PARK NICOLLET: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: PARK NICOLLET (EIN 45-5023260)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-08
IRS object ID: 201203139349301595
Schema version: 2011v1.2
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 F
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-08T15:29:44-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	50 South Sixth Street	AddressLine1
City	Minneapolis	City
State	MN	State
ZIP Code	55402	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	455023260	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Park Nicollet Group Return	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PARK	NameControl
Phone	9529936790	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6500 Excelsior Boulevard	AddressLine1
City	St Louis Park	City
State	MN	State
ZIP Code	55426	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Sheila McMillan	Name
Title	Sr VP & CFO	Title
Phone	9529936790	Phone
Date Signed	2012-11-01	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Kristina Rasmussen	Name
PTIN	P00143920	PTIN
Phone	6123974000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Initial Return	X	InitialReturn
Name Of Principal Officer Person	Sheila McMillan	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	6500 Excelsior Boulevard	AddressLine1
City	St Louis Park	City
State	MN	State
ZIP Code	55426	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1425429506	GrossReceipts
Group Return For Affiliates	1	GroupReturnForAffiliates
All Affiliates Included	1	AllAffiliatesIncluded
Group Exemption Number	5874	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.parknicollet.com	WebSite
Type Of Organization Other	X	TypeOfOrganizationOther
State Legal Domicile	MN	StateLegalDomicile
Activity Or Mission Description	Cares for and supports the health, healing, and learning of those served.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	24	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	1087	TotalNbrVolunteers
Total Gross UBI	4032986	TotalGrossUBI
Net Unrelated Business Txbl Income	-729543	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	18790749	ContributionsGrantsPriorYear
Contributions Grants Current Year	14391919	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1165706743	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1141830201	ProgramServiceRevenueCY
Investment Income Prior Year	7046714	InvestmentIncomePriorYear
Investment Income Current Year	17727333	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6447050	OtherRevenuePriorYear
Other Revenue Current Year	6353193	OtherRevenueCurrentYear
Total Revenue Prior Year	1197991256	TotalRevenuePriorYear
Total Revenue Current Year	1180302646	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	5939785	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	186876	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	601848526	SalariesEtcPriorYear
Salaries Etc Current Year	611537104	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	560866	TotalFundrsngExpCurrentYear
Other Expense Prior Year	550000008	OtherExpensePriorYear
Other Expenses Current Year	544022710	OtherExpensesCurrentYear
Total Expenses Prior Year	1157788319	TotalExpensesPriorYear
Total Expenses Current Year	1155746690	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	40202937	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	24555956	RevenuesLessExpensesCY
Total Assets BOY	929740783	TotalAssetsBOY
Total Assets EOY	925315895	TotalAssetsEOY
Total Liabilities BOY	505633819	TotalLiabilitiesBOY
Total Liabilities EOY	487581753	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	424106964	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	437734142	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Cares for and supports the health, healing, and learning of those served.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	893535110	Expense
Grants	186876	Grants
Revenue	1048037604	Revenue
Description	Park Nicollet Health Services is the parent organization to an integrated care system that includes Park Nicollet Methodist Hospital, Park Nicollet Clinic, Park Nicollet Health Care Products, Park Nicollet Institute and PNMC Holdings. Park Nicollet Health Services and affiliates have more than 8,100 team members, including more than 1,000 physicians on staff. Park Nicollet Health Services is a nonprofit system staffed by nationally recognized doctors, clinical professionals, nurses and other team members who help patients stay healthy and take care of them when they are sick.In 2011, Park Nicollet Health Services and affiliates, a national health care improvement leader, continued to make dramatic patient care advances, win prominent awards, expand access to services and integrate efficiency into Park Nicollet Health Services' operations. Park Nicollet Health Services and affiliates also have enhanced community health, increased team member satisfaction and promoted research and education. Park Nicollet Health Services mission is to care for and support the health, healing and learning of those served. Park Nicollet Health Services uses five core values to accomplish its mission: care, service, stewardship, joy and learning. Highlights of 2011 that support Park Nicollet Health Service's values include the following: - Park Nicollet opened Park Nicollet Clinic-Lakeville on Aug. 22 near the intersection of 185th Street and I-35W. The clinic opened with 25 team members, including four physicians. It offers family medicine, pediatrics and extended hours. - Park Nicollet Melrose Institute expanded its eating disorders care to Park Nicollet Clinic-Burnsville in October after the number of Melrose patient from Dakota County doubled over a three-year period. - Melrose Institute added a metabolic health and weight management program to its eating disorders treatment offerings. - Park Nicollet International Diabetes Center (IDC) began working with Mayo Clinic to develop a clinical diabetes training program for Chinese physicians after signing a $3.9 million contract with the China Ministry of Health. This is a five-year initiative to train 500 emerging expert physicians in China regarding advances in diabetes research, care and education. - With a $1.5 million grant awarded by the Leona M. and Harry B. Helmsley Charitable Trust, IDC worked to further standardize glucose analysis to improve type 1 diabetes clinical outcomes. - Park Nicollet Frauenshuh Cancer Center (FCC) became the first program in Minnesota to be certified as a Quality Oncology Practice Initiative. - In February, the 1,700 United Health Group employees who work at UHG's Minnetonka headquarters began using The Well, a new work-site clinic staffed by Park Nicollet clinicians and Optum Health wellness providers. - Launched Head + Heart, Together internal culture that combines intellect and the science of medicine with the compassion, spirit and humanity of Park Nicollet team members. The launch included team vision meetings, rollout of HHT competencies, a new appraisal system and HHT magazine for team members. - Park Nicollet completed its electronic medical record (EMR) transition from Last Word to Epic in early July. This was the culmination of three years of planning and implementations. The EPIC Command Center received more than 13,000 calls between July 2 and 18, and 130 people were working in the center when Epic went live on July 5. As part of the transition to Epic, Park Nicollet launched My Chart service, so patients can access portions of their EMR at mychart.parknicollet.com. - Park Nicollet began conducting patient surveys at all locations as part of our effort to continually improve our Patient and Family Experience. Results will be tied to team member surveys. - For the third consecutive year, Park Nicollet achieved 100 percent of its quality goals as part of its participation in the Physicians Group Practice (PGP) Demonstration, Medicare's first physician pay-for-performance initiative at the group practice level. Park Nicollet's 2011 federal PGP bonus payment was nearly $5.7 million. - Park Nicollet is one of 32 health systems to receive Accountable Care Organization (ACO) status from the Centers for Medicare & Medicaid Services (CMS). Through the Pioneer ACO Model, Park Nicollet is working with CMS to test new payment models in order to provide Medicare beneficiaries with higher quality care while reducing growth in Medicare expenditures through enhanced care coordination.We are gratified that many of our clinical and cost-saving achievements were recognized by respected third-party organizations. These honors and recognition included: - Park Nicollet received 2011 HealthGrades recognition that included: * Distinguished Hospital Award for Patient Safety * Cardiac Excellence Award * Stroke Care Excellence Award * Critical Care Excellence Award * Pulmonary Care Excellence Award * Gastrointestinal Medical Treatment Excellence Award * Women's Health Excellence Award * Innovation in Health Care Award - Park Nicollet's Leigh Myers-Higgins, RN, received the Good Catch for Patient Safety Award from the Minnesota Hospital Association. - Methodist Hospital's vascular laboratory was the only one in the Twin Cities to receive accreditation in four major testing areas from the Intersocietal Commission for the Accreditation of Vascular Labs. - Thomson Reuters named Methodist Hospital as one of its 50 Top Cardiovascular Hospitals. - Park Nicollet was named a Leader in Lesbian, Gay, Bi-sexual and Transgender (LGBT) Equality by the Human Rights Campaign Foundation, which publishes the annual Healthcare Equality Index report. The index focuses on policies and practices that help create a welcoming environment for LGBT patients and families. - 2011 Nurse of Excellence Award recipients were: Angel Larson, RN; Carrie Wickland, LPN; Kelly Albers, RN; Mary Jo Macklem, RN; Laura Nicklay, RN; Kris Smith, RN; and Vicki Norton, RN. - Joel Jahrus, MD, Medical Director of the Melrose Institute, received the Ellis Island Medal of Honor, which recognizes leadership dedicated to community service and a commitment to teaching and improving the health and well-being of others. Past recipients include former presidents Bill Clinton, George H. Bush and Gerald Ford. - FCC received the Commission on Cancer Outstanding Achievement Award. - IDC was selected as one of the top 25 medical organizations to participate in the Type 1 Diabetes Exchange.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	60467729	Expense
Revenue	60911521	Revenue
Description	Park Nicollet Health Care Products is part of Park Nicollet Health Services, a nonprofit integrated care delivery system, staffed by nationally recognized hospital and clinic doctors, clinical professionals, nurses, researchers and other staff at Park Nicollet Methodist Hospital and Park Nicollet Clinic who help patients stay healthy and take care of patients when they are sick. Park Nicollet Health Care Products is a supporting organization to Park Nicollet Methodist Hospital and Park Nicollet Clinic, providing durable medical equipment (DME)/supplies and pharmaceuticals supporting ongoing patient care. Park Nicollet Health Care Products focus on the health, healing and learning of patients by providing easy access to products and services that support successful self-management of a health condition at home. The products support both short term acute conditions and chronic lifelong conditions, such as eyewear, hearing aids, and many products that cross into almost every medical subspecialty. The Pharmacy @ Park Nicollet, meets growing demand for self-care products and services. The Pharmacies are at these Park Nicollet Clinic locations: Bloomington, Brookdale, Burnsville, Carlson Parkway (Minnetonka), Chanhassen, Eagan, Maple Grove, Minneapolis, St. Louis Park, and Wayzata as well as the Heart and Vascular Center and Meadowbrook at the Park Nicollet Methodist Hospital.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 Park Nicollet Health Care Products is expanding its capacity to better serve these growing needs. Major accomplishments for The Pharmacy @ Park Nicollet in 2011 include: - Enhanced product and pharmaceutical assortments available for patients, especially patients living with chronic health conditions such as diabetes, cancer, and bone and joint disease. - Educated physicians and care provider's about Pharmacy services and products to better link solutions for patient health care needs, including smoking cessation. - Developed standard work around provider referrals to Park Nicollet Pharmacies, assuring that patients have the products needed as they go home from clinic or hospital. - Continue to provide customer service and sales training to all store staff and management. - Expanded Pharmacy MTM, (Medication Therapy Management) services directly into the care environment to assist both providers and patients alike. - Update e-commerce Web site for Pharmacy @ Park Nicollet to make it easier for providers and patients to locate and purchase health care products. - Worked with staff to ensure their job satisfaction and self worth so that they can, in turn, share their positive attitude with clinical team members and customers. - Enhanced the focus on customer satisfaction scores to reinforce best practices and provide superior service. - Enhanced tracking systems to measure and monitor customer success of sales strategies. - Ensured all Pharmacy staff attended learning events to achieve their continuing education requirements. - Attended major trade shows to keep current with pharmacy assortment and billing information. - Held meetings and educational sessions for Pharmacy staff to learn the complexities of billing 3rd party payers to ensure compliance and accuracy of claims submission.The Contact Lens and Optical Store @ Park Nicollet Health Care Products, which meet growing demand for self-care products and services, are at these Park Nicollet Clinic sites: Bloomington, Brookdale, Burnsville, Carlson Parkway (Minnetonka), Chanhassen, Maple Grove, Minneapolis, Shakopee, and St. Louis Park. 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 Park Nicollet Health Care Products is expanding its capacity to better serve these growing needs. Major accomplishments for The Contact Lens and Optical Store @ Park Nicollet in 2011 include: - Enhanced optical product assortments available for patients, especially patients living with chronic health conditions affecting their vision. - Enhanced the optical benefit program offered to PN employees to increase the affordability of eyewear.Park Nicollet Health Care Products, branded as The Stores @ Park Nicollet, is a group of departments within Park Nicollet Health Services providing durable medical equipment (DME)/supplies and pharmaceuticals, supporting ongoing patient care. HCP partners with your clinician to provide products and services to help you live more comfortably.The Health and Care Stores, which meet a growing demand for self-care products and services, located within Park Nicollet Clinics, include: Health & Care Store offering DME products at 4 locations, Hearing Center & Store with 3 locations, CPAP clinic/Store with 2 locations and Breastfeeding Center, (1 location within the Meadowbrook Health & Care store).The Health & Care Stores are at these Park Nicollet Clinic sites: Burnsville, St. Louis Park, as well as the Heart and Vascular Center and Meadowbrook at the Park Nicollet Methodist Hospital.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 Park Nicollet Health Care Products is expanding its capacity to better serve these growing needs. Major accomplishments for The Health & Care Stores in 2011 include: - Enhanced product assortments available for patients, especially patients living with chronic health conditions. - Educated physicians and care provider's about Health Care Stores product offerings to better link patient health care needs to product solutions, including smoking cessation. - Developed standard work for provider referrals to Health Care stores, assuring that patients have the products needed as they go home from clinic or hospital. - Continued customer service and sales training to all store staff and management. - Expanded point of care operation and specialty stores to help bring more products directly into the care environment to assist both providers and patients alike.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	39057879	Expense
Revenue	32881076	Revenue
Description	Members of the Park Nicollet Group incur expenses on behalf of the affiliated tax exempt organizations, (Park Nicollet Health Services, Park Nicollet Clinic, Park Nicollet Health Care Products, Park Nicollet Methodist Hospital, PNMC Holdings, and Park Nicollet Institute.) These organizations provide rental space, employment and management services in order to assure the efficient and professional delivery of health care to the community.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	993060718	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	478	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Excess Business Holdings	0	ExcessBusinessHoldings
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	24	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Sheila McMillan	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	9529936790	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	6500 Excelsior Blvd	AddressLine1
City	St Louis Park	City
State	MN	State
ZIP Code	55426	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
David Abelson MD
President and CEO	55.00	X	X	0	1037727	204677
Steven Connelly MD
Exec VP & CMO	55.00	X	X	0	605453	101236
Judith Corson
Secretary	3.00	X	X	0	0	0
Michael Kaupa
Executive VP and COO	55.00	X	X	0	712622	140460
Donald Lewis JD
Vice Chair	3.00	X	X	0	0	0
Sheila McMillan
Sr VP & CFO	55.00	X	X	0	455991	93913
Richard E Struthers
Treasurer	3.00	X	X	0	0	0
Kenneth L Thome
Chair	3.00	X	X	0	0	0
Barbara Degnan
Director	3.00	X		0	0	0
Paul Dominski
Director	55.00	X		0	548428	141934
Bruce W Engelsma
Director	3.00	X		0	0	0
Steve Frank
Director	3.00	X		0	0	0
Roxanna Gapstur PhD
Director	55.00	X		0	228552	67467
Christa Getchell
Director	55.00	X		0	181653	21496
David Homans MD
Chief of Specialty Serv	55.00	X		0	502433	78019
Jeffrey B Husband MD
Director	55.00	X		559721	0	47479
Tom Jones MD
Director	55.00	X		696192	0	30136
Charles McCoy MD
Director	55.00	X		195593	0	26937
Ken Melrose
Director	3.00	X		0	0	0
Ruth Mickelsen
Director	3.00	X		0	0	0
Lee N Newcomer MD
Director	3.00	X		0	0	0
James O Pohlad
Director	3.00	X		0	0	0
William Richards MD
Director	55.00	X		285948	0	29327
Janet Schaffer MD
Director	55.00	X		348834	0	44421
Eric Schned MD
Director	55.00	X		358528	0	40282
Dan Schumacher
Director	3.00	X		0	0	0
Janette Strathy MD
Director	55.00	X		283879	0	33474
Katherine Tarvestad
Director	55.00	X		0	40790	17235
Mark Wilkowske MD
Chief of Oncology Serv	55.00	X		515192	0	46833
Susan Zwaschka
VP Corp Compliance	55.00	X		0	556458	39930
Mary Johnson
TRIA COO	55.00			0	310138	20473	X
Theodore Wegleitner
TRIA COO	55.00			0	333820	54800	X
Dane Christensen MD
Medical Doctor	55.00			813975	0	51166		X
Timothy Diegel MD
Medical Doctor	55.00			1067526	0	67063		X
Darin Epstein MD
Medical Doctor	55.00			916553	0	52653		X
Steven Rakes MD
Medical Doctor	55.00			827746	0	51365		X
Anton Willerscheidt MD
Medical Doctor	55.00			806752	0	67561		X
Kathryn D Kallas
Former VP Inpatient Care & CNO	0.00			0	481623	59060			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7676439	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	5995688	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1629397	TotalOtherCompensation
Number Individuals GT100 K	1035	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
RJM Construction
5455 HWY 169	Plymouth	MN	55442	Construction Services	5641005
Mequist Transcriptions LTD
PO Box 102467	Atlanta	GA	30368	Transcription	3790333
ABM Janitorial Services Inc
75 Remittance Dr Suite 3048	Chicago	IL	60693	Janitorial	3115880
Digital Prospectors Corporation
100 High Street Building B	Exeter	NH	03833	Training	3081690
Memorial Blood Center of Minneapolis
PO Box 1164	Minneapolis	MN	55480	Medical Services	2699816

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	133	NumberOfContractorsGT100K
Related Organizations	2149214	RelatedOrganizations
Government Grants	3983539	GovernmentGrants
All Other Contributions	8259166	AllOtherContributions
Total Contributions	14391919	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
Medical Services	621400	733475025	732582199	$892,826
Medicare/Medicaid	621400	310225584	310225584
Retail Sales	446110	60911521	56843848	$34,687	4032986
Services to Affilates	561000	32881076	32881076
Research	541700	4336995	4336995

Field	Value	IRS element (for citing)
Total Program Service Revenue	1141830201	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6125159	TotalRevenueColumn
Exclusion	$6,125,159	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	364955	TotalRevenueColumn
Exclusion	$364,955	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5811	TotalRevenueColumn
Exclusion	$5,811	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1980491	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1495573	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	484918	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	484918	TotalRevenueColumn
Exclusion	$484,918	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	252573248	Securities
Other	1762777	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	242103996	Securities
Other	994810	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	10469252	Securities
Other	767967	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	11237219	TotalRevenueColumn
Exclusion	$11,237,219	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	1494243	GrossSalesOfInventory
Cost Of Goods Sold	532481	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	961762	TotalRevenueColumn
Exclusion	$961,762	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Cafeteria	722210	2439519	$2,439,519
Property Management	812930	2271308	$2,271,308
Misc Services	900099	189875	$189,875

Field	Value	IRS element (for citing)
Total Other Revenue	4900702	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1180302646	TotalRevenueColumn
Related Or Exempt Function Income	1136869702	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4032986	UnrelatedBusinessRevenue
Exclusion	$25,008,039	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	167777	Total
Program Services	167777	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	19099	Total
Program Services	19099	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2816444	Total
Program Services	2417758	ProgramServices
Management And General	398686	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	498723262	Total
Program Services	477128084	ProgramServices
Management And General	21224357	ManagementAndGeneral
Fundraising	370821	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	31441915	Total
Program Services	29359501	ProgramServices
Management And General	2053059	ManagementAndGeneral
Fundraising	29355	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	47971945	Total
Program Services	45028746	ProgramServices
Management And General	2887779	ManagementAndGeneral
Fundraising	55420	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	30583538	Total
Program Services	29018823	ProgramServices
Management And General	1531445	ManagementAndGeneral
Fundraising	33270	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1036953	Total
Management And General	1036953	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	448883	Total
Management And General	448883	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	740657	Total
Management And General	740657	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	34159131	Total
Program Services	31354780	ProgramServices
Management And General	2732351	ManagementAndGeneral
Fundraising	72000	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3654242	Total
Program Services	271119	ProgramServices
Management And General	3383123	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	14850089	Total
Program Services	10538470	ProgramServices
Management And General	4311619	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	8935225	Total
Program Services	8593519	ProgramServices
Management And General	341706	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	43704336	Total
Program Services	40082286	ProgramServices
Management And General	3622050	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	936195	Total
Program Services	778246	ProgramServices
Management And General	157949	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	801880	Total
Program Services	698213	ProgramServices
Management And General	103667	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	9789418	Total
Program Services	9789418	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	30430126	Total
Program Services	27527472	ProgramServices
Management And General	2902654	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7889654	Total
Management And General	7889654	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Management Fees	156429670	51414077	105015593
Medical Supplies	134980485	134548555	431930
Cost of Goods Sold	40837694	40837694	0
Bad Debt Expense	26018410	26018410	0

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	28379662	Total
Program Services	27468671	ProgramServices
Management And General	910991	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1155746690	Total
Program Services	993060718	ProgramServices
Management And General	162125106	ManagementAndGeneral
Fundraising	560866	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	602996	BOY
EOY	830871	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	192677	BOY
EOY	282705	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	1972690	BOY
EOY	3414212	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	112572899	BOY
EOY	135003069	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	11219361	BOY
EOY	10046399	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8249643	BOY
EOY	11936459	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	954957878	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	613787542	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	358091019	BOY
EOY	341170336	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	386672271	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	394731187	BOY
EOY	28139728	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	42108311	BOY
EOY	7819845	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	929740783	BOY
EOY	925315895	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	93815825	BOY
EOY	82424257	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	6191231	BOY
EOY	11939650	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	388720675	BOY
EOY	379891311	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2698222	BOY
EOY	1984777	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	4132852	BOY
EOY	1930180	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	10075014	BOY
EOY	9411578	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	505633819	BOY
EOY	487581753	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	422917533	BOY
EOY	436481051	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	914699	BOY
EOY	976854	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	274732	BOY
EOY	276237	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	424106965	BOY
EOY	437734142	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	929740783	BOY
EOY	925315895	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	24555956	ReconcilationRevenueExpenses
Reconcilation Other Changes	-10928779	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii
General Explanation	Schedule A, Part IV, Supplemental Information: Park Nicollet Methodist Hospital Line 3; 170(b)(1)(a)(iii) Park Nicollet Clinic Line 3; 170(b)(1)(a)(iii) Park Nicollet Institute Line 4; 170(b)(1)(a)(iii) Park Nicollet Health Care Products Line 11 Type II; 509(a)(3) PNMC Holdings Line 11 Type I; 509(a)(3) Part I, Line 11: Supporting organizations detail: PNMC Holdings and Park Nicollet Healthcare Products provide support to following organizations: PNMC Holdings: Line 11, column (i) Park Nicollet Clinic, (ii) 41-0834920, (iii) 170(b)(1)(a)(iii), (iv), Yes, (v) Yes, (vi) Yes, (vii) $2,205,011 Park Nicollet Health Care Products: Line 11, column (i) Park Nicollet Methodist Hospital, (ii) 41-0132080, (iii) 170(b)(1)(a)(iii), (iv), Yes, (v) Yes, (vi) Yes, (vii) $5,385,974 Line 11, column (i) Park Nicollet Clinic, (ii) 41-0834920, (iii) 170(b)(1)(a)(iii), (iv), Yes, (v) Yes, (vi) Yes, (vii) $ 65,563,597	GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$55,089	OtherActivitiesAmount
Total Lobbying Expenditures IIB	55089	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	Park Nicollet reimburses certain professional membership dues of employees. A portion of such membership dues are used by the professional associations for lobbying activities.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	22048592	BeginningOfYearBalance
Contributions	1489934	Contributions
Investment Earnings Or Losses	-341465	InvestmentEarningsOrLosses
Grants Or Scholarships	2342091	GrantsOrScholarships
End Of Year Balance	20854970	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	23127080	BeginningOfYearBalance
Contributions	1474161	Contributions
Investment Earnings Or Losses	850097	InvestmentEarningsOrLosses
Grants Or Scholarships	3402746	GrantsOrScholarships
End Of Year Balance	22048592	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	40045623	BeginningOfYearBalance
Contributions	3239794	Contributions
Investment Earnings Or Losses	538558	InvestmentEarningsOrLosses
Grants Or Scholarships	20696895	GrantsOrScholarships
End Of Year Balance	23127080	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	40780143	BeginningOfYearBalance
Contributions	3726005	Contributions
Investment Earnings Or Losses	-162788	InvestmentEarningsOrLosses
Grants Or Scholarships	4297737	GrantsOrScholarships
End Of Year Balance	40045623	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.43000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.57000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	27670907	OtherCostOrOtherBasis
Book Value	27670907	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	445936748	OtherCostOrOtherBasis
Depreciation	250225141	Depreciation
Book Value	195711607	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	50098266	OtherCostOrOtherBasis
Depreciation	33571055	Depreciation
Book Value	16527211	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	426937522	OtherCostOrOtherBasis
Depreciation	329991346	Depreciation
Book Value	96946176	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4314435	OtherCostOrOtherBasis
Book Value	4314435	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	341170336	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Capital Lease Obligation	$73,179
Long-term Capital Lease Obligation	$3,164,318
Securities Loan Agreement	$6,174,081

Field	Value	IRS element (for citing)
Total Of Amounts	9411578	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	The Term endowment funds for use within Park Nicollet Clinic, Park Nicollet Institute and Park Nicollet Methodist Hospital are for Grants related to Education, Research and Patient Care.
Description of Uncertain Tax Positions Under FIN 48:	Part X:	Park Nicollet Health Services and affiliates adopted the provisions of FIN 48, Accounting for Uncertainty in Income Taxes - an interpretation of FASB Statement No. 109, on January 1, 2007. As a result of the implementation of FIN 48, Park Nicollet Health Services and affiliates were not required to recognize a liability for unrecognized tax benefits. There were no unrecognized tax benefits for the years ended December 31, 2009, 2010 and 2011.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (3 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
East Asia and the Pacific	Program Services	Education	13733
Europe (including Iceland & Greenland)	Program Services	Education	29333
Middle East and North Africa	Program Services	Education	14288

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	57354	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	57354	TotalAmountSpent
Transfer To Foreign Corp	0	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	0	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	275.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	275.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	0	AmountsBudgetedForCharityCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11580871	TotalCommunityBenefitExpense
Direct Offsetting Revenue	165368	DirectOffsettingRevenue
Net Community Benefit Expense	11415503	NetCommunityBenefitExpense
Percent Of Total Expense	0.01010	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	105691914	TotalCommunityBenefitExpense
Direct Offsetting Revenue	58427819	DirectOffsettingRevenue
Net Community Benefit Expense	47264095	NetCommunityBenefitExpense
Percent Of Total Expense	0.04180	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	117272785	TotalCommunityBenefitExpense
Direct Offsetting Revenue	58593187	DirectOffsettingRevenue
Net Community Benefit Expense	58679598	NetCommunityBenefitExpense
Percent Of Total Expense	0.05190	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	20072	PersonsServed
Total Community Benefit Expense	5144526	TotalCommunityBenefitExpense
Direct Offsetting Revenue	441943	DirectOffsettingRevenue
Net Community Benefit Expense	4702583	NetCommunityBenefitExpense
Percent Of Total Expense	0.00420	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5794367	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1487507	DirectOffsettingRevenue
Net Community Benefit Expense	4306860	NetCommunityBenefitExpense
Percent Of Total Expense	0.00380	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7176759	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4712706	DirectOffsettingRevenue
Net Community Benefit Expense	2464053	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	50000	TotalCommunityBenefitExpense
Net Community Benefit Expense	50000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	20072	PersonsServed
Total Community Benefit Expense	18165652	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6642156	DirectOffsettingRevenue
Net Community Benefit Expense	11523496	NetCommunityBenefitExpense
Percent Of Total Expense	0.01020	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	20072	PersonsServed
Total Community Benefit Expense	135438437	TotalCommunityBenefitExpense
Direct Offsetting Revenue	65235343	DirectOffsettingRevenue
Net Community Benefit Expense	70203094	NetCommunityBenefitExpense
Percent Of Total Expense	0.06210	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$16,279,755	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	220257408	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	260611957	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-40354549	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Park Nicollet Methodist Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	6500 Excelsior Blvd	AddressLine1
City	St Louis Park	City
State	MN	State
ZIP Code	55426	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Park Nicollet Methodist Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	275.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	275.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	28	NumberOfOtherFacilities

Other Facilities OtherFacilities (28 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Struther's Parkinson Center
6701 Country Club Drive	Golden Valley	MN	55427	Research and Treatment of Parkinson's Disease
Park Nicollet Melrose Institute
3625 Monterey Drive	St Louis Park	MN	55416	Eating disorder clinic/General Medical
3900 ClinicAmbulatory Surgical Center
3900 Park Nicollet Boulevard	St Louis Park	MN	55416	Ambulatory Surgical Center and General Medical and Retail
Meadowbrook Medical Building
3931 Louisiana Ave S	St Louis Park	MN	55426	Physican offices, ancillary medical services and Medical Retail
Prairie Center
8455 Flying Cloud Drive	Eden Prairie	MN	55344	Physican offices, ancillary medical services and Medical Retail
Bloomington Clinic
5320 Hyland Greens Drive	Bloomington	MN	55437	Physican offices, ancillary medical services and Medical Retail
Brookdale Clinic
6000 Earle Brown Drive	Brooklyn Center	MN	55430	Physican offices, ancillary medical services and Medical Retail
Burnsville Clinic
1400 Fairview Drive	Burnsville Clinic	MN	55337	Physican offices, ancillary medical services and Medical Retail
Carlson Parkway Clinic
15111 Twelve Oaks Center Drive	Minnetonka	MN	55305	Physican offices, ancillary medical services and Medical Retail
Chanhassen Clinic
300 Lake Drive E	Chanhassen	MN	55317	Physican offices, ancillary medical services and Medical Retail
Creekside
6600 Excelsior Blvd	St Louis Park	MN	55426	Physican offices, ancillary medical services and Medical Retail
CT-MRI Center
4951 Excelsior Blvd	St Louis Park	MN	55416	Imaging Center/Optical Retail
Eagan Clinic
1885 Plaza Drive	Eagan	MN	55122	Physican offices, ancillary medical services and Medical Retail
Golden Valley Clinic
8240 Golden Valley Drive	Golden Valley	MN	55427	Physican offices, ancillary medical services and Medical Retail
Lakeville Clinic
18432 Kenrick Ave	Lakeville	MN	55044	Physican offices, ancillary medical services and Medical Retail
Maple Grove Clinic
15800 95th Ave N	Maple Grove	MN	55369	Physican offices, ancillary medical services and Medical Retail
Maple Grove OB
9855 Hospital Drive Suite 275	Maple Grove	MN	55369	OB services
Maple Grove Rehab
9827 Maplge Grove Pkwy N	Maple Grove	MN	55369	Rehabiliation Services
Minneapolis Clinic
2001 Blaisdell Ave S	Minneapolis	MN	55404	Physican offices, ancillary medical services and Medical Retail
Minnetonka - Shorewood Clinic
19685 Highway 7	Shorewood	MN	55331	Physican offices, ancillary medical services and Medical Retail
Plymouth Clinic
3007 Harbor Lane N	Plymouth	MN	55447	Physican offices, ancillary medical services and Medical Retail
Prior Lake Clinic
4670 Park Nicollet Ave SE	Prior Lake	MN	55372	Physican offices, ancillary medical services and Medical Retail
Shakopee Clinic
1415 St Francis Ave	Shakopee	MN	55379	Physican offices, ancillary medical services and Medical Retail
Shakopee Clinic
1515 St Francis Ave	Shakopee	MN	55379	Physican offices, ancillary medical services and Medical Retail
Shakopee Clinic
1601 St Francis Ave	Shakopee	MN	55379	Physican offices, ancillary medical services and Medical Retail
St Louis Park Clinic
3800 Park Nicollet Blvd	St Louis Park	MN	55416	Physican offices, ancillary medical services and Medical Retail
St Louis Park Clinic
3850 Park Nicollet Blvd	St Louis Park	MN	55416	Physican offices, ancillary medical services and Medical Retail
Wayzata Medical Building
250 Central Ave N	Wayzata	MN	55391	Physican offices, ancillary medical services and Medical Retail

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 6a: Park Nicollet Foundation, a related organization of Park Nicollet Methodist Hospital, completes an organization wide annual community benefit report that includes Park Nicollet Methodist Hospital and other affiliated entities.
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-ratio was derived using Worksheet 2, ratio of patient care-cost-to charge, from the schedule H instructions.
Part I, L7 Col(f): Bad Debt Expense of $26,018,410 was subtracted for purposes of calculating the percentage in Schedule H, Part I, Line 7, column (f).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 statement do not include a footnote discussing bad debt expense, or allowance of doubtful accounts. 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 quality, 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 8: Park Nicollet Methodist Hospital believes that all of the Medicare loss should be classified as a community benefit. The reason is that if these services were not provided by us they would become the obligation of the federal government. Based on this, Medicare losses should be included as a community benefit because the losses are incurred in performing an important public service. The allowable costs in our calculation came from the Medicare Cost Report as instructed per the 990 Schedule H instructions.
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 debtors via statements and as part of collection calls to debtors from Park Nicollet staff and collection agencies. Park Nicollet's financial assistance is also described in pamphlets and on our website. The website includes a simple interactive schedule to allow a debtor to see if they may qualify. If the Debtor qualifies for financial assistance, collection efforts cease and charges are cleared from their account.
Part V, Section B, Line 19d: Park Nicollet uses the discount rate associated with our "most preferred payer" which is defined as our largest commercial payer.	Park Nicollet Methodist Hospital
Part V, Section B, Line 21: Park Nicollet charges its patients gross charges if the patient has elective surgery, which is not medically necessary.	Park Nicollet Methodist Hospital
Part VI, Line 2: Integrated in our strategic planning process, Park Nicollet Methodist Hospital and its affiliates actively involve its patients, employees, board members and community partners in identifying patient and community needs. This process encourages awareness of changing patterns of need to improve the health of our patients and community members. As part of current assessment of needs, Park Nicollet Foundation convenes patients and community partners at monthly and quarterly meetings of several Healthy Communities Collaboratives and Advisory Groups located throughout our service area. A few examples of participating members include 1) representatives from the school districts of St. Louis Park, Hopkins, Wayzata/Plymouth, Brooklyn Center, Osseo and Burnsville/Eagan/Savage, 2) Mental health providers such as The Family Partnership and North Psychology, 3) Groups working with underserved populations such as Northwest Hennepin Family Services Collaborative, Portico HealthNet, 360 Communities, Interfaith Outreach and providers who work with the developmental needs of young children such as St. David's Center. In 2011, Park Nicollet continued its joint sponsorship of the Successful Aging Initiative in St. Louis Park. This community based group meets monthly to identify and focus on the needs of senior citizens including improving coordination of community and health related services. Sixty to eighty participants regularly attend these sessions which include educational and networking opportunities for seniors and those working with seniors. In addition, patient advisory groups and councils have been established to foster collaboration between patients, families and care teams. These councils focus on topics such as patient safety, facility design, clinician-patient communication, quality improvement, patient/family education, ethics and research. Councils support work in the following areas: - Methodist Hospital Patient Family Council - focusing on quality and safety - Frauenshuh Cancer Center - Health Care Home quality teams - After teams grown from four to seven "Health Care Home Patient Partner Councils" - Melrose Institute - Struthers Parkinson's CenterIn 2011, Park Nicollet Methodist Hospital began the planning and research phase for a formal Community Health Needs Assessment which will be completed in 2012. This formal assessment builds on the strength of Park Nicollet Health Services as a convener of the community by inviting 1100 community leaders, workers, and members of the community to participate in an online health needs survey and also convening focus groups utilizing the World Cafe model of facilitation. Results will be prioritized and presented to the Board of Directors in 2012 along with recommendations for an implementation plan to be incorporated into the strategic planning process for 2013-2015.Park Nicollet Institute participated in strategic planning in 2011 and used data gathered as part of this process to prioritize work in research and education. The key to assessing the needs for patient education involve including patients in the assessment process. Steps in the needs assessment process include defining the community or population, followed by determining what type of data is needed to complete the assessment and then collecting the data from a variety of sources which include but are not limited to patient and clinician surveys, local and national statistics related to the problem that is being addressed, evidence-based care guidelines, quality and safety outcome reports, proprietary data sources as appropriate and published literature. For professional education, understanding the gaps in clinical practice and the educational needs of physicians is critical to the success of the overall CME program and its planned activities. As part of the semi-annual review process, the Medical Education Committee (MEC) and the CME team identify data sources and methods to review data for CME program planning. We identify our learners' professional practice gaps and needs by reviewing one or more of the following: - organizational planning survey of target audience, which includes e-surveys, structured interviews and biannual staff surveys - patient care audit and quality assurance reports - morbidity and mortality statistics - peer-reviewed abstracts - faculty input - individual clinician behavior and prescribing data - community measures quality data - clinician registries - quality outcomes reports - dashboards - desirable patient care improvements identified from measurement of clinical practice guidelines - literature review of recent trends in biomedical science research - evaluation data from preceding CME activities - input from regional and national medical education and research communities provided by the MEC committee, CME faculty and Park Nicollet leadership - HEDIS data - Institute for Clinical Systems Improvement guidelines - focused patient and staff surveys - feedback from planning committees and focus groups representative of the target audience - patient surveys regarding quality of care and interaction with providers (Press Ganey reports) - topic-specific patient surveys - annual Park Nicollet quality reports - safety tracking database-quality tracking - physician competencies - Park Nicollet planning - maintenance of certification requirements - Lean results (Rapid Process Improvement Workshop)In research, clinical areas work with principal investigators to determine whether a study fills a gap in patient care. If the study addresses an identified need, a feasibility checklist is reviewed to address scientific merit, impact on patient care, mission of department and cost.
Part VI, Line 3: Park Nicollet Methodist Hospital participates in multiple unique financial assistance programs, including our own Financial Assistance (FA). We inform our patients in multiple ways about our FA program and other financial assistance options for services received at PNHS. Approximately 14 percent of hospital patients participate in state public programs and approximately 2 percent are uninsured. A list of communications for patients relating to financial assistance follows: - Hospital booklets given to inpatients - Website, FA information found in billing and insurance section - FAQ on FA - FA calculator - online calculator allows quick and easy estimation of eligibility under the program - FA application - application may be printed for submission - Information on Medical Assistance, including eligibility and application process - Patient statements - All balance forward statements, regardless of balance, include a financial assistance application and responses to frequently asked questions regarding FA.In addition to the written material, Customer Service, Collections and hospital Patient Access Liaisons (PALs) inform patients about assistance options, including government programs and FA. PALs are on-site in the hospital and can meet with patients in their rooms or prior to admission. Most customer service and collections work is done though phone calls, but our main clinic has an on-site location for personal conversations. Park Nicollet Methodist Hospital staff is trained in helping patients apply for Medical Assistance and has also contracted with outside services to assist patients in the application process for Medical Assistance in more complicated circumstances.
Part VI, Line 4: Park Nicollet Health Services, through its 19 Twin Cities primary care clinics, other care locations and Methodist Hospital and specialty facilities, provides health care access to more than 1.6 million people, primarily in the western Twin Cities area. The majority (75.5 percent)of this population, spread over 96 ZIP codes, is white, 7.1 percent is black, 4.2 percent is Asian, 2.5 percent is Latino , with those defining themselves as "multiracial" or "other" making up the rest of those we serve. Park Nicollet clinics are strategically located in communities to provide access to care, regardless of economic status or means of transportation. The socio-economics of our population served varies both between and within each community. Our clinic locations span the entire west metro from Maple Grove and Brooklyn Center in the northwest to Minnetonka and St. Louis Park in the central west to Shakopee and Prior Lake in the southwest, to Eagan in the southeast and to Lakeville (which opened in 2011) in the south. These clinics serve communities (and individuals) across the socio-economic spectrum. True to their metropolitan nature, each community served enjoys diversity within its own borders. For example, in Brooklyn Center, in addition to Park Nicollet Clinic - Brookdale, Park Nicollet has set up a health clinic for school district students. This clinic is located in the high school and is available to all students regardless of their ability to pay. Minorities make up half of the Brooklyn Center population, and 72 percent of district students are from low-income families. Three other school based or affiliated clinics operate in Wayzata, Burnsville and St. Louis Park. In St. Louis Park, home to many of the state's 12,500 Russian immigrants, we offer services, including translation, for those whose primary language is not English.
Part VI, Line 5: Park Nicollet Methodist Hospital is a 426-bed facility recognized as an area leader in cancer care, cardiovascular services, maternity care and neuro-rehabiliation medicine, located in St. Louis Park, Minnesota. Medical staff privileges at the hospital are extended to all qualified physicians in the community. Park Nicollet Methodist Hospital's Board of Directors is a community board with all of its independent members living in the area served by the organization.Park Nicollet Methodist Hospital owns a facility in Golden Valley, Minnesota that houses the Struthers Parkinson's Center, which is dedicated to providing comprehensive assessment, treatment, support, education and research to improve the quality of life of people touched by this disease. Health professionals help patients from around the world receive specialized programs and services for Parkinson's Disease at Struthers.A national leader in the treatment of eating disorders, Park Nicollet Methodist Hospital owns and operates the Park Nicollet Melrose Institute for eating disorders, located in St. Louis Park, Minnesota. This facility, was specially constructed for treating those with eating disorders. The Melrose Institute treatment model revolutionizes care, taking individualized treatment to a whole new level. The care teams work with patients to determine appropriate placement in inpatient, residential or one of four levels of outpatient care, including unique specialty areas not currently found elsewhere. In 2011, the Melrose Institute sponsored over 100 presentations, trainings, webinars, exhibits, and other events to increase community awareness and prevention.Methodist Hospital sponsors and supports the Creekside Family Medicine Residency program, affiliated with the University of Minnesota. This 3 year residency trains 6 new family physicians each year to work in primary care including underserved areas. In addition to its training program, the Creekside residency provides vital community services for the uninsured and underinsured along with outreach programs to promote community health. Methodist Hospital participates as a training site for other specialty training of residents including the areas of general surgery, ob/gyn and critical care.As a part of the Emergency Management program, a Hazard Vulnerability Assessment is completed for the Methodist Hospital Campus. This survey assesses numerous risks in the community that may impact hospital operations. Risks unique to the geographical area of Methodist Hospital include numerous industrial worksites with multiple chemicals on site and close proximity to a rail line that transports hazardous chemicals. Because of these hazards in the community, Methodist Hospital plans with local first responders for the decontamination and treatment of affected community members.The ongoing process for assessing community health needs as described in Schedule H, Part VI, Question 2 has enabled the entire PNHS organization to focus attention to the needs described below in addition to other health needs.Park Nicollet Foundation's community connectivity model of convening on need, building relationships and raising support has brought responses in these priority areas: 1. Healthy kids are better learners:Park Nicollet Methodist Hospital, Park Nicollet Foundation and Park Nicollet Clinic partner with 21 school districts to assure that all students are up to date with their immunizations on the first day of school each year.- Four school-affiliated clinics, built, staffed and funded in partnership with Park Nicollet Foundation, Park Nicollet Methodist Hospital and Park Nicollet Clinic provide access to no cost or low cost medical, mental health and dental care to children and youth in the community.- The Ophthalmology department reaches out to the schools in an effort to assure eye health, by providing comprehensive eye exams and a prescription pair of eyewear yearly for children without health insurance.- Students referred by school nurses, whose families are unable to afford medications, receive needed medications at no charge through Park Nicollet Pharmacies.2. Increasing access to care for the uninsured:- In 2011, Park Nicollet Methodist Hospital, along with Park Nicollet Clinic and other affiliates provided needed comprehensive care, including primary, specialty, hospital and pharmacy services, at no charge to 1,400 individuals enrolled in the St. Mary's program, an innovative model of providing continuity of care for the uninsured.- Provided 6300 prescriptions for outpatient medications to low income individuals and families, assuring medical treatment for acute and chronic conditions such as asthma and diabetes.- Traditional financial assistance provided to individuals and families in need who are not enrolled in the St. Mary's program. 3. Focus on seniors:- The Successful Aging Initiative continues to respond to the needs of senior citizens in St. Louis Park, utilizing multidisciplinary work groups specifically focused on helping seniors stay safe in their homes by reducing the risk of falls and other injuries, increasing opportunities for fitness and exercise, improving transportation options, providing education to improve one's self-management of chronic illnesses, and encouraging completion of health care directives.4. Creating the health care home:- Growing economic and ethnic diversity in our communities has widened the gap of health disparities. Increased rates of obesity and diabetes, a growth in early childhood mental health issues, increased numbers of new immigrants unfamiliar with accessing our country's model of health care delivery and still struggling with issues of war and civil strife from their countries of origin and seniors isolated in their homes are just a few of the challenges that threaten the health of members of our communities.- Park Nicollet Clinics are leading the way in developing "health care homes" that not only provide needed medical care, but do so in a comprehensive model of support for patients and families to assure that they have timely access, effective coordination of care, a personal relationship with their physician and clinical care team, and a connection to other community resources.- An example of a Park Nicollet Clinic that has taken the lead in creating a model for the Health Care Home is the Plymouth Park Nicollet Clinic. In 2011 this clinic: * Offered classes at the clinic on Medicare and CareNextion. Participated in the Plymouth parade annually and the Plymouth Healthy Living Fair. Formed an onsite Healthy Living Support group facilitated by a Care Coordinator and a Patient Partner. The clinic participates on the Plymouth Yellow Ribbon Campaign Steering Committee. Established a partnership with Plymouth Community Center to work together to provide community needs. * Serves clients that come from group homes and assisted living facilities. * Patients involved in the clinic's Quality Committee. * Care Coordination in place for patient care, aimed at addressing the patient's medical and social needs and helping them navigate healthcare and community resources. This results in better patient outcomes and reduced total cost of care through reduced hospitalizations and ER visits. 5. Sticking with patients when they need us most: - Often the services needed to maintain one's health and wellbeing during a serious or life-threatening illness are not fully funded or reimbursed under traditional health insurance. Park Nicollet Methodist Hospital and Park Nicollet Foundation strive to assure the help is there when needed. * Club CREATE, a therapeutic adult day program at Struthers Parkinson's Center, offers activities that enrich patients physically, mentally, spiritually and socially. The program utilizes a variety of artistic and creative outlets, relaxation and meditative programs, and movement and exercise opportunities. * Park Nicollet Methodist Hospital's INSPIRE program is a unique service offering stroke survivors and their family support and education through seminars and support groups. * Park Nicollet Methodist Hospital's Melrose Institute offers comprehensive care, education and support through innovative curriculum-based programs for those struggling with eating disorders. * Reducing the number of "sleepless nights" while waiting for a diagnosis, helping patients conserve their energy by bringing services to them during treatments, offering spiritual care, social services and financial assistance for medications, groceries and other expenses while patients recover from their illness are commitments Frauenshuh Cancer Center at Park Nicollet Methodist Hospital makes to its patients.
Part VI, Line 6:
The Park Nicollet Institute reaches thousands each year through research studies, professional and patient education, and library services. In 2011, we held 223 patient education classes for 2,387 attendees. We conducted more than 5,000 diabetes education visits. The Health Library received 2,261 visitors. We published 326 new or revised patient education materials. Our Office of Continuing Medical Education granted 32,097 CME credits through 95 professional education activities. Almost 500 research studies were active in 2011 at Park Nicollet and through Minnesota Metro Community Clinical Oncology Program. Park Nicollet authors published 72 peer-reviewed papers, books and book chapters. - Community health: Throughout the year, employees participate in health fairs and screenings, most frequently in the area of diabetes and nutrition. International Diabetes Center hosts a Back to School fair for children with diabetes and hosts diabetes support groups for men, women and children. Numerous employees participate on national and local society and Park Nicollet committees that serve the community. Rich Bergenstal, MD, serves in a leadership role for the American Diabetes Association (ADA). We also provide health education lectures and workshops, and respond to media inquiries to share expertise about diabetes and nutrition. - 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. At Park Nicollet and its affiliates, more than 500 research studies are active each year. Park Nicollet Institute provides the infrastructure and resources to support research and clinical quality goals of the organization, which includes the following:- Needs assessment and feasibility- Mentoring and training- Scientific and humans subjects review- Regulatory compliance and reporting- Grant management, including application preparation and submission, contract and agreement negotiation, finance, budget development, identification of funding sources- Protocol development and research design- Manuscript and poster/presentation preparation- Database development, data cleaning, statistics and analytics, survey review and design, focus group facilitation- Study operations support including recruitment, consenting, enrolling, data collection/entry- Patient Education:Park Nicollet Institute's Patient Education department provides educational tools to support patients in preventing and managing illness and improving health. We work closely with clinicians to create programs, classes, videos, web content and decision support tools to help patients 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 resoures. - Professional Education:The Institute's Professional Education department provides learning activities to enhance physician knowledge, competence and performance. Continuing medical education (CME) staff partners with Park Nicollet physicians and departments to manage a comprehensive educational program through activities designed to meet individual and department needs.
Park Nicollet Methodist Hospital is part of Park Nicollet Health Services, an integrated health system. Other affiliates include 1) Park Nicollet Clinics in 19 locations, 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 Institute, focused on education and research for Park Nicollet Health Services and its community, 4)Park Nicollet Health Care Products, providing retail pharmacy and health related products through existing Park Nicollet locations.All affiliates are under a common Board of Directors. Park Nicollet Foundation has a separate board which is overseen by the Park Nicollet Health Services Board. The communities' health needs are shared among the affiliates 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 the Park Nicolet Foundation, staffing through the Park Nicollet Clinics, 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 6:
MN		Part VI, Line 7: List of States Receiving Community Benefit Report:

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Park Nicollet Foundation
6500 Excelisior Blvd	St Louis Park	MN	55416	237346465	501(c)(3)	117777	Community Services
Minnesota Medical Foundation
200 Oak Street SE Suite 300	Minneapolis	MN	55455	416027707	501(c)(3)	50000	Neurosurgery Fund

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
Individual scholarships	19	18500
Earl Young Award	1	599

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: The Park Nicollet Service League has a student volunteer scholarship program to give financial support to student volunteers who have provided exceptional volunteer service and are interested in furthering their education. Applicants must be an active student volunteer, a senior in high school and who has applied to a post-high school education program and must be dedicated volunteer at Park Nicollet Methodist Hospital. Occasionally Park Nicollet Methodist Hospital grants monies to other tax-exempt organizations conducting programs and/or research that will ultimately benefit those served by Park Nicollet Health Services and affiliates. During calendar year 2011, grants were made to Park Nicollet Foundation and Park Nicollet Institute for improvements to medical services and medical research. These grants were made to parties related to Park Nicollet Methodist Hospital, so employees of Park Nicollet Methodist Hospital were able to verify the use of the monies contributed.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
David Abelson MD
0	650840	0	294551	0	92336	0	148500	0	56177	0	1242404	0	70698
Steven Connelly MD
0	431266	0	163086	0	11101	0	52265	0	48971	0	706689	0	0
Michael Kaupa
0	429776	0	224172	0	58674	0	68879	0	71581	0	853082	0	47105
Sheila McMillan
0	388862	0	54982	0	12147	0	48000	0	45913	0	549904	0	0
Paul Dominski
0	328596	0	180560	0	39272	0	25175	0	116759	0	690362	0	0
Roxanna Gapstur PhD
0	221227	0	0	0	7325	0	20250	0	47217	0	296019	0	0
Christa Getchell
0	172981	0	0	0	8672	0	13125	0	8371	0	203149	0	0
David Homans MD
0	485365	0	6392	0	10676	0	40441	0	37578	0	580452	0	0
Jeffrey B Husband MD
526839	0	24249	0	8633	0	0	0	47479	0	607200	0	0	0
Tom Jones MD
630325	0	31491	0	34376	0	0	0	30136	0	726328	0	0	0
Charles McCoy MD
182907	0	8046	0	4640	0	0	0	26937	0	222530	0	0	0
William Richards MD
201183	0	8992	0	75773	0	0	0	29327	0	315275	0	0	0
Janet Schaffer MD
328864	0	9022	0	10948	0	0	0	44421	0	393255	0	0	0
Eric Schned MD
295500	0	14041	0	48987	0	0	0	40282	0	398810	0	0	0
Janette Strathy MD
242907	0	6920	0	34052	0	0	0	33474	0	317353	0	0	0
Mark Wilkowske MD
473344	0	32868	0	8980	0	0	0	46833	0	562025	0	0	0
Susan Zwaschka
0	117360	0	99929	0	339169	0	5561	0	34369	0	596388	0	47651
Mary Johnson
0	161192	0	105629	0	43317	0	0	0	20473	0	330611	0	32193
Theodore Wegleitner
0	247202	0	59584	0	27034	0	4810	0	49990	0	388620	0	16976
Dane Christensen MD
769804	0	43096	0	1075	0	0	0	51166	0	865141	0	0	0
Timothy Diegel MD
627296	0	33320	0	406910	0	0	0	67063	0	1134589	0	0	0
Darin Epstein MD
878782	0	36706	0	1065	0	0	0	52653	0	969206	0	0	0
Steven Rakes MD
784627	0	38811	0	4308	0	0	0	51365	0	879111	0	0	0
Anton Willerscheidt MD
768324	0	34143	0	4285	0	0	0	67561	0	874313	0	0	0
Kathryn D Kallas
0	68383	0	125336	0	287904	0	29713	0	29347	0	540683	0	30600

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

Part I, Lines 4a-b

During 2011, Park Nicollet Health Services, a related entity, terminated without cause the employment of individuals in reportable positions. Severance payments were determined to be payable under the Park Nicollet Health Services Executive Management Group Severance Policy (the "Policy"). The policy provides that if Park Nicollet Health Services terminates a covered individual without cause, and if the individual releases all legal claims against Park Nicollet Health Services, then Park Nicollet Health Services will provide the terminated individual severance compensation for a period of one year including salary, health, life, dental and disability benefits, as well as deferred compensation, incentive compensation, and pension plan payments. Based on the foregoing, the amount of severance compensation and benefits provided to each of the individual on severance during 2011 is as follows: - Kathryn D. Kallas, $255,000 - Susan R. Zwaschka, $240,000 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: - David Abelson, $70,698 - Mary Johnson $32,193 - Kathryn D. Kallas, $30,600 - Michael Kaupa, $47,105 - Theodore Wegleitner, $16,976 - Susan R. Zwaschka, $47,651

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 35% of base pay compensation for the CEO, 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.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Shannon Neale MD
William Richards, MD Family Member	178230	Employment: Shannon Neale is a Medical Doctor employed by Park Nicollet Clinic.	1
RJM Construction
James Pohlad: owner	5641005	Construction: RJM Construction performed construction services for Park Nicollet Clinic.	0
Gregg Strathy MD
Jannette Strathy, MD: Family Member	233975	Employment: Gregg Strathy, MD is a Medical Doctor employed by Park Nicollet Clinic.	1

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
List of Subordinate Organizations: Names, Addresses and EINs	Page 1, Line H(a):	Park Nicollet Methodist Hospital 41-0132080 6500 Excelsior Blvd, St. Louis Park, MN 55426 Park Nicollet Institute 41-0961862 3800 Park Nicollet Blvd St. Louis Park, MN 55416 Park Nicollet Health Care Products 01-0638901 3800 Park Nicollet Blvd St. Louis Park, MN 55416 Park Nicollet Clinic 41-0834920 3800 Park Nicollet Blvd St. Louis Park, MN 55416 PNMC Holdings 41-1741792 3800 Park Nicollet Blvd St. Louis Park, MN 55416
	Form 990, Part IV, Line 24A:	Park Nicollet Health Services, along with related organizations, is jointly liable for the tax exempt bonds held by Park Nicollet Health Services under a master trust agreement. The members of the jointly liable group, which is collectively referred to as the "Obligated Group", include Park Nicollet Clinic, Park Nicollet Methodist Hospital, PNMC Holdings, Park Nicollet Institute, and Park Nicollet Health Care Products. In accordance with reporting requirements for Schedule K, all outstanding tax exempt bonds are reported solely on the Schedule K of Park Nicollet Health Services. Part V, Line 3a: Park Nicollet Health Care Products has unrelated business gross income over $1,000.
	Form 990, Part VI, Section A, line 2	Park Nicollet Health Services and its related entities have a common board. The following officers, Board Members and key employees are employees of and paid by Park Nicollet Health Services or its related organizations. These employees serve together on the common board which serves Park Nicollet Health Services and its related entities. David Abelson, MD Steven Connelly, MD Paul Dominski Roxanna Gapstur, PhD Christa Getchell David Homans, MD Jeffrey B, Husband, MD Tom Jones, MD Michael Kaupa Charles McCoy, MD Sheila McMillan William Richards, MD Janet Schaffer, MD Janette Strathy, MD Katherine Tarvestad Mark Wilkowske, MD Susan Zwaschka
	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 Institute and Park Nicollet Health Care Products. Park Nicollet Clinic is the sole member of PNMC Holdings.
	Form 990, Part VI, Section A, line 7a	The Board of Directors of Park Nicollet Methodist Hospital, Park Nicollet Clinic, Park Nicollet Institute, 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, Park Nicollet Institute, PNMC Holdings and Park Nicollet Health Care Products are subject to the approval of the Board of Directors of Park Nicollet Health Services. However, the Board of Directors of Park Nicollet Methodist Hospital, Park Nicollet Clinic, Park Nicollet Institute, 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 B, line 11	The Form 990 filed on behalf of the subordinate organizations (Park Nicollet Methodist Hospital, Park Nicollet Clinic, Park Nicollet Institute, PNMC Holdings and Park Nicollet Health Care Products) is prepared within the finance department at Park Nicollet Health Services with assistance from individuals in human resources, marketing, and operations. Upon completion of gathering the necessary information for the return, the form was compiled by the Park Nicollet accounting firm. Drafts of the form were reviewed by the Assistant Controller - Accounting Operations, Vice President of Finance, Chief Financial Officer, and the Audit and Compliance Committee. After all internal reviews were complete; the final version of the Form 990 was given to each member of the Board of Directors for approval 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 asked to complete a conflict of interest disclosure statement each year; however the obligation to report conflicts is ongoing. The Governance Committee, which meets five times per year, reviews all potential conflict disclosures and discusses the impact on the organization. If a potential conflict arises during the year, it is disclosed and reviewed by the Governance Committee. The Governance Committee presents the disclosure information and makes recommendations to the Board of Directors regarding management of any conflicts identified. When a transaction involving a potential conflict of interest is identified, the Board of Directors may appoint a disinterested individual or committee to review that conflict and ensure discussions related to those transactions can occur separately from those individuals with potential conflicts. All significant transactions include an analysis of fair market value.
	Form 990, Part VI, Section B, line 15	The Board of Directors of Park Nicollet Methodist Hospital, Park Nicollet Clinic, Park Nicollet Institute, 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. The Park Nicollet Health Services' Board of Directors is responsible for the implementation and oversight of executive compensation and benefit plans for Park Nicollet. Park Nicollet uses an outside consultant to provide yearly market based indexes of salary adjustments for executives in similar leadership positions. The Board of Directors reviews the salary ranges and recommends salary increases for each executive, including the CEO, based upon the Board of Directors' evaluation of job performance and experience level of the individual within the organization. The average salary increases for all Park Nicollet executives cannot exceed the average market salary increase reported for executives by the consultant. The compensation committee then reviews and approves compensation adjustments based on the information provided by the outside consultants and the Board of Directors' recommendations. For certain physicians, the majority of pay disclosed is for his/her work as a physician for Park Nicollet. A small stipend is added for serving on the Board of Directors. The following is a description of how pay for physicians' patient care work is determined. The Park Nicollet Health Services' Board of Directors is responsible for the implementation and oversight of the physician compensation and benefit plans for Park Nicollet. The Board of Directors delegates the day-to-day administration of the physician compensation plan to the Clinical Board of Governors and the Physician Compensation and Benefits Subcommittee. The purpose of the Physician Compensation and Benefits Subcommittee is to oversee physician and other clinician compensation and benefits plans and administration within the budget to ensure fairness and alignment with Park Nicollet Health Services' goals. The responsibilities of this committee include: Recommending of compensation policies and plan designs for physicians to the clinical board and Board of Directors; Overseeing compensation plan operation and payments to clinical departments; Evaluating compensation plan for performance on a periodic basis; Serving as final appeal process for issues unresolved by individuals, department chairs and chiefs of services. Annually, information on each physician's pay and productivity is graphed against the survey results for the same year. This information is presented to the compensation committee of the Park Nicollet Health Services Board of Directors for review. Park Nicollet Health Services' physician pay program is designed to ensure market based pay for market based productivity standards. The market is determined by the American Medical Group Association (AMGA) national physician compensation survey data, which provides market data for both compensation and productivity. When appropriate, the Clinic Compensation and Benefit Subcommittee grants adjustments to these guidelines with evidence of local market data.
	Form 990, Part VI, Section C, line 19	Park Nicollet Group members' governing documents, conflict of interest policy and financial statements are available to the public upon request. Park Nicollet Health Services, as the parent organization of the Park Nicollet Methodist Hospital, Park Nicollet Clinic, Park Nicollet Institute, PNMC Holdings and Park Nicollet Health Care Products, mails its consolidated audited financial statements to financial institutions, governmental institutions, board members, media representatives, vendors, and the Minnesota Hospital Association (MHA). Park Nicollet Health Services discloses quarterly consolidated financial statements to bondholders and MHA. The annual consolidated 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: Certain board members for Park Nicollet Group also provide services as employees to Park Nicollet Health Services and its subsidiaries. Hours worked are estimates and are not tracked on an entity by entity basis. Therefore, these officers, directors, and key employees' hours reported on Form 990, Part VII represent aggregate hours worked per week for all Park Nicollet Health Services entities. Community board members hours reported on Form 990, Part VII are an estimate and are not tracked on an entity by entity basis. Therefore, these directors hours reported on Form 990, Part VII represent aggregate hours of service provided per week for all Park Nicollet Health Services entities.
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 5:	Net unrealized losses on investments: -10,858,332. Net Assets Released from Restrictions -70,447. Total to Form 990, Part XI, Line 5: -10,928,779.
	Form 990, Part XII, Line 2C:	Neither the oversight process for the audit nor the auditor selection process for Park Nicollet Health Services and affiliates' financial statements have changed during the tax year.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Park Nicollet Health Services
6500 Excelsior Blvd	St Louis Park	MN	55426	363465840	Health Care Adminstration	MN	501(c)(3)	11 Type III	0
Park Nicollet Foundation
6500 Excelsior Blvd	St Louis Park	MN	55426	237346465	Grants to Serve the Community	MN	501(c)(3)	7	1	Park Nicollet Health Services
TRIA Orthopaedic Center Research Institute
8100 Northland Drive	Bloomington	MN	55431	200033919	Health Care Research and Education	MN	501(c)(3)	11 Type I	1	Park Nicollet Health Services

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Methodist Brain Lab Leasing LLC
6500 Excelsior Blvd	St Louis Park	MN	55426	208725994	Health Care	MN	Park Nicollet Methodist Hospital	Related	290552	70370	0	1	0.60000
Park Nicollet Health Services Investment Partnership
6500 Excelsior Blvd	St Louis Park	MN	55426	411675033	Investment	MN	Park Nicollet Methodist Hospital	Investment	16428822		0	1	0.92500

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Park Nicollet Enterprises	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	6500 Excelsior Blvd	AddressLine1
City	St Louis Park	City
State	MN	State
ZIP Code	55426	ZIPCode

Field	Value	IRS element (for citing)
EIN	411656735	EIN
Primary Activity	Real Estate for Related Organization	PrimaryActivity
Legal Domicile State	MN	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Park Nicollet Health Services	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Park Nicollet Enterprises
K	166577	Cost
Park Nicollet Health Services
K	1916325	Cost
Park Nicollet Health Services
P	20769628	Cost
Park Nicollet Health Services
R	23335177	Cost
Park Nicollet Health Services
Q	94955	Cost
Methodist Brain Lab Leasing LLC
J	800854	Cost
Methodist Brain Lab Leasing LLC
R	804472	Cost
Park Nicollet Foundation
C	2149214	Cost
Park Nicollet Foundation
B	117777	Cost
TRIA Orthopaedic Research Institute
N	212021	Cost