEALTHPARTNERS PROVIDES A FULL RANGE OF HEALTH CARE DELIVERY AND HEALTH PLAN SERVICES INCLUDING INSURANCE, PATIENT CARE, ADMINISTRATION AND HEALTH AND WELL-BEING PROGRAMS. HEALTHPARTNERS HEALTH PLANS SERVE MORE THAN 1.8 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE. HEALTHPARTNERS MEDICAL CARE SYSTEM INCLUDES MORE THAN 1,800 EMPLOYED PHYSICIANS AND DENTISTS, EIGHT OWNED HOSPITALS WITH OVER 1,000 ACUTE CARE BEDS, OVER 129 PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN SERVING MORE THAN 1.32 MILLION PATIENTS. HEALTHPARTNERS HEALTH PLANS CONTRACT WITH OTHER PRIMARY AND SPECIALTY MEDICAL FACILITIES AND DENTAL FACILITIES, PHYSICIAN GROUPS, HOSPITALS AND RELATED HEALTHCARE PROVIDERS TO SERVE PLAN MEMBERS. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUNDRAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. HEALTHPARTNERS COLLABORATES WITH OTHER PLANS, CARE PROVIDERS AND OTHER COMMUNITY AND BUSINESS ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND SHARE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY, AND COLLABORATE IN IMPROVEMENTS THAT SUPPORT THE TRIPLE AIM. AMONG HEALTHPARTNERS' SIGNATURE INITIATIVES CONTINUING IN 2021 ARE TOTAL COST OF CARE MEASUREMENTS (A NATIONALLY RECOGNIZED METRIC, ENDORSED BY THE NATIONAL QUALITY FORUM, ENABLING MEASUREMENT AND INCENTIVES BASED ON COORDINATION AND EVIDENCE-BASED PRACTICES), MENTAL HEALTH (REDUCING STIGMA, AND ASSURING ACCESS TO HIGH QUALITY CARE IN THE MOST APPROPRIATE SETTINGS), CHILDREN'S HEALTH (IMPROVING CHILD HEALTH BY PROMOTING EARLY BRAIN DEVELOPMENT, PROVIDING FAMILY CENTERED CARE, AND STRENGTHENING COMMUNITIES), AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN HEALTHPARTNERS, AND THE RELATIONSHIP BETWEEN THEM, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. DETAILED INFORMATION ABOUT THE COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF EACH TAX-EXEMPT ORGANIZATION CAN BE FOUND IN THE INDIVIDUAL FORM 990 RETURN FOR THAT ORGANIZATION. PNHS IS ONE OF THE NATION'S LARGEST CARE SYSTEMS. WE CARE FOR PATIENTS AT MORE THAN 30 LOCATIONS IN THE TWIN CITIES. THESE INCLUDE PRIMARY AND SPECIALTY CARE CLINICS AND HOSPITALS. WITHIN PNHS ARE SEVERAL NATIONALLY-RENOWNED SPECIALTY CARE FACILITIES, INCLUDING: PARK NICOLLET BARIATRIC SURGERY & WEIGHT CENTER HAS BEEN HELPING PATIENTS ACHIEVE THEIR WEIGHT LOSS GOALS FOR MORE THAN 40 YEARS AND HAS BEEN NATIONALLY RECOGNIZED AS A COMPREHENSIVE CENTER BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP). BLUE CROSS AND BLUE SHIELD HAS GIVEN US A BLUE DISTINCTION PLUS (+) DESIGNATION FOR BARIATRIC SURGERY, RECOGNIZING US FOR OUR EXPERTISE, EFFICIENCY AND QUALITY OF CARE. WE'VE ALSO BEEN NAMED A CENTER OF EXCELLENCE BY INSURANCE PROVIDERS PREFERREDONE AND UNITED RESOURCE NETWORK, AND A PREFERRED PROVIDER BY MEDICA AND HEALTHPARTNERS. PARK NICOLLET FRAUENSHUH CANCER CENTER OFFERS A FULL RANGE OF SERVICES AND STATE-OF-THE-ART TECHNOLOGY TO FIGHT CANCER, INCLUDING SURGERY, CHEMOTHERAPY AND RADIATION THERAPY. CANCER CARE AND TREATMENT IS PERSONALIZED FOR EACH PATIENT. FAMILIES AND PATIENTS CAN BENEFIT FROM SERVICES, INCLUDING PSYCHOTHERAPY, SUPPORT AND EDUCATION, ALL IN THE PATIENT'S ROOM AND IN ONE LOCATION. PARK NICOLLET HEART AND VASCULAR CENTER OFFERS EXTENSIVE CARDIOVASCULAR SERVICES AND PROCEDURES CENTERED ON THE PATIENT. WE PROVIDE AROUND-THE-CLOCK SUPPORT FROM A HIGHLY SPECIALIZED TEAM USING THE LATEST INNOVATIONS, ALL IN A PEACEFUL ENVIRONMENT DESIGNED FOR COMFORT AND HEALING. OUR TEAM-BASED APPROACH DRAWS FROM SPECIALISTS IN CARDIOLOGY, RADIOLOGY, NEUROLOGY, SURGERY, PHYSIOLOGY, REHABILITATION AND MORE. THAT MEANS WE CAN OFFER COMPREHENSIVE AND COORDINATED CARE FOR ALL HEART AND VASCULAR CONDITIONS. PARK NICOLLET JANE BRATTAIN BREAST CENTER OFFERS COMPREHENSIVE BREAST HEALTH SERVICES TO ALL WOMEN AT ALL LIFE STAGES. OUR TEAM OF EXPERTS IS CONNECTED TO OUR TEAM OF ONCOLOGISTS, SURGEONS AND OTHER SPECIALISTS. WE USE THE LATEST TECHNOLOGIES, INCLUDING 3D MAMMOGRAMS. PARK NICOLLET MELROSE CENTER HAS PROVIDED COMPASSIONATE, EXPERT CARE FOR ALL TYPES OF EATING DISORDERS FOR PEOPLE OF EVERY AGE AND GENDER FOR OVER 35 YEARS. WE'VE HELPED GUIDE THOUSANDS OF PEOPLE TOWARD RECOVERY USING EVIDENCE-BASED TREATMENT. THIS MEANS THAT WE BASE OUR PROGRAMS ON THE LATEST RESEARCH AND TREATMENTS. PARK NICOLLET STRUTHERS PARKINSON'S CENTER IS DEDICATED TO PROVIDING COMPREHENSIVE ASSESSMENT, TREATMENT, SUPPORT, EDUCATION AND RESEARCH TO IMPROVE THE QUALITY OF LIFE OF PEOPLE AFFECTED BY PARKINSON'S. STRUTHERS PARKINSON'S CENTER IS A NATIONAL PARKINSON'S FOUNDATION CENTER OF EXCELLENCE. THE WOMEN'S CENTER IN ST. LOUIS PARK WAS DESIGNED FOR BUSY WOMEN. THEY GET CARE, COMFORT AND CONVENIENCE, ALL IN ONE LOCATION. THIS MEANS THEY CAN ADDRESS MULTIPLE NEEDS IN ONE VISIT. WE OFFER A FULL RANGE OF WOMEN'S HEALTH SERVICES, INCLUDING OBSTETRICS AND PRENATAL CARE, GYNECOLOGY AND UROGYNECOLOGY, BIRTH CONTROL, MENOPAUSE, INCONTINENCE AND PELVIC FLOOR DISORDERS. METHODIST HOSPITAL, IN ST. LOUIS PARK, MINNESOTA, HAS 426 PATIENT BEDS AND ADMITS NEARLY 30,000 PATIENTS ANNUALLY. THERE ARE MORE THAN 50,000 EMERGENCY CENTER PATIENTS TREATED EACH YEAR. WE DELIVER NEARLY 3,100 BABIES EACH YEAR AT THE FAMILY BIRTH CENTER. WE OFFER SPECIALTY CARE INCLUDING ONCOLOGY, CARDIOLOGY, MATERNITY, NEUROLOGY, CRITICAL CARE AND BARIATRICS. METHODIST IS RENOWNED FOR HIGH QUALITY PATIENT CARE, CLOSE TO HOME. RECOGNIZED AS AN AREA LEADER IN CANCER, NEUROLOGY, CARDIOVASCULAR AND MATERNITY CARE, OUR TEAM OF EXPERTS IS HIGHLY TRAINED TO PROVIDE PERSONALIZED TREATMENT FOR OUR PATIENTS AND THEIR FAMILIES. |
| PART III, CONT. | PNHCP PROVIDES DURABLE MEDICAL EQUIPMENT (DME)/SUPPLIES SUPPORTING ONGOING PATIENT CARE FOR METHODIST AND PNC PATIENTS. PNHCP IS A RECOGNIZED LEADER IN PROVIDING PATIENTS WITH CONVENIENT ACCESS TO PROVIDER RECOMMENDED HEALTH RELATED PRODUCTS. PNHCP IS VIEWED BY PARK NICOLLET AS AN EXTENSION OF THE PROVIDER'S CARE, BY PROVIDING PRODUCTS USED AT HOME TO HELP PATIENTS ENSURE SUCCESS WITH SELF-MANAGING ANY NUMBER OF HEALTH ISSUES. PARK NICOLLET HEALTH CARE PRODUCTS' DME DIVISION IS MADE UP OF 10 PRODUCT LINES AND MULTIPLE SALES CHANNELS, (SEVEN STORE LOCATIONS, E-COMMERCE, AND MORE THAN 400 POINT OF CARE CLOSETS FOR THE IMMEDIATE DISBURSEMENT OF DME PRODUCT TO OUR PATIENTS). THE DIVISION EMPLOYS 140 STAFF AT 35 CLINIC AND ADMINISTRATIVE SITES. PRODUCT LINES INCLUDE DURABLE MEDICAL EQUIPMENT, MEDICAL SUPPLIES, INCLUDING OSTOMY AND WOUND CARE, SKIN CARE SERVICES AND PRODUCTS, CUSTOM ORTHOTICS AND PROSTHETICS, SLEEP EQUIPMENT AND SUPPLIES. THE PATIENT CARE EXPERIENCE DOES NOT END AT THE HOSPITAL OR CLINIC DOOR. PATIENTS HAVE MANY SELF-CARE NEEDS TO MANAGE BOTH THEIR ACUTE AND CHRONIC HEALTH CONDITIONS, AND PNHCP IS EXPANDING ITS CAPACITY TO BETTER SERVE THESE GROWING NEEDS. CONTINUED EXPANSION OF DME TO THE HEALTHPARTNERS MEDICAL GROUP ADDED POINT OF CARE CLOSETS TO TWO HEALTHPARTNERS CLINIC LOCATIONS (COMO CLINIC AND REGIONS EMERGENCY DEPARTMENT). CONTINUED EXPANSION OF THE GAME READY PROGRAM TO METHODIST HOSPITAL AND OUTPATIENT TOTAL KNEE REPLACEMENT AT REGIONS HOSPITAL IN Q4 2021. CONTINUED TO ADD/ENHANCED PRODUCT LINES TO OUR EXISTING RETAIL LOCATIONS. PARTNERED WITH 3W MATERNITY DEPARTMENT AT METHODIST TO EXPAND THE DONOR BREAST MILK PROGRAM. STANDARDIZATION AND STREAMLINING OF DME SKILLS TRAINING ACROSS PN/HP ORGANIZATION. ON-LINE TRAINING WILL BE AVAILABLE THROUGH TRAINING AND DEVELOPMENT/MYLEARNING AND WILL INCLUDE TRAINING ON PAPERWORK AND PRODUCT FITTING, ALLOWING DEPARTMENTS TO DO DME SKILLS TRAINING WITHIN THEIR OWN TIMEFRAME THROUGHOUT THE YEAR, OFFER CONSISTENCY, AND DOCUMENTATION ACROSS PN/HP AND MEET JOINT COMMISSION STANDARDS. DEVELOPED NEW WORKFLOW WITH UROLOGY FOR CATHETER PRESCRIPTIONS AND ORDER ENHANCEMENTS. PROVIDING SMART SOC SCANNER/HELMET SERVICES IN MAPLE GROVE TO BROADEN PATIENT ACCESS TO AREAS FURTHER WEST OF MAPLE GROVE. EXPANDED THE BREAST PUMP WORK QUEUE MODEL TO INCLUDE ALL HP PUMPS. |
| PART III, CONT. | COMMUNITY HEALTH SERVICES: PATIENT EDUCATION - PARK NICOLLET'S PATIENT EDUCATION DEPARTMENT PROVIDES EDUCATIONAL TOOLS TO SUPPORT PATIENTS IN PREVENTING AND MANAGING ILLNESS AND IMPROVING HEALTH. WE PROVIDE PROGRAMS, CLASSES, VIDEOS, WEB CONTENT AND DECISION SUPPORT TOOLS TO HELP PATIENTS AND THE BROADER COMMUNITY TAKE AN ACTIVE ROLE IN THEIR HEALTH. THESE RESOURCES HELP PATIENTS PREVENT AND MANAGE COMMON HEALTH PROBLEMS, LIVE WELL WITH CHRONIC CONDITIONS, PREPARE FOR PROCEDURES AND IMPROVE OVERALL HEALTH AND WELL-BEING. OUR PARK NICOLLET HEALTH LIBRARY PROVIDES RESOURCES AND SERVICES FOR PATIENTS, FAMILY AND THE COMMUNITY. THIS INCLUDES LITERATURE SEARCHES AND DOCUMENT DELIVERY, AS WELL AS ACCESS TO PRINT, ONLINE AND INTERNET RESOURCES. PARK NICOLLET PARTICIPATED IN MANY ACTIVITIES IN 2021 TO HELP BRING AWARENESS AND EDUCATION TO THE COMMUNITY. HEART HEALTH AWARENESS MONTH COORDINATED EFFORTS ACROSS OUR ORGANIZATION TO INCREASE HEART HEALTH AWARENESS IN THE COMMUNITIES WE SERVE SOCIAL MEDIA (ORGANIC) BLOGS CLINIC MONITORS MENTAL HEALTH AWARENESS MONTH - AS AN ORGANIZATION, WE ARE WORKING TO REDUCE MENTAL ILLNESS STIGMA. MENTAL ILLNESSES WILL AFFECT ONE IN FIVE PEOPLE, BUT MANY PEOPLE WON'T SEEK TREATMENT FOR YEARS BECAUSE THEY FEEL SHAME. MAY IS MENTAL HEALTH AWARENESS MONTH AND MANY PEOPLE AND ORGANIZATIONS USE THIS TIME TO EXPLORE THE TOPIC. OUR GOAL IS TO LEVERAGE MENTAL HEALTH MONTH AS A CONVERSATION STARTER TO RAISE AWARENESS SO THOSE IN NEED MAY FIND THE HELP THEY DESERVE SOONER RATHER THAN LATER. SPONSORED NAMI GAME NIGHT SOCIAL MEDIA POSTS ON MENTAL HEALTH RESOURCES EMPLOYEE STORYTELLING MAKE IT OK SOCIAL CAMPAIGN ON WELL-BEING TIPS AND REDUCING STIGMA RECRUITING AND TRAINING OF AMBASSADORS VIA DIGITAL PLATFORM CONTINUED AMBASSADOR PARTNERSHIPS ACROSS MN, ND, SD, IOWA AND WI GENERATED OVER 8,200 VISITS TO WEBSITE BLOGS SIGNAGE CLINIC MONITORS SOCIAL MEDIA (ORGANIC) PATIENT COMMUNICATION (EMAIL, LETTERS) INFORMATIONAL HANDOUTS (HANDWASHING, VACCINE, MASKING EDUCATION COLON CANCER AWARENESS MONTH COORDINATED EFFORTS ACROSS OUR ORGANIZATION TO INCREASE COLON CANCER AWARENESS IN THE COMMUNITIES WE SERVE. CLINIC MONITORS - ORG-WIDE SOCIAL MEDIA (ORGANIC) BLOGS BREAST HEALTH AWARENESS MONTH COORDINATED EFFORTS ACROSS OUR ORGANIZATION TO INCREASE BREAST HEALTH AWARENESS IN THE COMMUNITIES WE SERVE. CLINIC MONITORS ORG-WIDE SOCIAL MEDIA (ORGANIC) BLOGS PARK NICOLLET JANE BRATTAIN BREAST CENTER'S MOBILE MAMMO-A-GO-GO COMMUNITY OUTREACH PROGRAM SUPPORTED 108 EVENTS, PROVIDING NO-FEE BREAST CANCER SCREENING, DIAGNOSTIC SERVICES AND EDUCATION TO WOMEN IN NEED ACROSS OUR COMMUNITY. MARKETING ALSO PROMOTED THE FOLLOWING AWARENESS TOPICS, WHICH INCLUDED CLINIC MONITORS, ORGANIC SOCIAL MEDIA, BLOGS: PARKINSON'S AWARENESS WORLD IMMUNIZATION HEALTHCARE DECISIONS DAY WOMENS HEALTH SKIN CANCER AWARENESS MENS HEALTH AWARENESS BLOOD DONOR FIREWORK SAFETY WORLD LUNG/CANCER PROSTATE CANCER DIABETES AWARENESS HANDWASHING AWARENESS OPIOID AWARENESS MONTH - TO BE A LEADER IN EDUCATION AND AWARENESS OF OPIOIDS FOR OUR ORGANIZATION AND THE COMMUNITIES WE SERVE, WE REPEATED OUR 2020 CAMPAIGN ENTITLED CUT SHORT. WE WANT TO RAISE AWARENESS BY IDENTIFYING COMMON OPIOIDS AND RISKS OF ADDICTION AND EDUCATE ON SAFE DISPOSAL OF OPIOIDS. SOCIAL MEDIA, VIDEOS, CHANNEL 45 BROADCAST PSAS INTERNAL COMMUNICATIONS LITTLE MOMENTS COUNT CAMPAIGN LITTLE MOMENTS COUNT IS A CROSS-SECTOR SOCIAL MOVEMENT TO RAISE AWARENESS AND CHANGE BEHAVIOR BASED ON THE SCIENCE OF BRAIN DEVELOPMENT IN THE FIRST 1,000 DAYS OF LIFE. WE ENGAGE A GROWING NUMBER OF COMMUNITY PARTNERS WHO ARE DEEPLY INVESTED IN THIS WORK, INCLUDING HEALTH CARE PROVIDERS, MEDIA ORGANIZATIONS, NONPROFITS, DIRECT SERVICE PROVIDERS, BUSINESS LEADERS AND GOVERNMENT ENTITIES ACROSS THE STATE. IN 2021, WE GREW OUR PARTNER COUNT TO 57 ENGAGED AND ACTIVE COMMUNITY LEADERSHIP AND HEALTH CARE PARTNERS. LITTLE MOMENTS COUNT EXTENDED ITS OUTREACH IN 2021 BY INCREASING AUDIO AND DIGITAL CONTENT, ENHANCING ITS SOCIAL MEDIA PRESENCE, AND CREATING PARTNERSHIPS WITH MEDIA SERVICES COMMITTED TO AMPLIFYING STORIES ABOUT EARLY BRAIN DEVELOPMENT AND ISSUES AFFECTING EARLY CHILDHOOD DEVELOPMENT. THROUGH AN EXPANDED MEDIA PRESENCE, WE CONTINUE TO BUILD AWARENESS WITH A FOCUS ON REACHING CULTURALLY DIVERSE PARENTS VIA COMMUNITY-BASED TRUSTED MESSENGERS. HEALTH FAIRS AND COMMUNITY OUTREACH PARK NICOLLET CARE TEAMS, DEPARTMENTS AND CLINICS PROVIDED FAIRS AND OUTREACH THROUGHOUT THE YEAR IN A NUMBER OF DIFFERENT EDUCATIONAL AND HEALTH SETTINGS. TEACHER OF THE WEEK SPONSORSHIP IN PARTNERSHIP WITH KS95, WE HAD THE OPPORTUNITY TO REACH LOCAL EDUCATORS WITH IMPACTFUL HEALTH INFORMATION. OUR GOAL WAS TO COORDINATE ENGAGING, HELPFUL TOPICS, TIPS AND TRIVIA THAT TEACHERS, SOCIAL WORKERS AND PARENTS COULD USE WITH THEIR "STUDENTS". THIS WAS PARTICULARLY USEFUL FOR AT HOME OR DISTANCE LEARNING. SOCIAL MEDIA POSTS SOCIAL MEDIA VIDEOS INFOGRAPHIC POSTERS ON HEALTH CARE TIPS BLOGS CYCLEHEALTH IS A NON-PROFIT ORGANIZATION THAT OFFERS FITNESS CHALLENGES, MOTIVATION PROGRAMS, AND ADVENTURE RACES THAT KEEP KIDS ACTIVE YEAR-ROUND. HEALTHPARTNERS AND PARK NICOLLET PARTNER WITH CYCLEHEALTH TO EDUCATE KIDS AND FAMILIES ON EATING BETTER AND MOVING MORE. CYCLEHEALTH EVENTS INCLUDED SOCIALLY-DISTANCED OUTDOOR EVENTS DESIGNED TO GET FAMILIES ENGAGED IN PHYSICAL ACTIVITIES DURING THE PANDEMIC. OVER 4,400 ATTENDEDE, BRANDED HATS WERE GIVEN OUT AND SIGNS WERE PLACED THROUGHOUT THE RACES WITH ENCOURAGING STATEMENTS AND ACTIVITIES. PRIDE - HEALTHPARTNERS AND PARK NICOLLET HAVE BEEN A PART OF THE PRIDE FESTIVAL FOR 25 YEARS AND THE PRIDE PARADE FOR THREE YEARS. HEALTHPARTNERS AND PARK NICOLLET CLINICS ARE PROUD TO BE LONG TERM ADVOCATES FOR THE LGBTQA+ COMMUNITY AND ACTIVE PARTICIPANTS IN THE PRIDE FESTIVAL AND PARADE. DURING PRIDE MONTH AND EVERY DAY OF THE YEAR WE PURSUE INITIATIVES AND PARTNERSHIPS TO ADDRESS HEALTH DISPARITIES IN THE LGBTQ COMMUNITY. TEAMS ACROSS THE ORGANIZATION WORK HARD TO SUPPORT OUR LGBTQ+ PATIENTS, FROM VOLUNTEERING THEIR TIME AND EDUCATION OTHERS TO DOING OUR BEST TO MAKE SURE EVERY PERSON FEELS WELCOME IN OUR CARE. HEALTH PROFESSIONAL EDUCATION HEALTH PROFESSIONAL EDUCATION AT PARK NICOLLET IS COORDINATED BY THE HEALTHPARTNERS INSTITUTE. SEVERAL DEPARTMENTS THROUGHOUT PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL HOST NURSING STUDENTS AND RESIDENTS TO HELP EXPAND THEIR EDUCATION AND GIVE THEM THE PATIENT EXPERIENCE. WE TRAIN LABORATORY STUDENTS FROM A VARIETY OF SCHOOLS, COLLEGES AND UNIVERSITIES AT PARK NICOLLET LOCATIONS. |
| PART III, CONT. | UNDERGRADUATE NURSING STUDENTS CAME TO METHODIST HOSPITAL IN GROUPS OR AS SINGLE STUDENTS FOR CLINICAL EXPOSURE TO THE HEALTH CARE TEAM. SUBSIDIZED HEALTH SERVICES YOUTH SERVED - FOUR SCHOOL-BASED HEALTH CENTERS PROVIDE FREE MEDICAL VISITS WITHIN THE SCHOOL AND COMMUNITY TO CHILDREN FROM BIRTH TO GRADUATION WHO MAY HAVE BARRIERS TO ACCESSING HEALTH CARE. SERVICES INCLUDED TREATMENT OF MINOR, ACUTE ILLNESSES; PHYSICALS; IMMUNIZATIONS; MENTAL HEALTH THERAPY; DENTAL CARE; AND VISION CHECKS. RESEARCH RESEARCH AT PARK NICOLLET IS COORDINATED AND SPONSORED BY HEALTHPARTNERS INSTITUTE AND EMBEDDED IN DEPARTMENTS AND STRATEGIES ACROSS PARK NICOLLET TO SUPPORT QUALITY INITIATIVES AND THE PATIENT EXPERIENCE. RESEARCH ENCOMPASSES INVESTIGATOR-INITIATED STUDIES, CLINICAL TRIALS, PRACTICE-BASED RESEARCH, OUTCOMES AND QUALITY IMPROVEMENT PROJECTS, DATA ANALYTICS, STATISTICS, SURVEY DEVELOPMENT AND FOCUS GROUPS. ORGANIZATION AWARDS AND ACHIEVEMENTS AT METHODIST HOSPITAL OUR TEAM OF BOARD-CERTIFIED DOCTORS, SPECIALISTS AND HOSPITAL STAFF WORK HARD TO ACHIEVE THE HIGHEST LEVEL OF CARE FOR OUR PATIENTS. WE ARE GRATEFUL TO RECEIVE AWARDS AND RECOGNITION FROM MANY ORGANIZATIONS THAT SHOW OUR DEDICATION TO OUR PATIENTS AND COMMUNITY. METHODIST HOSPITAL HAS BEEN RECOGNIZED AS A WATSON HEALTH 100 TOP HOSPITAL AND HEALTHPARTNERS WAS BEEN RECOGNIZED AS A 15 TOP HEALTH SYSTEM IN 2021. THESE SPECIAL HONORS SHOW OUR COMMITMENT TO IMPROVE THE HEALTH AND WELL-BEING OF OUR MEMBERS, PATIENTS AND COMMUNITY. METHODIST HOSPITAL CONTINUES TO RECEIVE NATIONAL RECOGNITION FOR OUR HIGH-QUALITY CARE. ONCE AGAIN, U.S. NEWS & WORLD REPORT HAS NAMED METHODIST A 2021-22 BEST REGIONAL HOSPITAL. WE WERE ALSO RECOGNIZED AS HIGH PERFORMING IN 11 PROCEDURES AND CONDITIONS INCLUDING HEART ATTACK, STROKE, AND HIP AND KNEE REPLACEMENTS. THE RANKINGS ARE BASED ON FACTORS SUCH AS QUALITY OF NURSING, DISCHARGE RATES AND OTHER CARE-RELATED CATEGORIES. WE ARE PROUD TO RECEIVE THE PRACTICE GREENHEALTH ENVIRONMENTAL EXCELLENCE AWARD, WHICH RECOGNIZES SUPERIOR PERFORMANCE IN ENVIRONMENTAL SUSTAINABILITY, COVERING A RANGE OF DIFFERENT SUSTAINABILITY PROGRAMS AND ACTIVITIES. PRACTICE GREENHEALTH IS THE NATION'S LEADING HEALTH CARE SUSTAINABILITY COMMUNITY, EMPOWERING ITS MEMBERS TO IMPROVE THEIR ENVIRONMENTAL STEWARDSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6 | PARK NICOLLET HEALTH SERVICES IS THE SOLE MEMBER OF PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, PARK NICOLLET HEALTH CARE PRODUCTS AND PNMC HOLDINGS. HEALTHPARTNERS, INC. IS THE SOLE MEMBER OF PARK NICOLLET HEALTH SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS OF PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, PNMC HOLDINGS AND PARK NICOLLET HEALTH CARE PRODUCTS ARE THOSE INDIVIDUALS WHO ARE CONTEMPORANEOUSLY MEMBERS OF THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 7B | ALL DECISIONS, INCLUDING DISSOLUTION OF THE ORGANIZATION, MADE BY THE GOVERNING BODY OF PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, PNMC HOLDINGS AND PARK NICOLLET HEALTH CARE PRODUCTS ARE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH SERVICES. |
| FORM 990, PART VI, SECTION B, LINE 11B | PARK NICOLLET GROUP PREPARES THE FORM 990 WITHIN THE FINANCE DEPARTMENT WITH ASSISTANCE FROM INDIVIDUALS IN HUMAN RESOURCES, MARKETING, OPERATIONS AND LEGAL. UPON COMPLETION OF GATHERING THE NECESSARY INFORMATION FOR THE RETURN, THE FORM WAS REVIEWED BY THE PARK NICOLLET GROUP'S ACCOUNTING FIRM. DRAFTS OF THE FORM WERE ALSO REVIEWED BY THE DIRECTOR OF FINANCE, VICE PRESIDENT OF FINANCE, CHIEF FINANCIAL OFFICER, THE LEGAL DEPARTMENT AND THE AUDIT AND COMPLIANCE COMMITTEE. AFTER ALL REVIEWS WERE COMPLETE; THE FORM 990 WAS GIVEN TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE PARK NICOLLET BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, AND KEY EMPLOYEES ("COVERED PERSONS") BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, COVERED PERSONS ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND ASKED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. THE LEGAL DEPARTMENT OF HEALTHPARTNERS REVIEWS THE QUESTIONNAIRE RESPONSES AND DEVELOPS A REPORT DETAILING ANY POTENTIALLY MATERIAL CONFLICTS FOR THE PRESIDENT AND CHAIR OF THE BOARD. A VERBAL SUMMARY IS ALSO GIVEN TO THE FULL BOARD OR APPROPRIATE COMMITTEE ENDING WITH A REMINDER TO COVERED PERSONS OF THE POLICY'S MANDATE THAT EACH PERSON IS OBLIGATED TO DISCLOSE ANY NEW POTENTIAL CONFLICTS AS THEY MAY ARISE THROUGHOUT THE YEAR. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | PARK NICOLLET HEALTH SERVICE'S (PNHS) PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY EITHER GROUP HEALTH PLAN, INC. (GHI), A RELATED ORGANIZATION, OR BY PNHS. GHI AND PNHS HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE PNHS'S PRESIDENT AND OTHER OFFICERS. EVERY THREE YEARS, THE INDEPENDENT COMPENSATION COMMITTEE OF THE GHI BOARD OF DIRECTORS (THE "COMMITTEE"), RETAINS AN EXTERNAL COMPENSATION EXPERT TO CONDUCT AN EXTENSIVE MARKET COMPARABILITY REVIEW FOR ALL OFFICERS OF THE ORGANIZATION. THE REVIEW INCLUDES ALL COMPONENTS OF TOTAL COMPENSATION: BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE APPROPRIATE COMMITTEE. BASED ON THIS DATA, THE COMPENSATION COMMITTEE OF GHI (THE "COMMITTEES") DETERMINE MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES FOR EACH EMPLOYED OFFICER. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER THE COMMITTEES' DIRECTION, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES PERFORMED BY THE COMPENSATION CONSULTANT FOR THE COMMITTEE. FOR CERTAIN POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED TO SET SALARY RANGES BASED ON THE COMPETITIVE MARKET DATA SPECIFIC TO THOSE POSITIONS. THE COMMITTEE REVIEWS AND APPROVES EACH YEAR'S COMPENSATION RESULTS. IN ALL CASES, COMMITTEE MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMPENSATION COMMITTEE MEMBERS' INDEPENDENCE AND THIS IS UPDATED AT ANY MEETING AT WHICH DECISIONS ARE BEING MADE. STAFF (OTHER THAN THE SECRETARY TO THE BOARD) IS NOT IN THE ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS, AND CONTEMPORANEOUS MINUTES ARE KEPT. THE CEO OF GHI CONDUCTS THE ANNUAL PERFORMANCE REVIEW AND DETERMINES THE COMPENSATION OF THE PNHS PRESIDENT. THE PNHS PRESIDENT OR OTHER OFFICERS DELEGATED BY THE PNHS PRESIDENT (WITH AUTHORITY TO FURTHER DELEGATE TO EXECUTIVES WITH LEADERSHIP ROLES OF PARK NICOLLET OFFICERS) CONDUCTS ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL PNHS-EMPLOYED OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMMITTEE. ANY EXCEPTIONS IN EXCESS OF THE APPROVED RANGES NEED TO BE APPROVED BY THE EXECUTIVE COMMITTEE. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND ON THE EMPLOYEE'S W-2 |
| FORM 990, PART VI, SECTION C, LINE 19 | PN GROUP'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSONS WHO REQUESTS THE INFORMATION FROM PNHS. THE GROUP'S ARTICLES OF INCORPORATION ARE AVAILABLE BY ANYONE WHO REQUEST THEM OR THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. THE FORMS 990 ARE AVAILABLE UPON REQUEST OR FROM THE STATE OF MINNESOTA OR AT GUIDESTAR.ORG. |
| FORM 990, PART XI, LINE 9: | GRANTS RUN THROUGH THE FOUNDATION -735,522. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARK NICOLLET HEALTH SERVICES ACCOUNTABLE CARE ORGANIZATION LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3800 PARK NICOLLET BLVD | AddressLine1Txt |
| City | ST LOUIS PARK | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55416 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HEALTH CARE | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARK NICOLLET CLINIC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTHPARTNERS INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411693838 | HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION | MN | 501(C)(4) | N/A | 0 | ||
| HPI-RAMSEY | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411793333 | CORPORATE PLANNING AND OVERSIGHT | MN | 501(C)(3) | 0 | 509(A)(3) TYPE I | HEALTHPARTNERS INC | |
| GROUP HEALTH PLAN INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 410797853 | STAFF MODEL HEALTH MAINTENANCE ORGANIZATION | MN | 501(C)(3) | 0 | 170(B)(1) (A)(III) | HEALTHPARTNERS INC | |
| RH WISCONSIN INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 202287016 | CORPORATE PLANNING AND OVERSIGHT | WI | 501(C)(3) | 0 | 509(A)(3) TYPE I | HPI - RAMSEY | |
| HEALTHPARTNERS INSTITUTE | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411670163 | HEALTHCARE EDUCATION AND RESEARCH | MN | 501(C)(3) | 0 | 509(A)(3) TYPE I | HEALTHPARTNERS INC | |
| CAPITOL VIEW TRANSITIONAL CARE CENTER | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 412011453 | TRANSITIONAL CARE SERVICES, STEP DOWN FROM INPATIENT HOSPITAL | MN | 501(C)(3) | 0 | 170(B)(1) (A)(III) | HPI - RAMSEY | |
| REGIONS HOSPITAL | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 410956618 | HOSPITAL | MN | 501(C)(3) | 0 | 170(B)(1) (A)(III) | HPI - RAMSEY | |
| REGIONS HOSPITAL FOUNDATION | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411888902 | PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH | MN | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | HPI - RAMSEY | |
| RHSC INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411891928 | HEALTHCARE STAFFING AND INTENSE REHAB SERVICES | MN | 501(C)(3) | 0 | 509(A)(3) TYPE II | HEALTHPARTNERS INC | |
| PHYSICIANS NECK & BACK CLINICS | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 270684883 | SPECIALTY PATIENT CARE | MN | 501(C)(3) | 0 | 509(A)(3) TYPE II | GROUP HEALTH PLAN INC | |
| HUDSON HOSPITAL INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 390804125 | HOSPITAL | WI | 501(C)(3) | 0 | 170(B)(1) (A)(III) | RH-WISCONSIN INC | |
| HUDSON HOSPITAL FOUNDATION INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 391279567 | PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH | WI | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | HUDSON HOSPITAL INC | |
| LAKEVIEW HEALTH FOUNDATION | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411386635 | PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH | MN | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | LAKEVIEW HEALTH | |
| LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 410811697 | HOSPITAL | MN | 501(C)(3) | 0 | 170(B)(1) (A)(III) | LAKEVIEW HEALTH | |
| STILLWATER MEDICAL GROUP | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 830379473 | CLINIC STAFF AND FACILITIES | MN | 501(C)(3) | 0 | 509(A)(3) TYPE I | LAKEVIEW HEALTH | |
| LAKEVIEW HEALTH | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 300221189 | CORPORATE PLANNING AND OVERSIGHT | MN | 501(C)(3) | 0 | 509(A)(3) TYPE II | HPI - RAMSEY | |
| WESTFIELDS HOSPITAL INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 390808442 | HOSPITAL | WI | 501(C)(3) | 0 | 170(B)(1) (A)(III) | RH-WISCONSIN INC | |
| WESTFIELDS HOSPITAL FOUNDATION INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 391770913 | PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH | WI | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | WESTFIELDS HOSPITAL INC | |
| RAMSEY INTEGRATED HEALTH SERVICES | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411503090 | HOME CARE AND HOSPICE | MN | 501(C)(3) | 0 | 509(A)(2) | HPI - RAMSEY | |
| PARK NICOLLET FOUNDATION | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 237346465 | SUPPORT TO RELATED ENTITIES AND COMMUNITY HEALTH | MN | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | PARK NICOLLET HEALTH SERVICES | |
| AMERY REGIONAL MEDICAL CENTER INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 390908320 | HOSPITAL | WI | 501(C)(3) | 0 | 170(B)(1) (A)(III) | RH-WISCONSIN INC | |
| AMERY REGIONAL MEDICAL CENTER FOUNDATION INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 391726539 | PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH | WI | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | AMERY REGIONAL MEDICAL CENTER INC | |
| HUTCHINSON HEALTH | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 841715908 | HOSPITAL | MN | 501(C)(3) | 0 | 170(B)(1) (A)(III) | PARK NICOLLET HEALTH SERVICES | |
| HUTCHINSON HEALTH FOUNDATION | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 363317820 | PROVIDE SUPPORT TO HOSPITAL | MN | 501(C)(3) | 0 | 170(B)(1) (A)(VI) | HUTCHINSON HEALTH | |
| HEALTHPARTNERS RC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 844261122 | HOSPITAL | MN | 501(C)(3) | 0 | 170(B)(1)(A)(III) | PARK NICOLLET HEALTH SERVICES | |
| OLIVIA HOSPITAL & CLINIC FOUNDATION | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411839619 | PROVIDE SUPPORT TO HOSPITAL | MN | 501(C)(3) | 0 | 509(A)(3) TYPE I | HEALTHPARTNERS RC | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PARK NICOLLET ENTERPRISES | |||||||||||
| 6500 EXCELSIOR BLVD | ST LOUIS PARK | MN | 55426 | 411656735 | REAL ESTATE FOR RELATED ORGANICATION | MN | PARK NICOLLET HEATLH SERVICES | C | $154,938 | 1.00000 | 0 |
| HEALTHPARTNERS ADMINISTRATORS INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411629390 | THIRD PARTY ADMINISTRATOR | MN | HEALTHPARTNERS INC | C | 0 | ||
| HEALTHPARTNERS ASSOCIATES INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 522365151 | MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | 0 | ||
| HEALTHPARTNERS SERVICES INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411683568 | MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | 0 | ||
| HEALTHPARTNERS INSURANCE COMPANY | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411683523 | MEDICAL AND DENTAL INSURANCE | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | 0 | ||
| DENTAL SPECIALTIES INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 451297583 | PROFESSIONAL DENTAL SERVICES | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | 0 | ||
| HEALTHPARTNERS CENTRAL MINNESOTA CLINICS INC | |||||||||||
| 8170 33RD AVE S PO BOX 1309 | MPLS | MN | 554401309 | 411236798 | MEDICAL CLINIC STAFFING | MN | HEALTHPARTNERS ADMINISTRATORS INC | C | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PARK NICOLLET HEALTH SERVICES | ||
| M | $3,390,379 | COST |
| PARK NICOLLET HEALTH SERVICES | ||
| P | $1,402,212,544 | COST |
| PARK NICOLLET HEALTH SERVICES | ||
| J | $5,926,920 | COST |
| PARK NICOLLET HEALTH SERVICES | ||
| R | $1,642,130,566 | COST |
| HEALTHPARTNERS INC | ||
| L | $133,176,416 | COST |
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