2017-11-14T17:40:07-06:00 2016-12-31 135665207 KPMG LLP 4200 WELLS FARGO CENTER 90 S 7TH STREET MINNEAPOLIS MN 55402 990 2016-01-01 363465840 PARK NICOLLET HEALTH SERVICES PARK 9529933108 6500 EXCELSIOR BOULEVARD ST LOUIS PARK MN 55426 CATHERINE LENAGH VP & CFO 9529933108 2017-11-14 1 MONROE JORDAN GIERL P01413237 6123055000 198.174.110.146 2017-11-14 17:39:46 CS P 1A39D2BAC3E977A191A219CBBAAA8778AA2E0A5D 282CC43464B9830A349574F670F0BA37F913502D 2016 2017-02-10 21:41:12Z CATHERINE LENAGH 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 94886852 0 X WWW.PARKNICOLLET.COM X 1986 MN TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY 15 0 10237 0 20110 17532 25000 79475 93167342 94750408 7736 37 38380 35703 93238458 94865623 27550 13422 0 0 12544873 14668958 0 0 0 79086929 77959614 91659352 92641994 1579106 2223629 143932712 182130025 140268693 166108195 3664019 16021830 X OUR MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. 0 0 76249016 13422 94765776 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 76249016 1 1 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 434 0 1 10237 1 1 1 0 0 0 0 0 0 0 0 0 X 15 0 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 3811459 373439 PARK NICOLLET GROUP RETURN -SEE SCH OFFICERS 55.00 5.00 X 8135647 2378769 2145014 PARK NICOLLET GROUP RETURN -SEE SCH HIGHEST COMPENSATED EMPLOY 1.00 55.00 X 0 5271819 296546 PARK NICOLLET GROUP RETURN -SEE SCH FORMER 0.00 X 0 521283 106696 8135647 11983330 2921695 19 1 1 0 0 79475 79475 PATIENT SERVICES 621400 80934847 80934847 SERVICES TO AFFILIATES EXEMPT ORG 561000 13276922 13276922 PREMIER PURCHASING 900099 538639 518529 20110 94750408 37 37 454 454 21000 21229 -229 -229 -229 MISCELLANEOUS SERVICES 541900 35478 35478 35478 94865623 94765776 20110 262 X 13422 13422 8135647 8135647 908856 908856 3125730 3125730 1073108 1073108 729692 729692 695925 695925 50628 50628 56401069 46213980 10187089 1289887 34163 1255724 372602 187865 184737 234231 194375 39856 4602398 3003856 1598542 30642 20923 9719 35232 11300 23932 3545707 3320646 225061 801550 10372 791178 MEDICAL SUPPLIES AND EQ 7099099 7080937 18162 TAXES AND ASSESSMENTS 1400835 1371459 29376 BAD DEBT 847000 847000 IND EXP ALL - SHARED EX 0 13266291 -13266291 1248734 672427 576307 92641994 76249016 16392978 0 3558861 6303889 91967869 126811985 10231754 12411085 472939 424209 678100 589706 65864058 43846738 25062946 22017320 9831354 11886766 2128889 1685065 143932712 182130025 95651006 135644235 44617687 30463960 140268693 166108195 X 3664019 16021830 3664019 16021830 143932712 182130025 X 2223629 10134182 X 0 1 X 1 0 X 212 25000 79475 104687 94357206 93739106 94603823 93195995 80934847 456830977 94357206 93739106 94604035 93220995 81014322 456935664 0 0 0 456935664 39587 59118 23734 34036 21491 177966 39587 59118 23734 34036 21491 177966 94396793 93798224 94627769 93255031 81035813 457113630 0.99960 0.99960 0.00040 0.00040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 27046 27046 92641994 1399329444 92641994 1399356490 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 51106 143687 87743 27046 309582 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. 87731 28381 50000 66112 105211 32020 49500 87731 68853 36358 105211 76400 30953 38500 68853 52482 23918 76400 1.00000 0 1 1 1917864 1917864 21134 21134 0 41677575 23561651 18115924 22247485 20263953 1983532 22017320 INVESTMENT IN TRI-CARE 4116403 C INVESTMENT IN PREMIER 7636737 C OTHER INVESTMENTS 133626 C 11886766 CONTINGENT MALPRACTICE LIABILITY 28731600 POST RETIREMENT OBLIGATION 1732360 30463960 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, 2016 OR 2015 FOR UNRECOGNIZED TAX BENEFITS. 1 X X X X X 0 1 0 0 0 0 0 1 0 PARK NICOLLET GROUP RETURN -SEE SCH DIRECTORS 0 1924158 0 219012 0 1668289 0 249304 0 124135 0 4184898 0 1563465 PARK NICOLLET GROUP RETURN -SEE SCH OFFICERS 6748329 1695426 1210215 500484 177103 182859 1014793 461948 557275 110998 9707715 2951715 371522 102406 PARK NICOLLET GROUP RETURN -SEE SCH HIGHEST COMPENSATED EMPLOY 0 5110384 0 151751 0 9684 0 118915 0 177631 0 5568365 0 0 PARK NICOLLET GROUP RETURN -SEE SCH FORMER 0 380178 0 130432 0 10673 0 74602 0 32094 0 627979 0 6196 PART I, LINE 3 THE PARK NICOLLET HEALTH SERVICES' BOARD OF DIRECTORS IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S CEO 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 PARK NICOLLET HEALTH SERVICES, RELATED TO CAA PLAN: STEVEN CONNELLY, MD $ 61,263 LAURA FRAZIER $ 29,157 ROXANNA GAPSTUR $ 39,981 CATHERINE LENAGH $ 35,566 JOHN MISA, MD $ 47,843 JOAN SANDSTROM $ 28,456 THEODORE WEGLEITNER $ 6,196 CATHERINE KLUGHERZ $ 20,657 CHRISTA GETCHELL $ 17,716 JOSHUA ZIMMERMAN MD $ 26,927 KRISTI LYON $ 16,746 CURT BOEHM, MD $ 33,568 MELISSA SCHOENHERR $ 19,837 OFFICERS AND DIRECTORS EMPLOYED BY HEALTHPARTNERS, INC HAVE DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J, PART II WHICH INCLUDE AMOUNTS FROM A NONQUALIFIED 457(F) PLAN, THE FOLLOWING PARTICIPANTS RECEIVED PAYOUTS: BABETTTE APLAND $ 9,408 BRIAN RANK, MD $ 1,563,465 NANCY MCCLURE $ 29,263 BARBARA TRETHEWAY $ 63,735 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, PART III, LINE 4A, EXEMPT PURPOSE AND ACHIEVEMENTS CORPORATE STRUCTURE, PURPOSE, GOVERNANCE PARK NICOLLET HEALTH SERVICE (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 AND WESTERN WISCONSIN. 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 1.6 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE. HEALTHPARTNERS MEDICAL CARE SYSTEM INCLUDES MORE THAN 1,700 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 24 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 HEALTH CARE PROVIDERS LOCATED PRIMARILY IN MINNESOTA AND WESTERN WISCONSIN. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUNDRAISING 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 2016 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 ORTHOPEADIC CENTER (TRIA). 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. TRIA IS A DISREGARDED ENTITY OF PNHS. 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 OUR 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 EIGHT DIFFERENT PROCEDURE TYPES. SOME OF TRIA'S PATIENT REGISTRIES ARE NOW AMONGST THE MOST EXTENSIVE IN THE INDUSTRY. IN 2016, TRIA PROVIDED 191 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 2016, 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 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. APPROXIMATELY 100 MEDICAL STUDENTS, AND RESIDENTS ROTATE THROUGH TRIA EACH YEAR. 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 AMONGST THE MOST EXTENSIVE IN THE INDUSTRY. EVERY TUESDAY MORNING THROUGHOUT THE ACADEMIC YEAR TRIA PROVIDES PROFESSIONAL EDUCATION SESSIONS FOR OVER 1,000 ATTENDEES, INCLUDING OUR STAFF, FELLOWS, AND CLINICAL STAFF IN THE AREA, NUMEROUS STUDENTS AND RESIDENTS. TRIA'S ANNUAL ORTHOPAEDIC AND SPORTS MEDICINE CONFERENCE DREW OVER 250 PROFESSIONALS ACROSS THE U.S. TRIA'S PHYSICIANS AND STAFF HAD 11 PUBLICATIONS, 19 PRESENTATIONS, AND 1 BOOK CHAPTER. THEIR OUTCOMES PROGRAM ENROLLED 1,614 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 THAT WOULD LIKE TO LEARN MORE ABOUT THE HEALTHCARE PROFESSION, SPECIFICALLY ORTHOPAEDICS, AND INCLUDES THE SHADOWING OF TRIA CLINICIANS. THERE WERE 128 ATTENDEES IN THESE SESSIONS. VOLUNTEER ACTIVITIES TRIA EMPLOYEES RAISED MORE THAN $4,000 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: DYNOMITES, VEAP (VOLUNTEERS ENLISTED TO ASSIST PEOPLE), OASIS FOR YOUTH, PRICELESS FOR PURPOSE, 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 SUPPORTING THE BIRTHDAY PARTY PROJECT COLLECTING DONATIONS FOR FOOD DRIVES, BOOK DRIVES AND HOLIDAY TOY DRIVES FOR VEAP RUNNING THE JINGLE BELL RUN FOR THE ARTHRITIS FOUNDATION HOSTING A BLOOD DRIVE AT TRIA FOR MEMORIAL BLOOD CENTERS SUPPORTING VEAP BY ATTENDING THE YEARLY GALA AND THE A TOAST TO VEAP EVENT. 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 AT PARK NICOLLET HEALTH SERVICES ALL KEY EMPLOYEES, DIRECTORS, AND OFFICERS ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT EACH YEAR; HOWEVER THE OBLIGATION TO REPORT POTENTIAL CONFLICTS IS ONGOING. PARK NICOLLET HEALTH SERVICES BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES PURSUANT TO ITS CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ALL BOARD MEMBERS AND OFFICERS ANNUALLY ARE PROVIDED A COPY OF THE POLICY AND REQUIRED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTEREST. THE GENERAL COUNSEL REVIEWS THE COMPLETED QUESTIONNAIRES AND PROVIDES A REPORT TO THE GOVERNANCE COMMITTEE OF THE BOARD. THE REPORT IDENTIFIES ANY SIGNIFICANT POTENTIAL CONFLICTS DISCLOSED IN THE COMPLETED QUESTIONNAIRES. A WRITTEN REPORT IS PROVIDED TO THE CHAIR AND CHIEF EXECUTIVE OFFICER (CEO). 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 & CEO (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 PARK NICOLLET HEALTH SERVICES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. PARK NICOLLET HEALTH SERVICES MAILS ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS TO FINANCIAL INSTITUTIONS, GOVERNMENTAL INSTITUTIONS, BOARD MEMBERS, MEDIA REPRESENTATIVES, VENDORS, AND THE MINNESTOA HOSPITAL ASSOCIATIONS(MHA) PARK NICOLLET HEALTH SERVICES DISCLOSES QUARTERLY FINANCIAL STATEMENTS TO BONDHOLDERS AND MHA. THE ANNUAL AUDITED AND QUARTERLY FINANCIAL STATEMENTS ARE ALSO POSTED AT EMMA.MSRB.ORG. 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 44,899,655. MANAGEMENT AND GENERAL EXPENSES 5,543,573. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,443,228. MANAGEMENT CONSULTANTS: PROGRAM SERVICE EXPENSES 396. MANAGEMENT AND GENERAL EXPENSES 1,860,522. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,860,918. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,313,929. MANAGEMENT AND GENERAL EXPENSES 2,782,994. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,096,923. FORM 990, PART XI, LINE 9: POST RETIREMENT OBLIGATION 213,657. CAPITAL CONTRIBUTION 10,000,000. CONTRIBUTION FROM PNF -79,475. DEFERRED COMPENSATION TRUST 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 411809020 INVESTMENTS MN 14257 1686596 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 PARK NICOLLET METHODIST HOSPITAL 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 410132080 HEALTH CARE MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 1 PARK NICOLLET FOUNDATION 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 237346465 GRANTS TO SERVE THE COMMUNITY MN 501(C)(3) 170(B)(1) (A)(VI) PARK NICOLLET HEALTH SERVICES 1 PARK NICOLLET CLINIC 3800 PARK NICOLLET BLVD ST LOUIS PARK MN 55416 410834920 HEALTH CARE MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 1 PARK NICOLLET HEALTH CARE PRODUCTS 3800 PARK NICOLLET BLVD ST LOUIS PARK MN 55416 010638901 HEALTH CARE PRODUCTS MN 501(C)(3) 509(A)(3) TYPE I PARK NICOLLET HEALTH SERVICES 1 PNMC HOLDINGS 3800 PARK NICOLLET BLVD ST LOUIS PARK MN 55416 101741792 HEALTH CARE REAL ESTATE MN 501(C)(3) 509(A)(3) TYPE II PARK NICOLLET HEALTH SERVICES 1 TRIA ORTHOPEADIC CENTER RESEARCH INSTITUTE 8100 NOIRTHLAND DRIVE BLOOMINGTON MN 55431 200033919 HEALTH CARE RESEARCH AND EDUCATION MN 501(C)(3) 509(A)(3) TYPE I PARK NICOLLET HEALTH SERVICES 1 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 - 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