PARK NICOLLET: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: PARK NICOLLET (EIN 45-5023260)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-13
IRS object ID: 201633189349300343
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-13T21:16:07-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4200 WELLS FARGO CENTER 90S 7TH	AddressLine1Txt
Address Line2	STREET	AddressLine2Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	455023260	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PARK NICOLLET GROUP RETURN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PARK	BusinessNameControlTxt
Phone	9529933108	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6500 EXCELSIOR BLVD	AddressLine1Txt
City	ST LOUIS PARK	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55426	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CATHERINE LENAGH	PersonNm
Person Title	VP & CFO	PersonTitleTxt
Phone	9529933108	PhoneNum
Signature	2016-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANN LAMOUREUX	PreparerPersonNm
PTIN	P00691316	PTIN
Phone	6123055000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	CATHERINE LENAGH	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6500 EXCELSIOR BLVD	AddressLine1Txt
City	ST LOUIS PARK	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55426	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,506,634,347	GrossReceiptsAmt
Group Return For Affiliates	Yes (1)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (1)	AllAffiliatesIncludedInd
Group Exemption	5874	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PARKNICOLLET.COM	WebsiteAddressTxt
Type Of Organization Other	Yes (X)	TypeOfOrganizationOtherInd
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	1467	TotalVolunteersCnt
Total Gross UBI	$2,782,706	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$13,935,944	PYContributionsGrantsAmt
CY Contributions Grants	$20,273,326	CYContributionsGrantsAmt
PY Program Service Revenue	$1,265,600,379	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,319,315,921	CYProgramServiceRevenueAmt
PY Investment Income	$29,858,118	PYInvestmentIncomeAmt
CY Investment Income	$13,245,549	CYInvestmentIncomeAmt
PY Other Revenue	$6,657,544	PYOtherRevenueAmt
CY Other Revenue	$7,156,794	CYOtherRevenueAmt
PY Total Revenue	$1,316,051,985	PYTotalRevenueAmt
CY Total Revenue	$1,359,991,590	CYTotalRevenueAmt
PY Grants And Similar Paid	$312,601	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$173,046	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$777,493,934	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$783,192,936	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$306,588	CYTotalFundraisingExpenseAmt
PY Other Expenses	$465,186,098	PYOtherExpensesAmt
CY Other Expenses	$585,473,774	CYOtherExpensesAmt
PY Total Expenses	$1,242,992,633	PYTotalExpensesAmt
CY Total Expenses	$1,368,839,756	CYTotalExpensesAmt
PY Revenues Less Expenses	$73,059,352	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$8,848,166	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,113,263,061	TotalAssetsBOYAmt
Total Assets EOY	$1,111,149,840	TotalAssetsEOYAmt
Total Liabilities BOY	$473,917,504	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$490,695,543	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$639,345,557	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$620,454,297	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,137,500,681	ExpenseAmt
Grant	$173,046	GrantAmt
Revenue	$1,213,752,919	RevenueAmt
Desc	IN 2015, PARK NICOLLET HEALTH SERVICES AND AFFILIATES, A NATIONAL HEALTH CARE IMPROVEMENT LEADER, CONTINUED TO MAKE SIGNIFICANT 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 SPECIALTY CENTERS INCLUDE: BARIATRIC SURGERY CENTER - DESIGNATED A BARIATRIC CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY FOR BARIATRIC SURGEONS, THE CENTER PREFORMS MORE THAN 400 SURGERIES EACH YEAR. CHILD AND FAMILY BEHAVIORAL HEALTH - FORMERLY ALEXANDER CENTER THIS IS THE LARGEST CLINIC IN MINNESOTA SERVING THE DEVELOPMENTAL AND BEHAVIORAL NEEDS OF CHILDREN AND THEIR FAMILIES. EMERGENCY CENTER - OPERATING OUT OF METHODIST HOSPITAL AND TREATING MEDICAL EMERGENCIES FOR MORE THAN 50,000 PATIENTS A YEAR. FAMILY BIRTH CENTER - FROM EXPERT CARE TEAMS TO LABOR, DELIVERY AND RECOVERY SUITES TO OUR SPECIAL CARE NURSERY, WE DELIVER AN EXCEPTIONAL EXPERIENCE FOR MOM AND BABY. FRAUENSHUH CANCER CENTER - MORE THAN 2,000 CANCER CASES PER YEAR ARE DIAGNOSED AT PARK NICOLLET. CANCER SERVICES INCLUDE MEDICAL ONCOLOGY, RADIATION ONCOLOGY, ONCOLOGY PSYCHIATRY AND PSYCHOTHERAPY, INTEGRATIVE THERAPIES, MUSIC THERAPY AND MORE. HEART AND VASCULAR CENTER - APPROXIMATELY 12,000 PATIENTS A YEAR USE THE CARDIAC REHAB DEPARTMENT, CARDIOLOGY CLINIC, INTERVENTIONAL CARDIOLOGY, HEART FAILURE CLINIC, SECONDARY PREVENTION CLINIC, CARDIOVASCULAR RESEARCH PROGRAM, INTERVENTIONAL RADIOLOGY, ELECTROPHYSIOLOGY, NEURO RADIOLOGY AND A NON-INVASIVE LAB. INTERNATIONAL DIABETES CENTER - THE CENTER PROVIDES WORLD-CLASS CARE, EDUCATION AND CLINICAL RESEARCH TO MEET THE NEEDS OF PEOPLE WITH DIABETES, THEIR FAMILIES AND THE HEALTH PROFESSIONALS WHO CARE FOR THEM. JANE BRATTAIN BREAST CENTER - SPECIALIZING IN BREAST IMAGING, ANNUAL SCREENING MAMMOGRAMS, BIOPSIES AND SURGERY. JOINT REPLACEMENT INSTITUTE - PROVIDING KNEE, HIP AND OTHER JOINT REPLACEMENTS FOR THOSE STRUGGLING WITH SEVERE PAIN. MORE THAN 1,000 JOINT REPLACEMENTS ARE PERFORMED ANNUALLY. MELROSE CENTER - HELPING PATIENTS WITH EATING DISORDERS FOR MORE THAN 25 YEARS. OUR MULTIDISCIPLINARY APPROACH INCLUDES MEDICAL, NUTRITIONAL, PSYCHOLOGICAL AND BEHAVIORAL CARE. STRUTHERS PARKINSON'S CENTER - SERVING PATIENTS WITH PARKINSON'S DISEASE THROUGH COMPREHENSIVE ASSESSMENT, INTERDISCIPLINARY TREATMENT, SUPPORT, RESEARCH AND EDUCATION. WOMEN'S CENTER - DESIGNED FOR WOMEN'S BUSY LIVES, THE CENTER OFFERS MORE THAN 15 PREVENTIVE AND SPECIALTY CARE SERVICES UNDER ONE ROOF. PARK NICOLLET HEALTH SERVICES MISSION IS TO TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. WE USE FOUR CORE VALUES TO ACCOMPLISH OUR MISSION: EXCELLENCE, COMPASSION, PARTNERSHIP AND INTEGRITY. HIGHLIGHTS OF 2015 THAT ILLUSTRATE PARK NICOLLET HEALTH SERVICE'S VALUES INCLUDE: METHODIST HOSPITAL RENOVATION AND EXPANSION - IN 2015 WORK CONTINUED AT METHODIST HOSPITAL ON A FOUR-YEAR RENOVATION AND EXPANSION PROJECT THAT WILL ADD TWO FLOORS TO THE HOSPITAL, ENHANCE THE SURGERY AREA AND CONVERT NEARLY ALL THE PATIENT ROOMS TO PRIVITE. NEW SUSTAINABILITY FEATURES WILL REDUCE THE HOSPITAL'S ENERGY CONSUMPTION BY 10 PERCENT. OUTPATIENT REGIONAL CENTER- MAPLE GROVE CLINIC & SPECIALITY CENTER OPENED IN OCTOBER, BRINGING MORE THAN 25 PRIMARY CARE SERVICES TO THE NORTHWEST METRO WOMEN'S CENTER OPENS - PARK NICOLLET WOMEN'S CENTER IS A NEW CONCEPT IN WOMEN'S HEALTH THAT DELIVERS CARE, COMFORT AND CONVENIENCE TO THE WOMEN IN OUR COMMUNITY BY BRINGING MORE OF THE SERVICES WOMEN USE INTO A SINGLE LOCATION. DESIGNED FOR WOMEN'S BUSY LIVES, THE CENTER OFFERS MORE THAN 15 PREVENTIVE AND SPECIALTY CARE SERVICES UNDER ONE ROOF. YOUTH SERVED - PARK NICOLLET CLINIC PARTNERS WITH PARK NICOLLET FOUNDATION IN THREE SCHOOL-BASED HEALTH CENTERS WHICH SERVED OVER 5,000 CHILDREN, OFFERING FREE MEDICAL VISITGS FOR UNINSURED AND UNDERINSURED YOUTH. SERVICES INSLUDED TREATMENT OF MINOR ACUTE ILLNESSES, PHYSICALS, IMMUNIZATIONS, MENATAL HEALTH THERAPY, DENTAL CARE AND VISION CHECKS. REACH OUT AND READ - THIS CLINIC-BASED PROGRAM TO PROMOTE LITERACY AND EARLY BRAIN DEVELOPMENT EXPANDED TO PARK NICOLLET IN 2015. THE PROGRAM ENCOURAGES PARENTS TO READ TO THEIR CHILDREN EVERY DAY, AND IS APART OF THE ORGANIZATION'S CHILDREN'S HEALTH INITATIVE. LEADER IN LGBT - EVERY YEAR SINCE 2009, THE HUMAN RIGHTS CAMPAIGN RECOGNIZED PARK NICOLLET METHODIST HOSPITAL AS A LEADER IN LGBT HEALTHCARE EQUALITY IN THE HEALTHCARE EQUALITY INDEX REPORT. WE EARNED TOP MARKS FOR OUR COMMITMENT TO EQUITABLE, INCLUSIVE CARE FOR LGBT PATIENTS AND THEIR FAMILIES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$22,097,685	ExpenseAmt
Revenue	$63,403,051	RevenueAmt
Desc	PARK NICOLLET HEALTH CARE PRODUCTS IS PART OF PARK NICOLLET HEALTH SERVICES, A NONPROFIT INTEGRATED CARE DELIVERY SYSTEM, STAFFED BY NATIONALLY RECOGNIZED HOSPITAL AND CLINIC DOCTORS, CLINICAL PROFESSIONALS, NURSES, RESEARCHERS AND OTHER STAFF AT PARK NICOLLET METHODIST HOSPITAL AND PARK NICOLLET CLINIC WHO HELP PATIENTS STAY HEALTHY AND TAKE CARE OF PATIENTS WHEN THEY ARE SICK. PARK NICOLLET HEALTH CARE PRODUCTS IS A SUPPORTING ORGANIZATION WITHIN PARK NICOLLET METHODIST HOSPITAL AND PARK NICOLLET CLINIC, PROVIDING DURABLE MEDICAL EQUIPMENT (DME)/SUPPLIES AND PHARMACEUTICALS SUPPORTING ONGOING PATIENT CARE. PARK NICOLLET HEALTH CARE PRODUCTS FOCUS ON THE HEALTH, HEALING AND LEARNING OF PATIENTS BY PROVIDING EASY ACCESS TO PRODUCTS AND SERVICES THAT SUPPORT SUCCESSFUL SELF-MANAGEMENT OF A HEALTH CONDITION AT HOME. THE PRODUCTS SUPPORT BOTH SHORT TERM ACUTE CONDITIONS AND CHRONIC LIFELONG CONDITIONS, SUCH AS EYEWEAR, HEARING AIDS, CPAP MACHINES AND MANY PRODUCTS THAT CROSS INTO ALMOST EVERY MEDICAL SUBSPECIALTY.PARK NICOLLET HEALTH CARE PRODUCTS IS AN ENTITY WITHIN PARK NICOLLET HEALTH SERVICES PROVIDING DURABLE MEDICAL EQUIPMENT (DME)/SUPPLIES SUPPORTING ONGOING PATIENT CARE. HCP PARTNERS WITH YOUR CLINICIAN TO PROVIDE PRODUCTS AND SERVICES TO HELP YOU LIVE MORE COMFORTABLY.THE HEALTH AND CARE STORES, WHICH MEET A GROWING DEMAND FOR SELF-CARE PRODUCTS AND SERVICES, LOCATED WITHIN PARK NICOLLET CLINICS, INCLUDE: HEALTH & CARE STORE OFFERING DME PRODUCTS AT 6 LOCATIONS, HEARING CENTER & STORE WITH 4 LOCATIONS, CPAP CLINIC/STORE WITH 4 LOCATIONS AND BREASTFEEDING CENTER, (1 LOCATION WITHIN THE MEADOWBROOK HEALTH & CARE STORE), ORTHOTICS & PROSTHETICS CLINIC WITH 3 LOCATIONS. THE CONTACT LENS AND OPTICAL STORE @ PARK NICOLLET HEALTH CARE PRODUCTS, WHICH MEET GROWING DEMAND FOR SELF-CARE EYEWARE AND SERVICES, ARE AT THESE PARK NICOLLET CLINIC SITES: BLOOMINGTON, BROOKDALE, BURNSVILLE, CARLSON PARKWAY (MINNETONKA), CHANHASSEN, MAPLE GROVE, MINNEAPOLIS, SHAKOPEE, AND ST. LOUIS PARK. WE ALSO PRODUCE OUR OWN EYE WARE IN HCP'S OPTICAL LAB.THE PHARMACY @ PARK NICOLLET MEETS GROWING DEMAND FOR SELF-CARE PRODUCTS AND SERVICES. THE PHARMACIES ARE AT THESE PARK NICOLLET CLINIC LOCATIONS: BLOOMINGTON, BROOKDALE, BURNSVILLE, CARLSON PARKWAY (MINNETONKA), CHANHASSEN, EAGAN, MAPLE GROVE, MINNEAPOLIS, ST. LOUIS PARK, TRIA, AND WAYZATA AS WELL AS HEART AND VASCULAR CENTER AND MEADOWBROOK AT THE PARK NICOLLET METHODIST HOSPITAL.THE PATIENT CARE EXPERIENCE DOES NOT END AT THE HOSPITAL OR CLINIC DOOR. PATIENTS HAVE MANY SELF-CARE NEEDS TO MANAGE BOTH THEIR ACUTE AND CHRONIC HEALTH CONDITIONS, AND PARK NICOLLET HEALTH CARE PRODUCTS IS EXPANDING ITS CAPACITY TO BETTER SERVE THESE GROWING NEEDS. MAJOR ACCOMPLISHMENTS FOR 2015 INCLUDE: ENHANCED PRODUCT ASSORTMENTS AVAILABLE FOR PATIENTS ESPECIALLY PATIENTS LIVING WITH CHRONIC HEALTH CONDITIONS SUCH AS DIABETES, CANCER, AND BONE AND JOINT DISEASE. A ROBUST DME POINT OF SALE, FINANCIAL REPORTING, INVENTORY, AND BILLING SYSTEM FOR BETTER PATIENT SERVICE AND EASE OF OBTAINING THEIR PRESCRIPTIONS EDUCATED PHYSICIANS AND CARE PROVIDER'S ABOUT SERVICES AND PRODUCTS TO BETTER LINK SOLUTIONS FOR PATIENT HEALTH CARE NEEDS, INCLUDING ANNUAL STAFF SKILLS REVIEW FOR DME APPLICATIONS. DEVELOPED STANDARDIZED PROVIDER REFERRALS TO ASSURE THAT PATIENTS HAVE THE PRODUCTS NEEDED AS THEY GO HOME FROM CLINIC OR HOSPITAL. UPDATED E-COMMERCE WEB SITE FOR DME, TO MAKE IT EASIER FOR PROVIDERS AND PATIENTS TO LOCATE AND PURCHASE HEALTH CARE PRODUCTS. ENHANCED OPTICAL PRODUCT ASSORTMENTS AVAILABLE FOR PATIENTS, ESPECIALLY PATIENTS LIVING WITH CHRONIC HEALTH CONDITIONS AFFECTING THEIR VISION. ENHANCED OPTICAL BENEFIT PROGRAM OFFERED TO PN EMPLOYEES TO INCREASE THE AFFORDABILITY OF EYEWEAR. EDUCATED PHYSICIANS AND CARE PROVIDERS ABOUT HEALTH CARE STORES PRODUCT OFFERINGS TO BETTER LINK PATIENT HEALTH CARE NEEDS TO PRODUCT SOLUTIONS, INCLUDING SMOKING CESSATION. DEVELOPMENT OF ADDITIONAL SERVICES IN MAPLE GROVE, HEALTH AND CARE STORE, CPAP, AND ORTHOTICS AND PROSTHETIC SERVICES. EXPANDED PHARMACY SERVICES OFFERED IN THE INFECTIOUS DISEASE DEPARTMENT THROUGH MEDICATION THERAPY MANAGEMENT SERVICES AND DEDICATED RETAIL PHARMACIST ASSIGNED FOR THE DEPARTMENT. EDUCATED PHYSICIANS AND CARE PROVIDER'S ABOUT PHARMACY SERVICES AND PRODUCTS TO BETTER LINK SOLUTIONS FOR PATIENT HEALTH CARE NEEDS. EXPANDED PHARMACY MEDICATION THERAPY MANAGEMENT SERVICES DIRECTLY INTO THE CARE ENVIROMENT TO ASSIST BOTH PROVIDERS AND PATIENTS ALIKE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$40,025,073	ExpenseAmt
Revenue	$39,333,512	RevenueAmt
Desc	PARK NICOLLET HEALTH SERVICES AFFILIATES INCURS EXPENSES ON BEHALF OF AFFILIATED TAX EXEMPT ORGANIZATIONS, PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, PNMC HOLDINGS, PARK NICOLLET HEALTH CARE PRODUCTS, AND PARK NICOLLET INSTITUTE, PROVIDING 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.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,199,623,439	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	448	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	0	DAFExcessBusinessHoldingsInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CATHERINE LENAGH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9529933108	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6500 EXCELSIOR BLVD	AddressLine1Txt
City	ST LOUIS PARK	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55426	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (60 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
THOMAS JONES MD
DIRECTOR	55.00	1.00	Yes (X)	$692,168	$0	$80,680
JEFF MENDELOFF MD
DIRECTOR	55.00	1.00	Yes (X)	$773,701	$0	$63,835
ERIC SCHNED MD
DIRECTOR	55.00	1.00	Yes (X)	$266,382	$0	$48,611
ANN WYNIA
DIRECTOR	4.40		Yes (X)	$0	$25,000	$0
DONALD LEWIS
DIRECTOR & CHAIR	4.30		Yes (X)	$0	$40,000	$0
RUTH MICKELSEN
DIRECTOR & VICE CHAIR	3.80		Yes (X)	$0	$28,000	$0
JAMES MALECHA
DIRECTOR & TREASURER	4.00		Yes (X)	$0	$28,000	$0
THOMAS R BRINSKO
DIRECTOR, HP INSTITUTE CHAIR	3.50		Yes (X)	$0	$25,000	$0
JUDITH S CORSON
DIRECTOR	3.80		Yes (X)	$0	$28,000	$0
LUZ MARIA FRIAS
DIRECTOR	2.70		Yes (X)	$0	$28,000	$0
SUSAN L HOYT
DIRECTOR	3.30		Yes (X)	$0	$28,000	$0
LAURA SCHMALTZ OBERST
DIRECTOR	3.00		Yes (X)	$0	$28,000	$0
BRIAN H RANK MD
DIRECTOR	1.00	63.00	Yes (X)	$0	$794,689	$144,358	Yes (X)
GREGORY S STRONG
DIRECTOR	3.20		Yes (X)	$0	$28,000	$0
RICHARD E STRUTHERS
DIRECTOR	2.90		Yes (X)	$0	$25,000	$0
CHRISTOPHER H TASHJIAN MD FAAFP
DIRECTOR	2.90		Yes (X)	$0	$28,000	$0
KEN L THOME
DIRECTOR & SECRETARY	3.50		Yes (X)	$0	$28,000	$0
BETH WATERMAN
PNI INSTITUTE VICE CHAIR	3.00	55.00	Yes (X)	$0	$358,934	$106,507
BETHEL AVERBECK MD
PNI INSTITUTE DIRECTOR	3.00	55.00	Yes (X)	$0	$509,826	$97,342
BILL DOHERTY PHD
PNI INSTITUTE DIRECTOR	3.00		Yes (X)	$0	$0	$0
DAVID DZIUK
PNI INSTITUTE DIRECTOR	3.00	55.00	Yes (X)	$0	$588,090	$150,863
CHARLES FAZIO MD
PNI INSTITUTE DIRECTOR	3.00	55.00	Yes (X)	$0	$438,706	$92,820
JOHN FINNEGAN PHD
PNI INSTITUTE DIRECTOR	3.00		Yes (X)	$0	$0	$0
GEORGE ISHAM MD
PNI INSTITUTE DIRECTOR	3.00	55.00	Yes (X)	$0	$159,315	$84,483
BOB KNOPP MD
PNI INSTITUTE DIRECTOR	3.00		Yes (X)	$0	$0	$0
MEGAN REMARK
PNI INSTITUTE DIRECTOR	3.00	55.00	Yes (X)	$0	$591,197	$120,416
MARK ROSENBERG
PNI INSTITUTE DIRECTOR	3.00		Yes (X)	$0	$0	$0
JOHN SCHOUSBOE MD
PNI INSTITUTE DIRECTOR	55.00	3.00	Yes (X)	$302,973	$0	$47,402
BABETTE APLAND
VP BEHAVIORAL HEALTH AND C	60.00	1.00		$0	$431,113	$111,637	Yes (X)
CURT BOEHMMD
CMIO, HP INSTUTUTE DIRECTOR	55.00	1.00		$0	$335,301	$81,653	Yes (X)
STEVEN CONNELLY MD
PRESIDENT PNHS, HP INSTUTUE DIRECTOR	55.00	1.00		$0	$758,427	$144,475	Yes (X)
PAUL DAMROW MD
CHIEF SURGICAL SERVICES	55.00	1.00		$0	$663,305	$128,889	Yes (X)
LAURA FRAZIER
VP SURGICAL SERVICES	55.00	1.00		$0	$333,527	$82,575	Yes (X)
ROXANNA GAPSTUR PHD
SR VP & COO METHODIST HOSP	55.00	1.00		$0	$476,971	$97,049	Yes (X)
CHRISTA GETCHELL
PRESIDENT PNF, VP COMMUNIT	55.00	1.00		$0	$263,348	$62,154	Yes (X)
CARA HULL
VP HR AND PLANNING	55.00	1.00		$0	$124,067	$29,970	Yes (X)
DAVID HOMANS MD
CHIEF SPECIALTY SSERVICES	55.00	1.00		$0	$672,086	$112,768	Yes (X)
STEVEN HOUSH
VP, ORTHOPAEDIC SERVICES	55.00	1.00		$0	$345,713	$57,318	Yes (X)
KATE KLUGHERZ
VP SPECIALTY SERVICES	55.00	1.00		$0	$321,296	$83,669	Yes (X)
CATHERINE LENAGH
VP & CFO	55.00	1.00		$0	$429,306	$101,908	Yes (X)
KRISTI LYON
VP PAYER RELATIONS	55.00	1.00		$0	$266,560	$79,313	Yes (X)
JOHN MISA MD
SR MEDICAL DIRECTOR	55.00	1.00		$0	$526,355	$102,251	Yes (X)
JOAN SANDSTROM
VP PRIMARY CARE	55.00	1.00		$0	$385,197	$89,069	Yes (X)
MARK SANNESMD
SR MEDICAL DIRECTOR	55.00	1.00		$0	$422,703	$84,007	Yes (X)
MELISSA SCHOENHERR
VP MARKETING AND COMMUNICA	55.00	1.00		$0	$299,200	$71,086	Yes (X)
CYNTHIA TOHER MD
SR MEDICAL DIRECTOR	55.00	1.00		$0	$693,949	$119,098	Yes (X)
DUANE SPIEGLE
VP REAL ESTATE AND SUPPORT	55.00	1.00		$0	$344,814	$97,566	Yes (X)
KATHERINE TARVESTAD
VP AND CARE GROUP COMPLIAN	55.00	1.00		$0	$304,815	$31,664	Yes (X)
JOSHUA ZIMMERMAN
SR MEDICAL DIRECTOR	55.00	1.00		$0	$419,968	$81,217	Yes (X)
NANCY MCCLURE
CHIEF OPERATING OFFICER	55.00	1.00		$0	$748,763	$140,741	Yes (X)
BARBARA TRETHEWAY
SR. VP, GENERAL COUNSEL	55.00	1.00		$0	$696,225	$113,678	Yes (X)
PRAVEEN BAIMEEDI MD
MEDICAL DOCTOR	55.00			$1,520,463	$0	$75,819		Yes (X)
OLIVER CASS MD
MEDICAL DOCTOR	55.00			$1,027,111	$0	$61,323		Yes (X)
KEITH HARMON MD
MEDICAL DOCTOR	55.00			$875,646	$0	$65,314		Yes (X)
ANTHONY BOTTINIMD
MEDICAL DOCTOR	55.00			$854,473	$0	$64,725		Yes (X)
SALIM KATHAWALLA MD
MEDICAL DOCTOR	55.00			$814,368	$0	$64,425		Yes (X)
JULIE FLASCHENRIEM
FORMER VP AND CIO	0.00			$453,529	$0	$13,923			Yes (X)
BRETT LONG
FORMER VP STRATEGY & GROWTH, HR	0.00			$340,555	$0	$12,285			Yes (X)
THEODORE WEGLEITNER
FORMER COO TRIA	55.00	1.00		$0	$449,576	$86,819			Yes (X)
SHELIA MCMILLAN
FORMER VP & CFO	0.00			$113,206	$0	$8,660			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,034,575	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$14,520,342	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,594,365	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1263	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
GROUP HEALTH PLAN INC
8170 33RD AVE S	MINNEAPOLIS	MN	55440	ADMINSTRATIVE SERVICES	$46,116,977
RJM CONSTRUCTION
5455 HWY 169	PLYMOUTH	MN	55442	CONSTRUCTION SERVICES	$19,723,160
RYAN COMPANIES US INC
50 SOUTH 10TH STREET	MINNEAPOLIS	MN	55403	CONSTRUCTION SERVICES	$16,195,183
UNIVERSITY OF MN PHYSICIANS
720 WASHINGTON AVENUE SE	MINNEAPOLIS	MN	55407	MEDICAL SERVICES	$9,374,341
MA MORTENSON COMPANY
700 MEADOW LANE NORTH	MINNEAPOLIS	MN	55442	CONSTRUCTION SERVICES	$9,096,038

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	162	CntrctRcvdGreaterThan100KCnt
Related Organizations	$9,713,756	RelatedOrganizationsAmt
Government Grants	$4,332,058	GovernmentGrantsAmt
All Other Contributions	$6,227,512	AllOtherContributionsAmt
Total Contributions	$20,273,326	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MEDICAL SERVICES	621400	$777,721,223	$777,721,223
MEDICARE/MEDICAID	621400	$436,069,865	$436,069,865
RETAIL SALES	446110	$66,191,321	$63,403,051	$2,782,706	$5,564
SERVICES TO AFFILIATES	561000	$39,333,512	$39,333,512

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,319,315,921	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,399,007	TotalRevenueColumnAmt
Exclusion	$9,399,007	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$18,680	TotalRevenueColumnAmt
Exclusion	-$18,680	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,541,845	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,208,711	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$333,134	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$333,134	TotalRevenueColumnAmt
Exclusion	$333,134	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$148,860,471	SecuritiesAmt
Other	$113,511	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$144,957,080	SecuritiesAmt
Other	$151,680	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,903,391	SecuritiesAmt
Other	-$38,169	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,865,222	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$38,169	RelatedOrExemptFuncIncomeAmt
Exclusion	$3,903,391	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,187,864	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$325,286	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$862,578	TotalRevenueColumnAmt
Exclusion	$862,578	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PROPERTY MANAGEMENT	812930	$3,068,904	$3,068,904
CAFETERIA	722210	$2,855,555	$2,855,555
MISC SERVICES	722210	$36,623	$36,623

Field	Value	IRS element (for citing)
Other Revenue Total	$5,961,082	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,359,991,590	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,316,489,482	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,782,706	UnrelatedBusinessRevenueAmt
Exclusion	$20,446,076	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$123,046	TotalAmt
Program Services	$123,046	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$50,000	TotalAmt
Program Services	$50,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,925,377	TotalAmt
Program Services	$1,671,304	ProgramServicesAmt
Management And General	$254,073	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$633,935,615	TotalAmt
Program Services	$575,492,289	ProgramServicesAmt
Management And General	$58,188,578	ManagementAndGeneralAmt
Fundraising	$254,748	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$37,204,632	TotalAmt
Program Services	$33,302,563	ProgramServicesAmt
Management And General	$3,887,308	ManagementAndGeneralAmt
Fundraising	$14,761	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$72,498,446	TotalAmt
Program Services	$63,923,807	ProgramServicesAmt
Management And General	$8,549,267	ManagementAndGeneralAmt
Fundraising	$25,372	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$37,628,866	TotalAmt
Program Services	$33,818,424	ProgramServicesAmt
Management And General	$3,798,735	ManagementAndGeneralAmt
Fundraising	$11,707	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$382,853	TotalAmt
Management And General	$382,853	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$345,385	TotalAmt
Management And General	$345,385	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$87,743	TotalAmt
Management And General	$87,743	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$617,995	TotalAmt
Management And General	$617,995	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$101,160,757	TotalAmt
Program Services	$52,768,676	ProgramServicesAmt
Management And General	$48,392,081	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,755,442	TotalAmt
Program Services	$151,165	ProgramServicesAmt
Management And General	$3,604,277	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,815,903	TotalAmt
Program Services	$8,351,069	ProgramServicesAmt
Management And General	$6,464,834	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,180,365	TotalAmt
Program Services	$5,820,271	ProgramServicesAmt
Management And General	$9,360,094	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$36,490,515	TotalAmt
Program Services	$33,416,850	ProgramServicesAmt
Management And General	$3,073,665	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,158,191	TotalAmt
Program Services	$926,119	ProgramServicesAmt
Management And General	$232,072	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$720,580	TotalAmt
Program Services	$619,993	ProgramServicesAmt
Management And General	$100,587	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,443,325	TotalAmt
Program Services	$9,443,325	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$55,335,205	TotalAmt
Program Services	$49,682,402	ProgramServicesAmt
Management And General	$5,652,803	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,963,384	TotalAmt
Program Services	$7,842,987	ProgramServicesAmt
Management And General	$120,397	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES AND EQ	$178,564,848	$175,861,580	$2,703,268
EXPENSE TO REFINANCE DE	$61,089,294	$61,089,294
COST OF GOOD SOLD	$43,444,222	$43,444,222
BAD DEBT EXPENSE	$19,144,181	$19,144,181

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$35,773,586	TotalAmt
Program Services	$22,679,872	ProgramServicesAmt
Management And General	$13,093,714	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,368,839,756	TotalAmt
Program Services	$1,199,623,439	ProgramServicesAmt
Management And General	$168,909,729	ManagementAndGeneralAmt
Fundraising	$306,588	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$441,974	BOYAmt
EOY	$414,386	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$132,432	BOYAmt
EOY	$239,994	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,888,077	BOYAmt
EOY	$3,074,683	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$140,182,902	BOYAmt
EOY	$149,213,342	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$119	BOYAmt
EOY	$12,073	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,932,766	BOYAmt
EOY	$9,506,067	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,778,692	BOYAmt
EOY	$7,698,705	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,183,643,756	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$780,106,553	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$347,455,343	BOYAmt
EOY	$403,537,203	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$570,712,855	BOYAmt
EOY	$523,436,528	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$201,021	BOYAmt
EOY	$1,538,680	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$30,536,880	BOYAmt
EOY	$12,478,179	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,113,263,061	BOYAmt
EOY	$1,111,149,840	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$71,275,027	BOYAmt
EOY	$74,460,873	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,644,827	BOYAmt
EOY	$3,238,783	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$351,015,048	BOYAmt
EOY	$366,913,021	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$47,982,602	BOYAmt
EOY	$46,082,866	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$473,917,504	BOYAmt
EOY	$490,695,543	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$638,468,291	BOYAmt
EOY	$619,694,066	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$595,829	BOYAmt
EOY	$478,794	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$281,437	BOYAmt
EOY	$281,437	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$639,345,557	BOYAmt
EOY	$620,454,297	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,113,263,061	BOYAmt
EOY	$1,111,149,840	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$8,848,166	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$9,748,033	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$1,561,982	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$1,857,043	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART 1

PARK NICOLLET METHODIST HOSPITAL LINE 3: 170(B)(1)(A)(III) PARK NICOLLET CLINIC LINE 3: 170(B)(1)(A)(III) PARK NICOLLET INSTITUTE LINE 4: 170(B)(1)(A)(III) PARK NICOLLET HEALTH CARE PRODUCTS LINE 11 TYPE I, 509(A)(3) PNMC HOLDINGS LINE 11 TYPE II, 509(A)(3)

PART I LINE 11

SUPPORTING ORGANIZATIONS DETAIL: PNMC HOLDINGS AND PARK NICOLLET HEALTH CARE PRODUCTS PROVIDE SUPPORT TO THE FOLLOWING ORGANIZATIONS: PNMC HOLDINGS: LINE 11, COLUMN (I) PARK NICOLLET CLINIC, (II) 41-0834920, (III) 170(B)(1)(A)(III), (IV) NO, (V) $0, (VI) $2,048,952 LINE 11, COLUMN (I) PARK NICOLLET HEALTH SERVICES, (II) 36-3465840, (III) 509(A)(2), (IV) YES, (V) $0, (VI) $0 PARK NICOLLET HEALTH SERVICES, WHICH IS A 509(A)(2) PUBLIC CHARITY, IS THE IDENTIFIED SUPPORTED ORGANIZATION IN PNMC HOLDINGS' ARTICLES OF INCORPORATION, IS ALSO THE PARENT OF PNMC HOLDINGS AND OF PARK NICOLLET CLINIC, AMONG OTHERS. PARK NICOLLET CLINIC IS CLOSELY RELATED IN PURPOSE AND FUNCTION TO PNMC HOLDINGS AND PARK NICOLLET HEALTH SERVICES. FURTHER, THE SAME PERSONS WHO SERVE AS THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH SERVICES ALSO SERVE AS THE BOARD OF DIRECTORS OF PNMC HOLDINGS, AND OF PARK NICOLLET CLINIC. AS A RESULT, IT IS WITHIN THE MISSION AND PURPOSE OF PNMC HOLDINGS AND OF ITS SUPPORTED ORGANIZATION PARK NICOLLET HEALTH SERVICES TO PROVIDE SUPPORT TO PARK NICOLLET CLINIC. PNMC HOLDINGS IS NOT REQUIRED TO SPECIFICALLY IDENTIFY PARK NICOLLET CLINIC IN PNMC HOLDINGS' ARTICLES OF ORGANIZATION IN ORDER ALSO TO INCLUDE PARK NICOLLET CLINIC AS PNMC HOLDINGS' SUPPORTED ORGANIZATION. PARK NICOLLET HEALTH CARE PRODUCTS: LINE 11, COLUMN (I) PARK NICOLLET METHODIST HOSPITAL, (II) 41-0132080, (III) 170(B)(1)(A)(III), (IV) NO, (V) $0, (VI) $3,825,916 LINE 11, COLUMN (I) PARK NICOLLET CLINIC, (II) 41-0834920, (III) 170(B)(1)(A)(III), (IV) NO, (V) $0, (VI) $67,302,191 LINE 11, COLUMN (I) PARK NICOLLET HEALTH SERVICES, (II) 36-3465840, (III) 509(A)(2)(IV) YES, (V) $0, (VI) $0 PARK NICOLLET HEALTH SERVICES, WHICH IS A 509(A)(2) PUBLIC CHARITY, IS THE IDENTIFIED SUPPORTED ORGANIZATION IN PARK NICOLLET HEALTH CARE PRODUCTS' ARTICLES OF INCORPORATION, IS ALSO THE PARENT OF PARK NICOLLET HEALTH CARE PRODUCTS AND OF PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL, AMONG OTHERS. PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL ARE CLOSELY RELATED IN PURPOSE AND FUNCTION TO PARK NICOLLET HEALTH CARE PRODUCTS AND PARK NICOLLET HEALTH SERVICES. FURTHER, THE SAME PERSONS WHO SERVE AS THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH SERVICES ALSO SERVE AS THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH CARE PRODUCTS, OF PARK NICOLLET CLINIC AND OF PARK NICOLLET METHODIST HOSPITAL. AS A RESULT, IT IS WITHIN THE MISSION AND PURPOSE OF PARK NICOLLET HEALTH CARE PRODUCTS AND OF ITS SUPPORTED ORGANIZATION PARK NICOLLET HEALTH SERVICES TO PROVIDE SUPPORT TO PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL. PARK NICOLLET HEALTH CARE PRODUCTS IS NOT REQUIRED TO SPECIFICALLY IDENTIFY PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL IN PARK NICOLLET HEALTH CARE PRODUCTS' ARTICLES OF ORGANIZATION IN ORDER ALSO TO INCLUDE PARK NICOLLET CLINIC AND PARK NICOLLET METHODIST HOSPITAL AS PARK NICOLLET HEALTH CARE PRODUCTS SUPPORTED ORGANIZATIONS.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$87,743	OtherActivitiesAmt
Total Lobbying Expenditures	$87,743	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	PARK NICOLLET REIMBURSES GROUP HEALTH PLAN INC. A RELATED ORGANIZATION FOR LOBBYING ACTIVITIES. PARK NICOLLET ALSO REIMBURSES CERTAIN PROFESSIONAL MEMBERSHIP DUES OF EMPLOYEES. A PORTION OF SUCH MEMBERSHIP DUES ARE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$27,215,939	BeginningYearBalanceAmt
Contributions	$3,506,786	ContributionsAmt
Investment Earnings Or Losses	$239,474	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$4,636,136	GrantsOrScholarshipsAmt
End Year Balance	$26,326,063	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$27,216,599	BeginningYearBalanceAmt
Contributions	$2,515,547	ContributionsAmt
Investment Earnings Or Losses	$526,563	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,042,770	GrantsOrScholarshipsAmt
End Year Balance	$27,215,939	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,981,337	BeginningYearBalanceAmt
Contributions	$4,508,387	ContributionsAmt
Investment Earnings Or Losses	$2,715,649	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,988,774	GrantsOrScholarshipsAmt
End Year Balance	$27,216,599	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,854,970	BeginningYearBalanceAmt
Contributions	$2,046,767	ContributionsAmt
Investment Earnings Or Losses	$877,865	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,798,265	GrantsOrScholarshipsAmt
End Year Balance	$21,981,337	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,048,592	BeginningYearBalanceAmt
Contributions	$1,489,934	ContributionsAmt
Investment Earnings Or Losses	-$341,465	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,342,091	GrantsOrScholarshipsAmt
End Year Balance	$20,854,970	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.43000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.57000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,661,044	OtherCostOrOtherBasisAmt
Book Value	$27,661,044	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$590,049,975	OtherCostOrOtherBasisAmt
Depreciation	$316,794,860	DepreciationAmt
Book Value	$273,255,115	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$58,348,512	OtherCostOrOtherBasisAmt
Depreciation	$40,774,736	DepreciationAmt
Book Value	$17,573,776	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$496,130,213	OtherCostOrOtherBasisAmt
Depreciation	$416,679,555	DepreciationAmt
Book Value	$79,450,658	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,454,012	OtherCostOrOtherBasisAmt
Depreciation	$5,857,402	DepreciationAmt
Book Value	$5,596,610	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$403,537,203	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
CAPITAL LEASE OBILGATION	$2,870,366
SUBORDINATE NOTE TO RELATED THIRD PARTY	$43,212,500

Field	Value	IRS element (for citing)
Total Liability	$46,082,866	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE TERM ENDOWMENT FUNDS FOR USE WITHIN PARK NICOLLET CLINIC, PARK NICOLLET INSTITUTE AND PARK NICOLLET METHODIST HOSPITAL ARE FOR GRANTS RELATED TO EDUCATION, RESEARCH AND PATIENT CARE.

PART X, LINE 2:

HPIC, HPSI, HPA, HPAI, HPCMC, PNE, AND DSI, (THE TAXABLE GROUP) ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. DEFERRED INCOME TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE DIFFERENCES BETWEEN THE FINANCIAL AND INCOME TAX REPORTING BASIS OF ASSETS AND LIABILITIES BASED ON ENACTED TAX RATES AND LAWS. THE DEFERRED INCOME TAX PROVISION OR BENEFIT GENERALLY REFLECTS THE NET CHANGE IN DEFERRED INCOME TAX ASSETS AND LIABILITIES DURING THE YEAR. THE CURRENT INCOME TAX PROVISION REFLECTS THE TAX CONSEQUENCES OF REVENUES AND EXPENSES CURRENTLY TAXABLE OR DEDUCTIBLE ON VARIOUS INCOME TAX RETURNS FOR THE YEAR REPORTED. PARK NICOLLET'S ACCOUNTING POLICY PROVIDES THAT A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. PARK NICOLLET RECORDED NO LIABILITIES AT DECEMBER 31, 2015 OR 2014 FOR UNRECOGNIZED TAX BENEFITS.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	EAST ASIA AND THE PACIFIC	RegionTxt
Offices	0	OfficesCnt
Type Of Activities Conducted	PROGRAM SERVICES	TypeOfActivitiesConductedTxt
Specific Services Provided	EDUCATION	SpecificServicesProvidedTxt
Region Total Expenditures	$13,049	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$13,049	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$13,049	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	275.000000000000	FreeCareOtherPct

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	385.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	0	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,914,799	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$152,713	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,762,086	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$157,912,258	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$101,670,168	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,242,090	NetCommunityBenefitExpnsAmt
Total Expense	0.04110	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$164,827,057	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$101,822,881	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$63,004,176	NetCommunityBenefitExpnsAmt
Total Expense	0.04600	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	103324	PersonsServedCnt
Total Community Benefit Expns	$6,515,736	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$814,552	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,701,184	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,329,452	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,324,889	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,004,563	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,079,430	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,345,068	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,734,362	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	103324	PersonsServedCnt
Total Community Benefit Expns	$18,924,618	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,484,509	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,440,109	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	103324	PersonsServedCnt
Total Community Benefit Expns	$183,751,675	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$109,307,390	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$74,444,285	NetCommunityBenefitExpnsAmt
Total Expense	0.05440	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,950,287	BadDebtExpenseAmt
Reimbursed By Medicare	$163,667,747	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$160,112,692	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,555,055	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PARK NICOLLET METHODIST HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6500 EXCELSIOR BLVD	AddressLine1Txt
City	ST LOUIS PARK	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55426	ZIPCd

Field	Value	IRS element (for citing)
Website Address	PARKNICOLLET.COM	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	PARK NICOLLET METHODIST HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.PARKNICOLLET.COM	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.PARKNICOLLET.COM	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	275.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	385.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.PARKNICOLLET.COM/PATIENT-ACCOUNTS-SERVICES/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.PARKNICOLLET.COM/PATIENT-ACCOUNTS-SERVICES/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.PARKNICOLLET.COM/PATIENT-ACCOUNTS-SERVICES/FINANCIAL-ASSISTANC	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PARK NICOLLET METHODIST HOSPITAL	PART V, SECTION B, LINE 5: TO COLLECT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, PARK NICOLLET METHODIST HOSPITAL PARTICIPATED IN COMMUNITY INITIATIVES WITH COUNTY PUBLIC HEALTH DEPARTMENTS AND DREW FROM THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND THE EXPERTISE OF THOSE DEPARTMENTS. IN HENNEPIN COUNTY, FIVE COMMUNITY HEALTH BOARDS HAVE PUBLIC HEALTH RESPONSIBILITIES. THESE BOARDS UTILIZED THE MOBILIZING FOR ACTION THROUGH PARTNERSHIPS AND PLANNING (MAPP) PROCESS, A COMMUNITY ENGAGEMENT PLANNING TOOL, TO GATHER INPUT ABOUT HEALTH NEEDS FROM COMMUNITY STAKEHOLDERS. STAKEHOLDERS ENGAGED WERE DRAWN FROM DIFFERENT TYPES OF ORGANIZATIONS FROM ACROSS THE GEOGRAPHY OF THE COUNTY AND INCLUDED REPRESENTATION FROM PROVIDERS SERVING VULNERABLE OR AT-RISK POPULATIONS, COMMUNITIES EXPERIENCING HEALTH DISPARITIES AND CULTURAL GROUPS THAT LIVE WITHIN THE COUNTY. NEARLY 2000 CONTACTS RECEIVED AN ON-LINE SURVEY WITH A RESPONSE RATE OVER 10 PERCENT. APPROXIMATELY 110 STAKEHOLDERS ATTENDED ONE OR MORE SESSIONS OF A THREE-PART FORUM SERIES.THE PUBLIC HEALTH DEPARTMENT OF DAKOTA COUNTY ALSO UTILIZED MAPP MODEL TO GATHER INPUT FOR ITS CHNA. ALONG WITH COLLATING HEALTH AND DEMOGRAPHIC DATA FROM LOCAL, STATE AND NATIONAL DATABASES, THE DEPARTMENT CONDUCTED A COMMUNITY HEALTH OPINION SURVEY THAT PROVIDED INSIGHTS ABOUT THE HEALTH CONCERNS OF PEOPLE WHO LIVE AND WORK IN THE COUNTY. THAT SURVEY WAS FOLLOWED WITH A SHORTER OPINION SURVEY OF TARGETED POPULATIONS. ADDITIONAL INFORMATION WAS DRAWN FROM THE 2013 DAKOTA COUNTY RESIDENT SURVEY.IN SCOTT COUNTY, THE PUBLIC HEALTH AGENCY CONDUCTED COMMUNITY FORUMS THAT INCLUDED CITIZENS INVITED VIA ADVERTISEMENTS IN THE COMMUNITY PAPER, COMMUNITY LEADERS INVITED BY LETTERS FROM THE COMMUNITY HEALTH BOARD, COUNTY COMMISSIONERS AND PUBLIC HEALTH STAFF. AT EACH FORUM, FACILITATORS PRESENTED HEALTH DATA, FOLLOWED BY STRUCTURED QUESTIONS TO GATHER ATTENDEES' INPUT RELATED TO PUBLIC HEALTH CONCERNS. INFORMATION WAS ALSO COLLECTED FROM VARIOUS REGIONAL DATA SOURCES AND DISCUSSIONS WITH PARTICIPANTS IN THE SCOTT COUNTY HEALTH CARE SYSTEMS COLLABORATIVE, WHICH CONSISTS OF REPRESENTATIVES OF HEALTH PLANS, HOSPITALS, CLINICS AND PUBLIC HEALTH.TO GATHER INPUT ON ISSUES SPECIFICALLY RELATED TO SENIORS, PARK NICOLLET FOUNDATION FACILITATED MEETINGS OF THE SUCCESSFUL AGING INITIATIVE IN ST. LOUIS PARK, MINNESOTA, AND THE 55+ COLLABORATIVE IN MINNETONKA, MINNESOTA. EACH OF THESE GROUPS INCLUDE SENIOR MEMBERS OF THE COMMUNITIES AND PROVIDERS OF SERVICES FOR SENIORS.
PARK NICOLLET METHODIST HOSPITAL	PART V, SECTION B, LINE 6A: PARK NICOLLET METHODIST HOSPITAL COLLABORATED WITH OTHER HOSPITALS IN THE HEALTHPARTNERS' SYSTEM IN DEVELOPING THE CHNA METHODOLOGY, COLLECTING DATA AND DRAFTING THE FINAL REPORT. THOSE HOSPITALS ARE REGIONS HOSPITAL, LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, HUDSON HOSPITAL, WESTFIELDS HOSPITAL AND AMERY REGIONAL MEDICAL CENTER. HOWEVER, WE INDIVIDUALLY ASSESSED INPUT FROM OUR OWN COMMUNITY AND PREPARED FINDINGS AND AN IMPLEMENTATION PLAN SPECIFICALLY RELEVANT TO THIS COMMUNITY. THE PARK NICOLLET BOARD OF DIRECTORS APPROVED THE CHNA.
PARK NICOLLET METHODIST HOSPITAL	PART V, SECTION B, LINE 6B: PARK NICOLLET FOUNDATION AND PARK NICOLLET CLINIC.
PARK NICOLLET METHODIST HOSPITAL	PART V, SECTION B, LINE 7D: PARK NICOLLET HEALTH SERVICES BOARD OF DIRECTOR'S APPROVED THE IMPLEMENTATION STRATEGY FOR PARK NICOLLET METHODIST HOSPITAL DURING 2015. A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY IS POSTED TO THE PARK NICOLLET WEBSITE AT HTTP://WWW.PARKNICOLLET.COM/COMMUNITYANDVOLUNTEERISM/COMMUNITY-NEEDS-HEALTH-ASSESSMENT
PARK NICOLLET METHODIST HOSPITAL	PART V, SECTION B, LINE 11: PARK NICOLLET METHODIST HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA THROUGH ITS DETAILED IMPLEMENTATION STRATEGY, AVAILABLE AT THE WEBSITE NOTED IN QUESTION 10A ABOVE. NEEDS IDENTIFIED THAT ARE NOT BEING ADDRESSED ARE DRUG AND ALCOHOL DEPENDENCY AND ABUSE. THESE NEEDS RECEIVE SIGNIFICANT FUNDING AND OTHER RESOURCES FROM GOVERNMENT AND OTHER PRIVATE SOURCES.
PARK NICOLLET METHODIST HOSPITAL	PART V, SECTION B, LINE 13B: IN ACCORDANCE WITH OUR AGREEMENT WITH THE MN ATTORNEY GENERAL, UNINSURED PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS LESS THAN $125,000 ARE ELIGIBLE FOR A DISCOUNT ON THEIR CHARGES. THE DISCOUNT IS ESTABLISHED AT THE AVERAGE CONTRACTUAL DISCOUNT FOR PARK NICOLLET HEALTH SERVICE'S LARGEST CONTRACT PAYOR. THIS DISCOUNT IS CURRENTLY 29.2% OF GROSS CHARGES. PATIENTS WHOSE RECEIVE THIS DISCOUNT ARE ALSO ELIGIBLE FOR OUR FAP PROGRAM BASED ON FPL.
PARK NICOLLET METHODIST HOSPITAL	PART V, SECTION B, LINE 22D: PARK NICOLLET ESTABLISHED THE DISCOUNT AT THE AVERAGE CONTRACTUAL DISCOUNT FOR PARK NICOLLET HEALTH SERVICE'S LARGEST CONTRACT PAYOR.
PARK NICOLLET METHODIST HOSPITAL	PART V, SECTION B, LINE 24: PARK NICOLLET CHARGES ITS PATIENTS GROSS CHARGES IF THE PATIENT HAS ELECTIVE SURGERY, WHICH IS NOT MEDICALLY NECESSARY.

Field	Value	IRS element (for citing)
Facility	37	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (37 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - STRUTHER'S PARKINSON CENTER
6701 COUNTRY S PARKINSON CENTER	GOLDEN VALLEY	MN	55427	RESEARCH AND TREATMENT OF PARKINSON'S DISEASE
1 - PARK NICOLLET MELROSE CENTER
3625 MONTEREY DRIVE	ST LOUIS PARK	MN	55416	EATING DISORDER CLINIC/GENERAL MEDICAL
1 - 3900 CLINICAMBULATORY SURGICAL CENTER
3900 PARK NICOLLET BOULEVARD	ST LOUIS PARK	MN	55416	AMBULATORY SURGICAL CENTER AND GENERAL MEDICAL AND RETAIL
1 - MEADOWBROOK MEDICAL BUILDING
3931 LOUISIANA AVE S	ST LOUIS PARK	MN	55426	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - PRAIRIE CENTER
8455 FLYING CLOUD DRIVE	EDEN PRAIRIE	MN	55344	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - BLOOMINGTON CLINIC
5320 HYLAND GREENS DRIVE	BLOOMINGTON	MN	55437	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - BROOKDALE CLINIC
6000 EARLE BROWN DRIVE	BROOKLYN CENTER	MN	55430	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - BURNSVILLE CLINIC
1400 FAIRVIEW DRIVE	BURNSVILLE	MN	55337	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - CARLSON PARKWAY CLINIC
15111 TWELVE OAKS CENTER DRIVE	MINNETONKA	MN	55305	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - CHANHASSEN CLINIC
300 LAKE DRIVE E	CHANHASSEN	MN	55317	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - CREEKSIDE
6600 EXCELSIOR BLVD	ST LOUIS PARK	MN	55426	PHYSICAN OFFICES, AND ANCILLARY MEDICAL SERVICES
1 - ST LOUIS PARK IMAGING CENTER
4951 EXCELSIOR BLVD	ST LOUIS PARK	MN	55416	IMAGING CENTER/OPTICAL RETAIL
1 - EAGAN CLINIC
1885 PLAZA DRIVE	EAGAN	MN	55122	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - GOLDEN VALLEY CLINIC
8240 GOLDEN VALLEY DRIVE	GOLDEN VALLEY	MN	55427	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - LAKEVILLE CLNIC
18432 KENRICK AVE	LAKEVILLE	MN	55044	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - MAPLE GROVE CLNIC
15800 95TH AVE N	MAPLE GROVE	MN	55369	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - MAPLE GROVE OB
9855 HOSPITAL DRIVE SUITE 275	MAPLE GROVE	MN	55369	OB SERVICES
1 - MAPLE GROVE REHAB
9827 MAPLE GROVE PKWY N	MAPLE GROVE	MN	55369	REHABILIATION SERVICES
1 - MINNEAPOLIS CLINIC
2001 BLAISDELL AVE S	MINNEAPOLIS	MN	55404	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - MINNETONKA - SHOREWOOD CLINIC
19685 HIGHWAY 7	SHOREWOOD	MN	55331	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - PLYMOUTH CLINIC
4155 COUNTY ROAD 101	PLYMOUTH	MN	55446	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - PRIOR LAKE CLINIC
4670 PARK NICOLLET AVE SE	PRIOR LAKE	MN	55372	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - SHAKOPEE CLINIC
1415 ST FRANCIS AVE	SHAKOPEE	MN	55379	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - SHAKOPEE CLINIC
1515 ST FRANCIS AVE	SHAKOPEE	MN	55379	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - SHAKOPEE CLINIC
1601 ST FRANCIS AVE	SHAKOPEE	MN	55379	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - ST LOUIS PARK CLINIC
3800 PARK NICOLLET BLVD	ST LOUIS PARK	MN	55416	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - ST LOUIS PARK CLINIC
3850 PARK NICOLLET BLVD	ST LOUIS PARK	MN	55416	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - WAYZATA MEDICAL BUILDING
250 CENTRAL AVE N	WAYZATA	MN	55391	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES AND MEDICAL RETAIL
1 - ROGERS CLINIC
13688 ROGERS DRIVE	ROGERS	MN	55374	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES
1 - CHAMPLIN CLINIC
12142 BUSINESS PARK BLVD N	CHAMPLIN	MN	55316	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES
31 - BURNSVILLE PEDIATRIC REHAB SERVICES
RIDGEPOINT MEDICAL BUILDING	BURNSVILLE	MN	55337	PEDIATRIC REHAB SERVICES
32 - MAPLE GROVE SPECIALITY CENTER
9325 UPLAND LANE N	MAPLE GROVE	MN	55369	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES
33 - MELROSE CENTER ST PAUL
2550 UNIVERSITY AVE W	ST PAUL	MN	55114	EATING DISORDER CLINIC/GENERAL MEDICAL
34 - MELROSE CENTER MAPLE GROVE
9600 UPLAND LANE N SUITE 110	MAPLE GROVE	MN	55369	EATING DISORDER CLINIC/GENERAL MEDICAL
35 - MAPLE GROVE REGIONAL SPECIALITY CENTER
9555 UPLAND LANE N	MAPLE GROVE	MN	55369	PHYSICAN OFFICES, ANCILLARY MEDICAL SERVICES
36 - AIRPORT PROFESSIONAL BUILDING
7550 34TH AVE SOUTH	MINNEAPOLIS	MN	55450	NURSE CALL CENTER
37 - BURNSVILLE RIDGES SPECIALITY CENTER
14101 FAIRVIEW DRIVE STE 420	BURNSVILLE	MN	55337	OB SERVICES

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ACCORDANCE WITH OUR AGREEMENT WITH THE MN ATTORNEY GENERAL, UNINSURED PATIENTS WHOSE ANNUAL HOUSEHOLD INCOME IS LESS THAN $125,000 ARE ELIGIBLE FOR A DISCOUNT ON THEIR CHARGES. THE DISCOUNT IS ESTABLISHED AT THE AVERAGE CONTRACTUAL DISCOUNT FOR PARK NICOLLET HEALTH SERVICE'S LARGEST CONTRACT PAYOR. THIS DISCOUNT IS CURRENTLY 29.2% OF GROSS CHARGES. PATIENTS WHOSE RECEIVE THIS DISCOUNT ARE ALSO ELIGIBLE FOR OUR FAP PROGRAM BASED ON FPL.
PART I, LINE 6A:	PARK NICOLLET FOUNDATION A RELATED ORGANIZATION OF PARK NICOLLET METHODIST HOPSITAL COMPLETES AN ORGANIZATION WIDE ANNUAL COMMUNITY BENEFIT REPORT THAT INCLUDES PARK NICOLLET METHODIST HOSPITAL AND OTHER AFFILIATED ENTITIES.
PART I, LINE 7:	PARK NICOLLET METHODIST HOSPITAL USES THE COST-TO-CHARGE RATIO METHOD WHEN CALCULATING THE AMOUNTS REPORTED ON PART I. LINE 7. THE COST-TO-CHARGE RATIO WAS DERIVED USING WORKSHEET 2, RATIO OF PATIENT CARE-COST-TO-CHARGE, FROM THE SCHEDULE H INSTRUCTIONS.
PART III, LINE 2:	BAD DEBT IS ACCOUNTED FOR ON THE FINANCIAL STATEMENTS BY ESTIMATING PATIENT LIABILITY NET OF ANY CHARITY CARE AND THEN CALUCULATING WHAT PORTION OF THAT WILL NOT BE COLLECTED BASED HISTORICAL UNCOLLECTABLE RATES. WHEN A PATIENT MEETS OUR FINICIAL REQUIREMENTS IT IS CLASSIFIED AS CHARITY CARE; IF THEY DO NOT QUALIFY, THEIR SERVICES WILL BE WRITTEN OFF AS BAD DEBT. PARK NICOLLET METHODIST HOSPITAL DOES NOT INCLUDE ANY CHARITY CARE IN THEIR BAD DEBT EXPENSE CALCULATION.
PART III, LINE 3:	PARK NICOLLET METHODIST HOSPITAL AND ITS AFFILIATES WORK WITH THOSE QUALIFYING FOR CHARITY CARE ALONG EVERY STEP OF THE PROCESS INCLUDING ACCEPTING APPLICATIONS FOR FINANCIAL ASSISTANCE AFTER PREVIOUS ATTEMPTS TO WORK WITH THE PATIENT FAIL. EVERY EFFORT IS MADE TO WORK WITH THE PATIENT TO PROVIDE FINANCIAL ASSISTANCE WHEN APPROPRIATE. WHILE THERE ARE PEOPLE WHO DO NOT COOPERATE WITH THE HOSPITAL REGARDING PAYMENT PLANS, FINANCIAL ASSISTANCE OR WITH THOSE TRYING TO HELP THEM GET ON GOVERNMENT PROGRAMS, IT IS IMPOSSIBLE TO KNOW THEIR REASON FOR NOT COOPERATING AND THEREFORE KNOW WHETHER THEY MAY HAVE QUALIFIED FOR CHARITY CARE. PARK NICOLLET DOESN'T HAVE PREDICTIVE SOFTWARE WHICH WOULD MAKE ASSUMPTIONS BASED ON HOUSING SITUATION, CREDIT REPORTS, ETC. AND RECOMMEND ASSISTANCE WITHOUT A PROCESS FOR GATHERING INCOME VERIFICATION. IN LIGHT OF THE FOREGOING FACTS, PARK NICOLLET IS UNABLE TO REASONABLY DETERMINE WHETHER ANY AMOUNT OF BAD DEBT COULD HAVE BEEN CLASSIFIED AS CHARITY CARE.
PART III, LINE 4:	PARK NICOLLET METHODIST HOSPITAL'S AUDITED FINANCIAL STATEMENTS INCLUDE A FOOTNOTE DISCUSSING BAD DEBT EXPENSE, AR ALLOWANCE OF DOUBTFUL ACCOUNTS. THE FOOTNOTE IS LOCATED ON PAGE 23 OF THE ATTACHED AUDIT REPORT.
PART III, LINE 8:	PARK NICOLLET HEALTH SERVICES BELIEVES THAT THE LOSS WE INCUR WHILE PROVIDING CARE TO MEDICARE BENEFICIARIES SHOULD BE CLASSIFIED AS A COMMUNITY BENEFIT. IF THESE SERVICES WERE NOT PROVIDED BY US THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT. THE MEDICARE LOSS CLAIMED ON PART III, LINE 8 ONLY INCLUDES ALLOWABLE HOSPITAL COSTS THAT ARE DEFINED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AND DO NOT INCLUDE ALL OF THE COSTS THAT ARE INCURRED WHILE PROVIDING SERVICES. PARK NICOLLET CLINIC ALSO PROVIDES SERVICES TO MEDICARE BENEFICIARIES BUT THERE IS NO PLACE TO REPORT A MEDICARE LOSS FOR A FREE STANDING CLINIC ON THE FORM SET. IF ALL SYSTEM WIDE COSTS WERE INCLUDED IN THE CALCULATION ALONG WITH OUR MEDICARE ADVANTAGE PRODUCTS OUR MEDICARE LOSS WOULD BE $86.0 MILLION FOR ALL OF PARK NICOLLET HEALTH SERVICES SYSTEM WIDE.
PART III, LINE 9B:	THE COLLECTION POLICY INCORPORATES THE REQUIREMENTS AS STATED BY THE MINNESOTA ATTORNEY GENERAL AND VIEWS ACCOUNT RESOLUTION THROUGH THE PARK NICOLLET FINANCIAL ASSISTANCE PROGRAM AS AN OPTION FOR ACCOUNT RESOLUTION. THIS OPTION IS SHARED WITH DEBTORS VIA STATEMENTS, LETTERS AND AS PART OF COLLECTION CALLS TO AND FROM DEBTORS FROM PARK NICOLLET AND COLLECTION AGENCIES. PARK NICOLLET'S FINANCIAL ASSISTANCE PROGRAM IS ALSO DESCRIBED IN PAMPHLETS AND ON OUR WEBSITE. THE WEBSITE INCLUDES OUR FINANCIAL ASSISTANCE POLICY. IF THE DEBTOR QUALIFIES FOR FINANCIAL ASSISTANCE, COLLECTION EFFORTS CEASE AND CHARGES ARE CLEARED FROM THEIR ACCOUNT.
PART VI, LINE 2:	IN ADDITION TO CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS (REPORTED IN PART V, SECTION B LINE #5), PARK NICOLLET HEALTH SERVICES METHODIST HOSPITAL HAS SEVERAL MEANS OF ASSESSING THE HEALTH CARE NEEDS OF THE POPULATION WE SERVE: CONVENING/PARTICIPATING IN ONGOING COMMUNITY COLLABORATIVES FOCUSED ON IDENTIFYING AND ADDRESSING COMMUNITY HEALTH CONCERNS. THESE COLLABORATIVES INCLUDE: -CENTER FOR COMMUNITY HEALTH: A UNIQUE COLLABORATIVE OF HOSPITALS, PUBLIC HEALTH AGENCIES AND HEALTH PLANS SHARING THE FINDINGS AND DATA FROM THEIR CHNAS. -DAKOTA COUNTY HEALTH COMMUNITIES COLLABORATIVE -NORTHWEST HENNEPIN HEALTHY COMMUNITY PARTNERSHIP -THE DAKOTA COUNTY AND NORTHWEST HENNEPIN GROUPS INCLUDE REPRESENTATIVES OF OTHER HEALTH CARE PROVIDERS, GOVERNMENT AGENCIES, EDUCATIONAL INSTITUTIONS, FAITH-BASED CONGREGATIONS AND SOCIAL SERVICE ORGANIZATIONS. -SCOTT COUNTY HEALTHCARE SYSTEM COLLABORATIVE -SUCCESSFUL AGING -WESTERN SUBURBS 55+ COLLABORATIVESUCCESSFUL AGING AND THE 55+ COLLABORATIVE INCLUDE SENIOR CITIZENS AND PROVIDERS OF SENIOR SERVICES. -BETTER TOGETHER HENNEPIN: A BROAD COLLABORATIVE OF STAKEHOLDERS ON THE TOPIC OF REDUCING TEEN PREGNANCY -YMCA ACTIVE OLDER ADULTS: A CONVENING OF A CROSS-SECTION OF COMMUNITY MEMBERS FOCUSED ON END-OF-LIFE CARE AND PLANNING. -HEALTH IN THE PARK: A COMMUNITY-WIDE INITIATIVE IN THE CITY OF ST. LOUIS PARK TO IDENTIFY NEEDS AND DEVELOP RESPONSES IN THE AREAS OF MENTAL HEALTH, ACTIVE LIVING AND HEALTHY EATING. -CHILDREN FIRST: A PROGRAM IN THE CITY OF ST. LOUIS PARK TO PROMOTE THE SEARCH INSTITUTE'S 40 DEVELOPMENTAL ASSETS FOR YOUTH, INCLUDING ADDRESSING HEALTH-RELATED NEEDS.OPERATING SCHOOL-BASED CLINICS. WITH PHILANTHROPIC SUPPORT TO BUILD AND OPERATE FOUR SCHOOL-BASED CLINICS, PARK NICOLLET PHYSICIANS ARE ABLE TO PROVIDE FREE HEALTH CARE TO UN- AND UNDERINSURED YOUTH. THIS GIVES THEM THE OPPORTUNITY TO ASSESS FIRST-HAND AND MONITOR THE GAPS IN CARE FACED BY YOUNG COMMUNITY MEMBERS WITH THE GREATEST HEALTHCARE NEEDS.PARTNERING WITH NON-PROFIT, SOCIAL SERVICE ORGANIZATIONS. PARK NICOLLET FOUNDATION ANNUALLY SOLICITS GRANT APPLICATIONS FROM COMMUNITY NON-PROFITS. A KEY COMPONENT OF THE APPLICATION PROCESS ASKS APPLICANTS TO IDENTIFY AND QUANTIFY THE HEALTHCARE-RELATED NEEDS THEY ARE SEEKING TO ADDRESS. REVIEW OF THESE APPLICATIONS YEAR-OVER-YEAR PROVIDES A GOOD PICTURE OF COMMUNITY NEEDS AND HOW THEY EVOLVE OVER TIME.ANALYZING HEALTH DATA FROM A VARIETY OF SOURCES. THESE SOURCES INCLUDE: -HENNEPIN COUNTY SURVEY OF THE HEALTH OF ALL THE POPULATION AND THE ENVIRONMENT (SHAPE SURVEY) -CENTERS FOR DISEASE CONTROL AND PREVENTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) -NATIONAL CENTER FOR HEALTH STATISTICS -MINNESOTA HOSPITAL ASSOCIATION -INTERNAL PARK NICOLLET RECORDS
PART VI, LINE 3:	PARK NICOLLET METHODIST HOSPITAL PARTICIPATES IN MULTIPLE UNIQUE FINANCIAL ASSISTANCE PROGRAMS, INCLUDING OUR OWN FINANCIAL ASSISTANCE (FA). WE INFORM OUR PATIENTS IN MULTIPLE WAYS ABOUT OUR FA PROGRAM AND OTHER FINANCIAL ASSISTANCE OPTIONS FOR SERVICES RECEIVED AT PNHS. A LIST OF COMMUNICATIONS FOR PATIENTS RELATING TO FINANCIAL ASSISTANCE FOLLOWS: HOSPITAL BOOKLETS OR INFORMATION PACKETS GIVEN TO EMERGENCY CENTER PATIENTS AND INPATIENTS. WEB SITE HAS FA INFORMATION FOUND UNDER PATIENT ACCOUNTS AND BILLING. A LIST OF FREQUENTLY ASKED QUESTIONS AND ANSWERS RELATED TO THE PROGRAM. A "HOW TO APPLY" DOCUMENT A SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY FA APPLICATION APPLICATION MAY BE PRINTED FOR SUBMISSION ALL BALANCE FORWARD STATEMENTS, REGARDLESS OF BALANCE, INCLUDE A FINANCIAL ASSISTANCE APPLICATION AND INSTRUCTION TO COMPLETE THE APPLICATION ALONG WITH ANSWERS TO RESPONSES TO FREQUENTLY ASKED QUESTIONS REGARDING FA.IN ADDITION TO THE WRITTEN MATERIAL, CUSTOMER SERVICE, COLLECTIONS AND ACCOUNT SPECIALISTS INFORM PATIENTS ABOUT ASSISTANCE OPTIONS, INCLUDING GOVERNMENT PROGRAMS AND FA. MOST CUSTOMER SERVICE AND COLLECTIONS WORK IS DONE OVER THE PHONE, THOUGH MANY OF OUR CLINICS AND THE HOSPITAL HAVE STAFF ON-SITE TO ASSSIST IN APPLYING FOR FA AND GOVERNMENT PROGRAMS. OUR THIRD PARTY COLLECTION AGENCIES ARE ALSO TRAINED TO INFORM PATIENTS ABOUT OUR FIANCIAL ASSISTANCE PROGRAM. MANY PARK NICOLLET METHODIST HOSPITAL AND CLINIC STAFF HAVE BEEN TRAINED IN HELPING PATIENTS APPLY FOR MEDICAL ASSISTANCE AND HAS ALSO CONTRACTED WITH OUTSIDE SERVICES TO ASSIST PATIENTS IN THE APPLICATION PROCESS FOR MEDICAL ASSISTANCE IN MORE COMPLICATED CIRCUMSTANCES.
PART VI, LINE 4:	PARK NICOLLET HEALTH SERVICES IS AN INTEGRATED DELIVERY SYSTEM THAT INCLUDES PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, PARK NICOLLET FOUNDATION AND PARK NICOLLET INSTITUTE. PARK NICOLLET HAS OVER 8,200 EMPLOYEES, INCLUDING MORE THAN 1,000 PHYSICIANS ON STAFF. PARK NICOLLET CLINIC IS ONE OF THE LARGEST MULTISPECIALTY CLINICS IN THE UNITED STATES, PROVIDING CARE IN MORE THAN 55 MEDICAL SPECIALTIES AND SUBSPECIALTIES AT 29 CLINICS AND OTHER CARE LOCATIONS IN METROPOLITAN AND SUBURBAN MINNEAPOLIS/ST. PAUL, MINNESOTA. METHODIST HOSPITAL IS A 426-BED HOSPITAL IN ST. LOUIS PARK, MINNESOTA RECOGNIZED AS A LEADER IN CANCER CARE, CARDIOVASCULAR SERVICES, MATERNITY CARE AND NEURO-REHABILITATION MEDICINE.THE SERVICE AREA FOR THE SYSTEM DEFINES THE COMMUNITIES WE SERVE AND PRIMARILY INCLUDES THE COUNTIES OF: HENNEPIN, CARVER, DAKOTA, AND SCOTT. PARK NICOLLET HEALTH SERVICES ALSO SERVES PATIENTS IN WRIGHT, RICE, SIBLEY AND LE SEUER COUNTIES. BASED ON 2016 MARKET ESTIMATES, 1.89 MILLION PEOPLE RESIDE WITHIN THE PARK NICOLLET 103 ZIP CODE SERVICE AREA. THE POPULATION DENSITY IN THE PARK NICOLLET SERVICE AREA CONSISTS OF A MIX OF URBAN, SUBURBAN, EXURBAN AND RURAL COMMUNITIES. PARK NICOLLET'S SERVICE AREA IS ESTIMATED TO GROW 4.9 PERCENT IN THE NEXT FIVE YEARS. PEOPLE AGES 18 TO 44 MAKE UP 36.3 PERCENT OF THE POPULATION AND THAT GROUP IS EXPECTED TO GROW BY 1 PERCENT IN THE NEXT FIVE YEARS. THE AGE GROUP OF 65-PLUS IS EXPECTED TO GROW BY 24 PERCENT IN THE NEXT FIVE YEARS. OVER THE PAST DECADE, PEOPLE OF COLOR HAVE ACCOUNTED FOR 92 PERCENT OF THE POPULATION GROWTH IN THE TWIN CITIES REGION. THE METROPOLITAN COUNCIL REGIONAL FORECASTS SHOW THAT BY 2040, TWO IN EVERY FIVE RESIDENTS WILL BE PEOPLE OF COLOR.
PART VI, LINE 5:	PARK NICOLLET HEALTH SERVICES FURTHERS ITS EXEMPT PURPOSES IN MULTIPLE WAYS THROUGH METHODIST HOSPITAL, PARK NICOLLET CLINIC, SPECIALTY PROGRAMS AND ITS COMMITMENT TO RESEARCH AND EDUCATION. PARK NICOLLET STRIVES TO MEET ITS COMMITMENT TO THE TRIPLE AIM OF PROVIDING HIGH QUALITY HEALTH CARE AT AN AFFORDABLE COST TO THE COMMUNITY BY ENHANCING THE PATIENT EXPERIENCE. PARK NICOLLET'S COMMITMENT TO THE PATIENT AND FAMILY EXPERIENCE IS ARTICULATED THROUGH A FOCUS ON HEAD + HEART, TOGETHER (HHT)."HEAD" REFERS TO OUR WORK AROUND EVIDENCE-BASED MEDICINE, OUR ATTENTION TO CLINICAL OUTCOMES, THE WAY WE WILL USE DATA TO MAKE DECISIONS ABOUT THE BEST CARE PROTOCOL TO FOLLOW, AND TO THE BUSINESS OF RUNNING A LARGE HEALTHCARE SYSTEM. "HEART" IS ALL ABOUT PROVIDING COMPASSIONATE CARE IN THE MOMENT AND KEEPING OUR PATIENTS AT THE CENTER OF EVERYTHING WE DO AND EVERY DECISION WE MAKE. WHEN WE WORK ACROSS BOUNDARIES WITH OUR PATIENTS AND FAMILIES, WE WON'T DO THINGS "TO OR "FOR" PATIENTS - WE WILL DO THINGS WITH PATIENTS AND THEIR FAMILIES."TOGETHER" MEANS DOING BOTH HEAD- AND HEART-CENTERED ACTIVITIES IN COMBINATION. IT ALSO MEANS WORKING AS A TEAM ACROSS DEPARTMENTS AND SPECIALTIES, ALL OF US UNITED AROUND CARING TOGETHER WITH OUR PATIENTS, THEIR FAMILIES IN THE COMMUNITIES WE SERVE.PARK NICOLLET HEALTH SERVICES FURTHERS ITS EXEMPT PURPOSE THROUGH ITS 426-BED METHODIST HOSPITAL IN ST. LOUIS PARK, 25 CLINIC LOCATIONS IN ITS 96 ZIP CODE SERVICE AREA, 55 MEDICAL SPECIALTIES AND SUBSPECIALTIES, AND 12 SPECIALTY CENTERS. PARK NICOLLET FOUNDATION SERVES AS THE CONVENER OF THE COMMUNITIES WE SERVE, INVOLVING ADMINISTRATIVE AND MEDICAL STAFF IN ITS INTEGRATED SYSTEM, TO ASSESS COMMUNITY NEED AND FACILITATE A BROAD ARRAY OF CLINICAL AND SPECIALTY SERVICES AND THE ADMINISTRATIVE SUPPORT TO MEET UNMET NEEDS IN THE COMMUNITY. PARK NICOLLET FOUNDATION ALSO PROVIDES FINANCIAL ASSISTANCE TO COMMUNITY ORGANIZATIONS AND SERVICES THAT ARE CONSISTENT WITH NEEDS IDENTIFIED IN THE CHNA AS PRIORITIZED BY ITS BOARD OF DIRECTORS. PARK NICOLLET FOUNDATION'S BOARD OF DIRECTORS IS A COMMUNITY BOARD AND PROVIDES ACTIVE PARTICIPATION IN THE NONPROFIT MISSION OF THE ORGANIZATION. PARK NICOLLET'S INTEGRATED SYSTEM PROVIDES COMMUNITY BENEFIT TO UNDERSERVED POPULATIONS THROUGH CONVENING OF COMMUNITIES, EDUCATION AND SUPPORT OF PATIENTS AND COMMUNITY MEMBERS DIAGNOSED WITH CHRONIC DISEASE, AND RESEARCH TO IMPROVE QUALITY OF LIFE. HEALTH PROFESSIONALS WITHIN THE INTEGRATED SYSTEM ASSIST PATIENTS IN THE COMMUNITY, IN THE STATE, IN THE NATION, AND AROUND THE WORLD WHO NEED SPECIALIZED PROGRAMS AND SERVICES FOR VARIOUS CONDITIONS. PARK NICOLLET ALSO IS A RECOGNIZED LEADER IN PROCESS IMPROVEMENTS TO COORDINATE PATIENT CARE AND PROVIDE PATIENTS WITH SOCIAL SUPPORT SYSTEMS TO IMPROVE POPULATION HEALTH. THIS HAS BEEN ACCOMPLISHED THROUGH ITS INITIATIVES THROUGH THE PHYSICIAN GROUP PRACTICE DEMONSTRATION PROGRAM SPONSORED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. PARK NICOLLET ALSO PARTICIPATES IN THE PIONEER ACO DEMONSTRATION THAT IS SPONSORED BY THE CENTER FOR MEDICARE AND MEDICAID INNOVATION. IN ADDITION TO INNOVATING AROUND CARE DELIVERY DESIGN AND PATIENT SUPPORT SERVICES, PARK NICOLLET PARTICIPATES IN MULTIPLE LEARNING INITIATIVES THROUGH THE DEMONSTRATION PROGRAM TO SHARE ITS KNOWLEDGE AND LESSONS LEARNED WITH OTHER ORGANIZATIONS ACROSS THE COMMUNITY AND THE COUNTRY. PARK NICOLLET HAS BEEN COMMITTED TO THESE EFFORTS IN SUPPORT OF ITS COMMITMENT TO THE TRIPLE AIM OF IMPROVING HEALTH, PATIENT EXPERIENCE AND AFFORDABILITY BY PROVIDING COMMUNITIES WITH SUPPORT SYSTEMS ASSISTING PATIENTS AND FAMILIES TO IMPROVE THEIR HEALTH. GRANTS AND COMMUNITY SUPPORT. IN 2015, PARK NICOLLET FOUNDATION GRANTED $2 MILLION TO PARK NICOLLET DEPARTMENTS AND COMMUNITY 501(C)(3) ORGANIZATIONS TO FUND OUTREACH SERVICES AND SUPPORT PROGRAMS ADDRESSING OUR KEY PRIORITIES FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT.PARK NICOLLET SUPPORTS SCHOOL-BASED HEALTH CENTERS. IN 2015, WE OFFERED NO-CHARGE HEALTH CARE TO CHILDREN FROM INFANCY THROUGH HIGH SCHOOL GRADUATION AT OUR SCHOOL-BASED HEALTH CENTERS IN BROOKLYN CENTER, BURNSVILLE, AND ST. LOUIS PARK. NO-CHARGE AND LOW-COST DENTAL AND MENTAL HEALTH CARE IS AVAILABLE BY APPOINTMENT. PARTICIPATING FAMILIES INCLUDE THOSE WHO ARE UNABLE TO AFFORD HEALTH CARE, ARE NEW TO THE AREA OR HAVE SENSITIVE HEALTH CARE NEEDS. WALK-IN VISITORS ARE WELCOME AT ALL LOCATIONS. ALL HEALTH CENTERS ARE OPERATED IN PARTNERSHIP WITH LOCAL SCHOOL DISTRICTS AND FUNDED BY PARK NICOLLET FOUNDATION. IMMUNIZATIONS. MINNESOTA LAW REQUIRES IMMUNIZATIONS, OR WRITTEN PROOF OF EXEMPTION, FOR SCHOOL-AGE CHILDREN TO ATTEND SCHOOL. PARK NICOLLET FOUNDATION COLLABORATES WITH SCHOOL DISTRICTS TO HAVE ALL CHILDREN IMMUNIZED. PARK NICOLLET OFFERS ENHANCED ACCESS FOR CHILDREN NEEDING IMMUNIZATIONS AS PART OF THE NO SHOTS, NO SCHOOL PROGRAM, WHICH IS AVAILABLE MAY, AUGUST AND THE FIRST TWO WEEKS OF SEPTEMBER. WE ALSO GIVE FREE IMMUNIZATIONS YEAR-ROUND AT THE SCHOOL-BASED HEALTH RESOURCE CENTERS. PARK NICOLLET PROVIDES IMMUNIZATION-ONLY VISITS ON A SAME-DAY APPOINTMENT BASIS; IMMUNIZES CHILDREN WITHOUT A DOCTOR VISIT OR PREVENTIVE CARE EXAM AT THE TIME OF IMMUNIZATION; IMMUNIZES CHILDREN NOT PREVIOUSLY ESTABLISHED AS PATIENTS WITH THE CLINIC; AND PROVIDES IMMUNIZATIONS TO CHILDREN WITH NO DIRECT CHARGE TO FAMILIES.PARK NICOLLET SPONSORED COMMUNITY COLLABORATIVES. PARK NICOLLET FOUNDATION REGULARLY SPONSORS OR PARTICIPATES IN COLLABORATIVE GROUPS TO DISCUSS ISSUES AND TOPICS AFFECTING RESIDENTS IN THE COMMUNITY. THESE MEETINGS ARE HELD AT DIFFERENT LOCATIONS THROUGHOUT PARK NICOLLET'S SERVICE AREA. THE FOLLOWING ARE SOME EXAMPLES OF THIS WORK: CHILDREN FIRST DAKOTA COUNTY HEALTHY COMMUNITY COLLABORATIVE MEADOWBROOK COLLABORATIVE NORTHWEST HENNEPIN HEALTHY COMMUNITY PARTNERSHIP ST. LOUIS PARK SUCCESSFUL AGING INITIATIVE SCOTT COUNTY HEALTHY COMMUNITY COLLABORATIVE THE FOLLOWING ARE EXAMPLES OF SPECIFIC ACTIVITIES THAT ARE SUPPORTED BY THE PARK NICOLLET FOUNDATION AND PARK NICOLLET HEALTH SERVICES AND DEMONSTRATE THE ORGANIZATION'S COMMITMENT TO THE COMMUNITY AND MEETING UNMET COMMUNITY NEEDS. 1. RESEARCH AND EDUCATION ACTIVITIES - RESEARCH IS EMBEDDED IN DEPARTMENTS AND STRATEGIES ACROSS PARK NICOLLET TO SUPPORT QUALITY INITIATIVES AND THE PATIENT EXPERIENCE. RESEARCH ENCOMPASSES INVESTIGATOR-INITIATED STUDIES, CLINICAL TRIALS, PRACTICE-BASED RESEARCH, OUTCOMES AND QUALITY IMPROVEMENT PROJECTS, DATA ANALYTICS, STATISTICS, SURVEY DEVELOPMENT AND FOCUS GROUPS. WE PARTICIPATE IN OVER 200 STUDIES ANNUALLY AND ARE A MAJOR SITE FOR THE CLINICAL EVALUATION OF NEW MEDICATIONS AND MEDICAL DEVICES. OUR PRACTICE-BASED, HEALTH SERVICES RESEARCH CONTRIBUTES TO BETTER HEALTH OUTCOMES AND INCREASED VALUE. PARK NICOLLET INSTITUTE PROVIDES THE INFRASTRUCTURE AND RESOURCES TO SUPPORT RESEARCH AND CLINICAL QUALITY GOALS OF THE ORGANIZATION, WHICH INCLUDES THE FOLLOWING: NEEDS ASSESSMENT AND FEASIBILITY MENTORING AND TRAINING SCIENTIFIC AND HUMANS SUBJECTS REVIEW REGULATORY COMPLIANCE AND REPORTING GRANT MANAGEMENT, INCLUDING APPLICATION PREPARATION AND SUBMISSION, CONTRACT AND AGREEMENT NEGOTIATION, FINANCE, BUDGET DEVELOPMENT, IDENTIFICATION OF FUNDING SOURCES PROTOCOL DEVELOPMENT AND RESEARCH DESIGN MANUSCRIPT AND POSTER/PRESENTATION PREPARATION DATABASE DEVELOPMENT, DATA CLEANING, STATISTICS AND ANALYTICS, SURVEY REVIEW AND DESIGN, FOCUS GROUP FACILITATION STUDY OPERATIONS SUPPORT INCLUDING RECRUITMENT, CONSENTING, ENROLLING, DATA COLLECTION/ENTRYPARK NICOLLET INSTITUTE'S PATIENT EDUCATION DEPARTMENT PROVIDES EDUCATIONAL TOOLS TO SUPPORT PATIENTS IN PREVENTING AND MANAGING ILLNESS AND IMPROVING HEALTH. WE PROVIDE PROGRAMS, CLASSES, VIDEOS, WEB CONTENT AND DECISION SUPPORT TOOLS TO HELP PATIENTS AND THE BROADER COMMUNITY TAKE AN ACTIVE ROLE IN THEIR HEALTH. THESE RESOURCES HELP PATIENTS PREVENT AND MANAGE COMMON HEALTH PROBLEMS, LIVE WELL WITH CHRONIC CONDITIONS, PREPARE FOR PROCEDURES AND IMPROVE OVERALL HEALTH AND WELL-BEING. OUR PARK NICOLLET HEALTH LIBRARY PROVIDES RESOURCES AND SERVICES FOR PATIENTS, FAMILY AND THE COMMUNITY. THIS INCLUDES LITERATURE SEARCHES AND DOCUMENT DELIVERY, AS WELL AS ACCESS TO PRINT, ONLINE AND INTERNET RESOURCES.
PART VI, LINE 6:	IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED. PARK NICOLLET METHODIST HOSPITAL IS PART OF PARK NICOLLET HEALTH SERVICES, AN INTEGRATED HEALTH SYSTEM. OTHER AFFILIATES INCLUDE 1) PARK NICOLLET CLINIC IN 25 LOCATIONS, AND OTHER CARE LOCATIONS, 2) PARK NICOLLET FOUNDATION, THE PHILANTHROPIC ARM OF PARK NICOLLET HEALTH SERVICES HELPING TO BRING RESOURCES TO NEEDS IN ITS COMMUNITIES, 3) PARK NICOLLET INSTITUTE, FOCUSED ON EDUCATION AND RESEARCH FOR PARK NICOLLET HEALTH SERVICES AND ITS COMMUNITY, 4) PARK NICOLLET HEALTH CARE PRODUCTS, PROVIDING RETAIL PHARMACY AND HEALTH RELATED PRODUCTS THROUGH EXISTING PARK NICOLLET LOCATIONS. 5) TRIA ORTHOPAEDIC CENTER, A LEADER IN ORTHOPEADIC TREATMENT, PROVIDING COMPREHENSIVE CARE FROM DIAGNOSIS, TO TREATMENT, TO REHABILITATION. ALL AFFILIATES ARE UNDER A COMMON BOARD OF DIRECTORS. PARK NICOLLET FOUNDATION HAS A SEPARATE BOARD WHICH IS OVERSEEN BY THE PARK NICOLLET HEALTH SERVICES BOARD. THE COMMUNITIES' HEALTH NEEDS ARE SHARED AMONG THE AFFILIATES AND DECISIONS REGARDING THE EFFECTIVE USE OF RESOURCES TO RESPOND TO THESE NEEDS ARE COORDINATED.A SPECIFIC EXAMPLE OF THIS COORDINATION OF SERVICES TO RESPOND TO COMMUNITY NEED IS WITH THE THREE SCHOOL-AFFILIATED COMMUNITY CLINICS. INITIAL DEVELOPMENT, FUNDING AND ONGOING FACILITATION IS PROVIDED BY PARK NICOLET FOUNDATION, STAFFING THROUGH PARK NICOLLET CLINIC, LABORATORY AND OTHER DIAGNOSTIC SERVICES THROUGH PARK NICOLLET METHODIST HOSPITAL, AND OUTPATIENT MEDICATIONS, EYE GLASSES AND DME SUPPLIES THROUGH PARK NICOLLET HEALTH CARE PRODUCTS.
PART VI, LINE 7, REPORTS FILED WITH STATES	MN
SCHEDULE H PART VI QUESTION 5 CONTINUED	2. GROWING THROUGH GRIEF PROGRAM - THIS SCHOOL SUPPORT PROGRAM PROVIDES 1:1 COUNSELING AND GROUPS FOR CHILDREN AND TEENS WHO HAVE EXPERIENCED THE DEATH OF SOMEONE IMPORTANT IN THEIR LIFE. SERVICES ARE FUNDED BY PARK NICOLLET FOUNDATION AND ARE FREE OF CHARGE TO PARTICIPANTS. MORE THAN 500 STUDENTS AND 13 SCHOOL DISTRICTS ARE SERVED BY THE PROGRAM ON A WEEKLY BASIS. THE CHILDREN RANGE IN AGE FROM 5 TO 18 YEAR OLDS. ALL SOCIO-ECONOMIC GROUPS ARE SERVED. STUDENTS SERVED ARE IN THE SCHOOL DISTRICTS OF: APPLE VALLEY-ROSEMOUNT-EAGAN; BURNSVILLE; CHASKA-CHANHASSEN; EDINA; HOPKINS; MINNEAPOLIS; MINNETONKA; MOUND-WESTONKA; OSSEO-MAPLE GROVE; PRIOR LAKE-SAVAGE; ST. LOUIS PARK; AND WAYZATA. COUNSELORS SERVE ON THE EMERGENCY RESPONSE TEAM FOR SCHOOLS AND ARE CERTIFIED TRAUMATOLOGISTS. 3. SCHOOL-BASED HEALTH CENTERS (SBHCS) - THREE SCHOOL-BASED HEALTH CENTERS PROVIDED OVER 5,000 SERVICES FOR UNINSURED AND UNDERINSURED YOUTH. SERVICES INCLUDED TREATMENT OF MINOR, ACUTE ILLNESSES; PHYSICALS; IMMUNIZATIONS; MENTAL HEALTH THERAPY; DENTAL CARE; AND VISION CHECKS. ALL MEDICAL SERVICES ARE PROVIDED FREE OF CHARGE TO PATIENTS. 4. PRESCRIPTIONS - PARK NICOLLET FOUNDATION FUNDED OVER $60,000 WORTH OF PRESCRIPTIONS FOR PATIENTS OF THE SBHCS. 5. FOOD AND VEGGIE PRESCRIPTIONS - IN PARTNERSHIP WITH CUB FOODS, PARK NICOLLET PRIMARY CARE PHYSICIANS GAVE "PRESCRIPTIONS" FOR HEALTHY FOOD TO YOUNG PATIENTS AS A WAY TO START CONVERSATIONS ABOUT FRUIT AND VEGETABLE CONSUMPTION. A TOTAL OF $15,000 IN $10 FRUIT AND VEGETABLE PRESCRIPTION COUPONS WERE DISTRIBUTED.6. FIRE-FIGHTER OUTREACH - IN PARTNERSHIP WITH METHODIST HOSPITAL AND LOCAL FOOD SHELVES, THE FIRE DEPARTMENTS OF FIVE COMMUNITIES VISIT RECENTLY-DISCHARGED, AT-RISK SENIORS TO CHECK ON THEIR SAFETY AND ENSURE THEY HAVE ADEQUATE FOOD. PARK NICOLLET FOUNDATION PROVIDED $10,000 IN FOOD SHELF AND TRANSPORTATION SUPPORT; HOME SAFETY SUPPLIES WORTH $2,500; $1,800 IN FOOD SHELF CARDS AND $4453.05 IN INFORMATIONAL MATERIALS FOR COMMUNITY RESOURCES. 7. MELROSE CENTER OUTREACH - TO ALLOW THE MELROSE COMMUNITY RELATIONS TEAM TO CONTINUE THEIR IMPORTANT WORK IN THE COMMUNITY OF PROVIDING EXTENSIVE OUTREACH, EDUCATION AND EARLY INTERVENTION FOR PEOPLE WITH EATING DISORDERS AND THEIR COMMUNITY, THE FOUNDATION PROVIDED $32,000.8. PARISH/CONGREGATIONAL OUTREACH - OUR PARISH/CONGREGATIONAL NURSES VISIT MEMBERS FROM THEIR CONGREGATION AND LOCAL COMMUNITY FOR HEALTH ASSESSMENTS, HEALTH EDUCATION, HEALTH COUNSELING, REFERRALS TO COMMUNITY RESOURCES, AND FOR ASSISTANCE NAVIGATING THE COMPLEX HEALTH CARE SYSTEM. THEIR MINISTRY INCLUDES 1:1 VISITS, LARGE AND SMALL GROUPS AND CLASSES, AND HEALTH FAIRS. IN 2015 THEY SERVED OVER 500 PEOPLE. 9. ADVOCARE - ADVOCARE SERVES ANY PARK NICOLLET PATIENT, STAFF OR COMMUNITY MEMBER LIVING IN AN ABUSIVE SITUATION. ADVOCARE ADVOCATES PROVIDE CRISIS SUPPORT, EDUCATION ABOUT ABUSE, SAFETY PLANNING AND LEGAL OPTIONS. ALL ADVOCARE SERVICES ARE FREE AND CONFIDENTIAL. WE ALSO PROVIDE EDUCATION TO PARK NICOLLET STAFF, SUCH AS IDENTIFYING DYNAMICS OF ABUSE, IDENTIFYING PATIENTS BEING ABUSED, DOCUMENTING ABUSE IN THE MEDICAL RECORD AND PROVIDING THE PROPER RESPONSE TO BATTERED PATIENTS. ADVOCARE SERVED OVER 1,000 PEOPLE IN 2015. 10. NOW (NO OBSTACLES TO WELL-BEING) - THIS PROGRAM USES TELE-HEALTH TECHNOLOGY TO CONNECT ST. LOUIS PARK MIDDLE SCHOOL STUDENTS TO QUALIFIED MENTAL HEALTH CARE PROVIDERS. THE PARK NICOLLET THERAPIST PROVIDED 220 THERAPY HOURS FREE OF CHARGE TO STUDENTS AND THEIR FAMILIES.11. HEALTH FAIRS AND COMMUNITY OUTREACH - PARK NICOLLET CARE TEAMS, DEPARTMENTS AND CLINICS PROVIDE FAIRS AND OUTREACH THROUGHOUT THE YEAR. EXAMPLES INCLUDE: PRESENTED STROKE WARNING SIGNS AND SYMPTOMS PROVIDED ATTENDEES WITH STROKE EDUCATION AND AWARENESS INFORMATION AT CHURCHES, SCHOOLS AND PARKS PRESENTATION TO 50 MEMBERS OF FARIBAULT FIRE DEPT ON HEALTH AND FITNESS FOR THE TACTICAL ATHLETE OUR SENIOR SERVICES TEAMS PARTICIPATED IN THE LIVING LONGER SUMMIT AND BURSNVILLE SENIOR HEALTH FAIR EXPERTS FROM STRUTHERS PARKINSON'S CENTER PROVIDED EDUCATION TO COMMUNITY MEMBERS ON PARKINSON'S DISEASE AND EXERCISE PROGRAMS AT THE NATIONAL PARKINSON FOUNATION MOVING DAY MOVEMENT PAVILION. ADDITIONALLY, THE STRUTHERS TULIPS PROGRAM BRINGS TRAININGS TO NUMEROUS ASSISTED LIVING AND NURSING FACILITIES AROUND THE UPPER MIDWEST. SLEEP EDUCATION WAS PROVIDED FOR A VARIETY OF GROUPS, INCLUDING A PRESENTATION FOR SHIFT WORKERS AT THE MALL OF AMERICA. A VARIETY OF SUPPORT GROUPS FOR COMMUNITY MEMBERS AND LOVED ONES AFFECTED BY PARKINSON'S DISEASE, STROKE, SLEEP DISORDERS, CANCER AND MORE. MAPLE GROVE WOMEN'S SERVICES TEAMS OFFERED HEALTH EDUCATION AND INFORMATION AT TWO COMMUNITY EVENTS: JEANS, JEWELS & GENERATIONS AND THE BABY BALL. ORTHOPEDICS TEAM PRESENTED TO HIGH SCHOOL AND COLLEGE AGED STUDENTS ON CAREERS IN PHYSICAL THERAPY SPONSORED THE DAKOTA COUNTY HEALTHY COMMUNITY COLLABORATIVE'S 2015 MENTAL HEALTH SUMMITIN ADDITION TO THE INITIATIVES SITED ABOVE, PARK NICOLLET FOUNDATION PROVIDES FINANCIAL AND OTHER SUPPORT TO ASSIST COMMUNITY NON-PROFIT PARTNERS. IN 2015, COMMUNITY GRANTEES INCLUDED: FOOD ACCESS FOR LOW-INCOME SENIORS 360 COMMUNITIES INTERCONGREGATION COMMUNITIES ASSOCIATION MOBILE FOOD SHELF PRISM ST. LOUIS PARK EMERGENCY PROGRAM (STEP) SECOND HARVEST HEARTLAND STORE TO DOOR OTHER SERVICES FOR LOW-INCOME SENIORS DARTS TRANSPORTATION SERVICE INTERFAITH OUTREACH AND COMMUNITY PARTNERS (IOCP) - SOCIAL CONNECTIVITY VEAP - TRANSPORTATION YOUTH MENTAL HEALTH CHANGE, INC. - TRAINING AFRICAN AMERICAN MALES AS MENTAL HEALTH AIDES IN MINNEAPOLIS PUBLIC SCHOOLS. COMUNIDADES LATINAS UNIDAS EN SERVICIO - MENTAL HEALTH CARE FOR UNACCOMPANIED LATINO MINORS ST. LOUIS PARK SCHOOL DISTRICT - SPARKS ELEMENTARY SCHOOL COUNSELORS MYHEALTH FOR TEENS AND YOUNG ADULTS NORTHWEST HENNEPIN FAMILY SERVICE COLLABORATIVE - FAMILY SCHOOL COORDINATORS RECLAIM - THERAPY SERVICES FOR SOUTHEAST ASIAN LGBTQ YOUTH RELATE - EARLY CHILDHOOD MENTAL HEALTH SERVICES THROUGH MINNETONKS ECFE ROBBINSDALE AREA SCHOOLS - ELEMENTARY MENTAL HEALTH SERVICES ST. DAVID'S CENTER FOR CHILD & FAMILY DEVELOPMENT WATERCOURSE COUNSELING CENTER - TRAUMA-INFORMED THERAPY FOR IMMIGRANT STUDENTS ACCESS AND AFFORDABILITY CHILDREN'S DENTAL SERVICES THE MILLS HEALTH CLINIC - PRESCRIPTION SUPPORT FOR A LOW-COST CLINIC IN MINNETONKA RIVER VALLEY COMMUNITY PARTNERSHIP - SAFETY NET MEDICAL PROVIDER

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PARK NICOLLET FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6500 EXCELSIOR BLVD	AddressLine1Txt
City	ST LOUIS PARK	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55426	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	237346465	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$112,469	CashGrantAmt
Purpose Of Grant	GRANT MONEY TO OTHER ORGANIZATIONS	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	20	RecipientCnt
Cash Grant	$50,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE PARK NICOLLET SERVICE LEAGUE HAS A STUDENT VOLUNTEER SCHOLARSHIP PROGRAM TO GIVE FINANCIAL SUPPORT TO STUDENT VOLUNTEERS WHO HAVE PROVIDED EXCEPTIONAL VOLUNTEER SERVICE AND ARE INTERESTED IN FURTHERING THEIR EDUCATIONS. APPLICANTS MUST BE AN ACTIVE STUDENT VOLUNTEER, A SENIOR IN HIGH SCHOOL AND WHO HAS APPLIED TO A POST-HIGH SCHOOL EDUCATION PROGRAM AND MUST BE DEDICATED VOLUNTEER AT PARK NICOLLET METHODIST HOSPITAL. OCCASIONALLY PARK NICOLLET METHODIST HOSPITAL GRANTS MONIES TO OTHER TAX-EXEMPT ORGANIZATIONS CONDUCTION PROGRAMS AND/OR RESEARCH THAT WILL ULTIMATELY BENEFIT THOSE SERVICED BY PARK NICOLLET HEALTH SERVICES AND AFFILIATES, DURING CALENDAR YEAR GRANTS WERE MADE TO PARK NICOLLET FOUNDATION FOR IMPROVEMENT TO MEDICAL SERVICES, MEDICAL RESEARCH AND HEALTHY PATIENTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (43 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS JONES MD
DIRECTOR	$599,174	$0	$20,260	$0	$72,734	$0	$47,259	$0	$33,421	$0	$772,848	$0	$0	$0
JEFF MENDELOFF MD
DIRECTOR	$683,548	$0	$26,094	$0	$64,059	$0	$24,843	$0	$38,992	$0	$837,536	$0	$0	$0
ERIC SCHNED MD
DIRECTOR	$207,607	$0	$5,923	$0	$52,852	$0	$24,529	$0	$24,082	$0	$314,993	$0	$0	$0
BRIAN H RANK MD
DIRECTOR	$0	$581,191	$0	$156,086	$0	$57,412	$0	$99,590	$0	$44,768	$0	$939,047	$0	$33,761
BETH WATERMAN
PNI INSTITUTE VICE CHAIR	$0	$277,158	$0	$81,776	$0	$0	$0	$66,075	$0	$40,432	$0	$465,441	$0	$0
BETHEL AVERBECK MD
PNI INSTITUTE DIRECTOR	$0	$457,908	$0	$30,000	$0	$21,918	$0	$56,288	$0	$41,054	$0	$607,168	$0	$21,918
DAVID DZIUK
PNI INSTITUTE DIRECTOR	$0	$440,985	$0	$129,378	$0	$17,727	$0	$108,030	$0	$42,833	$0	$738,953	$0	$17,727
CHARLES FAZIO MD
PNI INSTITUTE DIRECTOR	$0	$371,319	$0	$66,240	$0	$1,147	$0	$58,281	$0	$34,539	$0	$531,526	$0	$0
GEORGE ISHAM MD
PNI INSTITUTE DIRECTOR	$0	$157,800	$0	$0	$0	$1,515	$0	$68,825	$0	$15,658	$0	$243,798	$0	$0
MEGAN REMARK
PNI INSTITUTE DIRECTOR	$0	$450,937	$0	$117,300	$0	$22,960	$0	$75,296	$0	$45,120	$0	$711,613	$0	$13,311
JOHN SCHOUSBOE MD
PNI INSTITUTE DIRECTOR	$291,803	$0	$3,899	$0	$7,271	$0	$22,544	$0	$24,858	$0	$350,375	$0	$0	$0
BABETTE APLAND
VP BEHAVIORAL HEALTH AND C	$0	$316,765	$0	$88,374	$0	$25,974	$0	$72,305	$0	$39,332	$0	$542,750	$0	$9,615
CURT BOEHMMD
CMIO, HP INSTUTUTE DIRECTOR	$0	$282,960	$0	$48,174	$0	$4,167	$0	$58,339	$0	$23,314	$0	$416,954	$0	$0
STEVEN CONNELLY MD
PRESIDENT PNHS, HP INSTUTUE DIRECTOR	$0	$546,352	$0	$139,096	$0	$72,979	$0	$90,843	$0	$53,632	$0	$902,902	$0	$59,768
PAUL DAMROW MD
CHIEF SURGICAL SERVICES	$0	$547,461	$0	$102,784	$0	$13,060	$0	$89,481	$0	$39,408	$0	$792,194	$0	$0
LAURA FRAZIER
VP SURGICAL SERVICES	$0	$252,039	$0	$46,582	$0	$34,906	$0	$54,871	$0	$27,704	$0	$416,102	$0	$27,724
ROXANNA GAPSTUR PHD
SR VP & COO METHODIST HOSP	$0	$347,188	$0	$83,702	$0	$46,081	$0	$66,017	$0	$31,032	$0	$574,020	$0	$36,785
CHRISTA GETCHELL
PRESIDENT PNF, VP COMMUNIT	$0	$214,919	$0	$38,414	$0	$10,015	$0	$42,768	$0	$19,386	$0	$325,502	$0	$0
CARA HULL
VP HR AND PLANNING	$0	$76,895	$0	$44,984	$0	$2,188	$0	$17,500	$0	$12,470	$0	$154,037	$0	$0
DAVID HOMANS MD
CHIEF SPECIALTY SSERVICES	$0	$585,414	$0	$11,540	$0	$75,132	$0	$75,753	$0	$37,015	$0	$784,854	$0	$0
STEVEN HOUSH
VP, ORTHOPAEDIC SERVICES	$0	$305,713	$0	$40,000	$0	$0	$0	$19,875	$0	$37,443	$0	$403,031	$0	$0
KATE KLUGHERZ
VP SPECIALTY SERVICES	$0	$247,031	$0	$43,913	$0	$30,352	$0	$54,585	$0	$29,084	$0	$404,965	$0	$19,353
CATHERINE LENAGH
VP & CFO	$0	$320,659	$0	$71,209	$0	$37,438	$0	$63,963	$0	$37,945	$0	$531,214	$0	$25,549
KRISTI LYON
VP PAYER RELATIONS	$0	$205,525	$0	$33,885	$0	$27,150	$0	$41,956	$0	$37,357	$0	$345,873	$0	$16,628
JOHN MISA MD
SR MEDICAL DIRECTOR	$0	$385,374	$0	$71,911	$0	$69,070	$0	$70,274	$0	$31,977	$0	$628,606	$0	$48,487
JOAN SANDSTROM
VP PRIMARY CARE	$0	$285,298	$0	$53,276	$0	$46,623	$0	$58,631	$0	$30,438	$0	$474,266	$0	$32,165
MARK SANNESMD
SR MEDICAL DIRECTOR	$0	$380,000	$0	$37,790	$0	$4,913	$0	$48,843	$0	$35,164	$0	$506,710	$0	$0
MELISSA SCHOENHERR
VP MARKETING AND COMMUNICA	$0	$244,137	$0	$47,168	$0	$7,895	$0	$54,124	$0	$16,962	$0	$370,286	$0	$0
CYNTHIA TOHER MD
SR MEDICAL DIRECTOR	$0	$545,104	$0	$89,315	$0	$59,530	$0	$75,758	$0	$43,340	$0	$813,047	$0	$48,578
DUANE SPIEGLE
VP REAL ESTATE AND SUPPORT	$0	$243,151	$0	$68,030	$0	$33,633	$0	$54,897	$0	$42,669	$0	$442,380	$0	$21,040
KATHERINE TARVESTAD
VP AND CARE GROUP COMPLIAN	$0	$191,597	$0	$72,271	$0	$40,947	$0	$13,593	$0	$18,071	$0	$336,479	$0	$32,668
JOSHUA ZIMMERMAN
SR MEDICAL DIRECTOR	$0	$332,158	$0	$39,941	$0	$47,869	$0	$52,466	$0	$28,751	$0	$501,185	$0	$31,427
NANCY MCCLURE
CHIEF OPERATING OFFICER	$0	$552,471	$0	$148,212	$0	$48,080	$0	$97,971	$0	$42,770	$0	$889,504	$0	$24,314
BARBARA TRETHEWAY
SR. VP, GENERAL COUNSEL	$0	$481,391	$0	$128,478	$0	$86,356	$0	$78,345	$0	$35,333	$0	$809,903	$0	$69,674
PRAVEEN BAIMEEDI MD
MEDICAL DOCTOR	$1,476,239	$0	$41,320	$0	$2,904	$0	$24,843	$0	$50,976	$0	$1,596,282	$0	$0	$0
OLIVER CASS MD
MEDICAL DOCTOR	$990,453	$0	$28,879	$0	$7,779	$0	$24,843	$0	$36,480	$0	$1,088,434	$0	$0	$0
KEITH HARMON MD
MEDICAL DOCTOR	$768,833	$0	$28,110	$0	$78,703	$0	$24,843	$0	$40,471	$0	$940,960	$0	$0	$0
ANTHONY BOTTINIMD
MEDICAL DOCTOR	$820,952	$0	$31,043	$0	$2,478	$0	$24,843	$0	$39,882	$0	$919,198	$0	$0	$0
SALIM KATHAWALLA MD
MEDICAL DOCTOR	$639,800	$0	$19,614	$0	$154,954	$0	$24,843	$0	$39,582	$0	$878,793	$0	$0	$0
JULIE FLASCHENRIEM
FORMER VP AND CIO	$43,775	$0	$34,755	$0	$374,999	$0	$0	$0	$13,923	$0	$467,452	$0	$40,178	$0
BRETT LONG
FORMER VP STRATEGY & GROWTH, HR	$8,398	$0	$51,833	$0	$280,324	$0	$0	$0	$12,285	$0	$352,840	$0	$30,024	$0
THEODORE WEGLEITNER
FORMER COO TRIA	$0	$343,418	$0	$72,178	$0	$33,980	$0	$48,981	$0	$37,838	$0	$536,395	$0	$33,980
SHELIA MCMILLAN
FORMER VP & CFO	$0	$0	$0	$0	$113,206	$0	$0	$0	$8,660	$0	$121,866	$0	$12,129	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINES 4A-B

THE AMOUNT OF SEVERANCE COMPENSATION AND BENEFITS PROVIDED TO EACH OF THE INDIVIDUALS ON SEVERANCE DURING 2015 IS AS FOLLOWS: SHEILA MCMILLAN $101,077 BRETT LONG $250,204 JULIE FLASCHENRIEM $334,821 SCHEDULE J, PART I, LINE 4B: SENIOR LEADERS OF PARK NICOLLET HEALTH SERVICES AND AFFILIATES ARE GIVEN THE OPPORTUNITY TO PARTICIPATE IN THE CAPITAL ACCUMULATION ACCOUNT PLAN. THE CAPITAL ACCUMULATION ACCOUNT PLAN (CAA PLAN) PARTICIPATION IS LIMITED TO SENIOR LEADERS AND ALL THE VICE PRESIDENTS. EACH PARTICIPANT RECEIVES AN ANNUAL ALLOWANCE EQUAL TO THE SUM OF (I) A STATED PERCENT OF SALARY, (II) VOLUNTARY SALARY DEFERRALS. THE ALLOWANCE IS CREDITED TO A BOOKKEEPING ACCOUNT. EARNINGS ARE CREDITED TO THE ACCOUNT BASED ON THE PERFORMANCE OF SIMULATED INVESTMENTS. BENEFITS VEST UPON THE EARLIEST OF REMAINING EMPLOYED TO AN ELECTIVE VESTING DATE (TWO YEARS TO AGE 68), INVOLUNTARY TERMINATION WITHOUT CAUSE, DISABILITY, DEATH, OR NOT COMPETING FOR 24 MONTHS FOLLOWING VOLUNTARY OR FOR-CAUSE TERMINATION. BENEFITS ARE PAID IN A SINGLE LUMP SUM UPON VESTING. PARTICIPANTS ARE GENERAL CREDITORS OF THE EMPLOYER FOR THE PAYMENT OF THE BENEFITS. THE FOLLOWING PARTICIPANTS RECEIVED PAYOUTS FROM A RELATED ORGANIZATION, PARK NICOLLET HEALTH SERVICES, RELATED TO CAA PLAN: NAME 2015 COMPENSATION STEVEN CONNELLY, MD $ 59,768 JULIE FLASCHENRIEM $ 40,178 LAURA FRAZIER $ 27,724 ROXANNA GAPSTUR $ 36,785 DAVID HOMANS, MD $ 49,620 CATHERINE LENAGH $ 25,549 BRETT LONG $ 30,024 SHEILA MCMILLAN $ 12,129 JOHN MISA, MD $ 48,487 DUANE SPIEGLE $ 21,040 THEODORE WEGLEITNER $ 33,980 CATHERINE KLUGHERZ $ 19,353 KATHERINE TARVESTAD $ 32,668 CYNTHIA TOHER, MD $ 48,578 JOSHUA ZIMMERMAN MD $ 31,427 KRISTI LYON $ 16,628 JOAN SANDSTROM $ 32,165 OFFICERS AND DIRECTORS EMPLOYED BY HEALTHPARTNERS, INC HAVE DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J, PART II WHICH INCLUDE AMOUNTS FROM A NONQUALIFIED 457(F) PLAN, THE FOLLOWING PARTICIPANTS RECEIVED PAYOUTS: BABETTTE APLAND $ 9,615 BRIAN RANK, MD $ 33,761 NANCY MCCLURE $ 24,314 BARBARA TRETHEWAY $ 69,674 BETHAL AVERBECK $ 21,918 DAVID DZIUK $ 17,727 MEGAN REMARK $ 13,311

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 40% FOR THE CFO, COO, CMO AND 30% FOR ALL OTHER EXECUTIVES. 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 DIRECTORS AND MANAGERS ARE ELIGIBLE FOR INCENTIVE PAYOUTS. THE INCENTIVE AWARD ELIGIBLE PARTICIPANTS WILL BE 20% AT THE DIRECTOR-LEVEL AND 15% AT THE MANAGER-LEVEL, USING THEIR ELIGIBLE ANNUAL BASE PAY COMPENSATION WITH AN OPPORTUNITY FOR INCENTIVE CREDIT ABOVE THE TARGET LEVEL. THE ULTIMATE PAYOUT DEPENDS ON INDIVIDUAL GOAL PERFORMANCE. THE PARTICIPANT MUST BE ASSIGNED AT LEAST THREE, AND NOT MORE THAN FOUR FOCUSED INCENTIVE OBJECTIVE, ONE OF WHICH MUST BE FINANCIAL IN NATURE

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
OLIVER CASS MD
SALARY DRAW IN EXCESS	Yes (X)	$777	$777	0	0	0
KEITH HARMON MD
SALARY DRAW IN EXCESS	Yes (X)	$11,296	$11,296	0	0	0

Field	Value	IRS element (for citing)
Total Balance Due	$12,073	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
RANDI NORBY
RANDI NORBY IS THE SISTER OF ROXANNA GAPSTUR,PHD AN OFFICER OF PARK NICOLL	$149,597	EMPLOYMENT	0
SUSAN SPIEGLE
SUSAN SPIEGLE IS THE SPOUSE OF DUANE SPIEGLE, AN OFFICER OF PARK NICOLLET	$47,781	EMPLOYMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4	PARK NICOLLET INSTITUTE UPDATED THEIR BYLAWS TO CHANGE THE COMPOSITION OF THEIR BOARD. THERE ARE NOW 14 DIRECTORS COMPRISED OF EXOFFICIO AND MEMBER-APPOINTED DIRECTORS WHO FIT WITHIN PRESCRIBED CATEGORIES. OFFICERS OF PARK NICOLLET INSTITUTE ARE SUBJECT TO MEMBER APPROVAL OF PARK NICOLLET HEALTH SERVICES BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 6	PARK NICOLLET HEALTH SERVICES IS THE SOLE MEMBER OF PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, PARK NICOLLET INSTITUTE PARK NICOLLET HEALTH CARE PRODUCTS AND PNMC HOLDINGS. HEALTHPARTNERS, INC. IS THE SOLE MEMBER OF PARK NICOLLET HEALTH SERVICES.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS OF PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, PNMC HOLDINGS AND PARK NICOLLET HEALTH CARE PRODUCTS ARE THOSE INDIVIDUALS WHO ARE CONTEMPORANEOUSLY MEMBERS OF THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH SERVICES. PARK NICOLLET INSTITUTE HAS A SEPERATE BOARD OF DIRECTORS WHO REPORTS TO THE OVERALL PARK NICOLLET HEALTH SERICES BOARDS.
FORM 990, PART VI, SECTION A, LINE 7B	ALL DECISIONS, INCLUDING DISSOLUTION OF THE ORGANIZATION, MADE BY THE GOVERNING BODY OF PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, PARK NICOLLET INSTITUTE, PNMC HOLDINGS AND PARK NICOLLET HEALTH CARE PRODUCTS ARE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS OF PARK NICOLLET HEALTH SERVICES.
FORM 990, PART VI, SECTION B, LINE 11	PARK NICOLLET GROUP PREPARES THE FORM 990 WITHIN THE FINANCE DEPARTMENT WITH ASSISTANCE FROM INDIVIDUALS IN HUMAN RESOURCES, MARKETING, OPERATIONS AND LEGAL. UPON COMPLETION OF GATHERING THE NECESSARY INFORMATION FOR THE RETURN, THE FORM WAS REVIEWED BY THE PARK NICOLLET GROUP'S ACCOUNTING FIRM. DRAFTS OF THE FORM WERE ALSO REVIEWED BY THE ASSISTANT CONTROLLER - ACCOUNTING OPERATIONS, VICE PRESIDENT OF FINANCE, CHIEF FINANCIAL OFFICER, THE LEGAL DEPARTMENT AND THE AUDIT AND COMPLIANCE COMMITTEE. AFTER ALL REVIEWS WERE COMPLETE; THE FORM 990 WAS GIVEN TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12C	AT PARK NICOLLET HEALTH SERVICES ALL KEY EMPLOYEES, DIRECTORS, AND OFFICERS ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT EACH YEAR; HOWEVER THE OBLIGATION TO REPORT POTENTIAL CONFLICTS IS ONGOING. PARK NICOLLET HEALTH SERVICES BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES PURSUANT TO ITS CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ALL BOARD MEMBERS AND OFFICERS ANNUALLY ARE PROVIDED A COPY OF THE POLICY AND REQUIRED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTEREST. THE GENERAL COUNCIL REVIEWS THE COMPLETED QUESTIONNAIRES AND PROVIDES A REPORT TO THE GOVERNANCE COMMITTEE OF THE BOARD. THE REPORT IDENTIFIES ANY SIGNIFICANT POTENTIAL CONFLICTS DISCLOSED IN THE COMPLETED QUESTIONNAIRES. A WRITTEN REPORT IS PROVIDED TO THE CHAIR AND CHIEF EXECUTIVE OFFICER (CEO). BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY.
FORM 990, PART VI, SECTION B, LINE 15	PARK NICOLLET HAS AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF ITS PRESIDENT AND ITS OTHER OFFICERS. EVERY THREE YEARS, UNDER THE DIRECTION OF THE BOARD OF DIRECTORS' COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE (COMPENSATION COMMITTEE), A TOTAL COMPENSATION MARKET REVIEW IS COMPLETED BY AN EXTERNAL COMPENSATION CONSULTANT. THE REVIEW INCLUDES ALL COMPONENTS OF COMPENSATION; BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE INDEPENDENT BOARD COMPENSATION COMMITTEE. BASED ON THIS MARKET DATA, THE COMPENSATION COMMITTEE DETERMINES MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES FOR EACH OFFICER. IN INTERIM YEARS, GROUP HEALTH PLAN, INC. (AN AFFILIATE OF PNHS) HUMAN RESOURCES STAFF, UNDER THE DIRECTION OF THE COMPENSATION COMMITTEE, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES PERFORMED BY THE COMPENSATION CONSULTANT FOR THE COMPENSATION COMMITTEE. FOR CERTAIN POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED TO SET SALARY RANGES BASED ON THE COMPETITIVE MARKET DATA SPECIFIC TO THOSE POSITIONS. THE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S COMPENSATION RESULTS. IN ALL CASES, COMMITTEE MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMPENSATION COMMITTEE MEMBERS' INDEPENDENCE AND THIS IS UPDATED AT ANY MEETING AT WHICH DECISIONS ARE BEING MADE. STAFF (OTHER THAN THE SECRETARY TO THE BOARD) IS NOT IN THE ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS, AND CONTEMPORANEOUS MINUTES ARE KEPT. THE BOARD HAS DELEGATED TO THE TO THE PRESIDENT & CEO (WITH AUTHORITY TO FURTHER DELEGATE TO EXECUTIVES WITH LEADERSHIP ROLES OF PARK NICOLLET OFFICERS) THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL PARK NICOLLET OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMPENSATION COMMITTEE. ANY EXCEPTIONS TO COMPENSATION IN EXCESS OF THE APPROVED RANGES ARE APPROVED BY THE COMPENSATION COMMITTEE. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND W2 STATEMENTS.
FORM 990, PART VI, SECTION C, LINE 19	PARK NICOLLET GROUP MEMBERS' GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. PARK NICOLLET HEALTH SERVICES, AS THE PARENT ORGANIZATION OF THE PARK NICOLLET GROUP, 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 AND MHA. THE ANNUAL AUDITED AND QUARTERLY FINANCIAL STATEMENTS ARE ALSO POSTED AT EMMA.MSRB.ORG. THE FORMS 990 ARE AVAILABLE UPON REQUEST OR FROM THE STATE OF MINNESOTA.
FORM 990, PART IV, LINE 24A	HEALTHPARTNERS INC., ALONG WITH RELATED ORGANIZATIONS, IS JOINTLY LIABLE FOR THE TAX EXEMPT BONDS HELD BY HEALTHPARTNERS INC. UNDER A MASTER TRUST AGREEMENT. THE MEMBERS OF THE JOINTLY LIABLE GROUP, WHICH IS COLLECTIVELY REFERRED TO AS THE "OBLIGATED GROUP", INCLUDE PARK NICOLLET HEALTH SERVICES, PARK NICOLLET CLINIC, PARK NICOLLET METHODIST HOSPITAL, PNMC HOLDINGS, REGIONS HOSPITAL, AND PARK NICOLLET HEALTH CARE PRODUCTS, GROUP HEALTH PLAN INC, HEALTHPARTNERS ADMINISTRATORS INC., HEALTHPARTNERS INSURANCE COMPANY. IN ACCORDANCE WITH REPORTING REQUIREMENTS FOR SCHEDULE K, ALL OUTSTANDING TAX EXEMPT BONDS ARE REPORTED SOLELY ON THE SCHEDULE K OF GROUP HEALTH PLAN INC.
FORM 990, PART XI, LINE 9:	NET ASSETS RELEASED FROM RESTRICTIONS -88,396. GRANTS RUN THROUGH THE FOUNDATION -1,768,647.
FORM 990, PART IX	IN 2015, PARK NICOLLET REFINANCED ITS BOND OFFERING RESULTING IN A ONE-TIME CHARGE OF $61 MILLION. TEH POSITIVE EFFECTS OF THE BOND REFINANCING ARE REFLECTED IN A LOWER INTEREST EXPENSE EACH YEAR, FOR THE LIFE OF THE BONDS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Direct Controlling NADirectControllingNACd
PARK NICOLLET HEALTH SERVICE
6500 EXCELSIOR BLVD	ST LOUIS PARK	MN	55426	363465840	HEALTH CARE ADMINSTRATIONS	MN	501(C)(3)	509(A)(2)	0
PARK NICOLLET FOUNDATION
6500 EXCELSIOR BLVD	ST LOUIS PARK	MN	55426	237346465	GRANTS TO SERVE THE COMMUNITY	MN	501(C)(3)	170(B)(1) (A)(VI)	0	PARK NICOLLET HEALTH SERVICES
TRIA ORTHOPEADIC CENTER RESEARCH INSTITUTE
8100 NOIRTHLAND DRIVE	BLOOMINGTON	MN	55431	200033919	HEALTH CARE RESEARCH AND EDUCATION	MN	501(C)(3)	509(A)(3) TYPE I	0	PARK NICOLLET HEALTH SERVICES
HEALTHPARTNERS INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411693838	HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION	MN	501(C)(4)		0		N/A
HPI - RAMSEY
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411793333	CORPORATE PLANNING AND OVERSIGHT	MN	501(C)(3)	509(A)(3) TYPE I	0	HEALTHPARTNERS INC
GROUP HEALTH PLAN INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	410797853	STAFF MODEL HEALTH MAINTENANCE ORGANIZATION	MN	501(C)(3)	170(B)(1) (A)(III)	0	HEALTHPARTNERS INC
HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411670163	HEALTHCARE EDUCATION & RESEARCH	MN	501(C)(3)	509(A)(3) TYPE I	0	HEALTHPARTNERS INC
CAPITOL VIEW TRANSITIONAL CARE CENTER
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	412011453	POST HOSPITALIZATION PATIENT CARE	MN	501(C)(3)	170(B)(1) (A)(III)	0	HPI - RAMSEY
REGIONS HOSPITAL
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	410956618	HOSPITAL	MN	501(C)(3)	170(B)(1) (A)(III)	0	HPI - RAMSEY
REGIONS HOSPITAL FOUNDATION
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411888902	PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT	MN	501(C)(3)	170(B)(1) (A)(VI)	0	HPI - RAMSEY
RHSC INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411891928	HEALTHCARE STAFFING	MN	501(C)(3)	509(A)(3) TYPE II	0	HEALTHPARTNERS INC
RH-WISCONSIN
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	202287016	CORPORATE PLANNING AND OVERSIGHT	WI	501(C)(3)	509(A)(3) TYPE II	0	HPI - RAMSEY
PHYSICIANS NECK AND BACK CLINICS
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	270684883	SPECIALTY PATIENT CARE	MN	501(C)(3)	509(A)(3) TYPE II	0	GROUP HEALTH PLAN INC
HUDSON HOSPITAL INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	390804125	HOSPITAL	WI	501(C)(3)	170(B)(1) (A)(III)	0	RH-WISCONSIN
HUDSON HOSPITAL FOUNDATION INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	391279567	PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT	WI	501(C)(3)	170(B)(1) (A)(VI)	0	HUDSON HOSPITAL INC
WESTERN WISCONSIN EMERGENCY MEDICAL SERVICES COMPANY
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	263616590	PROVIDE MEDICAL TRANSPORT SERVICES	WI	501(C)(3)	509(A)(3) TYPE I	0	RH-WISCONSIN
LAKEVIEW MEMORIAL HOSPITAL FOUNDATION
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411386635	PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT	MN	501(C)(3)	509(A)(3) TYPE II	0	STILLWATER HEALTH SYSTEM
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	410811697	HOSPITAL	MN	501(C)(3)	170(B)(1) (A)(III)	0	STILLWATER HEALTH SYSTEM
STILLWATER MEDICAL GROUP
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	830379473	PHYSICIANS GROUP	MN	501(C)(3)	509(A)(2)	0	STILLWATER HEALTH SYSTEM
STILLWATER HEALTH SYSTEM
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	300221189	CORPORATE PLANNING AND OVERSIGHT	MN	501(C)(3)	509(A)(3) TYPE II	0	HPI - RAMSEY
WESTFIELDS HOSPITAL INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	390808442	HOSPITAL	WI	501(C)(3)	170(B)(1) (A)(III)	0	RH-WISCONSIN
WESTFIELDS HOSPITAL FOUNDATION INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	391770913	PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT	WI	501(C)(3)	509(A)(3) TYPE I	0	WESTFIELDS HOSPITAL INC
RAMSEY INTEGRATED HEALTH SERVICES
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411503090	IN-HOME PATIENT CARE	MN	501(C)(3)	509(A)(2)	0	HPI - RAMSEY
AMERY REGIONAL MEDICAL CENTER INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	390908320	HOSPITAL	WI	501(C)(3)	170(B)(1) (A)(III)	0	RH-WISCONSIN
AMERY REGIONAL MEDICAL CENTER FOUNDATION
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	391726539	PROVIDE HOSPITAL PROGRAM FINANCIAL SUPPORT	WI	501(C)(3)	170(B)(1) (A)(VI)	0	AMERY REGIONAL MEDICAL CENTER INC& GROUP HEALTH PLAN INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	METHODIST BRAIN LAB LEASING LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6500 EXCELSIOR BLVD	AddressLine1Txt
City	ST LOUIS PARK	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55426	ZIPCd

Field	Value	IRS element (for citing)
EIN	208725994	EIN
Primary Activities	HEALTH CARE	PrimaryActivitiesTxt
Legal Domicile State	MN	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PARK NICOLLET METHODIST HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
PARK NICOLLET ENTERPRISES
6500 EXCELSIOR BLVD	ST LOUIS PARK	MN	55426	411656735	REAL ESTATE FOR RELATED ORGANICATION	MN	PARK NICOLLET HEATLH SERVICES	C	$54,745	$14,109,282	1.00000	0
HEALTHPARTNERS ADMINISTRATORS INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411629390	THIRD PARTY ADMINISTRATOR	MN	HEALTHPARTNERS INC	C				0
HEALTHPARTNERS ASSOCIATES INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	522365151	MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT	MN	HEALTHPARTNERS ADMINISTRATORS INC	C				0
HEALTHPARTNERS SERVICES INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411683568	MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT	MN	HEALTHPARTNERS ADMINISTRATORS INC	C				0
HEALTHPARTNERS INSURANCE COMPANY
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411683523	MEDICAL AND DENTAL INSURANCE	MN	HEALTHPARTNERS ADMINISTRATORS INC	C				0
DENTAL SPECIALTIES INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	451297583	PROFESSIONAL DENTAL SERVICES	MN	HEALTHPARTNERS ADMINISTRATORS INC	C				0
HEALTHPARTNERS CENTRAL MINNESOTA CLINICS INC
8170 33RD AVE S PO BOX 1309	MPLS	MN	554401309	411236798	MEDICAL CLINIC STAFFING	MN	HEALTHPARTNERS ADMINISTRATORS INC	C				0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PARK NICOLLET HEALTH SERVICES
M	$14,411,575	COST
PARK NICOLLET HEALTH SERVICES
P	$1,294,807,675	COST
PARK NICOLLET HEALTH SERVICES
J	$491,136	COST
PARK NICOLLET HEALTH SERVICES
R	$1,468,070,723
METHODIST BRAIN LAB LEASING LLC
K	$572,093	COST
METHODIST BRAIN LAB LEASING LLC
S	$365,349	COST
HEALTHPARTNERS INC
L	$56,111,253	COST