2011-11-10T14:10:45-06:00 2010-12-31 Deloitte Tax LLP 50 South Sixth Street Suite 2800 Minneapolis MN 55402 990 2010-01-01 410834920 Park Nicollet Clinic PARK 9529936790 3800 Park Nicollet Blvd St Louis Park MN 55416 Sheila McMillan 9529936790 2011-10-31 1 Kristina Rasmussen 6123974000 2010 2016-03-07 17:11:31Z Sheila McMillan 6500 Excelsior Blvd St Louis Park MN 55416 671662728 0 X www.parknicollet.Com X 1959 MN Cares for and supports the health, healing,and learning of those served. 18 9 0 287 8500228 -13363 1766175 441222 627316471 630370147 820559 1167119 1380934 1025314 631284139 633003802 101791 906266 0 0 345686151 354891857 0 0 54689 241967727 240614670 587755669 596412793 43528470 36591009 216005002 250029815 104254708 98630250 111750294 151399565 X Park Nicollet Clinic 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. 0 0 516691128 906266 608820304 Park Nicollet Clinic is one of the largest multispecialty clinics in the United States, providing care in more than 55 medical specialties. Approximately 700 physicians and 350 clinical professionals are on staff at 18 primary care clinics and several other care locations in Minneapolis and surrounding suburbs.Park Nicollet Clinic is part of Park Nicollet Health Services, an integrated care system, staffed by nationally recognized hospital and clinic doctors, clinical professionals, nurses and other staff. Park Nicollet Clinic helps patients stay healthy and takes care of them when they are sick. Park Nicollet Clinic's mission is to care for and support the health, healing and learning of those served.Park Nicollet Clinic uses five core values to accomplish its mission - care, service, stewardship, joy and learning. Highlights of 2010 that support Park Nicollet Health Service's values include the following:Park Nicollet Clinic actively involved its patients, employees, board members and community partners in identifying patient and community needs. In 2010, Park Nicollet Clinic provided more than $7 million in patient services charity care and $29.8 million in unreimbursed medical care. Patient councils continue 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. Park Nicollet Clinic helped open a new health resource center in the Brooklyn Center High School in 2010. It provides free and low-cost medical, mental health and dental care to children and youth in the community. This community resource is the fourth such school-affiliated clinic established, staffed and funded in partnership with Park Nicollet Foundation and Park Nicollet Clinic.In 2010, by partnering with the local non-profit Children's Dental Services, four community clinics for children began offering free or reduced cost dental care to any child or adolescent in the communities served.Park Nicollet Clinic and other affiliates provided needed comprehensive care, including primary, specialty, hospital and pharmacy services, at no charge to 1,996 individuals enrolled in the St. Mary's program - an innovative model of providing continuity of care for the uninsured. In total, the clinic provided reduced charge or free care to approximately 14,700 individuals. In 2010, Park Nicollet Clinic received four of the eleven certifications by the state of Minnesota to be "health care homes." Health care homes, also known as "medical homes," offer a team approach to care. A care coordinator works with patients and their families to coordinate with a clinical team that may include physicians, nurses, clinicians, specialists and pharmacists. The program also coordinates with community resources such as schools and social service agencies to ensure continuity of care that will follow patients after they leave the clinic and into the communities where they live.Park Nicollet Clinic is affiliated with Park Nicollet Health Services, Park Nicollet Methodist Hospital, Park Nicollet Foundation, Park Nicollet Institute and Park Nicollet Health Care Products. Together with the affiliated organizations, Park Nicollet Clinic has accomplished the following in 2010:Park Nicollet Clinic and its affiliates are dedicated to caring for, and supporting the health, healing and learning of patients, employees and the community. Park Nicollet Clinic and its affiliates accomplish this in many ways and are especially grateful to its volunteers. In 2010, Park Nicollet Health Services and affiliates gave more than $3.1 million through 106 grants. Park Nicollet Health Services and affiliates continued its joint sponsorship of the Successful Aging Initiative, which focuses on improving coordination of community and health care services for senior citizens. Park Nicollet Clinic and Park Nicollet Foundation partner with 21 school districts to assure that all students are up to date with their immunizations. Park Nicollet Health Services and affiliates strive to assure help is there when needed during serious or life-threatening illnesses. We offer programs that are not fully funded or reimbursed under traditional health insurance, including Club CREATE, Stroke INSPIRE and Melrose Institute.Park Nicollet Health Services provided more than 9,900 prescriptions for outpatient medications to low income individuals and families, assuring medical treatment for acute and chronic conditions such as asthma and diabetes.The Park Nicollet Frauenshuh Cancer Center Rehabilitation Program received a HealthPartners "Innovation Award" in 2010 for its excellent work in improving the lives of cancer survivors. The program helps cancer patients reduce pain, improve function and strength, and find support from rehabilitation staff and fellow patients. 13439931 21549843 Park Nicollet Clinic has expenses related to affiliated tax exempt organizations: Park Nicollet Methodist Hospital, Park Nicollet Health Care Products, Park Nicollet Institute and Park Nicollet Health Services. Park Nicollet Clinic provides rental space and lab services to its affiliated organizations in order to assure the efficient and professional delivery of health care and other services to the community and aids in the provision of low cost medical service. 530131059 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 130 0 1 0 1 1 0 0 0 0 0 0 0 0 0 X 18 9 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MN X Sheila McMillan CFO 9529936790 6500 Excelsior Blvd St Louis Park MN 55426 X David Abelson MD 55.00 X X 0 789529 220188 Steven Connelly MD 55.00 X X 0 514388 48590 David J Cooke 55.00 X X 0 699941 93397 Judith Corson 3.00 X X 0 0 0 Bruce W Engelsma 3.00 X 0 0 0 Steven Frank 3.00 X 0 0 0 David Homans MD 55.00 X 0 476226 38872 Jeffrey B Husband MD 55.00 X 569522 0 49426 Ann Rockler Jackson 3.00 X 0 0 0 Michael Johnson 55.00 X 0 355684 59876 Kathryn D Kallas 55.00 X X 0 344809 103609 Michael Kaupa 55.00 X X 0 602417 137571 Jodee Kozlak 3.00 X 0 0 0 Donald Lewis 3.00 X X 0 0 0 Charles McCoy MD 55.00 X 188968 0 32901 Sheila McMillan 55.00 X X 0 147443 49507 Ken Melrose 3.00 X 0 0 0 Ruth Mickelsen 3.00 X 0 0 0 Lee N Newcomer MD 3.00 X 0 0 0 James O Pohlad 3.00 X 0 0 0 Janette Strathy MD 55.00 X 304114 0 36101 Richard E Struthers 3.00 X X 0 0 0 Kenneth L Thome 3.00 X X 0 0 0 Mark Wilkowske MD 55.00 X 609656 0 49964 Susan Zwaschka 55.00 X 0 319851 94811 Oliver Cass MD 55.00 X 813923 0 53205 Dane Christensen MD 55.00 X 920507 0 54477 Timothy Diegel MD 55.00 X 874732 0 66393 Salim Kathawalla MD 55.00 X 879377 0 70426 Steven Rakes MD 55.00 X 807393 0 52831 Samuel Carlson MD X 173093 0 79194 David K Wessner X 0 1387855 101086 6141285 5638143 1492425 710 1 1 0 The Orthopaedic Center LLC 8100 Northland Drive Bloomington MN 55431 Medical Services 3624947 University of Minnesota Physicians 420 Delaware St Se Minneapolis MN 55405 Medical Services 3386883 ABM Janitorial Services Inc 75 Remittance Dr Ste 3048 Chicago IL 60693 Janitorial Services 2820224 Medquist Transcriptions Ltd PO Box 102467 Atlanta GA 30368 Transcription 2817198 Spheris Corporation 13552 Collections Center Drive Chicago IL 60693 Transcription 2230102 44 441222 441222 Medical Services Inc. 621400 489862129 489862129 Medicare/Medicaid 621400 118933993 118933993 Services to Affiliates 900003 21549843 13049615 8500228 Medical Services - Edu 900099 24182 24182 630370147 1444025 1444025 13911 13911 1784543 1030366 754177 754177 754177 37334393 3350 37620106 8454 -285713 -5104 -290817 -290817 Cafeteria 722210 271137 271137 271137 633003802 621869919 8500228 2192433 906266 906266 1840653 1463371 377282 295104245 288092493 6966032 45720 17954994 17538666 413545 2783 24296108 23655390 636965 3753 15695857 15331913 361511 2433 14123 14123 62101 62101 18818228 18744098 74130 75329 24702 50627 6392665 5671587 721078 4156198 3965734 190464 27005143 25308671 1696472 175655 92616 83039 74505 39529 34976 1499428 1499428 11038983 10089452 949531 3657591 3657591 Mgmt Exps to Affiliate 73790932 24077944 49712988 0 Medical Supplies 54580757 54495176 85581 0 Bad Debt Expense 16009223 16009223 0 0 Lab/Purch Svc Expense 13959983 13959983 0 0 MN Care Expense 8671476 8671476 0 0 632350 493341 139009 596412793 530131059 66227045 54689 467567 324136 56508445 56399543 1404860 1639204 228918167 145864943 87457373 83053224 45792293 67606033 23075094 26705692 1299370 14301983 216005002 250029815 27166435 28399997 1415078 2030829 60445379 58124410 15227816 10075014 104254708 98630250 X 111750294 151399565 111750294 151399565 216005002 250029815 X 36591009 3058262 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 21278 21278 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: Park Nicollet Clinic reimburses certain professional membership dues of employees. A portion of such membership dues are used by the professional association for lobbying activities. 6997832 374312 109910 860133 6621921 13741563 935251 92610 7771592 6997832 13988569 1360221 -235258 1371969 13741563 0.51000 0.49000 0 1 1 18440147 18440147 75114321 45506020 29608301 37472664 25229895 12242769 77986020 69795171 8190849 19905015 5333857 14571158 83053224 Investment in PNHS Investment Partnership 59003372 F Treasury Money Market fund 8602661 F 67606033 Investment in St. Francis Regional Medical Center 26396092 C Preferred One stock 309600 C 26705692 Building held for sale 909933 Bond Issue Costs 374197 Due to/from affiliates 13017853 14301983 Capital Lease Obligation 3298960 Securities on Loan 6776054 10075014 Description of Intended Use of Endowment Funds: Part V, Line 4: The Term endowment funds for use within Park Nicollet Clinic are for Grants related to Education, Research and Patient Care. Description of Uncertain Tax Positions Under FIN 48: Part X: There were no unrecognized Tax Benefits or liabilities for the years ended December 31, 2010, 2009, and 2008. 1 Park Nicollet Institute 3800 Park Nicollet Blvd St Louis Park MN 55416 410961862 501(c)(3) 906266 Research and Education 1 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Park Nicollet Clinic 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 2010, grants were made to Park Nicollet Institute for improvements to the medical services for our community and for medical research. These grants were made to parties related to Park Nicollet Clinic, so employees of Park Nicollet Clinic were able to verify the use of the monies contributed. 1 1 0 0 0 0 0 1 0 David Abelson MD 0 593117 0 171752 0 24660 0 132000 0 88188 0 1009717 0 0 Steven Connelly MD 0 423861 0 80252 0 10275 0 0 0 48590 0 562978 0 0 David J Cooke 0 35960 0 179487 0 484494 0 0 0 93397 0 793338 0 47333 David Homans MD 0 466334 0 4303 0 5589 0 0 0 38872 0 515098 0 0 Jeffrey B Husband MD 545937 0 14097 0 9488 0 0 0 49426 0 618948 0 0 0 Michael Johnson 0 231294 0 81203 0 43187 0 0 0 59876 0 415560 0 25300 Kathryn D Kallas 0 246209 0 86343 0 12257 0 38405 0 65204 0 448418 0 0 Michael Kaupa 0 384510 0 202453 0 15454 0 56390 0 81181 0 739988 0 0 Charles McCoy MD 180229 0 5099 0 3640 0 0 0 32901 0 221869 0 0 0 Sheila McMillan 0 124202 0 0 0 23241 0 30400 0 19107 0 196950 0 0 Janette Strathy MD 217314 0 6002 0 80798 0 0 0 36101 0 340215 0 0 0 Mark Wilkowske MD 564495 0 41572 0 3589 0 0 0 49964 0 659620 0 0 0 Susan Zwaschka 0 226426 0 77201 0 16224 0 28200 0 66611 0 414662 0 0 Oliver Cass MD 784166 0 24543 0 5214 0 0 0 53205 0 867128 0 0 0 Dane Christensen MD 883134 0 35993 0 1380 0 0 0 54477 0 974984 0 0 0 Timothy Diegel MD 740803 0 22592 0 111337 0 0 0 66393 0 941125 0 0 0 Salim Kathawalla MD 718335 0 38333 0 122709 0 0 0 70426 0 949803 0 0 0 Steven Rakes MD 774378 0 29542 0 3473 0 0 0 52831 0 860224 0 0 0 Samuel Carlson MD 411 0 0 0 172682 0 0 0 79194 0 252287 0 0 0 David K Wessner 0 44990 0 367603 0 975262 0 0 0 101086 0 1488941 0 154681 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. Park Nicollet Health Services also pays for Rotary Club of Minneapolis dues for Michael J. Johnson, Park Nicollet Foundation President and Park Nicollet Health Services and affiliates Director. Park Nicollet Health Services considers these expenses to be business expenses of the organization; therefore these amounts are not included in taxable income for the individuals. 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 for Park Nicollet Clinic. Part I, Lines 4a-b Schedule J Part I, Line 4a: During 2010, 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 2010 is as follows: Samuel E. Carlson, MD $142,974 David K. Wessner, $703,040 David J. Cooke, $400,000 Schedule J Part I, Line 4B: Senior leaders of Park Nicollet Clinic 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, and (iii) credits for exchanging up to five vacation days. 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 K. Wessner, $154,681 David J. Cooke, $47,333 Michael Johnson $25,300 Part I, Line 7 All physicians employed by and seeing patients for Park Nicollet Clinic, 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 which are paid by Park Nicollet Health Services and Park Nicollet Clinic. 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. Marquette Real Estate Holdings James O. Pohlad: Owner of Marquette Real Estate Holdings (MREH) 4199956 Development: Marquette Real Estate Holdings leases the TRIA Orthopaedic Center building to an affiliate of Park Nicollet Health Services. Park Nicollet Clinic occupies space in the building. 0 RJM Construction James O. Pohlad: Owner of MREH, Parent of RJM Construction 695109 Construction: RJM Construction performed construction services for Park Nicollet Clinic. 0 Gregg Strathy MD Jannette Strathy, MD : Family member 205043 Employment: Gregg Strathy, MD is a Medical Doctor employed by Park Nicollet Clinic. 1 Form 990, Part IV, Line 24A: Park Nicollet Clinic, along with related organizations, is jointly liable for the tax exempt bonds held by Park Nicollet Health Services under a master trust agreement. The other members of the jointly liable group, which is collectively referred to as the "Obligated Group", include 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. 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 Steven Connelly David J. Cooke David Homans Jeffrey B. Husband Michael Johnson Kathryn D. Kallas Michael Kaupa Charles McCoy Sheila McMillan Janette Strathy Mark Wilkowske Susan Zwaschka Form 990, Part VI, Section A, line 4 Bylaws were amended to clarify the composition of the Board of Directors to be the same as the members of the Board of Directors of Park Nicollet Health Services, the sole member of the corporation. The bylaws were also amended to reserve certain powers to Park Nicollet Health Services, such as the power to approve major corporate actions, including amendments to governing documents, mergers and dissolution. The Articles of Incorporation were amended to provide that, upon dissolution, the assets remaining after payment of debts will be transferred to Park Nicollet Health Services, as long as Park Nicollet Health Services continues to be exempt from federal income tax under Section 501(c)(3). Form 990, Part VI, Section A, line 6 Park Nicollet Health Services is the sole member of Park Nicollet Clinic. Form 990, Part VI, Section A, line 7a The Board of Directors of Park Nicollet Clinic 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 Clinic are subject to the approval of the board of directors of Park Nicollet Health Services. Form 990, Part VI, Section B, line 11 Park Nicollet Clinic 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 complied by Park Nicollet Clinic's 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 reivews were complete, the final version of the Form 990 was given to each member of the Board of Directors prior to filing the return. Form 990, Part VI, Section B, line 12c At Park Nicollet Clinic all key employees, directors, and officers are required to fill out a conflict of interest statement each year; however the obligation to report conflicts is ongoing. The conflict of interest statments are reviewed by the Chief Compliance Officer and reported to the Park Nicollet Health Service's board's governance committee. The board ensures that any potential conflicts reported have been mitigated in an appropriate manner. When a transaction involving a potential conflict of interest is noted, the board of directors assigns a 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 Clinic 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 Clinic. Park Nicollet Clinic 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 Clinic 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 Clinic. 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 Clinic. 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 Clinic's 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 Park Nicollet Clinic, 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. Form 990, Part VII: Certain board members for Park Nicollet Clinic also provide services as employees to Park Nicollet Health Services and its subsidiaries. Hours worked are an estimate 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 gains on investments: 3,170,939. Expenses for Grants Paid by Park Nicollet Foundation -112,677. Total to Form 990, Part XI, Line 5: 3,058,262. Form 990, Part XII, Line 2c: Neither the oversight process nor the selection process for the review of the audit of Park Nicollet Health Services and affiliates' financial statements have changed during the tax year. Park Nicollet Health Services 6500 Excelsior Blvd St Louis Park MN 55426 363465840 Health Care Administration 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 Park Nicollet Health Services 1 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 Institute 6500 Excelsior Blvd St Louis Park MN 55426 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 Park Nicollet Health Services Investment Partnership 6500 Excelsior Blvd St Louis Park MN 55426 411675033 Investments MN Park Nicollet Methodist Hospital Excluded 936911 51859431 0 1 0.17580 Tria Orthopaedic Center LLC 8100 Northland Drive Bloomington MN 55431 200034003 Health Care MN Park Nicollet Health Services N/A 0 0 0.00000 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 0.00000 Park Nicollet Enterprises 6500 Excelsior Blvd St Louis Park MN 55426 411656735 Real Estate for Related Organization MN Park Nicollet Health Services C 1 1 1 0 0 0 0 0 1 1 0 1 0 0 1 1 0 1 Park Nicollet Health Care Products O 43598037 Cost Park Nicollet Health Care Products I 1506371 Fair Market Value Park Nicollet Health Care Products P 288468 Cost Tria Orthopaedic Center LLC P 8363856 Cost Tria Orthopaedic Center LLC J 3022871 Fair Market Value Tria Orthopaedic Center LLC O 2391076 Cost PNMC Holdings I 2500000 Fair Market Value Park Nicollet Institute J 692887 Fair Market Value Park Nicollet Institute P 80466 Cost Park Nicollet Institute B 906266 Cost Park Nicollet Methodist Hospital O 20775342 Cost Park Nicollet Methodist Hospital J 1348294 Fair Market Value Park Nicollet Methodist Hospital L 61298913 Cost Park Nicollet Health Care Products R 20893917 Cost Tria Orthopaedic Center LLC A 207065 Cost Park Nicollet Foundation C 441222 Cost