PARK NICOLLET HEALTH SERVICES: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- PARK NICOLLET HEALTH SERVICES (EIN 36-3465840)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-08
- IRS object ID
- 201233139349301733
- 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 C
- Schedule D
- Schedule F
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
- Affiliated Group Attachment
- Affiliated Group Schedule
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
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 | 363465840 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Park Nicollet Health Services | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PARK | NameControl |
| Phone | 9529933108 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6500 Excelsior Blvd | 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 | 9529933108 | 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) |
|---|---|---|
| Name Of Principal Officer Person | Sheila McMillan | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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) |
|---|---|---|
| Gross Receipts | 90069617 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.parknicollet.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| 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 | 9195 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 11669 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 149100 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 23530001 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 90023909 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 879836 | InvestmentIncomePriorYear |
| Investment Income Current Year | 11187 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 180101 | OtherRevenuePriorYear |
| Other Revenue Current Year | -24930 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 24739038 | TotalRevenuePriorYear |
| Total Revenue Current Year | 90010166 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 5000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 19078634 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 16832711 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6175340 | OtherExpensePriorYear |
| Other Expenses Current Year | 66510834 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 25253974 | TotalExpensesPriorYear |
| Total Expenses Current Year | 83348545 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -514936 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6661621 | RevenuesLessExpensesCY |
| Total Assets BOY | 130926788 | TotalAssetsBOY |
| Total Assets EOY | 126439298 | TotalAssetsEOY |
| Total Liabilities BOY | 150282169 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 131489767 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -19355381 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -5050469 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Park Nicollet Health Services has a mission to care for and support the health, healing, and learning of those served. The focus is on excellent care, delivered in a caring manner, with emphasis on disease prevention and wellness education. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 16673312 | Expense |
| Revenue | 19623986 | 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 and more than 1,000 physicians on the Park Nicollet Methodist Hospital Medical Staff, most of which are employed by Park Nicollet Clinic. 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. - 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. - 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. - 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. - 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. - Park Nicollet Frauenshuh Cancer Center (FCC) became the first program in Minnesota to be certified as a Quality Oncology Practice Initiative. - 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. - Melrose Institute added a metabolic health and weight management program to its eating disorders treatment offerings. - 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. - Gave more than $3.1 million to community organizations, with $1.26 million going to patient and family experience and enhancements, $1.1 million to community outreach and initiatives, and $744,000 to innovation and research. - Helped provide no-charge health care to 4,000 children at Park Nicollet's four community clinics. - Helped FCC provide music therapy, massage therapy, support groups, educational materials and research to improve cancer care and treatment options. - Helped pay for certified diabetes educators for IDC. - Helped Park Nicollet Struthers Parkinson's Center provide individualized treatment plans and support groups in more than 90 communities and fund research designed to improve care and treatment. - Helped Melrose Institute provide eating disorder classes, community educational events and research to improve care and treatment - Funded grief support and education for more than 450 students who had lost a loved one - Provided enhanced immunization access for children in 25 area school districts - Sponsored Project Better Gown, a 2011 design competition to design an improved exam gown. University of Minnesota students won the competition and were selected for the People's Choice Award at the park Nicollet Foundation's 2011 Gala. They shared a $25,000 Fellowship Grant for their sleek gown design, which features a pocket in the front and ties on the side and will be used to enhance patients' experience. - Launched new online giving and communication tools - Hosted the Tour de Clinic, which raised more than $55,000 for the Foundation's Annual Campaign. CEO David Abelson and team of cyclists biked nearly 200 miles and visited 21 Park Nicollet locations around the Twin Cities. - Collected more than $9,000 for American Cancer Society Daffodil Days - Held blood drives at multiple Park Nicollet locations through the year - Boxed food for needy people overseas for Feed My Starving Children - Served more than 250 lunches monthly for adults and children at Minneapolis Crisis Nursery from January through OctoberWe 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 | 49726203 | Expense |
| Revenue | 70404725 | Revenue |
| Description | TRIA Orthopaedic Center ("TRIA") is a leader in orthopaedic treatment, providing comprehensive care from diagnosis, to treatment, to rehabilitation, even surgery at one convenient location in Bloomington, Minnesota. TRIA has over 40 highly-trained orthopaedic doctors with a variety of sub-specialties such as sports medicine, acute injury, shoulder, knee, spine, hand and wrist, foot and ankle, hip and fractures. For immediate orthopaedic needs, TRIA offers walk-in care seven days a week through the Acute Injury Clinic, with no appointment needed. TRIA's sports medicine specialists have served as official team physicians for Minnesota's pro sports teams for over 25 years. TRIA is a Limited Liability Company that is fully owned by Park Nicollet Health Services, a nonprofit integrated care delivery system. TRIA's mission is to provide our patients and community with exceptional orthopaedic care and services supported by innovative education and research. TRIA's belief that the success of TRIA will be sustained through the talent of our people, the satisfaction of the patients we serve, the dedication we share to our profession and the core values/beliefs we will uphold. These values are:PATIENTS: Our patients come firstPEOPLE: Our people are our greatest assetORTHOPAEDICS: Orthopaedics is our focusRESEARCH: Research is fundamental to improving patient careEDUCATION: Education enhances our profession and patient careGROWTH: Sustainable growth creates valueCOMMUNITY: We will be a good neighbor in our communityProgram Service Accomplishments for TRIA include:- TRIA continues to grow to meet the musculoskeletal needs of the community. In 2011, the TRIA Clinic Services have grown by 7.8%, the Acute Injury Clinic by 18.6%, and Hand Therapy by 19.3%. Ancillary services have also grown to keep up with demand. X-ray has grown by 7.2% and MRI by 6.56%. - The Hilton Recovery program continues to grow. In the past year, total knee cases were added to the procedures that recover in the Hilton Hotel. Over 253 patients have now taken advantage of this lower-cost program with exceptional patient satisfaction feedback. In 2011, the Hilton Recovery program was awarded Medica's Innovation award.- TRIA continues to lead the way in outcomes measurement. Patients complete extensive pre and post surveys to assess functional outcomes on six different procedure types. Some of TRIA's patient registries are now amongst the most extensive in the industry. - TRIA provided over 140 free high school physicals for area high school athletes prior to the fall season. - TRIA provided medical coverage for the following major sporting events in the community in the past year: * U.S. Pond Hockey Championships at Lake Nokomis, * Nature Valley Grand Priz Bicycle Festival in St. Paul, Minneapolis, Cannon Falls, Menomonie, WI and Stillwater. - Annually, TRIA trains three sports medicine fellows and numerous medical school residents rotate through TRIA each year.- Every Tuesday morning TRIA provides professional education sessions for area medical students and clinical professionals. TRIA's annual spring sports medicine conference drew over 150 professionals.- TRIA employees raise money for those in need through the Jeans for a Cause program. Employees who contribute $5 are allowed to wear jeans on Fridays. The wearing of Jeans for the Cause buttons signifies the fund raising aspect of the program to patients.- TRIA provides periodic free Smart Body Talks for the community. - TRIA physician's frequently speak and offer free assessments and injury prevention talks to area youth sport teams in the community. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 66399515 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | 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 | 1 | 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 | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| 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 | 0 | 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 | 1 | 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 |
| Number Forms Transmitted With1096 | 106 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 9195 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| 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 | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| 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 (5 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Park Nicollet Group Return-See Sch | |||||||||
| Directors | 3.00 | X | 2058315 | 3243881 | 664969 | ||||
| Park Nicollet Group Return-See Sch | |||||||||
| Officers | 55.00 | 2811792 | 0 | 540286 | X | ||||
| Park Nicollet Group Return-See Sch | |||||||||
| Key Employee | 55.00 | 643958 | 0 | 75273 | X | ||||
| Park Nicollet Group Return-See Sch | |||||||||
| Highest Compensated Employee | 55.00 | 0 | 4432551 | 289808 | X | ||||
| Park Nicollet Group Return-See Sch | |||||||||
| Former | 0.00 | 481623 | 0 | 59060 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5995688 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 7676432 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1629396 | TotalOtherCompensation |
| Number Individuals GT100 K | 46 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Patient Care | 621400 | 70404725 | 70404725 | |
| Services to Affiliates | 561000 | 18021309 | 18021309 | |
| Income- Premier Purch | 900099 | 1597875 | 1594775 | 3100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 90023909 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4587 | TotalRevenueColumn |
| Exclusion | $4,587 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 21150 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 59451 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -38301 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -38301 | TotalRevenueColumn |
| Exclusion | -$38,301 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 6600 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 6600 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6600 | TotalRevenueColumn |
| Exclusion | $6,600 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Miscellaneous | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 13371 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4802 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 8569 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 13371 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 90010166 | TotalRevenueColumn |
| Related Or Exempt Function Income | 90025611 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 11669 | UnrelatedBusinessRevenue |
| Exclusion | -$27,114 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5000 | Total |
| Program Services | 5000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6107082 | Total |
| Management And General | 6107082 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7051880 | Total |
| Management And General | 7051880 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 678169 | Total |
| Management And General | 678169 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2108325 | Total |
| Program Services | 129342 | ProgramServices |
| Management And General | 1978983 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 887255 | Total |
| Management And General | 887255 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 357 | Total |
| Management And General | 357 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45496770 | Total |
| Program Services | 34676039 | ProgramServices |
| Management And General | 10820731 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 882347 | Total |
| Program Services | 12837 | ProgramServices |
| Management And General | 869510 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 907088 | Total |
| Program Services | 260414 | ProgramServices |
| Management And General | 646674 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 422388 | Total |
| Program Services | 394513 | ProgramServices |
| Management And General | 27875 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4175150 | Total |
| Program Services | 3620995 | ProgramServices |
| Management And General | 554155 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12368 | Total |
| Program Services | 2561 | ProgramServices |
| Management And General | 9807 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106284 | Total |
| Program Services | 7049 | ProgramServices |
| Management And General | 99235 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4615 | Total |
| Management And General | 4615 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2246585 | Total |
| Program Services | 280949 | ProgramServices |
| Management And General | 1965636 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1121362 | Total |
| Program Services | 192 | ProgramServices |
| Management And General | 1121170 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Medical Supplies | 7248953 | 7170163 | 78790 | 0 |
| Bad Debt | 1919883 | 1919883 | 0 | 0 |
| MN Care tax | 1227539 | 1227539 | 0 | 0 |
| Ind exp all- Shared Exp | 0 | 16673312 | -16673312 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 739145 | Total |
| Program Services | 18727 | ProgramServices |
| Management And General | 720418 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83348545 | Total |
| Program Services | 66399515 | ProgramServices |
| Management And General | 16949030 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -2051742 | BOY |
| EOY | 6037595 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115652826 | BOY |
| EOY | 67584695 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 927200 | BOY |
| EOY | 14579272 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1898742 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 519200 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2481532 | BOY |
| EOY | 1166848 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 56202482 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 29164743 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1917970 | BOY |
| EOY | 27037739 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8601769 | BOY |
| EOY | 6413976 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1498491 | BOY |
| EOY | 3099973 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130926788 | BOY |
| EOY | 126439298 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80904058 | BOY |
| EOY | 92087045 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69378111 | BOY |
| EOY | 39402722 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 150282169 | BOY |
| EOY | 131489767 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -19355381 | BOY |
| EOY | -5050469 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -19355381 | BOY |
| EOY | -5050469 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130926788 | BOY |
| EOY | 126439298 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6661621 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 7643291 | ReconcilationOtherChanges |
| 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 | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (3 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| Park Nicollet Methodist Hospital | |||||
| 410132080 | 3 | 1 | 1 | 1 | $7,199,880 |
| Park Nicollet Clinic | |||||
| 410834920 | 3 | 1 | 1 | 1 | $9,163,645 |
| Park Nicollet Institute | |||||
| 410961862 | 4 | 1 | 1 | 1 | $309,787 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 3 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 16673312 | SumOfAmounts |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Belongs To Affiliated Group | X | OrgBelongsToAffiliatedGroup |
Total Grassroots Lobbying TotalGrassrootsLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
| Affiliated Group Totals | 0 | AffiliatedGroupTotals |
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 191800 | FilingOrganizationsTotals |
| Affiliated Group Totals | 191800 | AffiliatedGroupTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 191800 | FilingOrganizationsTotals |
| Affiliated Group Totals | 191800 | AffiliatedGroupTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 82937464 | FilingOrganizationsTotals |
| Affiliated Group Totals | 1058716015 | AffiliatedGroupTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 83129264 | FilingOrganizationsTotals |
| Affiliated Group Totals | 1058907815 | AffiliatedGroupTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
| Affiliated Group Totals | 1000000 | AffiliatedGroupTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
| Affiliated Group Totals | 250000 | AffiliatedGroupTotals |
Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
| Affiliated Group Totals | 0 | AffiliatedGroupTotals |
Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
| Affiliated Group Totals | 0 | AffiliatedGroupTotals |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 1000000 | CurrentYearMinus3 |
| Current Year Minus2 | 1000000 | CurrentYearMinus2 |
| Current Year Minus1 | 1000000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 4000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 172394 | CurrentYearMinus3 |
| Current Year Minus2 | 108350 | CurrentYearMinus2 |
| Current Year Minus1 | 200569 | CurrentYearMinus1 |
| Current Year | 191800 | CurrentYear |
| Total | 673113 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 250000 | CurrentYearMinus3 |
| Current Year Minus2 | 250000 | CurrentYearMinus2 |
| Current Year Minus1 | 250000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmount |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 40627 | BeginningOfYearBalance |
| Contributions | 11855 | Contributions |
| End Of Year Balance | 52482 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 145133 | BeginningOfYearBalance |
| Contributions | 15494 | Contributions |
| Grants Or Scholarships | 120000 | GrantsOrScholarships |
| End Of Year Balance | 40627 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 124503 | BeginningOfYearBalance |
| Contributions | 20630 | Contributions |
| End Of Year Balance | 145133 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 138463 | BeginningOfYearBalance |
| Contributions | 15140 | Contributions |
| Grants Or Scholarships | 29100 | GrantsOrScholarships |
| End Of Year Balance | 124503 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 1.00000 | 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 | 1917864 | OtherCostOrOtherBasis |
| Book Value | 1917864 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21134 | OtherCostOrOtherBasis |
| Depreciation | 21134 | Depreciation |
| Book Value | 0 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 36884419 | OtherCostOrOtherBasis |
| Depreciation | 12959603 | Depreciation |
| Book Value | 23924816 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17379065 | OtherCostOrOtherBasis |
| Depreciation | 16184006 | Depreciation |
| Book Value | 1195059 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 27037739 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Investment in Premier Purchasing Partners, LP | 767124 | C |
| Investment in Tri-Care | 5515963 | C |
| TRIA Building Capital Replacement Fund | 130889 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 6413976 | TotalOfBookValueProgramRelated |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to and from Related Parties | $19,740,142 |
| Contingent Malpractice Liability | $17,017,558 |
| Post Retirement Obligation | $2,645,022 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 39402722 | 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 Health Services are for the Caring for Colleagues program. |
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | There were no unrecognized tax benefits of liabilities for the years ended December 31, 2011, 2010 and 2009. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America & the Caribbean | Region |
| Number Of Offices | 0 | NumberOfOffices |
| Number Of Employees | 0 | NumberOfEmployees |
| Type Of Activities Conducted | Program services | TypeOfActivitiesConducted |
| Specific Services Provided | Insurance for related tax exempt organizations | SpecificServicesProvided |
| Total Expenditures | 17813 | TotalExpenditures |
| 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 | 17813 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 17813 | TotalAmountSpent |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 1 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Park Nicollet Group Return-See Sch | |||||||||||||
| 1365374 | 2881867 | 286881 | 135627 | 406060 | 226387 | 116552 | 0 | 249528 | 298889 | 2424395 | 3542770 | 0 | 0 |
| Park Nicollet Group Return-See Sch | |||||||||||||
| 1900743 | 0 | 736791 | 0 | 174258 | 0 | 317644 | 0 | 222642 | 0 | 3352078 | 0 | 117083 | 0 |
| Park Nicollet Group Return-See Sch | |||||||||||||
| 408394 | 0 | 165213 | 0 | 70351 | 0 | 4810 | 0 | 70463 | 0 | 719231 | 0 | 49169 | 0 |
| Park Nicollet Group Return-See Sch | |||||||||||||
| 0 | 3828833 | 0 | 186075 | 0 | 417643 | 0 | 0 | 0 | 289808 | 0 | 4722359 | 0 | 0 |
| Park Nicollet Group Return-See Sch | |||||||||||||
| 68383 | 0 | 125336 | 0 | 287904 | 0 | 29713 | 0 | 29347 | 0 | 540683 | 0 | 30600 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | Park Nicollet Health Services pays social club dues to both the Interlachen and Minneapolis Clubs in the name of David Abelson, CEO, for use by all Park Nicollet Health Services officers and key employees. The facilities are used for a variety of business meetings held by key executives from Park Nicollet Health Services. Part I, Line 3: The Park Nicollet Health Services' Board of Directors is responsible for establishing the compensation of the organization's CEO and Executive Directors. |
| Part I, Lines 4a-b | During 2011, Park Nicollet Health Services 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. 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, and (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. |
| 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 K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| City of St Louis Park | |||||||
| 416005519 | 791748EE2 | 2008-08-14 | 223727818 | Refinance Series 2003 A Bonds issued 11/13/03 | 0 | 0 | 0 |
| City of St Louis Park | |||||||
| 416005519 | 791748EG7 | 2009-12-31 | 182727701 | Refinance Series 2008A and 2008B's Bond issued 8/14/08 | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|
| 25075000 | 223727818 | 30447921 | 1580827 | 6863730 | 194800000 | 2008 | 1 | 0 | 1 | 1 |
| 182727701 | 23634540 | 1861956 | 18543816 | 144049159 | 2009 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|---|
| 0 | 1 | 1 | 1 | 1 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 1 | 1 | 1 | 1 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Explanation of Reporting on an Obligated Group Basis: | Pursuant to a loan agreement with the City of St. Louis Park, Minnesota, Park Nicollet Health Services is named as a member of the "Obligated Group" along with Park Nicollet Methodist Hospital, Park Nicollet Clinic, PNMC Holdings, Park Nicollet Institute, and Park Nicollet Health Care Products. Each member of the obligated group is an obligor under the loan agreement. Park Nicollet Health Services did not use bond funds; therefore there are no bonds on the balance sheet. Park Nicollet Health Services is the parent of the Obligated Group, and has elected to report all tax-exempt bond activity on its return. |
| Part II, Line 4: | The amount shown in column A consists of $20,484,120 in a debt service reserve fund and $9,963,801 in a debt service fund. The amount shown in column B consists of $18,247,877 in a debt service reserve fund, and $5,386,663 in a debt service fund. |
| Part II, Line 13: | Park Nicollet Health Services determined the year of substantial completion for each issue as follows: The purpose of the issue in column A was to refund prior issues for which the original capital project was complete prior to refunding. Therefore the year of substantial completion is the year of issuance. The purpose of the bond issue in column B was to refund the 2008 A and B bond issue since the related capital project of the 2008 B issue was not yet complete until 2009 the year of substantial completion is 2009. |
| Part II, Line 9: | $6,660,000 of the amount shown in column A is a swap termination payment. $18,102,000 of the amount shown in column B is a swap termination payment. |
| Part I, column (c), Line A: | The CUSIP shown on Form 8038 is 79174EE2, which is incorrect; the correct value, 791748EE2 , is shown here. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Marquette Real Estate Holdings | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | James O. Pohlad: Owner | Relationship |
| Amount Of Transaction | 4300073 | AmountOfTransaction |
| Description Of Transaction | Lease: Marquette Real Estate Holdings leases the TRIA Orthopaedic Center Building to a disregarded entity of Park Nicollet Health Services. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| New Program Services | Form 990, Part III, line 2 | TRIA Orthopaedic Center, LLC became a disregarded entity of Park Nicollet Health Services during the tax year 2011 and has been reported with the activities of Park Nicollet Health Services on the Form 990. TRIA Orthopaedic Center, LLC activities are described in Part III, Line 4b. |
| Form 990, Part VI, Section A, line 2 | Park Nicollet Health Services and its related entities (Park Nicollet Clinic, Park Nicollet Health Care Products, Park Nicollet Methodist Hospital, Park Nicollet Institute and PNMC Holdings) 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 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 Eric Schned, MD Janette Strathy, MD Katherine Tarvestad Mark Wilkowske, MD Susan Zwaschka | |
| Form 990, Part VI, Section B, line 11 | Park Nicollet Health Services prepares the Form 990 within the finance department with assistance from individuals in human resources, marketing, and operations. Upon completion of gathering the necessary information for the return, the form was compiled by Park Nicollet Health Services' 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 prior to filing 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 Park Nicollet Health Services' Board of Directors is responsible for the implementation and oversight of executive compensation and benefit plans. Park Nicollet Health Services 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 Health Services 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. 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. 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 Health Services governing documents, conflict of interest policy and financial statements are available to the public upon request. Park Nicollet Health Services mails its consolidated audited financial statements to financial institutions, governmental institutions, board members, media representatives, vendors, and the Minnesota Hospital Association (MHA). Park Nicollet Health Services discloses quarterly financial statements to bondholders. The annual audited and quarterly financial statements are also posted at emma.msrb.org. The forms 990 are available upon request or from the state of Minnesota or at Guidestar.org. | |
| Changes in Net Assets or Fund Balances: | Form 990, Part XI, line 5: | Net unrealized losses on investments: -592. Post Retirement Obligation -277,059. Prior Period Adjustments - TRIA Orthopaedic Center LLC -42,592,215. Fund Balance Transfer of PN Assurance -81,570. Tria Capital Contribution 50,594,727. Total to Form 990, Part XI, Line 5: 7,643,291. |
| Election: | Pursuant to Treasury Reg Section 1.6033-2(d)(5), Park Nicollet Health Services has elected to report information about contributions, gifts & grants, compensation, and other information about officers, directors, trustees, key employees, former employees, certain other highly paid employees, certain professional contractors, and certain other contractors on a consolidated basis for all members of the group, including the parent organization, on the group return of Park Nicollet Group Return (EIN 45-5023260). |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| TRIA Orthopaedic Center LLC | |||||||||
| 8100 Northland Drive | Bloomington | MN | 55431 | 200034003 | Health Care | MN | 6661622 | 39768298 | Park Nicollet Health Services |
| Deferred Compensation Trust | |||||||||
| 6500 Excelsior Blvd | St Louis Park | MN | 55426 | 411809020 | Investments | MN | 0 | 1715361 | Park Nicollet Health Services |
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Park Nicollet Methodist Hospital | ||||||||||
| 6500 Excelsior Blvd | St Louis Park | MN | 55426 | 410132080 | Health Care | MN | 501(c)(3) | 3 | Park Nicollet Health Services | 1 |
| Park Nicollet Foundation | ||||||||||
| 6500 Excelsior Blvd | St Louis Park | MN | 55426 | 237346465 | Grants to serve the community | MN | 501(c)(3) | 7 | Park Nicollet Health Services | 1 |
| Park Nicollet Clinic | ||||||||||
| 3800 Park Nicollet Blvd | St Louis Park | MN | 55416 | 410834920 | Health Care | MN | 501(c)(3) | 3 | Park Nicollet Health Services | 1 |
| Park Nicollet Institute | ||||||||||
| 3800 Park Nicollet Blvd | St Louis Park | MN | 55416 | 410961862 | Health Care Research | MN | 501(c)(3) | 4 | Park Nicollet Health Services | 1 |
| Park Nicollet Health Care Products | ||||||||||
| 3800 Park Nicollet Blvd | St Louis Park | MN | 55416 | 010638901 | Health Care Products | MN | 501(c)(3) | 11 Type II | Park Nicollet Health Services | 1 |
| PNMC Holdings | ||||||||||
| 3800 Park Nicollet Blvd | St Louis Park | MN | 55416 | 411741792 | Health Care Real Estate | MN | 501(c)(3) | 11 Type I | Park Nicollet Clinic | 1 |
| TRIA Orthopaedic Center Research Institute | ||||||||||
| 8100 Northland Drive | Bloomington | MN | 55431 | 200033919 | Health Care Research and Education | MN | 501(c)(3) | 11 Type I | Park Nicollet Health Services | 1 |
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 | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|
| Methodist Brain Lab Leasing LLC | ||||||||||
| 6500 Excelsior Blvd | St Louis Park | MN | 55426 | 208725994 | Health Care | MN | Park Nicollet Methodist Hospital | N/A | 0 | 0 |
| Park Nicollet Health Services Investment Partnership | ||||||||||
| 6500 Excelsior Blvd | St Louis Park | MN | 55426 | 411675033 | Investments | MN | Park Nicollet Methodist Hospital | N/A | 0 | 0 |
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 |
| Share Of Total Income | 4344896 | ShareOfTotalIncome |
| Share Of EOY Assets | 18297451 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | 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 | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | 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 (28 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Park Nicollet Health Care Products | ||
| R | 43388766 | Cost |
| Park Nicollet Health Care Products | ||
| K | 1109180 | Cost |
| Park Nicollet Health Care Products | ||
| P | 106533418 | Cost |
| Park Nicollet Enterprises | ||
| P | 4277151 | Cost |
| Park Nicollet Methodist Hospital | ||
| R | 458171394 | Cost |
| Park Nicollet Methodist Hospital | ||
| P | 555218625 | Cost |
| Park Nicollet Methodist Hospital | ||
| O | 64765 | Cost |
| Park Nicollet Methodist Hospital | ||
| J | 987612 | Cost |
| Park Nicollet Methodist Hospital | ||
| K | 7199880 | Cost |
| Park Nicollet Institute | ||
| P | 9915232 | Cost |
| Park Nicollet Institute | ||
| K | 1624090 | Cost |
| Park Nicollet Institute | ||
| R | 7462752 | Cost |
| Park Nicollet Clinic | ||
| P | 441713363 | Cost |
| Park Nicollet Clinic | ||
| K | 9163645 | Cost |
| Park Nicollet Clinic | ||
| R | 562654767 | Cost |
| Park Nicollet Clinic | ||
| J | 3157600 | Cost |
| Park Nicollet Methodist Hospital (TRIA) | ||
| O | 237953 | Cost |
| Park Nicollet Methodist Hospital (TRIA) | ||
| L | 1916325 | Cost |
| Park Nicollet Methodist Hospital (TRIA) | ||
| Q | 835630 | Cost |
| Park Nicollet Health Care Products (TRIA) | ||
| O | 862784 | Cost |
| Park Nicollet Health Care Products (TRIA) | ||
| Q | 415449 | Cost |
| Park Nicollet Clinic (TRIA) | ||
| Q | 21874512 | Cost |
| Park Nicollet Clinic (TRIA) | ||
| O | 19657848 | Cost |
| Park Nicollet Enterprises (TRIA) | ||
| O | 2260921 | Cost |
| Park Nicollet Enterprises (TRIA) | ||
| J | 2078148 | Cost |
| Park Nicollet Enterprises (TRIA) | ||
| R | 2155886 | Cost |
| TRIA Orthopaedic Center Research Institute (TRIA) | ||
| I | 214203 | Cost |
| TRIA Orthopaedic Center Research Institute (TRIA) | ||
| Q | 69000 | Cost |
Affiliated Group Attachment AffiliatedGroupAttachment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Park Nicollet Health Services incurs lobbying expenses on behalf of Park Nicollet Methodist Hospital, Park Nicollet Institute, Park Nicollet Health Care Products and Park Nicollet Clinic. Other exempt expenses relate to the management expenses incurred by Park Nicollet Health Services on behalf of each entity. | Explanation |
Affiliated Group Schedule AffiliatedGroupSchedule
Affiliated Schedule AffiliatedSchedule (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Electing OrgElectingOrg | Total Grassroots LobbyingTotalGrassrootsLobbying | Total Direct LobbyingTotalDirectLobbying | Total Lobbying ExpendituresTotalLobbyingExpenditures | Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures | Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures | Lobbying NontaxableLobbyingNontaxableAmount | Grassroots NontaxableGrassrootsNontaxableAmount | Tot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontx | Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx | Share Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Park Nicollet Health Services | |||||||||||||||
| 6500 Excelsior Boulevard | St Louis Park | MN | 55416 | 363465840 | X | 0 | 191800 | 191800 | 107819 | 299619 | $59,924 | $14,981 | 0 | 131876 | 0 |
| Park Nicollet Methodist Hospital | |||||||||||||||
| 6500 Excelsior Boulevard | St Louis Park | MN | 55416 | 410132080 | 0 | 0 | 0 | 33697492 | 33697492 | $1,000,000 | $250,000 | 0 | 0 | 0 | |
| Park Nicollet Clinic | |||||||||||||||
| 3800 Park Nicollet Boulevard | St Louis Park | MN | 55416 | 410834920 | 0 | 0 | 0 | 43202125 | 43202125 | $1,000,000 | $250,000 | 0 | 0 | 0 | |
| Park Nicollet Health Care Products | |||||||||||||||
| 3800 Park Nicollet Boulevard | St Louis Park | MN | 55416 | 010638901 | 0 | 0 | 0 | 1235768 | 1235768 | $198,577 | $49,644 | 0 | 0 | 0 | |
| Park Nicollet Institute | |||||||||||||||
| 3800 Park Nicollet Boulevard | St Louis Park | MN | 55416 | 410961862 | 0 | 0 | 0 | 4694260 | 4694260 | $384,713 | $96,178 | 0 | 0 | 0 | |
| PNMC Holdings | |||||||||||||||
| 3800 Park Nicollet Boulevard | St Louis Park | MN | 55416 | 411741792 | 0 | 0 | 0 | 0 | 0 | $0 | $0 | 0 | 0 | 0 | |
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