2018-11-15T10:45:45-06:00 2017-12-31 135565207 KPMG LLP 4200 WELLS FARGO CENTER 90 S 7TH STREET MINNEAPOLIS MN 55402 990 2017-01-01 363465840 PARK NICOLLET HEALTH SERVICES PARK 9529933108 6500 EXCELSIOR BOULEVARD ST LOUIS PARK MN 55426 CATHERINE LENAGH VP & CFO 9529933108 2018-11-15 1 MONROE JORDAN GIERL P01413237 6123055000 198.174.110.146 2018-11-15 10:38:35 CS P BC53011EDF70B2E1BD72B439C4A42BAD8A5D7AD2 BC53011EDF70B2E1BD72B439C4A42BAD8A5D7AD2 2017 2019-02-21 02:37:17Z CATHERINE LENAGH 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 102945201 0 X WWW.PARKNICOLLET.COM X 1986 MN SEE SCHEDULE O - PRIMARY EXEMPT PURPOSE AND ACHIEVEMENTS 15 12 10680 0 47834 28583 79475 0 94750408 102894340 37 0 35703 37461 94865623 102931801 13422 24165 0 0 14668958 14754441 0 0 0 77959614 93459448 92641994 108238054 2223629 -5306253 182130025 208716201 166108195 183170153 16021830 25546048 X OUR MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. 0 0 90057737 24165 102884167 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 90057737 1 0 0 1 0 0 0 0 0 1 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 383 0 1 10680 1 1 1 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 CA MN NC X CATHERINE LENAGH 9529933108 6500 EXCELSIOR BOULEVARD ST LOUIS PARK MN 55426 X PARK NICOLLET GROUP RETURN -SEE SCH DIRECTORS 55.00 X 0 2437173 198730 PARK NICOLLET GROUP RETURN -SEE SCH OFFICERS 55.00 5.00 X 7673230 3853704 2093350 PARK NICOLLET GROUP RETURN -SEE SCH HIGHEST COMPENSATED EMPLOY 1.00 55.00 X 0 6272333 701005 PARK NICOLLET GROUP RETURN -SEE SCH FORMER 0.00 X 0 555832 109748 7673230 13119042 3102833 18 1 1 0 0 PATIENT SERVICES 621400 86432925 86432925 SERVICES TO AFFILIATES EXEMPT ORG 561000 16098012 16098012 PREMIER PURCHASING 900099 363403 315569 47834 102894340 13200 13400 -200 -200 -200 MISCELLANEOUS SERVICES 541900 37661 37661 37661 102931801 102884167 47834 -200 X 24165 24165 9073995 9073995 2613827 2613827 1161733 1161733 704105 704105 1200781 1200781 32989 32989 67626815 54530286 13096529 1342189 77184 1265005 558073 276858 281215 484017 380539 103478 5367846 2999128 2368718 72062 40057 32005 46790 14469 32321 3804185 3430556 373629 1063998 18884 1045114 MEDICAL SUPPLIES AND EQ 8290270 8269192 21078 MISCELLANEOUS 1589717 789745 799972 TAXES AND ASSESSMENTS 1493698 1457795 35903 BAD DEBT 1476500 1476500 210299 16272379 -16062080 108238054 90057737 18180317 0 6303889 10464399 126811985 62268991 12411085 48433171 424209 552119 589706 402731 118310558 47475289 22017320 70835269 11886766 13933237 1685065 1826284 182130025 208716201 135644235 153543223 30463960 29626930 166108195 183170153 X 16021830 25546048 16021830 25546048 182130025 208716201 X -5306253 14830471 X 0 1 X 1 0 X 212 25000 79475 0 104687 93739106 94603823 93195995 80934847 86432925 448906696 93739106 94604035 93220995 81014322 86432925 449011383 0 0 0 449011383 59118 23734 34036 21491 13200 151579 59118 23734 34036 21491 13200 151579 93798224 94627769 93255031 81035813 86446125 449162962 0.99970 0.99960 0.00030 0.00040 X X 27053 27053 108238054 1489539020 108238054 1489566073 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 143687 87743 27046 27053 285529 250000 250000 250000 250000 1000000 1500000 PART II-B, LINE 1: PARK NICOLLET HEALTH SERVICES INCURS LOBBYING EXPENSES ON BEHALF OF PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET HEALTH CARE PRODUCTS AND PARK NICOLLET CLINIC. OTHER EXEMPT EXPENSES RELATE TO THE MANAGEMENT EXPENSES INCURRED BY PARK NICOLLET HEALTH SERVICES ON BEHALF OF EACH ENTITY. 66112 35418 -92 101622 87731 28381 50000 66112 105211 32020 49500 87731 68853 36358 105211 76400 30953 38500 68853 1.00000 0 1 1 8367353 8367353 58523848 15606884 42916964 18575425 10713678 7861747 26286841 21154727 5132114 6557091 6557091 70835269 INVESTMENT IN TRI-CARE 4089564 C INVESTMENT IN PREMIER 9843673 C 13933237 CONTINGENT MALPRACTICE LIABILITY 27730769 POST RETIREMENT OBLIGATION 1896161 29626930 X PART V, LINE 4: THE TERM ENDOWMENT FUNDS FOR USE WITHIN PARK NICOLLET HEALTH SERVICES ARE FOR THE CARING FOR COLLEAGUES PROGRAM. PART X, LINE 2: PARK NICOLLET HEALTH SERVICES' ACCOUNTING POLICY PROVIDES THAT A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. TRIA ORTHOPAEDIC CENTER RESEARCH RECORDED NO LIABILITIES AT DECEMBER 31, 2017 OR 2016 FOR UNRECOGNIZED TAX BENEFITS. 1 ACADEMY OF THE HOLY ANGEL 6600 NICOLLET AVENUE S RICHFIELD MN 55423 410696903 501(C)(3) 8000 PROGRAM SUPPORT 1 PART I, LINE 2: THE MANAGEMENT STAFF REVIEW THE MISSION AND PURPOSE OF POTENTIAL GRANTEE ORGANIZATIONS TO ASSURE CONSISTENCY WITH THE MISSION AND PURPOSE. AMOUNTS SUBSEQUENTLY GRANTED ARE SUBJECT TO THE FORMAL SPENDING APPROVAL AND DOCUMENTATION PROCESS BASED ON AMOUNT OF THE EXPENDITURE. X X X X X 0 1 0 0 0 0 0 1 0 PARK NICOLLET GROUP RETURN -SEE SCH DIRECTORS 0 1882845 0 220819 0 333509 0 101583 0 97147 0 2635903 0 131318 PARK NICOLLET GROUP RETURN -SEE SCH OFFICERS 5583831 2005989 1436921 519796 652478 1327919 995521 377270 553917 166642 9222668 4397616 461003 1239435 PARK NICOLLET GROUP RETURN -SEE SCH HIGHEST COMPENSATED EMPLOY 0 5408427 0 162901 0 701005 0 124880 0 206944 0 6604157 0 0 PARK NICOLLET GROUP RETURN -SEE SCH FORMER 0 408444 0 110594 0 36794 0 75885 0 33863 0 665580 0 31729 PART I, LINE 3 THE PARK NICOLLET HEALTH SERVICES' BOARD OF DIRECTORS IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT AND OTHER EXECUTIVES. PART I, LINE 4B DETAILED INFORMATION ON PARK NICOLLET HEALTH SERVICES COMPENSATION CAN BE FOUND ON THE PARK NICOLLET GROUP RETURN (EIN 45-5023260). 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 2017 COMPENSATION STEVEN CONNELLY, MD $ 70,699 LAURA FRAZIER $ 33,600 ROXANNA GAPSTUR $ 54,420 CHRISTA GETCHELL $ 1,653 CATHERINE LENAGH $ 42,716 JOHN MISA, MD $ 47,964 JOAN SANDSTROM $ 35,325 CATHERINE KLUGHERZ $ 34,488 JOSHUA ZIMMERMAN MD $ 29,163 KRISTI LYON $ 33,079 CURT BOEHM, MD $ 35,363 MELISSA SCHOENHERR $ 31,671 TOM JONES $ 39,975 BARBARA TRETHEWAY $ 29,051 TED WEGLEITNER $ 36,634 CARA HULL $ 27,900 NATHANAEL KLINISKE $ 27,720 MARK SANNES $ 39,360 MICHAEL SEIM $ 30,375 DUANE SPIEGLE $ 33,310 PART I, LINE 7 SCHEDULE J, PART I, LINE 7: ALL PHYSICIANS, EMPLOYED BY AND SEEING PATIENTS FOR PARK NICOLLET HEALTH SERVICES AND AFFILIATES, ARE ELIGIBLE FOR A 3% ACCESS INCENTIVE PAYOUT BASED ON THEIR DEPARTMENT REACHING CERTAIN GOALS INCLUDING ACCESS FOR PATIENTS AND QUALITY INITIATIVES. IN THEIR ROLES AS EXECUTIVES EMPLOYED BY PARK NICOLLET HEALTH SERVICES, THE EXECUTIVES ARE ELIGIBLE FOR INCENTIVE PAYOUTS. THE INCENTIVE AWARD WILL BE 30% FOR THE CFO, COO, CMO AND 25% FOR ALL OTHER EXECUTIVES WITH AN OPPORTUNITY FOR INCENTIVE CREDIT ABOVE THE TARGET LEVEL. THE ULTIMATE PAYOUT INCLUDES A REDUCTION/INCREASE MULTIPLIER DEPENDING ON WHETHER THE CONSOLIDATED PARK NICOLLET HEALTH SERVICES ORGANIZATION REACHED THAT YEAR'S OPERATING MARGIN GOAL AS SET BY THE BOARD OF DIRECTORS. EACH PARTICIPANT WILL BE RESPONSIBLE FOR TWO FINANCIAL GOALS, AND NOT LESS THAN THREE AND NOT MORE THAN FIVE INDIVIDUAL STRATEGIC OBJECTIVES. IN THEIR ROLES AS MANAGEMENT EMPLOYED BY PARK NICOLLET HEALTH SERVICES, CERTAIN MANAGERS ARE ELIGIBLE FOR INCENTIVE PAYOUTS. THE INCENTIVE AWARD WILL BE 15% OF THEIR ANNUAL BASE PAY COMPENSATION WITH AN OPPORTUNITY FOR INCENTIVE CREDIT ABOVE THE TARGET LEVEL. THE ULTIMATE PAYOUT INCLUDES A REDUCTION/INCREASE MULTIPLIER DEPENDING ON WHETHER THE CONSOLIDATED PARK NICOLLET HEALTH SERVICES ORGANIZATION REACHED THAT YEAR'S OPERATING MARGIN GOAL AS SET BY THE BOARD OF DIRECTORS. INCENTIVE PAYMENTS ARE A FUNCTION OF BOTH INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. THE PARTICIPANT MUST BE ASSIGNED AT LEAST THREE, AND NOT MORE THAN FOUR FOCUSED INCENTIVE OBJECTIVE, ONE OF WHICH MUST BE FINANCIAL IN NATURE. FORM 990, SCHEDULE J, PART II, COLUMN F: PRIOR REPORTED COMPENSATION COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIUOSLY REPORTED IN COLUMN (C) OF PRIOR YEAR'S 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTORS: STEVEN CONNELLY, MD $ 69,653 LAURA FRAZIER $ 30,037 ROXANNA GAPSTUR $ 41,186 CATHERINE LENAGH $ 39,131 JOHN MISA, MD $ 51,124 JOAN SANDSTROM $ 63,811 CATHERINE KLUGHERZ $ 29,751 JOSHUA ZIMMERMAN MD $ 29,631 KRISTI LYON $ 19,266 CURT BOEHM, MD $ 37,693 MELISSA SCHOENHERR $ 29,289 TOM JONES $ 22,431 BARBARA TRETHEWAY $ 27,628 TED WEGLEITNER $ 31,729 BRIAN RANK $ 131,318 BABETTE APLAND $ 12,032 NANCY MCLURE $ 1,199,775 PART I, LINE 1 OUR MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. FORM 990, PART III, LINE 4A, EXEMPT PURPOSE AND ACHIEVEMENTS CORPORATE STRUCTURE, PURPOSE, GOVERNANCE PARK NICOLLET HEALTH SERVICES (PNHS) IS A MINNESOTA NONPROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3) AND IS PART OF THE FAMILY OF HEALTHPARTNERS ORGANIZATIONS ("HEALTHPARTNERS"). FOUNDED IN 1957, HEALTHPARTNERS IS AN INTEGRATED SYSTEM OF HEALTH CARE DELIVERY AND HEALTH CARE FINANCING ORGANIZATIONS, AND IS ONE OF THE LARGEST CONSUMER-GOVERNED ORGANIZATIONS 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 INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS WITH HEALTH CARE ACTIVITIES PRIMARILY OPERATING IN MINNESOTA, WESTERN WISCONSIN AND EXPANDING TO SEVERAL OTHER MIDWESTERN STATES. 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 PHYSICIANS AND DENTISTS, SIX OWNED HOSPITALS WITH OVER 1,000 ACUTE CARE BEDS, OVER 100 OWNED AND LEASED PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND 25 DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN. HEALTHPARTNERS ALSO CONTRACTS WITH OTHER PRIMARY AND SPECIALTY MEDICAL FACILITIES AND DENTAL FACILITIES, PHYSICIAN GROUPS, HOSPITALS AND RELATED HEALTHCARE PROVIDERS LOCATED PRIMARILY IN MINNESOTA, WESTERN WISCONSIN AND EXPANDING TO OTHER MIDWESTERN STATES. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUND RAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN THE HEALTHPARTNERS FAMILY, 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. HEALTHPARTNERS IS DRIVING CHANGE THAT HELPS OUR MEMBERS AND PATIENTS LIVE HEALTHIER LIVES. 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 2017 ARE TOTAL COST OF CARE MEASUREMENTS (DEVELOPMENT OF 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). PNHS IS THE PARENT ORGANIZATION TO AN INTEGRATED CARE SYSTEM THAT INCLUDES PARK NICOLLET METHODIST HOSPITAL (PNMH), PARK NICOLLET CLINIC (PNC), PARK NICOLLET HEALTH CARE PRODUCTS (PNHCP), PARK NICOLLET FOUNDATION (PNF) AND TRIA ORTHOPAEDIC CENTER, LLC (TRIA). PNHS IS A NONPROFIT, INTEGRATED CARE DELIVERY SYSTEM WHO PROVIDES FINANCIAL PLANNING, STRATEGIC PLANNING, PUBLIC AFFAIRS, MARKETING AND OTHER SERVICES TO ITS AFFILIATED ORGANIZATIONS TO ASSURE EFFICIENT AND PROFESSIONAL DELIVERY OF HEALTH CARE AND OTHER SERVICES TO THE COMMUNITY. 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. TRIA, LLC IS WHOLLY OWNED BY PNHS AND THE ACTIVITIES OF TRIA, LLC ARE REPORTED AS PART OF THE PNHS 990. TRIA'S MISSION IS TO PROVIDE OUR PATIENTS AND COMMUNITY WITH EXCEPTIONAL AND INNOVATIVE ORTHOPAEDIC AND SPORTS MEDICINE CARE ADVANCED BY RESEARCH AND EDUCATION. OUR VISION IS TO BE RECOGNIZED NATIONALLY FOR DRIVING INNOVATION AND DISCOVERIES WITH A FOCUS ON: PROVIDING AN UNPARALLELED PATIENT EXPERIENCE; ACHIEVING LEADING CLINICAL OUTCOMES VIA EXPERT TEAMS, AND, DELIVERING THE HIGHEST VALUE FOR OUR SERVICES. TRIA'S VALUES INCLUDE: PARTNERSHIP, EXCELLENCE, INTEGRITY AND COMPASSION. CORE BELIEFS INCLUDE: PATIENTS: OUR PATIENTS COME FIRST. PEOPLE: OUR PEOPLE ARE OUR GREATEST STRENGTH INNOVATION: WE THRIVE ON CHALLENGES, NEW ENDEAVORS, CREATIVE SOLUTIONS AND WE EMBRACE CHANGE. RESEARCH: RESEARCH IS FUNDAMENTAL TO IMPROVING PATIENT CARE. EDUCATION: EDUCATION ENHANCES OUR PROFESSION AND PATIENT CARE COMMUNITY: WE WILL BE A GOOD NEIGHBOR AND BUILD STRONG RELATIONSHIPS TO SUPPORT GROWTH AND ENHANCE VALUE. GROWTH: PROFITABLE GROWTH SUPPORTS OUR MISSION AND HELPS ATTAIN OUR VISION. COMMUNITY AND SUBSIDIZED HEALTH SERVICES ONE OF TRIA'S CORE VALUES IS: COMMUNITY: WE WILL BE A GOOD NEIGHBOR AND BUILD STRONG RELATIONSHIPS TO SUPPORT GROWTH AND ENHANCE VALUE. TRIA CONTINUES TO LEAD THE WAY IN OUTCOMES MEASUREMENT. PATIENTS COMPLETE EXTENSIVE PRE- AND POST- SURVEYS TO ASSESS FUNCTIONAL OUTCOMES ON SEVEN DIFFERENT PROCEDURE TYPES. SOME OF TRIA'S PATIENT REGISTRIES ARE NOW AMONG THE MOST EXTENSIVE IN THE INDUSTRY. IN 2017, TRIA PROVIDED 250 FREE MINNESOTA STATE HIGH SCHOOL LEAGUE PRE-PARTICIPATION EXAMS FOR AREA HIGH SCHOOL ATHLETES PRIOR TO THE FALL SEASON. IN ADDITION, TRIA GAVE FAMILIES THE OPTION TO ALSO HAVE A BASELINE IMPACT TEST AND FUNCTIONAL MOVEMENT SCREEN AT THE TIME OF THE EXAM. ADDITIONAL PRE-PARTICIPATION PHYSICALS WERE SUBSIDIZED FOR STUDENT ATHLETES AT DAKOTA COUNTY TECHNICAL COLLEGE AND HOCKEY PLAYERS FOR THE MINNESOTA MAGICIANS JUNIOR HOCKEY TEAM. TRIA PROVIDED MEDICAL COVERAGE FOR NUMEROUS SPORTING EVENTS IN THE COMMUNITY IN 2017, INCLUDING: U.S. POND HOCKEY CHAMPIONSHIP AT LAKE NOKOMIS NORTH STAR COLLEGE CUP, NCHH COLLEGE HOCKEY TOURNAMENTS PINKYSWEAR KIDS TRIATHLON AT LAKE NOKOMIS AND LAKE ANN PINKYSWEAR MESS FEST X GAMES NUMEROUS YOUTH SPORT TOURNAMENTS IN MULTIPLE SPORTS SUCH AS FOOTBALL, SOCCER, SOFTBALL, HOCKEY, JUDO, GYMNASTICS, AND BASKETBALL THROUGHOUT THE YEAR. TRIA PROVIDED FREE GRIP STRENGTH SCREENINGS, EDUCATION AROUND SPORTS MEDICINE AND ORTHOPAEDIC INJURIES, AND INTERACTIVE GAMES FOR THOUSANDS OF PEOPLE AT THE PREP 45 DAY AT THE MINNESOTA STATE FAIR. HEALTH PROFESSIONAL EDUCATION ANNUALLY, TRIA TRAINS THREE SPORTS MEDICINE FELLOWS. TRIA ALSO TRAINS APPROXIMATELY 200 STUDENTS IN A DEGREE-SEEKING PROGRAM EACH YEAR, SUCH AS RESIDENTS, PHYSICAL THERAPY, SURGICAL TECHNOLOGIST, ETC. TRIA CONTINUES TO LEAD THE WAY IN OUTCOMES MEASUREMENT. PATIENTS COMPLETE EXTENSIVE PRE- AND POST- SURVEYS TO ASSESS FUNCTIONAL OUTCOMES ON EIGHT DIFFERENT PROCEDURE TYPES. SOME OF TRIA'S PATIENT REGISTRIES ARE NOW AMONG THE MOST EXTENSIVE IN THE INDUSTRY. EVERY TUESDAY MORNING THROUGHOUT THE ACADEMIC YEAR TRIA PROVIDES PROFESSIONAL EDUCATION SESSIONS FOR OVER 1,200 ATTENDEES, INCLUDING OUR STAFF, FELLOWS, AND CLINICAL STAFF IN THE AREA, NUMEROUS STUDENTS AND RESIDENTS. TRIA'S 20TH ANNUAL ORTHOPAEDIC AND SPORTS MEDICINE CONFERENCE DREW OVER 200 PROFESSIONALS FROM ACROSS THE U.S. TRIA'S 3RD ANNUAL HAND THERAPY CONFERENCE DREW MORE THAN 75 OCCUPATIONAL AND PHYSICAL THERAPISTS. TRIA'S PHYSICIANS AND STAFF WERE PART OF 61 PUBLICATIONS AND MADE 70 PRESENTATIONS. THEIR OUTCOMES PROGRAM ENROLLED 2,504 PATIENTS. THE TRIA INSTITUTE PROVIDES SEVERAL SESSIONS OF "A DAY IN THE LIFE OF AN ORTHOPAEDIC SPECIALIST" PROGRAM. THIS EDUCATIONAL PROGRAM IS FOR STUDENTS IN THE COMMUNITY WHO WOULD LIKE TO LEARN MORE ABOUT THE HEALTH CARE PROFESSION, SPECIFICALLY ORTHOPAEDICS, AND INCLUDES SHADOWING TRIA CLINICIANS. THERE WERE 350 ATTENDEES IN THESE SESSIONS. FORM 990, PART III, LINE 4A, EXEMPT PURPOSE AND ACHIEVEMENTS VOLUNTEER ACTIVITIES TRIA EMPLOYEES RAISED MORE ALMOST $5,000 THROUGH THE JEANS FOR A CAUSE PROGRAM. EMPLOYEES WHO CONTRIBUTED $5 WERE ALLOWED TO WEAR JEANS ON FRIDAYS. WEARING THE JEANS FOR A CAUSE STICKER SIGNIFIES THE FUND RAISING ASPECT OF THE PROGRAM TO PATIENTS. THE MONEY RAISED WENT TO COMMUNITY CHARITIES SUCH AS: POSITIVE COACHING ALLIANCE, VEAP (VOLUNTEERS ENLISTED TO ASSIST PEOPLE), OASIS FOR YOUTH, PUERTO RICO HURRICANE RELIEF, AND A NUMBER OF TRIA EMPLOYEES STRUGGLING WITH MEDICAL ISSUES. TRIA TEAM MEMBERS PARTICIPATE IN VOLUNTEER ACTIVITIES INCLUDING: PACKING FOOD FOR SECOND HARVEST HEARTLAND FOOD SHELF MATTRESS RACING DOWN BUCK HILL PREPARING AND COOKING FOOD AT OPEN ARMS RUNNING THE JINGLE BELL RUN FOR THE ARTHRITIS FOUNDATION COLLECTING DONATIONS FOR SCHOOL SUPPLIES FOOD DRIVES, BOOK DRIVES AND HOLIDAY TOY DRIVES FOR VEAP HOSTING A BLOOD DRIVE AT TRIA FOR MEMORIAL BLOOD CENTERS SUPPORTING VEAP BY ATTENDING THE YEARLY VEAP BLOCK PARTY AND A TOAST TO VEAP EVENT VOLUNTEERING AT THE A WATER STATION DURING THE TWIN CITIES MARATHON TRIA PHYSICIANS AND PROFESSIONAL STAFF, INCLUDING PHYSICAL THERAPISTS AND HAND THERAPISTS, FREQUENTLY SPEAK TO COMMUNITY GROUPS. THIS PAST YEAR 15 SUCH SESSIONS WERE PROVIDED. FORM 990, PART VI, SECTION A, LINE 6 HEALTHPARTNERS, INC IS THE SOLE MEMBER OF PARK NICOLLET HEALTH SERVICES. FORM 990, PART VI, SECTION A, LINE 7A THE PERSONS WHO SERVE AS THE BOARD OF DIRECTORS OF HEALTHPARTNERS, INC. ALSO SERVE AS THE BOARD OF DIRECTORS OF PNHS. HEALTHPARTNERS, INC. IS A MINNESOTA LICENSED HEALTH MAINTENANCE ORGANIZATION. THE BOARD OF HEALTHPARTNERS, INC. IS COMPRISED OF A MAJORITY OF DIRECTORS WHO ARE ELECTED BY HMO MEMBERS (PERSONS HOLDING HMO CONTRACTS), AND A MINORITY OF DIRECTORS WHO ARE EITHER HEALTH CARE PROFESSIONALS APPOINTED BY THE BOARD OR WHO ARE SERVING EX OFFICIO. FORM 990, PART VI, SECTION A, LINE 7B PNHS' BYLAWS ESTABLISH THAT THE PERSONS SERVING AS THE BOARD OF DIRECTORS OF THE SOLE MEMBER, ALSO SERVE AS THE BOARD OF DIRECTORS OF PNHS. IN THE EVENT THAT THE PNHS BOARD OF DIRECTORS WERE EVER COMPOSED OF PERSONS WHO ARE NOT ALSO CONTEMPORANEOUSLY SERVING AS THE DIRECTORS OF THE SOLE MEMBER, THEN THE SOLE MEMBER WOULD EXERCISE CUSTOMARY RESERVE POWERS WITH RESPECT TO THE PNHS BOARD OF DIRECTORS (E.G. APPROVAL OF BUDGETS, APPROVAL OF MERGER, APPROVAL OF APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER, APPROVAL OF DISSOLUTION, ETC.). FORM 990, PART VI, SECTION B, LINE 11B PARK NICOLLET HEALTH SERVICES PREPARES THE FORM 990 WITHIN THE FINANCE DEPARTMENT WITH ASSISTANCE FROM INDIVIDUALS IN HUMAN RESOURCES, MARKETING, AND OPERATIONS. UPON COMPLETION OF GATHERING THE NECESSARY INFORMATION FOR THE RETURN, THE FORM WAS COMPILED AND DRAFTS WERE REVIEWED BY THE ASSISTANT CONTROLLER - ACCOUNTING OPERATIONS, VICE PRESIDENT OF FINANCE, CHIEF FINANCIAL OFFICER, THE LAW DEPARTMENT, THE AUDIT AND COMPLIANCE COMMITTEE AND PARK NICOLLET'S ACCOUNTING FIRM. 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 PNHS 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 REQUESTED 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, AND REINFORCES 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 HAS AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF ITS PRESIDENT AND ITS OTHER OFFICERS. EVERY THREE YEARS, UNDER THE DIRECTION OF THE BOARD OF DIRECTORS' COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE (COMPENSATION COMMITTEE), A TOTAL COMPENSATION MARKET REVIEW IS COMPLETED BY AN EXTERNAL COMPENSATION CONSULTANT. THE REVIEW INCLUDES ALL COMPONENTS OF COMPENSATION; BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE INDEPENDENT BOARD COMPENSATION COMMITTEE. BASED ON THIS MARKET DATA, THE COMPENSATION COMMITTEE DETERMINES MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES FOR EACH OFFICER. IN INTERIM YEARS, GROUP HEALTH PLAN, INC. (AN AFFILIATE OF PNHS) HUMAN RESOURCES STAFF, UNDER THE DIRECTION OF THE COMPENSATION COMMITTEE, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES PERFORMED BY THE COMPENSATION CONSULTANT FOR THE COMPENSATION COMMITTEE. FOR CERTAIN POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED TO SET SALARY RANGES BASED ON THE COMPETITIVE MARKET DATA SPECIFIC TO THOSE POSITIONS. THE COMPENSATION 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 BOARD HAS DELEGATED TO THE TO THE PRESIDENT (WITH AUTHORITY TO FURTHER DELEGATE TO EXECUTIVES WITH LEADERSHIP ROLES OF PARK NICOLLET OFFICERS) THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL PARK NICOLLET OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMPENSATION COMMITTEE. ANY EXCEPTIONS TO COMPENSATION IN EXCESS OF THE APPROVED RANGES ARE APPROVED BY THE COMPENSATION COMMITTEE. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND W2 STATEMENTS. FORM 990, PART VI, SECTION C, LINE 19 PNHS FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSONSWHO REQUESTS THE INFORMATION FROM PNHS. PNHS'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 VII PURSUANT TO TREASURY REG SECTION 1.6033-2(D)(5), PARK NICOLLET HEALTH SERVICES HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION, AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF PARK NICOLLET GROUP RETURN (EIN 45-5023260. FORM 990, PART IX, LINE 11G EMPLOYEES OF AFFILIATES: PROGRAM SERVICE EXPENSES 52,828,028. MANAGEMENT AND GENERAL EXPENSES 6,533,504. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,361,532. MANAGEMENT CONSULTANTS: PROGRAM SERVICE EXPENSES 1,702,258. MANAGEMENT AND GENERAL EXPENSES 6,563,025. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,265,283. FORM 990, PART XI, LINE 9: CAPITAL CONTRIBUTION 15,000,000. POST RETIREMENT OBLIGATION -169,529. DEFERRED COMPENSATION TRUST 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 411809020 INVESTMENTS MN 37370 1826284 PARK NICOLLET HEALTH SERVICES TRIA ORTHOPEDIC CENTER LLC 8100 NORTHLAND DRIVE BLOOMINGTON MN 55431 200034003 HEALTH CARE MN PARK NICOLLET HEALTH SERVICES HEALTHPARTNERS EAST SIDE HOLDING LLC 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 201282428 REAL ESTATE HOLDING COMPANY DE N/A HEALTHPARTNERS PROPERTY DEVELOPMENT COMPANY LLC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 455122853 PROPERTY DEVELOPMENT MN N/A 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 RH-WISCONSIN 8171 33RD AVE S PO BOX 1309 MPLS MN 554401309 202287016 CORPORATE PLANNING AND OVERSIGHT WI 501(C)(3) 509(A)(3) TYPE I HPI - RAMSEY 0 HPI-RAMSEY 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411793333 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS INC 0 GROUP HEALTH PLAN INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 410797853 STAFF MODEL HEALTH MAINTENANCE ORGANIZATION MN 501(C)(3) 170(B)(1) (A)(III) HEALTHPARTNERS INC 0 HEALTHPARTNERS INSTITUTE 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411670163 HEALTHCARE EDUCATION AND RESEARCH MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS INC 0 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) 170(B)(1) (A)(III) HPI - 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